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Rokita’s office enlists DC firm to investigate if doctors misrepresent trans care risks

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Rokita’s office enlists DC firm to investigate if doctors misrepresent trans care risks


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The Indiana Attorney General’s Office has contracted with a conservative Washington D.C.-based law firm to help the state investigate claims of healthcare providers misrepresenting the risks of gender transition care and procedures to their patients of any age. 

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The agency, led by Attorney General Todd Rokita, signed an agreement in November with Cooper & Kirk, PLLC, which allows the firm to investigate claims of such cases for the office’s consumer protection division and to help defend the state’s existing laws on gender affirming care. 

Under the contract, which runs through March 2025, Cooper & Kirk is able to investigate claims of misrepresentation tied to gender affirming care for both adults and minors, despite no state law barring any procedures or care for adults.

The contract appears to only require payment from the state if the firm helps win a case with monetary judgment. As of late January the Attorney General’s Office said it had not made any payments to the firm.

The agreement between Rokita’s office and Cooper & Kirk, which helped Indiana in its case against social media app TikTok, continues the attorney general’s recent scrutiny of healthcare organizations that provide gender affirming care to young Hoosiers in the wake of the Indiana General Assembly’s 2023 debate and ban of such care for minors. 

Letters sent last March

In March 2023, as lawmakers debated the bill that would ban gender affirming care for minors, Rokita sent letters to medical facilities around the state that alleged clinics misrepresented the risks of gender transition procedures to minor patients, likening the care to child abuse.

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Eskenazi Health, Indiana University Health and a clinic in Goshen — medical facilities that responded to Rokita’s request last year —were essentially subpoenaed for more information about transgender care for minors at their facilities, according to reporting by the Indiana Capital Chronicle. Indiana University Health in a statement last year told IndyStar it did not perform gender affirming surgeries on minors, but it did provide other kinds of evidence-based care to youth.

A judge in November denied an ask from those healthcare institutions to stop Rokita’s requests, known as civil investigative demands. In January, the Attorney General’s Office filed to dismiss the case after it resolved a dispute on the requested information.

From 2023: Holcomb signs bill banning transgender surgeries, puberty blockers for minors

Gender affirming care covers a range of treatments, including medical and psychological ones, that support a person’s gender identity, according to the World Health Organization.

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Republican lawmakers in states around the country in recent years have taken steps to ban these types of procedures for minors, including the 2023 bill in Indiana. That law is blocked while the federal case, which is now a class action lawsuit, challenging the legislation continues.

Do providers share risks?

Rokita is not the only Republican Attorney General pursuing information about transgender medical cases. Texas Attorney General Ken Paxton late last year sent letters to medical providers in Georgia and Washington seeking records of Texas minor patients who received gender affirming care, according to the Texas Tribune. Seattle Children’s Hospital sued the Texas Attorney General’s Office in December to block release of that information.

A spokesperson for Rokita’s office told IndyStar in December that the agency is concerned about gender transition procedures and whether patients, both minors and adults, could be “deceived, abused or treated unfairly by medical providers.” 

The spokesperson, who did not provide examples, said “it has been publicly reported” that medical providers prescribe “puberty blockers, sex hormones and surgeries” to patients without disclosing risks.

When asked whether Indiana has received allegations of medical providers failing to disclose risks of gender affirming care, the spokesperson directed IndyStar to file a public records request.

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A national group of scientists and medical providers focused on treatment and research tied to hormones told IndyStar there are clear guidelines for practitioners that emphasize the importance of fully informing patients about the side effects of gender affirming care. 

The Endocrine Society in a statement said it has a clinical practice guideline for health professionals with recommendations stating that transgender and gender-diverse adolescents should be “informed fully” about risks before care, citing the potential for adverse effects on fertility preservation options as examples of what patients can experience.

“The Society’s Clinical Practice Guideline recommends proceeding with treatment as conservatively as possible to give transgender and gender-diverse youth and their parents time to consider their options,” The Endocrine Society said. 

Cooper & Kirk cases

The Cooper & Kirk law firm is not new to work with the Indiana Attorney General’s Office nor legal efforts critical of transgender people. 

Cooper & Kirk attorneys in 2023 filed a lawsuit on behalf of parents at a Virginia Beach school to force the district to comply with the state’s Republican governor’s policies on limiting accommodations for transgender students, according to the Associated Press.

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The firm dropped the lawsuit in October after the school district voted for rules that align with the governor’s requirements, the AP reported. 

The law firm has three active contracts with the Indiana Attorney General’s Office, including the contract on investigating gender affirming care cases. The other contracts are tied to Rokita’s lawsuit against TikTok and a general agreement with the firm to help the state in general litigation matters.

The Attorney General’s Office has not had to make any payments to Cooper & Kirk for any of the current contracts. Under the TikTok and gender affirming care contracts, the law firm would receive a certain percentage of any monetary judgments it helps the state win in legal cases, starting at 25% of any dollar amount recovered between $2 million and $10 million.

Rokita sued TikTok in 2022 over allegations the app does not protect children from mature content and that it deceives users about the Chinese government’s ability to access data. The case was dismissed by a state superior court judge in November. 

In 2023: Indiana judge tosses out Todd Rokita’s lawsuit of ‘hyperbolic allegations’ against TikTok

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The attorney general’s office’s contract with Cooper & Kirk plans for the law firm to help defend the state’s ban on gender-affirming care for minors. The state continues to defend the law against a legal challenge brought by the ACLU of Indiana. 

The ACLU filed the lawsuit in April just hours after Gov. Eric Holcomb signed the bill into law. A federal judge temporarily blocked portions of the law in June through an injunction that states Indiana is unable to prohibit treatments for minors while the lawsuit is ongoing. The judge in January approved making the case a class action lawsuit.

As of late January, a trial on the lawsuit is scheduled for April 2025. 

IndyStar archives contributed to this story. Contact IndyStar’s state government and politics reporter Brittany Carloni at brittany.carloni@indystar.com or 317-779-4468. Follow her on Twitter/X @CarloniBrittany.





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Indiana’s Curt Cignetti cashes in on title run with 8-year extension worth $13.2 million per year

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Indiana’s Curt Cignetti cashes in on title run with 8-year extension worth .2 million per year


Indiana coach Curt Cignetti is cashing in on his first national championship run — even more than initially expected.

Athletic department officials announced Monday that the two-time national coach of the year has signed a memorandum of understanding on an eight-year contract extension, paying him an annual average of $13.2 million — or an increase of about $1.6 million per year from what school officials said Cignetti would earn when he first agreed to the extension in October.

School officials released the document Cignetti signed Feb. 4.

He joins Georgia coach Kirby Smart and LSU coach Lane Kiffin as the only active Football Bowl Subdivision coaches to receive paychecks of $13 million or more. The payouts could be even higher if Cignetti earns bonuses for winning Big Ten or national coach of the year honors in addition to playoff appearances and conference titles. The 64-year-old Cignetti already has said he hopes to retire at Indiana.

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The new deal calls for a base salary of $500,000 per year through the 2033 season and a $1 million retention bonus on Nov. 30 of each year, starting this fall. The remaining portion of the $105.6 million will be collected from outside, promotional and marketing income.

Cignetti initially agreed to an eight-year extension worth $92.8 million — an annual average of $11.6 million — but university officials agreed to modify the deal as the Hoosiers remained undefeated and pursued the first football national championship in school history.

It’s the third time Cignetti has received a raise since he took over the losingest program in FBS history in November 2024. All he’s done since arriving is produce the two best seasons in school history while becoming one of college football’s fan favorites for his quick quips and unique facial expressions. Players have embraced him, too, telling many of their favorite Cignetti tales.

Just ask tight end Riley Nowakowski, who recounted his favorite Cignetti story during the recent NFL scouting combine in Indianapolis.

“I think (Alberto Mendoza) was in the game, and he pulled like four runs in a row,” Nowakowski said, referring to last season’s victory over Illinois. “He kept pulling it, kept pulling it, kept pulling it, and then after the fourth time, it was a terrible read. So in the middle of the game, (Cignetti) tells our coach, ‘Get (Alberto) over here.’ Bert’s like, ‘What, it’s the middle of a game, what are you doing?’ And (Cignetti) goes, ‘We’re not paying you to run the ball, hand the ball off, right? We’re up like 70 points, but he’s pissed off, yelling at Bert, and (Cignetti) just turned back at me and gave me one of his little smiles, and he was just like, ’You like that now?’”

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Cignetti wasted no time delivering on his promise to win after leading James Madison to the most successful transition from the Football Championship Subdivision to the FBS.

The son of Hall of Fame coach Frank Cignetti and a former Alabama assistant led Indiana to a school record 11 wins and its first College Football Playoff appearance in his first season with the Hoosiers.

Last season, he outdid that mark by producing the first 16-0 mark in major college football since the 1890s. The Hoosiers also won their first outright Big Ten crown since 1945, beat Miami on its home field to claim the national title and shed the label of having the most all-time losses in FBS history.

Mendoza’s older brother, Fernando, also became the first Indiana player to win the Heisman Trophy and is expected to be the No. 1 overall pick in April’s NFL draft.

The reward: A record nine players, including Mendoza and Nowakowski, attended the recent combine in Indianapolis while Cignetti got another pay raise and school officials continued to invest heavily in keeping the coach’s staff together.

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Offensive coordinator Mike Shanahan and defensive coordinator Bryant Haines each agreed to three-year contract extensions worth about $3 million per year in December, making them two of the highest-paid assistants in the FBS. Haines won this year’s Broyles Award, which goes to the nation’s top assistant coach.

Indiana will begin next season with the longest winning streak (16) and longest home winning streak (15) in the FBS. Cignetti has never lost a home game with the Hoosiers, who open defense of their league and national titles at home against North Texas on Sept. 5.



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What Tom Izzo said after Michigan State’s win over Indiana

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What Tom Izzo said after Michigan State’s win over Indiana


Michigan State basketball went into Assembly Hall on Sunday afternoon and controlled the Hoosiers from start to finish, earning a 77-64 victory. The win goes a long way in almost virtually confirming that the Spartans will have a triple-bye in the Big Ten Tournament, while also bolstering the Spartans case to get a No. 2 seed in the NCAA Tournament.

For the second straight outing in the state of Indiana, MSU head coach Tom Izzo came away pleased with his group, and expressed that to the media:

  • “Well, to be honest with you, for once, we got off to a good start. We haven’t been doing that. We decided to try to go inside, Kohler (had) been struggling, we thought we’d try to get him going. We get that 10-point lead and it kind of stayed that way.
  • “We did not do a great job of building on it, it’s because they’re a good team. Everybody asks me, ‘Are they good enough to be in the tournament?’ Read my lips: hell yes. It’s just that somebody’s got to lose some of these games. The league is so good.”
  • “I’m proud of my guys, because coming back from that Thursday-Sunday deal, both on the road, I thought they showed a lot of character. I’m proud of my staff, those preps are not easy at this time of year. Kur came off the bench and really sparked us after making more than a few mistakes.”
  • “What I appreciated about the game is I thought Jeremy took over. Everything we asked him to run early, to go into Jaxon, he did a great job of. I thought Kur, who’s a sophomore now, took a big step forward after not playing very well the 5 minutes he was in there early and falling down and giving up 3s, and then he bounced back. That’s kind of what you’ve gotta do.”
  • “We did it a little different way. We said this will be kind of like the NCAA Tournament where you’ve got a one- or two-day prep, one-day prep, so I think it was good for us. I’m really proud of them, but I don’t want to be proud of them until I’m done playing.”
  • “All in all, guys, we’re in spring break, which means you can practice like 100 times, and nobody arrests you or anything. But our guys deserve some time off and we’ll get some things done tomorrow. “

Contact/Follow us @The SpartansWire on X (formerly Twitter) and like our page on Facebook to follow ongoing coverage of Michigan State news, notes and opinion. You can also follow Cory Linsner on X @Rex_Linzy





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Coast Guard investigates death of mariner working barge in Jeffersonville

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Coast Guard investigates death of mariner working barge in Jeffersonville


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U.S. Coast Guard officials are investigating March 1 after a mariner died while working on a barge in Jeffersonville, Indiana.

An incident involving the mariner occurred the afternoon of Feb. 27 at mile marker 597 of the Ohio River, said Lt. Cmdr. Steve Leighty, public affairs officer for the U.S. Coast Guard Ohio Valley Sector. Leighty declined to provide further details about the mariner and the circumstances of their death, citing the ongoing investigation.

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Officials with the Clark County Sheriff’s Office are also investigating the incident, Leighty said.

Reach reporter Leo Bertucci at lbertucci@usatodayco.com or @leober2chee on X, formerly known as Twitter



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