BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  SB 1012
          Author:   Wyland (R)
          Amended:  4/21/14
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV.COMM.  :  9-0, 4/21/14
          AYES:  Lieu, Wyland, Berryhill, Block, Corbett, Galgiani,  
            Hernandez, Hill, Padilla


           SUBJECT  :    Marriage and family therapists:  trainees

           SOURCE  :     California Association of Marriage and Family  
          Therapists


           DIGEST  :    This bill extends the number of hours, from five to  
          six, that an individual with a qualifying degree can count  
          towards their weekly supervision requirement.

           ANALYSIS  :    

          Existing law:

           1. Provides for the licensure, registration and regulation of  
             marriage and family therapists (MFTs) by the Board of  
             Behavioral Sciences (BBS). 

           2. Defines the following terms:

              A.    "Intern" as an unlicensed person who has earned  
                his/her master or doctoral degree qualifying him/her for  
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                licensure and is registered with the BBS.  

              B.    "Trainee" as an unlicensed person who is currently  
                enrolled in a master or doctoral degree program, that is  
                designed to qualify him/her for licensure, and who has  
                completed no less than 12 semester units or 18 quarter  
                units of coursework in any qualifying degree program.  

              C.    "Experience" as experience in interpersonal  
                relationships, psychotherapy, marriage and family therapy,  
                and professional enrichment activities that satisfies the  
                requirement for licensure as an MFT.  

              D.    "Supervisor" as an individual who meets all of the  
                following requirements: 

                 (1)      Has been licensed by a state regulatory agency  
                   for at least two years as an MFT, licensed clinical  
                   social worker, licensed professional clinical counselor  
                   (LPCC), licensed psychologist or licensed physician  
                   certified in psychiatry by the American Board of  
                   Psychiatry and Neurology.

                 (2)      If an LPCC, the individual should have completed  
                   the additional training and education requirements  
                   specified in Business and Professions Code Section  
                   4999.20 (3)(a).

                 (3)      Has not provided therapeutic services to the  
                   trainee or intern.

                 (4)      Has a current and valid license that is not  
                   under suspension or probation.

                 (5)      Complies with supervision requirements  
                   established by the BBS via regulations.  

           1. Specifies that an applicant for licensure must not complete  
             more than 40 clinical hours in any seven consecutive days.  

           2. Specifies that no more than 1,300 hours of supervised  
             experience and 750 hours of clinical contact with clients  
             shall be obtained prior to completing the graduate degree.  


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           3. Requires a trainee to attain supervised clinical experience  
             while working in clinical settings under the supervision of  
             licensed professionals.  

           4. Specifies that a trainee can receive one additional hour of  
             direct supervisor contact for every week in which more than  
             10 hours of client contact is gained in each clinical  
             setting.  

           5. Specifies that no less than 1,700 hours of supervised  
             experience shall be completed after obtaining the graduate  
             degree.  

           6. Specifies that no more than five hours of supervision shall  
             be credited, during any single week, for interns.  

           7. Further specifies, that during each week in which experience  
             is claimed, and for each work setting in which experience is  
             gained, an applicant shall have at least one hour of  
             one-on-one, individual, face-to-face supervisor contact or  
             two hours of face-to-face supervisor contact in a group of  
             not more than eight persons receiving supervision.   
             Additionally, no more than five hours of supervision, whether  
             individual or group, shall be credited during any single  
             week.  

          This bill extends the number of hours, from five to six, that an  
          individual with a qualifying degree can count towards their  
          weekly supervision requirement.

           Background
           
           MFT trainees and interns.   Trainees are individuals who are  
          enrolled in MFT graduate programs who have completed at least 12  
          semester or 18 quarter units of coursework.  Interns have earned  
          their graduate degree, are registered with BBS, but have not yet  
          taken the licensing examination.  There are over 16,000 interns  
          registered with the BBS.

           MFT trainee and intern supervision requirements  .  Existing law  
          requires that MFT trainees and interns complete 3,000 hours of  
          clinical experience in order to gain licensure.  Clinical  
          experience includes contact with clients in clinical settings  
          such as mental health agencies, hospitals or doctor's offices.   

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          No more than 1,000 of the required hours can be gained from  
          direct supervisor contact.  Direct supervisor contact is defined  
          as one hour per week of face-to-face contact in individual  
          supervision or two hours per week of face-to-face contact in a  
          group supervision setting.  Trainees must receive an average of  
          one hour of direct supervisor contact for every five hours of  
          clinical work with clients.  Interns must receive at least one  
          additional hour of direct supervisor contact for every week in  
          which more than 10 hours of client counseling is gained.

           Comments
           
          According to the author, "This bill will allow MFT trainees and  
          interns to be able to count all the supervised hours they  
          actually obtain toward licensure.  By modifying the hour  
          requirement process, the path to licensure will be improved.   
          MFTs will be able to complete their requirements more quickly  
          and be available to serve the public, particularly as the new  
          Affordable Care Act includes health coverage for mental health  
          benefits and demand for mental health providers will increase."

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

           SUPPORT  :   (Verified  4/23/14)

          California Association of Marriage and Family Therapists  
          (source) 
          California Council of Community Mental Health Agencies

           ARGUMENTS IN SUPPORT  :    The bill's sponsor, California  
          Association of Marriage and Family Therapists, writes, "MFT  
          Trainees and Registered Interns often work at multiple work  
          sites and obtain more than five hours of supervision a week in  
          order to meet the requirements for counting client counseling  
          hours received during that week.  Removing this limitation is to  
          allow MFT Trainees and Registered Interns to count all the  
          supervisor contact hours they actually obtain, which will result  
          in many of these applicants being able to complete their hours  
          of experience in a timelier fashion?many more Californians will  
          have insurance coverage for mental health benefits due to the  
          recent passage of the Affordable Care Act.  The sooner these  
          applicants are licensed, the sooner they are able to join the  
          workforce and provide the counseling services consumers  

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          desperately need."

          The California Council of Community Mental Health Agencies  
          states, "This bill would remove the five hour restriction it  
          (sic) thus provides more opportunity for trainees to advance  
          towards licensure.  Since there is a shortage of licensed  
          therapists this bill will help address an important healthcare  
          need."


          MW:k  4/23/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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