Before stopping in response to President Donald Trump’s order canceling federal funding for child sex changes, six institutions made nearly $5 million offering transgender procedures to minors, according to insurance claims data from 2019 to 2023 compiled by Do No Harm.
Trump signed an executive order Jan. 28 that eliminated all federal funding for the chemical and surgical mutilation of children and threatened legal consequences for institutions that support the practice, prompting several clinics — including Children’s National in Washington, D.C. — to stop offering the procedures.
Children’s National previously pulled in $67,293 on child sex change procedures over a five-year period, the Stop the Harm database shows. The hospital announced it would pause all puberty blockers and hormone therapy prescriptions for youth on Thursday, stating it is “committed to providing compassionate and comprehensive care in accordance with the law” and already does not provide sex change surgeries to minors.
VCU Health and Children’s Hospital of Richmond, which charged a combined $238,282 over the same five-year period, also stopped offering the procedures to minors.
“VCU Health and Children’s Hospital of Richmond at VCU have suspended gender-affirming medication and gender-affirming surgical procedures for those under 19 years old in response to a White House executive order and clear guidance from the state provided to VCU,” a spokesperson for the hospital told The Advocate.
One New York hospital began canceling appointments for minors undergoing gender transitions, though it has not yet made a public announcement, according to the New York Times. NYU Langone Health and its affiliated hospitals charged $4.48 million for such procedures over five years.
New York attorney general Letitia James warned Monday that hospitals are violating state law if they stop offering puberty blockers and hormone therapy to minors in response to Trump’s order.
Other institutions that have taken steps to stop the procedures following Trump’s order include Denver Health, which charged $23,487; UCHealth, which charged $74,096 across five locations; and UVA Health, which charged $27,735.
UCHealth told the DCNF that “medical therapies outlined in the executive order will now only be available for patients age 19 and older,” noting its minimum age for surgeries was increasing from 18 to 19 years old. A spokesperson said she could not verify Do No Harm’s data.
In total, U.S. hospitals charged nearly $120 million over the same five-year period for procedures on nearly 14,000 children, per the database. Some other hospitals listed in the database have not yet made public announcements about their child gender programs or have decided to continue despite the executive order.
Mass General Brigham told WBUR last week that “care will continue as normal.” Member hospitals of the system charged nearly $1.2 million over five years for child gender transitions.
Children’s National, VCU Health, NYU Langone Health, Denver Health and UVA Health did not immediately respond to requests for comment.
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