COVID-19 Resources for Massage Therapists

Please click on your state below to access state COVID-19 information and the latest updates.

Alabama

Access the Alabama state COVID-19 page
March 27, 2020 - The Governor has ordered all massage-therapy establishments and massage services, athletic facilities, fitness centers, gyms, spas and yoga facilities to be closed effective at 5:00 p.m. on March 28. 
April 7, 2020 - The Governor issued a stay-at-home order, which restated her previous order that massage therapy establishments and massage services, spas, yoga facilities and fitness centers be closed.
April 29, 2020 - While the Governor’s Safer-at-Home order will reopen some businesses on May 1, massage therapy establishments and services (other than for medically prescribed services) are to remain closed, as are gyms, fitness centers and spas.
May 13, 2020 - The Governor and the State Health Officer issued an amended health order that allowed massage therapy establishments and services to reopen on May 11, under specific rules in Section 7. The Alabama Massage Board has provided additional guidelines for massage therapists who choose to reopen.
July 15, 2020 – The Governor announced an amended Safer at Home Order that includes a statewide mask requirement effective through July 31. Individuals will be required to wear a mask or other facial covering when in public and in close contact with other people, as described in the order. 
August 27 - The State Health Officer extended the Stay at Home order until October 2.
September 30 – The Governor extended her Safer at Home Order until November 8 (see guidelines for close contact service providers including massage therapy on page 8).
November 16, 2020 - The updated Safer-at-Home order issued November 5 requires massage therapists to follow specific guidelines (page 5, number 8), further clarified by the Department of Public Health.
December 10, 2020 - The State Health Officer updated and extended the Safer at Home order until 5:00 P.M. on January 22, 2021.
January 25, 2021 - The Governor extended the Safer at Home order until 5:00 p.m. on March 5, restating guidelines for massage therapists on page 5, section 8, and also restating face-covering guidelines.
March 4, 2021 - Alabama’s State Health Officer amended an executive order on public gatherings. The order also includes requirements for face coverings (see section 2) and maintains guidelines for close contact providers including massage therapists (see section 8).
April 7, 2021 - The Governor signed a COVID-19 Proclamation, rescinding the mask requirement and instituting a new “Safer Apart” health order. In the Safer Apart Order, the State Health Officer encourages the use of masks and facial coverings through May 5. This order also preempts county and municipal orders that may impose less stringent COVID-19 related measures. Massage therapists are encouraged to continue to follow guidelines for close contact personal service businesses.
July 9, 2021 - Effective July 6, Governor Ivey ended the Public Health Order and State of Emergency in Alabama.

Alaska

Access the Alaska state COVID-19 page
March 16, 2020 - The state regulatory board urges MTs to include CDC guidelines when making decisions about client care and how, when, where, and if they choose to practice.
March 24, 2020 - The Governor has ordered all massage therapy locations, day spas, Rolfing, Reiki, acupuncture, acupressure and similar services closed.
April 16, 2020 - The Governor has issued a Health Mandate that supersedes his previous orders and provides basic guidelines for non-essential healthcare providers who could resume practice on May 4, “for health care services that cannot be delayed beyond eight weeks without posing a significant risk to quality of life."
May 13, 2020 - The Governor issued a reopening plan which allowed massage therapists to reopen, effective May 8. The Alaska Board of Massage Therapists has provided guidelines for massage therapists who choose to reopen.
July 23, 2020 – Several municipalities in the state have issued additional requirements for face coverings: https://covid19.alaska.gov/local-borough-resources/
February 14, 2021 - The Alaska Department of Health and Human Services issued COVID-19 Health Advisory Recommendations detailing guidance for face masks, practicing social distancing, and testing. Massage therapists should continue to follow the Alaska Board of Massage Therapists COVID-19 practice guidelines (updated in November 2020).
April 30, 2021 - Governor Dunleavy signed a proclamation ending the State of Alaska COVID-19 Disaster Declaration.
May 19, 2021 - The Alaska Board of Massage Therapists issued a recommendation that massage therapists should continue to use appropriate PPE (including face masks) in their practice.

Arizona

Access the Arizona state COVID-19 page
March 23, 2020 - State Board of Massage Therapy follows Arizona Department of Health Services guidelines, suspends CE requirements and payments.
March 31, 2020 - The Governor has issued a stay at home order that also states all non-essential businesses must be closed. 

• Flagstaff – The Mayor has ordered all gyms, fitness centers, yoga studios and similar facilities to be closed.

April 6, 2020 - The Governor has clarified his order of March 30 to specifically state that all spas and massage locations are to close.
April 30, 2020 - The Governor has extended his Stay Home, Stay Healthy, Stay Connected order through May 15. 
May 13, 2020 - The Governor’s office and the Department of Health have provided guidelines for massage therapists under his Stay Healthy, Return Smarter, Return Stronger plan, which allows massage therapists to begin seeing clients today, May 13.
July 23, 2020 – Many municipalities and counties in the state have issued additional requirements for face coverings.
December 8, 2020 - The Arizona Massage Board waived the requirement for 24 hours of continuing education for license renewals. Massage therapists are still required to submit a license renewal application and pay the fee. You may renew within 60 days of your license renewal expiration.
March 5, 2021 - The Governor issued Executive Order 2021-05 which repealed additional prior COVID-19 executive orders.
March 25, 2021 - The Governor rescinded Executive Order 2020-36 (the Stay Healthy, Return Smarter, Return Stronger plan) which had set reduced occupancy and capacity limits for massage therapists and other personal services (see section two). Individual businesses and organizations maintain the right to require the use of face coverings and physical distancing (see section one). 
June 17, 2021 - The current COVID-19 guidance from the Arizona Department of Health Services follows CDC recommendations.
October 15, 2021 -  In September, Governor Ducey appointed all new members to the Arizona State Board of Massage Therapy, replacing the previous existing members and filling a board member position. The new appointments follow legislation signed by the Governor in 2020 (see S.B. 1274) which modified the membership on the board of massage therapy and several other boards. This new law requires the board to be comprised of a majority of public members once the current members’ terms expired. 
This week, the AMTA Government Relations team will provide an informative presentation on massage therapy to these newly appointed members. AMTA welcomes the opportunity to educate the Board and the public on the health benefits of massage, as well as the necessity of fair and consistent regulatory standards in the profession.

Arkansas

Access the Arkansas state COVID-19 page
March 24, 2020 - The Governor has ordered all massage therapy establishments closed by March 25  and the Arkansas Department of Health has stated that all 18 hours of required continuing education (CE) can be obtained through online courses and that license renewals can be deferred for 90 days past expiration without late fee penalties after the conclusion of the public health emergency.
May 4, 2020 - The Governor has issued a directive that massage therapy locations may resume services (under specified conditions) beginning May 6, 2020. The Department of Health has provided additional information on the conditions that must be met for massage therapy practices to begin seeing clients.
July 22, 2020 - The Governor ordered that the Secretary of Health issue a public health directive requiring a face covering over the mouth and nose in indoor public environments, with a list of exclusions.
January 5, 2021 - The Governor renewed the state’s disaster and public health emergency, extending his existing orders (including the current face covering directive), for 60 days beginning December 29, 2020.
March 2, 2021 - On February 26, the Governor issued a proclamation that renewed the state’s Disaster and Public Health Emergency through March 31. In addition, the proclamation removed capacity restrictions for gyms and fitness centers. Removal of capacity restrictions is conditional, based on COVID-19 cases in Arkansas continuing to follow a downward trend.
March 31, 2021 - The Governor issued a proclamation extending the State of Arkansas’ Disaster and Public Health Emergency until May 30.
May 21, 2021 - The Arkansas Department of Health issued new guidance for face coverings and social distancing based on the recent CDC guidance (announced on May 13). All fully vaccinated people are no longer required to wear a mask or physically distance in outdoor or indoor settings except where required by-laws, rules, and regulations including healthcare settings, schools, and businesses.
Massage therapists should continue to follow guidance for massage therapy clinics/spas issued by the Arkansas Department of Health (updated on April 1).
November 29, 2021 - As a reminder, for every biennial massage therapy license renewal, the Arkansas Department of Health (ADH) requires 18 hours of continuing education (CE) courses (see page 18). Six of these hours can be from online or home study courses, and the remaining hours must be completed through in-person courses.
To submit your license renewal, the application must be postmarked on or before the first day of the month preceding your birthday month (see page 12).
The ADH accepts all AMTA CE as approved courses for continuing education credit.
Learn more about how the ADH regulates massage therapy in your state.
For questions about license renewals, contact the ADH at (501) 683-1448 or adh.massage@arkansas.gov or view FAQS for massage therapists.

California

Access the California state COVID-19 page
March 19, 2020 -The Governor has issued a shelter in place order for most businesses in the state and has ordered all individuals living in the State of California to stay home or at their place of residence. 
June 10, 2020 - California is in Stage 2.  The state is issuing guidance for businesses to follow, if they are permitted to open per County Public Health rules.
June 16, 2020 - Counties may now make the decision to allow massage therapists to reopen, as the California Department of Public Health has issued guidelines for reopening massage practices (page 13). Decisions about when massage therapists can reopen may change daily by county.
July 23, 2020 – Governor Newsom announced, effective July 13, massage therapy and several other businesses in specific counties in California must close, unless they can be modified to operate outside. This restriction for massage therapists may also be affected by local and/or county regulations. The list of counties may change daily, based on the state’s monitoring system. We encourage you to check the Governor’s order for the current status of your county. A previous order provided guidance on the use of masks/face coverings.
August 28, 2020 - Governor Newsom issued the Blueprint for a Safer Economy with guidelines associated with the State Monitoring List and outlines a new tiered system to assess county risk levels. The state provides information for what activities are allowed by county.
September 9, 2020 - The state has also provided guidance for massage therapy in non-healthcare indoor settings (see pages 14-15) and outdoor settings (see pages 13-14).
November 19, 2020 - The California Department of Health’s State Public Health Officer issued a Limited Stay at Home order for counties under Tier One (Purple). Restrictions occur beginning November 21st and end December 21st. To check the status your county, please click here and search by county.
Under this directive, massage therapy services are subject to additional requirements depending on your county. Please select your county and search under “massage therapy studio” for additional county specific details.
November 30, 2020 - The Los Angeles County Department of Public Health has modified its Reopening Protocol for Personal Care Establishments, which allows massage therapy locations to be open for indoor services at 20% occupancy pursuant to the Temporary Targeted Safer at Home Health Officer Order for Control of COVID-19, effective until 11:59 p.m. December 20.
December 2, 2020 - Mayor Garcetti issued a public order for Los Angeles County that allows massage therapy locations to be open for indoor services at 20% occupancy pursuant to the Targeted Safer at Home Health Order for Control of COVID-19. These locations must not operate between the hours of 10:00 p.m. and 5:00 a.m., and customers and staff must wear face coverings at all times.
December 3, 2020 - The California State Public Health Officer issued a Regional Stay-At-Home Order beginning on December 5th. This order goes into effect when a County’s ICU capacity falls below 15%. In any region that triggers a Regional Stay Home Order because it drops below 15% ICU capacity, personal care services including massage therapy must close. The Regional Stay-At-Home order would be in effect for three weeks after the trigger, and instructs Californians to stay at home as much as possible to limit the mixing with other households that can lead to COVID-19 spread. You can find additional details on the order here.
January 5, 2021 - The California Department of Public Health has extended and supplemented the Limited Stay At Home Order. Measures in your community may be more restrictive than the statewide Limited Stay At Home Order.
May 3, 2021 - The California Department of Public Health issued updated guidance for the use of face coverings.
May 12, 2021 - The California Department of Public Health issued recommendations for fully vaccinated people.
May 21, 2021 - The California State Public Health Officer & Director announced the Beyond the Blueprint for Industry and Business Sectors (see page 3 for personal care services) which allows California to fully reopen.
June 15, 2021 - Governor Newsom terminated the executive orders for the Stay Home Order and the Blueprint for a Safer Economy. He also phased out the vast majority of the executive actions put in place since March 2020 as part of the pandemic response, leaving a subset of provisions that facilitate the ongoing recovery.
The new public health order which also took effect on June 15, supersedes all prior health orders. The order has limited restrictions, only related to masking and mega-events, as well as settings serving children and youth. Restrictions that ended include physical distancing, capacity limits on businesses, and the county tier system.
Massage therapists may reference the revised COVID-19 Prevention Temporary Standards to help manage their practices which reflect the state’s latest public health guidance. View FAQs on the temporary standards for more information.
July 17, 2021 - The Los Angeles County Health Officer issued a modified order requiring all individuals to wear masks indoors regardless of vaccination status. Masks are required in all indoor public places, venues, gatherings, and businesses.
August 16, 2021 -  California does not currently have a statewide mask mandate, however, there are specific masking guidelines in place for workplaces; Masks must also be worn in certain health care settings.
August 26, 2021 - Governor Newsom issued an executive order requiring all workers statewide, who provide services in, or work within specific health care facilities to be fully vaccinated by September 30, 2021.
For questions regarding vaccine requirements, please call the California Department of Health’s COVID-19 Line at (833) 422-4255.
September 23, 2021 - The state of California revised mask requirements and recommendations including updated guidance in the workplace.
October 6, 2021 - This week, the Los Angeles City Council passed an Ordinance which requires all patrons ages 12 and older to provide proof of full vaccination or a negative COVID-19 test (taken within the last 72 hours) before entering indoor establishments (including massage therapy and personal care service businesses), effective November 4.

Massage Therapy Business Requirements (City of Los Angeles only):

• By October 21, massage therapy businesses must post on their premises, and make visible (prior to the entrance), an advisory notice informing patrons that proof of vaccination will be required to enter the premises beginning on November 4.
• Starting November 4, proof of vaccination must be presented in the first interaction with staff on the business premises (see acceptable forms of proof on page 5 of the Ordinance).
• Proof of vaccination must be cross-checked with a patron’s photo I.D. if the patron is 18 years of age or older (see acceptable forms of identification on page 5 of the Ordinance).
• Patrons may not be allowed to enter the indoor premises of a business without proof of vaccination unless they provide proof of self-attestation stating that they qualify for a medical exemption or an exemption based on religious belief. If the business determines a patron qualifies for a medical or religious exemption, then they may either access an outdoor portion of the business location, or present their I.D. with proof of a negative COVID-19 test taken within the last 72 hours to enter indoors.
• Starting November 29, businesses found to be violating the Ordinance will be fined by the City for non-compliance.
• For questions regarding the Ordinance, please contact the City of Los Angeles.
• View the California Department of Public Health's full listing of COVID-19 Guidance Documents. And, for the current COVID-19 guidance in all California counties, see this listing.

Colorado

Access the Colorado state COVID-19 page

March 16, 2020 - The Governor has ordered all gyms to close.
April 2, 2020 - The Governor has issued a stay at home order for all but specific, essential activities.
April 7, 2020 - The Governor extended his stay-at-home order until April 26. 
April 28, 2020 - The Department of Public Health & Environment has issued an order that would allow massage businesses to open on May 1, with specific guidelines in the Appendices of the order.
May 8, 2020 - The Governor’s Safer-at-Home order allows massage therapists to reopen to clients, if specific requirements are met. See Sections K and L.
July 17, 2020 - The Governor has ordered that all individuals over 10 years old must wear a face covering over their nose and mouth when entering or moving within any Public Indoor Space. Owners, operators, or managers of Public Indoor Spaces must post signs at entrance(s) regarding the obligation to wear a face covering. The order expires 30 days after July 16, unless it is renewed.
August 17, 2020 - The Governor extended the state’s requirements for face coverings until September 14.
September 14, 2020 - The Governor’s latest executive order extended the state’s requirements for face coverings until October 12.
October 4, 2020 – The Governor amended and extended some previous executive orders for 30 days.
October 11, 2020 – The Governor amended and extended his previous orders for wearing face masks in public, for 30 days from October 11.
October 28, 2020 - The Colorado Department of Public Health & Environment (CDPHE) moved the City and County of Denver, among other counties, to the more restrictive Safer at Home Dial Level 3. The order moves personal services, including massage therapy not in a healthcare setting, back to 25% of capacity, with other guidelines.
November 9, 2020 - The Governor extended his facemask order for 30 days.
November 19, 2020 - The Governor amended and extended his previous Declaration of a Disaster Emergency which remains in effect until November 28, 2020.
December 9, 2020 - The Governor extended his face covering order for 30 days, beginning December 8.
January 11, 2021 - The Governor extended his face covering order for 30 days beginning January 6.
February 9, 2021 - The Governor extended and amended the Public Health Order COVID-19 Dial for 30 days, effective February 6.
February 10, 2021 - The Colorado Department of Public Health and Environment's (CDPHE) COVID-19 Dial dashboard outlines COVID community guidance at the county level.
The CDPHE's website also provides capacity guidelines and additional guidance for personal care services.
March 23, 2021 - On March 16, the Governor extended Colorado’s Declaration of a Disaster Emergency for an additional thirty days.
May 2, 2021 - The Colorado Department of Public Health (CDPHE) issued an amended public health order effective May 2^nd, extending the requirement for face coverings and maintaining restrictions in a variety of settings, including personal services (defined in section 3C). The order also maintains restrictions on certain activities while continuing to take steps to limit the spread of COVID-19 in Colorado, and includes a provision that authorizes CDPHE to require a county to comply with additional restrictions should certain metrics be met.
June 1, 2021 - The Colorado Department of Public Health & Environment issued an amended public health order lifting the mask mandate for those that are fully vaccinated. Businesses may still require masks. Click here for a summary of the modifications in the amended order. Massage therapists can reference guidance for personal services to help manage their practices.
August 16, 2021 - Although the statewide mask mandate has been lifted, the state is strongly encouraging employers to implement guidance from the Colorado Department of Public Health & Environment; masks continue to be required in certain health care settings.
September 1, 2021 - The Colorado Department of Public Health and the Environment posted its updated mask guidance. View COVID-19 FAQs.
September 9, 2021 - The Colorado State Board of Health issued an emergency order requiring COVID-19 vaccinations for staff at the following health care facilities: general hospitals, hospital units, psychiatric hospitals, community clinics, rehabilitation hospitals, convalescent centers, community mental health centers, acute treatment units, nursing care facilities, hospice care, assisted living residencies, dialysis treatment clinics, ambulatory surgical centers, birthing centers and home care agencies.

• This emergency order does not apply to individual health care practitioners or staff, nor does it apply to other settings where patients seek medical care including primary care offices and urgent care locations.
• Massage therapists working for health care facilities subject to this order must have their first dose of a COVID-19 vaccine no later than September 30 and must be fully vaccinated by October 31.
• You may refer to the Colorado Department of Health and Environment website or call (303) 389-1687 or (877) 462-2911 with any questions.

 

Connecticut

Access the Connecticut state COVID-19 page
March 10, 2020 - The Governor has ordered all fitness centers and gyms to close.
Effective on March 23, 2020, 8pm - The Governor has issued a stay at home order and is directing all non-essential businesses and not-for-profit entities to prohibit all in-person functions.
April 1, 2020 - The Department of Public Health has suspended massage therapy license renewals until six months after the civil preparedness emergency is declared to be over.
May 8, 2020 - The Governor extended his stay at home executive order through May 20.
May 22, 2020 - The Reopen CT Advisory Group has presented recommendations to the Governor for when massage therapists would be allowed to reopen under Phase 2 of the plan. But, the Governor has not yet approved the plan or set a date for reopening.
June 8, 2020 - The Governor, through his Reopen Connecticut plan, will allow massage therapists to reopen on June 17 at 50% of capacity, with self-certification and adherence to rules on page 5 of the announcement.
July 16, 2020 - The Governor ordered that anyone who is unable to or does not maintain a safe social distance of approximately six feet from every other person must cover their mouth and nose with a mask or cloth face-covering.
September 9, 2020 - Governor Lamont has extended all executive orders related to the public health and civil preparedness emergencies declared on March 10, 2020 until November 9, with some exceptions.
January 8, 2021 - The Governor issued an order regarding enforcement of healthcare measures currently in place.
January 26, 2021 - Governor Lamont has extended Connecticut’s state of emergency to April 20, 2021.
March 16, 2021 - Governor Ned Lamont of Connecticut has issued a statement announcing that as of March 19^th, all capacity limits for multiple types of businesses (including personal services as well as gyms/fitness centers) will be eliminated. Mask and social distancing protocols will continue to be required.
May 5, 2021 - As of May 19, all remaining restrictions on businesses will be lifted, excepts masks which will continue to be required in all indoor public settings where social distancing is not possible. These changes are contingent upon a low incidence of COVID-19 and the Connecticut population continuing to get vaccinated.
May 19, 2021 - On May 19, Governor Lamont lifted all remaining restrictions on businesses, with certain exceptions related to mask-wearing. Also on May 19, The Connecticut Department of Public Health released new guidance on vaccinations, mask-wearing, and social distancing (see page 4 for guidelines for businesses).
August 16, 2021 - The state of emergency remains in effect until 9/30. COVID-19 guidance for businesses was recently updated on 8/7.
August 26, 2021 - Governor Lamont issued an executive order requiring masks be worn by all individuals who do not maintain a safe social distance of approximately six feet from every other person, whether vaccinated or not. This masking requirement applies to all public settings, including outpatient healthcare settings, doctors' offices, and physical/occupational facilities. This order remains in effect through September 30, 2021.
September 9, 2021 - The Governor issued an executive order requiring all employees in long-term healthcare facilities to be fully vaccinated. Employees must have received their first dose of a COVID-19 vaccine by September 7.

• Long-term health care facilities under this order include: nursing homes, residential care homes, assisted living service agencies, immediate care facilities, managed residential communities and chronic disease hospitals.
• For more information regarding this order, massage therapists may consult with their local health department and/or long-term health care facility’s compliance officer. Additionally, the Connecticut State Department of Health can be reached by email at ask.dph@ct.gov or by phone (860) 509-8000.

September 27, 2021 - All state employees, state hospital workers and contractors providing services in state facilities must be fully vaccinated (with few exceptions). View the executive order for details.
September 30, 2021 - View the Department of Public Health's updated COVID-19 Resources and Guidance. 

 

 

Delaware

Access the Delaware state COVID-19 page
March 23, 2020 - The Governor has issued a stay at home order for all but specific, essential activities. 
April 7, 2020 - The Governor extended his State of Emergency order through at least May 15, specifically closing spas, gyms, yoga studios, fitness and similar facilities. 
May 22, 2020 - The Governor has issued a reopening plan for the state. Under Phase One, massage therapists are to remain closed.
June 3, 2020 - Governor Carney has announced a rolling reopening of personal care service businesses – including massage therapy services. Personal care businesses may open at 30 percent of stated fire occupancy at 8:00 a.m. on Monday, June 8. Personal care service businesses and exercise facilities are to remain at 30 percent of stated fire occupancy on Monday June 15 when Delaware enters Phase 2 of the state’s reopening plan.
June 22, 2020 - The Governor has announced that massage therapy establishments can be open up to 60% of capacity, as of June 22, as part of Phase 2 of the state’s reopening plan.
July 16, 2020 – The Governor issued a modified State of Emergency declaration that requires the wearing of face coverings in public settings.
October 14, 2020 - The Governor ordered that all existing emergency provisions will remain in effect until terminated in accordance with state law.
December 14, 2020 - The Governor updated previous orders, including those on face coverings. The order is in effect December 14 through January 11, 2021.
March 29, 2021 - The Governor modified his State of Emergency Declaration.
April 1, 2021 - The Governor modified his COVID-19 State of Emergency Declaration. Massage therapists should continue to follow personal care services guidelines (see page 12) in the Delaware Reopening guide, last updated in February.
May 18, 2021 - Delawareans should instead follow masking guidance issued on May 13 by the Centers for Disease Control and Prevention (CDC) for all indoor and outdoor activities.
May 18, 2021 - The Governor extended his state of emergency on May 14 for 30 days.
May 21, 2021 - Governor Carney lifted the mask mandate. Delawareans should now follow the CDC’s masking guidance which allows fully vaccinated people to stop wearing masks in most indoor and outdoor spaces, with exceptions including public transit, schools, healthcare facilities and congregate settings.
June 15, 2021 - The Governor signed an updated State of Emergency Declaration which contains all active COVID-19 restrictions with modifications. This State of Emergency Order will expire on July 13.
Massage therapists may reference COVID-19 guidance and resources to help manage their practices.
August 10, 2021 - Governor Carney issued an executive order extending the COVID-19 state of emergency until further notice.
September 10, 2021 - The Delaware Department of Health and Social Services issued a series of emergency regulations requiring health care workers in long-term care facilities and in certain acute and outpatient health care settings to be vaccinated or to undergo regular testing. These regulations become effective on September 30 for a period of 90 days, unless further extended.

• View specific details on facility vaccination and testing requirements for health care workers issued by the Department of Health and Social Services.
• For questions on vaccine requirements, please call the Delaware Health and Social Services Department's Office of the Secretary at (302) 255-9040.

 

District of Columbia

Access the District of Columbia state COVID-19 page
March 25, 2020 - The Mayor has ordered all massage establishments, spas, health clubs and gyms to be closed. 
April 7, 2020 - The Mayor has extended her stay home order through at least April 24. 
May 13, 2020 - The District Stay at Home order has been extended through June 8.
May 27, 2020 - While the Mayor has announced Phase 1 of her reopening plan, massage therapists are to remain closed at this time.
June 19, 2020 - The Mayor has announced the city will move to Phase 2 on June 22. Personal services, such as massage therapy may reopen with specific guidelines, per Aisha Nixon, Executive Director, Health Regulation and Licensing Administration (HRLA), Allied and Behavioral Health Boards.
September 9, 2020 - On August 20, those guidelines were updated for Personal Service providers including massage therapists. Also, in July, the Mayor issued an order requiring face masks to be worn in public settings, in effect through October 9, or until the date to which the state of emergency is extended, whichever is later.
December 1, 2020 - Phase Two adjustments went into effect on November 25 and are in effect through December 31.
January 8, 2021 - The Mayor announced that restrictions put in place in December are in effect until January 15, and she extended the public health emergency through March 31.
March 22, 2021 - The Mayor extended the public health emergency through May 20. The order includes the following:

• An increase in outdoor group limits from 25 to 50 people
• Individuals must continue to wear masks
• Non-essential businesses are limited to operating at 25% of capacity
• Personal care services (including massage therapy) must continue to be provided by appointment only with six feet of distancing between "stations" (see section V, page four).
• Fitness and Recreation facilities may operate at up to 25% capacity or no more than 250 people, whichever is fewer (see section VIII, page six).

April 5, 2021 - Mayor Bowser announced updated guidance that will allow non-essential businesses to increase capacity to 50% beginning on May 1 (see page 15). Massage therapists should continue to follow Phase Two Guidance for Personal Services.
May 21, 2021 - Mayor Bowser lifted the mask mandate for fully vaccinated individuals. Masks are still required in specific settings including: public transit, schools and healthcare facilities. Businesses may still require face masks if they choose. View detailed mask-wearing guidance for the general public.
While businesses are no longer required to implement restrictions or capacity limits to reduce the spread of COVID-19, massage therapists can refer to these best practices.
August 16, 2021 - Mayor Bowser and DC Health announced that all health care workers, including massage therapists, who are licensed by the Department of Health, in addition to unlicensed health care personnel, are required to be vaccinated. The deadline for receiving the first dose of the Pfizer or Moderna vaccine or one dose of the Johnson & Johnson vaccine is September 30.

• The Department of Health may take disciplinary action against licensees for non-compliance, including but not limited to suspension, revocation, or non-renewal of licenses.
• DC Health has created an online vaccine reporting tool. All health care workers must report their vaccine status via this online tool. Individuals who meet the requirements for an exemption to the vaccine mandate may also submit a request for an exemption via this reporting tool.
• For questions related to vaccine requirements, please call the District of Columbia Department of Health at (202) 442-5955 or email doh@dc.gov.
• The Department of Health is not requiring massage therapists to complete two (2) hours of continuing education hours on COVID-19 vaccine safety that is being required of other licensed health care professionals.

September 17, 2021 - A previous waiver allowing for a 60-day grace period for obtaining a license to practice in Washington, DC will expire on September 23, 2021. Health care professionals practicing without a license under the wavier must become licensed in order to continue to practice in Washington D.C., effective September 24.
September 17, 2021 - View the latest masking guidance in your area which states that all individuals (including those who are vaccinated) must wear a face mask in public indoor settings.

Florida

Access the Florida state COVID-19 page
March 30, 2020 - The Florida Board of Massage Therapy will permit certain required hours of massage school education to be taught through distance learning. 
April 1, 2020 - The Governor has issued a “safer at home” order for people in high risk groups and encouraged social distancing. 
April 9, 2020 - The Governor ordered all licensed health care providers to cease performing elective services.
May 22, 2020 - AMTA received an email from the Florida Surgeon General’s office that confirmed that the Surgeon General included massage therapists in Section 5 of EO 20-112 allowing those providers to reopen. The phrase ‘other health care practitioners’ is meant to include massage therapy.
May 27, 2020 - The Florida Department of Health issued a notification to massage therapists and establishments in the state, to provide clarity regarding executive orders in effect and guidelines for practice.
June 3, 2020 – The following restrictions and best practices were announced as mandatory for personal care services. Additional information can be found with the state’s FAQs.
July 20, 2020 – The Florida Department of Health issued a public health advisory recommending the use of face coverings where social distancing is not possible.
July 23, 2020 – Many municipalities and counties in the state have issued additional requirements for face coverings.
September 30, 2020 - In their July meeting, the Florida Board of Massage Therapy voted to adopt emergency rule 64B7ER20-29 to continue allowing some required hours of entry level education to be taught by distance learning through March 31, 2022.
The Governor announced the state would enter Phase 3 reopening, effective September 25. 
January 5, 2021 - The Governor extended the state of emergency for 60 days, beginning December 29, 2020.
April 27, 2021 - The Governor issued an extension of the COVID-19 executive order 20-52 for 60 days.
May 3, 2021 – Governor DeSantis issued a new executive order eliminating and lifting all existing local emergency orders or ordinances that impose restrictions or mandates on businesses or individuals due to the COVID-19 emergency, including mask-wearing. Businesses can still choose to require masks and social distancing. The above order also clarifies that for the remaining duration of the state of emergency, no county or municipality may renew or enact an emergency order or ordinance.

 

Georgia

Access the Georgia state COVID-19 page
March 30, 2020 - The Governor has provided information to businesses about how they can operate at this time.
April 3, 2020 - The Governor has issued a shelter-in-place order that also closed massage therapy practices, health clubs, fitness centers and gyms.
April 6, 2020 - The Governor has ordered all massage therapists to “cease operations” through April 13.
April 24, 2020 - The Governor announced massage therapy practices, massage schools and education programs, gyms and fitness clubs may re-open on April 24, if they meet “Minimum Basic Operations” criteria. In making the announcement, the Governor clarified that Minimum Basic Operations will mean businesses re-opening may only conduct minimum basic operations and must adhere to restrictions including 20 specific recommendations around social distancing, employee health monitoring, and increased sanitation and workplace safety practices.
June 11, 2020 - The Governor has issued an executive order that will allow walk-in clients to massage establishments as of June 16.
July 23, 2020 – Some municipalities in the state have issued additional requirements for face coverings. 
July 31, 2020 – The Governor issued further orders for how massage therapists interact with clients (page 19).
August 28 – The Georgia Board of Massage Therapy voted to modify the hands-on CE requirement for the remainder of 2020 (pending Governor Kemp’s approval), and will be accepting CE hours completed “live (in-person), online or by other distance learning methods.”
September 30, 2020 - The Governor approved the emergency rule on continuing education hours, retroactive to September 24 and in effect through October 31. The rule allows licensees to obtain CE offered by an NCBTMB Approved Provider on a subject related to the practice of massage therapy by attending in-person, online or by other distance learning methods.
October 14, 2020 - The Governor renewed the public health emergency through November 9.
December 1, 2020 - On November 13, the Governor issued guidelines under his public health emergency order that include directives for those working in gyms and fitness centers including massage therapists (page 19).
The Governor renewed the public health emergency through December 14.
January 8, 2021 - The Governor extended the Public Health State of Emergency through February 7.
February 9, 2021 - The Governor extended the Public Health State of Emergency from February 8 through March 8.
April 30, 2021 – Governor Kemp issued a new COVID-19 guidance executive order modifying the social distancing requirements to strongly encouraged. This order also eliminated all specific requirements for massage therapists and gyms and fitness centers.
May 28, 2021 - The Governor extended the Public Health State of Emergency through June 29. Georgia has also adopted the new CDC mask guidance for people who are fully vaccinated.
August 18, 2021 - The Georgia Department of Health has posted updated guidance for Businesses and Employers.
September 7, 2021 - The Governor renewed the State of Emergency Order through September 28.
September 20, 2021 - The Governor renewed the State of Emergency Order through October 28.
October 15, 2021 - View the Georgia Department of Public Health's current COVID-19 Guidance for Businesses and Employers.
Do you have questions regarding your license, renewal, or need more information on massage regulations? AMTA has compiled the following resources to help you get the answers you need:

• Learn more about the rules and regulations governing the practice of massage therapy in your state by visiting the Rules of the Georgia Board of Massage Therapy.
• For questions or to provide feedback, we encourage you to reach out to the Georgia Board of Massage Therapy.

Hawaii

Access the Hawaii state COVID-19 page

March 27, 2020 - The Governor has ordered all non-essential businesses, specifically including fitness centers and gyms, to be closed.
May 8, 2020 - The Governor’s new Safer-at-Home order allows massage therapists to resume seeing clients under specific circumstances and only in health care facilities. See Exhibit A,1,b.
May 29, 2020 - Massage therapy services can reopen on June 1 in Hawaii, Honolulu, and Maui counties based on Mayoral Executive Orders. Massage therapy establishments must follow guidelines and restrictions outlined in the executive orders.
June 1, 2020 - The county of Kauai released an order that allowed massage therapists to reopen on May 22. Massage therapy establishments must follow guidelines and restrictions outlined in executive orders.
July 23, 2020 – The City/County of Honolulu issued an order mandating the wearing of face coverings in various situations.
August 5, 2020 - Governor Ige issued an order for statewide coordination of emergency management functions, in effect through August 30. Facial masks are required for anyone entering a business. Here are links to current county guidelines:

• Hawaii County
• Honolulu County
• Kauai County
• Maui County

August 25, 2020 - With the approval of Governor Ige, the Mayor of the City and County of Honolulu issued a new stay at home order, in effect through September 9. 
September 9, 2020 - The Governor and the Mayor of the City and County of Honolulu extended/amended the stay at home order through September 23. 
September 16, 2020 - Governor Ige allowed Massage Therapy bill SB2878 to become law in the state as of September 15. The new law requires the Hawaii Board of Massage Therapy to adopt and enforce sanitation rules for massage establishments, changes unlicensed activity from a petty misdemeanor to a full misdemeanor, and increases fines for violations of massage therapy laws.
October 14, 2020 - The Governor updated his previous COVID-19 proclamations and extended them through October 31.
October 23, 2020 - Oahu will allow massage therapists to be open under Tier 2 guidelines (Personal Care Services #19), effective October 22.
November 18, 2020 - The Governor issued an executive order, which includes clarification of the status of licensed massage therapists (Exhibit A), effective through December 31.
December 8, 2020 - The Governor updated his previous COVID-19 proclamations and extended them through December 31.
January 8, 2021 - The Governor renewed his proclamation order through February 14.
April 9, 2021 - Governor Ige issued a new COVID-19 Proclamation extending the disaster emergency relief period through June 8, and superseding all previous COVID-19 proclamations.
April 22, 2021 - You can check the Reopening Hawaii page for the current status of the state and county-specific information. Massage therapists can access workplace guidance to help them manage their practice during COVID-19.
May 25, 2021 - Governor Ige lifted the mask mandate for all individuals outdoors. Mask wearing is still highly recommended outdoors, when in large groups. The statewide indoor mask mandate remains in effect. 
June 7, 2021 - The Governor extended the emergency proclamation for COVID-19 through August 6.
Massage therapists may continue to reference the Hawaii Department of Health’s Workplace Guidance to help manage their practices. Please continue to check the Reopening Hawaii page for the current status of the state and county-specific information.
August 23, 2021 - There is a statewide mask mandate in effect until October 4. View the latest workplace guidance. 
September 8, 2021 - The Governor issued an executive order requiring any individual entering, working, or providing services in and for any state facility/agency to report their vaccination status to that respective state agency. Individuals are required to submit an attestation of their vaccination status. Unvaccinated and partially vaccinated individuals must submit to weekly testing, obtain a negative result, and report the result to the respective state agency.
September 17, 2021 - Mayor Blangiardi issued a proclamation and emergency order for the City and County of Honolulu declaring that the state of emergency will continue through November 20. A series of rules and guidance followed, including required guidelines for personal care providers (which include massage therapists), see page 11.
September 23, 2021 - The City and County of Honolulu implemented their Safe Oahu Response Plan to reduce the spread of COVID-19. You may call the City and County of Honolulu at 768-CITY or email covidresponse@honolulu.gov.
October 1, 2021 - Governor Ige extended his public health emergency order through November 30 (initially issued on Sept. 1)

• The extended order requires that all individuals wear face coverings over their noses and mouths in indoor public settings (with few exceptions).
• In addition, businesses must continue to refuse admission or service to any individual who fails to wear a face covering (with few exceptions). Businesses or operations that do not enforce this rule may be subject to fines and mandatory closure.

October 4, 2021 - The Mayor of the County of Hawaii issued an emergency rule to remain in effect through December 3. The rule includes safe practice guidelines for businesses. You may visit the County of Hawaii’s COVID-19 page for more information.

 

Idaho

Access the Idaho state COVID-19 page
March 30, 2020 - The Governor has issued a stay-at-home order.
April 17, 2020 - The Director of the Department of Health and Welfare has extended the Governor’s stay at home order and issued a self-isolate order, effective through April 30.
May 7, 2020 - The Governor’s Idaho Rebounds plan will enter phase 2 on May 16, allowing massage therapists to begin seeing clients based on specific protocols.  
June 13, 2020 - Most counties are now in Stage 4. The state has provided health guidelines for Stage 4 recovery.
July 23, 2020 – Several municipalities in the state have issued additional requirements for face coverings.
October 28, 2020 - On October 5, the Governor extended his state of emergency for at least 30 days. The state moved back into Stage 3 on October 27. Additional guidelines for close contact providers including massage therapists also apply.
January 8, 2021 - The Governor reinstated his health order, effective indefinitely.
February 2, 2021 - The Idaho Department of Health and Welfare issued Stage 3 Stay Healthy Guidelines. Individuals and businesses should adhere to physical distancing and sanitation guidelines (see section 3). Face coverings are strongly encouraged. Massage therapists must continue to follow protocols for close contact services.
July 9, 2021 - On May 11, the Idaho Department of Health and Welfare issued Stage 4 Stay Healthy Guidelines. All individuals and businesses should adhere to the physical distancing and sanitation requirements (see section 4).

Illinois

Access the Illinois state COVID-19 page
March 20, 2020 - The Governor issued a stay at home order for the entire state through at least April 7,  and ordered the closing of all non-essential businesses.
April 1, 2020 - The Governor has extended the stay-at-home order to at least April 30. 
April 2, 2020 - The Illinois Department of Financial and Professional Regulation will permit massage therapy schools to offer on-line instruction for their lecture-based, non-hands-on courses from March 17, 2020 through July 31, 2020.
April 24, 2020 - The Governor announced that he will sign a modified version of the state's stay at home order that will go into effect on May 1 and extend through May 31.
May 22, 2020 - The Governor has issued an order that will allow personal care services, to include spas to reopen during Phase 3 of his Restore Illinois Plan. While this will apply to massage therapists in much of the state on May 29, municipalities may maintain local orders for massage therapists to remain closed. We are continuing to seek clarity from the state on how this order applies to all massage therapy establishment settings. 
May 28, 2020 - Governor Pritzker has announced Phase 3 of his Restore Illinois plan for May 29, which allows massage therapists to reopen, with specific guidelines. The City of Chicago has its own specific guidelines for reopening under the Governor’s Phase 3 plan.
June 10, 2020 - The Governor’s order was modified to remove the 30 minute restriction on massage therapy and requirements around use of face masks have been updated. If services require a customer to remove his or her mask, employee must wear both a face mask and eye protection (e.g., face shield, protective glasses).
July 15, 2020 – The Governor’s executive order for Phase 4 provides public health requirements for individuals and all businesses. The order includes updated requirements for face masks/coverings. 
September 30, 2020 - The Mayor of Chicago announced that restrictions on establishments, including fitness centers and massage therapy locations have been eased from 25% capacity to 40% of maximum indoor capacity, effective October 1.
October 15, 2020 - The Illinois Department of Financial and Professional Regulation filed an emergency amendment to the Massage Licensing Act in the Illinois Register due to COVID-19 concerns (Volume 44, Issue 40). The emergency rule was adopted October 2 and is in place for 150 days until February 28, 2021, which will cover the current license renewal cycle for massage therapists. This rule changes continuing education credit hours to allow all 24 required credit hours (versus the current 12) to be completed online.
November 19, 2020 - Governor Pritzker has issued a new COVID-19 mitigation order, effective tomorrow, November 20, with specific information about massage therapy practice (under Personal Services). The order indicates a massage practice can be open at the lesser of 25 clients or 25% of capacity. It states that “massage therapy (is) allowed as deemed necessary by a medical provider, but appointments must be spaced by a minimum of 15 minutes and facilities should take steps to sanitize and circulate clean air through service rooms before and after each service.”
January 11, 2021 - The Governor extended his disaster proclamation for 30 days from January 8. There is no direct change to massage therapy guidelines.
March 15, 2021 - The Governor reissued and extended executive orders through April 3.
March 18, 2021 - The Governor announced the “Bridge Phase”, a metrics-based, vaccination-informed framework for Illinois to advance to phase 5 of the state’s Restore Illinois Plan. Currently, every region of the state is in Phase 4 of the five-phase Restore Illinois mitigation plan. The new metrics offer Illinois a bridge between the state’s current phase 4 restrictions and the “new normal” operations of phase 5. At this time, massage therapists should continue to follow phase 4 personal care services guidelines.
June 11, 2021 - Governor Pritzker issued a Phase 5 Reopening Executive Order lifting the mask mandate for fully vaccinated individuals and expanding activities that were limited during the mitigation phases of the pandemic.
Massage therapists should refer to Phase 5 Guidance for Businesses to help manage their practices. Businesses are allowed to determine their own regulations in terms of mask-wearing and social distancing.
August 25, 2021 - Effective August 30, all individuals, age two or over, must wear a mask or cloth face covering when in an indoor public place (with limited medical exceptions).
September 9, 2021 - Governor Pritzker issued an update to his previous executive order requiring mandatory vaccination for all health care workers (with limited exceptions). By September 19, all health care workers must have received the first dose of a two-dose COVID-19 vaccine or a single-dose COVID-19 vaccine. Any health care workers who are not fully vaccinated by the deadline must be tested for COVID-19 weekly, at a minimum, until they establish they are fully vaccinated.

• Health care facilities under this requirement include but are not limited to: ambulatory surgical treatment centers, hospice care, hospitals, physician offices, free-standing emergency centers, urgent care facilities, birth centers, post-surgical recovery care facilities, end-stage renal disease facilities, long-term care facilities, mental health rehabilitation facilities, assisted living facilities, supportive living facilities, medical assistance facilities, mental health centers, outpatient facilities, public health centers, rehabilitation facilities, residential treatment facilities and adult day care centers.
• To ensure you are meeting state requirements, you may contact your local health department and/or health care facility’s administrator or compliance officer. You may also contact the Governor’s Constituent Affairs Help Line by calling (217) 782-0244.

Indiana

Access the Indiana state COVID-19 page
March 23, 2020 - The Governor has ordered all fitness and exercise gyms, spas, salons and similar facilities to close.
May 6, 2020 - The Governor has issued a phased order to reopen businesses in the state by county, effective through May 23. Directions for massage therapy locations and spas are in Section 13 of his order and must meet specific criteria to reopen. 
May 7, 2020 - The Governor’s Back on Track plan includes a PPE Marketplace to order items needed when small businesses, such as massage therapists, begin to reopen.
June 12, 2020 - The Governor announced all 92 counties in the state can advance to Stage 4 of the Back On Track Indiana plan on June 12.
July 23, 2020 – The Governor issued a statewide requirement for face coverings in most public settings, beginning July 27.
August 26 – The Governor extended the statewide face coverings order through September 25.
September 30, 2020 - The Governor extended his public health emergency for 30 days after October 2 and announced Stage 5 reopening guidelines including updated mask requirements.
From September 26-October 17 in stage 5, personal services may resume normal operations. Face coverings and social distancing are required. Further guidelines for personal services, which includes massage therapy, have also been provided.
December 2, 2020 - Governor Holcomb’s Executive Order 20-49 extends the public health disaster emergency until December 31, 2020.
January 8, 2021 - The Governor renewed his public health emergency declaration through January 30 and also extended community-based measures.
March 31, 2021 - Governor Holcomb issued an executive order which renewed the public health emergency until April 30 and lifted the mask mandate on April 6. Individuals are still encouraged to wear masks in all public locations. Local health officials may impose mitigation measures or restrictions for facility capacities and social gatherings based on COVID-19 metrics in their community. Massage therapists are encouraged to continue to follow guidelines for personal services.
May 1, 2021 - The Governor issued an executive order that extended COVID-19 directives through May 31.
June 30, 2021 - Governor Holcomb renewed the COVID-19 public health emergency declaration and issued an executive order that extended limited COVID-19 provisions, both are valid until July 31.
August 23, 2021 - The COVID-19 state of emergency is in place until 8/30.
September 30, 2021 - The Governor extended the COVID-19 state of emergency until October 31. View COVID-19 Resources including guidance for businesses in your state.

 

Iowa

Access the Iowa COVID-19 page
March 17, 2020 - The Governor has ordered all fitness centers, health clubs, health spas and gyms to close.
March 27, 2020 - Following the order of the Governor, the Bureau of Professional Licensure has stated that all massage therapy establishments are to be closed.
March 31, 2020 - The state massage therapy board has clarified the implications for massage therapists of the Governor’s order to close massage therapy establishments.
April 3, 2020 - The Iowa Board of Massage Therapy has clarified that massage therapist licenses expiring during the Governor’s emergency proclamation order will have 30 days to renew once the proclamation order is ended. Licensed massage therapists will not be required to complete a minimum number of hands-on CE training for their next renewal, even if their next renewal is after the end of the Proclamation.
April 7, 2020 - The Governor has extended her order to close massage establishments, fitness centers, gyms and spas through April 30.
April 28, 2020 - The Governor has issued a new proclamation continuing the State Public Health Emergency Declaration until May 27. The proclamation loosens social distancing measures in 77 counties, but all massage therapy locations continue to be closed until May 15.  
May 14, 2020 - The Governor has issued an order (Section Two, I) that allows massage therapy locations to reopen on May 15, providing they follow guidelines from the Iowa Department of Public Health.
August 21, 2020 - The Governor issued updated guidance (Massage Therapy in Section Two, J) and extended the state of emergency through September 20.
November 11, 2020 - Governor Reynolds extended her declaration of a state of public health disaster emergency and included updated guidance for massage therapists (Section 6E), effective through December 10. 
November 18, 2020 - The Governor issued an order that allows massage therapists to open or reopen, if they follow specific guidelines, including face mask mandates, (Section 7E), in effect November 17 through December 10.
January 8, 2021 - The Governor extended her Proclamation of Disaster Emergency effective January 7 through February 6, with specifics for massage therapists restated in Section E. page six.
March 9, 2021 – On March 5, the Governor extended the state’s coronavirus emergency proclamation expiring on April 4 unless extended. The proclamation strongly encourages individuals, businesses and organizations to take reasonable public health measures with guidance from the Iowa Department of Public Health (See section Two).
May 24, 2021 - Governor Reynolds signed HF 867 into law regarding open enrollment for state employee health insurance and expanding tax programs. The bill also includes a provision that blocks mask mandates in schools and prohibits cities and counties from requiring masks. Businesses may still require masks.
May 27, 2021 - The Governor issued a renewed COVID-19 Proclamation of Disaster Emergency in effect until June 26. And as a reminder, visit the Iowa Board of Massage Therapy’s page for the most recent updates on license renewals and continuing education requirements.
September 7, 2021 - Governor Reynolds extended the public health disaster emergency through September 19, unless terminated or extended by a future order.
September 17, 2021 - The Governor renewed the public health emergency through October 17.
September 23, 2021 - A previous proclamation which allowed for massage therapist licenses with expiration dates from March 22, 2020 through July 23, 2021, to remain active through September 23, 2021 is expiring on September 23 at 11:59pm. Massage therapists whose license renewal fell within the dates in the proclamation must now complete their renewal process by September 23.

• Effective September 24, any massage therapist whose renewal was subject to the extension, and has not completed their renewal by September 23, will be required to follow the Iowa Bureau of Professional Licensure’s reactivation process and must pay a reactivation fee.
• Massage therapists whose license renewal deadline did not fall within the March 22, 2020 through July 23, 2021 time period, must complete the standard renewal process, including submission of the required sixteen (16) continuing education hours by the expiration date of the license (or within 30-days thereafter).
• Please email the Iowa Department of Public Health at PLPublic@idph.iowa.gov with any questions pertaining to your license renewal or reactivation.

Kansas

Access the Kansas COVID-19 page
March 30, 2020 - The Governor has ordered all but those in essential businesses to stay at home.
May 1, 2020 - While the Governor’s latest executive order will allow certain businesses to reopen on May 4, “personal service businesses where close contact cannot be avoided” are to remain closed. Fitness centers and gyms are to remain closed.
May 14, 2020 - The Governor has issued the Ad Astra: A Plan to Reopen Kansas beginning May 18. While some businesses are allowed to open under Phase I, massage therapists, as unlicensed professionals, are to remain closed.
May 15, 2020 - The Governor announced Phase 1.5 of the Ad Astra: A Plan to Reopen Kansas which will allow massage therapists and other personal service businesses where close contact cannot be avoided to open on May 18, but only for pre-scheduled appointments or online check-in. If you choose to reopen, these guidelines will apply. If you have questions, contact AMTA’s Government Relations Team at GRinfo@amtamassage.org.
July 8, 2020 - The Governor has issued a statewide order mandates the use of a mask or other face-covering in public spaces, including while receiving services from a healthcare provider. 
July 16, 2020 – The Governor ordered that a mask or other face-covering of the nose and mouth must be worn in specified situations.
November 11, 2020 - Governor Kelly extended several emergency orders related to COVID-19 through January 26, 2021.
November 19, 2020 - The Governor issued an executive order establishing a face coverings protocol, effective November 25 and continuing until rescinded or the state of disaster emergency ends.
May 13, 2021 - Governor Kelly issued a statement allowing Kansans to adopt the CDC’s latest guidance that fully-vaccinated individuals are no longer required to wear masks indoors or outdoors or physically distance, except in circumstances such as those required by businesses, public transportation, or health care facilities.
May 17, 2021 - The Kansas Department of Health and Environment has also issued COVID-19 guidance for Cosmetology (updated on May 17, 2021), which provides recommendations on face coverings, social distancing, and policies for massage therapists.

 

Kentucky

Access the Kentucky COVID-19 page
March 17, 2020 - The Governor has ordered gyms, exercise facilities and spas to close.
April 2, 2020 - The Governor has issued a Healthy at Home order, stating that only life-sustaining businesses may remain open. And, he also ordered all non-emergent, non-urgent medical and healthcare practices to close.
May 8, 2020 - The Governor has issued a four-phase structure for reopening of healthcare businesses which will allow massage therapy locations to reopen on May 25 with the following guidelines under Phase I.
July 13, 2020 - The Governor ordered that everyone in the state must cover their noses and mouths with a face covering in defined situations.
July 27, 2020 - Under its Health at Work program, the state has provided updated requirements for massage therapists.
October 14, 2020 - The Governor extended the face coverings order for 30 days from October 6.
November 18, 2020 - The Governor extended Kentucky’s State of Emergency, beginning November 20th and ending December 13th. Gyms, fitness centers, pools and other indoor recreation facilities must limit capacity to 33% of the maximum permitted occupancy.
February 9, 2021 - On January 30th the Governor issued an updated face covering order to remain in effect for 30 days.
March 2, 2021 - On March 1, the Governor announced that massage therapy establishments and fitness centers can now operate at up to 60% capacity.
May 13, 2021 - Governor Beshear signed Executive Order 2021-326 which lifted the mask mandate for fully vaccinated Kentuckians in most places.
Effective June 11, 2021 - The Governor let Executive Order 2021-326 (mentioned above) expire and lifted all capacity restrictions related to COVID-19, as well as eliminate the mask mandate for individuals in most settings. Unvaccinated individuals will still be encouraged to wear masks and businesses can continue to require masks.
August 26, 2021 - The Governor issued an Executive Order requiring masks be worn in all health care settings regardless of vaccination status.
September 7, 2021 - The Governor signed into law House Joint Resolution 1 allowing the Kentucky Board of Massage Therapy's May 2020 waiver for license renewals to remain effective through January 15, 2022.
For questions regarding the license renewal waiver, please contact the Kentucky Board of Massage Therapy at (502) 782-8808 or mt@ky.gov.
View current COVID-19 guidance for the workplace in Kentucky.

Louisiana

Access the Louisiana COVID-19 page
March 17, 2020 - The Governor has ordered fitness centers and gyms to close.
March 23, 2020 - The Governor has issued a stay at home order for all but specific, essential activities. 
May 8, 2020 - The Governor has extend his emergency provisions order through May 15.
June 1, 2020 - As of May 15, the Governor announced Phase One of his Roadmap to a Resilient Louisiana. As of June 1, no date has been announced for Phase Two, and massage establishments must remain closed.
June 2, 2020 - The Governor announced that the state will move to Phase Two of its reopening plan on June 5, except for Orleans Parish, which remains in Phase One. Massage therapists outside of Orleans Parish will be allowed to reopen at 50% of capacity in Phase Two.
June 10, 2020 - The Mayor of New Orleans has announced that Orleans Parish will enter Phase Two of its reopening plan, effective June 13. Massage therapists will be allowed to open at 50% of capacity, and need to follow guidelines in the announcement and State Fire Marshal Phase Two guidelines, and accept clients by reservation or appointment only. Watch video explaining reservations and contact tracing.
July 13, 2020 - The Governor announced a mandatory mask requirement as the state remains in Phase Two of the Roadmap for a Resilient Louisiana.
August 6, 2020 - The Governor announced the extension of his Phase 2 order through August 28.
November 2, 2020 - The Governor renewed his emergency order through November 6.
November 9, 2020 - The Governor renewed his Phase 3 mitigation orders, including a mandate on the use of face masks, through December 4.
January 8, 2021 - The Governor renewed his public health emergency order through January 13.
March 15, 2021 - On March 2, the Governor extended the state of emergency until March 31.
March 31, 2021 - The Governor extended the COVID-19 state of emergency until April 28. Currently, for personal care businesses (including massage therapy) face masks must be worn by clients and employees in all facilities. According to the Louisiana Board of Massage Therapy, as long as face mask and distancing protocols are observed, there are no specific capacity limitations for massage therapy businesses.
May 15, 2021 - The Governor revised the COVID-19 mask guidance indicating that those who are fully vaccinated no longer need to wear masks indoors in most cases. Face coverings are still required in certain settings including public transit and healthcare facilities.
May 25, 2021 - The Governor issued a proclamation lifting most COVID-19 public health mitigation measures. Businesses may continue to require more restrictive measures including mask wearing.
July 21, 2021 - The Governor extended the state of emergency through August 11.
August 2, 2021 - The Governor reinstated the statewide indoor mask mandate. 
August 31, 2021 - Governor Bel Edwards issued an executive order which extends the public health emergency and requires masks to be worn indoors (with limited exceptions) regardless of an individual’s vaccination status through September 29. Penalties will be enforced for non-compliance.
September 28, 2021 - Governor Bel Edwards renewed the public health emergency and statewide indoor mask mandate through October 27 unless further extended.

• The current masking guidance requires all people - vaccinated and unvaccinated - ages 5 and above to wear masks while indoors.
• The masking requirement also applies to all schools and higher education institutions.

 

Maine

Access the Maine COVID-19 page
March 25 2020 - The Governor has ordered massage facilities, spas, fitness and exercise gyms and similar personal care and treatment facilities and services to be closed.
May 22, 2020 - The Department of Professional and Financial Regulation has provided basic information on massage therapy practice during Stage 1 of the Governor’s order.  Stage 3 of the Governor’s plan includes “massage facilities” among other businesses.  On May 13, the state emergency order was extended 30 days.
May 31, 2020 - The Governor updated her executive order.
June 22, 2020 - The Department of Professional and Financial Regulation announced, based on the Governor’s Restarting Plan and subject to the DHHS COVID-19 Guidance for Health Care Providers, “health care-related massage therapy services” may now be provided by LMTs. All other types of massage must wait until Stage 3 (expected to begin on July 1, depending on health metrics).
July 7, 2020 - The Department of Economic and Community Development provided information on Stage 3 reopening, with guidelines for massage therapy and spa services, updated July 10.
July 16, 2020 – The Governor ordered that individuals must wear cloth face coverings in public settings where other physical distancing measures are difficult to maintain.
August 5, 2020 - The Governor extended the State of Civil Emergency through September 3.
September 30 – Governor Mills extended the State of Civil Emergency for 30 days.
October 14, 2020 - The Governor ordered implementation of Phase 4 of the state’s restarting plan, effective October 13.
November 16, 2020 - The Governor issued an order to revise the face mask mandate and clarify social distancing.
December 15, 2020 - The Governor revised and simplified her face covering executive order, effective December 11.
March 5, 2021 - The Governor issued an executive order with amended indoor capacity limits. Massage therapy businesses may operate at 50% of permitted occupancy, 5 people per 1,000 sq. ft., or 50 people (whichever is greatest), until May 23. Starting May 24, permitted occupancy increases to 75% (see section A, page 2). Massage therapists should continue to follow guidelines for spas and close contact personal services (updated in March).
May 24, 2021 - Governor Mills lifted capacity limits for indoor gatherings and in-store customer limits.
June 11, 2021 - The Governor announced that the current COVID-19 state of civil emergency including the final face-covering requirement will expire on June 30.
Massage therapists may reference the COVID-19 prevention checklist and guidance to help manage their practices.
August 23, 2021 - View FAQs on face coverings (updated July 2021).
August 26, 2021 - Governor Mills issued a mandate requiring all healthcare workers employed by a hospital, multi-level health care facility, home health agency, nursing facility, residential care facility, and intermediate care facility for individuals with intellectual disabilities to be fully vaccinated by October 1, 2021.
September 3, 2021 - Effective as of August 12, 2021, The Mills Administration issued an emergency rule requiring all healthcare workers (including massage therapists), employed by a hospital, multi-level health care facility, home health agency, nursing facility, residential care facility, emergency medical service organization or intermediate care facility, to receive a last dose of the COVID-19 vaccine by September 17, in order to be considered fully vaccinated by the regulation’s October 1 deadline. For more information, view FAQs on the vaccination requirement for healthcare workers, email Bridget.Bagley@maine.gov at the Maine Center for Disease Control & Prevention or call (207) 287-9394.

Maryland

Access the Maryland COVID-19 page
March 25, 2020 - The Governor has ordered health spas, health clubs, fitness centers and gyms to be closed. 
March 30, 2020 - The Governor has issued a stay-at-home order and directed non-essential businesses to close. 
April 3, 2020 - The Governor has issued a stay-at-home order and directed all elective and non-urgent medical procedures and appointments to cease.
May 13, 2020 - The Governor issued a renewed Stay-at-Home order through May 30.
May 20, 2020 - The Maryland State Board of Massage Therapy Examiners has informed massage therapists of state Health Secretary Neall’s Amended Directive and Order Regarding Various Healthcare Matters. The new directive permits licensed massage therapists (“LMTs”) to perform massage in health care settings, if certain conditions are met. At this time, Registered Massage Practitioners (RMP's) are not allowed to reopen.
June 4, 2020 - Governor Larry Hogan has announced Executive Order 20-06-03-01 that allows massage establishments to reopen, effective at 5:00 p.m. on June 5, at 50% occupancy and are required to follow applicable state guidelines. Gyms and fitness centers are to remain closed at this time. A political subdivision can make an independent decision to close any business in their jurisdiction, so please check local guidance before reopening. 
July 16, 2020 – The Governor ordered that in massage therapy locations all customers are required to wear face coverings, as are staff while in areas open to the general public and areas in which interaction with other staff is likely. 
July 31, 2020 - The Governor announced that massage therapists are allowed to be open subject to local/county orders, but fitness centers, health clubs, health spas and gyms still are restricted to 50% of capacity. This order also updated his previous face covering order.
August 4, 2020 - The Montgomery County Council announced that Registered Massage Practitioners (RMP) are allowed to open beginning August 5, with limitations.
September 8, 2020 – The Governor renewed his state of emergency and catastrophic health emergency.
September 28, 2020 – The Governor announced further business reopening information, including a continuation of the 50% occupancy guidelines for massage therapists.
October 15, 2020 - The Maryland State Board of Massage Therapy Examiners has clarified that a massage therapist/registered massage practitioner with a license/registration that expires on October 31, 2020 who has not renewed by that date, may continue to practice under the current license/registration until 30 days after the state of emergency has ended.
November 4, 2020 - The Maryland Board of Massage Therapy Examiners clarified changes to CE requirements during the state’s declaration of emergency and that licenses do not expire on October 31, 2020.
November 18, 2020 - The Governor issued an executive order which clarifies that massage therapy locations can be open at 50% of the location’s maximum occupancy, effective November 11. Anne Arundel, Baltimore, Frederick, Montgomery (page 8) and Prince Georges counties, and the City of Baltimore, have additional regulations.
February 8, 2021 - Governor Hogan renewed the state of emergency order, effective January 21 through March 5.
February 9, 2021 - The Mayor of Baltimore issued an executive order updating restrictions in the city with specific guidelines for massage therapy services (Section X), effective January 22 until the termination or amendment of the state’s health emergency.
March 11, 2021 - Governor Hogan amended his February 23 executive order stating that the capacity limits for personal care services and other businesses will be lifted as of March 12 (see section II, M). Masking, physical distancing, and other safety protocols will remain in place.
March 17, 2021 - The Governor also issued an amended order on March 9 pertaining to license extensions in Maryland. The order states that licenses have been extended until June 30, 2021 by which time massage therapists must renew these extended licenses as part of their normal renewal cycle. If you renewed your license before October 31, 2020, then you do not need to renew your license again until October 31, 2022.
May 14, 2021 - Effective May 15, Governor Hogan announced the lifting of all capacity limits and restrictions in indoor and outdoor venues. Also, effective May 15, Governor Hogan announced the end of the statewide mask mandate aligning Maryland with the new CDC guidance for fully vaccinated individuals. Per this Executive Order, masks are still required at personal services establishments including massage therapy locations (see section III, 2).
August 26, 2021 - Governor Hogan announced a new vaccination protocol requiring all staff working in hospitals, nursing homes, and health facilities operated by the state to show proof of their first dose or single dose of a COVID-19 vaccine by September 1, 2021, or adhere to ongoing COVID-19 screening and testing.
September 3, 2021 - Effective as of August 18, the Maryland Department of Health issued an order requiring all staff working in hospitals and nursing homes to show proof of a first dose or single dose of the COVID-19 vaccine by September 1, 2021, and to complete the vaccination regimen.

• Staff includes, but is not limited to, regular and contractual employees, volunteers, and other employees performing duties at a facility subject to the regulation.
• Staff working in health care facilities operated by the state (public) must have received a first dose of the COVID-19 vaccine by September 1, or submit to testing at least once per week.
• This order is effective through December 31, 2021 or until the federal public health emergency is terminated, whichever occurs first.
• For more information regarding this public health directive, please contact the Maryland Department of Public Health or call 410-767-6500.

Massachusetts

Access the Massachusetts COVID-19 page
March 24, 2020 - The Governor has ordered all non-essential businesses to be closed.
April 22, 2020 - The Division of Professional Licensure, Board of Registration of Massage Therapy announced that it will accept online interactive learning for initial massage therapist licensure requirements, except for 150 supervised classroom hours of massage theory and technique and 100 required hours of unpaid and supervised clinical or externship experience.
April 27, 2020 -  The Board of Massage Therapy has confirmed the Governor’s order that massage therapists whose licenses expire during the state of emergency have up to 90 days after the state of emergency has been lifted to renew their licenses, without incurring any late fees.
April 28, 2020 - The Governor has announced that the state’s stay-at-home advisory will remain in effect and that non-essential services must remain closed until May 18.
May 22, 2020 - The Governor has issued a reopening plan for the state.
June 2, 2020 - The Governor’s Executive Order permits Phase II businesses, including massage therapy locations, to reopen their physical workplaces to workers only to conduct necessary preparations prior to the start of Phase II. Preparations include, but are not limited to, completing a COVID-19 Control Plan, implementing sector-specific protocols, and complying with Mandatory Workplace Safety Standards.
June 22, 2020 - The Governor announced that Step Two of Phase II of the Commonwealth’s four-phase reopening plan, Reopening Massachusetts will begin June 22. Massage therapists will need to meet state requirements and comply with specific guidelines and standards (including self-certification).
July 6, 2020 – Massage therapists need to meet state requirements and comply with specific guidelines and standards (including self-certification) that continue to be revised in Phase Three.
July 16, 2020 – The Governor issued specific guidance on the mandatory use of face coverings.
October 28, 2020 - On September 29, the Governor issued an updated order for Phase Three re-openings in low-risk municipalities, effective October 5. The state updated Reopening Phase III mandatory safety standards for massage therapists, effective on October 5.
March 18, 2021 - The Governor issued an executive order advancing all communities to Phase IV, Step 1 of the Commonwealth's Reopening Plan. Under this order, all businesses must continue to follow sector-specific safety protocols and best practices. Massage therapists should continue to follow the safety standards for close contact personal services.
March 22, 2021 - On March 18, the Governor signed an order limiting indoor gatherings at 100 people or less and outdoor gatherings at 150 people or less.
May 28, 2021 - The Governor issued an executive order lifting all restrictions and increasing capacities to 100% across every industry, with the exception of face-covering requirements in public and private transportation systems, healthcare facilities, and hospitals. View the current COVID-19 masking requirements in Massachusetts.
June 1, 2021 - The policy to allow massage schools the option of remote clinic hours for massage therapy students during the COVID state of emergency expired on May 31.
June 15, 2021 - The Governor signed an order terminating the COVID-19 state of emergency.
August 23, 2021 - View the latest COVID-19 face mask requirements in your state.
September 8, 2021 - The Massachusetts Department of Public Health issued a series of emergency regulations requiring personnel and contractors of certain health care facilities to be vaccinated. The regulations affect in-home care workers, rest home personnel, and those working in long-term health care facilities providing direct care under a state-based program.

• The emergency regulations also continue a previous requirement that all personnel of skilled nursing facilities be vaccinated against COVID-19.
• Exemptions may be granted for those with medical restrictions or sincerely held religious beliefs.
• You can contact your facility administrator and/or compliance office with any questions, or the Department of Health at (617) 624-6000 for more information.

September 23, 2021 - View the latest COVID-19 mask requirements in your state.

Michigan

Access the Michigan COVID-19 page
March 20, 2020 - The Governor has ordered gyms, fitness centers, indoor exercise facilities, exercise studios, and spas to be closed until March 30.
March 31, 2020 - The Governor has issued a stay home, stay safe order that “all public and private gatherings of any number of people occurring among persons outside a single household are temporarily prohibited.”
April 27, 2020 - The Governor has amended the scope of her previous order and extended it through May 15.
May 1, 2020 - The Governor has issued a new State of Emergency order through May 28.
June 1, 2020 - While the Governor has announced Phase 4 of the Michigan Safe Start Plan, massage therapists are still required to remain closed per section 12C of the order.
June 8, 2020 - The Governor has announced that massage therapists in regions 6 and 8 (Traverse City and Upper Peninsula regions) of the state will be allowed to reopen on June 8 if they follow guidelines in Section 11 of this executive order. Massage therapists in the rest of the state will be allowed to reopen on June 10, with the same guidelines.
July 13, 2020 - The Governor ordered that individuals are required to wear a face covering whenever they are in an indoor public space or in crowded outdoor spaces. Additional guidelines apply for clients and those providing personal services, including massage therapists.
October 16, 2020 -

• The Michigan Department of Health and Human Services Director issued an Emergency Order  restricting gathering sizes, requiring face coverings in public spaces and placing limitations on certain venues.
• The Department of Health and Human Services issued an order which requires masks at public gatherings with two or more people for much of the state and maintains restrictions on the number of people who may enter stores or restaurants.
• The Michigan Occupational Safety and Health Administration issued emergency rules for employers that dictate precautions and steps for employees to return to work.
  
  

November 19, 2020 - The Michigan Department of Health and Human Services has issued a new order with guidance related to gatherings and the use of face masks. It also includes specific requirements for massage therapists. All services must be provided by appointment, gatherings in waiting areas are prohibited, and there are contract tracing requirements (See sections 4 and 9).
December 9, 2020 - The Director of the Michigan Department of Health and Human Services issued an order effective December 9 through December 20 that extends and supersedes the November order on gatherings and face masks.
December 21, 2021 - The Director of the Michigan Department of Health and Human Services has issued an order that includes requirements for massage therapists [subsection 4(f)] to see clients by appointment only, to prohibit waiting areas and to ensure the wearing of face masks. The order also has requirements related to contact tracing [subsection 9(a)1]. The order is in effect from December 12 through January 15, 2021.
February 8, 2021 - The Michigan Department of Health and Human Services (MDHHS) issued a new order, effective February 8 through March 29, that includes information on face mask coverings in massage locations. The order also states that all massage services must be provided by appointment, and gatherings in waiting areas are prohibited.
March 3, 2021 – On March 2, the Michigan Department of Health and Human Services issued an executive order related to gatherings and face mask requirements. Massage therapy services must continue to be provided by appointment only, and gatherings in waiting areas are prohibited (see section 4f). In addition, exercise facilities are allowed to operate at 30% capacity with restrictions on distancing and mask requirements (see section 4b).
March 19, 2021 - The Director of the Michigan Department of Health and Human Services issued an updated Gatherings and Face Mask order which remains in effect through April 19^th. The updated order states that gatherings in exercise facilities “must not exceed 30% of the total occupancy limits established by the State Fire Marshal or a local fire marshal” with exercisers maintaining six feet of distance (section 4b). In addition, in facilities offering non-essential personal care services, including massage therapy, all services must be provided by appointment, and gatherings in waiting areas are prohibited (section 4f).
May 15, 2021 - Under the updated MDHHS Gatherings and Mask Order, Michiganders who are outdoors will no longer need to wear a mask regardless of vaccination status. While indoors, fully vaccinated Michiganders will no longer need to wear a mask, but residents who are not vaccinated, or have not completed their vaccinations, must continue to wear a mask or face covering to protect themselves and others. After July 1, the broad indoor mask mandate will expire.
June 1, 2021 -  The Michigan Department of Health and Human Services issued an order lifting the mask mandate for fully vaccinated individuals while still limiting capacity for residential gatherings and indoor non-residential gatherings to 50%. Businesses may still require face masks. Click here to access FAQs on this new order.
Massage therapists must continue to follow the May 15th order which states that all non-essential personal care services must be provided by appointment only, gatherings in waiting areas are prohibited, all capacity limits are capped at 50% of the total occupancy limit. Massage therapists should continue to reference personal care guidelines to help manage their practices.
June 22, 2021 - The Michigan Department of Health and Human Services rescinded multiple Emergency Orders including the Gatherings and Face Mask order.
August 10, 2021 - The Michigan Department of Health and Human Services revised their face mask recommendations. View the latest COVID-19 guidance for employers and employees to help manage your massage practice.
September 30, 2021 - The Michigan Bureau of Professional Licensing (BPL) has issued a new requirement for implicit bias training for massage therapists. This rule becomes effective on June 1, 2022. View details for this new requirement.

Minnesota

Access the Minnesota COVID-19 page
March 18, 2020 - The Governor has ordered fitness centers, exercise studios, gyms, athletic clubs, spas, salons and businesses offering massage therapy or similar bodywork to close.
April 10, 2020 - The Governor has extended his stay at home order and notice of business closures through May 3.
May 22, 2020 - The Governor has issued a reopening plan for the state.
May 27, 2020 - The Governor announced that massage therapists are allowed to reopen on June 1, with specific guidance and restrictions.
July 27, 2020 - Under its Stay Safe Minnesota program, the state has provided guidance for personal services, including massage therapy.
October 14, 2020 - The Governor extended his Peacetime Emergency Order to last through November 12.
November 19, 2020 - The Governor issued an executive order reinforcing his face mask requirement and restricting certain activities, effective through December 18. The order closes gyms and fitness centers (page 14, Paragraph 7c.,v), while massage therapy locations may remain open at 50% of capacity. “Workers, customers, and clients must follow all requirements, including face-covering requirements, as set forth in the applicable guidance available at the Stay Safe Minnesota website (https://staysafe.mn.gov).”
December 21, 2020 - The Governor issued an Emergency Executive Order extending and modifying previous orders. It is in effect from December 18 through January 10, 2021.
January 14, 2021 - The Governor extended his emergency executive order through February 12, 2021.
March 12, 2021 - Governor Walz issued an emergency executive order modifying capacity restrictions for personal care services (including massage therapy) to limit occupancy to the number of individuals at any one time for whom physical distancing of six feet can be maintained (see section 7(c)5). Here are the Stay Safe MN guidelines for personal care. In addition, the Governor's executive order states that gyms and fitness centers may operate based on Stay Safe MN guidelines which take effect on April 1.
March 15, 2021 - The Governor extended the state's COVID-19 emergency executive order through April 14, 2021.
May 6, 2021 - Governor Walz signed Executive Order 21-21 to sunset specified COVID-19 public health restrictions.
May 14, 2021 - The Governor issued Executive Order 21-23 which follows CDC recommendations that vaccinated people are not required to wear face coverings in most settings. Businesses may still require face masks. View the updated Minnesota Department of Health’s Face Covering Requirements and Recommendations. Massage therapists may reference guidance for businesses to help manage their practices.
September 7, 2021 - The Minnesota Department of Health updated their mask recommendations.

Mississippi

Access the Mississippi COVID-19 page
March 26, 2020 - The Mississippi State Department of Health has advised all non-essential healthcare providers to postpone appointments for a later date. The Mississippi State Board of Massage Therapy has extended license renewals due to expire May 31, 2020 to August 27, 2020 with no late fee after May 31.
April 2, 2020 - The Governor has ordered non-essential businesses to be closed, including spas, gyms, fitness centers and similar facilities.
April 27, 2020 - The Mississippi State Board of Massage Therapy clarified that massage therapists are allowed to reopen, and provided suggested guidelines.
July 23, 2020 – In orders on July 10 and July 20, the Governor mandated face coverings in various counties in the state and reinforced health safety measures.
July 28, 2020 - The Mississippi State Department of Health has provided a summary of executive orders, including those impacting personal care providers.
August 5, 2020 - The Governor issued a statewide requirement for facial coverings in buildings open to the public and outdoors when 6 feet of social distancing cannot be maintained, with exceptions.
September 24, 2020 - The Mississippi State Department of Health has provided an updated summary of executive orders, including those impacting personal care providers. This order expires September 30.
October 1, 2020 - Governor Reeves announced the end of the statewide mask mandate and issued a new executive order to extend some COVID-19 safety measures. Guidelines for massage therapists are on page 4. Additional local restrictions may still be in place.
November 16, 2020 - The Governor issued an order, clarified by the state Department of Heath, requiring use of a face mask in specific counties, effective until December 11.
January 8, 2021 - The Governor added counties to his executive order, effective through January 15 and amended his face covering order, also effective through January 15.
March 3, 2021 – On March 2, the Governor issued an executive order lifting the mask mandate for all counties in the state of Mississippi. Guidelines for close contact and personal care services (including massage therapy) remain in place (see section V).
April 30, 2021 - Governor Reeves issued Executive Order 1551 encouraging the wearing of masks but only requiring them in school settings. Massage therapists should continue to follow guidelines for businesses (see section IV) and close contact and personal care services (see section V).
Effective as of July 1, 2021 - Massage establishments are required to register with the State Board of Massage Therapy annually. The Board has provided an online registration form for establishments that must be accompanied with a $50 fee.
September 7, 2021 - The Mississippi State Department of Health updated their COVID-19 recommendations.
October 1, 2021 - The Mississippi State Department of Health updated its COVID-19 website.

Missouri

Access the Missouri COVID-19 page
March 31, 2020 - At this time, there is not a statewide mandate on closings, essential versus non-essential services or a stay-at-home order. The following cities/counties have issued restrictions that may affect massage therapists:

• St. Louis – The Mayor has issued a stay-at-home order and the health commissioner has ordered massage locations, gyms and fitness centers to be closed.
• Kansas City – The Mayor has issued a stay-at-home order and the city has provided FAQs on what the order covers.

April 6, 2020 - The Governor has issued a “Stay Home Missouri” order stating that residents should avoid leaving their homes unless it is necessary.
May 8, 2020 - The Governor has extended his state of emergency order through June 15.
June 1, 2020 - While much of the state remains closed, several counties have reopened businesses, with massage therapists allowed to reopen, with specific conditions.

• Massage therapists in St. Louis County are allowed to reopen with specific conditions.
• The Eastern Jackson County Recovery Plan (affecting Kansas City, MO) allowed massage therapists to reopen under Phase 1, with restrictions. As of June 1, Phase 2 is activated and massage therapists are allowed to reopen at 50% of capacity.
• August 21 -- Eastern Jackson County moved to Phase 2.5, with massage therapists still under the 50% capacity restriction.

June 30 – The Missouri Department of Health and Senior Services recommends the wearing of a cloth face-covering in public settings where social distancing measures are difficult to maintain.
August 6, 2020 -  Governor Parson extended provisions of his executive order state of emergency.
August 26 – Many cities and municipalities have issued face mask orders and other requirements that impact massage therapists.
November 2, 2020 - The Missouri Board of Therapeutic Massage confirmed the continuation of its March provision allowing massage schools to provide some classes online.
March 26, 2021 - The Governor extended the COVID-19 State of Emergency until August 31. Your state has compiled a COVID-19 information page with guidelines for businesses that may help massage therapists continue to manage their practices during the pandemic.
July 9, 2021 - Missouri's extension of the COVID-19 State of Emergency remains in effect until August 31.
Your state has compiled COVID-19 resources for businesses that may help massage therapists manage their practices.
September 7, 2021 - The Governor issued an executive order terminating the statewide public health emergency.
October 1, 2021 -The Missouri Department of Health now has a Senior Services COVID-19 resource page.

Montana

Access the Montana COVID-19 page
March 25, 2020 - The Governor has ordered health clubs, health spas, gyms and fitness studios to be closed. 
April 9, 2020 - The Governor extended his previous directives through April 24. 
April 22, 2020 - The Governor issued an order that allowed massage therapists to reopen in Phase 1 of his reopen plan, with conditions for practice in Appendix A.
July 16, 2020 - The Governor issued a directive requiring face coverings in certain indoor spaces and for certain organized outdoor activities in counties currently experiencing four or more active cases of COVID-19. Check the status of your county here.  
July 20, 2020 – The Montana Board of Massage Therapy voted to extend the period for all licensees to obtain Continuing Education until December 31, 2020. The board also opted out of conducting an audit of licensee compliance with continuing education standards for the current reporting period in response to COVID-19 public health concerns. However, the license renewal period still ended on August 31, 2020. All licensees were required to renew by that date to avoid any late renewal fees.
October 15, 2020 – Montana is currently in Phase 2 of reopening. Guidelines for personal care providers including massage therapists in this phase are provided in the Governor’s reopening directive.
February 1, 2021 - The Governor established a state of emergency on January 13 to run concurrent with the emergency declaration of the President of the United States, and a declaration that his previous orders related to COVID-19 were rescinded.
March 9, 2021 – On February 12, the Governor issued an executive order stating that businesses should make reasonable efforts to develop and implement appropriate COVID-19 mitigation policies based on industry best practices during the state of emergency. These policies include masking, social distancing, temperature checks/symptom screening, testing, isolating and contact tracing, and sanitation/disinfection. This order remains in effect until the declared state of emergency expires.
May 1, 2021 - Governor Gianforte signed amended House Bill 257 ending the local government’s ability to enforce mask mandates. Businesses can still require masks, but mask-wearing is no longer enforceable.
Massage therapists may reference COVID-19 resources for businesses to help manage their practices.
As a reminder, the license renewal deadline (expiration date) for all massage therapists in Montana is August 31st of each year.
May 7, 2021 - A Montana law (HBO702) became effective on May 7, stating that discrimination based on vaccination status is prohibited. The law prohibits any person or entity in the state of Montana from denying a person access to any public accommodation, service, health care, licensing, educational opportunity, and employment opportunity based on the person's vaccination status or whether the person has an immunity passport. Provisions in the law allow for employers to encourage their employees to become vaccinated, to ask employees about their vaccination status, and to make reasonable accommodations accordingly.

Certain health care facilities, such as licensed nursing homes, long-term care facilities, and assisted living facilities are exempt from complying with the law if doing so would result in a violation of regulations or guidance issued by the Centers for Medicare and Medicaid Services or the Centers for Disease Control and Prevention.

Please refer to the Montana Department of Labor and Industry FAQs for more information or call the Employment Relations Division at (406) 444-6543.

Nebraska

Access the Nebraska COVID-19 page
March 30, 2020 - The Governor has ordered closures of some businesses, including gyms, fitness centers and salons in specific counties. 
April 10 - The Governor has extended his stay-home-and-stay-safe order and issued closures of specific businesses in selected counties, with most extended through May 11. All massage therapy services in the state are directed to be closed through April 30.
April 28 - The Governor has ordered that the closure of massage therapy services is extended to May 3, but that this date will be extended further for some areas of the state. As of May 4, massage therapy services will be added to the list of gatherings subject to the 10-person rule and other guidelines the Governor will provide.
May 4 - The Governor has issued an executive order allowing massage therapy services in some counties to reopen, subject to his 10-person rule and other guidelines. Other counties will be allowed to open based on specific guidelines on May 6.
May 26, 2020 - The Governor announced new directed health measures (DHMs) to take effect on June 1, allowing massage therapists in all but four counties to reopen on that date, with general guidelines.
June 18, 2020 - The Governor announced that new Directed Health Measures (DHMs) will take effect June 22.   Most counties will move to Phase 3 of reopening, with new guidelines for massage therapists.  Dakota, Hall, Hamilton and Merrick counties will move to Phase 2.
August 26 – Some counties have entered Phase 4 and others are in Phase 3. Health guidelines apply based on each phase.
September 16, 2020 - The Nebraska Department of Health and Human Services has announced that all counties are in phase 4 of reopening, as of September 14 and effective through October 31. Information on Directed Health Measures for all counties is provided by the DHHS.
November 16, 2020 - The Governor announced new health measures effective through November 30, which include guidance for massage therapists and clients. (I1, page 5)
January 8, 2021 - The Governor issued a waiver for students and others applying for certain licenses, including massage therapists. The waivers for certain aspects of massage therapy credentials are in effect until 30 days following the lifting of the Nebraska COVID-19 state of emergency.
March 16, 2021 - The Nebraska Department of Health and Human Services released guidance based on the newest CDC recommendations regarding indoor and outdoor events.
May 24, 2021 - Governor Ricketts issued an Executive Order rescinding all previous COVID-19 orders. In addition, all previous Directed Health Measures in Nebraska were lifted. Requirements to isolate and quarantine will follow CDC recommendations, and will now be issued from local health departments.
September 9, 2021 - The Governor issued an Executive Order that waives in-person training/education requirements for initial licensure and continuing education (CE) through December 31, 2021.
The order also extends the testing requirement waiver for state licensure through December 31, 2021. Massage therapy licensure applicants will be issued a provisional license until the exam can be taken, pending all other requirements for licensure have been met.

Nevada

Access the Nevada COVID-19 page
March 25, 2020 - The Governor has ordered all non-essential businesses to be closed.   
April 2, 2020 - The Governor has extended his order to close non-essential businesses through April 30, 2020. 
May 5, 2020 - The Governor has extended his stay at home order through at least May 15.
May 22, 2020 - As of May 20, Nevada is in Phase One of the Nevada United: Roadmap to Recovery Plan.
May 27, 2020 - The Governor has announced that Phase 2 of the state’s Nevada United: Roadmap to Recovery reopening plan will go into effect on Friday, May 29. Massage therapists can reopen with specified conditions.
July 16, 2020 - The Governor specified in an order the requirements for the use of masks or face coverings in public and for the clients, patients, patrons and employees of businesses involving public access. 
August 6, 2020 - The Governor extended the Declaration of Emergency until his March order is lifted.
August 14, 2020 – The Governor extended the Declaration of Emergency.
October 14, 2020 - The Governor extended his declaration of emergency Directive to remain in effect until terminated by a subsequent Directive.
December 8, 2020 - The Governor extended his declaration of emergency Directive to remain in effect until terminated by a subsequent Directive.
February 16, 2021 - The Governor issued an updated state of emergency order, effective February 14 until terminated by a subsequent order. Nevada’s Roadmap to Recovery, updated this month, clarifies guidance for massage therapists on page 13.
March 12, 2021 - The Governor amended and signed an order keeping mask wearing and social distancing mitigation measures in place (see section seven) along with guidelines for gatherings and events (see section eight). In addition, the order delegates each county the authority and duty to develop a COVID-19 Local Mitigation and Enforcement Plan (see section two). Massage therapists should continue to follow guidelines outlined in Nevada's Roadmap To Recovery plan (see page 12) and must operate according to the requirements of the Nevada State Board of Massage Therapy.
May 17, 2021 - The Governor signed Emergency Directive 045, which updated the mask and face-covering requirements for the State of Nevada to align with the CDC’s recommendations on mask usage, including any subsequent guidance issued by the CDC. As a result, the updated guidance on masks issued on May 13 by the CDC is effective immediately in Nevada.
Massage therapists may reference business resources and guidance to help manage their practices.
July 28, 2021 - The state of Nevada has adopted an emergency directive requiring facial coverings indoors for everyone, both vaccinated and unvaccinated, beginning July 30, 2021. The directive follows guidance from the Center for Disease Control and Prevention (CDC).
September 10, 2021 - State employees, contractors or transfers who enter specific institutions with vulnerable populations within the normal scope of their employment are required to be fully vaccinated. Proof of vaccination must be provided by November 1. Please refer to the Nevada Board of Health’s announcement for details.
November 29, 2021 - Nevadans over age 9 are required to wear masks in indoor public places, regardless of their vaccination status, in counties that meet the CDC criteria for high or substantial rates of COVID-19 transmission. View Nevada’s updated mask guidance and see the current mandate status for each county.
As a reminder, 24 hours of continuing education (CE) are required to renew your massage therapy license and are due by the date of your license expiration. The Nevada State Board of Massage Therapy accepts online or in-person CE hours.
For massage therapists who have not renewed their license by their biennial renewal deadline, the Board is waiving the late fees until 12 months following the expiration of the state of emergency. However, massage therapists cannot practice if their license has expired.
Visit the Nevada State Board of Massage Therapy’s online portal to renew your license or for questions regarding license renewals, contact the Board at (775) 687-9955 or nvmassagebd@state.nv.us.

New Hampshire

Access the New Hampshire COVID-19 page
March 27, 2020 - The Governor has ordered all non-essential businesses to be closed.
May 22, 2020 - The Governor has issued an order to clarify that massage therapists’ CE requirements for licenses scheduled to renew between March 31, 2020-December 31, 2020 are waived. The order also modifies requirements for massage therapy students currently enrolled in a massage school. The Governor extended his emergency order on May 15 for an additional 21 days.
June 2, 2020 - The Governor’s Economic Reopening Taskforce has issued guidelines for massage therapists who were allowed to reopen on June 1.
August 6, 2020 - The Governor extended his executive order through September 1 and the state updated guidelines for massage therapists.
October 14, 2020 - The Governor recently extended his Executive Orders until November 15.
November 20, 2020 - The Governor ordered the wearing of a face covering in all public spaces, both indoors and outdoors), effective through January 15, 2021.
December 15, 2020 - The Governor renewed and extended his Declaration of a State of Emergency, effective December 11 through December 31. 
January 18, 2021 - The Governor has extended his COVID-19 Emergency Order through March 26.
March 26, 2021 - The Governor has extended New Hampshire’s State of Emergency via Executive Order 2021-05 for an additional 21 days.
April 16, 2021 - Governor Sununu lifted the statewide mask mandate, however, the state still encourages mask-wearing. The change does not limit private businesses and local governments from requiring masks.
May 8, 2021 - The Governor’s Reopening Task Force released Universal Best Practices for Businesses replacing all existing “Safer At Home 2.0” business operations guidance in place since March 2020. The new Universal Best Practices are recommendations for all individuals and businesses to consider (including massage therapists) and provide guidance on face masks, sanitizing, and physical distancing protocols.
June 14, 2021 - The New Hampshire Department of Health and Public Services issued an executive order extending the COVID-19 public health emergency through December 31, 2021.

New Jersey

Access the New Jersey COVID-19 page
March 16, 2020 - The Governor has ordered all gyms to close.
March 22, 2020 - The Governor has directed all residents to stay at home until further notice, and has directed the closure of all non-essential businesses.
May 8, 2020 - While the Governor has issued a 6-point plan for reopening the state, under his executive order, massage therapy locations must remain closed until at least June 5. 
June 9, 2020 - The Governor issued Executive Order 152 and Executive Order 153.
June 15, 2020 - The Governor has issued an order that will allow massage therapists to reopen on June 22, if they follow standards issued by the Division of Consumer Affairs and the NJ Department of Health.
June 26, 2020 – An updated Executive Order shared further guidelines for personal care services.
July 16, 2020 – The Governor ordered use of face coverings in specific indoor and outdoor situations.
October 28, 2020 - On September 25, the Governor extended the Public Health Emergency. The Board of Massage and Bodywork Therapy is allowing licensees to complete the required 20 hours of continuing education (CE) and CPR certification online for the 2020 renewal cycle. All CEs and CPR must be from approved providers. Notices will be mailed with instructions on how to renew for November 30, 2020.
November 30, 2020 - Governor Murphy ordered that personal care services (including massage therapy locations) authorized to reopen are limited to 25% of maximum capacity.
March 11, 2021 - Governor Murphy issued an executive order increasing capacity limits for personal care services to 50% of maximum capacity, excluding employees.
March 17, 2021 - The Governor extended the COVID-19 public health emergency for an additional 30 days. Massage therapists should continue to follow personal care services guidelines.
May 3, 2021 - The Governor made an announcement that as of May 19, the 50% capacity limits for indoor settings and businesses (currently governed by a percentage-based capacity), including gyms and fitness centers and personal care establishments will be lifted. A minimum of six feet social distancing will still be required between all individual and groups.
May 28, 2021 - The State of New Jersey Department of Law and Public Safety Division of Consumer Affairs provided an updated order with guidelines for personal care services (including massage therapy).
June 4, 2021 - The Governor lifted the COVID-19 State of Emergency and restrictions.
View safety tips for fully vaccinated individuals and for unvaccinated individuals on the New Jersey COVID-19 Information Hub.
August 9, 2021 - There is currently a mask mandate in place for schools.
August 26, 2021 - Governor Murphy issued an Executive Order requiring workers in certain health care facilities (full list can be found on page five of the Executive Order) to be fully vaccinated for at least two weeks by September 7, 2021, or comply with weekly COVID-19 testing requirements.
Massage therapists may reference workplace health and safety standards (updated August 11) to help manage their practices.
September 3, 2021 - On August 6, Governor Murphy issued an executive order requiring workers in certain health care facilities to be fully vaccinated for a period of at least 2 weeks, or to comply with weekly testing requirements, beginning on September 7, 2021.

• Health care facilities under this requirement include: acute, pediatric, inpatient rehabilitation, psychiatric hospitals, specialty hospitals, ambulatory surgical centers, long-term care facilities, intermediate care facilities, residential detox, short-term and long-term residential substance abuse disorder treatment facilities, clinic-based settings, urgent care clinics, dialysis centers, Federally Qualified Health Centers, family planning sites, Opioid Treatment Programs and community-based healthcare settings.
• Workers in health care facilities subject to this order must provide adequate proof of vaccination by September 1, or submit to COVID-19 testing not less than once per week, or more frequently as determined by a health care facility or a local authority.
• For more information regarding this public health directive, please contact the New Jersey Department of Health, Commissioner’s Office at (609) 292-7838 or 7839.

New Mexico

Access the New Mexico COVID-19 page
March 18, 2020 - The Governor has ordered all resort spas, health clubs and athletic facilities to close.
March 30, 2020 - The New Mexico Higher Education Department has granted an emergency waiver to all state-authorized, private post-secondary educational institutions to offer distance education. 
April 7, 2020 - The Governor extended her order to close certain businesses through April 30. 
May 14, 2020 - The Governor has issued an extended order through May 31 which keeps massage therapy locations closed.
May 29, 2020 - The Governor has amended New Mexico’s Emergency Public Health Order, and massage services can begin operating at 25% occupancy on June 1. As massage therapy establishments reopen, they must operate in accordance with COVID-Safe practices.  
July 16, 2020 – The Governor’s order specifies requirements for the use of face coverings in public and business situations.
July 31, 2020 - The Department of Health has amended restrictions on mass gatherings and business operations and extended the order through August 28. Massage therapy locations can operate at up to 25% of the capacity of their enclosed business space.
August 28, 2020 - Governor Grisham extended her emergency state health order through September 18, 2020. The Department of Health amended restrictions on mass gatherings and business operations.  Massage therapy locations can continue to operate at up to 25% of the capacity of their enclosed business space.
September 15, 2020 - The Department of Health amended restrictions including guidance on business operations, effective through October 2, 2020. Massage therapy locations can continue to operate at up to 25% of the capacity of their enclosed business space.
October 6, 2020 - The New Mexico Massage Therapy Board voted to allow 2020 massage therapy renewal applicants 6 months to complete the required CE once the Governor’s executive order is lifted.
The New Mexico Department of Health extended the public health emergency order through October 16. Massage therapy locations can continue to operate at up to 25% of the capacity of their enclosed business space.
October 20, 2020 - The Department of Health has extended public health emergency orders through November 13.
November 19, 2020 - The New Mexico Department of Health issued an order with restrictions on nonessential businesses. The New Mexico Regulation and Licensing Department has provided clarification that “…massage therapists should only provide services when they are absolutely necessary for medical purposes”, as defined in their memo.
February 25, 2021 - The New Mexico Department of Health issued a new public health order effective through March 24, with guidelines based on the status of each county. Massage therapy services are defined under “Close-contact businesses".
March 30, 2021 - On March 5, the Governor extended the statewide public health emergency until April 2.
April 9, 2021 - The New Mexico Department of Health issued a public health emergency order clarifying that current guidance documents, advisories, and emergency public orders remain in effect; and amending prior public health orders to impose county-by-county restrictions due to COVID-19 (See page 6 for specific details on the "red to green" framework for counties). Massage therapists should continue to follow guidelines for close contact businesses in the All Together New Mexico COVID-Safe Practices Plan (see page 54).
May 20, 2021 - The New Mexico Department of Health announced the state’s adoption of the Centers for Disease Control and Prevention’s updated guidance on facemasks for those who are fully vaccinated. An updated Department of Health public health order, effective Friday, May 14, can be found here.
June 30, 2021 - Governor Grisham lifted all pandemic-related occupancy restrictions, allowing businesses to operate at 100% capacity, both indoors and outdoors. Also, on June 30, the Secretary of State of the New Mexico Department of Health issued a Public Health Order with masking guidance.
July 23, 2021 - The Governor signed an Executive Order renewing the statewide pandemic health emergency through August 16.
Massage therapists can reference the Updated Guidance for all Businesses to help manage their practices.
August 26, 2021 - Governor Grisham re-implemented the mask mandate requiring everyone aged two and older to wear a facemask in all public indoor spaces, with limited exceptions, regardless of vaccination status. This will remain in effect through September 15, 2021. 
The Governor also issued a Public Health Order requiring all hospital and congregate care facility workers to be fully vaccinated and have received their first dose of the COVID-19 vaccine by August 17, or submit to COVID-19 testing on a weekly basis.
September 15, 2021 - The Governor extended the state of emergency through October 15 unless rescinded or renewed.
October 15, 2021 - The New Mexico Department of Health issued an emergency public health order extending the statewide indoor mask mandate through November 12 (with limited exceptions).
On September 30, the New Mexico Department of Health updated its COVID-19 policies and guidance.
Massage therapists should continue to follow COVID-Safe Guidance for Employers in their practices.
Massage therapists renewing their licenses for the 2021 renewal period are granted a six-month extension by the New Mexico Board of Massage Therapy to fulfill their continuing education credits as long as the COVID-19 public health order is in place.

• When the public health order is lifted, licensees who have not fulfilled their CE requirements for the 2021 renewal cycle have six months from the date the order is lifted to submit proof of their outstanding CE requirements.
• For questions regarding license renewals, please contact the New Mexico Board of Massage Therapy at massage.board@state.nm.us or 505-476-4622.

New York

Access the New York COVID-19 page

March 16, 2020 - The Governor has ordered all gyms, spas and salons to close. 
March 22, 2020 - The Governor has ordered all residents to stay at home and all non-essential businesses statewide to close.
April 13, 2020 - The Governor has updated his executive order related to non-essential businesses. 
May 13, 2020 - The Governor has issued essential businesses guidelines under his New York State on Pause executive order.
June 9, 2020 - The Governor’s New York Forward plan will allow massage therapists to reopen in Phase Three, but a date for when the state will reach that phase and if it will be applied by regions has not be announced. Summary Guidelines for massage therapists are provided, as well as Detailed Guidelines under Phase Three: Personal Care. When the date for reopening is announced, business owners will need to complete The Business Affirmation Form online, and must complete and print the Business Safety Plan Template so it is readily available on-site should it be requested during an inspection. 
June 11, 2020 - The Governor has announced that five regions of the state, Central New York, Finger Lakes, Mohawk Valley, North Country, and Southern Tier can enter Phase Three of reopening on June 12. Massage therapists in these regions will need to follow the guidelines in our post of June 9.
June 15, 2020 - The Governor has announced Western New York is expected to enter Phase 3 of reopening June 16, with the Capital Region expected to do so on June 17, following a review of regional data by global public health experts. Business guidance for Phase 3 is available here.
June 24, 2020 - The Governor announced updates on new reopening phases for several areas of the state.
July 6, 2020 - New York City enters Phase 3 of reopening on July 6.
July 16, 2020 – The Governor’s order specifies requirements for face coverings in public and business situations.
August 18, 2020 - The Governor announced that gyms and fitness centers can reopen at 33% of capacity beginning August 24, with specific health and safety guidelines.
September 9, 2020 - All regions of the state are now in Phase 4 of reopening.
December 11, 2020 - The Governor issued an order to modify certain directives. Personal care services, including massage therapy and spas, located in a designated “orange zone” may operate subject to strict adherence to Department of Health guidance, effective December 14 through January 10, 2021. Massage therapists seeing customers in an “orange zone” must receive diagnostic testing for COVID-19 on a weekly basis for the duration of time that the business remains within an “orange zone.” Testing is not required for massage therapists operating in a “yellow zone.” No massage therapist may provide services at a reopened business without first obtaining a negative COVID-19 test result within the preceding 7 days of providing such service.
March 22, 2021 - The Governor has modified an Executive Order “to permit indoor fitness classes to operate as of March 22^nd, subject to adherence to Department of Health guidance.”
March 30, 2021 - On March 26, the Governor issued an Executive Order to extend the disaster emergency until April 25, 2021.
April 6, 2021 - Governor Cuomo issued an Executive Order to extend the disaster emergency until May 6.
April 22, 2021 - All regions in New York are currently in Phase Four of Reopening. Massage therapists should continue to follow interim guidelines for personal care services during the COVID-19 Public Health Emergency. If you work in a gym or fitness center, you should follow these interim guidelines as well.
May 3, 2021 – Governor Cuomo along with the Governors of New Jersey and Connecticut issued a joint statement announcing easing of COVID-19 restrictions on businesses, gatherings, and venues beginning on May 19. Under the new order, businesses will only be limited by the space available for patrons or parties of patrons to maintain the required social distancing of six feet. This new distance-based maximum capacity will apply across gyms and fitness centers which can operate at 50% capacity beginning on May 15. Personal care services businesses can operate at 75% capacity beginning on May 7.
June 15, 2021 - Governor Cuomo announced that COVID-19 restrictions were lifted as 70% of New Yorkers aged 18 or older have received the first dose of the COVID-19 vaccine.
June 23, 2021 - The Governor announced New York State’s Temporary Disaster Emergency, to respond to the COVID-19 crisis as established by Executive Order 202 and subsequent Executive Orders, was set to expire on June 25, 2021. This ended the suspensions and modifications of law, and all directives contained in the Executive Orders relating to the State’s Disaster Emergency.

• The State’s health guidance and New York Forward industry-specific guidelines (including capacity restrictions, mask-wearing, social distancing, cleaning and disinfection) are now optional for personal care services and gyms and fitness centers.
• Unvaccinated individuals should continue to wear masks, in accordance with federal CDC guidance.
• On June 23, the New York State Department of Health adopted regulations regarding enforcement of social distancing measures for large-scale indoor event venues, schools, public transit, healthcare settings and specific facilities per CDC guidelines.

Massage therapists may continue to reference these archived guidelines for personal care services (currently optional) to help manage their practice.
August 26, 2021 - The New York State Department of Health (NYSDOH) released a mandate requiring all health care employees working in hospitals, long-term, and congregate care facilities to be fully vaccinated with their first dose of the vaccine by September 27, 2021.
August 16, 2021 - The New York State Department of Health (NYSDOH) is requiring all health care employees working in hospitals, long-term, and congregate care facilities to be fully vaccinated, receiving their first dose of the vaccine by September 27. For more information regarding the vaccine requirement, please contact your local health department and/or the health care facility in which you provide services with questions.
August 17, 2021 - Mayor de Blasio of New York City issued an orderrequiring individuals working or visiting indoor gyms and fitness settings, to show proof of receiving at least one dose of the COVID-19 vaccine (with a few exceptions).
August 27, 2021 - Businesses in the state of New York must provide face-coverings for all employees in places where six-feet social distancing cannot be maintained, or where it is difficult to distinguish between individuals who are vaccinated against COVID-19 and those that are not vaccinated.
August 27, 2021 - The New York State Department of Health issued Emergency Regulations requiring personnel and visitors, regardless of vaccination status, to wear face coverings in indoor health care settings (including hospitals, nursing homes, and emergency care or hospice care locations). This requirement does not include a weekly testing option, and is in effect until modified or rescinded, in accordance with applicable CDC exceptions.

North Carolina

Access the North Carolina COVID-19 page
March 16, 2020 - The state regulatory board has notified massage therapists that it will allow all CE classes to be taken online through December 2020.
March 24, 2020 - The Governor has ordered all gyms, yoga studios and massage locations to close.
April 15, 2020 - The Board of Massage and Bodywork Therapy has announced it will allow non-hands-on classes by massage therapy schools to be provided online.
May 8, 2020 - While the Governor has issued a reopening order for some businesses, most massage therapy locations must remain closed. But, massage therapists may provide medical massage therapy services with the specific referral of a medical or naturopathic healthcare provider (Section 5A).
May 21, 2020 - The Governor issued an executive order that allows massage therapists to reopen if they follow specific guidelines issued by the state Department of Health and Human Services. Some municipalities and counties may maintain local orders for massage therapists to remain closed.
June 24, 2020 - Governor Roy Cooper ordered that face coverings are required whenever people are out and about in public and where physical distancing is not possible.
July 27, 2020 - The Governor extended his Phase 2 order through August 7, with specifics on gyms and fitness centers.
August 6, 2020 - The Governor extended Phase 2 of reopening until September 11.
September 17, 2020 - The state moved to Phase 2.5 of reopening as of the Governor’s order, effective September 4 until October 2, which includes guidelines for massage therapists.
October 14, 2020 - The state moved to Phase 3 of reopening as of the Governor’s order, effective October 2 until October 23, which includes guidelines for massage therapists.
November 13, 2020 - The state extended phase 3 guidance through December 11.
November 23, 2020 - The state expanded its mask order, which also includes guidance for personal care services including massage. The massage therapist and all clients must
wear face coverings when they are inside the establishment, unless they are receiving a facial treatment, shave, or other services on a part of the head which the face covering covers or by which the face covering is secured.
November 23, 2020 - The guidelines for personal care services including massage therapy were updated.
December 10, 2020 - The Governor’s December 8 executive order modified his previous stay-at-home order effective through 5:00 pm on January 08, 2021. The Department of Human Services also updated its interim guidance for personal care services, including massage therapy.
January 8, 2021 - The Governor extended his modified Stay-at-Home order, effective through 5:00 p.m. on January 29.
January 29, 2021 - The Governor extended and modified his Stay-at-Home order, effective January 29 through 5:00 P.M. on February 28. The state has also provided some basic updated FAQs on the executive order.
March 25, 2021 - The Governor has eased restrictions in Executive Order 204, including limiting personal care services to 100% of fire capacity (section 1.3), in effect through April 30 unless repealed or extended. Additional measures for personal care services (see appendix H), however, must be followed, including wearing masks, separating clients by six feet, and sanitizing furniture after each guest. Additional FAQs may be found here.
May 14, 2021 – The Governor issued an executive order that lifts the mask mandate except for schools and public/private transportation. The executive order does not prohibit or discourage private businesses from requiring face coverings for their employees or guests (see section 3.6 for details). In addition, most of the restrictions in this executive order are minimum requirements; local governments can impose greater restrictions (see section 5.3).
May 27, 2021 - The state of North Carolina has provided Frequently Asked Questions and additional guidance on the eased restrictions and more details regarding face coverings and masks guidance. Massage therapists can access business guidance and resources to help manage their practices.
Effective as of August 2021 - The BMBT began licensing North Carolina establishments that offer and provide massage and bodywork therapy services. View the application page to learn more.
August 19, 2021 - The Board of Massage and Bodywork Therapy is permitting all continuing education to be completed online for the license renewal periods ending December 31, 2021, 2022, and 2023. Massage therapists may contact the BMBT with any questions at (919) 546-0050.
Effective August 31, 2021 - State workers must be fully vaccinated or be tested for COVID-19 each week. Workers are required to provide proof of vaccination or undergo weekly testing and report the results to the state agency where they work. This Executive Order is in effect until November 30, unless repealed, rescinded or replaced by another Order.

North Dakota

Access the North Dakota COVID-19 page
March 30, 2020 - Effective at 12:00 a.m., Saturday March 28, the Governor ordered all elective personal care services, including massage facilities and individual massage therapists to close and cease operations. The Governor’s order is to continue through Monday, April 6, 2020.
April 20, 2020 – The Governor’s order has been extended until April 30.
April 29, 2020 - The Governor has announced a “Smart Restart” process to reopen some businesses, which includes specific guidelines for how a massage therapist or massage therapy establishment can begin seeing clients.
July 7, 2020 - The state issued guidelines for personal care services including massage therapy (page 13).
July 17, 2020 - The North Dakota Board of Massage Therapy made changes to current CE requirements, which allow online CE hours for those massage therapists with odd-numbered licenses whose license expiration date is 2/28/2021. Even-numbered licensees whose expiration date is 2/28/2022, will need to complete the hands-on hours requirement.
November 16, 2020 - The Governor ordered that face coverings are required in indoor businesses and indoor public settings, effective through December 14.
January 8, 2021 - The Department of Health extended the face covering order through January 18.
January 18, 2021 - the Governor’s mask mandate expired and moved capacity limits and other ND Smart Restart protocols to guidelines or recommendations. Cities and counties may continue to have mask requirements in place, and the state supports those locally enacted protocols.
February 22, 2021 - Governor Burgum issued Executive Order 2021-05 which terminated several COVID-19 Executive Orders.
May 17, 2021 - The North Dakota Department of Health announced they were aligning their recommendation on the use of masks with the latest CDC guidance.
Massage therapists may refer to guidance for businesses to help manage their practices. Businesses are allowed to determine their own mask-wearing and social distancing protocols.

Ohio

Access the Ohio COVID-19 page
March 17, 2020 - The Governor has ordered all health clubs, fitness centers, workout facilities, gyms and yoga studios to close. 
March 19, 2020 - The Ohio Department of Health has ordered the closure of all massage therapy locations. 
March 23, 2020 - The Governor has issued a stay at home order for all but specific, essential activities.
April 28, 2020 - The Department of Health has clarified that massage therapy locations, health clubs, fitness centers, workout facilities, gyms, and yoga studios are to remain closed as part of existing Stay at Home Orders.
May 1, 2020 - The State Medical Board has clarified that massage therapy locations are not included in the Ohio Department of Health’s Responsible Restart Ohio plan. Only massages done as part of a patient’s plan of care, in a health care setting may continue.
May 12, 2020 - The Governor has issued an order that allows massage therapy sectors licensed by the State Medical Board to reopen on May 15. The State Medical Board has provided guidelines for massage therapists who choose to reopen.
July 27, 2020 - The Governor announced a statewide mask mandate.
September 24, 2020 - The Ohio Department of Health released guidance that permits couples massage, as long as massage tables are spaced 8 feet apart. This change is part of the updated guidelines for massage therapists available on the Medical Board's website.
November 16, 2020 - The Governor reissued a face mask order.
April 8, 2021 - The Director of the Ohio Department of Health amended and signed an order stating that individuals should continue to wear face masks and social distance until further notice. Massage therapists must continue to follow the Responsible Restart Ohio guidelines.
May 17, 2021 - The Governor made an announcement that the statewide mask mandate will end June 2. Ohio is amending remaining health orders to comply with the new CDC guidance, which states that those who have been vaccinated no longer need to wear masks, while those who have not been vaccinated should still wear a mask and socially distance.
June 2, 2021 - The Ohio Department of Health Director signed an order rescinding many COVID-19-related health orders, including retail and business compliance for facial coverings throughout the state of Ohio.
Updated June 10, 2021 - The Ohio Department of Health has provided revised recommendations for personal care services including massage.
June 18, 2021 - Governor DeWine lifted the COVID-19 state of emergency in Ohio.
October 22, 2021 - On September 10, Mayor Ginther issued an Executive Order requiring everyone in the city of Columbus to wear a face covering in indoor public settings, regardless of vaccination status.
As a reminder, in June the Ohio Department of Health provided revised recommendations for personal care services including massage.

Oklahoma

Access the Oklahoma COVID-19 page
March 25, 2020 - The Governor has ordered all non-essential businesses to be closed. The Governor has also ordered that all occupational licenses (which includes massage therapy licenses) that expire during the emergency order are extended until 14 days after the end of his order.
April 24, 2020 - The Governor issued an executive order that massage therapists and spas could reopen if they follow specific guidelines. See this additional information from the state Advisory Board on Massage Therapy.
August 6, 2020 - The Governor has ordered ( additional items #6) that massage therapy licenses expiring during the state of emergency are extended until 14 days after the end of the executive order is announced.
October 14, 2020 - The Governor extended previous executive orders for 30 days from September 25.
December 8, 2020 - The Governor updated and extended his order on November 16 for 30 days, meaning massage therapy licenses are extended until that date.
January 14, 2021 - The Governor extended his emergency order through February 12, 2021.
March 12, 2021 - The Governor extended the state of emergency for thirty days. 
May 4, 2021 - The Governor withdrew the COVID-19 State of Emergency Declaration.
December 6, 2021 - In June, the Governor issued Emergency Rule 175:20-5-3.1 (see OAR Docket #21-696) allowing massage therapists with inactive or expired licenses, falling between the period of March 17, 2020 and January 31, 2021, eligibility to renew their license by December 31, 2021, without having to reinstate their license through the initial licensing process.
Note: If your license expired in 2019, and you have not renewed, you are also eligible to renew your license by December 31, 2021 without having to reinstate your license through the initial licensing process.
Effective 2022, massage therapists must renew their licenses by the last date of their birth month.
Massage therapists who currently fall under Emergency Rule 175:20-5-3.1 (referenced above) must submit the following by December 31 by mail or in-person to qualify: renewal application, renewal fee ($50 for 1-year, $100 for 2-year), proof of insurance policy, required continuing education (CE) credits (10 CEs for 2-year license holders, 5 CEs for 1-year license holders) and a $10 penalty/late fee.
View continuing education requirements which may be completed in-person or via distance learning. AMTA offers a wide range of online CE courses to help meet your needs.
For questions about license renewals, contact the Board at (405) 521-2441 or Lori.Cutchin@cosmo.ok.gov.
If your contact information (name, address, etc.) has recently changed, the Board requests you email your new information to certs@cosmo.ok.gov.

Oregon

Access the Oregon COVID-19 page
March 23, 2020 - The Governor has ordered medical spas, day spas, gyms, fitness studios and “non-medical massage therapy services” to close. 
April 6, 2020 - The Board of Massage Therapists has clarified medically-necessary massage as massage prescribed by a physician “for the health of the patient.”
May 14, 2020 - The Governor has announced a phased reopening beginning tomorrow, May 15 for individual counties in Oregon meeting specific criteria. Additionally, the Oregon State Board of Massage Therapists has provided information and the Oregon Health Authority has given reopening guidelines for massage therapists.
July 16, 2020 – The Oregon Health Authority provided guidance and requirements on masks, face shields, and face coverings for businesses and the general public. 
September 2, 2020 - Governor Brown extended her declaration of a state of emergency regarding COVID-19 for an additional 60 days, until November 3, 2020.
September 21, 2020 – The Oregon State Board of Massage Therapists has clarified license renewals through December 2020, indicating that the requirement of contact or classroom hours is waived until December 31, 2020. The temporary reduction from 25 to 12 required CE hours may be contact, non-contact, or both.
October 27, 2020 - Governor Kate Brown extended her declaration of a state of emergency regarding COVID-19 for an additional 60 days, until January 2, 2021.
November 16, 2020 - Governor Brown issued an executive order for a statewide Two-Week Freeze from November 18 to December 2. Massage therapists can continue to operate under previous guidelines.
December 21, 2020 - The Governor extended her state of emergency order for 60 days, effective through March 3, 2021.
February 25, 2021 - The Governor extended her declared state of emergency regarding COVID-19 for an additional 60 days, until May 2. Massage therapists should continue to follow the Oregon Health Authority (OHA)'s guidelines for personal services providers.
March 31, 2021 - As a reminder, the Oregon State Board of Massage Therapists has reduced the number of CE hours required for massage therapy license renewals from 25 to 12 CE hours; these CE hours may be obtained through contact, non-contact, or both. Completed renewal applications remain due on the 1st day of an LMT’s birth month but late fees will be waived. These rules remain in place until twelve months after the state of emergency has been lifted.
April 29, 2021 - The Governor issued an extension of executive order 20-03 and the COVID-19 state of emergency for 60 days through June 28.
May 18, 2021 -  The Oregon Health Authority (OHA) released guidance for masking and physical distancing throughout the state. These guidance changes include:

• Fully vaccinated individuals are no longer required to wear masks indoors in public places where the vaccination status of individuals are checked.
• Masks will be required in areas where the vaccination status of individuals are not checked.
• Businesses have the right to determine their own masking policies for fully vaccinated individuals.
• Masks are no longer required in outdoor settings, but are still encouraged for individuals who are unvaccinated, especially in crowded places.

June 25, 2021 - Governor Brown signed an executive order that will eliminate Oregon’s County Risk Level framework and all remaining COVID-19 health and safety restrictions that have been issued under the state's emergency statutes once 70% of Oregon’s adult residents are vaccinated against COVID-19 or by June 30, 2021, whichever comes first. All restrictions will be lifted, including mask mandates and the state will shift the focus to COVID-19 recovery. There are some continued federal guidelines for healthcare facilities, mostly nursing homes and long-term care, but they do not affect LMTs specifically.

August 13, 2021 - Effective September 30th, the Oregon Health Authority will require all personnel in health care settings who have direct or indirect contact with patients to obtain a weekly COVID-19 test to prevent the spread of the virus. This requirement can be waived with proof of vaccination.

• This rule applies to healthcare settings and offices that provide complementary and alternative medicine. Massage settings, spas, and private practices are not likely to fall under this requirement (as long as they are not licensed, registered or certified as a healthcare facility). Please contact the Oregon State Board of Massage Therapists if you are uncertain about your practice setting.
• You can contact the Oregon Health Authority or the Oregon State Board of Massage Therapists with any questions.

August 13, 2021 - Effective September 1, the new license delivery process will begin delivering initial and renewed massage licenses by email in a digital format.
August 13, 2021 - The Governor issued an executive order requiring all state executive branch employees and workers in state facilities providing services who are not employees to be vaccinated by October 18 (with few exceptions).
August 24, 2021 - Effective August 27, masks, face coverings or face shields are required in all indoor spaces.

Pennsylvania

Access the Pennsylvania COVID-19 page
March 23, 2020 - The Governor has approved suspending restrictions on distance-learning continuing-education requirements for massage therapists.
April 2, 2020 - The Governor updated a previous stay-at-home order to apply to the whole state. 
April 9, 2020 - The Bureau of Professional and Occupational Affairs (BPOA) has granted a temporary suspension of the State Board of Massage Therapy’s regulations and statutory provisions related to CPR certification. 
May 1, 2020 - The Governor has announced reopening of some businesses in selected counties on May 8, but maintained the closure of massage therapy locations, spas and gyms.
June 1, 2020 - The Governor extended his previous Executive Order through June 4.
June 4, 2020 - Governor Wolf's phased reopening plan uses a three-phase matrix to determine when counties and/or regions are ready to begin easing some restrictions on work, congregate settings, and social interactions. Read his latest announcement.
June 19, 2020 - The Governor has announced that eight more counties will move to the green phase, effective today, June 19.
June 24, 2020 - The Governor announced that 12 more counties will move to the green phase of reopening on June 26. This will include Philadelphia, but local officials will maintain some additional restrictions for the city until July 3. Only Lebanon County will remain in the yellow phase at this time.
July 13, 2020 - The Governor announced a new order from the state Secretary of Health requiring masks to be worn whenever anyone leaves home.
August 31, 2020 - Governor Wolf amended his proclamation of disaster emergency for 90 days, effective immediately.
November 17, 2020 - The Secretary of Health issued an updated order requiring universal face coverings which states that face coverings must be worn indoors at all times and outdoors when not about able to maintain sustained physical distance.
November 23, 2020 - The Governor has announced additional mitigation measures effective November 27, including limiting occupancy for massage therapy to 50% and requiring all visits/client services to be by appointment only until further notice.
December 9, 2020 - The Bureau of Professional and Occupational Affairs (BPOA) extended a temporary suspension of the State Board of Massage Therapy’s regulations and statutory provisions related to CPR certification. Massage therapists may take an online CPR training class in lieu of in-person training to renew their CPR certification, which will be accepted as meeting the CPR requirement for the biennial renewal ending January 31, 2021.
December 29, 2020 - The Pennsylvania Department of State's Bureau of Professional and Occupational Affairs (BPOA) has extended a temporary waiver on CE requirements to allow all CE requirements to be met through online courses. Effective January 1, 2021, licensees are permitted to renew their license at their next renewal that comes after January 1, 2021, utilizing CE obtained through either traditional, in-person courses or by means of distance learning.
December 30, 2020 - The Governor announced that time-limited mitigation orders that went into effect on December 12 will expire as planned on January 4, with some exceptions. Requirements will revert to mitigation orders in place on Dec. 11. Personal care services (including massage therapy) can be open at 50% of occupancy, by appointment only.
January 8, 2021 - The Governor amended his previous executive order specific to the requirements for face coverings.
March 3, 2021 - On February 19, the Governor extended the state’s current disaster emergency proclamation.
March 16, 2021 - On March 15, the Governor announced today in a statement that the occupancy capacity for several types of businesses in Pennsylvania (including personal services facilities and gyms) will move to 75% as of April 4^th. Masks and social distancing requirements will still be applicable.
May 17, 2021 - The Pennsylvania Department of Health issued a statement that the CDC guidelines released on May 13 automatically go into effect in the state for people who are fully vaccinated. Businesses may still require masks.
May 20, 2021 - Governor Wolf signed a renewal of the Proclamation of Disaster Emergency for the COVID-19 pandemic.
May 31, 2021 - Governor Wolf eliminated COVID-19 capacity restrictions for all businesses. Masking requirements will be lifted on June 28 or when 70% of Pennsylvanians age 18 and older are fully vaccinated, whichever comes first.
August 10, 2021 – The Governor announced that all employees in state-run health care facilities and high-risk congregate care facilities, are required to be fully vaccinated against COVID-19 by September 7. Individuals who are not vaccinated will be required to undergo weekly COVID-19 testing. Additionally, beginning Sept. 7, all new external hires in these facilities must be vaccinated before commencing employment.
August 12, 2021 - The city of Philadelphia implemented a local mask order, mandating face-coverings at indoor businesses and institutions unless the establishment requires vaccination for all employees and patrons. View the Pennsylvania Department of Health's FAQs on masks.
August 26, 2021 - The following regulatory waivers implemented in response to the COVID-19 pandemic that impacted massage therapists will end on September 30, 2021:

• Waiver for completing the 24 hours of CE required for renewal.
• Waiver allowing distance education to be used for initial licensure. (Beginning October 1, 2021, the 600 hours for initial licensure must be completed in-class/in-person.
• Waiver for completing the CPR requirement for temporary and provisional licenses.

December 2, 2021 - Senate Bill 869 is under final consideration by the House prior to being signed into law by the Governor. Passage of the bill would allow the State Board of Massage Therapy to permanently continue to conduct board meetings virtually and authorize the Board to make its own rules regarding distance education. For any questions regarding this bill, please email RA-MASSAGETHERAPY@PA.GOV or call (717) 783-7155.

 

Puerto Rico

Puerto Rico

April 13, 2020 - The Governor has extended her stay at home order (in Spanish) and closing of non-essential businesses until May 3. 
June 1, 2020 - The Governor issued an order that extends the lockdown and curfew measures until June 15, while allowing some businesses to reopen. At this time, she has not specified when massage therapists are allowed to reopen.
July 8, 2020 - The Governor ordered an extension of the emergency lockdown until July 22. Spas and aesthetics salons can operate within the specific guidelines on page 18 of the Executive Order. The Employer Self-Certification, is available on the PR DOL’s webpage and must be completed in full, signed by the employer’s authorized representative and sent along with the Control Plan to autocertificacionprosha@trabajo.pr.gov.
September 14, 2020 - The Governor’s September 11 Executive Order No. 68 extended curfew, Sunday closures, and other restrictions through October 2nd. While certain businesses may remain open only at 25% capacity, employers are required to certify that they have a risk-preparedness plan and to report suspected and confirmed COVID-19 cases among employees to the Health Department. 
December 8, 2020 - The Executive order of November 13 extends the curfew through December 11, with most businesses limited to 30% of physical capacity.
April 8, 2021 - The Governor issued an executive order extending the curfew and broadening it from 10pm to 5am. Commercial establishments are required to close at 9pm. Businesses must continue to operate at 50% capacity with social distancing protocols in place. This order is to remain in effect until May 9.
June 18, 2021 - The Secretary of Health issued an Executive Order allowing businesses to operate at 100% capacity if they follow masking requirements.
July 1, 2021 - The Secretary of Health also signed an order stating that
all individuals infected with COVID-19 must quarantine for 10 days. Violations of this order are considered a minor criminal offense.
July 8, 2021 - Puerto Rico issued another order allowing businesses to use their own discretion on requiring face masks with the stipulation that all clients and consumers must wear a mask if they are not fully vaccinated. Masks are required in all health care facilities.
September 23, 2021 - The Secretary of State issued a series of executive orders requiring mandatory vaccinations for certain public and private entities. The mandates apply to the following employees, contractors and patrons:

• Executive order 64 states that employees, contractors, and patrons over 12 years of age in spas, beauty salons, barber shops, gyms and other private businesses must be fully vaccinated by October 15.
• Executive Order 62 states that employees, including, but not limited to, hospitals, health clinics, health centers, physicians’ offices, therapy centers, and adult healthcare centers must be fully vaccinated by October 7.
• Executive Order 58 states that all contractors of the executive branch of the Commonwealth of Puerto Rico must be fully vaccinated by October 7.
• The executive orders require that an employee, contractor, or patron provide employers and business operators proof of vaccination, a negative result of a COVID-19 test taken within 72 hours using an antigen test or a nucleic acid amplification test, or a positive COVID-19 test result within the last 3 months along with a doctor’s note and additional documentation showing full recovery, in order to be able to access their place of employment or business establishment. Business operators that fail to require proof of vaccination from patrons may only operate at 50% capacity.
• An employee or patron may provide proof of vaccination by showing the employer or business operator their COVID-19 Vaccination Record Card issued by the U.S. Centers for Disease Control and Prevention (CDC) or the Puerto Rico Vacu ID, an electronic verification card. Under the executive orders, employers must request that employees get vaccinated.
• If an employee cannot receive a vaccine for medical reasons, medical documentation from a treating physician must be provided to an employer. For a religious exemption, a sworn statement from a religious leader with a declaration as to why the vaccine interferes with the employee’s religious belief must be provided to the employer. Any employee with a medical or religious exemption, or any employee who refuses to be vaccinated must show either a negative COVID-19 test (on a weekly basis), or a positive test with proof of recovery to work in-person.
• Failure to comply with any of the executive orders will result in penalties. For questions or more information, contact the Puerto Rico Health Department at contactus@salud.pr.gov or at (787) 765-2929.

Rhode Island

Access the Rhode Island COVID-19 page
March 23, 2020 - The Governor has ordered all gymnasiums, fitness centers and similar exercise facilities and spas closed.
April 7, 2020 - The Governor extended her stay-at-home order through at least April 13. 
May 5, 2020 - The Governor’s stay-at-home order has been extended until at least May 8.
May 22, 2020 - While the Governor has allowed some businesses to reopen, massage therapy practices are to remain closed at this time. 
May 27, 2020 - The Governor has announced her Reopen RI plan that will allow massage therapists to reopen in Phase 2. The date for Phase 2 has not yet been announced.
June 1, 2020 - The Governor has announced Phase 2 of her reopen plan that allows massage therapists to reopen on June 1.
July 16, 2020 – The Governor issued mandatory requirements for the use of masks or cloth face coverings in public, whether indoors or outdoors.
August 5, 2020 - The state is scheduled to remain in Phase 3 of its reopening until August 28.
October 14, 2020 - The Governor extended her executive order until November 6.
November 9, 2020 - The Governor extended her emergency order until December 3.
November 11, 2020 - The state has indicated there are delays in printing healthcare licenses, including those for massage therapists. The Governor amended and restated Phase 3 reopening guidelines. The state has provided Phase 3 guidelines for personal services including massage therapy.
January 8, 2021 - The Governor extended her previous executive orders until January 28.
March 19, 2021 - The Governor amended and restated Your Household Executive Order. Personal services businesses and operations (including massage therapy) may be subject to all requirements of their professional or facility licensing. Massage therapists should follow the requirements for personal services, including allowing no more than one customer per 50 square feet.
March 19, 2021 - The Governor amended and restated the Protecting Your Household Executive Order, in effect until April 14.
March 26, 2021 - The Governor issued updated guidance for personal care services (see page 8). Massage therapy businesses may continue to operate at one person per 50 square feet. It is also recommended that massage facilities maintain records documenting the date, time, location, and procedures for cleaning activities. Massage therapists should continue to follow phase III guidelines for personal services.
June 18, 2021 - Governor McKee extended the COVID-19 State of Emergency and issued a Reopening Order. They will remain in effect through July 17.
While Rhode Island has ended capacity restrictions for personal care services and gyms and fitness centers, important masking, screening and signage requirements remain in place.
Massage therapists should reference Reopening Guidance & Best Practices (updated June 18) to help manage their practices.
September 1, 2021 - The Rhode Island Department of Health (RIDOH) finalized an emergency rule requiring health care providers, including massage therapists, to be fully immunized by October 1, 2021 (with limited medical exemptions). This rule applies to all employment settings and/or health care settings where services are being provided.
Prior to October 1, providers who are not fully vaccinated are required to wear a procedure mask or higher-grade mask. Additionally, unvaccinated health care workers working in certain health care facilities regulated by the Department must submit to testing at least twice per week. Massage therapists working in health care facilities should contact their local compliance officer to ensure they are meeting the testing requirement.
Proof of vaccination must be entered into the Rhode Island Child and Adult Immunization Registry. For health care workers and health care providers who are vaccinated in Rhode Island, this will be done automatically by the vaccination administrator. For more information on how to submit proof of vaccination, please email the Department of Health’s Registry at RIDOH.RICAIR@health.ri.gov or call (401) 222-5960.

South Carolina

Access the South Carolina COVID-19 page
March 27, 2020 - The South Carolina Board of Massage and Bodywork Therapy will allow all approved licensed massage schools to offer pre-licensure course work online in lieu of meeting face-to-face in the classroom as required by statutory provision.
April 1, 2020 - The Governor has ordered all massage therapy establishments, massage services, fitness centers, yoga studios, gyms and spas to be closed.
April 7, 2020 - The Governor issued a “Home or Work” order requiring residents to stay at home or at work, and reinforced his previous order for closures.
May 13, 2020 - The Governor has announced that massage-therapy establishments and massage services are allowed to reopen “in a limited capacity” on May 18, with general guidelines for close contact and/or service industry employers.
July 29 - The Governor announced further guidelines and restrictions for the use of face coverings in various locations. This is in addition to any mask mandates at the city or municipal level.
October 14, 2020 - The Governor amended and consolidated existing emergency orders that includes reinforcing face covering guidelines.
March 5, 2021 - The Governor has modified his prior emergency order through issuing Executive Order 2021-12 which encourages individuals to wear face coverings (section two) and designates occupancy limits for indoor gatherings not to exceed 50 percent of occupancy, or 250 persons whichever is less (section 4B).
May 11, 2021 - Governor McMaster issued Executive Order 2021-23, removing any remaining local mask mandates. Businesses may still choose to require face coverings and social distancing protocols.
May 22, 2021 - The Governor signed Executive Order 2021-25, extending the COVID-19 State of Emergency for 15 days. Massage therapists may reference the state's COVID-19 Re-Opening Guidance for Businesses (updated May 17).
August 25, 2021 - The Department of Health and Environmental Council updated their COVID-19 guidance for businesses and employers in South Carolina.

South Dakota

Access the South Dakota COVID-19 page
April 1, 2020 - The Governor has encouraged social distancing and asked businesses to abide by CDC guidelines.
April 28 2020 - The Governor’s Back to Normal Plan allows massage therapists to resume practice. 
July 7, 2020 – The governor issued the most recent emergency rules for government services.
August 12, 2020 – For additional COVID-19 resources in your state, you can visit this webpage.
May 12, 2021 - Governor Noem and the South Dakota Department of Labor and Regulation (DLR) announced that the state will end its participation in the federal government’s pandemic-related unemployment assistance programs on June 26. The state has shared business resources including CDC Guidance for Workplaces and a checklist for close contact businesses, including massage.
September 30, 2021 - The South Dakota Board of Massage Therapy has updated their 2021 licensing requirements stating that massage therapists are not required to complete continuing education hours for their 2021 renewal period. However, all renewals must be submitted online by September 30, 2021.
September 30, 2021 - View the South Dakota Department of Health's COVID-19 FAQs.

Tennessee

Access the Tennessee COVID-19 page
March 19, 2020  - The Governor has extended the expiration dates of massage therapy & other health licenses for 3 months. 
March 23, 2020 - The Governor has ordered gyms, fitness/exercise centers or “substantially similar facilities” to temporarily close and suspend in-person services until April 6, 2020.
March 30, 2020 - The Governor has clarified his previous order to include massage therapy establishments and massage services be closed. 
April 13, 2020 - The Governor has expanded his previous orders, which included the closing of massage establishments, to further clarify non-essential healthcare procedures that are to be postponed.
May 1, 2020 - The Governor has issued the Tennessee Pledge: Reopening Tennessee Responsibly, which details provisions for massage-therapy establishments and massage services to reopen to clients. Guidelines for massage therapists to follow begin on page 19 of the Governor’s plan. 
May 22, 2020 - The Mayor of Nashville has announced that Phase 2 of his reopen plan for the city will allow massage therapists to reopen on May 25, with limitations.

The Department of Health announced that massage therapists can meet their 2019/2020 24 CE requirements in any/all formats deemed acceptable. Therapists can complete all hours online in live interactive webinars, in person, and/or through home study/distance learning. The only class that must be obtained either face to face or through a live interactive webinar is the Tennessee Law class.
June 4 - Additional state guidelines were shared for close contact businesses.
July 31 - The Governor issued a new executive order that expands on previous announcements related to COVID-19.
August 26 - Many municipalities in the state have issued requirements for face coverings. This may mean an update to your workplace guidelines.
October 2, 2020 - The Chief Medical Director has issued an order to move Nashville and Davidson County to Phase 3 reopening, as of October 1. Under Close contact personal service businesses, the order allows massage therapists to be open at 50% of facility capacity. 
November 9, 2020 - The Department of Health and Board of Massage Licensure suspended the continuing education audit through December.
December 22, 2020 - The Governor issued a new emergency order limiting gatherings and encouraging working from home, effective December 20 through January 19, 2021.
March 9, 2021 – On February 26, the Governor issued an executive order on the continued response to COVID-19 allowing ongoing regulatory flexibility in counties across Tennessee. Mayors in 89 counties that do not have a locally run county health department have the authority to issue orders requiring or recommending the wearing of face coverings within their jurisdictions (See section B, 13b). Six counties with locally run county health departments (Davidson, Hamilton, Knox, Madison, Shelby and Sullivan) have the authority to issue additional measures related to containing the spread of COVID-19 including permissions or restrictions to a greater degree (See section B, 13c).
April 27, 2021 - Governor Lee announced the end of statewide COVID-19 public health orders while also removing local authority to issue mask requirements in 89 counties. The new order (EO 80) will also retire COVID-19 business guidance and remains in effect through May 31.
The Tennessee Department of Health has compiled COVID-19 guidance and resources for the community and workplaces.
November 19, 2021 - As a reminder, the Commissioner of the Tennessee Department of Health has made temporary modifications to continuing education (CE) requirements. For the remainder of 2021, massage therapy CE credits/hours may be obtained through a multi-media format (non in-person/live) and count toward the CE required for the 2021-2022 renewal period. The maximum allowable amount of 8 hours of CE in a multi-media format was waived for 2021 due to the COVID-19 pandemic.
Beginning January 1, 2022, any continuing education credits/hours taken during the calendar year 2022 for the 2021-2022 renewal period must be obtained with no more than 8 hours of CE in a multi-media format, according to the Tennessee Board of Massage Licensure Rules.
The Tennessee Board of Massage Licensure has also posted a Licensee Pro-Ration Chart for CE which explains the required pro-rated CE hours for licensees who are subject to renewal but obtained their initial massage therapy license less than 24 months before the renewal date.
For questions regarding license renewals, contact the Tennessee Board of Massage Licensure at (615) 253-2111 or Massage.Health@tn.gov.

Texas

Access the Texas COVID-19 page
March 20, 2020 - The state regulatory board will allow current licensed schools to offer distance education, but they will not satisfy requirements of hands-on curriculum. 
March 21, 2020 - The Governor has also ordered gyms, spas and massage therapy locations to close from March 20 - April 3.
March 25, 2020 - The Texas Department of Licensing & Regulation has waived continuing education requirements for all licenses expiring in March, April and May 2020.
April 1, 2020 - The Governor has renewed and expanded his previous order through April 30, 2020 including the closing of massage establishments and gyms.
April 22, 2020 - The Texas Department of Licensing and Regulation has clarified that a massage therapist may only provide massage services if it is medically necessary as determined by the client's physician or chiropractor. Massage therapists may not provide massage services for general wellness or other non-medically necessary reasons.
April 28, 2020 - While the Governor has issued an expanded reopening order, people are told to avoid massage therapy establishments and gyms, among several other businesses.
May 8, 2020 - While the Governor has issued an amended order related to reopening of some businesses, the Texas Department of Licensing & Regulation has clarified that massage therapy establishments are to remain closed.
May 19, 2020 - The Governor has issued an order under phase two of his reopen plan that allows licensed massage therapists and massage therapy schools to reopen as of May 18, except for those in five counties. El Paso, Randall, Potter, Moore, and Deaf Smith counties have experienced surges in COVID-19 cases, and their beginning date of Phase II is delayed until May 29. The state has issued Minimum Standard Health Protocols for those massage therapists who choose to reopen.
July 2, 2020 – The Governor ordered revisions to the health protocols for a variety of businesses, including massage therapy. The Governor also ordered a face-covering be worn over the nose and mouth when inside a commercial entity, building or space open to the public, and in specific outdoor situations. 
October 7, 2020 - The Governor clarified that there were no restrictions on capacity of massage therapy locations, other than having clients at least 6 feet apart. (Section 1i)
November 6, 2020 - The Governor renewed his state disaster proclamation.
December 2, 2020 - The Texas Commission of Licensing and Regulation (TDLR) proposed administrative rules about a potential requirement for massage therapists and other health care practitioners to complete a human trafficking prevention training course as well as additional rule changes. The Department will accept comments on the proposal until December 21, 2020.

The TLDR passed an emergency rule on November 23 stating that all TDLR licensees (including massage therapists) with renewable licenses that expired between August 1 and November 30, 2020 are considered to hold an emergency license valid for up to 120 days after their license expiration date.
March 3, 2021 – On March 2, the Governor issued an executive order lifting the mask mandate in Texas and increasing the capacity of all businesses and facilities in the state to 100%. In counties with high hospitalization rates, businesses and facilities may be reduced to a minimum of 50% capacity.
May 12, 2021 - The Texas Department of State Health Services issued guidance for vaccinated and unvaccinated individuals.
June 4, 2021 - Governor Abbott extended the COVID-19 disaster declaration through the end of June.
October 28, 2021 - TDLR’s temporary provisions implemented in response to the COVID-19 pandemic that allow distance learning and a portion of the hands-on training requirement to be taught online will end on December 15, 2021. After this date, schools must ensure that students complete 250 hours of in-person, hands-on instruction with a licensed massage therapist instructor.

Utah

Access the Utah COVID-19 page
April 1, 2020 - The Governor has encouraged social distancing and asked businesses to abide by CDC guidelines.
April 7, 2020 - The following counties have issued restrictions that may affect massage therapists:

• Davis County – The Health Department issued a stay safe, stay home order which includes a requirement for all massage establishments and spas to be closed.
• Salt Lake County – The Mayor and County Health Department issued a stay home, stay safe order which requires all massage establishments and spas to be closed through at least April 13.
• Summit County – The Health Department issued a stay at home order that also restricts non-essential businesses until at least May 1.

May 22, 2020 - The Governor’s color-coded phasing process allows some businesses to reopen, based on risk factors per area. Additional information related to reopening for massage therapists is scheduled for the week of May 25.
June 2, 2020 - The Governor announced updated guidelines for areas in the low health risk designation under the state’s phased health guidance plan. Guidelines for massage therapists in all risk regions are on page 17.
November 9, 2020 - Governor Herbert extended his executive order, including face mask requirements, through November 23.
November 16, 2020 - The Governor updated his previous face mask order, effective through November 23.
January 8, 2021 - The Utah Department of Health updated its COVID-19 restrictions and its face mask requirements for schools (including massage therapy schools), both effective through January 21.
March 9, 2021 – Utah’s statewide mask mandate will end April 10 under a law passed by the state legislature on March 5th. The law also states that a local health department, with approval from the relevant county, may issue a public health order requiring individuals to wear masks (See Subsection (4)(d).
April 9, 2021 - The Utah Department of Health issued a new public health order updating COVID-19 guidance. This order remains in effect through June 15. See Utah's Transmission Index, for information on transmission levels by county.
Massage therapists can access Utah's COVID-19 Business Manual for guidance on managing their practice during COVID-19.
July 29, 2021 - Utah’s order extending the Declaration of the Statewide Public Health Emergency remains in effect until further notice.
Massage therapists can reference COVID-19 Workplace Resources to help manage their practices.
September 7, 2021 - In August, the Utah Department of Public Health updated their COVID-19 Business Manual workplace resource. 

Vermont

Access the Vermont COVID-19 page
March 23, 2020 - The Governor orders closure of all but essential places of business.
April 10, 2020 - The Governor has extended his executive order through May 15. 
May 22, 2020 - The Governor extended his executive order through June 15.
June 1, 2020 - The Governor has issued an order that allows massage therapists to reopen on June 1, with specific guidelines in section 8.1.
November 16, 2020 - The Governor amended a previous executive order to add restrictions on some businesses, but with no direct impact on massage therapy practice, effective through December 15.
December 15, 2020 - The Governor amended and extended his executive order, effective December 15 through January 15, 2021.
March 15, 2021 - The Governor amended and restated the June 5, 2020 Executive Order declaring a state of emergency.
April 6, 2021 - The Governor released a reopening guide for Vermont residents and businesses, outlining a path for a phased return to unrestricted travel, business operations, and event gatherings. Massage therapists should continue to follow guidelines for close contact businesses and universal guidance.
May 17, 2021 - On May 14, the Governor issued an executive order that effective immediately, fully vaccinated people can resume activities without wearing a face covering over their nose and mouth or physical distancing, except where required by federal, state, or local laws, rules, and regulations, including local businesses and workplace guidance. Each local municipality may enact more strict local requirements regarding mask use and businesses may also enact more strict requirements regarding mask use (see page four).
June 14, 2021 - The state lifted all COVID-19 restrictions and requirements for businesses. Businesses can refer to the Vermont Occupational and Safety and Health Administration’s (VOSHA) for recommendations related to COVID-19.
Fully-vaccinated individuals may return to all normal pre-pandemic activities. Masks are still required in some settings: including healthcare, long-term care, and public transportation. Currently, there is no limit on social gatherings. You may refer to the Vermont Department of Health’s COVID-19 FAQs for more information.
September 15, 2021 - All executive branch state employees are required to attest to their vaccination status, or they will be subject to weekly testing. Executive branch employees are also required to wear masks. 

 

 

 

Virginia

Access the Virginia COVID-19 page
March 23, 2020 - The Governor has ordered fitness centers to limit capacity to 10 patrons or close. 
March 30, 2020 - The Governor has ordered fitness centers, gyms and massage locations to be closed and issued a stay-at-home order.
May 8, 2020 - The Governor has issued his Forward Virginia Blueprint for a three-phase reopening of businesses. Under Phase 1, massage therapy locations may reopen on May 15, under specific guidelines.
May 12, 2020 - Governor Northam has issued a subsequent order to his Forward Virginia Blueprint that maintains Northern Virginia in Phase Zero, effective on May 15.
May 27, 2020 - The Governor has announced Phase 1 of his Forward Virginia reopening plan, which will now allow massage therapists in some parts of Northern Virginia to reopen on May 29, with restrictions. Check with your city/county to confirm if you are able to reopen on that date.
July 16, 2020 – The Governor ordered the use of masks or face coverings by patrons and employees in specified business environments, including massage therapy locations. 
September 30, 2020 - On September 10 the Governor issued further guidelines for businesses and the public, including for massage therapists in Section 6.
November 16, 2020 - Governor Northam announced new orders, including an expansion of his face mask mandate.
December 14, 2020 - Governor Northam issued an amended Order of Public Health Emergency which includes guidelines for massage therapists, in effect from December 14 through January 31.
February 1, 2021 - The Governor issued an amended Order of Public Health Emergency, which extends guidelines for massage therapists (Section A6) and post-secondary and professional schools, such as massage therapy schools (Section B2), in effect January 27 through February 28.
April 29, 2021 – The Governor signed an amended executive order that further eases restrictions due to COVID and becomes effective May 15^th. As part of the executive order, fitness and exercise facilities may operate at 75 percent occupancy capacity (section five). Personal care services (including massage therapy) need to maintain a six feet limit with a maximum of 100 individuals indoors.
May 14, 2021 - Governor Northam lifted the mask mandate to align with CDC guidance and issued Executive Order 79 which ended all Commonsense Public Health Restrictions due to COVID-19 as of May 28. Massage therapists must continue to follow mandatory requirements including mask-wearing and social distancing for personal care services (see page 28) and/or fitness and exercise facilities (see page 21). These guidelines were updated on April 20.
August 24, 2021 - Currently there is not a statewide mask mandate in Virginia and businesses have the option to set their own masking policy.  The Virginia Department of Health has posted updated recommendations for businesses and customers.
Effective September 1, 2021 - The Governor issued a directive, requiring all state executive branch/agency employees and state contractors who enter the work place or who have public-facing work duties to disclose their vaccine status to designated agency personnel. Weekly testing will be required for those who are not fully vaccinated, or who do not disclose their current vaccine status; and the test results must be disclosed to respective agency personnel. Please refer to the directive for more information. 
September 1, 2021 - The Virginia Department of Health has made available a COVID-19 FAQ page.
In September, regulatory changes made to the Virginia Standard established new requirements for employers to control, prevent, and mitigate the spread of COVID-19 among employees and employers.

• The regulation requires employers (including employers of massage therapists) with 11 or more employees (who are not fully vaccinated) to develop and implement an Infectious Disease COVID-19 Preparedness and Response Plan by October 8.
• Under the regulation, employers with 11 or more employees are required to train employees on its Infectious Disease Preparedness and Response Plan by no later than November 7.
• The Plan should be kept on business premises and is subject to be inspected by the Department of Occupational Safety and Health Administration (OSHA) upon request.
• The Department of Labor and Industry (DOLI) has developed resources, including a downloadable infectious disease plan template/document for employers to use.
• While not mandated, employers with less than 11 employees may choose to implement an Infectious Disease Preparedness and Response Plan to assist with incorporating standards, procedures and training for their business and employees.
• You may contact the DOLI with questions at (540) 562-3580 (please ask for a safety and health advisor consultation). View additional FAQs regarding these new requirements.

For employers with less than 11 employees:

• The Virginia Department of Health (VDH) has issued updated guidance and general recommendations for employers, including updated isolation procedures for businesses.
• The VDH recommendations and resources should be used in conjunction with the Centers for Disease Control and Preventions (CDC) guidance.
• View a full listing of VDH’s COVID-19 Guidance documents for businesses.

Additional Information for Businesses and Employers:

• DOLI requests employers follow the Virginia Standard regarding masking and requires employees that are not fully vaccinated to wear a mask.
• Additionally, fully vaccinated employees in areas of substantial or high community transmission must wear a mask under the Virginia Standard.
• In areas with substantial or high transmission, CDC and VDH recommend that everyone ages 2 and older wear a mask in public indoor settings. When transmission levels are low or moderate, individuals who are unvaccinated and ages 2 or older should wear masks in all indoor public settings and in crowded outdoor settings.
• See VDH General Recommendations for Businesses for more guidance.
• Employers must report to the VDH within 24 hours of the discovery of two or more of its own employees present at the place of employment within a 14-day period testing positive for COVID-19. Visit the DOLI FAQ for information about reporting cases.
• Businesses may choose to require masks for customers in their establishment.

Washington

Access the Washington COVID-19 page
March 16, 2020 - The Governor has provided guidelines for massage practice in the state. The Governor has also ordered gyms and spas to close until March 31. 
March 23, 2020 - The Governor issued a “stay home, stay safe” order and specified essential businesses. 
April 1, 2020 - The Governor updated the state “stay home, stay safe” order. 
April 6, 2020 - The Department of Health has issued a health alert for massage therapists, stating that they should only provide massage to patients with urgent medical issues. A prescription alone is not sufficient to establish urgent care. 
April 10, 2020 - The Department of Health has extended the date for massage license renewals during the period of April 1 and September 30 until September 30.
April 28, 2020 - The State Department of Health has issued a Health Alert for massage therapists that provides information on when a massage therapist may provide massage and actions the massage therapist needs to take in order to provide massage. The Governor’s proclamation in March allows massage therapists to continue providing essential health services, but they are not required to do so.
May 5, 2020 - The Governor has extended and amended his Stay Home – Stay Healthy order through May 31.
June 4, 2020 - The State Department of Health released additional guidance for massage therapy related to the Governor’s May 18 proclamation. The guidance states that a licensed massage therapist is providing a “health care service” and that their service can be provided at any location statewide, as long as the requirements in the proclamation and all state laws governing massage therapy are met.
July 16, 2020 – The Department of Health issued guidance that requires the wearing of a cloth face-covering in public when people cannot stay six feet (or two meters) away from others.
September 9, 2020 - On June 9, the Board of Massage issued Policy Statement BOM 20-01 to address the impact COVID-19 is having on licensed massage therapists meeting the hands-on continuing education requirement. Massage therapists must still complete 24 hours of CE, but the board will accept any combination of hours in subsection (2) of WAC 246-830-475 in lieu of the hands-on CE in 2020. Safe Start guidance provides information on the status of each county in the state and what is open in each phase of reopening. The Board of Massage has extended the policy through June 30, 2021 or until the declared state of emergency is rescinded, whichever is later.  
The Department of Health also extended the date for massage license renewals during the period of April 1 through September 30, until September 30. No extensions beyond September 30 have been granted.
December 1, 2020 - On November 25, the Governor signed Proclamation 20-24.2, titled “Reducing Restrictions on, and Safe Expansion of, Non-Urgent Medical and Dental Procedures.” The order goes into effect December 3 and will remain in effect through the COVID-19 State of Emergency.
December 17, 2020 - The Governor’s November 25 proclamation, 20-24.2, lists requirements for Non-Urgent Medical and Dental Procedures specific to healthcare services (including massage therapy). As of December 15, all regions in the state are in a contingency phase. This means that: “All appropriate clinical care can be provided, so long as there is sufficient access to PPE…”
March 11, 2021 - Governor Inslee announced the Healthy Washington - Roadmap to Recovery plan which transitions from a regional approach to a county-by-county evaluation process. Massage therapists should continue to follow COVID-19 requirements for personal service providers (updated March 2021).
June 30, 2021 - The state of Washington removed capacity and operation restrictions for all industry sectors previously covered by the Roadmap to Recovery or the Safe Start plan with the exception of masking requirements. View the latest guidance on mask-wearing (updated in June). Businesses may continue to require masks.
Massage therapists can reference the revised Labor & Industry requirements and guidelines to help manage their practices.
May 12, 2021 - ESSB 5229 was signed by the Governor. This new law requires the WA State Department of Health Board of Massage to adopt rules by January 1, 2024, requiring licensees to complete health equity continuing education training at least once every four years. Health equity continuing education courses may be taken in addition to, or in place of other continuing education requirements as determined by the Board of Massage.
July 1, 2021 - The Board of Massage extended the hands-on CE policy’s due date through December 31, 2021, or until the declared state of emergency is rescinded, whichever is later.
August 12, 2021 - On August 9, Governor Jay Inslee issued Proclamation 21-14, which requires health care providers to be fully vaccinated against COVID-19 by October 18, 2021. A person is considered fully vaccinated two weeks after receiving the second dose in a two-dose series of a vaccine, or two weeks after receiving a single-dose vaccine. Because of the lead time needed for the two-dose vaccines, we encourage you to plan now for getting the vaccine.

Massage therapy practices are listed in the Proclamation as a “Health Care Setting" which includes designated areas where massage is administered within non-health care settings like spas and wellness/fitness centers. And, proof of full vaccination against COVID-19 will be accepted in the following forms:

• CDC COVID-19 Vaccination Record Card or photo of the card
• Documentation of vaccination from a health care provider or electronic health record
• State immunization information system record

Exemptions are allowed for disability-related accommodations that fall under the Americans With Disabilities Act (ADA), Title VII of the Civil Rights Act of 1964 (Title VII), the Washington Law Against Discrimination (WLAD), or any other reasonable accommodation. There is an additional exemption allowed for deeply-held religious beliefs. Please contact the Washington State Department of Health with any questions.
August 26, 2021 - Governor Inslee reinstated a statewide mask mandate for both vaccinated and unvaccinated individuals over five years of age in most public indoor settings regardless of vaccination status. The mandate went into effect on August 23, 2021.
September 8, 2021 - The Washington State Department of Health updated their COVID-19 vaccination requirement FAQs for health care providers. 
September 24, 2021 - The Governor's office has posted Vaccine Mandate Frequently Asked Questions on its website. You may contact COVID.Vaccine@doh.wa.gov for more information.
December 3, 2021 – In November, the Washington Board of Massage extended the expiration date for policy number BOM 20-01.3, Continuing Education Requirements During the COVID-19 Response to December 31, 2021 which waives the requirement for 8 hours of the 24 hours of continuing education (CE) required for license renewal to be completed in-person/directly supervised.
A new policy effective January 1, 2022, Policy Number BOM 20-01.4 will also waive the requirement for 8 hours of the CE to be completed in-person/directly supervised for license renewal, and will stay in effect through June 30, 2022, or until the declared state of emergency issued under Proclamation 20-05 is rescinded, whichever is later. The policy will be re-evaluated at the March 11, 2022 board meeting.

West Virginia

Access the West Virginia COVID-19 page
March 18, 2020 - The Governor has ordered fitness centers and gyms to close.
March 24, 2020 - The Governor has ordered all non-essential businesses to be closed.
May 8, 2020 - The Governor issued a new executive order on May 4.
May 22, 2020 - The Governor has issued an order that will allow massage therapists to reopen on May 30, with limitations.
July 8, 2020 - The Governor has mandated the wearing of face coverings indoors.
July 16, 2020 – The Governor ordered the use of face coverings when in confined indoor spaces other than a personal residence. 
November 16, 2020 - Governor Justice broadened his indoor face covering requirement, which requires all businesses and organizations open to the public to post adequate signage advising guests of the requirement and are responsible for enforcing it.
March 5, 2021 - The Governor issued an executive order increasing capacity limits in businesses, gyms and fitness centers to 100%. All facilities must continue to follow applicable safety guidelines including mandatory face coverings and social distancing. Massage therapists should continue to follow Spa Reopening Guidelines.
May 7, 2021 - The Statewide Indoor Face Covering Requirement will be lifted on the State’s 158th birthday –also known as West Virginia Day – Sunday, June 20, 2021.
June 18, 2021- The Governor issued Executive Order 20-21 which officially lifted the statewide indoor face-covering requirement for all residents, regardless of vaccination status. Businesses may continue to require face coverings at their discretion and they must still be worn in specific settings required by federal law.
Massage therapists may reference COVID-19 Safety Recommendations to help manage their practices.

Wisconsin

Access the Wisconsin COVID-19 page
March 24, 2020 - The Governor has ordered all non-essential businesses to be closed. 
May 21, 2020 - The state Supreme Court ruled that Governor Evers’ Safer-at-Home order was unenforceable. However, municipalities or counties can issue restrictions, including on massage therapy practice. Check with your municipality to confirm that you are legally able to practice.
July 13, 2020 - The state has issued guidelines for opening of personal services, including massage therapy.
July 28, 2020 - To follow the statewide response to COVID-19, the state has created an inter-agency Wisconsin COVID-19 Information page.
July 31, 2020 - Governor Evers has issued an order requiring the wearing of face coverings indoors, outside of a private residence, with some exceptions, effective August 1 through September 28.
September 24, 2020 - Governor Evers proclaimed a state of emergency in the state, effective for 60 days from September 22. He designated the Department of Health Services as the lead agency to respond to the public health emergency and directed the Department to take all necessary and appropriate measures to prevent and respond to COVID19.
November 19, 2020 - The Governor issued an executive order with recommended precautions for public health.
February 8, 2021 - Governor Evers issued Executive Order 105, declaring a public health emergency, and corresponding Emergency Order 1, regarding face coverings in certain situations for people over the age of 5. The order is effective for 60 days from February 4.
May 14, 2021 - The Wisconsin Department of Health Services issued a statement that fully vaccinated people can resume both indoor and outdoor activities without masks with the exception of health care, school and public transportation settings, as well as businesses or facilities where masks are required. Massage therapists should continue to follow Wisconsin’s recommended guidance for personal services businesses which includes wearing masks, sanitizing, and physical distancing protocols.
October 22, 2021 - Effective October 8, the Madison and Dane County Public Health Department reinstated the mask mandate through November 5.
View the Wisconsin Department of Health Services' current mask guidance.
Do you have questions regarding your license, renewal, or need more information on massage regulations? Visit the Wisconsin Department of Safety and Professional Services' (DSPS) website to learn more about:

• Rules and regulations governing the practice of massage therapy in your state.
• Licensing and renewal information for massage therapists.
• The Wisconsin DSPS and its regulatory role in the massage therapy profession.
• For questions or to provide feedback, we encourage you to reach out to the Wisconsin DSPS Board by emailing dsps@wi.gov.

Wyoming

Access the Wyoming COVID-19 page
March 18, 2020 - The Wyoming Health Department has ordered all gyms to close through April 3.
March 25, 2020 - The Department of Health has ordered all gyms to be closed.
April 29, 2020 - The Department of Health has extended the closure of massage therapy services (except for massage for medical purposes) with specific guidelines, through May 15.
May 1, 2020 - The Department of Health has extended the closure of massage therapy services (excluding massage for medical purposes) through May 15.
May 14, 2020 - The Governor issued an order that allowed massage therapy locations to reopen in a limited capacity on May 1.
July 15, 2020 – The Department of Health amended its previous order to allow massage therapy establishments to operate through July 31, under specified conditions. 
July 30, 2020 - The Department of Health extended and amended its previous orders to allow massage therapy establishments to operate through August 15, under specified conditions.
August 12, 2020 - The Department of Health extended and amended its previous orders to allow massage therapy establishments to operate through August 31, under specified conditions.
September 1, 2020 - The Department of Health extended and amended its previous orders to allow massage therapy establishments to operate through September 15, under specified conditions.
October 14, 2020 - The Wyoming State Health Officer extended and modified the state public health order until October 15.
December 9, 2020 - The State Health Officer has supplemented previous orders, with specified conditions for massage therapy establishments, effective December 9 through January 8, 2021. The State Health Officer updated the state face covering order.
January 8, 2021 - The Wyoming Department of Health extended its face covering order through January 25.
January 25, 2021 - The Wyoming Department of Health renewed the public health order guidelines for massage therapists, effective January 26 through February 14. The Department also continued the public health face covering order for the same time period.
March 8, 2021 - The Governor issued a statement that all businesses may operate at 100% capacity beginning on March 16, resume normal operations and that Wyoming’s statewide mask mandate will end.
March 11, 2021 - Effective March 1 through March 15 under the continuation of Public Health Order #2, the Governor authorized gatherings of 50 individuals or less with specific exceptions and subject to county restrictions and variances (see sections five and six). In addition, Public Health Order #3 pertaining to personal care services (i.e., including massage) has been eliminated. 
April 28, 2021 - The Wyoming State Health Officer issued a Public Health Order Continuation, effective on May 1 through May 16. The order includes guidance for trade schools on social distancing and face coverings (see page 3).
May 31, 2021 - The Wyoming Department of Health (WDH) announced that the final phase of statewide public health orders related to the COVID-19 pandemic would end May 31.
Massage therapists can reference COVID-19 Resources for Businesses to help manage their practices.
October 22, 2021 - The Jackson City Council and Teton County Board of Commissioners extended public health order #21-5 requiring individuals within the city of Jackson and in the unincorporated areas of Teton County to wear face masks when in businesses, health care facilities and other places (with limited exceptions) through December 31, 2021.

• All businesses must post notices stating that face coverings are required in a clearly visible location at or near the entrance of the business.
• All employees and owners must wear a face covering at places of business when they are within six feet of customers and other workers/staff. Face coverings must also be worn when working in a space that could be visited by members of the public.
• This public health order will be temporarily suspended during time periods when Teton County is deemed “low” or “moderate” for COVID-19 transmission risk by the Centers for Disease Control and Prevention (CDC).

Massage therapists in Wyoming can reference COVID-19 Resources for Employers to help manage their practice.
View the Wyoming Small Business Development Center Network’s COVID-19 Resources.