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

Cost and committee reports

Official records Congress.gov attaches to H.R. 5481.

• Constitutional authority statementThe sponsor’s statement of where the Constitution gives Congress the power to pass this bill. Statement by Mr. GUEST, as printed in the Congressional Record (Vol. 169, No. 149, September 14, 2023, Page H4347):
  Article I, Section 8 The single subject of this legislation is: To direct the Secretary of Health and Human Services to establish an Office of Rural Health, and for other purposes.
  Source: Congress.gov, Congressional Record September 14, 2023 ↗

  Evidence

  Field in the Congress.gov record

  constitutionalAuthorityStatementText

  Statement length

  180 characters

  Congress.gov bill record

  H.R. 5481, 118th Congress

  Congress.gov API record

  https://api.congress.gov/v3/bill/118/hr/5481

  Record last updated by Congress.gov

  December 5, 2025

  PORKER copy retrieved

  September 14, 2026

  Stored copy, SHA-256 of the file

  34a7c899d33959dbaeafaba7bd97ef107ca720c591e4c94bef829893ad9ca173

  PORKER shows the statement exactly as printed, with the page markup removed. It is the sponsor’s claim; it is not a legal finding.

Congress.gov’s record for this bill does not list a CBO cost estimate or a committee report (as of December 5, 2025). Not every bill gets one.

From the Congress.gov bill record for H.R. 5481, last updated December 5, 2025. PORKER’s copy was retrieved September 14, 2026 and is refreshed nightly. Open “Evidence” on any line for the record, field and file fingerprint.