BILL ANALYSIS                                                                                                                                                                                                    �






                            SENATE COMMITTEE ON EDUCATION
                                Alan Lowenthal, Chair
                              2011-2012 Regular Session
                                          

          BILL NO:       AB 1451
          AUTHOR:        Hayashi
          AMENDED:       March 19, 2012
          FISCAL COMM:   No             HEARING DATE: May 16, 2012
          URGENCY:       No             CONSULTANT:    Lynn Lorber

           SUBJECT  :  High School Coaching Education and Training Program.
          
           SUMMARY
           
          This bill adds a component regarding the identification of 
          concussions to the first aid training that high school athletic 
          coaches are required to complete. 

           BACKGROUND
           
          Current law:

          1)   Requires each high school sports coach to complete a 
               coaching education program developed by the employing 
               school district or the California Interscholastic 
               Federation (CIF) that meets the guidelines described in #2 
               below.  (Education Code � 49032)

          2)   States that it is the intent of the Legislature to 
               establish the California High School Coaching Education and 
               Training Program, to be administered by school districts 
               and  emphasize the following components:

               a)        Development of coaching philosophies consistent 
                    with the 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 






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                    steroids.

               e)        Sport management.

               f)        Training, specifically certification in CPR and 
                    first aid.

               g)        Knowledge of and adherence to statewide rules and 
                    regulations, as well as school regulations including 
                    eligibility, gender equity, and discrimination.

               h)        Sound planning and goal setting. (EC � 35179.1)
          3)   Requires a school district that elects to offer an athletic 
               program to comply with both of the following:

               a)        Immediately remove for the remainder of the day 
                    from athletic activity an athlete who is suspected of 
                    sustaining a concussion or head injury, and prohibit 
                    the pupil from returning to the activity until he or 
                    she is evaluated by a licensed health care provider 
                    who has been trained in the management of concussions.

               b)        Require, on an annual basis, a concussion and 
                    head injury information sheet to be signed and 
                    returned by the athlete and the athlete's parent 
                    before the athlete's may practice or compete.   (EC � 
                    49475)

          The CIF's Bylaw 313 requires a student-athlete who is suspected 
          of sustaining a concussion or head injury in a practice or game 
          to be removed from competition at that time for the remainder of 
          the day.  A student-athlete who has been removed from play is 
          prohibited from returning to play until the athlete is evaluated 
          by a licensed health care provider trained in education and 
          management of concussion and receives written clearance to 
          return to play from that health care provider.  A Question & 
          Answer is listed below Bylaw 313, indicating that the scope of 
          practice for a "licensed health care provider" will limit the 
          evaluation to a medical doctor or doctor of osteopathy.  

           ANALYSIS
           
           This bill  requires the existing first aid training pursuant to 
          the High School Coaching Education and Training Program to 






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          include a basic understanding of the signs and symptoms of 
          concussions and the appropriate response to concussions.

           STAFF COMMENTS
           
           1)   Need for the bill  .  According to the author, "What may 
               appear to be a minor blow to the head can have serious, 
               even fatal, consequences.  Emerging studies indicate that 
               high school athletes are at risk of suffering from sleep 
               disorders, memory loss, mental fatigue, depression or even 
               suicide as a result of head injuries sustained in sports.  
               While not all head injuries can be prevented, the effects 
               can be mitigated by knowing when it is safe to return to 
               play.  Currently, the only mandatory injury-related 
               training for high school coaches in California is 
               certification in CPR and first aid.  This bill incorporates 
               concussion-related training into these existing 
               requirements."

           2)   Coaches Training  :  Currently the California Interscholastic 
               Federation (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.  CIF's coaches training program under the High 
               School Coaching Education and Training Program does not 
               currently include instruction on concussions.  However, CIF 
               does offer a free online concussion training course for 
               coaches where the coach receives an immediate printed 
               certification upon completion.  

          Some school districts offer training opportunities.  Current law 
               requires coaches training, whether offered by a district, 
               CIF, or organizations such as the Red Cross, to meet the 
               criteria of the Coaching Education and Training Program.

          Currently, coaches must complete a CPR/first aid course and 
               renew that training every one to three years, depending on 
               which entity provides the training.  Because this bill 
               includes training on concussions as part of the CPR/first 
               aid training requirement, coaches will be required to 






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               receive updated concussion training every one to three 
               years as well. 
                
           3)   Related legislation  .  AB 1449 (Hayashi) would have required 
               the Superintendent of Public Instruction to develop and 
               make available on the California Department of Education's 
               website a concussion and head injury information sheet that 
               a school district may use to send to a student athlete's 
               parent or guardian for signature.  AB 1449 was never heard.

           4)   Prior legislation  .  AB 1646 (Hayashi, 2010) and AB 533 
               (Hayashi, 2009) each would have required training for 
               athletic coaches in the identification of symptoms of head 
               and neck injury.  Both bills were held on the Assembly 
               Appropriations Committee's suspense file.

          AB 1893 (Hayashi, 2010) would have required all high school 
               spirit activities (HSSA) coaches to have valid 
               certification in CPR and first aid, including an 
               understanding of signs, symptoms, and appropriate emergency 
               action steps regarding potentially catastrophic injury, 
               including but not limited to, head and neck injury and 
               concussion.  Pupils participating in HSSA who experience or 
               show signs of trauma or other injury would have been 
               required to obtain a release from the treating provider 
               before resuming spirit activities.  AB 1893 was never 
               heard.

           SUPPORT
           
          American Academy of Pediatrics
          California Association for Health, Physical Education, 
          Recreation and Dance
          California Athletic Trainers Association
          California Chapters of the American Red Cross
          Los Angeles County Office of Education

           OPPOSITION

           None on file.










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