; and (B) not later than 1 year after the date that such a plan is first implemented, and on an annual basis thereafter, submit to the Secretary and authorizing committees a report that demonstrates compliance with the requirements of this subsection with respect to the preceding year. (2) Requirements A plan developed and implemented under paragraph (1), with respect to an institution of higher education, shall— (A) include a symptom identification structure and a coordination of care plan for student athletes exhibiting signs of heat illness, and be visibly posted in each— (i) locker room; (ii) athletic training facility; (iii) weight room; and (iv) outdoor sports complex and stadium; (B) be made available on the athletic program website or public website of the institution of higher education at the beginning of each academic year; (C) be distributed to local emergency responders; and (D) before the start of in-person training for each academic year, be distributed to, and rehearsed in person by all of the following individuals at the institution of higher education: (i) Student athletes. (ii) Certified athletic trainers. (iii) Team physicians. (iv) Athletic training students. (v) Athletic administrators. (vi) Coaches. (vii) Institutional safety personnel. (viii) Legal counsel. (3) Recommendations In developing a plan under paragraph (1), an institution of higher education shall consider— (A) including guidelines by the Wet-Bulb Globe Temperature index to assess environmental condition and heat stress prevention for student athletes; (B) having a readily accessible and properly maintained automatic external defibrillator within three minutes of each sporting venue