BILL ANALYSIS                                                                                                                                                                                                    Ó



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          SENATE THIRD READING
          SB 1238 (Price)
          As Amended  August 20, 2012
          Majority vote 

           SENATE VOTE  :38-0  
           
           BUSINESS & PROFESSIONS        9-0                   
          APPROPRIATIONS      17-0        
           
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          |Ayes:|Hayashi, Bill Berryhill,  |Ayes:|Gatto, Harkey,            |
          |     |Allen, Butler, Eng,       |     |Blumenfield, Bradford,    |
          |     |Hagman, Hill, Ma, Smyth   |     |Charles Calderon, Campos, |
          |     |                          |     |Davis, Donnelly, Fuentes, |
          |     |                          |     |Hall, Hill, Cedillo,      |
          |     |                          |     |Mitchell, Nielsen, Norby, |
          |     |                          |     |Solorio, Wagner           |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Makes a number of changes to law pertaining to the 
          California Massage Therapy Council (CAMTC).  Specifically,  this 
          bill  :   

          1)Defines an operator of a massage business to mean a person, 
            whether owner or nonowner, who manages or operates a massage 
            business.

          2)Allows the use of credit unit equivalents (in addition to 
            hours) in determining completion of required education for 
            massage practitioners and massage therapists.

          3)Revises the dual path to licensure for massage therapists by 
            adding the following educational requirements to the option 
            that currently requires only the passage of a competency 
            assessment examination:  successful completion, at a single 
            approved school, of curricula in massage and related subjects 
            totaling a minimum of 250 hours that incorporates appropriate 
            school assessment of student knowledge and skills.  Included 
            in the hours shall be instruction addressing anatomy and 
            physiology, contraindications, health and hygiene, and 
            business and ethics, with at least 100 hours of the required 
            minimum 250 hours devoted to these curriculum areas.









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          4)Requires certificates and identification cards issued by the 
            CAMTC to be surrendered to CAMTC by any holder whose 
            certificate has been suspended or revoked.

          5)Allows the CAMTC to immediately suspend the certificate of a 
            certificate holder upon receipt of clear and convincing 
            evidence that the holder has committed an act punishable as a 
            sexually related crime or felony, and requires the CAMTC to 
            consider any available credible mitigating evidence before 
            making a decision to suspend a certificate, as specified.  

          6)Provides the holder of a suspended certificate the right to a 
            hearing within 30 days, and requires the CAMTC to send notice 
            of suspension to the certificate holder, businesses on record 
            with the CAMTC as employing or contracting with the holder, 
            and the local permitting authority with jurisdiction over the 
            employing or contracting businesses, as specified.

          7)Authorizes a law enforcement agency or local government agency 
            with responsibility for regulating massage or massage 
            business, upon request of the CAMTC, to provide information to 
            the CAMTC concerning an applicant or certificate holder, 
            including, but not limited to:  the current status of any 
            application or local permit; any history of disciplinary 
            action taken against the applicant or certificate holder; any 
            information related to criminal activity or unprofessional 
            conduct allegedly engaged in by an applicant or certificate 
            holder, including, but not limited to, police reports and 
            declarations of conduct; the home and work addresses of the 
            applicant or certificate holder; and, any other information in 
            the law enforcement agency's or other local government 
            agency's possession that is necessary to verify facts or 
            implement laws governing massage therapists.

          8)Authorizes the CAMTC to deny an application or discipline a 
            certificate holder for a conviction of any infraction, 
            municipal code violation, or liability in an administrative or 
            civil action that is substantially related to the 
            qualifications, functions, or duties of a certificate holder, 
            in which event the record of the conviction or other judgment 
            shall be conclusive evidence of the crime or liability.

          9)Requires a certificate holder to display his or her original 
            certificate at his or her place of business. 








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          10)Requires a certificate holder to have his or her 
            identification card in his or her possession while providing 
            massage services.

          11)Requires a certificate holder, upon request at the location 
            where he or she is providing massage services, to provide his 
            or her full name and certificate number to a member of the 
            public, the CAMTC, or a member of law enforcement or a local 
            government agency charged with regulating massage.

          12)Specifies that business license fees charged to a massage 
            business or establishment can be no higher than the lowest fee 
            that is applied to other individuals and businesses providing 
            professional services, as specified.

          13)Makes a certified massage business owner responsible for the 
            conduct of all employees or independent contractors working on 
            the premises of the business.

          14)Specifies that local jurisdictions can only ask for 
            information from applicants for a massage business license 
            that is the same as that required of other individuals and 
            professionals providing professional services, as specified.

          15)Specifies that the background check that a local jurisdiction 
            can require of an owner or operator of a massage establishment 
            may include, but is not limited to, a criminal background 
            check, including requiring submission of fingerprints.  If a 
            noncertified owner's or operator's background check results in 
            a finding that the local jurisdiction determines is relevant 
            to owning or operating a massage establishment, then specified 
            rights to practice shall not apply to that establishment and 
            the local jurisdiction may regulate that establishment in any 
            manner it deems proper that is in accordance with the law.

          16)Specifies that nothing in statutes governing massage therapy 
            shall be construed to restrict or limit in any way the 
            authority of a local jurisdiction to adopt a local ordinance 
            restricting the opening of a new massage establishment in a 
            location in which a massage establishment has been closed due 
            to criminal activity.










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           FISCAL EFFECT  :  According to the Assembly Appropriations 
          Committee, potential minor, absorbable increased enforcement 
          costs to CAMTC.  

           COMMENTS  :  The author provided the following rationale for the 
          bill's changes to statutes governing the CAMTC, This bill 
          defines "operator" as someone who owns or manages a business.  
          Under current law, cities and counties can conduct background 
          checks of non-certified owners of massage businesses.  Due to 
          the fact that often the owner is not on site or involved in 
          operations, city attorneys have requested the right to 
          investigate a person who has substantial authority over the 
          operation of the establishment, such as hiring and firing of 
          certified massage professionals.

          This bill allows education to be "250 hours or the credit unit 
          equivalent" and "500 hours or the credit unit equivalent."  The 
          United States Department of Education has issued new rules for 
          recognizing school credits issued.  Currently, CAMTC converts 
          credits to hours but some states have recognized in rules that 
          they will accept both.  California schools have suggested that 
          CAMTC do the same to avoid confusion regarding student financial 
          aid. 

          This bill adds a requirement that a person be qualified as a 
          massage practitioner in addition to passing an approved exam.  
          Current law has a loophole though which a person without any 
          massage training can qualify for certification by passing an 
          exam that requires no proof of education.  In California, it has 
          been discovered that people were taking test review preparation 
          courses on the Internet without any supervised massage 
          education.  To prevent this, CAMTC currently does not recognize 
          the Massage and Bodywork Licensing Examination (MEBLEx), which 
          was developed by the Federation of State Massage Therapy Boards 
          and is currently used by 36 states, the District of Columbia, 
          Puerto Rico and the Virgin Islands for state licensing purposes 
          and does not set a requirement for education because each state 
          (except for California) sets their own standard in order to sit 
          for the exam.  This provision will allow an applicant who has at 
          least 250 hours of approved education to qualify at the higher 
          tier by passing an exam, and would allow CAMTC to recognize the 
          MEBLEx.

          This bill specifies that the certificate and ID card are the 








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          property of CAMTC and shall be surrendered upon suspension or 
          revocation.  This is standard practice for suspended or revoked 
          certifications and licenses

          This bill adds to grounds for immediate suspension of 
          certification acts of unprofessional conduct based on clear and 
          convincing evidence of a sexually related crime or felony based 
          on sworn declarations, which was requested by law enforcement 
          and the enforcement division of CAMTC. 

          This bill allows law enforcement or a local government agency to 
          provide information to CAMTC regarding a certificate holder or 
          applicant, including the status of a local permit, disciplinary 
          actions, criminal activity or unprofessional conduct, police 
          reports and declarations of conduct.  A small number of city 
          attorneys, including from Los Angeles, do not believe that local 
          governments have the authority to provide information to CAMTC, 
          resulting in approval of applicants who would otherwise be 
          denied.  All applicants sign an authorization for release of 
          such information to CAMTC.

          This bill adds to the grounds for denial or discipline an 
          infraction, municipal code violation or liability in an 
          administrative or civil action that is substantially related to 
          the practice of massage.  It is common to charge relevant crimes 
          such as solicitation as infractions, civil citations or 
          municipal code violations.  Administrative and civil citations 
          are alternatives to criminal proceedings against a person or 
          business for violation of the city's laws.  Government Code 
          specifically authorizes cities to make violations of ordinances 
          subject to a civil fine or penalty instead of the usual criminal 
          fine.  These citations are subject to appeal and ultimately can 
          be challenged in court.  Currently, defense attorneys are 
          advising clients to plea to infractions to avoid denial or 
          discipline by CAMTC. 

          This bill requires that the ID card be in the possession of the 
          therapist while providing massage and that he or she display 
          only an original certificate.  This is a city request.  The 
          certificate itself does not have a photo.  Other professions 
          require only original certificates or licenses be displayed.

          This bill requires certified professionals to provide their full 
          name and certification number to the public, CAMTC or law 








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          enforcement upon request.  The public has a right to know who 
          their massage therapist is and whether they are certified. 

          This bill specifies that the business license fees can be no 
          higher than the lowest fee charged other professionals.  This is 
          a city request.  Currently, most cities have multiple rates for 
          professionals.  In some cases this will result in lower fees.

          This bill clarifies that an application for a business license 
          for businesses in which everyone provided is certified shall be 
          the same as that required of other individuals and professionals 
          providing professional services.  This is a city request for 
          clarification.

          This bill makes the certified owner responsible for the conduct 
          of all employees or independent contractors working on the 
          premises of the business.  The current language has a loophole 
          whereby if anyone providing massage is not certified, the owner 
          cannot be held responsible for the conduct of those providing 
          massage on the premises.
           
          This bill allows the owner/operator background check to be 10 
          years and include live scan and criminal background check.  If 
          the owner background check results in findings of history 
          relevant to owning or management of a massage business, certain 
          provisions do not apply.  Several city attorneys interpret 
          current language as prohibiting checking 10 years work and home 
          address history (as CAMTC does on the applicant for 
          certification) or including a criminal background check and live 
          scan.  The law does not currently allow a city or county to 
          prevent a person from opening or operating a massage business as 
          there are no consequences should the background investigation 
          reveal offenses substantially related to the operation of a 
          massage business. 

          This bill states that local jurisdictions have the authority to 
          restrict the ability of a new massage business to open in any 
          location in which a massage business has been closed for 
          criminal activity.  This is a city request.  It is common for 
          illicit businesses to change ownership and continue the same 
          type of business.  Nuisance abatement, which prohibits any use 
          of the site for one year, is costly and burdensome on the city 
          and county.  The revolving door of illicit businesses is a huge 
          problem for cities and counties.








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          SB 731 (Oropeza), Chapter 384, Statutes of 2008, created 
          voluntary statewide certification of massage therapists by the 
          Massage Therapy Organization (MTO).  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 
          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, massage therapist and massage practitioner, each 
          with different educational requirements.  If a certificate 
          holder 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 certificate holders, 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.


           Analysis Prepared by  :    Elissa Silva / B.,P. & C.P. / (916) 
          319-3301 


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