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California Attorney General Sues Rady Children’s Over Halt to Youth Gender-Affirming Care

The case tests California’s authority to enforce merger terms obligating Rady to maintain pediatric gender care through 2034.

Overview

  • Attorney General Rob Bonta filed the suit on Jan. 30 in San Diego Superior Court, alleging Rady violated conditions tied to its 2024 merger approval with CHOC.
  • The merger terms required maintaining specialty services, including gender-affirming care, through 2034 and prior AG approval for any reduction, which Bonta says Rady did not seek.
  • Rady announced on Jan. 20 it would end medical interventions, procedures and prescriptions for patients under 19 effective Feb. 6, while continuing counseling, mental health resources and care coordination.
  • Bonta seeks a permanent injunction, civil penalties and restoration of services to the types and levels provided at the January 2025 merger, estimating roughly 1,450 patients are affected.
  • Rady cites escalating federal actions and an HHS Inspector General referral that it says threaten Medicare and Medicaid participation; federal proposals remain under review with public comment open until Feb. 17, and the hospital says it will address the claims in court.