1.1.................... moves to amend H.F. No. 905 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. [121A.045] YOUTH SPORTS PROGRAMS.
1.4(a) Consistent with section 121A.323, any city, business, or nonprofit organization
1.5that organizes a youth athletic activity for which a fee is charged shall:
1.6(1) make information accessible to all participating coaches, officials, and the youth
1.7athletes and their parents or guardians about the nature and risks of concussions, including
1.8the effects and risks of continuing to play after receiving a concussion, and the protocols
1.9and content, consistent with current medical knowledge from the Centers for Disease
1.10Control and Prevention, related to:
1.11(i) the nature and risks of concussions associated with athletic activity;
1.12(ii) the signs, symptoms, and behaviors consistent with a concussion when a youth
1.13athlete is suspected or observed to have received a concussion;
1.14(iii) the need to alert appropriate medical professionals for urgent diagnosis and
1.15treatment; and
1.16(iv) the need for a youth athlete who sustains a concussion to follow proper medical
1.17direction and protocols for treatment and returning to play;
1.18(2) require all participating coaches and officials to receive annual online training,
1.19consistent with clause (1) and the Concussion in Youth Sports training program available
1.20on the Centers for Disease Control and Prevention Web site; and
1.21(3) before a youth athlete participates in a youth athletic activity, require the youth
1.22athlete and the athlete's parent or guardian to sign and submit to a coach or other official
1.23a concussion information form indicating that the youth athlete received information
1.24about concussions.
1.25(b) A coach or official shall remove a youth athlete from participating in any youth
1.26athletic activity when the youth athlete:
1.27(1) exhibits signs, symptoms, or behaviors consistent with a concussion; or
2.1(2) is suspected of sustaining a concussion.
2.2(c) When a coach or official removes a youth athlete from participating in a youth
2.3athletic activity because of a concussion, the youth athlete may not return to participating
2.4in the activity until he or she:
2.5(1) no longer exhibits signs, symptoms, or behaviors consistent with a concussion;
2.6and
2.7(2) is evaluated by a provider trained and experienced in evaluating and managing
2.8concussions and the provider gives the youth athlete written permission to return to
2.9participating in the activity; and
2.10(3) if needed, the provider develops a plan to aid the young person in recovering and
2.11resuming participation in youth athletic activities and academics that:
2.12(i) is coordinated, as appropriate, with periods of cognitive and physical rest while
2.13symptoms persist; and
2.14(ii) reintroduces cognitive and physical demands on the young person on a
2.15progressive basis only as increases in exertion do not cause symptoms to reemerge or
2.16worsen.
2.17(d) Failing to remove a youth athlete from an activity as required under this section
2.18does not violate section 604A.11, subdivision 2, clause (6).
2.19EFFECTIVE DATE.This section is effective beginning September 1, 2011.

2.20    Sec. 2. [121A.323] CONCUSSION PROCEDURES.
2.21    Subdivision 1. Definitions. For purposes of this section and section 121A.045, the
2.22following terms have the meanings given them.
2.23 (a) "Concussion" means a complex pathophysiological process affecting the brain,
2.24induced by traumatic biokinetic forces caused by a direct blow to either the head, face, or
2.25neck, or elsewhere on the body with an impulsive force transmitted to the head that may
2.26involve the rapid onset of short-lived impairment of neurological function and clinical
2.27symptoms, loss of consciousness, or prolonged postconcussive symptoms.
2.28(b) "Provider" means a licensed health care provider who is:
2.29(1) registered, licensed, certified, or otherwise statutorily authorized by the state to
2.30provide medical treatment; and
2.31(2) trained and experienced in evaluating and managing pediatric concussions.
2.32(c) "Youth athlete" means a young person through age 18 who actively participates
2.33in an athletic activity, including a sport.
2.34(d) "Youth athletic activity" means any athletic activity related to competition,
2.35practice, or training exercises.
3.1    Subd. 2. School-sponsored sports. (a) The appropriate sports governing body,
3.2including the high school league under chapter 128C, among other governing bodies,
3.3shall work with the department to make information accessible to public and nonpublic
3.4school coaches, officials, and youth athletes and their parents or guardians about the
3.5nature and risks of concussions, including the effects of continuing to play after receiving
3.6a concussion. The information shall include protocols and content, consistent with current
3.7medical knowledge from the Centers for Disease Control and Prevention, related to:
3.8(1) the nature and risks of concussions associated with athletic activity;
3.9(2) the signs, symptoms, and behaviors consistent with a concussion;
3.10(3) the need to alert appropriate medical professionals for urgent diagnosis and
3.11treatment when a youth athlete is suspected or observed to have received a concussion; and
3.12(4) the need for a youth athlete who sustains a concussion to follow proper medical
3.13direction and protocols for treatment and returning to play.
3.14(b) Consistent with paragraph (a), the appropriate sports governing body and the
3.15department shall provide access to the Concussion in Youth Sports training program
3.16available on the Centers for Disease Control and Prevention Web site. Each school
3.17coach and official involved in youth athletic activities must complete the online training
3.18program at least annually.
3.19(c) Before a youth athlete may participate in a youth athletic activity in a school year,
3.20the youth athlete and the athlete's parent or guardian must sign and submit to a designated
3.21official a concussion information form developed by the department indicating that the
3.22youth athlete has received information about concussions, consistent with this subdivision.
3.23(d) A coach or official shall remove a youth athlete from participating in any youth
3.24athletic activity when the youth athlete:
3.25(1) exhibits signs, symptoms, or behaviors consistent with a concussion; or
3.26(2) is suspected of sustaining a concussion.
3.27(e) When a coach or official removes a youth athlete from participating in a youth
3.28athletic activity because of a concussion, the youth athlete may not return to the activity
3.29until he or she:
3.30(1) no longer exhibits signs, symptoms, or behaviors consistent with a concussion;
3.31and
3.32(2) is evaluated by a provider trained and experienced in evaluating and managing
3.33concussions and the provider gives the youth athlete written permission to return to
3.34play; and
3.35(3) if needed, the provider develops a plan to aid the young person in recovering and
3.36resuming participation in youth athletic activities and academics that:
4.1(i) is coordinated, as appropriate, with periods of cognitive and physical rest while
4.2symptoms persist; and
4.3(ii) reintroduces cognitive and physical demands on the young person on a
4.4progressive basis only as increases in exertion do not cause symptoms to reemerge or
4.5worsen.
4.6(f) Failing to remove a youth athlete from an activity as required under this section
4.7does not violate section 604A.11, subdivision 2, clause (6).
4.8EFFECTIVE DATE.This section is effective for the 2011-2012 school year and
4.9later.

4.10    Sec. 3. Minnesota Statutes 2010, section 128C.02, is amended by adding a subdivision
4.11to read:
4.12    Subd. 3b. Concussion awareness, safety, and protection. The league shall adopt a
4.13policy for making accessible to member high schools information about the nature and
4.14risks of concussions to youth athletes, consistent with current medical knowledge from the
4.15Centers for Disease Control and Prevention and section 121A.323.
4.16EFFECTIVE DATE.This section is effective for the 2011-2012 school year and
4.17later."
4.18Amend the title accordingly