Male, female or X is the rule

— The Department of Health has adopted a new rule that will allow people to change the sex designation on their Washington birth certificate to “X” beginning Jan. 27.

The agency determined that this rule change will provide individuals with the option to have a birth certificate that aligns with their gender identity.

The rule:

Adds “X” as an approved sex designation option,

Removes the requirement for medical attestation for adults making a request, and

Expands the list of licensed health care professionals who can attest to the gender change for minors.

Minors wanting to change their sex designation must have written consent of their parent or legal guardian and an attestation by a licensed health care professional.


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