The city of New York has taken a firm stance against the Department of Justice’s attempts to access the private medical records of transgender minors. In a significant move, New York City Mayor Zohran Mamdani has joined forces with local advocacy groups to challenge a federal subpoena targeting gender-affirming care records from major healthcare providers.
The controversy began when the U.S. Attorney’s Office of the Northern District of Texas issued a criminal subpoena to NYU Langone Health, demanding patient information and details about their medical providers. This subpoena has raised serious concerns about patient privacy and the potential misuse of sensitive health information.
NYC’s Legal Response to Federal Subpoenas
In response to the DOJ’s actions, the New York City Law Department filed an amicus brief supporting a motion by the ACLUNYCLUand Lambda Legal to block the release of patient information. The brief emphasizes the importance of protecting the privacy and dignity of transgender individuals, particularly minors who have received gender-affirming care.
Mayor Mamdani expressed his support for transgender and queer youth, stating, “Your medical decisions and personal health information belong to you, not the government.” This sentiment underscores the city’s commitment to defending the rights of its residents against what many perceive as an overreach by federal authorities.
The Broader Context of Transgender Healthcare
The subpoena issued to NYU Langone is part of a larger pattern of federal actions aimed at restricting access to gender-affirming care. Advocates fear that the release of this information could be used to further criminalize and stigmatize transgender healthcare, putting vulnerable patients at risk.
Kei Williams, executive director of the New Pride Agenda, highlighted the intimidation tactics at play, stating that the subpoena “is an attempt to intimidate hospitals to eliminate public health care and push trans people out of public life.” This rhetoric reflects the growing concern among advocates that the DOJ’s actions are part of a broader campaign to undermine transgender rights.
Legal Challenges and Judicial Responses
The legal battle over these subpoenas is not confined to New York. Federal judges in Rhode Island, Maryland, and California have also blocked similar motions, citing concerns about patient privacy and the potential misuse of confidential information. These judicial responses underscore the legal complexities and ethical considerations surrounding the DOJ’s actions.
In New York, the lawsuit filed in the Southern District of New York seeks a temporary restraining order to prevent the enforcement of the subpoenas against NYU Langone, Mount Sinai Health System, and other providers of gender-affirming care. The plaintiffs, who have filed under pseudonyms to maintain their privacy, charge the DOJ with violating their Fourth and Fifth Amendment rights.
The amicus brief filed by the city attorneys asserts the profound impact of disclosing personal health information without consent. It argues that such actions not only violate patient privacy but also contribute to a climate of fear and intimidation for transgender individuals seeking essential healthcare services.
As the legal battle unfolds, the city of New York remains steadfast in its commitment to protecting the rights and dignity of its transgender residents. The outcome of this case could have far-reaching implications for the future of gender-affirming care and patient privacy across the country.



