DOJ reaches second settlement on youth gender care
By
Theresa Gaffney
June 10, 2026
Clinical Scorecard: DOJ Finalizes Second Agreement Regarding Gender Care for Youth
At a Glance
Category Detail
Condition Pediatric Gender-Affirming Care
Key Mechanisms Involves the provision of puberty blockers and hormones to minors.
Target Population Minors seeking gender-affirming care.
Care Setting Hospital settings providing pediatric care.
Key Highlights
DOJ reached a settlement with Cleveland Clinic to cease pediatric gender-affirming care. Cleveland Clinic committed $2 million to support detransitioners. This is the second settlement following Texas Children’s Hospital's agreement. The actual text of the settlement has not been made public.
Guideline-Based Recommendations
Diagnosis
Management
Cleveland Clinic will not provide puberty blockers and hormones to minors, as per the settlement.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Minors who may seek gender-affirming care.
Clinical Best Practices
Related Resources & Content