Congress 119 - HR 498 - Do No Harm in Medicaid Act

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

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Summary

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.

Actions

Dec 18, 2025

DEBATE - The House proceeded with one hour of debate on H.R. 498.
Dec 18, 2025

Motion to reconsider laid on the table Agreed to without objection.
Dec 18, 2025

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.
Dec 18, 2025

Received in the Senate and Read twice and referred to the Committee on Finance.
Dec 18, 2025

On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
Dec 18, 2025

Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
Dec 18, 2025

On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
Dec 18, 2025

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
Dec 18, 2025

On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Dec 18, 2025

Considered as unfinished business. (consideration: CR H6072-6073)
Dec 18, 2025

Considered as unfinished business.
Dec 18, 2025

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.
Dec 18, 2025

The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Dec 18, 2025

Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Dec 18, 2025

Mr. Soto moved to recommit to the Committee on Energy and Commerce.
Dec 18, 2025

The previous question was ordered pursuant to the rule.
Dec 18, 2025

Considered under the provisions of rule H. Res. 953.
Dec 17, 2025

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.
Jan 16, 2025

Referred to the House Committee on Energy and Commerce.
Jan 16, 2025

Introduced in House

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