Bills and Updates
Edits to COMAR 10.65.01.06 — Registration Conversion Regulations — the public comments period has closed and the Board voted to approve the revised regulations. Updates will be forthcoming in this guide.
Edits to COMAR 10.65.07 Fees — proposal to add a one-time registration fee for handheld tools of $100. Public comments on this proposal are open.
Edits to COMAR 10.65.12 Handheld Tools — addition of this subchapter, which regulates the use of “handheld tools” (mechanized vibration instruments and muscle-scraping tools), and does not include tools used for self-care, such as thumb-saver tools, trigger point tools, or still point inducers. This subchapter requires that LMTs submit an application for use of these tools, provide evidence of having completed sufficient training, and pay a one-time registration fee. LMTs may not use these tools unless first registered with the Board. The subchapter also defines specific requirements for the training and standards of practice. Public comments on this proposal are open.
Concept Papers for the 2026 Legislative Session:
To update statutory provisions to allow massage educational programs that are accredited by an accrediting agency other than the US Department of Education. To remove outdated language regarding the requirements for initial registration (no longer relevant). To clarify the educational requirements for out-of-state applicants.
To include language that prohibits the use of sexual references in advertisements for massage therapy. To require that images used in advertisement feature professional attire appropriate for a healthcare setting.
SB217(HB256) Health Occupations Boards-Membership Alteration and Sunset Extensions – The BOMTE (and all MD health boards) are authorized for a period of 5 years, ending this year. This hearing will authorize (or not authorize) each board to continue operations for the next 5 years (through 2030). As of March 2025: The bills have passed and await signature from the Governor. The new bill will add +1 LMT member +1 consumer member to the Board.
“Bills” are proposed legislation that has not yet passed into law. The Board keeps informed of legislative updates that would affect the scope and practice of massage therapists. Many of these Bills are not directly targeted at massage regulations, but affect the practice of massage therapy nonetheless.
The BOMTE is currently watching:
Sunset Bill Senate Hearing
The BOMTE (and all MD health boards) are authorized for a period of 5 years, ending this year. This hearing will authorize (or not authorize) each board to continue operations for the next 5 years (through 2030). Status: Passed. The new bill will add +1 LMT member +1 consumer member to the Board.Legislative Bills of Interest:
HB231 Constitutional Amendment-Fee or Tax Rate Increases – Board Position: Letter of Concern
Massage services are currently untaxed in Maryland. This Bill would impose taxes on services, which practitioners and business would be required to collect.
Status: Did not pass out of the House CommitteeSB458 Health Occupations -Implicit Bias and Structural Racism Training
Status: Passed with amendments. Effective 10/1/2025
Passed Bills are enacted as law and are catalogued in the rest of this Chapter.