82R23332 CAS-D By: Lucio III, et al. H.B. No. 677 Substitute the following for H.B. No. 677: By: Huberty C.S.H.B. No. 677 A BILL TO BE ENTITLED AN ACT relating to cognitive-linguistic or neurocognitive assessments of participants in extracurricular athletic activities sponsored or sanctioned by the University Interscholastic League. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter D, Chapter 33, Education Code, is amended by adding Section 33.093 to read as follows: Sec. 33.093. COGNITIVE-LINGUISTIC OR NEUROCOGNITIVE ASSESSMENTS OF PARTICIPANTS IN EXTRACURRICULAR ATHLETIC ACTIVITIES. (a) For purposes of this section, only the following persons are appropriately licensed or certified health care professionals: (1) a physician licensed under Subtitle B, Title 3, Occupations Code; (2) a physician assistant licensed under Chapter 204, Occupations Code; (3) an advanced practice nurse licensed under Chapter 301, Occupations Code; (4) a speech-language pathologist licensed under Chapter 401, Occupations Code, or certified as a speech-language pathologist by the Texas Education Agency; and (5) an athletic trainer licensed under Chapter 451, Occupations Code. (b) Except as provided under Subsection (d), a school district must require a district student who is required under University Interscholastic League rule or policy to receive a physical examination before being allowed to participate in an athletic activity sponsored or sanctioned by the University Interscholastic League to also receive a cognitive-linguistic or neurocognitive assessment performed by an appropriately licensed or certified health care professional and administered in accordance with current international consensus on concussion management before the district allows the student to participate in the activity, including a practice for the activity. (c) Except as provided under Subsection (d), a school district must require a district student who, after sustaining a concussion, is required under University Interscholastic League rule or policy to receive a physical examination or obtain medical approval before being allowed to resume participating in or practicing for an athletic activity sponsored or sanctioned by the University Interscholastic League to also obtain a cognitive-linguistic or neurocognitive assessment performed by an appropriately licensed or certified health care professional and administered in accordance with current international consensus on concussion management before the district allows the student to resume participating in or practicing for the activity. The results of the cognitive-linguistic or neurocognitive assessment must be considered as a factor in determining whether the student is to be allowed to resume participating in or practicing for the activity. (d) A school district is not required to comply with Subsection (b) or (c), as applicable, if the board of trustees of the district, by majority vote, decides that it is in the best interests of district students not to comply with the subsection. (e) A school district may assist in coordinating the provision of a cognitive-linguistic or neurocognitive assessment required under this section. A district may pay the costs of the assessment and may recover those costs from the parent or guardian of a student or the student receiving the assessment. (f) This section does not create a cause of action or liability against an appropriately licensed or certified health care professional, a school district, or a district officer or employee for the injury or death of a student participating in or practicing for an athletic activity sponsored or sanctioned by the University Interscholastic League based on or in connection with the administration or evaluation of or reliance on a cognitive-linguistic or neurocognitive assessment or the decision not to administer, evaluate, or rely on such an assessment. (g) A school district shall maintain in a student's school records a copy of a cognitive-linguistic or neurocognitive assessment required under this section available to the district. (h) The University Interscholastic League shall adopt rules as necessary to administer this section, including rules establishing standards for a cognitive-linguistic or neurocognitive assessment required under this section. The league may consider recommendations of the league's medical advisory committee in establishing standards for a cognitive-linguistic or neurocognitive assessment. SECTION 2. This Act applies beginning with the 2012-2013 school year. SECTION 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2011.