Mount Sinai, one of New York City's largest hospitals, will cease providing sex reassignment procedures to minors as part of an agreement with the U.S. Department of Justice. The hospital has also committed to allocating $2 million for medical care for individuals harmed by treatments received during their youth.
The agreement stems from a Justice Department investigation into hospitals that provide gender transition procedures to minors. The department stated its commitment to holding medical providers accountable for violating federal law and endangering children through such treatments.
Mount Sinai's Institute for Advanced Medicine reported treating 4,931 transgender and gender-diverse patients in 2025, though the specific number of minors undergoing sex reassignment procedures was not publicly disclosed. The agreement requires the hospital to dedicate $2 million to provide free medical care for individuals who have experienced harmful consequences from transgender treatments received as children.
The Trump administration has prioritized curbing sex reassignment procedures for minors. An executive order issued shortly after President Trump's inauguration aimed to defund federal support for these procedures and directed the Justice Department to enforce various health care laws, investigate drug safety violations, and examine potential parental rights infringements.
The Justice Department's investigation has explored potential violations of the Food, Drug, and Cosmetic Act and the False Claims Act, among other federal health care laws. Allegations include fraudulent billing practices, such as using false diagnosis codes to secure payments from federal health care programs and private insurers.
The executive order also prompted federal agencies to rescind or amend policies that relied on guidance from the World Professional Association for Transgender Health (WPATH). WPATH's medical guidelines have been foundational for many hospitals' protocols for transgender procedures. Dr. Joshua Safer, Executive Director of the Mount Sinai Center for Transgender Medicine and Surgery, has co-authored WPATH guidelines.
Mount Sinai stated that the hospital "remained cooperative, proactive, and solution-driven" throughout the investigation and that the settlement reflects its commitment to safeguarding patient information and clinicians. This resolution follows similar agreements with other major hospitals, including Texas Children's Hospital, the Cleveland Clinic Foundation, and Connecticut Children's Hospital, which have also agreed to halt youth transgender procedures.