Do No Harm in Medicaid Act
- Bill Number
- H.R. 498
- Origin Chamber
- House
- Congress
- 119th Congress, Session 1
- Policy Area
- Health
- Status
- Passed House
- Latest Action
- 2025-12-18: Received in the Senate and Read twice and referred to the Committee on Finance.
- Last Updated
- 2026-01-22T09:06:06Z
Official 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.
Sponsor
Cosponsors (6)
Rep. Greene, Marjorie Taylor [R-GA-14], Rep. Weber, Randy K. Sr. [R-TX-14], Rep. Steube, W. Gregory [R-FL-17], Rep. Davidson, Warren [R-OH-8], Rep. Grothman, Glenn [R-WI-6], Rep. Luna, Anna Paulina [R-FL-13]
Recent Actions
- 2025-12-18: Received in the Senate and Read twice and referred to the Committee on Finance.
- 2025-12-18: Motion to reconsider laid on the table Agreed to without objection.
- 2025-12-18: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) (Roll call 362)
- 2025-12-18: Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (Roll call 362)
- 2025-12-18: On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). (Roll call 361)
- 2025-12-18: Considered as unfinished business. (consideration: CR H6072-6073)
- 2025-12-18: 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.
- 2025-12-18: The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
- 2025-12-18: Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
- 2025-12-18: The previous question was ordered pursuant to the rule.
- 2025-12-18: DEBATE - The House proceeded with one hour of debate on H.R. 498.
- 2025-12-18: 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.
- 2025-12-18: Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
- 2025-12-17: 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.
- 2025-01-16: Referred to the House Committee on Energy and Commerce.
Bill Versions
- Do No Harm in Medicaid Act — issued 2025-12-18 — PDF (10 pages)
- Do No Harm in Medicaid Act — issued 2025-01-16 — PDF (7 pages)
- Do No Harm in Medicaid Act — issued 2025-12-18 — PDF (8 pages)