State Dept: People may identify as male or female on passports, regardless of other documentation

"We no longer require medical certification to change the gender marker on your U.S. passport," according to travel.state.gov.
Passport processing employee uses stack of blank passports to print new one in Florida in 2007

The State Department will permit people to identify as male or female on passports regardless of the gender listed on other documentation such as their birth certificate or state ID. 

"You can now select the gender you would like printed on your U.S. passport, even if the gender you select does not match the gender on your supporting documentation such as a birth certificate, previous passport, or state ID. We no longer require medical certification to change the gender marker on your U.S. passport," according to travel.state.gov.

In addition to allowing this choice, the department plans to add a gender marker for non-binary, intersex and gender non-conforming individuals.

"Today, I am pleased to announce that the Department will be taking further steps toward ensuring the fair treatment of LGBTQI+ U.S. citizens, regardless of their gender or sex, by beginning the process of updating our procedures for the issuance of U.S. Passports and Consular Reports of Birth Abroad (CRBA)," Secretary of State Antony Blinken said in a statement.

"Most immediately, we will be updating our procedures to allow applicants to self-select their gender as 'M' or 'F' and will no longer require medical certification if an applicant's self-selected gender does not match the gender on their other citizenship or identity documents. The Department has begun moving towards adding a gender marker for non-binary, intersex, and gender non-conforming persons applying for a passport or CRBA. We are evaluating the best approach to achieve this goal. The process of adding a gender marker for non-binary, intersex, and gender non-conforming persons to these documents is technologically complex and will take time for extensive systems updates," he explained.