HR 498referred119th Congress

Do No Harm in Medicaid Act

Introduced Jan 16, 2025House billPolicy area: HealthLast action Dec 18, 2025Sponsor: Dan Crenshaw(R-TX)

healthcareHealth

Energy and Commerce CommitteeFinance Committee

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Official summaryUpdated Dec 18, 2025

What the bill does

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.

Latest official action

Received in the Senate and Read twice and referred to the Committee on Finance.

Lobbying Filings

$840.5M

Total Lobbying Spend

Suspicious Trades

Members Involved

Timeline

Apr 15, 2024lobbying

Lobbying filed by AMERICAN ACADEMY OF FAMILY PHYSICIANS

Jul 18, 2024lobbying

Lobbying filed by AMERICAN ACADEMY OF FAMILY PHYSICIANS

Oct 15, 2024lobbying

Lobbying filed by AMERICAN ACADEMY OF FAMILY PHYSICIANS

Jan 16, 2025bill

Bill introduced

Jan 16, 2025lobbying

Lobbying filed by AMERICAN ACADEMY OF FAMILY PHYSICIANS

Jan 21, 2025lobbying

Official Congressional Actions

Dec 18, 2025Floor

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362).

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Dec 18, 2025Floor

POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 498, the Chair put the question on motion to recommit and by voice vote announced that the noes had prevailed. Mr. Soto demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

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Dec 18, 2025Floor

Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.

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Dec 18, 2025Floor

On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).

Lobbying Activity

Registrant	Client	Amount	Filed	Period	Issues
AMERICAN ACADEMY OF FAMILY PHYSICIANS	AMERICAN ACADEMY OF FAMILY PHYSICIANS	$107.3M	Jan 16, 2025	2024Q4	BUDEDUHCR
AMERICAN ACADEMY OF FAMILY PHYSICIANS	AMERICAN ACADEMY OF FAMILY PHYSICIANS	$104.5M	Jul 18, 2024	2024Q2	BUDEDUHCR

Suspicious Trading Activity

Congress members who traded stocks in companies connected to lobbying on this bill, within 90 days of its introduction date.

Member	Party	Ticker	Company	Trade	Date	Amount	Timing	Lobbying Client	Conflict
Gilbert Ray Cisneros, Jr.	D	K	K	Buy	Jan 24, 2025	$1,001 - $15,000	8d after	AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN	0 / 100
Gilbert Ray Cisneros, Jr.

Conflict Summary

6 trades by 3 members of Congress in companies connected to lobbying on HR 498. The average conflict score is 14%.

Gilbert Ray Cisneros, Jr. (2 trades)Thomas R. Suozzi (2 trades)Robert P. Bresnahan, Jr. (2 trades)

Votes on This Bill

Member	Party	Position	Date
Riley M. Moore	R	nay	Dec 18, 2025
Tim Moore	R	nay	Dec 18, 2025
Thomas P. Tiffany	R	nay	Dec 18, 2025
Charles J. "Chuck" Fleischmann	R	yea	Dec 18, 2025

Methodology: Bill-Lobbying-Trade Connection

CapitolExposed identifies the "bill-lobbying-trade pipeline" by: (1) finding lobbying filings (LD-2) that specifically mention this bill, (2) matching lobbying clients to publicly traded companies, and (3) finding stock trades by members of Congress in those companies within 90 days of the bill's introduction date. Trades made before the bill was introduced are highlighted in red, as they may indicate advance knowledge. This analysis surfaces correlations worthy of scrutiny; it does not prove wrongdoing.