Texas Children’s Hospital Agrees to Halt Pediatric Sex-Rejecting Procedures and Pay Over $10 Million

WASHINGTON — The Department of Justice announced on May 15, 2026, the first resolution secured under its national investigation into violations of federal law connected to the provision of sex-rejecting procedures on minors at Texas Children’s Hospital.

Texas Children’s Hospital entered into agreements with the Department of Justice and the Texas Attorney General that commit the hospital to cease performing such procedures on children. These procedures include the administration of puberty blockers and cross-sex hormones.

The hospital agreed to pay over $10 million in damages and civil penalties. It will also dedicate millions of dollars to the provision of medical care for children harmed by these procedures, referred to as detransitioners.

The resolution immediately ends the hospital’s performance of sex-rejecting procedures on minors. Prior to the agreement, Texas Children’s Hospital provided these interventions as part of its pediatric gender clinic operations. The new state prohibits any such procedures on children at the facility with no delayed effective date specified in the resolution.

The commitments trigger operational requirements for Texas Children’s Hospital to redirect resources toward detransition care. The resolution requires the hospital to fund and establish a detransition clinic. It also sets a precedent for other medical providers under the ongoing national investigation, which may now face similar demands for cessation of procedures, financial penalties, and remedial care funding.

State attorneys general gain a documented enforcement model for parallel actions under federal law.

This marks the initial resolution obtained by the Department of Justice in its investigation into pediatric sex-rejecting procedures. The agreements were reached with both the federal department and the Texas Attorney General.

Primary sources: U.S. Department of Justice