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H.R. 498Passed House

Do No Harm in Medicaid Act

Introduced: Jan 16, 2025

Latest action date: Dec 18, 2025

Latest development

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

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Congress
119th Congress
Introduced
Jan 16, 2025
Recorded roll calls
2

Status detail: The full action history records passage in the House.

Plain-language overview

What this bill does

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.

Official summary from Congress.gov.

Civixly topics

What this legislation is about

Civixly topics make federal and state legislation comparable. They are derived from the official CRS policy area and legislative subjects.

Official CRS policy area

Health

View 6 official legislative subjects
Child healthHealth programs administration and fundingMedicaidPrescription drugsSex, gender, sexual orientation discriminationSurgery and anesthesia

Committee activity

Committees and subcommittees that received, reviewed, marked up, or reported this legislation.

Amendments

Proposed changes to this measure, with their latest official outcome or action from Congress.gov.

No amendments are listed for this measure.

Checked against Congress.gov Oct 9, 2026.

Action timeline

Newest action first. Action language comes from the official Congress.gov record.

View full action timeline17 actions
  1. Motion to reconsider laid on the table Agreed to without objection.

    FloorHouse floor actions
  2. On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)

    FloorHouse floor actions
  3. Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

    FloorLibrary of Congress
  4. On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).

    FloorHouse floor actions
  5. Considered as unfinished business. (consideration: CR H6072-6073)

    FloorHouse floor actions
  6. 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.

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

    FloorHouse floor actions
  8. Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)

    FloorHouse floor actions
  9. The previous question was ordered pursuant to the rule.

    FloorHouse floor actions
  10. DEBATE - The House proceeded with one hour of debate on H.R. 498.

    FloorHouse floor actions
  11. 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.

    FloorHouse floor actions
  12. Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)

    FloorHouse floor actions
  13. Received in the Senate and Read twice and referred to the Committee on Finance.

    IntroReferralSenate
  14. 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.

    FloorHouse floor actions
  15. Referred to the House Committee on Energy and Commerce.

    IntroReferralHouse floor actions
  16. Introduced in House

    IntroReferralLibrary of Congress
  17. Introduced in House

    IntroReferralLibrary of Congress

Roll-call votes

Recorded House and Senate votes connected to this bill. Your representatives appear first when available.

FailedDec 18, 2025House · Roll call 361

On Motion to Recommit

212 Nay204 Yea17 Not Voting
View 433 recorded positions
Cleo FieldsNot Voting
David ScottYea
Doug LaMalfaNay
Eric SwalwellNot Voting
Greg CasarNot Voting
Joe CourtneyNot Voting
Joe WilsonNot Voting
John CornynNot Voting
Lucy McBathNot Voting
Marjorie Taylor GreeneNot Voting
Max L. MillerNot Voting
Maxine WatersNot Voting
Nikema WilliamsNot Voting
Ritchie TorresNot Voting
Sheila Cherfilus-McCormickYea
Steve WomackNot Voting
Tony GonzalesNay
Wesley HuntNot Voting
PassedDec 18, 2025House · Roll call 362

On Passage

215 Yea201 Nay17 Not Voting
View 433 recorded positions
Cleo FieldsNot Voting
David ScottNay
Doug LaMalfaYea
Eric SwalwellNot Voting
Greg CasarNot Voting
Joe CourtneyNot Voting
Joe WilsonNot Voting
John CornynNot Voting
Lucy McBathNot Voting
Madeleine DeanNot Voting
Marjorie Taylor GreeneNot Voting
Max L. MillerNot Voting
Nikema WilliamsNot Voting
Sheila Cherfilus-McCormickNay
Steve WomackNot Voting
Tony GonzalesYea
Wesley HuntNot Voting

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Sources: Congress.gov and official House and Senate vote records.

View data freshness details

Base metadata check pending · Civixly summary check pending · Action timeline checked Oct 9, 2026 · Complete sponsorship check pending · Topics checked Oct 9, 2026 · Committees checked Oct 9, 2026 · Status checked Oct 9, 2026 · Related bills checked Oct 9, 2026.