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119th Congress Health

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

Passed HouseDec 18, 2025

  1. Introduced (completed)Jan 16, 2025
  2. Passed House (completed)Dec 18, 2025, 215–201
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in House, Jan 16, 2025

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 the Congressional Research Service, Library of Congress.

Key votes

House final vote, Dec 18, 2025

On Passage

Passed 215–201

Yea 215majority 209Nay 201

  • Democrats4 yea, 201 nay
  • Republicans210 yea, 0 nay
  • Independents1 yea, 0 nay

Broke with their party: Marie Gluesenkamp Perez (D-WA), Vicente Gonzalez (D-TX), Donald Davis (D-NC) and Henry Cuellar (D-TX) voted Yea

See how all 416 members voted

Showing 433 of 433 members

Yea 215

Republicans (210)

Democrats (4) broke with their party

Independents (1)

Nay 201

Democrats (201)

Not voting 17

Senate

Not yet voted

Passed the House Dec 18, 2025. Awaiting Senate action.

Roll calls

2 votes on this bill

Showing 2 of 2 roll calls

  • Dec 18, 2025HouseOn PassageFinal passagePassed, yea-nay 215–201
    Roll call 362 tally by party
    PartyYeaNayPresentNot voting
    Democrats420108
    Republicans210009
    Independents1000
    Total215201017

    House roll call 362: On Passage. Passed.

    4 crossed party lines: 4 Democrats

    How each member voted (433)
  • Dec 18, 2025HouseMotion to recommitFailed, yea-nay 204–212
    Roll call 361 tally by party
    PartyYeaNayPresentNot voting
    Democrats204009
    Republicans021108
    Independents0100
    Total204212017

    House roll call 361: On Motion to Recommit. Failed.

    How each member voted (433)

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

6

Who scored on this bill

78 points earned
  1. 1Dan Crenshaw R-TX SponsorIntroduced, passed House2 events+30
  2. 2Henry Cuellar D-TX1 maverick vote1 event+6
  3. 2Donald Davis D-NC1 maverick vote1 event+6
  4. 2Marie Gluesenkamp Perez D-WA1 maverick vote1 event+6
  5. 2Vicente Gonzalez D-TX1 maverick vote1 event+6
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Dan Crenshaw

History

  1. Dec 18, 2025Passed the House, 215–201.
  2. Jan 16, 2025Introduced in the House by Dan Crenshaw.
Show the full action history (16 actions)
  1. Dec 18, 2025Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
  2. Dec 18, 2025Rule 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.
  3. Dec 18, 2025DEBATE - The House proceeded with one hour of debate on H.R. 498.
  4. Dec 18, 2025The previous question was ordered pursuant to the rule.
  5. Dec 18, 2025Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
  6. Dec 18, 2025The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
  7. Dec 18, 2025POSTPONED 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.
  8. Dec 18, 2025Considered as unfinished business. (consideration: CR H6072-6073)
  9. Dec 18, 2025On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
  10. Dec 18, 2025Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
  11. Dec 18, 2025On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
  12. Dec 18, 2025Motion to reconsider laid on the table Agreed to without objection.
  13. Dec 18, 2025Received in the Senate and Read twice and referred to the Committee on Finance.
  14. Dec 17, 2025Rules 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.
  15. Jan 16, 2025Introduced in House
  16. Jan 16, 2025Referred to the House Committee on Energy and Commerce.