House bill · H.R. 498 (119th Congress)
Do No Harm in Medicaid Act
U.S. House of Representatives
Sponsor: Dan Crenshaw (U.S. Representative, TX-2, Republican)
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From Congress.gov and official rosters. This record was last updated Aug 2, 2026. About our data
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.
Summary from the Congressional Research Service. How we handle summaries
Where it stands
Passed one of the two chambers; it still needs the other.
- Introduced
- In committee
- Up for a vote
- Passed one chamber
- Passed
- Enacted
Committee
House Committee on Energy and Commerce · U.S. House of Representatives
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Cosponsors
6
Showing the 5 who are on Agora, A to Z. Congress.gov listed 6 as of Jul 30, 2026.
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Related bills
As identified by Congress.gov.
Full history
- Dec 18, 2025
Debate - the House Proceeded With One Hour of Debate on H.R. 498.
DEBATE - The House proceeded with one hour of debate on H.R. 498.
U.S. House of Representatives
- Dec 18, 2025
Passed a chamber
Motion to reconsider laid on the table Agreed to without objection.
- Dec 18, 2025
Passed a chamber
Motion to reconsider laid on the table Agreed to without objection.
- Dec 18, 2025
Passed a chamber
Motion to reconsider laid on the table Agreed to without objection.
- Dec 18, 2025
On Motion to Recommit Failed by the Yeas and Nays: 204 - 212 (roll no. 361).
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Show full history (9 earlier events)Show less history
- Dec 18, 2025
On Motion to Recommit Failed by the Yeas and Nays: 204 - 212 (roll no. 361).
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
- Dec 18, 2025
On Motion to Recommit Failed by the Yeas and Nays: 204 - 212 (roll no. 361).
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
- Dec 18, 2025
Passed a chamber
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
U.S. House of Representatives
- Dec 18, 2025
Sent to the executive
Received in the Senate and Read twice and referred to the Committee on Finance.
U.S. Senate
- Dec 18, 2025
In committee
Received in the Senate and Read twice and referred to the Committee on Finance.
U.S. House
- Dec 17, 2025
Reported out of committee
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.
U.S. House of Representatives
- Jan 16, 2025
Introduced
Introduced in House
U.S. House of Representatives
- Jan 16, 2025
Introduced
Introduced in U.S. House
U.S. House
- Jan 16, 2025
Referred to committee
Referred to the House Committee on Energy and Commerce.
U.S. House of Representatives
Read the record
- Read on Congress.gov (opens in a new tab) The official record on Congress.gov.