Despite rapidly changing federal and state policies that have caused confusion and misinformation, gender-affirming care for youth remains legal in Montana.
Many dedicated professionals and community organizations across the state continue to offer gender affirming, supportive care to transgender youth. To help youth, parents and caregivers, and providers to access care, the MT Youth Gender Affirming Care Network was formed in 2025.
This site is intended to provide update-to-date resources for Montana’s gender diverse and transgender youth and their parents, caregivers, and clinical providers, and a point of contact for community members seeking information or access to care.
In May 2025, a state judge permanently blocked enforcement of Montana SB 99, a 2023 law that sought to ban youth gender affirming care, ruling it unconstitutional under Montana’s rights to privacy and equal protection. Importantly, attempts to escalate criminal penalties against caregivers and providers have been blocked.
If you would like to follow the current legal status of youth gender affirming care across the nation and in Montana, visit the MAP project. The ACLU has more resources and can provide legal advice and assistance in Montana.
Many medical and mental health providers across the state offer this care and are committed to supporting the well-being of transgender and gender-diverse youth. However, not all providers are experienced in working with gender identityOne’s innermost feelings and sense of their gender, often described along the spectrum of masculinity and femininity. More or offering youth-specific gender-affirming care. If you’re unsure, a trusted provider can still be a valuable starting point for support and referrals.
Comprehensive services are available in Montana—including medical care, mental health counseling, and social support—for youth exploring gender identity, for transgender youth, and for their caregivers. Treatments such as puberty blockers, hormone therapy, and surgeries remain legal and available when clinically appropriate.
If you’re a youth, we hope you have a trusted adult to turn to—but we know that’s not always the case. You’re not alone. There are other safe places to start.
For youth and their parents or caregivers, a helpful first step is often talking with a family doctor, pediatrician, or therapist. You can also begin by establishing care with a new provider who understands gender-affirming care. The Human Rights Campaign offers helpful tips for how to start these conversations with a provider here.
If you are a youth, caregiver, or provider looking for resources or referrals in Montana, please reach out—we’re here to help.
Understanding Gender Identity & Pronouns, The Trevor Project
Transgender and Non-Binary People FAQ, Human Rights Campaign
Understanding Gender, Gender Spectrum
Get the Facts on Gender Affirming Care, Human Rights Campaign
Montana
Flathead Valley
Teen Youth Group (FLY), Glacier Queer Alliance
Great Falls
Missoula
After-School Youth Groups (5th-8th & 9th-12th grades), EmpowerMT
Monthly & Annual Community Events for Queer Teens (ages 13-18) & Quarterly Family Events, Queer Prom MT
National
Crisis Support – 100% Free & Confidential, The Trevor Project
Seattle Children’s Gender Clinic, Seattle Children’s Hospital
Info & Community Groups, The Trevor Project
Family & Youth Support Groups,Transfamilies
Gender Booklist & Resources, Seattle Children’s Gender Clinic
Trans Youth Resources, Trans Youth Equality Foundation
LGBTQ+ Resources & Counseling, Montana Family Center
Missoula
Support Group for Parents & Caregivers of Gender Diverse & Transgender Youth (In-Person Monthly, email for more information)
National
Seattle Children’s Gender Clinic, Seattle Children’s Hospital
Mental Health, Support Group, and Clinical Consultations for Parents & Caregivers (not for minors), Folx Health
Gender Spectrum Support Groups, Gender Spectrum
Family & Youth Support Groups,Transfamilies
Navigating Uncertain Times with Care and Compassion: A Guide for Parents of Transgender Youth, Human Rights Campaign
Supporting Transgender, Non-binary, and Gender-Expansive Children, Human Rights Campaign
Gender Spectrum Parent Community, PFLAG (Virtual)
Talking to Doctors and Medical Providers, Human Rights Campaign
Gender Affirming Pediatric Care Toolkit, National LGBTQIA+ Health Education Center
Seattle Children’s Gender Clinic, Seattle Children’s Hospital
Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People: World Professional Association of Trans Health (WPATH)
Caring for Gender Diverse Youth, Cardea Training Center
Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents, American Academy of Pediatrics, American Academy of Pediatrics
Standards of Care for the Health of Transsexual, Transgender and Gender Nonconforming People: World Professional Association of Trans Health (WPATH)
Gender Dysphoria/Gender Incongruence Guideline Resources, Endocrine Society
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People, UCSF
Comprehensive Care Clinics for Transgender & Non-Binary Youth: Considerations & Best Practices, Human Rights Campaign
Gender-Affirming Hormone Protocols, Seattle Children’s Gender Clinic
Youth gender affirming care is legal in the United States, and in Montana.
There is misinformation about the legal status of care in the U.S. and the state of Montana. Youth gender affirming care is legal, and though some hospitals, clinics, and providers are choosing not to treat transgender youth, many are still treating youth.
In May 2025, a state judge permanently blocked enforcement of Montana SB 99, a 2023 law that sought to ban such care, ruling it unconstitutional under Montana’s rights to privacy and equal protection.
If you would like to follow the current legal status of youth gender affirming care across the nation and in Montana, visit the links below. Especially, visit the ACLU, who can provide legal information and assistance.
Other Legal Resources
Info on Youth Gender Affirming Care Bans, Movement Advancement Tracker
State Policy Tracker, Kaiser Family Foundation
Impact of Ban on Gender-Affirming Care on Transgender Minors, Williams Institute