Vance urges DOJ investigation into hospitals over billing for transgender care
Congressional Republicans say they doubt JD Vance’s anti-fraud push will reach President Donald Trump, as the party seeks a voter message on government abuse.
- Vice President JD Vance and Department of Health and Human Services Secretary Robert F. Kennedy Jr. referred hundreds of health systems, hospitals, pharmacies, and pharmacy benefit managers to federal investigators over alleged fraudulent billing practices regarding pediatric gender-affirming care.
- An HHS report analyzing insurance claims from 2015 to 2025 identified $47.6 million billed for puberty blockers under non-gender-related endocrine disorder diagnoses, suggesting providers miscoded claims to circumvent restrictions or secure insurance coverage for minors.
- Flagged entities include prominent health systems such as Kaiser Permanente, HCA Healthcare, Providence, NYU Langone, and Baylor Scott & White Health, alongside major pharmacies and PBMs including CVS Caremark, Walgreens, Optum, and Humana's CenterWell.
- The referrals follow ongoing federal efforts by the Trump administration to restrict pediatric gender-affirming care nationwide, including recent CMS rules cutting off Medicaid and CHIP funding and prior DOJ subpoenas targeting hospital records.
- Major medical organizations—including the American Academy of Pediatrics and the American Medical Association—continue to endorse evidence-based gender-affirming care, criticizing the administration's claims and billing probes as politically motivated efforts to intimidate healthcare providers.
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