The Cleveland Clinic has reached a $2 million settlement with the Department of Justice (DOJ) to provide care for individuals who detransition after receiving gender-affirming care as minors. This initiative marks the second significant agreement between a major health system and the Trump administration regarding gender-affirming procedures. Under the terms of the settlement, the Cleveland Clinic will offer a variety of detransition services including hormonal balancing, surgical revisions, and psychological support, all accessible regardless of patients' financial situations. The clinic is also required to create a dedicated website and outreach program to inform potential patients about these services. However, the settlement has drawn criticism from transgender advocates, who argue it undermines medical integrity and promotes anti-trans sentiments. Furthermore, the clinic has committed to a 20-year moratorium on providing gender-affirming care to minors, which aligns with existing Ohio state laws prohibiting such procedures. This settlement follows a similar agreement with Texas Children’s Hospital, emphasizing the DOJ's commitment to enforcing federal laws regarding children's healthcare.