BILL ANALYSIS                                                                                                                                                                                                    Ó







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        |Hearing Date:April 25, 2011        |Bill No:SB                         |
        |                                   |274                                |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                          Bill No:        SB 274Author:Wyland
                     As Amended:April 11, 2011          Fiscal:Yes

        
        SUBJECT:  Healing arts 
        
        SUMMARY:  Specifies that a person engages in the practice of 
        educational psychology, clinical social work or professional clinical 
        counseling when he or she performs or offers to perform, or holds 
        himself or herself out as able to perform those services for 
        remuneration in any form, including donations; revises and recasts 
        provisions allowing professional clinical counselor trainees, interns 
        and applicants to perform services as an employee or as a volunteer, 
        as specified.

        Existing law:
        
        1) Licenses and regulates the practice of marriage and family therapy 
           (MFTs), licensed educational psychology (LEPs), and licensed 
           clinical social work (LCSWs) by the Board of Behavioral Sciences 
           (BBS) within the Department of Consumer Affairs.  Beginning 
        January 1, 2012, the BBS will additionally license professional 
           clinical counselors (LPCCs).

        2) Specifies that a person engages in the practice of marriage and 
           family therapy who performs or offers to perform or holds himself 
           or herself out as able to perform MFT services for remuneration in 
           any form, including donations. (Business and Professions Committee 
           (BPC) § 4980.10)

        3) Provides for the registration and regulation of LPCC trainees and 
           interns, and allows trainees, interns and applicants to perform 
           services as an employee or as a volunteer, but not as an 
           independent contractor. (BPC § 4999.47)





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        This bill:

        1) Mirrors the provision applying to the practice of marriage and 
           family therapy, to additionally specify that a person engages in 
           the practice of  educational psychology  ,  clinical social work  or 
            professional clinical counseling  when he or she performs or offers 
           to perform or holds himself or herself out as able to perform those 
           services for remuneration in any form, including donations.

        2) Revises and recasts the provision allowing LPCC trainees, interns 
           and applicants to perform services as an employee or as a volunteer 
           to provide:  

            a)    Experience shall not be gained by an intern or trainee as an 
              independent contractor.

            b)    If employed, an intern shall furnish copies of W-2 tax forms 
              for each year of experience claimed when applying to the Board 
              for an LPCC license.

            c)    If volunteering, an intern shall furnish a letter from his 
              or her employer verifying the employment as a volunteer when 
              applying to the Board for an LPCC license.

        3) Makes technical, correcting and conforming changes.


        FISCAL EFFECT:  Unknown.  This bill has been keyed "fiscal" by 
        Legislative Counsel.


        COMMENTS:
        
        1. Purpose.  This bill is sponsored by the Board of Behavioral 
           Sciences (Sponsor) to define the act of "engaging in the practice" 
           for LEP, LCSW, and LPCC licensees.  In addition, this bill would 
           require that a professional clinical counselor intern must, upon 
           application for licensure, provide the board with copies of W-2 tax 
           forms for each year of experience claimed if they were employed.  
           If they were a volunteer, then upon application for licensure they 
           must provide the board with a letter from his or her employer 
           verifying the intern's employment as a volunteer. 

        This bill is needed in order to clarify existing law regarding the 





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           definition of engaging in practice.  It is also needed so that 
           clinical counselor interns are required to provide the same level 
           of documentation of their experience as applicants for other 
           licenses issued by the Board.

        2. Background.  Current law defines the act of "engaging in the 
           practice" of marriage and family therapy.  However, it does not in 
           a similar fashion define the act of engaging in practice of an LEP, 
           LCSW, or LPCC, even though the term is used in the law without 
           being defined.

        The law further outlines the conditions under which a clinical 
           counselor trainee or intern may gain experience, either as an 
           employee or volunteer, but not as an independent contractor.

        The law for both MFTs and LCSWs states that a MFT intern or associate 
           social worker (ASW) must, when applying for a license, provide the 
           Board with copies of W-2 tax forms for each year of experience 
           claimed if they were employed.  If they were a volunteer, then when 
           applying for a license, they must provide the Board with a letter 
           from the employer verifying the intern or associate's employment as 
           a volunteer.  The requirement to submit a W-2 or a letter 
           indicating a volunteer status is not currently required by law for 
           a professional clinical counselor intern.

        3. Related Legislation.   SB 788  (Wyland, Chapter 619, Statutes of 
           2009) established the licensing and regulation of professional 
           clinical counselors in California.  Stated that LPCCs practice is a 
           separate and distinct profession from licensed marriage and family 
           therapy (MFT) and licensed clinical social work (LCSW).  Authorized 
           BBS to begin accepting applications for examination eligibility on 
           January 1, 2012, and issue LPCC licenses to applicants who meet 
           certain education, experience and examination requirements.

         SB 33  (Correa, Chapter 26, Statutes of 2009) updated and recast the 
           educational curriculum requirements for MFTs to require persons who 
           begin graduate study after August 1, 2012, to meet increased total 
           unit requirements, increased practicum hours for face-to-face 
           counseling, integrates specified elements, including public mental 
           health practices, throughout the curriculum, revised MFT 
           educational requirements and revised requirements for applicants 
           licensed or educated outside of California.

         SB 363  (Emmerson) allows marriage and family therapist trainees to 
           continue counseling clients while not enrolled in a practicum if 
           the lapse in enrollment is less than 90 days, and the period of 





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           lapse is immediately preceded and immediately followed by 
           enrollment in a practicum course; limits the number of 
           client-centered advocacy hours for a marriage and family therapist 
           intern to 500 hours; and allows professional clinical counselors to 
           supervise marriage and family therapist interns if they meet 
           additional training and education requirements to treat couples and 
           families.  This bill was approved 7-0 by this Committee on April 
           11, 2011.

         SB 146  (Wyland)   revises various provisions relating to the practice of 
           mental health professionals to also include the practice of 
           licensed professional clinical counselors, clinical counselor 
           trainees, and clinical counselor interns; makes technical updating 
           and conforming changes.  This bill was approved on consent by this 
           Committee on April 11, 2011.

         SB 704  (Negrete McLeod) revises and recasts examination requirements 
           for marriage and family therapists and interns and for licensed 
           clinical social workers and associate social workers; makes 
           technical cleanup and conforming changes.  This measure was 
           approved on consent by this Committee on April 4, 2011.


        SUPPORT AND OPPOSITION:
        
         Support  :  

        Board of Behavioral Sciences (Sponsor) 

         Oppose  :  

        None received as of April 20, 2011. 



        Consultant:G. V. Ayers