House Roll Call 362

119th Congress · Session 1 · December 18, 2025

The vote on whether to pass the bill

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.

What was being voted on

119-HR-498 — Do No Harm in Medicaid Act

This bill 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.

The House recorded this as
On Passage
Do No Harm in Medicaid Act
Result: Passed
Needed a simple majority — more than half of those voting.
Yea: 215Nay: 201Not Voting: 17433 members
PartyYeaNayPresentNot Voting
Democrat D420108
Republican R211009
How each member voted (433)
215 yea, 201 nay, 17 not voting