Amended in Assembly August 4, 2014

Amended in Assembly July 1, 2014

Amended in Assembly June 2, 2014

Senate BillNo. 1466


Introduced by Committee on Business, Professions and Economic Development (Senators Lieu (Chair), Berryhill, Block, Corbett, Galgiani, Hernandez, Hill, Padilla, and Wyland)

March 25, 2014


An act to amend Sections 27, 655.2, 2023.5, 2089.5, 2240, 2530.5, 2532.2, 2532.7, 2936, 4021.5, 4053, 4980,begin insert 4980.36,end insert 4980.37, 4980.399, 4980.41, 4980.43, 4980.55, 4980.72, 4980.78, 4987.5, 4989.16, 4989.22, 4992.09, 4996.17, 4996.23, 4998, 4999.55, 4999.58, 4999.59, 4999.60, and 4999.123 of, to amend the heading of Chapter 13 (commencing with Section 4980) of Division 2 of, and to repeal Sections 2930.5 and 2987.3 of, the Business and Professions Code, and to amend Section 14132.55 of the Welfare and Institutions Code, relating to health care professionals.

LEGISLATIVE COUNSEL’S DIGEST

SB 1466, as amended, Committee on Business, Professions and Economic Development. Health care professionals.

(1) Existing law prohibits a physician and surgeon, licensed medical corporation, or any audiologist who is not a licensed hearing aid dispenser from employing a licensed hearing aid dispenser for the purpose of fitting or selling hearing aids.

This bill would prohibit a licensed hearing aid dispenser from employing a physician and surgeon or any audiologist who is not a licensed dispensing audiologist or hearing aid dispenser, or contracting with a licensed medical corporation, for the purpose of fitting or selling hearing aids.

(2) Existing law, the Medical Practice Act, provides for the licensure and regulation of physicians and surgeons by the Medical Board of California. Existing law requires the Medical Board of California to review issues and problems surrounding the use of laser or intense light pulse devices for elective cosmetic procedures, in conjunction with the Board of Registered Nursing and in consultation with other specified groups. Existing law requires the board and the Board of Registered Nursing to adopt regulations, by January 1, 2009, with regard to the use of laser or intense pulse light devices for elective cosmetic procedures, as specified. Existing law requires the board to adopt regulations, by January 1, 2013, regarding the appropriate level of physician availability needed within clinics or other settings using laser or intense pulse light devices for elective cosmetic procedures.

This bill would delete the provisions that require the board to adopt regulations by January 1, 2009, and January 1, 2013.

(3) Existing law requires a physician and surgeon who performs a scheduled medical procedure outside of a general acute care hospital that results in the death of any patient on whom that medical treatment was performed by the physician and surgeon, or by a person acting under the physician and surgeon’s orders or supervision, to report, in writing on a form prescribed by the board, that occurrence to the board within 15 days after the occurrence. A person who violates this requirement is guilty of a misdemeanor.

This bill would make that provision applicable without regard to whether the procedure was scheduled. By expanding the scope of a crime, the bill would impose a state-mandated local program.

(4) Existing law provides for the licensing and regulation of persons who are engaged in the practice of speech-language pathology or audiology, as specified, and vests the enforcement of these provisions in the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board. Among other requirements, an applicant for licensure as a speech-language pathologist or audiologist is required to submit transcripts from an educational institution approved by the board evidencing completion of specified coursework, and submit evidence of the satisfactory completion of supervised clinical practice with individuals representative of a wide spectrum of ages and communication disorders. Existing law requires the board to establish by regulation the required number of clock hours, not to exceed 300 clock hours, of supervised clinical practice necessary for the applicant.

This bill would delete the requirement that the applicant submit transcripts from an educational institution approved by the board evidencing completion of specified coursework and would increase the maximum number of clock hours that the board may establish by regulation to 375.

(5) Existing law, the Psychology Licensing Law, provides for the licensure and regulation of psychologists by the Board of Psychology. Under certain circumstances, existing law authorizes the board to issue a fictitious-name permit to a psychologist, as specified.

This bill would repeal the provision that authorizes the issuance of a fictitious-name permit, and would make conforming changes with regard to that repeal. The bill would make other changes to update a provision related to consumer notices, as specified.

(6) Existing law, the Pharmacy Law, governs the regulation of the practice of pharmacy and establishes the California State Board of Pharmacy to administer and enforce these provisions. The law authorizes the board to issue a license to an individual to serve as a designated representative to provide sufficient and qualified supervision in a wholesaler or veterinary food-animal drug retailer, as specified, and requires the licensee to protect the public health and safety in the handling, storage, and shipment of dangerous drugs and dangerous devices in the wholesaler or veterinary food-animal drug retailer. The law also defines a correctional pharmacy to mean a pharmacy, licensed by the board, located within a state correctional facility, as specified.

This bill would require an individual who applies for a designated representative license to be at least 18 years of age. The bill would also revise the definition of a correctional pharmacy to mean a pharmacy, licensed by the board, located within a correctional facility, without regard to whether the facility is a state or local correctional facility.

begin insert

(7) Existing law, the Licensed Marriage and Family Therapist Act, provides for the licensure and regulation of marriage and family therapists by the Board of Behavioral Sciences. Existing law sets forth the educational and training requirements for licensure as a marriage and family therapist. Existing law, among other requirements, requires an applicant for licensure as a marriage and family therapist to complete 75 hours of client centered advocacy or face-to-face counseling, as specified.

end insert
begin insert

This bill would authorize an applicant for licensure as a marriage and family therapist to meet this requirement by completing 75 hours of client centered advocacy or face-to-face counseling, or any combination thereof.

end insert
begin delete

(7)

end delete

begin insert(8)end insert Existing law, the Educational Psychologist Practice Act, provides for the licensure and regulation of educational psychologists by the Board of Behavioral Sciences. Existing law authorizes an applicant for examination who has passed the standard written examination to take a clinical vignette written examination for licensure if that applicant is the subject of a complaint or under investigation by the board, as specified.

This bill would eliminate the clinical vignette written examination for those purposes, and would make conforming changes to other provisions.

begin delete

(8)

end delete

begin insert(9)end insert Existing law requires an applicant forbegin delete a licenseend deletebegin insert licensureend insert as a marriage and family therapist, clinical social worker, or professional clinicalbegin delete counselor,end deletebegin insert counselorend insert to participate in and obtain a passing score on a board-administered California law and ethics examination in order to qualify forbegin delete a licenseend deletebegin insert licensureend insert or renewal of a license.

This bill would permit an applicant who holds a registration eligible for renewal, with an expiration date no later than June 30, 2016, and who applies for renewal of that registration between January 1, 2016, and June 30, 2016, if eligible, to renew the registration without first participating in the California law and ethics examination. The bill would require the applicant to pass that examination prior to licensure or issuance of a subsequent registration number. The bill would also permit an applicant who holds or has held a registration, with an expiration date no later than January 1, 2017, and who applies for a subsequent registration number between January 1, 2016, and January 1, 2017, if eligible, to obtain the subsequent registration number without first passing the California law and ethics examination, if he or she passes the law and ethics examination during the next renewal period or prior to licensure, whichever occurs first.

This bill would make other changes relating to licensure as a marriage and family therapist, clinical social worker, orbegin delete aend delete professional clinical counselor.

The bill would also make other technical, conforming, and clarifying changes.

begin delete

(9)

end delete

begin insert(10)end insert The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act for a specified reason.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.

The people of the State of California do enact as follows:

P5    1

SECTION 1.  

Section 27 of the Business and Professions Code
2 is amended to read:

3

27.  

(a) Each entity specified in subdivisions (c), (d), and (e)
4shall provide on the Internet information regarding the status of
5every license issued by that entity in accordance with the California
6Public Records Act (Chapter 3.5 (commencing with Section 6250)
7of Division 7 of Title 1 of the Government Code) and the
8Information Practices Act of 1977 (Chapter 1 (commencing with
9Section 1798) of Title 1.8 of Part 4 of Division 3 of the Civil Code).
10The public information to be provided on the Internet shall include
11information on suspensions and revocations of licenses issued by
12the entity and other related enforcement action, including
13accusations filed pursuant to the Administrative Procedure Act
14(Chapter 3.5 (commencing with Section 11340) of Part 1 of
15Division 3 of Title 2 of the Government Code) taken by the entity
16relative to persons, businesses, or facilities subject to licensure or
17regulation by the entity. The information may not include personal
18information, including home telephone number, date of birth, or
19social security number. Each entity shall disclose a licensee’s
20address of record. However, each entity shall allow a licensee to
21provide a post office box number or other alternate address, instead
22of his or her home address, as the address of record. This section
23shall not preclude an entity from also requiring a licensee, who
24has provided a post office box number or other alternative mailing
25address as his or her address of record, to provide a physical
26business address or residence address only for the entity’s internal
27administrative use and not for disclosure as the licensee’s address
28of record or disclosure on the Internet.

P6    1(b) In providing information on the Internet, each entity specified
2in subdivisions (c) and (d) shall comply with the Department of
3Consumer Affairs’ guidelines for access to public records.

4(c) Each of the following entities within the Department of
5Consumer Affairs shall comply with the requirements of this
6section:

7(1) The Board for Professional Engineers, Land Surveyors, and
8Geologists shall disclose information on its registrants and
9licensees.

10(2) The Bureau of Automotive Repair shall disclose information
11on its licensees, including auto repair dealers, smog stations, lamp
12and brake stations, smog check technicians, and smog inspection
13certification stations.

14(3) The Bureau of Electronic and Appliance Repair, Home
15Furnishings, and Thermal Insulation shall disclose information on
16its licensees and registrants, including major appliance repair
17dealers, combination dealers (electronic and appliance), electronic
18repair dealers, service contract sellers, and service contract
19administrators.

20(4) The Cemetery and Funeral Bureau shall disclose information
21on its licensees, including cemetery brokers, cemetery salespersons,
22cemetery managers, crematory managers, cemetery authorities,
23crematories, cremated remains disposers, embalmers, funeral
24establishments, and funeral directors.

25(5) The Professional Fiduciaries Bureau shall disclose
26information on its licensees.

27(6) The Contractors’ State License Board shall disclose
28information on its licensees and registrants in accordance with
29Chapter 9 (commencing with Section 7000) of Division 3. In
30addition to information related to licenses as specified in
31subdivision (a), the board shall also disclose information provided
32to the board by the Labor Commissioner pursuant to Section 98.9
33of the Labor Code.

34(7) The Bureau for Private Postsecondary Education shall
35disclose information on private postsecondary institutions under
36its jurisdiction, including disclosure of notices to comply issued
37pursuant to Section 94935 of the Education Code.

38(8) The California Board of Accountancy shall disclose
39information on its licensees and registrants.

P7    1(9) The California Architects Board shall disclose information
2on its licensees, including architects and landscape architects.

3(10) The State Athletic Commission shall disclose information
4on its licensees and registrants.

5(11) The State Board of Barbering and Cosmetology shall
6disclose information on its licensees.

7(12) The State Board of Guide Dogs for the Blind shall disclose
8information on its licensees and registrants.

9(13) The Acupuncture Board shall disclose information on its
10licensees.

11(14) The Board of Behavioral Sciences shall disclose
12information on its licensees, including licensed marriage and family
13therapists, licensed clinical social workers, licensed educational
14psychologists, and licensed professional clinical counselors.

15(15) The Dental Board of California shall disclose information
16on its licensees.

17(16) The State Board of Optometry shall disclose information
18regarding certificates of registration to practice optometry,
19statements of licensure, optometric corporation registrations, branch
20office licenses, and fictitious name permits of its licensees.

21(17) The Board of Psychology shall disclose information on its
22licensees, including psychologists, psychological assistants, and
23registered psychologists.

24(d) The State Board of Chiropractic Examiners shall disclose
25information on its licensees.

26(e) The Structural Pest Control Board shall disclose information
27on its licensees, including applicators, field representatives, and
28operators in the areas of fumigation, general pest and wood
29destroying pests and organisms, and wood roof cleaning and
30treatment.

31(f) “Internet” for the purposes of this section has the meaning
32set forth in paragraph (6) of subdivision (f) of Section 17538.

33

SEC. 2.  

Section 655.2 of the Business and Professions Code
34 is amended to read:

35

655.2.  

(a) (1) No physician and surgeon or medical
36corporation licensed under Chapter 5 (commencing with Section
372000), nor any audiologist who is not a licensed dispensing
38audiologist or hearing aid dispenser shall employ any individual
39licensed pursuant to Article 8 (commencing with Section 2538.10)
40of Chapter 5.3 for the purpose of fitting or selling hearing aids.

P8    1(2) No individual licensed pursuant to Article 8 (commencing
2with Section 2538.10) of Chapter 5.3 shall employ any physician
3and surgeon or any audiologist who is not a licensed dispensing
4audiologist or hearing aid dispenser, or contract with a medical
5corporation licensed under Chapter 5 (commencing with Section
62000), for the purpose of fitting or selling hearing aids.

7(b) This section shall not apply to any physician and surgeon
8or medical corporation that contracts with or is affiliated with a
9comprehensive group practice health care service plan licensed
10pursuant to the Knox-Keene Health Care Service Plan Act, as set
11forth in Chapter 2.2 (commencing with Section 1340) of Division
122 of the Health and Safety Code.

13

SEC. 3.  

Section 2023.5 of the Business and Professions Code
14 is amended to read:

15

2023.5.  

(a) The board, in conjunction with the Board of
16Registered Nursing, and in consultation with the Physician
17Assistant Committee and professionals in the field, shall review
18issues and problems surrounding the use of laser or intense light
19pulse devices for elective cosmetic procedures by physicians and
20surgeons, nurses, and physician assistants. The review shall include,
21but need not be limited to, all of the following:

22(1) The appropriate level of physician supervision needed.

23(2) The appropriate level of training to ensure competency.

24(3) Guidelines for standardized procedures and protocols that
25address, at a minimum, all of the following:

26(A) Patient selection.

27(B) Patient education, instruction, and informed consent.

28(C) Use of topical agents.

29(D) Procedures to be followed in the event of complications or
30side effects from the treatment.

31(E) Procedures governing emergency and urgent care situations.

32(b) Nothing in this section shall be construed to modify the
33prohibition against the unlicensed practice of medicine.

34

SEC. 4.  

Section 2089.5 of the Business and Professions Code
35 is amended to read:

36

2089.5.  

(a) Clinical instruction in the subjects listed in
37subdivision (b) of Section 2089 shall meet the requirements of this
38section and shall be considered adequate if the requirements of
39subdivision (a) of Section 2089 and the requirements of this section
40are satisfied.

P9    1(b) Instruction in the clinical courses shall total a minimum of
272 weeks in length.

3(c) Instruction in the core clinical courses of surgery, medicine,
4family medicine, pediatrics, obstetrics and gynecology, and
5psychiatry shall total a minimum of 40 weeks in length with a
6minimum of eight weeks instruction in surgery, eight weeks in
7medicine, six weeks in pediatrics, six weeks in obstetrics and
8gynecology, a minimum of four weeks in family medicine, and
9four weeks in psychiatry.

10(d) Of the instruction required by subdivision (b), including all
11of the instruction required by subdivision (c), 54 weeks shall be
12performed in a hospital that sponsors the instruction and shall meet
13one of the following:

14(1) Is a formal part of the medical school or school of
15osteopathic medicine.

16(2) Has a residency program, approved by the Accreditation
17Council for Graduate Medical Education (ACGME) or the Royal
18College of Physicians and Surgeons of Canada (RCPSC), in family
19practice or in the clinical area of the instruction for which credit
20is being sought.

21(3) Is formally affiliated with an approved medical school or
22school of osteopathic medicine located in the United States or
23Canada. If the affiliation is limited in nature, credit shall be given
24only in the subject areas covered by the affiliation agreement.

25(4) Is formally affiliated with a medical school or a school of
26osteopathic medicine located outside the United States or Canada.

27(e) If the institution, specified in subdivision (d), is formally
28affiliated with a medical school or a school of osteopathic medicine
29located outside the United States or Canada, it shall meet the
30following:

31(1) The formal affiliation shall be documented by a written
32contract detailing the relationship between the medical school, or
33a school of osteopathic medicine, and hospital and the
34responsibilities of each.

35(2) The school and hospital shall provide to the board a
36description of the clinical program. The description shall be in
37sufficient detail to enable the board to determine whether or not
38the program provides students an adequate medical education. The
39board shall approve the program if it determines that the program
40provides an adequate medical education. If the board does not
P10   1approve the program, it shall provide its reasons for disapproval
2to the school and hospital in writing specifying its findings about
3each aspect of the program that it considers to be deficient and the
4changes required to obtain approval.

5(3) The hospital, if located in the United States, shall be
6accredited by the Joint Commission on Accreditation of Hospitals,
7or the American Osteopathic Association’s Healthcare Facilities
8Accreditation Program, and if located in another country, shall be
9accredited in accordance with the law of that country.

10(4) The clinical instruction shall be supervised by a full-time
11director of medical education, and the head of the department for
12each core clinical course shall hold a full-time faculty appointment
13of the medical school or school of osteopathic medicine and shall
14be board certified or eligible, or have an equivalent credential in
15that specialty area appropriate to the country in which the hospital
16is located.

17(5) The clinical instruction shall be conducted pursuant to a
18written program of instruction provided by the school.

19(6) The school shall supervise the implementation of the
20program on a regular basis, documenting the level and extent of
21its supervision.

22(7) The hospital-based faculty shall evaluate each student on a
23regular basis and shall document the completion of each aspect of
24the program for each student.

25(8) The hospital shall ensure a minimum daily census adequate
26to meet the instructional needs of the number of students enrolled
27in each course area of clinical instruction, but not less than 15
28patients in each course area of clinical instruction.

29(9) The board, in reviewing the application of a foreign medical
30graduate, may require the applicant to submit a description of the
31clinical program, if the board has not previously approved the
32program, and may require the applicant to submit documentation
33to demonstrate that the applicant’s clinical training met the
34requirements of this subdivision.

35(10) The medical school or school of osteopathic medicine shall
36bear the reasonable cost of any site inspection by the board or its
37agents necessary to determine whether the clinical program offered
38is in compliance with this subdivision.

39

SEC. 5.  

Section 2240 of the Business and Professions Code is
40amended to read:

P11   1

2240.  

(a) A physician and surgeon who performs a medical
2procedure outside of a general acute care hospital, as defined in
3subdivision (a) of Section 1250 of the Health and Safety Code,
4that results in the death of any patient on whom that medical
5treatment was performed by the physician and surgeon, or by a
6person acting under the physician and surgeon’s orders or
7supervision, shall report, in writing on a form prescribed by the
8board, that occurrence to the board within 15 days after the
9occurrence.

10(b) A physician and surgeon who performs a scheduled medical
11procedure outside of a general acute care hospital, as defined in
12subdivision (a) of Section 1250 of the Health and Safety Code,
13that results in the transfer to a hospital or emergency center for
14medical treatment for a period exceeding 24 hours, of any patient
15on whom that medical treatment was performed by the physician
16and surgeon, or by a person acting under the physician and
17surgeon’s orders or supervision, shall report, in writing, on a form
18prescribed by the board that occurrence, within 15 days after the
19occurrence. The form shall contain all of the following information:

20(1) Name of the patient’s physician in the outpatient setting.

21(2) Name of the physician with hospital privileges.

22(3) Name of the patient and patient identifying information.

23(4) Name of the hospital or emergency center where the patient
24was transferred.

25(5) Type of outpatient procedures being performed.

26(6) Events triggering the transfer.

27(7) Duration of the hospital stay.

28(8) Final disposition or status, if not released from the hospital,
29of the patient.

30(9) Physician’s practice specialty and ABMS certification, if
31applicable.

32(c) The form described in subdivision (b) shall be constructed
33in a format to enable the physician and surgeon to transmit the
34information in paragraphs (5) to (9), inclusive, to the board in a
35manner that the physician and surgeon and the patient are
36anonymous and their identifying information is not transmitted to
37the board. The entire form containing information described in
38paragraphs (1) to (9), inclusive, shall be placed in the patient’s
39medical record.

P12   1(d) The board shall aggregate the data and publish an annual
2report on the information collected pursuant to subdivisions (a)
3and (b).

4(e) On and after January 1, 2002, the data required in subdivision
5(b) shall be sent to the Office of Statewide Health Planning and
6Development (OSHPD) instead of the board. OSHPD may revise
7the reporting requirements to fit state and national standards, as
8applicable. The board shall work with OSHPD in developing the
9reporting mechanism to satisfy the data collection requirements
10of this section.

11(f) The failure to comply with this section constitutes
12unprofessional conduct.

13

SEC. 6.  

Section 2530.5 of the Business and Professions Code
14 is amended to read:

15

2530.5.  

(a) Nothing in this chapter shall be construed as
16restricting hearing testing conducted by licensed physicians and
17surgeons or by persons conducting hearing tests under the direct
18supervision of a physician and surgeon.

19(b) Nothing in this chapter shall be construed to prevent a
20licensed hearing aid dispenser from engaging in testing of hearing
21and other practices and procedures used solely for the fitting and
22selling of hearing aids nor does this chapter restrict persons
23practicing their licensed profession and operating within the scope
24of their licensed profession or employed by someone operating
25within the scope of their licensed professions, including persons
26fitting and selling hearing aids who are properly licensed or
27 registered under the laws of the State of California.

28(c) Nothing in this chapter shall be construed as restricting or
29preventing the practice of speech-language pathology or audiology
30by personnel holding the appropriate credential from the
31Commission on Teacher Credentialing as long as the practice is
32conducted within the confines of or under the jurisdiction of a
33public preschool, elementary, or secondary school by which they
34are employed and those persons do not either offer to render or
35render speech-language pathology or audiology services to the
36public for compensation over and above the salary they receive
37from the public preschool, elementary, or secondary school by
38which they are employed for the performance of their official
39duties.

P13   1(d) Nothing in this chapter shall be construed as restricting the
2activities and services of a student or speech-language pathology
3intern in speech-language pathology pursuing a course of study
4leading to a degree in speech-language pathology at an accredited
5or approved college or university or an approved clinical training
6facility, provided that these activities and services constitute a part
7of his or her supervised course of study and that those persons are
8designated by the title as “speech-language pathology intern,”
9“speech-language pathology trainee,” or other title clearly
10indicating the training status appropriate to his or her level of
11training.

12(e) Nothing in this chapter shall be construed as restricting the
13activities and services of a student or audiology intern in audiology
14pursuing a course of study leading to a degree in audiology at an
15accredited or approved college or university or an approved clinical
16training facility, provided that these activities and services
17constitute a part of his or her supervised course of study and that
18those persons are designated by the title as “audiology intern,”
19“audiology trainee,” or other title clearly indicating the training
20status appropriate to his or her level of training.

21(f) Nothing in this chapter shall be construed as restricting the
22practice of an applicant who is obtaining the required professional
23experience specified in subdivision (c) of Section 2532.2 and who
24has been issued a temporary license pursuant to Section 2532.7.
25The number of applicants who may be supervised by a licensed
26speech-language pathologist or a speech-language pathologist
27having qualifications deemed equivalent by the board shall be
28determined by the board. The supervising speech-language
29pathologist shall register with the board the name of each applicant
30working under his or her supervision, and shall submit to the board
31a description of the proposed professional responsibilities of the
32applicant working under his or her supervision. The number of
33applicants who may be supervised by a licensed audiologist or an
34audiologist having qualifications deemed equivalent by the board
35shall be determined by the board. The supervising audiologist shall
36register with the board the name of each applicant working under
37his or her supervision, and shall submit to the board a description
38of the proposed professional responsibilities of the applicant
39working under his or her supervision.

P14   1(g) Nothing in this chapter shall be construed as restricting
2hearing screening services in public or private elementary or
3secondary schools so long as these screening services are provided
4by persons registered as qualified school audiometrists pursuant
5to Sections 1685 and 1686 of the Health and Safety Code or hearing
6screening services supported by the State Department of Health
7Care Services so long as these screening services are provided by
8appropriately trained or qualified personnel.

9(h) Persons employed as speech-language pathologists or
10audiologists by a federal agency shall be exempt from this chapter.

11(i) Nothing in this chapter shall be construed as restricting
12consultation or the instructional or supervisory activities of a
13faculty member of an approved or accredited college or university
14for the first 60 days following appointment after the effective date
15of this subdivision.

16

SEC. 7.  

Section 2532.2 of the Business and Professions Code
17 is amended to read:

18

2532.2.  

Except as required by Section 2532.25, to be eligible
19for licensure by the board as a speech-language pathologist or
20audiologist, the applicant shall possess all of the following
21qualifications:

22(a) Possess at least a master’s degree in speech-language
23pathology or audiology from an educational institution approved
24by the board or qualifications deemed equivalent by the board.

25(b) (1) Submit evidence of the satisfactory completion of
26supervised clinical practice with individuals representative of a
27wide spectrum of ages and communication disorders. The board
28shall establish by regulation the required number of clock hours,
29not to exceed 375 clock hours, of supervised clinical practice
30necessary for the applicant.

31(2) The clinical practice shall be under the direction of an
32educational institution approved by the board.

33(c) Submit evidence of no less than 36 weeks of satisfactorily
34completed supervised professional full-time experience or 72 weeks
35of professional part-time experience obtained under the supervision
36of a licensed speech-language pathologist or audiologist or a
37speech-language pathologist or audiologist having qualifications
38deemed equivalent by the board. This experience shall be evaluated
39and approved by the board. The required professional experience
40shall follow completion of the requirements listed in subdivisions
P15   1(a) and (b). Full time is defined as at least 36 weeks in a calendar
2year and a minimum of 30 hours per week. Part time is defined as
3a minimum of 72 weeks and a minimum of 15 hours per week.

4(d) (1) Pass an examination or examinations approved by the
5board. The board shall determine the subject matter and scope of
6the examinations and may waive the examination upon evidence
7that the applicant has successfully completed an examination
8approved by the board. Written examinations may be supplemented
9by oral examinations as the board shall determine. An applicant
10who fails his or her examination may be reexamined at a
11subsequent examination upon payment of the reexamination fee
12required by this chapter.

13(2) A speech-language pathologist or audiologist who holds a
14license from another state or territory of the United States or who
15holds equivalent qualifications as determined by the board and
16who has completed no less than one year of full-time continuous
17employment as a speech-language pathologist or audiologist within
18the past three years is exempt from the supervised professional
19experience in subdivision (c).

20(e) As applied to licensure as an audiologist, this section shall
21apply to applicants who graduated from an approved educational
22institution on or before December 31, 2007.

23

SEC. 8.  

Section 2532.7 of the Business and Professions Code
24 is amended to read:

25

2532.7.  

(a) Upon approval of an application filed pursuant to
26Section 2532.1, and upon payment of the fee prescribed by Section
272534.2, the board may issue a required professional experience
28(RPE) temporary license for a period to be determined by the board
29to an applicant who is obtaining the required professional
30experience specified in subdivision (c) of Section 2532.2 or
31paragraph (2) of subdivision (b) of Section 2532.25.

32(b) Effective July 1, 2003, no person shall obtain the required
33professional experience for licensure in either an exempt or
34nonexempt setting, as defined in Section 2530.5, unless he or she
35is licensed in accordance with this section or is completing the
36final clinical externship of a board-approved audiology doctoral
37training program in accordance with paragraph (2) of subdivision
38(b) of Section 2532.25 in another state.

39(c) A person who obtains an RPE temporary license outside the
40State of California shall not be required to hold a temporary license
P16   1issued pursuant to subdivision (a) if the person is completing the
2final clinical externship of an audiology doctoral training program
3in accordance with paragraph (2) of subdivision (b) of Section
42532.25.

5(d) Any experience obtained in violation of this act shall not be
6approved by the board.

7(e) An RPE temporary license shall terminate upon notice
8thereof by certified mail, return receipt requested, if it is issued by
9mistake or if the application for permanent licensure is denied.

10(f) Upon written application, the board may reissue an RPE
11 temporary license for a period to be determined by the board to
12an applicant who is obtaining the required professional experience
13specified in subdivision (c) of Section 2532.2 or paragraph (2) of
14subdivision (b) of Section 2532.25.

15

SEC. 9.  

Section 2930.5 of the Business and Professions Code
16 is repealed.

17

SEC. 10.  

Section 2936 of the Business and Professions Code
18 is amended to read:

19

2936.  

The board shall adopt a program of consumer and
20professional education in matters relevant to the ethical practice
21of psychology. The board shall establish as its standards of ethical
22conduct relating to the practice of psychology, the “Ethical
23Principles of Psychologists and Code of Conduct” published by
24the American Psychological Association (APA). Those standards
25shall be applied by the board as the accepted standard of care in
26all licensing examination development and in all board enforcement
27policies and disciplinary case evaluations.

28To facilitate consumers in receiving appropriate psychological
29services, all licensees and registrants shall be required to post, in
30a conspicuous location in their principal psychological business
31office, a notice which reads as follows:
32


33“NOTICE TO CONSUMERS: The Department of Consumer
34Affair’s Board of Psychology receives and responds to questions
35and complaints regarding the practice of psychology. If you have
36questions or complaints, you may contact the board by email at
37bopmail@dca.ca.gov, on the Internet at www.psychology.ca.gov,
38by calling 1-866-503-3221, or by writing to the following
39address:


40Board of Psychology

P17   11625 North Market Boulevard, Suite -215

2Sacramento, California 95834”
3


4

SEC. 11.  

Section 2987.3 of the Business and Professions Code
5 is repealed.

6

SEC. 12.  

Section 4021.5 of the Business and Professions Code
7 is amended to read:

8

4021.5.  

“Correctional pharmacy” means a pharmacy, licensed
9by the board, located within a correctional facility for the purpose
10of providing pharmaceutical care to inmates of the correctional
11facility.

12

SEC. 13.  

Section 4053 of the Business and Professions Code
13 is amended to read:

14

4053.  

(a) Notwithstanding Section 4051, the board may issue
15a license as a designated representative to provide sufficient and
16qualified supervision in a wholesaler or veterinary food-animal
17drug retailer. The designated representative shall protect the public
18health and safety in the handling, storage, and shipment of
19dangerous drugs and dangerous devices in the wholesaler or
20veterinary food-animal drug retailer.

21(b) An individual who is at least 18 years of age may apply for
22a designated representative license. In order to obtain and maintain
23that license, the individual shall meet all of the following
24requirements:

25(1) He or she shall be a high school graduate or possess a general
26education development certificate equivalent.

27(2) He or she shall have a minimum of one year of paid work
28experience in a licensed pharmacy, or with a drug wholesaler, drug
29distributor, or drug manufacturer, in the past three years, related
30to the distribution or dispensing of dangerous drugs or dangerous
31devices or meet all of the prerequisites to take the examination
32required for licensure as a pharmacist by the board.

33(3) He or she shall complete a training program approved by
34the board that, at a minimum, addresses each of the following
35subjects:

36(A) Knowledge and understanding of California law and federal
37law relating to the distribution of dangerous drugs and dangerous
38devices.

39(B) Knowledge and understanding of California law and federal
40law relating to the distribution of controlled substances.

P18   1(C) Knowledge and understanding of quality control systems.

2(D) Knowledge and understanding of the United States
3Pharmacopoeia standards relating to the safe storage and handling
4of drugs.

5(E) Knowledge and understanding of prescription terminology,
6abbreviations, dosages, and format.

7(4) The board may, by regulation, require training programs to
8include additional material.

9(5) The board may not issue a license as a designated
10representative until the applicant provides proof of completion of
11the required training to the board.

12(c) The veterinary food-animal drug retailer or wholesaler shall
13not operate without a pharmacist or a designated representative
14on its premises.

15(d) Only a pharmacist or a designated representative shall
16prepare and affix the label to veterinary food-animal drugs.

17(e) Section 4051 shall not apply to any laboratory licensed under
18Section 351 of Title III of the Public Health Service Act (Public
19Law 78-410).

20

SEC. 14.  

The heading of Chapter 13 (commencing with Section
214980) of Division 2 of the Business and Professions Code is
22amended to read:

23 

24Chapter  13. Licensed Marriage and Family Therapists
25

 

26

SEC. 15.  

Section 4980 of the Business and Professions Code
27 is amended to read:

28

4980.  

(a) (1) Many California families and many individual
29Californians are experiencing difficulty and distress, and are in
30need of wise, competent, caring, compassionate, and effective
31counseling in order to enable them to improve and maintain healthy
32family relationships.

33(2) Healthy individuals and healthy families and healthy
34relationships are inherently beneficial and crucial to a healthy
35society, and are our most precious and valuable natural resource.
36Licensed marriage and family therapists provide a crucial support
37for the well-being of the people and the State of California.

38(b) No person may engage in the practice of marriage and family
39 therapy as defined by Section 4980.02, unless he or she holds a
40valid license as a marriage and family therapist, or unless he or
P19   1she is specifically exempted from that requirement, nor may any
2person advertise himself or herself as performing the services of
3a marriage, family, child, domestic, or marital consultant, or in
4any way use these or any similar titles, including the letters
5“L.M.F.T.” “M.F.T.,” or “M.F.C.C.,” or other name, word initial,
6or symbol in connection with or following his or her name to imply
7that he or she performs these services without a license as provided
8by this chapter. Persons licensed under Article 4 (commencing
9with Section 4996) of Chapter 14 of Division 2, or under Chapter
106.6 (commencing with Section 2900) may engage in such practice
11or advertise that they practice marriage and family therapy but
12may not advertise that they hold the marriage and family therapist’s
13license.

14begin insert

begin insertSEC. 16.end insert  

end insert

begin insertSection 4980.36 of the end insertbegin insertBusiness and Professions Codeend insert
15begin insert is amended to read:end insert

16

4980.36.  

(a) This section shall apply to the following:

17(1) Applicants for licensure or registration who begin graduate
18study before August 1, 2012, and do not complete that study on
19or before December 31, 2018.

20(2) Applicants for licensure or registration who begin graduate
21study before August 1, 2012, and who graduate from a degree
22program that meets the requirements of this section.

23(3) Applicants for licensure or registration who begin graduate
24study on or after August 1, 2012.

25(b) To qualify for a license or registration, applicants shall
26possess a doctoral or master’s degree meeting the requirements of
27this section in marriage, family, and child counseling, marriage
28and family therapy, couple and family therapy, psychology, clinical
29psychology, counseling psychology, or counseling with an
30emphasis in either marriage, family, and child counseling or
31marriage and family therapy, obtained from a school, college, or
32university approved by the Bureau for Private Postsecondary
33Educationbegin insert,end insert or accredited by either the Commission on Accreditation
34for Marriage and Family Therapy Educationbegin insert,end insert or a regional
35accrediting agencybegin insert that isend insert recognized by the United States
36Department of Education. The board has the authority to make the
37final determination as to whether a degree meets all requirements,
38including, but not limited to, course requirements, regardless of
39accreditation or approval.

P20   1(c) A doctoral or master’s degree program that qualifies for
2licensure or registration shall do the following:

3(1) Integrate all of the following throughout its curriculum:

4(A) Marriage and family therapy principles.

5(B) The principles of mental health recovery-oriented care and
6methods of service delivery in recovery-oriented practice
7environments, among others.

8(C) An understanding of various cultures and the social and
9psychological implications of socioeconomic position, and an
10understanding of how poverty and social stress impact an
11individual’s mental health and recovery.

12(2) Allow for innovation and individuality in the education of
13marriage and family therapists.

14(3) Encourage students to develop the personal qualities that
15are intimately related to effective practice, including, but not
16limited to, integrity, sensitivity, flexibility, insight, compassion,
17and personal presence.

18(4) Permit an emphasis or specialization that may address any
19one or more of the unique and complex array of human problems,
20symptoms, and needs of Californians served by marriage and
21family therapists.

22(5) Provide students with the opportunity to meet with various
23consumers and family members of consumers of mental health
24services to enhance understanding of their experience of mental
25illness, treatment, and recovery.

26(d) The degree described in subdivision (b) shall contain no less
27than 60 semester or 90 quarter units of instruction that includes,
28but is not limited to, the following requirements:

29(1) Both of the following:

30(A) No less than 12 semester or 18 quarter units of coursework
31in theories, principles, and methods of a variety of
32psychotherapeutic orientations directly related to marriage and
33family therapy and marital and family systems approaches to
34treatment and how these theories can be applied therapeutically
35with individuals, couples, families, adults, including elder adults,
36children, adolescents, and groups to improve, restore, or maintain
37healthy relationships.

38(B) Practicum that involves direct client contact, as follows:

P21   1(i) A minimum of six semester or nine quarter units of practicum
2in a supervised clinical placement that provides supervised
3fieldwork experience.

4(ii) A minimum of 150 hours of face-to-face experience
5counseling individuals, couples, families, or groups.

6(iii) A student must be enrolled in a practicum course while
7counseling clients, except as specified in subdivision (c) of Section
84980.42.

9(iv) The practicum shall provide training in all of the following
10areas:

11(I) Applied use of theory and psychotherapeutic techniques.

12(II) Assessment, diagnosis, and prognosis.

13(III) Treatment of individuals and premarital, couple, family,
14and child relationships, including trauma and abuse, dysfunctions,
15healthy functioning, health promotion, illness prevention, and
16working with families.

17(IV) Professional writing, including documentation of services,
18treatment plans, and progress notes.

19(V) How to connect people with resources that deliver the
20quality of services and support needed in the community.

21(v) Educational institutions are encouraged to design the
22practicum required by this subparagraph to include marriage and
23family therapy experience in low income and multicultural mental
24health settings.

25(vi) In addition to the 150 hours required in clause (ii), 75 hours
26of either of thebegin delete following:end deletebegin insert following, or a combination thereof:end insert

27(I) Client centered advocacy, as defined in Section 4980.03.

28(II) Face-to-face experience counseling individuals, couples,
29families, or groups.

30(2) Instruction in all of the following:

31(A) Diagnosis, assessment, prognosis, and treatment of mental
32disorders, including severe mental disorders, evidence-based
33practices, psychological testing, psychopharmacology, and
34promising mental health practices that are evaluated in peer
35reviewed literature.

36(B) Developmental issues from infancy to old age, including
37instruction in all of the following areas:

38(i) The effects of developmental issues on individuals, couples,
39and family relationships.

P22   1(ii) The psychological, psychotherapeutic, and health
2implications of developmental issues and their effects.

3(iii) Aging and its biological, social, cognitive, and
4psychological aspects.begin insert This coursework shall include instruction
5on the assessment and reporting of, as well as treatment related
6to, elder and dependent adult abuse and neglect.end insert

7(iv) A variety of cultural understandings of human development.

8(v) The understanding of human behavior within the social
9context of socioeconomic status and other contextual issues
10affecting social position.

11(vi) The understanding of human behavior within the social
12context of a representative variety of the cultures found within
13California.

14(vii) The understanding of the impact that personal and social
15insecurity, social stress, low educational levels, inadequate housing,
16and malnutrition have on human development.

17(C) The broad range of matters and life events that may arise
18within marriage and family relationships and within a variety of
19California cultures, including instruction in all of the following:

20(i) A minimum of seven contact hours of training or coursework
21in child abuse assessment and reporting as specified in Section 28,
22and any regulations promulgated thereunder.

23(ii) Spousal or partner abuse assessment, detection, intervention
24strategies, and same gender abuse dynamics.

25(iii) Cultural factors relevant to abuse of partners and family
26members.

27(iv) Childbirth, child rearing, parenting, and stepparenting.

28(v) Marriage, divorce, and blended families.

29(vi) Long-term care.

30(vii) End of life and grief.

31(viii) Poverty and deprivation.

32(ix) Financial and social stress.

33(x) Effects of trauma.

34(xi) The psychological, psychotherapeutic, community, and
35health implications of the matters and life events described in
36clauses (i) to (x), inclusive.

37(D) Cultural competency and sensitivity, including a familiarity
38with the racial, cultural, linguistic, and ethnic backgrounds of
39persons living in California.

P23   1(E) Multicultural development and cross-cultural interaction,
2including experiences of race, ethnicity, class, spirituality, sexual
3orientation, gender, and disability, and their incorporation into the
4psychotherapeutic process.

5(F) The effects of socioeconomic status on treatment and
6available resources.

7(G) Resilience, including the personal and community qualities
8that enable persons to cope with adversity, trauma, tragedy, threats,
9or other stresses.

10(H) Human sexuality, including the study of physiological,
11psychological, and social cultural variables associated with sexual
12behavior and gender identity, and the assessment and treatment of
13psychosexual dysfunction.

14(I) Substance use disorders, co-occurring disorders, and
15addiction, including, but not limited to, instruction in all of the
16following:

17(i) The definition of substance use disorders, co-occurring
18disorders, and addiction. For purposes of this subparagraph,
19“co-occurring disorders” means a mental illness and substance
20abuse diagnosis occurring simultaneously in an individual.

21(ii) Medical aspects of substance use disorders and co-occurring
22disorders.

23(iii) The effects of psychoactive drug use.

24(iv) Current theories of the etiology of substance abuse and
25addiction.

26(v) The role of persons and systems that support or compound
27substance abuse and addiction.

28(vi) Major approaches to identification, evaluation, and treatment
29of substance use disorders, co-occurring disorders, and addiction,
30including, but not limited to, best practices.

31(vii) Legal aspects of substance abuse.

32(viii) Populations at risk with regard to substance use disorders
33and co-occurring disorders.

34(ix) Community resources offering screening, assessment,
35treatment, and followup for the affected person and family.

36(x) Recognition of substance use disorders, co-occurring
37disorders, and addiction, and appropriate referral.

38(xi) The prevention of substance use disorders and addiction.

P24   1(J) California law and professional ethics for marriage and
2family therapists, including instruction in all of the following areas
3of study:

4(i) Contemporary professional ethics and statutory, regulatory,
5and decisional laws that delineate the scope of practice of marriage
6and family therapy.

7(ii) The therapeutic, clinical, and practical considerations
8involved in the legal and ethical practice of marriage and family
9therapy, including, but not limited to, family law.

10(iii) The current legal patterns and trends in the mental health
11professions.

12(iv) The psychotherapist-patient privilege, confidentiality, the
13patient dangerous to self or others, and the treatment of minors
14with and without parental consent.

15(v) A recognition and exploration of the relationship between
16a practitioner’s sense of self and human values and his or her
17professional behavior and ethics.

18(vi) Differences in legal and ethical standards for different types
19of work settings.

20(vii) Licensing law and licensing process.

21(e) The degree described in subdivision (b) shall, in addition to
22meeting the requirements of subdivision (d), include instruction
23in case management, systems of care for the severely mentally ill,
24public and private services and supports available for the severely
25mentally ill, community resources for persons with mental illness
26and for victims of abuse, disaster and trauma response, advocacy
27for the severely mentally ill, and collaborative treatment. This
28instruction may be provided either in credit level coursework or
29through extension programs offered by the degree-granting
30institution.

31(f) The changes made to law by this section are intended to
32improve the educational qualifications for licensure in order to
33better prepare future licentiates for practice, and are not intended
34to expand or restrict the scope of practice for marriage and family
35therapists.

36

begin deleteSEC. 16.end delete
37begin insertSEC. 17.end insert  

Section 4980.37 of the Business and Professions Code
38 is amended to read:

39

4980.37.  

(a) This section shall apply to applicants for licensure
40or registration who begin graduate study before August 1, 2012,
P25   1and complete that study on or before December 31, 2018. Those
2applicants may alternatively qualify under paragraph (2) of
3subdivision (a) of Section 4980.36.

4(b) To qualify for a license or registration, applicants shall
5possess a doctor’s or master’s degree in marriage, family, and child
6counseling, marriage and family therapy, couple and family
7therapy, psychology, clinical psychology, counseling psychology,
8or counseling with an emphasis in either marriage, family, and
9child counseling or marriage and family therapy, obtained from a
10school, college, or university accredited by a regional accrediting
11agency that is recognized by the United States Department of
12Education or approved by the Bureau for Private Postsecondary
13Education. The board has the authority to make the final
14determination as to whether a degree meets all requirements,
15including, but not limited to, course requirements, regardless of
16accreditation or approval. In order to qualify for licensure pursuant
17to this section, a doctor’s or master’s degree program shall be a
18single, integrated program primarily designed to train marriage
19and family therapists and shall contain no less than 48 semester
20or 72 quarter units of instruction. This instruction shall include no
21less than 12 semester units or 18 quarter units of coursework in
22the areas of marriage, family, and child counseling, and marital
23and family systems approaches to treatment. The coursework shall
24include all of the following areas:

25(1) The salient theories of a variety of psychotherapeutic
26orientations directly related to marriage and family therapy, and
27 marital and family systems approaches to treatment.

28(2) Theories of marriage and family therapy and how they can
29be utilized in order to intervene therapeutically with couples,
30families, adults, children, and groups.

31(3) Developmental issues and life events from infancy to old
32age and their effect on individuals, couples, and family
33relationships. This may include coursework that focuses on specific
34family life events and the psychological, psychotherapeutic, and
35health implications that arise within couples and families,
36including, but not limited to, childbirth, child rearing, childhood,
37adolescence, adulthood, marriage, divorce, blended families,
38stepparenting, abuse and neglect of older and dependent adults,
39and geropsychology.

40(4) A variety of approaches to the treatment of children.

P26   1The board shall, by regulation, set forth the subjects of instruction
2required in this subdivision.

3(c) (1) In addition to the 12 semester or 18 quarter units of
4coursework specified in subdivision (b), the doctor’s or master’s
5degree program shall contain not less than six semester or nine
6quarter units of supervised practicum in applied psychotherapeutic
7technique, assessments, diagnosis, prognosis, and treatment of
8premarital, couple, family, and child relationships, including
9dysfunctions, healthy functioning, health promotion, and illness
10prevention, in a supervised clinical placement that provides
11supervised fieldwork experience within the scope of practice of a
12marriage and family therapist.

13(2) For applicants who enrolled in a degree program on or after
14January 1, 1995, the practicum shall include a minimum of 150
15hours of face-to-face experience counseling individuals, couples,
16families, or groups.

17(3) The practicum hours shall be considered as part of the 48
18semester or 72 quarter unit requirement.

19(d) As an alternative to meeting the qualifications specified in
20subdivision (b), the board shall accept as equivalent degrees those
21master’s or doctor’s degrees granted by educational institutions
22whose degree program is approved by the Commission on
23Accreditation for Marriage and Family Therapy Education.

24(e) In order to provide an integrated course of study and
25appropriate professional training, while allowing for innovation
26and individuality in the education of marriage and family therapists,
27a degree program that meets the educational qualifications for
28licensure or registration under this section shall do all of the
29 following:

30(1) Provide an integrated course of study that trains students
31generally in the diagnosis, assessment, prognosis, and treatment
32of mental disorders.

33(2) Prepare students to be familiar with the broad range of
34matters that may arise within marriage and family relationships.

35(3) Train students specifically in the application of marriage
36and family relationship counseling principles and methods.

37(4) Encourage students to develop those personal qualities that
38are intimately related to the counseling situation such as integrity,
39sensitivity, flexibility, insight, compassion, and personal presence.

P27   1(5) Teach students a variety of effective psychotherapeutic
2techniques and modalities that may be utilized to improve, restore,
3or maintain healthy individual, couple, and family relationships.

4(6) Permit an emphasis or specialization that may address any
5one or more of the unique and complex array of human problems,
6symptoms, and needs of Californians served by marriage and
7family therapists.

8(7) Prepare students to be familiar with cross-cultural mores
9and values, including a familiarity with the wide range of racial
10and ethnic backgrounds common among California’s population,
11including, but not limited to, Blacks, Hispanics, Asians, and Native
12Americans.

13(f) Educational institutions are encouraged to design the
14practicum required by this section to include marriage and family
15therapy experience in low income and multicultural mental health
16settings.

17(g) This section shall remain in effect only until January 1, 2019,
18and as of that date is repealed, unless a later enacted statute, that
19is enacted before January 1, 2019, deletes or extends that date.

20

begin deleteSEC. 17.end delete
21begin insertSEC. 18.end insert  

Section 4980.399 of the Business and Professions
22Code
is amended to read:

23

4980.399.  

(a) Except as provided in subdivision (a) of Section
244980.398, each applicant and registrant shall obtain a passing score
25on a board-administered California law and ethics examination in
26order to qualify for licensure.

27(b) A registrant shall participate in a board-administered
28California law and ethics examination prior to his or her registration
29renewal.

30(c) Notwithstanding subdivision (b), an applicant who holds a
31registration eligible for renewal, with an expiration date no later
32than June 30, 2016, and who applies for renewal of that registration
33between January 1, 2016, and June 30, 2016, shall, if eligible, be
34allowed to renew the registration without first participating in the
35California law and ethics examination. These applicants shall
36participate in the California law and ethics examination in the next
37renewal cycle, and shall pass the examination prior to licensure or
38issuance of a subsequent registration number, as specified in this
39section.

P28   1(d) If an applicant fails the California law and ethics
2examination, he or she may retake the examination, upon payment
3of the required fees, without further application except as provided
4in subdivision (e).

5(e) If a registrant fails to obtain a passing score on the California
6law and ethics examination described in subdivision (a) within his
7or her renewal period on or after the operative date of this section,
8he or she shall complete, at a minimum, a 12-hour course in
9California law and ethics in order to be eligible to participate in
10the California law and ethics examination. Registrants shall only
11take the 12-hour California law and ethics course once during a
12renewal period. The 12-hour law and ethics course required by
13this section shall be taken through a board-approved continuing
14education provider, a county, state or governmental entity, or a
15college or university.

16(f) The board shall not issue a subsequent registration number
17unless the registrant has passed the California law and ethics
18examination.

19(g) Notwithstanding subdivision (f), an applicant who holds or
20has held a registration, with an expiration date no later than January
211, 2017, and who applies for a subsequent registration number
22between January 1, 2016, and January 1, 2017, shall, if eligible,
23be allowed to obtain the subsequent registration number without
24first passing the California law and ethics examination. These
25applicants shall pass the California law and ethics examination
26during the next renewal period or prior to licensure, whichever
27occurs first.

28(h) This section shall become operative on January 1, 2016.

29

begin deleteSEC. 18.end delete
30begin insertSEC. 19.end insert  

Section 4980.41 of the Business and Professions Code
31 is amended to read:

32

4980.41.  

(a) An applicant for licensure whose education
33qualifies him or her under Section 4980.37 shall complete the
34following coursework or training in order to be eligible to sit for
35the licensing examinations as specified in subdivision (d) of Section
364980.40:

37(1) A two semester or three quarter unit course in California
38law and professional ethics for marriage and family therapists,
39which shall include, but not be limited to, the following areas of
40study:

P29   1(A) Contemporary professional ethics and statutory, regulatory,
2and decisional laws that delineate the profession’s scope of
3practice.

4(B) The therapeutic, clinical, and practical considerations
5involved in the legal and ethical practice of marriage and family
6therapy, including family law.

7(C) The current legal patterns and trends in the mental health
8profession.

9(D) The psychotherapist-patient privilege, confidentiality, the
10patient dangerous to self or others, and the treatment of minors
11with and without parental consent.

12(E) A recognition and exploration of the relationship between
13a practitioner’s sense of self and human values and his or her
14professional behavior and ethics.

15This course may be considered as part of the 48 semester or 72
16quarter unit requirements contained in Section 4980.37.

17(2) A minimum of seven contact hours of training or coursework
18in child abuse assessment and reporting as specified in Section 28
19and any regulations promulgated thereunder.

20(3) A minimum of 10 contact hours of training or coursework
21in human sexuality as specified in Section 25, and any regulations
22promulgated thereunder. When coursework in a master’s or
23doctor’s degree program is acquired to satisfy this requirement, it
24shall be considered as part of the 48 semester or 72 quarter unit
25requirement contained in Section 4980.37.

26(4) For persons who began graduate study on or after January
271, 1986, a master’s or doctor’s degree qualifying for licensure shall
28include specific instruction in alcoholism and other chemical
29substance dependency as specified by regulation. When coursework
30in a master’s or doctor’s degree program is acquired to satisfy this
31requirement, it shall be considered as part of the 48 semester or
3272 quarter unit requirement contained in Section 4980.37.
33Coursework required under this paragraph may be satisfactory if
34taken either in fulfillment of other educational requirements for
35licensure or in a separate course. The applicant may satisfy this
36requirement by successfully completing this coursework from a
37master’s or doctoral degree program at an accredited or approved
38institution, as described in subdivision (b) of Section 4980.37, or
39from a board-accepted provider of continuing education, as
40described in Section 4980.54.

P30   1(5) For persons who began graduate study during the period
2commencing on January 1, 1995, and ending on December 31,
32003, a master’s or doctor’s degree qualifying for licensure shall
4include coursework in spousal or partner abuse assessment,
5detection, and intervention. For persons who began graduate study
6on or after January 1, 2004, a master’s or doctor’s degree qualifying
7for licensure shall include a minimum of 15 contact hours of
8coursework in spousal or partner abuse assessment, detection, and
9intervention strategies, including knowledge of community
10resources, cultural factors, and same gender abuse dynamics.
11Coursework required under this paragraph may be satisfactory if
12taken either in fulfillment of other educational requirements for
13licensure or in a separate course. The applicant may satisfy this
14requirement by successfully completing this coursework from a
15master’s or doctoral degree program at an accredited or approved
16institution, as described in subdivision (b) of Section 4980.37, or
17from a board-accepted provider of continuing education, as
18described in Section 4980.54.

19(6) For persons who began graduate study on or after January
201, 2001, an applicant shall complete a minimum of a two semester
21or three quarter unit survey course in psychological testing. When
22coursework in a master’s or doctor’s degree program is acquired
23to satisfy this requirement, it may be considered as part of the 48
24semester or 72 quarter unit requirement of Section 4980.37.

25(7) For persons who began graduate study on or after January
261, 2001, an applicant shall complete a minimum of a two semester
27or three quarter unit survey course in psychopharmacology. When
28coursework in a master’s or doctor’s degree program is acquired
29to satisfy this requirement, it may be considered as part of the 48
30semester or 72 quarter unit requirement of Section 4980.37.

31(8) The requirements added by paragraphs (6) and (7) are
32intended to improve the educational qualifications for licensure in
33order to better prepare future licentiates for practice and are not
34intended in any way to expand or restrict the scope of practice for
35licensed marriage and family therapists.

36(b) This section shall remain in effect only until January 1, 2019,
37and as of that date is repealed, unless a later enacted statute, that
38is enacted before January 1, 2019, deletes or extends that date.

P31   1

begin deleteSEC. 19.end delete
2begin insertSEC. 20.end insert  

Section 4980.43 of the Business and Professions Code
3 is amended to read:

4

4980.43.  

(a) Prior to applying for licensure examinations, each
5applicant shall complete experience that shall comply with the
6following:

7(1) A minimum of 3,000 hours completed during a period of at
8least 104 weeks.

9(2) Not more than 40 hours in any seven consecutive days.

10(3) Not less than 1,700 hours of supervised experience
11completed subsequent to the granting of the qualifying master’s
12or doctoral degree.

13(4) (A) Not more than 1,300 hours of supervised experience
14obtained prior to completing a master’s or doctoral degree.

15(B) The applicant shall not be credited with more than 750 hours
16of counseling and direct supervisor contact prior to completing
17the master’s or doctoral degree.

18(5) No hours of experience may be gained prior to completing
19either 12 semester units or 18 quarter units of graduate instruction
20and becoming a trainee except for personal psychotherapy.

21(6) No hours of experience may be gained more than six years
22prior to the date the application for examination eligibility was
23filed, except that up to 500 hours of clinical experience gained in
24the supervised practicum required by subdivision (c) of Section
254980.37 and subparagraph (B) of paragraph (1) of subdivision (d)
26of Section 4980.36 shall be exempt from this six-year requirement.

27(7) Not more than a combined total of 1,000 hours of experience
28in the following:

29(A) Direct supervisor contact.

30(B) Professional enrichment activities. For purposes of this
31chapter, “professional enrichment activities” include the following:

32(i) Workshops, seminars, training sessions, or conferences
33directly related to marriage and family therapy attended by the
34applicant that are approved by the applicant’s supervisor. An
35applicant shall have no more than 250 hours of verified attendance
36at these workshops, seminars, training sessions, or conferences.

37(ii) Participation by the applicant in personal psychotherapy,
38which includes group, marital or conjoint, family, or individual
39psychotherapy by an appropriately licensed professional. An
40applicant shall have no more than 100 hours of participation in
P32   1personal psychotherapy. The applicant shall be credited with three
2hours of experience for each hour of personal psychotherapy.

3(8) Not more than 500 hours of experience providing group
4therapy or group counseling.

5(9) For all hours gained on or after January 1, 2012, not more
6than 500 hours of experience in the following:

7(A) Experience administering and evaluating psychological
8tests, writing clinical reports, writing progress notes, or writing
9process notes.

10(B) Client centered advocacy.

11(10) Not less than 500 total hours of experience in diagnosing
12and treating couples, families, and children. For up to 150 hours
13of treating couples and families in conjoint therapy, the applicant
14shall be credited with two hours of experience for each hour of
15therapy provided.

16(11) Not more than 375 hours of experience providing personal
17psychotherapy, crisis counseling, or other counseling services via
18telehealth in accordance with Section 2290.5.

19(12) It is anticipated and encouraged that hours of experience
20will include working with elders and dependent adults who have
21physical or mental limitations that restrict their ability to carry out
22normal activities or protect their rights.

23This subdivision shall only apply to hours gained on and after
24January 1, 2010.

25(b) All applicants, trainees, and registrants shall be at all times
26under the supervision of a supervisor who shall be responsible for
27ensuring that the extent, kind, and quality of counseling performed
28is consistent with the training and experience of the person being
29supervised, and who shall be responsible to the board for
30compliance with all laws, rules, and regulations governing the
31practice of marriage and family therapy. Supervised experience
32shall be gained by interns and trainees only as an employee or as
33a volunteer. The requirements of this chapter regarding gaining
34hours of experience and supervision are applicable equally to
35employees and volunteers. Experience shall not be gained by
36interns or trainees as an independent contractor.

37(1) If employed, an intern shall provide the board with copies
38of the corresponding W-2 tax forms for each year of experience
39claimed upon application for licensure.

P33   1(2) If volunteering, an intern shall provide the board with a letter
2from his or her employer verifying the intern’s employment as a
3volunteer upon application for licensure.

4(c) Except for experience gained pursuant to subparagraph (B)
5of paragraph (7) of subdivision (a), supervision shall include at
6least one hour of direct supervisor contact in each week for which
7experience is credited in each work setting, as specified:

8(1) A trainee shall receive an average of at least one hour of
9direct supervisor contact for every five hours of client contact in
10each setting.

11(2) An individual supervised after being granted a qualifying
12degree shall receive at least one additional hour of direct supervisor
13contact for every week in which more than 10 hours of client
14contact is gained in each setting. No more than five hours of
15supervision, whether individual or group, shall be credited during
16any single week.

17(3) For purposes of this section, “one hour of direct supervisor
18contact” means one hour per week of face-to-face contact on an
19individual basis or two hours per week of face-to-face contact in
20a group.

21(4) Direct supervisor contact shall occur within the same week
22as the hours claimed.

23(5) Direct supervisor contact provided in a group shall be
24provided in a group of not more than eight supervisees and in
25segments lasting no less than one continuous hour.

26(6) Notwithstanding paragraph (3), an intern working in a
27governmental entity, a school, a college, or a university, or an
28institution that is both nonprofit and charitable may obtain the
29required weekly direct supervisor contact via two-way, real-time
30videoconferencing. The supervisor shall be responsible for ensuring
31that client confidentiality is upheld.

32(7) All experience gained by a trainee shall be monitored by the
33supervisor as specified by regulation.

34(d) (1) A trainee may be credited with supervised experience
35completed in any setting that meets all of the following:

36(A) Lawfully and regularly provides mental health counseling
37or psychotherapy.

38(B) Provides oversight to ensure that the trainee’s work at the
39setting meets the experience and supervision requirements set forth
P34   1in this chapter and is within the scope of practice for the profession
2as defined in Section 4980.02.

3(C) Is not a private practice owned by a licensed marriage and
4family therapist, a licensed professional clinical counselor, a
5licensed psychologist, a licensed clinical social worker, a licensed
6physician and surgeon, or a professional corporation of any of
7those licensed professions.

8(2) Experience may be gained by the trainee solely as part of
9the position for which the trainee volunteers or is employed.

10(e) (1) An intern may be credited with supervised experience
11completed in any setting that meets both of the following:

12(A) Lawfully and regularly provides mental health counseling
13or psychotherapy.

14(B) Provides oversight to ensure that the intern’s work at the
15setting meets the experience and supervision requirements set forth
16in this chapter and is within the scope of practice for the profession
17as defined in Section 4980.02.

18(2) An applicant shall not be employed or volunteer in a private
19practice, as defined in subparagraph (C) of paragraph (1) of
20subdivision (d), until registered as an intern.

21(3) While an intern may be either a paid employee or a
22volunteer, employers are encouraged to provide fair remuneration
23to interns.

24(4) Except for periods of time during a supervisor’s vacation or
25sick leave, an intern who is employed or volunteering in private
26practice shall be under the direct supervision of a licensee that has
27satisfied the requirements of subdivision (g) of Section 4980.03.
28The supervising licensee shall either be employed by and practice
29at the same site as the intern’s employer, or shall be an owner or
30shareholder of the private practice. Alternative supervision may
31be arranged during a supervisor’s vacation or sick leave if the
32supervision meets the requirements of this section.

33(5) Experience may be gained by the intern solely as part of the
34position for which the intern volunteers or is employed.

35(f) Except as provided in subdivision (g), all persons shall
36register with the board as an intern in order to be credited for
37postdegree hours of supervised experience gained toward licensure.

38(g) Except when employed in a private practice setting, all
39postdegree hours of experience shall be credited toward licensure
40so long as the applicant applies for the intern registration within
P35   190 days of the granting of the qualifying master’s or doctoral
2degree and is thereafter granted the intern registration by the board.

3(h) Trainees, interns, and applicants shall not receive any
4remuneration from patients or clients, and shall only be paid by
5their employers.

6(i) Trainees, interns, and applicants shall only perform services
7at the place where their employers regularly conduct business,
8which may include performing services at other locations, so long
9as the services are performed under the direction and control of
10their employer and supervisor, and in compliance with the laws
11and regulations pertaining to supervision. Trainees and interns
12shall have no proprietary interest in their employers’ businesses
13and shall not lease or rent space, pay for furnishings, equipment,
14or supplies, or in any other way pay for the obligations of their
15employers.

16(j) Trainees, interns, or applicants who provide volunteered
17services or other services, and who receive no more than a total,
18from all work settings, of five hundred dollars ($500) per month
19 as reimbursement for expenses actually incurred by those trainees,
20interns, or applicants for services rendered in any lawful work
21setting other than a private practice shall be considered an
22employee and not an independent contractor. The board may audit
23applicants who receive reimbursement for expenses, and the
24applicants shall have the burden of demonstrating that the payments
25received were for reimbursement of expenses actually incurred.

26(k) Each educational institution preparing applicants for
27licensure pursuant to this chapter shall consider requiring, and
28shall encourage, its students to undergo individual, marital or
29conjoint, family, or group counseling or psychotherapy, as
30appropriate. Each supervisor shall consider, advise, and encourage
31his or her interns and trainees regarding the advisability of
32undertaking individual, marital or conjoint, family, or group
33counseling or psychotherapy, as appropriate. Insofar as it is deemed
34 appropriate and is desired by the applicant, the educational
35institution and supervisors are encouraged to assist the applicant
36in locating that counseling or psychotherapy at a reasonable cost.

37

begin deleteSEC. 20.end delete
38begin insertSEC. 21.end insert  

Section 4980.55 of the Business and Professions Code
39 is amended to read:

P36   1

4980.55.  

As a model for all therapeutic professions, and to
2acknowledge respect and regard for the consuming public, all
3licensed marriage and family therapists are encouraged to provide
4to each client, at an appropriate time and within the context of the
5psychotherapeutic relationship, an accurate and informative
6statement of the therapist’s experience, education, specialities,
7professional orientation, and any other information deemed
8appropriate by the licensee.

9

begin deleteSEC. 21.end delete
10begin insertSEC. 22.end insert  

Section 4980.72 of the Business and Professions Code
11 is amended to read:

12

4980.72.  

(a) This section applies to persons who are licensed
13outside of California and apply for licensure on or after January
141, 2016.

15(b) The board may issue a license to a person who, at the time
16of submitting an application for a license pursuant to this chapter,
17holds a valid license in good standing issued by a board of marriage
18counselor examiners, board of marriage and family therapists, or
19corresponding authority, of any state or country, if all of the
20following conditions are satisfied:

21(1) The applicant’s education is substantially equivalent, as
22defined in Section 4980.78. The applicant’s degree title need not
23be identical to that required by Section 4980.36 or 4980.37.

24(2) The applicant complies with Section 4980.76, if applicable.

25(3) The applicant’s supervised experience is substantially
26equivalent to that required for a license under this chapter. The
27board shall consider hours of experience obtained outside of
28California during the six-year period immediately preceding the
29date the applicant initially obtained the license described above.

30(4) The applicant passes the California law and ethics
31examination.

32(5) The applicant passes a clinical examination designated by
33the board. An applicant who obtained his or her license or
34registration under another jurisdiction may apply for licensure with
35the board without taking the clinical examination if both of the
36following conditions are met:

37(A) The applicant obtained a passing score on the licensing
38examination set forth in regulation as accepted by the board.

39(B) The applicant’s license or registration in that jurisdiction is
40in good standing at the time of his or her application and is not
P37   1revoked, suspended, surrendered, denied, or otherwise restricted
2or encumbered.

3

begin deleteSEC. 22.end delete
4begin insertSEC. 23.end insert  

Section 4980.78 of the Business and Professions Code
5 is amended to read:

6

4980.78.  

(a) This section applies to persons who apply for
7licensure or registration on or after January 1, 2016.

8(b) For purposes of Sections 4980.72 and 4980.74, education
9is substantially equivalent if all of the following requirements are
10met:

11(1) The degree is obtained from a school, college, or university
12accredited by an accrediting agency that is recognized by the
13United States Department of Education and consists of, at a
14minimum, 48 semester or 72 quarter units, including, but not
15limited to, both of the following:

16(A) Six semester or nine quarter units of practicum, including,
17but not limited to, a minimum of 150 hours of face-to-face
18 counseling.

19(B) Twelve semester or 18 quarter units in the areas of marriage,
20family, and child counseling and marital and family systems
21approaches to treatment, as specified in subparagraph (A) of
22paragraph (1) of subdivision (d) of Section 4980.36.

23(2) The applicant completes any units and course content
24requirements under subdivision (d) of Section 4980.36 not already
25completed in his or her education.

26(3) The applicant completes credit level coursework from a
27degree-granting institution that provides all of the following:

28(A) Instruction regarding the principles of mental health
29recovery-oriented care and methods of service delivery in recovery
30model practice environments.

31(B) An understanding of various California cultures and the
32social and psychological implications of socioeconomic position.

33(C) Structured meeting with various consumers and family
34members of consumers of mental health services to enhance
35understanding of their experience of mental illness, treatment, and
36recovery.

37(D) Instruction in addiction and co-occurring substance abuse
38and mental health disorders, as specified in subparagraph (I) of
39paragraph (2) of subdivision (d) of Section 4980.36.

P38   1(4) The applicant completes an 18-hour course in California
2law and professional ethics. The content of the course shall include,
3but not be limited to, advertising, scope of practice, scope of
4competence, treatment of minors, confidentiality, dangerous
5patients, psychotherapist-patient privilege, recordkeeping, patient
6access to records, state and federal laws relating to confidentiality
7of patient health information, dual relationships, child abuse, elder
8and dependent adult abuse, online therapy, insurance
9reimbursement, civil liability, disciplinary actions and
10unprofessional conduct, ethics complaints and ethical standards,
11termination of therapy, standards of care, relevant family law,
12therapist disclosures to patients, differences in legal and ethical
13standards in different types of work settings, and licensing law
14and licensing process.

15(5) The applicant’s degree title need not be identical to that
16required by subdivision (b) of Section 4980.36.

17

begin deleteSEC. 23.end delete
18begin insertSEC. 24.end insert  

Section 4987.5 of the Business and Professions Code
19 is amended to read:

20

4987.5.  

A marriage and family therapy corporation is a
21corporation that is authorized to render professional services, as
22defined in Section 13401 of the Corporations Code, so long as that
23corporation and its shareholders, officers, directors, and employees
24rendering professional services who are licensed marriage and
25family therapists, physicians and surgeons, psychologists, licensed
26professional clinical counselors, licensed clinical social workers,
27registered nurses, chiropractors, or acupuncturists are in compliance
28with the Moscone-Knox Professional Corporation Act (Part 4
29(commencing with Section 13400) of Division 3 of Title 1 of the
30Corporations Code), this article, and any other statute or regulation
31pertaining to that corporation and the conduct of its affairs. With
32respect to a marriage and family therapy corporation, the
33governmental agency referred to in the Moscone-Knox Professional
34Corporation Act is the Board of Behavioral Sciences.

35

begin deleteSEC. 24.end delete
36begin insertSEC. 25.end insert  

Section 4989.16 of the Business and Professions Code
37 is amended to read:

38

4989.16.  

(a) A person appropriately credentialed by the
39Commission on Teacher Credentialing may perform the functions
P39   1authorized by that credential in a public school without a license
2issued under this chapter by the board.

3(b) Nothing in this chapter shall be construed to constrict, limit,
4or withdraw the Medical Practice Act (Chapter 5 (commencing
5with Section 2000)), the Nursing Practice Act (Chapter 6
6(commencing with Section 2700)), the Psychology Licensing Law
7(Chapter 6.6 (commencing with Section 2900)), the Licensed
8Marriage and Family Therapist Practice Act (Chapter 13
9(commencing with Section 4980)), the Clinical Social Worker
10Practice Act (Chapter 14 (commencing with Section 4991)), or
11the Licensed Professional Clinical Counselor Act (Chapter 16
12(commencing with Section 4999.10)).

13

begin deleteSEC. 25.end delete
14begin insertSEC. 26.end insert  

Section 4989.22 of the Business and Professions Code
15 is amended to read:

16

4989.22.  

(a) Only persons who satisfy the requirements of
17Section 4989.20 are eligible to take the licensure examination.

18(b) An applicant who fails the written examination may, within
19one year from the notification date of failure, retake the
20examination as regularly scheduled without further application.
21Thereafter, the applicant shall not be eligible for further
22examination until he or she files a new application, meets all
23current requirements, and pays all fees required.

24(c) Notwithstanding any other provision of law, the board may
25destroy all examination materials two years after the date of an
26examination.

27(d) The board shall not deny any applicant, whose application
28for licensure is complete, admission to the written examination,
29nor shall the board postpone or delay any applicant’s written
30examination or delay informing the candidate of the results of the
31written examination, solely upon the receipt by the board of a
32complaint alleging acts or conduct that would constitute grounds
33to deny licensure.

34(e) Notwithstanding Section 135, the board may deny any
35applicant who has previously failed the written examination
36permission to retake the examination pending completion of the
37investigation of any complaint against the applicant. Nothing in
38this section shall prohibit the board from denying an applicant
39admission to any examination, withholding the results, or refusing
40to issue a license to any applicant when an accusation or statement
P40   1of issues has been filed against the applicant pursuant to Section
211503 or 11504 of the Government Code, or the applicant has been
3denied in accordance with subdivision (b) of Section 485.

4

begin deleteSEC. 26.end delete
5begin insertSEC. 27.end insert  

Section 4992.09 of the Business and Professions Code
6 is amended to read:

7

4992.09.  

(a) Except as provided in subdivision (a) of Section
84992.07, an applicant and registrant shall obtain a passing score
9on a board-administered California law and ethics examination in
10order to qualify for licensure.

11(b) A registrant shall participate in a board-administered
12California law and ethics examination prior to his or her registration
13renewal.

14(c) Notwithstanding subdivision (b), an applicant who holds a
15registration eligible for renewal, with an expiration date no later
16than June 30, 2016, and who applies for renewal of that registration
17between January 1, 2016, and June 30, 2016, shall, if eligible, be
18allowed to renew the registration without first participating in the
19California law and ethics examination. These applicants shall
20participate in the California law and ethics examination in the next
21renewal cycle, and shall pass the examination prior to licensure or
22issuance of a subsequent registration number, as specified in this
23section.

24(d) If an applicant fails the California law and ethics
25examination, he or she may retake the examination, upon payment
26of the required fees, without further application except for as
27provided in subdivision (e).

28(e) If a registrant fails to obtain a passing score on the California
29law and ethics examination described in subdivision (a) within his
30or her renewal period on or after the operative date of this section,
31he or she shall complete, at a minimum, a 12-hour course in
32California law and ethics in order to be eligible to participate in
33the California law and ethics examination. Registrants shall only
34take the 12-hour California law and ethics course once during a
35renewal period. The 12-hour law and ethics course required by
36this section shall be taken through a board-approved continuing
37education provider, a county, state or governmental entity, or a
38college or university.

P41   1(f) The board shall not issue a subsequent registration number
2unless the registrant has passed the California law and ethics
3examination.

4(g) Notwithstanding subdivision (f), an applicant who holds or
5has held a registration, with an expiration date no later than January
61, 2017, and who applies for a subsequent registration number
7between January 1, 2016, and January 1, 2017, shall, if eligible,
8be allowed to obtain the subsequent registration number without
9first passing the California law and ethics examination. These
10applicants shall pass the California law and ethics examination
11during the next renewal period or prior to licensure, whichever
12occurs first.

13(h) This section shall become operative on January 1, 2016.

14

begin deleteSEC. 27.end delete
15begin insertSEC. 28.end insert  

Section 4996.17 of the Business and Professions Code
16 is amended to read:

17

4996.17.  

(a) (1) Experience gained outside of California shall
18be accepted toward the licensure requirements if it is substantially
19the equivalent of the requirements of this chapter.

20(2) Commencing January 1, 2014, an applicant with education
21gained outside of California shall complete an 18-hour course in
22California law and professional ethics. The content of the course
23shall include, but not be limited to, the following: advertising,
24scope of practice, scope of competence, treatment of minors,
25confidentiality, dangerous patients, psychotherapist-patient
26privilege, recordkeeping, patient access to records, state and federal
27laws related to confidentiality of patient health information, dual
28relationships, child abuse, elder and dependent adult abuse, online
29therapy, insurance reimbursement, civil liability, disciplinary
30actions and unprofessional conduct, ethics complaints and ethical
31standards, termination of therapy, standards of care, relevant family
32law, therapist disclosures to patients, differences in legal and ethical
33standards in different types of work settings, and licensing law
34and process.

35(b) The board may issue a license to any person who, at the time
36of application, holds a valid active clinical social work license
37issued by a board of clinical social work examiners or
38corresponding authority of any state, if the person passes, or has
39passed, the licensing examinations as specified in Section 4996.1
P42   1and pays the required fees. Issuance of the license is conditioned
2upon all of the following:

3(1) The applicant has supervised experience that is substantially
4the equivalent of that required by this chapter. If the applicant has
5less than 3,200 hours of qualifying supervised experience, time
6actively licensed as a clinical social worker shall be accepted at a
7rate of 100 hours per month up to a maximum of 1,200 hours.

8(2) Completion of the following coursework or training in or
9out of this state:

10(A) A minimum of seven contact hours of training or coursework
11in child abuse assessment and reporting as specified in Section 28,
12and any regulations promulgated thereunder.

13(B) A minimum of 10 contact hours of training or coursework
14in human sexuality as specified in Section 25, and any regulations
15promulgated thereunder.

16(C) A minimum of 15 contact hours of training or coursework
17in alcoholism and other chemical substance dependency, as
18specified by regulation.

19(D) A minimum of 15 contact hours of coursework or training
20in spousal or partner abuse assessment, detection, and intervention
21strategies.

22(3) Commencing January 1, 2014, completion of an 18-hour
23course in California law and professional ethics. The content of
24the course shall include, but not be limited to, the following:
25advertising, scope of practice, scope of competence, treatment of
26minors, confidentiality, dangerous patients, psychotherapist-patient
27privilege, recordkeeping, patient access to records, state and federal
28laws related to confidentiality of patient health information, dual
29relationships, child abuse, elder and dependent adult abuse, online
30therapy, insurance reimbursement, civil liability, disciplinary
31actions and unprofessional conduct, ethics complaints and ethical
32standards, termination of therapy, standards of care, relevant family
33law, therapist disclosures to patients, differences in legal and ethical
34standards in different types of work settings, and licensing law
35and process.

36(4) The applicant’s license is not suspended, revoked, restricted,
37sanctioned, or voluntarily surrendered in any state.

38(5) The applicant is not currently under investigation in any
39other state, and has not been charged with an offense for any act
40substantially related to the practice of social work by any public
P43   1agency, entered into any consent agreement or been subject to an
2administrative decision that contains conditions placed by an
3agency upon an applicant’s professional conduct or practice,
4including any voluntary surrender of license, or been the subject
5of an adverse judgment resulting from the practice of social work
6that the board determines constitutes evidence of a pattern of
7incompetence or negligence.

8(6) The applicant shall provide a certification from each state
9where he or she holds a license pertaining to licensure, disciplinary
10action, and complaints pending.

11(7) The applicant is not subject to denial of licensure under
12Section 480, 4992.3, 4992.35, or 4992.36.

13(c) The board may issue a license to any person who, at the time
14of application, holds a valid, active clinical social work license
15issued by a board of clinical social work examiners or a
16corresponding authority of any state, if the person has held that
17license for at least four years immediately preceding the date of
18application, the person passes, or has passed, the licensing
19examinations as specified in Section 4996.1, and the person pays
20the required fees. Issuance of the license is conditioned upon all
21of the following:

22(1) Completion of the following coursework or training in or
23out of state:

24(A) A minimum of seven contact hours of training or coursework
25in child abuse assessment and reporting as specified in Section 28,
26and any regulations promulgated thereunder.

27(B) A minimum of 10 contact hours of training or coursework
28in human sexuality as specified in Section 25, and any regulations
29promulgated thereunder.

30(C) A minimum of 15 contact hours of training or coursework
31in alcoholism and other chemical substance dependency, as
32specified by regulation.

33(D) A minimum of 15 contact hours of coursework or training
34in spousal or partner abuse assessment, detection, and intervention
35strategies.

36(2) Commencing January 1, 2014, completion of an 18-hour
37course in California law and professional ethics. The content of
38the course shall include, but not be limited to, the following:
39advertising, scope of practice, scope of competence, treatment of
40minors, confidentiality, dangerous patients, psychotherapist-patient
P44   1privilege, recordkeeping, patient access to records, state and federal
2laws related to confidentiality of patient health information, dual
3relationships, child abuse, elder and dependent adult abuse, online
4therapy, insurance reimbursement, civil liability, disciplinary
5actions and unprofessional conduct, ethics complaints and ethical
6standards, termination of therapy, standards of care, relevant family
7law, therapist disclosures to patients, differences in legal and ethical
8standards in different types of work settings, and licensing law
9and process.

10(3) The applicant has been licensed as a clinical social worker
11continuously for a minimum of four years prior to the date of
12application.

13(4) The applicant’s license is not suspended, revoked, restricted,
14sanctioned, or voluntarily surrendered in any state.

15(5) The applicant is not currently under investigation in any
16other state, and has not been charged with an offense for any act
17substantially related to the practice of social work by any public
18agency, entered into any consent agreement or been subject to an
19administrative decision that contains conditions placed by an
20agency upon an applicant’s professional conduct or practice,
21including any voluntary surrender of license, or been the subject
22of an adverse judgment resulting from the practice of social work
23that the board determines constitutes evidence of a pattern of
24incompetence or negligence.

25(6) The applicant provides a certification from each state where
26he or she holds a license pertaining to licensure, disciplinary action,
27and complaints pending.

28(7) The applicant is not subject to denial of licensure under
29Section 480, 4992.3, 4992.35, or 4992.36.

30(d) Commencing January 1, 2016, an applicant who obtained
31his or her license or registration under another jurisdiction may
32apply for licensure with the board without taking the clinical
33examination specified in Section 4996.1 if the applicant obtained
34a passing score on the licensing examination set forth in regulation
35as accepted by the board.

36

begin deleteSEC. 28.end delete
37begin insertSEC. 29.end insert  

Section 4996.23 of the Business and Professions Code
38 is amended to read:

39

4996.23.  

The experience required by subdivision (c) of Section
404996.2 shall meet the following criteria:

P45   1(a) All persons registered with the board on and after January
21, 2002, shall have at least 3,200 hours of post-master’s degree
3supervised experience providing clinical social work services as
4permitted by Section 4996.9. At least 1,700 hours shall be gained
5under the supervision of a licensed clinical social worker. The
6remaining required supervised experience may be gained under
7the supervision of a licensed mental health professional acceptable
8to the board as defined by a regulation adopted by the board. This
9experience shall consist of the following:

10(1) A minimum of 2,000 hours in clinical psychosocial
11diagnosis, assessment, and treatment, including psychotherapy or
12counseling.

13(2) A maximum of 1,200 hours in client-centered advocacy,
14consultation, evaluation, and research.

15(3) Of the 2,000 clinical hours required in paragraph (1), no less
16than 750 hours shall be face-to-face individual or group
17psychotherapy provided to clients in the context of clinical social
18work services.

19(4) A minimum of two years of supervised experience is required
20to be obtained over a period of not less than 104 weeks and shall
21have been gained within the six years immediately preceding the
22date on which the application for licensure was filed.

23(5) Experience shall not be credited for more than 40 hours in
24any week.

25(b) “Supervision” means responsibility for, and control of, the
26quality of clinical social work services being provided.
27Consultation or peer discussion shall not be considered to be
28supervision.

29(c) (1) Prior to the commencement of supervision, a supervisor
30shall comply with all requirements enumerated in Section 1870 of
31Title 16 of the California Code of Regulations and shall sign under
32penalty of perjury the “Responsibility Statement for Supervisors
33of an Associate Clinical Social Worker” form.

34(2) Supervised experience shall include at least one hour of
35direct supervisor contact for a minimum of 104 weeks. For
36purposes of this subdivision, “one hour of direct supervisor contact”
37means one hour per week of face-to-face contact on an individual
38basis or two hours of face-to-face contact in a group conducted
39within the same week as the hours claimed.

P46   1(3) An associate shall receive at least one additional hour of
2direct supervisor contact for every week in which more than 10
3hours of face-to-face psychotherapy is performed in each setting
4in which experience is gained. No more than five hours of
5supervision, whether individual or group, shall be credited during
6any single week.

7(4) Group supervision shall be provided in a group of not more
8than eight supervisees and shall be provided in segments lasting
9no less than one continuous hour.

10(5) Of the 104 weeks of required supervision, 52 weeks shall
11be individual supervision, and of the 52 weeks of required
12individual supervision, not less than 13 weeks shall be supervised
13by a licensed clinical social worker.

14(6) Notwithstanding paragraph (2), an associate clinical social
15worker working for a governmental entity, school, college, or
16university, or an institution that is both a nonprofit and charitable
17institution, may obtain the required weekly direct supervisor
18contact via live two-way videoconferencing. The supervisor shall
19be responsible for ensuring that client confidentiality is preserved.

20(d) The supervisor and the associate shall develop a supervisory
21plan that describes the goals and objectives of supervision. These
22goals shall include the ongoing assessment of strengths and
23limitations and the assurance of practice in accordance with the
24laws and regulations. The associate shall submit to the board the
25initial original supervisory plan upon application for licensure.

26(e) Experience shall only be gained in a setting that meets both
27of the following:

28(1) Lawfully and regularly provides clinical social work, mental
29health counseling, or psychotherapy.

30(2) Provides oversight to ensure that the associate’s work at the
31setting meets the experience and supervision requirements set forth
32in this chapter and is within the scope of practice for the profession
33as defined in Section 4996.9.

34(f) Experience shall not be gained until the applicant has been
35registered as an associate clinical social worker.

36(g) Employment in a private practice as defined in subdivision
37(h) shall not commence until the applicant has been registered as
38an associate clinical social worker.

39(h) A private practice setting is a setting that is owned by a
40licensed clinical social worker, a licensed marriage and family
P47   1 therapist, a licensed psychologist, a licensed professional clinical
2counselor, a licensed physician and surgeon, or a professional
3corporation of any of those licensed professions.

4(i) If volunteering, the associate shall provide the board with a
5letter from his or her employer verifying his or her voluntary status
6upon application for licensure.

7(j) If employed, the associate shall provide the board with copies
8of his or her W-2 tax forms for each year of experience claimed
9upon application for licensure.

10(k) While an associate may be either a paid employee or
11volunteer, employers are encouraged to provide fair remuneration
12to associates.

13(l) An associate shall not do the following:

14(1) Receive any remuneration from patients or clients and shall
15only be paid by his or her employer.

16(2) Have any proprietary interest in the employer’s business.

17(3) Lease or rent space, pay for furnishings, equipment, or
18supplies, or in any other way pay for the obligations of his or her
19employer.

20(m) An associate, whether employed or volunteering, may obtain
21supervision from a person not employed by the associate’s
22employer if that person has signed a written agreement with the
23employer to take supervisory responsibility for the associate’s
24social work services.

25(n) Notwithstanding any other provision of law, associates and
26applicants for examination shall receive a minimum of one hour
27of supervision per week for each setting in which he or she is
28working.

29

begin deleteSEC. 29.end delete
30begin insertSEC. 30.end insert  

Section 4998 of the Business and Professions Code
31 is amended to read:

32

4998.  

A licensed clinical social worker corporation is a
33corporation that is authorized to render professional services, as
34defined in Section 13401 of the Corporations Code, so long as that
35corporation and its shareholders, officers, directors, and employees
36rendering professional services who are licensed clinical social
37workers, physicians and surgeons, psychologists, licensed
38professional clinical counselors, licensed marriage and family
39therapists, registered nurses, chiropractors, or acupuncturists are
40in compliance with the Moscone-Knox Professional Corporation
P48   1Act (Part 4 (commencing with Section 13400) of Division 3 of
2Title 1 of the Corporations Code), this article, and all other statutes
3and regulations now or hereafter enacted or adopted pertaining to
4that corporation and the conduct of its affairs. With respect to a
5licensed clinical social worker corporation, the governmental
6agency referred to in the Moscone-Knox Professional Corporation
7Act is the Board of Behavioral Sciences.

8

begin deleteSEC. 30.end delete
9begin insertSEC. 31.end insert  

Section 4999.55 of the Business and Professions Code
10 is amended to read:

11

4999.55.  

(a) Each applicant and registrant shall obtain a
12passing score on a board-administered California law and ethics
13examination in order to qualify for licensure.

14(b) A registrant shall participate in a board-administered
15California law and ethics examination prior to his or her registration
16renewal.

17(c) Notwithstanding subdivision (b), an applicant who holds a
18registration eligible for renewal, with an expiration date no later
19than June 30, 2016, and who applies for renewal of that registration
20between January 1, 2016, and June 30, 2016, shall, if eligible, be
21allowed to renew the registration without first participating in the
22California law and ethics examination. These applicants shall
23participate in the California law and ethics examination in the next
24renewal cycle, and shall pass the examination prior to licensure or
25issuance of a subsequent registration number, as specified in this
26section.

27(d) If an applicant fails the California law and ethics
28examination, he or she may retake the examination, upon payment
29of the required fees, without further application, except as provided
30in subdivision (e).

31(e) If a registrant fails to obtain a passing score on the California
32law and ethics examination described in subdivision (a) within his
33or her renewal period on or after the operative date of this section,
34he or she shall complete, at minimum, a 12-hour course in
35California law and ethics in order to be eligible to participate in
36the California law and ethics examination. Registrants shall only
37take the 12-hour California law and ethics course once during a
38renewal period. The 12-hour law and ethics course required by
39this section shall be taken through a board-approved continuing
P49   1education provider, a county, state, or governmental entity, or a
2college or university.

3(f) The board shall not issue a subsequent registration number
4unless the registrant has passed the California law and ethics
5examination.

6(g) Notwithstanding subdivision (f), an applicant who holds or
7has held a registration, with an expiration date no later than January
81, 2017, and who applies for a subsequent registration number
9between January 1, 2016, and January 1, 2017, shall, if eligible,
10be allowed to obtain the subsequent registration number without
11first passing the California law and ethics examination. These
12applicants shall pass the California law and ethics examination
13during the next renewal period or prior to licensure, whichever
14occurs first.

15(h) This section shall become operative January 1, 2016.

16

begin deleteSEC. 31.end delete
17begin insertSEC. 32.end insert  

Section 4999.58 of the Business and Professions Code
18 is amended to read:

19

4999.58.  

(a) This section applies to a person who applies for
20examination eligibility between January 1, 2011, and December
2131, 2015, inclusive, and who meets both of the following
22requirements:

23(1) At the time of application, holds a valid license as a
24professional clinical counselor, or other counseling license that
25allows the applicant to independently provide clinical mental health
26services, in another jurisdiction of the United States.

27(2) Has held the license described in paragraph (1) for at least
28two years immediately preceding the date of application.

29(b) The board may issue a license to a person described in
30subdivision (a) if all of the following requirements are satisfied:

31(1) The education and supervised experience requirements of
32the other jurisdiction are substantially the equivalent of this chapter,
33as described in subdivision (e) and in Section 4999.46.

34(2) The person complies with subdivision (b) of Section 4999.40,
35if applicable.

36(3) The person successfully completes the examinations required
37by the board pursuant to paragraph (3) of subdivision (a) of Section
384999.50. An applicant who obtained his or her license or
39registration under another jurisdiction by taking a national
40examination that is required by the board may apply for licensure
P50   1with the board without retaking that examination if both of the
2following conditions are met:

3(A) The applicant obtained a passing score on the national
4licensing examination that is required by the board.

5(B) The applicant’s license or registration in that jurisdiction is
6in good standing at the time of his or her application and is not
7revoked, suspended, surrendered, denied, or otherwise restricted
8or encumbered.

9(4) The person pays the required fees.

10(c) Experience gained outside of California shall be accepted
11toward the licensure requirements if it is substantially equivalent
12to that required by this chapter. The board shall consider hours of
13experience obtained in another state during the six-year period
14immediately preceding the applicant’s initial licensure by that state
15as a licensed professional clinical counselor.

16(d) Education gained while residing outside of California shall
17be accepted toward the licensure requirements if it is substantially
18equivalent to the education requirements of this chapter, and if the
19applicant has completed the training or coursework required under
20subdivision (e) of Section 4999.32, which includes, in addition to
21the course described in subparagraph (I) of paragraph (1) of
22subdivision (c) of Section 4999.32, an 18-hour course in California
23law and professional ethics for professional clinical counselors.

24(e) For purposes of this section, the board may, in its discretion,
25accept education as substantially equivalent if the applicant’s
26education meets the requirements of Section 4999.32. If the
27applicant’s degree does not contain the content or the overall units
28required by Section 4999.32, the board may, in its discretion, accept
29the applicant’s education as substantially equivalent if the following
30criteria are satisfied:

31(1) The applicant’s degree contains the required number of
32practicum units under paragraph (3) of subdivision (c) of Section
334999.32.

34(2) The applicant remediates his or her specific deficiency by
35completing the course content and units required by Section
364999.32.

37(3) The applicant’s degree otherwise complies with this section.

38(f) This section shall become inoperative on January 1, 2016,
39and as of that date is repealed, unless a later enacted statute, which
40is enacted before January 1, 2016, deletes or extends that date.

P51   1

begin deleteSEC. 32.end delete
2begin insertSEC. 33.end insert  

Section 4999.59 of the Business and Professions Code
3 is amended to read:

4

4999.59.  

(a) This section applies to a person who applies for
5examination eligibility or registration between January 1, 2011,
6and December 31, 2015, inclusive, who meets both of the following
7requirements:

8(1) At the time of application, holds a valid license described
9in paragraph (1) of subdivision (a) of Section 4999.58.

10(2) Has held the license described in paragraph (1) for less than
11two years immediately preceding the date of application.

12(b) Experience gained outside of California shall be accepted
13toward the licensure requirements if it is substantially equivalent
14to that required by this chapter, if the applicant complies with
15Section 4999.40, if applicable, and if the applicant has gained a
16minimum of 250 hours of supervised experience in direct
17counseling within California while registered as an intern with the
18board. The board shall consider hours of experience obtained in
19another state during the six-year period immediately preceding the
20applicant’s initial licensure in that state as a professional clinical
21counselor.

22(c) Education gained while residing outside of California shall
23be accepted toward the licensure requirements if it is substantially
24equivalent to the education requirements of this chapter, and if the
25applicant has completed the training or coursework required under
26subdivision (e) of Section 4999.32, which includes, in addition to
27the course described in subparagraph (I) of paragraph (1) of
28subdivision (c) of Section 4999.32, an 18-hour course in California
29law and professional ethics for professional clinical counselors.

30(d) For purposes of this section, the board may, in its discretion,
31accept education as substantially equivalent if the applicant’s
32education meets the requirements of Section 4999.32. If the
33applicant’s degree does not contain the content or the overall units
34required by Section 4999.32, the board may, in its discretion, accept
35the applicant’s education as substantially equivalent if the following
36criteria are satisfied:

37(1) The applicant’s degree contains the required number of
38practicum units under paragraph (3) of subdivision (c) of Section
394999.32.

P52   1(2) The applicant remediates his or her specific deficiency by
2completing the course content and units required by Section
34999.32.

4(3) The applicant’s degree otherwise complies with this section.

5(e) An applicant who obtained his or her license or registration
6under another jurisdiction by taking a national examination that
7is required by the board may apply for licensure with the board
8without retaking that examination if both of the following
9conditions are met:

10(1) The applicant obtained a passing score on the national
11licensing examination that is required by the board.

12(2) The applicant’s license or registration in that jurisdiction is
13in good standing at the time of his or her application and is not
14revoked, suspended, surrendered, denied, or otherwise restricted
15or encumbered.

16(f) This section shall become inoperative on January 1, 2016,
17and as of that date is repealed, unless a later enacted statute, which
18is enacted before January 1, 2016, deletes or extends that date.

19

begin deleteSEC. 33.end delete
20begin insertSEC. 34.end insert  

Section 4999.60 of the Business and Professions Code
21 is amended to read:

22

4999.60.  

(a) This section applies to persons who are licensed
23outside of California and apply for examination eligibility on or
24after January 1, 2016.

25(b) The board may issue a license to a person who, at the time
26of submitting an application for a license pursuant to this chapter,
27holds a valid license as a professional clinical counselor, or other
28counseling license that allows the applicant to independently
29provide clinical mental health services, in another jurisdiction of
30the United States, if all of the following conditions are satisfied:

31(1) The applicant’s education is substantially equivalent, as
32defined in Section 4999.62.

33(2) The applicant complies with subdivision (b) of Section
344999.40, if applicable.

35(3) The applicant’s supervised experience is substantially
36equivalent to that required for a license under this chapter. The
37board shall consider hours of experience obtained outside of
38California during the six-year period immediately preceding the
39date the applicant initially obtained the license described above.

P53   1(4) The applicant passes the examinations required to obtain a
2license under this chapter. An applicant who obtained his or her
3license or registration under another jurisdiction may apply for
4licensure with the board without taking the clinical examination
5if both of the following conditions are met:

6(A) The applicant obtained a passing score on the licensing
7examination set forth in regulation as accepted by the board.

8(B) The applicant’s license or registration in that jurisdiction is
9in good standing at the time of his or her application and is not
10revoked, suspended, surrendered, denied, or otherwise restricted
11or encumbered.

12

begin deleteSEC. 34.end delete
13begin insertSEC. 35.end insert  

Section 4999.123 of the Business and Professions
14Code
is amended to read:

15

4999.123.  

A professional clinical counselor corporation is a
16corporation that is authorized to render professional services, as
17defined in Section 13401 of the Corporations Code, so long as that
18corporation and its shareholders, officers, directors, and employees
19who are rendering professional services and who are licensed
20professional clinical counselors, licensed marriage and family
21therapists, physicians and surgeons, psychologists, licensed clinical
22social workers, registered nurses, chiropractors, or acupuncturists,
23are in compliance with the Moscone-Knox Professional
24Corporation Act (Part 4 (commencing with Section 13400) of
25Division 3 of Title 1 of the Corporations Code), this article, and
26any other statute or regulation pertaining to that corporation and
27the conduct of its affairs. With respect to a professional clinical
28counselor corporation, the term “governmental agency” in the
29Moscone-Knox Professional Corporation Act (Part 4 (commencing
30with Section 13400) of Division 3 of Title 1 of the Corporations
31Code) shall be construed to mean the Board of Behavioral Sciences.

32

begin deleteSEC. 35.end delete
33begin insertSEC. 36.end insert  

Section 14132.55 of the Welfare and Institutions
34Code
is amended to read:

35

14132.55.  

For the purposes of reimbursement under the
36Medi-Cal program, a speech pathologist or audiologist shall be
37licensed by the Speech-Language Pathology and Audiology
38Examining Committee of the Medical Board of California or
39similarly licensed by a comparable agency in the state in which
40he or she practices. Licensed speech-language pathologists or
P54   1licensed audiologists are authorized to utilize and shall be
2reimbursed for the services of those personnel in the process of
3completing requirements under the provisions of subdivision (c)
4of Section 2532.2 of the Business and Professions Code.

5

begin deleteSEC. 36.end delete
6begin insertSEC. 37.end insert  

No reimbursement is required by this act pursuant to
7Section 6 of Article XIII B of the California Constitution because
8the only costs that may be incurred by a local agency or school
9district will be incurred because this act creates a new crime or
10infraction, eliminates a crime or infraction, or changes the penalty
11for a crime or infraction, within the meaning of Section 17556 of
12the Government Code, or changes the definition of a crime within
13the meaning of Section 6 of Article XIII B of the California
14Constitution.



O

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