NYU Langone, UPMC Settle DOJ Gender-Affirming Care Cases for $9.45M
NYU Langone Health and University of Pittsburgh Medical Center reached settlements with the U.S. Department of Justice totaling $9.45 million ($8.5 million and $950,000 respectively) and agreed to discontinue pediatric gender-affirming care services. The settlements were announced September 18, 2026. The agreements affect pediatric behavioral health and specialty care delivery at two major academic medical centers, both of which likely serve Medicaid-enrolled children. The DOJ enforcement action signals heightened federal scrutiny of gender-affirming care practices for minors, with direct implications for health systems, managed care plans covering these services, and state Medicaid agencies determining covered benefits.
This DOJ enforcement action establishes precedent for federal intervention in pediatric gender-affirming care delivery and creates legal and compliance uncertainty for health systems and Medicaid managed care plans covering or contracting for these services.
Behavioral Health · Managed Care
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