HLS 20RS-1153 ORIGINAL 2020 Regular Session HOUSE BILL NO. 822 BY REPRESENTATIVE ROBBY CARTER HEALTH/BEHAVIORAL: Revises the Addictive Disorders Practice Act 1 AN ACT 2To amend and reenact R.S. 36:259(A)(20) and R.S. 37:3386.1 through 3387.4, 3387.5(B) 3 through (D), (E)(introductory paragraph) and (1) through (3), (F), and (G)(2) through 4 (4), 3387.6(B) through (D), (E)(introductory paragraph), (2), (3), (5), and (6), (F), 5 (G)(2) through (4), and (I), 3387.10(B), (C), (D)(introductory paragraph), (1), (3), 6 (4), (5)(b) through (d), and (6) through (8), and (E), 3387.11(B), (C), 7 (D)(introductory paragraph), (1), (3), (4), (5)(b) through (d), and (6) through (8), and 8 (E), 3387.12(B), (C), (D)(introductory paragraph), (1), (3), (4), (5)(b) through (d), 9 and (6) through (8), and (E), 3387.14(B) through (E), 3388(B) and (C), 3388.1(B) 10 and (C), 3388.2(B) through (D), 3388.3(A), 3388.4(A)(introductory paragraph) and 11 (8) through (11) and (B), 3389, 3390, 3390.1(C) and (D), 3390.2, 12 3390.3(A)(introductory paragraph), (3), (5), (7), and (12) and (B) through (D), 13 3390.4(introductory paragraph) and (5), and 3390.6(A) and (B)(introductory 14 paragraph) and (1) through (7), to enact R.S. 37:3388.4(A)(13) through (15) and 15 3390.3(E), and to repeal R.S. 37:3387.10(F) and (G), 3387.13, and 3388.3(B), 16 relative to the practice of counseling of persons with addictive disorders by licensed, 17 certified, and registered professionals; to provide relative to credentialing 18 requirements for such professionals; to make revisions in the Addictive Disorders 19 Practice Act; to provide for the roles of the Louisiana Department of Health and the 20 Addictive Disorder Regulatory Authority with respect to credentialing and regulation Page 1 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 of professionals engaged in counseling of persons with addictive disorders; to 2 provide for the governing board of the authority as the successor to the department 3 with respect to the licensing, certification, and registration of such professionals; to 4 provide for definitions; to provide for redesignation of certain laws by the Louisiana 5 State Law Institute; and to provide for related matters. 6Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 36:259(A)(20) is hereby amended and reenacted to read as follows: 8 §259. Transfer of agencies and functions to Louisiana Department of Health 9 A. The following agencies, as defined in R.S. 36:3, are transferred to and 10 hereafter shall be within the Louisiana Department of Health, as provided in R.S. 11 36:803: 12 * * * 13 (20) Addictive Disorder Regulatory Authority (R.S. 37:3389 R.S. 14 37:3386.2). 15 * * * 16 Section 2. R.S. 37:3386.1 through 3387.4, 3387.5(B) through (D), (E)(introductory 17paragraph) and (1) through (3), (F), and (G)(2) through (4), 3387.6(B) through (D), 18(E)(introductory paragraph), (2), (3), (5), and (6), (F), (G)(2) through (4), and (I), 193387.10(B), (C), (D)(introductory paragraph), (1), (3), (4), (5)(b) through (d), and (6) 20through (8), and (E), 3387.11(B), (C), (D)(introductory paragraph), (1), (3), (4), (5)(b) 21through (d), and (6) through (8), and (E), 3387.12(B), (C), (D)(introductory paragraph), (1), 22(3), (4), (5)(b) through (d), and (6) through (8), and (E), 3387.14(B) through (E), 3388(B) 23and (C), 3388.1(B) and (C), 3388.2(B) through (D), 3388.3(A), 3388.4(A)(introductory 24paragraph) and (8) through (11) and (B), 3389, 3390, 3390.1(C) and (D), 3390.2, 253390.3(A)(introductory paragraph), (3), (5), (7), and (12) and (B) through (D), 263390.4(introductory paragraph) and (5), and 3390.6(A) and (B)(introductory paragraph) and 27(1) through (7) are hereby amended and reenacted and R.S. 37:3388.4(A)(13) through (15) 28and 3390.3(E) are hereby enacted to read as follows: Page 2 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 §3386.1. Definitions 2 As used in this Chapter, the following definitions apply terms have the 3 meaning ascribed to them in this Section: 4 (1) "Addiction counselor" means any person who is licensed, certified, or 5 registered in accordance with the provisions of this Chapter and procedures 6 established by the department board and who, by means of his special knowledge 7 acquired through formal education or practical experience, is qualified to provide 8 addiction counseling services to those individuals afflicted with or suffering from an 9 addictive disorder or certain co-occurring disorders. The counseling services 10 provided shall be those which utilize KSA or core functions, as determined by the 11 department board to be appropriate for the addictive disorder or disorders presented. 12 (2) "Addictive disorder" means the repeated pathological use of substances 13 including but not limited to alcohol, drugs, or tobacco, or repeated pathological 14 compulsive behaviors including but not limited to gambling, which cause physical, 15 psychological, emotional, economic, legal, social, or other harms to the individual 16 afflicted with the addiction or to others affected by the individual's affliction. As 17 used in this Chapter, "addictive disorder" shall include not only those instances 18 where withdrawal from or tolerance to the substance or behaviors are present but 19 also those instances involving use and abuse of substances. 20 (3) "Board" means the Louisiana State Board of Certification for Substance 21 Abuse Counselors through June 30, 2007. Effective July 1, 2007, "board" shall mean 22 the governing body of the Addictive Disorder Regulatory Authority. 23 (4) "Certified clinical supervisor" means any person holding the necessary 24 credential of licensed, certified, or registered addiction counselor, or who holds a 25 specialty substance abuse credential in another professional discipline in a human 26 services field at the masters level or higher; and who has satisfied the requirements 27 established by the department board to provide clinical supervision. Page 3 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (5) "Client" means the individual, couple, family, group, organization, or 2 community that seeks or receives addiction counseling services from the addiction 3 professional or an addiction facility until discharged. 4 (6) "Clinical supervision" means the interpersonal tutorial relationship 5 between a certified clinical supervisor and other licensed, certified, or registered 6 addiction counseling professionals centered on the goals of skill development and 7 professional growth through learning and practicing. Through observation, 8 evaluation, and feedback, clinical supervision enables the supervisee to acquire the 9 competence needed to deliver effective patient care while fulfilling professional 10 responsibility. Clinical supervision is understood to emphasize improvement of the 11 counseling skills and effectiveness of the supervisee and is to be distinguished from 12 administrative supervision. 13 (6) (7) "Compulsive gambling counselor" means any person holding a 14 necessary credential as a licensed, certified, or registered addiction counselor, or a 15 necessary credential as a qualified mental health professional, who is certified by the 16 department board, in accordance with the provisions of this Chapter, as possessing 17 special knowledge acquired through formal education and clinical experience and 18 thus is qualified to provide gambling addiction counseling to persons who have a 19 gambling addiction disorder or who exhibit gambling addictive behaviors. 20 (7) (8) "Co-occurring disorder" means a disorder in which an individual has 21 at least one psychiatric disorder as well as an addictive disorder. While these 22 disorders may interact differently in any one person, at least one disorder of each 23 type can be diagnosed independently of the other. 24 (8) (9) "Core functions" means the screening, intake, orientation, assessment, 25 treatment planning, counseling, case management, crisis intervention, client 26 education, referral, reports, and recordkeeping record-keeping activities associated 27 with counseling and consultation with other credentialed professionals. 28 (9) (10) "Counselor-in-training" or "CIT" means any person who has not yet 29 met the qualification to become a licensed, certified, or registered counselor, but who Page 4 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 has made application to the department board in accordance with the provisions of 2 this Chapter and procedures established by the department board. 3 (10) "Department" means the Louisiana Department of Health, office for 4 addictive disorders through June 30, 2007. Effective July 1, 2007, "department" 5 shall mean the governing body of the Addictive Disorder Regulatory Authority. 6 (11) "Custodial environment" means a setting created by a court system 7 where a person has been deprived of freedom of action in any significant way. 8 (12) "KSA" means the knowledge, skills, and attitudes designated by the 9 department board as being necessary for effective addiction counseling and required 10 by the department board to be utilized by addictive disorders counselors in providing 11 addiction counseling services. 12 (12) (13) "Prevention" means those activities and services that prevent, 13 reduce, or stabilize the incidence of addictive disorders and thereby prevent, reduce, 14 or stabilize the prevalence of addictive disorders. The activities contemplated by this 15 definition include services to those at risk of developing an addictive disorder as well 16 as those individuals who, though not necessarily at risk of developing an addictive 17 disorder, are nonetheless appropriate for services. In addition, prevention shall be 18 understood to include educational programs and activities that are designed to raise 19 the awareness of and encourage healthy behaviors. 20 (14) "Prevention specialist-in-training" or "PSIT" means any person who has 21 not yet met the qualifications to become a licensed, certified, or registered 22 prevention professional, but who has made application to the department board in 23 accordance with the provisions of this Chapter and procedures established by the 24 department board. 25 (15) "Qualified mental health professional" means: 26 (a) A psychiatrist licensed pursuant to R.S. 37:1261 et seq. 27 (b) A psychologist licensed pursuant to R.S. 37:2351 et seq., or a medical 28 psychologist licensed pursuant to R.S. 37:1360.51 et seq. Page 5 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (c) A licensed clinical social worker licensed pursuant to R.S. 37:2701 et 2 seq. 3 (d) A mental health counselor licensed pursuant to R.S. 37:1101 et seq. 4 (16) "Substance abuse disorder" means the repeated pathological use of 5 drugs, including alcohol, which causes physical, psychological, economic, legal, or 6 social harm to the individual user or to others affected by the user's behavior. 7 §3387. Licensed addiction counselor; scope of practice 8 A.(1) The practice of licensed addiction counseling within the meaning and 9 intent of this Chapter shall consist of the rendering of professional guidance to 10 individuals suffering from an addictive disorder to assist them in gaining an 11 understanding of the nature of their disorder and developing and maintaining a 12 responsible lifestyle. 13 (2) The licensed addiction counselor may practice autonomously, 14 independent of any other professional association or supervision. 15 (3) The scope of practice, in addition to any other applicable provision of 16 this Chapter, shall include making referrals to appropriate professionals, providing 17 counseling to family members, and, as appropriate, to others affected by the 18 individual's addictive disorder, and the utilization of KSA and core functions. 19 B. The department board shall adopt and promulgate rules which govern 20 licensed addiction counselors in accordance with the provisions of this Chapter. 21 C. Any person seeking to be recognized by the department board as a 22 licensed addiction counselor shall submit an application to the department board on 23 a form and in a manner as the department board shall prescribe. The initial 24 application form shall be accompanied by an initial application fee as provided for 25 in this Chapter. 26 D. Upon investigation of the application, the department board shall, not less 27 than forty-five days prior to any examination, notify each candidate that the 28 application is satisfactory and accepted or unsatisfactory and rejected. If an 29 application is rejected, the notice shall state the reason for such rejection. Page 6 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 E. The department board shall recognize as a licensed addiction counselor 2 each candidate who: 3 (1) Possesses a master's degree from an accredited institution of higher 4 education. The degree shall be in a human services or behavioral science discipline, 5 or such other discipline or disciplines as the department board may deem 6 appropriate. 7 (2) Is a legal resident of the United States and at least twenty-one years of 8 age on the date the application is received. 9 (3) Is not in violation of any ethical standards subscribed to by the 10 department board. 11 (4) Is not now and has not been a substance abuser or compulsive gambler 12 during the previous two years from the date the application is received. 13 (5) Has not been convicted of, or entered a plea of guilty or a plea of nolo 14 contendere to, a felony. However, the department board may, in it discretion, waive 15 this requirement upon review of the individual's circumstances. Each candidate shall 16 sign a form prescribed by the department board authorizing the department board to 17 obtain a criminal history and to conduct a criminal background check. 18 (6)(a) Demonstrates professional competence by passing a written and oral 19 examination and making a case presentation. 20 (b) The department board shall determine the scope and administration of the 21 examination. 22 (c) The department board may provide for circumstances under which a 23 candidate who fails either the examination, but who meets all other requirements, 24 may retake the examination. 25 (d) The department shall prescribe the scope and manner of the case 26 presentation required by the provisions of Subparagraph (a) of this Paragraph. The 27 board shall make reasonable accommodations for those candidates who demonstrate 28 a special need or disability. Page 7 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (7) Documents the completion of ethics training, as prescribed by the 2 department board. 3 (8) Signs a form of professional and ethical accountability and responsibility, 4 as prescribed by the department board. 5 (9) Documents the completion of supervised clinical hours, under conditions 6 as shall be determined by the department board. The department board may require 7 that such supervision be conducted by a certified clinical supervisor. 8 (10) Provides three letters of recommendation as prescribed by the 9 department board. 10 F. The department board may prescribe such other qualifications and 11 requirements for licensed addiction counselors as may be appropriate for the 12 protection of the public or the enhancement of professional services provided under 13 pursuant to the authority of this Chapter. 14 §3387.1. Certified addiction counselor; scope of practice 15 A.(1) The practice of certified addiction counseling within the meaning and 16 intent of this Chapter shall consist of the rendering of supervised professional 17 guidance to individuals suffering from an addictive disorder to assist them in gaining 18 an understanding of the nature of their disorder and developing and maintaining a 19 responsible lifestyle. 20 (2)(a) The certified addiction counselor may not practice independently, 21 except when providing addiction counseling services in a prison or other custodial 22 environment, and may not render a diagnostic impression. 23 (b) The certified addiction counselor shall work only under the supervision 24 of a licensed addiction counselor or qualified mental health professional. 25 (c) The certified addiction counselor shall register his supervisory licensed 26 addiction counselor or qualified mental health professional with the board. 27 (d) Supervisory contact between the certified addiction counselor and the 28 supervisory licensed addiction counselor or qualified mental health professional shall 29 be regular and documented, and shall be provided to the board upon request. Page 8 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (3) The certified addiction counselor may not render a diagnostic impression. 2 (4) The scope of practice, in addition to any other applicable provision of 3 this Chapter, shall include making supervised referrals to appropriate professionals, 4 providing supervised counseling to family members, and, as appropriate, to others 5 affected by the individual's addictive disorder, and the utilization of KSA and core 6 functions. 7 B. The department board shall adopt and promulgate rules which govern 8 certified addiction counselors in accordance with the provisions of this Chapter. 9 C. Any person seeking to be recognized by the department board as a 10 certified addiction counselor shall submit an application to the department board on 11 a form and in a manner as the department board shall prescribe. The initial 12 application form shall be accompanied by an initial application fee as provided for 13 in this Chapter. 14 D. Upon investigation of the application, the department board shall, not less 15 than forty-five days prior to any examination, notify each candidate that the 16 application is satisfactory and accepted or unsatisfactory and rejected. If an 17 application is rejected, the notice shall state the reason for such rejection. 18 E. The department board shall recognize as a certified addiction counselor 19 each candidate who: 20 (1) Possesses a bachelor's degree from an accredited institution of higher 21 education. The degree shall be in a human services or behavioral science discipline, 22 or such other discipline or disciplines as the department board may deem 23 appropriate. 24 (2) Is a legal resident of the United States at least twenty-one years of age 25 on the date the application is received. 26 (3) Is not in violation of any ethical standards subscribed to by the 27 department board. 28 (4) Is not now and has not been a substance abuser or compulsive gambler 29 during the previous two years from the date the application is received. Page 9 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (5) Has not been convicted of, or entered a plea of guilty or a plea of nolo 2 contendere to, a felony. However, the department board may, in its discretion, waive 3 this requirement upon review of the individual's circumstances. Each candidate shall 4 sign a form prescribed by the department board authorizing the department board to 5 obtain a criminal history or to conduct a criminal background check. 6 (6)(a) Demonstrates professional competence by passing a written and oral 7 examination, and making a case presentation. 8 (b) The department board shall determine the scope and administration of the 9 examinations examination. 10 (c) The department board may provide for circumstances under which a 11 candidate who fails either examination, but who meets all other requirements, may 12 retake the examination. 13 (d) The department board shall make reasonable accommodations for those 14 candidates who demonstrate a special need or disability. 15 (e) The department shall prescribe the scope and manner of the case 16 presentation required by the provisions of Subparagraph (a) of this Paragraph. 17 (7) Documents the completion of ethics training, as prescribed by the 18 department board. 19 (8) Signs a form of professional and ethical accountability and responsibility 20 as prescribed by the department board. 21 (9) Documents the completion of supervised clinical hours, under such 22 conditions as shall be determined by the department board. The department board 23 may require that such supervision be conducted by a certified clinical supervisor. 24 (10) Provides three letters of recommendation as prescribed by the 25 department board. 26 F. The department board may prescribe such other qualifications and 27 requirements for certified addiction counselors as may be appropriate for the 28 protection of the public or the enhancement of professional services provided under 29 pursuant to the authority of this Chapter. Page 10 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 §3387.2. Registered addiction counselor; scope of practice 2 A.(1) The practice of registered addiction counseling within the meaning and 3 intent of this Chapter shall consist of the rendering of professional guidance to 4 individuals suffering from an addictive disorder to assist them in gaining an 5 understanding of the nature of their disorder and developing and maintaining a 6 responsible lifestyle. 7 (2)(a) The registered addiction counselor may not practice independently. 8 (b) The registered addiction counselor shall work only under the supervision 9 of a licensed addiction counselor or other qualified mental health professional. 10 (c) The registered addiction counselor shall register his supervisory licensed 11 addiction counselor or other qualified mental health professional with the Addictive 12 Disorder Regulatory Authority. 13 (d) Supervisory contact between the registered addiction counselor and the 14 supervisory licensed addiction counselor or qualified mental health professional must 15 be regular and documented, and shall be provided to the board. 16 (3) The registered addiction counselor and may not render a diagnostic 17 impression. 18 (4) The scope of practice, in addition to any other applicable provision of 19 this Chapter, shall include making supervised referrals to appropriate professionals, 20 providing supervised counseling to family members, and, as appropriate, to others 21 affected by the individual's addictive disorder, and the utilization of KSA and core 22 functions. The scope of practice shall in no way be construed to include services 23 designed to address work organization productivity issues and employee client 24 problems affecting job performance and the ability to perform on the job. 25 B. The department board shall adopt and promulgate rules which govern 26 registered addiction counselors in accordance with the provisions of this Chapter. 27 C. Any person seeking to be recognized by the department board as a 28 registered addiction counselor shall submit an application to the department board 29 on a form and in a manner as the department board shall prescribe. The initial Page 11 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 application form shall be accompanied by an initial application fee as provided for 2 in this Chapter. 3 D. Upon investigation of the application, the department board shall, not less 4 than forty-five days prior to any examination, notify each candidate that the 5 application is satisfactory and accepted or unsatisfactory and rejected. If an 6 application is rejected, the notice shall state the reason for such rejection. 7 E. The department board shall recognize as a registered addiction counselor 8 each candidate who: 9 (1) Is a legal resident of the United States at least twenty-one years of age 10 on the date the application is received. 11 (2) Is not in violation of any ethical standards subscribed to by the 12 department board. 13 (3) Is not now and has not been a substance abuser or compulsive gambler 14 during the previous two years from the date the application is received. 15 (4) Has not been convicted of, or entered a plea of guilty or a plea of nolo 16 contendere to, a felony. However, the department board may, in its discretion, waive 17 this requirement upon review of the individual's circumstances. Each candidate shall 18 sign a form prescribed by the department board authorizing the department board to 19 obtain a criminal history or to conduct a criminal background check. 20 (5)(a) Demonstrates professional competence by passing a written and oral 21 examination, and making a case presentation. 22 (b) The department board shall determine the scope and administration of the 23 examinations examination. 24 (c) The department board may provide for circumstances under which a 25 candidate who fails either the examination, but who meets all other requirements, 26 may retake the examination. 27 (d) The department board shall make reasonable accommodations for those 28 candidates who demonstrate a special need or disability. Page 12 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (e) The department shall prescribe the scope and manner of the case 2 presentation required by the provisions of Subparagraph (a) of this Paragraph. 3 (6) Documents the completion of ethics training, as prescribed by the 4 department board. 5 (7) Signs a form of professional and ethical accountability and responsibility 6 as prescribed by the department board. 7 (8) Documents the completion of supervised clinical hours, under such 8 conditions as shall be determined by the department board. The department board 9 may require that such supervision be conducted by a certified clinical supervisor. 10 (9) Provides three letters of recommendation as prescribed by the department 11 board. 12 F. The department board may prescribe such other qualifications and 13 requirements for registered addiction counselors as may be appropriate for the 14 protection of the public or the enhancement of professional services provided under 15 pursuant to the authority of this Chapter. 16 §3387.3. Counselor-in-training 17 A. The practice of addiction counseling within the meaning and intent of this 18 Chapter shall consist of the rendering of professional guidance to individuals 19 suffering from an addictive disorder to assist them in gaining an understanding of the 20 nature of their disorder and developing and maintaining a responsible lifestyle. 21 B.(1) The status of counselor-in-training (CIT) is intended to assist 22 professional development by providing qualified individuals with supervised clinical 23 counseling experience. 24 (2) This status The status of counselor-in-training is, by its very nature, 25 temporary and it is anticipated that the individual will progress through the 26 experience to become a licensed, certified, or registered addiction counselor. 27 (3) The counselor-in-training may not practice independently. 28 (4) The counselor-in-training may only work under the direct supervision of 29 a licensed addiction counselor, certified addiction counselor, or registered addiction Page 13 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 counselor; or in the absence of a licensed, certified, or registered addiction counselor, 2 under the direction of a qualified mental health professional. 3 (5) The scope of practice, in addition to any other applicable provision of 4 this Chapter, shall include making directly supervised referrals to appropriate 5 professionals, providing directly supervised counseling to family members, and, as 6 appropriate, to others affected by the individual's addictive disorder, and the 7 utilization of KSA and core functions. 8 B. C. The department board shall adopt and promulgate rules which govern 9 the status of counselor-in-training in accordance with the provisions of this Chapter. 10 C. D. Any person seeking to be recognized by the department board as a 11 counselor-in-training shall submit an application to the department board on a form 12 and in a manner as the department board shall prescribe. The initial application form 13 shall be accompanied by an initial application fee as provided for in this Chapter. 14 D. E. Upon investigation of the application, the department board shall, 15 within thirty days, notify each candidate that the application is satisfactory and 16 accepted or unsatisfactory and rejected. If an application is rejected, the notice shall 17 state the reason for such rejection. 18 E. F. The department board shall recognize as a counselor-in-training each 19 candidate who: 20 (1) Is a legal resident of the United States and at least eighteen years of age 21 on the date the application is received. 22 (2) Is not in violation of any ethical standards subscribed to by the 23 department board. 24 (3) Is not now and has not been a substance abuser or compulsive gambler 25 during the previous two years from the date the application is received. 26 (4) Has not been convicted of, or entered a plea of guilty or a plea of nolo 27 contendere to, a felony. However, the department board may, in its discretion, waive 28 this requirement upon review of the individual<s circumstances. Each candidate shall Page 14 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 sign a form prescribed by the department board authorizing the department board to 2 obtain a criminal history or to conduct a criminal background check. 3 (5) Signs a form of professional and ethical accountability and responsibility 4 as prescribed by the department board. 5 (6) Provides three letters of recommendation as prescribed by the department 6 board. 7 F. G. The department board may prescribe such other qualifications and 8 requirements for counselor-in-training as may be appropriate for the protection of the 9 public or the enhancement of professional services provided under pursuant to the 10 authority of this Chapter. 11 §3387.4. Addiction treatment assistant 12 A. An addiction treatment assistant is a paraprofessional who serves in a 13 supportive role within the therapeutic process. The addiction treatment assistant 14 shall work under the direct supervision of a licensed, certified, or registered 15 counselor in a manner prescribed by the department board. 16 B. The department board shall adopt and promulgate rules which govern 17 addiction treatment assistants in accordance with the provisions of this Chapter. 18 C. Any person seeking to be recognized by the department board as an 19 addiction treatment assistant shall submit an application to the department board on 20 a form and in a manner as the department board shall prescribe. The initial 21 application form shall be accompanied by an initial application fee as provided for 22 in this Chapter. 23 D. Upon investigation of the application, the department board shall, within 24 thirty days, notify each candidate that the application is satisfactory and accepted or 25 unsatisfactory and rejected. If an application is rejected, the notice shall state the 26 reason for such rejection. 27 E. The department board shall recognize as an addiction treatment assistant 28 each candidate who: Page 15 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (1) Is a legal resident of the United States and at least sixteen years of age 2 on the date the application is received. 3 (2) Is not in violation of any ethical standards subscribed to by the 4 department board. 5 (3) Is not and has not been a substance abuser or compulsive gambler during 6 the previous six months from the date the application is received. 7 (4) Has not been convicted of, or entered a plea of guilty or a plea of nolo 8 contendere to, a felony. However, the department board may, in its discretion, waive 9 this requirement upon review of the individual<s circumstances. Each candidate, or 10 at least one parent or legal guardian of a candidate in the case of an unemancipated 11 minor, shall sign a form prescribed by the department board authorizing the 12 department board to obtain a criminal history or to conduct a criminal background 13 check. 14 (5) Signs a form of professional and ethical accountability and responsibility 15 as prescribed by the department board. 16 (6) Provides three letters of recommendation as prescribed by the department 17 board. 18 §3387.5. Certified clinical supervisor 19 * * * 20 B. The department board shall adopt and promulgate rules which shall 21 provide for the certification of clinical supervisors in accordance with the provisions 22 of this Chapter. 23 C. Any person seeking to be recognized by the department board as a 24 certified clinical supervisor shall first complete clinical supervision training 25 approved by the department board. The candidate may then submit an application 26 on a form and in a manner prescribed by the department board. Documentation of 27 the clinical supervision training shall accompany the application. 28 D. Upon investigation of the application, the department board shall, within 29 thirty days, notify each candidate that the application is satisfactory and accepted or Page 16 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 unsatisfactory and rejected. If an application is rejected, the notice shall state the 2 reason for such rejection. 3 E. The department board shall recognize as a certified clinical supervisor 4 each candidate who: 5 (1) Is a licensed, certified, or registered addiction counselor or holds a 6 specialty substance abuse certification in another professional discipline in a human 7 services field at the masters level or higher. 8 (2) Is not in violation of any ethical standards subscribed to by the 9 department board. 10 (3) Does not have any pending disciplinary action with the department 11 board. 12 * * * 13 F. Each clinical supervisor candidate must sign a form prescribed by the 14 department board authorizing the department to obtain a criminal history or to 15 conduct a criminal background check. 16 G. 17 * * * 18 (2) The department board shall determine the scope and administration of the 19 examination. 20 (3) The department board may provide for circumstances under which a 21 candidate who fails the examination, but who meets all other requirements, may 22 retake the examination. 23 (4) The department board shall make reasonable accommodations for those 24 candidates who demonstrate a special need or disability. 25 * * * 26 §3387.6. Certified compulsive gambling counselor 27 * * * Page 17 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 B. The department board shall adopt and promulgate rules which shall 2 provide for the certification of compulsive gambling counselors in accordance with 3 this Chapter. 4 C. Any person seeking to be recognized by the department board as a 5 certified compulsive gambling counselor shall hold the valid and current necessary 6 credential of licensed, certified, or registered addiction counselor or hold the valid 7 and current necessary credential of a qualified mental health professional. In 8 addition, the candidate shall complete the minimum educational hours provided for 9 in this Chapter. Any candidate holding the necessary credential who has completed 10 the educational hours required may submit an application on a form and in a manner 11 prescribed by the department board. Documentation of the necessary credential and 12 completion of the required educational hours shall accompany the application. The 13 application shall also be accompanied by a fee as provided for in this Chapter. 14 D. Upon investigation of the application, the department board shall, within 15 thirty days, notify each candidate that the application is satisfactory and accepted or 16 unsatisfactory and rejected. If the application is rejected, the notice shall state the 17 reason for such rejection. 18 E. The department board shall recognize as a certified compulsive gambling 19 counselor each candidate who: 20 * * * 21 (2) Is not in violation of any ethical standards subscribed to by the 22 department board. 23 (3) Does not have any pending disciplinary action with the department 24 board, or, in the case of a qualified mental health professional, with the appropriate 25 regulatory board. 26 * * * 27 (5) Has successfully completed a minimum of sixty educational hours, 28 approved by the department board, specific to addiction. Page 18 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (6) Has successfully completed a minimum of thirty educational hours, 2 approved by the department board, specific to gambling addiction. 3 * * * 4 F. Each compulsive gambling counselor candidate shall sign a form 5 prescribed by the department board authorizing the department board to obtain a 6 criminal history or to conduct a criminal background check. 7 G. 8 * * * 9 (2) The department board shall determine the scope and administration of the 10 examination. 11 (3) The department board may provide for circumstances under which a 12 candidate who fails the examination, but who meets all other requirements, may 13 retake the examination. 14 (4) The department board shall make reasonable accommodations for those 15 candidates who demonstrate a special need or disability. 16 * * * 17 I. The department board shall revoke the certification for gambling 18 counseling of any person who does not maintain the valid and current necessary 19 credential of licensed, certified, or registered addiction counselor or qualified mental 20 health professional. 21 §3387.10. Licensed prevention professional 22 * * * 23 B. Any person seeking to be recognized by the department board as a 24 licensed prevention professional shall submit an application to the department board 25 on a form and in a manner as the department board shall prescribe. The initial 26 application form shall be accompanied by an initial application fee of not less than 27 one hundred dollars nor more than three hundred dollars. The license shall be 28 renewed every two years and shall be accompanied by a fee for renewal of not less 29 than one hundred dollars nor more than three hundred dollars. Page 19 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 C. Upon investigation of the application, the department board shall, not less 2 than within forty-five days prior to any examination, notify each candidate that the 3 application is satisfactory and accepted or unsatisfactory and rejected. If an 4 application is rejected, the notice shall state the reason for such rejection. 5 D. The department board shall recognize as a licensed prevention 6 professional each candidate who: 7 (1) Possesses, at a minimum, a master's degree from an accredited institution 8 of higher education and documents one year of department-approved board-approved 9 prevention experience. 10 * * * 11 (3) Is not in violation of any ethical standards subscribed to by the 12 department board. 13 (4) Has not been convicted of or entered a plea of guilty or a plea of nolo 14 contendere to a felony. However, the department board may, in its discretion, waive 15 this requirement upon review of the individual's circumstances. Each candidate shall 16 provide the department board with a certified criminal history. 17 (5) 18 * * * 19 (b) The department board shall determine the scope and administration of the 20 examination. 21 (c) The department board may provide for circumstances under which a 22 candidate who fails the examination, but who meets all other requirements, may 23 retake the examination. 24 (d) The department board shall make reasonable accommodations for those 25 candidates who demonstrate a special need or disability. 26 (6) Documents completion of any ethics training required by the department 27 board and signs a form of professional and ethical accountability and responsibility 28 as prescribed by the department board. Page 20 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (7) Documents having successfully completed any training prescribed by the 2 department board. Training as contemplated in this Chapter may include educational 3 as well as experiential components. 4 (8) Provides three letters of recommendation as prescribed by the department 5 board. 6 E. The licensed prevention professional is a practice credential and to the 7 extent possible, it shall be governed by existing rules, including but not limited to 8 those applicable to the application for and renewal of prevention practice credentials. 9 The department board may adopt and promulgate such additional rules as may be 10 necessary and may prescribe such other qualifications and requirements for licensed 11 prevention professionals as may be appropriate for the protection of the public or the 12 enhancement of professional services provided under pursuant to the authority of this 13 Chapter. 14 §3387.11. Certified prevention professional 15 * * * 16 B. Any person seeking to be recognized by the department board as a 17 certified prevention professional shall submit an application to the department board 18 on a form and in a manner as the department board shall prescribe. The initial 19 application form shall be accompanied by an initial application fee of not less than 20 one hundred dollars nor more than three hundred dollars. The certification shall be 21 renewed every two years and shall be accompanied by a fee for renewal of not less 22 than one hundred dollars nor more than three hundred dollars. 23 C. Upon investigation of the application, the department board shall, not less 24 than within forty-five days prior to any examination, notify each candidate that the 25 application is satisfactory and accepted or unsatisfactory and rejected. If an 26 application is rejected, the notice shall state the reason for such rejection. 27 D. The department board shall recognize as a certified prevention 28 professional each candidate who: Page 21 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (1) Possesses a bachelor's degree from an accredited institution of higher 2 education and documents two years of department-approved board-approved 3 prevention experience. 4 * * * 5 (3) Is not in violation of any ethical standards subscribed to by the 6 department board. 7 (4) Has not been convicted of or entered a plea of guilty or a plea of nolo 8 contendere to a felony. However, the department board may, in its discretion, waive 9 this requirement upon review of the individual's circumstances. Each candidate 10 shall provide the department board with a certified criminal history. 11 (5) 12 * * * 13 (b) The department board shall determine the scope and administration of the 14 examination. 15 (c) The department board may provide for circumstances under which a 16 candidate who fails the examination, but who meets all other requirements, may 17 retake the examination. 18 (d) The department board shall make reasonable accommodations for those 19 candidates who demonstrate a special need or disability. 20 (6) Documents completion of any ethics training required by the department 21 board and signs a form of professional and ethical accountability and responsibility 22 as prescribed by the department board. 23 (7) Documents having successfully completed any training prescribed by the 24 department board. Training as contemplated in this Chapter may include educational 25 as well as experiential components. 26 (8) Provides three letters of recommendation as prescribed by the department 27 board. 28 E. The certified prevention professional is a practice credential and, to the 29 extent possible, it shall be governed by existing rules, including but not limited to Page 22 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 those applicable to the application for and renewal of prevention practice credentials. 2 The department board may adopt and promulgate such additional rules as may be 3 necessary and may prescribe such other qualifications and requirements for certified 4 prevention professionals as may be appropriate for the protection of the public or the 5 enhancement of professional services provided under pursuant to the authority of this 6 Chapter. 7 §3387.12. Registered prevention professional 8 * * * 9 B. Any person seeking to be recognized by the department board as a 10 registered prevention professional shall submit an application to the department 11 board on a form and in a manner as the department board shall prescribe. The initial 12 application form shall be accompanied by an initial application fee of not less than 13 one hundred dollars nor more than three hundred dollars. The registration shall be 14 renewed every two years and shall be accompanied by a fee for renewal of not less 15 than one hundred dollars nor more than three hundred dollars. 16 C. Upon investigation of the application, the department board shall, not less 17 than within forty-five days prior to any examination, notify each candidate that the 18 application is satisfactory and accepted or unsatisfactory and rejected. If an 19 application is rejected, the notice shall state the reason for such rejection. 20 D. The department board shall recognize as a registered prevention 21 professional each candidate who: 22 (1) Possesses a high school diploma or its equivalent and documents three 23 years of department-approved board-approved prevention experience. 24 * * * 25 (3) Is not in violation of any ethical standards subscribed to by the 26 department board. 27 (4) Has not been convicted of or entered a plea of guilty or a plea of nolo 28 contendere to a felony. However, the department board may, in its discretion, waive Page 23 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 this requirement upon review of the individual's circumstances. Each candidate shall 2 provide the department board with a certified criminal history. 3 (5) 4 * * * 5 (b) The department board shall determine the scope and administration of the 6 examination. 7 (c) The department board may provide for circumstances under which a 8 candidate who fails the examination but who meets all other requirements may retake 9 the examination. 10 (d) The department board shall make reasonable accommodations for those 11 candidates who demonstrate a special need or disability. 12 (6) Documents completion of any ethics training required by the department 13 board and signs a form of professional and ethical accountability and responsibility 14 as prescribed by the department board. 15 (7) Documents having successfully completed any training prescribed by the 16 department board. Training as contemplated in this Chapter may include educational 17 as well as experiential components. 18 (8) Provides three letters of recommendation as prescribed by the department 19 board. 20 E. The registered prevention professional is a practice credential and, to the 21 extent possible, it shall be governed by existing rules, including but not limited to 22 those applicable to the application for and renewal of prevention practice credentials. 23 The department board may adopt and promulgate such additional rules as may be 24 necessary and may prescribe such other qualifications and requirements for 25 registered prevention professionals as may be appropriate for the protection of the 26 public or the enhancement of professional services provided under pursuant to the 27 authority of this Chapter. 28 §3387.14. Certified prevention supervisor 29 * * * Page 24 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 B. The department board shall adopt and promulgate rules which shall 2 provide for the certification of prevention supervisors in accordance with the 3 provisions of this Chapter. 4 C. Any person seeking to be recognized by the department board as a 5 certified prevention supervisor shall submit an application on a form and in a manner 6 prescribed by the department board. The application shall be accompanied by a fee 7 of not less than one hundred dollars nor more than three hundred dollars. The fee for 8 renewal shall be not less than one hundred dollars nor more than three hundred 9 dollars. 10 D. Upon investigation of the application, the department board shall, within 11 thirty days, notify each candidate that the application is satisfactory and accepted or 12 unsatisfactory and rejected. If an application is rejected, the notice shall state the 13 reason for such rejection. 14 E. The department board shall recognize as a certified prevention supervisor 15 each candidate who: 16 (1) Holds a valid and current credential as a licensed or certified prevention 17 professional. 18 (2) Is not in violation of any ethical standards subscribed to by the 19 department board. 20 (3) Does not have any pending disciplinary action with the department 21 board. 22 (4) Is not a defendant in any pending felony criminal proceedings. 23 (5) Has not been convicted of or entered a plea of guilty or a plea of nolo 24 contendere to a felony. However, the department board may, in its discretion, waive 25 this requirement upon review of the individual's circumstances. Each candidate shall 26 provide a certified criminal history. 27 (6) Satisfies such other requirements as the department board may establish, 28 including but not limited to receiving specialized training, obtaining specialized 29 experience, and passing an examination. In the event the department board requires Page 25 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 an examination, the fee for administering the examination shall be in an amount 2 sufficient to cover the cost of administering the examination, but shall not be less 3 than fifty dollars nor more than two hundred dollars. 4 §3388. License, certification, registration renewal 5 * * * 6 B. Within the two-year period provided for herein each licensed, certified, 7 and registered addiction counselor shall provide to the department board 8 documentation of successfully completing forty-eight department-approved board- 9 approved continuing educational hours. 10 C. The documentation required by this Section shall be provided on a form 11 and in a manner prescribed by the department board. 12 §3388.1. Counselor-in-training renewal 13 * * * 14 B. Within the twelve-month period provided for herein, each counselor-in- 15 training shall provide to the department board documentation of successfully 16 completing a minimum of twenty department-approved board-approved continuing 17 educational hours or documentation that the counselor-in-training has been actively 18 engaged in pursuing a degree from an accredited institution of higher learning in a 19 human services or behavioral science discipline, or such other discipline or 20 disciplines as the department board may designate. 21 C. The documentation required by this Section shall be provided on a form 22 and in a manner prescribed by the department board. 23 * * * 24 §3388.2. Clinical supervision, prevention supervision, and compulsive gambling 25 counselor certification renewal 26 * * * 27 B. Within the twenty-four-month period provided for herein in this Section, 28 each clinical supervisor, prevention supervisor, and compulsive gambling counselor 29 shall provide to the department board documentation of successfully completing a Page 26 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 minimum of eight department-approved board-approved continuing educational 2 hours for each certificate being renewed. Such hours shall be directly related to the 3 area of certification. 4 C. The documentation required by this Section shall be provided on a form 5 and in a manner prescribed by the department board. 6 D. The department board may prescribe such other requirements for clinical 7 supervision, prevention supervision, and compulsive gambling counselor 8 certification renewal as may be appropriate for the protection of the public or the 9 enhancement of professional services provided under the authority of this Chapter. 10 §3388.3. Applicability 11 A. The legislature finds that there are various credentials offered and 12 recognized in the state of Louisiana for those professionals who are engaged, prior 13 to July 8, 2004, in the practice of counseling persons suffering from addictive 14 disorders, as well as the providing of prevention services. It is the intent of the 15 legislature that there be a single authority issuing credentials for addictive disorder 16 counseling and prevention professionals in Louisiana. The authority for issuing and 17 recognizing credentials for professionals engaged in the providing of counseling and 18 prevention services for those who suffer from addictive disorders shall be the 19 Louisiana Department of Health, office of behavioral health Addictive Disorder 20 Regulatory Authority. 21 §3388.4. Powers and duties of the department Addictive Disorder Regulatory 22 Authority 23 A. The department Addictive Disorder Regulatory Authority shall: 24 * * * 25 (8) Prescribe and adopt regulations, standards, procedures, and policies 26 governing the manner and conditions under which credit shall be given by the 27 department board for participation in programs of education or experience, including 28 programs of continuing professional education, such as the department board may 29 consider necessary. Page 27 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (9) Maintain a complete roster of all those awarded a credential or status 2 under pursuant to the provisions of this Chapter. The department may delegate to 3 an appropriate professional association, the responsibility of maintaining a roster or 4 registry of addiction treatment assistants or prevention assistants. This delegation 5 may be upon such terms and conditions as the department deems appropriate or 6 necessary. 7 (10) Adopt and promulgate rules, regulations, and standards for department 8 board approval of institutions providing clinical training or education in areas 9 pertaining to a credential or status governed by the provisions of this Chapter. 10 (11) Issue subpoenas to require attendance, testimony, and production of 11 documents in the process of enforcing the provisions of this Chapter and department 12 board rules or in order to secure evidence or testimony pursuant to any investigation 13 conducted in furtherance of the department's board's authority or responsibility as 14 provided in this Chapter. 15 * * * 16 (13) Enter into any contract, including any professional services contract, 17 related to its responsibilities in complying with this Chapter and other applicable 18 state laws. 19 (14) On or before February 1 annually, submit a report to the governor, the 20 secretary of the Louisiana Department of Health, and the House and Senate 21 committees on health and welfare encompassing the financial and professional 22 actions of the board. The report shall have the same form and content as prescribed 23 by R.S. 49:1304(B). 24 (15) Adopt standards for supervision of registered and certified addiction 25 counselors. 26 B. The department may delegate to an appropriate professional association 27 or university any of the duties imposed upon it by this Chapter, other than 28 rulemaking and fee determination. This delegation may be on such terms and 29 conditions as the department deems appropriate or necessary. The department may Page 28 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 authorize any third party acting on its behalf, pursuant to the provisions of this 2 Chapter, to collect any fees authorized by this Chapter. The department may 3 authorize any such third party to keep any fees collected. The board may do all of the 4 following: 5 (1) Apply for all available and appropriate public and private grants from 6 any source. 7 (2) Accept grants from public or private sources to be utilized for purposes 8 of the board. 9 §3389. Transition; Addictive Disorder Regulatory Authority 10 A. The legislature hereby finds it appropriate that the responsibility and 11 authority to regulate the practice of addictive disorder treatment and prevention be 12 exercised by a licensing board created for that purpose. 13 B. The Addictive Disorder Regulatory Authority (ADRA) is hereby created 14 within the Louisiana Department of Health to exercise all regulatory jurisdiction over 15 the credentialing and practice of addiction counselors and prevention professionals, 16 persons holding specialty certifications issued by the board, paraprofessionals 17 authorized by this Chapter, and those in training to become addiction counselors and 18 prevention professionals. The ADRA shall be governed by a board of directors, 19 referred to hereafter in this Chapter as the "board", consisting of seven eight voting 20 members and one nonvoting member, all of whom shall be appointed by the 21 governor, subject to Senate confirmation, as follows: 22 (1) One nonvoting member who possesses significant knowledge in the area 23 of addiction from a list of three names submitted by the Louisiana State Medical 24 Society. 25 (2) One voting member who possesses significant experience and knowledge 26 in the area of compulsive gambling from a list of three names submitted by the 27 Louisiana Association of Substance Abuse Counselors and Trainers, Inc. Page 29 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (3) One voting member who possesses significant experience and knowledge 2 in the area of prevention from a list of three names submitted by the Louisiana 3 Association of Substance Abuse Counselors and Trainers, Inc. 4 (4) One voting member who possesses significant experience and knowledge 5 in the area of opiate replacement therapy from a list of three names submitted by the 6 Louisiana Association of Substance Abuse Counselors and Trainers, Inc. 7 (5) Three voting members from a list of nine names divided into three groups 8 of three names each submitted by the Louisiana Association of Substance Abuse 9 Counselors and Trainers, Inc. 10 (6) One voting member who is a consumer selected from the state at large. 11 C. The governor shall ensure that his appointments demonstrate race, gender, 12 ethnic, and geographical diversity. Members of the board shall serve three-year 13 terms. Members appointed to fill vacancies caused by death, resignation, or removal 14 shall serve the unexpired terms of their predecessors. 15 E. D. Members of the board shall may elect a chairman and such other 16 officers as they deem necessary to carry out the duties and functions of the board. 17 The ADRA Addictive Disorder Regulatory Authority may employ persons necessary 18 to carry out the provisions of this Chapter and may fix their compensation. The 19 ADRA authority shall employ at least three persons: an executive director, an 20 assistant director, and an administrative assistant. Employees of the board shall be 21 eligible to participate in the state group benefits plan and in the state retirement 22 system. 23 F. E. A majority of the voting members of the board shall constitute a 24 quorum for the transaction of all business. 25 G.(1) F.(1) The consumer member of the board shall possess all of the 26 following qualifications: 27 (a) Is a citizen of the United States and has been a resident of Louisiana for 28 at least one year immediately prior to appointment. 29 (b) Has attained the age of majority. Page 30 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (c) Has never been licensed by any of the licensing boards identified in R.S. 2 36:259(A), nor shall he have a spouse who has ever been licensed by a board 3 identified in R.S. 36:259(A). 4 (d) Has never been convicted of a felony. 5 (e) Does not have and has never had a material financial interest in the 6 healthcare profession. 7 (2) The consumer member shall be a full voting member of the board with 8 all rights and privileges conferred on board members, except that the consumer 9 member shall not participate in the grading of individual examinations. 10 G. It is the intent of the legislature that the board exercise all regulatory 11 jurisdiction over the credentialing and practice of addiction counselors, prevention 12 professionals, persons holding specialty certifications issued by the board, 13 paraprofessionals authorized by this Chapter, and those in training to become 14 addiction counselors and prevention professionals. 15 §3390. Prohibited practice; injunctive relief 16 A. No one may hold himself out as having a credential or status authorized 17 by the provisions of this Chapter who is not so recognized by the department board. 18 B. The credential or status of anyone who fails to timely renew a status or 19 credential authorized by this Chapter shall be deemed suspended unless and until 20 renewed or reinstated as provided for by the department board. Any person whose 21 status or credential is suspended shall be prohibited from exercising the scope of 22 practice provided for in this Chapter relative to the suspended credential or status. 23 C. The department board may cause an injunction to be issued in any court 24 of competent jurisdiction enjoining any person from violating the provisions of this 25 Chapter. Failure of the department board to seek an injunction shall not constitute 26 a waiver nor confer upon any person violating the provisions of this Chapter a right 27 to engage in such conduct. 28 D. In any suit for injunction, the department board may impose on the 29 defendant a penalty of not less than one hundred dollars nor more than one thousand Page 31 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 dollars and attorney fees and court costs. The judgment for penalty, attorney fees, 2 and costs may be rendered in the same judgment in which the injunction is made 3 absolute. 4 §3390.1. Persons and practices not affected 5 * * * 6 C. Nothing in this Chapter shall be construed as prohibiting the activities of 7 any person recognized as a counselor or prevention specialist-in-training by the 8 department board, and employed or supervised in the manner prescribed by the 9 department board, from carrying out specific tasks under professional supervision. 10 The person supervised shall not represent himself to the public as having any 11 credential or status which the department board does not recognize him as having. 12 D. Nothing in this Chapter shall be construed as prohibiting the activities of 13 any student in an accredited educational institution, from carrying out activities that 14 are part of the prescribed course of study, provided such activities are authorized by 15 this Chapter or by the department board. Such student shall hold himself out to the 16 public only by clearly indicating his student status and the profession in which he is 17 being trained. 18 §3390.2. Reciprocity; other states 19 The department board may recognize, grant, or issue any credential or status 20 authorized by this Chapter, and without examination in this state, to any applicant 21 holding a valid credential or status recognized or issued in another state, provided 22 the department board determines that the credential or status in question is based 23 upon an examination or other requirements substantially equivalent to the 24 requirements of this Chapter and such other requirements as may be prescribed by 25 the department board in accordance with the provisions of this Chapter. The 26 department board shall have the authority to determine which status or credential, 27 and corresponding scope of practice, authorized by this Chapter should be allowed 28 to an individual seeking reciprocity. Page 32 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 §3390.3. Disciplinary action; administrative fee; causes; hearing; appeal 2 A. The department board shall have the power to deny, revoke, or suspend 3 any credential, specialty certification, status, or other recognition authorized by this 4 Chapter. In addition, the department board is authorized to impose and collect an 5 administrative fee not to exceed five hundred dollars per violation or otherwise 6 discipline any person holding a credential, specialty certification, status, or 7 recognition authorized by this Chapter who: 8 * * * 9 (3) Violates any provision of the ethical standards to which the department 10 board subscribes. 11 * * * 12 (5) Is impaired in delivery of professional services because of substance 13 abuse use disorder, compulsive gambling, or because of medical or psychiatric 14 disability. 15 * * * 16 (7) Allows a credential or status issued by the department board to be used 17 by a person other than the one to whom the credential or status was issued. 18 * * * 19 (12) Has violated any lawful order, rule, or regulation rendered or adopted 20 by the department board. 21 * * * 22 B. The department board shall adopt rules and procedures establishing a 23 disciplinary process which shall, at a minimum, comply with the following: 24 (1) Any person whose credential or status is sought to be disciplined in 25 accordance with the provisions of this Chapter shall be given thirty days notice in 26 writing enumerating the charges and specifying the date for a hearing before the 27 department board conducted in accordance with applicable provisions of the 28 Administrative Procedure Act, R.S. 49:950 et seq. Page 33 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (2) In connection with any hearing the department board may issue 2 subpoenas, compel the attendance and testimony of witnesses, and administer oaths 3 in the same manner as a district court in the parish wherein the hearing takes place. 4 (3) A stenographic or audio record of all disciplinary proceedings before the 5 department board shall be made and upon payment by the requesting party a 6 transcript kept on file with the department board. 7 (4) If the department board finds that public health, safety, and welfare 8 requires emergency action and incorporates a finding to that effect in its order, a 9 summary suspension of a license, certificate, or registration may be ordered pending 10 proceedings for disciplinary action. Such proceedings shall be promptly instituted 11 and determined pursuant to rule. 12 C. Any person aggrieved by a decision of the department board in a 13 disciplinary hearing may appeal the decision within thirty days to the district court 14 for the parish wherein the hearing was held pursuant to the Administrative Procedure 15 Act. 16 D. In addition to the disciplinary action or fines assessed by the department 17 board, the department board may assess all costs incurred in connection with the 18 proceedings including but not limited to investigation, court reporting, attorney fees, 19 and court costs. 20 E. The board, in its discretion, may maintain the confidentiality of an 21 individual licensee, registrant, or certificate holder who violates a provision of this 22 Chapter whenever the board determines that the public interest will be best served 23 by alternatives to the disciplinary process. 24 §3390.4. Confidentiality 25 No person holding a credential or status recognized by the department board 26 and authorized by this Chapter may disclose any information he may have acquired 27 from persons consulting him in his professional capacity where the information was 28 necessary to enable him to render services to those persons except: 29 * * * Page 34 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (5) When the person waives the privilege by filing a complaint with the 2 department board or otherwise invokes the jurisdiction of the department board. 3 * * * 4 §3390.6. Addictive disorders professionals; fees and penalties 5 A. The department board shall, by rule, adopt a schedule of fees and 6 penalties to be charged relative to the issuance of licenses and certifications, as 7 provided for in this Chapter. 8 B. The department is authorized to board may impose and collect the 9 following fees: 10 (1) Each application for a licensed addiction counselor, certified addiction 11 counselor, or registered addiction counselor shall be accompanied by a fee prescribed 12 by the department board. The fee for processing the application shall be in an 13 amount at least sufficient to cover the cost of processing the application, but shall not 14 be less than one hundred dollars nor more than three hundred dollars. The fee for 15 administering the written examination shall be in an amount at least sufficient to 16 cover the cost of administering the written examination, but shall not be less than one 17 hundred dollars nor more than three hundred dollars. The fee for the oral 18 examination or case presentation shall not be less than one hundred dollars nor more 19 than three hundred dollars. The renewal fee for a licensed addiction counselor, 20 certified addiction counselor, or registered addiction counselor shall not be less than 21 one hundred dollars nor more than three hundred dollars. 22 (2) Each application for a certified prevention specialist or registered 23 preventionist shall be accompanied by a fee prescribed by the department board. The 24 fee for processing the application shall be in an amount at least sufficient to cover 25 the cost of processing the application, but shall not be less than one hundred dollars 26 nor more than three hundred dollars. The fee for administering the written 27 examination shall be in an amount at least sufficient to cover the cost of 28 administering the written examination, but shall not be less than one hundred dollars 29 nor more than three hundred dollars. The renewal fee for a certified prevention Page 35 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 specialist or registered preventionist shall not be less than one hundred dollars nor 2 more than three hundred dollars. 3 (3) Each application for a certified clinical supervisor or certified compulsive 4 gambling counselor shall be accompanied by a fee prescribed by the department 5 board. The fee for processing the application shall be in an amount at least sufficient 6 to cover the cost of processing the application, but shall not be less than fifty dollars 7 nor more than two hundred dollars. The fee for administering the written 8 examination shall be in an amount at least sufficient to cover the cost of 9 administering the written examination, but shall not be less than fifty dollars nor 10 more than two hundred dollars. The renewal fee for a certified clinical supervisor 11 or certified compulsive gambling counselor shall not be less than one hundred dollars 12 nor more than three hundred dollars. 13 (4) Each application for a counselor-in-training or prevention specialist-in- 14 training shall be accompanied by a fee prescribed by the department board. The fee 15 shall be in an amount at least sufficient to cover the cost of processing the 16 application, but shall not be less than twenty-five dollars nor more than one hundred 17 dollars. The renewal fee for a certified clinical supervisor or certified compulsive 18 gambling counselor shall not be less than twenty-five dollars nor more than one 19 hundred dollars. 20 (5) Each application for an addiction treatment assistant shall be 21 accompanied by a fee prescribed by the department board. The fee for processing 22 the application shall be in an amount at least sufficient to cover the cost of 23 processing the application, but shall not be less than twenty-five dollars nor more 24 than one hundred dollars. The fee for administering the written examination shall 25 be in an amount at least sufficient to cover the cost of administering the written 26 examination, but shall not be less than twenty-five dollars nor more than one hundred 27 dollars. The renewal fee for an addiction treatment assistant shall not be less than 28 twenty-five nor more than one hundred dollars. Page 36 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 1 (6) The department board may require that each application or request for 2 a copy of any roster maintained pursuant to R.S. 37:3388.4(9) R.S. 37:3386.3(A)(9) 3 be accompanied by a fee of not less than one hundred dollars nor more than three 4 hundred dollars. 5 (7) Each training or educational institute, provider, or institution shall pay 6 a fee of not less than two hundred nor more than two hundred fifty dollars to the 7 department board in order to be authorized to provide approved education, training, 8 and courses. Such authorization shall be valid for a period of one year. For those 9 education providers who elect not to seek annual approval, the department board is 10 authorized to impose and collect a fee of not less than one hundred nor more than 11 one hundred fifty dollars for each course approved. In addition, all providers 12 submitting course reports shall pay a fee of not less than one nor more than five 13 dollars per participant. 14 * * * 15 Section 3. R.S. 373387.10(F) and (G), 3387.13, and 3388.3(B) are hereby repealed 16in their entirety. 17 Section 4.(A) The Louisiana State Law Institute is hereby directed to redesignate 18R.S. 37:3388.4, as amended by Section 2 of this Act, as R.S. 37:3386.3. 19 (B) The Louisiana State Law Institute is hereby directed to redesignate R.S. 37:3389, 20as amended by Section 2 of this Act, as R.S. 37:3386.2. DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] HB 822 Original 2020 Regular Session Robby Carter Abstract: Revises the Addictive Disorders Practice Act; provides for the governing board of the Addictive Disorder Regulatory Authority to be the successor to the La. Dept. of Health with respect to credentialing of professionals who engage in the practice of counseling of persons with addictive disorders. Page 37 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 Present law provides for the licensing, certification, registration, and other credentialing of the following professionals who engage in the practice of counseling of persons with addictive disorders: (1)Licensed addiction counselors. (2)Certified addiction counselors. (3)Registered addiction counselors. (4)Counselors-in-training. (5)Addiction treatment assistants. (6)Certified clinical supervisors. (7)Certified compulsive gambling counselors. (8)Licensed prevention professionals. (9)Certified prevention professionals. (10)Registered prevention professionals. (11)Certified prevention supervisors. (12)Prevention services assistants. Proposed law repeals all provisions relating to prevention services assistants. Retains provisions relating to the other professionals listed above. Present law provides that the authority for issuing and recognizing credentials for professionals engaged in providing counseling and prevention services for those who suffer from addictive disorders shall be the office of behavioral health of the La. Department of Health (referred to hereafter as the "department"). Proposed law changes this authority from the department to the governing board of the Addictive Disorder Regulatory Authority created and provided for in present law (referred to hereafter as the "board"). Present law provides for enumerated powers and duties of the department with respect to credentialing of professionals engaged in providing counseling and prevention services for those who suffer from addictive disorders. Proposed law revises present law to assign these powers and duties to the board. Present law establishes the scope of practice and credentialing requirements for licensed addiction counselors, certified addiction counselors, and registered addiction counselors, respectively. Proposed law deletes requirements that licensed addiction counselor candidates, certified addiction counselor candidates, and registered addiction counselor candidates demonstrate competence by passing an oral examination. Otherwise, retains present law, including the requirement that candidates demonstrate competence by passing a written examination. Proposed law establishes the following limitations and requirements for certified addiction counselors: (1)The certified addiction counselor shall work only under the supervision of a licensed addiction counselor or qualified mental health professional. Page 38 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 20RS-1153 ORIGINAL HB NO. 822 (2)The certified addiction counselor shall register his supervisory licensed addiction counselor or qualified mental health professional with the board. (3)Supervisory contact between the certified addiction counselor and the supervisory licensed addiction counselor or qualified mental health professional shall be regular and documented, and shall be provided to the board upon request. Proposed law establishes the following limitations and requirements for registered addiction counselors: (1)The registered addiction counselor shall work only under the supervision of a licensed addiction counselor or other qualified mental health professional. (2)The registered addiction counselor shall register his supervisory licensed addiction counselor or other qualified mental health professional with the Addictive Disorder Regulatory Authority. (3)Supervisory contact between the registered addiction counselor and the supervisory licensed addiction counselor or qualified mental health professional must be regular and documented, and shall be provided to the board. Proposed law authorizes the board, in its discretion, to maintain the confidentiality of an individual licensee, registrant, or certificate holder who violates a provision of present law or proposed law whenever it determines that the public interest will be best served by alternatives to the disciplinary process. Proposed law repeals the following provisions of present law: (1)Provisions relating to prevention services assistants. (2)Date-specific provisions that have become obsolete. (Amends R.S. 36:259(A)(20) and R.S. 37:3386.1-3387.4, 3387.5(B)-(D), (E)(intro. para.) and (1)-(3), (F), and (G)(2)-(4), 3387.6(B)-(D), (E)(intro. para.), (2), (3), (5), and (6), (F), (G)(2)-(4), and (I), 3387.10(B), (C), (D)(intro. para.), (1), (3), (4), (5)(b)-(d), and (6)-(8), and (E), 3387.11(B), (C), (D)(intro. para.), (1), (3), (4), (5)(b)-(d), and (6)-(8), and (E), 3387.12(B), (C), (D)(intro. para.), (1), (3), (4), (5)(b)-(d), and (6)-(8), and (E), 3387.14(B) -(E), 3388(B) and (C), 3388.1(B) and (C), 3388.2(B)-(D), 3388.3(A), 3388.4(A)(intro. para.) and (8)-(11) and (B), 3389, 3390, 3390.1(C) and (D), 3390.2, 3390.3(A)(intro. para.), (3), (5), (7), and (12) and (B)-(D), 3390.4(intro. para.) and (5), and 3390.6(A) and (B)(intro. para.) and (1)-(7); Adds R.S. 37:3388.4(A)(13)-(15) and 3390.3(E); Repeals R.S. 37:3387.10(F) and (G), 3387.13, and 3388.3(B)) Page 39 of 39 CODING: Words in struck through type are deletions from existing law; words underscored are additions.