H.R. 498 · 119th Congress

Bars federal Medicaid funding for gender transition procedures for minors

Official title: Do No Harm in Medicaid Act1

§1What it does

Why this matters: A plain-English description of the bill as it was voted on, written by us from the official summary and text.

Drafted by AI from the public sources cited. Each sentence links to its source.

This bill would bar federal Medicaid payments for gender transition procedures for people under 18.2,3 It defines these as procedures meant to change a person's body so that it no longer matches the person's biological sex, including certain surgeries, implants and medications such as hormones.3 It exempts procedures provided to minors with a parent's or guardian's consent that are meant to treat early puberty, genetic disorders or chromosomal abnormalities, to reverse an earlier gender transition procedure, or to prevent imminent death or impairment of a major bodily function.3

§2Status

StatusLatest action, December 18, 2025: Received in the Senate and Read twice and referred to the Committee on Finance.1
IntroducedJanuary 16, 2025
SponsorRep. Crenshaw, Dan [R-TX-2]
Cosponsors6 cosponsors (6 Republican)
Official recordH.R. 498 on Congress.gov

§3How Congress voted

Why this matters: The official count.

House, December 18, 2025

On Passage: Passed — 215 yes, 201 no, 17 not voting.4