BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1646
                                                                  Page  1

          Date of Hearing:   March 24, 2010

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                  AB 1646 (Hayashi) - As Amended:  February 11, 2010
           
          SUBJECT  :   High school athletics: training for coaches.

           SUMMARY  :   Adds new requirements to the California High School  
          Coaching Education and Training Program for training on  
          recognizing and managing the signs and symptoms of potentially  
          catastrophic injuries; emergency action planning; communicating  
          effectively with 911 emergency services; and, requires high  
          school sports coaches to complete a coaching education program  
          by December 31, 2011.  Specifically,  this bill  :  

          1)Adds new requirements to the California High School Coaching  
            Education and Training Program for training on:
           
             a)   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; 

             b)   Emergency action planning; and, 

             c)   Communicating effectively with 911 emergency services.

          2)Requires each high school sports coach to complete a coaching  
            education program developed by his or her school district or  
            the California Interscholastic Federation that meets the  
            guidelines set forth in Section 35179.1 by December 31, 2011.

          3)Adds Legislative findings and declarations related to the  
            seriousness of concussions and how the competitive athletic  
            culture of playing through pain can put athletes at serious  
            risk.

           EXISTING LAW:  

          1)Establishes the California High School Coaching Education and  
            Training Program and Legislative intent that the program  
            emphasize the following components:









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             a)   Development of coaching philosophies consistent with the  
               goals of the school, school district, and school district  
               governing board.
             b)   Sport psychology. 
             c)   Sport pedagogy.
             d)   Sport physiology including principles of training and  
               the harmful effects associated with the use of steroids.
             e)   Sport management.
             f)   Training certification in CPR and first aid.
             g)   Knowledge of and adherence to statewide rules and  
               regulations, as well as school regulations including, but  
               not necessarily limited to, eligibility, gender equity, and  
               discrimination.
             h)   Sound planning and goal setting. (Education Code  
               35179.1)

          2)Requires each high school sports coach to complete a coaching  
            education program developed by his or her school district or  
            the California Interscholastic Federation that meets the  
            guidelines set forth in Section 35179.1 by December 31, 2008.  
            (Education Code 49032)

           FISCAL EFFECT :   According to the Assembly Appropriations  
          Committee, in an analysis on a substantially similar bill,  
          potential General Fund/Proposition 98 state reimbursable  
          mandated costs, likely between $183,000 and $458,000, to school  
          districts to pay for the cost of a coach attending the training  
          program.  While the bill does require that each high school  
          coach is responsible for the cost of the course, it is not  
          unreasonable to assume that as part of their employment  
          contracts with school districts high school coaches are  
          reimbursed for the cost of training.  

           COMMENTS  :   This bill requires additional training for high  
          school sports coaches on recognizing and managing the signs and  
          symptoms of potentially catastrophic injuries, including, head  
          and neck injuries, concussions, second impact syndrome, asthma  
          attacks, heatstroke, and cardiac arrest in addition to training  
          on emergency action planning and, communicating effectively with  
          911 emergency services.  Existing training programs for coaches  
          are required to provide training on CPR and first aid and the  
          current CIF training provides some training with regard to  
          concussions.  Existing law does not specifically require  
          training on head and neck injuries, asthma, heatstroke and  
          cardiac arrest. 








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          Currently CIF offers training programs to high school coaches  
          who receive a certificate upon course completion (typically an  
          eight hour class).  To date more than 60,000 coaches have taken  
          the training, which costs approximately $60 per person.  Some  
          school districts pay for the program while others require the  
          coach to pay for it.  The completed certificate is transferable  
          between school districts. 

          According to a nationwide study published in the Journal of  
          Athletic Training, football has the highest rate of concussions  
          in high school sports with 47 concussions occurring per 100,000  
          player games or practices.  Girl's soccer has the second highest  
          rate of concussions in high school sports with 36 concussions  
          occurring per 100,000 player games or practices.  Boys soccer  
          and girls basketball have the third and fourth highest rate of  
          concussions in high school sports with 22 and 21 concussions per  
          100,000 player games or practices, respectively.  In the sport  
          of football alone, since 1997, at least 50 high school or  
          younger athletes have been killed or sustained serious head  
          injuries on the field.

          The National Federation of State High School Associations  
          reports that participation in high school sports continues to  
          increase, with more than 7 million high school students  
          participating in 2005-2006.  Concussions are a serious and  
          growing public health issue for athletes involved in contact  
          sports - an estimated 300,000 sport-related traumatic brain  
          injuries, predominantly concussions, occur annually in the  
          United States.  Even more troubling, studies show as many as 20%  
          of all high school football players sustain concussions  
          annually. 

          According to the author, what may appear to be a minor blow to  
          the head can have serious, even fatal, consequences.  Emerging  
          studies indicate that high school athletes are at risk of  
          suffering from sleep disorders, memory loss, mental fatigue,  
          depression or even suicide as a result of head injuries  
          sustained in sports.  While not all head injuries can be  
          prevented, the effects can be mitigated by knowing when it is  
          safe to return to play.  

          Scientific studies have raised concerns about the long-term  
          impacts of head injuries in sports.  Although most headlines  
          focus on the deterioration of major football stars, youth are  








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          also gravely at risk because of their developing brains.   
          According to the Centers for Disease Control (CDC), upwards of 3  
          million sports- and recreation- related concussions occur in the  
          United States each year.  Football is the leading cause for high  
          school males, and soccer for females.     

          Concussions can occur in any sport and all concussions are  
          serious.  Concussions are often difficult to identify because  
          they can occur without loss of consciousness.  A repeat  
          concussion that occurs before the brain recovers from the  
          first-usually within a short period of time can result in brain  
          swelling, permanent brain damage, and even death.  According to  
          the CDC, this condition is called second impact syndrome (SIS).   
          The American College of Sports Medicine estimated last year that  
          85% of all concussions among high school athletes go  
          undiagnosed, meaning many high school athletes are exposing  
          themselves to the risk of SIS.

           Related legislation  : AB 1893 (Hayashi) from 2010, would require,  
          beginning July 1, 2011, all high school spirit activities (HSSA)  
          coaches to have a valid certification in CPR and first aid; and,  
          establishes several requirements for HSSA coaches and pupils  
          including, but not limited to requiring pupils participating in  
          HSSA to have an annual medical examination and receive proper  
          training, and requiring HSSA coaches to develop an emergency  
          plan, as specified.  This bill is scheduled to be heard by the  
          Assembly Education Committee on March 24, 2010.

           Previous legislation  : AB 533 (Hayashi) from 2009, would have  
          added new requirements to the California High School Coaching  
          Education and Training Program for training on recognizing and  
          managing the signs and symptoms of potentially catastrophic  
          injuries; emergency action planning; communicating effectively  
          with 911 emergency services; and, required high school sports  
          coaches to complete a coaching education program by December 31,  
          2010.  The bill was held on the Assembly Appropriations Suspense  
          File.

          AB 2741 (Miller) Chapter 744, Statutes of 1998, established the  
          1998 California High School Coaching and Education Program to be  
          administered by school districts and to emphasize, among other  
          things, sport psychology, sport pedagogy, sport physiology, CPR,  
          and first aid.  

           REGISTERED SUPPORT / OPPOSITION  :   








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          Support 
           
          California Athletic Trainers' Association
          California Brain Injury Association
          California Chapters of the American Red Cross
          California Chiropractic Association
          California Medical Association
          Consumer Attorneys of California

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