BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 100
                                                                  Page  1

          Date of Hearing:   April 22, 2009

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                     AB 100 (Price) - As Amended:  March 26, 2009
           
          SUBJECT  :   Pupil Athletic Access and Safety Program pilot  
          project.

           SUMMARY  :   Extends the Pupil Athletic Access and Safety Program;  
          and, specifies the program shall be implemented only to the  
          extent that funds are appropriated in the annual Budget Act for  
          this purpose.  Specifically,  this bill  : 

          1)Changes the date by which the California Department of  
            Education (CDE), or its administering contracting entity,  
            shall request and review proposals submitted by entities  
            eligible for grants for the Pupil Athletic Access and Safety  
            Program from May 1, 2002 to May 1, 2010.

          2)Changes the date by which CDE, or its administering  
            contracting entity, shall select a proposal for each of the  
            two regions for receipt of a Pupil Athletic Access and Safety  
            Program grant from June 1, 2002 to June 1, 2010.

          3)Changes the date by which CDE, or its administering  
            contracting entity, shall fund the Pupil Athletic Access and  
            Safety Program grant from August 1, 2002 to August 1, 2010.

          4)Changes the date by which CDE, or its administering  
            contracting entity, shall submit a report to the Legislature  
            on the evaluation of the Pupil Athletic Access and Safety  
            Program pilot projects, including the number of schools and  
            pupils assisted by or participating in the various components  
            of the project, and the extent to which the measurable  
            objectives listed in the proposal were met from January 1,  
            2005 to January 1, 2013.

          5)Specifies this act shall be implemented only to the extent  
            that funds for these purposes are appropriated in the annual  
            Budget Act or other statute; and, specifies Legislative intent  
            that funding appropriated in the Budget Act for the Pupil  
            Athletic Access and Safety Program pilot project is a one-time  
            appropriation for this purpose.









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           EXISTING LAW:  

          1)Establishes the Pupil Athletic Access and Safety Program as a  
            competitive grant process for private, nonprofit organizations  
            administered by CDE.  

          2)Specifies no later than May 1, 2002, the department, or its  
            administering contracting entity, shall request and review  
            proposals submitted by entities eligible for grants.

          3)Specifies by June 1, 2002, the department, or its  
            administering contracting entity, shall select a proposal for  
            each of the two regions for receipt of a grant.  Specifies  
            that the selected proposal shall be selected on the basis of  
            its ability to provide the best, most feasible service to the  
            largest number of schools and pupils in the pilot area.   
            Requires proposals to include all of the following:
             a)   A description of the program goals.
             b)   A list of measurable objectives for the purpose of  
               evaluation by the department, or its administering  
               contracting entity.
             c)   A list of public secondary schools selected for  
               participation, and the criteria used for selection of those  
               schools.
             d)   A list of professional participants with curriculum  
               vitae and r?sum?s attached; and, specifies athletic  
               trainers who are proposed to participate in the program  
               shall be certified by the National Athletic Trainers  
               Association.
             e)   A method of ensuring medical quality for the program.
             f)   The method that will be used to gather and submit data  
               to the department, or its administering contracting entity.
             g)   A clear description of the experience, expertise, and  
               other qualifications of the private, nonprofit  
               organization.
             h)   A proposed budget for expenditure of the grant,  
               including a proposed fundraising plan to raise the  
               dollar-for-dollar match as required in this chapter.

          4)Requires the department, or its administering contracting  
            entity, upon making a selection, to fund the grant no later  
            than August 1, 2002.

          5)Specifies the department may expend up to 10% of the funds  
            appropriated for the costs associated with administration of  








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            the competitive grant process, medical quality assurance and  
            program oversight, data collection, and evaluation of the  
            pilot project; and, specifies no additional funds may be used  
            for administration, oversight, or implementation of this  
            program.

          6)Authorizes the department to contract with a nonprofit  
            statewide organization that specializes in administration of  
            high school interscholastic athletic programs to function as  
            the department's administering agency for the program.  If the  
            department enters into a contract, the funds provided for  
            administrative costs shall be expended, pursuant to the  
            contract, by the nonprofit organization in its administration  
            of this program on behalf of the department.  The  
            administering contracting entity shall be responsible for all  
            aspects of the program, including the establishment of the  
            competitive grant process, the selection of grantees and  
            awarding of grants, program administration, monitoring, and  
            evaluation, and the report required.

          7)Requires the department, or its administering contracting  
            entity, to monitor and evaluate the program to ensure the  
            performance and effectiveness of the program, including the  
            following:
             a)   Success in obtaining stated goals.
             b)   Success in the pupil mentoring and scholarship programs.
             c)   Reduction in injuries that occur during practice  
               sessions and during actual athletic competitions.
             d)   Reduction in recurring injury incidents.

          8)Requires, for the purpose of evaluating the programs, the  
            department, or its administering contracting entity, to the  
            extent feasible, to compare available data relating to  
            injuries that occurred during practice sessions and official  
            competitions in the school year prior to the existence of the  
            pilot program, with comparable data collected in the second  
            year of the pilot program.  If data regarding injuries has not  
            been collected prior to the establishment of the pilot  
            program, then data submitted by each grantee during the first  
            six months of the program shall be used as baseline data to  
            compare against data collected in the second year.

          9)Requires, in order to be eligible to receive funds, a pilot  
            project to receive matching private funds equal to the public  
            funds received.








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          10)Requires, by January 1, 2005, the department, or its  
            administering contracting entity, to submit a report to the  
            Legislature on the evaluation of the pilot projects, including  
            the number of schools and pupils assisted by or participating  
            in the various components of the project, and the extent to  
            which the measurable objectives listed in the proposal were  
            met.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :  The Pupil Athletic Access and Safety Pilot Program  
          was established by the Legislature in 2001 and $500,000 was  
          initially appropriated in the annual Budget Act in 2001 for this  
          purpose.  Subsequent budget action eliminated these funds and  
          according to the CDE, there is no record of the program being  
          established.  The intent of the Pupil Athletic Access and Safety  
          Program was to bring certified athletic trainers into low income  
          schools as part of a pilot program to evaluate the effectiveness  
          of these trainers on reducing student injuries, among other  
          things.  This bill extends the grant process, evaluation, sunset  
          and repeal dates of the existing Pupil Athletic Access and  
          Safety Program and specifies that the program shall only become  
          effective upon appropriation of funding in the annual Budget Act  
          for this purpose.

          According to the author, AB 100 addresses a continuing need  
          related to the health and safety of school athletes in  
          underserved communities of the state.  With more and more  
          students participating in athletic events, and coaches and  
          teachers bearing increasing workloads, athletic injuries are  
          more likely to occur.   It is imperative that California's  
          school system makes every effort to prevent student  
          athletic-related injuries, and should injuries occur, it is  
          essential that schools be in a position to address these  
          injuries immediately and appropriately.  AB 100 provides  
          benefits to public high schools, as they realize value from  
          reduced liability through the prevention of injuries and  
          illnesses, while supporting risk management programs in schools.  
           Specifically: 
          1)Athletic trainers may be able to help schools reduce the  
            number of lawsuits resulting from athletic injuries.  Such  
            lawsuits often result from the failure to adequately supervise  
            practices and related sporting activities; failure to give  
            proper instructions and warn of dangers; failure to offer  








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            reasonably safe facilities or equipment; and, failure to  
            provide adequate emergency response.  
          2)Absenteeism is reduced by keeping students in school for  
            rehabilitation.  Student athletes would have injuries treated  
            immediately and will be able to stay at school for  
            rehabilitation without missing class time.  
          3)The parents benefit from the continuity of care from the time  
            of the injury onset to the student athlete's return to play,  
            with enhanced communication.  Athletic trainers also assist  
            parents in educating student athletes about injury and illness  
            prevention, resulting in a reduction in health care cost to  
            families.  
          
          According to the National Federation of State High School  
          Associations, only 42% of high schools in the United States have  
          made athletic health care a priority by utilizing the services  
          of certified athletic trainers.  A June 2008 study published in  
          the Journal of Athletic Training estimates more than 300,000  
          sports-related concussions occur each year in the U.S. - with  
          more than 60,000 cases occurring at the high school level.    
          Moreover, according to the U.S. Consumer Product Safety  
          Commission, every year in the United States more than 3.5  
          million children age 14 or older receive medical treatment for  
          sports-related injuries.  Of these young athletes, more than  
          750,000 are treated in emergency rooms, reports the American  
          College of Sports Medicine.  

          AB 100 is sponsored by The Team Helping Enrich Athletes Lives  
          (HEAL) Foundation, a non-profit organization that is committed  
          to bringing comprehensive injury prevention, medical care,  
          athletic training, healthcare awareness, mentoring and academic  
          support to high school student athletes in underserved  
          communities.  Team HEAL was founded in 1994 and has worked with  
          over 20,000 student athletes.  The program currently serves  
          2,500 high school student athletes in four otherwise underserved  
          high schools within the Los Angeles Unified School District.   
          These high schools include Banning, Carson, Crenshaw, and Manuel  
          Arts in the Los Angeles area.  

          According to the author, it is estimated that this bill could  
          result in a one-time expenditure of about $400,000 from the  
          State General Fund, although non-state funding sources will be  
          sought, including but not limited to private funds.  Unknown  
          potential savings to local school districts and schools relating  
          to reduced litigation, and unknown potential savings to local  








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          public health systems due to immediate and proper treatment of  
          injuries and rehabilitation.  

           Other State Policies  .  In 1993, the state of Hawaii implemented  
          a pilot program for approximately $1.2 million that introduced  
          athletic trainers in high schools.  In 1997, after the pilot  
          program was found to be successful at lowering student injuries,  
          the state passed a law mandating that each Hawaii public high  
          school have a certified athletic trainer, making Hawaii the only  
          state to have such a mandate.

           Committee Amendment  :  Staff recommends the bill be amended to  
          change the evaluation date to November 1, 2012 and insert sunset  
          and repeal dates of July 1, 2014 and January 1, 2015,  
          respectively.

           Related legislation  .  AB 533 (Hayashi) from 2009 requires high  
          school sports coaches to complete a coaching education program  
          that includes training in recognizing and managing the signs and  
          symptoms of potentially catastrophic injuries, including but not  
          limited to head and neck injuries, concussions, second impact  
          syndrome, asthma attacks, heatstroke, and cardiac arrest.  The  
          bill passed the Assembly Education Committee with a vote of 8-1.

           Previous legislation  .  AB 760 (Shelley), Chapter 553, Statutes  
          of 2001 authorized California Department of Education to  
          establish the Pupil Athletic Access and Safety Pilot program.   

          AB 2903 (Shelley) from 2000 would have established the Pupil  
          Athletic Access and Safety Pilot program and provided grants to  
          eligible private, non-profit organizations to conduct pilot  
          athletic safety programs.  The bill was vetoed by the Governor.   
           

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           California Chiropractic Association

           Opposition 
           None on file.
           
          Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087