2026-06-24T16:05:01.082Z / https://www.cnn.com/2026/06/24/politics/medical-records-minors-transgender-langone-new-york
一名联邦法官已临时叫停特朗普政府从纽约市医疗机构获取敏感医疗记录的行为，这些机构近年为未成年人提供了性别认同医疗服务。
美国地区法官凯瑟琳·波尔克·法伊拉的这项裁决，对特朗普政府正在进行的全国范围内针对性别认同医疗服务提供者的刑事调查是重大打击。美国各地多家法院均将此次调查描述为不当的“钓鱼执法”，因为政府一直难以找出提供者可能存在的犯罪行为。
法伊拉是前总统巴拉克·奥巴马任命的法官，她在周三当庭作出裁决，临时认证了一类诉讼主体：过去六年间曾在纽约市医疗机构接受过性别认同医疗服务的个人。她同时发布了临时禁制令，禁止执法人员获取相关医疗记录，包括最近几周向纽约大学朗格尼医院发出的大陪审团传票所要求的文件。
“政府在此索要的信息范围广泛，包括医疗评估、诊断结果、知情同意书以及原告跨性别身份的披露，”她说道，并补充道这类信息“完全属于应受到最强宪法保护的私密材料范畴”。
“我无法想象有哪一项犯罪需要如此广泛的信息披露——获取整整一类人群六年时间里的身份识别信息和敏感医疗记录，因此我不得不认定，政府的利益并未超过原告的隐私权益，”法伊拉表示。
在驳回政府诉求的同时，法官指出司法部律师前一天向她作出的陈述似乎表明，检察官有可能会利用这些记录对患者或其父母提起刑事诉讼。
“我很难找到理由信任政府不会起诉患者，尤其是在无法对所谓调查或传票的任何方面置评的情况下，”她说。
法伊拉如今已是越来越多对特朗普政府的调查及其调查手段发出警告的法官之一。
在过去一年的一系列裁决中，两党总统任命的法官均批评此次调查并非为了起诉真正的犯罪行为，而是旨在向医疗机构施压，迫使它们停止提供性别认同医疗服务。这类医疗服务在联邦层面并不违法，但在共和党主导的州已遭到严格限制。此前已有多家法院阻止了向全国各地医疗机构发出的行政传票。
在本次案件中，几名曾在纽约市接受相关治疗的儿童的父母请求法伊拉阻止医疗记录被移交，因为他们担心信息泄露会使自己遭到特朗普政府的报复。
得克萨斯州联邦大陪审团向纽约大学朗格尼医院发出的传票要求该医院提交“足以识别每一位接受了性别排斥手术的患者”的文件，以及与这些患者相关的所有记录“从首次咨询到最近一次治疗”。传票还要求医院提供父母为未成年子女授权接受此类治疗的相关记录。
该医院在5月初披露自己收到了这张传票，近一个月后集体诉讼正式提起。今年早些时候，在特朗普政府威胁要切断该医院的联邦资助后，纽约大学朗格尼医院停止了为未成年人提供性别认同医疗服务。其他医院也在华盛顿方面的压力下终止了相关项目。
法伊拉在周三的裁决中援引了此前的相关判例，称检察官显然试图绕过此前的不利裁决，转而使用大陪审团传票——这类传票通常在法庭上更难被阻止。
“司法部并未因在法庭上的糟糕表现而气馁，反而决定以大陪审团传票的形式发出几乎完全相同的文件要求，”她说道，并进一步批评政府“试图将已被驳倒的民事行政传票改头换面，变成来自精心挑选的偏远司法辖区的大陪审团传票，以减少对其宪法缺陷的司法审查”。
代表本案原告的美国公民自由联盟律师蔡斯·斯特兰吉奥表示，他们“感谢法院批准了我们的紧急请求，以保护跨性别纽约市民及其家庭的隐私权益”。
“患者和家属将最私密的个人信息托付给医生，理应反过来相信这些信息会得到保护，不会遭到联邦政府或其他任何方的不当、骚扰性披露要求，”斯特兰吉奥在一份声明中说道。本案原告还得到了LGBTQ权利组织兰姆达法律项目以及纽约公民自由联盟的代理。
通过法庭文件和庭审程序，司法部表示，除其他事项外，他们正在调查医疗机构是否非法超适应症使用药物，为跨性别未成年人进行跨性别激素治疗和青春期延迟干预。检察官还在调查提供此类治疗时是否存在可能的欺诈性计费行为。
法伊拉发出的临时禁制令将在后续更多法庭程序进行期间持续有效。
她的裁决紧随明尼苏达州一名法官的另一项判决而来，该判决同样严厉批评了政府动用检察权的行为。在那起案件中，法官帕特里克·希尔茨认定，向该州民主党州长及其他官员发出的传票具有报复性质，仅仅是为了骚扰他们反对唐纳德·特朗普总统在双子城实施的移民打压政策。
至少还有一家医院公开表示，自己也收到了得克萨斯州检察官发出的针对性别认同医疗服务调查的大陪审团传票：斯坦福大学露西尔·萨尔特·帕克德儿童医院。在该医院接受过治疗的多名患者同样在寻求法院命令，阻止自己的医疗记录被移交给官员。
本文已更新补充更多信息。
Judge blocks Trump admin. from getting medical records of minors who received gender identity care at NYC hospitals
2026-06-24T16:05:01.082Z / https://www.cnn.com/2026/06/24/politics/medical-records-minors-transgender-langone-new-york
A federal judge has temporarily blocked the Trump administration from obtaining sensitive medical records from healthcare institutions in New York City that provided gender identity care to minors in recent years.
The ruling from US District Judge Katherine Polk Failla is a significant blow to the administration’s ongoing nationwide criminal investigation into the provision of gender identity care, which numerous courts around the country have described as an improper fishing expedition because the government has struggled to identify potential crimes by providers.
Ruling from the bench on Wednesday, Failla, an appointee of former President Barack Obama, provisionally certified a class comprised of individuals who had received care from a New York City provider over the past six years. She also issued a temporary restraining order that bars investigators from obtaining the records, including through a grand jury subpoena that had been issued to NYU Langone Hospitals in recent weeks.
“The scope of information sought by the government here, which includes medical assessments, diagnoses, informed consent records, and revelation of plaintiffs’ transgender status, is significant,” she said, adding that that type of information is “squarely within the class of intimate materials warranting the strongest constitutional protection.”
“Because I cannot conceive of a crime that would require the breadth of disclosures in the subpoena – identifying and sensitive medical information for an entire class of people for a six-year period – I have to find that the government’s interest does not outweigh the plaintiffs’ interest in privacy,” Failla said.
In siding against the administration, the judge pointed to statements made by Justice Department attorneys to her a day earlier that appeared to leave open the possibility that prosecutors may use the records to criminally pursue patients or their parents.
“I’m hard pressed for reasons to rely on the government’s representations that even the patients would not be prosecuted, especially given the inability to comment on any aspect of the alleged investigation or the subpoena,” she said.
Failla is now among a growing group of judges who have sounded the alarm on the Trump administration’s probe and its investigatory tactics.
In ruling after ruling over the past year, judges appointed by presidents from both parties have criticized the probe as an effort aimed not at prosecuting a legitimate crime but rather a bid to pressure institutions to stop providing the care, which is not illegal at the federal level but has been heavily restricted in GOP-led states. Those judges had blocked administrative subpoenas that were issued to providers around the country.
In the case at hand, parents of several children who received the treatments in New York City asked Failla to stop the records from being turned over because they feared the information’s disclosure could expose them to retaliation by the Trump administration.
The subpoena issued to NYU through a federal grand jury in Texas asked the hospital to turn over documents “sufficient to identify every patient who underwent sex-rejecting procedures” and all the records related to those individuals “from initial consultation to the most recent treatment provided.” It also compelled the hospital to produce records pertaining to authorizations from parents for their minor children to receive such care.
The hospital revealed in early May that it had been hit with the subpoena and the class action lawsuit was brought nearly a month later. NYU stopped providing gender identity care for minors earlier this year after the Trump administration threatened to pull federal funding from the hospital. Other hospitals have also ended their programs in the face of pressure from Washington.
Failla pointed to those rulings on Wednesday, saying prosecutors were clearly attempting to get around the adverse rulings by now using grand jury subpoenas, which are generally more difficult to block in court.
“Undeterred by its disastrous showing in the courts, DOJ decided to issue nearly identical document requests in the form of grand jury subpoenas,” she said, going on to criticize the government’s “efforts to recast discredited civil administrative subpoenas as grand jury subpoenas from a hand-picked, far-away jurisdiction in order to minimize judicial review of constitutional infirmities.”
Chase Strangio, an American Civil Liberties Union attorney who represents the plaintiffs in the case, said they’re “thankful the court has granted our emergency request to protect the privacy interests of transgender New Yorkers and their families.”
“Patients and families trust their doctors with their most intimate, private information and should trust in turn that this information will be protected from impermissible and harassing demands for disclosure from the federal government or anyone else,” Strangio said in a statement. The plaintiffs are also represented by the LGBTQ rights group Lambda Legal and the New York Civil Liberties Union.
Through court filings and proceedings, the Justice Department has said that, among other things, it’s looking at whether providers have unlawfully pushed off-label use of drugs for cross-sex hormone therapy and to delay puberty in trans minors. Prosecutors are also probing whether possible fraudulent billing practices have occurred where the treatments have been provided.
The temporary restraining order issued by Failia will remain in effect while more court proceedings play out.
Her ruling comes on the heels of a separate decision by a judge in Minnesota that was also highly critical of the administration’s use of its prosecutorial powers. In that case, Judge Patrick Schiltz found that subpoenas issued to the state’s Democratic governor and other officials were retaliatory in nature and served only to harass them for their opposition to President Donald Trump’s immigration crackdown in the Twin Cities.
At least one other hospital has said publicly that it has also received a grand jury subpoena from prosecutors in Texas conducting the investigation into gender identity care: Stanford University’s Lucile Salter Packard Children’s Hospital. Several patients who received care from that hospital are similarly seeking a court order that would prevent their records from being turned over to officials.
This story has been updated with additional information.
