BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | SB 1012| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- 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 CONTINUED SB 1012 Page 2 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. CONTINUED SB 1012 Page 3 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. CONTINUED SB 1012 Page 4 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 CONTINUED SB 1012 Page 5 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 **** END **** CONTINUED