[REVISION HISTORY]

DOJ settlements and CMS restrictions on youth gender care

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2026-09-23 19:14 UTC → 2026-09-25 14:30 UTC · added ~~removed~~

The U.S. Department of Justice (DOJ) has expanded its efforts to restrict pediatric gender-affirming care through a series of settlements with major medical institutions. Following agreements with Connecticut Children’s Medical Center, the Cleveland Clinic Foundation, and Texas Children’s Hospital, the Mount Sinai Health System reached a settlement with the DOJ and the Department of Health and Human Services. Under that agreement, Mount Sinai will cease providing puberty blockers, hormone treatments, and gender-related surgeries to minors, while paying a monetary penalty and committing $2 million toward medical care for individuals reporting harmful consequences from childhood treatments. Mount Sinai denied wrongdoing, stating the settlement was intended to protect patient medical records and avoid the forced disclosure of sensitive information following a grand jury subpoena. Similarly, NYU Langone Health and the University of Pittsburgh Medical Center have now reached settlements with the DOJ to end gender-affirming care for minors. NYU Langone will pay $8.5 million, and the University of Pittsburgh Medical Center will pay $950,000. Both institutions maintained they did not admit to wrongdoing, citing a desire to avoid prolonged litigation and subpoenas for sensitive medical records. These settlements follow DOJ investigations into whether providers engaged in “fraudulent billing practices” to obtain payments from federal and private insurers. Attorney General Todd Blanche stated the DOJ is “fighting to protect our nation’s children.” Conversely, critics such as David Kilmnick of the NY LGBT Network have condemned these actions as abusive interference intended to “target transgender young people and intimidate healthcare institutions.” Regulatory pressure continues via the 9th U.S. Circuit Court of Appeals and the Centers for Medicare Collectively, at least six major hospitals—including NYU Langone, UPMC, Texas Children’s, Cleveland Clinic, Connecticut Children’s, and ~~Medicaid Services (CMS), which has finalized a rule prohibiting federal Medicaid~~ Mount Sinai—have agreed to cease providing puberty blockers, cross-sex hormones, and ~~CHIP funds from covering certain gender-affirming services for minors.~~ related surgical procedures to patients under 18. Several hospitals have also committed to providing free medical care to former patients who wish to detransition.

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