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Demonstrators gather on the steps of the Montana State Capitol protesting anti-LGBTQ+ legislation on March 15, 2021, in Helena, Mont. Montana health officials have made permanent a rule that blocks transgender people from changing their birth certificates even if they undergo gender-confirmation surgery. (Thom Bridge/Independent Record via AP, File)

Demonstrators gather on the steps of the Montana State Capitol protesting anti-LGBTQ+ legislation on March 15, 2021, in Helena, Mont. Montana health officials have made permanent a rule that blocks transgender people from changing their birth certificates even if they undergo gender-confirmation surgery. (Thom Bridge/Independent Record via AP, File)

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