HF 4584
Introduction - 94th Legislature (2025 - 2026)
Posted on 03/25/2026 01:04 p.m.
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A bill for an act
relating to health; requiring cardiovascular prescreenings for students; proposing
coding for new law in Minnesota Statutes, chapter 145.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
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[145.678] CARDIOVASCULAR PRESCREENING FOR STUDENT
ATHLETES.
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new text begin Subdivision 1. new text end
new text begin Physical examination. new text end
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(a) Beginning in the 2028-2029 school year, a
qualified licensed health care professional who performs a physical examination for a student
athlete must include a cardiovascular prescreening that follows nationally recognized,
evidence-based guidelines recommended by organizations focused on cardiovascular care
in pediatric populations. The prescreening must include but not be limited to the following
information on cardiovascular disease:
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(1) prior elevated systemic blood pressure, unexplained exertional chest pain or syncope,
palpitations, or decreased exercise tolerance;
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(2) known cardiac conditions such as arrhythmia syndromes, atrial fibrillation, implanted
medical devices, cardiac medication, premature sudden cardiac death, and unexplained
drowning or seizures; and
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(3) detection of a pathologic heart murmur, irregular rhythm, abnormal pulses, or other
findings suggestive of structural or electrical heart disease.
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Athletes with positive findings should be referred to a cardiologist for further evaluation
and testing. Prescreening must take place no earlier than three months before the start of
the athletic season for which the student shall participate in.
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(b) The Department of Health must compile and publish on the department's website an
annual report containing the total number of exams completed and the number of referrals
made to a cardiologist. The report must analyze the outcomes of this section and be made
publicly available.
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(c) The department must monitor and record the total number of screenings, proportion
of positive screens and follow-up and, where possible, data regarding the follow-up, including
false positive rates, and additional diagnostic studies.
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new text begin Subd. 2. new text end
new text begin Cardiovascular prescreening for all students. new text end
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(a) Beginning in the 2028-2029
school year, the opportunity for prescreening must be extended to all students and incorporate
the cardiovascular prescreening into annual well-child visits to ensure all students receive
the prescreening.
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(b) Prescreening must be performed by a qualified licensed health care professional and
must follow nationally recognized and evidence-based guidelines recommended by
organizations focused on cardiovascular care in pediatric populations.
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(c) Key prescreening elements must include a targeted personal and family history and
focused physical examination to detect or raise suspicion for cardiovascular disease.
Prescreening information must include but not be limited to:
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(1) prior elevated systemic blood pressure, unexplained exertional chest pain or syncope,
palpitations, or decreased exercise tolerance;
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(2) known cardiac conditions such as cardiomyopathy, arrhythmia syndromes, atrial
fibrillation, implanted medical devices, cardiac medication, premature sudden cardiac death,
and unexplained drowning or seizures; and
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(3) detection of a pathologic heart murmur, irregular rhythm, abnormal pulses, or other
findings suggestive of structural or electrical heart disease.
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new text begin Subd. 3. new text end
new text begin Education materials for children and families. new text end
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(a) The Department of Health
and the Department of Education must distribute educational materials to children and
parents and guardians of students that provide information that follows evidence-based
science about medical conditions that can cause sudden cardiac arrest and heart failure.
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(b) Beginning in the 2028-2029 school year, each school district must annually distribute
the educational materials to parents or guardians of students participating in school sports
as part of the students' preparticipation physical examination and completion of athletic
permission forms.
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new text begin Subd. 4. new text end
new text begin Professional education for health care professionals. new text end
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The Department of
Health must encourage policies, programs, training, and continuing education that increase
health care provider knowledge of prescreening guidelines, including but not limited to:
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(1) how to complete the cardiovascular risk assessment, including collecting family
history and personal reports of symptoms;
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(2) how to identify early signs of cardiac arrest and heart failure through physical
examination; and
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(3) referral procedures for positive findings.
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new text begin Subd. 5. new text end
new text begin Rulemaking. new text end
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The Department of Health in consultation with the Department
of Education must adopt rules pursuant to chapter 14 to implement the purposes of this
section using nationally recognized and evidence-based guidelines recommended by
organizations focused on cardiovascular care in pediatric populations.
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