options of male, female and X by self determination. Intersex people in the United States have some of the same rights as other people, but with significant gaps, particularly in protection from non-consensual cosmetic medical interventions, from violence, and from discrimination. Many non-consensual medical surgeries are being performed in order to "fix" these individuals when they are born or young. Some are also put on hormones in order to ensure that their bodies develop to the sex they were assigned. In August 2018, the California state legislature passed a law that condemns these types of surgeries. Actions by intersex civil society organizations aim to eliminate harmful practices, promote social acceptance, and equality. In recent years, intersex activists have also secured some forms of legal recognition. HIV/AIDS In the early 1980s, it was reported that a new disease was being transferred through infected blood and sexual contact, and that risk factors included homosexuality and drug use. One of the earliest medical clinics treating the disease was run in New York City by Dr. Joseph Sonnabend. By 1985, thousands of people in the United States had died. Many LGBT advocacy organizations began to speak up and raise funds. Criminal transmission of HIV As of 2019, at least 29 states criminalize "nondisclosure, exposure or transmission" of HIV, while an additional 5 states use this to justify enhancements for sentences for other crimes. As of 2008, 33 states had laws regarding the criminalization of HIV transmission. The following states may currently have laws that prosecute individuals for criminal exposure of HIV: Alabama, Alaska, Arkansas, California, Colorado, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nevada, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, and Washington. Blood and tissue donation All blood donors are required to meet the eligibility requirements as defined by the U.S. Food and Drug Administration (FDA) every time they wish to donate. the FDA stipulates that men who have had sex with men in the past three months cannot donate blood. Furthermore, the FDA recommends to blood establishments that in the context of the donor history questionnaire, male or female gender should be self-identified and self-reported for the purpose of blood donation. FDA-recommended restrictions on MSM tissue donation are twenty times as strict as for MSM blood donors, with current regulations prohibiting