Youth Head-Injury Bill Clears Legislature

Legislation that would establish guidelines for addressing concussion injuries among young Tennessee organized-sports participants has cleared the General Assembly and is headed to the governor’s desk. 

Senate Bill 882 was substituted for HB867 in House Thursday. The measure passed in both chambers by overwhelming majorities – 90-3 in the House, 30-0 last month in the Senate.

“What this does is protect youth who are injured in sports with concussions,” Rep. Cameron Sexton, sponsor of the House bill, told the lower chamber Thursday. “Unfortunately, right now, there’s a lot of people in the United States and in Tennessee who do not know what a concussion looks like.”

The Crossville Republican said the bill would require any youth athletic program to establish concussion policies that include what information is given to all parties, as well as how to evaluate athletes suspected of suffering from such injuries.

The bill covers public or private elementary, middle and high schools, as well as “any city, county, business or non-profit organization that organizes a community-based youth athletic activity for which an activity fee is charged.”

“TSSAA [Tennessee Secondary School Athletic Association] has had this policy in effect for the last three years,” Sexton said. “We’re just mirroring their policy for all youth sports in the state of Tennessee.”

In addition, all coaches, whether employed or volunteer, as well as school athletic directors and directors of community-based youth athletic programs would be required to complete an annual safety program on recognizing concussions and head injuries.

Sexton said the Tennessee Department of Health will develop the Internet-based course that will be free for users. It will include a “concussion signs and symptoms checklist” from the Centers for Disease Control and Prevention.

If Gov. Bill Haslam signs the legislation into law, Tennessee would join 42 other states and the District of Columbia in having such provisions on the books, which received praise only from the Democrats’ side of the aisle.

Democratic House Leader Craig Fitzhugh of Shipley joined Rep. Dennis Powell of Nashville and Rep. G.A. Hardaway of Memphis in commending the sponsor for bringing the bill.

Fitzhugh praised “a good bipartisan effort,” while Powell, who noted that he “suffered several concussions” while playing high school and college football, said he wished the law had been in place then.

Hardaway added that from his experience in coaching four youth sports, “there are instances where ignorance is a dangerous thing, especially in an authority figure that’s exercising the control over our children.”

However, others cautioned that legislating such policies is not necessarily a good thing.

Republican Rep. Mark Pody told the sponsor that while it’s a good bill, “I always have to ponder why we’re continuing to tell the locals what they have to do.”

The Lebanon representative, along with fellow Republicans Rep. David Alexander of Winchester and Rep. Andy Holt of Dresden, voted against the bill.

“I think there’s good merit for the bill,” Holt told after the session. “But I think the bill did dabble into a little bit too much of a mandating sense. We can’t mandate everything about every potential liability that’s out there.

“I think that parents are smart enough. I think coaches and trainers are smart enough, and well positioned in addressing these issues without us having to file a piece of legislation that mandates it.”

Amelia Morrison Hipps may be reached at, on Twitter @CapitolNews_TN or at 615-442-8667.

Press Releases

Tracy Bill to Protect Student Athletes with Concussions Passes Senate Education

Press release from the Tennessee Senate Republican Caucus; February 20, 2013:

(NASHVILLE, Tenn.), February 20, 2013 — Legislation designed to protect student athletes who suffer concussions from risking further medical complications or death overcame its first hurdle this week with passage in the Senate Education Committee. Senate Bill 882, sponsored by Senator Jim Tracy (R-Shelbyville), ensures guidelines are in place to help coaches, youth athletic instructors and parents recognize a concussion and its symptoms in order to keep an injured player from risking their health by returning to competition too soon.

“This is a much needed bill,” said Senator Tracy, who has been a high school coach and NCAA basketball referee. “Education and instruction regarding concussions can help avoid a preventable tragedy.”

The Center for Disease Control (CDC) reports that from 2001-2009, concussions among youth increased 60%, leading the agency to label concussion frequency as reaching “epidemic” proportions. Approximately 70.5% of sports-related emergency visits for traumatic brain injuries were among youth aged 10-19. Once an athlete has suffered an initial concussion, his or her chances of a second one are 3 to 6 times greater than an athlete who has never sustained a concussion.

“This legislation provides better protection for Tennessee’s youth athletes by requiring a more uniform and formal approach to the treatment of concussions. We applaud the sponsors of the bill and urge you to support its passage during this legislative session. Parents, coaches and teachers will benefit from this measure. And, most importantly, so will our kids.” said Adolpho Birch, Senior Vice President of Policy and Government Affairs for the National Football League (NFL).

Tracy’s bill requires schools and community youth athletics authorities where students are under the age of 18 to adopt guidelines based on those developed by the Tennessee Department of Health (DOH). The guidelines must include the nature and risk of concussions, training in recognizing signs and symptoms of head injuries, and the necessity of obtaining medical attention for injured youth athletes.

The legislation also requires that coaches, volunteers, and team medical providers complete a “concussion recognition and head injury safety education course” program that would be available on the DOH website, free of charge. Coaches, as well as parents, must then sign and return concussion and head injury information sheets annually to school administrators or directors for community organizations to show they have reviewed the guidelines.

In addition, schools and organizations must have a policy of removing youth who show signs of concussion from activity for medical evaluation by a team doctor or designated person. Youth cannot return to any activity or competition until evaluation and written clearance by a doctor who has either received training from the National Federation of State High School Associations or reviewed the CDC’s Concussion Toolkit for Physicians.

“This legislation ensures that everyone from coaches to parents understand the signs and symptoms of a concussion,” added Tracy. “Prompt medical attention is key to help these youth make a full recovery.”

Sports that lead to greatest frequency of concussions are football for males and soccer for females. Forty-three states and Washington, D.C. have passed laws protecting athletes under the age of 18 from returning to play too soon after suffering the effects of a concussion.