Secondary schools across the United States that sponsor extracurricular athletic programs are challenged to comply with recent laws that require concussion education and appropriate concussion management. This study examined one rural state's efforts by illustrating both the successes and challenges that secondary schools faced. The findings indicated that overall educational awareness has also led to an increase in the number of diagnosed concussions. While concussion education of coaches was occurring, formal education for other constituencies, especially parents and student-athletes, was not occurring as mandated by law. School leaders were aware of appropriate concussion management guidelines, but the absence of qualified medical professionals and financial resources, most notably in small rural communities, hindered compliance efforts.