BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | AB 1639| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- THIRD READING Bill No: AB 1639 Author: Maienschein (R), et al. Amended: 8/15/16 in Senate Vote: 21 SENATE EDUCATION COMMITTEE: 9-0, 6/29/16 AYES: Liu, Block, Hancock, Huff, Leyva, Mendoza, Monning, Pan, Vidak SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/11/16 AYES: Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen ASSEMBLY FLOOR: 76-0, 4/28/16 (Consent) - See last page for vote SUBJECT: Pupil health: The Eric Paredes Sudden Cardiac Arrest Prevention Act SOURCE: Eric Paredes Save A Life Foundation DIGEST: This bill, beginning July 1, 2017, establishes a return-to-play protocol for students who pass out or faint during an athletic activity, requires coaches to complete a sudden cardiac arrest training course, and requires schools to retain a copy of a sudden cardiac arrest information sheet before a student participates in an athletic activity. ANALYSIS: Existing law: 1)Requires a school district, charter school, or private school AB 1639 Page 2 that elects to offer an athletic program to comply with all of the following: a) Immediately removed from the athletic activity for the remainder of the day an athlete who is suspected of sustaining a concussion or head injury. b) Prohibits the athlete from returning to the athletic activity until he or she is evaluated and provided written clearance by a licensed health care provider. c) Requires the athlete, if the health care provider determines a concussion or head injury was sustained, to complete a graduated return-to-play protocol of at least seven days in duration. d) Requires a concussion and head injury information sheet to be signed and returned by the athlete and the parent annually before the athlete initiates practice or competition. (Education Code § 49475) 2)States legislative intent that high school athletic coaches complete training regarding the identification of and appropriate response to concussions, among other things. (EC § 35179.1) This bill: Return-to-play protocol 1) Requires that a student who passes out or faints while participating in or immediately following an athletic activity, or who is known to have passed out or fainted while participating in or immediately following an athletic activity, be removed from participation at that time by the athletic director, coach, athletic trainer, or authorized person. 2) Authorizes an athletic trainer or authorized person to remove from participation a student who exhibits unexplained shortness of breath, chest pains, dizziness, racing heart rate, or extreme fatigue during an athletic activity, if the athletic trainer or authorized person reasonably believes that the symptoms are cardiac related. AB 1639 Page 3 3) Prohibits a student who is removed from play from being permitted to return to an athletic activity until the student is evaluated and cleared to return in writing by a physician and surgeon, or a nurse practitioner or physician assistant, as specified. 4) Requires, in the absence of an athletic trainer or authorized person, any coach who observes any of the symptoms of sudden cardiac arrest to notify the parent so that the parent can determine what treatment, if any, the student should seek. 5) Exempts from these protocols athletic activities during the regular schoolday or as part of a physical education course unless it constitutes a practice, interscholastic practice, or scrimmage. Training 6) Requires coaches, by July 1, 2019, prior to coaching an athletic activity, to complete the sudden cardiac arrest training course using the information posted on the California Department of Education's (CDE's) Web site. 7) Requires coaches to retake the training course every two years. 8) Prohibits a coach from being eligible to coach an athletic activity until the coach completes the training course. 9) Requires that a coach who does not receive the training, by July 1, 2019, be subject to suspension from coaching any athletic activity until completion of the required training. Sudden cardiac arrest information sheet 10)Requires, annually before a student participates in an athletic activity governed by the California Interscholastic Federation (CIF), the school to collect and retain a copy of the sudden cardiac arrest information sheet required by the CIF for that student. 11)Requires, before a student participates in an athletic AB 1639 Page 4 activity not governed by the CIF, the student and the student's parent to sign and return to the school an acknowledgment of receipt and review of the information sheet posted on the CDE's Web site. Posting of guidelines and information 12)Requires the CDE to post on its Web site guidelines, videos, and an information sheet on sudden cardiac arrest symptoms and warning signs, and other relevant materials to inform and educate students and parents, and to train coaches about the nature and warning signs, including the risks associated with continuing to play or practice after experiencing fainting or seizures during exercise, unexplained shortness of breath, chest pains, dizziness, racing heart rate, or extreme fatigue. 13)Authorizes materials to include but not be limited to, those developed or used for sudden cardiac arrest education and coaches training by the National Federation of High School Associations, the Eric Paredes Save A Life Foundation, or the CIF. 14)Encourages schools and school districts to post the information and materials on their Web sites to give students, parents, and coaches ready access to the information. Miscellaneous 15)Provides that this bill is to become effective on July 1, 2017. 16)Authorizes a school to hold an informational meeting before the start of each athletic season for all ages of competitors regarding the symptoms and warning signs of sudden cardiac arrest. This bill authorizes the meetings to include physicians, pediatric cardiologists, athletic trainers, and authorized persons, in addition to students, parents, coaches and other school officials. 17)Encourages the sponsors of youth athletic activities to follow the guidelines specified in this bill. AB 1639 Page 5 18)Defines "athletic activity" to include all of the following: a) Interscholastic athletics. b) An athletic contest or competition, other than interscholastic athletics, that is sponsored by a school including cheerleading and club-sponsored sports activities. c) Non-competitive cheerleading that is sponsored by a school. d) Practices, interscholastic practice, and scrimmages for all of the activities listed above. 19)Defines "authorized person" as an employee, volunteer, or contractor authorized to provide health or medical services to student athletes. 20)Defines "school" as a public school, including a charter school, or private school that elects to conduct athletic activities. Comments Existing CIF bylaw. The CIF governs competitive athletics in grades 9-12, and had adopted a bylaw that mirrors the return-to-play protocol and information sheet requirements contained in this bill. This bill essentially extends the CIF bylaw to athletic activities at schools that are not governed by CIF, as well as requiring all coaches to receive training and the posting of information on the Web site of the CDE. FISCAL EFFECT: Appropriation: No Fiscal Com.:YesLocal: No According to the Senate Appropriations Committee: The CDE estimates one-time costs of $85,000 General Fund to post required information on its Web site. AB 1639 Page 6 Significant local costs for schools that elect to conduct athletic activities to comply with the bill's requirements. These activities are unlikely to be deemed a state reimbursable mandate since this bill's requirements are based upon a school's decision to conduct athletic activities. SUPPORT: (Verified8/12/16) Eric Paredes Save A Life Foundation (source) OPPOSITION: (Verified8/12/16) None received ASSEMBLY FLOOR: 76-0, 4/28/16 AYES: Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker, Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang, Chau, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Dodd, Eggman, Frazier, Beth Gaines, Gallagher, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Grove, Hadley, Harper, Roger Hernández, Holden, Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low, Maienschein, Mayes, McCarty, Medina, Melendez, Mullin, Nazarian, Obernolte, O'Donnell, Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber, Wilk, Williams, Wood, Rendon NO VOTE RECORDED: Chávez, Daly, Mathis, Olsen Prepared by:Lynn Lorber / ED. / (916) 651-4105 8/15/16 20:10:05 **** END **** AB 1639 Page 7