BILL ANALYSIS                                                                                                                                                                                                    Ó




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          |SENATE RULES COMMITTEE            |                        SB 620|
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                                    THIRD READING


          Bill No:  SB 620
          Author:   Block (D)
          Amended:  5/7/15  
          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:    Author


          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.    




          Senate Floor Amendments of 5/7/15 make technical and  
          nonsubstantive changes.


          ANALYSIS:   Existing law: 


          1) Establishes the Board of Behavioral Sciences (Board) to  








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             employ its resources for each and all of the following  
             functions:

              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.  








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          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. 

          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 alternatively 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  








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             gained in each work setting.  Supervision is not required for  
             experience gained attending workshops, seminars, training  
             sessions, or conferences.

          Licensed Professional Clinical Counselors (LPCC)

          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 alternatively 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  








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          particular aspects of human interaction.  

           LMFT.  The practice of marriage and family therapy means a  
            service performed with individuals, couples, or groups 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:   (Verified5/8/15)









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          Board of Behavioral Sciences (source)
          American Association for Marriage and Family Therapy, California  
          Division
          California Association for Licensed Professional Clinical  
          Counselors
          National Association of Social Workers, California Chapter


          OPPOSITION:   (Verified5/8/15)


          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
          5/14/15 11:49:18
                                   ****  END  ****








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