119th Congress
H.R. 498
Do No Harm in Medicaid Act
- Introduced
- In committee
- Passed House
- Passed Senate
- To President
- Became law
- Sponsor
- Dan Crenshaw(R-TX)
- Introduced
- Jan 16, 2025
- Policy area
- Health
- Committees
- House Committee on Energy and Commerce; Senate Committee on Finance
- Official text
- Engrossed in House · Congress.gov page
Cosponsors (6)
Original cosponsors (1)
- G000596
Added later (5)
- Randy K. Weber, Sr. (R-TX) · Feb 13, 2025
- W. Gregory Steube (R-FL) · Sep 2, 2025
- Warren Davidson (R-OH) · Dec 16, 2025
- Glenn Grothman (R-WI) · Dec 18, 2025
- Anna Paulina Luna (R-FL) · Jan 21, 2026
Summary
Summary by the Congressional Research Service· describes the “Introduced in House” version
Do No Harm in Medicaid Act
This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including specified surgeries, implants, and medications (e.g., hormones).
The bill excludes procedures that are provided to an individual under the age of 18 with the consent of a parent or legal guardian and that are intended to (1) rectify early puberty, genetic disorders, or chromosomal abnormalities; (2) reverse prior gender transition procedures; or (3) prevent imminent death or impairment of a major bodily function.
Roll-call votes
| Date | Vote | Result | Your members |
|---|---|---|---|
| Dec 18, 2025 House #362 | On Passage: Do No Harm in Medicaid Act | Passed | Set your home to see |
| Dec 18, 2025 House #361 | On Motion to Recommit: Do No Harm in Medicaid Act | Failed | Set your home to see |
Actions
- Dec 18, 2025 · Senate
Received in the Senate and Read twice and referred to the Committee on Finance. - Dec 18, 2025 · House
Motion to reconsider laid on the table Agreed to without objection. - Dec 18, 2025 · House
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) - Dec 18, 2025
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). - Dec 18, 2025 · House
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). - Dec 18, 2025 · House
Considered as unfinished business. (consideration: CR H6072-6073) - Dec 18, 2025 · House
POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced. - Dec 18, 2025 · House
The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. - Dec 18, 2025 · House
Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065) - Dec 18, 2025 · House
The previous question was ordered pursuant to the rule. - Dec 18, 2025 · House
DEBATE - The House proceeded with one hour of debate on H.R. 498. - Dec 18, 2025 · House
Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill. - Dec 18, 2025 · House
Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065) - Dec 17, 2025 · House
Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill. - Jan 16, 2025 · House
Referred to the House Committee on Energy and Commerce. - Jan 16, 2025
Introduced in House