NYU Langone Health and the University of Pittsburgh Medical Center agreed to pay nearly $9.5 million combined to settle a Justice Department probe into alleged improper billing for gender-affirming care provided to minors. NYU Langone will pay $8.5 million and UPMC $950,000. Under the agreements, both systems will cease providing puberty blockers, hormone treatments and surgical procedures to patients under 18, while pediatric mental health programs and gender-affirming care for adults will continue. Both institutions denied wrongdoing and liability and said the settlements protect the confidentiality of patients, guardians and providers. NYU Langone had already ended its transgender youth program in February, citing the current regulatory environment; UPMC did not address the program's status. The deals form part of President Donald Trump's broader effort to restrict gender-affirming care for minors and follow similar agreements involving four other hospital systems.