,in the ,senate of the ,united ,states1 
,september #f1 #bjah4  ,amendment3      
,that the bill from the ,house of       
,representatives 7,h4,r4 #cjb7 entitled 
,an ,act to provide protections for     
certain sports medicine professionals   
who provide certain medical services in 
a secondary ,state41 do pass with the   
following ,strike all after the enacting
 clause and insert the following3 #a4   
,short title ,this ,act may be cited as 
the ,sports ,medicine ,licensure        
,clarity ,act of #bjag4  #b4            
,protections for covered sports medicine
 professionals  7a7 ,in general ,in the 
case of a covered sports medicine       
professional who has in effect medical  
professional liability insurance        
coverage and provides in a secondary    
,state covered medical services that are
 within the scope of practice of such   
professional in the primary ,state to an
 athlete or an athletic team 7or a staff
 member of such an athlete or athletic  
team7 pursuant to an agreement described

 in subsection 7c77#d7 with respect to  
such athlete or athletic team-- 7#a7    
such medical professional liability     
insurance coverage shall cover 7subject 
to any related premium adjustments7 such
 professional with respect to such      
covered medical services provided by the
 professional in the secondary ,state to
 such an individual or team as if such  
services were provided by such          
professional in the primary ,state to   
such an individual or team2 and  7#b7 to
 the extent such professional is        
licensed under the requirements of the  
primary ,state to provide such services 
to such an individual or team1 the      
professional shall be treated as        
satisfying any licensure requirements of
 the secondary ,state to provide such   
services to such an individual or team  
to the extent the licensure requirements
 of the secondary ,state are            
substantially similar to the licensure  
requirements of the primary ,state4  7b7
 ,rule of construction ,nothing in this 

section shall be construed-- 7#a7 to    
allow a covered sports medicine         
professional to provide medical services
 in the secondary ,state that exceed the
 scope of that professional's license in
 the primary ,state2  7#b7 to allow a   
covered sports medicine professional to 
provide medical services in the         
secondary ,state that exceed the scope  
of a substantially similar sports       
medicine professional license in the    
secondary ,state2  7#c7 to supersede any
 reciprocity agreement in effect between
 the two ,states regarding such services
 or such professionals2  7#d7 to        
supersede any interstate compact        
agreement entered into by the two       
,states regarding such services or such 
professionals2 or  7#e7 to supersede a  
licensure exemption the secondary ,state
 provides for sports medicine           
professionals licensed in the primary   
,state4  7c7 ,definitions ,in this ,act1
 the following definitions apply3 7#a7  
,athlete ,the term athlete means-- 7,a7 

an individual participating in a        
sporting event or activity for which the
 individual may be paid2  7,b7 an       
individual participating in a sporting  
event or activity sponsored or          
sanctioned by a national governing body2
 or  7,c7 an individual for whom a high 
school or institution of higher         
education provides a covered sports     
medicine professional4  7#b7 ,athletic  
team ,the term athletic team means a    
sports team-- 7,a7 composed of          
individuals who are paid to participate 
on the team2  7,b7 composed of          
individuals who are participating in a  
sporting event or activity sponsored or 
sanctioned by a national governing body2
 or  7,c7 for which a high school or an 
institution of higher education provides
 a covered sports medicine professional4
  7#c7 ,covered medical services ,the   
term covered medical services means     
general medical care1 emergency medical 
care1 athletic training1 or physical    
therapy services4 ,such term does not   

include care provided by a covered      
sports medicine professional-- 7,a7 at a
 health care facility2 or  7,b7 while a 
health care provider licensed to        
practice in the secondary ,state is     
transporting the injured individual to a
 health care facility4  7#d7 ,covered   
sports medicine professional ,the term  
covered sports medicine professional    
means a physician1 athletic trainer1 or 
other health care professional who--    
7,a7 is licensed to practice in the     
primary ,state2  7,b7 provides covered  
medical services1 pursuant to a written 
agreement with an athlete1 an athletic  
team1 a national governing body1 a high 
school1 or an institution of higher     
education2 and  7,c7 prior to providing 
the covered medical services described  
in subparagraph 7,b71 has disclosed the 
nature and extent of such services to   
the entity that provides the            
professional with liability insurance in
 the primary ,state4  7#e7 ,health care 
facility ,the term health care facility 

means a facility in which medical care1 
diagnosis1 or treatment is provided on  
an inpatient or outpatient basis4 ,such 
term does not include facilities at an  
arena1 stadium1 or practice facility1 or
 temporary facilities existing for      
events where athletes or athletic teams 
may compete4  7#f7 ,institution of      
higher education ,the term institution  
of higher education has the meaning     
given such term in section #aja of the  
,higher ,education ,act of #aife 7#bj   
,u4,s4,c4 #ajja74  7#g7 ,license ,the   
term license or licensure1 as applied   
with respect to a covered sports        
medicine professional1 means a          
professional that has met the           
requirements and is approved to provide 
covered medical services in accordance  
with ,state laws and regulations in the 
primary ,state4 ,such term may include  
the registration or certification1 or   
any other form of special recognition1  
of an individual as such a professional1
 as applicable4  7#h7 ,national         

governing body ,the term national       
governing body has the meaning given    
such term in section #bbjeja of title   
#cf1 ,united ,states ,code4  7#i7       
,primary ,state ,the term primary ,state
 means1 with respect to a covered sports
 medicine professional1 the ,state in   
which-- 7,a7 the covered sports medicine
 professional is licensed to practice2  
and  7,b7 the majority of the covered   
sports medicine professional's practice 
is underwritten for medical professional
 liability insurance coverage4  7#aj7   
,secondary state ,the term secondary    
,state means1 with respect to a covered 
sports medicine professional1 any ,state
 that is not the primary ,state4  7#aa7 
,state ,the term ,state means each of   
the several ,states1 the ,district of   
,columbia1 and each commonwealth1       
territory1 or possession of the ,united 
,states4  7#ab7 ,substantially similar  
,the term substantially similar1 with   
respect to the licensure by primary and 
secondary ,states of a sports medicine  

professional1 means that both the       
primary and secondary ,states have in   
place a form of licensure for such      
professionals that permits such         
professionals to provide covered medical
 services4  ,secretary