II Calendar No. 377 119th CONGRESS 2d Session H. R. 2493 IN THE SENATE OF THE UNITED STATES April 22, 2026 Received; read twice and placed on the calendar AN ACT To reauthorize certain programs regarding rural health care. 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”. Passed the House of Representatives April 21, 2026. Kevin F. McCumber, Clerk. April 22, 2026 Received; read twice and placed on the calendar