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Missouri Attorney General Andrew Bailey Confirms Launch of Multi-Agency Investigation into St. Louis Transgender Center for Harming Hundreds of Children

Home 9 Press Release 9 Missouri Attorney General Andrew Bailey Confirms Launch of Multi-Agency Investigation into St. Louis Transgender Center for Harming Hundreds of Children
Feb 9, 2023, 15:03 PM by AG Bailey
JEFFERSON CITY, Mo. – Now that the whistleblower has gone public with her allegations about the Pediatric Transgender Center at St. Louis Children’s Hospital, Missouri Attorney General Andrew Bailey confirms that two weeks ago the Attorney General’s Office began a full investigation into these shocking allegations. The Office has already received a sworn affidavit from the whistleblower and documents that support her allegations. The Missouri Department of Social Services and Division of Professional Registration are assisting the investigation.

“As Attorney General, I want Missouri to be the safest state in the nation for children,” said Attorney General Andrew Bailey. “We have received disturbing allegations that individuals at the Transgender Center at St. Louis Children’s Hospital have been harming hundreds of children each year, including by using experimental drugs on them. We take this evidence seriously and are thoroughly investigating to make sure children are not harmed by individuals who may be more concerned with a radical social agenda than the health of children.”

“The Division of Professional Registration and its 41 licensing boards license over 525,000 Missourians in more than 300 professions.  Importantly, the Division and its boards’ mission is the protection of the public, especially those most vulnerable,” said Sheila Solon, Director, Division of Professional Registration. “The Division’s licensing boards will investigate the complaints they receive as part of this investigation, and take any necessary action against the licenses of Missouri professionals in violation of the boards’ statutory and regulatory authority to ensure health, safety and welfare of the citizens of Missouri.”

“The Department of Social Services takes its role to investigate concerns of potential fraud, waste, or abuse in Missouri’s Medicaid program seriously,” said Robert Knodell, Acting Director, Department of Social Services. “We will investigate concerns raised in order to ensure the health and safety of our Medicaid participants and to protect the integrity of the Medicaid program.”

So that parents are fully aware of the nature of these allegations, the Attorney General’s Office is releasing the whistleblower’s full, sworn affidavit. The sworn affidavit asserts, among other things, that individuals at the Center are using experimental drugs on children, distributing puberty blockers and cross-sex hormones without individualized assessment, and even giving children these life-altering drugs without parental consent. The whistleblower says that the actions taken by the Center have led children to attempt suicide and that the Center never discontinues prescribing cross-sex hormones, no matter how much those drugs are harming the child. The whistleblower also has provided documentary evidence that the Center has been unlawfully billing state taxpayers to fund these actions.

Specific allegations include:

  • “On several occasions, the doctors have continued prescribing medical transition even when a parent stated that they were revoking consent.”
  • “The Center does not require children to continue with mental health care after they prescribe cross-sex hormones or puberty blockers and even continues those medications when the patients directly report worsening mental health after initiating those medications “
  • “I have seen puberty blockers worsen the mental health outcomes of children. Children who have not contemplated suicide before being put on puberty blockers have attempted suicide after.”
  • “It is my belief that the Center does not track these outcomes because they do not want to have to report them to new patients and because they do not want to discontinue cross-sex hormone prescriptions. The Center never discontinues cross-sex hormones, no matter the outcome.”
  • “During my time at the Center, I personally witnessed Center healthcare providers lie to the public and to parents of patients about the treatment, or lack of treatment, and the effects of treatment provided to children at the Center.”
  • “Doctors at the Center also have publicly claimed that they do not do any gender transition surgeries on minors. … This was a lie. The Center regularly refers minors for gender transition surgery. The Center routinely gives out the names and contact information of surgeons to those under the age of 18. At least one gender transition surgery was performed by Dr. Allison Snyder-Warwick at St. Louis Children’s Hospital in the last few years.”
  • “The Center tells the public and parents of patients that the point of puberty blockers is to give children time to figure out their gender identity. But the Center does not use puberty blockers for this purpose. Instead, the Center uses puberty blockers just until children are old enough to be put on cross-sex hormones. Doctors at the Center always prescribe cross-sex hormones for children who have been taking puberty blockers.”
  • “The Center tells the public and parents that it makes individualized decisions. That is not true. Doctors at the Center believe that every child who meets four basic criteria—age or puberty stage, therapist letter, parental consent, and a one-hour visit with a doctor—is a good candidate for irreversible medical intervention. When a child meets these four simple criteria, the doctors always decide to move forward with puberty blockers or cross-sex hormones. There were no objective medical test or criteria or individualized assessments.”
  • “One doctor at the Center, Dr. Chris Lewis, is giving patients a drug called Bicalutamide. The drug has a legitimate use for treating pancreatic cancer, but it has a side effect of causing breasts to grow, and it can poison the liver. There are no clinical studies for using this drug for gender transitions, and there are no established standards of care for using this drug.”
  • “I know of at least one patient at the Center who was advised by the renal department to stop taking Bicalutamide because the child was experiencing liver damage. The child’s parent reported this to the Center through the patient’s online self-reporting medical chart (MyChart). The parent said they were not the type to sue, but ‘this could be a huge PR problem for you.’”
  • “Children come into the clinic using pronouns of inanimate objects like ‘mushroom,’ ‘rock,’ or ‘helicopter.’ Children come into the clinic saying they want hormones because they do not want to be gay. Children come in changing their identities on a day-to-day basis. Children come in under clear pressure by a parent to identify in a way inconsistent with the child’s actual identity. In all these cases, the doctors decide to issue puberty blockers or cross-sex hormones.”
  • “In one case where a girl was placed on cross-sex hormones, I found out later that the girl desired cross-sex hormones only because she wanted to avoid becoming pregnant. There was no need for this girl to be prescribed cross-sex hormones. What she needed was basic sex education and maybe contraception. An adequate assessment before prescribing hormones would have revealed this fact. But because the doctors automatically prescribe cross-sex hormones or puberty blockers for children meeting the bare minimum criteria, this girl was unnecessarily placed on drugs that cause irreversible change to the body.”
  • “On another occasion, a patient had their breasts removed. This surgery was performed at St. Louis Children’s Hospital. Three months later, the patient contacted the surgeon and asked for their breasts to be ‘put back on.’ Had a requisite and adequate assessment been performed before the procedure, the doctors could have prevented this patient from undergoing irreversible surgical change.”
  • “It is my belief that the Center does not track these outcomes because they do not want to have to report them to new patients and because they do not want to discontinue cross-sex hormone prescriptions. The Center never discontinues cross-sex hormones, no matter the outcome.”
  • “In just a two-year period from 2020 to 2022, the Center initiated medical transition for more than 600 children. About 74% of these children were assigned female at birth. These procedures were paid for mostly by private insurance, but during this time, it is my understanding that the Center also billed the cost for these procedures to state and federal publicly funded insurance programs.”
  • “I have personally witnessed staff say they were uncomfortable with how the Center has told them they have to code bills sent to publicly funded insurance programs. I have witnessed staff directly ask the providers for clarification on billing questions and have providers dismiss the concerns and work to have the patients have this care covered as the priority.”

The affidavit of the whistleblower can be read here:—signed.pdf?sfvrsn=6a64d339_2