House · 119th Congress · Roll 488

On Motion to Suspend the Rules and Pass

Apr 21, 2026 · Passed · 406⁠–⁠4

Improving Care in Rural America Reauthorization Act of 2025

How members voted

430 recorded

5 vacant seats. The House normally has 435 voting members.

Yea: 406 (207 D · 198 R · 1 I)

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

Nay: 4 (4 R)

Member	Party	State
Tom McClintock	Republican	CA
Eric Burlison	Republican	MO
Josh Brecheen	Republican	OK
Keith Self	Republican	TX

Not Voting: 20 (14 R · 6 D)

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