02-24 12:21 S.B. 330 1 Cosmetology Modifications 2025 GENERAL SESSION STATE OF UTAH Chief Sponsor: Scott D. Sandall House Sponsor: 2 3 LONG TITLE 4 General Description: 5 This bill restructures the licensing standards for the Cosmetology and Associated 6 Professions Licensing Act. 7 Highlighted Provisions: 8 This bill: 9 ▸ defines terms; 10 ▸ creates a scope of practice for professionals regulated by the Cosmetology and Associated 11 Professions Licensing Act; 12 ▸ restructures the existing Cosmetology and Associated Professions Licensing Board; 13 ▸ restructures the license classifications regulated by the Cosmetology and Associated 14 Professions Licensing Act; 15 ▸ restructures the qualifications for licensure for professionals regulated by the 16 Cosmetology and Associated Professions Licensing Act; 17 ▸ establishes standards for apprenticeship for professionals regulated by the Cosmetology 18 and Associated Professions Licensing Act; 19 ▸ addresses unprofessional conduct; 20 ▸ allows a school to receive curriculum approval from the Division of Professional 21 Licensing; and 22 ▸ makes technical and conforming changes. 23 Money Appropriated in this Bill: 24 None 25 Other Special Clauses: 26 This bill provides a special effective date. 27 Utah Code Sections Affected: 28 AMENDS: 29 58-1-102, as last amended by Laws of Utah 2024, Chapter 486 30 58-1-506, as last amended by Laws of Utah 2024, Chapter 486 S.B. 330 S.B. 330 02-24 12:21 31 58-11a-201, as last amended by Laws of Utah 2024, Chapter 479 32 58-11a-303, as last amended by Laws of Utah 2001, Chapter 204 33 58-11a-304, as last amended by Laws of Utah 2024, Chapter 479 34 58-11a-503, as last amended by Laws of Utah 2020, Chapter 339 35 58-67-102, as last amended by Laws of Utah 2024, Chapter 507 36 58-68-102, as last amended by Laws of Utah 2024, Chapter 507 37 ENACTS: 38 58-11a-302.10, Utah Code Annotated 1953 39 58-11a-302.11, Utah Code Annotated 1953 40 58-11a-302.12, Utah Code Annotated 1953 41 58-11a-302.13, Utah Code Annotated 1953 42 58-11a-302.14, Utah Code Annotated 1953 43 58-11a-302.15, Utah Code Annotated 1953 44 58-11a-302.16, Utah Code Annotated 1953 45 58-11a-302.17, Utah Code Annotated 1953 46 58-11a-302.18, Utah Code Annotated 1953 47 58-11a-302.19, Utah Code Annotated 1953 48 58-11a-302.20, Utah Code Annotated 1953 49 58-11a-302.21, Utah Code Annotated 1953 50 58-11a-302.22, Utah Code Annotated 1953 51 REPEALS AND REENACTS: 52 58-11a-102, as last amended by Laws of Utah 2024, Chapter 479 53 58-11a-301, as last amended by Laws of Utah 2024, Chapter 479 54 58-11a-302, as last amended by Laws of Utah 2024, Chapters 137, 479 55 58-11a-306, as last amended by Laws of Utah 2024, Chapter 479 56 58-11a-501, as last amended by Laws of Utah 2024, Chapter 479 57 58 Be it enacted by the Legislature of the state of Utah: 59 Section 1. Section 58-1-102 is amended to read: 60 58-1-102 . Definitions. 61 As used in this title: 62 (1) "Ablative procedure" means the same as that term is defined in Section 58-67-102. 63 (2) "Cosmetic medical procedure": 64 (a) means the same as that term is defined in Section 58-67-102; and - 2 - 02-24 12:21 S.B. 330 65 (b) except for Chapter 67, Utah Medical Practice Act, and Chapter 68, Utah Osteopathic 66 Medical Practice Act, does not apply to the scope of practice of an individual 67 licensed under this title if the individual's scope of practice includes the authority to 68 operate or perform surgical procedures. 69 (3) "Cryolipolysis" means a nonablative fat reduction procedure that uses cold temperature 70 to reduce fat deposits in certain areas of the body. 71 (4) "Department" means the Department of Commerce. 72 (5) "Director" means the director of the Division of Professional Licensing. 73 (6) "Division" means the Division of Professional Licensing created in Section 58-1-103. 74 (7) "Executive director" means the executive director of the Department of Commerce. 75 (8) "Licensee" includes any holder of a license, certificate, registration, permit, student 76 card, or apprentice card authorized under this title. 77 (9)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 78 alter living tissue, but not intended or expected to excise, vaporize, disintegrate, or 79 remove living tissue. 80 (ii) Notwithstanding Subsection [(8)(a)(i)] (9)(a)(i), nonablative procedure includes 81 hair removal and cryolipolysis. 82 (b) "Nonablative procedure" does not include: 83 (i) a superficial procedure; 84 (ii) the application of permanent make-up; 85 (iii) laser tattoo removal; or 86 [(iii)] (iv) the use of photo therapy and lasers for neuromusculoskeletal treatments that 87 are performed by an individual licensed under this title who is acting within their 88 scope of practice. 89 (10) "Pain clinic" means: 90 (a) a clinic that advertises its primary purpose is the treatment of chronic pain; or 91 (b) a clinic in which greater than 50% of the clinic's annual patient population receive 92 treatment primarily for non-terminal chronic pain using Schedule II-III controlled 93 substances. 94 (11) "Superficial procedure" means a procedure that is expected or intended to temporarily 95 alter living skin tissue and may excise or remove stratum corneum but have no 96 appreciable risk of damage to any tissue below the stratum corneum. 97 (12) "Telemedicine service" means the same as that term is defined in Section 26B-4-704. 98 (13) "Unlawful conduct" means the same as that term is defined in Subsection 58-1-501(1). - 3 - S.B. 330 02-24 12:21 99 (14) "Unprofessional conduct" means the same as that term is defined in Subsection 100 58-1-501(2). 101 Section 2. Section 58-1-506 is amended to read: 102 58-1-506 . Supervision of cosmetic medical procedures. 103 (1) For purposes of this section: 104 (a) "Delegation group A" means the following who are licensed under this title, acting 105 within their respective scopes of practice, and qualified under Subsections (2)(f)(i) 106 and (iii): 107 (i) a physician assistant, if acting in accordance with Chapter 70a, Utah Physician 108 Assistant Act; 109 (ii) a registered nurse; 110 (iii) a master esthetician; and 111 (iv) an electrologist, if evaluating for or performing laser hair removal. 112 (b) "Delegation group B" means: 113 (i) a practical nurse or [an] a master esthetician who is licensed under this title, acting 114 within their respective scopes of practice, and qualified under Subsections (2)(f)(i) 115 and (iii); and 116 (ii) a medical assistant who is qualified under Subsections (2)(f)(i) and (iii). 117 (c) "Direct cosmetic medical procedure supervision" means the supervisor: 118 (i) has authorized the procedure to be done on the patient by the supervisee; and 119 (ii) is present and available for a face-to-face communication with the supervisee 120 when and where a cosmetic medical procedure is performed. 121 (d) "General cosmetic medical procedure supervision" means the supervisor: 122 (i) has authorized the procedure to be done on the patient by the supervisee; 123 (ii) is available in a timely and appropriate manner in person to evaluate and initiate 124 care for a patient with a suspected adverse reaction or complication; and 125 (iii) is located within 60 minutes or 60 miles of the cosmetic medical facility. 126 (e) "Hair removal review" means: 127 (i) conducting an in-person, face-to-face interview of a patient based on the responses 128 provided by the patient to a detailed medical history assessment that was prepared 129 by the supervisor; 130 (ii) evaluating for contraindications and conditions that are part of the treatment plan; 131 and 132 (iii) if the patient history or patient presentation deviates in any way from the - 4 - 02-24 12:21 S.B. 330 133 treatment plan, referring the patient to the supervisor and receiving clearance from 134 the supervisor before starting the treatment. 135 (f) "Indirect cosmetic medical procedure supervision" means the supervisor: 136 (i) has authorized the procedure to be done on the patient by the supervisee; 137 (ii) has given written instructions to the person being supervised; 138 (iii) is present within the cosmetic medical facility in which the person being 139 supervised is providing services; and 140 (iv) is available to: 141 (A) provide immediate face-to-face communication with the person being 142 supervised; and 143 (B) evaluate the patient, as necessary. 144 (2) A supervisor supervising a nonablative cosmetic medical procedure for hair removal 145 shall: 146 (a) have an unrestricted license to practice medicine or advanced practice registered 147 nursing in the state; 148 (b) develop the medical treatment plan for the procedure; 149 (c) conduct a hair removal review, or delegate the hair removal review to a member of 150 delegation group A, of the patient prior to initiating treatment or a series of 151 treatments; 152 (d) personally perform the nonablative cosmetic medical procedure for hair removal, or 153 authorize and delegate the procedure to a member of delegation group A or B; 154 (e) during the nonablative cosmetic medical procedure for hair removal provide general 155 cosmetic medical procedure supervision to individuals in delegation group A 156 performing the procedure, except physician assistants, who shall act in accordance 157 with Chapter 70a, Utah Physician Assistant Act, and indirect cosmetic medical 158 procedure supervision to individuals in delegation group B performing the procedure; 159 and 160 (f) verify that a person to whom the supervisor delegates an evaluation under Subsection 161 (2)(c) or delegates a procedure under Subsection (2)(d)[ or (3)(c)(ii)]: 162 (i) has received appropriate training regarding the medical procedures developed 163 under Subsection (2)(b); 164 (ii) has an unrestricted license under this title or is performing under the license of the 165 supervising physician and surgeon; and 166 (iii) has maintained competence to perform the nonablative cosmetic medical - 5 - S.B. 330 02-24 12:21 167 procedure through documented education and experience of at least 80 hours, as 168 further defined by rule, regarding: 169 (A) the appropriate standard of care for performing nonablative cosmetic medical 170 procedures; 171 (B) physiology of the skin; 172 (C) skin typing and analysis; 173 (D) skin conditions, disorders, and diseases; 174 (E) pre- and post-procedure care; 175 (F) infection control; 176 (G) laser and light physics training; 177 (H) laser technologies and applications; 178 (I) safety and maintenance of lasers; 179 (J) cosmetic medical procedures an individual is permitted to perform under this 180 title; 181 (K) recognition and appropriate management of complications from a procedure; 182 and 183 (L) cardiopulmonary resuscitation (CPR). 184 [(3) For a nonablative cosmetic medical procedure for tattoo removal:] 185 [(a) a supervisor supervising a nonablative cosmetic medical procedure for tattoo 186 removal shall:] 187 [(i) have an unrestricted license to practice medicine or advanced practice registered 188 nursing in the state; and] 189 [(ii) develop the medical treatment plan for the procedure; and] 190 [(b) a nurse practitioner or physician assistant:] 191 [(i) shall conduct an in-person face-to-face evaluation of a patient before initiating a 192 treatment protocol or series of treatments for removing a tattoo;] 193 [(ii) shall inspect the patient's skin for any discoloration unrelated to the tattoo and 194 any other indication of cancer or other condition that should be treated or further 195 evaluated before the tattoo is removed;] 196 [(iii) shall refer a patient with a condition described in Subsection (3)(b)(ii) to a 197 physician for treatment or further evaluation; and] 198 [(iv) may not perform a nonablative cosmetic medical procedure to remove a tattoo 199 on a patient unless the patient is approved for the tattoo removal by a physician 200 after the physician evaluates the patient.] - 6 - 02-24 12:21 S.B. 330 201 [(4)] (3) For a nonablative cosmetic medical procedure other than hair removal under 202 Subsection (2)[ or tattoo removal under Subsection (3)]: 203 (a) a physician who has an unrestricted license to practice medicine, a nurse practitioner 204 who has an unrestricted license for advanced practice registered nursing, or a 205 physician assistant acting in accordance with Chapter 70a, Utah Physician Assistant 206 Act, who has an unrestricted license to practice as a physician assistant, shall: 207 (i) develop a treatment plan for the nonablative cosmetic medical procedure; and 208 (ii) conduct an evaluation of the patient either in-person or utilizing a live 209 telemedicine visit before the initiation of a treatment protocol or series of 210 treatments; and 211 (b) the supervisor supervising the procedure shall: 212 (i) have an unrestricted license to practice medicine or advanced practice registered 213 nursing; 214 (ii) personally perform the nonablative cosmetic medical procedure or: 215 (A) authorize and provide general cosmetic medical procedure supervision for the 216 nonablative cosmetic medical procedure that is performed by a registered nurse 217 or a master esthetician; 218 (B) authorize and provide supervision as provided in Chapter 70a, Utah Physician 219 Assistant Act, for the nonablative cosmetic medical procedure that is 220 performed by a physician assistant; or 221 (C) authorize and provide direct cosmetic medical procedure supervision for the 222 nonablative cosmetic medical procedure that is performed by [an] a master 223 esthetician[; and] . 224 [(iii) verify that a person to whom the supervisor delegates a procedure under 225 Subsection (3)(c):] 226 [(A) has received appropriate training regarding the medical procedures to be 227 performed;] 228 [(B) has an unrestricted license and is acting within the person's scope of practice 229 under this title; and] 230 [(C) is qualified under Subsection (2)(f)(iii).] 231 [(5)] (4) A supervisor performing or supervising a cosmetic medical procedure under 232 Subsection (2) or (3)[ or (4)] shall ensure that: 233 (a) the supervisor's name is prominently posted at the cosmetic medical facility 234 identifying the supervisor; - 7 - S.B. 330 02-24 12:21 235 (b) a copy of the supervisor's license is displayed on the wall of the cosmetic medical 236 facility; 237 (c) the patient receives written information with the name and licensing information of 238 the supervisor who is supervising the nonablative cosmetic medical procedure and 239 the person who is performing the nonablative cosmetic medical procedure; 240 (d) the patient is provided with a telephone number that is answered within 24 hours for 241 follow-up communication; and 242 (e) the cosmetic medical facility's contract with a master esthetician who performs a 243 nonablative cosmetic medical procedure at the facility is kept on the premises of the 244 facility. 245 [(6)] (5) Failure to comply with the provisions of this section is unprofessional conduct. 246 [(7)] (6) A chiropractic physician licensed under Chapter 73, Chiropractic Physician 247 Practice Act, is not subject to the supervision requirements in this section for a 248 nonablative cosmetic medical procedure for hair removal if the chiropractic physician is 249 acting within the scope of practice of a chiropractic physician and with training specific 250 to nonablative hair removal. 251 Section 3. Section 58-11a-102 is repealed and reenacted to read: 252 58-11a-102 . Definitions. 253 As used in this chapter: 254 (1) "Approved apprenticeship" means an apprenticeship that meets the requirements of 255 Section 58-11a-306 for any applicable license or permit type and the requirements 256 established by administrative rules made by the division in collaboration with the board 257 pursuant to Section 58-1-106 and in accordance with Title 63G, Chapter 3, Utah 258 Administrative Rulemaking Act. 259 (2) "Board" means the Cosmetology and Associated Professions Licensing Board created in 260 Section 58-11a-201. 261 (3) "Cosmetic laser procedure" means a nonablative procedure, as that term is defined in 262 Section 58-67-102, that is performed with the use of a laser. 263 (4) "Cosmetic supervisor" means a supervisor as defined in Section 58-1-505. 264 (5) "Dermaplane" means the use of a scalpel or bladed instrument to shave the upper layers 265 of the stratum corneum. 266 (6) "Direct supervision" means that the supervisor of an apprentice or the instructor of a 267 student is physically present in the same building as the apprentice or student and readily 268 able to establish direct contact with the apprentice or student for consultation, advice, - 8 - 02-24 12:21 S.B. 330 269 instruction, and evaluation. 270 (7) "Division" means the Division of Professional Licensing, created in Section 58-1-103. 271 (8) "Endorsement" means the practice of endorsing a license from another jurisdiction as 272 allowed in Section 58-1-302. 273 (9) "Fund" means the Cosmetology and Associated Professions Education and Enforcement 274 Fund created in Section 58-11a-103. 275 (10)(a) "Hair braiding" means the twisting, weaving, or interweaving of an individual's 276 natural human hair. 277 (b) "Hair braiding" includes the following methods or styles: 278 (i) African-style braiding; 279 (ii) box braids; 280 (iii) cornrows; 281 (iv) dreadlocks; 282 (v) french braids; 283 (vi) invisible braids; 284 (vii) micro braids; 285 (viii) single braids; 286 (ix) single plaits; 287 (x) twists; 288 (xi) visible braids; 289 (xii) the use of lock braids; 290 (xiii) the use of decorative beads, accessories, and extensions; and 291 (xiv) the use of wefts if applied without the use of glue or tape. 292 (c) "Hair braiding" does not include: 293 (i) the use of: 294 (A) wefts if applied with the use of glue or tape; 295 (B) synthetic tape; 296 (C) synthetic glue; 297 (D) keratin bonds; 298 (E) fusion bonds; or 299 (F) heat tools; 300 (ii) the cutting of human hair; or 301 (iii) the application of heat, dye, a reactive chemical, or other preparation to: 302 (A) alter the color of the hair; or - 9 - S.B. 330 02-24 12:21 303 (B) straighten, curl, or alter the structure of the hair. 304 (11) "Instructor" means an individual that is licensed to instruct a trade that is regulated by 305 this chapter. 306 (12) "Licensed school" means a school in Utah that: 307 (a) meets the standards for accreditation established by administrative rules made by the 308 division; and 309 (b) is using curriculum approved by the division. 310 (13) "Minimum service count" means the minimum number of repetitions of a given 311 service a license or permit applicant is required to complete to gain a minimum level of 312 competence as established by administrative rules made by the division for each service. 313 (14) "Permit" means a safety permit that gives the holder authority to perform certain 314 services. 315 (15) "Practice of basic skincare" means any one of the following skincare procedures done 316 on the body for cosmetic purposes and not for the treatment of medical, physical, or 317 mental ailments: 318 (a) cleaning, stimulating, manipulating, exercising, applying oils, antiseptics, clays or 319 masks, manual extraction, including a comedone extractor, depilatories, waxes, 320 tweezing, natural nail manicures or pedicures, or callous removal by buffing or filing; 321 (b) limited chemical exfoliation as defined by administrative rules made by the division; 322 (c) other esthetic preparations or procedures with the use of the hands, a high-frequency 323 or galvanic electrical apparatus, or a heat lamp; or 324 (d) arching eyebrows, tinting eyebrows or eyelashes, perming eyelashes or eyebrows, or 325 applying eyelash or eyebrow extensions. 326 (16) "Recognized school" means a school located in a jurisdiction other than Utah whose 327 students, upon graduation, are recognized as having completed the educational 328 requirements for the licensure in the jurisdiction in which the school is located. 329 (17) "Representative of a recognized school" means an individual: 330 (a) that is acting in the individual's capacity as an employee of a recognized school; or 331 (b) with an ownership or financial interest in a recognized school. 332 (18) "Salon" means a place, shop, or establishment in which an individual licensed or 333 permitted under this chapter practices the individual's trade. 334 (19) "Threading" means a method of removing hair from the eyebrows, upper lip. or other 335 body parts by using cotton thread to pull hair from follicles without the use of chemicals, 336 heat, or wax. - 10 - 02-24 12:21 S.B. 330 337 (20) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 338 58-11a-502. 339 (21) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 340 and 58-11a-501 and as may be further defined by administrative rules made by the 341 division in collaboration with the board in accordance with Title 63G, Chapter 3, Utah 342 Administrative Rulemaking Act. 343 Section 4. Section 58-11a-201 is amended to read: 344 58-11a-201 . Board. 345 (1) There is created the Cosmetology and Associated Professions Licensing Board 346 consisting of the following members: 347 (a)(i) one [barber or ]cosmetologist[/barber]; or 348 (ii) one cosmetologist instructor; 349 [(b)(i) one barber or cosmetologist/barber instructor; or] 350 [(ii) one representative of a licensed barber or cosmetology/barber school;] 351 [(c)] (b)(i) one master esthetician; or 352 (ii) one master esthetician instructor; 353 (c)(i) one nail technician; or 354 (ii) one nail technician instructor; 355 [(d)(i) one esthetician instructor; or] 356 [(ii) one representative of a licensed esthetics school;] 357 [(e) one nail technician;] 358 [(f)(i) one nail technician instructor; or] 359 [(ii) one representative of a licensed nail technology school;] 360 [(g)] (d)(i) one electrologist; or 361 (ii) one electrologist instructor; 362 (e) one representative of a licensed school that is publicly funded; 363 (f) one representative of a licensed school that is privately funded; 364 (g) one supervisor as defined in Section 58-1-505; and 365 [(h) one eyelash and eyebrow technician;] 366 [(i)(i) one eyelash and eyebrow technician instructor; or] 367 [(ii) one representative of a licensed eyelash and eyebrow technology school; and] 368 [(j)] (h) [two members] one member from the general public. 369 (2)(a) The board shall be appointed and serve in accordance with Section 58-1-201. 370 (b) Except for the members specified in Subsections (1)(e) and (1)(f), a member may not - 11 - S.B. 330 02-24 12:21 371 participate as a representative of a recognized school. 372 [(b)(i) At least one of the members of the board appointed under Subsections (1)(b), 373 (d), and (f) shall be an instructor at or a representative of a public school.] 374 [(ii) At least one of the members of the board appointed under Subsections (1)(b), 375 (d), and (f) shall be an instructor at or a representative of a private school.] 376 (3)(a) [The ] The board shall perform the duties and responsibilities [of the board are in 377 accordance with] described in Sections 58-1-202 and 58-1-203. 378 (b) [In addition, the ] The board shall designate one of [its] the board members on a 379 permanent or rotating basis to: 380 [(a)] (i) assist the division in reviewing complaints concerning the unlawful or 381 unprofessional conduct of a licensee; and 382 [(b)] (ii) advise the division in [its] the division's investigation of these complaints. 383 (4) A board member who has, under Subsection (3), reviewed a complaint or advised in [its] 384 the investigation of the complaint may be disqualified from participating with the board 385 when the board serves as a presiding officer in an adjudicative proceeding concerning 386 the complaint. 387 Section 5. Section 58-11a-301 is repealed and reenacted to read: 388 58-11a-301 . Licensure or permit required. 389 (1) Subject to Subsection (2), a person must be licensed or permitted as required under this 390 chapter to practice a trade regulated by this chapter. 391 (2) An individual is not required to be licensed or permitted if the individual: 392 (a) is a registered apprentice in accordance with this chapter; or 393 (b) qualifies for an exemption under: 394 (i) Section 58-1-307; or 395 (ii) Section 58-11a-304. 396 Section 6. Section 58-11a-302 is repealed and reenacted to read: 397 58-11a-302 . General qualifications for licensure and permitting. 398 (1)(a) An applicant for a license or permit under this chapter shall: 399 (i) submit an application in a form prescribed by the division; and 400 (ii) pay a fee determined by the division in compliance with Section 63J-1-504; 401 (b) provide satisfactory documentation of completion of required minimum service 402 count, certified by the applicant's school, or, if under an apprenticeship, the 403 applicant's supervisor; and: 404 (i) compliance with educational requirements of the respective license or permit; or - 12 - 02-24 12:21 S.B. 330 405 (ii) completion of an approved apprenticeship; and 406 (c) pass an examination, if required for the respective license or permit. 407 (2) A student or apprentice shall obtain a release to test from the student's school or the 408 apprentice's supervisor prior to taking an examination. 409 Section 7. Section 58-11a-302.10 is enacted to read: 410 58-11a-302.10 . Practice of barbering -- Barbering permit -- Qualifications. 411 (1) The practice of barbering includes: 412 (a) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 413 shears, clippers, or other appliances; 414 (b) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 415 drying; 416 (c) removing hair from the face or neck of an individual by using shaving equipment, 417 including an electric trimmer; and 418 (d) when providing other services described in this Subsection (1), gently massaging the 419 head, back of the neck, and shoulders by manual or mechanical means. 420 (2) An individual may not engage in the practice of barbering unless the individual holds a 421 barbering permit, haircutting permit, master hair design license, master barbering 422 license, or cosmetology license. 423 (3) An applicant for a barbering permit shall comply with the requirements in Section 424 58-11a-302 and: 425 (a) attend a licensed or recognized school and complete a curriculum that: 426 (i) covers: 427 (A) hair safety requirements; and 428 (B) barbering; and 429 (ii) has a minimum of 130 hours of instruction or the equivalent number of credit 430 hours; or 431 (b) complete an approved barber apprenticeship. 432 (4) If the applicant graduates from a recognized school with less than 130 hours of 433 instruction, the applicant may count hours practiced as a barber in a jurisdiction other 434 than Utah to satisfy the 130 total hours requirement. 435 Section 8. Section 58-11a-302.11 is enacted to read: 436 58-11a-302.11 . Practice of chemical hair services -- Chemical hair services 437 permit -- Qualifications. 438 (1) The practice of chemical hair services includes bleaching, tinting, coloring, relaxing, - 13 - S.B. 330 02-24 12:21 439 permanent waving, or similarly treating the hair of the head of an individual. 440 (2) An individual may not engage in the practice of chemical hair services unless the 441 individual holds a chemical hair services permit, master hair design license, master 442 barber license, or cosmetology license. 443 (3) An applicant for a chemical hair service permit shall comply with the requirements in 444 Section 58-11a-302 and: 445 (a) attend a licensed or recognized school and complete a curriculum that: 446 (i) covers chemical hair services; and 447 (ii) has a minimum of 260 hours of instruction or the equivalent number of credit 448 hours; or 449 (b) complete an approved chemical hair service apprenticeship. 450 (4) If the applicant graduates from a recognized school with less than 260 hours of 451 instruction, the applicant may count hours practiced as a chemical hair service technician 452 in a jurisdiction other than Utah to satisfy the 260 total hours requirement. 453 Section 9. Section 58-11a-302.12 is enacted to read: 454 58-11a-302.12 . Practice of cosmetology -- Cosmetology license -- Qualifications. 455 (1) The practice of cosmetology includes: 456 (a) styling, arranging, dressing, curling, waving, cleaning, singeing, bleaching, tinting, 457 coloring, permanent waving, or similarly treating the hair of the head of an individual; 458 (b) cutting, clipping, or trimming the hair by using scissors, shears, clippers, or other 459 appliances; 460 (c) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 461 drying; 462 (d) removing hair from the face or neck of an individual by using shaving equipment; 463 (e) arching eyebrows by tweezing, tinting eyebrows or eyelashes, perming eyelashes or 464 eyebrows; 465 (f) removing hair from the body of an individual by using depilatories, waxing, or 466 shaving equipment; 467 (g) cutting, curling, styling, fitting, measuring, or forming caps for wigs and hairpieces 468 on the human head; 469 (h) practicing hair weaving or hair fusing or servicing previously medically implanted 470 hair; 471 (i) trimming, cutting, cleaning, manicuring, shaping, massaging, or enhancing the 472 appearance of the hands, feet, and nails of an individual by using the nail technician's - 14 - 02-24 12:21 S.B. 330 473 hands, mechanical or electrical preparation, antiseptic, lotion, or cream; 474 (j) applying and removing sculptured or artificial nails; 475 (k) using blades, including corn or callus planer or rasp, for smoothing, shaving, or 476 removing dead skin from the feet; and 477 (l) practicing basic skincare. 478 (2) An individual may not engage in the practice of cosmetology unless the individual holds 479 a cosmetology license. 480 (3) An applicant for a cosmetology license shall comply with the requirements in Section 481 58-11a-302 and: 482 (a) attend a licensed or recognized school and complete a curriculum that: 483 (i) covers: 484 (A) barbering; 485 (B) haircutting; 486 (C) chemical hair services; 487 (D) facial hair removal by means other than electrolysis or use of a cosmetic 488 medical device; 489 (E) eyelash and eyebrow technology; 490 (F) basic skincare; and 491 (G) nail technology; and 492 (ii) has a minimum of 1,250 hours of instruction or the equivalent number of credit 493 hours; or 494 (b) complete an approved cosmetologist apprenticeship. 495 (4) If the applicant graduates from a recognized school with less than 1,250 hours of 496 instruction, the applicant may count hours practiced as a cosmetologist in a jurisdiction 497 other than Utah to satisfy the 1,250 total hours requirement. 498 (5) An individual with a cosmetology license may be known as a cosmetologist or a barber. 499 Section 10. Section 58-11a-302.13 is enacted to read: 500 58-11a-302.13 . Practice of electrology -- Electrology license -- Qualifications. 501 (1) The practice of electrology includes removing superfluous hair: 502 (a) from the body of an individual by using electricity, waxing, shaving, or tweezing; and 503 (b) by using cosmetic laser procedures under the supervision of a cosmetic supervisor. 504 (2) An individual may not engage in the practice of electrology unless the individual holds 505 an electrology license. 506 (3) An applicant for an electrology license shall comply with the requirements of Section - 15 - S.B. 330 02-24 12:21 507 58-11a-302 and: 508 (a) attend a licensed or recognized school and complete a curriculum that: 509 (i) covers: 510 (A) laser hair removal; 511 (B) electrolysis; and 512 (C) waxing; and 513 (ii) has a minimum of 600 hours of instruction or the equivalent number of credit 514 hours; or 515 (b) complete an approved electrology technician apprenticeship. 516 (4) If the applicant graduates from a recognized school with less than 600 hours of 517 instruction, the applicant may count hours practiced as a licensed electrologist in a 518 jurisdiction other than Utah to satisfy the 600 total hours requirement. 519 Section 11. Section 58-11a-302.14 is enacted to read: 520 58-11a-302.14 . Practice of eyelash and eyebrow technology -- Eyelash and 521 eyebrow technology license -- Qualifications. 522 (1) The practice of eyelash and eyebrow technology includes arching eyebrows by tweezing 523 or waxing, tinting eyelashes or eyebrows, perming eyelashes or eyebrows, or applying 524 eyelash or eyebrow extensions. 525 (2) An individual may not engage in the practice of eyelash and eyebrow technology unless 526 the individual holds an eyelash and eyebrow technology license, cosmetology license, or 527 master esthetics license. 528 (3) An applicant for an eyelash and eyebrow technology license shall comply with the 529 requirements of Section 58-11a-302 and: 530 (a) attend a licensed or recognized school and complete a curriculum that: 531 (i) covers eyelash and eyebrow technology; and 532 (ii) has a minimum of 270 hours of instruction or the equivalent number of credit 533 hours; or 534 (b) complete an approved eyelash and eyebrow apprenticeship. 535 (4) If the applicant graduates from a recognized school with less than 270 hours of 536 instruction, the applicant may count hours practiced as a licensed eyelash and eyebrow 537 technician in a jurisdiction other than Utah to satisfy the 270 total hours requirement. 538 Section 12. Section 58-11a-302.15 is enacted to read: 539 58-11a-302.15 . Practice of facial hair removal -- Facial hair removal permit -- 540 Qualifications. - 16 - 02-24 12:21 S.B. 330 541 (1) The practice of facial hair removal includes cleaning, applying oil, antiseptics, 542 depilatories, waxes, and tweezing. 543 (2) An individual may not engage in the practice of facial hair removal unless the individual 544 holds a facial hair removal permit or cosmetology license. 545 (3) An applicant for a facial hair removal permit shall comply with the requirements of 546 Section 58-11a-302 and: 547 (a) attend a licensed or recognized school and complete a curriculum that: 548 (i) covers facial hair removal; and 549 (ii) has a minimum of 50 hours of instruction or the equivalent number of credit 550 hours; or 551 (b) complete an approved facial hair removal apprenticeship. 552 (4) If the applicant graduates from a recognized school with less than 50 hours of 553 instruction, the applicant may count hours practiced as a permitted facial hair removal 554 technician in a jurisdiction other than Utah to satisfy the 50 total hours requirement. 555 Section 13. Section 58-11a-302.16 is enacted to read: 556 58-11a-302.16 . Practice of haircutting -- Haircutting permit -- Qualifications. 557 (1) The practice of haircutting includes: 558 (a) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 559 shears, clippers, or other appliances; 560 (b) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 561 drying; 562 (c) hair fusing and extensions; and 563 (d) when providing other services described in this Subsection (1), gently massaging the 564 head, back of the neck, and shoulders by manual or mechanical means. 565 (2) An individual may not engage in the practice of haircutting unless the individual holds a 566 haircutting permit, barbering permit, master hair design license, master barber license, or 567 cosmetology license. 568 (3) An applicant for a haircutting permit shall comply with the requirements of Section 569 58-11a-302 and: 570 (a) attend a licensed or recognized school and complete a curriculum that: 571 (i) covers: 572 (A) hair safety requirements; and 573 (B) haircutting; and 574 (ii) has a minimum of 150 hours of instruction or the equivalent number of credit - 17 - S.B. 330 02-24 12:21 575 hours; or 576 (b) complete an approved haircutting apprenticeship. 577 (4) If the applicant graduates from a recognized school with less than 150 hours of 578 instruction, the applicant may count hours practiced as a haircutting technician in a 579 jurisdiction other than Utah to satisfy the 150 total hours requirement. 580 Section 14. Section 58-11a-302.17 is enacted to read: 581 58-11a-302.17 . Practice of master esthetics -- Master esthetics license -- 582 Qualifications. 583 (1)(a) The practice of master esthetics includes: 584 (i) body wraps, as defined by administrative rules made by the division; 585 (ii) hydrotherapy, as defined by administrative rules made by the division; 586 (iii) chemical exfoliation, as defined by administrative rules made by the division; 587 (iv) sanding, including microdermabrasion; 588 (v) advanced extraction; 589 (vi) dermaplaning; 590 (vii) other esthetic preparations or procedures that use: 591 (A) the hands; or 592 (B) a mechanical or electrical apparatus that is approved for use by administrative 593 rules made by the division; 594 (viii) limited cosmetic laser procedures, under the supervision of a cosmetic 595 supervisor, including: 596 (A) superfluous hair removal; 597 (B) anti-aging resurfacing enhancements; and 598 (C) photo rejuvenation; 599 (ix) lymphatic massage by manual or other means as defined by administrative rules 600 made by the division; 601 (x) services described in Section 58-11a-302.14; 602 (xi) basic skincare; and 603 (xii) eyelash and eyebrow technology. 604 (b) An individual with a master esthetics license may not perform any service described 605 in Subsection (1)(a) for the treatment of medical, physical, or mental ailments. 606 (c) A procedure described in Subsection (1)(a) shall have an evaluation by a cosmetic 607 medical supervisor before the procedure as required under Section 58-1-506. 608 (2) An individual may not engage in the practice of master esthetics unless the individual - 18 - 02-24 12:21 S.B. 330 609 holds a master esthetics license. 610 (3) An applicant for a master esthetics license shall comply with the requirements of 611 Section 58-11a-302 and: 612 (a) attend a licensed or recognized school and complete a curriculum that: 613 (i) covers: 614 (A) basic skincare; 615 (B) eyelash and eyebrow technology; 616 (C) cosmetic laser procedures; 617 (D) body contouring and lymphatic massage; and 618 (E) advanced skincare; and 619 (ii) has a minimum of 1,200 hours of instruction or the equivalent number of credit 620 hours; or 621 (b) complete an approved master esthetics apprenticeship. 622 (4)(a) If the applicant graduates from a recognized school with less than 1,200 hours of 623 instruction, the applicant may count hours practiced as an esthetician in a jurisdiction 624 other than Utah to satisfy the 1,200 total hours requirement. 625 (b) If the applicant holds a cosmetology license, the applicant may count 600 hours as a 626 cosmetologist to satisfy the 1,200 total hours requirement. 627 Section 15. Section 58-11a-302.18 is enacted to read: 628 58-11a-302.18 . Practice of master hair design and master barbering -- Master 629 hair design and master barbering license -- Qualifications. 630 (1) The practice of master hair design and practice of master barbering includes: 631 (a) styling, arranging, dressing, curling, or waving the hair of the head of an individual; 632 (b) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 633 shears, clippers, or other appliances; 634 (c) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 635 drying; 636 (d) removing hair from the face or neck of an individual by using shaving equipment; 637 (e) cutting, curling, styling, fitting, measuring, or forming caps for wigs, hairpieces, or 638 both on the human head; 639 (f) practicing hair weaving, hair fusing, or servicing previously medically implanted hair; 640 (g) when providing other services described in this Subsection (1), gently massaging the 641 head, back of the neck, and shoulders by manual or mechanical means; and 642 (h) permanently waving, bleaching, tinting, coloring, relaxing, or similarly treating the - 19 - S.B. 330 02-24 12:21 643 hair of the head of an individual. 644 (2) An individual may not engage in the practice of master hair design or master barbering 645 unless the individual holds a master hair design license, master barbering license, or 646 cosmetology license. 647 (3) An applicant for a master hair design license shall comply with the requirements of 648 Section 58-11a-302 and: 649 (a) attend a licensed or recognized school and complete a curriculum that: 650 (i) covers: 651 (A) hair safety requirements; 652 (B) haircutting and barbering; and 653 (C) chemical hair services; and 654 (ii) has a minimum of 1,000 hours of instruction or the equivalent number of credit 655 hours; or 656 (b) complete an approved master hair design or an approved master barbering 657 apprenticeship. 658 (4) If the applicant graduates from a recognized school with less than 1,000 hours of 659 instruction, the applicant may count hours practiced as a licensed master hair design or 660 master barber in a jurisdiction other than Utah to satisfy the 1,000 total hours 661 requirement. 662 (5) On January 1, 2026, all active "hair design" licenses shall be converted to a master hair 663 design license. 664 Section 16. Section 58-11a-302.19 is enacted to read: 665 58-11a-302.19 . Practice of nail technology -- Nail technology license -- 666 Qualifications. 667 (1) The practice of nail technology includes: 668 (a) trimming, cutting, cleaning, manicuring, shaping, massaging, or enhancing the 669 appearance of the hands, feet, and nails of an individual by using the nail technician's 670 hands, mechanical or electrical preparation, antiseptic, lotion, or cream; 671 (b) applying and removing sculptured or artificial nails; and 672 (c) using blades, including corn or callus planer or rasp, for smoothing, shaving, or 673 removing dead skin from the feet. 674 (2) An individual may not engage in the practice of nail technology unless the individual 675 holds a nail technology license or cosmetology license. 676 (3) An applicant for a nail technology license shall comply with the requirements of Section - 20 - 02-24 12:21 S.B. 330 677 58-11a-302 and: 678 (a) attend a licensed or recognized school and complete a curriculum that: 679 (i) covers: 680 (A) manicures and pedicures; and 681 (B) artificial nails; and 682 (ii) has a minimum of 300 hours of instruction or the equivalent number of credit 683 hours; or 684 (b) complete an approved nail technology apprenticeship. 685 (4) If the applicant graduates from a recognized school with less than 300 hours of 686 instruction, the applicant may count hours practiced as a licensed nail technician in a 687 jurisdiction other than Utah to satisfy the 300 total hours requirement. 688 Section 17. Section 58-11a-302.20 is enacted to read: 689 58-11a-302.20 . Licensed instructor -- Qualifications. 690 (1) An applicant for licensure as an instructor shall: 691 (a) submit an application in a form prescribed by the division; 692 (b) subject to Subsection (4), pay a fee determined by the division under Section 693 63J-1-504; 694 (c) provide satisfactory documentation that the applicant is currently licensed or 695 permitted in the trade that the applicant is seeking to instruct; 696 (d) provide satisfactory documentation that the applicant has completed six months of 697 work experience in the trade the applicant intends to instruct and: 698 (i) an instructor training program for the discipline for which the applicant is 699 licensed, by a licensed or recognized school for a minimum of 35% of the 700 minimum hours for the license or permit the applicant intends to instruct; or 701 (ii) on-the-job instructor training for the discipline for which the applicant is licensed, 702 by a licensed or recognized school for a minimum of 35% of the minimum hours 703 for the license or permit the applicant intends to instruct; and 704 (e) meet the examination requirement established by administrative rules made by the 705 division. 706 (2) An applicant for a license or permit under this chapter whose education in the trade for 707 which a license or permit is sought was completed at a foreign school may satisfy the 708 educational requirement for licensure by demonstrating, to the satisfaction of the 709 division, the educational equivalency of the foreign school education with a licensed 710 school under this chapter. - 21 - S.B. 330 02-24 12:21 711 (3)(a) A licensed instructor shall not instruct regarding the practice of a discipline unless 712 the instructor is licensed or permitted to practice that discipline. 713 (b) A licensed instructor may instruct a student that is seeking a permit or license that is 714 different than the permit or license that the instructor holds as long as the instructor 715 complies with Subsection (3)(a). 716 (4) The division may not charge a fee to an individual applying for licensure as an 717 instructor under this chapter if the individual is a licensed instructor in any other 718 profession under this chapter. 719 (5) The division may offer any required examination under this section, which is prepared 720 by a national testing organization, in languages in addition to English. 721 (6) For purposes of a national accrediting agency recognized by the United States 722 Department of Education, on-the-job instructor training described in this section is not 723 considered a program. 724 Section 18. Section 58-11a-302.21 is enacted to read: 725 58-11a-302.21 . Licensed school -- Qualifications. 726 (1) An applicant for licensure as a licensed school shall: 727 (a) submit an application in a form prescribed by the division; 728 (b) pay a fee determined by the division under Section 63J-1-504; and 729 (c) provide satisfactory documentation: 730 (i) of appropriate registration with the Division of Corporations and Commercial 731 Code; 732 (ii) of business licensure from the municipality in which the school is located; 733 (iii) that the applicant's physical facilities comply with the requirements established 734 by administrative rules made by the division; and 735 (iv) that the applicant meets: 736 (A) the standards established by administrative rules made by the division, 737 including staff, curriculum, and accreditation requirements; or 738 (B) the requirements for recognition as an institution of postsecondary study as 739 described in Subsection (2). 740 (2) A school licensed or applying for licensure under this chapter shall maintain recognition 741 as an institution of postsecondary study by meeting the following conditions: 742 (a) the school only admits an individual that: 743 (i) has earned a recognized high school diploma; 744 (ii) has earned the equivalent of a recognized high school diploma; or - 22 - 02-24 12:21 S.B. 330 745 (iii) is beyond the age of compulsory high school attendance as provided by Title 746 53G, Chapter 6, Part 2, Compulsory Education; and 747 (b) the school applies and is licensed by name to offer one or more training programs 748 under this chapter. 749 (3) A school licensed under this section may accept credit hours towards graduation for 750 documented, relevant, and substantially equivalent coursework previously completed by: 751 (a) a student that completed only a portion of the student's education while attending a 752 different school or apprenticeship; or 753 (b) an individual licensed or permitted under this chapter, based on the individual's 754 schooling, apprenticeship, or experience. 755 (4) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and 756 consistent with this section, the division may make rules governing the acceptance of 757 credit hours. 758 Section 19. Section 58-11a-302.22 is enacted to read: 759 58-11a-302.22 . Existing esthetics license. 760 (1) Except as provided in Subsection (3), the division may not issue an esthetics license 761 after January 1, 2026. 762 (2) An individual with an esthetics license may engage in the practice of basic skincare. 763 (3) The division shall grant an esthetics license to an individual that completes the 764 requirements described in Subsection (4) and: 765 (a) has registered an esthetics apprenticeship with the division on or before January 1, 766 2026; or 767 (b) enrolled and started an esthetics program with a licensed school on or before January 768 1, 2026. 769 (4)(a) An individual described in Subsection (3)(a) shall complete at least 800 hours of 770 apprenticeship training that is supervised by a licensed esthetician instructor who 771 provides one-on-one supervision of the apprentice during the apprenticeship. 772 (b) An individual described in Subsection (3)(b) shall graduate from a licensed school 773 with a minimum of 600 hours or the equivalent number of credit hours. 774 Section 20. Section 58-11a-303 is amended to read: 775 58-11a-303 . Terms of license -- Expiration -- Renewal. 776 (1)(a) The division shall issue each license under this chapter in accordance with a 777 two-year renewal cycle established by rule, except that an instructor license is a 778 one-time certificate and does not expire unless the licensee fails to keep current the - 23 - S.B. 330 02-24 12:21 779 license that qualified the licensee to be an instructor under Section [58-11a-302] 780 58-11a-302.20. 781 (b) The division may by rule extend or shorten a renewal period by as much as one year 782 to stagger the renewal cycles it administers. 783 (2) At the time of renewal, a licensed school shall show satisfactory evidence that the 784 school meets the standards for that type of school, including staff, curriculum, and 785 accreditation requirements, established by rule. 786 (3) Each license expires on the expiration date shown on the license unless the licensee 787 renews it in accordance with Section 58-1-308. 788 Section 21. Section 58-11a-304 is amended to read: 789 58-11a-304 . Exemptions from licensure. 790 In addition to the exemptions from licensure in Section 58-1-307, the following [persons] 791 individuals may engage in [the practice of barbering, cosmetology/barbering, hair design, 792 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 793 technology] a discipline regulated by this chapter without being licensed under this chapter: 794 (1) [a person ] an individual licensed under the laws of this state to engage in the practice of 795 medicine, surgery, osteopathy, or chiropractic when engaged in the practice of the 796 profession for which they are licensed; 797 (2) a commissioned physician or surgeon serving in the armed forces of the United States or 798 another federal agency; 799 (3) a registered nurse, undertaker, or mortician licensed under the laws of this state when 800 engaged in the practice of the profession for which the [person] individual is licensed; 801 (4) [a person ] an individual who visits the state to engage in instructional seminars, 802 advanced classes, trade shows, or competitions of a limited duration; 803 [(5) a person who engages in the practice of barbering, cosmetology/barbering, hair design, 804 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 805 technology without compensation;] 806 (5) an individual who engages in a practice regulated by this chapter without compensation; 807 (6) [a person ] an individual instructing an adult education class or other educational 808 program directed toward [persons] individuals who are not licensed under this chapter 809 and that is not intended to train [persons] individuals to become licensed under this 810 chapter, provided: 811 (a) an attendee receives no credit toward educational requirements for licensure under 812 this chapter; - 24 - 02-24 12:21 S.B. 330 813 (b) the instructor informs each attendee in writing that taking such a class or program 814 will not certify or qualify the attendee to perform a service for compensation that 815 requires licensure under this chapter; and 816 (c)(i) the instructor is properly licensed; or 817 (ii) the instructor receives no compensation; 818 (7) [a person ] an individual providing instruction in workshops, seminars, training 819 meetings, or other educational programs whose purpose is to provide continuing 820 professional development [to licensed barbers, cosmetologists/barbers, hair designers, 821 estheticians, master estheticians, electrologists, or nail technicians] to a qualified licensee 822 or permitee regulated by this chapter; 823 (8) [a person ] an individual enrolled in a licensed [barber, cosmetology/barber, or hair 824 design ]school when participating in an on the job training internship under the direct 825 supervision of a [licensed barber, cosmetologist/barber, or hair designer] licensee under 826 this chapter upon completion of a basic program under the standards established by rule 827 by the division in collaboration with the board; 828 (9) [a person enrolled ] an individual registered with the division in an approved 829 apprenticeship pursuant to Section 58-11a-306; 830 (10)(a) an employee of a company that is primarily engaged in the business of selling 831 products used [in the practice of barbering, cosmetology/barbering, hair design, 832 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 833 technology] by a qualified licensee regulated by this chapter; 834 (b) [ ]when demonstrating the company's products to a potential customer[,] ; and 835 (c) [ ]provided the employee makes no representation to a potential customer that 836 attending [such a] the demonstration will certify or qualify the attendee to perform a 837 service for compensation that requires licensure under this chapter; 838 (11) [a person ] an individual who: 839 (a) is qualified to engage in [the practice of barbering, cosmetology/barbering, hair 840 design, esthetics, master-level esthetics, electrology, nail technology, or eyelash and 841 eyebrow technology] a practice regulated by this chapter in another jurisdiction as 842 evidenced by licensure, certification, or lawful practice in the other jurisdiction; 843 (b) is employed by, or under contract with, a motion picture company; and 844 (c) engages in [the practice of barbering, cosmetology/barbering, hair design, esthetics, 845 master-level esthetics, electrology, nail technology, or eyelash and eyebrow 846 technology] a practice regulated by this chapter in the state: - 25 - S.B. 330 02-24 12:21 847 (i) solely to assist in the production of a motion picture; and 848 (ii) for no more than 120 days per calendar year; 849 (12) [a person ] an individual who: 850 (a) engages in threading; 851 (b) engages in hair braiding; and 852 [(b)] (c) [unless it is expressly exempted under this section or Section 58-1-307, does not 853 engage in other activity requiring licensure under this chapter; and] is not engaged in 854 a practice that requires a license or permit under this chapter; 855 (13) [a person ] an individual who: 856 (a) dries, styles, arranges, dresses, curls, hot irons, shampoos, or conditions hair; 857 (b) does not cut the hair; 858 (c) does not apply dye to alter the color of the hair; 859 (d) does not apply reactive chemicals to straighten, curl, or alter the structure of the hair; 860 (e) [unless it is expressly exempted under this section or Section 58-1-307, does not 861 engage in other activity requiring licensure under this chapter] is not engaged in a 862 practice that requires a license or permit under this chapter; 863 (f) provides evidence to the division that the [person] individual has received a hair 864 safety permit from completing a hair safety program that: 865 (i) is approved by the division; 866 (ii) consists of no more than two hours of instruction; 867 (iii) is offered by a provider approved by the division; and 868 (iv) includes an examination that requires a passing score of 75%; and 869 (g) displays in a conspicuous location in the [person's] individual's place of business: 870 (i) a valid hair safety permit as described in Subsection (13)(f); and 871 (ii) a sign notifying the public that the [person's] individual providing the services [are 872 not provided by an individual who has a license under this chapter.] is not licensed 873 under this chapter; and 874 (14) an individual who performs barbering services described in Section 58-11a-302.10, if: 875 (a) the individual is supervised and compensated by an individual that is licensed for the 876 practice of barbering; 877 (b) the individual provides evidence to the division that the individual has received a 878 hair safety permit from completing a hair safety program that: 879 (i) is approved by the division; 880 (ii) consists of no more than two hours of instruction; - 26 - 02-24 12:21 S.B. 330 881 (iii) is offered by a provider approved by the division; and 882 (iv) includes an examination that requires a passing score of 75%; 883 (c) the individual displays in a conspicuous location in the individual's place of business: 884 (i) a valid hair safety permit as described in Subsection (14)(b); and 885 (ii) a sign notifying the public that the individual providing the services is not 886 licensed under this chapter; 887 (d) the individual does not provide services beyond the practice of barbering; and 888 (e) the supervisor does not supervise more than four individuals in total at any given 889 time that are unlicensed, in training, or apprentices. 890 Section 22. Section 58-11a-306 is repealed and reenacted to read: 891 58-11a-306 . Apprenticeship. 892 (1)(a) An approved apprenticeship shall be conducted by a supervisor who: 893 (i) is licensed under this chapter as an instructor in the trade of the apprenticeship; and 894 (ii) provides one-on-one direct supervision of the apprentice during the 895 apprenticeship program. 896 (b) An apprenticeship supervisor for a nail technician apprenticeship or an eyelash and 897 eyebrow technician apprenticeship may not provide direct supervision to more than 898 two apprentices during the apprentice program. 899 (2) An individual seeking a license or permit through an approved apprenticeship under this 900 chapter shall: 901 (a) register with the division before beginning the training requirements by: 902 (i) submitting a form prescribed by the division, which includes the name of the 903 licensed supervisor; and 904 (ii) paying a fee determined by the division under Section 63J-1-504; 905 (b) complete the apprenticeship within two years of the date on which the division 906 approves the registration; and 907 (c) notify the division within 30 days if the licensed supervisor changes after the 908 registration is approved by the division. 909 (3) An individual seeking a license or permit through an approved apprenticeship under this 910 chapter shall complete a minimum of: 911 (a) 1,250 apprenticeship hours for a cosmetology license; 912 (b) 1,200 apprenticeship hours for a master esthetics license; 913 (c) 1,000 apprenticeship hours for: 914 (i) a master barber license; or - 27 - S.B. 330 02-24 12:21 915 (ii) a master hair design license; 916 (d) 600 apprenticeship hours for an electrology license; 917 (e) 300 apprenticeship hours for a nail technology license; 918 (f) 270 apprenticeship hours for an eyelash and eyebrow technology license; 919 (g) 260 apprenticeship hours for a chemical hair services permit; 920 (h) 150 apprenticeship hours for a haircutting permit; 921 (i) 130 apprenticeship hours for a barbering permit; or 922 (j) 50 apprenticeship hours for a facial hair removal permit. 923 Section 23. Section 58-11a-501 is repealed and reenacted to read: 924 58-11a-501 . Unprofessional conduct. 925 Unprofessional conduct includes: 926 (1) a licensed school that fails to: 927 (a) obtain or maintain accreditation; 928 (b) comply with the required standards of accreditation; 929 (c) have curriculum approved by the division, as required by administrative rules made 930 by the divison; or 931 (d) provide adequate instruction to enrolled students; 932 (2) an apprentice supervisor that fails to: 933 (a) provide direct supervision to an apprentice; or 934 (b) comply with division rules relating to apprenticeship programs under this chapter; 935 (3) an instructor that fails to provide direct supervision to students who are providing 936 services to an individual under the instructor's supervision; 937 (4) a person that keeps a salon or school, or the salon or school's furnishings, tools, utensils, 938 linen, or appliances in an unsanitary condition; 939 (5) an individual licensed or permitted under this chapter that fails to: 940 (a) comply with Title 26B, Utah Health and Human Services Code; 941 (b) display a license or permit as required under Section 58-11a-305; 942 (c) comply with physical facility requirements established by administrative rules made 943 by the division; 944 (d) maintain mechanical or electrical equipment in safe operating condition; 945 (e) adequately monitor patrons using steam rooms, dry heat rooms, baths, showers, or 946 saunas; 947 (f) comply with all applicable state and local health or sanitation laws; or 948 (g) comply with a judgment order from a court of competent jurisdiction regarding a - 28 - 02-24 12:21 S.B. 330 949 disagreement over tuition or education costs in relation to the requirements outlined 950 in this chapter; 951 (6) an individual licensed or permitted under this chapter: 952 (a) prescribing or administering prescription drugs; 953 (b) engaging in any act or practice in a professional capacity that is outside of the 954 applicable scope of practice; 955 (c) engaging in any act or practice in a professional capacity that the individual is not 956 competent to perform through education or training; or 957 (d) removing proximal nail fold by e-file or other tool or inserting tools beneath the 958 eponychium; 959 (7) unless the individual is under the supervision of a licensed health care practitioner 960 acting within the scope of the health care practitioner's license, an individual licensed or 961 permitted under this chapter, while using a chemical exfoliant: 962 (a) using any acid, concentration of acid, or combination of treatments that violate the 963 standards established by administrative rules made by the division; 964 (b) removing any layer of skin deeper than the stratum corneum of the epidermis; or 965 (c) using an exfoliant that contains phenol, trichloroacetic acid of over 15%, or 966 bicinchoninic acid; 967 (8) while sanding the skin, an individual licensed or permitted under this chapter, removing 968 any layer of skin deeper than the stratum corneum of the epidermis, unless the individual 969 is under the supervision of a licensed health care practitioner acting within the scope of 970 the health care practitioner's license; 971 (9) in connection to a practice regulated by this chapter, using any laser procedure or 972 intense, pulsed light source besides a nonprescriptive laser device; and 973 (10) marketing or distinguishing an establishment as a school if the establishment is not 974 licensed as a school under this chapter. 975 Section 24. Section 58-11a-503 is amended to read: 976 58-11a-503 . Penalties. 977 (1) Unless Subsection (2) applies, an individual who commits an act of unlawful conduct 978 under Section 58-11a-502 or who fails to comply with a citation issued under this 979 section after [it] the citation is final is guilty of a class A misdemeanor. 980 (2) Sexual conduct that violates Section 58-11a-502 and Title 76, Utah Criminal Code, shall 981 be subject to the applicable penalties in Title 76, Utah Criminal Code. 982 (3) Grounds for immediate suspension of [a licensee's] an individual's license or permit by - 29 - S.B. 330 02-24 12:21 983 the division include the issuance of a citation for violation of Subsection 58-11a-502(1), 984 (3), (4), (5), or (6). 985 (4)[(a)] If upon inspection or investigation, the division concludes that [a person] an 986 individual has violated the provisions of Subsection 58-11a-502(1), (3), (4), (5), or (6), 987 or a rule or order issued with respect to Subsection 58-11a-502(1), (3), (4), (5), or (6), 988 and that disciplinary action is appropriate, the director or the director's designee from 989 within the division shall promptly issue a citation to [the person] the individual 990 according to this chapter and any pertinent rules, attempt to negotiate a stipulated 991 settlement, or notify the [person] individual to appear before an adjudicative 992 proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act. 993 [(i)] (5) [A person who] An individual that is in violation of Subsection 58-11a-502(1), (3), 994 (4), (5), or (6), as evidenced by an uncontested citation, a stipulated settlement, or [by a ] 995 finding of violation in an adjudicative proceeding, may be assessed a fine [pursuant to] in 996 accordance with this Subsection [(4)] (5) and may, in addition to or in lieu of a fine, be 997 ordered to cease and desist from violating Subsection 58-11a-502(1), (3), (4), (5), or (6). 998 [(ii)] (6) Except for a cease and desist order, the licensure sanctions [cited] described in 999 Section 58-11a-401 may not be assessed through a citation. 1000 (7)[(b)] (a)[(i)] Each citation shall be in writing and describe with particularity the 1001 nature of the violation, including a reference to the provision of the chapter, rule, 1002 or order alleged to have been violated. 1003 [(ii)] (b) The citation shall clearly state that the recipient must notify the division in 1004 writing within 20 calendar days of service of the citation if the recipient wishes to 1005 contest the citation at a hearing conducted under Title 63G, Chapter 4, 1006 Administrative Procedures Act. 1007 [(iii)] (c) The citation shall clearly explain the consequences of failure to timely contest 1008 the citation or to make payment of a fine assessed by the citation within the time 1009 specified in the citation. 1010 [(c)] (d) Each citation issued under this section, or a copy of each citation, may be served 1011 upon [a person] an individual upon whom a summons may be served in accordance 1012 with the Utah Rules of Civil Procedure and may be made personally or upon the [ 1013 person's] individual's agent by a division investigator or by [a person] an individual 1014 specially designated by the director or by mail. 1015 [(d)] (e)(i) If within 20 calendar days from the service of a citation, the [person to 1016 whom] individual to which the citation was issued fails to request a hearing to - 30 - 02-24 12:21 S.B. 330 1017 contest the citation, the citation becomes the final order of the division and is not 1018 subject to further agency review. 1019 (ii) The period to contest a citation may be extended by the division for cause. 1020 [(e)] (f) The division may refuse to issue or renew, suspend, revoke, or place on 1021 probation the [license of a licensee who] license or permit of an individual that fails to 1022 comply with a citation after [it] the citation becomes final. 1023 [(f)] (g) The failure of an applicant for licensure to comply with a citation after [it] the 1024 citation becomes final is a ground for denial of license. 1025 [(g)] (h) [No citation may be issued ] The director or the director's designee from within 1026 the division may not issue a citation under this section [after the expiration of] more 1027 than one year [following] after the date on which the violation that is the subject of 1028 the citation is reported to the division. 1029 [(h)] (i) [Fines shall be assessed by the director or the director's designee according to the 1030 following:] The director or the director's designee shall assess fines as follows: 1031 (i) for a first offense under Subsection [(4)(a)] (4), a fine of up to $1,000; 1032 (ii) for a second offense under Subsection [(4)(a)] (4), a fine of up to $2,000; and 1033 (iii) for any subsequent offense under Subsection [(4)(a)] (4), a fine of up to $2,000 1034 for each day of continued offense. 1035 [(i)] (j)[(i)] For purposes of issuing a final order under this section and assessing a 1036 fine under Subsection [(4)(h)] (7)(i), an offense constitutes a second or subsequent 1037 offense if: 1038 [(A)] (i) the division previously issued a final order determining that [a person] an 1039 individual committed a first or second offense in violation of Subsection 1040 58-11a-502(1), (3), (4), (5), or (6); or 1041 [(B)] (ii)[(I)] (A) the division initiated an action for a first or second offense; 1042 [(II)] (B) no final order has been issued by the division in the action initiated under 1043 Subsection [(4)(i)(i)(B)(I)] (7)(j)(ii)(A); 1044 [(III)] (C) the division determines during an investigation that occurred after the 1045 initiation of the action under Subsection [(4)(i)(i)(B)(I)] (7)(j)(ii)(A) that the [ 1046 person] individual committed a second or subsequent violation of Subsection 1047 58-11a-502(1), (3), (4), (5), or (6); and 1048 [(IV)] (D) after determining that the [person] individual committed a second or 1049 subsequent offense under Subsection [(4)(i)(i)(B)(III)] (7)(j)(ii)(C), the division 1050 issues a final order on the action initiated under Subsection [(4)(i)(i)(B)(I)] - 31 - S.B. 330 02-24 12:21 1051 (7)(j)(ii)(A). 1052 [(ii)] (k) In issuing a final order for a second or subsequent offense under Subsection [ 1053 (4)(i)(i)] (7)(j), the division shall comply with the requirements of this section. 1054 [(5)] (8)(a) A penalty imposed by the director under Subsection [(4)(h)] (7)(i) shall be 1055 deposited into the [Barber, Cosmetologist/Barber, Esthetician, Electrologist, and Nail 1056 Technician Education and Enforcement Fund] Cosmetology and Associated 1057 Professions Education and Enforcement Fund. 1058 (b) [A penalty which is not paid may be collected by the director by either:] The 1059 director may collect an unpaid penalty by: 1060 (i) referring the matter to a collection agency; or 1061 (ii) bringing an action in the district court of the county in which the [person] 1062 individual against whom the penalty is imposed resides or in the county where the 1063 office of the director is located. 1064 (c) A county attorney or the attorney general of the state shall provide legal assistance 1065 and advice to the director in an action to collect a penalty. 1066 (d) A court shall award reasonable attorney fees and costs to the prevailing party in an 1067 action brought by the division to collect a penalty. 1068 Section 25. Section 58-67-102 is amended to read: 1069 58-67-102 . Definitions. 1070 In addition to the definitions in Section 58-1-102, as used in this chapter: 1071 (1)(a) "Ablative procedure" means a procedure that is expected to excise, vaporize, 1072 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and 1073 erbium: YAG lasers. 1074 (b) "Ablative procedure" does not include hair removal or cryolipolysis. 1075 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the 1076 American Medical Association. 1077 (3) "Administrative penalty" means a monetary fine or citation imposed by the division for 1078 acts or omissions determined to constitute unprofessional or unlawful conduct, in 1079 accordance with a fine schedule established by the division in collaboration with the 1080 board, as a result of an adjudicative proceeding conducted in accordance with Title 63G, 1081 Chapter 4, Administrative Procedures Act. 1082 (4) "Associate physician" means an individual licensed under Section 58-67-302.8. 1083 (5) "Attempted sex change" means an attempt or effort to change an individual's body to 1084 present that individual as being of a sex or gender that is different from the individual's - 32 - 02-24 12:21 S.B. 330 1085 biological sex at birth. 1086 (6) "Biological sex at birth" means an individual's sex, as being male or female, according 1087 to distinct reproductive roles as manifested by: 1088 (a) sex and reproductive organ anatomy; 1089 (b) chromosomal makeup; and 1090 (c) endogenous hormone profiles. 1091 (7) "Board" means the Medical Licensing Board created in Section 58-67-201. 1092 (8) "Collaborating physician" means an individual licensed under Section 58-67-302 who 1093 enters into a collaborative practice arrangement with an associate physician. 1094 (9) "Collaborative practice arrangement" means the arrangement described in Section 1095 58-67-807. 1096 (10)(a) "Cosmetic medical device" means tissue altering energy based devices that have 1097 the potential for altering living tissue and that are used to perform ablative or 1098 nonablative procedures, such as American National Standards Institute [(ANSI) ] 1099 designated Class IIIb and Class IV lasers, intense pulsed light, radio frequency 1100 devices, and lipolytic devices, and excludes [ANSI] American National Standards 1101 Institute designated Class IIIa and lower powered devices. 1102 (b) Notwithstanding Subsection (10)(a), if an [ANSI] American National Standards 1103 Institute designated Class IIIa and lower powered device is being used to perform an 1104 ablative procedure, the device is included in the definition of cosmetic medical 1105 device under Subsection (10)(a). 1106 (11)(a) "Cosmetic medical procedure" includes: 1107 (i) the use of cosmetic medical devices to perform ablative or nonablative 1108 procedures; or 1109 (ii) the injection of medication or substance, including a neurotoxin or a filler, for 1110 cosmetic purposes. 1111 (b) "Cosmetic medical procedure" does not include a treatment of the ocular globe 1112 including refractive surgery. 1113 (12) "Diagnose" means: 1114 (a) to examine in any manner another person, parts of a person's body, substances, 1115 fluids, or materials excreted, taken, or removed from a person's body, or produced by 1116 a person's body, to determine the source, nature, kind, or extent of a disease or other 1117 physical or mental condition; 1118 (b) to attempt to conduct an examination or determination described under Subsection - 33 - S.B. 330 02-24 12:21 1119 (12)(a); 1120 (c) to hold oneself out as making or to represent that one is making an examination or 1121 determination as described in Subsection (12)(a); or 1122 (d) to make an examination or determination as described in Subsection (12)(a) upon or 1123 from information supplied directly or indirectly by another person, whether or not in 1124 the presence of the person making or attempting the diagnosis or examination. 1125 (13) "LCME" means the Liaison Committee on Medical Education of the American 1126 Medical Association. 1127 (14) "Medical assistant" means an unlicensed individual who may perform tasks as 1128 described in Subsection 58-67-305(6). 1129 (15) "Medically underserved area" means a geographic area in which there is a shortage of 1130 primary care health services for residents, as determined by the Department of Health 1131 and Human Services. 1132 (16) "Medically underserved population" means a specified group of people living in a 1133 defined geographic area with a shortage of primary care health services, as determined 1134 by the Department of Health and Human Services. 1135 (17)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 1136 alter living tissue, but is not intended or expected to excise, vaporize, disintegrate, 1137 or remove living tissue. 1138 (ii) Notwithstanding Subsection (17)(a)(i) nonablative procedure includes hair 1139 removal. 1140 (b) "Nonablative procedure" does not include: 1141 (i) a superficial procedure as defined in Section 58-1-102; 1142 (ii) the application of permanent make-up; 1143 (iii) laser tattoo removal; or 1144 [(iii)] (iv) the use of photo therapy and lasers for neuromusculoskeletal treatments that 1145 are performed by an individual licensed under this title who is acting within the 1146 individual's scope of practice. 1147 (18) "Physician" means both physicians and surgeons licensed under [Section 58-67-301, 1148 Utah Medical Practice Act] Part 3, Licensing, and osteopathic physicians and surgeons 1149 licensed under [Section 58-68-301, Utah Osteopathic Medical Practice Act] Chapter 68, 1150 Part 3, Licensing. 1151 (19)(a) "Practice of medicine" means: 1152 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human - 34 - 02-24 12:21 S.B. 330 1153 disease, ailment, injury, infirmity, deformity, pain or other condition, physical or 1154 mental, real or imaginary, including to perform cosmetic medical procedures, or to 1155 attempt to do so, by any means or instrumentality, and by an individual in Utah or 1156 outside the state upon or for any human within the state; 1157 (ii) when a person not licensed as a physician directs a licensee under this chapter to 1158 withhold or alter the health care services that the licensee has ordered; 1159 (iii) to maintain an office or place of business for the purpose of doing any of the acts 1160 described in Subsection (19)(a)(i) or (ii) whether or not for compensation; or 1161 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis 1162 or treatment of human diseases or conditions in any printed material, stationery, 1163 letterhead, envelopes, signs, or advertisements, the designation "doctor," "doctor 1164 of medicine," "physician," "surgeon," "physician and surgeon," "Dr.," "M.D.," or 1165 any combination of these designations in any manner which might cause a 1166 reasonable person to believe the individual using the designation is a licensed 1167 physician and surgeon, and if the party using the designation is not a licensed 1168 physician and surgeon, the designation must additionally contain the description 1169 of the branch of the healing arts for which the person has a license, provided that 1170 an individual who has received an earned degree of doctor of medicine degree but 1171 is not a licensed physician and surgeon in Utah may use the designation "M.D." if 1172 it is followed by "Not Licensed" or "Not Licensed in Utah" in the same size and 1173 style of lettering. 1174 (b) The practice of medicine does not include: 1175 (i) except for an ablative medical procedure as provided in Subsection (19)(b)(ii) the 1176 conduct described in Subsection (19)(a)(i) that is performed in accordance with a 1177 license issued under another chapter of this title; 1178 (ii) an ablative cosmetic medical procedure if the scope of practice for the person 1179 performing the ablative cosmetic medical procedure includes the authority to 1180 operate or perform a surgical procedure; or 1181 (iii) conduct under Subsection 58-67-501(2). 1182 (20) "Prescription device" means an instrument, apparatus, implement, machine, 1183 contrivance, implant, in vitro reagent, or other similar or related article, and any 1184 component part or accessory, which is required under federal or state law to be 1185 prescribed by a practitioner and dispensed by or through a person or entity licensed 1186 under this chapter or exempt from licensure under this chapter. - 35 - S.B. 330 02-24 12:21 1187 (21) "Prescription drug" means a drug that is required by federal or state law or rule to be 1188 dispensed only by prescription or is restricted to administration only by practitioners. 1189 (22)(a) "Primary sex characteristic surgical procedure" means any of the following if 1190 done for the purpose of effectuating or facilitating an individual's attempted sex 1191 change: 1192 (i) for an individual whose biological sex at birth is male, castration, orchiectomy, 1193 penectomy, vaginoplasty, or vulvoplasty; 1194 (ii) for an individual whose biological sex at birth is female, hysterectomy, 1195 oophorectomy, metoidioplasty, or phalloplasty; or 1196 (iii) any surgical procedure that is related to or necessary for a procedure described in 1197 Subsection (22)(a)(i) or (ii), that would result in the sterilization of an individual 1198 who is not sterile. 1199 (b) "Primary sex characteristic surgical procedure" does not include: 1200 (i) surgery or other procedures or treatments performed on an individual who: 1201 (A) is born with external biological sex characteristics that are irresolvably 1202 ambiguous; 1203 (B) is born with 46, XX chromosomes with virilization; 1204 (C) is born with 46, XY chromosomes with undervirilization; 1205 (D) has both ovarian and testicular tissue; or 1206 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1207 with a sex development disorder characterized by abnormal sex chromosome 1208 structure, sex steroid hormone production, or sex steroid hormone action for a 1209 male or female; or 1210 (ii) removing a body part: 1211 (A) because the body part is cancerous or diseased; or 1212 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1213 individual's attempted sex change. 1214 (23)(a) "Secondary sex characteristic surgical procedure" means any of the following if 1215 done for the purpose of effectuating or facilitating an individual's attempted sex 1216 change: 1217 (i) for an individual whose biological sex at birth is male, breast augmentation 1218 surgery, chest feminization surgery, or facial feminization surgery; or 1219 (ii) for an individual whose biological sex at birth is female, mastectomy, breast 1220 reduction surgery, chest masculinization surgery, or facial masculinization surgery. - 36 - 02-24 12:21 S.B. 330 1221 (b) "Secondary sex characteristic surgical procedure" does not include: 1222 (i) surgery or other procedures or treatments performed on an individual who: 1223 (A) is born with external biological sex characteristics that are irresolvably 1224 ambiguous; 1225 (B) is born with 46, XX chromosomes with virilization; 1226 (C) is born with 46, XY chromosomes with undervirilization; 1227 (D) has both ovarian and testicular tissue; or 1228 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1229 with a sex development disorder characterized by abnormal sex chromosome 1230 structure, sex steroid hormone production, or sex steroid hormone action for a 1231 male or female; or 1232 (ii) removing a body part: 1233 (A) because the body part is cancerous or diseased; or 1234 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1235 individual's attempted sex change. 1236 (24) "SPEX" means the Special Purpose Examination of the Federation of State Medical 1237 Boards. 1238 (25) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 1239 58-67-501. 1240 (26) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 1241 and 58-67-502, and as may be further defined by division rule. 1242 Section 26. Section 58-68-102 is amended to read: 1243 58-68-102 . Definitions. 1244 In addition to the definitions in Section 58-1-102, as used in this chapter: 1245 (1)(a) "Ablative procedure" means a procedure that is expected to excise, vaporize, 1246 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and 1247 erbium: YAG lasers. 1248 (b) "Ablative procedure" does not include hair removal. 1249 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the 1250 American Medical Association. 1251 (3) "Administrative penalty" means a monetary fine imposed by the division for acts or 1252 omissions determined to constitute unprofessional or unlawful conduct, as a result of an 1253 adjudicative proceeding conducted in accordance with Title 63G, Chapter 4, 1254 Administrative Procedures Act. - 37 - S.B. 330 02-24 12:21 1255 (4) "AOA" means the American Osteopathic Association. 1256 (5) "Associate physician" means an individual licensed under Section 58-68-302.5. 1257 (6) "Attempted sex change" means an attempt or effort to change an individual's body to 1258 present that individual as being of a sex or gender that is different from the individual's 1259 biological sex at birth. 1260 (7) "Biological sex at birth" means an individual's sex, as being male or female, according 1261 to distinct reproductive roles as manifested by: 1262 (a) sex and reproductive organ anatomy; 1263 (b) chromosomal makeup; and 1264 (c) endogenous hormone profiles. 1265 (8) "Board" means the Medical Licensing Board created in Section 58-67-201. 1266 (9) "Collaborating physician" means an individual licensed under Section 58-68-302 who 1267 enters into a collaborative practice arrangement with an associate physician. 1268 (10) "Collaborative practice arrangement" means the arrangement described in Section 1269 58-68-807. 1270 (11)(a) "Cosmetic medical device" means tissue altering energy based devices that have 1271 the potential for altering living tissue and that are used to perform ablative or 1272 nonablative procedures, such as American National Standards Institute [(ANSI) ] 1273 designated Class IIIb and Class IV lasers, intense pulsed light, radio frequency 1274 devices, and lipolytic devices and excludes [ANSI] American National Standards 1275 Institute designated Class IIIa and lower powered devices. 1276 (b) Notwithstanding Subsection (11)(a), if an [ANSI] American National Standards 1277 Institute designated Class IIIa and lower powered device is being used to perform an 1278 ablative procedure, the device is included in the definition of cosmetic medical 1279 device under Subsection (11)(a). 1280 (12) "Cosmetic medical procedure": 1281 (a) includes the use of cosmetic medical devices to perform ablative or nonablative 1282 procedures; and 1283 (b) does not include a treatment of the ocular globe such as refractive surgery. 1284 (13) "Diagnose" means: 1285 (a) to examine in any manner another person, parts of a person's body, substances, 1286 fluids, or materials excreted, taken, or removed from a person's body, or produced by 1287 a person's body, to determine the source, nature, kind, or extent of a disease or other 1288 physical or mental condition; - 38 - 02-24 12:21 S.B. 330 1289 (b) to attempt to conduct an examination or determination described under Subsection 1290 (13)(a); 1291 (c) to hold oneself out as making or to represent that one is making an examination or 1292 determination as described in Subsection (13)(a); or 1293 (d) to make an examination or determination as described in Subsection (13)(a) upon or 1294 from information supplied directly or indirectly by another person, whether or not in 1295 the presence of the person making or attempting the diagnosis or examination. 1296 (14) "Medical assistant" means an unlicensed individual who may perform tasks as 1297 described in Subsection 58-68-305(6). 1298 (15) "Medically underserved area" means a geographic area in which there is a shortage of 1299 primary care health services for residents, as determined by the Department of Health 1300 and Human Services. 1301 (16) "Medically underserved population" means a specified group of people living in a 1302 defined geographic area with a shortage of primary care health services, as determined 1303 by the Department of Health and Human Services. 1304 (17)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 1305 alter living tissue, but is not expected or intended to excise, vaporize, disintegrate, 1306 or remove living tissue. 1307 (ii) Notwithstanding Subsection (17)(a)(i), nonablative procedure includes hair 1308 removal. 1309 (b) "Nonablative procedure" does not include: 1310 (i) a superficial procedure as defined in Section 58-1-102; 1311 (ii) the application of permanent make-up; 1312 (iii) laser tattoo removal; or 1313 [(iii)] (iv) the use of photo therapy lasers for neuromusculoskeletal treatments that are 1314 performed by an individual licensed under this title who is acting within the 1315 individual's scope of practice. 1316 (18) "Physician" means both physicians and surgeons licensed under [Section 58-67-301, 1317 Utah Medical Practice Act] Part 3, Licensing, and osteopathic physicians and surgeons 1318 licensed under [Section 58-68-301, Utah Osteopathic Medical Practice Act] Chapter 68, 1319 Part 3, Licensing. 1320 (19)(a) "Practice of osteopathic medicine" means: 1321 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human 1322 disease, ailment, injury, infirmity, deformity, pain, or other condition, physical or - 39 - S.B. 330 02-24 12:21 1323 mental, real or imaginary, or to attempt to do so, by any means or instrumentality, 1324 which in whole or in part is based upon emphasis of the importance of the 1325 musculoskeletal system and manipulative therapy in the maintenance and 1326 restoration of health, by an individual in Utah or outside of the state upon or for 1327 any human within the state; 1328 (ii) when a person not licensed as a physician directs a licensee under this chapter to 1329 withhold or alter the health care services that the licensee has ordered; 1330 (iii) to maintain an office or place of business for the purpose of doing any of the acts 1331 described in Subsection (19)(a)(i) or (ii) whether or not for compensation; or 1332 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis 1333 or treatment of human diseases or conditions, in any printed material, stationery, 1334 letterhead, envelopes, signs, or advertisements, the designation "doctor," "doctor 1335 of osteopathic medicine," "osteopathic physician," "osteopathic surgeon," 1336 "osteopathic physician and surgeon," "Dr.," "D.O.," or any combination of these 1337 designations in any manner which might cause a reasonable person to believe the 1338 individual using the designation is a licensed osteopathic physician, and if the 1339 party using the designation is not a licensed osteopathic physician, the designation 1340 must additionally contain the description of the branch of the healing arts for 1341 which the person has a license, provided that an individual who has received an 1342 earned degree of doctor of osteopathic medicine but is not a licensed osteopathic 1343 physician and surgeon in Utah may use the designation "D.O." if it is followed by 1344 "Not Licensed" or "Not Licensed in Utah" in the same size and style of lettering. 1345 (b) The practice of osteopathic medicine does not include: 1346 (i) except for an ablative medical procedure as provided in Subsection (19)(b)(ii), the 1347 conduct described in Subsection (19)(a)(i) that is performed in accordance with a 1348 license issued under another chapter of this title; 1349 (ii) an ablative cosmetic medical procedure if the scope of practice for the person 1350 performing the ablative cosmetic medical procedure includes the authority to 1351 operate or perform a surgical procedure; or 1352 (iii) conduct under Subsection 58-68-501(2). 1353 (20) "Prescription device" means an instrument, apparatus, implement, machine, 1354 contrivance, implant, in vitro reagent, or other similar or related article, and any 1355 component part or accessory, which is required under federal or state law to be 1356 prescribed by a practitioner and dispensed by or through a person or entity licensed - 40 - 02-24 12:21 S.B. 330 1357 under this chapter or exempt from licensure under this chapter. 1358 (21) "Prescription drug" means a drug that is required by federal or state law or rule to be 1359 dispensed only by prescription or is restricted to administration only by practitioners. 1360 (22)(a) "Primary sex characteristic surgical procedure" means any of the following if 1361 done for the purpose of effectuating or facilitating an individual's attempted sex 1362 change: 1363 (i) for an individual whose biological sex at birth is male, castration, orchiectomy, 1364 penectomy, vaginoplasty, or vulvoplasty; 1365 (ii) for an individual whose biological sex at birth is female, hysterectomy, 1366 oophorectomy, metoidioplasty, or phalloplasty; or 1367 (iii) any surgical procedure that is related to or necessary for a procedure described in 1368 Subsection (22)(a)(i) or (ii), that would result in the sterilization of an individual 1369 who is not sterile. 1370 (b) "Primary sex characteristic surgical procedure" does not include: 1371 (i) surgery or other procedures or treatments performed on an individual who: 1372 (A) is born with external biological sex characteristics that are irresolvably 1373 ambiguous; 1374 (B) is born with 46, XX chromosomes with virilization; 1375 (C) is born with 46, XY chromosomes with undervirilization; 1376 (D) has both ovarian and testicular tissue; or 1377 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1378 with a sex development disorder characterized by abnormal sex chromosome 1379 structure, sex steroid hormone production, or sex steroid hormone action for a 1380 male or female; or 1381 (ii) removing a body part: 1382 (A) because the body part is cancerous or diseased; or 1383 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1384 individual's attempted sex change. 1385 (23)(a) "Secondary sex characteristic surgical procedure" means any of the following if 1386 done for the purpose of effectuating or facilitating an individual's attempted sex 1387 change: 1388 (i) for an individual whose biological sex at birth is male, breast augmentation 1389 surgery, chest feminization surgery, or facial feminization surgery; or 1390 (ii) for an individual whose biological sex at birth is female, mastectomy, breast - 41 - S.B. 330 02-24 12:21 1391 reduction surgery, chest masculinization surgery, or facial masculinization surgery. 1392 (b) "Secondary sex characteristic surgical procedure" does not include: 1393 (i) surgery or other procedures or treatments performed on an individual who: 1394 (A) is born with external biological sex characteristics that are irresolvably 1395 ambiguous; 1396 (B) is born with 46, XX chromosomes with virilization; 1397 (C) is born with 46, XY chromosomes with undervirilization; 1398 (D) has both ovarian and testicular tissue; or 1399 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1400 with a sex development disorder characterized by abnormal sex chromosome 1401 structure, sex steroid hormone production, or sex steroid hormone action for a 1402 male or female; or 1403 (ii) removing a body part: 1404 (A) because the body part is cancerous or diseased; or 1405 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1406 individual's attempted sex change. 1407 (24) "SPEX" means the Special Purpose Examination of the Federation of State Medical 1408 Boards. 1409 (25) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 1410 58-68-501. 1411 (26) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 1412 and 58-68-502 and as may be further defined by division rule. 1413 Section 27. Effective Date. 1414 This bill takes effect on January 1, 2026. - 42 -