BILL ANALYSIS                                                                                                                                                                                                    �







         ----------------------------------------------------------------------- 
        |Hearing Date:April 23, 2012        |Bill No:SB                         |
        |                                   |1183                               |
         ----------------------------------------------------------------------- 


                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                          Bill No:        SB 1183Author:Lieu
                    As Amended:April 12, 2012          Fiscal: Yes

        
        SUBJECT:  Marriage and family therapists: clinical social workers: 
        continuing education.
        
        SUMMARY:  Requires continuing education providers, with the exception 
        of accredited educational institutions and certain other institutions, 
        to be approved by an accrediting organization, and would delete the 
        requirement for the Board of Behavioral Sciences (Board) to approve or 
        revoke those continuing education providers.

        Existing law:
        
        1) Existing law provides for the licensure and regulation of marriage 
           and family therapists (LMFTs), clinical social workers (LCSWs), 
           licensed professional clinical counselors (LPCCs) and licensed 
           educational psychologists (LEPs) by the Board of Behavioral 
           Sciences.  (Business and Profession Code (BPC)  � 101.6, 4990.18, 
           4980.20)

        2) Requires continuing education units in order for a licensee to 
           renew their license.  (BPC � 4980.54 (c), � 4989.34 (b)(1), � 
           4996.22 (d)(1), � 4999.76 (d))

        3) Specifies that certain accredited schools shall be deemed to be 
           approved continuing education providers for these licensees.  (BPC 
           � 4980.54 (f)(1), � 4996.22 (d)(1), � 4999.76 (d))  

        4) Requires the Board to approve continuing education providers, other 
           than at an accredited school, and authorizes the Board to revoke or 
           deny the right to offer coursework if the provider fails to comply 
           with specified requirements.  (BPC � 4980.54 (f)(2), � 4980.54 (g), 





                                                                        SB 1183
                                                                         Page 2



           � 4996.22 (d)(1), � 4999.76 (d))

        This bill:

        1) Specifies the authority of the Board to approve certain providers 
           of continuing education for LMFTs and LCSWs.  This bill adds the 
           requirement that continuing education providers first receive 
           accreditation from an accredited educational institution or an 
           accrediting organization, such as a statewide or national mental 
           health association, in order to ensure that all continuing 
           education providers are subjected to a stringent review by subject 
           matter experts and practitioners.  

        
        FISCAL EFFECT:  Unknown.  This bill has been keyed "fiscal" by 
        Legislative Counsel.
        COMMENTS:
        
        1.Purpose.  This bill is sponsored by the Author.  According to the 
          Author, this bill seeks to ensure that the continuing education 
          programs available to the various licensees of the Board are 
          accredited and thus, high quality.  The Author states that the 
          current process of approving continuing education providers lacks 
          both quality assurance of the continuing education program's content 
          and does not include a review of the content, such as the 
          effectiveness of the therapeutic techniques that are taught to 
          licensees.  This bill will ensure that all continuing education 
          providers go through a stringent review by subject matter experts 
          and practitioners.  The Author states that if the continuing 
          education programs are required to be approved by an accrediting 
          organization or an accredited educational institution, the overall 
          quality of the continuing education programs will be improved.

        2.Continuing Education Requirements for the Board.  

           a)   General Requirements.  Existing law requires LMFTs, LCSWs, 
             LEPs, and LPCCs to have 36 hours of continuing education every 
             two years.  Licensees must take courses from accredited/approved 
             schools or Board-approved continuing education providers.  The 
             Board also requires that the subject matter of the course be 
             related to the licensees' scope of practice.  (BPC Chapters 13, 
             13.5, 14 and 16, California Code of Regulations (CCR) Title 16 
             Division 18)

           Currently, the process to become an approved provider of continuing 
             education by the Board is the following:





                                                                        SB 1183
                                                                         Page 3




             i)     Complete an application to be a continuing education 
               provider.

             ii)    Board staff reviews the application to ascertain if the 
               provider's continuing education program is relevant to the 
               practice of the Board's licensees and the program's content 
               addresses direct or indirect client care.

             iii)   If the application meets the minimum requirements, the 
               provider pays the $200.00 continuing education provider fee. 

             Once the provider is approved, they may offer unlimited 
             continuing education courses over a two year time period.  After 
             two years, the provider must submit a renewal application and 
             fee.  

           b)   Renewal Process for Continuing Education Providers.  For the 
             renewal process, the Board sends a renewal notice to the provider 
             90 days before their two-year time period is complete.  The 
             continuing education provider submits a renewal application and a 
             $200.00 renewal application fee to the Board.  If the renewal 
             application and fee is submitted by the two-year deadline, the 
             provider status is renewed.  If the provider submits their 
             renewal application and pays their renewal fee after the two year 
             deadline, they are charged an additional $100.00 delinquent 
             renewal fee.  If the provider does not renew within one year 
             after the two year period, they lose the right to renew and their 
             provider status will be cancelled.  Any course offered after the 
             renewal period will not be accepted towards Board required 
             continuing education units.  During the renewal process, the 
             content of a continuing education provider's program is not 
             reviewed by the Board staff.  

           c)   Unacceptable Courses.  Course subject matter outside of the 
             scope of practice for licensees is not accepted by the Board.  
             The Board does not approve individual courses.  The Board issues 
             approval based on the sample course information that is submitted 
             with a provider's application.  
             
           d)   Course Instructor Requirements.  Providers are responsible for 
             ensuring that instructors meet at least two of the following 
             criteria:

             i)     A current, valid, license, registration or certificate 
               free from disciplinary action in an area related to the subject 





                                                                        SB 1183
                                                                         Page 4



               matter of the course.

             ii)    If at any time an instructor's license is restricted 
               pursuant to disciplinary action in California or any other 
               state or territory, he or she must notify all approved 
               providers that he or she is providing instruction for, before 
               instruction begins or immediately upon notice of the decision, 
               whichever occurs first.

             iii)   A master's or higher degree from an educational 
               institution in an area related to the subject matter of the 
               course. 

             iv)    Training, certification or experience in teaching related 
               to the subject matter of the course; or at least two years' 
               experience in an area related to the subject matter of the 
               course. 
                  
           e)   Audits.  The Board is authorized to audit records, courses, 
             instructors, related activities of a provider and licensees to 
             assure compliance with the law and regulations. 
            
            f)   Denial of an Application to be a Continuing Education 
             Provider.  If there is any disciplinary action against the 
             license of the individual who applies to be a continuing 
             education provider, this may affect ones provider approval by the 
             Board.  The Board can deny an application for the following 
             reasons:

             i)     A provider is convicted of a felony or misdemeanor offense 
               related to the activities of a provider.

             ii)    A provider, if a licensee, violates any laws or regulation 
               relating to the practice of LMFT, LCSW, LEP or LPCC.

             iii)   A provider makes a material misrepresentation of fact in 
               information submitted to the Board. 

             A notice of denial will be sent to the provider and the provider 
             will have an opportunity to appeal the denial. 
           
        3.Suggested Author's Amendment.  Sections of the BPC included in this 
          bill only relate to continuing education requirements for LMFTs and 
          LCSWs (BPC 4980.54, � 4996.22).  However, if it is the will of the 
          Author to include all professions that fall under the jurisdiction 
          of the Board, then the bill should be amended to include those 





                                                                        SB 1183
                                                                         Page 5



          sections of the BPC that relate to the continuing education 
          requirements for the other licensed professions that fall under the 
          Board's jurisdiction including LEPs (BPC � 4989.34) and LPCCs (BPC � 
          4999.76).  
        

        SUPPORT AND OPPOSITION:
        
         Support:

         None received as of April 16, 2012.

         Opposition  :  

        None received as of April 16, 2012.


        Consultant:  Le Ondra Clark