pa massage law

8/12/2019 PA Massage Law

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CHAPTER 20. STATE BOARD OFMASSAGE THERAPY

GENERAL PROVISIONS

20.1. Definitions. 20.2. Applicability of general rules. 20.3. Fees.

EDUCATION

20.11. Minimum hour requirements for massage therapy programs. 20.12. Information that must be proi!e! to prospectie stu!ents. 20.13. "equire! #no$le!ge base. 20.1%. &tu!ent practice.

LICENSURE

20.21. Application for temporary practice permit' initial licensure an! licensure byreciprocity. 20.22. (roce!ure for licensure !enial. 20.23. )icensure e*aminations. 20.2%. Application requirements for e*isting practitioners. 20.2+. A!!itional application requirements for applicants for licensure by reciprocity. 20.2, Application requirements for temporary practice permits.

LICENSURE RENEWAL AND REACTIVATION

20.31. -*piration' rene$al an! reactiation of license. 20.32. ontinuing e!ucation hours' maintenance of certificates of completion. 20.33. ontinuing e!ucation content an! proi!ers. 20.3%. (enalty for failure to complete continuing e!ucation.

SCOPE AND STANDARDS OF PRACTICE
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20.%1. &cope of practice. 20.%2. &tan!ar!s of professional con!uct. 20.%3. Disciplinary proce!ures.

SANITATION, FACILITY AND EQUIPMENT REQUIREMENTS

20.+1. Massage therapy treatment areas. 20.+2. Massage therapy equipment. 20.+3. /opical preparations. 20.+%. )inens.

Autho!t"

/he proisions of this hapter 20 issue! un!er the Massage /herapy )a$ ,3 (. &. ,2.1,2.+0' unless other$ise note!.

Sou#$

/he proisions of this hapter 20 a!opte! December 31' 2010' effectie 4anuary 1' 2011' %1(a.5. 1,' unless other$ise note!.

GENERAL PROVISIONS

% 20.&. D$'!(!t!o().

/he follo$ing $or!s an! terms' $hen use! in this chapter' hae the follo$ing meanings' unlessthe conte*t clearly in!icates other$ise6

Act/he Massage /herapy )a$ ,3 (. &. ,2.1,2.+0.

Board/he &tate 5oar! of Massage /herapy.

ClientAny in!ii!ual' group of in!ii!uals' or organi7ation to $hich an ).M./. proi!esmassage therapy serices.

Contact hourA +0 to ,0 minute perio! of instruction relate! to the practice of massagetherapy in the physical presence of an instructor or superisor.

Draping/he use of linens to coer a massage therapy client to presere client priacy an!mo!esty' to maintain professional boun!aries an! for client $armth.

FSMTB/he Fe!eration of &tate Massage /herapy 5oar!s.
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Immediate supervision/he superisor or instructor is $ithin isual or au!ible range of thein!ii!ual being superise!.

In-classIn the physical presence of an instructor or un!er the imme!iate superision of aclinical superisor.

Indirect supervision/he superision proi!e! by a clinical superisor or instructor $ho hasgien a stu!ent instructions on the performance of massage therapy actiities' assigne! for cre!it'that are to be practice! outsi!e of class or clinic.

Informed consentA process $herein the massage therapist an! a competent client or theclient8s guar!ian come to a mutual un!erstan!ing of the massage therapy treatment' inclu!ingob9ecties' benefits an! any ris#s.

L.M.T.)icense! Massage /herapist.

MBL!Massage an! 5o!y$or# )icensure -*amination of the Fe!eration of &tate Massage/herapy 5oar!s.

Massage therap" treatment plan:ritten !ocumentation that a!!resses soft tissuemanifestations' nee!s an! concerns of the client' inclu!ing i!entifying in!ications'contrain!ications an! precautions of massage therapy $ithin the scope of the act' ho$ the nee!san! concerns $ill be a!!resse!' massage therapy goals an! ho$ progress $ill be assesse!.

#CBTMB;ational ertification 5oar! for /herapeutic Massage an! 5o!y$or#.

#CTM;ational ertification -*amination for /herapeutic Massage.

#CTMB;ational ertification -*amination for /herapeutic Massage an! 5o!y$or#.

#SL;ational -*amination for &tate )icensure' an option offere! by the ;5/M5 $hichallo$s in!ii!uals to ta#e the ;-/M or ;-/M5 $ithout obtaining ;ational certification.

$rofessional relationship/he relationship bet$een a massage therapist an! a client $hichshall be !eeme! to e*ist from the first professional contact or consultation an! continuethereafter until , months after the last !ate of a professional serice.

Se!ual a%useon!uct $hich constitutes a iolation of any proision of 1< (a..&. relatingto crimes an! offenses relate! to se*ual offenses &ee 1< (a..&. 31213130 relating to!efinition of offenses.

Se!ual harassmentDeliberate or repeate! comments' gestures or physical contacts of ase*ual nature.

Se!ual impropriet"/he term inclu!es the follo$ing offenses !uring the professionalrelationship6


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i Ma#ing se*ually !emeaning or se*ually suggestie comments about or to a client'inclu!ing comments about a client8s bo!y or clothing.

ii =nnecessarily e*posing a client8s bo!y or $atching a client !ress or un!ress' unless theclient specifically requests assistance !ue to !isability.

iii Discussing or commenting on a client8s potential se*ual performance or requesting!etails of a client8s se*ual history or preferences.

i >olunteering information to a client about one8s se*ual problems' preferences orfantasies.

5ehaior' gestures' or e*pressions to a client that are se!uctie or of a se*ual nature.

i =sing !raping practices that reflect a lac# of respect for the client8s priacy.

Se!ual intimacies"omantic' se*ually suggestie or erotic behaior or soliciting a !ate.

Se!ual violation&e*ual con!uct' !uring the professional relationship' bet$een a massagetherapist an! a client' inclu!ing any of the follo$ing6

i In!ecent e*posure.

ii /ouching' $ith the massage therapist8s bo!y or an ob9ect' the genitals or any se*uali7e!bo!y part of the client for any purpose other than appropriate e*amination or treatment or $henthe client has refuse! or $ith!ra$n consent.

iii -ncouraging a client to masturbate in the presence of the massage therapist ormasturbating $hile a client is present.

i (roi!ing or offering to proi!e treatment in e*change for se*ual faors.

SupervisorA licensee or instructor $ho meets the qualifications un!er section 133 of theact ,3 (. &. ,2.133.

Treatment/he use of massage therapy $here the primary intent is to enhance the health an!$ell?being of the client.

% 20.2. A**+!#-!+!t" o' $($+ u+$).

/he proisions of 1 (a. o!e 31.1 relating to scope of part' an! 1 (a. o!e (art II relatingto @eneral "ules of A!ministratie (ractice an! (roce!ure are applicable to the actiities of an!procee!ings before the 5oar!.

% 20./. F$$).


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a /he follo$ing fees are charge! for serices proi!e! by the 5oar!6

Application for licensure B,+

Application for temporary practice permit B,+

>erification of licensure or letter of goo! stan!ing B1+

ertification of licensure history B2+

"eactiation of license B,+

"estoration after suspension or reocation B,+

Approal of continuing e!ucation program B,+

b /he follo$ing fees are charge! to sustain the operations of the 5oar!6

5iennial rene$al of license B+

c In a!!ition to the application fee prescribe! in subsection a' $hich is payable !irectly tothe 5oar!' a can!i!ate for the M5)-* shall be responsible for any fees charge! by the F&M/5for ta#ing the e*amination.

! In a!!ition to the application fee prescribe! in subsection a' $hich is payable !irectly tothe 5oar!' a can!i!ate for the ;-&)' the ;-/M or the ;-/M5 shall be responsible for anyfees charge! by the ;5/M5 for ta#ing the e*aminations.

Co)) R$'$$(#$)

/his section cite! in %C (a. o!e 20.21 relating to application for temporary practicepermit' initial licensure an! licensure by reciprocity %C (a. o!e 20.31 relating toe*piration' rene$al an! reactiation of license an! %C (a. o!e 20.33 relating to continuinge!ucation content an! proi!ers.

EDUCATION

% 20.&&. M!(!u hou $1u!$$(t) 'o ))$ th$*" *o).

a Massage therapy programs must proi!e at least ,00 hours of in?class' postsecon!arye!ucation instruction' inclu!ing6

1 At least 1+ contact hours of instruction in anatomy an! physiology' #inesiology an!pathology' inclu!ing training in the human immuno!eficiency irus an! relate! ris#s.


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2 At least 2+0 contact hours in massage therapy an! bo!y$or# assessment' theory an!practice inclu!ing sanitation' safety an! hygiene.

3 At least 2+ contact hours in professional ethics' an! business an! la$ relate! to a massagetherapy business.

% At least 1+0 contact hours in relate! courses appropriate to a massage therapy curriculumas set forth in 20.13 relate! to require! #no$le!ge base' inclu!ing car!iopulmonaryresuscitation.

b Massage therapy programs may meet the ,00?hour requirement through both !i!actic an!clinical courses.

c -*ternship hours may not be inclu!e! in the ,00?hour minimum e!ucation instruction. Forpurposes of this section' an e*ternship is an offsite practical technique learning e*perience $herethe stu!ent8s superision is proi!e! by a license! massage therapist' superisor or other

appropriate license! health professional.

! Eours for practicing assigne! techniques un!er in!irect superision may not be inclu!e! inthe ,00?hour minimum e!ucation instruction.

% 20.&2. I('ot!o( tht u)t -$ *o!3$3 to *o)*$#t!$ )tu3$(t).

Massage therapy schools shall inform prospectie stu!ents' in $riting' prior to enrollment' ofthe annual passing rate of the school8s gra!uates on each of the approe! e*aminations forlicensure for the past 2 years. Any licensee employe! by a massage therapy school $ho #no$s orhas reason to #no$ that the school is not abi!ing by this proision $ill be sub9ect to !iscipline

un!er section Ca of the act ,3 (. &. ,2.Ca. In a!!ition' the 5oar! $ill report thefailure of a massage therapy school to conform to this section to the school8s approing oraccre!iting bo!y.

% 20.&/. R$1u!$3 4(o5+$3$ -)$.

a Massage therapy e!ucation must proi!e stu!ents $ith #no$le!ge of the follo$ing6

1 Massage an! bo!y$or# assessment an! application.

2 ontrain!ications an! precautions for massage therapy.

3 Anatomy an! physiology.

% inesiology.

+ (athology.

, (ennsylania legal requirements.


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5usiness practices.


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+ -stablishing an! maintaining a practice enironment that proi!es for the client8s safetyan! comfort.

, -stablishing an! maintaining client recor!s' professional recor!s an! business recor!s incompliance $ith 20.%2a1C relating to stan!ar!s of professional con!uct.

Co)) R$'$$(#$)

/his section cite! in %C (a. o!e 20.11 relating to minimum hour requirements for massagetherapy programs.

% 20.&6. Stu3$(t *#t!#$.

a A stu!ent enrolle! in an approe! massage therapy program may practice massage therapyby proi!ing serices un!er imme!iate superision as part of a clinical training programoperate! by the school in $hich the stu!ent is obtaining cre!it.

b A stu!ent' $hile enrolle! in an approe! massage therapy program' may perform techniqueslearne! in class un!er in!irect superision.

c A stu!ent may not receie payment from the school' client' or other source for proi!ingmassage therapy serices ho$eer' a stu!ent may accept a nominal gratuity oluntarily gien bya client in a clinical training program operate! by the school in $hich the stu!ent is obtainingcre!it.

! Massage therapy schools shall maintain recor!s of serices proi!e! by stu!ents in aclinical training program for at least 3 years from the last !ate of serice.

e &tu!ents proi!ing serices as part of a clinical training program operate! by a school shallbe clearly i!entifie! to the public as stu!ents.

LICENSURE

% 20.2&. A**+!#t!o( 'o t$*o" *#t!#$ *$!t, !(!t!+ +!#$()u$ (3 +!#$()u$ -"$#!*o#!t".

a Application forms may be obtaine! from the 5oar! an! are poste! on the 5oar!8s $eb site.

b An applicant for licensure shall submit to the 5oar! a complete! an! signe! applicationform' the application fee as set forth in 20.3 relating to fees an! the follo$ing !ocuments6

1 A copy of a legal form of i!entification' such as a ali! !rier8s license' a current passport'or a ali! &tate i!entification car!.


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2 An official riminal Eistory "ecor! Information chec# from the &tate (olice or other stateagency for eery state in $hich the can!i!ate has resi!e! !uring the past + years. /he reportsmust be !ate! $ithin , months of the !ate of application.

3 (" certification' that is ali! for at least , months follo$ing the !ate of application. A list

of 5oar!?approe! (" proi!ers $ill be poste! on the 5oar!8s $eb site.

% (roof of gra!uation from high school or the equialent.

c An applicant shall request that the applicant8s massage therapy school sen! !irectly to the5oar! the applicant8s official transcript sho$ing successful completion of a massage therapyprogram in the sub9ect matter an! hours require! by the act an! this chapter. If a school is nolonger in operation' the 5oar! may accept a copy of the official transcript from the school8srecor! !epository.

! An applicant shall proi!e a $ritten e*planation an! copies of all releant !ocuments as

requeste! by the 5oar! if6

1 /he applicant is un!er inestigation or has eer been !enie! professional licensure or!iscipline! by any professional licensing authority of the ommon$ealth or any other9uris!iction of the =nite! &tates or a foreign country.

2 /he applicant has surren!ere! a massage therapy license or other professional license inthis ommon$ealth or any other 9uris!iction of the =nite! &tates or a foreign country.

3 /he applicant has been charge! $ith or conicte! of a mis!emeanor or felony in thisommon$ealth or any other 9uris!iction of the =nite! &tates or a foreign country.

% /he applicant is unable to practice massage therapy $ith a reasonable s#ill an! safety byreason of use of alcohol' !rugs' narcotics' chemicals or any other type of material.

+ /he applicant is unable to practice massage therapy $ith a reasonable s#ill an! safety byreason of illness or as a result of any mental or physical con!ition.

e An applicant shall erify that the applicant has rea!' un!erstoo! an! $ill comply $ith theact an! this chapter.

f An applicant is responsible for ensuring that the 5oar! receies all require! !ocumentation.

If the application is incomplete' the 5oar! $ill notify the applicant by means of first class mail'$ithin < $ee#s of the receipt of the application' that the application is incomplete.

g Applicants shall supply the missing !ocumentation $ithin , months from the !ate theapplication is e*ecute! by the applicant. After that time' if the !ocumentation has not beensubmitte!' the application $ill be !enie! an! the application fee forfeite!. An applicant $ho$ishes to reapply shall submit a ne$ application an! application fee.


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h An applicant $hose name changes !uring the application process or $hose name haschange! since the applicant complete! massage therapy school shall notify the 5oar! in $ritingan! submit' $ith the notification of name change' the appropriate supporting !ocumentationsuch as' marriage certificate' !iorce !ecree' court !ocuments sho$ing a legal name change.

i An applicant $hose a!!ress changes shall notify the 5oar! in $riting an! submit both theol! an! ne$ a!!ress to the 5oar!.

9 If any other information requeste! on the application changes after the !ate the applicantsubmits the application to the 5oar! for licensure' the applicant shall imme!iately notify the5oar!' in $riting' of the change. Failure to up!ate an application may sub9ect an applicant torefusal of the license or a licensee to !iscipline un!er section Ca% of the act ,3 (. &. ,2.Ca%.

Co)) R$'$$(#$)

/his section cite! in %C (a. o!e 20.2% relating to application requirements for e*istingpractitioners %C (a. o!e 20.2+ relating to a!!itional requirements for applicants forlicensure by reciprocity an! %C (a. o!e 20.2, relating to application requirements fortemporary practice permits.

% 20.22. Po#$3u$ 'o +!#$()u$ 3$(!+.

a /he 5oar! $ill inform the applicant' in $riting' of the basis upon $hich the 5oar! hasrefuse! the license. /he 5oar! $ill proi!e the applicant $ith an opportunity to !emonstrate' at ahearing' that the license shoul! be issue!.

b If information submitte! $ith the application in!icates that an applicant may be unable tosafely practice massage therapy' the 5oar! $ill require the applicant to contact the 5ureau of(rofessional an! Hccupational Affairs8 (rofessional Eealth Monitoring (rogram an! participatein an ealuation to !etermine if the applicant can safely practice. An applicant may contest theresults of the ealuation at a hearing. /he 5oar! $ill proi!e an applicant $ho refuses toparticipate in an ealuation $ith an opportunity to !emonstrate' at a hearing' that the licenseshoul! be grante!.

c In a case $hen the 5oar! refuses to issue a license' the 5oar! $ill issue a $ritten final!ecision setting forth the groun!s for the refusal an! informing the applicant of the applicant8sright to a hearing un!er section Cc of the act ,3 (. &. ,2.Cc.

% 20.2/. L!#$()u$ $7!(t!o().

a /he 5oar! a!opts the ;-/M an! ;-/M5' inclu!ing the ;-&) option' an! M5)-* asapproe! e*aminations for initial licensure un!er section of the act ,3 (. &. ,2..

b An in!ii!ual $ho plans to ta#e the M5)-* offere! by the F&M/5 shall contact theF&M/5 !irectly to apply for e*amination. /he F&M/5 $ill issue the can!i!ate an Authori7ation


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to /est' $hich the can!i!ate may use to sche!ule the e*amination. an!i!ates are responsible forregistering for the licensure e*amination !ate an! site. an!i!ates $ho are unable to test $ithinC0 !ays of the !ate the F&M/5 issue! the can!i!ate8s Authori7ation to /est $ill be require! toreapply as a ne$ can!i!ate sub9ect to all application an! fee requirements in place at that time.

c An in!ii!ual $ho plans to ta#e the ;-/M or ;-/M5 e*aminations' inclu!ing the;-&) option offere! by the ;5/M5' shall contact the ;5/M5 !irectly to apply fore*amination. /he ;5/M5 $ill issue the can!i!ate an Authori7ation to /est' $hich thecan!i!ate may use to sche!ule the e*amination. an!i!ates are responsible for registering for thelicensure e*amination !ate an! site. an!i!ates $ho are unable to test $ithin C0 !ays of the !atethe ;5/M5 issue! the can!i!ate8s Authori7ation to /est $ill be require! to reapply as a ne$can!i!ate sub9ect to all application an! fee requirements in place at that time.

% 20.26. A**+!#t!o( $1u!$$(t) 'o $7!)t!( *#t!t!o($).

a -*isting practitioners shall submit' by 4anuary 2' 2012' an application' application fee an!

the information require! un!er 20.21b' c an! ! relating to application for temporarypractice permit' initial licensure an! licensure by reciprocity if applicable' an! shall be sub9ectto the proisions of 20.21ei.

b -*isting practitioners shall establish that they hae con!ucte! a business an! been an actieparticipant in that business $hich $as mainly the practice of massage therapy by submitting oneof the follo$ing6

1 A signe! copy of the applicant8s Fe!eral ta* return for the preious year' that lists theapplicant8s occupation as massage therapist.

2 A signe! copy of &che!ule of the applicant8s Fe!eral income ta* return for the preiousyear !emonstrating that the in!ii!ual has reporte! income from the practice of massage therapy.

3 (roof of professional or practitioner membership leel or aboe in a professionalassociation approe! by the 5oar!.

% For applicants $ho hae been employe! as massage therapists' a notari7e! statement fromthe applicant8s employer on a form proi!e! by the 5oar! attesting that the in!ii!ual is apracticing massage therapist' a copy of the employer8s business car! or letterhea!' an! a copy ofthe applicant8s Fe!eral :?2 or 10CC form.

c -*isting practitioners applying for licensure un!er section +b3i of the act ,3 (. &. ,2.+b3i shall !emonstrate that they hae been in actie' continuous practice for at least+ years imme!iately prece!ing Hctober C' 2010' by submitting one of the follo$ing6

1 &igne! copies of the applicant8s ta* returns for the past + years' each listing the applicant8soccupation as massage therapist.


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2 &igne! copies of &che!ule of the Fe!eral income ta* returns for the past + years!emonstrating that the applicant has reporte! income from the practice of massage therapy.

3 (roof' sent !irectly from a 5oar!?approe! professional association' of at least + yearsmembership at the professional or practitioner leel or aboe in the professional association.

% For applicants $ho hae been employe! as massage therapists' a notari7e! letter from theapplicant8s employer on a form proi!e! by the 5oar! attesting that the in!ii!ual haspractice! massage therapy for at least the last + years' a copy of the employer8s business car! orletterhea!' an! copies of the applicant8s Fe!eral :?2 or 10CC forms for the last + years.

! -*isting practitioners applying for licensure un!er section +b3ii of the act shall haethe certification agency proi!e' !irectly to the 5oar!' ei!ence that the practitioner passe! amassage therapy e*amination that is part of a certification program accre!ite! by the ;ationalommission for ertifying Agencies.

e -*isting practitioners applying for licensure un!er section +b3iii of the act shall requestthat their e!ucational program proi!e an official transcript !irectly to the 5oar! to !emonstratethat the practitioner complete! at least +00 hours of instruction in massage an! relate! sub9ects./ranscripts generate! in a language other than -nglish shall be translate! into -nglish at theapplicant8s e*pense by a professional translation serice an! erifie! to be complete an!accurate.

f -*isting practitioners applying for licensure un!er section +b3i of the act shall!emonstrate' through certificates of completion' official transcript proi!e! !irectly from thee!ucational institution' or correspon!ence from the practitioner8s instructor' that the practitionercomplete! at least 100 hours of instruction in massage an! relate! sub9ects an! passe! the ;-&)

option of the ;5/M5.

g -*isting practitioners applying for licensure un!er section +b3 of the act shall!emonstrate' through certificates of completion' official transcript proi!e! !irectly frome!ucational institution' or correspon!ence from the practitioner8s instructor' that the practitionercomplete! at least 100 hours of instruction in massage an! relate! sub9ects an! passe! theM5)-*.

% 20.28. A33!t!o(+ **+!#t!o( $1u!$$(t) 'o **+!#(t) 'o +!#$()u$ -" $#!*o#!t".

a An applicant for licensure by reciprocity shall submit an application form proi!e! by the

5oar! an! information require! un!er 20.21b13 an! c relating to application fortemporary practice permit' initial licensure an! licensure by reciprocity' an! shall be sub9ect tothe proisions of 20.21! an! e.

b An applicant for licensure by reciprocity shall hae the official licensing authority of eery9uris!iction in $hich the applicant hol!s a license to practice massage therapy proi!e the 5oar!$ith erification that the applicant is a licensee in goo! stan!ing an! !ocumentation of any!isciplinary action ta#en by the 9uris!iction8s licensing authority.


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c An applicant for licensure by reciprocity shall request that the applicant8s massage therapyschool proi!e the 5oar! $ith the applicant8s official transcript an! erification that the school isrecogni7e! by the 9uris!iction8s licensing authority' accre!ite! by a ;ational accre!itingorgani7ation' or authori7e! to operate by the 9uris!iction8s Department of -!ucation.

! An applicant for licensure by reciprocity shall proi!e ei!ence that the applicant passe! theM5)-*' the ;-/M' ;-/M5 or successfully complete! the ;-&) option' or ei!ence thatthe applicant obtaine! original licensure through qualifications equialent to those for e*istingpractitioners un!er section +b of the act ,3 (. &. ,2.+b.

% 20.29. A**+!#t!o( $1u!$$(t) 'o t$*o" *#t!#$ *$!t).

a An applicant for a temporary practice permit shall submit an application form proi!e! bythe 5oar!.

b In a!!ition to the complete! application form' an applicant for a temporary practice permit

shall comply $ith the application proce!ures un!er 20.21b13 an! c relating toapplication for temporary practice permit' initial licensure an! licensure by reciprocity' an! shallbe sub9ect to the proisions of 20.21! an! e.

c A temporary practice permit $ill e*pire on the earlier of , months from the !ate of issuanceor on the !ate the can!i!ate fails the licensure e*amination.

! In!ii!uals $ho hae been issue! a temporary practice permit $ill be consi!ere! licenseesfor purposes of applying section C of the act' pertaining to refusal' suspension an! reocation oflicenses.

e In!ii!uals $ho hae been issue! a temporary practice permit may not hol! themseles outas a license! massage therapist' use the initials ).M./. or a!ertise their practice of massagetherapy.

LICENSURE RENEWAL AND REACTIVATION

% 20./&. E7*!t!o(, $($5+ (3 $#t!t!o( o' +!#$()$.

a !piration of license. )icenses e*pire on 4anuary 31 of each o!!?numbere! year beginning

in 2013' regar!less of the !ate of issuance. )icenses are rene$able for a 2?year perio! beginningeach Hctober 31 of each een?numbere! year beginning in 2012.

b $ractice prohi%ited. A licensee may not practice massage therapy in this ommon$ealthafter the last !ay of 4anuary of the rene$al year unless the license has been rene$e!.

c &ene'al application. A licensee shall6


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1 Apply for licensure rene$al online or on the form proi!e! by the 5oar!.

2 (ay the biennial rene$al fee as set forth in 20.3 relating to fees.

3 &ubmit proof of current certification in (".

% &ubmit erification of completion of at least 2% hours of 5oar!?approe! continuinge!ucation.

+ &ubmit erification that the licensee has rea!' un!erstoo! an! $ill comply $ith the act an!this chapter.

! &eporting re(uirements.

1 Disclosure of licensure or !iscipline in another 9uris!iction. A licensee $ho becomeslicense! to practice massage therapy in another 9uris!iction shall report this information on the

biennial rene$al form or $ithin C0 !ays of licensure' $hicheer occurs sooner. Disciplinaryaction ta#en in another 9uris!iction shall be reporte! to the 5oar! on the biennial rene$al form or$ithin C0 !ays' $hicheer is sooner.

2 Disclosure of the filing of formal criminal charges information or in!ictment. A licenseeshall report' on the biennial rene$al form or $ithin 30 !ays' $hicheer occurs sooner' the filingof any criminal charges' the licensee8s sentencing on any criminal charges or the licensee8sa!mission into an accelerate! rehabilitatie !isposition program.

e Licensure documentation. =pon rene$ing a license' a licensee $ill receie an up!ate!license an! $allet?si7e car! that $ill sho$ the ne*t e*piration !ate of the license. A licensee $ho

rene$s online may print a temporary license that may be use! until the biennial license isreceie!.

f Inactive status. A license may be place! on inactie status by the licensee notifying the5oar! !uring the online rene$al process or in a notari7e! statement that the licensee $ishes tohae the license mar#e! inactie. /he licensee shall imme!iately return all licensure !ocumentsto the 5oar! an! may not practice massage therapy in this ommon$ealth until the licensee8slicense is reactiate! an! rene$e!.

g &eactivation. /he hol!er of an inactie or e*pire! license to practice massage therapy mayreactiate an! rene$ the license $ithin + years from the !ate of its e*piration by submitting6

1 An application to the 5oar!.

2 (ayment of the current biennial rene$al fee as set forth in 20.3.

3 ertificates of atten!ance at continuing e!ucation courses require! un!er 20.32 relatingto continuing e!ucation hours maintenance of certificates of completion for the preiousbiennial rene$al perio!.


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% urrent (" certification.

+ An affi!ait of nonpractice $ithin this ommon$ealth.

h Late fees. A licensee $ho practice! massage therapy on an inactie or e*pire! license $ill

be sub9ect to late fees as prescribe! by the 5ureau of (rofessional an! Hccupational Affairs FeeAct ,3 (. &. 1%01?1011%01?+01 upon rene$al.

i Disciplinar" action authori)ed. A licensee $ho practice! massage therapy on an inactie ore*pire! license may be sub9ect to !iscipline by the 5oar! un!er section Ca of the act.

9 Demonstration of competence after * "ears. /he hol!er of an inactie or e*pire! license topractice massage therapy $ill not be reactiate! an! rene$e! if more than + years hae passe!from the !ate of the license e*piration unless the licensee has !emonstrate! current competenceto practice. /o !emonstrate current competence to practice' a licensee must either proecontinuous actie practice in another 9uris!iction !uring the past + years or achiee a passing

score on a licensure e*amination approe! for entry into practice in this ommon$ealth.

% 20./2. Co(t!(u!( $3u#t!o( hou), !(t$((#$ o' #$t!'!#t$) o' #o*+$t!o(.

a )icensees shall complete a minimum of 2% hours of continuing e!ucation in the fiel! ofmassage therapy as set forth in section %, of the act ,3 (. &. ,2.%, an! 20.33 relate!to continuing e!ucation content an! proi!ers in the 2?year perio! imme!iately prece!ing theapplication for license rene$al. /o be cre!itable' continuing e!ucation must meet therequirements for 5oar! approal set forth in this section an! 20.33.

b )icensees shall complete a minimum of % hours of continuing e!ucation in professional

ethics in each biennial rene$al perio!.

c A minimum of 1, hours of continuing e!ucation shall be earne! through contact hours.

! ourses for the rene$al of the licensee8s (" certification shall be earne! through contacthours an! may not be use! to meet the biennial continuing e!ucation requirement.

e )icensees shall retain the certificates of completion from continuing e!ucation courses for aminimum of + years.

f A licensee $ho is unable to complete the require! continuing e!ucation shall request a

$aier or e*tension from the 5oar! at least ,0 !ays prior to the e*piration of the license. /herequest must inclu!e !etails about the licensee8s illness' emergency or har!ship' inclu!ing!ocumentation such as a letter from the licensee8s physician or a copy of the licensee8s militaryor!ers. /he 5oar! $ill respon! in $riting either granting or !enying a request for $aier ore*tension.

g )icensees may be au!ite! to ensure their compliance $ith the continuing e!ucationrequirements.


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Co)) R$'$$(#$)

/his section cite! in %C (a. o!e 20.31 relating to e*piration' rene$al an! reactiation oflicense.

% 20.//. Co(t!(u!( $3u#t!o( #o(t$(t (3 *o!3$).

a ontinuing e!ucation must be !esigne! to a!ance the licensee8s professional #no$le!gean! s#ills relate! to the practice of massage therapy as !efine! in section 2 of the act ,3 (. &. ,2.2.

b /he follo$ing continuing e!ucation proi!ers are approe! to offer cre!itable continuinge!ucation proi!e! they comply $ith subsections a' c an! !6

1 &chools of massage therapy in this ommon$ealth operating un!er section +a3 of theact ,3 (. &. ,2.+a3.

2 &chools of massage therapy approe! by the 5oar! or accre!ite! by a ;ational accre!itingagency recogni7e! by the =nite! &tates Department of -!ucation.

3 /he American Massage /herapy Association an! its state chapters.

% ;5/M5?approe! proi!ers.

+ Associate! 5o!y$or# an! Massage (rofessionals.

c ontinuing e!ucation proi!ers shall proi!e certificates of completion to massage

therapists that inclu!e the name of the massage therapist' name of the course proi!er' title of thecourse' !ate of the course' an! number of hours.

! ontinuing e!ucation proi!ers shall retain !ocumentation of the participants in theircontinuing e!ucation programs for at least + years.

e (roi!ers of continuing e!ucation $ho are not liste! in subsection b may apply to the5oar! for approal of a continuing e!ucation course by submitting an application an! paying theapplication fee un!er 20.3 relating to fees. /he 5oar! $ill approe only courses that are!esigne! to a!ance the #no$le!ge an! s#ills of licensees relatie to massage therapy as !efine!in section 2 of the act an! that are taught by approe! faculty. Approe! faculty inclu!e massage

therapists license! in the state in $hich they practice if licensure is require! in that state' physicaltherapists' physicians' professional nurses an! chiropractors. Hther instructors $ith !emonstrate!e*pertise may be approe! on a case?by?case basis. ourse approal is ali! for 2 years from the!ate the course is first gien for cre!it proi!e! the faculty an! learning ob9ecties areunchange!.

f An ).M./. may submit a course offere! by a continuing e!ucation proi!er not liste! insubsection b by filing an application $ith the 5oar! for approal of a continuing e!ucation


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course an! paying the application fee set forth in 20.3. /he 5oar! $ill approe only coursesthat are !esigne! to a!ance the #no$le!ge an! s#ills of licensees relatie to massage therapy as!efine! in section 2 of the act an! that are taught by approe! faculty' as set forth in subsectione.

g /he 5oar! reseres the right to re9ect a continuing e!ucation course submitte! by a massagetherapist $ho is au!ite! for compliance if the course is outsi!e the scope of practice of massagetherapy as !efine! in the act. A licensee $ill be notifie! of the re9ection of a course an! $ill beproi!e! the opportunity to apply a!!itional courses the licensee has ta#en or to ta#e a!!itionalcourses to meet the continuing e!ucation requirement.

Co)) R$'$$(#$)

/his section cite! in %C (a. o!e 20.32 relating to continuing e!ucation hours' maintenanceof certificates of completion.

% 20./6. P$(+t" 'o '!+u$ to #o*+$t$ #o(t!(u!( $3u#t!o(.

Applicants for license rene$al shall proi!e' on forms proi!e! by the 5oar!' a signe!statement erifying $hether continuing e!ucation requirements hae been met. Failure tocomplete a minimum of 2% hours of continuing e!ucation in a biennial perio! may sub9ect alicensee to !iscipline un!er section Ca of the act ,3 (. &. ,2.Ca in accor!ance $iththe sche!ule of ciil penalties at %3b.23 relating to sche!ule of ciil penaltiesmassagetherapists.

SCOPE AND STANDARDS OF PRACTICE

% 20.6&. S#o*$ o' *#t!#$.

a Massage therapists apply a system of structure! touch' pressure' moement' hol!ing an!treatment of the soft tissue manifestations of the human bo!y in $hich the primary intent is toenhance the health an! $ell?being of the client. Massage therapy inclu!es6

1 /he e*ternal application of $ater' heat' col!' lubricants an! other topical preparations.

2 )ymphatic techniques.

3 Myofascial release techniques.

% /he use of electro?mechanical !eices $hich mimic or enhance the action of the massagetechniques.

b Massage therapy practice !oes not inclu!e6


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1 /he !iagnosis or treatment of impairment' illness' !isease or !isability.

2 Me!ical proce!ures.

3 hiropractic manipulationa!9ustment.

% (hysical therapy mobili7ationmanual therapy.

+ /herapeutic e*ercise.

, Hr!ering or prescribing !rugs or treatments for $hich a license to practice me!icine'osteopathic me!icine' nursing' po!iatry' optometry' chiropractic' physical therapy' occupationaltherapy' or other healing art is require!.

/he application of high elocityGlo$ amplitu!e force further !efine! as thrust techniques!irecte! to$ar! 9oint surfaces.


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Hbtain $ritten consent prior to performing breast massage.


20/22

22 "equire that a parent or guar!ian' or their representatie' be physically present in theroom !uring treatment of a minor.

b A massage therapist may not6

1 (sychologically or physically abuse a client.

2 >iolate a client8s boun!aries $ith regar! to e*posure' priacy or !isclosure.

3 =tili7e techniques that are contrain!icate! base! on the client8s con!ition.

% Falsify or #no$ingly ma#e incorrect entries into the client8s recor! or other relate!!ocuments.

+ Intentionally e*pose a client8s genitals' gluteal cleft or the breasts of a female client e*cepttemporarily to perform therapeutic treatment of the area.

, -ngage in se*ual harassment' se*ual impropriety' se*ual iolation or se*ual abuse.

-ngage in se*ual intimacies !uring the professional relationship.


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b /he consent of an in!ii!ual to engage in con!uct !efine! herein as se*ual harassment'se*ual impropriety' se*ual iolation or se*ual abuse $ith a massage therapist is not a !efense inany !isciplinary action brought un!er this section.

c :ith the e*ception of information containe! in a professional recor!' neither opinion

ei!ence' reputation ei!ence nor specific instances of the past se*ual con!uct of a client isa!missible in a !isciplinary action brought un!er this section.

SANITATION, FACILITY AND

EQUIPMENT REQUIREMENTS

% 20.8&. M))$ th$*" t$t$(t $).

Massage therapists shall maintain their treatment spaces to6

1 (roi!e for client priacy $hen clients !isrobe.

2 (roi!e for heating' cooling an! entilation to enhance client comfort.

3 (roi!e illumination for cleaning.

% 5e clean' sanitary an! free from mol! an! contaminants.

+ -nsure client safety.

% 20.82. M))$ th$*" $1u!*$(t.

a Massage therapists shall maintain equipment use! in the practice of massage therapy in$or#ing or!er.

b Massage therapists shall clean equipment that comes into !irect contact $ith a client8s s#inbet$een each use.

c Massage therapists shall coer $ith imperious material an! regularly clean cushions onmassage tables an! massage chairs' as $ell as bolsters an! pillo$s.

! Massage therapists shall clean face rests' $hether coere! or uncoere!' bet$een each use.

% 20.8/. To*!#+ *$*t!o().


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a Massage therapists shall store topical preparations in a manner that maintains the integrity ofthe pro!uct an! preents spoilage an! contamination.

b Massage therapists shall !ispense topical preparations in a manner that preentscontamination of the unuse! portion an! that preents cross?contamination bet$een clients.

c Massage therapists shall use topical preparations that come into contact $ith a client' suchas ice cubes' plasters' herbs' sea$ee!' mu!s' scrubs' paraffin or any other similar pro!ucts onlyonce an! shall then !ispose of the topical preparations in a sanitary manner. (reparations that arenot $ashe! a$ay must be place! in a coere! receptacle that is emptie! at least !aily.

% 20.86. L!($().

a Massage therapists shall store single?serice materials' inclu!ing clean linens' in a mannerthat maintains their cleanliness.

b Massage therapists shall furnish clean an! fresh for the use of each in!ii!ual client single?serice materials' linens an! any other items' materials or tools that come into contact $ith aclient8s bo!y.

c Massage therapists shall place soile! linens in a coere! receptacle or $ashing machineafter use.

! Massage therapists shall $ash soile! linens in a clothes $ashing machine in hot $ater $ith!etergent an! bleach after eery use.

;o part of the information on this site may be repro!uce! for profit or sol! for profit.

/his material has been !ra$n !irectly from the official (ennsylania o!e full te*t !atabase. Due to the limitations of E/M) or !ifferences in !isplay

capabilities of !ifferent bro$sers' this ersion may !iffer slightly from the official printe! ersion.

pa massage law

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