Bill · H.R. 498· House(119-HR-498)
Do No Harm in Medicaid Act
- Introduced
- 1/16/2025
- Last activity
- 12/18/2025 — Received in the Senate and Read twice and referred to the Committee on Finance.
- Sponsored by
- Dan Crenshaw
- Cosponsors
- - 6 - 0
- Introduced
- Passed House
- In Senate committee
What this bill would do
The "Do No Harm in Medicaid Act" amends the Social Security Act to stop Federal Medicaid funding for gender transition procedures for people under 18 years old. This includes funding for specific surgeries, implants, and medications like puberty blockers or hormones. The bill defines sex as biologically male or female based on the reproductive system. However, it allows exceptions for treating precocious puberty, certain genetic disorders, or emergency medical situations.
Yes· 3 of 5
Does this reduce what the federal government spends?+2
The bill prohibits Federal Medicaid funding for a specific set of medical procedures for minors.
Would people with disabilities be better off under this?+1
Maintains funding for individuals with medically verifiable genetic disorders of sex development.
Does this reduce what the federal government owes?+1
Reducing Federal Medicaid funding for specific procedures may lead to a small decrease in government spending.
The opposite· 3 of 9
Would LGBTQ people be better off under this?-9
Directly restricts federally funded medical transition services for minors in the community.
Does this expand the rights of LGBTQ people?-8
The bill removes federal funding for gender transition procedures for minors, impacting the LGBTQ+ community.
Would children be better off under this?-7
Minors lose access to federally funded gender transition medical care.
What Congress actually voted on
2 recorded votes have been taken on this bill. One of them decided something; the rest moved it along.
- The House: the vote on whether to pass the billPassed 215–201
This is the real decision in this chamber. Passing here sends the bill to the other chamber, which must pass it too before it can go to the President.
12/18/2025 · Roll call 362 · recorded as “On Passage”
Who it would affect, and how
Potential Positive Impacts for People
-
Treatment for Precocious Puberty: Individuals experiencing precocious puberty can still receive puberty suppression or blocking drugs if they have consent from a parent or legal guardian (Section 2(b)(B)(i)).
-
Correction of Genetic Disorders: People with medically verifiable genetic disorders of sex development can still access necessary procedures or treatments with parental or guardian consent (Section 2(b)(B)(ii)(I)).
-
Emergency and Corrective Care: The bill allows funding for treatments to fix infections, diseases, or injuries caused by previous transition procedures, or for conditions that put a person in imminent danger of death or major bodily impairment (Section 2(b)(B)(ii)(III)).
-
Reconstructive Procedures: Funding remains available for procedures meant to restore or reconstruct the body to correspond to the individual's biological sex after previous transition procedures (Section 2(b)(B)(ii)(IV)).
Potential Negative Impacts for People
-
Loss of Funding for Minors: Individuals under 18 will lose Federal Medicaid funding for "specified gender transition procedures," including various surgeries, implants, and hormone medications (Section 2(a) and Section 2(b)(A)).
-
Restrictions on Hormones and Blockers: Minors can no longer use Medicaid to pay for puberty-blocking drugs or testosterone, estrogen, and progesterone at supraphysiologic doses (Section 2(b)(A)(iv)).
-
Exclusion of Mental Distress: The bill explicitly states that procedures performed for the alleviation of mental distress are not included in the exceptions for emergency medical funding (Section 2(b)(B)(ii)(III)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For People With Disabilities+1Good For L G B T Q Community-9Good For Children-7Good For Low Income Households-6
- Healthcare
- Improves Healthcare Access-6Increases Medicaid Funding-5Improves Mental Health Access-4
- Social Issues And Justice
- Improves L G B T Q Rights-8Improves Gender Equality-5
- Economy And Finance
- Reduces Government Spending+2Improves Fiscal Responsibility+1Reduces National Debt+1
- Governance And Ideology
- Increases Federal Power+1Increase States Rights-1
- 1/21/2026
- 1 Cosponsor added.
- 12/18/2025
- Received in the Senate and Read twice and referred to the Committee on Finance.
- Motion to reconsider laid on the table Agreed to without objection.
- Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
- On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
- On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
- Considered as unfinished business. (consideration: CR H6072-6073)
- POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.
- The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
- Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
- The previous question was ordered pursuant to the rule.
- DEBATE - The House proceeded with one hour of debate on H.R. 498.
- Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.
- Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
- 1 Cosponsor added.
- 12/17/2025
- Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.
- 12/16/2025
- 1 Cosponsor added.
- 9/2/2025
- 1 Cosponsor added.
- 2/13/2025
- 1 Cosponsor added.
- 1/16/2025
- Referred to the House Committee on Energy and Commerce.
- 1 Cosponsor added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
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