BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 374|
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                                 THIRD READING


          Bill No:  SB 374
          Author:   Calderon (D)
          Amended:  4/2/09
          Vote:     21

           
           SENATE BUSINESS, PROF & ECON DEVLOP COMM  :  7-2, 4/13/09
          AYES:  Negrete McLeod, Wyland, Corbett, Florez, Oropeza,  
            Romero, Yee
          NOES:  Aanestad, Walters
          NO VOTE RECORDED:  Correa


           SUBJECT  :    Health care providers:  personal trainers

           SOURCE  :     Author


           DIGEST  :    This bill defines the term personal trainer,  
          establishes educational and training requirements for  
          personal trainers and prohibits individuals from calling  
          themselves personal trainers unless they meet those  
          requirements.

           ANALYSIS  :    Existing law:

          1.Provides for the licensure and regulation of physical  
            therapists and physical therapy assistants by the  
            Physical Therapy Board of California (PTBC) within the  
            Department of Consumer Affairs (DCA).

          2.Defines the practice of physical therapy as the art and  
            science of physical or corrective rehabilitation or of  
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            physical or corrective treatment of any bodily or mental  
            condition of any person by the use of the physical,  
            chemical and other properties of heat, light, water,  
            electricity, sound, massage and active, passive and  
            resistive exercise, including physical therapy  
            evaluation, treatment planning, instruction and  
            consultative services. 

          3.Provides for the licensure and regulation of occupational  
            therapists and occupational therapy assistants by the  
            California Board of Occupational Therapy (CBOT) within  
            the Department of Consumer Affairs.

          4.Define the practice of occupational therapy, in part, as  
            the therapeutic use of purposeful and meaningful  
            goal-directed activities which engage the individual's  
            body and mind in meaningful, organized and self-directed  
            actions that maximize independence, prevent or minimize  
            disability and maintain health.

          This bill:

          1.Prohibits an individual from representing him or herself  
            as or using the title of personal trainer unless one of  
            the two following requirements is met:

                A.      The person has a bachelor's degree in  
                  exercise science, kinesiology, fitness science or  
                  another closely related field.

                B.      The person is certified by one of the  
                  following:

                  i)   A national organization whose personal trainer  
                  certification procedures are approved by the  
                  National Commission for Certifying Agencies (NCCA).

                  ii)  An organization accredited by either the  
                  Council for Higher Education Accreditation or by  
                  the United States Department of Education.

          2.Specifies that "to hold himself or herself out as a, or  
            use the title of, personal trainer" means to state or  
            advertise or put out any sign, card or other device, or  

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            to represent to the public through any print or  
            electronic media, that he or she is a personal trainer.

          3.Defines "personal trainer" as an individual who has  
            expertise in developing and implementing physical fitness  
            and training programs for individuals and who provides  
            those services for a fee to individuals or through an  
            organization (i.e. a fitness center) that is compensated  
            for making personal training services available.

          4.Excludes the following from the personal trainer  
            definition:

                A.      Individuals who provide training in a  
                  particular discipline (i.e. yoga or pilates) 

                B.      Individuals who provide training on a  
                  particular piece of equipment or device such as a  
                  bicycle but does not include proving advice or  
                  assistance on other aspects of physical fitness and  
                  training such as body weight management,  
                  cardiovascular fitness, endurance and overall  
                  muscle and strength development.

           Background
           
          In 2002 and 2003, then Assemblymember Lowenthal introduced  
          legislation on behalf of the California Athletic Trainers  
          Association (CATA) proposing licensure for athletic  
          trainers.  AB 2789 (2001-02 Session) was amended to require  
          a study of the issue before being held on the Assembly  
          Appropriations Committee suspense file.  AB 614, (2003-04  
          Session) was held in Senate Business and Professions  
          Committee to allow the Joint Committee on Boards,  
          Commissions and Consumer Protection (Joint Committee) to  
          examine whether athletic trainers should be licensed as  
          part of the "sunrise" process.

          In compliance with the sunrise process, CATA completed and  
          submitted the extensive "sunrise questionnaire" in support  
          of its proposal for licensure.  The athletic trainer  
          sunrise proposal was heard by the Joint Committee in  
          January 2005.  Following this hearing, the Joint Committee  
          voted unanimously, in April 2005, to reject full licensure  

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          of athletic trainers, but suggested as part of this  
          recommendation that some form of recognition of athletic  
          trainers, such as title protection, may be appropriate.

          In 2005, Senator Lowenthal introduced SB 1397 which would  
          have enacted the Athletic Trainers Certification Act, which  
          prohibited a person from representing him/herself as an  
          athletic trainer unless he/she is certified as an athletic  
          trainer by an athletic training organization.  The bill  
          would have regulated the practice of athletic training by  
          requiring all individuals who use the title athletic  
          trainer to meet specific education standards, pass a  
          certification exam, complete continuing education and  
          register with an athletic training organization.  The  
          measure also made it an unfair business practice for a  
          registered athletic trainer to advertise or publicly  
          represent he or she is "state certified" or "state  
          registered" as an athletic trainer by the State of  
          California.  Governor Schwarzenegger vetoed the measure  
          claiming "there is no evidence that the existing  
          unregulated status of athletic trainers poses any threat to  
          the public health and safety" and this measure would place  
          unnecessary regulatory burdens on the athletic training  
          profession.

          In the sunrise questionnaire, CATA indicated that there  
          about 2,200 certified athletic trainers in California.   
          Only those athletic trainers who have been certified by the  
          Omaha-based Board of Certification (an affiliate of the  
          National Athletic Trainers Association) are permitted to  
          use the terms certified athletic trainer" or "athletic  
          trainer, certified."  The Board of Certification certifies  
          athletic trainers who have met the qualifications and  
          passed a national written examination.  To sit for the  
          exam, applicants for certification as an athletic trainer  
          must have completed a bachelor degree program in an  
          athletic training educational program accredited by the  
          Commission on Accreditation of Allied Health Education  
          Programs.  In 2005, there were 12 accredited entry level  
          athletic training education programs in California, as well  
          as one graduate level program and an additional six  
          entry-level programs in candidacy for accreditation.  Most  
          of the accredited programs are in the California State  
          University system.

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          The majority of certified athletic trainers in California  
          are employed in school settings, including four-year  
          colleges and universities, community colleges, and high  
          schools.  Professional sports teams, clinics, hospitals  
          industrial settings or private health clubs employ the  
          rest.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           SUPPORT  :   (Verified  4/15/09)

          - - - 


           ARGUMENTS IN SUPPORT  :    According to the author's office,  
          this bill is needed to protect consumers from untrained  
          physical trainers.  The author states there are many  
          reports of injury ranging from pulled muscles to internal  
          organ damage in the personal training arena and consumers  
          should have the right to know the level of education and  
          training prospective trainers have before hiring one.  He  
          also believes trainers that have a high level of education  
          and training should be able to differentiate themselves  
          from fly by night instructors.  

          The author states, "The term personal trainer can mean  
          someone with any level of training or education- including  
          NO real training or education. Depending on the gym,  
          personal trainers can be experts on the body and have  
          extensive education, or can be trainers with little to no  
          real knowledge about how the body works and responds to  
          certain diets and exercise.  This can expose unwitting  
          customers to trainers to push the customer too hard or to  
          do exercises that are not appropriate and can actually do  
          permanent harm to the person being trained.  Cases of  
          abuses including blown-out knees, injured backs and torn  
          muscles are unfortunately not uncommon.  While some  
          injuries cannot be planned for or easily avoided, many  
          could have been prevented if the trainer in question had  
          thorough knowledge of the body and its movement."

          Because the term personal trainer is currently not defined  

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          or regulated by the state, and there are not any minimum  
          standards or requirements for an individual to call him or  
          herself a personal trainer, the Author argues this measure  
          will require a reasonable amount of training or education  
          to ensure a level of knowledge that will protect consumers  
          from harm and injuries.  


          JA:nl  4/15/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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