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                                                      PRINTER'S NO. 1543

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

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
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     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
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     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
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     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
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     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
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     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.












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