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Do No Harm in Medicaid Act

12/20/2025, 6:23 AM

Summary of Bill HR 498

Bill 119 HR 498, also known as the "Protecting Children from Experimentation Act," aims to amend title XIX of the Social Security Act to prevent Federal Medicaid funding from being used for gender transition procedures for minors. The bill specifically targets procedures such as hormone therapy and gender reassignment surgery for individuals under the age of 18.

Supporters of the bill argue that minors are not capable of fully understanding the long-term consequences of gender transition procedures and that such decisions should be made by adults. They also express concerns about the potential risks and side effects associated with these procedures for young individuals.

Opponents of the bill argue that it infringes on the rights of transgender minors to access necessary medical care and support. They argue that gender dysphoria is a serious medical condition that requires appropriate treatment, including gender transition procedures, to alleviate distress and improve mental health outcomes for transgender youth. The bill has sparked debate among lawmakers and advocacy groups, with both sides presenting compelling arguments. It remains to be seen how the bill will progress through Congress and what impact it may have on the availability of gender transition procedures for minors covered by Medicaid.

Congressional Summary of HR 498

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.

Current Status of Bill HR 498

Bill HR 498 is currently in the status of Passed in House since December 18, 2025. Bill HR 498 was introduced during Congress 119 and was introduced to the House on January 16, 2025.  Bill HR 498's most recent activity was Received in the Senate and Read twice and referred to the Committee on Finance. as of December 18, 2025

Bipartisan Support of Bill HR 498

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
12
Democrat Cosponsors
0
Republican Cosponsors
12
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 498

Primary Policy Focus

Health

Potential Impact Areas

- Child health
- Health programs administration and funding
- Medicaid
- Prescription drugs
- Sex, gender, sexual orientation discrimination
- Surgery and anesthesia

Alternate Title(s) of Bill HR 498

To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.
To amend title XIX of the Social Security Act to prohibit Federal Medicaid funding for gender transition procedures for minors.

Comments

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