In the Senate of the United States, 
September 6, 2018. 
Resolved, That the bill from the House of Representa-
tives (H.R. 302) entitled ‘‘An Act to provide protections for 
certain sports medicine professionals who provide certain 
medical services in a secondary State.’’, do pass with the fol-
lowing 
AMENDMENT: 
Strike all after the enacting clause and insert the 
following: 
SECTION 1. SHORT TITLE. 
This Act may be cited as the Sports Medicine Licen-
sure Clarity Act of 2017. 
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
† HR 302 EAS 
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 (c)(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 
(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 to the ex-
tent the licensure requirements of the secondary State 
are substantially similar to the licensure requirements 
of the primary State. 
(b) RULE OF CONSTRUCTION.—Nothing in this section 
shall be construed—
† HR 302 EAS 
(1) to allow a covered sports medicine profes-
sional to provide medical services in the secondary 
State that exceed the scope of that professional’s li-
cense in the primary State; 
(2) to allow a covered sports medicine profes-
sional to provide medical services in the secondary 
State that exceed the scope of a substantially similar 
sports medicine professional license in the secondary 
State; 
(3) to supersede any reciprocity agreement in ef-
fect between the two States regarding such services or 
such professionals; 
(4) to supersede any interstate compact agree-
ment entered into by the two States regarding such 
services or such professionals; or 
(5) to supersede a licensure exemption the sec-
ondary State provides for sports medicine profes-
sionals licensed in the primary State. 
(c) 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;
† HR 302 EAS 
(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-
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
† HR 302 EAS 
(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 
(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.
† HR 302 EAS 
(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) LICENSE.—The term ‘‘license’’ or ‘‘licen-
sure’’, as applied with respect to a covered sports 
medicine professional, means a professional that has 
met the requirements and is approved to provide cov-
ered medical services in accordance with State laws 
and regulations in the primary State. Such term may 
include the registration or certification, or any other 
form of special recognition, of an individual as such 
a professional, as applicable. 
(8) NATIONAL GOVERNING BODY.—The term ‘‘na-
tional governing body’’ has the meaning given such 
term in section 220501 of title 36, United States 
Code. 
(9) 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 
(B) the majority of the covered sports medi-
cine professional’s practice is underwritten for 
medical professional liability insurance coverage.
† HR 302 EAS 
(10) SECONDARY STATE.—The term ‘‘secondary 
State’’ means, with respect to a covered sports medi-
cine professional, any State that is not the primary 
State. 
(11) STATE.—The term ‘‘State’’ means each of 
the several States, the District of Columbia, and each 
commonwealth, territory, or possession of the United 
States. 
(12) SUBSTANTIALLY SIMILAR.—The term ‘‘sub-
stantially similar’’, with respect to the licensure by 
primary and secondary States of a sports medicine 
professional, means that both the primary and sec-
ondary States have in place a form of licensure for 
such professionals that permits such professionals to 
provide covered medical services. 
Attest: 
Secretary.