In a perfect democracy, at least 50% of people would support every decision.

The U.S. falls short of this goal.

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Spoken For.
House vote: H.R. 2493 // April 21, 2026Needed two-thirds to pass

Improving Care in Rural America Reauthorization Act of 2025

Sponsor: Earl Carter (R-GA)

This bill reauthorizes through FY2030 grant programs administered by the Health Resources and Services Administration (HRSA) that provide funding to health care service providers and related entities in rural areas. Specifically, the bill reauthorizes grants for expanding the delivery of health care services in rural areas, developing integrated health care networks (i.e., collaborative groups of local health care organizations) in rural areas, and improving the quality of services provided by small health care providers in rural areas. Also, the bill requires HRSA to ensure that grant funds for expanding services or developing health care networks are used to (1) meet the health care needs of underserved populations, and (2) engage such populations in the planning and implementation of related activities.

Health Topic assigned by the Congressional Research Service.

Who won, and how much of the country was behind them

Won the vote · Yea

406 votes, representing 248,558,109 people93.2%of U.S. adults

Lost the vote · Nay

4 votes, representing 2,563,525 people1.0%of U.S. adults

The dotted gap is 5.8% of U.S. adults whose member did not vote, voted “present,” or whose seat was vacant.

Share of U.S. adults represented, the House
SideOutcomeVotesShare of U.S. adults
YeaWon40693.2%
NayLost41.0%
Not represented on this questionNo position taken05.8%