WASHINGTON (AP) — Student athletes need access to health care professionals, better-trained coaches and up-to-date equipment, a coalition of groups recommended Wednesday in a call to action aimed at protecting the almost 8 million students participating in high school sports each year.

The Youth Sports Safety Alliance of more than 100 organizations released the proposed rules, which call for health providers such as athletic trainers or doctors available for every school, warnings about performance-enhancing substances for athletes and the creation of a national registry to track student athlete deaths. The rules also would require schools to have clean and well-maintained facilities, and require students to have a pre-season physical exam, including testing for some of the 400,000 concussions students suffer annually.