State Rep. Barry Usher, R-Billings, speaks during a meeting of the Joint Rules Committee on the House floor at the Montana State Capitol in Helena, Mont., on Dec. 7, 2020. The dozens of statehouse bills to restrict health care for transgender youths were in many cases not born of grassroots despair and a groundswell of constituent demand, but were pre-written and shopped out by a handful of conservative interest groups. One of the clearest examples is in Montana, where nearly all the language in Senate Bill 99 can be found in Do No Harm's model bill. Usher voted in favor of the bill. (Thom Bridge/Independent Record via AP, File)