H.R. 498 — 119th Congress
Do No Harm in Medicaid Act
Sponsor
Latest action
Dec 18, 2025Received in the Senate and Read twice and referred to the Committee on Finance.
CRS summary
As of Jan 16, 2025Introduced in House
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.
Congressional Research Service, via api.congress.gov (public domain)
Roll-call votes
2 on recordDec 18, 2025 · On Passage
Full roll callYea — 215: 210 R · 4 D · 1 I
Nay — 201: 201 D
Not Voting — 17: 9 R · 8 D
Dec 18, 2025 · On Motion to Recommit
Full roll callYea — 204: 204 D
Nay — 212: 211 R · 1 I
Not Voting — 17: 9 D · 8 R
Member pages currently show roll-call votes from the 119th Congress only. The “Member pages” column marks votes from that congress.