BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   SB 704|
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                              UNFINISHED BUSINESS


          Bill No:  SB 704
          Author:   Negrete McLeod (D)
          Amended:  6/6/11
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMMITTEE  :  8-0, 4/4/11
          AYES:  Price, Emmerson, Corbett, Correa, Hernandez, Vargas, 
            Walters, Wyland
          NO VOTE RECORDED:  Negrete McLeod

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

          SENATE FLOOR  :  37-0, 5/16/11
          AYES:  Alquist, Anderson, Berryhill, Blakeslee, Calderon, 
            Cannella, Corbett, Correa, De Le�n, DeSaulnier, Dutton, 
            Emmerson, Evans, Fuller, Gaines, Hancock, Harman, 
            Hernandez, Huff, Kehoe, La Malfa, Leno, Lieu, Liu, 
            Lowenthal, Negrete McLeod, Padilla, Pavley, Price, Rubio, 
            Runner, Simitian, Steinberg, Vargas, Wolk, Wright, Yee
          NO VOTE RECORDED:  Strickland, Walters, Wyland

           ASSEMBLY FLOOR  :  66-10, 7/14/11 - See last page for vote


           SUBJECT  :    Healing arts:  licensees:  Board of Behavioral 
          Sciences

           SOURCE  :     Board of Behavioral Sciences


           DIGEST  :    This bill revises and recasts examination 
          requirements for marriage and family therapists, licensed 
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          professional clinical counselor, licensed clinical social 
          workers and associate social workers, and makes technical 
          cleanup and conforming changes.

           Assembly Amendments  provisions to the bill pertaining to 
          licensed professional clinical counselors, and add 
          additional intent language.

           ANALYSIS  :    

          Existing law:
                  
           1.  Licenses and regulates the practice of marriage and 
              family therapists (MFTs), licensed educational 
              psychologists (LEPs), and licensed clinical social 
              workers (LCSWs) by the Board of Behavioral Sciences 
              (BBS) within the Department of Consumer Affairs.  
              Beginning 
           January 1, 2012, the BBS will additionally license 
              professional clinical counselors (LPCC). 

           2.  Provides that in order to qualify for an MFT license, 
              an applicant must meet specified education, age, and 
              experience qualifications, and pass a 
              board-administered standard written examination or an 
              oral examination.  After passing the standard written 
              examination, the applicant must additionally pass a 
              clinical vignette written examination.  

           3.  Provides that in order to qualify for an LCSW license 
              an applicant must meet specified education, age, and 
              experience qualifications, and pass a 
              board-administered standard written examination.  After 
              passing the standard written examination, the applicant 
              must additionally pass a clinical vignette written 
              examination.  

           4.  Additionally provides for the registration and 
              regulation of MFT interns, and associate clinical 
              social workers (ASWs) by the BBS; and provides that a 
              registration expires each year and may be renewed a 
              maximum of five times.   

           5.  Further provides for each applicant for an LCSW 

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              license, after 
           January 1, 2014, to successfully pass the Association of 
              Social Work Boards Clinical Level Examination 
              administered by the Association of Social Work Boards, 
              only if the Board determines that the examination meets 
              the prevailing examination standards in California.  
              The applicant must also complete a separate California 
              jurisprudence and ethics examination incorporated or 
              developed and administered by the BBS.  

          This bill:

          1. Requires an applicant for licensure as an MFT or LCSW to 
             pass a California law and ethics examination and a 
             clinical examination, as prescribed by the BBS, 
             effective January 1, 2013. 

          2. Requires MFT interns and associate LCSW registrants, 
             upon registration with BBS, to take an examination on 
             California law and ethics within the first year of 
             registration. 

          3. Allows an MFT and LCSW registrants to take the clinical 
             examination upon meeting the following requirements: 

             A.    Completion of all required supervised work 
                experience; 

             B.    Completion of all education requirements; and, 

             C.    Passage of the California law and ethics 
                examination. 

          4. Requires MFT and LCSW applicants who have previously 
             taken and passed the standard written examination to 
             also obtain a passing score on the clinical examination 
             in order to be eligible for licensure. 

          5. Requires MFT and LCSW applicants who have previously 
             failed to obtain a passing score on the standard written 
             examination to obtain a passing score on the California 
             law and ethics examination and the clinical examination. 



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          6. Requires MFT and LCSW applicants who have previously 
             failed to obtain a passing score on the clinical 
             vignette examination to obtain a passing score on the 
             clinical examination. 

          7. Requires MFT and LCSW applicants who have obtained 
             eligibility for the standard written examination to take 
             the California law and ethics examination and the 
             clinical examination. 

          8. Requires MFT and LCSW applicants and registrants to 
             obtain a passing score on a BBS-administered California 
             law and ethics examination in order to qualify for 
             licensure. 

          9. Requires MFT and LCSW registrants to participate in a 
             BBS-administered California law and ethics examination 
             prior to his or her registration renewal. 

          10.Provides that if an MFT or LCSW applicant fails the 
             California law and ethics examination, he or she may 
             retake the examination, as specified.  

          11.Prohibits BBS from issuing a subsequent registration 
             number unless the MFT or LCSW registrant has passed the 
             California law and ethics examination. 

          12.Requires a clinical counselor intern applying for 
             licensure as a LPCC to pass the following examinations 
             as prescribed by BBS, effective
          January 1, 2013: 

             A.    A California law and ethics examination, within 
                seven years of his or her initial attempt, as 
                specified; and, 

             B.    A clinical examination administered by BBS, or the 
                National Clinical Mental Health Counselor Examination 
                (NCMHCE), as specified. 

          13.Requires a clinical counselor intern, upon registration 
             with BBS, to take an examination on California law and 
             ethics within the first year of registration. 


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          14.Authorizes a LPCC registrant to take the clinical 
             examination or the NCMHCE, as established by BBS through 
             regulation, only upon meeting all of the following 
             requirements: 

             A.    Completion of all required supervised work 
                experience; 

             B.    Completion of all education requirements; and, 

             C.    Passage of the California law and ethics 
                examination. 

          15.Requires each LPCC applicant and registrant to obtain a 
             passing score on a BBS-administered California law and 
             ethics examination in order to qualify for licensure, 
             and prior to his or her registration renewal, as 
             specified. 

          16.Provides that if an LPCC applicant fails the California 
             law and ethics exam, he or she may retake the 
             examination, as specified. 

          17.Prohibits BBS from issuing a subsequent registration 
             number unless the LPCC registrant has passed the 
             California law and ethics examination. 

          18.Provides that for LPCC applicants who submit an 
             application for a license on or before January 1, 2013, 
             a valid passing score on the required examinations, as 
             specified shall have been obtained less than seven years 
             prior to the application date. 

          19.Provides that effective January 1, 2013, an LPCC 
             applicant who fails the clinical examination or NCMHCE 
             may, within one year from the notification date of that 
             failure, retake the examination as regularly scheduled 
             without further application upon payment of the fee for 
             the examination, as specified. 

          20.Requires LPCC interns to participate in the California 
             law and ethics examination each year until successful 
             completion of the examination to renew his or her 
             registration, as specified. 

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          21.Provides that LPCC intern registration can only be 
             renewed a maximum of five times, as specified. 

          22.Makes technical and conforming changes. 

          23.States legislative intent.

           Background
           
          Beginning in February 2008, the BBS established an 
          Examination Program Review Committee (EPRC) to review the 
          BBS's LCSW, LEP, and MFT examination programs and evaluate 
          associated issues.  The EPRC conducted an open-ended 
          inquiry to gather information, allowing stakeholders and 
          interested parties opportunities to provide input, 
          feedback, and express any concerns regarding the 
          examination programs.

          In December 2009, the EPRC made several recommendations 
          relating to modification of the current license examination 
          process for MFTs and LCSWs.  The first recommendation is to 
          revise the current process for applicants, which includes 
          the standard examination after meeting the examination 
          eligibility requirements.  After passing the standard 
          examination, the applicant must pass the clinical vignette 
          examination.  The Committee further recommended requiring 
          MFT interns and ASWs to complete and pass a California law 
          and ethics examination.  The framework of this examination 
          would consist of law and ethics questions that a recent 
          program graduate would be reasonably expected to know.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

           SUPPORT  :   (Verified  8/9/11)

          Board of Behavioral Sciences (source)

           ARGUMENTS IN SUPPORT  :    In sponsoring this bill, the BBS 
          states that this bill requires applicants for MFT and LCSW 
          licenses to pass two new examinations:  a California law 
          and ethics examination and a clinical examination.  These 
          new examinations would replace the standard written and the 

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          clinical vignette examinations currently in place.  BBS 
          argues that the proposed examination restructure would 
          enhance consumer protection by requiring an applicant, 
          while practicing as an unlicensed registrant (MFT intern or 
          ASW) to pass an examination on the legal and ethical 
          practice of their profession.  

          Additionally, BBS states, restructuring the examinations 
          establishes a framework for the Board to transition to a 
          national testing system.  Ultimately, accepting the 
          national examinations would benefit applicants by allowing 
          greater reciprocity and portability of licenses across 
          states.


           ASSEMBLY FLOOR  :  66-10, 7/14/11
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, 
            Bill Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Cedillo, Chesbro, Conway, Cook, Davis, Dickinson, 
            Eng, Feuer, Fletcher, Fong, Fuentes, Furutani, Galgiani, 
            Garrick, Gatto, Gordon, Hagman, Hall, Harkey, Hayashi, 
            Roger Hern�ndez, Hill, Huber, Hueso, Huffman, Jeffries, 
            Lara, Bonnie Lowenthal, Ma, Mendoza, Monning, Nestande, 
            Nielsen, Olsen, Pan, Perea, V. Manuel P�rez, Portantino, 
            Silva, Skinner, Smyth, Solorio, Swanson, Torres, Valadao, 
            Wieckowski, Williams, Yamada, John A. P�rez
          NOES:  Donnelly, Grove, Halderman, Jones, Knight, Logue, 
            Mansoor, Miller, Morrell, Norby
          NO VOTE RECORDED:  Beth Gaines, Gorell, Mitchell, Wagner


          JJA:kc  8/9/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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