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 Com-
merce, and in addition to the Committee on the Judiciary, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation 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. BILI-
RAKIS, 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 Ten-
nessee, Mr. AUSTIN SCOTT of Georgia, Mr. PERLMUTTER, Ms. GRAHAM, 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6652
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
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 Pennsyl-
vania, 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 Geor-
gia, 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. PAS-
CRELL, 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. SENSEN-
BRENNER, 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. SES-
SIONS, 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 profes-
sionals who provide certain medical services in a sec-
ondary State. 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6652
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Sports Medicine Licen-
sure Clarity Act of 2016’’. 
SEC. 2. PROTECTIONS FOR COVERED SPORTS MEDICINE 
PROFESSIONALS. 
(a) IN GENERAL.—In the case of a covered sports med-
icine professional who has in effect medical professional li-
ability 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 (or a staff member of such an 
athlete or athletic team) pursuant to an agreement de-
scribed in subsection (b)(4) with respect to such athlete or 
athletic team— 
(1) such medical professional liability insurance 
coverage shall cover (subject to any related premium 
adjustments) 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 team; 
and 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6203
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
(2) to the extent such professional is licensed 
under the requirements of the primary State to pro-
vide such services to such an individual or team, the 
professional shall be treated as satisfying any licen-
sure requirements of the secondary State to provide 
such services to such an individual or team. 
(b) DEFINITIONS.—In this Act, the following defini-
tions apply: 
(1) ATHLETE.—The term ‘‘athlete’’ means— 
(A) an individual participating in a sport-
ing event or activity for which the individual 
may be paid; 
(B) an individual participating in a sport-
ing event or activity sponsored or sanctioned by 
a national governing body; or 
(C) an individual for whom a high school 
or institution of higher education provides a cov-
ered sports medicine professional. 
(2) ATHLETIC TEAM.—The term ‘‘athletic team’’ 
means a sports team— 
(A) composed of individuals who are paid 
to participate on the team; 
(B) composed of individuals who are par-
ticipating in a sporting event or activity spon-
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6203
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
sored or sanctioned by a national governing 
body; or 
(C) for which a high school or an institu-
tion of higher education provides a covered 
sports medicine professional. 
(3) COVERED
MEDICAL
SERVICES.—The term 
‘‘covered medical services’’ means general medical 
care, emergency medical care, athletic training, or 
physical therapy services. Such term does not include 
care provided by a covered sports medicine profes-
sional— 
(A) at a health care facility; or 
(B) while a health care provider licensed to 
practice in the secondary State is transporting 
the injured individual to a health care facility. 
(4) 
COVERED
SPORTS
MEDICINE
PROFES-
SIONAL.—The term ‘‘covered sports medicine profes-
sional’’ means a physician, athletic trainer, or other 
health care professional who— 
(A) is licensed to practice in the primary 
State; 
(B) provides covered medical services, pur-
suant to a written agreement with an athlete, an 
athletic team, a national governing body, a high 
school, or an institution of higher education; and 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6203
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
(C) prior to providing the covered medical 
services described in subparagraph (B), has dis-
closed the nature and extent of such services to 
the entity that provides the professional with li-
ability insurance in the primary State. 
(5) HEALTH CARE FACILITY.—The term ‘‘health 
care facility’’ means a facility in which medical care, 
diagnosis, or treatment is provided on an inpatient 
or outpatient basis. Such term does not include facili-
ties at an arena, stadium, or practice facility, or tem-
porary facilities existing for events where athletes or 
athletic teams may compete. 
(6) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the mean-
ing given such term in section 101 of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1001). 
(7) NATIONAL GOVERNING BODY.—The term ‘‘na-
tional governing body’’ has the meaning given such 
term in section 220501 of title 36, United States 
Code. 
(8) PRIMARY STATE.—The term ‘‘primary State’’ 
means, with respect to a covered sports medicine pro-
fessional, the State in which— 
(A) the covered sports medicine professional 
is licensed to practice; and 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6203
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS
(B) the majority of the covered sports medi-
cine professional’s practice is underwritten for 
medical professional liability insurance coverage. 
(9) SECONDARY
STATE.—The term ‘‘secondary 
State’’ means, with respect to a covered sports medi-
cine professional, any State that is not the primary 
State. 
(10) STATE.—The term ‘‘State’’ means each of 
the several States, the District of Columbia, and each 
commonwealth, territory, or possession of the United 
States. 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6203
E:\BILLS\H921.RH
H921
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 
professionals who provide certain medical services 
in a secondary State. 
SEPTEMBER 12, 2016 
Reported from the Committee on Energy and Commerce 
with an amendment 
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 
VerDate Sep 11 2014 
00:13 Sep 13, 2016
Jkt 059200
PO 00000
Frm 00008
Fmt 6651
Sfmt 6651
E:\BILLS\H921.RH
H921
smartinez on DSK3GLQ082PROD with BILLS