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The Montana House gave initial approval to four bills restricting abortion access and legislation banning transgender women from participating in women's sports and penalizing doctors for gender-affirming care, with most votes along party lines. These bills, some previously vetoed by Democratic governors, now move to the Senate, reflecting the priorities of the new GOP governor Greg Gianforte and legislative leaders in Montana.

Abortion remains legal in Montana, but access is limited due to factors like travel distances, high costs, and logistical challenges faced by patients. The Montana Abortion Access Program (MAAP) helps bridge these gaps by providing financial, logistical, and emotional support, funding nearly a quarter of all abortions in the state in 2025.