BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                        SB 620|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
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                                   THIRD READING 


          Bill No:  SB 620
          Author:   Block (D)
          Amended:  4/15/15  
          Vote:     21  

           SENATE BUS, PROF. & ECON. DEV. COMMITTEE:  9-0, 4/13/15
           AYES:  Hill, Bates, Berryhill, Block, Galgiani, Hernandez,  
            Jackson, Mendoza, Wieckowski

          SENATE APPROPRIATIONS COMMITTEE: Senate Rule 28.8

           SUBJECT:   Board of Behavioral Sciences:  licensure  
                     requirements


          SOURCE:    Board of Behavioral Sciences


          DIGEST:  This bill streamlines the supervised experience hour  
          requirements for licensed marriage and family therapists and  
          licensed professional clinical counselors, and revises certain  
          experience hour requirements for licensed clinical social  
          workers for consistency.    


          ANALYSIS:    


          Existing law:


          1)Establishes the Board of Behavioral Sciences (Board) to employ  
            its resources for each and all of the following functions:








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             a)   The licensure of marriage and family therapists,  
               clinical social workers, professional clinical counselors,  
               and educational psychologists.

             b)   The development and administration of licensure  
               examinations and examination procedures consistent with  
               prevailing standards for the validation and use of  
               licensing and certification tests. 

             c)   Enforcement of laws designed to protect the public from  
               incompetent, unethical, or unprofessional practitioners.

             d)   Consumer education. 
             (Business and Professions Code (BPC) §§ 4990 and 4990.18)

          2)Establishes requirements for the licensure of marriage and  
            family therapists, clinical social workers, and professional  
            clinical counselors.  
          (BPC §§ 4980 - 4989, 4990.10 - 4998.7, 4999.10 - 4999.129)

          This bill:

          Licensed Marriage and Family Therapist (LMFT)

            1)  Expands the definition of "experience" by replacing  
              "professional enrichment activities" with "direct counseling  
              and nonclinical practice." 

            2)  Prohibits a student from gaining experience hours through  
              personal psychotherapy prior to completing either 12  
              semester units or 18 quarter units of graduate instruction.

            3)  Eliminates the ability for one hour of personal  
              psychotherapy to qualify for three experience hours.

            4)  Eliminates the ability for one hour of treating couples  
              and families in conjoint therapy to qualify for two  
              experience hours.  

            5)  Replaces specified hour restrictions with the requirement  
              of a minimum of 1,750 experience hours of direct counseling  
              with individuals, groups, couples, or families. 








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            6)  Replaces specified hour restrictions with the requirement  
              of a maximum of 1,250 experience hours be in nonclinical  
              practice, which may include direct supervisor contact,  
              administering and evaluating psychological tests, writing  
              clinical reports, writing progress or process notes,  
              client-centered advocacy, and workshops, seminars, training  
              sessions, or conferences directly related to marriage and  
              family therapy that have been approved by the applicant's  
              supervisor. 

            7)  Permits an individual who submits an application for  
              examination eligibility between January 1, 2016, and  
              December 31, 2020, to alternately qualify under the LMFT  
              experience requirements that were in place on January 1,  
              2015.


           Licensed Clinical Social Workers (LCSW)


            8)  Permits a clinical social worker student to count direct  
              supervisor contact, workshops, seminars, training sessions,  
              and conferences directly related to clinical social work  
              towards the 1,200 experience hours requirement.  

            9)  Permits an individual who submits an application for  
              examination eligibility between January 1, 2016, and  
              December 31, 2020, to alternately qualify under the LCSW  
              experience requirements that were in place on January 1,  
              2015.


            10) Increases from five to six the number of supervision  
              hours, whether individual or group, that may be credited to  
              an associate during any single week.  This applies only to  
              supervision hours gained on or after January 1, 2010.

            11) Requires supervision to include at least one hour of  
              direct supervisor contact during each week for which  
              experience is gained in each work setting.  Supervision is  
              not required for experience gained attending workshops,  
              seminars, training sessions, or conferences.

           Licensed Professional Clinical Counselors (LPCC)







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            12) Replaces "clinical mental health experience related to the  
              practice of professional clinical counseling" with  
              "experience," relative to the type of training necessary to  
              achieve the minimum 3,000 post-degree supervised experience  
              hours. 

            13) Deletes specified hour restrictions and requires instead a  
              maximum of 1,250 hours of nonclinical practice, which may  
              include direct supervisor contact, administering and  
              evaluating psychological tests, writing clinical reports,  
              writing progress or process notes, client-centered advocacy,  
              and  workshops, seminars, training sessions, or conferences  
              directly related to professional clinical counseling that  
              have been approved by the applicant's supervisor.

            14) Permits an individual who submits an application for  
              examination eligibility between January 1, 2016, and  
              December 31, 2020, to alternately qualify under the  
              experience requirements that were in place on January 1,  
              2015.



          Background


          According to the Author, SB 620 streamlines the supervised  
          experience hour requirements for LMFT and LPCC applicants by  
          requiring 3,000 total experience hours, 1,750 of which must  
          consist of direct counseling and the remaining 1,250 hours may  
          be non-clinical experience.  For consistency, SB 620 also allows  
          LCSW applicants to apply direct supervisor contact, workshops,  
          seminars, training, and conferences toward their experience  
          hours.  SB 620 will also provide a five year transition period  
          during which applicants can choose to apply under this  
          simplified process or current requirements.

          The Board regulates the practice of LMFTs, LCSWs, and LPCCs.   
          These individuals have different training that focuses on  
          particular aspects of human interaction.  

                 LMFT.  The practice of marriage and family therapy means  
               a service performed with individuals, couples, or groups  







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               wherein interpersonal relationships are examined for the  
               purpose of achieving more adequate, satisfying, and  
               productive marriage and family adjustments. This practice  
               includes relationship and pre-marriage counseling.  

                 LCSW.  The practice of clinical social work is defined  
               as a service in which a special knowledge of social  
               resources, human capabilities, and unconscious motivations  
               is directed at helping people to achieve more adequate,  
               satisfying, and productive social adjustments.  The  
               application of social work principles and methods includes,  
               but is not restricted to, counseling and using applied  
               psychotherapy of a nonmedical nature with individuals,  
               families, or groups; providing information and referral  
               services; providing or arranging for the provision of  
               social services; explaining or interpreting the  
               psychosocial aspects in the situations of individuals,  
               families, or groups; helping communities to organize, to  
               provide, or to improve social or health services; or doing  
               research related to social work.

                 LPCC.  Professional clinical counseling is the  
               application of counseling interventions and  
               psychotherapeutic techniques to identify and remediate  
               cognitive, mental, and emotional issues, including personal  
               growth, adjustment to disability, crisis intervention, and  
               psychosocial and environmental problems, and the use,  
               application, and integration of the required coursework and  
               training.  It also includes conducting assessments for the  
               purpose of establishing counseling goals and objectives to  
               empower individuals to deal adequately with life  
               situations, reduce stress, experience growth, change  
               behavior, and make well-informed and rational decisions.

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


          SUPPORT:   (Verified4/28/15)


          Board of Behavioral Sciences (Sponsor)
          American Association for Marriage and Family Therapy, California  
          Division







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          California Association for Licensed Professional Clinical  
          Counselors
          National Association of Social Workers, California Chapter


          OPPOSITION:   (Verified4/28/15)


          None received

          ARGUMENTS IN SUPPORT:  The American Association for Marriage and  
          Family Therapy, California Division writes, "The current  
          required hours for becoming licensed as an MFT are broken into  
          no less than nine different categories with confusing and  
          arbitrary minimums and maximums, in stark contrast to similar  
          graduate level licenses issued by the [Board]?.
            
          "The current structure has created unnecessary obstacles in the  
          path to licensure for hundreds of potential MFTs.  The [Board]  
          reports that applications for exam eligibility are significantly  
          more difficult to evaluate than those for LCSW exam eligibility  
          due to the complexity created by so many different categories  
          with equally abstruse minimums, maximums, incentives, and  
          combinations.  Even tracking these hours is so complex that it  
          has given rise to a successful for-profit business, whose  
          process is essentially a complicated spreadsheet that keeps  
          track of all the different requirements in all the different  
          categories.

          "[SB 620] is a necessary and welcome simplification of existing  
          law."

          Prepared by: Sarah Huchel / B., P. & E.D. / (916) 651-4104
          4/29/15 16:07:40


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