Improving Care in Rural America Reauthorization Act of 2025
March 31, 2025
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Where This Stands
Currently passed_chamber. The next step in the legislative lifecycle is Signed.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →The Frame
This bill extends federal funding authorization for rural health programs from 2026 through 2030 and mandates that grant recipients include underserved community members in project development.
Potentially affected actors named in the source documents. Mention is not a position.
Rural health care providers
Providers applying for federal grants must now meet new requirements for community involvement to receive funding.
Rural underserved populations
These groups are designated to have increased involvement in the planning and operation of local health projects funded by these grants.
Current stage: passed_chamber.
Signed.
Summary
Key Facts
- Extends authorization for rural health grant programs from 2026 through 2030.
- Requires Rural Health Care Services Outreach grant recipients to involve underserved populations in project development and operations.
- Requires Rural Health Network Development grant recipients to involve underserved populations in the planning, development, and implementation of health networks.
- Amends Section 330A of the Public Health Service Act (42 U.S.C. 254c).
- Introduced in the House of Representatives on March 31, 2025.
Frequently Asked Questions
What does this bill change about rural health grants?
Who is required to be involved in these health projects?
Why It Matters
This bill extends federal funding authorization for rural health programs from 2026 through 2030 and mandates that grant recipients include underserved community members in project development.
News Coverage
Lobbying Activity
AARP
2026
“P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology”
Voting Record
Total
403
Yes
399
No
4
Present
0
Not Voting
0
Abstain
0
How they voted (403)
Emilia Sykes
D · yes
Pat Fallon
R · yes
Ryan Zinke
R · yes
Lloyd Doggett
D · yes
Nellie Pou
D · yes
Jack Bergman
R · yes
Robin Kelly
D · yes
John Moolenaar
R · yes
Pramila Jayapal
D · yes
David Valadao
R · yes
Adam Smith
D · yes
Michael Baumgartner
R · yes
Gwen Moore
D · yes
Marc Veasey
D · yes
Gary Palmer
R · yes
Val Hoyle
D · yes
Austin Scott
R · yes
Mike Kelly
R · yes
Mike Levin
D · yes
Ronny Jackson
R · yes
Andrea Salinas
D · yes
James McGovern
D · yes
Bill Foster
D · yes
Paul Gosar
R · yes
+ 379 more
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Increased Community Mandates
The bill shifts from purely funding health services to explicitly mandating the inclusion of underserved populations in the governance and planning of those services.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance60How much this matters to a regular citizen
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz20Current news / social attention level
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