Earl Carter (R-GA)
Improving Care in Rural America Reauthorization Act of 2025
A Republican bill with 4 Democratic cosponsors · See all 5 cosponsors
Last activity — Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
Waiting for a floor vote in the other chamber
Passed one chamber and is on the other chamber's calendar.
The calendar is a queue, not a date. The majority leadership decides what comes to the floor and when; much of what is placed on it is never called, and a bill that is never called simply expires with the Congress.
Its path through Congress
- Introduced
- Passed House 406–4
- Awaiting Senate
- On Senate calendar
What this bill would do
The Improving Care in Rural America Reauthorization Act of 2025 aims to reauthorize certain programs regarding rural health care. It amends the Public Health Service Act to include specific instructions for the use of Rural Health Care Services Outreach Grants. These funds are directed toward the needs of rural underserved populations. The act also modifies Rural Health Network Development Grants to focus on increasing access to quality health care through integrated networks. Additionally, the bill extends the reauthorization period for specific sections of the Public Health Service Act.
Yes· 3 of 7
- Scored +7
Would people in rural areas be better off under this?
The bill specifically expands and reauthorizes health care services and network development for rural populations.
- Scored +6
Does this make health care easier to get in general?
The bill directs grants to increase access to quality health care services through integrated networks for rural underserved populations.
- Scored +5
Does this invest in rural communities?
The bill invests in the health care infrastructure and service delivery of rural communities.
The opposite
No question was scored the opposite.
What Congress actually voted on
One recorded vote has been taken on this bill.
- The House: a fast-track vote, needing two-thirds to pass The House sets aside its normal procedure to move quickly: no amendments, little debate, and a two-thirds bar instead of a simple majority. It is used for measures expected to be uncontroversial, so a bill that fails here failed despite broad expectations that it would not. Passed 406 yes · 4 no
04/21/2026 · Roll call 128 · recorded as “On Motion to Suspend the Rules and Pass”
Who it would affect, and how
Potential Positive Impacts for People
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Meeting local needs: The bill directs that Rural Health Care Services Outreach Grant funds be used to meet the health care needs of rural underserved populations in their local community or region (Section 2(a)).
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Community involvement in projects: The Act ensures that rural underserved populations are involved in the development and ongoing operations of projects funded by outreach grants (Section 2(a)).
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Increased access to care: The bill directs that Rural Health Network Development Grant funds be used to increase access to quality health care services through integrated health care networks (Section 2(b)).
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Community involvement in networks: The Act ensures that rural underserved populations benefit from and are involved in the planning, development, and ongoing implementation of health care networks (Section 2(b)).
Potential Negative Impacts for People
- No negative impacts or burdens are explicitly mentioned in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would people in rural areas be better off under this? — The bill specifically expands and reauthorizes health care services and network development for rural populations. Would households on low incomes be better off under this? — The bill targets rural underserved populations, which often consist of households with lower incomes. Would Native Americans be better off under this? — The bill's focus on rural underserved populations can benefit Native American communities living in rural regions.
- Healthcare
- Does this make health care easier to get in general? — The bill directs grants to increase access to quality health care services through integrated networks for rural underserved populations.
- Environment Energy And Infrastructure
- Does this invest in rural communities? — The bill invests in the health care infrastructure and service delivery of rural communities.
- Social Issues And Justice
- Does this narrow racial gaps in how people are treated? — The bill addresses the needs of underserved populations which often include racial minority groups in rural areas. Is this likely to lift people out of poverty? — By addressing health care needs in underserved areas, the bill provides a social safety net for low-income rural residents.
In the queue for a floor vote, with no date set
- 4/22/2026
- Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
- 4/21/2026
- Motion to reconsider laid on the table Agreed to without objection.
- Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 4 (Roll no. 128). (text: CR H3021-3022)
- On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 4 (Roll no. 128). (text: CR H3021-3022)
- Considered as unfinished business. (text: CR H3025)
- At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
- DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
- Considered under suspension of the rules. (consideration: CR H3021-3023)
- Mrs. Harshbarger moved to suspend the rules and pass the bill.
- 10/3/2025
- Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
- Placed on the Union Calendar, Calendar No. 278.
- 9/17/2025
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported by the Yeas and Nays: 49 - 0.
- 9/11/2025
- 1 Cosponsor added.
- 9/10/2025
- Referred to the Subcommittee on Health.
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- 5/15/2025
- 1 Cosponsor added.
- 3/31/2025
- Referred to the House Committee on Energy and Commerce.
- 3 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Shomari FiguresDemocrat · Alabama
Michael RulliRepublican · Ohio
Kim SchrierDemocrat · Washington
Jill TokudaDemocrat · Hawaii
Eugene VindmanDemocrat · Virginia