DOJ secures agreement with one of New York's largest hospitals to end ‘transgender’ medical procedures on children

The Mount Sinai Health System, one of New York’s largest health care providers, will stop providing children with “transgender” medical interventions, including puberty blockers, cross-sex hormones, and surgical procedures, after entering an agreement with the Trump administration’s Department of Justice (DOJ).

Under the agreement announced Sept. 4, Mount Sinai will also pay an undisclosed monetary penalty and dedicate $2 million to providing free medical care to people suffering harmful consequences from gender-related treatments they received as minors. 

An August Department of Health and Human Services report cited Mount Sinai as the nation’s highest-billing provider of gender-related treatments for minors, with more than $8.2 million in submitted charges from 2019 through 2023, according to insurance data compiled by the advocacy group Do No Harm. 

Mount Sinai’s Institute for Advanced Medicine reported that its providers saw 4,931 “transgender” and “gender-diverse” patients in 2025.

Attorney General Todd Blanche said in the DOJ press release that the agreement “puts an end to these practices at Mount Sinai and provides meaningful relief for individuals who have already suffered harm.”

The agreement comes as part of the DOJ’s nationwide investigation into hospitals providing such procedures to minors. The department is examining potential violations of the Food, Drug, and Cosmetic Act, the False Claims Act, and other federal health care laws, according to the release. 

The department did not release details of the agreement with Mount Sinai but said in the release that the hospital was “cooperative, proactive, and solution-driven” throughout the investigation.

The DOJ noted that the announcement follows similar agreements with Texas Children’s Hospital, the Cleveland Clinic Foundation, and Connecticut Children’s Hospital. 

“A growing number of hospitals, like Mount Sinai, have recognized the medical scandal of sex-rejecting procedures,” Assistant Attorney General Brett Shumate, who is part of the Civil Division, said in the release. “While we are grateful when we secure resolutions to end this discredited practice and protect children, we must not and will not rest in our pursuit of justice for the victims it has left behind.”

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Mount Sinai said it reached the agreement to avoid being “compelled to produce these highly sensitive patient records to the grand jury” and to “protect our patients’ privacy,” according to a statement from the health system cited by Gothamist, a local news organization run by New York Public Radio. 

The DOJ launched its nationwide investigation after President Donald Trump signed a January 2025 executive order directing the federal government to withhold funding and support from medical efforts to “transition” children. The order also instructed the DOJ to prioritize investigations and enforcement actions involving possible violations of federal law. 

Blanche said in the release that the DOJ “is committed to holding accountable medical providers that violate federal law and endanger children through so-called gender-affirming care.”