HLS 12RS-1548 REENGROSSED Page 1 of 5 Regular Session, 2012 HOUSE CONCURRENT RESOLUTI ON NO. 78 BY REPRESENTATIVE SMITH HEALTH: Creates a study committee to study the detection and prevention of heart disease in student athletes A CONCURRENT RESOLUTI ON1 To create a study committee to study and make recommendations with respect to student2 athletes and the detection and prevention of heart disease.3 WHEREAS, sudden cardiac arrest is the most common cause of death in the United4 States, accounting for an estimated three hundred fifty thousand deaths annually or one5 thousand deaths a day, and it is the leading cause of death in young athletes; and6 WHEREAS, sudden cardiac arrest happens to outwardly healthy people with no7 known heart problems such as high school, college, and professional athletes and thousands8 of children; and9 WHEREAS, sudden cardiac arrest is associated with vigorous exercise which can be10 seen in many of the high school, college, and professional sports in which young athletes11 participate; and12 WHEREAS, some young athletes are often not diagnosed because they may be13 outstanding competitors and otherwise appear healthy; and14 WHEREAS, many of the afflicted student athletes had hidden, underlying,15 undiagnosed heart conditions that might have been detected with proper screening; and16 WHEREAS, when a student athlete suffers cardiac arrest, his heart abruptly stops17 pumping blood, typically in response to unexpected, irregular, chaotic heart rhythms, which18 can be deadly within minutes if not immediately treated; and19 WHEREAS, in Louisiana alone there have been numerous student athlete deaths and20 every life lost is one too many; and 21 HLS 12RS-1548 REENGROSSED HCR NO. 78 Page 2 of 5 WHEREAS, a young person at the peak of physical prowess, dying without any1 warning is a shocking, tragic, and potentially preventable death; and2 WHEREAS, it is obvious that more needs to be done to prevent sudden cardiac arrest3 among young athletes; and4 WHEREAS, uniform screening methods are needed for students and young people5 participating in athletics to detect heart defects; and6 WHEREAS, many of these tragic deaths could be prevented if we employ early7 detection methods; such as, the Electrocardiogram (EKG) and Echocardiogram (heart8 ultrasound); and9 WHEREAS, according to the American Heart Association, EKGs are noninvasive,10 painless, inexpensive tests that use electrodes attached to the chest to record the heart's11 electrical activity; and 12 WHEREAS, EKGs are a standard tool that reads the heart's electrical activity to find13 abnormal rhythms and are designed to identify conditions by determining blood flow and14 whether areas of the heart are abnormally thick; and 15 WHEREAS, in addition to the use of early detection testing methods, the American16 Heart Association recommends a twelve-step history screening process to help prevent17 sudden cardiac arrest in youth athletes; and18 WHEREAS, the screening includes twelve questions about personal and family19 medical history and a physical examination to uncover aspects of an athlete's health that20 could signal a cardiovascular problem; and21 WHEREAS, heart screening will attempt to identify some preexisting heart22 conditions that could potentially increase a student's risk of a cardiac event or sudden cardiac23 death with vigorous physical activity; and24 WHEREAS, the complete heart screening process typically includes the following:25 (1) a focused medical history questionnaire; (2) blood pressure measurements; (3) an EKG;26 (4) a physician review and examination; and (5) a limited echocardiogram; and27 WHEREAS, in certain circumstances after an EKG reading indicates that there are28 potential heart-related problems the student athlete would be required to take follow-up tests;29 and30 HLS 12RS-1548 REENGROSSED HCR NO. 78 Page 3 of 5 WHEREAS, the combination of history screening and the early detection tests can1 increase the probability of preventing sudden cardiac arrests in young athletes.2 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby3 create a study committee, composed of members as hereinafter provided, to study and make4 recommendations with respect to the detection and prevention of cardiac arrest in young5 athletes.6 BE IT FURTHER RESOLVED that the study committee created herein shall be7 composed of five members as follows:8 (1) A member of the Louisiana High School Athletics Association appointed by the9 executive director of such association. 10 (2) A cardiovascular physician approved by the Louisiana State Board of Medical11 Examiners and appointed by the executive director of the board.12 (3) The secretary of the Louisiana Department of Health and Hospitals or his13 designee.14 (4) A member of the Louisiana Athletics Trainer's Association, Inc., appointed by15 the president of the association.16 (5) A member of the Governor's Council on Physical Fitness and Sports appointed17 by the director of the council.18 BE IT FURTHER RESOLVED that members of the study committee shall serve19 without compensation.20 BE IT FURTHER RESOLVED that the study committee should study the feasibility21 of requiring all high school and collegiate athletes to be screened for early detection of heart22 disease.23 BE IT FURTHER RESOLVED that the secretary of health and hospitals or his24 designee shall convene the first meeting of the study committee and shall designate staff of25 the Department of Health and Hospitals to assist the study committee in performing its26 duties.27 BE IT FURTHER RESOLVED that the study committee shall meet as necessary and28 shall report its findings to the legislature not later than February 1, 2013.29 HLS 12RS-1548 REENGROSSED HCR NO. 78 Page 4 of 5 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Smith HCR No. 78 Creates a study committee to study and make recommendations with respect to the detection and prevention of cardiac arrest in young athletes and to study the feasibility of requiring all high school and collegiate athletes to be screened for early detection of heart disease. Specifies that the study committee be composed of five members as follows: (1)A member of the La. High School Athletics Association appointed by the executive director of the association. (2)A cardiovascular physician approved by the La. State Board of Medical Examiners and appointed by the executive director of the board. (3)The secretary of the La. Dept. of Health and Hospitals or his designee. (4)A member of the La. Athletics Trainer's Association, Inc., appointed by the president of the association. (5)A member of the Governor's Council on Physical Fitness and Sports appointed by the director of the council. Requires the secretary of health and hospitals or his designee to convene the first meeting of the study committee and to designate staff of the Dept. of Health and Hospitals to assist the study committee in performing its duties. Specifies that members of the study committee serve without compensation. Requires the study committee to meet as necessary and report its findings to the legislature not later than Feb. 1, 2013. Summary of Amendments Adopted by House Committee Amendments Proposed by House Committee on Health and Welfare to the original resolution. 1. Modifies a provision of the study to properly reflect that the study committee should study the feasibility of requiring all collegiate athletes be screened for early detection of heart disease. 2. Makes technical changes. Committee Amendments Proposed by House Committee on House and Governmental Affairs to the engrossed resolution. 1. Removes provisions specifying that a member of each of the House and Senate health and welfare committees serve on the study committee. 2. Removes provisions concerning reimbursement and per diem and specifies that members of the study committee serve without compensation. HLS 12RS-1548 REENGROSSED HCR NO. 78 Page 5 of 5 3. Adds provisions specifying that high school athletes be considered in the study. 4. Adds provisions requiring the secretary of health and hospitals or his designee to convene the first meeting of the study committee and to designate staff of the Dept. of Health and Hospitals to assist the study committee in performing its duties.