House vote: H.R. 498 // December 18, 2025
Do No Harm in Medicaid Act
Sponsor: Dan Crenshaw (R-TX)
This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. , 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.
Health Topic assigned by the Congressional Research Service.
Who won, and how much of the country was behind them
The dotted gap is 4.4% of U.S. adults whose member did not vote, voted “present,” or whose seat was vacant.
| Side | Outcome | Votes | Share of U.S. adults |
|---|---|---|---|
| Yea | Won | 215 | 50.1% |
| Nay | Lost | 201 | 45.5% |
| Not represented on this question | No position taken | 0 | 4.4% |