79R6990 YDB-F

By:  Delisi                                                       H.B. No. 1842


A BILL TO BE ENTITLED
AN ACT
relating to the licensing and regulation of massage therapists; providing a penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Sections 455.001(1), (2), (3), and (6), Occupations Code, are amended to read as follows: (1) ["Board" means the Texas Board of Health. [(2)] "Department" means the [Texas] Department of State Health Services. (2) "Executive commissioner" means the executive commissioner of the Health and Human Services Commission. (3) "Instructor" means a person who instructs a student in any section of the course of instruction required for issuance of [registration as] a massage therapist license or certificate of registration. (6) "Massage school" means an entity that: (A) teaches at a minimum the course of instruction required for issuance of [registration as] a massage therapist license or certificate of registration; and (B) has at least two instructors. SECTION 2. Section 455.004, Occupations Code, is amended to read as follows: Sec. 455.004. APPLICABILITY OF CHAPTER. This chapter does not apply to: (1) a person licensed in this state as a physician, chiropractor, physical therapist, nurse, cosmetologist, or athletic trainer or as a member of a similar profession subject to state licensing while the person is practicing within the scope of the license; (2) a school approved by the Texas Education Agency or otherwise approved by the state; or (3) an instructor otherwise approved by the state to teach in an area of study included in the required course of instruction for issuance of [registration as] a massage therapist license or certificate of registration. SECTION 3. The heading to Subchapter B, Chapter 455, Occupations Code, is amended to read as follows:
SUBCHAPTER B. POWERS AND DUTIES OF EXECUTIVE COMMISSIONER AND DEPARTMENT [BOARD]
SECTION 4. Section 455.051, Occupations Code, is amended to read as follows: Sec. 455.051. GENERAL RULEMAKING AUTHORITY. The executive commissioner [board] shall adopt rules consistent with this chapter as necessary for the performance of the department's [its] duties under this chapter. SECTION 5. Sections 455.053-455.057, Occupations Code, are amended to read as follows: Sec. 455.053. RULES REGARDING MASSAGE SCHOOLS. Rules adopted under this chapter relating to a massage school must contain minimum standards for: (1) the issuance, denial, renewal, suspension, revocation, or probation of a certificate of registration under this chapter; (2) the qualifications of professional personnel; (3) the supervision of professional personnel; (4) the equipment essential to the education, health, and safety of students, massage school personnel, and the public; (5) the sanitary and hygienic conditions of a massage school; (6) the provision of massage therapy by a massage school or student; (7) the maximum number of hours a student may accumulate in a massage school's internship program before the student is required to obtain a license or certificate of registration [register] under this chapter; (8) the educational and clinical records kept by a massage school; (9) the organizational structure of a massage school, including the lines of authority and the delegation of responsibility; (10) fire prevention and safety in a massage school; (11) the massage school's curriculum and educational material; (12) massage school inspections; and (13) any other aspect of the operation of a massage school that the department [board] considers necessary to protect students, massage school personnel, or the public. Sec. 455.054. RULES REGARDING MASSAGE THERAPISTS. Rules adopted under this chapter relating to a massage therapist must contain minimum standards for: (1) the issuance, denial, renewal, suspension, revocation, or probation of a license or certificate of registration under this chapter; (2) the qualifications of a massage therapist; (3) the sanitary and hygienic conditions of the physical environment in which a massage therapist practices massage therapy; (4) the records kept by a massage therapist; (5) the inspection of the records, equipment, and sanitary and hygienic conditions of the physical environment used by a massage therapist in practicing massage therapy; and (6) any other aspect of the practice of a massage therapist necessary to protect the public. Sec. 455.055. RULES REGARDING MASSAGE THERAPY INSTRUCTORS. Rules adopted under this chapter relating to a massage therapy instructor must contain minimum standards for: (1) the issuance, denial, renewal, suspension, revocation, or probation of a license or certificate of registration under this chapter; (2) the qualifications of a massage therapy instructor; (3) the supervision of a student by a massage therapy instructor; (4) the maximum number of hours a student may accumulate in an internship program under the supervision of a massage therapy instructor before the student is required to obtain a license or certificate of registration [register] under this chapter; (5) the equipment essential to the education, health, and safety of students and the public; (6) the sanitary and hygienic conditions of the physical environment in which a massage therapy instructor teaches; (7) the provision of massage therapy by a student or a massage therapy instructor; (8) the educational and clinical records kept by a massage therapy instructor; (9) the curriculum taught and educational material used by a massage therapy instructor; (10) the inspection of the records, equipment, and physical environment of a massage therapy instructor; and (11) any other aspect of a massage therapy instructor's instruction or operation of any portion of the course of instruction required for the issuance of [registration as] a massage therapist license. Sec. 455.056. RULES REGARDING ADVERTISING OR COMPETITIVE BIDDING BY LICENSE OR CERTIFICATE HOLDER [REGISTRANT]. (a) The executive commissioner [board] may not adopt rules restricting advertising or competitive bidding by a person licensed or registered under this chapter except to prohibit false, misleading, or deceptive practices. (b) In the [its] rules to prohibit false, misleading, or deceptive practices, the executive commissioner [board] may not include a rule that: (1) restricts the use of any medium for advertising; (2) restricts the use of a licensed or registered person's personal appearance or voice in an advertisement; (3) relates to the size or duration of an advertisement by the licensed or registered person; or (4) restricts the licensed or registered person's advertisement under a trade name. Sec. 455.057. CONTINUING EDUCATION. The department [board] shall recognize, prepare, or administer continuing education programs for persons licensed or registered under this chapter. A licensed or registered person must participate in the programs to the extent required by the department [board] to keep the person's license or certificate of registration. SECTION 6. Section 455.104, Occupations Code, is amended to read as follows: Sec. 455.104. INSPECTIONS; INVESTIGATIONS. The department or its authorized representative may enter the premises of an applicant for a license or certificate of registration or a license or certificate holder at: (1) reasonable times to conduct an inspection incidental to the issuance of a license or certificate of registration; and (2) other times that the department considers necessary to ensure compliance with this chapter and the rules adopted under this chapter. SECTION 7. The heading to Subchapter D, Chapter 455, Occupations Code, is amended to read as follows:
SUBCHAPTER D. LICENSING AND REGISTRATION
SECTION 8. Sections 455.151-455.154, Occupations Code, are amended to read as follows: Sec. 455.151. LICENSE OR REGISTRATION REQUIRED. (a) Unless the person is exempt from the licensing or registration requirement, a person may not act as a massage therapist, massage school, massage therapy instructor, or massage establishment unless the person holds an appropriate license or certificate of registration issued under this chapter. (b) Unless the person is exempt from the licensing or registration requirement, a person may not represent that the person is: (1) a licensed massage therapist unless the person holds a license under this chapter; or (2) a registered massage therapist unless the person holds a certificate of registration under this chapter. Sec. 455.152. INELIGIBILITY FOR LICENSE OR REGISTRATION. (a) A person is not eligible for licensing or registration as a massage establishment, massage school, massage therapist, or massage therapy instructor if the person is an individual and has been convicted of, entered a plea of nolo contendere or guilty to, or received deferred adjudication for an offense involving prostitution or another sexual offense. (b) A person convicted of a violation of this chapter is ineligible for licensing or registration as a massage establishment, massage school, massage therapist, or massage therapy instructor until the fifth anniversary of the date of the conviction. Sec. 455.153. APPLICATION [FOR REGISTRATION]. An applicant for licensing or registration under this chapter must: (1) submit an application form provided by the department; [and] (2) include with the application the application fee set by the department; and (3) for a massage therapist applicant, submit proof the applicant has successfully completed the requirements of Section 455.1555 or 455.156. Sec. 455.154. GENERAL PROVISIONS RELATING TO LICENSING AND REGISTRATION. (a) The holder of a license or certificate of registration may exercise all professional rights, honors, and privileges relating to the practice of massage therapy. (b) A license or certificate of registration is the property of the department and must be surrendered on demand. SECTION 9. Sections 455.155(b) and (c), Occupations Code, are amended to read as follows: (b) A licensed or registered massage therapist who practices as a solo practitioner is not required to register as a massage establishment. (c) The executive commissioner [board] by rule shall provide for a fair and reasonable procedure to grant exemptions from the licensing or registration requirements of this section. The rules must provide that a person is exempt if the person shows that the advertising or provision of massage therapy services is incidental to the person's primary enterprise. SECTION 10. Subchapter D, Chapter 455, Occupations Code, is amended by adding Section 455.1555 to read as follows: Sec. 455.1555. REQUIREMENTS FOR LICENSED MASSAGE THERAPIST. (a) The department shall issue a massage therapist license to each qualified applicant. (b) An applicant for licensing under this section must be an individual and: (1) present evidence satisfactory to the department that the person: (A) has satisfactorily completed massage therapy studies in a supervised course of instruction of at least 500 hours provided by a massage therapy instructor, a registered massage school, a state-approved educational institution, or any combination of instructors or schools, in which: (i) at least 200 hours are taught by a massage therapy instructor and are dedicated to the study of massage therapy techniques, theory, and practice and manipulation of soft tissue by hand or through the use of a mechanical or electrical apparatus, with at least 75 hours dedicated to Swedish massage techniques, and may include the study of Eastern techniques and theory; (ii) at least 165 hours are dedicated to the study of anatomy, kinesiology, physiology, and pathology and may include Eastern physiology; (iii) at least 25 hours are dedicated to the study of hydrotherapy; (iv) at least 20 hours are dedicated to the study of business practice standards; (v) at least 10 hours are dedicated to the study of professional ethics; (vi) at least 20 hours are dedicated to the study of health and hygiene; (vii) at least 40 hours are spent in an internship program, provided that the hours spent in an internship program may not exceed 15 percent of the total program hours; and (viii) at least 20 hours are dedicated to topics related to the massage profession; or (B) has practiced massage therapy as a profession for at least five years in another state or country that the department determines does not maintain standards and requirements of practice and licensing or registration that substantially conform to the standards and requirements of this state; and (2) pass the state-approved examination. SECTION 11. Section 455.156, Occupations Code, is amended to read as follows: Sec. 455.156. [REGISTRATION] REQUIREMENTS FOR REGISTERED MASSAGE THERAPIST. (a) The department shall issue a certificate of registration to each qualified applicant for registration as a registered massage [message] therapist. (b) An applicant for registration under this section must be an individual and: (1) present evidence satisfactory to the department [board] that the person: (A) has satisfactorily completed massage therapy studies in a 300-hour, supervised course of instruction provided by a massage therapy instructor, a registered massage school, a state-approved educational institution, or any combination of instructors or schools, in which: (i) 125 hours are dedicated to the study of Swedish massage therapy techniques and taught by a massage therapy instructor; (ii) 50 hours are dedicated to the study of anatomy; (iii) 25 hours are dedicated to the study of physiology; (iv) 15 hours are dedicated to the study of hydrotherapy; (v) 15 hours are dedicated to the study of business practices and professional ethics standards; (vi) 20 hours are dedicated to the study of health and hygiene; and (vii) 50 hours are spent in an internship program; or (B) has practiced massage therapy as a profession for not less than five years in another state or country that the department determines does not maintain standards and requirements of practice and licensing or registration that substantially conform to the standards and requirements of this state; and (2) pass the practical and written portions of the state examination. SECTION 12. Sections 455.1565(a) and (d), Occupations Code, are amended to read as follows: (a) Not later than the 30th day after the date a person takes a licensing or registration examination under this chapter, the department shall notify the person of the results of the examination. (d) If requested in writing by a person who fails a licensing or registration examination administered under this chapter, the department shall furnish the person with an analysis of the person's performance on the examination. SECTION 13. Sections 455.1571, 455.1572, and 455.158, Occupations Code, are amended to read as follows: Sec. 455.1571. APPLICANT LICENSED OR REGISTERED IN ANOTHER JURISDICTION. (a) The department [board] may waive any prerequisite to obtaining a license or certificate of registration for an applicant for licensing or registration as a massage therapist or massage therapy instructor after reviewing the applicant's credentials and determining that the applicant holds a license or certificate of registration issued by another jurisdiction that has licensing or registration requirements substantially equivalent to those of this state. (b) The department [board] may waive any prerequisite to obtaining a license or certificate of registration for an applicant for licensing or registration as a massage therapist or massage therapy instructor who holds a license or certificate of registration issued by another jurisdiction with which this state has a reciprocity agreement. The department [board] may make an agreement, subject to the approval of the governor, with another state to allow for licensing or registration by reciprocity. Sec. 455.1572. PROVISIONAL LICENSE OR REGISTRATION. (a) The department [board] may issue a provisional license or certificate of registration to an applicant for licensing or registration as a massage therapist or massage therapy instructor currently licensed or registered in another jurisdiction who seeks a license or certificate of registration in this state and who: (1) has been licensed or registered in good standing as a massage therapist or massage therapy instructor, as applicable, for at least two years in another jurisdiction, including a foreign country, that has licensing or registration requirements substantially equivalent to the requirements of this chapter; (2) has passed a national or other examination recognized by the department [board] relating to the practice of massage therapy; and (3) is sponsored by a person licensed or registered by the department [board] under this chapter with whom the provisional license or certificate holder [registrant] will practice during the time the person holds a provisional license or certificate of registration. (b) The department [board] may waive the requirement of Subsection (a)(3) for an applicant if the department [board] determines that compliance with that subsection would be a hardship to the applicant. (c) A provisional license or certificate of registration is valid until the date the department [board] approves or denies the license or certificate holder's application for licensing or registration. The department [board] shall issue a license or certificate of registration under this chapter to the provisionally licensed or registered person if the person: (1) is eligible for a license or certificate of registration under Section 455.1571; or (2) passes the part of the examination under Section 455.101 that relates to the applicant's knowledge and understanding of the laws and rules relating to the practice of massage therapy in this state and: (A) the department [board] verifies that the person meets the academic and experience requirements for licensing or registration under this chapter; and (B) the person satisfies any other licensing or registration requirements under this chapter. (d) The department [board] must approve or deny a provisionally licensed or registered person's application for a license or certificate of registration not later than the 180th day after the date the provisional license or certificate of registration is issued. The department [board] may extend the 180-day period if the results of an examination have not been received by the department [board] before the end of that period. (e) The department [board] may establish a fee for a provisional license or certificate of registration in an amount reasonable and necessary to cover the cost of issuing the license or certificate of registration. Sec. 455.158. STUDENT EXEMPTION FROM LICENSING OR REGISTRATION REQUIREMENTS. A student who provides massage therapy as part of an internship program or without compensation is exempt from licensing or registration under this chapter if the student is enrolled in a state-approved course of instruction that consists of at least 300 hours. SECTION 14. Sections 455.159(a) and (b), Occupations Code, are amended to read as follows: (a) An internship program must: (1) meet the qualifications established by the department [board]; (2) provide a student with a minimum of 40 hours of hands-on massage therapy experience; and (3) be conducted on the school grounds or in a clinic or classroom setting provided by the massage school or massage therapy instructor. (b) A student must complete at least [the first] 250 hours of required training at a massage school or with a massage therapy instructor that provides to the student a written acknowledgment of the student's successful completion of the required hours before the student is eligible to enter an internship program. SECTION 15. Sections 455.160 and 455.161, Occupations Code, are amended to read as follows: Sec. 455.160. LICENSE OR REGISTRATION RENEWAL. (a) A person licensed or registered under this chapter must periodically renew the person's license or certificate of registration. The license or certificate expires unless the license or certificate holder submits an application for renewal accompanied by the renewal fee prescribed by the department or by the late fee prescribed by this section. (b) The department shall adopt a system under which licenses or certificates of registration expire on various dates during the year. Fees must be prorated so that a licensed or registered person pays only for that part of the renewal period for which the license or registration is issued until the expiration date of the license or registration. (c) A person who is otherwise eligible to renew a license or certificate of registration may renew an unexpired license or registration by paying the required renewal fee to the department before the expiration date of the license or registration. A person whose license or registration has expired may not engage in activities that require a license or registration until the license or registration has been renewed. (d) A person whose license or registration has been expired for 90 days or less may renew the license or registration by paying to the department a renewal fee that is equal to 1-1/2 times the normally required renewal fee. (e) A person whose license or registration has been expired for more than 90 days but less than one year may renew the license or registration by paying to the department a renewal fee that is equal to two times the normally required renewal fee. (f) A person whose license or registration has been expired for one year or more may not renew the license or certificate of registration. The person may obtain a license or certificate of registration [register] by complying with the requirements and procedures, including the examination requirements, for originally licensing or registering. (g) Not later than the 30th day before the date a person's license or certificate of registration is scheduled to expire, the department shall send written notice of the impending expiration to the person at the person's last known address according to the records of the department. Sec. 455.161. RENEWAL OF EXPIRED LICENSE OR REGISTRATION OF OUT-OF-STATE PRACTITIONER. (a) A person who was registered or licensed in this state, moved to another state, and is currently registered or licensed and has been in practice in the other state for the two years preceding the date of application may obtain a certificate of registration or license [register] without reexamination. (b) The person must pay to the department a fee that is equal to two times the normally required renewal fee for a license or certificate of registration. SECTION 16. Sections 455.201 and 455.202, Occupations Code, are amended to read as follows: Sec. 455.201. REFERRAL FROM PHYSICIAN. A person issued a license or certificate of registration may receive referrals from a physician to administer massage therapy. Sec. 455.202. PRACTICE BY MASSAGE ESTABLISHMENT. A massage establishment may employ only licensed or registered massage therapists to perform massage therapy. SECTION 17. Section 455.203(c), Occupations Code, is amended to read as follows: (c) A massage school or massage therapy instructor licensed or registered under this chapter shall give each prospective student a notice that clearly states the number of course hours that the student must successfully complete before the student is eligible to obtain a license or certificate of registration [register] as a massage therapist under this chapter. SECTION 18. Section 455.204, Occupations Code, is amended to read as follows: Sec. 455.204. DISPLAY OF LICENSE OR CERTIFICATE. (a) A person who holds a license or certificate of registration shall publicly display the license or certificate as specified by the department [board]. (b) Each massage establishment must post in plain sight the license or certificate of registration for each massage therapist who practices in the massage establishment. (c) Each massage school, massage establishment, massage therapy instructor, or massage therapist shall present the person's license or certificate of registration on the request of the department, an authorized representative of the department, or a peace officer. SECTION 19. Sections 455.205(b), (c), and (d), Occupations Code, are amended to read as follows: (b) A massage school or a massage therapy instructor may not award a diploma or a certificate of completion to a student that has not successfully completed at least [require the successful completion of more course hours than] the number of course hours required for licensing or registration as a massage therapist under this chapter. (c) A person who is not licensed or registered under this chapter may not use the word "massage" on any form of advertising unless the person is expressly exempt from the licensing or registration requirements of this chapter. (d) A sexually oriented business may not use the term [word] "massage therapy" or "massage therapist" on a sign or any form of advertising. SECTION 20. The heading to Section 455.251, Occupations Code, is amended to read as follows: Sec. 455.251. GROUNDS FOR LICENSE OR REGISTRATION DENIAL OR DISCIPLINARY ACTION. SECTION 21. Sections 455.251(a) and (b), Occupations Code, are amended to read as follows: (a) The department [board] may refuse to issue a license or certificate of registration to a person and shall suspend, revoke, or refuse to renew the license or certificate of registration of a person or shall reprimand a person licensed or registered under this chapter if the person: (1) obtains a license or certificate of registration by fraud, misrepresentation, or concealment of material facts; (2) sells, barters, or offers to sell or barter a license or certificate of registration; (3) violates a rule adopted by the executive commissioner [board]; (4) engages in unprofessional conduct as defined by executive commissioner [board] rule that endangers or is likely to endanger the health, welfare, or safety of the public; (5) violates an order or ordinance adopted by a political subdivision under Chapter 243, Local Government Code; or (6) violates this chapter. (b) The department shall revoke the license or certificate of registration of a person licensed or registered as a massage therapist or massage therapy instructor if: (1) the person is convicted of, enters a plea of nolo contendere or guilty to, or receives deferred adjudication for an offense involving prostitution or another sexual offense; or (2) the department determines the person has practiced or administered massage therapy at or for a sexually oriented business. SECTION 22. Section 455.252(a), Occupations Code, is amended to read as follows: (a) A person whose application for a license or certificate of registration is denied, whose license or certificate of registration is suspended or revoked, or who has been reprimanded is entitled to a hearing before the department if the person submits a written request to the department. SECTION 23. Section 455.253, Occupations Code, is amended to read as follows: Sec. 455.253. PROBATION. The department [board] may place on probation a person, including a massage school, massage therapy instructor, or massage establishment, whose license or certificate of registration is suspended. If a license or certificate of registration suspension is probated, the department [board] may require the person to: (1) report regularly to the department on matters that are the basis of the probation; (2) limit practice to the areas prescribed by the department [board]; or (3) continue or review professional education until the person attains a degree of skill satisfactory to the department [board] in those areas that are the basis of the probation. SECTION 24. Sections 455.254(a) and (b), Occupations Code, are amended to read as follows: (a) The department shall temporarily suspend the license or certificate of registration of a license or certificate holder if the department determines from the evidence or information presented to it that continued practice by the license or certificate holder would constitute a continuing and imminent threat to the public welfare. (b) A license or certificate of registration may be suspended under this section without notice or hearing on the complaint if: (1) action is taken to initiate proceedings for a hearing before the State Office of Administrative Hearings simultaneously with the temporary suspension; and (2) a hearing is held as soon as practicable under this chapter and Chapter 2001, Government Code. SECTION 25. Section 455.304(b), Occupations Code, is amended to read as follows: (b) If the person accepts the department's determination, the executive commissioner [of public health] or the executive commissioner's designee by order shall approve the determination and require the person to pay the recommended penalty. SECTION 26. Section 455.305(b), Occupations Code, is amended to read as follows: (b) The hearings examiner shall: (1) make findings of fact and conclusions of law; and (2) promptly issue to the executive commissioner [of public health] or the executive commissioner's designee a proposal for decision as to the occurrence of the violation, and, if the examiner determines a penalty is warranted, the amount of the proposed administrative penalty. SECTION 27. Section 455.306(a), Occupations Code, is amended to read as follows: (a) Based on the findings of fact, conclusions of law, and recommendations of the hearings examiner, the executive commissioner [of public health] or the executive commissioner's designee by order may determine that: (1) a violation occurred and may impose an administrative penalty; or (2) a violation did not occur. SECTION 28. Section 455.310(b), Occupations Code, is amended to read as follows: (b) The department may assess reasonable expenses and costs against a person in an administrative hearing if, as a result of the hearing, an administrative penalty is assessed against the person. The person shall pay expenses and costs assessed under this subsection not later than the 30th day after the date the order of the executive commissioner [of public health] or the executive commissioner's designee requiring the payment of expenses and costs is final. The department may refer the matter to the attorney general for collection of expenses and costs. SECTION 29. Sections 455.351(a) and (b), Occupations Code, are amended to read as follows: (a) The attorney general, a district or county attorney, or the department may institute an action for injunctive relief to restrain a violation by a person who appears to be in violation of or threatening to violate this chapter or a rule adopted by the executive commissioner [board] under this chapter. (b) The attorney general, a district or county attorney, or the department may institute an action to collect a civil penalty from a person who appears to be in violation of this chapter or a rule adopted by the executive commissioner [board] under this chapter. The amount of a civil penalty shall be not less than $100 or more than $1,000 for each violation. SECTION 30. Section 455.352, Occupations Code, is amended to read as follows: Sec. 455.352. CRIMINAL PENALTIES [PENALTY]. (a) A person commits an offense if the person is required to be licensed or registered under this chapter and the person: (1) knowingly violates Section 455.151, 455.159, 455.202, 455.203(a) or (c), 455.204(b) or (c), or 455.205(a), (b), or (c); or (2) collects a fee or any other form of compensation for massage therapy without being licensed or registered under this chapter. (b) An owner or operator of a massage establishment commits an offense if the person knowingly violates Section 455.151(a), 455.155(d), 455.202, 455.204(b) or (c), or 455.205(c) [or (d)]. (c) An owner or operator of a massage school commits an offense if the person knowingly violates Section 455.151(a), 455.159, 455.203(a) or (c), 455.204(b) or (c), or 455.205(b) or [,] (c)[, or (d)]. (d) Except as provided by Subsections [Subsection] (e) and (f), an offense under this section is a Class C misdemeanor. (e) Except as provided by Subsection (f), if [If] it is shown at the trial of an offense under this section that the defendant has been previously convicted of an offense under this section, the offense is a Class A misdemeanor. (f) A person commits an offense if the person violates Section 455.205(d). An offense under this subsection is a state jail felony. SECTION 31. Sections 455.102 and 455.157, Occupations Code, are repealed. SECTION 32. (a) As soon as practical after the effective date of this Act, the executive commissioner of the Health and Human Services Commission shall adopt the rules necessary to establish the licensing program for licensed massage therapists. (b) As soon as practical after the effective date of this Act, the Department of State Health Services shall adopt the procedures necessary to establish the licensing program for licensed massage therapists. SECTION 33. The change in law made by this Act applies only to an offense committed on or after the effective date of this Act. An offense committed before the effective date of this Act is covered by the law in effect when the offense was committed, and the former law is continued in effect for that purpose. For purposes of this section, an offense was committed before the effective date of this Act if any element of the offense was committed before that date. SECTION 34. This Act takes effect September 1, 2005.