On June 13, the Ontario government quietly starting issuing health cards—which all Canadian citizens carry in order to access free universal health care—that do not have any reference to gender. The move was an effort to create a more transgender-inclusive policy.

“Many Ontarians do not identify as female or male,” said Government and Consumer Services Minister Marie-France Lalonde in a statement to the Toronto Star. “As society’s understanding of gender evolves, government must adapt. Part of that is being more thoughtful about how and when we collect gender or sex information, and how we use it.”

And in 2017, the government is taking the genderless cards one step further.

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