Gender affirming care is happening in Dallas

Some good news that I had not been fully aware of.

The Dallas doctor who ran the state’s most prominent medical program for transgender youth says she has seen dozens of new patients since crucial court wins this summer and fall.

Dr. Ximena Lopez has seen 72 additional patients since May, when a Dallas judge allowed her to resume treating transgender youth newly seeking care at Children’s Medical Center Dallas. In September, Lopez celebrated another victory when the Dallas appeals court ruled the state also could not step in to halt these treatments.

The mandate in that appeal was issued Dec. 5, finalizing the decision.

Brent Walker, Lopez’s lawyer, said the number of new patients interested in gender-affirming care shows his client’s treatments are needed. He criticized the state of Texas, represented by the Office of Attorney General Ken Paxton, for trying to intervene.

“The only reason the Attorney General was trying to get into this case was for the sake of his personal politics, not because of his constitutional duties and certainly not because he has concerns about these children and parents, who need the kind of care Dr. Lopez and the others provide,” Walker told The Dallas Morning News in a statement.

Representatives with Paxton’s office did not respond to a request for comment.

The rulings mean transgender adolescents in North Texas will have access to treatments like puberty blockers and hormone therapy until the case goes to trial as lawyers and politicians across the state continue to fight over the legality and efficacy of gender-affirming care.

[…]

Lopez, a pediatric endocrinologist who ran the program, sued Children’s over the Genecis decisions in May.

That month, Judge Melissa Bellan granted Lopez an injunction that allowed her to temporarily resume admitting new patients seeking medical treatments. Children’s agreed to the injunction, which will last at least until a trial is slated to start in April 2023. The decision was a huge win for Lopez, who immediately began to take appointments.

Objecting to the resumption in care, Paxton sought to intervene in the case on the grounds that his office believes these treatments can constitute child abuse.

In June, Bellan ruled against Paxton, who quickly appealed her decision.

On Sept. 23, the 5th Court of Appeals in Dallas agreed with Bellan that the state cannot intervene. The three-judge panel – two Democrats and one Republican – that issued the ruling did not elaborate on its reasoning.

See here, here, and here for some background; there’s more at that first link to go farther back, when both Children’s Medical Center and UT Southwestern both ceased offering these services in response to pressure from Greg Abbott. The last update I had was about Paxton’s appeal to the Fifth Court; I had not seen that there had been a ruling against him. This is a great victory but likely to be a temporary one. Even if Dr. Lopez prevails in the trial, you can be sure that the Lege will have a bill to send to Abbott to specifically outlaw what she’s doing. This fight is going to be bigger and longer and harder than this court case. But at least in the meantime, kids who need this help can get it.

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