Texas Attorney General Ken Paxton is seeking more than $1 million in a civil lawsuit against a pediatric hospital and a Dallas doctor accused of transitioning gender dysphoric children and fraudulently billing taxpayers.

Paxton announced the health care fraud lawsuit on Feb. 18 against Children’s Health System of Texas, the country’s seventh-largest pediatric hospital, and Jason Jarin, a division director of Children’s Health, who saw patients for gender interventions in Dallas and Plano. The suit was filed in the District Court of Collins County, Texas.

​“I will use every legal tool available to ensure radical gender activists like Jarin face justice for hurting our kids,” Paxton said.

​“Experimental ‘transition’ procedures on minors are illegal, unethical, and will not be tolerated in Texas.”

Neither Jarin nor Children’s Health responded immediately to requests from The Epoch Times for a comment.

​Jarin is a pediatric gynecologist accused of regularly performing transgender procedures and giving both female and male patients puberty blockers and cross-sex hormones, according to Paxton.

​Paxton alleges that Children’s Health and Jarin billed Texas Medicaid and the state Children’s Health Insurance Program for cross-sex hormones and puberty blockers given to children as young as 9 years old.

​The lawsuit alleges that Children’s Health and Jarin engaged in a healthcare fraud scheme involving pediatric gender transitioning procedures since 2017. Paxton alleges that the hospital and doctor continued to bill Texas Medicaid for cross-sex testosterone, estrogen, and puberty blockers for children in violation of Senate Bill 14. The bill banning such procedures for minors took effect Sept. 1, 2023.

​Paxton also accused Children’s Health and Jarin of violating the Texas Health Care Program Fraud Prevention Act by “repeatedly changing patients’ gender in claims to Texas Medicaid in order to get illegal and unallowable claims paid.”

​The lawsuit alleges the defendants falsely billed transgender claims as endocrine disorders and gave puberty blockers to healthy children under the guise of precocious puberty. Examples include hormone replacement therapy billed under a code for actual hormone deficiencies, and cross-sex estrogen hormones given to boys billed as contraception implants, the lawsuit alleged.

​The defendants likely engaged in deceptive acts in violation of Texas law by falsifying or misrepresenting medical records, prescriptions, and billing submissions to pharmacies, insurers, and Medicaid, according to the attorney general’s office.

​According to the lawsuit, Texas taxpayers have been billed millions of dollars for gender transition surgeries, hormones, and other procedures that turn healthy children and young adults into chronic patients.

​​The lawsuit is one of several that Paxton has filed against medical providers allegedly engaging in illegal procedures to transition children.

​In 2024, Paxton filed three lawsuits against Dallas and El Paso doctors providing hormones prohibited under SB 14 for children as young as 12 years old.

​The lawsuits alleged that the doctors illegally provided high-dose cross-sex hormones to dozens of minor patients for gender transition purposes. The doctors allegedly used false diagnoses and billing codes to mask these unlawful prescriptions, the suits said.

​Those doctors were restricted from practicing medicine while the lawsuits were making their way through the court system, according to a news release on Feb. 4, 2025, from the Texas Attorney General’s office.