BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 788
                                                                  Page  1

          Date of Hearing:   August 19, 2009 

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                   SB 788 (Wyland) - As Amended:  August 17, 2009  

          Policy Committee:                              Business &  
          Professions  Vote:                            11-0

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill establishes the licensing and regulation of Licensed  
          Professional Clinical Counselors (LPCC) under the jurisdiction  
          of the Board of Behavioral Services (BBS) within the Department  
          of Consumer Affairs (DCA). Specifically, this bill: 

          1)Establishes the LPCC scope of practice to include the  
            remediation of cognitive, mental, and emotional problems and  
            psychosocial and environmental problems. Specifies what is not  
            included in the scope of practice, including  
            non-clinical/non-mental health interventions. 

          2)Establishes requirements for licensure for applicants who  
            begin or complete studies by specified dates and provides BBS  
            the authority to make a final determination whether specified  
            degrees meet licensure requirements. Establishes a  
            grandfathering mechanism for current professionals meeting  
            specified requirements.  

          3)Establishes a fee schedule ranging from up to $100 to up to  
            $250 for licensure, licensure renewal, and examinations for  
            LPCC applicants and interns. 

          4)Requires BBS to develop an examination that addresses  
            differences between LPCC, Marriage and Family Therapy (MFT),  
            and Licensed Clinical Social Work (LCSW) scope of practice.  
            Adds two members to the BBS. 

           FISCAL EFFECT  

          Annual fee-supported special fund workload to BBS of $1.2  








                                                                  SB 788
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          million to $1.5 million to administer exams, licensure, criminal  
          background checks, and additional oversight in establishing and  
          maintaining a new licensure category and scope of practice. 

           COMMENTS  

           1)Rationale  . This bill is sponsored by the California Coalition  
            for Counselor Licensure which includes members from nine state  
            and national counseling organizations. This bill establishes  
            LPCC licensure to increase the depth, breadth, and number of  
            licensed mental health professionals in California. Currently,  
            California is the only state to not license LPCC. There are  
            more than 110,000 LPCC nationally, but none in California. The  
            lack of licensure prevents professionals in other states from  
            moving to and practicing in California and prevents  
            professionals here from fully participating in various  
            disaster aid efforts such as following hurricane Katrina or  
            participating in federally funded programs to support  
            returning veterans and their families. 

           2)Recent Amendments  include addressing client centered advocacy  
            to conform to SB 33 (Correa), Chapter 26, Statutes of 2009,  
            reorganizing a section to recognize intern training hours, a  
            date change, and additional corrections of grammatical errors  
            or typos.  

          3)Background  . LPCC are professional counselors with at least a  
            Master's level education and they are trained to work with  
            individuals, families, and groups in treating mental,  
            behavioral and emotional problems with sometimes with a  
            broader focus than MFT or LCSW. For example, LPCC in other  
            states may more likely attend to needs in supporting  
            individuals facing unemployment, grief, or trauma recovery  
            than MFT or LCSW. According to California-specific workforce  
            research, the state faces a shortage of 13,000 to 20,000  
            mental health professionals by 2010. This bill helps expand  
            the number of avenues to licensure for mental health  
            professionals.  

          4)Related Legislation  . AB 1486 (Calderon) in 2008 and AB 894 (La  
            Suer) in 2005 were both similar to this bill. AB 1486 was held  
            on the Suspense File of the Senate Appropriations Committee  
            and AB 894 was held on the Suspense File of this committee.  
            According to the sponsors of SB 788, a number issues of  
            concern have been addressed in SB 788 to remove opposition.  








                                                                 SB 788
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           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081