House File 581 H-1478 Amend House File 581 as follows: 1 1. By striking everything after the enacting clause 2 and inserting: 3 < Section 1. NEW SECTION . 280.13C Brain injury 4 policies. 5 1. a. The Iowa high school athletic association 6 and the Iowa girls high school athletic union shall 7 work together to distribute the guidelines of the 8 centers for disease control and prevention of the 9 United States department of health and human services 10 and other pertinent information to inform and educate 11 coaches, students, and the parents and guardians 12 of students of the risks, signs, symptoms, and 13 behaviors consistent with a concussion or brain injury, 14 including the danger of continuing to participate 15 in extracurricular interscholastic activities after 16 suffering a concussion or brain injury and their 17 responsibility to report such signs, symptoms, and 18 behaviors if they occur. 19 b. Annually, each school district and nonpublic 20 school shall provide to the parent or guardian of each 21 student a concussion and brain injury information 22 sheet, as provided by the Iowa high school athletic 23 association and the Iowa girls high school athletic 24 union. The student and the student’s parent or 25 guardian shall sign and return the concussion and brain 26 injury information sheet to the student’s school prior 27 to the student’s participation in any extracurricular 28 interscholastic activity for grades seven through 29 twelve. 30 2. If a student’s coach or contest official 31 observes signs, symptoms, or behaviors consistent with 32 a concussion or brain injury in an extracurricular 33 interscholastic activity, the student shall be 34 immediately removed from participation. 35 3. a. A student who has been removed from 36 participation shall not recommence such participation 37 until the student has been evaluated by a licensed 38 health care provider trained in the evaluation and 39 management of concussions and other brain injuries and 40 the student has received written clearance to return to 41 participation from the health care provider. 42 b. For the purposes of this section, a “licensed 43 health care provider” means a physician, physician 44 assistant, chiropractor, advanced registered nurse 45 practitioner, nurse, physical therapist, or athletic 46 trainer licensed by a board designated under section 47 147.13. 48 c. For the purposes of this section, an 49 “extracurricular interscholastic activity” means any 50 -1- HF581.1994 (1) 84 je/nh 1/ 2 #1.