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The U.S. Department of Justice has agreed to stop demanding medical records that identify young patients who received gender-affirming care from Children’s Hospital Los Angeles, ending a legal standoff with families who sued to block a subpoena that some feared would be used to criminally prosecute the parents of transgender kids.

The agreement, filed in federal court Thursday, allows the hospital to withhold certain records and redact personal information from others who underwent gender-affirming treatments, which Trump administration officials have compared to child mutilation despite support for such care by the nation’s major medical associations.

Several parents of CHLA patients expressed profound relief Friday, while also acknowledging that other threats to their families remain.

Jesse Thorn, the father of two transgender children who had been patients at Children’s Hospital, said hospital officials have ignored his requests for information as to whether they had already shared his kids’ data with the Trump administration, which had been scary. Hearing they had not, and now won’t, provided “two-fold” relief, he said.

“The escalations have been so relentless in the threats to our family, and one of the things that compounded that was the uncertainty about what the federal government knew about our kids’ medical care and what they were going to do about that,” he said.

Less clear is whether the agreement provides any new protections for doctors and other hospital personnel who provided care at the clinic and have also been targeted by the Trump administration.

The agreement follows similar victories for families seeking to block such disclosures by gender-affirming care clinics elsewhere in the country, including a ruling Thursday for the families of transgender kids who received treatment at Children’s National Hospital in Washington, D.C.

“What’s unique here is this was a class action,” said Alejandra Caraballo, a civil rights attorney and legal instructor at Harvard, who was not involved in the Los Angeles case. “I can’t undersell what a major win that is to protect the records of all these patients.”

Some litigation remains ongoing, with families fearful appeals to higher courts could end with different results. There is also Republican-backed legislation moving through Congress to restrict gender-affirming care for youths.

Another father of a transgender patient at Children’s Hospital, who requested anonymity because he fears for his child’s safety, said he was grateful for the agreement, but doesn’t see it as the end of the road. He fears the Trump administration could renew its subpoena if it wins on appeal in cases elsewhere.

“There’s some comfort, but it doesn’t close the book on it,” he said.

In a statement to The Times, the Justice Department said it “has not withdrawn its subpoena. Rather, it withdrew three requests for patient records based on the subpoenaed entity’s representation that it did not have custody of any such records.”

“This settlement avoids needless litigation based on that fact and further instructs Children’s Hospital Los Angeles to redact patient information in documents responsive to other subpoena requests,” the DOJ statement said. “As Attorney General Bondi has made clear, we will continue to use every legal and law enforcement tool available to protect innocent children from being mutilated under the guise of ‘care.’”

Children’s Hospital did not respond to a request for comment.

“This is a massive victory for every family that refused to be intimidated into backing down,” Khadijah Silver, director of Gender Justice & Health Equity at Lawyers for Good Government, which helped bring the lawsuit, said in a statement Friday. “The government’s attempt to rifle through children’s medical records was unconstitutional from the start. Today’s settlement affirms what we’ve said all along: these families have done nothing wrong, and their children’s privacy deserves protection.”

Until last summer, the Center for Transyouth Health and Development at Children’s Hospital Los Angeles was among the largest and oldest pediatric gender clinics in the United States — and one of few providing puberty blockers, hormones and surgical procedures for trans youth on public insurance.

It was also among the first programs to shutter under coordinated, multi-agency pressure exerted from the White House. Ending treatment for transgender children has been a central policy goal for the Trump administration since the president resumed office last year.

“These threats are no longer theoretical,” Children’s Hospital executives wrote to staff in an internal email announcing the closure of the clinic in June. “[They are] threatening our ability to serve the hundreds of thousands of patients who depend on CHLA for lifesaving care.”

In July, Atty. Gen. Pam Bondi announced the Justice Department was subpoenaing patient records from gender-affirming care providers, specifically stating that medical professionals were a target of a probe into “organizations that mutilated children in the service of a warped ideology.”

California law explicitly protects gender-affirming care, and the state and others led by Democrats have fought back in court, but most providers nationwide have shuttered under the White House push, stirring fear of a de facto ban.

Parents feared the subpoenas could lead to child abuse charges, which the government could then use to strip them of custody of their children. Doctors feared they could be arrested and imprisoned for providing medical care that is broadly backed by the medical establishment and is legal in the states where they performed it.

The Justice Department’s subpoena to Children’s Hospital Los Angeles had initially requested a vast array of personally identifying documents, specially calling for records “sufficient to identify each patient [by name, date of birth, social security number, address, and parent/guardian information] who was prescribed puberty blockers or hormone therapy.”

It also called for records “relating to the clinical indications, diagnoses, or assessments that formed the basis for prescribing puberty blockers or hormone therapy,” and for records “relating to informed consent, patient intake, and parent or guardian authorization for minor patients” to receive gender-affirming care.

According to the new agreement, the Justice Department withdrew its requests for those specific records — which had yet to be produced by the hospital — on Dec. 8, and told Children’s Hospital to redact the personally identifying information of patients in other records it was still demanding.

Thursday’s agreement formalizes that position, and requires the Justice Department to return or destroy any records that provide personally identifying information moving forward.

“The Government will not use this patient identifying information to support any investigation or prosecution,” the agreement states.

According to the attorneys for the families who sued, the settlement protects the records of their clients but also all of the clinic’s other gender-affirming care patients. “To date, they assured us, no identifiable patient information has been received, and now it cannot be,” said Amy Powell, with Lawyers for Good Government.

Cori Racela, executive director for Western Center on Law & Poverty, called it a “crucial affirmation that healthcare decisions belong in exam rooms, not government subpoenas.”

“Youth, families, and medical providers have constitutional rights to privacy and dignity,” she said in a statement. “No one’s private health records should be turned into political ammunition — especially children.”

The agreement was also welcomed by families of transgender kids beyond Southern California.

“This has been hanging over those families specifically in L.A., of course, but for all families,” said Arne Johnson, a Bay Area father of a transgender child who helps run a group of similar families called Rainbow Families Action. “Every time one of these subpoenas goes out, it’s terrifying.”

Johnson said each victory pushing back against the government’s demands for family medical records feels “like somebody is pointing a gun at your kid and a hero comes along and knocks it out of their hand — it’s literally that visceral of a feeling.”

Johnson said he hopes recent court wins will push hospitals to resist canceling care for transgender children.

“Parents are the ones that are fighting back and they’re the ones that are winning, and the hospitals should take their lead,” he said. “Hospitals should be fighting in the same way the parents are, so that their doctors and other providers can be protected.”

WASHINGTON — Venezuela risks “a second strike” if its interim government doesn’t acquiesce to U.S. demands. Cuba is “ready to fall,” and Colombia is “very sick, too.”

Iran may get “hit very hard” if its government cracks down on protesters. And Denmark risks U.S. intervention, as well, because “we need Greenland,” President Trump said.

In just 37 minutes while speaking with reporters Sunday aboard Air Force One, Trump threatened to attack five countries, both allies and adversaries, with the might of the U.S. military — an extraordinary turn for a president who built his political career rejecting traditional conservative views on the exercise of American power and vowing to put America first.

The president’s threats come as a third of the U.S. naval fleet remains stationed in the Caribbean, after Trump launched a daring attack on Venezuela that seized its president, Nicolás Maduro, and his wife over the weekend.

The goal, U.S. officials said, was to show the Venezuelan government and the wider world what the American military is capable of — and to compel partners and foes alike to adhere to Trump’s demands through intimidation, rather than commit the U.S. military to more complex, conventional, long-term engagements.

It is the deployment of overwhelming and spectacular force in surgical military operations — Maduro’s capture, last year’s strikes against Iranian nuclear facilities, assassinations of Islamic State leadership and Iran’s top general in Iraq — that demonstrate Trump as a brazen leader willing to risk war, thereby effectively avoiding it, one Trump administration official said, explaining the president’s strategic thinking.

Yet experts and former Trump aides warn the president’s approach risks miscalculation, alienating vital allies and emboldening U.S. competitors.

At a Security Council meeting Monday at the United Nations in New York — called by Colombia, a long-standing and major non-North Atlantic Treaty Oranization ally to the United States — Trump’s moves were widely condemned. “Violations of the U.N. Charter,” a French diplomat told the council, “chips away at the very foundation of international order.”

Even the envoy from Russia, which has cultivated historically strong ties with the Trump administration, said the White House operation was an act of “banditry,” marking “a return to the era of illegality and American dominance through force, chaos and lawlessness.”

Trump’s threats to annex Greenland, an autonomous territory of the Kingdom of Denmark with vast natural resources, drew particular concern across Europe on Monday, with leaders across the continent warning the United States against an attack that would violate the sovereignty of a NATO ally and European Union member state.

“That’s enough now,” Greenland’s prime minister, Jens-Frederik Nielsen, said after Trump told reporters that his attention would turn to the world’s largest island in a matter of weeks.

“If the United States decides to militarily attack another NATO country, then everything would stop,” Denmark’s prime minister, Mette Frederiksen, told local press. “That includes NATO, and therefore, post-World War II security.”

Trump also threatened to strike Iran, where anti-government protests have spread throughout the country in recent days. Trump had previously said the U.S. military was “locked and loaded” if Iranian security forces begin firing on protesters, “which is their custom.”

“The United States of America will come to their rescue,” Trump wrote on social media on Jan. 2, hours before launching the Venezuela mission. “We are locked and loaded and ready to go. Thank you for your attention to this matter!”

In Colombia, there was widespread outrage after Trump threatened military action against leftist President Gustavo Petro, whom Trump accused, without evidence, of running “cocaine mills and cocaine factories.”

Petro is a frequent critic of the American president and has slammed as illegal a series of lethal U.S. airstrikes against alleged drug boats in the Caribbean and the eastern Pacific.

“Stop slandering me,” Petro wrote on X, warning that any U.S. attempts against his presidency “will unleash the people’s fury.”

Petro, a former leftist guerrilla, said he would go to war to defend Colombia.

“I swore not to touch a weapon again,” he said. “But for the homeland, I will take up arms.”

Trump’s threats have strained relations with Colombia, a devoted U.S. ally. For decades, the countries have shared military intelligence, a robust trade relationship and a multibillion-dollar fight against drug trafficking.

Even some of Petro’s domestic critics have comes to his defense. Presidential candidate Juan Manuel Galán, who opposes Petro’s rule, said Colombia’s sovereignty “must be defended.”

“Colombia is not Venezuela,” Galán wrote on X. “It is not a failed state, and we will not allow it to be treated as such. Here we have institutions, democracy and sovereignty that must be defended.”

The president of Mexico, another longtime U.S. ally and its largest trading partner, has also spoken out forcefully against the American operation in Caracas, and said the Trump administration’s aggressive foreign policy in Latin America threatens the stability of the region.

“We categorically reject intervention in the internal affairs of other countries,” President Claudia Sheinbaum said in her daily news conference Monday. “The history of Latin America is clear and compelling: Intervention has never brought democracy, has never generated well-being or lasting stability.”

She addressed Trump’s comments over the weekend that drugs were “pouring” through Mexico, and that the United States was “going to have to do something.”

Trump has been threatening action against cartels for months, with some members of his administration suggesting that the United States may soon carry out drone strikes on drug laboratories and other targets inside Mexican territory. Sheinbaum has repeatedly said such strikes would be a clear violation of Mexican sovereignty.

“Sovereignty and the self-determination of peoples are non-negotiable,” she said. “They are fundamental principles of international law and must always be respected without exception.”

Cuba also rejected Trump’s threat of a military intervention there, after Trump’s secretary of State, Marco Rubio, himself the descendant of Cuban immigrants, suggested that Havana may be next in Washington’s crosshairs.

“We call on the international community to stop this dangerous, aggressive escalation and to preserve peace,” Cuban President Miguel Díaz-Canel posted on social media.

The U.S. attacks on Venezuela, and Trump’s threats of additional military ventures, have caused deep unease in a relatively peaceful region that has seen fewer interstate wars in recent decades than Europe, Asia or Africa.

It also caused unease among some Trump supporters, who remembered his pledge to get the United States out of “endless” military conflicts for good.

“I was the first president in modern times,” Trump said, accepting the Republican presidential nomination in 2024, “to start no new wars.”

Wilner reported from Washington and Linthicum from Mexico City.