HLS 12RS-1272 REENGROSSED Page 1 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 923 BY REPRESENTATIVE PONTI MASSAGE THERAPISTS: Provides with respect to the La. Massage Therapists and Massage Establishment Act AN ACT1 To amend and reenact R.S. 37:3552, 3553, 3554(A), (B), (D), (E), and (F), 3555, 3556,2 3557, 3558(A), (B), and (D), 3559, 3561, 3563, 3564, 3565, and 3566(B) and (C)3 and to repeal R.S. 37:3560, relative to massage therapy; to provide for definitions;4 to provide for applicability of the Louisiana Massage Therapists and Massage5 Establishment Act; to provide for exemptions; to provide for the Louisiana Board of6 Massage Therapy; to provide for membership of the board; to provide for the powers7 and duties of the board; to require licensure for persons performing massage therapy;8 to provide for licensure for massage establishments; to establish licensure9 requirements; to provide for an examination; to provide for licensing regulations; to10 provide for the expiration and renewal of licenses; to provide for inactive status; to11 provide for disciplinary actions; to regulate advertising as a massage therapist or a12 massage establishment; to provide for penalties; to provide for injunctions; and to13 provide for related matters.14 Be it enacted by the Legislature of Louisiana:15 Section 1. R.S. 37:3552, 3553, 3554(A), (B), (D), (E), and (F), 3555, 3556, 3557,16 3558(A), (B), and (D), 3559, 3561, 3563, 3564, 3565, and 3566(B) and (C) are hereby17 amended and reenacted to read as follows: 18 §3552. Definitions 19 As used in this Chapter: 20 (1) "Advertise" or "advertising" means to publish, display, or disseminate21 promotional information and includes but is not limited to the issuance of any card,22 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 2 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. sign, or direct mail, or in any newspaper, magazine, publication, or any1 announcement or display via any televised, computerized, electronic, or telephone2 networks, magnetic signs, or media. "Advertise" shall not include the following:3 (a) Telephone directory information including white pages, yellow pages,4 and any Internet publication made by the phone directory company in which one is5 listed.6 (b) Building signs identifying the location, unless the building sign contains7 promotional material.8 (2) "Board" means the Louisiana Board of Massage Therapy. 9 (2) (3) "Department" means the Department of Health and Hospitals.10 (4) "Inactive status" means the status in which a licensed massage therapist11 has, pursuant to the provisions of this Chapter, notified the board of intent to12 voluntarily cease activity as a massage therapist for a period of time not to exceed13 five years.14 (5) "Lapsed license" means a board issued license which has not been15 renewed for a period of more than two years and the holder of the license has not16 taken inactive status.17 (6) "Licensee" means any person or business that has a professional or18 establishment license issued by the board.19 (3) (7) "Massage establishment" means any place of business in which20 massage therapy is practiced by a massage therapist that offers the practice of21 massage therapy and where the practice of massage therapy is conducted on the22 premises of the business. A place of business includes any office, clinic, facility, or23 other location where a person or persons engage in the practice of massage therapy.24 The residence of a therapist or an out call location which is not owned, rented, or25 leased by a massage therapist or massage establishment, shall not be considered a26 massage establishment, unless the location is advertised as the therapist's or27 establishment's place of business. The term "massage establishment" shall not28 include physician offices, physical therapy facilities, chiropractic offices, or athletic29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 3 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. training facilities, whether or not they employ, contract with, or rent to massage1 therapists, or institutions of secondary or higher education when massage therapy is2 practiced in connection with employment related to athletic teams.3 (4) (8) "Massage therapist" means an individual who practices or administers4 massage therapy to a patron of either gender for compensation. The term shall5 include a therapeutic massage practitioner, massage technician, masseur, masseuse,6 or any derivation of those titles a person who engages in the practice of massage7 therapy for compensation.8 (9) "Person" means an individual, corporation, association, or other legal9 entity.10 (5) (10) "Massage Practice of massage therapy" means the manipulation of11 soft tissue for the purpose of maintaining good health and establishing and12 maintaining good physical condition. The practice of massage therapy shall include13 advertising or offering to engage in the practice of massage therapy and holding14 oneself out or designating oneself to the public as a massage therapist or massage15 establishment. The term practice of massage therapy shall include effleurage16 (stroking), petrissage (kneading), tapotement (percussion), compression, vibration,17 friction, (active/passive range of motion), stretching activities as they pertain to18 massage therapy, Shiatsu, and acupressure, reflexology, and Swedish massage either19 by hand, forearm, elbow, foot, or with mechanical appliances for the purpose of body20 massage. Massage therapy may include the use of lubricants such as salts, powders,21 liquids, creams, (with the exception of prescriptive or medicinal creams), heat lamps,22 hot and cold stones, whirlpool, hot and cold pack packs, salt glow, body wraps, or23 steam cabinet baths. It shall not include electrotherapy, laser therapy, microwave,24 colonic therapy, injection therapy, or manipulation of the joints. Equivalent terms25 for massage therapy are massage, therapeutic massage, massage technology, Shiatsu,26 body work, or any derivation of those terms. As used in this Chapter, the terms27 "therapy" and "therapeutic" shall not include diagnosis, the treatment of illness or28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 4 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. disease, or any service or procedure for which a license to practice medicine,1 chiropractic, physical therapy, or podiatry is required by law. 2 (6) "Massage therapy instructor" means an individual who is licensed as a3 massage therapist, who possesses credentials satisfactory to the board and who meets4 criteria established by the board pursuant to rule.5 (7) "Person" means an individual, corporation, association, or other legal6 entity.7 (11) "Professional Massage Therapy Association" means a statewide8 organization or statewide chapter of an organization which meets all of the following9 criteria:10 (a) Either directly, or through the parent organization, qualifies as a tax11 exempt nonprofit organization under 26 U.S.C. 501(c)(6).12 (b) Within Louisiana, offers a voting membership to licensed massage13 therapists who practice or reside in Louisiana and who maintain their voting14 membership in good standing.15 (c) Within Louisiana, is administered by a governing body composed of16 officers democratically elected by the organization's voting membership within17 Louisiana.18 (12) "Writing" shall be a written communication transmitted either by United19 States mail or by electronic means such as e-mail.20 §3553. Application of Chapter; exceptions and exemptions21 A. This Chapter shall apply to any person practicing as a massage therapist22 or massage establishment engaging in the practice of massage therapy within the23 state of Louisiana.24 B.(1) This Chapter shall not apply to any services performed in hospitals25 licensed by the state.26 (2) This Chapter shall also not apply to any of the following:27 (a) Persons who are licensed, registered, or certified in another state,28 territory, the District of Columbia, or a foreign country when incidentally present in29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 5 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. the state to teach a course of instruction related to massage and bodywork therapy1 as a continuing education course.2 (b) Persons giving massage and bodywork to their immediate family without3 compensation.4 (c) Persons incidentally present in the state to provide services as part of an5 emergency response team working in conjunction with relief officials during a6 disaster provided such persons are properly licensed in the state from which they7 originate.8 C. Nothing in this Chapter shall be construed as preventing or restricting the9 practice or activities of any person licensed or certified in this state under any other10 law from engaging in the profession or occupation for which he is licensed or11 certified. However, no person shall in any way hold himself out or designate himself12 as a massage therapist unless duly licensed by the board in accordance with this13 Chapter.14 §3554. Louisiana Board of Massage Therapy; creation, membership, qualifications,15 terms, vacancies, officers, meetings, reimbursement, liability16 A.(1) There is hereby created the The Louisiana Board of Massage Therapy17 is hereby created within the Louisiana Department of Health and Hospitals. It shall18 be composed of seven members appointed by the governor. Five licensed massage19 therapists of the members shall be appointed from a list of nominees submitted to the20 governor by professional massage therapy and bodywork associations. From the list21 of association nominees, three of the persons appointed shall be licensed massage22 therapists. Two lay members shall be appointed from a the list of nominees,23 submitted to the governor by professional massage therapy associations. both of24 whom shall be consumers who have never been nor are currently a licensed massage25 therapist in the state. Two additional licensed massage therapists shall be appointed26 to the board from a general list of names which are submitted for consideration by27 other interested sources or individuals.28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 6 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) The All massage therapists initially appointed to the board from1 nominations submitted to by the governor by professional massage therapy2 associations shall be qualified to be licensed and in good standing under this Chapter.3 The appointees shall have practiced massage therapy for at least three years . and4 shall be required to obtain a license within one hundred eighty days after5 appointment to the board; thereafter, massage therapists appointed to the board shall6 be licensed as massage therapists under this Chapter and shall have been in practice7 for a minimum of three years.8 (3) The initial members of the board shall be appointed by the governor not9 later than October 1, 1992.10 B. Except as provided in Paragraph (1) of this Subsection, All members of11 the board shall serve two-year terms. However, no No member shall serve more than12 three consecutive terms. Board For the purposes of staggering the board member13 terms, are to be staggered as follows:14 (1) The the governor shall appoint to the board three massage therapists and15 one lay person each to a term of one year beginning October 1, 2002. Thereafter,16 member in odd years the governor shall appoint three massage therapists and one lay17 person to the board.18 (2) In even years the governor shall appoint and two massage therapists and19 one lay person to the board member in even numbered years.20 * * *21 D. The board shall hold its first meeting within thirty days after October 1,22 1992, and shall meet at least twice each year thereafter. Additional board meetings23 may be held at the call of the chairman or upon the written request of any three24 members of the board.25 E. The Each year, the board shall annually elect a chairman, vice chairman,26 secretary, and treasurer from its membership and shall maintain records of the27 attendance of its members at board meetings.28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 7 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. F. Each member of the board shall serve with compensation, not to exceed1 fifty dollars per day, and consisting of at least three hours of board business,2 including travel time. Board members shall be reimbursed for travel and related3 expenses incurred, not to exceed those expenses authorized for reimbursement by the4 Department of Health and Hospitals, for each day that the member engages in board5 business.6 * * *7 §3555. Powers and duties of the board 8 A. The board shall: 9 (1) Prescribe application forms for examination, licensure, and registration10 and assess and collect fees pursuant to R.S. 37:3562. Regulate the practice of11 massage and bodywork in Louisiana by licensing massage therapists who meet the12 state's minimum standards of education. Among its functions, the board promulgates13 rules and regulations, issues and renews professional and establishment licenses,14 collects and assesses fees pursuant to R.S. 37:3562, inspects, investigates, and15 disciplines licensees, including both individuals and establishments, who violate the16 law, and imposes fines and penalties.17 (2) Perform inspections and investigate persons who may be engaging in18 practices which violate provisions of this Chapter and impose fines and penalties.19 (3) Maintain a complete record going back for a period of at least five years20 of all licensed massage therapists and annually prepare a roster of the names and21 addresses of all such licensees. A copy of this roster shall be made available to any22 person requesting it, upon payment of a fee set by the board in an amount sufficient23 to cover the costs of its publication and distribution. 24 (3) Investigate persons who may be engaging in practices which violate25 provisions of this Chapter and impose fines and penalties. 26 (4) Adopt and revise rules and regulations pursuant to the Administrative27 Procedure Act for the purpose of administering the provisions of this Chapter. Such28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 8 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. rules and regulations shall include rules relating to the definition of unprofessional1 conduct, as that term is further defined in R.S. 37:3563(A)(3). 2 (5) Issue declaratory rulings interpreting the scope of practice of massage3 therapy, as that term is further defined in R.S. 37:3552(5) R.S. 37:3552(10). 4 (6) Have all other powers necessary and proper for the performance of its5 duties. 6 B. The board may: 7 (1) Accept or deny entrance of any applicant applying for licensure or8 registration. 9 (2) Establish continuing education requirements for license renewal and10 criteria for certifying massage therapy instructors. 11 §3556. Licensure; qualifications12 A.(1) No person shall act as or perform the duties of a massage therapist13 unless he possesses engage in the practice of massage therapy without a current14 license issued pursuant to this Chapter or is unless such person is exempt under the15 provisions of this Chapter. To receive a massage therapist license in the state of16 Louisiana, an applicant shall pay the application fee pursuant to R.S. 37:3562(B) and17 shall submit evidence satisfactory to the board of meeting the following18 requirements:19 (1)(a) Has satisfactorily completed a minimum five hundred hour in-class20 supervised course of studies pursuant to rules promulgated by the board in21 accordance with the Administrative Procedure Act.22 (b) A course of study may utilize a credit hours equivalent as defined by the23 United States Department of Education in lieu of clock hours to measure student24 achievement. A course of study using credit hours shall provide coursework25 consistent with the rules promulgated by the board including at least five hundred26 hours of in-class supervised instruction.27 (2) Has passed a national examination approved by the board under R.S.28 37:3557 within two years from the date the application is filed.29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 9 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (3) Is a citizen or legal resident of the United States and has the ability to1 read, write, speak, and understand English fluently.2 (4) Has not, within the five years preceding the date of the application, been3 convicted of a nonviolent felony.4 (5) Has never been convicted of or pled nolo contendere to a violent felony5 or a criminal offense involving sexual misconduct.6 (6) Has submitted to and cleared a background check.7 (2) A licensed massage therapist shall not perform massage therapy, whether8 or not for compensation, at or for a sexually oriented business, as defined in R.S.9 37:3558(D).10 (3) A licensed massage therapist shall not be directly employed by a person11 licensed to practice medicine or osteopathy pursuant to R.S. 37:1261 et seq.12 B. A person desiring to be licensed as a massage therapist shall apply to the13 board to take the examination provided for in R.S. 37:3557. To be eligible to take14 the examination, an applicant shall pay the examination fee, except as otherwise15 provided in R.S. 37:3562(B), and shall submit evidence satisfactory to the board that16 he has met one of the following requirements:17 (1) Has satisfactorily completed massage therapy studies in a minimum five18 hundred-hour supervised course of instruction. The course of instruction may be19 provided by a proprietary massage therapy school licensed by the state Department20 of Education. The minimum five hundred hours shall consist of three hundred21 twenty-five hours dedicated to the study of basic massage therapy techniques and22 clinical practicum-related modalities, one hundred twenty-five hours dedicated to the23 study of anatomy and physiology, and an additional fifty hours of discretionary24 related course work, including but not limited to hydrotherapy, business practices25 and professional ethics, health and hygiene, and cardiopulmonary resuscitation26 (CPR) and first aid.27 (2) Has been in the practice of massage therapy for a minimum of three28 consecutive years prior to the date of application, provided that no person shall29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 10 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. qualify to take the examination pursuant to the provisions of this Paragraph after1 March 1, 1998.2 (3) Holds a valid license as a physical therapist pursuant to R.S. 37:2401 et3 seq.4 (4) Has been licensed or registered as a massage therapist in another state,5 territory, commonwealth, or the District of Columbia which has and maintains6 standards and requirements of practice and licensure or registration which7 substantially conform to the requirements in force in this state, as determined by the8 board.9 The requirements set forth in R.S. 37:3556(A)(1) and 3556(A)(2) shall not10 apply to either of the following:11 (1) Persons who have continuously held a license to engage in the practice12 of massage therapy issued by the board since March 1, 1998.13 (2) Persons who hold a valid, current, and unexpired license or registration14 to engage in the practice of massage therapy in another state, territory,15 commonwealth, or the District of Columbia which has and maintains standards and16 requirements of practice and licensure or registration which substantially conform17 to the requirements in force in this state, as determined by the board.18 C. After review of the evidence submitted, the board shall notify each19 applicant that his application and such evidence is either satisfactory and accepted20 or unsatisfactory and rejected. If an application is rejected, such notice shall state21 the reasons for the rejection.22 D. The board shall issue a license to each person who meets the23 qualifications provided for in this Section upon payment of the professional license24 fee provided pursuant to R.S. 37:3562. The license, in the form of a Licensed25 Massage Therapist Identification Card (LMT-ID Card), grants all professional rights,26 honors, and privileges to the licensed massage therapist.27 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 11 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. E. Each license granted shall have a validity period of one calendar year and1 shall have an expiration date as determined by administrative rules promulgated by2 the board.3 §3557. Examination 4 A. Examination of applicants to be massage therapists shall be conducted at5 such times and places and under such supervision as the board determines by rule.;6 however, examinations shall be conducted at least twice in each calendar year. The7 board shall give public notice and shall notify each person who has made satisfactory8 application for examination of the date, time, and place of examination. 9 B. The board shall determine by rule the scope, form, and content of the10 examination., which shall consist of both a written examination to test knowledge of11 anatomy and physiology and a practical demonstration or oral interview to verify12 skills necessary for the practice of massage therapy. 13 C. An applicant shall successfully pass the examination in order to be14 eligible for licensure as a massage therapist. The board shall notify each applicant15 of the results of the examination in writing. Any applicant who fails to pass the16 examination and is, therefore, refused licensure may take the examination again upon17 application and payment of an additional examination fee. No applicant shall be18 allowed to take the examination more than twice within a two-year period. 19 §3558. Registration of massage Massage establishments20 A. A massage establishment shall register with the board as provided in the21 following:22 (1) For physical addresses where only one massage therapist is practicing:23 (a) The professional massage license shall act as a registration certificate for24 the establishment;25 (b) Separate professional licenses will be issued for each physical address26 listed on the license application form or renewal application form; and27 (c) The professional license will cover all outcalls made from that physical28 address by the licensee.29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 12 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) For physical addresses where more than one massage therapist is1 practicing:2 (a) A separate massage establishment registration certificate is required;3 (b) The responsibility for obtaining a massage establishment registration4 certificate shall belong to one of the following entities as it applies to the physical5 location: sole proprietor, lessee, owner, partnership, corporation, cooperative,6 association, or other legal entity; and7 (c) The establishment registration certificate shall cover all outcalls made8 from the physical address by massage therapists listed on the establishment9 registration.10 Massage establishments shall be required to be licensed as follows:11 (1) Each person engaging in the practice of massage therapy at a massage12 establishment shall be the holder of a Licensed Massage Therapist Identification13 Card (LMT-ID Card) which shall identify the therapist as being properly licensed14 and shall authorize the therapist to provide off-site massage services.15 (2) All locations where one or more persons are regularly engaged in the16 practice of massage therapy shall register with the board as a massage establishment.17 Additionally, all locations where more than one person is regularly engaged in the18 practice of massage therapy shall pay the establishment license fee.19 (3) Obtaining a massage establishment license shall be the responsibility of20 the entity which controls the physical location where the services are provided,21 which entity may be a sole proprietor, lessee, owner, partnership, corporation,22 cooperative, association, or other legal entity.23 B.(1) A sexually oriented business, as defined in Subsection C of this24 Section, shall be ineligible for registration as a massage establishment and shall not25 operate as a massage establishment.26 (2) The physical address where a sexually oriented business is determined27 to be in operation shall be ineligible to house a registered massage establishment for28 a period of not less than two years following such a determination.29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 13 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. A massage establishment shall employ or contract only licensed massage1 therapists to perform massage therapy.2 * * *3 D. A massage establishment shall employ only licensed massage therapists4 or provisionally licensed massage therapists to perform massage therapy. A sexually5 oriented business shall be ineligible for registration as a massage establishment and6 shall not operate as a massage establishment.7 §3559. Applications; issuance of licenses and certificates of registration; referrals8 License regulations9 A. Applications for licensure, registration, or renewal shall be on forms10 provided by the board and shall be accompanied by the fees specified in R.S.11 37:3562. Each licensed massage therapist who works at a massage establishment12 shall display his LMT-ID Card in plain view in an appropriate public manner. A13 licensed massage therapist who is working outside of a massage establishment shall14 have in his possession his LMT-ID Card and shall present it for review upon request15 of a client or board representative.16 B. The board shall issue a license to each person qualified as a massage17 therapist and a registration certificate to each qualified massage establishment. To18 be qualified for a license as a massage therapist, an applicant shall have successfully19 passed the examination provided for in R.S. 37:3557. Such a license or certificate20 grants all professional rights, honors, and privileges relating to the practice of21 massage therapy. Name or location changes to any license shall be submitted to the22 board within thirty days of the change with appropriate fees.23 C. Each licensed massage therapist shall display his license in an appropriate24 public manner as specified by the board. In addition, each massage establishment25 shall post in plain sight its certificate of registration and the license of each massage26 therapist who practices in the massage establishment. The license is nontransferable27 and shall be for the sole use and benefit of the licensee or location issued.28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 14 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. D. A license or registration certificate is All licenses are the property of the1 board and shall be surrendered upon demand of the board.2 E. Any license or massage establishment registration certificate shall be for3 the sole use and benefit of the licensee or location for whom it was issued and as4 such is nontransferable.5 F. Changes to any license or registration certificate must be submitted to the6 board within thirty days on board-approved forms with the appropriate fees, if7 applicable, as per rule.8 * * *9 §3561. License or registration renewal; reinstatement; continuing education10 requirements 11 A. Each license or registration certificate, except a provisional license, shall12 be renewed annually, on or before the anniversary its expiration date, by forwarding13 to the board submitting a renewal application form, accompanied by the payment of14 the renewal fee specified in R.S. 37:3562. Each licensee, upon making an15 application for renewal of a license, shall submit R.S. 37:3562, and providing16 evidence of satisfactory completion of that the licensee has completed continuing17 education requirements, as established by rule of the board. 18 B. Any license or registration certificate not renewed on or before its19 anniversary expiration date shall expire and all rights and privileges under the license20 shall cease.21 C. However, a A person whose license has lapsed expired and who has22 ceased activities as a massage therapist for not more than five years less than twenty-23 four consecutive months may have his license reinstated upon payment of the24 renewal fee and the late fee specified in R.S. 37:3562, upon submission of a renewal25 application form, and providing evidence satisfactory to the board that he has26 fulfilled continuing education requirements and passed the examination provided for27 in R.S. 37:3557.28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 15 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. D. A licensee who chooses to adopt inactive status and cease activities as a1 massage therapist may submit an affidavit, along with the specified fee in R.S.2 37:3562 to apply for inactive status as required by rule of the board. If the licensee3 does not request to be placed on inactive status, his license shall expire if not timely4 renewed.5 E. If a person does not apply for inactive status and does not renew his6 license for a period of more than twenty-four consecutive months, the license shall7 be considered to have lapsed and in order to obtain a license, the person shall submit8 a new application which complies with all of the current requirements of this Chapter9 and the rules of the board as appropriate and shall pay the licensure application fee,10 the original professional license fee, and any other fees applicable to a new11 application.12 * * *13 §3563. Causes for suspension, revocation, or failure to renew or issue a license14 Grounds for discipline15 A. The board may suspend, revoke, or refuse to issue or renew a license or16 registration certificate, after notice and opportunity for hearing pursuant to the17 Administrative Procedure Act, upon proof of any of the following: 18 (1) Obtaining a license or registration certificate by means of fraud,19 misrepresentation, or concealment of material facts, including making false20 statements on an application or other document required by the board. 21 (2) Selling, bartering, or offering to sell or barter a license or registration22 certificate. 23 (3) Engaging in unprofessional conduct that has endangered or which is24 likely to endanger the health, welfare, or safety of the public, as further defined by25 rules of the board. 26 (4) Conviction of a felony, or any crime arising out of or connected with the27 practice of massage therapy, unless such conviction was reversed on appeal. 28 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 16 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (5) Conviction of any crime arising out of or connected with the practice of1 massage therapy, unless such conviction was reversed on appeal.2 (6) Violating or aiding and abetting in the violation of any provisions of this3 Chapter or the rules and regulations promulgated hereunder. 4 (6) (7) Failing to pass the examination for licensure comply with license or5 renewal requirements.6 B. Any person who has been convicted of, entered a plea of nolo contendere7 to, or received deferred adjudication to crimes or offenses involving in connection8 with any criminal offense involving sexual misconduct prostitution or sexual9 offenses shall be ineligible for licensure as a massage therapist. or a massage therapy10 instructor.11 C. The board shall revoke the license of any person who is convicted of,12 enters a plea of nolo contendere to, or receives deferred adjudication to a crime or13 offense involving in connection with any criminal offense involving sexual14 misconduct or prostitution or other sexual offenses. 15 C. D. Any person who has been convicted of, entered a plea of nolo16 contendere to, or received deferred adjudication to crimes or offenses involving in17 connection with any criminal offense involving sexual misconduct or prostitution or18 sexual offenses shall be ineligible for registration licensure as an owner or operator19 of a massage establishment. The board shall revoke the registration license of any20 person if the board determines that the establishment is a sexually oriented business,21 as defined in R.S. 37:3558(D), R.S. 37:3558(C), or that a crime or offense involving22 prostitution or other sexual offenses and resulting in a conviction, to which a plea of23 nolo contendere was entered, or deferred adjudication was received has occurred on24 the premises of the establishment since the date of the most recent license renewal.25 of the registration certificate. 26 §3564. Regulation of advertising 27 A. A person who or an entity that does not hold a license as a massage28 therapist, physical therapist, or chiropractor, or athletic trainer or a certificate of29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 17 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. registration to practice athletic training, or a license as a massage establishment shall1 not use the words "massage", "shiatsu", or "body work", or any derivative or2 variation of the word "massage", including specific bodywor k or massage modalities,3 on any sign or other form of advertising. Any advertisement by a massage therapist4 or a massage establishment shall contain the license or registration number of such5 therapist or establishment. Building signs with promotional material shall also6 include the professional or establishment number.7 B. Under no circumstances shall a No sexually oriented business, as defined8 in R.S. 37:3558(D), R.S. 37:3558(C), shall use the word "massage", "shiatsu", or9 "body work", or any derivative or variation of the word massage, including specific10 bodywork or massage modalities, on any sign or other form of advertising.11 §3565. Penalties 12 A. Any Violation of the provisions of this Chapter shall be considered a13 misdemeanor and any person, including the owner or operator of a massage14 establishment, who violates the provisions of this Chapter shall be guilty of a15 misdemeanor and, upon conviction, shall be fined not less than one hundred nor16 more than one thousand dollars or imprisoned for not more than six months, or both.17 B. A person convicted of a violation of the provisions of this Chapter shall18 additionally be ineligible for licensure as a massage therapist or registration as a19 massage establishment for a period of up to five years from the date of conviction.20 §3566. Injunction21 * * *22 B. In the suit for an injunction, the board may demand of the defendant court23 may impose a penalty of fifty dollars per day for each violation, together with24 reasonable attorney fees , and the costs of court. 25 C. The judgment for penalty, An award of penalties, attorney fees, and court26 costs may be rendered in the same judgment in which the injunction is made27 absolute. If the board brings an action against someone pursuant hereto and fails to28 prove its case, then it shall be liable to such person for the payment of his attorney29 HLS 12RS-1272 REENGROSSED HB NO. 923 Page 18 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. fees and costs. If the board is unsuccessful in obtaining injunctive relief, the court1 may award attorney fees and costs to the prevailing party.2 Section 2. R.S. 37:3560 is hereby repealed in its entirety.3 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Ponti HB No. 923 Abstract: Makes changes to the La. Massage Therapists and Massage Establishment Act. Present law provides for definitions. Proposed law amends the definitions of "massage establishment", "massage therapist", and "massage therapy" and adds definitions for "advertise", "inactive status", "lapsed license", "licensee", "person", "professional massage therapy association", and "writing". Present law provides for the applicability of the La. Massage Therapists and Massage Establishment Act. Present law does not apply to any services performed in hospitals licensed by the state. Proposed law retains present law and adds an exemption for the following persons: (1)Persons who are licensed, registered, or certified in another state, territory, the District of Columbia, or a foreign country when incidentally present in the state to teach a course of instruction related to massage and bodywork therapy as a continuing education course. (2)Persons giving massage and bodywork to their immediate family without compensation. (3)Persons incidentally present in the state to provide services as part of an emergency response team working in conjunction with relief officials during a disaster provided such persons are properly licensed in the state from which they originate. (4)Physician offices, physical therapy facilities, chiropractic offices, or athletic training facilities, whether or not they employ, contract with, or rent to massage therapists, or institutions of secondary or higher education when massage therapy is practiced in connection with employment related to athletic teams. Present law establishes the La. Board of Massage Therapists to be composed of seven members appointed by the governor as follows: (1)Five licensed massage therapists shall be appointed from a list of nominees submitted to the governor by professional massage therapy associations. (2)Two lay members shall be appointed from a list of nominees, submitted to the governor by professional massage therapy associations. Proposed law establishes the La. Board of Massage Therapists to be composed of seven members appointed by the governor as follows: HLS 12RS-1272 REENGROSSED HB NO. 923 Page 19 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1)Five of the members shall be appointed from a list of nominees submitted to the governor by professional massage therapy and bodyworks associations. From the list of association nominees, three of the persons appointed shall be licensed massage therapists. Two lay members shall be appointed from the list of nominees, both of whom shall be consumers who have never been nor are currently a licensed massage therapist in the state. (2)Two additional licensed massage therapists shall be appointed to the board from a general list of names which are submitted for consideration by other interested sources or individuals. Present law provides for the qualifications, terms, vacancies, officers, reimbursement, and liability of the members of the board. Proposed law retains present law and allows bodyworks associations and other interested sources or individuals to submit a list of nominees for membership on the board. Proposed law also makes technical changes and repeals outdated provisions. Present law provides for compensation for the members of the board. Proposed law retains present law and requires at least three hours of board business be attended to receive the per diem. Present law provides for the powers and duties of the board. Proposed law provides that the board shall regulate the practice of massage and bodywork in La. by licensing massage therapists who meet the state's minimum standards of education. Proposed law further provides that, among its functions, the board promulgates rules and regulations, issues and renews professional and establishment licenses, collects and assesses fees, inspects, investigates, and disciplines licensees, including both individuals and establishments, who violate the law, and imposes fines and penalties. Present law requires a person engaging in the practice of massage therapy to be licensed by the board as a massage therapist. Proposed law retains present law and requires an applicant for a massage therapist license in the state of La. to the application fee and submit evidence satisfactory to the board of meeting the following requirements: (1)Has satisfactorily completed a minimum 500 hour in-class supervised course of studies. (2)Has passed a national examination approved by the board within two years from the date the application is filed. (3)Is a citizen or legal resident of the U.S. and has the ability to read, write, speak, and understand English fluently. (4)Has not, within the five years preceding the date of the application, been convicted of a nonviolent felony. (5)Has never been convicted of or pled nolo contendere to a violent felony or a criminal offense involving sexual misconduct. (6)Has submitted to and cleared a background check. HLS 12RS-1272 REENGROSSED HB NO. 923 Page 20 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides that a course of study may utilize a credit hours equivalent as defined by the U.S. Dept. of Education in lieu of clock hours to measure student achievement. Proposed law requires a course of study using credit hours to provide coursework consistent with the rules promulgated by the board including at least 500 hours of in-class supervised instruction. Present law provides for the examination of applicants to be massage therapists. Proposed law provides that the timing and location of examinations for applicants, along with the scope, form, and content of the examination, shall be determined by administrative rules adopted by the board. Present law provides for massage establishments. Proposed law requires each person engaging in the practice of massage therapy at a massage establishment to be the holder of a Licensed Massage Therapist Identification Card (LMT- ID Card) which shall identify the therapist as being properly licensed and shall authorize the therapist to provide off-site massage services. Proposed law further requires all locations where one or more persons are regularly engaged in the practice of massage to register with the board as a massage establishment and, if more than one person is engaged in the practice of massage at a location, to pay the establishment license fee. Proposed law provides that obtaining a massage establishment license shall be the responsibility of the entity which controls the physical location where the services are provided, which entity may be a sole proprietor, lessee, owner, partnership, corporation, cooperative, association, or other legal entity. Present law provides for applications for licensure by the board. Proposed law exempts the following persons from the requirement to complete an approved course of study and to pass a national examination the following: (1)Persons who have continuously held a license to engage in the practice of massage therapy issued by the board since March 1, 1998. (2)Persons who hold a valid, current, and unexpired license or registration to engage in the practice of massage therapy in another state, territory, commonwealth, or the District of Columbia which has and maintains standards and requirements of practice and licensure or registration which substantially conform to the requirements in force in this state, as determined by the board. Proposed law provides that each license granted shall have a validity period of one calendar year and shall have an expiration date as determined by administrative rules promulgated by the board. Present law provides for the renewal and reinstatement of licenses and the continuing education requirements that must be met prior to renewal of a license. Proposed law requires each licensed massage therapist who works at a massage establishment to display his LMT-ID Card in plain view in an appropriate public manner. Proposed law further requires a licensed massage therapist who is working outside of a massage establishment to have in his possession his LMT-ID Card and to present it for review upon request of a client or board representative. HLS 12RS-1272 REENGROSSED HB NO. 923 Page 21 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides that a licensee who chooses to adopt inactive status and cease activities as a massage therapist may submit an affidavit, along with the specified fee to apply for inactive status as required by rule of the board. If the licensee does not request to be placed on inactive status, his license shall expire if not timely renewed. Present law sets forth the causes for the suspension of, revocation of, or refusal to renew or issue a license. Proposed law sets forth the grounds for and methods of discipline of a licensee by the board. Present law provides for penalties. Proposed law provides that violations of proposed law are misdemeanors punishable by a fine of not less than $100 nor more than $1,000 or imprisonment for not more than six months, or both. Proposed law provides that a person convicted of a violation of the provisions of proposed law shall additionally be ineligible for licensure as a massage therapist a massage establishment for a period of up to five years from the date of conviction. Present law provides for injunctions. Proposed law authorizes the board to bring an action for an injunction, together with reasonable attorney fees and court costs. Proposed law further provides that, if the board is unsuccessful in obtaining injunctive relief, the court may award attorney fees and costs to the prevailing party. Present law allows an applicant who possesses the qualifications specified in present law to take the board examination to be granted a provisional license to engage in the practice of massage therapy until the date of the next examination and thereafter until the results of the examination are known. Proposed law repeals present law. Present law provides that an individual who has been issued a provisional license shall only practice massage therapy under the supervision of a licensed massage therapist. Proposed law repeals present law. Proposed law provides that the provisional license may, at the discretion of the board, be renewed once. Proposed law repeals present law. (Amends R.S. 37:3552, 3553, 3554(A), (B), (D), (E), and (F), 3555, 3556, 3557, 3558(A), (B), and (D), 3559, 3561, 3563, 3564, 3565, and 3566(B) and (C); Repeals R.S. 37:3560) Summary of Amendments Adopted by House Committee Amendments Proposed by House Committee on Commerce to the original bill. 1. Made technical corrections. 2. Deleted proposed exemptions to the massage therapist licensure law for certain medical professions and restored the existing exemption for services performed in hospitals licensed by the state. HLS 12RS-1272 REENGROSSED HB NO. 923 Page 22 of 22 CODING: Words in struck through type are deletions from existing law; words underscored are additions. 3. Specified that three of the persons appointed from the list of association nominees shall be licensed massage therapists. 4. Specified that an applicant for licensure as a massage therapist shall complete a minimum 500 hour in-class supervised course of study. 5. Specified that only locations where more than one person are regularly engaged in the practice of massage therapy shall pay the establishment licensure fee. 6. Deleted language regarding provisional licenses. 7. Specified that a person convicted of a violation of proposed law shall be ineligible for licensure as a massage therapist or massage establishment for a period up to five years from the date of conviction. House Floor Amendments to the engrossed bill. 1. Made technical corrections. 2. Provided that the term "massage establishments" does not include physician offices, physical therapy facilities, chiropractic offices, or athletic training facilities, whether or not they employ, contract with, or rent to massage therapists, or institutions of secondary or higher education when massage therapy is practiced in connection with employment related to athletic teams. 3. Clarified that the term "practice of massage therapy" includes stretching activities as they pertain to massage therapy. 4. Restored existing language that was previously deleted in the definition of definition of "practice of massage therapy". 5. Provided that nothing in proposed law shall prevent or restrict the practice of any person certified in this state from engaging in the profession or occupation for which he is certified. 6. Provided that a course of study may utilize a credit hours equivalent as defined by the U.S. Dept. of Education in lieu of clock hours to measure student achievement. 7. Required a course of study using credit hours to provide coursework consistent with the rules promulgated by the board including at least 500 hours of in-class supervised instruction. 8. Allowed a person holding a certificate to practice athletic training to use the words "massage" or "body work" or any derivative thereof in advertising.