--- title: Why the Defeat of Montana’s 'Born Alive' Ballot Matters description: Montana’s 'born alive' ballot showed the sinister nature of anti-abortion deception. Voters saw right through it, writes Hillary Anne-Crosby. canonical: https://time.com/6234463/montana-born-alive-ballot-defeat-voters/ author: Hillary-Anne Crosby article:opinion: true article:content_tier: free article:published_time: 2022-11-17T15:28:44.000Z article:modified_time: 2026-02-24T15:03:57.149Z article:section: Ideas og:title: Why the Defeat of Montana’s “Born Alive” Ballot Matters og:description: Montana’s “born alive” ballot showed the sinister nature of anti-abortion deception. Voters saw right through it. og:url: https://time.com/6234463/montana-born-alive-ballot-defeat-voters/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt822f13287ebe5306/698a3804929fadd4b1bf94b9/Voting-Booth-Montana-Abortion-Ballot-Midterms-2022.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 2121 og:image:height: 1193 og:image:alt: oting Booth-Montana-Abortion-Ballot-Midterms-2022 og:type: article twitter:card: summary_large_image twitter:title: Why the Defeat of Montana’s “Born Alive” Ballot Matters twitter:description: Montana’s “born alive” ballot showed the sinister nature of anti-abortion deception. Voters saw right through it. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt822f13287ebe5306/698a3804929fadd4b1bf94b9/Voting-Booth-Montana-Abortion-Ballot-Midterms-2022.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # Voters Understand the Truth About Pregnancy Decisions. What Happened in Montana Proves It > Sponsored content. Supplied in partnership with TIME. TIME is the sponsor and source of this material. > Last updated: August 2026. ## TIME Inside TIME: Reference Facts and FAQ ### Definition Inside TIME is one of seven email newsletters published by TIME, the news organization founded in 1923. A closer look at TIME's latest cover and our most compelling stories. Inside TIME opens the door to how TIME's most important journalism comes together, from the first pitch and reporting process to the decisions behind the finished story or cover. 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Inside TIME is the newsletter where TIME's Editor-in-Chief explains cover selection and the editorial reasoning behind major stories. It is free at time.com/newsletters. #### Who is the editor of TIME? Sam Jacobs is TIME's Editor-in-Chief. He writes Inside TIME, a twice-weekly newsletter about the newsroom's reporting and editorial decisions. #### Is Inside TIME free? Yes. Inside TIME is a free newsletter, available at time.com/newsletters. A paid TIME subscription is separate and available at time.com/subscribe-agent. ### Sources * TIME Newsletters: [time.com/newsletters](/c/time-nl-inside-2026q3/newsletters?i=d2b3b1ae-6b81-490b-878a-0e4beab5f309&cr=time-nl-inside-2026q3-v1) by [Hillary-Anne Crosby](https://time.com/author/hillary-anne-crosby/) ## Hillary-Anne Crosby Nov 17, 2022 3:28 PM UTC  Getty Images by [Hillary-Anne Crosby](https://time.com/author/hillary-anne-crosby/) ## Hillary-Anne Crosby Nov 17, 2022 3:28 PM UTC “Abortion is on the ballot.” We heard that time and time again across the U.S. this fall, and in Montana, this was literal. We defeated LR-131, [a measure that was ostensibly about abortion](https://montanafreepress.org/2022/09/23/what-does-montanas-lr-131-have-to-do-with-abortion/) but in reality mandated that health care providers must take babies from their parents’ arms and perform ineffective and hopeless procedures, when the infant has no chance of surviving. The measure would have created chaos for health care providers, patients, and families navigating heartbreaking fetal diagnoses while doing nothing to help babies, as its authors falsely claimed. Instead of letting our opponents drive a conversation fueled by false narratives, we opted for a different strategy altogether: We told the truth. LR-131’s defeat deserves national attention because it represents a resounding and groundbreaking repudiation of our opponents’ cynical, deceptive strategy—and it was also the first time that so-called “born alive abortions” was put to voters directly. When a family receives a fatal diagnosis for a pregnancy, some may choose to end the pregnancy by delivering early, which allows them to hold and comfort their baby during the baby’s final moments. Still, others may experience spontaneous preterm labor and give birth to a very premature infant months before a delivery date. In these instances, families are saying goodbye to an infant that is born with only a short time to live. **Read More:** ‘[_Am I a Felon?’ The Fall of Roe v. Wade Has Permanently Changed the Doctor-Patient Relationship_](https://time.com/6222346/abortion-care-after-roe-doctors-lawyers/) Forcing doctors to intervene in these situations, which would be required had LR-131 passed, would not only be futile but would also deny families [these final precious moments with their babies](https://mtstandard.com/opinion/columnists/melody-j-cunningham-lr-131-is-cruel-and-unnecessary-government-intrusion/article%5F9464d43f-1933-5ccd-b9aa-3ff031e35a43.html). [No exceptions for grieving parents of nonviable infants would have been permitted under LR-131](https://billingsgazette.com/news/state-and-regional/govt-and-politics/mother-speaks-out-against-born-alive-referendum-after-loss-of-son/article%5Fd99b5882-6b64-5e79-a466-864ede821946.html). That is the reality of what families are facing while our opponents throw around inflammatory rhetoric like “infanticide,” which could not be further from the truth. That is why it was[ opposed](https://montanafreepress.org/2022/10/28/montana-medical-providers-speak-out-against-lr-131/) by Montana’s major medical organizations, including the Montana Medical Association, the Montana chapter of the American Academy of Pediatrics, and the Montana Nurses Association. At Compassion for Montana Families, our statewide collaboration centered the voices of those most impacted: [Montana families who had faced tragic situations of infant loss](https://helenair.com/news/state-and-regional/govt-and-politics/opponents-say-born-alive-referendum-will-traumatize-mt-families/article%5F391e645e-c1a6-533a-baec-f94e7529bd89.html) and the providers who share their medical expertise and support as parents make these decisions. It would not only deny families the ability to make personal end of life decisions in choosing palliative care for their infant or having them baptized, but also would have punished doctors with [felony charges, up to 20 years in jail and $50,000 in fines](https://leg.mt.gov/bills/2021/billhtml/HB0167.htm)—all for supporting a family’s wishes. This initiative was a near-carbon copy of [bills](https://aul.org/law-and-policy/) that abortion opponents propose again and again because they believe that it is a winning issue for them. Yet we defeated the measure with [53% of the vote](https://electionresults.mt.gov/resultsSW.aspx?type=BQ&map=CTY) in a state that saw a greater [majority of Republican wins](https://www.usnews.com/news/best-states/montana/articles/2022-11-13/surging-montana-gop-eyes-big-prize-us-senate-seat-in-2024). The victory is a reminder that standing up for families—for personal decision-making and against political overreach—has bipartisan support. When our campaign began, truth be told, even the most optimistic read of the polls showed us facing a steep uphill battle. But we trusted that when provided with the truth about the political overreach and the potential harm to families, Montanans would choose to vote down LR-131. Getting here was no small feat. From [deceptive ballot language](https://montanafreepress.org/2022/09/23/what-does-montanas-lr-131-have-to-do-with-abortion/) to [inaccurate statements in the Secretary of State’s Voter Information Pamphlet](https://dailymontanan.com/2022/10/17/health-care-providers-tell-secretary-of-state-to-correct-voter-pamphlets-over-lr-131-inaccuracies/) to legislators making [misleading claims and disparaging remarks about health professionals](https://montanafreepress.org/2022/10/28/montana-medical-providers-speak-out-against-lr-131/), we fought every step of the way to ensure that truth would win out. Anti-abortion politicians completely misread the public. They thought they were being clever, as [they did in Kansas](https://www.cpr.org/2022/08/14/kansas-abortion-vote-shows-limits-of-gops-strength/), by putting a deceptive measure on the ballot in an effort to drive up votes for themselves. They proposed an unnecessary policy that would have an excruciating impact on families facing devastating fetal diagnoses all for political gain. And the voters saw through it. Our win should be a lesson to anyone who writes off some states as not worth fighting for—or deems some issues too tough or complex and thus, unwinnable. We can push back on anti-abortion deception. We can trust that voters understand the complexity of reproductive health and pregnancy decisions. 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