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H.R. 498 · 119th Congress · Health

Do No Harm in Medicaid Act

Passed a chamber Introduced Feb 13, 2025 Latest action Dec 18, 2025

What it does

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.

Summary by the Congressional Research Service, Jan 16, 2025 (Introduced in House). CRS summarizes bills impartially; it does not take positions.

Roll call votes

DateQuestionParty split (yea)Result
Dec 18, 2025
House roll 360
On Motion to RecommitDo No Harm in Medicaid Act
D 204–0 · R 0–212
Failed
204–212
Dec 18, 2025
House roll 361
On PassageDo No Harm in Medicaid Act
D 4–201 · R 211–0
Passed
215–201

Latest action

Dec 18, 2025 · Received in the Senate and Read twice and referred to the Committee on Finance.