Session of 2023 SENATE BILL No. 82 By Committee on Education 1-23 AN ACT concerning education; relating to the school sports head injury prevention act; requiring schools to establish concussion management teams; standards of care protocols; biennial education; amending K.S.A. 72-7119 and repealing the existing section. Be it enacted by the Legislature of the State of Kansas: Section 1. K.S.A. 72-7119 is hereby amended to read as follows: 72- 7119. (a) This section shall be known and may be cited as the school sports head injury prevention act. (b) As used in this section: (1) "School" means any public or accredited private high school, middle school or junior high school."Athlete" means a student who prepares for or participates in an extracurricular activity. (2) "Athletic director" means an individual employed by a school district who is responsible for administering the athletic program of a school. "Athletic director" includes an individual who acts as an athletic director or an assistant athletic director. If a school does not have an athletic director, "athletic director" means the individual designated to be responsible for administering the athletic programs of the school. (3) "Coach" means a volunteer or employee of a school district who is responsible for organizing and supervising athletes to teach them the fundamental skills of an extracurricular activity. "Coach" includes head and assistant coaches. (4) "Concussion" means a complex pathophysiological process affecting the brain that is caused by traumatic biomechanical forces. (5) "Concussion management team" means an interdisciplinary team of professionals vested in the education of an athlete when a concussion affects the athlete's ability to learn due to either an extracurricular activity or non-extracurricular activity health condition, including individuals employed by a school district or volunteering at a school to create, implement and supervise concussion management policies. (6) "Extracurricular activity" means an organized school-sponsored or school-sanctioned athletic activity for students, generally held outside of school instructional hours under the direction of a coach, athletic director or band leader, including, but not limited to: Baseball, basketball, cheerleading, cross country, football, golf, marching band, soccer, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 SB 82 2 softball, swimming and diving, tennis, indoor and outdoor track, volleyball and wrestling. All interscholastic activities are deemed to be extracurricular activities. (7) "Game official" means an individual who officiates at an extracurricular activity, such as a referee or umpire and includes, but is not limited to, any individual enrolled as a game official by the Kansas state high school activities association. (2)(8) "Health careHealthcare provider" means a person an individual licensed by the state board of healing arts to practice medicine and surgery. (9) "Licensed athletic trainer" means an individual who is licensed by the state board of healing arts as an athletic trainer under the provisions of K.S.A. 65-6906, and amendments thereto, and whose practice includes schools and extracurricular activities. (10) "Licensed school counselor" means an individual who is employed by a school district and who is licensed by the state board of education as a school counselor. (11) "Nurse" means an individual licensed by the board of nursing who is practicing in a school setting as an employee of the school district or volunteer of the school. (12) "Parent" means a natural parent, a stepparent, a guardian or a foster parent of a student. (13) "Return-to-learn protocol" means an evidence-based reintegration program consistent with the best standards of care guidelines designed to return the athlete to school and the classroom setting for the purpose of formal learning. (14) "Return-to-play protocol" means an evidence-based reintegration program consistent with the best standards of care guidelines designed to return the athlete to extracurricular activity practice before formal competition. (15) "School" means any public or accredited nonpublic high school or middle school, including home school entities. (c) The state board of education, in cooperation with the Kansas state high school activities association, shall compile information on the nature and risk of concussion and head injury including the dangers and risks associated with the continuation of playing or practicing after a person an individual suffers a concussion or head injury. Such information shall be provided to school districts for distribution to coaches, school athletes and the athletes' parents or guardians of school athletes. (1) Schools shall establish a concussion education program for parents, athletes and school personnel to review the school policies and procedures governing the prevention and management of concussions. Such program shall include, but not be limited to, the prevention and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 SB 82 3 management of concussions, dangers and risks associated with concussions, signs and symptoms of concussions, return-to-learn and return-to-play protocols and school policies and procedures for concussion preventive management. (2) Schools shall establish policies and procedures governing the prevention and management of concussions of students. Policies and procedures shall address concussions occurring in extracurricular activities and may be applied to all concussions of students. (3) Schools shall appoint a concussion management team to establish a return-to-play protocol based on scientific evidence-based practices consistent with the United States centers for disease control and prevention guidelines and the Kansas state high school activities association guidelines for the student's return to play. (4) The school concussion management team shall establish a return- to-learn protocol based on scientific evidence-based practices consistent with the centers for disease control and prevention guidelines and the Kansas state high school activities association guidelines for the student's return to the classroom. (5) The membership of the concussion management team shall include to the extent possible, but shall not be limited to, the: (A) Licensed athletic trainer, if employed or contracted by the school district; (B) athletic director; (C) designated teacher; (D) licensed school counselor; (E) school administrator; and (E) nurse, if any. (6) Schools shall appoint a designee from the concussion management team to supervise the persons responsible for compliance with the return-to-play and return-to-learn protocols. The person who has supervisory responsibilities shall not be a coach of an extracurricular activity. (7) Schools shall establish a return-to-learn protocol for any athlete who has sustained a concussion. The return-to-learn protocol shall recognize that a student who has sustained a concussion and returned to school may need formal or informal accommodations, modifications of curriculum and monitoring by medical or academic staff until the athlete has fully recovered. (8) An athlete may not participate in any extracurricular activity competition or practice session until completely integrated in school without accommodation related to a concussion. (9) The following individuals shall complete, at least biennially, a concussion training program approved by the state board of education and 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 SB 82 4 the Kansas state high school activities association: (A) Coach; (B) licensed athletic trainer; (C) licensed school counselor; (D) game official; (E) nurse; (F) athletic director; and (G) school marching band director, whether employed by the school district or a volunteer serving in such capacity. (d) A schoolAn athlete may not participate in any sport extracurricular activity competition or practice session unless such athlete and the athlete's parent or guardian have signed, and returned to the school, a concussion and head injury information release form. A release form shall be signed and returned each school year that a student an athlete participates in sport competitions an extracurricular activity competition or practice sessions session. (e) If a school athlete suffers, or is suspected of having suffered, a concussion or head injury during a sport competition or practice session, such school athlete immediately shall be removed from the sport competition or practice session. (1) An athlete shall be removed immediately from an extracurricular activity competition or practice session if one of the following individuals believes that the athlete might have sustained a concussion arising from such competition or practice session: (A) Coach; (B) healthcare provider; (C) game official; (D) licensed athletic trainer; (E) the athlete's parent or another person with the legal authority to make medical decisions on the athlete's behalf; (F) the athlete; or (G) any other person deemed appropriate under the school's return- to-play protocol. (f) Any school athlete who has been removed from a sport competition or practice session shall not return to competition or practice until(2) The athlete shall not return to an extracurricular activity competition or practice session until the athlete: (A) Is evaluated by a health care healthcare provider and the health care healthcare provider provides such athlete a written clearance to return to play or practice. If the health care healthcare provider who provides the clearance to return to play or practice is not an employee of the school district, such health care healthcare provider shall not be liable for civil damages resulting from any act or omission in the rendering of such care, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 SB 82 5 other than acts or omissions constituting gross negligence or willful or wanton misconduct; (B) has successfully completed each requirement of the return-to-play protocol established by the school, which is necessary for the athlete to return to play; and (C) has successfully completed each requirement of the return-to- learn protocol established by the school necessary for the athlete to return to learn. (g) This section shall take effect on and after July 1, 2011. Sec. 2. K.S.A. 72-7119 is hereby repealed. Sec. 3. This act shall take effect and be in force from and after its publication in the statute book. 1 2 3 4 5 6 7 8 9 10 11 12