Senate Amendment to House File 2442 H-8363 Amend House File 2442, as amended, passed, and reprinted by 1 the House, as follows: 2 1. Page 2, by striking lines 2 through 8 and inserting 3 < recovered. > 4 2. Page 2, after line 15 by inserting: 5 < 0c. “Emergency medical care provider” means the same as 6 defined in section 147A.1. > 7 3. Page 2, line 16, after < any > by inserting < dance or 8 cheerleading activity or > 9 4. Page 2, lines 17 and 18, by striking < practice, including 10 sports, dance, or cheerleading > and inserting < practice 11 governed by the Iowa high school athletic association or the 12 Iowa girls high school athletic union that is a contact or 13 limited contact activity as identified by the American academy 14 of pediatrics > 15 5. By striking page 2, line 34, through page 3, line 1, and 16 inserting < Iowa high school athletic association or the Iowa 17 girls high school athletic union, as applicable. > 18 6. Page 3, line 14, by striking < Annually, > and inserting 19 < For school years beginning on or after July 1, 2018, > 20 7. Page 3, line 15, after < student > by inserting < in grades 21 seven through twelve > 22 8. Page 3, line 25, after < provider > by inserting < or an 23 emergency medical care provider > 24 9. Page 3, line 34, by striking < the > and inserting < a > 25 10. By striking page 3, line 35, through page 4, line 15, 26 and inserting: 27 < 6. Return-to-play protocol and return-to-learn plans. 28 a. The department of public health, in cooperation with the 29 Iowa high school athletic association and the Iowa girls high 30 school athletic union, shall develop a return-to-play protocol 31 based on peer-reviewed scientific evidence consistent with the 32 guidelines of the centers for disease control and prevention 33 of the United States department of health and human services, 34 for a student’s return to participation in an extracurricular 35 -1- HF2442.5157.S (1) 87 jh 1/ 3 #1. #2. #3. #4. #5. #6. #7. #8. #9. #10.

interscholastic activity after showing signs, symptoms, or 1 behaviors consistent with a concussion or brain injury. The 2 department of public health shall adopt the return-to-play 3 protocol by rule pursuant to chapter 17A. The board of 4 directors of each school district and the authorities in charge 5 of each accredited nonpublic school with enrolled students who 6 participate in an extracurricular interscholastic activity 7 which is a contest in grades seven through twelve shall adopt 8 such protocol by July 1, 2019. 9 b. Personnel of a school district or accredited nonpublic 10 school with enrolled students who participate in an 11 extracurricular interscholastic activity which is a contest in 12 grades seven through twelve shall develop a return-to-learn 13 plan based on guidance developed by the brain injury 14 association of America in cooperation with a student removed 15 from participation in an extracurricular interscholastic 16 activity and diagnosed with a concussion or brain injury, the 17 student’s parent or guardian, and the student’s licensed health 18 care provider to accommodate the student as the student returns 19 to the classroom. > 20 11. Page 4, line 32, by striking < fully implements the 21 protocols > and inserting < adopts and follows the protocol > 22 12. Page 4, line 33, after < provides > by inserting < an 23 emergency medical care provider or > 24 13. Page 4, line 33, after < contest > by inserting < that 25 is a contact or limited contact activity as identified by the 26 American academy of pediatrics > 27 14. Page 4, line 35, after < of > by inserting < the emergency 28 medical care provider or > 29 15. Page 5, line 2, after < as > by inserting < the emergency 30 medical care provider or > 31 16. Page 5, line 7, after < school. > by inserting < A school 32 district or accredited nonpublic school shall not be liable for 33 any claim for injuries or damages if an emergency medical care 34 provider or a licensed health care provider who was scheduled 35 -2- HF2442.5157.S (1) 87 jh 2/ 3 #11. #12. #13. #14. #15.

to be present and available at a contest is not able to be 1 present and available due to unforeseen circumstances and 2 the school district or accredited nonpublic school otherwise 3 followed the protocol. > 4 17. Page 5, line 8, by striking < A > and inserting < An 5 emergency medical care provider or a > 6 18. Page 5, line 11, after < as > by inserting < the emergency 7 medical care provider or > 8 19. Page 5, by striking lines 17 through 26. 9 20. Page 5, before line 27 by inserting: 10 < Sec. ___. IMPLEMENTATION OF RULES. If the rules required 11 to be adopted by the department of public health pursuant to 12 section 280.13C, subsection 6, as enacted by this Act, have not 13 become effective as of July 1, 2019, the board of directors 14 of each school district and the authorities in charge of 15 each accredited nonpublic school with enrolled students who 16 participate in an extracurricular interscholastic activity 17 which is a contest in grades seven through twelve shall adopt 18 the return-to-play protocol as soon as practicable after such 19 rules become effective. > 20 21. By renumbering, redesignating, and correcting internal 21 references as necessary. 22 -3- HF2442.5157.S (1) 87 jh 3/ 3 #17. #18. #19. #20.