Below is a table with the summary of the changes made in the most recent update.
Last Update: April 1, 2019
| State | Old Rank | New Rank | Old Points | New Points | Change Score | Areas Changed |
| Alabama | 25 | 24 | 47.9 | 49.7 | +2.5 | Heat
· State requires all schools to have a heat modification policy · The recommended heat policy is based off Heat Index · The heat policy has at minimum 4 levels of modification, including the modification of practice time · Policy includes modification of equipment (if applicable to sport) |
| Arizona | 18 | 19 | 52 | 54 | +2 | Traumatic Head Injury
· No child/adolescent should return to sport/activity unless he/she has managed to return to school |
| California | 50 | 50 | 26 | 30 | +4 | Sudden Cardiac Arrest
· All athletic trainers, coaches, administrators, school nurses and physical education teachers should have access to an AED on school property · Institutions sponsoring athletic events/activities should have an AED on site or access to one at each athletic venue for practices, games or other athletic events |
| Colorado | 51 | 51 | 23 | 28 | +5 | Athletic training services
· Athletic trainers must be licensed |
| Connecticut | 38 | 38 | 40.8 | 44.80 | +4 | Emergency Preparedness
· Coach education required as part of coaching certification on topics relating to preventing sudden death in sport |
| Delaware | 32 | 34 | 43.73 | 46.35 | +2.62 | Heat
· Policy mentions the use of a shaded area for rest breaks |
| District of Columbia | 20 | 23 | 50.55 | 52.55 | +2 | Sudden Cardiac Arrest
· AED should be stored in a safe place |
| Idaho | 39 | 36 | 40 | 46 | +6 | Heat
· If exertional heat stroke is suspected, onsite cooling using cold water immersion before transport to the hospital |
| Massachusetts | 3 | 3 | 67.4 | 75.025 | +7.625 | Heat
· State requires all schools to have a heat modification policy · Cold water immersion tubs for onsite cooling for all warm weather practices |
| New Hampshire | 44 | 41 | 36 | 42 | +6 | Heat
· Days 1-5 are the first formal practices. No more than 1 practice occurs per day · In days 1-5, total practice time should not exceed 3 hours in any 1 day · On days 1-5, 1-hour maximum walk-through is permitted, however there must be a 3-hour minimum between practice and walk-through (or vice versa) · During days 1-2 of first formal practices, a helmet should be the only protective equipment permitted (if applicable). During days 3-5, only helmets and shoulder pads should be worn. Beginning on day 6, all protective equipment may be worn and full contact may begin. Football only: on days 3-5, contact with blocking sleds and tackling dummies may be initiated Full-contact sports: 100% live contact drills should begin no earlier than day 6 |
| Oregon | 15 | 7 | 53.59 | 61.592 | +8.002 | Heat
· Cold water immersion tubs for onsite cooling for all warm weather practices · If exertional heat stroke is suspected, onsite cooling using cold water immersion before transport to the hospital Sudden cardiac arrest · Institutions sponsoring athletic events/activities should have an AED onsite or access to one at each athletic venue for practices, games, or other athletic events |
| Tennessee | 17 | 17 | 52.73 | 54.725 | +1.995 | Heat
· Days 1-5 are the first formal practices. No more than 1 practice occurs per day · In days 1-5, total practice time should not exceed 3 hours in any 1 day
|
| Texas | 19 | 22 | 50.8 | 52.8 | +2 | Heat
· Days 1-5 are the first formal practices. No more than 1 practice occurs per day · In days 1-5, total practice time should not exceed 3 hours in any 1 day |
| Utah | 30 | 18 | 44 | 54 | +10 | Emergency Preparedness
· Coach education required as part of coaching certification on topics relating to preventing sudden death in sport |
| West Virginia | 14 | 10 | 54.33 | 59.325 | +4.995 | Athletic training services
· Athletic trainers must be licensed |
Please click the respective links for a summary of previously rankings.
Archived rankings/summaries: