Texas Children’s Hospital in Houston has reached an agreement with the U.S. Department of Justice and the state of Texas to halt the use of puberty blockers for minors. As part of this settlement, the hospital will pay $10 million in penalties and establish a “detransition clinic.”
This resolution concludes a comprehensive investigation led by the Texas Healthcare Program Enforcement Division. The inquiry determined that Texas Children’s Hospital improperly billed Texas Medicaid for unauthorized and illegal gender-transition treatments, according to a statement issued by Texas Attorney General Ken Paxton on Friday.
“Under the terms of this groundbreaking agreement, Texas Children’s will create the first-ever multidisciplinary clinic aimed at offering medical care to patients who have undergone gender-transition procedures,” Paxton explained.
Paxton further stated, “This Detransition Clinic will assist patients in reversing the harm caused by ideologically-driven medical professionals who conducted risky interventions intended to transition patients.”
Texas Attorney General Ken Paxton addressed the media following oral arguments at the Supreme Court in Washington, D.C., on February 26, 2024. (Photo credit: Jahi Chikwendiu/The Washington Post)
According to Paxton, all services provided by the detransition clinic will be funded by Texas Children’s Hospital and offered at no cost to patients during the clinic’s first five years of operation.
He also revealed that the settlement mandated TCH to fire five “woke” doctors who performed gender transition surgeries on children.
“Today is a monumental day in the fight to stop the radical transgender movement. This historic settlement reflects an institutional and fundamental cultural shift away from radical ‘gender’ ideology. In addition to helping establish the first-ever Detransition Clinic and securing millions, this settlement will ensure that the deranged child mutilators who hurt our kids are fired and held accountable,” Paxton added in his 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. Under my watch, I will investigate and bring the full force of the law against any Texas hospital that abuses children with harmful medical interventions to ‘transition’ kids,” he concluded.
In a statement, Texas Children’s Hospital, meanwhile, characterized controversies surrounding its gender-affirming care program as an “unconscionable campaign of mistruths and mischaracterization.”
Texas Children’s Hospital stands at the Texas Medical Center campus in Houston, Texas, on June 24, 2020. (Callaghan O’Hare/Bloomberg)
“Today, we made the difficult decision to settle with the Texas Attorney General and the Department of Justice, closing a chapter that has been wrought with falsehoods and distractions. To be clear – we are settling to protect our resources from endless and costly litigation. This settlement will allow us to redirect those precious resources to focus on the life-saving care and groundbreaking discoveries of our exceptional clinicians and scientists,” the hospital wrote in a Friday statement, which has since been deleted from its website.
Prominent pro-trans activists criticized the move.
“Just complete chicken— stuff by the general counsel and admin at Texas Children’s,” Alejandra Caraballo, a prominent transgender civil rights attorney, wrote in a post on social media network Bluesky.

Detransitioner Chloe Cole says her event at University of Washington with TPUSA tomorrow has been postponed due to alleged threats from Antifa. (Drew Angerer/Getty Images)
Detransitioner Chloe Cole, however, praised the decision in her own social media post. “What an incredible moment for the movement to end child mutilation. Texas will be home to the first clinic that helps victims of these barbaric procedures to get back to normalcy,” Cole wrote on X.
Fox News Digital contacted Texas Children’s Hospital, the DOJ and the Texas Attorney’s General office for additional comment.
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