Texas Attorney General Ken Paxton persists in targeting transgender individuals, once again requesting data from out-of-state sources.

This blog originally appeared at Advocate.

Without legal jurisdiction, Texas Attorney General Ken Paxton has once more sought medical records from a transgender healthcare provider in another state.

The recent request was directed to QueerMed, a telehealth clinic in Georgia that caters to patients nationwide. Dr. Izzy Lowell, the founder of the organization, verified Paxton’s inquiry to the Houston Chronicle but refrained from providing details about the subsequent actions the group plans to take in response.

“I’m not breaking any laws,” she told the outlet. “We are doing everything by the book according to state law.”

This marks the second identified inquiry from Paxton, who previously demanded in November that the Seattle Children’s Hospital furnish information related to the count of Texas minors undergoing gender-affirming care at the clinic, their diagnoses, prescribed medications, and even guidance on gradually discontinuing such treatments.

In December, a judge in Washington prevented the hospital from disclosing the records, citing the state’s recently enacted shield laws that protect patients from civil or criminal legal actions for procedures prohibited in other states, such as gender-affirming care or abortions. Following this, Seattle Children’s Hospital filed a lawsuit against Paxton, urging him to halt the investigation.

Paxton has refrained from making public comments on the Seattle case or the inquiry in Georgia. His office has opted not to disclose details about other ongoing inquiries involving transgender health providers.

Texas is among 23 states that have implemented prohibitions on gender-affirming care for minors, contrary to abundant medical evidence. Organizations such as the American Medical Association, the American Psychiatric Association, the American Academy of Pediatrics, the American Academy of Child & Adolescent Psychiatry, the World Medical Association, and the World Health Organization collectively endorse the evidence-based and medically necessary nature of gender-affirming care for both adults and minors.

In his capacity as the attorney general of Texas, Paxton lacks jurisdiction over healthcare provided in other states, regardless of the patients’ place of residence. Despite Paxton’s request, Lowell affirmed that she is “not going to stop or be intimidated.”

“The unfairness and blatant discrimination and harassment and persecution of trans people in this country right now is outrageous, and I’m only becoming more and more passionate about it as things have gotten worse,” she continued.