HR2493-119

Reported

Improving Care in Rural America Reauthorization Act of 2025

119th Congress Introduced Mar 31, 2025

Summary

What This Bill Does

The Improving Care in Rural America Reauthorization Act of 2025 updates rural health grant programs under section 330A of the Public Health Service Act. For rural health care services outreach grants, the Director must ensure grant funds are used, as appropriate, to meet the health care needs of rural underserved populations in the local community or region and to involve those populations in project development and ongoing operations. For rural health network development grants, the Director must ensure funds increase access to quality health care through integrated networks for rural underserved populations and involve those populations in network planning, development, and implementation. The bill also extends authorization language from 2021-2025 to 2026-2030.

Who Benefits and How

Rural underserved populations benefit because grant-funded projects must be tied to their health care needs and involvement. Rural health care providers benefit from continued grant authority and clearer direction for outreach projects serving underserved communities. Rural health networks benefit because network development grants must support integrated care access for underserved rural populations. Small rural health care providers benefit from reauthorized quality-improvement and network-related grant programs through 2030.

Who Bears the Burden and How

The Health Resources and Services Administration must apply the new rural underserved population requirements when awarding section 330A grants. Rural health grant applicants must design projects that meet local underserved needs and involve rural underserved populations in development, planning, operations, or implementation. Grant recipients may face additional community-engagement duties to show that rural underserved populations benefit from and participate in the funded work.

Key Provisions

  • Amends rural health care services outreach grants to require use of funds for rural underserved population needs and community involvement.
  • Amends rural health network development grants to require integrated network access for rural underserved populations.
  • Requires rural underserved populations to be involved in planning, development, ongoing operations, or implementation of funded projects.
  • Extends section 330A authorization language from fiscal years 2021-2025 to fiscal years 2026-2030.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Amends Public Health Service Act section 330A to require rural health care services outreach grants and rural health network development grants to be used, as appropriate, to meet the needs of rural underserved populations and involve those populations in project planning, development, operations, and implementation, and reauthorizes the section 330A grant programs for fiscal years 2026 through 2030.

Key Policy Areas

Healthcare, Rural Development, Grants

Primary Purpose

Amends Public Health Service Act section 330A to require rural health care services outreach grants and rural health network development grants to be used, as appropriate, to meet the needs of rural underserved populations and involve those populations in project planning, development, operations, and implementation, and reauthorizes the section 330A grant programs for fiscal years 2026 through 2030.

Policy Domains

Healthcare Rural Development Grants

House resolution provisions

Identified Gains
  • Rural underserved populations
  • Rural health care providers
  • Rural health networks
  • Small rural health care providers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
Rural health networks:
Rural health care providers:
Rural underserved populations:
Small rural health care providers:
Identified Costs
  • Health Resources and Services Administration
  • Rural health grant applicants
  • Rural health grant recipients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
Rural health grant applicants:
Rural health grant recipients:
Health Resources and Services Administration:

Legislative Progress

Reported
Introduced Committee Passed
Apr 22, 2026

Received in the Senate. Read twice. Placed on Senate Legislative …

Apr 22, 2026

Received; read twice and placed on the calendar

Apr 21, 2026

Motion to reconsider laid on the table Agreed to without …

Apr 21, 2026

DEBATE - The House proceeded with forty minutes of debate …

Apr 21, 2026

Considered as unfinished business. (text: CR H3025)

Apr 21, 2026

Passed/agreed to in House: On motion to suspend the rules …

Apr 21, 2026

On motion to suspend the rules and pass the bill …

Apr 21, 2026

At the conclusion of debate, the Yeas and Nays were …

Apr 21, 2026

Motion to reconsider laid on the table Agreed to without …

Apr 21, 2026

Considered under suspension of the rules. (consideration: CR H3021-3023)

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
28 mentions across 4 clauses
+16 positive -12 negative

Health Resources and Services Administration, Rural health care providers, Rural health grant applicants

Positive-direction: Rural health care providers, Rural health networks, Rural underserved populations, Small rural health care providers

Negative-direction: Health Resources and Services Administration, Rural health grant applicants, Rural health grant recipients

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Rural Development Grants
Actor Mappings
"hrsa"
→ Health Resources and Services Administration
"phsa"
→ Public Health Service Act

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology