Title 15Commerce and TradeRelease 119-73

§8601 Protections for covered sports medicine professionals

Title 15 › Chapter CHAPTER 112— - SPORTS MEDICINE LICENSURE › § 8601

Last updated Apr 6, 2026|Official source

Summary

If a sports medicine professional has medical liability insurance in their primary State and they agree in writing to care for an athlete or team in a different State, their home-State insurance must cover those services like they were done at home. Also, if the professional is licensed in the primary State to give those services, the secondary State must treat that person as meeting its license rules when the two States’ licenses are substantially similar. This does not let the professional do more than their primary-State license allows, or more than what a similar license in the secondary State allows. It also does not replace any reciprocity or interstate compact between the States, or a licensure exemption the secondary State already gives. Definitions: athlete — someone paid to play, someone in an event run by a national governing body, or someone for whom a high school or college provides a covered sports medicine professional. Athletic team — a team made up of paid players, a team in a national governing body event, or a team for which a high school or college provides a covered sports medicine professional. Covered medical services — general or emergency medical care, athletic training, or physical therapy, but not care at a health care facility or care given while a licensed provider is taking an injured person to a facility. Covered sports medicine professional — a physician, athletic trainer, or other health pro licensed in the primary State who has a written agreement to provide services and who told their home-State insurer what they will do. Health care facility — a place that gives inpatient or outpatient medical care, not including arenas, stadiums, practice sites, or temporary event facilities. Institution of higher education — a college or university as defined in federal law. License/licensure — approval under primary-State rules to provide covered services (may include registration or certification). National governing body — a sports governing organization as defined in federal law. Primary State — the State where the professional is licensed and where most of their liability coverage is underwritten. Secondary State — any State that is not the primary State. State — includes the States, the District of Columbia, and U.S. territories. Substantially similar — both States have a form of licensure that lets the professional provide the covered services.

Full Legal Text

Title 15, §8601

Commerce and Trade — Source: USLM XML via OLRC

(a)In the case of a covered sports medicine professional who has in effect medical professional liability insurance coverage and provides in a secondary State covered medical services that are within the scope of practice of such professional in the primary State to an athlete or an athletic team (or a staff member of such an athlete or athletic team) pursuant to an agreement described in subsection (c)(4) with respect to such athlete or athletic team—
(1)such medical professional liability insurance coverage shall cover (subject to any related premium adjustments) such professional with respect to such covered medical services provided by the professional in the secondary State to such an individual or team as if such services were provided by such professional in the primary State to such an individual or team; and
(2)to the extent such professional is licensed under the requirements of the primary State to provide such services to such an individual or team, the professional shall be treated as satisfying any licensure requirements of the secondary State to provide such services to such an individual or team to the extent the licensure requirements of the secondary State are substantially similar to the licensure requirements of the primary State.
(b)Nothing in this section shall be construed—
(1)to allow a covered sports medicine professional to provide medical services in the secondary State that exceed the scope of that professional’s license in the primary State;
(2)to allow a covered sports medicine professional to provide medical services in the secondary State that exceed the scope of a substantially similar sports medicine professional license in the secondary State;
(3)to supersede any reciprocity agreement in effect between the two States regarding such services or such professionals;
(4)to supersede any interstate compact agreement entered into by the two States regarding such services or such professionals; or
(5)to supersede a licensure exemption the secondary State provides for sports medicine professionals licensed in the primary State.
(c)In this chapter, the following definitions apply:
(1)The term “athlete” means—
(A)an individual participating in a sporting event or activity for which the individual may be paid;
(B)an individual participating in a sporting event or activity sponsored or sanctioned by a national governing body; or
(C)an individual for whom a high school or institution of higher education provides a covered sports medicine professional.
(2)The term “athletic team” means a sports team—
(A)composed of individuals who are paid to participate on the team;
(B)composed of individuals who are participating in a sporting event or activity sponsored or sanctioned by a national governing body; or
(C)for which a high school or an institution of higher education provides a covered sports medicine professional.
(3)The term “covered medical services” means general medical care, emergency medical care, athletic training, or physical therapy services. Such term does not include care provided by a covered sports medicine professional—
(A)at a health care facility; or
(B)while a health care provider licensed to practice in the secondary State is transporting the injured individual to a health care facility.
(4)The term “covered sports medicine professional” means a physician, athletic trainer, or other health care professional who—
(A)is licensed to practice in the primary State;
(B)provides covered medical services, pursuant to a written agreement with an athlete, an athletic team, a national governing body, a high school, or an institution of higher education; and
(C)prior to providing the covered medical services described in subparagraph (B), has disclosed the nature and extent of such services to the entity that provides the professional with liability insurance in the primary State.
(5)The term “health care facility” means a facility in which medical care, diagnosis, or treatment is provided on an inpatient or outpatient basis. Such term does not include facilities at an arena, stadium, or practice facility, or temporary facilities existing for events where athletes or athletic teams may compete.
(6)The term “institution of higher education” has the meaning given such term in section 1001 of title 20.
(7)The term “license” or “licensure”, as applied with respect to a covered sports medicine professional, means a professional that has met the requirements and is approved to provide covered medical services in accordance with State laws and regulations in the primary State. Such term may include the registration or certification, or any other form of special recognition, of an individual as such a professional, as applicable.
(8)The term “national governing body” has the meaning given such term in section 220501 of title 36.
(9)The term “primary State” means, with respect to a covered sports medicine professional, the State in which—
(A)the covered sports medicine professional is licensed to practice; and
(B)the majority of the covered sports medicine professional’s practice is underwritten for medical professional liability insurance coverage.
(10)The term “secondary State” means, with respect to a covered sports medicine professional, any State that is not the primary State.
(11)The term “State” means each of the several States, the District of Columbia, and each commonwealth, territory, or possession of the United States.
(12)The term “substantially similar”, with respect to the licensure by primary and secondary States of a sports medicine professional, means that both the primary and secondary States have in place a form of licensure for such professionals that permits such professionals to provide covered medical services.

Legislative History

Notes & Related Subsidiaries

Statutory Notes and Related Subsidiaries

Short Title

Pub. L. 115–254, div. A, § 11, Oct. 5, 2018, 132 Stat. 3197, provided that: “This division [enacting this chapter] may be cited as the ‘Sports Medicine Licensure Clarity Act of 2018’.”

Reference

Citations & Metadata

Citation

15 U.S.C. § 8601

Title 15Commerce and Trade

Last Updated

Apr 6, 2026

Release point: 119-73