Legislative Referendum 131|
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| Choice | Votes | % |  
| Yes | 213,001 | 47.45% |  
| No | 235,904 | 52.55% |  |
 
| Total votes | 448,905 | 100.00% |  |
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|  Congressional district results
 
| Yes   80–90%    70–80%    60–70%    50–60%  | No   90–100%    80–90%    70–80%    60–70%    50–60%  | Tie   50% | No votes      |  | 
| Source: Secretary of State of Montana | 
The 2022 Montana Legislative Referendum 131, commonly known as the Born-Alive referendum, was a legislatively-referred state statute in the state of Montana, which was voted on alongside the 2022 elections in the state. The statute, which sought to define certain infants as "born alive" – including following abortions – and compel medical practitioners to provide life-sustaining care to them no matter the prognosis, was rejected by voters.
Montana was one of six states to vote on an abortion-related referendum as part of the 2022 elections, alongside California, Michigan, Kansas, Kentucky, and Vermont. Although the vote was held following the United States Supreme Court's decision in Dobbs v. Jackson Women's Health Organization, the Montana Legislature passed the bill before the decision had been taken.