BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1205
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          Date of Hearing:   April 12, 2011

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER 
                                     PROTECTION
                                 Mary Hayashi, Chair
                AB 1205 (Bill Berryhill) - As Amended:  April 4, 2011
           
          SUBJECT  :   Licensed behavior analysts.

           SUMMARY  :   Requires the Board of Behavioral Sciences (BBS) to 
          license behavioral analysts (BA) and assistant BAs, on and after 
          January 1, 2015.  Specifically,  this bill  :  

          1)Requires BBS to administer and enforce the licensure of BAs 
            and assistant BAs and authorizes BBS to adopt related 
            regulations.

          2)Prohibits a person from holding himself or herself out to be a 
            BA or an assistant BA unless licensed by BBS pursuant to this 
            bill.

          3)Requires BBS to issue a BA license to an applicant who meets 
            all of the following requirements:

             a)   Possesses a baccalaureate and a master's degree that is 
               relevant to the field of behavior analysis, as determined 
               by BBS, from any of the following:

               i)     A United States (U.S.) or Canadian institution of 
                 higher education fully or provisionally accredited by a 
                 regional, state, provincial, or national accrediting 
                 body; or,

               ii)    An institution of higher education located outside 
                 the U.S. or Canada that, at the time the applicant was 
                 enrolled and at the time the applicant graduated, 
                 maintained a standard of training equivalent to the 
                 standards of training of those institutions accredited in 
                 the U.S.

             b)   Has completed no fewer than 225 classroom hours of 
               related graduate level instruction;

             c)   Has completed no fewer than 1,500 hours of supervised 
               independent fieldwork under the supervision of a licensed 








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               BA, as specified;

             d)   Has successfully passed an examination administered by 
               BBS, the Behavior Analyst Certification Board (BACB), or 
               another comparable entity approved by BBS and accredited by 
               the National Commission for Certifying Agencies (NCCA);

             e)   Is certified by BACB or another comparable entity 
               approved by BBS and accredited by NCCA; and,

             f)   Pays the prescribed fees.

          4)Requires BBS to issue an assistant BA license to an applicant 
            who meets all of the following requirements:

             a)   Possesses at least a baccalaureate degree from any of 
               the following:

               i)     A U.S. or Canadian institution of higher education 
                 fully or provisionally accredited by a regional, state, 
                 provincial, or national accrediting body; or,

               ii)    An institution of higher education located outside 
                 the U.S. or Canada that, at the time the applicant was 
                 enrolled and at the time the applicant graduated, 
                 maintained a standard of training equivalent to the 
                 standards of training of those institutions accredited in 
                 the U.S.

             b)   Has completed no fewer than 135 classroom hours of 
               related instruction as required by BBS, BACB, or another 
               comparable entity approved by BBS and accredited by the 
               NCCA, as specified;

             c)   Has completed no fewer than 1,000 hours of supervised 
               independent fieldwork under the supervision of a licensed 
               BA, as specified;

             d)   Has successfully passed an examination administered by 
               BBS, BACB, or another comparable entity approved by BBS and 
               accredited by NCCA;

             e)   Is certified by BACB or another comparable entity 
               approved by BBS and accredited by the NCCA; and,









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             f)   Pays the prescribed fees.

          5)Authorizes a licensed BA to provide all of the following 
            services:

             a)   Design, implement, and evaluate systematic instructional 
               and environmental modifications to produce socially 
               significant improvements in human behavior of individuals 
               or groups;

             b)   Apply principles, methods, and procedures of operant and 
               responding learning;

             c)   Utilize contextual factors, establishing operations, 
               antecedent stimuli, position reinforcement, and other 
               consequences to help people develop new behaviors, increase 
               or decrease existing behaviors, and emit behaviors under 
               specific environmental conditions;

             d)   Assess functional relations between behavioral and 
               environmental factors;

             e)   Apply interventions based on scientific research and the 
               direct observation and measurement of behavior and 
               environment; and,

             f)   Supervise unlicensed individuals who implement treatment 
               plans and interventions designed and maintained by the 
               licensed BA, including delivering procedures and methods 
               such as prompting, reinforcement, shaping, fading, and 
               differential reinforcement.

          6)Excludes the practice of psychological testing, 
            neuropsychology, psychotherapy, cognitive therapy, sex 
            therapy, psychoanalysis, hypnotherapy, and long-term 
            counseling under the practice of behavior analysis.

          7)Authorizes a licensed assistant BA to provide the services 
            outlined in 5) above, under the supervision of a licensed BA.

          8)Requires BBS to establish application, licensure and renewal 
            fees in an amount sufficient to cover the reasonable 
            regulatory costs of carrying out the provisions of this bill.

          9)Prohibits BBS from issuing a license to a person who has been 








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            convicted of a crime in California or any other state or 
            erritory of the U.S. that involves sexual abuse of children or 
            who is required to register as a sex offender, as specified.  

          10)Authorizes BBS to refuse to issue a license to an applicant 
            if it appears he or she may be unable to practice safely due 
            to mental illness or chemical dependency, as specified.

          11)Authorizes BBS to deny an application for licensure or 
            suspend the license of a licensee if the applicant or licensee 
            is or has been guilty of unprofessional conduct, as specified.

          12)Authorizes BBS to place a license on probation.

          13)Provides that a license issued under this bill shall expire 
            no later than 24 months after its date of issue, as determined 
            by BBS.

          14)Requires a licensee, when renewing an unexpired license to:

             a)   Apply for renewal on a form prescribed by BBS.

             b)   Pay a renewal fee to be determined by BBS through 
               regulation;

             c)   Inform BBS of whether he or she has been convicted of 
               any misdemeanor or felony and whether any disciplinary 
               action has been taken by a regulatory or licensing board in 
               California or any other state after the prior issuance or 
               renewal of his or her license;

             d)   Maintain compliance with the requirements for licensed 
               BAs and licensed assistant BAs, as described above; and,

             e)   Complete continuing education requirements, as 
               specified.

          15)Provides that a suspended license is subject to expiration 
            and may be renewed as specified.

          16)Provides that a revoked license is subject to expiration but 
            may not be renewed.

          17)Specifies that a license that is not renewed within three 
            years after its date of expiration may not be renewed, 








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            restored, reinstated, or reissued; however, the licensee may 
            apply for and obtain a new license if the following criteria 
            are satisfied:

             a)   No fact, circumstance, or condition exists that, if the 
               license were issued, would constitute grounds for its 
               revocation or suspension; 

             b)   He or she submits an application for examination 
               eligibility and the fee for that application;

             c)   He or she takes and passes the current licensing 
               examination; and,

             d)   He or she submits the fee for initial license issuance.

          18)Prohibits BBS from renewing any license unless the licensee 
            certifies to BBS, on a form prescribed by BBS, that he or she 
            has completed the following:

             a)   For a licensed BA, no fewer than 36 hours of continuing 
               education (CE); and,

             b)   For a licensed assistant BA, no fewer than 24 hours of 
               CE.

          19)Authorizes BBS to have the right to audit the records of any 
            licensee to verify the completion of the applicable CE 
            requirement, as specified.

          20)Authorizes BBS to establish exceptions from the CE 
            requirements for good cause, as defined by BBS through 
            regulation.

          21)Requires BBS to report each month to the Controller the 
            amount and source of all revenue received pursuant to this 
            bill and at the same time pay the entire amount thereof into 
            the State Treasury for credit to the Behavioral Sciences Fund.

          22)Provides that this bill does not limit, impair, or otherwise 
            preclude persons acting within their scope of practice, as 
            specified.

          23)Commences the provisions of this bill on January 1, 2015.









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          24)Defines "direct supervisor contact" to mean in-person and on 
            an individual basis.

           EXISTING LAW  provides for the licensure and regulation of 
          various healing arts professions and vocations, including, but 
          not limited to, marriage and family therapists, licensed 
          educational psychologists, social workers, and licensed 
          professional clinical counselors by BBS.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of this bill  .  According to the author's office, 
          "Currently, licensed professionals with behavior analysis in 
          their scope of practice, such as psychiatrists, psychologists 
          and clinical social workers, provide applied behavior analysis 
          services.  However, the vast majority of these services are 
          provided by individuals certified as Board Certified BAs by the 
          BACB, a nationally accredited organization.  But, even with the 
          BACB disciplinary procedures, these individuals are not 
          regulated by any state licensing or credentialing authority, 
          which leaves California consumers without state sanctioned 
          protection or recourse when there is any concern associated with 
          the services provided by these unlicensed individuals."

           Background  .  The field of behavior analysis grew out of the 
          scientific study of principles of learning and behavior.  It has 
          two main branches: experimental and applied behavior analysis.  
          Applied behavior analysis professionals engage in the specific 
          and comprehensive use of principles of learning, including 
          operant and respondent learning, in order to address behavioral 
          needs of widely varying individuals in diverse settings.  
          Examples of these applications include: building the skills and 
          achievements of children in school settings; enhancing the 
          development, abilities, and choices of children and adults with 
          different kinds of disabilities; and augmenting the performance 
          and satisfaction of employees in organizations and businesses.

           Support  .  The California Association for Behavior Analysts, the 
          sponsor of this bill, writes in support, "Behavior analysis 
          services are used to treat people with disabilities, most 
          notably autism spectrum disorders.  While psychologists, 
          psychiatrists, and clinical social workers provide behavior 
          analysis services, the vast majority of the services are 








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          provided by BAs and assistant BAs who are certified by the 
          national BACB.  Though accredited and certified, these 
          professionals are not licensed or regulated by the state.

          "AB 1205's licensure requirements would provide both the state 
          and consumers recourse when there are any concerns with the 
          services provided to children by BAs and assistant BAs.  At the 
          same time, the bill would not preclude other licensed 
          professionals from providing behavior analysis services, if such 
          services are within their scope of practice."

           Opposition  .  The California Association of Marriage and Family 
          Therapists (CAMFT) writes in opposition, "Currently, BBS does 
          not have the staffing resources to administer and regulate the 
          professions it already regulates.  By way of example, consider 
          this posting on the BBS website as it relates to Marriage and 
          Family Therapists: 'Due to hiring constrains, the Board is 
          unable to fill vacancies, including those occurring in the 
          application evaluation and renewal processing units?Simply put, 
          BBS cannot assume additional responsibilities to regulate 
          another profession unless it is provided the necessary staffing 
          to do so?.'"

           Related legislation  .  AB 171 (Beall) of 2011, requires health 
          care service plan contracts and health insurance policies to 
          provide coverage for the screening, diagnosis, and treatment of 
          autism spectrum disorders.  This bill is pending in the Assembly 
          Health Committee.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Association for Behavior Analysts (sponsor)
          Numerous individuals

           Opposition 
          
          California Association of Marriage and Family Therapists
          California Psychological Association
           
          Analysis Prepared by  :    Rebecca May / B.,P. & C.P. / (916) 
          319-3301 










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