Trans Resource Navigator

Gender-affirming care in Montana

Care for adults
Allowed
Care for people under 18
Allowed
Montana Medicaid / Healthy Montana Kids pays for hormones
Unclear
Montana Medicaid / Healthy Montana Kids pays for surgery
Unclear
Private plans must cover care
No state rule

Adults in Montana can get gender-affirming care, including informed hormone therapy at clinics in Missoula and Bozeman. Montana's 2023 ban on care for minors (SB 99) has been struck down under the state constitution's privacy clause, so care for minors is legal, but a 2025 law lets patients sue providers over care given to minors, and a federal Medicaid funding cutoff for minors takes effect October 13, 2026.

Draft from official sources, September 24, 2026. Not yet checked by a person. How we verify

On this page
  1. Health centers near you
  2. Hormones by telehealth
  3. Clinics, programs, and funds
  4. Paying for care
  5. Rules for adults
  6. Rules for under 18
  7. Laws and court cases
  8. Sources

Community health centers near you

These federally funded centers must see you whether or not you have insurance, and charge based on income. Many, but not all, prescribe hormone therapy. Call and ask for "gender-affirming care" or "hormone therapy."

Sorting by distance uses your location only on this device. It is never sent anywhere.

Hormones by telehealth

These services prescribe hormones through video visits for people in this state. Point of Pride pays for a year and a half of care with several of them each spring.

  • Plume

    PaidNo Medicaid18+

    Trans-led telehealth service providing informed-consent hormone therapy, lab orders, prescriptions, and letters for surgery and documents, by app and video visit. Self-pay only since January 2026. A Point of Pride HRT Access Fund partner.

    About $99 per month ($90 in NY and NJ), which includes visits, messaging, prescriptions, and document letters. Labs and medications are billed separately and are often cheap with GoodRx or at a community pharmacy. Free for 18 months if you win a Point of Pride HRT Access Fund grant.

  • FOLX Health

    InsuranceTakes insuranceNo Medicaid18+

    LGBTQ-focused telehealth offering hormone therapy, PrEP, primary care, and mental health visits. Accepts major commercial insurance (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare) but not Medicaid or Medicare. A Point of Pride HRT Access Fund partner.

    In-network with many commercial plans; self-pay membership about $69 to $98 per month all-inclusive.

  • QueerDoc

    Sliding scale

    Small telehealth practice offering informed-consent hormone therapy with transparent sliding-scale pricing. Does not bill insurance for visits, but labs and prescriptions can go through your insurance. A Point of Pride HRT Access Fund partner.

    Sliding scale by income; check the current pricing page.

  • Planned Parenthood

    Sliding scaleTakes insurance

    Many Planned Parenthood affiliates provide informed-consent gender-affirming hormone therapy alongside sexual and reproductive health care, on a sliding scale and with Medicaid. Most affiliates see adults 18 and older; a few see 16- and 17-year-olds with parental consent and a readiness letter. Many start hormone care by telehealth. Self-pay initial consults typically run about $120 to $250 before sliding-scale discounts.

Clinics, programs, and funds

  • Blue Mountain Clinic[1]

    Independent Missoula family medicine clinic that has provided gender-affirming care for over a decade; hormone therapy (injections, gels, patches, tablets), injection training, surgery referrals, help with name change paperwork, and an internal Access Fund for patients facing cost barriers.

    • Cost varies
    (406) 721-1646610 North California Street, Missoula, MT 59802

  • Bridgercare[2]

    Bozeman nonprofit sexual and reproductive health clinic offering hormone therapy and transitioning visits for adults only, plus PrEP, PEP, and STI testing.

    • Cost varies
    (406) 587-06811288 N 14th Ave

  • Planned Parenthood of Montana[3]

    Health centers in several Montana cities. Whether each center offers gender-affirming hormone therapy, and the minimum age, could not be confirmed; call your nearest center.

    • Cost varies
    • Unverified

  • Open Aid Alliance[4]

    Missoula and Polson harm reduction and HIV organization offering confidential STI, HIV, hepatitis C, and syphilis testing, PrEP information, free condoms, naloxone, and syringe services.

    • Free
    406-543-4770715 Ronan St, Missoula, MT 59801

  • Point of Pride[5]

    National nonprofit with programs that help trans people pay for hormone therapy, surgery, and binders.

    • Free
    • Unverified

  • HRSA Find a Health Center[6]

    Federal locator for community health centers that charge on a sliding scale, including in rural Montana.

    • Sliding scale

Paying for care

Medicaid (Montana Medicaid / Healthy Montana Kids)[12][11]

We could not find a Montana Medicaid rule or policy that states whether gender-affirming hormones or surgery are covered for adults. Some Montana clinics that prescribe hormones accept Medicaid; ask the clinic and your pharmacy to check coverage before you start, and ask for a written denial if a claim is refused so you can appeal. For people under 18, federal rules end Medicaid and CHIP payment for gender-affirming medical care on October 13, 2026.

Apply for coverage

Private insurance[13]

Montana has no law requiring state-regulated health plans to cover gender-affirming care or banning trans-specific exclusions. Plans governed by federal rules (for example the ACA's Section 1557) may have separate protections that are in flux. You can file a complaint with the Commissioner of Securities and Insurance (CSI) if a Montana-regulated insurer denies a claim improperly.

File an insurance complaint

The rules in detail

Rules for adultsNo Montana law restricts gender-affirming care for adults.

No Montana law restricts gender-affirming care for adults. Clinics such as Blue Mountain Clinic in Missoula and Bridgercare in Bozeman prescribe hormones for adults, and telehealth providers (FOLX, QueerDoc, Plume) serve Montana. Montana has no shield law protecting patients or providers from other states' actions.

[1][2]
Rules for under 18SB 99 (2023, the "Youth Health Protection Act," MCA 50-4-1001 to 1006) banned puberty blockers, hormones, and surgery for minors with gender…

SB 99 (2023, the "Youth Health Protection Act," MCA 50-4-1001 to 1006) banned puberty blockers, hormones, and surgery for minors with gender dysphoria and barred public funds for that care. It never took full effect: a Missoula County district court blocked it in 2023, the Montana Supreme Court upheld that block on December 11, 2024, and the district court struck the law down on May 13, 2025. ACLU of Montana reports that the Montana Supreme Court has since ruled SB 99 unconstitutional under the state privacy clause.

Two things still affect minors' care:

  • MCA 50-4-1405 (2025) lets a person treated as a minor sue the provider for injuries caused by a departure from the standard of care, until two years after discovering the injury (and not before age 23).
  • A federal CMS rule bars Medicaid and CHIP from paying for gender-affirming medical care for people under 18 starting October 13, 2026; current patients get six months of transition coverage.

Parental consent is required for minors. Ask any clinic about its own age policy.

[7][8][9][10][11]
Laws and court cases1 court case, 2 laws

Cross v. State (formerly van Garderen v. State)

SB 99 is not enforced. Gender-affirming care for minors is legal in Montana with parental consent.[7][8]

Families and providers challenged SB 99. The Montana Supreme Court upheld a preliminary injunction on December 11, 2024, finding the law likely violates the state constitution's right to privacy. The district court granted summary judgment striking SB 99 on May 13, 2025; ACLU of Montana reports the Montana Supreme Court has ruled it unconstitutional (update of July 9, 2026). Last update 2026-07-09.

  • MCA 50-4-1004: Youth Health Protection Act prohibitions (SB 99, 2023; struck down)
  • MCA 50-4-1405: Private cause of action for injuries caused by treatment of gender dysphoria in minors (2025)

Sources

13 sources. Numbers in the text, like [1], point here.Show all
  1. Gender-Affirming CareBlue Mountain Clinic, Organization. accessed
    “Blue Mountain Clinic has provided gender-affirming care for our community for over a decade”
  2. Patient ServicesBridgercare, Organization. accessed
    “Transgender Care: Adults Only”
  3. Planned Parenthood of Montana (page returned 403 to automated access)Planned Parenthood, Organization. accessed
  4. Open Aid Alliance (read via Wayback Machine 2026 capture; live site returns 403)Open Aid Alliance, Organization. accessed
    “Book your confidential and fast STI, HIV, Hep-c, and Syphilis test here.”
  5. Point of PridePoint of Pride, Organization. accessed
  6. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  7. Cross v. StateACLU of Montana, Organization. accessed
    “The Montana Supreme Court ruled that SB 99, a 2023 Montana law that categorically bans life-saving gender-affirming care for transgender youth, is unconstitutional under the Montana state constitution's privacy clause.”
  8. District court strikes down ban on gender-affirming care for trans youthDaily Montanan, News. accessed
  9. MCA 50-4-1004, Prohibitions (Youth Health Protection Act)Montana Legislature, Law. accessed
  10. MCA 50-4-1405, Private cause of action for injuries caused by treatment of gender dysphoriaMontana Legislature, Law. accessed
    “Any health care professional or physician who provides the medical treatments listed in subsection (4) to a minor may be subject to a civil action”
  11. Federal agency blocks Medicaid coverage of kids' gender-affirming careDaily Montanan (republished), News. accessed
  12. Montana Healthcare Programs, Member ServicesMontana DPHHS, Official page. accessed
  13. Consumer or Professional Online Complaint Form (live site returns 403; URL confirmed via Wayback)Montana Commissioner of Securities and Insurance, Official page. accessed