IB 

Union Calendar No. 572 

114TH CONGRESS 

2D SESSION H. R. 921 

[Report No. 114–736, Part I] 

To provide protections for certain sports medicine professionals who provide 

certain medical services in a secondary State. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 12, 2015 

Mr. GUTHRIE (for himself, Mr. RICHMOND, and Mr. WOMACK) introduced the 

following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on the Judiciary, for a period 

to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee 

concerned 

SEPTEMBER 12, 2016 

Additional sponsors: Mr. COLLINS of New York, Mr. GRAVES of Missouri, Mr. 

HANNA, Mr. ASHFORD, Mr. HILL, Mr. POMPEO, Mr. HECK of Nevada, 

Mr. LOEBSACK, Mr. TED LIEU of California, Mr. PAULSEN, Mr. DAVID

SCOTT of Georgia, Mr. MCKINLEY, Mr. LONG, Mr. BARR, Mrs. ELLMERS

of North Carolina, Mr. O’ROURKE, Mr. BOUSTANY, Ms. DELBENE, Mr. 

KELLY of Pennsylvania, Mr. COSTELLO of Pennsylvania, Mr. 

BRIDENSTINE, Mr. DESJARLAIS, Mr. DENT, Mrs. BLACKBURN, Mr. 

BISHOP of Michigan, Mr. MARINO, Mr. HASTINGS, Mr. TONKO, Mr. BILIRAKIS, Mr. MARCHANT, Mr. THOMPSON of Mississippi, Mr. COHEN, Mr. 

PETERS, Mr. KILMER, Mr. FLORES, Mr. TIPTON, Mr. TOM PRICE of 

Georgia, Mr. BARLETTA, Mr. HUFFMAN, Mr. JOLLY, Mr. RIBBLE, Mr. 

WALBERG, Mr. ALLEN, Mr. WESTERMAN, Mr. MULLIN, Mr. MULVANEY, 

Mr. GRIFFITH, Mr. AMODEI, Mr. HONDA, Mr. WALZ, Mr. POCAN, Mr. 

ROKITA, Mr. JOHNSON of Ohio, Mr. BABIN, Mr. STIVERS, Mr. TAKANO, 

Mr. YOUNG of Iowa, Mr. SWALWELL of California, Ms. ESHOO, Mrs. 

NOEM, Mr. OLSON, Mr. CARTER of Georgia, Mr. FINCHER, Mr. CRAMER, 

Ms. SINEMA, Mr. HECK of Washington, Mr. WELCH, Mr. REED, Mr. 

SHIMKUS, Mrs. WALORSKI, Mr. PIERLUISI, Mr. ROE of Tennessee, Mr. 

ROUZER, Mr. ROSKAM, Ms. JENKINS of Kansas, Mr. DUNCAN of Tennessee, Mr. AUSTIN SCOTT of Georgia, Mr. PERLMUTTER, Ms. GRAHAM, 


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Mr. ABRAHAM, Mr. HUDSON, Mr. FLEISCHMANN, Mr. HURD of Texas, 

Mr. CRENSHAW, Mr. HENSARLING, Mr. MOONEY of West Virginia, Mr. 

BERA, Mr. VEASEY, Mr. DOLD, Mr. KIND, Mr. WILLIAMS, Mr. CURBELO

of Florida, Mr. FLEMING, Mr. TROTT, Mr. LAHOOD, Mr. KINZINGER of 

Illinois, Mr. MEEHAN, Mr. MACARTHUR, Mr. FARENTHOLD, Mrs. 

BROOKS of Indiana, Mr. COFFMAN, Ms. BROWN of Florida, Mr. FORBES, 

Mr. BEYER, Mr. SIRES, Mr. LAMBORN, Mrs. NAPOLITANO, Mr. LATTA, 

Mr. RENACCI, Mrs. BUSTOS, Mr. BUCHANAN, Mr. MURPHY of Pennsylvania, Mr. GARAMENDI, Mr. HOLDING, Mr. CONYERS, Mr. RODNEY

DAVIS of Illinois, Mr. FARR, Mr. TAKAI, Mr. COLE, Mr. RATCLIFFE, Mr. 

CRAWFORD, Mr. RUIZ, Ms. MCSALLY, Mr. BYRNE, Mr. COLLINS of Georgia, Ms. ROS-LEHTINEN, Mr. DESAULNIER, Mr. YOUNG of Indiana, Mr. 

BUCSHON, Mr. GENE GREEN of Texas, Mr. JENKINS of West Virginia, 

Mr. SCHRADER, Mr. COURTNEY, Mr. JOYCE, Mr. LOUDERMILK, Mr. PASCRELL, Mr. BRADY of Pennsylvania, Mr. CULBERSON, Mr. ZINKE, Mr. 

LANCE, Mr. SMITH of Missouri, Mr. HARRIS, Mr. PITTENGER, Ms. 

CLARKE of New York, Mr. KLINE, Mr. GRAVES of Georgia, Mr. SENSENBRENNER, Mrs. BEATTY, Mr. BLUM, Mr. NOLAN, Mr. WENSTRUP, Ms. 

LOFGREN, Mr. DONOVAN, Mr. BURGESS, Mr. HARPER, Mr. SMITH of 

Texas, Ms. JACKSON LEE, Mr. BARTON, Mr. ISSA, Mr. DESANTIS, Mr. 

BUTTERFIELD, Ms. WILSON of Florida, Mr. ROONEY of Florida, Mr. 

JODY B. HICE of Georgia, Mr. MEADOWS, Mr. FITZPATRICK, Mr. POE

of Texas, Mr. NUNES, Mr. BLUMENAUER, Mr. ROYCE, Mr. WOODALL, 

Mr. WILSON of South Carolina, Ms. DELAURO, Mr. KEATING, Mr. SESSIONS, Mr. DEFAZIO, Ms. MAXINE WATERS of California, Ms. PINGREE, 

Mr. CONNOLLY, Ms. MICHELLE LUJAN GRISHAM of New Mexico, Mr. 

HIMES, Mr. KELLY of Mississippi, Mrs. COMSTOCK, and Mr. GOSAR

SEPTEMBER 12, 2016 

Reported from the Committee on Energy and Commerce with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

SEPTEMBER 12, 2016 

The Committee on the Judiciary discharged; committed to the Committee of 

the Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on February 12, 2015] 

A BILL 

To provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. 


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1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Sports Medicine Licen5 sure Clarity Act of 2016’’. 

6 SEC. 2. PROTECTIONS FOR COVERED SPORTS MEDICINE 

7 PROFESSIONALS. 

8 (a) IN GENERAL.—In the case of a covered sports med9 icine professional who has in effect medical professional li10 ability insurance coverage and provides in a secondary 

11 State covered medical services that are within the scope of 

12 practice of such professional in the primary State to an 

13 athlete or an athletic team (or a staff member of such an 

14 athlete or athletic team) pursuant to an agreement de15 scribed in subsection (b)(4) with respect to such athlete or 

16 athletic team— 

17 (1) such medical professional liability insurance 

18 coverage shall cover (subject to any related premium 

19 adjustments) such professional with respect to such 

20 covered medical services provided by the professional 

21 in the secondary State to such an individual or team 

22 as if such services were provided by such professional 

23 in the primary State to such an individual or team; 

24 and 


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1 (2) to the extent such professional is licensed 

2 under the requirements of the primary State to pro3 vide such services to such an individual or team, the 

4 professional shall be treated as satisfying any licen5 sure requirements of the secondary State to provide 

6 such services to such an individual or team. 

7 (b) DEFINITIONS.—In this Act, the following defini8 tions apply: 

9 (1) ATHLETE.—The term ‘‘athlete’’ means— 

10 (A) an individual participating in a sport11 ing event or activity for which the individual 

12 may be paid; 

13 (B) an individual participating in a sport14 ing event or activity sponsored or sanctioned by 

15 a national governing body; or 

16 (C) an individual for whom a high school 

17 or institution of higher education provides a cov18 ered sports medicine professional. 

19 (2) ATHLETIC TEAM.—The term ‘‘athletic team’’ 

20 means a sports team— 

21 (A) composed of individuals who are paid 

22 to participate on the team; 

23 (B) composed of individuals who are par24 ticipating in a sporting event or activity sponVerDate Sep 11 2014 00:13 Sep 13, 2016 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6203 E:\BILLS\H921.RH H921

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1 sored or sanctioned by a national governing 

2 body; or 

3 (C) for which a high school or an institu4 tion of higher education provides a covered 

5 sports medicine professional. 

6 (3) COVERED MEDICAL SERVICES.—The term 

7 ‘‘covered medical services’’ means general medical 

8 care, emergency medical care, athletic training, or 

9 physical therapy services. Such term does not include 

10 care provided by a covered sports medicine profes11 sional— 

12 (A) at a health care facility; or 

13 (B) while a health care provider licensed to 

14 practice in the secondary State is transporting 

15 the injured individual to a health care facility. 

16 (4) COVERED SPORTS MEDICINE PROFES17 SIONAL.—The term ‘‘covered sports medicine profes18 sional’’ means a physician, athletic trainer, or other 

19 health care professional who— 

20 (A) is licensed to practice in the primary 

21 State; 

22 (B) provides covered medical services, pur23 suant to a written agreement with an athlete, an 

24 athletic team, a national governing body, a high 

25 school, or an institution of higher education; and 


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1 (C) prior to providing the covered medical 

2 services described in subparagraph (B), has dis3 closed the nature and extent of such services to 

4 the entity that provides the professional with li5 ability insurance in the primary State. 

6 (5) HEALTH CARE FACILITY.—The term ‘‘health 

7 care facility’’ means a facility in which medical care, 

8 diagnosis, or treatment is provided on an inpatient 

9 or outpatient basis. Such term does not include facili10 ties at an arena, stadium, or practice facility, or tem11 porary facilities existing for events where athletes or 

12 athletic teams may compete. 

13 (6) INSTITUTION OF HIGHER EDUCATION.—The 

14 term ‘‘institution of higher education’’ has the mean15 ing given such term in section 101 of the Higher Edu16 cation Act of 1965 (20 U.S.C. 1001). 

17 (7) NATIONAL GOVERNING BODY.—The term ‘‘na18 tional governing body’’ has the meaning given such 

19 term in section 220501 of title 36, United States 

20 Code. 

21 (8) PRIMARY STATE.—The term ‘‘primary State’’ 

22 means, with respect to a covered sports medicine pro23 fessional, the State in which— 

24 (A) the covered sports medicine professional 

25 is licensed to practice; and 


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1 (B) the majority of the covered sports medi2 cine professional’s practice is underwritten for 

3 medical professional liability insurance coverage. 

4 (9) SECONDARY STATE.—The term ‘‘secondary 

5 State’’ means, with respect to a covered sports medi6 cine professional, any State that is not the primary 

7 State. 

8 (10) STATE.—The term ‘‘State’’ means each of 

9 the several States, the District of Columbia, and each 

10 commonwealth, territory, or possession of the United 

11 States. 


smartinez on DSK3GLQ082PROD with BILLS
Union Calendar No. 572 

114TH CONGRESS 

2D SESSION H. R. 921 

[Report No. 114–736, Part I] 

A BILL 

To provide protections for certain sports medicine 

in a secondary State. professionals who provide certain medical services 

SEPTEMBER 12, 2016 

Reported from the Committee on Energy and Commerce 

with an amendment 

SEPTEMBER 12, 2016 

The Committee on the Judiciary discharged; committed 

the Union and ordered to be printed to the Committee of the Whole House on the State of 


smartinez on DSK3GLQ082PROD with BILLS