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H.R. 2493

U.S. House•Senate Floor Calendar

Summary

H.R. 2493, the Improving Care in Rural America Reauthorization Act of 2025, was introduced in the House on Mar 31, 2025 by Rep. Earl Carter (R) with 5 co-sponsors. It last saw action on Apr 22, 2026: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.

Record

Text

H.R. 2493 has 5 co-sponsors and 1 roll call.

hb2493/engrossed-in-house.txt
119 HR 2493 EH: Improving Care in Rural America Reauthorization Act of 2025
 U.S. House of Representatives
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 IB
 119th CONGRESS  2d Session
 H. R. 2493
 IN THE HOUSE OF REPRESENTATIVES
 AN ACT
To reauthorize certain programs regarding rural health care.
1.
Short title
This Act may be cited as the   Improving Care in Rural America Reauthorization Act of 2025  .
2.
Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs
(a)
Rural health care services outreach grants
Section 330A(e) of the Public Health Service Act ( 42 U.S.C. 254c(e) ) is amended by adding at the end the following:
(4)
Use of funds for rural underserved populations
In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate—
(A)
to meet the health care needs of rural underserved populations in the local community or region to be served; and
(B)
for other activities to ensure the rural underserved populations in the local community or region to be served will be involved in the development and ongoing operations of the project.
 .
(b)
Rural health network development grants
Section 330A(f) of the Public Health Service Act ( 42 U.S.C. 254c(f) ) is amended by adding at the end the following:
(4)
Use of funds for rural underserved populations
In awarding a grant under this subsection, the Director shall ensure that the funds made available through the grant will be used, as appropriate—
(A)
to increase access to quality health care services through integrated health care networks for the rural underserved populations in the local community or region to be served; and
(B)
for other activities to ensure the rural underserved populations in the local community or region to be served will benefit from and be involved in the planning, development, and ongoing implementation of the network.
 .
(c)
Reauthorization
Section 330A(j) of the Public Health Service Act ( 42 U.S.C. 254c(j) ) is amended by striking  2021 through 2025  and inserting  2026 through 2030 .
    Passed the House of Representatives April 21, 2026.  Kevin F. McCumber,  Clerk.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-03-31
  2. Passed House2026-04-21
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Mar 31, 2025

hb2493/introduced-in-house.md

Shown Here:
Introduced in House (03/31/2025)

Improving Care in Rural America Reauthorization Act of 2025

This bill reauthorizes through FY2030 grant programs administered by the Health Resources and Services Administration (HRSA) that provide funding to health care service providers and related entities in rural areas.

Specifically, the bill reauthorizes grants for

  • expanding the delivery of health care services in rural areas,
  • developing integrated health care networks (i.e., collaborative groups of local health care organizations) in rural areas, and
  • improving the quality of services provided by small health care providers in rural areas.

Also, the bill requires HRSA to ensure that grant funds for expanding services or developing health care networks are used to (1) meet the health care needs of underserved populations, and (2) engage such populations in the planning and implementation of related activities.

Sponsors

Rep. Earl Carter (R) sponsors H.R. 2493, and 5 members have co-sponsored it, 3 of them from the day it was introduced.

Committees

H.R. 2493 went before 2 committees: Energy and Commerce and Health Subcommittee.

Energy and Commerce
Energy and Commerce
Reported By · Oct 3, 2025 · 1,636 Bills
Health Subcommittee
Health Subcommittee
Reported by · Sep 10, 2025 · 143 Bills

Reports

1 committee report has been filed on H.R. 2493, the latest H. Rept. 119-325.

  • H. Rept. 119-325 — IMPROVING CARE IN RURAL AMERICA REAUTHORIZATION ACT OF 2025

Actions

H.R. 2493 has taken 18 actions since Mar 31, 2025, the latest on Apr 22, 2026.

ChamberAction
Apr 22, 2026
Senate
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
Apr 21, 202614:26
House
Mrs. Harshbarger moved to suspend the rules and pass the bill.
Apr 21, 202614:26
House
Considered under suspension of the rules. (consideration: CR H3021-3023)
Apr 21, 202614:26
House
DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
Apr 21, 202614:35
House
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.

Votes

H.R. 2493 went to 1 roll call in the House, the latest on Apr 21, 2026 at 406–4.

ChamberQuestion
Yea
Nay
Apr 21, 2026
House
On Motion to Suspend the Rules and Pass
406
4

1 bill is related to H.R. 2493, as Identical bill.

Titles

H.R. 2493 goes by 7 titles, 4 of them short titles.

  • Improving Care in Rural America Reauthorization Act of 2025 — Display Title
  • Improving Care in Rural America Reauthorization Act of 2025 — Short Title(s) from PCS (Placed on Senate Calendar) bill text
  • Improving Care in Rural America Reauthorization Act of 2025 — Short Title(s) as Passed House
  • To reauthorize certain programs regarding rural health care. — Official Titles from EH (Engrossed in House) bill text
  • Improving Care in Rural America Reauthorization Act of 2025 — Short Title(s) as Reported to House
  • Improving Care in Rural America Reauthorization Act of 2025 — Short Title(s) as Introduced
  • To reauthorize certain programs regarding rural health care. — Official Title as Introduced

Cost estimate

The Congressional Budget Office has filed 1 estimate for H.R. 2493, the latest on Jan 5, 2026.

Lobbying

6 clients hired 6 firms and 16 registered lobbyists who named H.R. 2493 in 14 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Pharmacy, Medicare/Medicaid, Budget/Appropriations, Education, Environment/Superfund, Immigration, Labor Issues/Antitrust/Workplace.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
BLUE CROSS AND BLUE SHIELD ASSOCIATION—District of Columbia13—
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC—Florida13—
BLUE CROSS BLUE SHIELD OF MICHIGAN—District of Columbia13—
BCBSM INC—Minnesota12—
BLUE CROSS AND BLUE SHIELD OF KANSAS INC—Kansas12—
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSNational professional association for pediatric nurse practitionersNew Jersey11$24K

Firms

Registrants who filed on the bill, by filings.

RegistrantClientsFilingsReported
BLUE CROSS AND BLUE SHIELD ASSOCIATION13—
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.13—
BLUE CROSS BLUE SHIELD OF MICHIGAN13—
BCBSM, INC.12—
BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.12—
MASON CONSULTING, LLC11$24K

Lobbyists

Named on the filings that cite the bill.

LobbyistFirmsClientsFilings
ALYSSA PALISI113
AMANDA INGRAM JACOBS113
AMANDA SCHWARTZ113
AMY MODLIN113
DAVID MERRITT113
KRISTIN STUART113
THOMAS GILES113
DAVID ADAMS112
KRIS HALTMEYER112
LIN NELSON112
SUNEE MICKLE112
THOMAS FLETCHER112
THOMAS RADDER112
AMANDA LINCOLN111
ERIK HAMES111
GLEN MASON111

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
BLUE CROSS AND BLUE SHIELD ASSOCIATIONBLUE CROSS AND BLUE SHIELD ASSOCIATION2025 fourth_quarter$1.4M4th Quarter - Report
BLUE CROSS AND BLUE SHIELD ASSOCIATIONBLUE CROSS AND BLUE SHIELD ASSOCIATION2025 third_quarter$1.2M3rd Quarter - Report
BLUE CROSS AND BLUE SHIELD ASSOCIATIONBLUE CROSS AND BLUE SHIELD ASSOCIATION2026 second_quarter$990K2nd Quarter - Report
BLUE CROSS BLUE SHIELD OF MICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN2026 second_quarter$276.3K2nd Quarter - Report
BLUE CROSS BLUE SHIELD OF MICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN2025 fourth_quarter$266K4th Quarter - Report
BLUE CROSS BLUE SHIELD OF MICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN2025 third_quarter$266K3rd Quarter - Report
BLUE CROSS AND BLUE SHIELD OF FLORIDA INCBLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.2025 fourth_quarter$90K4th Quarter - Report
BLUE CROSS AND BLUE SHIELD OF FLORIDA INCBLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.2026 second_quarter$80K2nd Quarter - Report
BLUE CROSS AND BLUE SHIELD OF FLORIDA INCBLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.2025 third_quarter$80K3rd Quarter - Report
BCBSM INCBCBSM, INC.2025 third_quarter$32K3rd Quarter - Report
BCBSM INCBCBSM, INC.2025 fourth_quarter$28K4th Quarter - Report
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSMASON CONSULTING, LLC2026 second_quarter$24K2nd Quarter - Report
BLUE CROSS AND BLUE SHIELD OF KANSAS INCBLUE CROSS AND BLUE SHIELD OF KANSAS, INC.2025 fourth_quarter$10K4th Quarter - Report
BLUE CROSS AND BLUE SHIELD OF KANSAS INCBLUE CROSS AND BLUE SHIELD OF KANSAS, INC.2025 third_quarter$10K3rd Quarter - Report

Classification

The Congressional Research Service files H.R. 2493 under Health, one of its 31 policy areas, and gives it 3 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 2493’s is Health.

hr2493/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 2493 carries 3 of CRS’s legislative subjects, from Health care coverage and access to Rural conditions and development.

hr2493/subjects.txt
Health care coverage and accessHealth programs administration and fundingRural conditions and development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 2493, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 57 (Monday, March 31, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. CARTER of Georgia:H.R. 2493.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8 of the Constitution[Page H1375]

Source: congress.gov · legiscan.com