BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 588
          Author:   Fox (D)
          Amended:  9/3/13 in Senate
          Vote:     21

           
          SENATE EDUCATION COMMITTEE  :  9-0, 6/12/13
          AYES:  Liu, Wyland, Block, Correa, Hancock, Hueso, Huff,  
            Monning, Torres
           
          SENATE APPROPRIATIONS COMMITTEE  :  7-0, 8/30/13
          AYES:  De León, Walters, Gaines, Hill, Lara, Padilla, Steinberg
           
          ASSEMBLY FLOOR :  70-0, 5/16/13 - See last page for vote


           SUBJECT  :    Concussions and head injuries:  private and charter  
          schools

           SOURCE  :     Author


           DIGEST  :    This bill extends existing concussion policies to  
          private and charter schools, and annually requires the  
          concussion and head injury information sheet to be signed and  
          returned by the athlete's parent prior to participation in  
          athletic activity.

           ANALYSIS  :    Existing law requires school districts that elect  
          to offer athletics to:

          1. Immediately remove from athletic activity for the remainder  
             of the day an athlete who is suspected of sustaining a  
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             concussion or head injury.  The athlete must not be permitted  
             to return to the activity until he/she has been evaluated by  
             a licensed health care provider, and receives a written  
             clearance to return to the activity.

          2. Annually require a concussion and head injury information  
             sheet to be signed by the athlete's parent prior to  
             participation in athletic activity. 

          Existing law requires each high school sports coach to complete  
          a coaching education program developed by the employing school  
          district or the California Interscholastic Federation that meets  
          specified guidelines.  

          Existing law requires high school athletic coaches to complete  
          training regarding the identification of concussions.  

          The California Interscholastic Federation's Bylaw 313 requires a  
          student-athlete who is suspected of sustaining a concussion or  
          head injury in a practice or game to be removed from competition  
          at that time for the remainder of the day.  A student-athlete  
          who has been removed from play is prohibited from returning to  
          play until the athlete is evaluated by a licensed health care  
          provider trained in education and management of concussions, and  
          receives written clearance to return to play from that health  
          care provider.  A Question and Answer is listed below Bylaw 313,  
          indicating that the scope of practice for a "licensed health  
          care provider" will limit the evaluation to a medical doctor or  
          doctor of osteopathy.

          This bill extends existing concussion policies to private and  
          charter schools.   Specifically, this bill requires charter  
          schools and private schools that elect to offer an athletic  
          program to:

           1. Immediately remove from athletic activity for the remainder  
             of the day an athlete who is suspected of sustaining a  
             concussion or head injury.  The athlete must not be permitted  
             to return to the activity until he/she has been evaluated by  
             a licensed health care provider who is trained in the  
             management of concussions and acting within the scope of  
             his/her practice.

           2. Prohibit the student athlete from returning to the athletic  

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             activity until he/she receives written clearance to return to  
             the activity from that licensed health care provider.

           3. Annually require a concussion and head injury information  
             sheet to be signed and returned by the athlete's parent prior  
             to participation in athletic activity.  

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   Local:  
           No

          According to the Senate Appropriations Committee:

              Head injury requirements  .  Potentially significant workload  
             for charter schools and private schools.  

              Medi-Cal  .  Potentially significant ongoing state costs, to  
             the extent that affected students are enrolled in Medi-Cal.

           SUPPORT  :   (Verified  9/3/13)

          California Academy of Physician Assistants
          California Federation of Teachers
          California Optometric Association
          Los Angeles County Office of Education
          The Guidance Charter School

           ARGUMENTS IN SUPPORT  :    According to the author, "Currently,  
          public school student athletes and their parents must receive  
          and acknowledge written information regarding head injury each  
          year.  Schools also must remove athletes from play if it is  
          suspected that a concussion may have occurred in a school sport  
          event.  As of the commencement of the 2012 school year, half a  
          million students - eight percent of our state's children -  
          attend private schools and are unprotected by the common sense  
          rules that apply to public school students."

           ASSEMBLY FLOOR  :  70-0, 5/16/13
          AYES:  Achadjian, Alejo, Ammiano, Atkins, Bigelow, Bloom,  
            Blumenfield, Bocanegra, Bonilla, Bonta, Bradford, Brown, Ian  
            Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,  
            Dahle, Daly, Dickinson, Eggman, Fong, Fox, Frazier, Garcia,  
            Gatto, Gomez, Gordon, Gorell, Gray, Hagman, Hall, Harkey,  
            Roger Hernández, Jones, Jones-Sawyer, Levine, Linder, Logue,  
            Lowenthal, Maienschein, Mansoor, Medina, Mitchell, Mullin,  

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            Muratsuchi, Nazarian, Nestande, Olsen, Pan, Patterson, Perea,  
            V. Manuel Pérez, Quirk, Quirk-Silva, Rendon, Salas, Skinner,  
            Ting, Torres, Wagner, Waldron, Weber, Wieckowski, Wilk,  
            Williams, Yamada, John A. Pérez
          NO VOTE RECORDED:  Allen, Buchanan, Donnelly, Beth Gaines,  
            Grove, Holden, Melendez, Morrell, Stone, Vacancy


          PQ:k  9/3/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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