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substantiveDec 18, 2025 · House roll call · passage · Result: Passed

On Passage — H R 498 — Do No Harm in Medicaid Act

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.

View this measure on congress.gov

Roll-call breakdown

Yea215

Democrat: 4 · Independent: 1 · Republican: 210

Nay201

Democrat: 201

Present0

Not Voting17

Democrat: 8 · Republican: 9

How each member voted (433)

Yea (215)

Nay (201)

Not Voting (17)

Party labels reflect each member’s most recent affiliation on record.