S.F. 2015 Section 1. NEW SECTION . 280.13D Sudden cardiac arrest —— 1 prevention —— penalties. 2 1. Definitions. As used in this section, unless the context 3 otherwise requires: 4 a. “Athletic activity” means all of the following: 5 (1) An interscholastic athletic game or competition, 6 or a practice, interschool practice, or scrimmage for an 7 interscholastic athletic game or competition. 8 (2) An extracurricular interscholastic athletic activity 9 including an interschool practice or scrimmage for an 10 extracurricular interscholastic athletic activity. 11 b. “Coach” means an individual employed by a public school 12 district or a nonpublic school to coach students participating 13 in an athletic activity. 14 c. “Extracurricular interscholastic athletic activity” 15 means any extracurricular interscholastic activity, contest, 16 competition, or practice governed by the Iowa high school 17 athletic association or the Iowa girls high school athletic 18 union, or sponsored by a public school or nonpublic school 19 entity, including cheerleading, club-sponsored sports 20 activities, and sports activities sponsored by an organization 21 as defined in section 280.13. 22 d. “Licensed health care provider” means a physician, 23 physician assistant, chiropractor, advanced registered nurse 24 practitioner, nurse, physical therapist, or athletic trainer 25 licensed by a board designated under section 147.13. 26 e. “Official” means a referee, umpire, judge, or other 27 official in an athletic activity who is registered with the 28 Iowa high school athletic association or the Iowa girls high 29 school athletic association. 30 f. “Student” means a student enrolled in a public school or 31 nonpublic school. 32 g. “Sudden cardiac arrest” means a life-threatening medical 33 condition requiring immediate emergency treatment characterized 34 by the sudden cessation of cardiac activity causing circulatory 35 -1- LSB 5521SS (5) 88 pf/rh 1/ 5

S.F. 2015 failure throughout the body. 1 h. “Symptoms of a sudden cardiac arrest” includes fainting 2 or seizures during exercise, unexplained shortness of breath, 3 chest pains, dizziness, racing heart rate, and extreme fatigue. 4 2. Guidelines and information sheet. 5 a. The department of public health, the Iowa high school 6 athletic association, and the Iowa girls high school athletic 7 union shall collaborate to develop and distribute guidelines 8 and other pertinent information materials to inform and educate 9 coaches, students participating in or desiring to participate 10 in an athletic activity, and the parents and guardians of such 11 students about the nature, warning signs, and symptoms of a 12 sudden cardiac arrest, including the risks associated with 13 continuing to participate in or practice an athletic activity 14 after experiencing the symptoms of a sudden cardiac arrest. 15 In developing the guidelines and materials, the collaborating 16 entities may utilize, at no cost to the state, existing 17 evidence-based materials developed by organizations such as 18 Simon’s heart and parent heart watch. 19 b. For school years beginning on or after July 1, 2020, 20 the board of directors of each public school district and the 21 authorities in charge of each nonpublic school shall provide 22 to the parent or guardian of each student participating in 23 or desiring to participate in an athletic activity a sudden 24 cardiac arrest information sheet, as provided by the department 25 of public health, the Iowa high school athletic association, 26 and the Iowa girls high school athletic union. Each school 27 year, the student and the student’s parent or guardian shall 28 sign and return an acknowledgment of receipt and review of the 29 sudden cardiac arrest information sheet to the student’s school 30 prior to the student’s participation in any athletic activity. 31 3. Informational meeting. Each public school district and 32 nonpublic school may hold an informational meeting prior to 33 the start of each athletic season for all ages of students 34 regarding the symptoms and warning signs of a sudden cardiac 35 -2- LSB 5521SS (5) 88 pf/rh 2/ 5

S.F. 2015 arrest. In addition to students, parents and guardians of 1 students, and coaches, informational meetings may include 2 physicians, pediatric cardiologists, and athletic trainers. 3 4. Removal from participation. 4 a. A student, as determined by the student’s coach, an 5 official, a licensed health care provider, or any other person 6 designated by the student’s public school or nonpublic school, 7 who passes out or faints or exhibits any signs or symptoms of 8 a sudden cardiac arrest while participating in an athletic 9 activity shall be removed immediately from participation in the 10 athletic activity. 11 b. A student who has been removed from participation in an 12 athletic activity shall not recommence such participation in 13 the athletic activity or participate in any athletic activity 14 until the student has been evaluated by a licensed health care 15 provider trained in the evaluation and management of a sudden 16 cardiac arrest and the student has received written clearance 17 to return to or commence participation in an athletic activity 18 from an appropriate licensed health care provider. 19 5. Training. 20 a. The department of public health, the Iowa high school 21 athletic association, and the Iowa girls high school athletic 22 union shall collaborate to develop training materials and 23 courses regarding a sudden cardiac arrest, including training 24 regarding the evaluation, prevention, symptoms, risks, and 25 long-term effects of a sudden cardiac arrest. The training 26 materials used may include those provided, at no cost to the 27 state, by organizations such as Simon’s heart and parent heart 28 watch. 29 b. Each official and each coach of a student participating 30 in an athletic activity shall complete the training developed 31 under paragraph “a” on an annual basis. 32 c. Individuals required to complete training pursuant to 33 this subsection shall submit proof of such completion to the 34 Iowa high school athletic association or the Iowa girls high 35 -3- LSB 5521SS (5) 88 pf/rh 3/ 5

S.F. 2015 school athletic union, as applicable. 1 EXPLANATION 2 The inclusion of this explanation does not constitute agreement with 3 the explanation’s substance by the members of the general assembly. 4 This bill relates to the establishment of standards for the 5 prevention of a sudden cardiac arrest in student athletes. 6 The bill includes definitions used in the bill including 7 “sudden cardiac arrest” which means a life-threatening medical 8 emergency characterized by the sudden cessation of cardiac 9 activity causing circulatory failure throughout the body and 10 “student” which means a student enrolled in a public school or 11 nonpublic school. 12 The bill requires the department of public health (DPH), the 13 Iowa high school athletic association, and the Iowa girls high 14 school athletic union to collaborate to develop and distribute 15 guidelines and other pertinent information materials to inform 16 and educate coaches, students participating in or desiring 17 to participate in an athletic activity, and the parents and 18 guardians of such students about the nature and warning signs 19 of a sudden cardiac arrest, including the risks associated 20 with continuing to participate in or practice an athletic 21 activity after experiencing the symptoms of a sudden cardiac 22 arrest. In developing the guidelines and materials, the 23 collaborating entities may utilize, at no cost to the state, 24 existing evidence-based materials developed by organizations 25 such as Simon’s heart and parent heart watch. For school years 26 beginning on or after July 1, 2020, the board of directors of 27 each public school district and the authorities in charge of 28 each nonpublic school are required to provide to the parent 29 or guardian of each student participating in or desiring to 30 participate in an athletic activity a sudden cardiac arrest 31 information sheet, and each school year, the student and the 32 student’s parent or guardian is required to sign and return 33 an acknowledgment of receipt and review of the sudden cardiac 34 arrest information sheet to the student’s school prior to the 35 -4- LSB 5521SS (5) 88 pf/rh 4/ 5

S.F. 2015 student’s participation in an athletic activity. 1 The bill provides that each public school district and 2 nonpublic school may hold an informational meeting prior to 3 the start of each athletic season for all ages of students 4 regarding the symptoms and warning signs of a sudden cardiac 5 arrest. In addition to students, parents and guardians of 6 students, and coaches, the informational meetings may include 7 physicians, pediatric cardiologists, and athletic trainers. 8 A student, as determined by the student’s coach, an 9 official, a licensed health care provider, or other official 10 designated by the student’s school, who passes out or faints 11 or exhibits any signs or symptoms of a sudden cardiac arrest 12 while participating in an athletic activity shall be removed 13 immediately from participation in the athletic activity. A 14 student who has been removed from participation in an athletic 15 activity shall not recommence participation or participate in 16 any athletic activity until the student has been evaluated 17 by a licensed health care provider trained in the evaluation 18 and management of a sudden cardiac arrest and the student 19 has received written clearance to return to or commence 20 participation in an athletic activity from an appropriate 21 licensed health care provider. 22 The bill requires DPH, the Iowa high school athletic 23 association, and the Iowa girls high school athletic union 24 to collaborate to develop training materials and courses 25 regarding a sudden cardiac arrest. The training materials 26 used may include those provided, at no cost to the state, by 27 organizations such as Simon’s heart and parent heart watch. 28 Each coach of a student participating in an athletic activity 29 and each official shall complete the training on an annual 30 basis and submit proof of such completion to the Iowa high 31 school athletic association or the Iowa girls high school 32 athletic union, as applicable. 33 -5- LSB 5521SS (5) 88 pf/rh 5/ 5