SECTION 1. Section 1 of chapter 46 of the General Laws is hereby amended by inserting after the second paragraph the following paragraph:-

Upon the request of the child’s parent or legal guardian, the sex indicated on a record of birth may be designated as “X” for the child’s gender in lieu of “male” or “female.” No documentation shall be required for such designation.

SECTION 2. Section 13 of chapter 46 of the General Laws is hereby amended by striking out subsection (e) and inserting in place thereof the following subsection:-

(e) A person over the age of 18, an emancipated minor or the parents of a minor may request a change in the sex on a birth record to include, but not be limited to, “female” “male” or “X.” An “X” designation may indicate nonbinary, intersex, undesignated or other gender. No medical or health-care related documentation, no court order, and no proof of change of name shall be required by a town clerk or other official in connection with a request under this subsection.

SECTION 3. Chapter 90 of the General Laws is hereby amended by inserting after section 8M the following section:-

Section 8N. (a) The registry of motor vehicles shall permit a person submitting an application under sections 8, 8B or 8E of this chapter or section 34B of chapter 138 to designate “X” for gender in lieu of “male” or “female” on an application for a driver’s license, learner’s permit, identification card or liquor purchase identification card. No documentation shall be required for such designations.

SECTION 4. The office of the attorney general shall prepare a report listing all forms or other documents of the commonwealth that require individuals to indicate their gender or sex. The report shall indicate if the form or document allows a person to indicate a choice other than male or female, if there is an opportunity for a person to change their indicated gender or sex, and if the request for a person to indicate their sex or gender is required by federal or state law, federal or state regulation, or by practice. The report shall identify the particular law or regulation that is the basis for the request to indicate one’s sex or gender. The report shall be filed with the governor, president of the senate and speaker of the house by January 1, 2020.

SECTION 5. The department of public health shall promulgate regulations to implement sections 1 and 2 of the act. The registrar of motor vehicles shall promulgate regulations to implement section 3 of this act. These regulations may be amended, as appropriate, to allow for a person submitting an application under sections 8, 8B or 8E of chapter 90 or section 34B of chapter 138 to designate “X” and additional designations for gender in lieu of “X”, “male” or “female” if such an additional designation appropriately reflects the gender identity of applicants.

SECTION 6. Sections 1 and 2 shall take effect on January 1, 2020.