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).
More detail
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.
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More on this bill
Where it stands
Introduced
Passed House
3Passed Senate
4To President
5Became Law
Looking ahead
No hearings or votes scheduled.
History
2025
Dec 18Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065)Latest
Vote recorded On Passage. Result: Passed.House
Vote recorded On Motion to Recommit. Result: Failed.House
Dec 18Rule 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.
Dec 18DEBATE - The House proceeded with one hour of debate on H.R. 498.
Dec 18The previous question was ordered pursuant to the rule.
Dec 18Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065)
Dec 18The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
Dec 18POSTPONED 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.
Dec 18Considered as unfinished business. (consideration: CR H6072-6073)
Dec 18On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361).
Dec 18Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057)Passed House
Dec 18Motion to reconsider laid on the table Agreed to without objection.
Dec 18Received in the Senate and Read twice and referred to the Committee on Finance.
Dec 17Rules Committee Resolution H. Res. 953 Reported to House. 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.
Jan 16Introduced in House
Jan 16Referred to the House Committee on Energy and Commerce.Introduced