September 11, 2025

In a significant legal turnaround, Texas Attorney General Ken Paxton's office has withdrawn its lawsuit against Dr. Hector Granados, an El Paso pediatric endocrinologist. The state had accused Dr. Granados of violating Senate Bill 14 (SB 14), a new law enacted in 2023 that restricts gender-affirming medical treatments for minors. The allegations included the continuation of prescribing puberty blockers and cross-sex hormones beyond the law's effective date of September 1, 2023, and purported falsification of medical records to conceal these actions.
Dr. Granados firmly denied these accusations, asserting that he ceased providing such treatments before the law was implemented. A thorough examination of his medical records by the Attorney General’s office confirmed his compliance, leading to the dismissal of the case. This decision has brought a sense of relief to Dr. Granados, who criticized the state's approach, highlighting the lack of direct communication from state officials before they proceeded with legal action.
Despite the acquittal of Dr. Granados, the Texas Attorney General's office continues to pursue cases against other medical professionals under the same law. The office's statement underscores its commitment to holding those it deems responsible for "harming Texas children both physically and emotionally" accountable. This includes ongoing lawsuits against Dr. May Lau and Dr. M. Brett Cooper, whose legal battles are still active.
SB 14, the law at the center of these controversies, bans puberty blockers, hormone therapy, and surgical procedures for transgender minors, mandating that physicians taper off such treatments for existing patients. The law has sparked a slew of legal challenges, with opponents arguing that it infringes on medical ethics and constitutional rights. These cases continue to navigate through the judicial system, highlighting ongoing tensions over transgender healthcare in Texas.
Civil rights organizations like the ACLU argue that even cases that are quickly dismissed can have lasting negative impacts, creating a chilling effect that deters healthcare providers from offering essential care to transgender patients. This situation underscores the broader legal and ethical battles playing out in Texas and across the country, as communities and lawmakers grapple with the complex intersection of healthcare rights and legislative action.