House File 563 - Reprinted HOUSE FILE 563 BY COMMITTEE ON EDUCATION (SUCCESSOR TO HF 17) (As Amended and Passed by the House March 15, 2017 ) A BILL FOR An Act providing for certain emergency medical procedures 1 training requirements for school coaches and concussion 2 and brain injury policies for certain extracurricular 3 interscholastic activities, and including applicability 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 6 HF 563 (3) 87 je/jh/rj/md

H.F. 563 DIVISION I 1 SCHOOL COACHES —— EMERGENCY MEDICAL PROCEDURES TRAINING 2 Section 1. Section 272.31, subsection 1, paragraph a, Code 3 2017, is amended by adding the following new subparagraph: 4 NEW SUBPARAGRAPH . (05) Successful completion of a 5 certification course for cardiopulmonary resuscitation and use 6 of an automated external defibrillator. 7 Sec. 2. Section 279.19B, subsection 1, Code 2017, is amended 8 by adding the following new paragraph: 9 NEW PARAGRAPH . 0b. An individual employed under paragraph 10 “a” shall possess a valid certificate of completion of a 11 nationally recognized course in cardiopulmonary resuscitation 12 and use of an automated external defibrillator. 13 Sec. 3. APPLICABILITY PROVISIONS. A person who possesses 14 a valid teaching license with a coaching endorsement or a 15 coaching authorization issued by the board of educational 16 examiners prior to July 1, 2017, shall have until July 1, 2018, 17 to meet the requirements of this division of this Act. 18 DIVISION II 19 CONCUSSIONS OR BRAIN INJURY POLICIES 20 Sec. 4. Section 280.13C, Code 2017, is amended by striking 21 the section and inserting in lieu thereof the following: 22 280.13C Concussion and brain injury policies. 23 1. Legislative findings. The general assembly finds and 24 declares all of the following: 25 a. Concussions are one of the most commonly reported 26 injuries in children and adolescents who participate in sports 27 and recreational activities. A concussion is caused by a blow 28 or motion to the head or body that causes the brain to move 29 rapidly inside the skull. The risk of catastrophic injuries or 30 death is significant when a concussion or head injury is not 31 properly evaluated and managed. 32 b. Concussions are a type of brain injury that can range 33 from mild to severe and can disrupt the way the brain normally 34 works. Concussions can occur in any organized or unorganized 35 -1- HF 563 (3) 87 je/jh/rj/md 1/ 5

H.F. 563 sport or recreational activity and can result from a fall or 1 from players colliding with each other, the ground, or with 2 obstacles. Concussions can occur with or without loss of 3 consciousness, but the vast majority of concussions occur 4 without loss of consciousness. 5 c. Continuing to play with a concussion or symptoms of a 6 head injury leaves a young athlete especially vulnerable to 7 greater injury and even death. The general assembly recognizes 8 that, despite having generally recognized return-to-play 9 standards for concussions and head injuries, some affected 10 youth athletes are prematurely returned to play, resulting in 11 actual or potential physical injury or death to youth athletes 12 in this state. 13 d. A student athlete who has sustained a concussion may 14 need informal or formal accommodations, modifications of 15 curriculum, and monitoring by medical or educational staff 16 until the student is fully recovered. To that end, the Iowa 17 high school athletic association and the Iowa girls high school 18 athletic union are encouraged to establish and disseminate to 19 all schools in this state a return-to-school protocol that is 20 based on peer-reviewed scientific evidence consistent with 21 federal guidelines. Furthermore, all schools in this state are 22 encouraged to adopt such protocols. 23 2. Definitions. For the purposes of this section: 24 a. “Contest” means an interscholastic athletic game. 25 b. “Contest official” means a referee, umpire, judge, or 26 other official in an athletic contest. 27 c. “Extracurricular interscholastic activity” means any 28 extracurricular interscholastic activity, contest, or practice, 29 including sports, dance, or cheerleading. 30 d. “Licensed health care provider” means a physician, 31 physician assistant, chiropractor, advanced registered nurse 32 practitioner, nurse, physical therapist, or athletic trainer 33 licensed by a board designated under section 147.13. 34 3. Training. 35 -2- HF 563 (3) 87 je/jh/rj/md 2/ 5

H.F. 563 a. The Iowa high school athletic association and the Iowa 1 girls high school athletic union shall work together to develop 2 training materials and courses regarding concussions and brain 3 injuries, including training regarding evaluation, prevention, 4 symptoms, risks, and long-term effects of concussions and brain 5 injuries. Each coach or contest official shall complete such 6 training at least every two years. 7 b. Individuals required to complete training pursuant to 8 this subsection shall submit proof of such completion to the 9 board of directors of the school district or the authorities in 10 charge of the accredited nonpublic school within thirty days 11 of such completion. 12 4. Guidelines and information sheet. 13 a. The Iowa high school athletic association and the 14 Iowa girls high school athletic union shall work together to 15 distribute the centers for disease control and prevention 16 guidelines and other pertinent information to inform and 17 educate coaches, students, and the parents and guardians 18 of students of the risks, signs, symptoms, and behaviors 19 consistent with a concussion or brain injury, including 20 the danger of continuing to participate in extracurricular 21 interscholastic activities after suffering a concussion or 22 brain injury and their responsibility to report such signs, 23 symptoms, and behaviors if they occur. 24 b. Annually, each school district and nonpublic school shall 25 provide to the parent or guardian of each student a concussion 26 and brain injury information sheet, as provided by the Iowa 27 high school athletic association and the Iowa girls high 28 school athletic union. The student and the student’s parent 29 or guardian shall sign and return the concussion and brain 30 injury information sheet to the student’s school prior to the 31 student’s participation in any extracurricular interscholastic 32 activity for grades seven through twelve. 33 5. Removal from participation. If a student’s coach, 34 contest official, or licensed health care provider observes 35 -3- HF 563 (3) 87 je/jh/rj/md 3/ 5

H.F. 563 signs, symptoms, or behaviors consistent with a concussion or 1 brain injury in an extracurricular interscholastic activity, 2 the student shall be immediately removed from participation. 3 6. Return-to-play protocols. The Iowa high school athletic 4 association and the Iowa girls high school athletic union 5 shall work together to develop a return-to-play protocol, 6 based on peer-reviewed scientific evidence consistent with the 7 guidelines of the centers for disease control and prevention 8 of the United States department of health and human services, 9 for a student’s return to participation in an extracurricular 10 interscholastic activity after showing signs, symptoms, or 11 behaviors consistent with a concussion or brain injury. The 12 board of directors of each school district and the authorities 13 in charge of each accredited nonpublic school with enrolled 14 students who participate in an extracurricular interscholastic 15 activity which is a contest in grades seven through twelve 16 shall adopt such protocols. 17 7. Protective gear. For school budget years beginning on 18 or after July 1, 2017, the board of directors of each school 19 district and the authorities in charge of each accredited 20 nonpublic school with enrolled students who participate 21 in an extracurricular interscholastic activity which is a 22 contest in grades seven through twelve shall provide students 23 participating in such contests with any protective gear, 24 including but not limited to helmets and pads required for the 25 activity by law, by the rules for such contests, or by Iowa 26 high school athletic association or Iowa girls high school 27 athletic union guidelines. However, an individual student 28 is responsible for other protective gear that the individual 29 student needs but that is not required for participation in the 30 contest as provided in this subsection. 31 Sec. 5. APPLICABILITY PROVISIONS. A person required to 32 complete training pursuant to section 280.13C, subsection 3, as 33 enacted by this division of this Act, has until July 1, 2018, 34 to initially complete such training. 35 -4- HF 563 (3) 87 je/jh/rj/md 4/ 5

H.F. 563 Sec. 6. STATE MANDATE FUNDING SPECIFIED. In accordance 1 with section 25B.2, subsection 3, the state cost of requiring 2 compliance with any state mandate included in this division 3 of this Act shall be paid by a school district from state 4 school foundation aid received by the school district under 5 section 257.16. This specification of the payment of the state 6 cost shall be deemed to meet all of the state funding-related 7 requirements of section 25B.2, subsection 3, and no additional 8 state funding shall be necessary for the full implementation of 9 this division of this Act by and enforcement of this division 10 of this Act against all affected school districts. 11 -5- HF 563 (3) 87 je/jh/rj/md 5/ 5