Req. No. 7808 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 f or 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 Req. No. 7808 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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, which 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, Secti on 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. Req. No. 7808 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLA HOMA: SECTION 1. AMENDATORY 59 O.S. 2021, Section 4200.2, is amended to read as follow s: 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 without 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, and 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 g eneral 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 body and include s, 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 Req. No. 7808 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 within the normal anatomical range of movement, and vibration by manual o r 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 herbal 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 which 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 Req. No. 7808 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 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 thera pist; 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 Req. No. 7808 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 massage therapy unless the school is a licensed or accredited 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 per son, 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; Req. No. 7808 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 a nother 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 t he 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 pre sent 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, travel ing 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 p ublic 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 Req. No. 7808 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 Req. No. 7808 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 work permits, sanitation, inspection of establishments, and continuing education requirements. B. The State Board of Cosmetology and Barbering 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 licensed massag e 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 that shall exp ire 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; Req. No. 7808 Page 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. One member who shall be an administrator o r 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 successive t erms 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: Req. No. 7808 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 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 ; 2. The applicant has had a license or permit deni ed 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: Req. No. 7808 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1. The applicant has pleaded guilty, nolo contendere, or been convicted of a crime, or has a criminal charg e 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 denied 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, is amended to read as follows: Req. No. 7808 Page 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 requi red 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 examinatio n 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. Req. No. 7808 Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 t he 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 mass age therapist, and e. provides; and Req. No. 7808 Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 bearin g 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 involved an act or threa t 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 Section 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; Req. No. 7808 Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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: Req. No. 7808 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 Req. No. 7808 Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 sc ope 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 f oreign 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. Req. No. 7808 Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 therapist 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 re stored 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 o f 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 duplication in numbering, r eads 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; Req. No. 7808 Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 convicte d 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 section 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 renewa ble. 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; Req. No. 7808 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 jurisdict ion 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 a pplication 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 li cense 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, Req. No. 7808 Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 Req. No. 7808 Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Act. The Board shall conduct investigations in the same manner and according to the sam e terms as provided for in the Oklahoma 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 include, bu t 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 other 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 proce ed 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 se ction. Each day a violation Req. No. 7808 Page 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 allow unlic ensed 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 provi ded 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: Req. No. 7808 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1. Violates a provision of the Massage Therapy Pr actice 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 Board; 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 l icense 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 printing promotional material. Req. No. 7808 Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 aids and abets one o r 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 employment, shall a lso 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. 59-1-7808 LRB 02/28/23