H.R. 2493

Improving Care in Rural America Reauthorization Act of 2025

Sponsor: Earl L. "Buddy" Carter

5 cosponsors
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Official summary

Written by the 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. 

Text of the bill

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Sec. 1. Short title Since introduced

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

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

(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:

Text this section adds to the law

(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:

Text this section adds to the law

(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.