BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 252
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          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.









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          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  








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            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  :   









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           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  








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            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,  








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            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  








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            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."









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           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








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          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