104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3589 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-80.5 new Amends the General Provisions Article of the School Code. Provides that students in grades 9 through 12 must satisfactorily pass a medical evaluation each year and, if applicable, receive an electrocardiogram before participating in an interscholastic athletic activity. Creates a waiver exception. Provides that a student in any grade who participates in an interscholastic athletic activity or who is a candidate for an interscholastic athletic activity's team must satisfactorily pass a medical evaluation each year before participating in the interscholastic athletic activity or engaging in any practice, tryout, workout, conditioning, or other physical activity associated with the student's candidacy for the interscholastic athletic activity. Requires that a medical evaluation only be administered by a licensed health care professional or a physician. Provides requirements for the content of a preparticipation physical evaluation form. Requires that the results of a medical evaluation of a student be provided to the student's school. Effective January 1, 2026. LRB104 11292 LNS 21378 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3589 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-80.5 new 105 ILCS 5/22-80.5 new Amends the General Provisions Article of the School Code. Provides that students in grades 9 through 12 must satisfactorily pass a medical evaluation each year and, if applicable, receive an electrocardiogram before participating in an interscholastic athletic activity. Creates a waiver exception. Provides that a student in any grade who participates in an interscholastic athletic activity or who is a candidate for an interscholastic athletic activity's team must satisfactorily pass a medical evaluation each year before participating in the interscholastic athletic activity or engaging in any practice, tryout, workout, conditioning, or other physical activity associated with the student's candidacy for the interscholastic athletic activity. Requires that a medical evaluation only be administered by a licensed health care professional or a physician. Provides requirements for the content of a preparticipation physical evaluation form. Requires that the results of a medical evaluation of a student be provided to the student's school. Effective January 1, 2026. LRB104 11292 LNS 21378 b LRB104 11292 LNS 21378 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3589 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-80.5 new 105 ILCS 5/22-80.5 new 105 ILCS 5/22-80.5 new Amends the General Provisions Article of the School Code. Provides that students in grades 9 through 12 must satisfactorily pass a medical evaluation each year and, if applicable, receive an electrocardiogram before participating in an interscholastic athletic activity. Creates a waiver exception. Provides that a student in any grade who participates in an interscholastic athletic activity or who is a candidate for an interscholastic athletic activity's team must satisfactorily pass a medical evaluation each year before participating in the interscholastic athletic activity or engaging in any practice, tryout, workout, conditioning, or other physical activity associated with the student's candidacy for the interscholastic athletic activity. Requires that a medical evaluation only be administered by a licensed health care professional or a physician. Provides requirements for the content of a preparticipation physical evaluation form. Requires that the results of a medical evaluation of a student be provided to the student's school. Effective January 1, 2026. LRB104 11292 LNS 21378 b LRB104 11292 LNS 21378 b LRB104 11292 LNS 21378 b A BILL FOR HB3589LRB104 11292 LNS 21378 b HB3589 LRB104 11292 LNS 21378 b HB3589 LRB104 11292 LNS 21378 b 1 AN ACT concerning education. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The School Code is amended by adding Section 5 22-80.5 as follows: 6 (105 ILCS 5/22-80.5 new) 7 Sec. 22-80.5. Student athletes; medical evaluation and 8 electrocardiogram. 9 (a) Definitions. In this Section: 10 "Athletic trainer" means an athletic trainer licensed 11 under the Illinois Athletic Trainers Practice Act who is 12 working under the supervision of a physician. 13 "Coach" means any volunteer or employee of a school who is 14 responsible for organizing and supervising students to teach 15 them or train them in the fundamental skills of an 16 interscholastic athletic activity. "Coach" refers to both head 17 coaches and assistant coaches. 18 "Interscholastic athletic activity" means any organized 19 school-sponsored or school-sanctioned activity for students, 20 generally outside of school instructional hours, under the 21 direction of a coach, athletic director, or band leader, 22 including, but not limited to, baseball, basketball, 23 cheerleading, cross country, fencing, field hockey, football, 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB3589 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-80.5 new 105 ILCS 5/22-80.5 new 105 ILCS 5/22-80.5 new Amends the General Provisions Article of the School Code. Provides that students in grades 9 through 12 must satisfactorily pass a medical evaluation each year and, if applicable, receive an electrocardiogram before participating in an interscholastic athletic activity. Creates a waiver exception. Provides that a student in any grade who participates in an interscholastic athletic activity or who is a candidate for an interscholastic athletic activity's team must satisfactorily pass a medical evaluation each year before participating in the interscholastic athletic activity or engaging in any practice, tryout, workout, conditioning, or other physical activity associated with the student's candidacy for the interscholastic athletic activity. Requires that a medical evaluation only be administered by a licensed health care professional or a physician. Provides requirements for the content of a preparticipation physical evaluation form. Requires that the results of a medical evaluation of a student be provided to the student's school. Effective January 1, 2026. LRB104 11292 LNS 21378 b LRB104 11292 LNS 21378 b LRB104 11292 LNS 21378 b A BILL FOR 105 ILCS 5/22-80.5 new LRB104 11292 LNS 21378 b HB3589 LRB104 11292 LNS 21378 b HB3589- 2 -LRB104 11292 LNS 21378 b HB3589 - 2 - LRB104 11292 LNS 21378 b HB3589 - 2 - LRB104 11292 LNS 21378 b 1 golf, gymnastics, ice hockey, lacrosse, marching band, rugby, 2 soccer, skating, softball, swimming and diving, tennis, track 3 (indoor and outdoor), ultimate frisbee, volleyball, water 4 polo, and wrestling. All interscholastic athletics are deemed 5 to be interscholastic activities. 6 "Licensed health care professional" means a person who is 7 a nurse, a physical therapist licensed under the Illinois 8 Physical Therapy Act, an occupational therapist licensed under 9 the Illinois Occupational Therapy Practice Act, a physician 10 assistant, or an athletic trainer. 11 "Nurse" means a person who is employed by or volunteers at 12 a school and is licensed under the Nurse Practice Act as a 13 registered nurse, practical nurse, or advanced practice 14 registered nurse. 15 "Physician" means a physician licensed to practice 16 medicine in all of its branches under the Medical Practice Act 17 of 1987. 18 "Physician assistant" means a physician assistant licensed 19 under the Physician Assistant Practice Act of 1987. 20 "School" means any public or private elementary or 21 secondary school, including a charter school. 22 "Student" means an adolescent or child enrolled in a 23 school. 24 (b) Students in grades 9 through 12 must satisfactorily 25 pass a medical evaluation each year and, if applicable, 26 receive an electrocardiogram before participating in an HB3589 - 2 - LRB104 11292 LNS 21378 b HB3589- 3 -LRB104 11292 LNS 21378 b HB3589 - 3 - LRB104 11292 LNS 21378 b HB3589 - 3 - LRB104 11292 LNS 21378 b 1 interscholastic athletic activity. The electrocardiogram may 2 be waived if a parent or guardian of the student objects to the 3 procedure based on religious tenets or practices or submits a 4 written request to waive the requirement. 5 A student in any grade who participates in an 6 interscholastic athletic activity or who is a candidate for an 7 interscholastic athletic activity's team must satisfactorily 8 pass a medical evaluation each year before participating in 9 the interscholastic athletic activity or engaging in any 10 practice, tryout, workout, conditioning, or other physical 11 activity associated with the student's candidacy for the 12 interscholastic athletic activity, including activities that 13 occur outside of the school year. The medical evaluation may 14 be administered only by a licensed health care professional or 15 a physician. 16 (c) After a medical evaluation of a student, the licensed 17 health care professional or the physician performing the 18 evaluation must complete a preparticipation physical 19 evaluation form. The evaluation form must incorporate the 20 recommendations of the American Heart Association for 21 participation in cardiovascular screening and include all of 22 the following: 23 (1) a place for the signature of the licensed health 24 care professional or the physician performing the 25 evaluation with an attestation that each examination 26 procedure listed on the form was performed by the licensed HB3589 - 3 - LRB104 11292 LNS 21378 b HB3589- 4 -LRB104 11292 LNS 21378 b HB3589 - 4 - LRB104 11292 LNS 21378 b HB3589 - 4 - LRB104 11292 LNS 21378 b 1 health care professional or the physician or by someone 2 under the direct supervision of the licensed health care 3 professional or the physician; 4 (2) a place for the licensed health care professional 5 or the physician to indicate if a referral to another 6 practitioner was made instead of the completion of a 7 certain examination procedure; 8 (3) if applicable, a place for the practitioner to 9 whom the student was referred to complete the remaining 10 sections and attest to that portion of the examination; 11 and 12 (4) a section advising students to complete a 13 cardiovascular assessment and informing students of 14 information concerning alternative cardiovascular 15 evaluation and diagnostic tests. 16 (d) Results of a medical evaluation of a student must be 17 provided to the student's school. HB3589 - 4 - LRB104 11292 LNS 21378 b