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House roll call 361 · 119th Congress · Dec 18, 2025

Do No Harm in Medicaid Act

On Dec 18, 2025, the House voted 215–201 on “On Passage” (HR 498). Result: Passed. By party: Republicans 211–0, Democrats 4–201. It was a party-line vote: most Democrats and most Republicans voted on opposite sides. 4 members voted against their own party.

During the 119th Congress (2025–2026), Donald Trump was president, and Republicans held majorities in both the House and Senate.

Result
Passed
Yes
215
No
201
Did not vote
36
Date
Dec 18, 2025

By party

  • Republicans211 yes · 0 no · 16 didn’t vote
  • Democrats4 yes · 201 no · 19 didn’t vote

Who broke with their party

The bill

H.R. 498: Do No Harm in Medicaid Act

How each representative voted: Yes

How each representative voted: No

Did not vote

Other votes

From Voteview roll call records.

Cite or embed this page

Capitol Receipts, “Do No Harm in Medicaid Act: House Vote, Dec 18, 2025,” https://www.capitolreceipts.com/vote/119-H-361/do-no-harm-in-medicaid-act (accessed 2026-10-15).

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