Don't ask don't tell.
From the Federation level there is no rule on sleeves. NFHS said there does not seem to be a problem with them in HS so there is no rule. I have no idea what games they are watching as I had a lot of them last year. Each association or state may handle them differently however.
This year the federation clarified that and we went from asking if the item was for a medical reason to not asking anything.
My guess is we will see a ruling on it next year.
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