BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 243
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          SENATE THIRD READING
          SB 243 (Wyland)
          As Amended  May 7, 2013
          Majority vote 

           SENATE VOTE  :34-0  
           
           BUSINESS & PROFESSIONS           12-0                           
           
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          |Ayes:|Gordon, Jones, Bocanegra, |     |                          |
          |     |Campos, Dickinson,        |     |                          |
          |     |Eggman, Hagman,           |     |                          |
          |     |Maienschein, Mullin,      |     |                          |
          |     |Skinner, Ting, Wilk       |     |                          |
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          SUMMARY  :  Revises the current training and education  
          requirements for Licensed Professional Clinical Counselors  
          (LPCCs) in order for them to complete the training required for  
          treatment of couples or families during a degree program, rather  
          than after the program.   Specifically,  this bill  :   

          1)Deletes the current requirement that LPCCs obtain additional  
            training and education beyond the minimum training and  
            education required for licensure, and instead allows that  
            training and education to be obtained during a degree program,  
            as specified.

          2)Adds the direct counseling of couples or families to the 1,750  
            hours of direct counseling currently required of LPCC  
            applicants, as specified.

           FISCAL EFFECT  :  None.  This bill is keyed non-fiscal by the  
          Legislative Counsel.

           COMMENTS  :   

           1)Purpose of the bill  .  Currently, LPCCs are not authorized to  
            provide counseling services for the assessment or treatment of  
            couples or families unless they have completed additional  
            training and education beyond the minimum requirement for  
            licensure.  As the Board of Behavior Sciences (BBS) interprets  
            existing law, LPCCs who are interested in providing these  








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            services are required to take additional coursework or  
            training outside of a master's or doctoral degree program,  
            when many degree programs specifically offer marriage and  
            family coursework as a part of the degree program.  This bill  
            simply revises current law to allow LPCCs to obtain the  
            required training and education during their master's or  
            doctoral degree program, rather than after, in order to  
            provide treatment and services for couples and families.  This  
            bill is sponsored by the California Association for Licensed  
            Professional Clinical Counselors.

           2)Author's statement  .  According to the author, "Existing  
            law specifies that Professional clinical counseling does  
            not include the assessment or treatment of couples or  
            families unless the professional clinical counselor has  
            completed all of the following additional training and  
            education, beyond the minimum training and education  
            required for licensure?Because the additional education  
            requirement for the LPCC license includes the language  
            'beyond the minimum training and education required,' the  
            [BBS] is interpreting this language to mean that  
            specialized coursework taken within an individual's  
            master's degree education cannot be accepted as the  
            'additional education' required for the practice of  
            working with couples or families. It is also interpreted  
            that LPCC hours cannot be included within the required  
            3000 post-degree supervised hours. This unintentionally  
            required subsequent coursework and supervised hours in  
            addition to existing degree requirements. These  
            interpretations do not reflect the intent of the original  
            bill." 

           3)The Licensed Professional Clinical Counselor license  .  SB 788  
            (Wyland), Chapter 619, Statutes of 2009, established the LPCC  
            Act.  LPCCs are the newest of the four licensure groups for  
            mental health related services regulated by the BBS.   
            California was the 50th state to establish licensure for this  
            profession.  LPCCs can use a variety of psychological  
            techniques to help their clients, including individual, group,  
            and marriage and family therapy.  Mental health services are  
            provided in numerous settings including, but not limited to,  
            community mental health clinics, private practice, and  
            hospital settings.  









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           4)Licensure requirements  .  In order to obtain licensure as an  
            LPCC, an applicant who began graduate study on or after August  
            1, 2012, is required to obtain a master's or doctoral degree  
            from an accredited or approved institution, which covers  
            counseling or psychotherapy in content, and includes  
            supervised practicum in specified content areas.  In addition,  
            an applicant must obtain a minimum of 3,000 post-degree hours  
            of experience supervised by a LPCC, Licensed Marriage and  
            Family Therapist, Licensed Clinical Social Worker, licensed  
            psychologist or licensed physician and surgeon who is  
            certified in psychiatry by the American Board of Psychiatry  
            and Neurology.  

          Of the 3,000 hours required, not less than 1,750 hours must  
            involve direct counseling with individuals or groups in a  
            clinical mental health counseling setting and 150 hours in a  
            hospital or community mental health setting.  In addition, an  
            applicant must receive a passing score on the National  
            Clinical Mental Health Counselor Examination (NCMHCE) and the  
            California Law and Ethics Exam, which are taken upon  
            completion of the supervised hours.  

          Under current law, in order to provide marriage and family  
            therapy services upon licensure, the LPCC must also complete  
            education and training requirements beyond the minimum  
            education requirements outlined by their degree program  
            including six semester or nine quarter units of study focused  
            on the application of marriage and family therapy, not less  
            than 500 hours of supervised experience working directly with  
            couples, families or children, and at least six hours of  
            continuing education related to marriage and family therapy.   
            This bill seeks to allow an applicant for licensure to obtain  
            coursework on marriage and family services during an  
            appropriate degree program as opposed to obtaining coursework  
            after earning the degree.  Without the change that this bill  
            proposes, students will need to repeat the course work  
            post-degree which could be costly and difficult, and would  
            potentially delay licensure.   


          Analysis Prepared by  :    Elissa Silva / B.,P. & C.P. / (916)  
          319-3301 










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