“Ken Paxton” by Gage Skidmore, CC BY-SA 2.0
Texas Attorney General Ken Paxton has secured a major victory for the state of Texas.
Texas Children’s Hospital has agreed to create the nation’s first dedicated detransition clinic, cut ties with five physicians, and pay $10 million to the state as part of a broader settlement.
The agreement follows a state investigation launched after Texas banned gender-related medical interventions for minors in 2023.
Earlier this year, Paxton sued the hospital, alleging that it continued to provide prohibited procedures and used inaccurate diagnostic codes to bill Medicaid.
Under the settlement, Texas Children’s will establish a clinic focused on treating patients who previously underwent gender-related medical interventions and are seeking care related to reversing or managing those effects.
For the first five years, the hospital will cover the full cost of services.
The settlement also requires the hospital to permanently sever ties with five doctors involved in providing such care to minors.
“This historic settlement reflects an institutional and fundamental cultural shift away from radical ‘gender’ ideology,” Paxton said in a statement.
“I applaud Texas Children’s Hospital for changing course and committing to being a part of the solution by agreeing to form a first-of-its kind Detransition Clinic that will help provide free care to those who have been victimized by twisted, morally bankrupt transgender ideology.”
BREAKING: Texas AG Ken Paxton secured a MAJOR settlement victory against Texas Children’s Hospital, which requires them to open a detransition clinic and pay $10 million for illegally performing gender-based surgical and chemical castrations.
BIG WIN pic.twitter.com/pip79SHE1F
— Libs of TikTok (@libsoftiktok) May 15, 2026
Texas Children’s did not admit wrongdoing and said it had complied with applicable laws, but said it chose to settle to avoid prolonged legal costs.
The hospital said the agreement closes “a chapter that has been wrought with falsehoods and distractions.”
Settling, it said, “will allow us to redirect those precious resources to focus on the life-saving care and groundbreaking discoveries of our exceptional clinicians and scientists.”
“We stand proud knowing we will always put our purpose over politics and that we have and will continue to follow the law.”
The case marks one of the most significant enforcement actions yet under Texas’s ban on gender-related medical treatment for minors.
It also delivers a major legal victory for Paxton as he prepares for a Republican Senate primary showdown against incumbent Sen. John Cornyn.
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