HR 498

119th Congress

Healthcare

Civil Rights

Government Operations

Do No Harm in Medicaid Act

Sponsor: Dan Crenshaw (Republican-TX)

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

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

Stops federal Medicaid money for gender transition procedures for people under 18.

This bill would stop federal Medicaid funding from being used for certain gender transition procedures for individuals under 18 years old. This means state Medicaid programs would no longer receive federal funding for these specific procedures or related administrative costs for minors. Limited medical exceptions would still apply. Individuals under 18 seeking these procedures through Medicaid would be directly affected.

What Would Change

Today, federal Medicaid funding may be used by state plans to cover specified gender transition procedures and related administrative costs for individuals under 18 years of age. If this bill becomes law, federal Medicaid funding would be prohibited for these specific gender transition procedures and related administrative costs for individuals under 18. This prohibition would include specific exceptions for certain medical conditions.

Key Provisions

Bans federal Medicaid funding for specific gender transition surgeries for individuals under 18.
Stops federal Medicaid funding for certain hormone treatments and puberty blockers for individuals under 18.
Prohibits federal Medicaid funding for specific implant placements related to gender transition for individuals under 18.
Allows federal Medicaid funding for procedures for minors with certain genetic disorders or medical conditions, with parental consent.
Defines "sex" as either male or female, based on biological reproductive systems, for the purpose of the bill.

View on Congress.gov

HR 498 · 119th Congress · AI Summary by gemini-2.5-flash · 10/10

Lobbying Activity

13 filings mentioned this bill

Top Lobbying Clients

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS

$24K

1 filing

HUMAN RIGHTS CAMPAIGN

2 filings

NATIONAL COUNCIL OF JEWISH WOMEN

2 filings

AMERICAN CIVIL LIBERTIES UNION

2 filings

AMERICAN PSYCHIATRIC ASSOCIATION

2 filings

AMERICAN MEDICAL ASSOCIATION

2 filings

AMERICAN PRINCIPLES PROJECT

1 filing

ALLIANCE DEFENDING FREEDOM

1 filing

Top Lobbying Firms

1.HUMAN RIGHTS CAMPAIGN2 filings

2.NATIONAL COUNCIL OF JEWISH WOMEN2 filings

3.AMERICAN CIVIL LIBERTIES UNION2 filings

4.AMERICAN PSYCHIATRIC ASSOCIATION2 filings

5.AMERICAN MEDICAL ASSOCIATION2 filings

6.AMERICAN PRINCIPLES PROJECT1 filing

7.ALLIANCE DEFENDING FREEDOM1 filing

8.MASON CONSULTING, LLC1 filing

Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.

13 filings mentioned this bill

Top Lobbying Clients

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS

$24K

1 filing

HUMAN RIGHTS CAMPAIGN

2 filings

NATIONAL COUNCIL OF JEWISH WOMEN

2 filings

AMERICAN CIVIL LIBERTIES UNION

2 filings

AMERICAN PSYCHIATRIC ASSOCIATION

2 filings

AMERICAN MEDICAL ASSOCIATION

2 filings

AMERICAN PRINCIPLES PROJECT

1 filing

ALLIANCE DEFENDING FREEDOM

1 filing

Top Lobbying Firms

1.HUMAN RIGHTS CAMPAIGN2 filings

2.NATIONAL COUNCIL OF JEWISH WOMEN2 filings

3.AMERICAN CIVIL LIBERTIES UNION2 filings

4.AMERICAN PSYCHIATRIC ASSOCIATION2 filings

5.AMERICAN MEDICAL ASSOCIATION2 filings

6.AMERICAN PRINCIPLES PROJECT1 filing

7.ALLIANCE DEFENDING FREEDOM1 filing

8.MASON CONSULTING, LLC1 filing

Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.

Party	Yes	No	NV
Republicans	210	0	9
Democrats	4	201	8
Independents	1	0	0

Party	Yes	No	NV
Republicans	0	211	8
Democrats	204	0	9
Independents	0	1	0

Do No Harm in Medicaid Act

What Would Change

Key Provisions

Lobbying Activity

Top Lobbying Clients

Top Lobbying Firms

Top Lobbying Clients

Top Lobbying Firms

Party Breakdown

Vote Details

Party Breakdown

Vote Details