BILL ANALYSIS                                                                                                                                                                                                    Ó




           ----------------------------------------------------------------- 
          |SENATE RULES COMMITTEE            |                        SB 620|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
           ----------------------------------------------------------------- 


                                UNFINISHED BUSINESS 


          Bill No:  SB 620
          Author:   Block (D)
          Amended:  7/2/15  
          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

           SENATE FLOOR:  36-0, 5/18/15
           AYES:  Allen, Anderson, Bates, Beall, Block, Cannella, De León,  
            Fuller, Gaines, Galgiani, Hancock, Hernandez, Hertzberg, Hill,  
            Hueso, Huff, Jackson, Lara, Leno, Leyva, Liu, McGuire,  
            Mendoza, Mitchell, Monning, Moorlach, Morrell, Nguyen,  
            Nielsen, Pan, Roth, Runner, Stone, Vidak, Wieckowski, Wolk
           NO VOTE RECORDED:  Berryhill, Hall, Pavley

           ASSEMBLY FLOOR:  79-0, 7/16/15 - See last page for vote

           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.    

          Assembly Amendments add double jointing language to incorporate  
          amendments proposed by both this bill and AB 250 (Obernolte). 









                                                                     SB 620  
                                                                    Page  2



          ANALYSIS:
               
          Existing law:

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

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

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

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

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

          6)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.









                                                                     SB 620  
                                                                    Page  3



           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. 

           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  








                                                                     SB 620  
                                                                    Page  4



             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 alternately qualify under the experience  
             requirements that were in place on January 1, 2015.

          Background
          
          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 with  
          individuals, groups, couples, or families, and the remaining  
          1,250 hours may be non-clinical experience including direct  
          supervisor contact, writing clinical reports, or attending  
          workshops or conferences.  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.   








                                                                     SB 620  
                                                                    Page  5



          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 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









                                                                     SB 620  
                                                                    Page  6




          SUPPORT:   (Verified8/5/15)


          California 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:   (Verified8/5/15)


          None received

          ARGUMENTS IN SUPPORT:  Supporters write that 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 and believe that the  
          current structure has created unnecessary obstacles in the path  
          to licensure for hundreds of potential MFTs.  Supporters cite  
          information from the Board 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 and believe that this  
          bill is a necessary and welcome simplification of existing law.

          ASSEMBLY FLOOR:  79-0, 7/16/15
          AYES:  Achadjian, Alejo, Travis Allen, Baker, Bigelow, Bloom,  
            Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang,  
            Chau, Chávez, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle,  
            Daly, Dodd, Eggman, Frazier, Beth Gaines, Gallagher, Cristina  
            Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gray,  
            Grove, Hadley, Harper, Roger Hernández, Holden, Irwin, Jones,  
            Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low,  
            Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin,  
            Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Perea,  
            Quirk, Rendon, Ridley-Thomas, Rodriguez, Salas, Santiago,  








                                                                     SB 620  
                                                                    Page  7



            Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber,  
            Wilk, Williams, Wood, Atkins]
          NO VOTE RECORDED:  Gordon


          Prepared by:Sarah Huchel / B., P. & E.D. / (916) 651-4104
          8/13/15 13:20:48


                                   ****  END  ****