H.R. 498 · Passed House · Health

Do No Harm in Medicaid Act

Sponsor: Dan Crenshaw (R-TX)

What it does

• Prohibits federal Medicaid payment for specified gender transition procedures for individuals under 18.
• Defines those procedures as ones intended to change a body to no longer match the individual's biological sex, including specified surgeries, implants, and medications such as hormones.
• Excludes procedures done with a parent's or guardian's consent to treat early puberty, genetic disorders, or chromosomal abnormalities.
• Excludes procedures that reverse a prior gender transition procedure or prevent imminent death or impairment of a major bodily function.

Official summary

Do No Harm in Medicaid Act This 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.

Latest action

Dec 18, 2025: Received in the Senate and Read twice and referred to the Committee on Finance.

Committee: Senate Finance