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Mount Sinai reaches deal with Trump DOJ to end gender affirming care for minors

The hospital will pay a monetary penalty and $2 million for detransition care as part of the settlement, officials said.

  • On Friday, Mount Sinai Health System agreed with the U.S. Department of Justice to end gender-affirming care for minors, resolving a federal investigation into the hospital's practices.
  • The settlement follows federal investigations into alleged 'potential violations of federal law' regarding gender-affirming care, which President Donald Trump's 2025 executive order labeled 'chemical and surgical mutilation'.
  • Under the agreement, Mount Sinai will pay a monetary penalty and dedicate $2 million to provide free medical care to individuals the DOJ claims suffered harm, though the hospital maintains an express denial of wrongdoing.
  • Mount Sinai officials said the agreement prevents releasing sensitive patient records to a grand jury, though advocate David Kilmnick criticized the system for failing to challenge the government rather than capitulate.
  • Similar agreements have been reached with Texas Children's Hospital, Cleveland Clinic Foundation, and Connecticut Children's Hospital as the Justice Department expands its nationwide investigation into gender-affirming care practices.
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Gay City News broke the news on Friday, September 4, 2026.
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