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        PRIOR PRINTER'S NO. 716                      PRINTER'S NO.  3733

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 615 Session of 2003


        INTRODUCED BY DeLUCA, BEBKO-JONES, CAPPELLI, CLYMER, CRUZ,
           DAILEY, J. EVANS, FRANKEL, GABIG, GORDNER, HARHAI, HESS,
           KIRKLAND, LaGROTTA, LEDERER, MANDERINO, PETRARCA, SAINATO,
           HORSEY, JAMES, STABACK, TIGUE, TRUE, WALKO, WASHINGTON,
           WATERS, WILLIAMS, YOUNGBLOOD, MELIO, THOMAS, CIVERA, YEWCIC,
           SCHRODER, McGEEHAN, J. TAYLOR, SCAVELLO AND PALLONE,
           MARCH 3, 2003

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           APRIL 13, 2004

                                     AN ACT

     1  Regulating tattoo, body-piercing and corrective cosmetic
     2     artists; LIMITING TONGUE SPLITTING; providing for powers and   <--
     3     duties of the Department of Health; and imposing penalties.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Tattoo, Body-
     8  piercing and Corrective Cosmetic Artists Act.
     9  Section 2.  Legislative intent.
    10     It is the intent of the General Assembly to direct the
    11  Department of Health to establish health standards for the
    12  practice of tattooing, body piercing and corrective cosmetics
    13  within this Commonwealth. This will be achieved through the
    14  imposition of regulations and the registration of all tattoo
    15  artists, body-piercing artists and corrective cosmetic artists


     1  with the Department of Health.
     2  Section 3.  Definitions.
     3     The following words and phrases when used in this act shall
     4  have the meanings given to them in this section unless the
     5  context clearly indicates otherwise:
     6     "Body piercing."  The process of breaching the skin or mucous
     7  membrane for the purpose of insertion of any object, including,
     8  but not limited to, jewelry for cosmetic purposes. The term does
     9  not include ear piercing or nail piercing.
    10     "Body-piercing artist."  Any person who actually performs
    11  body piercing or who operates, conducts or manages any body-
    12  piercing establishment.
    13     "Corrective cosmetic artist."  Any person who actually
    14  performs corrective cosmetics.
    15     "Corrective cosmetics."  The application of tattoos on a live
    16  human being for medical situations that otherwise could not be
    17  corrected or improved, including, but not limited to, burn
    18  scars, acne scars, age spots and skin discoloration due to loss
    19  of pigmentation.
    20     "Department."  The Department of Health of the Commonwealth.
    21     "Facial tattoo."  A tattoo applied above the neck, including,
    22  but not limited to, eyelids, eyebrows or lips.
    23     "Infectious disease."  A disease of humans or animals
    24  resulting from a transmissible infection, whether or not patent,
    25  apparent, inapparent, latent, clinical or subclinical.
    26     "Registry."  The Tattoo, Body-piercing and Corrective
    27  Cosmetic Artists Central Registry.
    28     "Sanitization."  The reduction of the population of
    29  microorganisms to safe levels as determined by public health
    30  officials.
    20030H0615B3733                  - 2 -     

     1     "Sterilization."  The process of destruction of all forms of
     2  life by physical or chemical means.
     3     "Tattoo."  The indelible mark, figure or decorative design
     4  introduced by insertion of nontoxic dyes or pigments into or
     5  under the subcutaneous portion of the skin or by the production
     6  of scars upon the body of a live human being.
     7     "Tattoo artist."  Any person who actually performs tattooing
     8  or who operates, conducts or manages any tattoo establishment.
     9     "Tattooing."  The process by which the skin is marked or
    10  colored by insertion of nontoxic dyes or pigments into or under
    11  the subcutaneous portion of the skin so as to form indelible
    12  marks for cosmetic or figurative purposes.
    13     "Temporary establishment."  An establishment which performs
    14  tattooing, body piercing, or both, is operated by an individual
    15  registered under this act and which operates outside of a
    16  registered facility at a fixed location for a period of time of
    17  not more than seven consecutive days in conjunction with a
    18  single event or celebration.
    19     "TONGUE SPLITTING."  THE CUTTING OF A HUMAN TONGUE INTO TWO    <--
    20  OR MORE PARTS.
    21  Section 4.  Registry.
    22     The department shall, by regulation, establish the Tattoo,
    23  Body-piercing and Corrective Cosmetic Artists Central Registry.
    24  All persons who perform tattooing, body-piercing or corrective
    25  cosmetic services within this Commonwealth must meet the
    26  requirements of this act and register with the department on
    27  forms provided by the department.
    28  Section 5.  Powers and duties of department.
    29     (a)  General rule.--The department, in the exercise of its
    30  duties under this act, shall have the power to adopt such
    20030H0615B3733                  - 3 -     

     1  regulations as are reasonably necessary to carry out the
     2  purposes of this act. Regulations shall be adopted in conformity
     3  with the provisions of the act of June 25, 1982 (P.L.633,
     4  No.181), known as the Regulatory Review Act, and shall include,
     5  but not be limited to:
     6         (1)  Tattoo, body-piercing and corrective cosmetic
     7     establishment registration and facility registration
     8     requirements, including, but not limited to:
     9             (i)  Physical location.
    10             (ii)  Specifications of walls, ceilings, floors,
    11         partitions, fixtures, equipment and other appurtenances.
    12             (iii)  Lighting.
    13             (iv)  Ventilation.
    14             (v)  Water supply.
    15             (vi)  Liquid waste disposal.
    16             (vii)  Refuse storage and disposal.
    17             (viii)  Toilets and lavatories.
    18             (ix)  Sinks.
    19             (x)  Insect and rodent control.
    20         (2)  Temporary establishment registration requirements.
    21         (3)  Tattoo artist and body-piercing artist registration
    22     requirements.
    23         (4)  Apprentice tattoo artist and body-piercing artist
    24     registration requirements.
    25         (5)  Development and maintenance of and registration in
    26     the Tattoo, Body-piercing and Corrective Cosmetic Artists
    27     Central Registry.
    28         (6)  Tattoo artist and body-piercing artist hygiene.
    29         (7)  Health, sanitization, sterilization and safety
    30     standards for tattoo, body-piercing or corrective cosmetic
    20030H0615B3733                  - 4 -     

     1     establishments and temporary establishments.
     2         (8)  Tattoo and body-piercing establishment and temporary
     3     establishment recordkeeping.
     4         (9)  Qualifications for the registration of corrective
     5     cosmetic artists.
     6         (10)  TONGUE SPLITTING.                                    <--
     7     (b)  Examination.--The department shall require the
     8  successful completion of a written examination regarding health,
     9  sanitization, sterilization and safety standards prior to
    10  issuing a registration to any tattoo artist, body-piercing
    11  artist or corrective cosmetic artist.
    12     (c)  Registration.--The department shall register:
    13         (1)  Any applicant who successfully passes the
    14     examination and meets the requirements for registration in
    15     accordance with the regulations promulgated under this act.
    16         (2)  Any tattoo or body-piercing establishment or
    17     temporary establishment which has been inspected and meets
    18     facility requirements in accordance with the regulations
    19     where tattooing, body-piercing or corrective cosmetic
    20     services will be performed.
    21     (d)  Inspection.--The department shall inspect every
    22  establishment at which tattooing, body piercing or corrective
    23  cosmetics are performed prior to issuing a facility
    24  registration. The department may also conduct inspections of
    25  registered facilities and temporary establishments as the
    26  department deems necessary to carry out this act. The inspection
    27  shall insure that required sterilization, sanitation and safety
    28  standards are maintained.
    29     (e)  Fees.--All fees required under this act shall be fixed
    30  by the department by regulation and shall be subject to the act
    20030H0615B3733                  - 5 -     

     1  of June 25, 1982 (P.L.633, No.181), known as the Regulatory
     2  Review Act.
     3     (f)  Limitation.--Nothing in this act shall be construed to
     4  permit the department to regulate artistic aspects of tattooing,
     5  body piercing or corrective cosmetics which are unrelated to
     6  health, sanitization, sterilization or safety standards.
     7     (g)  Departmental actions.--All actions of the department in
     8  accordance with this act which result in a refusal to issue a
     9  registration for reasons other than failure to pass a written
    10  examination required by this act or action which suspends or
    11  revokes a registration shall be subject to the right of notice,
    12  hearing and adjudication and the right of appeal therefrom in
    13  accordance with 2 Pa.C.S. Ch. 5 Subch. A (relating to practice
    14  and procedure of Commonwealth agencies).
    15  Section 6.  Duties and responsibilities of artists.
    16     (a)  Health of tattoo artists and body-piercing artists.--The
    17  department shall establish by regulation minimum health
    18  standards for all registrants and persons working in any area of
    19  a tattoo or body-piercing establishment which may be necessary
    20  to prevent the contamination of tattoo or body-piercing
    21  equipment, supplies or work surfaces with pathogenic organisms.
    22     (b)  Infectious disease.--A notarized statement from a
    23  licensed physician shall be provided to the department, prior to
    24  the issuance of a registration under this act, confirming that
    25  the artist was examined by the physician, a test of the artist's
    26  blood was made and the results of that test indicate that:
    27         (1)  the artist is free from all contagious and
    28     infectious diseases, including hepatitis B;
    29         (2)  the artist has either completed or was offered and
    30     declined a vaccination series;
    20030H0615B3733                  - 6 -     

     1         (3)  antibody testing reveals that the artist is immune
     2     to certain diseases; or
     3         (4)  a vaccine is contradicted for medical reasons.
     4     (c)  Notifications.--Verbal and written instructions for the
     5  care of the tattooed or pierced site on the body shall be
     6  provided to each customer by the tattoo artist or body-piercing
     7  artist upon the completion of the procedure. The written
     8  instructions shall advise the customer to consult a physician at
     9  the first sign of infection and contain the name, address and
    10  phone number of the tattoo or body-piercing establishment.
    11  Section 7.  Minors.
    12     (a)  Prohibitions.--It shall be unlawful for any person to
    13  perform tattooing or body-piercing services on any other person
    14  under 18 years of age without the written consent of a parent or
    15  legal guardian of that other person.
    16     (b)  Regulation.--The department shall promulgate regulations
    17  establishing standards for verification of age and documentation
    18  of consent.
    19     (c)  Revocation.--Any person who performs tattooing or body-
    20  piercing services on any body part of a person under 18 years of
    21  age without proper consent as established in subsection (a)
    22  shall have the registration under this act revoked for two
    23  years.
    24     (d)  Registration.--Any person who violates subsection (a)
    25  may not be registered for two years from the date of violation
    26  or revocation, whichever is later.
    27  Section 8.  Powers of municipalities.
    28     (a)  Municipal ordinances preserved.--Nothing in this act
    29  shall supersede the power of a municipality to inspect tattoo or
    30  body-piercing establishments or temporary establishments, to
    20030H0615B3733                  - 7 -     

     1  regulate the manner in which tattooing or body piercing may be
     2  performed, to levy lawful taxes and fees and to require the
     3  purchase of a business privilege license unrelated to competence
     4  in the practice of tattooing or body piercing. No municipality
     5  shall require a tattoo artist or body-piercing artist registered
     6  under this act to obtain a municipal license to engage in
     7  tattoo, temporary tattoo or body-piercing services in the
     8  municipality. Nothing in this act shall preclude a municipality
     9  from denying or revoking a local permit for failure to comply
    10  with a local ordinance not inconsistent with this act or
    11  regulations of the department promulgated under this act.
    12     (b)  Failure to comply with local ordinance.--A registrant
    13  under this act who fails to comply with a municipal ordinance
    14  concerning the inspection of tattoo or body-piercing
    15  establishments or temporary establishments, or the manner in
    16  which the municipality requires tattoo and body-piercing
    17  services to be performed, shall be subject to disciplinary
    18  proceedings under this act.
    19  Section 9.  Unlawful acts.
    20     (a)  Unregistered practice.--It is unlawful for any person to
    21  practice tattooing, body piercing or corrective cosmetics, or to
    22  hold himself out as a practitioner of or entitled or authorized
    23  to practice tattooing, body piercing or corrective cosmetics, or
    24  to assume any title of "tattooist," "tattoo artist," "body-
    25  piercer," "body-piercing artist," "corrective cosmetics artist"
    26  or other letters or titles in connection with that person's name
    27  which in any way represents himself as being engaged in the
    28  practice of tattooing, body piercing or corrective cosmetics, or
    29  authorized to do so, unless that person has been duly registered
    30  and authorized to engage in the practice under this act.
    20030H0615B3733                  - 8 -     

     1     (b)  Unregistered facilities.--It is unlawful for any person
     2  to operate a tattoo, body-piercing or corrective cosmetic
     3  establishment or temporary establishment that is not registered
     4  with the department.
     5     (c)  Injections.--It is unlawful for a tattoo artist, body-
     6  piercing artist or corrective cosmetic artist to administer
     7  anesthetic injections or other medications and prescription
     8  drugs.
     9     (d)  Facial tattoos.--It is unlawful for any person other
    10  than a corrective cosmetic artist registered under this act, or
    11  a physician or surgeon licensed in this Commonwealth, to perform
    12  facial tattoo services on any other person.
    13  SECTION 9.1.  TONGUE SPLITTING LIMITATION.                        <--
    14     (A)  GENERAL RULE.--A PERSON SHALL NOT PERFORM TONGUE
    15  SPLITTING ON ANOTHER PERSON UNLESS THE TONGUE SPLITTING IS
    16  PERFORMED BY A PHYSICIAN OR DENTIST LICENSED IN THIS
    17  COMMONWEALTH.
    18     (B)  GRADING.--ANY PERSON WHO VIOLATES THE PROVISIONS OF THIS
    19  SECTION COMMITS A MISDEMEANOR OF THE FIRST DEGREE FOR A FIRST
    20  OFFENSE AND A FELONY OF THE THIRD DEGREE FOR A SECOND OR
    21  SUBSEQUENT OFFENSE.
    22  Section 10.  Disciplinary matters.
    23     (a)  General.--The department may suspend or revoke any
    24  registration issued under this act for any of the following
    25  reasons:
    26         (1)  Failing to demonstrate the qualifications or
    27     standards for a registration contained in this act or
    28     regulations of the department.
    29         (2)  Making misleading, deceptive, untrue or fraudulent
    30     representations in obtaining a registration.
    20030H0615B3733                  - 9 -     

     1         (3)  Being unable to practice with reasonable skill and
     2     safety to the public by reason of illness, addiction to drugs
     3     or alcohol, having been convicted of a felonious act
     4     prohibited by the act of April 14, 1972 (P.L.233, No.64),
     5     known as The Controlled Substance, Drug, Device and Cosmetic
     6     Act, or convicted of a felony relating to a controlled
     7     substance in a court of law of the United States or any other
     8     state, territory, possession or country, or of mental
     9     incompetency. An applicant's statement on the application
    10     declaring the absence of a conviction shall be deemed
    11     satisfactory evidence of the absence of a conviction unless
    12     the department has some evidence to the contrary.
    13         (4)  Violating a lawful regulation promulgated by the
    14     department or violating a lawful order of the department
    15     previously entered by the department in a disciplinary
    16     proceeding.
    17         (5)  Knowingly maintaining a professional connection or
    18     association with any person who is in violation of this act
    19     or regulation of the department or knowingly aiding,
    20     assisting, procuring or advising any unregistered person to
    21     practice a profession contrary to this act or regulations of
    22     the department.
    23         (6)  Acting in such manner as to present an immediate and
    24     clear danger to public health or safety.
    25         (7)  Making a false or deceptive biennial registration
    26     with the department.
    27     (b)  Authorized actions.--In addition to taking disciplinary
    28  or corrective action against a registrant under this act or
    29  pursuant to other statutory authority, the department may:
    30         (1)  Deny the application for a registration or any other
    20030H0615B3733                 - 10 -     

     1     privilege granted by the department.
     2         (2)  Revoke, suspend, limit or otherwise restrict a
     3     registration.
     4         (3)  Stay enforcement of any suspension and place a
     5     registrant on probation with the right to vacate the
     6     probationary order for noncompliance.
     7     (c)  Failure to comply with conditions.--Failure of a
     8  registrant to comply with the conditions required by the
     9  department shall be grounds for reconsideration of the matter
    10  and institution of formal charges against the registrant.
    11     (d)  Reinstatement of registration.--Unless ordered to do so
    12  by the Commonwealth Court or on appeal therefrom, the department
    13  may not reinstate the registration of a person which has been
    14  revoked for two years from the date of violation or revocation,
    15  whichever is later. Any person whose registration has been
    16  revoked may apply for reinstatement, after a period of at least
    17  two years, but must meet all of the registration requirements of
    18  this act, including the examination requirement, if that person
    19  desires to practice the art of tattooing, body piercing or
    20  corrective cosmetics under this act at any time after such
    21  revocation.
    22     (e)  Surrender of suspended or revoked registration.--The
    23  department shall require a person whose registration has been
    24  suspended or revoked to return the registration in such manner
    25  as the department directs.
    26  Section 11.  Penalties.
    27     Any persons who violates any provision of this act commits a
    28  misdemeanor of the third degree and shall, upon conviction, be
    29  sentenced to pay a fine of not more than $1,000 or to
    30  imprisonment for not more than three months, or both.
    20030H0615B3733                 - 11 -     

     1  Section 12.  Injunctive relief.
     2     It shall be unlawful for any person to practice or attempt to
     3  offer to practice tattooing, body piercing or corrective
     4  cosmetics without having at the time of so doing a valid,
     5  unexpired, unrevoked and unsuspended registration issued under
     6  this act. The unlawful practice of tattooing, body piercing or
     7  corrective cosmetics may be enjoined by the courts on petition
     8  of the department. In any such proceeding it shall not be
     9  necessary to show that any person is individually injured by the
    10  actions complained of. If it is found that the respondent has
    11  engaged in the unlawful practice of tattooing or body piercing,
    12  the court shall enjoin the respondent from so practicing unless
    13  and until the respondent registers with the department. This
    14  procedure in such cases shall be the same as in any other
    15  injunction suit. The remedy by injunction authorized by this
    16  section shall be in addition to any other civil or criminal
    17  prosecution and punishment authorized by law.
    18  Section 13.  Exemptions.
    19     (a)  General rule.--Nothing in this act shall prevent:
    20         (1)  a physician or surgeon licensed in this Commonwealth
    21     from performing body-piercing or tattooing services for
    22     medical reasons; or
    23         (2)  a funeral director licensed in this Commonwealth
    24     from performing body-piercing or tattooing services as
    25     required by that profession.
    26     (b)  Physician-based corrective cosmetics establishments.--
    27  Nothing in this act shall require the registration of corrective
    28  cosmetics establishments physically located in a licensed
    29  physician's office, hospital or clinic. Those establishments
    30  shall also be exempt from facility requirements as provided for
    20030H0615B3733                 - 12 -     

     1  in section 5(a)(1).
     2  Section 14.  Effective date.
     3     This act shall take effect as follows:
     4         (1)  Section 5(a) shall take effect in two years.
     5         (2)  SECTION 9.1 SHALL TAKE EFFECT IN 60 DAYS.             <--
     6         (2) (3)  This section shall take effect immediately.       <--
     7         (3) (4)  The remainder of this act shall take effect in    <--
     8     180 days.















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