BILL NUMBER: AB 451 INTRODUCED
BILL TEXT
INTRODUCED BY Assembly Member Eggman
FEBRUARY 19, 2013
An act to amend Sections 4980.72, 4980.74, 4980.78, 4980.80,
4980.90, 4999.57, 4999.58, 4999.59, 4999.60, 4999.61, and 4999.62 of
the Business and Professions Code, relating to healing arts.
LEGISLATIVE COUNSEL'S DIGEST
AB 451, as introduced, Eggman. Healing arts: therapists and
counselors: licensing.
Existing law provides for the licensure or registration and
regulation of marriage and family therapists and interns by the Board
of Behavioral Sciences. Under existing law, the board may issue a
license to an applicant who holds a valid license from another state
if, among other requirements, his or her education and supervised
experience requirements are substantially similar, as specified.
Under existing law, the board is required to accept education gained
outside of California toward licensure requirements if it is
substantially similar and the applicant completes certain coursework
and training, and may accept education as substantially equivalent if
it meets certain requirements, including the completion of at least
48 semester or 72 quarter units of instruction, as specified. If an
applicant's education does not contain the content or units required,
the board is authorized to accept his or her education as
substantially equivalent under certain circumstances. These
provisions apply to applicants who apply for licensure between
January 1, 2010, and December 31, 2013, and are operative until
January 1, 2014.
This bill would extend the application of those provisions to
December 31, 2014, and extend the operative date of those provisions
to January 1, 2015.
Under existing law, for an applicant who holds a valid license
from another state and who applies for licensure on or after January
1, 2014, the board may issue a license to that person if, among other
requirements, his or her supervised experience and education is
substantially equivalent and he or she passes the California law and
ethics examination. For an applicant who does not hold a license, the
board is required to accept experience and education gained outside
of California toward the licensure or registration requirements if it
is substantially equivalent. Under existing law, education is
substantially equivalent if it meets certain requirements, including
the completion of at least 60 semester or 90 quarter units of
instruction and an 18-hour course in California law and professional
ethics.
This bill would delay the application of those provisions to
January 1, 2015.
Existing law provides for the licensure and regulation of
professional clinical counselors by the Board of Behavioral Sciences.
Under existing law, the board may issue a license to an applicant
who holds a valid license from another state and who applies for
examination eligibility if, among other requirements, his or her
education and supervised experience requirements are substantially
equivalent, as specified, and may accept education as substantially
equivalent if it meets certain requirements, including the completion
of at least 48 semester or 72 quarter units of instruction, as
specified. If an applicant's education does not contain the content
or units required, the board is authorized to accept his or her
education as substantially equivalent under certain circumstances.
Under existing law, the board is required to accept, for applicants
who apply for examination eligibility and registration and who may or
may not hold a license from another state, experience and education
gained outside of California toward the licensure requirements if,
among other requirements, it is substantially equivalent, as
specified. The board may accept education as substantially equivalent
if it meets certain requirements, including the completion of at
least 48 semester or 72 quarter units of instruction. These
provisions apply to applicants who apply between January 1, 2011, and
December 31, 2013, and are operative until January 1, 2014.
This bill would extend the application of those provisions to
December 31, 2014, and extend the operative date of those provisions
to January 1, 2015.
Under existing law, for an applicant who holds a license from
another state and who applies for examination eligibility on or after
January 1, 2014, the board may issue a license to that person if,
among other requirements, his or her supervised experience and
education is substantially equivalent. For an applicant who does not
hold a license from another state, the board is required to accept
experience and education gained outside of California toward the
licensure or registration requirements if, among other things, it is
substantially equivalent. Under existing law, education is
substantially equivalent if it meets certain requirements, including
the completion of at least 60 semester or 90 quarter units of
instruction and an 18-hour course in California law and professional
ethics.
This bill would delay the application of those provisions to
January 1, 2015.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 4980.72 of the Business and Professions Code is
amended to read:
4980.72. (a) This section applies to persons who are licensed
outside of California and apply for licensure on or after January 1,
2014 2015 .
(b) The board may issue a license to a person who, at the time of
submitting an application for a license pursuant to this chapter,
holds a valid license in good standing issued by a board of marriage
counselor examiners, board of marriage and family therapists, or
corresponding authority, of any state or country, if all of the
following conditions are satisfied:
(1) The applicant's education is substantially equivalent, as
defined in Section 4980.78. The applicant's degree title need not be
identical to that required by Section 4980.36 or 4980.37.
(2) The applicant complies with Section 4980.76, if applicable.
(3) The applicant's supervised experience is substantially
equivalent to that required for a license under this chapter. The
board shall consider hours of experience obtained outside of
California during the six-year period immediately preceding the date
the applicant initially obtained the license described above.
(4) The applicant passes the California law and ethics
examination.
(5) The applicant passes a clinical examination designated by the
board. An applicant who obtained his or her license or registration
under another jurisdiction may apply for licensure with the board
without taking the clinical examination if both of the following
conditions are met:
(A) The applicant obtained a passing score on the licensing
examination set forth in regulation as accepted by the board.
(B) The applicant's license or registration in that jurisdiction
is in good standing at the time of his or her application and has not
been revoked, suspended, surrendered, denied, or otherwise
restricted or encumbered as a result of any disciplinary proceeding
brought by the licensing authority of that jurisdiction.
SEC. 2. Section 4980.74 of the Business and Professions Code is
amended to read:
4980.74. (a) This section applies to persons who apply for
licensure or registration on or after January 1, 2014
2015 , and who do not hold a license as
described in Section 4980.72.
(b) The board shall accept education gained while residing outside
of California for purposes of satisfying licensure or registration
requirements if the education is substantially equivalent, as defined
in Section 4980.78, and the applicant complies with Section 4980.76,
if applicable. The applicant's degree title need not be identical to
that required by Section 4980.36 or 4980.37.
(c) The board shall accept experience gained outside of California
for purposes of satisfying licensure or registration requirements if
the experience is substantially equivalent to that required by this
chapter.
SEC. 3. Section 4980.78 of the Business and Professions Code is
amended to read:
4980.78. (a) This section applies to persons who apply for
licensure or registration on or after January 1, 2014
2015 .
(b) For purposes of Sections 4980.72 and 4980.74, education is
substantially equivalent if all of the following requirements are
met:
(1) The degree is obtained from a school, college, or university
accredited by an accrediting agency recognized by the United States
Department of Education and consists of, at a minimum, 48 semester or
72 quarter units, including, but not limited to, both of the
following:
(A) Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 150 hours of face-to-face
counseling.
(B) Twelve semester or 18 quarter units in the areas of marriage,
family, and child counseling and marital and family systems
approaches to treatment, as specified in subparagraph (A) of
paragraph (1) of subdivision (d) of Section 4980.36.
(2) The applicant completes any units and course content
requirements under subdivision (d) of Section 4980.36 not already
completed in his or her education.
(3) The applicant completes credit level coursework from a
degree-granting institution that provides all of the following:
(A) Instruction regarding the principles of mental health
recovery-oriented care and methods of service delivery in recovery
model practice environments.
(B) An understanding of various California cultures and the social
and psychological implications of socioeconomic position.
(C) Structured meeting with various consumers and family members
of consumers of mental health services to enhance understanding of
their experience of mental illness, treatment, and recovery.
(D) Instruction in addiction and co-occurring substance abuse and
mental health disorders, as specified in subparagraph (I) of
paragraph (2) of subdivision (d) of Section 4980.36.
(4) The applicant completes an 18-hour course in California law
and professional ethics. The content of the course shall include, but
not be limited to, advertising, scope of practice, scope of
competence, treatment of minors, confidentiality, dangerous patients,
psychotherapist-patient privilege, recordkeeping, patient access to
records, state and federal laws relating to confidentiality of
patient health information, dual relationships, child abuse, elder
and dependent adult abuse, online therapy, insurance reimbursement,
civil liability, disciplinary actions and unprofessional conduct,
ethics complaints and ethical standards, termination of therapy,
standards of care, relevant family law, therapist disclosures to
patients, differences in legal and ethical standards in different
types of work settings, and licensing law and licensing process.
(5) The applicant's degree title need not be identical to that
required by subdivision (b) of Section 4980.36.
SEC. 4. Section 4980.80 of the Business and Professions Code is
amended to read:
4980.80. (a) This section applies to persons who apply for
licensure between January 1, 2010, and December 31, 2013
2014 , inclusive.
(b) The board may issue a license to a person who, at the time of
application, holds a valid license issued by a board of marriage
counselor examiners, marriage therapist examiners, or corresponding
authority of any state, if all of the following requirements are
satisfied:
(1) The person has held that license for at least two years
immediately preceding the date of application.
(2) The education and supervised experience requirements are
substantially the equivalent of this chapter.
(3) The person complies with Section 4980.76, if applicable.
(4) The person successfully completes the board administered
licensing examinations as specified by subdivision (d) of Section
4980.40 and pays the fees specified.
(5) The person completes all of the following coursework or
training:
(A) (i) An applicant who completed a two semester or three quarter
unit course in law and professional ethics for marriage and family
therapists that does not meet the requirements of Section 4980.41 as
part of his or her qualifying degree shall complete an 18-hour course
in California law and professional ethics that includes, but is not
limited to, the following subjects: advertising, scope of practice,
scope of competence, treatment of minors, confidentiality, dangerous
patients, psychotherapist-patient privilege, recordkeeping, patient
access to records, state and federal laws relating to the
confidentiality of patient health information, dual relationships,
child abuse, elder and dependent adult abuse, online therapy,
insurance reimbursement, civil liability, disciplinary actions and
unprofessional conduct, ethics complaints and ethical standards,
termination of therapy, standards of care, relevant family law, and
therapist disclosures to patients.
(ii) An applicant who has not completed a two semester or three
quarter unit course in law and professional ethics for marriage and
family therapists that included areas of study as specified in
Section 4980.41 as part of his or her qualifying degree, shall
complete a two semester or three quarter unit course in California
law and professional ethics that includes, at minimum, the areas of
study specified in Section 4980.41.
(B) A minimum of seven contact hours of training or coursework in
child abuse assessment and reporting as specified in Section 28 and
any regulations promulgated thereunder.
(C) A minimum of 10 contact hours of training or coursework in
human sexuality as specified in Section 25 and any regulations
promulgated thereunder.
(D) A minimum of 15 contact hours of training or coursework in
alcoholism and other chemical substance dependency as specified by
regulation.
(E) (i) Instruction in spousal or partner abuse assessment,
detection, and intervention. This instruction may be taken either in
fulfillment of other requirements for licensure or in a separate
course.
(ii) A minimum of 15 contact hours of coursework or training in
spousal or partner abuse assessment, detection, and intervention
strategies.
(F) A minimum of a two semester or three quarter unit survey
course in psychological testing. This course may be taken either in
fulfillment of other requirements for licensure or in a separate
course.
(G) A minimum of a two semester or three quarter unit survey
course in psychopharmacology. This course may be taken either in
fulfillment of other requirements for licensure or in a separate
course.
(H) With respect to human sexuality, alcoholism and other chemical
substance dependency, spousal or partner abuse assessment,
detection, and intervention, psychological testing, and
psychopharmacology, the board may accept training or coursework
acquired out of state.
(c) This section shall remain in effect only until January 1,
2014 2015 , and as of that date is
repealed, unless a later enacted statute, that is enacted before
January 1, 2014 2015 , deletes or
extends that date.
SEC. 5. Section 4980.90 of the Business and Professions Code is
amended to read:
4980.90. (a) This section applies to persons who apply for
licensure between January 1, 2010, and December 31, 2013
2014 , inclusive.
(b) Experience gained outside of California shall be accepted
toward the licensure requirements if it is substantially equivalent
to that required by this chapter, if the applicant complies with
Section 4980.76, if applicable, and if the applicant has gained a
minimum of 250 hours of supervised experience in direct counseling
within California while registered as an intern with the board. The
board shall consider hours of experience obtained in another state
during the six-year period immediately preceding the applicant's
initial licensure by that state as a marriage and family therapist.
(c) Education gained while residing outside of California shall be
accepted toward the licensure requirements if it is substantially
equivalent to the education requirements of this chapter, and if the
applicant has completed all of the following:
(1) A two semester or three quarter unit course in California law
and professional ethics for marriage, family, and child counselors
that shall include areas of study as specified in Section 4980.41.
(2) A minimum of seven contact hours of training or coursework in
child abuse assessment and reporting as specified in Section 28 and
any regulations promulgated thereunder.
(3) A minimum of 10 contact hours of training or coursework in
sexuality as specified in Section 25 and any regulations promulgated
thereunder.
(4) A minimum of 15 contact hours of training or coursework in
alcoholism and other chemical substance dependency as specified by
regulation.
(5) (A) Instruction in spousal or partner abuse assessment,
detection, and intervention. This instruction may be taken either in
fulfillment of other educational requirements for licensure or in a
separate course.
(B) A minimum of 15 contact hours of coursework or training in
spousal or partner abuse assessment, detection, and intervention
strategies.
(6) A minimum of a two semester or three quarter unit survey
course in psychological testing. This course may be taken either in
fulfillment of other requirements for licensure or in a separate
course.
(7) A minimum of a two semester or three quarter unit survey
course in psychopharmacology. This course may be taken either in
fulfillment of other requirements for licensure or in a separate
course.
(8) With respect to human sexuality, alcoholism and other chemical
substance dependency, spousal or partner abuse assessment,
detection, and intervention, psychological testing, and
psychopharmacology, the board may accept training or coursework
acquired out of state.
(d) For purposes of this section, the board may, in its
discretion, accept education as substantially equivalent if the
applicant meets both of the following requirements:
(1) The applicant has been granted a degree in a single integrated
program primarily designed to train marriage and family therapists.
(2) The applicant's education meets the requirements of Section
4980.37. The degree title need not be identical to that required by
subdivision (b) of Section 4980.37. If the applicant's degree does
not contain the content or the overall units required by Section
4980.37, the board may, in its discretion, accept the applicant's
education as substantially equivalent if the following criteria are
satisfied:
(A) The applicant's degree contains the required number of
practicum units and coursework required in the areas of marriage,
family, and child counseling and marital and family systems
approaches to treatment as specified in Section 4980.37.
(B) The applicant remediates his or her specific deficiency by
completing the course content and the units required by Section
4980.37.
(C) The applicant's degree otherwise complies with this section.
(e) This section shall remain in effect only until January 1,
2014 2015 , and as of that date is
repealed, unless a later enacted statute, that is enacted before
January 1, 2014 2015 , deletes or
extends that date.
SEC. 6. Section 4999.57 of the Business and Professions Code is
amended to read:
4999.57. (a) This section applies to a person who applies for
examination eligibility or registration between January 1, 2011, and
December 31, 2013 2014 , inclusive, who
does not hold a license described in subdivision (a) of Section
4999.58.
(b) Experience gained outside of California shall be accepted
toward the licensure requirements if it is substantially equivalent
to that required by this chapter, if the applicant complies with
Section 4999.40, if applicable, and if the applicant has gained a
minimum of 250 hours of supervised experience in direct counseling
within California while registered as an intern with the board.
(c) Education gained while residing outside of California shall be
accepted toward the licensure requirements if it is substantially
equivalent to the education requirements of this chapter, and if the
applicant has completed the training or coursework required under
subdivision (e) of Section 4999.32, which includes, in addition to
the course described in subparagraph (I) of paragraph (1) of
subdivision (c) of Section 4999.32, an 18-hour course in California
law and professional ethics for professional clinical counselors.
(d) For purposes of this section, the board may, in its
discretion, accept education as substantially equivalent if the
applicant's education meets the requirements of Section 4999.32. If
the applicant's degree does not contain the content or the overall
units required by Section 4999.32, the board may, in its discretion,
accept the applicant's education as substantially equivalent if the
following criteria are satisfied:
(1) The applicant's degree contains the required number of
practicum units under paragraph (3) of subdivision (c) of Section
4999.32.
(2) The applicant remediates his or her specific deficiency by
completing the course content and units required by Section 4999.32.
(3) The applicant's degree otherwise complies with this section.
(e) This section shall become inoperative on January 1,
2014 2015 , and as of that date is repealed,
unless a later enacted statute, which is enacted before January 1,
2014 2015 , deletes or extends that
date.
SEC. 7. Section 4999.58 of the Business and Professions Code is
amended to read:
4999.58. (a) This section applies to a person who applies for
examination eligibility between January 1, 2011, and December 31,
2013 2014 , inclusive, and who meets
both of the following requirements:
(1) At the time of application, holds a valid license as a
professional clinical counselor, or other counseling license that
allows the applicant to independently provide clinical mental health
services, in another jurisdiction of the United States.
(2) Has held the license described in paragraph (1) for at least
two years immediately preceding the date of application.
(b) The board may issue a license to a person described in
subdivision (a) if all of the following requirements are satisfied:
(1) The education and supervised experience requirements of the
other jurisdiction are substantially the equivalent of this chapter,
as described in subdivision (e) and in Section 4999.46.
(2) The person complies with subdivision (b) of Section 4999.40,
if applicable.
(3) The person successfully completes the examinations required by
the board pursuant to paragraph (3) of subdivision (a) of Section
4999.50. An applicant who obtained his or her license or registration
under another jurisdiction by taking a national examination that is
required by the board may apply for licensure with the board without
retaking that examination if both of the following conditions are
met:
(A) The applicant obtained a passing score on the national
licensing examination that is required by the board.
(B) The applicant's license or registration in that jurisdiction
is in good standing at the time of his or her application and has not
been revoked, suspended, surrendered, denied, or otherwise
restricted or encumbered as a result of any disciplinary proceeding
brought by the licensing authority of that jurisdiction.
(4) The person pays the required fees.
(c) Experience gained outside of California shall be accepted
toward the licensure requirements if it is substantially equivalent
to that required by this chapter. The board shall consider hours of
experience obtained in another state during the six-year period
immediately preceding the applicant's initial licensure by that state
as a licensed professional clinical counselor.
(d) Education gained while residing outside of California shall be
accepted toward the licensure requirements if it is substantially
equivalent to the education requirements of this chapter, and if the
applicant has completed the training or coursework required under
subdivision (e) of Section 4999.32, which includes, in addition to
the course described in subparagraph (I) of paragraph (1) of
subdivision (c) of Section 4999.32, an 18-hour course in California
law and professional ethics for professional clinical counselors.
(e) For purposes of this section, the board may, in its
discretion, accept education as substantially equivalent if the
applicant's education meets the requirements of Section 4999.32. If
the applicant's degree does not contain the content or the overall
units required by Section 4999.32, the board may, in its discretion,
accept the applicant's education as substantially equivalent if the
following criteria are satisfied:
(1) The applicant's degree contains the required number of
practicum units under paragraph (3) of subdivision (c) of Section
4999.32.
(2) The applicant remediates his or her specific deficiency by
completing the course content and units required by Section 4999.32.
(3) The applicant's degree otherwise complies with this section.
(f) This section shall become inoperative on January 1,
2014 2015 , and as of that date is repealed,
unless a later enacted statute, which is enacted before January 1,
2014 2015 , deletes or extends that
date.
SEC. 8. Section 4999.59 of the Business and Professions Code is
amended to read:
4999.59. (a) This section applies to a person who applies for
examination eligibility or registration between January 1, 2011, and
December 31, 2013 2014 , inclusive, who
meets both of the following requirements:
(1) At the time of application, holds a valid license described in
paragraph (1) of subdivision (a) of Section 4999.58.
(2) Has held the license described in paragraph (1) for less than
two years immediately preceding the date of application.
(b) Experience gained outside of California shall be accepted
toward the licensure requirements if it is substantially equivalent
to that required by this chapter, if the applicant complies with
Section 4999.40, if applicable, and if the applicant has gained a
minimum of 250 hours of supervised experience in direct counseling
within California while registered as an intern with the board. The
board shall consider hours of experience obtained in another state
during the six-year period immediately preceding the applicant's
initial licensure in that state as a professional clinical counselor.
(c) Education gained while residing outside of California shall be
accepted toward the licensure requirements if it is substantially
equivalent to the education requirements of this chapter, and if the
applicant has completed the training or coursework required under
subdivision (e) of Section 4999.32, which includes, in addition to
the course described in subparagraph (I) of paragraph (1) of
subdivision (c) of Section 4999.32, an 18-hour course in California
law and professional ethics for professional clinical counselors.
(d) For purposes of this section, the board may, in its
discretion, accept education as substantially equivalent if the
applicant's education meets the requirements of Section 4999.32. If
the applicant's degree does not contain the content or the overall
units required by Section 4999.32, the board may, in its discretion,
accept the applicant's education as substantially equivalent if the
following criteria are satisfied:
(1) The applicant's degree contains the required number of
practicum units under paragraph (3) of subdivision (c) of Section
4999.32.
(2) The applicant remediates his or her specific deficiency by
completing the course content and units required by Section 4999.32.
(3) The applicant's degree otherwise complies with this section.
(e) An applicant who obtained his or her license or registration
under another jurisdiction by taking a national examination that is
required by the board may apply for licensure with the board without
retaking that examination if both of the following conditions are
met:
(1) The applicant obtained a passing score on the national
licensing examination that is required by the board.
(2) The applicant's license or registration in that jurisdiction
is in good standing at the time of his or her application and has not
been revoked, suspended, surrendered, denied, or otherwise
restricted or encumbered as a result of any disciplinary proceeding
brought by the licensing authority of that jurisdiction.
(f) This section shall become inoperative on January 1,
2014 2015 , and as of that date is repealed,
unless a later enacted statute, which is enacted before January 1,
2014 2015 , deletes or extends that
date.
SEC. 9. Section 4999.60 of the Business and Professions Code is
amended to read:
4999.60. (a) This section applies to persons who are licensed
outside of California and apply for examination eligibility on or
after January 1, 2014 2015 .
(b) The board may issue a license to a person who, at the time of
submitting an application for a license pursuant to this chapter,
holds a valid license as a professional clinical counselor, or other
counseling license that allows the applicant to independently provide
clinical mental health services, in another jurisdiction of the
United States if all of the following conditions are satisfied:
(1) The applicant's education is substantially equivalent, as
defined in Section 4999.62.
(2) The applicant complies with subdivision (b) of Section
4999.40, if applicable.
(3) The applicant's supervised experience is substantially
equivalent to that required for a license under this chapter. The
board shall consider hours of experience obtained outside of
California during the six-year period immediately preceding the date
the applicant initially obtained the license described above.
(4) The applicant passes the examinations required to obtain a
license under this chapter. An applicant who obtained his or her
license or registration under another jurisdiction may apply for
licensure with the board without taking the clinical examination if
both of the following conditions are met:
(A) The applicant obtained a passing score on the licensing
examination set forth in regulation as accepted by the board.
(B) The applicant's license or registration in that jurisdiction
is in good standing at the time of his or her application and has not
been revoked, suspended, surrendered, denied, or otherwise
restricted or encumbered as a result of any disciplinary proceeding
brought by the licensing authority of that jurisdiction.
SEC. 10. Section 4999.61 of the Business and Professions Code is
amended to read:
4999.61. (a) This section applies to persons who apply for
examination eligibility or registration on or after January 1,
2014 2015 , and who do not hold a
license as described in Section 4999.60.
(b) The board shall accept education gained while residing outside
of California for purposes of satisfying licensure or registration
requirements if the education is substantially equivalent, as defined
in Section 4999.62, and the applicant complies with subdivision (b)
of Section 4999.40, if applicable.
(c) The board shall accept experience gained outside of California
for purposes of satisfying licensure or registration requirements if
the experience is substantially equivalent to that required by this
chapter.
SEC. 11. Section 4999.62 of the Business and Professions Code is
amended to read:
4999.62. (a) This section applies to persons who apply for
examination eligibility or registration on or after January 1,
2014 2015 .
(b) For purposes of Sections 4999.60 and 4999.61, education is
substantially equivalent if all of the following requirements are
met:
(1) The degree is
obtained from an accredited or approved institution, as defined in
Section 4999.12, and consists of, at a minimum, 48 semester or 72
quarter units, including, but not limited to, both of the following:
(A) Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 280 hours of face-to-face
counseling.
(B) The required areas of study listed in subparagraphs (A) to
(M), inclusive, of paragraph (1) of subdivision (c) of Section
4999.33.
(2) The applicant completes any units and course content
requirements under Section 4999.33 not already completed in his or
her education.
(3) The applicant completes credit level coursework from a
degree-granting institution that provides all of the following:
(A) Instruction regarding the principles of mental health
recovery-oriented care and methods of service delivery in recovery
model practice environments.
(B) An understanding of various California cultures and the social
and psychological implications of socioeconomic position.
(C) Structured meeting with various consumers and family members
of consumers of mental health services to enhance understanding of
their experience of mental illness, treatment, and recovery.
(D) Instruction in behavioral addiction and co-occurring substance
abuse and mental health disorders, as specified in subparagraph (K)
of paragraph (1) of subdivision (c) of Section 4999.33.
(4) The applicant completes, in addition to the course described
in subparagraph (I) of paragraph (1) of subdivision (c) of Section
4999.33, an 18-hour course in California law and professional ethics
that includes, but is not limited to, instruction in advertising,
scope of practice, scope of competence, treatment of minors,
confidentiality, dangerous clients, psychotherapist-client privilege,
recordkeeping, client access to records, state and federal laws
relating to confidentiality of patient health information, dual
relationships, child abuse, elder and dependent adult abuse, online
therapy, insurance reimbursement, civil liability, disciplinary
actions and unprofessional conduct, ethics complaints and ethical
standards, termination of therapy, standards of care, relevant family
law, and therapist disclosures to clients.