H.R. 498Do No Harm in Medicaid Act

2 recorded actionsWhat the measure does Read on Congress.gov

Sponsor: Dan Crenshaw [R-TX-02]
Cosponsors: 6 · 6 Republicans
Policy area: Health
Committees: Energy and Commerce Committee, Finance Committee
Latest action: Dec 18, 2025 · Received in the Senate and Read twice and referred to the Committee on Finance.

IntroducedJan 16, 2025
Passed the HouseDec 18, 2025
Passed the SenateNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

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 nonpartisan Congressional Research Service, describing H.R. 498 as introduced in House on Jan 16, 2025. It is not the text of the measure; a later amendment may have changed what it does.

Roll calls on H.R. 4982 roll calls on this measure

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Dec 18, 2025Each bar: ✓ Yea from the bottom, ✕ Nay aboveDec 18, 2025

How every member votedHouse roll call 362

House Dec 18, 2025 · the primary vote

On Passage

Do No Harm in Medicaid Act

Passed

215 Yea 201 Nay 17 not voting

Party-line vote 4 of 416 voting members broke with their own party: 4 Democrats.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members433 members

Democratic213 members

Independent1 member

Republican219 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors6 · 6 Republicans

Signing on is not a vote: a member can cosponsor H.R. 498 and vote against it. 1 signed when it was filed.

RMarjorie Greene [R-GA-14]Original

RRandy K. Weber, Sr. [R-TX-14]Joined Feb 13, 20252026 profile

RW. Gregory Steube [R-FL-17]Joined Sep 2, 20252026 profile

RWarren Davidson [R-OH-08]Joined Dec 16, 20252026 profile

RGlenn Grothman [R-WI-06]Joined Dec 18, 20252026 profile

RAnna Paulina Luna [R-FL-13]Joined Jan 21, 20262026 profile

Loading the public record

Who lobbied on H.R. 49815 organizations

Organizations that named H.R. 498 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

HUMAN RIGHTS CAMPAIGNIts PAC: Human Rights Campaign PAC

Health Issues · Law Enforcement/Crime/Criminal Justice · Defense · Immigration +6 more7 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN CIVIL LIBERTIES UNIONfiled by AMERICAN CIVIL LIBERTIES UNION, NVG, LLC

Civil Rights/Civil Liberties · Constitution · Immigration5 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN PRINCIPLES PROJECTIts PAC: American Principles Project PAC

Civil Rights/Civil Liberties · Taxation/Internal Revenue Code · Communications/Broadcasting/Radio/TV · Health Issues5 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

NATIONAL COUNCIL OF JEWISH WOMEN

Family issues/Abortion/Adoption · Government Issues · Budget/Appropriations · Civil Rights/Civil Liberties +9 more4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN PSYCHIATRIC ASSOCIATIONIts PAC: American Psychiatric Association PAC

Defense · Budget/Appropriations · Health Issues · Veterans +5 more3 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSfiled by MASON CONSULTING, LLC

Government Issues · Labor Issues/Antitrust/Workplace · Medicare/Medicaid · Health Issues +6 more3 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing

AMERICAN FEDERATION OF STATE COUNTY AND MUNICIPAL EMPLOYEESfiled by AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES

Agriculture · Budget/Appropriations · Clean Air and Water (quality) · Defense +12 more2 filings · 4th Quarter (Oct 1 - Dec 31) 2025Filing

AMERICAN MEDICAL ASSOCIATIONIts PAC: American Medical Association PAC

Budget/Appropriations · Education · Health Issues · Immigration +6 more2 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

ALLIANCE DEFENDING FREEDOM

Family issues/Abortion/Adoption · Civil Rights/Civil Liberties · Foreign Relations · Banking +1 more1 filing · 1st Quarter (Jan 1 - Mar 31) 2026Filing

AMERICAN ACADEMY OF PEDIATRICS

Health Issues1 filing · 4th Quarter (Oct 1 - Dec 31) 2025Filing

38 disclosures name this measure. Retrieved from LDA.gov on 2026-10-25. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.