BILL ANALYSIS                                                                                                                                                                                                    �






                         SENATE COMMITTEE ON EDUCATION
                                Carol Liu, Chair
                           2013-2014 Regular Session
                                        

          BILL NO:       AB 2127
          AUTHOR:        Cooley
          AMENDED:       May 1, 2014
          FISCAL COMM:   No             HEARING DATE:  June 4, 2014
          URGENCY:       No             CONSULTANT:    Lynn Lorber

           SUBJECT  :  Full-contact football practices.
          
           SUMMARY
           
          This bill limits full-contact football practices and  
          requires a student-athlete who has suffered a concussion or  
          head injury to complete a graduated return-to-play protocol  
          of at least seven days.

           BACKGROUND
           
          Current law requires school districts that elect to offer  
          athletics to:

          1)   Immediately remove from athletic activity for the  
               remainder of the day an athlete who is suspected of  
               sustaining a concussion or head injury.  The athlete  
               must not be permitted to return to the activity until  
               he or she has been evaluated by a licensed health care  
               provider, and receives a written clearance from the  
               health care provider to return to the activity.

          2)   Annually require a concussion and head injury  
               information sheet to be signed by the athlete's parent  
               prior to participation in athletic activity.   
               (Education Code � 49475)

          Current law requires each high school sports coach to  
          complete a coaching education program developed by the  
          employing school district or the California Interscholastic  
          Federation that meets specified guidelines.  (EC � 49032)

          Current law requires high school athletic coaches to  








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          complete training regarding the identification of  
          concussions.  (EC � 35179.1)

           ANALYSIS
           
           This bill  limits full-contact football practices and  
          requires a student-athlete who has suffered a concussion or  
          head injury to complete a graduated return-to-play protocol  
          of at least seven days.  Specifically, this bill:

          1)   Requires a school district, charter school, or private  
               school that elects to offer an athletic program to  
               comply with all of the following:

                    a)             Prohibit a high school or middle  
                    school football team from conducting more than  
                    two full-contact practices per week during the  
                    preseason and regular season.

                    b)             Prohibit the full-contact portion  
                    of a practice from exceeding 90 minutes in any  
                    single day.

                    c)             Prohibit a high school or middle  
                    school football team from holding a full-contact  
                    practice during the off-season.  

          2)   Requires the student athlete, if a licensed health  
               care provider determines that the athlete sustained a  
               concussion or head injury, to complete a graduated  
               return-to-play protocol of at least seven days under  
               the supervision of a licensed health care provider.

          3)   Defines:

                    a)             "Full-contact practice" as a  
                    practice where drills or live action is conducted  
                    that involves collisions at game speed, where  
                    players execute tackles and other activity that  
                    is typical of an actual tackle football game.

                    b)             "Off-season" as a period extending  
                    from the end of the regular season until 30 days  
                    before the commencement of the next regular  








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                    season.  

                    c)             "Preseason" as a period of 30 days  
                    before the beginning of the regular season.

                    d)             "Regular season" as the period  
                    from the first interscholastic football game or  
                    scrimmage until the completion of the final  
                    interscholastic football game of that season.

          4)   Provides that a team camp session is deemed to be a  
               practice.

          5)   Urges the California Interscholastic Federation (CIF)  
               to develop and adopt rules to implement the provisions  
               of this bill, and to work in consultation with the  
               American Academy of Pediatrics and the American  
               Medical Society for Sports Medicine to develop and  
               adopt rules and protocols to implement a graduated  
               return-to-play protocol.

          6)   Provides that this bill does not prohibit the CIF, an  
               interscholastic athletic league, a school, a school  
               district, or any other appropriate entity from  
               adopting and enforcing rules intended to provide a  
               higher standard of safety for athletes than the  
               standard established by this bill.

          7)   States legislative findings and declarations relative  
               to student athletes and concussions.

           STAFF COMMENTS
           
           1)   Limits on practice and full-contact  .  The California  
               Interscholastic Federation (CIF) governs competitive  
               athletics in grades 9-12.  The CIF is comprised of 10  
               Section across the State; each Section has a governing  
               body that, among other things, adopts rules and  
               regulations in addition to those promulgated by the  
               State CIF.  Each Section establishes its own rules  
               governing the scope of team practice.  It appears that  
               five of the Sections allow football teams to conduct  
               full-contact practice during the off-season while five  
               do not allow full-contact practice during the  








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               off-season.  For example:

               a)        The Sac-Joaquin Section allows full-contact  
                    football camp during the summer. 

               b)        The Southern Section prohibits full-contact  
                    practice or camps during the summer.  

               The CIF recently adopted Bylaw 506 which, effective  
               August 1, 2014, limits all athletic teams to no more  
               than 18 hours of practice time per week and no more  
               than four hours in any single day.

           2)   Other leagues  .  Pop Warner football limits  
               full-contact drills to one-third of practice time  
               (either 40 minutes total of each practice or 1/3 of  
               total weekly practice time), and prohibits full speed  
               head-on blocking or tackling drills in which the  
               players line up more than 3 yards apart.  

          The National Collegiate Athletic Association (NCAA) limits  
               live-hitting practices to a maximum of five days a  
               week during the season.  The NCAA permits 15 spring  
               practices and allows live contact in 80% of those  
               practices, and allows tackling in more than 50% of the  
               practices.  The Pac-12 limits teams to two  
               full-contact practices per week during the regular  
               season and spring practice.  The Ivy League adopted a  
               similar policy.  

          The State of Texas limits full-contact football practice to  
               90 minutes per week during the regular and post  
               season, but allows unlimited full-contact practice  
               during the 3-4 weeks prior to the first game of the  
               season.

          The National Football League (NFL) prohibits players from  
               wearing pads or having live contact during the  
               nine-week offseason practice program.  The NFL limits  
               the total number of full-contact practices to 14 for  
               the year with 11 of those practices conducted during  
               the first 11 weeks of the season (a maximum of one per  
               week), with no full-contact practices during the off  
               season.  








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           3)   Graduated return-to-play protocol  .  This bill requires  
               a student who has been diagnosed as having a  
               concussion or head injury to complete a graduated  
               return-to-play protocol of at least seven days under  
               the supervision of a licensed health care provider.   
               This bill does not define or provide criteria for a  
               graduated return-to-play protocol; models vary,  
               including those consisting of steps following a  
               complete physical and the absence of concussion  
               symptoms for 24 hours (progressing from light aerobic  
               exercise for 5-10 minutes, to moderate exercise, to  
               non-contact but more intense exercise, a reintegration  
               into full practice, and finally a return to play).  At  
               a minimum, students who have concussed would be  
               prohibited from participating in athletics for at  
               least seven days.  This bill urges the CIF to work in  
               consultation with the American Academy of Pediatrics  
               and the American Medical Society for Sports Medicine  
               to develop and adopt statewide rules and protocols  
               regarding graduated return-to-play.

           4)   Licensed health care provider  .  Current law requires  
               an athlete who is suspected of sustaining a concussion  
               or head injury to be immediately removed from athletic  
               activity and is not be permitted to return to the  
               activity until he or she has been evaluated by a  
               licensed health care provider, and receives a written  
               clearance from the health care provider to return to  
               the activity.  Current law requires the licensed  
               health care provider to be trained in the management  
               of concussions and act within the scope of his or her  
               practice.  A Question & Answer is listed below CIF  
               Bylaw 313 states that the scope of practice for a  
               "licensed health care provider" will limit the  
               evaluation to a medical doctor or doctor of  
               osteopathy.

           SUPPORT
           
          American Academy of Neurology
          California Interscholastic Federation
          California Psychological Association
          California State PTA








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           OPPOSITION

           None on file