U.S. Congress legislation · 119th Congress
HB498: Do No Harm in Medicaid Act
Status: Passed one chamber, December 18, 2025
To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.
What the bill says
An act To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.
From the introduced text, December 18, 2025:
AN ACT To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors. SECTION 1. Short title This Act may be cited as the Do No Harm in Medicaid Act . SECTION 2. Prohibiting federal medicaid funding for gender transition for minors (a) In general Section 1903(i) of the Social Security Act ( 42 U.S.C. 1396b(i) ) is amended-- (1) in paragraph (26), by striking ; or and inserting a semicolon; (2) in paragraph (27), by striking the period at the end and inserting ; or ; and (3) by inserting after paragraph (27) the following new paragraph: (28) with respect to any amount expended for specified gender procedures under section 1905(kk) to an individual under 18 years of age enrolled in a State plan (or waiver of such plan), including any amounts expended for the administration of a State program that furnishes specified procedures and drugs to individuals under 18 years of age. . (4) in the flush left matter at the end, by striking and (18), and inserting (18), and (28) . (b) Prohibiting federal medicaid funding for gender transitions for minors Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended by adding at the end the following new (II) sterilization; (III) orchiectomy; (IV) …
Sponsors
- Dan Crenshaw (R, HD-002) · primary sponsor
- Greene, Marjorie (R, 14)
- Randy Weber (R, HD-014)
- Greg Steube (R, HD-FL-17)
- Warren Davidson (R, HD-008)
- Glenn Grothman (R, HD-006)
- Anna Luna (R, 13)
Latest actions
- : Received in the Senate and Read twice and referred to the Committee on Finance.
- : Motion to reconsider laid on the table Agreed to without objection.
- : On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
- : Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
- : On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
- : Considered as unfinished business. (consideration: CR H6072-6073)
- : 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.
- : The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
- : Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
- : The previous question was ordered pursuant to the rule.
Votes
- On Passage (December 18, 2025): 215 yea, 201 nay, passed
- On Motion to Recommit (December 18, 2025): 204 yea, 212 nay, failed
Subjects: Health programs administration and funding, Medicaid, Child health, Sex, gender, sexual orientation discrimination, Surgery and anesthesia, Health, Prescription drugs
Common questions
- What is HB498?
- HB498 is a bill in Congress (119th Congress): Do No Harm in Medicaid Act.
- What does HB498 do?
- In its own words: An act To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.
- What is the status of HB498?
- Passed one chamber as of December 18, 2025. Latest action: Received in the Senate and Read twice and referred to the Committee on Finance. (December 18, 2025).
- Who sponsored HB498?
- Dan Crenshaw (R, HD-002), with 6 co-sponsors.
- Where is the official record for HB498?
- On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/498
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.