An unprecedented settlement agreement has been reached in a case brought by Texas Attorney General Ken Paxton that requires Texas Children’s Hospital in Houston to pay $10 million to the state and create a “detransition clinic.” Related: Trump DOJ forces major Texas children’s hospital to stop trans care & open ‘detransition’ clinicAttorney General Paxton Finalizes Historic Settlement with Texas Children’s Hospital, Creating First-Ever Detransition Clinic and Securing Nearly $10 Million for Texas: https://t.co/FHFYLRXn18— Texas Attorney General (@TXAG) August 5, 2026Under the agreement, the hospital must pay $10 million to the state for allegedly billing Texas Medicaid to fund illegal gender-transition interventions and using false diagnosis codes. It also forced Texas Children’s to fire and revoke the medical privileges of five physicians who provided such care. Related: Second major U.S. hospital agrees to fund detransition services under settlement with Trump DOJTexas Children's Hospital, a nonprofit, in Houston is the world's largest children's hospital. This “detransition clinic” would be the first of its kind in the U.S.