H.R. 498 · 119th Congress · 2025–2026
Do No Harm in Medicaid Act
H.R. 498 in the 119th Congress (2025–2026) has passed the house — introduced on Jan 16, 2025, sponsored by Dan Crenshaw with 6 co-sponsors. Congress held 2 roll call votes on it.
During the 119th Congress (2025–2026), Joe Biden was president, and Republicans held majorities in both the House and Senate.
- Status
- Passed the House
- Introduced
- Jan 16, 2025
- Co-sponsors
- 6
- Policy area
- Health
- Groups that lobbied
- 12
What it does
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).
Summary by the nonpartisan Congressional Research Service.
Sponsor
Dan Crenshaw (R-TX). Co-sponsors: 6 Republicans.
Where it stands
- IntroducedJan 16, 2025
- Passed the HouseDec 18, 2025
- Passed the Senate—
- Sent to the President—
- Became law—
Latest action: Received in the Senate and Read twice and referred to the Committee on Finance. (Dec 18, 2025)
How Congress voted
- On Passage
House · Dec 18, 2025 · Passed215–201 - On Motion to Recommit
House · Dec 18, 2025 · Failed204–212
Every roll call vote on this bill
- Do No Harm in Medicaid ActHouse · Dec 18, 2025
- Do No Harm in Medicaid ActHouse · Dec 18, 2025
More bills from Dan Crenshaw in the 119th Congress
- H.R. 3859: Returning Illegals over Turmoil Act
- H.R. 4880: Primacy Certainty Act of 2025
- H.R. 6566: Recycling Technology Innovation Act
- H.R. 7208: PROTECT the Grid Act
- H.R. 7420: Stop Gender Trafficking of Minors Act
- H.R. 7572: No Vigilante Checkpoints and Civil Rights Protection Act of 2026
- H.R. 8297: District of Columbia Firearm Freedom Act
Other Health bills in the 119th Congress
- H.R. 766: SEWER Act
- H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025
- S. 2398: Kay Hagan Tick Reauthorization Act
- H.R. 12: Women’s Health Protection Act of 2025
- H.J.Res. 123: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the…
- S.J.Res. 197: A joint resolution providing for congressional disapproval under chapter 8 of title 5, United…
- H.J.Res. 197: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the…
- H.R. 271: Defund Planned Parenthood Act of 2025
- H.R. 272: Protecting Life and Taxpayers Act of 2025
- H.R. 307: ARC Act of 2025
Who lobbied on it
12 organizations named this bill in lobbying reports (Jul 2025 – Sep 2026). Biggest spenders among them:
- Human Rights Campaign
- American Federation Of State County And Municipal Employees
- Leadership Conference On Civil And Human Rights
- Planned Parenthood Federation Of America Inc
- National Women's Law Center Action Fund
- National Association Of Pediatric Nurse Practitioners
- American Civil Liberties Union
- American Principles Project
Committees
- Finance Committee
- Energy and Commerce Committee
More
From GovInfo bill records, Congressional Research Service summaries, Voteview roll calls and lobbying reports.
Cite or embed this page
Capitol Receipts, “H.R. 498 (119th Congress): Do No Harm in Medicaid Act,” https://www.capitolreceipts.com/bill/119-hr-498/do-no-harm-in-medicaid-act (accessed 2026-10-16).