Texas Children’s Hospital (TCH) in Houston will open what officials describe as the nation’s first “detransition” clinic after reaching a settlement involving the U.S. Department of Justice and the Texas Attorney General’s Office. Multiple outlets report the agreement follows state and federal investigations tied to the hospital’s treatment and billing practices for transgender patients and youth. The settlement requires TCH to pay $10 million in penalties. According to reporting from The New York Times and The Guardian, the inquiry also involved allegations related to how the hospital billed Texas Medicaid for gender-transition–related care, including claims of improper or false diagnosis coding. Rolling Stone and Fox News describe the settlement as leading to the creation of a clinic intended to provide detransition services. Breitbart similarly characterizes the resolution as “landmark” and describes the clinic as one for patients seeking reversal of gender-transition interventions. The outlets agree that the settlement is framed by state and federal officials as resolving the government’s claims, and that TCH is expected to stop certain gender-affirming services for youth as part of the agreement. The settlement’s specific medical and operational requirements are reported as part of the terms announced by the involved agencies.