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114Appeal processIf the certified laboratory reports that a student-athlete’s sample has tested positive, and the IHSA Medical Review Officer confirmsthat there is no legitimate medical reason for a positive result, a penalty shall be imposed unless the student-athlete proves, by a preponderance of evidence, that he/she bears no fault or negligence for the violation. Appeals shall be heard in accordance with IHSA By-law 1.460 before the IHSA Board of Directors.Penalties1. Any person who tests positively in an IHSA administered test, or any person who refuses to provide a testing sample, or any person who attempts to alter the integrity or validity of the urine specimen, or any person who reports his or her own violation, or any other breach of the IHSA protocol as determined by the independent third party administrator shall immediately forfeit his or her eligibility to participate in IHSA competition for a period of 365 days from the test results are reported to the student and the school. Any such person shall also forfeit any individual honor earned while in violation. The student may apply for reinstatement of his/her athletic eligibility no sooner than 90 calendar days of the suspension following successful completion of an approved educational program and testing negative in a subsequent substance test administered by the association’s third party test administrator. Thecosts of the educational program, and the additional substance test, are the responsibility of the student.Additionally, the IHSA reserves the right to conduct follow-up substance tests, in accordance with the procedures outlined in this policy, any such person who tests positive for a banned substance class in an IHSA administered test.2. Under the provisions of Article 1.460 of the IHSA Constitution, the Executive Director will evaluate each positive test result situation on a case by case basis to determine if a team/school penalty is appropriate.3. Under the provisions of Article 1.460 of the IHSA Constitution, the Executive Director will evaluate each positive test result situation on a case by case basis to determine if a coach at a member school knowingly violated the rules of the testing program and if a subsequent penalty against any such coach is appropriate.4. Under the provisions of Article 1.460 of the IHSA Constitution, appeals will be heard by the IHSA Board of Directors.Reporting of ResultsIn reporting results of IHSA administered substance tests, the accredited laboratory will forward all completed substance test results to the third party administrator. The third party administrator will forward all negative results to the designated IHSA representative. Upon receipt of negative test results, the IHSA will notify member schools of those results.In the event of positive test results, however, the third party administrator will forward all positive substance test results to the MRO to determine if a medical exception is to be granted to the student-athlete. In such cases, the following shall serve as this policy’s medicalreview process:1. The third party administrator will notify the MRO of the positive test result. At this time, the IHSA will also be notified that a positivetest result has occurred.2. The MRO will have 48 hours from the time of their notification of the positive test result to contact the student’s parent(s)/legalguardian(s). If the MRO is unable to establish contact within 48 hours, the submission time outlined in #3 shall begin.3. The student’s parent(s)/guardian(s) have 48 hours from the time of their notification of the positive test result from the MRO torespond and provide appropriate documentation/materials. If appropriate documentation is not submitted within the prescribed time period, a medical exception shall be denied.4. Upon receipt of appropriate documentation, the MRO shall have five (5) business days to review submitted documentation/materials and make any final determination whether a medical exception shall be granted or denied.5. Final determination will be forwarded to the third party administrator and then to the IHSA.6. If a medical exception is not granted by the MRO for a Student-athlete with a positive finding on Specimen A, Specimen B willautomatically be tested. The third party test administrator will notify the member school representative by telephone as soon as possible of the initial positive finding on Specimen A. The telephone contact will be followed by a letter (marked “confidential”),which will be mailed to the member school representative. The third party test administrator will, during the telephone conversation, advise the member school representative that Specimen B will be tested.Specimen B• For Student-athlete’s not granted a medical exception and with a positive finding on Specimen A, there is no penalty imposeduntil completion of analysis of Specimen B.• The third party test administrator will contact the Parent by telephone as soon as possible and notify them of the positive findingin reference to Specimen A and that Specimen B will be tested. The telephone contact will be followed by a letter (marked “confidential”), which will be mailed to the Parent.• The third party test administrator will, during the telephone conversation, advise the Parent that Specimen B will be tested. The third party test administrator also will inform the Parent that the Student-athlete may have representation at the Laboratory for the testing of Specimen B and that the Student-athlete in question is not subject to penalty until completion of analysis of Specimen B.• Notification by the Parent of the intent to have representation at the Laboratory must be given to the third party test administratorwithin 48 hours (2 business days) of being advised that Specimen B will be tested.Notification of the desire to have a representationat the Laboratory can be accomplished via telephone, fax, e-mail or in writing to the third party test administrator.• If the Parent desires representation for the Student-athlete at the Laboratory, they must present themselves, or, upon appropriate permissions for confidentiality being granted, their representative, at the Laboratory, at an appointed date and time, within 2business days of the notification of intent to have representation. Any expenses associated with travel to the Laboratory for thispurpose are the responsibility of the Student-athlete or their Parent. If the Parent of the Student-athlete cannot arrange for such representation, the Laboratory will arrange for a Surrogate to attend the testing of Specimen B.• The Surrogate will not otherwise be involved with the analysis of the Specimen.