I 
117TH CONGRESS 
2D SESSION 
H. R. 7478 
To promote youth athletic safety, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 7, 2022 
Mr. PASCRELL introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Education and Labor, 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 
A BILL 
To promote youth athletic safety, and for other purposes. 
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 ‘‘Supporting Athletes, 
Families and Educators to Protect the Lives of Athletic 
Youth Act’’ or the ‘‘SAFE PLAY Act’’. 
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SEC. 2. EDUCATION, AWARENESS, AND TRAINING FOR PEDI-
ATRIC CARDIAC CONDITIONS TO INCREASE 
EARLIER DIAGNOSIS AND PREVENT SUDDEN 
CARDIAC DEATH. 
Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399V–7. MATERIALS AND EDUCATIONAL RESOURCES 
TO 
INCREASE 
AWARENESS 
OF 
CARDIO-
MYOPATHY AND OTHER HIGH-RISK CHILD-
HOOD 
CARDIAC 
CONDITIONS 
AMONG 
SCHOOL 
ADMINISTRATORS, 
EDUCATORS, 
SCHOOL HEALTH PROFESSIONALS, COACHES, 
STUDENTS, AND FAMILIES. 
‘‘(a) MATERIALS AND RESOURCES.—Not later than 
12 months after the date of enactment of the SAFE 
PLAY Act, the Secretary, acting through the Director of 
the Centers for Disease Control and Prevention (referred 
to in this section as the ‘Director’) and in consultation 
with national patient advocacy and health organizations 
with expertise in cardiac health and all forms of pediatric 
cardiomyopathy, shall develop educational materials and 
resources to be disseminated to school administrators, 
educators, school health professionals, coaches, students, 
families, and other appropriate individuals. The materials 
and resources shall include— 
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‘‘(1) information on the signs, symptoms, and 
risk factors associated with high risk cardiac condi-
tions and genetic heart rhythm abnormalities that 
may cause sudden cardiac arrest in children, adoles-
cents, and young adults, including— 
‘‘(A) cardiomyopathy; 
‘‘(B) long QT syndrome, Brugada syn-
drome, catecholaminergic polymorphic ventric-
ular tachycardia, short QT syndrome, Wolff- 
Parkinson-White syndrome; and 
‘‘(C) other high-risk cardiac conditions, as 
determined by the Secretary; 
‘‘(2) sudden cardiac arrest risk assessment 
worksheets to help identify higher risk children and 
adolescents with possible life-threatening cardiac 
conditions who may need additional medical screen-
ing and treatment; 
‘‘(3) guidelines and training materials for 
schools, childcare centers, and local youth athletic 
organizations to handle cardiac emergencies, cov-
ering cardiopulmonary resuscitation (referred to in 
this section and section 399V–8 as ‘CPR’) and ways 
to obtain certification on CPR delivery; 
‘‘(4) guidelines and training materials for 
schools, childcare centers, and local youth athletic 
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organizations to handle cardiac emergencies, on the 
proper placement, usage, and maintenance of auto-
matic external defibrillators (referred to in this sec-
tion and section 399V–8 as ‘AED’) and ways to ob-
tain certification on AED usage; and 
‘‘(5) recommendations on developing and imple-
menting a cardiac emergency response plan at 
schools, childcare centers, and local youth athletic 
organizations, including recommendations on how 
local educational agencies (as defined in section 
8101 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7801)) can apply such re-
sponse plans to students enrolled in public schools 
served by such local educational agencies. 
‘‘(b) DEVELOPMENT
OF
MATERIALS
AND
RE-
SOURCES.—The Secretary, acting through the Director, 
shall develop and update, as necessary and appropriate, 
the materials and resources described in subsection (a) 
and, in support of such effort, the Secretary is encouraged 
to establish an advisory panel that includes the following 
members: 
‘‘(1) Representatives from national patient ad-
vocacy organizations, including— 
‘‘(A) not less than 1 organization dedicated 
to promoting research, education, and aware-
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ness of all forms of pediatric cardiac cardio-
myopathy; 
‘‘(B) not less than 1 organization dedi-
cated to research, and education, and awareness 
of high-risk cardiac conditions and genetic 
heart rhythm abnormalities; 
‘‘(C) not less than 1 organization dedicated 
to school-based wellness; 
‘‘(D) not less than 1 organization dedi-
cated to advocacy and support for individuals 
with cognitive impairments or developmental 
disabilities; and 
‘‘(E) not less than 1 organization dedi-
cated to addressing minority health disparities. 
‘‘(2) Representatives of medical and health care 
professional societies, including pediatrics, cardi-
ology, emergency medicine, and sports medicine. 
‘‘(3) A representative of the Centers for Disease 
Control and Prevention. 
‘‘(4) Representatives of other relevant Federal 
agencies, including the Department of Education 
and the National Institutes of Health. 
‘‘(5) Representatives of schools, such as admin-
istrators, educators, sports coaches, and nurses. 
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‘‘(c) DISSEMINATION
OF
MATERIALS
AND
RE-
SOURCES.—Not later than 24 months after the date of 
enactment of the SAFE PLAY Act, the Secretary, acting 
through the Director, shall disseminate the materials and 
resources described in subsection (a) in accordance with 
the following: 
‘‘(1) DISTRIBUTION
BY
LOCAL
EDUCATIONAL 
AGENCIES.—The Secretary shall make available such 
materials and resources to local educational agencies 
(as defined in section 8101 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 7801)) 
to distribute— 
‘‘(A) to school administrators, educators, 
school health professionals, coaches, students, 
and parents, guardians, or other caregivers, in-
formation on the signs, symptoms, and risk fac-
tors of high-risk cardiac conditions; 
‘‘(B) to parents, guardians, or other care-
givers, the cardiomyopathy and sudden cardiac 
arrest risk assessment worksheets described in 
subsection (a)(2); 
‘‘(C) to school administrators, school 
health professionals, and coaches— 
‘‘(i) the information and training ma-
terials described in subsection (a)(3); and 
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‘‘(ii) the guidelines and training mate-
rials described in subsection (a)(4); and 
‘‘(D) to school administrators, educators, 
school health professionals, coaches, and youth 
sports organizations, the recommendations de-
scribed in subsection (a)(5). 
‘‘(2) DISSEMINATION
TO
HEALTH
DEPART-
MENTS AND PROFESSIONALS.—The Secretary shall 
make available such materials and resources to State 
and local health departments. 
‘‘(3) 
DISSEMINATION
OF
INFORMATION 
THROUGH THE INTERNET.— 
‘‘(A) CDC.— 
‘‘(i) IN
GENERAL.—The Secretary, 
acting through the Director, shall post the 
materials and resources developed under 
subsection (a) on the public Internet 
website of the Centers for Disease Control 
and Prevention. 
‘‘(ii) MAINTENANCE
OF
INFORMA-
TION.—The Director shall maintain and 
update when necessary such materials and 
resources developed under subsection (a) 
on the public Internet website to ensure 
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such information reflects the latest stand-
ards. 
‘‘(B) STATE
EDUCATIONAL
AGENCIES.— 
State educational agencies are encouraged to 
work with State Health Departments to create 
Internet webpages to disseminate the materials 
and resources developed under subsection (a) to 
the general public, with an emphasis on tar-
geting students and their families. 
‘‘(4) ACCESSIBILITY
OF
INFORMATION.—The 
information regarding the materials and resources 
developed under subsection (a) shall be made avail-
able in a format and in a manner that is readily ac-
cessible to individuals with cognitive and sensory im-
pairments. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) SCHOOL
ADMINISTRATORS.—The term 
‘school administrator’ means a principal, director, 
manager, or other supervisor or leader within an ele-
mentary school or secondary school (as such terms 
are defined under section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 
7801)), State-based early education program, or 
childcare center. 
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‘‘(2) SCHOOLS.—The term ‘school’ means an 
early education program, childcare center, or ele-
mentary school or secondary school (as such terms 
are so defined) that is not an Internet- or computer- 
based community school. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for fiscal years 2023 
through 2028. 
‘‘SEC. 399V–8. GRANTS TO PROVIDE FOR CPR AND AED 
TRAINING AND PURCHASE OF AED EQUIP-
MENT FOR PUBLIC CHILDCARE CENTERS, EL-
EMENTARY, 
MIDDLE, 
AND 
SECONDARY 
SCHOOLS. 
‘‘(a) AUTHORITY TO MAKE GRANTS.—The Sec-
retary, in consultation with the Secretary of Education, 
shall award grants to eligible local educational agencies— 
‘‘(1) to enable such local educational agencies 
to purchase AEDs and offer CPR and AED training 
courses that are nationally certified; or 
‘‘(2) to enable such local educational agencies 
to award funding to eligible schools that are served 
by the local educational agency to purchase and 
maintain AEDs and offer CPR and AED training 
courses that are nationally certified. 
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‘‘(b) USE OF FUNDS.—An eligible local educational 
agency receiving a grant under this section, or an eligible 
school receiving grant funds under this section through 
an eligible local educational agency, shall use the grant 
funds— 
‘‘(1) to pay a nationally recognized training or-
ganization, such as the American Heart Association, 
the American Red Cross, or the National Safety 
Council, for instruction, materials, and equipment 
expenses associated with CPR and AED training in 
accordance with the materials and resources devel-
oped under section 399V–7(a)(3); or 
‘‘(2) if the local educational agency or an eligi-
ble school served by such agency meets the condi-
tions described under subsection (c)(2), to purchase 
AED devices for eligible schools and pay the costs 
associated with obtaining the certifications necessary 
to meet the guidelines established in section 399V– 
7(a)(4). 
‘‘(c) GRANT ELIGIBILITY.— 
‘‘(1) APPLICATION.—To be eligible to receive a 
grant under this section, a local educational agency 
shall submit an application to the Secretary at such 
time, in such manner, and containing such informa-
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tion and certifications as such Secretary may rea-
sonably require. 
‘‘(2) AED ALLOCATION AND TRAINING.—To be 
eligible for grant funding to purchase AED devices 
as described in subsection (b)(2), an eligible local 
educational agency shall demonstrate to the Sec-
retary that such local educational agency or an eligi-
ble school served by such agency has or intends to 
implement a CPR and AED training program and 
has or intends to implement an emergency cardiac 
response plan as of the date of the submission of the 
grant application. 
‘‘(d) PRIORITY
OF AWARD.—The Secretary shall 
award grants under this section to eligible local edu-
cational agencies based on 1 or more of the following pri-
orities: 
‘‘(1) A demonstrated need for a CPR or AED 
training program in an eligible school or a commu-
nity served by an eligible school, which may in-
clude— 
‘‘(A) schools that do not already have an 
automated AED on school grounds; 
‘‘(B) schools in which there are a signifi-
cant number of students on school grounds dur-
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ing a typical day, as determined by the Sec-
retary; 
‘‘(C) schools for which the average time re-
quired for emergency medical services (as de-
fined in section 330J(e)) to reach the school is 
greater than the average time required for 
emergency medical services to reach other pub-
lic facilities in the community; and 
‘‘(D) schools that have not received funds 
under the Rural Access to Emergency Devices 
Act (42 U.S.C. 254c note). 
‘‘(2) A demonstrated need for continued sup-
port of an existing CPR or AED training program 
in an eligible school or a community served by an el-
igible school. 
‘‘(3) A demonstrated need for expanding an ex-
isting CPR or AED training program by adding 
training in the implementation of an emergency car-
diac response plan. 
‘‘(4) Previously identified opportunities to en-
courage and foster partnerships with and among 
community organizations, including emergency med-
ical service providers, fire and police departments, 
nonprofit organizations, public health organizations, 
parent-teacher associations, and local and regional 
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youth sports organizations to aid in providing train-
ing in both CPR and AED usage and in obtaining 
AED equipment. 
‘‘(e) MATCHING FUNDS REQUIRED.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, an eligible local educational 
agency shall provide matching funds from non-Fed-
eral sources in an amount equal to not less than 25 
percent of the total grant amount. 
‘‘(2) WAIVER.—The Secretary may waive the 
requirement of paragraph (1) for an eligible local 
educational agency if the number of children counted 
under section 1124(c)(1)(A) of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 
6333(c)(1)(A)) for the local educational agency is 20 
percent or more of the total number of children aged 
5 to 17, inclusive, served by the eligible local edu-
cational agency. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE
LOCAL
EDUCATIONAL
AGEN-
CY.—The term ‘eligible local educational agency’ 
means a local educational agency, as defined in sec-
tion 8101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801), that has es-
tablished a plan to follow the guidelines and carry 
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out the recommendations described under section 
399V–7(a) regarding cardiac emergencies. 
‘‘(2) ELIGIBLE
SCHOOL.—The term ‘eligible 
school’ means a public elementary, middle, or sec-
ondary school, including any public charter school 
that is considered a local educational agency under 
State law, and which is not an Internet- or com-
puter-based community school. 
‘‘(g) 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 
2023 through 2028. 
‘‘SEC. 399V–9. REQUIREMENT TO INCLUDE CARDIAC CONDI-
TIONS IN EXISTING RESEARCH AND INVES-
TIGATIONS. 
‘‘The Director of the Centers for Disease Control and 
Prevention shall develop data collection methods, to be in-
cluded in the School Health Policies and Practices Survey, 
to determine the degree to which school administrators, 
educators, school health professionals, coaches, students, 
families, and other appropriate individuals have an under-
standing of cardiac issues described in section 399V–7. 
Such data collection methods shall be designed to collect 
information about— 
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‘‘(1) the ability to accurately identify early 
symptoms of a cardiac condition, such as cardio-
myopathy leading to cardiac arrest, and sudden car-
diac death; 
‘‘(2) the dissemination of training described in 
section 399V–7(a)(3) regarding the proper perform-
ance of cardiopulmonary resuscitation; and 
‘‘(3) the dissemination of guidelines and train-
ing described in section 399V–7(a)(4) regarding the 
placement 
and 
use 
of 
automatic 
external 
defibrillators.’’. 
SEC. 3. PREVENTION AND TREATMENT OF YOUTH ATHLETE 
CONCUSSIONS. 
Title VIII of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801 et seq.) is amended 
by adding at the end the following: 
‘‘PART H—YOUTH ATHLETIC SAFETY 
‘‘Subpart 1—State Requirements for the Prevention 
and Treatment of Concussions 
‘‘SEC. 8701. MINIMUM STATE REQUIREMENTS. 
‘‘(a) IN GENERAL.—Beginning for fiscal year 2023, 
as a condition of receiving funds under this Act for a fiscal 
year, a State shall, not later than July 1 of the preceding 
fiscal year, certify to the Secretary in accordance with sub-
section (b) that the State has in effect and is enforcing 
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a law or regulation that, at a minimum, establishes the 
following requirements: 
‘‘(1) LOCAL
EDUCATIONAL
AGENCY
CONCUS-
SION SAFETY AND MANAGEMENT PLAN.—Each local 
educational agency in the State (including each pub-
lic charter school that is considered a local edu-
cational agency under State law), in consultation 
with members of the community in which the local 
educational agency is located, and taking into con-
sideration the guidelines of the Centers for Disease 
Control and Prevention’s Pediatric Mild Traumatic 
Brain Injury Guideline Workgroup, shall develop 
and implement a standard plan for concussion safety 
and management for public schools served by the 
local educational agency that includes— 
‘‘(A) the education of students, school ad-
ministrators, educators, coaches, youth sports 
organizations, parents, and school personnel 
about concussions, including— 
‘‘(i) training of school personnel on 
evidence-based concussion safety and man-
agement, including prevention, recognition, 
risk, academic consequences, and response 
for both initial and any subsequent concus-
sions; and 
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‘‘(ii) using, maintaining, and dissemi-
nating to students and parents release 
forms, treatment plans, observation, moni-
toring, and reporting forms, recordkeeping 
forms, and post-injury and prevention fact 
sheets about concussions; 
‘‘(B) supports for each student recovering 
from a concussion, including— 
‘‘(i) guiding the student in resuming 
participation in school-sponsored athletic 
activities and academic activities with the 
help of a multidisciplinary concussion man-
agement team, which shall include— 
‘‘(I) a health care professional, 
the parents of such student, and other 
relevant school personnel; and 
‘‘(II) an individual who is as-
signed by the public school in which 
the student is enrolled to oversee and 
manage the recovery of the student; 
‘‘(ii) providing appropriate academic 
accommodations aimed at progressively re-
introducing cognitive demands on such stu-
dent; and 
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‘‘(iii) if the student’s symptoms of 
concussion persist for a substantial period 
of time— 
‘‘(I) evaluating the student in ac-
cordance with section 614 of the Indi-
viduals with Disabilities Education 
Act (20 U.S.C. 1414) to determine 
whether the student is eligible for 
services under part B of such Act (20 
U.S.C. 1411 et seq.); or 
‘‘(II) evaluating whether the stu-
dent is eligible for services under sec-
tion 504 of the Rehabilitation Act of 
1973 (29 U.S.C. 794); and 
‘‘(C) best practices, as defined by national 
neurological medical specialty and sports health 
organizations, designed to ensure, with respect 
to concussions, the uniformity of safety stand-
ards, treatment, and management, including— 
‘‘(i) disseminating information on con-
cussion safety and management to the 
public; and 
‘‘(ii) applying best practice and uni-
form standards for concussion safety and 
management to all students enrolled in the 
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public schools served by the local edu-
cational agency. 
‘‘(2) POSTING OF INFORMATION ON CONCUS-
SIONS.—Each public school in the State shall post 
on school grounds, in a manner that is visible to stu-
dents and school personnel, and make publicly avail-
able on the school website, information on concus-
sions that— 
‘‘(A) is based on peer-reviewed scientific 
evidence or consensus (such as information 
made available by the Centers for Disease Con-
trol and Prevention); 
‘‘(B) shall include— 
‘‘(i) the risks posed by sustaining a 
concussion or multiple concussions; 
‘‘(ii) the actions a student should take 
in response to sustaining a concussion, in-
cluding the notification of school personnel; 
and 
‘‘(iii) the signs and symptoms of a 
concussion; and 
‘‘(C) may include— 
‘‘(i) the definition of a concussion 
under section 8702(1); 
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