resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
November, 2006, Vol. 06, Issue 11
California Massage Bill Defeated
By Dixie Wall, Contributing Editor
Maneuvering through the legislative process can be a daunting task, and after almost three years of negotiating, advocating and waiting, it seems S.B.412 finally has been defeated. The goal of S.B.412 was to establish a voluntary, statewide certification program for California massage therapists.
If passed, the legislation would have reduced the many complications that continue to frustrate California massage therapists.These complications primarily are caused by the inconsistencies within California's many different current local and county regulatory systems. Instead of getting a permit from every city and/or county one might massage in, the proposed bill essentially would have created a voluntary, uniform process to certify a massage therapist's "portability" to work anywhere within the state.
In the early stages, there were many obstacles to overcome in trying to simultaneously please the different massage communities. But in the end, there was consensus in order to stand on common ground. A big obstacle finally was resolved by the creation of two separate tiers: a 250-hour educational requirement with the title "massage practitioner," and a second tier requiring 500 hours of education and use of the title "massage therapist." The other amendment debate was a grandfathering education-hour requirement, which was resolved with 500 hours after 2012 and/or the choice to not be licensed at all and just practice under the jurisdiction of the local city or county ordinances. While the process might seem simple by definition, the bill would have been the most complicated of its type in the nation.
The last debate on the floor came to a standstill as the California Chiropractic Association's lobbyists opposed the definition of "massage," including passive joint movement. The CCA had eight lobbyists on the floor insisting that, without a prescription from a medical doctor, this would be extremely dangerous to the public. (See "A Far Stretch" in the April 2006 issue or click here for the online version). When push came to shove, it seems the CCA had just enough clout to kill the bill, despite efforts from strong voices in the legislature advocating for the massage community.
Beverly May, AMTA government chair and pioneer of the California state licensing movement, said the reason behind the battle centered on the CCA "flexing its muscles" to display to its membership that the CCA still has some muscle power in Sacramento. Two therapists from the AMTA California chapter gave Senator Liz Figueroa a demonstration of "passive joint movement" to show how unreasonable the demands actually were. May pointed out that "the most ridiculous part of the whole objection is that with the failure of the bill, massage therapists will still be free to practice the very techniques that are keeping it from passing."
The CCA convinced the legislators this meant massage therapists would be manipulating joints. However, the real manipulation was done by this chiropractic group. The CCA lobbyists made sure it was understood that the CCA's support for the re-election of specific legislators was contingent on opposing this bill.
The ABMP and the California chapter of the AMTA both would have withdrawn their support if the medical prescription demand had been passed. Both groups and current lobbyists will have to compromise and work together to further develop and perfect the legislation if it is to be reintroduced at some point. According to AMTA lobbyist Mark Rakich's observations, the experience will help any future laws involving our profession. What is clear here is that this profession is not politically organized enough or powerful enough to pass this type of vital legislation. Our association leaders need to work together to raise the money necessary to fund this type of vital legislation. While it remains impossible to please everyone interested, the bill did come a long way, but it's still difficult to predict what will happen next.
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