Texas Children's Hospital has been ordered to open the nation's first clinic for detransition services after reaching a settlement with Texas Attorney General Ken Paxton and the U.S. Department of Justice.
The agreement, finalized on May 15, 2026, ends a 2023 investigation into the hospital's gender-affirming care practices for minors. It requires the Houston facility to pay $10 million in damages and civil penalties while covering all costs for free detransition care during the clinic's first five years.
The new clinic will deliver multidisciplinary restorative services to patients who have reversed or seek to reverse prior gender transitions. This marks the first such dedicated program established through legal action against a major children's hospital.
Texas Attorney General Ken Paxton welcomed the resolution. "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," Paxton said.
Justice Department officials confirmed the settlement resolves all outstanding claims tied to the hospital's past treatments. Coverage from the Texas Tribune noted the $10 million penalty and the five-year funding mandate as core elements of the deal.
NBC News reported that the clinic will focus on comprehensive support including medical, psychological, and surgical reversal options where appropriate. The hospital will operate the program independently but under ongoing state oversight to ensure compliance with the settlement terms.
Patients eligible for the services include those who received care at Texas Children's and others seeking help after medical transitions performed elsewhere. The arrangement sets a precedent for how states may address concerns over youth gender medicine in coming years.
