New Hampshire Athletic Directors Association (NHADA) - SB 148 - New Hampshire Athletic Directors Association (NHADA) - SB 148
New Hampshire Athletic Directors Association



SB 148

Senate Bill 148-FN was signed by Governor Sununu on August 10, 2021 to take effect on September 1, 2022. It states:


Requiring emergency action plans for sports related injuries.

210:1  New Section; Health Services; Emergency Plans for Sports Related Injuries.  Amend RSA 200 by inserting after section 40-b the following new section:

200:40-c  Emergency Plans for Sports Related Injuries.  

I.  The local board of each school district or the governing body of each nonpublic school that includes any of the grades 4 through 12, shall establish an emergency action plan for responding to serious or potentially life-threatening sports related injuries.  Each plan shall:

(a)  Document the proper procedures to be followed when a student sustains a serious injury or illness while participating in school sponsored sports or other athletic activity.

(b)  List the employees, team coaches, and licensed athletic trainers in each school who are trained in first aid or cardiopulmonary resuscitation.

(c)  Identify the employees, team coaches, or licensed athletic trainers responsible for carrying out the emergency action plan.

(d)  Identify the activity location, address, or venue for the purpose of directing emergency personnel.

(e)  Identify the equipment and supplies and location thereof needed to respond to the emergency.

(f)  Identify the location of any automated external defibrillators and personnel trained in the use of the automated external defibrillator.

(g)  Document policies related to cooling for an exertional heat stroke victim consistent with guidelines established by the American College of Sports Medicine and the National Athletic Trainers’ Association.

II.  The plan shall be posted within each school and disseminated to, and coordinated with emergency medical services, fire department, and law enforcement.  In addition, each school district shall adopt procedures for obtaining student-participant medical information relative to any injury or illness related to or involving any head, face, or cervical spine, cardiac injury or diagnosis, exertional heat stroke, sickle cell trait, asthma, allergies, or diabetes for each student athlete prior to engaging in activities; policies related to hydration, heat acclimatization and wet bulb globe temperature guidelines as established by the American College of Sports Medicine and the National Athletic Trainers’ Association; and procedures for students to return to play after a sports or illness-related injury, which shall be kept on file by each school district and made available to the department of education and public upon request.  Access, filing, and confidentiality of student-participant medical information shall be managed in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FERPA). Each plan shall be added to the school's emergency response plan and adopted procedures shall be reviewed annually and updated as necessary.  

III.  The plans shall be implemented by the beginning of the first full school year after the effective date of this section.

Effective Date:  Part III of this act shall take effect September 1, 2022. 

Check with your SAU office regarding the implementation process in your schools.


The New Hampshire School Boards Association has identified this policy as:

JLCJA– Emergency Plan for Sports Related Injuries and Additional Protocols for Athletics Participation

Priority/Required by Law Policy

Related Policies: EBBB, EBBC, EBCA, JJIB, JLCE/EBBC, JLCEA & JLCJ Related Administrative Procedure: JJA-R Summary: NHSBA sample policy JLCJA was created to facilitate compliance with RSA 200:40-c, as enacted by passage of SB 148 Part III, which requires the creation of emergency plans for sports related injuries, protocols for gathering health records from student-athletes engaging in sports, and procedures overseeing return to play following injury. Newly enacted RSA 200:40-c requires an emergency plan for sports related injuries for school districts with any grades 4-12. It is optional for grades preK – 3. 

  ~ From NHSBA School Board Policies in Response to Recent Legislation September 8, 2021


Below are the resources discussed at our workshop on December 1, 2021.

NH TUFSS Checklists

Exertional Heat Policy

KSI Emergency Action Plan Template

Athletic Emergency Action Plan Template CD

DOVER Exertional Heat Illness Policy


School Board Policy JLCJA

NH SB 148 Powerpoint 12.1.21

Technical Advisory SB148

Slides from 12.1.21 from KSI Presentation

Resources from the NH Athletic Trainers Association:

SB148-Resources |