Congress·Passed House·H.R. 498

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

Do No Harm in Medicaid Act

3 months ago·View on Congress.gov

Part of: House Legislation Targets Federal Funding for Minor Gender Transition Care

⏸

Stalled

No legislative action in over 90 days.

Legislative Progress

✓ House

215–201

Senate

President

Law

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

Impact Analysis

Personal Impact

Who is affectedScoreImpactCertaintyScopeDurationSentiment

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

Political Response

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.