Do No Harm in Medicaid Act
Introduced Jan 16, 2025 by Rep. Dan Crenshaw
The House passed it. The Senate has to pass it before it can reach the President.
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.
Summary by the Congressional Research Service.
- 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.
- Dec 18, 2025Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
- Dec 18, 2025Received in the Senate and Read twice and referred to the Committee on Finance.
- Dec 18, 2025Motion to reconsider laid on the table Agreed to without objection.
- Dec 18, 2025On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
- Dec 18, 2025Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
- Dec 18, 2025On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
- Dec 18, 2025Considered as unfinished business. (consideration: CR H6072-6073)
- 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.
- Dec 18, 2025The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
- Dec 18, 2025Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
- Dec 18, 2025The previous question was ordered pursuant to the rule.
- Dec 18, 2025DEBATE - The House proceeded with one hour of debate on H.R. 498.
- 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.
- Jan 16, 2025Referred to the House Committee on Energy and Commerce.
- Jan 16, 2025Introduced in House