Texas Attorney General Ken Paxton is suing a second doctor for allegedly violating state law and providing gender-affirming medical care to minors. Dr. Hector Granados is an El Paso pediatric endocrinologist.

Paxton accuses him in the lawsuit of prescribing puberty blockers and hormone therapy to more than 20 minors to treat gender dysphoria, or the distress someone can feel when their gender identity doesn’t match their physical appearance. In 2023, Texas passed Senate Bill 14, which prohibited medical providers from prescribing certain gender-affirming treatments, including puberty blockers and hormones, to minors to assist them to medically transition. Earlier this month, Paxton filed a similar lawsuit against Dr.

May Lau, an adolescent medicine physician and associate professor at the University of Texas Southwestern Medical Center in Dallas. The lawsuits say these doctors are “radical gender activists” who are circumventing the law. Both suits seek financial penalties as well as the revocation of the doctors’ medical licenses.

“Granados’s practices, publications, and presentations reveal an entrenched commitment to a gender ideology that desires to medically transition the biological sex of children or affirm the belief that a child’s gender identity is inconsistent with their biological sex,” Paxton wrote in the lawsuit filed Tuesday. Granados did not immediately respond to a request for comment. The lawsuit alleges Granados violated SB 14, but also says.