This bill mandates that public elementary and middle schools receiving funds under the Elementary and Secondary Education Act of 1965 (ESEA) must secure parental consent for specific actions related to a minor student's gender identity. Schools are required to obtain this consent before making any changes to a student's gender markers, pronouns, or preferred name on official school forms. Furthermore, the legislation extends this requirement to include changes in a student's sex-based accommodations , such as access to locker rooms or bathrooms. This provision applies to all students in elementary school and those in the middle grades, ensuring parental involvement in these significant decisions within the school environment.