HR498: Do No Harm in Medicaid Act
119th Congress (2025–2027) · House bill · Sponsor: Rep. Crenshaw, Dan [R-TX-2]

119th Congress (2025–2027) · House bill · Sponsor: Rep. Crenshaw, Dan [R-TX-2]
| 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 |
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
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 |
HR498 (Do No Harm in Medicaid Act) was introduced in the 119th Congress (2025–2027) by Rep. Crenshaw, Dan [R-TX-2].
On 2025-12-18: Received in the Senate and Read twice and referred to the Committee on Finance.
2 recorded votes in the 119th Congress. The most recent, on 2025-12-18, was "Yea-and-Nay": Passed.