Washington State has a third gender option on birth certificates as of January 27, 2018. Citizens of Washington are allowed to legally change the gender on their birth certificates to X. This seems to be headed in the same direction as same-sex marriage in states as Oregon and California will have similar policies in effect sometime in 2018. Washington DC already has the gender X option on Drivers Licenses.
The gender X option on birth certificates is lauded as a huge win by those of the LBGTQ community. They feel it will help them to avoid certain types of harassment among other things.
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