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