BILL ANALYSIS                                                                                                                                                                                                    Ó







         ----------------------------------------------------------------------- 
        | Hearing Date:August   30, 2012    |Bill No:SB                         |
        |                                   |1238                               |
         ----------------------------------------------------------------------- 


                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                          Bill No:        SB 1238Author:Price
                     As Amended:August 24, 2012         Fiscal:Yes

        
        SUBJECT:   Massage therapy.
        
        SUMMARY:  Makes a number of substantive, clarifying, conforming and 
        technical changes to the Massage Therapy Act (Act) regarding:  
        Approval of school credit hours and examination and training 
        requirements for purposes of certification; the grounds for 
        suspension, denial or revocation of certification of the certificate 
        holder; the sharing of information between local law enforcement and 
        the California Massage Therapy Council (CAMTC); the responsibility of 
        owner/operators of massage businesses for conduct of employees or 
        their independent contractors and background checks of 
        owner/operators; the ability for cities to restrict the operation of 
        massage businesses involved in prior criminal activity. 

         NOTE  :   The Assembly amendments to this measure create a  new   bill  as 
        passed by the Senate and has been referred to this Committee pursuant 
        to Senate Rule 29.10 (d) for consideration.  The Committee may by a 
        vote of the majority to either (1) hold the bill, or (2) return the 
        bill to the Senate floor for consideration of the bill as amended in 
        the Assembly.

        Existing law:
        
       1)Provides for certification of massage practitioners and massage 
          therapists, as defined, by the CAMTC and specifies that the 
          CAMTC is a nonprofit organization meeting specified 
          requirements, and imposes certain duties on the CAMTC.  
          (Business and Professions Code (BPC) §§ 4600 (e), 4600.5 (a) and 
          (b) (2))






                                                                        SB 1238
                                                                         Page 2



       2)Provides that the CAMTC is to be governed by a board of directors 
          (Board) which shall include:  (BPC § 4600.5 (b) (1))

           a)   Two representatives from each professional society, 
             association, or other entity whose membership is comprised of 
             massage therapists and that chooses to participate in the 
             CAMTC and that has a dues-paying membership in California of 
             at least 1,000 individuals for the last three years and that 
             shall have by-laws that requires its members to abide by a 
             code of ethics.

           b)   One member selected by each statewide association of 
             private postsecondary schools incorporated on or before 
             January 1, 2010, whose members' schools have together had at 
             least 1,000 graduates in each of the previous three years 
             from approved and registered, as defined, massage therapy 
             programs. 

           c)   One member selected by the League of California Cities.

           d)   One member selected by the California State Association of 
             Counties.

           e)   One member selected by the Department of Consumer Affairs.

           f)   One member appointed by the California Community College 
             Chancellor's Office.

       3)Provides that the above mentioned entities may choose  not  to 
          exercise the right of selection of a member to serve on the 
          CAMTC Board and allows for the CAMTC's bylaws to establish a 
          process for appointing other professional directors as 
          determined by the Board.  (BPC § 4600.5 (b) (1))

       4)Requires the CAMTC to issue a "  massage practitioner  " certificate 
          to an applicant, who submits a written application and provides 
          satisfactory evidence that he or she meets all of the specified 
          education, experience or examination requirements, or has a 
          current valid license from a local jurisdiction and meets other 
          education and/or experience requirements.  (BPC § 4601 (b))

       5)Requires the CAMTC to issue a "  massage therapist  " certificate to 
          an applicant who submits a written application and provides 
          satisfactory evidence that he or she meets all of the specified 
          education, experience or examination requirements.  
       (BPC § 4601 (c))





                                                                        SB 1238
                                                                         Page 3




       6)Requires the CAMTC to issue a certificate to an applicant who 
          meets the other qualifications provided for and holds a current 
          and valid registration, certification, or license from any other 
          state whose requirements meets or exceeds those described above. 
           (BPC § 4601 (d))

       7)Provides that the CAMTC shall determine whether or not a school 
          provides education that meets the requirements of certification 
          and requires the CAMTC to investigate, if necessary, whether or 
          not an applicant has actually completed the education he or she 
          claims in his or her application and to conduct oral interviews, 
          if necessary, of any applicant to make any investigation to 
          establish that the information received is accurate and 
          satisfies any criteria established pursuant to the Act.  (BPC § 
          4601 (g))

       8)Provides that prior to issuing a certificate to the applicant or 
          designating a custodian of records the CAMTC shall obtain 
          fingerprints, which may be in an electronic format, from an 
          applicant for certification as a massage therapist or massage 
          practitioner for the purpose of conducting a criminal background 
          check, and specifies that the Department of Justice (DOJ) shall 
          provide the CAMTC with the specified information relating to an 
          applicant's criminal history.  (BPC § 4601.3)

       9)Provides that the CAMTC may discipline a certificate holder by 
          any, or a combination of, the following methods:  a) probation 
          with conditions; b) suspending the certificate for a period not 
          to exceed one year; c) revoke the certificate; d) provide for 
          conditional certificate suspension; e) any other appropriate 
          action as authorized by its by-laws.  (BPC § 4602 (a))

       10)Requires the CAMTC to suspend a certificate if the holder has 
          been arrested and charged with any sexually related or 
          prostitution-related crime and to notify the holder and his or 
          her employer of the suspension, and if the charges result in a 
          conviction, the CAMTC shall permanently revoke the 
          certification; however, if the holder is acquitted of the 
          charges, the CAMTC shall re-instate the certification.  (BPC § 
          4602 (c))

       11)Requires the CAMTC to provide specified information regarding 
          certificate holders to any local law enforcement or other agency 
          that regulates massage therapy, and likewise the CAMTC shall 
          accept and review any information pertaining to a certificate 





                                                                        SB 1238
                                                                         Page 4



          holder provided by local law enforcement or other agency that 
          regulates massage therapy, and shall have the responsibility to 
          take any actions as authorized under the Act and are warranted 
          by the information.  (BPC § 4602.5)

       12)Provides for various grounds for discipline of a certificate 
          holder or for denial of a certificate to an applicant, 
          including:  unprofessional conduct; procurement of certificate 
          by fraud; misrepresentation or mistake; conviction of a felony 
          or misdemeanor substantially related to their qualifications, 
          functions or duties, or committing any fraudulent, dishonest, or 
          corrupt act that is substantially related; and, committing any 
          act punishable as a sexually related crime.  (BPC § 4603)

       13)Provides that no certificate holder or certificate applicant may 
          be disciplined or denied a certificate except according to 
          specified due process procedures which have been set forth in 
          the articles or bylaws of the CAMTC and that a certificate 
          applicant or certificate holder who is denied or disciplined 
          shall be liable for any charges incurred, services actually 
          rendered or fees incurred by the CAMTC in the denial of the 
          certificate or discipline of the certificate holder.  (BPC § 
          4603.1)

       14)Provides that the CAMTC may grant a massage practitioner 
          certificate to any person who meets specified education and 
          experience requirements and who has either been granted a permit 
          or license from a California local city or county or from 
          another state.  (BPC § 4604 (a))

       15)Provides that the CAMTC may also grant a conditional certificate 
          to allow the applicant sufficient opportunity to comply with 
          additional education and practice hours and shall within 5 years 
          provide proof of completion of the additional hours required, 
          and upon successful completion of the additional hours shall be 
          issued a certificate.  However, the CAMTC shall immediately 
          revoke the conditional certificate if the time period specified 
          expires without proof of completion of the requirements for 
          education and practice hours.  (BPC § 4604 (c))

       16)Provides that the holder of a certificate issued by the CAMTC 
          shall be able to practice massage in any city, county, or city 
          and county, consistent with the Act and the qualification 
          established by his or her certification, and shall not be 
          required to obtain any other license, permit, or other 
          authorization, except as provided under the Act.  (BPC § 4612 





                                                                        SB 1238
                                                                         Page 5



          (a))

       17)Provides that a city, county, or city and county shall not enact 
          an ordinance that requires a license, permit, or other 
          authorization to practice massage by an individual who is 
          certified pursuant to the Act and who is practicing consistent 
          with the qualifications established by his or her certification 
          and provides that no provision of any ordinance enacted by a 
          city, county, or city and county that is in effect before the 
          effective date of this Act, and that requires a license, permit, 
          or other authorization to practice massage, may be enforced 
          against an individual who is certified under the Act.  (BPC § 
          4612 (a))

       18)Provides that nothing in the Act shall prevent a city, county, 
          or city and county from adopting or enforcing any local 
          ordinance governing zoning, business licensing, and reasonable 
          health and safety requirements for massage establishments or 
          businesses that employs or uses persons who are  not   certified  
          pursuant to the Act.  
       (BPC § 4612 (a)) 

       19)Provides that a local government may subject any massage 
          business or establishment to reasonable inspections to verify 
          conformance with local ordinances and fire, health, and safety 
          requirements, and may also require the operator of a massage 
          business to notify it of any change in business name, 
          management, or transfer of ownership to another person.  (BPC § 
          4612 (b))

       20)Provides that an operator or a massage business that is 
          certified by the CAMTC and/or uses only individuals certified by 
          the CAMTC shall be responsible for the conduct of his or her 
          employees and shall be subject to suspension of any required 
          local business license or permit if violations of the Act or a 
          local ordinance occur.  (BPC § 4612 (c))

       21)Authorizes the CAMTC to revoke the massage certificate of an 
          owner or operator of a massage establishment or business, as 
          specified, if his or her employees violate provisions of the 
          Act.

       22)Subjects the Act to review by the Joint Sunset Review Committee 
          and repeals the Act on January 1, 2015, unless a later enacted 
          statute in enacted before January 1, 2015.






                                                                        SB 1238
                                                                         Page 6



        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 an 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.

        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, that is substantially related to the 
          qualifications, functions, or duties of a certificate holder, 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)Requires the CAMTC to notify a certificate holder within 10 business 
          days regarding the suspension or reinstatement of a certificate for 
          arrest charges or acquittals, as specified.

        8)Authorizes a law enforcement agency or local government agency with 
          responsibility for regulating massage or massage business, upon 





                                                                        SB 1238
                                                                         Page 7



          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 or other local government agency's possession 
          that is necessary to verify facts or implement laws governing 
          massage therapists.

        9)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.

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

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

        12)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.

        13)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.

        14)Makes a certified massage business owner responsible for the 
          conduct of all employees or independent contractors working on the 
          premises of the business.
        15)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.






                                                                        SB 1238
                                                                         Page 8



        16)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.

        17)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.

        FISCAL EFFECT:  According to the Assembly Appropriations Committee 
        analysis dated August 8, 2012, on the prior bill SB 122 (Price) which 
        included the language now in this measure, potential minor, absorbable 
        increased enforcement costs to CAMTC.
        
        COMMENTS:
        
        1.Purpose.  This measure is sponsored by the  California Massage 
          Therapy Council  (CAMTC).  According to the Sponsor, over 40,000 
          massage professionals practice in California.  Some are independent 
          practitioners while many others are employees of spas and 
          chiropractors.  In the almost four 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, the Sponsor sees the need for some additional clarifying, 
          technical and clean-up changes to improve the original law, 
         SB 731  (Oropeza, Chapter 384, Statutes of 2008).

        The changes to the Massage Therapy Act and its statutes and the 
          rationale for each are as follows: 

           a)   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 





                                                                        SB 1238
                                                                         Page 9



             certified massage professionals.

           b)   This bill allows education to be "250 hours or the credit unit 
             equivalent" and "500 hours or the credit unit equivalent."  The 
             U.S. 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.

           c)   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 through 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.

           d)   This bill specifies that the certificate and ID card are the 
             property of CAMTC and shall be surrendered upon suspension or 
             revocation.  This is standard practice for suspended or revoked 
             certifications and licenses.

           e)   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. 

           f)   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, 





                                                                        SB 1238
                                                                         Page 10



             resulting in approval of applicants who would otherwise be 
             denied.  All applicants sign an authorization for release of such 
             information to CAMTC.

           g)   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. 

           h)   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.

           i)   This bill requires certified professionals to provide their 
             full name and certification number to the public, CAMTC or law 
             enforcement upon request.  The public has a right to know who 
             their massage therapist is and whether they are certified.

           j)   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.

           aa)  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.

           bb)  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.





                                                                        SB 1238
                                                                         Page 11




           cc)  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.

           dd)  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.

        2.Background.  

           a)   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 40,000 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 





                                                                        SB 1238
                                                                         Page 12



             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 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.

           b)   Prior Law and Regulation in California Cities and Counties 
             of Massage Businesses.   AB 3325   (McAllister, Chapter 1352, 
             Statutes of 1976) enacted the prior local authority to 
             regulate the business of massage.  In an 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.

           The law allowed 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 were subject to local ordinances that 
             inappropriately and oppressively regulated them as "adult 
             entertainment."  Some examples are restrictive zoning, 





                                                                        SB 1238
                                                                         Page 13



             excessive fees, VD tests, required showers and separate 
             restrooms, and prohibited home visits.  Because local 
             jurisdictions controlled the regulation of massage, local 
             ordinances could 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, 
             churches, or residences effectively zoned massage out of many 
             small cities.  Proponents of state regulation 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."

           c)   Current Regulation of Massage Therapists and Their Businesses. 
              In February 2003, Assembly Member Kehoe introduced  AB 1388  , 
             which was sponsored by the AMTA-CA.  As introduced, the bill 
             would have established the Massage Therapy and Bodyworks 
             Commission in the Department of Consumer Affairs to register and 
             regulate massage therapists and bodyworkers.  It was referred to 
             the Assembly Business and Professions Committee; however, it died 
             in that Committee without being heard.  Although there was 
             significant discussion surrounding the issue of state regulation 
             of massage therapy, interested parties could not reach any type 
             of agreement as to what the regulatory scheme should be.

           In January 6, 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 prior Joint Committee on 
             Boards, Commissions and Consumer Protection (Joint Committee).  
             This was part of the "sunrise review process" which provided that 
             any new proposals to create new licensure or regulatory 
             categories, change licensing requirements, modify scope of 
             practice, or create a new licensing board could be referred to 
             the Joint Committee by the standing committees of the 
             Legislature.  (Sunrise review is still  required  by the standing 
             committees under Section 9148 et seq. of the Government Code for 
             any new categories of licensure or creation of a new licensing 
             board.)  This permitted an opportunity for all interested parties 
             to participate in discussing both the pros and cons of such a 
             proposal and for the Joint Committee to make recommendations to 
             the Legislature regarding these proposals.

           The Joint Committee found that massage therapy is "regulated in 





                                                                        SB 1238
                                                                         Page 14



             California by a chaotic mish-mash of local vice ordinances 
             primarily aimed at controlling illicit 'massage parlors.'  In 
             essence, the current system sought 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, 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 program for massage therapy was modeled 
             after the regulatory program for tax preparers (BPC § 22250 et 
             seq.) and interior designers (BPC § 5800 et seq.) which provide 
             for statutorily created non-profit corporations that have the 
             authority to certify qualified individuals in their respective 
             professions.

            SB 412  (Figueroa) was introduced in 2005 and was sponsored by the 
             AMTA-CA.  SB 412 became a two-year bill and lengthy discussions 
             took place with the League of Cities, California State 
             Association of Counties, local law enforcement, those 
             representing private and public massage schools, massage and 
             related massage therapy associations and organizations, 
             chiropractic and physical therapy associations.  This measure, 
             however, failed passage on the Assembly Floor at the end of 
             Session in 2006, because of the opposition from both the 
             chiropractic and physical therapy profession regarding the 
             definition of "massage therapy."

            SB 731  (Oropeza, Chapter 384, Statutes of 2008) was then introduced 
             in 2008, and was almost identical in every aspect to SB 412.  The 
             only difference was in the definitions of "approved" and 
             "registered schools" and in the definition of massage therapy.  
             SB 731 which implemented the Massage Therapy Act, shifted the 
             regulation of massage therapists from local jurisdictions to a 
             state-based approach and created a voluntary statewide 
             certification of massage therapists and the Massage Therapy 
             Organization (MTO) with the authority to implement a 
             certification program.  The purpose of the MTO was to make the 





                                                                        SB 1238
                                                                         Page 15



             process of certification the same throughout the state, rather 
             than different in each city and county.  The California statewide 
             voluntary massage certification program allowed for work in 
             multiple California locations without the need for multiple 
             permits or fees and multiple and differing requirements to 
             provide massage therapy services.

            SB 619  (Halderman, Chapter 309, Statutes of 2011) changed the name 
             of the Massage Therapy Organization to the CAMTC and made a 
             number of clarifying, conforming and technical changes to Massage 
             Therapy Act regarding the approval of schools providing training 
             and curriculum in massage, reimbursements of costs incurred by 
             the CAMTC for denying a massage certificate or disciplining a 
             certificate holder, the advertising and display of the massage 
             certificate, and the granting of a conditional certificate. 
             Recently the MTO was renamed the CAMTC by the organization.  

           As indicated, the 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.  Local 
             cities and counties cannot require local massage licenses/permits 
             of CAMTC CMTs or CMPs, but they can require permits dealing with 
             reasonable health and safety concerns.  They will also generally 
             require a business license of the business owner, independent 
             contractor, or tenant.

        3.Arguments in Support.  The AMTA-CA is in support of this measure and 
          believes the provisions in this bill will improve consumer 
          protection and ensure the integrity of the CAMTC Massage Therapy 
          Certificate to practice massage.  AMTA-CA indicates that these 
          provisions are the result of careful negotiations with stakeholders 
          of these issues important to the massage industry.

        The  Associated Bodywork & Massage Professionals  (ABMP) are in support 
          of this measure and also indicates that these provisions are the 
          result of careful negotiations with stakeholders, including ABMP and 
          that the provisions in this bill will improve public safety.

        The  California Police Chiefs  support this bill and believes the 
          changes to the Act will result in more effective oversight of the 
          massage business.  





                                                                        SB 1238
                                                                         Page 16



        







        SUPPORT AND OPPOSITION:
        
         Support:  

        California Massage Therapy Council (Sponsor)
        American Massage Therapy Association
        Associated Bodywork & Massage Professionals
        California Police Chiefs
        Hands-On Trade Association

         Opposition:  

        None on File as of August 28, 2012



        Consultant:Bill Gage