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HR2493FEDERALpassed_chamber
Passed

Improving Care in Rural America Reauthorization Act of 2025

March 31, 2025

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently passed_chamber. The next step in the legislative lifecycle is Signed.

Last action
Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.Apr 22, 2026

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

What this does

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.

Who is mentioned in the record

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.

What changed

Current stage: passed_chamber.

What's next

Signed.

Summary

This bill proposes to extend federal grant programs for rural health care services and network development through 2030. It also adds new requirements for grant recipients to ensure that rural underserved populations are actively involved in the planning and operation of these health projects.

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?
It extends the funding authorization for these programs for five additional years (2026-2030) and adds requirements for grant recipients to include underserved community members in the planning and operation of their projects.
Who is required to be involved in these health projects?
The bill mandates that grant recipients ensure rural underserved populations in the local community or region are involved in the development, planning, and ongoing operations of the health projects or networks.

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

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

AARP

$4,110,000

2026

HEALTH ISSUESMEDICARE/MEDICAIDLAW ENFORCEMENT/CRIME/CRIMINAL JUSTICEPHARMACY

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

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

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

personMr. CarterRepresentative from GeorgiaMap →
organizationCommittee on Energy and CommerceHouse committee reviewing the billMap →
personMs. SchrierRepresentativeMap →
personMr. FiguresRepresentativeMap →
personMr. RulliRepresentativeMap →
otherPublic Health Service ActThe existing law being amended by this billMap →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance60
    How much this matters to a regular citizen
  • Controversy10
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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