Do No Harm in Medicaid Act
Latest action (Dec 18, 2025) — Received in the Senate and Read twice and on Finance.
What it does
Congressional Research Service, Jan 16, 2025This 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.
Face Value
as passed the HouseHow much of this bill its name accounts for.
- Every bill starts at100
- Nothing counted against it: one area of law, and short enough that length doesn't register.
Face Value measures reach, not honesty. A big bill can be accurately named, and a low score is not an accusation — it means the contents reach further than any short title could describe. Count it yourself ↗ How this is worked out
What Congress did
2 recordeddecisive vote
House · Dec 18, 2025
Whether the bill passes the House. This is the vote most people mean.
On
House · Dec 18, 2025
The minority party's last attempt to change the bill by sending it back to committee. It usually fails and is usually about forcing an awkward vote.
Who lobbied on this
4 organizationsThese organizations told Congress, in their own quarterly disclosures, that they were lobbying on this bill.
- American Medical Associationno position stated
“…provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710, No Surprises Act Enforcement Act, all provisions S. 2420, No Surprises Act Enforcement…” filing ↗
- American Psychiatric Associationno position stated
“…of Health and Human Services, and Department of Treasury regarding mental health parity enforcement H.R. 3492 - Protect Children's Innocence Act H.R. 498 - Do No Harm in Medicaid Act H.R. 6817/ S. 1056 - Home-Based Telemental Health Care Act Communication with Congressional offices on SAMHSA…” filing ↗
- Human Rights Campaignno position stated
“…S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R.…” filing ↗
- Planned Parenthood Action Fund Inc.no position stated
“…Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R. 3492) Do No Harm in Medicaid Act (H.R. 498) Breaking the Gridlock Act (H.R.1834) Affordable Care Act (ACA) tax credits extension proposals” filing ↗
Most filings say only that an organization lobbied on a bill, not which side it took — where that's the case we say so rather than guessing. Quotes are verbatim from the filing. How this is built.
Discussion
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