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Mount Sinai Halts Gender-Affirming Care for Minors

NEW YORK - February 18, 2026 - Mount Sinai Hospital in New York City has announced the cessation of gender-affirming care for patients under the age of 18, a decision driven primarily by escalating financial pressures and a strategic refocus on core medical services. The move, confirmed on Tuesday, affects hormone therapy, puberty blockers, and surgical interventions, effectively closing the program to new patients while continuing care for those already undergoing treatment.

This development isn't isolated. It represents a growing trend among healthcare institutions nationwide, forcing difficult choices amidst a confluence of rising operational costs, increasingly complex legal landscapes surrounding gender-affirming care, and, in some instances, overt political challenges. Mount Sinai reported a significant $200 million loss in 2023, highlighting the precarious financial footing many hospitals currently occupy.

In a statement released by the hospital, officials emphasized that the decision was a purely financial one. "As Mount Sinai transitions to a more financially sustainable model, we have had to make some difficult decisions about the services we provide," the statement read. "This decision was made after careful consideration and was not influenced by political or legal pressure." While the hospital maintains this stance, the timing coincides with increasing legislative restrictions on gender-affirming care in numerous states, making it difficult to disentangle financial motivations from the broader political climate.

A Nationwide Re-evaluation of Gender-Affirming Care

The situation at Mount Sinai mirrors a nationwide re-evaluation of these programs. The cost of providing gender-affirming care, especially surgical procedures, is substantial. These costs are often not fully reimbursed by insurance, placing a burden on hospital budgets. Simultaneously, the regulatory environment is shifting rapidly. Several states - including Florida, Texas, and Alabama - have enacted laws restricting or outright banning certain aspects of gender-affirming care for minors. These laws not only limit access to care but also expose healthcare providers to potential legal repercussions, further increasing financial risk.

The trend extends beyond large, urban hospitals like Mount Sinai. Smaller clinics and rural healthcare providers are also struggling to maintain these programs, often lacking the resources to navigate the legal complexities and absorb the financial burdens. This creates a patchwork of access to care across the country, with significant disparities based on geographic location and socioeconomic status.

Advocates Voice Concerns The decision has sparked immediate backlash from transgender advocates and civil rights organizations. The Legal Aid Society issued a statement condemning the move, characterizing it as "a disturbing trend of institutions abandoning their commitment to providing essential care to transgender youth." Advocates argue that denying access to gender-affirming care can have devastating consequences for transgender youth, increasing the risk of depression, anxiety, and suicide. They emphasize that this care is medically necessary for many individuals and that denying it constitutes discrimination.

"We are deeply concerned about the message this sends to transgender and gender-nonconforming youth," said Dr. Anya Sharma, a leading expert in transgender healthcare and president of the National Center for Transgender Equality. "Healthcare should be accessible to everyone, regardless of their gender identity. To prioritize financial sustainability over the well-being of vulnerable patients is unconscionable."

Looking Ahead: The Future of Transgender Healthcare

The situation at Mount Sinai raises critical questions about the future of transgender healthcare in the United States. Without significant changes in funding, insurance coverage, and legal protections, more hospitals and clinics are likely to follow suit, limiting access to care for transgender youth. Experts suggest several potential solutions, including increased government funding for gender-affirming care, expanded insurance coverage, and standardized training for healthcare providers.

Furthermore, there's a growing call for more research into the long-term health outcomes of transgender individuals to demonstrate the value and efficacy of gender-affirming care. This data could help to justify increased funding and insurance coverage and to counter misinformation that fuels discriminatory policies. The conversation also needs to focus on innovative care models, such as telehealth and community-based clinics, to make care more accessible and affordable. The current trajectory suggests a challenging road ahead for transgender healthcare, demanding urgent attention from policymakers, healthcare providers, and advocates alike.


Read the Full WPIX New York City, NY Article at:
[ https://www.yahoo.com/news/articles/nyc-hospital-ends-gender-affirming-204314269.html ]