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HR 498 119th Congress

Do No Harm in Medicaid Act

To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Official Title as Introduced Congress.gov

Introduced Jan 16, 2025 Latest action Dec 18, 2025 Sponsor: Rep. Crenshaw, Dan [R-TX-2] Health
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Source: Congress.govUpdated 2026-08-03 11:15:40 UTC.

Source-linked procedural record

Bill journey

21 dated records

This is a chronology, not a progress score. Politically.com does not classify stages or infer what comes next. Records sharing a date are grouped because not every source field supplies a time.

Congress.gov Recently refreshed U.S. Senate XML Recently refreshed
Introduction 1 One supplied introduction date.
Official actions 17 17 dated action records.
Committees 2 2 undated relationships.
Amendments 0 No record is cached.
Text versions 3 3 dated, 0 without a supplied date.
House roll calls 0 No exact legislation-key match in the House-vote cache.
Senate roll calls 0 No exact document-key match in the Senate-vote cache.
Related measures 1 1 undated relationship.
Linked law 0 No linked law record is cached; this does not predict outcome.
  1. Official action Congress.gov

    Referred to the House Committee on Energy and Commerce.

    IntroReferral · House floor actions · Code H11100

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code Intro-H

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    Official action Congress.gov

    Introduced in House

    IntroReferral · Library of Congress · Code 1000

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    Text version Congress.gov

    Introduced in House

    A dated text-version record is available.

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  2. Official action Congress.gov · 8:11 am UTC

    Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.

    Floor · House floor actions · Code H1L210

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  3. Official action Congress.gov

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

    IntroReferral · Senate

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    Text version Congress.gov

    Engrossed in House

    A dated text-version record is available.

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    Text version Congress.gov

    Referred in Senate

    A dated text-version record is available.

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    Official action Congress.gov · 12:40 pm UTC

    Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)

    Floor · House floor actions · Code H30000

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    Official action Congress.gov · 12:40 pm UTC

    Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.

    Floor · House floor actions · Code H8D000

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    Official action Congress.gov · 12:40 pm UTC

    DEBATE - The House proceeded with one hour of debate on H.R. 498.

    Floor · House floor actions · Code H8D000

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    Official action Congress.gov · 1:49 pm UTC

    The previous question was ordered pursuant to the rule.

    Floor · House floor actions · Code H35000

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    Official action Congress.gov · 1:50 pm UTC

    Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)

    Floor · House floor actions · Code H36200

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    Official action Congress.gov · 1:50 pm UTC

    The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

    Floor · House floor actions · Code H8A000

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    Official action Congress.gov · 1:50 pm UTC

    POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

    Floor · House floor actions · Code H8D000

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    Official action Congress.gov · 2:53 pm UTC

    Considered as unfinished business. (consideration: CR H6072-6073)

    Floor · House floor actions · Code H30000

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    Official action Congress.gov · 2:56 pm UTC

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

    Floor · House floor actions · Code H36210

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    Official action Congress.gov · 3:00 pm UTC

    On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)

    Floor · House floor actions · Code H37100

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    Official action Congress.gov · 3:00 pm UTC

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

    Floor · Library of Congress · Code 8000

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    Official action Congress.gov · 3:00 pm UTC

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

    Floor · House floor actions · Code H38310

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View the complete bill journey as an accessible table
Every dated cached record linked to HR 498. Same-date row order does not assert procedural sequence.
Date and timeRecordOfficial detailSource
IntroductionIntroduced Introduced in the House. Congress.gov
Official actionReferred to the House Committee on Energy and Commerce. No additional detail supplied.IntroReferral · House floor actions · Code H11100 Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code Intro-H Congress.gov
Official actionIntroduced in House No additional detail supplied.IntroReferral · Library of Congress · Code 1000 Congress.gov
Text versionIntroduced in House A dated text-version record is available. Congress.gov
Official actionRules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill. No additional detail supplied.Floor · House floor actions · Code H1L210 Congress.gov
Official actionReceived in the Senate and Read twice and referred to the Committee on Finance. No additional detail supplied.IntroReferral · Senate Congress.gov
Text versionEngrossed in House A dated text-version record is available. Congress.gov
Text versionReferred in Senate A dated text-version record is available. Congress.gov
Official actionConsidered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065) No additional detail supplied.Floor · House floor actions · Code H30000 Congress.gov
Official actionRule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill. No additional detail supplied.Floor · House floor actions · Code H8D000 Congress.gov
Official actionDEBATE - The House proceeded with one hour of debate on H.R. 498. No additional detail supplied.Floor · House floor actions · Code H8D000 Congress.gov
Official actionThe previous question was ordered pursuant to the rule. No additional detail supplied.Floor · House floor actions · Code H35000 Congress.gov
Official actionMr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065) No additional detail supplied.Floor · House floor actions · Code H36200 Congress.gov
Official actionThe previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. No additional detail supplied.Floor · House floor actions · Code H8A000 Congress.gov
Official actionPOSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced. No additional detail supplied.Floor · House floor actions · Code H8D000 Congress.gov
Official actionConsidered as unfinished business. (consideration: CR H6072-6073) No additional detail supplied.Floor · House floor actions · Code H30000 Congress.gov
Official actionOn motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). No additional detail supplied.Floor · House floor actions · Code H36210 Congress.gov
Official actionOn passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) No additional detail supplied.Floor · House floor actions · Code H37100 Congress.gov
Official actionPassed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). No additional detail supplied.Floor · Library of Congress · Code 8000 Congress.gov
Official actionMotion to reconsider laid on the table Agreed to without objection. No additional detail supplied.Floor · House floor actions · Code H38310 Congress.gov

House roll calls join only on matching Congress, legislation type, and number. Senate roll calls join only on matching source-supplied document type and number, not question text. Committee and related-measure relationships have no date in their relationship records and therefore are counted above but never placed on the chronology.

Congressional Research Service

CRS summary

Introduced in House Jan 16, 2025

Do No Harm in Medicaid ActThis bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The bill defines these procedures to mean those that are intended to change the body of an individual to no longer correspond to the individual's biological sex (male or female), including specified surgeries, implants, and medications (e.g., hormones).The bill excludes procedures that are provided to an individual under the age of 18 with the consent of a parent or legal guardian and that are intended to (1) rectify early puberty, genetic disorders, or chromosomal abnormalities; (2) reverse prior gender transition procedures; or (3) prevent imminent death or impairment of a major bodily function.

Official documents

Text versions