BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                       AB 1639|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
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                                   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  








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            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.







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           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  







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             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.








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           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.








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           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


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