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"Washington state allows 3rd sex option 'X' on birth certificates"
abcnews.go.com
"Washington state will allow residents to change the sex on their birth certificates to a nonbinary option called 'X.'
'Social norms are changing,' state registrar and Center for Health Statistics director Christie Spice told ABC News today. 'When a person’s gender designation on their birth certificate doesn’t match how people present themselves, it opens the door to harassment and intimidation.'
The new rule, announced Thursday and effective Jan. 27, also removes the need for medical approval from a primary physician for adults who want to change the sex status on their birth certificate."
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