BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                  SB 1183|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  SB 1183
          Author:   Lieu (D)
          Amended:  4/30/12
          Vote:     21

           
           SENATE BUS., PROF. & ECON. DEV. COMMITTEE  :  5-3, 4/23/12
          AYES:  Price, Corbett, Correa, Hernandez, Vargas
          NOES:  Emmerson, Strickland, Wyland
          NO VOTE RECORDED:  Negrete McLeod

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT :    Board of Behavioral Sciences:  continuing 
          education

           SOURCE  :     Author


           DIGEST  :    This bill requires continuing education 
          providers, with the exception of accredited educational 
          institutions and certain other institutions, to be approved 
          by an accrediting organization, and deletes the requirement 
          for the Board of Behavioral Sciences (Board) to approve or 
          revoke those continuing education providers.

           ANALYSIS  :    

          Existing law:

          1.Existing law provides for the licensure and regulation of 
            marriage and family therapists (LMFTs), clinical social 
                                                           CONTINUED





                                                               SB 1183
                                                                Page 
          2

            workers (LCSWs), licensed professional clinical 
            counselors (LPCCs) and licensed educational psychologists 
            (LEPs) by the Board of Behavioral Sciences.  

          2.Requires continuing education units in order for a 
            licensee to renew their license.  

          3.Specifies that certain accredited schools shall be deemed 
            to be approved continuing education providers for these 
            licensees.  

          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.  

          This bill specifies the authority of the Board to approve 
          certain providers of continuing education for LMFTs 
          education psychologists, professional clinical counselors, 
          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.  

           Comments  

           Continuing Education Requirements for the Board  

           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.  Currently, the process to become an 
          approved provider of continuing education by the Board is 
          the following:  (a) complete an application to be a 
          continuing education provider; (b) Board staff reviews the 
          application to ascertain if the provider's continuing 
          education program is relevant to the practice of the 

                                                           CONTINUED





                                                               SB 1183
                                                                Page 
          3

          Board's licensees and the program's content addresses 
          direct or indirect client care; (c) 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.  

           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.  

           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.  

           Course Instructor Requirements  .  Providers are responsible 
          for ensuring that instructors meet at least two of the 
          following criteria:  (a) a current, valid, license, 
          registration or certificate free from disciplinary action 
          in an area related to the subject matter of the course; (b) 
          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, 

                                                           CONTINUED





                                                               SB 1183
                                                                Page 
          4

          before instruction begins or immediately upon notice of the 
          decision, whichever occurs first; (c) a master's or higher 
          degree from an educational institution in an area related 
          to the subject matter of the course; (d) 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. 

           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. 

           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:  (a) a provider is convicted of a felony 
          or misdemeanor offense related to the activities of a 
          provider; (b) a provider, if a licensee, violates any laws 
          or regulation relating to the practice of LMFT, LCSW, LEP 
          or LPCC; (c) 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. 

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

           SUPPORT  :   (Verified  5/9/12)

           ---

           OPPOSITION  :    (Verified  5/9/12)

          American Association for Marriage and Family Therapy, 
          California Division

           ARGUMENTS IN SUPPORT  :    According to the author's office, 
          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's office 

                                                           CONTINUED





                                                               SB 1183
                                                                Page 
          5

          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 ensures that all continuing education providers go 
          through a stringent review by subject matter experts and 
          practitioners.  The author's office 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.

           ARGUMENTS IN OPPOSITION  :    The American Association for 
          Marriage and Family Therapy, California Division states in 
          opposition:

            While we share your concerns about the current state of 
            CE regulation, we are encouraged by the committee 
            process in which the BBS �Board of Behavioral Sciences] 
            has already begun to thoughtfully address the issue 
            with an abundance of stakeholder input.  Such committee 
            processes have proven extremely successful for the 
            Board, the stakeholders, and the professions in the 
            recent past.  SB 33 (2009), the bill that significantly 
            changed required graduate curriculum in MFT, and SB 704 
            (2011), which made significant changes to the process 
            of examination for licensure, each came about as a 
            direct result of such a committee process.  Because 
            these processes involved so much stakeholder input, 
            their resulting legislation received little to no 
            opposition.

            Our strong preference would be that this bill be 
            rescinded in order to allow the BBS committee process 
            to work as designed.  We are confident that this 
            process has the best chance of resulting in CE 
            regulation that is effective for the professions and 
            the public.  
           

          JJA:dom  5/9/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                                           CONTINUED





                                                               SB 1183
                                                                Page 
          6


                                ****  END  ****











































                                                           CONTINUED