# Rule 4.10 Timeouts: how the wording changed (American four-wall)

13 rulebooks state this rule, from 20 June 1990 to 26 January 2025. No rewording or change was found.

## How to read this

- Added words are marked [+ like this +]; removed words [- like this -].
- Each rulebook says what kind of change it is: unchanged, punctuation only, moved, reworded or changed.
- A program matched each clause with the one before it. Automatic matches were made by the program alone; machine-reviewed ones were also checked by a second program. A person has not checked either.

## Rulebook by rulebook

| Date | Rulebook | Clauses, by kind of change |
| --- | --- | --- |
| 20 June 1990 | USHA Four-Wall Rules, 20 June 1990 | 7 first recorded |
| 31 January 1999 | USHA Four-Wall Rules, 31 January 1999 | 5 unchanged, 1 punctuation only, 1 moved |
| 31 January 1999 | American four-wall, 31 January 1999 | 5 unchanged, 1 punctuation only, 1 moved |
| 19 January 2005 | USHA Three-Wall Addendum, December 2004 | 7 unchanged |
| 21 September 2020 | USHA Four-Wall Rules, September 2020 | 23 first recorded |
| 22 January 2021 | USHA Four-Wall Rules, 22 January 2021 | 1 first recorded, 23 unchanged |
| 9 December 2021 | USHA Four-Wall Rules, December 2021 | 24 unchanged |
| 23 January 2022 | USHA Four-Wall Rules, 23 January 2022 | 1 first recorded, 24 unchanged |
| 27 November 2022 | American four-wall, 27 November 2022 | 25 unchanged |
| 17 January 2024 | American four-wall, 17 January 2024 | 25 unchanged |
| 26 January 2024 | USHA Four-Wall Rules, 26 January 2024 | 25 unchanged |
| 26 January 2025 | USHA Four-Wall Rulebook, 26 January 2025 | 25 unchanged |
| 26 January 2025 | USHA Three-Wall Addendum, 26 January 2025 | 25 unchanged |

## The wording

### Rule 4.10, part 1 of 32

Begins: “A. Timeouts.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > A. Timeouts.

- **31 January 1999, USHA Four-Wall Rules**: Moved (automatic). Compared with USHA Four-Wall Rules, 20 June 1990.

  > [- A. -] Timeouts.
  
  1 word removed.

- **31 January 1999, American four-wall**: Moved (automatic). Compared with USHA Four-Wall Rules, 20 June 1990.

  > [- A. -] Timeouts.
  
  1 word removed.

- 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 2 of 32

Begins: “Any player may request a timeout, but not after…”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Any player may request a timeout, but not after the referee has announced the score or called ³second serve² after a fault.

- **31 January 1999, USHA Four-Wall Rules**: Punctuation only (automatic). Compared with USHA Four-Wall Rules, 20 June 1990.

  > Any player may request a timeout, but not after the referee has announced the score or called [- ³second serve² -] [+ “second serve” +] after a fault.
  
  2 words added, 2 removed.

- **31 January 1999, American four-wall**: Punctuation only (automatic). Compared with USHA Four-Wall Rules, 20 June 1990.

  > Any player may request a timeout, but not after the referee has announced the score or called [- ³second serve² -] [+ “second serve” +] after a fault.
  
  2 words added, 2 removed.

- 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 3 of 32

Begins: “Timeouts must not exceed one minute.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Timeouts must not exceed one minute.

3 more rulebooks with the same words:

  - 31 January 1999, USHA Four-Wall Rules: Unchanged (automatic).
  - 31 January 1999, American four-wall: Unchanged (automatic). Same words as USHA Four-Wall Rules, 20 June 1990.
  - 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 4 of 32

Begins: “Three timeouts are allowed each side per 21-point game.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Three timeouts are allowed each side per 21-point game.

3 more rulebooks with the same words:

  - 31 January 1999, USHA Four-Wall Rules: Unchanged (automatic).
  - 31 January 1999, American four-wall: Unchanged (automatic). Same words as USHA Four-Wall Rules, 20 June 1990.
  - 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 5 of 32

Begins: “Two timeouts are allowed during an 11-point game.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Two timeouts are allowed during an 11-point game.

3 more rulebooks with the same words:

  - 31 January 1999, USHA Four-Wall Rules: Unchanged (automatic).
  - 31 January 1999, American four-wall: Unchanged (automatic). Same words as USHA Four-Wall Rules, 20 June 1990.
  - 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 6 of 32

Begins: “Timeouts may be called consecutively.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Timeouts may be called consecutively.

3 more rulebooks with the same words:

  - 31 January 1999, USHA Four-Wall Rules: Unchanged (automatic).
  - 31 January 1999, American four-wall: Unchanged (automatic). Same words as USHA Four-Wall Rules, 20 June 1990.
  - 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 7 of 32

Begins: “Players may leave the court during a timeout.”

- **20 June 1990, USHA Four-Wall Rules**: First recorded (automatic).

  > Players may leave the court during a timeout.

3 more rulebooks with the same words:

  - 31 January 1999, USHA Four-Wall Rules: Unchanged (automatic).
  - 31 January 1999, American four-wall: Unchanged (automatic). Same words as USHA Four-Wall Rules, 20 June 1990.
  - 19 January 2005, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 8 of 32

Begins: “2).”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > 2).

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 9 of 32

Begins: “Concussion.”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Concussion.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 10 of 32

Begins: “In the aftermath of any physical incident in which…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > In the aftermath of any physical incident in which a player’s head may have been impacted or otherwise affected in an adverse way, the referee, player, or any bystander shall immediately inform the Tournament Director of said incident.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 11 of 32

Begins: “Play shall cease until a determination by the Tournament…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Play shall cease until a determination by the Tournament Director that it may resume.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 12 of 32

Begins: “Upon notice of said incident, the Tournament Director shall…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Upon notice of said incident, the Tournament Director shall engage Medical Control to ascertain whether a concussion Risk Assessment is necessary for the player.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 13 of 32

Begins: “The Risk Assessment shall be performed with generally accepted…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > The Risk Assessment shall be performed with generally accepted concussion protocols, including an evaluation of the common medical concussion symptoms, signs, and complaints.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 14 of 32

Begins: “Medical Control shall be staffed with a Trained Health…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Medical Control shall be staffed with a Trained Health Care Provider, defined as, but not limited to, a medical doctor, a physician assistant, licensed physical trainer, EMT, or any person formally trained in Risk Assessment of concussion symptoms and signs.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 15 of 32

Begins: “Proof of medical licensing, certification, or training of the…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Proof of medical licensing, certification, or training of the person performing the Risk Assessment may be required.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 16 of 32

Begins: “Medical Control shall confer with the host facility to…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Medical Control shall confer with the host facility to ascertain it has its own designated Trained Health Care Provider and its own state-approved concussion protocol, and shall abide by the host facility’s decisions.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 17 of 32

Begins: “The Tournament Director shall appoint Medical Control, and the…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > The Tournament Director shall appoint Medical Control, and the Tournament Director shall serve as Medical Control in the absence of a formal Medical Control or a host facility protocol.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 18 of 32

Begins: “In such an event, the Tournament Director’s determination for…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > In such an event, the Tournament Director’s determination for the need for Risk Assessment shall be based on the circumstances giving rise to the suspicion of potential injury.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 19 of 32

Begins: “This includes, but is not limited to, the existence…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > This includes, but is not limited to, the existence of symptoms and signs observed per those listed in the USHA Concussion Protocol posted on line at ushandball.org, concerns expressed by other players, the referee, and spectators, as well as the input of the affected player.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 20 of 32

Begins: “Upon referral to Medical Control, the player shall not…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Upon referral to Medical Control, the player shall not be charged a time out nor assessed injury time out minutes for the duration.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 21 of 32

Begins: “The player must cooperate with this procedure.”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > The player must cooperate with this procedure.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 22 of 32

Begins: “The refusal to cooperate will result under penalty of…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > The refusal to cooperate will result under penalty of forfeit of match.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 23 of 32

Begins: “If Medical Control determines there is no need for…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > If Medical Control determines there is no need for a Risk Assessment, the player may return to the match.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 24 of 32

Begins: “If Medical Control performs a Risk Assessment and determines…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > If Medical Control performs a Risk Assessment and determines concussion symptoms and signs are not present, the player may return to the match.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 25 of 32

Begins: “If Medical Control concludes concussion symptoms and signs are…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > If Medical Control concludes concussion symptoms and signs are present, the player must be referred to a medical facility for a formal concussion diagnosis.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 26 of 32

Begins: “The player will not be allowed further participation and…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > The player will not be allowed further participation and the match shall be forfeited.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 27 of 32

Begins: “If the player is required to leave the premises…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > If the player is required to leave the premises at any time for any part of this procedure, the match shall be forfeited.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 28 of 32

Begins: “For any player not cleared to continue play by…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > For any player not cleared to continue play by Medical Control, further participation in the tournament requires the player provide written authorization from a medical doctor or other authorized evaluator that the player is medically cleared for play prior to any match.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 29 of 32

Begins: “Absent such written medical clearance, all succeeding matches shall…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > Absent such written medical clearance, all succeeding matches shall be forfeited by the player.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, part 30 of 32

Begins: “This includes a player who forfeited a match due…”

- **21 September 2020, USHA Four-Wall Rules**: First recorded (automatic).

  > This includes a player who forfeited a match due to non-cooperation in this procedure.

8 more rulebooks with the same words:

  - 22 January 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, item e

Begins: “e.) and, if the player is required to leave…”

- **22 January 2021, USHA Four-Wall Rules**: First recorded (automatic).

  > e.) and, if the player is required to leave the premises at any time for any part of this procedure, the match shall be forfeited.

7 more rulebooks with the same words:

  - 9 December 2021, USHA Four-Wall Rules: Unchanged (automatic).
  - 23 January 2022, USHA Four-Wall Rules: Unchanged (automatic).
  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

### Rule 4.10, item E

Begins: “E. Postponement. Any games officially postponed shall be resumed…”

- **23 January 2022, USHA Four-Wall Rules**: First recorded (automatic).

  > E. Postponement. Any games officially postponed shall be resumed with the same score.

5 more rulebooks with the same words:

  - 27 November 2022, American four-wall: Unchanged (automatic).
  - 17 January 2024, American four-wall: Unchanged (automatic).
  - 26 January 2024, USHA Four-Wall Rules: Unchanged (automatic).
  - 26 January 2025, USHA Four-Wall Rulebook: Unchanged (automatic).
  - 26 January 2025, USHA Three-Wall Addendum: Unchanged (automatic).

All rules: [clause history](https://handball.theperfectship.com/rulebooks/clause-history/).