Federal · 119th Congress
Do No Harm in Medicaid Act
Policy areaHealth
Summary
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.
Sponsor
Cosponsors6
Marjorie Taylor GreeneRU.S. Representative · 14th District · GA
Randy K. Weber, Sr.RU.S. Representative · 14th District · TX
W. Gregory SteubeRU.S. Representative · 17th District · FL
Warren DavidsonRU.S. Representative · 8th District · OH
Glenn GrothmanRU.S. Representative · 6th District · WI
Anna Paulina LunaRU.S. Representative · 13th District · FLFloor votes2
Other titles2
To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.Official Title as IntroducedOfficial Titles from EH (Engrossed in House) bill text
Do No Harm in Medicaid ActShort Title(s) as IntroducedShort Title(s) as Passed HouseShort Titles from RFS (Referred to Senate) bill text
Legislative history15
Dec 18, 2025
SenateReceived in the Senate and Read twice and referred to the Committee on Finance.
Dec 18, 2025
House · FloorMotion to reconsider laid on the table Agreed to without objection.
Dec 18, 2025
House · Floor
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)Roll Call 362215–201
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Dec 18, 2025
House · Floor
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).Roll Call 361204–212
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Dec 18, 2025
House · FloorConsidered as unfinished business. (consideration: CR H6072-6073)
Dec 18, 2025
House · FloorPOSTPONED 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
House · FloorThe previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Dec 18, 2025
House · FloorMr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Dec 18, 2025
House · FloorThe previous question was ordered pursuant to the rule.
Dec 18, 2025
House · FloorDEBATE - The House proceeded with one hour of debate on H.R. 498.
Dec 18, 2025
House · FloorRule 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
House · FloorConsidered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
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Documents4
Texts