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Congress·Passed House·2 months ago

Biden-era bill targets ban on federal Medicaid funding for gender transition care for minors

Also known as: Do No Harm in Medicaid Act

Legislative Progress

✓ Filed
✓ Review
✓ House

215–201

Senate
President

Impact Analysis

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Key Points

  • This Biden-era House bill would stop federal Medicaid dollars from paying for gender transition surgeries or hormones for anyone under 18.
  • States could still run Medicaid, but they’d lose the federal share of money for any of these services for minors, plus related program costs.
  • The bill lists many surgeries and also includes puberty blockers and hormone treatments when used to help a minor transition.
  • It makes exceptions for early-onset puberty treatment and certain medically necessary care for specific genetic or biological sex-development conditions.
  • If it became law, some families with teens on Medicaid could face higher out-of-pocket costs or fewer in-network options for this care.
HealthcareMedicare MedicaidCivil Rights

Milestones

2 milestones15 actions
Dec 18, 2025House

Motion to reconsider laid on the table Agreed to without objection.

Dec 18, 2025House

On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

Dec 18, 2025

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

Dec 18, 2025House

On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).

Dec 18, 2025House

Considered as unfinished business.

What Happens Next

Projected impacts based on AI analysis

Senate considers the bill

The bill passed the House 215-201 and now moves to the Senate. If the Senate passes it and the president signs it, the Medicaid funding ban would take effect. If the Senate doesn't act, the bill dies at the end of this Congress.

Vote Results

2 votes
HouseFailedAmendmentDec 18, 2025

On Motion to Recommit

204
212
Democrat
204 – 0 · 9
Republican
0 – 212 · 8
View full roll call
HousePassedPassageDec 18, 2025

On Passage

215
201
Democrat
4 – 201 · 8
Republican
211 – 0 · 9
View full roll call

Related News

9 articles
Fox News·2 months ago

201 House Democrats vote against blocking Medicaid dollars for kids' transgender surgeries

Covers House passage of H.R. 498 (Do No Harm in Medicaid Act) and the 215–201 vote to block federal Medicaid funding for gender-transition procedures for minors.

R+
Fox News·2 months ago

201 House Dems oppose ban on Medicaid funding for child transgender treatments

Duplicate-format coverage (AMP) of the House vote and bill provisions restricting federal Medicaid funding for minors’ gender-transition care.

R+
Congressional Equality Caucus·2 months ago

CEC Condemns Passage of Medicaid Coverage Ban for Trans Youths' Healthcare

Reacting to House passage of H.R. 498, the caucus criticizes the measure as restricting medically necessary care for trans youth on Medicaid.

CL−

Source Information

Document Type

Congressional Bill

Official Title

Do No Harm in Medicaid Act

Bill NumberHR 498
Congress119th Congress
ChamberHouse of Representatives
Latest ActionMotion to reconsider laid on the table Agreed to without objection.

Sponsor

Cosponsors

(5)
R: 5

Analysis generated by AI. While we strive for accuracy, this should not be considered legal or professional advice. Always verify information with official government sources.