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What to Know About Hospital Deals with the Trump Administration to Avoid Treating Transgender Minors

The hospitals said the agreements protect patient records as the Justice Department alleges fraudulent billing and keeps minors from gender-affirming care.

  • On Friday, the Department of Justice announced settlement agreements with NYU Langone Health and the University of Pittsburgh Medical Center to end investigations into their pediatric gender-affirming care programs, with payments of $8.5 million and $950,000 respectively.
  • Initiated in July 2025, the DOJ investigation sought patient records to examine potential billing violations under the False Claims Act, prompting the hospitals to settle and avoid prolonged litigation over sensitive medical data.
  • Neither hospital admitted wrongdoing, with officials emphasizing the deals protect patient privacy and resolve billing disputes. NYU Langone spokesperson Steve Ritea said the settlement "protects patients and their families" from forced disclosure of confidential records.
  • These agreements mirror earlier settlements with Texas Children's Hospital and Mount Sinai Health System since May. Both facilities had already halted pediatric gender-affirming services amid federal pressure, so the deals primarily end investigations rather than immediately change patient access.
  • At least 27 states restrict gender-affirming care for minors, yet the American Medical Association supports keeping treatments available. The settlements reflect the Trump administration's broader campaign to end such services nationwide despite medical organizations' opposition.
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The Toronto StarThe Toronto Star
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What to know about hospital deals with the Trump administration to avoid treating transgender minors

At least six major hospitals have agreed to refuse gender-affirming hormones and surgery for transgender young people and agreed instead to make payments to the federal government for patients who

·Toronto, Canada
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The Advocate broke the news in Los Angeles, United States on Monday, September 21, 2026.
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