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.
| Action Date | Type | Text | Source |
|---|---|---|---|
| 2025-12-18 | IntroReferral | Received in the Senate and Read twice and referred to the Committee on Finance. | Senate |
| 2025-12-18 | Floor | Motion to reconsider laid on the table Agreed to without objection. | House floor actions |
| 2025-12-18 | Vote | On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). | House floor actions |
| 2025-12-18 | Vote | On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). | House floor actions |
| 2025-12-18 | Floor | Considered as unfinished business. | House floor actions |
| 2025-12-18 | Floor | 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. | House floor actions |
| 2025-12-18 | Floor | The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. | House floor actions |
| 2025-12-18 | Floor | Mr. Soto moved to recommit to the Committee on Energy and Commerce. | House floor actions |
| 2025-12-18 | Floor | The previous question was ordered pursuant to the rule. | House floor actions |
| 2025-12-18 | Floor | DEBATE - The House proceeded with one hour of debate on H.R. 498. | House floor actions |
| 2025-12-18 | Floor | 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. | House floor actions |
| 2025-12-18 | Floor | Considered under the provisions of rule H. Res. 953. | House floor actions |
| 2025-12-17 | Floor | 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. | House floor actions |
| 2025-01-16 | IntroReferral | Referred to the House Committee on Energy and Commerce. | House floor actions |
| 2025-01-16 | IntroReferral | Introduced in House | Library of Congress |