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The National Certification Board for Therapeutic Massage & Bodywork (NCBTMB) is actively challenging the recent decision by the Florida Board of Massage Therapy to replace the NCBTMB exam with the MBLEx. The Florida Board’s decision was made without adequate dialogue or involvement with NCBTMB. NCB’s exam administration has performed successfully as both the licensing and national certification standard in the State of Florida since 1992. In fact, more than 13,600 of the State’s professional therapists are not only licensed, but also nationally certified, as a result of NCBTMB’s exam program. The Florida Board’s decision to prevent new practitioners from using the NCBTMB exam creates unnecessary obstacles that may prohibit students from entering the national certification pathway. We believe it is crucial that the Florida Board reconsider its decision for the safety of the public and to ensure the best interests of Florida’s students, certificants and schools. The implementation of an unproven exam risks disenfranchising current certificants, invites unnecessary conflict in a field that needs to be unified, and creates public confusion and distrust. Currently, 32 of the 39 states that regulate massage accept NCBTMB exams by statute or rule. Over the past 16 years, more than 250,000 professionals have passed the NCBTMB exam, for state licensure and/or certification purposes. As a result, these professionals have entered the massage and bodywork profession with the level of competence necessary to practice safe massage and bodywork therapy of the highest standards. We are confident that the Florida Board will reconsider this decision with NCBTMB’s participation and with all of the State of Florida’s stakeholders in mind.