Improving Care in Rural America Reauthorization Act of 2025

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Bill ID: 119/hr/2493
Last Updated: February 4, 2026

Sponsored by

Rep. Carter, Earl L. "Buddy" [R-GA-1]

ID: C001103

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Placed on the Union Calendar, Calendar No. 278.

October 3, 2025

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

Floor Action

Passed House

🏛️

Senate Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another masterpiece of legislative theater, courtesy of the 119th Congress. Let's dissect this farce and expose the real disease beneath.

**Main Purpose & Objectives:** The Improving Care in Rural America Reauthorization Act of 2025 is a rehashing of existing programs with a fancy new title. The main purpose? To make it seem like our esteemed lawmakers care about rural healthcare, while actually doing nothing to address the systemic issues plaguing these communities.

**Key Provisions & Changes to Existing Law:** The bill reauthorizes three grant programs for rural health care services outreach, network development, and quality improvement. Wow, what a bold move! They're essentially copying and pasting existing language with minor tweaks, ensuring that the same ineffective programs continue to waste taxpayer dollars.

* Section 2(a) adds a new subsection to ensure grants are used for "rural underserved populations." Oh, how noble. As if this wasn't already the intention of these programs. * Section 2(b) does the same for rural health network development grants. Because, clearly, the problem was that these networks weren't being developed with enough bureaucratic red tape.

**Affected Parties & Stakeholders:** The usual suspects: * Rural healthcare providers: They'll get to apply for more grants and pretend they're making a difference. * Lobbyists: They'll continue to line their pockets with cash from pharmaceutical companies, medical device manufacturers, and other special interest groups. * Voters: They'll be fed the same empty promises of "improving rural healthcare" while nothing actually changes.

**Potential Impact & Implications:** This bill is a placebo. It won't address the root causes of rural healthcare disparities, such as lack of funding, inadequate infrastructure, and brain drain. Instead, it will perpetuate the status quo, allowing politicians to claim they're "doing something" about the issue while actually doing nothing.

The real disease here is the corrupting influence of special interest groups and the cowardice of lawmakers who refuse to tackle meaningful reform. This bill is just a symptom – a Band-Aid on a bullet wound.

In short, HR 2493 is a masterclass in legislative malpractice. It's a cynical exercise in pretending to care about rural healthcare while actually serving the interests of those who line their pockets with campaign donations. Bravo, Congress. You've managed to make a mockery of the legislative process once again.

Related Topics

Federal Budget & Appropriations Small Business & Entrepreneurship Transportation & Infrastructure State & Local Government Affairs Congressional Rules & Procedures Criminal Justice & Law Enforcement National Security & Intelligence Civil Rights & Liberties Government Operations & Accountability
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💰 Campaign Finance Network

Rep. Carter, Earl L. "Buddy" [R-GA-1]

Congress 119 • 2024 Election Cycle

Total Contributions
$81,100
23 donors
PACs
$1,000
Organizations
$30,400
Committees
$0
Individuals
$49,700
1
SIERRA NEVADA PAC
1 transaction
$1,000
1
TUNICA-BILOXI TRIBE OF LOUISIANA
5 transactions
$13,500
2
AK-CHIN INDIAN COMMUNITY
2 transactions
$5,800
3
SANTA YNEZ BAND OF MISSION INDIANS
1 transaction
$3,300
4
AGUA CALIENTE BAND OF CAHUILLA INDIANS GENERAL FUND
1 transaction
$3,300
5
SAVANNAH TOYOTA
2 transactions
$2,000
6
THE AUGUST GROUP
1 transaction
$1,000
7
CAPITELLI & WICKER
1 transaction
$1,000
8
TYBEE MARKET
1 transaction
$500

No committee contributions found

1
PRICE, TEDDY
2 transactions
$6,800
2
DOUCET WEST, MADELINE
1 transaction
$3,300
3
TUBRE, MICHAEL
1 transaction
$3,300
4
DURAND, GIAN
1 transaction
$3,300
5
HENRY, KIM
1 transaction
$3,300
6
HENRY, TROY
1 transaction
$3,300
7
RUBINSTEIN, ANDREW
1 transaction
$3,300
8
ALVENDIA, JOHN
1 transaction
$3,300
9
GOLDEN, CARLTON
1 transaction
$3,300
10
LYNSKEY, KRISTIN
1 transaction
$3,300
11
ADAMS, STEPHEN
1 transaction
$3,300
12
GRAHAM, ROBBINS
1 transaction
$3,300
13
MYERS, GINGER
1 transaction
$3,300
14
MYERS, KEITH
1 transaction
$3,300

Cosponsors & Their Campaign Finance

This bill has 5 cosponsors. Below are their top campaign contributors.

Rep. Figures, Shomari [D-AL-2]

ID: F000481

Top Contributors

10

1
POARCH BAND OF CREEK INDIANS
Organization ATMORE, AL
$3,300
Apr 29, 2024
2
POARCH BAND OF CREEK INDIANS
Organization ATMORE, AL
$3,300
May 24, 2024
3
POARCH BAND OF CREEK INDIANS
Organization ATMORE, AL
$2,300
May 24, 2024
4
MALDI MA
Organization IRVINGTON, AL
$2,000
Apr 6, 2024
5
HILLWOOD LIQUORS LLC
Organization MOBILE, AL
$1,000
Feb 14, 2024
6
SIP & SMOKE LLC
Organization MOBILE, AL
$1,000
Feb 14, 2024
7
POARCH BAND OF CREEK INDIANS
Organization ATMORE, AL
$1,000
Feb 28, 2024
8
FEDERATED INDIANS OF GRATON RANCHERIA
Organization ROHNERT PARK, CA
$1,000
Aug 15, 2024
9
MAA PETROLEUM LLC
Organization IRVINGTON, AL
$500
Feb 14, 2024
10
MOWA BAND OF CHOCTAW INDIANS
Organization MOUNT VERNON, AL
$500
Apr 6, 2024

Rep. Rulli, Michael A. [R-OH-6]

ID: R000619

Top Contributors

10

1
10SIX CONSUTLING
Organization HUDSON, WI
$10,000
Mar 29, 2024
2
10SIX CONSUTLING
Organization HUDSON, WI
$10,000
Mar 31, 2024
3
10SIX CONSUTLING
Organization HUDSON, WI
$6,000
Mar 28, 2024
4
10SIX CONSUTLING
Organization HUDSON, WI
$6,000
Mar 31, 2024
5
BUCKEYE JUNCTION LLC
Organization COLUMBUS, OH
$1,000
Dec 20, 2023
6
LEHMAN PUBLIC POLICY LLC
Organization NEWARK, OH
$500
Dec 12, 2023
7
NELSON GOVERNMENT STRATEGIES LLC
Organization COLUMBUS, OH
$350
Dec 12, 2023
8
SMITH, GREGORY B. MR. SR.
COMPCO CHAIRMAN OF THE BOARD
Individual COLUMBIANA, OH
$6,600
Mar 11, 2024
9
MILLER, SAMUEL
TRUMBULL INDUSTRIES OWNER
Individual YOUNGSTOWN, OH
$6,600
Mar 15, 2024
10
SMITH, GREGORY B. MR. SR.
Individual COLUMBIANA, OH
$6,600
Mar 14, 2024

Rep. Schrier, Kim [D-WA-8]

ID: S001216

Top Contributors

10

1
CHICKASAW NATION
PAC ADA, OK
$1,000
Sep 23, 2024
2
SNOQUALMIE TRIBE
Organization SNOQUALMIE, WA
$3,300
Nov 3, 2023
3
THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION
Organization NESPELEM, WA
$3,300
Nov 3, 2023
4
JAMESTOWN S'KLALLAM TRIBE
Organization SEQUIM, WA
$3,300
Jun 30, 2023
5
JAMESTOWN S'KLALLAM TRIBE
Organization SEQUIM, WA
$3,300
Jun 30, 2023
6
MUCKLESHOOT INDIAN TRIBE
Organization AUBURN, WA
$3,300
May 10, 2023
7
NISQUALLY INDIAN TRIBE
Organization OLYMPIA, WA
$3,300
Jun 29, 2023
8
THE TULALIP TRIBES OF WASHINGTON
Organization TULALIP, WA
$3,300
May 2, 2023
9
MUCKLESHOOT INDIAN TRIBE
Organization AUBURN, WA
$3,300
Jun 28, 2024
10
PUYALLUP TRIBE OF INDIANS
Organization TACOMA, WA
$3,300
Jun 30, 2024

Rep. Tokuda, Jill N. [D-HI-2]

ID: T000487

Top Contributors

10

1
AGUA CALIENTE BAND OF CAHUILLA INDIANS
Organization PALM SPRINGS, CA
$3,300
Jun 30, 2023
2
THE CHICKASAW NATION
Organization ADA, OK
$2,500
Jun 21, 2023
3
THE CHICKASAW NATION
Organization ADA, OK
$2,000
Mar 27, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,650
Jun 27, 2023
5
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,650
May 9, 2024
6
POARCH BAND OF CREEK INDIANS
Organization ATMORE, AL
$1,000
Jun 27, 2024
7
MS BAND OF CHOCTAW INDIANS
Organization CHOCTAW, MS
$1,000
Aug 28, 2024
8
THE CHICKASAW NATION
Organization ADA, OK
$500
Sep 18, 2023
9
THE CHICKASAW NATION
Organization ADA, OK
$300
Mar 27, 2024
10
THE CHICKASAW NATION
Organization ADA, OK
$200
Mar 27, 2024

Rep. Vindman, Eugene Simon [D-VA-7]

ID: V000138

Top Contributors

10

1
LUX FOR VIRGINIA
Organization LADYSMITH, VA
$500
Mar 29, 2024
2
LUX FOR VIRGINIA
Organization LADYSMITH, VA
$500
Mar 31, 2024
3
FORSTER-BURKE, DIANE
NOT EMPLOYED NOT EMPLOYED
Individual COTTONWOOD HEIGHTS, UT
$4,000
Apr 20, 2024
4
FORSTER-BURKE, DIANE
Individual COTTONWOOD HEIGHTS, UT
$4,000
May 5, 2024
5
VON STEIN, THOMSON
Individual ROCKVILLE, MD
$3,500
Aug 7, 2024
6
HULL, MEGAN
SELF ACTIVIST
Individual WASHINGTON, DC
$3,300
Nov 2, 2024
7
KAISER, GEORGE
GBK CORPORATION EXECUTIVE
Individual TULSA, OK
$3,300
Oct 25, 2024
8
PARSONS, KATHLEEN
NOT EMPLOYED NOT EMPLOYED
Individual POTOMAC, MD
$3,300
Oct 18, 2024
9
STAPLE, HARISE
SELF MD
Individual LOS ALTOS, CA
$3,300
Oct 18, 2024
10
HOLMES, LAURA
SELF REAL ESTATE INVESTOR
Individual BOCA RATON, FL
$3,300
Oct 22, 2024

Donor Network - Rep. Carter, Earl L. "Buddy" [R-GA-1]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 38 nodes and 45 connections

Total contributions: $136,400

Top Donors - Rep. Carter, Earl L. "Buddy" [R-GA-1]

Showing top 23 donors by contribution amount

1 PAC8 Orgs14 Individuals