Reflexology is a non-nude service.
In areas where such laws have been in effect over time, the cost of services has increased and the quality of services has decreased as experienced practitioners are forced out of business. The laws create state-mandated monopolies over reflexology practice to practitioners who are not required to have any qualifications to practice. The supply of qualified practitioners has been nearly eliminated in New York City by the state law. A barrier is created for the individual who seeks to exercise his or her first amendment right to provide or have provided the health belief service of choice. A barrier is erected for the experienced service provide who cannot afford the time or money to receive education in another profession to continue his or her established business.