2003 Legislation
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HOUSE BILL NO. 16 – Counselr/therapist, continuing educ

HOUSE BILL NO. 16

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H0016...........................................................by MR. SPEAKER
                Requested by: Bureau of Occupational Licenses
COUNSELORS - THERAPISTS - Amends existing law to define "pastoral counselor";
and to revise continuing education requirements and exemptions for counselors
and marriage and family therapists.
                                                                        
01/06    House intro - 1st rdg - to printing
    Rpt prt - to Health/Wel

Bill Text


                                                                        
  ||||              LEGISLATURE OF THE STATE OF IDAHO             ||||
 Fifty-seventh Legislature                 First Regular Session - 2003
                                                                        
                                                                        
                              IN THE HOUSE OF REPRESENTATIVES
                                                                        
                                     HOUSE BILL NO. 16
                                                                        
                                       BY MR. SPEAKER
                       Requested by: Bureau of Occupational Licenses
                                                                        
  1                                        AN ACT
  2    RELATING TO COUNSELORS AND MARRIAGE AND FAMILY  THERAPISTS;  AMENDING  SECTION
  3        54-3401,  IDAHO  CODE, TO REVISE DEFINITIONS AND TO DEFINE "PASTORAL COUN-
  4        SELOR"; AMENDING SECTION 54-3402, IDAHO CODE,  TO  EXEMPT  FROM  LICENSURE
  5        REQUIREMENTS PERSONS OBTAINING POSTGRADUATE COUNSELING EXPERIENCE AND PER-
  6        SONS  PROVIDING  SERVICES  UNDER  THE  DIRECT  SUPERVISION  AND CONTROL OF
  7        LICENSED COUNSELORS OR THERAPISTS, TO DELETE OBSOLETE TERMINOLOGY  AND  TO
  8        PROVIDE  A  REFERENCE  TO  PASTORAL  COUNSELORS; AMENDING SECTION 54-3404,
  9        IDAHO CODE, TO PROVIDE  CORRECT  TERMINOLOGY,  TO  PROVIDE  REFERENCES  TO
 10        PASTORAL  COUNSELORS  AND  TO AUTHORIZE THE BOARD TO ADOPT RULES REQUIRING
 11        CONTINUING EDUCATION AS A CONDITION FOR LICENSE RENEWAL; AMENDING  SECTION
 12        54-3405A,  IDAHO CODE, TO DELETE CERTAIN CONTINUING EDUCATION REQUIREMENTS
 13        FOR PASTORAL COUNSELORS, TO DELETE OBSOLETE TERMINOLOGY, TO MAKE  A  GRAM-
 14        MATICAL  CHANGE  AND  TO  MAKE TECHNICAL CORRECTIONS; AND AMENDING SECTION
 15        54-3405C, IDAHO CODE, TO DELETE CERTAIN CONTINUING EDUCATION REQUIREMENTS,
 16        TO DELETE OBSOLETE TERMINOLOGY AND TO MAKE A TECHNICAL CORRECTION.
                                                                        
 17    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 18        SECTION 1.  That Section 54-3401, Idaho Code, be, and the same  is  hereby
 19    amended to read as follows:
                                                                        
 20        54-3401.  DEFINITIONS. As used in this chapter:
 21        (1)  "Board"  means  the Idaho state licensing board of professional coun-
 22    selors and marriage and family therapists.
 23        (2)  "Bureau chief" means the chief of the bureau of occupational licenses
 24    of the state of Idaho.
 25        (3)  "Department" means the department of self-governing agencies  of  the
 26    state of Idaho.
 27        (4)  "Licensed  mMarriage  and family therapist" means any person licensed
 28    under this chapter to practice marriage and family therapy as defined in  this
 29    chapter.
 30        (5)  "Licensed  professional  counselor"  means  any person licensed under
 31    this chapter to practice professional counseling as defined in this chapter.
 32        (6)  "Marriage and family therapy" means the evaluation and  treatment  of
 33    mental  and  emotional  disorders, whether cognitive, affective or behavioral,
 34    within the context of marriage and family systems. Marriage and family therapy
 35    includes the professional application of psychotherapeutic and family  systems
 36    theories  and  techniques  in the delivery of services to individuals, couples
 37    and families for the purpose of treating nervous and mental disorders.
 38        (6)  "Pastoral counselor" means any person licensed as  a  pastoral  coun-
 39    selor under this chapter to practice counseling, as defined by board rule.
 40        (7)  "Practice of marriage and family therapy" means the rendering of pro-
 41    fessional  marriage  and  family  therapy services to individuals, couples and
 42    families, singly or in groups, whether such services are offered  directly  to
 43    the general public or through organizations, either public or private.
                                                                        
                                           2
  1        (8)  "Practice of professional counseling" means the application of mental
  2    health, psychological, and human development principles in order to facilitate
  3    human  development  and  adjustment throughout the life span; prevent, assess,
  4    and treat mental, emotional or behavioral disorders and associated  distresses
  5    which  interfere  with  mental  health; conduct assessments for the purpose of
  6    establishing treatment goals and objectives; and plan, implement and  evaluate
  7    treatment  plans  using counseling treatment interventions. "Counseling treat-
  8    ment interventions" means the application of cognitive, affective, behavioral,
  9    and systemic counseling strategies, which include principles  of  development,
 10    wellness  and pathology that reflect a pluralistic society. Such interventions
 11    are specifically implemented in the context of a professional counseling rela-
 12    tionship.
 13        The practice of professional counseling includes, but is not limited to:
 14        (a)  Individual, group, marriage and family counseling and therapy;
 15        (b)  Assessment;
 16        (c)  Crisis intervention;
 17        (d)  Treatment of persons with mental and emotional disorders;
 18        (e)  Guidance and consulting to facilitate normal growth and  development,
 19        including educational and career development;
 20        (f)  Utilization  of  functional  assessment  and  counseling  for persons
 21        requesting assistance in adjustment to a disability or handicapping condi-
 22        tion;
 23        (g)  Consulting;
 24        (h)  Research; and
 25        (i)  Referral.
 26        The use of specific methods, techniques, or modalities within the practice
 27    of professional counseling is restricted to professional counselors  appropri-
 28    ately trained in the use of such methods, techniques or modalities.
 29        (9)  "Professional counselor" means any person licensed under this chapter
 30    to practice professional counseling as defined in this chapter.
                                                                        
 31        SECTION  2.  That  Section 54-3402, Idaho Code, be, and the same is hereby
 32    amended to read as follows:
                                                                        
 33        54-3402.  LICENSE REQUIRED -- EXEMPTIONS. It shall  be  unlawful  for  any
 34    person to engage in any of the following acts:
 35        (1)  To  practice  professional  counseling or marriage and family therapy
 36    for compensation without first having complied with  the  provisions  of  this
 37    chapter and without a valid license as required by this chapter.
 38        (2)  To represent himself/herself to be a licensed professional counselor,
 39    or  licensed  counselor  or licensed marriage and family therapist or pastoral
 40    counselor unless he/she shall first obtain a license pursuant to this chapter.
 41        (3)  To make use of any title, words, letters or abbreviations  which  may
 42    reasonably be confused with a designation provided by this chapter.
 43        (4)  To  materially  refuse  to  furnish  the board information or records
 44    required or requested pursuant to this chapter or pursuant to an investigation
 45    commenced pursuant to this chapter.
 46        Nothing in this chapter shall be construed to apply to the activities  and
 47    services  of  licensed  or  credentialed members of other professions, such as
 48    physicians, psychologists, registered nurses, social workers, drug and alcohol
 49    counselors, or attorneys performing duties consistent with the  laws  of  this
 50    state,  their  training, and any code of ethics of their professions, provided
 51    they do not represent themselves by any title or practice description  in  the
 52    manner prescribed in section 54-3401, Idaho Code.
 53        Nothing  in  this  chapter  shall be construed to apply to the activities,
 54    services and use of an official title on the part of a person certified by the
                                                                        
                                           3
  1    state to render counseling or  marriage  and  family  therapy  or  counseling-
  2    related services, provided such persons are performing these activities within
  3    the scope of their employment, including school and vocational counselors.
  4        Nothing  in this chapter shall be construed to apply to the activities and
  5    services of a student or trainee pursuing a course of study in  counseling  or
  6    in  marriage  and  family  therapy  in  a regionally accredited institution of
  7    higher education or training institution, if these  activities  are  performed
  8    under  supervision and constitute a part of the supervised course of study, or
  9    of an intern in counseling acting under the direct supervision of  a  licensed
 10    professional counselor in private practice as established and limited by rules
 11    of  the  board,  provided,  that  such  person  be  designated, for example, a
 12    "counselor intern" or "marriage and family therapy intern."
 13        Nothing in this chapter shall be construed to apply to the activities  and
 14    services  of  a  person  obtaining their postgraduate counseling experience or
 15    marriage and family therapy clinical experience, provided these activities are
 16    provided under supervision, and provided they  have  registered  according  to
 17    procedures to be established by the board.
 18        Nothing  in  this chapter shall be construed to prevent unlicensed persons
 19    from providing services under the direct supervision and control of a  profes-
 20    sional  counselor,  marriage  and family therapist or pastoral counselor under
 21    such rules as may be established by the board.
 22        Nothing in this chapter shall be construed to apply to a nonresident whose
 23    counseling or marriage and family therapy activities and services are rendered
 24    not more than ten (10) days during any calendar year,  provided  that  such  a
 25    person  is  duly  authorized to perform such activities and services under the
 26    laws of the state or country of that person's residence.
 27        Nothing in this chapter shall be construed to apply to the activities  and
 28    services  of  any  religious denomination or sect or faith-based counseling of
 29    any kind.
 30        Nothing in this chapter shall be construed to apply to the activities  and
 31    descriptions of persons offering volunteer or professional services for public
 32    and  private  nonprofit  organizations  or agencies for which the services are
 33    rendered.
                                                                        
 34        SECTION 3.  That Section 54-3404, Idaho Code, be, and the same  is  hereby
 35    amended to read as follows:
                                                                        
 36        54-3404.  IDAHO  STATE LICENSING BOARD OF PROFESSIONAL COUNSELORS AND MAR-
 37    RIAGE AND FAMILY THERAPISTS -- POWERS. The  board  shall  have  the  following
 38    powers:
 39        (1)  To  regulate the practice of licensed counselors and licensed profes-
 40    sional counselors, and licensed marriage and family  therapists  and  pastoral
 41    counselors in the state of Idaho.
 42        (2)  To  pass  upon  the  qualifications  and  fitness  of  applicants for
 43    licenses and to adopt rules requiring annual continuing education as a  condi-
 44    tion for the renewal of licenses issued under this chapter.
 45        (3)  To  adopt and from time to time revise such rules as may be necessary
 46    to carry into effect the provisions of this chapter. Such rules shall include,
 47    but not be limited to, a code of ethics for licensed  professional  counselors
 48    and  a  code  of ethics for marriage and family therapists in the state, which
 49    shall be adopted in compliance with chapter 52, title 67, Idaho Code.
 50        (4)  To review the practice of professional counselors, pastoral  counsel-
 51    ors and marriage and family therapists licensed under this chapter and charged
 52    with  a  violation  of the provisions of this chapter. This review may include
 53    the notes of the license holder and other  materials related to the  practice.
 54    The  review will remain subject to disclosure according to chapter 3, title 9,
                                                                        
                                           4
  1    Idaho Code, unless the written consent of the client is received by the board.
  2        (5)  To establish a peer review system whereby each license holder's prac-
  3    tice may be reviewed to ensure continuing practice in an appropriate and ethi-
  4    cal manner.
  5        (6)  To examine for, deny, approve, issue, revoke, suspend and  renew  the
  6    licenses  of  applicants  pursuant to this chapter, and to conduct hearings in
  7    connection therewith.
  8        (7)  To conduct hearings to suspend or revoke licenses for  violations  of
  9    the  law  and rules adopted pursuant to this chapter and cause the prosecution
 10    and enjoinder of all such violations.
 11        (8)  In any proceeding before the board authorized by  this  chapter,  the
 12    board  or  its  designee  may  administer  oaths  or affirmations to witnesses
 13    appearing before it.
 14        (9)  To authorize, by written agreement, the chief of the bureau of  occu-
 15    pational licenses as agent to act in its interest.
 16        (10) To  provide,  by  rule,  licensed professional counselor and licensed
 17    marriage and family therapist specialty standards.
                                                                        
 18        SECTION 4.  That Section 54-3405A, Idaho Code, be, and the same is  hereby
 19    amended to read as follows:
                                                                        
 20        54-3405A.  QUALIFICATIONS  FOR LICENSURE FOR LICENSED PASTORAL COUNSELORS.
 21    (1) Licensure as a "licensed "pastoral counselor" shall be restricted to  per-
 22    sons  of  good  moral  character who have successfully completed the following
 23    requirements who have  applied  for  licensed  pastoral  counselors  licensure
 24    (L.Pas.C.) and who have successfully completed the following requirements:
 25        (1a)  Holds a master of divinity (M.Div.) degree or doctoral degree with a
 26        major  in  pastoral  counseling from an accredited university or religious
 27        institution with a requirement of sixty  (60)  semester  credit  hours  of
 28        counseling  related  courses  in  a  minimum of eight (8) of the following
 29        eleven (11) areas with the areas of study being specified by the  American
 30        association of pastoral counselors (AAPC):
 31             (ai)    Theories of personality and personality development;
 32             (bii)   Theories of counseling and psychotherapy;
 33             (ciii)  Marriage and family dynamics and counseling;
 34             (div)   Group dynamics and counseling;
 35             (ev)    Personality, culture and ethics;
 36             (fvi)   Psychology of religious experience;
 37             (gvii)  Pastoral assessment and treatment;
 38             (hviii) Psychopathology;
 39             (ix)    Theories of  pastoral care;
 40             (jx)    Research methods;
 41             (kxi)   Orientation to the helping professions.
 42        (2b)  Completion  of  a  practicum  of supervised counseling experience of
 43        four hundred (400) contact hours, supervised at a ratio of one (1) hour of
 44        supervision for each ten (10) contact hours.
 45        (3c)  Graduate studies shall have been  at  a  university  or  institution
 46        which  has  been accredited by one (1) of the following: The middle states
 47        association of colleges and secondary schools, the New England state asso-
 48        ciation of colleges and secondary schools, the north  central  association
 49        of  colleges and secondary schools, the northwest  association of colleges
 50        and secondary schools, the southern association of colleges and  secondary
 51        schools  or  the western colleges association. The pastoral counselor pro-
 52        gram may also be accredited by  the  association  of  theological  schools
 53        (ATS).
 54        (4d)  Completion  of  two  thousand  (2,000) contact hours of postgraduate
                                                                        
                                           5
  1        supervised counseling experience, with an  approved  supervisor.  Approved
  2        supervisors   include  an  American  association  of  pastoral  counselors
  3        approved supervisor, a licensed pastoral counselor,  a  licensed  psychia-
  4        trist,  a licensed psychologist, or a licensed professional counselor. The
  5        ratio of supervision to contact hours shall be one (1) to twenty (20).
  6        (5e)  Successful completion  of  the  national  counselor  examination  as
  7        required by the board.
  8        (6)  Each  licensed  pastoral  counselor  must  obtain twenty (20) contact
  9    hours of continuing education in an area that is approved  by  the  board  per
 10    year.
 11        (72)  Each  licensed pastoral counselor shall adhere to the code of ethics
 12    of the American counseling association.
 13        (83)  The board shall have the option of employing a consultant to  assist
 14    in  the  review  of  applications and in disciplinary actions. The cost of the
 15    consultation shall be included in the fee for the pastoral counselor license.
 16        (94)  The board may issue licenses to those persons meeting the qualifica-
 17    tions for licensure as  a  licensed  pastoral  counselor  (L.Pas.C.)  and  the
 18    licensed  pastoral  counselor license shall be a separate and distinct license
 19    from the licensed professional counselor license.
 20        (105)  For the purposes of this chapter, fees  and  disciplinary  actions,
 21    the  terms "licensed pastoral counselor" and "licensed professional counselor"
 22    shall have the same meaning. The board may promulgate rules to  implement  the
 23    provisions  of  this  section  in  compliance with chapter 52, title 67, Idaho
 24    Code.
                                                                        
 25        SECTION 5.  That Section 54-3405C, Idaho Code, be, and the same is  hereby
 26    amended to read as follows:
                                                                        
 27        54-3405C.  QUALIFICATIONS  FOR  LICENSURE.  Licensure as a "licensed "mar-
 28    riage and family therapist" shall be restricted to persons who  have  success-
 29    fully completed each of the following requirements:
 30        (1)  A  graduate  degree  which  consists  of at least sixty (60) semester
 31    hours or ninety (90) quarter credits in marriage and  family  therapy  from  a
 32    program  accredited by the commission on accreditation for marriage and family
 33    therapy education, or a marriage and  family  counseling  or  therapy  program
 34    which is accredited by the council for accreditation of counseling and related
 35    educational programs, or a graduate degree from a regionally accredited educa-
 36    tional institution and an equivalent course of study as approved by the board.
 37    The course of study for any graduate degree shall include a minimum of thirty-
 38    nine (39) semester credits in the following areas:
 39        (a)  Marriage  and  family  studies  --  nine (9) semester credit minimum.
 40        Studies in this area shall include:
 41             (i)   Theoretical foundations, history, philosophy, etiology and con-
 42             temporary conceptual directions of marriage  and  family  therapy  or
 43             marriage and family counseling;
 44             (ii)  Family  systems  theories and other relevant theories and their
 45             application in working with a  wide  variety  of  family  structures,
 46             including families in transition, nontraditional families and blended
 47             families, and a diverse range of presenting issues; and
 48             (iii) Preventative  Preventive approaches, including premarital coun-
 49             seling, parent skill training and relationship enhancement, for work-
 50             ing with couples, families, individuals, subsystems  and  other  sys-
 51             tems.
 52        (b)  Marriage  and  family  therapy  --  nine (9) semester credit minimum.
 53        Studies in this area shall include:
 54             (i)   The practice of marriage and family therapy related to  theory,
                                                                        
                                           6
  1             and a comprehensive survey and substantive understanding of the major
  2             models of marriage and family therapy or marriage and family counsel-
  3             ing; and
  4             (ii)  Interviewing  and  assessment  skills for working with couples,
  5             families, individuals, subsystems and other systems,  and  skills  in
  6             the  appropriate  implementation of systematic interventions across a
  7             variety of presenting clinical issues including, but not limited  to,
  8             socioeconomic disadvantage, abuse and addiction.
  9        (c)  Human  development  --  nine  (9) semester credit minimum. Studies in
 10        this area shall include:
 11             (i)   Individual development and transitions across the life span;
 12             (ii)  Family, marital and couple life cycle  development  and  family
 13             relationships,  family  of  origin  and intergenerational influences,
 14             cultural influences, ethnicity, race, socioeconomic status, religious
 15             beliefs, gender, sexual orientation, social  and  equity  issues  and
 16             disability;
 17             (iii) Human  sexual development, function and dysfunction, impacts on
 18             individuals, couples and families, and  strategies  for  intervention
 19             and resolution; and
 20             (iv)  Issues  of  violence,  abuse  and substance use in a relational
 21             context, and strategies for intervention and resolution.
 22        (d)  Psychological and mental health competency -- six (6) semester credit
 23        minimum. Studies in this area shall include:
 24             (i)   Psychopathology, including etiology, assessment, evaluation and
 25             treatment of mental disorders, use of the current diagnostic and sta-
 26             tistical manual  of  mental  disorders,  differential  diagnosis  and
 27             multiaxial diagnosis;
 28             (ii)  Standard   mental  health  diagnostic  assessment  methods  and
 29             instruments, including standardized tests; and
 30             (iii) Psychotropic medications and the role of referral to and  coop-
 31             eration with other mental health practitioners in treatment planning,
 32             and  case management skills for working with individuals, couples and
 33             families.
 34        (e)  Professional ethics and identity -- three (3) semester  credit  mini-
 35        mum. Studies in this area shall include:
 36             (i)   Professional  identity,  including  professional socialization,
 37             professional organizations, training standards, credentialing bodies,
 38             licensure, certification, practice settings  and  collaboration  with
 39             other disciplines;
 40             (ii)  Ethical  and  legal  issues related to the practice of marriage
 41             and family therapy, legal responsibilities  of  marriage  and  family
 42             therapy  and  marriage  and  family counseling practice and research,
 43             business aspects, reimbursement, recordkeeping, family law, confiden-
 44             tiality issues and the relevant codes of ethics, including  the  code
 45             of ethics specified by the board; and
 46             (iii) The  interface between therapist responsibility and the profes-
 47             sional, social and political context of treatment.
 48        (f)  Research -- three (3) semester credit minimum. Studies in  this  area
 49        shall include:
 50             (i)   Research  in marriage and family therapy or marriage and family
 51             counseling and its application to working with couples and  families;
 52             and
 53             (ii)  Research  methodology,  quantitative  and  qualitative methods,
 54             statistics, data analysis, ethics and legal  considerations  of  con-
 55             ducting research, and evaluation of research.
 56        (2)  Completion  of  a  one  (1) year practicum of supervised marriage and
                                                                        
                                           7
  1    family therapy experience, consisting of a  minimum  of  three  hundred  (300)
  2    direct  client  contact hours, of which one hundred fifty (150) hours shall be
  3    with couples or families, as part of the graduate program.
  4        (3)  Supervised experience in marriage and family therapy of  three  thou-
  5    sand  (3,000)  hours, acceptable to the board as defined by rule. A minimum of
  6    two hundred (200) hours of supervision of the postgraduate experience.  Super-
  7    vision  may  be  provided by a clinical member of the American association for
  8    marriage and family therapy, by a licensed marriage and family  therapist,  or
  9    another  qualified  licensed professional as determined by the board who has a
 10    minimum of five (5) years experience providing marriage  and  family  therapy,
 11    including:  a licensed professional counselor, private practice; psychologist;
 12    certified social worker, private and independent practice; or psychiatrist.
 13        (4)  Successful completion of a written examination  as  approved  by  the
 14    board and defined by rule.
 15        (5)  Once  licensed, a licensed marriage and family therapist shall obtain
 16    twenty (20) hours of continuing education per year as approved by the board.
 17        (6)  From the effective date of this section until June 30, 2003, any per-
 18    son who meets the  educational  qualifications  for  an  appropriate  graduate
 19    degree, as defined by the board, from an accredited educational institution so
 20    recognized  at  the  time  of granting such degree, and who demonstrates three
 21    thousand (3,000) hours of postgraduate experience providing marriage and  fam-
 22    ily  therapy may upon application, finding of fitness, and payment of fees, be
 23    issued a marriage and family therapist license. In determining if  the  educa-
 24    tion  and  experience  qualifications  have been met, the board may consider a
 25    current clinical membership in the American association of marriage and family
 26    therapy or the national association of certified family therapy, or membership
 27    in or certification  by  another  appropriate  professional  organization,  as
 28    defined  by  the  board, to be sufficient demonstration of the qualifications,
 29    and may issue a marriage and family therapy license.
 30        (76)  A license or conditional license will not be allowed  an  individual
 31    whose  license, certification or registration has been revoked or suspended in
 32    this or any other state and in this or any other related field. Such an  indi-
 33    vidual  may not be licensed under this chapter unless the period of revocation
 34    or suspension has been completed and the  board  has  conducted  a  competency
 35    review  and  determined  that  an acceptable degree of rehabilitation has been
 36    accomplished.

Statement of Purpose / Fiscal Impact


                     STATEMENT OF PURPOSE

                             RS 12385

54-3401 striking unnecessary language and adding a definition of
Pastoral Counselor. 

54-3402 providing an exemption to a person obtaining their
postgraduate counseling experience and providing for unlicensed
persons providing certain services while under direct supervision
and setting forth the supervision. 

54-3404 adding language allowing the adoption of rules that will
require annual continuing education for the renewal of licenses. 

54-3405A, 54-3405C striking language that no longer applies. 





                         FISCAL IMPACT

There will be no impact on General or Dedicated funds.


CONTACT
Name:        Rayola Jacobsen
Agency:      Occupational License, Bureau
Phone:       334-3233

Statement of Purpose/Fiscal Impact                                                         H16