BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 533
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          Date of Hearing:   April 1, 2009

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                 AB 533 (Hayashi) - As Introduced:  February 25, 2009
           
          SUBJECT  :   Training for high school coaches.

           SUMMARY  :   Adds new requirements to the California High School  
          Coaching Education and Training Program for training on  
          recognizing and managing the signs and symptoms of potentially  
          catastrophic injuries; emergency action planning; communicating  
          effectively with 911 emergency services; and, requires high  
          school sports coaches to complete a coaching education program  
          by December 31, 2010.  Specifically,  this bill  :  

          1)Adds new requirements to the California High School Coaching  
            Education and Training Program for training on:
           
             a)   recognizing and managing the signs and symptoms of  
               potentially catastrophic injuries, including, but not  
               limited to, head and neck injuries, concussions, second  
               impact syndrome, asthma attacks, heatstroke, and cardiac  
               arrest; 

             b)   emergency action planning; and, 

             c)   communicating effectively with 911 emergency services.

          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 that meets the  
            guidelines set forth in Section 35179.1 by December 31, 2010.

          3)Adds Legislative findings and declarations related to the  
            seriousness of concussions and how the competitive athletic  
            culture of playing through pain can put athletes at serious  
            risk.

           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  








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               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 Section  
               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 that meets the  
            guidelines set forth in Section 35179.1 by December 31, 2008.  
            (Education Code Section 49032)

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   This bill requires additional training for high  
          school sports coaches on recognizing and managing the signs and  
          symptoms of potentially catastrophic injuries, including, head  
          and neck injuries, concussions, second impact syndrome, asthma  
          attacks, heatstroke, and cardiac arrest in addition to training  
          on emergency action planning and, communicating effectively with  
          911 emergency services.  Existing training programs for coaches  
          are required to provide training on CPR and first aid and the  
          current CIF training provides some training with regard to  
          concussions.  Existing law does not specifically require  
          training on head and neck injuries, asthma, heatstroke and  
          cardiac arrest. 

          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. 

          According to a nationwide study published in the Journal of  








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          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.

          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. 

          According to the author, ABC News has reported that kids only  
          report 1 out of 10 concussions.  Competitive coaches, who are  
          not required to be trained in concussion management, may push  
          players back onto the field too soon.  Players are often  
          reluctant to report head trauma due to strong team spirit and a  
          warrior mentality - their life goals may revolve around  
          athletics and they don't want to lose playing time.  The  
          competitive interscholastic culture of playing through pain or  
          'toughing it out' can put high school athletes at serious risk  
          because concussions can have a devastating cumulative effect  
          -allowing an athlete to return to play too early after a  
          concussion increases the chance of a more serious brain injury. 

          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  








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          undiagnosed, meaning many high school athletes are exposing  
          themselves to the risk of SIS.

          Awareness about the prevention, identification, and treatment of  
          concussions among coaches, athletes, and parents of athletes is  
          currently lacking.  According to an alarming new study by  
          Nationwide Children's Hospital's Center for Injury Research and  
          Policy, from 2005 to 2008, 41% of concussed athletes in 100 high  
          schools across the U.S. returned to play too soon, under  
          guidelines set out by the American Academy of Neurology. 

           Committee Amendments  : Staff recommends the bill be amended to  
          specify that the first aid and CPR training certification should  
          be issued by the American Red Cross, American Heart Association  
          or another organization that provides equivalent training.   
          Staff recommends the bill be further amended to specify that  
          coaches should be trained in the basic understanding of these  
          injuries as well as recognizing and managing these injuries as  
          part of their first aid training.  Staff recommends the bill be  
          amended to clarify that coaches shall undergo training in these  
          new areas when they regularly renew their certifications after  
          the operative date. 

           Previous legislation  : AB 2165 (Karnette) from 2008 would have  
          required public and private K-12 schools, community colleges,  
          colleges, and universities to consider imposing the requirement  
          that students wear a fitted mouth guard while engage in an  
          athletic competition in football, basketball, soccer, wrestling,  
          field hockey and lacrosse.  This bill passed the Assembly  
          Education Committee with a vote of 8-0.  The August 18, 2008  
          amendments deleted the contents of this bill and added language  
          outside the jurisdiction of the Assembly Education Committee.

          SB 37 (Speier) Chapter 673, Statutes of 2005, added instruction  
          on the harmful effects associated with the use of steroids and  
          performance-enhancing dietary supplements by adolescents to the  
          mandatory high school coaches training program.  SB 37 also  
          required, effective December 31, 2008, each high school sports  
          coach to complete a coaching education program developed by his  
          or her school district or the California Interscholastic  
          Federation that meets the guidelines set forth in Section  
          35179.1.  The bill also specified that each high school sports  
          coach is responsible for the costs of taking the course.

          AB 2741 (Miller) Chapter 744, Statutes of 1998, established the  








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          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 Federation of State, County and Municipal Employees  
          (AFSCME)
          California Brain Injury Association
          MomsTeam

           Opposition 
           None on file.
           
          Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087