BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 428
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          ASSEMBLY THIRD READING
          AB 428 (Eggman)
          As Amended  March 21, 2013
          Majority vote 

           BUSINESS & PROFESSIONS       12-0                    
          APPROPRIATIONS      17-0                            
           
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          |Ayes:|Gordon, Bocanegra,        |Ayes:|Gatto, Harkey, Bigelow,   |
          |     |Campos, Dickinson,        |     |Bocanegra, Bradford, Ian  |
          |     |Eggman, Hagman, Holden,   |     |Calderon, Campos,         |
          |     |Maienschein, Mullin,      |     |Donnelly, Eggman, Gomez,  |
          |     |Skinner, Ting, Wilk       |     |Hall, Holden, Linder,     |
          |     |                          |     |Pan, Quirk, Wagner, Weber |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           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  








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            applicant graduated.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, minor and absorbable costs to the Board of Behavioral  
          Sciences (BBS).

           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  
            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  








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               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  
            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  








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               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."  
           

           Analysis Prepared by  :    Elissa Silva / B., P. & C.P. / (916)  
          319-3301 


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