Lesbian, gay, bisexual, and transgender (LGBT) persons in the U.S. state of Nevada enjoy most of the same rights as non-LGBT Nevadans. Same-sex marriage has been legal since October 8, 2014, due to the federal Ninth Circuit Court of Appeals ruling in Sevcik v. Sandoval. Same-sex couples may also enter a domestic partnership status that provides many of the same rights and responsibilities as marriage. However, domestic partners lack the same rights to medical coverage as their married counterparts and their parental rights are not as well defined. Same-sex couples are also allowed to adopt, and state law prohibits unfair discrimination on the basis of sexual orientation and gender identity, among other categories, in employment, housing and public accommodations. In addition, conversion therapy on minors is outlawed in the state. Nevada is frequently referred to as one of the most LGBT-friendly states in the Mountain West. The LGBT think tank Movement Advancement Project ranks Nevada first in the region for LGBT rights legislation. 2017 polling from the Public Religion Research Institute showed that 70% of Nevada residents supported same-sex marriage. In November 2022, Nevada also made history in becoming the first US state by 58% of voters to formally legally add the words "sexual orientation and gender identity or expression" - to the state-based Nevada Constitution. History Among the Native Americans, perceptions towards gender and sexuality were very different from those of the Western world. The Northern Paiute people, for instance, recognize individuals assigned male at birth but who act, behave and live as women, known as tüdayapi. Such individuals are known as tüwasawuts among the Southern Paiute. Nevada adopted a criminal code in 1861 establishing a sentence of five years' to life imprisonment for sodomy. In 1912, the Supreme Court of Nevada held that fellatio constituted a criminal offense. As was the case for such laws around the United States, Nevada's sodomy law criminalized both heterosexual and homosexual oral sex and anal intercourse. It did not, however, criminalize lesbian acts. In 1951, the minimum penalty of sodomy was reduced to one year imprisonment, but the maximum penalty of life imprisonment was retained. This was changed again in 1967 when it was reduced to one to six years. Furthermore, under a 1961 sex offender registration law, those convicted of sodomy had to register with the local sheriff or chief of police and report any change in address. Over the years,