03-03 14:49 2nd Sub. (Salmon) S.B. 330 Scott D. Sandall proposes the following substitute bill: 1 Cosmetology Modifications 2025 GENERAL SESSION STATE OF UTAH Chief Sponsor: Scott D. Sandall House Sponsor: A. Cory Maloy 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: 2nd Sub. S.B. 330 2nd Sub. (Salmon) S.B. 330 03-03 14:49 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 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 58-11a-302.23, Utah Code Annotated 1953 52 58-11a-302.24, Utah Code Annotated 1953 53 REPEALS AND REENACTS: 54 58-11a-102, as last amended by Laws of Utah 2024, Chapter 479 55 58-11a-301, as last amended by Laws of Utah 2024, Chapter 479 56 58-11a-302, as last amended by Laws of Utah 2024, Chapters 137, 479 57 58-11a-306, as last amended by Laws of Utah 2024, Chapter 479 58 58-11a-501, as last amended by Laws of Utah 2024, Chapter 479 59 60 Be it enacted by the Legislature of the state of Utah: 61 Section 1. Section 58-1-102 is amended to read: 62 58-1-102 . Definitions. - 2 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 63 As used in this title: 64 (1)(a) "Ablative procedure" means the same as that term is defined in Section 58-67-102. 65 (b) "Ablative procedure" does not include laser tattoo removal. 66 (2) "Cosmetic medical procedure": 67 (a) means the same as that term is defined in Section 58-67-102; and 68 (b) except for Chapter 67, Utah Medical Practice Act, and Chapter 68, Utah Osteopathic 69 Medical Practice Act, does not apply to the scope of practice of an individual 70 licensed under this title if the individual's scope of practice includes the authority to 71 operate or perform surgical procedures. 72 (3) "Cryolipolysis" means a nonablative fat reduction procedure that uses cold temperature 73 to reduce fat deposits in certain areas of the body. 74 (4) "Department" means the Department of Commerce. 75 (5) "Director" means the director of the Division of Professional Licensing. 76 (6) "Division" means the Division of Professional Licensing created in Section 58-1-103. 77 (7) "Executive director" means the executive director of the Department of Commerce. 78 (8) "Licensee" includes any holder of a license, certificate, registration, permit, student 79 card, or apprentice card authorized under this title. 80 (9)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 81 alter living tissue, but not intended or expected to excise, vaporize, disintegrate, or 82 remove living tissue. 83 (ii) Notwithstanding Subsection [(8)(a)(i)] (9)(a)(i), nonablative procedure includes 84 hair removal and cryolipolysis. 85 (b) "Nonablative procedure" does not include: 86 (i) a superficial procedure; 87 (ii) the application of permanent make-up; 88 (iii) laser tattoo removal; or 89 [(iii)] (iv) the use of photo therapy and lasers for neuromusculoskeletal treatments that 90 are performed by an individual licensed under this title who is acting within their 91 scope of practice. 92 (10) "Pain clinic" means: 93 (a) a clinic that advertises its primary purpose is the treatment of chronic pain; or 94 (b) a clinic in which greater than 50% of the clinic's annual patient population receive 95 treatment primarily for non-terminal chronic pain using Schedule II-III controlled 96 substances. - 3 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 97 (11) "Superficial procedure" means a procedure that is expected or intended to temporarily 98 alter living skin tissue and may excise or remove stratum corneum but have no 99 appreciable risk of damage to any tissue below the stratum corneum. 100 (12) "Telemedicine service" means the same as that term is defined in Section 26B-4-704. 101 (13) "Unlawful conduct" means the same as that term is defined in Subsection 58-1-501(1). 102 (14) "Unprofessional conduct" means the same as that term is defined in Subsection 103 58-1-501(2). 104 Section 2. Section 58-1-506 is amended to read: 105 58-1-506 . Supervision of cosmetic medical procedures. 106 (1) For purposes of this section: 107 (a) "Delegation group A" means the following who are licensed under this title, acting 108 within their respective scopes of practice, and qualified under Subsections (2)(f)(i) 109 and (iii): 110 (i) a physician assistant, if acting in accordance with Chapter 70a, Utah Physician 111 Assistant Act; 112 (ii) a registered nurse; 113 (iii) a master esthetician; and 114 (iv) an electrologist, if evaluating for or performing laser hair removal. 115 (b) "Delegation group B" means: 116 (i) a practical nurse or an esthetician who is licensed under this title, acting within [ 117 their] the nurse or esthetician's respective scopes of practice, and qualified under 118 Subsections (2)(f)(i) and (iii); and 119 (ii) a medical assistant who is qualified under Subsections (2)(f)(i) and (iii). 120 (c) "Direct cosmetic medical procedure supervision" means the supervisor: 121 (i) has authorized the procedure to be done on the patient by the supervisee; and 122 (ii) is present and available for a face-to-face communication with the supervisee 123 when and where a cosmetic medical procedure is performed. 124 (d) "General cosmetic medical procedure supervision" means the supervisor: 125 (i) has authorized the procedure to be done on the patient by the supervisee; 126 (ii) is available in a timely and appropriate manner in person to evaluate and initiate 127 care for a patient with a suspected adverse reaction or complication; and 128 (iii) is located within 60 minutes or 60 miles of the cosmetic medical facility. 129 (e) "Hair removal review" means: 130 (i) conducting an in-person, face-to-face interview of a patient based on the responses - 4 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 131 provided by the patient to a detailed medical history assessment that was prepared 132 by the supervisor; 133 (ii) evaluating for contraindications and conditions that are part of the treatment plan; 134 and 135 (iii) if the patient history or patient presentation deviates in any way from the 136 treatment plan, referring the patient to the supervisor and receiving clearance from 137 the supervisor before starting the treatment. 138 (f) "Indirect cosmetic medical procedure supervision" means the supervisor: 139 (i) has authorized the procedure to be done on the patient by the supervisee; 140 (ii) has given written instructions to the person being supervised; 141 (iii) is present within the cosmetic medical facility in which the person being 142 supervised is providing services; and 143 (iv) is available to: 144 (A) provide immediate face-to-face communication with the person being 145 supervised; and 146 (B) evaluate the patient, as necessary. 147 (2) A supervisor supervising a nonablative cosmetic medical procedure for hair removal 148 shall: 149 (a) have an unrestricted license to practice medicine or advanced practice registered 150 nursing in the state; 151 (b) develop the medical treatment plan for the procedure; 152 (c) conduct a hair removal review, or delegate the hair removal review to a member of 153 delegation group A, of the patient prior to initiating treatment or a series of 154 treatments; 155 (d) personally perform the nonablative cosmetic medical procedure for hair removal, or 156 authorize and delegate the procedure to a member of delegation group A or B; 157 (e) during the nonablative cosmetic medical procedure for hair removal provide general 158 cosmetic medical procedure supervision to individuals in delegation group A 159 performing the procedure, except physician assistants, who shall act in accordance 160 with Chapter 70a, Utah Physician Assistant Act, and indirect cosmetic medical 161 procedure supervision to individuals in delegation group B performing the procedure; 162 and 163 (f) verify that a person to whom the supervisor delegates an evaluation under Subsection 164 (2)(c) or delegates a procedure under Subsection (2)(d)[ or (3)(c)(ii)]: - 5 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 165 (i) has received appropriate training regarding the medical procedures developed 166 under Subsection (2)(b); 167 (ii) has an unrestricted license under this title or is performing under the license of the 168 supervising physician and surgeon; and 169 (iii) has maintained competence to perform the nonablative cosmetic medical 170 procedure through documented education and experience of at least 80 hours, as 171 further defined by rule, regarding: 172 (A) the appropriate standard of care for performing nonablative cosmetic medical 173 procedures; 174 (B) physiology of the skin; 175 (C) skin typing and analysis; 176 (D) skin conditions, disorders, and diseases; 177 (E) pre- and post-procedure care; 178 (F) infection control; 179 (G) laser and light physics training; 180 (H) laser technologies and applications; 181 (I) safety and maintenance of lasers; 182 (J) cosmetic medical procedures an individual is permitted to perform under this 183 title; 184 (K) recognition and appropriate management of complications from a procedure; 185 and 186 (L) cardiopulmonary resuscitation (CPR). 187 [(3) For a nonablative cosmetic medical procedure for tattoo removal:] 188 [(a) a supervisor supervising a nonablative cosmetic medical procedure for tattoo 189 removal shall:] 190 [(i) have an unrestricted license to practice medicine or advanced practice registered 191 nursing in the state; and] 192 [(ii) develop the medical treatment plan for the procedure; and] 193 [(b) a nurse practitioner or physician assistant:] 194 [(i) shall conduct an in-person face-to-face evaluation of a patient before initiating a 195 treatment protocol or series of treatments for removing a tattoo;] 196 [(ii) shall inspect the patient's skin for any discoloration unrelated to the tattoo and 197 any other indication of cancer or other condition that should be treated or further 198 evaluated before the tattoo is removed;] - 6 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 199 [(iii) shall refer a patient with a condition described in Subsection (3)(b)(ii) to a 200 physician for treatment or further evaluation; and] 201 [(iv) may not perform a nonablative cosmetic medical procedure to remove a tattoo 202 on a patient unless the patient is approved for the tattoo removal by a physician 203 after the physician evaluates the patient.] 204 [(4)] (3) For a nonablative cosmetic medical procedure other than hair removal under 205 Subsection (2)[ or tattoo removal under Subsection (3)]: 206 (a) a physician who has an unrestricted license to practice medicine, a nurse practitioner 207 who has an unrestricted license for advanced practice registered nursing, or a 208 physician assistant acting in accordance with Chapter 70a, Utah Physician Assistant 209 Act, who has an unrestricted license to practice as a physician assistant, shall: 210 (i) develop a treatment plan for the nonablative cosmetic medical procedure; and 211 (ii) conduct an evaluation of the patient either in-person or utilizing a live 212 telemedicine visit before the initiation of a treatment protocol or series of 213 treatments; and 214 (b) the supervisor supervising the procedure shall: 215 (i) have an unrestricted license to practice medicine or advanced practice registered 216 nursing; 217 (ii) personally perform the nonablative cosmetic medical procedure or: 218 (A) authorize and provide general cosmetic medical procedure supervision for the 219 nonablative cosmetic medical procedure that is performed by a registered nurse 220 or a master esthetician; or 221 (B) authorize and provide supervision as provided in Chapter 70a, Utah Physician 222 Assistant Act, for the nonablative cosmetic medical procedure that is 223 performed by a physician assistant;[ or] and 224 (C) authorize and provide direct cosmetic medical procedure supervision for the 225 nonablative cosmetic medical procedure that is performed by an esthetician or 226 a practical nurse; and 227 (iii) verify that a person to whom the supervisor delegates a procedure under 228 Subsection [(3)(c)] (3)(b): 229 (A) has received appropriate training regarding the medical procedures to be 230 performed; 231 (B) has an unrestricted license and is acting within the person's scope of practice 232 under this title; and - 7 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 233 (C) is qualified under Subsection (2)(f)(iii). 234 [(5)] (4) A supervisor performing or supervising a cosmetic medical procedure under 235 Subsection (2) or (3)[ or (4)] shall ensure that: 236 (a) the supervisor's name is prominently posted at the cosmetic medical facility 237 identifying the supervisor; 238 (b) a copy of the supervisor's license is displayed on the wall of the cosmetic medical 239 facility; 240 (c) the patient receives written information with the name and licensing information of 241 the supervisor who is supervising the nonablative cosmetic medical procedure and 242 the person who is performing the nonablative cosmetic medical procedure; 243 (d) the patient is provided with a telephone number that is answered within 24 hours for 244 follow-up communication; and 245 (e) the cosmetic medical facility's contract with a master esthetician who performs a 246 nonablative cosmetic medical procedure at the facility is kept on the premises of the 247 facility. 248 [(6)] (5) Failure to comply with the provisions of this section is unprofessional conduct. 249 [(7)] (6) A chiropractic physician licensed under Chapter 73, Chiropractic Physician 250 Practice Act, is not subject to the supervision requirements in this section for a 251 nonablative cosmetic medical procedure for hair removal if the chiropractic physician is 252 acting within the scope of practice of a chiropractic physician and with training specific 253 to nonablative hair removal. 254 Section 3. Section 58-11a-102 is repealed and reenacted to read: 255 58-11a-102 . Definitions. 256 As used in this chapter: 257 (1) "Approved apprenticeship" means an apprenticeship that meets the requirements of 258 Section 58-11a-306 for any applicable license or permit type and the requirements 259 established by administrative rules made by the division in collaboration with the board 260 and in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. 261 (2) "Board" means the Cosmetology and Associated Professions Licensing Board created in 262 Section 58-11a-201. 263 (3)(a) "Cosmetic medical device" means a tissue altering energy based device that has 264 the potential for altering living tissue and that is used to perform ablative or 265 nonablative procedures. 266 (b) "Cosmetic medical device" includes: - 8 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 267 (i) an American National Standards Institute designated Class IIIb and Class IV 268 lasers; 269 (ii) a device that utilizes intense pulsed light; 270 (iii) a radio frequency devices; and 271 (iv) a lipolytic devices. 272 (c) "Cosmetic medical device" does not include an American National Standards 273 Institute designated Class IIIa and lower powered device. 274 (4) "Dermaplane" means the use of a scalpel or bladed instrument to shave the upper layers 275 of the stratum corneum. 276 (5) "Direct supervision" means that the supervisor of an apprentice or the instructor of a 277 student is physically present in the same building as the apprentice or student and readily 278 able to establish direct contact with the apprentice or student for consultation, advice, 279 instruction, and evaluation. 280 (6) "Division" means the Division of Professional Licensing, created in Section 58-1-103. 281 (7)(a) "Hair braiding" means the twisting, weaving, or interweaving of an individual's 282 natural human hair. 283 (b) "Hair braiding" includes the following methods or styles: 284 (i) African-style braiding; 285 (ii) box braids; 286 (iii) cornrows; 287 (iv) dreadlocks; 288 (v) french braids; 289 (vi) invisible braids; 290 (vii) micro braids; 291 (viii) single braids; 292 (ix) single plaits; 293 (x) twists; 294 (xi) visible braids; 295 (xii) the use of lock braids; 296 (xiii) the use of decorative beads, accessories, and extensions; and 297 (xiv) the use of wefts if applied without the use of glue or tape. 298 (c) "Hair braiding" does not include: 299 (i) the use of: 300 (A) wefts if applied with the use of glue or tape; - 9 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 301 (B) synthetic tape; 302 (C) synthetic glue; 303 (D) keratin bonds; 304 (E) fusion bonds; or 305 (F) heat tools; 306 (ii) the cutting of human hair; or 307 (iii) the application of heat, dye, a reactive chemical, or other preparation to: 308 (A) alter the color of the hair; or 309 (B) straighten, curl, or alter the structure of the hair. 310 (8) "Instructor" means an individual that is licensed to instruct a discipline that is regulated 311 by this chapter. 312 (9) "Licensed school" means a school in Utah that: 313 (a) meets the standards for accreditation established by administrative rules made by the 314 division; or 315 (b) is using curriculum approved by the division. 316 (10)(a) "Manual hair removal" means superfluous hair removal that is performed 317 without using a cosmetic medical device or electrolysis. 318 (b) "Manual hair removal" includes: 319 (i) the use of depilatories; 320 (ii) shaving; 321 (iii) sugaring; 322 (iv) tweezing; and 323 (v) waxing. 324 (c) "Manual hair removal" does not include threading. 325 (11) "Minimum service count" means the minimum number of repetitions of a given 326 service a license or permit applicant is required to complete to gain a minimum level of 327 competence as established by administrative rules made by the division for a service. 328 (12) "Permit" means a safety permit that gives the holder authority to perform certain 329 services. 330 (13) "Recognized school" means a school located in a jurisdiction other than Utah whose 331 students, upon graduation, are recognized as having completed the educational 332 requirements for the licensure in the jurisdiction in which the school is located. 333 (14) "Representative of a licensed school" means an individual: 334 (a) that is acting in the individual's capacity as an employee of a licensed school; or - 10 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 335 (b) with an ownership or financial interest in a licensed school. 336 (15) "Salon" means a place, shop, or establishment in which an individual licensed or 337 permitted under this chapter practices the individual's discipline. 338 (16) "Threading" means a method of removing hair from the eyebrows, upper lip, or other 339 body parts by using cotton thread to pull hair from follicles without the use of chemicals, 340 heat, or wax. 341 (17) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 342 58-11a-502. 343 (18) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 344 and 58-11a-501 and as may be further defined by administrative rules made by the 345 division in collaboration with the board in accordance with Title 63G, Chapter 3, Utah 346 Administrative Rulemaking Act. 347 Section 4. Section 58-11a-201 is amended to read: 348 58-11a-201 . Board. 349 (1) There is created the Cosmetology and Associated Professions Licensing Board 350 consisting of the following members: 351 (a)(i) one [barber or ]cosmetologist[/barber]; or 352 (ii) one cosmetologist instructor; 353 [(b)(i) one barber or cosmetologist/barber instructor; or] 354 [(ii) one representative of a licensed barber or cosmetology/barber school;] 355 [(c)] (b)(i) one master esthetician; or 356 (ii) one master esthetician instructor; 357 (c)(i) one nail technician; or 358 (ii) one nail technician instructor; 359 [(d)(i) one esthetician instructor; or] 360 [(ii) one representative of a licensed esthetics school;] 361 [(e) one nail technician;] 362 [(f)(i) one nail technician instructor; or] 363 [(ii) one representative of a licensed nail technology school;] 364 [(g)] (d)(i) one electrologist; or 365 (ii) one electrologist instructor; 366 (e) one representative of a licensed school that is publicly funded; 367 (f) one representative of a licensed school that is privately funded; 368 (g) one supervisor as defined in Section 58-1-505; and - 11 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 369 [(h) one eyelash and eyebrow technician;] 370 [(i)(i) one eyelash and eyebrow technician instructor; or] 371 [(ii) one representative of a licensed eyelash and eyebrow technology school; and] 372 [(j)] (h) two members from the general public. 373 (2)(a) The board shall be appointed and serve in accordance with Section 58-1-201. 374 (b) Except for the members specified in Subsections (1)(e) and (1)(f), a member may not 375 participate as a representative of a licensed school. 376 [(b)(i) At least one of the members of the board appointed under Subsections (1)(b), 377 (d), and (f) shall be an instructor at or a representative of a public school.] 378 [(ii) At least one of the members of the board appointed under Subsections (1)(b), 379 (d), and (f) shall be an instructor at or a representative of a private school.] 380 (3)(a) [The ] The board shall perform the duties and responsibilities [of the board are in 381 accordance with] described in Sections 58-1-202 and 58-1-203. 382 (b) [In addition, the ] The board shall designate one of [its] the board members on a 383 permanent or rotating basis to: 384 [(a)] (i) assist the division in reviewing complaints concerning the unlawful or 385 unprofessional conduct of a licensee; and 386 [(b)] (ii) advise the division in [its] the division's investigation of these complaints. 387 (4) A board member who has, under Subsection (3), reviewed a complaint or advised in [its] 388 the investigation of the complaint may be disqualified from participating with the board 389 when the board serves as a presiding officer in an adjudicative proceeding concerning 390 the complaint. 391 Section 5. Section 58-11a-301 is repealed and reenacted to read: 392 58-11a-301 . Licensure or permit required. 393 (1) Subject to Subsection (2), a person must be licensed or permitted as required under this 394 chapter to practice a discipline regulated by this chapter. 395 (2) An individual is not required to be licensed or permitted if the individual: 396 (a) is a registered apprentice in accordance with this chapter; or 397 (b) qualifies for an exemption under: 398 (i) Section 58-1-307; or 399 (ii) Section 58-11a-304. 400 Section 6. Section 58-11a-302 is repealed and reenacted to read: 401 58-11a-302 . General qualifications for licensure and permitting. 402 (1) An applicant for a license or permit under this chapter shall: - 12 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 403 (a)(i) submit an application in a form prescribed by the division; and 404 (ii) pay a fee determined by the division in compliance with Section 63J-1-504; 405 (b) provide satisfactory documentation of completion of required minimum service 406 counts, certified by the applicant's school, or, if under an apprenticeship, the 407 applicant's supervisor; and: 408 (i) compliance with educational requirements of the respective license or permit; or 409 (ii) completion of an approved apprenticeship; and 410 (c) pass an examination, as required by administrative rule established by the division. 411 (2) The division shall establish administrative rules to determine how many hours for an 412 existing license or permit that an applicant may credit towards the hours required for an 413 additional permit or license. 414 Section 7. Section 58-11a-302.10 is enacted to read: 415 58-11a-302.10 . Practice of barbering -- Barbering permit -- Qualifications. 416 (1) The practice of barbering includes: 417 (a) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 418 shears, clippers, or other appliances; 419 (b) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 420 drying; 421 (c) cutting, wet styling, fitting, measuring, or forming caps for wigs and hairpieces on 422 the human head; 423 (d) removing hair from the face or neck of an individual by using shaving equipment, 424 including an electric trimmer; and 425 (e) when providing other services described in this Subsection (1), gently massaging the 426 head, back of the neck, and shoulders by manual or mechanical means. 427 (2) An individual may not engage in the practice of barbering unless the individual holds a 428 barbering permit. 429 (3) An applicant for a barbering permit shall comply with the requirements in Section 430 58-11a-302 and: 431 (a) attend a licensed or recognized school and complete a curriculum that: 432 (i) covers: 433 (A) hair safety requirements; and 434 (B) barbering; and 435 (ii) has a minimum of 130 hours of instruction or the equivalent number of credit 436 hours; or - 13 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 437 (b) complete an approved barber apprenticeship. 438 (4) If the applicant graduates from a recognized school with less than 130 hours of 439 instruction, the applicant may count hours practiced as a barber in a jurisdiction other 440 than Utah to satisfy the 130 total hours requirement. 441 (5) An individual with a barbering permit may apply credit hours to another license or 442 permit under this chapter, as allowed in Subsection 58-11a-302(2). 443 Section 8. Section 58-11a-302.11 is enacted to read: 444 58-11a-302.11 . Practice of basic esthetics -- Basic esthetics permit -- 445 Qualifications. 446 (1) The practice of basic esthetics means any one of the following skincare procedures done 447 on the face or body for cosmetic purposes and not for the treatment of medical, physical, 448 or mental ailments: 449 (a) cleansing, stimulating, manipulating, exercising, applying oils, antiseptics, clays or 450 masks, and manual extraction, including a comedone extractor; 451 (b) manual hair removal; or 452 (c) limited chemical exfoliation as defined by administrative rules made by the division. 453 (2) An individual may not engage in the practice of basic esthetics unless the individual 454 holds a basic esthetics permit. 455 (3) An applicant for a basic esthetics permit shall comply with the requirements in Section 456 58-11a-302 and: 457 (a) attend a licensed or recognized school and complete a curriculum that: 458 (i) covers: 459 (A) basic esthetics; and 460 (B) manual hair removal; and 461 (ii) has a minimum of 200 hours of instruction or the equivalent number of credit 462 hours; or 463 (b) complete an approved basic esthetics permit apprenticeship. 464 (4) If the applicant graduates from a recognized school with less than 200 hours of 465 instruction, the applicant may count hours practiced as an esthetician in a jurisdiction 466 other than Utah to satisfy the 200 total hours requirement. 467 (5) An individual with a basic esthetics permit is not considered an esthetician for purposes 468 of Section 58-1-506. 469 (6) An individual with a basic esthetics permit may apply credit hours to another license or 470 permit under this chapter, as allowed in Subsection 58-11a-302(2). - 14 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 471 Section 9. Section 58-11a-302.12 is enacted to read: 472 58-11a-302.12 . Practice of chemical hair services -- Chemical hair services 473 permit -- Qualifications. 474 (1) The practice of chemical hair services includes bleaching, tinting, coloring, relaxing, 475 permanent waving, or similarly treating the hair of the head of an individual. 476 (2) An individual may not engage in the practice of chemical hair services unless the 477 individual holds a chemical hair services permit. 478 (3) An applicant for a chemical hair service permit shall comply with the requirements in 479 Section 58-11a-302 and: 480 (a) attend a licensed or recognized school and complete a curriculum that: 481 (i) covers chemical hair services; and 482 (ii) has a minimum of 260 hours of instruction or the equivalent number of credit 483 hours; or 484 (b) complete an approved chemical hair service apprenticeship. 485 (4) If the applicant graduates from a recognized school with less than 260 hours of 486 instruction, the applicant may count hours practiced as a chemical hair service technician 487 in a jurisdiction other than Utah to satisfy the 260 total hours requirement. 488 (5) An individual with a chemical hair services permit may apply credit hours to another 489 license or permit under this chapter, as allowed in Subsection 58-11a-302(2). 490 Section 10. Section 58-11a-302.13 is enacted to read: 491 58-11a-302.13 . Practice of cosmetology -- Cosmetology license -- Qualifications. 492 (1) The practice of cosmetology includes: 493 (a) styling, arranging, dressing, curling, waving, cleaning, singeing, bleaching, tinting, 494 coloring, permanent waving, or similarly treating the hair of the head of an individual; 495 (b) cutting, clipping, or trimming the hair by using scissors, shears, clippers, or other 496 appliances; 497 (c) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 498 drying; 499 (d) removing hair from the face or neck of an individual by using shaving equipment; 500 (e) arching eyebrows by tweezing, tinting eyebrows or eyelashes, perming eyelashes or 501 eyebrows; 502 (f) manual hair removal; 503 (g) cleansing, stimulating, manipulating, exercising, applying oils, antiseptics, clays or 504 masks, and manual extraction, including a comedone extractor; - 15 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 505 (h) limited chemical exfoliation as defined by administrative rules made by the division; 506 (i) cutting, curling, styling, fitting, measuring, or forming caps for wigs and hairpieces 507 on the human head; 508 (j) practicing hair weaving or hair fusing or servicing previously medically implanted 509 hair; 510 (k) trimming, cutting, cleaning, manicuring, shaping, massaging hands to elbows and 511 feet to knees, or enhancing the appearance of the hands, feet, and nails of an 512 individual by using the cosmetologist's hands, mechanical or electrical preparation, 513 antiseptic, lotion, or cream; 514 (l) natural nail manicures and pedicures; 515 (m) applying and removing sculptured or artificial nails; and 516 (n) using blades, including corn or callus planer or rasp, for smoothing, shaving, or 517 removing dead skin from the feet. 518 (2) An individual may not engage in the practice of cosmetology unless the individual holds 519 a cosmetology license. 520 (3) An applicant for a cosmetology license shall comply with the requirements in Section 521 58-11a-302 and: 522 (a) attend a licensed or recognized school and complete a curriculum that: 523 (i) covers: 524 (A) barbering; 525 (B) haircutting; 526 (C) chemical hair services; 527 (D) manual hair removal; 528 (E) eyelash and eyebrow technology, except for eyelash extensions; 529 (F) basic esthetics; and 530 (G) nail technology; and 531 (ii) has a minimum of 1,250 hours of instruction or the equivalent number of credit 532 hours; or 533 (b) complete an approved cosmetologist apprenticeship. 534 (4) If the applicant graduates from a recognized school with less than 1,250 hours of 535 instruction, the applicant may count hours practiced as a cosmetologist in a jurisdiction 536 other than Utah to satisfy the 1,250 total hours requirement. 537 (5) An individual with a cosmetology license may be known as a cosmetologist or a barber. 538 (6) An individual with a cosmetology license may apply credit hours to another license or - 16 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 539 permit under this chapter, as allowed in Subsection 58-11a-302(2). 540 Section 11. Section 58-11a-302.14 is enacted to read: 541 58-11a-302.14 . Practice of electrology -- Electrology license -- Qualifications. 542 (1) The practice of electrology includes removing superfluous hair: 543 (a) from the body and face of an individual by using electricity, waxing, shaving, or 544 tweezing; and 545 (b) by using a laser pursuant to requirements described in Section 58-1-506. 546 (2) An individual may not engage in the practice of electrology unless the individual holds 547 an electrology license. 548 (3) An applicant for an electrology license shall comply with the requirements of Section 549 58-11a-302 and: 550 (a) attend a licensed or recognized school and complete a curriculum that: 551 (i) covers: 552 (A) laser hair removal; 553 (B) electrolysis; and 554 (C) waxing; and 555 (ii) has a minimum of 600 hours of instruction or the equivalent number of credit 556 hours; or 557 (b) complete an approved electrology technician apprenticeship. 558 (4) If the applicant graduates from a recognized school with less than 600 hours of 559 instruction, the applicant may count hours practiced as a licensed electrologist in a 560 jurisdiction other than Utah to satisfy the 600 total hours requirement. 561 (5) An individual with an electrology license may apply credit hours to another license or 562 permit under this chapter, as allowed in Subsection 58-11a-302(2). 563 Section 12. Section 58-11a-302.15 is enacted to read: 564 58-11a-302.15 . Practice of eyelash and eyebrow technology -- Eyelash and 565 eyebrow technology license -- Qualifications. 566 (1) The practice of eyelash and eyebrow technology includes arching eyebrows by tweezing 567 or waxing, tinting eyelashes or eyebrows, facial waxing, perming eyelashes or 568 eyebrows, and applying eyelash or eyebrow extensions. 569 (2) An individual may not engage in the practice of eyelash and eyebrow technology unless 570 the individual holds an eyelash and eyebrow technology license. 571 (3) An applicant for an eyelash and eyebrow technology license shall comply with the 572 requirements of Section 58-11a-302 and: - 17 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 573 (a) attend a licensed or recognized school and complete a curriculum that: 574 (i) covers eyelash and eyebrow technology; and 575 (ii) has a minimum of 270 hours of instruction or the equivalent number of credit 576 hours; or 577 (b) complete an approved eyelash and eyebrow apprenticeship. 578 (4) If the applicant graduates from a recognized school with less than 270 hours of 579 instruction, the applicant may count hours practiced as a licensed eyelash and eyebrow 580 technician in a jurisdiction other than Utah to satisfy the 270 total hours requirement. 581 (5) An individual with an eyelash and eyebrow technology license may apply credit hours 582 to another license or permit under this chapter, as allowed in Subsection 58-11a-302(2). 583 Section 13. Section 58-11a-302.16 is enacted to read: 584 58-11a-302.16 . Practice of facial hair removal -- Facial hair removal permit -- 585 Qualifications. 586 (1) The practice of facial hair removal includes cleansing, applying oil and antiseptics, and 587 manual hair removal on the face. 588 (2) An individual may not engage in the practice of facial hair removal unless the individual 589 holds a facial hair removal permit. 590 (3) An applicant for a facial hair removal permit shall comply with the requirements of 591 Section 58-11a-302 and: 592 (a) attend a licensed or recognized school and complete a curriculum that: 593 (i) covers facial hair removal; and 594 (ii) has a minimum of 50 hours of instruction or the equivalent number of credit 595 hours; or 596 (b) complete an approved facial hair removal apprenticeship. 597 (4) If the applicant graduates from a recognized school with less than 50 hours of 598 instruction, the applicant may count hours practiced as a permitted facial hair removal 599 technician in a jurisdiction other than Utah to satisfy the 50 total hours requirement. 600 (5) An individual with a facial hair removal permit may apply credit hours to another 601 license or permit under this chapter, as allowed in Subsection 58-11a-302(2). 602 Section 14. Section 58-11a-302.17 is enacted to read: 603 58-11a-302.17 . Practice of haircutting -- Haircutting permit -- Qualifications. 604 (1) The practice of haircutting includes: 605 (a) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 606 shears, clippers, or other appliances; - 18 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 607 (b) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 608 drying; 609 (c) hair fusing and extensions; and 610 (d) when providing other services described in this Subsection (1), gently massaging the 611 head, back of the neck, and shoulders by manual or mechanical means. 612 (2) An individual may not engage in the practice of haircutting unless the individual holds a 613 haircutting permit. 614 (3) An applicant for a haircutting permit shall comply with the requirements of Section 615 58-11a-302 and: 616 (a) attend a licensed or recognized school and complete a curriculum that: 617 (i) covers: 618 (A) hair safety requirements; and 619 (B) haircutting; and 620 (ii) has a minimum of 150 hours of instruction or the equivalent number of credit 621 hours; or 622 (b) complete an approved haircutting apprenticeship. 623 (4) If the applicant graduates from a recognized school with less than 150 hours of 624 instruction, the applicant may count hours practiced as a haircutting technician in a 625 jurisdiction other than Utah to satisfy the 150 total hours requirement. 626 (5) An individual with a haircutting permit may apply credit hours to another license or 627 permit under this chapter, as allowed in Subsection 58-11a-302(2). 628 Section 15. Section 58-11a-302.18 is enacted to read: 629 58-11a-302.18 . Practice of master esthetics -- Master esthetics license -- 630 Qualifications. 631 (1)(a) The practice of master esthetics includes: 632 (i) body wraps, as defined by administrative rules made by the division; 633 (ii) hydrotherapy, as defined by administrative rules made by the division; 634 (iii) chemical exfoliation, as defined by administrative rules made by the division; 635 (iv) callous removal by buffing or filing; 636 (v) sanding, including microdermabrasion; 637 (vi) advanced extraction; 638 (vii) dermaplaning; 639 (viii) other esthetic preparations or procedures that use: 640 (A) the hands; or - 19 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 641 (B) a mechanical or electrical apparatus that is approved for use by administrative 642 rules made by the division; 643 (ix) procedures that are expected or intended to alter living tissue, but are not 644 intended or expected to excise, vaporize, disintegrate, or remove living tissue and 645 performed with the use of a cosmetic medical device, including: 646 (A) laser hair removal; 647 (B) body contouring; 648 (C) anti-aging resurfacing enhancements; and 649 (D) photo rejuvenation; 650 (x) lymphatic massage by manual or other means as defined by administrative rules 651 made by the division; 652 (xi) manual hair removal; 653 (xii) cleansing, stimulating, manipulating, exercising, applying oils, antiseptics, clays 654 or masks, and manual extraction, including a comedone extractor; 655 (xiii) natural nail manicures and pedicures; and 656 (xiv) eyelash and eyebrow technology. 657 (b) An individual with a master esthetics license may not perform any service described 658 in Subsection (1)(a) for the treatment of medical, physical, or mental ailments. 659 (c) A procedure described in Subsection (1)(a)(viii) shall be performed pursuant to the 660 requirements described in Section 58-1-506. 661 (2) An individual may not engage in the practice of master esthetics unless the individual 662 holds a master esthetics license. 663 (3) An applicant for a master esthetics license shall comply with the requirements of 664 Section 58-11a-302 and: 665 (a) attend a licensed or recognized school and complete a curriculum that: 666 (i) covers: 667 (A) eyelash and eyebrow technology; 668 (B) cosmetic medical procedures; 669 (C) body contouring and lymphatic massage; and 670 (D) advanced skincare; and 671 (ii) has a minimum of 1,200 hours of instruction or the equivalent number of credit 672 hours; or 673 (b) complete an approved master esthetics apprenticeship. 674 (4) If the applicant graduates from a recognized school with less than 1,200 hours of - 20 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 675 instruction, the applicant may count hours practiced as an esthetician in a jurisdiction 676 other than Utah to satisfy the 1,200 total hours requirement. 677 (5) An individual with a master esthetics license may apply credit hours to another license 678 or permit under this chapter, as allowed in Subsection 58-11a-302(2). 679 Section 16. Section 58-11a-302.19 is enacted to read: 680 58-11a-302.19 . Practice of master hair design and master barbering -- Master 681 hair design license and master barbering license -- Qualifications. 682 (1) The practice of master hair design and practice of master barbering includes: 683 (a) styling, arranging, dressing, curling, or waving the hair of the head of an individual; 684 (b) cutting, clipping, or trimming the hair of the head of an individual by using scissors, 685 shears, clippers, or other appliances; 686 (c) engaging in draping, shampooing, scalp treatments, basic wet styling, and blow 687 drying; 688 (d) hair fusing and extensions; 689 (e) removing hair from the face or neck of an individual by using shaving equipment; 690 (f) cutting, curling, styling, fitting, measuring, or forming caps for wigs, hairpieces, or 691 both on the human head; 692 (g) practicing hair weaving, hair fusing, or servicing previously medically implanted 693 hair; 694 (h) when providing other services described in this Subsection (1), gently massaging the 695 head, back of the neck, and shoulders by manual or mechanical means; and 696 (i) permanently waving, bleaching, tinting, coloring, relaxing, or similarly treating the 697 hair of the head of an individual. 698 (2) An individual may not engage in the practice of master hair design or master barbering 699 unless the individual holds a master hair design license or master barbering license. 700 (3) An applicant for a master hair design license or master barbering license shall comply 701 with the requirements of Section 58-11a-302 and: 702 (a) attend a licensed or recognized school and complete a curriculum that: 703 (i) covers: 704 (A) hair safety requirements; 705 (B) haircutting and barbering; and 706 (C) chemical hair services; and 707 (ii) has a minimum of 1,000 hours of instruction or the equivalent number of credit 708 hours; or - 21 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 709 (b) complete an approved master hair design or an approved master barbering 710 apprenticeship. 711 (4) If the applicant graduates from a recognized school with less than 1,000 hours of 712 instruction, the applicant may count hours practiced as a licensed master hair design or 713 master barber in a jurisdiction other than Utah to satisfy the 1,000 total hours 714 requirement. 715 (5) An individual with a master hair design license or master barbering license may apply 716 credit hours to another license or permit under this chapter, as allowed in Subsection 717 58-11a-302(2). 718 Section 17. Section 58-11a-302.20 is enacted to read: 719 58-11a-302.20 . Practice of nail technology -- Nail technology license -- 720 Qualifications. 721 (1) The practice of nail technology includes: 722 (a) trimming, cutting, cleaning, manicuring, shaping, massaging hands to elbows and 723 feet to knees, or enhancing the appearance of the hands, feet, and nails of an 724 individual by using the nail technician's hands, mechanical or electrical preparation, 725 antiseptic, lotion, or cream; 726 (b) applying and removing sculptured or artificial nails; and 727 (c) using blades, including corn or callus planer or rasp, for smoothing, shaving, or 728 removing dead skin from the feet. 729 (2) An individual may not engage in the practice of nail technology unless the individual 730 holds a nail technology license. 731 (3) An applicant for a nail technology license shall comply with the requirements of Section 732 58-11a-302 and: 733 (a) attend a licensed or recognized school and complete a curriculum that: 734 (i) covers: 735 (A) manicures and pedicures; and 736 (B) artificial nails; and 737 (ii) has a minimum of 300 hours of instruction or the equivalent number of credit 738 hours; or 739 (b) complete an approved nail technology apprenticeship. 740 (4) If the applicant graduates from a recognized school with less than 300 hours of 741 instruction, the applicant may count hours practiced as a licensed nail technician in a 742 jurisdiction other than Utah to satisfy the 300 total hours requirement. - 22 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 743 (5) An individual with a nail technology license may apply credit hours to another license 744 or permit under this chapter, as allowed in Subsection 58-11a-302(2). 745 Section 18. Section 58-11a-302.21 is enacted to read: 746 58-11a-302.21 . Licensed instructor -- Qualifications. 747 (1) An applicant for licensure as an instructor shall: 748 (a) submit an application in a form prescribed by the division; 749 (b) subject to Subsection (4), pay a fee determined by the division under Section 750 63J-1-504; 751 (c) provide satisfactory documentation that the applicant is currently licensed or 752 permitted in the discipline that the applicant is seeking to instruct; 753 (d) provide satisfactory documentation that the applicant has completed six months of 754 work experience in the discipline the applicant intends to instruct and: 755 (i) an instructor training program for the discipline for which the applicant is 756 licensed, by a licensed or recognized school for a minimum of 35% of the 757 minimum hours for the license or permit the applicant intends to instruct; or 758 (ii) on-the-job instructor training for the discipline for which the applicant is licensed, 759 by a licensed or recognized school for a minimum of 35% of the minimum hours 760 for the license or permit the applicant intends to instruct; and 761 (e) meet the examination requirement established by administrative rules made by the 762 division. 763 (2) An applicant for an instructor license or permit under this chapter whose education in 764 the discipline for which a license or permit is sought was completed at a foreign school 765 may satisfy the educational requirement for licensure by demonstrating, to the 766 satisfaction of the division, the educational equivalency of the foreign school education 767 with a licensed school under this chapter. 768 (3)(a) An individual may not instruct a discipline unless the individual has an instructor 769 license that allows instruction of that discipline. 770 (b) The division shall make rules establishing which disciplines each type of instructor 771 license may instruct. 772 (4) The division may not charge a fee to an individual applying for licensure as an 773 instructor under this chapter if the individual is a licensed instructor in any other 774 discipline under this chapter. 775 (5) The division may offer any required examination under this section, which is prepared 776 by a national testing organization, in languages in addition to English. - 23 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 777 (6) For purposes of a national accrediting agency recognized by the United States 778 Department of Education, on-the-job instructor training described in this section is not 779 considered a program. 780 Section 19. Section 58-11a-302.22 is enacted to read: 781 58-11a-302.22 . Licensed school -- Qualifications. 782 (1) An applicant for licensure as a licensed school shall: 783 (a) submit an application in a form prescribed by the division; 784 (b) pay a fee determined by the division under Section 63J-1-504; and 785 (c) provide satisfactory documentation: 786 (i) of appropriate registration with the Division of Corporations and Commercial 787 Code; 788 (ii) of business licensure from the municipality in which the school is located; 789 (iii) that the applicant's physical facilities comply with the requirements established 790 by administrative rules made by the division; and 791 (iv) that the applicant meets: 792 (A) the standards established by administrative rules made by the division, 793 including staff, curriculum, and accreditation requirements; or 794 (B) the requirements for recognition as an institution of postsecondary study as 795 described in Subsection (2). 796 (2) A school licensed or applying for licensure under this chapter shall maintain recognition 797 as an institution of postsecondary study by meeting the following conditions: 798 (a) except as described in Subsection (3), the school only admits an individual that: 799 (i) has earned a recognized high school diploma; 800 (ii) has earned the equivalent of a recognized high school diploma; or 801 (iii) is beyond the age of compulsory high school attendance as provided by Title 802 53G, Chapter 6, Part 2, Compulsory Education; and 803 (b) the school applies and is licensed by name to offer one or more training programs 804 under this chapter. 805 (3)(a) A technical college listed in Section 53B-2a-105 or a degree-granting institution 806 with a technical college mission as that term is defined in Title 53B, Technical 807 Education, that is applying for licensure may admit and educate secondary students in 808 compliance with the technical college's statutory responsibilities described in Section 809 53B-2a-106. 810 (b) An LEA that is applying for licensure may admit and educate secondary students. - 24 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 811 (4) A school licensed under this section shall accept credit hours towards graduation for 812 documented, relevant, and substantially equivalent coursework previously completed by: 813 (a) a student that completed only a portion of the student's education while attending a 814 different school or apprenticeship; or 815 (b) an individual licensed or permitted under this chapter, based on the individual's 816 schooling, apprenticeship, or experience. 817 (5) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and 818 consistent with this section, the division may make rules governing the acceptance of 819 credit hours. 820 Section 20. Section 58-11a-302.23 is enacted to read: 821 58-11a-302.23 . Practice of esthetics -- Esthetics license -- Qualifications. 822 (1) Except as provided in Subsection (3), the division may not issue an esthetics license 823 after January 1, 2026. 824 (2) An individual with an esthetics license may perform any of the following skincare 825 procedures done on the face or body for cosmetic purposes and not for the treatment of 826 medical, physical, or mental ailments: 827 (a) cleansing, stimulating, manipulating, exercising, applying oils, antiseptics, clays, or 828 masks, and manual extraction, including a comedone extractor, depilatories, waxes, 829 tweezing, the application of eyelash or eyebrow extensions, natural nail manicures or 830 pedicures, or callous removal by buffing or filing; 831 (b) limited chemical exfoliation as defined by rule; 832 (c) manual hair removal; 833 (d) other esthetic preparations or procedures with the use of the hands, a high-frequency 834 or galvanic electrical apparatus, or a heat lamp; 835 (e) arching eyebrows, tinting eyebrows or eyelashes, perming eyelashes or eyebrows, or 836 applying eyelash or eyebrow extensions; or 837 (f) subject to the requirements described in Section 58-1-506: 838 (i) laser hair removal; 839 (ii) anti-aging resurfacing enhancements; or 840 (iii) photo rejuvenation. 841 (3) The division shall grant an esthetics license to an individual that completes the 842 requirements described in Subsection (4) and: 843 (a) has registered an esthetics apprenticeship with the division on or before January 1, 844 2026; or - 25 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 845 (b) enrolled and started an esthetics program with a licensed school on or before January 846 1, 2026. 847 (4)(a) An individual described in Subsection (3)(a) shall complete at least 800 hours of 848 apprenticeship training that is supervised by a licensed esthetics instructor who 849 provides one-on-one supervision of the apprentice during the apprenticeship. 850 (b) An individual described in Subsection (3)(b) shall graduate from a licensed school 851 with a minimum of 600 hours or the equivalent number of credit hours. 852 (5) An individual with an esthetics license may apply credit hours to another license or 853 permit under this chapter, as allowed in Subsection 58-11a-302(2). 854 Section 21. Section 58-11a-302.24 is enacted to read: 855 58-11a-302.24 . License transitions. 856 Beginning on January 1, 2026: 857 (1) a barbering license shall be renewed as a barbering permit; 858 (2) a cosmetology/barbering license shall be renewed as a cosmetology license; 859 (3) a master-level esthetics license shall be renewed as a master esthetics license; and 860 (4) a hair design license shall be renewed as a master hair design license or a master 861 barbering license. 862 Section 22. Section 58-11a-303 is amended to read: 863 58-11a-303 . Terms of license -- Expiration -- Renewal. 864 (1)(a) The division shall issue each license under this chapter in accordance with a 865 two-year renewal cycle established by rule, except that an instructor license is a 866 one-time certificate and does not expire unless the licensee fails to keep current the 867 license that qualified the licensee to be an instructor under Section [58-11a-302] 868 58-11a-302.21. 869 (b) The division may by rule extend or shorten a renewal period by as much as one year 870 to stagger the renewal cycles it administers. 871 (2) At the time of renewal, a licensed school shall show satisfactory evidence that the 872 school meets the standards for that type of school, including staff, curriculum, and 873 accreditation requirements, established by rule. 874 (3) Each license expires on the expiration date shown on the license unless the licensee 875 renews it in accordance with Section 58-1-308. 876 Section 23. Section 58-11a-304 is amended to read: 877 58-11a-304 . Exemptions from licensure. 878 In addition to the exemptions from licensure in Section 58-1-307, the following [persons] - 26 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 879 individuals may engage in [the practice of barbering, cosmetology/barbering, hair design, 880 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 881 technology] a discipline regulated by this chapter without being licensed under this chapter: 882 (1) [a person ] an individual licensed under the laws of this state to engage in the practice of 883 medicine, surgery, osteopathy, or chiropractic when engaged in the practice of the 884 profession for which they are licensed; 885 (2) a commissioned physician or surgeon serving in the armed forces of the United States or 886 another federal agency; 887 (3) a registered nurse, undertaker, or mortician licensed under the laws of this state when 888 engaged in the practice of the profession for which the [person] individual is licensed; 889 (4) [a person ] an individual who visits the state to engage in instructional seminars, 890 advanced classes, trade shows, or competitions of a limited duration; 891 [(5) a person who engages in the practice of barbering, cosmetology/barbering, hair design, 892 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 893 technology without compensation;] 894 (5) an individual who engages in a practice regulated by this chapter without compensation; 895 (6) [a person ] an individual instructing an adult education class or other educational 896 program directed toward [persons] individuals who are not licensed under this chapter 897 and that is not intended to train [persons] individuals to become licensed under this 898 chapter, provided: 899 (a) an attendee receives no credit toward educational requirements for licensure under 900 this chapter; 901 (b) the instructor informs each attendee in writing that taking such a class or program 902 will not certify or qualify the attendee to perform a service for compensation that 903 requires licensure under this chapter; and 904 (c)(i) the instructor is properly licensed; or 905 (ii) the instructor receives no compensation; 906 (7) [a person ] an individual providing instruction in workshops, seminars, training 907 meetings, or other educational programs whose purpose is to provide continuing 908 professional development [to licensed barbers, cosmetologists/barbers, hair designers, 909 estheticians, master estheticians, electrologists, or nail technicians] to a qualified licensee 910 or permittee regulated by this chapter; 911 (8) [a person ] an individual enrolled in a licensed [barber, cosmetology/barber, or hair 912 design ]school when participating in an on the job training internship under the direct - 27 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 913 supervision of a [licensed barber, cosmetologist/barber, or hair designer] licensee under 914 this chapter upon completion of a basic program under the standards established by rule 915 by the division in collaboration with the board; 916 (9) [a person enrolled ] an individual registered with the division in an approved 917 apprenticeship pursuant to Section 58-11a-306; 918 (10)(a) an employee of a company that is primarily engaged in the business of selling 919 products used [in the practice of barbering, cosmetology/barbering, hair design, 920 esthetics, master-level esthetics, electrology, nail technology, or eyelash and eyebrow 921 technology] by a qualified licensee regulated by this chapter; 922 (b) [ ]when demonstrating the company's products to a potential customer[,] ; and 923 (c) [ ]provided the employee makes no representation to a potential customer that 924 attending [such a] the demonstration will certify or qualify the attendee to perform a 925 service for compensation that requires licensure under this chapter; 926 (11) [a person ] an individual who: 927 (a) is qualified to engage in [the practice of barbering, cosmetology/barbering, hair 928 design, esthetics, master-level esthetics, electrology, nail technology, or eyelash and 929 eyebrow technology] a practice regulated by this chapter in another jurisdiction as 930 evidenced by licensure, certification, or lawful practice in the other jurisdiction; 931 (b) is employed by, or under contract with, a motion picture company; and 932 (c) engages in [the practice of barbering, cosmetology/barbering, hair design, esthetics, 933 master-level esthetics, electrology, nail technology, or eyelash and eyebrow 934 technology] a practice regulated by this chapter in the state: 935 (i) solely to assist in the production of a motion picture; and 936 (ii) for no more than 120 days per calendar year; 937 (12) [a person ] an individual who: 938 (a) engages in threading; 939 (b) engages in hair braiding; and 940 [(b)] (c) [unless it is expressly exempted under this section or Section 58-1-307, does not 941 engage in other activity requiring licensure under this chapter; and] is not engaged in 942 a practice that requires a license or permit under this chapter; and 943 (13) [a person ] an individual who: 944 (a) dries, styles, arranges, dresses, curls, hot irons, shampoos, or conditions hair; 945 (b) does not cut the hair; 946 (c) does not apply dye to alter the color of the hair; - 28 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 947 (d) does not apply reactive chemicals to straighten, curl, or alter the structure of the hair; 948 (e) [unless it is expressly exempted under this section or Section 58-1-307, does not 949 engage in other activity requiring licensure under this chapter] is not engaged in a 950 practice that requires a license or permit under this chapter; 951 (f) provides evidence to the division that the [person] individual has received a hair 952 safety permit from completing a hair safety program that: 953 (i) is approved by the division; 954 (ii) consists of no more than two hours of instruction; 955 (iii) is offered by a provider approved by the division; and 956 (iv) includes an examination that requires a passing score of 75%; and 957 (g) displays in a conspicuous location in the [person's] individual's place of business: 958 (i) a valid hair safety permit as described in Subsection (13)(f); and 959 (ii) a sign notifying the public that the [person's] individual providing the services [are 960 not provided by an individual who has a license under this chapter.] is not licensed 961 under this chapter. 962 Section 24. Section 58-11a-306 is repealed and reenacted to read: 963 58-11a-306 . Apprenticeship. 964 (1)(a) An approved apprenticeship shall be conducted by a supervisor who: 965 (i) is licensed under this chapter as an instructor in the discipline of the 966 apprenticeship; and 967 (ii) provides one-on-one direct supervision of the apprentice during the 968 apprenticeship program. 969 (b) An apprenticeship supervisor may not provide direct supervision to more than two 970 apprentices during the apprentice program. 971 (2) An individual seeking a license or permit through an approved apprenticeship under this 972 chapter shall: 973 (a) register with the division before beginning the training requirements by: 974 (i) submitting a form prescribed by the division, which includes the name of the 975 licensed instructor supervisor; and 976 (ii) paying a fee determined by the division under Section 63J-1-504; 977 (b) complete the apprenticeship within two years of the date on which the division 978 approves the registration; and 979 (c) notify the division within 30 days if the licensed instructor supervisor changes after 980 the registration is approved by the division. - 29 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 981 (3) An individual seeking a license or permit through an approved apprenticeship under this 982 chapter shall complete a minimum of: 983 (a) 1,250 apprenticeship hours for a cosmetology license; 984 (b) 1,200 apprenticeship hours for a master esthetics license; 985 (c) 1,000 apprenticeship hours for: 986 (i) a master barber license; or 987 (ii) a master hair design license; 988 (d) 600 apprenticeship hours for an electrology license; 989 (e) 300 apprenticeship hours for a nail technology license; 990 (f) 270 apprenticeship hours for an eyelash and eyebrow technology license; 991 (g) 260 apprenticeship hours for a chemical hair services permit; 992 (h) 200 apprenticeship hours for a basic esthetics permit; 993 (i) 150 apprenticeship hours for a haircutting permit; 994 (j) 130 apprenticeship hours for a barbering permit; or 995 (k) 50 apprenticeship hours for a facial hair removal permit. 996 Section 25. Section 58-11a-501 is repealed and reenacted to read: 997 58-11a-501 . Unprofessional conduct. 998 Unprofessional conduct includes: 999 (1) a licensed school that fails to: 1000 (a)(i) obtain or maintain accreditation or comply with the required standard of 1001 accreditation; and 1002 (ii) have curriculum approved by the division, as required by administrative rules 1003 made by the division; or 1004 (b) provide adequate instruction to enrolled students; 1005 (2) an apprentice supervisor that fails to: 1006 (a) provide direct supervision to an apprentice; or 1007 (b) comply with division rules relating to apprenticeship programs under this chapter; 1008 (3) an instructor that fails to provide direct supervision to students who are providing 1009 services to an individual under the instructor's supervision; 1010 (4) a person that keeps a salon or school, or the salon or school's furnishings, tools, utensils, 1011 linen, or appliances in an unsanitary condition; 1012 (5) an individual licensed or permitted under this chapter that fails to: 1013 (a) comply with Title 26B, Utah Health and Human Services Code; 1014 (b) display a license or permit as required under Section 58-11a-305; - 30 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1015 (c) comply with physical facility requirements established by administrative rules made 1016 by the division; 1017 (d) maintain mechanical or electrical equipment in safe operating condition; 1018 (e) adequately monitor patrons using steam rooms, dry heat rooms, baths, showers, or 1019 saunas; 1020 (f) comply with all applicable state and local health or sanitation laws; or 1021 (g) comply with a judgment order from a court of competent jurisdiction regarding a 1022 disagreement over tuition or education costs in relation to the requirements outlined 1023 in this chapter; 1024 (6) an individual licensed or permitted under this chapter: 1025 (a) prescribing or administering prescription drugs; 1026 (b) engaging in any act or practice in a professional capacity that is outside of the 1027 applicable scope of practice; 1028 (c) engaging in any act or practice in a professional capacity that the individual is not 1029 competent to perform through education or training; or 1030 (d) removing proximal nail fold by e-file or other tool or inserting tools beneath the 1031 eponychium; 1032 (7) unless the individual is under the supervision of a licensed health care practitioner 1033 acting within the scope of the health care practitioner's license, an individual licensed or 1034 permitted under this chapter, while using a chemical exfoliant: 1035 (a) using any acid, concentration of acid, or combination of treatments that violate the 1036 standards established by administrative rules made by the division; 1037 (b) removing any layer of skin deeper than the stratum corneum of the epidermis; or 1038 (c) using an exfoliant that contains phenol, trichloroacetic acid of over 15%, or 1039 bicinchoninic acid; 1040 (8) while sanding the skin, an individual licensed or permitted under this chapter, removing 1041 any layer of skin deeper than the stratum corneum of the epidermis, unless the individual 1042 is under the supervision of a licensed health care practitioner acting within the scope of 1043 the health care practitioner's license; 1044 (9) using any laser procedure or intense, pulsed light source, besides a nonprescriptive laser 1045 device, unless authorized to do so by an individual's license or permit in this chapter; 1046 (10) marketing or distinguishing an establishment as a school if the establishment is not 1047 licensed as a school under this chapter; and 1048 (11) claiming or advertising unrealistic results for body contouring, including alleviation of - 31 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1049 psychological distress. 1050 Section 26. Section 58-11a-503 is amended to read: 1051 58-11a-503 . Penalties. 1052 (1) Unless Subsection (2) applies, an individual who commits an act of unlawful conduct 1053 under Section 58-11a-502 or who fails to comply with a citation issued under this 1054 section after [it] the citation is final is guilty of a class A misdemeanor. 1055 (2) Sexual conduct that violates Section 58-11a-502 and Title 76, Utah Criminal Code, shall 1056 be subject to the applicable penalties in Title 76, Utah Criminal Code. 1057 (3) Grounds for immediate suspension of [a licensee's] an individual's license or permit by 1058 the division include the issuance of a citation for violation of Subsection 58-11a-502(1), 1059 (3), (4), (5), or (6). 1060 (4)[(a)] If upon inspection or investigation, the division concludes that [a person] an 1061 individual has violated the provisions of Subsection 58-11a-502(1), (3), (4), (5), or (6), 1062 or a rule or order issued with respect to Subsection 58-11a-502(1), (3), (4), (5), or (6), 1063 and that disciplinary action is appropriate, the director or the director's designee from 1064 within the division shall promptly issue a citation to [the person] the individual 1065 according to this chapter and any pertinent rules, attempt to negotiate a stipulated 1066 settlement, or notify the [person] individual to appear before an adjudicative 1067 proceeding conducted under Title 63G, Chapter 4, Administrative Procedures Act. 1068 [(i)] (5) [A person who] An individual that is in violation of Subsection 58-11a-502(1), (3), 1069 (4), (5), or (6), as evidenced by an uncontested citation, a stipulated settlement, or [by a ] 1070 finding of violation in an adjudicative proceeding, may be assessed a fine [pursuant to] in 1071 accordance with this Subsection [(4)] (5) and may, in addition to or in lieu of a fine, be 1072 ordered to cease and desist from violating Subsection 58-11a-502(1), (3), (4), (5), or (6). 1073 [(ii)] (6) Except for a cease and desist order, the licensure sanctions [cited] described in 1074 Section 58-11a-401 may not be assessed through a citation. 1075 (7)[(b)] (a)[(i)] Each citation shall be in writing and describe with particularity the 1076 nature of the violation, including a reference to the provision of the chapter, rule, 1077 or order alleged to have been violated. 1078 [(ii)] (b) The citation shall clearly state that the recipient must notify the division in 1079 writing within 20 calendar days of service of the citation if the recipient wishes to 1080 contest the citation at a hearing conducted under Title 63G, Chapter 4, 1081 Administrative Procedures Act. 1082 [(iii)] (c) The citation shall clearly explain the consequences of failure to timely contest - 32 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1083 the citation or to make payment of a fine assessed by the citation within the time 1084 specified in the citation. 1085 [(c)] (d) Each citation issued under this section, or a copy of each citation, may be served 1086 upon [a person] an individual upon whom a summons may be served in accordance 1087 with the Utah Rules of Civil Procedure and may be made personally or upon the [ 1088 person's] individual's agent by a division investigator or by [a person] an individual 1089 specially designated by the director or by mail. 1090 [(d)] (e)(i) If within 20 calendar days from the service of a citation, the [person to 1091 whom] individual to which the citation was issued fails to request a hearing to 1092 contest the citation, the citation becomes the final order of the division and is not 1093 subject to further agency review. 1094 (ii) The period to contest a citation may be extended by the division for cause. 1095 [(e)] (f) The division may refuse to issue or renew, suspend, revoke, or place on 1096 probation the [license of a licensee who] license or permit of an individual that fails to 1097 comply with a citation after [it] the citation becomes final. 1098 [(f)] (g) The failure of an applicant for licensure to comply with a citation after [it] the 1099 citation becomes final is a ground for denial of license. 1100 [(g)] (h) [No citation may be issued ] The director or the director's designee from within 1101 the division may not issue a citation under this section [after the expiration of] more 1102 than one year [following] after the date on which the violation that is the subject of 1103 the citation is reported to the division. 1104 [(h)] (i) [Fines shall be assessed by the director or the director's designee according to the 1105 following:] The director or the director's designee shall assess fines as follows: 1106 (i) for a first offense under Subsection [(4)(a)] (4), a fine of up to $1,000; 1107 (ii) for a second offense under Subsection [(4)(a)] (4), a fine of up to $2,000; and 1108 (iii) for any subsequent offense under Subsection [(4)(a)] (4), a fine of up to $2,000 1109 for each day of continued offense. 1110 [(i)] (j)[(i)] For purposes of issuing a final order under this section and assessing a 1111 fine under Subsection [(4)(h)] (7)(i), an offense constitutes a second or subsequent 1112 offense if: 1113 [(A)] (i) the division previously issued a final order determining that [a person] an 1114 individual committed a first or second offense in violation of Subsection 1115 58-11a-502(1), (3), (4), (5), or (6); or 1116 [(B)] (ii)[(I)] (A) the division initiated an action for a first or second offense; - 33 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1117 [(II)] (B) no final order has been issued by the division in the action initiated under 1118 Subsection [(4)(i)(i)(B)(I)] (7)(j)(ii)(A); 1119 [(III)] (C) the division determines during an investigation that occurred after the 1120 initiation of the action under Subsection [(4)(i)(i)(B)(I)] (7)(j)(ii)(A) that the [ 1121 person] individual committed a second or subsequent violation of Subsection 1122 58-11a-502(1), (3), (4), (5), or (6); and 1123 [(IV)] (D) after determining that the [person] individual committed a second or 1124 subsequent offense under Subsection [(4)(i)(i)(B)(III)] (7)(j)(ii)(C), the division 1125 issues a final order on the action initiated under Subsection [(4)(i)(i)(B)(I)] 1126 (7)(j)(ii)(A). 1127 [(ii)] (k) In issuing a final order for a second or subsequent offense under Subsection [ 1128 (4)(i)(i)] (7)(j), the division shall comply with the requirements of this section. 1129 [(5)] (8)(a) A penalty imposed by the director under Subsection [(4)(h)] (7)(i) shall be 1130 deposited into the [Barber, Cosmetologist/Barber, Esthetician, Electrologist, and Nail 1131 Technician Education and Enforcement Fund] Cosmetology and Associated 1132 Professions Education and Enforcement Fund. 1133 (b) [A penalty which is not paid may be collected by the director by either:] The director 1134 may collect an unpaid penalty by: 1135 (i) referring the matter to a collection agency; or 1136 (ii) bringing an action in the district court of the county in which the [person] 1137 individual against whom the penalty is imposed resides or in the county where the 1138 office of the director is located. 1139 (c) A county attorney or the attorney general of the state shall provide legal assistance 1140 and advice to the director in an action to collect a penalty. 1141 (d) A court shall award reasonable attorney fees and costs to the prevailing party in an 1142 action brought by the division to collect a penalty. 1143 Section 27. Section 58-67-102 is amended to read: 1144 58-67-102 . Definitions. 1145 In addition to the definitions in Section 58-1-102, as used in this chapter: 1146 (1)(a) "Ablative procedure" means a procedure that is expected to excise, vaporize, 1147 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and 1148 erbium: YAG lasers. 1149 (b) "Ablative procedure" does not include:[ ] 1150 (i) hair removal; - 34 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1151 (ii) laser tattoo removal; or[ ] 1152 (iii) cryolipolysis. 1153 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the 1154 American Medical Association. 1155 (3) "Administrative penalty" means a monetary fine or citation imposed by the division for 1156 acts or omissions determined to constitute unprofessional or unlawful conduct, in 1157 accordance with a fine schedule established by the division in collaboration with the 1158 board, as a result of an adjudicative proceeding conducted in accordance with Title 63G, 1159 Chapter 4, Administrative Procedures Act. 1160 (4) "Associate physician" means an individual licensed under Section 58-67-302.8. 1161 (5) "Attempted sex change" means an attempt or effort to change an individual's body to 1162 present that individual as being of a sex or gender that is different from the individual's 1163 biological sex at birth. 1164 (6) "Biological sex at birth" means an individual's sex, as being male or female, according 1165 to distinct reproductive roles as manifested by: 1166 (a) sex and reproductive organ anatomy; 1167 (b) chromosomal makeup; and 1168 (c) endogenous hormone profiles. 1169 (7) "Board" means the Medical Licensing Board created in Section 58-67-201. 1170 (8) "Collaborating physician" means an individual licensed under Section 58-67-302 who 1171 enters into a collaborative practice arrangement with an associate physician. 1172 (9) "Collaborative practice arrangement" means the arrangement described in Section 1173 58-67-807. 1174 (10)(a) "Cosmetic medical device" means tissue altering energy based devices that have 1175 the potential for altering living tissue and that are used to perform ablative or 1176 nonablative procedures, such as American National Standards Institute [(ANSI) ] 1177 designated Class IIIb and Class IV lasers, intense pulsed light, radio frequency 1178 devices, and lipolytic devices, and excludes [ANSI] American National Standards 1179 Institute designated Class IIIa and lower powered devices. 1180 (b) Notwithstanding Subsection (10)(a), if an [ANSI] American National Standards 1181 Institute designated Class IIIa and lower powered device is being used to perform an 1182 ablative procedure, the device is included in the definition of cosmetic medical 1183 device under Subsection (10)(a). 1184 (11)(a) "Cosmetic medical procedure" includes: - 35 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1185 (i) the use of cosmetic medical devices to perform ablative or nonablative 1186 procedures; or 1187 (ii) the injection of medication or substance, including a neurotoxin or a filler, for 1188 cosmetic purposes. 1189 (b) "Cosmetic medical procedure" does not include a treatment of the ocular globe 1190 including refractive surgery. 1191 (12) "Diagnose" means: 1192 (a) to examine in any manner another person, parts of a person's body, substances, 1193 fluids, or materials excreted, taken, or removed from a person's body, or produced by 1194 a person's body, to determine the source, nature, kind, or extent of a disease or other 1195 physical or mental condition; 1196 (b) to attempt to conduct an examination or determination described under Subsection 1197 (12)(a); 1198 (c) to hold oneself out as making or to represent that one is making an examination or 1199 determination as described in Subsection (12)(a); or 1200 (d) to make an examination or determination as described in Subsection (12)(a) upon or 1201 from information supplied directly or indirectly by another person, whether or not in 1202 the presence of the person making or attempting the diagnosis or examination. 1203 (13) "LCME" means the Liaison Committee on Medical Education of the American 1204 Medical Association. 1205 (14) "Medical assistant" means an unlicensed individual who may perform tasks as 1206 described in Subsection 58-67-305(6). 1207 (15) "Medically underserved area" means a geographic area in which there is a shortage of 1208 primary care health services for residents, as determined by the Department of Health 1209 and Human Services. 1210 (16) "Medically underserved population" means a specified group of people living in a 1211 defined geographic area with a shortage of primary care health services, as determined 1212 by the Department of Health and Human Services. 1213 (17)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 1214 alter living tissue, but is not intended or expected to excise, vaporize, disintegrate, 1215 or remove living tissue. 1216 (ii) Notwithstanding Subsection (17)(a)(i) nonablative procedure includes hair 1217 removal. 1218 (b) "Nonablative procedure" does not include: - 36 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1219 (i) a superficial procedure as defined in Section 58-1-102; 1220 (ii) the application of permanent make-up; 1221 (iii) laser tattoo removal; or 1222 [(iii)] (iv) the use of photo therapy and lasers for neuromusculoskeletal treatments that 1223 are performed by an individual licensed under this title who is acting within the 1224 individual's scope of practice. 1225 (18) "Physician" means both physicians and surgeons licensed under [Section 58-67-301, 1226 Utah Medical Practice Act] Part 3, Licensing, and osteopathic physicians and surgeons 1227 licensed under [Section 58-68-301, Utah Osteopathic Medical Practice Act] Chapter 68, 1228 Part 3, Licensing. 1229 (19)(a) "Practice of medicine" means: 1230 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human 1231 disease, ailment, injury, infirmity, deformity, pain or other condition, physical or 1232 mental, real or imaginary, including to perform cosmetic medical procedures, or to 1233 attempt to do so, by any means or instrumentality, and by an individual in Utah or 1234 outside the state upon or for any human within the state; 1235 (ii) when a person not licensed as a physician directs a licensee under this chapter to 1236 withhold or alter the health care services that the licensee has ordered; 1237 (iii) to maintain an office or place of business for the purpose of doing any of the acts 1238 described in Subsection (19)(a)(i) or (ii) whether or not for compensation; or 1239 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis 1240 or treatment of human diseases or conditions in any printed material, stationery, 1241 letterhead, envelopes, signs, or advertisements, the designation "doctor," "doctor 1242 of medicine," "physician," "surgeon," "physician and surgeon," "Dr.," "M.D.," or 1243 any combination of these designations in any manner which might cause a 1244 reasonable person to believe the individual using the designation is a licensed 1245 physician and surgeon, and if the party using the designation is not a licensed 1246 physician and surgeon, the designation must additionally contain the description 1247 of the branch of the healing arts for which the person has a license, provided that 1248 an individual who has received an earned degree of doctor of medicine degree but 1249 is not a licensed physician and surgeon in Utah may use the designation "M.D." if 1250 it is followed by "Not Licensed" or "Not Licensed in Utah" in the same size and 1251 style of lettering. 1252 (b) The practice of medicine does not include: - 37 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1253 (i) except for an ablative medical procedure as provided in Subsection (19)(b)(ii) the 1254 conduct described in Subsection (19)(a)(i) that is performed in accordance with a 1255 license issued under another chapter of this title; 1256 (ii) an ablative cosmetic medical procedure if the scope of practice for the person 1257 performing the ablative cosmetic medical procedure includes the authority to 1258 operate or perform a surgical procedure; or 1259 (iii) conduct under Subsection 58-67-501(2). 1260 (20) "Prescription device" means an instrument, apparatus, implement, machine, 1261 contrivance, implant, in vitro reagent, or other similar or related article, and any 1262 component part or accessory, which is required under federal or state law to be 1263 prescribed by a practitioner and dispensed by or through a person or entity licensed 1264 under this chapter or exempt from licensure under this chapter. 1265 (21) "Prescription drug" means a drug that is required by federal or state law or rule to be 1266 dispensed only by prescription or is restricted to administration only by practitioners. 1267 (22)(a) "Primary sex characteristic surgical procedure" means any of the following if 1268 done for the purpose of effectuating or facilitating an individual's attempted sex 1269 change: 1270 (i) for an individual whose biological sex at birth is male, castration, orchiectomy, 1271 penectomy, vaginoplasty, or vulvoplasty; 1272 (ii) for an individual whose biological sex at birth is female, hysterectomy, 1273 oophorectomy, metoidioplasty, or phalloplasty; or 1274 (iii) any surgical procedure that is related to or necessary for a procedure described in 1275 Subsection (22)(a)(i) or (ii), that would result in the sterilization of an individual 1276 who is not sterile. 1277 (b) "Primary sex characteristic surgical procedure" does not include: 1278 (i) surgery or other procedures or treatments performed on an individual who: 1279 (A) is born with external biological sex characteristics that are irresolvably 1280 ambiguous; 1281 (B) is born with 46, XX chromosomes with virilization; 1282 (C) is born with 46, XY chromosomes with undervirilization; 1283 (D) has both ovarian and testicular tissue; or 1284 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1285 with a sex development disorder characterized by abnormal sex chromosome 1286 structure, sex steroid hormone production, or sex steroid hormone action for a - 38 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1287 male or female; or 1288 (ii) removing a body part: 1289 (A) because the body part is cancerous or diseased; or 1290 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1291 individual's attempted sex change. 1292 (23)(a) "Secondary sex characteristic surgical procedure" means any of the following if 1293 done for the purpose of effectuating or facilitating an individual's attempted sex 1294 change: 1295 (i) for an individual whose biological sex at birth is male, breast augmentation 1296 surgery, chest feminization surgery, or facial feminization surgery; or 1297 (ii) for an individual whose biological sex at birth is female, mastectomy, breast 1298 reduction surgery, chest masculinization surgery, or facial masculinization surgery. 1299 (b) "Secondary sex characteristic surgical procedure" does not include: 1300 (i) surgery or other procedures or treatments performed on an individual who: 1301 (A) is born with external biological sex characteristics that are irresolvably 1302 ambiguous; 1303 (B) is born with 46, XX chromosomes with virilization; 1304 (C) is born with 46, XY chromosomes with undervirilization; 1305 (D) has both ovarian and testicular tissue; or 1306 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1307 with a sex development disorder characterized by abnormal sex chromosome 1308 structure, sex steroid hormone production, or sex steroid hormone action for a 1309 male or female; or 1310 (ii) removing a body part: 1311 (A) because the body part is cancerous or diseased; or 1312 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1313 individual's attempted sex change. 1314 (24) "SPEX" means the Special Purpose Examination of the Federation of State Medical 1315 Boards. 1316 (25) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 1317 58-67-501. 1318 (26) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 1319 and 58-67-502, and as may be further defined by division rule. 1320 Section 28. Section 58-68-102 is amended to read: - 39 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1321 58-68-102 . Definitions. 1322 In addition to the definitions in Section 58-1-102, as used in this chapter: 1323 (1)(a) "Ablative procedure" means a procedure that is expected to excise, vaporize, 1324 disintegrate, or remove living tissue, including the use of carbon dioxide lasers and 1325 erbium: YAG lasers. 1326 (b) "Ablative procedure" does not include:[ ] 1327 (i) hair removal[.] ; or 1328 (ii) laser tattoo removal. 1329 (2) "ACGME" means the Accreditation Council for Graduate Medical Education of the 1330 American Medical Association. 1331 (3) "Administrative penalty" means a monetary fine imposed by the division for acts or 1332 omissions determined to constitute unprofessional or unlawful conduct, as a result of an 1333 adjudicative proceeding conducted in accordance with Title 63G, Chapter 4, 1334 Administrative Procedures Act. 1335 (4) "AOA" means the American Osteopathic Association. 1336 (5) "Associate physician" means an individual licensed under Section 58-68-302.5. 1337 (6) "Attempted sex change" means an attempt or effort to change an individual's body to 1338 present that individual as being of a sex or gender that is different from the individual's 1339 biological sex at birth. 1340 (7) "Biological sex at birth" means an individual's sex, as being male or female, according 1341 to distinct reproductive roles as manifested by: 1342 (a) sex and reproductive organ anatomy; 1343 (b) chromosomal makeup; and 1344 (c) endogenous hormone profiles. 1345 (8) "Board" means the Medical Licensing Board created in Section 58-67-201. 1346 (9) "Collaborating physician" means an individual licensed under Section 58-68-302 who 1347 enters into a collaborative practice arrangement with an associate physician. 1348 (10) "Collaborative practice arrangement" means the arrangement described in Section 1349 58-68-807. 1350 (11)(a) "Cosmetic medical device" means tissue altering energy based devices that have 1351 the potential for altering living tissue and that are used to perform ablative or 1352 nonablative procedures, such as American National Standards Institute [(ANSI) ] 1353 designated Class IIIb and Class IV lasers, intense pulsed light, radio frequency 1354 devices, and lipolytic devices and excludes [ANSI] American National Standards - 40 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1355 Institute designated Class IIIa and lower powered devices. 1356 (b) Notwithstanding Subsection (11)(a), if an [ANSI] American National Standards 1357 Institute designated Class IIIa and lower powered device is being used to perform an 1358 ablative procedure, the device is included in the definition of cosmetic medical 1359 device under Subsection (11)(a). 1360 (12) "Cosmetic medical procedure": 1361 (a) includes the use of cosmetic medical devices to perform ablative or nonablative 1362 procedures; and 1363 (b) does not include a treatment of the ocular globe such as refractive surgery. 1364 (13) "Diagnose" means: 1365 (a) to examine in any manner another person, parts of a person's body, substances, 1366 fluids, or materials excreted, taken, or removed from a person's body, or produced by 1367 a person's body, to determine the source, nature, kind, or extent of a disease or other 1368 physical or mental condition; 1369 (b) to attempt to conduct an examination or determination described under Subsection 1370 (13)(a); 1371 (c) to hold oneself out as making or to represent that one is making an examination or 1372 determination as described in Subsection (13)(a); or 1373 (d) to make an examination or determination as described in Subsection (13)(a) upon or 1374 from information supplied directly or indirectly by another person, whether or not in 1375 the presence of the person making or attempting the diagnosis or examination. 1376 (14) "Medical assistant" means an unlicensed individual who may perform tasks as 1377 described in Subsection 58-68-305(6). 1378 (15) "Medically underserved area" means a geographic area in which there is a shortage of 1379 primary care health services for residents, as determined by the Department of Health 1380 and Human Services. 1381 (16) "Medically underserved population" means a specified group of people living in a 1382 defined geographic area with a shortage of primary care health services, as determined 1383 by the Department of Health and Human Services. 1384 (17)(a)(i) "Nonablative procedure" means a procedure that is expected or intended to 1385 alter living tissue, but is not expected or intended to excise, vaporize, disintegrate, 1386 or remove living tissue. 1387 (ii) Notwithstanding Subsection (17)(a)(i), nonablative procedure includes hair 1388 removal. - 41 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1389 (b) "Nonablative procedure" does not include: 1390 (i) a superficial procedure as defined in Section 58-1-102; 1391 (ii) the application of permanent make-up; 1392 (iii) laser tattoo removal; or 1393 [(iii)] (iv) the use of photo therapy lasers for neuromusculoskeletal treatments that are 1394 performed by an individual licensed under this title who is acting within the 1395 individual's scope of practice. 1396 (18) "Physician" means both physicians and surgeons licensed under [Section 58-67-301, 1397 Utah Medical Practice Act] Part 3, Licensing, and osteopathic physicians and surgeons 1398 licensed under [Section 58-68-301, Utah Osteopathic Medical Practice Act] Chapter 68, 1399 Part 3, Licensing. 1400 (19)(a) "Practice of osteopathic medicine" means: 1401 (i) to diagnose, treat, correct, administer anesthesia, or prescribe for any human 1402 disease, ailment, injury, infirmity, deformity, pain, or other condition, physical or 1403 mental, real or imaginary, or to attempt to do so, by any means or instrumentality, 1404 which in whole or in part is based upon emphasis of the importance of the 1405 musculoskeletal system and manipulative therapy in the maintenance and 1406 restoration of health, by an individual in Utah or outside of the state upon or for 1407 any human within the state; 1408 (ii) when a person not licensed as a physician directs a licensee under this chapter to 1409 withhold or alter the health care services that the licensee has ordered; 1410 (iii) to maintain an office or place of business for the purpose of doing any of the acts 1411 described in Subsection (19)(a)(i) or (ii) whether or not for compensation; or 1412 (iv) to use, in the conduct of any occupation or profession pertaining to the diagnosis 1413 or treatment of human diseases or conditions, in any printed material, stationery, 1414 letterhead, envelopes, signs, or advertisements, the designation "doctor," "doctor 1415 of osteopathic medicine," "osteopathic physician," "osteopathic surgeon," 1416 "osteopathic physician and surgeon," "Dr.," "D.O.," or any combination of these 1417 designations in any manner which might cause a reasonable person to believe the 1418 individual using the designation is a licensed osteopathic physician, and if the 1419 party using the designation is not a licensed osteopathic physician, the designation 1420 must additionally contain the description of the branch of the healing arts for 1421 which the person has a license, provided that an individual who has received an 1422 earned degree of doctor of osteopathic medicine but is not a licensed osteopathic - 42 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1423 physician and surgeon in Utah may use the designation "D.O." if it is followed by 1424 "Not Licensed" or "Not Licensed in Utah" in the same size and style of lettering. 1425 (b) The practice of osteopathic medicine does not include: 1426 (i) except for an ablative medical procedure as provided in Subsection (19)(b)(ii), the 1427 conduct described in Subsection (19)(a)(i) that is performed in accordance with a 1428 license issued under another chapter of this title; 1429 (ii) an ablative cosmetic medical procedure if the scope of practice for the person 1430 performing the ablative cosmetic medical procedure includes the authority to 1431 operate or perform a surgical procedure; or 1432 (iii) conduct under Subsection 58-68-501(2). 1433 (20) "Prescription device" means an instrument, apparatus, implement, machine, 1434 contrivance, implant, in vitro reagent, or other similar or related article, and any 1435 component part or accessory, which is required under federal or state law to be 1436 prescribed by a practitioner and dispensed by or through a person or entity licensed 1437 under this chapter or exempt from licensure under this chapter. 1438 (21) "Prescription drug" means a drug that is required by federal or state law or rule to be 1439 dispensed only by prescription or is restricted to administration only by practitioners. 1440 (22)(a) "Primary sex characteristic surgical procedure" means any of the following if 1441 done for the purpose of effectuating or facilitating an individual's attempted sex 1442 change: 1443 (i) for an individual whose biological sex at birth is male, castration, orchiectomy, 1444 penectomy, vaginoplasty, or vulvoplasty; 1445 (ii) for an individual whose biological sex at birth is female, hysterectomy, 1446 oophorectomy, metoidioplasty, or phalloplasty; or 1447 (iii) any surgical procedure that is related to or necessary for a procedure described in 1448 Subsection (22)(a)(i) or (ii), that would result in the sterilization of an individual 1449 who is not sterile. 1450 (b) "Primary sex characteristic surgical procedure" does not include: 1451 (i) surgery or other procedures or treatments performed on an individual who: 1452 (A) is born with external biological sex characteristics that are irresolvably 1453 ambiguous; 1454 (B) is born with 46, XX chromosomes with virilization; 1455 (C) is born with 46, XY chromosomes with undervirilization; 1456 (D) has both ovarian and testicular tissue; or - 43 - 2nd Sub. (Salmon) S.B. 330 03-03 14:49 1457 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1458 with a sex development disorder characterized by abnormal sex chromosome 1459 structure, sex steroid hormone production, or sex steroid hormone action for a 1460 male or female; or 1461 (ii) removing a body part: 1462 (A) because the body part is cancerous or diseased; or 1463 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1464 individual's attempted sex change. 1465 (23)(a) "Secondary sex characteristic surgical procedure" means any of the following if 1466 done for the purpose of effectuating or facilitating an individual's attempted sex 1467 change: 1468 (i) for an individual whose biological sex at birth is male, breast augmentation 1469 surgery, chest feminization surgery, or facial feminization surgery; or 1470 (ii) for an individual whose biological sex at birth is female, mastectomy, breast 1471 reduction surgery, chest masculinization surgery, or facial masculinization surgery. 1472 (b) "Secondary sex characteristic surgical procedure" does not include: 1473 (i) surgery or other procedures or treatments performed on an individual who: 1474 (A) is born with external biological sex characteristics that are irresolvably 1475 ambiguous; 1476 (B) is born with 46, XX chromosomes with virilization; 1477 (C) is born with 46, XY chromosomes with undervirilization; 1478 (D) has both ovarian and testicular tissue; or 1479 (E) has been diagnosed by a physician, based on genetic or biochemical testing, 1480 with a sex development disorder characterized by abnormal sex chromosome 1481 structure, sex steroid hormone production, or sex steroid hormone action for a 1482 male or female; or 1483 (ii) removing a body part: 1484 (A) because the body part is cancerous or diseased; or 1485 (B) for a reason that is medically necessary, other than to effectuate or facilitate an 1486 individual's attempted sex change. 1487 (24) "SPEX" means the Special Purpose Examination of the Federation of State Medical 1488 Boards. 1489 (25) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501 and 1490 58-68-501. - 44 - 03-03 14:49 2nd Sub. (Salmon) S.B. 330 1491 (26) "Unprofessional conduct" means the same as that term is defined in Sections 58-1-501 1492 and 58-68-502 and as may be further defined by division rule. 1493 Section 29. Effective Date. 1494 This bill takes effect on January 1, 2026. - 45 -