BILL ANALYSIS Ó AB 1279 Page 1 GOVERNOR'S VETO AB 1279 (Holden) As Enrolled September 2, 2015 2/3 vote -------------------------------------------------------------------- |ASSEMBLY: |75-0 |(May 7, 2015) |SENATE: |39-0 |(August 27, | | | | | | |2015) | -------------------------------------------------------------------- -------------------------------------------------------------------- |ASSEMBLY: |79-0 |(August 31, | | | | | | |2015) | | | | | | | | | | | | | | | | | | -------------------------------------------------------------------- Original Committee Reference: B. & P. SUMMARY: Establishes the Music Therapy Act and provides that only a qualified individual, as specified, may call himself or herself a "Board Certified Music Therapist." Specifically, this bill: 1)Defines "music therapy" to mean the clinical and evidence-based use of music therapy interventions in developmental, rehabilitative, habilitative, medical, mental health, preventive, wellness care, or educational settings to address physical, emotional, cognitive, and social needs of individuals within a therapeutic relationship. AB 1279 Page 2 2)Specifies that music therapy includes all of the following: a) The development of music therapy treatment plans specific to the needs and strengths of the client who may be seen individually or in groups; and, b) The establishment of goals, objectives, and potential strategies of the music therapy services appropriate for the client and the treatment setting. 3)Specifies that "music therapy interventions" include, but are not limited to music, improvisation, receptive music listening, song writing, lyric discussion, music and imagery, singing, music performance, learning through music, music combined with other arts, music-assisted relaxation, music-based patient education, electronic music technology, adapted music intervention, and movement to music. 4)Prohibits an individual providing music therapy interventions from using the title "Board Certified Music Therapist" unless the individual has completed the following: a) A Bachelor's degree or its equivalent, or higher, from a music therapy degree program approved by the American Music Therapy Association using current standards, beginning with those adopted on April 15, 2015; b) A minimum of 1,200 hours of supervised clinical work through pre-internship training at an approved degree program and internship training through an approved national roster or university affiliated internship program, or the equivalent; and, c) The current requirements for certification, beginning with those adopted April 1, 2015, established by the Certification Board for Music Therapists (CBMT) for the Music Therapist - Board Certified (MT-BC) credential. AB 1279 Page 3 5)Clarifies that persons engaged in music therapy are not permitted to state or imply that they provide mental health counseling, psychotherapy, or occupational therapy for which a license is required. 6)Specifies that the use of music is not restricted to any licensed or unlicensed professional. 7)Further specifies that an individual is not permitted to call themselves a "Board Certified Music Therapist" if he or she does not meet the requirements, as specified. 8)States that it is an unfair business practice for a person to use the title "Board Certified Music Therapist" if he or she does not meet the specified requirements. 9)Makes findings and declarations relating to the educational and training standards for music therapists and the CBMT. 10)States that the intent of the Legislature is to provide statutory definitions relating to the practice of music therapy and enable consumers and state and local agencies to more easily identify qualified music therapists. The Senate amendments revise the definition of "music therapy;" delete the inclusion of individualized treatment plans for each client as being a part of music therapy; delete the definition of a "qualified individual;" revise the requirements to use the title "Board Certified Music Therapist;" clarify that a person engaged in music therapy may not state or imply that he or she provides occupational therapy for a license is required; declare the use of the title "Board Certified Music Therapist" by a person who does not meet specified requirements to be an unfair business practice; and, make a minor and technical change. AB 1279 Page 4 FISCAL EFFECT: None. This bill is keyed non-fiscal by the Legislative Counsel. COMMENTS: Purpose. This bill is sponsored by the Certification Board for Music Therapists. According to the author, "[This bill] creates a uniform definition for music therapy services and clearly defines what education and clinical training requirements must be completed in order to call [oneself] a 'Board Certified Music Therapist' in California. Music therapists use music interventions to accomplish non-musical goals for people of all ages and ability levels within a therapeutic relationship. This bill would protect consumers from potential harm or misrepresentation from unqualified individuals that are not practicing under the CBMT Code of Professional Practice. "A qualified music therapist must have graduated with a bachelor's degree or higher from a music therapy degree program approved by the American Music Therapy Association (AMTA); and must have successfully completed a minimum of 1,200 hours of supervised clinical work including internship training through an AMTA - approved National Roster or University Affiliated internship program, or an equivalent; and must pass the national board certification exam administered by the CBMT; and must complete 100 continuing education credits every five years for recertification." Background. According to the AMTA, music therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program. Musical therapists use music AB 1279 Page 5 strategies, both instrumental and vocal, which are designed to facilitate changes that are non-musical in nature. Music therapy programs are based on individual assessment, treatment planning, and ongoing program evaluation. In California, there are approximately 430 board-certified music therapists. Certifying Authority. The CBMT is the entity responsible for certifying music therapists, and certification is voluntary. The CBMT is an autonomous certifying agency that grants credential recognition to music therapists who have met the CBMT standards and who continue to engage in professional growth and development. Certified individuals are required to obtain recertification every five years. The CBMT is currently the only entity that certifies music therapists. Prior to the CBMT certification process, music therapists were registered with the National Association of Music Therapy which no longer certifies music therapists. The Role of Title Protection. This bill will provide CBMT-certified music therapists with title protection, while those non-certified individuals who advertise the use of the name "Board Certified Music Therapist" could risk possible legal action. Currently, there is not a grandfathering provision in this bill which would allow individuals who may have been practicing music therapy or calling themselves "Board Certified Music Therapists" to continue calling themselves "Board Certified Music Therapists," including those that may have been certified by another entity. In addition, this bill will clarify that title protection does not permit the practice of mental health services for which a license is required. Music Therapy in California. There are two main reasons for establishing title protection and creating a definition for music therapy and setting the standards for Board Certified Music Therapists: 1) to update current California regulations, and 2) to create a consistent definition for music therapy in AB 1279 Page 6 order to alleviate any potential confusion around the types of services that are provided by music therapists, as they sometimes may be confused with other types of non-licensed therapy services such as art therapy or recreational therapy. This bill would not require a registration or a license in order to practice music therapy in California, but instead would specify that in order to use the title "Board Certified Music Therapist" an individual must be certified by the CBMT. GOVERNOR'S VETO MESSAGE: This bill establishes the "Music Therapy Act" and regulates when a person may use the title of "Board Certified Music Therapist." Generally, I have been very reluctant to add licensing or title statutes to the laws of California. This bill appears to be unnecessary as the Certification Board for Music Therapists, a private sector group, already has defined standards for board certification. Why have the state now add another violin to the orchestra?" Analysis Prepared by: Elissa Silva / B. & P. / (916) 319-3301 FN: 0002526 AB 1279 Page 7