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HR498: Do No Harm in Medicaid Act
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HR498: Do No Harm in Medicaid Act

119th Congress (2025–2027) · House bill · Sponsor: Rep. Crenshaw, Dan [R-TX-2]


Key facts

Item Detail
Roll-call votes 2
Chamber House
Latest vote 2025-12-18: Passed
Latest action 2025-12-18: Received in the Senate and Read twice and referred to the Committee on Finance.
Policy area Health
Official record Congress.gov

What the bill does

Do No Harm in Medicaid ActThis 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.

Subjects: Child health, Health programs administration and funding, Medicaid, Prescription drugs, Sex, gender, sexual orientation discrimination, Surgery and anesthesia


Roll-call votes on HR498 (119th Congress)

Every recorded vote on this bill, newest first, with a link to the official tally. Member-by-member positions are on each member’s profile.

Date Chamber Question Result Yea Nay Not voting Record
2025-12-18 House Yea-and-Nay Passed 214 201 16 Official tally
2025-12-18 House Yea-and-Nay Failed 204 211 16 Official tally

Frequently asked

What is HR498 in the 119th Congress?

HR498 (Do No Harm in Medicaid Act) was introduced in the 119th Congress (2025–2027) by Rep. Crenshaw, Dan [R-TX-2].

What is the latest action on HR498?

On 2025-12-18: Received in the Senate and Read twice and referred to the Committee on Finance.

How many roll-call votes were held on HR498?

2 recorded votes in the 119th Congress. The most recent, on 2025-12-18, was "Yea-and-Nay": Passed.