House

On Motion to Suspend the Rules and Pass

H R 2493 — Improving Care in Rural America Reauthorization Act

This House vote passed 406-4 on 2026-04-21 00:00:00 +0000 UTC. 20 members did not vote.

Passed 2026-04-21 00:00:00 +0000 UTC
430 Total Votes
406 Yea (94%)
4 Nay (1%)
20 Not Voting

How Each Party Voted

4 members broke with their party

How Members Voted

Broke with Party (4)

Josh Brecheen R-OK
Nay
Eric Burlison R-MO
Nay
Tom McClintock R-CA
Nay
Keith Self R-TX
Nay

Yea (406)

Alma S. Adams D-NC
Robert B. Aderholt R-AL
Pete Aguilar D-CA
Mark Alford R-MO
Rick W. Allen R-GA
Gabe Amo D-RI
Mark E. Amodei R-NV
Yassamin Ansari D-AZ
Jodey C. Arrington R-TX
Jake Auchincloss D-MA
Brian Babin R-TX
Don Bacon R-NE
James R. Baird R-IN
Troy Balderson R-OH
Becca Balint D-VT
Andy Barr R-KY
Nanette Diaz Barragán D-CA
Tom Barrett R-MI
Michael Baumgartner R-WA
Aaron Bean R-FL
Joyce Beatty D-OH
Nicholas J. Begich III R-AK
Wesley Bell D-MO
Cliff Bentz R-OR
Ami Bera D-CA
Jack Bergman R-MI
Donald S. Beyer, Jr. D-VA
Stephanie I. Bice R-OK
Sheri Biggs R-SC
Gus M. Bilirakis R-FL
Sanford D. Bishop, Jr. D-GA
Lauren Boebert R-CO
Suzanne Bonamici D-OR
Mike Bost R-IL
Brendan F. Boyle D-PA
Robert P. Bresnahan, Jr. R-PA
Shontel M. Brown D-OH
Vern Buchanan R-FL
Nikki Budzinski D-IL
Tim Burchett R-TN
Janelle S. Bynum D-OR
Ken Calvert R-CA
Kat Cammack R-FL
Salud O. Carbajal D-CA
Mike Carey R-OH
André Carson D-IN
Earl L. "Buddy" Carter R-GA
Troy A. Carter D-LA
John R. Carter R-TX
Greg Casar D-TX
Ed Case D-HI
Sean Casten D-IL
Kathy Castor D-FL
Joaquin Castro D-TX
Judy Chu D-CA
Juan Ciscomani R-AZ
Gilbert Ray Cisneros, Jr. D-CA
Katherine M. Clark D-MA
Yvette D. Clarke D-NY
Emanuel Cleaver D-MO
Michael Cloud R-TX
James E. Clyburn D-SC
Andrew S. Clyde R-GA
Steve Cohen D-TN
Tom Cole R-OK
Mike Collins R-GA
James Comer R-KY
Herbert C. Conaway, Jr. D-NJ
J. Luis Correa D-CA
Jim Costa D-CA
Joe Courtney D-CT
Angie Craig D-MN
Elijah Crane R-AZ
Jeff Crank R-CO
Eric A. "Rick" Crawford R-AR
Jasmine Crockett D-TX
Jason Crow D-CO
Henry Cuellar D-TX
Sharice Davids D-KS
Warren Davidson R-OH
Danny K. Davis D-IL
Donald G. Davis D-NC
Madeleine Dean D-PA
Diana DeGette D-CO
Rosa L. DeLauro D-CT
Suzan K. DelBene D-WA
Christopher R. Deluzio D-PA
Mark DeSaulnier D-CA
Scott DesJarlais R-TN
Maxine Dexter D-OR
Mario Diaz-Balart R-FL
Debbie Dingell D-MI
Lloyd Doggett D-TX
Byron Donalds R-FL
Troy Downing R-MT
Chuck Edwards R-NC
Sarah Elfreth D-MD
Jake Ellzey R-TX
Tom Emmer R-MN
Veronica Escobar D-TX
Adriano Espaillat D-NY
Ron Estes R-KS
Gabe Evans R-CO
Dwight Evans D-PA
Mike Ezell R-MS
Pat Fallon R-TX
Julie Fedorchak R-ND
Randy Feenstra R-IA
Cleo Fields D-LA
Shomari Figures D-AL
Randy Fine R-FL
Brad Finstad R-MN
Michelle Fischbach R-MN
Scott Fitzgerald R-WI
Brian K. Fitzpatrick R-PA
Charles J. "Chuck" Fleischmann R-TN
Mike Flood R-NE
Vince Fong R-CA
Bill Foster D-IL
Valerie P. Foushee D-NC
Virginia Foxx R-NC
Lois Frankel D-FL
Scott Franklin R-FL
Laura Friedman D-CA
Maxwell Frost D-FL
Russell Fry R-SC
Russ Fulcher R-ID
F000485 R-GA
John Garamendi D-CA
Andrew R. Garbarino R-NY
Robert Garcia D-CA
Jesús G. "Chuy" García D-IL
Sylvia R. Garcia D-TX
Brandon Gill R-TX
Laura Gillen D-NY
Carlos A. Gimenez R-FL
Craig A. Goldman R-TX
Jimmy Gomez D-CA
Vicente Gonzalez D-TX
Lance Gooden R-TX
Maggie Goodlander D-NH
Paul A. Gosar R-AZ
Josh Gottheimer D-NJ
Sam Graves R-MO
Adam Gray D-CA
Al Green D-TX
Adelita S. Grijalva D-AZ
Glenn Grothman R-WI
Michael Guest R-MS
Brett Guthrie R-KY
Harriet M. Hageman R-WY
Abraham J. Hamadeh R-AZ
Josh Harder D-CA
Mike Haridopolos R-FL
Pat Harrigan R-NC
Andy Harris R-MD
Mark Harris R-NC
Diana Harshbarger R-TN
Jahana Hayes D-CT
Kevin Hern R-OK
Clay Higgins R-LA
J. French Hill R-AR
James A. Himes D-CT
Ashley Hinson R-IA
Steven Horsford D-NV
Erin Houchin R-IN
Chrissy Houlahan D-PA
Steny H. Hoyer D-MD
Val T. Hoyle D-OR
Richard Hudson R-NC
Jared Huffman D-CA
Bill Huizenga R-MI
Wesley Hunt R-TX
Jeff Hurd R-CO
Darrell Issa R-CA
Glenn Ivey D-MD
Brian Jack R-GA
Jonathan L. Jackson D-IL
Ronny Jackson R-TX
Sara Jacobs D-CA
John James R-MI
Pramila Jayapal D-WA
Hakeem S. Jeffries D-NY
Henry C. "Hank" Johnson, Jr. D-GA
Dusty Johnson R-SD
Julie Johnson D-TX
Jim Jordan R-OH
David P. Joyce R-OH
John Joyce R-PA
Sydney Kamlager-Dove D-CA
Marcy Kaptur D-OH
William R. Keating D-MA
Robin L. Kelly D-IL
Trent Kelly R-MS
Mike Kelly R-PA
Timothy M. Kennedy D-NY
Mike Kennedy R-UT
Ro Khanna D-CA
Kevin Kiley I-CA
Young Kim R-CA
Brad Knott R-NC
Raja Krishnamoorthi D-IL
David Kustoff R-TN
Darin LaHood R-IL
Nick LaLota R-NY
Greg Landsman D-OH
Nicholas A. Langworthy R-NY
Rick Larsen D-WA
John B. Larson D-CT
George Latimer D-NY
Robert E. Latta R-OH
Michael Lawler R-NY
Laurel M. Lee R-FL
Susie Lee D-NV
Summer L. Lee D-PA
Teresa Leger Fernandez D-NM
Julia Letlow R-LA
Mike Levin D-CA
Sam T. Liccardo D-CA
Ted Lieu D-CA
Zoe Lofgren D-CA
Barry Loudermilk R-GA
Frank D. Lucas R-OK
Anna Paulina Luna R-FL
Morgan Luttrell R-TX
Stephen F. Lynch D-MA
Ryan Mackenzie R-PA
Seth Magaziner D-RI
Nicole Malliotakis R-NY
Celeste Maloy R-UT
Tracey Mann R-KS
John W. Mannion D-NY
Thomas Massie R-KY
Brian J. Mast R-FL
Doris O. Matsui D-CA
Lucy McBath D-GA
Sarah McBride D-DE
Lisa C. McClain R-MI
April McClain Delaney D-MD
Jennifer L. McClellan D-VA
Betty McCollum D-MN
Richard McCormick R-GA
Kristen McDonald Rivet D-MI
Addison P. McDowell R-NC
Morgan McGarvey D-KY
James P. McGovern D-MA
LaMonica McIver D-NJ
Gregory W. Meeks D-NY
M001246 D-NJ
Christian Dashaun Menefee D-TX
Robert Menendez D-NJ
Grace Meng D-NY
Mark B. Messmer R-IN
Daniel Meuser R-PA
Kweisi Mfume D-MD
Mary E. Miller R-IL
Max L. Miller R-OH
Carol D. Miller R-WV
Mariannette Miller-Meeks R-IA
Cory Mills R-FL
Dave Min D-CA
John R. Moolenaar R-MI
Barry Moore R-AL
Tim Moore R-NC
Blake D. Moore R-UT
Gwen Moore D-WI
Riley M. Moore R-WV
Nathaniel Moran R-TX
Joseph D. Morelle D-NY
Kelly Morrison D-MN
Jared Moskowitz D-FL
Seth Moulton D-MA
Frank J. Mrvan D-IN
Kevin Mullin D-CA
Gregory F. Murphy R-NC
Jerrold Nadler D-NY
Richard E. Neal D-MA
Joe Neguse D-CO
Troy E. Nehls R-TX
Donald Norcross D-NJ
Zachary Nunn R-IA
Jay Obernolte R-CA
Alexandria Ocasio-Cortez D-NY
Andrew Ogles R-TN
Johnny Olszewski, Jr. D-MD
Ilhan Omar D-MN
Robert F. Onder, Jr. R-MO
Burgess Owens R-UT
Frank Pallone, Jr. D-NJ
Gary J. Palmer R-AL
Jimmy Panetta D-CA
Chris Pappas D-NH
Jimmy Patronis R-FL
Nancy Pelosi D-CA
Marie Gluesenkamp Perez D-WA
Scott Perry R-PA
Scott H. Peters D-CA
Brittany Pettersen D-CO
August Pfluger R-TX
Chellie Pingree D-ME
Mark Pocan D-WI
Nellie Pou D-NJ
Ayanna Pressley D-MA
Mike Quigley D-IL
Delia C. Ramirez D-IL
Emily Randall D-WA
Jamie Raskin D-MD
Guy Reschenthaler R-PA
Josh Riley D-NY
Luz M. Rivas D-CA
Mike Rogers R-AL
Harold Rogers R-KY
John W. Rose R-TN
Deborah K. Ross D-NC
David Rouzer R-NC
Chip Roy R-TX
Raul Ruiz D-CA
Michael A. Rulli R-OH
John H. Rutherford R-FL
Patrick Ryan D-NY
Maria Elvira Salazar R-FL
Andrea Salinas D-OR
Linda T. Sánchez D-CA
Steve Scalise R-LA
Mary Gay Scanlon D-PA
Derek Schmidt R-KS
Bradley Scott Schneider D-IL
Hillary J. Scholten D-MI
Kim Schrier D-WA
David Schweikert R-AZ
Robert C. "Bobby" Scott D-VA
Austin Scott R-GA
David Scott D-GA
Pete Sessions R-TX
Terri A. Sewell D-AL
Brad Sherman D-CA
Jefferson Shreve R-IN
Lateefah Simon D-CA
Michael K. Simpson R-ID
Jason Smith R-MO
Adrian Smith R-NE
Christopher H. Smith R-NJ
Adam Smith D-WA
Lloyd Smucker R-PA
Eric Sorensen D-IL
Darren Soto D-FL
Victoria Spartz R-IN
Melanie A. Stansbury D-NM
Greg Stanton D-AZ
Pete Stauber R-MN
Elise M. Stefanik R-NY
Bryan Steil R-WI
W. Gregory Steube R-FL
Haley M. Stevens D-MI
Marilyn Strickland D-WA
Dale W. Strong R-AL
Marlin A. Stutzman R-IN
Suhas Subramanyam D-VA
Thomas R. Suozzi D-NY
Emilia Strong Sykes D-OH
Mark Takano D-CA
David J. Taylor R-OH
Claudia Tenney R-NY
Shri Thanedar D-MI
Mike Thompson D-CA
Bennie G. Thompson D-MS
Glenn Thompson R-PA
Thomas P. Tiffany R-WI
William R. Timmons IV R-SC
Dina Titus D-NV
Rashida Tlaib D-MI
Jill N. Tokuda D-HI
Paul Tonko D-NY
Norma J. Torres D-CA
Ritchie Torres D-NY
Lori Trahan D-MA
Derek Tran D-CA
Michael R. Turner R-OH
Lauren Underwood D-IL
David G. Valadao R-CA
Jefferson Van Drew R-NJ
Beth Van Duyne R-TX
Matt Van Epps R-TN
Derrick Van Orden R-WI
Juan Vargas D-CA
Gabe Vasquez D-NM
Marc A. Veasey D-TX
Nydia M. Velázquez D-NY
Eugene Simon Vindman D-VA
Ann Wagner R-MO
Tim Walberg R-MI
James R. Walkinshaw D-VA
Debbie Wasserman Schultz D-FL
Maxine Waters D-CA
Bonnie Watson Coleman D-NJ
Randy K. Weber, Sr. R-TX
Daniel Webster R-FL
Bruce Westerman R-AR
George Whitesides D-CA
Tony Wied R-WI
Nikema Williams D-GA
Roger Williams R-TX
Joe Wilson R-SC
Steve Womack R-AR
Rudy Yakym III R-IN
Ryan K. Zinke R-MT

Not Voting (20)

Andy Biggs R-AZ
Julia Brownley D-CA
Ben Cline R-VA
Dan Crenshaw R-TX
Monica De La Cruz R-TX
Neal P. Dunn R-FL
Lizzie Fletcher D-TX
Jared F. Golden D-ME
Daniel S. Goldman D-NY
H. Morgan Griffith R-VA
Thomas H. Kean, Jr. R-NJ
Jennifer A. Kiggans R-VA
Nancy Mace R-SC
Michael T. McCaul R-TX
John J. McGuire III R-VA
Dan Newhouse R-WA
Ralph Norman R-SC
Janice D. Schakowsky D-IL
Frederica S. Wilson D-FL
Robert J. Wittman R-VA

Data from GovTrack.us · 119th Congress