LCO 3672 \\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06492-R01- HB.docx 1 of 4 General Assembly Raised Bill No. 6492 January Session, 2021 LCO No. 3672 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING ED UCATION AND TRAINING IN EXERTIONAL HEAT ILLNESS FOR COA CHES, PARENTS, GUARD IANS AND STUDENTS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective July 1, 2021) (a) As used in this section: 1 (1) "Exertional heat illness" means an illness resulting from engaging 2 in physical activity in the heat, including, but not limited to, heat 3 cramps, heat syncope, heat exhaustion and heat stroke; 4 (2) "Heat cramps" means sudden or progressively and noticeably 5 evolving, involuntary, painful contractions of skeletal muscle during or 6 after engaging in physical activity in the heat; 7 (3) "Heat exhaustion" means the inability to effectively engage in 8 physical activity in the heat, secondary to a combination of factors, 9 including, but not limited to, cardiovascular insufficiency, hypotension, 10 energy depletion and central fatigue and is manifested by an elevated 11 core body temperature and associated with a high rate or volume of skin 12 blood flow, heavy sweating and dehydration; 13 Raised Bill No. 6492 LCO 3672 {\\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06492- R01-HB.docx } 2 of 4 (4) "Heat stroke" means a medical emergency characterized by 14 neuropsychiatric impairment and a high core body temperature, 15 typically 105.8° Fahrenheit or above; 16 (5) "Heat syncope" means sudden dizziness, feeling faint and fainting 17 experienced after engaging in physical activity in the heat; and 18 (6) "Intramural or interscholastic athletics" shall include any activity 19 sponsored by a school or local education agency, as defined in section 20 10-15f of the general statutes, or an organization sanctioned by the local 21 education agency that involves any athletic contest, practice, 22 scrimmage, competition, demonstration, display or club activity. 23 (b) For the school year commencing July 1, 2022, and each school year 24 thereafter, any person who holds or is issued a coaching permit by the 25 State Board of Education and is a coach of intramural or interscholastic 26 athletics shall complete an exertional heat illness awareness education 27 program prior to commencing the coaching assignment for the season 28 of such intramural or interscholastic athletics. Such program shall be 29 developed or approved pursuant to subsection (c) of this section. For the 30 school year commencing July 1, 2022, and each school year thereafter, 31 any person who holds or is issued a coaching permit by the State Board 32 of Education and is a coach of intramural or interscholastic athletics 33 shall annually review the program developed or approved pursuant to 34 subsection (c) of this section, prior to commencing the coaching 35 assignment for the season of such intramural or interscholastic athletics. 36 (c) On or before January 1, 2022, the governing authority for 37 intramural and interscholastic athletics, in consultation with an 38 appropriate organization representing licensed athletic trainers, an 39 organization representing sports medical doctors, an organization that 40 researches best practices in managing heat illness, and an organization 41 representing county medical associations, shall develop or approve an 42 exertional heat illness awareness education program for use by local and 43 regional boards of education. Such program shall be published on the 44 State Board of Education's Internet web site and shall include, but need 45 Raised Bill No. 6492 LCO 3672 {\\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06492- R01-HB.docx } 3 of 4 not be limited to, (1) the recognition of the symptoms of an exertional 46 heat illness, (2) the means of obtaining proper medical treatment for a 47 person suspected of having an exertional heat illness, and (3) the nature 48 and risk of exertional heat illness, including the danger of continuing to 49 engage in athletic activity after sustaining exertional heat illness and the 50 proper method of allowing a student athlete who has sustained 51 exertional heat illness to return to athletic activity. 52 (d) On or before October 1, 2022, and annually thereafter, the 53 governing authority for intramural and interscholastic athletics, in 54 consultation with an appropriate organization representing licensed 55 athletic trainers, an organization representing sports medical doctors, 56 an organization that researches best practices in managing heat illness 57 and an organization representing county medical associations, shall 58 develop or approve annual review materials regarding current and 59 relevant information regarding exertional heat illness for use by local 60 and regional boards of education. 61 (e) On or before January 1, 2022, the governing authority for 62 intramural and interscholastic athletics, in consultation with an 63 appropriate organization representing licensed athletic trainers, an 64 organization representing sports medical doctors, an organization that 65 researches best practices in managing heat illness and an organization 66 representing county medical associations, shall develop a model 67 exertional heat illness awareness plan for use by local and regional 68 boards of education. Each local and regional board of education shall 69 implement such plan by utilizing written materials, online training or 70 videos or in-person training that shall address, at a minimum: (1) The 71 recognition of signs or symptoms of exertional heat illness, (2) the means 72 of obtaining proper medical treatment for a person suspected of an 73 exertional heat illness, (3) the nature and risks of exertional heat illness, 74 including the danger of continuing to engage in athletic activity after 75 experiencing exertional heat illness, (4) the proper procedures for 76 allowing a student athlete who has experienced exertional heat illness 77 to return to athletic activity, and (5) best practices in the prevention and 78 Raised Bill No. 6492 LCO 3672 {\\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06492- R01-HB.docx } 4 of 4 treatment of exertional heat illness. 79 (f) For the school year commencing July 1, 2022, and each school year 80 thereafter, each local and regional board of education shall prohibit a 81 student athlete from participating in any intramural or interscholastic 82 activity unless the student athlete, and a parent or guardian of such 83 student athlete, (1) reads written materials, (2) views online training or 84 videos, or (3) attends in-person training developed or approved 85 pursuant to this section. Acknowledgment of adherence to this standard 86 by the student athlete and the parent or guardian shall be made by the 87 parent's or guardian's signature on an athletic participation informed 88 consent form issued by the applicable local or regional board of 89 education. 90 (g) The State Board of Education may revoke the coaching permit, in 91 accordance with the provisions of subsection (i) of section 10-145b of the 92 general statutes, of any coach found to be in violation of this section. 93 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2021 New section PH Joint Favorable