SLS 14RS-234 ORIGINAL Page 1 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2014 SENATE BILL NO. 128 BY SENATOR MARTINY PSYCHOLOGISTS. Provides for the licensure of specialist in school psychology by the State Board of Examiners of Psychologists. (8/1/14) AN ACT1 To amend and reenact R.S. 37:2352(4), (5), (6) and (7), 2354(B), (C) and (D), 2355(B),2 2357, the introductory paragraph of 2359(B), 2359(E) and (G), 2363(A), (B), (C)(3),3 (4), and (5), and (D) and to enact R.S. 37:2352(8) and (9), 2356.2, and 2359(B)(15),4 relative to the State Board of Examiners of Psychologists; to provide relative to5 powers and duties of the board; to provide for definitions; to provide for the licensure6 of specialists in school psychology; to provide for the practice of a licensed specialist7 in school psychology; to provide for licensure and licensure renewal fees; to provide8 for scope of practice of specialists in school psychology; to provide for procedures,9 terms, and conditions; and to provide for related matters.10 Be it enacted by the Legislature of Louisiana:11 Section 1. R.S. 37:2352(4), (5), (6) and (7), 2354(B), (C) and (D), 2355(B), 2357,12 the introductory paragraph of 2359(B), 2359(E) and (G), 2363(A), (B), (C)(3), (4), and (5),13 and (D) are hereby amended and reenacted and R.S. 37:2352(8) and (9), 2356.2, and14 2359(B)(15) are hereby enacted to read as follows:15 §2352. Definition of terms16 As used in this Chapter the following terms mean:17 SB NO. 128 SLS 14RS-234 ORIGINAL Page 2 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. * * *1 (4) "Licensed specialist in school psychology" means any person licensed2 as a specialist in school psychology who applies his knowledge of both3 psychology and education during consultation and collaboration with others4 and engages in specific services for students, such as direct and indirect5 interventions that focus on academic skills, learning, socialization, and mental6 health.7 (5) "Persons" includes an individual, firm, partnership, association, or8 corporation.9 (6) "Practice of licensed specialist in school psychology" is defined as the10 application of psychological principles, methods, and procedures to help11 children and youth succeed academically, socially, behaviorally, and12 emotionally. Licensed specialists in school psychology collaborate with13 educators, parents, and other professionals to create safe, healthy, and14 supportive learning environments that strengthen the connection between home,15 school, and the community for all students. They apply their knowledge of both16 psychology and education during consultation and collaboration with others17 and conduct effective decision making using a foundation of assessment and18 data collection. Licensed specialists in school psychology provide services to19 schools and families that enhance the competence and well-being of children,20 including promotion of effective and safe learning environments, prevention of21 academic and behavior problems, response to crises, and improvement of the22 collaboration between schools and families. The key foundations for all services23 provided by licensed specialists in school psychology are understanding of24 diversity in development and learning, research and program evaluation, and25 legal, ethical, and professional practices. The types of evaluations performed26 by a licensed specialist in school psychology will be those that are germane to27 the current state educational bulletins, including but not limited to Louisiana28 Bulletins 1508 and 1706. No school-based evaluations conducted by licensed29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 3 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. specialists in school psychology shall employ Diagnostic and Statistical Manual1 of Mental Disorders or International Classification of Diseases diagnosis.2 (5) (7) "Practice of psychology" is defined as the observation, description,3 evaluation, interpretation, and modification of human behavior, by the application4 of psychological principles, methods, and procedures, for the purpose of eliminating5 symptomatic, maladaptive, or undesired behavior, and of improving interpersonal6 relationships, work and life adjustment, personal effectiveness, behavioral health,7 and mental health. The practice of psychology includes but is not limited to8 psychological testing and evaluation or assessment of personal characteristics such9 as intelligence, personality, abilities, interests, aptitudes, and neuropsychological10 functioning; counseling, psychoanalysis, psychotherapy, hypnosis, stress11 management, biofeedback, behavior analysis and therapy; diagnosis and treatment12 of mental and emotional disorder or disability, alcoholism and substance abuse, and13 of the psychological aspects of physical illness, accident, injury, or disability; psycho14 educational evaluation, therapy, remediation, and consultation. Psychological15 services may be rendered to individuals, families, groups, institutions, organizations,16 and the public. The practice of psychology shall be construed within the meaning of17 this definition without regard to whether payment is received for services rendered.18 (6) (8) "Psychologist" means any person licensed as a psychologist under19 this Chapter. A person represents himself to be a psychologist by using any title or20 description of services incorporating the words "psychology", "psychological", or21 "psychologist", or by using any other terms which imply that he is qualified to22 practice psychology or that he possesses expert qualification in any area of23 psychology or if that person offers to the public or renders to individuals or to groups24 of individuals services defined as the practice of psychology in this Chapter.25 (7) (9) "School" or "college" means any regional accredited university or26 other institution of higher learning offering a full-time doctoral course of study in27 psychology that is approved by the board.28 * * *29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 4 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. §2354. Fees1 * * *2 B.(1) The board shall charge an application fee to all applicants for licensure.3 The board may also charge a written examination fee and an oral examination fee.4 A hearing fee may also be charged at the discretion of the board. The board shall5 establish a reasonable fee schedule in conformity with the provisions of the6 Administrative Procedure Act, R.S. 49:950 et seq.7 (2) The board shall charge an application fee to any person applying for8 licensure as a specialist in school psychology that shall not exceed two hundred9 dollars. The board shall adopt rules in accordance with the Administrative10 Procedure Act to implement the provisions of this Paragraph.11 C.(1) Every licensed psychologist in this state shall annually pay to the board12 during the month of July of each year, beginning in the year immediately subsequent13 to his initial license, a renewal fee to be determined annually by the board. The14 license of any psychologist who shall fail to have his license renewed during the15 month of July in each and every year shall lapse; the failure to renew said license,16 however, shall not deprive said psychologist of the right of renewal thereafter. Such17 lapsed license may be renewed, within a period of two years after such lapse, upon18 payment of a reinstatement fee equal to the current application fee and the current19 renewal fee.20 (2)(a) Every licensed specialist in school psychology in this state shall21 annually pay to the board during the month of July of each year, beginning in22 the year immediately subsequent to his initial license, a renewal fee that shall23 not exceed one hundred dollars.24 (b) Failure to renew the license as provided in Subparagraph (a) of this25 Paragraph shall cause the license to lapse. For a period of two years from the26 date of lapse of the license, such license may be renewed upon payment of a27 reinstatement fee that shall not exceed three hundred dollars.28 (c) The board shall adopt rules in accordance with the Administrative29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 5 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Procedure Act to implement the provisions of this Paragraph.1 D. The board shall annually send a renewal notice to all psychologists and2 specialists in school psychology licensed by the board.3 * * *4 §2355. Records5 * * *6 B. The board shall publish or cause to be published annually a list of7 psychologists or licensed specialists in school psychology licensed under this8 Chapter.9 * * *10 §2356.2. Specialist in school psychology; licensure; scope of practice11 A.(1) The board shall issue a license as a specialist in school psychology12 to any person who files an application upon a form and in such a manner as the13 board prescribes, accompanied by the fee required by this Chapter, and who14 furnishes evidence to the board that, except as otherwise required by law, the15 person:16 (a) Is at least twenty-one years of age.17 (b) Is of good moral character.18 (c) Is a citizen of the United States or has declared his intention to19 become a citizen. A statement by the person under oath that he is a citizen or20 that he intends to apply for citizenship when he becomes eligible to make such21 application shall be sufficient proof of compliance with the requirement of this22 Paragraph.23 (d) Is not in violation of any of the provisions of this Chapter and the24 rules and regulations adopted by the board.25 (e) Has completed a school specialist degree from a National Association26 of School Psychologists approved program or equivalent.27 (f) Has completed a one thousand two hundred hour, nine month28 internship under the supervision of a certified school psychologist in a school29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 6 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. setting or by a licensed psychologist in a community setting. Of the one1 thousand two hundred hours, six hundred hours shall be completed in a school2 setting.3 (g) Has completed three years of supervised experience as a certified4 school psychologist within the public school system.5 (h) Has passed the Nationally Certified School Psychologist examination.6 (i) Has demonstrated professional knowledge of laws and rules7 regarding the practice of psychology in Louisiana.8 (2) If the board reasonably believes that a person applying for a license9 or for a renewal of a license is not physically and mentally competent to render10 psychological services with reasonable skill and safety to his patients, or is11 afflicted with a disease or condition, either physical or mental, that would12 impair his competency to render psychological services, the board may request13 that the person submit to a physical examination by a medical doctor approved14 by the board or a mental health examination by a psychologist or psychiatrist15 approved by the board. If the person refuses to submit to the examination, the16 board, after contradictory hearing and upon finding reasonable cause, may17 issue an order requiring the person to submit to the physical or mental health18 examination. A person who is ordered to submit to a physical or mental health19 examination shall not be eligible for licensure or renewal of license prior to such20 examination. Proceedings under this Paragraph shall be conducted in21 compliance with the Administrative Procedure Act.22 B.(1)(a) A licensed specialist in school psychology may practice23 independently as a contractor of a public, private, or charter school.24 (b) A licensed specialist in school psychology who is working outside of25 the school system shall be required to do so under the clinical supervision of a26 licensed psychologist. The licensed psychologist shall be administratively and27 clinically responsible for the final work product of the licensed specialist in28 school psychology, and the licensed psychologist shall be required to sign any29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 7 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. final reports prepared by the licensed specialist in school psychology.1 (2)(a) Nothing in this Section shall be construed to limit in any way the2 duties and responsibilities of a school psychologist certified by the Louisiana3 Department of Education.4 (b) Nothing in this Section shall prohibit a licensed psychologist from5 providing services within a school provided such services are within the6 psychologist's area of competence.7 §2357. Renewal of license8 A.(1) Persons licensed as psychologists under the provisions of this Chapter9 shall be eligible for renewal of licensure without regard to any subsequent changes10 in the requirements for licensure upon payment of the fees established under R.S.11 37:2354 and compliance with the requirement established pursuant to Subsection B.12 B. (2) The board shall establish continuing education requirements to be13 fulfilled prior to the renewal of a license. Failure to fulfill these requirements shall14 cause the license to lapse. For a period of two years from the date of lapse of the15 license, the license may be renewed upon proof of fulfilling all continuing education16 requirements applicable through the date of reinstatement and upon payment of all17 fees due under R.S. 37:2354.18 B.(1) Persons licensed as a specialist in school psychology under the19 provisions of this Chapter shall be eligible for renewal of licensure without20 regard to any subsequent changes in the requirements for licensure upon21 payment of fees required by this Chapter and compliance with the provisions22 of this Subsection.23 (2)(a) The board shall establish continuing education requirements to24 be fulfilled by the licensed specialist in school psychology prior to license25 renewal.26 (b) Failure to fulfill the continuing education requirements shall cause27 the license to lapse. For a period of two years from the date of lapse of the28 license, the license may be renewed upon proof of fulfilling all continuing29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 8 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. education requirements applicable through the date of reinstatement and upon1 payment of all fees required by this Chapter.2 (c) The board may adopt rules in accordance with the Administrative3 Procedure Act to implement the provisions of this Chapter.4 * * *5 §2359. Denial, revocation, or suspension of license; psychologist; specialist in6 school psychology7 * * *8 B. The board shall have the power and duty to suspend, place on probation,9 require remediation for a specified time, revoke any license to practice psychology10 or license to practice as a specialist in school psychology, or take any other action11 specified in the rules and regulations whenever the board, by affirmative vote of at12 least four of its five members, shall find by a preponderance of the evidence that a13 psychologist or specialist in school psychology has engaged in any of the following14 acts or offenses:15 * * *16 (15) Failure to comply with mandatory reporter laws.17 * * *18 E. Suspension by the board of the license of a psychologist or a specialist in19 school psychology shall be for a period not exceeding two years.20 * * *21 G. The board shall notify all licensed psychologists and licensed specialists22 in school psychology of any disciplinary action taken against a licensed psychologist23 and a licensed specialist in school psychology.24 * * *25 §2363. Privileged communications26 A. In judicial proceedings, whether civil, criminal, or juvenile, legislative and27 administrative proceedings, and proceedings preliminary and ancillary thereto, a28 patient or client, or his legal representative, may refuse to disclose or prevent the29 SB NO. 128 SLS 14RS-234 ORIGINAL Page 9 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. disclosure of confidential information, including information contained in1 administrative records, communicated to a psychologist or a licensed specialist in2 school psychology licensed under this Chapter, or persons reasonably believed by3 the patient or client to be so licensed, or to their employees or other persons under4 their supervision, for the purpose of diagnosis, evaluation, or treatment of any mental5 or emotional condition or disorder.6 B. In the absence of evidence to the contrary, the psychologist or licensed7 specialist in school psychology is presumed to be authorized to claim the privilege8 on behalf of the patient or client.9 C. This privilege may not be claimed by or on behalf of the patient or client10 in the following circumstances:11 * * *12 (3) Where such information is necessary for the defense of the psychologist13 or licensed specialist in school psychology in a malpractice action brought by the14 patient or client.15 (4) Where an immediate threat of physical violence against a clearly16 identified victim or victims is disclosed to the psychologist or licensed specialist in17 school psychology.18 (5) In the context of civil commitment proceedings, where an immediate19 threat of self-inflicted damage is disclosed to the psychologist or licensed specialist20 in school psychology.21 * * *22 D. Notwithstanding the provisions of this Section, testimonial privileges,23 exceptions, and waiver with respect to communications between psychologist or24 licensed specialist in school psychology and patient are governed by the Louisiana25 Code of Evidence.26 SB NO. 128 SLS 14RS-234 ORIGINAL Page 10 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Michelle Ducharme. DIGEST Present law provides for powers and duties of the State Board of Examiners of Psychologists (board). Present law provides for definitions. Proposed law retains present law and adds the following definitions: (1)"Licensed specialist in school psychology" means any person licensed as a specialist in school psychology who applies their knowledge of both psychology and education during consultation and collaboration with others and engages in specific services for students, such as direct and indirect interventions that focus on academic skills, learning, socialization, and mental health. (2)"Practice of licensed specialist in school psychology" is defined as the application of psychological principles, methods, and procedures to help children and youth succeed academically, socially, behaviorally, and emotionally. Licensed specialists in school psychology collaborate with educators, parents, and other professionals to create safe, healthy, and supportive learning environments that strengthen the connection between home, school, and the community for all students. They apply their knowledge of both psychology and education during consultation and collaboration with others and conduct effective decision making using a foundation of assessment and data collection. Licensed specialists in school psychology provide services to schools and families that enhance the competence and well-being of children, including promotion of effective and safe learning environments, prevention of academic and behavior problems, response to crises, and improvement of the collaboration between schools and families. The key foundations for all services provided by licensed specialists in school psychology are understanding of diversity in development and learning, research and program evaluation, and legal, ethical, and professional practices. The types of evaluations performed by licensed specialists in school psychology will be those that are germane to the current state educational bulletins. No school-based evaluations conducted by licensed specialists in school psychology shall employ Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases diagnosis. Present law authorizes the board to charge an application fee to all applicants for licensure and a renewal fee to renew such license. Proposed law provides that the board shall charge an application fee to any person applying for licensure as a specialist in school psychology in an amount not to exceed $200 and authorizes the board to adopt rules in accordance with the Administrative Procedure Act (APA) to implement proposed law. Proposed law provides that every licensed specialist in school psychology in this state shall annually pay to the board during the month of July of each year, beginning in the year immediately subsequent to his initial license, a renewal fee in an amount not to exceed $100. Proposed law provides that the failure to renew the license shall cause the license to lapse. For a period of two years from the date of lapse of the license, the license may be renewed upon payment of a reinstatement fee that shall not exceed $300. Proposed law authorizes the board to adopt rules in accordance with the APA to implement the provisions of proposed law. SB NO. 128 SLS 14RS-234 ORIGINAL Page 11 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Present law provides that each year the board shall send a renewal notice to all psychologists licensed by the board. Proposed law retains present law and provides that each year the board shall send a renewal notice to all specialists in school psychology licensed by the board. Present law requires the board to publish or cause to be published annually a list of psychologists licensed by the board. Proposed law retains present law and requires the board to publish or cause to be published annually a list of specialists in school psychology licensed by the board. Proposed law provides that the board shall issue a license as a specialist in school psychology to any person who files an application upon a form and in such a manner as the board prescribes, accompanied by an application fee, and who furnishes evidence to the board that, except as otherwise required by law, the person: (1)Is at least 21 years of age. (2)Is of good moral character. (3)Is a citizen of the United States or has declared his intention to become a citizen. (4)Is not in violation of certain provisions of law and the rules and regulations adopted by the board. (5)Has completed a school specialist degree from a National Association of School Psychologists approved program or equivalent. (6)Has completed a 1,200 hour, nine month internship under the supervision of a certified school psychologist in a school setting or by a licensed psychologist in a community setting. Of the 1,200 hours, 600 hours shall be completed in a school setting. (7)Has completed three years of supervised experience as a certified school psychologist within the public school system. (8)Has passed the Nationally Certified School Psychologist examination. (9)Has demonstrated professional knowledge of laws and rules regarding the practice of psychology in La. Proposed law provides that if the board reasonably believes that a person applying for a license or for a renewal of a license is not physically and mentally competent to render psychological services with reasonable skill and safety to his patients, or is afflicted with a disease or condition, either physical or mental, that would impair his competency to render psychological services, the board may request that the person submit to a physical examination by a medical doctor approved by the board or mental health examination by a psychologist or psychiatrist approved by the board. If the person refuses to submit to the examination, the board, after contradictory hearing and upon finding reasonable cause, may issue an order requiring the person to submit to the physical or mental health examination. A person who is ordered to submit to such examination shall not be eligible for licensure or renewal of license prior to such examination. The proceedings provided in proposed law shall be conducted in compliance with the APA. Proposed law provides that a licensed specialist in school psychology may practice independently as a contractor of a public, private, or charter school. SB NO. 128 SLS 14RS-234 ORIGINAL Page 12 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Proposed law provides that a licensed specialist in school psychology who is working outside of the school system shall be required to do so under the clinical supervision of a licensed psychologist. The licensed psychologist shall be administratively and clinically responsible for the final work product of the licensed specialist in school psychology, and the licensed psychologist shall be required to sign any final reports prepared by the licensed specialist in school psychology. Proposed law provides that nothing in proposed law shall be construed to limit in any way the duties and responsibilities of a school psychologist certified by the La Dept. of Education. Proposed law provides that nothing in proposed law shall prohibit a licensed psychologist from providing services within a school provided such services are within the psychologist's area of competence. Present law provides for the renewal of a psychologist's license. Proposed law retains present law and provides that persons licensed as a specialist in school psychology shall be eligible for renewal of licensure without regard to any subsequent changes in the requirements for licensure upon payment of fees required by law and compliance of certain provisions of present law. Proposed law requires the board to establish continuing education requirements to be fulfilled by the licensed specialist in school psychology prior to license renewal. Proposed law provides that failure to fulfill the continuing education requirements shall cause the license to lapse and provides that for a period of two years from the date of lapse of the license, the license may be renewed upon proof of fulfilling all continuing education requirements applicable through the date of reinstatement and upon payment of all required fees. Proposed law authorizes the board to adopt rules in accordance with the APA to implement the provisions of proposed law. Proposed law provides for the denial, revocation, or suspension of a specialist in school psychology's license. Present law provides for acts that may be considered grounds for denial, revocation, or suspension of a license as follows: (1)Fraud or deception in applying for or procuring a license to practice psychology. (2)Practicing psychology in such a manner as to endanger the welfare of clients or patients. (3)Conviction of a felony. (4)Conviction of any crime or offense which reflects the inability of the practitioner to practice psychology with due regard for the health and safety of clients or patients. (5)Use of repeated untruthful, deceptive, or improbable statements concerning the licensee's qualifications or the effects or results of proposed treatment, including functioning outside of one's professional competence established by education, training, and experience. (6)Aiding or abetting the practice of psychology by any person not licensed by the board and in violation of certain laws. SB NO. 128 SLS 14RS-234 ORIGINAL Page 13 of 13 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. (7)Conviction of fraud in filing Medicare or Medicaid claims or in filing claims to any third party payor. (8)Exercising undue influence in such a manner as to exploit the client or patient for financial or other personal advantage to the practitioner or a third party. (9)The suspension or revocation by another state of a license to practice psychology. (10)Refusal to appear before the board after having been ordered to do so in writing by a duly authorized agent of the board. (11)Making any fraudulent or untrue statement to the board. (12)Violation of the code of ethics adopted in the rules and regulations of the board or other immoral, unprofessional, or dishonorable conduct as defined in the rules and regulations of the board. (13)Inability to practice psychology with reasonable skill and safety to patients or clients by reason of illness, inebriation, misuse of drugs, narcotics, alcohol, chemicals, or any other substance, or as a result of any mental or physical condition. (14)Violation of certain provisions of law or of the rules and regulations promulgated by the board thereunder. Proposed law retains present law and adds to the list the failure to comply with mandatory reporter laws. Proposed law provides that suspension of license of a specialist in school psychology shall be for a period not exceeding two years. Proposed law provides that the board shall notify all licensed psychologists and licensed specialist in school psychology of any disciplinary action taken against a licensed specialist in school psychology. Present law provides for privileged communications between a psychologist and a patient. Proposed law retains present law and provides for privileged communication between a licensed specialist in school psychology and a patient. Effective August 1, 2014. (Amends R.S. 37:2352(4), (5), (6) and (7), 2354(B), (C) and (D), 2355(B), 2357, 2359(B)(intro para), (E) and (G), 2363(A), (B), (C)(3), (4), and (5), and (D); adds R.S. 37:2352(8) and (9), 2356.2, and 2359(B)(15))