216-RICR-40-05-10. Massage Therapists (version Amendment, 12/10/2012 to 08/05/2018)

RULES AND REGULATIONS FOR LICENSING MASSAGE THERAPISTS (R23-20.8-MA) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Department of Health November 1979 As Amended October 1980 May 1983 March 1993 January 2012 (re-filing in accordance with the provisions of section 42-35-4.1 of the Rhode Island General Laws, as amended) February 1994 September 2012 November 2001 January 2002 (re-filing in accordance with the provisions of section 42-35-4.1 of the Rhode Island General Laws, as amended) March 2002 January 2007 (re-filing in accordance with the provisions of section 42-35-4.1 of the Rhode Island General Laws, as amended) January 2009 i INTRODUCTION These rules and regulations are promulgated pursuant to the authority conferred under section 23-20.8-4 of the General Laws of Rhode Island of, as amended, and are established for the purpose of defining prevailing standards for the licensure of massage therapists consistent with statutory provisions. In accordance with the provisions of section 42-35-3(c) of the General Laws of Rhode Island, as amended, in the development of the regulations, consideration was to: (1) alternative approaches to the regulations; and (2) duplication or overlap with other state regulations. Based on the available information, no known alternative approach, duplication, or overlap was identified. These amended rules and regulations shall supersede any other rules and regulations pertaining to the practice of massage therapy promulgated by the Department of Health and filed with the Secretary of State. ii TABLE OF CONTENTS Page PART I Licensing Requirements For Massage Therapists 1.0 Definitions 1 2.0 License Requirements 2 3.0 Qualifications for Licensure 3 4.0 Application for Licensure and Fee 4 5.0 Issuance and Renewal of License and Fee 4 6.0 Practice of Massage 5 7.0 Denial, Suspension or Revocation of License 6 8.0 Practices and Procedures 6 9.0 Severability 6 1 PART I Licensing Requirements for Massage Therapists Section 1.0 Definitions Wherever used in these rules and regulations the following terms shall be construed as follows: 1.1 “Act” means Chapter 23-20.8 of the Rhode Island General Laws, as amended. 1.2 "Approved school" means any school or institution of learning that is approved by the Commission on Massage Therapy Accreditation (COMTA) or an equivalent academic and training program meeting the requirements of section 3.2 herein as approved by the Director. 1.3 “Department” means the Rhode Island Department of Health. 1.4 “Director” means the Director of the Rhode Island Department of Health. 1.5 “Disqualifying information” means information produced by a criminal records review pertaining to conviction, for the following crimes that will result in a letter to the employee and employer disqualifying the applicant from said employment: murder, voluntary manslaughter, involuntary manslaughter, first degree sexual assault, second degree sexual assault, third degree sexual assault, assault on persons sixty (60) years of age or older, child abuse, assault with intent to commit specified felonies (murder, robbery, rape, burglary, or the abominable and detestable crime against nature), felony assault, patient abuse, neglect or mistreatment of patients, burglary, first degree arson, robbery, felony drug offenses, larceny or felony banking law violations. 1.6 "Licensing agency" means the Rhode Island Department of Health. 1.7 "Massage therapist" means a person engaged in the practice of massage who has completed a program in or is certified by a school or institution of learning that is approved by the Commission on Massage Therapy Accreditation (COMTA) or equivalent academic and training program meeting the requirements of section 3.2 herein as approved by the Director, other than a correspondence course, which school or institution has for its purpose the teaching of the theory, practice, method, profession, or work of massage, including at least anatomy, physiology, hygiene and professional ethics, pursuant to the statutory provisions. 1.8 "Person" means any individual, group of individuals, firm, corporation, association, partnership or private or public entity, including a district, county, city, town or other governmental unit or agent thereof, and in the case of a corporation, any individual having active or general supervision of properties of such and corporation. 1.9 “Physical fitness facility” means any bona fide health club which offers or provides facilities for any instruction in controlled exercise, weight lifting, and calisthenics and its gross income from massages is less than ten percent (10%) of the total gross business income derived from all physical fitness sales contracts at any one location. 1.10 "The practice of massage" means engaging in applying a scientific system of activity to the 2 muscular structure of the human body by means of stroking, kneading, tapping and vibrating with the hands or vibrators for the purpose of improving muscle tone and circulation. Section 2.0 License Requirements 2.1 Any individual practicing or offering to practice massage, except persons exempt under the provisions of section 23-20.8-9 of the General Laws of Rhode Island, as amended, and section 2.1.1 herein shall be required to submit evidence that such individual is qualified to practice massage therapy and shall be licensed as herein provided in order to safeguard the general welfare of the public. Persons Exempt 2.1.1 Nothing contained in the Act shall prohibit: (1) The practice of massage by any person who is authorized to practice medicine, nursing, osteopathy, physiotherapy, chiropractic, or podiatry in this state. (2) The practice of that massage which is customarily given in barber shops or beauty parlors for the purpose of beautification by any licensed barber, hairdresser, or cosmetician. (3) The practice of massage by any person employed in a medical institution licensed or chartered by the state or enrolled in a program of a school or institute of massage approved by the board of regents. (4) The practice of massage by any person duly employed as a trainer by a professional athletic association, club, or team, or as a member of the physical education department of an accredited university, college, or high school. (5) The practice of massage by any person in a physical fitness facility operated by a corporation or association organized exclusively for the moral or mental improvement of men, women, or children. 2.2 It shall be unlawful for any individual to practice or to offer to practice massage in this state, or to use any title, abbreviation, sign, card or device, or to indicate that such individual is practicing massage unless such individual has been duly licensed as a massage therapist, in accordance with section 23-20.8-2 of the General Laws of Rhode Island, as amended, and the rules and regulations herein, except those exempted under Chapter 23-20.8 of the General Laws of Rhode Island, as amended and section 2.1.1 herein. 2.2.1 Furthermore, no person, firm, partnership or corporation shall describe its services under the title "massage" or "massage therapy" unless such services are defined in section 23- 20.8-1 of the General Laws of Rhode Island, as amended, and section 1.0 herein, are performed by a person licensed to practice massage hereunder, and if described as "massage therapy", by a massage therapist. 3 Section 3.0 Qualifications For Licensure 3.1 An applicant for a license to practice massage therapy in Rhode Island shall: a) be over eighteen (18) years of age; b) be of good moral character; c) be a graduate of a program in or be certified by a school or institution of learning approved by the Commission on Massage Therapy Accreditation (COMTA) or equivalent academic or training program meeting the requirements of section 3.2 herein. Transcripts shall be sent directly from the school to the Department. d) have successfully completed the National Certification Examination for Therapeutic Massage and Body Work or the National Certification Examination for Therapeutic Massage of the National Certification Board for Therapeutic Massage and Bodywork; or other examination as approved by the Department. Equivalency Program: 3.2 An applicant who has successfully completed educational and practical training preparation in a massage therapy program shall be judged to hold the equivalent academic and training preparation in massage therapy if the applicant has: 3.2.1 Taken an educational program whose purpose was the preparation of massage therapists and that consisted of an organized program of theoretical study and training in either an education institution or school approved and/or accredited by the state or other credentialing body, in which the program is located: 3.2.2 Furthermore, the curriculum shall have consisted of at least five hundred (500) hours which included study and practical training specifically designed to provide knowledge and skills necessary for the practice of massage. The content of the five hundred (500) hour program shall include no less than the following: a) Classroom Hours Subjects (including practical training): 100 (Theory) anatomy/physiology 300 Theory and practice of massage therapy Applied anatomy/ physiology, including 150 hours of the 300 hours to be the practice of massage, as defined in section 1.10. 100 Elective subjects, including first aid and cardiopulmonary resuscitation {CPR}, and any of the following: business practices/law, office procedures, ethics, professionalism. 4 b) Successfully completed the National Certifying Examination for Therapeutic Massage and Body Work of the National Certifying Council for Massage Therapy or the National Certification Examination for Therapeutic Massage; or other examination as approved by the Department. 3.2.3 Correspondence courses shall not be recognized as acceptable equivalents. 3.3 An applicant who has completed a program in a school or institute of massage outside of the United States shall submit evidence of having graduated from a school or institute of massage whose curriculum is substantially equivalent to the requirements of section 3.2 herein and of holding a license to practice massage from a given foreign country, and in addition may be subject to such examination, as may be deemed necessary by the Director. 3.4 A license to practice massage as a massage therapist may be issued to an applicant who has been duly licensed as a massage therapist under the law of another state, if in the opinion of the Director, the applicant meets the qualifications required for massage therapists in this state. Section 4.0 Application for Licensure and Fee 4.1 Application for licensure shall be made on such forms as shall be provided by the licensing agency and shall be accompanied by the following documents: a) For those born in the U.S.: A certified copy of birth certificate; For those born outside the U.S.: Proof of lawful entry into the country. b) a recent passport-type photograph; c) the initial licensure fee as set forth in the Rules and Regulations Pertaining to the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health. d) supporting credentials of education, training, and other requirements of section 3.0 herein; and e) results of a criminal background check. Applicants shall apply to the bureau of criminal identification of the state police or local police department for a nationwide criminal records check. Fingerprinting shall be required. Upon the discovery of any disqualifying information as defined herein, the bureau of criminal identification of the state police or the local police department shall inform the applicant, in writing, of the nature of the disqualifying information. The applicant shall be responsible for payment of the costs of the criminal records check. Section 5.0 Issuance and Renewal of License and Fee 5.1 Upon approval, the licensing agency shall issue a license or renewal thereof, for a period of one (1) year. Said license, unless sooner suspended or revoked, shall expire by limitation on the 30th day of June following its issuance and may be renewed from year to year after approval by the 5 licensing agency, provided the applicant meets the requirements of the rules and regulations herein and the statutory provisions of Chapter 23-20.8 of the General Laws of Rhode Island, as amended. 5.2 An annual license renewal fee as set forth in the Rules and Regulations Pertaining to the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health shall accompany each application for licensure renewal. 5.3 Any licensee who allows his or her license to lapse may have same reinstated by submitting to the licensing agency an application and accompanying documents and fee as required under sections 4.0 and 5.0 herein. Section 6.0 The Practice of Massage 6.1 The license to practice massage authorizes the holder to engage in applying a scientific system of activity as defined in section 1.10 herein and in accordance with the provisions of Chapter 23-20.8 of the General Laws of Rhode Island, as amended. 6.2 Only individuals licensed in Rhode Island under the provisions of Chapter 23-20.8 of the General Laws of Rhode Island, as amended, and the rules and regulations herein, shall practice massage and use the title “Massage Therapist.” No person, firm, partnership or corporation shall describe its services in any manner under the title `massage' unless such services as defined hereunder are performed by a person licensed to practice massage. Only a person licensed under Chapter 23- 20.8 of the Rhode Island General Laws, as amended, and the rules and regulations herein, as a massage therapist may use the title “massage therapist.” 6.3 Licensed practitioners shall maintain and be governed by acceptable sanitary, safe and scientific standards of practice with special attention to the following: a) heliotherapy shall be administered only by a licensed physical therapist; b) massage therapists shall not diagnose, treat classified disease, practice spinal or joint manipulation, prescribe medicine or drugs; c) mechanical apparatus or equipment such as heat lamps, hot and cold packs, tub and special showers, cabinet baths, steam and dry heat baths and the like, shall be utilized only by and under constant direct supervision of a licensed massage therapist; d) no part of a percussor, vibrator or other device (mechanical or otherwise) that cannot be properly sterilized or sanitized shall be applied directly to the skin without a protective covering; e) adverse reactions and accidents shall be carefully observed and appropriate emergency action shall be taken, recorded and kept on file for review by the licensing agency; f) sanitary techniques shall be practiced at all times; g) individual sanitary sheetings covering the massage table shall be changed for each person; 6 h) temperatures of water levels for various types of procedures shall be maintained at comfortable levels in accordance with acceptable practices as follows: i. not to exceed 105oF for water baths of any type; ii. not to exceed 165oF for dry heat cabinet or room bath temperatures; and iii. not to exceed 110oF for steam cabinet or room bath temperatures; and i) any other procedure or practice shall conform with acceptable standards. Section 7.0 Denial, Suspension or Revocation of License 7.1 The Director may deny issuance of a license or renewal of license to any individual, or pending an investigation and hearing, to suspend for a period not exceeding thirty (30) days any license issued herein, and/or after due notice and hearing to revoke the license of any massage therapist who: a) is convicted of any offense which is a felony under the laws of Rhode Island, the record of conviction being conclusive evidence thereof; b) supplies false information to the licensing agency on the application for licensure or application for licensure renewal; c) fails to comply with the statutory and regulatory provisions herein. 7.2 An applicant, whose criminal records check reveals a conviction for any sexual offense, including, but not limited to, those offenses defined in Chapters 11-34 and 11-37 of the Rhode Island General Laws, as amended, shall be denied a license under the Act and the rules and regulations herein. 7.3 Whenever the Director shall have reason to believe that any person licensed under the Act to practice massage therapy has been convicted of any sexual offense, or that any person is practicing massage in violation of the Act or regulations promulgated herein, the Director may, pending an investigation and hearing, suspend for a period not exceeding thirty (30) days any license issued under authority of the Act and may, after due notice and hearing, revoke the license if he or she finds that the person practicing massage is in violation of these rules and regulations or any provision of the Act. The holder of a license shall upon its revocation promptly surrender it to the Director. Section 8.0 Rules Governing Practices and Procedures 8.1 All hearings and reviews required under the provisions of Chapter 23-20.8 of the General Laws of Rhode Island, as amended, shall be held in accordance with the provisions of the Act and the Rules and Regulations of the Rhode Island Department of Health Regarding Practices and Procedures Before the Rhode Island Department of Health and Access to Public Records of the Department of Health (R42-35-PP). Section 9.0 Severability 9.1 If any provision of these rules and regulations or the application thereof to any individual, facility or circumstance shall be held invalid, such invalidity shall not affect the provisions or application of the rules and regulations which can be given effect, and to this end the provisions of the 7 regulations are declared to be severable. MassageTherapy_Final_Sept2012.doc Monday, 17 September 2012