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Wednesday, November 11, 2026
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News · Austin

Texas Children's Hospital Launches Detransition Clinic Following $10M Medicaid Settlement

The new facility, required by a May agreement with the state attorney general, will serve patients through age 21 and provide gynecologic care for older adults at the hospital's expense.

By Nikolai Patterson ·

Illustration for: Texas Children's Hospital Launches Detransition Clinic Following $10M Medicaid Settlement
Illustration generated for this article, not a news photograph.

Texas Children's Hospital has opened a detransition clinic in accordance with a settlement reached with the state attorney general's office in May. The facility marks the first of its kind in the United States, according to Attorney General Ken Paxton.

The clinic provides multidisciplinary care to individuals who previously received gender-transition treatment. Patients up to age 21 will receive detransition-related care, while those older than 21 will access obstetric and gynecologic services, per the attorney general's description.

Under the terms of the agreement, the hospital must fully fund all services offered by the clinic for the first five years. The facility is also required to be promoted on the hospital's website.

In May, the hospital and the state agreed to resolve claims brought under the Texas Health Care Program Fraud Prevention Act. The hospital alleged that it had billed Texas Medicaid for illegal gender-transition interventions.

As part of the resolution, the hospital paid a total of $10 million. More than $8 million of that sum went to the state, while whistleblower Vanessa Sivadge received $1.7 million. Additionally, the hospital permanently revoked the privileges of five doctors who were associated or previously associated with the facility.

Attorney General Ken Paxton stated that the clinic will provide care and support to what he described as victims of radical left gender ideology. He added that the state would continue to ensure the clinic meets its mandate to protect children and address what he called irreversible harm.

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