This document summarizes the changes to the Department of Health's oral/practical massage licensure examinations between the last exam in June 2013 and the upcoming exam. It outlines the increased focus on variations and subvariations of the five basic massage strokes, as well as changes to the pre-massage, massage proper, and post-massage sections including longer duration and handling of multiple client cases. The document provides reminders for exam takers such as having the client state their case and using the correct documentation forms.