119th Congress

H.R.498

Do No Harm in Medicaid Act

Chamber Passed·12/18/25

Prefiled

Introduced

Chamber Passed12/18/25

Final Passage

Complete

Prohibits federal Medicaid funding for gender transition procedures for minors.

The Do No Harm in Medicaid Act amends title XIX of the Social Security Act to prohibit federal Medicaid funding for gender transition procedures for minors. It defines "specified gender transition procedures" as surgeries and treatments intended to change an individual's body to no longer correspond to their sex. Exceptions include puberty suppression drugs for precocious puberty and treatments for genetic disorders of sex development. The act specifies that sex is determined biologically and defines "female" and "male" based on reproductive systems and chromosomes.

Included in complete analysis

Overview
Core Provisions
Implementation
Impact
Legal Framework
Critical Issues

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Where it stands

Last: Passed the House · 215–201 · Dec 18, 2025
Current: Finance Committee
Next: Senate floor vote

Roll Call Votes

215 Yea

R R R R R R R R R R R R R R R R R R R R RRR R R R R R R R R R R R R R R R R R R RRR R R R R R R R R R R R R R R R D R R R R R R R RRR R R R R R R R R R R R D R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R D R R R R R R RRR R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R RRR R RRR R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R D R R R R R R R

201 Nay

D D D D D D D D D D D D D D D D D D D D D D D D DDD D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D DDD D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D DDD D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D

17 Absent

D R RDD R R D R D D DRR D R R

Calendar

Dec 16, 2025

2:00 PM

House Committee on Rules Hearing

History

Dec 18, 2025

House

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

Dec 18, 2025

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.

Dec 18, 2025

House

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

H.R.498

Where it stands

Sponsors

Roll Call Votes

Calendar

History