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