Political Integrity Network
HR 498 · 119th Congress · House

Do No Harm in Medicaid Act

In committee
IntroducedJan 16, 2025
Policy areaHealth
Cosponsors6
What this bill is intended to do

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.

Latest action

Dec 18, 2025Received in the Senate and Read twice and referred to the Committee on Finance.

How Congress voted · House roll call 362 · Dec 18, 2025
215 Yea201 Nay17 Not voting

Passed

How each party voted
Republicans210–0
Democrats4–201
Independents1–0

Revealed positions from the official roll call.

F52

The 'Do No Harm in Medicaid Act' seeks to amend the Social Security Act to prohibit federal Medicaid funding for gender transition procedures for minors. The bill outlines specific procedures and medications that are not to be funded, with exceptions for certain medical conditions. It defines 'sex' in biological terms and provides exceptions for medically necessary treatments.

Category gradesMembers of The Quiet Ledger see the full per-category breakdown of how this bill was graded.
Structural flags⚑ No enforcement or oversight⚑ Spends without a pay-for