The office of Texas Attorney General Ken Paxton filed a petition Oct. 29 claiming Granados had prescribed puberty blockers and hormones to minors for gender transition — health care the state made illegal beginning Sept. 1, 2023. The court filing accuses Granados of providing gender-affirming care under the false pretense of treating precocious puberty.

Paxton filed the lawsuit in Kaufman County near Dallas, about 650 miles east of El Paso, where one of the 21 patients in the court filing is said to reside. Granados is one of three doctors Paxton sued last year for allegedly providing gender-affirming care to minors.