BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 956|
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                                 THIRD READING


          Bill No:  AB 956
          Author:   Roger Hernández (D), et al.
          Amended:  5/27/11 in Senate
          Vote:     21

           
           SENATE BUS, PROF & ECON DEVELOP COMM  :  8-0, 06/06/11
          AYES:  Price, Emmerson, Corbett, Correa, Hernandez, Negrete 
            McLeod, Vargas, Wyland
          NO VOTE RECORDED:  Walters

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  70-0, 05/12/11 - See last page for vote


           SUBJECT  :    Marriage and family therapy:  interns and 
          trainees:
                        advertisements

           SOURCE  :     California Association of Marriage and Family 
          Therapist


           DIGEST  :    This requires a marriage and family therapist 
          intern and a marriage and family therapist trainee, prior 
          to performing professional services, to provide each client 
          or patient with the name of his or her employer and 
          indicate that he or she is under the supervision of a 
          licensed person, as specified, and requires any 
          advertisement by or on behalf of an intern or trainee to 
          include specified information; requires an intern's 
          registration number to be disclosed to clients and patients 
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          and in advertisements.

           ANALYSIS  :    Existing law:

          1.Licenses and regulates the practice of marriage and 
            family therapists (MFTs), and provides for the 
            registration and regulation of MFT interns, and MFT 
            trainees by the Board of Behavioral Sciences (BBS) within 
            the Department of Consumer Affairs.

          2.Authorizes MFT interns and trainees to perform counseling 
            activities and services in certain work settings; and 
            requires that a trainee or intern shall at all times be 
            under the supervision of a supervisor.

          3.Requires the supervisor to be responsible for ensuring 
            that the counseling performed is consistent with the 
            training and experience of the person being supervised, 
            requires the supervisor to be responsible to the BBS for 
            compliance with all laws, rules, and regulations 
            governing the practice of marriage and family therapy. 

          4.Defines "supervisor" to include an MFT, licensed clinical 
            social worker (LCSW), licensed psychologist, or licensed 
            physician certified in psychiatry.  

          5.Requires MFT interns and trainees to inform each client 
            or patient prior to performing any professional services 
            that he or she is unlicensed and under the supervision of 
            a licensed MFT, LCSW, licensed psychologist, or a 
            licensed physician and surgeon certified in psychiatry.  

          6.Requires any advertisement for services performed by a 
            trainee to include the trainee's name, the supervisor's 
            license designation or abbreviation, and the supervisor's 
            license number. 

          This bill:

          1.Requires an MFT intern to additionally inform clients or 
            patients prior to performing professional services that 
            he or she is an unlicensed MFT intern, provide his or her 
            registration number and the name of his or her employer.


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          2.Requires any advertisement by or on behalf of a MFT 
            intern to include at a minimum the following information:

             A.   That he or she is a registered intern.
             B.   The intern's registration number.
             C.   The name of the intern's employer.
             D.   That the intern is supervised by a licensed person.

          1.For MFT interns, prohibits the use of the abbreviation 
            "MFTI" in an advertisement unless the title "marriage and 
            family therapist registered intern" appears in the 
            advertisement.

          2.Requires an MFT trainee to additionally inform clients or 
            patients prior to performing professional services that 
            he or she is an unlicensed MFT trainee, and the name of 
            his or her employer.

          3.Requires any advertisement by or on behalf of a MFT 
            trainee to include at a minimum the following 
            information:

             A.   That he or she is an MFT trainee.
             B.   The name of the trainee's employer.
             C.   That the trainee is supervised by a licensed 
               person.

           Background
           
          Only licensed mental health professionals may supervise MFT 
          interns and trainees.  Licensed mental health professionals 
          include MFTs, LCSWs, licensed psychologists, and licensed 
          physicians certified in psychiatry by the American Board of 
          Psychiatry and Neurology.  Additionally, the supervisor 
          must maintain a current valid California license for at 
          least two years.  The Board requires supervisors of 
          registered interns and trainees to complete a minimum of 
          six hours of supervision training or coursework within two 
          years immediately preceding supervision (or within 60 days 
          of commencement of supervision) and every renewal period 
          thereafter.  Psychologists and physicians certified in 
          psychiatry are exempt from supervision training.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   

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          Local:  Yes

           SUPPORT  :   (Verified  6/27/11)

          California Association of Marriage and Family Therapists 
          (source)
          Board of Behavioral Sciences
          California Psychiatric Association


           ARGUMENTS IN SUPPORT  :    According to the author's office, 
          misleading and deceptive online advertisements offering 
          mental health services are becoming an emerging trend, and 
          more advertisements offering marriage and family counseling 
          are created by unqualified individuals.  The Author states 
          that an increasing number of such advertisements are 
          published by MFT interns, who by law, may only provide 
          services to the public as an employee or a volunteer for a 
          licensed person or other lawful entity, and can only do so 
          under appropriate supervision.  Certain advertisements 
          appear to offer services performed by licensed 
          professionals, but are instead carried out by interns, and 
          the Author indicates, the advertisements can mislead 
          consumers to believe interns are medical professionals by 
          using the acronym MFTI, instead of explicitly stating the 
          full title of the intern.  "Unfortunately, this type of 
          misleading advertising is increasing.  If left unaddressed, 
          those seeking mental health services from a licensed 
          professional may unknowingly receive inferior care from an 
          unlicensed individual."

          The author further indicates that this ambiguity is found 
          not only in online advertisements, but within some medical 
          clinics as well.  Currently, MFT interns must disclose 
          their intern status before treating patients; however other 
          critical information, such as the disclosure of whether the 
          MFT intern is under the supervision of a licensed 
          professional, may be omitted.

          This bill will encourage truthfulness in advertising and 
          will allow consumers to make informed choices when choosing 
          a mental health provider.



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           ASSEMBLY FLOOR  :  70-0, 05/12/11
          AYES:  Achadjian, Allen, Ammiano, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Chesbro, Cook, Davis, Dickinson, Donnelly, Eng, 
            Feuer, Fletcher, Fong, Fuentes, Furutani, Beth Gaines, 
            Galgiani, Gatto, Gordon, Grove, Hagman, Halderman, Hall, 
            Harkey, Hayashi, Hill, Huber, Hueso, Huffman, Jeffries, 
            Jones, Knight, Lara, Logue, Ma, Mansoor, Mendoza, Miller, 
            Monning, Morrell, Nestande, Nielsen, Norby, Olsen, Pan, 
            Perea, V. Manuel Pérez, Silva, Skinner, Smyth, Solorio, 
            Swanson, Valadao, Wagner, Wieckowski, Williams, Yamada, 
            John A. Pérez
          NO VOTE RECORDED:  Alejo, Cedillo, Conway, Garrick, Gorell, 
            Roger Hernández, Bonnie Lowenthal, Mitchell, Portantino, 
            Torres


          JJA:nl  6/28/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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