PRINTER'S NO. 1543
No. 1220 Session of 1999
INTRODUCED BY FUMO, STOUT, GREENLEAF, MELLOW, BOSCOLA, CONTI, KUKOVICH, BODACK, KITCHEN, BELAN, RHOADES, THOMPSON, SCHWARTZ, COSTA, LEMMOND AND KASUNIC, NOVEMBER 30, 1999
REFERRED TO CONSUMER PROTECTION AND PROFESSIONAL LICENSURE, NOVEMBER 30, 1999
AN ACT 1 Providing for the regulation and licensure of somatic 2 practitioners, massage therapists and reflexologists; 3 creating the State Board of Somatic Practices, Massage 4 Therapy and Reflexology and providing for its powers and 5 duties; providing for licensure, for unlawful practices and 6 for disciplinary actions; imposing fines and penalties; and 7 making an appropriation. 8 TABLE OF CONTENTS 9 Section 1. Short title. 10 Section 2. Declaration of policy. 11 Section 3. Definitions. 12 Section 4. State Board of Somatic Practices, Massage Therapy 13 and Reflexology. 14 Section 5. Powers and duties of board. 15 Section 6. License required. 16 Section 7. Requirements for licensure. 17 Section 8. Application for license and fees. 18 Section 9. Reciprocal licenses. 19 Section 10. License renewal and continuing education.
1 Section 11. Display of license. 2 Section 12. Examinations. 3 Section 13. Refusal, suspension or revocation of licensure. 4 Section 14. Temporary suspension. 5 Section 15. Automatic suspension. 6 Section 16. Hearing and restoration to practice. 7 Section 17. Penalties and injunctive relief. 8 Section 18. Impaired professional. 9 Section 19. Third party reimbursement. 10 Section 20. Appropriation. 11 Section 21. Effective date. 12 The General Assembly of the Commonwealth of Pennsylvania 13 hereby enacts as follows: 14 Section 1. Short title. 15 This act shall be known and may be cited as the Somatic 16 Practices, Massage Therapy and Reflexology Act. 17 Section 2. Declaration of policy. 18 The General Assembly recognizes that the establishment of 19 training and educational standards for the practice of somatic 20 practices, massage therapy and reflexology is beneficial to the 21 public health and welfare. It is the intent of the General 22 Assembly that individuals who meet and maintain certain 23 standards of competence and training defined in this act may 24 provide services to the public, benefiting the public with 25 competent services and professional conduct while ensuring 26 minimum standards of competency. 27 Section 3. Definitions. 28 The following words and phrases when used in this act shall 29 have the meanings given to them in this section unless the 30 context clearly indicates otherwise: 19990S1220B1543 - 2 -
1 "Board." The State Board of Somatic Practices, Massage 2 Therapy and Reflexology. 3 "Commissioner." The Commissioner of the Bureau of 4 Professional and Occupational Affairs. 5 "Massage therapy." A profession dealing with those practices 6 using the application of a system of structured touch to the 7 human body, which may include, but is not limited to, holding, 8 pressure, positioning and causing movement of the body by manual 9 means. The term includes complementary methods, including the 10 external application of water, heat, cold, lubricants or other 11 topical preparations; and electro-mechanical devices that mimic 12 or enhance the actions possible by the hands. The term does not 13 include the diagnosis of illness or disease, medical procedures, 14 chiropractic adjustment, electrical stimulation, ultrasound, 15 prescription of medicines or the use of modalities for which a 16 license to practice medicine, chiropractic, physical therapy, 17 occupational therapy, podiatry or other practice of the healing 18 arts is required. 19 "Movement education." The art and science of teaching self- 20 awareness and habitual movement patterns by verbally and 21 physically guiding the student in the self-discovery of 22 alternative and improved postures, coordination and choices of 23 behavior. 24 "Person." Any individual, organization, association, 25 partnership, company, trust or corporate body, except that any 26 reference in this act to a licensed person shall mean a natural 27 individual person. 28 "Reflexologist." Any person licensed under this act to 29 practice reflexology. 30 "Reflexology." A science based on the premise that there are 19990S1220B1543 - 3 -
1 zones and reflex areas in the feet and hands which correspond to 2 all glands, organs, parts and systems of the body. The term 3 incorporates the physical act of applying specific pressure 4 using thumb, finger and hand techniques to these reflex areas. 5 The term does not include the diagnosis of illness or disease, 6 medical procedures, chiropractic adjustment, electrical 7 stimulation, ultrasound, prescription of medicines or the use of 8 modalities for which a license to practice medicine, 9 chiropractic, physical therapy, occupational therapy, podiatry 10 or other practice of the healing arts is required. 11 "Somatic practices." Complementary health care practice 12 systems of activities including, but not limited to, touch, 13 verbal interaction and movement in order to assess and assist an 14 individual in making changes in breathing, movement and 15 lifestyle patterns. The term does not include the diagnosis of 16 illness or disease, medical procedures, chiropractic adjustment, 17 electrical stimulation, ultrasound, prescription of medicines or 18 the use of modalities for which a license to practice medicine, 19 chiropractic, physical therapy, occupational therapy, podiatry 20 or other practice of the healing arts is required. 21 Section 4. State Board of Somatic Practices, Massage Therapy 22 and Reflexology. 23 (a) Creation.--There is hereby created a board to be known 24 as the State Board of Somatic Practices, Massage Therapy and 25 Reflexology, which board shall be composed of the commissioner, 26 who shall serve in the commissioner's official capacity, and 27 eight other members who shall be residents of this Commonwealth 28 and who shall be appointed by the Governor, with the advice and 29 consent of a majority of the members elected to the Senate. 30 Three of the members shall be somatic practitioners and massage 19990S1220B1543 - 4 -
1 therapists, but no more than two practitioners of a particular 2 method or manner of treatment may serve at the same time. One 3 member shall be a reflexologist. One member shall be an owner or 4 director of a school approved by the board. One member shall be 5 an osteopathic physician or medical doctor licensed to practice 6 in this Commonwealth. All the members of the board who are 7 either somatic practitioners, massage therapists or 8 reflexologists shall have actively practiced in this 9 Commonwealth for at least three years immediately preceding 10 appointment to the board, and each shall possess the necessary 11 qualifications for licensure. After the initial appointments, 12 the members of the board who are somatic practitioners, massage 13 therapists or reflexologists shall also be required to obtain a 14 license pursuant to this act. The final two board members shall 15 be selected from the general public from lists of names 16 submitted by the board. No public member appointed to the board 17 shall be affiliated in any manner with professions or 18 occupations covered by this act. The chairperson of the board 19 shall be either a somatic practitioner, a massage therapist or a 20 reflexologist and shall be elected by a vote of a majority of 21 all of the board members. 22 (b) Terms.--At the meeting of the board, the appointed 23 members shall determine, by lot, three members to serve three- 24 year terms, three members to serve two-year terms and two 25 members to serve one-year terms, with the exception of the 26 commissioner. When the term of each appointed member of the 27 board ends, the Governor shall appoint a successor for a term of 28 three years, with the advice and consent of a majority of the 29 members elected to the Senate. The board members shall continue 30 to serve until their successors are appointed and qualified but 19990S1220B1543 - 5 -
1 not longer than six months beyond the three-year period. 2 (c) Reappointment.--A member of the board shall be eligible 3 for reappointment. A member shall not be appointed to serve more 4 than two consecutive terms. 5 (d) Compensation and expenses.--The members of the board, 6 other than the commissioner, shall receive reimbursement for 7 reasonable travel, hotel and other necessary expenses and $60 8 per diem when actually engaged in the performance of their 9 official duties. 10 (e) Meetings of the board.--The board shall hold a meeting 11 within 150 days after the effective date of this act and 12 annually thereafter in the month prescribed by the board and 13 shall elect a chairperson, vice chairperson and secretary who 14 shall be members of the board. The board shall meet at such 15 other times as deemed necessary and advisable by the chairperson 16 or by a majority of its members. Reasonable notice of all 17 meetings shall be given in the manner prescribed by the board. A 18 majority of the board shall constitute a quorum at any meeting 19 or hearing. 20 (f) Attendance.--A member who fails to attend three 21 consecutive meetings shall forfeit the member's seat unless the 22 commissioner, upon written request from the member, finds that 23 member should be excused from the meeting because of illness or 24 death of a family member. 25 Section 5. Powers and duties of board. 26 The board shall have the power and its duties shall be: 27 (1) To decide matters relating to the issuance, renewal, 28 suspension or revocation of all applicable licenses pursuant 29 to this act. 30 (2) To promulgate, adopt and enforce, in a manner 19990S1220B1543 - 6 -
1 provided by law, the rules and regulations necessary to carry 2 out this act. 3 (3) To provide for examinations in accordance with this 4 act. 5 (4) To keep a record showing the names and addresses of 6 all licensees under this act. 7 (5) To keep minutes and records of all its transactions 8 and proceedings, especially in relation to the issuance, 9 denial, registration, formal reprimand, suspension or 10 revocation of licenses. 11 (6) To issue subpoenas, upon application of an attorney 12 responsible for representing the Commonwealth, in 13 disciplinary matters before the board for the purpose of 14 investigating alleged violations of the disciplinary 15 provisions administered by the board. The board shall have 16 the power to subpoena witnesses, to administer oaths, to 17 examine witnesses and to take testimony or compel the 18 production of books, records, papers and documents as it may 19 deem necessary or proper and pertinent to any proceeding, 20 investigation or hearing held by it. The board is authorized 21 to apply to Commonwealth Court to enforce its subpoenas. 22 (7) To appoint hearing examiners or, on its own, to 23 conduct hearings and adjudications, including adjudications 24 involving disciplinary actions. 25 (8) To waive examination and educational requirements 26 and grant licenses provided in section 9. 27 (9) To establish standards for eligibility for license 28 renewal pursuant to this act. 29 (10) To at all times represent the diversity within the 30 profession when making decisions and to stay current and 19990S1220B1543 - 7 -
1 informed with information regarding the various branches of 2 somatic practices. 3 Section 6. License required. 4 (a) Licenses.--Except as provided for in subsection (c), it 5 shall be unlawful for any person to hold himself or herself out 6 to others as a somatic practitioner, massage therapist or 7 reflexologist in this Commonwealth in any manner whatsoever 8 unless the person has met the educational requirements of this 9 act and holds a current, unsuspended, unrevoked license issued 10 in accordance with the provisions of this act. Licensure shall 11 be granted separately in two areas: 12 (1) Somatic practices and massage therapy. 13 (2) Reflexology. 14 (b) Exemptions.--Nothing in this act shall be construed as 15 preventing or restricting: 16 (1) The practice of a profession by persons who are 17 licensed, certified or registered under other laws of this 18 Commonwealth and who are performing services within their 19 authorized scope of practice. 20 (2) The practice of massage and bodywork therapy by a 21 person employed by the Federal Government while the person is 22 engaged in the performance of duties prescribed by the laws 23 and regulations of the United States. 24 (3) The practice of massage and bodywork therapy by 25 persons duly licensed, registered or certified in another 26 state, territory, the District of Columbia or a foreign 27 country when incidentally called into this Commonwealth to 28 teach a course related to massage and bodywork therapy or to 29 consult with a person licensed under this act. 30 (4) Students enrolled in a board-approved school while 19990S1220B1543 - 8 -
1 completing a clinical requirement for graduation that shall 2 be performed under the supervision of a person licensed under 3 this act. 4 (5) A person giving massage and bodywork therapy to 5 members of that person's immediate family. 6 (c) Title and utilization.--A person commits a violation of 7 this section if that person holds himself or herself out to 8 others as a somatic practitioner, massage therapist or 9 reflexologist and adopts or uses any title or description, 10 including massage therapist, reflexologist, massage 11 practitioner, masseur, masseuse, myotherapist, somatic 12 therapist, body therapist, body worker, structural integrator, 13 touch therapist or any derivative of those terms and their 14 related abbreviations, which implies directly or indirectly that 15 somatic practices services, massage therapy services or 16 reflexology services are being provided, including the billing 17 of somatic practices services, massage therapy services or 18 reflexology services unless those services are provided by a 19 licensed somatic practitioner, massage therapist or 20 reflexologist in accordance with this act. The terms massage 21 therapist and somatic practitioner may be used interchangeably 22 by persons licensed under this act to practice massage therapy 23 or somatic practices. 24 (d) Prohibited use.--It shall be a violation of this act for 25 any business entity to utilize in connection with a business 26 name or activity the words: somatic practitioners, massage, 27 massage therapist, reflexologist, massage practitioner, masseur, 28 masseuse, myotherapist, somatic therapist, body therapist, body 29 worker, structural integrator or any derivative of those terms 30 and their related abbreviations, which implies directly or 19990S1220B1543 - 9 -
1 indirectly that somatic practices services, massage therapy 2 services or reflexology services are being provided, including 3 the billing of massage therapy services, somatic practices 4 services or reflexology services unless those services are 5 provided by a licensed somatic practitioner, massage therapist 6 or reflexologist in accordance with this act. 7 Section 7. Requirements for licensure. 8 (a) General rule.--Except as otherwise provided, to be 9 eligible for licensure by the board as a somatic practitioner, 10 massage therapist or reflexologist, an applicant shall pay a fee 11 as established by the board, be of good moral character to the 12 satisfaction of the board, have a high school diploma or its 13 equivalent, not be addicted to the habitual use of alcohol, 14 narcotics or other habit-forming drugs and not have been 15 convicted of a felony and: 16 (1) For a license in somatic practices and massage 17 therapy, the applicant must satisfactorily complete somatic 18 practices or massage therapy studies with a minimum of 600 19 hours of in-class, post-secondary course instruction approved 20 by the board, completed in not less than six months, and pass 21 a written examination approved by the board. The course of 22 study shall include, but shall not be limited to, the study 23 of anatomy, physiology, pathology, techniques and protocols 24 following the standards of practice of the particular 25 discipline, practicum, ethics, communication skills and 26 business practices. To obtain and maintain a license under 27 this act, certification in cardiopulmonary resuscitation is 28 also required. 29 (2) For a license in reflexology, the applicant must 30 satisfactorily complete reflexology studies with a minimum of 19990S1220B1543 - 10 -
1 100 hours of in-class, postsecondary course instruction 2 approved by the board, 100 hours of documented practicum 3 experience, and pass a written examination approved by the 4 board. The course of study shall include, but shall not be 5 limited to, study in the basic subjects of theory and 6 technique of hand and foot reflexology, anatomy of feet and 7 hands, basic level of anatomy and physiology, professional 8 ethics, hygiene and business practice. Applicants must also 9 be certified in cardiopulmonary resuscitation. Seminar 10 attendance shall be accepted in satisfaction of the 11 requirements of this paragraph, but participation in 12 correspondence classes or instruction shall not be accepted. 13 (b) Active practitioners.--All initial applicants who are 14 professional practitioners of somatic practices, massage therapy 15 or reflexology who meet the qualifications described in this act 16 upon the effective date of this act shall be licensed by the 17 board as soon as possible, subject to the following: 18 (1) (i) Except as provided in paragraph (3), active 19 practitioners in the profession of somatic practices and 20 massage therapy who have been in active, continuous 21 practice for two or more years immediately preceding the 22 effective date of this act shall have two years from the 23 effective date of this act to fulfill the requirements of 24 150 hours of instruction in the field of somatic 25 practices or massage therapy. 26 (ii) Except as provided in paragraph (4), active 27 practitioners in the profession of reflexology who have 28 been in active, continuous practice for two or more years 29 immediately preceding the effective date of this act 30 shall have two years from the effective date of this act 19990S1220B1543 - 11 -
1 to fulfill the requirements of 70 hours of classroom 2 instruction in the field of reflexology. 3 (2) Applicants shall be issued temporary licenses during 4 the two-year period while they are fulfilling the hours of 5 instruction required by paragraph (1). A temporary license 6 shall expire at the end of two years or sooner if the 7 temporary licensee establishes, to the satisfaction of the 8 board, that the licensee has met the educational requirements 9 in this act and has received a regular license from the 10 board. The temporary license shall not be renewable and shall 11 be at the same fee as a regular license. 12 (3) The hours of instruction required by paragraph 13 (1)(i) shall be waived in the case of an active practitioner 14 who has passed a national certification examination approved 15 by the board and maintained the certification. 16 (4) The hours of instruction required by paragraph 17 (1)(ii) shall be waived in the case of an active practitioner 18 who possesses current certification or a diploma from a 19 program approved by the board. 20 (c) Prohibition.--Any person licensed by this act shall not 21 have been convicted of a felonious act prohibited by the act of 22 April 14, 1972 (P.L.233, No.64), known as The Controlled 23 Substance, Drug, Device and Cosmetic Act, or of an offense under 24 the laws of another jurisdiction which if committed in this 25 Commonwealth would be a felony under The Controlled Substance, 26 Drug, Device and Cosmetic Act, unless the applicant satisfies 27 all of the following criteria: 28 (1) At least ten years have elapsed from the date of 29 conviction. 30 (2) Satisfactorily demonstrates to the board that the 19990S1220B1543 - 12 -
1 applicant has made significant progress in personal 2 rehabilitation since the conviction such that licensure of 3 the applicant should not be expected to create a substantial 4 risk of harm to the health and safety of his clients or the 5 public or a substantial risk of further criminal violations. 6 Section 8. Application for license and fees. 7 (a) Fees, forms.--The board shall, by regulation, set the 8 fees required for examinations and for all forms of licensure 9 provided for in this act. 10 (b) Insufficient revenues.--If the revenues raised by fees, 11 fines and civil penalties imposed pursuant to this act are not 12 sufficient to meet expenditures over a two-year period, the 13 board shall increase those fees by regulation so that projected 14 revenues will meet or exceed projected expenditures. 15 (c) Increase by bureau.--If the Bureau of Professional and 16 Occupational Affairs determines that the fees established by the 17 board pursuant to subsections (a) and (b) are inadequate to meet 18 the minimum enforcement efforts required by this act, then the 19 bureau, after consultation with the board, shall increase the 20 fees by regulation so that adequate revenues are raised to meet 21 the required enforcement effort. 22 (d) Review.--Any regulation promulgated under this section 23 shall be subject to the act of June 25, 1982 (P.L.633, No.181), 24 known as the Regulatory Review Act. 25 (e) Depository.--All fees and fines collected pursuant to 26 the provisions of this act shall be paid into the Professional 27 Licensure Augmentation Account established pursuant to and for 28 the use and in accordance with the act of July 1, 1978 (P.L.700, 29 No.124), known as the Bureau of Professional and Occupational 30 Affairs Fee Act. 19990S1220B1543 - 13 -
1 (f) Examinations.--The board shall offer at least two 2 examinations for licensure each year. Notice of examinations 3 shall be given at least 60 days prior to their administration. 4 The board shall maintain a permanent record of all examination 5 scores. In case of the failure of the first examination, the 6 applicant for licensure shall have the privilege of a second 7 examination within one year of the first failure. The board may 8 adopt regulations governing the eligibility of applicants who 9 have failed to pass two examinations in order to be admitted to 10 subsequent examinations. 11 Section 9. Reciprocal licenses. 12 Upon application and payment of the licensing fees, as 13 provided for in this act, the board shall issue a license in 14 somatic practices, massage therapy or reflexology to a person 15 who has a valid license in somatic practices, massage therapy or 16 reflexology or similar practice from another state, territory, 17 possession or country, if the board is satisfied that the other 18 state, territory, possession or country maintains a system and 19 standard of qualifications substantially equivalent to or 20 greater than that provided for in this act and the applicant has 21 complied with any related rules and regulations of the board. 22 Section 10. License renewal and continuing education. 23 (a) General rule.--Licenses issued under this act shall be 24 renewed every two years. On or before November 1 of each renewal 25 year, the board shall mail an application for renewal of license 26 to each person to whom a license was issued or renewed during 27 the current licensing period, which application shall be mailed 28 to the most recent address of the person as it appears on the 29 records of the board. Such person shall complete the renewal 30 application and return it to the board with a renewal fee before 19990S1220B1543 - 14 -
1 December 31 of the year in which the application was received. 2 Upon receipt of any such application and fee, the board, upon 3 verifing the accuracy and completeness of the application, 4 including the applicant's current certification in 5 cardiopulmonary resuscitation, shall issue to the applicant a 6 renewed license for the next licensing period. The renewal fee 7 for each licensing period shall be set by regulation. 8 (b) Continuing education.--When renewing a license, each 9 licensee shall submit to the board evidence of the successful 10 completion of a minimum of 24 hours of study in the field of 11 somatic practices, massage therapy or reflexology during the 12 immediately preceding two years as approved by the board. 13 (c) Resumption of practice.--Any person who has failed to 14 renew license issued under this act for a period longer than 15 five years shall be required to apply for a license as if the 16 person never possessed a license if the person desires to resume 17 practicing somatic practices and massage therapy or reflexology. 18 Section 11. Display of license. 19 All licenses issued under this act shall be posted 20 conspicuously at all times at the practitioner's place of 21 business. 22 Section 12. Examinations. 23 (a) Administration.--All written examinations shall be 24 prepared and administered by qualified professional testing 25 organizations under contract with the Bureau of Professional and 26 Occupational Affairs and approved by the board in accordance 27 with the act of April 9, 1929 (P.L.177, No.175), known as The 28 Administrative Code of 1929. No board member shall have a 29 financial interest in a professional testing organization. 30 (b) Cost of exam.--The purpose of the examination fee, which 19990S1220B1543 - 15 -
1 is to be established in accordance with this act, shall ensure 2 that the applicants' fees cover the entire cost of the 3 examination and administration. Costs shall consist of all 4 contractual charges relating to preparing, administering, 5 grading and recording of the examination. 6 Section 13. Refusal, suspension or revocation of licensure. 7 The board shall refuse to issue a license or may suspend or 8 revoke a license for any of the following reasons: 9 (1) Failing to demonstrate the qualifications or 10 standards for a license contained in this act or regulations 11 of the board. 12 (2) Making misleading, deceptive, untrue or fraudulent 13 representations in the practice of somatic practices, massage 14 therapy or reflexology. 15 (3) Practicing fraud or deceit in obtaining a license to 16 practice somatic practices, massage therapy or reflexology. 17 (4) Displaying gross incompetence, negligence or 18 misconduct in carrying out the practice of somatic practices, 19 massage therapy or reflexology. 20 (5) Submitting a false or deceptive registration to the 21 board. 22 (6) Being convicted of a felony, misdemeanor or 23 receiving probation without verdict, disposition in lieu of 24 trial or an accelerated rehabilitative disposition in the 25 disposition of felony charges in a Federal Court,the courts 26 of this Commonwealth, or a court of any other state, 27 territory, possession or country. 28 (7) Having a license to practice somatic practices, 29 massage therapy or reflexology suspended, revoked or refused 30 or receiving other disciplinary action by the appropriate 19990S1220B1543 - 16 -
1 somatic practices, massage therapy or reflexology or similar 2 licensing authority of another state, territory, possession 3 or country. 4 (8) Being unable to practice somatic practices, massage 5 therapy or reflexology with reasonable skill and safety to 6 clients by reason of illness, drunkenness, excessive use of 7 drugs, narcotics, chemicals or any other type of material, or 8 as a result of any mental or physical condition. 9 (9) Violating a lawful regulation promulgated by the 10 board or violating a lawful order of the board previously 11 entered in a disciplinary proceeding. 12 (10) Knowingly aiding, assisting, procuring or advising 13 any unlicensed person to practice somatic practices, massage 14 therapy or reflexology contrary to this act or to the 15 regulations of the board. 16 (11) Diagnosing or practicing spinal adjustments or 17 prescribing medicines. 18 (12) Practicing beyond or offering to practice beyond 19 the licensee's defined scope of practice or accepting and 20 performing professional practices or responsibilities which 21 the licensee knows or has reason to know that the licensee is 22 not licensed nor competent to perform. 23 (13) Falsely holding oneself out to be licensed or 24 certified in any healing arts practice covered by this act. 25 Section 14. Temporary suspension. 26 The board shall temporarily suspend a license under 27 circumstances as determined by the board to be of an immediate 28 and clear danger to the public health or safety. The board shall 29 issue an order to that effect without a hearing upon due notice 30 to the licensee at the licensee's last known address, which 19990S1220B1543 - 17 -
1 order shall include a written statement of all allegations 2 against the licensee. The provisions of section 13(9) shall not 3 apply to temporary suspension. The board shall thereupon 4 commence formal action to suspend, revoke or restrict the 5 license of the person concerned as otherwise provided for in 6 this act. All actions shall be taken promptly and without delay. 7 Within 45 days following the issuance of an order temporarily 8 suspending a license, the board shall conduct or cause to be 9 conducted a preliminary hearing to determine that suspension. 10 The licensee whose license has been temporarily suspended may be 11 present at the preliminary hearing and may be represented by 12 counsel, cross-examine witnesses, inspect physical evidence, 13 call witnesses, offer evidence and testimony and make a record 14 of the proceedings. If it is determined that there is not a 15 prima facie case, the suspended licensed shall be immediately 16 restored. The temporary suspension shall remain in effect until 17 vacated by the board, but in no event longer than 180 days. 18 Section 15. Automatic suspension. 19 A license issued under this act shall automatically be 20 suspended upon the legal commitment of a licensee to an 21 institution because of mental incompetency from any cause upon 22 filing with the board a certified copy of such commitment, 23 conviction of a felony under the act of April 14, 1972 (P.L.233, 24 No.64), known as The Controlled Substance, Drug, Device and 25 Cosmetic Act, or conviction of an offense under the laws of 26 another jurisdiction which, if committed in this Commonwealth, 27 would be a felony under The Controlled Substance, Drug, Device 28 and Cosmetic Act, or a violation of section 13(13). Automatic 29 suspension under this section shall not be stayed pending any 30 appeal of a conviction. Restoration of the license shall be made 19990S1220B1543 - 18 -
1 as provided in this act for revocation or suspension of a 2 license. As used in this section, the term "conviction" shall 3 include a judgment, an admission of guilt or a plea of nolo 4 contendere. 5 Section 16. Hearing and restoration to practice. 6 (a) Hearings.--Notwithstanding sections 14 and 15, any 7 person licensed by the board, or any applicant for licensure by 8 the board, who is affected by the actions of the board for any 9 reason referred to in this act shall be cited by the board with 10 a copy of the reasons and shall, upon request, have a hearing 11 before the board or before a hearing officer appointed by the 12 board. 13 (b) Procedure.--At any hearing, the licensed person or 14 applicant shall have the right to appear personally with or by 15 legal counsel, to cross-examine witnesses and to produce 16 witnesses and evidence. The board may subpoena witnesses and 17 documentary evidence on its own behalf and, if requested by the 18 licensed person or applicant, shall subpoena witnesses and 19 documents on behalf of the licensee or applicant. The board may 20 administer oaths, examine witnesses and compel testimony. A 21 record of the hearing shall be made by the board and copy 22 furnished to the licensed person or applicant upon payment of a 23 reasonable charge. 24 (c) Decision.--A decision by the board shall be within 120 25 days after the final hearing conducted by the board. The 26 revocation or suspension, for any cause, of a license issued by 27 the board may be removed when it shall appear to the board to be 28 just and proper. Upon any removal of the revocation or 29 suspension of the license by the board, the name of the licensed 30 person shall be restored and replaced upon the record in the 19990S1220B1543 - 19 -
1 office of the board. 2 (d) Return of license.--The board shall require a person 3 whose license has been suspended or revoked to return the 4 license in such manner as the board directs. A person who fails 5 to do so commits a misdemeanor of the third degree. 6 Section 17. Penalties and injunctive relief. 7 (a) Penalties.--A person who violates a provision of this 8 act as a first offense commits a misdemeanor and upon conviction 9 shall be punished by a fine of not less than $100 or more than 10 $500 or by imprisonment for not more than 15 days. A person who 11 commits subsequent offenses shall be subject to a fine of not 12 less than $500 or more than $1,000 and imprisonment of not more 13 than 30 days. 14 (b) Injunctive relief.--The board may, in the name of the 15 people of the Commonwealth, through the Office of Attorney 16 General, apply for injunctive relief in any court of competent 17 jurisdiction to enjoin any person from committing any violation 18 of this act. The injunction proceeding shall be in addition to 19 and not in lieu of all penalties and other remedies in this act. 20 (c) Civil penalty.--In addition to any other civil remedy or 21 criminal penalty provided for in existing law or in this act, 22 the board, by a vote of a majority of the quorum, may levy a 23 civil penalty of up to $500 on any current licensee who violates 24 any provision of this act or on any person who practices somatic 25 practices, massage therapy or reflexology or holds out in any 26 manner as such without being properly licensed to do so under 27 this act. The board shall levy this penalty only after affording 28 the accused party the opportunity for a hearing as provided in 2 29 Pa.C.S. (relating to administrative law and procedure). 30 (d) Depository.--All fines and civil penalties imposed in 19990S1220B1543 - 20 -
1 accordance with this section shall be paid into the Professional 2 Licensure Augmentation Account. 3 (e) Ineligibility.--A person convicted of a violation of the 4 provisions of this act shall additionally be ineligible for 5 licensure as a somatic practitioner, massage therapist or 6 reflexologist for a period of five years from the date of 7 conviction. 8 Section 18. Impaired professional. 9 (a) Consultant.--The board, with the approval of the 10 Commissioner of Professional and Occupational Affairs, shall 11 appoint and fix the compensation of a professional consultant 12 who is a licensee of the board, or such other professional as 13 the board may determine, with education and experience in the 14 identification, treatment and rehabilitation of persons with 15 physical or mental impairments. The consultant shall be 16 accountable to the board and shall act as a liaison between the 17 board and treatment programs, such as alcohol and drug treatment 18 programs licensed by the Department of Health, psychological 19 counseling and impaired professional support groups, which are 20 approved by the board and which provide services to licensees 21 under this act. 22 (b) Treatment program.--The board may defer and ultimately 23 dismiss any of the types of corrective action set forth in this 24 act for an impaired professional as long as the professional is 25 progressing satisfactorily in an approved treatment program, 26 provided that the provisions of this subsection shall not apply 27 to a professional convicted of a felonious act prohibited by the 28 act of April 14, 1972 (P.L.233, No.64), known as The Controlled 29 Substance, Drug, Device and Cosmetic Act, or convicted of a 30 felony relating to a controlled substance in a court of law of 19990S1220B1543 - 21 -
1 the United States or a court of law of any other state, 2 territory or country. An approved program provider shall, upon 3 request, disclose to the consultant such information in its 4 possession regarding an impaired professional in treatment which 5 the program provider is not prohibited from disclosing by an act 6 of this Commonwealth or another state. The requirement of 7 disclosure by an approved program provider shall apply in the 8 case of impaired professionals who enter an agreement in 9 accordance with this section, impaired professionals who are the 10 subject of a board investigation or disciplinary proceeding and 11 impaired professionals who voluntarily enter a treatment program 12 other than under the provisions of this section but who fail to 13 complete the program successfully or to adhere to an aftercare 14 plan developed by the program provider. 15 (c) Agreement.--An impaired professional who enrolls in an 16 approved treatment program shall enter into an agreement with 17 the board under which the professional's license shall be 18 suspended or revoked, but enforcement of that suspension or 19 revocation may be stayed for the length of time the professional 20 remains in the program and makes satisfactory progress, complies 21 with the terms of the agreement and adheres to any limitations 22 on this practice imposed by the board to protect the public. 23 Failure to enter into such an agreement shall disqualify the 24 professional from the impaired professional program and shall 25 activate an immediate investigation and disciplinary proceeding 26 by the board. 27 (d) Enforcement.--If, in the opinion of the consultant after 28 consultation with the provider, an impaired professional who is 29 enrolled in an approved treatment program has not progressed 30 satisfactorily, the consultant shall disclose to the board all 19990S1220B1543 - 22 -
1 information in the consultant's possession regarding the 2 professional, and the board shall institute proceedings to 3 determine if the stay of the enforcement of the suspension or 4 revocation of the impaired professional's license shall be 5 vacated. 6 (e) Immunity.--An approved program provider who makes a 7 disclosure pursuant to this section shall not be subject to 8 civil liability for the disclosure or its consequences. 9 (f) Impairment reports.--Any hospital or health care 10 facility, peer or colleague who has substantial evidence that a 11 licensee has an active addictive disease for which the licensee 12 is not receiving treatment, is diverting a controlled substance 13 or is mentally or physically incompetent to carry out the duties 14 of a licensee shall make or cause to be made a report to the 15 board, provided that any person or facility who acts in a 16 treatment capacity to an impaired somatic practitioner, massage 17 therapist or reflexologist in an approved treatment program is 18 exempt from the mandatory reporting requirements of this 19 subsection. Any person or facility who reports pursuant to this 20 section in good faith and without malice shall be immune from 21 any civil or criminal liability arising from such report. 22 Failure to provide such report within a reasonable time from 23 receipt of knowledge of impairment shall subject the person or 24 facility to a fine not to exceed $1,000. The board shall levy 25 this penalty only after affording the accused party the 26 opportunity for a hearing as provided in 2 Pa.C.S. (relating to 27 administrative law and procedures). 28 Section 19. Third-party reimbursement. 29 Nothing in this act shall be construed to require direct 30 third-party reimbursement to persons licensed under this act. 19990S1220B1543 - 23 -
1 Section 20. Appropriation. 2 The sum of $75,000 is hereby appropriated to the Department 3 of State for the administration of this act. The amount of 4 $75,000 shall be returned to the General Fund upon accumulation 5 of sufficient fees generated by this act. 6 Section 21. Effective date. 7 This act shall take effect as follows: 8 (1) Section 4 shall take effect in 120 days. 9 (2) Section 20 and this section shall take effect 10 immediately. 11 (3) The remainder of this act shall take effect in one 12 year. E20L63RLE/19990S1220B1543 - 24 -