DOJ Reaches Agreement With Mount Sinai Over Pediatric Transgender Care

Mount Sinai Health System has agreed to stop providing puberty blockers, cross-sex hormones, and surgical procedures to minors as part of an agreement with the Trump administration's Justice Department.

The Justice Department announced the agreement Friday, saying it resolves an investigation into potential violations of federal law involving medical interventions provided to children, per Fox News.

Mount Sinai will also pay a monetary penalty and dedicate $2 million toward medical care for people who say they experienced harmful consequences from treatments they received as minors.

Attorney General Todd Blanche said the agreement ends the practices under investigation at Mount Sinai.

"The Department of Justice is committed to holding accountable medical providers that violate federal law and endanger children through so-called gender-affirming care," Blanche said. "This agreement puts an end to these practices at Mount Sinai and provides meaningful relief for individuals who have already suffered harm."

Mount Sinai is one of New York's largest health care providers. Its Center for Transgender Medicine and Surgery has offered hormone therapy, surgical procedures and other services to transgender and gender-diverse patients, including pediatric and adolescent care.

The Justice Department said its investigation examined potential violations of the Food, Drug, and Cosmetic Act, the False Claims Act, and other federal health care laws. Investigators also examined allegations involving billing practices, including the use of diagnosis codes to obtain payments from federal health programs and private insurers.

The federal investigation follows an executive order President Donald Trump issued in January 2025 directing the Justice Department to prioritize investigations involving gender-transition procedures provided to children. The department subsequently launched a nationwide investigation into medical providers and related organizations.

Assistant Attorney General Brett Shumate said the department is continuing its work involving hospitals and other entities that provide pediatric gender-related medical interventions.

"A growing number of hospitals, like Mount Sinai, have recognized the medical scandal of sex-rejecting procedures," Shumate said.

The Justice Department has reached similar agreements with other major health systems, including Texas Children's Hospital and Cleveland Clinic. Cleveland Clinic agreed in June to stop providing the procedures to minors and dedicate $2 million to restorative care, while Texas Children's agreed to pay more than $10 million and establish a clinic focused on detransition care.

The Justice Department said the allegations resolved through the Mount Sinai agreement remain allegations and that there has been no determination of liability. Mount Sinai has denied the allegations.