Early in January, in Iceland, private businesses and government offices alike began to offer "male, female, nonbinary, other, and the option to decline to answer" regarding gender registrations. This was the taking effect of a gender determination law that was passed in June 2019.[1]
In April, Dictionary.com officially added the word "enby"[2] with the definition "a person whose gender identity is nonbinary, not fitting into the male/female division (often used attributively)."[3]
In June, the American Medical Association (AMA) made a public statement recommending that the sex marker should be removed from the public-facing part of birth certificates. Willie Underwood III, MD said that "Assigning sex using binary variables in the public portion of the birth certificate fails to recognize the medical spectrum of gender identity."[4]
Also in June, the US Department of State announced that "The Department has begun moving towards adding a gender marker for non-binary, intersex, and gender non-conforming persons" for passports and Consular Reports of Birth Abroad (CRBA).[5] A government employee stated that the new gender marker would be available by the end of 2021.[6] In late October, an intersex and nonbinary person named Dana Zzyym was the first to receive one of these X-marked US passports.[7]