The U.S. Department of Justice has reached agreements with NYU Langone and UPMC that will end their provision of certain transgender medical interventions to minors, with the two health care systems agreeing to pay a combined $9.45 million to resolve federal investigations.
The U.S. Department of Justice (DOJ) has reached agreements with two major American health care systems that will stop providing certain transgender medical interventions to minors.
New York University Langone Health (NYU Langone) and the University of Pittsburgh Medical Center (UPMC) agreed to stop providing services including puberty blockers, cross-sex hormones, and surgical procedures related to gender transition for children, according to the DOJ.
The agreements resolve federal investigations into the hospitals’ treatment of minors and possible violations of federal law. As part of the settlements, NYU Langone will pay $8.5 million, while UPMC will pay $950,000.
In a statement, the DOJ said the investigations involved the hospitals’ provision of what it described as “gender-affirming care” to minors. The department said the agreements were reached after cooperation from both medical institutions during the investigations.
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U.S. Attorney General Todd Blanche said the agreements were part of the Justice Department’s efforts to protect children and hold health care providers accountable for alleged violations of federal law.
“The Department of Justice is fighting to protect our nation’s children,” Blanche said, adding that hospitals involved in such practices could face consequences if they violated federal requirements.
The agreements have drawn criticism from LGBTQ+ advocates and supporters of transgender health care. Members of the Pittsburgh-based organization TransYOUniting objected to the resolution involving UPMC.
Lyndsey Sickler, a board member of the organization, said UPMC was not harming young people by providing gender-affirming care. She criticized the government’s involvement in medical decisions involving transgender patients.
Both NYU Langone and UPMC emphasized that the settlements should not be interpreted as admissions of wrongdoing or liability.
UPMC said it decided to resolve the matter in order to avoid prolonged litigation and to protect patients, families, employees, and sensitive medical information. The hospital said the agreement would allow it to remain focused on patient care and its broader medical mission.
NYU spokesperson Steve Ritea likewise said the institution did not enter the agreement because of wrongdoing. He said NYU Langone denied wrongdoing and liability under the settlement and believed resolving the case was in the best interests of patients, their families, medical providers, and the institution.
The DOJ said its investigations into other health care providers involved in transgender medical care for minors are continuing.
Assistant Attorney General for the Civil Division Brett Shumate and U.S. Attorney for the Northern District of Texas Ryan Raybould said the federal government remains focused on investigations involving other medical providers.
The latest agreements follow similar actions involving several other health care institutions, including Mount Sinai Health System in New York, Texas Children’s Hospital, the Cleveland Clinic Foundation, and Connecticut Children’s Hospital.
The federal government has also taken action involving Rady Children’s Hospital in California, one of the state’s largest pediatric health care systems. That dispute has developed into a legal battle after California’s attorney general sued the hospital, allowing certain transgender-related treatments for minors to continue while the case moves through the courts. Surgeries are not included in the treatments covered by that arrangement.
NYU Langone had previously announced in February that it was closing its transgender care programs for minors, citing changes in the regulatory environment and leadership. The DOJ’s investigation preceded the final resolution involving the hospital.
The agreements involving NYU Langone and UPMC reflect the growing legal and political debate in the United States over medical care for transgender minors. The issue remains contested, with federal officials and advocates for restrictions emphasizing child protection, while medical institutions and LGBTQ+ advocates have raised concerns about patient access, privacy, and the government’s role in medical decisions.
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