Six major hospitals agree with the government to suspend gender-affirming treatments for minors
NYU Langone and UPMC are the latest centers to reach agreements with the Department of Justice, which is conducting a nationwide investigation into these procedures.
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Six major hospital systems in the country have reached agreements with the federal government to stop providing certain gender transition treatments to minors, as part of a nationwide investigation launched by the Trump administration.
The two most recent agreements were announced by the Department of Justice (DOJ) and affect NYU Langone Hospitals in New York and the University of Pittsburgh Medical Center (UPMC) in Pennsylvania.
According to the DOJ's official statement, both institutions agreed to stop providing minors with procedures that include puberty blockers, cross-sex hormones and certain surgical procedures. NYU Langone will pay $8.5 million, and UPMC will pay an additional $950,000.
The settlements resolve federal investigations into possible violations of various health care laws, including the False Claims Act, related, among other things, to alleged irregularities in billing federal programs and private insurers for these treatments.
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Six institutions have reached settlements
The settlements with NYU and UPMC join others previously reached with Texas Children's Hospital, Cleveland Clinic Foundation, Connecticut Children's Hospital and Mount Sinai Health System, as confirmed by the Department of Justice itself.
The first of these major settlements was reached in May with Texas Children's Hospital. The hospital agreed to stop performing these procedures on minors and to pay more than $10 million in damages and civil penalties. It also agreed to allocate resources to medical care for people seeking to reverse treatments they had previously received.
In June, Cleveland Clinic reached a similar agreement, which includes a commitment not to perform these procedures on minors and to allocate $2 million to medical services for people seeking to reverse them.
Connecticut Children's Medical Center became the third hospital in August to reach an agreement with the federal government, also committing to suspend puberty blockers, hormones and gender-affirming surgeries for minors.
Mount Sinai will allocate $2 million for "detransition" care
In addition to a financial penalty, the amount of which was not disclosed, Mount Sinai committed to allocating $2 million toward free medical care for individuals who allege adverse consequences resulting from gender-affirming treatments received when they were minors.
The original investigation highlighted this provision as a significant difference from other settlements reached by the federal government.
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A national investigation by the Department of Justice
The federal crackdown dates back to an executive order signed by Trump in January 2025, which directed the Department of Justice to prioritize investigations into potential violations of federal law related to these treatments in minors.
Based on that directive, the DOJ's Civil Division launched a nationwide investigation examining potential violations of the Food, Drug, and Cosmetic Act, the False Claims Act, and other health laws, as well as possible improper billing schemes.
"The Department of Justice is committed to protecting the children of this nation and is working tirelessly to reach settlements with hospitals," said Attorney General Todd Blanche when announcing the settlements with NYU and UPMC.
The Department states that it will continue to investigate hospitals, medical providers and other institutions that may have violated federal laws in the provision or billing of these services.
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