A bill for an act allowing a person to raise, guide, and instruct a child in a manner consistent with the child’s sex.

This Iowa bill (HSB 669) amends state laws to exempt parents, guardians, and care providers from definitions of child abuse, endangerment, and licensing restrictions when raising children "in a manner consistent with the child’s sex." Key provisions include protecting decisions like using a child’s affirmed pronouns, seeking mental health services to support a child’s sex-based identity, making medical choices based on sex, and declining gender transition procedures for minors. The bill directly affects parents, schools, foster care agencies, courts handling custody, and adoption services by requiring these entities to consider such care practices as non-abusive. It applies across multiple legal areas, including child welfare investigations (Section 2), foster licensing (Section 3), custody rulings (Section 4), and adoption criteria (Section 5).