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H.R. 498119th CongressIN COMMITTEEREPUBLICAN

Do No Harm in Medicaid Act

Introduced Jan 16, 2025Dan Crenshaw (R-TX)6 cosponsorsSource

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.

How Congress Voted

House roll call 362 — Dec 18, 2025
427 votes
213(50%)
Yea
199(47%)
Nay
0(0%)
Present
15(4%)
Not voting

Related bills

Bill text versions

Legislative Journey

  1. Introduced
  2. Committee
  3. Floor
  4. Passed Chamber 1
  5. Passed Chamber 2
  6. Signed
Dec 18, 2025

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

Senate
Dec 18, 2025

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

House
Dec 18, 2025

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

House
Dec 18, 2025

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

Dec 18, 2025

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

House
Dec 18, 2025

Considered as unfinished business. (consideration: CR H6072-6073)

House
Dec 18, 2025

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.

House
Dec 18, 2025

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

House
Dec 18, 2025

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

House
Dec 18, 2025

The previous question was ordered pursuant to the rule.

House
Dec 18, 2025

DEBATE - The House proceeded with one hour of debate on H.R. 498.

House
Dec 18, 2025

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.

House
Dec 18, 2025

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

House
Dec 17, 2025

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.

House
Jan 16, 2025

Referred to the House Committee on Energy and Commerce.

House
Jan 16, 2025

Introduced in House

Jan 16, 2025

Introduced in House