At a Glance
- DOJ withdrew a subpoena demanding medical records of 3,000 transgender youth from CHLA.
- A settlement agreement was filed Thursday, dissolving the subpoena served last summer.
- The case highlights tensions between federal investigations and privacy rights for gender-affirming care.
On Friday, the U.S. Department of Justice withdrew its subpoena demanding the medical records of over 3,000 transgender youth at Children’s Hospital Los Angeles (CHLA). A settlement agreement between the department and a group of patients was reached and filed in Los Angeles federal court, dissolving the subpoena served last summer.
Subpoena and Settlement
The subpoena sought access to minors’ sensitive medical records, including mental health notes, prescribing data, and other personal information related to gender-affirming care. It was part of a broader probe the Trump administration called a search for violations of the Federal Food, Drug, and Cosmetic Act. The DOJ said it targeted doctors and clinics that provided gender-affirming care to children across the U.S.
A settlement agreement was reached between the DOJ and the affected families. The agreement was filed Thursday and formally dissolved the subpoena. It also set terms for handling any remaining records.
Under the settlement, the DOJ withdrew its demands for medical records. The agreement protects the anonymity of the youth and their families. No further subpoenas will be served on CHLA for this matter.
Legal Context
In November, parents of six children who received gender-affirming care from CHLA filed a lawsuit to quash the subpoena. They argued the subpoena violated patients’ constitutional right to privacy. They also claimed it exceeded the government’s legal authority.
The lawsuit was filed in federal court in Los Angeles. It sought an injunction to halt the subpoena’s execution. The plaintiffs highlighted the sensitive nature of the requested records.
Impact on Families and Care
“This is a massive victory for every family that refused to be intimidated into backing down,” said Khadijah Silver, director of Gender Justice and Health Equity at Lawyers for Good Government. She emphasized the role of the lawsuit in securing the settlement. The statement was made during a press briefing.
“This settlement is a crucial affirmation that health care decisions belong in exam rooms, not government subpoenas,” said Cori Racela, executive director for the Western Center on Law & Poverty. Racela highlighted the constitutional rights involved. She noted that the outcome supports privacy and dignity for youth.
CHLA’s Closure
CHLA announced in June it would close its Center for Transyouth Health and Development and Gender-Affirming Care surgical program. The announcement came after years of operating the program. The closure was announced in a public statement by hospital executives.
Executives cited challenges, including the “shifting policy landscape,” for the closure. They mentioned financial pressures and regulatory uncertainty. The decision reflected broader concerns about the future of gender-affirming care in hospitals.
Executive Order Context
Trump signed an executive order last year impacting gender-affirming care and warned of severe consequences for hospitals that continue to offer transgender medicine for pediatric patients. The order threatened termination of federal funding. It also barred participation in Medicaid and Medi-Cal programs.
DOJ Withdrawal Significance
The DOJ’s withdrawal may signal a shift in federal enforcement of gender-affirming care investigations. It could reduce pressure on hospitals providing such services. The move may influence how future subpoenas are handled.
Privacy Rights Emphasis
The settlement underscores the importance of privacy rights for transgender youth. It affirms that medical records should remain confidential. The decision aligns with the constitutional protections cited by the plaintiffs.
Potential Policy Influence
The outcome may influence future policies on medical record access for transgender youth. Policymakers may reconsider the scope of federal investigations. The case could serve as a precedent for similar disputes.
Impact on Medical Providers
Medical providers may feel reassured that their patients’ records are protected. They may continue to offer gender-affirming care without fear of subpoenas. The settlement could encourage more providers to participate in such programs.

Future Legal Battles
Other families may use this case as a basis for challenging similar subpoenas. The legal community may watch closely for how courts interpret privacy versus regulatory compliance. The DOJ may respond with new strategies.
Key Takeaways
- DOJ withdrew a subpoena after a settlement that protects the anonymity of 3,000 transgender youth.
- The settlement was filed Thursday and dissolved the subpoena served last summer.
- The case highlights tensions between federal investigations and privacy rights for gender-affirming care.
Closing Statement
The decision marks a significant moment for families, medical providers, and policymakers navigating the complex intersection of health care and federal oversight. It demonstrates the power of collective legal action in safeguarding privacy.

