,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #cecb  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ai1       
#bjac,mr4 ,bishop of ,new ,york 7for    
himself and ,mr4 ,george ,miller of     
,california7 introduced the following   
bill2 which was referred to the         
,committee on ,education and the        
,workforce  ,a ,,bill  ,to promote      
,state requirements for local           
educational agencies and public         
elementary and secondary schools        
relating to the prevention and treatment
 of concussions suffered by students4   
#a4 ,short title ,this ,act may be cited
 as the ,protecting ,student ,athletes  
,from ,concussions ,act of #bjac4  #b4  
,minimum ,state requirements ,part ,e of
 title ,,ix of the ,elementary and      
,secondary ,education ,act of #aife 7#bj
 ,u4,s4,c4 #gija et seq47 is amended--  
7#a7 by striking the heading relating to
 subpart #b and inserting the following3
  #c ,other provisions  2  and  7#b7 by 
inserting after subpart #a1 the         

following new subpart3  #b ,state       
requirements for the prevention and     
treatment of concussions  #ieaa4        
,minimum ,state requirements  7a7 ,in   
general ,beginning fiscal year #bjae1 as
 a condition of receiving funds under   
this ,act for a fiscal year1 a ,state   
shall1 not later than ,july #a of the   
preceding fiscal year1 certify to the   
,secretary in accordance with subsection
 7b7 that the ,state has in effect and  
is enforcing a law or regulation that1  
at a minimum1 establishes the following 
requirements3 7#a7 ,local educational   
agency concussion safety and management 
plan ,each local educational agency in  
the ,state 7including each charter      
school that is considered a local       
educational agency under ,state law71 in
 consultation with members of the       
community in which the local educational
 agency is located1 shall develop and   
implement a standard plan for concussion
 safety and management for public       
schools served by the local educational 

agency that includes-- 7,a7 the         
education of students1 parents1 and     
school personnel about concussions1     
including-- 7i7 the training of school  
personnel on evidence-based concussion  
safety and management1 including on     
prevention1 recognition1 risk1 academic 
consequences1 and response for both     
initial and any subsequent concussions2 
and  7ii7 using1 maintaining1 and       
disseminating to students and parents   
release forms1 treatment plans1         
observation1 monitoring1 and reporting  
forms1 recordkeeping forms1 and         
post-injury and prevention fact sheets  
about concussions2  7,b7 supports for   
each student recovering from a          
concussion1 including-- 7i7 guiding the 
student in resuming participation in    
school-sponsored athletic activities and
 academic activities with the help of a 
multidisciplinary concussion management 
team1 which shall include-- 7,i7 a      
health care professional1 the parents of
 such student1 and other relevant school

 personnel2 and  7,,ii7 an individual   
who is assigned by the public school in 
which the student is enrolled to oversee
 and manage the recovery of the student2
  7ii7 providing appropriate academic   
accommodations aimed at progressively   
reintroducing cognitive demands on such 
a student2 and  7iii7 if the student's  
symptoms of concussion persist for a    
substantial period of time-- 7,i7       
evaluating the student in accordance    
with section #fad of the ,individual    
with ,disabilities ,education ,act 7#bj 
,u4,s4,c4 #adad7 to determine whether   
the student is eligible for services    
under part ,b of such ,act 7#bj         
,u4,s4,c4 #adaa et seq472 or  7,,ii7    
evaluating whether the student is       
eligible for services under section #ejd
 of the ,rehabilitation ,act of #aigc   
7#bi ,u4,s4,c4 #gid72 and  7,c7 best    
practices designed to ensure1 with      
respect to concussions1 the uniformity  
of safety standards1 treatment1 and     
management1 including-- 7i7             

disseminating information on concussion 
safety and management to the public2 and
  7ii7 applying best practice and       
uniform standards for concussion safety 
and management to all students enrolled 
in the public schools served by the     
local educational agency4  7#b7 ,posting
 of information on concussions ,each    
public school in the ,state shall post  
on school grounds1 in a manner that is  
visible to students and school          
personnel1 and make publicly available  
on the school website1 information on   
concussions that-- 7,a7 is based on     
peer-reviewed scientific evidence or    
consensus 7such as information made     
available by the ,centers for ,disease  
,control and ,prevention72  7,b7 shall  
include-- 7i7 the risks posed by        
sustaining a concussion or multiple     
concussions2  7ii7 the actions a student
 should take in response to sustaining a
 concussion1 including the notification 
of school personnel2 and  7iii7 the     
signs and symptoms of a concussion2 and 

7,c7 may include-- 7i7 the definition of
 a concussion under section #ieab7a72   
7ii7 the means available to the student 
to reduce the incidence or recurrence of
 a concussion2 and  7iii7 the effects of
 a concussion on academic learning and  
performance4  7#c7 ,response to a       
concussion ,if any school personnel of a
 public school in the ,state suspect    
that a student has sustained a          
concussion during a school-sponsored    
athletic activity or other              
school-sponsored activity-- 7,a7 the    
student shall be-- 7i7 immediately      
removed from participation in such      
activity2 and  7ii7 prohibited from     
resuming participation in               
school-sponsored athletic activities--  
7,i7 on the day the student sustained   
the concussion2 and  7,,ii7 until the   
day the student is capable of resuming  
such participation1 according to the    
student's written release1 as described 
in paragraph 7#d72  7,b7 the school     
personnel shall report to the concussion

 management team-- 7i7 that the student 
may have sustained a concussion2 and    
7ii7 all available information with     
respect to the student's injury2 and    
7,c7 the concussion management team     
shall confirm and report to the parents 
of the student-- 7i7 the type of injury1
 and the date and time of the injury1   
suffered by the student2 and  7ii7 any  
actions that have been taken to treat   
the student4  7#d7 ,return to athletics 
,if a student enrolled in a public      
school in the ,state sustains a         
concussion1 before the student resumes  
participation in school-sponsored       
athletic activities1 the relevant school
 personnel shall receive a written      
release from a health care professional1
 that-- 7,a7 may require the student to 
follow a plan designed to aid the       
student in recovering and resuming      
participation in such activities in a   
manner that-- 7i7 is coordinated1 as    
appropriate1 with periods of cognitive  
and physical rest while symptoms of a   

concussion persist2 and  7ii7           
reintroduces cognitive and physical     
demands on the student on a progressive 
basis so long as such increases in      
exertion do not cause the reemergence or
 worsening of symptoms of a concussion2 
and  7,b7 states that the student is    
capable of resuming participation in    
such activities once the student is     
asymptomatic4  7#e7 ,return to academics
 ,if a student enrolled in a public     
school in the ,state has sustained a    
concussion1 the concussion management   
team 7as described under paragraph      
7#a77;,b77i77 of the school shall       
consult with and make recommendations to
 relevant school personnel and the      
student to ensure that the student is   
receiving the appropriate academic      
supports1 including-- 7,a7 providing for
 periods of cognitive rest over the     
course of the school day2  7,b7         
providing modified academic assignments2
  7,c7 allowing for gradual             
reintroduction to cognitive demands2 and

  7,d7 other appropriate academic       
accommodations or adjustments4  7b7     
,certification requirement ,the         
certification required under subsection 
7a7 shall be in writing and include a   
description of the law or regulation    
that meets the requirements of          
subsection 7a74  #ieab4 ,definitions ,in
 this subpart3 7#a7 ,concussion ,the    
term concussion means a type of mild    
traumatic brain injury that-- 7,a7 is   
caused by a blow1 jolt1 or motion to the
 head or body that causes the brain to  
move rapidly in the skull2  7,b7        
disrupts normal brain functioning and   
alters the physiological state of the   
individual1 causing the individual to   
experience-- 7i7 any period of observed 
or self-reported-- 7,i7 transient       
confusion1 disorientation1 or altered   
consciousness2  7,,ii7 dysfunction of   
memory around the time of injury2 or    
7,,iii7 disruptions in gait or balance2 
and  7ii7 symptoms that may include--   
7,i7 physical symptoms1 such as         

headache1 fatigue1 or dizziness2  7,,ii7
 cognitive symptoms1 such as memory     
disturbance or slowed thinking2  7,,iii7
 emotional symptoms1 such as            
irritability or sadness2 or  7,,iv7     
difficulty sleeping2 and  7,c7 occurs-- 
7i7 with or without the loss of         
consciousness2 and  7ii7 during         
participation-- 7,i7 in a               
school-sponsored athletic activity2 or  
7,,ii7 in any other activity without    
regard to whether the activity takes    
place on school property or during the  
school day4  7#b7 ,health care          
professional ,the term health care      
professional means a physician          
7including a medical doctor or doctor of
 osteopathic medicine71 nurse1 athletic 
trainer1 physical therapist1            
neuropsychologist1 or other qualified   
individual-- 7,a7 who is registered1    
licensed1 certified1 or otherwise       
statutorily recognized by the ,state to 
provide medical treatment2 and  7,b7    
whose scope of practice and experience  

includes the diagnosis and management of
 traumatic brain injury among a         
pediatric population4  7#c7 ,public     
school ,the term public school means a  
public elementary school or public      
secondary school4  7#d7 ,school         
personnel ,the term school personnel has
 the meaning given such term in section 
#daea1 except that such term includes   
coaches and athletic trainers4  7#e7    
,school-sponsored athletic activity ,the
 term school-sponsored athletic activity
 means-- 7,a7 any physical education    
class or program of a public school2    
7,b7 any athletic activity authorized by
 a public school that takes place during
 the school day on the school's         
property2  7,c7 any activity of an      
extra-curricular sports team1 club1 or  
league organized by a public school2 and
  7,d7 any recess activity of a public  
school4  4  #c4 ,conforming amendments  
,the table of contents in section #b of 
the ,elementary and ,secondary          
,education ,act of #aife is amended--   

7#a7 by striking the item relating to   
the heading of subpart #b of part ,e of 
title ,,ix and inserting the following  
new item3  ,subpart #c--;,general       
,provisions  2  and  7#b7 by inserting  
after the item relating to section      
#iejf1 the following new items3         
,subpart #b--,state ,requirements for   
the ,prevention and ,treatment of       
,concussions,sec4 #ieaa4 ,minimum ,state
 requirements4,sec4 #ieab4 ,definitions4
  4