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Texas Children’s Settles With DOJ and Texas AG, Will Pay Over $10 Million and Create Detransition Clinic

The case spotlights ongoing federal probes in a shifting legal landscape.

Overview

  • Texas Children’s Hospital, which announced the deal Friday, May 15, will stop providing gender-affirming medical treatments to minors, including puberty blockers and cross-sex hormones.
  • The agreement resolves claims that the hospital improperly billed public and private insurers for pediatric gender-related care, and the hospital says it settled to avoid a costly court fight while denying wrongdoing.
  • Officials said the hospital must open what they call the nation’s first clinic for patients seeking to detransition after prior gender-related treatment, with services funded and free to patients for the first five years.
  • Texas officials said the settlement requires the hospital to fire five doctors who provided these services to minors and to revoke their privileges.
  • Federal authorities described the deal as part of ongoing investigations into care for minors, with recent court limits on HHS enforcement and potential CMS payment changes adding uncertainty for providers.