,i #aacth ,,congress #b;d ,session ,h4 ,r4 #ecbd ,,in ,,the ,,house ,,of ,,representatives ,july #ca1 #bjad ,mrs4 ,capps 7for herself and ,mr4 ,pascrell7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,education and the ,workforce1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to promote youth athletic safety and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,supporting ,athletes1 ,families and ,educators to ,protect the ,lives of ,athletic ,youth ,act or the ,,safe ,,play ,act4 #b4 ,education1 awareness1 and training about children's cardiac conditions to increase early diagnosis and prevent death ,part ,p of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is amended by adding at the end the following3 #cii,v-#f4 ,materials and educational resources to increase awareness of cardiomyopathy and other higher risk childhood cardiac conditions among school administrators1 educators1 coaches1 students and families 7a7 ,materials and resources ,not later than #ah months after the date of enactment of the ,,safe ,,play ,act1 the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention 7referred to in this section as the ,director7 and in consultation with national patient advocacy and health professional organizations experts in cardiac health1 including all forms of cardiomyopathy1 shall develop public education and awareness materials and resources to be disseminated to school administrators1 educators1 school health professionals1 coaches1 families1 and other appropriate individuals4 ,the materials and resources shall include-- 7#a7 information to increase education and awareness of high risk cardiac conditions and genetic heart rhythm abnormalities that may cause sudden cardiac arrest in children1 adolescents1 and young adults1 including-- 7,a7 cardiomyopathy2 7,b7 conditions such as long ,,qt syndrome1 ,brugada syndrome1 catecholaminergic polymorphic ventricular tachycardia1 short ,,qt syndrome1 ,wolff-,parkinson-,white syndrome2 and 7,c7 other cardiac conditions1 as determined by the ,secretary2 7#b7 sudden cardiac arrest and cardiomyopathy risk assessment worksheets to increase awareness of warning signs and symptoms of life-threatening cardiac conditions in order to prevent acute cardiac episodes and increase the likelihood of early detection and treatment2 7#c7 information and training materials for emergency interventions such as cardiopulmonary resuscitation 7referred to in this section and in section #cii,v-#g as ,,cpr7 and ways to obtain certification in ,,cpr delivery2 7#d7 guidelines and training materials for the proper placement and use of life-saving emergency equipment such as automatic external defibrillators 7referred to in this section and section #cii,v-#g as ,,aed7 and ways to obtain certification on ,,aed usage2 and 7#e7 recommendations for how schools1 childcare centers1 and local youth athletic organizations can develop and implement cardiac emergency response plans1 including recommendations about how a local educational agency 7as defined in section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja77 can apply such response plans to all students enrolled in the public schools served by such local educational agency4 7b7 ,development of materials and resources ,the ,secretary1 acting through the ,director1 shall develop and update as necessary and appropriate the materials and resources described in subsection 7a7 and1 in support of such effort1 the ,secretary is encouraged to establish an advisory panel that includes the following members3 7#a7 ,representatives from national patient advocacy organizations1 including-- 7,a7 not less than #a organization dedicated to pediatrics2 7,b7 not less than #a organization dedicated to school-based wellness2 7,c7 not less than #a organization dedicated to cardiac research1 health1 and awareness2 and 7,d7 not less than #a organization dedicated to advocacy and support for individuals with cognitive impairments or developmental disabilities4 7#b7 ,representatives of medical professional societies1 including pediatrics1 cardiology1 emergency medicine1 and sports medicine4 7#c7 ,a representative of the ,centers for ,disease ,control and ,prevention4 7#d7 ,representatives of other relevant ,federal agencies4 7#e7 ,representatives of schools such as administrators1 educators1 sports coaches1 and nurses4 7c7 ,dissemination of materials and resources ,not later than #cj months after the date of enactment of the ,,safe ,,play ,act1 the ,secretary1 acting through the ,director1 shall disseminate the materials and resources described in subsection 7a7 in accordance with the following3 7#a7 ,distribution by ,state educational agencies ,the ,secretary shall make available such written materials and resources to ,state educational agencies 7as defined in section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja77 to distribute-- 7,a7 to school administrators1 educators1 school health professionals1 coaches1 and parents1 guardians1 or other caregivers1 the cardiomyopathy education and awareness materials and resources described in subsection 7a72 7,b7 to parents1 guardians1 or other caregivers1 the cardiomyopathy and sudden cardiac arrest risk assessment worksheets described in subsection 7a77#b72 and 7,c7 to school administrators1 school health professionals1 and coaches-- 7i7 the information and training materials described in subsection 7a77#c72 and 7ii7 the guidelines and training materials described in subsection 7a77#d72 and 7,d7 to school administrators1 educators1 coaches1 and youth sports organizations1 the recommendations described in subsection 7a77#e74 7#b7 ,dissemination to health departments and professionals ,the ,secretary shall make available such materials and resources to ,state and local health departments1 pediatricians1 hospitals1 and other health professionals1 such as nurses and first responders4 7#c7 ,dissemination of information through the internet 7,a7 ,,cdc 7i7 ,in general ,the ,secretary1 acting through the ,director1 shall post the materials and resources developed under subsection 7a7 on the public ,internet website of the ,centers for ,disease ,control and ,prevention4 7ii7 ,maintenance of information ,the ,director shall maintain on such ,internet website such additional and updated information regarding the resources and materials under subsection 7a7 as necessary to ensure such information reflects the latest standards4 7,b7 ,state educational agencies ,state educational agencies are encouraged to create ,internet webpages dedicated to disseminating the information and resources developed under subsection 7a7 to the general public1 with an emphasis on targeting dissemination to families of students and students4 7#d7 ,accessibility of information ,the information regarding the resources and materials under subsection 7a7 shall be made available in a format and in a manner that is readily accessible to individuals with cognitive and sensory impairments4 7d7 ,report to congress ,not later than #c years after the date of the enactment of this section1 and annually thereafter1 the ,secretary shall submit to ,congress a report identifying the steps taken to increase public education and awareness of higher risk cardiac conditions that may lead to sudden cardiac arrest4 7e7 ,definitions ,in this section3 7#a7 ,school administrators ,the term school administrator means a principal1 director1 manager1 or other supervisor or leader within an elementary school or secondary school 7as such terms are defined under section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja771 ,state-based early education program1 or childcare center4 7#b7 ,schools ,the term school means an early education program1 childcare center1 or elementary school or secondary school 7as such terms are so defined7 that is not an ,internet- or computer-based community school4 7f7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section such sums as may be necessary for fiscal years #bjae through #bjbj4 #cii,v-#g4 ,grants to provide for cardiac training and equipment in public elementary1 middle1 and secondary schools 7a7 ,authority ,to make grants ,the ,secretary1 in consultation with the ,secretary of ,education1 shall award grants to eligible local educational agencies-- 7#a7 to enable such local educational agencies to purchase ,a,e,ds and implement nationally recognized ,,cpr and ,,aed training courses2 or 7#b7 to enable such local educational agencies to award funding to eligible schools that are served by the local educational agency to purchase ,a,e,ds and implement nationally recognized ,,cpr and ,,aed training courses4 7b7 ,use of funds ,an eligible local educational agency receiving a grant under this section1 or an eligible school receiving grant funds under this section through an eligible local educational agency1 shall use the grant funds-- 7#a7 to pay a nationally recognized training organization1 such as the ,american ,heart ,association1 the ,american ,red ,cross1 or the ,national ,safety ,council1 for instructional1 material1 and equipment expenses associated with the training necessary to receive ,,cpr and ,,aed certification in accordance with the materials and resources developed under section #cii,v-#f7;a77#c72 or 7#b7 if the local educational agency or an eligible school served by such agency meets the conditions described under subsection 7c77#b71 to purchase ,,aed devices for eligible schools and pay the costs associated with obtaining the certifications necessary to meet the guidelines established in section #cii,v-#f7;a77#d74 7c7 ,grant eligibility 7#a7 ,application ,to be eligible to receive a grant under this section1 a local educational agency shall submit an application to the ,secretary at such time1 in such manner1 and containing such information and certifications as such ,secretary may reasonably require4 7#b7 ,,aed training and allocation ,to be eligible to use grant funds to purchase ,,aed devices as described in subsection 7b77#b71 an eligible local educational agency shall demonstrate to the ,secretary that such local educational agency or an eligible school served by such agency has or intends to implement an ,,aed training program in conjunction with a ,,cpr training program and has or intends to implement an emergency cardiac response plan as of the date of the submission of the grant application4 7d7 ,priority of award ,the ,secretary shall award grants under this section to eligible local educational agencies based on one or more of the following priorities3 7#a7 ,a demonstrated need for initiating a ,,cpr or ,,aed training program in an eligible school or a community served by an eligible school1 which may include-- 7,a7 schools that do not already have an automated ,,aed on school grounds2 7,b7 schools in which there are a significant number of students on school grounds during a typical day1 as determined by the ,secretary2 7,c7 schools for which the average time required for emergency medical services 7as defined in section #ccj;,j7f77 to reach the school is greater than the average time required for emergency medical services to reach other public facilities in the community2 and 7,d7 schools that have not received funds under the ,rural ,access to ,emergency ,devices ,act 7#db ,u4,s4,c4 #bed;c note74 7#b7 ,a demonstrated need for continued support of an existing ,,cpr or ,,aed training program in an eligible school or a community served by an eligible school4 7#c7 ,a demonstrated need for expanding an existing ,,cpr or ,,aed training program by adding training in the use of an ,,aed4 7#d7 ,previously identified opportunities to encourage and foster partnerships with and among community organizations1 including emergency medical service providers1 fire and police departments1 nonprofit organizations1 public health organizations1 parent-teacher associations1 and local and regional youth sports organizations to aid in providing training in both ,,cpr and ,,aed usage and in obtaining ,,aed equipment4 7#e7 ,recognized opportunities to maximize the use of funds provided under this section4 7e7 ,matching funds required 7#a7 ,in general ,to be eligible to receive a grant under this section1 an eligible local educational agency shall provide matching funds from non-,federal sources in an amount equal to not less than #be percent of the total grant amount4 7#b7 ,waiver ,the ,secretary may waive the requirement of paragraph 7#a7 for an eligible local educational agency if the number of children counted under section #aabd7;c77#a77;,a7 of the ,elementary and ,secondary ,education ,act of #aife for the local educational agency is #bj percent or more of the total number of children aged #e to #ag1 inclusive1 served by the eligible local educational agency4 7f7 ,definitions ,in this section3 7#a7 ,eligible local educational agency ,the term eligible local educational agency means a local educational agency1 as defined in section #iaja of the ,elementary and ,secondary ,education ,act of #aife1 that has established a plan to follow the guidelines and carry out the recommendations described under section #cii,v-#f7;a7 regarding cardiac emergencies4 7#b7 ,eligible school ,the term eligible school means a public elementary1 middle1 or secondary school1 including any public charter school that is considered a local educational agency under ,state law1 and which is not an ,internet- or computer-based community school4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section such sums as may be necessary for each of the fiscal years #bjae through #bjbj4 #cii,v-#h4 ,requirement to include cardiac conditions in existing research and investigations ,the ,director of the ,centers for ,disease ,control and ,prevention shall develop data collection methods1 to be included in the ,school ,health ,policies and ,practices ,survey authorized under section #cja1 that are being carried out as of the date of enactment of the ,,safe ,,play ,act1 to determine the degree to which school administrators1 educators1 school health professionals1 coaches1 families1 and other appropriate individuals have an understanding of cardiac issues4 ,such data collection methods shall be designed to collect information about-- 7a7 the ability to accurately identify early symptoms of a cardiac condition1 such as cardiomyopathy1 cardiac arrest1 and sudden cardiac death2 7b7 the dissemination of training described in section #cii,v-#f7;a77#c7 regarding the proper performance of cardiopulmonary resuscitation2 and 7c7 the dissemination of guidelines and training described in section #cii,v-#f7;a77#d7 regarding the placement and use of automatic external defibrillators4 4 #c4 ,prevention and treatment of youth athlete concussions ,part ,e of title ,,ix of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghha et seq47 is amended-- 7#a7 by striking the heading relating to subpart #b and inserting the following3 ,subpart #c--,other ,provisions2 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 for fiscal year #bjaf1 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 public 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 located and taking into consideration the guidelines of the ,centers for ,disease ,control and ,prevention's ,pediatric ,mild ,traumatic ,brain ,injury ,guideline ,workgroup1 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 school administrators1 educators1 coaches1 youth sports organizations1 parents1 and school personnel about concussions1 including-- 7i7 training of school personnel on evidence-based concussion safety and management1 including 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 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 ,individuals 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 practices1 as defined by national neurological medical specialty and sports health organizations1 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 paragraphs 7#d7 and 7#e72 7,b7 the school personnel shall report to the concussion management team described under paragraph 7#a77;,b77i7-- 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 re-emergence 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 registered 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 ,parent ,the term parent means biological or adoptive parents or legal guardians1 as determined by applicable ,state law4 7#d7 ,public school ,the term public school means an elementary school or secondary school 7as such terms are so defined71 including any public charter school that is considered a local educational agency under ,state law1 and which is not an ,internet- or computer-based community school4 7#e7 ,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#f7 ,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 extracurricular sports team1 club1 or league organized by a public school2 and 7,d7 any recess activity of a public school4 4 #d4 ,heat advisory and heat acclimatization guidelines for secondary school athletics ,part ,e of title ,,ix of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghha et seq47 is amended by adding at the end the following3 #iecg4 ,heat advisory and heat acclimatization procedures 7a7 ,materials and resources ,the ,secretary1 in consultation with the ,secretary of ,health and ,human ,services and the ,secretary of ,commerce1 acting through the ,administrator of the ,national ,oceanic and ,atmospheric ,administration1 shall develop public education and awareness materials and resources to be disseminated to school administrators1 school health professionals1 coaches1 families1 and other appropriate individuals4 ,the materials and resources shall include-- 7#a7 information regarding the health risks associated with exposure to excessive heat and excessive humidity1 as defined by the ,national ,weather ,service2 7#b7 tips and recommendations on how to avoid heat-related illness1 including proper hydration and access to the indoors or cooling stations2 and 7#c7 strategies for heat-acclimatization that address the types and duration of athletic actives considered to be generally safe during periods of excessive heat4 7b7 ,implantation of excessive heat action plan ,public schools shall develop an excessive heat action plan to be used during all school-sponsored athletic activities that occur during periods of excessive heat and humidity4 ,such plan shall-- 7#a7 be in effect prior to full scale athletic participation by students1 including any practices or scrimmages prior to the beginning of the school's academic year2 and 7#b7 apply to days when an ,excessive ,heat ,watch or ,excessive ,heat ,warning or ,advisory has been issued by the ,national ,weather ,service for the area in which the athletic event is to take place4 4 #e4 ,guidelines for emergency action plans for athletics ,the ,secretary of ,health and ,human ,services1 working through the ,director of the ,centers for ,disease ,control and ,prevention1 and in consultation with the ,secretary of ,education1 shall work with stakeholder organizations to develop recommended guidelines for the development of emergency action plans for youth athletics4 ,such plans shall include the following3 7#a7 ,identifying the characteristics of an athletic1 medical1 or health emergency4 7#b7 ,procedures for accessing emergency communication equipment and contacting emergency personnel1 including providing directions to the specific location of the athletic venue that is used by the youth athletic group or organization4 7#c7 ,instructions for accessing and utilizing appropriate first-aid1 ,,cpr techniques1 and emergency equipment1 such as an automatic external defibrillator4 #f4 ,guidelines for safe energy drink use by youth athletes 7a7 ,development of guidelines ,not later than #b years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services1 acting through the ,commissioner of ,food and ,drugs1 in collaboration with the ,director of the ,centers for ,disease ,control and ,prevention and other related ,federal agencies1 may-- 7#a7 develop information about the ingredients used in energy drinks and the potential side effects of energy drink consumption2 and 7#b7 recommend guidelines for the safe use of energy drink consumption by youth1 including youth participating in athletic activities4 7b7 ,dissemination of guidelines ,not later than #f months after any information or guidelines are developed under subsection 7a71 the ,secretary of ,education1 in coordination with the ,commissioner of ,food and ,drugs1 shall disseminate such information and guidelines to school administrators1 educators1 school health professionals1 coaches1 families1 and other appropriate individuals4 7c7 ,energy drink defined ,in this section the term energy drink means a class of products in liquid form1 marketed as either a dietary supplement or conventional food under the ,federal ,food1 ,drug1 and ,cosmetic ,act1 for the stated purpose of providing the consumer with added physical or mental energy1 and that contains-- 7#a7 caffeine2 and 7#b7 not less than one of the following ingredients3 7,a7 ,taurine4 7,b7 ,guarana4 7,c7 ,ginseng4 7,d7 ,b vitamins such as cobalamin1 folic acid1 pyridoxine1 or niacin4 7,e7 ,any other ingredient added for the express purpose of providing physical or mental energy1 as determined during the development of guidelines in accordance with subsection 7a74 7d7 ,prohibition on restriction of marketing and sales of energy drinks ,nothing in this section shall be construed to provide the ,commissioner of ,food and ,drugs with authority to regulate the marketing and sale of energy drinks1 beyond such authority as that ,commissioner may have as of the date of enactment of this ,act4 #g4 ,research relating to youth athletic safety 7a7 ,expansion of ,,cdc ,research ,section #cja of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bda7 is amended by adding at the end the following3 7f7 ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall1 to the extent practicable1 expand1 intensify1 and coordinate the activities of the ,centers for ,disease ,control and ,prevention with respect to cardiac conditions1 concussions1 and heat-related illnesses among youth athletes4 4 7b7 ,report to ,congress ,not later than #f years after the enactment of this ,act1 the ,director of the ,centers for ,disease ,control and ,prevention and the ,secretary of ,education shall prepare and submit a joint report to ,congress that includes information1 with respect to the #e-year period beginning after the date of enactment of this ,act1 about-- 7#a7 the number of youth fatalities that occur while a youth is participating in an athletic activity1 and the cause of each of those deaths2 and 7#b7 the number of catastrophic injuries sustained by a youth while the youth is participating in an athletic activity1 and the cause of such injury4 #h4 ,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 #c ,general provisions 2 and 7#b7 by inserting after the item relating to section #iejf1 the following new items3 #b ,state requirements for the prevention and treatment of concussions 4 #ieaa4 ,minimum state requirements #ieab4 ,definitions 4