BILL ANALYSIS                                                                                                                                                                                                    Ó







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        |Hearing Date:June 3, 2013          |                    Bill No: AB 428|
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                          Bill No:        AB 428Author:Eggman
                    As Amended:March 21, 2013          Fiscal: Yes

        
        SUBJECT:  Healing arts:  marriage and family therapists:  clinical  
        social workers:  coursework.
        
        SUMMARY:  Permits Licensed Marriage and Family Therapist (LMFT) and  
        Licensed Clinical Social Worker (LCSW) applicants to remediate  
        specified coursework by taking courses at an educational institution  
        or continuing education provider approved by the Board of Behavioral  
        Sciences (BBS).

        Existing law:
        
        1)Defines the practice of marriage and family therapy.  (Business and  
          Professions Code (BPC) § 4980.10)

        2)Establishes the prerequisite coursework and training requirements  
          for a LMFT applicant, who completes study before December 31, 2018,  
          to sit for the licensing examination and repeals those provisions on  
          January 1, 2019.  (BPC §§ 4980.37; 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 BBS to meet the requirements necessary for  
          licensure as LMFT and LMFT intern.  (BPC § 4980.40.5)

        4)Establishes the requirements for licensure for a LCSW and requires  





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          each applicant to furnish satisfactory evidence to the BBS that the  
          applicant has complied with specified requirements.  (BPC § 4996.2)

        This bill:

        1) Specifies that alcoholism and other chemical substance dependency  
           coursework taken in a master's or doctoral degree program, at an  
           accredited or approved institution or from a BBS accepted provider  
           of continuing education, satisfies educational requirements for  
           LMFT applicants.

        2) Specifies that spousal or partner abuse assessment, detection and  
           intervention strategies coursework taken in a master's or doctoral  
           degree program, at an accredited or approved institution or from a  
           BBS accepted provider of continuing education, satisfies  
           educational requirements for LMFT applicants.

        3) Deletes the requirement for the BBS to receive certification from  
           the chief academic officer at the LMFT applicant's graduate program  
           attesting that spousal and partner abuse coursework was offered as  
           part of the applicant's graduate degree curriculum.

        4) Deletes the requirement for the BBS to receive certification from  
           the chief academic officer at the LCSW applicant's graduate program  
           attesting that spousal and partner abuse coursework was offered as  
           part of the applicant's graduate degree curriculum.

        FISCAL EFFECT:  According to the Assembly Appropriations Committee  
        Analysis dated May 1, 2013, this bill will result in minor and  
        absorbable costs to the BBS.

        COMMENTS:
        
       1.Purpose.  This bill is sponsored by the  BBS  .  According to the  
          Author, this bill will allow applicants for a LMFT license to  
          remediate courses they may have missed during their graduate degree  
          program.  The Sponsor asserts that this bill is needed because,  
          during the application process, some applicants discover that they  
          do not qualify for a license due to missing coursework.  Though  
          existing law permits an out-of-state applicant to remediate missing  
          coursework, the law does not allow an in-state applicant to  
          remediate required coursework.

       2.Background.  All four licensing groups regulated by the BBS are  
          subject to specific coursework requirements.  For example, both LCSW  
          and LMFT applicants must demonstrate that they have taken courses in  





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          specified topic areas.  Certain courses must be completed within the  
          graduate degree program, while other courses may be remediated after  
          completion of the degree program.  The acceptable methods to  
          remediate are either through completing a course at an educational  
          institution approved by the Bureau for Private Postsecondary  
          Education or by taking a course offered by a BBS approved continuing  
          education provider.

           LMFT Applicant Courses.   Current law necessitates that the following  
          courses be completed during a LMFT applicant's degree program:  1)  
          alcoholism and other chemical substance dependency and 2) spousal or  
          partner abuse assessment.  For those out of state applicants who  
          have not completed the required coursework during their degree  
          programs, the BBS permits them to remediate the coursework after  
          completing their programs.

           LCSW Applicant Courses.   The law also requires that LCSW applicants  
          complete coursework in spousal or partner abuse assessment.   
          However, it is unclear if this coursework requirement must be  
          completed during a LCSW applicant's degree program or after.  As  
          such, the BBS has allowed LCSW applicants to remediate coursework  
          requirements.

       3.Arguments in Support.  The  Board of Behavioral Sciences  (Sponsor)  
          writes, "Correcting this inequity in the law will ensure that all  
          applicants are treated equally regarding remediation of these  
          subject matters, and would prevent an unfortunate situation where an  
          applicant must obtain a new master's degree because their degree was  
          missing a single course."

          The  California Association for Licensed Professional Clinical  
          Counselors  and the  County Welfare Directors Association  both support  
          the bill.  In their letters they indicate the bill would allow LMFT  
          and LCSW applicants the ability to remediate coursework deficiencies  
          after they graduate.

          The  California Association of Marriage and Family Therapists  also  
          supports the bill when they write, "This bill would serve to make  
          the laws more consistent and, therefore, equitable across the  
          licensing types."

          The  National Association of Social Workers-California Chapter  
           indicates in their letter, "Under current law, out-of-state LMFT  
          applicants are able to remediate coursework that in-state applicants  
          cannot.  For LMFT's, if an in-state applicant is missing required  
          coursework, they must return to graduate study and obtain an  





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          entirely new degree.  For LCSW's it is less clear whether the  
          instruction and training must be part of the degree program.  This  
          will allow both professions to remediate specified courses from an  
          accredited or approved educational institution or from a Board  
          accepted continuing education provider." 

          The  American Association for Marriage and Family Therapy-California  
          Division  notes in their support letter, "These changes ensure that  
          the required course content is delivered, while reducing a needless  
          (and, we believe, unintended) roadblock to licensure."

        4. Current Related Legislation.   AB 451  (Eggman, 2013) extends the  
           current effective date for new education, examination and  
           eligibility requirements for out-of-state applicants for LMFT and  
           LPCC applicants 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.  (  Note  : This bill has been  
           referred to the Senate Business, Professions and Economic  
           Development Committee for hearing.)

       5.Prior Related 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.  It also 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, 2008) would have updated and recast the educational  
          curriculum requirements for LMFTs.  SB 1218 was one of several  
          measures vetoed by the Governor due to the 2008-2009 State Budget  
          delay.

           SB 564  (Speier, Chapter 481, Statutes of 2002) required 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. The bill  
          also required licensees to take a one-time continuing education  
          course.

        







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        SUPPORT AND OPPOSITION:
        
         Support:  

        Board of Behavioral Sciences (Sponsor)
        American Association for Marriage and Family Therapy-California  
        Division
        California Association of Licensed Professional Clinical Counselors
        California Association of Marriage and Family Therapists
        County Welfare Directors Association of California
        National Association of Social Workers-California Chapter

         Opposition:  

        None received as of May 28, 2013



        Consultant:  Le Ondra Clark, Ph.D.