House passes the Improving Care in Rural America Reauthorization Act of 2025
On Motion to Suspend the Rules and Pass
APR 21, 2026 · 3:43 PM ET
Nearly unanimous: 406 to 4. Cleared the 274 needed by 132 votes.
What the House was voting on
The House of Representatives voted on the Improving Care in Rural America Reauthorization Act of 2025, a bill designed to help people in remote areas get better medical treatment. This legislation extends several federal programs through 2030 that provide funding for clinics and health services in rural parts of the country. It also creates new requirements to ensure that the money specifically helps residents who currently have very few healthcare choices and gives those local communities a say in how the programs operate.
Pass the Improving Care in Rural America Reauthorization Act of 2025 quickly, with no amendments, by a two-thirds vote.
Refuse to pass it this way. It can come back under a rule.
Extends three rural health grant programs through FY2030 and directs outreach and network grants to involve underserved populations.
Passed the House 406–4 on April 21, 2026. Now waiting in the Senate, 557 days after it was introduced.
- SUSPENSION
- Suspending the rules lets the House pass a bill fast, with no amendments and 40 minutes of debate, if two-thirds agree.
274 is two-thirds of the 410 members voting yes or no. Members voting “present” or absent don’t count.
- SUSPENSION
- Suspending the rules lets the House pass a bill fast, with no amendments and 40 minutes of debate, if two-thirds agree.
Nearly unanimousNearly unanimous.
Every vote on H.R. 2493, in both chambersEvery vote on H.R. 2493
- SEP 8Reported by Senator Cassidy without amendment (companion bill)REPORTED
- OCT 3Reported by Energy and CommerceREPORTED49–0
- APR 21#128THIS VOTESuspend the rules and passPASSED406–4132 votes to spare over the 274 needed.
Coverage of this vote and its bill3 stories from 3 outlets
Lean describes the outlets, not the vote.
