The agreements resolve federal investigations while requiring hospitals to stop providing certain medical interventions to patients under 19.
At least six major U.S. hospital systems have reached agreements with the Justice Department that end or restrict puberty blockers, cross-sex hormones and surgeries for transgender minors.
The latest agreements involve NYU Langone Hospitals and University of Pittsburgh Medical Center. They follow earlier settlements involving Cleveland Clinic, Connecticut Children’s Hospital, Mount Sinai Health System and Texas Children’s Hospital.
NYU agreed to pay the federal government $8.5 million, while UPMC agreed to pay $950,000. The hospitals did not admit wrongdoing.
The Trump administration argues that children should not receive medical interventions intended to transition them from their biological sex. Major medical organizations including the American Medical Association and American Academy of Pediatrics have supported access to gender-transition-related treatments for minors.
The agreements also resolve federal investigations and reduce the prospect that hospitals would be required to turn over confidential patient information sought through federal subpoenas.
Sources
Associated Press, Sept. 22, 2026; U.S. Department of Justice.
