Texas Children's Hospital in Houston will establish the first U.S. clinic dedicated to medical care for young people who stop or reverse gender transitions under a settlement with state authorities. The agreement resolves an investigation into billing practices for gender-transition treatments, concluding a legal battle that began after Texas banned puberty blockers and hormone therapies for minors. The hospital will fund the clinic for five years and pay $10 million in penalties, while five doctors involved in transition care face termination of privileges.

Critics argue the move reflects political pressure rather than medical necessity, with advocates calling it a capitulation to anti-transgender policies.