MINUTES OF THE

agenda were acted on at various times throughout the meeting all final actions within a given topic are combined in these minutes for convenience of reference.]

Thursday December 14

The meeting was called to order at 4 p.m. by the chair, Mr. Koloskie. All members were present as noted above.

1. Opening Remarks. Mr. Koloskie welcomed the returning committee members, new committee members and guests.

2. Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS) Staffing Needs. Committee openings are posted in the NCAA News. Staff will provide committee members with a reminder of upcoming openings each fall in order to facilitate nominations for those positions.

3. Approval of Previous Minutes.

It was VOTED

“To approve the minutes of the June, 2006 committee meeting as distributed.”

4. CSMAS Mission and duties. The committee members reviewed the legislated duties of this committee, noting that CSMAS is legislatively charged with operating a national injury surveillance program to monitor injury trend and enhance safety in intercollegiate athletics.

5. 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.

6. NCAA Student-Athlete Advisory Committee (SAAC) Report.

a. Division I. Megan McGrane identified that the discussion from the June CSMAS meeting on medical coverage for traveling teams was share with Division I SAAC.

b. Division II. Matt McDougall noted no new issues from SAAC.

7. NCAA Legal Issues Report. Elsa Cole updated the committee on legal cases involving student-athlete health and safety.

8. Energy Drinks. Scott Bearby updated the committee with information about the Coca-Cola Company request for the CSMAS to review its position on energy drinks as they relate to NCAA Bylaw 16.5.2.g, which restricts the provision of nutritional supplements by NCAA institutions. The committee confirmed its position that energy drinks are considered impermissible supplements and took no further action.

9. Outreach. The committee accepted the information from members who represent the following societies: American Medical Society of Sports Medicine (AMSSM); American Orthopedic Society for Sports Medicine (AOSSM);; the National Athletic Trainers’ Association (NATA); American College Health Association (ACHA); National Federation of State High School Associations (NFHS); and the Female Athlete Triad Coalition.

10. Research. The committee received an update on several research projects underway: the Campus Climate Survey, scheduled to be administered to student-athletes across the membership in February 2007 ; Division III governance to collect additional data in review of a recommendation to conduct year-round testing in Division III; the nutrition survey project that will be distributed through the Conference SAAC structure in January; and the Life-Work Balance initiative, which will present its executive summary during the 2007 NCAA Convention.

11. Drug Education and Drug Testing Issues.

a. Drug Testing Results 2005-06. The committee approved forwarding the 2005-06 NCAA drug testing results, including the 2006 summer drug tests, for approval to publish on the NCAA Web site, with an added statement on the results report that “Sports selected for testing are based on a number of factors, including survey data, sports participation and committee recommendations.” In addition, once approved, the results will be published in an article in the NCAA with a more complete description.

b. Year Round Testing. The committee noted the decrease in the percentage of “repeat” testing visits to Division I campuses, due in large part to expansion of the division. It was noted that with current resources, the level of testing to achieve 100% coverage of DI football would need to be reduced to increase repeat testing. Other options include requesting an inflationary budget increase or submitting a request for an expanded drug-testing budget to cover additional tests. Additional information will be gathered to describe the trends in Division I over the last 10 years, to include: data from the 1997, 2001 and 2005 substance use studies; drug-testing data; sports participation numbers; and projected costs to increase repeat visits to DI campuses to achieve a 15% annual repeat testing level. The committee also noted the increase in the number of football bowl games, resulting in an overall decrease in the level of drug-testing of these games.

c. Annual drug-testing memo. The committee agreed to send an annual “drug-testing issues” memo to the membership in April, to remind the membership about upcoming duties to comply with NCAA drug testing, to advise about the upcoming summer drug testing plan, and to include the nutritional supplement warning and any other points of emphasis for the year.

d. EPO testing. The committee agreed to continue testing for EPO in year-round testing during periods preceding championship events, and to revisit the plan in June.

e. CIR testing. The committee agreed to identify a sampling of NCAA drug tests for concurrent CIR and T/E testing to identify manipulation of Testosterone and Epitestosterone, effective August 2007. Drug Free Sport will present the plan for the sample.

f. Summer drug testing. In light of the cost and logistical issues involved in the summer drug testing program, members revisited whether potential summer drug use is a bigger concern than the intrusion into the student-athlete summer break/life. It was noted that the compliance aspect of being a student-athlete does not go away in the summer. The committee identified a major logistical barrier in baseball testing that created an extended period of time between notice and testing. This also raised the question about defining a “no show” in summer testing. Staff will explore these issues with the baseball community and the membership, and discuss the potential for random selection of baseball student-athletes from the summer baseball league rosters instead of random selection of schools and from institutional rosters. In addition, the committee approved expanding summer drug testing into Division II football. If summer league testing is approved for summer 2007, the, Division II baseball will be included. Staff will gather information about the existence of summer leagues for other sports for future reference.

g. Banned drug list. The committee agreed to immediately add “other masking agents” with examples, including finasteride, to the drug class (d) Diuretics. In addition, as approved by the three divisions, the banned drug list will add a new class of drugs, (g) Anti-estrogens, effective immediately. Under “Definitions of positive depends on the following:”, new language will be substituted allowing the lab to report as a positive drug test for testosterone any reliable analytical method (eg. IRMS, GCMS, CIR) that show the exogenous use of testosterone, in addition to a T/E ratio greater than 6:1.

h. Drug-testing protocol. Staff will work to reword Bylaw 18.4.1.5.1 Duration of Ineligibility, to reflect the committee’s intent that the period of ineligibility begin on the date of the collection of the drug-test sample, and extend a minimum of 365 days, and result in the loss of a minimum of one season of competition in all sports, providing for withholding from additional games at the end of the 365 days if the student-athlete played in games during the period from the collection to the confirmation of the positive drug test result.

i. Medical exceptions. Add the new class (g) Anti-estrogens to those classes of banned drugs for which a medical exception may be granted. It was also noted that additional guidance will be provided to the membership when a student-athlete is seeking a medical exception for the use of Human Growth Hormone.

j. Medical marijuana. The committee agreed to handle a medical marijuana case as an appeal and not through the medical exception process.

k. Nutritional supplements. The committee discussed efforts to engage/educate institutional compliance staff regarding NCAA legislation on the provision of nutritional supplements. Staff will work with Drug Free Sport to explore additional education on the risks of using “nutritional supplements”, including a marketing strategy to “rename” the issue. In addition, staff will explore the development of a PowerPoint presentation that provides coaches and athletics administrators a resource to conduct educational programs with their student-athletes.

l. Creatine. The committee continues to consider whether creatine should be placed on the list of NCAA banned substances. The committee notes that although there is data identifying the potential for ergogenic benefits from the use of creatine, presently there is not definitive data to support the risk to health, and therefore it does not meet the criteria to be banned. No other sports governing body bans creatine, and there is no drug test to identify use.

m. Synephrine. The committee agreed to maintain synephrine on the list of NCAA banned substances, and monitoring positive tests with no sanctions until additional research is available. Drug Free Sport will pursue a call for research.

n. Drug-testing facilities and conduct during drug testing. The committee reviewed a case of misconduct on the part of a student-athlete at a championship drug-testing event, and the lack of supervision on the part of the institutional representatives. This case resulted in a referral to the sports committee for a reprimand, and prompted discussion on whether the drug-testing protocol should reflect any consequences for bad behavior at a drug-testing site. Also, it was emphasized that the drug-testing facility must meet minimum requirements for an appropriate drug-testing environment.

o. Year-round and street-drug testing proposal. Staff will continue to move this recommendation through the legislative and budget process. Clarification will be provided regarding the cost of adding street drugs and stimulants to the year-round testing program, and to the substances that will be included in the street drug category.

p. Drug-Education and Testing Survey. Committee members will review this survey instrument and recommend changes in advance of the June CSMAS meeting. This survey will be administered to athletics administrators in the fall 2007.

q. NFL letter to ONDCP. The committee approved of adding the NCAA as a signee to the letter drafted by the NFL to the White House Office of National Drug Control Policy, et.al., and signed on by other professional leagues, to request stronger law enforcement in curtailing distribution of illegal performance-enhancement substances.

r. Drug and Wellness Education. The committee will take under consideration committee member relationships to the following programs: the APPLE Conference, the CHOICES Grant program and the Health and Safety Speakers Grant program. These programs carry budget lines, and have been reviewed by the NCAA for additional attention to implementation and evaluation.

s. Tobacco Education. Mr. McDougall and Dan Pepicelli will work with staff to address enhancing education for student-athletes and coaches to deter spit tobacco use, which is high particularly in baseball, football, ice hockey and wrestling.

t. Lab update. The Utah Lab has now been WADA certified, and will be conducting CIR testing in another 18 months. A number of NCAA tests may be sent to this lab starting at a later date, following a recommendation from Drug Free Sport.

u. Lab training. Staff is awaiting word from the UCLA lab regarding dates in February, March or April for a lab training.

12. Sport-Specific Issues.

a. ISS Data review. The committee reviewed ISS data for Baseball, Softball, Men’s and Women’s lacrosse, Men’s and Women’s Tennis. Full reports and summary points of interest can be found on the NCAA website.

(1) Men’s tennis noted that 40% game injury injuries were related to heat illnesses but accounted for only 5 incidences within a sample of 12 schools out of 755. Sample size is too small to consider this data reliable at this time. The committee will continue monitoring the issue.

(2) In Women’s lacrosse, the committee noted that over the last 2 years, the ball did not create above neck injuries in games but accounted for approximately 50% of practice injuries. The committee questioned why this might be occurring and whether the players are wearing their protective eyewear in practice as they are in games. The committee will continue to monitor this trend and consult with the lacrosse community.

(3) In general, the committee will be tracking on concussion rates for Men’s lacrosse over time, head and face injuries in field hockey, and whether the addition of a 12^th game has increase injury rates in Division I football.

b. Wrestling. The committee reviewed the wrestling proposal to eliminate the December deadline to establish the weight class and replace it with a February 1^st deadline. At this point in time, the committee believes that the proposal lacks evidence to create change in an established standard. As the program was established to provide safety measures for first time participants in the program coupled with the fact that not all high schools include weight management guidelines, simply changing the policy for roster management purposes may not be prudent. The committee will work with the National Wrestling Coaches Association to review the past 2 years of data on questions assessing compliance and the ability of the system to track weights of the athletes consistently. The proposal review and further analysis will be concluded by the April 2007 Wrestling Committee meeting.

(1) Research. The committee recommended that a research study be conducted to examine whether student-athlete weights determine from a mat-side weigh-in differ from the current mandated NCAA 1-hour prior to competition weigh-in rule. A request for proposals for a Sports Science Safety grant funding will be forwarded to the research community. Scott Lynch and Tracy Ray will help design the research question.

c. Field Hockey. The committee continues its support for allowing protective eye wear during play, both for reasons of injury prevention and participation of student-athletes that have already incurred a significant eye injury. The committee noted that the addition of eye wear to women’s lacrosse has eliminated eye injuries in the sport and even reduced the overall head and face injury rates. In addition, the sports of basketball and football have established permissive language that allows for student-athletes to wear polycarbonate protective eye wear during play to prevent eye injuries and have not needed to mandate their use. The committee will consider steps to allowing protective eye wear to be permissible in NCAA play.

d. Division III Football Walkthrough proposal. In response to a proposed change in the Division III football preseason by the Division III Football Committee, the Division III Playing and Practice Seasons Subcommittee requested data on the effectiveness of the current Division III football preseason model that excludes extra walkthroughs during 5-day acclimatization period as well as effectiveness and impact of allowing walkthroughs in football preseason in Division I and Division II. The CSMAS committee reviewed current ISS data for the 2005 and 2006 seasons as compared to previous seasons. Data specific to adding walkthroughs in Division I and II following the initial 2003 preseason can not differentiate a change to the number of heat illnesses that occurred during the first 5 days. However, the ISS data did show that heat illnesses across all three divisions were reduced in 2006 during the preseason period. The CSMAS committee recognizes the important role teaching correct technique plays in the prevention of injuries and that the first 5 days are critical for that to happen. Overall, the committee continues to be concerned about the additive effect of participating in a hot environment for extended periods of time; however, the committee recognizes that institutions are still primarily responsible for ensuring that they provide a safe environment for student-athletes and making the day-to-day decisions on practice modification related to these situations. If the Division decides to add a one-hour walkthrough for teaching purposes, the committee recommends that educational efforts in the area of injury prevention continue.

13. Health and Safety Issues and Updates.

a. Mental Health. Committee members received a copy of the draft of the mental health handbook and were asked to review and provide comment by February.

b. Hazing. Committee supports hazing education that includes a specific target to educating team captains and including peer education efforts. Efforts should also include a target to older high school students, particularly as they are identified as incoming student-athletes.

c. Drug Court. Ron Courson presented a brief outline of this intervention with alcohol violations, and how it may be utilized within athletics. The committee agreed to have Kent Lawrence come to the June meeting to conduct a more detailed presentation.

d. Injury Surveillance System (ISS). Randy Dick provided an update that noted the numbers of schools participating in the ISS have increased across sports but have not returned to the sample size prior to the initiation web-based system. Efforts to include more schools are continuing. Other topics that were discussed included the data sharing agreement among external researchers, future cross platform data entry opportunities, and the new methods for the web-based system which are now published in the ISS reports online.

e. Consistent medical coverage policy across sports in the summer period. The committee will work with the NCAA Division I Football Issues and Football Rules committee as well as the American Football Coaches Association to address the committee’s concern about supporting an institutionally-controlled care and coverage model across sports during the summer period as outlined in the current Division I Bylaw 17.11.6.1.1 Strength and Conditioning Coaches Conducting Non-Mandatory Practice Session I-A/I-AA.

f. Electronic Pre-participation Evaluation Tool (E-PPE). The committee reviewed a request from a vendor about an electronic pre-participation physical examination tool. The committee noted that the concept was good but they stated concerns about the applicability of the consent form and that the print out seemed difficult to follow and read. The committee inquired about the vendor’s intention for the tool, the NCAA’s role, and the cost. It was also noted that although an online history tool improved convenience, the committee preferred the history discussion to be in a one-on-one format with a sports medicine professional so that clinical judgment is optimized.

g. Sickle cell. The committee will participate in a summit addressing sickle cell trait in athletes that will be sponsored by the NATA in February 2007.

h. Sports Medicine Handbook. The committee approved edits in the handbook to the following guidelines:

(1) Lightning Safety. The committee recommended that national office staff work with the lightning expert consultants to discuss the impact of cloud to cloud disturbances and improve the clarity of the 5^th point in the guideline that outlines the activation of the lightning safety plan.

(2) Medical records. The committee noted that the current Sports Medicine Handbook guideline pertaining to administration suggests that institutions should retain medical documentation of student-athletes during the student-athletes’ collegiate career and the each institution may have different policies. The committee recommended adding the following language for further guidance: Institutions should consider state statues for medical records retention (e.g. 7 years; 10 years); institutional policy (e.g. insurance long term retention policy); and professional liability statute of limitations.

(3) Mouth guards. The committee reviewed NCAA Sports Rules pertaining to mouthguards and recommended adding a comparison chart to the SMH mouthguard guideline. The committee also recommended that a process be developed to evaluate how to standardize mouthguard mandates across sports. In a larger scope, the committee noted other health and safety guidelines that may be