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<amendment-doc amend-degree="first" amend-type="engrossed-amendment"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>115 HR 302 EAS: Sports Medicine Licensure Clarity Act of 2017</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2018-09-06</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<engrossed-amendment-form>
<congress display="no">115th CONGRESS</congress><session display="no">2d Session</session><legis-num display="no">H.R. 302</legis-num><current-chamber display="yes">In the Senate of the United States,</current-chamber><action><action-date date="20180906">September 6, 2018.</action-date></action><legis-type display="yes">Amendment:</legis-type></engrossed-amendment-form><engrossed-amendment-body><section id="ida1ca2399eb4b404e945eac64f3dde217" section-type="resolved"><text>That the bill from the House of Representatives (H.R. 302) entitled <quote>An Act to provide protections for certain sports medicine professionals who provide certain medical services in a secondary State.</quote>, do pass with the following</text></section><amendment><amendment-instruction blank-lines-after="0"><text>Strike all after the enacting clause and insert the following:</text></amendment-instruction><amendment-block blank-lines-after="1" changed="added" reported-display-style="italic"><section id="id3a245368-f357-4498-a238-d014f4d8dbf0" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <short-title>Sports Medicine Licensure Clarity Act of 2017</short-title>.</text></section><section id="idf89087d7-d620-4a7f-adaa-82ef4b553db4"><enum>2.</enum><header>Protections for covered sports medicine professionals</header><subsection id="id69fb5732-660e-4377-b523-8718cf09dcf4"><enum>(a)</enum><header>In general</header><text>In the case of a covered sports medicine professional who has in effect medical professional liability insurance coverage and provides in a secondary State covered medical services that are within the scope of practice of such professional in the primary State to an athlete or an athletic team (or a staff member of such an athlete or athletic team) pursuant to an agreement described in subsection (c)(4) with respect to such athlete or athletic team—</text><paragraph id="id5a1eef0e-eba6-4b85-9f9b-de30e3196cfb"><enum>(1)</enum><text>such medical professional liability insurance coverage shall cover (subject to any related premium adjustments) such professional with respect to such covered medical services provided by the professional in the secondary State to such an individual or team as if such services were provided by such professional in the primary State to such an individual or team; and</text></paragraph><paragraph id="id4b0d7cab-e552-4346-bfe9-b183fbeabbfe"><enum>(2)</enum><text>to the extent such professional is licensed under the requirements of the primary State to provide such services to such an individual or team, the professional shall be treated as satisfying any licensure requirements of the secondary State to provide such services to such an individual or team to the extent the licensure requirements of the secondary State are substantially similar to the licensure requirements of the primary State.</text></paragraph></subsection><subsection id="idA580710FDA4A4B408E23A672FD9BCD4E"><enum>(b)</enum><header>Rule of construction</header><text>Nothing in this section shall be construed—</text><paragraph id="id29c2605f03c24a4eb3427be838ab136c"><enum>(1)</enum><text>to allow a covered sports medicine professional to provide medical services in the secondary State that exceed the scope of that professional’s license in the primary State;</text></paragraph><paragraph id="idc7d201e258944019a8b1845c54e15b47"><enum>(2)</enum><text>to allow a covered sports medicine professional to provide medical services in the secondary State that exceed the scope of a substantially similar sports medicine professional license in the secondary State;</text></paragraph><paragraph id="id21c62d05d8ef42bc9417d81d83f2d374"><enum>(3)</enum><text>to supersede any reciprocity agreement in effect between the two States regarding such services or such professionals;</text></paragraph><paragraph id="id9b4ed503e67644d887af9c7f065d52be"><enum>(4)</enum><text>to supersede any interstate compact agreement entered into by the two States regarding such services or such professionals; or</text></paragraph><paragraph id="idf1e19e79988d40e0981c3633283659eb"><enum>(5)</enum><text>to supersede a licensure exemption the secondary State provides for sports medicine professionals licensed in the primary State.</text></paragraph></subsection><subsection id="idf0d3c57d-4956-4147-986f-5791dac4ff4f"><enum>(c)</enum><header>Definitions</header><text>In this Act, the following definitions apply:</text><paragraph id="id48e39e61-f8ee-4040-a45e-802c38a3fe1c"><enum>(1)</enum><header>Athlete</header><text>The term <term>athlete</term> means—</text><subparagraph id="id49be2ba1-eb25-48b0-a756-9b25dd3d3430"><enum>(A)</enum><text>an individual participating in a sporting event or activity for which the individual may be paid;</text></subparagraph><subparagraph id="id11e4c1d0-ad8b-4259-b74d-7711fc1cc2bd"><enum>(B)</enum><text>an individual participating in a sporting event or activity sponsored or sanctioned by a national governing body; or</text></subparagraph><subparagraph id="id286f57de-1453-4e9d-8e30-02776ccacb25"><enum>(C)</enum><text>an individual for whom a high school or institution of higher education provides a covered sports medicine professional.</text></subparagraph></paragraph><paragraph id="id38d94b30-7dfb-4886-9def-73a08a6e907f"><enum>(2)</enum><header>Athletic team</header><text>The term <term>athletic team</term> means a sports team—</text><subparagraph id="id409cbada-c8f8-4fc4-b93c-34670e0a9b68"><enum>(A)</enum><text>composed of individuals who are paid to participate on the team;</text></subparagraph><subparagraph id="idc136e6f5-9f8b-4ad4-942b-1c9f7e8990ee"><enum>(B)</enum><text>composed of individuals who are participating in a sporting event or activity sponsored or sanctioned by a national governing body; or</text></subparagraph><subparagraph id="id4584b032-8f8f-4403-bc11-9037e1ff756d"><enum>(C)</enum><text>for which a high school or an institution of higher education provides a covered sports medicine professional.</text></subparagraph></paragraph><paragraph id="id40d62fbb-6577-4626-8d8a-7fd4c1f425d7"><enum>(3)</enum><header>Covered medical services</header><text>The term <term>covered medical services</term> means general medical care, emergency medical care, athletic training, or physical therapy services. Such term does not include care provided by a covered sports medicine professional—</text><subparagraph id="id14b782f0-6494-4c34-80e8-4b508761bf44"><enum>(A)</enum><text>at a health care facility; or</text></subparagraph><subparagraph id="idb4159610-a2b8-430c-9a37-b8a3f062011c"><enum>(B)</enum><text>while a health care provider licensed to practice in the secondary State is transporting the injured individual to a health care facility.</text></subparagraph></paragraph><paragraph id="idf15f8c92-2049-4072-ac1d-314256d13f73"><enum>(4)</enum><header>Covered sports medicine professional</header><text>The term <term>covered sports medicine professional</term> means a physician, athletic trainer, or other health care professional who—</text><subparagraph id="id4cb50e65-4ced-48a7-b05c-67d26810774b"><enum>(A)</enum><text>is licensed to practice in the primary State;</text></subparagraph><subparagraph id="id12e14641-8bc7-499e-ac69-bb75c1d0a66c"><enum>(B)</enum><text>provides covered medical services, pursuant to a written agreement with an athlete, an athletic team, a national governing body, a high school, or an institution of higher education; and</text></subparagraph><subparagraph id="ide279e46c-4ce1-4939-8c19-220cb80a5c37"><enum>(C)</enum><text>prior to providing the covered medical services described in subparagraph (B), has disclosed the nature and extent of such services to the entity that provides the professional with liability insurance in the primary State.</text></subparagraph></paragraph><paragraph id="idc69dac38-21fe-4911-9594-8f6e334120bb"><enum>(5)</enum><header>Health care facility</header><text>The term <term>health care facility</term> means a facility in which medical care, diagnosis, or treatment is provided on an inpatient or outpatient basis. Such term does not include facilities at an arena, stadium, or practice facility, or temporary facilities existing for events where athletes or athletic teams may compete.</text></paragraph><paragraph id="id57352e70-b8b0-4163-af96-dbbab6e1f249"><enum>(6)</enum><header>Institution of higher education</header><text>The term <term>institution of higher education</term> has the meaning given such term in section 101 of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001</external-xref>).</text></paragraph><paragraph id="idB0C56EC468B4429498499B6769B9C92E"><enum>(7)</enum><header>License</header><text>The term <term>license</term> or <term>licensure</term>, as applied with respect to a covered sports medicine professional, means a professional that has met the requirements and is approved to provide covered medical services in accordance with State laws and regulations in the primary State. Such term may include the registration or certification, or any other form of special recognition, of an individual as such a professional, as applicable.</text></paragraph><paragraph id="id941754b5-3328-474f-865e-7a9c5958fd3c"><enum>(8)</enum><header>National governing body</header><text>The term <term>national governing body</term> has the meaning given such term in section 220501 of title 36, United States Code.</text></paragraph><paragraph id="id68d57d9a-d64c-4467-9faa-f642c0ec0310"><enum>(9)</enum><header>Primary State</header><text>The term <term>primary State</term> means, with respect to a covered sports medicine professional, the State in which—</text><subparagraph id="idbc81885d-193f-4393-baab-ef4e4c3406c1"><enum>(A)</enum><text>the covered sports medicine professional is licensed to practice; and</text></subparagraph><subparagraph id="id82610df1-1caa-4126-816c-52529aaff5ed"><enum>(B)</enum><text>the majority of the covered sports medicine professional's practice is underwritten for medical professional liability insurance coverage.</text></subparagraph></paragraph><paragraph id="idcc7b678d-9b62-4f89-b031-97d7bda97969"><enum>(10)</enum><header>Secondary state</header><text>The term <term>secondary State</term> means, with respect to a covered sports medicine professional, any State that is not the primary State.</text></paragraph><paragraph id="id8ed037ad-e91c-46ec-8413-e6b0c8c9e453"><enum>(11)</enum><header>State</header><text>The term <term>State</term> means each of the several States, the District of Columbia, and each commonwealth, territory, or possession of the United States.</text></paragraph><paragraph commented="no" display-inline="no-display-inline" id="idC9A574A1A0984B88BCE5571B7267FA05"><enum>(12)</enum><header>Substantially similar</header><text>The term <term>substantially similar</term>, with respect to the licensure by primary and secondary States of a sports medicine professional, means that both the primary and secondary States have in place a form of licensure for such professionals that permits such professionals to provide covered medical services.</text></paragraph></subsection></section></amendment-block></amendment></engrossed-amendment-body><attestation><attestation-group><attestor></attestor><role>Secretary</role></attestation-group></attestation><endorsement></endorsement></amendment-doc>


