BILL ANALYSIS                                                                                                                                                                                                    



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          ASSEMBLY THIRD READING
          AB 1822 (Swanson)
          As Amended  May 28, 2010
          Majority vote

           BUSINESS & PROFESSIONS        8-3                    
          APPROPRIATIONS      12-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Emmerson, Conway, Eng,    |Ayes:|Fuentes, Ammiano,         |
          |     |Ma, Nava, Niello, Ruskin, |     |Bradford,                 |
          |     |Smyth                     |     |Charles Calderon, Coto,   |
          |     |                          |     |Davis, Monning, Ruskin,   |
          |     |                          |     |Skinner, Solorio,         |
          |     |                          |     |Torlakson, Torrico        |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Hayashi, Hernandez, Hill  |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :   Authorizes a city, county, or city and county to  
          require any person who administers massage to hold a business  
          license or massage establishment permit, as specified, and adds  
          two additional members to the board of directors of the Massage  
          Therapy Organization (MTO).  Specifically,  this bill  :  

          1)Increases the membership of the MTO by two members by adding  
            one member selected by the California Police Chiefs  
            Association and one member selected by the California State  
            Sheriffs' Association unless either entity chooses not to  
            exercise this right of selection.

          2)Authorizes any city, county, or city and county to require any  
            person who administers massage for compensation, or who owns a  
            massage establishment or business, to also hold a business  
            license or a massage establishment permit or both.

          3)Makes conforming and technical changes.

           EXISTING LAW  :

          1)Provides for the voluntary certification of massage  
            practitioners and massage therapists by a nonprofit MTO until  
            January 1, 2016.








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          2)Provides that the MTO is governed by a board of directors  
            comprised as follows:

        a)   One member selected by a statewide association of private  
               postsecondary schools, as specified, except from those  
               qualifying associations that choose not to exercise this  
               right of selection;

        b)   One member selected by the League of California Cities,  
               unless that entity chooses not to exercise this right of  
               selection;

        c)   One member selected by the California State Association of  
               Counties, unless that entity chooses not to exercise this  
               right of selection; 

        d)   One member selected by the Director of Consumer Affairs,  
               unless that entity chooses not to exercise this right of  
               selection; and,

        e)   One member appointed by the California Community College  
               Chancellor's Office, unless that entity chooses not to  
               exercise this right of selection;

          3)Requires applicants for certification to be 18 years of age or  
            older, meet specified educational criteria, provide  
            fingerprints for submission by the MTO to DOJ for state and  
            federal criminal background checks, and pay required fees  
            prior to certification.

           FISCAL EFFECT  :   According to the Assembly Appropriations  
          Committee, no direct state fiscal impact results from the  
          requirements of this bill.

           COMMENTS  :  According to the author's office, "Massage businesses  
          are perfect fronts for prostitution, human trafficking, and  
          organized crime.  The state needs to strengthen the  
          certification process for massage therapists and practitioners  
          to prevent human traffickers from exploiting the law.  Human  
          trafficking criminal enterprises are extremely sophisticated,  
          and the current oversight procedures need to be strengthened in  
          order to avoid criminal manipulation.









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          "Local law enforcement agencies are better able to recognize  
          local traffickers and have the resources to review the  
          applications in a more timely and thorough manner than the  
          [MTO]. Accordingly, AB 1822, among other things, would bolster  
          the current certification process and the [MTO] by adding a  
          local level of review."

          According to the Associated Bodywork & Massage Professionals,  
          massage is the fifth largest health related profession in  
          California.  Massage is used for managing stress, enhancing  
          self-awareness, maintaining health, increasing athletic  
          performance, rehabilitating from injuries, and as an adjunct to  
          medical treatment for a wide variety of conditions.
           
          Estimates based on surveys, professional affiliations, and  
          liability insurance show that up to 25,000 massage therapists  
          are currently practicing in California.  Exact numbers are hard  
          to pinpoint given the high turnover rate of the profession.   
          Some massage therapists are independent practitioners, while a  
          large number of others are employees of spas and chiropractors.   
          Titles used in California by the massage profession include:   
          massage therapist, massage practitioner, certified massage  
          therapist, massage technician, bodyworker, masseur, masseuse,  
          myotherapist, Nationally Certified in Therapeutic Massage and  
          Bodywork.  Where no local regulations exist, any title can be  
          used.
           
          Prior to 2009, cities and counties could condition the issuance  
          of a massage license upon proof that the massage personnel and  
          the owners or operators of such businesses had not been  
          convicted of certain sex-related crimes.  It was argued by some  
          that AB 3325 (McAllister), Chapter 1352, Statutes of 1976, which  
          authorizes local agencies to regulate the business of massage,  
          was enacted to deal in part with the adult-oriented sex  
          business, but in doing so, legitimate massage businesses are  
          subject to local ordinances that inappropriately and  
          oppressively regulate them as "adult entertainment."  Some  
          examples are restrictive zoning, excessive fees, tests for  
          sexually transmitted diseases, required showers and separate  
          restrooms, and prohibited home visits.  Because local  
          jurisdictions control the regulation of massage, local  
          ordinances can be vastly different.
           
          The perception of massage as a vice resulted in many cities  








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          requiring expensive conditional use permits.  Restricting  
          massage businesses from opening within 1,000 feet of schools,  
          churches, or residences has effectively zoned massage out of  
          many small cities.  Proponents of state regulation also argued  
          that local regulation treats professionals and "massage parlors"  
          alike and that consumers have a problem knowing how to  
          distinguish legitimate massage practitioners from "massage  
          parlors."

          In 2005, the issue of whether California should shift the  
          regulation of massage therapists from the local level to the  
          state level and what type of regulatory oversight should be  
          provided was submitted to review by the Joint Committee on  
          Boards, Commissions and Consumer Protection (Joint Committee).   
          This was part of the "sunrise review process", which provides  
          that any new proposals to create new licensure or regulatory  
          categories, change licensing requirements, modify scope of  
          practice, or create a new licensing board may be referred to the  
          Joint Committee by a standing committees of the Legislature.
           
          The Joint Committee found that massage therapy is "regulated in  
          California by a chaotic mish-mash of local vice ordinances  
          primarily aimed at controlling illicit 'massage parlors.'  In  
          essence, the current system seeks to regulate illegal activity  
          in the guise of professional licensing."  The Joint Committee  
          concluded that the current system fails to serve either the  
          public or the profession and that it is appropriate to  
          streamline the regulation of massage therapy at the state level  
          in order to create a more uniform standard.  The Joint  
          Committee, on April 12, 2005, issued its recommendation and  
          stated that regulation of massage therapists should be shifted  
          from the current local jurisdiction approach to a state-based  
          approach to provide for more uniform standards.  It was also  
          recommended that the state-based approach should be flexible  
          enough to serve the needs of the public and the profession, as  
          well as the legitimate interests of the local governments who  
          currently use existing law for legitimate public policy  
          purposes.
           
          The recommended regulatory regime for massage therapy was  
          modeled after regulatory regimes for tax preparers and interior  
          designers, which provide for statutorily created non-profit  
          corporations that have the authority to certify qualified  
          individuals in their respective professions.








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          In 2008, the Legislature again took up the issue of shifting the  
          regulation of massage therapists from local jurisdiction to a  
          state-based approach.  SB 731 (Oropeza), Chapter 384, Statutes  
          of 2008, creates voluntary statewide certification of massage  
          therapists and the MTO with the authority to implement the  
          certification program.  The purpose of the MTO was to make the  
          process of certification the same throughout the state, rather  
          than different in each city and county.  The California  
          Statewide Voluntary Massage Certification allowed for work in  
          multiple California locations without the need for multiple  
          permits or fees.

          
          Analysis Prepared by  :    Rebecca May / B. & P. / (916) 319-3301 


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