Senate Bill 0848

CODING: Words stricken are deletions; words underlined are additions.



    Florida Senate - 1998                                   SB 848

    By Senator Turner





    36-729-98                                          See HB 3325

  1                      A bill to be entitled

  2         An act relating to art therapy; providing for

  3         regulation of the practice of art therapy under

  4         chapter 491, F.S., relating to clinical social

  5         work, marriage and family therapy, and mental

  6         health counseling; amending s. 491.002, F.S.;

  7         providing intent; amending s. 491.003, F.S.;

  8         revising and providing definitions; amending s.

  9         491.004, F.S.; renaming the Board of Clinical

10         Social Work, Marriage and Family Therapy, and

11         Mental Health Counseling as the the Board of

12         Clinical Social Work, Marriage and Family

13         Therapy, Art Therapy, and Mental Health

14         Counseling; increasing board membership to

15         provide for appointment of an art therapist

16         member; amending s. 491.0045, F.S.; providing

17         for registration of art therapist interns;

18         amending s. 491.0046, F.S.; providing for

19         provisional licensure; amending s. 491.005,

20         F.S.; providing licensure requirements;

21         amending s. 491.006, F.S.; providing for

22         licensure by endorsement; amending s. 491.012,

23         F.S.; providing penalties with respect to the

24         use of certain titles and terms and with

25         respect to unlicensed practice; amending s.

26         491.014, F.S.; conforming a cross-reference;

27         amending s. 491.0149, F.S.; requiring the

28         display of license at each practice location;

29         requiring the use of certain professional

30         titles on promotional materials; amending ss.

31         20.43, 61.20, 90.503, 397.311, 397.405, 456.32,

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         468.1295, 490.00515, 490.014, 627.668, F.S.,

  2         relating to the Department of Health, social

  3         investigations when child custody is in

  4         question, a definition of "psychotherapist," a

  5         definition of "private practitioner," certain

  6         exemptions from licensure, definitions of

  7         "healing arts" and "practitioner of the healing

  8         arts," a ground for disciplinary action

  9         relating to impairment as a speech-language

10         pathologist or audiologist, exemptions from

11         public records applicable to psychologists,

12         exemptions from regulation as a psychologist,

13         and optional insurance coverage for mental and

14         nervous disorders, respectively, to provide

15         applicability to art therapists and other

16         conforming changes; providing an effective

17         date.

18

19  Be It Enacted by the Legislature of the State of Florida:

20

21         Section 1.  Section 491.002, Florida Statutes, is

22  amended to read:

23         491.002  Intent.--The Legislature finds that as society

24  becomes increasingly complex, emotional survival is equal in

25  importance to physical survival.  Therefore, in order to

26  preserve the health, safety, and welfare of the public, the

27  Legislature must provide privileged communication for members

28  of the public or those acting on their behalf to encourage

29  needed or desired counseling, clinical and psychotherapy

30  services, or certain other services of a psychological nature

31  to be sought out. The Legislature further finds that, since

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  such services assist the public primarily with emotional

  2  survival, which in turn affects physical and psychophysical

  3  survival, the practice of clinical social work, marriage and

  4  family therapy, art therapy, and mental health counseling by

  5  persons not qualified to practice such professions presents a

  6  danger to public health, safety, and welfare.  The Legislature

  7  finds that, to further secure the health, safety, and welfare

  8  of the public and also to encourage professional cooperation

  9  among all qualified professionals, the Legislature must assist

10  the public in making informed choices of such services by

11  establishing minimum qualifications for entering into and

12  remaining in the respective professions.

13         Section 2.  Section 491.003, Florida Statutes, is

14  amended to read:

15         491.003  Definitions.--As used in this chapter:

16         (1)  "Art therapist" means a person licensed under this

17  chapter to practice art therapy.

18         (2)(1)  "Board" means the Board of Clinical Social

19  Work, Marriage and Family Therapy, Art Therapy, and Mental

20  Health Counseling.

21         (3)(2)  "Clinical social worker" means a person

22  licensed under this chapter to practice clinical social work.

23         (4)(3)  "Clinical social work experience" is defined as

24  a period during which the applicant provides clinical social

25  work services, including assessment, diagnosis, treatment, and

26  evaluation of clients; provided that at least 50 percent of

27  the hours worked consist of providing psychotherapy and

28  counseling services directly to clients.

29         (5)(4)  "Department" means the Department of Health.

30

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (6)(5)  "Marriage and family therapist" means a person

  2  licensed under this chapter to practice marriage and family

  3  therapy.

  4         (7)(6)  "Mental health counselor" means a person

  5  licensed under this chapter to practice mental health

  6  counseling.

  7         (8)  The "practice of art therapy" is defined as the

  8  use of scientific and applied knowledge, theories, and

  9  techniques of art for the purpose of describing, evaluating,

10  and treating undesired behavior and enhancing mental health

11  and human development and is based on human developmental and

12  psychological theories which are implemented in the full

13  spectrum of models of assessment and treatment, including

14  educational, psychodynamic, cognitive, transpersonal, and

15  other therapeutic means of reconciling emotional conflicts,

16  fostering self-awareness, developing social skills, managing

17  behavior, solving problems, facilitating reality-orientation,

18  and increasing self-esteem. In general, the practice of art

19  therapy uses art media, images, the creative art process, and

20  client response to the created product as means to reflect an

21  individual's development, abilities, personality, interests,

22  concerns, and conflicts. The practice of art therapy includes

23  methods of a psychological nature used to evaluate, assess,

24  diagnose, treat, and prevent emotional and mental disorders or

25  dysfunctions (whether cognitive, affective, or behavioral),

26  sexual dysfunction, behavioral disorders, alcoholism, and

27  substance abuse. The practice of art therapy includes, but is

28  not limited to, psychotherapy, hypnotherapy, and sex therapy.

29  The practice of art therapy also includes counseling, behavior

30  modification, consultation, client-centered advocacy, crisis

31  intervention, and the provision of needed information and

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  education to clients, when using methods of a psychological

  2  nature to evaluate, assess, diagnose, treat, and prevent

  3  emotional and mental disorders and dysfunctions (whether

  4  cognitive, affective, or behavioral), sexual dysfunction,

  5  behavioral disorders, alcoholism, or substance abuse. The

  6  practice of art therapy may also include clinical research

  7  into more effective psychotherapeutic modalities for the

  8  treatment and prevention of such conditions.

  9         (a)  Art therapy may be rendered to individuals,

10  couples (whether married or unmarried), families, groups,

11  organizations, and communities.

12         (b)  The use of specific methods, techniques, or

13  modalities within the practice of art therapy is restricted to

14  art therapists appropriately trained in the use of such

15  methods, techniques, or modalities.

16         (c)  The terms "diagnose" and "treat," as used in this

17  chapter, when considered in isolation or in conjunction with

18  any provision of the rules of the board, shall not be

19  construed to permit the performance of any act which art

20  therapists are not educated and trained to perform, including,

21  but not limited to, admitting persons to hospitals for

22  treatment of the foregoing conditions, treating persons in

23  hospitals without medical supervision, prescribing medicinal

24  drugs as defined in chapter 465, authorizing clinical

25  laboratory procedures pursuant to chapter 483, or radiological

26  procedures, or use of electroconvulsive therapy. In addition,

27  this definition shall not be construed to permit any person

28  licensed, provisionally licensed, registered, or certified

29  pursuant to this chapter to describe or label any test,

30  report, or procedure as "psychological," except to relate

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  specifically to the definition of practice authorized in this

  2  subsection.

  3         (d)  The definition of "art therapy" contained in this

  4  subsection includes all services offered directly to the

  5  general public or through organizations, whether public or

  6  private, and applies whether payment is requested or received

  7  for services rendered.

  8         (9)(7)  The "practice of clinical social work" is

  9  defined as the use of scientific and applied knowledge,

10  theories, and methods for the purpose of describing,

11  preventing, evaluating, and treating individual, couple,

12  marital, family, or group behavior, based on the

13  person-in-situation perspective of psychosocial development,

14  normal and abnormal behavior, psychopathology, unconscious

15  motivation, interpersonal relationships, environmental stress,

16  differential assessment, differential planning, and data

17  gathering.  The purpose of such services is the prevention and

18  treatment of undesired behavior and enhancement of mental

19  health.  The practice of clinical social work includes methods

20  of a psychological nature used to evaluate, assess, diagnose,

21  treat, and prevent emotional and mental disorders and

22  dysfunctions (whether cognitive, affective, or behavioral),

23  sexual dysfunction, behavioral disorders, alcoholism, and

24  substance abuse.  The practice of clinical social work

25  includes, but is not limited to, psychotherapy, hypnotherapy,

26  and sex therapy.  The practice of clinical social work also

27  includes counseling, behavior modification, consultation,

28  client-centered advocacy, crisis intervention, and the

29  provision of needed information and education to clients, when

30  using methods of a psychological nature to evaluate, assess,

31  diagnose, treat, and prevent emotional and mental disorders

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  and dysfunctions (whether cognitive, affective, or

  2  behavioral), sexual dysfunction, behavioral disorders,

  3  alcoholism, or substance abuse.  The practice of clinical

  4  social work may also include clinical research into more

  5  effective psychotherapeutic modalities for the treatment and

  6  prevention of such conditions.

  7         (a)  Clinical social work may be rendered to

  8  individuals, including individuals affected by the termination

  9  of marriage, and to marriages, couples, families, groups,

10  organizations, and communities.

11         (b)  The use of specific methods, techniques, or

12  modalities within the practice of clinical social work is

13  restricted to clinical social workers appropriately trained in

14  the use of such methods, techniques, or modalities.

15         (c)  The terms "diagnose" and "treat," as used in this

16  chapter, when considered in isolation or in conjunction with

17  any provision of the rules of the board, shall not be

18  construed to permit the performance of any act which clinical

19  social workers are not educated and trained to perform,

20  including, but not limited to, admitting persons to hospitals

21  for treatment of the foregoing conditions, treating persons in

22  hospitals without medical supervision, prescribing medicinal

23  drugs as defined in chapter 465, authorizing clinical

24  laboratory procedures pursuant to chapter 483, or radiological

25  procedures, or use of electroconvulsive therapy.  In addition,

26  this definition shall not be construed to permit any person

27  licensed, provisionally licensed, registered, or certified

28  pursuant to this chapter to describe or label any test,

29  report, or procedure as "psychological," except to relate

30  specifically to the definition of practice authorized in this

31  subsection.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (d)  The definition of "clinical social work" contained

  2  in this subsection includes all services offered directly to

  3  the general public or through organizations, whether public or

  4  private, and applies whether payment is requested or received

  5  for services rendered.

  6         (10)(8)  The "practice of marriage and family therapy"

  7  is defined as the use of scientific and applied marriage and

  8  family theories, methods, and procedures for the purpose of

  9  describing, evaluating, and modifying marital, family, and

10  individual behavior, within the context of marital and family

11  systems, including the context of marital formation and

12  dissolution, and is based on marriage and family systems

13  theory, marriage and family development, human development,

14  normal and abnormal behavior, psychopathology, human

15  sexuality, psychotherapeutic and marriage and family therapy

16  theories and techniques.  The practice of marriage and family

17  therapy includes methods of a psychological nature used to

18  evaluate, assess, diagnose, treat, and prevent emotional and

19  mental disorders or dysfunctions (whether cognitive,

20  affective, or behavioral), sexual dysfunction, behavioral

21  disorders, alcoholism, and substance abuse.  The practice of

22  marriage and family therapy includes, but is not limited to,

23  marriage and family therapy, psychotherapy, including

24  behavioral family therapy, hypnotherapy, and sex therapy.  The

25  practice of marriage and family therapy also includes

26  counseling, behavior modification, consultation,

27  client-centered advocacy, crisis intervention, and the

28  provision of needed information and education to clients, when

29  using methods of a psychological nature to evaluate, assess,

30  diagnose, treat, and prevent emotional and mental disorders

31  and dysfunctions (whether cognitive, affective, or

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  behavioral), sexual dysfunction, behavioral disorders,

  2  alcoholism, or substance abuse.  The practice of marriage and

  3  family therapy may also include clinical research into more

  4  effective psychotherapeutic modalities for the treatment and

  5  prevention of such conditions.

  6         (a)  Marriage and family therapy may be rendered to

  7  individuals, including individuals affected by termination of

  8  marriage, to couples, whether married or unmarried, to

  9  families, or to groups.

10         (b)  The use of specific methods, techniques, or

11  modalities within the practice of marriage and family therapy

12  is restricted to marriage and family therapists appropriately

13  trained in the use of such methods, techniques, or modalities.

14         (c)  The terms "diagnose" and "treat," as used in this

15  chapter, when considered in isolation or in conjunction with

16  any provision of the rules of the board, shall not be

17  construed to permit the performance of any act which marriage

18  and family therapists are not educated and trained to perform,

19  including, but not limited to, admitting persons to hospitals

20  for treatment of the foregoing conditions, treating persons in

21  hospitals without medical supervision, prescribing medicinal

22  drugs as defined in chapter 465, authorizing clinical

23  laboratory procedures pursuant to chapter 483, or radiological

24  procedures, or use of electroconvulsive therapy.  In addition,

25  this definition shall not be construed to permit any person

26  licensed, provisionally licensed, registered, or certified

27  pursuant to this chapter to describe or label any test,

28  report, or procedure as "psychological," except to relate

29  specifically to the definition of practice authorized in this

30  subsection.

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (d)  The definition of "marriage and family therapy"

  2  contained in this subsection includes all services offered

  3  directly to the general public or through organizations,

  4  whether public or private, and applies whether payment is

  5  requested or received for services rendered.

  6         (11)(9)  The "practice of mental health counseling" is

  7  defined as the use of scientific and applied behavioral

  8  science theories, methods, and techniques for the purpose of

  9  describing, preventing, and treating undesired behavior and

10  enhancing mental health and human development and is based on

11  the person-in-situation perspectives derived from research and

12  theory in personality, family, group, and organizational

13  dynamics and development, career planning, cultural diversity,

14  human growth and development, human sexuality, normal and

15  abnormal behavior, psychopathology, psychotherapy, and

16  rehabilitation.  The practice of mental health counseling

17  includes methods of a psychological nature used to evaluate,

18  assess, diagnose, and treat emotional and mental dysfunctions

19  or disorders (whether cognitive, affective, or behavioral),

20  behavioral disorders, interpersonal relationships, sexual

21  dysfunction, alcoholism, and substance abuse.  The practice of

22  mental health counseling includes, but is not limited to,

23  psychotherapy, hypnotherapy, and sex therapy.  The practice of

24  mental health counseling also includes counseling, behavior

25  modification, consultation, client-centered advocacy, crisis

26  intervention, and the provision of needed information and

27  education to clients, when using methods of a psychological

28  nature to evaluate, assess, diagnose, treat, and prevent

29  emotional and mental disorders and dysfunctions (whether

30  cognitive, affective, or behavioral), behavioral disorders,

31  sexual dysfunction, alcoholism, or substance abuse.  The

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  practice of mental health counseling may also include clinical

  2  research into more effective psychotherapeutic modalities for

  3  the treatment and prevention of such conditions.

  4         (a)  Mental health counseling may be rendered to

  5  individuals, including individuals affected by the termination

  6  of marriage, and to couples, families, groups, organizations,

  7  and communities.

  8         (b)  The use of specific methods, techniques, or

  9  modalities within the practice of mental health counseling is

10  restricted to mental health counselors appropriately trained

11  in the use of such methods, techniques, or modalities.

12         (c)  The terms "diagnose" and "treat," as used in this

13  chapter, when considered in isolation or in conjunction with

14  any provision of the rules of the board, shall not be

15  construed to permit the performance of any act which mental

16  health counselors are not educated and trained to perform,

17  including, but not limited to, admitting persons to hospitals

18  for treatment of the foregoing conditions, treating persons in

19  hospitals without medical supervision, prescribing medicinal

20  drugs as defined in chapter 465, authorizing clinical

21  laboratory procedures pursuant to chapter 483, or radiological

22  procedures, or use of electroconvulsive therapy.  In addition,

23  this definition shall not be construed to permit any person

24  licensed, provisionally licensed, registered, or certified

25  pursuant to this chapter to describe or label any test,

26  report, or procedure as "psychological," except to relate

27  specifically to the definition of practice authorized in this

28  subsection.

29         (d)  The definition of "mental health counseling"

30  contained in this subsection includes all services offered

31  directly to the general public or through organizations,

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  whether public or private, and applies whether payment is

  2  requested or received for services rendered.

  3         (12)  "Provisional art therapist licensee" means a

  4  person provisionally licensed under this chapter to provide

  5  art therapy services under supervision.

  6         (13)(10)  "Provisional clinical social worker licensee"

  7  means a person provisionally licensed under this chapter to

  8  provide clinical social work services under supervision.

  9         (14)(11)  "Provisional marriage and family therapist

10  licensee" means a person provisionally licensed under this

11  chapter to provide marriage and family therapy services under

12  supervision.

13         (15)(12)  "Provisional mental health counselor

14  licensee" means a person provisionally licensed under this

15  chapter to provide mental health counseling services under

16  supervision.

17         (16)(13)  "Psychotherapist" means a clinical social

18  worker, marriage and family therapist, art therapist, or

19  mental health counselor licensed pursuant to this chapter.

20         (17)  "Registered art therapist intern" means a person

21  registered under this chapter who is completing the

22  postgraduate clinical experience requirement specified in s.

23  491.005(5)(c).

24         (18)(14)  "Registered clinical social worker intern"

25  means a person registered under this chapter who is completing

26  the postgraduate clinical social work experience requirement

27  specified in s. 491.005(1)(c).

28         (19)(15)  "Registered marriage and family therapist

29  intern" means a person registered under this chapter who is

30  completing the post-master's clinical experience requirement

31  specified in s. 491.005(3)(c).

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (20)(16)  "Registered mental health counselor intern"

  2  means a person registered under this chapter who is completing

  3  the post-master's clinical experience requirement specified in

  4  s. 491.005(4)(c).

  5         Section 3.  Section 491.004, Florida Statutes, is

  6  amended to read:

  7         491.004  Board of Clinical Social Work, Marriage and

  8  Family Therapy, Art Therapy, and Mental Health Counseling.--

  9         (1)  There is created within the department the Board

10  of Clinical Social Work, Marriage and Family Therapy, Art

11  Therapy, and Mental Health Counseling composed of 10 nine

12  members appointed by the Governor and confirmed by the Senate.

13         (2)(a)  Seven Six members of the board shall be persons

14  licensed under this chapter as follows:

15         1.  Two members shall be licensed practicing clinical

16  social workers.

17         2.  Two members shall be licensed practicing marriage

18  and family therapists.

19         3.  One member shall be a licensed practicing art

20  therapist.

21         4.3.  Two members shall be licensed practicing mental

22  health counselors.

23         (b)  Three members shall be citizens of the state who

24  are not and have never been licensed in a mental

25  health-related profession and who are in no way connected with

26  the practice of any such profession.

27         (3)(a)  No later than January 1, 1988, the Governor

28  shall appoint the initial nine members of the board as

29  follows:

30         1.(a)  Three members for terms of 2 years each.

31         2.(b)  Three members for terms of 3 years each.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         3.(c)  Three members for terms of 4 years each.

  2         (b)  No later than January 1, 1999, the Governor shall

  3  appoint the initial art therapist member of the board to a

  4  term of 2 years.

  5         (4)  As the terms of the initial members expire, the

  6  Governor shall appoint successors for terms of 4 years; and

  7  those members shall serve until their successors are

  8  appointed.

  9         (5)  The board shall adopt rules to implement and

10  enforce the provisions of this chapter.

11         (6)  All applicable provisions of chapter 455 relating

12  to activities of regulatory boards shall apply to the board.

13         (7)  The board shall maintain its official headquarters

14  in the City of Tallahassee.

15         Section 4.  Section 491.0045, Florida Statutes, is

16  amended to read:

17         491.0045  Intern registration; requirements.--

18         (1)  Effective January 1, 1998, An individual who

19  intends to practice in Florida to satisfy the postgraduate or

20  post-master's level experience requirements, as specified in

21  s. 491.005(1)(c), (3)(c), or (4)(c), or (5)(c), must register

22  as an intern in the profession for which he or she is seeking

23  licensure prior to commencing the experience requirement.

24         (2)  The department shall register as a clinical social

25  worker intern, marriage and family therapist intern, art

26  therapist intern, or mental health counselor intern each

27  applicant who the board certifies has:

28         (a)  Completed the application form and remitted a

29  nonrefundable application fee not to exceed $200, as set by

30  board rule;

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (b)  Completed the education requirements as specified

  2  in s. 491.005 for the profession for which he or she is

  3  applying for licensure; and

  4         (c)  Identified a qualified supervisor.

  5         (3)  An individual registered under this section must

  6  remain under supervision until he or she is in receipt of a

  7  license or a letter from the department stating that he or she

  8  is licensed to practice the profession for which he or she

  9  applied.

10         Section 5.  Section 491.0046, Florida Statutes, is

11  amended to read:

12         491.0046  Provisional license; requirements.--

13         (1)  An individual who has satisfied the clinical

14  experience requirements of s. 491.005 intending to provide

15  clinical social work, marriage and family therapy, art

16  therapy, or mental health counseling services in Florida while

17  satisfying coursework or examination requirements for

18  licensure must be provisionally licensed in the profession for

19  which he or she is seeking licensure prior to beginning

20  practice.

21         (2)  The department shall issue a provisional clinical

22  social worker license, provisional marriage and family

23  therapist license, provisional art therapist license, or

24  provisional mental health counselor license to each applicant

25  who the board certifies has:

26         (a)  Completed the application form and remitted a

27  nonrefundable application fee not to exceed $100, as set by

28  board rule; and

29         (b)1.  Earned a graduate degree in social work, a

30  graduate degree with a major emphasis in marriage and family

31  therapy or a closely related field, a graduate degree with a

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  major emphasis in art therapy or equivalent specialization, or

  2  a graduate degree in a major related to the practice of mental

  3  health counseling, and satisfied the clinical experience

  4  requirements for licensure pursuant to s. 491.005; or

  5         2.  Been approved for examination under the provisions

  6  for licensure by endorsement pursuant to s. 491.006.

  7         (3)  A provisional licensee must work under the

  8  supervision of a licensed mental health professional, as

  9  defined by the board, until the provisional licensee is in

10  receipt of a license or a letter from the department stating

11  that he or she is licensed as a clinical social worker,

12  marriage and family therapist, art therapist, or mental health

13  counselor.

14         (4)  A provisional license expires 24 months after the

15  date it is issued and may not be renewed or reissued.

16         Section 6.  Paragraph (e) of subsection (1), paragraph

17  (e) of subsection (3), and paragraph (e) of subsection (4) of

18  section 491.005, Florida Statutes, are amended, and subsection

19  (5) is added to said section, to read:

20         491.005  Licensure by examination.--

21         (1)  Upon verification of documentation and payment of

22  a fee not to exceed $200, as set by board rule, plus the

23  actual per applicant cost to the department for purchase of

24  the examination from the American Association of State Social

25  Worker's Boards or a similar national organization, the

26  department shall issue a license as a clinical social worker

27  to an applicant who the board certifies:

28         (e)  Has demonstrated, in a manner designated by rule

29  of the board, knowledge of the laws and rules governing the

30  practice of clinical social work, marriage and family therapy,

31  art therapy, and mental health counseling.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (3)  Upon verification of documentation and payment of

  2  a fee not to exceed $200, as set by board rule, plus the

  3  actual cost to the department for the purchase of the

  4  examination from the Association of Marital and Family Therapy

  5  Regulatory Board, or similar national organization, the

  6  department shall issue a license as a marriage and family

  7  therapist to an applicant who the board certifies:

  8         (e)  Has demonstrated, in a manner designated by rule

  9  of the board, knowledge of the laws and rules governing the

10  practice of clinical social work, marriage and family therapy,

11  art therapy, and mental health counseling.

12         (4)  Upon verification of documentation and payment of

13  a fee not to exceed $200, as set by board rule, plus the

14  actual per applicant cost to the department for purchase of

15  the examination from the Professional Examination Service for

16  the National Academy of Certified Clinical Mental Health

17  Counselors or a similar national organization, the department

18  shall issue a license as a mental health counselor to an

19  applicant who the board certifies:

20         (e)  Has demonstrated, in a manner designated by rule

21  of the board, knowledge of the laws and rules governing the

22  practice of clinical social work, marriage and family therapy,

23  art therapy, and mental health counseling.

24         (5)  Upon verification of documentation and payment of

25  a fee not to exceed $200, as set by board rule, including

26  verification of documentation from the Art Therapy Credentials

27  Board that the applicant has been designated a Registered Art

28  Therapist by that board and has passed the National Board

29  Certification Examination in Art Therapy administered by that

30  board, the department shall issue a license as an art

31  therapist to an applicant who the board certifies:

                                  17

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (a)  Has made application therefor and paid the

  2  appropriate fee.

  3         (b)1.a.  Except as otherwise provided in subparagraph

  4  2., has received a minimum of a master's degree with major

  5  emphasis in art therapy, or a closely related field, and has

  6  completed all of the following requirements:

  7         (I)  A minimum of 21 semester hours or 32 quarter hours

  8  of graduate coursework, which must include 4 semester hours or

  9  6 quarter hours of graduate coursework in art therapy and a

10  minimum of 2 semester hours or 3 quarter hours of

11  graduate-level course credits in each of the following areas:

12  history and theory of art therapy, techniques of practice in

13  art therapy, human growth and development, psychopathology,

14  group theories and practice of group art therapy, diagnosis

15  and assessment, art therapy research and evaluation, and

16  multicultural issues in art therapy. Courses in testing

17  theories and procedures; thesis or dissertation work; or

18  practicums, internships, or fieldwork may not be applied

19  toward this requirement.

20         (II)  A minimum of one graduate-level course of 2

21  semester hours or 3 quarter hours in legal, ethical, and

22  professional standards issues in the practice of art therapy

23  or a course determined by the board to be equivalent.

24         (III)  A minimum of one supervised clinical practicum,

25  internship, or field experience in art therapy, for a minimum

26  of 600 hours, 300 hours of which must include direct

27  individual and group or family client contact using art

28  therapy and must be under the supervision of an individual who

29  has met the requirements for supervision under paragraph (c).

30  This requirement may be met by a supervised practice

31  experience which took place outside the academic arena, but

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  which is certified as equivalent to a graduate-level practicum

  2  or internship program which required a minimum of 600 hours of

  3  art therapy services currently offered within an academic

  4  program of a college or university accredited by an

  5  accrediting agency approved by the United States Department of

  6  Education, or an institution which is publicly recognized as a

  7  member in good standing with the Association of Universities

  8  and Colleges of Canada or a training institution accredited by

  9  the American Art Therapy Association. Certification shall be

10  required from an official of such college, university, or

11  training institution.

12         b.  If the course title which appears on the

13  applicant's transcript does not clearly identify the content

14  of the coursework, the applicant shall be required to provide

15  additional documentation, including, but not limited to, a

16  syllabus or catalog description published for the course.

17

18  The master's degree must have been received in an institution

19  of higher education which at the time the applicant graduated

20  was:  fully accredited by a regional accrediting body

21  recognized by the Commission on Recognition of Postsecondary

22  Accreditation; publicly recognized as a member in good

23  standing with the Association of Universities and Colleges of

24  Canada; or an institution of higher education located outside

25  the United States and Canada, which at the time the applicant

26  was enrolled and at the time the applicant graduated

27  maintained a standard of training substantially equivalent to

28  the standards of training of those institutions in the United

29  States which are accredited by a regional accrediting body

30  recognized by the Commission on Recognition of Postsecondary

31  Accreditation. Such foreign education and training must have

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  been received in an institution or program of higher education

  2  officially recognized by the government of the country in

  3  which it is located as an institution or program to train

  4  students to practice as professional art therapists or

  5  psychotherapists. The burden of establishing that the

  6  requirements of this provision have been met shall be upon the

  7  applicant, and the board shall require documentation, such as,

  8  but not limited to, an evaluation by a foreign equivalency

  9  determination service, as evidence that the applicant's

10  graduate degree program and education were equivalent to an

11  accredited program in this country. An applicant with a

12  master's degree from a program which did not emphasize art

13  therapy may complete the coursework requirement in a training

14  institution which follows the guidelines and meets the

15  educational requirements of the American Art Therapy

16  Association and the Art Therapy Credentials Board.

17         2.  In lieu of the master's degree required under

18  subparagraph 1., an applicant may have completed the following

19  equivalent training:

20         a.  A minimum of a bachelor's degree and either 21

21  semester hours or 32 quarter hours of graduate coursework or

22  315 hours of training in art therapy core curriculum. Such

23  training must be in a program of not less than 2 years in

24  duration, or 15 months full time, and must include instruction

25  in the following areas:  history and theory of art therapy,

26  techniques of practice in art therapy, human growth and

27  development, psychopathology, group theories and practice of

28  group art therapy, diagnosis and assessment, art therapy

29  research and evaluation, and multicultural issues in art

30  therapy.

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         b.  A minimum of one practicum, consisting of not less

  2  than 700 hours of art therapy experience under the supervision

  3  of an individual who has met the requirements for supervision

  4  under paragraph (c), not less than 50 percent of which must

  5  include direct client contact, whether individual, family, or

  6  group.

  7         3.  As a prerequisite to the master's degree under

  8  subparagraph 1. or other equivalent specialization under

  9  subparagraph 2., each applicant must have completed 15

10  semester hours or 21 quarter hours in studio art and 12

11  semester hours or 18 quarter hours in psychology, including

12  developmental and abnormal psychology. The studio art

13  requirement may be fulfilled through documentation of training

14  outside the academic arena, with 30 hours of training in

15  studio art considered the equivalent of 2 semester hours or 3

16  quarter hours.

17         (c)  Has had not less than 2 years of clinical

18  experience, which must be at the post-master's level, or the

19  equivalent, under the supervision of a licensed art therapist

20  who is a qualified supervisor as determined by the board. An

21  individual who intends to practice in Florida to satisfy the

22  clinical experience requirements must register pursuant to s.

23  491.0045 prior to commencing practice. A doctoral internship

24  may be applied toward the clinical experience requirement. The

25  clinical experience requirement may be met by work performed

26  on or off the premises of the supervising art therapist or the

27  equivalent, provided the off-premises work is not the

28  independent private practice rendering of art therapy services

29  that does not have a licensed mental health professional, as

30  determined by the board, on the premises at the same time the

31  intern is providing services.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (d)  Has passed a theory and practice examination

  2  provided by the department for this purpose.

  3         (e)  Has demonstrated, in a manner designated by rule

  4  of the board, knowledge of the laws and rules governing the

  5  practice of clinical social work, marriage and family therapy,

  6  art therapy, and mental health counseling.

  7         Section 7.  Paragraph (a) of subsection (1) of section

  8  491.006, Florida Statutes, is amended to read:

  9         491.006  Licensure or certification by endorsement.--

10         (1)  The department shall license or grant a

11  certificate to a person in a profession regulated by this

12  chapter who, upon applying to the department and remitting the

13  appropriate fee, demonstrates to the board that he or she:

14         (a)  Has demonstrated, in a manner designated by rule

15  of the board, knowledge of the laws and rules governing the

16  practice of clinical social work, marriage and family therapy,

17  art therapy, and mental health counseling.

18         Section 8.  Section 491.012, Florida Statutes, is

19  amended to read:

20         491.012  Violations; penalty; injunction.--

21         (1)  It is unlawful and a violation of this chapter for

22  any person to:

23         (a)  Use the following titles or any combination

24  thereof, unless she or he holds a valid, active license as a

25  clinical social worker issued pursuant to this chapter:

26         1.  "Licensed clinical social worker."

27         2.  "Clinical social worker."

28         3.  "Licensed social worker."

29         4.  "Psychiatric social worker."

30         5.  "Psychosocial worker."

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (b)  Use the following titles or any combination

  2  thereof, unless she or he holds a valid, active license as a

  3  marriage and family therapist issued pursuant to this chapter:

  4         1.  "Licensed marriage and family therapist."

  5         2.  "Marriage and family therapist."

  6         3.  "Marriage counselor."

  7         4.  "Marriage consultant."

  8         5.  "Family therapist."

  9         6.  "Family counselor."

10         7.  "Family consultant."

11         (c)  Use the following titles or any combination

12  thereof, unless she or he holds a valid, active license as an

13  art therapist issued pursuant to this chapter:

14         1.  "Licensed art therapist."

15         2.  "Art therapist."

16         3.  "Licensed professional art therapist."

17         4.  "Professional art therapist."

18         5.  "Clinical art therapist."

19         (d)(c)  Use the following titles or any combination

20  thereof, unless she or he holds a valid, active license as a

21  mental health counselor issued pursuant to this chapter:

22         1.  "Licensed mental health counselor."

23         2.  "Mental health counselor."

24         3.  "Mental health therapist."

25         4.  "Mental health consultant."

26         (e)(d)  Use the terms psychotherapist or sex therapist,

27  unless such person is licensed pursuant to this chapter or

28  chapter 490, or is certified under s. 464.012 as an advanced

29  registered nurse practitioner who has been determined by the

30  Board of Nursing as a specialist in psychiatric mental health

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  and the use of such terms is within the scope of her or his

  2  practice based on education, training, and licensure.

  3         (f)(e)  Present as her or his own the clinical social

  4  work, marriage and family therapy, art therapy, or mental

  5  health counseling license of another.

  6         (g)(f)  Give false or forged evidence to the board or a

  7  member thereof for the purpose of obtaining a license.

  8         (h)(g)  Use or attempt to use a license issued pursuant

  9  to this chapter which has been revoked or is under suspension.

10         (i)(h)  Knowingly conceal information relative to

11  violations of this chapter.

12         (j)(i)  Practice clinical social work in this state, as

13  the practice is defined in s. 491.003(9)(7), for compensation,

14  unless the person holds a valid, active license to practice

15  clinical social work issued pursuant to this chapter.

16         (k)(j)  Practice marriage and family therapy in this

17  state, as the practice is defined in s. 491.003(10)(8), for

18  compensation, unless the person holds a valid, active license

19  to practice marriage and family therapy issued pursuant to

20  this chapter.

21         (l)  Practice art therapy in this state, as the

22  practice is defined in s. 491.003(8), for compensation, unless

23  the person holds a valid, active license to practice art

24  therapy issued pursuant to this chapter.

25         (m)(k)  Practice mental health counseling in this

26  state, as the practice is defined in s. 491.003(11)(9), for

27  compensation, unless the person holds a valid, active license

28  to practice mental health counseling issued pursuant to this

29  chapter.

30

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (n)(l)  Use the following titles or any combination

  2  thereof, unless he or she holds a valid registration as an

  3  intern issued pursuant to this chapter:

  4         1.  "Registered clinical social worker intern."

  5         2.  "Registered marriage and family therapist intern."

  6         3.  "Registered art therapist intern."

  7         4.3.  "Registered mental health counselor intern."

  8         (o)(m)  Use the following titles or any combination

  9  thereof, unless he or she holds a valid provisional license

10  issued pursuant to this chapter:

11         1.  "Provisional clinical social worker licensee."

12         2.  "Provisional marriage and family therapist

13  licensee."

14         3.  "Provisional art therapist licensee."

15         4.3.  "Provisional mental health counselor licensee."

16         (2)  It is unlawful and a violation of this chapter for

17  any person to describe her or his services using the following

18  terms or any derivative thereof, unless such person holds a

19  valid, active license under this chapter or chapter 490, or is

20  certified under s. 464.012 as an advanced registered nurse

21  practitioner who has been determined by the Board of Nursing

22  as a specialist in psychiatric mental health and the use of

23  such terms is within the scope of her or his practice based on

24  education, training, and licensure:

25         (a)  "Psychotherapy."

26         (b)  "Sex therapy."

27         (c)  "Sex counseling."

28         (d)  "Clinical social work."

29         (e)  "Psychiatric social work."

30         (f)  "Marriage and family therapy."

31         (g)  "Marriage and family counseling."

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         (h)  "Marriage counseling."

  2         (i)  "Family counseling."

  3         (j)  "Art therapy."

  4         (k)(j)  "Mental health counseling."

  5         (3)  Any person who violates any provision of

  6  subsection (1) or subsection (2) commits a misdemeanor of the

  7  first degree, punishable as provided in s. 775.082 or s.

  8  775.083.

  9         (4)  The department may institute appropriate judicial

10  proceedings to enjoin violation of this section.

11         Section 9.  Subsection (6) of section 491.014, Florida

12  Statutes, is amended to read:

13         491.014  Exemptions.--

14         (6)  Nothing in subsections (2)-(4) shall exempt any

15  person from the provisions of s. 491.012(1)(a)-(d) (a)-(c),

16  (n) (l), and (o) (m).

17         Section 10.  Section 491.0149, Florida Statutes, is

18  amended to read:

19         491.0149  Display of license; use of professional title

20  on promotional materials.--

21         (1)(a)  A person licensed under this chapter as a

22  clinical social worker, marriage and family therapist, art

23  therapist, or mental health counselor, or certified as a

24  master social worker shall conspicuously display the valid

25  license issued by the department or a true copy thereof at

26  each location at which the licensee practices his or her

27  profession.

28         (b)1.  A licensed clinical social worker shall include

29  the words "licensed clinical social worker" or the letters

30  "LCSW" on all promotional materials, including cards,

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  brochures, stationery, advertisements, and signs, naming the

  2  licensee.

  3         2.  A licensed marriage and family therapist shall

  4  include the words "licensed marriage and family therapist" or

  5  the letters "LMFT" on all promotional materials, including

  6  cards, brochures, stationery, advertisements, and signs,

  7  naming the licensee.

  8         3.  A licensed art therapist shall include the words

  9  "licensed art therapist" or the letters "LAT" on all

10  promotional materials, including cards, brochures, stationery,

11  advertisements, and signs, naming the licensee.

12         4.3.  A licensed mental health counselor shall include

13  the words "licensed mental health counselor" or the letters

14  "LMHC" on all promotional materials, including cards,

15  brochures, stationery, advertisements, and signs, naming the

16  licensee.

17         (2)(a)  A person registered under this chapter as a

18  clinical social worker intern, marriage and family therapist

19  intern, art therapist intern, or mental health counselor

20  intern shall conspicuously display the valid registration

21  issued by the department or a true copy thereof at each

22  location at which the registered intern is completing the

23  experience requirements.

24         (b)  A registered clinical social worker intern shall

25  include the words "registered clinical social worker intern,"

26  a registered marriage and family therapist intern shall

27  include the words "registered marriage and family therapist

28  intern," a registered art therapist intern shall include the

29  words "registered art therapist intern," and a registered

30  mental health counselor intern shall include the words

31  "registered mental health counselor intern" on all promotional

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  materials, including cards, brochures, stationery,

  2  advertisements, and signs, naming the registered intern.

  3         (3)(a)  A person provisionally licensed under this

  4  chapter as a provisional clinical social worker licensee,

  5  provisional marriage and family therapist licensee,

  6  provisional art therapist licensee, or provisional mental

  7  health counselor licensee shall conspicuously display the

  8  valid provisional license issued by the department or a true

  9  copy thereof at each location at which the provisional

10  licensee is providing services.

11         (b)  A provisional clinical social worker licensee

12  shall include the words "provisional clinical social worker

13  licensee," a provisional marriage and family therapist

14  licensee shall include the words "provisional marriage and

15  family therapist licensee," a provisional art therapist

16  licensee shall include the words "provisional art therapist

17  licensee," and a provisional mental health counselor licensee

18  shall include the words "provisional mental health counselor

19  licensee" on all promotional materials, including cards,

20  brochures, stationery, advertisements, and signs, naming the

21  provisional licensee.

22         Section 11.  Paragraph (g) of subsection (3) of section

23  20.43, Florida Statutes, is amended to read:

24         20.43  Department of Health.--There is created a

25  Department of Health.

26         (3)  The following divisions of the Department of

27  Health are established:

28         (g)  Division of Medical Quality Assurance, which is

29  responsible for the following boards and professions

30  established within the division:

31         1.  Nursing assistants, as provided under s. 400.211.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         2.  Health care services pools, as provided under s.

  2  402.48.

  3         3.  The Board of Acupuncture, created under chapter

  4  457.

  5         4.  The Board of Medicine, created under chapter 458.

  6         5.  The Board of Osteopathic Medicine, created under

  7  chapter 459.

  8         6.  The Board of Chiropractic, created under chapter

  9  460.

10         7.  The Board of Podiatric Medicine, created under

11  chapter 461.

12         8.  Naturopathy, as provided under chapter 462.

13         9.  The Board of Optometry, created under chapter 463.

14         10.  The Board of Nursing, created under chapter 464.

15         11.  The Board of Pharmacy, created under chapter 465.

16         12.  The Board of Dentistry, created under chapter 466.

17         13.  Midwifery, as provided under chapter 467.

18         14.  The Board of Speech-Language Pathology and

19  Audiology, created under part I of chapter 468.

20         15.  The Board of Nursing Home Administrators, created

21  under part II of chapter 468.

22         16.  Occupational therapy, as provided under part III

23  of chapter 468.

24         17.  Respiratory therapy, as provided under part V of

25  chapter 468.

26         18.  Dietetics and nutrition practice, as provided

27  under part X of chapter 468.

28         19.  Athletic trainers, as provided under part XIV of

29  chapter 468.

30         20.  Electrolysis, as provided under chapter 478.

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         21.  The Board of Massage Therapy, created under

  2  chapter 480.

  3         22.  The Board of Clinical Laboratory Personnel,

  4  created under part III of chapter 483.

  5         23.  Medical physicists, as provided under part IV of

  6  chapter 483.

  7         24.  The Board of Opticianry, created under part I of

  8  chapter 484.

  9         25.  The Board of Hearing Aid Specialists, created

10  under part II of chapter 484.

11         26.  The Board of Physical Therapy Practice, created

12  under chapter 486.

13         27.  The Board of Psychology, created under chapter

14  490.

15         28.  The Board of Clinical Social Work, Marriage and

16  Family Therapy, Art Therapy, and Mental Health Counseling,

17  created under chapter 491.

18

19  The department may contract with the Agency for Health Care

20  Administration who shall provide consumer complaint,

21  investigative, and prosecutorial services required by the

22  Division of Medical Quality Assurance, councils, or boards, as

23  appropriate.

24         Section 12.  Subsection (2) of section 61.20, Florida

25  Statutes, is amended to read:

26         61.20  Social investigation and recommendations when

27  child custody is in issue.--

28         (2)  A social investigation and study, when ordered by

29  the court, shall be conducted by qualified staff of the court;

30  a child-placing agency licensed pursuant to s. 409.175; a

31  psychologist licensed pursuant to chapter 490; or a clinical

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  social worker, marriage and family therapist, art therapist,

  2  or mental health counselor licensed pursuant to chapter 491.

  3  If a certification of indigence based on an affidavit filed

  4  with the court pursuant to s. 57.081 is provided by an adult

  5  party to the proceeding and the court does not have qualified

  6  staff to perform the investigation and study, the court may

  7  request that the Department of Health and Rehabilitative

  8  Services conduct the investigation and study.

  9         Section 13.  Paragraph (a) of subsection (1) of section

10  90.503, Florida Statutes, is amended to read:

11         90.503  Psychotherapist-patient privilege.--

12         (1)  For purposes of this section:

13         (a)  A "psychotherapist" is:

14         1.  A person authorized to practice medicine in any

15  state or nation, or reasonably believed by the patient so to

16  be, who is engaged in the diagnosis or treatment of a mental

17  or emotional condition, including alcoholism and other drug

18  addiction;

19         2.  A person licensed or certified as a psychologist

20  under the laws of any state or nation, who is engaged

21  primarily in the diagnosis or treatment of a mental or

22  emotional condition, including alcoholism and other drug

23  addiction;

24         3.  A person licensed or certified as a clinical social

25  worker, marriage and family therapist, art therapist, or

26  mental health counselor under the laws of this state, who is

27  engaged primarily in the diagnosis or treatment of a mental or

28  emotional condition, including alcoholism and other drug

29  addiction; or

30         4.  Treatment personnel of facilities licensed by the

31  state pursuant to chapter 394, chapter 395, or chapter 397, of

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  facilities designated by the Department of Health and

  2  Rehabilitative Services pursuant to chapter 394 as treatment

  3  facilities, or of facilities defined as community mental

  4  health centers pursuant to s. 394.907(1), who are engaged

  5  primarily in the diagnosis or treatment of a mental or

  6  emotional condition, including alcoholism and other drug

  7  addiction.

  8         Section 14.  Subsection (23) of section 397.311,

  9  Florida Statutes, is amended to read:

10         397.311  Definitions.--As used in this chapter, except

11  part VIII:

12         (23)  "Private practitioner" means a physician licensed

13  under chapter 458 or chapter 459, a psychologist licensed

14  under chapter 490, or a clinical social worker, marriage and

15  family therapist, art therapist, or mental health counselor

16  licensed under chapter 491.

17         Section 15.  Subsection (7) of section 397.405, Florida

18  Statutes, is amended to read:

19         397.405  Exemptions from licensure.--The following are

20  exempt from the licensing provisions of this chapter:

21         (7)  A social worker, marriage and family therapist,

22  art therapist, or mental health counselor licensed under

23  chapter 491.

24

25  The exemptions from licensure in this section do not apply to

26  any facility or entity which receives an appropriation, grant,

27  or contract from the state to operate as a service provider as

28  defined in this chapter or to any substance abuse program

29  regulated pursuant to s. 397.406.  No provision of this

30  chapter shall be construed to limit the practice of a

31  physician licensed under chapter 458 or chapter 459, a

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  psychologist licensed under chapter 490, or a psychotherapist

  2  licensed under chapter 491, providing outpatient or inpatient

  3  substance abuse treatment to a voluntary patient, so long as

  4  the physician, psychologist, or psychotherapist does not

  5  represent to the public that he or she is a licensed service

  6  provider under this act. Failure to comply with any

  7  requirement necessary to maintain an exempt status under this

  8  section is a misdemeanor of the first degree, punishable as

  9  provided in s. 775.082 or s. 775.083.

10         Section 16.  Subsections (2) and (3) of section 456.32,

11  Florida Statutes, are amended to read:

12         456.32  Definitions.--In construing this chapter, the

13  words, phrases, or terms, unless the context otherwise

14  indicates, shall have the following meanings:

15         (2)  "Healing arts" shall mean the practice of

16  medicine, surgery, psychiatry, dentistry, osteopathic

17  medicine, chiropractic, naturopathy, podiatry, chiropody,

18  psychology, clinical social work, marriage and family therapy,

19  art therapy, mental health counseling, and optometry.

20         (3)  "Practitioner of the healing arts" shall mean a

21  person licensed under the laws of the state to practice

22  medicine, surgery, psychiatry, dentistry, osteopathic

23  medicine, chiropractic, naturopathy, podiatry, chiropody,

24  psychology, clinical social work, marriage and family therapy,

25  art therapy, mental health counseling, or optometry within the

26  scope of his or her professional training and competence and

27  within the purview of the statutes applicable to his or her

28  respective profession, and who may refer a patient for

29  treatment by a qualified person, who shall employ hypnotic

30  techniques under the supervision, direction, prescription, and

31  responsibility of such referring practitioner.

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         Section 17.  Paragraph (bb) of subsection (1) of

  2  section 468.1295, Florida Statutes, is amended to read:

  3         468.1295  Disciplinary proceedings.--

  4         (1)  The following acts constitute grounds for both

  5  disciplinary actions as set forth in subsection (2) and cease

  6  and desist or other related actions by the department as set

  7  forth in s. 455.228:

  8         (bb)  Being unable to practice the profession for which

  9  he or she is licensed or certified under this chapter with

10  reasonable skill or competence as a result of any mental or

11  physical condition or by reason of illness, drunkenness, or

12  use of drugs, narcotics, chemicals, or any other substance. In

13  enforcing this paragraph, upon a finding by the secretary, his

14  or her designee, or the board that probable cause exists to

15  believe that the licensee or certificateholder is unable to

16  practice the profession because of the reasons stated in this

17  paragraph, the department shall have the authority to compel a

18  licensee or certificateholder to submit to a mental or

19  physical examination by a physician, psychologist, clinical

20  social worker, marriage and family therapist, art therapist,

21  or mental health counselor designated by the department or

22  board.  If the licensee or certificateholder refuses to comply

23  with the department's order directing the examination, such

24  order may be enforced by filing a petition for enforcement in

25  the circuit court in the circuit in which the licensee or

26  certificateholder resides or does business.  The department

27  shall be entitled to the summary procedure provided in s.

28  51.011.  A licensee or certificateholder affected under this

29  paragraph shall at reasonable intervals be afforded an

30  opportunity to demonstrate that he or she can resume the

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  competent practice for which he or she is licensed or

  2  certified with reasonable skill and safety to patients.

  3         Section 18.  Section 490.00515, Florida Statutes, is

  4  amended to read:

  5         490.00515  Exemptions from public records and meetings

  6  requirements.--The exemptions from s. 119.07(1) provided by

  7  ss. 455.621 455.225(2) and (10) and 455.707 455.261(3)(e) and

  8  (5)(a) also apply to information concerning a provisional

  9  psychologist regulated by the Agency for Health Care

10  Administration and the department of Health under this

11  chapter, a registered clinical social worker intern, a

12  registered marriage and family therapist intern, a registered

13  mental health counselor intern, a provisional clinical social

14  worker, a provisional marriage and family therapist, or a

15  provisional mental health counselor regulated by the Agency

16  for Health Care Administration and the Department of Health

17  under chapter 491.  The exemption from s. 286.011 provided by

18  s. 455.621 455.225(4) also applies to the proceedings of a

19  probable cause panel with respect to an investigation

20  concerning a provisional psychologist, a registered clinical

21  social worker intern, a registered marriage and family

22  therapist intern, a registered mental health counselor intern,

23  a provisional clinical social worker, a provisional marriage

24  and family therapist, or a provisional mental health counselor

25  regulated by the agency and department under this chapter or

26  chapter 491. This section is subject to the Open Government

27  Sunset Review Act of 1995 in accordance with s. 119.15 and

28  shall stand repealed on October 2, 2002, unless reviewed and

29  saved from repeal through reenactment by the Legislature.

30         Section 19.  Paragraph (b) of subsection (1) of section

31  490.014, Florida Statutes, is amended to read:

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1         490.014  Exemptions.--

  2         (1)

  3         (b)  No provision of this chapter shall be construed to

  4  limit the practice of nursing, clinical social work, marriage

  5  and family therapy, art therapy, mental health counseling, or

  6  other recognized businesses or professions, or to prevent

  7  qualified members of other professions from doing work of a

  8  nature consistent with their training, so long as they do not

  9  hold themselves out to the public as psychologists or use a

10  title protected by this chapter.  Nothing in this subsection

11  shall be construed to exempt any person from the provisions of

12  s. 490.012.

13         Section 20.  Paragraph (b) of subsection (2) of section

14  627.668, Florida Statutes, is amended to read:

15         627.668  Optional coverage for mental and nervous

16  disorders required; exception.--

17         (2)  Under group policies or contracts, inpatient

18  hospital benefits, partial hospitalization benefits, and

19  outpatient benefits consisting of durational limits, dollar

20  amounts, deductibles, and coinsurance factors shall not be

21  less favorable than for physical illness generally, except

22  that:

23         (b)  Outpatient benefits may be limited to $1,000 for

24  consultations with a licensed physician, a psychologist

25  licensed pursuant to chapter 490, a mental health counselor

26  licensed pursuant to chapter 491, an art therapist licensed

27  pursuant to chapter 491, a marriage and family therapist

28  licensed pursuant to chapter 491, and a clinical social worker

29  licensed pursuant to chapter 491.  If benefits are provided

30  beyond the $1,000 per benefit year, the durational limits,

31

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    Florida Senate - 1998                                   SB 848
    36-729-98                                          See HB 3325




  1  dollar amounts, and coinsurance factors thereof need not be

  2  the same as applicable to physical illness generally.

  3         Section 21.  This act shall take effect October 1 of

  4  the year in which enacted.

  5

  6            *****************************************

  7                       LEGISLATIVE SUMMARY

  8
      Provides for regulation of the practice of art therapy
  9    under ch. 491, F.S., relating to clinical social work,
      marriage and family therapy, and mental health
10    counseling. Provides intent and revises and provides
      definitions. Renames the Board of Clinical Social Work,
11    Marriage and Family Therapy, and Mental Health Counseling
      as the the Board of Clinical Social Work, Marriage and
12    Family Therapy, Art Therapy, and Mental Health
      Counseling, and increases board membership to provide for
13    appointment of an art therapist member. Provides for
      registration of art therapist interns. Provides for
14    provisional licensure. Provides licensure requirements,
      including licensure by endorsement. Provides penalties
15    with respect to the use of certain titles and terms and
      with respect to unlicensed practice. Requires the display
16    of license at each practice location. Requires the use of
      certain professional titles on promotional materials.
17

18    Amends provisions of law relating to the Department of
      Health, social investigations when child custody is in
19    question, a definition of "psychotherapist," a definition
      of "private practitioner," certain exemptions from
20    licensure, definitions of "healing arts" and
      "practitioner of the healing arts," a ground for
21    disciplinary action relating to impairment as a
      speech-language pathologist or audiologist, exemptions
22    from public records applicable to psychologists,
      exemptions from regulation as a psychologist, and
23    optional insurance coverage for mental and nervous
      disorders, to provide applicability to art therapists and
24    other conforming changes. (See bill for details.)

25

26

27

28

29

30

31

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