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CSSB 105(L&C): "An Act relating to the licensure of marital and family therapists; relating to professional liability insurance for marital and family therapists; relating to medical assistance for marital and family therapy services; and providing for an effective date."

00                      CS FOR SENATE BILL NO. 105(L&C)                                                                    
01 "An Act relating to the licensure of marital and family therapists; relating to                                         
02 professional liability insurance for marital and family therapists; relating to medical                                 
03 assistance for marital and family therapy services; and providing for an effective date."                               
04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA:                                                                
05    * Section 1. AS 08.63.100(a) is amended to read:                                                                   
06            (a)  The board shall issue a license to practice marital and family therapy to a                             
07       person who                                                                                                        
08                 (1)  applies on a form provided by the board;                                                           
09                 (2)  pays the fee established under AS 08.01.065;                                                       
10                 (3)  furnishes evidence satisfactory to the board that the person                                       
11                      (A)  has not engaged in conduct that is a ground for imposing                                      
12            disciplinary sanctions under AS 08.63.210;                                                                   
13                      (B)  holds a master's degree or doctorate in marital and family                                    
14            therapy or allied mental health field from a regionally accredited educational                               
01            institution approved by the board for which the person completed a course of                                 
02            study that included instruction substantially equivalent to the following:                                   
03                           (i)  three courses or nine semester or 12 quarter hours of                                    
04                 course work in marital and family therapy;                                                              
05                           (ii)  three courses or nine semester or 12 quarter hours of                                   
06                 course work in marital and family studies;                                                              
07                           (iii)  three courses or nine semester or 12 quarter hours                                     
08                 of course work in human development;                                                                    
09                           (iv)  one course or three semester or four quarter hours                                      
10                 of course work in professional studies or professional ethics and law;                                  
11 (v)  one course or three semester or four quarter hours of                                                              
12                 course work in research; and                                                                            
13 (vi)  one year of supervised clinical practice in marital                                                               
14                 and family therapy;                                                                                     
15 (C)  after receiving a degree described in (B) of this paragraph,                                                       
16            has                                                                                                          
17 [(i)]  practiced supervised marital and family therapy,                                                             
18 including 1,500 hours of [DIRECT] clinical contact with couples,                                                        
19                 individuals, and families; the 1,500 hours of [AND                                                  
20 (ii)  BEEN SUPERVISED IN THE] clinical contact                                                                          
21 must include [FOR] at least [200 HOURS, INCLUDING] 100 hours                                                        
22 of individual supervision and 100 hours of group supervision approved                                                   
23 by the board; the 100 hours of individual supervision and 100 hours                                                 
24 of group supervision may be conducted by one or more                                                                
25                 supervisors;                                                                                        
26                      (D)  has received training related to domestic violence; [AND]                                     
27 (E)  has passed a written or oral examination administered by                                                           
28            the board; and                                                                                           
29 (F) has professional liability insurance; the insurance must                                                        
30 include coverage of not less than $30,000 for the applicant's regulatory                                            
31            investigation fees in the state.                                                                         
01    * Sec. 2. AS 08.63.120(b) is amended to read:                                                                      
02            (b)  A person who supervises a licensee under this section during                                        
03                 (1)  individual supervision must                                                                    
04                      (A) [(1)]  have practiced marital and family therapy for five                                  
05            years;                                                                                                       
06                      (B) [(2)]  be licensed under this chapter; and                                                 
07                      (C) [(3)]  meet the minimum standards established by the board                                 
08            for approved supervisors; or                                                                             
09                 (2) group supervision must be licensed to practice as a                                             
10                      (A) professional counselor under AS 08.29;                                                     
11                      (B) marital and family therapist under AS 08.63;                                               
12 (C) physician under AS 08.64 who is licensed by the State                                                           
13            Medical Board as a psychiatrist;                                                                         
14 (D) advanced practice registered nurse under AS 08.68 who                                                           
15 is authorized by the Board of Nursing to practice as an adult or family                                             
16            psychiatric mental health nurse practitioner;                                                            
17                      (E) psychologist under AS 08.86; or                                                            
18                      (F) clinical social worker under AS 08.95.                                                     
19    * Sec. 3. AS 47.07.030(b) is amended to read:                                                                      
20 (b)  In addition to the mandatory services specified in (a) of this section and the                                     
21 services provided under (d) of this section, the department may offer only the                                          
22 following optional services: case management services for traumatic or acquired brain                                   
23 injury; case management and nutrition services for pregnant women; personal care                                        
24 services in a recipient's home; emergency hospital services; long-term care                                             
25 noninstitutional services; medical supplies and equipment; advanced practice                                            
26 registered nurse services; clinic services; rehabilitative services for children eligible                               
27 for services under AS 47.07.063, substance abusers, and emotionally disturbed or                                        
28 chronically mentally ill adults; targeted case management services; inpatient                                           
29 psychiatric facility services for individuals 65 years of age or older and individuals                                  
30 under 21 years of age; psychologists' services; clinical social workers' services;                                      
31 marital and family therapy services; midwife services; prescribed drugs; physical                                   
01 therapy; occupational therapy; chiropractic services; low-dose mammography                                              
02 screening, as defined in AS 21.42.375(e); hospice care; treatment of speech, hearing,                                   
03 and language disorders; adult dental services; prosthetic devices and eyeglasses;                                       
04 optometrists' services; intermediate care facility services, including intermediate care                                
05 facility services for persons with intellectual and developmental disabilities; skilled                                 
06 nursing facility services for individuals under 21 years of age; and reasonable                                         
07       transportation to and from the point of medical care.                                                             
08    * Sec. 4. AS 47.07.030(g) is amended by adding new paragraphs to read:                                             
09 (4)  "direct supervision" means that one or more psychiatrists are on the                                               
10       premises of a mental health physician clinic to provide services relating to mental                               
11       health at least 30 percent of the time that the clinic is open to provide those services;                         
12                 (5)  "mental health physician clinic" means a clinic that                                               
13                      (A)  is operated by one or more psychiatrists; and                                                 
14                      (B)  primarily provides clinic services relating to mental health;                                 
15                 (6)  "psychiatrist" means a person licensed to practice as a physician                                  
16       under AS 08.64 who is licensed by the State Medical Board as a psychiatrist.                                      
17    * Sec. 5. AS 47.07.030 is amended by adding a new subsection to read:                                              
18            (h)  The department may reimburse a mental health physician clinic for clinic                                
19       services under (b) of this section if the services are provided by                                                
20                 (1)  a psychiatrist; or                                                                                 
21                 (2)  an individual who                                                                                  
22                      (A)  works under the direct supervision of a psychiatrist; and                                     
23                      (B)  is licensed to practice as                                                                    
24                           (i)  a professional counselor under AS 08.29;                                                 
25                           (ii)  a marital and family therapist under AS 08.63;                                          
26                           (iii)  a physician assistant under AS 08.64;                                                  
27                           (iv)  an advanced nurse practitioner under AS 08.68 who                                       
28                 is authorized by the Board of Nursing to practice as an adult or family                                 
29                 psychiatric mental health nurse practitioner;                                                           
30                           (v)  a psychologist under AS 08.86;                                                           
31                           (vi)  a psychological associate under AS 08.86; or                                            
01                           (vii)  a clinical social worker under AS 08.95.                                               
02    * Sec. 6. The uncodified law of the State of Alaska is amended by adding a new section to                          
03 read:                                                                                                                   
04 TRANSITION: REGULATIONS. The Department of Health and Social Services  and                                              
05 the Board of Marital and Family Therapy may adopt regulations necessary to implement the                                
06 changes made by this Act. The regulations take effect under AS 44.62 (Administrative                                    
07 Procedure Act), but not before the effective date of the law implemented by the regulation.                             
08    * Sec. 7. Section 6 of this Act takes effect immediately under AS 01.10.070(c).                                    
09    * Sec. 8. Except as provided in sec. 7 of this Act, this Act takes effect January 1, 2019.