Amend CSSB 474 in Section 1 of the bill, between proposed 
Sections 33.202 and 33.203, Education Code (committee printing, 
page 2, between lines 3 and 4), by inserting the following:

	Sec. 33.2021.  COMPLETION OF UNIVERSITY INTERSCHOLASTIC 
LEAGUE MEDICAL HISTORY FORM.  (a)  Each student participating in an 
extracurricular athletic activity must complete the University 
Interscholastic League forms entitled "Preparticipation Physical 
Evaluation--Medical History" and "Acknowledgment of Rules."  Each 
form must be signed by both the student and the student's parent or 
guardian.
	(b)  Each form described by Subsection (a) must clearly state 
that failure to accurately and truthfully answer all questions on a 
form required by statute or by the University Interscholastic 
League as a condition for participation in an extracurricular 
athletic activity subjects a signer of the form to penalties 
determined by the University Interscholastic League.
	(c)  The "Preparticipation Physical Evaluation--Medical 
History" form described by Subsection (a) must contain the 
following statement:
		"An individual answering in the affirmative to 
any question relating to a possible cardiovascular 
health issue, as identified on the form, should be 
restricted from further participation until the 
individual is examined by the individual's primary 
care physician.  Ultimately, the individual may need 
to be evaluated by a cardiologist and/or undergo 
cardiac testing (including an echocardiogram and/or 
other heart-related examination) based on the 
assessment by the primary care physician."