In May 2023, the Texas Legislature passed Senate Bill No. 14 (SB 14), which prohibits physicians and other licensed medical professionals from providing gender-affirming medical care to minors. The bill faced numerous legal challenges but ultimately went into effect on September 1, 2023. The case challenging the bill remains pending before the Texas Supreme Court.

Amidst the legal challenges, the Texas Office of the Attorney General has used its investigative and enforcement powers under the Texas Deceptive Trade Practices Act to initiate investigations of a hospital and telehealth clinic based outside of Texas in connection with their provision of gender-affirming care to minors.

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