Court Rules
All enforcement actions
Enforcement ActionLow RiskMultistate

State AGs Challenge DOJ Subpoena for Transgender Youth Medical Records

U.S. Department of JusticeDecember 4, 2025California Attorney General

Summary

California Attorney General Rob Bonta joined 20 attorneys general in filing an amicus brief to quash a U.S. DOJ administrative subpoena seeking sensitive medical records and personally identifying information of adolescent patients receiving gender-affirming care at Children's Hospital Colorado. The brief argues the subpoena violates states' rights to regulate medicine under the Tenth Amendment and misinterprets the Food, Drug, and Cosmetic Act, which would harm off-label drug use across all medical fields.

Remedy

The amicus brief urges the U.S. District Court for the District of Colorado to grant Children's Hospital Colorado's motion to quash the DOJ's administrative subpoena, thereby blocking the government's access to sensitive patient records and preventing alleged overreach into state-regulated medical practice.

Injunction

Contract Impact

In-house legal teams should review all agreements involving the handling of protected health information (PHI), particularly vendor contracts, research partnerships, and any data processing agreements with entities like Children's Hospital Colorado or similar healthcare providers. Specific clauses to scrutinize include those governing responses to legal requests (subpoenas, court orders), patient consent and authorization for data disclosure, confidentiality provisions for sensitive categories of health data (e.g., gender-affirming care, adolescent records), and compliance with both federal (HIPAA, FDCA) and state-specific medical privacy laws. Teams must assess whether contracts adequately require prior notification to the data subject or the contracting entity before disclosing sensitive records, limit the scope of data provided in response to government requests, and incorporate state-law protections that may exceed federal baselines. Potential amendments could include adding explicit restrictions on disclosing sensitive health data without a court order or patient consent, mandating consultation with legal counsel before responding to administrative subpoenas, and including indemnification clauses for violations of state medical regulations.

Contract Search Terms

medical records disclosure clausepatient consent and authorizationHIPAA business associate agreementsubpoena response and compliance protocolsensitive health information handlingstate medical regulations compliancedata sharing addendumconfidentiality of minor patient recordsoff-label drug use policygovernment data request procedure

Laws Cited

Food, Drug, and Cosmetic Act (FDCA)Tenth Amendment of the U.S. Constitution

Violation Types

Entity Details

Entity

U.S. Department of Justice

Also known as: Children's Hospital Colorado

Industry

Healthcare

Multistate Coalition

Official Sources

Source Evidence

Entity Name
"U.S. DOJ"
Violation Types
"This subpoena demands sensitive medical records and personally identifying information about adolescent patients and their families. For example, U.S. DOJ is seeking patient names, dates of birth, home addresses, and social security numbers."
Laws Cited
"U.S. DOJ attempts to justify its subpoena by claiming the federal Food, Drug, and Cosmetic Act (FDCA) prohibits administration of and communication about approved drugs for off-label purposes"
Laws Cited
"The subpoena infringes states’ rights under the Tenth Amendment of the Constitution to provide and regulate the practice of medicine"

Related Enforcement Actions

CA

U.S. Department of Justice

California Attorney General Rob Bonta joined a multistate coalition in filing an amicus brief opposing the U.S. Department of Justice's subpoena for patient records from University of Pittsburgh Medical Center related to gender-affirming care. The brief argues that the subpoena violates patient privacy, infringes on states' rights to regulate medicine, and exceeds DOJ's statutory authority.

CA

U.S. Department of Justice

California Attorney General Rob Bonta joined 15 attorneys general in filing an amicus brief to limit a U.S. DOJ subpoena seeking medical records of transgender youth from Children's Hospital of Philadelphia, arguing it violates patient privacy and could intimidate providers of gender-affirming care.

CA

Paramount Skydance Corporation

A coalition of 12 state attorneys general, led by Colorado AG Phil Weiser, obtained a temporary restraining order from a federal court in California to halt the proposed $110 billion merger of Warner Bros. Discovery, Inc. by Paramount Skydance Corporation. The lawsuit alleges the merger violates Section 7 of the Clayton Act by substantially lessening competition in film distribution, anticipated blockbuster film distribution, and licensing cable TV channels.

CA

California Privacy Protection Agency

The California Privacy Protection Agency (CalPrivacy) joined a coalition of 18 Attorneys General and state agencies in opposing the proposed SECURE Data Act, a federal privacy bill that would preempt stronger state privacy laws like the CCPA. The coalition argues the bill would weaken consumer privacy protections, limit enforcement remedies, and undermine California's Delete Request and Opt-out Platform (DROP).

CA

General Motors

$12.8M

California Attorney General Rob Bonta, along with multiple district attorneys and the California Privacy Protection Agency, announced a $12.75 million settlement with General Motors for illegally selling hundreds of thousands of Californians' location and driving data to data brokers Verisk and LexisNexis without notice or consent. The settlement includes the largest CCPA penalty to date, a five-year ban on selling driving data to consumer reporting agencies, and requirements to delete retained data and implement a robust privacy program.

CA

California Privacy Protection Agency

The California Privacy Protection Agency Board voted to support two bills (AB 1542 and SB 1106) and took a 'support if amended' position on a third bill (AB 883). These bills aim to strengthen privacy protections by expanding sensitive data protections, improving deletion rights under the Delete Act, and providing expedited deletion for elected officials and judges.