H.R. 3102 (119th)Bill Overview

To direct the Secretary of Health and Human Services to establish an Office of Rural Health, and for other purposes.

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Apr 30, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill directs the HHS Secretary, through the CDC Director, to establish an Office of Rural Health inside the CDC led by a director selected by the CDC Director. The office's duties are limited to acting as CDC’s rural health point of contact, coordinating and promoting rural health research and evidence-based interventions (including telehealth), identifying rural health disparities, awarding grants and contracts for technical assistance, and coordinating with HRSA’s Federal Office of Rural Health Policy to avoid duplication.

Why people may split

Dispute over whether new office improves outcomes or just adds bureaucracy

Watch point

Relative to its intended legislative type, this bill establishes an administrative unit within CDC with a concise list of duties and a limited mandate to coordinate rural health work and award grants.

The bill directs the HHS Secretary, through the CDC Director, to establish an Office of Rural Health inside the CDC led by a director selected by the CDC Director.

The office's duties are limited to acting as CDC’s rural health point of contact, coordinating and promoting rural health research and evidence-based interventions (including telehealth), identifying rural health disparities, awarding grants and contracts for technical assistance, and coordinating with HRSA’s Federal Office of Rural Health Policy to avoid duplication.

Passage45/100

Low-controversy administrative bill with bipartisan potential, but absence of funding authorization and competition for legislative time reduce chances.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes an administrative unit within CDC with a concise list of duties and a limited mandate to coordinate rural health work and award grants. It succeeds at naming organizational placement and functional focus but provides minimal operational, fiscal, and accountability detail.

Contention50/100

Dispute over whether new office improves outcomes or just adds bureaucracy

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · Local governmentsFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Federal agenciesCreates a centralized CDC point of contact to improve federal coordination of rural health programs.
  • Potential benefitDirects more CDC research attention to rural-specific public health issues, increasing relevant evidence.
  • Local governmentsAuthorizes grants and technical assistance that could expand local programs and telehealth in rural communities.
Likely burdened
  • Federal agenciesCould duplicate functions of HRSA's Federal Office of Rural Health Policy, creating redundant bureaucracy.
  • Potential burdenAuthorizes grants and contracts without specifying appropriations, risking unfunded or underfunded implementation.
  • Potential burdenMay divert CDC staff and resources from other public health priorities if funding is reallocated.
03 · Why people split

Why the argument around this bill splits.

Dispute over whether new office improves outcomes or just adds bureaucracy
Progressive80%

Generally supportive because the office explicitly targets rural health disparities, research, and evidence-based interventions.

Would likely press for dedicated funding, attention to social determinants, workforce support, and equity-centered metrics.

Leans supportive
Centrist70%

Cautious support: the office addresses a clearly identified problem and takes narrow duties, but success depends on cost, oversight, and interagency coordination.

Will look for clear performance metrics and funding details.

Leans supportive
Conservative30%

Skeptical: creating a new federal office expands bureaucracy and risks duplicating existing HRSA functions.

May prefer state-led solutions, limited federal spending, or reforms to current agencies instead.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Low-controversy administrative bill with bipartisan potential, but absence of funding authorization and competition for legislative time reduce chances.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No explicit appropriation or cost estimate included
  • Degree of overlap with HRSA and potential turf objections
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Dispute over whether new office improves outcomes or just adds bureaucracy

Low-controversy administrative bill with bipartisan potential, but absence of funding authorization and competition for legislative time re…

Unlocked analysis

Relative to its intended legislative type, this bill establishes an administrative unit within CDC with a concise list of duties and a limited mandate to coordinate rural health work and award grants. It succeeds at nam…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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