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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
A bill to be entitled 1
An act relating to electrocardiograms for student 2
athletes; amending s. 1002.20, F.S.; conforming 3
provisions to changes made by the act; amending s. 4
1006.20, F.S.; authorizing certain out -of-state 5
licensed practitioners to conduct medical evaluations 6
and electrocardiograms; requiring certain 7
electrocardiograms to be provided by specified 8
licensed practitioners; requiring certain students to 9
complete at least one electrocardiogram screening to 10
participate in interscholastic athletic competition 11
beginning in a specified school year; providing an 12
exemption from such requirements; requiring the 13
Florida High School Athletic Association to adopt 14
bylaws and policies prohibiting students with abnormal 15
electrocardiograms from participating in 16
interscholastic athletic competition until a written 17
medical clearance is submitted to the school; 18
providing requirements for such written medical 19
clearance; providing immunity from liability; amending 20
s. 1006.165, F.S.; requiring school districts to 21
pursue specified public and p rivate partnerships for 22
the provisions of electrocardiograms to students; 23
providing an exemption for students from such 24
procedure under certain circumstances; providing an 25
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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S
effective date. 26
27
Be It Enacted by the Legislature of the State of Florida: 28
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Section 1. Paragraph (b) of subsection (17) of section 30
1002.20, Florida Statutes, is amended to read: 31
1002.20 K-12 student and parent rights. —Parents of public 32
school students must receive accurate and timely information 33
regarding their child's academic progress and must be informed 34
of ways they can help their child to succeed in school. K -12 35
students and their parents are afforded numerous statutory 36
rights including, but not limited to, the following: 37
(17) ATHLETICS; PUBLIC HIGH SCHOOL. — 38
(b) Medical evaluation and electrocardiogram .—Students 39
must satisfactorily pass a medical evaluation each year and, as 40
applicable under s. 1006.20, receive an electrocardiogram from 41
an appropriate health care practitioner or the school district 42
before participating i n athletics, unless the parent objects in 43
writing based on religious tenets or practices, in accordance 44
with the provisions of s. 1006.20(2)(d), or the school district 45
is unable to obtain a public or private partnership for the 46
provision of an electrocardi ogram pursuant to s. 1006.165 . 47
Section 2. Paragraphs (c) and (d) of subsection (2) of 48
section 1006.20, Florida Statutes, are amended, and paragraph 49
(n) is added to that subsection, to read: 50
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1006.20 Athletics in public K -12 schools.— 51
(2) ADOPTION OF BYLAWS, POLICIES, OR GUIDELINES. — 52
(c)1. The FHSAA shall adopt bylaws that require all 53
students participating in interscholastic athletic competition 54
or who are candidates for an interscholastic athletic team to 55
satisfactorily pass a medical evaluation e ach year before 56
participating in interscholastic athletic competition or 57
engaging in any practice, tryout, workout, conditioning, or 58
other physical activity associated with the student's candidacy 59
for an interscholastic athletic team, including activities that 60
occur outside of the school year. Such medical evaluation and an 61
electrocardiogram required under subparagraph 2. may be 62
administered only by a practitioner licensed under chapter 458, 63
chapter 459, chapter 460, or s. 464.012 or registered under s. 64
464.0123, or a practitioner who holds an active equivalent 65
licensure issued by the state in which the medical evaluation 66
and electrocardiogram are performed, and in good standing with 67
the practitioner's regulatory board. The bylaws shall establish 68
requirements for eliciting a student's medical history and 69
performing the medical evaluation required under this paragraph, 70
which shall include a physical assessment of the student's 71
physical capabilities to participate in interscholastic athletic 72
competition as contained in a uniform preparticipation physical 73
evaluation and history form. The evaluation form shall 74
incorporate the recommendations of the American Heart 75
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Association for participation cardiovascular screening and shall 76
provide a place for the signature of the practitioner performing 77
the evaluation with an attestation that each examination 78
procedure listed on the form was performed by the practitioner 79
or by someone under the direct supervision of the practitioner. 80
The form shall also contain a place for the practitioner to 81
indicate if a referral to another practitioner was made in lieu 82
of completion of a certain examination procedure. The form shall 83
provide a place for the practitioner to whom the student was 84
referred to complete the remaining sections and at test to that 85
portion of the examination. The preparticipation physical 86
evaluation form shall advise students to complete a 87
cardiovascular assessment and shall include information 88
concerning alternative cardiovascular evaluation and diagnostic 89
tests. Results of such medical evaluation must be provided to 90
the school. A student is not eligible to participate, as 91
provided in s. 1006.15(3), in any interscholastic athletic 92
competition or engage in any practice, tryout, workout, or other 93
physical activity associat ed with the student's candidacy for an 94
interscholastic athletic team until the results of the medical 95
evaluation have been received and approved by the school. 96
2. Beginning in the 202 8-2029 school year and thereafter, 97
each student who is in grades 9 thro ugh 12 and is participating 98
in interscholastic athletic competition or who is a candidate 99
for an interscholastic athletic team for the first time must 100
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complete at least one electrocardiogram screening that meets the 101
requirements of s. 1006.165. 102
(d) Notwithstanding the provisions of paragraph (c), a 103
student may participate in interscholastic athletic competition 104
or be a candidate for an interscholastic athletic team if the 105
parent of the student objects in writing to the student 106
undergoing a medical evalua tion or receiving an 107
electrocardiogram because such evaluation or electrocardiogram 108
is contrary to his or her religious tenets or practices. 109
However, in such case, there shall be no liability on the part 110
of any person or entity in a position to otherwise r ely on the 111
results of such medical evaluation or electrocardiogram for any 112
damages resulting from the student's injury or death arising 113
directly from the student's participation in interscholastic 114
athletics where an undisclosed medical condition that would have 115
been revealed in the medical evaluation or electrocardiogram is 116
a proximate cause of the injury or death. 117
(n) The FHSAA shall adopt bylaws or policies that prohibit 118
a student athlete who receives an abnormal electrocardiogram 119
result from participati ng in tryouts, practice, or competition 120
until the student submits to the school a written medical 121
clearance to participate. Medical clearance must be authorized 122
by an appropriate health care practitioner listed in 123
subparagraph (c)1. who is trained in the d iagnosis, evaluation, 124
and management of electrocardiograms. There shall be no 125
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liability on the part of a school district in a position to 126
otherwise rely on the results of the electrocardiogram and 127
medical clearance for any damages resulting from the studen t's 128
injury or death arising from a cardiac event due to the 129
student's participation in interscholastic athletics. 130
Section 3. Subsection (3) is added to section 1006.165, 131
Florida Statutes, to read: 132
1006.165 Well-being of students participating in 133
extracurricular activities; training. — 134
(3) Each school district must pursue public and private 135
partnerships to provide low-cost electrocardiograms to the 136
student. A student athlete is exempt from the requirement i n s. 137
1006.20(2)(c)2. if he or she resides in a school district that 138
is unable to obtain a public or private partnership to provide 139
an electrocardiogram at a rate of less than $20 per student. 140
Section 4. This act shall take effect July 1, 2025. 141