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HR 498 119th Congress House Health Child health Health programs administration and funding Medicaid Prescription drugs Sex, gender, sexual orientation discrimination Surgery and anesthesia

Do No Harm in Medicaid Act

Introduced: January 16, 2025 Introduced by: Crenshaw, Dan Republican · Texas See on congress.gov
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 Everywhere this bill has been 16 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
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
 Votes taken on this bill 2
DateChamberWhat was voted onResultYes–No
Dec 18, 2025 House · vote #362 On Passage Passed 215–201 See who voted →
Dec 18, 2025 House · vote #361 On Motion to Recommit Failed 204–212 See who voted →
 Plain-English summary Congressional Research Service

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.

What's happening now December 18, 2025

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

 Committees of jurisdiction 2
 Cosponsors 5
All 5 Republican 5