HR 498
Passed a chamber
Prohibits federal Medicaid funding for gender transition procedures and drugs for people under 18, with exceptions for certain medically necessary treatments.
Official title: Do No Harm in Medicaid Act
Timeline each lane is a chamber; dates pull from congress.gov actions
House
Introduced
16-JAN-2025
Referred
16-JAN-2025
On the calendar
17-DEC-2025
Passed
18-DEC-2025
Senate
Received
18-DEC-2025
- Excludes federal Medicaid matching payments for specified gender transition procedures for enrollees under 18, including the administration of state programs that furnish them.
- Covered procedures include surgeries such as castration, mastectomy, and vaginoplasty, chest or gluteal implants, and puberty blockers or high-dose sex hormones given to change the body so it no longer corresponds to the individual's sex.
- Exceptions cover puberty blockers for precocious puberty, treatment of genetic disorders of sex development, and care for infection, injury, or disorders caused by earlier covered procedures, when a parent or guardian consents.
- Defines male and female by biological reproductive system, not by gender identity.
Covers an older version. The newest CRS summary describes the bill as of "Introduced in House" (16-JAN-2025); the text has changed since (Engrossed in House, 18-DEC-2025).
CRS is the Library of Congress's nonpartisan research office. Read it on congress.gov- Energy and Commerce Committee (House)
- Finance Committee (Senate)
Health
■ 6 R
6 Republicans