House · On PassagePassed
Yea 215 Nay 201 Present / not voting 17
H.R. 498 · 119th CongressIn committee
Do No Harm in Medicaid Act
Latest action. Received in the Senate and Read twice and referred to the Committee on Finance.
Live record from Congress.gov, updated as the official record changes.
What this bill would do
Official summary · Congressional Research ServiceDo 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.
Written by analysts at the Congressional Research Service and published on Congress.gov, not by Civibrief. Summarized at the "Introduced in House" stage on January 16, 2025. It describes the bill, it is not the legal text.
Status
Introduced
January 16, 2025
In committee
December 18, 2025
Passed a chamber
Cleared Congress
Enacted
Common questions
Composed from the official recordWhere is it in the process, and what happens next?
4 steps remain before this bill could become law.
The record's latest action, on December 18, 2025: Received in the Senate and Read twice and referred to the Committee on Finance.
- Clearing the committees it was referred to, and being scheduled for a floor vote
- Passage by the House
- Passage by the Senate
- The President's signature. If the President vetoes it, two-thirds of both chambers must vote to override.
How likely is it to become law?
Civibrief does not forecast outcomes and this page has no opinion about this one. What the record supports is a base rate, which is a fact about the whole pile, not a prediction about this measure.
In the 118th Congress (2023-24), 274 of the 16,565 bills and joint resolutions introduced became law, about 1.7 percent. That count covers every measure at every stage, including the many that never left committee.
This one is not there yet: 4 steps are still outstanding, listed above.
Has anyone actually voted on it?
Yes. 2 recorded roll-call votes cite this measure, listed further down this page with every member's position.
Who is behind it?
Dan Crenshaw (R-TX) introduced it on January 16, 2025, and 6 members have since signed on as cosponsors.
They are 6 Republicans.
Cosponsoring is a formal signature on the text. It is not a commitment to vote for the measure, it does not bind anyone's party, and a long list of cosponsors is a measure of attention rather than of prospects.
How long has it been in play?
It was introduced on January 16, 2025, 602 days ago. The most recent recorded action was 266 days ago, on December 18, 2025.
Measures do not carry over. Anything the 119th Congress has not finished by January 3, 2027 dies when the term ends, and has to be introduced again from the start in the next Congress.
Every answer above is assembled from this measure's own record on Congress.gov and from published counts of what Congress has passed before. Civibrief does not predict outcomes and takes no position on any measure.
Vote history
- HousePassed on a recorded vote (official bill record may lag)
- SenateAwaiting Senate vote
- PresidentAwaits both chambers
House · On Motion to RecommitFailed
Yea 204 Nay 212 Present / not voting 17