H-1165

   Amend House File 471 as follows:
   1.  Page 1, after line 9 by inserting: 
   <Sec. ___.  Section 280.13C, subsection 4, paragraph b, Code 2025, is amended to read as follows:
   b.  For school years beginning on or after July 1, 2018, each Each school district and nonpublic school shall provide to the parent or guardian of each student in grades seven through twelve a the most recent version of the concussion and brain injury information sheet, as provided by the department of health and human services, the Iowa high school athletic association, and the Iowa girls high school athletic union pursuant to subsection 7A. The student and the student’s parent or guardian shall sign and return a copy of the concussion and brain injury information sheet to the student’s school prior to the student’s participation in any extracurricular interscholastic activity.
   Sec. ___.  Section 280.13C, subsection 6, paragraphs a and b, Code 2025, are amended to read as follows:
   a.  (1)  The department of health and human services, in cooperation with the Iowa high school athletic association and the Iowa girls high school athletic union, shall develop a return-to-play protocol based on peer-reviewed scientific evidence consistent with the guidelines of the centers for disease control and prevention of the United States department of health and human services, for a student’s return to participation in any extracurricular interscholastic activity after showing signs, symptoms, or behaviors consistent with a concussion or brain injury.
   (2)  The department of health and human services shall adopt the return-to-play protocol by rule pursuant to chapter 17A and shall review and update the return-to-play protocol, and the rules implementing the return-to-play protocol, pursuant to subsection 7A.
   (3)  The board of directors of each school district and the authorities in charge of each accredited nonpublic school with enrolled students who participate in an extracurricular interscholastic activity which is a contest in grades seven through twelve shall adopt such protocol by July 1, 2019 the most recent version of the return-to-play protocol adopted by the department of health and human services pursuant to subparagraph (2).
   b.  (1)  Personnel of a school district or accredited nonpublic school with enrolled students who participate in an extracurricular interscholastic activity which is a contest in grades seven through twelve The department of health and human services, in consultation with the department of inspections, appeals, and licensing, the Iowa high school athletic association, and the Iowa girls high school athletic union, shall develop a return-to-learn plan based on guidance developed by the brain injury association of America in cooperation with a student removed from participation in an extracurricular interscholastic activity and diagnosed with a concussion or brain injury, the student’s parent or guardian, and the student’s licensed health care provider to accommodate the student students removed from participation in an extracurricular interscholastic activity and diagnosed with a concussion or brain injury as the student returns students return to the classroom.
   (2)  The department of health and human services shall adopt the return-to-learn plan by rule pursuant to chapter 17A and shall review and update the return-to-learn plan, and the rules implementing the return-to-learn plan, pursuant to subsection 7A.
   (3)  The board of directors of each school district and the authorities in charge of each accredited nonpublic school with enrolled students who participate in an extracurricular interscholastic activity which is a contest in grades seven through twelve shall adopt the most recent version of the return-to-learn plan adopted by the department of health and human services pursuant to subparagraph (2).
   Sec. ___.  Section 280.13C, Code 2025, is amended by adding the following new subsection:
   NEW SUBSECTION.  7A.  Review and update.  At least once every four years, the department of health and human services, in consultation with the department of inspections, appeals, and licensing, the Iowa high school athletic association, and the Iowa girls high school athletic union, shall review and update all of the following:
   a.  The information sheet described in subsection 4, paragraph “b”.
   b.  Any standards that the department of health and human services has adopted under subsection 5 related to the removal of a student from participation in an extracurricular interscholastic activity.
   c.  The return-to-play protocol described in subsection 6, paragraph “a”, and the rules implementing the return-to-play protocol.
   d.  The return-to-learn plan described in subsection 6, paragraph “b”, and the rules implementing the return-to-learn plan.>
   2.  By renumbering as necessary.

______________________________
NORDMAN of Dallas