Texas Attorney General Ken Paxton said Tuesday that a detransition clinic has opened at Texas Children’s Hospital, describing it as the first of its kind in the United States. The clinic was established under a $10 million settlement between the hospital and the state.
The agreement, reached in May and finalized in August, requires the hospital to pay $10 million to resolve government claims and to create and fund the clinic. Paxton’s office says it will offer detransition-related medical care to patients up to age 21, as well as obstetric and gynecologic services for older patients.
“In accordance with my settlement with Texas Children’s Hospital, the nation’s first-ever Detransition Clinic is now open,” Paxton said. He added that he would work to ensure the clinic supports people he described as victims of gender ideology, and said he intended to protect children from what he called a dangerous ideology.
The announcement comes as Paxton campaigns in Texas’s 2026 Senate race. President Donald Trump visited Corpus Christi and Lubbock on Tuesday to support his bid.
The Trump administration has recently moved against some initiatives involving transgender people. In August, Trump said his administration would stop providing Medicaid funding for gender-transition surgeries for minors.
A Texas Children’s Hospital spokesperson said Wednesday that the hospital aims to provide a high standard of care, including through the new clinic. The spokesperson said services would be tailored to patients’ needs and could take place at different locations.
The clinic’s services may include endocrinology, surgery, primary care, fertility counseling, psychiatry, psychology, social work and case management, and speech pathology, the spokesperson said. The hospital is operating the clinic under its existing license and scope of practice and says it is meeting the settlement’s requirements.
The spokesperson also said the hospital is reviewing prospective patients through its usual intake process. No clinical appointments had taken place yet, the spokesperson said, adding that the hospital could not share patient information because of privacy concerns.
Under the settlement, Texas Children’s must cover the clinic’s services in full for its first five years, so patients will not be charged. The hospital is also required to promote the clinic on its website.
The agreement further requires the hospital to pay $10 million to resolve claims under the Texas Health Care Program Fraud Prevention Act and the federal False Claims Act. Paxton’s office said the claims concerned allegations that the hospital improperly billed Texas Medicaid for gender-transition treatments.
Do No Harm, a medical advocacy group that opposes gender-transition treatments for minors, estimates that 13,994 minors received related medical interventions from 2019 through 2023. The figure is based on the group’s analysis of insurance claims data.
A Fox News poll published Oct. 21 found Paxton and Democratic candidate James Talarico tied at 49% among likely Texas voters.
