BILL ANALYSIS                                                                                                                                                                                                    







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          |Hearing Date:April 13, 2009    |Bill No:SB                       |
          |                               |374                              |
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               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  





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            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  





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               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  





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            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  





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            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  





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            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