BILL ANALYSIS Ó AB 2182 Page 1 GOVERNOR'S VETO AB 2182 (Mullin) As Enrolled August 25, 2016 2/3 vote ------------------------------------------------------------------ |Committee |Votes|Ayes |Noes | | | | | | |----------------+-----+----------------------+--------------------| |Education |7-0 |O'Donnell, Olsen, | | | | |Kim, McCarty, | | | | |Santiago, Thurmond, | | | | |Weber | | | | | | | |----------------+-----+----------------------+--------------------| |Arts |7-0 |Chu, Obernolte, | | | | |Hadley, Levine, Low, | | | | |Medina, Nazarian | | | | | | | |----------------+-----+----------------------+--------------------| |Appropriations |20-0 |Gonzalez, Bigelow, | | | | |Bloom, Bonilla, | | | | |Bonta, Calderon, | | | | |Chang, Daly, Eggman, | | | | |Gallagher, Eduardo | | | | |Garcia, Roger | | | | |Hernández, Holden, | | | | |Jones, Obernolte, | | | | |Quirk, Santiago, | | | | |Wagner, Weber, Wood | | ------------------------------------------------------------------ AB 2182 Page 2 -------------------------------------------------------------------- |ASSEMBLY: |80-0 |(June 2, 2016) |SENATE: |37-0 |(August 19, | | | | | | |2016) | | | | | | | | | | | | | | | | | | | | | | -------------------------------------------------------------------- SUMMARY: Establishes the Neurocognitive Testing Pilot Grant Program to provide grant funding to Title I schools for the purposes of neurocognitive testing. Specifically, this bill: 1)Requires the California Department of Education (CDE) to develop an application process for school districts to apply on behalf of Title I schools interested in participating in the pilot program. Requires the grants to be apportioned under the pilot program to a total of three school districts, which shall comprise one school district in each of the following regions of the state: southern, central, and northern. Requires each school district to commit to participating in the pilot program for four school years in order to track pupils tested in grade 9 through completion of high school. 2)Requires the grant funds to be used for the following: a) Baseline and postinjury neurocognitive testing of pupils attending a Title I school serving any of grades 9 to 12, inclusive, participating in interscholastic athletics in any of the following sports: baseball, basketball, cheerleading, field hockey, football, ice hockey, lacrosse, rugby, soccer, softball, volleyball, and wrestling. The baseline neurocognitive testing shall take place at the beginning of an athletic season before any competitions have taken place and after any head injury, and shall be repeated at intervals not exceeding 24 months for as long AB 2182 Page 3 as the athlete is enrolled at the school, provided that the athlete is still participating in one or more of the 12 specified sports. The baseline and postinjury neurocognitive testing shall be administered by individuals who have been trained to administer these tests. These individuals may include, but are not necessarily limited to, employees of a participating school district. b) Postinjury neurocognitive testing of an athlete who is suspected of sustaining a concussion or head injury in an interscholastic athletic activity. Postinjury neurocognitive tests shall be conducted within 72 hours of the occurrence of the injury. c) Training of personnel or to consult with experts on the interpretation of postinjury test results. The parent or guardian of each athlete participating in any of the sports shall also be notified, in writing, that the results of baseline and postinjury neurocognitive testing conducted on his or her child are available to the child's parent or guardian upon request. These neurocognitive testing results may also be shared with the athlete's physician upon the request of the athlete's parent or guardian. d) Reporting to the county office of education (COE) data that includes an overview of the baseline neurocognitive testing conducted for each of the sports specified in the bill and an overview of normal, abnormal, and followup postinjury neurocognitive tests. The data shall also include the number of athletes who discontinue participation in the sport following a concussion and postinjury testing. 3)Defines "neurocognitive testing" as a comprehensive evaluation of a person's cognitive status by specific neurologic domains, including, but not necessarily limited to, memory, attention, problem solving, language, visuospatial, processing speed, AB 2182 Page 4 motor, and emotion. 4)Requires the CDE to, based on the data collected by the COE located in the area of participating school districts, prepare a report including, but not necessarily limited to, all of the following information: a) The number of athletes who received the baseline tests. b) The number of athletes who received the postinjury tests. c) The number of athletes who had taken the tests and discontinued participation in any of the specified sports due to concussion injuries. 5)Specifies that the operation of this bill is contingent upon the appropriation of funds in the annual Budget Act or another statute. 6)Requires the report to be submitted to the appropriate policy committees of the Legislature on or before December 31, 2021, and to comply with Section 9795 of the Government Code. 7)Specifies that the pilot program sunsets and repeals on January 1, 2022, unless a later enacted statute, that is enacted before January 1, 2022, deletes or extends that date. 8)Requires a school district, charter school, or private school that elects to offer an interscholastic athletic program to collect and maintain data on traumatic brain injuries and concussions sustained by any of its pupils during an interscholastic athletic activity. Requires this data to be reported periodically to the appropriate COE, but requires the names of the injured pupils to be kept confidential. Requires the COE to compile and retain the data for summary and analysis as it deems necessary. AB 2182 Page 5 FISCAL: According to the Assembly Appropriations Committee: 1)Proposition 98/General Fund cost pressures, potentially in the tens of thousands to fund the pilot program. The program is contingent upon an appropriation in the budget act. 2)General Fund costs to the CDE of approximately $264,000 to administer the grant program for four years. The CDE would be required to develop, implement, monitor, collect and analyze data, and prepare reports to the Legislature on the findings for each grant awarded. 3)Unknown, potentially reimbursable Proposition 98/General Fund state mandated costs, likely in the thousands of dollars, for county offices of education to compile and retain data for summary and analysis. COMMENTS: The author states that the number of reported sports-related concussions among student athletes has risen dramatically, including a doubling between 2002 and 2012. The author adds, "Athletes who sustain concussions are at greater risk of chronic traumatic encephalopathy, depression, early onset dementia, and long-term brain damage," and that, "young athletes experiencing head injuries are at greater risk of long-term brain damage if injured during the critical stages of brain development." The author hopes that broader neurocognitive testing will assist in the evaluation of individual injuries and identify the incidence of sport-related concussions among young athletes. Neurocognitive testing is used to evaluate brain processing in a variety of neurological functions related to memory, attention, language, emotion and other areas. Testing can be conducted with pencil and paper, or with computerized testing. Testing AB 2182 Page 6 can be used as a baseline to gauge an athlete's condition post-injury relative to performance before injury. As such, it can be a factor in making decisions as to whether and when an athlete should return to activity and what kinds of activity may be safe for that athlete. The dangers of concussions and head injuries in sport have been a growing concern, with frequent news reports of athletes, primarily football players, sustaining traumatic and lasting injuries. Among the dramatic news reports in March alone: 1)A representative of the National Football League testified that there is a connection between football and chronic traumatic encephalopathy. 2)Women's soccer standout Brandi Chastain announced she would donate her brain to science for research into head injuries. 3)Ivy League schools announced they would eliminate full-contact practices for football. A Purdue University study in 2015 indicated lasting brain changes among high school football players, even without concussions, and that changes were not completely healed at the end of an off-season. The study used brain scans and changes in brain chemistry to track players more extensively than neurocognitive testing. The growing awareness of concussion dangers has led California to enact a series of bills to protect students by limiting full-contact practices; requiring education and information for coaches, pupils and their parents; and protocols for removing AB 2182 Page 7 students from activity after injury and for returning them to play. A few school districts in San Mateo County have sought stronger protections for student athletes and have, in some cases, paid for neurocognitive testing. Following on this, the San Mateo County Civil Grand Jury studied the issue and recommended, among other things, that all districts in the county serving high school students provide neurocognitive testing for all student athletes, and recommended that the districts seek funding and collect data. The grand jury report noted that a leading purveyor of the tests charges school districts $1,200 for 800 baseline tests. These tests are computerized, with results received automatically by the testing company. This bill establishes a pilot program for schools in three districts (northern, central and southern) to test athletes in specified sports, track the pupils for four years, and collect data to evaluate the effectiveness of neurocognitive testing. Amendments adopted in the Assembly Appropriations Committee limit participation to schools that receive federal Title I funds. Title I provides supplemental funding to schools with the highest percentage of low-income children. According to the CDE, in 2014-15, there were 3.9 million students in 6,457 schools that received Title 1 funds. This bill also requires school districts, charter schools and private schools that elect to offer interscholastic sports to collect and report data on traumatic brain injuries and concussions. GOVERNOR'S VETO MESSAGE: To Members of the California State Assembly: I am returning the following four bills without my AB 2182 Page 8 signature: Assembly Bill 1198 Assembly Bill 1783 Assembly Bill 2182 Senate Bill 1113 Each of these bills creates unfunded new programs. Despite significant funding increases for local educational agencies over the past few years, the Local Control Funding Formula remains only 96 percent funded. Given the precarious balance of the state budget, establishing new programs with the expectation of funding in the future is counterproductive to the Administration's efforts to sustain a balanced budget and to fully fund the Local Control Funding Formula. Additional spending to support new programs must be considered in the annual budget process. Analysis Prepared by: Sophia Kwong Kim / ED. / (916) 319-2087 FN: 0005114 AB 2182 Page 9