BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1451
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          Date of Hearing:   March 28, 2012

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                   AB 1451 (Hayashi) - As Amended:  March 19, 2012
           
          SUBJECT  :   High school athletics: coaching education program.

           SUMMARY  :   Adds new requirements to the California High School 
          Coaching Education and Training Program (HSCTP) for training on 
          understanding the signs and symptoms of concussions and the 
          appropriate response to concussions. 

           EXISTING LAW  : 

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

             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 (CIF) 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 similar bill, potential General 
          Fund/Proposition 98 state reimbursable mandated costs, likely 
          between $188,000 and $470,000, to school districts to pay for 








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          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 understanding the signs and symptoms of 
          concussions and the appropriate response to concussions.  

           Coaches Training  :  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. 
          CIF's coaches training program under the HSCTP 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, 5,323 have 
          taken the online course.  

          Currently, coaches must complete a CPR/First Aid course and 
          renew that training every two years.  Because this bill includes 
          training on concussions as part of the CPR/First Aid training 
          requirement, coaches will be required to receive updated 
          concussion training every two years as well.  This renewal 
          requirement is important because the strategies for dealing with 
          head injuries are often changing. 

          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.









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          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. 

          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 
          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.


           Previous legislation  : 

          AB 1646 (Hayashi) in 2010, which was held on the Assembly 
          Appropriations Committee suspense file, would have required 
          training for coaches to be able to identify symptoms of head and 
          neck injury.  The additional training would have been 
          incorporated into coaches' first aid certification renewal.

          AB 1647 (Hayashi) which was vetoed by the Governor in 2010, 
          would have established certification and training requirements 
          for athletic trainers.  The bill would have also prohibited 
          individuals from calling themselves athletic trainers unless 








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          they met those requirements.
          The Governor vetoed this bill with the following message:  

               This bill is similar to legislation I have vetoed twice 
               before in the past because there is no evidence that 
               regulating the use of the term "certified athletic trainer" 
               poses any threat to the public health and safety.

          AB 1893 (Hayashi) which was held in the Assembly Education 
          Committee in 2010, would have required all high school spirit 
          activities (HSSA) coaches to have valid certification in CPR and 
          first aid, including an understanding of signs, symptoms, and 
          appropriate emergency action steps regarding potentially 
          catastrophic injury, including but not limited to, head and neck 
          injury and concussion.  Pupils participating in HSSA who 
          experience or show signs of trauma or other injury would have 
          needed to obtain a release from the treating provider before 
          resuming spirit activities.  

          AB 533 (Hayashi) in 2009, which was held on the Assembly 
          Appropriations Committee suspense file, would have required 
          training for coaches to be able to identify symptoms of head and 
          neck injury.  The training would have been incorporated into 
          coaches' first aid certification renewal. 

          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  :   

           Support 
           
          American Red Cross
          California Association for Health, Physical Education, 
          Recreation and Dance
          Los Angeles County Office of Education

           Opposition 
           
          None on file.
           








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