The city will soon join Oregon, California, Washington and New Jersey in allowing individuals to choose a nonbinary gender marker on their birth certificate.

People born in New York City who don’t identify as male or female will soon be able to select a nonbinary gender category on their birth certificates.

The New York City Council and Board of Health voted on Wednesday to include a third gender category, “X,” on birth certificates starting Jan. 1, 2019. Furthermore, the legislation will discontinue the need for a doctor’s note or health care provider’s affidavit to change one’s gender marker.

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