BILL ANALYSIS ----------------------------------------------------------------- |Hearing Date:April 13, 2009 |Bill No:SB | | |374 | ----------------------------------------------------------------- SENATE COMMITTEE ON BUSINESS, PROFESSIONS AND ECONOMIC DEVELOPMENT Senator Gloria Negrete McLeod, Chair Bill No: SB 374Author:Calderon As Amended:April 2, 2009 Fiscal: No SUBJECT: Health care providers: personal trainers. SUMMARY: Defines the term personal trainer, establishes educational and training requirements for personal trainers and prohibits individuals from calling themselves personal trainers unless they meet those requirements. Existing law: 1)Provides for the licensure and regulation of physical therapists and physical therapy assistants by the Physical Therapy Board of California (PTBC) within the Department of Consumer Affairs (DCA). 2)Defines the practice of physical therapy as the art and science of physical or corrective rehabilitation or of physical or corrective treatment of any bodily or mental condition of any person by the use of the physical, chemical and other properties of heat, light, water, electricity, sound, massage and active, passive and resistive exercise, including physical therapy evaluation, treatment planning, instruction and consultative services. 3)Provides for the licensure and regulation of occupational therapists and occupational therapy assistants by the California Board of Occupational Therapy (CBOT) within the Department of Consumer Affairs. 4)Define the practice of occupational therapy, in part, as the therapeutic use of purposeful and meaningful goal-directed activities which engage the individual's body and mind in SB 374 Page 2 meaningful, organized and self-directed actions that maximize independence, prevent or minimize disability and maintain health. This bill: 1)Prohibits an individual from representing him or herself as or using the title of personal trainer unless one of the two following requirements is met: a) The person has a bachelor's degree in exercise science, kinesiology, fitness science or another closely related field. b) The person is certified by one of the following: i) A national organization whose personal trainer certification procedures are approved by the National Commission for Certifying Agencies (NCCA). ii) An organization accredited by either the Council for Higher Education Accreditation or by the United States Department of Education. 2)Specifies that "to hold himself or herself out as a, or use the title of, personal trainer" means to state or advertise or put out any sign, card or other device, or to represent to the public through any print or electronic media, that he or she is a personal trainer. 3)Defines "personal trainer" as an individual who has expertise in developing and implementing physical fitness and training programs for individuals and who provides those services for a fee to individuals or through an organization (i.e. a fitness center) that is compensated for making personal training services available. 4)Excludes the following from the personal trainer definition: a) Individuals who provide training in a particular discipline (i.e. yoga or pilates) b) Individuals who provide training on a particular piece of equipment or device such as a bicycle but does not SB 374 Page 3 include proving advice or assistance on other aspects of physical fitness and training such as body weight management, cardiovascular fitness, endurance and overall muscle and strength development. FISCAL EFFECT: Unknown. This bill is keyed "nonfiscal" by Legislative Counsel. COMMENTS: 1.Purpose. According to the Author, this measure is needed to protect consumers from untrained physical trainers. The Author states there are many reports of injury ranging from pulled muscles to internal organ damage in the personal training arena and consumers should have the right to know the level of education and training prospective trainers have before hiring one. He also believes trainers that have a high level of education and training should be able to differentiate themselves from fly by night instructors. The Author states, "The term personal trainer can mean someone with any level of training or education- including NO real training or education. Depending on the gym, personal trainers can be experts on the body and have extensive education, or can be trainers with little to no real knowledge about how the body works and responds to certain diets and exercise. This can expose unwitting customers to trainers to push the customer too hard or to do exercises that are not appropriate and can actually do permanent harm to the person being trained. Cases of abuses including blown-out knees, injured backs and torn muscles are unfortunately not uncommon. While some injuries cannot be planned for or easily avoided, many could have been prevented if the trainer in question had thorough knowledge of the body and its movement." Because the term personal trainer is currently not defined or regulated by the state, and there are not any minimum standards or requirements for an individual to call him or herself a personal trainer, the Author argues this measure will require a reasonable amount of training or education to ensure a level of knowledge that will protect consumers from harm and injuries. 2.Background. In 2002 and 2003, then Assemblymember Lowenthal introduced legislation on behalf of the California Athletic Trainers Association (CATA) proposing licensure for athletic SB 374 Page 4 trainers. AB 2789 (2001-02 Session) was amended to require a study of the issue before being held on the Assembly Appropriations Committee suspense file. AB 614 , (2003-04 Session) was held in Senate Business and Professions Committee to allow the Joint Committee on Boards, Commissions and Consumer Protection (Joint Committee) to examine whether athletic trainers should be licensed as part of the "sunrise" process. In compliance with the sunrise process, CATA completed and submitted the extensive "sunrise questionnaire" in support of its proposal for licensure. The athletic trainer sunrise proposal was heard by the Joint Committee in January 2005. Following this hearing, the Joint Committee voted unanimously, in April 2005, to reject full licensure of athletic trainers, but suggested as part of this recommendation that some form of recognition of athletic trainers, such as title protection, may be appropriate. In 2005, Senator Lowenthal introduced SB 1397 which would have enacted the Athletic Trainers Certification Act, which prohibited a person from representing him/herself as an athletic trainer unless he/she is certified as an athletic trainer by an athletic training organization. The bill would have regulated the practice of athletic training by requiring all individuals who use the title athletic trainer to meet specific education standards, pass a certification exam, complete continuing education and register with an athletic training organization. The measure also made it an unfair business practice for a registered athletic trainer to advertise or publicly represent he or she is "state certified" or "state registered" as an athletic trainer by the State of California. Governor Schwarzenegger vetoed the measure claiming "there is no evidence that the existing unregulated status of athletic trainers poses any threat to the public health and safety" and this measure would place unnecessary regulatory burdens on the athletic training profession. In the sunrise questionnaire, CATA indicated that there about 2,200 certified athletic trainers in California. Only those athletic trainers who have been certified by the Omaha-based Board of Certification (an affiliate of the National Athletic Trainers Association) are permitted to use the terms certified athletic trainer" or "athletic trainer, certified." The Board of Certification certifies athletic trainers who have met the qualifications and passed a national written examination. To SB 374 Page 5 sit for the exam, applicants for certification as an athletic trainer must have completed a bachelor degree program in an athletic training educational program accredited by the Commission on Accreditation of Allied Health Education Programs. In 2005, there were 12 accredited entry level athletic training education programs in California, as well as one graduate level program and an additional six entry-level programs in candidacy for accreditation. Most of the accredited programs are in the California State University system. The majority of certified athletic trainers in California are employed in school settings, including four-year colleges and universities, community colleges, and high schools. Professional sports teams, clinics, hospitals industrial settings or private health clubs employ the rest. 3.Legislation in Other States. A few other states have or are considering legislation to regulate personal trainers. The following is a list of the legislation: Georgia Senate Resolution 1077 by Senators Jones and Seabaugh was passed in 2005 to create the Senate Study Committee on the Licensure of Personal Fitness Trainers to examine the state's growing and unregulated personal fitness training industry and make recommendations it deems necessary or appropriate to provide consumer protection. Maryland House Bill 814 of 2008 by Delegate Costa would have required the Board of Physicians to license and regulate the practice of personal training, required all personal trainers to be licensed by October 1, 2010, and specified age, education, and other credential requirements required for licensure. The measure was withdrawn. New Jersey is currently considering Senate Bill 2164 by Senator Sarlo, which would require new personal trainers to receive 300 hours of classroom instruction, including 50 hours of unpaid internship and require existing trainers to enroll in 150 hours of classroom instruction. 4.Suggested Amendments. While this measure defines the term "personal trainer" and prohibits persons from representing themselves as such to the public, it does not establish penalties for persons who violate the provisions of this bill. The Author may wish to consider amendments that make a SB 374 Page 6 violation of this bill a violation of the fair business practice or an infraction or misdemeanor with fines to serve as a deterrent to those without the proper requirements. NOTE : Double-referral to Rules Committee second. SUPPORT AND OPPOSITION: Support: None received as of April 8th. Opposition: None received as of April 8th. Consultant: Sieglinde Johnson