IB 
Union Calendar No. 278 
119TH CONGRESS 
1ST SESSION H. R. 2493 
[Report No. 119–325] 
To reauthorize certain programs regarding rural health care. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 31, 2025 
Mr. CARTER of Georgia (for himself, Mr. FIGURES, Mr. RULLI, and Ms. 
SCHRIER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
OCTOBER 3, 2025 
Additional sponsors: Ms. TOKUDA and Mr. VINDMAN 
OCTOBER 3, 2025 
Committed to the Committee of the Whole House on the State of the Union 
and ordered to be printed 
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A BILL 
To reauthorize certain programs regarding rural health care. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
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 QUAL-
ITY 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 sub-
section, 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 de-
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velopment 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 sub-
section, 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 on-
going implementation of the network.’’. 
(c) REAUTHORIZATION.—Section 330A(j) of the Pub-
lic Health Service Act (42 U.S.C. 254c(j)) is amended by 
striking ‘‘2021 through 2025’’ and inserting ‘‘2026 
through 2030’’. 
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