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Florida, Reiki and the Massage
Board by William Lee Rand There has been a lot of concern and confusion
about practicing Reiki in Florida since the Board of Massage Therapy interpreted
the definition of "massage" in its licensure law to include Reiki. People
have had different opinions about what they actually did, what this means for
Reiki people and what can be done to solve the problem. To find out the
facts and get an opinion concerning this issue, I contacted Deborah Miller, a
Florida attorney who is active in the health freedom movement. Deborah has practiced
for many years in professional licensure law. She has been following the actions
of the Florida Board of Massage Therapy and was able to explain the situation
to me. The Problem: The Florida Board of Massage says that Reiki is Massage The
following information is based on documents she sent, and emails and phone conversations
I've had with Deborah. The Florida Board of Massage Therapy may interpret the
Massage Practice Act - the law which regulates its profession. Therefore, the
Board may decide whether a practice is "manipulation of the soft tissues
of the human body" and, thus, is massage. Under Florida law, the unlicensed
practice of Massage - and of any other licensed health care profession - is a
crime. While a court may disagree with the Board's interpretation of its Practice
Act - and has done so in the past with various Boards - to date, the question
of whether Reiki is massage has not been decided by a court. In 1999 and
2000, the Board voted that Reiki is massage and that anyone practicing Reiki for
compensation must have a massage license or other license to touch (such as a
nursing license). During the Board's deliberations, Reiki practitioners noted
that Reiki doesn't always involve physical touch of the client's body. It is unclear
whether the Board accepted this fact and, if they did, why they found that off-the-body
Reiki is "manipulation of the soft tissues". When the question
was again brought to the Board in 2001, then Board member Karen M. Harrison wrote
a letter to her fellow board members outlining her understanding of the Board's
past reasoning. Their conclusions were: (1) that touch for compensation requires
a license. While Reiki is a spiritual practice, it is also a money-making business;
(2) Although most Reiki techniques are administered over clothing, the public
might not be protected from practitioners who do not understand boundary issues;
(3) if Reiki does not require a massage license, many other modalities will want
to be "deregulated"; (4) while a Reiki practitioner may not be manipulating
soft tissues in the true sense of the definition, they are manipulating blood
flow, soft tissues, and fascia by touching the body and leaving their hands in
place for a period of time; (5) Reiki practitioners are "treating" conditions
yet they do not want to be licensed; and (6) some Reiki practitioners may incorporate
Cranio Sacral therapy into their Reiki practices. Finally, the Board does not
look favorably on Reiki practitioners who become ministers in an attempt to shield
themselves from prosecution. They feel that this misleads the public. Unlicensed
Reiki Practitioners May be Fined or Criminally Prosecuted The Florida Board
of Massage may interpret its Practice Act, but it does not enforce it against
unlicensed practitioners. Enforcement is up to the Department of Health (DOH).
If someone complains to the DOH that an unlicensed person is giving Reiki treatments,
the DOH has four options. First, it may issue a Cease and Desist Notice to the
practitioner. If the person continues practicing, the DOH must go to court to
enforce its Notice.
Second, the Department may issue a Citation imposing
an administrative penalty not to exceed $5,000 per incident. The practitioner
may contest the citation in a trial-type proceeding before an administrative law
judge (ALJ). The losing party may challenge the ALJ's decision before an appellate
court. Third, the DOH may ask a civil court to impose a civil fine against
an unlicensed practitioner. The Department must prove that Reiki is massage, as
defined by Florida law, and that the practitioner is not a licensed massage therapist. Finally,
the DOH may seek the arrest and criminal prosecution of an unlicensed Reiki practitioner.
To date, this has not happened to a Reiki practitioner. However, other unlicensed
practitioners - such as homeopaths and traditional naturopaths - have been criminally
prosecuted. Once the case gets to court, the Board's interpretation that
Reiki is massage could be challenged and overturned. However, court battles are
expensive and there is the risk that the judge will not rule in your favor. On
the other hand, there are good arguments against the Board's interpretation of
its Practice Act. One consideration is that the DOH has limited resources;
they might feel that they have more important things to do than to prosecute a
Reiki practitioner who is neither pretending to be licensed nor is threatening
significant harm to a client. However, there is.no guarantee that a complaint
will not be acted on. Some people believe that they may legally practice
Reiki for compensation if they become a minister through the mail or over the
internet, by filling out some papers and making a donation or paying a fee. These
persons believe that they may legally practice Reiki for compensation if they
claim that Reiki is a spiritual practice and part of their religion, and that
they received a "donation" rather than a fee for their services. However,
the Universal Life Church has warned of the risk of this practice. Please see
http://www.spiritualone.com/Online/Mar03/KeepReikiFree/ULCandReiki.htm.
Further, a court may rule that money paid to an individual practitioner, rather
than directly to a religious institution, is a fee for the Reiki service, rather
than a donation to a church. A Good Solution Deborah Miller
is the president of the Florida Health Freedom Action (FHFA), a group of both
licensed and unlicensed health care practitioners who believe that the public
has the right to choose their health care therapies and practitioners - and people
have the right to work in their chosen occupation - without unnecessary governmental
regulation. FHFA believes that low and no risk health care therapies should be
available to both licensed and unlicensed persons, as long as the public knows
about the practitioner's training and whether or not they are licensed.
FHFA
is working to pass the "Consumer Health Freedom Act". The Act would
change Florida law to allow practitioners of low or no risk therapies, including
Reiki, to practice even though they are not a licensed health care provider. This
legislation will solve the above mentioned problem the Florida Board of Massage
Therapy has created for Reiki practitioners and allow them to practice Reiki without
needing to get a massage license. It will also establish Reiki as a legal unlicensed
practice and prevent others from attempting to license or regulate Reiki.Under
the proposed law, unlicensed persons must inform clients that they aren't licensed
and describe their training and the therapy that they are offering. The purpose
is two-fold: To allow consumers to make informed health care choices among low
and no risk therapies without the government's interference, and to allow practitioners
of Reiki and other gentle therapies to work without having to train and become
licensed in a profession, when licensure isn't necessary to protect the public
from significant harm. The Consumer Health Freedom Act is a viable solution that
is being promoted by competent people who understand the legal system in Florida
and have a high likelihood of success. Your Help is Needed On
average, 3-5 years are needed to pass a new law. FHFA's legislative efforts are
entering their third year. FHFA's staff has worked without pay because they believe
that Florida's consumers and practitioners deserve the protections of the Consumer
Health Freedom Act. In order to succeed, however, this legislative work must be
a group effort; your help is essential. The FHFA staff is competent and understands
what needs to be done to succeed, but they cannot continue their work unless more
dedicated volunteers join this effort. If you would like to volunteer your time
or funds, please contact Deborah at FHFA, P.O. Box 430871, South Miami, FL 33243-0871,
Phone: 305 668 2800, Fax: 305 662 1665, Email: info@floridahealthfreedom.org
Website: www.floridahealthfreedom.org ©
Copyright 2004, ICRT All rights reserved. No part of this material may be
reproduced or utilized in any form or by any means, including electronic
or mechanical without written permission. The
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