BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 451
          Author:   Eggman (D)
          Amended:  8/15/13 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM.  :  10-0, 6/10/13
          AYES:  Lieu, Emmerson, Block, Corbett, Galgiani, Hernandez,  
            Hill, Padilla, Wyland, Yee

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8
           
           ASSEMBLY FLOOR  :  76-0, 4/18/13 (Consent) - See last page for  
            vote


           SUBJECT  :    Healing arts:  therapists and counselors:  licensing

           SOURCE  :     Board of Behavioral Sciences


           DIGEST  :    This bill delays the timeline for implementation of  
          new licensing requirements for out-of-state licensed marriage  
          and family therapist (LMFT) and licensed professional clinical  
          counselor (LPCC) applicants to the Board of Behavioral Sciences  
          (BBS), from January 1, 2014 to January 1, 2016; and changes the  
          out-of-state licensee experience requirements for LMFT and LPCC  
          applicants.

           Senate Floor Amendments  of 8/15/13 change the out-of-state  
          licensee experience requirements for LMFT and LPCC applicants to  
          count time actively licensed as experience at a rate of 100  
          hours per month, up to 1,200 hours.  
                                                                CONTINUED





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           ANALYSIS  :    

          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.  

          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.  

          3.Establishes the equivalent education guidelines for LMFT  
            applicants licensed outside of California who apply for  
            licensure on or after January 1, 2014, and obtained education  
            outside of California.  

          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.  

          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.  

          6.Authorizes experience gained outside of California to be  
            accepted towards the licensure requirements for LPCC  
            applicants who apply for examination or eligibility  
            requirements between January 1, 2011 and December 31, 2013,  
            and repeals that authority effective January 1, 2014.  

          7.Establishes the examination eligibility 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 more than two years, and repeals these  
            requirements effective January 1, 2014.  

          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  







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            valid license outside of California for less than two years  
            and meet specified criteria, and repeals that authority  
            effective January 1, 2014. 

          9.Requires the BBS to consider hours of experience obtained  
            outside of Califoria during the six-year period immediately  
            preceding the date the applicant initially obtained the  
            license and his/her education is substantially equivalent.

          This bill extends the current effective date for new education,  
          examination and eligibility requirements for out-of-state  
          applicants for LMFT and LPCC licenses and extends the operation  
          and repeal date for current examination, eligibility and  
          curriculum requirements for out-of-state applicants.   
          Specifically, this bill:

          1.Specifies the provisions that apply to persons who are  
            licensed outside of California and apply for LMFT licensure on  
            or after January 1, 2016. 

          2.Specifies the provisions that apply to persons who do not hold  
            an out-of-state license and who apply for LMFT licensure on or  
            after January 1, 2016. 

          3.Outlines the education equivalency requirements for persons  
            who apply for LMFT licensure or registration on or after  
            January 1, 2016. 

          4.Extends the period of time that the BBS may issue an LMFT  
            license to a person who holds a valid license issued by an  
            out-of-state licensing board from January 1, 2010 to December  
            31, 2013, to January 1, 2010 to December 31, 2015, and  
            specifies that the law permitting the BBS to issue a license  
            to a person who holds a valid license issued by a licensing  
            board shall remain in effect until January 1, 2016. 

          5.Indicates that experience gained outside of California can be  
            accepted toward LMFT licensure requirements if it is  
            substantially equivalent to BBS licensure requirements for  
            persons who apply for licensure between January 1, 2010 and  
            December 31, 2015; and specifies that the law permitting the  
            BBS to accept experience gained outside of California toward  
            licensure requirements shall remain in effect until January 1,  
            2016.







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          6.Extends the date for an applicant who applies for examination  
            eligibility for registration who does not hold a license from  
            January 1, 2011 to December 31, 2014, to January 1, 2011 to  
            December 31, 2015, and indicates that the provision shall  
            remain in effect until January 1, 2016.

          7.Specifies the licensure requirements for LPCC applicants who  
            apply for examination eligibility or registration between  
            January 1, 2011 and December 31, 2015, and indicates that the  
            provisions shall remain in effect until January 1, 2016.

          8.Establishes the provision for the BBS to issue a license to a  
            person who holds a valid license as a professional clinical  
            counselor or other counseling license in another state on or  
            after January 1, 2016.

          9.Establishes the provision for the BBS to accept education and  
            experience from a person who does not hold a valid license as  
            a professional clinical counselor or other counseling license  
            in another state on or after January 1, 2016 and indicates  
            that the provisions shall remain in effect until January 1,  
            2016. 

           10.Requires, in determining whether an applicant's supervised  
             experience is substantially equivalent, time actively  
             licensed as an LMFT or LPCC to be accepted at a rate of 100  
             hours per month up to a maximum of 1,200 hours if the  
             applicant has less than 3,000 hours of qualifying supervised  
             experience.

           Background

          LMFT out-of-state applicants  .  The BBS does not have reciprocity  
          with any other state licensing board.  Any person from another  
          state seeking a license in California will need to demonstrate  
          compliance with all California licensing requirements, apply for  
          LMFT licensure and pass a Standard Written Examination and a  
          Written Clinical Vignette Examination.

          Depending on an out-of-state applicant's experience and  
          education, the process of completing or providing proof of  
          completion of the California licensing requirements will differ.  
           Currently, any out-of-state LMFT applicant must prove  







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          completion of all California education requirements, including a  
          qualifying graduate degree (as determined by the BBS);  
          additional coursework (not required for MFT Intern  
          registration); 3,000 hours of supervised work experience; and  
          104 weeks of supervision.

           LPCC out-of-state applicants  .  Similar to LMFT out-of-state  
          applicants, LPCC out-of-state applicants have specified  
          supervised work experience and education requirements, including  
          a qualifying graduate degree (as determined by the BBS);  
          additional coursework; six semester or nine quarter units of  
          supervised practicum or field study with a minimum of 150 hours  
          of face-to-face supervised clinical experience counseling  
          individuals, families, or groups; 3,000 hours of supervised work  
          experience; and 104 weeks of supervision.  The applicant must  
          first pass the California Law and Ethics Examination and then  
          pass the National Clinical Mental Health Counselor Examination  
          (NCMHCE), or submit proof of passing the NCMHCE.

           New education and experience requirements for LMFTs and LPCCs  .   
          Effective January 1, 2014, certain educational and experience  
          requirements for out-of-state applicants are set to take effect  
          as result of SB 33 (Correa, Chapter 26, Statutes of 2009) which  
          recast the education curriculum requirements for LMFTs and  
          LPCCs.  Out-of-state applicants for licensure as LMFTs and LPCCs  
          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.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  8/21/13)

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

           ARGUMENTS IN SUPPORT  :    According to the author's office, "This  
          bill would delay upcoming changes to requirements for  







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          out-of-state applicants for licensure as LMFT's and LPCC's due  
          to concerns that the new requirements will create significant  
          barriers to licensure.  Postponing the implementation date?will  
          allow the BBS to carefully consider the best way to allow  
          additional remediation options for these applicants while  
          maintaining public protection, and allow the BBS ample time to  
          run legislation to address the situation once the best course of  
          action has been determined."

           ASSEMBLY FLOOR  :  76-0, 4/18/13
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Blumenfield, Bocanegra, Bonilla, Bonta, Bradford, Brown,  
            Buchanan, Ian Calderon, Campos, Chau, Chávez, Chesbro, Conway,  
            Cooley, Dahle, Daly, Dickinson, Donnelly, Eggman, Fong, Fox,  
            Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gordon, Gorell,  
            Gray, Grove, Hagman, Hall, Harkey, Roger Hernández, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Maienschein, Mansoor,  
            Medina, Melendez, Morrell, Mullin, Muratsuchi, Nazarian,  
            Nestande, Olsen, Pan, Patterson, Perea, V. Manuel Pérez,  
            Quirk, Quirk-Silva, Rendon, 
          Salas, Skinner, Stone, Ting, Torres, Wagner, Waldron, Weber,  
            Wieckowski, Wilk, Williams, Yamada, John A. Pérez
          NO VOTE RECORDED:  Holden, Lowenthal, Mitchell, Vacancy


          MW:nl  8/21/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

                                   ****  END  ****