House Roll Call

H.R.498

Roll 361 • Congress 119, Session 1 • Dec 18, 2025 2:55 PM • Result: Failed

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BillH.R.498 — Do No Harm in Medicaid Act
Vote questionOn Motion to Recommit
Vote typeYea-and-Nay
ResultFailed
TotalsYea 204 / Nay 212 / Present 0 / Not Voting 17
PartyYeaNayPresentNot Voting
R021208
D204009
I0000

Research Brief

On Motion to Recommit

Bill Analysis

Bill Summary: HR 498 - Do No Harm in Medicaid Act

The Do No Harm in Medicaid Act (HR 498) aims to protect Medicaid beneficiaries from harmful policies and practices that could undermine their access to essential healthcare services. The bill specifically addresses the need to prevent states from imposing work requirements and other barriers that could limit eligibility and access to Medicaid.

Key Provisions:

  • The bill prohibits states from implementing work requirements as a condition for Medicaid eligibility. This measure is intended to ensure that low-income individuals and families can access necessary medical care without facing additional bureaucratic hurdles.
  • It also seeks to prevent states from enacting policies that would restrict access to Medicaid based on a person’s ability to pay, thereby reinforcing the principle that healthcare is a right for all, regardless of income.

Funding and Authorities: HR 498 does not allocate new funding but reinforces existing federal guidelines and protections under the Medicaid program. It emphasizes the federal government’s role in maintaining equitable access to healthcare services for Medicaid recipients.

Programs and Agencies Affected: The bill primarily impacts the Medicaid program, administered by the Centers for Medicare & Medicaid Services (CMS). It directly influences state Medicaid programs by restricting their ability to impose certain eligibility criteria.

Beneficiaries: The primary beneficiaries of this legislation are low-income individuals and families who rely on Medicaid for healthcare services. By eliminating work requirements, the bill aims to ensure that vulnerable populations, including children, the elderly, and disabled individuals, can receive necessary medical care without added barriers.

Key Timelines: The latest action on HR 498 occurred when the Rules Committee reported H. Res. 953, which provides for consideration of HR 498 along with other bills. This resolution allows for a structured debate and a motion to recommit, indicating that the bill is progressing through the legislative process. Further timelines will depend on the scheduling of debates and votes in the House of Representatives.

Yea (204)

J
Jason Crow

CO • D • Yea

J
John Garamendi

CA • D • Yea

J
John Mannion

NY • D • Yea

R
Rashida Tlaib

MI • D • Yea

N
Nydia Velázquez

NY • D • Yea

D
Debbie Wasserman Schultz

FL • D • Yea

Nay (212)

K
Ken Calvert

CA • R • Nay

S
Scott Franklin

FL • R • Nay

L
Lisa McClain

MI • R • Nay

J
John Rutherford

FL • R • Nay

D
David Schweikert

AZ • R • Nay

P
Pete Sessions

TX • R • Nay

Not Voting (17)

L
Lloyd Doggett

TX • D • Not Voting

L
Lucy McBath

GA • D • Not Voting

E
Eric Swalwell

CA • D • Not Voting