Interscholastic Athletics: Statute 14.18.040 (1981) requires equal opportunity for both sexes in athletics and recreation. Separate school-sponsored teams may be provided for each sex, however, equipment and supplies, services, and opportunities shall be provided to both teams with no disparities.

Concussion and Sports-Related Head Injury: Statute 14.30.142 requires the governing body of a school district to consult with the Alaska Activities Association to develop and publish guidelines and other information to educate coaches, student athletes and parents of athletes regarding the nature and risks of concussions. Guidelines must include a description of the risks and standards for return to play and require a student suspected of having sustained a concussion during practice or a game to be immediately removed. Students removed from participation for suspicion of a concussion may not return to play until the student has been evaluated and cleared for participation by a qualified person (as defined in the statute). A student may not participate in school athletic activities unless the student and parent or guardian have signed a verification of receipt of the guidelines. 

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: HB108 (2011) requires the governing body of each sport or recreational organization to develop guidelines and other pertinent information and forms to inform and educate youth athletes and their parents of the nature and risk of concussion and brain injury, including continuing to play after a suspected concussion or brain injury. Student athletes and their parents or guardians must annually sign and return an information sheet on concussion and head injury. Each organization must ensure that coaches receive annually training to learn how to recognize the symptoms of a concussion and how to seek proper medical treatment for a person suspected of having a concussion. To the extent possible, the training should begin before the beginning of practice for the school athletic team. The statute requires that an athlete who is suspected of sustaining a concussion or brain injury in practice or game be immediately removed from participation. The student may not return to play until they are evaluated by a licensed physician and receive written clearance to return to play.

Automated External Defibrillator (AED): SB306 (2009) requires an automated external defibrillator to be placed in each pubic K-12 school. The superintendant of each local  school  must designate at least one employee to be trained in the use of the AED. 

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): The Rules Governing School-Based Automated External Defibrillator (AED) Devices and Cardiopulmonary Resuscitation (CPR) Programs in Arkansas Public Schools (2010) requires each school campus to have an AED on campus by May 31, 2011. Appropriate school personnel must be adquately trained as outlined in the Rule by May 31, 2011. Each school must designate personnel to be responsible for the maintenance of the AED and have the equipment inspected by a qualified technician once a year.
 

Interscholastic Athletics: ARS 15-705 (no date available) requires each governing board to adopt policies and procedures including minimum statewide requirements regarding pupil participation in extracurricular activities for pupils in grade 6-12. ARS 15-348 (no date available) allows common school students to participate in practice sessions of noncontact sports with secondary school students. ARS 15-347 (no date available) requires a governing board to take into consideration the cultural traditions of pupils when establishing rules regarding pupil participation in extracurricular school activities.

Concussion and Sports-Related Head Injury:  SB1521 (2011) requires the governing board of school districts to prescribe and enforce guidelines, information and forms regarding the risk of head injury and concussion to educate coaches, pupils and parents. The policy must require that the student and their parent or guardian sign an information form at least once each year about the nature and risk of concussion. In addition, it must require that a pupil who is suspected of sustaining a concussion in a practice, game or other interscholastic athletic activity be immediately removed. A team parent may remove his or her own child from play, along with a coach or licensed health care provider. A student may return to play on the same day if a health care provider rules out a suspected concussion at the time the pupil is removed from play. On a subsequent day, the student may return to play only if they have been evaluated and received written clearance from a licensed health care provider trained in the evaluation and management of concussions and head injuries.  The statute also provides immunity from civil liability for a health care provider who is a volunteer and provides clearance to participate, except in cases of gross negligence or wanton or willful neglect. A school district and its employees and volunteers are also immune from civil liability for a person or organization’s failure or alleged failure to comply with the requirements. 

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: Education Code 33350 (1976) encourages districts to provide extra-curricular physical activity and fitness programs and clubs and encourages use of school facility for physical activity and programs sponsored by the school and/or the community. The Education Code also establishes the California Department of Education as the authority over interscholastic athletics.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: Code 25-43-103 requires each public and private middle and high school to require each coach of a youth athletic activity that involves interscholastic play to complete an annual concussion recognition education course. It also requires each private club or public recreation facility and athletic league that sponsors youth athletic activities to require each volunteer coach to complete an annual concussion recognition course. The requirements of the course are outlined in the statute. If a coach who is required to complete concussion recognition education suspects that a youth athlete has sustained a concussion following an observed or suspected blow to the head or body in a game, competition or practice, the coach must immediately remove the athlete from the game. Once removed from play, a parent or guardian must be notified and the athlete may not return to play or participate in any supervised team activities until they are evaluated by a health care provider and receives written clearance.

Automated External Defibrillator (AED): Code 22-2-125 (2005) encourages each school district to acquire an AED for placement in each public school and each athletic facility maintained by a school district at a location separate from the public school. It also provides for immunity from liability for any civil damages in relation to an act or failure to act in relation to the AED, unless the acts are grossly negligent or willful and wanton.

Interscholastic Athletics: No state policy.

Concussion and Sports Related Head Injury: Public Act 10-62 (2010) requires any person who holds a coaching permit by the State Board and is a coach of intramural or interscholastic athletics to complete an initial training course regarding concussions and head injuries prior to commencing the coaching season. The coach must also annually review current and relevant information regarding concussions. Beginning in 2015, and each year thereafter, a coach must complete a refresher course not later than 5 years after completion of the initial training, and again once every five years as condition of the reissuance of a coaching permit. Requirements of the course are outlined in the Act. The State Board is required to develop or approve a training course along with a refresher course.

The Act also requires a coach of any intramural or interscholastic athletics to immediately remove a student athlete from participating in any intramural or interscholastic athletic activity who is observed to exhibit signs, symptoms or behaviors consistent with a concussion following an observed or suspected blow to the head or body, or is diagnosed with a concussion, regardless of when such concussion or head injury may have occurred. The coach may not permit the student athlete to participate in any supervised team activities involving physical exertion, including, but not limited to, practices, games or competitions, until such student athlete receives written clearance to participate in such supervised team activities involving physical exertion from a licensed health care professional trained in the evaluation and management of concussions. Following clearance the coach may not permit such student athlete to participate in any full, unrestricted supervised team activities without limitations on contact or physical exertion until the same conditions as listed above are met. The State Board of Education may revoke the coaching permit of any coach found to be in violation of this section. 

Automated External Defibrillator (AED): No state policy.

 

Concussion and Sports-Related Head Injury: The Athletic Concussion Protection Act of 2011 requires that an athlete suspected of sustaining a concussion during an athletic activity be removed from play and prohibited from returning until the athlete has received written clearance from a licensed health-care provider. It also requires the Department of Health to develop a training program and educational materials about the nature and risks of concussions that must be distributed to athletes and the parent or guardian of the athlete prior to their participation in athletic activity.  The athlete and the parent or guardian of the athlete shall sign a statement acknowledging receipt of the materials and return it to the organizing entity before the athlete shall be allowed to participate in the athletic activity. The policy requires the mayor to establish a training program that addresses: the nature and risk of a concussion, the criteria for removing athletes and allowing them to return, and the risks for not removing athletes from athletic activity. The Mayor is also able to expand the authority of the act to include athletic activities that are non-interscholastic school-sponsored or organized by a nongovernmental organization.

Automated External Defibrillator (AED):No policy.

Interscholastic Athletics: Administrative Code 14:1001 (2002) states, Local school districts shall establish their own academic eligibility criteria for participation in extra-curricular activities for all extra-curricular activities except for interscholastic athletics", which are defined in Administrative Codes 14:1008 and 14:1009 (2004).

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: Statute 1000.05 (2012) prohibits the exclusion of students from participating in any interscholastic, club, or intramural athletics offered by a public K-20 educational institution based on gender. The Statute further requires equal athletic opportunity for both genders.

Statute 1002.20 (2012) mandates that all students first enrolling in a school be eligible to participate in high school athletic competition. The Statute also specifies that students who meet academic and conduct requirements shall be eligible to participate in extra-curricular activities.

Statute 1006.15 (2012) outlines the eligibility requirements for participation in interscholastic activities as a minimum of a 2.0 GPA in the previous semester; fulfillment of the requirements laid out in an academic performance contract if the student's GPA falls below a 2.0; have a 2.0 cumulative GPA; and the maintenance of satisfactory conduct.

Statute 1006.20 (2012) designates the Florida High School Athletic Association as the governing nonprofit organization of athletics in Florida public schools. If the Association fails to meet the provisions of the Statute, the Commissioner of Education has the authority to designate another nonprofit organization to govern athletics with State Board of Education approval.

Concussion and Sports-Related Head Injury: Statute 1006.20 (2012) requires the Florida High School Association (FHSAA) must adopt guidelines to educate athletic coaches, officials, administrators, and student athletes and their parents of the nature and risk of concussion and head injury. It also requires the organization to adopt bylaws or policies that require the parent of a student who is participating in interscholastic athletic competition or who is a candidate for an interscholastic athletic team to sign and return an informed consent that explains the nature and risk of concussion and head injury, including the risk of continuing to play after concussion or head injury, each year before participating in interscholastic athletic competition or engaging in any practice, tryout, workout, or other physical activity associated with the student’s candidacy for an interscholastic athletic team.

Interscholastic Athletics: State Board of Education Rule 160-5-1-.19 (1997) requires each local school board to adopt a policy regulating competitive interscholastic activities for grades 6-12. Student eligibility and physical examination requirements are outlined in the rule.

Concussion or Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): Code 20-2-775 (2001) requires each public high school with an interscholastic athletics program to have at least one functional AED on site at all times and easily accessible during any school related function. Each school must ensure that expected users receive training in CPR and AED use through a certified course. Additional expectations of the schools in regards to the AED are outlined in the statute.

Interscholastic Athletics: No state policy.

Concussion or Sports Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: 281 IAC 36.14 prescribes rules for participation in extracurricular athletic competition. 281 IAC 36.15 prescribes the eligibility requirements. Code 280.13 does not allow a public school to participate in any extracurricular interscholastic athletic contest unless the organization is registered with the department of education.

Concussion and Sports Related Head Injury: Code 280.13C requires the Iowa high school athletic association and the Iowa girls high school athletic union to work together to distribute the CDC guidelines and other information to inform and educate coaches, students, and parents and guardians of students of the risks, signs, symptoms, and behaviors consistent with a concussion or brain injury, including the danger of continuing to play after suffering a concussion or brain injury and their responsibility to report such signs, symptoms, and behaviors if they occur. It requires the parent or guardian and student to annually sign and return a concussion and brain injury information sheet (provided by each district and non-public school) prior to the student’s participation in any extracurricular interscholastic activity for grades 7-12. If a student’s coach or contest official observes signs, symptoms, or behaviors consistent with a concussion or brain injury in an extracurricular interscholastic activity, the student must be immediately removed from participation. The student may not return to participate until they have been evaluated by a licensed health care provider trained in the evaluation and management of concussions and other brain injuries, and have received written clearance.

Automated External Defibrillator (AED): No state policy.

Interscholastic Sports: No state policy.

Concussion and Head-Related Sports Injury: Code 33-1620 (2010) requires the state board of education to collaborate with the Idaho high school activities association to develop guidelines and other pertinent information and forms to inform and educate coaches (both paid and volunteer), youth athletes, and their parents and/or guardians of the nature and risk of concussion and head injury. 

Automated External Defibrillator (AED): No state policy.

Interscholastic Athetlcs: No state policy.

Concussion or Sports-Related Head Injury: 70 ILCS 1205 (2011) requires  the state board of education to adopt a policy regarding student athlete concussions and head injuries that is in compliance with policies of the Illinois High School Association. It also requires the Illinois High School Association to provide educational materials to districts that describe the nature and risk of head injuries. Districts must use these materials to educate coaches, student athletes and parents or guardians of student athletes of the nature and risk of concussions and head injuries, including continuing to play after a head injury or concussion.  School boards must adopt a policy regarding student athlete concussions and head injuries that is in compliance with the protocols, policies, and by-laws of the Illinois High School Association. Information on the school board’s concussion and head injury policy must be a part of any written instrument that a school district requires a student athlete and his or her parents or guardian to sign before participating in practice or interscholastic competition.

Automated External Defibrillator (AED): 210 ILCS 74 (2010) requires schools to have an AED on site along with a trained AED user available during activities or events sponsored and conducted or supervised by their employees.

Sports-Related Drug Testing: The Illinois High School Association, the organization that governs participation in interscholastic athletics, requires random testing of high school athletes who have qualified as individuals or as members of a team for selected state series competition. The Performance-Enhancing Drug Testing Policy (2008) outlines the requirements.

Interscholastic Athletics: No state policy.

Concussion and Sports Related Head Injury: IC 20-34-7 requires the department to disseminate guidelines, information and forms to each school corporation to inform and educate coaches, student athletes, and parents of students athletes of the nature and nature and risk of concussion and head injury to student athletes, including the risks of continuing to play after concussion or head injury. The materials may be disseminated in an electronic format. The statute requires that each year, before beginning a practice for an interscholastic or intramural sport, each high school student athlete and their parent sign an information sheet about the risk of concussion or head injury. The statute requires a high school student athlete who is suspected of sustaining a concussion or head injury in a practice or a game must be removed from play and may not return until they have been evaluated by a licensed health care provider and given written clearance. The statute provides immunity from liability of civil damages resulting from an act or omission in the rendering of an evaluation for a licensed health care provider acting as a volunteer who in good faith authorizes a student athlete to return to play.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: HB2182 (2011) requires the state board of education to 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 suffers a concussion or head injury. The information must be provided to school districts for distribution to coaches, school athletes and their parents or guardians. The statute prohibits an athlete from participating in any sport competition or practice session until their parent or guardian signs a concussion and head injury release form (on an annual basis).  If a school athlete suffers, or is suspected of having suffered, a concussion or head injury during a sport competition or practice, they must be immediately removed. They may not return to competition until they are evaluated by a health care provider and given written clearance to return to play. If the health care provider who provides clearance is not an employee of the school district, they are not liable for civil damages resulting from any act of omission in the rendering of such care, other than those acts constituting gross negligence or willful or wanton misconduct.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: State Board of Education Regulation 702 KAR 7:065 (2004) designates the KY High School Athletic Association as the agent to manage interscholastic athletics at the high school level.

Concussion and Sports-Related Head Injury:

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: SB189 (2011) requires the governing authority of each public and nonpublic school to provide information to all coaches, officials, volunteers, youth athletes and their parents/guardians about the nature and risk of concussion and head injury, including continuing to play after a concussion or head injury. Each coach (whether employed or volunteer) must complete an annual concussion recognition education course. Requirements for the course are outlined in the statute. Each youth athlete and their parents or guardian must sign an information sheet outlining the requirements which must be satisfied before an athlete who has suffered a concussion or head injury may return to play. The statute requires a coach to immediately remove any youth athlete from a game, competition or practice if: (1) the youth athlete reports any defined sign or symptom of a concussion, (2) the coach, athletic trainer or official determines that the youth athlete exhibits any defined sign or symptom of a concussion or suspects a concussion, (3) the coach or official is notified that the youth athlete has reported or exhibited a sign or symptom of a concussion by a medical health care provider or other licensed individual (as defined in the statute). Once an athlete is removed from play, the coach must notify the athlete’s parent or guardian and the student may not return to play or participate in supervised team activities (games, competition or practices), until they are evaluated and given written clearance to return to play. In addition, it requires the Department of Health to make information about the nature and risk of concussion and head injury to all public and private middle and high schools, private clubs, public recreation facilities and each athletic league which sponsors youth athletic activities.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: General Law Chapter 111 Section 222 (2010) requires the Department of Education to direct the division of violence and injury prevention to develop a head injury safety training program in which all public schools and any school subject to the Massachusetts Interscholastic Athletic Association rules shall participate. Participation in the program shall be required annually of coaches, trainers and parent volunteers for any extracurricular athletic activity; physicians and nurses who are employed by a school or school district or who volunteer to assist with an extracurricular athletic activity; school athletic directors; directors responsible for a school marching band; and a parent or legal guardian of a child who participates in an extracurricular athletic activity.  The training program must include (1) training in recognizing the symptoms of potentially catastrophic head injuries, concussion and injuries related to second impact syndrome and (2) safety rules and regulations, including information regarding post-concussion participation, and symptoms and consquences of a concussion.

General Law Chapter 111 Section 222 (2010) prohibits a student that has become unconscious during a practice or competition been diagnosed with a concussion by a medical professional from returning to practice or competition or participating in any extracurricular activity until they provide written authorization from a licensed medical provider. It also states that coaches, trainers or volunteers for extracurricular athletic activity may not encourage or permit a student engage in any unreasonably dangerous athletic technique that unnecessarily endangers the health of a student, including using a helmet or any other sports equipment as a weapon.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: State Board of Education Regulation 13A.06.03.02 (1994) sets the eligibility requirements for student participation in interscholastic athletics at the high school level.

Concussion and Sports-Related Head Inury:  SB 771 defines concussion, student athlete, and youth recreational sports program, and requires the Departments of Education and Health, county boards of education, Maryland Public Secondary Schools Athletic Association, Maryland Athletic Trainers Association and the Brain Injury Association of Maryland to develop policies and implement a concussion program to provide awareness to coaches, school personnel, student athletes and parents and guardians of student athletes. The program must include the following:

• The nature and risk of a concussion and head injury
• Criteria for removal from and return to play
• Risk of not reporting injury and continuing to play
• Appropriate academic accommodations for student athetes suspected of sustaining a concussion or other head injury
• A process to verify that coaches have received information about the concussion program

County school boards must provide student athletes with information about concussions and head-injuries prior to participation in an athletic activity. Student athletes and their parents or guardians must sign a statement acknowledging receipt. Student athletes suspected of sustaining a concussion or any other head injury at a practice or game must be removed from play and may not return until they have received written clearance from a licensed health care provider trained in the evaluation and management of concussions and head injuries.

Automated External Defibrillator (AED): Code 7-425 (2006) requires each county board to develop an AED program for each high school in the county. The program must ensure that an AED is provided on site and an individual trained in the operation and use of an AED is present at all school-sponsored athletic events.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED):  No state policy.

Interscholastic Athletics: Statute 121A.04 (2003) requires each educational institution to provide equal opportunities for both sexes to participate in its athletic program.

Concussion and Sports-Related Head Injury: Code 121A.37 (2011) requires the appropriate sports governing body to work with public and nonpublic school coaches, officials, and youth athletes and their parents or guardians to make information available about the nature and risks of concussions.  Requirements of the information are outlined in the statute. The sports governing body must provide access to the Concussion in Youth Sports online training program, and each school coach and official involved in youth athletic activities must receive initial online training and online training at least once every three school years thereafter.  At the start of each school year, school officials must make information available about the nature and risks of concussion to youth athletes and their parents or guardians. A coach or official must remove a youth athlete from participating in any youth athletic activity when they exhibit signs, symptoms or behaviors consistent with a concussion or is suspected of sustaining a concussion. Once removed from play, the youth athlete may not return to the activity until they no longer exhibit signs, symptoms or behaviors consistent with a concussion. In addition, they must be evaluated by a provider trained and experienced in evaluating and managing concussions. The provider must provide written permission to return to play.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: Code 167.765 requires the department of health and senior services to work with various organizations (outlined in the statute) to promulgate rules which develop guidelines, pertinent information, and forms to educate coaches, youth athletes, and their parents and guardians of the nature and risk of concussion and brain injury including continuing to play after concussion or brain injury.  Each school district must annually distribute a concussion and brain injury information sheet to each youth athlete participating in the district’s athletic program. The sheet must be signed by their parent or guardian prior to participation in practice or competition. A youth who has been removed from play may not return to competition until they are evaluated by a licensed health care provider and given written clearance.

Code 167.775 requires any statewide athletic organization with public school membership to publish an annual report relating to the impact of concussions and head injuries on student athletes. The report must be distributed to a list of legislative committees outlined in the statute.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury:  No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: 16 NCAC 06E .0202 (2000) only allows students in grades 7-12 to participate in interscholastic athletic competition. Requirements to qualify for participation are outlined in the code.

Concussion and Sports-related Head Injury: Statute 115C-12(23) (2011) requires the Department of Public Instruction, along with other organizations outlined in the statute, to develop an athletic concussion safety training program for the use of coaches, school nurses, school athletic directors, volunteers, students who participate in interscholastic athletic activities in public schools and their parents. The requirements of the program are outlined in the statute. The statute requires the State Board of Education to adopt rules governing interscholastic athletic activities conducted by local boards of education, including eligibility for student participation. The rules must require all coaches, school nurses, athletic directors, first responders, volunteers, and students who participate in interscholastic athletic activities and their parents to receive a concussion and head injury information sheet annually. School employees, first responders, volunteers, and students must sign the sheet and return it to the coach before they can participate in interscholastic athletic activities. Parents must sign and return the sheet before their children can participate in any interscholastic activities. A student participant exhibiting symptoms consistent with concussion must be removed from the activity and may not return to play or practice that day. They may return to play or practice on a subsequent day only upon being evaluated and cleared in writing by a licensed professional (as defined in the statute). The statute requires each school to develop a venue specific emergency action plan to deal with serious injuries and acute medical conditions in which the condition of the patient may deteriorate rapidly. Requirements of the plan are outlined in the statute.

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury:  Code 15.1-18.2 states that each school district and nonpublic school that sponsors or sanctions any athletic activity and requires a participating student to regularly practice, train and compete is subject to the terms of a concussion management program. The program must address the signs and symptoms of a concussion and require that an official must remove a student from competition and an athletic trainer must remove a student from practice, training or competition if (1) a student reports any sign or symptom of a concussion, (2) an official, coach or athletic trainer determines that the student exhibits any sign or symptom of a concussion, or (3) an official, coach or athletic trainer is notified that the student has reported or exhibited any sign or symptom of a concussion by a licensed, registered or certified health care provider. The concussion management program must require that any student who is removed must be examined by a licensed, registered or certified health care provider whose scope of practice includes the diagnosis and treatment of concussion. A student who is removed may not return to practice, training or competition until they receive written authorization from a licensed, registered or certified health care provider.  Districts are required to provide students and their parents with information regarding concussions. The parent must document that they have viewed the information.

The program must require each official, coach and athletic trainer to receive biennial training regarding the nature and risk of concussion. 

Automated External Defibrillator (AED): No state policy.

Interscholastic Athletics: Statute 79-2,116 (no date available) declares it unfair and discriminatory to deny comparable opportunity for interscholastic and intramural athletic programs for both genders.

Concussion and Sports-Related Head Injury: Automated External Defibrillator (AED): Statute 71-9104 (2012) requires each approved or accredited public, private, denominational or parochial school to do the following:

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): No state policy.

Interscholastic Sports:  NJAC 6A:16 requires a medical examination prior to participation on a school-sponsored interscholastic or intramural team or squad for students enrolled in grades 6-12.

Concussion or Sports-Related Head Injury: N.J.S.A. 18A: 40-41 through 18A: 40-41.3 requires the Department of Education to develop an interscholastic head injury safety training program. The program must include the following: (1) the recognition of the symptoms of head and neck injuries, concussions, and injuries related to second-impact syndrome; and (2) the appropriate amount of time to delay the return to sports competition or practice of a student-athlete who has sustained a concussion or other head injury. It also requires the Department of Education to develop an educational fact sheet about sports-related concussions and other head injuries, and requires public and non-public schools that participate in interscholastic sports to distribute the information annually to parents and guardians of student athletes, along with a signature acknowledging receipt. Furthermore, it requires each school district to develop a written policy concerning the prevention and treatment of sports-related concussions and other head injuries among student-athletes. To assist in this, the Commissioner of Education must develop a model policy applicable to grades K-12.

N.J.S.A. 18A: 40-41.4 (2010) requires removal of a student-athlete from competition or practice if he or she has sustained or is suspected to have sustained a concussion or other head injury. The student athlete may not participate in further sports activity until evaluated by a physician or licensed health care provider trained in the management and evaluation of concussions, and receives written clearance to return. N.J.S.A. 18A: 40-41.5 (2010) provides immunity from liability for school districts for the death or injury of a person due to the action or inaction of persons employed by or under contract with a youth sports team, provided there is an insurance policy of not less than $50,000 per person per incident, and a statement of compliance with the school district or nonpublic school's policies for the management of concussions and other head injuries.

Sports-Related Drug Testing: N.J.S.A. 18A: 40A-23 (2005) allows boards of education to adopt a policy for the random testing of the districts students in grades 9-12 who participate in extracurricular activities, including interscholastic athletics, or who possess parking permits for the use of controlled dangerous substances, including as defined in N.J.S.A. 2C:35-2 and 24:21-2 or alcoholic beverages, as defined in N.J.S.A. 33:1-1. The collection of specimens for alcohol or other drug testing is limited to the school physician, school nurse or a physician, laboratory, or health care facility designated by the board of education, with the cost being paid by the board, in a State-licensed collection station or clinical laboratory, in accordance with N.J.S.A. 45:9-42.26 et seq. and N.J.A.C. 8:44, 8:45 and 6A:16-4.4(c).

Executive Order 72 (2005) requires the Department of Education to work in conjunction with the New Jersey State Interscholastic Athletic Association (NJSIAA) to develop and implement a program of random testing for steroids of teams and individual students qualifying for championship games.  Under the NJSIAA policy, students are required to consent in writing to random testing before participating in interscholastic sports.  Tested athletes are to be selected from all athletes participating in championship competition.

Interscholastic Athletics: State Board of Education Administrative Code 6.13.2.9 NMAC (2000) states that interscholastic activities are an integral and essential component of the curricula within New Mexico schools. These activities must be fair, open and consistent and organized, supervised, and regulated by both the State Board of Education and the New Mexico Activities Association. State Board of Educaiton Administrative Code 6.13.3.8 NMAC (2000) sets the eligibility requirements for student participation in interscholastic student activities. State Board of Education Administrative Code 6.13.4.8 NMAC (2000) requires local school boards to comparable athletic opportunities for both sexes.
 
Concussion and Sports-Related Head Injury: SB1 (2010) prohibits a coach from allowing a student athlete from participating in a school athletic activity on the same day that the student exhibits signs, symptoms or behaviors exhibits signs, symptoms or behaviors consistent with a brain injury after a coach, a school official or a student athlete reports, observes or suspects that a student athlete exhibiting these signs, symptoms or behaviors has sustained a brain injury; or has been diagnosed with a brain injury. A coach may allow a student athlete who has been prohibited from participating in a school athletic activity toparticipate again no sooner than one week after the student athlete has received a brain injury and only after the student athlete: (1) no longer exhibits any sign, symptom or behavior consistent with a brain injury; and(2) receives a medical release from a licensed health care professional.
 

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: AB455 (2011) requires the Nevada Interscholastic Activities Association (NIAA)  to adopt a policy concerning the prevention and treatment of head injuries and concussion which may occur during a student’s participation in interscholastic activities. The policy must (1) provide information concerning the nature and risk of injuries to the head, including risks of continuing to play after sustaining an injury and (2) require that if a student sustains or is suspected of sustaining an injury to the head while participating in an interscholastic activity or event they must be immediately removed and return to the activity only after being medically cleared in writing by a health care provider (as defined in the statute). Students and their parent or guardian must annually sign a form acknowledging that they have read and understood the terms of the policy.  

For those competitive sports not governed by NIAA, the board of trustees of each school district must adopt a policy concerning the prevention and treatment of injuries to the head, including concussions. To the extent practicable, the policy must be consistent with the policy developed by NIAA. Additional requirements similar to those for NIAA governed sports are outlined in the statute.

Automated External Defibrillator (AED): AB 441 (2003) requires the board of trustees in school districts whose populations is 100,000 or more to ensure that an AED is placed at each high school in the district.
 

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy.

Automated External Defibrillator (AED): Education Law 917 requires school districts, boards of cooperative educational services, county vocational education and extension boards and charter schools to provide and maintain on-site in each instructional school facility automated external defibrillator (AED) equipment.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: No state policy. 

Automated External Defibrillator (AED): Code 3313.717 allows the board of education of each school district and the administrative authority of each chartered nonpublic school to require the placement of an AED in each school under the control of the board or authority. If a board or authority requires the placement of an automated external defibrillator as provided in this section, the it also shall require that a sufficient number of the staff persons assigned to each school under the control of the board or authority complete an appropriate training course in the use of the AED as described.

Interscholastic Athletics: No state policy.

Concussion and Head Related Sports Injury: SB1700 (2010) requires each school district to work in cooperation with the Oklahoma Secondary School Activities Association to develop the guidelines, forms and other pertinent information to educate coaches, young athletes and their parents or guardians of the nature and risk of concussion and head injury, including continuing to play after an incident. Youth athletes and their parents must annually review and return information on concussion and head injury prior to their participation in practice or competition. The statute requires removal of a youth athlete with a suspected concussion from a practice or game. Once removed, they may not participate until they are evaluated and given clearance by a licensed health care provider trained in evaluation and management of concussion management. The health care provider may be a volunteer. A volunteer authorizing a young athlete to return to participation has immunity from liability for civil damages, other than acts or omissions constituting gross negligence or willful or wanton misconduct.

Automated External Defibrillator (AED): No state policy.
 

Interscholastic Athletics: OAR 581-022-1680 (1996) states that school districts may only allow those organizations to administer interscholastic activities which have been approved by the state board.

Concussion and Sports-Related Head Injury: SB348 (2009) requires each school district to ensure that coaches receive annual training on recognizing the symptoms of a concussion and seeking proper medical treatment for a person suspected of having a concussion. The Board must establish the requirements of the training and timelines to ensure that, to the extent practicable, every coach receives the training before the beginning of the season for the school athletic team. A coach may not allow a member of a school athletic team to participate in any athletic event or training on the same day that the member (1) Exhibits signs, symptoms or behaviors consistent with a concussion following an observed or suspected blow to the head or body, or (2) Has been diagnosed with a concussion. A coach may allow a member of a school athletic team who is prohibited from participating in an athletic event or training to participate in an athletic event or training (1) No sooner than the day after he or she experienced a blow to the head or body, (2) Only after they no longer exhibits signs, symptoms or behaviors consistent with a concussion, and (3) Upon receiving a medical release form from a health care provider. Oregon Adminstrative Rule 581-022-0421 (2010) further outlines these statuatory requirements.

Automated External Defibrillator (AED): SB1033 (2010) requires each school campus to have one AED on the premises. Schools have until 2015 to comply with this requirement.
 

The Sudden Cardiac Arrest Prevention Act (2012) requires the Department of Education to develop and post on their websites guidelines and other relevant materials to inform and educate students participating in or desiring to participate in an athletic activity, their parents and their coaches about the nature and warning signs of sudden cardiac arrest, including the risks associated with continuing to play or practice after experiencing one or more symptoms of sudden cardiac arrest, including fainting, difficulty breathing, chest pains, dizziness and abnormal racing heart rate. In addition, a student participating in or desiring to participate in an athletic activity and the student's parent or guardian shall, each school year and prior to participation by the student in an athletic activity, sign an an acknowledgment of receipt and review of a sudden cardiac arrest symptoms and warning signs information sheet. It also requires a student to be removed from participation by the coach if they exhibit signs or symptoms of sudden cardiac arrest while participating in an athletic activity. The student may not return to participation until they rae evaluated for return to particiapation in writing by a physician or other certified practitioner.

Interscholastic Athletics: 022 PA Code 4.27 (1999) requires students of both sexes to have equal access in interscholastic and intramural programs.

Concussion and Sports-Related Head Injury: No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: Statute 16-91-3 (2011) requires the department of education and the Department of Health to work together with the Rhode Island interscholastic League to develop and promulgate guidelines to inform and educate coaches, youth athletes, and their parents and/or guardians of the nature and risk of concussion and head injury including continuing to play after concussion or head injury. The statute requires parents or guardians to be provided with a concussion and head injury information sheet to be signed and returned by the youth athlete and their parent and/or guardian prior to the youth athlete’s return to practice or competition. It also requires school districts to use training materials made available by the CDC ("Heads Up: Concussion in the High School Sports/Concussion in Youth Sports") for training. The Department of Education must post training materials made available by the CDC on its website. It requires All coaches and volunteers involved in a youth sport or activity covered by this chapter must complete a training course and a refresher course annually thereafter in concussions and traumatic brain injuries. School districts are encouraged to have school nurses complete a training course in concussions and traumatic brain injuries.

School districts are encouraged to have all student athletes perform baseline neuropsychological testing, computerized or otherwise. Parents and/or guardians shall be provided with information as to the risk of concussion and/or traumatic brain injuries prior to the start of every sport season and they shall sign an acknowledgement as to their receipt of such information.

A youth athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time.

A youth athlete, who has been removed from play, may not return to play until the athlete is evaluated by a licensed physician who may consult with an athletic trainer, all of whom shall be trained in the evaluation and management of concussions. The athlete must receive written clearance to return to play from that licensed physician.

Interscholastic Athletics: State Board of Education Regulation R 43-244 (1980) prohibits schools serving grades 1-6 from providing competitive sports "of a varsity pattern with scheduled league games and championships." State Board of Education Regulation R 43-244.1 (1988) and Code 59-39-160 (no date available) outline the academic requirements for students in grades 9-12 to participate in interscholastic activities.

Concussion and Sports-Related Head injury: No state policy.

Automated External Defibrillator (AED): HB3723 (2008) requires each school to develop and implement an AED program for each high school in the district. The program must  require an operational AED on the grounds of the high school, require all persons expected to use the AED to receive the appropriate training. It also provides for immunity from civil liability for the use of an automated external defibrillator unless the person was grossly negligent in the use.

Interscholastic Athletics: Statute 13-36-4 (2003) gives the school board power to delegate the control, supervision, and regulation of any high school interscholastic activities to any voluntary, non-profit association Statute 13-36-7 (2003) deems any student enrolled in a public school district eligible to participate in any interscholastic activity sponsored by the SD High School Activities Association.

Concussion and Sports-Related Head Injury: Statute 13-36 (2011) requires the South Dakota High Schools Activities Association to develop guidelines to inform and educate member schools, coaches, athletes and parents to the nature and risk of concussion. Each athlete must sign a concussion information sheet prior to their participation in youth athletic activities. Requirements for the information sheet and the guidelines are outlined in the statute. I also requires the South Dakota High School Activities Association and the Department of Education to develop a training program for coaches, which they must attend each year. It requires athletes to be removed from play at the time an athlete exhibits signs, symptoms or behaviors consistent with concussion, or is suspected of sustaining a concussion.

Interscholastic Athletics: Rules of the State Board of Education, Minimum Requirements for the Approval of Public Schools 0520-1-3-.05 (2008) states interscholastic athletics shall not be substituted for the wellness requirement.

Concussion and Sports-Related Head Injury: No state policy.
 
Automatic External Defibrillator (AED): Code 49-2-126 (2010) requires each local education agency to place an AED device in each school. AEDs must be placed in locations that are accessible during emergency situations and not in an office that is not accessible to any person who might need to use the AED or a location that is locked during times that students, parents or school employees are present at school or school events. Each LEA must annually review the efficacy of AEDs, ensure that they are placed in optimal locations and that all necessary training has been conducted.

Sports-Related Drug Testing: Code 49-6-4213 (2010)  allows a student to be subject to testing for the presence of drugs if there are reasonable indications to the principal that the student may have used or be under the influence of drugs. The need for such testing may be brought to the attention of the principal through a search authorized by §49-6-4204 or §49-6-4205, observed or reported use of drugs by the student on school property, or other reasonable information received from a teacher, staff member or other student. Standards for reasonableness outlined in the statute must be met to conduct the testing. The statute allows a student participating in voluntary extracurricular activities to be subject to random drug testing in the absence of individualized reasonable suspicion. Each LEA participating in the drug testing of students must develop policies and procedures to ensure that those students receive the assistance needed, including an assessment to determine the severity of the student's alcohol and drug problem and a recommendation for referral to intervention or treatment resources as appropriate. If an LEA adopts a policy permitting random drug testing of students in voluntary extracurricular activities, it must notify the parents and guardians that the student may be subjected to random drug testing prior to a student participating in an extracurricular activity, with the parent or guardian providing written consent. If a student is tested in a drug testing program and the results of the test are positive, all records of the test must be confidential. A student tested under a random drug testing program may not be suspended or expelled from school solely as the result of the positive test.

Interscholastic Athletics: TAC 76.1001 (2003) states that an extracurricular activity is an activity sponsored by the school district that is not necessarily directly related to instruction of the essential knowledge and skills but may have an indirect relation to some areas of the curriculum. Further provisions of extracurricular activities are provided in the code.

Sports-Related Drug Testing: Education Code 33.091 (2007) requires the University Interscholastic League to develop rules for an annual random steroid testing program for high school students participating in athletic competition. The program must require the testing of a statistically significant number of students multiple times throughout the year at approximately 30 percent of high schools that participate in athletic competitions sponsored by the League. Information about the program can be found here.

Concussion and Sports Related Head Inury: Education Code 33.201 (2007) requires a school district to provide training to student participating in an extracurricular athletic activity about recognizing the symptoms of potentially catastrophic injuries, including head and neck injuries, concussions and injuries related to second impact syndrome. It also prohibits a coach, trainer or sponsor of an extracurricular athletic activity from encouraging or permitting a student that became unconscious during an extracurricular athletic activity from returning to practice or competition. The student may not participate in any extracurricular athletic activity until they receive written authorization for participation from a physician. The statute provides immunity from liability for civil damages for volunteers assisting with extracurricular activities, except when the act or omission is willfully or wantonly negligent.

Automated External Defibrillator (AED): Education Code 38.017 (2007) requires each school district to make available at each campus at least one automated external defibrillator (AED).  The defibrillator must be available at each athletic practice held at a district campus. Each district campus must ensure the presence of at least one campus or district employee trained in the use of the defibrillator each time a substantial number of students are present. Each school district is required to develop safety procedures for a district or school employee to follow when responding to a medical emergency.

Interscolastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: Code 26-53-102 (2011) requires each amateur sports organization (definition includes public and private schools) to adopt and enforce a concussion and head injury policy that describes the nature and risk of a concussion or traumatic head injury and risk of continuing to participate in a sporting event after sustaining such an injury. The policy must ensure that each athlete of the organization is familiar with and has a copy of the policy and has a signed written copy from the parent or legal guardian of the athlete. Each agent (i.e., coach) of the school must immediately remove a child from participating in a sporting event if the child is suspected of sustaining a concussion or a traumatic head injury. The athlete may not participate in a school-related sporting event until they are evaluated by a qualified health care provider trained in the evaluation and management of a concussion.  The provider must give a written statement stating that they have, within the past 3 years, successfully completed a continuing education course in the evaluation and management of a concussion, and clear the child to resume participation in the sporting event.

Interscholastic Athletics: Code 22.1-276.3 (2005) requires any organization governing interscholastic activities among public high schools to develop, implement, and enforce rules stating that any school athletic team member determined to have used anabolic steroids during the training period to be ineligible for 2 years to compete in interscholastic athletic competition unless prescribed by a licensed physician for a medical condition.

Concussion and Sports Related Brain Injury: Code 22.1-275.1 (2010) requires the Board of Education to develop and distribute to each local school division guidelines on policies to inform and educate coaches, student-athletes, and their parents or guardians of the nature and risk of concussions, criteria for removal from and return to play, and risks of not reporting the injury and continuing to play. Each local local school division must then develop policies and procedures regarding the identification and handling of suspected concussion in student-athletes. The policies must (1) Require the student athlete and their parent or guardian to annually review and sign information on concussions, (2) Require that a student athlete suspected by their coach, athletic trainer or team physician of sustaining a concussion or brain injury in a practice or game be removed from the activity at that time. Once removed, they may not return to play that same day nor until evaluated and cleared by a licensed health care provider. The licensed health care provider may be a volunteer.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: 16 V.S.A. Section 1162 (2011) requires the commissioner of education or designee, assisted by members of the Vermont Principal’s Association, to develop statewide guidelines, forms and other materials designed to educate coaches, youth athletes and their parents/guardians regarding the nature and risks of concussion and other head injuries, the risks of premature participation in athletic activities after a concussion or head injury and the importance of obtaining a medical evaluation of a suspected concussion or other head injury and receiving treatment when necessary. The principal/headmaster of each public school must ensure that the information is provided annually to each youth athletes and their parents/guardians and that they annually sign a form acknowledging receipt of the information and return it to the school prior to participation. 

The statute requires each coach of a school athletic team to receive training on how to recognize the symptoms of a concussion or other head injury at least every two years.  Coaches who are new to coaching at a school must receive training prior to beginning their first coaching assignment. A coach may not permit a student athlete to train or compete if they have been removed or prohibited from participating due to symptoms of a concussion or other head injury until they’ve been examined and given written clearance to participate in athletic activities from a health care provider trained in the evaluation and management of concussion and other head injuries.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: RCW 28A.600 (2009) requires each school district's board of directors to work with the Washington interscholastic activities association to develop guidelines to inform and and educate coaches, youth athletes, and their parents and/or guardians of the nature and risk of concussion and head injury including continuing to play after concussion or head injury. Parents must sign and return a youth athlete’s concussion and head injury information sheet prior to them initiating practice or competition. A youth athlete who is suspected of sustaining a concussion or head injury in a practice or game must be removed from competition at that time. They may not return to play until the athlete is evaluated by a licensed health care provider trained in the evaluation and management of concussion and receives written clearance to return to play from that health care provider (who may be a volunteer). The statute provides immunity from liability for civil damages resulting from any act of omission to a volunteer who authorizes a youth athlete to return to play, except in circumstances of gross negligence or willful or wanton misconduct.

Interscholastic Sports: No state policy.

Concussion and Sports-Related Head Injury: Statute 118.293 (2011) defines “youth athletic activity” as an organized athletic activity which the participants, a majority of whom are under 19 years of age, are engaged in an athletic game or competition agains another team, club or entity, or in practice or preparation for an organized athletic game or competition against another team, club or entity. It requires the State Department of Education, in consultation with the Wisconsin Interscholastic Athletic Association, to develop guidelines and other information for the purpose of educating athletic coaches and pupil athletes and their parents about the nature and risk of concussion and head injury in youth athletic activities. It requires the person operating the youth athletic activity to distribute concussion and head injury information to each person coaching and each participant. No person may participate in the activity unless they return the information sheet signed by the participant, or if under 19, by his or her parent or guardian. It requires an athletic coach, official involved in a youth athletic activity, or health care provider to remove a person from the activity if the coach, official or health care provider determines that the person exhibits signs, symptoms, or behavior consistent with a concussion or head injury, or they suspect a concussion or head injury. A person who has been removed from a youth athletic activity may not return to participate until they are evaluated by a health care provider and receive written clearance to participate. The law provides immunity from civil liability for any injury resulting from that omission unless it constitutes gross negligence or willful or wanton misconduct.

Interscholastic Athletics: Board Policy 2436.10 (1984) outlines the requirements for participating in nonacademic activities in grades 7-12.

Concussion and Sports-Related Head Injury: No state policy.

Interscholastic Athletics: No state policy.

Concussion and Sports-Related Head Injury: Code 21-4-703 (2011) prohibits an athletic coach or trainer from allowing a student athlete to participate in a school athletic event on the same day that the athlete (1) exhibits signs, symptoms or behaviors consistent with a concussion or head injury after a coach, trainer, school official or student reports, observers or suspects that they have sustained a concussion or other head injury, or (2) has been diagnosed with a concussion or other head injury. An athletic coach or trainer may not allow a student who has been prohibited from participating to return any sooner than the day after receiving a blow to the body or head, and only after they no longer have symptoms or behavior consistent with a concussion or head injury, and receive a medical release from a licensed health care professional. Each school district must ensure that each athletic coach or trainer participating in school athletic activities receives training in concussions and head injuries.  The state board is required to establish protocols for training athletic coaches and trainers in concussions and head injuries.