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H.R. 498 · 119th Congress

Do No Harm in Medicaid Act

Passed the HouseHealth

Details

Sponsor
Dan Crenshaw (R)
Introduced
2025-01-16
Origin
House
Policy area
Health
Latest action
2025-12-18 — Received in the Senate and Read twice and referred to the Committee on Finance.
Cosponsors
6

congress.gov

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.

CRS summary — Introduced in House (2025-01-16)

Recorded votes (2)

DateChamberQuestionYea–NayResult
2025-12-18HouseOn Motion to Recommit204–212Failed
2025-12-18HouseOn Passage215–201Passed⭐ Margin ≤ 5%

Senate counts are senators only; a Vice President tie-breaking vote is not included (e.g. 50–50, passed).