House Bill 0069

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

        By Representative Valdes






  1                      A bill to be entitled

  2         An act relating to the Department of Health;

  3         creating s. 381.0075, F.S.; providing for

  4         regulation of body piercing by the department;

  5         providing definitions; providing exemptions;

  6         requiring a license to operate a body-piercing

  7         salon; providing licensing procedures and fees;

  8         prohibiting body piercing of a minor without

  9         consent of a parent or legal guardian;

10         prohibiting other acts; providing penalties;

11         providing for injunction; providing for

12         enforcement; providing rulemaking authority;

13         providing specific requirements for

14         body-piercing salons; providing an effective

15         date.

16

17  Be It Enacted by the Legislature of the State of Florida:

18

19         Section 1.  Section 381.0075, Florida Statutes, is

20  created to read:

21         381.0075  Regulation of body-piercing salons.--

22         (1)  LEGISLATIVE INTENT.--It is the intent of the

23  Legislature to protect the health, safety, and welfare of the

24  public from the spread of infectious diseases from practices

25  which prick, pierce, or scar the skin.  To that end, it is the

26  intent of the Legislature to regulate body-piercing salons.

27         (2)  DEFINITIONS.--As used in this section:

28         (a)  "Body piercing" means the act of penetrating the

29  skin to make, generally permanent in nature, a hole, mark, or

30  scar.  "Body piercing" does not include the use of a

31

                                  1

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1  mechanized, presterilized ear-piercing system that penetrates

  2  the outer perimeter or lobe of the ear or both.

  3         (b)  "Body-piercing salon" means a place where body

  4  piercing occurs.

  5         (c)  "Department" means the Department of Health.

  6         (d)  "Establishment" means a body-piercing salon as

  7  defined in this section.

  8         (e)  "Jewelry" means any personal ornament inserted

  9  into a pierced area, which must be made of implant grade

10  high-quality stainless steel, solid gold of at least 14K

11  weight, niobium, titanium, platinum, a dense, low-porosity

12  plastic, or silver and which is free of nicks, scratches, or

13  irregular surfaces.  Ear studs are not jewelry for purposes of

14  this section.

15         (f)  "Licensee" means any person licensed under this

16  section who is responsible for compliance with this section

17  and the rules adopted under this section.

18         (g)  "Operator" means an individual designated by a

19  licensee to control the operation of an establishment.

20         (h)  "Person" means any individual, partnership,

21  corporation, or association.

22         (i)  "Safe level" means not more than 50 colonies of

23  microorganisms per 4 square inches of equipment or device

24  surface.

25         (j)  "Sanitization" means the effective bactericidal

26  treatment of surfaces of equipment and devices by a product

27  registered by the United States Environmental Protection

28  Agency which provides a sufficient concentration of chemicals

29  and enough time to reduce the bacterial count, including

30  pathogens, to a safe level.

31

                                  2

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         (k)  "Sterilization" means the use of procedures which

  2  destroy all microbial life, including viruses, on the

  3  equipment or device.

  4         (l)  "Stop-use order" means a written notice from the

  5  department to a licensee requiring the licensee to remove a

  6  piece of equipment or cease conducting a particular procedure

  7  because the equipment is not being operated or the procedure

  8  conducted in accordance with the requirements of this section

  9  or any rule adopted pursuant thereto.

10         (3)  EXEMPTIONS.--This section shall not be construed

11  to alter the scope of practice authorized for any health care

12  practitioner licensed under chapter 458, chapter 459, chapter

13  460, chapter 461, chapter 466, chapter 474, or chapter 486 as

14  such scope of practice is defined by statute or rule.

15         (4)  LICENSE REQUIRED.--

16         (a)  A person may not operate an establishment unless

17  it is licensed under this section.

18         (b)  Any person operating an establishment shall obtain

19  a license from the department annually.

20         (c)  A license for an establishment shall not be

21  transferable from one place or person to another.

22         (d)  A license shall automatically expire on September

23  30 of each year unless renewed by the department upon the

24  request of the licensee.

25         (e)  A current license shall be displayed in a public

26  area of the establishment.

27         (5)  LICENSE APPLICATION.--

28         (a)  A person must apply to the department for an

29  establishment license prior to commencement of operation and

30  must apply for annual renewal of the license in order to

31  continue operation.

                                  3

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         (b)  Application for an initial license or the renewal

  2  of a license must be on a form provided by the department and

  3  must be accompanied by the annual or prorated fee required in

  4  this section.

  5         (c)  The licensee shall report any change in the

  6  application information to the department before the change

  7  may be put into operation.

  8         (6)  FEES.--

  9         (a)  Fees assessed under this section shall be

10  reasonably calculated to cover the cost of regulation under

11  this section, may be used only to meet the costs of carrying

12  out the requirements of this section, and are nonrefundable.

13         (b)  A person applying for initial licensure or

14  reactivation of an expired license at the beginning of the

15  licensing period or for renewal of a license shall pay the

16  full fee.  All other applicants, whether for initial licensure

17  or reactivation of an expired license, shall pay a prorated

18  fee based on the number of quarters left until September 30.

19         (c)  Fees must be received by the department within 30

20  days after receipt of written notification from the department

21  that a fee is due.  Failure to pay timely will result in the

22  assessment of a late fee.  Fees are payable to the county

23  health department in the county where the establishment is

24  located.

25         (d)  The fees assessed under this section are, unless

26  prorated, as follows:

27         1.  The annual license fee, or license renewal fee, for

28  a body-piercing salon is $150.

29         2.  Each late fee is $100.

30         (7)  MINORS.--A person may not pierce any body part of

31  a minor without the written notarized consent of the minor's

                                  4

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1  parent or legal guardian, and an establishment may not serve a

  2  minor under the age of 16 unless the minor is accompanied by a

  3  parent or legal guardian.

  4         (8)  PROHIBITED ACTS; PENALTIES; INJUNCTION.--

  5         (a)  Each of the following acts constitutes a felony of

  6  the third degree, punishable as provided in s. 775.082, s.

  7  775.083, or s. 775.084:

  8         1.  Owning, operating, or soliciting business as an

  9  establishment in this state without first procuring a license

10  from the department, unless specifically exempted by this

11  section.

12         2.  Obtaining or attempting to obtain a license to

13  operate an establishment by means of fraud, misrepresentation,

14  or concealment.

15         (b)  Each of the following acts constitutes a

16  misdemeanor of the second degree, punishable as provided in s.

17  775.082 or s. 775.083:

18         1.  Failing to maintain the records required by this

19  section or knowingly making false entries in such records.

20         2.  Failing to comply with the requirements regarding

21  minors set forth in subsection (7).

22         (c)  In addition to any other punishment provided for,

23  the court may suspend or revoke the license of any licensee

24  under this section who has been found guilty of any violation

25  of paragraph (a) or paragraph (b).

26         (d)  If the department or any state attorney has

27  probable cause to believe that an establishment or person has

28  violated any provision of paragraph (a), an action may be

29  brought by the department or the state attorney to enjoin such

30  establishment or person from continuing such violation, or

31

                                  5

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1  engaging therein or doing any acts in furtherance thereof, and

  2  the court may provide any other relief it deems appropriate.

  3         (9)  ENFORCEMENT.--

  4         (a)  The department shall inspect or investigate an

  5  establishment as necessary, but at least annually, to ensure

  6  compliance with this section.  Department personnel may, at

  7  any reasonable time, enter any establishment licensed under

  8  this section or any premises the department has reason to

  9  believe is being operated or maintained in violation of this

10  section, to determine compliance with this section or any rule

11  adopted under this section.

12         (b)  The department may impose an administrative fine,

13  not to exceed $1,000 per violation per day, for the violation

14  of any provision of this section, any rule adopted under this

15  section, or any term or condition of any license issued under

16  this section by the department.

17         (c)  In determining the amount of fine to be levied for

18  a violation, as provided in paragraph (b), the following

19  factors shall be considered:

20         1.  The severity of the violation and the extent to

21  which the provisions of this section, the rules adopted under

22  this section, or any terms or conditions of any license issued

23  under this section were violated.

24         2.  Actions taken by the licensee to correct the

25  violation.

26         3.  Any previous violations by the licensee.

27         (d)  The department may issue a stop-use order, or

28  institute legal action for injunctive or other relief, to

29  enforce any provision of this section.

30         (e)  The department may cancel, revoke, or suspend a

31  license to operate an establishment if the licensee:

                                  6

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         1.  Fails to pay any fee required by this section;

  2         2.  Obtains or attempts to obtain a license under this

  3  section by fraud, misrepresentation, or concealment; or

  4         3.  Violates any provision of this section or any rule

  5  adopted under this section.

  6         (f)1.  The department may issue a citation that

  7  contains an order of correction or an order to pay a fine, or

  8  both, for any violation of this section or the rules adopted

  9  under this section, when the violation of the section or rule

10  is enforceable by an administrative or civil remedy or when

11  the violation of the section or rule is a misdemeanor of the

12  second degree.  A citation constitutes a notice of proposed

13  agency action.

14         2.  A citation must be in writing and must describe the

15  particular nature of the violation, including specific

16  reference to the provision of law or rule allegedly violated.

17         3.  The fines imposed by a citation shall not exceed

18  $1,000 for each violation.  Each day the violation exists

19  constitutes a separate violation for which a citation may be

20  issued.

21         4.  The department shall inform the recipient of a

22  citation, by written notice pursuant to ss. 120.569 and

23  120.57, of the right to an administrative hearing to contest

24  the citation within 21 days after the date the citation is

25  received.  The citation must contain a conspicuous statement

26  that if the recipient fails to pay any fine levied against the

27  recipient within the time allowed or fails to appear to

28  contest the citation after having requested a hearing, the

29  recipient has waived the recipient's right to contest the

30  citation and must pay the maximum fine.

31

                                  7

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         5.  The department may reduce or waive any fine imposed

  2  by a citation.  In determining whether to reduce or waive a

  3  fine, the department must consider the gravity of the

  4  violation, the person's attempts at correcting the violation,

  5  and the person's history of previous violations for which

  6  enforcement actions were taken under this section.

  7         6.  Any person who willingly refuses to sign and accept

  8  a citation issued by the department commits a misdemeanor of

  9  the second degree, punishable as provided in s. 775.082 or s.

10  775.083.

11         7.  This paragraph provides an alternative means of

12  enforcing this section but does not prohibit the department

13  from enforcing this section or the rules adopted under this

14  section by any other means.  However, the department may use

15  only a single method of enforcement for each violation.

16         (g)  The department shall deposit all fines it collects

17  under this section in the county health department trust fund

18  for use in providing services specified in this section.

19         (10)  RULES.--The department may adopt rules not

20  inconsistent with law which are necessary to implement and

21  administer this section.

22         (11)  BODY-PIERCING SALONS; SPECIFIC REQUIREMENTS.--

23         (a)  A body-piercing salon must:

24         1.  Properly sterilize all instruments which pierce the

25  skin, directly aid in piercing the skin, or may come in

26  contact with instruments that pierce the skin, through such

27  means as storage in trays with other instruments or contact

28  with forceps, in accordance with the sterilization procedures

29  in this section.

30

31

                                  8

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         2.  Sanitize all equipment indirectly used in body

  2  piercing, including any beds, tables, headrests, armrests,

  3  legrests, or handrails.

  4         3.  Use protective infection barriers such as gloves

  5  and masks when serving a customer.  If the protective barriers

  6  are contaminated, they must be properly disposed of

  7  immediately.  Protective barriers may only be used once and

  8  only for one customer.

  9         4.  To the degree possible, thoroughly cleanse the area

10  to be pierced with an antiseptic solution before and after the

11  piercing.

12         5.  Use only jewelry as defined in this section.

13         6.  Provide each customer with written instructions on

14  the proper care of the pierced area so as to prevent

15  infection.

16         7.  Maintain a record of each customer's visit for a

17  period of not less than 2 years, including the customer's

18  name, date of visit, and area pierced and the name of the

19  person performing the piercing.

20         8.  Report any injury or any complaint of injury to the

21  department on forms prescribed by the department and provide a

22  copy of the report to the complainant.

23         (b)  Sterilization procedures must include:

24         1.  Proper autoclaving according to the autoclave

25  manufacturer's instructions.

26         2.  A sterilization indicator in each autoclaving to

27  monitor the sterilization procedure.  The indicator must

28  indicate exposure to steam and 250° Fahrenheit.

29         3.  Contaminated instruments must be sterilized in the

30  following manner:

31

                                  9

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1         a.  The contaminated instruments shall be thoroughly

  2  cleansed with an antiseptic solution, according to the

  3  instructions for the antiseptic solution, and hot water.

  4         b.  All instruments must be packaged properly and

  5  loaded correctly into the autoclave.

  6         c.  The contaminated instrument shall be sterilized by

  7  autoclave.

  8         4.  All sterilized instruments must be stored and

  9  handled in a manner which maintains sterility.

10         5.  Autoclaves must be cleaned regularly and serviced

11  at least once a year.

12         6.  Each body-piercing salon utilizing autoclave

13  sterilization techniques must post the sterilization

14  procedures and ensure that personnel responsible for

15  performing the sterilization procedures are adequately

16  trained.

17         7.  All staff must be trained in proper

18  infection-control procedures.

19         8.  Presterilized, prewrapped, disposable instruments

20  may be used, but must be used in accordance with the

21  manufacturer's instructions.

22         (c)  The body-piercing salon must be in compliance with

23  s. 381.0098.

24         Section 2.  This act shall take effect October 1, 1997.

25

26

27

28

29

30

31

                                  10

CODING: Words stricken are deletions; words underlined are additions.






    Florida House of Representatives - 1997                  HB 69

    225-193A-97






  1            *****************************************

  2                          HOUSE SUMMARY

  3
      Provides for regulation of body piercing by the
  4    Department of Health.  Provides definitions and
      exemptions.  Requires a license to operate a
  5    body-piercing salon.  Provides licensing procedures and
      fees.  Prohibits body piercing of a minor without consent
  6    of a parent or legal guardian.  Prohibits other acts.
      Provides penalties.  Provides for injunction.  Provides
  7    for enforcement.  Provides rulemaking authority.
      Provides specific requirements for body-piercing salons.
  8    See bill for details.

  9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

                                  11