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Justice Dept. Reaches Settlements on Gender-Affirming Care
Developing
In Short: The Justice Department has reached settlements with NYU Langone and the University of Pittsburgh Medical Center over the provision of gender-affirming care to young people.
Last week, the Mount Sinai hospital system in New York announced it had reached a settlement with the Department of Justice, agreeing to stop providing gender-affirming care to trans patients under 18.
In March 2026, New York Attorney General Letitia James ordered Mount Sinai to resume its youth gender-affirming care program, but the hospital system kept the program shuttered.
In 2026, major hospital systems in New York, Massachusetts, Connecticut, and Colorado have stopped offering transition-related care to patients under 18 as federal authorities threaten their funding.
Mount Sinai, which sees about 6 million outpatient visits per year, joins other major hospital systems in ceasing to provide gender-affirming care to minors.
Mayor Zohran Mamdani announced a $15 million trans care investment in June, and the public hospital system and some Planned Parenthood clinics still offer puberty blockers and hormone replacement therapy.
At a September 8 rally, speakers said that even before the latest settlement, transition-related care at Mount Sinai was difficult or even impossible for patients under 18 to secure.
What this adds
The settlements with NYU Langone and the University of Pittsburgh Medical Center were announced by the Justice Department last Friday.
The news highlights the ongoing impact of federal actions on gender-affirming care for minors in multiple states.
Background
A justice ministry, ministry of justice, or department of justice, is a ministry or other government agency in charge of the administration of justice. The ministry or department is often headed by a minister of justice or a secretary of justice.
What's still developing
- Her older daughter, who is eight, is transgender, and Angelica wanted to move them to a safe blue state—somewhere her family’s medical care would not be called into question.
- As hospitals continue to fold to Trump’s Department of Justice, gender-affirming care for trans kids, even in blue states, is looking less secure.
- “If you are a young trans person and you are in need of healthcare, please reach out to me,” Brown said.
- Last Friday, the Justice Department announced that it had reached settlement deals with NYU Langone and the University of Pittsburgh Medical Center over the provision of gender-affirming care to young people.