Florida Senate - 2014                                    SB 1388
       
       
        
       By Senator Montford
       
       
       
       
       
       3-01221A-14                                           20141388__
    1                        A bill to be entitled                      
    2         An act relating to registered interns in clinical
    3         social work, marriage and family therapy, and mental
    4         health counseling; amending s. 491.0045, F.S.;
    5         requiring an individual who has not satisfied
    6         specified requirements to register as an intern in
    7         clinical social work, marriage and family therapy, or
    8         mental health counseling; requiring an individual to
    9         remain under supervision while practicing under
   10         registered intern status; providing that an intern
   11         registration is valid for 5 years; providing
   12         expiration dates of registrations issued on, before,
   13         or after specified dates; prohibiting an individual
   14         who has held a provisional license from applying for
   15         an intern registration in the same profession;
   16         conforming provisions to changes made by the act;
   17         amending s. 491.005, F.S.; requiring a licensed health
   18         professional to be on the premises when clinical
   19         services are provided by a registered intern of
   20         clinical social work, marriage and family therapy, or
   21         mental health counseling in a private practice
   22         setting; prohibiting such registered interns from
   23         engaging in their own independent private practice;
   24         conforming provisions to changes made by the act;
   25         providing an effective date.
   26          
   27  Be It Enacted by the Legislature of the State of Florida:
   28  
   29         Section 1. Section 491.0045, Florida Statutes, is amended
   30  to read:
   31         491.0045 Intern registration; requirements.—
   32         (1) Effective January 1, 1998, An individual who has not
   33  satisfied intends to practice in Florida to satisfy the
   34  postgraduate or post-master’s level experience requirements, as
   35  specified in s. 491.005(1)(c), (3)(c), or (4)(c), must register
   36  as an intern in the profession for which he or she is seeking
   37  licensure before prior to commencing the post-master’s
   38  experience requirement. or An individual who intends to satisfy
   39  part of the required graduate-level practicum, internship, or
   40  field experience, outside the academic arena for any profession,
   41  must register as an intern in the profession for which he or she
   42  is seeking licensure before prior to commencing the practicum,
   43  internship, or field experience.
   44         (2) The department shall register as a clinical social
   45  worker intern, marriage and family therapist intern, or mental
   46  health counselor intern each applicant who the board certifies
   47  has:
   48         (a) Completed the application form and remitted a
   49  nonrefundable application fee of up to not to exceed $200, as
   50  set by board rule;
   51         (b)1. Completed the education requirements as specified in
   52  s. 491.005(1)(c), (3)(c), or (4)(c) for the profession for which
   53  he or she is applying for licensure, if needed; and
   54         2. Submitted an acceptable supervision plan, as determined
   55  by the board, for meeting the practicum, internship, or field
   56  work required for licensure which that was not satisfied in his
   57  or her graduate program.
   58         (c) Identified a qualified supervisor.
   59         (3) An individual registered under this section must remain
   60  under supervision while practicing under registered intern
   61  status until he or she is in receipt of a license or a letter
   62  from the department stating that he or she is licensed to
   63  practice the profession for which he or she applied.
   64         (4) An individual who fails has applied for intern
   65  registration on or before December 31, 2001, and has satisfied
   66  the education requirements of s. 491.005 that are in effect
   67  through December 31, 2000, will have met the educational
   68  requirements for licensure for the profession for which he or
   69  she has applied.
   70         (5) Individuals who have commenced the experience
   71  requirement as specified in s. 491.005(1)(c), (3)(c), or (4)(c)
   72  but failed to register as required by subsection (1) shall
   73  register with the department before January 1, 2000. Individuals
   74  who fail to comply with this section may subsection shall not be
   75  granted a license under this chapter, and any time spent by the
   76  individual completing the experience requirement as specified in
   77  s. 491.005(1)(c), (3)(c), or (4)(c) before prior to registering
   78  as an intern does shall not count toward completion of the such
   79  requirement.
   80         (5) Except as provided in subsection (6), an intern
   81  registration is valid for 5 years from the date of issue.
   82         (6) An intern registration issued on or before March 31,
   83  2015, expires March 31, 2020, and may not be renewed or
   84  reissued. An intern registration issued after March 31, 2015,
   85  expires 60 months after the date it is issued. A subsequent
   86  intern registration may not be issued unless the candidate has
   87  passed the theory and practice examination described in s.
   88  491.005(1)(d), (3)(d), and (4)(d).
   89         (7) An individual who has held a provisional license issued
   90  by the board may not apply for an intern registration in the
   91  same profession.
   92         Section 2. Subsection (1), subsection (3), paragraphs (a)
   93  and (c) of subsection (4), and subsections (5) and (6) of
   94  section 491.005, Florida Statutes, are amended to read:
   95         491.005 Licensure by examination.—
   96         (1) CLINICAL SOCIAL WORK.—Upon verification of
   97  documentation and payment of a fee not to exceed $200, as set by
   98  board rule, plus the actual per applicant cost to the department
   99  for purchase of the examination from the American Association of
  100  State Social Work Worker’s Boards or a similar national
  101  organization, the department shall issue a license as a clinical
  102  social worker to an applicant who the board certifies:
  103         (a) Has submitted an made application therefor and paid the
  104  appropriate fee.
  105         (b)1. Has received a doctoral degree in social work from a
  106  graduate school of social work which at the time the applicant
  107  graduated was accredited by an accrediting agency recognized by
  108  the United States Department of Education or has received a
  109  master’s degree in social work from a graduate school of social
  110  work which at the time the applicant graduated:
  111         a. Was accredited by the Council on Social Work Education;
  112         b. Was accredited by the Canadian Association of Schools of
  113  Social Work; or
  114         c. Has been determined to have been a program equivalent to
  115  programs approved by the Council on Social Work Education by the
  116  Foreign Equivalency Determination Service of the Council on
  117  Social Work Education. An applicant who graduated from a program
  118  at a university or college outside of the United States or
  119  Canada must present documentation of the equivalency
  120  determination from the council in order to qualify.
  121         2. The applicant’s graduate program must have emphasized
  122  direct clinical patient or client health care services,
  123  including, but not limited to, coursework in clinical social
  124  work, psychiatric social work, medical social work, social
  125  casework, psychotherapy, or group therapy. The applicant’s
  126  graduate program must have included all of the following
  127  coursework:
  128         a. A supervised field placement which was part of the
  129  applicant’s advanced concentration in direct practice, during
  130  which the applicant provided clinical services directly to
  131  clients.
  132         b. Completion of 24 semester hours or 32 quarter hours in
  133  theory of human behavior and practice methods as courses in
  134  clinically oriented services, including a minimum of one course
  135  in psychopathology, and no more than one course in research,
  136  taken in a school of social work accredited or approved pursuant
  137  to subparagraph 1.
  138         3. If the course title which appears on the applicant’s
  139  transcript does not clearly identify the content of the
  140  coursework, the applicant shall be required to provide
  141  additional documentation, including, but not limited to, a
  142  syllabus or catalog description published for the course.
  143         (c) Has had at least not less than 2 years of clinical
  144  social work experience, which took place subsequent to
  145  completion of a graduate degree in social work at an institution
  146  meeting the accreditation requirements of this section, under
  147  the supervision of a licensed clinical social worker or the
  148  equivalent who is a qualified supervisor as determined by the
  149  board. An individual who intends to practice in Florida to
  150  satisfy clinical experience requirements must register pursuant
  151  to s. 491.0045 before prior to commencing practice. If the
  152  applicant’s graduate program was not a program that which
  153  emphasized direct clinical patient or client health care
  154  services as described in subparagraph (b)2., the supervised
  155  experience requirement must take place after the applicant has
  156  completed a minimum of 15 semester hours or 22 quarter hours of
  157  the coursework required. A doctoral internship may be applied
  158  toward the clinical social work experience requirement. A
  159  licensed mental health professional must be on the premises when
  160  clinical services are provided by a registered intern in a
  161  private practice setting. A registered intern may not engage in
  162  his or her own independent private practice The experience
  163  requirement may be met by work performed on or off the premises
  164  of the supervising clinical social worker or the equivalent,
  165  provided the off-premises work is not the independent private
  166  practice rendering of clinical social work that does not have a
  167  licensed mental health professional, as determined by the board,
  168  on the premises at the same time the intern is providing
  169  services.
  170         (d) Has passed a theory and practice examination provided
  171  by the department for this purpose.
  172         (e) Has demonstrated, in a manner designated by rule of the
  173  board, knowledge of the laws and rules governing the practice of
  174  clinical social work, marriage and family therapy, and mental
  175  health counseling.
  176         (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of
  177  documentation and payment of a fee not to exceed $200, as set by
  178  board rule, plus the actual cost to the department for the
  179  purchase of the examination from the Association of Marital and
  180  Family Therapy Regulatory Boards Board, or similar national
  181  organization, the department shall issue a license as a marriage
  182  and family therapist to an applicant who the board certifies:
  183         (a) Has submitted an made application therefor and paid the
  184  appropriate fee.
  185         (b)1. Has a minimum of a master’s degree with major
  186  emphasis in marriage and family therapy, or a closely related
  187  field, and has completed all of the following requirements:
  188         a. Thirty-six semester hours or 48 quarter hours of
  189  graduate coursework, which must include a minimum of 3 semester
  190  hours or 4 quarter hours of graduate-level course credits in
  191  each of the following nine areas: dynamics of marriage and
  192  family systems; marriage therapy and counseling theory and
  193  techniques; family therapy and counseling theory and techniques;
  194  individual human development theories throughout the life cycle;
  195  personality theory or general counseling theory and techniques;
  196  psychopathology; human sexuality theory and counseling
  197  techniques; psychosocial theory; and substance abuse theory and
  198  counseling techniques. Courses in research, evaluation,
  199  appraisal, assessment, or testing theories and procedures;
  200  thesis or dissertation work; or practicums, internships, or
  201  fieldwork may not be applied toward this requirement.
  202         b. A minimum of one graduate-level course of 3 semester
  203  hours or 4 quarter hours in legal, ethical, and professional
  204  standards issues in the practice of marriage and family therapy
  205  or a course determined by the board to be equivalent.
  206         c. A minimum of one graduate-level course of 3 semester
  207  hours or 4 quarter hours in diagnosis, appraisal, assessment,
  208  and testing for individual or interpersonal disorder or
  209  dysfunction; and a minimum of one 3-semester-hour or 4-quarter
  210  hour graduate-level course in behavioral research which focuses
  211  on the interpretation and application of research data as it
  212  applies to clinical practice. Credit for thesis or dissertation
  213  work, practicums, internships, or fieldwork may not be applied
  214  toward this requirement.
  215         d. A minimum of one supervised clinical practicum,
  216  internship, or field experience in a marriage and family
  217  counseling setting, during which the student provided 180 direct
  218  client contact hours of marriage and family therapy services
  219  under the supervision of an individual who met the requirements
  220  for supervision under paragraph (c). This requirement may be met
  221  by a supervised practice experience which took place outside the
  222  academic arena, but which is certified as equivalent to a
  223  graduate-level practicum or internship program which required a
  224  minimum of 180 direct client contact hours of marriage and
  225  family therapy services currently offered within an academic
  226  program of a college or university accredited by an accrediting
  227  agency approved by the United States Department of Education, or
  228  an institution which is publicly recognized as a member in good
  229  standing with the Association of Universities and Colleges of
  230  Canada or a training institution accredited by the Commission on
  231  Accreditation for Marriage and Family Therapy Education
  232  recognized by the United States Department of Education.
  233  Certification shall be required from an official of such
  234  college, university, or training institution.
  235         2. If the course title which appears on the applicant’s
  236  transcript does not clearly identify the content of the
  237  coursework, the applicant shall be required to provide
  238  additional documentation, including, but not limited to, a
  239  syllabus or catalog description published for the course.
  240  
  241  The required master’s degree must have been received in an
  242  institution of higher education which at the time the applicant
  243  graduated was: fully accredited by a regional accrediting body
  244  recognized by the Commission on Recognition of Postsecondary
  245  Accreditation; publicly recognized as a member in good standing
  246  with the Association of Universities and Colleges of Canada; or
  247  an institution of higher education located outside the United
  248  States and Canada, which at the time the applicant was enrolled
  249  and at the time the applicant graduated maintained a standard of
  250  training substantially equivalent to the standards of training
  251  of those institutions in the United States which are accredited
  252  by a regional accrediting body recognized by the Commission on
  253  Recognition of Postsecondary Accreditation. Such foreign
  254  education and training must have been received in an institution
  255  or program of higher education officially recognized by the
  256  government of the country in which it is located as an
  257  institution or program to train students to practice as
  258  professional marriage and family therapists or psychotherapists.
  259  The burden of establishing that the requirements of this
  260  provision have been met shall be upon the applicant, and the
  261  board shall require documentation, such as, but not limited to,
  262  an evaluation by a foreign equivalency determination service, as
  263  evidence that the applicant’s graduate degree program and
  264  education were equivalent to an accredited program in this
  265  country. An applicant with a master’s degree from a program
  266  which did not emphasize marriage and family therapy may complete
  267  the coursework requirement in a training institution fully
  268  accredited by the Commission on Accreditation for Marriage and
  269  Family Therapy Education recognized by the United States
  270  Department of Education.
  271         (c) Has had at least not less than 2 years of clinical
  272  experience during which 50 percent of the applicant’s clients
  273  were receiving marriage and family therapy services, which must
  274  be at the post-master’s level under the supervision of a
  275  licensed marriage and family therapist who has with at least 5
  276  years of experience, or the equivalent, and who is a qualified
  277  supervisor as determined by the board. An individual who intends
  278  to practice in Florida to satisfy the clinical experience
  279  requirements must register pursuant to s. 491.0045 before prior
  280  to commencing practice. If a graduate has a master’s degree with
  281  a major emphasis in marriage and family therapy or a closely
  282  related field which that did not include all the coursework
  283  required under sub-subparagraphs (b)1.a.-c., credit for the
  284  post-master’s level clinical experience may shall not commence
  285  until the applicant has completed a minimum of 10 of the courses
  286  required under sub-subparagraphs (b)1.a.-c., as determined by
  287  the board, and at least 6 semester hours or 9 quarter hours of
  288  the course credits must have been completed in the area of
  289  marriage and family systems, theories, or techniques. Within the
  290  3 years of required experience, the applicant shall provide
  291  direct individual, group, or family therapy and counseling, to
  292  include the following categories of cases: unmarried dyads,
  293  married couples, separating and divorcing couples, and family
  294  groups including children. A doctoral internship may be applied
  295  toward the clinical experience requirement. A licensed mental
  296  health professional must be on the premises when clinical
  297  services are provided by a registered intern in a private
  298  practice setting. A registered intern may not engage in his or
  299  her own independent private practice The clinical experience
  300  requirement may be met by work performed on or off the premises
  301  of the supervising marriage and family therapist or the
  302  equivalent, provided the off-premises work is not the
  303  independent private practice rendering of marriage and family
  304  therapy services that does not have a licensed mental health
  305  professional, as determined by the board, on the premises at the
  306  same time the intern is providing services.
  307         (d) Has passed a theory and practice examination provided
  308  by the department for this purpose.
  309         (e) Has demonstrated, in a manner designated by rule of the
  310  board, knowledge of the laws and rules governing the practice of
  311  clinical social work, marriage and family therapy, and mental
  312  health counseling.
  313         (f) For the purposes of dual licensure, the department
  314  shall license as a marriage and family therapist any person who
  315  meets the requirements of s. 491.0057. Fees for dual licensure
  316  shall not exceed those stated in this subsection.
  317         (4) MENTAL HEALTH COUNSELING.—Upon verification of
  318  documentation and payment of a fee not to exceed $200, as set by
  319  board rule, plus the actual per applicant cost to the department
  320  for purchase of the examination from the Professional
  321  Examination Service for the National Academy of Certified
  322  Clinical Mental Health Counselors or a similar national
  323  organization, the department shall issue a license as a mental
  324  health counselor to an applicant who the board certifies:
  325         (a) Has submitted an made application therefor and paid the
  326  appropriate fee.
  327         (c) Has had at least not less than 2 years of clinical
  328  experience in mental health counseling, which must be at the
  329  post-master’s level under the supervision of a licensed mental
  330  health counselor or the equivalent who is a qualified supervisor
  331  as determined by the board. An individual who intends to
  332  practice in Florida to satisfy the clinical experience
  333  requirements must register pursuant to s. 491.0045 before prior
  334  to commencing practice. If a graduate has a master’s degree with
  335  a major related to the practice of mental health counseling
  336  which that did not include all the coursework required under
  337  sub-subparagraphs (b)1.a.-b., credit for the post-master’s level
  338  clinical experience may shall not commence until the applicant
  339  has completed a minimum of seven of the courses required under
  340  sub-subparagraphs (b)1.a.-b., as determined by the board, one of
  341  which must be a course in psychopathology or abnormal
  342  psychology. A doctoral internship may be applied toward the
  343  clinical experience requirement. A licensed mental health
  344  professional must be on the premises when clinical services are
  345  provided by a registered intern in a private practice setting. A
  346  registered intern may not engage in his or her own independent
  347  private practice The clinical experience requirement may be met
  348  by work performed on or off the premises of the supervising
  349  mental health counselor or the equivalent, provided the off
  350  premises work is not the independent private practice rendering
  351  of services that does not have a licensed mental health
  352  professional, as determined by the board, on the premises at the
  353  same time the intern is providing services.
  354         (5) INTERNSHIP.—An individual who is registered as an
  355  intern and has satisfied all of the educational requirements for
  356  the profession for which the applicant seeks licensure shall be
  357  certified as having met the educational requirements for
  358  licensure under this section.
  359         (5)(6) RULES.—The board may adopt rules necessary to
  360  implement any education or experience requirement in of this
  361  section for licensure as a clinical social worker, marriage and
  362  family therapist, or mental health counselor.
  363         Section 3. This act shall take effect July 1, 2014.