BILL ANALYSIS                                                                                                                                                                                                    �



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          ASSEMBLY THIRD READING
          AB 25 (Hayashi)
          As Amended  May 27, 2011
          Majority vote 
           -------------------------------- 
          |     |                          |
           -------------------------------- 
           EDUCATION           9-0         APPROPRIATIONS      17-0        
           
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          |Ayes:|Brownley, Ammiano,        |Ayes:|Fuentes, Harkey,          |
          |     |Buchanan, Butler, Carter, |     |Blumenfield, Bradford,    |
          |     |Eng, Halderman, Wagner,   |     |Charles Calderon, Campos, |
          |     |Williams                  |     |Davis, Donnelly, Gatto,   |
          |     |                          |     |Hall, Hill, Lara,         |
          |     |                          |     |Mitchell, Nielsen, Norby, |
          |     |                          |     |Solorio, Wagner           |
          |     |                          |     |                          |
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           SUMMARY  :  Requires a school district that elects to offer 
          athletics, to implement a concussion and head injury 
          identification process; and, requires compliance with this 
          process from all organizations the district authorizes to use 
          school facilities for recreational purposes under the Civic 
          Center Act (CCA).  Specifically,  this bill  requires: 

          1)School districts to comply with both of the following if they 
            elect to offer an athletic program, and specifies that the 
            following do not apply to an athlete engaging in an athletic 
            activity during the regular schoolday or as part of a required 
            physical education course:
              
             a)   An athlete who is suspected of sustaining a concussion 
               or head injury in an athletic activity shall be immediately 
               removed from the activity for the remainder of the day, and 
               shall not be permitted to return to the activity until he 
               or she is evaluated and receives written clearance by a 
               licensed health care provider, trained in the management of 
               concussions, acting within the scope of his or her 
               practice; and,

             b)   On a yearly basis, a concussion and head injury 
               information sheet shall be signed and returned by the 
               athlete and the athlete's parent or guardian prior to the 








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               start of the athlete's season of practice or competition.  

          2)Organizations that utilize school district facilities under 
            the CCA for recreational activities, to sign a statement of 
            compliance with the same policies for the management of 
            concussion and head injury that school districts must follow, 
            before school districts can authorize them to use their 
            facilities.
           
          FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee:
           
          1)General Fund/ Proposition 98 (GF/98) costs, of at least 
            $150,000, to school districts to develop a concussion/head 
            injury policy for grades K-12, as specified.  Currently, 
            school districts with grades 9-12 that participate in 
            California Interscholastic Federation (CIF) sports are 
            required to adhere to a similar CIF policy.  This bill, 
            however, applies to all school districts.  

          2)GF administrative costs to the California Department of 
            Education (CDE), of approximately $50,000, to ensure school 
            districts are complying with requirements of this bill, as 
            specified.  

          3)Potential increased liability costs in the tens to hundreds of 
            thousands to school districts regarding compliance with the 
            CCA requirements in this bill.  Current law requires schools 
            to be liable for any injuries resulting from the negligence of 
            the district in the ownership and maintenance of their 
            facilities or grounds.  This bill requires school districts to 
            ensure any organization using their facilities under the CCA 
            provides a statement of compliance regarding a concussion/head 
            injury policy for athletes.
           
          COMMENTS  :  Concussions have serious immediate and long-term 
          effects.  This bill requires that an after school student 
          athlete and their parent or guardian sign and return a 
          concussion and head injury information sheet on a yearly basis 
          prior to the start of the athletic season.  This bill also 
          requires that after school student athletes suspected of having 
          a concussion are evaluated by a medical professional before 
          returning to practice, play, or competition.  The bill requires 
          that all participants of youth recreational activities that take 








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          place on school district grounds through the CCA are aware of 
          signs and symptoms of a concussion and that they comply with the 
          same medical professional evaluation procedures.  

          CIF Policy:  Current CIF policy ensures student-athletes do not 
          return to practice or competition until evaluated by a 
          healthcare professional; however, this only covers about one 
          million students between 14-18 years old.  The bill widens this 
          policy to include the three million students between 6-14 years 
          old playing youth sports.  

          Coaches training:  The bill creates the preventive measure of 
          requiring coaches and supervisors to be aware of athletes who 
          they suspect of having sustained a concussion or head injury and 
          to remove them from practice or games to undergo evaluation by a 
          doctor.  The bill however, does not require coaches to receive 
          training in identifying signs of concussion or head injury.  
          Previous legislation such as AB 1646 (Hayashi) of 2010 included 
          mandated training for coaches in concussion and head injury.  
          CIF's coaches training program under the High School Coaching 
          Education and Training Program does not currently include 
          instruction on concussions.  CIF currently offers a free online 
          concussion training course for coaches where they receive an 
          immediate printed certification upon completion.  Of the 67,929 
          coaches in California, 1,714 have taken the online course.  The 
          Assembly should consider whether coaches will know the signs of 
          a concussion if they do not receive training on concussion 
          symptoms. 
           
          Civic Center Act (CCA):  The CCA details conditions for the use 
          of school district facilities by groups and organizations.  The 
          CCA also specifies the liability for use of school facilities to 
          both school districts and groups and organizations.  Under the 
          CCA, districts are responsible for liability as it relates to 
          the maintenance of the school grounds whereas the outside groups 
          are responsible for liability during the use of the facilities.  
          This bill requires school districts to collect forms stating 
          compliance with the policies for the management of concussion 
          and head injury in athletics from any group using school 
          facilities or grounds for recreational purposes.  Some districts 
          receive and process a high volume of requests for use of their 
          facilities.  What would happen if even one of these forms were 
          misplaced or is not collected, by accident?  It is unclear 
          whether additional liability, beyond what exists in statute, 








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          would fall on districts if someone is injured and the compliance 
          form is misplaced or not collected.  

          Other state laws:  According to information provided by the 
          authors' staff, this bill is modeled after recently enacted 
          legislation in Washington State which requires all athletes 
          under the age of 18 who are suspected of having a concussion to 
          get written consent from a licensed medical provider trained in 
          evaluating a concussion before returning to play.  The 
          Washington State law also requires organizations to show proof 
          of insurance before being allowed to use school district 
          facilities.  The Assembly should consider whether requiring 
          proof of insurance is necessary.
           

          Analysis Prepared by  :    Tania Herrera and Chelsea Kelley / ED. 
          / (916) 319-2087 


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