BILL ANALYSIS Ó ----------------------------------------------------------------------- |Hearing Date:June 3, 2013 | Bill No: AB 428| |-----------------------------------+-----------------------------------| | | | ----------------------------------------------------------------------- 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 AB 428 Page 2 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 AB 428 Page 3 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 AB 428 Page 4 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. AB 428 Page 5 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.