By Van de Putte                                        H.B. No. 727

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to the regulation of massage therapy; providing penalties.

 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-4           SECTION 1.  Section 1, Chapter 752, Acts of the 69th

 1-5     Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

 1-6     Civil Statutes), is amended to read as follows:

 1-7           Sec. 1.  DEFINITIONS.  In this Act:

 1-8                 (1)  "Massage therapy" means the manipulation of soft

 1-9     tissue.  The term includes, but is not limited to, effleurage

1-10     (stroking), petrissage (kneading), tapotement (percussion),

1-11     compression, direct pressure, vibration, shaking, rocking,

1-12     friction, nerve strokes, assisted  stretching, and Swedish

1-13     gymnastics, either by use of the hand, finger, elbow, knee, or foot

1-14     or with mechanical or electrical apparatus for the purpose of body

1-15     massage.  Massage therapy may include the use of skin lubricants

1-16     [oil], salt glows, hydrotherapy,  cryotherapy, heat lamps, hot and

1-17     cold packs, and balneotherapy [tub, shower, or cabinet baths].

1-18     Equivalent terms for massage therapy are  massage, therapeutic

1-19     massage, massage technology, myo-therapy, body massage, bodywork,

1-20     body rub, or any derivation of those terms.  Massage therapy is a

1-21     health care service when the massage therapy is for therapeutic

1-22     purposes.  As used in the Act, the terms "therapy" and

1-23     "therapeutic" do not include diagnosis, the treatment of illness or

1-24     disease, or any service or procedure for which a license to

 2-1     practice medicine, chiropractic, physical therapy, or podiatry is

 2-2     required by law.  Massage therapy does not constitute the practice

 2-3     of chiropractic or physical therapy or osteopathic medicine or the

 2-4     activities of an athletic  trainer.

 2-5                 (2)  "Massage therapist" means an individual who is

 2-6     registered under this Act, is registered to use the title

 2-7     "registered massage therapist" and the designation "R.M.T.," and

 2-8     offers [practices or administers] massage therapy services as

 2-9     provided by this Act to a client  [patron] of either gender for

2-10     compensation.  The term includes a registered massage therapist,

2-11     therapeutic massage practitioner, massage technician, masseur,

2-12     masseuse, myo-therapist, body massager, body rubber, or any

2-13     derivation of those titles.

2-14                 (3)  "Massage therapy instructor" means an individual

2-15     who is a registered massage therapist, who instructs [is

2-16     instructing] one or more students at a massage school in the

2-17     massage therapy portion  of the 300-hour course of instruction

2-18     required for registration as a massage therapist under this Act

2-19     [therapy, and whose instruction is approved by the  department].

2-20                 (4)  "Massage establishment" means any place of

2-21     business that advertises massage therapy or offers massage therapy

2-22     as a service.

2-23                 (5)  "Department" means the Texas Department of Health.

2-24                 (6)  "Board" means the Texas Board of Health.

2-25                 [(7)  "Advisory Council" means the Advisory Council on

2-26     Massage Therapy.]

2-27                 (7) [(8)]  "Person" means an individual, partnership,

 3-1     corporation, association, or other legal entity.

 3-2                 (8) [(9)]  "Massage school" means an entity or

 3-3     organization  registered with the department that has [with] at

 3-4     least two instructors that teaches, at a minimum, the 300-hour

 3-5     course of instruction required for  registration as a massage

 3-6     therapist under this Act.

 3-7                 (9) [(10)]  "Instructor" means an individual who

 3-8     instructs one or more students at a massage school in any section

 3-9     of the 300-hour course of instruction required for registration as

3-10     a massage therapist under this Act.

3-11                 (10) [(11)]  "Applicant" means a person, including a

3-12     massage school, an independent [a] massage therapy instructor, a

3-13     massage  therapy instructor, or a massage establishment, that

3-14     applies for registration under this Act.

3-15                 (11) [(12)]  "Examiner" means a registered massage

3-16     therapist who administers the practical portion of the state

3-17     examination to applicants for registration as massage therapists.

3-18                 (12) [(13)]  "Internship program" means a program

3-19     provided by a massage school or an independent massage therapy

3-20     instructor and supervised by a massage therapy instructor in which

3-21     a student provides massage therapy to  the general public.  The

3-22     massage therapy may be for compensation in an amount set by the

3-23     massage school or the independent massage therapy instructor and

3-24     paid to the massage school or the independent massage therapy

3-25     instructor.

3-26                 (13) [(14)]  "Sexually oriented business" has the

3-27     meaning assigned by Section 243.002, Local Government Code, unless

 4-1     another meaning applies under local law.

 4-2                 (14)  "Commissioner" means the commissioner of public

 4-3     health.

 4-4                 (15)  "Independent massage therapy instructor" means an

 4-5     individual who is:

 4-6                       (A)  registered as a massage therapist; and

 4-7                       (B)  the sole person responsible for instructing

 4-8     one or more students in the 300-hour course of instruction required

 4-9     for registration as a massage therapist under this Act.

4-10                 (16)  "Advanced program" means course work or a course

4-11     of instruction offered by a massage school or independent massage

4-12     therapy instructor, other than the 300-hour course of instruction

4-13     required for registration as a massage therapist under this Act,

4-14     that serves to enhance the knowledge or skills of a massage

4-15     therapist.

4-16                 (17)  "Advanced program presenter" means a person who

4-17     provides instruction in an advanced program.

4-18           SECTION 2.  Chapter 752, Acts of the 69th Legislature,

4-19     Regular Session, 1985 (Article 4512k, Vernon's Texas Civil

4-20     Statutes), is amended by adding Section 1B to read as follows:

4-21           Sec. 1B.  REGISTRATION REQUIRED.  A person may not practice

4-22     massage therapy or represent to the public that the person

4-23     practices massage therapy unless the person is registered under

4-24     this Act or exempt under Section 4 of this Act.  A person may not

4-25     use the title of "massage therapist" or "registered massage

4-26     therapist" or the initials "R.M.T." unless the person is registered

4-27     as provided under this Act.

 5-1           SECTION 3.  Section 2, Chapter 752, Acts of the 69th

 5-2     Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

 5-3     Civil Statutes), is amended to read as follows:

 5-4           Sec. 2.  MASSAGE THERAPIST REGISTRATION REQUIREMENTS.  (a) An

 5-5      applicant for registration as a massage therapist must:

 5-6                 (1)  submit a written application to the department;

 5-7                 (2)  provide to the department the evidence required

 5-8     under Section 11 of this Act;  and

 5-9                 (3)  pay the appropriate fees to the department

5-10     [individual who practices as a massage therapist, or who represents

5-11     that the individual is a  massage therapist, must register as

5-12     provided by this Act, unless the individual is exempt from

5-13     registration.  A massage therapist may not perform massage therapy,

5-14     whether or not for compensation, at or for a sexually oriented

5-15     business].

5-16           (b)  A person applying to take the examination required for

5-17     registration as a massage therapist [An individual who registers as

5-18     a  massage therapist under this Act] must present evidence

5-19     [satisfactory to the board] that the person:

5-20                 (1)  has successfully [satisfactorily] completed an

5-21     approved 300-hour course of instruction required for registration

5-22     as a massage therapist under this Act, which may have been provided

5-23     [massage therapy studies in a 300 hour, supervised course of

5-24     instruction provided by a massage therapy instructor, by a massage

5-25     school registered by the department, by a state approved

5-26     educational institution, or] by an independent massage therapy

5-27     instructor [any combination  of instructors] or a massage school,

 6-1     or by both [schools, in which 125 hours are dedicated to the study

 6-2     of Swedish massage therapy techniques taught by a massage therapy

 6-3     instructor, 50 hours to the study of anatomy, 25 hours to the study

 6-4     of physiology, 15 hours to the study of hydrotherapy, 15 hours to

 6-5     the study of business practices and professional ethics standards,

 6-6     20 hours to the study of health and hygiene, and 50 hours to an

 6-7     internship program];

 6-8                 (2)  is licensed, certified, or registered to practice

 6-9     [as a] massage therapy [therapist] in another jurisdiction [state

6-10     or country] that has and maintains standards and requirements of

6-11     practice and licensing, certification, or registration that

6-12     substantially conform to those of this state, as determined by the

6-13     department;  or

6-14                 (3)  has practiced massage therapy as a profession for

6-15     not less than five years in another jurisdiction [state or country]

6-16     that does not have  or maintain standards and requirements of

6-17     practice and licensing, certification, or registration that

6-18     substantially conform to those of this  state, as determined by the

6-19     department.

6-20           (c)  The 300-hour course of instruction in massage therapy

6-21     studies required for registration under this Act must include

6-22     courses in the subjects of Swedish massage therapy techniques,

6-23     anatomy, physiology, hydrotherapy, business practices, professional

6-24     ethics standards, health, and hygiene. The board shall adopt rules

6-25     that specify general course content and the minimum number of hours

6-26     of instruction required in each of the subjects.  An internship of

6-27     not less than 40 hours of hands-on massage is required within the

 7-1     300-hour course of instruction.

 7-2           (d)  Only course work taught by a massage school or

 7-3     independent massage therapy instructor may qualify for credit under

 7-4     Subsection (b)(1) of this section,  except that the department may

 7-5     accept massage therapy course work taken outside of this state to

 7-6     satisfy one or more of the subject requirements contained in

 7-7     Subsection (c) of this section if the out-of-state course work is

 7-8     equivalent to the course work required by the department.

 7-9           (e) [(c)]  A student enrolled in a 300-hour [state-approved]

7-10     course of instruction required for registration as a massage

7-11     therapist under this Act [that consists of a minimum of 300 hours]

7-12     is exempt from registration under this Act if the student provides

7-13     massage therapy as part of an internship program or for no

7-14     compensation.

7-15           (f)  A massage therapist may not perform massage therapy at

7-16     or for a sexually oriented business regardless of whether the

7-17     massage therapist receives compensation or not.

7-18           SECTION 4.  Section 2A, Chapter 752, Acts of the 69th

7-19     Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

7-20     Civil Statutes), is amended to read as follows:

7-21           Sec. 2A.  MASSAGE SCHOOLS, INDEPENDENT MASSAGE THERAPY

7-22     INSTRUCTORS, AND INTERNSHIPS.  (a) A person [A massage school] that

7-23     offers[, at a minimum,] the 300-hour course of  instruction

7-24     required for registration as a massage therapist or an advanced

7-25     program must register with the department as a massage school or

7-26     as an independent massage therapy instructor.  A massage school or

7-27     an independent massage therapy instructor must meet the minimum

 8-1     standards of operation established by board rule and may only

 8-2     provide a 300-hour course of instruction that is approved by the

 8-3     department.

 8-4           (b)  A massage therapy instructor employed or retained by a

 8-5     massage school must register with the department as provided by

 8-6     this Act.

 8-7           (c)  An instructor employed or retained by a massage school

 8-8     must meet the minimum requirements established by board rule.

 8-9           (d)  An internship program shall be conducted on the school

8-10     grounds or in a clinic or classroom setting provided by the massage

8-11     school or an independent massage therapy instructor.

8-12           (e)  A student must successfully complete the requirements of

8-13     the first 250 hours of education [training] at the massage school

8-14     or  with the independent massage therapy instructor before being

8-15     eligible to enter the internship program.

8-16           (f)  A student who is participating in an internship program

8-17     may:

8-18                 (1)  make an appointment with a client;

8-19                 (2)  interview a client;

8-20                 (3)  perform massage therapy;

8-21                 (4)  collect and review a client evaluation with the

8-22     student's supervisor; and

8-23                 (5)  perform other tasks necessary to the business of

8-24     providing massage therapy to the public.

8-25           (g)  A student who is participating in an internship program

8-26     conducted by a massage school must be under the supervision and

8-27     direction of a massage therapy instructor during the hours that the

 9-1     student is working in the program.  A student who is participating

 9-2     in an internship program conducted by an independent massage

 9-3     therapy instructor must be under the supervision of that instructor

 9-4     during the hours the student is working in the internship program.

 9-5           (h)  An internship program shall provide a student with a

 9-6     minimum of 40 hours of hands-on massage therapy experience.

 9-7           (i)  An internship program must meet the qualifications

 9-8     established by the board [with the advice of the advisory council].

 9-9           (j)  The department shall regulate all [school] hours

9-10     included within a 300-hour course of instruction provided by a

9-11     massage school or an independent [a] massage therapy instructor.

9-12           (k)  A massage school or an independent [a] massage therapy

9-13     instructor may not offer a course  of instruction for registration

9-14     as a massage therapist which requires the successful completion of

9-15     more course hours than are required for registration as a massage

9-16     therapist under this chapter.

9-17           (l)  A massage school or an independent massage therapy

9-18     instructor [registered under this chapter] must give each

9-19     prospective student a notice that clearly states the number of

9-20     course hours which must be successfully completed before a student

9-21     can apply to register as a massage therapist under this chapter.

9-22           (m)  The notice required by Subsection (l) of this section

9-23     must be given to each prospective student at a time and in a manner

9-24     that provides the student with sufficient opportunity to read the

9-25     notice and discuss it with massage school officials or with the

9-26     independent  massage therapy instructor, if necessary for

9-27     understanding and clarity, before signing an enrollment contract

 10-1    and before the massage school or the independent massage therapy

 10-2    instructor accepts the student in a course of study.

 10-3          (n)  A massage school or independent massage therapy

 10-4    instructor shall notify the department of any advanced program to

 10-5    be offered by the school or instructor for placement on the massage

 10-6    therapy advanced program registry.  The credentials of the advanced

 10-7    program presenter must be submitted to the department with the

 10-8    notification.

 10-9          (o)  An advanced program presenter must have the experience

10-10    and credentials necessary to provide effective instruction in the

10-11    topic covered in the advanced program. An advanced program

10-12    presenter is not required to be a registered massage therapist

10-13    under this Act.

10-14          SECTION 5.  Section 4, Chapter 752, Acts of the 69th

10-15    Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

10-16    Civil Statutes), is amended to read as follows:

10-17          Sec. 4.  EXEMPTIONS.  This Act does not apply to:

10-18                (1)  a person who is licensed in this state as a

10-19    physician, chiropractor, physical therapist, nurse, cosmetologist,

10-20    athletic trainer, or member of another similar profession that is

10-21    subject to state licensing, while the person is practicing within

10-22    the scope of the license;

10-23                (2)  an employer that sponsors a course of instruction,

10-24    other than the 300-hour course of instruction required for

10-25    registration as a massage therapist, for training the employer's

10-26    employees and for which no tuition is charged to the employees; or

10-27                (3)  a trade, business, or professional organization

 11-1    that sponsors a course of instruction for members or guests of the

 11-2    organization at a meeting or convention if the course is not

 11-3    offered for a fee [a school approved by the Central Education

 11-4    Agency or that is otherwise approved by the state; or]

 11-5                [(3)  an instructor who is otherwise approved by the

 11-6    state to teach in an area of study included in the required course

 11-7    of instruction].

 11-8          SECTION 6.  Sections 7(a), (b), (d), (e), and (f), Chapter

 11-9    752, Acts of the 69th Legislature, Regular Session, 1985 (Article

11-10    4512k, Vernon's Texas Civil Statutes), are amended to read as

11-11    follows:

11-12          (a)  The board[, with the advice of the advisory council,]

11-13    shall adopt rules consistent with this Act, including rules

11-14    relating to the definition of "unprofessional conduct" as that term

11-15    is used by Section 11(a)(4) of this Act, as necessary for the

11-16    performance of its duties under this Act. The board shall adopt the

11-17    rules in the manner provided by Chapter 2001, Government Code [the

11-18    Administrative Procedure and Texas Register Act (Article 6252-13a,

11-19    Vernon's Texas Civil Statutes)].

11-20          (b)  The department shall administer this Act and may adopt

11-21    fees for those regulated by this Act in amounts necessary to cover

11-22    the costs of administering this Act.

11-23          (d)  The department shall prepare and administer a state

11-24    examination as required to implement this Act.  The department may

11-25    hire examiners [with the recommendation of the advisory council].

11-26    An examiner is entitled to compensation and the state per diem

11-27    allowance as set by the General Appropriations Act for

 12-1    transportation and related expenses incurred by the examiner in

 12-2    engaging in the business of the department.

 12-3          (e)  [The board and department shall cooperate with the

 12-4    advisory council in the administration of this Act, and shall make

 12-5    available to the advisory council reports, statistical information,

 12-6    and other information as reasonably necessary for the advisory

 12-7    council to perform its duties under this Act.]

 12-8          [(f)]  The department shall regulate all massage school and

 12-9    independent massage therapy instructor hours offered as part of the

12-10    300-hour course of instruction required for registration as a

12-11    massage therapist.

12-12          SECTION 7.  Section 7C, Chapter 752, Acts of the 69th

12-13    Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

12-14    Civil Statutes), is amended to read as follows:

12-15          Sec. 7C.  BOARD RULES FOR INDEPENDENT [A] MASSAGE THERAPY

12-16    INSTRUCTORS [INSTRUCTOR].  The board rules relating to an

12-17    independent [a] massage therapy instructor must contain minimum

12-18    standards for:

12-19                (1)  the issuance, denial, renewal, suspension,

12-20    revocation, or probation of a registration under this Act;

12-21                (2)  the qualifications of an independent [a] massage

12-22    therapy instructor;

12-23                (3)  the supervision of a student by an independent [a]

12-24    massage therapy instructor;

12-25                (4)  the maximum number of hours a student may

12-26    accumulate in an internship program under the supervision of an

12-27    independent [a] massage therapy instructor without being required

 13-1    to be registered under this Act;

 13-2                (5)  the equipment essential to the education, health,

 13-3    and safety of students and the public;

 13-4                (6)  the sanitary and hygienic conditions of the

 13-5    physical environment in which an independent [a] massage therapy

 13-6    instructor teaches;

 13-7                (7)  the provision of massage therapy by a student or

 13-8    an independent [a] massage therapy instructor;

 13-9                (8)  the educational and clinical records kept by an

13-10    independent [a] massage therapy instructor;

13-11                (9)  the curriculum taught and educational material

13-12    used by an independent [a] massage therapy instructor;

13-13                (10)  the inspection of the records, equipment, and

13-14    physical environment of an independent [a] massage therapy

13-15    instructor;  and

13-16                (11)  any other aspect of an independent [a] massage

13-17    therapy instructor's instruction or operation of any portion of the

13-18    course of instruction required for registration as a massage

13-19    therapist.

13-20          SECTION 8.  Section 11, Chapter 752, Acts of the 69th

13-21    Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

13-22    Civil  Statutes), is amended to read as follows:

13-23          Sec. 11.  REGISTRATION, DENIAL, PROBATION, SUSPENSION, OR

13-24    REVOCATION.  (a)  The department may refuse to issue a registration

13-25    certificate to an applicant, may suspend or revoke a registration

13-26    certificate, or may place a registered person, including a massage

13-27    school, an independent massage therapy instructor, a massage

 14-1    therapy instructor, or a massage establishment, on probation for

 14-2    any of the  following causes:

 14-3                (1)  obtaining a certificate by means of fraud,

 14-4    misrepresentation, or concealment of material facts;

 14-5                (2)  selling, bartering, or offering [offer] to sell or

 14-6    barter a registration certificate;

 14-7                (3)  violating any rule adopted by the board;

 14-8                (4)  engaging in unprofessional conduct that has

 14-9    endangered or is likely to endanger the health, welfare, or safety

14-10    of the public as defined by the rules established by the board;

14-11                (5)  violating a regulation adopted by a political

14-12    subdivision under Chapter 243, Local Government Code;  [or]

14-13                (6)  violating any provisions of this Act;

14-14                (7)  using drugs or alcohol to an extent that affects

14-15    professional competence;

14-16                (8)  having been convicted of, entered a plea of no

14-17    contest or guilty to, or received deferred adjudication or

14-18    community supervision for an offense involving prostitution or

14-19    another sexual offense;

14-20                (9)  in the case of a massage school, having conduct

14-21    occur on the premises of the school of which the owner or operator

14-22    of the massage school knew or had reason to know that results in a

14-23    person's conviction for, a plea of no contest or guilty to, or the

14-24    receipt of deferred adjudication or community supervision for an

14-25    offense involving prostitution or another sexual offense;

14-26                (10)  having a certificate of registration, license, or

14-27    other professional permit issued by another jurisdiction denied,

 15-1    revoked, suspended, or subjected to other disciplinary action;

 15-2                (11)  being judged mentally incompetent by a court of

 15-3    competent jurisdiction; or

 15-4                (12)  knowingly providing, or offering to provide,

 15-5    diagnosis, or the treatment of illness, injury, or disease.

 15-6          (b)  In determining whether a conviction, plea, deferred

 15-7    adjudication, or community supervision under Subsection (a)(8) or

 15-8    (a)(9) of this section shall be the basis to deny, probate,

 15-9    suspend, or revoke a certificate of registration, the department

15-10    shall consider:

15-11                (1)  the seriousness of the crime;

15-12                (2)  the relationship of the crime to the purpose for

15-13    requiring a registration certificate;

15-14                (3)  the extent to which holding a registration

15-15    certificate may offer an opportunity to engage in further criminal

15-16    activity of the same type in which the person was previously

15-17    involved; and

15-18                (4)  the relationship of the crime to the ability,

15-19    capacity, or fitness required to act as a massage therapist,

15-20    independent massage therapy instructor, massage therapy instructor,

15-21    or massage school.

15-22          (c)  In addition to the factors considered under Subsection

15-23    (b) of this section, the department, in determining the fitness of

15-24    a person under Subsection (a)(8) or (a)(9) of this section, shall

15-25    consider the following:

15-26                (1)  the extent and nature of the person's past

15-27    criminal activity;

 16-1                (2)  the age of the person at the time of the crime;

 16-2                (3)  the amount of time that has elapsed since the

 16-3    person's last criminal activity;

 16-4                (4)  the conduct and work activity of the person before

 16-5    and after the criminal activity;

 16-6                (5)  evidence of the person's rehabilitation or efforts

 16-7    at rehabilitation while incarcerated or after release; and

 16-8                (6)  other evidence of the person's present fitness,

 16-9    including letters of recommendation from prosecution, law

16-10    enforcement, and correctional officers who prosecuted, arrested, or

16-11    had custodial responsibility for the person or the sheriff, chief

16-12    of police where the person resides, or any other person.

16-13          (d)  It is the responsibility of the applicant or registrant,

16-14    to the extent possible, to provide to the department the

16-15    recommendations of prosecution, law enforcement, and correctional

16-16    authorities.  The applicant or registrant shall also furnish proof

16-17    in the form required by the department that the person has

16-18    maintained a record of steady employment, has supported the

16-19    person's dependents, has maintained a record of good conduct, and

16-20    has paid all outstanding court costs, supervision fees, fines, and

16-21    restitution ordered in any criminal case.

16-22          (e)  A conviction, a plea, deferred adjudication, or

16-23    community supervision may be considered by the department under

16-24    Subsection (a)(8) or (a)(9) of this section notwithstanding

16-25    Sections 5(c) and 20(a), Article 42.12, Code of Criminal Procedure

16-26    [An individual who has been convicted of, entered a plea of nolo

16-27    contendere or guilty to, or received deferred adjudication to

 17-1    crimes or offenses involving prostitution or sexual offenses is

 17-2    ineligible for registration as a massage therapist, massage therapy

 17-3    instructor, massage school, or massage establishment. The

 17-4    department shall revoke the registration of a person registered as

 17-5    a massage therapist or massage therapy instructor who is convicted

 17-6    of, enters a plea of nolo contendere or guilty to, or receives

 17-7    deferred adjudication to a crime or offense involving prostitution

 17-8    or other sexual offenses, or who the department determines has

 17-9    practiced or administered massage therapy at or for a sexually

17-10    oriented business.  The department shall revoke the registration of

17-11    a person registered as a massage school or massage establishment if

17-12    the department determines that the school or establishment is a

17-13    sexually oriented business, or that a crime or offense involving

17-14    prostitution or other sexual offenses and resulting in a

17-15    conviction, or to which a plea of nolo contendere or guilty was

17-16    entered or deferred adjudication was received, has occurred on the

17-17    premises of the school or establishment].

17-18          (f) [(c)]  A person whose application for registration is

17-19    denied, or whose registration is placed on probation, suspended, or

17-20    revoked is entitled to a hearing before the department if the

17-21    person submits a written request to the department.  Hearings are

17-22    governed by department rules for a contested hearing and by Chapter

17-23    2001, Government Code [the Administrative Procedure and Texas

17-24    Register Act (Article 6252-13a, Vernon's Texas Civil Statutes)].

17-25          [(d)  A person convicted of a violation of this Act is

17-26    ineligible for registration as a massage therapist, massage therapy

17-27    instructor, massage school, or massage establishment for a period

 18-1    of five years.]

 18-2          SECTION 9.  Chapter 752, Acts of the 69th Legislature,

 18-3    Regular Session, 1985 (Article 4512k, Vernon's Texas Civil

 18-4    Statutes), is amended by adding Section 11A to read as follows:

 18-5          Sec. 11A.  ADMINISTRATIVE PENALTY.  (a)  The department may

 18-6    impose an administrative penalty against a person registered under

 18-7    this Act who violates this Act or a rule or order adopted under

 18-8    this Act.

 18-9          (b)  The penalty for a violation may be in an amount not to

18-10    exceed $1,000.  Each day that a violation continues or occurs is a

18-11    separate violation for the purposes of imposing a penalty.

18-12          (c)  The amount of the penalty shall be based on:

18-13                (1)  the seriousness of the violation, including the

18-14    nature, circumstances, extent, and gravity of any prohibited acts,

18-15    and the hazard or potential hazard created to the health, safety,

18-16    or welfare of the public;

18-17                (2)  the history of any previous violations;

18-18                (3)  the amount necessary to deter future violations;

18-19                (4)  efforts to correct the violation; and

18-20                (5)  any other matter that justice may require.

18-21          (d)  If the department determines that a violation has

18-22    occurred, the department may issue a report to the commissioner

18-23    that states the facts on which the determination is based.  The

18-24    department shall make a recommendation on the imposition of a

18-25    penalty, including a recommendation on the amount of the penalty.

18-26          (e)  Within 14 days after the date on which the report is

18-27    issued, the department shall give written notice of the report to

 19-1    the person who committed the alleged violation.  The notice may be

 19-2    given by certified mail.  The notice must include a brief summary

 19-3    of the alleged violation and a statement of the amount of the

 19-4    recommended penalty and must inform the person that the person has

 19-5    a right to a hearing on the occurrence of the violation, the amount

 19-6    of the penalty, or both the occurrence of the violation and the

 19-7    amount of the penalty.

 19-8          (f)  Within 20 days after the date the person receives the

 19-9    notice, the person in writing may accept the determination and

19-10    recommended penalty of the department or may make a written request

19-11    for a hearing on the occurrence of the violation, the amount of the

19-12    penalty, or both the occurrence of the violation and the amount of

19-13    the penalty.

19-14          (g)  If the person accepts the determination and recommended

19-15    penalty of the department, the department shall issue an order and

19-16    impose the recommended penalty.

19-17          (h)  If the person requests a hearing or fails to respond

19-18    timely to the notice, the department shall set a hearing and give

19-19    notice of the hearing to the person.  The hearing shall be held by

19-20    an administrative law judge of the State Office of Administrative

19-21    Hearings.  The administrative law judge shall make findings of fact

19-22    and conclusions of law and promptly issue to the department a

19-23    proposal for a decision about the occurrence of the violation and

19-24    the amount of the penalty.  Based on the findings of fact,

19-25    conclusions of law, and proposal for a decision, the department by

19-26    order may find that a violation has occurred and impose a penalty

19-27    or may find that no violation occurred.

 20-1          (i)  The notice of the department's order given to the person

 20-2    under Chapter 2001, Government Code, must include a statement of

 20-3    the right of the person to judicial review of the order.

 20-4          (j)  Within 30 days after the date the department's order is

 20-5    final as provided by Section 2001.144, Government Code, the person

 20-6    shall:

 20-7                (1)  pay the amount of the penalty;

 20-8                (2)  pay the amount of the penalty and file a petition

 20-9    for judicial review contesting the occurrence of the violation, the

20-10    amount of the penalty, or both the occurrence of the violation and

20-11    the amount of the penalty; or

20-12                (3)  without paying the amount of the penalty, file a

20-13    petition for judicial review contesting the occurrence of the

20-14    violation, the amount of the penalty, or both the occurrence of the

20-15    violation and the amount of the penalty.

20-16          (k)  Within the 30-day period, a person who acts under

20-17    Subsection (j)(3) of this section may:

20-18                (1)  stay enforcement of the penalty by:

20-19                      (A)  paying the amount of the penalty to the

20-20    court for placement in an escrow account; or

20-21                      (B)  giving to the court a supersedeas bond

20-22    approved by the court for the amount of the penalty and that is

20-23    effective until all judicial review of the department's order is

20-24    final; or

20-25                (2)  request the court to stay enforcement of the

20-26    penalty by:

20-27                      (A)  filing with the court a sworn affidavit of

 21-1    the person stating that the person is financially unable to pay the

 21-2    amount of the penalty and is financially unable to give the

 21-3    supersedeas bond; and

 21-4                      (B)  giving a copy of the affidavit to the

 21-5    department by certified mail.

 21-6          (l)  If the department receives a copy of an affidavit under

 21-7    Subsection (k)(2) of this section, the department may file with the

 21-8    court within five days after the date the copy is received a

 21-9    contest to the affidavit.  The court shall hold a hearing on the

21-10    facts alleged in the affidavit as soon as practicable and shall

21-11    stay the enforcement of the penalty on finding that the alleged

21-12    facts are true.  The person who files an affidavit has the burden

21-13    of proving that the person is financially unable to pay the amount

21-14    of the penalty and to give a supersedeas bond.

21-15          (m)  If the person does not pay the amount of the penalty and

21-16    the enforcement of the penalty is not stayed, the department may

21-17    refer the matter to the attorney general for collection of the

21-18    penalty.

21-19          (n)  Judicial review of the order of the department:

21-20                (1)  is instituted by filing a petition as provided by

21-21    Section 2001.176, Government Code; and

21-22                (2)  is under the substantial evidence rule.

21-23          (o)  If the court sustains the occurrence of the violation,

21-24    the court may uphold or reduce the amount of the penalty and order

21-25    the person to pay the full or reduced amount of the penalty.  If

21-26    the court does not sustain the occurrence of the violation, the

21-27    court shall order that no penalty is owed.

 22-1          (p)  When the judgment of the court becomes final, the court

 22-2    shall proceed under this subsection.  If the person paid the amount

 22-3    of the penalty and if that amount is reduced or is not upheld by

 22-4    the court, the court shall order that the appropriate amount plus

 22-5    accrued interest be remitted to the person.  The rate of interest

 22-6    is the rate charged on loans to depository institutions by the New

 22-7    York Federal Reserve Bank, and the interest shall be paid for the

 22-8    period beginning on the date the penalty was paid and ending on the

 22-9    date the penalty is remitted.  If the person gave a supersedeas

22-10    bond and if the amount of the penalty is not upheld by the court,

22-11    the court shall order the release of the bond.  If the person gave

22-12    a supersedeas bond and if the amount of the penalty is reduced, the

22-13    court shall order the release of the bond after the person pays the

22-14    amount.

22-15          (q)  A penalty collected under this section shall be remitted

22-16    to the comptroller for deposit in the general revenue fund.

22-17          (r)  All proceedings under this section are subject to

22-18    Chapter 2001, Government Code.

22-19          SECTION 10.  Section 14, Chapter 752, Acts of the 69th

22-20    Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

22-21    Civil Statutes), is amended to read as follows:

22-22          Sec. 14.  EFFECT ON LOCAL REGULATION.  (a)  This [Except as

22-23    provided by  Subsection (b) of this section, this] Act supersedes

22-24    any regulation adopted by a political subdivision of this state

22-25    relating to the licensing or regulation of massage therapists or

22-26    massage establishments.

22-27          (b)  [This Act does not affect:]

 23-1                [(1)  local regulations relating to zoning requirements

 23-2    for massage establishments or other similar regulations;]

 23-3                [(2)  any local regulations that authorize or require

 23-4    an investigation into the background of an owner or operator of, or

 23-5    an investor in, a massage establishment;  or]

 23-6                [(3)  any local regulations that do not relate directly

 23-7    to the practice of massage therapy as performed by a registered

 23-8    massage therapist including those professions listed under Section

 23-9    4 of this Act while performing duties under their respective

23-10    licensing Acts while working with a registered massage therapist.]

23-11          [(c)]  Except as provided by Chapter 243, Local Government

23-12    Code, a political subdivision may not adopt regulations [of the

23-13    type listed in Subsection (b) of this section] that are more

23-14    restrictive for massage therapists or massage establishments than

23-15    for other health care professionals or establishments.

23-16          SECTION 11.  Sections 3, 8, 9, and 16, Chapter 752, Acts of

23-17    the 69th Legislature, Regular Session, 1985 (Article 4512k,

23-18    Vernon's Texas Civil Statutes), are repealed.

23-19          SECTION 12.  (a)  This Act takes effect September 1, 1997.

23-20          (b)  A massage therapy instructor, as that term was defined

23-21    before the effective date of this Act, that taught a course of

23-22    instruction under Chapter 752, Acts of the 69th Legislature,

23-23    Regular Session, 1985 (Article 4512k, Vernon's Texas Civil

23-24    Statutes), independent of a massage school before the effective

23-25    date of this Act, must register as an independent massage therapy

23-26    instructor to continue teaching independently of a massage school

23-27    on or after January 1, 1998.  A person or school required by this

 24-1    Act to be registered under Chapter 752, Acts of the 69th

 24-2    Legislature, Regular Session, 1985 (Article 4512k, Vernon's Texas

 24-3    Civil Statutes), that was previously exempt under Section 4,

 24-4    Chapter 752, Acts of the 69th Legislature, Regular Session, 1985

 24-5    (Article 4512k, Vernon's Texas Civil Statutes), as that section

 24-6    existed before the effective date of this Act, is required to be

 24-7    registered as provided by this Act not later than March 1, 1998.

 24-8          (c)  A rule of the Texas Board of Health adopted under

 24-9    Chapter 752, Acts of the 69th Legislature, Regular Session, 1985

24-10    (Article 4512k, Vernon's Texas Civil Statutes), that is in effect

24-11    on the effective date of this Act remains in effect until the board

24-12    adopts rules under Chapter 752, Acts of the 69th Legislature,

24-13    Regular Session, 1985 (Article 4512k, Vernon's Texas Civil

24-14    Statutes), as amended by this Act, unless the rule is in conflict

24-15    with this Act.

24-16          SECTION 13.  The importance of this legislation and the

24-17    crowded condition of the calendars in both houses create an

24-18    emergency and an imperative public necessity that the

24-19    constitutional rule requiring bills to be read on three several

24-20    days in each house be suspended, and this rule is hereby suspended.