proceduralDec 18, 2025 · House roll call · procedural · Result: Failed
On Motion to Recommit — H R 498 — Do No Harm in Medicaid Act
This was a procedural vote — a decision about process (such as ending debate or handling a motion), not a direct vote on a bill, amendment, or nominee.
Do No Harm in Medicaid Act
In plain language
- House bill in the 119th Congress.
- Prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18.
- House passed it on Dec 18, 2025 (substantive).
Official summary (Congressional Research Service)
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.
Roll-call breakdown
Yea204
Democrat: 204
Nay212
Independent: 1 · Republican: 211
Present0
—
Not Voting17
Democrat: 9 · Republican: 8
How each member voted (433)
Yea (204)
- Adam Gray (Democrat–CA)
- Adam Smith (Democrat–WA)
- Adelita S. Grijalva (Democrat–AZ)
- Adriano Espaillat (Democrat–NY)
- Al Green (Democrat–TX)
- Alexandria Ocasio-Cortez (Democrat–NY)
- Alma S. Adams (Democrat–NC)
- Ami Bera (Democrat–CA)
- André Carson (Democrat–IN)
- Andrea Salinas (Democrat–OR)
- Angie Craig (Democrat–MN)
- April McClain Delaney (Democrat–MD)
- Ayanna Pressley (Democrat–MA)
- Becca Balint (Democrat–VT)
- Bennie G. Thompson (Democrat–MS)
- Betty McCollum (Democrat–MN)
- Bill Foster (Democrat–IL)
- Bonnie Watson Coleman (Democrat–NJ)
- Brad Sherman (Democrat–CA)
- Bradley Scott Schneider (Democrat–IL)
- Brendan F. Boyle (Democrat–PA)
- Brittany Pettersen (Democrat–CO)
- Chellie Pingree (Democrat–ME)
- Chris Pappas (Democrat–NH)
- Chrissy Houlahan (Democrat–PA)
- Christopher R. Deluzio (Democrat–PA)
- Daniel S. Goldman (Democrat–NY)
- Danny K. Davis (Democrat–IL)
- Darren Soto (Democrat–FL)
- Dave Min (Democrat–CA)
- David Scott (Democrat–GA)
- Debbie Dingell (Democrat–MI)
- Debbie Wasserman Schultz (Democrat–FL)
- Deborah K. Ross (Democrat–NC)
- Delia C. Ramirez (Democrat–IL)
- Derek Tran (Democrat–CA)
- Diana DeGette (Democrat–CO)
- Dina Titus (Democrat–NV)
- Donald G. Davis (Democrat–NC)
- Donald Norcross (Democrat–NJ)
- Donald S. Beyer, Jr. (Democrat–VA)
- Doris O. Matsui (Democrat–CA)
- Dwight Evans (Democrat–PA)
- Ed Case (Democrat–HI)
- Emanuel Cleaver (Democrat–MO)
- Emilia Strong Sykes (Democrat–OH)
- Emily Randall (Democrat–WA)
- Eric Sorensen (Democrat–IL)
- Eugene Simon Vindman (Democrat–VA)
- Frank J. Mrvan (Democrat–IN)
- Frank Pallone, Jr. (Democrat–NJ)
- Frederica S. Wilson (Democrat–FL)
- Gabe Amo (Democrat–RI)
- Gabe Vasquez (Democrat–NM)
- George Latimer (Democrat–NY)
- George Whitesides (Democrat–CA)
- Gilbert Ray Cisneros, Jr. (Democrat–CA)
- Glenn Ivey (Democrat–MD)
- Grace Meng (Democrat–NY)
- Greg Landsman (Democrat–OH)
- Greg Stanton (Democrat–AZ)
- Gregory W. Meeks (Democrat–NY)
- Gwen Moore (Democrat–WI)
- Hakeem S. Jeffries (Democrat–NY)
- Haley M. Stevens (Democrat–MI)
- Henry C. "Hank" Johnson, Jr. (Democrat–GA)
- Henry Cuellar (Democrat–TX)
- Herbert C. Conaway, Jr. (Democrat–NJ)
- Hillary J. Scholten (Democrat–MI)
- Ilhan Omar (Democrat–MN)
- J. Luis Correa (Democrat–CA)
- Jahana Hayes (Democrat–CT)
- Jake Auchincloss (Democrat–MA)
- James A. Himes (Democrat–CT)
- James E. Clyburn (Democrat–SC)
- James P. McGovern (Democrat–MA)
- James R. Walkinshaw (Democrat–VA)
- Jamie Raskin (Democrat–MD)
- Janelle S. Bynum (Democrat–OR)
- Janice D. Schakowsky (Democrat–IL)
- Jared F. Golden (Democrat–ME)
- Jared Huffman (Democrat–CA)
- Jared Moskowitz (Democrat–FL)
- Jasmine Crockett (Democrat–TX)
- Jason Crow (Democrat–CO)
- Jennifer L. McClellan (Democrat–VA)
- Jerrold Nadler (Democrat–NY)
- Jesús G. "Chuy" García (Democrat–IL)
- Jill N. Tokuda (Democrat–HI)
- Jim Costa (Democrat–CA)
- Jimmy Gomez (Democrat–CA)
- Jimmy Panetta (Democrat–CA)
- Joaquin Castro (Democrat–TX)
- Joe Neguse (Democrat–CO)
- John B. Larson (Democrat–CT)
- John Garamendi (Democrat–CA)
- John W. Mannion (Democrat–NY)
- Johnny Olszewski, Jr. (Democrat–MD)
- Jonathan L. Jackson (Democrat–IL)
- Joseph D. Morelle (Democrat–NY)
- Josh Gottheimer (Democrat–NJ)
- Josh Harder (Democrat–CA)
- Josh Riley (Democrat–NY)
- Joyce Beatty (Democrat–OH)
- Juan Vargas (Democrat–CA)
- Judy Chu (Democrat–CA)
- Julia Brownley (Democrat–CA)
- Julie Johnson (Democrat–TX)
- Katherine M. Clark (Democrat–MA)
- Kathy Castor (Democrat–FL)
- Kelly Morrison (Democrat–MN)
- Kevin Mullin (Democrat–CA)
- Kim Schrier (Democrat–WA)
- Kristen McDonald Rivet (Democrat–MI)
- Kweisi Mfume (Democrat–MD)
- LaMonica McIver (Democrat–NJ)
- Lateefah Simon (Democrat–CA)
- Laura Friedman (Democrat–CA)
- Laura Gillen (Democrat–NY)
- Lauren Underwood (Democrat–IL)
- Linda T. Sánchez (Democrat–CA)
- Lizzie Fletcher (Democrat–TX)
- Lois Frankel (Democrat–FL)
- Lori Trahan (Democrat–MA)
- Luz M. Rivas (Democrat–CA)
- Madeleine Dean (Democrat–PA)
- Maggie Goodlander (Democrat–NH)
- Marc A. Veasey (Democrat–TX)
- Marcy Kaptur (Democrat–OH)
- Marie Gluesenkamp Perez (Democrat–WA)
- Marilyn Strickland (Democrat–WA)
- Mark DeSaulnier (Democrat–CA)
- Mark Pocan (Democrat–WI)
- Mark Takano (Democrat–CA)
- Mary Gay Scanlon (Democrat–PA)
- Maxine Dexter (Democrat–OR)
- Maxwell Frost (Democrat–FL)
- Melanie A. Stansbury (Democrat–NM)
- Mike Levin (Democrat–CA)
- Mike Quigley (Democrat–IL)
- Mike Thompson (Democrat–CA)
- Morgan McGarvey (Democrat–KY)
- Nancy Pelosi (Democrat–CA)
- Nanette Diaz Barragán (Democrat–CA)
- Nellie Pou (Democrat–NJ)
- Nikki Budzinski (Democrat–IL)
- Norma J. Torres (Democrat–CA)
- Nydia M. Velázquez (Democrat–NY)
- Patrick Ryan (Democrat–NY)
- Paul Tonko (Democrat–NY)
- Pete Aguilar (Democrat–CA)
- Pramila Jayapal (Democrat–WA)
- Raja Krishnamoorthi (Democrat–IL)
- Rashida Tlaib (Democrat–MI)
- Raul Ruiz (Democrat–CA)
- Richard E. Neal (Democrat–MA)
- Rick Larsen (Democrat–WA)
- Ro Khanna (Democrat–CA)
- Robert C. "Bobby" Scott (Democrat–VA)
- Robert Garcia (Democrat–CA)
- Robert Menendez (Democrat–NJ)
- Robin L. Kelly (Democrat–IL)
- Rosa L. DeLauro (Democrat–CT)
- Salud O. Carbajal (Democrat–CA)
- Sam T. Liccardo (Democrat–CA)
- Sanford D. Bishop, Jr. (Democrat–GA)
- Sara Jacobs (Democrat–CA)
- Sarah Elfreth (Democrat–MD)
- Sarah McBride (Democrat–DE)
- Scott H. Peters (Democrat–CA)
- Sean Casten (Democrat–IL)
- Seth Magaziner (Democrat–RI)
- Seth Moulton (Democrat–MA)
- Sharice Davids (Democrat–KS)
- Sheila Cherfilus-McCormick (Democrat–FL)
- Shomari Figures (Democrat–AL)
- Shontel M. Brown (Democrat–OH)
- Shri Thanedar (Democrat–MI)
- Steny H. Hoyer (Democrat–MD)
- Stephen F. Lynch (Democrat–MA)
- Steve Cohen (Democrat–TN)
- Steven Horsford (Democrat–NV)
- Suhas Subramanyam (Democrat–VA)
- Summer L. Lee (Democrat–PA)
- Susie Lee (Democrat–NV)
- Suzan K. DelBene (Democrat–WA)
- Suzanne Bonamici (Democrat–OR)
- Sydney Kamlager-Dove (Democrat–CA)
- Sylvia R. Garcia (Democrat–TX)
- Ted Lieu (Democrat–CA)
- Teresa Leger Fernandez (Democrat–NM)
- Terri A. Sewell (Democrat–AL)
- Thomas R. Suozzi (Democrat–NY)
- Timothy M. Kennedy (Democrat–NY)
- Troy A. Carter (Democrat–LA)
- Val T. Hoyle (Democrat–OR)
- Valerie P. Foushee (Democrat–NC)
- Veronica Escobar (Democrat–TX)
- Vicente Gonzalez (Democrat–TX)
- Wesley Bell (Democrat–MO)
- William R. Keating (Democrat–MA)
- Yassamin Ansari (Democrat–AZ)
- Yvette D. Clarke (Democrat–NY)
- Zoe Lofgren (Democrat–CA)
Nay (212)
- Aaron Bean (Republican–FL)
- Abraham J. Hamadeh (Republican–AZ)
- Addison P. McDowell (Republican–NC)
- Adrian Smith (Republican–NE)
- Andrew Ogles (Republican–TN)
- Andrew R. Garbarino (Republican–NY)
- Andrew S. Clyde (Republican–GA)
- Andy Barr (Republican–KY)
- Andy Biggs (Republican–AZ)
- Andy Harris (Republican–MD)
- Ann Wagner (Republican–MO)
- Anna Paulina Luna (Republican–FL)
- Ashley Hinson (Republican–IA)
- August Pfluger (Republican–TX)
- Austin Scott (Republican–GA)
- Barry Loudermilk (Republican–GA)
- Barry Moore (Republican–AL)
- Ben Cline (Republican–VA)
- Beth Van Duyne (Republican–TX)
- Bill Huizenga (Republican–MI)
- Blake D. Moore (Republican–UT)
- Brad Finstad (Republican–MN)
- Brad Knott (Republican–NC)
- Brandon Gill (Republican–TX)
- Brett Guthrie (Republican–KY)
- Brian Babin (Republican–TX)
- Brian J. Mast (Republican–FL)
- Brian Jack (Republican–GA)
- Brian K. Fitzpatrick (Republican–PA)
- Bruce Westerman (Republican–AR)
- Bryan Steil (Republican–WI)
- Burgess Owens (Republican–UT)
- Byron Donalds (Republican–FL)
- Carlos A. Gimenez (Republican–FL)
- Carol D. Miller (Republican–WV)
- Celeste Maloy (Republican–UT)
- Charles J. "Chuck" Fleischmann (Republican–TN)
- Chip Roy (Republican–TX)
- Christopher H. Smith (Republican–NJ)
- Chuck Edwards (Republican–NC)
- Claudia Tenney (Republican–NY)
- Clay Higgins (Republican–LA)
- Cliff Bentz (Republican–OR)
- Cory Mills (Republican–FL)
- Craig A. Goldman (Republican–TX)
- Dale W. Strong (Republican–AL)
- Dan Crenshaw (Republican–TX)
- Dan Newhouse (Republican–WA)
- Daniel Meuser (Republican–PA)
- Daniel Webster (Republican–FL)
- Darin LaHood (Republican–IL)
- Darrell Issa (Republican–CA)
- David G. Valadao (Republican–CA)
- David J. Taylor (Republican–OH)
- David Kustoff (Republican–TN)
- David P. Joyce (Republican–OH)
- David Rouzer (Republican–NC)
- David Schweikert (Republican–AZ)
- Derek Schmidt (Republican–KS)
- Derrick Van Orden (Republican–WI)
- Diana Harshbarger (Republican–TN)
- Don Bacon (Republican–NE)
- Doug LaMalfa (Republican–CA)
- Dusty Johnson (Republican–SD)
- Elijah Crane (Republican–AZ)
- Eric A. "Rick" Crawford (Republican–AR)
- Eric Burlison (Republican–MO)
- Erin Houchin (Republican–IN)
- Frank D. Lucas (Republican–OK)
- Gabe Evans (Republican–CO)
- Gary J. Palmer (Republican–AL)
- Glenn Grothman (Republican–WI)
- Glenn Thompson (Republican–PA)
- Gus M. Bilirakis (Republican–FL)
- Guy Reschenthaler (Republican–PA)
- H. Morgan Griffith (Republican–VA)
- Harold Rogers (Republican–KY)
- Harriet M. Hageman (Republican–WY)
- J. French Hill (Republican–AR)
- Jack Bergman (Republican–MI)
- Jake Ellzey (Republican–TX)
- James Comer (Republican–KY)
- James R. Baird (Republican–IN)
- Jason Smith (Republican–MO)
- Jay Obernolte (Republican–CA)
- Jeff Crank (Republican–CO)
- Jeff Hurd (Republican–CO)
- Jefferson Shreve (Republican–IN)
- Jefferson Van Drew (Republican–NJ)
- Jennifer A. Kiggans (Republican–VA)
- Jim Jordan (Republican–OH)
- Jimmy Patronis (Republican–FL)
- Jodey C. Arrington (Republican–TX)
- John H. Rutherford (Republican–FL)
- John J. McGuire III (Republican–VA)
- John James (Republican–MI)
- John Joyce (Republican–PA)
- John R. Carter (Republican–TX)
- John R. Moolenaar (Republican–MI)
- John W. Rose (Republican–TN)
- Josh Brecheen (Republican–OK)
- Juan Ciscomani (Republican–AZ)
- Julia Letlow (Republican–LA)
- Julie Fedorchak (Republican–ND)
- Kat Cammack (Republican–FL)
- Keith Self (Republican–TX)
- Ken Calvert (Republican–CA)
- Kevin Hern (Republican–OK)
- Kevin Kiley (Independent–CA)
- Lance Gooden (Republican–TX)
- Laurel M. Lee (Republican–FL)
- Lauren Boebert (Republican–CO)
- Lisa C. McClain (Republican–MI)
- Lloyd Smucker (Republican–PA)
- Maria Elvira Salazar (Republican–FL)
- Mariannette Miller-Meeks (Republican–IA)
- Mario Diaz-Balart (Republican–FL)
- Mark Alford (Republican–MO)
- Mark B. Messmer (Republican–IN)
- Mark E. Amodei (Republican–NV)
- Mark Harris (Republican–NC)
- Marlin A. Stutzman (Republican–IN)
- Mary E. Miller (Republican–IL)
- Matt Van Epps (Republican–TN)
- Michael A. Rulli (Republican–OH)
- Michael Baumgartner (Republican–WA)
- Michael Cloud (Republican–TX)
- Michael Guest (Republican–MS)
- Michael K. Simpson (Republican–ID)
- Michael Lawler (Republican–NY)
- Michael R. Turner (Republican–OH)
- Michael T. McCaul (Republican–TX)
- Michelle Fischbach (Republican–MN)
- Mike Bost (Republican–IL)
- Mike Carey (Republican–OH)
- Mike Collins (Republican–GA)
- Mike Ezell (Republican–MS)
- Mike Flood (Republican–NE)
- Mike Haridopolos (Republican–FL)
- Mike Johnson (Republican–LA)
- Mike Kelly (Republican–PA)
- Mike Kennedy (Republican–UT)
- Mike Rogers (Republican–AL)
- Monica De La Cruz (Republican–TX)
- Morgan Luttrell (Republican–TX)
- Nancy Mace (Republican–SC)
- Nathaniel Moran (Republican–TX)
- Neal P. Dunn (Republican–FL)
- Nicholas A. Langworthy (Republican–NY)
- Nicholas J. Begich III (Republican–AK)
- Nick LaLota (Republican–NY)
- Nicole Malliotakis (Republican–NY)
- Pat Fallon (Republican–TX)
- Pat Harrigan (Republican–NC)
- Paul A. Gosar (Republican–AZ)
- Pete Sessions (Republican–TX)
- Pete Stauber (Republican–MN)
- Ralph Norman (Republican–SC)
- Randy Feenstra (Republican–IA)
- Randy Fine (Republican–FL)
- Randy K. Weber, Sr. (Republican–TX)
- Richard Hudson (Republican–NC)
- Richard McCormick (Republican–GA)
- Rick W. Allen (Republican–GA)
- Riley M. Moore (Republican–WV)
- Robert B. Aderholt (Republican–AL)
- Robert E. Latta (Republican–OH)
- Robert F. Onder, Jr. (Republican–MO)
- Robert J. Wittman (Republican–VA)
- Robert P. Bresnahan, Jr. (Republican–PA)
- Roger Williams (Republican–TX)
- Ron Estes (Republican–KS)
- Ronny Jackson (Republican–TX)
- Rudy Yakym III (Republican–IN)
- Russ Fulcher (Republican–ID)
- Russell Fry (Republican–SC)
- Ryan K. Zinke (Republican–MT)
- Ryan Mackenzie (Republican–PA)
- Sam Graves (Republican–MO)
- Scott DesJarlais (Republican–TN)
- Scott Fitzgerald (Republican–WI)
- Scott Franklin (Republican–FL)
- Scott Perry (Republican–PA)
- Sheri Biggs (Republican–SC)
- Stephanie I. Bice (Republican–OK)
- Steve Scalise (Republican–LA)
- Thomas H. Kean, Jr. (Republican–NJ)
- Thomas Massie (Republican–KY)
- Thomas P. Tiffany (Republican–WI)
- Tim Burchett (Republican–TN)
- Tim Moore (Republican–NC)
- Tim Walberg (Republican–MI)
- Tom Barrett (Republican–MI)
- Tom Cole (Republican–OK)
- Tom Emmer (Republican–MN)
- Tom McClintock (Republican–CA)
- Tony Gonzales (Republican–TX)
- Tony Wied (Republican–WI)
- Tracey Mann (Republican–KS)
- Trent Kelly (Republican–MS)
- Troy Balderson (Republican–OH)
- Troy Downing (Republican–MT)
- Troy E. Nehls (Republican–TX)
- Vern Buchanan (Republican–FL)
- Victoria Spartz (Republican–IN)
- Vince Fong (Republican–CA)
- Virginia Foxx (Republican–NC)
- W. Gregory Steube (Republican–FL)
- Warren Davidson (Republican–OH)
- William R. Timmons IV (Republican–SC)
- Young Kim (Republican–CA)
- Zachary Nunn (Republican–IA)
Not Voting (17)
- Cleo Fields (Democrat–LA)
- Earl L. "Buddy" Carter (Republican–GA)
- Elise M. Stefanik (Republican–NY)
- Eric Swalwell (Democrat–CA)
- Greg Casar (Democrat–TX)
- Gregory F. Murphy (Republican–NC)
- Joe Courtney (Democrat–CT)
- Joe Wilson (Republican–SC)
- Lloyd Doggett (Democrat–TX)
- Lucy McBath (Democrat–GA)
- Marjorie Taylor Greene (Republican–GA)
- Max L. Miller (Republican–OH)
- Maxine Waters (Democrat–CA)
- Nikema Williams (Democrat–GA)
- Ritchie Torres (Democrat–NY)
- Steve Womack (Republican–AR)
- Wesley Hunt (Republican–TX)
Party labels reflect each member’s most recent affiliation on record.