Iowa Senate File 496 [PDF]: https://www.legis.iowa.gov/docs/publications/LGE/90/SF496.pdf

If a student enrolled in a school district requests an accommodation that is intended to affirm the student’s gender identity from a licensed practitioner employed by the school district, including a request that the licensed practitioner address the student using a name or pronoun that is different than the name or pronoun assigned to the student in the school district’s registration forms or records, the licensed practitioner shall report the student’s request to an administrator employed by the school district, and the administrator shall report the student’s request to the student’s parent or guardian.

For the first violation, you get a written warning. Subsequent violations get disciplinary hearings.