Bill · HR
H.R. 498 (119th)
Do No Harm in Medicaid Act
Original
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
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
16 January 2025
Introduced
Introduced in House
Source: IntroReferral
16 January 2025
Introduced
Introduced in House
Source: IntroReferral
16 January 2025
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
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
18 December 2025
Introduced
Received in the Senate and Read twice and referred to the Committee on Finance.
Source: IntroReferral
18 December 2025
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
18 December 2025
Vote
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
Source: Floor
18 December 2025
Vote
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
Source: Floor
18 December 2025
Vote
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Source: Floor
18 December 2025
Floor
Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
Source: Floor
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
18 December 2025
Floor
The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Source: Floor
18 December 2025
Floor
Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Source: Floor
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
- Rep. Bean, Aaron [R-FL-4]Yea
- Abraham HamadehYea
- Adam GrayNay
- Adam SmithNay
- Addison McDowellYea
- Adelita GrijalvaNay
- Adrian SmithYea
- Adriano EspaillatNay
- Rep. Green, Al [D-TX-9]Nay
- Alexandria Ocasio-CortezNay
- Alma AdamsNay
- Ami BeraNay
- Andrea SalinasNay
- Andrew ClydeYea
- Andrew GarbarinoYea
- Rep. Ogles, Andrew [R-TN-5]Yea
- André CarsonNay
- Rep. Barr, Andy [R-KY-6]Yea
- Rep. Biggs, Andy [R-AZ-5]Yea
- Andy HarrisYea
- Angie CraigNay
- Ann WagnerYea
- Rep. Luna, Anna Paulina [R-FL-13]Yea
- April McClain DelaneyNay
- Ashley HinsonYea
- August PflugerYea
- Rep. Scott, Austin [R-GA-8]Yea
- Ayanna PressleyNay
- Barry LoudermilkYea
- Barry MooreYea
- Becca BalintNay
- Rep. Cline, Ben [R-VA-6]Yea
- Bennie ThompsonNay
- Beth Van DuyneYea
- Betty McCollumNay
- Bill FosterNay
- Rep. Huizenga, Bill [R-MI-4]Yea
- Blake MooreYea
- Bonnie Watson ColemanNay
- Rep. Finstad, Brad [R-MN-1]Yea
- Brad KnottYea
- Brad ShermanNay
- Bradley SchneiderNay
- Rep. Gill, Brandon [R-TX-26]Yea
- Brendan BoyleNay
- Rep. Guthrie, Brett [R-KY-2]Yea
- Rep. Babin, Brian [R-TX-36]Yea
- Rep. Fitzpatrick, Brian K. [R-PA-1]Yea
- Brian JackYea
- Brian MastYea
- Brittany PettersenNay
- Bruce WestermanYea
- Bryan SteilYea
- Rep. Owens, Burgess [R-UT-4]Yea
- Rep. Donalds, Byron [R-FL-19]Yea
- Carlos GimenezYea
- Rep. Miller, Carol D. [R-WV-1]Yea
- Celeste MaloyYea
- Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]Yea
- Chellie PingreeNay
- Chip RoyYea
- Chris PappasNay
- Chrissy HoulahanNay
- Christopher DeluzioNay
- Rep. Smith, Christopher H. [R-NJ-4]Yea
- Rep. Edwards, Chuck [R-NC-11]Yea
- Rep. Tenney, Claudia [R-NY-24]Yea
- Rep. Higgins, Clay [R-LA-3]Yea
- Cleo FieldsNot Voting
- Cliff BentzYea
- Cory MillsYea
- Rep. Goldman, Craig [R-TX-12]Yea
- Dale StrongYea
- Rep. Crenshaw, Dan [R-TX-2]Yea
- Rep. Newhouse, Dan [R-WA-4]Yea
- Daniel GoldmanNay
- Rep. Meuser, Daniel [R-PA-9]Yea
- Rep. Webster, Daniel [R-FL-11]Yea
- Danny DavisNay
- Darin LaHoodYea
- Rep. Issa, Darrell [R-CA-48]Yea
- Darren SotoNay
- Dave MinNay
- David JoyceYea
- Rep. Kustoff, David [R-TN-8]Yea
- David RouzerYea
- David SchweikertYea
- David ScottNay
- Rep. Taylor, David [R-OH-2]Yea
- David ValadaoYea
- Debbie DingellNay
- Debbie Wasserman SchultzNay
- Deborah RossNay
- Delia RamirezNay
- Rep. Schmidt, Derek [R-KS-2]Yea
- Derek TranNay
- Rep. Van Orden, Derrick [R-WI-3]Yea
- Diana DeGetteNay
- Diana HarshbargerYea
- Dina TitusNay
- Rep. Bacon, Don [R-NE-2]Yea
- Donald BeyerNay
- Donald DavisYea
- Donald NorcrossNay
- Doris MatsuiNay
- Doug LaMalfaYea
- Rep. Johnson, Dusty [R-SD-At Large]Yea
- Dwight EvansNay
- Rep. Carter, Earl L. "Buddy" [R-GA-1]Not Voting
- Ed CaseNay
- Rep. Crane, Elijah [R-AZ-2]Yea
- Elise StefanikNot Voting
- Emanuel CleaverNay
- Emilia SykesNay
- Emily RandallNay
- Rep. Burlison, Eric [R-MO-7]Yea
- Eric CrawfordYea
- Eric SorensenNay
- Eric SwalwellNot Voting
- Rep. Houchin, Erin [R-IN-9]Yea
- Rep. Vindman, Eugene Simon [D-VA-7]Nay
- Frank LucasYea
- Frank MrvanNay
- Frank PalloneNay
- Frederica WilsonNay
- Gabe AmoNay
- Gabe EvansYea
- Gabe VasquezNay
- Gary PalmerYea
- George LatimerNay
- George WhitesidesNay
- Gilbert CisnerosNay
- Rep. Grothman, Glenn [R-WI-6]Yea
- Glenn IveyNay
- Glenn ThompsonYea
- Rep. Meng, Grace [D-NY-6]Nay
- Greg CasarNot Voting
- Rep. Landsman, Greg [D-OH-1]Nay
- Greg StantonNay
- Gregory MeeksNay
- Gregory MurphyNot Voting
- Rep. Bilirakis, Gus M. [R-FL-12]Yea
- Guy ReschenthalerYea
- Rep. Moore, Gwen [D-WI-4]Nay
- Rep. Griffith, H. Morgan [R-VA-9]Yea
- Hakeem JeffriesNay
- Haley StevensNay
- Harold RogersYea
- Rep. Hageman, Harriet M. [R-WY-At Large]Yea
- Henry CuellarYea
- Henry JohnsonNay
- Herbert ConawayNay
- Hillary ScholtenNay
- Ilhan OmarNay
- J. CorreaNay
- Rep. Hill, J. French [R-AR-2]Yea
- Jack BergmanYea
- Jahana HayesNay
- Jake AuchinclossNay
- Rep. Ellzey, Jake [R-TX-6]Yea
- James BairdYea
- James ClyburnNay
- Rep. Comer, James [R-KY-1]Yea
- James HimesNay
- James McGovernNay
- James WalkinshawNay
- Jamie RaskinNay
- Janelle BynumNay
- Janice SchakowskyNay
- Jared GoldenNay
- Jared HuffmanNay
- Jared MoskowitzNay
- Jasmine CrockettNay
- Jason CrowNay
- Rep. Smith, Jason [R-MO-8]Yea
- Jay ObernolteYea
- Rep. Crank, Jeff [R-CO-5]Yea
- Jeff HurdYea
- Jefferson ShreveNot Voting
- Jefferson Van DrewYea
- Rep. Kiggans, Jennifer A. [R-VA-2]Yea
- Jennifer McClellanNay
- Jerrold NadlerNay
- Jesús GarcíaNay
- Jill TokudaNay
- Jim CostaNay
- Jim JordanYea
- Jimmy GomezNay
- Jimmy PanettaNay
- Rep. Patronis, Jimmy [R-FL-1]Yea
- Joaquin CastroNay
- Rep. Arrington, Jodey C. [R-TX-19]Yea
- Joe CourtneyNot Voting
- Rep. Neguse, Joe [D-CO-2]Nay
- Joe WilsonNot Voting
- John CarterYea
- John GaramendiNay
- John JamesYea
- John JoyceYea
- Rep. Larson, John B. [D-CT-1]Nay
18 December 2025 · failed · On Motion to Recommit · Failed · Official source
Yes 204 · No 212 · Abstain — · Absent/not voting 17
- Rep. Bean, Aaron [R-FL-4]Nay
- Abraham HamadehNay
- Adam GrayYea
- Adam SmithYea
- Addison McDowellNay
- Adelita GrijalvaYea
- Adrian SmithNay
- Adriano EspaillatYea
- Rep. Green, Al [D-TX-9]Yea
- Alexandria Ocasio-CortezYea
- Alma AdamsYea
- Ami BeraYea
- Andrea SalinasYea
- Andrew ClydeNay
- Andrew GarbarinoNay
- Rep. Ogles, Andrew [R-TN-5]Nay
- André CarsonYea
- Rep. Barr, Andy [R-KY-6]Nay
- Rep. Biggs, Andy [R-AZ-5]Nay
- Andy HarrisNay
- Angie CraigYea
- Ann WagnerNay
- Rep. Luna, Anna Paulina [R-FL-13]Nay
- April McClain DelaneyYea
- Ashley HinsonNay
- August PflugerNay
- Rep. Scott, Austin [R-GA-8]Nay
- Ayanna PressleyYea
- Barry LoudermilkNay
- Barry MooreNay
- Becca BalintYea
- Rep. Cline, Ben [R-VA-6]Nay
- Bennie ThompsonYea
- Beth Van DuyneNay
- Betty McCollumYea
- Bill FosterYea
- Rep. Huizenga, Bill [R-MI-4]Nay
- Blake MooreNay
- Bonnie Watson ColemanYea
- Rep. Finstad, Brad [R-MN-1]Nay
- Brad KnottNay
- Brad ShermanYea
- Bradley SchneiderYea
- Rep. Gill, Brandon [R-TX-26]Nay
- Brendan BoyleYea
- Rep. Guthrie, Brett [R-KY-2]Nay
- Rep. Babin, Brian [R-TX-36]Nay
- Rep. Fitzpatrick, Brian K. [R-PA-1]Nay
- Brian JackNay
- Brian MastNay
- Brittany PettersenYea
- Bruce WestermanNay
- Bryan SteilNay
- Rep. Owens, Burgess [R-UT-4]Nay
- Rep. Donalds, Byron [R-FL-19]Nay
- Carlos GimenezNay
- Rep. Miller, Carol D. [R-WV-1]Nay
- Celeste MaloyNay
- Rep. Fleischmann, Charles J. "Chuck" [R-TN-3]Nay
- Chellie PingreeYea
- Chip RoyNay
- Chris PappasYea
- Chrissy HoulahanYea
- Christopher DeluzioYea
- Rep. Smith, Christopher H. [R-NJ-4]Nay
- Rep. Edwards, Chuck [R-NC-11]Nay
- Rep. Tenney, Claudia [R-NY-24]Nay
- Rep. Higgins, Clay [R-LA-3]Nay
- Cleo FieldsNot Voting
- Cliff BentzNay
- Cory MillsNay
- Rep. Goldman, Craig [R-TX-12]Nay
- Dale StrongNay
- Rep. Crenshaw, Dan [R-TX-2]Nay
- Rep. Newhouse, Dan [R-WA-4]Nay
- Daniel GoldmanYea
- Rep. Meuser, Daniel [R-PA-9]Nay
- Rep. Webster, Daniel [R-FL-11]Nay
- Danny DavisYea
- Darin LaHoodNay
- Rep. Issa, Darrell [R-CA-48]Nay
- Darren SotoYea
- Dave MinYea
- David JoyceNay
- Rep. Kustoff, David [R-TN-8]Nay
- David RouzerNay
- David SchweikertNay
- David ScottYea
- Rep. Taylor, David [R-OH-2]Nay
- David ValadaoNay
- Debbie DingellYea
- Debbie Wasserman SchultzYea
- Deborah RossYea
- Delia RamirezYea
- Rep. Schmidt, Derek [R-KS-2]Nay
- Derek TranYea
- Rep. Van Orden, Derrick [R-WI-3]Nay
- Diana DeGetteYea
- Diana HarshbargerNay
- Dina TitusYea
- Rep. Bacon, Don [R-NE-2]Nay
- Donald BeyerYea
- Donald DavisYea
- Donald NorcrossYea
- Doris MatsuiYea
- Doug LaMalfaNay
- Rep. Johnson, Dusty [R-SD-At Large]Nay
- Dwight EvansYea
- Rep. Carter, Earl L. "Buddy" [R-GA-1]Not Voting
- Ed CaseYea
- Rep. Crane, Elijah [R-AZ-2]Nay
- Elise StefanikNot Voting
- Emanuel CleaverYea
- Emilia SykesYea
- Emily RandallYea
- Rep. Burlison, Eric [R-MO-7]Nay
- Eric CrawfordNay
- Eric SorensenYea
- Eric SwalwellNot Voting
- Rep. Houchin, Erin [R-IN-9]Nay
- Rep. Vindman, Eugene Simon [D-VA-7]Yea
- Frank LucasNay
- Frank MrvanYea
- Frank PalloneYea
- Frederica WilsonYea
- Gabe AmoYea
- Gabe EvansNay
- Gabe VasquezYea
- Gary PalmerNay
- George LatimerYea
- George WhitesidesYea
- Gilbert CisnerosYea
- Rep. Grothman, Glenn [R-WI-6]Nay
- Glenn IveyYea
- Glenn ThompsonNay
- Rep. Meng, Grace [D-NY-6]Yea
- Greg CasarNot Voting
- Rep. Landsman, Greg [D-OH-1]Yea
- Greg StantonYea
- Gregory MeeksYea
- Gregory MurphyNot Voting
- Rep. Bilirakis, Gus M. [R-FL-12]Nay
- Guy ReschenthalerNay
- Rep. Moore, Gwen [D-WI-4]Yea
- Rep. Griffith, H. Morgan [R-VA-9]Nay
- Hakeem JeffriesYea
- Haley StevensYea
- Harold RogersNay
- Rep. Hageman, Harriet M. [R-WY-At Large]Nay
- Henry CuellarYea
- Henry JohnsonYea
- Herbert ConawayYea
- Hillary ScholtenYea
- Ilhan OmarYea
- J. CorreaYea
- Rep. Hill, J. French [R-AR-2]Nay
- Jack BergmanNay
- Jahana HayesYea
- Jake AuchinclossYea
- Rep. Ellzey, Jake [R-TX-6]Nay
- James BairdNay
- James ClyburnYea
- Rep. Comer, James [R-KY-1]Nay
- James HimesYea
- James McGovernYea
- James WalkinshawYea
- Jamie RaskinYea
- Janelle BynumYea
- Janice SchakowskyYea
- Jared GoldenYea
- Jared HuffmanYea
- Jared MoskowitzYea
- Jasmine CrockettYea
- Jason CrowYea
- Rep. Smith, Jason [R-MO-8]Nay
- Jay ObernolteNay
- Rep. Crank, Jeff [R-CO-5]Nay
- Jeff HurdNay
- Jefferson ShreveNay
- Jefferson Van DrewNay
- Rep. Kiggans, Jennifer A. [R-VA-2]Nay
- Jennifer McClellanYea
- Jerrold NadlerYea
- Jesús GarcíaYea
- Jill TokudaYea
- Jim CostaYea
- Jim JordanNay
- Jimmy GomezYea
- Jimmy PanettaYea
- Rep. Patronis, Jimmy [R-FL-1]Nay
- Joaquin CastroYea
- Rep. Arrington, Jodey C. [R-TX-19]Nay
- Joe CourtneyNot Voting
- Rep. Neguse, Joe [D-CO-2]Yea
- Joe WilsonNot Voting
- John CarterNay
- John GaramendiYea
- John JamesNay
- John JoyceNay
- Rep. Larson, John B. [D-CT-1]Yea
Versions
No version snapshots stored. Document URLs remain at the source.
Documents
4 official files
Referred in Senate
Referred in Senate · EN · 18 December 2025
Engrossed in House
Engrossed in House · EN · 18 December 2025
Introduced in House
Introduced in House · EN · 16 January 2025
Introduced in House
summary · EN · 16 January 2025
Sponsors
- Rep. Crenshaw, Dan [R-TX-2] · R · Sponsor
- Marjorie Greene · R · Sponsor
- Rep. Weber, Randy K. Sr. [R-TX-14] · R · Cosponsor
- Rep. Steube, W. Gregory [R-FL-17] · R · Cosponsor
- Rep. Davidson, Warren [R-OH-8] · R · Cosponsor
- Rep. Grothman, Glenn [R-WI-6] · R · Cosponsor
- Rep. Luna, Anna Paulina [R-FL-13] · R · Cosponsor
- · ssfi00 · Standing
- · hsif00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/119th-congress/house-bill/498
- Open data entity: https://api.congress.gov/v3/bill/119/hr/498
- us · 119-hr-498 · source updated 22 January 2026