1 of 1 SENATE DOCKET, NO. 773 FILED ON: 1/18/2023 SENATE . . . . . . . . . . . . . . No. 158 The Commonwealth of Massachusetts _________________ PRESENTED BY: Sal N. DiDomenico _________________ To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General Court assembled: The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: An Act relative to applied behavior analysts. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :Sal N. DiDomenicoMiddlesex and Suffolk 1 of 13 SENATE DOCKET, NO. 773 FILED ON: 1/18/2023 SENATE . . . . . . . . . . . . . . No. 158 By Mr. DiDomenico, a petition (accompanied by bill, Senate, No. 158) of Sal N. DiDomenico for legislation relative to applied behavior analysts. Consumer Protection and Professional Licensure. [SIMILAR MATTER FILED IN PREVIOUS SESSION SEE SENATE, NO. 188 OF 2021-2022.] The Commonwealth of Massachusetts _______________ In the One Hundred and Ninety-Third General Court (2023-2024) _______________ An Act relative to applied behavior analysts. Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows: 1 SECTION 1. Section 88 of chapter 13 of the General Laws, as appearing in the 2020 2Official Edition, is hereby amended by striking out the figure “13” and inserting in place thereof 3the following figure:- "11" 4 SECTION 2. Section 89 of said chapter 13 of the General Laws is hereby amended by 5striking out subsection (A), and inserting in place thereof the following:- 6 "(A) Eight members shall be licensed practicing mental health and human services 7professionals, two of whom shall be marriage and family therapists, two of whom shall be 8rehabilitation counselors, two of whom shall be clinical mental health counselors, two of whom 9shall be educational psychologists; and each shall have been, for at least five years immediately 2 of 13 10preceding appointment, actively engaged as a practitioner rendering professional services in that 11field, or in the education and training of graduate students or interns in the field, or in appropriate 12human developmental research, or in other areas substantially equivalent thereto, and shall have 13spent the majority of the professional time in such activity during the two years preceding the 14appointment in the commonwealth. One of the 8 shall also be a member of a union licensable 15under sections 163 to 172, inclusive, of chapter 112"; 16 SECTION 3. Said chapter 13 of the General Laws is hereby further amended by adding 17the following 3 sections:- 18 "Section 110. (a) There shall be within the division of professional licensure a board of 19registration of behavior analysts. The board shall consist of 9 members to be appointed by the 20governor, 2 of whom shall be Licensed Behavior Analysts licensed under this section who hold 21doctoral degrees, 4 of whom shall be Licensed Behavior Analysts licensed under this section 22who hold master’s degrees, 1 of whom shall be a Licensed Assistant Behavior Analyst licensed 23under this section who holds a bachelor’s degree, and 2 members of the general public, subject to 24section 9B. Members of the board shall be residents of the commonwealth. 25 (b) Each member of the board shall serve for a term of 3 years and until a successor has 26been appointed and qualified. A vacancy in the membership of the board shall be filled for the 27unexpired term in the manner provided for the original appointment. No member shall serve 28more than 2 full consecutive terms. A member appointed for less than a full term may serve 2 29full terms in addition to that part of a full term. A former member shall be eligible for 30appointment after a lapse of 1 year. 3 of 13 31 (c) The governor may remove a member of the board for cause, but no board member 32shall be removed without first being informed in writing at least 30 days in advance of the 33reasons for such removal and of the member’s right to a public or private hearing and to have 34counsel present at the hearing. 35 Section 111.. The board shall hold at least 2 meetings annually and will determine an 36appropriate schedule of meetings that meets the needs of licensees. At its first regular meeting in 37each year the board shall elect from its own members by majority vote a chair. A majority of the 38board shall constitute a quorum. The members of the board shall serve without compensation but 39shall be reimbursed for actual expenses reasonably incurred in the performance of their board 40duties. The board may hire such staff as it deems necessary to carry out its activities. 41 Section 112. (a) The board of registration of behavior analysts may: (i) pass upon the 42qualifications of an application for a license under sections 275 to 287, inclusive, of chapter 112 43and shall issue a license to an applicant who is determined to be qualified to practice as a 44licensed behavior analyst or licensed assistant behavior analyst; (ii) adopt rules and regulations 45governing the licensure of behavior analysts and assistant behavior analysts; (iii) establish 46eligibility and renewal requirements; (iv) receive, review and approve or disapprove an 47application for a reciprocal license for an applicant who is licensed or certified as a behavior 48analyst in another state and who has demonstrated qualifications that equal or exceed those 49required under sections 275 to 287, inclusive, of said chapter 112; (v) fine, censure, revoke, 50suspend or deny a license and place on probation, reprimand or otherwise discipline a licensee 51for a violation of the code of ethics or the rules and regulations of the board under said sections 52275 to 287, inclusive, of said chapter 112; (vi) summarily suspend the license of a licensee who 53poses an imminent danger to the public; provided, however, that a hearing shall be afforded to 4 of 13 54the licensee within 10 day after any such action by the board to determine whether such 55summary action is warranted; and (vii) perform any other functions and duties as may be 56required to carry out this section. 57 (b) The board shall make available to the public a list of licensed behavior analysts and 58licensed assistant behavior analysts. 59 (c) The members of the board, its officers and employees shall be indemnified by the 60commonwealth for all actions taken as part of their responsibilities described in this section." 61 SECTION 4. Section 163 of chapter 112 of the General Laws is hereby amended by 62striking out the definitions, “Licensed applied behavior analyst” and “Licensed assistant applied 63behavior analyst”, and inserting in place thereof the following definitions:- 64 "Licensed assistant behavior analyst”, an individual who, by training, experience and 65examination meets the requirements for licensing by the board of registration of behavior 66analysts and is duly licensed to engage in the practice of applied behavior analysis under the 67supervision of a licensed behavior analyst under sections 275 through 287, inclusive. 68 “Licensed behavior analyst”, an individual who, by training, experience and examination 69meets the requirements for licensing by the board of registration of behavior analysts and is duly 70licensed to engage in the practice of applied behavior analysis in the commonwealth under 71sections 275 through 287, inclusive. 72 SECTION 5. Section 165 of chapter 112 of the General Laws is hereby amended by 73striking out the following words in the title of the section:- “applied behavior analysts”. 5 of 13 74 SECTION 6. Said Section 165 of chapter 112 of the General Laws is hereby further 75amended by striking out the eighth through fifteenth paragraphs in their entirety. 76 SECTION 7. Chapter 112 of the General Laws is hereby amended by adding the 77following 13 sections:- 78 Section 275. As used in sections 275 to 287, inclusive, the following words shall, unless 79the context clearly requires otherwise, have the following meanings: 80 “Board”, the board of registration of behavior analysts. 81 “Certifying entity”, the Behavior Analyst Certification Board, Inc. (BACB), or another 82entity whose programs to credential practitioners of applied behavioral analysis are accredited by 83the National Commission on Certifying Agencies (NCCA) or American National Standards 84Institute (ANSI) and approved by the board." Licensed assistant behavior analyst”, an individual 85who, by training, experience and examination meets the requirements for licensing by the board 86and is duly licensed to engage in the practice of applied behavior analysis under the supervision 87of a licensed behavior analyst. 88 “Licensed behavior analyst”, an individual who, by training, experience and examination 89meets the requirements for licensing by the board and is duly licensed to engage in the practice 90of applied behavior analysis in the commonwealth. 91 “Practice of applied behavior analysis”, the design, implementation and evaluation of 92instructional and environmental modifications to produce socially significant improvements in 93human behavior. The practice of applied behavior analysis includes the empirical identification 94of functional relations between behavior and environmental factors, known as functional 6 of 13 95assessment and analysis. Applied behavior analysis interventions are based on scientific research 96and direct and indirect observation and measurement of behavior and environment. They utilize 97contextual factors, motivating operations, antecedent stimuli, positive reinforcement, and other 98procedures to help individuals develop new behaviors, increase or decrease existing behaviors, 99and emit behaviors under specific environmental conditions. The practice of applied behavior 100analysis excludes diagnosis disorders, psychological testing, psychotherapy, cognitive therapy, 101psychoanalysis, and counseling. 102 “Recognized educational institution”, a degree-granting college or university which is 103accredited by (i) a regional accreditation body recognized by the United States Department of 104Education and (ii) a certifying entity. 105 Section 276. The board may issue a license to an applicant as a behavior analyst provided 106that the applicant: 107 (a) is of good moral character; 108 (b) has not engaged or is not engaging in any practice or conduct that would be grounds 109for refusing to issue a license under section 286; and 110 (c) has current certification at the appropriate level verified with the certifying entity by 111the board; and any other requirements and qualifications as deemed necessary by the board 112 Section 277. The board may issue a license to an applicant as an assistant behavior 113analyst provided that the applicant: 114 (a) is of good moral character; 7 of 13 115 (b) has not engaged or is not engaging in any practice or conduct that would be grounds 116for refusing to issue a license under section 286; 117 (c) has current certification at the appropriate level verified with the certifying entity by 118the board; and 119 (d) can provide the board upon request with evidence of current and ongoing supervision 120by a licensed behavior analyst who is approved as a supervisor by the certifying entity; and any 121other requirements and qualifications as deemed necessary by the board. 122 Section 278. Each person desiring to obtain a license as a behavior analyst or as an 123assistant behavior analyst shall make application to the board upon such form and in such 124manner as the board shall prescribe and shall furnish evidence satisfactory to the board that the 125person is of good moral character including, but not limited to, the fact that such applicant has 126not been convicted of a felony; provided, however, that for the purposes of this section, a 127conviction shall include a judgment, an admission of guilt or a plea of nolo contendere to any 128such felony charges or a conviction of an offense under the laws of another jurisdiction which, if 129committed in the commonwealth, would be a felony unless: 130 (i) at least 10 years have elapsed from the date of the conviction; and 131 (ii) the applicant satisfactorily demonstrates to the board that the applicant has made 132significant progress in personal rehabilitation since the conviction so that licensure of the 133applicant would not be expected to create a substantial risk of harm to the health and safety of 134the applicant’s clients or the public or a substantial risk of further criminal violations. 8 of 13 135 The board shall have access to criminal offender record information to review such 136felony or misdemeanor convictions as are necessary to carry out this section. 137 Section 279. Notwithstanding sections 276 and 277, the board may issue a license to an 138applicant who presents evidence that such applicant has been licensed or certified as a behavior 139analyst or assistant behavior analyst by a similar board of another jurisdiction the standards of 140which are at least the same as those required in the commonwealth. 141 Section 280. A fee shall be paid to the board for the original license. A license to practice 142as a licensed behavior analyst or a licensed assistant behavior analyst shall be valid for 2 years 143and must be renewed biennially. Any application for renewal of a license that has expired shall 144require the payment of a re-registration fee. 145 On or before September 30 of the year preceding the expiration of a license, the board 146shall forward to the holder of the license a form of application for renewal thereof. Upon the 147receipt of the completed form and the renewal fee on or before November 30, the board shall 148verify with the certifying entity that the applicant is certified at the appropriate level and is not 149the subject of any active investigation or disciplinary action by the certifying entity. If such 150verification is attained, the board shall issue a new license for the year commencing January 1. 151 Section 281. All fees required by sections 275 to 287, inclusive, shall be determined 152annually by the secretary of administration and finance under section 3B of chapter 7. All 153licensing and application fees and civil administrative penalties collected under said sections 275 154to 287, inclusive, shall be deposited into the Division of Professional Licensure Trust Fund 155established in section 35V of chapter 10. 9 of 13 156 Section 282. Nothing in sections 275 to 287, inclusive, shall be construed to prevent 157qualified members of other professions or occupations including, but not limited to, physicians, 158psychologists, teachers, members of the clergy, authorized Christian Science practitioners, 159attorneys-at-law, social workers, guidance counselors, clinical counselors, adjustment 160counselors, speech pathologists, audiologists or rehabilitation counselors from practicing applied 161behavior analysis if it is consistent with the legislated scope of practice and accepted ethical 162standards of their respective professions and the individual professional’s training and 163competence; provided, however, that no such Christian Science practitioner, attorneys-at-law, 164social worker, guidance counselor, clinical counselor, adjustment counselor, speech pathologist, 165audiologist or rehabilitation counselor shall use any title or description stating or implying that 166such person is a licensed behavior analyst or licensed assistant behavior analyst without holding 167said license. 168 Section 283. A person licensed under sections 275 to 287, inclusive, shall comply with 169the standards of ethical practice as adopted by the board. 170 Section 284. A person not licensed to practice applied behavior analysis who holds 171himself out to be a licensed behavior analyst or licensed assistant behavior analyst or who uses 172the title “licensed behavior analyst” or “licensed assistant behavior analyst” or engages in the 173practice of applied behavior analysis shall be subject to the penalties set forth in section 65A. 174 Section 285. The penalties set forth in section 284 shall not apply to matriculated college 175or university students or postdoctoral fellows whose applied behavior analysis activities are part 176of a defined program of study, course, practice, internship, or fellowship and are directly 177supervised by a licensed behavior analyst in the Commonwealth or a qualified faculty member. 10 of 13 178Such individuals must not represent themselves as professional behavior analysts and must use 179titles that clearly indicate their trainee status, such as “student,” “intern,” or trainee.” 180 Section 286. The board shall investigate all complaints relating to the proper practice of 181applied behavior analysis by a person licensed under sections 275 to 287, inclusive. 182 The board, after a hearing held under chapter 30A, may revoke, suspend or cancel the 183license, or reprimand, censure or otherwise discipline a licensed behavior analyst or licensed 184assistant behavior analyst upon proof satisfactory to a majority of the board that the licensee: 185 (i) fraudulently procured the license; 186 (ii) is guilty of an offense under any law of the commonwealth relating to the practice of 187applied behavior analysis or a rule or regulation adopted under those laws; 188 (iii) engaged in conduct that calls into question their competence to practice applied 189behavior analysis including, but not limited to, gross misconduct in the practice of applied 190behavior analysis or of practicing applied behavior analysis fraudulently, or beyond its 191authorized scope, or with gross incompetence, or with gross negligence on a particular occasion 192or negligence on repeated occasions; 193 (iv) practiced applied behavior analysis while the ability to practice was impaired by 194alcohol, drugs, physical disability or mental instability; 195 (v) has been habitually drunk or being or having been within a reasonable period of time 196addicted to, dependent on or a habitual user of narcotics, barbiturates, amphetamines, 197hallucinogens or other drugs having similar effects; 11 of 13 198 (vi) knowingly permitted, aided or abetted an unlicensed individual to perform activities 199requiring a license for purposes of fraud, deception or personal gain; 200 (vii) has been convicted of a criminal offense which reasonably calls into question the 201licensee’s ability to practice applied behavior analysis; 202 (viii) violated any rule or regulation of the board governing the practice of applied 203behavior analysis; or 204 (ix) violated any professional disciplinary or ethical standard established by the board. 205 No person who files a complaint or who reports or provides information under this 206section or assists the board at its request in any manner in discharging its duties and functions 207shall be liable in a cause of action arising out of the receiving of such information or assistance if 208the person making the complaint or reporting or providing the information or assistance does so 209in good faith and without malice. 210 If the licensee is found not to have violated this section, the board shall forthwith order a 211dismissal of the charges. 212 Written notice of a contemplated revocation or suspension of a license or the cause 213therefor, in sufficient particularity, and the date of a hearing thereon, shall be sent by registered 214or certified mail to the licensee at the licensee’s last known address at least 15 days before the 215date of the hearing. The licensee against whom a charge is filed shall have a right to appear 216before the board in person or by counsel, or both, may produce witnesses, introduce evidence 217and question witnesses. No license shall be revoked or suspended without such hearing, but the 218nonappearance of the licensee, after notice, shall not prevent such revocation or suspension. All 12 of 13 219matters upon which a contemplated revocation or suspension is based shall be introduced in 220evidence at the proceeding. The licensee shall be notified in writing of the board’s decision. The 221board may make such rules and regulations as it deems proper for the filing of charges and the 222conduct of hearings. 223 After issuing an order of revocation or suspension, the board may file a petition in equity 224in the superior court in a county in which the respondent resides or transacts business, or in 225Suffolk County, to ensure appropriate injunctive relief to expedite and secure the enforcement of 226its order, pending the final determination. 227 A decision by the board under this section shall be subject to review in superior court 228under chapter 30A. 229 Section 287. After three years from the date of revocation, an application for 230reinstatement may be made to the board and the board may, upon the affirmative vote of a 231majority of its members, grant such reinstatement. 232 SECTION 8. Notwithstanding section 110 of chapter 13 of the General Laws, the initial 233members of the board of registration of behavior analysts shall consist of 9 members to be 234appointed by the governor, 2 of whom shall be Licensed Behavior Analysts licensed under this 235section who hold doctoral degrees, 4 of whom shall be Licensed Behavior Analysts who hold 236master’s degrees, 1 of whom shall be a Licensed Assistant Behavior Analyst designated as such 237by the who holds a bachelor’s degree, and 2 members of the general public, subject to section 9B 238of chapter 13. Of the said initial members appointed to the board, 3 shall serve for terms of 3 239years, 3 shall serve for terms of 2 years and 3 shall serve for a term of 1 year. 13 of 13 240 SECTION 9. Individuals licensed in good standing as applied behavior analysts or 241assistant applied behavior analysts within the commonwealth upon the effective date of this Act 242shall be grandfathered, and not required to resubmit applications for licensure until the time as 243their license is due for renewal.