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Bill · HR

H.R. 498 (119th)

Do No Harm in Medicaid Act

Original

referredUnited States· United States Congress· EN

Introduced

16 January 2025

Last action

18 December 2025 · Floor

Status

Received in the Senate and Read twice and referred to the Committee on Finance.

Sponsors

Rep. Crenshaw, Dan [R-TX-2], Marjorie Greene, Rep. Weber, Randy K. Sr. [R-TX-14], Rep. Steube, W. Gregory [R-FL-17], Rep. Davidson, Warren [R-OH-8], Rep. Grothman, Glenn [R-WI-6], Rep. Luna, Anna Paulina [R-FL-13]

Subjects

Healthcare

Source updated

22 January 2026

Healthcare

Summary

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.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 16 January 2025

    Introduced

    Introduced in House

    Source: IntroReferral

  2. 16 January 2025

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 16 January 2025

    Introduced

    Referred to the House Committee on Energy and Commerce.

    Source: IntroReferral

  4. 17 December 2025

    Reported

    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.

    Source: Floor

  5. 18 December 2025

    Introduced

    Received in the Senate and Read twice and referred to the Committee on Finance.

    Source: IntroReferral

  6. 18 December 2025

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  7. 18 December 2025

    Vote

    On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)

    Source: Floor

  8. 18 December 2025

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

    Source: Floor

  9. 18 December 2025

    Vote

    On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).

    Source: Floor

  10. 18 December 2025

    Floor

    Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)

    Source: Floor

  11. 18 December 2025

    Floor

    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.

    Source: Floor

  12. 18 December 2025

    Floor

    The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

    Source: Floor

  13. 18 December 2025

    Floor

    Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)

    Source: Floor

  14. 18 December 2025

    Floor

    The previous question was ordered pursuant to the rule.

    Source: Floor

Votes

18 December 2025 · passed · On Passage · Passed · Official source

Yes 215 · No 201 · Abstain · Absent/not voting 17

18 December 2025 · failed · On Motion to Recommit · Failed · Official source

Yes 204 · No 212 · Abstain · Absent/not voting 17

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

4 official files

Sponsors

Related records

Sources

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