‘‘(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 actives 
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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