All Roll Calls
Yes: 504 • No: 277
MontanaHB 68269th Legislature, Regular Session (2025)HouseWALLET
Generally revise laws regarding gender transition treatment
Sponsored By: Greg Kmetz (Republican)
Became Law
Discrimination and Human RightsHealthCivil ProcedureInsuranceLiability
Your PRIA Score
Score Hidden
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
5 provisions identified: 4 benefits, 0 costs, 1 mixed.
Lawsuit deadlines for minor transition care
The law sets special time limits for injury claims about gender transition care received as a minor. You must file within 25 years after you turn 18 or within 4 years after you discover the injury and its cause, whichever is later. The law also bars any claim filed after you reach age 30. These rules replace the normal 3‑year tort and 2‑year medical malpractice deadlines for these cases. The law defines which surgeries, puberty blockers, and high‑dose hormones count as gender transition treatment for these rules.
Medicaid must match detransition coverage
If Montana Medicaid covers gender transition care or related care, it must also cover detransition care on the same cost‑sharing terms. If Medicaid later stops covering transition care, only people who were enrolled and who used that coverage keep equivalent detransition coverage.
Private plans must cover detransition care
If your group or individual health plan covers gender transition care or related care, it must also cover detransition care with the same copays and rules. This parity applies to HMOs and regulated self‑funded MEWAs, too. If a plan later drops transition coverage, only people who were enrolled and who used that coverage keep equivalent detransition coverage.
State and university plans cover detransition
State employee and Montana university system plans that cover gender transition care must also cover detransition care on the same terms. Copays and cost‑sharing must match. If these plans later stop covering transition care, only members who were enrolled and who used that coverage keep equivalent detransition coverage.
State health program covers detransition
If the state health program covers gender transition care or related care, it must also cover detransition care with the same cost‑sharing. If the program later drops transition care, only people who were enrolled and who used that coverage keep equivalent detransition coverage.
Sponsors & Cosponsors
Sponsor
Greg Kmetz
Republican • House
Cosponsors
Lee Deming
Republican • House
Roll Call Votes
House vote • 4/30/2025
Do Adopt
Yes: 57 • No: 43
House vote • 4/30/2025
Do Adopt
Yes: 32 • No: 18
House vote • 4/29/2025
Do Adopt
Yes: 44 • No: 6
House vote • 4/29/2025
Do Adopt
Yes: 96 • No: 2
House vote • 4/16/2025
Do Concur
Yes: 49 • No: 49
House vote • 4/11/2025
Do Concur
Yes: 30 • No: 18
House vote • 4/10/2025
Do Concur
Yes: 28 • No: 18
House vote • 3/7/2025
Do Pass
Yes: 57 • No: 42
House vote • 3/5/2025
AMD-HB0682.002.002 Thane DO PASS
Yes: 54 • No: 41
House vote • 3/5/2025
Do Pass As Amended
Yes: 57 • No: 40
Actions Timeline
Chapter Number Assigned
5/19/2025HouseSigned by Governor
5/13/2025HouseTransmitted to Governor
5/7/2025HouseSigned by President
5/6/2025SenateSigned by Speaker
5/5/2025HouseReturned from Enrolling
5/2/2025HouseSent to Enrolling
4/30/2025HouseSponsor Rebuttal to Fiscal Note Signed
4/30/2025House3rd Reading Free Conference Committee Report Adopted
4/30/2025Senate3rd Reading Free Conference Committee Report Adopted
4/30/2025House2nd Reading Free Conference Committee Report Adopted
4/29/2025House2nd Reading Free Conference Committee Report Adopted
4/29/2025SenateFree Conference Committee Report Received
4/28/2025SenateHearing
4/24/2025HouseFree Conference Committee Appointed
4/23/2025SenateFree Conference Committee Appointed
4/22/2025HouseConference Committee Dissolved
4/22/2025HouseConference Committee Appointed
4/17/2025House2nd Reading Senate Amendments Not Concurred
4/16/2025HouseReturned to House with Amendments
4/11/2025Senate3rd Reading Concurred
4/11/2025Senate2nd Reading Concurred
4/10/2025SenateCommittee Report--Bill Concurred as Amended
4/8/2025SenateCommittee Executive Action--Bill Concurred as Amended
4/7/2025SenateHearing
3/28/2025Senate
Bill Text
As Amended (Version 5)
5/1/2025
Enrolled
5/1/2025
As Amended (Version 4)
4/8/2025
As Amended (Version 3)
3/5/2025
As Amended (Version 2)
3/4/2025
Introduced
2/24/2025