Do No Harm in Medicaid Act
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TQL analysis
F52
52 / 90 · methodology full_text_v3
The 'Do No Harm in Medicaid Act' seeks to amend the Social Security Act to prohibit federal Medicaid funding for gender transition procedures for minors. The bill outlines specific procedures and medications that are not to be funded, with exceptions for certain medical conditions. It defines 'sex' in biological terms and provides exceptions for medically necessary treatments.
Structural flags
⚑ No enforcement or oversight — imposes duties but names no enforcement or oversight mechanism
⚑ Spends without a pay-for — authorizes new spending with no stated offset or pay-for
Legislative structure
Criterion breakdown8 criteria · max 90
Advanced Full criterion breakdown
The letter, score, and explanation above are free. The point-by-point breakdown of all eight scored criteria — with each criterion's value and how it moved the grade — is a Quiet Ledger research capability.
Access options →Recorded vote · House roll call 361 · 2025-12-18
204 Yea · 212 Nay · 0 Present · 17 Not voting — Failed
Actions (17)
| Date | Time | Action |
|---|---|---|
| 2025-01-16 | — | Referred to the House Committee on Energy and Commerce. |
| 2025-01-16 | — | Introduced in House |
| 2025-01-16 | — | Introduced in House |
| 2025-12-17 | 08:11:36 | Rules 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. |
| 2025-12-18 | — | Received in the Senate and Read twice and referred to the Committee on Finance. |
| 2025-12-18 | 12:40:01 | Considered under the provisions of rule H. Res. 953. (consideration: CR H6057-6065) |
| 2025-12-18 | 12:40:06 | 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. |
| 2025-12-18 | 12:40:30 | DEBATE - The House proceeded with one hour of debate on H.R. 498. |
| 2025-12-18 | 13:49:37 | The previous question was ordered pursuant to the rule. |
| 2025-12-18 | 13:50:08 | Mr. Soto moved to recommit to the Committee on Energy and Commerce. (text: CR H6065) |
| 2025-12-18 | 13:50:20 | The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. |
| 2025-12-18 | 13:50:40 | 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. |
| 2025-12-18 | 14:53:11 | Considered as unfinished business. (consideration: CR H6072-6073) |
| 2025-12-18 | 14:56:03 | On motion to recommit Failed by the Yeas and Nays: 204 - 212 (Roll no. 361). |
| 2025-12-18 | 15:00:11 | On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). (text: CR H6057) |
| 2025-12-18 | 15:00:11 | Passed/agreed to in House: On passage Passed by the Yeas and Nays: 215 - 201 (Roll no. 362). |
| 2025-12-18 | 15:00:13 | Motion to reconsider laid on the table Agreed to without objection. |
Provenance
- Methodology
- full_text_v3
- Calculated
- 2026-09-18 16:55:41.021+00
- Source version
- 2025-12-18
- Assessments
- —
The Quiet Ledger grades legislation on its content. A bill grade is analysis of the bill — not a grade of its sponsor or of any member who voted on it.