The Iowa department of public health, with input from the board, shall conduct a study regarding the modalities associated with the practice of massage therapy.  The study shall be conducted with the input of licensed massage therapists, reflexologists, and unlicensed persons practicing modalities related to massage therapy.  The objective of the study shall be to determine which modalities shall be included under the definition of massage therapy and require licensure, and shall include, but not be limited to, a recommendation regarding the licensure of reflexologists.  The study shall focus on the health, safety, and welfare of the public regarding each of the modalities reviewed.  The department shall submit a report summarizing the results of the study and making recommendations regarding modality inclusion to the general assembly by January 15, 2004.