The Cleveland Clinic has agreed to provide $2 million in detransition care services as part of a settlement with the U.S. Department of Justice over allegations tied to gender-affirming care for minors. The agreement follows a 2025 federal investigation into claims that the hospital system falsely billed insurance providers for what the DOJ described as “sex-rejecting procedures on minors,” including puberty blockers, hormone therapy, surgeries, and voice modification treatments. Under the settlement, the Cleveland Clinic will also pay $308K to resolve billing allegations, though the hospital denied wrongdoing.
The hospital also agreed not to offer most gender-affirming medical interventions to minors for the next 20 years at facilities across Ohio, Florida, Nevada, Canada, the United Arab Emirates, and the United Kingdom. Ohio law already bans gender-affirming care for minors. The Clinic also said that it already provides detransition services and that little will change operationally. A spokesperson confirmed gender-affirming care for adults will continue.
The settlement requires the Clinic to establish public resources for detransition services, including a dedicated webpage, phone number, and care coordinator within 30 days. Trans advocates criticized the agreement. Dara Adkison, executive director of TransOhio said, “The Clinic is jumping to the front of the line to comply not with science and medicine, but with cruelty and anti-trans hate.”
