(a) An Application shall not be considered complete until the commission concludes there is sufficient medical information to determine the athlete is currently physically fit to compete safely.
(1) An athlete's Application may be considered incomplete if the commission cannot reasonably verify the current licensure status of the athlete's treating physician or the medical information submitted with the Application. If an Application is incomplete, the commission may require the athlete to provide medical information, including but not limited to, an examination pursuant to Rule 280 that is conducted by a doctor of medicine or osteopathy as assigned by the commission, and lab reports showing hormone levels (or other related blood work) from a certified laboratory as designated by the commission.
(2) All costs of providing information to provide a complete Application shall be the athlete's responsibility and information provided pursuant to this Rule shall not be considered a special medical evaluation within the meaning of Business and Professions Code section 18710.
(b) Pre-Competition and Day of Competition Testing Requirements:
(1) Transgender female athletes who have not had a gonadectomy and are participating in a female competition:
(A) Two weeks before a scheduled competition, the athlete must submit lab reports of estradiol and testosterone levels for the past six months showing serum estradiol levels within the normal range for healthy premenopausal women (lab specific) and suppression of testosterone levels to those normally found in women (lab specific).
(B) The day prior to any scheduled competition, the athlete must submit on the Pre-Bout Medical Questionnaire Form (Form Number PB001, Incorporated by Reference) the time, date, amount and method of the last dose(s) of estradiol used within the past two weeks.
(C) On the day of any scheduled competition, the athlete's test results for testosterone shall not be above the normal range for healthy premenopausal women (lab specific).
(2) Transgender male athletes who are participating in a male competition:
(A) Two weeks before a scheduled competition, the athlete must submit lab reports of estradiol and testosterone levels for the past six months showing serum estradiol levels within the normal range for healthy men (lab specific) and testosterone levels within the range for healthy men (lab specific).
(B) The day prior to any scheduled competition, the athlete must submit on the Pre-Bout Medical Questionnaire Form (Form Number PB001) the time, date, amount and method of the last dose(s) of testosterone used within the past two weeks.
(C) On the day of the scheduled competition, the athlete's testosterone levels must not be above the normal range for healthy men (lab specific).
(3) Any level of testosterone above the normal range may result in the athlete's disqualification or other administrative enforcement action.
(4) Repeat elevated testosterone levels during the 6 months prior to the competition may be grounds for disqualification or other administrative enforcement action.
(c) Depending on the facts unique to each applicant, the commission may require or prohibit the use of certain clothing and/or safety equipment in competitions as a condition of licensure.
(d) The commission shall keep the athlete's medical information and application documentation confidential in accordance with applicable state and federal privacy laws.
Credits
Note: Authority cited: Section 18611, Business and Professions Code. Reference: Sections 18640, 18642, 18648, 18660, 18661, 18711 and 18712, Business and Professions Code.
