U.S. House · 119th Congress, session 2 · Roll call 128
On Motion to Suspend the Rules and Pass
H.R. 2493: Improving Care in Rural America Reauthorization Act of 2025
To reauthorize certain programs regarding rural health care.
Passed · 406 Yea, 4 Nay
- Held
- April 21, 2026, 3:43 PM EDT
- Vote type
- Final passage
- Party-unity vote
- No
- Official record
- clerk.house.gov
How each party voted
Members are shown in the party they belonged to on the day of the vote, as the official record lists them. In our statistics, independents are counted with the party they caucus with.
| Vote | Republican | Democrat | Independent | Total |
|---|---|---|---|---|
| Yea | 198 | 207 | 1 | 406 |
| Nay | 4 | 0 | 0 | 4 |
| Not voting | 14 | 6 | 0 | 20 |
| Members | 216 | 213 | 1 | 430 |
How each member voted
Yea (406)
- Alma S. Adams (D-NC-12)
- Robert B. Aderholt (R-AL-4)
- Pete Aguilar (D-CA-33)
- Mark Alford (R-MO-4)
- Rick W. Allen (R-GA-12)
- Gabe Amo (D-RI-1)
- Mark E. Amodei (R-NV-2)
- Yassamin Ansari (D-AZ-3)
- Jodey C. Arrington (R-TX-19)
- Jake Auchincloss (D-MA-4)
- Brian Babin (R-TX-36)
- Don Bacon (R-NE-2)
- James R. Baird (R-IN-4)
- Troy Balderson (R-OH-12)
- Becca Balint (D-VT-AL)
- Andy Barr (R-KY-6)
- Nanette Diaz Barragán (D-CA-44)
- Tom Barrett (R-MI-7)
- Michael Baumgartner (R-WA-5)
- Aaron Bean (R-FL-4)
- Joyce Beatty (D-OH-3)
- Nicholas J. Begich III (R-AK-AL)
- Wesley Bell (D-MO-1)
- Cliff Bentz (R-OR-2)
- Ami Bera (D-CA-6)
- Jack Bergman (R-MI-1)
- Donald S. Beyer, Jr. (D-VA-8)
- Stephanie I. Bice (R-OK-5)
- Sheri Biggs (R-SC-3)
- Gus M. Bilirakis (R-FL-12)
- Sanford D. Bishop, Jr. (D-GA-2)
- Lauren Boebert (R-CO-4)
- Suzanne Bonamici (D-OR-1)
- Mike Bost (R-IL-12)
- Brendan F. Boyle (D-PA-2)
- Robert P. Bresnahan, Jr. (R-PA-8)
- Shontel M. Brown (D-OH-11)
- Vern Buchanan (R-FL-16)
- Nikki Budzinski (D-IL-13)
- Tim Burchett (R-TN-2)
- Janelle S. Bynum (D-OR-5)
- Ken Calvert (R-CA-41)
- Kat Cammack (R-FL-3)
- Salud O. Carbajal (D-CA-24)
- Mike Carey (R-OH-15)
- André Carson (D-IN-7)
- Earl L. "Buddy" Carter (R-GA-1)
- John R. Carter (R-TX-31)
- Troy A. Carter (D-LA-2)
- Greg Casar (D-TX-35)
- Ed Case (D-HI-1)
- Sean Casten (D-IL-6)
- Kathy Castor (D-FL-14)
- Joaquin Castro (D-TX-20)
- Judy Chu (D-CA-28)
- Juan Ciscomani (R-AZ-6)
- Gilbert Ray Cisneros, Jr. (D-CA-31)
- Katherine M. Clark (D-MA-5)
- Yvette D. Clarke (D-NY-9)
- Emanuel Cleaver (D-MO-5)
- Michael Cloud (R-TX-27)
- James E. Clyburn (D-SC-6)
- Andrew S. Clyde (R-GA-9)
- Steve Cohen (D-TN-9)
- Tom Cole (R-OK-4)
- Mike Collins (R-GA-10)
- James Comer (R-KY-1)
- Herbert C. Conaway, Jr. (D-NJ-3)
- J. Luis Correa (D-CA-46)
- Jim Costa (D-CA-21)
- Joe Courtney (D-CT-2)
- Angie Craig (D-MN-2)
- Elijah Crane (R-AZ-2)
- Jeff Crank (R-CO-5)
- Eric A. "Rick" Crawford (R-AR-1)
- Jasmine Crockett (D-TX-30)
- Jason Crow (D-CO-6)
- Henry Cuellar (D-TX-28)
- Sharice Davids (D-KS-3)
- Warren Davidson (R-OH-8)
- Danny K. Davis (D-IL-7)
- Donald G. Davis (D-NC-1)
- Diana DeGette (D-CO-1)
- Rosa L. DeLauro (D-CT-3)
- Mark DeSaulnier (D-CA-10)
- Madeleine Dean (D-PA-4)
- Suzan K. DelBene (D-WA-1)
- Christopher R. Deluzio (D-PA-17)
- Scott DesJarlais (R-TN-4)
- Maxine Dexter (D-OR-3)
- Mario Diaz-Balart (R-FL-26)
- Debbie Dingell (D-MI-6)
- Lloyd Doggett (D-TX-37)
- Byron Donalds (R-FL-19)
- Troy Downing (R-MT-2)
- Chuck Edwards (R-NC-11)
- Sarah Elfreth (D-MD-3)
- Jake Ellzey (R-TX-6)
- Tom Emmer (R-MN-6)
- Veronica Escobar (D-TX-16)
- Adriano Espaillat (D-NY-13)
- Ron Estes (R-KS-4)
- Dwight Evans (D-PA-3)
- Gabe Evans (R-CO-8)
- Mike Ezell (R-MS-4)
- Pat Fallon (R-TX-4)
- Julie Fedorchak (R-ND-AL)
- Randy Feenstra (R-IA-4)
- Cleo Fields (D-LA-6)
- Shomari Figures (D-AL-2)
- Randy Fine (R-FL-6)
- Brad Finstad (R-MN-1)
- Michelle Fischbach (R-MN-7)
- Scott Fitzgerald (R-WI-5)
- Brian K. Fitzpatrick (R-PA-1)
- Charles J. "Chuck" Fleischmann (R-TN-3)
- Mike Flood (R-NE-1)
- Vince Fong (R-CA-20)
- Bill Foster (D-IL-11)
- Valerie P. Foushee (D-NC-4)
- Virginia Foxx (R-NC-5)
- Lois Frankel (D-FL-22)
- Scott Franklin (R-FL-18)
- Laura Friedman (D-CA-30)
- Maxwell Frost (D-FL-10)
- Russell Fry (R-SC-7)
- Russ Fulcher (R-ID-1)
- Clay Fuller (R-GA-14)
- John Garamendi (D-CA-8)
- Andrew R. Garbarino (R-NY-2)
- Robert Garcia (D-CA-42)
- Sylvia R. Garcia (D-TX-29)
- Jesús G. "Chuy" García (D-IL-4)
- Brandon Gill (R-TX-26)
- Laura Gillen (D-NY-4)
- Carlos A. Gimenez (R-FL-28)
- Marie Gluesenkamp Perez (D-WA-3)
- Craig A. Goldman (R-TX-12)
- Jimmy Gomez (D-CA-34)
- Vicente Gonzalez (D-TX-34)
- Lance Gooden (R-TX-5)
- Maggie Goodlander (D-NH-2)
- Paul A. Gosar (R-AZ-9)
- Josh Gottheimer (D-NJ-5)
- Sam Graves (R-MO-6)
- Adam Gray (D-CA-13)
- Al Green (D-TX-9)
- Adelita S. Grijalva (D-AZ-7)
- Glenn Grothman (R-WI-6)
- Michael Guest (R-MS-3)
- Brett Guthrie (R-KY-2)
- Harriet M. Hageman (R-WY-AL)
- Abraham J. Hamadeh (R-AZ-8)
- Josh Harder (D-CA-9)
- Mike Haridopolos (R-FL-8)
- Pat Harrigan (R-NC-10)
- Andy Harris (R-MD-1)
- Mark Harris (R-NC-8)
- Diana Harshbarger (R-TN-1)
- Jahana Hayes (D-CT-5)
- Kevin Hern (R-OK-1)
- Clay Higgins (R-LA-3)
- J. French Hill (R-AR-2)
- James A. Himes (D-CT-4)
- Ashley Hinson (R-IA-2)
- Steven Horsford (D-NV-4)
- Erin Houchin (R-IN-9)
- Chrissy Houlahan (D-PA-6)
- Steny H. Hoyer (D-MD-5)
- Val T. Hoyle (D-OR-4)
- Richard Hudson (R-NC-9)
- Jared Huffman (D-CA-2)
- Bill Huizenga (R-MI-4)
- Wesley Hunt (R-TX-38)
- Jeff Hurd (R-CO-3)
- Darrell Issa (R-CA-48)
- Glenn Ivey (D-MD-4)
- Brian Jack (R-GA-3)
- Jonathan L. Jackson (D-IL-1)
- Ronny Jackson (R-TX-13)
- Sara Jacobs (D-CA-51)
- John James (R-MI-10)
- Pramila Jayapal (D-WA-7)
- Hakeem S. Jeffries (D-NY-8)
- Dusty Johnson (R-SD-AL)
- Henry C. "Hank" Johnson, Jr. (D-GA-4)
- Julie Johnson (D-TX-32)
- Jim Jordan (R-OH-4)
- David P. Joyce (R-OH-14)
- John Joyce (R-PA-13)
- Sydney Kamlager-Dove (D-CA-37)
- Marcy Kaptur (D-OH-9)
- William R. Keating (D-MA-9)
- Mike Kelly (R-PA-16)
- Robin L. Kelly (D-IL-2)
- Trent Kelly (R-MS-1)
- Mike Kennedy (R-UT-3)
- Timothy M. Kennedy (D-NY-26)
- Ro Khanna (D-CA-17)
- Kevin Kiley (I-CA-3)
- Young Kim (R-CA-40)
- Brad Knott (R-NC-13)
- Raja Krishnamoorthi (D-IL-8)
- David Kustoff (R-TN-8)
- Darin LaHood (R-IL-16)
- Nick LaLota (R-NY-1)
- Greg Landsman (D-OH-1)
- Nicholas A. Langworthy (R-NY-23)
- Rick Larsen (D-WA-2)
- John B. Larson (D-CT-1)
- George Latimer (D-NY-16)
- Robert E. Latta (R-OH-5)
- Michael Lawler (R-NY-17)
- Laurel M. Lee (R-FL-15)
- Summer L. Lee (D-PA-12)
- Susie Lee (D-NV-3)
- Teresa Leger Fernandez (D-NM-3)
- Julia Letlow (R-LA-5)
- Mike Levin (D-CA-49)
- Sam T. Liccardo (D-CA-16)
- Ted Lieu (D-CA-36)
- Zoe Lofgren (D-CA-18)
- Barry Loudermilk (R-GA-11)
- Frank D. Lucas (R-OK-3)
- Anna Paulina Luna (R-FL-13)
- Morgan Luttrell (R-TX-8)
- Stephen F. Lynch (D-MA-8)
- Ryan Mackenzie (R-PA-7)
- Seth Magaziner (D-RI-2)
- Nicole Malliotakis (R-NY-11)
- Celeste Maloy (R-UT-2)
- Tracey Mann (R-KS-1)
- John W. Mannion (D-NY-22)
- Thomas Massie (R-KY-4)
- Brian J. Mast (R-FL-21)
- Doris O. Matsui (D-CA-7)
- Lucy McBath (D-GA-6)
- Sarah McBride (D-DE-AL)
- Lisa C. McClain (R-MI-9)
- April McClain Delaney (D-MD-6)
- Jennifer L. McClellan (D-VA-4)
- Betty McCollum (D-MN-4)
- Richard McCormick (R-GA-7)
- Kristen McDonald Rivet (D-MI-8)
- Addison P. McDowell (R-NC-6)
- Morgan McGarvey (D-KY-3)
- James P. McGovern (D-MA-2)
- LaMonica McIver (D-NJ-10)
- Gregory W. Meeks (D-NY-5)
- Analilia Mejia (D-NJ-11)
- Christian D. Menefee (D-TX-18)
- Robert Menendez (D-NJ-8)
- Grace Meng (D-NY-6)
- Mark B. Messmer (R-IN-8)
- Daniel Meuser (R-PA-9)
- Kweisi Mfume (D-MD-7)
- Carol D. Miller (R-WV-1)
- Mary E. Miller (R-IL-15)
- Max L. Miller (R-OH-7)
- Mariannette Miller-Meeks (R-IA-1)
- Cory Mills (R-FL-7)
- Dave Min (D-CA-47)
- John R. Moolenaar (R-MI-2)
- Barry Moore (R-AL-1)
- Blake D. Moore (R-UT-1)
- Gwen Moore (D-WI-4)
- Riley M. Moore (R-WV-2)
- Tim Moore (R-NC-14)
- Nathaniel Moran (R-TX-1)
- Joseph D. Morelle (D-NY-25)
- Kelly Morrison (D-MN-3)
- Jared Moskowitz (D-FL-23)
- Seth Moulton (D-MA-6)
- Frank J. Mrvan (D-IN-1)
- Kevin Mullin (D-CA-15)
- Gregory F. Murphy (R-NC-3)
- Jerrold Nadler (D-NY-12)
- Richard E. Neal (D-MA-1)
- Joe Neguse (D-CO-2)
- Troy E. Nehls (R-TX-22)
- Donald Norcross (D-NJ-1)
- Zachary Nunn (R-IA-3)
- Jay Obernolte (R-CA-23)
- Alexandria Ocasio-Cortez (D-NY-14)
- Andrew Ogles (R-TN-5)
- Johnny Olszewski, Jr. (D-MD-2)
- Ilhan Omar (D-MN-5)
- Robert F. Onder, Jr. (R-MO-3)
- Burgess Owens (R-UT-4)
- Frank Pallone, Jr. (D-NJ-6)
- Gary J. Palmer (R-AL-6)
- Jimmy Panetta (D-CA-19)
- Chris Pappas (D-NH-1)
- Jimmy Patronis (R-FL-1)
- Nancy Pelosi (D-CA-11)
- Scott Perry (R-PA-10)
- Scott H. Peters (D-CA-50)
- Brittany Pettersen (D-CO-7)
- August Pfluger (R-TX-11)
- Chellie Pingree (D-ME-1)
- Mark Pocan (D-WI-2)
- Nellie Pou (D-NJ-9)
- Ayanna Pressley (D-MA-7)
- Mike Quigley (D-IL-5)
- Delia C. Ramirez (D-IL-3)
- Emily Randall (D-WA-6)
- Jamie Raskin (D-MD-8)
- Guy Reschenthaler (R-PA-14)
- Josh Riley (D-NY-19)
- Luz M. Rivas (D-CA-29)
- Harold Rogers (R-KY-5)
- Mike Rogers (R-AL-3)
- John W. Rose (R-TN-6)
- Deborah K. Ross (D-NC-2)
- David Rouzer (R-NC-7)
- Chip Roy (R-TX-21)
- Raul Ruiz (D-CA-25)
- Michael A. Rulli (R-OH-6)
- John H. Rutherford (R-FL-5)
- Patrick Ryan (D-NY-18)
- Maria Elvira Salazar (R-FL-27)
- Andrea Salinas (D-OR-6)
- Steve Scalise (R-LA-1)
- Mary Gay Scanlon (D-PA-5)
- Derek Schmidt (R-KS-2)
- Bradley Scott Schneider (D-IL-10)
- Hillary J. Scholten (D-MI-3)
- Kim Schrier (D-WA-8)
- David Schweikert (R-AZ-1)
- Austin Scott (R-GA-8)
- David Scott (D-GA-13)
- Robert C. "Bobby" Scott (D-VA-3)
- Pete Sessions (R-TX-17)
- Terri A. Sewell (D-AL-7)
- Brad Sherman (D-CA-32)
- Jefferson Shreve (R-IN-6)
- Lateefah Simon (D-CA-12)
- Michael K. Simpson (R-ID-2)
- Adam Smith (D-WA-9)
- Adrian Smith (R-NE-3)
- Christopher H. Smith (R-NJ-4)
- Jason Smith (R-MO-8)
- Lloyd Smucker (R-PA-11)
- Eric Sorensen (D-IL-17)
- Darren Soto (D-FL-9)
- Victoria Spartz (R-IN-5)
- Melanie A. Stansbury (D-NM-1)
- Greg Stanton (D-AZ-4)
- Pete Stauber (R-MN-8)
- Elise M. Stefanik (R-NY-21)
- Bryan Steil (R-WI-1)
- W. Gregory Steube (R-FL-17)
- Haley M. Stevens (D-MI-11)
- Marilyn Strickland (D-WA-10)
- Dale W. Strong (R-AL-5)
- Marlin A. Stutzman (R-IN-3)
- Suhas Subramanyam (D-VA-10)
- Thomas R. Suozzi (D-NY-3)
- Emilia Strong Sykes (D-OH-13)
- Linda T. Sánchez (D-CA-38)
- Mark Takano (D-CA-39)
- David J. Taylor (R-OH-2)
- Claudia Tenney (R-NY-24)
- Shri Thanedar (D-MI-13)
- Bennie G. Thompson (D-MS-2)
- Glenn Thompson (R-PA-15)
- Mike Thompson (D-CA-4)
- Thomas P. Tiffany (R-WI-7)
- William R. Timmons IV (R-SC-4)
- Dina Titus (D-NV-1)
- Rashida Tlaib (D-MI-12)
- Jill N. Tokuda (D-HI-2)
- Paul Tonko (D-NY-20)
- Norma J. Torres (D-CA-35)
- Ritchie Torres (D-NY-15)
- Lori Trahan (D-MA-3)
- Derek Tran (D-CA-45)
- Michael R. Turner (R-OH-10)
- Lauren Underwood (D-IL-14)
- David G. Valadao (R-CA-22)
- Jefferson Van Drew (R-NJ-2)
- Beth Van Duyne (R-TX-24)
- Matt Van Epps (R-TN-7)
- Derrick Van Orden (R-WI-3)
- Juan Vargas (D-CA-52)
- Gabe Vasquez (D-NM-2)
- Marc A. Veasey (D-TX-33)
- Nydia M. Velázquez (D-NY-7)
- Eugene Simon Vindman (D-VA-7)
- Ann Wagner (R-MO-2)
- Tim Walberg (R-MI-5)
- James R. Walkinshaw (D-VA-11)
- Debbie Wasserman Schultz (D-FL-25)
- Maxine Waters (D-CA-43)
- Bonnie Watson Coleman (D-NJ-12)
- Randy K. Weber, Sr. (R-TX-14)
- Daniel Webster (R-FL-11)
- Bruce Westerman (R-AR-4)
- George Whitesides (D-CA-27)
- Tony Wied (R-WI-8)
- Nikema Williams (D-GA-5)
- Roger Williams (R-TX-25)
- Joe Wilson (R-SC-2)
- Steve Womack (R-AR-3)
- Rudy Yakym III (R-IN-2)
- Ryan K. Zinke (R-MT-1)
Nay (4)
- Josh Brecheen (R-OK-2)
- Eric Burlison (R-MO-7)
- Tom McClintock (R-CA-5)
- Keith Self (R-TX-3)
Not voting (20)
- Andy Biggs (R-AZ-5)
- Julia Brownley (D-CA-26)
- Ben Cline (R-VA-6)
- Dan Crenshaw (R-TX-2)
- Monica De La Cruz (R-TX-15)
- Neal P. Dunn (R-FL-2)
- Lizzie Fletcher (D-TX-7)
- Jared F. Golden (D-ME-2)
- Daniel S. Goldman (D-NY-10)
- H. Morgan Griffith (R-VA-9)
- Thomas H. Kean, Jr. (R-NJ-7)
- Jennifer A. Kiggans (R-VA-2)
- Nancy Mace (R-SC-1)
- Michael T. McCaul (R-TX-10)
- John J. McGuire III (R-VA-5)
- Dan Newhouse (R-WA-4)
- Ralph Norman (R-SC-5)
- Janice D. Schakowsky (D-IL-9)
- Frederica S. Wilson (D-FL-24)
- Robert J. Wittman (R-VA-1)