DoH legislation to introduce new gender option known as “X”

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  Under new Washington State Department of Health (DoH) legislation, Washington State birth certificates are now offering three options for gender. 

   The new option, known as “X,” is defined “…as a gender that is not exclusively male or female, including, but not limited to, intersex, agender, amalgagender, androgynous, bigender, demigender, female-to-male, genderfluid, genderqueer, male-to-female, neutrois, nonbinary, pangender, third sex, transgender, transsexual, Two Spirit, and unspecified,” according to the DoH’s website. 

  The “X” gender option is set to take effect on Jan. 27.

  A DoH news release revealed that the change was made to help certain individuals better identify with their desired gender.  

  “After receiving and considering public comment, the agency determined that this rule change will provide individuals with the option to have a birth certificate that aligns with their gender identity.”

  But the legislation, adopted by the DoH Dec. 27, 2017, requires that adults wishing to make the change fill out the necessary paperwork and bring their original birth certificate. Minors looking to do the same must have signed statements from their healthcare provider and parent/guardian along with the required forms.  

  To read the legislation, visit

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