<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 13A.06.08.06" title_num="13A" subtitle_num="06" chapter_num="08" heading="Removal and Return to Play.">
  <paragraph num="A.">
    <text>Any student-athlete suspected of sustaining a concussion shall immediately be removed from practice or play.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Each school shall use the graduated return to play protocols instituted in the Policies and Programs on Concussions for Public Schools and Youth Sport Programs.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The student-athlete may not return to play until the student receives written clearance after receiving an appropriate medical assessment by one of the following:</text>
    <paragraph num="(1)">
      <text>A licensed physician trained in the evaluation and management of concussions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A licensed physician’s assistant trained in the evaluation and management of concussions in collaboration with the physician assistant’s supervising physician or alternate supervising physician within the scope of the physician assistant’s Delegation Agreement approved by the Board of Physicians;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A licensed nurse practitioner trained in the evaluation and management of concussions;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A licensed psychologist with training in neuropsychology and in the evaluation and management of concussions; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A licensed athletic trainer trained in the evaluation and management of concussions, in collaboration with the athletic trainer’s supervising physician or alternate supervising physician and within the scope of the Evaluation and Treatment protocol approved by the Board of Physicians.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>To assist student-athletes, parents, and school personnel, to manage concussion events, each local school system shall provide to all involved persons:</text>
    <paragraph num="(1)">
      <text>Written notification of possible head injury;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Medical clearance forms for gradual return to sports participation following concussion; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Graduated return to play protocols.</text>
    </paragraph>
  </paragraph>
</regulation>