H.R. 498

119th Congress

In Committee

Do No Harm in Medicaid Act

Sponsored byRepublican:Rep. Crenshaw, Dan [R-TX-2]TX· Introduced 16 January 2025
Open on Congress.gov

6

Cosponsors

17

Actions

0

Amendments

2

Committees

—

Since introduced

Introduced
Committee
Passed Chamber
Passed Both
Enacted
Step 1 of 0
Latest action

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

18 December 2025·7 months ago

Summary

Introduced in House · Updated 25 February 2025

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.

Timeline

17 actions

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

    18 December 2025 · Floor

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

    18 December 2025 · IntroReferral

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

    18 December 2025 · Floor

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

    18 December 2025 · Floor

  5. 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.

    18 December 2025 · Floor

  6. Considered as unfinished business. (consideration: CR H6072-6073)

    18 December 2025 · Floor

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

    18 December 2025 · Floor

  8. 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.

    18 December 2025 · Floor

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

    18 December 2025 · Floor

  10. Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)

    18 December 2025 · Floor

  11. The previous question was ordered pursuant to the rule.

    18 December 2025 · Floor

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

    18 December 2025 · Floor

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

    18 December 2025 · Floor

  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.

    17 December 2025 · Floor

  15. Introduced in House

    16 January 2025 · IntroReferral

  16. Referred to the House Committee on Energy and Commerce.

    16 January 2025 · IntroReferral

  17. Introduced in House

    16 January 2025 · IntroReferral

Sponsorship

6 cosponsors

Sponsor

Republican:Rep. Crenshaw, Dan [R-TX-2]TX

Cosponsors

  • Republican6100%

Classification

Policy area

Health

Legislative subjects

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

Committees

2

  • Energy and Commerce Committee

    House · Standing

    • Referred To16 Jan 2025
    • Unknown18 Dec 2025
    • Unknown18 Dec 2025

  • Finance Committee

    Senate · Standing

    • Referred To18 Dec 2025

Cosponsor momentum

Cumulative over time

Cosponsors grew from 1 on 16 January 2025 to 6 on 21 January 2026.

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