Improving Care in Rural America Reauthorization Act of 2025

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Bill ID: 119/s/2301
Last Updated: January 5, 2026

Sponsored by

Sen. Scott, Tim [R-SC]

ID: S001184

Bill's Journey to Becoming a Law

Track this bill's progress through the legislative process

Latest Action

Placed on Senate Legislative Calendar under General Orders. Calendar No. 153.

September 8, 2025

Introduced

📍 Current Status

Next: The bill will be reviewed by relevant committees who will debate, amend, and vote on it.

🏛️

Committee Review

🗳️

Floor Action

Passed Senate

🏛️

House Review

🎉

Passed Congress

🖊️

Presidential Action

⚖️

Became Law

📚 How does a bill become a law?

1. Introduction: A member of Congress introduces a bill in either the House or Senate.

2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.

3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.

4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.

5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.

6. Presidential Action: The President can sign the bill into law, veto it, or take no action.

7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!

Bill Summary

Another masterclass in legislative theater, courtesy of the 119th Congress. Let's dissect this farce, shall we?

**Main Purpose & Objectives:** The Improving Care in Rural America Reauthorization Act of 2025 is a rehashing of existing programs with a fancy new title. Its primary objective is to make politicians look like they care about rural healthcare while actually doing very little.

**Key Provisions & Changes to Existing Law:**

* Section 2(a) and (b) add more bureaucratic language to ensure that grant funds are used for "rural underserved populations." Wow, what a bold move. It's not like this is just a rewording of existing requirements. * The real meat of the bill is in Section 2(c), which reauthorizes funding for these programs from 2026 to 2030. Because, you know, throwing more money at a problem always solves it.

**Affected Parties & Stakeholders:**

* Rural healthcare providers will get some extra cash, but only if they jump through the right hoops and fill out enough paperwork. * Patients in rural areas might see some minor improvements, but don't hold your breath. This bill is more about optics than actual change. * Lobbyists for rural healthcare organizations are probably thrilled to have something to do.

**Potential Impact & Implications:**

* The impact will be negligible, as this bill doesn't address the systemic issues plaguing rural healthcare, such as lack of funding, inadequate infrastructure, and brain drain. * The real implication is that politicians get to pretend they're doing something about rural healthcare while actually just kicking the can down the road.

Diagnosis: This bill suffers from a severe case of "Legislative Lip Service Syndrome" (LLSS), characterized by empty promises, bureaucratic jargon, and a complete lack of meaningful action. The symptoms are clear: politicians want to look good without doing any actual work.

Treatment: A healthy dose of skepticism, followed by a strong prescription of reality-based policy-making. But don't worry, this bill will likely pass with flying colors, because who needs actual progress when you can just reauthorize existing programs and call it a day?

Related Topics

Transportation & Infrastructure Federal Budget & Appropriations Small Business & Entrepreneurship Government Operations & Accountability National Security & Intelligence State & Local Government Affairs Criminal Justice & Law Enforcement Congressional Rules & Procedures Civil Rights & Liberties
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💰 Campaign Finance Network

Sen. Scott, Tim [R-SC]

Congress 119 • 2024 Election Cycle

Total Contributions
$52,150
27 donors
PACs
$0
Organizations
$52,150
Committees
$0
Individuals
$0

No PAC contributions found

1
FAIRWAY INVESTMENTS, LLC
2 transactions
$16,500
2
SEMINOLE TRIBE OF FLORIDA
2 transactions
$6,600
3
MUSCOGEE CREEK NATION
2 transactions
$4,000
4
MK INTERNATIONAL LLC
1 transaction
$3,300
5
YOCHA DEHE WINTUN NATION
1 transaction
$3,300
6
FREEDOM TRAILERS LLC
1 transaction
$2,000
7
PINE LAND PROPERTY LLC
1 transaction
$2,000
8
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
1 transaction
$1,650
9
OSWALD COOKE & ASSOCIATES, LLC
1 transaction
$1,500
10
HUDSON CAPITAL ADVISORS LLC
1 transaction
$1,000
11
MORONGO BAND OF MISSION INDIANS
1 transaction
$1,000
12
MICCOSUKEE TRIBE
1 transaction
$1,000
13
BUZZ KILL HONEY FARM
1 transaction
$1,000
14
MONTY VEAZEY AND COMPANY
1 transaction
$1,000
15
ON POINT HEALTH LLC
1 transaction
$1,000
16
STARPORT LOGISTICS. LLC
1 transaction
$1,000
17
GILBERT PROPERTIES
1 transaction
$500
18
BACON & BACON
1 transaction
$500
19
JUDD LASSETER FARMS
1 transaction
$500
20
PINEYWOODS FARMS
1 transaction
$500
21
CLEVER 202 LLC
1 transaction
$500
22
FRIENDS OF TIM RUDD
1 transaction
$500
23
HOGAN'S FARM
1 transaction
$300
24
D. CONRAD HARPER MD LLC
1 transaction
$250
25
SCHRAMM INVESTMENTS LLC
1 transaction
$250

No committee contributions found

No individual contributions found

Cosponsors & Their Campaign Finance

This bill has 3 cosponsors. Below are their top campaign contributors.

Sen. Smith, Tina [D-MN]

ID: S001203

Top Contributors

10

1
OTOE MISSOURIA TRIBE OF OKLAHOMA
Organization RED ROCK, OK
$3,300
Jan 23, 2024
2
OTOE MISSOURIA TRIBE OF OKLAHOMA
Organization RED ROCK, OK
$3,300
Jan 23, 2024
3
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$2,000
Dec 28, 2023
4
MIAMI TRIBE OF OKLAHOMA
Organization MIAMI, OK
$2,000
Mar 18, 2024
5
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$2,000
Jul 31, 2024
6
MILLE LACS BAND OF OJIBWE INDIANS
Organization ONAMIA, MN
$1,300
Jun 27, 2023
7
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,300
Jun 27, 2023
8
MUSCOGEE CREEK NATION
Organization OKMULGEE, OK
$1,300
Jul 31, 2024
9
MILLE LACS BAND OF OJIBWE INDIANS
Organization ONAMIA, MN
$1,200
Jun 27, 2023
10
FOND DU LAC BAND
Organization CLOQUET, MN
$1,000
Jun 27, 2023

Sen. Lummis, Cynthia M. [R-WY]

ID: L000571

Top Contributors

10

1
HEGYI, ALBERT P
1ST FINANCIAL BANK USA BANKER
Individual NEW YORK, NY
$6,600
Dec 6, 2023
2
MANDELBLATT, DANIELLE
RETIRED RETIRED
Individual ASPEN, CO
$6,600
Sep 26, 2024
3
MANDELBLATT, ERIC
SOROBAN CAPITAL PARTNERS LP MANAGING PARTNER
Individual ASPEN, CO
$6,600
Sep 26, 2024
4
SAMANI, PYAHM
Individual AUSTIN, TX
$5,800
Aug 8, 2023
5
CASCARILLA, MARISSA
NA HOMEMAKER
Individual MIAMI, FL
$3,700
Apr 1, 2024
6
CASCARILLA, CHARLES
PAXOS CEO
Individual MIAMI, FL
$3,700
Apr 1, 2024
7
DOWNS, RAISSA
TARPLIN, DOWNS AND YOUNG, LLC CONSULTANT
Individual WASHINGTON, DC
$3,600
Dec 12, 2024
8
SCARAMUCCI, ANTHONY
SKYBRIDGE MANAGING PARTNER
Individual PLANDOME, NY
$3,435
Jul 30, 2024
9
HOBART, ROBERT
VENTURE GOVERNMENT STRATEGIES CONSULTANT
Individual NASHVILLE, TN
$3,435
Aug 5, 2024
10
HOLDING, KATHLEEN MS.
SUNLIGHT RANCH CO. EXECUTIVE
Individual DAYTON, WY
$3,300
Dec 6, 2023

Sen. Kaine, Tim [D-VA]

ID: K000384

Top Contributors

10

1
THE CHICKASAW NATION
Organization ADA, OK
$2,300
Jun 18, 2024
2
THE CHICKASAW NATION
Organization ADA, OK
$1,000
Jun 26, 2023
3
SAN MANUEL BAND OF MISSION INDIANS
Organization LOS ANGELES, CA
$1,000
Jun 18, 2024
4
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$1,000
Jun 25, 2024
5
THE CHICKASAW NATION
Organization ADA, OK
$1,000
Jun 18, 2024
6
CHOCTAW NATION OF OKLAHOMA
Organization DURANT, OK
$1,000
Oct 15, 2024
7
CHEROKEE NATION
Organization TAHLEQUAH, OK
$1,000
Dec 29, 2023
8
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$600
Oct 25, 2023
9
STONEHALL FARM
Organization THE PLAINS, VA
$500
Jun 30, 2024
10
SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
Organization PRIOR LAKE, MN
$400
Oct 25, 2023

Donor Network - Sen. Scott, Tim [R-SC]

PACs
Organizations
Individuals
Politicians

Hub layout: Politicians in center, donors arranged by type in rings around them.

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Showing 37 nodes and 39 connections

Total contributions: $84,850

Top Donors - Sen. Scott, Tim [R-SC]

Showing top 25 donors by contribution amount

27 Orgs