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IntroducedMar 31, 2025
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Passed House
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Passed Senate
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Became Law
United States House Bill
Improving Care in Rural America Reauthorization Act of 2025
Last Action See all actions
Senate • Apr 22, 2026: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
Latest Bill Text See all bill texts
Summary
Comments on HR 2493
Tweets
Whip Lists
Sponsors



- Rep. Tokuda, Jill N.cosponsor
- Rep. Vindman, Eugene Simoncosponsor
Votes
YES: 406
- Adams
- Aderholt
- Aguilar
- Alford
- Allen
- Amo
- Mark Amodei
- Ansari
- Arrington
- Auchincloss
- Babin
- Bacon
- Baird
- Balderson
- Balint
- Barr
- Barragán
- Barrett
- Baumgartner
- Aaron Bean
- Beatty
- Begich
- Bell
- Bentz
- Bera
- Bergman
- Beyer
- Bice
- Sheri Biggs
- Bilirakis
- Bishop
- Boebert
- Bonamici
- Bost
- Brendan Boyle
- Bresnahan
- Brown
- Buchanan
- Budzinski
- Burchett
- Bynum
- Calvert
- Cammack
- Carbajal
- Carey
- Carson
- Earl Carter
- Troy Carter
- John Carter
- Casar
- Case
- Casten
- Kathy Castor
- Joaquin Castro
- Chu
- Ciscomani
- Cisneros
- Katherine Clark
- Yvette Clarke
- Cleaver
- Cloud
- Clyburn
- Clyde
- Cohen
- Cole
- Collins
- Comer
- Conaway
- Correa
- Costa
- Courtney
- Craig
- Crane
- Crank
- Crawford
- Crockett
- Crow
- Cuellar
- Sharice Davids
- Davidson
- Danny Davis
- Donald Davis
- Madeleine Dean
- DeGette
- DeLauro
- DelBene
- Deluzio
- DeSaulnier
- DesJarlais
- Dexter
- Diaz-Balart
- Dingell
- Doggett
- Donalds
- Downing
- Edwards
- Elfreth
- Ellzey
- Emmer
- Escobar
- Espaillat
- Estes
- Gabe Evans
- Dwight Evans
- Ezell
- Fallon
- Fedorchak
- Feenstra
- Fields
- Figures
- Fine
- Finstad
- Fischbach
- Fitzgerald
- Fitzpatrick
- Fleischmann
- Flood
- Fong
- Foster
- Foushee
- Foxx
- Frankel, Lois
- Franklin, Scott
- Friedman
- Frost
- Fry
- Fulcher
- Fuller
- Garamendi
- Garbarino
- Robert Garcia
- Jesús GarcÃa
- Sylvia Garcia
- Brandon Gill
- Gillen
- Gimenez
- Craig Goldman
- Gomez
- Gonzalez, V.
- Gooden
- Goodlander
- Gosar
- Gottheimer
- Graves
- Gray
- Al Green
- Grijalva
- Grothman
- Guest
- Guthrie
- Hageman
- Abraham Hamadeh
- Josh Harder
- Haridopolos
- Harrigan
- Andy Harris
- Mark Harris
- Harshbarger
- Hayes
- Kevin Hern
- Clay Higgins
- J. Hill
- Himes
- Hinson
- Horsford
- Houchin
- Houlahan
- Hoyer
- Valerie Hoyle
- Hudson
- Huffman
- Huizenga
- Hunt
- Jeff Hurd
- Issa
- Ivey
- Jack
- Jonathan Jackson
- Ronny Jackson
- Jacobs
- James
- Jayapal
- Jeffries
- Henry Johnson
- Dusty Johnson
- Julie Johnson
- Jordan
- David Joyce
- John Joyce
- Kamlager-Dove
- Kaptur
- Keating
- Robin Kelly
- Trent Kelly
- Mike Kelly
- Timothy Kennedy
- Mike Kennedy
- Khanna
- Kevin Kiley
- Kim
- Knott
- Krishnamoorthi
- Kustoff
- LaHood
- LaLota
- Landsman
- Langworthy
- Rick Larsen
- John Larson
- Latimer
- Latta
- Lawler
- Laurel Lee
- Susie Lee
- Summer Lee
- Leger Fernandez
- Letlow
- Levin
- Liccardo
- Lieu
- Lofgren
- Loudermilk
- Lucas
- Luna
- Luttrell
- Lynch
- Mackenzie
- Magaziner
- Malliotakis
- Maloy
- Mann
- Mannion
- Massie
- Mast
- Matsui
- McBath
- McBride
- McClain
- McClain Delaney
- McClellan
- McCollum
- McCormick
- McDonald Rivet
- McDowell
- McGarvey
- McGovern
- McIver
- Meeks
- Mejia
- Menefee
- Menendez
- Meng
- Messmer
- Meuser
- Mfume
- Mary Miller
- Max Miller
- Carol Miller
- Miller-Meeks
- Mills
- Min
- Moolenaar
- Barry Moore
- Tim Moore
- Blake Moore
- Gwen Moore
- Riley Moore
- Moran
- Morelle
- Morrison
- Moskowitz
- Moulton
- Mrvan
- Mullin
- Murphy
- Nadler
- Neal
- Neguse
- Nehls
- Norcross
- Zachary (Zach) Nunn
- Obernolte
- Ocasio-Cortez
- Ogles
- Olszewski
- Omar
- Onder
- Owens
- Pallone
- Palmer
- Panetta
- Pappas
- Patronis
- Pelosi
- Perez
- Perry
- Peters
- Pettersen
- Pfluger
- Pingree
- Pocan
- Pou
- Pressley
- Quigley
- Ramirez
- Randall
- Raskin
- Reschenthaler
- Josh Riley
- Rivas
- Mike Rogers
- Harold Rogers
- Rose
- Ross
- Rouzer
- Roy
- Ruiz
- Rulli
- Rutherford
- Ryan
- Salazar
- Salinas
- Sánchez
- Scalise
- Scanlon
- Schmidt
- Schneider
- Scholten
- Schrier
- Schweikert
- Robert Scott
- Scott, Austin
- Scott, David
- Sessions
- Sewell
- Sherman
- Shreve
- Simon
- Simpson
- Jason Smith
- Adrian Smith
- Christopher Smith
- Adam Smith
- Smucker
- Sorensen
- Soto
- Spartz
- Stansbury
- Stanton
- Stauber
- Stefanik
- Steil
- Steube
- Stevens
- Strickland
- Strong
- Stutzman
- Subramanyam
- Suozzi
- Sykes
- Takano
- Taylor
- Tenney
- Thanedar
- Mike Thompson
- Bennie Thompson
- Glenn Thompson
- Tiffany
- Timmons
- Titus
- Tlaib
- Tokuda
- Tonko
- Norma Torres
- Ritchie Torres
- Trahan
- Tran
- Michael Turner
- Underwood
- Valadao
- Van Drew
- Van Duyne
- Van Epps
- Van Orden
- Vargas
- Vasquez
- Veasey
- Velázquez
- Vindman
- Wagner
- Walberg
- Walkinshaw
- Wasserman Schultz
- Waters
- Watson Coleman
- Randy Weber
- Daniel Webster
- Westerman
- Whitesides
- Wied
- Nikema Williams
- Roger Williams
- Joe Wilson
- Womack
- Yakym
- Zinke
NOT VOTING: 20
- Andy Biggs
- Brownley
- Cline
- Crenshaw
- De La Cruz
- Neal Dunn
- Fletcher
- Jared Golden
- Dan Goldman
- Griffith
- Kean
- Jennifer Kiggans
- Mace
- McCaul
- McGuire
- Newhouse
- Norman
- Schakowsky
- Frederica Wilson
- Wittman
Actions
- Apr 22, 2026 | Senate
- Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
- Apr 21, 2026 | House
- Mrs. Harshbarger moved to suspend the rules and pass the bill.
- Considered under suspension of the rules. (consideration: CR H3021-3023)
- DEBATE - The House proceeded with forty minutes of debate on H.R. 2493.
- 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.
- Considered as unfinished business. (text: CR H3025)
- 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)
- Motion to reconsider laid on the table Agreed to without objection.
- Oct 03, 2025 | House
- Reported by the Committee on Energy and Commerce. H. Rept. 119-325.
- Placed on the Union Calendar, Calendar No. 278.
- Sep 17, 2025 | House
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported by the Yeas and Nays: 49 - 0.
- Sep 10, 2025 | House
- Referred to the Subcommittee on Health.
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- Mar 31, 2025 | House
- Introduced in House
- Referred to the House Committee on Energy and Commerce.
