North Carolina 2025-2026 Regular Session

North Carolina House Bill H928

Introduced
4/10/25  
Refer
4/14/25  
Report Pass
4/29/25  
Refer
4/29/25  
Report Pass
4/30/25  
Refer
4/30/25  
Report Pass
5/5/25  
Engrossed
5/7/25  
Refer
5/7/25  
Refer
6/9/25  
Report Pass
6/17/25  
Refer
6/17/25  
Report Pass
6/18/25  
Enrolled
6/19/25  
Chaptered
7/2/25  

Caption

Allow PTs in School Concussion Protocol

Summary

House Bill 928 amends North Carolina’s student-athlete concussion law to add licensed physical therapists as one of the professionals who may evaluate a student for a suspected concussion and provide the written clearance needed before the student may return to play or practice on a later day. The bill applies when a student participating in an interscholastic athletic activity shows signs or symptoms consistent with a concussion and has been removed from the activity. Under current law, a student could not return to athletic participation until evaluated and cleared by certain licensed health care providers. This bill expands that list to include physical therapists licensed under Article 18E of Chapter 90, giving schools and families another authorized pathway for concussion evaluation and return-to-play clearance. The act became effective upon becoming law.

Impact

The bill amends G.S. 115C-407.57(b)(2), which governs concussion protocols for interscholastic athletics in North Carolina public schools. Its practical effect is to broaden the set of licensed professionals who may issue written clearance after a suspected concussion, potentially increasing access to timely evaluations and reducing delays in student-athlete return-to-play decisions. It does not change the immediate removal requirement after concussion symptoms appear, but it does alter who may authorize subsequent participation.

Sentiment

The available voting history suggests broad bipartisan support for the measure. The House second reading passed 100-11, and the Senate second reading passed unanimously 41-0. No committee transcripts were provided, but the strong vote margins indicate the bill was generally viewed favorably as a targeted school-safety and access-to-care measure.

Contention

The main point of policy significance is whether physical therapists should be authorized to make return-to-play clearance decisions for suspected concussions alongside other health professionals. Support appears to have centered on expanding access and flexibility for student-athletes, schools, and families, especially where physician access may be limited. Any opposition likely reflected caution about concussion assessment authority and whether physical therapists should be included in the clearance process, but the recorded votes show that such concerns did not generate substantial legislative resistance.

Companion Bills

No companion bills found.

Previously Filed As

NC H4298

Concussion protocols in schools

NC HB961

Public Schools and Youth Sports Programs - Concussion Protocol - Alterations

NC HB0961

Public Schools and Youth Sports Programs - Concussion Protocol - Alterations

NC S0319

Replaces the existing chapter on this subject by requiring school districts to organize concussion oversight teams, develop removal-from-play, return-to-play, and return-to-learn protocols, and develop a concussion brochure.

NC H5489

Replaces the existing chapter on this subject by requiring school districts to organize concussion oversight teams, develop removal-from-play, return-to-play, and return-to-learn protocols, and develop a concussion brochure.

NC S2782

Replaces the existing chapter on this subject by requiring school districts to organize concussion oversight teams, develop removal-from-play, return-to-play, and return-to-learn protocols, and develop a concussion brochure.

NC H7902

Replaces the existing chapter on this subject by requiring school districts to organize concussion oversight teams, develop removal-from-play, return-to-play, and return-to-learn protocols, and develop a concussion brochure.

NC HB2042

Further providing for definitions and for the prevention of concussions and traumatic brain injuries.

NC HB0961

Public Schools and Youth Sports Programs - Concussion Protocol - Alterations

NC A4227

Requires DOE to develop registry of high school student-athletes who sustain concussions or other head injuries.

Similar Bills

No similar bills found.