BILL ANALYSIS                                                                                                                                                                                                    �



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          Date of Hearing:   April 16, 2013

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                              Richard S. Gordon, Chair
                    AB 428 (Eggman) - As Amended:  March 21, 2013
           
          SUBJECT  :   Healing arts: marriage and family therapists:  
          clinical social workers: coursework.

           SUMMARY  :   Authorizes certain coursework requirements for  
          licensure as a licensed marriage and family therapist (LMFTs)  
          and licensed clinical social worker (LCSWs) to be completed  
          through continuing education (CE) instead of formal classroom  
          training, as specified.   Specifically,  this bill  :  

          1)Authorizes applicants for licensure as a LMFT to complete  
            coursework in alcoholism and other chemical substance  
            dependency from a master's or doctoral degree program at an  
            accredited or approved institution, as specified, or from a  
            board-accepted provider of CE.

          2)Authorizes applicants for licensure as a LMFT to complete  
            coursework in spousal or partner abuse assessment, detection,  
            and intervention strategies from a master's or doctoral degree  
            program at an accredited or approved institution, as  
            specified, or from a board-accepted provider of CE. 

          3)Deletes the requirement that an applicant for licensure as a  
            LMFT must obtain a coursework certification from the chief  
            academic officer of the educational institution from which the  
            applicant graduated.

          4)Deletes the requirement that an applicant for licensure as a  
            LCSW must obtain coursework certification from the chief  
            academic officer of the educational institution from which the  
            applicant graduated.

           EXISTING LAW :

          1)Defines what constitutes the practice of marriage and family  
            therapy. (Business and Professions Code (BPC) Section 4980.10)

          2)Establishes the prerequisite coursework and training  
            requirements for a LMFT applicant who completes study before  








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            December 31, 2018 to sit for the licensing examination, and  
            repeals those provisions on January 1, 2019. (BPC 4980.37 and  
            4980.41)

          3)Establishes the educational requirements for licensure as a  
            LMFT and provides that a doctoral or master's degree in  
            marriage and family therapy, couple and family therapy,  
            psychology, or counseling with an emphasis in either marriage  
            or family therapy obtained from a school, college or  
            university approved by the Bureau for Private Postsecondary  
            Education (BPPE) as of a specified date, shall be considered  
            by the Board of Behavioral Sciences (BBS) to meet the  
            requirements necessary for licensure as LMFT and LMFT intern.  
            (BPC 4980.40.5)

          4)Establishes the requirements for licensure for LCSW and  
            requires each applicant to furnish satisfactory evidence to  
            BBS that he or she has complied with specified requirements.  
            (BPC 4996.2)

           FISCAL EFFECT  :   Unknown  

          COMMENTS  :   

           1)Purpose of this bill  .  This bill will make clear that initial  
            applicants for LMFT and LCSW licenses have the option to  
            complete certain required coursework through either a master's  
            or doctoral program or a BBS-accepted CE provider.  The aim is  
            to help certain in-state applicants who meet general licensure  
            requirements but lack certain mandated coursework to become  
            licensed more easily.  This bill is sponsored by BBS.

           2)Author's statement  .  According to the author, "This bill seeks  
            to allow applicants for a LMFT license to remediate courses  
            that they may have missed during their [master's or doctoral]  
            degree program.  This bill is needed because potential  
            applicants find out during the application process that they  
            do not qualify for a license due to missing coursework, even  
            though the applicants [have already] graduated from a  
            qualifying program.  While an out-of-state LMFT applicant may  
            remediate these courses, an in-state applicant cannot.   
            Consequently, an applicant must begin a new graduate program  
            or enter a different profession altogether after spending  
            time, energy, and money to complete a graduate program.   
            [Additionally], LCSW applicants must complete instruction and  








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            training in spousal or partner abuse assessment.  However, for  
            LCSW applicants, the law is less clear about whether the  
            instruction and training must be part of the degree program.   
            The BBS has historically allowed LCSW applicants to remediate  
            deficiencies in coursework.  The BBS would like to clarify  
            [the] law to ensure they are acting appropriately by  
            specifying that a LCSW applicant may remediate courses from an  
            accredited or approved educational institution or from a [BBS]  
            accepted CE provider."  

              3)   Licensure for LMFT applicants in California  .  In order  
               for LMFTs to become licensed in California, applicants who  
               began graduate study prior to August 1, 2012 must meet  
               rigorous academic requirements including a master's or  
               doctoral degree from an accredited institution.  There are  
               instances where an in-state applicant may be missing a  
               designated course and there is no practical option to  
               remedy the course deficiency, other than for the applicant  
               to reapply for graduate study to make up the deficiency.   
               This could possibly create a hardship for the applicant, as  
               the additional graduate level coursework can be costly and  
               difficult to obtain.  The CE option for remediation will  
               provide opportunities throughout the year for in-state  
               applicants who need to obtain these required courses.  
             
             Currently, LMFTs who apply for licensure with a master's or  
            doctorate degree earned in California must demonstrate that  
            their degree covers very specific topics, including  
            instruction in alcoholism and other chemical substance  
            dependencies, and spousal or partner abuse assessment,  
            detection and intervention strategies.  Applicants for  
            licensure who have received the appropriate degree but are  
            deficient in the certain courses are unable to sit for the  
            licensure examination and cannot obtain a license until they  
            take those courses.  There are instances where an applicant is  
            missing a designated course but there is no option other than  
            enrolling in a new program.  The BBS estimates that  
            approximately 10 applicants are turned away annually as a  
            result of deficient coursework.  
             
             Additionally, applicants for licensure as a LCSW are required  
            to take a course in spousal or partner abuse assessment,  
            detection and intervention strategies.  Current law is less  
            clear as to their ability to take the required course outside  
            of their master's or doctoral degree program, which BBS  








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            currently permits. As such, this bill would clarify that  
            applicants for LCSW licensure may take a course in spousal or  
            partner abuse assessment, detection and intervention  
            strategies through an approved CE provider. 

              4)   Reasons for missing coursework  .  According to BBS, there  
               are multiple reasons why an individual may have difficulty  
               obtaining the required coursework.  For example, an  
               individual may not have completed classes during a medical  
               leave or a school did not offer the course at a convenient  
               time and the student was eligible to graduate without the  
               course, assuming that the course could be taken later.   
               Also, BBS evaluators note instances of individuals who have  
               earned a Ph.D. in Clinical Psychology and have taken all  
               other classes required to qualify for an LMFT license, but  
               the doctoral program did not offer a spousal or partner  
               abuse assessment course.  

           5)Arguments in support  .  The BBS writes in support that "This  
            bill would correct an inequity in law for applicants for  
            licensure as a LMFT.  An out-of-state LMFT applicant may  
            remediate this coursework outside of the degree program but by  
            law, an in-state LMFT applicant cannot.  LCSW applicants must  
            also complete instruction; however, for LCSW applicants, the  
            law is less clear about whether the instruction and training  
            must be part of the degree program. This bill would clarify  
            that LCSW applicants may remediate coursework outside of the  
            degree program."  
                
            The California Association of Marriage and Family Therapists  
            write in support, "this bill would serve to make the laws more  
            consistent and, therefore, equitable across all licensing  
            types.  [This] bill would also give applicants more  
            opportunities to remediate coursework by permitting applicants  
            to complete coursework at an accredited or approved  
            educational institution or through an approved CE provider."
             
          6)Related legislation  .  AB 451 (Eggman) of 2013, extends the  
            current effective date for new education, examination and  
            eligibility requirements for out-of-state applicants for  
            licensure as a LMFT and LPCC from January 1, 2014 to January  
            1, 2015, and extends the repeal date of certain existing  
            education, examination and eligibility requirements for  
            out-of-state applicants from January 1, 2014 to January 1,  
            2015.  That measure was heard in the Assembly Business,  








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            Professions and Consumer Protection Committee on April 2, 2013  
            and passed 13-0.  

          7)Previous legislation  .  SB 33 (Correa), Chapter 26, Statutes of  
            2009, updated the educational curriculum requirements for  
            LMFTs to require persons who begin graduate study after August  
            1, 2012 to meet increased total unit requirements and  
            practicum hours for face-to-face counseling.  Additionally, it  
            integrated elements including public mental health practices  
            throughout the curriculum, and revised the requirements for  
            applicants licensed or educated outside of California.  The  
            current LMFT educational requirements are scheduled to be  
            repealed on January 1, 2019. 

            SB 1218 (Correa) of 2008, attempted to update and recast the  
            educational curriculum requirements for LMFTs.  SB 1218 was  
            one of several measures vetoed by the Governor, stating that,  
            due to the 2008-2009 State Budget delay, only bills of the  
            highest priority for California would be signed.

            SB 564 (Speier), Chapter 481, Statutes of 2002, requires  
            applicants for licensure as LMFTs, LCSWs and psychologists to  
            complete a minimum of 15 hours of specified coursework in  
            spousal or partner abuse assessment, detection, and  
            intervention strategies. That bill also requires current  
            licensees to take a one-time CE course.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Board of Behavioral Sciences (sponsor)
          American Association for Marriage and Family Therapy
          California Association for Licensed Professional Clinical  
          Counselors
          California Association of Marriage and Family Therapists
          National Association of Social Workers-California Chapter

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Elissa Silva / B.,P. & C.P. / (916)  
          319-3301 









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