H.R. 498: Do No Harm in Medicaid Act
Sponsor
Dan Crenshaw
Republican · TX-2
What H.R. 498 does
H.R. 498, the Do No Harm in Medicaid Act, would bar federal Medicaid payment for gender transition procedures for people under 18. The bill defines these as procedures intended to change a person's body so it no longer corresponds to their biological sex, including specified surgeries, implants and medications such as hormones.
It would not cover procedures, provided with a parent or guardian's consent, that are meant to treat early puberty, genetic disorders or chromosomal abnormalities, to reverse prior gender transition procedures, or to prevent imminent death or impairment of a major bodily function.
How the House voted
Passed · December 18, 20254 Democrats broke with their party to vote yes
Henry Cuellar
Donald Davis
Vicente Gonzalez
Marie Gluesenkamp PerezOn Passage: H R 498 Do No Harm in Medicaid Act · Roll no. 362 · Official record
HR498 Legislative Journey
House: Passed 215-201
Dec 18, 2025
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
+12 more actions this day
House: Committee Action
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.
House: Committee Action
Jan 16, 2025
Referred to the House Committee on Energy and Commerce.
About the Sponsor
Dan Crenshaw
Republican, Texas's 2nd congressional district · 7 years in Congress
Committees: House Permanent Select Committee on Intelligence, Energy and Commerce
View full profile →
Cosponsors (6)
All 6 cosponsors are Republicans. Cosponsors represent 5 states: Florida, Georgia, Ohio, and 2 more.
Committee Sponsors
Finance Committee
0 of 27 committee members cosponsored
No committee members have cosponsored this bill
Energy and Commerce Committee
1 of 54 committee members cosponsored
43 Republicans across these committees haven't cosponsored yet. Mobilize their constituents
What laws does H.R. 498 change?
1 changes
Sections Amended
Section 1905 of Social Security Act (42 U.S.C. 1396d)
adding at the end the following new subsection: ``(KK) Prohibiting federal medicaid funding for gender transitions for minors
H.R. 498 Quick Facts
- Committee
- Finance
- Chamber
- House
- Policy
- Health
- Introduced
- Jan 16, 2025
Passed the House, received in Senate
Dec 18, 2025
H.R. 498 Bill Text
“To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.”
Source: U.S. Government Publishing Office
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