BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 25
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 25 (Hayashi)
          As Amended  August 30, 2011
          Majority vote
           
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          |ASSEMBLY:  |77-0 |(June 1, 2011)  |SENATE: |38-0 |(August 31,    |
          |           |     |                |        |     |2011)          |
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           Original Committee Reference:    ED.  

           SUMMARY  :  Requires a school district that elects to offer 
          athletics, to implement a concussion and head injury 
          identification process; and, requires a concussion and head 
          injury information sheet to be signed and returned by an athlete 
          and an athlete's parent or guardian prior to the start of the 
          athlete's season of practice or competition.  

           The Senate amendments  delete the required compliance with the 
          concussion and head injury identification process from all 
          organizations the district authorizes to use school facilities 
          for recreational purposes under the Civic Center Act (CCA).  

           AS PASSED BY THE ASSEMBLY  , this bill required school districts, 
          in addition to all organizations that use school facilities for 
          recreational purposes under the Civic Center Act (CCA), to 
          comply with a concussion and head injury identification process.
           
          FISCAL EFFECT  :  According to the Senate Appropriations Committee 
          potentially significant non-reimbursable workload to comply with 
          the head injury requirement; potentially significant ongoing 
          costs for Medi-Cal/Healthy Families; and, likely minor 
          non-reimbursable workload for third party activities.
           
          COMMENTS  :  Concussions have serious immediate and long-term 
          effects.  This bill requires that an after school student 
          athlete and their parent or guardian sign and return a 
          concussion and head injury information sheet on a yearly basis 
          prior to the start of the athletic season.  This bill also 
          requires that after school student athletes suspected of having 
          a concussion are evaluated by a medical professional before 
          returning to practice, play, or competition.  

          California Interscholastic Federation (CIF) Policy:  Current CIF 








                                                                  AB 25
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          policy ensures student-athletes do not return to practice or 
          competition until evaluated by a healthcare professional; 
          however, this only covers about one million students between 
          14-18 years old.  The bill widens this policy to include the 
          three million students between 6-14 years old playing youth 
          sports.  

          Coaches training:  The bill creates the preventive measure of 
          requiring coaches and supervisors to be aware of athletes who 
          they suspect of having sustained a concussion or head injury and 
          to remove them from practice or games to undergo evaluation by a 
          doctor.  The bill however, does not require coaches to receive 
          training in identifying signs of concussion or head injury.  
          Previous legislation such as AB 1646 (Hayashi) of 2010 included 
          mandated training for coaches in concussion and head injury.  
          CIF's coaches training program under the High School Coaching 
          Education and Training Program does not currently include 
          instruction on concussions.  CIF currently offers a free online 
          concussion training course for coaches where they receive an 
          immediate printed certification upon completion.  Of the 67,929 
          coaches in California, 1,714 have taken the online course.  The 
          Assembly should consider whether coaches will know the signs of 
          a concussion if they do not receive training on concussion 
          symptoms. 

          Other state laws:  According to information provided by the 
          author, this bill is modeled after recently enacted legislation 
          in Washington State which requires all athletes under the age of 
          18 who are suspected of having a concussion to get written 
          consent from a licensed medical provider trained in evaluating a 
          concussion before returning to play.  The Washington State law 
          also requires organizations to show proof of insurance before 
          being allowed to use school district facilities.  The Assembly 
          should consider whether requiring proof of insurance is 
          necessary.
           

          Analysis Prepared by  :    Tania Herrera and Chelsea Kelley / ED. 
          / (916) 319-2087 

                                                                FN: 0002368












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