H.R. 498 · 119th Congress · Health
Do No Harm in Medicaid Act
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
| Date | Question | Party 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.