changed to: X – Non-binary". In July 2018, New Jersey enacted legislation to permit people to amend birth and death certificates to reflect their identity as female, male, or "undesignated" without requiring a physician to provide proof of surgery. In October 2018, it was reported that Minnesota would offer an "X" as part of REAL ID. Since November 2018, Colorado has legally provided gender X on driver's license forms and other I.Ds. Legislation to offer an "X" gender marker for residents' ID cards was introduced in New York state in June 2017 (and was introduced in New York City in June 2018), and in Massachusetts in May 2018. New York city began offering birth certificates with an "X" gender marker in January 2019. Ohio began offering "X" gender marker in August 2020. On October 27, 2021, the State Department issued the first passport with an "X" gender marker. US jurisdictions with "gender X" driver's licences Many jurisdictions in the US currently offer third gender markers on driver's licenses, including Arkansas, California, Colorado, Connecticut, Delaware, Washington D.C., Hawai'i, Massachusetts, Maine, Maryland, Michigan, Minnesota, Nevada, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, Rhode Island, Utah, Virginia, Vermont, and Washington. Laws offering an "X" gender marker on driver's licenses and state identification cards have also been passed in several US jurisdictions, but have not gone into effect yet namely—New Jersey and Illinois (sometime in 2024 due to delays by government contracts from third parties). Death certificates A study conducted by Oregon epidemiologists found that within the area of Portland, Oregon, more than half of dead trans people were recorded as their assigned sex at birth on their death certificates. Housing According to the 2015 US Transgender Health Survey, 30% of trans people (41% for black trans people) experience homelessness at some point in their lives. According to the Vera Institute, trans people in crisis centers and shelters suffer routine verbal and physical abuse. In 2020, the Trump Administration rolled back Obama-era protections for transgender people protecting equal access to homeless shelters, and issued a guide for shelter staff on how to spot a trans woman. Allegations of Genocide Some US laws have been described, including by journalists Emily St. James and Saeed Jones and activist Chase Strangio, as fitting the United Nations definition of genocide, such as those banning proper transgender healthcare ("causing serious bodily or mental harm to members of