Spanish Parliament Thursday approved a law aimed at increasing the rights of trans and gender-nonconforming minors. The bill permits anyone over the age of 16 to change their legal gender identities and names without parental, governmental or medical approval. It passed with 191 votes in favor and 60 against.

Previously, adults in Spain needed a medical diagnosis of gender dysmorphia in addition to two years’ of hormone treatment in order to request a legal change. The new bill allows the change to be made on national identity cards in three to four months with a simple declaration. Minors aged between 12 and 14 will require a judge’s authorization for the change, and those between the ages of 14 and 16 will need consent from a parent or guardian. The law also bans so-called “conversion therapy.”

Ahead of the vote, Spanish Equality Minister Irene Montero said, “This law recognises the right of trans people to self-determine their gender identity, it depathologises trans people. Trans people are not sick people, they are just people.”

Spain’s law reform comes as other European countries, including Sweden and Finland, backtrack on trans rights legislation they previously passed. Meanwhile, anti-trans legislation is on the rise in the US, with experts urging stronger protections.