"New York City residents will now be offered three options for describing their sexuality on their birth certificates: male, female and 'X.'
The law, which was approved in October by New York City Mayor Bill de Blasio (D), went into effect Tuesday, giving residents the opportunity to change the sex descriptors on their birth certificates to 'X' if it reflects their 'true gender identity.' Parents can likewise give newborns the same identifier.
New York City joins California, Oregon and Washington state by allowing a third, undesignated option on birth certificates, according to The Associated Press. New Jersey is enacting a similar policy in February"
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