H.R. 498 · 119th Congress · House

Do No Harm in Medicaid Act

In Congress· Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
Introduced
Jan 16, 25
Passed House
Dec 18, 25
Passed Senate
Pending
Sent to President
Pending
Signed into Law
Pending

Executive 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.

Action Timeline

20
  1. DEC 18, 2025House floor actions

    On passage Passed by the Yeas and Nays

    Roll Call #362

    215 - 201 (Roll no. 362). (text: CR H6057)

    215Yea
    201Nay
    0NV
  2. DEC 18, 2025House floor actions

    Considered as unfinished business

    (consideration: CR H6072-6073)

    6072Yea
    6073Nay
    0NV
  3. DEC 18, 2025House floor actions

    Mr

    Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)

  4. DEC 18, 2025House floor actions

    Considered under the provisions of rule H

    Res. 953. (consideration: CR H6057-6065)

    6057Yea
    6065Nay
    0NV
  5. DEC 18, 2025Senate

    Received in the Senate and Read twice and referred to the Committee on Finance.

  6. DEC 18, 2025House floor actions

    Motion to reconsider laid on the table Agreed to without objection.

  7. DEC 18, 2025House floor actions

    On passage Passed by the Yeas and Nays

    Roll Call #362

    215 - 201 (Roll no. 362).

    215Yea
    201Nay
    0NV
  8. DEC 18, 2025Library of Congress

    Passed/agreed to in House

    Roll Call #362

    On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

    215Yea
    201Nay
    0NV
  9. DEC 18, 2025House floor actions

    On motion to recommit Failed by the Yeas and Nays

    Roll Call #361

    204 - 212 (Roll no. 361).

    204Yea
    212Nay
    0NV
  10. DEC 18, 2025House floor actions

    Considered as unfinished business.

  11. DEC 18, 2025House floor actions

    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.

  12. DEC 18, 2025House floor actions

    The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

  13. DEC 18, 2025House floor actions

    Mr

    Soto moved to recommit to the Committee on Energy and Commerce.

  14. DEC 18, 2025House floor actions

    The previous question was ordered pursuant to the rule.

  15. DEC 18, 2025House floor actions

    DEBATE - The House proceeded with one hour of debate on H.R. 498.

  16. DEC 18, 2025House floor actions

    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.

  17. DEC 18, 2025House floor actions

    Considered under the provisions of rule H. Res. 953.

  18. DEC 17, 2025House floor actions

    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.

  19. JAN 16, 2025House floor actions

    Referred to the House Committee on Energy and Commerce.

  20. JAN 16, 2025Library of Congress

    Introduced in House

Committees

2

Finance Committee

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Referred: Dec 18, 2025

Active

Energy and Commerce Committee

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Referred: Dec 18, 2025

Active