California Legislature—2013–14 Regular Session

Assembly Bill No. 2213

Introduced by Assembly Member Eggman

February 20, 2014

An act to amend Sections 4980.72, 4980.78, 4980.80, 4980.90, 4999.57, 4999.58, 4999.59, 4999.60, and 4999.62 of, and to add Sections 4980.79, 4980.81, and 4999.63 to, the Business and Professions Code, relating to behavioral health care licensees.

LEGISLATIVE COUNSEL’S DIGEST

AB 2213, as introduced, Eggman. Behavioral health care licensees.

(1) Under existing law, the Board of Behavioral Sciences licenses and regulate marriage and family therapists and licensed professional clinical counselors. Existing law requires an applicant for either license to complete specified numbers of hours of supervised experience, and requires an applicant to register with the board as a marriage and family therapist intern or a licensed professional clinical counselor intern, respectively, in order to be credited for postdegree hours of supervised experience gained toward licensure.

The board may issue a marriage and family therapist license to a person who holds a valid license in good standing issued by an out-of-state board of marriage counselor examiners, board of marriage and family therapists, or corresponding authority, who satisfies specified conditions applicable to a person applying on or after January 1, 2016. These conditions include that the applicant’s education is substantially equivalent to that required of in-state applicants. Under existing law, education is deemed substantially equivalent if specified coursework requirements and practicum requirements are satisfied. Under existing law an applicant is required to satisfy these requirements through graduate level coursework, and remediate any deficiencies in these requirements prior to registering with the board as an intern.

This bill would allow an out-of-state applicant to remediate specified coursework requirements through continuing education, and to remediate specified coursework while registered as an intern. The bill would specify hour or unit requirements for certain coursework requirements. The bill would allow an applicant to remediate the practicum requirements if the applicant holds a license as described above.

(2) Existing law requires a marriage and family therapist applicant who completes his or her degree on or after August 1, 2012, to complete 60 semester units or 90 quarter units of instruction.

This bill would allow those applicants to remediate up to 12 semester units or 18 quarter units while the applicant is registered as an intern.

(3) Existing law requires a marriage and family therapist applicant who obtained his or her degree prior to August 1, 2012, to complete 60 semester or 90 quarter units of instruction.

This bill would allow those applicants to satisfy the degree requirement by completing 48 semester or 72 quarter units of instruction.

(4) Under existing law the board may issue professional clinical counselor license to a person who holds a valid license as a professional clinical counselor, or other counseling license that allows the applicant to independently provide clinical mental health services out of state who satisfies specified conditions applicable to a person applying on or after January 1, 2016. Those conditions include that the applicant’s education is substantially equivalent to that required of in-state applicants. Under existing law, education is deemed substantially equivalent if specified coursework requirements are satisfied. An applicant is required to satisfy these requirements through graduate level coursework, and remediate any deficiencies in these requirements prior to registering with the board as an intern.

This bill would allow an out-of-state applicant to remediate specified coursework requirements through continuing education, and to remediate specified coursework while registered as an intern. The bill would specify hour or unit requirements for certain coursework requirements. The bill would allow an applicant to remediate the practicum requirements if the applicant holds a license as described above.

(5) Existing law requires a professional clinical counselor applicant who completes his or her degree on or after August 1, 2012, to complete 60 semester or 90 quarter units of instruction.

This bill would allow those applicants to remediate up to 12 semester units or 18 quarter units while the applicant is registered as an intern.

(6) Existing law requires an out-of-state professional clinical counselor applicant who obtained his or her degree prior to August 1, 2012, to complete 48 semester or 72 quarter units of instruction.

This bill would require those out-of-state applicants to satisfy the degree requirement by completing 60 semester or 90 quarter units of instruction, and would allow those applicants to remediate up to 12 semester or 18 quarter units.

The bill would also make technical, nonsubstantive and conforming changes.

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, 2016.

(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 begin delete 4980.78. end delete begin insert 4980.79. end insert 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.
begin insert If the applicant has less than 3,000 hours of qualifying supervised
experience, time actively licensed as a marriage and family
therapist shall be accepted at a rate of 100 hours per month, up
to a maximum of 1,200 hours, if the applicant’s degree meets the
practicum requirement described in subparagraph (C) of
paragraph (1) of subdivision (b) of Section 4980.79 without
exemptions or remediation. end insert

(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 4980.78 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, begin delete 2016. end delete begin insert 2016, and
who do not hold a license as described in Section 4980.72. end insert

(b) For purposes of begin delete Sections 4980.72 and end delete begin insert Section end insert 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, begin delete 48
semester or 72 quarter units, including, but not limited to, both of end delete
the following:

begin insert

(A) (i) For an applicant who obtained his or her degree within
the timeline prescribed by subdivision (a) of Section 4980.36, the
degree shall contain no less than 60 semester or 90 quarter units
of instruction.

end insert begin insert

(ii) Up to 12 semester or 18 quarter units of instruction may be
remediated, if missing from the degree. The remediation may occur
while the applicant is registered as an intern.

end insert begin insert

(B) For an applicant who obtained his or her degree within the
timeline prescribed by subdivision (a) of Section 4980.37, the
degree shall contain no less than 48 semester units or 72 quarter
units of instruction.

end insert begin delete

(A)

end delete

begin insert (C) end insert  Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 150 hours of face-to-face
begin delete counseling. end delete begin insert counseling, and an additional 75 hours of either
face-to-face counseling or client-centered advocacy, as specified
in subparagraph (B) of paragraph (1) of subdivision (d) of Section
4980.36. end insert

begin delete

(B)

end delete

begin insert (D) end insert  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.

begin insert

(2) The applicant shall complete coursework in California law
and ethics as follows:

end insert begin insert

(A) An applicant who completed a course in law and
professional ethics for marriage and family therapists as specified
in paragraph (7) of subdivision (a) of Section 4980.81, that did
not contain instruction in California law and ethics, shall complete
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. This coursework
shall be completed prior to registration as an intern.

end insert begin insert

(B) An applicant who has not completed a course in law and
professional ethics for marriage and family therapists as specified
in paragraph (7) of subdivision (a) of Section 4980.81 shall
complete this required coursework. The coursework shall contain
content specific to California law and ethics. This coursework
shall be completed prior to registration as an intern.

end insert begin delete

(2)

end delete

begin insert (3) end insert  The applicant completes begin delete any units and course content
requirements under subdivision (d) of Section 4980.36 end delete begin insert the
educational requirements specified in Section 4980.81 end insert not already
completed in his or her education. begin insert The coursework may be from
an accredited school, college, or university as specified in
paragraph (1), from an educational institution approved by the
Bureau for Private Postsecondary Education, or from a continuing
education provider that is acceptable to the board as defined in
Section 4980.54. The content of this coursework shall be of a
graduate level. end insert

begin delete

(3)

end delete

begin insert (4) end insert  The applicant completes begin delete credit level end delete begin insert the following end insert
coursework begin delete from a degree-granting institution that provides all of
the following: end delete begin insert not already completed in his or her education from
an accredited school, college, or university as specified in
paragraph (1) from an educational institution approved by the
Bureau for Private Postsecondary Education, or from a continuing
education provider that is acceptable to the board as defined in
Section 4980.54. The content of this coursework shall be of a
graduate level. end insert

(A)  begin delete Instruction end delete begin insert At least three semester units, or 45 hours, of
instruction end insert regarding the principles of mental health
recovery-oriented care and methods of service delivery in begin delete recovery
model end delete begin insert recovery-oriented end insert practice begin delete environments. end delete begin insert environments,
including structured meetings with various consumers and family
members of consumers of mental health services to enhance
understanding of their experience of mental illness, treatment, and
recovery. end insert

(B)  begin delete An end delete begin insert At least one semester unit, or 15 hours, of instruction
that includes an end insert understanding of various California cultures and
the social and psychological implications of socioeconomic
position.

begin delete

(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.

end delete begin insert

(5) An applicant may complete any units and course content
requirements required under paragraphs (3) and (4) not already
completed in his or her education while registered as an intern,
unless otherwise specified.

end insert begin delete

(5)

end delete

begin insert (6) end insert  The applicant’s degree title need not be identical to that
required by subdivision (b) of Section 4980.36.

SEC. 3.  

Section 4980.79 is added to the Business and
Professions Code, to read:

4980.79.  

(a) This section applies to persons who apply for
licensure or registration on or after January 1, 2016, and who hold
a license as described in Section 4980.72.

(b) For purposes of Section 4980.72, 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,
the following:

(A) For an applicant who obtained his or her degree within the
timeline prescribed by subdivision (a) of Section 4980.36, the
degree shall contain no less than 60 semester or 90 quarter units
of instruction.

(i) Up to 12 semester or 18 quarter units of instruction may be
remediated, if missing from the degree. The remediation may occur
while the applicant is registered as an intern.

(ii) For an applicant who obtained his or her degree within the
timeline prescribed by subdivision (a) of Section 4980.37, the
degree shall contain no less than 48 semester or 72 quarter units
of instruction.

(iii) Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 150 hours of face-to-face
counseling, and an additional 75 hours of either face-to-face
counseling or client-centered advocacy, as specified in
subparagraph (B) of paragraph (1) of subdivision (d) of Section
4980.36.

(I) An out-of-state applicant who has been licensed for at least
two years in clinical practice, as verified by the board, is exempt
from this requirement.

(II) An out-of-state applicant who has been licensed for less
than two years in clinical practice, as verified by the board, who
does not meet the practicum requirement, shall remediate it by
obtaining 150 hours of face-to-face counseling, and an additional
75 hours of either face-to-face counseling or client-centered
advocacy, as specified in subparagraph (B) of paragraph (1) of
subdivision (d) of Section 4980.36. These hours are in addition to
the 3,000 hours of experience required by this chapter, and shall
be gained while registered as an intern.

(B) Twelve semester or 18 quarter units in the subject 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) An applicant shall complete coursework in California law
and ethics as follows:

(A) An applicant who completed a course in law and
professional ethics for marriage and family therapists as specified
in paragraph (7) of subdivision (a) of Section 4980.81 that did not
include instruction in California law and ethics, shall complete 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. This coursework shall be completed prior
to registration as an intern.

(B) An applicant who has not completed a course in law and
professional ethics for marriage and family therapists as specified
in paragraph (7) of subdivision (a) of Section 4980.81 shall
complete this required coursework. The coursework shall include
content specific to California law and ethics. An applicant shall
complete this coursework registration as an intern.

(3) The applicant completes the educational requirements
specified in Section 4980.81 not already completed in his or her
education. The coursework may be from an accredited school,
college, or university as specified in paragraph (1), from an
educational institution approved by the Bureau for Private
Postsecondary Education, or from a continuing education provider
that is acceptable to the board as defined in Section 4980.54. The
content of this coursework shall be of a graduate level.

(4) The applicant completes the following coursework not
already completed in his or her education from an accredited
school, college, or university as specified in paragraph (1) above,
from an educational institution approved by the Bureau for Private
Postsecondary Education, or from a continuing education provider
that is acceptable to the board as defined in Section 4980.54. The
content of this coursework shall be of a graduate level.

(A) At least three semester units, or 45 hours, of instruction
pertaining to the principles of mental health recovery-oriented care
and methods of service delivery in recovery-oriented practice
environments, including structured meetings with various
consumers and family members of consumers of mental health
services to enhance understanding of their experience of mental
illness, treatment, and recovery.

(B) At least one semester unit, or 15 hours, of instruction that
includes an understanding of various California cultures and the
social and psychological implications of socioeconomic position.

(5) An applicant's degree title need not be identical to that
required by subdivision (b) of Section 4980.36.

(6) An applicant may complete any units and course content
requirements required under paragraphs (3) and (4) not already
completed in his or her education while registered as an intern,
unless otherwise specified.

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, 2015,
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. begin insert If an applicant has less
than 3,000 hours of qualifying supervised experience, time actively
licensed as a marriage and family therapist shall be accepted at
a rate of 100 hours per month up to a maximum of 1,200 hours. end insert

(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, 2016,
and as of that date is repealed, unless a later enacted statute, that
is enacted before January 1, 2016, deletes or extends that date.

SEC. 5.  

Section 4980.81 is added to the Business and
Professions Code, to read:

4980.81.  

This section applies to persons subject to Section
4980.78 or 4980.79, who apply for licensure or registration on or
after January 2016.

(a) For purposes of Sections 4980.78 and 4980.79, an applicant
shall meet all of the following educational requirements:

(1) A minimum of two semester units of instruction in the
diagnosis, assessment, prognosis, and treatment of mental
disorders, including severe mental disorders, evidence-based
practices, psychological testing, psychopharmacology, and
promising mental health practices that are evaluated in peer
reviewed literature. This shall include at least one semester unit
or 15 hours of instruction in psychological testing and at least one
semester unit or 15 hours of instruction in psychopharmacology.

(2) (A) Developmental issues from infancy to old age, including
demonstration of at least one semester unit, or 15 hours, of
instruction that includes all of the following subjects:

(i) The effects of developmental issues on individuals, couples,
and family relationships.

(ii) The psychological, psychotherapeutic, and health
implications of developmental issues and their effects.

(iii) The understanding of the impact that personal and social
insecurity, social stress, low educational levels, inadequate housing,
and malnutrition have on human development.

(B) An applicant who is deficient in any of these subjects may
remediate the coursework by completing three hours of instruction
in each deficient subject.

(3) (A) The broad range of matters and life events that may
arise within marriage and family relationships and within a variety
of California cultures, including instruction in all of the following:

(i) 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 under that section.

(ii) A minimum of 10 contact hours of coursework that includes
all of the following:

(I) The assessment and reporting of, as well as treatment related
to, elder and dependent adult abuse and neglect.

(II) Aging and its biological, social, cognitive, and psychological
aspects.

(III) Long-term care.

(IV) End-of-life and grief.

(iii) A minimum of 15 contact hours of coursework in spousal
or partner abuse assessment, detection, intervention strategies, and
same gender abuse dynamics.

(iv) Cultural factors relevant to abuse of partners and family
members.

(v) Childbirth, child rearing, parenting, and stepparenting.

(vi) Marriage, divorce, and blended families.

(vii) Poverty and deprivation.

(viii) Financial and social stress.

(ix) Effects of trauma.

(x) The psychological, psychotherapeutic, community, and
health implications of the matters and life events described in
clauses (i) to (ix), inclusive.

(4) At least one semester unit, or 15 hours, of instruction in
multicultural development and cross-cultural interaction, including
experiences of race, ethnicity, class, spirituality, sexual orientation,
gender, and disability, and their incorporation into the
psychotherapeutic process.

(5) A minimum of 10 contact hours of training or coursework
in human sexuality, as specified in Section 25 and any regulations
promulgated under that section, including the study of
physiological, psychological, and social cultural variables
associated with sexual behavior and gender identity, and the
assessment and treatment of psychosexual dysfunction.

(6) A minimum of 15 contact hours of coursework in substance
use disorders, and a minimum of 15 contact hours of coursework
in cooccurring disorders and addiction. The following subjects
shall be included in this coursework:

(A) The definition of substance use disorders, cooccurring
disorders, and addiction. For purposes of this subparagraph
“cooccurring disorders” means a mental illness and substance
abuse diagnosis occurring simultaneously in an individual.

(B) Medical aspects of substance use disorders and cooccurring
disorders.

(C) The effects of psychoactive drug use.

(D) Current theories of the etiology of substance abuse and
addiction.

(E) The role of persons and systems that support or compound
substance abuse and addiction.

(F) Major approaches to identification, evaluation, and treatment
of substance use disorders, cooccurring disorders, and addiction,
including, but not limited to, best practices.

(G) Legal aspects of substance abuse.

(H) Populations at risk with regard to substance use disorders
and cooccurring disorders.

(I) Community resources offering screening, assessment,
treatment, and followup for the affected person and family.

(J) Recognition of substance use disorders, cooccurring
disorders, and addiction, and appropriate referral.

(K) The prevention of substance use disorders and addiction.

(7) A minimum of a two semester or three quarter unit course
in law and professional ethics for marriage and family therapists,
including instruction in all of the following subjects:

(A) Contemporary professional ethics and statutory, regulatory,
and decisional laws that delineate the scope of practice of marriage
and family therapy.

(B) The therapeutic, clinical, and practical considerations
involved in the legal and ethical practice of marriage and family
therapy, including, but not limited to, family law.

(C) The current legal patterns and trends in the mental health
professions.

(D) The psychotherapist-patient privilege, confidentiality, the
patient dangerous to self or others, and the treatment of minors
with and without parental consent.

(E) A recognition and exploration of the relationship between
a practitioner’s sense of self and human values and his or her
professional behavior and ethics.

(F) Differences in legal and ethical standards for different types
of work settings.

(G) Licensing law and licensing process.

SEC. 6.  

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, 2015,
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. begin insert If the applicant has less than 3,000 hours of qualifying
supervised experience, time actively licensed as a marriage and
family therapist shall be accepted at a rate of 100 hours per month
up to a maximum of 1,200 hours. end insert

(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, 2016,
and as of that date is repealed, unless a later enacted statute, that
is enacted before January 1, 2016, deletes or extends that date.

SEC. 7.  

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, 2015, 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) begin insert   end insert begin insert (1) end insert  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 begin delete 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. end delete begin insert 4999.32. end insert

begin insert

(2) An applicant who completed a course that meets the
requirements of subparagraph (I) of paragraph (1) of subdivision
(c) of Section 4999.32, and that included instruction in California
law and ethics, is exempt from taking the 18-hour course specified
in paragraph (6) of subdivision (e) of Section 4999.32.

end insert

(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, 2016,
and as of that date is repealed, unless a later enacted statute, which
is enacted before January 1, 2016, deletes or extends that date.

SEC. 8.  

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, 2015, 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. begin insert If the applicant has
less than 3,000 hours of qualifying supervised experience, time
actively licensed as a licensed professional clinical counselor shall
be accepted at a rate of 100 hours per month up to a maximum of
1,200 hours. end insert

(d)  begin insert (1) end insert 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 begin delete 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. end delete begin insert 4999.32. end insert

begin insert

(2) An applicant who completed a course that meets the
requirements of subparagraph (A) of paragraph (1) of subdivision
(c) of Section 4999.32, and that included instruction in California
law and ethics, is exempt from taking the 18-hour course specified
in paragraph (6) of subdivision (e) of Section 4999.32.

end insert

(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, 2016,
and as of that date is repealed, unless a later enacted statute, which
is enacted before January 1, 2016, deletes or extends that date.

SEC. 9.  

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, 2015, 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. begin insert If the applicant has less than 3,000 hours of qualifying
supervised experience, time actively licensed as a licensed
professional clinical counselor shall be accepted at a rate of 100
hours per month up to a maximum of 1,200 hours. end insert

(c)  begin insert (1) end insert 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 begin delete 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. end delete begin insert 4999.32. end insert

begin insert

(2) An applicant who completed a course that meets the
requirements of subparagraph (I) of paragraph (1) of subdivision
(c) of Section 4999.32, and that included instruction in California
law and ethics, is exempt from taking the 18-hour course specified
in paragraph (6) of subdivision (e) of Section 4999.32.

end insert

(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, 2016,
and as of that date is repealed, unless a later enacted statute, which
is enacted before January 1, 2016, deletes or extends that date.

SEC. 10.  

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, 2016.

(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 begin delete 4999.62. end delete begin insert 4999.63. end insert

(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.
begin insert If the applicant has less than 3,000 hours of qualifying supervised
experience, time actively licensed as a professional clinical
counselor shall be accepted at a rate of 100 hours per month up
to a maximum of 1,200 hours if the applicant’s degree meets the
practicum requirement described in subparagraph (C) of
paragraph (1) of subdivision (b) of Section 4999.63 without
exemptions or remediation. end insert

(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. 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, begin delete 2016. end delete
begin insert 2016, and who do not hold a license as described in Section
4999.60. end insert

(b) For purposes of begin delete Sections 4999.60 and end delete begin insert Section end insert 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, begin delete 48 semester or 72 quarter units, including, but not
limited to, both of end delete the following:

begin insert

(A) (i) For an applicant who obtained his or her degree within
the timeline prescribed by subdivision (a) of Section 4999.33 the
degree shall contain no less than 60 graduate semester or 90
graduate quarter units of instruction.

end insert begin insert

(ii) Up to 12 semester or 18 quarter units of instruction may be
remediated, if missing from the degree. The remediation may occur
while the applicant is registered as an intern.

end insert begin insert

(B) For an applicant who obtained his or her degree within the
timeline prescribed by subdivision (a) of Section 4999.32 the
degree shall contain no less than 48 graduate semester or 72
graduate quarter units of instruction.

end insert begin delete

(A)

end delete

begin insert (C) end insert  Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 280 hours of face-to-face
counseling.

begin delete

(B)

end delete

begin insert (D) end insert  The required areas of study listed in subparagraphs (A) to
(M), inclusive, of paragraph (1) of subdivision (c) of Section
4999.33.

begin insert

(i) An applicant whose degree is deficient in any of the required
subjects listed in subparagraphs (A) to (M), inclusive, of paragraph
(1) of subdivision (c) may satisfy those deficiencies by successfully
completing graduate level coursework at an accredited or approved
institution, as defined in Section 4999.12. Coursework taken to
meet those deficiencies shall be the equivalent of three semester
units or four and one-half quarter units of study.

end insert begin insert

(ii) An applicant who completed a course in professional
orientation, ethics, and law in counseling as required by
subparagraph (I) of paragraph (1) of subdivision (c) of Section
4999.33 that did not contain instruction in California law and
ethics shall complete 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. An applicant shall
complete this coursework prior to registration as an intern.

end insert begin insert

(iii) An applicant who has not completed a course in
professional orientation, ethics, and law in counseling as required
by subparagraph (I) of paragraph (1) of subdivision (c) of Section
4999.33 shall complete this required coursework, including content
in California law and ethics. An applicant shall complete this
coursework prior to registration as an intern.

end insert

(2) The applicant completes any units begin delete and course content
requirements under Section 4999.33 end delete begin insert required by subdivision (c)
of Section 4999.33 end insert not already completed in his or her begin delete education. end delete
begin insert education as follows: end insert

begin insert

(A) At least 15 semester units or 22.5 quarter units of advanced
coursework to develop knowledge of specific treatment issues or
special populations. This coursework is in addition to the course
requirements described in subparagraph (D) of paragraph (1).

end insert begin insert

(B) Coursework shall be from an accredited or approved school,
college, or university as defined in Section 4999.12.

end insert begin insert

(3) (A) The applicant completes the following coursework not
already completed in his or her education:

end insert begin insert

(i) A minimum of 10 contact hours of training in human
sexuality, as specified in Section 25 and any regulations
promulgated thereunder, including the study of the physiological,
psychological, and social cultural variables associated with sexual
behavior, gender identity, and the assessment and treatment of
psychosexual dysfunction.

end insert begin insert

(ii) A minimum of 15 contact hours of instruction in spousal or
partner abuse assessment, detection, intervention strategies, and
same-gender abuse dynamics.

end insert begin insert

(iii) 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.

end insert begin insert

(iv) A minimum of 10 contact hours of instruction in aging and
long-term care, including biological, social, cognitive, and
psychological aspects of aging. This coursework shall include
instruction on the assessment and reporting of, as well as treatment
related to, elder and dependent adult abuse and neglect.

end insert begin insert

(B) This coursework may be from an accredited or approved
school, college, or university as defined in Section 4999.12, or
from a continuing education provider that is acceptable to the
board as defined in Section 4999.76. The content of this coursework
shall be of a graduate level.

end insert begin delete

(3)

end delete

begin insert (4) end insert  The applicant completes begin delete credit level end delete begin insert the following end insert
coursework begin delete from a degree-granting institution that provides all of
the following: end delete begin insert not already completed in his or her education from
an accredited or approved school, college, or university as defined
in Section 4999.12, or from a continuing education provider that
is acceptable to the board as defined in Section 4999.76. The
content of this coursework shall be of a graduate level. end insert

(A)  begin delete Instruction end delete begin insert At least three semester units, or 45 hours, of
instruction end insert regarding the principles of mental health
recovery-oriented care and methods of service delivery in begin delete recovery
model end delete begin insert recovery-oriented end insert practice begin delete environments. end delete begin insert environments,
including structured meetings with various consumers and family
members of consumers of mental health services to enhance
understanding of their experiences of mental illness, treatment,
and recovery. end insert

(B)  begin delete An end delete begin insert At least one semester unit, or 15 hours, of instruction
that includes an end insert understanding of various California cultures and
the social and psychological implications of socioeconomic
position.

begin delete

(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.

end delete begin insert

(5) An applicant may complete any units and course content
requirements required under paragraphs (2), (3), or (4) not already
completed in his or her education while registered with the board
as an intern.

end insert

SEC. 12.  

Section 4999.63 is added to the Business and
Professions Code, to read:

4999.63.  

(a) This section applies to persons who apply for
examination eligibility or registration on or after January 1, 2016,
and who hold a license as described in Section 4999.60.

(b) For purposes of Section 4999.60, education is substantially
equivalent if all of the following requirements are met:

(1) The degree was obtained from an accredited or approved
institution, as defined in Section 4999.12, and consists of the
following:

(A) (i) For an applicant who obtained his or her degree within
the timeline prescribed by subdivision (a) of Section 4999.33 the
degree shall contain no less than 60 graduate semester or 90
graduate quarter units of instruction.

(ii) Up to 12 semester or 18 quarter units of instruction may be
remediated, if missing from the degree. The remediation may occur
while the applicant is registered as an intern.

(B) For an applicant who obtained his or her degree within the
timeline prescribed by subdivision (a) of Section 4999.32 the
degree shall contain no less than 48 graduate semester or 72
graduate quarter units of instruction.

(C) Six semester or nine quarter units of practicum, including,
but not limited to, a minimum of 280 hours of face-to-face
counseling.

(i) An applicant who has been licensed for at least two years in
clinical practice, as verified by the board, is exempt from this
requirement.

(ii) An out-of-state applicant who has been licensed for less
than two years in clinical practice, as verified by the board, who
does not meet the practicum requirement, shall remediate the
requirement by demonstrating completion of a total of 280 hours
of face-to face counseling, as specified in subparagraph (K) of
paragraph (3) of subdivision (c) of Section 4999.33. Any
postdegree hours gained to meet this requirement are in addition
to the 3,000 hours of experience required by this chapter, and shall
be gained while the applicant is registered with the board as an
intern.

(D) The required subjects specified in subparagraphs (A) to
(M), inclusive, of paragraph (1) of subdivision (c) of Section
4999.33.

(i) An applicant whose degree is deficient in any of the required
subjects specified in subparagraphs (A) to (M), inclusive, of
paragraph (1) of subdivision (c) may satisfy those deficiencies by
successfully completing graduate level coursework at an accredited
or approved institution, as defined in Section 4999.12. Coursework
taken to meet those deficiencies shall be the equivalent of three
semester units or four and one-half quarter units of study.

(ii) An applicant who completed a course in professional
orientation, ethics, and law in counseling as required by
subparagraph (I) of paragraph (1) of subdivision (c) of Section
4999.33 that did not contain instruction in California law and ethics
shall complete 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. An applicant shall
complete this coursework prior to registration as an intern.

(iii) An applicant who has not completed a course in professional
orientation, ethics and law in counseling as required by
subparagraph (I) of paragraph (1) of subdivision (c) of Section
4999.33 shall complete this required coursework, including content
in California law and ethics. An applicant shall complete this
coursework prior to registration as an intern.

(2) The applicant completes any units required under subdivision
(c) of Section 4999.33 not already completed in his or her education
as follows:

(A) At least 15 semester units or 22.5 quarter units of advanced
coursework to develop knowledge of specific treatment issues or
special populations. This coursework is in addition to the course
requirements described in subparagraph (D) of paragraph (1).

(B) Coursework shall be from an accredited or approved school,
college, or university as defined in Section 4999.12.

(3) The applicant completes the following coursework not
already completed in his or her education:

(A) A minimum of 10 contact hours of training in human
sexuality, as specified in Section 25 and any regulations
promulgated thereunder, including the study of the physiological,
psychological, and social cultural variables associated with sexual
behavior, gender identity, and the assessment and treatment of
psychosexual dysfunction.

(B) A minimum of 15 contact hours of instruction in spousal
or partner abuse assessment, detection, intervention strategies, and
same-gender abuse dynamics.

(C) 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 under that section.

(D) A minimum of 10 contact hours of instruction in aging and
long-term care, including biological, social, cognitive, and
psychological aspects of aging. This coursework shall include
instruction on the assessment and reporting of, as well as treatment
related to, elder and dependent adult abuse and neglect.

(E) This coursework may be from an accredited or approved
school, college, or university as defined in Section 4999.12, or
from a continuing education provider that is acceptable to the board
as defined in Section 4999.76. The content of this coursework shall
be of a graduate level.

(4) The applicant completes the following coursework not
already completed in his or her education from an accredited or
approved school, college, or university as defined in Section
4999.12, or from a continuing education provider that is acceptable
to the board as defined in Section 4999.76. The content of this
coursework shall be of a graduate level.

(A) At least three semester units or 45 hours of instruction
regarding the principles of mental health recovery-oriented care
and methods of service delivery in recovery-oriented practice
environments, including structured meetings with various
consumers and family members of consumers of mental health
services to enhance understanding of their experience of mental
illness, treatment, and recovery.

(B) At least one semester unit or 15 hours of instruction that
includes an understanding of various California cultures and the
social and psychological implications of socioeconomic position.

(5) An applicant may complete any units and course content
requirements required by subparagraph (D) of paragraph (1) or
paragraphs (2), (3), and (4) not already completed in his or her
education while registered with the board as an intern, unless
otherwise specified.