*ES0005.1* February 10, 2022 ENGROSSED SENATE BILL No. 5 _____ DIGEST OF SB 5 (Updated February 9, 2022 12:51 pm - DI 77) Citations Affected: IC 25-0.5; IC 25-1; IC 25-23.6; IC 25-34.5; IC 25-35.6. Synopsis: Reciprocity. Establishes a procedure to grant licenses and certificates to practice certain health care professions in Indiana. Requires the applicant to hold a current license or certificate from another state or jurisdiction and meet other requirements. Allows the applicant who meets certain requirements to apply for a provisional license or provisional certificate. Requires the provisional license or provisional certificate to be issued within 30 days. Provides for (Continued next page) Effective: Upon passage; July 1, 2022. Brown L, Charbonneau, Yoder, Kruse, Zay, Randolph Lonnie M (HOUSE SPONSORS — VERMILION, ZENT) January 6, 2022, read first time and referred to Committee on Health and Provider Services. January 12, 2022, amended, reported favorably — Do Pass. January 20, 2022, read second time, amended, ordered engrossed. January 21, 2022, engrossed. January 24, 2022, read third time, passed. Yeas 47, nays 0. HOUSE ACTION January 31, 2022, read first time and referred to Committee on Public Health. February 10, 2022, amended, reported — Do Pass. Referred to Committee on Ways and Means pursuant to Rule 127. ES 5—LS 6630/DI 77 Digest Continued penalties for submitting false information on an application for a provisional license or provisional certificate. Requires a board to make a final decision on a license or certificate application before the expiration of a provisional license or provisional certificate. Provides that if a board has a pending application for initial licensure or certification that requires final approval by the board, the board shall meet not more 31 days after the application is ready for approval. Provides that the medical licensing board may not issue a physician's license to an applicant using the reciprocity law beginning July 1, 2026. Eliminates certain requirements for an applicant seeking licensure as a clinical social worker, marriage and family therapist, mental health counselor, addiction counselor, or clinical addiction counselor. Requires the boards that regulate bachelor's degree social workers, social workers, clinical social workers, marriage and family therapists, mental health counselors, licensed addiction counselors, licensed clinical addiction counselors, and respiratory care practitioners to issue a license by reciprocity within 30 days if certain requirements are met. Requires the speech-language pathology and audiology board to, before January 1, 2023, initiate and make every effort to enter into reciprocity agreements with contiguous states to enter into a reciprocity agreement for individuals licensed as: (1) a speech-language pathologist; and (2) an audiologist; to practice the individual's profession under the license from one state in the other state. ES 5—LS 6630/DI 77ES 5—LS 6630/DI 77 February 10, 2022 Second Regular Session of the 122nd General Assembly (2022) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2021 Regular Session of the General Assembly. ENGROSSED SENATE BILL No. 5 A BILL FOR AN ACT to amend the Indiana Code concerning professions and occupations. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 25-0.5-11-1, AS ADDED BY P.L.3-2014, 2 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 3 UPON PASSAGE]: Sec. 1. As used in IC 25-1-9 and IC 25-1-21, 4 "board" means any of the entities described in this chapter. 5 SECTION 2. IC 25-1-21 IS ADDED TO THE INDIANA CODE AS 6 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE UPON 7 PASSAGE]: 8 Chapter 21. Reciprocity for Health Care Professionals 9 Sec. 1. (a) Except for section 7 of this chapter, this chapter does 10 not apply to any of the following licenses: 11 (1) Any type of social work license issued under IC 25-23.6-5. 12 (2) Any type of marriage and family therapist license issued 13 under IC 25-23.6-8. 14 (3) Any type of mental health counselor license issued under 15 IC 25-23.6-8.5. 16 (4) Any type of addiction counselor or clinical addiction 17 counselor license issued under IC 25-23.6-10.5. ES 5—LS 6630/DI 77 2 1 (5) Any type of respiratory care practitioner license issued 2 under IC 25-34.5. 3 (b) This chapter does not prohibit an applicant from proceeding 4 under other licensure, certification, registration, or permit 5 requirements established by a board or another law. 6 Sec. 2. As used in this chapter, "board" means any of the 7 entities described in IC 25-0.5-11. 8 Sec. 3. As used in this chapter, "jurisdiction" means the District 9 of Columbia, Puerto Rico, the United States Virgin Islands, or any 10 territory or insular possession subject to the jurisdiction of the 11 United States. 12 Sec. 4. As used in this chapter, "license" means an unlimited 13 license regulating the occupation in question. 14 Sec. 4.5. As used in this chapter, "provisional license or 15 provisional certificate" means a temporary license or certificate 16 issued under this chapter that allows the holder to practice the 17 occupation that was applied for and at the same practice level until 18 the license or certificate expires under section 7(c) of this chapter. 19 Sec. 5. Notwithstanding any other law, subject to section 11 of 20 this chapter, a board shall issue a license or certificate to an 21 applicant to allow the individual to practice the applicant's 22 occupation in Indiana if, upon application to the board, the 23 applicant satisfies the following conditions: 24 (1) Holds a current license or certificate from another state or 25 jurisdiction; and 26 (A) that state's or jurisdiction's requirements for a license 27 or certificate are substantially equivalent to or exceed the 28 requirements for a license or certificate of the board from 29 which the applicant is seeking licensure or certification; or 30 (B) when the person was licensed or certified by another 31 state: 32 (i) there were minimum education requirements in the 33 other state; 34 (ii) if there were applicable work experience and clinical 35 supervision requirements in effect, the person met those 36 requirements in order to be licensed or certified in that 37 state; and 38 (iii) if required by the other state, the person previously 39 passed an examination required for the license or 40 certification. 41 (2) Has not committed any act in any state or jurisdiction that 42 would have constituted grounds for refusal, suspension, or ES 5—LS 6630/DI 77 3 1 revocation of a license, certificate, registration, or permit to 2 practice that occupation in Indiana at the time the act was 3 committed. 4 (3) Does not have a complaint or an investigation pending 5 before the regulating agency in another state or jurisdiction 6 that relates to unprofessional conduct. 7 (4) Is in good standing and has not been disciplined by the 8 agency that has authority to issue the license or certification. 9 (5) If a law regulating the applicant's occupation requires the 10 board to administer an examination on the relevant laws of 11 Indiana, the board may require the applicant to take and pass 12 an examination specific to the laws of Indiana. 13 (6) Pays any fees required by the board for which the 14 applicant is seeking licensure or certification. 15 Sec. 6. If a national criminal history background check (as 16 defined in IC 25-1-1.1-4) is required under IC 25-1-1.1-4 for the 17 occupation for which the applicant seeks a license or certificate, 18 not more than five (5) business days after the: 19 (1) professional licensing agency received the individual's 20 application for a license or certificate under this chapter; and 21 (2) individual has paid any fees required by the board for 22 which the applicant is seeking licensure or certification; 23 the professional licensing agency shall notify the applicant that the 24 applicant is eligible to submit a national criminal history 25 background check to the professional licensing agency. 26 Sec. 7. (a) Notwithstanding any other law, an applicant for a 27 license or certificate is entitled to a provisional license or 28 provisional certificate in the occupation applied for and at the 29 same practice level as determined by the board, without an 30 examination, if all of the following conditions are met: 31 (1) The individual submits a signed affidavit affirming, under 32 the penalties for perjury, the following: 33 (A) The individual is in good standing in all states and 34 jurisdictions in which the individual holds a license or 35 certificate for the occupation applied for. 36 (B) The individual has not had a license revoked and has 37 not voluntarily surrendered a license in another state or 38 jurisdiction while under investigation for unprofessional 39 conduct. 40 (C) The individual has not had discipline imposed by the 41 regulating agency for the occupation in another state or 42 jurisdiction. ES 5—LS 6630/DI 77 4 1 (D) The individual does not have a complaint or an 2 investigation pending before the regulating agency in 3 another state or jurisdiction that relates to unprofessional 4 conduct. 5 (2) The individual does not have a disqualifying criminal 6 history, as determined by the board, if a national criminal 7 history background check (as defined in IC 25-1-1.1-4) is 8 required under IC 25-1-1.1-4 for the occupation for which the 9 applicant seeks a license or certificate. 10 (3) The individual submits verification that the individual is 11 currently licensed or certified in at least one (1) other state or 12 jurisdiction in the occupation applied for. 13 (4) The individual has submitted an application for a license 14 or certificate under this chapter with the board and has paid 15 any application fee. 16 (b) An applicant who has met the requirements in subsection (a) 17 shall be issued a provisional license or provisional certificate not 18 more than thirty (30) days after the requirements are met. 19 (c) A provisional license or provisional certificate expires on the 20 earlier of the following: 21 (1) Three hundred sixty-five (365) days after it is issued. 22 (2) The date on which the board approves and issues the 23 individual a license or certificate for the occupation. 24 (3) The date on which the board denies the individual's 25 application for a license or certificate for the occupation. 26 (d) In addition to any other penalties for perjury, an individual 27 who violates this section commits a Class A infraction. 28 (e) If the board discovers that any of the information submitted 29 under this section is false, the board may immediately revoke the 30 individual's provisional license or provisional certificate. 31 (f) This section does not apply to a license or certificate that is 32 established by or recognized through an interstate compact, a 33 reciprocity agreement, or a comity agreement that is established by 34 a board or a law. 35 (g) The board shall make a final decision on a license or 36 certificate application before the expiration of a provisional license 37 or provisional certificate issued under this section. 38 Sec. 8. A nonresident who is issued a license or certificate under 39 this chapter is entitled to the same rights and subject to the same 40 obligations as required of a resident who is issued a license or 41 certificate by a board. 42 Sec. 9. Notwithstanding any other law, if a board has a pending ES 5—LS 6630/DI 77 5 1 application for initial licensure or certification that requires final 2 approval by the board, the board shall meet not more thirty-one 3 (31) days after the application is ready for approval. 4 Sec. 10. A board may adopt rules under IC 4-22-2 necessary to 5 implement this chapter. 6 Sec. 11. Beginning July 1, 2026, the medical licensing board of 7 Indiana may not issue a license under this chapter to an applicant 8 seeking a license as a physician under IC 25-22.5. 9 SECTION 3. IC 25-23.6-5-3.1 IS AMENDED TO READ AS 10 FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 3.1. (a) Except as 11 provided in subsection (b), a graduate program is considered to have 12 emphasized direct clinical patient or clinic health care services if the 13 graduate program meets the following requirements: 14 (1) Required coursework in clinical social work and related areas 15 such as psychiatric social work, medical social work, social case 16 work, case management, psychotherapy, group therapy, and any 17 other coursework accepted by the board. 18 (2) Required a supervised field placement that was part of the 19 applicant's advanced concentration in direct practice, during 20 which the applicant provided clinical services directly to clients. 21 (3) Required completion of twenty-four (24) semester hours or 22 thirty-seven (37) quarter hours of clinically oriented services 23 courses in the theory and research of human behavior and social 24 environment and practice methods. However, if the graduate 25 degree was obtained before October 1, 1990, and the applicant 26 submitted an application under section 3 of this chapter (before 27 its repeal) before July 1, 1999, twenty-one (21) semester hours or 28 thirty-one (31) quarter hours in clinically oriented services are 29 required. Not more than six (6) semester hours or nine (9) quarter 30 hours of the clinically oriented services courses may be from 31 independent study coursework. 32 If the applicant's transcript does not clearly identify the content of the 33 coursework, the applicant shall submit a syllabus, a course catalog 34 description, or other documentation that describes the coursework. 35 (b) An applicant who graduated from a graduate program that did 36 not emphasize direct patient or client services may complete the 37 clinical curriculum requirement by returning to a graduate program 38 allowed under section 2(1)(B) of this chapter to complete the education 39 requirements. 40 (c) Coursework that was taken at a baccalaureate level does not 41 meet the requirements under this section unless an official of the 42 graduate program certifies that the specific course, which a student ES 5—LS 6630/DI 77 6 1 enrolled in the same graduate program was ordinarily required to 2 complete at the graduate level, was waived or exempted based on 3 completion of a similar course at the baccalaureate level. 4 SECTION 4. IC 25-23.6-5-10.5, AS ADDED BY P.L.192-2017, 5 SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 6 UPON PASSAGE]: Sec. 10.5. The board shall issue a license to an 7 individual to be a bachelor's degree social worker, social worker, or 8 clinical social worker, not more than thirty (30) days after the 9 application is filed, if the individual: 10 (1) has a valid license or certificate to practice from another state 11 or jurisdiction; 12 (2) has passed an examination substantially equivalent to the level 13 for which licensure is being requested; 14 (3) does not have a pending disciplinary proceeding in another 15 state; and 16 (4) pays a fee. 17 SECTION 5. IC 25-23.6-8-2.5, AS AMENDED BY P.L.49-2019, 18 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 19 JULY 1, 2022]: Sec. 2.5. (a) An applicant for a license as a marriage 20 and family therapist under section 1 of this chapter or an applicant for 21 a license as a marriage and family therapist associate under section 1.5 22 of this chapter must complete the following educational requirements: 23 (1) Except as provided in subsection (b), complete twenty-seven 24 (27) semester hours or forty-one (41) quarter hours of graduate 25 course work that must include graduate level course credits with 26 material in at least the following content areas: 27 (A) Theoretical foundations of marriage and family therapy. 28 (B) Major models of marriage and family therapy. 29 (C) Individual development. 30 (D) Family development and family relationships. 31 (E) Clinical problems. 32 (F) Collaboration with other disciplines. 33 (G) Sexuality. 34 (H) Gender and sexual orientation. 35 (I) Issues of ethnicity, race, socioeconomic status, and culture. 36 (J) Therapy techniques. 37 (K) Behavioral research that focuses on the interpretation and 38 application of research data as it applies to clinical practice. 39 The content areas may be combined into any one (1) graduate 40 level course. if the applicant can prove that the course work was 41 devoted to each content area. 42 (2) Not less than one (1) graduate level course of two (2) semester ES 5—LS 6630/DI 77 7 1 hours or three (3) quarter hours Graduate course work in the 2 following areas: 3 (A) Legal, ethical, and professional standards issues in the 4 practice of marriage and family therapy or an equivalent 5 course approved by the board. 6 (B) Appraisal and assessment for individual or interpersonal 7 disorder or dysfunction. 8 (3) At least one (1) supervised clinical practicum, internship, or 9 field experience in a marriage and family counseling setting that 10 meets the following requirements: 11 (A) The applicant provided five hundred (500) hours of 12 marriage and family therapy services, including at least four 13 hundred (400) face to face client contact hours, of which at 14 least two hundred (200) hours must be relational, under the 15 supervision of a licensed marriage and family therapist who 16 has at least five (5) years of experience or a qualified 17 supervisor approved by the board. 18 (B) The applicant received one hundred (100) hours of 19 supervision from a licensed marriage and family therapist who 20 has at least five (5) years experience as a qualified supervisor. 21 The requirements under clauses (A) and (B) may be met by a 22 supervised practice experience that took place away from an 23 institution of higher education but that is certified by an official 24 of the eligible postsecondary educational institution as being 25 equivalent to a graduate level practicum or internship program at 26 an institution accredited by an accrediting agency approved by the 27 United States Department of Education Commission on 28 Recognition of Postsecondary Education, the Association of 29 Universities and Colleges of Canada, or the Commission on 30 Accreditation for Marriage and Family Therapy Education. 31 (b) The following graduate work may not be used to satisfy the 32 content area requirements under subsection (a): 33 (1) Thesis or dissertation work. 34 (2) Practicums, internships, or fieldwork. 35 SECTION 6. IC 25-23.6-8-9.5, AS ADDED BY P.L.225-2017, 36 SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 37 UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an 38 individual to be a marriage and family therapist, not more than thirty 39 (30) days after the application is filed, if the individual: 40 (1) has a valid license or certificate to practice from another state 41 or jurisdiction; 42 (2) has passed an examination substantially equivalent to the level ES 5—LS 6630/DI 77 8 1 for which licensure is being requested; 2 (3) does not have a pending disciplinary proceeding in another 3 state; and 4 (4) pays a fee. 5 SECTION 7. IC 25-23.6-8.5-3, AS AMENDED BY P.L.160-2018, 6 SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 7 JULY 1, 2022]: Sec. 3. An applicant as a mental health counselor 8 under section 1 of this chapter or a mental health counselor associate 9 under section 1.5 of this chapter must complete the following 10 educational requirements: 11 (1) Complete sixty (60) semester hours of Graduate course work 12 in counseling that must include either a master's degree that 13 required not less than forty-eight (48) semester hours or a doctor's 14 degree in counseling. The graduate course work must include the 15 following content areas: 16 (A) Human growth and development. 17 (B) Social and cultural foundations of counseling. 18 (C) Helping relationship, including counseling theory and 19 practice. 20 (D) Group dynamics, processes, counseling, and consultation. 21 (E) Lifestyle and career development. 22 (F) Assessment and appraisal of individuals. 23 (G) Research and program evaluation. 24 (H) Professional orientation and ethics. 25 (I) Foundations of mental health counseling. 26 (J) Contextual dimensions of mental health counseling. 27 (K) Knowledge and skills for the practice of mental health 28 counseling and psychotherapy. 29 (L) Clinical instruction. 30 (2) Not less than one (1) supervised clinical practicum, internship, 31 or field experience in a counseling setting, which must include a 32 minimum of seven hundred (700) clock hours consisting of one 33 (1) practicum of one hundred (100) hours, and one (1) internship 34 of six hundred (600) hours with at least sixty-six (66) hours of 35 face to face supervision. This requirement may be met by a 36 supervised practice experience that took place away from an 37 eligible postsecondary educational institution but that is certified 38 by an official of the eligible postsecondary educational institution 39 as being equivalent to a clinical mental health graduate level 40 practicum or internship program at an institution accredited by an 41 accrediting agency approved by the United States Department of 42 Education or the Association of Universities and Colleges of ES 5—LS 6630/DI 77 9 1 Canada. 2 SECTION 8. IC 25-23.6-8.5-9.5, AS ADDED BY P.L.225-2017, 3 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 4 UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an 5 individual to be a mental health counselor, not more than thirty (30) 6 days after the application is filed, if the individual: 7 (1) has a valid license or certificate to practice from another state 8 or jurisdiction; 9 (2) has passed an examination substantially equivalent to the level 10 for which licensure is being requested; 11 (3) does not have a pending disciplinary proceeding in another 12 state; and 13 (4) pays a fee. 14 SECTION 9. IC 25-23.6-10.5-5, AS AMENDED BY P.L.49-2019, 15 SECTION 9, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 16 JULY 1, 2022]: Sec. 5. (a) An applicant under section 1 of this chapter 17 must complete the following educational requirements: 18 (1) Forty (40) semester hours or sixty (60) quarter hours of Course 19 work from an eligible postsecondary educational institution that 20 includes the following content areas: 21 (A) Addictions theory. 22 (B) Psychoactive drugs. 23 (C) Addictions counseling skills. 24 (D) Theories of personality. 25 (E) Developmental psychology. 26 (F) Abnormal psychology. 27 (G) Group work. 28 (H) Cultural competency. 29 (I) Ethics and professional development. 30 (J) Family education. 31 (K) Areas of content as approved by the board. 32 (2) At least one (1) supervised practicum, internship, or field 33 experience in an addiction counseling setting that requires the 34 applicant to provide at least three hundred fifty (350) hours of 35 addiction counseling services. 36 (b) The content areas under subsection (a)(1) may be combined into 37 any one (1) college level course. if the applicant can prove that the 38 course work was devoted to each content area listed in subsection 39 (a)(1). 40 SECTION 10. IC 25-23.6-10.5-6, AS AMENDED BY 41 P.L.207-2021, SECTION 27, IS AMENDED TO READ AS 42 FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 6. (a) An applicant ES 5—LS 6630/DI 77 10 1 under section 2 of this chapter must complete the following educational 2 requirements: 3 (1) Twenty-seven (27) semester hours or forty-one (41) quarter 4 hours of Graduate course work that must include graduate level 5 course credits with material in at least the following content areas: 6 (A) Addiction counseling theories and techniques. 7 (B) Psychopharmacology. 8 (C) Psychopathology. 9 (D) Clinical appraisal and assessment. 10 (E) Theory and practice of group addiction counseling. 11 (F) Counseling addicted family systems. 12 (G) Multicultural counseling. 13 (H) Research methods in addictions. 14 (I) Areas of content as approved by the board. 15 (2) At least one (1) graduate level course of two (2) semester 16 hours or three (3) quarter hours Graduate course work in the 17 following areas: 18 (A) Legal, ethical, and professional standards issues in the 19 practice of addiction counseling and therapy or an equivalent 20 course approved by the board. 21 (B) Appraisal and assessment for individual or interpersonal 22 disorder or dysfunction. 23 (3) At least one (1) supervised clinical practicum, internship, or 24 field experience in an addiction counseling setting that requires 25 the applicant to provide seven hundred (700) hours of clinical 26 addiction counseling services and that must include the following: 27 (A) Two hundred eighty (280) face to face client contact hours 28 of addiction counseling services under the supervision of a 29 qualified supervisor, as determined by the board. 30 (B) Thirty-five (35) hours of supervision from a qualified 31 supervisor, as determined by the board. 32 However, an applicant who has completed a clinical practicum, 33 an internship, or field experience to obtain another license under 34 this article is not required to complete the clinical addiction 35 counseling services hours required under this subdivision. 36 (4) Any qualifications established by the board under subsection 37 (c). 38 (b) The content areas under subsection (a)(1) may be combined into 39 any one (1) graduate level course. if the applicant can prove that the 40 course work was devoted to each content area. 41 (c) The board shall adopt rules to establish any additional 42 educational or clinical qualifications as specified by the Council for ES 5—LS 6630/DI 77 11 1 Accreditation of Counseling and Related Educational Programs or a 2 successor organization. 3 SECTION 11. IC 25-23.6-10.5-9.5, AS ADDED BY P.L.225-2017, 4 SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 5 UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an 6 individual to be a licensed addiction counselor or licensed clinical 7 addiction counselor, not more than thirty (30) days after the 8 application is filed, if the individual: 9 (1) has a valid license or certificate to practice from another state 10 or jurisdiction; 11 (2) has passed an examination substantially equivalent to the level 12 for which licensure is being requested; 13 (3) does not have a pending disciplinary proceeding in another 14 state; and 15 (4) pays a fee. 16 SECTION 12. IC 25-34.5-2-10.1 IS AMENDED TO READ AS 17 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10.1. (a) The 18 committee may shall issue a temporary permit to a person to practice 19 respiratory care or to profess to be a respiratory care practitioner, not 20 more than thirty (30) days after the application is filed, if the person 21 pays a fee and: 22 (1) has: 23 (A) a valid license or certificate to practice from another state; 24 and 25 (B) applied for a license from the committee; 26 (2) is practicing in a state that does not license or certify 27 respiratory care practitioners but is credentialed by a national 28 respiratory care practitioner association approved by the 29 committee, and the person has applied for a license from the 30 committee; or 31 (3) has: 32 (A) been approved by the committee to take the next 33 examination; and 34 (B) graduated from a school or program approved by the 35 committee. 36 (b) A temporary permit expires the earlier of: 37 (1) the date the person holding the permit is issued a license under 38 this article; or 39 (2) the date the committee disapproves the person's license 40 application. 41 (c) The committee may renew a temporary permit if the person 42 holding the permit was scheduled to take the next examination and: ES 5—LS 6630/DI 77 12 1 (1) did not take the examination; and 2 (2) shows good cause for not taking the examination. 3 (d) A permit renewed under subsection (c) expires on the date the 4 person holding the permit receives the results from the next 5 examination given after the permit was issued. 6 SECTION 13. IC 25-34.5-2-11 IS AMENDED TO READ AS 7 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 11. (a) The 8 committee may shall issue a license by endorsement, not more than 9 thirty (30) days after the application is filed, to a person who: 10 (1) presents satisfactory evidence to the committee that the person 11 holds: 12 (A) a license or certification to practice respiratory care in: 13 (i) another state; or 14 (ii) a jurisdiction of Canada; or 15 (B) credentials issued by a national respiratory care 16 practitioner organization approved by the committee; 17 (2) meets the requirements of section 8 of this chapter; and 18 (3) pays a fee determined by the board after consideration of a 19 recommendation of the committee. 20 (b) If the applicant presents satisfactory evidence that the applicant 21 has actively engaged in the practice of respiratory care that included 22 actual patient care: 23 (1) in another jurisdiction; 24 (2) under the supervision of a physician licensed in that 25 jurisdiction; and 26 (3) for at least ten (10) of the previous fifteen (15) years 27 preceding the date of application; 28 the committee may waive the education requirements under subsection 29 (a)(2) and section 8(b) of this chapter if the committee determines that 30 the applicant has sufficient knowledge and experience. 31 SECTION 14. IC 25-35.6-1-5.5, AS ADDED BY P.L.216-2021, 32 SECTION 51, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 33 UPON PASSAGE]: Sec. 5.5. (a) An individual may practice 34 speech-language pathology in Indiana under a license to practice 35 speech-language pathology issued by a state that has entered into a 36 reciprocity agreement with the board under which an individual 37 licensed to practice speech-language pathology in Indiana is authorized 38 to practice speech-language pathology in the other state under the 39 individual's Indiana speech-language pathology license. 40 (b) Before January 1, 2023, the board shall initiate and make 41 every effort to enter into a reciprocity agreement with another 42 state that: ES 5—LS 6630/DI 77 13 1 (1) is contiguous to Indiana; and 2 (2) is not a member of an interstate compact with Indiana 3 concerning speech-language pathology; 4 that would allow an individual licensed to practice speech-language 5 pathology in Indiana or the other state to practice in the other state 6 under the individual's speech-language pathology license. 7 SECTION 15. IC 25-35.6-1-6.5, AS ADDED BY P.L.216-2021, 8 SECTION 52, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 9 UPON PASSAGE]: Sec. 6.5. (a) An individual may practice audiology 10 in Indiana under a license to practice audiology issued by a state that 11 has entered into a reciprocity agreement with the board under which an 12 individual licensed to practice audiology in Indiana is authorized to 13 practice audiology in the other state under the individual's Indiana 14 audiology license. 15 (b) Before January 1, 2023, the board shall initiate and make 16 every effort to enter into a reciprocity agreement with another 17 state that: 18 (1) is contiguous to Indiana; and 19 (2) is not a member of an interstate compact with Indiana 20 concerning audiology; 21 that would allow an individual licensed to practice audiology in 22 Indiana or the other state to practice in the other state under the 23 individual's audiology license. 24 SECTION 16. An emergency is declared for this act. ES 5—LS 6630/DI 77 14 COMMITTEE REPORT Madam President: The Senate Committee on Health and Provider Services, to which was referred Senate Bill No. 5, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows: Page 2, between lines 2 and 3, begin a new paragraph and insert: "Sec. 4.5. As used in this chapter, "provisional license or provisional certificate" means a temporary license or certificate issued under this chapter that allows the holder to practice the occupation that was applied for and at the same practice level until the license or certificate expires under section 7(c) of this chapter.". and when so amended that said bill do pass. (Reference is to SB 5 as introduced.) CHARBONNEAU, Chairperson Committee Vote: Yeas 10, Nays 0. _____ SENATE MOTION Madam President: I move that Senate Bill 5 be amended to read as follows: Page 1, line 9, after "1." insert "(a) This chapter does not apply to any of the following licenses: (1) Any type of social work license issued under IC 25-23.6-5. (2) Any type of marriage and family therapist license issued under IC 25-23.6-8. (3) Any type of mental health counselor license issued under IC 25-23.6-8.5. (4) Any type of addiction counselor or clinical addiction counselor license issued under IC 25-23.6-10.5. (5) Any type of respiratory care practitioner license issued under IC 25-34.5. (b)". Page 4, between lines 36 and 37, begin a new paragraph and insert: "SECTION 3. IC 25-35.6-1-5.5, AS ADDED BY P.L.216-2021, SECTION 51, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 5.5. (a) An individual may practice ES 5—LS 6630/DI 77 15 speech-language pathology in Indiana under a license to practice speech-language pathology issued by a state that has entered into a reciprocity agreement with the board under which an individual licensed to practice speech-language pathology in Indiana is authorized to practice speech-language pathology in the other state under the individual's Indiana speech-language pathology license. (b) Before January 1, 2023, the board shall initiate and make every effort to enter into a reciprocity agreement with another state that: (1) is contiguous to Indiana; and (2) is not a member of an interstate compact with Indiana concerning speech-language pathology; that would allow an individual licensed to practice speech-language pathology in Indiana or the other state to practice in the other state under the individual's speech-language pathology license. SECTION 4. IC 25-35.6-1-6.5, AS ADDED BY P.L.216-2021, SECTION 52, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 6.5. (a) An individual may practice audiology in Indiana under a license to practice audiology issued by a state that has entered into a reciprocity agreement with the board under which an individual licensed to practice audiology in Indiana is authorized to practice audiology in the other state under the individual's Indiana audiology license. (b) Before January 1, 2023, the board shall initiate and make every effort to enter into a reciprocity agreement with another state that: (1) is contiguous to Indiana; and (2) is not a member of an interstate compact with Indiana concerning audiology; that would allow an individual licensed to practice audiology in Indiana or the other state to practice in the other state under the individual's audiology license.". Renumber all SECTIONS consecutively. (Reference is to SB 5 as printed January 13, 2022.) BROWN L ES 5—LS 6630/DI 77 16 COMMITTEE REPORT Mr. Speaker: Your Committee on Public Health, to which was referred Senate Bill 5, has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows: Page 1, line 9, delete "This" and insert "Except for section 7 of this chapter, this". Page 4, between lines 34 and 35, begin a new paragraph and insert: "(g) The board shall make a final decision on a license or certificate application before the expiration of a provisional license or provisional certificate issued under this section.". Page 5, between lines 5 and 6, begin a new paragraph and insert: "SECTION 3. IC 25-23.6-5-3.1 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 3.1. (a) Except as provided in subsection (b), a graduate program is considered to have emphasized direct clinical patient or clinic health care services if the graduate program meets the following requirements: (1) Required coursework in clinical social work and related areas such as psychiatric social work, medical social work, social case work, case management, psychotherapy, group therapy, and any other coursework accepted by the board. (2) Required a supervised field placement that was part of the applicant's advanced concentration in direct practice, during which the applicant provided clinical services directly to clients. (3) Required completion of twenty-four (24) semester hours or thirty-seven (37) quarter hours of clinically oriented services courses in the theory and research of human behavior and social environment and practice methods. However, if the graduate degree was obtained before October 1, 1990, and the applicant submitted an application under section 3 of this chapter (before its repeal) before July 1, 1999, twenty-one (21) semester hours or thirty-one (31) quarter hours in clinically oriented services are required. Not more than six (6) semester hours or nine (9) quarter hours of the clinically oriented services courses may be from independent study coursework. If the applicant's transcript does not clearly identify the content of the coursework, the applicant shall submit a syllabus, a course catalog description, or other documentation that describes the coursework. (b) An applicant who graduated from a graduate program that did not emphasize direct patient or client services may complete the clinical curriculum requirement by returning to a graduate program ES 5—LS 6630/DI 77 17 allowed under section 2(1)(B) of this chapter to complete the education requirements. (c) Coursework that was taken at a baccalaureate level does not meet the requirements under this section unless an official of the graduate program certifies that the specific course, which a student enrolled in the same graduate program was ordinarily required to complete at the graduate level, was waived or exempted based on completion of a similar course at the baccalaureate level. SECTION 4. IC 25-23.6-5-10.5, AS ADDED BY P.L.192-2017, SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10.5. The board shall issue a license to an individual to be a bachelor's degree social worker, social worker, or clinical social worker, not more than thirty (30) days after the application is filed, if the individual: (1) has a valid license or certificate to practice from another state or jurisdiction; (2) has passed an examination substantially equivalent to the level for which licensure is being requested; (3) does not have a pending disciplinary proceeding in another state; and (4) pays a fee. SECTION 5. IC 25-23.6-8-2.5, AS AMENDED BY P.L.49-2019, SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 2.5. (a) An applicant for a license as a marriage and family therapist under section 1 of this chapter or an applicant for a license as a marriage and family therapist associate under section 1.5 of this chapter must complete the following educational requirements: (1) Except as provided in subsection (b), complete twenty-seven (27) semester hours or forty-one (41) quarter hours of graduate course work that must include graduate level course credits with material in at least the following content areas: (A) Theoretical foundations of marriage and family therapy. (B) Major models of marriage and family therapy. (C) Individual development. (D) Family development and family relationships. (E) Clinical problems. (F) Collaboration with other disciplines. (G) Sexuality. (H) Gender and sexual orientation. (I) Issues of ethnicity, race, socioeconomic status, and culture. (J) Therapy techniques. (K) Behavioral research that focuses on the interpretation and ES 5—LS 6630/DI 77 18 application of research data as it applies to clinical practice. The content areas may be combined into any one (1) graduate level course. if the applicant can prove that the course work was devoted to each content area. (2) Not less than one (1) graduate level course of two (2) semester hours or three (3) quarter hours Graduate course work in the following areas: (A) Legal, ethical, and professional standards issues in the practice of marriage and family therapy or an equivalent course approved by the board. (B) Appraisal and assessment for individual or interpersonal disorder or dysfunction. (3) At least one (1) supervised clinical practicum, internship, or field experience in a marriage and family counseling setting that meets the following requirements: (A) The applicant provided five hundred (500) hours of marriage and family therapy services, including at least four hundred (400) face to face client contact hours, of which at least two hundred (200) hours must be relational, under the supervision of a licensed marriage and family therapist who has at least five (5) years of experience or a qualified supervisor approved by the board. (B) The applicant received one hundred (100) hours of supervision from a licensed marriage and family therapist who has at least five (5) years experience as a qualified supervisor. The requirements under clauses (A) and (B) may be met by a supervised practice experience that took place away from an institution of higher education but that is certified by an official of the eligible postsecondary educational institution as being equivalent to a graduate level practicum or internship program at an institution accredited by an accrediting agency approved by the United States Department of Education Commission on Recognition of Postsecondary Education, the Association of Universities and Colleges of Canada, or the Commission on Accreditation for Marriage and Family Therapy Education. (b) The following graduate work may not be used to satisfy the content area requirements under subsection (a): (1) Thesis or dissertation work. (2) Practicums, internships, or fieldwork. SECTION 6. IC 25-23.6-8-9.5, AS ADDED BY P.L.225-2017, SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an ES 5—LS 6630/DI 77 19 individual to be a marriage and family therapist, not more than thirty (30) days after the application is filed, if the individual: (1) has a valid license or certificate to practice from another state or jurisdiction; (2) has passed an examination substantially equivalent to the level for which licensure is being requested; (3) does not have a pending disciplinary proceeding in another state; and (4) pays a fee. SECTION 7. IC 25-23.6-8.5-3, AS AMENDED BY P.L.160-2018, SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 3. An applicant as a mental health counselor under section 1 of this chapter or a mental health counselor associate under section 1.5 of this chapter must complete the following educational requirements: (1) Complete sixty (60) semester hours of Graduate course work in counseling that must include either a master's degree that required not less than forty-eight (48) semester hours or a doctor's degree in counseling. The graduate course work must include the following content areas: (A) Human growth and development. (B) Social and cultural foundations of counseling. (C) Helping relationship, including counseling theory and practice. (D) Group dynamics, processes, counseling, and consultation. (E) Lifestyle and career development. (F) Assessment and appraisal of individuals. (G) Research and program evaluation. (H) Professional orientation and ethics. (I) Foundations of mental health counseling. (J) Contextual dimensions of mental health counseling. (K) Knowledge and skills for the practice of mental health counseling and psychotherapy. (L) Clinical instruction. (2) Not less than one (1) supervised clinical practicum, internship, or field experience in a counseling setting, which must include a minimum of seven hundred (700) clock hours consisting of one (1) practicum of one hundred (100) hours, and one (1) internship of six hundred (600) hours with at least sixty-six (66) hours of face to face supervision. This requirement may be met by a supervised practice experience that took place away from an eligible postsecondary educational institution but that is certified ES 5—LS 6630/DI 77 20 by an official of the eligible postsecondary educational institution as being equivalent to a clinical mental health graduate level practicum or internship program at an institution accredited by an accrediting agency approved by the United States Department of Education or the Association of Universities and Colleges of Canada. SECTION 8. IC 25-23.6-8.5-9.5, AS ADDED BY P.L.225-2017, SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an individual to be a mental health counselor, not more than thirty (30) days after the application is filed, if the individual: (1) has a valid license or certificate to practice from another state or jurisdiction; (2) has passed an examination substantially equivalent to the level for which licensure is being requested; (3) does not have a pending disciplinary proceeding in another state; and (4) pays a fee. SECTION 9. IC 25-23.6-10.5-5, AS AMENDED BY P.L.49-2019, SECTION 9, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 5. (a) An applicant under section 1 of this chapter must complete the following educational requirements: (1) Forty (40) semester hours or sixty (60) quarter hours of Course work from an eligible postsecondary educational institution that includes the following content areas: (A) Addictions theory. (B) Psychoactive drugs. (C) Addictions counseling skills. (D) Theories of personality. (E) Developmental psychology. (F) Abnormal psychology. (G) Group work. (H) Cultural competency. (I) Ethics and professional development. (J) Family education. (K) Areas of content as approved by the board. (2) At least one (1) supervised practicum, internship, or field experience in an addiction counseling setting that requires the applicant to provide at least three hundred fifty (350) hours of addiction counseling services. (b) The content areas under subsection (a)(1) may be combined into any one (1) college level course. if the applicant can prove that the ES 5—LS 6630/DI 77 21 course work was devoted to each content area listed in subsection (a)(1). SECTION 10. IC 25-23.6-10.5-6, AS AMENDED BY P.L.207-2021, SECTION 27, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2022]: Sec. 6. (a) An applicant under section 2 of this chapter must complete the following educational requirements: (1) Twenty-seven (27) semester hours or forty-one (41) quarter hours of Graduate course work that must include graduate level course credits with material in at least the following content areas: (A) Addiction counseling theories and techniques. (B) Psychopharmacology. (C) Psychopathology. (D) Clinical appraisal and assessment. (E) Theory and practice of group addiction counseling. (F) Counseling addicted family systems. (G) Multicultural counseling. (H) Research methods in addictions. (I) Areas of content as approved by the board. (2) At least one (1) graduate level course of two (2) semester hours or three (3) quarter hours Graduate course work in the following areas: (A) Legal, ethical, and professional standards issues in the practice of addiction counseling and therapy or an equivalent course approved by the board. (B) Appraisal and assessment for individual or interpersonal disorder or dysfunction. (3) At least one (1) supervised clinical practicum, internship, or field experience in an addiction counseling setting that requires the applicant to provide seven hundred (700) hours of clinical addiction counseling services and that must include the following: (A) Two hundred eighty (280) face to face client contact hours of addiction counseling services under the supervision of a qualified supervisor, as determined by the board. (B) Thirty-five (35) hours of supervision from a qualified supervisor, as determined by the board. However, an applicant who has completed a clinical practicum, an internship, or field experience to obtain another license under this article is not required to complete the clinical addiction counseling services hours required under this subdivision. (4) Any qualifications established by the board under subsection (c). ES 5—LS 6630/DI 77 22 (b) The content areas under subsection (a)(1) may be combined into any one (1) graduate level course. if the applicant can prove that the course work was devoted to each content area. (c) The board shall adopt rules to establish any additional educational or clinical qualifications as specified by the Council for Accreditation of Counseling and Related Educational Programs or a successor organization. SECTION 11. IC 25-23.6-10.5-9.5, AS ADDED BY P.L.225-2017, SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 9.5. The board shall issue a license to an individual to be a licensed addiction counselor or licensed clinical addiction counselor, not more than thirty (30) days after the application is filed, if the individual: (1) has a valid license or certificate to practice from another state or jurisdiction; (2) has passed an examination substantially equivalent to the level for which licensure is being requested; (3) does not have a pending disciplinary proceeding in another state; and (4) pays a fee. SECTION 12. IC 25-34.5-2-10.1 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10.1. (a) The committee may shall issue a temporary permit to a person to practice respiratory care or to profess to be a respiratory care practitioner, not more than thirty (30) days after the application is filed, if the person pays a fee and: (1) has: (A) a valid license or certificate to practice from another state; and (B) applied for a license from the committee; (2) is practicing in a state that does not license or certify respiratory care practitioners but is credentialed by a national respiratory care practitioner association approved by the committee, and the person has applied for a license from the committee; or (3) has: (A) been approved by the committee to take the next examination; and (B) graduated from a school or program approved by the committee. (b) A temporary permit expires the earlier of: (1) the date the person holding the permit is issued a license under ES 5—LS 6630/DI 77 23 this article; or (2) the date the committee disapproves the person's license application. (c) The committee may renew a temporary permit if the person holding the permit was scheduled to take the next examination and: (1) did not take the examination; and (2) shows good cause for not taking the examination. (d) A permit renewed under subsection (c) expires on the date the person holding the permit receives the results from the next examination given after the permit was issued. SECTION 13. IC 25-34.5-2-11 IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 11. (a) The committee may shall issue a license by endorsement, not more than thirty (30) days after the application is filed, to a person who: (1) presents satisfactory evidence to the committee that the person holds: (A) a license or certification to practice respiratory care in: (i) another state; or (ii) a jurisdiction of Canada; or (B) credentials issued by a national respiratory care practitioner organization approved by the committee; (2) meets the requirements of section 8 of this chapter; and (3) pays a fee determined by the board after consideration of a recommendation of the committee. (b) If the applicant presents satisfactory evidence that the applicant has actively engaged in the practice of respiratory care that included actual patient care: (1) in another jurisdiction; (2) under the supervision of a physician licensed in that jurisdiction; and (3) for at least ten (10) of the previous fifteen (15) years preceding the date of application; the committee may waive the education requirements under subsection (a)(2) and section 8(b) of this chapter if the committee determines that the applicant has sufficient knowledge and experience.". Renumber all SECTIONS consecutively. and when so amended that said bill do pass. (Reference is to SB 5 as reprinted January 21, 2022.) BARRETT Committee Vote: yeas 12, nays 0. ES 5—LS 6630/DI 77