MINUTES OF THE

all final actions within a given topic are combined in these minutes for convenience of reference.]

Thursday June 23

1. Sports Science and Safety Subcommittee Breakout Session. The Sports Science and Safety Subcommittee met to discuss options to continue efforts toward ensuring appropriate operational standards of collegiate athletic training facilities are effectively utilized. The subcommittee supported continued efforts to develop and distribute, via the health and safety website, best practices for issues within the Sports Medicine Handbook and improve awareness level that the athletic training facilities are medical facilities that should be abiding by regulatory codes. Prior to developing an educational campaign for the membership on issues on various topics, the subcommittee will develop and conduct a survey of current practices of medical care in athletics. Kim Harmon volunteered as lead researcher for this project and the survey development.

2. Drug-Education and Drug-Testing Subcommittee Drug-Test Appeal Training. The Drug-Education and Drug-Testing Subcommittee conducted a training to review drug-test appeal considerations in light of NCAA legislation, effective August 1, 2005. The subcommittee reviewed issues associated with “significant fault” and “no fault”, and how to apply these to the option to reduce a drug-test penalty from a one year suspension to a 50% suspension from competition in all sports. The subcommittee confirmed its understanding that only the institution may bring forth an appeal of a positive drug test, and must do so if the student-athlete requests it. The subcommittee emphasized the importance of educating the membership about this responsibility and the obligation, under NCAA Bylaw 10.1 to be forthcoming with information during the appeal hearing.

Friday June 24

3. Opening Remarks. Mr. Mitten welcomed the committee and guests. The Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS) thanked outgoing members Matt Mitten, Rochel Rittgers, Lauren Costello and Laurie Turner for their service to the committee.

4. Committee Staffing Needs. It was noted that six vacancies will need to be filled for committee service commencing in September 2006. The six are: primary care team physician; male head athletic trainer; at large; director of athletics; coach; football rules committee.

5. Approval of Previous Minutes.

It was VOTED

“That the minutes of the December 12-13, 2004 committee meeting be approved as distributed.”

6. NCAA Governance Actions and Issues. The committee reviewed relevant actions from the NCAA Executive Committee, the NCAA Division I Championships/Competition Cabinet, and the NCAA Divisions II and III Management Councils, and discussed the following:

a. The committee received an update on the four pieces of drug-testing legislation, to go into effect August 1, 2005.

b. The committee recommended reiterating its position on male practices squads: that all practice squad athletes should be treated medically as other student-athletes, i.e. they should receive pre-participation physicals and meet the same requirements for insurance coverage as all student-athletes. In addition, the committee will communicate this message to institutional compliance officers and the sports medicine community via an email.

7. NCAA Student-Athlete Advisory Committee (SAAC) Report. No SAAC member was present to deliver a report. The committee requested that staff discuss concerns about SAAC participation on CSMAS with NCAA SAAC staff liaisons, and explore alternative means to communicate its issues and to gain the benefit of the student-athlete voice on health and safety issues. In addition, the committee noted its position that no SAAC member will participate in drug-test appeals deliberations and voting if the SAAC member has not be active in the subcommittee discussion on these issues.

8. Government affairs update. The committee received a written report from the NCAA Government Relations staff regarding recent government activity on steroid use prevention in sports, and on a resolution introduce by Rep. Tom Osborne urging the NCAA to consider its alcohol advertising policies during radio and television broadcasts of collegiate sporting events.

9. NCAA legal issues report. Elsa noted a proposed amendment to NCAA Bylaw 10.1 that would prohibit an institutional staff member or prospective or enrolled student athlete from knowing involvement in providing a banned substance or impermissible supplement to student-athletes.

10. The National Center for Drug Free Sport Update. Ms. Wickerham gave a preview to the committee regarding its report to the Drug-Education and Drug-Testing Subcommittee.

11. Drug-Education and Drug-Testing (DEDT) Subcommittee. Ms. Rittgers, chair of the DEDT Subcommittee, previewed the subcommittee agenda for the afternoon’s meeting.

12. Sports Sciences Safety (SSS) Subcommittee. Mr. Weber, chair of the SSS Subcommittee, previewed the subcommittee agenda for the afternoon’s meeting.

13. Adjournment. The full committee adjourned for the afternoon subcommittee meetings.

Saturday June 25, 2005

14. Outreach. The committee heard reports from members who represent the following societies: American College of Sports Medicine (ACSM); American Orthopedic Society for Sports Medicine (AOSSM); National Athletic Trainers’ Association (NATA); National Association of Collegiate Directors of Athletics (NACDA); National Association of Collegiate Women Athletic Administrators (NACWAA); American Medical Society for Sports Medicine (AMSSM); American College Health Association (ACHA); National Federation of State High School Associations (NFHS); the Joint Commission on Sports Medicine and Science; and the Female Athlete Triad Coalition. The committee noted the following:

a. The Fourth Female Athlete Triad Summit, drawing coalition members from medical, education, and advocacy groups, will meet in Indianapolis October 8-9, 2005, co-sponsored by the NCAA and the American College of Sports Medicine.

b. The committee will send a letter to the Center for Medical Services (CMS) noting its concerns about proposed CMS action defining reimbursement that could exclude certified athletic trainers, resulting in reduced rehabilitation services on campus.

c. The committee directed staff to pursue efforts to identify student-athletes as a demographic on the National College Health Assessment conducted by the American College Health Association.

d. The Institute for Sport Medicine and Sports law will meet December 1-2 at Northwestern Medical School, Chicago.

15. Adjournment. The full committee adjourned to subcommittee meetings.

Sunday June 26, 2005

16. Research issues.

a. The committee noted that its proposed research of the membership on homophobia issues has received support from the NCAA Committee on Women’s Athletics and the Minorities Interests and Opportunities Committee. The next step will be to enlist support from SAAC.

b. Staff noted to the committee that an effort is underway to assess student-athlete nutritional needs and a review of NCAA policy in order to determine if a recommendation will be forthcoming from CSMAS.

17. DEDT Subcommittee report. Rochel Rittgers presented the work of the Drug-Education and Drug Testing Subcommittee in the following report:

USADA. Representatives from the United State Anti-Doping Agency (USADA), Terry Madden and Larry Bowers, met with the subcommittee to discuss government drug-testing issues, common concerns, and areas of collaboration. Both organizations will explore the potential to issue a joint press release regarding the new NCAA drug-testing legislation that withholds a student-athlete from NCAA participation while under a national or international doping suspension.

Drug research. Denise DeHass, NCAA research staff, presented the findings from the 2005 NCAA Study of Substance Use Habits of Collegiate Student-Athletes. The full report will be available later in the summer, and findings will be shared in a story in the NCAA News. Denise also reviewed with the Subcommittee the Drug-Education and Testing survey instrument. This survey will be administered in the fall.

Institutional Responsibility to report banned drug use. The Subcommittee recommended that NCAA membership services issue a legislative interpretation defining the responsibility of the institution to report to the NCAA knowledge of banned drug use, considering the requirements in the “certification of compliance” and NCAA Bylaw 10.2.

Banned drug list. The subcommittee reviewed and approved the 2005-06 banned drug classes list and examples.

Drug-Education and Testing Video. The Subcommittee reviewed the NCAA Drug-Education and Testing video, last produced in 2003, and recommended reissuing an update of the video in 2006, and providing the membership with a strong recommendation to show the video in conjunction with the signing of the compliance forms and in advance of any championship participation. Following the initial distribution of the updated video, annual reminders will be sent to the membership to encourage annual showings. The Subcommittee also recommended the inclusion of the following message, and that this message be widely disseminated among the membership:

(1) Student-athletes are responsible for reading a product’s label and consulting with athletics administrators to determine whether the product’s ingredients include an NCAA banned substance on the label. Student-athletes assume the risk that supplement products may be mislabeled or contaminated with an undisclosed banned substance. Ultimately, student-athletes are responsible for any substance they put in their body.

Drug-Testing Program book. The NCAA Drug-Testing Program book will be amended to inform the membership of procedural emphases in the appeal process and medical exceptions process, and to place the poster message “What you don’t know can hurt your eligibility” on the inside front cover, changing the final statement to the bolded statement identified above.

REC. The National Center for Drug Free Sport presented information identifying an increase in REC usage, noting that Division III has the largest number of student-athletes, but the smallest identified REC usage.

Drug-test results. Drug Free Sport presented the 2004-05 drug-testing results, noting a decrease in overall positive drug tests.

Drug-test appeals.

(1) The appeal training identified issues to be addressed in advance of the new drug-testing legislation, which allows the appeal panel to reduce a penalty. General criteria were identified to build a standard on which the appeal panel will rely for consistency in appeal decisions.

(2) The Subcommittee recommended education of the membership of framework and criteria to consider under the new appeals policies, including an article in the NCAA News and a revamping of the Drug Testing Appeals Procedures document that is posted on the Web and provided to institutions requesting an appeal.

(3) The development of a digest of drug-test appeal case outcomes with justification for the appeal decision will be reviewed at the January meeting to determine whether the digest will be published for membership review.

(4) Drug-test appeals will be scheduled weekly at the same time to provide Subcommittee members a consistent schedule and to provide the membership with identified appeal hearing times. Members of the SSS Subcommittee will be solicited to participate routinely in drug-test appeals.

(5) NCAA staff will take over administering appeal evaluations as part of the contract with Drug Free Sport.

Marijuana testing. The Subcommittee discussed the issue of marijuana testing, noting that many student-athletes believe the NCAA is testing for marijuana during NCAA year-round testing. Questions were raised as to whether there is a risk to the credibility of the drug-testing program if student-athletes believe they are beating a drug test for marijuana, when in reality they are not being tested for it. It was noted that much marijuana use is impulsive and somewhat impervious to the deterrent effect of being subject to testing. It was also noted that many institutions are testing for marijuana in their institutional drug-testing program.

Year-round expansion in DI and DII. The Subcommittee recommended that in the NCAA year-round testing program, Drug Free Sport continue to select four student-athletes from one other sport than football to test in Division II. In Division I the eight drug tests targeted at teams other than football should be divided into two additional sports for those teams with smaller squads, but be used all on one sport for teams with larger squads. The Subcommittee also approved testing the additional sport(s) at a later date than when Drug Free Sport is on campus in the fall for football testing.

Lab procedures. Drug Free Sport noted that starting this fall, liquid chromatography, a more discerning lab process, will be used for all NCAA drug tests, which may result in increased identification of steroid positives, including stanozolol and trenbolone.

T/E threshold. Drug Free Sport reported that CIR testing of NCAA urine samples which screen for Testosterone to Epitestosterone (T/E) levels of between 5:1 and 6:1 have not yielded any confirmed positives. WADA has set the positive T/E level at greater than 4:1. The Subcommittee determined that the CIR data supports maintaining the NCAA positive for T/E at greater than 6:1, and will review any data that may be presented by WADA. This research project will continue.

Championship testing expansion. Drug Free Sport reports that championship drug testing has been increased for the next season to assure more testing in Division III championship events.

Notification of testing at championship events. The Subcommittee gave approval to Drug Free Sport to provide earlier notification to the host institution of an NCAA championship that has been selected for drug testing than what the current procedures indicate, “no earlier than seven days”. This adjustment will accommodate for those events that occur around academic calendar breaks which increase the difficulties in rounding up couriers on short notice.

Football bowl testing. Mike Storey and Don Kaverman noted support from the Football Rules Committee and Football Issues Committee for testing at BCS Bowl Championship game, which will test 18 players from each team two days in advance of the game. Two other bowl games selected randomly will continue to be tested.

Student-athlete selection. The Subcommittee gave Drug Free Sport permission to add “competitive ranking” to the factors approved for consideration in selection of student-athletes for drug testing.

Failure to show. The Subcommittee agreed that an appeal in a failure to show case may be granted only after the student-athlete completes an NCAA drug test, conducted at the institution’s expense.

Division III year-round drug testing. The Subcommittee discussed the issue of year-round drug testing in Division III. Management Council representative to CSMAS, Charlie Wilson, participated in this discussion. The Subcommittee notes that the NCAA sponsors championships in Division III, and all year-round participation leading to a championship should be included in NCAA drug testing to assure a level playing field and protect the health and safety of Division III student-athletes.

(1) Members raised these following concerns:

(a) What is the basis to treat drug testing of Division III student-athletes different from other student-athletes?

(b) Does data indicate less drug usage?

(2) The Subcommittee believes that a drug-testing program in Division III should have the objective to provide the same deterrence effect as that in Divisions I and II. It was noted that a comprehensive year-round drug-testing program would present a major budget consideration. The Division I and II steroid testing program was established and continues to be funded through Association-wide funds. The Subcommittee recommended that staff explore options for funding, including an Association-wide budget allocation to DIII operational budget dedicated to drug testing. Drug Free Sport will provide optional testing plans. Staff will meet with Division III governance staff and key constituents to lay plans for a recommendation to Division III management council.

Drug-testing policies pamphlet. The Subcommittee approved changes to the Drug Policies Pamphlet, and recommended a banned drug wallet card no larger than a credit card also be developed, to include the banned drug classes and examples, and the REC contact information.

Budget requests. The Subcommittee recommended that staff submit an inflationary increase for the following:

(1) NCAA Health and Safety Speakers Grant budget – 5-10%;

(2) Drug-Education budget printing, publishing and shipping, which includes the costs of development and dissemination of the Sport Medicine Handbook-5%;

(3) APPLE Conference operating budget – 15%.

Issues for next meeting. Agenda items to be discussed at the January 2006 meeting include a recognition award to the UCLA lab, medical exceptions for testosterone replacement therapy, and summer drug testing.

18. Legislative recommendations. Pre-participation examinations. The committee recommended to mandate that prior to participation in any physical activity (preseason, regular season, non-traditional season) all prospects, walk-ons and student-athletes shall be required to undergo a medical examination that is administered or supervised by a physician. The CSMAS believes before student-athletes accept the rigors of organized sport, their health should be evaluated by qualified medical personnel. The intent is to ensure all participants have a medical examination upon entrance to the sport. During subsequent years, an interim history should be performed upon which a physician would determine if additional physical, cardiovascular or neurological examinations are required. Currently there is an inconsistency as to when athletes receive physicals and variability in the type of exams. The committee recommends that all athletes should have a pre-participation examination consistent with the legislation for the sport of football under Bylaw 17.11.2.2 Activities Prior to First Practice Date. Due to the inconsistency in medical forms used nationwide, the committee highly recommends the forms within the "Pre-participation Physical Examination" monograph published by McGraw-Hill as a minimal standard since the publication has been endorsed by American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Each institution should provide its own pre-participation examination form based on these minimal standards, which includes a thorough history, physical examination and screening for cardiovascular conditions.

19. Sport issues.

a. Wrestling. In an effort to encourage healthy habits and maintain performance, the committee supports the request to add one pound during tournament competition. For energy expenditure and recovery of caloric intake (depletion of carbohydrate stores) and hydration for the intense competition related to the sport of wrestling is seems prudent to add the one pound for each subsequent day of a tournament competition. Continue to monitor the weights of athletes at the championship to look at the fluctuation effect since the current research notes that the wrestlers are reaching their weight and then maintaining that weight throughout the tournament without a problem.

b. Lacrosse. Appointed Margot Putukian, Princeton University to the US Lacrosse Sports Safety and Science Committee.

c. Football. For educational purposes, the committee recommended sending a letter after each transparent eye shield submission to the school and conference office noting that these exceptions should utilize appropriate molded and rigid equipment that has a tint (grey/amber) that is as low as medically (i.e. 30%). Institutions should note that other options for student-athletes such as tinted polycarbonate sunglasses and tinted contacts to may be worn under the face mask.

d. Field hockey. The committee supported collaborative efforts with equipment standards groups such as the American Standards for Testing Materials (ASTM) and the National Operating Committee on Standards for Athletic Equipment (NOCSAE) to develop field hockey specific testing guidelines for the protective eyewear currently on the market.

e. Women’s Ice Hockey. The committee noted an increased trend in concussion rates in the sport of women’s ice hockey and will be working with the committee on the topic.

20. Education resources. No new discussion.

21. Other health and safety issues. The committee received an update on the following:

a. Mental health initiatives. The NCAA hosted a meeting of clinical psychologists in February to promote attention to mental health issues of student-athletes, and to engage this group as a resource for the membership. The group is working on a mental health sports medicine guideline, to be reviewed in the upcoming year.

b. Coaches Playbook on Eating Disorders. Staff is working with consultants to develop a resource for coaches of female athletes, a need identified by the survey conducted of these coaches in 2003. The final product, a desk reference and a portfolio notebook containing a quick reference guide and a student-athlete handout, will be rolled out in 2005-06 at select coaches meetings.

c. Hazing. The 2005 National Hazing Prevention Week took kit developed following the first National Hazing Symposium, supported by the NCAA, were provided, noting that the NCAA will continue to work with the national greek organizations in efforts to promote policies that establish campus-wide anti-hazing efforts. In addition, the kits were provided to the National Association of Collegiate Directors of Athletics, NACDA, which hosted a panel on hazing in athletics at their 2005 annual meeting. NACDA plans to continue a focus on this issue. Staff will follow up with NACDA for additional opportunities to work on this issue.