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H.R. 498 House Health

Do No Harm in Medicaid Act

Introduced
Jan 16, 2025
Sponsor
Rep. Crenshaw, Dan (R-TX-2)
View on Congress.gov

STAGE 4 OF 8 — HOUSE FLOOR

Currently in the House. Last action: received in the senate and read twice and referred to the committee on finance on Dec 18, 2025.

  1. House Introduced in House Jan 16, 2025
  2. House Referred to the House Committee on Energy and Commerce. Jan 16, 2025
  3. House 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. Dec 17, 2025
  4. House Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065) Dec 18, 2025
  5. 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. Dec 18, 2025
  6. House DEBATE - The House proceeded with one hour of debate on H.R. 498. Dec 18, 2025
  7. House The previous question was ordered pursuant to the rule. Dec 18, 2025
  8. House Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065) Dec 18, 2025
  9. House The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. Dec 18, 2025
  10. House 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. Dec 18, 2025
  11. House Considered as unfinished business. (consideration: CR H6072-6073) Dec 18, 2025
  12. House On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). Dec 18, 2025
  13. House Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). Dec 18, 2025
  14. House On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) Dec 18, 2025
  15. House Motion to reconsider laid on the table Agreed to without objection. Dec 18, 2025
  16. Senate Received in the Senate and Read twice and referred to the Committee on Finance. Dec 18, 2025
  17. House
    On Motion to Recommit Dec 18, 2025
    Defeated Yea 204 Nay 212 Roll Call
  18. House Latest vote
    On Passage Dec 18, 2025
    Agreed Yea 215 Nay 201 Roll Call

Cosponsors

6

Subjects

Child healthHealth programs administration and fundingMedicaidPrescription drugsSex, gender, sexual orientation discriminationSurgery and anesthesia

Committees

  • Finance Committee
    • Referred To , Dec 18, 2025
  • Energy and Commerce Committee
    • Unknown , Dec 18, 2025
    • Unknown , Dec 18, 2025
    • Referred To , Jan 16, 2025

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.

Summary as of: Introduced in House

Bill Text

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