A change in regulations in Rhode Island has made it easier for transgender people born in that state to revise the information on their birth certificates. Prior to this change, the Rhode Island Department of Health was essentially requiring gender reassignment surgery in order to change the gender designation on a birth certificate.
http://www.dailykos.com/story/2014/10/25/1339143/-Rhode-Island-changes-procedures-to-benefit-transgender-people
http://www.dailykos.com/story/2014/10/25/1339143/-Rhode-Island-changes-procedures-to-benefit-transgender-people
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