1     
MASSAGE THERAPY PRACTICE ACT AMENDMENTS

2     
2022 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Curtis S. Bramble

5     
House Sponsor: ____________

6     

7     LONG TITLE
8     General Description:
9          This bill amends the Massage Therapy Practice Act.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     creates a license classification for a certified massage practitioner;
14          ▸     establishes the qualifications and scope of practice for a certified massage
15     practitioner;
16          ▸     modifies massage therapist and massage apprentice exam requirements;
17          ▸     allows a massage therapist to supervise up to six massage apprentices; and
18          ▸     makes technical and conforming changes.
19     Money Appropriated in this Bill:
20          None
21     Other Special Clauses:
22          None
23     Utah Code Sections Affected:
24     AMENDS:
25          58-47b-102, as last amended by Laws of Utah 2012, Chapter 34
26          58-47b-301, as last amended by Laws of Utah 2013, Chapter 278
27          58-47b-302, as last amended by Laws of Utah 2020, Chapter 339

28          58-47b-304, as last amended by Laws of Utah 2021, Chapter 403
29     

30     Be it enacted by the Legislature of the state of Utah:
31          Section 1. Section 58-47b-102 is amended to read:
32          58-47b-102. Definitions.
33          In addition to the definitions in Section 58-1-102, as used in this chapter:
34          (1) "Board" means the Board of Massage Therapy created in Section 58-47b-201.
35          (2) "Breast" means the female mammary gland and does not include the muscles,
36     connective tissue, or other soft tissue of the upper chest.
37          (3) "Certified massage practitioner" means an individual licensed under this chapter as
38     a certified massage practitioner to engage in the practice of limited massage therapy while
39     working under the direct supervision of:
40          (a) a massage therapist;
41          (b) a physician licensed under Chapter 67, Utah Medical Practice Act;
42          (c) an osteopathic physician licensed under Chapter 68, Utah Osteopathic Medical
43     Practice Act;
44          (d) a chiropractic physician licensed under Chapter 73, Chiropractic Physician Practice
45     Act;
46          (e) an acupuncturist licensed under Chapter 72, Acupuncture Licensing Act; or
47          (f) a physical therapist licensed under Chapter 24b, Physical Therapy Practice Act.
48          [(3)] (4) "Homeostasis" means maintaining, stabilizing, or returning to equilibrium the
49     muscular system.
50          [(4)] (5) "Massage apprentice" means an individual licensed under this chapter as a
51     massage apprentice to work under the direct supervision of a licensed massage therapist.
52          [(5)] (6) "Massage therapist" means an individual licensed under this chapter as a
53     massage therapist.
54          (7) "Practice of limited massage therapy" means:
55          (a) the systematic manual or mechanical manipulation of the soft tissue of the body for
56     the purpose of:
57          (i) promoting the therapeutic health and well-being of a client;
58          (ii) enhancing the circulation of the blood and lymph;

59          (iii) relaxing and lengthening muscles;
60          (iv) relieving pain;
61          (v) restoring metabolic balance;
62          (vi) achieving homeostasis; or
63          (vii) other purposes;
64          (b) seated chair massage;
65          (c) body scrubs and body wraps;
66          (d) foot treatments and foot wraps;
67          (e) aromatherapy;
68          (f) reflexology;
69          (g) functional stretching; or
70          (h) in connection with an activity described in this Subsection (7), the use of:
71          (i) the hands;
72          (ii) a towel;
73          (iii) a stone;
74          (iv) a shell;
75          (v) a bamboo stick; or
76          (vi) an herbal ball compress.
77          [(6)] (8) "Practice of massage therapy" means:
78          (a) the examination, assessment, and evaluation of the soft tissue structures of the body
79     for the purpose of devising a treatment plan to promote homeostasis;
80          (b) the systematic manual or mechanical manipulation of the soft tissue of the body for
81     the purpose of:
82          (i) promoting the therapeutic health and well-being of a client;
83          (ii) enhancing the circulation of the blood and lymph;
84          (iii) relaxing and lengthening muscles;
85          (iv) relieving pain;
86          (v) restoring metabolic balance;
87          (vi) achieving homeostasis; or
88          (vii) other purposes;
89          (c) the use of the hands or a mechanical or electrical apparatus in connection with this

90     Subsection [(6)] (8);
91          (d) the use of rehabilitative procedures involving the soft tissue of the body;
92          (e) range of motion or movements without spinal adjustment as set forth in Section
93     58-73-102;
94          (f) oil rubs, heat lamps, salt glows, hot and cold packs, or tub, shower, steam, and
95     cabinet baths;
96          (g) manual traction and stretching exercise;
97          (h) correction of muscular distortion by treatment of the soft tissues of the body;
98          (i) counseling, education, and other advisory services to reduce the incidence and
99     severity of physical disability, movement dysfunction, and pain;
100          (j) similar or related activities and modality techniques;
101          (k) the practice described in this Subsection [(6)] (8) on an animal to the extent
102     permitted by:
103          (i) Subsection 58-28-307(12);
104          (ii) the provisions of this chapter; and
105          (iii) division rule; or
106          (l) providing, offering, or advertising a paid service using the term massage or a
107     derivative of the word massage, regardless of whether the service includes physical contact.
108          [(7)] (9) "Soft tissue" means the muscles and related connective tissue.
109          [(8)] (10) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-47b-501.
110          [(9)] (11) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-47b-502
111     and as may be further defined by division rule.
112          Section 2. Section 58-47b-301 is amended to read:
113          58-47b-301. Licensure required.
114          (1) An individual shall hold a license issued under this chapter in order to engage in the
115     practice of massage therapy or the practice of limited massage therapy, except as specifically
116     provided in Section 58-1-307 or 58-47b-304.
117          (2) An individual shall have a license in order to:
118          (a) represent [himself] oneself as a massage therapist [or], massage apprentice, or
119     certified massage practitioner;
120          (b) represent [himself] oneself as providing a service that is within the practice of

121     massage therapy or the practice of limited massage therapy or use the word massage or any
122     other word to describe [such] the services; or
123          (c) charge or receive a fee or any consideration for providing a service that is within the
124     practice of massage therapy or the practice of limited massage therapy.
125          Section 3. Section 58-47b-302 is amended to read:
126          58-47b-302. License classifications -- Qualifications for licensure.
127          (1) The division shall issue licenses under this chapter in the classifications of:
128          (a) massage therapist; [and]
129          (b) massage apprentice[.]; and
130          (c) certified massage practitioner.
131          (2) Each applicant for licensure as a massage therapist shall:
132          (a) submit an application in a form prescribed by the division;
133          (b) pay a fee determined by the department under Section 63J-1-504;
134          (c) be 18 years [of age] old or older;
135          (d) have either:
136          (i) (A) graduated from a school of massage having a curriculum which meets standards
137     established by division rule made in collaboration with the board; or
138          (B) completed equivalent education and training in compliance with division rule; or
139          (ii) completed a massage apprenticeship program consisting of a minimum of 1,000
140     hours of supervised training over a minimum of 12 months and in accordance with standards
141     established by the division by rule made in collaboration with the board; and
142          (e) pass [examinations]:
143          (i) the Federation of State Massage Therapy Boards Massage and Bodywork Licensing
144     Examination, taken with an in-person or online proctor; or
145          (ii) any other examination established by rule by the division in collaboration with the
146     board.
147          (3) Each applicant for licensure as a massage apprentice shall:
148          (a) submit an application in a form prescribed by the division;
149          (b) pay a fee determined by the department under Section 63J-1-504;
150          (c) be 18 years [of age] old or older;
151          (d) provide satisfactory evidence to the division that the individual will practice as a

152     massage apprentice only under the direct supervision of a licensed massage therapist in good
153     standing and who has engaged in the lawful practice of massage therapy as a licensed massage
154     therapist for not less than 6,000 hours; and
155          (e) successfully complete [an]:
156          (i) the Federation of Massage Therapy Boards Massage and Bodywork Licensing
157     Examination, taken with an in-person or online proctor; or
158          (ii) any other examination as required by division rule.
159          (4) Each applicant for licensure as a certified massage practitioner shall:
160          (a) submit an application in a form prescribed by the division;
161          (b) pay a fee determined by the department in accordance with Section 63J-1-504;
162          (c) be 18 years old or older; and
163          (d) provide satisfactory evidence to the division that the individual will practice as a
164     certified massage practitioner only under the supervision of an individual described in
165     Subsections 58-47b-102(3)(a) through (f) who has:
166          (i) at least three years of experience as a licensee; and
167          (ii) engaged in the lawful practice of massage therapy for at least 3,000 hours.
168          (5) A licensed massage therapist may supervise up to six licensed massage apprentices
169     at one time.
170          [(4)] (6) (a) [Any] Each new massage therapist [or], massage apprentice, or certified
171     massage practitioner applicant shall submit fingerprint cards in a form acceptable to the
172     division at the time the license application is filed and shall consent to a fingerprint background
173     check by the Utah Bureau of Criminal Identification and the Federal Bureau of Investigation
174     regarding the application.
175          (b) The division shall request the Department of Public Safety to complete a Federal
176     Bureau of Investigation criminal background check for each new massage therapist [or],
177     massage apprentice, or certified massage practitioner applicant through the national criminal
178     history system (NCIC) or any successor system.
179          (c) The cost of the background check and the fingerprinting shall be borne by the
180     applicant.
181          [(5)] (7) (a) [Any] A new massage therapist [or], massage apprentice, or certified
182     massage practitioner license issued under this section shall be conditional, pending completion

183     of the criminal background check. If the criminal background check discloses the applicant has
184     failed to accurately disclose a criminal history, the license shall be immediately and
185     automatically revoked.
186          (b) [Any] A person whose conditional license has been revoked under Subsection [(5)]
187     (7)(a) shall be entitled to a post-revocation hearing to challenge the revocation. The hearing
188     shall be conducted in accordance with Title 63G, Chapter 4, Administrative Procedures Act.
189          [(6)] (8) An applicant who successfully completes a fingerprint background check
190     under Subsection [(4)] (6) may not be required by any other state or local government body to
191     submit to a second fingerprint background check as a condition of lawfully practicing massage
192     therapy or limited massage therapy in this state.
193          Section 4. Section 58-47b-304 is amended to read:
194          58-47b-304. Exemptions from licensure.
195          (1) In addition to the exemptions from licensure in Section 58-1-307, the following
196     individuals may engage in the practice of massage therapy or the practice of limited massage
197     therapy as defined under this chapter, subject to the stated circumstances and limitations,
198     without being licensed, but may not represent themselves as a massage therapist [or], massage
199     apprentice, or certified massage practitioner:
200          (a) a physician or surgeon licensed under Chapter 67, Utah Medical Practice Act;
201          (b) a physician assistant licensed under Chapter 70a, Utah Physician Assistant Act;
202          (c) a nurse licensed under Chapter 31b, Nurse Practice Act, or under Chapter 44a,
203     Nurse Midwife Practice Act;
204          (d) a physical therapist licensed under Chapter 24b, Physical Therapy Practice Act;
205          (e) a physical therapist assistant licensed under Chapter 24b, Physical Therapy Practice
206     Act, while under the general supervision of a physical therapist;
207          (f) an osteopathic physician or surgeon licensed under Chapter 68, Utah Osteopathic
208     Medical Practice Act;
209          (g) a chiropractic physician licensed under Chapter 73, Chiropractic Physician Practice
210     Act;
211          (h) a hospital staff member employed by a hospital, who practices massage as part of
212     the staff member's responsibilities;
213          (i) an athletic trainer licensed under Chapter 40a, Athletic Trainer Licensing Act;

214          (j) a student in training enrolled in a massage therapy school approved by the division;
215          (k) a naturopathic physician licensed under Chapter 71, Naturopathic Physician
216     Practice Act;
217          (l) (i) an occupational therapist licensed under Chapter 42a, Occupational Therapy
218     Practice Act; and
219          (ii) an occupational therapy assistant licensed under Chapter 42a, Occupational
220     Therapy Practice Act, while under the general supervision of an occupational therapist;
221          (m) an individual performing gratuitous massage; and
222          (n) an individual:
223          (i) certified by or through, and in good standing with, an industry organization that is
224     recognized by the division and that represents a profession with established standards and
225     ethics:
226          (A) who is certified to practice reflexology and whose practice is limited to the scope
227     of practice of reflexology;
228          (B) who is certified to practice a type of zone therapy, including foot zone therapy, and
229     whose practice is limited to the scope of practice for which the individual is certified;
230          (C) who is certified to practice ortho-bionomy and whose practice is limited to the
231     scope of practice of ortho-bionomy;
232          (D) who is certified to practice bowenwork and whose practice is limited to the scope
233     of practice of bowenwork; or
234          (E) who is certified to practice a type of brain integration and whose practice is limited
235     to the scope of practice for which the individual is certified;
236          (ii) whose clients remain fully clothed from the shoulders to the knees; and
237          (iii) whose clients do not receive gratuitous massage from the individual.
238          (2) This chapter may not be construed to authorize any individual licensed under this
239     chapter to engage in any manner in the practice of medicine as defined by the laws of this state.
240          (3) This chapter may not be construed to:
241          (a) require insurance coverage or reimbursement for massage therapy or limited
242     massage therapy from third party payors; or
243          (b) prevent an insurance carrier from offering coverage for massage therapy or limited
244     massage therapy.