Bills · 119th Congress · Health

Do No Harm in Medicaid Act

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Roll calls on this bill

Votes on passage
HouseOn Passage · 12/18/25PassageThe vote on whether this chamber approves the measure — usually by a simple majority of those voting. It becomes law only once both chambers pass the same text and the president signs it, or Congress overrides a veto.House: The Legislative Process ↗
Passed
  • Democratic4 Yea · 201 Nay · 8 Not voting
  • Republican210 Yea · 0 Nay · 9 Not voting
  • Independent / Other1 Yea · 0 Nay · 0 Not voting
Official summary (CRS)

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.

Full text on congress.gov ↗
Sponsor
Rep. Dan Crenshaw ( Republican · TX-2)
Cosponsors
6
Introduced
1/16/25
Policy area
Health
Status
1/16/25Referred to the House Committee on Energy and Commerce.
1/16/25Introduced in House
12/17/25Rules 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.
12/18/25Received in the Senate and Read twice and referred to the Committee on Finance.
12/18/25Motion to reconsider laid on the table Agreed to without objection.
12/18/25On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
12/18/25Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
12/18/25On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
12/18/25Considered as unfinished business. (consideration: CR H6072-6073)
12/18/25POSTPONED 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.
12/18/25The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
12/18/25Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
12/18/25The previous question was ordered pursuant to the rule.
12/18/25DEBATE - The House proceeded with one hour of debate on H.R. 498.
12/18/25Rule 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.
12/18/25Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)