BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | SB 620| |Office of Senate Floor Analyses | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- 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: SB 620 Page 2 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. SB 620 Page 3 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) SB 620 Page 4 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 SB 620 Page 5 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 SB 620 Page 6 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 **** END **** SB 620 Page 7