2. Physical: Physical must be administered by a licensed M.D. only. Physical is valid for one year from the date of the fight. 3. Eye Exam: Dilated eye exam must be administered by a licensed ophthalmologist only. This eye exam is valid for one year from the date of the fight. 4. EKG: Must be administered by a licensed M.D. EKG is valid for 3 to 4 years of the date of the fight. 5. Radiological Exams: Fighter’s choice of an MRI, CT Scan, or Neurological Exam. 6. Neurological Exam: Fighter’s choice of an MRI, CT Scan, or Neurological Exam. CHICKASAW NATION (OK) – confirmed by Haskell Alexander & Jeff Keel Professional ONLY: Boxing, Kickboxing, MMA, and Wrestling 1. Blood Work: Hepatitis B, Hepatitis C, HIV. Blood work cannot be more than 90 days old when competing in a bout. 2. Physical: A physical performed by either an M.D. or a D.O. is required and is valid for one year.

3. Eye Exam: An eye exam is only required on a case-by-case basis, all depending on the fighter’s health history, injuries, age, etc. 4. EKG: An EKG is only required if the ringside physician deems necessary and will be considered on a case-by-case basis. 5. Radiological Exams: Radiological exams are only required if the ringside physician deems necessary and will be considered on a case-by-case basis. 6. Neurological Exam: A neurological exam is only required if the ringside physician deems necessary and will be considered on a case-by-case basis. 7. Urinalysis: A urinalysis will be given randomly for drug screenings. 8. Female Fighters: females must take a pregnancy test the date of the event. 9. Older Fighters: Fighters 36 and above may be required to submit additional tests and exams as deemed necessary by the ringside physician. 10. Additional Requirements: Additional lab work will be required on a case-by-casebasis when requested by the ringside physician. Most additional exams required by the commission on a case-by-case basis will be valid for one year, unless the fighter has sustained an injury after the exam has been performed. CITIZEN POTAWATOMI NATION BOXING COMMISSION (OK) Blood Work: unconfirmed

Physical: unconfirmed

Eye Exam: unconfirmed

EKG: unconfirmed

Radiological Exams: unconfirmed

Neurological Exam: unconfirmed

Urinalysis: unconfirmed

Older Fighters: unconfirmed

Additional Requirements: unconfirmed COMANCHE NATION SPORTS COMMISSION (OK) – confirmed by Jill Peters Blood Work: unconfirmed

Physical: unconfirmed

Eye Exam: unconfirmed

EKG: unconfirmed

Radiological Exams: unconfirmed

Neurological Exam: unconfirmed

Urinalysis: unconfirmed

Female Fighters: unconfirmed

Older Fighters: unconfirmed

Additional Requirements: unconfirmed MASHANTUCKET PEQUOT GAMING COMMISSION (CT) Blood Work: unconfirmed

Physical: unconfirmed

Eye Exam: unconfirmed

EKG: unconfirmed

Radiological Exams: unconfirmed

Neurological Exam: unconfirmed

Urinalysis: unconfirmed

Older Fighters: unconfirmed

Additional Requirements: unconfirmed

Instead of a full athletic commission from a state government overseeing things, a tribal council is in charge of governing MMA, and these councils often lack the experience and resources to oversee a multitude of events. Many don’t require much in the way of medical and drug testing. Idaho (ID) – confirmed by Cherie Simpson 1. Blood Work: HIV, Hepatitis B Surface Antigen, Hepatitis C Antibody. Blood work is valid for 6 months. Additionally, all fighters will have to produce a blood test indicating no prohibited drugs. The commission will accept a 5 panel. 2. Physical: fighters must submit a physical administered by a licensed M.D. or D.O. The commission will accept physicals administered on other athletic commissions’ forms. Physicals are valid for one year. 3. Eye Exam: The only eye exams that are required are the ones performed during the physical and/or the pre-fight physical. 4. EKG: Not at this time. 5. Radiological Exams: None at this time. 6. Neurological Exam: Not at this time. 7. Urinalysis: Not at this time. 8. Female Fighters: No additional requirements at this time. 9. Older Fighters: Fighters 36 and over may have additional requirements deemed necessary by the commission. Fighters will be reviewed on a case-by-case basis. 10. Additional Requirements: None at this time Missouri (MO) – confirmed by Tim Lueckenhoff 1. Blood Work: Hepatitis B Surface Antigen, Hepatitis C Antibody, HIV. 2. Physical: Must be administered by a licensed M.D. or D.O. The physical needs to be submitted within 30 days prior to the event. When the fighter is licensed, the physical will be good until the end of the licensing year. 3. Eye Exam: None at this time. 4. EKG: Not at this time. 5. Radiological Exams: None at this time. 6. Neurological Exam: Not at this time. 7. Urinalysis: Not at this time. 8. Female Fighters: unconfirmed 9. Older Fighters: Fighters 36 and over must contact the commission. 10. Additional Requirements: None at this time In addition to tribal lands, Bellator holds a lot of events in states that don’t see much MMA outside of small local and regional shows. Idaho, for example, boasts a mere 169 registered MMA fighters, with 26 coming from Bellator 155 in May. If a state isn’t used to sanctioning many events, it stands to reason that they aren’t equipped to handle proper testing and licensing of the fighters. Missouri isn’t a major hotbed for MMA, but Bellator has put on seven events in the Show Me state. Missouri’s commission doesn’t require fighters to be drug tested, their licensing requirements simply state that a fighter has to comply with all medical procedures ordered by the office, which may include drug testing, but just as well may be nothing more than a routine physical.