To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender… — House Roll Call 362

Passed in the House on December 18, 2025 · 215 Yea, 201 Nay, 17 Not Voting

Question: On Passage: H R 498 Do No Harm in Medicaid Act

In plain English: This bill stops federal Medicaid money from paying for gender transition procedures for people under 18. It makes exceptions for procedures to fix puberty issues, reverse past treatments, or save a life.

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…

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