United States · Bill · HR
H.R. 498 (119th)
Do No Harm in Medicaid Act
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], Rep. Greene, Marjorie Taylor [R-GA-14], 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
- Rep. Hamadeh, Abraham J. [R-AZ-8]Yea
- Rep. Gray, Adam [D-CA-13]Nay
- Rep. Smith, Adam [D-WA-9]Nay
Showing the first 4 recorded positions. Vote totals above are complete.
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
- Rep. Hamadeh, Abraham J. [R-AZ-8]Nay
- Rep. Gray, Adam [D-CA-13]Yea
- Rep. Smith, Adam [D-WA-9]Yea
Showing the first 4 recorded positions. Vote totals above are complete.
Versions
No version snapshots stored. Document URLs remain at the source.
Documents
4 official files
Referred in Senate
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Leesvertaling
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Referred in Senate
Referred in Senate · EN · 18 December 2025
Engrossed in House
Engrossed in House · EN · 18 December 2025
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Introduced in House
Introduced in House · EN · 16 January 2025
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Introduced in House
summary · EN · 16 January 2025
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Sponsors
- Rep. Crenshaw, Dan [R-TX-2] · R · Sponsor
- Rep. Greene, Marjorie Taylor [R-GA-14] · 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