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Second Substitute S.B. 132

Senator R. Mont Evans proposes to substitute the following bill:


             1     
MASSAGE PRACTICE ACT AMENDMENTS

             2     
2000 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Sponsor: R. Mont Evans

             5      AN ACT RELATING TO OCCUPATIONS AND PROFESSIONS; DEFINING TERMS;
             6      AMENDING THE SCOPE OF PRACTICE; REQUIRING APPLICANTS TO BE 18 OR OLDER
             7      AND TO SUBMIT TO A CRIMINAL BACKGROUND CHECK; RESTRICTING
             8      GOVERNMENTAL ENTITIES FROM REQUIRING A SECOND CRIMINAL BACKGROUND
             9      CHECK IF THE FIRST WAS SUCCESSFULLY COMPLETED; AMENDING THE
             10      EXEMPTIONS TO LICENSURE; CLARIFYING THE CONSENT NECESSARY FOR
             11      THERAPEUTIC BREAST MASSAGE; CLARIFYING THE PENALTIES FOR UNLAWFUL
             12      CONDUCT; AND MAKING CONFORMING AND TECHNICAL AMENDMENTS.
             13      This act affects sections of Utah Code Annotated 1953 as follows:
             14      AMENDS:
             15          58-47b-102, as last amended by Chapter 21, Laws of Utah 1999
             16          58-47b-302, as last amended by Chapter 159, Laws of Utah 1998
             17          58-47b-304, as last amended by Chapter 21, Laws of Utah 1999
             18          58-47b-501, as last amended by Chapter 159, Laws of Utah 1998
             19          58-47b-503, as enacted by Chapter 76, Laws of Utah 1996
             20      Be it enacted by the Legislature of the state of Utah:
             21          Section 1. Section 58-47b-102 is amended to read:
             22           58-47b-102. Definitions.
             23          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             24          (1) "Board" means the Utah Board of Massage Therapy created in Section 58-47b-201 .
             25          (2) "Breast" means the female mammary gland and does not include the muscles,


             26      connective tissue, or other soft tissue of the upper chest.
             27          [(2)] (3) "Homeostasis" means maintaining, stabilizing, or returning to equilibrium the
             28      muscular system.
             29          [(3)] (4) "Massage apprentice" means an individual licensed under this chapter as a
             30      massage apprentice to work under the direct supervision of a licensed massage therapist.
             31          [(4)] (5) "Massage therapist" means an individual licensed under this chapter as a massage
             32      therapist.
             33          [(5)] (6) "Practice of massage therapy" means:
             34          (a) the examination, assessment, and evaluation of the soft tissue structures of the body,
             35      whether human or animal, for the purpose of devising a treatment plan to promote homeostasis;
             36          (b) the systematic manual or mechanical manipulation of the soft tissue of the body for the
             37      therapeutic purpose of:
             38          (i) promoting the health and well-being of a client;
             39          (ii) enhancing the circulation of the blood and lymph;
             40          (iii) relaxing and lengthening muscles;
             41          (iv) relieving pain;
             42          (v) restoring metabolic balance; and
             43          (vi) achieving homeostasis;
             44          (c) the use of the hands or a mechanical or electrical apparatus in connection with this
             45      Subsection (6);
             46          (d) the use of rehabilitative procedures involving the soft tissue of the body;
             47          (e) range of motion or movements without spinal adjustment as set forth in Section
             48      58-73-102 ;
             49          (f) oil rubs, heat lamps, salt glows, hot and cold packs, or tub, shower, steam, and cabinet
             50      baths;
             51          (g) manual traction and stretching exercise;
             52          (h) correction of muscular distortion by treatment of the soft tissues of the body;
             53          (i) counseling, education, and other advisory services to reduce the incidence and severity
             54      of physical disability, movement dysfunction, and pain; and
             55          (j) similar or related activities and modality techniques.
             56          [(6)] (7) "Soft tissue" means the muscles and related connective tissue.


             57          [(7)] (8) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-47b-501 .
             58          [(8)] (9) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-47b-502 and
             59      as may be further defined by division rule.
             60          Section 2. Section 58-47b-302 is amended to read:
             61           58-47b-302. License classifications -- Qualifications for licensure.
             62          (1) The division shall issue licenses under this chapter in the classifications of:
             63          (a) massage therapist; and
             64          (b) massage apprentice.
             65          (2) Each applicant for licensure as a massage therapist shall:
             66          (a) submit an application in a form prescribed by the division;
             67          (b) pay a fee determined by the department under Section 63-38-3.2 ;
             68          (c) be of good moral character;
             69          (d) be 18 years of age or older;
             70          [(d)] (e) have either:
             71          (i) (A) graduated from a school of massage having a curriculum which meets standards
             72      established by division rule made in collaboration with the board[, which may not exceed 1,000
             73      hours]; or
             74          (B) completed equivalent education and training in compliance with division rule; or
             75          (ii) completed a massage apprenticeship program consisting of a minimum of 1,000 hours
             76      of supervised training over a minimum of 12 months and in accordance with standards established
             77      by the division by rule made in collaboration with the board; and
             78          [(e)] (f) pass examinations established by rule by the division in collaboration with the
             79      board.
             80          (3) Each applicant for licensure as a massage apprentice shall:
             81          (a) submit an application in a form prescribed by the division;
             82          (b) pay a fee determined by the department under Section 63-38-3.2 ;
             83          (c) be of good moral character;
             84          (d) be 18 years of age or older;
             85          [(d)] (e) provide satisfactory evidence to the division that the individual will practice as
             86      a massage apprentice only under the direct supervision of a licensed massage therapist in good
             87      standing and who has engaged in the lawful practice of massage therapy as a licensed massage


             88      therapist for not less than 6,000 hours; and
             89          [(e)] (f) successfully complete an examination as required by division rule.
             90          [(4) A person who qualified for the exemption to engage in lymphatic massage prior to
             91      July 1, 1998, may be licensed as a massage therapist by satisfying the requirements of Subsection
             92      (2)(a), (b), and (c) before January 1, 1999.]
             93          (4) (a) Any new massage therapist or massage apprentice applicant shall submit fingerprint
             94      cards in a form acceptable to the division at the time the license application is filed and shall
             95      consent to a fingerprint background check by the Utah Bureau of Criminal Identification and the
             96      Federal Bureau of Investigation regarding the application.
             97          (b) The division shall request the Department of Public Safety to complete a Federal
             98      Bureau of Investigation criminal background check for each new massage therapist or apprentice
             99      applicant through the national criminal history system (NCIC) or any successor system.
             100          (c) The cost of the background check and the fingerprinting shall be borne by the
             101      applicant.
             102          (5) (a) Any new massage therapist or massage apprentice license issued under this section
             103      shall be conditional, pending completion of the criminal background check. If the criminal
             104      background check discloses the applicant has failed to accurately disclose a criminal history, the
             105      license shall be immediately and automatically revoked.
             106          (b) Any person whose conditional license has been revoked under Subsection (e)(i) shall
             107      be entitled to a post-revocation hearing to challenge the revocation. The hearing shall be
             108      conducted in accordance with Title 63, Chapter 46b, Administrative Procedures Act.
             109          (6) An applicant who successfully completes a fingerprint background check under
             110      Subsection (4) may not be required by any other state or local government body to submit to a
             111      second fingerprint background check as a condition of lawfully practicing massage therapy in this
             112      state.
             113          Section 3. Section 58-47b-304 is amended to read:
             114           58-47b-304. Exemptions from licensure.
             115          (1) In addition to the exemptions from licensure in Section 58-1-307 , the following
             116      individuals may engage in the practice of massage therapy as defined under this chapter, subject
             117      to the stated circumstances and limitations, without being licensed, but may not represent
             118      themselves as a massage therapist or massage apprentice:


             119          (a) physicians and surgeons licensed under Title 58, Chapter 67, Utah Medical Practice
             120      Act;
             121          (b) nurses licensed under Title 58, Chapter 31b, Nurse Practice Act, or under Title 58,
             122      Chapter 44a, Nurse Midwife Practice Act;
             123          (c) physical therapists licensed under Title 58, Chapter 24a, Physical Therapist Practice
             124      Act;
             125          (d) osteopathic physicians and surgeons licensed under Title 58, Chapter 68, Utah
             126      Osteopathic Medical Practice Act;
             127          (e) chiropractic physicians licensed under Title 58, Chapter 73, Chiropractic Physician
             128      Practice Act;
             129          (f) hospital staff members employed by a hospital who practice massage as part of their
             130      responsibilities;
             131          (g) athletic trainers who practice massage as part of their responsibilities while employed
             132      by an educational institution or an athletic team that participates in organized sports competition;
             133          (h) students in training enrolled in a massage therapy school approved by the division;
             134          [(i) until January 1, 1999, individuals engaging in lymphatic massage and who meet
             135      training standards as defined by division rule;]
             136          [(j)] (i) naturopathic physicians licensed under Title 58, Chapter 71, Naturopathic
             137      Physician Practice Act;
             138          [(k)] (j) occupational therapist licensed under Title 58, Chapter 42a, Occupational Therapy
             139      Practice Act; and
             140          [(l)] (k) persons performing gratuitous massage.
             141          (2) This chapter may not be construed to authorize any individual licensed under this
             142      chapter to engage in any manner in the practice of medicine as defined by the laws of this state.
             143          (3) This chapter may not be construed to:
             144          (a) create or require insurance coverage or reimbursement for massage therapy from third
             145      party payors if this type of coverage did not exist on or before February 15, 1990; or
             146          (b) prevent any insurance carrier from offering coverage for massage therapy.
             147          Section 4. Section 58-47b-501 is amended to read:
             148           58-47b-501. Unlawful conduct.
             149          "Unlawful conduct" includes:


             150          (1) practicing, engaging in, or attempting to practice or engage in massage therapy without
             151      holding a current license as a massage therapist or a massage apprentice under this chapter;
             152          (2) advertising or representing himself as practicing massage therapy when not licensed
             153      to do so; and
             154          (3) massaging, touching, or applying any instrument or device [to the following areas of
             155      the body] by a licensee in the course of practicing or engaging in massage therapy to:
             156          (a) genitals or anus; and
             157          (b) breasts of a female patron, except [in cases in which the] when a female patron [states
             158      to a licensee that the patron] requests therapeutic breast massage, as may be further defined by
             159      division rule, and signs a written consent form authorizing the [licensee to perform breast massage]
             160      procedure and outlining the reason for it before the procedure is performed.
             161          Section 5. Section 58-47b-503 is amended to read:
             162           58-47b-503. Penalties.
             163          [(1) Each violation of this chapter, other than a violation of Section 58-47b-501 , is a class
             164      B misdemeanor.]
             165          [(2) Any] (1) Except as provided in Subsection (2), any individual who commits an act
             166      of unlawful conduct under Section 58-47b-501 is guilty of a class A misdemeanor.
             167          (2) Sexual conduct that violates Section 58-47b-501 and Title 76, Criminal Code, shall be
             168      subject to the applicable penalties in Title 76.


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