(José Niño, Headline USA) At least six major hospital systems have agreed to stop providing transgender-related medical interventions to minors under settlements with the Trump administration, according to a New York Times report published on Tuesday. The agreements end Justice Department inquiries into possible billing misconduct and consumer fraud involving youth treatment programs.
The hospitals include Texas Children’s Hospital, Cleveland Clinic, Connecticut Children’s Medical Center, Mount Sinai Health System, NYU Langone Hospitals, and UPMC Children’s Hospital of Pittsburgh. Several institutions will pay financial penalties, while some have agreed to cover medical services for former patients seeking help with treatment related complications or detransition.
The New York Times described the settlements as an important advance for President Donald Trump’s administration, which has argued that the potential medical risks for minors outweigh claimed benefits. Since early 2025, the administration has used legal and financial tools to press providers in states where the treatments remain legal to end their youth programs.
The latest agreements involved NYU Langone and UPMC. Under their respective arrangements with the Justice Department, NYU agreed to pay $8.5 million and UPMC agreed to pay $950,000. Both institutions agreed to cease providing puberty blockers, cross sex hormones, and transgender surgical procedures to minors.
Attorney General Todd Blanche said the outcome reflected a wider federal enforcement campaign. “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,” Blanche said in a DOJ statement. “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.”
Federal officials say the national investigation examines possible violations of the Food, Drug, and Cosmetic Act, the False Claims Act, and other health care laws. A recent HHS report alleged that some providers used inaccurate diagnostic coding to obtain higher payments from public programs and private insurers, though the report called for further review rather than declaring liability.
The Justice Department also stressed that the settled claims against NYU and UPMC remain allegations.
José Niño is the deputy editor of Headline USA. Follow him at x.com/JoseAlNino
