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'This is my health care': Patient in gender-affirming care lawsuit speaks out

An open box of 200 mg/ml Testosterone Cypionate Injection with a vial next  to it are in focus in front of a person visible from the neck down, blurred in the background.
Patricia Lim
/
KUT
Attorney General Ken Paxton sued three Texas doctors in late 2024 for allegedly violating the state's ban on gender-affirming care for minors. One of the doctor's patients said they feel "helpless" knowing their anonymized medical records could be used in the suit.

After Texas Attorney General Ken Paxton sued their physician for allegedly violating the state鈥檚 ban on gender-affirming care for minors, Spencer said they figured there was a 鈥渘on-zero鈥 chance their information was included in the lawsuit.

That didn鈥檛 make receiving a letter from Paxton鈥檚 office any less surreal.

The letter confirmed Spencer, who requested to use a pseudonym, was one of 15 unnamed patients in the state's lawsuit against Dr. M. Brett Cooper. The attorney general鈥檚 office subpoenaed Cooper, UT Southwestern Medical Center and Children鈥檚 Health for years of patients鈥 medical and billing records, therapy notes and communication with Cooper.

Spencer, a transgender and non-binary North Texan who saw Cooper for years, called the news and the possibility their records will be used in the case 鈥渢he one biggest source of stress鈥 in their life.

鈥淚t all feels like I鈥檓 very helpless in this because this is my information that I don鈥檛 want to be aired in court," they said. "Even if it is anonymized, this is my health care."

Paxton sued Cooper, along with Drs. May Lau and , last fall for allegedly violating Senate Bill 14, which banned the prescription of hormones or puberty blockers to treat gender dysphoria in minors. Paxton's office alleges the doctors prescribed hormone treatments after the ban took effect in September 2023. Paxton also accused the doctors of using false billing codes and diagnoses to fill prescriptions.

In separate lawsuits, Paxton called each doctor a 鈥渟cofflaw鈥 and called for their medical licenses to be revoked.

The law contains a provision for patients to wean off medications they were already prescribed when the law took effect.

Cooper鈥檚 attorneys have argued that Paxton鈥檚 press releases about the case have turned the cases into a 鈥減oliticized media spectacle鈥 that ignores the law鈥檚 exceptions for people who were already receiving treatment before June 2023.

Attorneys for the state, Cooper, Lau and the hospitals have spent months deliberating in Collin County鈥檚 493rd District Court ahead of eventual trial dates. Judge Christine Nowak denied Cooper and Lau鈥檚 motions to dismiss their cases. In April Nowak denied Cooper鈥檚 motion to transfer venue to Dallas or Travis County.

Meanwhile, in Dallas County, Spencer and 12 other patients listed in the lawsuit against Cooper asked a district court for protection from the state鈥檚 subpoena seeking their medical records. Eleven of Lau鈥檚 patients filed a similar petition in Dallas County.

Production of medical records by UT Southwestern or Children鈥檚 Health is on hold pending appeals in Cooper and Lau鈥檚 cases in Collin County. Lau鈥檚 patients' case in Dallas County is also on hold after a Dallas County Court judge denied the state鈥檚 request to suspend the case. State attorneys immediately filed an appeal.

In addition to the scope of the subpoenas, William Logan, an attorney with Winston & Strawn who represents Cooper's and Lau鈥檚 patients, said his team is also concerned with those who may have not been notified their medical records are listed in the lawsuits.

鈥淭he medical records themselves are the key component and the thing we鈥檙e trying to protect here, but recognizing that these patients are people, right? It's also important that their ... due process rights are protected as well,鈥 Logan said. 鈥淲e鈥檙e doing everything we can to make sure those are protected to the full extent possible under Texas law.鈥

四虎影院 reached out to state attorneys listed in the case for comment.

The names and birthdates of patients at the center of Texas Attorney General Ken Paxton's lawsuit against Dr. M. Brett Cooper were mistakenly released in records provided to 四虎影院.

Spencer said they鈥檙e grateful to have protection and frustrated in how patients have been addressed in court documents. They especially take issue with the word 鈥渧ictim鈥 being used to describe them.

鈥淚 can鈥檛 speak for any of the other patients, but I can speak for myself when I say that I don鈥檛 feel at all like a victim of Dr. Cooper鈥檚,鈥 Spencer said. 鈥淚f anything, I feel like a victim of the state of Texas and their attempts to stick their hands into my personal medical care.鈥

Asked about anything they wish the public would know while watching the case, Spencer said they wish transgender people would be seen as just that: people.

鈥淚 feel like there鈥檚 the tendency in today鈥檚 landscape to view the people involved as though we鈥檙e nothing but political talking points, but trans people exist,鈥 Spencer said. 鈥淲e鈥檙e just regular people that want to live out our lives without [...] what I personally believe is overreach.

鈥淚 also want people to know that at least in my case, the state may talk about how they鈥檙e doing this for my own good, but I do not see it that way whatsoever."

Got a tip? Email Kailey Broussard at kbroussard@kera.org.

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Kailey Broussard covers health for 四虎影院. Previously, they covered the city of Arlington for four years across multiple news organizations and helped start the Arlington Report.