1-1     By:  Madla                                             S.B. No. 413
 1-2           (In the Senate - Filed February 5, 1999; February 8, 1999,
 1-3     read first time and referred to Committee on Health Services;
 1-4     March 1, 1999, reported adversely, with favorable Committee
 1-5     Substitute by the following vote:  Yeas 5, Nays 0; March 1, 1999,
 1-6     sent to printer.)
 1-7     COMMITTEE SUBSTITUTE FOR S.B. No. 413                    By:  Madla
 1-8                            A BILL TO BE ENTITLED
 1-9                                   AN ACT
1-10     relating to the regulation of the practice of marriage and family
1-11     therapy.
1-12           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13           SECTION 1.  Section 2, Licensed Marriage and Family Therapist
1-14     Act (Article 4512c-1, Vernon's Texas Civil Statutes), is amended by
1-15     adding Subdivision (6) to read as follows:
1-16                 (6)  "Licensed marriage and family therapist associate"
1-17     means an individual who offers to provide marriage and family
1-18     therapy for compensation under the supervision of a board-approved
1-19     supervisor.
1-20           SECTION 2.  Subsection (b), Section 15, Licensed Marriage and
1-21     Family Therapist Act (Article 4512c-1, Vernon's Texas Civil
1-22     Statutes), is amended to read as follows:
1-23           (b)  A person who is not licensed under this Act may not:
1-24                 (1)  use the title "Licensed Marriage and Family
1-25     Therapist" or "Licensed Marriage and Family Therapist Associate,"
1-26     as appropriate; or
1-27                 (2)  use any title that would imply licensure or
1-28     certification in marriage and family therapy except to the extent
1-29     that the person is authorized by law to perform marriage and family
1-30     therapy within the course and scope of another license issued under
1-31     the laws of this state.
1-32           SECTION 3.  Section 17, Licensed Marriage and Family
1-33     Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
1-34     amended to read as follows:
1-35           Sec. 17.  LICENSE APPLICATION.  (a)  An applicant for a
1-36     license under this Act must file a written application with the
1-37     board on a form prescribed by the board, accompanied by the
1-38     appropriate application fee.
1-39           (b)  A person is eligible to apply for a license as a
1-40     licensed marriage and family therapist associate if the person:
1-41                 (1)  is at least 18 years of age;
1-42                 (2)  has completed a graduate internship in marriage
1-43     and family therapy, or an equivalent internship, as approved by the
1-44     board;
1-45                 (3)  has passed an examination determined by the board;
1-46                 (4)  holds a master's or doctorate degree in marriage
1-47     and family therapy or a master's or doctorate degree in a related
1-48     mental health field with coursework and training determined by the
1-49     board to be substantially equivalent to a graduate degree in
1-50     marriage and family therapy from a regionally accredited
1-51     institution of higher education or an institution of higher
1-52     education approved by the board;
1-53                 (5) [(3)  after receipt of a degree meeting the
1-54     requirements of Subdivision (2) of this subsection, has completed
1-55     two years of work experience in marriage and family therapist
1-56     services that must:]
1-57                       [(A)  include at least 1,000 hours of direct
1-58     clinical services to individuals, couples, or families, of which at
1-59     least 500 hours must be direct clinical services to couples or
1-60     families; and]
1-61                       [(B)  be supervised in a manner acceptable to the
1-62     board, including at least 200 hours of supervision of the provision
1-63     of direct clinical services by the applicant of which at least 100
1-64     hours must be supervised on an individual basis;]
 2-1                 [(4)]  is of good moral character;
 2-2                 (6) [(5)]  has not been convicted of a felony or a
 2-3     crime involving moral turpitude;
 2-4                 (7) [(6)]  does not use drugs or alcohol to an extent
 2-5     that affects the applicant's professional competency;
 2-6                 (8) [(7)]  has not had a license or certification
 2-7     revoked by a licensing agency or by a certifying professional
 2-8     organization; and
 2-9                 (9) [(8)]  has not been guilty of fraud or deceit in
2-10     making the application.
2-11           (c)  An applicant for a license as a licensed marriage and
2-12     family therapist associate under Subsection (b) of this section
2-13     [who is not asking the board to waive the examination requirement]
2-14     shall file an application not later than the 90th day before the
2-15     date of the examination that the applicant intends to take.
2-16           (d)  An applicant is eligible to apply for a license as a
2-17     licensed marriage and family therapist if the person:
2-18                 (1)  holds a license as a marriage and family therapist
2-19     associate;
2-20                 (2)  meets the requirements of Subsections (b)(5)-(9)
2-21     of this section; and
2-22                 (3)  after receipt of a degree described by Subsection
2-23     (b)(4) of this section, has completed two years of work experience
2-24     in marriage and family therapist services that includes at least
2-25     3,000 hours of clinical practice of which:
2-26                       (A)  at least 1,500 hours consist of direct
2-27     clinical services; and
2-28                       (B)  at least 750 hours consist of direct
2-29     clinical services to couples or families.
2-30           (e)  The clinical hours required under Subsection (d) of this
2-31     section must be supervised in a manner acceptable to the board,
2-32     including at least 200 hours of supervision of the provision of
2-33     direct clinical services by the applicant of which at least 100
2-34     hours must be supervised on an individual basis.
2-35           SECTION 4.  Section 18, Licensed Marriage and Family
2-36     Therapist Act (Article 4512c-1, Vernon's Texas Civil Statutes), is
2-37     amended to read as follows:
2-38           Sec. 18.  APPLICATION REVIEW.  (a)  The board shall
2-39     investigate each application and other evidence submitted.
2-40           (b)  Except as provided by Subsection (c) of this section,
2-41     not later than the 90th [30th] day after [before] the date of
2-42     receipt of a completed application for a license as a licensed
2-43     marriage and family therapist associate [the examination], the
2-44     board shall notify each applicant whether the application has been
2-45     accepted or rejected.
2-46           (c)  An applicant for a license as a licensed marriage and
2-47     family therapist associate is eligible to take the examination if
2-48     the applicant:
2-49                 (1)  is enrolled in a graduate internship described by
2-50     Section 17(b)(2) of this Act and provides proof to the board that
2-51     the applicant is a student in good standing in an educational
2-52     program described by Section 17(b)(4) of this Act; or
2-53                 (2)  has completed the internship described by
2-54     Subdivision (1) of this subsection but has not graduated from an
2-55     educational program described by Section 17(b)(4) of this Act. [Not
2-56     later than the 90th day after the date of receipt of a completed
2-57     application from a person seeking licensure without examination or
2-58     under Section 30 of this Act, the board shall notify the applicant
2-59     that:]
2-60                 [(1)  the applicant may be licensed without
2-61     examination;]
2-62                 [(2)  an examination is required; or]
2-63                 [(3)  the application is rejected.]
2-64           (d)  [A notice under Subsection (c) of this section to an
2-65     applicant who is required to take an examination must state the
2-66     reason for requiring the examination, the time and manner of
2-67     conducting the examination, and the acts required of the applicant
2-68     in connection with the examination.]
2-69           [(e)]  A notice that an application is rejected must state
 3-1     the reason for the rejection.
 3-2           SECTION 5.  Subsection (a), Section 19, Licensed Marriage and
 3-3     Family Therapist Act (Article 4512c-1, Vernon's Texas Civil
 3-4     Statutes), is amended to read as follows:
 3-5           (a)  Each [Unless exempted from the examination requirement
 3-6     under Section 30 of this Act or by a determination of the board
 3-7     based on the applicant's education and professional experience,
 3-8     each] applicant for a license as a licensed marriage and family
 3-9     therapist associate under this Act must pass an examination
3-10     prescribed by the board.  The board shall have the written portion
3-11     of the examination, if any, validated by an independent testing
3-12     professional.  The examination may be composed of:
3-13                 (1)  a written examination;
3-14                 (2)  a field examination, through questionnaires
3-15     answered by the applicant's instructors, employers, supervisors, or
3-16     other persons who are competent in the judgment of the board to
3-17     assess the applicant's professional ability, and that may include
3-18     written case studies and taped interviews;
3-19                 (3)  an oral examination; or
3-20                 (4)  any combination of those examinations.
3-21           SECTION 6.  Subsection (a), Section 20, Licensed Marriage and
3-22     Family Therapist Act (Article 4512c-1, Vernon's Texas Civil
3-23     Statutes), is amended to read as follows:
3-24           (a)  The board shall issue a license as a licensed marriage
3-25     and family therapist or licensed marriage and family therapist
3-26     associate, as [an] appropriate, [license] to an individual who
3-27     possesses the necessary requirements, passes the licensing
3-28     examination, unless exempted from the examination requirement by
3-29     the board, and pays the required fees.
3-30           SECTION 7.  The Licensed Marriage and Family Therapist Act
3-31     (Article 4512c-1, Vernon's Texas Civil Statutes) is amended by
3-32     adding Section 22A to read as follows:
3-33           Sec. 22A.  WAIVER OF EXAMINATION FOR CERTAIN APPLICANTS.
3-34     (a)  The board may waive the requirement that an applicant for a
3-35     license as a licensed marriage and family therapist pass the
3-36     examination required by Section 19 of this Act if the applicant:
3-37                 (1)  is a provisional license holder under Section 22
3-38     of this Act, and the board determines the applicant possesses
3-39     sufficient education and professional experience to receive a
3-40     license without further examination; or
3-41                 (2)  holds a license issued by another licensing agency
3-42     in this state in a profession related to the practice of marriage
3-43     and family therapy, and the board determines that the applicant
3-44     possesses sufficient education and professional experience to
3-45     receive a license without satisfying the examination requirements
3-46     of this Act.
3-47           (b)  The board may adopt rules necessary to administer this
3-48     section, including rules under Subsection (a)(2) of this section
3-49     prescribing the professions that are related to the practice of
3-50     marriage and family therapy.
3-51           SECTION 8.  (a)  This Act takes effect September 1, 1999.
3-52           (b)  The change in law made by this Act applies only to an
3-53     applicant for a license who enrolls in a graduate internship in
3-54     marriage and family therapy, or an equivalent internship as
3-55     determined by the Texas State Board of Examiners of Marriage and
3-56     Family Therapists, on or after the effective date of this Act.  An
3-57     applicant who enrolled in a graduate internship before the
3-58     effective date of this Act is governed by the law in effect on the
3-59     date the applicant enrolled, and the former law is continued in
3-60     effect for that purpose.
3-61           (c)  The change in law made by this Act does not affect a
3-62     person who holds a license issued by the Texas State Board of
3-63     Examiners of Marriage and Family Therapists before the effective
3-64     date of this Act.
3-65           SECTION 9.  The importance of this legislation and the
3-66     crowded condition of the calendars in both houses create an
3-67     emergency and an imperative public necessity that the
3-68     constitutional rule requiring bills to be read on three several
3-69     days in each house be suspended, and this rule is hereby suspended.
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