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Transgender Youth Health Care in New York: A Crisis Amid Federal Pressure

2/24/2026, 8:46:46 PM

Mount Sinai and NYU Langone Halt Gender-Affirming Care

Recent reports indicate that Mount Sinai Health System and NYU Langone Health in New York City have ceased providing gender-affirming care for transgender minors. Families have expressed concern after being informed that their teens could no longer access essential services, including hormone therapy and puberty blockers. This decision follows threats from the Trump administration to withdraw federal funding from hospitals that offer such care, which has raised alarms about the future of transgender health services nationwide.

Background: Federal Threats and Local Responses

The closure of these programs is part of a broader campaign by the Trump administration aimed at restricting gender-affirming care for minors. In December, Trump threatened to revoke Medicare and Medicaid funding for hospitals that provide these services. This initiative has led to a chilling effect on healthcare providers, prompting some, like NYU Langone, to discontinue their programs entirely. Despite these federal pressures, local officials, including New York Attorney General Letitia James, have asserted that denying gender-affirming care could violate state anti-discrimination laws.

Impact on Transgender Youth

The abrupt termination of these programs has left many transgender youth without access to what medical associations deem life-saving care. Parents have reported feelings of abandonment, with one mother stating, “They’re just completely abandoning trans youth and it’s disgusting and it’s dangerous.” The loss of these services not only affects ongoing treatments but also creates uncertainty for families seeking new providers.

Criticism and Opposition

Advocacy groups have condemned the decisions made by Mount Sinai and NYU Langone, accusing them of succumbing to political pressure. The NEW Pride Agenda, a New York State LGBTQ+ advocacy organization, warned that such actions could deter other healthcare providers from offering necessary care. Tyler Hack, executive director of the Christopher Street Project, described the closure as an “abandonment of its patients,” emphasizing that healthcare decisions should be based on medical needs rather than political influences.

Official Statements and Responses

In response to the closures, the New York City Commission on Human Rights expressed deep concern, stating that “decisions about health care should be guided by health needs, not political pressure.” The commission has committed to investigating complaints regarding discriminatory denial of care. NYU Langone has indicated its intention to assist affected patients in finding alternative care options, although the specifics of these arrangements remain unclear.

Conflicting Reports and Gaps

While NYU Langone cited federal funding threats and the departure of a medical director as reasons for closing its program, the broader implications of these decisions are still unfolding. Some hospitals have chosen to maintain their transgender youth programs despite federal pressures, highlighting a divide in how institutions are responding to the current regulatory environment.

What's Next for Transgender Youth Care

As the situation develops, local leaders and advocacy groups continue to push for protections to ensure access to gender-affirming care. The New York State Attorney General's office has reiterated the importance of compliance with state laws that protect the rights of transgender individuals in healthcare settings. The future of gender-affirming care for minors in New York remains uncertain, with ongoing advocacy efforts aimed at safeguarding access amidst a challenging political landscape.