The nation's largest children's hospital has agreed to a legal settlement with Texas and the Trump administration over gender-affirming care for transgender youth that includes a $10 million payment to the state, the administration and Texas Attorney General Ken Paxton announced Friday.
Texas Children's Hospital, based in Houston, said in a statement that it had agreed to the settlement “to protect our resources from endless and costly litigation.” The hospital, which serves more than 1 million patients annually, said Paxton's office and the U.S. Department of Justice has investigated its care for three years, forcing it to “navigate an unconscionable campaign of mistruths and mischaracterizations.”
The hospital announced in 2022 that it would stop gender-affirming hormone treatments for minors after Paxton issued a legal opinion calling such care “child abuse” and Gov. Greg Abbott directed the state's child welfare agency to investigate reports of care as abuse. In 2023, Texas became the most populous state to ban gender-affirming care for minors — at least 27 ban or restrict it — and the U.S. Supreme Court ruled in June 2025 that states can do so.
Paxton said the settlement will require Texas Children's to set up a “detransition clinic” to provide free care to transgender patients for five years to “reverse the damage” from gender-affirming care. He described it as the first “detransition clinic” of its kind in the nation, although that could not immediately be confirmed.
“This historic settlement reflects an institutional and fundamental shift away from radical ‘gender’ ideology,” Paxton said in announcing the settlement.
Paxton’s office did not release a copy of the agreement, and the statement from Texas Children’s did not discuss its specific terms.
The leader of the LGBTQ rights group Equality Texas said Texas Children's “has lost its integrity and put politics over patients” and called the settlement “embarrassing.”
“Paxton is blackmailing a hospital system into creating a resource that no one is asking for," CEO Brad Pritchett said in a statement. “It ignores the actual science and years of data about the overwhelming benefits of gender-affirming care.”
Under Trump, the U.S. Department of Health and Human Services has moved to use its regulatory power to block gender-affirming care for minors, and the DOJ has demanded access to providers' records. Acting U.S. Attorney General Todd Blanche said in a statement Friday that the DOJ would “use every weapon at its disposal” to stop gender-affirming care for children.
Paxton is running for the U.S. Senate, and he announced the settlement less than two weeks before a May 26 runoff with him locked in a tight race to unseat GOP incumbent Sen. John Cornyn. President Donald Trump — who has aggressively sought to roll back transgender rights — has not publicly endorsed a candidate in the race.
Most major medical groups see access to gender-affirming care as important for people with gender dysphoria. Transgender youth, parents and providers have described it as life-saving for youth who are depressed or suicidal because their gender identities do not match the sex assigned them at birth.
Gender-affirming care may include counseling, medications that block puberty, hormone therapy to produce physical changes or surgeries to transform chests and genitals, although those are rare for minors.
The hospital said it fully cooperated with Paxton's office and the DOJ, produced more than 5 million documents and did its own internal investigations. All of them showed that it never violated the law, the hospital said.
“These efforts have required significant staff time and financial resources to defend ourselves,” its statement said. “This settlement will allow us to redirect those precious resources to focus on the life-saving care and groundbreaking discoveries of our exceptional clinicians and scientists.”
Paxton said the agreement also requires Texas Children's to fire — “and never again hire” — five doctors who provided gender-affirming care, agree never to provide such care and to change its bylaws so that any doctor violating the state law automatically loses any privileges at the hospital.
The $10 million payment will go to the state's Medicaid program. Paxton had accused the hospital of submitting false billings, an allegation it rejected.
FILE - President Donald Trump walks with Texas Attorney General Ken Paxton, left, at Austin-Bergstrom International Airport in Austin, on Wednesday, Nov. 20, 2019. (AP Photo/Evan Vucci, File)
WASHINGTON (AP) — Israel and Lebanon have agreed to a 45-day extension of their ceasefire after another round of talks in Washington, the U.S. State Department said Friday.
It comes after two “productive” days of talks, and will be followed by more negotiations June 2-3, State Department spokesman Tommy Pigott said. A shaky truce between Israel and the Hezbollah militant group in Lebanon had been due to end on Sunday.
“We hope these discussions will advance lasting peace between the two countries, full recognition of each other’s sovereignty and territorial integrity, and establishing genuine security along their shared border,” Pigott said on social media.
THIS IS A BREAKING NEWS UPDATE. AP’s earlier story follows below.
NEW DELHI (AP) — Iran ’s foreign minister said a lack of trust is the biggest obstacle in negotiations to end the war with the U.S., saying Friday that Tehran would be open to diplomatic help, particularly from China, to help ease tensions.
Iranian Foreign Minister Abbas Araghchi said contradictory messages have “made us reluctant about the real intentions of Americans.”
“We are in doubt about their seriousness,” he told reporters in New Delhi, adding that negotiations would move forward if Washington was ready for a “fair and balanced deal.”
U.S. President Donald Trump earlier this week dismissed Iran's latest formal proposal as “garbage.” While Iran was said to include some nuclear concessions, Trump has said he wants to remove highly enriched uranium from the country and prevent it from developing nuclear weapons. Iran says its nuclear program is for peaceful purposes.
With talks between Iran and the U.S. at a standstill during the shaky ceasefire, tensions remain high and threaten to tip the Middle East back into open warfare and prolong the worldwide energy crisis sparked by the conflict.
Iran still has a chokehold on the Strait of Hormuz, a vital waterway where a fifth of the world’s oil passed through before the war, and America is blockading Iranian ports.
Trump and Chinese President Xi Jinping, who finished talks on Friday, agreed the strait needs to be reopened.
In Washington, the second and final day of talks between Israel and Lebanon were underway Friday, the U.S. State Department said. While a key objective is extending the tenuous ceasefire between Israel and Hezbollah that's due to end on Sunday, both sides continue to trade strikes.
The Israeli military said Friday it struck Hezbollah sites in southern Lebanon after reporting hostile aircraft alerts and launches from across the border. Lebanon’s health ministry said nearly 40 people were wounded in Israeli strikes near the coastal city of Tyre. One strike “leveled” a primary health center and also damaged the neighboring Hiram Hospital, wounding six medical staff members, the statement said.
Araghchi said Friday that Iran would welcome diplomatic support from other countries, particularly from China, citing Beijing’s previous role in facilitating the restoration of ties between Iran and Saudi Arabia.
Beijing has shown little public interest in U.S. requests to get more involved, even though Trump told Fox News’ Sean Hannity that Xi had in their conversations offered to help.
Pakistan said Thursday it was continuing diplomatic efforts to help ease regional tensions. But it declined to disclose details of the discussions or say whether the U.S. had formally responded.
“The clock on diplomacy has not stopped. The peace process is working,” Pakistani Foreign Ministry spokesperson Tahir Andrabi told reporters in Islamabad.
Trump has demanded a major rollback of Iran’s nuclear activities while Iran says it has a right to enrich uranium.
Israeli Prime Minister Benjamin Netanyahu, who launched the war with Trump on Feb. 28, also wants Iran’s highly enriched uranium removed from the country.
Iran’s foreign minister said Friday that the issue of its enriched uranium stockpile is one of the most difficult subjects in negotiations with the U.S.
Russia has previously offered to take the stockpile if Iran is willing to give it up. Araghchi said Russia’s proposal was not currently under active discussion, but could be revisited.
“When we come to that stage, obviously we will have more consultations with Russia and see if the Russian offer can help or not,” he said.
A Chinese private security company said it lost communication Thursday with a ship it was operating as an offshore work platform — the same day the United Kingdom Maritime Trade Operations center reported that a ship anchored off the United Arab Emirates coast had been seized.
Sinoguards said it had “been informed through relevant channels" that the vessel Hui Chuan was taken into Iranian waters for documentation and compliance inspection by the authorities.
The company's emailed statement said there was no indication of any injuries on the ship and that it was cooperating.
The security company and the U.K. maritime center did not say who was behind the seizure. It happened as a senior Iranian official reiterated his country’s claim of control over the Strait of Hormuz and another said it had a right to seize oil tankers connected to the U.S.
The U.S. seized vessels in the Gulf of Oman last month and on Friday the foreign minister of Pakistan said it had secured the return of 11 Pakistani nationals and 20 Iranian citizens who were aboard those vessels. “All individuals are in good health and high spirits,” said the foreign minister, Ishaq Dar, said.
The United Arab Emirates is speeding up the completion of a new pipeline that will allow the Gulf federation to export more oil without routing it through the Strait of Hormuz.
Sheikh Khaled bin Mohammed bin Zayed Al Nahyan, the crown prince of Abu Dhabi, directed state oil company ADNOC to accelerate work on the pipeline, the Abu Dhabi Media Office said Friday.
The oil company already runs a pipeline designed to carry 1.5 million barrels a day from its oil fields to the port of Fujairah on the Gulf of Oman.
The new pipeline, expected to double the company’s export capacity through that port, will become operational next year, the media office said.
Schreck reported from Dubai, United Arab Emirates. Associated Press reporters Munir Ahmed in Islamabad; Koral Saeed in Abu Snan, Israel; Matthew Lee in Washington; and Mae Anderson in New York contributed.
President Donald Trump walks to board Air Force One, Friday, May 15, 2026, at Beijing Capital International Airport in Beijing. (AP Photo/Mark Schiefelbein)
President Donald Trump interacts with China's Foreign Minister Wang Yi before boarding Air Force One, Friday, May 15, 2026, at Beijing Capital International Airport in Beijing. (AP Photo/Mark Schiefelbein)
Iranian Foreign Minister Abbas Araghchi arrives for a meeting during the two-day BRICS summit in New Delhi, India, Thursday, May 14, 2026. (AP Photo/Manish Swarup)
