H.R. 498 · 119th Congress

Do No Harm in Medicaid Act

Introduced on Jan 16, 2025 by Dan Crenshaw (R-TX-2). 6 cosponsors, all from the sponsor's party. Latest action (Dec 18, 2025): Received in the Senate and Read twice and referred to the Committee on Finance.

Stage
Passed one chamber
Introduced
Jan 16, 2025
Cosponsors
6
0 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Subjects

  • Child health
  • Health programs administration and funding
  • Medicaid
  • Prescription drugs
  • Sex, gender, sexual orientation discrimination
  • Surgery and anesthesia

Summary

By the Congressional Research Service (Introduced in House, Jan 16, 2025). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Dan CrenshawR-TX-2Sponsor

Republicans · 6

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

  1. On Motion to Recommit
    Dec 18, 2025· House· Procedural· Failed 204–212
  2. On Passage
    Dec 18, 2025· House· Passage· Passed 215–201

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Jan 16, 2025Introduced in House
  2. Jan 16, 2025Introduced in House
  3. Jan 16, 2025 · HouseReferred to the House Committee on Energy and Commerce.
  4. Dec 17, 2025 · HouseRules 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.
  5. Dec 18, 2025 · HouseConsidered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
  6. Dec 18, 2025 · HouseRule 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.
  7. Dec 18, 2025 · HouseDEBATE - The House proceeded with one hour of debate on H.R. 498.
  8. Dec 18, 2025 · HouseThe previous question was ordered pursuant to the rule.
  9. Dec 18, 2025 · HouseMr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
  10. Dec 18, 2025 · HouseThe previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
  11. Dec 18, 2025 · HousePOSTPONED 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, 2025 · HouseConsidered as unfinished business. (consideration: CR H6072-6073)
  13. Dec 18, 2025 · HouseOn motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).House · Roll call 361
  14. Dec 18, 2025Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).House · Roll call 362
  15. Dec 18, 2025 · HouseOn passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)House · Roll call 362
  16. Dec 18, 2025 · HouseMotion to reconsider laid on the table Agreed to without objection.
  17. Dec 18, 2025 · SenateReceived in the Senate and Read twice and referred to the Committee on Finance.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. HUMAN RIGHTS CAMPAIGN6 reports
    $1.2M reported (all issues)
  2. American Principles Project5 reports
    $70K reported (all issues)
  3. American Civil Liberties Union4 reports
    $1.9M reported (all issues)
  4. AMERICAN PSYCHIATRIC ASSOCIATION3 reports
    $735.2K reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  5. National Association of Pediatric Nurse Practitioners3 reports
    $72K reported (all issues)
  6. National Council of Jewish Women3 reports
    $30K reported (all issues)
  7. ALLIANCE DEFENDING FREEDOM1 report
    $20K reported (all issues)
  8. AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES1 report
    $700K reported (all issues)
  9. American Academy of Pediatrics1 report
    $100K reported (all issues)Federal contractor: AMERICAN ACADEMY OF PEDIATRICS$442.6K in contracts, FY2026AI match · 100%
  10. American Medical Association1 report
    $8M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  11. Heritage Action for America1 report
    $20K reported (all issues)
  12. Leadership Conference on Civil and Human Rights1 report
    $170K reported (all issues)
  13. NATIONAL WOMEN'S LAW CENTER ACTION FUND1 report
    $85K reported (all issues)
  14. PLANNED PARENTHOOD ACTION FUND INC.1 report
    $7,513 reported (all issues)
  15. Planned Parenthood Federation of America, Inc.1 report
    $94K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 5, 2026 · loaded Oct 5, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.