The current study utilized the 2018 Washington State Healthy Youth Survey to explore the relations among school district political attitudes, bullying experiences, and mental health outcomes, particularly for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) students. Although bullying was associated with greater psychological distress (i.e., anxiety, depression, and suicidality) for all students, LGBTQ+ students experienced more bullying and psychological distress. Bullying experiences mediated the relation between LGBTQ+ identity and psychological distress. However, school district voting record moderated the relation between LGBTQ+ identity and bullying, such that LGBTQ+ students in more conservative districts, or districts with more votes for Donald Trump in the 2016 election, experienced more bullying, which was associated with greater psychological distress. Additionally, increased teacher intervention during instances of bullying was related to less bullying for LGBTQ+ students. Finally, in more conservative-leaning districts, LGBTQ+ students reported less teacher intervention, which was associated with more bullying and psychological distress. Given that political conservatism was related to higher rates of bullying and poorer mental health outcomes for LGBTQ+ students, we recommend improving school-based LGBTQ+ bullying policies to prioritize the mental health of LGBTQ+ youth.