II 116TH CONGRESS 2D SESSION S. 3347 To promote youth athletic safety, and for other purposes. IN THE SENATE OF THE UNITED STATES FEBRUARY 27, 2020 Mr. MENENDEZ introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To promote youth athletic safety, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Supporting Athletes, 4 Families and Educators to Protect the Lives of Athletic 5 Youth Act’’ or the ‘‘SAFE PLAY Act’’. 6 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 2 •S 3347 IS SEC. 2. EDUCATION, AWARENESS, AND TRAINING FOR PEDI- 1 ATRIC CARDIAC CONDITIONS TO INCREASE 2 EARLIER DIAGNOSIS AND PREVENT SUDDEN 3 CARDIAC DEATH. 4 Part P of title III of the Public Health Service Act 5 (42 U.S.C. 280g et seq.) is amended by adding at the end 6 the following: 7 ‘‘SEC. 399V–7. MATERIALS AND EDUCATIONAL RESOURCES 8 TO INCREASE AWARENESS OF CARDIO- 9 MYOPATHY AND OTHER HIGH-RISK CHILD- 10 HOOD CARDIAC CONDITIONS AMONG 11 SCHOOL ADMINISTRATORS, EDUCATORS, 12 SCHOOL HEALTH PROFESSIONALS, COACHES, 13 STUDENTS, AND FAMILIES. 14 ‘‘(a) MATERIALS AND RESOURCES.—Not later than 15 12 months after the date of enactment of the SAFE 16 PLAY Act, the Secretary, acting through the Director of 17 the Centers for Disease Control and Prevention (referred 18 to in this section as the ‘Director’) and in consultation 19 with national patient advocacy and health organizations 20 with expertise in cardiac health and all forms of pediatric 21 cardiomyopathy, shall develop educational materials and 22 resources to be disseminated to school administrators, 23 educators, school health professionals, coaches, students, 24 families, and other appropriate individuals. The materials 25 and resources shall include— 26 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 3 •S 3347 IS ‘‘(1) information on the signs, symptoms, and 1 risk factors associated with high risk cardiac condi- 2 tions and genetic heart rhythm abnormalities that 3 may cause sudden cardiac arrest in children, adoles- 4 cents, and young adults, including— 5 ‘‘(A) cardiomyopathy; 6 ‘‘(B) long QT syndrome, Brugada syn- 7 drome, catecholaminergic polymorphic ventric- 8 ular tachycardia, short QT syndrome, Wolff- 9 Parkinson-White syndrome; and 10 ‘‘(C) other high-risk cardiac conditions, as 11 determined by the Secretary; 12 ‘‘(2) sudden cardiac arrest risk assessment 13 worksheets to help identify higher risk children and 14 adolescents with possible life-threatening cardiac 15 conditions who may need additional medical screen- 16 ing and treatment; 17 ‘‘(3) guidelines and training materials for 18 schools, childcare centers, and local youth athletic 19 organizations to handle cardiac emergencies, cov- 20 ering cardiopulmonary resuscitation (referred to in 21 this section and section 399V–8 as ‘CPR’) and ways 22 to obtain certification on CPR delivery; 23 ‘‘(4) guidelines and training materials for 24 schools, childcare centers, and local youth athletic 25 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 4 •S 3347 IS organizations to handle cardiac emergencies, on the 1 proper placement, usage, and maintenance of auto- 2 matic external defibrillators (referred to in this sec- 3 tion and section 399V–8 as ‘AED’) and ways to ob- 4 tain certification on AED usage; and 5 ‘‘(5) recommendations on developing and imple- 6 menting a cardiac emergency response plan at 7 schools, childcare centers, and local youth athletic 8 organizations, including recommendations on how 9 local educational agencies (as defined in section 10 8101 of the Elementary and Secondary Education 11 Act of 1965 (20 U.S.C. 7801)) can apply such re- 12 sponse plans to students enrolled in public schools 13 served by such local educational agencies. 14 ‘‘(b) DEVELOPMENT OF MATERIALS AND RE- 15 SOURCES.—The Secretary, acting through the Director, 16 shall develop and update, as necessary and appropriate, 17 the materials and resources described in subsection (a) 18 and, in support of such effort, the Secretary is encouraged 19 to establish an advisory panel that includes the following 20 members: 21 ‘‘(1) Representatives from national patient ad- 22 vocacy organizations, including— 23 ‘‘(A) not less than 1 organization dedicated 24 to promoting research, education, and aware- 25 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 5 •S 3347 IS ness of all forms of pediatric cardiac cardio- 1 myopathy; 2 ‘‘(B) not less than 1 organization dedi- 3 cated to research, and education, and awareness 4 of high-risk cardiac conditions and genetic 5 heart rhythm abnormalities; 6 ‘‘(C) not less than 1 organization dedicated 7 to school-based wellness; 8 ‘‘(D) not less than 1 organization dedi- 9 cated to advocacy and support for individuals 10 with cognitive impairments or developmental 11 disabilities; and 12 ‘‘(E) not less than 1 organization dedi- 13 cated to addressing minority health disparities. 14 ‘‘(2) Representatives of medical and health care 15 professional societies, including pediatrics, cardi- 16 ology, emergency medicine, and sports medicine. 17 ‘‘(3) A representative of the Centers for Disease 18 Control and Prevention. 19 ‘‘(4) Representatives of other relevant Federal 20 agencies, including the Department of Education 21 and the National Institutes of Health. 22 ‘‘(5) Representatives of schools, such as admin- 23 istrators, educators, sports coaches, and nurses. 24 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 6 •S 3347 IS ‘‘(c) DISSEMINATION OF MATERIALS AND RE- 1 SOURCES.—Not later than 24 months after the date of 2 enactment of the SAFE PLAY Act, the Secretary, acting 3 through the Director, shall disseminate the materials and 4 resources described in subsection (a) in accordance with 5 the following: 6 ‘‘(1) DISTRIBUTION BY LOCAL EDUCATIONAL 7 AGENCIES.—The Secretary shall make available such 8 materials and resources to local educational agencies 9 (as defined in section 8101 of the Elementary and 10 Secondary Education Act of 1965 (20 U.S.C. 7801)) 11 to distribute— 12 ‘‘(A) to school administrators, educators, 13 school health professionals, coaches, students, 14 and parents, guardians, or other caregivers, in- 15 formation on the signs, symptoms, and risk fac- 16 tors of high-risk cardiac conditions; 17 ‘‘(B) to parents, guardians, or other care- 18 givers, the cardiomyopathy and sudden cardiac 19 arrest risk assessment worksheets described in 20 subsection (a)(2); 21 ‘‘(C) to school administrators, school 22 health professionals, and coaches— 23 ‘‘(i) the information and training ma- 24 terials described in subsection (a)(3); and 25 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 7 •S 3347 IS ‘‘(ii) the guidelines and training mate- 1 rials described in subsection (a)(4); and 2 ‘‘(D) to school administrators, educators, 3 school health professionals, coaches, and youth 4 sports organizations, the recommendations de- 5 scribed in subsection (a)(5). 6 ‘‘(2) DISSEMINATION TO HEALTH DEPART- 7 MENTS AND PROFESSIONALS.—The Secretary shall 8 make available such materials and resources to State 9 and local health departments. 10 ‘‘(3) DISSEMINATION OF INFORMATION 11 THROUGH THE INTERNET.— 12 ‘‘(A) CDC.— 13 ‘‘(i) IN GENERAL.—The Secretary, 14 acting through the Director, shall post the 15 materials and resources developed under 16 subsection (a) on the public Internet 17 website of the Centers for Disease Control 18 and Prevention. 19 ‘‘(ii) MAINTENANCE OF INFORMA- 20 TION.—The Director shall maintain and 21 update when necessary such materials and 22 resources developed under subsection (a) 23 on the public Internet website to ensure 24 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 8 •S 3347 IS such information reflects the latest stand- 1 ards. 2 ‘‘(B) STATE EDUCATIONAL AGENCIES.— 3 State educational agencies are encouraged to 4 work with State Health Departments to create 5 Internet webpages to disseminate the materials 6 and resources developed under subsection (a) to 7 the general public, with an emphasis on tar- 8 geting students and their families. 9 ‘‘(4) ACCESSIBILITY OF INFORMATION.—The 10 information regarding the materials and resources 11 developed under subsection (a) shall be made avail- 12 able in a format and in a manner that is readily ac- 13 cessible to individuals with cognitive and sensory im- 14 pairments. 15 ‘‘(d) DEFINITIONS.—In this section: 16 ‘‘(1) SCHOOL ADMINISTRATORS.—The term 17 ‘school administrator’ means a principal, director, 18 manager, or other supervisor or leader within an ele- 19 mentary school or secondary school (as such terms 20 are defined under section 8101 of the Elementary 21 and Secondary Education Act of 1965 (20 U.S.C. 22 7801)), State-based early education program, or 23 childcare center. 24 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 9 •S 3347 IS ‘‘(2) SCHOOLS.—The term ‘school’ means an 1 early education program, childcare center, or ele- 2 mentary school or secondary school (as such terms 3 are so defined) that is not an Internet- or computer- 4 based community school. 5 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 6 are authorized to be appropriated to carry out this section 7 such sums as may be necessary for fiscal years 2021 8 through 2026. 9 ‘‘SEC. 399V–8. GRANTS TO PROVIDE FOR CPR AND AED 10 TRAINING AND PURCHASE OF AED EQUIP- 11 MENT FOR PUBLIC CHILDCARE CENTERS, EL- 12 EMENTARY, MIDDLE, AND SECONDARY 13 SCHOOLS. 14 ‘‘(a) AUTHORITY TO MAKE GRANTS.—The Sec- 15 retary, in consultation with the Secretary of Education, 16 shall award grants to eligible local educational agencies— 17 ‘‘(1) to enable such local educational agencies 18 to purchase AEDs and offer CPR and AED training 19 courses that are nationally certified; or 20 ‘‘(2) to enable such local educational agencies 21 to award funding to eligible schools that are served 22 by the local educational agency to purchase and 23 maintain AEDs and offer CPR and AED training 24 courses that are nationally certified. 25 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 10 •S 3347 IS ‘‘(b) USE OF FUNDS.—An eligible local educational 1 agency receiving a grant under this section, or an eligible 2 school receiving grant funds under this section through 3 an eligible local educational agency, shall use the grant 4 funds— 5 ‘‘(1) to pay a nationally recognized training or- 6 ganization, such as the American Heart Association, 7 the American Red Cross, or the National Safety 8 Council, for instruction, materials, and equipment 9 expenses associated with CPR and AED training in 10 accordance with the materials and resources devel- 11 oped under section 399V–7(a)(3); or 12 ‘‘(2) if the local educational agency or an eligi- 13 ble school served by such agency meets the condi- 14 tions described under subsection (c)(2), to purchase 15 AED devices for eligible schools and pay the costs 16 associated with obtaining the certifications necessary 17 to meet the guidelines established in section 399V– 18 7(a)(4). 19 ‘‘(c) GRANT ELIGIBILITY.— 20 ‘‘(1) APPLICATION.—To be eligible to receive a 21 grant under this section, a local educational agency 22 shall submit an application to the Secretary at such 23 time, in such manner, and containing such informa- 24 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 11 •S 3347 IS tion and certifications as such Secretary may rea- 1 sonably require. 2 ‘‘(2) AED ALLOCATION AND TRAINING.—To be 3 eligible for grant funding to purchase AED devices 4 as described in subsection (b)(2), an eligible local 5 educational agency shall demonstrate to the Sec- 6 retary that such local educational agency or an eligi- 7 ble school served by such agency has or intends to 8 implement a CPR and AED training program and 9 has or intends to implement an emergency cardiac 10 response plan as of the date of the submission of the 11 grant application. 12 ‘‘(d) PRIORITY OF AWARD.—The Secretary shall 13 award grants under this section to eligible local edu- 14 cational agencies based on 1 or more of the following pri- 15 orities: 16 ‘‘(1) A demonstrated need for a CPR or AED 17 training program in an eligible school or a commu- 18 nity served by an eligible school, which may in- 19 clude— 20 ‘‘(A) schools that do not already have an 21 automated AED on school grounds; 22 ‘‘(B) schools in which there are a signifi- 23 cant number of students on school grounds dur- 24 VerDate Sep 11 2014 02:30 Feb 28, 2020 Jkt 099200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\S3347.IS S3347 kjohnson on DSK79L0C42PROD with BILLS 12 •S 3347 IS ing a typical day, as determined by the Sec- 1 retary; 2 ‘‘(C) schools for which the average time re- 3 quired for emergency medical services (as de- 4 fined in section 330J(e)) to reach the school is 5 greater than the average time required for 6 emergency medical services to reach other pub- 7 lic facilities in the community; and 8 ‘‘(D) schools that have not received funds 9 under the Rural Access to Emergency Devices 10 Act (42 U.S.C. 254c note). 11 ‘‘(2) A demonstrated need for continued sup- 12 port of an existing CPR or AED training program 13 in an eligible school or a community served by an el- 14 igible school. 15 ‘‘(3) A demonstrated need for expanding an ex- 16 isting CPR or AED training program by adding 17 training in the implementation of an emergency car- 18 diac response plan. 19 ‘‘(4) Previously identified opportunities to en- 20 courage and foster partnerships with and among 21 community organizations, including emergency med- 22 ical service providers, fire and police departments, 23 nonprofit organizations, [Text truncated for display. 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