House passes the Do No Harm in Medicaid Act
On Passage
DEC 18, 2025 · 2:59 PM ET
Party-line vote, except 4 Democrats who crossed. Cleared the 209 needed by 6 votes.
What the House was voting on
The House voted on whether to pass H.R. 498, the Do No Harm in Medicaid Act. The bill would prohibit federal Medicaid payments for specified gender-transition procedures for people under 18, with exceptions. It passed by 6 votes, exceeding the 209 needed.
Pass H.R. 498 in the House and send it to the Senate.
Reject H.R. 498 in the House.
Bars federal Medicaid payments for specified gender-transition procedures for people under 18, with exceptions for certain medical conditions and emergencies.
Passed the House 215–201 on Dec. 18, 2025. Now waiting in the Senate, 635 days after it was introduced.
- TIES
- A tie fails in the House: a majority means more yeas than nays.
209 is a majority of the 416 members voting yes or no. Members voting “present” or absent don’t count.
- TIES
- A tie fails in the House: a majority means more yeas than nays.
Party line, with 4 Democrats crossing4 Democrats crossed. It passed.
Every vote on H.R. 498, in both chambersEvery vote on H.R. 498
- DEC 17#343Previous question on the rule (H.Res. 953)AGREED TO204–203
- DEC 17#344On the rule (H.Res. 953)AGREED TO213–209
- DEC 18#361Motion to recommitFAILED204–212
- DEC 18#362THIS VOTEOn passagePASSED215–2016 votes to spare over the 209 needed.
Coverage of this vote and its bill3 stories from 3 outlets
Lean describes the outlets, not the vote.
