Oklahoma 2023 Regular Session

Oklahoma House Bill HB2514 Latest Draft

Bill / Amended Version Filed 03/01/2023

                             
 
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HOUSE OF REPRESENTATIVES - FLOOR VERSION 
 
STATE OF OKLAHOMA 
 
1st Session of the 59th Legislature (2023) 
 
COMMITTEE SUBSTITUTE 
FOR 
HOUSE BILL NO. 2514 	By: Pittman 
 
 
 
COMMITTEE SUBSTITUTE 
 
An Act relating to massage therapy; amending 59 O.S. 
2021, Section 4200.2, which re lates to definitions; 
defining terms; amending 59 O.S. 2021, Section 
4200.3, which relates to massage therapy licensing; 
requiring license to operate massage therapy 
establishment; preventing licensed nonresident to 
operate if services are opened to general public; 
updating statutory reference; amending 59 O.S. 2021, 
Section 4200.4, which relates to the authority of the 
State Board of Cosmetology and Barbering; expanding 
authority over certain permits and in spections; 
modifying terms of appointments to Board; providing 
for vacancies; modifying license fees; establishing 
license fee for establishment license; authorizing 
the Board to issue massage therapy, temporary work 
permits, and massage therapy establishment license; 
providing conditions for licensees to be denied or 
placed on probation by the Board; requiring 
disclosure of certain crimes; allowing the Board to 
require an applicant to submit to a nation al criminal 
history record check; amending 59 O.S. 2021, Section 
4200.5, which relates to license requirements; 
removing the requirements needed for licensing during 
certain time frame; establishing licensing standards 
for an original license; removing nec essity for 
liability insurance; establishing massage therapy 
establishment license; providing for requirements 
necessary for issuances of license by Board; 
requiring disclosure of certain crimes; establishing 
standards for renewal; amending 59 O.S. 20 21, Section 
4200.6, which relates to lic ense posting; requiring 
license postage at each place of business; amending 
59 O.S. 2021, Section 4200.7, which relates to   
 
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massage therapy schools; expanding authoriz ed schools 
necessary to be licensed; removing provision for 
instruction as a massage therapis t; amending 59 O.S. 
2021, Section 4200.9, w hich relates to out-of-state 
license; removing conditions for issuance of out-of-
state license; allowing the Board to issue temporary 
work permits; providing conditions for issuance of 
temporary work permit; requiring expiration of permit 
without the ability to renew; establish ing massage 
therapy license renewal; providing for conditions for 
license renewal; requiring disclosure of certain 
crimes; providing for renewal in certain time frame; 
establishing fees for renewal; requiring submission 
of proof of completion of continuing education for 
renewal; requiring reapplication for a license if not 
renewed in certain time frame; amending 59 O.S. 2021, 
Section 4200.10, which relates to preemption; 
providing preemption for massage therapy 
establishments; amending 59 O.S. 2021, Section 
4200.11, which relates to disciplinary actions and 
proceedings; authorizing the Board to conduct 
investigations; requiring records a nd information in 
connection to investigations to be confidential; 
allowing for exception to confidentiality for use by 
law enforcement and regulatory agencies; establishin g 
administrative fines for violations of act; 
authorizing the Board to issue field citations; 
allowing for citations to impose actions and fines; 
requiring a hearing following issuance of citation; 
allowing for payment of fine without hearing 
resulting in acknowledgement of violation; 
establishing punishment by fine or imp risonment for 
violations made by unlicensed persons, firms, or 
corporations; authorizing the Boar d to levy 
administrative fees to unlicensed individuals and 
owners of establishments; providing exempted 
individuals from pro visions of the act; amending 59 
O.S. 2021, Section 4200.13, which relates to 
violations; expanding violations; repealing 59 O.S. 
2021, Sections 4200.8, which relates to examination 
for licensure; providing for codification; and 
providing an effective date. 
 
 
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLA HOMA:   
 
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SECTION 1.     AMENDATORY     59 O.S. 2021, Section 4200.2, is 
amended to read as follows: 
Section 4200.2. As used in the Massage Therapy Pra ctice Act: 
1.  "Board" means the State Board of Cosmetology and Barbering; 
2.  "Direct access" means the ability that the public has to 
seek out treatment by a massage therapist witho ut the direct 
referral from a medical or health care professional; 
3.  "Massage therapist" means an individual who practices 
massage or massage therapy and is licens ed under the Massage Therapy 
Practice Act.  A massage therapist us es visual, kinesthetic, a nd 
palpatory skills to assess the body and may evaluate a condition to 
the extent of determining whether massage is indicated or 
contraindicated; 
4.  "Massage therapy" means the skillful treatment of the soft 
tissues of the human b ody.  Massage is designed to promote general 
relaxation, improve movement, relieve somatic and mus cular pain or 
dysfunction, stress and muscle tension, provide for general health 
enhancement, personal growth, education and the organization, 
balance and integration of the human bod y and includes, but is not 
limited to: 
a. the use of touch, pressure, fri ction, stroking, 
gliding, percussion, kneading, movement, positioning, 
holding, range of mot ion and nonspecific stretching 
within the normal anatomical range of movement, and   
 
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vibration by manual or mechanical means with or 
without the use of massage device s that mimic or 
enhance manual measures, and 
b. the external application of ice, heat and co ld packs 
for thermal therapy, water, lubricants, abrasives and 
external application of herb al or topical preparations 
not classified as prescription drugs; and 
5.  "Massage therapy establishment " means any fixed business 
location, address, building, or pro perty, where a person engages in, 
conducts, carries on, or permits the practice of massage therapy.  
This term shall exclude offices or workplaces of licensed healt h 
care professionals exempted f rom the provisions of the Mas sage 
Therapy Practice Act; 
6. "Massage therapy school" means a facility providing 
instruction in massage therapy; 
7.  "Person" means an individual, partnership, limited liability 
company, corporation, or association, unless the context otherwise 
requires; 
8.  "Poses a reasonable threat" means the nature of criminal 
conduct for which the person was con victed, charged, or to wh ich the 
person has pleaded guilty or nolo contendere, involved an act or 
threat of harm against another and has a bearing on the fitness or 
ability to serve the publ ic or work with others in massage therapy 
consistent to the provisions in Section 4000.1 of this title; and   
 
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9. "Substantially relates" means the nature of the crim inal 
conduct for which the per son was convicted, charged, or to which the 
person pleaded guilty or nolo contendere, has a direct bearing on 
the fitness or ability to perform one or more of the duties or 
responsibilities necessarily related to massage thera py consistent 
to the provisions in Section 4000.1 of this title. 
SECTION 2.     AMENDATORY     59 O.S. 2021, Section 4200.3, is 
amended to read as follows: 
Section 4200.3. A.  Unless a person is a licensed as a massage 
therapist by the State Board of Cosmetology and Barbering , a person 
shall not: 
1.  Practice massage therapy in this s tate; 
2. Use the title of massage therapist; 
2. 3.  Represent himself or herself to be a massage therapist; 
3. 4.  Use any other title, words, abbreviations , letters, 
figures, signs or devices that indicate the person is a massage 
therapist; or 
4. 5.  Utilize the terms "massage", "massage therapy" or 
"massage therapist" when advertising or printing promotional 
material. 
B.  A person shall not maintain, manage or operate a massage 
therapy school offering education, instruction or training in 
massage therapy unless the school is a licensed or accredited   
 
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massage therapy school pursuant to Section 7 of this act 4200.7 of 
this title. 
C.  Individuals practicing mass age therapy under the Massage 
Therapy Practice Act shall not perform any of the following: 
1.  Diagnosis of illness or disease; 
2.  High-velocity, low-amplitude thrust; 
3.  Electrical stimulation; 
4.  Application of ultrasound; 
5.  Use of any technique tha t interrupts or breaks the skin; or 
6.  Prescribing of medicines. 
D.  No person shall own or operate a massage therapy 
establishment without first obtaining an establishment license from 
the Board. 
E. Nothing in the Massage Therapy Practice Act shall be 
construed to prevent: 
1.  Qualified members of other recognized professions who are 
licensed or regulated under pursuant to Oklahoma law from rendering 
services within the scope of the license of the person, provided the 
person does not represent himself or herself as a massage therapist.  
A physician or other licensed health care provider providing heal th 
care services within the scope of practice of the physi cian or 
provider shall not be required to be licensed by or registered with 
the State Board of Cosm etology and Barbering;   
 
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2.  Students from rendering massage therapy services within the 
course of study when enrolled at a licensed massage therapy school; 
3.  Visiting massage therapy instructors from another state or 
territory of the United States, the Di strict of Columbia or any 
foreign nation from teaching massage therapy, provided the 
instructor is duly licensed or registered, if required, and is 
qualified in the instructor's place of residence for the practice of 
massage therapy; 
4.  Any nonresident pe rson holding a current license, 
registration or certification in massage therapy from another state 
or recognized national certification system determined as acceptable 
by the Board when temporarily present in this state from providing 
massage therapy serv ices as a part of an emergency response team 
working in conjunction with disaster relief officials or at special 
events such as conventions, sporting events, educational field 
trips, conferences, traveling shows or exhibitions, as long as the 
services are not open to the general public; 
5.  Physicians or other health care professionals from 
appropriately referring to duly licensed massage therapists or limit 
in any way the right of direct access of the public to licensed 
massage therapists; or 
6.  The practice of any person in this state who uses touch, 
words and directed movement to deepen awareness of existing patterns 
of movement in the body as well as to su ggest new possibilities of   
 
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movement while engaged within the scope of practice of a profession 
with established standards and ethics, provided that the services 
are not designated or implied to be m assage or massage therapy.  
Practices shall include but ar e not limited to the Feldenkrais 
Method of somatic education, Rolf Movement Integration by the Rolf 
Institute, the Trager Approach of movement education, and Body -Mind 
Centering.  Practitioners shal l be recognized by or meet the 
established standards of ei ther a professional organization or 
credentialing agency that represents or certifies the respectiv e 
practice based on a minimal level of training, demonstration of 
competency, and adherence to ethi cal standards. 
E. F.  A physician or other licensed health care provider 
providing health care services within their scope of practice shall 
not be required to be licensed or registered with the State Board of 
Cosmetology. 
SECTION 3.     AMENDATORY     59 O.S. 2021, Section 4200.4, is 
amended to read as follows: 
Section 4200.4. A.  The State Board of Cosmetology and 
Barbering is hereby autho rized to adopt and promulgate rules 
pursuant to the Administrative Proced ures Act that are necessar y for 
the implementation and enforcement of the Massage Th erapy Practice 
Act, including, but not limited to, requirements related to 
qualifications for licen sure, renewals, reinstatements, temporary   
 
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work permits, sanitation, inspection of establishments, and 
continuing education requirements. 
B.  The State Board of Cosmetology and Barberi ng is hereby 
empowered to perform investigations, to require the producti on of 
records and other documents relating to practices regulated by the 
Massage Therapy Practice A ct, and to seek injunctive relief in a 
court of competent jurisdiction without bond . 
C.  There is hereby created an Advisory Board on Massage 
Therapy.  The Advisory Board on Massage Therapy shall assist the 
State Board of Cosmetology and Barbering in carrying out the 
provisions of this section regarding the quali fications, 
examination, registration, regulation, and standards of professional 
conduct of massage therapists.  The Advisory Board on Massage 
Therapy shall consist of five (5) members to be appointe d by the 
Governor for four-year terms as follows: 
1.  Three members who shall be lic ensed massage therapists and 
have practiced in Oklahoma for not l ess than three (3) years prior 
to their appointment .  One member shall be appointed to an initial 
term that shall expire on June 30, 202 5.  One member shall be 
appointed to an initial term th at shall expire on June 30, 2026.  
One member shall be appointed to an in itial term that shall expire 
on June 30, 2027.  All successive terms for the positions provided 
in this subsection shall be for four (4) years each;   
 
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2.  One member who shall be an adm inistrator or faculty member 
of a nationally accredited school of massage therapy school duly 
licensed or accredited pursuant to Section 4200. 7 of this title.  
The member shall be appointed to an initial term that shall expire 
on June 30, 2025.  All succes sive terms for this position shall be 
for four (4) years each ; and 
3.  One member who shall be a citizen public member.  The member 
shall be appointed to an initial term th at shall expire on June 30, 
2026.  All successive t erms for this position shall be for four (4) 
years each. 
D.  A person appointed to fill a position that ha s become vacant 
shall serve the remainder of th e term of the vacated position.  The 
person shall be eligible for appointment to successive four-year 
terms thereafter. 
E. The initial and renewal fee for any a massage therapy 
license issued between the effective date of this act and May 1, 
2017, shall be Twenty -five Dollars ($25.00).  The fee or renewal fee 
for any massage therapy license issued after May 1, 201 7, shall be 
Fifty Dollars ($50.00) per year. The initial and renewal fee for an 
establishment license shall be Fifty Dollars ($50.00) . A duplicate 
license fee shall be Ten Dollars ($10.00) Five Dollars ($5.00). 
SECTION 4.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 4200.4.1 of Title 59, unless 
there is created a duplication in numbering , reads as follows:   
 
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A.  The State Board of Cosmetology and Barbering shall have 
authority to issue mass age therapy licenses, temporary work permits, 
and massage establishment licenses as provided in the Massage 
Therapy Practice Act. 
B.  The Board may deny or place probationary conditions on a 
massage therapy license or temporary work permit if: 
1.  The applicant has pleaded guilty, nolo con tendere or been 
convicted of a crime, or has a criminal charge currently pending, 
that substantially relates to the practice of massage therapy and 
that poses a reasonable threat to public health or safety ; 
2.  The applicant has had a license or permit den ied or has been 
the subject of disciplinary action in another jurisdictio n, if the 
grounds for the denial or disciplina ry action would constitute cause 
for denial or disciplinary action pursuant to the Massage Therapy 
Practice Act or the Board 's rules; 
3.  The applicant has previously held a license or permit by the 
Board and the license or permit has been revoked or the a pplicant 
has been the subject of disciplinary action by the Board; or 
4.  The applicant attempts to obtain the license or permit by 
means of fraud, misrepresentation, deceit, or concealment of 
material facts. 
C.  The Board may deny or place p robationary conditions on a 
massage establishment license i f:   
 
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1.  The applicant has pleaded guilty, nolo contendere, or been 
convicted of a crime, or has a criminal charge currently pending, 
that substantially relates to the ownership, operation, or 
management of a massage therapy establishment and that poses a 
reasonable threat to public health and safety; 
2.  The applicant has had a license or permit d enied or has been 
the subject of disciplinary action in another jurisdict ion, if the 
grounds for the denial o r disciplinary action would constitute cause 
for denial or disciplinary action pursuant to the Massage Therapy 
Practice Act or the Board 's rule; 
3. The applicant has previously held a license or permit by the 
Board and the license or permit has been r evoked or the applicant 
has been the subject of disciplinary action by the Board; or 
4.  The applicant attempts to ob tain the license or permit by 
means of fraud, misrepresentation, deceit, or concealment of 
material facts. 
D.  The Board may require an applicant for an initial massage 
therapy license, temporary work permit, or an initial establishment 
license to submit to a national criminal his tory record check as 
defined at Section 150.9 of Title 74 of the Oklahoma Statutes .  The 
costs associated with the national criminal history record check 
shall be paid by the applic ant. 
SECTION 5.     AMENDATORY    59 O.S. 2021, Section 4200.5, i s 
amended to read as follows:   
 
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Section 4200.5. A.  Between the effective date of this act and 
May 1, 2017, the State Board of Cosmetolo gy and Barbering shall 
issue a license to practice massage therapy to any person who fi les 
a completed application, ac companied by the required fees, and who 
submits satisfactory evidence tha t the applicant: 
1.  Is at least eighteen (18) years of age; 
2.  Has one or more of the following: 
a. documentation that the applicant has completed and 
passed a nationally recognized competency examination 
in the practice of massage therapy, 
b. an affidavit of at least five (5) years of work 
experience in the state, or 
c. a certificate and transcript of c ompletion from a 
massage school with at least five hundred (500) hours 
of education; 
3.  Provides proof of documentation that the applicant currently 
maintains liability insurance for practice as a massage therapist; 
and 
4.  Provides full disclosure to the Board of any criminal 
proceeding taken against th e applicant including but not l imited to 
pleading guilty or nolo contendere to, or receiving a convictio n 
for, a felony crime that substantially relates to the practice of 
massage therapy and poses a reason able threat to public safety.   
 
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B.  To assist in det ermining the entry-level competence of an 
applicant who makes application for a license after May 1, 201 7, the 
Board may adopt rules establishing additional standards or criteria 
for examination acceptance and may adopt only those examinations 
that meet the standards outlined in Section 4200.8 of this title. 
C.  1.  After May 1, 2017, except Except as otherwise provided 
in the Massage Therapy Practice Act, every person de siring to 
practice massage therapy in this state shall be required to first 
obtain a license from the Board. 
2.  After May 1, 2017, the B.  The Board may issue a an initial 
massage therapy license to an applicant a person who files a 
completed application, accompanied by the required fees, and who: 
a. is 1.  Is at least eighteen (18) years o f age,; 
b. provides 2.  Provides documentation that the applicant has 
completed the equivalent of five hu ndred (500) hours of formal 
education in massage therapy from a s tate-licensed school, 
c. provides graduated from a state licensed or accredited 
massage therapy school with a t least five hundred (500) clock hours 
of formal education; 
3. Provides documentation that the applicant has passed a 
nationally recognized compe tency examination approved by the Boa rd, 
d. provides proof that the applicant currently maintains 
liability insurance for practice as a massage therapist, and 
e. provides; and   
 
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4.  Provides full disclosure to the Board of any criminal 
proceeding taken again st the applicant including pending criminal 
charges, pleading guilty or nolo contendere to, or receiving a 
conviction for, a felony crime that substantially relates to the 
practice of massage therapy and poses a reasonable threat to public 
safety. 
D.  As used in this section: 
1.  "Substantially relates" means the nature of criminal conduct 
for which the person was convicted has a direct bearing on the 
fitness or ability to perform one or more of the duties or 
responsibilities necessarily related to the occu pation; and 
2.  "Poses a reasonable t hreat" means the nature of criminal 
conduct for which the person was convicted invol ved an act or threat 
of harm against another and has a bearing on the fitness or ability 
to serve the public or work with others in the occupation. 
SECTION 6.    NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as S ection 4200.5.1 of Title 59, unless 
there is created a duplication in num bering, reads as follows: 
A.  No person shall own or operate a m assage therapy 
establishment without obtaining an establishment license from the 
State Board of Cosmetology and Barbering. 
B.  The Board may issue an initial establishment license to a n 
applicant who: 
1.  Is at least eight (18) years of age;   
 
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2.  Discloses whether the a pplicant has been deni ed a massage 
therapy establishment license in another jurisdiction; 
3.  Discloses whether the applicant holds or has held a massage 
therapy establishment lic ense in another jurisdiction and whether 
disciplinary action has ever been ta ken against the applic ant 
including, but not limited to, suspension or revocation of the 
license; and 
4.  Discloses whether the applicant has pleaded guilty, nolo 
contendere or been convicted of a crime, o r has a criminal charge 
currently pending, that substantially relates to the practice of 
massage therapy and th at poses a reasonable threat to public health 
and safety. 
C.  All massage therapy establishments shall be sub ject to 
inspection by the Board and shall comply with a ll provisions of the 
Massage Therapy Practice Act and rules of the Board.  Inspection of 
a private residence licensed as a massage therapy establishment 
shall be limited to areas where massage therapy is practic ed, 
including any restroom made available to massage therapy clients. 
D.  A massage therapy establishment license shall be renewed 
annually. The renewal date shall be established by the Board 
through adoption of a rule. 
E.  A licensee may renew a massage therapy establishment license 
by:   
 
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1.  Submitting a completed renewal application on a form 
prepared by the Board; 
2.  Tendering the re quired renewal fee; 
3.  Disclosing any plea of guilty, nolo contendere or conviction 
of a crime, or pending criminal charg e, other than a minor t raffic 
violation in any jurisdiction within the preceding licensure year; 
and 
4.  Disclosing any administrative or legal ac tion taken against 
the licensee in any other jurisdiction governing massage therapy. 
SECTION 7.     AMENDATORY     59 O.S. 2021, Section 4200.6, is 
amended to read as follo ws: 
Section 4200.6. A.  A massage therapy license or massage 
therapy establishment license issued by the State Board of 
Cosmetology and Barbering shall at all times be posted in a 
conspicuous place in the principal each place of business of t he 
holder in which massage therapy is performed. 
B.  A license issued pursuant to th e Massage Therapy Practice 
Act is not assignable or transferable. 
SECTION 8.     AMENDATORY     59 O.S. 2021, Section 4200.7, is 
amended to read as follows: 
Section 4200.7. A. A person shall not advertise, maintain, 
manage or operate a massage therapy school unless the school is 
licensed by the Oklahoma Board of Private Vocational Sch ools or is a   
 
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technology center school accredited b y the Oklahoma State Board of 
Career and Technology Education. 
B.  A person shall not instruct as a massag e therapist unless 
the instruction is within the scope of curriculum at a licensed 
massage therapy school . 
SECTION 9.     AMENDATORY     59 O .S. 2021, Section 4200.9, is 
amended to read as follows: 
Section 4200.9. A. The State Board of Cosmetology and 
Barbering may license an applicant, provided that the applicant who 
possesses a valid lic ense, permit, or registration to practice 
massage therapy issued by the appropriate examining board under the 
laws of any other state or territory of t he United States, the 
District of Columbia or any foreign nation and has met educational 
and examination requirements equal to or exceed ing those established 
pursuant to the Massage Therapy Practice Act . 
B.  1.  Massage therapy licenses shall expire bienni ally.  
Expiration dates shall be established by the Board through adoption 
of a rule. 
2.  A license shall be renewed by submitting a ren ewal 
application on a form provided by the Board. 
3.  A thirty-day grace period shall be allowed each license 
holder after the end of the renewal period , during which time a 
license may be renewed upon payment of the renewal fee and a late 
fee as prescribed by the Board.   
 
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C.  1.  If a massage therapy license is not renewed by the end 
of the thirty-day grace period, the licen se shall be placed on 
inactive status for a period not to exceed one (1) year.  At the end 
of one (1) year, if the license has not been reactivated, it shall 
automatically expire. 
2.  If within a period o f one (1) year from the date the license 
was placed on inactive status the massage t herapist wishes to resume 
practice, the massage therapist shall notify th e Board in writing 
and, upon receipt of proof of comple tion of all continuing education 
requirements and payment of an amount set by the Board in lieu of 
all lapsed renewal fees, the license shall be restored in full. 
D. The Board shall establish a schedu le of reasonable and 
necessary administrative fees. 
E.  The Board shall fix the amount of fees so t hat the total 
fees collected shall be sufficient to meet the expenses of 
administering the provisions of the Massage Therapy Practice Act 
without unnecessary surpluses. 
SECTION 10.     NEW LAW     A new section of law to be codified 
in the Oklahoma Statutes as Section 4200.9.1 of Title 59, unless 
there is created a duplicat ion in numbering, reads as follows: 
A.  The State Board of Cosmetology and Barbering may issue a 
temporary work permit to a person who submits a completed 
application accompanied by the required fees, and who: 
1.  Is at least eighteen (18) years of age;   
 
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2. Provides documentation that the applicant has graduated from 
a state licensed or accredited massage therapy school with at least 
five hundred (500) clock hours of formal education; and 
3.  Discloses whether the applica nt has pleaded guilty, nolo 
contendere or been convicted of a crime, or has a criminal charge 
currently pending, that substantially relates to the practice of 
massage therapy and that poses a reasonable threat to public health 
or safety. 
B.  A temporary work permit issued pursuant to this se ction 
shall authorize the recipient to practice massage the rapy under the 
direct supervision of a licensed massage the rapist in accordance 
with rules promulgated by the Board. The permit shall expire ninety 
(90) days after the date it is issued and is not renewable. 
SECTION 11.     NEW LAW     A new section of l aw to be codified 
in the Oklahoma Statutes as Section 4200.9.2 of Title 59, unless 
there is created a duplication in numbering, reads as follows: 
A.  A massage therapy license s hall be renewed biennially.  The 
renewal date shall be established by the State Board of Cosmetology 
and Barbering through adoption of a rule. 
B.  A licensee may renew a license by: 
1.  Submitting a completed renewal application on a form 
prepared by the Board; 
2.  Tendering the required renewal fee;   
 
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3.  Submitting proof of completio n of all continuing education 
requirements; 
4.  Disclosing any ple a of guilty, nolo contend ere or conviction 
of a crime, or pending criminal charge, other than a minor traffic 
violation in any jurisdiction within the preceding licensure year; 
and 
5.  Disclosing any administrative or legal act ion taken against 
the licensee in any other jurisdiction governing massage therapy. 
C.  Any person who fails to ren ew the license within the 
required time may make application for renewal at any time within 
five (5) years from the expiration date of the license by: 
1.  Paying the regular renewal license fee and a lat e fee of Ten 
Dollars ($10.00) for each expired year, which becomes due sixty ( 60) 
days after the expiration date; and 
2.  Submitting proof of completion of a ll continuing education 
requirement cumulative for the years since the licensed expired. 
D.  Any person who fails to renew a license within five (5) 
years of the expiration date shall apply for a new license and meet 
all the requirements for initial licensure. 
SECTION 12.     AMENDATORY     59 O.S. 2021 , Section 4200.10, is 
amended to read as follows: 
Section 4200.10. A.  The Massage Therapy Practice Act shall 
supersede preempt all ordinances or regulations regulating massage 
therapists and massage therapy establishments in any city, county,   
 
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or political subdivision , except as listed in subsection B of this 
section. 
B.  This section shall not affect the regulations of a city, 
county or a political subdivision relating to zoning requirements , 
general health and safety requirements , or occupational license fees 
pertaining to health care pr ofessions. 
SECTION 13.     AMENDATORY    59 O.S. 2021, Section 4200.11, is 
amended to read as follows: 
Section 4200.11. A.  The State Board of Cosmetology and 
Barbering may take disciplinary action against a person licensed 
pursuant to the Massage Therapy Pract ice Act as follows: 
1.  Deny or refuse to renew a license; 
2.  Suspend or revoke a license; 
3.  Issue an administrative reprimand; or 
4.  Impose probationary conditions when the licensee or 
applicant has engaged in unprofessional co nduct that has endangere d 
or is likely to endanger th e health, welfare or safety of the 
public. 
B.  The Board shall take disciplinary action upon a finding t hat 
the licensee or person has committed an act of unprofessional 
conduct or committed a violation of rule or law. 
C.  Disciplinary proceedings may be i nstituted by sworn the 
filing of a complaint of any person, including members of the Board, 
and shall conform to the provisions of the Administrative Procedures   
 
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Act.  The Board shall conduct investigations in the same manner and 
according to the sam e terms as provided for in the Oklahom a 
Cosmetology and Barbering Act.  Records and information obtained in 
connection with an investigation of alleged violations shall be 
confidential in the same manner as provide for in the Oklahoma 
Cosmetology and Barbering Ac t and rules of the Board; provided, the 
information obtained in the course of any investigation shall be 
made available to the appropriate law enforcement or regulatory 
agency. 
D.  The Board shall establ ish the guidelines for the disposition 
of disciplinary cases.  Guidelines may includ e, but shall not be 
limited to, periods of probation, conditions of proba tion, 
suspension, revocation or reissuance of a license. 
E.  A license holder who has been found culpable in violation of 
the Massage Therapy Practice Act, rules of the Board, or othe r 
applicable law and sanctioned by the Board shall be responsible for 
the payment of all costs of the disciplinary proceedin gs and any 
administrative fees imposed. 
F.  The surrender or expiration of a license shall not deprive 
the Board of jurisdiction to proceed with disciplinary action. 
G.  The Board may assess an administrat ive fine of not more than 
Two Hundred and Fifty Dollars ($250.00) for each violation of the 
Massage Therapy Practice Act or r ule of the Board, except as 
provided in subsection H of this section.  Each day a violation   
 
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continues shall constitute a continued or flagrant violation of 
these rules, such that the Board may refuse to renew the related 
license or issue an initial license where the individual cited is 
unlicensed, unless and until the citation is paid. 
H.  The Board shall have the authority to levy administrative 
fines not to exceed Two Hundred Fifty Dollars ($250.00) for persons 
practicing massage therapy without a license, and for owners of 
massage therapy establishments who all ow unlicensed individuals to 
practice massage therapy without a license in their establishment. 
Each day a violation contin ues shall be a separate offense; 
provided, the administrative fine for violat ions of this subsection 
shall not exceed a total of Two Hundred Fifty Dollars ($250.00) per 
month. 
I.  The Board may issue fie ld citations in enforcing the Massage 
Therapy Practice Act.  Field citations ma y require the performance 
of an action and impose fines. Such citations shall provide notice 
of a hearing as provided under this section; provided, a person who 
receives a citation may waive the hearing and pay the fine.  Payment 
of the fine shall con stitute acknowledgement of the violation and 
may be considered in any further discip linary action by the Board. 
SECTION 14.     AMENDATORY     59 O.S. 2021, Section 4200.13, is 
amended to read as follows: 
Section 4200.13. A.  A person who does any of the following 
shall be guilty of a misdemeanor upon conviction:   
 
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1.  Violates a provision of the M assage Therapy Practice Act or 
rules adopted pursuant to the Massage Th erapy Practice Act; 
2.  Renders or attempts to render massage therapy services or 
massage therapy instruction without the required current valid 
massage therapy or mass age therapy establishment license or 
temporary work permit issued by the State Board of Cosmetology and 
Barbering; 
3.  Permits any person in one's employ, supervision, or control 
to practice massage therapy unless that person has obtained an 
appropriate license from the Bo ard; 
4.  Advertises or uses a designation, diploma or certificate 
implying that the person offers massage t herapy instruction or is a 
massage therapy school unless the person holds a current valid 
license issued by the Oklahoma Board of Private Vocational Schools 
or is a technology center school accredited by the Oklahoma Sta te 
Board of Career and Technology Ed ucation; or 
4. 5. Advertises or uses a designation, diploma, or certificate 
implying that the person is a massage therapist unless the person 
holds a current valid license issued by the State Board of 
Cosmetology and Barbering. 
B.  1.  Therapists regulated by the Massage Therapy Practic e Act 
shall be designated as "massage therapists" and entitled to utilize 
the term "massage" when advertising or prin ting promotional 
material.   
 
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2.  Any person who uses a professional title regulated by the 
Massage Therapy Practice Act who is not authorized to use the 
professional title sh all be subject to disciplinary action by the 
Board. 
3.  Any person who knowingly aid s and abets one or more persons 
not authorized to use a professional ti tle regulated by the Massage 
Therapy Practice Act or knowingly emplo ys or contracts with a person 
or persons not authorized to use a regulated professional title in 
the course of the em ployment, shall also be subject to disciplinary 
action by the Board.  I t shall be a violation of the Massage Therapy 
Practice Act for any p erson to advertise massage therap y services in 
any combination with any escort or dating service. 
SECTION 15.     REPEALER   59 O.S. 2021, Section 4200.8, is 
hereby repealed. 
SECTION 16.  This act shall become effe ctive November 1, 2023. 
 
COMMITTEE REPORT BY: COMMITTEE ON GOVERNMENT MODERNIZATION AND 
TECHNOLOGY, dated 02/28/2023 - DO PASS, As Amended.