Montana District Judge Michael Moses speaks to attorneys during a court hearing on birth certificate changes for transgender people, on Sept 15, 2022, in Billings, Mont. Moses said in a Monday, Sept. 19, 2022, order that state health officials were being "demonstrably ridiculous" as they repeatedly refused to follow his orders to stop enforcing a state rule that would prevent transgender people from changing the gender on their birth certificate. (AP Photo/Matthew Brown)
