DOJ reaches second settlement on youth gender care - Scorecard - MDSpire

DOJ reaches second settlement on youth gender care

  • By

  • Theresa Gaffney

  • June 10, 2026

  • 0 min

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Clinical Scorecard: DOJ Finalizes Second Agreement Regarding Gender Care for Youth

At a Glance

CategoryDetail
ConditionPediatric Gender-Affirming Care
Key MechanismsInvolves the provision of puberty blockers and hormones to minors.
Target PopulationMinors seeking gender-affirming care.
Care SettingHospital 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

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