Chapter 42 MASSAGE THERAPY
Article 1 General Provisions
32-4201 Definitions
32-4202 Board; membership; terms; immunity
32-4203 Board; powers and duties
32-4204 Executive director; personnel
32-4205 Deposit and use of monies received by board
Article 2 Licensure
32-4221 Licensure; persons and activities not required to be licensed
32-4222 Qualifications for licensure
32-4223 Reciprocity
32-4224 Application; temporary licensure
32-4225 License renewal; changes in personal information; notification; continuing education
32-4226 Renewal of an expired license; reinstatement of a lapsed license
32-4227 Fees
32-4228 Massage and bodywork therapy schools
Article 3 Regulation
32-4251 Lawful practice
32-4252 Use of title; restrictions; violation; classification
32-4253 Disciplinary action; grounds; definitions
32-4254 Investigative powers; emergency action; disciplinary proceedings; formal interview; hearing; civil penalty
32-4255 Unlawful practice; classification; civil penalties; injunctive relief
32-4256 Reporting violations; immunity
32-4257 Third party reimbursement
32-4258 Regulation by county or municipality
32-4259 Access to information; confidential information; display of license


TITLE 4. PROFESSIONS AND OCCUPATIONS
CHAPTER 15 BOARD OF MASSAGE THERAPY


ARTICLE 1. GENERAL PROVISIONS

R4-15-1O1. Definitions
R4-15-102. Fees

ARTICLE 2. LICENSING

R4-15-201. Application for a Regular License
R4-15-202. Application for a Provisional License
R4-15-203. Application for a License by Reciprocity
R4-15-204. Board-approved School
R4-15-205. Application for Renewal of a License
R4-15-207. Licensing Time-frames

ARTICLE 3. CONTINUING EDUCATION

R4-15-301  Required Continuing Education Hours
R4-15-302  Approval of Continuing Education
R4-15-303  Approval of Continuing Education

ARTICLE 4. REGULATORY PROVISIONS

 

R4-15-401  Rehearing or Review of Board's Decision 

ARTICLE 1. GENERAL PROVISIONS

R4-15-101. Definitions

In addition to the definitions in A.R.S. § 32-4201, in this Chapter:

1. “Accredited” means approved by the:

a. New England Association of Schools and Colleges,

b. Middle States Association of Colleges and Secondary Schools,

c. North Central Association of Colleges and Schools,

d. Northwest Association of Schools and Colleges,

e. Southern Association of Colleges and Schools,

f. Western Association of Schools and Colleges,

g. Council on Massage Therapy Accreditation.

2. “Applicant” means an individual requesting a regular, provisional, temporary or reciprocity license from the Board.

3. “Application packet” means the documents, forms, fees, and additional information required by the Board

4. “Board approved school” means the same as in A.R.S. § 32-4201.

5.  "Continuing education" means a workshop, seminar, lecture, conference, class, or instruction related
to massage therapy.

6.  "Correspondence" or "distance learning format" means an instructor of a continuing educationand individual recieving the instruction are not located in the same room
in which the continuing education is being provided.

7. “Hour” means a minimum of 50-minutes.

8. “Day” means calendar day.

9. “General equivalency diploma” means:

a. A document issued by the Arizona Department of Education under A.R.S. § 15-702 to an individual who passes a general educational development test or meets the requirements of A.R.S. § 15-702(B);

b. A document issued by a state other than Arizona to an individual who passes a general educational development test or meets the requirements of a state statute equivalent to A.R.S. § l5-702(B);

c. A document issued by a country other than the United States to an individual who has completed that country’s equivalent of a 12th grade education as determined by the Board based upon information obtained from American or foreign consulates or embassies or other governmental entities.

10. “Good moral character” means an application     
a. Has not, within the five years before the date of   application,been convicted of a felony or an offense involving moral turpitude or prostitution, solicitation, other similar offense.

b. Has not within five years before the date of the application, been convicted of an act involving dishonest, fraud misrepresentation,  gross negligence, or incompetence or is not currently incarcerated or on community supervision after a period of incarceration in a local,
state, or federal penal institution for such an act.

 
c.  Has not, with five year before the date of the application, had a professional license revoked or suspended by this state, a political subdivision of this state, or a regulatory board in another jurisdiction in the United States, or voluntarily surrendered a professional license in lieu of disciplinary action.

d.  Has not, within five years before the date of the application, had a massage therapy certification revoked or suspended by a national massage therapy certifying agency.

 

11. “License” means written authorization issued by the Board to engage in the practice of massage therapy in Arizona.

12 “Massage therapy student” means an individual receiving instruction in massage therapy or bodywork therapy at a Board-approved 
     school.

13. “NCBTMB” means National Certification Board for Therapeutic Massage and Bodywork, the body that is accredited by the National Commission for Certifying Agencies and provides examinations of and certifies individuals in massage therapy and bodywork.

14. “National massage therapy certificate number” means a unique identification number issued by the NCBTMB.

15. “Provisional license” means an approval issued by the Board to an applicant who meets the requirements in A.R.S. §§32-4222 (B), 32-4222(C), and this Chapter.

16. “Regular license” means an approval issued by the Board to an applicant who meets the requirements in A.R.S. §§ 32-4222(A), 32-4222(B), and this Chapter.

17. “Practice of massage therapy” means the same as in A.R.S. § 32-4201.

18.“Self-supportive as a massage therapist” means that an individual has reported income each year to the United States Department of Revenue that was derived from the performance of services that would fall within the scope of the practice of massage each year from December 31, 1992 until December 31, 2004

19.“Supervised instruction” means the massage therapist responsible for a massage therapy student at a Board-approved school:

a. Is present at the location where the massage therapy student is performing massage therapy as part of the massage therapy student’s education;

b. Is immediately available for consultation; and

c. Evaluates the performance of the massage therapy student.

R4-15-102. Fees

A. The Board shall charge the following fees that are non refundable, unless

A.R.S. § 41-1077 applies:

1. Application for a license, $195:

2. Reinstatement of a license, $125:

3. Duplicate license $25:

4. License Renewal $95: and

5. Delinquent renewal of a license, $40.

B. The Board shall charge 25 cents per page for copying records, documents, letter & minutes, applications, and files.

C. An applicant shall pay an original license application fee or a fee for which a previous check was returned for insufficient funds in cash, cashier’s check, or money order.

D. An applicant shall pay a renewal, reinstatement, or duplicate license fee in cashier’s check, money order.

 

ARTICLE 2. LICENSING

R4-15-201  Qualifications; Application for a Regular License

A. To meet the requirements in A.R.S. § 32-4222 (b). an applicant who submits an application:            

1.  Before January 1, 2008 shall complete 500 classroom hours of supervised instruction at a Board-approved school.

2.  On and after January 1, 2008 shall complete 700 classroom hours of supervised instruction at a Board approved school.

B.  An applicant for a regular license shall meet the requirements in A.R.S § 32-4222 (A) AND (B) and submit an application packet that
     contains:

1. An application form that includes:

a. The applicant’s name, date of birth, place of birth, social security number, residence and business addresses, and residence and business telephone numbers;

b. Each name or alias previously or currently being used by the applicant;

c. The applicant’s name as it will appear on the license;

d. To satisfy the requirements in A.R.S. §32-4222(A)(5):

i. If the applicant graduated from a high school, the date of graduation and name of the high school; or

ii. If the applicant received a general equivalency diploma, the date the general equivalency diploma was awarded;

e. The name and address of each Board-approved school attended by the applicant and dates of attendance;

f. If applicable, the applicant’s national massage therapy certificate number and date of certification;

g. Whether the applicant has successfully completed 500 hours of

supervised instruction at a Board approved school;

h. Whether the applicant has passed the examination administered by the NCBTMB;

i. Whether the applicant, within the five years before the date of the application, has been convicted of a felony or an offense involving moral turpitude or prostitution, solicitation, or a similar offense or entered into a plea of no contest and, if so:

i. Charged felony or offense;

ii. Date of conviction;

iii. Court having jurisdiction over the felony or offense;

iv. Probation officer’s name, address, and telephone number, if applicable;

v. A copy of the notice of expungement, if applicable; and

vi. A copy of the notice of restoration of civil rights, if applicable;

j. Whether the applicant has within five years before the date of the application voluntarily surrendered a license under section A.R.S. § 32- 4254 or had a license to practice massage therapy or another similar license revoked by a political subdivision of this state or a regulatory board in another jurisdiction in the United States for an act that occurred in that jurisdiction that would be subject to discipline pursuant to this Chapter.

k. Whether the applicant is currently under investigation, suspension, or restriction by a political subdivision of this state or a regulatory board in another jurisdiction in the United States for an act that occurred in that jurisdiction that would be subject to discipline pursuant to this chapter;

l. Whether the applicant has committed any of the actions in the definition of good moral character in R4-15-l01;

m. Whether the applicant is requesting a temporary license; and

n. A notarized statement, signed by the applicant, stating the information on the application form is true and correct;

2. A completed and legible fingerprint card and

3. The fee required in R4-15-102.

B. In addition to the requirements in subsection (A) an applicant shall arrange to have directly submitted to the Board from the issuing entity:

1. A copy of the applicant’s high school diploma or general equivalency diploma;

2. Written verification of a passing score on the NCBTMB examination; and

3. To show proof of completion of the classroom hours of supervised instruction at a Board-approved school required in subsection (A), Academic transcripts from the Board-approved school from which the applicant graduated.

R4-15-202. Application for a Provisional License          NOT AVAILBLE EFFECTIVE AFTER 12-31-2005

A. An applicant for a provisional license shall meet the requirements in A.R.S.§ 32-4222(A) and (C) and submit an application packet on or before December 31, 2004 that contains:

1. An application form that includes all of the information required in R4-l 5-201(A)(1), except R4-l 5-201(A)(1)(g) and:

a. To satisfy the requirements in A.R.S. § 32-4222(C)(l), whether the applicant has continuously practiced massage therapy in this state for at least three years before May 12, 2003 and completed a minimum of 200 hours of education and training in the study of massage therapy or bodywork therapy at a school that meets the requirements of A.R.S.§32-4222(C)(l) and includes:

i.. Forty five hours in human anatomy and physiology

ii. One hundred fifty hours in theory and practice; and

iii. Five hours in ethics, including confidentiality and privacy; sexual misconduct, financial misconduct; boundary issues, conflicts of interest; and appropriate referrals;

b. To meet the requirements in A.R.S. § 32-4222(C)(2), whether the applicant has been self-supportive as a massage therapist in this state since from and after December 31, 1992 and an explanation of the applicant’s response; or

c. To meet the requirements in A.R.S. § 32-4222(C)(3), whether the applicant holds a current professional license from a municipality or political subdivision of this state that regulated the practice of massage therapy before May 12, 2003;

2. A completed and legible fingerprint card; and

3. The fee required in R4-15-102.

B. In addition to the requirements in subsection (A) an applicant shall arrange to have directly submitted to the Board from the issuing entity:

1. A copy of the applicant’s high school diploma or general equivalency diploma, and

2. Academic transcripts from the Board-approved school from which the applicant graduated.

R4-15- 203. Application for a License by Reciprocity
Refer to the Substantive Policy Statements for Reciprocity on the homepage

A. An applicant for a license by reciprocity shall meet the requirements in A.R.S. § 32-4223 and:

1. Submit an application form that contains the information in R4-l5-20l(A)(1)(b), R4-l5-201(A)(1)(c) and:

a. If the applicant wishes to demonstrate that the applicant meets the requirements in A.R.S § 32-4223 (A)(l), the name of each state where the applicant was licensed continuously for five years immediately before the date of the application;

b. If the applicant wishes to demonstrate that the applicant meets the requirements in A.R.S. § 32-4223(A)(2), the name of the national certification board for therapeutic massage or bodywork or other agency that meets the standards of the National Commission for Competency Assurance that certifies the applicant;

c. Whether the applicant has within five years before the date of the application voluntarily surrendered a massage therapy license or had a massage therapy license or another similar license revoked by a political subdivision of this state or a regulatory board in another jurisdiction in the United States for an act that occurred in that jurisdiction that would be subject to discipline in this state; and

d. A notarized statement, signed by the applicant, stating that: the information on the application form is true and correct;

2. If the applicant wishes to demonstrate that the applicant meets the requirements in A.R.S § 32-4223 (A)(l), submit a copy of the state’s massage therapy statutes and rules and arrange to have a verification of a license or certificate in a jurisdiction in another state sent directly to the Board from the jurisdiction including:

a. The license or certificate number issued to the applicant by the jurisdiction,

b. Whether the jurisdiction has instituted disciplinary proceedings against the applicant or has unresolved complaints pending against the applicant and

c. Whether the license or certificate is in good standing.

3. If the applicant wishes to demonstrate that the applicant meets the requirements in A.R.S. § 32-4223(A)(2), arrange to have a verification of certification as a massage therapist sent directly to the Board from the national certification board for therapeutic massage or bodywork or other agency that meets the standards of the National Commission for Competency Assurance.

4. Submit a completed and legible fingerprint card; and

5. Submit the fee required in R4-15-102.

B. In addition to the requirements in subsection (A) an applicant shall arrange to have directly submitted to the Board from the issuing entity:

1. A copy of the applicant’s high school diploma or general equivalency diploma, and

2. Academic transcripts from the Board approved school from which the applicant graduated.

R4-15-204. Board-approved School

A. A massage therapy school or bodywork therapy school in this state that is offered by a community college or approved by the Arizona State Board for Private Post secondary Education is a Board-approved school.

B. A massage therapy school or bodywork therapy school in another state that is approved by an agency similar to the Board for Private Post Secondary Education that wishes to be a Board-approved school shall:

1. Have a program that meets requirements that are substantially equivalent to those imposed by the Board for Private Post secondary Education in A.R.S. Title 32, Chapter 30 and A.A.C. Title 4, Chapter 39.

2. Submit an application packet to the Board that includes:

a. The name, address, and telephone number of the massage therapy school or bodywork therapy school;

b. The same information required by the Board for Private Post secondary Education in R4-39-103(B); and

c.Documentation from the agency similar to the Board for Private Post Secondary Education that states the applicant meets the requirements of the agency.

R4-15-205. Application for Renewal of a License

An applicant for a renewal license shall submit:

  1. An application form that contains the applicants
      a. Name
      b. Residence and practice addresses, and
      c. Residence and practice telephone numbers:
  2.  The information required in R4-15-303; and
  3.  The fee required in R4-15-102 (A).

     

R4-15-207. Licensing Time-frames

A. The overall time-frame described in A.R.S.§ 41-1072(1) for each type of approval granted by the Board is listed in Table 1. The applicant and the Executive Director of the Board may agree in writing to extend the overall time-frame. The substantive review time-frame may not be extended by more than 25 percent of the overall time-frame.

B. The administrative completeness review time-frame described in A.R.S.§ 41-1072(1) for each type of approval granted by the Board is set forth in Table 1.and begins when the Board receives an application.

1. If the application packet is not complete, the Board shall send to the applicant a written notice specifying the missing document or incomplete information. The administrative completeness review time-frame and the overall time-frame are suspended from the postmark date of the notice until the date the Board receives a complete application packet from the applicant.

2. If an application is complete, the Board shall send a written notice of administrative completeness to the applicant.

3. If the Board grants the license during the time provided to assess administrative completeness, the Board shall not issue a separate written notice of administrative completeness.

C. The substantive review time-frame described in A.R.S. 41-1072(3) is set forth in Table 1 and begins on the postmark date of the notice of administrative completeness.

1. During the substantive review time-frame, the Board may make one comprehensive written request for additional information or documentation. The time-frame for the Board to complete the substantive review is suspended from the postmark date of the comprehensive written request for additional information or documentation until the Board receives the additional information or documentation.

2. The Board shall send a written notice of approval to an applicant who meets the qualifications and requirements in A.R.S. Title 4, Chapter 15 and this Chapter.

3. The Board shall send a written notice of denial to an applicant who fails to meet the qualifications and requirements in A.R.S. Title 4, Chapter 15 and this Chapter.

D. The Board shall consider an application withdrawn if within 360 days from the application submission date the applicant fails to supply the missing information under subsection (B)(l) or (C)(1).

E. An applicant who does not wish an application withdrawn may request a denial in writing within 360 days from the application submission date.

F. If a time-frame’s last day falls on a Saturday, Sunday, or an official state holiday, the Board considers the next business day the time-frame’s last day.

Table1. Time-frames (in Days)

 

Type of Approval Statutory Authority Overall time-frame Admistrative Completeness time-frame Substantive Review Time-frame
Regular License      R4-15-201 A.R.S.§ 32-4222 180 90 90
Temporary License      R4-15-201 A.R.S.§ 32-4224 60 30 30
Provisional License     R4-15-202 A.R.S.§ 32-4222 180 90 90
License by Reciprocity R4-15-203 A.R.S.§ 32-4223 120 60 60
Ot-of-state school approval     R4-15-204 A.R.S.§ 32-4228 120 60 60
Renewal License  A.R.S.§ 32-4225 60 30 30

 

 

ARTICLE 3. CONTINUING EDUCATION

R4-15-301.  Required Continuing Education Hours

A.  During the two-year period immediately preceding license 
     expiration, a licensee applying for a renewal license shall 
     have completed 25 hours or more of of continuing
     education.

B.  A licensee may complete a maximum of 12 continuing
     education hours from a correspondence or distance
     learning format.
    

R4-15-302.  Approval of Continuing Education
The following continuing education is approved by the Board:

  1. Continuing education that is taught by an association, corporation, or organization:
    a.  Accredited by the National Commission for Certifying Agencies, or     
    b.  Approved by the NCBTMB.
  2. Continuing education sponsored by a massage therapy school or bodywork therapy
    school that is:
    a.  Affilated with a community college located in the state of Arizona or
    b.  Approved by the Arizona State Board for Private Post-secondary Education:
  3. Continuing education offered by a regionally accredited post-secondary institution in a
    state other than Arizona; or
  4. Continuing education offered by an institution approved by a post secondary educational entity as a massage therapy or bodywork therapy school in a state other than Arizona.

     

R4-15-303.  Documentation of Completion of Continuing Education

When renewing a license, a licensee shall submit with a renewal application documentation of completion
of 25 hours of continuing education that includes:

   1. The name of the licensee,
   2. The title of the continuing education,
   3. The subject matter of the continuing education,
   4. The date of the continuing education,
   5. The hours completed,
   6. The location where the continuing education took
       place,
   7. The name of the instructor providing the
       continuing education and 
   8.  Signature of the licensee.

   
ARTICLE 4. REGULATORY PROVISIONS

 

 


 


R4-15-401. Rehearing or Review of Board’s Decision


A.     Except as provided in subsection (F), a party who is aggrieved by a decision issued by the Board may file with the Board, not later than 30 days after service of the decision, a written motion for rehearing or review of the decision specifying the grounds for rehearing or review.  For purposes of this Section, a decision is considered served when personally delivered to the party’s last known address or mailed by certified mail to the party at the party’s last known address or the party’s attorney.

B. A party filing a motion for rehearing or review under this rule may amend the motion at any time before it is ruled upon by the Board.  Other parties may file a response within 15 days after the date the motion for rehearing or review is filed.  The Board may require that the parties file supplemental memoranda explaining the issues raised in the motion and may permit oral argument.

C. The Board may grant a rehearing or review of the decision for any of the following causes materially affecting the party’s rights:

  1. Irregularity in the proceedings of the Board, administrative law judge, or any abuse of discretion
    that deprived the party of a fair Hearing;
  2. Misconduct of the Board or adminstrative law judge:
  3. Accident or surprise that could not have been prevented by ordinary prudence;
  4. Newly discovered material evidence that could not, with reasonable diligence, have been discovered and produced at the hearing;
  5. Excessive or insufficient penalties;
  6. Error in the admission or rejection of evidence or other errors of law occurring at the hearing; OR
  7. That the finding of fact or decision is not supported by the evidence or is contrary to law.

  
D. The Board may affirm or modify its decision or grant a rehearing or review to all or any of the parties on all or part of the issues for the reasons specified in subsection (C).  An order modifying a decision or granting a rehearing or review shall specify the grounds for the rehearing or review and the rehearing or review shall cover only those matters specified.

E. No later than 30 days after a decision is issued by the Board, the Board may, on its own initiative, grant a rehearing or review of its decision for  any reasons in subsection (C).  An order granting a rehearing or review shall specify the grounds for the rehearing or review.

F. If the Board makes specific findings that the immediate effectiveness of the decision is necessary for the preservation of the public health and    safety and determines that a rehearing or review of the decision is impracticable, unnecessary, or contrary to the public interest, the Board may issue the decision as a final decision without an opportunity for a rehearing or review.  If the Board issues the decision as a final decision without an opportunity for a rehearing or review, the aggrieved party may make an application for judicial review within the time limits permitted for an application for judicial review of the Board’s final decision under A.R.S. § 41-1092.02.

  

       

 

 
   

 
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