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Text Versions

Text as it was Engrossed in House

December 18, 2025

Text as it was Referred in Senate

December 18, 2025

Text as it was Introduced in House

January 16, 2025

Amendments

No Amendments

Related Legislation

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Sponsors (7)

Committee Meetings

1 meeting related to this legislation

H.R. 498 – Do No Harm in Medicaid Act; H.R. 3492 – Protect Children's Innocence Act; H.R. 6703 – Lower Health Care Premiums for All Americans Act

Committee on RulesCapitol, H-313

VirginiarepresentativeH. Morgan Griffith

HRES-953 · Simple Resolution · Passed

Providing for consideration of the bill (H.R. 6703) to ensure access to affordable health insurance; providing for consideration of the bill (H.R. 498) to amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors; providing for consideration of the bill (H.R. 3492) to amend section 116 of title 18, United States Code, with respect to genital and bodily mutilation and chemical castration of minors; and relating to consideration of the bill (H.R. 4776) to amend the National Environmental Policy Act of 1969 to clarify ambiguous provisions and facilitate a more efficient, effective, and timely environmental review process.

house

Updated 6 days ago

Last progress December 17, 2025 (1 month ago)

Dec 16, 2025 at 7:00 PM

View Committee

United StatesHouse Bill 498HR 498

Do No Harm in Medicaid Act

Health

house
senate
president

Last progress December 18, 2025 (1 month ago)

Introduced on January 16, 2025 by Daniel Crenshaw

AI Summary

House Votes

215 Yea · 17 Not Voting · 201 No — 209 needed

View roll call details

Senate Votes

Received

December 18, 2025 (1 month ago)

Received in the Senate and Read twice and referred to the Committee on Finance.

Presidential Signature

This bill would block federal Medicaid money from paying for gender transition care for anyone under age 18. It covers procedures meant to change a young person’s body to no longer match their sex under the bill’s definition, including certain surgeries, implants, puberty blockers, and hormones . The bill defines “sex” as male or female based on reproductive system functions.

There are exceptions. Medicaid could still cover care, with a parent or guardian’s consent, for early puberty, certain genetic or chromosomal conditions, reversing a prior transition, or to prevent imminent death or major bodily harm .

Who is affected: Children under 18 on Medicaid, their families, and the doctors and clinics that bill Medicaid.
What changes: No federal Medicaid payments for gender transition surgeries, implants, puberty blockers, or hormones for minors, with limited medical exceptions .
How “sex” is defined: Male or female, based on whether a person’s reproductive system produces eggs or sperm at some point in life.

Signature Data Not Available