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119th Congress · H.R. 498 · Final

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.

Full bill text →

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SubjectsChild healthHealth programs administration and fundingMedicaidPrescription drugsSex, gender, sexual orientation discriminationSurgery and anesthesia

XML scalars

congress
119
type
HR
number
498
originChamber
House
originChamberCode
H
introducedDate
2025-01-16
updateDate
2026-01-22T09:06:06Z
updateDateIncludingText
2026-07-13T18:49:24Z
title
Do No Harm in Medicaid Act
legislationUrl
https://www.congress.gov/bill/119th-congress/house-bill/498

Constitutional authority statement (CDATA)

[Congressional Record Volume 171, Number 9 (Thursday, January 16, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. CRENSHAW:H.R. 498.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8[Page H222]

Pipeline

Track
federal_terminal
Stage
Final Outcome
Stage rank
9

Sponsor

  • Rep. Crenshaw, Dan [R-TX-2] · [R-TX-2] · C001120
    Rep-TX-2 current · 4 terms · @RepDanCrenshaw · 2 district offices

Sponsor record (congress_legislators)

Bio (legislators)

bioguide
C001120
status
current
official_full
Dan Crenshaw
first
Dan
middle
null
last
Crenshaw
suffix
null
nickname
null
birthday
1984-03-14
gender
M

Current term (4 total)

type
rep
state
TX
district
2
class
null
party
Republican
caucus
null
start
2025-01-03
end
2027-01-03
end_type
null
how
null
url
https://crenshaw.house.gov
address
248 Cannon House Office Building Washington DC 20515-4302
office
248 Cannon House Office Building
phone
202-225-6565
fax
null
contact_form
null
rss_url
null

Leadership roles (0)

none

Committee memberships (7)

  • Central Intelligence Agency (house) · house · rank 5
  • Defense Intelligence and Overhead Architecture (house) · house · Chairman · rank 1
  • Environment (house) · house · Vice Chair · rank 2
  • Health (house) · house · rank 6
  • House Committee on Energy and Commerce (house) · house · rank 9 · site
  • House Permanent Select Committee on Intelligence (house) · house · rank 8 · site
  • Oversight and Investigations (house) · house · rank 4

Social media

District offices (2)

  • 1849 Kingwood Dr., #100, Kingwood, TX, 77339 · 713-860-1330 · 30.0515975,-95.2288471
  • 2829 Technology Forest, #280, The Woodlands, TX, 77381 · 281-640-7720 · 30.1766047,-95.48130379999999

Other names (0)

none

Sponsor FEC record (fec_live)

Candidate record (candidates) · cycle 2026

candidate_id
H8TX02166
cycle
2026
name
CRENSHAW, DANIEL
party
REPUBLICAN PARTY
office
House
state
TX
district
02
incumbent_challenge
Incumbent
candidate_status
C
active_through
2026
election_year
null
first_file_date
2017-11-29
last_file_date
2024-11-12
last_f2_date
2024-11-12
address
null

Candidate summary (candidate_summaries) · cycle 2026

cycle
2026
total_receipts
$2,735,887.70
total_disbursements
$3,180,270.71
cash_on_hand_end_period
$24,924.74
debts_owed_by_committee
$36,500.00
coverage_start_date
2025-01-01
coverage_end_date
2026-06-30

Connected committees (0)

none

Cosponsors (6)

  • Rep. Greene, Marjorie Taylor [R-GA-14] · [R-GA-14] · G000596 · Co-sponsored 2025-01-16 · original
    Rep-GA-14 current · 3 terms
  • Rep. Weber, Randy K. Sr. [R-TX-14] · [R-TX-14] · W000814 · Co-sponsored 2025-02-13
    Rep-TX-14 current · 7 terms · @TXRandy14 · 3 district offices
  • Rep. Steube, W. Gregory [R-FL-17] · [R-FL-17] · S001214 · Co-sponsored 2025-09-02
    Rep-FL-17 current · 4 terms · @RepGregSteube · 3 district offices
  • Rep. Davidson, Warren [R-OH-8] · [R-OH-8] · D000626 · Co-sponsored 2025-12-16
    Rep-OH-8 current · 6 terms · @WarrenDavidson · 2 district offices
  • Rep. Grothman, Glenn [R-WI-6] · [R-WI-6] · G000576 · Co-sponsored 2025-12-18
    Rep-WI-6 current · 6 terms · @RepGrothman · 1 district office
  • Rep. Luna, Anna Paulina [R-FL-13] · [R-FL-13] · L000596 · Co-sponsored 2026-01-21
    Rep-FL-13 current · 2 terms · @RepLuna · 1 district office

Committees (2)

  • Finance Committee [Senate Standing]
    2025-12-18T21:36:37ZReferred To
  • Energy and Commerce Committee [House Standing]
    2025-12-18T19:56:03ZUnknown
    2025-12-18T18:50:08ZUnknown
    2025-01-16T14:07:45ZReferred To

Actions — from XML (17)

  • 2025-12-18IntroReferralvia Senate
    Received in the Senate and Read twice and referred to the Committee on Finance.
  • 2025-12-18 15:00:13FloorH38310via House floor actions
    Motion to reconsider laid on the table Agreed to without objection.
  • 2025-12-18 15:00:11FloorH37100via House floor actions
    On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)
    VoteHouse roll 362 — source
  • 2025-12-18 15:00:11Floor8000via Library of Congress
    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
    VoteHouse roll 362 — source
  • 2025-12-18 14:56:03FloorH36210via House floor actions
    On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
    VoteHouse roll 361 — source
  • 2025-12-18 14:53:11FloorH30000via House floor actions
    Considered as unfinished business. (consideration: CR H6072-6073)
  • 2025-12-18 13:50:40FloorH8D000via House floor actions
    POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.
  • 2025-12-18 13:50:20FloorH8A000via House floor actions
    The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
  • 2025-12-18 13:50:08FloorH36200via House floor actions
    Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
  • 2025-12-18 13:49:37FloorH35000via House floor actions
    The previous question was ordered pursuant to the rule.
  • 2025-12-18 12:40:30FloorH8D000via House floor actions
    DEBATE - The House proceeded with one hour of debate on H.R. 498.
  • 2025-12-18 12:40:06FloorH8D000via House floor actions
    Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.
  • 2025-12-18 12:40:01FloorH30000via House floor actions
    Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
  • 2025-12-17 08:11:36FloorH1L210via House floor actions
    Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.
  • 2025-01-16IntroReferralH11100via House floor actions
    Referred to the House Committee on Energy and Commerce.
  • 2025-01-16IntroReferralIntro-Hvia Library of Congress
    Introduced in House
  • 2025-01-16IntroReferral1000via Library of Congress
    Introduced in House

Actions — from bill_actions table (0)

none

Titles

  • Short Titles from RFS (Referred to Senate) bill textRFSS2025-12-20T06:23:19Z
    Do No Harm in Medicaid Act
  • Short Title(s) as Passed HouseEHH2025-12-19T12:08:22Z
    Do No Harm in Medicaid Act
  • Official Titles from EH (Engrossed in House) bill textEHH2025-12-19T12:08:22Z
    To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.
  • Display Title2025-02-20T04:23:22Z
    Do No Harm in Medicaid Act
  • Short Title(s) as IntroducedIH2025-02-20T04:23:20Z
    Do No Harm in Medicaid Act
  • Official Title as IntroducedIH2025-02-20T04:18:32Z
    To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Text versions (from XML)

Versions — from bill_versions table (0)

none

Policy area

Health

Summaries

00 · 2025-01-16 · Introduced in House

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.

Related bills

  • HRES 953 (119) Providing for consideration of the bill (H.R. 6703) to ensure access to affordable health insurance; providing for consideration of the bill (H.R. 498) to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors; providing for consideration of the bill (H.R. 3492) to amend section 116 of title 18, United States Code, with respect to genital and bodily mutilation and chemical castration of minors; and relating to consideration of the bill (H.R. 4776) to amend the National Environmental Policy Act of 1969 to clarify ambiguous provisions and facilitate a more efficient, effective, and timely environmental review process.
    Latest: 2025-12-17 — Motion to reconsider laid on the table Agreed to without objection.
    Relationship: Related bill (via House), Procedurally related (via House)

Amendments (0)

none

Laws

none

Committee reports

none

Calendar number

null

CBO cost estimates

none

Latest action

Date
2025-12-18
Text
Received in the Senate and Read twice and referred to the Committee on Finance.
Time
null

Dublin Core

format
text/xml
language
EN
rights
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
contributor
Congressional Research Service, Library of Congress
description
This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.

Row fields (debug)

id
6565
congress
119
bill_type
hr
bill_number
498
bill_slug
hr-498-119
title
Do No Harm in Medicaid Act
short_title
Do No Harm in Medicaid Act
sponsor_bioguide_id
C001120
sponsor_name
Rep. Crenshaw, Dan [R-TX-2]
sponsor_party
R
sponsor_state
TX
introduced_date
2025-01-16
latest_action_date
2025-12-18
latest_action_text
Received in the Senate and Read twice and referred to the Committee on Finance.
status
Committee
policy_area
Health
subjects_json
[
  "Child health",
  "Health programs administration and funding",
  "Medicaid",
  "Prescription drugs",
  "Sex, gender, sexual orientation discrimination",
  "Surgery and anesthesia"
]
govinfo_billstatus_path
BILLSTATUS-119hr498
raw_billstatus_xml
<?xml version="1.0" encoding="utf-8" standalone="no"?> <billStatus> <version>3.0.0</version> <bill> <number>498</number> <updateDate>2026-01-22T09:06:06Z</updateDate> <updateDateIncludingText>2026-07-13T18:49:24Z</updateDateIncludingText> <originChamber>House</originChamber> <originChamberCode>H</originChamberCode> <type>HR</type> <introducedDate>2025-01-16</intr…
summary_lede
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 …
topic_primary
health
topic_secondary_json
[]
action_family
committee_active
response_available
0
response_type
null
response_deadline
null
importance_score
null
consequence_score
null
urgency_score
null
overall_score
null
in_canopy
0
canopy_expires_at
null
pipeline_track
federal_terminal
pipeline_stage
final
pipeline_stage_rank
9
stable_action_id
hr-498-119
jurisdiction
federal
lock_status
open
lock_at
null
content_hash
9cb206fdccad65e395d8b626bca9f6680051b818e6089cf3e01d0a706594062f
anchored_at
null
anchor_merkle_root
null
source_kind
api_fill
first_seen_at
2026-04-20T08:15:57.988066+00:00
last_seen_at
2026-07-20T11:30:23.661047+00:00
⎔ Anchored0x0000…0000Epoch 2026-Q4