H.R. 498 · 119th Congress · Health
Do No Harm in Medicaid Act
How the House voted
Yea from the left, nay from the right, each side by party
House · Dec 18, 2025
Roll call ↗215
201
Passed the House.
Passed the House on December 18, 2025.
Latest action: Received in the Senate and Read twice and referred to the Committee on Finance
- IntroducedJan 16, 2025
- CommitteeJan 16, 2025
- Passed HouseDec 18, 2025
- Passed Senate
- Became law
On the record
- Cosponsors
- 6
- all Republicans
- Committees
- Senate Committee on FinanceHouse Committee on Energy and Commerce
- Lobbying
- At least 15
- organizations named it2025 Q1 to 2026 Q3
What it does
Bars federal Medicaid matching funds for gender transition procedures provided to anyone under 18.
How each member voted
The House roll call, passed the House, December 18, 2025
Yea unless marked
R · House · AL-4
R · House · MO-4
R · House · GA-12
Bars federal Medicaid matching funds for gender transition procedures provided to anyone under 18. Section 2 amends section 1903(i) of the Social Security Act to deny federal payment for 'specified gender transition procedures' furnished to a minor enrolled in a state Medicaid plan or waiver, including funds to administer any state program that furnishes such procedures to minors. A new section 1905(kk) defines the covered procedures as surgeries (the text lists castration, sterilization, hysterectomy, mastectomy, phalloplasty, vaginoplasty, and others), chest or genital implants, and puberty-blocking drugs or cross-sex hormones, when done to change a minor's body so it no longer corresponds to the individual's sex. Exceptions cover treating precocious puberty, medically verifiable genetic disorders of sex development, infection, disease, or injury including complications caused by an earlier such procedure, and reconstruction to reverse a prior procedure. The section defines 'sex,' 'male,' and 'female' in biological reproductive terms.
Each stop is a step the bill’s own record states, with the date it happened. A ring is a step not yet taken. A bill becomes law when the President signs it or Congress overrides a veto.
At least 15 organizations named this measure in a lobbying filing. A floor, not a total: they were counted by the client name on 38 quarterly reports filed by 2 lobbying firms and by 14 organizations lobbying for themselves in 2025 Q1, 2025 Q2, 2025 Q3, 2025 Q4, 2026 Q1, 2026 Q2 and 2026 Q3. An organization that lobbied this measure without naming it is not counted here.
The filings record that lobbying was reported on the measure. The form has no per-bill dollar figure and no field for a position, so nothing here says how much was spent or which side an organization took.
5 of them, in no ranking: Human Rights Campaign; American Principles Project; American Civil Liberties Union; American Federation of State County and Municipal Employees; American Psychiatric Association. Listed as filed, in the order the filings were read, and 10 others are not shown. These are not the largest, the earliest or the most active: we keep five names per measure, and the filings give no ranking.
From the LD-2 quarterly lobbying filings published at lda.gov by the Senate Office of Public Records. Read for 2025 Q1, 2025 Q2, 2025 Q3, 2025 Q4, 2026 Q1, 2026 Q2 and 2026 Q3. Our copy holds 24 fewer filings for 2025 Q1, 39 fewer filings for 2025 Q2, 42 fewer filings for 2025 Q3, 33 fewer filings for 2025 Q4, 28 fewer filings for 2026 Q1, 48 fewer filings for 2026 Q2 and 218 fewer filings for 2026 Q3 than the Senate's register counts, so those quarters are the filings we could read rather than every one filed. 2026 Q4 is still inside its filing window, so that quarter is only the filings posted so far.
Congress.gov bill status and cosponsor records; the House Clerk and Senate roll calls; lobbying reports filed under the Lobbying Disclosure Act (lda.gov); the plain summary and provisions are read from the bill text, each with its section.