119th Congress · introduced in the House · Jan 16, 2025
Do No Harm in Medicaid Act
Official title from Congress.gov
Latest action (Dec 18, 2025): Received in the Senate and Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Jan 16, 2025)
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.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
House · Dec 18, 2025 · Roll call 362 · Passed
House · Dec 18, 2025 · Roll call 361 · Failed
Received in the Senate and Read twice and referred to the Committee on Finance.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) Roll call details
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). Roll call details
On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). Roll call details
Considered as unfinished business. (consideration: CR H6072-6073)
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.
The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
The previous question was ordered pursuant to the rule.
DEBATE - The House proceeded with one hour of debate on H.R. 498.
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.
Child health · Health programs administration and funding · Medicaid · Prescription drugs · Sex, gender, sexual orientation discrimination · Surgery and anesthesia
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsConsidered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)
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.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
Coverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
36 citations; showing the 25 most recently posted.
HUMAN RIGHTS CAMPAIGN · lobbying firm or registrant: HUMAN RIGHTS CAMPAIGN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$203,894
Spent on own lobbying
…12: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487; S. 3206: Transgender Healthcare Access Act S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF JEWISH WOMEN · lobbying firm or registrant: NATIONAL COUNCIL OF JEWISH WOMEN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…24) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Premium Tax Credits Support the Jeanette Acosta Invest in Womens Health Act (S 5546)
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN CIVIL LIBERTIES UNION · lobbying firm or registrant: AMERICAN CIVIL LIBERTIES UNION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Civil Rights/Civil Liberties
$950,000
Spent on own lobbying
…E Act-Issues Lobbied: Marijuana Decriminalization. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights, Family Policing, Child Welfare. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…ansformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 21…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF JEWISH WOMEN · lobbying firm or registrant: NATIONAL COUNCIL OF JEWISH WOMEN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…24) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Premium Tax Credits. Oppose the proposed rules restricting access to gender-affirming care for transgender youn…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN CIVIL LIBERTIES UNION · lobbying firm or registrant: AMERICAN CIVIL LIBERTIES UNION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Civil Rights/Civil Liberties
$670,000
Spent on own lobbying
…hts, Trans Rights. H.R. 5068-MORE Act-Issues Lobbied: Marijuana Decriminalization. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4611-EACH Act of 2025-Issues Lobbied: Reproductive Rights. H.R. 6091-Bivens Act of 2025-Issues Lo…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHIATRIC ASSOCIATION · lobbying firm or registrant: AMERICAN PSYCHIATRIC ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$137,391
Spent on own lobbying
…or, Department 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 grant terminations I…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HUMAN RIGHTS CAMPAIGN · lobbying firm or registrant: HUMAN RIGHTS CAMPAIGN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$223,727
Spent on own lobbying
…12: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487; S. 3206: Transgender Healthcare Access Act S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 24, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…ansformation Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 21…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE DEFENDING FREEDOM · lobbying firm or registrant: ALLIANCE DEFENDING FREEDOM
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Family issues/Abortion/Adoption
$20,000
Spent on own lobbying
…ancy is deemed to have been withdrawn, establishing a Federal tort for harm to women caused by chemical abortion drugs, and for other purposes, all provisions. H.R.498, Do No Harm in Medicaid Act, prohibiting Federal Medicaid funding for gender transition procedures for minors, all provisions. H.R.6170/S.3285, ADOPT Act, crim…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PRINCIPLES PROJECT · lobbying firm or registrant: AMERICAN PRINCIPLES PROJECT
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$15,000
Spent on own lobbying
Do No Harm in Medicaid Act (HR 498); Chloe Cole Act (HR 5483/S 2907); Protect Children's Innocence Act (H.R. 3492)
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · amended · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$7,970,000
Spent on own lobbying
…ls Act, all 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 Act, all provisio…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHIATRIC ASSOCIATION · lobbying firm or registrant: AMERICAN PSYCHIATRIC ASSOCIATION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$205,809
Spent on own lobbying
…or, Department 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 grant terminations I…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN CIVIL LIBERTIES UNION · lobbying firm or registrant: AMERICAN CIVIL LIBERTIES UNION
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Civil Rights/Civil Liberties
$720,000
Spent on own lobbying
…: Voting Rights. H.R. 4358-Anti-Rigging Act of 2025-Issues Lobbied: Voting Rights. H.R. 5507-Hidden Foster Care Transparency Act-Issues Lobbied: Womens Rights. H.R. 498-Do No Harm in Medicaid Act-Issues Lobbied: LGBTQ Rights. H.R. 4518-Cooper Davis and Devin Norring Act-Issues Lobbied: Free Speech, Privacy. H.R. 3921-STOP CSAM…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF JEWISH WOMEN · lobbying firm or registrant: NATIONAL COUNCIL OF JEWISH WOMEN
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 15, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…24) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Premium Tax Credits
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HUMAN RIGHTS CAMPAIGN · lobbying firm or registrant: HUMAN RIGHTS CAMPAIGN
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 14, 2026 · issue area: Health Issues
$174,259
Spent on own lobbying
…12: Jamie Reed Protecting Our Kids from Child Abuse Act H.R. 742: PROTECTS Act of 2025 H.R. 653; S. 209: Protecting Minors from Medical Malpractice Act of 2025 H.R. 498: Do No Harm in Medicaid Act H.R. 2487; S. 3206: Transgender Healthcare Access Act S. 422 Right to Contraception Act H.R. 2387: No Harm Act H.R. 3757: Pride in…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ACADEMY OF PEDIATRICS · lobbying firm or registrant: AMERICAN ACADEMY OF PEDIATRICS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Feb 27, 2026 · issue area: Health Issues
$100,000
Spent on own lobbying
…g Act (H.R.6844/S.3569) Funding for Tobacco Control Programs Biomedical Research Funding (NIH, NICHD, AHRQ) LGBTQ Health Care Financing and Access - H.R.3492 - H.R.498 LGBTQ Health Care Financing and Access - Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN FEDERATION OF STATE COUNTY AND MUNICIPAL EMPLOYEES · lobbying firm or registrant: AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · amended · posted Jan 27, 2026 · issue area: Medicare/Medicaid
$700,000
Spent on own lobbying
HR 498- Do No Harm in Medicaid Act funding for Disproportionate Share Hospitals Medicare sequestration
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 23, 2026 · issue area: Health Issues
$24,000
Paid to lobbying firm
…and violence prevention Implementation of provisions of the One Big, Beautiful Bill Act (PL 119-21) Reintroduction of the Nurse Faculty Shortage Reduction Act H.R. 498, Do No Harm in Medicaid Act H.R. 1197/S. 1562, PREEMIE Reauthorization Act H.R. 1735/S. 779, Early Action and Responsiveness Lifts Youth Minds (EARLY Minds) Ac…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS · lobbying firm or registrant: LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Health Issues
$170,000
Spent on own lobbying
Oppose HR 3492, Protect Children's Innocence Act Oppose HR 498, Do No Harm in Medicaid Act Oppose efforts to block access to gender-affirming care
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PLANNED PARENTHOOD FEDERATION OF AMERICA INC · lobbying firm or registrant: PLANNED PARENTHOOD FEDERATION OF AMERICA, INC.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Health Issues
$94,048
Spent on own lobbying
…h Care Costs 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 CommonGround for Affordable Health Care Act (H.R.6575) Rep. Ans…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PLANNED PARENTHOOD ACTION FUND INC · lobbying firm or registrant: PLANNED PARENTHOOD ACTION FUND, INC.
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Health Issues
$7,513
Spent on own lobbying
…h Care Costs 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
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN CIVIL LIBERTIES UNION · lobbying firm or registrant: NVG, LLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Civil Rights/Civil Liberties
$60,000
Paid to lobbying firm
H.R.1007/S.558 - Antisemitism Awareness Act of 2025. Transgender/LGBTQ issues. H.R.498 - Do No Harm in Medicaid Act. H.R.3492 - Protect Childrens Innocence Act. S.1071 - National Defense Authorization Act for Fiscal Year 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL WOMEN'S LAW CENTER ACTION FUND · lobbying firm or registrant: NATIONAL WOMEN'S LAW CENTER ACTION FUND
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$85,000
Spent on own lobbying
Closing the Contraception Coverage Gap Act (S.5445) (Senate) Advocacy against Protect Childrens Innocence Act (H.R .3492) and Do No Harm in Medicaid Act (H.R. 498) (bills related to health care for transgender youth) (House) Advocacy in support of the Closing the Contraceptive Coverage Gap Act (Senate) Advocacy in suppor…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HERITAGE ACTION FOR AMERICA · lobbying firm or registrant: HERITAGE ACTION FOR AMERICA
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$20,000
Spent on own lobbying
HR 498 "Do No Harm in Medicaid Act," all provisions. S 222 / HR 649 "Whole Milk for Healthy Kids Act," all provisions. S 2875 "Custom Health Option and Individual Car…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing