Preparticipation physical evaluation; children's cardiac safety.

Changed from 'Education and Health Substitute' to 'Education Substitute' and removed 'children's cardiac safety' from the title

Narrowed applicability from 'public elementary and secondary school' to 'public middle and high school' in several sections

Removed detailed cardiac screening questions and specific health history evaluation requirements that were in the Senate version

Removed provisions requiring a childhood cardiac screening professional development module for health care professionals

Simplified language around physical examination timing and reporting requirements

Simplified definition of 'Preparticipation Physical Evaluation form' by removing the specific mention of the American Heart Association's 14-point screening for heart disease in youth

Removed requirements for annual reporting on exam completion and cardiology referrals

Header formatting changed from 'OFFERED FOR CONSIDERATION' to 'SENATE SUBSTITUTE' with different date presentation (January 28, 2025 vs January 30, 2025).

Page numbering and layout changed from unnumbered text to numbered lines (1-49) with bill identifier '25106341D' and 'SB1320S1'.

Added timestamp '1/30/25 15:52' and additional spacing between sections.

Changed school eligibility from 'public middle and high school' to 'public elementary and secondary school' to include elementary school students in the physical examination requirements.

Added new section 22.1-271.9 requiring a standardized Preparticipation Physical Evaluation Form that includes the American Heart Association's 14-point heart disease screening for youth.

Added new section 54.1-2973.2 establishing cardiac safety screening requirements with specific questions about heart health history, concussions, and family cardiac events.

Requires the Department and Department of Health to develop guidance and a single standardized Preparticipation Physical Evaluation Form for all public schools.

Added definition of 'Health care professional' to include physicians, advanced practice registered nurses, and physician assistants.

The physical examination timeline was changed from 'within six weeks of the first day of official practice' to 'no more than 14 calendar months prior to the date on which such report was signed'.

The enrolled version removed detailed provisions about creating a new preparticipation physical evaluation form, a professional development module for health care professionals, and annual reporting requirements that were in the original introduced bill.

The enrolled version maintains the requirement that students must submit a signed Preparticipation Physical Evaluation form from a licensed health care professional to participate in interscholastic athletics.

The bill status changed from 'Introduced' to 'Enrolled', indicating it has been approved by both houses of the General Assembly and is now law.