BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | AB 1808| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- 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 AB 1808 Page 2 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 AB 1808 Page 3 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 AB 1808 Page 4 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 AB 1808 Page 5 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 AB 1808 Page 6 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 **** END **** AB 1808 Page 7