The bill establishes new requirements for organizations that sponsor or administer extracurricular interscholastic athletics, including the formation of a conference realignment committee. This committee will be responsible for ensuring reasonable conference affiliations among member high schools and will review requests from schools regarding changes to their conference memberships. The bill defines "extracurricular interscholastic athletics" and "organization" as the Iowa high school athletic association and the Iowa girls high school athletic union, or their successors.

Effective July 1, 2025, school districts and accredited nonpublic schools will be prohibited from using state funds to pay dues or membership fees to these organizations unless they comply with the new requirements. These include the establishment of the conference realignment committee, a policy that restricts changes to conference memberships without committee approval, and the necessity for schools to offer athletic activities for both boys and girls across all seasons. Additionally, schools that withdraw from a conference without approval will face a two-year ban on competing in the same activity within any conference or tournaments sponsored by the organization. The state board of education is tasked with adopting rules to implement these provisions.