Comparing Health-Related Policies & Practices in Sports: The NFL and Other Professional Leagues Christopher R. Deubert I. Glenn Cohen Holly Fernandez Lynch Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics Harvard Law School May 2017 Comparing Health-Related Policies & Practices in Sports: The NFL and Other Professional Leagues Christopher R. Deubert I. Glenn Cohen Holly Fernandez Lynch Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics Harvard Law School May 2017 white text TABLE OF CONTENTS About the Authors . 9 Ensuring Independence and Disclosure Of Conflicts . 10 Executive Summary . 13 Preface . 24 Introduction . 26 A . The Leagues . 26 B . The Unions . 27 C . Collective Bargaining Agreements . 28 D . Audience . 29 E . Goals and Process . 29 1 . Identify . 29 2 . Describe . 30 3 . Evaluate . 31 4 . Recommend . 31 F . Scope . 33 CHAPTER 1: CLUB MEDICAL PERSONNEL . 35 A . Club Medical Personnel in the NFL . 38 1 . Types of Medical Personnel . 38 2 . Medical Personnel’s Obligations . 39 3 . Players’ Obligations . 40 4 . Relationship between Medical Personnel and Clubs . 40 5 . Sponsorship Arrangements . 41 B . Club Medical Personnel in MLB . 44 1 . Types of Medical Personnel . 44 2 . Medical Personnel’s Obligations . 45 3 . Players’ Obligations . 46 4 . Relationship between Medical Personnel and Clubs . 47 5 . Sponsorship Arrangements . 47 C . Club Medical Personnel in the NBA . 48 1 . Types of Medical Personnel . 48 2 . Medical Personnel’s Obligations . 49 3 . Players’ Obligations . 50 4 . Relationship between Medical Personnel and Clubs . 52 5 . Sponsorship Arrangements . 52 D . Club Medical Personnel in the NHL . 52 1 . Types of Medical Personnel . 52 2 . Medical Personnel’s Obligations . 54 3 . Players’ Obligations . 55 4 . Relationship between Medical Personnel and Clubs . 55 5 . Sponsorship Arrangements . 56 4. \ Comparing Health-Related Policies & Practices in Sports E . Club Medical Personnel in the CFL . 56 1 . Types of Medical Personnel . 56 2 . Medical Personnel’s Obligations . 57 3 . Players’ Obligations . 57 4 . Relationship between Medical Personnel and Clubs . 57 5 . Sponsorship Arrangements . 57 F . Club Medical Personnel in MLS . 58 1 . Types of Medical Personnel . 58 2 . Medical Personnel’s Obligations . 58 3 . Players’ Obligations . 59 4 . Relationship with Clubs . 60 5 . Sponsorship Arrangements . 61 F . Club Medical Personnel in MLS . 58 1 . Types of Medical Personnel . 58 2 . Medical Personnel’s Obligations . 58 3 . Players’ Obligations . 59 4 . Relationship with Clubs . 60 5 . Sponsorship Arrangements . 61 G . Analysis . 62 H . Recommendation . 65 CHAPTER 2: INJURY RATES AND POLICIES . 73 A . Injuries in the NFL . 76 1 . Injury Tracking System . 76 2 . Injury Statistics . 77 3 . Injury-Related Lists . 81 4 . Injury Reporting Policies . 81 B . Injuries in MLB . 82 1 . Injury Tracking System . 82 2 . Injury Statistics . 82 3 . Injury-Related Lists . 84 4 . Injury Reporting Policies . 85 C . Injuries in the NBA . 85 1 . Injury Tracking System . 85 2 . Injury Statistics . 85 3 . Injury-Related Lists . 86 4 . Injury Reporting Policies . 86 D . Injuries in the NHL . 87 1 . Injury Tracking System . 87 2 . Injury Statistics . 87 3 . Injury-Related Lists . 89 4 . Injury Reporting Policies . 90 E . Injuries in the CFL . 90 1 . Injury Tracking System . 90 2 . Injury Statistics . 90 3 . Injury-Related Lists . 90 4 . Injury Reporting Policies . 91 Table of Contents 5. F . Injuries in MLS . 91 1 . Injury Tracking System . 91 2 . Injury Statistics . 91 3 . Injury-Related Lists . 92 4 . Injury Reporting Policies . 92 G . Analysis . 92 1 . Injury Tracking System . 95 2 . Injury-Related Lists . 95 3 . Injury Reporting Policies . 96 H . Recommendations . 98 CHAPTER 3: HEALTH-RELATED BENEFITS . 107 A . NFL Health-Related Benefits . 110 1 . Retirement Benefits . 111 2 . Insurance Benefits . 113 3 . Disability Benefits . 114 4 . Workers’ Compensation Benefits . 115 5 . Education-Related Benefits . 116 6 . Joint Health-Specific Committees . 116 B . MLB Health-Related Benefits . 117 1 . Retirement Benefits . 117 2 . Insurance Benefits . 118 3 . Disability Benefits . 118 4 . Workers’ Compensation Benefits . ..