BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 619
                                                                  Page  1

          Date of Hearing:   May 3, 2011

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER 
                                     PROTECTION
                                 Mary Hayashi, Chair
                   AB 619 (Halderman) - As Amended:  April 25, 2011
           
          SUBJECT  :   Massage Therapy.

           SUMMARY  :   Authorizes the California Massage Therapy Council 
          (CAMTC) to revoke the massage certificate of an owner or 
          operator of a massage establishment or business for an employee 
          or independent contractor's violations, as specified, and 
          requires certificate holders to include their name and 
          certificate number in all advertising and to display their 
          certificate at their place of business.    Specifically,  this 
          bill  :  

             1)   Renames the Massage Therapy Organization (MTO) to CAMTC.

             2)   Renames the term "approved school or approved massage 
               school" to "recognized school or recognized massage school" 
               and clarifies its definition to mean a school recognized by 
               the CAMTC that meets requirements, as specified.

             3)   Clarifies that a conditional certificate is immediately 
               nullified if proof of completion of the requirements, as 
               specified, have not been filed within five years.

             4)   Requires certificate holders to include the name under 
               which he or she is certified and his or her certificate 
               number in all advertising and to display his or her 
               certificate at his or her place of business.

             5)   Requires CAMTC be sued only in the county of its 
               principal office.

             6)   Authorizes CAMTC to revoke the massage certificate of an 
               owner or operator of a massage establishment or business, 
               as specified, if his or her employees' or independent 
               contractors' conduct does not conform to regulations, as 
               specified.

             7)   Contains a severability clause.
           








                                                                 AB 619
                                                                  Page  2

          EXISTING LAW  

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

             2)   Requires applicants for initial certification as massage 
               practitioners and massage therapists to pay a fee and meet 
               educational requirements, as specified.

             3)   Permits applicants for initial certification, who have 
               met educational requirements, as specified, but have yet to 
               complete the required number of practice hours, to apply 
               for a conditional certificate, as specified.

             4)   Holds a certificate applicant or certificate holder, who 
               is denied a certificate or disciplined, liable for any 
               charges incurred, services or benefits actually rendered, 
               dues, assessments, or fees incurred before the denial or 
               discipline.

             5)   Holds an owner or operator of a massage establishment or 
               business, as specified, responsible for the conduct of all 
               employees or independent contractors working on the 
               premises of the business.

           FISCAL EFFECT  :   Unknown.  This bill is keyed non-fiscal.

           COMMENTS  :   
           
          Purpose of this bill  .  According to the author's office, "Over 
          40,000 massage professionals practice in California.  Some are 
          independent practitioners while many others are employees of 
          spas and chiropractors.  In the almost two years that statewide 
          voluntary massage certification has been in place, over 26,000 
          have applied for certification, and thus far 20,000 have 
          successfully demonstrated proof of qualification for 
          certification.  Moving forward, there is a need for some 
          technical and clean-up changes to improve the original law, SB 
          731 (Oropeza), Chapter 384, Statutes of 2008."

           Background  .  SB 731 (Oropeza), Chapter 384, Statutes of 2008 
          created 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 








                                                                  AB 619
                                                                  Page  3

          certification the same throughout the state, rather than 
          different in each city and county.  The California Statewide 
          Voluntary Massage Certification allows for work in multiple 
          California locations without the need for multiple permits or 
          fees.

          The MTO was renamed the CAMTC by the organization.    CAMTC 
          evaluates the qualifications of massage professionals and issues 
          certifications in California.  There are two levels of 
          certification, Certified Massage Therapist (CMT) and Certified 
          Massage Practitioner (CMP), each with different educational 
          requirements.  If a CMT or CMP violates terms of certification, 
          CAMTC can suspend or revoke their certification.  Although 
          California law grants title protection, there is no defined 
          scope of practice for massage professionals.  Scope of practice 
          questions therefore fall under what insurance providers will 
          cover in the event of a claim and what falls outside the 
          exclusive scope of practice of licensed health care professions.

          Local cities and counties cannot require local massage permits 
          of CAMTC Certified Massage Therapists and Practitioners, but 
          they can require permits dealing with reasonable health and 
          safety issues. They will also generally require a business 
          license of the business owner, independent contractor, or 
          tenant.

           Regulation in California  .  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 authorized 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 
          requiring expensive conditional use permits.  Restricting 
          massage businesses from opening within 1,000 feet of schools, 








                                                                  AB 619
                                                                  Page  4

          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 Legislature explored 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.  It 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 system regulated illegal 
          activity in the guise of professional licensing, concluding that 
          the system failed to serve either the public or the profession 
          and that it was appropriate to streamline the regulation of 
          massage therapy at the state level in order to create a more 
          uniform standard.

          In 2008, the Legislature passed SB 731 (Oropeza), Chapter 384, 
          Statutes of 2008, shifting the regulation of massage therapists 
          from local jurisdictions to state-wide voluntary certification 
          by CAMTC.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Massage Therapy Association - California Chapter 
          (sponsor)
          Associated Bodywork & Massage Professionals
          California Police Chiefs Association

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Marina Wiant / B.,P. & C.P. / (916) 
          319-3301