BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           707 (DeSaulnier)
          
          Hearing Date:  5/28/2009        Amended: 4/22/2009
          Consultant: Katie Johnson       Policy Vote: Health 7-2
          _________________________________________________________________ 
          ____
          BILL SUMMARY:  SB 707 would establish a system of registration,  
          certification, and licensing for alcohol and other drug  
          counselors by the Department of Alcohol and Drug Programs  
          (DADP).
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2009-10      2010-11       2011-12     Fund
                                                                  
          DADP licensing           $130       $337     $1,840Special*
          and certification

                                            2012-13            2013-14    
           2014-15        Special**
                                            $1,233          $1,842$1,726

          Licensing, certification,         unknown, but likely sufficient  
          to                       Special**
          and registration fee revenue       cover ongoing program costs 
                                        beginning in FY 2012-2013

          *The DADP indicates that it intends to fund start-up costs with  
          moneys from the Residential Outpatient Licensing Program Fund.
          **Alcohol and Other Drug Counselor License Fund
          _________________________________________________________________ 
          ____

          STAFF COMMENTS:  SUSPENSE FILE. AS PROPOSED TO BE AMENDED.

          Existing law requires all adult alcoholism or drug abuse  
          recovery or treatment facilities, driving-under-the-influence  
          programs, and narcotic replacement therapy programs to be  
          licensed by the DADP. Existing law grants the DADP the sole  
          authority in state government to establish the minimum  
          qualifications, including education, skills, life experience and  
          training for providers of alcohol and other drug counseling.  










          Existing law establishes a certification program for alcohol and  
          other drug counselors to ensure the quality of treatment  
          services. 

          This bill would establish the Alcohol and Other Drug Counselor  
          Licensing and Certification Act, which would provide for the  
          certification and licensing of alcohol and other drug counselors  
          by DADP. This bill would define the practice of alcohol and drug  
          counseling, as specified, for the purpose of treating alcohol  
          and drug abuse. 

          This bill would require the DADP, as specified, to:  adopt rules  
          and regulations to administer this program, develop standards  
          for registration, certification, and licensure of alcohol and  
          other drug counselors, including those currently certified by  
          DADP, issue licenses, certificates, and registrations commencing  
          January 1, 2011, take disciplinary 
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          SB 707 (DeSaulnier)

          action against counselors when appropriate, establish continuing  
          education requirements, establish procedures for responding to  
          complaints, establish criteria to assess the curriculum of  
          educational institutions pursuant to these provisions, establish  
          parameters of unprofessional conduct for this profession,  
          establish reinstatement procedures for an expired or revoked  
          certificate or license, establish registration and supervision  
          requirements for registrants, develop or adopt one or more  
          examinations for administering prospective certificants and  
          licensees, and maintain a database of certified and licensed  
          counselors and registrants and other information as the  
          department requires it.

          This bill would create three types of certified alcohol and  
          other drug counselors who would be permitted to practice alcohol  
          and drug counseling in a program licensed or certified by DADP.  
          This bill would also establish a Licensed Alcohol and Other Drug  
          Counselor, an individual who could practice alcohol and other  
          drug counseling either in a licensed or certified program or in  
          an independent practice and who could supervise any other  
          licensed, certified, or registered pursuant to this bill. This  
          bill would also establish a registrant category, an uncertified  
          or unlicensed individual who would be in the course of  
          completing the requirements for certification or licensure. 

          This bill would specify educational and work experience  










          requirements for each licensing and certification category. This  
          bill would prohibit an individual from engaging in the practice  
          of alcohol and other drug counseling unless he or she held a  
          valid license or certification from DADP. This bill would  
          provide that a license or certification would be valid for two  
          years and would provide for a renewal process.

          This bill would establish the Alcohol and Other Drug Counselors  
          License Fund for purposes of using all fines and fees collected  
          by the DADP for the support of the counselor licensing  
          activities of the department, upon appropriation by the  
          Legislature. This bill would provide that the fee structure  
          developed by the DADP should be effective and equitable and that  
          the total fees collected by the DADP should not exceed the total  
          cost to administer this program. This bill would specify that,  
          unless funds were specifically appropriated from the General  
          Fund in the Annual Budget Act or other legislation, the  
          activities of the DADP pursuant to these provisions would be  
          funded entirely by federal and special funds. This bill would  
          set forth fees related to licensure, certification, or  
          registration of alcohol and other drug counselors and would  
          provide that the DADP would assess these specific fees until  
          others were established in regulation. The initial application  
          and renewal fee for a registrant would be $75 and the fee for a  
          license or certification would be $155. Although the number of  
          applicants for licensure, certification, and registration  
          commencing January 1, 2011, is unknown, and therefore fee  
          revenue is unknown, this bill would permit the DADP to set fees  
          in regulation to cover program expenses. It is likely that fee  
          revenue would offset the costs of this program beginning in FY  
          2011-2012. Staff recommends that the bill be amended to require  
          that the fees be set at an amount sufficient to cover the costs  
          of this program.

          In addition, the DADP would anticipate processing 21,000  
          applications and criminal background checks between January 1,  
          2011, and December 31, 2013, to license and certify individuals  
          in accordance with these provisions who held DADP certification  
          prior 
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          SB 707 (DeSaulnier)

          to this bill's passage. If 14,000, or two thirds, of these  
          people were to apply in the first year after January 1, 2011,  
          and each pay a licensing or certification fee of $155, it is  
          possible that this would generate approximately $2,170,000 in  










          revenues.

          It is estimated that the DADP would need 18.5 positions to  
          promulgate regulations and to administer the licenses and  
          certificates at a cost of $337,000 in FY 2009-2010, $1,840,000  
          in FY 2010-2011, $2,133,000 in FY 2011-2012, $1,842,000 in FY  
          2012-2013, $1,726,000 in FY 2013-2014, and $1,610,000 ongoing to  
          implement this bill. Since the DADP would commence licensing,  
          certification, and registration of applicants on January 1,  
          2011, and would therefore not be collecting fees to support the  
          program's start-up costs, there would be General Fund pressure  
          of up to $2,177,000 to support this bill's implementation  
          through approximately the end of FY 2010-2011, unless another  
          funding source was identified. The DADP indicates that it  
          intends to fund start-up costs with moneys from the Residential  
          Outpatient Licensing Program Fund. It is likely that there are  
          sufficient reserves in the fund to provide for this program's  
          start-up costs.

          This bill would exempt the following from these provisions: a  
          person who practices alcohol and drug counseling exclusively for  
          in-custody services of the California Department of Corrections  
          and Rehabilitation and an employee or volunteer of the state or  
          of an agency of the federal government; a person who is an  
          unpaid member of a peer or self-help group; a cleric or other  
          religious leader who provides advice to members of his or her  
          congregation; a director, officer or staff member of a live-in  
          alternative to an incarceration rehabilitation program.

          This bill would require each applicant for a license,  
          certification, or registration by the DADP to consent to a state  
          and federal level criminal offender record information search as  
          part of a criminal history background check, as specified, that  
          the DADP would review prior to licensure, certification, or  
          registration. This bill would specify instances when the DADP  
          would deny or revoke a license. The California Department of  
          Justice (DOJ) would charge a fee of at least $42 to each  
          applicant at the time of his or her Live Scan fingerprinting and  
          would establish a fee for the state level criminal offender  
          record information search. The Federal Bureau of Investigation  
          would set the fee for the federal level criminal offender record  
          information search. This bill would provide that these  
          particular provisions would become operative July 1, 2010.

          This bill would add an alcohol or other drug counselor or  
          supervisor licensed, certified, or registered by the DADP to be  










          a mandated reporter with respect to reporting child and elder  
          abuse or neglect to appropriate entities.

          In 2008, the Governor vetoed AB 239 (DeSaulnier), a bill that  
          would have enacted the Alcoholism and Drug Abuse Counselors  
          Licensing Law and would have provided for the licensing and  
          regulation of alcohol and drug counselors by the Board of  
          Behavioral Sciences. The veto message read, "I am directing my  
          Department of Alcohol and Drug Programs and Department of  
          Consumer Affairs to work with stakeholders to craft a uniform  
          standard for all alcohol and drug counselors?I look forward to  
          supporting a bill that provides consistent, high quality  
          standards for all alcohol and drug counselors."
          Page 4
          SB 707 (DeSaulnier)

          The proposed amendments would:
             1)   delete the requirement that certified alcohol and other  
               drug counselors could only practice under clinical  
               supervision; 
             2)   require that the DADP issue licenses, certificates, and  
               registrations pursuant to this bill beginning January 1,  
               2012;
             3)   provide that a person previously certified by the DADP  
               must submit a complete application, as specified, by  
               December 31, 2014, if he or she desires to become licensed,  
               certified, or registered with the department;
             4)   provide that the DADP may establish voluntary standards  
               for advanced levels of alcohol and other drug counselors  
               not  before January 1, 2015;
             5)   require the DADP to establish an advisory committee that  
               would meet at least twice annually, as specified;
             6)   delete the provision that would provide for a Certified  
               Alcohol and Other Drug Counselor Advanced certificate;
             7)   specify educational requirements for a Certified Alcohol  
               and Other Drug Counselor;
             8)   specify educational requirements for a Certified Alcohol  
               and Other Drug Counselor-Clinical Supervisor;
             9)   specify education requirements for a Licensed Alcohol  
               and Other Drug Counselor license;
             10)           define the practice of alcohol and drug  
               counseling, as specified;
             11)           specify that an individual whose license,  
               certification, or registration was revoked because he or  
               she was convicted of a violent felony may, after the  
               expiration of three years from the date of conviction, be  










               licensed, certified, or registered conditioned upon the  
               approval of the individual's parole officer;
             12)            delete the provision that provides that the  
               fee for application for examination eligibility be $100;
             13)            delete the provision that provides that the  
               fee for an oral examination be $100;
             14)            delete the provision that provides that the  
               fee for rescoring an examination be $20.