H.R. 498 · 119th Congress
Do No Harm in Medicaid Act
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6 cosponsors · 6 R
1 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.
- House Introduced Jan 16, 2025
- House Passed Dec 18, 2025 215–201
This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18.
What it does: CRS summary · Introduced in House · Jan 16, 2025
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.
Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov
Votes to become law
About this bill and sources
Official title: Do No Harm in Medicaid Act
Latest action (Dec 18, 2025): Received in the Senate and Read twice and referred to the Committee on Finance.
Policy area: Health · Origin: House · Introduced: Jan 16, 2025
Official page on Congress.gov · Bill text (GovInfo) · Status record (XML) · Embed in your story
- House Introduced Jan 16, 2025
- House Passed Dec 18, 2025 215–201
Final vote · House · Dec 18, 2025
Passage — Passed. Vote details
Speaker of the House: Mike Johnson
Table of every position
All recorded votes (2)
- Passage Passed
House · Dec 18, 2025 · “On Passage” · Speaker: Mike Johnson - Sending back to committee (motion to recommit) Failed
House · Dec 18, 2025 · “On Motion to Recommit” · Speaker: Mike Johnson