House roll call 128 · 119th Congress

2026-04-21 · Improving Care in Rural America Reauthorization Act

On HR 2493 — Improving Care in Rural America Reauthorization Act of 2025

Tally

Yea: 411
Nay: 7
Present: 0
Not voting: 21

Who voted what

Yea (411)

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

Nay (7)

Not voting (21)

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