At least 6 major hospitals have agreed to end gender ‘transition’ procedures for minors under Trump administration deals
New York University Langone Hospitals and the University of Pittsburgh Medical Center are the latest health care systems to reach agreements with the Justice Department, joining Mount Sinai, Texas Children’s Hospital, the Cleveland Clinic Foundation, and Connecticut Children’s.
At least six major hospital systems have agreed to stop providing gender “transition” drugs and surgeries to children and to make payments to the federal government under agreements with the Trump administration, according to announcements from the Department of Justice (DOJ).
The DOJ announced in a Sept. 18 press release that New York University (NYU) Langone Hospitals and the University of Pittsburgh Medical Center (UPMC) had reached agreements resolving federal investigations into their treatment and billing practices.
Under the agreements, the two hospital systems will stop administering puberty blockers and cross-sex hormones to minors and performing gender “transition” surgeries on them. NYU will also pay $8.5 million, while UPMC will pay $950,000.
“The Department of Justice is fighting to protect our nation’s children and working tirelessly to reach agreements with hospitals to end so-called ‘gender affirming care’ for minors,” Attorney General Todd Blanche said in the release. “Today’s resolutions send a clear message: hospitals that target children in these practices and then fraudulently obtain payment for the procedures will be held to account.”
The agreements bring the number of major hospital systems that have reached similar resolutions with the DOJ to six, following earlier agreements with Mount Sinai Health System, Texas Children’s Hospital, the Cleveland Clinic Foundation, and Connecticut Children’s Hospital.
According to AP News, the Texas and Ohio hospital systems had already stopped providing the interventions because of state bans. Connecticut Children’s Hospital, NYU, and UPMC had also announced that they would end or restrict their programs after President Donald Trump returned to office in January 2025. At least 27 states have laws restricting or barring such interventions for children.
The DOJ said its nationwide investigation concerns possible violations of the Food, Drug, and Cosmetic Act, the False Claims Act, and other federal health care laws. Investigators are examining allegations that providers used false diagnosis codes to obtain reimbursement from federal health programs and private insurers for gender “transition” medical interventions.
NYU and UPMC both denied allegations of wrongdoing as part of the settlements. They said the agreements resolved the investigations while protecting patients, parents, and medical providers from having confidential information disclosed in response to federal grand jury subpoenas.
The DOJ issued more than 20 subpoenas to doctors and clinics in 2025 as part of investigations into possible health care fraud and false statements, a move that came after Trump directed federal agencies in January 2025 to withhold funding and support from institutions that provide medical interventions intended to “transition” children.
The department said its investigations into other providers remain underway.
“Our efforts and investigations into other providers are ongoing,” Assistant Attorney General Brett Shumate said in the release. “Those that have broken the law and not resolved their potential liability will be prosecuted to the fullest extent possible.”
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