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FederalHB498directPassed House

Do No Harm in Medicaid Act

  1. Introduced
  2. Passed House
  3. Passed Senate
  4. To President
  5. Became Law

Overview

This bill would prevent Medicaid from paying for gender transition procedures on minors by amending the federal Medicaid program. It directly restricts medical gender transition for children using federal health insurance funding.

Why it matters: Christian families who believe children should not undergo gender transition procedures would benefit from reduced government funding for such treatments, potentially limiting access and supporting parental authority over minor children's medical decisions.

Topic: Gender & sexuality · classifier confidence 95%

What this changes

Amends existing law

Law today: Currently, Medicaid (the federal-state healthcare program under title XIX of the Social Security Act) may fund various medical procedures for beneficiaries, including minors, according to state plan coverage rules. Federal law does not currently contain a blanket prohibition on Medicaid funding for gender transition procedures for minors.

If passed: This bill would prohibit the use of federal Medicaid dollars to pay for gender transition procedures (such as hormone therapy or surgeries) for minors under age 18. States would still be permitted to cover these procedures with their own state funds if they chose to, but federal matching funds would not be available for such care.

AI-generated from the bill text — verify against the official text.

Likely supporters & opponents

Likely support

  • Religious liberty and traditional family advocacy organizations — Medicaid should not fund procedures that conflict with parental and religious beliefs about gender, sexuality, and childhood development.
  • Medical-ethics organizations emphasizing parental authority — Parents should have authority over major medical decisions for their minor children, and federal funding should not incentivize procedures that some view as experimental or premature.

Likely opposition

  • LGBTQ+ advocacy and civil-rights organizations — This restriction denies medically necessary care to vulnerable youth and violates principles of equal access and nondiscrimination in healthcare.
  • Medical associations and pediatric healthcare providers — Leading medical organizations have endorsed gender-affirming care for qualified minors as evidence-based treatment, and funding restrictions may harm the health of transgender youth.

AI-inferred typical positions based on the bill’s substance — general stakeholder categories, not confirmed endorsements.

Should I support this?

Likely helpful for Christian families

From a Christian family perspective that emphasizes parental rights and authority over medical decisions for children, this bill protects parental oversight by preventing federal funds from flowing to procedures many Christian parents oppose on religious or developmental grounds. It does not ban the procedures outright but removes a federal incentive and funding pathway, preserving parental voice in whether and when such care occurs.

An AI assessment from a Christian-family perspective — religious freedom, parental rights, and freedom in education — not legal or voting advice.

💬 Chat about this bill ↗Official bill text ↗View on LegiScan ↗

Official summary

To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Sponsors

  • Dan Crenshaw (R)
  • Marjorie Greene (R)
  • Randy Weber (R)
  • Greg Steube (R)
  • Warren Davidson (R)
  • Glenn Grothman (R)
  • Anna Luna (R)

Status timeline

  1. 2025-12-18Received in the Senate and Read twice and referred to the Committee on Finance.S
  2. 2025-12-18Motion to reconsider laid on the table Agreed to without objection.H
  3. 2025-12-18On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)H
  4. 2025-12-18On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).H
  5. 2025-12-18Considered as unfinished business. (consideration: CR H6072-6073)H
  6. 2025-12-18POSTPONED 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.H
  7. 2025-12-18The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.H
  8. 2025-12-18Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)H
  9. 2025-12-18The previous question was ordered pursuant to the rule.H
  10. 2025-12-18DEBATE - The House proceeded with one hour of debate on H.R. 498.H
  11. 2025-12-18Rule 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.H
  12. 2025-12-18Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)H
  13. 2025-12-17Rules 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.H
  14. 2025-01-16Referred to the House Committee on Energy and Commerce.H
  15. 2025-01-16Introduced in HouseH

H = House · S = Senate · A = Assembly