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HHS Uncovers Millions in Potentially Fraudulent Billing for Pediatric Gender Care | Asst. Sec. Brian Christine
22 August 2026

HHS Uncovers Millions in Potentially Fraudulent Billing for Pediatric Gender Care | Asst. Sec. Brian Christine

American Thought Leaders

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In this episode, Adm. Brian Christine, assistant secretary for health at the U.S. Department of Health and Human Services (HHS), joins me to break down a major new HHS report on gender medicine, the unspoken consequences of transgender procedures, the incentives involved, and how investigators uncovered potentially millions of dollars in fraudulent billing.

Christine reveals how certain diagnostic codes were used to circumvent both the difficulties of insurance reimbursement and laws in certain states that prohibited transgender procedures. Investigators found that coding for unspecified endocrine disorders accounted for more than $40 million in potentially fraudulent billing for puberty blockers. And a diagnosis of “precocious puberty” was used for over $11 million in billing for patients aged 13 to 17.

Financial incentives combined with the ideological capture of medical institutions create a dangerous mix, Christine warns. But this report, he said, is tremendously hopeful in spotlighting the bad science and bad actors that made the alleged abuses possible.

Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.