“Texas passed SB 14 to protect children from damaging, unproven medical interventions with catastrophic lifelong consequences for their health,” Paxton said. “Any organization seeking to violate this law, commit fraud, or weaponize science and medicine against children will be held accountable.”

Castillo claims Paxton’s document requests amount to intimidation. The attorney general has sent letters requesting information to hospitals as far away as Seattle, Washington, which the legal team says shows an effort to dissuade hospitals from providing care to children who live in Texas.

“PFLAG was incredibly brave and it’s continuing stepping up on behalf of PFLAG members all across Texas that continue to be attacked and bullied by the state of Texas and the attorney general,” Castillo said.

The law has been under fire since its inception. In August 2023, a Texas court filed an injunction against SB 14, stating that it likely violated the Texas Constitution. The Texas Supreme Court put a pause on the injunction, allowing the law to go into effect in September.

A multi-author report on the legal challenges published by McDermott, Will, & Emery said Texas has also sent letters to a telehealth facility in Georgia called QueerMed. That operation has since informed Texas that it will not treat youths from the state.

“The OAG has signaled aggressive enforcement of SB 14 by initiating previous investigations into Texas-based providers, including Dell Children’s Medical Center in Austin and Texas Children’s Hospital in Houston,” McDermott, Will, & Emery stated.

“However, the demands to Seattle Children’s and QueerMed represent a clear attempt by the OAG to step up its enforcement efforts by attempting to target out-of-state providers,” they added.