House Roll Call 488, 119th Congress · April 21, 2026

Improving Care in Rural America Reauthorization Act

Question before the chamber: On Motion to Suspend the Rules and Pass

406 yea · 4 nayPassed20 not voting or present

Democrat207 yea · 0 nay

Republican198 yea · 4 nay

Independent1 yea · 0 nay

Solid = yea, faded = nay.

The measure

H.R. 2493 ↗

Improving Care in Rural America Reauthorization Act of 2025

Policy area: Health — assigned by Library of Congress subject specialists, not by this site.

How this vote is scored

Which tracked issues this roll call counts toward, and which way a yea vote moves a member on each. Direction is decided per issue, because one bill can push two issues opposite ways.

Health CareA yea counts toward “Expand coverage”
model(0.90): Reauthorizing health programs preserves and expands health care access.
Tagged by: policy-area:Health
Axis: Expand coverage ← → Restrict coverage

Who voted which way

Every member recorded on this roll call, with the party they sat with at the time.

Yea (406)

Nay (4)

Not voting or present (20)

Andy BiggsDid not vote
Julia BrownleyDid not vote
Ben ClineDid not vote
Dan CrenshawDid not vote
Monica De La CruzDid not vote
Neal P. DunnDid not vote
Lizzie FletcherDid not vote
Jared F. GoldenDid not vote
Daniel S. GoldmanDid not vote
H. Morgan GriffithDid not vote
Thomas H. Kean, Jr.Did not vote
Jennifer A. KiggansDid not vote
Nancy MaceDid not vote
Michael T. McCaulDid not vote
John J. McGuire IIIDid not vote
Dan NewhouseDid not vote
Ralph NormanDid not vote
Janice D. SchakowskyDid not vote
Frederica S. WilsonDid not vote
Robert J. WittmanDid not vote

Vote records come from Voteview (voteview.com); bill titles and policy areas from the congress.gov API. See methodology for how the record was built.