Health & Safety: A Look Back, Gallop Ahead
By
John E. (Jack) Roberts
MHSAA Executive Director, 1986-2018
August 7, 2015
We are just completing year six of eight during which we have been addressing the four important health and safety issues that, for ease of conversation, we call the “Four Hs.”
During the 2009-10 and 2010-11 school years, our focus was on Health Histories. We made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.
During the 2011-12 and 2012-13 school years, our focus was on Heads. We were an early adopter of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.
Without leaving that behind, during the 2013-14 and 2014-15 school years, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management.
At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season practices and to reduce head contact at football practices all season long.
Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death.
Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them.
On Feb. 10, bills were introduced into both the U.S. Senate and House of Representatives, together called the “Safe Play Act (see below),” which addressed three of the four health and safety “H’s” just described: Heat, Hearts and Heads.
For each of these topics, the federal legislation would mandate that the director of the Centers for Disease Control develop educational material and that each state disseminate that material.
For the heat and humidity management topic, the legislation states that schools will be required to adopt policies very much like the “MHSAA Model Policy to Manage Heat and Humidity” which the MHSAA adopted in March of 2013.
For both the heart and heat topics, schools will be required to have and to practice emergency action plans like we have been promoting in the past and distributed to schools this summer.
For the head section, the legislation would amend Title IX of the 1972 Education Amendments and eliminate federal funding to states and schools which fail to educate their constituents or fail to support students who are recovering from concussions. This support would require multi-disciplinary concussion management teams that would include medical personnel, parents and others to provide academic accommodations for students recovering from concussions that are similar to the accommodations that are already required of schools for students with disabilities or handicaps.
This legislation would require return-to-play protocols similar to what we have in Michigan, and the legislation would also require reporting and recordkeeping that is beyond what occurs in most places.
This proposed federal legislation demonstrates two things. First, that we have been on target in Michigan with our four Hs – it’s like they read our playbook of priorities before drafting this federal legislation.
This proposed federal legislation also demonstrates that we still have some work to do.
And what will the following two years – 2017-18 and 2018-19 – bring? Here are some aspirations – some predictions, but not quite promises – of where we will be.
First, we will have circled back to the first “H” – Health Histories – and be well on our way to universal use of paperless pre-participation physical examination forms and records.
Second, we will have made the immediate reporting and permanent recordkeeping of all head injury events routine business in Michigan school sports, for both practices and contests, in all sports and at all levels.
Third, we will have added objectivity and backbone to removal from play decisions for suspected concussions at both practices and events where medical personnel are not present; and we could be a part of pioneering “telemedicine” technology to make trained medical personnel available at every venue for every sport where it is missing today.
Fourth, we will have provided a safety net for families who are unable to afford no-deductible, no exclusion concussion care insurance that insists upon and pays for complete recovery from head injury symptoms before return to activity is permitted.
We should be able to do this, and more, without judicial threat or legislative mandate. We won’t wait for others to set the standards or appropriate the funds, but be there to welcome the requirements and resources when they finally arrive.
Safe Play Act — H.R.829
114th Congress (2015-2016) Introduced in House (02/10/2015)
Supporting Athletes, Families and Educators to Protect the Lives of Athletic Youth Act or the SAFE PLAY Act
Amends the Public Health Service Act to require the Centers for Disease Control and Prevention (CDC) to develop public education and awareness materials and resources concerning cardiac health, including:
- information to increase education and awareness of high risk cardiac conditions and genetic heart rhythm abnormalities that may cause sudden cardiac arrest in children, adolescents, and young adults;
- sudden cardiac arrest and cardiomyopathy risk assessment worksheets to increase awareness of warning signs of, and increase the likelihood of early detection and treatment of, life-threatening cardiac conditions;
- training materials for emergency interventions and use of life-saving emergency equipment; and
- recommendations for how schools, childcare centers, and local youth athletic organizations can develop and implement cardiac emergency response plans.
Requires the CDC to: (1) provide for dissemination of such information to school personnel, coaches, and families; and (2) develop data collection methods to determine the degree to which such persons have an understanding of cardiac issues.
Directs the Department of Health and Human Services to award grants to enable eligible local educational agencies (LEAs) and schools served by such LEAs to purchase AEDs and implement nationally recognized CPR and AED training courses.
Amends the Elementary and Secondary Education Act of 1965 to require a state, as a condition of receiving funds under such Act, to certify that it requires: (1) LEAs to implement a standard plan for concussion safety and management for public schools; (2) public schools to post information on the symptoms of, the risks posed by, and the actions a student should take in response to, a concussion; (3) public school personnel who suspect a student has sustained a concussion in a school-sponsored activity to notify the parents and prohibit the student from participating in such activity until they receive a written release from a health care professional; and (4) a public school's concussion management team to ensure that a student who has sustained a concussion is receiving appropriate academic supports.
Directs the National Oceanic and Atmospheric Administration to develop public education and awareness materials and resources to be disseminated to schools regarding risks from exposure to excessive heat and humidity and recommendations for how to avoid heat-related illness. Requires public schools to develop excessive heat action plans for school-sponsored athletic activities.
Requires the CDC to develop guidelines for the development of emergency action plans for youth athletics.
Authorizes the Food and Drug Administration to develop information about the ingredients used in energy drinks and their potential side effects, and recommend guidelines for the safe use of such drinks by youth, for dissemination to public schools.
Requires the CDC to: (1) expand, intensify, and coordinate its activities regarding cardiac conditions, concussions, and heat-related illnesses among youth athletes; and (2) report on fatalities and catastrophic injuries among youths participating in athletic activities.
Catch These New Rules as Fall Kicks Off
August 7, 2014
By Geoff Kimmerly
Second Half editor
The first practices of 2014-15 begin next week for approximately 110,000 student-athletes taking part in eight sports in which the Michigan High School Athletic Association sponsors postseason tournaments, with nearly 41,000 football players practicing under a new policy in that sport aimed at continuing to improve player safety.
The new practice policy was proposed by a Football Task Force made up of coaches, administrators and MHSAA staff which met during 2012 and 2013, and approved by the MHSAA’s Representative Council at its Winter Meeting on March 21.
The modifications are meant to promote heat acclimatization and limit helmet-to-helmet contact during practices. They include:
- During the first week of practice, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.
- Before the first regular-season game, schools may not schedule more than one “collision” practice in a day. A collision practice is defined as one in which there is live, game-speed, player-versus-player contact in pads involving any number of players.
- After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday.
- No single football practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours. Neither strength/weight training activities nor video/classroom sessions are considered practice for the purposes of the three or five-hour limits.
Previously, schools were required to conduct at least three days of practice without pads before beginning contact. The change to four days for gradual addition of pads was added to assist athletes in acclimating to being physically active in hot weather. Guidelines reducing the amount of collision practice go hand in hand with rules changes that have been made to reduce helmet-to-helmet contact in game situations. The policies in detail can be found on the Football page of the MHSAA Website.
“We think these new policies, with respect to the number of collision practices there can be before the first game, and after the first game, really are where 85 to 90 percent of our coaches already were,” said John E. “Jack” Roberts, executive director of the MHSAA. “This new policy sends a signal to that 10 to 15 percent to get on board with the rest of us to make football just as safe as it can possibly be.”
Practice in football must begin on August 11 for all schools wishing to begin regular-season games the weekend of August 28-30. Schools must have 12 days of preseason practice at all levels before their first game, and those 12 days of practice may not occur before 16 calendar days.
Practice sessions for all other sports begin on Wednesday (August 13). In golf and tennis, competition may commence no earlier than after three separate days of team practice, and not before seven calendar days. The first day competition may take place in golf and tennis is August 20. In all other fall sports, contests can take place after seven days of practice for the team and not before nine calendar days. The first day competition may take place in cross country, tennis, soccer, swimming and diving, and volleyball is August 22.
Only one football date precedes Labor Day, and most varsity games will take place on Thursday, August 28, that week. Subvarsity competition may begin on Wednesday, August 27. In Week 1, 255 games will be played on Thursday, 53 contests will be played on Friday, and five games will be played on Saturday.
Continuing the focus on player safety, a number of rules changes were made in football for 2014:
- Rules were added restricting targeting of opponent and illegal helmet contact with defenseless players, with both resulting in 15-yard penalties. Targeting is defined as taking aim at an opponent with the helmet, forearm, hand, fist, elbow or shoulder to initiate contact above the shoulders and with an intent beyond making a legal tackle or block, or playing the ball. A defenseless player can be considered one no longer involved in a play, a runner whose progress has been stopped, a player focused on receiving a kick or a receiver who has given up on an errant pass, or a player already on the ground.
- Illegal contact to a quarterback now will be considered roughing the passer, and the offense will receive an automatic first down in addition to the previous 15 yards from the penalty.
- On kickoffs, the kicking team must have at least four players on either side of the kicker, and no kicking team players except for the kicker may line up more than five yards behind the free-kick line. These changes were made to improve safety by balancing the kicking formation and shortening the potential run-up by kicking team players heading down the field to tackle the ball carrier.
A number of significant rules changes will go into effect for other fall sports:
- In cross country, the ban on wearing jewelry has been lifted (and also for track and field in the spring). The National Federation of State High School Associations deemed the ban unnecessary in these two sports because there is little risk of injury with minimal contact between competitors. Elimination of the rule will allow officials to further focus on the competition.
- In soccer, Michigan has adopted the National Federation rule stating home teams must wear solid white jerseys and socks, with visiting teams in dark jerseys and socks (dark defined as any color contrasting white). Also, officials may now wear green and blue shirts in addition to red and black as alternates to the primary yellow shirt with black pinstripes.
- Also for soccer, both field players and goalkeepers must now leave the field when injured and the referee has stopped the clock. Previously, an injured goalkeeper was not required to leave the game when the referee stopped the clock; going forward, the keeper must be replaced.
- In swimming and diving, one change affects the beginning of races and another impacts a specific event. The use of starter’s pistols is now prohibited; starters must use an alternative sounding device to start races. Additionally, in the backstroke, a swimmer may not submerge his or her entire body after the start except for during turns. The swimmer must remain on or above the water surface on the finish, eliminating the abuse of submerging well before touching the wall. This change also applies to the finish of the backstroke leg of the individual medley.
The 2014 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals the week of Sept. 29, and wraps up with the 11-Player Football Playoff Finals on Nov. 28-29. Here is a complete list of fall tournament dates:
Cross Country:
U.P. Finals – Oct. 18
L.P. Regionals – Oct. 24 or 25
L.P. Finals – Nov. 1
11-Player Football:
Selection Sunday – Oct. 26
Pre-Districts – Oct. 31 or Nov. 1
District Finals – Nov. 7 or 8
Regional Finals – Nov. 14 or 15
Semifinals – Nov. 22
Finals – Nov. 28-29
8-Player Football:
Selection Sunday – Oct. 26
Regional Semifinals – Oct. 31 or Nov. 1
Regional Finals – Nov. 7 or 8
Semifinals – Nov. 15
Finals – Nov. 21
L.P. Girls Golf:
Regionals – Oct. 8 or 9 or 10 or 11
Finals – Oct. 17-18
Soccer:
Boys L.P. Districts – Oct. 13-18
Boys L.P. Regionals – Oct. 21-25
Boys L.P. Semifinals – Oct. 29
Boys L.P. Finals – Nov. 1
L.P. Girls Swimming & Diving
Diving Regionals – Nov. 13
Swimming/Diving Finals – Nov. 21-22
Tennis:
U.P. Girls Finals – Oct. 1 or 2 or 3 or 4
L.P. Boys Regionals – Oct. 9 or 10 or 11
L.P. Finals – Oct. 17-18
Girls Volleyball:
Districts – Nov. 3-8
Regionals – Nov. 11 & 13
Quarterfinals – Nov. 18
Semifinals – Nov. 20-21
Finals – Nov. 22
The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.