The correct answer to this open question is the following.
In Competitive Events fairness between sections is
maintained in HOSA by following the strict rules and regulations document issued by HOSA.
HOSA stands for Health Occupations Students of America. This is an organization that includes members of other countries and aims to promote the creation of jobs in the medical industry. HOSA has the support of United States Federal agencies such as the Department of Education. HOSA strives for maintaining good quality service in the medical industry.
To be fair in competitive events, HOSA establishes clear rules regarding the eligibility for international participation, a definition of the competition by grades, a set of Ethics recommendations, the content of the event, and the judging.