The bill, known as the Stand With Women Act, establishes specific regulations regarding interscholastic athletic teams based on sex in public and private educational institutions in Nebraska. It mandates that 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. 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 Act 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 also requires governing bodies of schools to adopt policies implementing the Act and ensures that individuals with disorders or differences in sex development receive protections under the Americans with Disabilities Act. The bill includes a severability clause, ensuring that if any part is found unconstitutional, the remaining sections will still be valid.