Montana Gov. Gianforte signed HB682 imposing liability on gender-affirming care providers and framing the care as fraudulent
On May 13, 2025, Montana Gov. Greg Gianforte signed House Bill 682, sponsored by Rep. Greg Kmetz, which imposes heightened civil liability on medical providers who deliver gender-affirming care and characterizes that care as harmful and fraudulent. The law revises Montana statute governing gender transition treatment and follows the state's 2023 ban on such care for minors (SB99) and a related 2025 liability measure, Senate Bill 218.
Actors
- Greg Gianforte (Governor, Montana)
- Greg Kmetz (State Representative, Montana)
- Montana Legislature
On May 13, 2025, Montana Gov. Greg Gianforte signed House Bill 682, sponsored by Rep. Greg Kmetz, R-Miles City, imposing heightened civil liability on medical providers who deliver gender-affirming care and characterizing that care as harmful and fraudulent. The bill's official short title describes it as a measure to "generally revise laws regarding gender transition treatment." It passed the Montana House 57-42 on March 7, 2025 and the Senate 30-18 on April 11, 2025, before clearing a conference committee and reaching the governor's desk.
The law follows Montana's 2023 ban on gender-affirming care for transgender minors (SB99), which remains contested in state court litigation, and a companion 2025 measure, Senate Bill 218, imposing similar liability. The ACLU of Montana, which tracked and opposed the bill through the 2025 session, identified HB682 as part of a broader legislative effort targeting transgender Montanans' access to medical care.
Why we recorded this
Civil-rights protections require government policy to treat people fairly regardless of protected characteristics such as gender identity. Montana enacted a law imposing heightened liability on medical providers specifically for delivering gender-affirming care, while characterizing that established, physician-recommended treatment as harmful and fraudulent. This archive records when a state legislature singles out care associated with a protected characteristic for punitive treatment, deterring access to it through the threat of liability rather than ordinary medical regulation.
Sources
- Montana HB682 | 2025 | Regular Session — LegiScan primary accessed July 12, 2026
- 2025 Priority Issue Area: 2S-LGBTQIA+ Rights — ACLU of Montana secondary accessed July 12, 2026
- House Bill 682: Generally revise laws regarding gender transition treatment — Montana Free Press Capitol Tracker secondary accessed July 12, 2026
See also
- Montana Gov. Gianforte signed HB471, requiring parental opt-in before LGBTQ-related school instruction
- Montana Gov. Gianforte signed HB400 'Free to Speak Act' shielding refusal to use transgender students' pronouns from discipline
- Montana Gov. Gianforte signed HB690 excluding non-affirmation of a child's gender identity from child abuse and neglect definitions
- Montana Gov. Gianforte signed HB300 barring transgender athletes from women's and girls' school sports
- Montana Gov. Gianforte signed HB121, restricting bathrooms and changing rooms to sex assigned at birth
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