I MINA' TRENTA NA LIHESLATURAN GUAHAN 2009 (FIRST) Regular Session

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I MINA' TRENTA NA LIHESLATURAN GUAHAN 2009 (FIRST) Regular Session Introduced by: Judith T. Won Pat, Ed.~ T.R. Muna B~rnes \ AN ACT TO ADD A NEW ARTICLE 23 TO CHAPTER 12 OF DIVISION 1 OF TITLE 10, GUAM CODE ANNOTATED, RELATIVE TO THE LICENSING OF MASSAGE PRACTITIONERS TO PRACTICE IN GUAM. 1 BE IT ENACTED BY THE PEOPLE OF GUAM: 2 Section 1. A new Article 23 is hereby added to Chapter 12 of 3 Division 1 of Title 10, Guam Code Annotated, to read as follows: 4 "ARTICLE 23. 5 122301. General Provisions. 6 122302. Purpose. 7 122303. Definitions. 8 122304. Exclusions from Practice of Massage. 9 122305. License Requirements. 10 122306. Renewal of Licenses. 11 122307. Application. 12 122308. Evaluation of Application. 13 122309. Denial, Suspension or Revocation of License. 1

1 2 3 4 5 6 122310. 122311. 122312. 122313. 122314. 122315. Massage Practice Rules. Advertisement. Exclusions. Violations and Penalties. Reciprocity. Grandfather Clause. 7 122301. General Provisions. This Article shall be known 8 and may be cited as the 'Massage Practitioner Licensing Act'. 9 122302. Purpose. The purpose of this Article is to 10 promote and to protect the public health, employees, clients, and 11 others within the practice of massage therapy. 12 122303. Definitions. As used in this Article: 13 (1) 'Licensed Massage Practitioner' means a person who 14 administers massage therapy procedures for compensation and 15 who is licensed in Guam to practice massage therapy. The title 16 'Licensed Massage Practitioner' may be applied only to an 17 individual, not to a group, association, partnership, or 18 corporation; 19 (2) A 'Licensure' means the procedure by which a person 20 hereinafter referred to as "practitioner" applies to the Board for 21 approval to practice massage on Guam. It does not constitute for 22 personal or business health certificates, occupancy permits or 23 zoning certificates otherwise required on Guam; 24 (3) 'Massage Therapy' means utilizing at least one (1) or 25 variations of the following procedures applied by manual means: 2

1 touching, tapping, stroking, friction, kneading, vibration, 2 compression, percussion, and energy balancing, to enhance the 3 maintenance of good health and as a complement to other health 4 supportive processes; 5 (4) 'Board' means the Board of Allied Health Examiners; 6 and 7 (5) 'Board Approved Massage School' means a facility or 8 program that meets minimum standards for training and 9 curriculum, including the underlying principles of anatomy, 10 physiology, and other related massage therapy subjects, as 11 determined by the Rules and Regulations of the Board. 12 (6) 'Department' means the Department of Public Health 13 and Social Services. 14 (7) 'Suruhanu or Suruhana' means an individual who 15 heals through massage and the use of traditional chamorro 16 remedies that include the use of root, leaves, bark, plants and 17 grass and incorporates the cultural healing process. 18 122304. Exclusions from Practice of Massage. The 19 practice of Massage Therapy shall not include: 20 (1) The diagnosis or prescribing of treatments for disease 21 or 1n1ury; 22 (2) The adjustment of the articulations of the osseous 23 structures of the body or spine; 3

1 (3) The providing of any service or procedure for which a 2 license to practice medicine or chiropractic or physical therapy or 3 nursing is otherwise required by law; or 4 (4) The providing of any service or procedure for which a 5 license to practice barbering or cosmetology is otherwise required 6 by law. 7 122305. License Requirements. Any person who 8 provides massage therapy services in Guam for compensation 9 must be licensed. Any person is qualified for licensure as a 10 massage practitioner under this Act who: 11 (1) Has completed a course of study at a board-approved 12 massage school or has completed an apprenticeship program that 13 meets standards adopted by the Board; 14 (2) Pay a fee of Eighty Dollars ($80.00), and submit an 15 application in accordance with 122307, and complete all the other 16 requirements of this Article and of the Board. 17 122306. Renewal of Licenses. A Massage Practitioner 18 License shall be renewed by October 1 of every odd numbered 19 year. In order to renew a license to practice massage, a licensee 20 must: 21 (1) Be otherwise eligible for licensure; 22 (2) The Board shall approve the method for renewal 23 which shall include continuing education requirements not to 24 exceed twelve (12) classroom hours. The Board shall establish 25 criteria for the approval of continuing education programs or 4

1 courses. The programs or courses approved by the Board may 2 include correspondence courses that meet the criteria for 3 continuing education courses held in a classroom setting. 4 (3) Pay a license renewal fee of Eighty Dollars ($80.00) and 5 comply with any other administrative requirements of the Board 6 for license renewal. 7 122307. Application. Any person desiring to obtain a 8 Massage Practitioner License or renewal thereof shall make an 9 application to the Board of Allied Health Examiners and shall 10 furnish the following: 11 (1) The full true name and any other names used by the 12 applicant; 13 (2) The present address and telephone number of the 14 applicant; 15 (3) Each residence and business address of the applicant 16 for the three (3) years immediately preceding the date of the 17 application, and the inclusive dates of each address; 18 (4) Written proof that the applicant is at least eighteen (18) 19 years of age; 20 (5) Applicant's height, weight, color of eyes, and hair; 21 (6) Two (2) photographs of the applicant one (1) inch by 22 one (1) inch in size, taken within one (1) month immediately 23 preceding the date of application. One (1) photograph shall be 24 retained by the Board and one (1) photograph affixed to the 25 license; 5

1 (7) Applicant's business, occupation and employment 2 history for the three (3) years immediately preceding the date of 3 application; 4 (8) The business license or permit history of the applicant; 5 whether such applicant has ever had any license or permit issued 6 by an agency or board, city, county, or state revoked or 7 suspended, or has had any professional or vocational license or 8 permit revoked or suspended, and the reason therefore; 9 (9) All criminal convictions, except traffic violations, and a 10 statement of the dates and places of those convictions; 11 (10) The address at which the applicant intends to keep all 12 records of his/her massage practice and receive telephone calls, 13 and the address of any other office or location in which the 14 applicant will ordinarily be available to receive clients for the 15 administration of massage therapy services, as well as the address 16 of any hotel, clinic or other facility, excluding a client's permanent 17 place of residence, where the applicant intends to provide 18 massage services; 19 (11) Proof of successful completion of course of study or 20 apprenticeship program as approved by the Board; and 21 (12) Such other identification and information as may be 22 required by the Board in order to discover the truth of the matters 23 herein specified as required to be set forth in the application. 24 122308. Evaluation of Application. The Board of Allied 25 Health Examiners shall have a reasonable time, not to exceed 6

1 forty-five (45) days, in which to evaluate the application and make 2 any verifications deemed necessary. A Massage Practitioner 3 License shall be issued within that time frame, provided the 4 applicant has furnished all the requested information; and 5 (1) Has not knowingly made a material false statement in 6 the application; 7 (2) Has not within five (5) years immediately preceding 8 the date of the filing of the application been convicted in a court of 9 competent jurisdiction of any offense as a sex offender, or any 10 felony offense involving moral turpitude; 11 (3) All locations where the applicant will be available to 12 receive clients for the administration of massage services qualify 13 for compliance with all applicable laws pertaining to a 14 professional practice, including, but not limited to, health, zoning, 15 fire and safety requirements and standards; 16 (4) The applicant is at least eighteen (18) years of age; 17 (5) The applicant has not had a license to practice massage 18 suspended or revoked for good cause within three (3) years 19 immediately preceding the date of the filing of the application, 20 unless the applicant can show a material change in circumstances 21 or mitigating circumstances exist since the revocation or 22 suspension; and 23 (6) The applicant meets all requirements of this Article. 24 122309. Denial, Suspension or Revocation of License. 25 The Board may refuse to grant, may suspend or revoke a license, 7

1 impose probation and/ or impose civil penalty not to exceed One 2 Thousand Dollars ($1,000.00) for any of the following reasons: 3 (1) Practicing massage therapy or representing one's self 4 as a Massage Practitioner without being licensed; 5 (2) Knowingly or recklessly making any false statement to 6 the Board; 7 (3) Suspension or revocation of a license to practice 8 massage in another state, territory or country based upon acts by 9 the licensee similar to acts described in this Section; 10 (4) Habitual intemperance in the use of intoxicants, drugs, 11 or controlled substances to such an extent as to impair the 12 licensee's abilities to perform professional duties in a safe manner; 13 or 14 (5) Any conduct or practice contrary to recognized 15 standards of ethics of the massage profession. 16 122310. Massage Practice Rules. Massage Practitioners 17 must adhere to the following rules: 18 (1) When giving a body massage and a portable or regular 19 massage table is utilized, it must be kept clean, in good repair and 20 covered with impervious materials that are cleanable. When 21 giving a body massage without a massage table, impervious 22 sheeting shall cover, full length, all tables, mattresses or pads, 23 directly under fresh sheets and linens; 24 (2) Conform to rules for communicable disease control as 25 provided by the Department of Public Health and Social Services; 8

1 (3) When external baths are part of the practice, 2 equipment provided by the massage technician must be clean and 3 disinfected prior to each individual usage; 4 ( 4) Hot towels, when provided, must conform to rules for 5 linen as provided by the Department of Public Health and Social 6 Services; 7 8 (5) Electrical equipment must be UL approved; and (6) Standard Code of Conduct of Massage Therapy 9 Profession. 10 122311. Advertisement. It shall be unlawful to advertise 11 the practice of massage using the term massage or any other term 12 that implies a massage technique or method in any public or 13 private publication or communication which shall include any 14 signage on any building that advertises the practice of massage by 15 a person not licensed by the Board as a massage practitioner. Any 16 person who holds a license to practice as a massage practitioner in 17 this territory may use the title "licensed massage practitioner" and 18 the abbreviation "L.M.P.". No other persons may assume such 19 titles or use such abbreviation or any other word, letters, signs or 20 figures to indicate that the person using the title is a licensed 21 massage practitioner. 22 122312. Exclusions. The requirements of this Article 23 shall not apply to: 24 (1) Any person practicing a health occupation in Guam, 25 while engaged in the licensed occupation; 9

1 (2) Any barber or cosmetologist licensed in Guam, while 2 engaged in the licensed occupation; 3 (3) Any athletic trainer/ athletic coach while performing 4 his/her normal duties for a sports team or organized sports event; 5 (4) Any Massage Practitioner invited to Guam to 6 participate in an organized sports event, which has the sanction in 7 Guam, or a recognized institution within Guam while performing 8 massage therapy as a part of that event; or 9 (5) Any person who is locally recognized as a 'Suruhanu' 10 or 'Suruhana' and uses traditional healing methods. 11 122313. Violations and Penalties. Any person, firm or 12 corporation violating any of the provisions of this Chapter shall be 13 deemed guilty of a misdemeanor and, upon conviction thereof, 14 shall be fined not less than Fifty Dollars ($50.00), and not more 15 than One Thousand Dollars ($1,000.00) for each offense, and for 16 the purposes of this Chapter, a separate offense shall be deemed to 17 be committed on each day during which a violation occurs or 18 continues. It is further unlawful for a person, firm or corporation 19 to permit an employed person to practice massage unless duly 20 licensed as provided herein. 21 Section 122314. Reciprocity. An applicant holding a license 22 in the U.S. or its territories may be granted a license if, in the 23 opinion of the Board the educational requirements are 24 substantially equivalent to Guam's. The applicant must 10

1 demonstrate to the satisfaction of the Board a working knowledge 2 of Guam law pertaining to the practice of massage. 3 Section 123315. Grandfather Clause. Any individual who 4 has been practicing the art of massage prior to the implementation 5 of this Act shall be grandfathered and allowed a license by the 6 Board; provided that the Board shall by examination determine 7 whether the applicant possess the minimum skill and knowledge 8 necessary to practice competently which shall include, but not 9 limited to anatomy, kinesiology, physiology, pathology, principles 10 of human behavior, massage theory and practice, hydrotherapy, 11 hygiene and first aid. " 12 Section 2. The Board of Allied Health Examiners shall promptly 13 make all necessary preparations for the implementation of this Act, 14 including the preparation of application forms, and the promulgation of 15 any Rules and Regulations pursuant to the Administrative Adjudication 16 Law that the Board deems necessary in order to implement this Act. 17 Section 3. Effective Date. This Act shall become effective one (1) 18 year after enactment. 19 Section 4. Severability. If any prov1s10n of this Act or its 20 application to any person or circumstance is held invalid, the invalidity 21 does not affect other provisions or applications of this Act which can be 22 given effect without the invalid provision or application, and to this end 23 the provisions of this Act are severable. 11