Mount Sinai Ends Youth Gender Treatments

Doctors walking in a hospital corridor reviewing a tablet — Photo: Gorodenkoff / Shutterstock

Mount Sinai agreed to stop youth gender treatments and fund $2 million in care for those reversing past interventions, under a Justice Department deal.

Story Highlights

Justice Department announced a settlement with Mount Sinai over youth gender interventions.
Mount Sinai will end puberty blockers, cross-sex hormones, and surgeries for minors.
The health system will fund $2 million for detransition-related care and pay penalties.
The move follows subpoenas and court fights over access to youth medical records.

What The Agreement Requires From Mount Sinai

The Department of Justice said it resolved an investigation into potential federal-law violations tied to Mount Sinai’s youth gender services. Under the agreement, Mount Sinai will stop providing puberty blockers, cross-sex hormones, and surgical procedures to minors. The system will also fund $2 million for care for people who report harm and now seek to detransition. The department described the matter as a settlement of allegations, not a court finding of liability, and said Mount Sinai denies wrongdoing.

Mount Sinai has marketed a youth gender clinic as part of its Center for Transgender Medicine and Surgery, presenting teams focused on adolescent care. The clinic’s public materials stated it provided both primary care and specialty services for transgender and gender-diverse youth. The settlement now requires the system to cease such interventions for minors going forward. The change will likely affect current patients and families seeking to start care within the network.

How We Got Here: Subpoenas, Records Fights, And A National Push

Federal investigators escalated pressure on several hospitals over the past year. In June, Mount Sinai received a grand jury subpoena for adolescent gender-care records, according to public reporting. A federal judge in New York later issued a temporary restraining order that blocked immediate Justice Department access to some youth medical records held by Mount Sinai and other systems. These steps unfolded as the department pursued a broader probe into pediatric gender care practices nationwide.

The Mount Sinai deal follows a similar Justice Department resolution with Texas Children’s Hospital that the agency called its first such settlement in this area. Courts across the country have both narrowed and, in some cases, enforced government subpoenas for youth gender-care records, showing a patchwork legal landscape. Together, these moves reflect a clear federal campaign to reframe parts of pediatric gender care as potential legal violations, while hospitals push back on privacy and scope concerns.

Why This Matters To Families, Clinicians, And Taxpayers

Families now face reduced access at one of the nation’s largest health systems. Parents who started care at Mount Sinai have already reported calls about halted services and closed intake for new youth patients. Clinicians must adjust treatment plans, referrals, and follow-up for teens in active care. Taxpayers will watch how settlement funds are used, since the agreement directs $2 million toward detransition-related services, which can include counseling and medical support after prior interventions.

Mount Sinai just agreed with the DOJ to stop puberty blockers, cross-sex hormones, and gender surgeries on minors.

They will also put $2 million toward free care for people harmed by those interventions as children.

Same pattern now at Texas Children’s, Cleveland Clinic,… pic.twitter.com/b8NATJp7Fg

— Keith Ainsworth (@AinsworthKeith) September 5, 2026

People on the right and left share a core worry here: powerful institutions make sweeping decisions while regular families carry the cost. Supporters of the settlement see it as a guardrail against risky care for minors. Critics see government overreach into private medical choices. Both sides see secrecy and legal muscle at work. The bottom line is simple and stark: the federal government forced a major hospital system to change course, and families must now navigate the fallout.