The U.S. Department of Health and Human Services released *Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine,”* a commissioned report examining insurance coding practices, perverse financial incentives, and the provision of sex-rejecting procedures for minors.
HHS says the report draws on CMS guidance, Department of Justice investigations, peer-reviewed scientific literature, hospital records, whistleblower testimony, nationwide insurance claims analyses, and interviews with patients and parents. A shortform documentary was released with the report.
According to the report, more than 225 hospitals and health systems established pediatric gender programs nationwide. The report analyzes nationwide claims data from 2015 through 2025 and identifies approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified). It further reports that nearly $11 million in claims for patients ages 13–17 were billed using a diagnosis code for precocious puberty E301 — findings the report says warrant additional review of insurance coding practices.
Vice President JD Vance, as Chairman of the White House Task Force to Eliminate Fraud, and Secretary Kennedy referred hospitals and clinics identified by the report to the Department of Justice and the HHS Office of Inspector General, respectively, for possible violations of federal law. Referral is not a finding of guilt.
“Doctors and hospitals must put children’s health ahead of ideology and financial gain,” said HHS Secretary Robert F. Kennedy, Jr. “This report identifies troubling billing practices that demand scrutiny.”
“CMS has a duty to ensure taxpayer dollars are spent lawfully and honestly,” said CMS Administrator Dr. Mehmet Oz.
The full report is posted on the HHS Office of Population Affairs gender dysphoria page, alongside HHS’s November 2025 evidence review. Those are two different documents.