Page 16 - GUAM NOC MADC - 2021 Draft Anti-Doping Rules

A TUE granted by GMADC is valid at any national level in any country and does not need
to be formally recognized by any other National Anti-Doping Organization.

However, it is not automatically valid if the Athlete becomes an International-Level Athlete
or competes in an International Event, unless it is recognized by the relevant International
Federation or Major Event Organization in accordance with the International Standard for
Therapeutic Use Exemptions as follows:

4.4.4.1 Where the Athlete already has a TUE granted by GMADC for the
substance or method in question, unless their TUE will be
automatically recognized by the International Federation or Major
Event Organization, the Athlete shall apply to their International
Federation or to the Major Event Organization to recognize that TUE.
If that TUE meets the criteria set out in the International Standard for
Therapeutic Use Exemptions, then the International Federation or
Major Event Organization must recognize it.

If the International Federation or Major Event Organization considers
that the TUE granted by GMADC does not meet those criteria and so
refuses to recognize it, the International Federation shall promptly
notify the Athlete and GMADC with reasons. The Athlete and/or
GMADC shall have twenty-one (21) days from such notification to refer
the matter to WADA for review in accordance with Article 4.4.6.

If the matter is referred to WADA for review in accordance with Article
4.4.6, the TUE granted by GMADC remains valid for national-level
Competition and Out-of-Competition Testing (but is not valid for
international-level Competition) pending WADA’s decision.

If the matter is not referred to WADA for review within the twenty-one
(21) day deadline, GMADC must determine whether the original TUE
that it granted should nevertheless remain valid for national-level
Competition and Out-of-Competition Testing (provided that the Athlete
ceases to be an International-Level Athlete and does not participate in
international-level Competition). Pending GMADC’s decision, the TUE
remains valid for national-level Competition and Out-of-Competition
23
Testing (but is not valid for international-level Competition).

4.4.4.2 If the Athlete does not already have a TUE granted by GMADC for the
substance or method in question, the Athlete must apply directly to the

23 [Comment to Article 4.4.4.1: Further to Articles 5.7 and 7.1 of the International Standard for Therapeutic Use Exemptions, an
International Federation must publish and keep updated a notice on its website that sets out clearly (1) which Athletes under
its authority are required to apply to it for a TUE, (2) which TUE decisions of other Anti-Doping Organizations it will automatically
recognize in lieu of such application and (3) which TUE decisions of other Anti-Doping Organizations will have to be submitted
to it for recognition. If an Athlete's TUE falls into a category of automatically recognized TUEs, then the Athlete does not need
to apply to his/her International Federation for recognition of that TUE.

In accordance with the requirements of the International Standard for Therapeutic Use Exemptions, GMADC will help Athletes
determine when they need to submit TUEs granted by GMADC to an International Federation or Major Event Organization for
recognition and will guide and support those Athletes through the recognition process.

If an International Federation refuses to recognize a TUE granted by GMADC only because medical records or other
information are missing that are needed to demonstrate satisfaction of the criteria in the International Standard for Therapeutic
Use Exemptions, the matter should not be referred to WADA. Instead, the file should be completed and re-submitted to the
International Federation.]

2021 GUAM NOC ANTI-DOPING RULES Page 16 of 70