Alabama Administrative Code › Title 165 - ALABAMA ATHLETIC COMMISSION › Chapter 165-X-4 - TOUGHMAN › Section 165-X-4-.04 - Medical Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Age.
			 No fighter will be allowed over 37 years of age or under 18 years of
			 age.
(2) Rounds. No fighter will be
			 allowed to participate who has fought 200 or more rounds in toughman contests,
			 elimination boxing or a combination of the two.
(3) Medical Examinations.
(a) Pre-Fight Examination. At the time of
			 weigh-in, or at such other time as is then announced, all contestants must pass
			 a pre-fight medical examination and a commission designated physician must
			 complete a Pre-Fight Medical Examination Form. The examining physician shall
			 deliver all Pre-Fight Examination Forms to the Athletic Commission or to its
			 authorized representative no more than five (5) days after the
			 weigh-in.
(b) Pregnancy Testing.
1. Each female contestant, during the
			 pre-fight physical, will be required to submit to a pregnancy test administered
			 under the direction of the examining physician, or such physician's authorized
			 assistant. The cost of such test shall be the responsibility of the promoter.
			 No contestant shall be allowed whose pregnancy test indicates they are
			 pregnant.
2. Female contestants
			 submitting written documentation acceptable to the examining physician may be
			 waived from the pre-fight physical pregnancy test requirement. Such
			 documentation shall be limited to:
(i) A copy
			 of a lab report from a recognized clinical laboratory and dated within ten (10)
			 days of the pre-fight physical attesting that the contestant is not pregnant,
			 or
(ii) A statement from a state
			 licensed physician, on such physician's letterhead stationery, stating that the
			 contestant has undergone certain medical procedures rendering her medically
			 improbable of bearing children.
(c) Failed Pre-Fight Physical.
1. Whenever a contestant examination
			 indicates that he or she is unfit for competition, because of any weakness or
			 disability discovered by the physician, an immediate report of such evidence
			 must be made to the Commission. In such case, the contestant shall be
			 prohibited from participating in the event.
2. The examining physician shall deliver all
			 pre-fight examination reports to the Commission or to its authorized
			 representative immediately after the weigh-in.
3. Any contestant who fails his or her
			 pre-fight physical for medical reasons or for lack of general conditioning
			 shall be placed on immediate medical suspension and reported to the
			 Commission.
(d) Hydration
			 Testing.
1. At the official weigh-in, all
			 contestants' hydration shall be tested by the appointed event
			 physician.
(e) Minimum
			 Uncorrected Visual Acuity.
1. A contestant
			 must have a minimum uncorrected visual acuity of 20/200 in both eyes. Any
			 person who applies for a license or renewal of license to compete as a
			 professional contestant in Alabama may, upon the request of the Commission, be
			 required to present evidence of his/her visual acuity.
(f) Additional Medical Examinations.
1. Upon recommendation of the examining
			 physician or the medical advisory panel, the Commission may require a
			 contestant to undergo additional medical examinations performed by a state
			 licensed physician to determine the contestant's medical fitness to
			 compete.
(g) Drugs
			 Prohibited.
1. The administration or use of
			 any drugs, alcohol, stimulants, or injections in any part of the contestant's
			 body, either prior to or during a match, is prohibited unless such drugs are
			 administered by a physician and with the approval of the commission.
(h) The Commission may order a
			 contestant to undergo a drug screening at any time. A Drug Screen Form must be
			 completed by an approved laboratory and submitted to the Commission within
			 seven (7) days of the order.
(i)
			 Post Contest Inactive Period.
1. No contestant
			 shall be permitted to engage in another contest or exhibition in this state for
			 a period of seven (7) days after competing in a contest or
			 exhibition.
(j) Head
			 Injury.
1. Any contestant who suffers a knock
			 out, concussion, or other serious head injury should be examined by the
			 Ringside Physician. The Physician shall immediately report to the Commission or
			 its representative, the condition of such contestant and whether or not
			 additional medical attention is advised.
(k) Consecutive Losses.
1. Six or More Consecutive Losses. A
			 contestant who has lost six (6) or more consecutive fights shall have their
			 ability to register summarily suspended. Suspension will be listed as
			 "Indefinite Pending Hearing."
2.
			 Three or More Consecutive Losses by TKO, KO, or DQ. A contestant who has lost
			 three (3) consecutive fights by knock-out, technical knock-out, or
			 disqualification shall have their registration summarily suspended pending a
			 hearing by the Commission. Suspension will be listed as "Indefinite Pending
			 Hearing."
3. History of Poor
			 Performance. Any contestant whose history of poor performance is evidenced by
			 consecutive losses, listed above, shall not be approved to compete again.
(l) Verification of
			 Contestant Experience.
1. Contestant shall
			 sign an affidavit attesting to the following as true:
(i) Contestant is not a professional boxer or
			 mixed martial artist.
(ii)
			 Contestant has not lost his or her last six (6) consecutive fights.
(iii) Contestant has not lost three (3)
			 consecutive fights by TKO, KO, or DQ.
(m) General Responsibilities and Provisions.
1. During the performance of any promotion,
			 it shall be the promoter's responsibility to ensure the compliance with all
			 laws and rules governing toughman and elimination tough man in Alabama. Such
			 responsibilities shall include, but will not be limited to the following:
(i) Medical Insurance.
(I) The promoter shall provide for the
			 contestants' insurance covering ambulance services, medical, surgical, and
			 hospital care with a minimum limit of $20,000 for injuries sustained while
			 participating in said program and for a $20,000 death benefit awarded to the
			 estate of any contestant should death occur from injuries received while
			 participating in the contest or exhibition.
(ii) Physician.
(I) A ringside physician shall be present at
			 all events. A Commission designated ringside physician must be at ringside each
			 bout. A Commission designated ringside physician shall be either a M.D. or D.O.
1. Physicians not having completed the
			 Ringside Physician Certification shall be licensed as "Non-Ringside
			 Physicians," but may serve at ring or cage side so long as a minimum of one
			 certified Ringside Physician is present.
(II) All "Ringside" physicians serving ring
			 or cage side shall obtain ARP/ACSM Certified Ringside Physician (CRP)
			 certification. All physicians having completed the CRP shall be licensed as a
			 "Ringside Physician."
(iii) Ambulance Service.
(I) The promoter shall provide continuous
			 ambulance service with a state-certified EMT attendant and a state-certified
			 paramedic, who shall provide a resuscitator, stretcher, backboard, oxygen, and
			 such other medical equipment reasonably expected for immediate trauma care, and
			 who shall be present before the start of each contest and shall remain on site
			 until the end of the program.
(II)
			 For the purposes of this section, a program of toughman begins with the
			 commencement of the first contest or exhibition and ends when the last
			 contestant leaves the site of the program.
(III) The chief referee and/or Commission
			 appointed supervisor shall meet with the EMT and paramedic prior to the
			 beginning of the match, contest, or exhibition. During such meeting the chief
			 referee or Commission supervisor will instruct the EMT and paramedic concerning
			 the match, contest, or exhibition, placement of the stretcher and any other
			 information necessary to ensure prompt and appropriate immediate
			 care.
(IV) An ambulance shall be
			 able and available to immediately transport any severely injured contestant to
			 an appropriate medical facility. No other scheduled contest or exhibition may
			 proceed until there is an ambulance and paramedic at the facility, that has met
			 with the chief referee and/or the Commission appointed supervisor as described
			 in subparagraph (III), above.