West Virginia Code § 18-2-25a

Management of concussions and head injuries in athletics at West
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Virginia Secondary School Activities Commission member high school or middle
school.
(a) The Legislature makes the following findings:
(1) Concussions are one of the most commonly reported injuries in children and adolescents
who participate in sports and recreational activities. The Centers for Disease Control and
Prevention estimates that as many as 3.9 million sports-related and recreation-related
concussions occur in the United States each year;
(2) A concussion is caused by a blow or motion to the head or body that causes the brain to
move rapidly inside the skull. The risk of catastrophic injuries or death is significant when a
concussion or head injury is not properly evaluated and managed;
(3) Concussions are a type of brain injury that can range from mild to severe and can disrupt
the way the brain normally functions; l
(4) Concussions can occur in any organized or unorganized sport or recreational activity and
can result from a fall or from players collidiing with each other or with obstacles;
(5) Concussions occur with or without loss of consciousness, but the vast majority occur
without loss of consciousness;
(6) The interscholastic athlete who continues to play or practice with a concussion or
symptoms of head injury is especially vulnerable to greater injury and even death; and
(7) Even with genera lly recognized return-to-play-and-practice standards for concussion and
head injury, sVome affected interscholastic athletes are prematurely returned to play or
practice resulting in increased risk of physical injury or death to the athletes in the state of
West Virginia.
(b) For the purposes of this section, "interscholastic athlete" means any athlete who is
participating in interscholastic athletics at a high school or middle school that is a member
of the West Virginia Secondary School Activities Commission. "Licensed health care
professional" means a health care provider whose licensed scope of practice includes the
ability to diagnose and treat an injury or disease.
(c) The West Virginia Secondary School Activities Commission shall promulgate rules
pursuant to §18-2-25 of this code that address concussions and head injuries in
interscholastic athletes: Provided, That prior to state board approval and notwithstanding
the exemption provided in §29A-1-3 of this code, the state board shall submit the rule to the
Legislative Oversight Commission on Education Accountability pursuant to §29A-3B-9 of this
code.
(d) The rules required by this section shall include, but are not limited to, the following:
(1) Guidelines and other pertinent information to inform and educate appropriate school
administrators, coaches, interscholastic athletes, and their parents or guardians of the
nature and risk of concussion and head injury including the risks of continuing to play or
practice after a concussion or head injury;
(2) A concussion and head injury information sheet that shall be signed and returned by the
interscholastic athlete and the athlete's parent or guardian on an annual baesis before the
interscholastic athlete begins practice or competition;
(3) A requirement that each head coach of an interscholastic sport at a high school or middle
school who is a member of the West Virginia Secondary School Auctivities Commission
complete a commission-approved concussion and head injury recognition and return-to-play
protocol course annually; t
(4) A requirement that an interscholastic athlete who ias suspected by a licensed health care
professional or by his or her head coach or licensed or registered athletic trainer of having
sustained a concussion or head injury in a practicel or game shall be removed from
competition at that time; s
(5) A requirement that an interscholastic aithlete who has been removed from play or
practice may not return to play or pgractice until the athlete is evaluated by a licensed health
care professional trained in the evaluation and management of concussions and receives
written clearance to return to play and practice from the licensed health care professional;
(6) A list of the respective categories of licensed health care professionals including, but not
limited to, licensed physical therapists and licensed or registered athletic trainers who, if
properly trained in the evaluation and management of concussions, are authorized to
provide written clearance for the interscholastic athlete to return to play; and
(7) A requirement that all member schools must submit a report to the West Virginia
Secondary School Activities Commission within 30 days of an interscholastic athlete
suffering or being suspected of suffering a concussion or head injury in a practice or game.
The report must state whether an evaluation by a licensed health care professional verified
that a concussion or head injury was actually suffered, whether the athlete received written
clearance to return to play or practice and, if written clearance was given, the number of
days between the incident and the actual return to play or practice. If written clearance to
return to play is given after 30 days of the incident, a report update shall be submitted. The
West Virginia Secondary School Activities Commission shall compile and submit the reports
to the appropriate state and national organization or agencies to analyze and make
determinations on whether the rule required by this section needs to be amended or if
equipment worn by interscholastic athletes needs to be changed accordingly. The West
Virginia School Activities Commission also shall submit the reports to the Legislative
Oversight Commission on Health and Human Resources Accountability.
(e) Any member school not complying with the requirements of this section, and rules
promulgated thereof, shall be subject to the disciplinary actions ordered by the West
Virginia Secondary School Activities Commission: Provided, That the West Virginia
Secondary School Activities Commission shall promulgate rules to establish guidelines for
noncompliance and related disciplinary actions: Provided, however, That prior to state board
approval and notwithstanding the exemption provided in §29A-1-3 of this code, the state
board shall submit the rule to the Legislative Oversight Commission on Education
Accountability pursuant to §29A-3B-9 of this code. e

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