BILL ANALYSIS Ó AB 252 Page 1 Date of Hearing: April 23, 2013 ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER PROTECTION Richard S. Gordon, Chair AB 252 (Yamada and Eggman) - As Amended: April 2, 2013 SUBJECT : Social workers. SUMMARY : Prohibits an individual from holding himself or herself out professionally as a "social worker" unless he or she has received a degree from an accredited academic institution. Specifically, this bill : 1)Requires that, on or after January 1, 2014, only an individual who possesses a degree from an accredited school of social work may represent him or herself as a social worker, except as provided. 2)Exempts from the provisions of this bill individuals who are classified by their employer as a social worker prior to January 1, 2014. 3)Prohibits a graduate of a school in candidacy status, as determined by the Commission on Accreditation of the Council on Social Work Education (CSWE), or that was in candidacy status at the time the graduate began attending the school, from representing himself or herself as a social worker if the school does not obtain accreditation from CSWE. 4)Prohibits a social worker from using the title "Licensed Clinical Social Worker" (LCSW) or "Associate Clinical Social Worker" (ACSW) unless the individual is duly licensed, as specified. 5)Clarifies that the provisions of this bill are not intended to limit the use of any other health care or social service title. 6)Requires that, on or after January 1, 2014, only an employer or principal may represent his or her employee or agent as a social worker if that employee or agent possesses a degree from an accredited school of social work, as defined, except as provided. AB 252 Page 2 7)Prohibits an employer or principal from representing an employee or agent as a social worker if that employee or agent is a graduate of a school in candidacy status, as determined by the CSWE, or a graduate of a school that was in candidacy status at the time the graduate began attending the school, until the school has obtained accreditation from CSWE. 8)Prohibits an employer or principal from representing an employee or agent by the title "Licensed Clinical Social Worker" (LCSW) or "Associate Clinical Social Worker" (ACSW) unless the employee or agent is duly licensed, as specified. 9)Requires an employer or principal who hires an individual who does not possess a degree from an accredited school of social work to perform similar duties to that of a social worker to represent that employee or agent with a title other than "social worker" or any other term that implies or suggests that the individual possesses a degree from an accredited school of social work. 10)Provides that if an employer or principal has engaged, or is about to engage, in an act that constitutes a violation of the provisions of this bill related to representations by an employer or principal, the superior court in and for the county where the act takes place, or is about to take place, may issue an injunction or other appropriate order, restraining that conduct on application of the board, Attorney General, or the district attorney of the county. 11)Provides that it is an unfair business practice for a person to violate the provisions of this bill related to representations by an employer or principal. 12)Provides that the provisions of this bill related to seeking an injunction for a violation of the provisions of this bill related to representations by an employer or principal shall be governed by the Code of Civil Procedure, as specified. 13)Applies its provisions to supervised employees or volunteers working in a governmental, educational, or non-profit and charitable institution setting, or persons using hypnotic techniques in certain situations, as specified. 14)Provides that no reimbursement is required by this bill pursuant to Section 6 of Article XIIB of the California AB 252 Page 3 Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction. 15)Makes findings and declarations relative to the profession of social work. EXISTING LAW : 1)Establishes the Licensed Clinical Social Worker Act. (Business and Professions Code (BPC) Section 4991) 2)States that every individual who styles himself or herself or who holds himself or herself out to be a LCSW without holding a license in good standing is guilty of a misdemeanor. (BPC 4996) 3)Establishes guidelines for the Board of Behavioral Sciences (BBS) to issue a clinical social worker license. (BPC 4996.1) 4)Establishes the guidelines for BBS to revoke or suspend a license. (BPC 4996.11) 5)Defines the practice of "clinical social work" as "a service in which special knowledge of social resources, human capabilities, and the part that unconscious motivation plays in determining behavior, is directed at helping people to achieve more adequate, satisfying and productive social adjustments." (BPC 4996.9) 6)Defines an "accredited school of social work" as a "school that is accredited by the CSWE." (BPC 4991.2) 7)Exempts an individual employed by a government entity, certain academic institutions, an institution that is both nonprofit and charitable, and other specified individuals from the requirements of the Clinical Social Worker Practice Act, as defined. (BPC 4996.14) FISCAL EFFECT : Unknown COMMENTS : AB 252 Page 4 1)Purpose of this bill . This bill would permit individuals who have obtained a degree in social work from an accredited institution to represent himself or herself professionally as a social worker. Currently, there are numerous individuals working in various social work settings using the title "social worker" who may not hold a degree from an accredited academic institution. This bill would provide that after January 1, 2014, individuals will not be able to use the title "social worker" unless they have met academic standards from accredited schools of social work, or have been classified by his or her employer as a social worker prior to January 1, 2014. Professional title protection is intended to assure consumers that the individuals they are working with in social work settings have received the proper training and education or have the qualified work experience to provide social work services. This bill is author sponsored. 2)Author's statement . According to the author, "[This bill] seeks to protect the public from misrepresentation and false advertising by ensuring only those who have met the standards of the profession have the right to be classified and referred to as social workers. It does so without limiting any agency's ability to hire individuals without social work degrees, and it does not mandate that employees with degrees in social work be assigned the title 'social worker,' but it does stop agencies from representing their employees as 'social workers' to the public if they do not possess the requisite education. Some agencies conduct training for their employees regarding the policies and duties of their jobs, such as managing casework, but it is no substitute for a social work education which includes hundreds of hours of field education and provides repetition of the ethical standards by which members of the profession must conduct themselves, including their responsibility to the clients?The public has the right to assume that an individual representing him or herself as a professional has met the standards set by the profession and is adequately educated to serve and protect the public." 3)Types of social workers . According to the Bureau of Labor Statistics, there are two main types of social workers: direct-service social workers, and clinical social workers. Direct-service social workers typically assist individuals with problems in everyday life situations. These social workers can work in a variety of settings, including mental AB 252 Page 5 health clinics, schools, hospitals and private practice. A bachelor's degree can be required for most direct-service social work positions, with some settings requiring an additional master's degree. However, current California law does not mandate any educational or other requirements for direct service social workers. A person may call him or herself a "social worker" if they have been performing duties of social work or have received some education in the social work field. Clinical social workers typically diagnose and treat mental and behavioral health issues. In California, clinical social workers must be licensed and BBS is the regulatory agency responsible for the licensing of LCSWs. To be licensed as a clinical social worker, a person must graduate from an accredited master's degree program, register with the BBS as an ACSW, complete additional required coursework, obtain 3200 hours of supervised work experience, and successfully pass specified exams. There are currently 19,688 LCSWs in California; this bill does not otherwise alter the licensure requirements for LCSWs or ACSWs. 4)Title act vs. practice act . There is an important distinction between regulations which require licensure and those which protect a professional title. Statutes regulating professions in California generally fall into two categories: a "practice act," or a "title act." A "practice act" regulates the duties, responsibilities and scope of practice that a licensee can perform upon meeting specific educational, experiential or training requirements. A "title act" simply regulates the use of the title an individual may use in practice. In order to be permitted to use a title, a state may require proof that an individual has a certain level of experience or education relevant to the particular title being regulated. This bill provides title protection for social workers who meet specified educational requirements but are not licensed as LCSWs by the BBS. State laws vary with respect to penalty and enforcement provisions for violating a social work title act. Five states currently reserve the professional use of the title for individuals who have a specified degree in social work. Thirty-one states use alternative titles for social work professionals in child protective services and adult protective services positions such as family service worker, AB 252 Page 6 human service professional, case manager, assessment specialist, social service worker and case worker, if the employee does not have a MSW degree. Virginia requires a degree from an accredited institution of social work to be a licensed social worker. Thirteen states do not require a specified degree in order to use the professional title, including California. 5)Accreditation process for schools . Academic institutions, including various private colleges and some colleges in the California State University and University of California systems, offer accredited degree programs in social work. These social work programs include undergraduate and graduate degrees which are accredited by CSWE using the Educational Policy and Accreditation Standards. CSWE is a national, nonprofit association representing more than 2,500 individual members, as well as graduate and undergraduate programs of professional social work education. Founded in 1952, this accrediting body is recognized by the Council for Higher Education Accreditation as the sole accrediting agency for social work education in this country. There are currently 21 accredited masters programs, 15 accredited bachelors programs and one master's program in candidacy in California. 6)Employment as a social worker . Among many other employment fields for social workers, local governments or state agencies routinely use the "social worker" title in job classifications. Many local government agencies routinely contract or consult with Merit System Services (MSS) to provide human resource assistance for job classifications and recruitment. MSS currently provides four different classifications: Social Worker I, II, III and IV. As provided on the MSS Web site, each position requires a specified amount of experience or education, with a master's degree only required for the Social Worker IV category. According to research provided by the author, currently 51 California counties use the title "social worker" but do not require individuals filling those positions to possess social work education. The remaining seven counties (Kern, Kings, Marin, Placer, Riverside, Santa Barbara, and Sonoma) do not use the title "social worker" for any position. Conversely, California state agencies do assign the title "social worker" to employees, but only to those who possess a degree in social AB 252 Page 7 work. Employees of California state agencies classified as "social workers" meet the educational standards of the social work profession. It should be noted that this bill does not require employers to hire individuals with a specified social work degree - it only imposes an educational requirement for use of the job title "social worker" if the employer chooses to employ one. 7)Questions for the Committee . This bill as written exempts individuals who are employed in a social worker role before January 1, 2014. While the ostensible reason for doing so is to avoid disrupting individuals in an established practice, the current language would permit those individuals to maintain their exemption even if they switch positions or retire. The Committee may wish to inquire of the author whether or not it would be appropriate to restrict the exemption only to individuals continuously employed in the same job classification prior to January 1, 2014. As a result of this bill, some local government entities or private agencies may choose to reclassify their "social worker" job designations in order to attract a wider group of applicants. Because this bill requires individuals who do not possess the specified academic requirements to be classified as something other than a social worker, it could have the unintended consequence of driving employers to drop the "social worker" job title completely rather than maintain two different job classifications for what is essentially the same position. The Committee may wish to inquire of the author as to how the provisions of this bill may impact job classifications in local government and elsewhere, and what measures might be further taken to minimize disruption. 8)Arguments in support . The National Association of Social Workers, California Chapter (NASW) writes in support, ""This bill protects the 'social worker' title only for those individuals who have a degree from an accredited school of social work. 'Title protection' has been a priority of NASW for many years. As the largest social work organization in the world, we represent 140,000 members nationally and 56 chapters, we strive to advance the quality of social work practice and to promote the unity and recognition of the profession." AB 252 Page 8 9)Arguments in opposition . The County Welfare Directors write in opposition, "Many counties have difficulty in recruiting a sufficient number of degreed social work professionals into these positions, and therefore must be willing to hire individuals who meet the alternative education, training and experience requirements to succeed in the job. Although AB 252 would allow individuals whose job titles currently refer to them as 'social workers' to continue using that designation, it is very unlikely that county would retain one set of job classifications for existing employees and create an entirely separate set of classifications for perspective hires." 10)Previous legislation . AB 671 (Portantino) of 2012 would have required county child welfare supervisors hired on or after January 1, 2016 to have a master's degree in social work from an accredited or state-approved graduate school of social work. AB 671 was held in the Assembly Appropriations Committee. AB 2753 (Solorio) of 2008, would have required that a civil service classification under the State Personnel Board not be designated "social worker" unless it was limited to individuals who possessed a bachelor's, master's, or doctorate degree from an accredited school of social work. AB 2753 was held in the Senate. AB 445 (Vargas) of 2003, proposed to limit the use of the title "social worker" to individuals who possess a social work degree from an accredited school. The bill received opposition from both the County Welfare Directors Association and the Association of Independent California Colleges and Universities. AB 445 was held in the Senate Business and Professions Committee. AB 949 (Ducheney) of 1997 would have limited the use of the title "social worker" to individuals who possessed a social work degree from a school accredited by CSWE. AB 949 was held in the Senate. REGISTERED SUPPORT / OPPOSITION : Support AFSCME AB 252 Page 9 California Association for Health Services at Home California Association of Deans and Directors of Schools of Social Work California Association of School Social Workers California Commission on Aging California Society for Clinical Social Work California State University, Sacramento Division of Social Work CommuniCare Health Centers Gender Health Center Legal Advocates for Children and Youth National Association of Social Workers, California Chapter Reed Behavioral Solutions Social Work Student Association at Sacramento State University Social Worker Occupational Committee for AFSCME Local 2620 University of Southern California School of Social Work 95 private individuals Opposition California Association for Licensed Professional Clinical Counselors California Association of Marriage and Family Therapists County Welfare Directors Association of California SEIU California Analysis Prepared by : Elissa Silva / B.,P. & C.P. / (916) 319-3301