BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 1822|
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                                 THIRD READING


          Bill No:  AB 1822
          Author:   Swanson (D)
          Amended:  6/23/10 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF.& ECON. DEV. COMMITTEE  :  5-1, 6/28/10
          AYES:  Calderon, Corbett, Correa, Florez, Yee
          NOES:  Aanestad
          NO VOTE RECORDED:  Negrete McLeod, Wyland, Walters

           ASSEMBLY FLOOR  :  59-14, 6/2/10 - See last page for vote


           SUBJECT  :    Massage therapy

           SOURCE  :     California Police Chiefs Association


           DIGEST  :    This bill increases the membership of the  
          Massage Therapy Organizations (MTO) by two members by  
          adding one member selected by the California Police Chiefs  
          Association and one member from the California State  
          Sheriffs Association.  Authorizes the MTO to define the  
          term "unprofessional conduct" and defines the term  
          "professional services" as it relates to certified massage  
          therapists and practitioners.  Authorizes a city, county,  
          or city and county to investigate massage establishments  
          who may have ownership by persons other than those  
          certified by the MTO.  Provides for the suspension or  
          revocation of a certificate granted by the MTO if it is  
          found that the certified massage therapist or practitioner  
          failed to be responsible for the conduct of their employees  
                                                           CONTINUED





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          or independent contractors. 

           ANALYSIS  :    

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

          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.

             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. 

          This bill:

          1. Adds one member selected by the California Police Chiefs  
             Association and one member selected by the California  







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             State Sheriffs' Association to the MTO Board and  
             specifies that no more than two law enforcement  
             professionals may serve on the Board at any given time.

          2. Provides that the MTO may adopt a definition of  
             "unprofessional conduct" by resolution at a duly noticed  
             public hearing.

          3. Provides that the MTO may require, for purposes of  
             granting a massage practitioner certificate,  
             documentation evidencing that they meet the education  
             and experience requirements as specified and after  
             reviewing the information, or upon the request of a  
             local law enforcement agency, may require additional  
             information necessary to enable it to determine whether  
             to issue a certificate.

          4. Defines the term "professional services" as related to  
             the requirements (ordinances for land use and zoning or  
             local building coed or physical facility requirements)  
             that must be uniformly applied by a city, county, or  
             city and county to certified massage therapists who are  
             operating a massage establishment  as to all other  
             businesses providing "professional services."   
             "Professional services" means any type of professional  
             services that may be lawfully rendered only pursuant to  
             a license, certification, or registration authorized by  
             the Business and Professions Code, the Chiropractic Act,  
             or the Osteopathic Act.

          5. Provides that nothing in the Act precludes a city,  
             county, or city and county from requiring a background  
             check, as specified, of an owner or operator of a  
             massage establishment who is not certified pursuant to  
             this Act.

          6. Provides that failure by a certified massage therapist  
             owner or operator of a massage establishment to comply  
             with the requirement that they be responsible for the  
             conduct of all employees or independent contractors,  
             shall result in suspension or revocation of the owner or  
             operator's certificate, as specified.

          7. Provides other technical and clarifying changes to the  







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             Act.

           Background
           
           The Practice of Massage Therapy in California  .  Massage has  
          grown into the third most requested Complementary and  
          Alternative Practice; only chiropractic and relaxation  
          techniques are more popular, according to the American  
          Massage Therapy Association, California Chapter (AMTA-CA).   
          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.

          According to the AMTA-CA, 220 schools in California are now  
          approved to offer instruction in massage, with programs  
          ranging from 100 hours to 1,000 hours.  In addition to the  
          large number of proprietary schools approved by the Bureau  
          of Private Post-Secondary and Vocational Education or  
          nationally accredited, massage as a vocation is now taught  
          in cosmetology schools, trade schools, and several  
          community colleges.

          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.

          The National Certification Board for Therapeutic Massage  
          and Bodywork (NCBTMB) certifies massage therapists and  
          bodyworkers on behalf of the profession.  NCBTMB developed  
          and administers the National Certification Examination for  
          Therapeutic Massage and Bodywork.  There is also a  







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          nationally recognized certification exam for practitioners  
          for certification in Asian bodywork therapies.  This is  
          administered by the National Certification Commission for  
          Acupuncture and Oriental Medicine.

          According to the AMTA-CA, consumers do not know the  
          difference between a purchased certification and a  
          certification that requires a specific amount of training.   
          Different jurisdictions have different standards which  
          would indicate that there is no local government agreement  
          about what standards are necessary and sufficient.

           Current Law and Regulation in California Cities and  
          Counties  .  AB 3325 
          (McAllister), Chapter 1352, Statutes of 1976,  enacted the  
          existing local authority to regulate the business of  
          massage.  In analyses of that bill, it is stated that the  
          purpose of the bill is to clearly state that local  
          governments have the authority to regulate the operation of  
          massage businesses through licensing procedures if they so  
          desire.

          Current law allows cities and counties to condition the  
          issuance of a massage license upon proof that the massage  
          personnel and the owners or operator of such businesses  
          have not been convicted of certain sex-related crimes.  It  
          was argued by some that this legislation 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, VD tests, 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 has resulted in many  
          cities 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 argue that local regulation treats  
          professionals and "massage parlors" alike and that  
          consumers have a problem knowing how to distinguish  







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          legitimate massage practitioners from "massage parlors."

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           SUPPORT :   (Verified  7/2/10)

          California Police Chiefs Association (source)
          California District Attorneys Association

           OPPOSITION  :    (Verified  7/2/10)

          Associated Bodywork and Massage Professionals
          California Massage Therapy Council


           ASSEMBLY FLOOR  : 
          AYES:  Ammiano, Arambula, Bass, Beall, Bill Berryhill,  
            Block, Blumenfield, Bradford, Brownley, Buchanan,  
            Caballero, Charles Calderon, Carter, Chesbro, Conway,  
            Cook, Coto, Davis, De La Torre, De Leon, Emmerson, Eng,  
            Evans, Feuer, Fletcher, Fong, Fuentes, Fuller, Furutani,  
            Galgiani, Gilmore, Hall, Harkey, Hill, Huber, Huffman,  
            Jones, Bonnie Lowenthal, Ma, Mendoza, Monning, Nava,  
            Niello, V. Manuel Perez, Portantino, Ruskin, Salas,  
            Saldana, Skinner, Smyth, Solorio, Swanson, Torlakson,  
            Torres, Torrico, Tran, Villines, Yamada, John A. Perez
          NOES:  Adams, Anderson, Blakeslee, DeVore, Gaines, Garrick,  
            Hayashi, Jeffries, Knight, Logue, Nestande, Nielsen,  
            Norby, Silva
          NO VOTE RECORDED:  Tom Berryhill, Hagman, Hernandez, Lieu,  
            Miller, Audra Strickland, Vacancy


          JJA:do  7/2/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****