The bill establishes new requirements for school employees in South Dakota regarding discussions and instruction related to gender ideology. It mandates that school nurses, counselors, teachers, administrators, and other staff must notify a student's parent or guardian if any discussions about the student's gender confusion or dysphoria occur. This aims to ensure parental involvement in matters concerning a student's gender identity.

Additionally, the bill prohibits school employees from providing instruction or presentations that explore or inform students about gender identity or expression, as well as from encouraging students to withhold information about their gender perception from their parents or guardians. It also explicitly states that school staff cannot withhold information regarding a student's perception of their gender from their parents or guardians. These provisions are designed to limit the influence of school personnel on students' understanding of gender issues without parental consent.