H.R. 2493 119th Congress
Improving Care in Rural America Reauthorization Act of 2025
Latest action, Apr 22, 2026: Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 377.
How the House voted: On Motion to Suspend the Rules and Pass
Apr 21, 2026 · Passed · 406–4 (it needed 2/3)
- Yea (406)
- Nay (4)
- Didn't vote (20)
- Letters: party (D, R, I)
By party
- Democrat
- Republican
- Independent
5 cosponsors
Sponsored by Earl L. "Buddy" Carter (Republican). Cosponsors by party, House members included:
- Democrats
- Republicans
- Independents
Cosponsors
4 D · 1 R
- Democrat
- Republican
- Independent
Referred to: House: Energy and Commerce Committee
Who lobbied on it
Clients whose quarterly lobbying reports named it, each quarter.
The clients with the most reports naming it. A report's amount covers all of that client's lobbying in the quarter, not just this bill.
3 reports
BCBSM INC
2 reports
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS
MASON CONSULTING, LLC
2 reports
All 6 clients
| Client | Lobbying firm | Reports | Reports totaling | From | To | House |
|---|---|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD ASSOCIATION | 3 | $3.6M | Q4 2025 | Q2 2026 | yes | |
| BLUE CROSS AND BLUE SHIELD OF FLORIDA INC | 3 | $250K | Q4 2025 | Q2 2026 | yes | |
| BLUE CROSS BLUE SHIELD OF MICHIGAN | 3 | $808K | Q4 2025 | Q2 2026 | yes | |
| BCBSM INC | 2 | $60K | Q4 2025 | Q3 2025 | yes | |
| BLUE CROSS AND BLUE SHIELD OF KANSAS INC | 2 | $20K | Q4 2025 | Q3 2025 | yes | |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2 | $48K | Q2 2026 | Q3 2026 | yes |