Improving Care in Rural America Reauthorization Act

On Apr 21, 2026, the House voted 406–4 on “On Motion to Suspend the Rules and Pass” (HR 2493). Result: Passed. By party: Democrats 207–0, Republicans 198–4, Independents 1–0. It was a bipartisan vote: majorities of both parties voted yes. 4 members voted against their own party.

During the 119th Congress (2025–2026), Donald Trump was president, and Republicans held majorities in both the House and Senate.

Result: Passed
Yes: 406
No: 4
Did not vote: 42
Date: Apr 21, 2026

By party

Republicans198 yes · 4 no · 25 didn’t vote
Democrats207 yes · 0 no · 17 didn’t vote
Independents1 yes · 0 no

Who broke with their party

Tom Mcclintock R-CA voted no
Eric Burlison R-MO voted no
Josh Brecheen R-OK voted no
Keith Self R-TX voted no

The bill

H.R. 2493: Improving Care in Rural America Reauthorization Act of 2025

How each representative voted: Yes

How each representative voted: No

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “Improving Care in Rural America…: House Vote, Apr 21, 2026,” https://www.capitolreceipts.com/vote/119-H-488/improving-care-in-rural-america-reauthorization-act (accessed 2026-10-17).