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| 1 | A bill to be entitled | ||
| 2 | An act relating to regulation of faith-based counseling; | ||
| 3 | providing definitions; requiring registration of faith- | ||
| 4 | based counselors; specifying nonapplication of certain | ||
| 5 | licensing provisions to certain faith-based counselors | ||
| 6 | under certain circumstances; providing registration | ||
| 7 | procedures and requirements; providing for certification | ||
| 8 | by examination; providing procedures; providing for a fee; | ||
| 9 | providing for registration or certification by | ||
| 10 | endorsement; providing criteria and requirements; | ||
| 11 | providing for renewal of registrations or certificates; | ||
| 12 | providing for a fee; providing criteria and requirements; | ||
| 13 | providing for inactive status; providing requirements and | ||
| 14 | criteria for reactivation of certification; providing | ||
| 15 | fees; providing continuing education requirements; | ||
| 16 | providing procedures and criteria; providing for certain | ||
| 17 | status as a provider; providing for a fee; authorizing the | ||
| 18 | Department of Health to adopt rules; providing for | ||
| 19 | disciplinary actions for certain activities; providing for | ||
| 20 | confidentiality of certain information; providing | ||
| 21 | exceptions; requiring keeping and maintaining certain | ||
| 22 | records; providing requirements for display of | ||
| 23 | certificates and use of professional titles on certain | ||
| 24 | materials; requiring a report to the department; providing | ||
| 25 | an effective date. | ||
| 26 | |||
| 27 | Be It Enacted by the Legislature of the State of Florida: | ||
| 28 | |||
| 29 | Section 1. (1) DEFINITIONS.--For purposes of this | ||
| 30 | section: | ||
| 31 | (a) "Department" means the Department of Health. | ||
| 32 | (b) "Faith-based counseling" means ministry to | ||
| 33 | individuals, families, couples, groups, organizations, and the | ||
| 34 | general public involving the application of principles and | ||
| 35 | procedures of counseling to assess and treat intrapersonal and | ||
| 36 | interpersonal problems and other dysfunctional behavior of a | ||
| 37 | social and spiritual nature and to assist in the overall | ||
| 38 | development and healing process of those served. | ||
| 39 | (c) "Faith-based counselor" means a person who provides | ||
| 40 | faith-based counseling. | ||
| 41 | (d) "Qualified association" means an association that is | ||
| 42 | certified by a statewide faith-based counseling organization in | ||
| 43 | this state which was in existence on January 1, 2004, and which | ||
| 44 | publishes, and requires compliance with, its standards and files | ||
| 45 | copies of such standards with the department as provided in | ||
| 46 | subparagraph (2)(b)1. | ||
| 47 | (2) REGISTRATION.-- | ||
| 48 | (a) A faith-based counselor may not practice, and a person | ||
| 49 | may not commence his or her faith-based counselor professional | ||
| 50 | practicum, internship, or field experience, in this state unless | ||
| 51 | he or she has first registered with and been certified by a | ||
| 52 | qualified association as provided in this section. | ||
| 53 | (b) The licensing provisions of chapter 491, Florida | ||
| 54 | Statutes, do not apply to a faith-based counselor who: | ||
| 55 | 1. Is certified by a statewide faith-based counseling | ||
| 56 | organization in this state which was in existence on January 1, | ||
| 57 | 2004, and which publishes and requires compliance with the | ||
| 58 | organization's standards and files copies of such standards with | ||
| 59 | the department. Such standards shall be in substantial compliance | ||
| 60 | with chapter 491, Florida Statutes, and the rules and minimum | ||
| 61 | standards adopted under that chapter, with the exception of those | ||
| 62 | standards of a curricular or religious nature. After the | ||
| 63 | department has determined that the standards for faith-based | ||
| 64 | counselors are in substantial compliance with minimum standards | ||
| 65 | that professionals licensed under chapter 491, Florida Statutes, | ||
| 66 | are required to meet, the standards need not be resubmitted to | ||
| 67 | the department unless a change in the standards occurs. If the | ||
| 68 | organization adopts any changes to the standards, the | ||
| 69 | organization shall provide such changes to the department within | ||
| 70 | 10 days after their adoption. | ||
| 71 | 2. Has been issued a certificate of registration by the | ||
| 72 | qualified association. | ||
| 73 | (c) The qualified association shall register as a faith- | ||
| 74 | based counselor intern an applicant who the qualified | ||
| 75 | association verifies has: | ||
| 76 | 1. Completed the application form and remitted a | ||
| 77 | nonrefundable application fee as set by the qualified | ||
| 78 | association, such fee not to exceed $200. | ||
| 79 | 2. Completed the minimum education requirements of | ||
| 80 | obtaining a master's degree in faith-based counseling or a | ||
| 81 | related field from an accredited college or a faith-based | ||
| 82 | college and submitted an acceptable supervision plan, working | ||
| 83 | under a registered or certificated faith-based counselor for | ||
| 84 | meeting any practicum, internship, or field work required for | ||
| 85 | registration or certification that may not have been satisfied | ||
| 86 | in his or her graduate program. | ||
| 87 | 3. Identified a qualified faith-based counselor to | ||
| 88 | supervise his or her practicum, internship, or field experience. | ||
| 89 | (d) Upon verification that all requirements for | ||
| 90 | registration have been met, the qualified association shall | ||
| 91 | issue to an applicant, without charge, a certificate of | ||
| 92 | registration valid for 1 year. An applicant for certification | ||
| 93 | must remain under supervision until he or she receives his or | ||
| 94 | her certificate of registration from the qualified association. | ||
| 95 | (e) Faith-based counselors who have met the minimum | ||
| 96 | education requirements and commenced the minimum experience | ||
| 97 | requirements as set out in the qualified association's published | ||
| 98 | standards shall register with the qualified association before | ||
| 99 | July 1, 2004. Faith-based counselors who fail to comply with | ||
| 100 | this paragraph shall not be granted a certificate of | ||
| 101 | registration, and any time spent by the person completing the | ||
| 102 | experience requirement prior to registration as an intern shall | ||
| 103 | not count toward completion of such requirement. | ||
| 104 | (3) CERTIFICATION BY EXAMINATION.-- | ||
| 105 | (a) Upon verification of documentation and payment of a | ||
| 106 | nonrefundable application fee as set by the qualified | ||
| 107 | association, such fee not to exceed $200, plus the actual per- | ||
| 108 | applicant cost to the qualified association or its registration | ||
| 109 | agent for purchase of the examination from the state, a | ||
| 110 | professional licensure agency, or a similar national | ||
| 111 | professional organization, the qualified association shall issue | ||
| 112 | a certificate of registration as a clinical faith-based | ||
| 113 | counselor to an applicant who the qualified association | ||
| 114 | certifies has: | ||
| 115 | 1. Completed the application form and remitted a | ||
| 116 | nonrefundable application fee as set by the qualified | ||
| 117 | association, such fee not to exceed $200. | ||
| 118 | 2. Received the minimum of a master's degree in faith- | ||
| 119 | based counseling, or a closely related field, from a regionally | ||
| 120 | accredited college or has received the minimum of a master's | ||
| 121 | degree in faith-based counseling from a faith-based theological | ||
| 122 | seminary which the qualified association has determined was, at | ||
| 123 | the time the applicant graduated, a program equivalent to | ||
| 124 | programs approved by the Council on Faith-Based Counseling | ||
| 125 | Education. An applicant who graduated from a university or | ||
| 126 | college program outside the United States or Canada must present | ||
| 127 | documentation of the equivalency determination from the council | ||
| 128 | in order to qualify to sit for the examination. The master's | ||
| 129 | level graduate program must have included direct clinical | ||
| 130 | pastoral or faith-based patient or client counseling services | ||
| 131 | and the coursework, casework, and experience as required by the | ||
| 132 | qualified association's published standards. | ||
| 133 | 3. Passed a theory and practice examination provided by | ||
| 134 | the qualified association for this purpose. | ||
| 135 | 4. Demonstrated, in a manner designated by the qualified | ||
| 136 | association's published standards, knowledge of the laws and | ||
| 137 | rules governing the practice of clinical faith-based counseling | ||
| 138 | work. | ||
| 139 | 5. Completed a minimum of 3 semester hours or 4 quarter | ||
| 140 | hours of graduate-level coursework as required by the qualified | ||
| 141 | association's published standards. | ||
| 142 | 6. Completed the equivalent, as determined by the | ||
| 143 | qualified association, of at least 1,000 hours of university- | ||
| 144 | sponsored or seminary-supervised clinical practicum, internship, | ||
| 145 | or field experience as required by the standards of the council. | ||
| 146 | This experience may not be used to satisfy the postmaster's | ||
| 147 | clinical experience requirement. | ||
| 148 | (4) CERTIFICATION BY ENDORSEMENT.--The qualified | ||
| 149 | association shall issue a certificate of registration to a | ||
| 150 | person in a profession to which this section applies who, upon | ||
| 151 | applying to the qualified association and remitting the | ||
| 152 | appropriate fee, demonstrates to the qualified association that | ||
| 153 | he or she: | ||
| 154 | (a) Has knowledge of the laws and rules governing the | ||
| 155 | practice of clinical faith-based counseling. | ||
| 156 | (b) Holds an active valid license to practice and has | ||
| 157 | actively practiced the profession for which licensure is applied | ||
| 158 | in another state for 3 of the last 5 years immediately preceding | ||
| 159 | his or her application for registration with the qualified | ||
| 160 | association. | ||
| 161 | (c) Meets the educational requirements of this section for | ||
| 162 | the profession for which registration is applied. | ||
| 163 | (d) Has passed a substantially equivalent examination in | ||
| 164 | another state or has passed the registration examination in this | ||
| 165 | state in the profession for which the applicant seeks | ||
| 166 | certification. | ||
| 167 | (e) Holds a certificate in good standing, is not under | ||
| 168 | investigation for an act that would constitute a violation of | ||
| 169 | this section, and has not been found to have committed any act | ||
| 170 | that would constitute a violation of this section. | ||
| 171 | (5) RENEWAL OF REGISTRATION OR CERTIFICATION.-- | ||
| 172 | (a) The qualified association shall prescribe by rule a | ||
| 173 | method for the biennial renewal of registration or certification | ||
| 174 | at a fee set by rule, not to exceed $250. | ||
| 175 | (b) Each applicant for renewal shall present satisfactory | ||
| 176 | evidence that, in the period since the registration or | ||
| 177 | certificate was issued, the applicant has completed continuing | ||
| 178 | education requirements set by rule of the qualified association. | ||
| 179 | Not more than 25 classroom hours of continuing education per | ||
| 180 | year shall be required. | ||
| 181 | (c) The qualified association shall prescribe by rule a | ||
| 182 | method for the biennial renewal of an intern registration at a | ||
| 183 | fee set by rule, not to exceed $100. | ||
| 184 | (6) INACTIVE STATUS; REACTIVATION OF CERTIFICATION; | ||
| 185 | FEES.-- | ||
| 186 | (a) Upon application to the qualified association and | ||
| 187 | payment of a $50 fee, a registered faith-based counselor may be | ||
| 188 | placed on inactive status. | ||
| 189 | 1. An inactive certificate may be renewed biennially for | ||
| 190 | $50. | ||
| 191 | 2. An inactive certificate may be reactivated by submitting | ||
| 192 | an application to the qualified association, completing the | ||
| 193 | continuing education requirements, complying with any background | ||
| 194 | investigation required, complying with other requirements | ||
| 195 | prescribed by the qualified association, and paying a $50 | ||
| 196 | reactivation fee plus the current biennial renewal fee at the | ||
| 197 | time of reactivation. | ||
| 198 | (b) The qualified association may adopt rules relating to | ||
| 199 | inactive certificates and the reactivation of certificates. | ||
| 200 | (7) CONTINUING EDUCATION AND LAWS AND RULES COURSES; | ||
| 201 | APPROVAL OF PROVIDERS, PROGRAMS, AND COURSES; PROOF OF | ||
| 202 | COMPLETION.-- | ||
| 203 | (a) Faith-based continuing education providers, programs, | ||
| 204 | and courses and laws and rules courses and their providers and | ||
| 205 | programs shall be approved by the qualified association. | ||
| 206 | (b) The qualified association may set a fee, not to exceed | ||
| 207 | $200, for each applicant that applies for or renews provider | ||
| 208 | status. | ||
| 209 | (c) Proof of completion of the required number of hours of | ||
| 210 | continuing education and completion of the laws and rules course | ||
| 211 | shall be submitted to the qualified association in the manner and | ||
| 212 | time specified by rule and on forms provided by the qualified | ||
| 213 | association. | ||
| 214 | (d) The department or the qualified association shall adopt | ||
| 215 | rules and guidelines to administer and enforce the provisions of | ||
| 216 | this subsection. | ||
| 217 | (8) DISCIPLINE.-- | ||
| 218 | (a) The following acts constitute grounds for denial of | ||
| 219 | certification or disciplinary action, as specified in s. | ||
| 220 | 456.072(2), Florida Statutes: | ||
| 221 | 1. Attempting to obtain, obtaining, or renewing a | ||
| 222 | registration or certification under this section by bribery or | ||
| 223 | fraudulent misrepresentation or through an error of the qualified | ||
| 224 | association or the department. | ||
| 225 | 2. Having a registration or certification to practice a | ||
| 226 | comparable profession revoked, suspended, or otherwise acted | ||
| 227 | against, including the denial of certification or licensure by | ||
| 228 | another state, territory, or country. | ||
| 229 | 3. Being convicted or found guilty of, regardless of | ||
| 230 | adjudication, or having entered a plea of nolo contendere to, a | ||
| 231 | crime in any jurisdiction which directly relates to the practice | ||
| 232 | of his or her profession or the ability to practice his or her | ||
| 233 | profession. However, in the case of a plea of nolo contendere, | ||
| 234 | the qualified association shall allow the person who is the | ||
| 235 | subject of the disciplinary proceeding to present evidence in | ||
| 236 | mitigation relevant to the underlying charges and circumstances | ||
| 237 | surrounding the plea. | ||
| 238 | 4. False, deceptive, or misleading advertising or obtaining | ||
| 239 | a fee or other thing of value on the representation that | ||
| 240 | beneficial results from any treatment will be guaranteed. | ||
| 241 | 5. Advertising, practicing, or attempting to practice under | ||
| 242 | a name other than one's own. | ||
| 243 | 6. Maintaining a professional association with any person | ||
| 244 | who the applicant, registered intern, or certificateholder knows, | ||
| 245 | or has reason to believe, is in violation of this section or a | ||
| 246 | rule of the department. | ||
| 247 | 7. Knowingly aiding, assisting, procuring, or advising any | ||
| 248 | unregistered or uncertified person to hold himself or herself out | ||
| 249 | as registered or certified under this section. | ||
| 250 | 8. Failing to perform any statutory or legal obligation | ||
| 251 | placed upon a person registered or certified under this section. | ||
| 252 | 9. Willfully making or filing a false report or record, | ||
| 253 | failing to file a report or record required by state or federal | ||
| 254 | law, willfully impeding or obstructing the filing of a report or | ||
| 255 | record, or inducing another person to make or file a false report | ||
| 256 | or record or to impede or obstruct the filing of a report or | ||
| 257 | record. Such report or record means only a report or record which | ||
| 258 | requires the signature of a person registered or certified under | ||
| 259 | this section. | ||
| 260 | 10. Paying a kickback, rebate, bonus, or other remuneration | ||
| 261 | for receiving a patient or client, or receiving a kickback, | ||
| 262 | rebate, bonus, or other remuneration for referring a patient or | ||
| 263 | client to another provider of mental health care services or to a | ||
| 264 | provider of health care services or goods; referring a patient or | ||
| 265 | client to oneself for services on a fee-paid basis when those | ||
| 266 | services are already being paid for by some other public or | ||
| 267 | private entity; or entering into a reciprocal referral agreement. | ||
| 268 | 11. Committing any act upon a patient or client which would | ||
| 269 | constitute sexual battery or which would constitute sexual | ||
| 270 | misconduct, as defined in s. 491.0111, Florida Statutes. | ||
| 271 | 12. Making misleading, deceptive, untrue, or fraudulent | ||
| 272 | representations in the practice of any profession registered or | ||
| 273 | certified under this section. | ||
| 274 | 13. Soliciting patients or clients personally, or through | ||
| 275 | an agent, through the use of fraud, intimidation, undue | ||
| 276 | influence, or a form of overreaching or vexatious conduct. | ||
| 277 | 14. Failing to make available to a patient or client, upon | ||
| 278 | written request, copies of tests, reports, or documents in the | ||
| 279 | possession or under the control of the registered intern or | ||
| 280 | certificateholder which have been prepared for and paid for by | ||
| 281 | the patient or client. | ||
| 282 | 15. Failing to respond within 30 days to a written | ||
| 283 | communication from the department or the qualified association | ||
| 284 | concerning any investigation by the department or the qualified | ||
| 285 | association or failing to make available any relevant records | ||
| 286 | with respect to any investigation about the registered intern's | ||
| 287 | or certificateholder's conduct or background. | ||
| 288 | 16. Being unable to practice the profession for which he or | ||
| 289 | she is registered or certified under this section with reasonable | ||
| 290 | skill or competence as a result of any mental or physical | ||
| 291 | condition or by reason of illness, drunkenness, or excessive use | ||
| 292 | of drugs, narcotics, chemicals, or any other substance. In | ||
| 293 | enforcing this subparagraph, upon a finding by the qualified | ||
| 294 | association that probable cause exists to believe that the | ||
| 295 | registered intern or certificateholder is unable to practice the | ||
| 296 | profession because of the reasons stated in this subparagraph, | ||
| 297 | the qualified association shall have the authority to compel a | ||
| 298 | registered intern or certificateholder to submit to a mental or | ||
| 299 | physical examination by faith-based counselors, psychologists, | ||
| 300 | physicians, or licensees under chapter 491, Florida Statutes, | ||
| 301 | designated by the qualified association. If the registered intern | ||
| 302 | or certificateholder refuses to comply with such order, the | ||
| 303 | qualified association may suspend or revoke the person's | ||
| 304 | registration or certification. A registered intern or | ||
| 305 | certificateholder affected under this paragraph shall at | ||
| 306 | reasonable intervals be afforded an opportunity to demonstrate | ||
| 307 | that he or she can resume the competent practice for which he or | ||
| 308 | she is registered or certified with reasonable skill and safety | ||
| 309 | to patients. | ||
| 310 | 17. Performing any treatment or prescribing any therapy | ||
| 311 | which, by the prevailing standards of faith-based counselors in | ||
| 312 | the community, would constitute experimentation on human | ||
| 313 | subjects, without first obtaining full, informed, and written | ||
| 314 | consent. | ||
| 315 | 18. Failing to meet the minimum standards of performance in | ||
| 316 | professional activities when measured against generally | ||
| 317 | prevailing peer performance, including the undertaking of | ||
| 318 | activities for which the registered intern or certificateholder | ||
| 319 | is not qualified by training or experience. | ||
| 320 | 19. Delegating professional responsibilities to a person | ||
| 321 | who the registered intern or certificateholder knows or has | ||
| 322 | reason to know is not qualified by training or experience to | ||
| 323 | perform such responsibilities. | ||
| 324 | 20. Violating a rule relating to the regulation of the | ||
| 325 | profession or a lawful order of the qualified association | ||
| 326 | previously entered in a disciplinary hearing. | ||
| 327 | 21. Failure of the registered intern or certificateholder | ||
| 328 | to maintain in confidence a communication made by a patient or | ||
| 329 | client in the context of such services, except as provided in s. | ||
| 330 | 491.0147, Florida Statutes. | ||
| 331 | 22. Making public statements which are derived from test | ||
| 332 | data, client contacts, or behavioral research and which identify | ||
| 333 | or damage research subjects or clients. | ||
| 334 | (b) The qualified association shall notify the department | ||
| 335 | within 10 days after the suspension or revocation of the | ||
| 336 | registration or certification of any faith-based counselor | ||
| 337 | registered or certified under this subsection. | ||
| 338 | (c)1. The qualified association shall notify the department | ||
| 339 | when the qualified association finds there is a violation of any | ||
| 340 | of the provisions of this subsection which threatens harm to any | ||
| 341 | patient or client. | ||
| 342 | 2. The qualified association shall notify the department | ||
| 343 | when the qualified association finds, within 30 days after | ||
| 344 | written notification by registered mail of the requirement for | ||
| 345 | registration, that a person continues to offer faith-based | ||
| 346 | counseling services without a certificate of registration. The | ||
| 347 | department shall enforce the provisions of this subsection | ||
| 348 | pursuant to chapter 491, Florida Statutes. | ||
| 349 | (9) EXEMPTIONS.--No provision of this section shall be | ||
| 350 | construed to limit the performance of activities of a rabbi, | ||
| 351 | priest, minister, or member of the clergy of any religious | ||
| 352 | denomination or sect or use of the term "Christian counselor" or | ||
| 353 | "Christian clinical counselor" when the activities of such person | ||
| 354 | are within the scope of the performance of his or her regular or | ||
| 355 | specialized ministerial duties and no compensation is received by | ||
| 356 | him or her or when such activities are performed, with or without | ||
| 357 | compensation, by a person for or under the auspices or | ||
| 358 | sponsorship, individually or in conjunction with others, of an | ||
| 359 | established and legally cognizable church, denomination, or sect | ||
| 360 | and when the person rendering service remains accountable to the | ||
| 361 | established authority thereof. | ||
| 362 | (10) CONFIDENTIALITY AND PRIVILEGED COMMUNICATIONS.--Any | ||
| 363 | communication between any person registered or certified under | ||
| 364 | this section and his or her patient or client shall be | ||
| 365 | confidential. This secrecy may be waived under the following | ||
| 366 | conditions: | ||
| 367 | (a) When the person certified under this chapter is a party | ||
| 368 | defendant to a civil, criminal, or disciplinary action arising | ||
| 369 | from a complaint filed by the patient or client, in which case | ||
| 370 | the waiver shall be limited to that action. | ||
| 371 | (b) When the patient or client agrees to the waiver, in | ||
| 372 | writing, or when more than one person in a family is receiving | ||
| 373 | therapy and each family member agrees to the waiver, in writing. | ||
| 374 | (c) When there is a clear and immediate probability of | ||
| 375 | physical harm to the patient or client, to other individuals, or | ||
| 376 | to society and the person registered or certified under this | ||
| 377 | section communicates the information only to the potential | ||
| 378 | victim, appropriate family member, or law enforcement or other | ||
| 379 | appropriate authorities. | ||
| 380 | (11) RECORDS.-- | ||
| 381 | (a) Each faith-based counselor who provides services as | ||
| 382 | defined in this section shall give notice to all clients and | ||
| 383 | patients on all intake documents and counseling agreements that | ||
| 384 | he or she is not licensed by this state but is registered or | ||
| 385 | certified by the qualified association pursuant to this section. | ||
| 386 | All intake documents and counseling agreements shall contain the | ||
| 387 | address and telephone number of the qualified association. | ||
| 388 | (b) Each faith-based counselor who provides services as | ||
| 389 | defined in this section shall maintain records. The qualified | ||
| 390 | association may adopt rules defining the minimum requirements for | ||
| 391 | records and reports, including content, length of time records | ||
| 392 | shall be maintained, and transfer of either the records or a | ||
| 393 | report of such records to a subsequent treating practitioner or | ||
| 394 | other individual, with written consent of the client or clients. | ||
| 395 | (12) DISPLAY OF REGISTRATION OR CERTIFICATE; USE OF | ||
| 396 | PROFESSIONAL TITLE ON PROMOTIONAL MATERIALS.-- | ||
| 397 | (a) A person registered or certified under this section as | ||
| 398 | a faith-based counselor shall conspicuously display the valid | ||
| 399 | registration certificate issued by qualified association or a | ||
| 400 | true copy thereof at each location at which the certificateholder | ||
| 401 | practices his or her profession. | ||
| 402 | (b) A certified faith-based counselor shall include the | ||
| 403 | words "certified faith-based counselor" on all promotional | ||
| 404 | materials, including cards, brochures, stationery, | ||
| 405 | advertisements, and signs, naming the certificateholder. | ||
| 406 | (13) FEES NONREFUNDABLE.--The fees paid by any applicant | ||
| 407 | for certification as a registered faith-based counselor under | ||
| 408 | this section are nonrefundable. | ||
| 409 | (14) REPORT.--The qualified association issuing | ||
| 410 | certificates of registration under this section shall annually | ||
| 411 | report to the department the number of faith-based counselors and | ||
| 412 | interns registered during the most recent calendar year and the | ||
| 413 | names and addresses of the counselors and interns. | ||
| 414 | Section 2. This act shall take effect upon becoming a law. | ||