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Checked against the record · California 22nd District 2026

Did David Valadao help add $25 billion to the Rural Health Transformation Program?

Matches stated record claim. The final law has $50 billion for the program, $25 billion more than the Senate's June text, but no record shows what part his conversations played.

David G. Valadao

The $50 billion Rural Health Transformation Program

Matches stated record claim

What they say

He said that after his conversations an additional $25 billion was added to the new Rural Health Transformation Program, bringing it to $50 billion.

“an additional $25 billion was added to the newly established Rural Health Transformation Program”

What the record shows · Jul 4, 2025

Section 71401 of Public Law 119-21 creates the Rural Health Transformation Program and appropriates $10,000,000,000 for each fiscal year from 2026 to 2030, $50 billion in all, for allotments to states through the Centers for Medicare & Medicaid Services. The program was not in the House-passed bill of May 22. It appears in the Senate Budget Committee's substitute text of June 27, 2025 at $25 billion, spread over fiscal years 2028 to 2032; the enacted law carries twice that. He voted Aye on the final bill on July 3, 2025 (Roll Call 190).

Limit: The enacted total is exactly the $50 billion he gives, and it is $25 billion more than the Senate's June 27 text, so the increase he describes is in the record. No record checked here shows what part his conversations played. The offices of Senators Murkowski and Collins each say they pushed for the $50 billion; neither names him. The money goes to every state by allotment, not to his district in particular, and any left unspent in October 2032 returns to the Treasury.

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See something wrong or incomplete? Report it for review.

Sources7 source records

How we use sources

  1. Congressman Valadao Releases Statement After House Budget Reconciliation Votehttps://valadao.house.gov/news/documentsingle.aspx?DocumentID=3103

    Office of Congressman David G. Valadao · Published Jul 3, 2025 · Reviewed Sep 23, 2026

    His congressional office's press release on his final vote for H.R. 1, in his own words. It makes several claims about what he secured in the law.

    candidate statement

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  2. Public Law 119-21 (H.R. 1, 119th Congress)https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm

    U.S. Government Publishing Office · Published Jul 4, 2025 · Reviewed Sep 23, 2026

    The enacted text, read in full from GovInfo. Used for sections 50501 (water conveyance and storage), 71112 (retroactive coverage), 71119 (community engagement requirement) and 71401 (Rural Health Transformation Program). Also used for sections 50101 (onshore lease sales), 70103, 70104, 70201 and 70202 (senior deduction, child credit, tips, overtime), and 70512 and 70513 (wind and solar credits).

    official legislative record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  3. Amendment in the nature of a substitute to H.R. 1, Senate Budget Committee text of June 27, 2025 (document)

    U.S. Senate Committee on the Budget · Published Jun 27, 2025 · Reviewed Sep 23, 2026

    A substitute for H.R. 1 intended to be proposed by the committee's chairman, published on the committee's site; the file was created on June 27, 2025. Its section 71401 (PDF page 739) appropriates $10 billion for each of fiscal years 2028 and 2029, $2 billion for each of 2030 and 2031 and $1 billion for 2032 to the Rural Health Transformation Program, $25 billion in all.

    official legislative record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  4. H.R. 1 as passed by the House, May 22, 2025 (engrossed text)https://www.govinfo.gov/content/pkg/BILLS-119hr1eh/html/BILLS-119hr1eh.htm

    U.S. Government Publishing Office · Published May 22, 2025 · Reviewed Sep 23, 2026

    The text the House passed on May 22, 2025, read in full from GovInfo. Used for section 44122 (retroactive coverage) and sections 80203 and 80204 (surface water storage and conveyance). A search of the full text for "Rural Health Transformation" returns nothing.

    official legislative record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  5. Roll Call 190, H.R. 1, on concurring in the Senate amendmenthttps://clerk.house.gov/Votes/2025190

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Recorded vote of July 3, 2025, read from the Clerk's roll-call XML by his member ID. Agreed to 218-214; the bill became law the next day.

    official legislative record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  6. Murkowski on Rural Health Transformation Fund: "Alaska has an extraordinary opportunity."https://www.murkowski.senate.gov/press/release/murkowski-on-rural-health-transformation-fund-alaska-has-an-extraordinary-opportunity

    Office of Senator Lisa Murkowski · Published Dec 29, 2025 · Reviewed Sep 24, 2026

    She calls herself one of the lead advocates to double the fund from $25 billion to $50 billion. The release does not mention Valadao.

    official office record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

  7. Senator Collins Announces $190 Million for Maine Rural Hospitals and Providers through Rural Health Transformation Programhttps://www.collins.senate.gov/newsroom/senator-collins-announces-190-million-for-maine-rural-hospitals-and-providers-through-rural-health-transformation-program

    Office of Senator Susan Collins · Published Dec 29, 2025 · Reviewed Sep 24, 2026

    It says she proposed the fund and pushed to expand it to $50 billion. The release does not mention Valadao.

    official office record

    For: Did David Valadao help add $25 billion to the Rural Health Transformation Program?

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