H.R. 498U.S. CongressPassed House 119th Congress

Do No Harm in Medicaid Act

Last status update Dec 18, 2025

What this measure contains

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.

The latest Congressional Research Service summary in the bill's GovInfo status record, or its official title when no summary has been published. Amendments can change the wording; read a specific version for its complete provisions.

Read the latest imported text

Read the full bill at its source ↗

Source: govinfo-billstatus· Retrieved Oct 31, 2026Original record ↗

Bill text and versions

Drafts can change as a measure moves through Congress. Check the version attached to a recorded vote.

Engrossed in House · Official document ↗· Dec 18, 2025
Referred in Senate · Official document ↗· Dec 18, 2025
Introduced in House · Official document ↗· Jan 16, 2025

How this measure moved

Legislative path

Each stage below is a House or Senate floor decision: every recorded roll call on this measure, plus passage by voice vote or unanimous consent, which records no individual votes. Each stage shows the latest version published before that day; the chamber may have voted on an amended text. Roll calls name every member. A member's row follows their votes, and a highlighted vote marks where they voted for advancing the measure at one stage and against it at another (passage, cloture, motions to proceed, agreeing to the other chamber's version). Amendments and motions such as recommit or table don't count as a change, because an aye there isn't a vote for the measure.

Decision stages

Dec 18, 2025 · House
House motion to recommit on Introduced in House: Failed

204 aye · 212 no · 17 not voting · Source roll call
Dec 18, 2025 · House
House passage on Introduced in House: Passed, reported as Engrossed in House

215 aye · 201 no · 17 not voting · Source roll call

House members along the path

House members' votes at each stage of H.R. 498
Member	Motion to recommit Introduced in House	Passage Introduced in House	Change along the path
Ed CaseD-HI	Aye	No
Jill N. TokudaD-HI	Aye	No

431 more House members

Member	Motion to recommit Introduced in House	Passage Introduced in House
AdamsD-NC	Aye	No
AderholtR-AL	No	Aye
AguilarD-CA	Aye	No
AlfordR-MO	No	Aye
AllenR-GA	No	Aye
AmoD-RI	Aye	No
Amodei (NV)R-NV	No	Aye
AnsariD-AZ	Aye	No
ArringtonR-TX	No	Aye
AuchinclossD-MA	Aye	No
BabinR-TX	No	Aye
BaconR-NE	No	Aye
BairdR-IN	No	Aye
BaldersonR-OH	No	Aye
BalintD-VT	Aye	No
BarragánD-CA	Aye	No
BarrR-KY	No	Aye
BarrettR-MI	No	Aye
BaumgartnerR-WA	No	Aye
Bean (FL)R-FL	No	Aye
BeattyD-OH	Aye	No
BegichR-AK	No	Aye
BellD-MO	Aye	No
BentzR-OR	No	Aye
BeraD-CA	Aye	No
BergmanR-MI	No	Aye
BeyerD-VA	Aye	No
BiceR-OK	No	Aye
Biggs (AZ)R-AZ	No	Aye
Biggs (SC)R-SC	No	Aye
BilirakisR-FL	No	Aye
BishopD-GA	Aye	No
BoebertR-CO	No	Aye
BonamiciD-OR	Aye	No
BostR-IL	No	Aye
Boyle (PA)D-PA	Aye	No
BrecheenR-OK	No	Aye
BresnahanR-PA	No	Aye
BrownD-OH	Aye	No
BrownleyD-CA	Aye	No
BuchananR-FL	No	Aye
BudzinskiD-IL	Aye	No
BurchettR-TN	No	Aye
BurlisonR-MO	No	Aye
BynumD-OR	Aye	No
CalvertR-CA	No	Aye
CammackR-FL	No	Aye
CarbajalD-CA	Aye	No
CareyR-OH	No	Aye
CarsonD-IN	Aye	No
Carter (GA)R-GA	NV	NV
Carter (LA)D-LA	Aye	No
Carter (TX)R-TX	No	Aye
CasarD-TX	NV	NV
CastenD-IL	Aye	No
Castor (FL)D-FL	Aye	No
Castro (TX)D-TX	Aye	No
Cherfilus-McCormickD-FL	Aye	No
ChuD-CA	Aye	No
CiscomaniR-AZ	No	Aye
CisnerosD-CA	Aye	No
Clark (MA)D-MA	Aye	No
Clarke (NY)D-NY	Aye	No
CleaverD-MO	Aye	No
ClineR-VA	No	Aye
CloudR-TX	No	Aye
ClyburnD-SC	Aye	No
ClydeR-GA	No	Aye
CohenD-TN	Aye	No
ColeR-OK	No	Aye
Watson ColemanD-NJ	Aye	No
CollinsR-GA	No	Aye
ComerR-KY	No	Aye
ConawayD-NJ	Aye	No
CorreaD-CA	Aye	No
CostaD-CA	Aye	No
CourtneyD-CT	NV	NV
CraigD-MN	Aye	No
CraneR-AZ	No	Aye
CrankR-CO	No	Aye
CrawfordR-AR	No	Aye
CrenshawR-TX	No	Aye
CrockettD-TX	Aye	No
CrowD-CO	Aye	No
De La CruzR-TX	No	Aye
CuellarD-TX	Aye	Aye
Davids (KS)D-KS	Aye	No
DavidsonR-OH	No	Aye
Davis (IL)D-IL	Aye	No
Davis (NC)D-NC	Aye	Aye
Dean (PA)D-PA	Aye	NV
DeGetteD-CO	Aye	No
McClain DelaneyD-MD	Aye	No
DeLauroD-CT	Aye	No
DelBeneD-WA	Aye	No
DeluzioD-PA	Aye	No
DeSaulnierD-CA	Aye	No
DesJarlaisR-TN	No	Aye
DexterD-OR	Aye	No
Diaz-BalartR-FL	No	Aye
DingellD-MI	Aye	No
DoggettD-TX	NV	NV
DonaldsR-FL	No	Aye
DowningR-MT	No	Aye
Van DrewR-NJ	No	Aye
Dunn (FL)R-FL	No	Aye
Van DuyneR-TX	No	Aye
EdwardsR-NC	No	Aye
ElfrethD-MD	Aye	No
EllzeyR-TX	No	Aye
EmmerR-MN	No	Aye
Van EppsR-TN	No	Aye
EscobarD-TX	Aye	No
EspaillatD-NY	Aye	No
EstesR-KS	No	Aye
Evans (CO)R-CO	No	Aye
Evans (PA)D-PA	Aye	No
EzellR-MS	No	Aye
FallonR-TX	No	Aye
FedorchakR-ND	No	Aye
FeenstraR-IA	No	Aye
Leger FernandezD-NM	Aye	No
FieldsD-LA	NV	NV
FiguresD-AL	Aye	No
FineR-FL	No	Aye
FinstadR-MN	No	Aye
FischbachR-MN	No	Aye
FitzgeraldR-WI	No	Aye
FitzpatrickR-PA	No	Aye
FleischmannR-TN	No	Aye
FletcherD-TX	Aye	No
FloodR-NE	No	Aye
FongR-CA	No	Aye
FosterD-IL	Aye	No
FousheeD-NC	Aye	No
FoxxR-NC	No	Aye
Frankel, LoisD-FL	Aye	No
Franklin, ScottR-FL	No	Aye
FriedmanD-CA	Aye	No
FrostD-FL	Aye	No
FryR-SC	No	Aye
FulcherR-ID	No	Aye
GaramendiD-CA	Aye	No
GarbarinoR-NY	No	Aye
Garcia (CA)D-CA	Aye	No
Garcia (TX)D-TX	Aye	No
García (IL)D-IL	Aye	No
GillenD-NY	Aye	No
Gill (TX)R-TX	No	Aye
GimenezR-FL	No	Aye
Golden (ME)D-ME	Aye	No
Goldman (NY)D-NY	Aye	No
Goldman (TX)R-TX	No	Aye
GomezD-CA	Aye	No
Gonzales, TonyR-TX	No	Aye
Gonzalez, V.D-TX	Aye	Aye
GoodenR-TX	No	Aye
GoodlanderD-NH	Aye	No
GosarR-AZ	No	Aye
GottheimerD-NJ	Aye	No
GravesR-MO	No	Aye
GrayD-CA	Aye	No
Greene (GA)R-GA	NV	NV
Green, Al (TX)D-TX	Aye	No
GriffithR-VA	No	Aye
GrijalvaD-AZ	Aye	No
GrothmanR-WI	No	Aye
GuestR-MS	No	Aye
GuthrieR-KY	No	Aye
HagemanR-WY	No	Aye
Hamadeh (AZ)R-AZ	No	Aye
Harder (CA)D-CA	Aye	No
HaridopolosR-FL	No	Aye
HarriganR-NC	No	Aye
Harris (MD)R-MD	No	Aye
Harris (NC)R-NC	No	Aye
HarshbargerR-TN	No	Aye
HayesD-CT	Aye	No
Hern (OK)R-OK	No	Aye
Higgins (LA)R-LA	No	Aye
Hill (AR)R-AR	No	Aye
HimesD-CT	Aye	No
HinsonR-IA	No	Aye
HorsfordD-NV	Aye	No
HouchinR-IN	No	Aye
HoulahanD-PA	Aye	No
HoyerD-MD	Aye	No
Hoyle (OR)D-OR	Aye	No
HudsonR-NC	No	Aye
HuffmanD-CA	Aye	No
HuizengaR-MI	No	Aye
HuntR-TX	NV	NV
Hurd (CO)R-CO	No	Aye
IssaR-CA	No	Aye
IveyD-MD	Aye	No
JackR-GA	No	Aye
Jackson (IL)D-IL	Aye	No
Jackson (TX)R-TX	No	Aye
JacobsD-CA	Aye	No
JamesR-MI	No	Aye
JayapalD-WA	Aye	No
JeffriesD-NY	Aye	No
Johnson (GA)D-GA	Aye	No
Johnson (LA)R-LA	No	Aye
Johnson (SD)R-SD	No	Aye
Johnson (TX)D-TX	Aye	No
JordanR-OH	No	Aye
Joyce (OH)R-OH	No	Aye
Joyce (PA)R-PA	No	Aye
Kamlager-DoveD-CA	Aye	No
KapturD-OH	Aye	No
KeanR-NJ	No	Aye
KeatingD-MA	Aye	No
Kelly (IL)D-IL	Aye	No
Kelly (MS)R-MS	No	Aye
Kelly (PA)R-PA	No	Aye
Kennedy (NY)D-NY	Aye	No
Kennedy (UT)R-UT	No	Aye
KhannaD-CA	Aye	No
Kiggans (VA)R-VA	No	Aye
Kiley (CA)R-CA	No	Aye
KimR-CA	No	Aye
KnottR-NC	No	Aye
KrishnamoorthiD-IL	Aye	No
KustoffR-TN	No	Aye
LaHoodR-IL	No	Aye
LaLotaR-NY	No	Aye
LaMalfaR-CA	No	Aye
LandsmanD-OH	Aye	No
LangworthyR-NY	No	Aye
Larsen (WA)D-WA	Aye	No
Larson (CT)D-CT	Aye	No
LatimerD-NY	Aye	No
LattaR-OH	No	Aye
LawlerR-NY	No	Aye
Lee (FL)R-FL	No	Aye
Lee (NV)D-NV	Aye	No
Lee (PA)D-PA	Aye	No
LetlowR-LA	No	Aye
LevinD-CA	Aye	No
LiccardoD-CA	Aye	No
LieuD-CA	Aye	No
LofgrenD-CA	Aye	No
LoudermilkR-GA	No	Aye
LucasR-OK	No	Aye
LunaR-FL	No	Aye
LuttrellR-TX	No	Aye
LynchD-MA	Aye	No
MaceR-SC	No	Aye
MackenzieR-PA	No	Aye
MagazinerD-RI	Aye	No
MalliotakisR-NY	No	Aye
MaloyR-UT	No	Aye
MannionD-NY	Aye	No
MannR-KS	No	Aye
MassieR-KY	No	Aye
MastR-FL	No	Aye
MatsuiD-CA	Aye	No
McBathD-GA	NV	NV
McBrideD-DE	Aye	No
McCaulR-TX	No	Aye
McClainR-MI	No	Aye
McClellanD-VA	Aye	No
McClintockR-CA	No	Aye
McCollumD-MN	Aye	No
McCormickR-GA	No	Aye
McDowellR-NC	No	Aye
McGarveyD-KY	Aye	No
McGovernD-MA	Aye	No
McGuireR-VA	No	Aye
McIverD-NJ	Aye	No
MeeksD-NY	Aye	No
MenendezD-NJ	Aye	No
MengD-NY	Aye	No
MessmerR-IN	No	Aye
MeuserR-PA	No	Aye
MfumeD-MD	Aye	No
Miller-MeeksR-IA	No	Aye
Miller (IL)R-IL	No	Aye
Miller (OH)R-OH	NV	NV
Miller (WV)R-WV	No	Aye
MillsR-FL	No	Aye
MinD-CA	Aye	No
MoolenaarR-MI	No	Aye
Moore (AL)R-AL	No	Aye
Moore (NC)R-NC	No	Aye
Moore (UT)R-UT	No	Aye
Moore (WI)D-WI	Aye	No
Moore (WV)R-WV	No	Aye
MoranR-TX	No	Aye
MorelleD-NY	Aye	No
MorrisonD-MN	Aye	No
MoskowitzD-FL	Aye	No
MoultonD-MA	Aye	No
MrvanD-IN	Aye	No
MullinD-CA	Aye	No
MurphyR-NC	NV	NV
NadlerD-NY	Aye	No
NealD-MA	Aye	No
NeguseD-CO	Aye	No
NehlsR-TX	No	Aye
NewhouseR-WA	No	Aye
NorcrossD-NJ	Aye	No
NormanR-SC	No	Aye
Nunn (IA)R-IA	No	Aye
ObernolteR-CA	No	Aye
Ocasio-CortezD-NY	Aye	No
OglesR-TN	No	Aye
OlszewskiD-MD	Aye	No
OmarD-MN	Aye	No
OnderR-MO	No	Aye
Van OrdenR-WI	No	Aye
OwensR-UT	No	Aye
PalloneD-NJ	Aye	No
PalmerR-AL	No	Aye
PanettaD-CA	Aye	No
PappasD-NH	Aye	No
PatronisR-FL	No	Aye
PelosiD-CA	Aye	No
PerezD-WA	Aye	Aye
PerryR-PA	No	Aye
PetersD-CA	Aye	No
PettersenD-CO	Aye	No
PflugerR-TX	No	Aye
PingreeD-ME	Aye	No
PocanD-WI	Aye	No
PouD-NJ	Aye	No
PressleyD-MA	Aye	No
QuigleyD-IL	Aye	No
RamirezD-IL	Aye	No
RandallD-WA	Aye	No
RaskinD-MD	Aye	No
ReschenthalerR-PA	No	Aye
Riley (NY)D-NY	Aye	No
RivasD-CA	Aye	No
McDonald RivetD-MI	Aye	No
Rogers (AL)R-AL	No	Aye
Rogers (KY)R-KY	No	Aye
RoseR-TN	No	Aye
RossD-NC	Aye	No
RouzerR-NC	No	Aye
RoyR-TX	No	Aye
RuizD-CA	Aye	No
RulliR-OH	No	Aye
RutherfordR-FL	No	Aye
RyanD-NY	Aye	No
SalazarR-FL	No	Aye
SalinasD-OR	Aye	No
SánchezD-CA	Aye	No
ScaliseR-LA	No	Aye
ScanlonD-PA	Aye	No
SchakowskyD-IL	Aye	No
SchmidtR-KS	No	Aye
SchneiderD-IL	Aye	No
ScholtenD-MI	Aye	No
SchrierD-WA	Aye	No
Wasserman SchultzD-FL	Aye	No
SchweikertR-AZ	No	Aye
Scott (VA)D-VA	Aye	No
Scott, AustinR-GA	No	Aye
Scott, DavidD-GA	Aye	No
SelfR-TX	No	Aye
SessionsR-TX	No	Aye
SewellD-AL	Aye	No
ShermanD-CA	Aye	No
ShreveR-IN	No	NV
SimonD-CA	Aye	No
SimpsonR-ID	No	Aye
Smith (MO)R-MO	No	Aye
Smith (NE)R-NE	No	Aye
Smith (NJ)R-NJ	No	Aye
Smith (WA)D-WA	Aye	No
SmuckerR-PA	No	Aye
SorensenD-IL	Aye	No
SotoD-FL	Aye	No
SpartzR-IN	No	Aye
StansburyD-NM	Aye	No
StantonD-AZ	Aye	No
StauberR-MN	No	Aye
StefanikR-NY	NV	NV
SteilR-WI	No	Aye
SteubeR-FL	No	Aye
StevensD-MI	Aye	No
StricklandD-WA	Aye	No
StrongR-AL	No	Aye
StutzmanR-IN	No	Aye
SubramanyamD-VA	Aye	No
SuozziD-NY	Aye	No
SwalwellD-CA	NV	NV
SykesD-OH	Aye	No
TakanoD-CA	Aye	No
TaylorR-OH	No	Aye
TenneyR-NY	No	Aye
ThanedarD-MI	Aye	No
Thompson (CA)D-CA	Aye	No
Thompson (MS)D-MS	Aye	No
Thompson (PA)R-PA	No	Aye
TiffanyR-WI	No	Aye
TimmonsR-SC	No	Aye
TitusD-NV	Aye	No
TlaibD-MI	Aye	No
TonkoD-NY	Aye	No
Torres (CA)D-CA	Aye	No
Torres (NY)D-NY	NV	No
TrahanD-MA	Aye	No
TranD-CA	Aye	No
Turner (OH)R-OH	No	Aye
UnderwoodD-IL	Aye	No
ValadaoR-CA	No	Aye
VargasD-CA	Aye	No
VasquezD-NM	Aye	No
VeaseyD-TX	Aye	No
VelázquezD-NY	Aye	No
VindmanD-VA	Aye	No
WagnerR-MO	No	Aye
WalbergR-MI	No	Aye
WalkinshawD-VA	Aye	No
WatersD-CA	NV	No
Weber (TX)R-TX	No	Aye
Webster (FL)R-FL	No	Aye
WestermanR-AR	No	Aye
WhitesidesD-CA	Aye	No
WiedR-WI	No	Aye
Williams (GA)D-GA	NV	NV
Williams (TX)R-TX	No	Aye
Wilson (FL)D-FL	Aye	No
Wilson (SC)R-SC	NV	NV
WittmanR-VA	No	Aye
WomackR-AR	NV	NV
YakymR-IN	No	Aye
ZinkeR-MT	No	Aye

Aye yea or aye · No nay or no · Present · NV not voting · Changed reversed on advancing the measure

Members are identified by the Bioguide ID in each roll call, not by name. Not voting is not a no vote; a blank cell means the member wasn't listed for that roll call.Congress.gov actions ↗

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Legislative history

Jan 16, 2025
Introduced in House
Jan 16, 2025
Referred to the House Committee on Energy and Commerce.
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.
Dec 18, 2025
Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
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
DEBATE - The House proceeded with one hour of debate on H.R. 498.
Dec 18, 2025
The previous question was ordered pursuant to the rule.
Dec 18, 2025
Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Dec 18, 2025
The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
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
Considered as unfinished business. (consideration: CR H6072-6073)
Dec 18, 2025
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
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 passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
Dec 18, 2025
Motion to reconsider laid on the table Agreed to without objection.
Dec 18, 2025
Received in the Senate and Read twice and referred to the Committee on Finance.