Revision: Oct. 18, 2019, 2:29 p.m.
HB 121-FN - AS AMENDED BY THE HOUSE
19Mar2019... 0812h
2019 SESSION
19-0034
10/08
HOUSE BILL 121-FN
SPONSORS: Rep. P. Schmidt, Straf. 19; Rep. Altschiller, Rock. 19
COMMITTEE: Executive Departments and Administration
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AMENDED ANALYSIS
This bill requires massage establishments and reflexology, structural integration, or Asian bodywork therapy establishments to be licensed, regulated, and inspected by the office of professional licensure and certification. The bill also adds compensation to members of the advisory board of massage therapists.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
19Mar2019... 0812h 19-0034
10/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Regulation of Massage Establishments. Amend RSA 328-B:1 to read as follows:
328-B:1 Regulation of Massage Therapists and Massage Establishments. The general court, to protect the health, safety, and welfare of the people of the state of New Hampshire, establishes a regulatory program for massage therapists, including establishing basic qualifications for licensure of massage therapists and massage establishments.
2 New Paragraph; Massage Therapists and Massage Establishments; Definition Added. Amend RSA 328-B:2 by inserting after paragraph III the following new paragraph:
III-a. “Establishment” means the place issued a license by the executive director where the profession of massage is practiced. "Establishment” shall include any building in which 2 or more massage therapists work for the same employer.
3 New Paragraph; Massage Therapists and Massage Establishments; Definition Added. Amend RSA 328-B:2 by inserting after paragraph VIII the following new paragraph:
IX. “Sole proprietor” means any person who owns a business by himself or herself and does not have any employees within his or her business.
4 New Paragraphs; Prohibited Acts; Establishment Licensure. Amend RSA 328-B:3 by inserting after paragraph VI the following new paragraphs:
VII. Operate an establishment without an establishment license.
VIII. Operate an establishment unless such establishment is at all times under the direct supervision and management of a professional licensed under this chapter.
5 New Paragraph; Powers and Duties; Establishments. Amend RSA 328-B:4 by inserting after paragraph VII the following new paragraph:
VIII. Regulate and adopt rules on massage establishments, including:
(a) The issuance, suspension, revocation, renewal, and denial of massage establishment licenses.
(b) Holding hearings and conduct investigations under paragraph II concerning massage establishment licenses.
(c) Conditions, requirements, and standards for operation under an establishment license, including health and safety standards.
(d) Standards and procedures for inspections of establishments including, inspections conducted as part of the initial licensure process.
(e) Application forms and procedures to open, close, relocate, or renew an establishment.
(f) Requiring public display of licensure and secure recordkeeping procedures.
(g) Procedures for disciplinary action, including cease and desist orders, suspension, limitation, or revocation of establishment licensure.
(h) Requiring the licensee to obtain a certificate of good standing from the secretary of state.
(i) Qualifications for exemption of schools, health facilities, or others from massage establishment license requirements in RSA 328-B:14.
(j) Required documentation to verify sole proprietor or independent contractor designation.
6 Advisory Board of Massage Therapists. Amend the introductory paragraph of RSA 328-B:5 to read as follows:
The executive director shall establish the advisory board of massage therapists. The board shall consist of 3 massage therapists who are licensees in the state of New Hampshire. The members shall be appointed for 3 years, staggered so that the term of one member expires each year, and they shall hold office until successors are appointed[, and shall serve on the board without any compensation]. Advisory board members shall be paid mileage and a per diem of $50 for each day devoted to the work of the advisory board. In no event shall a member serve more than 2 full consecutive terms. The board shall:
7 New Paragraph; License Issuance. Amend RSA 328-B:6 by inserting after paragraph I the following new paragraph:
I-a. Initial licenses shall be valid until the next succeeding expiration date in accordance with 328-B:7.
8 License Fee; Establishment License. Amend RSA 328-B:7 to read as follows:
328-B:7 License Renewal. All licenses issued pursuant to this chapter shall expire on the last day of the birth month of the licensee in the even-numbered year, upon approval of the executive director of the renewal application and submission of the required $110 renewal fee for massage therapists or the required fee as determined in rules adopted by the executive director for massage establishments.
9 New Paragraph; Revocation or Suspension. Amend RSA 328-B:8 by inserting after paragraph V the following new paragraph:
VI. Has engaged in illegal activity, including but not limited to prostitution or human trafficking.
10 New Paragraph; Massage; Exemptions. Amend RSA 328-B:10 by inserting after paragraph III the following new paragraph:
IV. Nothing in this chapter shall require a residential care or health facility licensed pursuant to RSA 151:2 to obtain an establishment license under this chapter.
11 New Sections; Massage Establishment Licensure; Inspectors. Amend RSA 328-B by inserting after section 13 the following new sections:
328-B:14 Massage Establishment Licensure.
I. It shall be a misdemeanor for any person, as owner, manager, or agent to open, establish, conduct or maintain an establishment without first having obtained an establishment license from the board. Any New Hampshire licensed massage therapist may obtain an establishment license upon application and payment of fee provided that the establishment meets all requirements established in the rules of the board. Massage establishment licenses granted pursuant to this chapter shall be conspicuously posted within the establishment.
II. In addition to licenses issued under paragraph I, the board may issue an establishment license to an applicant who does not hold a personal massage therapist license provided that the owner employs a licensed massage therapist as manager. This section shall not authorize such owner to personally engage in massage therapy.
III. The requirement for establishment licensure under paragraph I shall not apply to a sole proprietor of his or her business or independent contractors. If a sole proprietor or independent contractor is providing services without a prior appointment, the sole proprietor or independent contractor shall obtain an establishment license.
IV. Only establishments issued a license by the executive director shall use the terms “licensed massage establishment” or “massage establishment.”
V. The license fees for establishments shall be determined in rules adopted by the executive director under RSA 541-A. Establishments that are licensed as an establishment, shop, or facility under one of the occupations or professions regulated by the office of professional licensure and certification in RSA 310-A:1-a shall pay a reduced fee for a massage establishment license.
VI. No town or city shall adopt or enforce a bylaw or ordinance for the licensure of massage establishments.
328-B:15 Inspectors.
I. The office of professional licensure and certification shall employ inspectors and authorize them to enter and inspect any establishment licensed under this chapter for the purpose of ascertaining whether or not the administrative rules of the board and the provisions of this chapter are being observed. Each inspector shall file a report of inspection findings and results with the executive director. Salaries and necessary expenses shall be charged against the office of professional licensure and certification fund.
II. The executive director shall adopt rules under RSA 541-A relative to the qualifications of an inspector under this section.
12 Grandfathering of Municipal Bylaws and Ordinances. Notwithstanding RSA 328-B:14, VI, a license for a massage establishment issued by a municipality in effect on the effective date of this act shall remain valid for purposes of RSA 328-B:14 until the expiration of the term of the license.
13 New Paragraph; Definitions; Reflexology, Structural Integration, and Asian Bodywork Therapy. Amend RSA 328-H:2 by inserting after paragraph II the following new paragraph:
II-a. “Establishment” means the place licensed by the executive director where the practitioners of reflexology, structural integration, and Asian bodywork therapy practice. "Establishment” shall include any building in which 2 or more licensed reflexologists, structural integrators, or Asian bodywork therapists work for the same employer.
14 New Paragraph; Definitions; Reflexology, Structural Integration, and Asian Bodywork Therapy. Amend RSA 328-H:2 by inserting after paragraph VII the following new paragraph:
VIII. “Sole proprietor” means any person who owns a business by himself or herself and does not have any employees within his or her business.
15 New Paragraphs; Reflexologists, Structural Integrators, and Asian Bodywork Therapists; Prohibited Acts. Amend RSA 328-H:4 by inserting after paragraph V the following new paragraphs:
VI. Operate a reflexology, structural integration, or Asian bodywork therapy establishment without an establishment license.
VII. Operate a reflexology, structural integration, or Asian bodywork therapy establishment unless such establishment is at all times under the direct supervision and management of a practitioner licensed under this chapter.
16 New Subparagraph; Reflexologists, Structural Integrators, and Asian Bodywork Therapists; Rulemaking. Amend RSA 328-H:5, VIII by inserting after subparagraph (l) the following new subparagraph:
(m) Regulate establishments including:
(1) Issue, suspend, revoke, renew, and deny licenses in accordance with rules adopted under RSA 541-A.
(2) Hold hearings and conduct investigations, public or confidential, and issue orders relating to such hearings and investigations. The contested case provisions of RSA 541-A:31-36 shall apply when a person is aggrieved by a decision of the executive director under this chapter. Appeals shall be made in accordance with RSA 541.
(3) Conditions, requirements, and standards for operation under an establishment license, including health and safety standards.
(4) Standards and procedures for inspections of establishments, including inspections conducted as part of the initial licensure process.
(5) A fine schedule for violations of the administrative rules adopted by the executive director under this chapter.
(6) Application forms and procedures to open, close, relocate, or renew an establishment.
(7) Requiring public display of licensure and secure recordkeeping procedures.
(8) Procedures for disciplinary action, including cease and desist orders, suspension, limitation, or revocation of establishment licensure.
(9) Requiring an applicant for licensure to obtain a certificate of good standing from the secretary of state.
(10) Establishing the fees for licensure of a reflexology, structural integration, or Asian bodywork therapy establishment in rules adopted by the executive director under RSA 541-A. Establishments that are licensed as an establishment, shop, or facility under one of the occupations or professions regulated by the office of professional licensure and certification in RSA 310-A:1-a shall pay a reduced fee for a reflexology, structural integration, or Asian bodywork therapy establishment license.
(11) Qualifications for exemption of schools, health facilities, or others from reflexology, structural integration, or Asian bodywork therapy establishment license requirements in RSA 328-H:18.
(12) Required documentation to verify sole proprietor or independent contractor designation.
17 New Paragraph; License Revocation or Suspension. Amend RSA 328-H:10 by inserting after paragraph V the following new paragraph:
VI. Has engaged in illegal activity including but not limited to prostitution or human trafficking.
18 Exemptions. Amend RSA 328-H:13 as follows:
328-H:13 Exemptions.
I. Nothing in this chapter shall prevent a person licensed by this state pursuant to any other provision of law from performing the occupation for which he or she is licensed.
II. Nothing in this chapter shall require a residential care or health facility licensed pursuant to RSA 151:2 to obtain an establishment license under this chapter.
19 New Sections; Establishment Licensure; Inspectors. Amend RSA 328-H by inserting after section 17 the following new sections:
328-H:18 Establishment Licensure.
I. It shall be a misdemeanor for any person, as owner, manager, or agent to open, establish, conduct or maintain an establishment without first having obtained an establishment license from the executive director. Any New Hampshire licensed reflexologist, structural integrator, or Asian bodywork therapist may obtain an establishment license upon application and fee provided that the establishment meets all requirements established in the rules adopted by the executive director. Establishment licenses granted pursuant to this chapter shall be conspicuously posted within the establishment.
II. In addition to licenses issued under paragraph I, the board may issue an establishment license to an applicant who does not hold a personal reflexologist, structural integrator, or Asian bodywork therapist license provided that the owner employs a licensed reflexologist, structural integrator, or Asian bodywork therapist as manager. This paragraph shall not authorize such owner to personally engage in massage therapy act as a practitioner under this chapter.
III. This section shall not apply to licensed reflexologist, structural integrator, or Asian bodywork therapists who are sole proprietors of his or her business or an independent contractor. If a sole proprietor or independent contractor is providing services without a prior appointment, the sole proprietor or independent contractor shall obtain an establishment license.
IV. No town or city shall adopt or enforce a bylaw or ordinance for the licensure of reflexology, structural integration, or Asian bodywork therapy establishments.
328-H:19 Inspectors.
I. The office of professional licensure and certification shall employ inspectors and authorize them to enter and inspect any establishment licensed under this chapter for the purpose of ascertaining whether or not the administrative rules of the executive director and the provisions of this chapter are being observed. Each inspector shall file a report with the executive director of inspection findings and results. Salaries and necessary expenses shall be charged against the fees and other moneys collected under this chapter.
II. The executive director shall adopt rules relative to the qualifications of an inspector under this section.
20 Office of Professional Licensure and Certification; New Classified Position;
Appropriation.
I. One investigative paralegal position, labor grade 22, is hereby established as a classified position in the office of professional licensure and certification.
II. The amount necessary to pay for the position established in paragraph I, which shall be in addition to any sums appropriated in 01-21-21-215010-2406 for the division of health professions, is hereby appropriated to the executive director of the office of professional licensure and certification. Salaries and necessary expenses shall be charged against the office of professional licensure and certification fund established in RSA 310-A:1-e.
21 Effective Date. This act shall take effect July 1, 2019.
19-0034
Amended 10/18/19
HB 121-FN- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2019-0812h)
FISCAL IMPACT: [ X ] State [ X ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | |||
STATE: | FY 2020 | FY 2021 | FY 2022 | FY 2023 |
Appropriation | $0 | $103,000 | $80,000 | $84,000 |
Revenue | $0 | $45,980 | $45,980 | $45,980 |
Expenditures | $0 | $104,092+ | $81,092+ | $85,092+ |
Funding Source: | [ ] General [ ] Education [ ] Highway [ X ] Other - Office of Professional Licensure and Certification Fund (RSA 310-A:1-e, I(b)) | |||
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COUNTY: |
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Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | Indeterminable | Indeterminable | Indeterminable |
METHODOLOGY:
This bill requires licensure and inspection of establishments for massage therapy, reflexology, structural integration and Asian bodywork therapy. The bill establishes a new classified position of investigative paralegal, labor grade 22, in the Division of Health Professions within the Office of Professional Licensure and Certification (OPLC). The investigative paralegal would be hired to start on July 1, 2020 with total annual position costs of $103,000 in FY 2021 (includes one time expenses of $1,500 for a computer and $25,000 for a vehicle and $3,600 in annual travel costs), $80,000 in FY 2022, and $84,000 in FY 2023.
OPLC reports there are currently 1,645 licensed massage therapists as of October 1, 2019 and 28 licensed reflexologists and Asian bodyworkers. Assuming that one half of the total 1,673 licensees may require an establishment license and these establishments are not licensed pursuant to any other occupation or profession regulated by the OPLC, or that another fee amount is applicable via rules adopted by the OPLC Executive Director, then 836 (1,673 / 2 = 836) licensed establishments would be required to pay a licensing fee of $110 every other calendar year. Potential new revenues is estimated at $91,960 in every other calendar year (836 x $110). Half of this revenue, or $45,980, accrues in each fiscal year.
Fines may also be assessed during inspections for violations of RSA 314-A, which may increase revenues by an indeterminable amount.
The Advisory Board of Massage Therapists will now receive mileage and a per diem payment of $50 for each day devoted to the work of the board. It is estimated that the 3 member board will meet quarterly and will incur the following annual costs:
1. 3 members x 4 meetings per year x $50 per day = $600
2. 3 members x 4 meetings per year x $41 average mileage reimbursement per member = $492
All projected revenues and expenses accrue to the OPLC Fund pursuant to RSA 310-A:1-e, I(b) and after paying all costs and salaries associated with the office, moneys in this fund shall lapse to the general fund at the close of each fiscal year.
This bill contains penalties that may have an impact on the New Hampshire judicial and correctional systems. There is no method to determine how many charges would be brought as a result of the changes contained in this bill to determine the fiscal impact on expenditures. However, the entities impacted have provided the potential costs associated with these penalties below.
Judicial Branch | FY 2021 | FY 2022 |
Class B Misdemeanor | $54 | $56 |
Class A Misdemeanor | $77 | $79 |
Routine Criminal Felony Case | $484 | $498 |
Appeals | Varies | Varies |
It should be noted that average case cost estimates for FY 2021 and FY 2022 are based on data that is more than ten years old and does not reflect changes to the courts over that same period of time or the impact these changes may have on processing the various case types. An unspecified misdemeanor can be either class A or class B, with the presumption being a class B misdemeanor. | ||
Department of Corrections |
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FY 2019 Average Cost of Incarcerating an Individual | $44,400 | $44,400 |
FY 2019 Annual Marginal Cost of a General Population Inmate | $5,071 | $5,071 |
FY 2019 Average Cost of Supervising an Individual on Parole/Probation | $576 | $576 |
NH Association of Counties |
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County Prosecution Costs | Indeterminable | Indeterminable |
Estimated Average Daily Cost of Incarcerating an Individual | $105 to $120 | $105 to $120 |
Many offenses are prosecuted by local and county prosecutors. When the Department of Justice has investigative and prosecutorial responsibility or is involved in an appeal, the Department would likely absorb the cost within its existing budget. If the Department needs to prosecute significantly more cases or handle more appeals, then costs may increase by an indeterminable amount.
AGENCIES CONTACTED:
Office of Professional Licensure and Certification, Judicial Branch, Departments of Corrections and Justice, Judicial Council, and New Hampshire Association of Counties