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H.R. 498119th CongressHealth
Do No Harm in Medicaid Act
Sponsored by Rep. Dan Crenshaw (R-TX) · 6 active : 6 Republicans
Latest action: Received in the Senate and Read twice and referred to the Committee on Finance.
Where it standsPassed House, now in the Senate8 senators score as swing votes
Passed House
- House: passedDec 18, 2025
- Senate: next
- President: not yet
Summary
, via Congress.govDo 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).
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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.
How the projections held up
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
House
On PassagePassed215 yea, 201 nayDecember 18, 2025 · Roll call 362
| BandBand before the vote | VotedVoted yea or nay | BrokeBroke with party | Share |
|---|---|---|---|
| Swing | 55 | 3 | 5% |
| Middle | 219 | 1 | 0% |
| Entrenched | 135 | 0 | 0% |
| Insufficient data |
Committees and subjects
Committees
- House Committee on Energy and Commerce · HouseReferred to
- Senate Committee on Finance · SenateReferred to
Subjects
- Child health
- Health programs administration and funding
- Medicaid
- Prescription drugs
- Sex, gender, sexual orientation discrimination
- Surgery and anesthesia
Model
Directional: count only breaks toward the other partyWhy do scores change?v3default (selected)v2 model swing-v2
How the Senate breaks down
- 8Swing 70–100
- 74Middle 30–70
- 18Entrenched 0–30
Members fall into . All 100 senators have enough data to score.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v3Bars show each input from 0 to 100: ideology gap, scorecard gap, , and the . is the seat’s partisan lean, and shows how much of the input data a score has.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
6 activeShow all 6 cosponsors
- Marjorie Taylor Greene (R-GA-14)
- Randy K. Sr. Weber (R-TX-14)
- W. Gregory Steube (R-FL-17)
- Warren Davidson (R-OH-8)
- Glenn Grothman (R-WI-6)
- Anna Paulina Luna (R-FL-13)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
