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