Sec. 4. Boxing industry standards
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Section 5 of the Professional Boxing Safety Act of 1996 ( 15 U.S.C. 6304 ) is amended— in the section heading, by inserting after and industry ; Safety in the matter preceding paragraph (1)— by striking No person and inserting the following: No person ; and by inserting , at a minimum, after that provides ; in subsection (a), as so designated— by amending paragraph
(1)to read as follows: A physical examination of each boxer by a physician certifying whether or not the boxer is physically fit to safely compete, copies of which shall be provided to the boxing commission by such physician. A physician may certify as required under subparagraph
(A)only if the examinations described in clause
(iii)are conducted, which examinations shall be valid only for the amount of time prior to a match indicated in such table. No examination shall be valid unless it is conducted by a physician, in person, and includes a written opinion that the result of such examination does not contraindicate that a boxer is able to compete safely. The examinations described in this clause are those set forth in the following table: Required examinations Validity Complete physical examination, including blood work 1 year Dilated eye examination 1 year Heart examinations (Electrocardiogram, and for a boxer aged 40 years or older, a stress test) 1 year Antibody tests (Negative Human Immunodeficiency Virus antibody, Hepatitis B antigen, and Hepatitis C antibody) 6 months Brain health examinations (For a boxer aged 40 years or older, a magnetic resonance image
(MRI)scan and a magnetic resonance angiography
(MRA)of the brain; for a boxer under age 40, an MRI of the brain or neurologic examination conducted by a neurologist) 1 year In the case of a female fighter, a pregnancy test 14 days ; in paragraph (2)— by striking Except and inserting ; and Ambulance; equipment .—Except by striking an ambulance or medical personnel and inserting an ambulance and medical personnel ; by amending paragraph
(3)to read as follows: A physician continuously present at ringside who, beginning on the date that is 2 years after the date of enactment of the Muhammad Ali American Boxing Revival Act of 2026 , shall have a certification obtained through a certification program administered by the Association of Boxing Commissions in partnership with the Association of Ring-side Physicians, or any successor organization. ; and by amending paragraph
(4)to read as follows: For each boxer, health insurance that— provides a minimum of $50,000 in medical coverage for any injuries sustained in the match and $15,000 in accidental death coverage for any fatality arising from such match; and with respect to any premium, is not the financial responsibility of the boxer. ; by adding after subsection (a), as designated by paragraph
(2)of this subsection, the following: A promoter or unified boxing organization shall pay a minimum of $200 to each boxer for each round in a match in which the boxer participates. ; and by adding at the end the following: A sanctioning organization or unified boxing organization shall award only 1 championship title for each weight class. A sanctioning organization or unified boxing organization may not award an interim championship title except in the case of an injury or illness to a reigning titleholder, refusal or inability by the reigning title holder to defend his title, or for reasons beyond the control of the boxer, including inability to travel. . Section 7 of the Professional Boxing Safety Act of 1996 ( 15 U.S.C. 6306 ) is amended— subsection
(a)is amended by adding at the end the following: Procedures to ensure that— drug tests shall be administered— for any title bout; and at random for all other bouts, provided that tests are administered for not less than 50 percent of such other bouts; and such drug tests shall screen, at a minimum, for any substance listed on the most current edition of The World Anti-Doping Code, The Prohibited List International Standard of the World Anti-Doping Agency, except that a boxing commission may elect not to screen for such a substance if the use of such substance is not prohibited by the State in which the match is being held or the tribal organization (as defined in section 21) that is regulating the match. ; and by adding at the end the following: It is the sense of Congress that— uneven development of standards and practices by boxing commissions (including tribal organizations in compliance with section 21) has enabled matches that would not have been authorized by boxing commissions with robust standards and practices, and that boxers have been seriously injured or killed as a result; the Association of Boxing Commissions (in this subsection referred to as the ABC ), in partnership with the Association of Ringside Physicians, is well-positioned to identify policies and practices most conducive to boxer safety and wellbeing; and the ABC should, accordingly, publish and maintain— a model legislative and regulatory code for professional boxing, derived from— State policies that are most protective of boxers’ safety, health, wellbeing, and economic opportunity; rigorous sporting authority guidelines, such as the USA Boxing protocols for medical suspension; and expert consensus statements from the Association of Ringside Physicians and other sports medicine organizations; best practices recommendations for oversight of professional boxing and implementation of legal duties by boxing commissions; and an annual report card of boxing commission conformance with such model codes and best practices. . Section 16 of the Professional Boxing Safety Act of 1996 ( 15 U.S.C. 6307h ) is amended to read as follows: No person may arrange, promote, organize, produce, or fight in a professional boxing match unless all referees and judges participating in the match have been certified and approved by— the boxing commission responsible for regulating the match in the State where the match is held; or the Association of Boxing Commissions. . Section 17(c)(2)(A) of the Professional Boxing Safety Act of 1996 ( 15 U.S.C. 6308(c)(2)(A) ) is amended by striking or reasonable expenses in connection therewith . Paragraphs
(1)and
(3)of section 21(a) of the Professional Boxing Safety Act of 1996 ( 15 U.S.C. 6312(a) ) are amended by striking 25 U.S.C. 450b and inserting 25 U.S.C. 5304 .
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Sec. 4
Boxing industry standards
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