Texas Children’s Hospital has opened what Texas Attorney General Ken Paxton describes as the nation's first detransition clinic, establishing a dedicated program for patients who previously underwent gender-transition treatments and are now seeking medical care related to detransition.

Paxton announced the clinic's opening on October 27, following a settlement reached earlier this year between his office, the U.S. Department of Justice and the Houston-based hospital. The agreement resolved allegations that Texas Children's Hospital improperly billed Medicaid for certain gender-transition treatments, including procedures restricted under Texas law.

Under the $10 million settlement, the hospital agreed to establish and operate the detransition clinic, discontinue certain gender-transition interventions and terminate the medical privileges of several physicians. The new clinic fulfills one of the central requirements of that agreement.

The program is designed to provide individualized medical care for people who previously received gender-transition treatments and are seeking assistance with their medical needs. Patients up to age 21 are eligible for a range of services, while those older than 21 may receive detransition-related obstetric and gynecological care.

According to Texas Children's Hospital, the clinic brings together specialists from multiple medical fields, including endocrinology, surgery, primary care, fertility counseling, psychiatry and psychology. The hospital says treatment plans will be tailored to each patient's circumstances, with care provided at different hospital locations depending on the services required.

The settlement also requires Texas Children's Hospital to fully fund the clinic for its first five years, allowing eligible patients to receive services without charge during that period.

The hospital has published information about the program on its website, including an online appointment request form. Patients seeking care must first complete a virtual assessment so medical staff can evaluate their needs and determine which services may be appropriate.

The opening marks a significant development in the dispute over pediatric gender-transition treatments in Texas. The settlement addresses the hospital's alleged Medicaid billing violations while requiring it to establish a program specifically serving patients seeking medical care after undergoing those treatments.