BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:   April 20, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          1639 (Maienschein) - As Amended April 7, 2016


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          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No




          SUMMARY:


          This bill establishes the Sudden Cardiac Arrest Prevention Act,  
          effective July 1, 2017, to provide additional information,  
          training, and emergency intervention protocols at public and  
          private schools in order to reduce the risk of sudden cardiac  
          arrest (SCA) among students. Specifically, this bill:  









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          1)Requires the California Department of Education (CDE) to post  
            online, guidelines, videos, and an information sheet on SCA  
            symptoms and warning signs, and other relevant materials to  
            inform and educate pupils and parents, and to train coaches  
            about the nature and warning signs of SCA.



          2)Specifies materials posted online by CDE may include those  
            developed or used for SCA education and coaches training by  
            the National Federation of High School Associations, the Eric  
            Paredes Save A Life Foundation, or the California  
            Interscholastic Federation. Encourages public and private  
            schools and school districts to post this information on their  
            individual websites.



          3)Annually requires each school, before a student participates  
            in an athletic activity governed by the California  
            Interscholastic Federation (CIF), to collect and retain a copy  
            of the SCA information sheet required by the CIF for that  
            pupil. For students that participate in an athletic activity  
            not governed by the CIF, the student and the student's parent  
            or guardian is required to sign and return to the pupil's  
            school an acknowledgment of receipt and review of the  
            information sheet posted on the CDE's website.



          4)Authorizes a school to hold an informational meeting before  
            the start of each athletic season for all ages of competitors  
            regarding the symptoms and warning signs of sudden cardiac  
            arrest. 



          5)Requires a student who passes out or faints while  








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            participating in or immediately following an athletic  
            activity, or who is known to have passed out or fainted while  
            participating in or immediately following an athletic  
            activity, to be removed from participation at that time by the  
            athletic director, coach, or athletic trainer.



          6)Authorizes an athletic trainer to remove a student from  
            athletic participation if the student exhibits any of the  
            other symptoms of SCA during an athletic activity, if the  
            athletic trainer reasonably believes that the symptoms are  
            cardiac related. In the absence of an athletic trainer, any  
            coach who observes any of the symptoms of SCA is required to  
            notify the parent or guardian so that they can determine what  
            treatment, if any, the student should seek.



          7)Prohibits a student who is removed from an athletic activity,  
            as specified, from returning to participate in the activity  
            until the pupil is evaluated and cleared to return by a  
            physician and surgeon, or a nurse practitioner or physician  
            assistant.



          8)Specifies the requirement of this bill do not apply to a pupil  
            engaging in an athletic activity during the regular schoolday  
            or as part of a physical education course unless it  
            constitutes a practice, interscholastic practice, or  
            scrimmage.



          9)Requires an athletic coach to complete the SCA training  
            course, developed pursuant to this bill, and retake the  
            training course every two years thereafter. A coach is not  
            eligible to coach an athletic activity until they complete  








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            this training course. Starting July 1, 2019, a coach that  
            violates this requirement is subject to suspension from  
            coaching any athletic activity until training is completed.



          10)Encourages sponsors of youth athletic activities to follow  
            the guidelines of this bill.
          FISCAL EFFECT:


          General Fund administrative costs to the California Department  
          of Education (CDE), of approximately $85,000 to post guidelines,  
          videos, and an information sheet on SCA symptoms. The CDE will  
          also develop an online training for coaches in consultation with  
          health stakeholder, as specified in the bill. 


          COMMENTS:


          1)Purpose. According to the American Heart Association, SCA  
            affects nearly 10,000 youth per year.  SCA is not a heart  
            attack. It is an abnormality in the heart's electrical system  
            or structure that abruptly stops the heartbeat. The author's  
            office states that 72 percent of those who have suffered SCA  
            experienced prior symptoms but did not recognize them as  
            warning signs. SCA is 60% more likely to occur during physical  
            activity and athletes are at greater risk. The sponsor of this  
            bill, the Eric Paredes Save a Life Foundation, seeks to make  
            more people aware of these warning signs, in the hopes that it  
            will provide the opportunity to prevent fatal cardiac events. 


          2)Background. The California Interscholastic Federation (CIF)  
            governs competitive athletics in grades 9-12.  The CIF is  
            comprised of 10 Section across the State; each Section has a  
            governing body that, among other things, adopts rules and  
            regulations in addition to those promulgated by the State CIF.  








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            The safety protocols established by this bill are similar to  
            safety protocols for concussions in interscholastic sports.  
            Current law requires the removal of "an athlete who is  
            suspected of sustaining a concussion or head injury in an  
            athletic activity from the athletic activity for the remainder  
            of the day."  It also provides similar protocols for allowing  
            the student to return to athletic activity. Unlike this bill,  
            however, there is no penalty on coaches (or other school  
            personnel) for non-compliance. 


            This bill codifies similar CIF policies on SCA that went into  
            effect in 2015. These policies cover most students playing  
            interscholastic sports, including 1,600 schools with 1.8  
            million students.  The CIF rules, however, do not apply to the  
            other (non-CIF) activities covered by this bill: athletic  
            contests or competitions, other than interscholastic  
            athletics, that is sponsored by a school, including  
            cheerleading and club-sponsored sports activities;  
            noncompetitive cheerleading that is sponsored by a school.


            Analysis Prepared by:Misty Feusahrens / APPR. / (916) 319-2081


          


















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