Do No Harm in Medicaid Act
H.R. 498 · Health
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).
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 (Introduced in House), via GovInfo BILLSTATUS. Text, sponsors and history on Congress.gov. Sponsor: Rep. Crenshaw, Dan [R-TX-2].
House vote
Passed 215–201 on Dec. 18, 2025 · On Passage
Democrats 4–201, Republicans 211–0
Source: Official roll call · Voteview