BILL ANALYSIS                                                                                                                                                                                                    Ó






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                                   THIRD READING 


          Bill No:  AB 1808
          Author:   Wood (D)
          Amended:  8/16/16 in Senate
          Vote:     21 

           SENATE BUS., PROF. & ECON. DEV. COMMITTEE:  7-0, 6/6/16
           AYES:  Hill, Block, Gaines, Galgiani, Hernandez, Mendoza,  
            Wieckowski
           NO VOTE RECORDED:  Bates, Jackson

           SENATE JUDICIARY COMMITTEE:  7-0, 6/21/16
           AYES:  Jackson, Moorlach, Anderson, Hertzberg, Leno, Monning,  
            Wieckowski

           SENATE APPROPRIATIONS COMMITTEE: Senate Rule 28.8

           ASSEMBLY FLOOR:  74-1, 4/21/16 - See last page for vote

           SUBJECT:   Minors: mental health treatment or counseling  
                     services


          SOURCE:    California Association for Licensed Professional  
          Clinical Counselors
                     California Association of Marriage and Family  
          Therapists


          DIGEST:  This bill adds the following individuals working under  
          the supervision of a specified licensee to the definition of a  
          "professional person" for purposes of providing mental health  
          treatment or counseling services: a marriage and family  
          therapist (MFT) trainee, a licensed professional clinical  








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          counselor (LPCC) trainee, a registered psychologist, a  
          registered psychological assistant, a psychology trainee, an  
          associate clinical social worker, and a social work intern.   
          Establishes supervision requirements for the treatment of a  
          minor by an MFT trainee, LPCC trainee, a psychology trainee, and  
          a social work intern.


          Senate Floor Amendments of 8/16/16 add a psychological trainee,  
          a registered psychological assistant, registered psychologist,  
          an associate clinical social worker, and a social work intern to  
          the provisions of this bill.


          ANALYSIS:  


          Existing law:

           1) Establishes the Board of Behavioral Science (BBS) to  
             administer the Social Work Licensing Law, the Licensed  
             Professional Clinical Counselor Act, and the Licensed  
             Marriage and Family Therapist Act.  (Business and Professions  
             Code (BPC) § 4980.34)

           2) Establishes the Board of Psychology to enforce and  
             administer the Psychology Licensing Law.  (BPC § 2920)

           3) Defines "mental health treatment or counseling services" as  
             the provision of outpatient mental health treatment or  
             counseling by a professional person, as specified.  (Health  
             and Safety Code (HSC) § 124260)

           4) Defines a "professional person" for purposes of providing  
             mental health treatment as an MFT; a licensed educational  
             psychologist; a credentialed school psychologist; a clinical  
             psychologist; a licensed clinical social worker (LCSW); a  
             person registered as an MFT intern while working under the  
             supervision of a licensed professional; a board certified, or  
             board eligible, psychiatrist; an LPCC; or a person registered  
             as an LPCC intern while working under the supervision of a  
             specified licensed professional.  (HSC § 124260)
            
           5) Defines both an MFT intern and an LPCC intern as an  







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             unlicensed person who has earned his or her master's or  
             doctoral degree qualifying him or her for licensure and is  
             registered with the BBS, as specified.  (BPC §§ 4980.3,  
             4999.12) 

           6) Defines an MFT trainee and an LPCC trainee as an unlicensed  
             person who is currently enrolled in a master's or doctoral  
             degree program that is designed to qualify him or her for  
             licensure, and who has completed no less than 12 semester  
             units or 18 quarter units of coursework in any qualifying  
             degree program.  (BPC §§ 4980.3, 4999.12)


           7) Defines an associate clinical social worker as someone who  
             has already completed studies and has a master's degree. (BPC  
             § 4996.18)


           8) Defines a social work intern as a person enrolled in a  
             master's or doctoral training program in social work in an  
             accredited school or department of social work. (BPC §  
             4996.15)

           9) Defines a registered psychologist as an individual meeting  
             specified educational and experience requirements who is  
             employed by a nonprofit community agency, as specified,  
             provided this person is performing psychological activities  
             as part of the duties for which they are employed, are  
             performing those activities solely within the confines of or  
             under the jurisdiction of the organization in which they are  
             employed and do not render or offer to render psychological  
             services, as specified.  (BPC § 2909.5)

           10)Defines a registered psychological assistant as an  
             individual who has completed a master's degree in psychology  
             or education with the field of specialization in psychology  
             or counseling psychology, or has been admitted to candidacy  
             for a doctoral degree in psychology or education with the  
             field of specialization in psychology or counseling  
             psychology, after having satisfactorily completed three or  
             more years of postgraduate education in psychology and having  
             passed preliminary doctoral examinations, or has completed a  
             doctoral degree that qualifies for licensure in an accredited  
             or approved university, college, or professional school  







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             located in the United States or Canada.  Requires this person  
             to be under the immediate supervision of a licensed  
             psychologist, or board certified psychiatrist who shall be  
             responsible for insuring that the extent, kind, and quality  
             of the psychological services he or she performs are  
             consistent with his or her training and experience and be  
             responsible for his or her compliance with this chapter and  
             regulations duly adopted hereunder.  (BPC § 2913)

           11)Defines a psychology trainee as an individual working under  
             specified conditions toward licensure, who may or may not be  
             a registered psychologist or registered psychological  
             assistant. (Title 16 Code of California Regulations § 1387)

          This bill:

          1) Adds the following individuals working under the supervision  
             of a specified licensee to the definition of a "professional  
             person" for purposes of providing mental health treatment: an  
             MFT trainee, an LPCC trainee, a registered psychologist, a  
             registered psychological assistant, a psychology trainee, an  
             associate clinical social worker, and a social work intern.  

          2) Requires an MFT trainee, an LPCC trainee, a clinical  
             counselor trainee, a psychology trainee, or social work  
             intern to notify his or her supervisor, or if the supervisor  
             is unavailable, an on-call supervisor from the site the  
             trainee or intern is employed or volunteering at within 24  
             hours of treating the minor.  If upon the initial assessment  
             of the minor, the trainee or intern believes that the minor  
             is a danger to self or to others, the trainee or intern shall  
             notify the supervisor, or if the supervisor is unavailable,  
             the on-call supervisor immediately after the treatment or  
             counseling.  

          3) Specifies that nothing in the notification requirements  
             regarding a minor is intended to supplant, alter, expand, or  
             remove any other reporting responsibilities required of  
             trainees or interns under existing law. 

          4) Makes technical changes.

          Background








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          Regulation  of LMFTs, LCSW, LPCCs, interns, associates and  
          trainees.  The BBS is responsible for consumer protection  
          through the regulation of LMFTs, LCSWs; Licensed Educational  
          Psychologists; LPCCs; MFT Interns; Associate Clinical Social  
          Workers; and Professional Clinical Counselor Interns in the  
          State of California.  


          The California Board of Psychology regulates psychologists,  
          registered psychologists, registered psychological assistants,  
          and psychology trainees. 


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


          SUPPORT:   (Verified8/17/16)


          California Association for Licensed Professional Clinical  
          Counselors (co-source)
          California Association of Marriage and Family Therapists  
          (co-source)
          Aspiranet 
          Association of California Healthcare Districts
          Board of Behavioral Sciences
          California Council of Community Behavioral Health Agencies
          California Psychological Association
          California State PTA
          California Youth Empowerment Network
          County Behavioral Health Directors Association
          National Association of Social Workers, California Chapter


          OPPOSITION:   (Verified8/17/16)


          California Right to Life Committee, Inc.


          ARGUMENTS IN SUPPORT:     The California Association for  
          Licensed Professional Clinical Counselors writes, "This bill  
          will increase access to essential mental health services by  







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          minors by enlarging the pool of those who may provide services,  
          and also allow those trainees to gain vital experience in the  
          counseling field. These changes will help meet the mental health  
          needs of consumers in California."




          ARGUMENTS IN OPPOSITION:     The California Right to Life  
          Committee, Inc. (CRLC) writes, "CRLC has noted in the past that  
          the growing CA population of persons requiring medical care and  
          treatment has precipitated the development of new categories for  
          medical personnel.  These new categories would not require the  
          complete training required of the certified or degreed  
          professional, but it would provide service and at a lesser cost  
          to the medical program.  CRLC is concerned about the  
          inexperience of a trainee in counseling a minor in such a  
          vulnerable state of mind and body when seeking mental health  
          treatment."  



          ASSEMBLY FLOOR:  74-1, 4/21/16
          AYES:  Achadjian, Alejo, Arambula, Atkins, Baker, Bloom,  
            Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang,  
            Chau, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Daly, Dodd,  
            Eggman, Frazier, Beth Gaines, Gallagher, Cristina Garcia,  
            Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray,  
            Grove, Hadley, Holden, Irwin, Jones-Sawyer, Kim, Lackey,  
            Levine, Linder, Lopez, Low, Maienschein, Mathis, Mayes,  
            McCarty, Medina, Melendez, Mullin, Nazarian, Obernolte,  
            O'Donnell, Olsen, Patterson, Quirk, Ridley-Thomas, Rodriguez,  
            Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting,  
            Wagner, Waldron, Weber, Wilk, Williams, Wood, Rendon
          NOES:  Travis Allen
          NO VOTE RECORDED:  Bigelow, Chávez, Harper, Roger Hernández,  
            Jones

          Prepared by:Sarah Huchel / B., P. & E.D. / (916) 651-4104
          8/17/16 15:44:28


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