BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1147
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          ASSEMBLY THIRD READING
          AB 1147 (Gomez)
          As Amended  
           January 14, 2014   
          Majority vote 

           BUSINESS & PROFESSIONS         11-0                             
           
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          |Ayes:|Bonilla, Bocanegra,       |     |                          |
          |     |Campos, Dickinson,        |     |                          |
          |     |Eggman, Gordon, Holden,   |     |                          |
          |     |Maienschein, Mullin,      |     |                          |
          |     |Gomez, Ting               |     |                          |
          |     |                          |     |                          |
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           SUMMARY  :  Revises the qualifications for a certified massage  
          practitioner (CMP) by requiring applicants to pass a massage and  
          bodywork competency examination.   Specifically,  this bill  :  

          1)Requires an applicant for certification as a CMP to pass a  
            massage and bodywork competency examination that meets  
            generally recognized psychometric principles and standards,  
            and is approved by the California Massage Therapy Council  
            (CAMTC).

          2)Permits the successful completion of the examination to have  
            been accomplished before the date the CAMTC began issuing  
            certificates. 

           EXISTING LAW  : 

          1)Establishes the CAMTC and defines the responsibilities and  
            duties of the CAMTC.  (Business and Professions Code (BPC)  
            Section 4600.5)

          2)Defines massage therapist, body worker, bodywork therapist,  
            massage and body work therapist, massage practitioner, body  
            work practitioner, or massage and body work practitioner to  
            mean "a person who is certified by the CAMTC, as specified."   
            (BPC Section 4600)

          3)Requires the CAMTC to issue a "massage therapist"  
            certificate to an applicant who submits a written  








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            application and provides satisfactory evidence that he or  
            she meets all of the specified education, experience or  
            examination requirements.  (BPC Section 4601)

          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.  (BPC Section 4601)

           FISCAL EFFECT  :  None.  This bill is keyed non-fiscal by the  
          Legislative Counsel. 

           COMMENTS :   

           1)Purpose of this bill  .  This bill seeks to enhance the  
            competency requirements for persons seeking certification as a  
            massage practitioner by requiring an applicant to take and  
            pass a massage and bodywork competency examination in addition  
            to the 250 hours of education currently required.  It does not  
            change the certification requirements for massage therapists.  
            This bill is author sponsored.
           
          2)Author's statement  .  According to the author, "The State  
            Legislature has made it a policy to professionalize the  
            massage industry and this proposal adds a further dimension of  
            accountability on providers, and a greater expectation on the  
            part of California consumers.    Even though there may be  
            serious differences of opinion regarding the proper role of  
            local government in land use and enforcement issues  
            surrounding this industry, we can all agree on the desire to  
            working to ensure that all massage therapists are properly  
            trained and consumer protections are in place."  

          3)The massage therapy profession  .  Massage professionals treat  
            clients by using touch to manipulate the soft-tissue and  
            muscles of the body. Massage therapy may be used to relieve  
            pain, rehabilitate injuries, reduce stress, increase  
            relaxation, and increase the general wellness of clients.   
            Massage professionals work in a variety of settings, including  
            private offices, spas, hospitals, fitness centers and shopping  
            malls.  According to the Bureau of Labor Statistics,  
            employment of massage professionals is projected to grow 23%  
            from 2012 to 2022, much faster than the average for all  








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            occupations.   

            Massage professionals in California can obtain one of two  
            certification levels:  CMPs are required to complete at least  
            250 hours of education and training, while Certified Massage  
            Therapists (CMTs) are required to complete at least 500 hours  
            of massage education and training or complete 250 hours of  
            education and training and pass an examination.  CMPs and CMTs  
            must also undergo background checks, including fingerprinting  
            and other identification verification procedures.  The CMP and  
            CMT licenses are renewed biannually, and licensees are not  
            required to obtain continuing education.  Titles commonly used  
            in California by the massage profession may include:  massage  
            therapist, massage practitioner, CMT, CMP, massage technician,  
            bodyworker, masseur, and masseuse.  Current law makes it an  
            unfair business practice for anyone not certified by CAMTC to  
            use the title of CMP or CMT.

            California is one of only four states that regulate massage  
            therapy but do not generally require an examination for  
            certification or licensure.  This bill would require CMP  
            applicants to take and pass an examination, approved by CAMTC,  
            in order to be certified.

           4)Current testing component  .  Currently, applicants for  
            certification as a CMT must pass an examination if they have  
            completed only 250 hours of approved education.  If a CMT has  
            completed 500 hours of approved education, an examination is  
            not necessary.  

          CMT applicants may take the National Certification Exam which is  
            administered by the National Certification Board for  
            Therapeutic Massage and Bodywork (NCBTMB).  The NCBTMB is a  
            nationally recognized entity which certifies massage  
            therapists and bodyworkers on behalf of the profession.  In  
            addition, an applicant may take the Massage and Bodywork  
            Licensing Examination (MBLEx).  The MBLEx is governed by the  
            Federation of State Massage Therapy Boards.  It is designed to  
            provide a standard examination for massage students. 

           5)The California Massage Therapy Council  .  The CAMTC is led by a  
            volunteer Board of Directors comprised of professionals from  
            California's massage community, including massage  
            associations, schools, and businesses.  The goal of CAMTC is  








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            to standardize the process of certification throughout the  
            state.  The certifications it provides allow massage  
            professionals to work in multiple California locations without  
            the need for duplicative local certifications.  The Massage  
            Therapy Act and provisions establishing CAMTC are subject to  
            the formal Sunset Review process.  

          If a certificate holder violates the terms of certification,  
            CAMTC may suspend or revoke his or her certification, but it  
            has no cite and fine authority.  The CAMTC may deny,  
            discipline or revoke the certification of a CMP or CMT for a  
            variety of reasons, including:  failure to obtain a clear  
            fingerprint check, reports of unprofessional conduct in  
            another state, any attempt to obtain a certificate through  
            misrepresentation or fraud, or committing any act punishable  
            as a sexually related crime.  All of the relative disciplinary  
            procedures are carried out by an employee of the CAMTC known  
            as the Division Director of Professional Standards.  Since  
            2010, there have been approximately 248 certificate  
            suspensions or revocations.

           6)Sunset Review  .  Under existing law, the provisions related to  
            the regulation of massage therapy and CAMTC will sunset on  
            January 1, 2015, unless the Legislature decides to extend  
            those provisions.  Currently, CAMTC and the Massage Therapy  
            Act are scheduled to be reviewed in March of 2014 as part of  
            the Sunset Review hearings being held jointly between this  
            Committee and the Senate Business, Professions and Economic  
            Development Committee.  


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


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