# 119-hr-498: Do No Harm in Medicaid Act

119-hr-498, Do No Harm in Medicaid Act, is a 119th Congress bill sponsored by Rep. Crenshaw, Dan [R-TX-2] (R-TX); status passed_house; PRIA reads it as touching household money (as of 2026-07-15).

- Canonical: https://policyrisk.com/legislation/119-hr-498
- As of: 2026-07-15
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-498
- Congress: 119
- Title: Do No Harm in Medicaid Act
- Status: passed_house
- Introduced: 2025-01-16
- Sponsor: Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-15

## Summary

**Prohibits Federal Medicaid funding for most gender-transition procedures for individuals under 18.** This change amends Title XIX of the Social Security Act to list the specific surgeries, implants, and drugs that Medicaid cannot fund for minors and it outlines narrow medical exceptions. - Families and minors: Minors enrolled in Medicaid will not have federal reimbursement for a long list of gender-transition surgeries, chest or genital implants, fat or gluteal implants, puberty blockers, or cross-sex hormones when given to anyone under 18. - States and providers: States and Medicaid providers cannot claim Federal matching funds for those specified procedures or for administering state programs or waivers that furnish them to under-18 enrollees. - Medical exceptions and definitions: Parental or guardian consent allows limited exceptions such as puberty suppression for precocious puberty and treatments for medically verifiable disorders of sex development, chromosomal or hormone abnormalities, serious injury or disease, or reconstruction after prior procedures. The law also defines “sex” as biologically male or female and lists exact procedures and drug types covered by the prohibition.

## Cosponsors (6)

- Rep. Greene, Marjorie Taylor [R-GA-14] (R-GA), 2025-01-16T00:00:00.000Z
- Rep. Weber, Randy K. Sr. [R-TX-14] (R-TX), 2025-02-13T00:00:00.000Z
- Rep. Steube, W. Gregory [R-FL-17] (R-FL), 2025-09-02T00:00:00.000Z
- Rep. Davidson, Warren [R-OH-8] (R-OH), 2025-12-16T00:00:00.000Z
- Rep. Grothman, Glenn [R-WI-6] (R-WI), 2025-12-18T00:00:00.000Z
- Rep. Luna, Anna Paulina [R-FL-13] (R-FL), 2026-01-21T00:00:00.000Z

## Votes

| Date | Chamber | Question | Result | Yea | Nay |
| --- | --- | --- | --- | --- | --- |
| 2025-12-18T00:00:00.000Z | house | On Motion to Recommit | Failed | 204 | 212 |
| 2025-12-18T00:00:00.000Z | house | On Passage | Passed | 215 | 201 |

## Provisions PRIA read

- No Medicaid funding for minors' gender care: cost, high. If enacted, Federal Medicaid dollars would not pay for gender transition care for anyone under 18. This would apply to state plans and waivers, and to related program administrative costs. It covers surgeries and implants, plus puberty blockers and high-dose sex hormones when used for gender transi…

## Related bills

- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-1919: Anti-CBDC Surveillance State Act
- 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025
- 119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-987: Fair Access to Banking Act

## Sources
- [119-hr-498 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/498)

## Related
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-1919: Anti-CBDC Surveillance State Act](https://policyrisk.com/legislation/119-hr-1919)
- [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38)
- [119-hres-719: Honoring the life and legacy of Charles Charlie James Kirk.](https://policyrisk.com/legislation/119-hres-719)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-987: Fair Access to Banking Act](https://policyrisk.com/legislation/119-hr-987)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-498 (as of 2026-07-15).