The post EXCLUSIVE–Paxton’s Historic Settlement with TX Children’s Hospital Leads to 1st Detransition Clinic appeared first on Breitbart.
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Texas Children’s Hospital has officially opened a medical clinic for patients seeking care after undergoing gender-transition interventions, fulfilling a requirement of a legal settlement that also required the hospital to pay $10 million, as Texas Attorney General Ken Paxton (R) and Democrat James Talarico compete in a U.S. Senate race with contrasting records on transgender policies.
“BREAKING: The nation’s first-ever Detransition Clinic is now open as a result of my historic settlement with Texas Children’s Hospital,” Paxton wrote on X Tuesday.
The clinic will provide individualized, multidisciplinary detransition-related medical care to patients through age 21, along with detransition-related obstetric and gynecologic care for patients older than 21. According to Texas Children’s Hospital’s website, available specialties include endocrinology, surgery, primary care, fertility counseling, psychiatry, psychology, social work and case management, and speech pathology.
Patients can request appointments online and undergo an initial virtual triage visit to determine their medical needs. Care may be provided at different Texas Children’s locations depending on the services recommended by their medical team.
Under the settlement, Texas Children’s Hospital must provide the clinic’s services free of charge for five years and promote the facility on its website. The agreement also required the hospital to pay $10 million, permanently terminate the privileges of three current physicians, permanently bar two former physicians from obtaining privileges at Texas Children’s-affiliated facilities, and implement operational reforms, including employee training and restrictions on gender-transition procedures.
The settlement resolved allegations that Texas Children’s Hospital submitted false claims to government healthcare programs for puberty blockers, cross-sex hormones, and other gender-transition treatments using false diagnosis codes. The allegations were investigated by Paxton’s office and the Department of Justice.
“I will continue to ensure that this clinic provides the care and support that victims of the radical left’s gender ideology deserve,” Paxton said in his October 27 announcement. “Together, we will protect our children and defeat the dangerous ideology that has inflicted irreversible harm on innocent kids.”
The settlement stemmed from a whistleblower complaint filed on behalf of Vanessa Sivadge, a former Texas Children’s Hospital nurse who raised concerns about the hospital’s gender-transition treatments and billing practices after observing that transgender-identifying patients continued receiving treatment in its endocrinology and gynecology departments despite a 2022 announcement that the hospital had discontinued gender-affirming care for minors.
Sivadge publicly disclosed her allegations in June 2024 and was subsequently placed on leave before being fired that August, a termination she has described as retaliation for whistleblowing.
Sivadge told Breitbart News, “The opening of the nation’s first dedicated detransition clinic at Texas Children’s Hospital represents a tangible step toward addressing the needs of patients who have undergone sex-rejecting medical interventions and now need care, support, and a path forward. This clinic is more than a provision in my legal settlement with the hospital. It is an acknowledgment that patients who need detransition-related care deserve to be seen, supported, and treated with dignity.”
“I am grateful to Attorney General Ken Paxton, the State of Texas, and the Trump administration’s Department of Justice for helping make this landmark outcome possible,” she continued. “I thank God for sustaining me through this journey. I did not write this story, and I could never have orchestrated its outcome. But I believe He has called me to walk it faithfully, to speak when silence would be easier, and to keep standing in the gap for children.”
“Today, I am profoundly grateful to see this milestone become reality,” she concluded.
The clinic’s opening comes exactly one week before the November 3 election, when Paxton will face Democrat James Talarico in a U.S. Senate race in which the candidates have taken opposing positions on gender-transition treatments for minors.
Paxton has challenged transgender policies for years, raising concerns about Fort Worth Independent School District’s transgender-identifying student guidelines over parental rights in 2016 and later suing Children’s Health System of Texas and pediatric physician Jason Jarin in February 2026 over allegations involving gender-transition drugs for minors and improper Medicaid and Children’s Health Insurance Program (CHIP) billing. His office also sued the National Collegiate Athletic Association (NCAA) in December 2024, accusing it of deceptive marketing practices for allowing transgender athletes born male to compete in women’s sporting events, which Paxton said jeopardized women’s “safety and wellbeing” by turning women’s competitions into “co-ed competitions.”
Talarico, meanwhile, voted against Texas Senate Bill 14 in 2023, legislation restricting certain gender-transition treatments and procedures for minors. During debate over the measure, Talarico argued that physicians had a “moral obligation” under the Hippocratic oath to treat children experiencing gender dysphoria and cited research that he said supported hormonal treatment for young people. “I’m asking us to follow that evidence, follow that science, and I’m disturbed that this body is not willing to let doctors make these decisions,” Talarico said. He also previously described denying children such treatments as “child abuse.”
Talarico has also characterized legislation restricting gender-transition healthcare for minors as part of a “Christofascism movement,” citing a bill that he said “would have denied gender-affirming health care to trans children.”
During a 2023 podcast appearance, Talarico expressed support for transgender-identifying children, saying, “I love — and I’m just going to say this because it’s on my mind — the trans children who showed up yesterday at the State Capitol to advocate for their humanity.” He added, “They shouldn’t have to, but it was an inspiration to watch.” In another discussion, Talarico said white men had “greater responsibilities to love our enemies” so that “trans kids” would not have to“advocate for their basic humanity.”
Talarico has also described sex education as “maybe the most important topic” students would learn in school while opposing parental opt-in requirements for the instruction. He also named Alyssa Edwards, a drag performer who operates the Beyond Belief Dance Company for young dancers and has incorporated children into drag-related performances, as his favorite drag queen.
In 2021, Talarico argued that “modern science” recognized six biological sexes, saying “sex is a spectrum and oftentimes it can be very ambiguous.” However, during a September 2026 Fox News interview, he walked back that assertion, acknowledging, “No, I’ve missed the mark on some of my past statements. I will be the first to admit it,” before clarifying, “There are not six sexes, there are two.”
He has also referred to women as “neighbors with a uterus,” declaring after the overturning of Roe v. Wade that “every one of our neighbors with a uterus became property of the state.”
Talarico previously voted against Texas Senate Bill 14, which restricted certain gender-transition surgeries and hormonal treatments for minors. However, in June 2026, he declared, “I oppose gender reassignment surgeries for minors.” During a September Fox News interview, he expressed support for a national prohibition on such surgeries
