BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 2213
          Author:   Eggman (D)
          Amended:  8/13/14 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  8-0, 6/23/14
          AYES:  Lieu, Wyland, Berryhill, Corbett, Galgiani, Hernandez,  
            Hill, Torres
          NO VOTE RECORDED:  Block

           SENATE APPROPRIATIONS COMMITTEE :  Senate Rule 28.8
           
          ASSEMBLY FLOOR  :  73-0, 5/8/14 (Consent) - See last page for vote


           SUBJECT  :    Behavioral health care licensees

           SOURCE  :     Board of Behavioral Sciences


          DIGEST  :    This bill revises the current education and  
          curriculum requirements for licensure as a marriage and family  
          therapist (MFT) and professional clinical counselor (PCC) for  
          out-of-state applicants who are applying for licensure on or  
          after January 1, 2016.

           Senate Floor Amendments  of 8/13/14 double-joint this bill with  
          SB 1466 (Senate Business, Professions and Economic Development  
          Committee).

           ANALYSIS  :    

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          Existing law:

           1. Establishes licensing requirements for MFT applicants who  
             are licensed outside of California and apply for licensure on  
             or after January 1, 2016.  

           2. Establishes registration, education and experience  
             requirements for MFT applicants who currently do not hold a  
             license outside of California, on or after January 1, 2016.  

           3. Establishes the equivalent education guidelines for MFT  
             applicants licensed outside of California who apply for  
             licensure on or after January 1, 2016, and obtained education  
             outside of California, as specified.  

           4. Establishes the licensure requirements for MFT applicants  
             who hold an out-of-state license and apply for licensure  
             between January 1, 2010, and 
           December 31, 2015, and repeals these requirements effective  
             January 1, 2016.  

           5. Authorizes experience gained outside of California to be  
             accepted towards the licensure requirements for MFT  
             applicants who apply for licensure between January 1, 2010,  
             and December 31, 2015, if specified criteria are met, and  
             repeals that authority effective January 1, 2016.  

           6. Authorizes experience gained outside of California to be  
             accepted towards the licensure requirements for PCC  
             applicants who apply for examination or eligibility  
             requirements between January 1, 2011, and December 31, 2015,  
             if specified criteria are met, and repeals that authority  
             effective January 1, 2014.  

           7. Establishes the examination eligibility requirements for PCC  
             applicants who apply for licensure between January 1, 2011,  
             and December 31, 2015, who hold a valid license outside of  
             California for more than two years and meet specified  
             criteria, and repeals these requirements effective January 1,  
             2016.  

           8. Establishes the examination eligibility or registration  
             requirements for PCC applicants who apply for licensure  
             between January 1, 2011, and December 31, 2015, 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, 2016.  

          This bill:

           For persons licensed outside of California and applying for  
          licensure as an MFT on or after January 1, 2016  :  

           1.Permits the Board of Behavioral Sciences (BBS) to accept time  
            actively licensed as a MFT towards licensure 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 and the applicant's degree meets specified  
            practicum requirements without exemption and remediation.

           For persons who do not hold a license outside of California and  
          applying for licensure or registration as an MFT on or after  
          January 1, 2016  :  

            2. Revises the current number of units required for an  
             applicant educated outside of California, as follows:

              A.    For an applicant who obtained his/her degree within a  
                specified timeline, the degree must contain no less than  
                60 semester units or 90 quarter units of instruction, and  
                up to 12 semester or 18 quarter units of instruction may  
                be remediated if missing from the degree and may occur  
                while the applicant is registered as an intern;

              B.    For an applicant who obtained his/her degree within a  
                specified timeframe, the degree must contain no less than  
                48 semester units or 72 quarter units of instruction; and 

              C.    An additional 75 hours of either face-to-face  
                counseling or client-centered advocacy, or a combination  
                thereof.

           3. Revises the coursework requirements for California law and  
             ethics, as follows:

              A.    An applicant who completed a course in law and  
                professional ethics for MFTs, as specified, that did not  
                contain instruction in California law and ethics must  

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                complete an 18-hour course, as specified, prior to  
                registering as an intern; and

              B.    An applicant, who has not completed a course in law  
                and professional ethics for MFTs, as specified, must  
                complete coursework which contains content specific to  
                California law and ethics and completes the coursework  
                prior to registration as an intern.

           4. Clarifies for an applicant who completes specified  
             educational requirements, which were not completed during  
             his/her education, that the coursework must be from an  
             accredited school, college or university, as specified, an  
             educational institution approved by the Bureau of Private  
             Postsecondary Education (BPPE) or from a continuing education  
             provider that is acceptable to BBS, as specified, which  
             cannot be undergraduate coursework.

           5. Requires an applicant to complete the following coursework,  
             which cannot be undergraduate coursework, not already  
             completed in his/her education from a specified educational  
             institution:

              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; and

              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.

           6. Clarifies that an applicant may complete any specified units  
             and course content requirements not already completed in  
             his/her education while registered as an intern, unless  
             otherwise specified.
           
          For persons licensed outside of California and applying for  
          licensure or registration as an MFT on or after January 1, 2016  :

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           7. States that education will be considered substantially  
             equivalent if all of the following requirements are met:

              A.    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 the following:

                 (1)      For an applicant who obtained his/her degree  
                   within a specified timeframe, the degree must contain  
                   no less than 60 semester or 90 quarter units of  
                   instruction and up to 12 semester or 18 quarter units  
                   of instruction may be remediated while registered as an  
                   intern.

                 (2)      For an applicant who obtained his/her degree  
                   within a specified timeline, the degree must contain no  
                   less than 48 semester or 72 quarter units of  
                   instruction;

                 (3)   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, or a combination thereof.  An out-of-state  
                   applicant, who has been licensed for at least two years  
                   in clinical practice, as verified by BBS, is exempt  
                   from this requirement.  An applicant who has been  
                   licensed for less than two years in clinical practice,  
                   as verified by BBS, who does not meet the practicum  
                   requirement, is required to 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 or a combination thereof, in  
                   addition to the 3,000 hours of experience required  
                   while registered as an intern.

                 (4)   12 semester or 18 quarter units in the areas of  
                   marriage, family, and child counseling and marital and  
                   family systems, and approaches to treatment, as  
                   specified.

           8. Specifies that an applicant must complete coursework in law  

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             and ethics as follows:

              A.    An applicant who has completed a course in law and  
                professional ethics for MFTs, as specified, that did not  
                include instruction in California law and professional  
                ethics must complete an 18-hour course in California law  
                and professional ethics prior to registering as an intern,  
                and the content of the course must at least include,  
                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, ethic complaints and ethical standards,  
                termination of therapy, standards of care, relevant family  
                law, therapist disclosure to patients, differences in  
                legal and ethical standards in different types of work  
                settings, and licensing law and licensing process prior to  
                registering as an intern; and 

              B.    An applicant, who has not completed a course in law  
                and professional ethics for MFTs, as specified, shall  
                complete the coursework which includes content specific to  
                California law and ethics, prior to registering as an  
                intern. 

           9. Permits coursework not already completed during an  
             applicant's education to be from an accredited school,  
             college or university, as specified, an institution approved  
             by BPPE, or from a continuing education provider that is  
             acceptable to BBS, and does not include undergraduate  
             coursework.

           10.Requires an applicant to complete the following coursework,  
             not already completed in his/her education, from an  
             accredited school, college or university, as specified, an  
             institution approved by BPPE, or from a continuing education  
             provider that is acceptable to BBS, and is not undergraduate  
             coursework:

              A.    At least three semester units or 45 hours of  

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                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 consumer and family  
                members of consumers of mental health services to enhance  
                understanding of their experience of mental illness,  
                treatment, and recovery; and

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

           11.Clarifies that an applicant's degree title does not need to  
             be identical to other specified degree titles.

           12.Specifies that an applicant may complete specified units and  
             course content requirements not already completed in his/her  
             education, while registered as an intern unless otherwise  
             specified.
           
          For persons who apply for licensure as an MFT between January 1,  
          2010, and December 31, 2015, and hold a valid license issued by  
          a board or corresponding authority outside of California  :  

            13.Permits BBS to accept time actively licensed to be accepted  
             toward licensure 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.
           
          For persons who do not hold a license outside of California and  
          apply for licensure or registration as an MFT on or after  
          January 1, 2016  :  

            14.Requires an applicant to meet the following educational  
             requirements:

              A.    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 review literature; this must  
                include at least one semester unit or 15 hours of  

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                instruction in psychological testing and at least one  
                semester unit or 15 hours of instruction in  
                psychopharmacology;

              B.    Training in developmental issues from infancy to old  
                age, including demonstration of at least one semester unit  
                or 15 hours of instruction that includes the following  
                subjects:

                 (1)      The effects of developmental issues on  
                   individuals, couples, and family relationships;

                 (2)      The psychological, psychotherapeutic, and health  
                   implications of developmental issues and their effects;  
                   and

                 (3)      The understanding of the impact that personal  
                   and social insecurity, social stress, low education  
                   levels, inadequate housing, and malnutrition have on  
                   human development and specifies that an applicant who  
                   is deficient in any of the subjects above may remediate  
                   the coursework by completing three hours of instruction  
                   in each deficient subject.

              C.    Training in 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 the following:

                  (1)       A minimum of seven contact hours of training  
                    or coursework in child abuse assessment and reporting,  
                    as specified, and any regulations promulgated;

                  (2)       A minimum of 10 contact hours of coursework  
                    that includes (a) the assessment and reporting of, as  
                    well as treatment related to, elder and dependent  
                    adult abuse and neglect; (b) aging and its biological,  
                    social, cognitive, and psychological aspects; (c)  
                    long-term care; and (d) end-of-life grief.

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

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                  (4)       Cultural factors relevant to abuse of partners  
                    and family members;

                  (5)       Childbirth, child rearing, parenting, and  
                    step-parenting;

                  (6)       Marriage, divorce, and blended families;

                  (7)       Poverty and deprivation;

                  (8)       Financial and social stress;

                  (9)       Effects of trauma; and

                  (10)      The psychological, psychotherapeutic,  
                    community and health implications of the matters and  
                    life events, as specified.

              D.    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;

              E.    A minimum of 10 contact hours of training or  
                coursework in human sexuality, as specified, 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;

              F.    A minimum of 15 contact hours of coursework in  
                substance use disorders, co-occurring disorders and  
                addiction and the coursework must include:

                  (1)       The definition of substance use disorders,  
                    co-occurring disorders and addiction and defines  
                    "co-occurring" to mean a mental illness and substance  
                    abuse diagnosis occurring simultaneously in an  
                    individual;

                  (2)       Medical aspects of substance use disorders and  

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                    co-occurring disorders;

                  (3)       The effects of psychoactive drug use;

                  (4)       Current theories of the etiology of substance  
                    abuse and addiction;

                  (5)       The role of persons and systems that support  
                    or compound substance abuse and addiction;

                  (6)       Major approaches to identification,  
                    evaluation, and treatment of substance use disorders,  
                    co-occurring disorders, and addiction, including best  
                    practices;

                  (7)       Legal aspects of substance abuse;

                  (8)       Populations at risk with regard to substance  
                    use disorders and co-occurring disorders; 

                  (9)       Community resources offering screening,  
                    assessment, treatment, and follow-up for the affected  
                    person and family;

                  (10)      Recognition of substance use disorders,  
                    co-occurring disorders, and addiction and appropriate  
                    referral; and

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

              G.    A minimum of a two semester or three quarter unit  
                course in law and professional ethics for MFTs, including  
                instruction in the following:

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

                 (2)      The therapeutic, clinical and practical  
                   considerations involved in the legal and ethical  
                   practice of marriage and family therapy, including  
                   family law;


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                 (3)      The current legal patterns and trends in the  
                   mental health professions;

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

                 (5)      A recognition and exploration of the  
                   relationship between a practitioner's sense of self and  
                   human values and his/her professional behavior and  
                   ethics; 

                 (6)      Differences in legal and ethical standards for  
                   different types of work settings; and

                 (7)      Licensing law and licensing process.

           For persons who apply for licensure as an MFT between January 1,  
          2010, and December 31, 2015, who have gained experience  
          out-of-state  :  

            15.Permits BBS to accept time actively licensed as an MFT to be  
             accepted towards licensure 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.
           
          For persons who apply for examination eligibility or  
          registration, as a PCC, between January 1, 2011, and December  
                                                               31, 2015, and who are not licensed out-of state  :   

           16.Exempts an applicant from taking an 18-hour ethics course,  
             as specified, if the applicant completed a course that  
             included instruction in California law and ethics.

           For persons who apply for examination eligibility between  
          January 1, 2011, and December 31, 2015, and who have held a PCC  
          license, out-of-state, for at least two-years  :

           17.Permits BBS to accept time actively licensed as a PCC to be  
             accepted towards licensure 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.


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           18.Exempts an applicant from taking an 18-hour ethics course,  
             as specified, if the applicant completed a course that  
             included instruction in California law and ethics.
           
          For persons who apply for examination eligibility between  
          January 1, 2011, and December 31, 2015, and who have held a PCC  
          license, out-of-state, for less than two-years  :

           19.Permits BBS to accept time actively licensed as a PCC to be  
             accepted towards licensure 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.

           20.Exempts an applicant from taking an 18-hour ethics course,  
             as specified, if the applicant completed a course that  
             included instruction in California law and ethics.
           
          For persons who apply for examination eligibility for licensure  
          as a PCC who are licensed outside of California and apply on or  
          after January 1, 2016  :

           21.Permits BBS to accept time actively licensed as a PCC to be  
             accepted towards licensure 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 and the  
             applicant's degree meets specified practicum requirements  
             without exemptions or remediation.
           
          For persons who apply for examination eligibility or  
          registration as a PCC on or after January 1, 2016, who do not  
          hold a license outside of California  :

           22.Clarifies that education is considered substantially  
             equivalent if: 

              A.    For an applicant who obtained his/her degree within a  
                specified timeline, the degree must contain no less than  
                60 graduate semester or 90 graduate quarter units, and up  
                to 12 semester or 18 quarter units of instruction may be  
                remediated while registered as an intern; and

              B.    For an applicant who obtained his/her degree within a  
                specified timeline, the degree must contain no less than  
                48 graduate semester or 72 graduate quarter units of  

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                instruction, as specified.

           23.Clarifies that an applicant whose degree is deficient, as  
             specified, may satisfy those deficiencies by successfully  
             completing graduate level coursework at an accredited or  
             approved institution and the coursework taken must be the  
             equivalent of three semester units or four and one-half  
             quarter units of study.

           24.Provides that an applicant who completed a course in  
             professional orientation, ethics, and law in counseling that  
             did not contain instruction in California law and  
             professional ethics must complete an 18-hour course, as  
             specified, prior to registering as an intern.

           25.Provides that an applicant, who has not completed a course  
             in law and professional ethics for MFTs, as specified, shall  
             complete the coursework which includes content specific to  
             California law and ethics, prior to registering as an intern.

           26.Requires an applicant who completes any units, as specified,  
             not already in his/her education to comply with the  
             following:

              A.    At least 15 semester units or 22.5 quarter units of  
                advanced coursework to develop knowledge of specific  
                treatment issues or special populations in addition to  
                currently required coursework; and

              B.    Coursework must be from an accredited or approved  
                school, college of university, as specified.

           27.Requires an applicant to complete the following graduate  
             level coursework not already completed in his/her education  
             to comply with the following:

              A.    A minimum of 10 contact hours of training in human  
                sexuality, as specified, 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  

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                spousal or partner abuse assessment, detection,  
                intervention strategies, and same-gender abuse dynamics;

              C.    A minimum of seven contact hours of instruction in  
                child abuse assessment, and reporting, as specified; and

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

           28.Requires an applicant who completes coursework not already  
             completed in his/her education to be at a graduate level and  
             include:

              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 experiences of mental illness,  
                treatment and recovery; and

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

           29.Clarifies that an applicant may complete units and course  
             content requirements not already completed in his/her  
             education while registered with BBS as an intern.
           
          For persons who apply for examination eligibility or  
          registration as a PCC on or after January 1, 2016, and hold a  
          license outside of California  :  

            30.Specifies that education is deemed substantially equivalent  
             if:

              A.    The degree is obtained at an accredited or approved  
                institution, as specified, and consists of the following:

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                 (1)      For an applicant who obtained his/her degree  
                   within a specified timeframe, the degree must be no  
                   less than 60 graduate semester or 90 quarter units and  
                   up to 12 semester or 18 quarter units of instruction  
                   may be remediated if missing from the degree while  
                   registered as an intern.

                 (2)      For an applicant who obtained his/her degree  
                   within a specified timeframe, the degree shall contain  
                   no less than 48 graduate semester or 72 graduate units  
                   of instruction.

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

                    (a)         An applicant who has been licensed for at  
                      least two years in clinical practice, as verified,  
                      is exempt; and

                    (b)         An out-of-state applicant who has been  
                      licensed for less than two years in clinical  
                      practice, as verified by BBS, and 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 addition to the 3,000 hours of  
                      experience required and must be gained while  
                      registered as an intern.

                 (4)      Specified areas of study:

                    (a)         An applicant whose degree is deficient in  
                      no more than six of the required areas of study, as  
                      specified, may satisfy those deficiencies by  
                      successfully completing graduate level coursework  
                      which must be the equivalent of three semester units  
                      or four and one-half units of study;

                    (b)         An applicant who completed a course in  
                      professional orientation, ethics, and law in  
                      counseling that did not contain instruction in  
                      California law and ethics must complete an 18 hour  

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                      course in California law and professional ethics, as  
                      specified; and

                    (c)         An applicant who has not completed a  
                      course in professional orientation ethics and law in  
                      counseling, as specified must complete this  
                      coursework prior to registration as an intern.

           31.Requires an applicant to complete any required units, as  
             specified, not already completed in his/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, in addition to  
                specified requirements; and

              B.    Coursework shall be from an accredited or approved  
                school, college, or university, as specified.

           32.Requires an applicant to complete the following coursework  
             not already completed in his/her education:

              A.    A minimum of 10 contact hours of training in human  
                sexuality, as specified, and any regulations promulgated  
                thereunder including the study of 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;

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

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              E.    This coursework may be from an accredited or approved  
                school, college or university, as specified, and  
                undergraduate coursework will not satisfy this  
                requirement.

           33.Requires an applicant to complete the following coursework  
             not already completed in his/her education from an accredited  
             or approved school, college, or university, as specified, or  
             from a continuing education provider that is acceptable to  
             BBS and undergraduate coursework will not satisfy this  
             requirement:

              A.    A 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 metal health services to enhance  
                understanding of their experience of mental illness,  
                treatment, and recovery; and

              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.

           34.Provides that an applicant may complete any units and course  
             content requirements, as specified, not already completed in  
             his/her education while registered with BBS as an intern,  
             unless otherwise specified.

           35.Contains double-jointing language with SB 1466 (Senate  
             Business, Professions and Economic Development Committee).

           Background 
           
           Licensing requirements  .  Currently, requirements for licensure  
          for MFTs are consistent for out-of-state applicants and in-state  
          applicants.  Further, according to BBS, approximately 3% of  
          applicants for MFT intern and 1.5% of applicants for MFT exam  
          eligibility are out-of-state applicants.  However, 35% of  
          applicants for clinical counselor intern are out-of-state  
          applicants.  BBS was unable to provide statistics reflecting the  

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                                                                    AB 2213
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          exam eligibility for out-of-state PCC applicants because they  
          have issued registrations for less than two years.

          SB 788 (Wyland, Chapter 619, Statutes of 2009) established the  
          PCC Act which provided for the licensing and regulation of PCCs  
          by BBS.  When the legislation took effect in 2010, many sections  
          of California law that applied to other mental health  
          professionals had not yet been revised to incorporate PCCs.   
          Because PCCs are largely comparable to MFTs, SB 146 (Wyland,  
          Chapter 381, Statutes of 2011) was passed to amend various code  
          sections relating to MFTs so that the same substantive  
          provisions and requirements would apply to PCCs as well.   
          Because the out-of-state applicant requirements for PCCs were  
          patterned after MFT law, with similar education, exam and  
          experience requirements, PCC applicants are faced with similar  
          licensure access and portability issues as MFTs.

           Out-of-state MFT and PCC applicants  .  Certain educational and  
          experience requirements were scheduled to take effect as result  
          of SB 33 (Correa, Chapter 26, Statutes of 2009) beginning  
          January 1, 2014.  SB 33 revised the requirements for MFTs  
          seeking licensure or registration in California who were  
          educated or licensed outside of California.  Based on concerns  
          raised by the BBS regarding out-of-state applicants not being  
          able to meet those revised requirements without significant  
          challenges, the BBS sponsored AB 451 (Eggman, Chapter 551,  
          Statutes of 2013).  This bill extended the effective date for  
          the new education, examination and eligibility requirements for  
          out-of-state applicants for MFTs and PCCs by two years from  
          January 1, 2014, to January 1, 2016.  The two-year delay allowed  
          BBS time to revise changes contained in SB 33 for licensure  
          requirements for out-of-state applicants.

          Under the provisions of SB 33, new applicants are required 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 which could potentially  
          prevent an individual licensed or educated outside of California  
          from qualifying for licensure without providing a way to make up  
          the required coursework.

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           Comments
           
          According to the author's office, licensing requirements for  
          out-of-state LMFT and LPCC applicants are set to change on  
          January 1, 2016.  After January 1, 2016, out-of-state applicants  
          will be required to complete a long list of very specific  
          educational requirements, including courses that deal with  
          topics specific to California, which out-of-state applicants are  
          highly unlikely to have completed.  Moreover, BBS would not be  
          able to accept coursework completed through continuing  
          education, but rather require all remediation coursework be  
          completed at the graduate level.  Additionally, all coursework  
          would need to be remediated prior to registration with the board  
          as an intern.

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

           SUPPORT  :   (Verified  8/14/14)

          Board of Behavioral Sciences (source)
          American Association for Marriage and Family Therapy -  
          California Division
          Association of California Healthcare Districts
          California Association of Marriage and Family Therapists 
          California Council of Community Mental Health Agencies

           ARGUMENTS IN SUPPORT  :    The Association of California  
          Healthcare Districts writes, "There is a growing demand to  
          provide increased mental health services in California; in order  
          to meet this growing demand, there must be a qualified workforce  
          able to offer mental health services within our communities?AB  
          2213 would ease concerns with current law, making it possible  
          for out-of-state licensees to consider employment in California.  
           Additionally, this measure is vital to increasing the number of  
          mental health professionals available in California."

          The California Council of Community Mental Health Agencies  
          writes, "Workforce capacity is an enormous challenge for our  
          member agencies.  This measure will make it easier to attract  
          and retain workers from other states and will improve our  
          workforce capacity."


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           ASSEMBLY FLOOR  :  73-0, 5/8/14
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,  
            Dababneh, Dahle, Daly, Dickinson, Donnelly, Fong, Fox,  
            Frazier, Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon,  
            Grove, Hagman, Harkey, Roger Hernández, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,  
            Medina, Melendez, Mullin, Muratsuchi, Nazarian, Nestande,  
            Olsen, Pan, Patterson, Perea, Quirk, Quirk-Silva, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Wagner,  
            Waldron, Weber, Wieckowski, Wilk, Williams, Yamada, John A.  
            Pérez
          NO VOTE RECORDED:  Eggman, Gorell, Gray, Hall, Mansoor, V.  
            Manuel Pérez, Vacancy


          MW:k  8/14/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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