Texas Attorney General Ken Paxton withdrew the state’s lawsuit against pediatric endocrinologist Dr. Hector Granados on Thursday after finding no evidence that he violated the state’s ban on gender affirming care for trans youth.

Paxton sued Granados in October 2024, accusing him of providing puberty blockers and hormones to patients as young as 12 in treatment for gender dysphoria. Paxton accused Granados of falsifying medical and billing records to mislead pharmacies and insurance providers into covering the care.

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Paxton initially called Granados a “scofflaw who is harming the health and safety of Texas children,” and Granados wasn’t notified before the lawsuit’s filing, in worries that he might try to destroy relevant records, The Hill reported.

However, Granados said he stopped providing gender-affirming care in May 2023, after the state’s legislature passed the law. Now that Paxton’s office has dropped its charges against him, Paxton’s office will now “focus on other ongoing cases against doctors who illegally provided harmful ‘transition’ treatments and drugs to children,” an attorney general spokesperson said, according to The Hill.

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The state has also sued May Lau and M. Brett Cooper, two medical providers from the University of Texas’ Southwestern Medical Center in Dallas. If found guilty, both could possibly lose their medical licenses and face hundreds of thousands of dollars in fines.

Despite Paxton’s claim about gender-affirming care being “harmful,” the medications used in such care have been used safely in children for decades for the purposes of gender transition and to treat other medical issues in cisgender children as well. In fact, Texas’ law stands in opposition to the best care practices for treating gender dysphoria recommended by every major American medical association. These associations agree that such care is safe, effective, and essential for the overall well-being of trans people.

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