Amended in Senate August 20, 2014

Amended in Senate August 4, 2014

Amended in Senate July 1, 2014

Amended in Senate June 17, 2014

Amended in Senate April 23, 2014

Amended in Assembly January 14, 2014

Amended in Assembly January 6, 2014

Amended in Assembly May 31, 2013

Amended in Assembly May 13, 2013

Amended in Assembly May 1, 2013

Amended in Assembly April 15, 2013

California Legislature—2013–14 Regular Session

Assembly BillNo. 1147


Introduced by Assembly Members Bonilla, Gomez, and Holden

(Coauthors: Assembly Members Chau, Gatto,begin insert Muratsuchi,end insert and Skinner)

February 22, 2013


An act to amend Section 460 of, and to add and repeal Chapter 10.5 (commencing with Section 4600) of Division 2 of, the Business and Professions Code, and to amend Section 51034 of the Government Code, relating to healing arts.

LEGISLATIVE COUNSEL’S DIGEST

AB 1147, as amended, Bonilla. Massage therapy.

Existing law, until January 1, 2015, provides for the voluntary certification of massage practitioners and massage therapists by the California Massage Therapy Council. Existing law specifies the requirements for the council to issue to an applicant a certificate as a massage practitioner or massage therapist. Existing law authorizes a city, county, or city and county to impose certain requirements on massage establishments or businesses that are the sole proprietorship of an individual certified pursuant to existing state law or that employ or use only persons who are so certified. Existing law authorizes a city, county, or city and county to, among other things, adopt reasonable health and safety requirements, as specified, pertaining to those massage establishments or businesses, and to require an applicant for a business license to operate a massage business or establishment to fill out an application that requests relevant information, as specified.

This bill would reenact, revise, and recast these provisions to, among other things, establish an interim board of directors to govern the council until September 15, 2015, and provide for the appointment of a new board of directors consisting of 13 members, as specified, whose 4-year terms would begin on that date. The bill would authorize the board to establish fees reasonably related to the costs of providing services and performing its duties, not to exceed $300. The bill would require the board to provide at least 90 days’ advance notice prior to holding a meeting to vote upon a proposal to increase the certification fees, as specified, except as provided. The bill would also require the board to notify certificate holders of a board action that increases those fees.

The bill would discontinue the issuance of new massage practitioner certificates after January 1, 2015, except as provided, but would authorize the renewal of massage practitioner certificates issued prior to January 1, 2015. The bill would require that all certificates issued pursuant to these provisions be subject to renewal every 2 years, except as provided. The bill would require the council tobegin delete inspect and approveend deletebegin insert end insertbegin insertdevelop policies, procedures, rules, or bylaws governing the approval and unapproval ofend insert schools that provide education required for certification, as specified.

The bill would authorize the council to deny an application for a certificate, or to discipline a certificate holder for a violation of these provisions, as specified. The bill would require the board to exercise its denial or discipline authority by means of fair and reasonable procedures that, among other things, provide the applicant or certificate holder with notice and an opportunity to be heard, as specified. The bill would provide that unprofessional conduct in violation of these provisions includes, among other things, engaging in sexually suggestive advertising related to massage services and engaging in sexual activity while providing massage services for compensation.

The bill would, notwithstanding any other law, prohibit a city, county, or city and county from enacting or enforcing an ordinance that conflicts with these provisions or other corresponding specified provisions. However, the bill would authorize a city, county, or city and county tobegin delete enact ordinances that require a certificate holder or registered establishment to, among other things, obtain a license, permit, or other authorization, as specified, and abide by reasonable health and safety requirements, as specified.end deletebegin insert adopt or enforce local ordinances that govern zoning, business licensing, or reasonable health and safety requirements for establishments or businesses of a licensed or certified healing arts professional, including a certified massage therapist.end insertbegin insert The bill would also make clarifying and conforming changes regarding local regulation of massage establishments or businesses.end insert

The bill would authorize a court to issue an injunction or to provide any other relief it deems appropriate for violations of these provisions, as specified. The bill would provide that the powers and duties of the council are subject to review by the appropriate committees of the Legislature and would require the council to provide a specified report to these committees on or before June 1, 2016.

The bill would provide that these provisions are issues of statewide concern, and therefore applicable statewide. The bill would also provide that its provisions are severable.

The bill would repeal these provisions on January 1, 2017.

begin delete

The bill would also make clarifying and conforming changes regarding local regulation of massage establishments or businesses.

end delete

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

begin delete
P3    1

SECTION 1.  

(a) It is the intent of the Legislature that this act
2enable consumers and local governments to more easily identify
3trained massage professionals, provide for the consistent and
P4    1statewide certification and oversight of massage professionals,
2ensure that schools teaching massage provide a high level of
3training and protection for students, assist local governments and
4law enforcement in maintaining the highest standards of
5performance by certificated professionals, provide for a self-funded
6nonprofit oversight body to certify massage professionals, and
7ensure full compliance with, and execution of, the requirements
8of this act.

9(b) It is the intent of the Legislature that broad control over land
10use in regulating massage establishments be returned to local
11governments so that they may manage those establishments in the
12best interest of the individual community, and that the requirements
13and practice of the profession of massage therapy remain a matter
14of statewide concern, regulation, and oversight.

15(c) It is further the intent of the Legislature that local
16governments, law enforcement, nonprofit stakeholders, the massage
17industry, and massage professionals work together going forward
18to improve communication and share information to further
19increase the value of statewide certification, and also to develop
20a model ordinance reflecting best practices in massage regulation
21for cities and counties to adopt that will respect local control,
22patient privacy, and the dignity of the profession of massage
23 therapy.

end delete
24

begin deleteSEC. 2.end delete
25begin insertSECTION 1.end insert  

Section 460 of the Business and Professions Code
26 is amended to read:

27

460.  

(a) No city, county, or city and county shall prohibit a
28person or group of persons, authorized by one of the agencies in
29the Department of Consumer Affairs or an entity established
30pursuant to this code by a license, certificate, or other means to
31engage in a particular business, from engaging in that business,
32occupation, or profession or any portion of that business,
33occupation, or profession.

34(b) (1) No city, county, or city and county shall prohibit a
35healing arts professional licensed with the state under Division 2
36(commencing with Section 500) or licensed or certified by an entity
37established pursuant to this code from engaging in any act or
38performing any procedure that falls within the professionally
39recognized scope of practice of that licensee.

P5    1(2) This subdivision shall not be construed to prohibit the
2enforcement of a local ordinance in effect prior to January 1, 2010,
3related to any act or procedure that falls within the professionally
4recognized scope of practice of a healing arts professional licensed
5under Division 2 (commencing with Section 500).

6(c) This section shall not be construed to prevent a city, county,
7or city and county from adopting or enforcing any local ordinance
8governing zoning, business licensing, or reasonable health and
9safety requirements for establishments or businesses of a healing
10arts professional licensed under Division 2 (commencing with
11Section 500) or licensed or certified by an entity established under
12this code or a person or group of persons described in subdivision
13(a).

14(d) Nothing in this section shall prohibit any city, county, or
15city and county from levying a business license tax solely for
16revenue purposes, nor any city or county from levying a license
17tax solely for the purpose of covering the cost of regulation.

18

begin deleteSEC. 3.end delete
19begin insertSEC. 2.end insert  

Chapter 10.5 (commencing with Section 4600) is added
20to Division 2 of the Business and Professions Code, to read:

21 

22Chapter  10.5. Massage Therapy Act
23

 

24

4600.  

This chapter shall be known and may be cited as the
25Massage Therapy Act. Whenever a reference is made to the
26Massage Therapy Act by any statute, it shall be construed to refer
27to this chapter.

begin insert
28

begin insert4600.5.end insert  

(a) It is the intent of the Legislature that this act enable
29consumers and local governments to more easily identify certified
30massage professionals, provide for consistent statewide
31certification and oversight of massage professionals, ensure that
32schools approved by the council that are teaching massage provide
33a high level of training, assist local governments and law
34enforcement in meeting their duty to maintain the highest standards
35of conduct in massage establishments by vetting and disciplining
36certificate holders, provide for a self-funded nonprofit oversight
37body to certify massage professionals, and ensure full compliance
38with, and execution of, the requirements of this act.

39(b) It is the intent of the Legislature that broad control over
40land use in regulating massage establishments be vested in local
P6    1governments so that they may manage those establishments in the
2best interests of the individual community, and that the
3requirements and practice of the profession of massage therapy
4remain a matter of statewide concern, regulation, and oversight.

5(c) It is the intent of the Legislature that local governments
6impose and enforce only reasonable and necessary fees and
7regulations, in keeping with the requirements of existing law and
8being mindful of the need to protect legitimate business owners
9and massage professionals, particularly sole providers, during
10the transition period after this act becomes law and thereafter for
11the sake of developing a healthy and vibrant local economy.

12(d) It is the intent of the Legislature that local governments, law
13enforcement, nonprofit stakeholders, the massage industry, and
14massage professionals work together going forward to improve
15communication and share information to further increase the value
16of statewide certification, to collaborate in the implementation of
17this act, and to develop a model ordinance reflecting best practices
18in massage regulation for cities and counties to adopt that will
19respect local control, patient privacy, and the dignity of the
20profession of massage therapy.

end insert
21

4601.  

As used in this chapter, the following terms shall have
22the following meanings:

23(a) “Approved school” or “approved massage school” means a
24school approved by the council that meets minimum standards for
25training and curriculum in massage and related subjects, that meets
26any of the following requirements, and that has not been otherwise
27begin delete disapprovedend deletebegin insert unapprovedend insert by the council:

28(1) Is approved by the Bureau for Private Postsecondary
29Education.

30(2) Is approved by the Department of Consumer Affairs.

31(3) Is an institution accredited by the Accrediting Commission
32for Senior Colleges and Universities or the Accrediting
33Commission for Community and Junior Colleges of the Western
34Association of Schools and Colleges and that is one of the
35following:

36(A) A public institution.

37(B) An institution incorporated and lawfully operating as a
38nonprofit public benefit corporation pursuant to Part 2
39(commencing with Section 5110) of Division 2 of Title 1 of the
40Corporations Code, and that is not managed by any entity for profit.

P7    1(C) A for-profit institution.

2(D) An institution that does not meet all of the criteria in
3subparagraph (B) that is incorporated and lawfully operating as a
4nonprofit public benefit corporation pursuant to Part 2
5(commencing with Section 5110) of Division 2 of Title 1 of the
6Corporations Code, that has been in continuous operation since
7April 15, 1997, and that is not managed by any entity for profit.

8(4) Is a college or university of the state higher education system,
9as defined in Section 100850 of the Education Code.

10(5) Is a school requiring equal or greater training than what is
11required pursuant to this chapter and is recognized by the
12corresponding agency in another state or accredited by an agency
13recognized by the United States Department of Education.

14(b) “Certificate” means a valid certificate issued by the council
15pursuant to this chapter.

16(c) “Compensation” means a payment, loan, advance, donation,
17contribution, deposit, or gift of money, or anything of value.

18(d) “Council” means the California Massage Therapy Council
19created pursuant to this chapter, which shall be a nonprofit
20organization exempt from taxation under Section 501(c)(3) of Title
2126 of the United States Code.

22(e) “Massage” means the scientific manipulation of the soft
23tissues. For purposes of this chapter, the terms “massage” and
24“bodywork” shall have the same meaning.

25(f) “Massage establishment” or “establishment” means a fixed
26 location where massage is performed for compensation, excluding
27those locations where massage is only provided on an out-call
28basis.

29(g) “Massage practitioner” means a person who is certified by
30the council pursuant to Section 4604.2 and who administers
31massage for compensation.

32(h) “Massage therapist” means a person who is certified by the
33council under Section 4604 and who administers massage for
34compensation.

35(i) “Sole provider” means a massage business where the owner
36owns 100 percent of the business, is the only person who provides
37massage services for compensation for that business pursuant to
38a valid and active certificate issued in accordance with this chapter,
39and has no other employees or independent contractors.

P8    1

4602.  

(a) The California Massage Therapy Council, as defined
2in subdivision (d) of Section 4601, is hereby established and shall
3carry out the responsibilities and duties set forth in this chapter.

4(b) The council may take any reasonable actions necessary to
5carry out the responsibilities and duties set forth in this chapter,
6including, but not limited to, hiring staff, entering into contracts,
7and developingbegin delete policies and proceduresend deletebegin insert policies, procedures, rules,
8and bylawsend insert
to implement this chapter.

9(c) The council may require background checks for all
10employees, contractors, volunteers, and board members as a
11condition of their employment, formation of a contractual
12relationship, or participation in council activities.

13(d) The council shall issue a certificate to an individual applicant
14who satisfies the requirements of this chapter for that certificate.

15(e) The council is authorized to determine whether the
16information provided to the council in relation to the certification
17of an applicant is true and correct and meets the requirements of
18this chapter. If the council has any reason to question whether the
19information provided is true or correct or meets the requirements
20of this chapter, the council is authorized to make any investigation
21it deems necessary to establish that the information received is
22accurate and satisfies any criteria established by this chapter. The
23applicant has the burden to prove that he or she is entitled to
24certification.

25(f) Until September 15, 2015, the council shall be governed by
26a board of directors comprised of two representatives selected by
27each professional society, association, or other entity, which
28membership is comprised of massage therapists and that chooses
29to participate in the council. To qualify, a professional society,
30association, or other entity shall have a dues-paying membership
31in California of at least 1,000 individuals for the last three years
32and shall have bylaws that require its members to comply with a
33code of ethics. The board of directors shall also include each of
34the following persons:

35(1) One member selected by each statewide association of
36private postsecondary schools incorporated on or before January
371, 2010, which member schools have together had at least 1,000
38graduates in each of the previous three years from massage therapy
39programs that meet the approval standards set forth in subdivision
P9    1(a) of Section 4601, unless a qualifying association chooses not
2to exercise this right of selection.

3(2) One member selected by the League of California Cities,
4unless that entity chooses not to exercise this right of selection.

5(3) One member selected by the California State Association
6of Counties, unless that entity chooses not to exercise this right of
7selection.

8(4) One member selected by the Director of Consumer Affairs,
9unless that entity chooses not to exercise this right of selection.

10(5) One member appointed by the Office of the Chancellor of
11the California Community Colleges, unless that entity chooses not
12to exercise this right of selection. The person appointed, if any,
13shall not be part of any massage therapy certificate or degree
14program.

15(6) The council’s bylaws shall establish a process for appointing
16other professionalbegin delete directors, as determined by the boardend deletebegin insert directors
17to the council who have knowledge of the massage industry or can
18 bring needed expertise to the operation of the council for purposes
19of complying with Section 4603end insert
.

20(g) At 12 p.m. Pacific standard time on September 15, 2015,
21the term of each member of the board of directors established
22pursuant to subdivision (f) shall terminate, and the terms of 13
23new members of the board of directors who shall be chosen in the
24following manner, shall begin:

25(1) One member shall be a representative of the League of
26California Cities, unless that entity chooses not to exercise this
27right to appoint.

28(2) One member shall be a representative of the California Police
29Chiefs Association, unless that entity chooses not to exercise this
30right to appoint.

31(3) One member shall be a representative of the California State
32Association of Counties, unless that entity chooses not to exercise
33this right to appoint.

34(4) One member shall be a representative of an “anti-human
35trafficking” organization to be determined by the council. This
36organization shall appoint one member, unless the organization
37chooses not to exercise this right to appoint.

38(5) One member shall be appointed by the Office of the
39Chancellor of the California Community Colleges, unless that
40office chooses not to exercise this right to appoint.

P10   1(6) One member shall be a member of the public appointed by
2the Director ofbegin insert the Department ofend insert Consumer Affairs, unless the
3director chooses not to exercise this right to appoint.

4(7) One member shall be appointed by the California Association
5of Private Postsecondary Schools, unless that entity chooses not
6to exercise this right to appoint.

7(8) One member shall be appointed by the American Massage
8Therapy Association, California Chapter, who shall be a
9California-certified massage therapist or massage practitioner who
10is a California resident and who has been practicing massage for
11at least three years, unless that entity chooses not to exercise this
12right to appoint.

13(9) One member shall be a public health official representing a
14city, county, city and county, or state health department,begin insert to be
15determined by the council. The city, county, city and county, or
16state health department chosen, shall appoint one memberend insert
unless
17that entity chooses not to exercise this right to appoint.

18(10) (A) One member shall be a certified massage therapist or
19a certified massage practitioner who is a California resident who
20has practiced massage for at least three years prior to the
21appointment, selected by a professional society, association, or
22other entity which membership is comprised of massage therapist
23professionals, and that chooses to participate in the council. To
24qualify, a professional society, association, or other entity shall
25have a dues-paying membership in California of at least 1,000
26individuals, have been established since 2000, and shall have
27bylaws that require its members to comply with a code of ethics.

28(B) If there is more than one professional society, association,
29or other entity that meets the requirements of subparagraph (A),
30the appointment shall rotate based on a four-year term between
31each of the qualifying entities. The qualifying entity shall maintain
32its appointment authority during the entirety of the four-year term
33during which it holds the appointment authority. The order in
34which a qualifying professional society, association, or other entity
35has the authority to appoint shall be determined by alphabetical
36order based on the full legal name of the entity as of January 1,
372014.

38(11) The members appointed to the board in accordance with
39paragraphs (1) to (10), inclusive, shall appoint three additional
40members, at a duly held board meeting in accordance with the
P11   1board’s bylaws. One of those appointees shall be an attorney
2licensed by the State Bar of California, who has been practicing
3law for at least three years and who at the time of appointment
4represents a city in the state. One of those appointees shall represent
5a massage business entity that has been operating in the state for
6at least three years.begin insert The council shall establish in its bylaws a
7process for appointing an additional member, provided that the
8member has knowledge of the massage industry or can bring
9needed expertise to the operation of the council for purposes of
10complying with Section 4603.end insert

11(h) Board member terms shall be for four years.

12(i) The board of directors shall establish fees reasonably related
13to the cost of providing services and carrying out its ongoing
14responsibilities and duties. Initial and renewal fees for certificates
15shall be in an amount sufficient to support the functions of the
16council in the administration of this chapter, but in no event shall
17exceed three hundred dollars ($300). The renewal fee shall be
18reassessed biennially by the board.

19(j) The meetings of the council shall be subject to the rules of
20the Bagley-Keene Open Meeting Act (Article 9 (commencing with
21Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of
22the Government Code). The board may adopt additional policies
23and procedures that provide greater transparency to certificate
24holders and the public than required by the Bagley-Keene Open
25Meeting Act.

26(k) Prior to holding a meeting to vote upon a proposal to increase
27the certification fees, the board shall provide at least 90 days’
28notice of the meeting, including posting a notice on the council’s
29Internet Web site unless at least two-thirds of the board members
30concur that there is an active threat to public safety and that voting
31at a meeting without prior notice is necessary. However, the board
32shall not waive the requirements of subdivision (j).

33(l) If the board approves an increase in the certification fees,
34the council shall update all relevant areas of its Internet Web site
35and notify all certificate holders and affected applicants by email
36within 14 days of the board’s action.

37

4603.  

Protection of the public shall be the highest priority for
38the council in exercising its certification and disciplinary authority,
39andbegin insert anyend insert other functions. Whenever the protection of the public is
P12   1inconsistent with other interests sought to be promoted, the
2protection of the public shall be paramount.

3

4604.  

(a) In order to obtain certification as a massage therapist,
4an applicant shall submit a written application and provide the
5council with satisfactory evidence that he or she meets all of the
6following requirements:

7(1) The applicant is 18 years of age or older.

8(2) The applicant has successfully completed the curricula in
9massage and related subjects totaling a minimum of 500 hours, or
10the credit unit equivalent, that incorporates appropriate school
11assessment of student knowledge and skills.

12(A) Of the 500 hours, a minimum of 100 hours of instruction
13shall address anatomy and physiology, contraindications, health
14 and hygiene, and business and ethics.

15(B) All of the 500 hours shall be from schools approved by the
16council.

17(3) The applicant has passed a massage and bodywork
18competency assessment examination that meets generally
19recognized psychometric principles and standards and that is
20approved by the council. The successful completion of this
21examination may have been accomplished before the date the
22council is authorized by this chapter to begin issuing certificates.

23(4) The applicant has successfully passed a background
24investigation pursuant to Section 4606, and has not violated any
25of the provisions of this chapter.

26(5) All fees required by the council have been paid.

27(6) The council may issue a certificate to an applicant who meets
28the qualifications of this chapter if he or she holds a current and
29valid registration, certification, or license from any other state
30whose licensure requirements meet or exceed those defined within
31this chapter. If an applicant has received education at a school that
32is not approved by the council, the council shall have the discretion
33to give credit for comparable academic work completed by an
34applicant in a program outside of California.

35(b) A certificate issued pursuant to this chapter and any
36identification card issued by the council shall be surrendered to
37the council by any certificate holder whose certificate is suspended
38or revoked.

P13   1

4604.1.  

(a) The council shall not accept applications to issue
2any new certificates to practice as a certified massage practitioner
3on or after January 1, 2015.

4(b) Certificates to practice as a certified massage practitioner
5for applications accepted prior to January 1, 2015, may be renewed
6without any additional educational requirements.

7(c) A massage practitioner certificate and any identification card
8issued by the council, shall be surrendered to the council by any
9certificate holder whose certificate is suspended or revoked.

10

4604.2.  

(a) A person who was issued a conditional certificate
11to practice as a massage practitioner shall, within five years of
12being issued the conditional certificate by the council, complete
13and report to the council the completion of, at least 30 hours of
14additional education per year from approved schools or from
15continuing education providers approved by the council, until he
16or she has completed a total of at least 250 hours of education.

17(b)  A conditional certificate issued to any person pursuant to
18this section shall immediately be nullified, without need for further
19action by the council, if proof of completion of the requirements
20specified in subdivision (a) is not filed with the council within the
21time period specified in subdivision (a).

22(c) Notwithstanding subdivision (a) of Section 4604.1, the
23council shall issue a new certificate to practice as a massage
24practitioner to a person that successfully completes the
25requirements described in subdivision (a).

26

4605.  

Except as otherwise provided, a certification issued
27pursuant to this chapter shall be subject to renewal every two years
28in the manner prescribed by the council. A certificate issued by
29the council shall expire after two years unless renewed as
30prescribed. The council may provide for the late renewal of a
31certificate.

32

4606.  

(a) Prior to issuing a certificate to an applicant, or
33designating a custodian of records, the council shall require the
34applicant or the custodian of records candidate to submit fingerprint
35images as directed by the council and in a form consistent with
36the requirements of this section.

37(b) The council shall submit the fingerprint images and related
38information to the Department of Justice for the purpose of
39obtaining information as to the existence and nature of a record of
40state and federal level convictions and of state and federal level
P14   1arrests for which the Department of Justice establishes that the
2applicant or candidate was released on bail or on his or her own
3recognizance pending trial.

4(c) Requests for federal level criminal offender record
5information received by the Department of Justice pursuant to this
6section shall be forwarded to the Federal Bureau of Investigation
7by the Department of Justice. The Department of Justice shall
8review the information returned from the Federal Bureau of
9Investigation, and shall compile and disseminate a fitness
10determination regarding the applicant or candidate to the council.
11The Department of Justice shall provide information to the council
12pursuant to subdivision (p) of Section 11105 of the Penal Code.

13(d) The Department of Justice and the council shall charge a
14fee sufficient to cover the cost of processing the request for state
15and federal level criminal offender record information.

16(e) The council shall request subsequent arrest notification
17service from the Department of Justice, as provided under Section
1811105.2 of the Penal Code, for all applicants for certification or
19custodian of records candidates for whom fingerprint images and
20related information are submitted to conduct a search for state and
21federal level criminal offender record information.

22(f) The council is authorized to receive arrest notifications and
23other background material about applicants and certificate holders
24from a city, county, or city and county.

25

4607.  

begin deleteAn end deletebegin insertThe council may discipline an end insertowner or operator of
26a massage business or establishment who is certified pursuant to
27this chapterbegin delete shall be responsibleend delete for the conduct of all individuals
28providing massage for compensation on the business premises.

29

4608.  

In addition to the other requirements of this chapter, a
30certificate holder shall:

31(a) Display his or her original certificate wherever he or she
32provides massage for compensation. A certificate holder shall have
33his or her identification card in his or her possession while
34providing massage services for compensation.

35(b) Provide his or her full name and certificate number upon
36the request of a member of the public, the council, or a member
37of law enforcement, or a local government agency charged with
38regulating massage or massage establishments, at the location
39where he or she is providing massage services for compensation.

P15   1(c) Include the name under which he or she is certified and his
2or her certificate number in any and all advertising of massage for
3compensation.

4(d) Notify the council within 30 days of any changes in the
5certificate holder’s home address or the address of any massage
6establishment or other location where he or she provides massage
7for compensation, excluding those locations where massage is
8only provided on an out-call basis. A certificate holder also shall
9notify the council of his or her primary email address, if any, and
10notify the council within 30 days of a change of the primary email
11address.

12

4609.  

(a) It is a violation of this chapter for an applicant or a
13certificate holder to commit any of the following acts, the
14commission of which is grounds for the council to deny an
15application for a certificate or to impose discipline on a certificate
16holder:

17(1) Unprofessional conduct, including, but not limited to, any
18of the following:

19(A) Engaging in sexually suggestive advertising related to
20massage services.

21(B) Engaging in any form of sexual activity on the premises of
22a massage establishment where massage is provided for
23compensation, excluding a residence.

24(C) Engaging in sexual activity while providing massage
25services for compensation.

26(D) Practicing massage on a suspended certificate or practicing
27outside of the conditions of a restricted certificate.

28(E) Providing massage of the genitals or anal region.

29(F) Providing massage of female breasts without the written
30consent of the person receiving the massage and a referral from a
31licensed California health care provider.

32(2) Procuring or attempting to procure a certificate by fraud,
33misrepresentation, or mistake.

34(3) Failing to fully disclose all information requested on the
35application.

36(4) Impersonating an applicant or acting as a proxy for an
37applicant in any examination referred to in this chapter for the
38issuance of a certificate.

39(5) Impersonating a certificate holder, or permitting or allowing
40a noncertified person to use a certificate.

P16   1(6) Violating or attempting to violate, directly or indirectly, or
2assisting in or abetting the violation of, or conspiring to violate,
3any provision of this chapter or any rule or bylaw adopted by the
4council.

5(7) Committing any fraudulent, dishonest, or corrupt act that is
6substantially related to the qualifications or duties of a certificate
7holder.

8(8) Denial of licensure, revocation, suspension, restriction,
9citation, or any other disciplinary action against an applicant or
10certificate holder by another state or territory of the United States,
11by any other government agency, or by another California health
12care professional licensing board. A certified copy of the decision,
13order, judgment, or citation shall be conclusive evidence of these
14actions.

15(9) Being convicted of any felony, misdemeanor, infraction, or
16municipal code violation, or being held liable in an administrative
17or civil action for an act, that is substantially related to the
18qualifications, functions, or duties of a certificate holder. A record
19of the conviction or other judgment or liability shall be conclusive
20evidence of the crime or liability.

21(10) Dressing while engaged in the practice of massage for
22 compensation, or whilebegin insert visible to clientsend insert in a massage
23establishment, inbegin delete aend deletebegin insert any of the following:end insert

24begin insert(A)end insertbegin insertend insertbegin insertAttire that is transparent, see-through, or substantially
25exposes the certificate holder’s undergarments.end insert

begin insert

26(B) Swim attire, if not providing a water-based massage
27modality approved by the council.

end insert

28begin insert(C)end insertbegin insertend insertbegin insertAend insert manner that exposes the certificate holder’s breasts,
29buttocks, orbegin delete genitals,end deletebegin delete that is transparent or see-through, thatend delete
30begin insert genitals.end insert

31begin insert(D)end insertbegin insertend insertbegin insertA manner thatend insert constitutes a violation of Section 314 of the
32 Penalbegin delete Code, or thatend deletebegin insert Code.end insert

33begin insert(E)end insertbegin insertend insertbegin insertA manner thatend insert is otherwise deemed by the council to
34constitute unprofessional attire based on the custom and practice
35of the profession in California.

36(11) Committing any act punishable as a sexually related crime
37or being required to register pursuant to the Sex Offender
38Registration Act (Chapter 5.5 (commencing with Section 290) of
39Title 9 of Part 1 of the Penal Code), or being required to register
40as a sex offender in another state.

P17   1(b) The council may deny an application for a certificate for the
2commission of any of the acts described in subdivision (a). The
3council may also discipline a certificate holder, in any manner
4permitted by this chapter, for the commission of any of those acts
5by a certificate holder.

begin insert

6(c) The council shall deny an application for a certificate, or
7revoke the certificate of a certificate holder, if the applicant or
8certificate holder is required to register pursuant to the Sex
9Offender Registration Act (Chapter 5.5 (commencing with Section
10290) of Title 9 of Part 1 of the Penal Code), or is required to
11register as a sex offender in another state.

end insert
12

4610.  

(a) An applicant for a certificate shall not be denied a
13certificate, and a certificate holder shall not be disciplined pursuant
14to this chapter except according to procedures that satisfy the
15requirements of this section. Denial or discipline that is not in
16accord with this section shall be void and without effect.

17(b) The council may discipline a certificate holder by any, or a
18combination, of the following methods:

19(1) Placing the certificate holder on probation, which may
20include limitations or conditions on practice.

21(2) Suspending the certificate and the rights conferred by this
22chapter on a certificate holder for a period not to exceed one year.

23(3) Suspending or staying the disciplinary order, or portions of
24it, with or without conditions.

25(4) Revoking the certificate.

26(5) Taking other action as thebegin delete council,end deletebegin insert council deems proper,end insert
27 as authorized by this chapter orbegin delete policiesend deletebegin insert policies, procedures, rules,
28or bylawsend insert
adopted by thebegin delete board, deems properend deletebegin insert boardend insert.

29(c) The council may issue an initial certificate on probation,
30with specific terms and conditions, to any applicant.

31(d) Any denial or discipline shall be decided upon and imposed
32in good faith and in a fair and reasonable manner. Any procedure
33that conforms to the requirements of subdivision (f) is fair and
34reasonable, but a court may also find other procedures to be fair
35and reasonable when the full circumstances of the denial or
36discipline are considered.

37(e) A procedure is fair and reasonable if the procedures specified
38in subdivision (f) or (g) are followed or if all of the following
39apply:

P18   1(1) Denial or discipline shall be based on a preponderance of
2the evidence. In determining the basis for the denial or discipline,
3the council may consider all written documents or statements as
4evidence, but shall weigh the reliability of those documents or
5statements.

6(2) The provisions of the procedure are publicly available on
7the council’s Internet Web site.

8(3) The council provides 15 calendar days prior notice of the
9denial or discipline and the reasons for the denial or discipline.

10(4)  The council provides an opportunity for the applicant or
11certificate holder, to be heard, orally or in writing, not less than
12five days before the effective date of the denial or discipline, by
13a person or body authorized to decide whether the proposed denial
14or discipline should go into effect.

15(f)  (1) Notwithstanding any other law, if the council receives
16notice that a certificate holder has been arrested and charges have
17been filed by the appropriate prosecuting agency against the
18certificate holder alleging a violation of subdivision (b) of Section
19647 of the Penal Code or any other offense described in paragraph
20(11) of subdivision (a) of Section 4609, the council shall
21immediately suspend, on an interim basis, the certificate of that
22certificate holder, and take all of the following additional actions:

23(A) Notify the certificate holder at the address last filed with
24the council that the certificate has been suspended and the reason
25for the suspension within 10 business days.

26(B) Provide notification of the suspension by email to the clerk
27or other designated contact of the city, county, or city and county
28in which the certificate holder lives or works, pursuant to the
29council’s records, within 10 business days.

30(C) Provide notification of the suspension by email to any
31establishment or employer, whether public or private, that the
32council has in its records as employing the certificate holder, within
3310 business days.

34(2) Upon notice to the council that the charges described in
35paragraph (1) have resulted in a conviction, the council shall
36permanently revoke the suspended certificate. The council shall
37provide notice to the certificate holder, at the address last filed
38with the council by a method providing delivery confirmation,
39within 10 business days that it has evidence of a valid record of
40conviction and that the certificate will be revoked unless the
P19   1certificate holder provides evidence within 15 days from the date
2of the council’s mailing of the notice that the conviction is either
3invalid or that the information is otherwise erroneous.

4(3) Upon notice that the charges described in paragraph (1) have
5resulted in an acquittal or have been otherwise dismissed prior to
6conviction, the certificate shall be immediately reinstated and the
7certificate holder and any establishment or employer that received
8notice pursuant to this section shall be notified of the reinstatement
9within 10 business days.

10(g)  (1)  Notwithstanding any other law, if the council
11determines that a certificate holder has committed an act punishable
12as a sexually related crime or a felony that is substantially related
13to the qualifications, functions, or duties of a certificate holder,
14the council may immediately suspend the certificate of that
15certificate holder. A determination to immediately suspend a
16 certificate pursuant to this subdivision shall be based upon a
17preponderance of the evidence and the council shall also consider
18any available credible mitigating evidence before making a
19decision. Written statements by any person shall not be considered
20by the council when determining whether to immediately suspend
21a certificate unless made under penalty of perjury. If the council
22suspends a certificate in accordance with this subdivision, the
23council shall take all of the following additional actions:

24(A) Notify the certificate holder within 10 business days, at the
25address last filed with the council, by a method providing delivery
26confirmation, that the certificate has been suspended, the reason
27for the suspension, and that the certificate holder has the right to
28request a hearing pursuant to paragraph (2).

29(B) Notify by email or any other means consistent with the
30notice requirements of this chapter, any business or employer,
31whether public or private, that the council has in its records as
32employing or contracting with the certificate holder for massage
33services, and the California city, county, or city and county that
34has jurisdiction over that establishment or employer, that the
35certificate has been suspended within 10 business days.

36(2) A certificate holder whose certificate is suspended pursuant
37to this subdivision shall have the right to request, in writing, a
38hearing to challenge the factual basis for the suspension. If the
39holder of the suspended certificate requests a hearing on the
40suspension, the hearing shall be held within 30 calendar days after
P20   1receipt of the request. A holder whose certificate is suspended
2based on paragraph (1) shall be subject to revocation or other
3discipline in accordance with subdivision (a).

4(3) If the council determines, after a hearing conducted pursuant
5to this subdivision, to lift the suspension, the certificate shall be
6immediately reinstated and the certificate holder, any establishment
7or employer, and the city, county, or city and county that has
8jurisdiction over that establishment or employer, that received
9notice pursuant to this section shall be notified of the reinstatement
10within 10 business days.

11(h) Any notice required under this section may be given by any
12method reasonably calculated to provide actual notice. Any notice
13given by mail shall be given by first-class or certified mail sent to
14the last address of the applicant or certificate holder shown on the
15council’s records.

16(i) An applicant or certificate holder may challenge a denial or
17discipline decision issued pursuant to this section in a court of
18competent jurisdiction. Any action challenging a denial or
19 discipline, including any claim alleging defective notice, shall be
20commenced within one year after the effective date of the denial
21or discipline. If the action is successful, the court may order any
22relief, including reinstatement, that it finds equitable under the
23circumstances.

24(j) This section governs only the procedures for denial or
25discipline decision and not the substantive grounds for the denial
26or discipline. Denial or discipline based upon substantive grounds
27that violates contractual or other rights of the applicant or certificate
28holder, or is otherwise unlawful, is not made valid by compliance
29with this section.

30

4611.  

(a) It is an unfair business practice for a person to do
31any of the following:

32(1) To hold himself or herself out or to use the title of “certified
33massage therapist” or “certified massage practitioner,” or any other
34term, such as “licensed,” “certified,” “CMT,” or “CMP,” in any
35manner whatsoever that implies or suggests that the person is
36certified as a massage therapist or massage practitioner, unless
37that person currently holds an active and valid certificate issued
38by the council pursuant to this chapter.

39(2) To falsely state or advertise or put out any sign or card or
40other device, or to falsely represent to the public through any print
P21   1or electronic media, that he or she or any other individual is
2licensed, certified, or registered by a governmental agency as a
3massage therapist or massage practitioner.

4(b) In addition to any other available remedies, engaging in any
5of the prohibited behaviors described in subdivision (a) constitutes
6unfair competition under Section 17200.

7

4612.  

(a) Notwithstanding any other law, a city, county, or
8city and county shall not enact or enforce an ordinance that
9conflicts with this chapter or Section 51034 of the Government
10Code.

11(b) Nothing in this chapter shall prevent a city, county, or city
12and county from licensing, regulating, prohibiting, or permitting
13an individual who provides massage for compensation without a
14valid certificate.

15

4614.  

(a) Upon the request of any law enforcement agency or
16any other representative of a local government agency with
17responsibility for regulating or administering a local ordinance
18relating to massage or massage establishments, the council shall
19provide information concerning an applicant or a certificate holder,
20including, but not limited to, begin delete the current status of an application
21or certificate, any history of disciplinary actions, the home and
22work addresses of the applicant or certificate holder, and any other
23information in the council’s possession that is necessary to verify
24facts relevant to administering the local ordinance.end delete
begin insert any of the
25following:end insert

begin insert

26(1) The current status of an application or certificate.

end insert
begin insert

27(2) Any history of disciplinary actions.

end insert
begin insert

28(3) The home and work addresses of the applicant or certificate
29holder.

end insert
begin insert

30(4) The name and home and work addresses of any person whose
31certificate has been suspended and the length of the suspension,
32if the work address is located within the jurisdiction of agency
33making the request.

end insert
begin insert

34(5) Any other information in the council’s possession that is
35necessary to verify facts relevant to administering the local
36ordinance.

end insert

37(b) Upon the request of the council, any law enforcement agency
38or any other representative of a local government agency with
39responsibility for regulating or administering a local ordinance
40relating to massage or massage establishments is authorized to
P22   1provide information to the council concerning an applicant or
2certificate holder, including, but not limited to, begin delete the current status
3of any local application or permit, any history of legal or
4administrative action taken against the applicant or certificate
5holder, any information related to criminal activity or
6unprofessional conduct allegedly engaged in by a certificate
7applicant or certificate holder, including, but not limited to, police
8reports and declarations of conduct, the home and work addresses
9of the applicant or certificate holder, and any other information in
10the possession of the law enforcement agency or other local
11government agency that is necessary to verify information or
12otherwise implement this chapter.end delete
begin insert any of the following:end insert

begin insert

13(1) The current status of any local application or permit.

end insert
begin insert

14(2) Any history of legal or administrative action taken against
15the applicant or certificate holder.

end insert
begin insert

16(3) Any information related to criminal activity or
17unprofessional conduct allegedly engaged in by a certificate
18applicant or certificate holder, including, but not limited to, police
19reports and declarations of conduct.

end insert
begin insert

20(4) The home and work addresses of the applicant or certificate
21holder.

end insert
begin insert

22(5) Any other information in the possession of the law
23enforcement agency or other local government agency that is
24necessary to verify information or otherwise implement this
25chapter.

end insert

26(c) The council shall accept information provided by any law
27enforcement agency or any other representative of a local
28government agency with responsibility for regulating or
29administering a local ordinance relating to massage and review
30that information in a timely manner. The council shall have the
31responsibility to review any information received pursuant to this
32subdivision and to take any actions authorized by this chapter that
33are warranted by that information.

34

4615.  

(a) The council shall have the responsibility to determine
35whether the school from which an applicant has obtained the
36education required by this chapter meets the requirements of this
37chapter.

38(1) If the council has any reason to question whether or not the
39applicant received the education that is required by this chapter
40from the school or schools that the applicant is claiming, the
P23   1council shall investigate the facts to determine that the applicant
2 received the required education prior to issuing a certificate.

3(2) For purposes of this section and any other provision of this
4chapter that authorizes the council to receive factual information
5as a condition of taking any action, the council may conduct oral
6interviews of the applicant and others or conduct any investigation
7 deemed necessary to establish that the information received is
8accurate and satisfies the criteria established by this chapter.

begin insert

9(b) The council shall develop policies, procedures, rules, or
10bylaws governing the requirements and process for the approval
11and unapproval of schools consistent with Section 4601, including
12any corrective action required to return a school to approved
13status. These policies, procedures, rules, or bylaws shall address
14topics including, but not limited to, what constitutes an acceptable
15curriculum, facility requirements, student-teacher ratios, clinical
16practice requirements, and provisions for the acceptance of
17accreditation from a recognized accreditation body or other form
18of acceptance. The council shall exercise its authority to approve
19and unapprove schools and specify corrective action in keeping
20with the purposes set forth in Section 4603.

end insert
begin delete

21(b)

end delete

22begin insert(c)end insert The council may charge a reasonable fee for the inspection
23or approval of schools, provided the fees do not exceed the
24reasonable cost of the inspection or approval process.

begin delete

25(c) The council shall develop policies and procedures governing
26the requirements and approval process for schools and the
27curriculum and programs for these schools, including provisions
28for acceptance of accreditation from a recognized accreditation
29body or other form of acceptance.

end delete
30

4616.  

The council shall be sued only in the county of its
31principal office, which shall be in Sacramento, unless otherwise
32designated by the council.

33

4617.  

The superior court of a county of competent jurisdiction
34may, upon a petition by any person, issue an injunction or any
35other relief the court deems appropriate for a violation of this
36chapter by any person or establishment operating in that county
37subject to the provisions of this chapter. An injunction proceeding
38under this section shall be governed by Chapter 3 (commencing
39with Section 525) of Title 7 of Part 2 of the Code of Civil
40Procedure.

P24   1

4618.  

The Legislature finds and declares that due to important
2health, safety, and welfare concerns that affect the entire state,
3establishing a uniform standard of certification for massage
4practitioners and massage therapists upon which consumers may
5rely to identify individuals who have achieved specified levels of
6education, training, and skill is a matter of statewide concern and
7not a municipal affair, as that term is used in Section 5 of Article
8XI of the California Constitution. Therefore, this chapter shall
9apply to all cities, counties, and cities and counties, including
10charter cities and charter counties.

11

4619.  

(a) This chapter shall be liberally construed to effectuate
12its purposes.

13(b) The provisions of this chapter are severable. If any provision
14of this chapter or its application is held invalid, that invalidity shall
15not affect other provisions or applications that can be given effect
16without the invalid provision or application.

17(c) If any provision of this chapter or the application of these
18provisions to any person or circumstance is held to be invalid, the
19invalidity shall not affect other provisions or applications of the
20chapter that can be given effect without the invalid provision or
21application, and to this end the provisions of this chapter are
22 severable.

23

4620.  

(a) On or before June 1, 2016, for the time period
24beginning on January 1, 2015, the council shall provide a report
25to the appropriate policy committees of the Legislature that
26includes all of the following:

27(1) A feasibility study of licensure for the massage profession,
28including a proposed scope of practice, legitimate techniques of
29massage, and related statutory recommendations.

30(2) The council’s compensation guidelines and current salary
31levels.

32(3) The status of the council’s progress towards revising the
33school approval process.

34(4) Performance metrics, including, but not limited to:

35(A)  The annual number of denied certificate applications, and
36a brief description of the grounds for each decision.

37(B)  The annual number of suspended, revoked, or otherwise
38disciplined certificates, and a brief description of the grounds for
39each decision.

P25   1(C)  The number of certificates taken off suspension, and a brief
2description of the grounds for each decision.

3(D)  The number of schoolsbegin delete inspected, approved, and
4disapproved, the number of schools that have had their approvals
5suspended or revoked,end delete
begin insert inspected and unapprovedend insert and a brief
6description of the grounds for each decisionbegin insert to unapproveend insert.

7(E)  The total number of complaints about certificate holders
8received annually, including a subtotal of complaints received
9from local law enforcement and the action taken by the council as
10a result of those complaints.

11(b) The council shall testify in person if requested by the
12appropriate policy committees of the Legislature.

13

4621.  

(a) This chapter shall remain in effect only until January
141, 2017, and as of that date is repealed, unless a later enacted
15statute, that is enacted before January 1, 2017, deletes or extends
16that date.

17(b) Notwithstanding any other law, the powers and duties of the
18council shall be subject to review by the appropriate policy
19committees of the Legislature.

20

begin deleteSEC. 4.end delete
21begin insertSEC. 3.end insert  

Section 51034 of the Government Code is amended
22to read:

23

51034.  

(a) The Legislature in enacting this chapter recognizes
24the existing power of a city or county to regulate a lawful massage
25business pursuant to Section 37101, or pursuant to Section 16000
26or 16100 of the Business and Professions Code, or under Section
277 of Article XI of the California Constitution.

28(b) Nothing contained in this chapter shall be a limitation on
29that existing power or on the existing authority of a city to license
30for revenue purposes. A city, county, or city and county shall not
31enact or enforce an ordinance that conflicts with the provisions of
32this section or Chapter 10.5 (commencing with Section 4600) of
33Division 2 of the Business and Professions Code.

34(c) Nothing contained in this chapter shall authorize a city,
35county, or city and county to do any of the following:

36(1) Prohibit a person of one sex from engaging in the massage
37of a person of the other sex.

38(2) Define a massage establishment as an adult entertainment
39business, or otherwise regulate a massage establishment as adult
40entertainment.

P26   1(3) Require a massage establishment to have windows or walls
2that do not extend from the floor to ceiling, or have other internal
3physical structures, including windows, that interfere with a client’s
4reasonable expectation of privacy.

5(4) Impose client draping requirements that extend beyond the
6covering of genitalia and female breasts, or otherwise mandate
7that the client wear special clothing.

8(5) Prohibit a massage establishment from locking its external
9doors if the massage establishment is a business entity owned by
10one individual with one or no employees or independent
11contractors.

12(6) Require a massage establishment to post any notice in an
13area that may be viewed by clients that contains explicit language
14describing sexual acts, mentions genitalia, or specific contraception
15devices.

16(7) Impose a requirement that a person certified pursuant to
17Chapter 10.5 (commencing with Section 4600) of Division 2 of
18the Business and Professions Code take any test, medical
19examination, or background check or comply with education
20requirements beyond what is required by Chapter 10.5
21(commencing with Section 4600) of Division 2 of the Business
22and Professions Code.

23(8) Impose a requirement that anbegin delete individual, other than a sole
24proprietor,end delete
begin insert individualend insert holding a certificate issued in accordance
25with Chapter 10.5 (commencing with Section 4600) of Division
262 of the Business and Professions Code, obtain any other license,
27permit, certificate, or other authorization to provide massage for
28compensation.begin insert However, this paragraph shall not be construed to
29prohibit a city, county, or city and county from requiring by
30ordinance that a massage business or establishment obtain a
31license, permit, certificate, or other authorization in order to
32operate lawfully within the jurisdiction.end insert

33(9) Impose a dress code requirement on a person certified
34pursuant to Chapter 10.5 (commencing with Section 4600) of
35Division 2 of the Business and Professions Code in excess of those
36already imposed pursuant to paragraph (10) of subdivision (a) of
37Section 4609 of the Business and Professions Code.

38(10) Prohibit a person certified pursuant to Chapter 10.5
39(commencing with Section 4600) of Division 2 of the Business
40and Professions Code from performing massage for compensation
P27   1on the gluteal muscles, prohibit specific massage techniques
2 recognized by the California Massage Therapy Council as
3legitimate, or impose any other specific restriction on professional
4practice beyond those set forth in subparagraph (E) of paragraph
5(1) of subdivision (a) of Section 4609 of the Business and
6Professions Code, except as authorized by Section 460 of the
7Business and Professions Code.



O

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