TITLE 16

Health and Safety

Regulatory Provisions Concerning Public Health

CHAPTER 30L. Concussion Protection in Youth Athletic Activities Act

§ 3001L. Short title.

This chapter shall be known and may be cited as the “Concussion Protection in Youth Athletic Activities Act.”

80 Del. Laws, c. 409, §  1

§ 3002L. Purpose.

The purposes of this chapter are to protect minors participating in athletic activities who manifest symptoms of concussion, increase recognition of the symptoms of concussion through training and education, and establish standards for return to play.

80 Del. Laws, c. 409, §  1

§ 3003L. Definitions.

For purposes of this chapter:

(1) “Athlete” means a person who engages in athletic activity who is less than 18 years of age.

(2) “Athletic activity” means participation of an athlete in an athletic program or event with on-site coach oversight occurring in the State, including practice or competition, which is:

a. Organized or primarily sponsored by a public, for-profit, or nonprofit organization, including a club, league, or association;

b. A significant concussion risk activity;

c. Not regulated by the Delaware Interscholastic Athletic Association pursuant to Chapter 3 of Title 14;

d. Not part of a school-sponsored field day, supervised recess, gym or physical education class; and

e. Not part of a college or university-sponsored program or event involving its students.

(3) “Concussion” means a traumatic injury to the brain causing a change in a person’s mental status at the time of injury, such as feeling dazed, disoriented, or confused, which may or may not involve a loss of consciousness, resulting from:

a. A fall;

b. A blow or jolt to the head or body;

c. The shaking or spinning of the head or body; or

d. The acceleration or deceleration of the head.

(4) “Council” means the State Council for Persons with Disabilities.

(5) “Division” means the Division of Public Health.

(6) “Health-care provider” means a licensed physician (doctor of medicine or doctor of osteopathic medicine), a physician assistant, or an advanced practice registered nurse, who is trained and experienced in the evaluation, management, and care of concussions, or such other licensed health-care professional who is trained and experienced in the evaluation, management, and care of concussions, as defined by the Division, in consultation with the Council, through regulation.

(7) “Official” means an umpire, referee, or other official who is actively engaged in the officiating of a significant concussion-risk activity.

(8) “Significant concussion risk activity” means football, rugby, soccer, basketball, lacrosse, field hockey, ice hockey, wrestling, volleyball, martial arts, combative sports, gymnastics, baseball, softball, cheerleading, and such other athletic activities as may be identified by the Division through regulation developed in consultation with the Council as statistically correlated with a significant risk of concussion.

80 Del. Laws, c. 409, §  184 Del. Laws, c. 217, § 1

§ 3004L. Concussion protection.

(a) An athlete who is suspected of sustaining a concussion in an athletic activity shall be immediately removed from physical participation in the athletic activity and shall not return to that athletic activity on the same day.

(b) An athlete who has been removed from an athletic activity may not return to physical participation in an athletic activity until evaluated by a health-care provider and the athlete receives written clearance to return to physical participation in an athletic activity from the evaluating health-care provider.

(c) The coach or official responsible for an athlete’s removal shall ensure that prompt notice is provided to the athlete’s parent or guardian of both the removal and medical clearance requirement.

80 Del. Laws, c. 409, §  1

§ 3005L. Materials development and distribution.

(a) Before an athlete may participate in an athletic activity, the organizing entity shall provide a concussion information sheet published by the Council to the athlete and the parent or guardian of the athlete. The athlete and the parent or guardian of the athlete shall sign a statement acknowledging receipt of the information sheet and return it to the organizing entity before the athlete shall be allowed to participate in the athletic activity. For recurrent or on-going athletic activity, the provision of the information sheet and return of the signed acknowledgment shall be completed annually.

(b) The Council shall create and maintain a concussion management section on its website to provide the guidelines necessary for each organization with nonscholastic youth athletic activity to develop their own policies and procedures pertaining to, but not limited to, the creation and production of all of the following:

(1) A concussion information sheet for coaches, officials, athletes, and athletes’ parents or guardians advising of the signs and symptoms of concussion and explaining the risk of continuing to practice or compete in athletic events or activities after sustaining a concussion.

(2) Guidelines for coaches and officials pertaining to athletes who are returning to the classroom after sustaining a concussion (“Return to Learn Guidelines”).

(3) Guidelines for coaches and officials pertaining to athletes returning to practice, play, or competition after a concussion (“Graduated Stepwise Return to Athletic Participation Guidelines”).

(4) Links to 1 or more additional free online concussion training programs as provided by the National Federation of State High School Associations (NFHS), the Centers for Disease Control and Prevention (CDC), or a comparable program or resource.

(c) The Council, in collaboration with the Division, shall on a biennial basis review the guidelines set forth in paragraph (b) of this section and update the guidelines accordingly.

80 Del. Laws, c. 409, §  184 Del. Laws, c. 217, § 1

§ 3006L. Coach and official training.

(a) Each on-site official and coach responsible for selection of participants for an athletic activity shall complete initial and periodic concussion training consistent with a schedule and content standards published by the Council. The schedule and content standards shall not exceed any coach or official concussion training requirements adopted by the Delaware Interscholastic Athletic Association and shall include the opportunity to complete verifiable training online.

(b) Every nonscholastic youth athletic activity organization or association created for, engaged in, or otherwise expressly permitting a significant concussion risk activity shall develop policies and procedures pursuant to § 3005L of this section to inform and educate their respective coaches, officials, athletes, and athletes’ parents or guardians of the nature and risks of concussion, including the risks of continuing to play, compete, or practice after incurring a concussion.

80 Del. Laws, c. 409, §  184 Del. Laws, c. 217, § 1

§ 3007L. Regulations.

The Division, in consultation with the Council and other stakeholders, may promulgate regulations to implement the provisions of this chapter.

80 Del. Laws, c. 409, §  184 Del. Laws, c. 217, § 1

§ 3008L. Exclusion of application of chapter.

The requirements of §§ 3005L and 3006L of the title shall not apply to coaches, athletes, officials, parents and guardians of visiting teams or groups of participants from outside the State.

80 Del. Laws, c. 409, §  1

§ 3009L. Annual report.

The Council may include in its annual report information concerning implementation of this chapter obtained through surveys, the Internet, and other sources.

80 Del. Laws, c. 409, §  1