President Trump’s Justice Department just secured two major child-protection victories — and the hospital systems involved are paying millions to put the investigations behind them.

NYU Langone Hospitals and the University of Pittsburgh Medical Center have agreed to end pediatric transition procedures involving puberty blockers, cross-sex hormones and surgery.

The agreements also carry a combined $9.45 million in payments: $8.5 million from NYU and $950,000 from UPMC.

These are two of the biggest names in American medicine. They are now the fifth and sixth major hospital systems to reach this kind of resolution with the Trump administration.

The Justice Department announced the agreements and put hospitals across the country on notice.

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The U.S. Department of Justice said the deals resolve investigations into potential violations of federal law connected to pediatric transition procedures.

Under the agreements, both hospital systems will stop providing puberty blockers, cross-sex hormones and surgical procedures to minors for the purpose of gender transition.

The investigation focused on possible violations of the Food, Drug, and Cosmetic Act, the False Claims Act and other federal health care laws. Federal investigators also examined allegations that false diagnosis codes were used to obtain payments from government programs and private insurers.

DOJ credited both NYU and UPMC for cooperating with investigators. That cooperation includes helping the department investigate other entities that may have violated federal law in the same field.

The department said the nationwide investigation is continuing. Hospitals that do not resolve potential violations could still face prosecution.

The federal allegations have not resulted in a determination of liability. Both NYU and UPMC deny wrongdoing.

Attorney General Todd Blanche said the administration is fighting to protect children and hold hospitals accountable when they allegedly bill taxpayers or insurers for unlawful procedures.

Assistant Attorney General Brett Shumate delivered an even sharper warning: investigations into other providers remain active, and the Justice Department intends to pursue those that broke the law.

This did not begin as a stray agency initiative.

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It traces directly to President Trump.

The White House executive order signed in January 2025 established a federal policy against funding, sponsoring, promoting or assisting the medical transition of children.

The order defined the covered procedures to include puberty blockers used to delay normal puberty, cross-sex hormones and surgeries intended to alter a child’s sexual characteristics or organs. It applies to patients under 19.

It instructed federal agencies that award research or education funding to medical institutions to take lawful steps ensuring that recipients end those procedures on minors. It also directed officials to review federal grants and reimbursement practices that could subsidize them.

President Trump also directed federal health officials to review the science, change policies relying on disputed guidance and use available enforcement authorities to protect children.

The order called for the Department of Health and Human Services to review the medical literature and improve the data used to evaluate treatment for young people with gender-related distress.

It also directed agencies to examine Medicare and Medicaid coverage rules, drug-use reviews, quality-and-safety standards and insurance practices that could finance the procedures.

For the Justice Department, the order specifically called for enforcement against legal violations and coordination with state attorneys general. The current hospital settlements grew from that federal campaign.

That order gave the administration a clear policy. The hospital agreements show the enforcement campaign producing concrete results.

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Local reporting in Pittsburgh confirmed that UPMC will end the covered pediatric procedures under its agreement with DOJ.

CBS Pittsburgh reported that UPMC agreed to cease the covered care for minors and pay $950,000 as part of the resolution.

The local report also carried UPMC’s response. The hospital said it settled to avoid extended litigation, protect private patient information and allow its staff to remain focused on patient care.

UPMC said the agreement contains confidentiality and non-prosecution protections for patients, guardians, providers and employees. It expressly denied wrongdoing or liability and said its priority was ending the dispute without exposing private patient information.

The Pittsburgh health system characterized the dispute as centered largely on alleged billing practices connected to the care. Its statement said the settlement avoids further disclosure fights over sensitive medical records while bringing the federal investigation to a close.

That local context explains why the agreement combines an end to the procedures with payment and cooperation provisions. UPMC disputes the allegations while accepting terms that keep the pediatric program closed and resolve its potential exposure.

NYU issued a similar defense of its decision.

NYU Langone Health said its agreement removes the threat that it would have to provide confidential information about patients under 18 who received transition-related care.

NYU denied wrongdoing and said it settled to protect patients, families, providers and the institution from prolonged litigation.

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The hospital added that the resolution does not affect its pediatric mental-health programs or care for adults 18 and older. Those services will continue under the terms NYU described publicly.

NYU said the deal removes the threat that the hospital would have to turn over confidential information previously demanded about underage patients. It described privacy and institutional stability as the reasons for settling, not an admission that its doctors or administrators violated the law.

Its public statement thanked physicians, nurses and staff for working through the dispute and said the institution would continue treating patients with compassion and dignity.

Even with those denials, the practical result is clear: the covered pediatric transition procedures will not resume under the agreement, the federal investigation is resolved and NYU will pay $8.5 million.

The agreements immediately triggered political backlash from the left.

New York City Mayor Zohran Mamdani attacked NYU for settling and vowed that his administration would continue using city resources to support the opposite policy.

Mamdani’s outrage exposes the political divide as clearly as anything could.

President Trump’s administration is using federal funding, fraud laws and health-care enforcement to stop life-altering medical interventions on children.

The mayor of America’s largest city is answering with $15 million in city spending to keep the ideology alive.

Meanwhile, the hospital list keeps growing.

DOJ said the NYU and UPMC agreements follow earlier resolutions with Mount Sinai Health System, Texas Children’s Hospital, the Cleveland Clinic Foundation and Connecticut Children’s Hospital.

Six major systems have now stepped back under federal pressure.

The latest two are paying nearly $9.5 million and cooperating with investigators looking at other providers.

That is an unmistakable warning to every hospital executive who assumed this industry would remain beyond serious scrutiny.

President Trump promised to end the medical transition of children.

His Justice Department is turning that promise into signed agreements, real money and a widening investigation.

This is a Guest Post from our friends over at WLTReport. View the original article here.

 

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