WASHINGTON, D.C. (LifeSiteNews) – The U.S. Department of Health & Human Services (HHS) released a report Thursday identifying millions of dollars in insurance claims that billed for underage gender “transition” procedures under false pretenses.

The 64-page report, Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine,” examined more than 225 hospitals and health systems nationwide that offer pediatric gender programs by reviewing scientific literature, hospital records, whistleblower accounts, insurance claims, and interviews with patients and their parents.

It found “approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified). It further reported that nearly $11 million in claims for patients ages 13-17 were billed using a diagnosis code for precocious puberty E301 — findings the report said warrant additional review of insurance coding practices,” according to an HHS press release. The report called for greater oversight and review of insurance billing and coding practices as well as further evaluation of “gender medicine” policies.

“CMS has a duty to ensure taxpayer dollars are spent lawfully and honestly,” Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz said. “When billing practices obscure what care was actually provided, especially when children are involved, we have an obligation to follow the facts. We will protect the integrity of our programs, demand accountability, and make sure the American people are not footing the bill for sex rejecting procedures that inflict potentially irreversible harm on young patients.”

For years now, some hospitals and healthcare providers have been subjecting children to horrific, experimental treatments in service of radical gender ideologies. Today, thanks to the Wolves in White Coats report released by @HHSGov, we know why: profit. It turns out that… pic.twitter.com/B7K7iumpYC

— JD Vance (@JDVance) August 13, 2026

A large body of evidence shows that “affirming” gender confusion carries serious harms, especially when done with impressionable children who lack the mental development, emotional maturity, and life experience to consider the long-term ramifications of the decisions being pushed on them, or full knowledge about the long-term effects of life-altering, physically transformative, and often-irreversible surgical and chemical procedures.

In 2024, National Health Service (NHS) England’s landmark Cass Review found that “gender medicine” is “built on shaky foundations” and that while such interventions require a great deal of caution, “quite the reverse happened in the field of (so-called) gender care for children,” and that “(w)hile a considerable amount of research has been published in this field, systematic evidence reviews demonstrated the poor quality of the published studies, meaning there is not a reliable evidence base upon which to make clinical decisions, or for children and their families to make informed choices.”

In April, a study of “all under-23-year-old gender-referred individuals between 1996 and 2019” in Finland (2,083 people) found that those who had gone through gender transitions had “markedly higher psychiatric morbidity (other mental health issues) than controls before and after referral, with treatment needs often persisting and even intensifying after medical interventions.”

Many oft-ignored “detransitioners,” individuals who suffered under transitioning before returning to their true sex, attest to the physical and mental harm of reinforcing gender confusion, as well as to the bias and negligence of the medical establishment on the subject, many of whom take an activist approach to their profession and begin cases with a predetermined conclusion that “transitioning” is the best solution.

“Gender-affirming” physicians have also been caught on video admitting to more old-fashioned motives for such procedures, as with an 2022 exposé about Vanderbilt University Medical Center’s Clinic for Transgender Health, where Dr. Shayne Sebold Taylor said outright that “these surgeries make a lot of money.”

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