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US Congress · H.R. 2493 · Passed the House

Improving Care in Rural America Reauthorization Act of 2025

Introduced
Moved
Reached a final decision
Introduced 2025-03-31
Derived from the official record below.

Officially: “Improving Care in Rural America Reauthorization Act of 2025 Read the full text

Health

What it does

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 area
Summary by the Congressional Research Service, from the official record. Plain-language version below. Not legal advice.

Read it in plain language

AI plain language2 sections
Written by AI from the complete official bill text and independently fact-checked against it. Not legal advice.
1Short title

This section would allow the Act to be cited as the Improving Care in Rural America Reauthorization Act of 2025.

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Official text, verbatim from the record

1. Short title This Act may be cited as the Improving Care in Rural America Reauthorization Act of 2025 .

2Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs

This section would amend the Public Health Service Act's rural health grant programs under section 330A in three ways. For rural health care services outreach grants under section 330A(e), it would require the Director, in awarding a grant, to ensure that the grant funds are used, as appropriate, to meet the health care needs of rural underserved populations in the local community or region to be served and for other activities to ensure those rural underserved populations are involved in developing and operating the project. For rural health network development grants under section 330A(f), it would require the Director, in awarding a grant, to ensure that the grant funds are used, as appropriate, to increase access to quality health care services through integrated health care networks for rural underserved populations in the local community or region to be served and for other activities to ensure those populations benefit from and are involved in planning, developing, and implementing the network. It would also extend the authorization of appropriations for the programs under section 330A from fiscal years 2021 through 2025 to fiscal years 2026 through 2030.

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Official text, verbatim from the record

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 .

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Where it is

Introduced · 2025-03-31

In the House.

Passed the House · 2026-04-21
Senate floor vote · next · the next step

Official documents

The on-site text is shown verbatim from the GovInfo publication, captured 2026-07-23. The same version at GovInfo.

The numbers

29%
of bills that passed one chamber became law in the 118th Congress, 2023 to 2024 (n=939)
6
sponsors, out of 218 needed to pass

Who is lobbying on this

BLUE CROSS AND BLUE SHIELD ASSOCIATIONvia BLUE CROSS AND BLUE SHIELD ASSOCIATION
3 filings
BLUE CROSS AND BLUE SHIELD OF FLORIDA INCvia BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
3 filings
BLUE CROSS BLUE SHIELD OF MICHIGANvia BLUE CROSS BLUE SHIELD OF MICHIGAN
3 filings
BCBSM INCvia BCBSM, INC.
2 filings
BLUE CROSS AND BLUE SHIELD OF KANSAS INCvia BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
2 filings
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSvia MASON CONSULTING, LLC
1 filing
From 14 filings in federal lobbying disclosures (LDA), via lda.gov, naming this bill (2025 to 2026). Filings are self-reported by lobbying firms and show who is paid to influence this bill. They do not say which side, or whether it worked.
Every fact on this page links to its source, starting with the official bill record. Last action: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377. (2026-04-22).