HLS 21RS-828 REENGROSSED 2021 Regular Session HOUSE BILL NO. 531 BY REPRESENTATIVES PRESSLY AND HILFERTY Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. BOARDS/COMMISSIONS: Provides relative to the Louisiana Board of Massage Therapy 1 AN ACT 2To amend and reenact R.S. 37:3552(10), 3553(C), 3555(A)(4), 3556(A)(6), (B)(introductory 3 paragraph) and (2), and (D), and 3561(A), to enact R.S. 15:587(A)(1)(k) and R.S. 4 37:3555(A)(6) through (14), 3556(B)(3), 3563(E) through (G), and 3568, and to 5 repeal R.S. 37:3562(A)(8) and (B), relative to massage therapists; to provide for 6 massage therapy techniques; to provide for persons who are not licensed or certified 7 as a massage therapist; to revise the powers and duties of the Louisiana Board of 8 Massage Therapy; to provide for the performance of state and federal criminal 9 background checks on prospective licensees; to provide for military personnel and 10 their spouses who relocate to this state; to provide for the issuance of a license to a 11 licensee; to provide for continuing education requirements; to provide for inspections 12 of massage establishments; to provide discipline for those massage establishments 13 that operate as a sexually oriented business; to provide for fines and penalties to be 14 imposed by the board; to provide for violations and grounds for discipline of 15 massage therapists and massage establishments; to provide for human trafficking 16 training; to provide an effective date; and to provide for related matters. Page 1 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1Be it enacted by the Legislature of Louisiana: 2 Section 1. R.S. 15:587(A)(1)(k) is hereby enacted to read as follows: 3 §587. Duty to provide information; processing fees; Louisiana Bureau of Criminal 4 Identification and Information 5 A.(1) 6 * * * 7 (k) The Louisiana Board of Massage Therapy shall submit fingerprint cards 8 and other identifying information of persons seeking licensure pursuant to R.S. 9 37:3551 et seq. to the bureau. The bureau shall, upon request and after receipt of 10 fingerprint cards and other identifying information from the Louisiana Board of 11 Massage Therapy, make available to the Louisiana Board of Massage Therapy all 12 conviction information contained in the bureau's criminal history record and 13 identification files which pertain to the person seeking licensure with the Louisiana 14 Board of Massage Therapy. In addition, the fingerprints shall be forwarded by the 15 bureau to the Federal Bureau of Investigation for a national criminal history record 16 check. 17 * * * 18 Section 2. R.S. 37:3552(10), 3553(C), 3555(A)(4), and 3556(A)(6), (B)(introductory 19paragraph) and (2), and (D) are hereby amended and reenacted and R.S. 37:3555(A)(6) 20(B)(introductory paragraph) and (2), and (D), 3556(B)(3), 3561(A)(1), 3563(E) through (G), 21and 3568 are hereby enacted to read as follows: 22 §3552. Definitions 23 As used in this Chapter: 24 * * * 25 (10) "Practice of massage therapy" means the manipulation of soft tissue for 26 the purpose of maintaining good health and establishing and maintaining good 27 physical condition. The practice of massage therapy shall include advertising or 28 offering to engage in the practice of massage therapy and holding oneself out or 29 designating oneself to the public as a massage therapist or massage establishment. Page 2 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 The practice of massage therapy shall include effleurage (stroking), petrissage 2 (kneading), tapotement (percussion), compression, vibration, friction (active/passive 3 range of motion), stretching activities as they pertain to massage therapy, Shiatsu, 4 acupressure, reflexology, trigger point massage, and Swedish massage either by 5 hand, forearm, elbow, foot, or with mechanical appliances for the purpose of body 6 massage. Massage therapy may include, with appropriate training, the use of 7 lubricants such as salts, powders, liquids, creams with the exception of prescriptive 8 or medicinal creams, heat lamps, hot and cold stones, whirlpool, hot and cold packs, 9 salt glow, body wraps, or steam cabinet baths, and the use of non-prescriptive, off- 10 the-shelf commercially available electromechanical devices for which they are 11 trained which mimic or enhance the actions possible by the hands. It shall not 12 include electrotherapy ultrasound, laser therapy, microwave, colonic therapy, 13 injection therapy, or manipulation of the joints., the use of electrical muscle 14 stimulation, or transcutaneous electrical nerve stimulation except micro current. 15 Equivalent terms for massage therapy are massage, therapeutic massage, massage 16 technology, body work, or any derivation of those terms. As used in this Chapter, 17 the terms "therapy" and "therapeutic" shall not include diagnosis, the treatment of 18 illness or disease, or any service or procedure for which a license to practice 19 medicine, chiropractic, physical therapy, or podiatry is required by law. 20 * * * 21 §3553. Application of Chapter; exceptions and exemptions 22 * * * 23 C. Nothing in this Chapter shall be construed as preventing or restricting the 24 practice of any person licensed or certified in this state under any other law from 25 engaging in the profession or occupation for which he is licensed or certified. 26 However, a person licensed or certified in this state under any other law shall not 27 hold himself out to the public as a licensed massage therapist under the provisions 28 of this Chapter. 29 * * * Page 3 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 §3555. Powers and duties of the board 2 A. The board shall: 3 * * * 4 (4) Adopt and revise rules and regulations pursuant to the Administrative 5 Procedure Act for the purpose of administering the provisions of this Chapter. The 6 board shall initiate promulgation of such rules and regulations within one hundred 7 twenty days following any new changes to provisions of this Chapter. 8 * * * 9 (6) Prioritize inspections and incorporate risk factors for complaints made 10 to the board regarding any unlicensed activity by massage therapists or massage 11 establishments. 12 (7) Utilize all legally available news outlets as resources to identify 13 unauthorized activity of a massage therapist or establishment. 14 (8) Evaluate the performance of inspection contractors who inspect massage 15 establishments. 16 (9) Include in the inspection protocol a list of observations for inspectors to 17 determine whether there is a strong possibility that an establishment is operating as 18 a sexually oriented business and forward to law enforcement, if appropriate. 19 (10) Develop a process to identify any unlicensed activity of a person who 20 is not licensed by the board. 21 (11) Develop a process to review all complaints made to the board. 22 (12) Develop a process to monitor massage establishments who have been 23 notified of violations in accordance with R.S. 37:3563. 24 (13) Develop guidance to follow a consistent and objective approach to 25 properly protect the public from massage therapists who are disciplined in 26 accordance with R.S. 37:3563. 27 (14)(a) Submit the names of new applicants for licensure to the Louisiana 28 Bureau of Criminal Identification and Information, located within the Department 29 of Public Safety and Corrections, for criminal history background checks. Upon the Page 4 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 board's submission of an applicant's fingerprints and such other identifying 2 information as may be required, the Louisiana Bureau of Criminal Identification and 3 Information shall survey its criminal history record and identification files and shall 4 make available to the board all conviction information contained in the Louisiana 5 Bureau of Criminal Identification and Information's criminal history record and 6 identification files which pertain to the applicant for licensure. In addition, the 7 fingerprints shall be forwarded by the Louisiana Bureau of Criminal Identification 8 and Information to the Federal Bureau of Investigation for a national criminal history 9 record check. 10 (b) The costs of providing the information required pursuant to this Section 11 shall be charged by the Louisiana Bureau of Criminal Identification, as specified in 12 R.S. 15:587(B), to the board for furnishing the information contained in the 13 Louisiana Bureau of Criminal Identification and Information's criminal history 14 record and identification files, including any additional costs of providing the 15 national criminal history records checks, which pertains to the applicant for 16 licensure. 17 * * * 18 §3556. Licensure; qualifications 19 A. No person shall engage in the practice of massage therapy without a 20 current license issued pursuant to this Chapter unless such person is exempt under 21 the provisions of this Chapter. To receive a massage therapist license in the state of 22 Louisiana, an applicant shall pay the application fee pursuant to R.S. 37:3562 and 23 shall submit evidence satisfactory to the board of meeting the following 24 requirements: 25 * * * 26 (6) Has submitted to and cleared a background check as set forth in R.S. 27 37:3555(A)(14). Page 5 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 B. The requirements set forth in R.S. 37:3556(A)(1) and (2) shall not apply 2 to either any of the following: 3 * * * 4 (2) Persons who hold a valid, current, and unexpired license or registration 5 to engage in the practice of massage therapy in another state, territory, 6 commonwealth, or the District of Columbia that has and maintains standards and 7 requirements of practice and licensure or registration that substantially conform to 8 the requirements in force in this state, as determined by the board. The board shall 9 verify the validity of the documents submitted with that state's licensing or 10 registration agency and obtain any transcript information directly from the school 11 identified by the applicant. 12 (3) Persons who are active or retired military personnel and relocate to this 13 state or his spouse who possesses a license from another state with substantially 14 equivalent licensing requirements pursuant to the provisions of this Chapter. 15 * * * 16 D. The board shall issue and deliver, by United States Postal Service or any 17 other nonelectronic delivery option, a license to each person who meets the 18 qualifications provided for in this Section upon payment of the professional license 19 fee provided pursuant to R.S. 37:3562. The license shall include a recent photo of 20 the licensee. The license, in the form of a Licensed Massage Therapist Identification 21 Card (LMT-ID Card), which contains an available anti-copy watermark or 22 lamination, shall grants grant all professional rights, honors, and privileges to the 23 licensed massage therapist. 24 * * * 25 §3561. License renewal requirements 26 A.(1) Each license shall be renewed annually, on or before its expiration date 27 by submitting a renewal application form, payment of the renewal fee specified in 28 R.S. 37:3562, and providing evidence that the licensee has completed continuing 29 education requirements, as established by rule of the board. Page 6 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 (2)(a) Beginning with the renewal cycle of April 1, 2022, any excess 2 continuing education credits may be applied to the following year only after a 3 licensee has satisfied the license renewal requirements. 4 (b) In the renewal cycle beginning April 1, 2022, and in this cycle only, each 5 renewing applicant shall submit to a state and federal background check as described 6 in R.S. 37:3555(A)(14). In order to renew, an applicant must not have pled guilty 7 to or been convicted of any sex-related crime, crime of violence, or crime related to 8 the practice of massage therapy. 9 * * * 10 §3563. Grounds for discipline 11 * * * 12 E. The board shall perform a review of any massage therapist that has been 13 disciplined in accordance with this Section within one calendar year of the infraction 14 or reinstatement of license. The board shall immediately suspend a license pending 15 a disciplinary hearing for any review of a massage therapist that reveals any 16 violations of this Section. 17 F. The board shall perform an inspection of any massage establishment that 18 has been disciplined in accordance with this Section within one calendar year of the 19 infraction or reinstatement of license. The board shall immediately suspend a license 20 or registration of such an establishment upon the establishment's failure of a 21 follow-up inspection indicating continued or new violations of this Section, pending 22 a disciplinary hearing. 23 G. The board shall impose a fine or penalty on massage establishments that 24 continue to operate without a license. The board shall promulgate in rule the amount 25 of the fine or penalty to be incurred. 26 * * * 27 §3568. Human trafficking training 28 A. The board shall provide training opportunities for its board members, 29 staff, and contract inspectors to help identify signs of human trafficking. Page 7 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 1 B. The board shall coordinate with law enforcement agencies and other 2 stakeholders to help identify and address any illicit activity related to human 3 trafficking in the massage industry. 4 Section 3. R.S. 37:3562(A)(8) and (B) are repealed in their entirety. 5 Section 4. This Act shall become effective upon signature by the governor or, if not 6signed by the governor, upon expiration of the time for bills to become law without signature 7by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 8vetoed by the governor and subsequently approved by the legislature, this Act shall become 9effective on the day following such approval. 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)] HB 531 Reengrossed 2021 Regular Session Pressly Abstract: Revises laws providing further duties and functions of the La. Board of Massage Therapy. Proposed law mandates the Louisiana Board of Massage Therapy to submit fingerprint cards and other identifying information of persons seeking licensure to the bureau and requires the bureau to, upon receipt of the fingerprints and other identifying information, produce all conviction information contained within its criminal history record and identification files. Proposed law mandates that the fingerprints obtained by the Louisiana Board of Massage Therapy be forwarded to the Federal Bureau of Investigation from the bureau in order to have a nation-wide criminal history record check performed. Present law provides that the practice of massage therapy may include the use of lubricants such as salts, powders, liquids, creams with the exception of prescriptive or medicinal creams, heat lamps, hot and cold stones, whirlpool, hot and cold packs, salt glow, body wraps, or steam cabinet baths. Proposed law clarifies present law and states that the practice of massage therapy may include, with appropriate training, the use of lubricants such as salts, powders, liquids, creams with the exception of prescriptive or medicinal creams, heat lamps, hot and cold stones, whirlpool, hot and cold packs, salt glow, body wraps, or steam cabinet baths, certain electromechanical devices. Present law provides that electrotherapy shall not be identified as a practice of massage therapy. Proposed law deletes present law and adds that ultrasound, the use of electrical muscle stimulation, or transcutaneous electrical nerve stimulation shall not be identified as a practice of massage therapy. Page 8 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 Present law provides that a license for massage therapist shall not be applied to the following: (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. Further provides that notwithstanding the provisions of present law, a person who is licensed or certified in this state under any other provision of present law shall not be prevented or restricted from engaging in the profession for which he is licensed and which he may provide massage or bodywork therapy to a person. Proposed law retains present law and adds that a person licensed or certified in this state under any other provision of present law shall not hold himself out to the public as a licensed or certified massage therapist pursuant to present law. Present law sets forth the powers and duties of the board. Present law provides that the board shall adopt and revise rules and regulations pursuant to the Administrative Procedure Act for the purpose of administering the provisions of present law. Proposed law retains present law and adds that such rules and regulations shall be promulgated within 120 days following any new changes to provisions of present law. Proposed law retains present law and adds additional powers and duties to the board. Those powers and duties include the following: (1) Prioritize inspections and incorporate risk factors for complaints made to the board regarding any unlicensed activity by massage therapists or massage establishments. (2)Utilize all legally available news outlets to identify unauthorized activity of a massage therapist or massage establishment. (3) Evaluate the performance of inspection contractors who inspect massage establishments. (4) Include a list of observations for inspections to determine if a massage establishment is operating as a sexually oriented business. (5) Develop a process to identify any unlicensed activity of a person who is not licensed by the board. (6) Develop a process to review all complaints made to the board. (7)Develop a process to monitor massage establishments who have been notified to cease operations in accordance with present law. Page 9 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 (8) Develop guidance to follow a consistent and objective approach and properly protect the public unqualified licensees when massage therapists are discipline in accordance with present law. (9) Submit the names of new applicants for licensure to the La. Bureau of Criminal Identification and Information within the Dept. of Public Safety and Corrections to conduct state and federal criminal background checks. Further provides that the Louisiana Bureau of Criminal Identification may charge the board a fee in accordance with present law (R.S.15:587) for conducting and reporting a search. Present law provides that a person who holds 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 and has maintained the standards and requirements of practice and licensure or registration that substantially conform to the requirements enforced in this state shall not have to pay the application fee and submit evidence satisfactory to the board to become licensed in this state. Proposed law retains present law and adds that the board shall verify the validity of the documents submitted with that state's licensing or registration agency and obtain any transcript information directly from the school identified by the applicant. Present law provides that the board shall issue a license to each person who meets the qualifications and submit payment to obtain such license. Further provides that the license will be identified as a Licensed Massage Therapist Identification Card. Proposed law retains present law and adds that the license shall be issued and delivered by United States Postal Service or other nonelectronic delivery options to the licensee and that the license shall contain an anti-copy watermark or lamination. Present law provides that a licensee has to renew his license annually and meet the continuing education requirements provided for in the Administrative Procedure Act. Proposed law retains present law and states that any excess continuing education credits may only be applied to the year following a licensee satisfying the renewal requirements. Further provides that proposed law shall become effective with the renewal cycle of April 1, 2022. Proposed law further requires renewing applicants to submit to state and federal background checks. Present law sets forth the grounds for and methods of discipline of a licensee and by the board. Proposed law adds the board shall perform a review of any massage therapist that has been disciplined in accordance with present law within one calendar year of the infraction or reinstatement of license. The board shall immediately suspend a license pending a disciplinary hearing for any review of a massage therapist which reveal any violations of present law. Further provides the board shall also perform an inspection of any massage establishment that has been disciplined in accordance with present law within one calendar year of the infraction or reinstatement of license. The board shall immediately suspend a license or registration of an establishment for failure of a follow-up inspection. Proposed law adds to present law that the board shall impose a fine or penalty on massage establishments who continue to operate without a license. The board shall promulgate in rule the amount of the fine or penalty to be incurred. Page 10 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 21RS-828 REENGROSSED HB NO. 531 Proposed law provides that the board shall conduct training for its board members, staff, and contract inspectors on how to identify human trafficking. Further provides that the board shall coordinate with law enforcement agencies or other stakeholders to help address any activity related to human trafficking in the massage industry. Effective upon signature of governor or lapse of time for gubernatorial action. (Amends R.S. 37:3552(10), 3553(C), 3555(A)(4), 3556(A)(6), (B)(introductory paragraph) and (2), and (D), 3561(A), and 3562 (A)(1)-(3); Adds R.S. 15:587(A)(1)(K), R.S. 37:3555(A)(6) through (14), 3556(B)(3), and 3563(E) through (G) and 3568; Repeals R.S. 37:3562(A)(8) and (B)) Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Health and Welfare to the original bill: 1. Require persons seeking licensure from the Louisiana Board of Massage Therapy to submit fingerprints and other identifying information to the Louisiana Bureau of Criminal Identification and Information and the Federal Bureau of Investigation. 2. Delete proposed law and add utilizing legally available news outlets as resources to identify unauthorized activities of massage therapists and establishments. 3. Mandate a 120-day prescriptive period for promulgation of rules by the board. 4. Revise the criminal background check procedures enforced by the Louisiana Bureau of Criminal Identification and Information. 5. Add proposed law establishing a license renewal cycle commencement date on April 1, 2022. 6. Add proposed law renewal cycle commencement date on April 1, 2022. 7. Revise proposed law requiring the board to monitor the performance of inspection contractors to instead require the board evaluate the performance of such contractors. 8. Delete "micro-current devices" from proposed law and add language regarding the use of non-prescriptive, off-the-shelf commercially available electromechanical devices as forms of massage therapy. 9. Add language regarding electrical muscle stimulation, or transcutaneous electrical nerve stimulation, except micro-current as treatments that are not considered massage therapy. 10.Make technical changes. The House Floor Amendments to the engrossed bill: 1. Add proposed law requiring applicants for renewal to submit to state and federal background checks. 2. Remove proposed law revising fee amounts associated with the original massage therapist license fee, annual license renewal fee, and applications fees. 3. Make technical changes. Page 11 of 11 CODING: Words in struck through type are deletions from existing law; words underscored are additions.