The bill, known as the Stand With Women Act, establishes regulations regarding interscholastic athletic teams based on sex in public and private educational institutions in Nebraska. It asserts that athletic teams must be designated as male, female, or coed, and prohibits male students from participating in teams designated for females unless no female team is available. The bill emphasizes the physical differences between males and females, arguing that these differences justify the need for separate teams to ensure safety and equal opportunities for female athletes. Additionally, it requires students to provide documentation confirming their sex to participate in designated teams.

Furthermore, the bill protects schools and educational institutions from complaints or investigations related to maintaining separate teams for female students. It mandates that governing bodies of these institutions adopt policies to implement the Act and includes provisions for individuals with disorders or differences in sex development, ensuring they receive protections under the Americans with Disabilities Act. The bill also includes a severability clause, ensuring that if any part is found unconstitutional, the remaining sections will still be valid.