resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
November, 2008, Vol. 08, Issue 11
Certification in California
By Dixie Wall, Contributing Editor
Editor's note: On Sept. 27, 2008, Gov. Schwarzenegger signed California Senate Bill 731 into law. While the legislation does not mandate licensure or explicitly define scope of practice, it establishes a two-tiered voluntary certification process and a nonprofit Massage Therapy Organization that will oversee certification.Individuals certified by the organization will be exempt from local (city) massage practice acts, while those not opting for certification will remain under local oversight and will no longer be able to use the title "certified massage therapist," "certified massage practitioner," or any other term/title that suggests certification. Dixie Wall, California therapist and contributing editor to MT, explains why this legislation is so important to the California massage profession in the following article.
The passing of this massage bill was a long-anticipated step for most California massage therapists, who have been burdened by local ordinances and regulatory agencies in each city in which they have chosen to work. Why am I so exhilarated? Certification will not only convey professionalism as health care practitioners, but will also establish a uniform standard for our profession here in California. It will reduce complications that continue to frustrate therapists within the state by establishing a portable, single, statewide standard.
While some remain opposed to this idea, recent surveys conducted by AMTA-CA (the bill's sponsor) and ABMP have shown a majority are in favor of statewide regulation. Beverly May, AMTA-CA government relation co-chair, explains: "Both AMTA-CA and ABMP were in agreement regarding provisions such as full grandfathering and preemption of local ordinances. Those who prefer to work under their local massage ordinances, or in areas having none, can continue to do so as long as those local jurisdictions don't require the new state [regulation] for practice."
May continued, "We began with a fairly broad principle: If there is going to be regulation, one state regulation is preferable to multiple and vastly differing vice ordinances. It has been our experience after at least three decades of working on repeal or reform of local ordinances that very little progress is possible at that level."
In the past few years, great legislative progress has been made by Senate Bill 412, as well as the current bill. S.B.412 concluded long battles over education requirements and settled the language disputes with the California Chiropractic Association. Shortly thereafter, S.B.731 moved quickly, including passage through two of the required Senate policy committees before passing the full state Senate.
Unfortunately, S.B.731 stalled in Assembly Appropriations during the first year of its two-year session. The bill was then amended to remove the requirement for a written report. Due to several political issues, bundles of bills, including S.B.731, were put into a "suspense file" at the last hearing in August 2007. The explanation for that decision was fear of further offsetting the new California state budget because of the cost of the bill. Ironically, the implementation of S.B.731 will instead generate money for the state in the long run.
However, the bill passed both the Senate and the Assembly in August 2008. It then sat on Gov. Schwarzenegger's desk, among hundreds of other bills awaiting his signature or veto. The accumulation occurred during California's delay in passing the budget, and Schwarzenegger's promise not to sign any bills until the budget had been passed. The governor set an all-time record with the tardiest budget in California history. However, slow as this bill was to come, we were fortunate to receive the governor's signature. By Sept. 27, he had set another record by vetoing the largest amount of bills of any other governor in four decades.
The bottom line is that finally we will be regulated by experts of massage and bodywork regulation, rather than local police departments. And instead of our annual visit to the department vice squad, we will renew every two years by mail. The first certificates will be issued as early as September 2009. The education requirements vary according to the two-tier system and include several other factors with grandfathering clauses: You must be 18 years or older, have fingerprints taken, a background check, and pay a fee.
The next step, according to May, is "finding funds and creating a massage therapy organization board." This board will include, among others, representatives of the League of California Cities, the California Association of Private and Post-Secondary Schools, and the California State Association of Counties. May explains, "Our Board will consist of representatives and trusted experts that will regulate [certificants] and act as advocates for our profession."
S.B.731 establishes an efficient and practical way of regulation while adding professional recognition similar to other forms of alternative health care modalities. After years of tribulation, California massage practitioners will now be united and be able to take a crucial step forward.
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