Do No Harm in Medicaid Act
Biden-era bill targets ban on federal Medicaid funding for gender transition care for minors
Stalled
No legislative action in over 90 days.
Legislative Progress
215–201
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.
Impact Analysis
Personal Impact
Life & Work
Transgender minors enrolled in Medicaid would be the most directly affected group. The bill would cut off federal funding for puberty blockers, hormones, and surgeries that are part of gender transition care. For families who rely on Medicaid and have transgender children, this could mean paying out of pocket for care or going without it entirely. The bill also sends a broader signal about how the federal government views gender-affirming care for young people.
Programs
Disabilities
Milestones
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).
The House of Representatives voted to approve this bill. It now goes to the Senate.
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Considered as unfinished business.
Vote Results
2 votesOn Motion to Recommit
Related News
9 articles
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.
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.
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.
Source Information
Document Type
Congressional Bill
Official Title
Do No Harm in Medicaid Act
Data Sources
Sponsor
Cosponsors
(5)Political Response
Analysis generated by AI. Always verify with official sources.