Alabama 2025 Regular Session

Alabama Senate Bill SB253 Compare Versions

Only one version of the bill is available at this time.

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1	1	SB253INTRODUCED
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3	3	SB253
4	4	5VCELM6-1
5	5	By Senators Gudger, Elliott
6	6	RFD: County and Municipal Government
7	7	First Read: 18-Mar-25
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12	12	5 5VCELM6-1 03/12/2025 KMS (L)KMS 2025-1227
13	13	Page 1
14	14	First Read: 18-Mar-25
15	15	SYNOPSIS:
16	16	Under existing law, the existance and
17	17	functioning of the Alabama Massage Therapy Licensing
18	18	Board is under the temporary jurisdiction of the Board
19	19	of Nursing and the Executive Director of the Board of
20	20	Nursing.
21	21	This bill would authorize the Executive Director
22	22	of the Board of Nursing to designate an individual to
23	23	perform certain powers, duties, and functions of the
24	24	Alabama Massage Therapy Licensing Board on behalf of
25	25	the executive director.
26	26	This bill would define what constitutes an
27	27	emergency order and provide further for other
28	28	definitions.
29	29	This bill would clarify that an individual
30	30	practicing massage therapy pursuant to a temporary
31	31	permit issued by the board is exempt from regulation by
32	32	the board; and would change the annual meeting month of
33	33	the board from October to November.
34	34	This bill would require a majority vote of the
35	35	membership of the board to discipline a licensee, would
36	36	delete temporary or transitional provisions, and would
37	37	provide further for the duties of the board.
38	38	This bill would provide further for the
39	39	qualifications for licensing and the contents of an
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69	69	qualifications for licensing and the contents of an
70	70	application, for requirements for the provision of
71	71	outcall massage therapy services, and for the
72	72	inspections of massage therapy establishments.
73	73	This bill would authorize the board, by rule, to
74	74	establish and collect reasonable fees.
75	75	This bill would provide further for
76	76	investigations, discipline, and the fingerprinting of
77	77	licensees and applicants for licensing.
78	78	This bill would provide for the issuance of an
79	79	emergency order suspending the operation of a massage
80	80	therapy establishment and the enforcement, hearing
81	81	process, legal fees, and fines associated with an
82	82	emergency order.
83	83	This bill would also provide further for massage
84	84	therapy schools.
85	85	A BILL
86	86	TO BE ENTITLED
87	87	AN ACT
88	88	Relating to the Alabama Massage Therapy Licensing Board
89	89	under the temporary jurisdiction of the Board of Nursing; to
90	90	amend Section 2 of Act 2024-361, 2024 Regular Session; to
91	91	authorize the Executive Director of the Board of Nursing to
92	92	designate an individual to preform certain powers, duties, and
93	93	functions of the Alabama Massage Therapy Licensing Board on
94	94	behalf of the executive director; to amend Act 2024-361, 2024
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124	124	behalf of the executive director; to amend Act 2024-361, 2024
125	125	Regular Session, now appearing as Sections 34-43A-2, 34-43A-3,
126	126	34-43A-4, 34-43A-5, 34-43A-6, 34-43A-7, 34-43A-8, 34-43A-9,
127	127	34-43A-10, 34-43A-12, 34-43A-13, 34-43A-14, 34-43A-16, and
128	128	34-43A-18, Code of Alabama 1975, to define what constitutes an
129	129	emergency order and provide further for definitions; to
130	130	clarify that an individual practicing massage therapy pursuant
131	131	to a temporary permit issued by the board is exempt from
132	132	regulation; to change the annual meeting month of the board
133	133	from October to November; to require a majority vote of the
134	134	board to discipline a licensee; to delete temporary or
135	135	transitional provisions; to provide further for the duties of
136	136	the board; to provide further for the qualifications for
137	137	licensing and the contents of an application; to provide
138	138	further for outcall massage therapy services and the
139	139	inspections of massage therapy establishments; to authorize
140	140	the board, by rule, to establish and collect reasonable fees;
141	141	to provide further for investigations, discipline, and
142	142	fingerprinting of licensees and applicants for licensing; to
143	143	provide for the issuance of an emergency order suspending the
144	144	operation of a massage therapy establishment and the
145	145	enforcement, hearing process, legal fees, and fines associated
146	146	with an emergency order; and to provide further for massage
147	147	therapy schools.
148	148	BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:
149	149	Section 1. Section 2 of Act 2024-361, 2024 Regular
150	150	Session, is amended to read as follows:
151	151	"Section 2. (a) The existence and functioning of the
152	152	Alabama Board of Massage Therapy, created and functioning
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182	182	Alabama Board of Massage Therapy, created and functioning
183	183	pursuant to Chapter 43 of Title 34, Code of Alabama 1975, is
184	184	terminated, and those code sections are expressly repealed.
185	185	(b)(1) Commencing on June 1, 2024, the Alabama Board of
186	186	Massage Therapy shall be reconstituted as the Alabama Massage
187	187	Therapy Licensing Board and all powers, duties, and functions
188	188	of the new board shall be temporarily assumed and performed by
189	189	the Board of Nursing pending the reconstitution of the Alabama
190	190	Massage Therapy Licensing Board as provided in Chapter 43A of
191	191	Title 34, Code of Alabama 1975. Additionally, commencing on
192	192	June 1, 2024, the Executive Officer of the Board of Nursing ,
193	193	or his or her designee, shall temporarily assume and perform
194	194	all duties, responsibilities, and functions of the position of
195	195	an executive director for the Alabama Massage Therapy
196	196	Licensing Board, as defined in Section 34-43A-2, Code of
197	197	Alabama 1975, pending the appointment of an executive director
198	198	by the new Alabama Massage Therapy Licensing Board.
199	199	(2) During the temporary transfer commencing on June 1,
200	200	2024, all personnel of the Board of Nursing may act as agents
201	201	of and may perform those duties, responsibilities, and
202	202	functions determined necessary by the Executive Officer of the
203	203	Board of Nursing , or his or her designee, to support the
204	204	Alabama Massage Therapy Licensing Board, created in Chapter
205	205	43A of Title 34, Code of Alabama 1975, until those duties,
206	206	responsibilities, and functions temporarily assumed by the
207	207	Executive Officer of the Board of Nursing , or his or her
208	208	designee, pursuant to subdivision (1) are transferred to the
209	209	executive director of the newly reconstituted Alabama Massage
210	210	Therapy Licensing Board pursuant to subdivision (3). During
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240	240	Therapy Licensing Board pursuant to subdivision (3). During
241	241	the temporary transfer the Board of Nursing, on behalf of the
242	242	Alabama Massage Therapy Licensing Board, may employ and train
243	243	individuals subject to the state Merit System for the Alabama
244	244	Massage Therapy Licensing Board.
245	245	(3) All powers, duties, and functions temporarily
246	246	assumed and performed by the Board of Nursing and the
247	247	Executive Officer of the Board of Nursing , or his or her
248	248	designee, pursuant to subdivision (1), shall be transferred to
249	249	the Alabama Massage Therapy Licensing Board, as created by
250	250	Chapter 43A of Title 34, Code of Alabama 1975, on or before
251	251	October 1, 2026.
252	252	Section 2. Act 2024-361, 2024 Regular Session, now
253	253	appearing in part as Sections 34-43A-2, 34-43A-3, 34-43A-4,
254	254	34-43A-5, 34-43A-6, 34-43A-7, 34-43A-8, 34-43A-9, 34-43A-10,
255	255	34-43A-12, 34-43A-13, 34-43A-14, 34-43A-16, and 34-43A-18 of
256	256	the Code of Alabama 1975, is amended to read as follows:
257	257	"§34-43A-2
258	258	For purposes of this chapter, the following terms have
259	259	the following meanings:
260	260	(1) ADVERTISE. To distribute a card, flier, sign, or
261	261	device to any individual or entity, or allow any sign or
262	262	marking on any building, radio, television, or to publicize by
263	263	any other means designed to attract public attention.
264	264	(2) BOARD. The Alabama Massage Therapy Licensing Board
265	265	created by this chapter.
266	266	(3) EMERGENCY ORDER. The immediate suspension of a
267	267	license without a hearing when the board determines that
268	268	public safety is at immediate risk. An emergency order
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298	298	public safety is at immediate risk. An emergency order
299	299	requires a licensee to cease practice pending a formal
300	300	hearing. The term may also be referred to as the summary
301	301	suspension of a license.
302	302	(3)(4) EXAMINATION. The National Certification Board
303	303	for Therapeutic Massage and Bodywork Examination or the
304	304	Federation of State Massage Therapy Board's Massage and
305	305	Bodywork Licensing Examination administered by an independent
306	306	agency or another nationally or internationally accredited
307	307	examination administered by an independent agency approved by
308	308	the board, or state examination administered by the board or,
309	309	at the discretion of the board, a state examination
310	310	administered by the appropriate regulating body for massage
311	311	therapy located in another state . The national examination
312	312	shall be accredited by the National Commission for Certifying
313	313	Agencies. The board may also administer a written, oral, or
314	314	practical examination.
315	315	(4)(5) EXECUTIVE DIRECTOR. The Executive Director of
316	316	the Alabama Massage Therapy Licensing Board.
317	317	(5)(6) LICENSE. The credential issued by the board
318	318	which allows the holder to engage in the safe and ethical
319	319	practice of massage therapy.
320	320	(6)(7) MASSAGE THERAPIST. An individual licensed
321	321	pursuant to this chapter who practices or administers massage
322	322	therapy or related touch therapy modalities to a client for
323	323	compensation.
324	324	(7)(8) MASSAGE THERAPY ESTABLISHMENT. A site, premises,
325	325	or business licensed by the board where massage therapy is
326	326	practiced by a massage therapist.
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356	356	practiced by a massage therapist.
357	357	(8)(9) MASSAGE THERAPY INSTRUCTOR. A massage therapist
358	358	who is approved by the board to teach the practice of massage
359	359	therapy.
360	360	(9)(10) MASSAGE THERAPY or RELATED TOUCH THERAPY
361	361	MODALITIES. a. The mobilization of the soft tissue which may
362	362	include skin, fascia, tendons, ligaments, and muscles for the
363	363	purpose of establishing and maintaining good physical
364	364	condition.
365	365	b. The term includes effleurage, petrissage,
366	366	tapotement, compression, vibration, stretching, heliotherapy,
367	367	superficial hot and cold applications, topical applications,
368	368	or other therapy that involves movement either by hand,
369	369	forearm, elbow, or foot , or use of manual methods or
370	370	mechanical or electrical devices or tools that mimic or
371	371	enhance the action of human hands for the purpose of
372	372	therapeutic massage, and any massage, movement therapy,
373	373	massage technology, myotherapy, massotherapy, oriental massage
374	374	technique, structural integration, acupressure, or polarity
375	375	therapy.
376	376	c. The term may include the external application and
377	377	use of herbal or chemical preparations and lubricants
378	378	including, but not limited to, salts, powders, liquids,
379	379	nonprescription creams, cups, mechanical devices such as cups,
380	380	T-bars, thumpers, body support systems, heat lamps, hot and
381	381	cold packs, salt glow, steam cabinet baths, or hydrotherapy.
382	382	d. The term does not include laser therapy, microwave,
383	383	injection therapy, manipulation of the joints, or any
384	384	diagnosis or treatment of an illness that normally involves
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414	414	diagnosis or treatment of an illness that normally involves
415	415	the practice of medicine, chiropractic, physical therapy,
416	416	podiatry, nursing, midwifery, occupational therapy,
417	417	veterinary, acupuncture, osteopathy, orthopedics, hypnosis, or
418	418	naturopathics.
419	419	(10)(11) MASSAGE THERAPY SCHOOL. A school approved by
420	420	the board where massage therapy is taught and which is one of
421	421	the following:
422	422	a. If located in Alabama, approved by the board as
423	423	meeting the minimum established standards of training and
424	424	curriculum as determined by the board.
425	425	b. If located outside of Alabama, recognized by the
426	426	board and by a regionally recognized professional accrediting
427	427	body.
428	428	c. A postgraduate training institute accredited by the
429	429	Commission on Massage Therapy Accreditation.
430	430	(11)(12) SEXUALLY-ORIENTED BUSINESS. A sex parlor,
431	431	massage parlor, nude studio, modeling studio, love parlor,
432	432	adult bookstore, adult movie theater, adult video arcade,
433	433	adult motel, or other commercial enterprise which has the
434	434	offering for sale, rent, or exhibit, or the exhibit of, items
435	435	or services intended to provide sexual stimulation or sexual
436	436	gratification to the client.
437	437	(12)(13) STUDENT. Any individual who is enrolled in a
438	438	massage therapy school."
439	439	"§34-43A-3
440	440	Except as specifically provided by this chapter, no
441	441	individual may do any of the following unless licensed
442	442	pursuant to this chapter:
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472	472	pursuant to this chapter:
473	473	(1) Advertise that he or she performs massage therapy
474	474	or related touch therapy modalities.
475	475	(2) Hold himself or herself out to the public as a
476	476	massage therapist, using any name or description denoting
477	477	himself or herself as a massage therapist, or purporting to
478	478	have the skills necessary to perform massage therapy.
479	479	(3) Practice massage therapy on the general public for
480	480	compensation."
481	481	"§34-43A-4
482	482	(a) The following individuals, offices, and
483	483	establishments are exempt from this chapter:
484	484	(1) A student who is rendering massage therapy services
485	485	under the supervision of a massage therapy instructor , or any
486	486	other supervisory arrangement recognized and approved by the
487	487	board, including, but not limited to, a temporary permit . A
488	488	student shall be designated by title clearly indicating his or
489	489	her training status.
490	490	(2) An individual practicing massage therapy pursuant
491	491	to a temporary permit issued by the board.
492	492	(2)(3) A qualified member of another profession who is
493	493	licensed and regulated under state law while in the course of
494	494	rendering services which are within the scope of his or her
495	495	license, provided that the individual does not represent
496	496	himself or herself as a massage therapist.
497	497	(3)(4) An individual providing massages to his or her
498	498	immediate family.
499	499	(4)(5) An individual offering massage therapy
500	500	instruction who is visiting from another state, territory, or
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530	530	instruction who is visiting from another state, territory, or
531	531	country, provided that the individual is licensed or
532	532	registered as required in his or her place of residence. A
533	533	visiting instructor may teach continuing education courses in
534	534	this state for up to 100 hours per year without being licensed
535	535	by the board. A visiting instructor who teaches continuing
536	536	education courses in this state for 100 hours or more per year
537	537	is required to be licensed by the board.
538	538	(5)(6) Members of the Massage Emergency Rescue Team
539	539	(MERT), or any other nationally or internationally recognized
540	540	disaster relief association, who practice massage therapy in
541	541	this state only during a time declared by the Governor or the
542	542	Legislature to be a city, county, or state emergency. These
543	543	therapists may work in this state for a period of time
544	544	approved by the board.
545	545	(6)(7) A Native American healer using traditional
546	546	healing practices. A Native American healer who applies to the
547	547	board for a massage therapist license shall comply with all
548	548	licensing requirements.
549	549	(7)(8) An individual acting under the supervision of
550	550	and pursuant to delegation from a physician, a physical
551	551	therapist, or a chiropractor for whom the delegated acts are
552	552	within the scope of his or her the license of the physician,
553	553	physical therapist, or chiropractor , provided that the
554	554	individual does not represent himself or herself as a massage
555	555	therapist.
556	556	(8)(9) The office of a chiropractor, physician, or
557	557	physical therapist which employs or contracts with a massage
558	558	therapist who to provide massage therapy at the physical
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588	588	therapist who to provide massage therapy at the physical
589	589	location of the office is exempt from an establishment
590	590	license.
591	591	(b) Nothing in this chapter shall be construed to
592	592	authorize massage therapists to administer, dispense, or
593	593	prescribe drugs or engage in the practice of medicine in any
594	594	manner, including, but not limited to, nutrition, diagnosing
595	595	or prescribing drugs for mental, emotional, or physical
596	596	disease, illness, or injury."
597	597	"§34-43A-5
598	598	(a)(1) There is created the Alabama Massage Therapy
599	599	Licensing Board. The purpose of the board is to protect the
600	600	health, safety, and welfare of the public by ensuring that
601	601	massage therapists, massage therapy schools, massage therapy
602	602	establishments, and massage therapy instructors meet
603	603	prescribed standards of education, competency, and practice.
604	604	To accomplish this mission, the board shall establish
605	605	standards to ensure completion of all board functions in a
606	606	timely and effective manner and to provide open and immediate
607	607	access to all relevant public information. The board shall
608	608	communicate its responsibilities and services to the public as
609	609	part of its consumer protection duties. The board shall
610	610	develop and implement a long range plan to ensure effective
611	611	regulation and consumer protection.
612	612	(2) All rights, duties, records, property, real or
613	613	personal, and all other effects existing in the name of the
614	614	Alabama Board of Massage Therapy, formerly created and
615	615	functioning pursuant to Chapter 43, or in any other name by
616	616	which that board has been known, shall continue in the name of
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646	646	which that board has been known, shall continue in the name of
647	647	the Alabama Massage Therapy Licensing Board. Any reference to
648	648	the former Alabama Board of Massage Therapy, or any other name
649	649	by which that board has been known, in any existing law,
650	650	contract, or other instrument shall constitute a reference to
651	651	the Alabama Massage Therapy Licensing Board as created in this
652	652	chapter. All actions of the former Alabama Board of Massage
653	653	Therapy or the executive director of the former board taken
654	654	prior to June 1, 2024, are approved, ratified, and confirmed.
655	655	(3) The status of any individual or entity properly
656	656	licensed, accredited, or registered by the former Alabama
657	657	Board of Massage Therapy on June 1, 2024, shall continue under
658	658	the jurisdiction of the Alabama Massage Therapy Licensing
659	659	Board. Any license, accreditation, or registration subject to
660	660	renewal on or before October 1, 2024, pursuant to this chapter
661	661	may be temporarily extended by six months unless and until
662	662	otherwise provided by rule of the board.
663	663	(b)(1) The board shall consist of the following nine
664	664	members:
665	665	a. Three active licensees appointed by the Governor.
666	666	b. Two active licensees appointed by the Lieutenant
667	667	Governor and one at-large member appointed by the Lieutenant
668	668	Governor.
669	669	c. Two active licensees appointed by the Speaker of the
670	670	House of Representatives and one at-large member appointed by
671	671	the Speaker of the House of Representatives.
672	672	(2) The seven active massage therapist licensee members
673	673	of the board shall be appointed so that not more than one
674	674	active licensee member from each United States Congressional
675	675	309
676	676	310
677	677	311
678	678	312
679	679	313
680	680	314
681	681	315
682	682	316
683	683	317
684	684	318
685	685	319
686	686	320
687	687	321
688	688	322
689	689	323
690	690	324
691	691	325
692	692	326
693	693	327
694	694	328
695	695	329
696	696	330
697	697	331
698	698	332
699	699	333
700	700	334
701	701	335
702	702	336 SB253 INTRODUCED
703	703	Page 13
704	704	active licensee member from each United States Congressional
705	705	District in the state is appointed to serve at the same time.
706	706	The two members appointed from the state at large shall have
707	707	never been licensed as massage therapists nor have had any
708	708	direct financial interest in the massage therapy profession.
709	709	One of the at-large members shall have extensive knowledge of
710	710	sex trafficking and related law enforcement efforts to defeat
711	711	sex trafficking. The at-large member appointed by the
712	712	Lieutenant Governor and the at-large member appointed by the
713	713	Speaker of the House of Representatives shall be appointed
714	714	from a list of three names each provided by the Minority
715	715	Leader of the Senate and the Minority Leader of the House of
716	716	Representatives, respectively. The appointing authorities
717	717	shall coordinate their appointments to assure the board
718	718	membership is inclusive and reflects the racial, gender,
719	719	geographic, urban, rural, and economic diversity of the state.
720	720	(3) The members initially appointed to the board shall
721	721	be appointed not later than July 1, 2024. Each board member
722	722	shall be selected upon personal merit and qualifications, not
723	723	per membership or affiliation with an association. Each board
724	724	member shall be a citizen of the United States and a resident
725	725	of this state for two years immediately preceding appointment.
726	726	No member of the board shall serve more than two full
727	727	consecutive terms.
728	728	(c) Of the initial nine appointees to the board, three
729	729	members shall be appointed for terms of two years, three
730	730	members shall be appointed for terms of three years, and three
731	731	members shall be appointed for terms of four years as
732	732	determined by lot. Thereafter, successors shall be appointed
733	733	337
734	734	338
735	735	339
736	736	340
737	737	341
738	738	342
739	739	343
740	740	344
741	741	345
742	742	346
743	743	347
744	744	348
745	745	349
746	746	350
747	747	351
748	748	352
749	749	353
750	750	354
751	751	355
752	752	356
753	753	357
754	754	358
755	755	359
756	756	360
757	757	361
758	758	362
759	759	363
760	760	364 SB253 INTRODUCED
761	761	Page 14
762	762	determined by lot. Thereafter, successors shall be appointed
763	763	for terms of four years, each term expiring on June 30.
764	764	(d) Vacancies on the board occurring prior to the
765	765	expiration of a term shall be filled by the original
766	766	appointing authority within 30 days after the vacancy to serve
767	767	for the remainder of the unexpired term. Each member of the
768	768	board shall serve until his or her successor has been duly
769	769	appointed and qualified.
770	770	(e) The board shall hold its first meeting within 30
771	771	days after the initial members are appointed. At the first
772	772	meeting and annually thereafter in the month of October
773	773	November, the board shall elect a chair and a vice chair from
774	774	its membership. The board shall hold no less than two biannual
775	775	meetings for the purpose of reviewing license applications per
776	776	year. The board may hold additional meetings at the discretion
777	777	of the chair and four members of the board. A quorum of the
778	778	board shall be a majority of the current appointed board
779	779	members. Upon the written request of any individual, submitted
780	780	to the board at least 24 hours in advance of a scheduled
781	781	meeting, the meeting shall be recorded electronically, and a
782	782	copy of the recording shall be made available, upon request,
783	783	for 30 calendar days following the date of the recording.
784	784	(f) Board members shall not receive compensation for
785	785	their services, but shall receive the same per diem and
786	786	allowance as provided to state employees for each day the
787	787	board meets and conducts business.
788	788	(g)(1) Commencing on September 30, 2026, the board may
789	789	employ, and at its pleasure discharge, an executive director
790	790	in the unclassified service, officers, and employees subject
791	791	365
792	792	366
793	793	367
794	794	368
795	795	369
796	796	370
797	797	371
798	798	372
799	799	373
800	800	374
801	801	375
802	802	376
803	803	377
804	804	378
805	805	379
806	806	380
807	807	381
808	808	382
809	809	383
810	810	384
811	811	385
812	812	386
813	813	387
814	814	388
815	815	389
816	816	390
817	817	391
818	818	392 SB253 INTRODUCED
819	819	Page 15
820	820	in the unclassified service, officers, and employees subject
821	821	to the state Merit System as necessary to implement this
822	822	chapter.
823	823	(2) When necessary, the board may retain outside
824	824	counsel who satisfies the qualifications required of a deputy
825	825	attorney general.
826	826	(h) An affirmative vote of a majority of the members of
827	827	the board shall be required to grant deny, suspend, or revoke,
828	828	probate, reprimand, or otherwise discipline a licensee holding
829	829	a license to practice massage therapy or a license to operate
830	830	a massage therapy establishment.
831	831	(i) The board shall be financed only from income
832	832	accruing to the board from fees, licenses, other charges and
833	833	funds collected by the board, and any monies that are
834	834	appropriated to the board by the Legislature.
835	835	(j) A board member may be removed at the request of the
836	836	board for misfeasance, malfeasance, neglect of duty,
837	837	commission of a felony, incompetence, permanent inability to
838	838	perform official duties, or failing to attend two consecutive
839	839	properly noticed meetings within a one-year period.
840	840	(k) Members of the board are immune from liability for
841	841	all good faith acts performed in the execution of their duties
842	842	as members of the board.
843	843	(l) Appointees to the board shall take the
844	844	constitutional oath of office and shall file the oath in the
845	845	office of the Governor before undertaking any duties as a
846	846	board member. Upon receiving the oath, the Governor shall
847	847	issue a certificate of appointment to each appointee. "
848	848	"§34-43A-6
849	849	393
850	850	394
851	851	395
852	852	396
853	853	397
854	854	398
855	855	399
856	856	400
857	857	401
858	858	402
859	859	403
860	860	404
861	861	405
862	862	406
863	863	407
864	864	408
865	865	409
866	866	410
867	867	411
868	868	412
869	869	413
870	870	414
871	871	415
872	872	416
873	873	417
874	874	418
875	875	419
876	876	420 SB253 INTRODUCED
877	877	Page 16
878	878	"§34-43A-6
879	879	(a) The board shall do all of the following:
880	880	(1) Qualify applicants to take the licensing
881	881	examination Establish qualifications for licensing and issue
882	882	licenses to successful applicants.
883	883	(2) Adopt a seal and affix the seal to all licenses
884	884	issued by the board. All licenses shall be on pre-printed,
885	885	sequentially numbered certification forms.
886	886	(3) Create application forms for examination and
887	887	licensing and assess and collect fees pursuant to this
888	888	chapter.
889	889	(4) Maintain a complete record of all massage
890	890	therapists and annually prepare a roster of the names and
891	891	addresses license numbers of those licensees. A copy of the
892	892	roster shall be provided to any individual upon request and
893	893	the payment of a fee established by the board in an amount
894	894	sufficient to cover the costs of publication and distribution.
895	895	(5) Provide for the investigation of any individual or
896	896	entity who is suspected of violating this chapter.
897	897	(6) Adopt and revise rules as necessary to implement
898	898	this chapter pursuant to the Administrative Procedure Act. All
899	899	administrative rules of the former Alabama Board of Massage
900	900	Therapy existing on June 1, 2024, which reference Chapter 43,
901	901	unless in conflict with existing law, shall remain in effect
902	902	as rules of the Alabama Massage Therapy Licensing Board until
903	903	amended or repealed by that board.
904	904	(7) Provide a copy of this chapter, upon request, to
905	905	any licensee or applicant for a license.
906	906	(8) By rule, require massage therapists, massage
907	907	421
908	908	422
909	909	423
910	910	424
911	911	425
912	912	426
913	913	427
914	914	428
915	915	429
916	916	430
917	917	431
918	918	432
919	919	433
920	920	434
921	921	435
922	922	436
923	923	437
924	924	438
925	925	439
926	926	440
927	927	441
928	928	442
929	929	443
930	930	444
931	931	445
932	932	446
933	933	447
934	934	448 SB253 INTRODUCED
935	935	Page 17
936	936	(8) By rule, require massage therapists, massage
937	937	therapy establishments, and massage therapy schools to carry
938	938	professional and general liability insurance with an "A" rated
939	939	or better insurance carrier in the amount of at least one
940	940	million dollars ($1,000,000). Proof of coverage shall be
941	941	provided to the board upon request.
942	942	(9) Perform other functions necessary and proper for
943	943	the performance of official duties.
944	944	(b) The board may do any of the following:
945	945	(1) Accept or deny the application of any individual
946	946	Adopt and from time to time revise rules, not inconsistent
947	947	with law, as may be necessary to implement this chapter.
948	948	(2) Examine, license, and renew the licenses of
949	949	qualified applicants applying for a license as a massage
950	950	therapist upon an affirmative vote of a majority of the board ,
951	951	massage therapy establishment, or massage therapy instructor .
952	952	(3) Conduct investigations, hearings, and proceedings
953	953	concerning alleged violations of this chapter or rules adopted
954	954	pursuant to this chapter.
955	955	(4) Issue subpoenas, compel the attendance of
956	956	witnesses, and administer oaths to individuals giving
957	957	testimony at hearings.
958	958	(5) Pursue the prosecution of any individual who
959	959	violates this chapter and incur necessary related expenses.
960	960	(6) Keep a public record of all proceedings.
961	961	(7) Prescribe standards and approve curricula for
962	962	educational programs that prepare individuals for licensing
963	963	under this chapter.
964	964	(8) Provide for surveys and evaluations of educational
965	965	449
966	966	450
967	967	451
968	968	452
969	969	453
970	970	454
971	971	455
972	972	456
973	973	457
974	974	458
975	975	459
976	976	460
977	977	461
978	978	462
979	979	463
980	980	464
981	981	465
982	982	466
983	983	467
984	984	468
985	985	469
986	986	470
987	987	471
988	988	472
989	989	473
990	990	474
991	991	475
992	992	476 SB253 INTRODUCED
993	993	Page 18
994	994	(8) Provide for surveys and evaluations of educational
995	995	programs as the board determines necessary.
996	996	(2)(9) By rule, establish criteria for certifying
997	997	massage therapy instructors.
998	998	(3)(10) Adopt an annual budget and authorize necessary
999	999	expenditures from fees and other available appropriations. The
1000	1000	expenditures of the board may not exceed the revenues of the
1001	1001	board in any fiscal year.
1002	1002	(4)(11) Adopt a code of ethics for massage therapists,
1003	1003	massage therapy instructors, and massage therapy
1004	1004	establishments.
1005	1005	(5)(12) Provide for the inspection of the business
1006	1006	premises of any licensee , applicant, or individual or entity
1007	1007	advertising, offering to perform, or performing massage
1008	1008	therapy in the state during normal business hours , upon
1009	1009	complaint.
1010	1010	(6)(13) Establish standards for approved massage
1011	1011	therapy schools and a list of approved massage therapy
1012	1012	schools."
1013	1013	"§34-43A-7
1014	1014	(a) No individual may perform the duties of a massage
1015	1015	therapist in this state unless he or she holds a valid license
1016	1016	issued by the board.
1017	1017	(b) A massage therapist may not perform massage therapy
1018	1018	for a sexually-oriented business, and shall be subject to
1019	1019	Article 3 of Chapter 12 of Title 13A.
1020	1020	(c) A massage therapist may not advertise or offer to
1021	1021	perform services outside the scope of his or her expertise,
1022	1022	experience, and education for any client who is ill or has a
1023	1023	477
1024	1024	478
1025	1025	479
1026	1026	480
1027	1027	481
1028	1028	482
1029	1029	483
1030	1030	484
1031	1031	485
1032	1032	486
1033	1033	487
1034	1034	488
1035	1035	489
1036	1036	490
1037	1037	491
1038	1038	492
1039	1039	493
1040	1040	494
1041	1041	495
1042	1042	496
1043	1043	497
1044	1044	498
1045	1045	499
1046	1046	500
1047	1047	501
1048	1048	502
1049	1049	503
1050	1050	504 SB253 INTRODUCED
1051	1051	Page 19
1052	1052	experience, and education for any client who is ill or has a
1053	1053	physical dysfunction, unless the services are performed in
1054	1054	conjunction with a licensed physician, physical therapist, or
1055	1055	chiropractor.
1056	1056	(d) A massage therapist or massage therapy
1057	1057	establishment may not advertise or offer to perform services
1058	1058	on any sexually explicit website or online platform that
1059	1059	promotes prostitution, sexually explicit services, or human
1060	1060	trafficking.
1061	1061	(e) Unless exempt pursuant to Section 34-43A-4, a
1062	1062	massage therapist may only perform massage therapy services at
1063	1063	or through a licensed massage therapy establishment. If a
1064	1064	massage therapist is performing outcall massage therapy
1065	1065	services, those services shall be provided through a licensed
1066	1066	massage therapy establishment. "
1067	1067	"§34-43A-8
1068	1068	(a) An individual desiring to be licensed as a massage
1069	1069	therapist shall apply to the board on forms provided by the
1070	1070	board. Unless licensed pursuant to subsection (b), an
1071	1071	applicant for a license shall submit evidence satisfactory to
1072	1072	the board that he or she has met all of the following
1073	1073	requirements:
1074	1074	(1)a. Completed a minimum of 650 hours of instruction
1075	1075	which shall consist of all of the following:
1076	1076	1. One hundred hours of anatomy and physiology,
1077	1077	including 35 hours of myology, 15 hours of osteology, 10 hours
1078	1078	of circulatory system, and 10 hours of nervous system, with
1079	1079	the remaining 30 hours addressing other body systems at the
1080	1080	discretion of the massage therapy school.
1081	1081	505
1082	1082	506
1083	1083	507
1084	1084	508
1085	1085	509
1086	1086	510
1087	1087	511
1088	1088	512
1089	1089	513
1090	1090	514
1091	1091	515
1092	1092	516
1093	1093	517
1094	1094	518
1095	1095	519
1096	1096	520
1097	1097	521
1098	1098	522
1099	1099	523
1100	1100	524
1101	1101	525
1102	1102	526
1103	1103	527
1104	1104	528
1105	1105	529
1106	1106	530
1107	1107	531
1108	1108	532 SB253 INTRODUCED
1109	1109	Page 20
1110	1110	discretion of the massage therapy school.
1111	1111	2. Two hundred fifty hours of basic massage therapy,
1112	1112	the contradistinctions of massage therapy, and related touch
1113	1113	therapy modalities, including a minimum of 50 hours of
1114	1114	supervised massage.
1115	1115	3. Fifty hours of business, hydrotherapy, first aid,
1116	1116	cardiopulmonary resuscitation, professional ethics, and state
1117	1117	massage therapy laws.
1118	1118	4. Two hundred fifty hours of electives as determined
1119	1119	by the massage therapy school.
1120	1120	b. The board, by rule, may increase the minimum number
1121	1121	of hours of instruction required for a license, not to exceed
1122	1122	the number of hours recommended by the National Certification
1123	1123	Board for Therapeutic Massage and Bodywork.
1124	1124	(1) Successfully completed a course of instruction in
1125	1125	massage therapy which meets the minimum criteria established
1126	1126	by board rule for course content and hours of instruction.
1127	1127	c. In addition to paragraphs a. and b., to To perform
1128	1128	therapeutic massage on an animal, a massage therapist shall
1129	1129	have also graduated from a nationally approved program and
1130	1130	completed at least 100 hours of postgraduate training and
1131	1131	education in animal anatomy, pathology, and physiology for the
1132	1132	specific type of animal upon which he or she will perform
1133	1133	therapeutic massage.
1134	1134	(2) Successfully passed a state board exam or a
1135	1135	national standardized examination approved by the board. The
1136	1136	board may approve other state exams on a case-by-case basis.
1137	1137	(3) Completed a criminal history background check
1138	1138	pursuant to Section 34-43A-13(c). The board may deny or
1139	1139	533
1140	1140	534
1141	1141	535
1142	1142	536
1143	1143	537
1144	1144	538
1145	1145	539
1146	1146	540
1147	1147	541
1148	1148	542
1149	1149	543
1150	1150	544
1151	1151	545
1152	1152	546
1153	1153	547
1154	1154	548
1155	1155	549
1156	1156	550
1157	1157	551
1158	1158	552
1159	1159	553
1160	1160	554
1161	1161	555
1162	1162	556
1163	1163	557
1164	1164	558
1165	1165	559
1166	1166	560 SB253 INTRODUCED
1167	1167	Page 21
1168	1168	pursuant to Section 34-43A-13(c). The board may deny or
1169	1169	discipline an applicant who has been convicted of a felony or
1170	1170	of any crime arising out of or connected with the practice of
1171	1171	massage therapy.
1172	1172	(4) Paid all applicable fees.
1173	1173	(5) Additional requirements as provided by rule.
1174	1174	(b) Notwithstanding the requirements listed in
1175	1175	subdivisions (1) and (2) of subsection (a), the board may
1176	1176	license an applicant who is licensed or registered to practice
1177	1177	massage therapy in another state if the standards of practice
1178	1178	or licensing of that state, at the time the applicant was
1179	1179	originally licensed or registered, were equal to or stricter
1180	1180	than the requirements imposed by this chapter. All applicants
1181	1181	may be subject to an initial in-person board hearing
1182	1182	determined by at the discretion of the board.
1183	1183	(c) Upon receipt of an application, the board shall
1184	1184	notify the applicant that his or her application is pending
1185	1185	complete and shall also notify the applicant upon the approval
1186	1186	or rejection of his or her application. An application is not
1187	1187	complete until all components of the application have been
1188	1188	received and all criminal history information has been
1189	1189	delivered to the board. If an application is proposed to be
1190	1190	rejected, the board shall notify the applicant of the reasons
1191	1191	for the rejection the applicant shall be entitled to a hearing
1192	1192	on his or her application ."
1193	1193	"§34-43A-9
1194	1194	(a) No massage therapy establishment shall operate in
1195	1195	this state without a license issued by the board.
1196	1196	(b) A sexually-oriented business may not operate as a
1197	1197	561
1198	1198	562
1199	1199	563
1200	1200	564
1201	1201	565
1202	1202	566
1203	1203	567
1204	1204	568
1205	1205	569
1206	1206	570
1207	1207	571
1208	1208	572
1209	1209	573
1210	1210	574
1211	1211	575
1212	1212	576
1213	1213	577
1214	1214	578
1215	1215	579
1216	1216	580
1217	1217	581
1218	1218	582
1219	1219	583
1220	1220	584
1221	1221	585
1222	1222	586
1223	1223	587
1224	1224	588 SB253 INTRODUCED
1225	1225	Page 22
1226	1226	(b) A sexually-oriented business may not operate as a
1227	1227	massage therapy establishment or be licensed by the board
1228	1228	pursuant to this chapter.
1229	1229	(c) A massage therapy establishment shall contract with
1230	1230	or employ only licensed massage therapists to perform massage
1231	1231	therapy. Every Each establishment shall notify the board of
1232	1232	every massage therapist shall be registered with the board who
1233	1233	performs massage therapy at or through the massage therapy
1234	1234	establishment, and one of them those massage therapists shall
1235	1235	be designated as the individual who will ensure that the
1236	1236	massage therapy establishment complies with state law and all
1237	1237	applicable administrative rules.
1238	1238	(d) A massage therapy establishment license is not
1239	1239	assignable or transferable.
1240	1240	(e) If the holder of a massage therapy establishment
1241	1241	license moves the location of the massage therapy
1242	1242	establishment without changing either the name or ownership of
1243	1243	that massage therapy establishment, the board shall may waive
1244	1244	the new establishment license fee, if documentation set by
1245	1245	rule of the board is approved. This subsection shall not
1246	1246	change the expiration date of a massage therapy establishment
1247	1247	license. The new location is subject to an inspection before
1248	1248	any massage therapy services are performed at the new
1249	1249	location.
1250	1250	(f)(1) Except as provided in subdivision (2), each
1251	1251	applicant for a an initial massage therapy establishment
1252	1252	license shall complete a criminal history background check
1253	1253	pursuant to rules adopted by the board.
1254	1254	(2) An applicant for a massage therapy establishment
1255	1255	589
1256	1256	590
1257	1257	591
1258	1258	592
1259	1259	593
1260	1260	594
1261	1261	595
1262	1262	596
1263	1263	597
1264	1264	598
1265	1265	599
1266	1266	600
1267	1267	601
1268	1268	602
1269	1269	603
1270	1270	604
1271	1271	605
1272	1272	606
1273	1273	607
1274	1274	608
1275	1275	609
1276	1276	610
1277	1277	611
1278	1278	612
1279	1279	613
1280	1280	614
1281	1281	615
1282	1282	616 SB253 INTRODUCED
1283	1283	Page 23
1284	1284	(2) An applicant for a massage therapy establishment
1285	1285	license who is a massage therapist and has completed a
1286	1286	criminal history background check as required by the board
1287	1287	within the preceding two years shall be exempt from completing
1288	1288	the criminal history background check required in subdivision
1289	1289	(1).
1290	1290	(3) An applicant for a massage therapy establishment
1291	1291	license shall be the owner, lessee, or legal possessor of the
1292	1292	physical establishment.
1293	1293	(g) The physical location of a proposed massage therapy
1294	1294	establishment shall be subject to an initial inspection by the
1295	1295	board before a massage therapy establishment license is
1296	1296	granted to the applicant. A massage therapy establishment
1297	1297	which provides only outcall massage therapy services must
1298	1298	designate a physical location at which records and equipment
1299	1299	are available for inspection.
1300	1300	(h) If the physical location of a massage therapy
1301	1301	establishment has been shut down by the board or by local,
1302	1302	state, or federal law enforcement, the physical location is
1303	1303	permanently prohibited from being licensed or operating as a
1304	1304	massage therapy establishment. "
1305	1305	"§34-43A-10
1306	1306	(a) Applications for licensing and renewal of a license
1307	1307	shall be on forms provided by the board and shall be
1308	1308	accompanied by the applicable fee. A recent two-by-two inch
1309	1309	photograph showing a frontal view of the head and shoulders of
1310	1310	the applicant for a massage therapy or therapy instructor
1311	1311	license and applicant for a massage therapy establishment
1312	1312	license, taken no more than six months earlier, shall be
1313	1313	617
1314	1314	618
1315	1315	619
1316	1316	620
1317	1317	621
1318	1318	622
1319	1319	623
1320	1320	624
1321	1321	625
1322	1322	626
1323	1323	627
1324	1324	628
1325	1325	629
1326	1326	630
1327	1327	631
1328	1328	632
1329	1329	633
1330	1330	634
1331	1331	635
1332	1332	636
1333	1333	637
1334	1334	638
1335	1335	639
1336	1336	640
1337	1337	641
1338	1338	642
1339	1339	643
1340	1340	644 SB253 INTRODUCED
1341	1341	Page 24
1342	1342	license, taken no more than six months earlier, shall be
1343	1343	submitted with each application. All documents shall be
1344	1344	submitted in English.
1345	1345	(b) The board may deny the application of any applicant
1346	1346	who refuses to complete a criminal history background check as
1347	1347	required by the board and provided in Section 34-43A-13(c).
1348	1348	(c) The board shall issue a license , on a pre-printed
1349	1349	sequentially numbered form, to each individual who qualifies
1350	1350	to be a massage therapist and to each qualified applicant for
1351	1351	a massage therapy establishment license. A license issued by
1352	1352	the board grants all professional rights, honors, and
1353	1353	privileges relating to the practice of massage therapy.
1354	1354	(d) Each massage therapist shall display his or her
1355	1355	license in the manner specified by the board. Each massage
1356	1356	therapy establishment shall prominently post its license and
1357	1357	the license of each massage therapist who practices within the
1358	1358	massage therapy establishment in plain sight at the massage
1359	1359	therapy establishment.
1360	1360	(e) The board may inspect establishments at any time
1361	1361	during normal business hours to ensure compliance with state
1362	1362	law and board rules.
1363	1363	(e)(f) A license is the property of the board and shall
1364	1364	be surrendered upon demand of the board."
1365	1365	"§34-43A-12
1366	1366	(a) The board, by rule, shall assess and collect all of
1367	1367	the following fees not to exceed: may establish and collect
1368	1368	reasonable fees.
1369	1369	(1) One hundred dollars ($100) for an initial massage
1370	1370	therapist license.
1371	1371	645
1372	1372	646
1373	1373	647
1374	1374	648
1375	1375	649
1376	1376	650
1377	1377	651
1378	1378	652
1379	1379	653
1380	1380	654
1381	1381	655
1382	1382	656
1383	1383	657
1384	1384	658
1385	1385	659
1386	1386	660
1387	1387	661
1388	1388	662
1389	1389	663
1390	1390	664
1391	1391	665
1392	1392	666
1393	1393	667
1394	1394	668
1395	1395	669
1396	1396	670
1397	1397	671
1398	1398	672 SB253 INTRODUCED
1399	1399	Page 25
1400	1400	therapist license.
1401	1401	(2) One hundred dollars ($100) for a biennial license
1402	1402	renewal postmarked or received at the office of the board on
1403	1403	or before the expiration date of the license.
1404	1404	(3) One hundred dollars ($100) for an initial, and
1405	1405	fifty dollars ($50) for any renewal of, a massage therapy
1406	1406	establishment license.
1407	1407	(4) One hundred fifty dollars ($150) for an initial
1408	1408	registration, and any renewal registration, as a massage
1409	1409	therapy school in this state.
1410	1410	(5) One hundred dollars ($100) to register and renew
1411	1411	registration as a massage therapy instructor in this state.
1412	1412	(6) Seventy-five dollars ($75) to reactivate an expired
1413	1413	license.
1414	1414	(7) Twenty-five dollars ($25) shall be added to any
1415	1415	license fees not postmarked or received at the office of the
1416	1416	board on or before the expiration date of the license.
1417	1417	(8) Ten dollars ($10) for a duplicate license
1418	1418	certificate or a name change on a license certificate. The
1419	1419	board may issue a duplicate certificate for each massage
1420	1420	therapy establishment on file with the board where the massage
1421	1421	therapist practices massage therapy. The board may issue
1422	1422	additional duplicate certificates only after receiving a sworn
1423	1423	letter from the massage therapist that an original certificate
1424	1424	was lost, stolen, or destroyed. The board shall maintain a
1425	1425	record of each duplicate certificate issued.
1426	1426	(b) Necessary administrative fees may be charged by the
1427	1427	board including, but not limited to, reasonable costs for
1428	1428	copying, labels, and lists, and the actual costs for
1429	1429	673
1430	1430	674
1431	1431	675
1432	1432	676
1433	1433	677
1434	1434	678
1435	1435	679
1436	1436	680
1437	1437	681
1438	1438	682
1439	1439	683
1440	1440	684
1441	1441	685
1442	1442	686
1443	1443	687
1444	1444	688
1445	1445	689
1446	1446	690
1447	1447	691
1448	1448	692
1449	1449	693
1450	1450	694
1451	1451	695
1452	1452	696
1453	1453	697
1454	1454	698
1455	1455	699
1456	1456	700 SB253 INTRODUCED
1457	1457	Page 26
1458	1458	copying, labels, and lists, and the actual costs for
1459	1459	completing a criminal history background check. Examination
1460	1460	and license fees may be adjusted by rule of the board.
1461	1461	(c)(b) Commencing on June 1, 2024, the name of the
1462	1462	separate special revenue trust fund in the State Treasury
1463	1463	known as the Alabama Board of Massage Therapy Fund shall be
1464	1464	renamed and then known as the Alabama Massage Therapy
1465	1465	Licensing Board Fund. All receipts collected by the board
1466	1466	under this chapter shall be deposited in this fund and used
1467	1467	only to carry out this chapter. Receipts shall be disbursed
1468	1468	only by warrant of the Comptroller , upon itemized vouchers
1469	1469	approved by the chair of the board . No funds shall be
1470	1470	withdrawn except as budgeted and allotted according to
1471	1471	Sections 41-4-80 through 41-4-96 and 41-19-1 through 41-19-12,
1472	1472	and only in amounts as stipulated in the general
1473	1473	appropriations bill or other appropriations bills."
1474	1474	"§34-43A-13
1475	1475	(a) Any individual may file with the board a written
1476	1476	complaint regarding an allegation of impropriety by a massage
1477	1477	therapist, massage therapy establishment, or other individual
1478	1478	or entity. Complaints shall be made in the manner prescribed
1479	1479	by the board. Complaints received by the board shall be
1480	1480	referred to a standing investigative committee consisting of a
1481	1481	board member, the board attorney, and the board investigator.
1482	1482	If no probable cause is found, the investigative committee may
1483	1483	dismiss the charges and prepare a written statement of the
1484	1484	reasons for that decision.
1485	1485	(b) If The executive director shall provide for an
1486	1486	investigation of the complaint and, if probable cause is
1487	1487	701
1488	1488	702
1489	1489	703
1490	1490	704
1491	1491	705
1492	1492	706
1493	1493	707
1494	1494	708
1495	1495	709
1496	1496	710
1497	1497	711
1498	1498	712
1499	1499	713
1500	1500	714
1501	1501	715
1502	1502	716
1503	1503	717
1504	1504	718
1505	1505	719
1506	1506	720
1507	1507	721
1508	1508	722
1509	1509	723
1510	1510	724
1511	1511	725
1512	1512	726
1513	1513	727
1514	1514	728 SB253 INTRODUCED
1515	1515	Page 27
1516	1516	investigation of the complaint and, if probable cause is
1517	1517	found, the board shall may initiate an administrative
1518	1518	proceeding. Upon a finding that the licensee or applicant for
1519	1519	licensing has committed any of the following misconduct, the
1520	1520	board may suspend, revoke, probate, reprimand, otherwise
1521	1521	discipline, or refuse to issue or renew a license or impose a
1522	1522	civil penalty after notice and opportunity for a hearing
1523	1523	pursuant to the Administrative Procedure Act:
1524	1524	(1) The license was licensee or applicant for licensing
1525	1525	obtained or attempted to obtain a license by means of fraud,
1526	1526	misrepresentation, fraudulent transcripts, invalidated exam
1527	1527	scores, or concealment of material facts, including making a
1528	1528	false statement on an application or any other document
1529	1529	required by the board for licensing.
1530	1530	(2) The licensee or applicant for licensing sold or
1531	1531	bartered, or offered to sell or barter, a license for a
1532	1532	massage therapist or a massage therapy establishment.
1533	1533	(3) The licensee or applicant for licensing has engaged
1534	1534	in unprofessional conduct that has endangered or is likely to
1535	1535	endanger the health, safety, and welfare of the public, as
1536	1536	defined by the rules of the board.
1537	1537	(4) The licensee or applicant for licensing has been
1538	1538	convicted of a felony or of any crime arising out of or
1539	1539	connected with the practice of massage therapy.
1540	1540	(5) The licensee or applicant for licensing has
1541	1541	violated or aided and abetted in the violation of this
1542	1542	chapter.
1543	1543	(6) The licensee or applicant for licensing is
1544	1544	adjudicated as mentally incompetent by a court of law.
1545	1545	729
1546	1546	730
1547	1547	731
1548	1548	732
1549	1549	733
1550	1550	734
1551	1551	735
1552	1552	736
1553	1553	737
1554	1554	738
1555	1555	739
1556	1556	740
1557	1557	741
1558	1558	742
1559	1559	743
1560	1560	744
1561	1561	745
1562	1562	746
1563	1563	747
1564	1564	748
1565	1565	749
1566	1566	750
1567	1567	751
1568	1568	752
1569	1569	753
1570	1570	754
1571	1571	755
1572	1572	756 SB253 INTRODUCED
1573	1573	Page 28
1574	1574	adjudicated as mentally incompetent by a court of law.
1575	1575	(7) The licensee or applicant for licensing uses
1576	1576	controlled substances or habitually and excessively uses
1577	1577	alcohol.
1578	1578	(8) The licensee or applicant for licensing engaged in
1579	1579	false, deceptive, or misleading advertising.
1580	1580	(9) The licensee or applicant for licensing engaged in
1581	1581	or attempted to or offered to engage a client in sexual
1582	1582	activity, including, but not limited to, genital contact,
1583	1583	within the client-massage therapist relationship.
1584	1584	(10) The licensee or applicant for licensing has
1585	1585	knowingly allowed the massage therapy establishment to be used
1586	1586	as an overnight sleeping accommodation.
1587	1587	(11) The licensee or applicant for licensing had a
1588	1588	license revoked, suspended, or denied in any other territory
1589	1589	or jurisdiction of the United States for any act described in
1590	1590	this section.
1591	1591	(12) The licensee or applicant or licensee for
1592	1592	licensing was convicted of impersonating a massage therapist
1593	1593	in another jurisdiction.
1594	1594	(c)(1) Subsequent to an official complaint, and for
1595	1595	other requirements established by this chapter, including for
1596	1596	the purpose of determining an applicant's suitability for a
1597	1597	license or the renewal of a license to practice massage
1598	1598	therapy, the board may request a criminal history background
1599	1599	check of the licensee or applicant for licensing pursuant to a
1600	1600	schedule created by rule of the board . Each applicant shall
1601	1601	submit a complete set of fingerprints and a form, sworn to by
1602	1602	the applicant, providing written consent from the applicant
1603	1603	757
1604	1604	758
1605	1605	759
1606	1606	760
1607	1607	761
1608	1608	762
1609	1609	763
1610	1610	764
1611	1611	765
1612	1612	766
1613	1613	767
1614	1614	768
1615	1615	769
1616	1616	770
1617	1617	771
1618	1618	772
1619	1619	773
1620	1620	774
1621	1621	775
1622	1622	776
1623	1623	777
1624	1624	778
1625	1625	779
1626	1626	780
1627	1627	781
1628	1628	782
1629	1629	783
1630	1630	784 SB253 INTRODUCED
1631	1631	Page 29
1632	1632	the applicant, providing written consent from the applicant
1633	1633	for the release of criminal history background check
1634	1634	information to the board. The applicant or licensee shall
1635	1635	submit a full set of fingerprints to the board for the purpose
1636	1636	of obtaining a state and national criminal history background
1637	1637	check.
1638	1638	(2) The board shall submit the fingerprints and form
1639	1639	provided by each applicant to the Alabama State Law
1640	1640	Enforcement Agency (ALEA). The applicant may be fingerprinted
1641	1641	by ALEA at the time of the form submission. ALEA shall conduct
1642	1642	a check of state records and forward the fingerprints to the
1643	1643	FBI for a national criminal history background check.
1644	1644	(3) The results of the state and national criminal
1645	1645	history background check records shall be returned to the
1646	1646	board by ALEA.
1647	1647	(4) The board shall reimburse ALEA for conducting
1648	1648	criminal history background checks according to the fee
1649	1649	schedule adopted by the Alabama Justice Information
1650	1650	Commission.
1651	1651	(5) Any criminal history background check reports
1652	1652	received by the board from ALEA shall be marked confidential
1653	1653	and shall not be disclosed or made available for public
1654	1654	inspection. All criminal history background check reports
1655	1655	received pursuant to this section are specifically excluded
1656	1656	from any requirement of public disclosure as a public record.
1657	1657	Reports received may only be used for the purposes described
1658	1658	in this chapter. All information provided is subject to the
1659	1659	rules established by the Alabama Justice Information
1660	1660	Commission and Public Law 92-544. An individual that uses a
1661	1661	785
1662	1662	786
1663	1663	787
1664	1664	788
1665	1665	789
1666	1666	790
1667	1667	791
1668	1668	792
1669	1669	793
1670	1670	794
1671	1671	795
1672	1672	796
1673	1673	797
1674	1674	798
1675	1675	799
1676	1676	800
1677	1677	801
1678	1678	802
1679	1679	803
1680	1680	804
1681	1681	805
1682	1682	806
1683	1683	807
1684	1684	808
1685	1685	809
1686	1686	810
1687	1687	811
1688	1688	812 SB253 INTRODUCED
1689	1689	Page 30
1690	1690	Commission and Public Law 92-544. An individual that uses a
1691	1691	criminal history background check report for purposes other
1692	1692	than those provided in this chapter may be subject to criminal
1693	1693	charges under Sections 41-9-601 and 41-9-602.
1694	1694	(2) Fingerprints obtained pursuant to subdivision (1)
1695	1695	may be exchanged by the board, the Alabama State Law
1696	1696	Enforcement Agency, or any successor entity thereof, or any
1697	1697	channeler approved by the board, with the Federal Bureau of
1698	1698	Investigation for the purpose of obtaining a state and
1699	1699	national criminal history background check.
1700	1700	(3) The applicant or licensee shall be responsible for
1701	1701	all costs associated with the submission of his or her
1702	1702	fingerprints and obtaining a state and national criminal
1703	1703	history background check. The board may incorporate those
1704	1704	costs into the cost of licensing or may charge the applicant
1705	1705	or licensee a separate fee, which may be payable to the board,
1706	1706	the Alabama State Law Enforcement Agency, or any successor
1707	1707	entity thereof, or the approved channeler, as appropriate.
1708	1708	(4) Information received by the board pursuant to a
1709	1709	state and national criminal history background check shall be
1710	1710	confidential and shall not be a public record, except that any
1711	1711	information received by and relied upon by the board in
1712	1712	denying the issuance of a license or revoking, suspending, or
1713	1713	otherwise disciplining a license or licensee may be disclosed
1714	1714	as necessary to support the denial or revocation, suspension,
1715	1715	or other disciplinary action.
1716	1716	(d) An individual governed by this chapter who has a
1717	1717	reasonable belief that another massage therapist has violated
1718	1718	this chapter shall inform the board in writing within 30
1719	1719	813
1720	1720	814
1721	1721	815
1722	1722	816
1723	1723	817
1724	1724	818
1725	1725	819
1726	1726	820
1727	1727	821
1728	1728	822
1729	1729	823
1730	1730	824
1731	1731	825
1732	1732	826
1733	1733	827
1734	1734	828
1735	1735	829
1736	1736	830
1737	1737	831
1738	1738	832
1739	1739	833
1740	1740	834
1741	1741	835
1742	1742	836
1743	1743	837
1744	1744	838
1745	1745	839
1746	1746	840 SB253 INTRODUCED
1747	1747	Page 31
1748	1748	this chapter shall inform the board in writing within 30
1749	1749	calendar days after the date the individual discovers this
1750	1750	activity. Upon finding that an individual has violated this
1751	1751	subsection by not informing the board as required, the board
1752	1752	may do any of the following:
1753	1753	a. Impose an administrative fine of not more than ten
1754	1754	thousand dollars ($10,000) according to a disciplinary
1755	1755	infraction fine schedule adopted by rule of the board.
1756	1756	b. Suspend, probate, reprimand, otherwise discipline,
1757	1757	or revoke the individual's license to practice massage
1758	1758	therapy.
1759	1759	(e) The license of any individual who has been
1760	1760	convicted of, or has entered a plea of nolo contendere to, a
1761	1761	crime or offense involving human trafficking, prostitution, or
1762	1762	any other type of sexual offense shall be permanently revoked
1763	1763	by the board according to the Administrative Procedure Act.
1764	1764	(f) The massage therapy establishment license of any
1765	1765	massage therapy establishment wherein an individual has been
1766	1766	convicted of, or entered engages in conduct which leads to a
1767	1767	conviction of or entry of a plea of nolo contendere to, an
1768	1768	offense involving prostitution or any other type of sexual
1769	1769	offense against a client, or which the board determines is a
1770	1770	sexually-oriented business, shall be permanently revoked by
1771	1771	the board according to the Administrative Procedure Act.
1772	1772	(g)(1) Upon a finding that an individual or entity who
1773	1773	is governed by this chapter has performed massage therapy or
1774	1774	operated a massage therapy establishment without having
1775	1775	obtained a license, the board may do any of the following:
1776	1776	a.(1) Impose an administrative fine of not more than
1777	1777	841
1778	1778	842
1779	1779	843
1780	1780	844
1781	1781	845
1782	1782	846
1783	1783	847
1784	1784	848
1785	1785	849
1786	1786	850
1787	1787	851
1788	1788	852
1789	1789	853
1790	1790	854
1791	1791	855
1792	1792	856
1793	1793	857
1794	1794	858
1795	1795	859
1796	1796	860
1797	1797	861
1798	1798	862
1799	1799	863
1800	1800	864
1801	1801	865
1802	1802	866
1803	1803	867
1804	1804	868 SB253 INTRODUCED
1805	1805	Page 32
1806	1806	a.(1) Impose an administrative fine of not more than
1807	1807	ten thousand dollars ($10,000).
1808	1808	b.(2) Issue a cease and desist order.
1809	1809	c.(3) Petition the circuit court of the county where
1810	1810	the act occurred to enforce the cease and desist order and
1811	1811	collect the assessed fine.
1812	1812	(h)(1) The executive director may issue an emergency
1813	1813	order suspending the operation of a massage therapy
1814	1814	establishment without a prior hearing when public safety is at
1815	1815	immediate risk. Public safety shall be considered at immediate
1816	1816	risk in any of the following circumstances:
1817	1817	a. A law enforcement agency notifies the board that the
1818	1818	law enforcement agency is investigating a massage therapy
1819	1819	establishment for an offense under Section 13A-6-152, this
1820	1820	chapter, or rules adopted by the board pursuant to this
1821	1821	chapter.
1822	1822	b. The massage therapy establishment is operating
1823	1823	without a valid license issued by the board.
1824	1824	c. The board has reasonable cause to believe that a
1825	1825	massage therapy establishment is violating this chapter or a
1826	1826	rule adopted by the board pursuant to this chapter, and, upon
1827	1827	physical inspection by the board, one or more violations are
1828	1828	confirmed.
1829	1829	d. Upon physical inspection of a massage therapy
1830	1830	establishment by the board, one or more violations of this
1831	1831	chapter or a rule adopted by the board pursuant to this
1832	1832	chapter are confirmed.
1833	1833	e. Other circumstances as determined by the board.
1834	1834	(2) Upon determining that an individual or entity
1835	1835	869
1836	1836	870
1837	1837	871
1838	1838	872
1839	1839	873
1840	1840	874
1841	1841	875
1842	1842	876
1843	1843	877
1844	1844	878
1845	1845	879
1846	1846	880
1847	1847	881
1848	1848	882
1849	1849	883
1850	1850	884
1851	1851	885
1852	1852	886
1853	1853	887
1854	1854	888
1855	1855	889
1856	1856	890
1857	1857	891
1858	1858	892
1859	1859	893
1860	1860	894
1861	1861	895
1862	1862	896 SB253 INTRODUCED
1863	1863	Page 33
1864	1864	(2) Upon determining that an individual or entity
1865	1865	governed by this chapter has performed massage therapy or
1866	1866	operated a massage therapy establishment without a valid
1867	1867	license as provided in subdivision (g)(1), the executive
1868	1868	director of the board may issue an emergency order. If the
1869	1869	executive director believes a massage therapy establishment is
1870	1870	in violation of a local, municipal, or other applicable law,
1871	1871	the executive director shall notify local law enforcement of
1872	1872	the possible violations. An emergency order shall identify the
1873	1873	massage therapy establishment by its business name and state
1874	1874	that the massage therapy establishment is closed by order of
1875	1875	the board pursuant to this chapter and rules adopted by the
1876	1876	board pursuant to this chapter.
1877	1877	(3) A massage therapy establishment shall remain closed
1878	1878	to the public until it is in compliance with this chapter and
1879	1879	rules adopted by the board pursuant to this chapter. The board
1880	1880	shall provide the massage therapy establishment with a written
1881	1881	summary of the findings of any inspection resulting in the
1882	1882	emergency order and shall describe the compliance measures
1883	1883	necessary to remedy those findings. Within three business days
1884	1884	after receipt of the findings by the massage therapy
1885	1885	establishment, the board shall issue to the massage therapy
1886	1886	establishment, in writing, a complaint resulting in the
1887	1887	emergency order suspending the operation of the massage
1888	1888	therapy establishment, which describes the compliance measures
1889	1889	which must be taken for the emergency order to be rescinded.
1890	1890	(4) An emergency order suspending the operations of a
1891	1891	massage therapy establishment shall be printed on 8 ½" x 11"
1892	1892	paper and conspicuously taped to the front door of the massage
1893	1893	897
1894	1894	898
1895	1895	899
1896	1896	900
1897	1897	901
1898	1898	902
1899	1899	903
1900	1900	904
1901	1901	905
1902	1902	906
1903	1903	907
1904	1904	908
1905	1905	909
1906	1906	910
1907	1907	911
1908	1908	912
1909	1909	913
1910	1910	914
1911	1911	915
1912	1912	916
1913	1913	917
1914	1914	918
1915	1915	919
1916	1916	920
1917	1917	921
1918	1918	922
1919	1919	923
1920	1920	924 SB253 INTRODUCED
1921	1921	Page 34
1922	1922	paper and conspicuously taped to the front door of the massage
1923	1923	therapy establishment.
1924	1924	(5) A massage therapy establishment may not remove the
1925	1925	posted emergency order or reopen for business until the board
1926	1926	determines, after a physical inspection, that the massage
1927	1927	therapy establishment is in compliance with this chapter and
1928	1928	rules adopted by the board pursuant to this chapter.
1929	1929	(6) A massage therapy establishment that reopens to the
1930	1930	public while operations are suspended shall be fined one
1931	1931	thousand dollars ($1,000) per day for each day in violation.
1932	1932	(7) If the board is required to enforce the emergency
1933	1933	order in circuit court for continued violations of this
1934	1934	chapter or rules adopted by the board pursuant to this
1935	1935	chapter, the court may triple any applicable fines and order
1936	1936	the massage therapy establishment to reimburse the board for
1937	1937	all legal fees and administrative costs incurred by the board
1938	1938	in enforcing the violation.
1939	1939	(8) Within 30 days after the issuance of an emergency
1940	1940	order suspending operations of a massage therapy
1941	1941	establishment, the massage therapy establishment may request,
1942	1942	in writing, a formal hearing before the board.
1943	1943	(2)(i) Any individual or entity aggrieved by any
1944	1944	adverse action of the board may appeal the action to the
1945	1945	Circuit Court of Montgomery County.
1946	1946	(h)(j) The board shall present any incident deemed
1947	1947	serious misconduct by the board to the local district attorney
1948	1948	for review and appropriate legal action.
1949	1949	(i)(k) The board may adopt rules to implement and
1950	1950	administer this section."
1951	1951	925
1952	1952	926
1953	1953	927
1954	1954	928
1955	1955	929
1956	1956	930
1957	1957	931
1958	1958	932
1959	1959	933
1960	1960	934
1961	1961	935
1962	1962	936
1963	1963	937
1964	1964	938
1965	1965	939
1966	1966	940
1967	1967	941
1968	1968	942
1969	1969	943
1970	1970	944
1971	1971	945
1972	1972	946
1973	1973	947
1974	1974	948
1975	1975	949
1976	1976	950
1977	1977	951
1978	1978	952 SB253 INTRODUCED
1979	1979	Page 35
1980	1980	administer this section."
1981	1981	"§34-43A-14
1982	1982	(a) An individual or entity who does not hold a license
1983	1983	as a massage therapist, physical therapist, chiropractor, or
1984	1984	athletic trainer, or a license for a massage therapy
1985	1985	establishment, shall not use the words "massage" or "bodywork"
1986	1986	on any sign or other form of advertising describing services
1987	1987	performed by the individual or within the establishment.
1988	1988	(b) Any advertisement by a massage therapist or massage
1989	1989	therapy establishment shall contain the license number of the
1990	1990	massage therapist or massage therapy establishment."
1991	1991	"§34-43A-16
1992	1992	(a) In addition to the criminal penalty prescribed by
1993	1993	this chapter, the board may seek an injunction against any
1994	1994	individual, entity, or establishment in violation of this
1995	1995	chapter.
1996	1996	(b) In an action for an injunction, the board may
1997	1997	demand and recover a civil penalty of fifty dollars ($50) per
1998	1998	day for each violation, reasonable attorney fees, and court
1999	1999	costs."
2000	2000	"§34-43A-18
2001	2001	(a) To be approved by the board, a massage therapy
2002	2002	school shall meet all of the following requirements comply
2003	2003	with all standards for approval established by board rule. The
2004	2004	applicant shall also do all of the following :
2005	2005	(1) Submit to the board a completed application
2006	2006	prescribed by the board and the registration fee specified in
2007	2007	Section 34-43A-12 .
2008	2008	(2) Provide documentation of a curriculum that shall
2009	2009	953
2010	2010	954
2011	2011	955
2012	2012	956
2013	2013	957
2014	2014	958
2015	2015	959
2016	2016	960
2017	2017	961
2018	2018	962
2019	2019	963
2020	2020	964
2021	2021	965
2022	2022	966
2023	2023	967
2024	2024	968
2025	2025	969
2026	2026	970
2027	2027	971
2028	2028	972
2029	2029	973
2030	2030	974
2031	2031	975
2032	2032	976
2033	2033	977
2034	2034	978
2035	2035	979
2036	2036	980 SB253 INTRODUCED
2037	2037	Page 36
2038	2038	(2) Provide documentation of a curriculum that shall
2039	2039	include a minimum number of required hours of instruction in
2040	2040	the subjects required by Section 34-43A-8.
2041	2041	(3)(2) Register annually biannually with the board by
2042	2042	submitting a renewal form, the renewal fee specified in
2043	2043	Section 34-43A-12 , and a current curriculum and list of active
2044	2044	massage therapy instructors teaching at the school.
2045	2045	(4)(3) Commencing on October 1, 2025, submit proof to
2046	2046	the board of registration as an assigned school through the
2047	2047	National Certification Board for Therapeutic Massage and
2048	2048	Bodywork (NCBTMB).
2049	2049	(4) Satisfy other standards as the board my impose by
2050	2050	rule.
2051	2051	(b) Except as provided in Section 34-43A-4(a)(4), every
2052	2052	massage therapy instructor teaching a course in massage
2053	2053	therapy at a massage therapy school located in this state
2054	2054	shall be licensed by the board as a massage therapist and
2055	2055	registered as a massage therapy instructor. Instructors who
2056	2056	are not teaching massage therapy do not need to be registered.
2057	2057	An adjunct massage therapy instructor shall be dually licensed
2058	2058	in the state where he or she resides or be nationally
2059	2059	certified, or both.
2060	2060	(c) An applicant for registration as a massage therapy
2061	2061	instructor shall satisfy all of the following requirements:
2062	2062	(1) Be currently licensed as a massage therapist in
2063	2063	this state.
2064	2064	(2) Submit to the board a completed application as
2065	2065	prescribed by the board and the one-time application fee
2066	2066	specified in Section 34-43A-12 .
2067	2067	981
2068	2068	982
2069	2069	983
2070	2070	984
2071	2071	985
2072	2072	986
2073	2073	987
2074	2074	988
2075	2075	989
2076	2076	990
2077	2077	991
2078	2078	992
2079	2079	993
2080	2080	994
2081	2081	995
2082	2082	996
2083	2083	997
2084	2084	998
2085	2085	999
2086	2086	1000
2087	2087	1001
2088	2088	1002
2089	2089	1003
2090	2090	1004
2091	2091	1005
2092	2092	1006
2093	2093	1007
2094	2094	1008 SB253 INTRODUCED
2095	2095	Page 37
2096	2096	specified in Section 34-43A-12 .
2097	2097	(3) Submit documentation of three years of experience
2098	2098	in the practice of massage therapy. The documentation may be
2099	2099	considered by the board on a case-by-case basis."
2100	2100	Section 3. This act shall become effective on June 1,
2101	2101	2025.
2102	2102	1009
2103	2103	1010
2104	2104	1011
2105	2105	1012
2106	2106	1013