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Bill would extend rural health grant programs through 2030

Passed one chamberH.R. 2493Latest action

Sponsor: Earl L. "Buddy" Carter · Representative · GA

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Official title: Improving Care in Rural America Reauthorization Act of 2025

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

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HR 2493 extends three rural health care grant programs from their 2025 expiration through 2030.

40-second read · 4 questions answered below

What does this do?

HR 2493 renews three federal grant programs under the Public Health Service Act—Rural Health Care Services Outreach, Rural Health Network Development, and Small Health Care Provider Quality Improvement—that are set to expire in 2025, extending them through 2030. It also adds requirements that grant recipients target underserved rural populations and involve local residents in planning and running funded projects, rather than deciding on their behalf.

Who does it affect?

The bill affects people living in rural areas who face longer travel distances and fewer local health care options, as well as rural hospitals, clinics, and health networks that rely on these federal grants.

Why does it matter?

Because the bill and refines existing programs rather than creating new ones, its main effect is ensuring continued operation of these grants with stronger community input requirements.

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Where does it stand?

  1. IntroducedMar 31, 2025
  2. House committee
  3. House vote
  4. SenateYou are here · Apr 22, 2026
  5. The president's desk

Right now: it passed the House, and the official record shows nothing new since. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

Data as of October 21, 2026

Recorded votes

Roll-call votes recorded since January 3, 2025.

  1. House · · Roll call 128

    As recorded

    Question
    On Motion to and Pass
    Result:
    Passed
    406
    Nay
    4
    0
    20

    Republicans 198 yes, 4 no, 14 not voting · Democrats 207 yes, 6 not voting · Independent 1 yes

    Official record
    How members voted

    The official record lists how each member voted.Official record

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