BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 146
                                                                  Page  1

          Date of Hearing:   June 14, 2011

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER 
                                     PROTECTION
                                 Mary Hayashi, Chair
                     SB 146 (Wyland) - As Amended:  June 7, 2011

           SENATE VOTE  :   37-0
           
          SUBJECT  :   Healing arts: professional clinical counselors.

           SUMMARY  :   Adds professional clinical counselors (LPCC), LPCC 
          trainees, and LPCC interns to various provisions of existing 
          law.  Specifically,  this bill  :   

          1)Adds LPCCs to existing provisions of law requiring certain 
            licensees to complete training in human sexuality and 
            authorizes the Board of Behavioral Sciences (BBS) to adopt 
            education and training for LPCCs related to chemical 
            dependency and the assessment and treatment of acquired immune 
            deficiency syndrome.  

          2)Adds LPCCs to the list of licensees which BBS must provide 
            license status information on the internet.  

          3)Adds LPCCs to the list of licensees exempted from certain 
            patient notification requirements, as specified.

          4)Adds LPCCs to the existing provisions of law requiring 
            insurers providing liability insurance and state or local 
            government agencies that self insure to report certain 
            settlement or arbitration awards, and requiring a licensee to 
            report to the board certain settlements, judgments, or 
            arbitration awards. 

          5)Adds LPCCs to the existing provisions of law regarding the 
            peer review process, as specified. 

          6)Adds fees for rescoring an examination, issuance of a 
            replacement license or registration, and letter or certificate 
            of good standing to the list of LPCC fees, as specified.

          7)Adds provisions to existing provisions law for LPCC 
            corporations, as specified.









                                                                  SB 146
                                                                  Page  2

          8)Includes LPCCs in existing provisions of law prohibiting 
            monetary liability or cause of action for damages against 
            certain professional societies or its members acting within 
            the scope of functions for that society, as specified.

          9)Includes LPCCs, as well as LPCC interns and LPCC trainees, in 
            existing provisions of law providing a cause of action against 
            a psychotherapist for injury caused by sexual contact with the 
            psychotherapist, as specified.

          10)Adds LPCCs to the list of licensees permitted to be 
            shareholders, officers, directors, or professional employees 
            of other professional corporations, as specified.

          11)Adds professional clinical counseling in the law requesting 
            that the California State University, University of 
            California, and California Community Colleges develop 
            standards and guidelines for specified curriculum.  

          12)Adds testimony from a witness who has undergone hypnosis by a 
            LPCC to admissible testimony in a criminal proceeding if 
            specified conditions are met. 

          13)Includes LPCCs, LPCC interns and LPCC trainees to the list of 
            practitioners that are defined as a psychotherapist, as 
            specified.

          14)Extends the patient-psychotherapist privilege to confidential 
            communications made between a patient and his or her LPCC, 
            LPCC intern, LPCC trainee, or LPCC corporation.  

          15)Provides that the proceedings and records of committees or 
            peer review bodies of LPCC are not subject to discovery, as 
            specified.

          16)Adds LPCCs to the list of eligible providers which the family 
            law division of the superior court may contract with for 
            supervised visitation and exchange services, education, and 
            group counseling. 

          17)Extends the existing provisions of law governing mental 
            health treatment or counseling services and residential 
            shelter services to minors by professional persons to LPCCs 
            and LPCC interns.  









                                                                  SB 146
                                                                  Page  3

          18)Extends to LPCCs the provisions of law prohibiting the 
            licensure requirements of healing arts personnel in the state 
            and other government health facilities licensed by the state 
            from being any less than those of professional personnel in 
            health facilities under private ownership, subject to certain 
            waivers, as specified.

          19)Requires a health care service plan that provides telephone 
            medical advice services to ensure that any LPCCs providing 
            those services are licensed, as specified.

          20)Adds LPCCs to the list of contracting providers a health care 
            service plan is required to provide an enrollee or prospective 
            enrollee, upon request, within that person's geographic area, 
            as specified. 

          21)Adds LPCCs to the list of healing arts professionals that a 
            health care service plan may not prohibit an enrollee from 
            selecting. 

          22)Includes LPCCs in the existing provisions of law related to 
            health insurance policies written or issued for delivery 
            outside of California and where benefits are provided within 
            the scope of practice of certain healing arts licensees, as 
            specified.

          23)Includes LPCCs in the definition of a health care provider 
            and includes LPCCs in provisions of law allowing health care 
            providers to prohibit inspection of a minor's patient records 
            under certain conditions, as specified.

          24)Includes LPCCs and LPCC interns in the list of professional 
            persons who may provide mental health treatment or counseling 
            services.

          25)Adds LPCCs to existing provisions of law related to 
            disability insurance and self-insured employee welfare benefit 
            plans, as specified.

          26)Adds LPCCs, LPCC interns, and LPCC trainees to the list of 
            mandated reporters.

          27)Adds LPCCs to existing provisions of law governing 
            confidentiality of patient records when practicing at 
            institutions for the developmentally disabled or mental 








                                                                  SB 146
                                                                  Page  4

            hospitals.

          28)Adds LPCCs to existing provisions of law related to staffing 
            requirements at local mental health facilities, as specified.

          29)Makes technical and conforming changes.

           EXISTING LAW  provides for the licensure and regulation of LPCCs 
          by BBS.

           FISCAL EFFECT  :   Unknown

          COMMENTS  :   

           Purpose of this bill  .  According to the author's office, "The 
          sole purpose of SB 146 is to add LPCCs to the state codes where 
          marriage and family therapists, a long-standing comparable 
          profession, are already included.  Current law authorizes 
          licenses for qualified LPCCs.  The codes need to be updated to 
          bring them in line with the new LPCC law.  These amendments will 
          allow LPCCs to be effectively utilized in California."

           Background  .  This bill makes conforming and clean up changes 
          relating to the provisions of SB 788 (Wyland), Chapter 619, 
          Statutes of 2009, which enacted the LPCC Act, providing for the 
          licensing and regulation of LPCCs in California.  That bill was 
          the final step in a multi-year effort to establish LPCC 
          licensure in California.  

           Support  .  The California Association for Professional Clinical 
          Counselors writes in support, "The Codes included in this bill 
          need to be updated to bring them in line with the new LPCC law.  
          Professional Counselors are masters and doctoral-level mental 
          health service providers who practice psychotherapy.  There are 
          over 110 Professional Counselors licensed in 49 states, 
          California being the last state to license this profession.  
          These amendments will allow LPCCs to be effectively utilized in 
          California.

           Previous legislation  .  SB 788 (Wyland), Chapter 619, Statutes of 
          2009, establishes the LPCC Act which provides for the licensing 
          and regulation of LPCCs by BBS.  

           Double referred  .  This bill is double-referred to Assembly 
          Judiciary Committee.








                                                                  SB 146
                                                                  Page  5


           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California Association for Professional Clinical Counselors 
          (sponsor)
          California Alliance of Child and Family Services
          Board of Behavioral Sciences
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Rebecca May / B.,P. & C.P. / (916) 
          319-3301