THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL

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PRIOR PRINTER'S NOS., 1 PRINTER'S NO. THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No. Session of 01 INTRODUCED BY DeLUCA, READSHAW, WATSON, MURT, MILLARD, V. BROWN, D. COSTA AND IRVIN, FEBRUARY, 01 AS AMENDED ON SECOND CONSIDERATION, HOUSE OF REPRESENTATIVES, APRIL, 01 AN ACT 1 1 1 1 Regulating tattoo, body-piercing and corrective cosmetic artists; limiting tongue splitting; providing for powers and duties of the Department of Health; and imposing penalties. Section 1. Short title. Section. Legislative intent. Section. Definitions. Section. Registry. TABLE OF CONTENTS Section. Powers and duties of department. Section. Duties and responsibilities of artists. Section. Minors. Section. Municipalities. Section. Unlawful acts. Section. Tongue splitting limitation. Section. Disciplinary matters. Section. Penalties. Section. Injunctive relief. Section. Exemptions.

1 1 1 1 0 1 0 Section. Effective date. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Short title. This act shall be known and may be cited as the Tattoo, Body- Piercing and Corrective Cosmetic Artists Act. Section. Legislative intent. It is the intent of the General Assembly to direct the department to establish health standards for the practice of tattooing, body piercing and corrective cosmetics within this Commonwealth. The health standards will be achieved through the imposition of regulations and the registration of all tattoo artists, body-piercing artists and corrective cosmetic artists with the department. Section. Definitions. The following words and phrases when used in this act shall have the meanings given to them in this section unless the context clearly indicates otherwise: "Body piercing." The process of breaching the skin or mucous membrane for the purpose of insertion of any object, including, but not limited to, jewelry for cosmetic purposes. The term does not include ear piercing or nail piercing. "Body-piercing artist." A AN individual who performs body piercing or operates, conducts or manages a body-piercing establishment. "Corrective cosmetic artist." A AN individual who performs corrective cosmetics. "Corrective cosmetics." The application of a tattoo on a live human being for medical situations that otherwise could not be corrected or improved, including, but not limited to, burn 010HB0PN - -

1 1 1 1 0 1 0 scars, acne scars, age spots and skin discoloration due to loss of pigmentation. "Department." The Department of Health of the Commonwealth. "Facial tattoo." A tattoo applied above the neck, including, but not limited to, eyelids, eyebrows or lips. "Infectious disease." A disease of humans or animals resulting from a transmissible infection, whether or not patent, apparent, inapparent, latent, clinical or subclinical. "OCULAR TATTOOING." ANY METHOD OF PLACING INK OR OTHER INERT PIGMENT INTO THE MUCOSA, CORNEA, SCLERA OR IRIS OF THE EYE BY THE AID OF NEEDLES OR ANY OTHER INSTRUMENT USED TO PUNCTURE THE EYE AND WHICH METHOD RESULTS IN PERMANENT COLORATION OF THE EYE OR MUCOSA FOR COSMETIC PURPOSES. "Registry." The Tattoo, Body-piercing BODY-PIERCING and Corrective Cosmetic Artists Central Registry established under section. "Sanitization." The reduction of the population of microorganisms to safe levels as determined by public health officials. "Sterilization." The process of destruction of the forms of life by physical or chemical means. "Tattoo." The indelible mark, figure or decorative design introduced by insertion of nontoxic dyes or pigments into or under the subcutaneous portion of the skin or by the production of scars upon the body of a live human being. "Tattoo artist." A AN individual who performs tattooing or operates, conducts or manages a tattoo establishment. "Tattooing." The process by which the skin is marked or colored by insertion of nontoxic dyes or pigments into or under the subcutaneous portion of the skin so as to form indelible 010HB0PN - -

1 1 1 1 0 1 0 marks for cosmetic or figurative purposes. "Temporary establishment." An establishment that: (1) performs tattooing, body piercing or both; () is operated by an individual registered under this act; and () operates outside of a registered facility at a fixed location for a period of time of not more than seven consecutive days in conjunction with a single event or celebration. "Tongue splitting." The cutting of a human tongue into two or more parts. Section. Registry. The department shall, by regulation, establish the Tattoo, Body-Piercing and Corrective Cosmetic Artists Central Registry. A AN individual who performs tattooing, body-piercing or corrective cosmetic services within this Commonwealth must meet the requirements of this act and register with the department on forms provided by the department. Section. Powers and duties of department. (a) General rule.--the department shall adopt regulations as are reasonably necessary to carry out the provisions of this act. A regulation must be adopted in conformity with the provisions of the act of June, 1 (P.L., No.11), known as the Regulatory Review Act, and must include, but not be limited to: (1) Tattoo, body-piercing and corrective cosmetic establishment registration and facility registration requirements, including, but not limited to: (i) Physical location. (ii) Specifications of walls, ceilings, floors, 010HB0PN - -

1 1 1 1 0 1 0 partitions, fixtures, equipment and other appurtenances. (iii) Lighting. (iv) Ventilation. (v) Water supply. (vi) Liquid waste disposal. (vii) Refuse storage and disposal. (viii) Toilets and lavatories. (ix) Sinks. (x) Insect and rodent control. () Temporary establishment registration requirements. () Tattoo artist and body-piercing artist registration requirements. () Apprentice tattoo artist and body-piercing artist registration requirements. () Development and maintenance of and registration in the registry. () Tattoo artist and body-piercing artist hygiene. () Health, sanitization, sterilization and safety standards for tattoo, body-piercing or corrective cosmetic establishments and temporary establishments. () Tattoo and body-piercing establishment and temporary establishment recordkeeping. () Qualifications for the registration of corrective cosmetic artists. () Tongue splitting. (b) Examination.--The department shall require the successful completion of a written examination regarding health, sanitization, sterilization and safety standards prior to issuing a registration to a tattoo artist, body-piercing artist or corrective cosmetic artist. THE DEPARTMENT SHALL PRESCRIBE 010HB0PN - -

1 1 1 1 0 1 0 THE SUBJECTS OF EXAMINATION, WHICH SHALL INCLUDE THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION STANDARD FOR BLOODBORNE PATHOGENS AND OTHER HEALTH, SANITATION, STERILIZATION AND SAFETY STANDARDS. (c) Registration.--The department shall register: (1) An applicant who successfully passes the examination and meets the requirements for registration in accordance with the regulations promulgated under this act. () A tattoo or body-piercing establishment or temporary establishment that has been inspected and meets facility requirements in accordance with the regulations where tattooing, body-piercing or corrective cosmetic services will be performed. (d) Inspection.--The department shall inspect an establishment at which tattooing, body piercing or corrective cosmetics are performed prior to issuing a AN INITIAL facility registration. The department may conduct inspections of registered facilities and temporary establishments. REGISTRATION AND SHALL RANDOMLY INSPECT 0% OF ALL REGISTERED FACILITIES EACH YEAR THEREAFTER. The inspection shall insure ENSURE that required sterilization, sanitation and safety standards are maintained. (e) Fees.--Any fee required under this act shall be fixed by the department by regulation and shall be subject to the Regulatory Review Act. (f) Limitation.--This act may not be construed to permit the department to regulate artistic aspects of tattooing, body piercing or corrective cosmetics that are unrelated to health, sanitization, sterilization or safety standards. (g) Departmental actions.--an action of the department in 010HB0PN - -

1 1 1 1 0 1 0 accordance with this act that results in a refusal to issue a registration for a reason other than failure to pass the written examination required under subsection (b) or action that suspends or revokes a registration shall be subject to the right of notice, hearing and adjudication and the right of appeal therefrom in accordance with Pa.C.S. Ch. Subch. A (relating to practice and procedure of Commonwealth agencies). Section. Duties and responsibilities of artists. (a) Health of tattoo artists and body-piercing artists.--the department shall establish, by regulation, minimum health standards for the registrants and individuals working in an area of a tattoo or body-piercing establishment that may be necessary to prevent the contamination of tattoo or body-piercing equipment, supplies or work surfaces with pathogenic organisms. (b) Infectious disease.--a notarized statement from a licensed physician shall be provided to the department, prior to the issuance of a registration under this act, confirming that the artist was examined by the physician, a test of the artist's blood was made and the results of the test indicate that: (1) the artist is free from all contagious and infectious diseases, including hepatitis B; () the artist has either completed or was offered and declined a vaccination series; () antibody testing reveals that the artist is immune to certain diseases; or () a vaccine is contradicted for medical reasons. (c) Notifications.--Verbal and written instructions for the care of the tattooed or pierced site on the body shall be provided to a customer by the tattoo artist or body-piercing artist upon the completion of the procedure. The written 010HB0PN - -

1 1 1 1 0 1 0 instructions shall advise the customer to consult a physician at the first sign of infection and contain the name, address and telephone number of the tattoo or body-piercing establishment. Section. Minors. (a) Prohibitions.--A individual may not perform a tattooing (A) PROHIBITIONS.-- (1) AN INDIVIDUAL MAY NOT PERFORM A TATTOOING or bodypiercing service on another individual under 1 years of age without the written consent of a parent or legal guardian of the other individual. () NOTWITHSTANDING PARAGRAPH (1), AN INDIVIDUAL MAY NOT PERFORM A TATTOOING OR BODY-PIERCING SERVICE ON THE GENITALS OF ANOTHER INDIVIDUAL WHO IS UNDER 1 YEARS OF AGE AND IS NOT EMANCIPATED. (b) Regulations.--The department shall promulgate regulations establishing standards for verification of age and documentation of consent. (c) Revocation.--A AN individual who performs a tattooing or body-piercing service on a body part of a AN individual under 1 years of age without proper consent as established under subsection (a) shall have the registration under this act revoked for two years. (d) Registration.--A AN individual who violates subsection (a) may not be registered for two years from the date of violation or revocation, whichever is later. Section. Municipalities. (a) Authority of municipality.--the following shall apply: (1) This act shall not supersede the power of a municipality to: (i) inspect a tattoo or body-piercing establishment 010HB0PN - -

1 1 1 1 0 1 0 or temporary establishment; (ii) regulate the manner in which tattooing or body piercing may be performed; (iii) levy a lawful tax or fee; and (iv) require the purchase of a business privilege license unrelated to competence in the practice of tattooing or body piercing. () A municipality may not require a tattoo artist or body-piercing artist registered under this act to obtain a municipal license to engage in a tattoo, temporary tattoo or body-piercing service in the municipality. () This act shall not preclude a municipality from denying or revoking a local permit for failure to comply with a local ordinance that is consistent with this act or regulations of the department promulgated under this act. (b) Failure to comply with local ordinance.--a registrant under this act who fails to comply with a municipal ordinance concerning the inspection of tattoo or body-piercing establishments or temporary establishments, or the manner in which the municipality requires tattoo and body-piercing services to be performed, shall be subject to disciplinary proceedings under this act. Section. Unlawful acts. (a) Unregistered practice.--unless a AN individual has been duly registered and authorized to engage in practice under this act, the individual may not: (1) practice tattooing, body piercing or corrective cosmetics; () hold himself out as a practitioner of or entitled or authorized to practice tattooing, body piercing or corrective 010HB0PN - -

1 1 1 1 0 1 0 cosmetics; or () assume the title of "tattooist," "tattoo artist," "body piercer," "body-piercing artist," "corrective cosmetics artist" or other letters or titles in connection with the individual's name that represents himself as being engaged or authorized in the practice of tattooing, body piercing or corrective cosmetics. (b) Unregistered facilities.--a AN individual may not operate a tattoo, body-piercing or corrective cosmetic establishment or temporary establishment that is not registered with the department. (c) Injections.--A tattoo artist, body-piercing artist or corrective cosmetic artist may not administer an anesthetic injection or other medication or prescription drug. (d) Facial tattoos.--other than a corrective cosmetic artist registered under this act, or a physician or surgeon licensed in this Commonwealth, a individual may not perform a facial tattoo service on another individual. (D) OCULAR TATTOOING.--AN INDIVIDUAL MAY NOT PERFORM OCULAR TATTOOING UNLESS THE PROCEDURE IS PERFORMED UNDER THE DIRECTION OF A PHYSICIAN OR OTHER AUTHORIZED HEALTH CARE PRACTITIONER. Section. Tongue splitting limitation. (a) General rule.--a AN individual may not perform tongue splitting on another individual unless the tongue splitting is performed by a physician or dentist licensed in this Commonwealth. (b) Grading.--A AN individual who violates the provisions of this section commits a misdemeanor of the first degree for a first offense and a felony of the third degree for a second or subsequent offense. 010HB0PN - -

1 1 1 1 0 1 0 Section. Disciplinary matters. (a) General.--The department may suspend or revoke a registration issued under this act for any of the following reasons: (1) Failing to demonstrate the qualifications or standards for a registration contained in this act or regulations of the department. () Making misleading, deceptive, untrue or fraudulent representations in obtaining a registration. () Being unable to practice with reasonable skill and safety to the public by reason of illness, addiction to drugs or alcohol, having been convicted of a felonious act prohibited by the act of April, (P.L., No.), known as The Controlled Substance, Drug, Device and Cosmetic Act, or convicted of a felony relating to a controlled substance in a court of law of the United States or another state, territory, possession or country, or of mental incompetency. An applicant's statement on the application declaring the absence of a conviction shall be deemed satisfactory evidence of the absence of a conviction unless the department has evidence to the contrary. () Violating a lawful regulation promulgated by the department or violating a lawful order of the department previously entered by the department in a disciplinary proceeding. () Knowingly maintaining a professional connection or association with a AN individual who is in violation of this act or regulation of the department or knowingly aiding, assisting, procuring or advising an unregistered individual to practice a profession contrary to this act or regulations 010HB0PN - -

1 1 1 1 0 1 0 of the department. () Acting in a manner that presents an immediate and clear danger to public health or safety. () Making a false or deceptive biennial registration with the department. (b) Authorized actions.--in addition to taking disciplinary or corrective action against a registrant under this act or under other statutory authority, the department may: (1) Deny the application for a registration or another privilege granted by the department. () Revoke, suspend, limit or otherwise restrict a registration. () Stay enforcement of a suspension and place a registrant on probation with the right to vacate the probationary order for noncompliance. (c) Failure to comply with conditions.--failure of a registrant to comply with the conditions required by the department shall be grounds for reconsideration of the matter and institution of formal charges against the registrant. (d) Reinstatement of registration.--unless ordered to do so by the Commonwealth Court or on appeal therefrom, the department may not reinstate the registration of a AN individual that has been revoked for two years from the date of violation or revocation, whichever is later. A AN individual whose registration has been revoked may apply for reinstatement, after a period of at least two years, but must meet the registration requirements of this act, including the examination requirement, if the individual desires to practice the art of tattooing, body piercing or corrective cosmetics under this act after the revocation. 010HB0PN - -

1 1 1 1 0 1 0 (e) Surrender of suspended or revoked registration.--the department shall require a AN individual whose registration has been suspended or revoked to return the registration in the manner as the department directs. Section. Penalties. A AN individual who violates a provision of this act commits a misdemeanor of the third degree and shall, upon conviction, be sentenced to pay a fine of not more than $1,000 or to imprisonment for not more than three months, or both. SHALL BE SUBJECT TO THE FOLLOWING PENALTIES: (1) EXCEPT AS PROVIDED IN PARAGRAPH (): (I) FOR A FIRST VIOLATION, A MONETARY PENALTY OF NOT MORE THAN $00. (II) FOR A SECOND VIOLATION, A MONETARY PENALTY OF NOT MORE THAN $1,000. (III) FOR A THIRD OR SUBSEQUENT VIOLATION IN A TWO- YEAR PERIOD, A MONETARY PENALTY OF $1,000 AND REVOCATION OF REGISTRATION FOR THE NEXT CALENDAR YEAR. () IF THE VIOLATION CONSTITUTES INTENTIONAL ENDANGERMENT OF THE PUBLIC HEALTH AND SAFETY, A MISDEMEANOR OF THE THIRD DEGREE. Section. Injunctive relief. A AN individual may not practice or attempt to offer to practice tattooing, body piercing or corrective cosmetics without having at the time of so doing a valid, unexpired, unrevoked and unsuspended registration issued under this act. The unlawful practice of tattooing, body piercing or corrective cosmetics may be enjoined by a court on petition of the department. It shall be unnecessary to show that a AN individual is individually injured by the actions complained of in the 010HB0PN - -

1 1 1 1 0 1 0 proceeding. If it is found that the respondent has engaged in the unlawful practice of tattooing or body piercing, a court of competent jurisdiction shall enjoin the respondent from so practicing unless and until the respondent registers with the department. The procedure in such cases shall be the same as in any other injunction suit. The remedy by injunction authorized by this section shall be in addition to any other civil or criminal prosecution and punishment authorized by law. Section. Exemptions. (a) General rule.--this act shall not prevent: (1) a physician or surgeon licensed in this Commonwealth OR OTHER HEALTH CARE PRACTITIONER LICENSED, REGISTERED OR CERTIFIED IN THIS COMMONWEALTH, ACTING WITHIN THE PHYSICIAN'S OR PRACTITIONER'S SCOPE OF PRACTICE, from performing bodypiercing or tattooing services for medical reasons; or () a funeral director licensed in this Commonwealth from performing body-piercing or tattooing services as required by the profession. (b) Physician-based corrective cosmetics establishments.-- This act shall not require the registration of corrective cosmetics establishments physically located in a licensed physician's office, hospital or clinic. The establishments shall be exempt from facility requirements as provided for in section (a)(1). Section. Effective date. This act shall take effect as follows: (1) Section (a) shall take effect in two years. () Section shall take effect in 0 days. () This section shall take effect immediately. () The remainder of this act shall take effect in 10 010HB0PN - -

days. 010HB0PN - -