CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 1 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S A bill to be entitled 1 An act relating to mental health professional 2 licensure; amending s. 491.005, F.S.; revising 3 licensing requirements for clinical social workers, 4 marriage and family therapists, and mental health 5 counselors; providing an effective date. 6 7 Be It Enacted by the Legislature of the State of Florida: 8 9 Section 1. Subsections (1), (3), and (4) of section 10 491.005, Florida Statutes, are amended to read: 11 491.005 Licensure by examination. — 12 (1) CLINICAL SOCIAL WORK. —Upon verification of 13 documentation and payment of a fee not to exceed $200, as set by 14 board rule, plus the actual per applicant cost to the department 15 for purchase of the examination from the American Association of 16 State Social Worker's Boards or a similar national organization, 17 the department shall issue a license as a clinical social worker 18 to an applicant whom who the board certifies has met all of the 19 following criteria: 20 (a) Has Submitted an application and paid the appropriate 21 fee. 22 (b)1. Has Received a doctoral degree in social work from a 23 graduate school of social work which at the time the applicant 24 graduated was accredited by an accrediting agency recognized by 25 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 2 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S the United States Department o f Education or has received a 26 master's degree in social work from a graduate school of social 27 work which at the time the applicant graduated: 28 a. Was accredited by the Council on Social Work Education; 29 b. Was accredited by the Canadian Association of Sc hools 30 of Social Work; or 31 c. Has been determined to have been a program equivalent 32 to programs approved by the Council on Social Work Education by 33 the Foreign Equivalency Determination Service of the Council on 34 Social Work Education. An applicant who grad uated from a program 35 at a university or college outside of the United States or 36 Canada must present documentation of the equivalency 37 determination from the council in order to qualify. 38 2. The applicant's graduate program must have emphasized 39 direct clinical patient or client health care services, 40 including, but not limited to, coursework in clinical social 41 work, psychiatric social work, medical social work, social 42 casework, psychotherapy, or group therapy. The applicant's 43 graduate program must have includ ed all of the following 44 coursework: 45 a. A supervised field placement which was part of the 46 applicant's advanced concentration in direct practice, during 47 which the applicant provided clinical services directly to 48 clients. 49 b. Completion of 24 semester hours or 32 quarter hours in 50 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 3 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S theory of human behavior and practice methods as courses in 51 clinically oriented services, including a minimum of one course 52 in psychopathology, and no more than one course in research, 53 taken in a school of social work accredited or approved pursuant 54 to subparagraph 1. 55 3. If the course title which appears on the applicant's 56 transcript does not clearly identify the content of the 57 coursework, the applicant shall be required to provide 58 additional documentation, including, but not limited to, a 59 syllabus or catalog description published for the course. 60 (c) Has Had at least 2 years of clinical social work 61 experience, which took place subsequent to completion of a 62 graduate degree in social work at an ins titution meeting the 63 accreditation requirements of this section, under the 64 supervision of a licensed clinical social worker or the 65 equivalent who is a qualified supervisor as determined by the 66 board. An individual who intends to practice in Florida to 67 satisfy clinical experience requirements must register pursuant 68 to s. 491.0045 before commencing practice. If the applicant's 69 graduate program was not a program which emphasized direct 70 clinical patient or client health care services as described in 71 subparagraph (b)2., the supervised experience requirement must 72 take place after the applicant has completed a minimum of 15 73 semester hours or 22 quarter hours of the coursework required. A 74 doctoral internship may be applied toward the clinical social 75 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 4 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S work experience requirement. A licensed mental health 76 professional must be on the premises when clinical services are 77 provided by a registered intern in a private practice setting. 78 (d) Has Passed a theory and practice examination 79 designated by the board provided by the department for this 80 purpose. 81 (e) Has Demonstrated, in a manner designated by board rule 82 of the board, knowledge of the laws and rules governing the 83 practice of clinical social work, marriage and family therapy, 84 and mental health counseling. 85 (3) MARRIAGE AND FAMILY THERAPY. —Upon verification of 86 documentation and payment of a fee not to exceed $200, as set by 87 board rule, plus the actual cost of the purchase of the 88 examination from the Association of Marital and Family Therapy 89 Regulatory Board, or similar national organization, the 90 department shall issue a license as a marriage and family 91 therapist to an applicant who the board certifies has met all of 92 the following criteria : 93 (a) Has Submitted an application and paid the appropriate 94 fee. 95 (b)1. Attained one of the following: 96 a. A minimum of a master's degree in marriage and family 97 therapy from a program accredited by the Commission on 98 Accreditation for Marriage and Family Therapy Education; 99 b. A minimum of a master's degree with a major emphasis in 100 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 5 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S marriage and family therapy or a closely related field from a 101 university program accredited by the Council on Accreditation of 102 Counseling and Related Educational Programs and graduate courses 103 approved by the board; or 104 c. Has A minimum of a master's degree with an major 105 emphasis in marriage and family therapy or a closely related 106 field, with a degree conferred before September 1, 2027, from an 107 institutionally accredited college or university from a program 108 accredited by the Commission on Accreditation for Marriage and 109 Family Therapy Education or from a Florida university program 110 accredited by the Council for Accreditation of Counseling and 111 Related Educational Programs and graduate courses approved by 112 the board of Clinical Social Work, Marriage and Family Th erapy, 113 and Mental Health Counseling . 114 2. If the course title that appears on the applicant's 115 transcript does not clearly identify the content of the 116 coursework, the applicant must shall provide additional 117 documentation, including, but not limited to, a sy llabus or 118 catalog description published for the course. The required 119 master's degree must have been received in an institution of 120 higher education that, at the time the applicant graduated, was 121 fully accredited by an institutional a regional accrediting body 122 recognized by the Council for Higher Education Accreditation or 123 its successor organization Commission on Recognition of 124 Postsecondary Accreditation or publicly recognized as a member 125 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 6 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S in good standing with the Association of Universities and 126 Colleges of Canada, or an institution of higher education 127 located outside the United States and Canada which, at the time 128 the applicant was enrolled and at the time the applicant 129 graduated, maintained a standard of training substantially 130 equivalent to the standards of training of those institutions in 131 the United States which are accredited by an institutional a 132 regional accrediting body recognized by the Council for Higher 133 Education Accreditation or its successor organization Commission 134 on Recognition of Postsecondary Accreditation. Such foreign 135 education and training must have been received in an institution 136 or program of higher education officially recognized by the 137 government of the country in which it is located as an 138 institution or program to train students to prac tice as 139 professional marriage and family therapists or psychotherapists. 140 The applicant has the burden of establishing that the 141 requirements of this provision have been met, and the board 142 shall require documentation, such as an evaluation by a foreign 143 equivalency determination service, as evidence that the 144 applicant's graduate degree program and education were 145 equivalent to an accredited program in this country. An 146 applicant with a master's degree from a program that did not 147 emphasize marriage and family the rapy may complete the 148 coursework requirement in a training institution fully 149 accredited by the Commission on Accreditation for Marriage and 150 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 7 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Family Therapy Education recognized by the United States 151 Department of Education. 152 (c) Completed Has had at least 2 years of clinical 153 experience during which 50 percent of the applicant's clients 154 were receiving marriage and family therapy services, which must 155 be at the post-master's level under the supervision of a 156 licensed marriage and family therapist with at least 5 years of 157 experience, or the equivalent, who is a qualified supervisor as 158 determined by the board. An individual who intends to practice 159 in Florida to satisfy the clinical experience requirements must 160 register pursuant to s. 491.0045 before commencing prac tice. If 161 a graduate has a master's degree with a major emphasis in 162 marriage and family therapy or a closely related field which did 163 not include all of the coursework required by paragraph (b), 164 credit for the post-master's level clinical experience may not 165 commence until the applicant has completed a minimum of 10 of 166 the courses required by paragraph (b), as determined by the 167 board, and at least 6 semester hours or 9 quarter hours of the 168 course credits must have been completed in the area of marriage 169 and family systems, theories, or techniques. Within the 2 years 170 of required experience, the applicant shall provide direct 171 individual, group, or family therapy and counseling to cases 172 including those involving unmarried dyads, married couples, 173 separating and divorcing couples, and family groups that include 174 children. A doctoral internship may be applied toward the 175 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 8 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S clinical experience requirement. A licensed mental health 176 professional must be on the premises when clinical services are 177 provided by a registered inter n in a private practice setting. 178 (d) Has Passed a theory and practice examination 179 designated provided by board rule the department. 180 (e) Has Demonstrated, in a manner designated by board 181 rule, knowledge of the laws and rules governing the practice of 182 clinical social work, marriage and family therapy, and mental 183 health counseling. 184 185 For the purposes of dual licensure, the department shall license 186 as a marriage and family therapist any person who meets the 187 requirements of s. 491.0057. Fees for dual licensur e may not 188 exceed those stated in this subsection. 189 (4) MENTAL HEALTH COUNSELING. —Upon verification of 190 documentation and payment of a fee not to exceed $200, as set by 191 board rule, plus the actual per applicant cost of purchase of 192 the examination from the N ational Board for Certified Counselors 193 or its successor organization, the department shall issue a 194 license as a mental health counselor to an applicant who the 195 board certifies has met all of the following criteria : 196 (a) Has Submitted an application and pa id the appropriate 197 fee. 198 (b)1. Attained Has a minimum of an earned master's degree 199 from a mental health counseling program accredited by the 200 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 9 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S Council for the Accreditation of Counseling and Related 201 Educational Programs which consists of at least 60 semeste r 202 hours or 80 quarter hours of clinical and didactic instruction, 203 including a course in human sexuality and a course in substance 204 abuse. If the master's degree is earned from a program related 205 to the practice of mental health counseling which is not 206 accredited by the Council for the Accreditation of Counseling 207 and Related Educational Programs, then the coursework and 208 practicum, internship, or fieldwork must consist of at least 60 209 semester hours or 80 quarter hours and meet all of the following 210 requirements: 211 a. Thirty-three semester hours or 44 quarter hours of 212 graduate coursework, which must include a minimum of 3 semester 213 hours or 4 quarter hours of graduate -level coursework in each of 214 the following 11 content areas: counseling theories and 215 practice; human growth and development; diagnosis and treatment 216 of psychopathology; human sexuality; group theories and 217 practice; individual evaluation and assessment; career and 218 lifestyle assessment; research and program evaluation; social 219 and cultural foundations; sub stance abuse; and legal, ethical, 220 and professional standards issues in the practice of mental 221 health counseling. Courses in research, thesis or dissertation 222 work, practicums, internships, or fieldwork may not be applied 223 toward this requirement. 224 b. A minimum of 3 semester hours or 4 quarter hours of 225 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 10 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S graduate-level coursework addressing diagnostic processes, 226 including differential diagnosis and the use of the current 227 diagnostic tools, such as the current edition of the American 228 Psychiatric Association's Dia gnostic and Statistical Manual of 229 Mental Disorders. The graduate program must have emphasized the 230 common core curricular experience. 231 c. The equivalent, as determined by the board, of at least 232 700 hours of university -sponsored supervised clinical practicu m, 233 internship, or field experience that includes at least 280 hours 234 of direct client services, as required in the accrediting 235 standards of the Council for Accreditation of Counseling and 236 Related Educational Programs for mental health counseling 237 programs. This experience may not be used to satisfy the post -238 master's clinical experience requirement. 239 2. Has Provided additional documentation if a course title 240 that appears on the applicant's transcript does not clearly 241 identify the content of the coursework. Th e documentation must 242 include, but is not limited to, a syllabus or catalog 243 description published for the course. 244 245 Education and training in mental health counseling must have 246 been received in an institution of higher education that, at the 247 time the applicant graduated, was fully accredited by an 248 institutional a regional accrediting body recognized by the 249 Council for Higher Education Accreditation or its successor 250 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 11 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S organization or publicly recognized as a member in good standing 251 with the Association of Univer sities and Colleges of Canada, or 252 an institution of higher education located outside the United 253 States and Canada which, at the time the applicant was enrolled 254 and at the time the applicant graduated, maintained a standard 255 of training substantially equival ent to the standards of 256 training of those institutions in the United States which are 257 accredited by an institutional a regional accrediting body 258 recognized by the Council for Higher Education Accreditation or 259 its successor organization. Such foreign education and training 260 must have been received in an institution or program of higher 261 education officially recognized by the governme nt of the country 262 in which it is located as an institution or program to train 263 students to practice as mental health counselors. The applicant 264 has the burden of establishing that the requirements of this 265 provision have been met, and the board shall require 266 documentation, such as an evaluation by a foreign equivalency 267 determination service, as evidence that the applicant's graduate 268 degree program and education were equivalent to an accredited 269 program in this country. Beginning July 1, 2025, an applicant 270 must have a master's degree from a program that is accredited by 271 the Council for Accreditation of Counseling and Related 272 Educational Programs , the Masters in Psychology and Counseling 273 Accreditation Council, or an equivalent accrediting body which 274 consists of at least 60 semester hours or 80 quarter hours to 275 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 12 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S apply for licensure under this paragraph. 276 (c) Completed Has had at least 2 years of clinical 277 experience in mental health counseling, which must be at the 278 post-master's level under the supervision of a lice nsed mental 279 health counselor or the equivalent who is a qualified supervisor 280 as determined by the board. An individual who intends to 281 practice in Florida to satisfy the clinical experience 282 requirements must register pursuant to s. 491.0045 before 283 commencing practice. If a graduate has a master's degree with a 284 major related to the practice of mental health counseling which 285 did not include all the coursework required under sub -286 subparagraphs (b)1.a. and b., credit for the post -master's level 287 clinical experience may not commence until the applicant has 288 completed a minimum of seven of the courses required under sub -289 subparagraphs (b)1.a. and b., as determined by the board, one of 290 which must be a course in psychopathology or abnormal 291 psychology. A doctoral internsh ip may be applied toward the 292 clinical experience requirement. A licensed mental health 293 professional must be on the premises when clinical services are 294 provided by a registered intern in a private practice setting. 295 (d) Has Passed a theory and practice exa mination 296 designated provided by board rule the department for this 297 purpose. 298 (e) Has Demonstrated, in a manner designated by board 299 rule, knowledge of the laws and rules governing the practice of 300 CS/CS/HB 343 2022 CODING: Words stricken are deletions; words underlined are additions. hb0343-02-c2 Page 13 of 13 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S clinical social work, marriage and family therapy, and mental 301 health counseling. 302 Section 2. This act shall take effect upon becoming a law. 303