witness said that the employees appeared to be making fun of the transgender woman. The woman was invited to meet with the division director. Besides male (M) and female (F), Utah identity documents are available with an "X" sex descriptor. An individual seeking such a marker must receive approval from a judge. In May 2021, the Utah Supreme Court voted 4-1 granting and approving sex and name changes on personal birth certificate to transgender individuals setting a legal precedent - due to ongoing delays and red tape for years within the lower courts of Utah. Transgender sports ban In March 2022, a bill passed the Utah Legislature "at the final moment" banning transgender individuals from playing sports, athletics and Olympics. The Governor of Utah Spencer Cox has "vowed to veto the bill once it reaches his desk" due to constitutional issues and Utah's reputation. On March 22, Cox being the Governor of Utah formally used his powers that vetoed the bill officially. The Utah Legislature overrode the governor's veto. The ban took effect July 1, but on August 19, a judge reversed the ban and said that transgender girls can be considered for girls' sports on a case-by-case basis in the 2022–2023 school year. Transgender healthcare In Utah, doctors cannot provide gender-affirming care to trans people under 18; while they may choose to provide such care to trans people under 25, the law gives any trans person under 25 the ability to retroactively "disaffirm" consent and sue the doctor for care that they had at the time consented to. On January 26, 2023, the House passed the current version of the legislation, and the next morning, the Senate passed the same version in a 20–8 vote. On January 28, Governor Spencer Cox signed the bill. It took effect immediately. Youth who were already receiving gender-affirming care when the law passed in January 2023 may continue to receive it, but other youth will not be permitted to begin until they are 18. This made Utah the first state to have an active ban on gender-affirming healthcare for trans youth. While Alabama and Arkansas had legislation to ban hormones and puberty blockers, Arizona and Tennessee had legislation about surgeries, and Texas and Florida were pursuing other avenues, none of those bans were being enforced at the time that Utah's ban took effect. Two weeks after Governor Cox signed Utah's bill, Governor Noem