Wyoming

Wyoming

·      School districts are also required to adopt protocols to address risks associate with concussion and other head injuries, including providing training to coaches and trainers, restricting a student’s participation in sports after suffering a concussion or head injury, and distributing educational information to students and parents.

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Washington

Washington (State)

•   On a yearly basis, a concussion and head injury information sheet shall be signed and returned by the youth athlete and the athlete's parent and/or guardian prior to participation in practice or competition.

•   A youth athlete who is suspected of sustaining a concussion or head injury in a practice or game must be removed from play.

•   A youth athlete who has been removed from play may not return to play until evaluated by a licensed health care provider trained in the evaluation and management of concussions.

•   The athlete must obtain written clearance to return to play from the health care provider.

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Virginia

Virginia

•   On an annual basis, each school district shall provide student athletes with information on concussions and each student athlete and the student athlete's parent/guardian shall sign a statement acknowledging receipt of the information.

•   Each school district must develop policies for handling student-athlete concussions, including requiring athletes suspected of sustaining a concussion or head injury to be removed from play until evaluated by a licensed health care provider.

•   The athlete must obtain written clearance to return to play from the health care provider.

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Vermont

Vermont

·      A youth athlete with a concussion must be cleared by a licensed health care professional trained in the evaluation and management of concussions before returning to play or practice

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Utah

Utah

•   The child must also receive a medical clearance before returning to play. 

•   All amateur sports organizations (including public and private schools and sports camps) must adopt a policy that ensures concussion awareness education for coaches, teachers, and parents.

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Texas

Texas

·      Coaches and trainers for extracurricular athletics must complete the safety training program, which should address identification of concussion symptoms of concussions (among other provisions).

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South Dakota

South Dakota

•   A concussion information sheet must be signed and returned each academic year by any student athlete and his/her parent. 

•   A student athlete who was removed from play due to sustaining a concussion can only resume athletic participation if he/she no longer has symptoms and has written clearance from a licensed health care provider trained in the evaluation of concussions. 

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Rhode Island

Rhode Island

•   A concussion and head injury information sheet shall be signed and returned by the student athlete and the athlete’s parent/guardian.

•   A youth athlete who is suspected of sustaining a concussion or head injury in practice or a game must be removed from play and cannot return until evaluated by a licensed physician and obtaining written clearance to return to play from that licensed.

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Oregon

Oregon

•   Coaches are not permitted to allow athletes to participate in practice or events while they exhibit signs or symptoms of concussion or have been diagnosed with a concussion.

•   Athletes must no longer exhibit signs or symptoms and have a medical release from a health care professional before returning.

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Oklahoma

Oklahoma

·      A youth athlete suspected of sustaining a concussion or head injury during a practice or game must be removed from participation and may not return to play until evaluated by a licensed health care provider trained in the evaluation and management of concussions and obtaining written clearance from the health care provider.

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North Dakota

North Dakota

·      Each official, coach, and athletic trainer must receive biennial training regarding the nature and risk of concussion.

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North Carolina

North Carolina

•   The training program must include: written information detailing the recognition of the signs and symptoms of concussions and other head injuries; a description of the physiology and the potential short term and long term effects of concussions and other head injuries; and the medical return to play protocol for postconcussion participation in interscholastic athletic activities.

•   All middle schools and high schools must provide a concussion and head injury information sheet on an annual basis to all coaches, school nurses, athletic directors, first responders, volunteers, students who participate in interscholastic athletic activities, and the parents of those students.  School employees, first responders, volunteers, and students must sign the sheet and return it to the coach before they can participate in interscholastic athletic activities, including tryouts, practices, or competition. Parents must sign the sheet and return it to the coach before their children can participate in any such interscholastic athletic activities.

•   If a student participating in an interscholastic athletic activity exhibits signs or symptoms consistent with concussion, the student must be removed from the activity at that time and shall not be allowed to return to play or practice that day. The student cannot return to play or practice on a subsequent day until the student is evaluated by and receives written clearance for such participation from a physician with training in concussion management, a neuropsychologist with training in concussion management and working in consultation with a physician, an athletic trainer, a physician assistant or a nurse practitioner.

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New Mexico

New Mexico

•   Student athletes who have sustained brain injuries would be prohibited from participating in school athletic activities for at least one week and would have to obtain a medical release from a licensed health care professional.

•   The state activities association must develop a brain injury training program for coaches. School districts must ensure coaches receive the training.

•   The state activities association must also develop brain injury information forms and educational materials for coaches, student athletes, and parents/guardians on the nature and risk of brain injury resulting from athletic activity, including the risks associated with continuing to play with a brain injury.

•   At the beginning of each academic year, the student athlete and his or her parent/guardian must sign the brain injury information form and return it to the school district.

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New Jersey

New Jersey

·      Student-athletes who show signs of a concussion will also need to be removed from play, and can only return to play after a medical clearance.

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Nevada

Nevada

·      A pupil who participates in interscholastic activities and events and his or her parent or legal guardian must sign a form acknowledging that they have received a copy of the policy and understand its terms and conditions before the pupil’s participation in the activity or event and must sign the form on an annual basis.

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Nebraska

Nebraska

•   Concussion and brain injury information must also be provided on an annual basis to students and the students’ parents or guardians prior to such students initiating practice or competition. The information provided to students and the students’ parents or guardians shall include, but not limited to, the following: the signs and symptoms of a concussion; the risks posed by sustaining a concussion; and the actions a student should take in response to sustaining a concussion, including the notification of his or her coaches.

•   A student who participates on a school athletic team must be removed from a practice or game when he or she is reasonably suspected of having sustained a concussion or brain injury in such practice or game after observation by a coach or a licensed health care professional who is professionally affiliated with or contracted by the school. In order to return to play, the student must be evaluated by a licensed health care professional, has received written and signed clearance to resume participation in athletic activities from the licensed health care professional, and has submitted the written and signed clearance to resume participation in athletic activities to the school accompanied by written permission to resume participation from the student’s parent or guardian.

•   If an athlete is reasonably suspected after observation of having sustained a concussion or brain injury and is removed from play, the parent or guardian of the athlete shall be notified by the coach or a representative of the city, village, business, or nonprofit organization that organized the athletic activity of the date and approximate time of the injury suffered by the athlete, the signs and symptoms of a concussion or brain injury that were observed, and any actions taken to treat the athlete.

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Missouri

Missouri

•   Coaches, parents and athletes are required to receive education annually regarding concussions.

•   An athlete who appears to have sustained a concussion is to be immediately removed from play or practice. The athlete is not allowed to return for a minimum of 24 hours. 

•   A licensed health care provider trained in the evaluation and management of concussions must provide clearance for the athlete to return to play or practice.

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Minnesota

Minnesota

·      A coach or official must to remove a youth athlete from the athletic activity if the youth athlete exhibits signs, symptoms, or behaviors consistent with a concussion or is suspected of sustaining a concussion. The youth athlete can return to play once he/she is evaluated by a trained provider and the provider gives them written permission to return to the activity; and the provider develops a plan to aid the youth athlete in recovering and resuming participation in athletic activities and academics that is coordinated with periods of cognitive and physical rest while symptoms persist; and reintroduces cognitive and physical demands on the young person on a progressive basis only.

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Massachusetts

Massachusetts

•   School districts must provide students participating in extracurricular athletic activities with information related to head injuries, including the biology and short-term and long-term consequences of concussions.

•   Students and parents/guardians would be required to sign injury history forms prior to participating in extracurricular activities. 

•   If a student participating in an extracurricular athletic activity (practice or competition) becomes unconscious or suffers a concussion as diagnosed by a medical professional, the student may not return to play or participate in any extracurricular athletic activities until the student receives written authorization from a physician.

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Maryland

Maryland

·      In addition, removal from play guidelines are specified in cases of suspected concussions.  Students can only return to play if cleared by a licensed health care provider who is trained in the evaluation and management of concussions.

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