CONGRESS FOR VOTERS

House Roll Call 128

119th Congress · Session 2 · April 21, 2026

A fast-track vote, needing two-thirds to pass

The House sets aside its normal procedure to move quickly: no amendments, little debate, and a two-thirds bar instead of a simple majority. It is used for measures expected to be uncontroversial, so a bill that fails here failed despite broad expectations that it would not.

What was being voted on

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

This bill aims to reauthorize certain programs regarding rural health care. It amends the Public Health Service Act to include specific instructions for the use of Rural Health Care Services Outreach Grants. These funds are directed toward the needs of rural underserved populations. The act also modifies Rural Health Network Development Grants to focus on increasing access to quality health care through integrated networks. Additionally, the bill extends the reauthorization period for specific sections of the Public Health Service Act.

The House recorded this as
On Motion to Suspend the Rules and Pass
Improving Care in Rural America Reauthorization Act
Result: Passed
Needed two-thirds of those voting, a higher bar than usual — reserved for fast-tracked bills, overriding a veto, and treaties.
Yea: 406Nay: 4Not Voting: 20430 members
PartyYeaNayPresentNot Voting
Democrat D207006
Independent I1000
Republican R1984014
Official record
How each member voted (430)
406 yea, 4 nay, 20 not voting