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Mount Sinai agrees to end gender-affirming care for minors after DOJ settlement

Mount Sinai health system has signed a settlement with the Department of Justice that permanently halts gender-affirming treatment for transgender minors and allocates $2 million for detransition support.

On September 4, Mount Sinai announced a settlement with the Department of Justice that permanently stops providing gender-affirming care to minors and earmarks $2 million for former patients seeking detransition. The deal follows a May DOJ subpoena for records of transgender youths and a June court order that blocked the release of those files, making the settlement a formalization of a February pause in services. Parents of trans children, speaking anonymously, described the decision as a betrayal that endangers their children's health and cited exorbitant medication costs.

The settlement has sparked protests, with about 250 demonstrators gathering outside the hospital’s Upper East Side location. Local leaders, including Mayor Zohran Mamdani, have been urged to expand care for trans youth, while criticism has also been directed at Attorney General Letitia James for perceived inaction.

Why it matters

The settlement removes a critical health option for transgender minors and highlights federal pressure on state healthcare providers.

In this story

gender-affirming caretrans youthMount Sinai settlementDOJ pressuredetransition fundingprotestshealthcare policy
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