were able to vet clients. Frequently, the media, and politicians sensationalize transgender identities and oppression is reinforced. Aware of this trend, in 2016, a coalition of over 250 anti-sexual assault and domestic violence organizations have released a joint letter decrying the trend of portraying transgender people in restrooms as sexual predators as untrue and harmful. Likewise, GLAAD has released a media guide for reporters covering restroom usage in relation to the transgender community. In 2022, over 230 anti-transgender bills were introduced in state legislatures in a coordinated national campaign to target transgender rights. Many of these bills became law. Many transgender advocates also advocate for converting single-occupant, gender-segregated restrooms into single-occupant, all-gender restrooms by simply changing the signs due to the high rates of harassment and even violence faced by the transgender community when accessing gender-segregated restrooms according to their gender expression. All-gender/gender-neutral restrooms are also beneficial to nursing mothers, parents with different-sex children, and people with disabilities. Transgender advocates affirm all-gender restrooms as well as access to gendered restrooms as a matter of choice, safety, privacy, and dignity. Identity documents Different procedures and requirements for legal name changes and gender marker changes on birth certificates, drivers licenses, social security identification and passports exist and can be inconsistent. Many states require sex reassignment surgery to change their name and gender marker. Also, documents that do not match each other can present difficulties in conducting personal affairs - particularly those which require multiple, matching forms of identification. Furthermore, having documents that do not match a person's gender presentation has been reported to lead to harassment and discrimination. Birth certificates U.S. states make their own laws about birth certificates, and state courts have issued varied rulings about transgender people. Most states permit the name and sex to be changed on a birth certificate, either by amending the existing birth certificate or by issuing a new one, although some require medical proof of sex reassignment surgery to do so. Tennessee will not change the sex on a birth certificate at all, under any circumstances. In February 2020, the Idaho House of Representatives passed a similar bill. Oklahoma banned gender change in 2021. In 2022, Montana banned gender change. Drivers' licenses All U.S. states allow the gender marker to be changed on a driver's license, although the requirements for doing so vary by state. Often, the requirements for changing one's driver's license are less