1 week ago
Hospitals Agree to End Gender-Affirming Care for Minors
The United States government made agreements with at least six hospitals about medical care for transgender young people.
The hospitals agreed not to provide puberty blockers, hormones or gender-affirming surgery to patients under 19.
Some hospitals had already stopped providing this care because their states banned it or because of pressure from the Trump administration.
New York University Langone Hospitals will pay the government $8.5 million, and University of Pittsburgh Medical Centers will pay $950,000.
The agreements also end investigations into care the hospitals provided before.
They may protect hospitals from having to give the government private patient information.
The administration says it wants to protect children and stop these treatments.
Major medical groups say the care should remain available.
The care is still offered by some hospitals, clinics and doctors.
At least six major hospitals agreed not to provide puberty blockers, hormones or gender-affirming surgery to patients under 19.
New York University Langone Hospitals agreed to pay $8.5 million, while University of Pittsburgh Medical Centers agreed to pay $950,000.
The settlements end federal investigations and address subpoenas seeking information about patients who received the care.
The hospitals did not admit wrongdoing, and several had already stopped offering the treatments because of state bans or federal pressure.
Medical organizations support continued access, while the Trump administration says it is protecting children from what it calls “sex-rejecting procedures.”
- Who
- The United States Department of Justice, the Trump administration and at least six hospitals, including New York University Langone Hospitals and University of Pittsburgh Medical Centers.
- What
- The hospitals agreed to stop providing gender-affirming hormones, puberty blockers and surgery to patients under 19, while settling federal investigations.
- Where
- The agreements involve hospitals in New York, Pennsylvania, Ohio, Connecticut and Texas.
- When
- The latest agreements were announced last week; similar settlements have been reached since May 2025.
- Why
- The administration says the agreements protect children and end gender-affirming care for minors; the hospitals say the settlements protect patients and families from investigations and demands for confidential records.
Supporters of Continued Access
Federal Administration and Restrictions Supporters
Whether the care should remain available
Supporters of Continued Access
The American Medical Association, the American Academy of Pediatrics and other major medical organizations support keeping gender-affirming treatment available for young people.
Federal Administration and Restrictions Supporters
The Trump administration says it is working to end what it calls “gender-affirming care” or “sex-rejecting procedures” for minors.
Federal involvement in medical decisions
Supporters of Continued Access
Eliel Cruz of the Gender Liberation Movement said federal action politicizes care for a specific group and creates a dangerous precedent.
Federal Administration and Restrictions Supporters
The Department of Justice says federal action is intended to protect children and stop treatments it considers inappropriate for minors.
Patient records and settlements
Supporters of Continued Access
Hospitals and advocates say protecting confidential patient information is important, and several hospitals challenged federal subpoenas in court.
Federal Administration and Restrictions Supporters
The administration pursued subpoenas and investigations as part of its effort to end gender-affirming care for minors; a federal appeals court ruled that this goal was not improper.
Key facts
- Hospitals involved
- At least six major hospitals or health systems have reached agreements with the Department of Justice.
- Age restriction
- The agreements cover patients under 19.
- New York University Langone payment
- $8.5 million to the federal government.
- University of Pittsburgh Medical Centers payment
- $950,000 to the federal government.
- Treatments covered
- Puberty blockers, hormones and gender-affirming surgery.
- Federal subpoenas
- The administration sought information about gender-affirming care for children, including patient names.
- State restrictions
- At least 27 states have laws restricting or barring gender-affirming care for minors.
Quotes
Todd Blanche
United States attorney general
“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”
NDTV
“It's a really dangerous precedent when the federal government is allowed to politicize any one group of people's care and end it”
NDTV
Sources
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