BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 451
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          Date of Hearing:   April 2, 2013

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                              Richard S. Gordon, Chair
                 AB 451 (Eggman) - As Introduced:  February 19, 2013
           
          SUBJECT  :   Healing arts: therapists and counselors: licensing. 

           SUMMARY  :   Extends the current effective date for new education,  
          examination and eligibility requirements for out-of-state  
          applicants for licensed marriage and family therapist (LMFT) and  
          licensed professional clinical counselor (LPCC) licenses from  
          January 1, 2014 to January 1, 2015, and extends the operation  
          and repeal date for current examination, eligibility and  
          curriculum requirements for out-of-state applicants from January  
          1, 2014 to January 1, 2015.  Specifically,  this bill  :

          1)Extends the effective date from January 1, 2014 to January 1,  
            2015, for LMFT applicants who are licensed outside of  
            California to meet new licensure requirements, as specified. 

          2)Extends the effective date from January 1, 2014 to January 1,  
            2015, for LMFT applicants who do not hold a license outside of  
            California, but have gained educational experience outside of  
            California to meet new licensure requirements, as specified.

          3)Extends the effective date from January 1, 2014 to January 1,  
            2015 for specified equivalent education requirements to take  
            effect for LMFT applicants.  

          4)Extends from December 31, 2013 to December 31, 2014, the  
            current licensure requirements for LMFT applicants who hold a  
            license outside of California as specified, and extends the  
            repeal date of this provision from January 1, 2014 to January  
            1, 2015.

          5)Extends from December 31, 2013 to December 31, 2014 the  
            current licensure requirements for LMFT applicants who have  
            gained experience outside of California, but do not hold a  
            license as specified, and extends the repeal date of this  
            provision from January 1, 2014 to January 1, 2015.

          6)Extends the effective date new examination eligibility  
            requirements from December 31, 2014 to December 31, 2015, for  








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            LPCC applicants who do not hold a license outside of  
            California, but have gained educational experience outside of  
            California, and extends the repeal date of this provision from  
            January 1, 2014 to January 1, 2015. 

          7)Extends from December 31, 2013 to December 31, 2014, the  
            examination eligibility requirements for LPCC applicants who  
            have been licensed for at least two years outside of  
            California as specified, and extends the repeal date of this  
            provision from January 1, 2014 to January 1, 2015.

          8)Extends from December 31, 2013 to December 31, 2014 the  
            examination eligibility requirements for LPCC applicants who  
            have been licensed for less than two years outside of  
            California as specified, and extends the repeal date of this  
            provision from January 1, 2014 to January 1, 2015.

          9)Extends the effective date from January 1, 2014 to January 1,  
            2015 for LPCC applicants who are licensed outside of  
            California to meet new licensure requirements, as specified. 

          10)Extends the effective date from January 1, 2014 to January 1,  
            2015, for LPCC applicants who do not hold a license but have  
            gained educational experience outside of California to meet  
            new licensure requirements, as specified.

          11)Extends the effective date from January 1, 2014 to January 1,  
            2015 for new equivalent education requirements to take effect  
            for LPCC applicants who have gained experience or education  
            outside of California or hold a license outside of California,  
            as specified.  

           EXISTING LAW   

          1)Establishes specified licensing requirements for LMFT  
            applicants who are licensed outside of California and apply  
            for licensure on or after January 1, 2014.  (Business and  
            Professions Code (BPC) Section 4980.72)

          2)Establishes specified registration, education and experience  
            requirements for LMFT applicants who currently do not hold a  
            license outside of California, on or after January 1, 2014.   
            (BPC 4980.74) 

          3)Establishes the equivalent education guidelines for LMFT  








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            applicants licensed outside of California who apply for  
            licensure on or after January 1, 2014 and obtained education  
            outside of California, as specified. (BPC 4980.78)

          4)Establishes the licensure requirements for LMFT applicants who  
            hold an out-of-state license and apply for licensure between  
            January 1, 2010 and December 31, 2013, and repeals these  
            requirements effective January 1, 2014.  (BPC 4980.80)

          5)Authorizes experience gained outside of California to be  
            accepted towards the licensure requirements for LMFT  
            applicants who apply for licensure between January 1, 2010 and  
            December 31, 2013 if specified criteria are met, and repeals  
            that authority effective January 1, 2014. (BPC 4980.90)

          6)Authorizes experience gained outside of California to be  
            accepted towards the licensure requirements for LPCCs  
            applicants who apply for examination or eligibility  
            requirements between January 1, 2011 and December 31, 2013 if  
            specified criteria are met, and repeals that authority  
            effective January 1, 2014. (BPC 4999.57)

          7)Establishes the examination eligibility requirements for LPCC  
            applicants who apply for licensure between January 1, 2011 and  
            December 31, 2013 who hold a valid license outside of  
            California for  more  than two years and meet specified  
            criteria, and repeals these requirements effective January 1,  
            2014. (BPC 4999.58)

          8)Establishes the examination eligibility or registration  
            requirements for LPCC applicants who apply for licensure  
            between January 1, 2011 and December 31, 2013 and hold a valid  
            license outside of California for  less  than two years and meet  
            specified criteria, and repeals that authority effective  
            January 1, 2014. (BPC 4999.59)

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           1)Purpose of this bill  .  Under current law, the BBS may issue a  
            license to a LMFT or LPCC applicant who holds a valid  
            out-of-state license or was educated in another state if the  
            applicant meets specified education, experience, and  
            examination requirements.  However, existing law also mandates  








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            that a new, more rigorous set of requirements for LMFTs and  
            LPCCs go into effect on January 1, 2014, when the current  
            requirements are set to expire. The BBS has expressed concerns  
            that those new requirements may be unreasonably difficult for  
            out-of-state applicants to meet.  In response, this bill would  
            simply extend the operation and sunset dates for the current  
            requirements, and the effective date of the new requirements,  
            by one year in order to give BBS more time to review and  
            possibly revise the new requirements.  This bill is sponsored  
            by the BBS.

           2)Author's statement  .  According to the author, "this bill seeks  
            to postpone new licensing requirements for out-of-state LMFT  
            and LPCC applicants [wanting] to apply for a license in  
            California.  New licensing requirements are set to go into  
            effect on January 1, 2014.  The BBS is concerned that the new  
            requirements are so costly and time-intensive for applicants  
            who have already earned licensure in another state that the  
            portability of LPCC's and LMFT's from other states will be  
            restricted.  Currently, out-of-state applicants must complete  
            some coursework that is specific to California?postponement  
            allows BBS to carefully consider the best way to allow  
            additional remediation options for out-of-state applicants  
            while maintaining public protection."

           3)Out-of-state LMFT applicants  .  Beginning January 1, 2014,  
            certain educational and experience requirements are set to  
            take effect as result of SB 33 (Correa), Chapter 26, Statutes  
            of 2009, which recast the education curriculum requirements  
            for LMFTs.  Applicants for licensure as LMFTs will be required  
            to meet these revised educational requirements.  New  
            applicants must take a broad range of coursework, from  
            understanding marriage and family principles to cultural  
            competency and sensitivity, including a familiarity with the  
            racial, cultural, linguistic, and ethnic backgrounds of  
            persons living in California.  These courses could be  
            difficult to obtain in out-of-state programs as they relate  
            specifically to California and may not be offered at  
            out-of-state educational institutions.  This could potentially  
            block an individual licensed or educated outside of California  
            from qualifying for licensure in California without providing  
            an appropriate way to make up the required coursework.
             
             This bill simply delays the January 1, 2014 implementation  
            date of the new educational requirements and the subsequent  








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            repeal date of the current statutory educational requirements  
            by one year to give BBS (and a special committee created under  
            BBS's jurisdiction) more time to review and revise the new  
            education and curriculum requirements to ensure that they are  
            not overly cumbersome or prohibitive for out-of-state  
            applicants.  

          4)Previous LMFT educational reforms  .  In 2009, after years of  
            limited updates to the LMFT curriculum, Senator Correa's SB 33  
            revised the educational curriculum requirements for LMFTs to  
            help ensure that the education required for LMFTs met the  
            evolving demands of the profession.  The legislation provided  
            delayed effective dates in order to give schools and other  
            interested parties enough time to make the programmatic  
            changes to core requirements for licensure.  The requirements  
            for out-of-state licensure and education portability are set  
            to take effect on January 1, 2014 for both LMFTs and LPCCs.  

           5)LPCC licensing  .  SB 788 (Wyland), Chapter 619, Statutes of  
            2009, established the LPCC Act which provided for the  
            licensing and regulation of LPCCs by BBS.  When the  
            legislation was set to take effect in 2010, many sections of  
            California law that applied to other mental health  
            professionals had yet to be revised to incorporate LPCCs.   
            Because LPCCs are largely comparable to LMFTs, SB 146  
            (Wyland), Chapter 381, Statutes of 2011, was passed to amend  
            various code sections relating to LMFTs so that the same  
            substantive provisions and requirements would apply to LPCCs  
            as well.  Because the out-of-state applicant requirements for  
            LPCCs were mirrored after LMFT law, similar education, exam  
            and experience requirements for out-of-state applicants also  
            become effective January 1, 2014, meaning that LPCCs are faced  
            with similar licensure access and portability issues as LMFTs.

           6)Arguments in support  .  The BBS writes in support, "This bill  
            would extend the effective date for upcoming changes to  
            requirements for out-of-state applicants for licensure as a  
            LMFT and LPCC.  This allows the BBS to carefully consider the  
            best way to allow additional education options for these  
            applicants while maintaining public protection, and allows the  
            BBS ample time to run legislation once the best course of  
            action has been determined."

           7)Previous legislation  .  SB 146 (Wyland), Chapter 381, Statutes  
            of 2011 extended existing law that applies to LMFTs to apply  








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            to LPCCs as well.  
             
             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 added new elements  
            to the curriculum, including public mental health practices,  
            revised the requirements for applicants licensed or educated  
            outside of California; and repeals the current LMFT  
            educational requirements on January 1, 2019.

            SB 788 (Wyland), Chapter 619, Statutes of 2009, established  
            the LPCC Act which provides for the licensing and regulation  
            of LPCCs by BBS.  

            SB 1218 (Correa) of 2008, attempted to update and recast the  
            educational curriculum requirements for LMFTs.  SB 1218 was  
            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.

            AB 234 (Eng), Chapter 586, Statutes of 2007, revised to the  
            LMFT licensing law pertaining to the number of hours of  
            experience required for licensure.  

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Board of Behavioral Sciences (sponsor)
          California Association for Licensed Professional Clinical  
          Counselors
          California Association of Marriage and Family Therapists 

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












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