I 
114TH CONGRESS 
1ST SESSION 
H. R. 829 
To promote youth athletic safety and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 10, 2015 
Mrs. CAPPS (for herself and Mr. PASCRELL) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Education and the Workforce, 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 
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 ABOUT 
CHILDREN’S CARDIAC CONDITIONS TO IN-
CREASE EARLY DIAGNOSIS AND PREVENT 
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–6. MATERIALS AND EDUCATIONAL RESOURCES 
TO 
INCREASE 
AWARENESS 
OF 
CARDIO-
MYOPATHY AND OTHER HIGHER RISK CHILD-
HOOD 
CARDIAC 
CONDITIONS 
AMONG 
SCHOOL 
ADMINISTRATORS, 
EDUCATORS, 
COACHES, STUDENTS AND FAMILIES. 
‘‘(a) MATERIALS AND RESOURCES.—Not later than 
18 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 professional or-
ganizations experts in cardiac health, including all forms 
of cardiomyopathy, shall develop public education and 
awareness materials and resources to be disseminated to 
school administrators, educators, school health profes-
sionals, coaches, families, and other appropriate individ-
uals. The materials and resources shall include— 
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‘‘(1) information to increase education and 
awareness of high risk cardiac conditions and ge-
netic heart rhythm abnormalities that may cause 
sudden cardiac arrest in children, adolescents, and 
young adults, including— 
‘‘(A) cardiomyopathy; 
‘‘(B) conditions such as long QT syn-
drome, Brugada syndrome, catecholaminergic 
polymorphic ventricular tachycardia, short QT 
syndrome, 
Wolff-Parkinson-White 
syndrome; 
and 
‘‘(C) other cardiac conditions, as deter-
mined by the Secretary; 
‘‘(2) sudden cardiac arrest and cardiomyopathy 
risk assessment worksheets to increase awareness of 
warning signs and symptoms of life-threatening car-
diac conditions in order to prevent acute cardiac epi-
sodes and increase the likelihood of early detection 
and treatment; 
‘‘(3) information and training materials for 
emergency interventions such as cardiopulmonary re-
suscitation (referred to in this section and in section 
399V–7 as ‘CPR’) and ways to obtain certification 
in CPR delivery; 
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‘‘(4) guidelines and training materials for the 
proper placement and use of life-saving emergency 
equipment such as automatic external defibrillators 
(referred to in this section and section 399V–7 as 
‘AED’) and ways to obtain certification on AED 
usage; and 
‘‘(5) 
recommendations 
for 
how 
schools, 
childcare centers, and local youth athletic organiza-
tions can develop and implement cardiac emergency 
response plans, including recommendations about 
how a local educational agency (as defined in section 
9101 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7801)) can apply such re-
sponse plans to all students enrolled in the public 
schools served by such local educational agency. 
‘‘(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— 
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‘‘(A) not less than 1 organization dedicated 
to pediatrics; 
‘‘(B) not less than 1 organization dedi-
cated to school-based wellness; 
‘‘(C) not less than 1 organization dedicated 
to cardiac research, health, and awareness; and 
‘‘(D) not less than 1 organization dedi-
cated to advocacy and support for individuals 
with cognitive impairments or developmental 
disabilities. 
‘‘(2) Representatives of medical professional so-
cieties, including pediatrics, cardiology, emergency 
medicine, and sports medicine. 
‘‘(3) A representative of the Centers for Disease 
Control and Prevention. 
‘‘(4) Representatives of other relevant Federal 
agencies. 
‘‘(5) Representatives of schools such as admin-
istrators, educators, sports coaches, and nurses. 
‘‘(c) DISSEMINATION
OF
MATERIALS
AND
RE-
SOURCES.—Not later than 30 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: 
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‘‘(1) DISTRIBUTION
BY
STATE
EDUCATIONAL 
AGENCIES.—The Secretary shall make available such 
written materials and resources to State educational 
agencies (as defined in section 9101 of the Elemen-
tary and Secondary Education Act of 1965 (20 
U.S.C. 7801)) to distribute— 
‘‘(A) to school administrators, educators, 
school health professionals, coaches, and par-
ents, guardians, or other caregivers, the cardio-
myopathy education and awareness materials 
and resources described in subsection (a); 
‘‘(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 
‘‘(ii) the guidelines and training mate-
rials described in subsection (a)(4); and 
‘‘(D) to school administrators, educators, 
coaches, and youth sports organizations, the 
recommendations described in subsection (a)(5). 
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‘‘(2) DISSEMINATION
TO
HEALTH
DEPART-
MENTS AND PROFESSIONALS.—The Secretary shall 
make available such materials and resources to State 
and local health departments, pediatricians, hos-
pitals, and other health professionals, such as nurses 
and first responders. 
‘‘(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 on 
such Internet website such additional and 
updated information regarding the re-
sources and materials under subsection (a) 
as necessary to ensure such information 
reflects the latest standards. 
‘‘(B) STATE
EDUCATIONAL
AGENCIES.— 
State educational agencies are encouraged to 
create Internet webpages dedicated to dissemi-
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nating the information and resources developed 
under subsection (a) to the general public, with 
an emphasis on targeting dissemination to fam-
ilies of students and students. 
‘‘(4) ACCESSIBILITY
OF
INFORMATION.—The 
information regarding the resources and materials 
under subsection (a) shall be made available in a 
format and in a manner that is readily accessible to 
individuals with cognitive and sensory impairments. 
‘‘(d) REPORT TO CONGRESS.—Not later than 3 years 
after the date of the enactment of this section, and annu-
ally thereafter, the Secretary shall submit to Congress a 
report identifying the steps taken to increase public edu-
cation and awareness of higher risk cardiac conditions 
that may lead to sudden cardiac arrest. 
‘‘(e) 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 9101 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. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for fiscal years 2016 
through 2021. 
‘‘SEC. 399V–7. GRANTS TO PROVIDE FOR CARDIAC TRAIN-
ING AND EQUIPMENT IN PUBLIC ELEMEN-
TARY, 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 implement nationally recog-
nized CPR and AED training courses; or 
‘‘(2) to enable such local educational agencies 
to award funding to eligible schools that are served 
by the local educational agency to purchase AEDs 
and implement nationally recognized CPR and AED 
training courses. 
‘‘(b) USE OF FUNDS.—An eligible local educational 
agency receiving a grant under this section, or an eligible 
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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 instructional, material, and equipment 
expenses associated with the training necessary to 
receive CPR and AED certification in accordance 
with the materials and resources developed under 
section 399V–6(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– 
6(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-
tion and certifications as such Secretary may rea-
sonably require. 
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‘‘(2) AED TRAINING AND ALLOCATION.—To be 
eligible to use grant funds 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 an AED training program in conjunction 
with a CPR 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 one or more of the following 
priorities: 
‘‘(1) A demonstrated need for initiating a CPR 
or AED training program in an eligible school or a 
community served by an eligible school, which may 
include— 
‘‘(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-
ing a typical day, as determined by the Sec-
retary; 
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‘‘(C) schools for which the average time re-
quired for emergency medical services (as de-
fined in section 330J(f)) 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 use of an AED. 
‘‘(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 
youth sports organizations to aid in providing train-
ing in both CPR and AED usage and in obtaining 
AED equipment. 
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‘‘(5) Recognized opportunities to maximize the 
use of funds provided under this section. 
‘‘(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 for the local edu-
cational agency is 20 percent or more of the total 
number of children aged 5 to 17, inclusive, served by 
the eligible local educational 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 9101 of the Elementary and Secondary Edu-
cation Act of 1965, that has established a plan to 
follow the guidelines and carry out the recommenda-
tions described under section 399V–6(a) regarding 
cardiac emergencies. 
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‘‘(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 
2016 through 2021. 
‘‘SEC. 399V–8. 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 
authorized under section 301, that are being carried out 
as of the date of enactment of the SAFE PLAY Act, to 
determine the degree to which school administrators, edu-
cators, school health professionals, coaches, families, and 
other appropriate individuals have an understanding of 
cardiac issues. Such data collection methods shall be de-
signed to collect information about— 
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‘‘(a) the ability to accurately identify early symptoms 
of a cardiac condition, such as cardiomyopathy, cardiac 
arrest, and sudden cardiac death; 
‘‘(b) the dissemination of training described in section 
399V–6(a)(3) regarding the proper performance of 
cardiopulmonary resuscitation; and 
‘‘(c) the dissemination of guidelines and training de-
scribed in section 399V–6(a)(4) regarding the placement 
and use of automatic external defibrillators.’’. 
SEC. 3. PREVENTION AND TREATMENT OF YOUTH ATHLETE 
CONCUSSIONS. 
Part E of title IX of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7881 et seq.) is amend-
ed— 
(1) by striking the heading relating to subpart 
2 and inserting the following: ‘‘Subpart 3— 
Other Provisions’’; and 
(2) by inserting after subpart 1, the following 
new subpart: 
‘‘Subpart 2—State Requirements for the Prevention 
and Treatment of Concussions 
‘‘SEC. 9511. MINIMUM STATE REQUIREMENTS. 
‘‘(a) IN GENERAL.—Beginning for fiscal year 2017, 
as a condition of receiving funds under this Act for a fiscal 
year, a State shall, not later than July 1 of the preceding 
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fiscal year, certify to the Secretary in accordance with sub-
section (b) that the State has in effect and is enforcing 
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 consid-
eration 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 
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for both initial and any subsequent concus-
sions; and 
‘‘(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-
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introducing cognitive demands on such stu-
dent; and 
‘‘(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 
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‘‘(ii) applying best practice and uni-
form standards for concussion safety and 
management to all students enrolled in the 
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— 
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‘‘(i) the definition of a concussion 
under section 9512(1); 
‘‘(ii) the means available to the stu-
dent to reduce the incidence or recurrence 
of a concussion; and 
‘‘(iii) the effects of a concussion on 
academic learning and performance. 
‘‘(3) RESPONSE
TO
A
CONCUSSION.—If any 
school personnel of a public school in the State sus-
pect that a student has sustained a concussion dur-
ing a school-sponsored athletic activity or other 
school-sponsored activity— 
‘‘(A) the student shall be— 
‘‘(i) immediately removed from par-
ticipation in such activity; and 
‘‘(ii) prohibited from resuming partici-
pation in school-sponsored athletic activi-
ties— 
‘‘(I) on the day the student sus-
tained the concussion; and 
‘‘(II) until the day the student is 
capable of resuming such participa-
tion, according to the student’s writ-
ten release, as described in para-
graphs (4) and (5); 
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‘‘(B) the school personnel shall report to 
the concussion management team described 
under paragraph (1)(B)(i)— 
‘‘(i) that the student may have sus-
tained a concussion; and 
‘‘(ii) all available information with re-
spect to the student’s injury; and 
‘‘(C) the concussion management team 
shall confirm and report to the parents of the 
student— 
‘‘(i) the type of injury, and the date 
and time of the injury, suffered by the stu-
dent; and 
‘‘(ii) any actions that have been taken 
to treat the student. 
‘‘(4) RETURN TO ATHLETICS.—If a student en-
rolled in a public school in the State sustains a con-
cussion, before the student resumes participation in 
school-sponsored athletic activities, the relevant 
school personnel shall receive a written release from 
a health care professional, that— 
‘‘(A) may require the student to follow a 
plan designed to aid the student in recovering 
and resuming participation in such activities in 
a manner that— 
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‘‘(i) is coordinated, as appropriate, 
with periods of cognitive and physical rest 
while symptoms of a concussion persist; 
and 
‘‘(ii) reintroduces cognitive and phys-
ical demands on the student on a progres-
sive basis so long as such increases in exer-
tion do not cause the re-emergence or 
worsening of symptoms of a concussion; 
and 
‘‘(B) states that the student is capable of 
resuming participation in such activities once 
the student is asymptomatic. 
‘‘(5) RETURN TO ACADEMICS.—If a student en-
rolled in a public school in the State has sustained 
a concussion, the concussion management team (as 
described under paragraph (1)(B)(i)) of the school 
shall consult with and make recommendations to rel-
evant school personnel and the student to ensure 
that the student is receiving the appropriate aca-
demic supports, including— 
‘‘(A) providing for periods of cognitive rest 
over the course of the school day; 
‘‘(B) providing modified academic assign-
ments; 
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‘‘(C) allowing for gradual reintroduction to 
cognitive demands; and 
‘‘(D) other appropriate academic accom-
modations or adjustments. 
‘‘(b) CERTIFICATION REQUIREMENT.—The certifi-
cation required under subsection (a) shall be in writing 
and include a description of the law or regulation that 
meets the requirements of subsection (a). 
‘‘SEC. 9512. DEFINITIONS. 
‘‘In this subpart: 
‘‘(1) 
CONCUSSION.—The 
term 
‘concussion’ 
means a type of mild traumatic brain injury that— 
‘‘(A) is caused by a blow, jolt, or motion 
to the head or body that causes the brain to 
move rapidly in the skull; 
‘‘(B) disrupts normal brain functioning 
and alters the physiological state of the indi-
vidual, causing the individual to experience— 
‘‘(i) any period of observed or self-re-
ported— 
‘‘(I) transient confusion, dis-
orientation, or altered consciousness; 
‘‘(II) 
dysfunction 
of 
memory 
around the time of injury; or 
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‘‘(III) disruptions in gait or bal-
ance; and 
‘‘(ii) symptoms that may include— 
‘‘(I) physical symptoms, such as 
headache, fatigue, or dizziness; 
‘‘(II) cognitive symptoms, such 
as memory disturbance or slowed 
thinking; 
‘‘(III) emotional symptoms, such 
as irritability or sadness; or 
‘‘(IV) difficulty sleeping; and 
‘‘(C) occurs— 
‘‘(i) with or without the loss of con-
sciousness; and 
‘‘(ii) during participation— 
‘‘(I) in a school-sponsored ath-
letic activity; or 
‘‘(II) in any other activity with-
out regard to whether the activity 
takes place on school property or dur-
ing the school day. 
‘‘(2) HEALTH CARE PROFESSIONAL.—The term 
‘health care professional’ means a physician (includ-
ing a medical doctor or doctor of osteopathic medi-
cine), registered nurse, athletic trainer, physical 
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therapist, neuropsychologist, or other qualified indi-
vidual— 
‘‘(A) who is registered, licensed, certified, 
or otherwise statutorily recognized by the State 
to provide medical treatment; and 
‘‘(B) whose scope of practice and experi-
ence includes the diagnosis and management of 
traumatic brain injury among a pediatric popu-
lation. 
‘‘(3) PARENT.—The term ‘parent’ means bio-
logical or adoptive parents or legal guardians, as de-
termined by applicable State law. 
‘‘(4) 
PUBLIC
SCHOOL.—The 
term 
‘public 
school’ means an elementary school or secondary 
school (as such terms are so defined), including any 
public charter school that is considered a local edu-
cational agency under State law, and which is not an 
Internet- or computer-based community school. 
‘‘(5) SCHOOL PERSONNEL.—The term ‘school 
personnel’ has the meaning given such term in sec-
tion 4151, except that such term includes coaches 
and athletic trainers. 
‘‘(6) SCHOOL-SPONSORED
ATHLETIC
ACTIV-
ITY.—The term ‘school-sponsored athletic activity’ 
means— 
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‘‘(A) any physical education class or pro-
gram of a public school; 
‘‘(B) any athletic activity authorized by a 
public school that takes place during the school 
day on the school’s property; 
‘‘(C) any activity of an extracurricular 
sports team, club, or league organized by a pub-
lic school; and 
‘‘(D) any recess activity of a public 
school.’’. 
SEC. 4. HEAT ADVISORY AND HEAT ACCLIMATIZATION 
GUIDELINES FOR SECONDARY SCHOOL ATH-
LETICS. 
Part E of title IX of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7881 et seq.) is amend-
ed by adding at the end the following: 
‘‘SEC. 9537. HEAT ADVISORY AND HEAT ACCLIMATIZATION 
PROCEDURES. 
‘‘(a) MATERIALS AND RESOURCES.—The Secretary, 
in consultation with the Secretary of Health and Human 
Services and the Secretary of Commerce, acting through 
the Administrator of the National Oceanic and Atmos-
pheric Administration, shall develop public education and 
awareness materials and resources to be disseminated to 
school administrators, school health professionals, coach-
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es, families, and other appropriate individuals. The mate-
rials and resources shall include— 
‘‘(1) information regarding the health risks as-
sociated with exposure to excessive heat and exces-
sive humidity, as defined by the National Weather 
Service; 
‘‘(2) tips and recommendations on how to avoid 
heat-related illness, including proper hydration and 
access to the indoors or cooling stations; and 
‘‘(3) strategies for ‘heat-acclimatization’ that 
address the types and duration of athletic activities 
considered to be generally safe during periods of ex-
cessive heat. 
‘‘(b) IMPLANTATION OF EXCESSIVE HEAT ACTION 
PLAN.—Public schools shall develop an ‘excessive heat ac-
tion plan’ to be used during all school-sponsored athletic 
activities that occur during periods of excessive heat and 
humidity. Such plan shall— 
‘‘(1) be in effect prior to full scale athletic par-
ticipation by students, including any practices or 
scrimmages prior to the beginning of the school’s 
academic year; and 
‘‘(2) apply to days when an Excessive Heat 
Watch or Excessive Heat Warning or Advisory has 
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been issued by the National Weather Service for the 
area in which the athletic event is to take place.’’. 
SEC. 5. GUIDELINES FOR EMERGENCY ACTION PLANS FOR 
ATHLETICS. 
The Secretary of Health and Human Services, work-
ing through the Director of the Centers for Disease Con-
trol and Prevention, and in consultation with the Sec-
retary of Education, shall work with stakeholder organiza-
tions to develop recommended guidelines for the develop-
ment of emergency action plans for youth athletics. Such 
plans shall include the following: 
(1) Identifying the characteristics of an athletic, 
medical, or health emergency. 
(2) Procedures for accessing emergency commu-
nication equipment and contacting emergency per-
sonnel, including providing directions to the specific 
location of the athletic venue that is used by the 
youth athletic group or organization. 
(3) Instructions for accessing and utilizing ap-
propriate first-aid, CPR techniques, and emergency 
equipment, 
such 
as 
an 
automatic 
external 
defibrillator. 
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