The Texas Attorney General’s office is trying to compel a Seattle hospital to hand over information about gender-affirming care patients from Texas may have received there, according to a lawsuit filed by the hospital this month.

The lawsuit, filed in Travis County District Court, said it is seeking to protect patient information of Texans who left their home state, where it’s illegal for minors to access gender-affirming care, to seek medically necessary treatment in Washington state, where it is legal. In the complaint, the Seattle hospital argues Texas authorities don’t have jurisdiction over these Washington patient records, and calls the requests “sham” and “improper.”

“There is no doubt the Attorney General is granted broad investigative powers under Texas law,” the lawsuit says. “But those powers are not unlimited. … Gender-affirming care is legal in Washington.”

Seattle Children’s filed the suit after the office of Texas Attorney General Ken Paxton served the hospital with a civil investigative demand in late November, according to the complaint. The request sought information about patients from Texas who had received gender-affirming care services from Seattle Children’s, including details related to diagnoses, medications prescribed, laboratory testing and other treatment protocols.

Paxton’s office also asked for the number of Texas children treated at the hospital and for guidance on how to “wean” a child off gender care.

According to the lawsuit, Paxton’s office told Seattle Children’s it was investigating potential violations of the Texas Deceptive Trade Practices Act, which aims to protect consumers by preventing general misrepresentations of practices. In this case, the attorney general’s office said it was looking into misrepresentations related to “gender transitioning and reassignment treatments.”

The November letter also cited Texas law, referring to a new law that went into effect in September that prohibits minors from accessing gender-affirming medication and surgical interventions.

“Seattle Children’s took legal action to protect private patient information related to gender-affirming care services at our organization sought by the Texas Attorney General,” a hospital spokesperson said in a statement. “Seattle Children’s complies with the law for all health care services provided.”

The hospital on Thursday declined to comment further on ongoing litigation, but Seattle Children’s attorneys argued in the complaint that the Texas demands represent an “unconstitutional attempt to investigate and chill potential interstate commerce and travel for Texas residents seeking care in another state.”

They also said that if they complied with the data request, they would be violating federal health privacy laws and Washington state’s shield law. The shield law, approved earlier this year, prohibits local cooperation with out-of-state efforts to pursue criminal and civil cases related to reproductive health and gender-affirming care.

The law protects Washington-based businesses or organizations, like Seattle Children’s, from having to respond to “any [gender care-related] investigation by a ban state,” or a state that restricts access to gender-affirming care, the complaint says.

The law also prohibits state businesses from complying with subpoenas, warrants and other court orders related to health care that is legal in Washington.

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

A spokesperson for Washington state Attorney General Bob Ferguson’s office, which supported passage of the state’s shield law and has been vocal about protecting access to both reproductive health and gender-affirming care, did not comment on the lawsuit except to say their office was aware of it and was “closely monitoring.”

The hospital, which does not provide any gender-affirming care in Texas nor does it advertise gender-affirming services there, asked the court to “set aside” the patient data request — or modify the request and grant the hospital an extension to comply.

Seattle Children’s has provided gender-affirming mental, medical and some surgical care out of its gender clinic for more than five years. The state is not publicly tracking the number of out-of-state patients seeking some type of care that remains legal in Washington, but some local gender-affirming care providers have noticed increases in recent months.

By Elise Takahama, The Seattle Times