Apr 21, 03:55 PM: 119HRES-1202 "Electing a Member to a certain..." agreed to in House      Apr 21, 03:54 PM: 119S-1020 "A bill to require the Federal ..." agreed to in House      Apr 21, 03:44 PM: 119HR-2493 "Improving Care in Rural Americ..." agreed to in House      Apr 21, 03:36 PM: 119HR-5201 "Kari's Law Reporting Act" agreed to in House      Apr 21, 02:41 PM: 119HR-3419 "To amend the Public Health Ser..." agreed to in House      
Bill: 119-HR2493
Improving Care in Rural America Reauthorization Act of 2025
Last action: 4-21-2026
Version: 2026012515
Current status: Motion to reconsider laid on the table Agreed to without objection.
Bill is currently in: House
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Summary Provided by Congressional Research Service

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 areas.

Also, the bill requires HRSA to ensure that grant funds for expanding services or developing health care networks are used to (1) meet the health care needs of underserved populations, and (2) engage such populations in the planning and implementation of related activities. 

Latest available text


1. Short title2. Rural health care services outreach, rural health network development, and small health care provider quality improvement grant programs

1. Short title

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

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".October 3, 2025Committed to the Committee of the Whole House on the State of the Union and ordered to be printed