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Letter to HHS: Investigate Planned Parenthood for 'transgender' services fraud
A medical watchdog group has submitted a formal complaint to the U.S. Department of Health and Human Services (HHS), raising allegations of possible “medical-coding fraud” by Planned Parenthood affiliates for its so-called 'gender-affirming care' (sex-rejecting procedures).
Planned Parenthood's business model is focused on both the killing of preborn human beings and sex-rejecting services (which it refers to as 'gender-affirming care.' According to the abortion industry leader, these destructive procedures go “hand in hand.”
Medical watchdog group, Do No Harm, sent a formal complaint in a letter to the Department of Health and Human Services seeking an investigation into potential medical coding fraud perpetuated by Planned Parenthood affiliates that provide "transgender" services.
The group alleges that it found, with the help of a private data broker, evidence that Planned Parenthood "... may deliberately use incorrect diagnosis codes in patient records and on billing claims to ‘disguis[e] treatment for gender-related mental disorders as another, physical illness’ for which both public and private insurers would be more likely to reimburse a claim.”
At least one Planned Parenthood affiliate is on record, stating that it uses code E34.9 (for “endocrine disorder, unspecified”) and others “in order to get payment for the services,” as Live Action News previously reported.
On Tuesday, as reported by the Daily Wire, the medical watchdog and advocacy group Do No Harm sent a letter to the HHS Office of the Inspector General (HHS-OIG) with allegations of “a potential nationwide miscoding scheme” by Planned Parenthood affiliates, relating to hormones “seemingly linked to gender dysphoria.”
Do No Harm wrote in its complaint:
Planned Parenthood affiliates have a strong financial incentive to engage in systematic miscoding: insulating the multi-billion-dollar market for sex-rejecting procedures from scrutiny. Over the last decade, the transgender industry has evolved into a lucrative business, with expenditures on sex-reassignment surgery and crosssex hormones alone expected to approach nearly $4 billion annually.
In the letter, the group asks for HHS to investigate Do No Harm's findings:
We write to share our findings related to our analysis of Planned Parenthood affiliates’ provision of cross-sex hormones to young people and to respectfully request that the Department of Health and Human Services (HHS) open an investigation into the coding practices of Planned Parenthood and its regional affiliates.
The formal complaint alleges:
Approximately 5,700 patients, 22 years old or younger... “appear to have received 11,000 to 12,000 gender-related prescriptions from Planned Parenthood affiliates between 2015 and 2025."
About “800 received 1,100 to 1,200 hormone prescriptions seemingly linked to gender dysphoria but lacking the correct diagnosis codes for the associated office visit.”
Do No Harm points out that medical treatments are traditionally “reimbursed only when medically necessary.”
But medically unnecessary, sex-rejecting procedures provided by Planned Parenthood and others “... may deliberately use incorrect diagnosis codes in patient records and on billing claims to ‘disguis[e] treatment for gender-related mental disorders as another, physical illness’ for which both public and private insurers would be more likely to reimburse a claim.”
Working with a private data broker, Do No Harm analyzed the coding practices of Planned Parenthood for 'gender-affirming care.' The group detailed:
This investigation involved examining diagnosis codes from medical claims for office visits at Planned Parenthood affiliates and hormone prescriptions where the prescriber was also associated with Planned Parenthood affiliates.
By comparing medical-claim data with prescription-claim data, Do No Harm identified a set of patients who had prescription claims from a Planned Parenthood–related prescriber within 30 days of an office-visit claim at a Planned Parenthood–affiliated facility.
The group's press release states, "When a provider intentionally uses an inaccurate medical code for a medical condition, this isn't a harmless error. It's fraud by which claims can circumvent the scrutiny they may otherwise face… This is why HHS must further investigate Planned Parenthood’s potential scheme."
Do No Harm’s allegations and letter come on the heels of last month's decision to end federal Medicaid and Children’s Health Insurance Program (CHIPS) funding for sex-rejecting procedures on minors after a final rule from the Centers for Medicare and Medicaid Services (CMS), part of HHS, was released.
Immediately after, HHS released its report, “Wolves in White Coats,” after an investigation of more than 225 hospitals and facilities like Planned Parenthood uncovered “approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified)."
In response, Vice President JD Vance called for "criminal prosecutions" for providers named in the report — which included Planned Parenthood mentioned affiliates — should further investigations confirm intentional miscoding to defraud Medicaid or private insurers.
In a letter to Attorney General Todd Blanche, Vance stated that providers who intentionally miscoded treatment to defraud Medicaid or private insurers 'should go to prison.'"
Planned Parenthood affiliates in the HHS report spanned across more than 15 states, as Live Action News reported.
Do No Harm is a group of “physicians, nurses, medical students, patients, and policymakers focused on keeping identity politics out of medical education, research, and clinical practice” who believe in “... making healthcare better for all – not undermining it in pursuit of a political agenda.”
In late 2024, the group launched its Stop The Harm database after analyzing insurance claims data from 2019 to 2023 of sex-rejecting procedures on minors nationwide.
At the time, Stop the Harm reported that it identified:
13,994 minors who underwent sex-rejecting treatments;
5,747 minors that underwent body damaging surgeries;
8,579 minors that received medically unnecessary hormones and puberty blockers—with over 62,000 prescriptions written.
In August 2025, the Federal Trade Commission (FTC) announced the launch of investigations to “examine whether some of the practices in gender-affirming care are deceptive and require greater scrutiny” offered by groups such as Planned Parenthood, clinics and children’s hospitals across the country.
During the workshop, psychiatrist, author and speaker Dr. Miriam Grossman pointed out that Planned Parenthood and other clinics openly claimed to utilize International Classification of Diseases codes, like 34.9 (for “endocrine disorder, unspecified”) and others “in order to get payment for the services,” as Live Action News reported. (Read Live Action’s in-depth report on Planned Parenthood’s involvement with sex-rejecting ‘care’ here.)
Planned Parenthood of Southeast Pennsylvania's website previously claimed the affiliate used the code, stating:
In order to meet the needs of most insurance companies and patients, we typically use the code E34.9. We recognize that much of the language around billing for gender-affirming care is troublesome. We recognize this is medically necessary care and will work to decrease barriers to get folks the care they need.
In April 2026, Do No Harm released a report mentioning the same Planned Parenthood affiliate’s self-reported use of the E34.9 ICD code.
In May, the Subcommittee on Delivering on Government Efficiency (DOGE) similarly questioned if some affiliates are “commingling federal funds and using them for unpermitted purposes.”
The subcommittee claimed the possible commingling of funds included “cross-sex hormones, puberty blockers, and surgical referrals, with allegedly little to no medical or psychological evaluation,” sending demand letters to multiple Planned Parenthood affiliates, reported Live Action News.
Several letters were subsequently sent to multiple Planned Parenthood affiliates, many of which cross over with HHS/DOJ referred affiliates, and include:
Planned Parenthood of North Central States (PPNCS, formerly Planned Parenthood Minnesota, North Dakota, South Dakota, PPMNS)
Planned Parenthood of Orange and San Bernardino Counties (PPOSBC)
Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky (PPGNHAIK)
Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. (PPNCSNJ
Do No Harm stated in its letter to HHS:
The machinery behind this potential fraud reflects an extreme ideology, intent on thwarting accurate review of reimbursement claims submitted for sex-rejecting procedures.
Despite their hold over private medical organizations, sex-rejecting procedures lack a recognized, accredited medical subspecialty; unified professional authority; or comprehensive, evidence-based clinical guidelines endorsed across medical disciplines.
The group is asking for HHS “to determine whether and to what extent these miscoded office visits cause pharmacies to fill prescriptions for cross-sex hormones and other sex-rejecting procedures for which claims are submitted to the federal government for reimbursement.”
Despite the fact that multiple Planned Parenthood affiliates are now facing scrutiny from advocacy groups, from a congressional subcommittee, from HHS and even potentially he DOJ, it is important to remember that Planned Parenthood has regained its taxpayer funding.
The question is, 'Why are the U.S. taxpayers forced to fund Planned Parenthood’s deadly and destructive practices?'
Live Action News is pro-life news and commentary from a pro-life perspective.
Our work is possible because of our donors. Please consider giving to further our work of changing hearts and minds on issues of life and human dignity.
Contact editor@liveaction.org for questions, corrections, or if you are seeking permission to reprint any Live Action News content.
Guest Articles: To submit a guest article to Live Action News, email editor@liveaction.org with an attached Word document of 800-1000 words. Please also attach any photos relevant to your submission if applicable. If your submission is accepted for publication, you will be notified within three weeks. Guest articles are not compensated (see our Open License Agreement). Thank you for your interest in Live Action News!
Nancy Flanders
·
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Cassy Cooke
·
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Bridget Sielicki
·
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Nancy Flanders
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Kelli Keane
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Sheena Rodriguez
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Sheena Rodriguez
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Sheena Rodriguez
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Opinion
Sheena Rodriguez
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·Investigative·By Sheena Rodriguez
Letter to HHS: Investigate Planned Parenthood for 'transgender' services fraud
A medical watchdog group has submitted a formal complaint to the U.S. Department of Health and Human Services (HHS), raising allegations of possible “medical-coding fraud” by Planned Parenthood affiliates for its so-called 'gender-affirming care' (sex-rejecting procedures).
Planned Parenthood's business model is focused on both the killing of preborn human beings and sex-rejecting services (which it refers to as 'gender-affirming care.' According to the abortion industry leader, these destructive procedures go “hand in hand.”
Medical watchdog group, Do No Harm, sent a formal complaint in a letter to the Department of Health and Human Services seeking an investigation into potential medical coding fraud perpetuated by Planned Parenthood affiliates that provide "transgender" services.
The group alleges that it found, with the help of a private data broker, evidence that Planned Parenthood "... may deliberately use incorrect diagnosis codes in patient records and on billing claims to ‘disguis[e] treatment for gender-related mental disorders as another, physical illness’ for which both public and private insurers would be more likely to reimburse a claim.”
At least one Planned Parenthood affiliate is on record, stating that it uses code E34.9 (for “endocrine disorder, unspecified”) and others “in order to get payment for the services,” as Live Action News previously reported.
On Tuesday, as reported by the Daily Wire, the medical watchdog and advocacy group Do No Harm sent a letter to the HHS Office of the Inspector General (HHS-OIG) with allegations of “a potential nationwide miscoding scheme” by Planned Parenthood affiliates, relating to hormones “seemingly linked to gender dysphoria.”
Do No Harm wrote in its complaint:
Planned Parenthood affiliates have a strong financial incentive to engage in systematic miscoding: insulating the multi-billion-dollar market for sex-rejecting procedures from scrutiny. Over the last decade, the transgender industry has evolved into a lucrative business, with expenditures on sex-reassignment surgery and crosssex hormones alone expected to approach nearly $4 billion annually.
In the letter, the group asks for HHS to investigate Do No Harm's findings:
We write to share our findings related to our analysis of Planned Parenthood affiliates’ provision of cross-sex hormones to young people and to respectfully request that the Department of Health and Human Services (HHS) open an investigation into the coding practices of Planned Parenthood and its regional affiliates.
The formal complaint alleges:
Approximately 5,700 patients, 22 years old or younger... “appear to have received 11,000 to 12,000 gender-related prescriptions from Planned Parenthood affiliates between 2015 and 2025."
About “800 received 1,100 to 1,200 hormone prescriptions seemingly linked to gender dysphoria but lacking the correct diagnosis codes for the associated office visit.”
Do No Harm points out that medical treatments are traditionally “reimbursed only when medically necessary.”
But medically unnecessary, sex-rejecting procedures provided by Planned Parenthood and others “... may deliberately use incorrect diagnosis codes in patient records and on billing claims to ‘disguis[e] treatment for gender-related mental disorders as another, physical illness’ for which both public and private insurers would be more likely to reimburse a claim.”
Working with a private data broker, Do No Harm analyzed the coding practices of Planned Parenthood for 'gender-affirming care.' The group detailed:
This investigation involved examining diagnosis codes from medical claims for office visits at Planned Parenthood affiliates and hormone prescriptions where the prescriber was also associated with Planned Parenthood affiliates.
By comparing medical-claim data with prescription-claim data, Do No Harm identified a set of patients who had prescription claims from a Planned Parenthood–related prescriber within 30 days of an office-visit claim at a Planned Parenthood–affiliated facility.
The group's press release states, "When a provider intentionally uses an inaccurate medical code for a medical condition, this isn't a harmless error. It's fraud by which claims can circumvent the scrutiny they may otherwise face… This is why HHS must further investigate Planned Parenthood’s potential scheme."
Do No Harm’s allegations and letter come on the heels of last month's decision to end federal Medicaid and Children’s Health Insurance Program (CHIPS) funding for sex-rejecting procedures on minors after a final rule from the Centers for Medicare and Medicaid Services (CMS), part of HHS, was released.
Immediately after, HHS released its report, “Wolves in White Coats,” after an investigation of more than 225 hospitals and facilities like Planned Parenthood uncovered “approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified)."
In response, Vice President JD Vance called for "criminal prosecutions" for providers named in the report — which included Planned Parenthood mentioned affiliates — should further investigations confirm intentional miscoding to defraud Medicaid or private insurers.
In a letter to Attorney General Todd Blanche, Vance stated that providers who intentionally miscoded treatment to defraud Medicaid or private insurers 'should go to prison.'"
Planned Parenthood affiliates in the HHS report spanned across more than 15 states, as Live Action News reported.
Do No Harm is a group of “physicians, nurses, medical students, patients, and policymakers focused on keeping identity politics out of medical education, research, and clinical practice” who believe in “... making healthcare better for all – not undermining it in pursuit of a political agenda.”
In late 2024, the group launched its Stop The Harm database after analyzing insurance claims data from 2019 to 2023 of sex-rejecting procedures on minors nationwide.
At the time, Stop the Harm reported that it identified:
13,994 minors who underwent sex-rejecting treatments;
5,747 minors that underwent body damaging surgeries;
8,579 minors that received medically unnecessary hormones and puberty blockers—with over 62,000 prescriptions written.
In August 2025, the Federal Trade Commission (FTC) announced the launch of investigations to “examine whether some of the practices in gender-affirming care are deceptive and require greater scrutiny” offered by groups such as Planned Parenthood, clinics and children’s hospitals across the country.
During the workshop, psychiatrist, author and speaker Dr. Miriam Grossman pointed out that Planned Parenthood and other clinics openly claimed to utilize International Classification of Diseases codes, like 34.9 (for “endocrine disorder, unspecified”) and others “in order to get payment for the services,” as Live Action News reported. (Read Live Action’s in-depth report on Planned Parenthood’s involvement with sex-rejecting ‘care’ here.)
Planned Parenthood of Southeast Pennsylvania's website previously claimed the affiliate used the code, stating:
In order to meet the needs of most insurance companies and patients, we typically use the code E34.9. We recognize that much of the language around billing for gender-affirming care is troublesome. We recognize this is medically necessary care and will work to decrease barriers to get folks the care they need.
In April 2026, Do No Harm released a report mentioning the same Planned Parenthood affiliate’s self-reported use of the E34.9 ICD code.
In May, the Subcommittee on Delivering on Government Efficiency (DOGE) similarly questioned if some affiliates are “commingling federal funds and using them for unpermitted purposes.”
The subcommittee claimed the possible commingling of funds included “cross-sex hormones, puberty blockers, and surgical referrals, with allegedly little to no medical or psychological evaluation,” sending demand letters to multiple Planned Parenthood affiliates, reported Live Action News.
Several letters were subsequently sent to multiple Planned Parenthood affiliates, many of which cross over with HHS/DOJ referred affiliates, and include:
Planned Parenthood of North Central States (PPNCS, formerly Planned Parenthood Minnesota, North Dakota, South Dakota, PPMNS)
Planned Parenthood of Orange and San Bernardino Counties (PPOSBC)
Planned Parenthood Great Northwest, Hawai’i, Alaska, Indiana, Kentucky (PPGNHAIK)
Planned Parenthood of Northern, Central, and Southern New Jersey, Inc. (PPNCSNJ
Do No Harm stated in its letter to HHS:
The machinery behind this potential fraud reflects an extreme ideology, intent on thwarting accurate review of reimbursement claims submitted for sex-rejecting procedures.
Despite their hold over private medical organizations, sex-rejecting procedures lack a recognized, accredited medical subspecialty; unified professional authority; or comprehensive, evidence-based clinical guidelines endorsed across medical disciplines.
The group is asking for HHS “to determine whether and to what extent these miscoded office visits cause pharmacies to fill prescriptions for cross-sex hormones and other sex-rejecting procedures for which claims are submitted to the federal government for reimbursement.”
Despite the fact that multiple Planned Parenthood affiliates are now facing scrutiny from advocacy groups, from a congressional subcommittee, from HHS and even potentially he DOJ, it is important to remember that Planned Parenthood has regained its taxpayer funding.
The question is, 'Why are the U.S. taxpayers forced to fund Planned Parenthood’s deadly and destructive practices?'
Live Action News is pro-life news and commentary from a pro-life perspective.
Our work is possible because of our donors. Please consider giving to further our work of changing hearts and minds on issues of life and human dignity.
Contact editor@liveaction.org for questions, corrections, or if you are seeking permission to reprint any Live Action News content.
Guest Articles: To submit a guest article to Live Action News, email editor@liveaction.org with an attached Word document of 800-1000 words. Please also attach any photos relevant to your submission if applicable. If your submission is accepted for publication, you will be notified within three weeks. Guest articles are not compensated (see our Open License Agreement). Thank you for your interest in Live Action News!
Nancy Flanders
·Investigative
Cassy Cooke
·Investigative
Bridget Sielicki
·Investigative
Nancy Flanders
·Investigative
Nancy Flanders
·Investigative
Kelli Keane
·Issues
Sheena Rodriguez
·Issues
Sheena Rodriguez
·Issues
Sheena Rodriguez
·Opinion
Sheena Rodriguez
·Issues
Sheena Rodriguez
·On September 22, Do No Harm sent a letter to the Inspector General of the U.S. Department of Health and Human Services requesting a formal investigation into Planned Parenthood and its regional affiliates for potential medical coding fraud related to the cross-sex hormones they Show more
