House · Roll call 362 · Dec. 18, 2025

A vote to pass H.R. 498, the Do No Harm in Medicaid Act, which bars federal Medicaid payment for specified gender transition procedures for people under 18.

Passed215–201 Passage Party-line vote
Question
On Passage
Bill
H.R. 498, Do No Harm in Medicaid Act
← Most liberalThe aisleMost conservative →
YesNoPresentDid not vote
Each dot is one current member, in the same seat as on their member page, from most liberal (left) to most conservative (right). Color shows how they voted. Seats show current members. Members who have since left Congress appear in the list below.

How each party voted

Democrats
Yes 4 · No 201 · Did not vote 8
Republicans
Yes 211 · No 0 · Did not vote 9

Most Democrats voted No (201 of 213).

Most Republicans voted Yes (211 of 220).

Party-line vote: most Democrats and most Republicans voted on opposite sides.

President's positions

The President's position: wanted a Yes vote

“The Administration strongly supports passage of H.R. 498, the Do No Harm in Medicaid Act, and H.R. 3492, the Protect Children’s Innocence Act.”

Source: White House statement on the bill · Checked against the statement (AI-assisted)

About this vote

The bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18. The House passed the bill.

This summary was drafted and checked with AI (Claude) using only the official record of the vote. Report an error

Summary by the Congressional Research Service

Do No Harm in Medicaid Act This bill prohibits federal Medicaid payment for specified gender transition procedures for individuals under the age of 18.

How each member voted

MemberSeatTheir vote
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