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 males from participating on female teams unless no female team is available for that sport. Additionally, it requires students to provide documentation confirming their sex, signed by a doctor, to participate in sex-designated teams. The bill emphasizes the importance of maintaining separate teams to ensure safety and equal opportunities for female athletes.

Furthermore, the legislation protects schools and educational institutions from complaints or investigations related to their adherence to these regulations, reinforcing the legality of maintaining separate teams for female students. It mandates that governing bodies of schools adopt policies to implement the Act and ensures that individuals with differences in sex development 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.