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Transfer portal opens access to athletes across the nation

The NCAA transfer portal is transforming athletics at PNW. “It allows for opportunities recruiting nationally without the need to travel nationally,” said PNW Women’s basketball coach Jesse Ford.  The ability to recruit nationally means that PNW is attracting athletes from all across the country. Although located in Northwest Indiana, the school has student athletes from […]

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Transfer portal opens access to athletes across the nation

The NCAA transfer portal is transforming athletics at PNW.

“It allows for opportunities recruiting nationally without the need to travel nationally,” said PNW Women’s basketball coach Jesse Ford. 

The ability to recruit nationally means that PNW is attracting athletes from all across the country. Although located in Northwest Indiana, the school has student athletes from all over the world. 

The transfer portal, introduced in 2018, has been called free-agency for college athletes. It allows student athletes to place their name in an online database declaring their desire to transfer from their schools. Other schools can then contact the athlete to explore their interest in visiting the campus and accepting a scholarship. In 2021, the NCAA relaxed eligibility rules, which enabled students to use the portal without sitting out a year of competition. 

As a result, athletes no longer feel locked into a commitment to one university, leading to a more fluid and competitive recruitment process. 

The portal has forced coaches to adjust to the reality that their rosters may change dramatically from year to year, and some programs rely heavily on transfers to fill key positions. This trend is particularly evident in high-profile sports like football and basketball, where instant-impact transfers can dramatically improve a team’s performance.

“Basketball has led me to places I never thought I would have gone before,” said senior women’s basketball guard, Nessa Walsh.

Originally from Chicago, Walsh’s journey started at the junior college level where she got exposure as a player. From there she committed to the University of Alaska Anchorage. She spent one year in Alaska before announcing she would enter the portal once again and soon after committed to PNW, where she spent her last season.

While the transfer portal provides athletes with more control, it also creates challenges for universities and coaches. With the uncertainty of roster composition, long-term team development has become harder. This leads to more competition within a team. 

“Entering the transfer portal does not guarantee a new landing spot that is good for the student,” said Ford.

The transfer portal has transformed the college athletics system by giving athletes more power, but it has also introduced plenty of new complexities. Its long-term effects on the culture of college athletics will continue to evolve as it becomes an even more ingrained part of the college sports experience.

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Vanderbilt Ready to Lead in New Model for College Sports

On June 6, the U.S. District Court for the Northern District of California granted final approval of the House v. NCAA settlement—launching a new era for college athletics. This ruling creates a foundation for greater stability, fairness, and opportunity for student-athletes—and affirms what we at Vanderbilt have long believed: transformation, when grounded in mission and […]

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On June 6, the U.S. District Court for the Northern District of California granted final approval of the House v. NCAA settlement—launching a new era for college athletics.

This ruling creates a foundation for greater stability, fairness, and opportunity for student-athletes—and affirms what we at Vanderbilt have long believed: transformation, when grounded in mission and values, creates opportunity.

As we continue to build the great university of the 21st century, we remain steadfast in our commitment to providing a championship-caliber student-athlete experience that integrates academic and athletic excellence and strengthens our One Vanderbilt community.

The newly formed College Sports Commission, led by Bryan Seeley—former MLB executive and a respected voice in sports law—and its partners, Deloitte and LBi Software, will be responsible for ensuring compliance and supporting institutions through this transition.

While the settlement offers a clearer, more structured path forward, we will continue to work with our legislative partners on potential federal solutions that can bring long-term stability and consistency to the college athletics landscape.


Key pillars of the new model include:

Revenue sharing: Beginning with the 2025–26 academic year, SEC, ACC, Big 12 and Big Ten institutions may share up to 22 percent of defined athletics revenue with student-athletes—estimated at up to $20.5 million per school.

Scholarship expansion: With scholarship limits removed, universities now have more flexibility to offer educational opportunities to a broader range of student-athletes across sports. Removing scholarship limits gives schools the flexibility to better support student-athletes and their education, while supporting the long-term success of broad-based sports programs. Current and immediately incoming student-athletes who may have been adversely impacted by roster limits will still have the opportunity to earn a roster spot.

NIL conditions: The new NIL Go platform, managed by the College Sports Commission and its partners, Deloitte and LBi Software, will streamline the reporting and approval process for third-party NIL agreements—enhancing transparency while protecting student-athletes’ eligibility.

 

Our recent launch of Vanderbilt Enterprises and the appointment of Markus Schreyer as CEO underscore our readiness to embrace innovative models that support excellence in education, research, and athletics.

We are also preparing for the financial responsibility that comes with this new model and remain focused on driving strategic initiatives like Vandy United and advancing the mission of Vanderbilt Athletics. With your support, we will continue to set the standard in this new era.

This is a defining time for college sports. Though much is changing, the essence of what athletics represent—community, growth, discipline, excellence—remains firmly intact.
We are ready to lead. And together, we will succeed.

 

Anchor Down!

Daniel Diermeier
Chancellor

Candice Storey Lee
Vice Chancellor for Athletics and University Affairs and Athletic Director





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Five hot takes from landmark House v. NCAA settlement: Parity boom ahead as big dogs may start to go hungry

It’s been coming down the pipe for years, but it finally happened — college athletics has forever changed with revenue sharing thanks to the House v. NCAA settlement. Now, the door’s been removed from its hinges for a new era in what was formerly known as amateur sports. Last week’s $2.8 billion, 10-year settlement ushers in […]

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It’s been coming down the pipe for years, but it finally happened — college athletics has forever changed with revenue sharing thanks to the House v. NCAA settlement. Now, the door’s been removed from its hinges for a new era in what was formerly known as amateur sports.

Last week’s $2.8 billion, 10-year settlement ushers in backpay for previous student-athletes who missed out on name, image and likeness opportunities and beginning July 1, colleges are allowed to pay current players directly. There’s an expected $20.5 million on the table per school to share with their players in the upcoming academic year with a new revenue sharing cap that increases by at least 4% every year — except Years 4, 7 and 10 when Power Four revenue baselines are determined — for the next decade.

Most of the money will be earmarked for football (estimated 75%) and men’s basketball (~15%), with the rest being dispersed to women’s basketball (~5%) and other sports (~5%). 

The biggest winners and losers from House v. NCAA settlement: Amateurism is dead and the class divide grows

John Talty

The biggest winners and losers from House v. NCAA settlement: Amateurism is dead and the class divide grows

Here’s a couple quick opinions on the landmark decision and how things may look moving forward:

1. Prepare for parity

TCU reaching the national championship game a few years ago piqued interest, as did Cincinnati and Boise State reaching the playoff as Group of Five surprises. Should we expect more of the same in the coming years? If you’re fans of a Power Four program, you bet, and at a few others, there’s an enhanced chance for annual success. Glancing at the recruiting powerhouses within college football and basketball in the modern era, most have various factors in common: rich history, incentivized exposure and an opportunity to star at the highest level. You can wear a blindfold and generally guess how many five-stars Duke will sign on the hardwood or Georgia’s placement at the top of the SEC’s food chain.

However, since the playing field will be closer to level financially, it’s no guarantee a five-star quarterback would sign with Ohio State over Maryland moving forward, for example, if the Terps are offering a more handsome contract through direct revenue sharing. While the notion of the Buckeyes “buying” their national championship last season with a reported $20 million roster received pushback, Ohio State’s no longer one of the only handful of programs who can afford payroll that expansive in the new era. 

We’ve already seen early reminders at the top of the recruiting board for the nation’s best players the last two cycles that all the prized fish aren’t necessarily being lured by the the title-contending, biggest yachts in the sea. Per 247Sports’ individual player rankings, 25 different Power Four programs have signed at least one five-star since 2024’s early signing period. That number dwarfs the five-star disparity across the modern era in any other two-year sample size. SMU, Georgia Tech, Nebraska, Texas Tech and Colorado are among the programs who have landed their highest-rated prep signee ever during that stretch.

2. Big dogs may not eat (as much)

Casuals say preseason polls are meaningless, right? Well, media shapes the national discussion every offseason and there’s a certain expectation for teams inside the top 15 every year to show out. There’s a built-in bias there from bluebloods getting the benefit of the doubt thanks to the same dozen or so programs signing the top talent year after year. That’s going to change with revenue sharing. Teams will have to consider their “payroll” or sorts and determine where money will be spent and at what positions. 

During the first year of the expanded playoff, three SEC teams who were ranked throughout the regular season missed out on the bracket with three losses, including playoff mainstay Alabama. Why do you think SEC commissioner Greg Sankey and others from the Big Ten are advocating for four auto-bids from those leagues in the next portion of playoff expansion and harping on strength of schedule? It’s growing increasingly more difficult to go unbeaten with better balanced schedules and more competitive conferences from top to bottom, and that’s going to continue with revenue used to fund rosters.

In December, college basketball’s top recruit, AJ Dybantsa, committed to BYU over traditional power Kansas and North Carolina in an unprecedented move. Part of the Tar Heels’ sales pitch to Dybantsa was the opportunity to follow in the footsteps of Michael Jordan and Vince Carter, along with spotlighting the potential of future career earnings through endorsements deals like Zion Williamson’s contract with Nike after he starred at Duke over in-state finalist — and non-traditional power — Clemson.

Instead, BYU was able to match Dybantsa’s reported asking price of $5 million through its collective, and that deal is considered the largest for any incoming college basketball player ever. Moreover, transfer portal signings have further shifted the balance of power in college basketball, and the days of the top-five teams in the country gobbling up all the elite signings are evaporating.

3. Boosters no longer playing point

What happens when boosters figure out their massive annual contributions to a football program may not result in an automatic nationally ranked finish that carries playoff buzz every December? It’s coming. We’ve already seen athletic directors and figureheads at elite programs asking fans to “fight back” and help fund respective rosters with the talent disparity shrinking within major conferences. With this new revenue sharing commitment that all Power Four programs are dealing with, where’s the ROI for the most deep-pocketed donors? 

We’ve already seen a groundswell of schools using social media to rally its fanbases and ask for donations after big wins or momentum-changing announcements. How often over the last year alone have you seen fans complaining about funding salaries for players, many of whom are signing year-to-year deals and wanting an enhanced contract at its conclusion? Without a sense a loyalty and the transfer portal being a dip into free agency, it seems many fans — and worst-case scenario, boosters — could become disinterested in donating to the cause. 

The last thing these major programs across football and basketball want is wide variance in booster support if those contributors are unwilling to assist in funding annual rosters and tossing extra funds on top of what schools receive through TV contracts, conference revenue dispersement, ticket sales and other guarantees. All this being said, you can still the football-first entities around college sports — programs like Texas, Oklahoma, Georgia, etc. — to have higher budgets than others.

4. NIL collectives losing momentum

Those within NIL offices have to be sweating right now. How about the “agents” who have reaped the benefits of unregulated NIL over the last few recruiting cycles? There’s a “fair market” review process in place now for third-party deals, and there will be enhanced scrutiny on partnerships thanks to the College Sports Commission (CSC), an oversight arm of sorts. With virtually no parameters previously, pay-for-play checks that were hidden as marketing agreements in the past must pass the sniff test with these changes. 

NIL is not being eliminated, but it will be curbed and its impact far less important thanks to the rules adjustments and players having opportunities elsewhere through revenue sharing that could be far more lucrative. 

Various reports indicate collectives hurried to finalize multi-million dollar with franchise-caliber players before this House settlement ahead of the July 1 switch. Any athlete who receives $600 or more through an NIL deal must report that partnership to the new enforcement arm later this summer. The contract will then be further evaluated to determine if the NIL parameters meet a “valid business purpose” and are within “a reasonable range of compensation.” How that is defined in terms of legitimacy, no one knows.

5. Amateurism is extinct

As CBS Sports’ Brandon Marcello appropriately put it, “the NCAA’s 119-year amateurism model died Friday with a judge’s pen,” and he’s right. Any key contributor for your favorite college football or basketball team moving forward will be paid, handsomely, with “cost of attendance” being a laughable phrase from yesteryear. Those stale arguments about tuition, housing and meals provided to scholarship athletes being enough are extinct and, bluntly, have been for years. 

While most agree paying college players is long overdue with events like the College Football Playoff and NCAA Tournament generating hundreds of millions, there was an essence of purity within intercollegiate athletics that brought a special sense of pride to the playing field. Let’s stop pretending any of that was authentic in recent years.





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House Settlement Will Lead To Plenty Of Hurt Feelings Across College Sports

College athletic directors will meet this week in Orlando for the annual NACDA (National Association of Collegiate Directors of Athletics) convention, with the approved House settlement being the main topic of discussion.  There’s plenty of questions left to be answered, and not a lot of time to figure them out, as payments to players begin […]

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College athletic directors will meet this week in Orlando for the annual NACDA (National Association of Collegiate Directors of Athletics) convention, with the approved House settlement being the main topic of discussion.  There’s plenty of questions left to be answered, and not a lot of time to figure them out, as payments to players begin July 1st. 

But, piecing this all together is going to be a tall task, for the time being. 

Now that players are set to start being paid by the schools themselves, this is going to lead to athletic departments having to make a number of tough decisions about how they will afford this new venture. 

How in the world does everyone stay on a level playing field moving forward? That was the intention of the House settlement, right? 

No, this is going to get very murky, quickly. While the conversations around how these schools will afford to pay these players have been ongoing for upwards of two years, reality has set in for athletic directors across the country. 

To pay for these new salaries, schools will use money generated from ticket sales, media rights, concessions and any other type of revenue that comes from sports on campus. Yes, this even means your ticket prices will increase if you haven’t already seen it. Some schools have already implemented a ‘talent fee’ for each ticket purchased by fans, but that will most likely increase over time. 

The biggest question coming off the approval from Judge Claudia Wilken doesn’t center around the monetary gains from athletes. No, plenty of administrators are wondering when the next lawsuit will be filed, with some type of grievance from the settlement being used as the vocal point of litigation. 

How Will Future NIL Deals Work For Athletes? It’s Complicated

At the center of this new era in college athletics is the $20.5 million being the revenue starting-point for schools to spread out between different sports on-campus. Most ADs are going to upset athletes who participate in non-revenue-generating sports, simply because football and basketball are paying the bills. 

How much will the softball or track and field team make next season? Not much, if it doesn’t come from outside NIL deals from companies willing to spend money on sports that don’t garner the same type of viewers as football or basketball. 

The main point of concern is teams putting together NIL deals for players that carry a name that is big enough for a company to see a return on investment. The fact is, most athletes aren’t known outside the campus boundaries, or within the fan base. 

And now, each NIL deal that is over $600 will have to be presented to a clearinghouse that will determine whether it’s legitimate or not. 

“How are they going to say one deal is different from the other,” one athletic director pointed out to OutKick. So, every time our school or a third party has an idea for a partnership that exceeds $600, we’re at the mercy of this system that will determine if it’s legit. What happens when an athlete decides not to disclose their ‘NIL’ deal with the clearinghouse, and just pockets the money from a booster? 

“These are the types of scenarios that will present themselves in the short term. We have no idea how the system is going to work, and you’re going to have players get their deals rejected. This will only lead to further lawsuits. This will be a non-stop problem in the first year. But, we have to find ways to raise more money, as well. The high-profile schools aren’t just spending $14 to $16 million that rev-share allows. If we want to keep up, there has to be an influx of money, and we’re just talking about one year.”

This athletic director isn’t wrong. While plenty of people want to act as if this settlement will not lead to the ‘old days’ returning, my question is, how can it not? If a school agreed to a $3 million contract with the star receiver, but can only pay half of the deal because of the revenue-sharing cap, you think that player is going to take a cut? 

Heck no, they want what was agreed upon, and the minute one NIL deal is denied, there will be further litigation. According to the College Sports Commission, if a deal is denied, both parties can enter ‘neutral arbitration’ that starts with an appeal. 

 Over Revenue-Sharing Within Athletic Departments

One of the biggest problems that will come from this settlement centers around how much money each program will get from the $20.5 million. 

If the football team is going to get 75% of the allowed $20.5 million, that doesn’t leave a lot for the other athletic programs on each campus. Let’s just say the basketball team gets 15%. That leaves just 10% for softball, soccer, Olympic sports, volleyball and even baseball. 

This is where it gets tricky for some powerful schools. There will be plenty of athletic departments that decide to give the baseball or basketball program a bigger share. The schools that don’t have a football program are going to reap the benefits of the settlement, and could put 75% towards the basketball team. Well, that will certainly lead to some programs being able to afford to put together a more powerful team on the court, compared to the school only setting aside $3 million. 

See where I’m going here? 

There are going to be plenty of arguments within the same athletic department regarding how much money is allocated to each sport, and it will get contentious. 

“It’s really going to be a sh-t show moving forward,” a Big Ten AD told OutKick. What’s that saying, ‘Winter Is Coming’? I’ve already had coaches from the softball and baseball programs telling me how much they need to compete with other schools, with the transfer portal open. But, we just don’t have that much money lying around to give them what they need at the moment, just to keep up with another program who decided baseball is more important than basketball. We’re trying to find it though. 

“Thank goodness our school has a good accountant, because my phone hasn’t stopped blowing up from coaches who feel as though they’ll be left out. And, I don’t blame them for harping on me for money, because this is our new reality. It’s going to be a fight.”

As the athletic directors from a variety of schools meet this week in Orlando, plenty of them are going to have to put their guards down. If college athletics are going to get this right, they had better start sharing some ideas, without giving away confidential trade secrets.

We are three weeks away from schools paying athletes directly. So, the clock is ticking on how AD’s make this work, knowing they’re going to upset a lot of people around college campuses across the country.  

Game on. 





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CBS Sports’ Chip Patterson calls NCAA antitrust settlement a ‘sidestep’

A new era of college athletics is here, as Judge Claudia Wilken approved a multibillion-dollar legal deal, as schools can now pay athletes directly. CBS Sports’ Chip Patterson offers his thoughts on the settlement, Mike Elko’s program and much more. Key notes from Chip Patterson interview We aren’t moving in the wrong direction. We’ve changed the […]

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A new era of college athletics is here, as Judge Claudia Wilken approved a multibillion-dollar legal deal, as schools can now pay athletes directly. CBS Sports’ Chip Patterson offers his thoughts on the settlement, Mike Elko’s program and much more.


Key notes from Chip Patterson interview

  • We aren’t moving in the wrong direction. We’ve changed the game rules and created a new environment. When NIL was first approved, it was dumped onto the leadership of college sports with no guidance. With the school directly paying players… I don’t know if it’s a win or a loss. It’s a sidestep. We’ve created a new set of problems to solve.
     
  • Big picture, NIL didn’t address the way that schools are making so much off media rights payments. The students weren’t getting paid for the images that the players were being used in the media. The big picture doesn’t get down to the coaches and administrators who figure out how much goes to each player, coach and program. This is the “Is it gonna get passed? Is it not? Is it gonna get approved? Is it not?” Look, administrators put in the work so July 1, they are ready to go. I’m confident the sports world won’t collapse on July 1. There’s just a new set of challenges for the college sports world to solve.
     
  • The employment leads to contracts, which are hopefully tighter and standard. Public and private universities have an employee through a conference which allows them to sign deals. Maybe it doesn’t work within the conference with transfers. Can you buy out of the contract and receive compensation? Their problem is the players who go to seven different schools cashing out.
     
  • I like one portal window over two. I like the mid-January standpoint. You would’ve completed the postseason for most schools. You aren’t the first sports team to have a slow start. Let’s say after the quarterfinals of the College Football Playoff. I think it helps coaching and player commitment. You will still have players opt out of the playoffs and bowl games, I’m assuming. Every six months, there’s free agency. I think that’s unhealthy. I personally support the American Coaches Association’s options. It’s like, “Buddy, our problems are way bigger than the academic calendar.” For the sport as a whole, I don’t think it’s healthy to have a readjustment of contracts every six months.
     
  • I don’t think Bill Belichick enjoys the tabloid stuff. His juices get flowing around the football guys. He’s with this North Carolina roster, building a group that will put his coaching skills to the test. It comes from his old mentor, Bill Parcells. Talking about being able to coach football but not being able to teach size. Let’s get big guys that need to be coached up, which is fascinating. The NFL ran him out of the league. There’s morbid curiosity coming from the NFL. The people who revel in the chaos are the people in the NFL. One of the reasons it’s such a big focus of fascination comes from the NFL.
     
  • The one thing about last season at Texas A&M was the instability at quarterback. There has to be an assumption that you can take a step forward. That last game against Texas, where the biggest prizes were on the table. Texas could barely move the ball. Mike Elko got those boys charged up. The defense was playing lights out, and you just wished you could move the ball, but didn’t have enough healthy bodies.
     
  • I think culture is overused, but Elko is a culture plus by instilling things day-to-day and how he gets the guys fired up every day. Getting Marcel Reed a full offseason and reinforcing the wide receiver position, where you don’t have to do anything you didn’t do before. I think they need guys in the locker room to breed this confidence. They need someone to be able to finish and go forward by competing for spots in the playoffs. I think you can look at Elko like a defensive mastermind.
     
  • Elko may have years with great success and frustration. I think coming off that LSU win, you have to work on being ready. Duke always had a chip on their shoulder. A&M was riding real high, getting in the driver’s seat. It’s a good thing to have in the back of the mind, remembering the two bad losses.





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Physicians under pressure in name, image and likeness era

June 09, 2025 9 min read Add topic to email alerts Receive an email when new articles are posted on Please provide your email address to receive an email when new articles are posted on . Subscribe Added to email alerts We were unable to process your request. Please try again later. If you continue […]

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Physicians under pressure in name, image and likeness era

June 09, 2025

9 min read

Key takeaways:

  • Name, image and likeness policies have professionalized amateur athletics.
  • Physicians have concerns regarding the risks that both themselves and their patients may encounter.

The ruling of the United States Supreme Court in National Collegiate Athletic Association v. Alston, 2021, paved the way for collegiate athletes to monetize their name, image and likeness.

Since then, the professionalization of amateur athletics has evolved rapidly, with name, image and likeness (NIL) policies expanding to apply to high school athletes in states where it has been legalized. However, many physicians fear the rapid, unregulated growth of NIL may put physicians and amateur athletes at risk.

OT0325Anderson_Graphic_01_WEB
Source: Hunter Firment
Eric McCarty

Eric McCarty

“If done the right way, NIL can be very good,” Eric McCarty, MD, chief of sports medicine and shoulder surgery at the University of Colorado School of Medicine and head team physician at the University of Colorado, told Healio. “But right now, it is out of hand and continues to take turns and courses that put a lot of entities and people in an uncomfortable position.”

New considerations

When treating an athlete with NIL opportunities, Robin V. West, MD, president of the Inova MSK Service Line and team physician for the Washington Nationals, said there are new considerations for both the athlete and the physician.

Robin V. West

Robin V. West

“As a surgeon, the shift is that these athletes are viewing their bodies from more than just the medical or injured aspect but looking at them as business assets,” West, a Healio | Orthopedics Today Editorial Board Member, said.

Because of that shift, Brian D. Anderson, JD, partner and global head of the sports industry team at the international law firm Sheppard Mullin, said physicians need to recognize that high school or collegiate athletes with NIL opportunities should be treated like professional athletes.

Brian D. Anderson

Brian D. Anderson

“It does not change the underlying diagnosis and medical advice, but it is more about appreciating the stakes and the pressures that are involved,” Anderson told Healio.

The addition of high school athletics to the NIL landscape poses its own set of unique challenges, according to West.

“This is a different kind of liability because now they have these high school athletes who potentially could earn $8 million a year,” West told Healio. “But if they tear their ACL their senior year and you reconstruct it and they do not get back to play, then all of a sudden are you then bound to that $8 million a year that he potentially could have made?”

Anderson also said high school or collegiate athletes with NIL opportunities may have NIL representatives, agents, accountants and parents involved in their careers and wanting a say in the decision-making process. To navigate the pressures that external stakeholders may place on athletes, Anderson recommends athletes have adequate legal representation and emphasized the importance of involving family, guardians and loved ones to help look out for the best interested of the young athlete and provide crucial support.

“I would recommend having a lawyer and a trusted advisor to help navigate [NIL] issues,” Anderson said. “There are a lot of intermediaries involved that may not have [the athlete’s] best interests in mind. At the high school level, most of these athletes are not legally allowed to sign a binding contract. The parents need to be involved and sign the contract as well to make sure it is enforceable.”

Mental demands

In addition to the physical demands athletes may already experience from performing on the field, NIL has introduced an increased mental burden as well, according to Alex B. Diamond, DO, MPH, FAAP, FAMSSM, professor of orthopedic surgery, pediatrics and neurological surgery at Vanderbilt University Medical Center and team physician for Vanderbilt University.

Alex B. Diamond

Alex B. Diamond

“It is that dual threat of they are just regular people like the rest of us, and they go through the same things we do, but they also have this entirely separate world that is complex and intense and public that can affect their health and well-being,” Diamond told Healio. “NIL only acts to amplify all of those things.”

He said student athletes from disadvantaged backgrounds may even become “breadwinners” for their families in the NIL era, which can pose additional pressure to provide at such a young age.

The sense of a student athlete’s self-worth may also be tested by the pressures of NIL contracts and opportunities, according to Peter J. Millett, MD, MSc, orthopedic surgeon and partner at The Steadman Clinic in Colorado. Because athletes may associate self-worth with performance, he told Healio an athlete may begin questioning their self-worth after an injury that may prevent them from playing.

Peter J. Millett

Peter J. Millett

“Sometimes there is a level of grief that sets in, an imposter syndrome type situation where they start to feel like maybe they were not as good as they thought they were, or they did not reach their potential because of this injury,” Millett, a Healio | Orthopedics Today Editorial Board Member, said.

Transfer portal

Increased use of the NCAA transfer portal — a compliance tool used to manage the student-athlete transfer process — has also created challenges in the NIL landscape. According to McCarty, the transfer of student athletes can happen quickly and sometimes there is a lack of communication on where they transferred.

But just because a player may leave an institution, that does not mean they leave the physician’s care, according to Diamond.

“They are always still your patient, whether you are actively treating them or passing them along to a friend or partner or colleague,” Diamond said. “You have to do the right thing regardless of whatever emotions may be there from a school team perspective. We are part of that team, but first and foremost we are providers for that patient.”

McCarty said physicians want to be able to adequately care for student athletes transferring into their institution, as well.

“If we have an athlete coming in, we also want to take care of that athlete if they are having surgery or treatment for an injury,” McCarty said. “We want to make sure that they are taken care of when they come in and get all the records.”

However, with no national shared electronic medical record database for student athletes, physicians may not have all of the documents needed and may need to rely on the athletic trainers and administrative staff to obtain medical records from previous institutions, according to McCarty.

Private equity

As NIL contracts continue to increase in value, private equity firms may start to dip their toes in the NIL pool, which may lead to some positive outcomes, such as providing more money to the athletic program, according to Anderson, who represents teams, leagues, sponsors and investors in the sports industry. He said private equity firms can also provide “expertise in professionalizing organizations that have typically been departments within nonprofit academic institutions.”

“I am sure there are efficiency gains that a smart private equity fund would be able to find and optimize,” Anderson said. “In terms of maximizing media rights and revenue generation and bringing in expertise in commercializing the stadiums and the venues, it could be a good thing.”

However, Millett said the entrance of another external stakeholder would only further increase the risk and liability placed on physicians as there may be “significant legal ramifications for poor outcomes.”

“The medical responsibility gets heightened, and if there are increased financial incentives, you can argue if there is a bad outcome that there are bigger lost earnings. It creates a situation that can be challenging,” Millett said.

Advocacy

According to Diamond, the advanced professionalization of youth sports is a major concern, as children should participate in sports to learn the game, build fundamentals and learn about fitness and exercise.

“We are throwing those aside when we start bringing in this concept of social media likes and presence, and contracts and money,” Diamond said. “We are eroding that base of what makes sports so special at a young age.”

With the added pressures and money surrounding student athletes, Diamond said it is important that physicians advocate for their patients and provide them with an outlet for education and trust in the NIL era.

“That is where we can be effective, providing them that support and safe place,” he said. “We are an independent group that certainly care about their success on the field or court, but our only responsibility is their health and wellness. We can be a safe place for them to raise those concerns and questions with us, and we can hopefully help them navigate this new space.”

West said specialty societies can also play an important role in advocating for both physicians and athletes in the NIL landscape.

“We do not have the legal backing, but we can go and explain the surgeon’s role. We can help to identify that, define it and advocate for the surgeons, which ultimately we are advocating for our patients,” West said. “We can stay involved by understanding [NIL], by educating ourselves on the latest and greatest of what is going on with NIL and then also representing our members.”

Advice

As the NIL landscape continues to develop, Diamond said the hope is it “becomes more straightforward.”

“We see [NIL] being the Wild West right now,” Diamond said. “The hope is that the larger systems and governing bodies will start working together to provide guardrails and guidance to help with this because the structure helps the families and the kids.”

Regardless of the structure NIL takes as it evolves, Diamond said it is important to recognize that it is not going away, and physicians will need to be involved with the student athlete beyond their injury.

“We have to understand that these [injuries] affect their overall health and well-being,” Diamond said. “We need to be better about recognizing and referring to where they need to be. This is a time where we have to work as a collaborative unit. It is not just the physicians and athletic trainers, but our sports psychologists, mental health professionals and academic partners. It is using that whole network as available to the students and trying to connect them to the right people sooner rather than later.”

According to Millett, it is also important for physicians to overcommunicate with the patient and their team, and to continue to lean on their medical expertise and judgement.

“Do not get caught up in all the noise of the media or the press or the pressure from the team,” Millett said. “If the patient is ready to return to play, you can clear them. If they are not ready to return to play or it is unsafe for them, you do not clear them. If they need surgery, you recommend surgery. If surgery is optional, you tell them it is optional, and then you do a shared decision-making process to help figure out what the best solution is.”

Surgeons should also remain educated on the latest developments in NIL and participate in policy formation and advocacy of both physicians and athletes, according to West.

“The most important thing is staying athlete-centered,” West said. “As this commercialization of sports continues to grow, how do we stay true to our focus and our mission?”

Although the appropriate care of student athletes should be one of the top priorities of physicians, McCarty said it is also important for physicians to protect themselves in the face of financial risk and liability.

“It is important that the physicians make sure they have the appropriate malpractice insurance for the reason that these athletes, because they now have a value attached to them when they are in this NIL, may also have people or agents or attorneys now looking at that value in case they get hurt and cannot return,” McCarty said. “Unfortunately, that is becoming more common, and we need to make sure that physicians and any providers are protected as we do the right thing for these athletes.”

References:

For more information:

Brian D. Anderson, JD, can be reached at banderson@sheppardmullin.com.

Alex B. Diamond, DO, MPH, FAAP, FAMSSM, can be reached at alex.b.diamond@vumc.org.

Eric McCarty, MD, can be reached at eric.mccarty@cuanschutz.edu.

Peter J. Millett, MD, MSc, can be reached at drmillett@thesteadmanclinic.com.

Robin V. West, MD, can be reached at robin.west@inova.org.

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NIL

Kentucky’s unique depth could set a playing time record

Kentucky has 14 legit ballers on the team this season. This type of depth is unlike anything college basketball has ever seen. The last time the Wildcats basked in a talent pool this deep was the platoon year of 2014-15. That was a pretty good squad, to say the least, but even that team only […]

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Kentucky has 14 legit ballers on the team this season. This type of depth is unlike anything college basketball has ever seen. The last time the Wildcats basked in a talent pool this deep was the platoon year of 2014-15. That was a pretty good squad, to say the least, but even that team only went 12 deep. 14 is unheard of.

Of course, 14 people create a lot of mouths to feed. Mark Pope has shown a knack for creative substitution patterns, and he’ll need to bust out a spreadsheet this year to calculate all the combination options. It is very possible that this Kentucky team could set a record for the most players to average 10 minutes or more per game.

Last season’s ‘Cats tied the record for this quirky stat with 11 players hitting the double-digit minute mark average. In fact, they almost broke it with 12, but Travis Perry finished with 9.7 minutes per game, coming up just short.

Last year’s team’s generous minute distrubution was more due to injuries than depth, but the only two former Kentucky teams to have 11 players average 10 minutes or more per game since statisticians started keeping track in 1965 were Billy Gillespie’s 2007-08 team and Tubby Smith’s 2001-02 team.

The 2025-26 Wildcats have the depth to beat this record. Not only could they get 12, but 13 isn’t out of the question, depending on how Pope manages playing time. Regardless of how many good players are on the team, there are only 200 minutes to go around each game. And we all know Otega Oweh needs to be on the court as much as possible.

As much of a kumbaya Lord Pope might be, he is going to play the best players the most. This ain’t the Pee Wee leagues where everyone gets equal time. But he is in a unique position to do something no Kentucky team has ever done, and win a lot of games in the process.



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