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                                                      PRINTER'S NO. 2728

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2068 Session of 1989


        INTRODUCED BY HERMAN, MICHLOVIC, MELIO, GRUPPO, BARLEY AND BUNT,
           NOVEMBER 14, 1989

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
           NOVEMBER 14, 1989

                                     AN ACT

     1  Providing for the licensing of massage therapists; establishing
     2     a board to determine standards and qualifications; providing
     3     standards for licenses; and fixing fees and penalties.

     4                         TABLE OF CONTENTS
     5  Section 1.  Short title.
     6  Section 2.  Definitions.
     7  Section 3.  Exemptions.
     8  Section 4.  Licenses required; unlawful acts.
     9  Section 5.  State Board of Massage Therapy.
    10  Section 6.  Powers and duties of board.
    11  Section 7.  Qualifications for licensure.
    12  Section 8.  Display of licenses.
    13  Section 9.  Revocation and suspension of licenses.
    14  Section 10.  Foreign licensure.
    15  Section 11.  Penalties.
    16  Section 12.  Municipal authority.
    17  Section 13.  Fees and fines for board.
    18  Section 14.  Appropriation.

     1  Section 15.  Effective date.
     2     The General Assembly of the Commonwealth of Pennsylvania
     3  hereby enacts as follows:
     4  Section 1.  Short title.
     5     This act shall be known and may be cited as the Massage
     6  Therapy Practice Act.
     7  Section 2.  Definitions.
     8     The following words and phrases when used in this act shall
     9  have the meanings given to them in this section unless the
    10  context clearly indicates otherwise:
    11     "Board."  The State Board of Massage Therapy.
    12     "Department."  The Department of State of the Commonwealth.
    13     "Massage."  The application of any or all of the following to
    14  the human body by the hands or any other means: touching,
    15  stroking, friction, kneading, vibration and percussion. It shall
    16  include, but not be limited to, deep muscle massage, trigger
    17  point therapy, acupressure, reflexology, hydrotherapy and other
    18  physical procedures recognized by the State Board of Massage
    19  Therapy.
    20     "Massage therapist."  A person who is licensed to practice
    21  massage under this act.
    22     "Practice of message therapy."  Holding oneself out to the
    23  public by any title or description of services incorporating the
    24  term "licensed massage therapist," or using any words or symbols
    25  indicating or tending to indicate that he or she is a licensed
    26  massage therapist and, under such description, offering to
    27  render or rendering a service in which a special knowledge of
    28  massage therapy techniques is involved.
    29  Section 3.  Exemptions.
    30     This act shall not apply to the following classes of persons:
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     1         (1)  Persons authorized by the laws of this Commonwealth
     2     to practice medicine, surgery, dentistry, osteopathy,
     3     chiropractic, podiatry or physical therapy.
     4         (2)  Registered nurses and licensed practical nurses.
     5         (3)  Barbers, cosmetologists, cosmeticians and
     6     manicurists, insofar as they deal with the face, head, hands
     7     and feet.
     8  Section 4.  Licenses required; unlawful acts.
     9     It shall be unlawful for any person to:
    10         (1)  practice massage therapy without first having
    11     validly obtained a massage therapist license pursuant to this
    12     act; or
    13         (2)  violate any of the provisions of this act.
    14  Section 5.  State Board of Massage Therapy.
    15     (a)  Board created.--There is hereby created, under the
    16  administrative jurisdiction of the department, the State Board
    17  of Massage Therapy, consisting of seven members, as follows: the
    18  Commissioner of Professional and Occupational Affairs, four
    19  massage therapist licensees and two consumers.
    20     (b)  Terms.--Two members of the initial board shall be
    21  appointed for a term of one year; two for a term of two years;
    22  and two for a term of three years. Thereafter, when the term of
    23  each appointed member of the board ends, the Governor shall
    24  appoint a successor to serve for a term of three years. Any
    25  vacancy occurring on the board shall be filled by the Governor
    26  by appointment for the unexpired term. A board member whose term
    27  has expired may serve until the successor is appointed, or six
    28  months beyond the expiration of the term, whichever first
    29  occurs. The commissioner shall serve on the board concurrently
    30  with his term as commissioner.
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     1     (c)  Appointment process.--Members, other than the
     2  Commissioner of Professional and Occupational Affairs, shall be
     3  appointed to the board by the Governor, by and with the advice
     4  and consent of a majority of the members elected to the Senate.
     5  The membership of the commissioner on the board shall be
     6  automatic upon his appointment as commissioner.
     7     (d)  Officers.--The board shall elect annually from its
     8  membership a chairman, vice chairman and secretary. The
     9  secretary shall keep a written record of the proceedings of the
    10  board.
    11     (e)  Meetings.--The board shall meet at least two times each
    12  year and at such other times as deemed necessary and advisable
    13  by the chairman or by a majority of its members. A majority of
    14  the members present at a meeting shall constitute a quorum.
    15     (f)  Compensation.--Each member of the board, except the
    16  commissioner, shall receive per diem compensation at the rate of
    17  $60 per diem when actually attending to the work of the board.
    18  Members shall also receive reasonable traveling, hotel and other
    19  necessary expenses incurred in the performance of their duties
    20  in accordance with Commonwealth regulations.
    21  Section 6.  Powers and duties of board.
    22     The board shall have the following powers and duties:
    23         (1)  To pass upon the qualifications and fitness of
    24     applicants for licenses and reciprocal licenses.
    25         (2)  To adopt and revise such rules and regulations not
    26     inconsistent with law as may be necessary to effectuate the
    27     provisions of this act.
    28         (3)  To examine for, deny, approve, issue, revoke,
    29     suspend and renew licenses pursuant to this act, and to
    30     conduct hearings in connection therewith.
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     1         (4)  To conduct hearings upon complaints concerning
     2     violations of the provisions of, and the rules and
     3     regulations adopted pursuant to, this act and cause the
     4     prosecution and enjoinder of all such violations.
     5         (5)  To submit a report annually to the Professional
     6     Licensure Committee of the House of Representatives and to
     7     the Consumer Protection and Professional Licensure Committee
     8     of the Senate, containing a description of the types of
     9     complaints received, status of cases, board action which has
    10     been taken and the length of time from the initial complaint
    11     to final board resolution.
    12  Section 7.  Qualifications for licensure.
    13     (a)  Individual license.--All applications for a massage
    14  therapist license shall be made to the board, which shall issue
    15  such license upon satisfactory proof that the applicant:
    16         (1)  is 18 years of age or older;
    17         (2)  is a citizen of the United States and has resided in
    18     this Commonwealth for at least one year;
    19         (3)  is of good moral character;
    20         (4)  is not addicted to the habitual use of alcohol or
    21     narcotics or other habit-forming drugs;
    22         (5)  has not been convicted of a felony or of the crime
    23     of prostitution or any other sex-related offense in the
    24     courts of this Commonwealth or any other state, territory or
    25     country;
    26         (6)  has a diploma from a recognized school of massage
    27     having a curriculum approved by the board, certifying that
    28     such person has completed 500 hours of study in the basic
    29     subjects of anatomy, physiology, hygiene, corrective
    30     exercises, gymnastics, hydrotherapy, techniques of massage
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     1     and has served a clinical internship or apprenticeship of six
     2     months. The board may reduce the required hours of study to
     3     not less than 400 hours and equivalent experience under a
     4     qualified massage therapist; and
     5         (7)  has passed to the satisfaction of the board, a
     6     practical and a written examination which shall test the
     7     applicant's knowledge of the basic subjects listed in
     8     paragraph (6) and such other subjects as the board may deem
     9     necessary to test the applicant's fitness to practice body
    10     massage. Such examination shall be administered by an
    11     independent, objective testing service that is selected or
    12     approved by the board.
    13     (b)  Waiver of examination.--The board shall issue a license
    14  as a massage therapist to an applicant who meets the educational
    15  requirements of this section, who has practiced massage for
    16  three years prior to the effective date of this act and who
    17  makes application to the board within one year after the
    18  effective date of regulations promulgated under this act.
    19     (c)  Renewal.--A massage therapist license shall be renewed
    20  biennially without reexamination of the holder thereof.
    21  Section 8.  Display of licenses.
    22     A massage therapist license issued in accordance with this
    23  act shall be conspicuously displayed at any massage
    24  establishment where the massage therapist practices body
    25  massage. Also, a wallet card license shall be carried on the
    26  person of the individual massage therapist any time he practices
    27  massage therapy.
    28  Section 9.  Revocation and suspension of licenses.
    29     (a)  Violations.--The board may refuse, revoke or suspend a
    30  massage therapist license or massage establishment license upon
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     1  satisfactory proof of any of the following:
     2         (1)  That the licensee did not properly meet or no longer
     3     meets the licensing requirements of this act, or obtained
     4     licensure by fraud or misrepresentation.
     5         (2)  That the licensee is addicted to, or habitually uses
     6     intoxicating liquor, narcotics or other drugs.
     7         (3)  That the licensee has attempted to diagnose or treat
     8     classified diseases, practiced spinal adjustments or
     9     prescribed medicines.
    10         (4)  That the licensee committed repeated occasions of
    11     negligence or incompetence in the practice of massage
    12     therapy.
    13         (5)  That the licensee has practiced massage while
    14     knowingly suffering from a contagious or infectious disease.
    15         (6)  That the licensee has been found guilty of
    16     unprofessional conduct, or of making untrue and intentionally
    17     misleading professional representations.
    18         (7)  That the licensee has violated any of the provisions
    19     of this act or the rules and regulations promulgated by the
    20     board.
    21         (8)  That the licensee no longer meets one or more
    22     qualifications for licensure as set forth in section 7.
    23         (9)  That the licensee has had professional disciplinary
    24     action taken against him or has had a license to practice
    25     massage therapy refused, revoked or suspended by another
    26     state.
    27     (b)  Hearing and appeal.--All final actions or orders of the
    28  board shall be taken subject to the right of notice, hearing and
    29  adjudication and the right of appeal therefrom in accordance
    30  with the provisions of 2 Pa.C.S. Chs. 5 (relating to practice
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     1  and procedure) and 7 (relating to judicial review).
     2  Section 10.  Foreign licensure.
     3     (a)  Reciprocity.--Upon application and payment of the
     4  license fee as provided in section 13(b), the board shall issue
     5  a massage therapist license to a person who has a valid massage
     6  therapist license from another state, if the board is satisfied:
     7         (1)  that the other state maintains a system and standard
     8     of qualifications equivalent to that provided in this act;
     9     and
    10         (2)  that the other state gives similar recognition and
    11     endorsement to massage therapist licenses of this
    12     Commonwealth.
    13     (b)  Reporting of multiple licensure.--Any licensed massage
    14  therapist of this Commonwealth who is also licensed to practice
    15  massage therapy in any other state, territory or country shall
    16  report this information to the board on the biennial
    17  registration application. Any disciplinary action taken in such
    18  other jurisdiction shall be reported to the board on the
    19  biennial registration application, or within 90 days of final
    20  disposition, whichever occurs sooner. Multiple licensure or
    21  registration shall be noted by the board on the licensee's
    22  record, and such state, territory or country shall be notified
    23  by the board of any disciplinary actions taken against the
    24  massage therapist in this Commonwealth.
    25  Section 11.  Penalties.
    26     Any person who sells or fraudulently obtains or furnishes a
    27  massage therapist license or massage establishment license,
    28  practices massage or operates a massage establishment under a
    29  license illegally or fraudulently obtained, or without a valid
    30  license to do so, or while such license is suspended or revoked,
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     1  or otherwise violates the provisions of this act commits a
     2  misdemeanor of the third degree.
     3  Section 12.  Municipal authority.
     4     Nothing contained in this act shall be construed as
     5  prohibiting any municipality from adopting appropriate
     6  ordinances not inconsistent with the provisions of this act or
     7  the rules and regulations adopted thereunder, as may be deemed
     8  necessary to promote or protect the public health or safety,
     9  which regulate the conduct of massage therapists or of massage
    10  establishments; and any such ordinances heretofore or hereafter
    11  adopted shall be enforceable by such municipalities.
    12  Section 13.  Fees and fines for board.
    13     (a)  Disposition.--All fees and fines collected under the
    14  provisions of this act shall be paid into the Professional
    15  Licensure Augmentation Account established pursuant to and for
    16  use in accordance with the act of July 1, 1978 (P.L.700,
    17  No.124), known as the Bureau of Professional and Occupational
    18  Affairs Fee Act.
    19     (b)  Regulations required.--All application forms and license
    20  fees required under this act shall be fixed by the board, by
    21  regulation, and shall be subject to review in accordance with
    22  the act of June 25, 1982 (P.L.633, No.181), known as the
    23  Regulatory Review Act. If the revenues generated by fees, fines
    24  and civil penalties imposed in accordance with the provisions of
    25  this act are not sufficient to match expenditures over a two-
    26  year period, the board shall increase those fees by regulation,
    27  subject to review in accordance with the Regulatory Review Act,
    28  such that the projected revenues will meet or exceed projected
    29  expenditures.
    30     (c)  Increasing of fees and fines.--If the Bureau of
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     1  Professional and Occupational Affairs determines that the fees
     2  established by the board are inadequate to meet the minimum
     3  enforcement efforts required, then the bureau, after
     4  consultation with the board, shall increase the fees by
     5  regulation, subject to review in accordance with the Regulatory
     6  Review Act, such that adequate revenues are raised to meet the
     7  required enforcement effort.
     8  Section 14.  Appropriation.
     9     The sum of $85,000, or as much thereof as may be necessary,
    10  is hereby appropriated from the Professional Licensure
    11  Augmentation Account within the General Fund to the Bureau of
    12  Professional and Occupational Affairs in the Department of State
    13  for the payment of costs of processing licenses and renewals,
    14  for the operation of the board and for other general costs of
    15  the bureau operations necessary for carrying out the provisions
    16  of this act. The appropriation granted shall be repaid by the
    17  board within three years of the beginning of issuance of
    18  licenses by the board.
    19  Section 15.  Effective date.
    20         (1)  Section 12 of this act shall take effect
    21     immediately.
    22         (2)  Section 4 of this act shall take effect in 120 days.
    23         (3)  The remainder of this act shall take effect in 60
    24     days.




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