People who were born in New York City and do not identify as male or female can now opt for a third gender category of X on their birth certificates.
Mayor Bill de Blasio signed the provision into a law on Tuesday, making New York City the fifth place to do so after California, Oregon, Washington state and New Jersey. Three states and Washington, DC, also allow gender-neutral driver licenses.
Transgender advocates have been pressing governments to allow identity documents to be more easily changed to match gender identity. They say strict male and female categories are a form of discrimination against transgender people that labels them against their will.
The New York City law allows nonbinary and gender-nonconforming people to change their birth certificates from the M or F designation they were assigned at birth to X with a personal affidavit. No document from a doctor is required.