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Recent Regulations on Head Injuries and Concussions in Extracurricular Athletic Activities
In response to recent legislation on sports-related head injuries, the Department of Public Health developed regulations that were promulgated on June 24, 2010.
Please see links below to view these regulations. There are also links to forms that schools may use for documenting a student athlete's concussion history prior to participation in extracurricular athletic activities and during a sports season as well as forms for use by those who clear students to return to play. Additional links are provided to those training programs that have been approved by the Department to meet the requirements of the regulations.
- Clinical Advisory: Regulations Regarding Sports-Related Head Injuries and the Role of Pediatric Health Providers
- 105 CMR 201: Head Injuries and Concussions in Extracurricular Athletic Activities
NEW! Effective August 1, 2014 amendments to these regulations.
- Section 201.011(A) adds physician assistants to the list of health professionals who may provide medical clearance.
- Section 201.011(B) mandates that physician assistants take and verify completion of DPH-approved training in post-traumatic head injury assessment and management or have received equivalent training as part of their licensure of continuing education.
- Section 201.010(E)(3) added more clear and specific text for the sequence of beginning graduated return to play and receiving medical clearance.
- Pre-participation Head Injury/Concussion Reporting Form For Extracurricular Activities
- Report of a Head Injury During Sports Season Form
- Post Sports-Related Head Injury Medical Clearance and Authorization Form
- Year End Reporting Form for Schools 2013-2014
- Year End Reporting Form for Schools 2014-2015
New Training Requirement
See updated Commissioner Guidance to Physicians, Nurse Practitioners, Certified Athletic Trainers, and Neuropsychologists Providing Medical Clearance for Return to Play for Students With Sports-related Head Injuries Effective September 2013.
- Training Requirement of Sports Concussion Regulations for Clinicians Providing Medical Clearance file size 1MB
MDPH Approved Annual Training for School Staff
Approved Annual Trainings/Providers-For coaches, school nurses, school and team physicians, certified athletic trainers, athletic directors, trainers, marching band directors, student athletes and their parents:
The training programs listed below meet the requirements of the regulations.
- Center for Disease Control and Prevention Heads Up Concussion in Youth Sports On-Line Training Program (available online and free of charge)
- National Federation of State High School Associations Concussion in Sports - What you Need to Know (available online and free of charge)
- The following programs have been approved by MDPH to provide the annual training that has met the requirements of the regulations:
- Sports Legacy Institute
PO Box 181225
Boston, MA 02118
Training Directors: Dr. Robert Cantu and Christopher Nowinski
- Boston University Continuing Medical Education
72 East Concord Street, A402
Boston, MA 02118
Training Director: Dr. Robert Cantu
- Brain Injury Center, Boston Children's Hospital
300 Longwood Avenue
Boston, MA 02115
Training Director: Michelle Parker, RN, MS, PNP
- Southcoast Hospitals Group
480 Hawthorn St.
North Dartmouth, MA 02747
Training Director: Kathleen Thornton, MS ATC, CSCS, NASM-PES
- Sports Legacy Institute
- DPH is interested in approving other programs to meet the annual training requirements of the regulations. The following link describes the training criteria and application process for approval:
Criteria and Application Procedure
MDPH Approved Clinical Training for Clinicians Providing Medical Clearance
The regulations require by September 2013, physicians, nurse practitioners, certified athletic trainers, and neuropsychologists providing medical clearance for students with sports related head injuries to return to play shall verify that they have received Department-approved training in traumatic head injury assessment and management or have received equivalent training as part of their licensure or continuing education.
The bullet below for the CDC training used in conjunction with the PowerPoint slides on the Massachusetts head injury regulations have been approved by MDPH. Both the CDC training and the power point slides must be completed to comply with the clinical training requirements of the regulations.
- Heads Up Free Continuing Education Concussion Training for Medical Providers (available online and free of charge)
- Presentation on Massachusetts Department of Public Health Regulations 105 CMR 201.000: Head Injuries and Concussions In Extracurricular Athletic Activities
In addition, the clinical training programs listed below meets the requirements of the regulations for clinical training:
- Boston Children's Hospital
Sports Concussion Clinic
9 Hope Avenue
Waltham, MA 02453
Training Directors: William P. Meehan, III, MD
Alex M. Taylor, PsyD
Michael O'Brien, MD
To register go to: www.themichelicenter.com/our-services/coach-and-community-clinics
Warren A. Bodine, DO CAQSM
Greater Lawrence Family Medicine Residency Program
34 Haverhill Street
Lawrence, MA 01841
DPH is inviting programs to apply to provide training for clinicians to meet the clinical training requirements of the sports concussion regulations. This training will be designed particularly for those providing medical clearance for return to play: physicians, certified athletic trainers, nurse practitioners and neuropsychologists. The following link describes the training criteria and application process:
Additional Materials: Guidance for Schools
- Head Strong: Guidance for Implementing Mass. Regulations on Head Injuries & Concussions in School Athletics
- Revised Update to Head Strong, Effective August 1, 2014
- Sports-related Head Injury Regulations Frequently Asked Questions
- Fact Sheet on Signs and Symptoms of Concussion
- Approved Training Materials for Sports-related Concussion
- Chapter 166 of the Acts of 2010, An Act Relative to Safety Regulations for School Athletes
- Example of Post-Concussion Gradual Entry Plan: Sports New England 5-Step Program
- MDPH Guidance on 504 or IEP Plans for Students Returning to Academic Work
- List of Useful Websites
This program is part of the Division of Violence and Injury Prevention.