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AUSTIN (AP) – 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.

AUSTIN (AP) — The Texas Supreme Court on Friday refused to declare that Democratic lawmakers who briefly fled the state in 2025 to block a vote on new congressional maps pushed by President Donald Trump had vacated their office.

The all-Republican court dealt a blow to Gov. Greg Abbott and state Republicans in their efforts to severely punish the more than 50 Democrats who bolted for New York, Illinois and Massachusetts in a bid to stop a vote on the maps during a special session.

The Texas redistricting effort kick-started cascading efforts by both parties across the country to redraw voting maps ahead of this year’s midterm elections: Republicans, pushed by Trump, seek to hold their slim majority in Congress as Democrats try to counter them.

Those efforts have gained new intensity after the U.S. Supreme Court further weakened the Voting Rights Act by no longer allowing race to be considered in how congressional and other districts are drawn.

In Texas, Abbott had argued in a lawsuit filed directly to the state’s highest civil court that state Rep. Gene Wu, the leader of the House Democratic caucus, and others had effectively abandoned their office.

If successful, they hoped to wield a new hammer to threaten lawmakers considering any future quorum breaks.

Wu had argued that he was not abandoning his office, but was exercising a right to dissent.

In denying Abbott’s request, the court opinion written by Justice James Blacklock noted that the Republican-majority Legislature had adequately resolved the problem itself through measures such as fines against the missing lawmakers, and it noted they eventually returned on their own within a few weeks.

“In the end, a quorum was restored in two weeks’ time, without judicial intervention, by the interplay of political and practical forces,” Blacklock wrote.

“Courts have uniformly recognized that it is not their role to resolve disputes between the other two branches that those branches can resolve for themselves,” the opinion said.

If the issue rises again and the Legislature cannot effectively compel lawmakers to return, the court may someday consider whether the courts should step in, the opinion said.

“When Greg Abbott threatened to arrest and expel us for denying him a quorum, we told him he should ‘come and take it.’ He tried!” Wu said in a statement Friday. “Abbott was wrong, weak, and after all his bluster, he couldn’t come and take a damn thing.”

Wu and the other lawmakers eventually returned to Texas, and the new map was passed and signed into law by Abbott.

Wu had argued that because he had returned to the Capitol and the map was eventually signed into law, there was no longer any reason for the court to weigh in.

If lawmakers leave again, the governor will bring the same issue back to the court, Abbott spokesman Andrew Mahaleris said Friday.

“No elected official has the right to abandon their duties, flee the state and shut down the people’s business,” Mahaleris said. “Governor Abbott’s legal action is what brought derelict Democrats back to Texas to do their jobs and pass the Big Beautiful Map.”

The state constitution requires that at least 100 of the 150 House members be present to conduct business, and the quorum break effectively shut down a special legislative session Abbott had called to address redistricting and other issues.

And Texas has a history of walkouts.

In 2021, the court ruled that the Texas Constitution enables the possibility of a quorum break but also allows for consequences to bring members back.

Last year’s Democratic walkout was the third since 2003, when lawmakers bolted to stop a vote on a redistricting bill. They did it again in 2021 over an elections bill. In both cases, they were temporary victories as Democrats eventually returned and the Republican majority in the Legislature ultimately passed both measures into law.

FORT BLISS (AP) – The wife of a U.S. Army sergeant has been released from federal immigration custody after spending a month in detention.

Sgt. Jose Serrano, an active duty soldier stationed in Texas who served three tours in Afghanistan, previously told The Associated Press that immigration agents arrested his wife, Deisy Rivera Ortega, during an April 14 appointment with immigration services to advance her application for permanent residency.

U.S. Sen. Tammy Duckworth, a Democrat and combat veteran, told the AP that she personally contacted Department of Homeland Security Secretary Markwayne Mullin on Wednesday to advocate for Rivera Ortega’s release after learning of her situation from advocacy groups. Rivera Ortega returned home Thursday evening.

“Rivera-Ortega has been released from ICE custody with a GPS tracking device, mandatory home visits, and ICE office check-ins. She will receive full due process,” said the DHS, which oversees U.S. Immigration and Customs Enforcement.

The family of Rivera Ortega did not immediately respond to a request for comment.

Serrano, who is stationed in the Fort Bliss area, and Rivera Ortega have been married since 2022. According to the DHS, Rivera Ortega entered the U.S. illegally in 2016 and a judge issued a final order of removal for her in December 2019.

Rivera Ortega, an El Salvador native who was employed by two hotels, held a military spouse ID card and a valid work permit, according to Duckworth’s office. She had been applying for the parole-in-place program designed to shield the immediate relatives of military family members from immigration enforcement as they take steps to adjust their legal status.

Last April, DHS eliminated a 2022 policy that considered military service of an immediate family member to be a “significant mitigating factor” in deciding whether or not to pursue immigration enforcement. The administration’s new policy states that “military service alone does not exempt aliens from the consequences of violating U.S. immigration laws.”

Advocates for military families have warned that detaining spouses of active duty soldiers is a national security threat because it prevents soldiers from remaining focused on their military service.

“Our active duty service members, some of whom are deployed themselves, should not have to worry about whether or not their spouse, who oftentimes is the primary caregiver for their children, is going to be detained, and then who’s going to look after the children,” Duckworth told the AP. “Our war fighters need to be talking and thinking and solely focused on the enemy who would do us harm and who would attack the United States, and they should not have to worry about the well-being of their family members back at home.”

According to DHS, more than 100 immediate family members of military veterans have been placed into removal proceedings under the Trump administration’s mass deportation agenda. The administration said it has also placed 34 military veterans in removal proceedings as of Jan. 26.

Following public outcry and intervention from congressional leaders on both sides of the aisle, spouses of veterans and active duty U.S. soldiers have been released from federal immigration custody in some cases.

EAST TEXAS (KETK) — Attorney General Ken Paxton has notified more than 130 Texas cities on Thursday that they are barred from raising property taxes above the no?new?revenue rate after his office determined they failed to meet state audit and transparency requirements under a new law.

According to the Attorney General’s Office, more than 1,000 Texas municipalities were asked to provide documents showing whether they complied with SB 1851, which requires every city to complete annual financial audits and meet state transparency standards. After reviewing those submissions, investigators identified more than 130 cities that allegedly failed to meet the required benchmarks for the upcoming fiscal year.
Thirteen East Texas cities appear on the AG’s list:

* Berryville
* Chireno
* Corrigan
* Elkhart
* Eustace
* Huntington
* Livingston
* Mount Enterprise
* Red Lick
* Redwater
* Rusk
* Tool
* Yantis

Letters sent by the state warn those municipalities that they may face enforcement actions and penalties under SB 1851 and cannot legally approve property tax increases beyond the no-new-revenue rate until compliance issues are resolved.

The Attorney General’s Office said the list of cities currently identified as non-compliant is preliminary and that additional municipalities could face similar restrictions as the investigation continues.

Paxton said the effort is intended to protect Texas taxpayers from unlawful tax increases and ensure local governments follow state law. State officials indicated that further enforcement actions may follow if additional cities are found to be out of compliance with the financial reporting requirements outlined in SB 1851.

“Cities cannot ignore state audit and transparency requirements without consequences,” Paxton said in a statement. “My office will continue enforcing the law to protect taxpayers across Texas.”

Statements from East Texas cities:

City of Tool

“We respect and understand the Attorney General’s determination regarding the City of Tool’s current audit status. To date, the City of Tool is completing its 2024 audit and have already corresponded with our third-party auditors in regards to our 2025 fiscal year audit, expected to be completed by the end of this fiscal year. We are committed to being fiscally responsible and strive to not only be in compliance with state law, but to continue to provide a level of transparency and commitment with taxpayers’ money.”

City of Huntington

We were notified by the Attorney General’s office yesterday afternoon that we were in violation of the provisions of SB 1851, which will effectively prevent the city from adopting a tax rate that exceeds the no-new-revenue rate for 2026.

As you are surely aware, the effective date on those provisions was September 1, 2025. The City’s 2026 fiscal year budget and 2025 tax rate had already been adopted by ordinance before that effective date, so the provisions did not apply for the setting of the 2025 tax rate.

Public hearings were published and held in accordance with the Public Meetings Act prior to those ordinances being adopted.

Our financial records have been in the hands of Mr. David Godwin and his capable staff since February 2026, but the audit was not completed by the required deadline of March 30, 2026. We are still awaiting the completed audit and expect that to be submitted for Council review in the near future. City officials are absolutely aware of the provisions that will restrict this year’s tax rate and plan to abide by the letter of the law.

As far as transparency is concerned, the City’s 2026 fiscal year budget and the audit for fiscal year 2024 are on the City’s website – http://www.cityofhuntington.org – under the Finance Department tab. As soon as the audit is completed and received by our office, it will be posted on the website posthaste.

City of Rusk

The City of Rusk has received notice from the Texas Office of the Attorney General regarding the City’s compliance with Local Government Code Chapter 103 and related requirements f fiscal year 2025.

The City understands that, based on the Office of the Attorney General’s determination, the City has been found not to have complied with the audit and financial statement requirements applicable under state law and is therefore subject to the enforcement provisions set out in Local Government Code 103.055(c).

The City has been diligently working to resolve the issue and recently completed its 2024 audit.
The City remains committed to transparency, fiscal responsibility and full compliance with Texas law.

Under the applicable statute, the City may not adopt an ad valorem tax rate that exceeds its no-new-revenue tax rate until compliance is achieved. The City intends to be in compliance as soon as possible.

The City will continue working diligently to address this matter.

KETK News has contacted additional East Texas cities for comment and is awaiting their responses.