Texas Children鈥檚 Hospital in Houston has to create a detransition clinic for transgender patients by this summer and keep a list of 鈥減otential鈥� gender affirming care patients, according to new details released Monday by the Texas Attorney General鈥檚 Office.
According to a 10-page list of settlement terms, requested by The Texas Tribune, Texas Children鈥檚 has 90 days from the effective date of the settlement to set up the detransition clinic. The attorney general but because a final settlement has not been signed there is no effective date agreed upon yet.
The $10 million settlement, first announced on May 15, is the result of a 2023 investigation by the attorney general鈥檚 office into Texas Children鈥檚. That same year, Gov. signed that transgender children from receiving puberty blockers and hormone therapies. Previously, all that was known about the settlement was that the hospital agreed to pay $10 million to the state and permanently revoke the medical privileges of three current doctors and two former ones.
The settlement terms released Monday are the first details about the unusual agreement between the nation鈥檚 largest pediatric hospital and the attorney general that would set up the nation鈥檚 first 鈥渄etransitioning clinic.鈥� is the stopping or reversal of transitioning care by social, medical or legal means, and it is rare for people to regret transitioning after taking hormone therapy and surgical interventions.
Common reasons for detransitioning include lack of family support, financial barriers and social pressure.
Per the settlement, Texas Children鈥檚 must also create a website for the detransition clinic and create a donate page so those individuals wanting to donate money toward the detransition clinic鈥檚 efforts, can do so. The hospital must keep a 鈥淧otential GAC Patient List鈥� that includes all diagnostic codes detailed by the AG and conduct an internal review of the list to confirm compliance with state and federal laws and the settlement agreement.
According to Texas Children鈥檚, they have not been asked to share the list and noted to do so would not be legally permissible. 鈥淲e abide by HIPAA and protecting patient privacy is one of our top priorities,鈥� the hospital said in a statement.
The attorney general鈥檚 office released to the Tribune a 鈥淪ettlement Term Sheet鈥� and not the complete settlement document between the two parties, as originally requested because one has not been signed. 鈥淲e鈥檝e aligned on a term sheet and the next step is to finalize the settlement agreement per standard practice,鈥� Texas Children鈥檚 said in a statement.
Other requirements include the removal of all hospital press releases from the Texas Children鈥檚 website related to gender transition services. The clinic will provide multiple services including access to endocrinology, surgery, primary care, fertility counseling, psychiatry and psychotherapy.
As previously announced, TCH must bar any gender-affirming care procedures, what the Texas attorney general鈥檚 office calls 鈥渟ex-rejecting鈥� procedures in the settlement, defined as pharmaceutical or surgical interventions that 鈥渁ttempt to align an individual鈥檚 physical appearance or body 鈥� that differs from the individual鈥檚 sex.鈥� This includes puberty blockers and hormone treatments. Also previously announced was the permanent revoking of medical privileges to three current doctors and two former ones.
The hospital previously issued a statement insisting it complied with all laws and decided to settle to close a legal chapter that has been, in their words: 鈥渨rought with falsehoods and distractions.鈥� The hospital also noted earlier that the services demanded as part of the settlement were already offered at the hospital. Late Monday, they emphasized that fact. 鈥淭he detransition clinic will formalize the supportive, multidisciplinary services we already deliver to all patients who need our care,鈥� the hospital statement said. 鈥淭his simply provides structure and a name for the services we currently provide.鈥�
A 2024 study of private insurance by Harvard University鈥檚 T.H. Chan School of Public Health are transgender and received puberty blockers or hormone treatments.
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