H.R. 498 Passed the House Health

Do No Harm in Medicaid Act

To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Introduced
Committee
Passed House
Passed Senate
To President
Became law

Sponsor Rep. Crenshaw, Dan [R-TX-2] Introduced January 16, 2025 Cosponsors 6 (6 R) Latest action December 18, 2025

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.

Summary by the Congressional Research Service, Library of Congress.

Congress.gov

Roll-call votes

HouseDec 18, 2025·Roll 362·H.R. 498
Do No Harm in Medicaid Act
On Passage

Passed215–201
R 211–0 D 4–201
HouseDec 18, 2025·Roll 361·H.R. 498
Do No Harm in Medicaid Act
On Motion to Recommit

Failed204–212
R 0–212 D 204–0

Actions

Dec 18, 2025 Received in the Senate and Read twice and referred to the Committee on Finance.
Dec 18, 2025 Motion to reconsider laid on the table Agreed to without objection.
Dec 18, 2025 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 On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Dec 18, 2025 Considered as unfinished business. (consideration: CR H6072-6073)
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.
Dec 18, 2025 The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Dec 18, 2025 Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Dec 18, 2025 The previous question was ordered pursuant to the rule.
Dec 18, 2025 DEBATE - The House proceeded with one hour of debate on H.R. 498.
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.
Dec 18, 2025 Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
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.
Jan 16, 2025 Referred to the House Committee on Energy and Commerce.
Jan 16, 2025 Introduced in House

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