{"format":1,"id":"119-hr-498","congress":119,"number":"H.R. 498","kind":"bill","group":"bills","title":"Do No Harm in Medicaid Act","title_source":"Short Title(s) as Passed House","official_title":"To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.","titles":[{"type":"Official Title as Introduced","title":"To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors."},{"type":"Short Titles from RFS (Referred to Senate) bill text","title":"Do No Harm in Medicaid Act"},{"type":"Short Title(s) as Passed House","title":"Do No Harm in Medicaid Act"},{"type":"Official Title from EH (Engrossed in House) bill text","title":"To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors."},{"type":"Display Title","title":"Do No Harm in Medicaid Act"},{"type":"Short Title(s) as Introduced","title":"Do No Harm in Medicaid Act"}],"outcome":"passed_house","law_number":null,"introduced":"2025-01-16","chambers":{"house":{"status":"roll_call","date":"2025-12-18","vote":{"id":"119-2025-h362","question":"On Passage","title":"Do No Harm in Medicaid Act","result":"Passed","yea":215,"nay":201,"present":0,"not_voting":17,"source":"https://clerk.house.gov/evs/2025/roll362.xml"}},"senate":{"status":"pending","date":null,"vote":null}},"president":{"status":"not_yet","date":null},"vice_president_tie_breaker":null,"latest_action":{"text":"Received in the Senate and Read twice and referred to the Committee on Finance.","date":"2025-12-18"},"nominees":null,"amendments":[],"other_votes":[{"chamber":"house","date":"2025-12-18","question":"On Motion to Recommit","title":"Do No Harm in Medicaid Act","result":"Failed","yea":204,"nay":212,"present":0,"not_voting":17,"kind":"procedural","source":"https://clerk.house.gov/evs/2025/roll361.xml"}],"crs_summary":{"date":"2025-01-16","stage":"Introduced in House","blocks":[{"k":"h","t":"Do No Harm in Medicaid Act"},{"k":"p","t":"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)."},{"k":"p","t":"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."}],"words":118},"summary":{"main_subject":{"text":"Amends title XIX of the Social Security Act so that federal Medicaid payment is not made for specified gender transition procedures for individuals under 18, and defines those procedures, an exception, and the term \"sex\".","cites":[{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}]},"core_areas":["Federal Medicaid payment limits for gender transition procedures for individuals under 18","Definition of specified gender transition procedures, with an exception for certain procedures","Definition of sex for purposes of the Medicaid provision"],"what_it_does":[{"text":"Adds paragraph (28) to section 1903(i) of the Social Security Act, covering amounts spent on specified gender procedures for an individual under 18 enrolled in a State plan or waiver, including amounts spent to administer a State program that furnishes them.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}},{"text":"Defines \"specified gender transition procedures\" as listed surgeries, such as mastectomy, hysterectomy, vaginoplasty and phalloplasty, when performed to intentionally change the body so that it no longer corresponds to the individual's sex.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}},{"text":"Includes in the definition chest implants to create feminine breasts, erection or testicular prostheses, and placement of fat or artificial implants in the gluteal region.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}},{"text":"Includes in the definition puberty-blocking drugs such as GnRH analogues, and testosterone, estrogen, progesterone or other androgens at doses greater or more potent than would normally be produced in a healthy individual of the same age and sex.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}},{"text":"Excepts, when a health care provider furnishes them with a parent's or legal guardian's consent, puberty-suppression drugs for precocious puberty and procedures for specified sex development disorders, injuries or illnesses, complications of earlier procedures, and restoration after earlier procedures.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}},{"text":"Defines \"sex\" as male or female as biologically determined, describing a female by a reproductive system that produces eggs and a male by one that produces sperm.","cite":{"label":"Sec. 2","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh#HEE74DA0011964CBB85F7B72A37A53BA8"}}],"unexpected":[],"version":{"type":"Engrossed in House","date":"2025-12-18","rule":"passed","href":"https://www.congress.gov/bill/119th-congress/house-bill/498/text/eh"},"current":true,"model":"claude-sonnet-5-5","approved":"2026-10-12","approved_by":"checks"},"sources":{"congress_gov":"https://www.congress.gov/bill/119th-congress/house-bill/498","text":"https://www.congress.gov/bill/119th-congress/house-bill/498/text"},"card":{"image":"card/item/119-hr-498.png","v":"9f9d40cefeb5","alt":"Votes on Record. H.R. 498, 119th Congress: Do No Harm in Medicaid Act. House: 215 Yea, 201 Nay. Senate: not yet considered. Outcome: Passed House, 18 Dec 2025."}}