Overview

• Federal court filings disclosed last week show Justice Department subpoenas seeking patient-identifying data dating to 2020, including Social Security numbers, dates of birth, diagnoses and records of puberty blockers or hormone therapy.
• Children's Hospital of Philadelphia asked a federal judge to block the subpoena after Washington state's attorney general placed the document on the record in separate litigation over Trump administration directives.
• Attorney General Pam Bondi has said more than 20 subpoenas target providers treating people under 19 in both states that permit care and states with bans.
• Hospitals and health systems in multiple states have curtailed services for minors, with Children’s Hospital Los Angeles, Children’s National in D.C. and UPMC among those scaling back.
• Parallel federal actions continue: OPM will end federal employee health plan coverage for transition-related interventions in 2026, CMS inquiries and an FBI tipline are active, the FTC is investigating providers’ claims, and 16 states have sued to stop the federal campaign.