BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          AB 1639 (Maienschein) - Pupil health:  The Eric Paredes Sudden  
          Cardiac Arrest Prevention Act
          
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          |Version: June 14, 2016          |Policy Vote: ED. 9 - 0          |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: August 1, 2016    |Consultant: Jillian Kissee      |
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          This bill meets the criteria for referral to the Suspense File.



          


          Bill Summary:  This bill, beginning July 1, 2017, establishes a  
          return-to-play protocol for students who pass out or faint  
          during an athletic activity; requires coaches to complete a  
          sudden cardiac arrest training course; and requires the  
          California Department of Education (CDE) to post specified  
          information on its website related to sudden cardiac arrest.  

          Fiscal Impact:  
           The CDE estimates one-time costs of $85,000 General Fund to  
            post required information on its website.

           Significant local costs for schools that elect to conduct  
            athletic activities to comply with the bill's requirements.   
            These activities are unlikely to be deemed a state  
            reimbursable mandate since the bill's requirements are based  
            upon a school's decision to conduct athletic activities.  See  







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            staff comments.  

          Background:  Existing law:

           Establishes similar requirements regarding concussion and head  
            injuries as this bill does for sudden cardiac arrest symptoms.  
             Specifically, it requires a school district, charter school,  
            or private school that elects to offer an athletic program to  
            comply with all of the following: 
               o      Immediately remove from the athletic activity for  
                 the remainder of the day an athlete who is suspected of  
                 sustaining a concussion or head injury.
               o      Prohibits the athlete from returning to the athletic  
                 activity until he or she is evaluated and provided  
                 written clearance by a licensed health care provider.

               o      Requires the athlete, if the health care provider  
                 determines a concussion or head injury was sustained, to  
                 complete a graduated return-to-play protocol of at least  
                 seven days in duration. 

               o      Requires a concussion and head injury information  
                 sheet to be signed and returned by the athlete and the  
                 parent annually before the athlete initiates practice or  
                 competition. (Education Code § 49475)


           States legislative intent that high school athletic coaches  
            complete training regarding the identification of and  
            appropriate response to concussions, among other things. (EC §  
            35179.1) 

           Requires the principal of a school, when an automated external  
            defibrillator (AED) is placed in a public or private K-12  
            school, to ensure that the school administrators and staff  
            annually receive information that describes sudden cardiac  
            arrest, the school's emergency response plan, and the proper  
            use of an AED.  (Health & Safety Code § 1797.196)

          Proposed Law:   This bill establishes the Eric Paredes Sudden  
          Cardiac Arrest Prevention Act beginning July 1, 2017.  It  
          requires the CDE to post on its website guidelines, videos, and  
          an information sheet on sudden cardiac arrest symptoms and  
          warning signs, and other relevant materials to inform and  








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          educate students and parents, and to train coaches about the  
          warning signs of sudden cardiac arrest.  Schools and school  
          districts are encouraged to post this information on their  
          websites as well.

          This bill establishes the following requirements for schools  
          that elect to conduct athletic activities:

           Before a student participates in an athletic activity governed  
            by the California Interscholastic Federation (CIF), the school  
            must collect and retain a copy of the sudden cardiac arrest  
            information sheet required by the CIF for that student.  
           Before a student participates in an athletic activity not  
            governed by the CIF, the student and the parent or guardian  
            are required to sign and return to the student's school an  
            acknowledgement of receipt and review of the information  
            posted online by the CDE.

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

           Authorizes a student who exhibits any of the other symptoms of  
            sudden cardiac arrest during athletic activity to be removed  
            from participation, as specified.

           If an athletic trainer is absent, any coach that observes  
            these signs is required to notify the parent or guardian of  
            the student so that they can determine any treatment  
            necessary.

           A student who is removed from play is prohibited from being  
            allowed to participate in an athletic activity until the  
            student is evaluated and cleared in writing by any of the  
            specified healthcare providers to return to participate.

           A coach is required, before being able to coach an athletic  
            activity, to complete the sudden cardiac arrest training  
            course posted online by the CDE and is required to retake the  
            course every two years.  

          Related Legislation:  AB 1719 (Rodriguez, 2016) requires school  
          districts and charter schools serving students in grades 9  








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          through 12 to offer instruction in compression-only  
          cardiopulmonary resuscitation as part of a required course,  
          commencing in the 2018-19 school year.  AB 1719 is pending in  
          this committee.

          Staff Comments:  This bill codifies recent CIF bylaws regarding  
          the sudden cardiac arrest return-to-play protocol, the  
          information sheet requirement, and the coaches' training  
          requirements contained in this bill.  Since the CIF governs  
          competitive athletics in grades 9 through 12, high schools may  
          already be in compliance with these requirements.  This bill  
          essentially extends the CIF bylaw to athletic activities at  
          schools that are not governed by CIF, including athletic  
          activities in the younger grades.  

          The requirement to sign and return an acknowledgement of receipt  
          and review of the information posted online by CDE is not  
          currently required by CIF and therefore a requirement that  
          schools would have to implement if they conduct athletic  
          activities not governed by the CIF.  This bill may also  
          necessitate additional training to ensure all appropriate staff  
          are aware of the requirements in this bill.


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