SENATE BILL No. 641

 

 

October 31, 2017, Introduced by Senator EMMONS and referred to the Committee on Health Policy.

 

 

      A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

by amending sections 16141, 16145, 16343, 18201, 18211, 18221,

 

18223, 18233, and 18237 (MCL 333.16141, 333.16145, 333.16343,

 

333.18201, 333.18211, 333.18221, 333.18223, 333.18233, and

 

333.18237), sections 16141 and 16145 as amended by 1993 PA 80,

 

section 16343 as added by 1993 PA 79, sections 18211 and 18221 as

 

amended by 2006 PA 395, section 18223 as amended by 2014 PA 385,

 

section 18233 as amended by 1994 PA 234, and section 18237 as

 

amended by 1998 PA 496, and by adding section 18236.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

 1        Sec. 16141. (1) The department shall furnish office services

 

 2  to the committee, the boards, and the task forces; have charge of

 

 3  their offices, records, and money collected; and perform managerial

 


 1  and administrative functions for them.

 

 2        (2) The department shall appoint administrative and

 

 3  secretarial staff, clerks, and employees necessary to allow the

 

 4  proper exercise of the powers and duties of the committee, a board,

 

 5  or a task force. Salaries and other expenses incurred by the

 

 6  committee, a board, or a task force and staff and expenses for

 

 7  studies and activities authorized under this article shall must be

 

 8  paid out of funds appropriated by the legislature for those

 

 9  purposes.

 

10        (3) The department may promulgate rules to promote the

 

11  effective and consistent administration of this article. However,

 

12  Except as otherwise provided in this article, the department shall

 

13  not promulgate rules that constitute the licensure, registration,

 

14  or examination of health professionals.

 

15        Sec. 16145. (1) A board may adopt and have an official seal.

 

16        (2) A board or task force may promulgate rules necessary or

 

17  appropriate to fulfill its functions as prescribed in this article.

 

18        (3) Only Except as otherwise provided in this article, only a

 

19  board or task force shall promulgate rules to specify requirements

 

20  for licenses, registrations, renewals, examinations, and required

 

21  passing scores.

 

22        Sec. 16343. Fees for a person an individual who is licensed or

 

23  seeking licensure to engage in the practice of psychology or

 

24  practice of a psychological associate under part 182 are as

 

25  follows:

 

 

26

(a)

Application processing fee.................... $ 50.00

27

(b)

License fee, per year:


 1

(i)

Full doctoral.................................   90.00

 2

(ii)

Limited doctoral.............................    30.00

 3

(iii)

Masters limited..............................    60.00

 4

(iv)

Temporary limited............................    15.00

 5

(v)

Psychological associate......................    60.00

 6

 

(vi)

Limited psychological associate..............    60.00

 7

 

(c)

Limited license, per year....................    40.00

 8

(d)

Temporary license............................    15.00

 9

(e)

Examination review fee.......................    20.00

 

 

10        Sec. 18201. (1) As used in this part:

 

11        (a) "Psychologist" means an individual licensed under this

 

12  article to engage in the practice of psychology.

 

13        (a) "Practice of a psychological associate" means rendering

 

14  psychotherapy services to individuals, groups, organizations, or

 

15  the public that involve the application of principles, methods, and

 

16  procedures of understanding, predicting, and influencing behavior

 

17  for the purposes of the diagnosis and intake assessment,

 

18  prevention, amelioration, or treatment of mental or emotional

 

19  disorders, disabilities, or behavioral adjustment problems by means

 

20  of psychotherapy, counseling, behavior modification, hypnosis,

 

21  biofeedback techniques, or other verbal or behavioral means.

 

22  Practice of a psychological associate does not include any of the

 

23  following:

 

24        (i) The practice of medicine, such as prescribing drugs,

 

25  performing surgery, or administering electro-convulsive therapy.

 

26        (ii) Except as otherwise provided in this part, the

 

27  administration, production, or distribution of written or verbal


 1  psychometric assessments, evaluations, or reports, or the

 

 2  documentation or distribution of the psychometric assessments,

 

 3  evaluations, or reports in a clinical record.

 

 4        (iii) The practice of applied behavior analysis unless the

 

 5  individual is licensed or otherwise authorized to engage in the

 

 6  practice of applied behavior analysis under part 182a.

 

 7        (b) "Practice of psychology" means the rendering services to

 

 8  individuals, groups, organizations, or the public of services

 

 9  involving that involve the application of principles, methods, and

 

10  procedures of understanding, predicting, and influencing behavior

 

11  for the purposes of the diagnosis, assessment related to diagnosis,

 

12  prevention, amelioration, or treatment of mental or emotional

 

13  disorders, disabilities or behavioral adjustment problems by means

 

14  of psychotherapy, counseling, behavior modification, hypnosis,

 

15  biofeedback techniques, psychological tests, psychometric

 

16  assessments, or other verbal or behavioral means. The practice

 

17  Practice of psychology shall does not include the practice of

 

18  medicine, such as including, but not limited to, prescribing drugs,

 

19  performing surgery, or administering electro-convulsive therapy.

 

20        (c) "Psychological associate" means an individual who is

 

21  licensed or otherwise authorized under this article to engage in

 

22  the practice of a psychological associate.

 

23        (d) "Psychologist" means an individual who is licensed under

 

24  this article to engage in the practice of psychology.

 

25        (e) "Psychometric assessment" includes, but is not limited to,

 

26  an actuarially based instrument that allows statistical prediction.

 

27        (2) In addition to the definitions in this part, article 1


 1  contains general definitions and principles of construction

 

 2  applicable to all articles in this code and part 161 contains

 

 3  definitions applicable to this part.

 

 4        Sec. 18211. (1) A person An individual shall not engage in the

 

 5  practice of psychology unless he or she is licensed or otherwise

 

 6  authorized by under this article. An individual shall not engage in

 

 7  the practice of a psychological associate unless he or she is

 

 8  licensed or otherwise authorized under this article.

 

 9        (2) The following words, titles, or letters or a combination

 

10  thereof, of the words, titles, or letters, with or without

 

11  qualifying words or phrases, are restricted in use only to those

 

12  persons authorized under this part to use the terms and in a way

 

13  prescribed in this part: "consulting psychologist", "psychologist",

 

14  "psychological assistant", "psychological examiner", "licensed

 

15  psychologist", and "limited licensed psychologist", "psychological

 

16  associate", "licensed psychological associate", and "limited

 

17  licensed psychological associate".

 

18        Sec. 18221. (1) The Michigan board of psychology is created in

 

19  the department and shall consist of the following 9 voting members,

 

20  who shall each of whom must meet the requirements of part 161:

 

21        (a) Until December 31, 2018, 5 psychologists, including at

 

22  least 1 nondoctoral psychologist, and 4 public members.

 

23        (b) Beginning January 1, 2019, 3 psychologists, 2

 

24  psychological associates, and 4 public members.

 

25        (2) Section 1212 does not apply to this board.

 

26        (3) (2) The terms of office of individual members of the board

 

27  created under this section, except those appointed to fill


 1  vacancies, expire 4 years after appointment on December 31 of the

 

 2  year in which the term expires.

 

 3        Sec. 18223. (1) The department, in consultation with the

 

 4  board, shall promulgate rules requiring that to be granted a

 

 5  license under this part to engage in the practice of psychology,

 

 6  except as provided in subsection (2), an individual must meet both

 

 7  of the following requirements:

 

 8        (a) Have been granted Holds a doctoral degree in psychology,

 

 9  or a doctoral degree in a closely related field, from a doctoral

 

10  degree program that meets both of the following requirements:

 

11        (i) Is offered by a regionally accredited or other college,

 

12  university, or institution approved by the board, which program

 

13  included and includes education and training appropriate to the

 

14  practice of psychology.

 

15        (ii) Has obtained the association Association of state State

 

16  and provincial psychology boards' Provincial Psychology Boards'

 

17  national register designation, has been accredited by the American

 

18  psychological association Psychological Association or the Canadian

 

19  psychological association, Psychological Association, or has

 

20  obtained a similar designation from or been accredited by an entity

 

21  approved by the board. For purposes of the requirement added by

 

22  2010 PA 121, this subparagraph, a program that is in the process of

 

23  obtaining the designation or becoming accredited as required

 

24  described in this sub-subparagraph subparagraph before August 1,

 

25  2011, and that obtains the designation or becomes accredited on or

 

26  before August 31, 2020, meets the requirements of this sub-

 

27  subparagraph.subparagraph.


 1        (b) Have not less than Has at least 1 year of postdoctoral

 

 2  experience in the practice of psychology in an organized health

 

 3  care setting or other arrangement, as established by the board.

 

 4        (2) This subsection does not apply beginning December 31,

 

 5  2017. In addition to section 16182, the board shall grant a limited

 

 6  license to engage in the practice of psychology to an individual

 

 7  granted who holds a master's degree in psychology from a regionally

 

 8  accredited college, or university, or institution approved by the

 

 9  board, if the individual has education, training, and experience

 

10  appropriate to the practice of psychology, as established by the

 

11  board. Except for duties performed as an employee of a governmental

 

12  entity or of a nonprofit organization serving benevolent and

 

13  charitable purposes, the board shall place 2 limitations on a

 

14  license granted to an individual under this subsection. The

 

15  limitations must require supervision An individual who is granted a

 

16  limited license under this subsection must be supervised by a

 

17  psychologist who has a license other than a limited license and

 

18  must prohibit advertising or other representation to the public

 

19  that will lead the public to believe the individual is engaging in

 

20  the practice of psychology. except when the individual is

 

21  performing duties as an employee of a governmental entity or of a

 

22  nonprofit organization serving benevolent and charitable purposes.

 

23  A limited license granted under this subsection is renewable

 

24  pursuant to under part 161. An individual who is applying for a

 

25  limited license pursuant to under this subsection must have 1 year

 

26  of supervised postgraduate experience in an organized health care

 

27  setting or other arrangement, as established by the board. The


 1  individual must be supervised by a psychologist who has a license

 

 2  other than a limited license, or if a psychologist who has a

 

 3  license other than a limited license is not available, by a

 

 4  psychologist who has at least a master's degree in psychology and

 

 5  at least 3 years of experience in the practice of psychology or by

 

 6  any other individual approved by the board.

 

 7        (3) The board shall issue grant a temporary license to the an

 

 8  individual described in subsection (2) for the purpose of obtaining

 

 9  the 1 year of postgraduate experience described in that subsection.

 

10  Beginning on December 31, 2017, a temporary license granted under

 

11  this subsection is valid for 2 years and may be renewed for 1

 

12  additional 2-year period. If an individual described in subsection

 

13  (2) was granted a temporary license by the board before December

 

14  31, 2017, his or her temporary license may be renewed for 1

 

15  additional 2-year period.

 

16        (4) The board shall grant a temporary license to an individual

 

17  who is enrolled in a doctoral degree program that meets the

 

18  requirements of subsection (1). Beginning on December 31, 2017, a

 

19  temporary license granted under this subsection is valid for 2

 

20  years and may be renewed for 3 additional 2-year periods. If an

 

21  individual enrolled in a doctoral program that meets the

 

22  requirements of subsection (1) was granted a temporary license by

 

23  the board before December 31, 2017, his or her temporary license

 

24  may be renewed for 3 additional 2-year periods.

 

25        (5) The department, in consultation with the board, may

 

26  promulgate rules on a licensure program for individuals who engage

 

27  in the practice of a psychological associate. Beginning December


 1  31, 2017, the board shall grant a license to engage in the practice

 

 2  of a psychological associate, except as otherwise provided in this

 

 3  section, to an individual who meets the requirements of subsection

 

 4  (6), (7), or (8), as applicable. All of the following apply to a

 

 5  license as a psychological associate:

 

 6        (a) An individual who is granted a psychological associate

 

 7  license under this section shall not make a representation to the

 

 8  public that will lead the public to believe that the individual is

 

 9  a psychologist.

 

10        (b) An individual who is granted a limited license as a

 

11  psychological associate under subsection (6) shall only engage in

 

12  the practice of a psychological associate under the supervision of

 

13  a psychologist who has a license other than a limited license.

 

14        (c) An individual who is granted a full license as a

 

15  psychological associate under subsection (7) or (8) may engage in

 

16  the practice of a psychological associate without supervision.

 

17        (6) The board shall grant a limited license as a psychological

 

18  associate to an individual who has a master's degree in psychology

 

19  from a regionally accredited or board-approved college, university,

 

20  or institution, the preparation for which included education and

 

21  training appropriate to engage in the practice of a psychological

 

22  associate. The following apply to a limited license granted under

 

23  this subsection:

 

24        (a) The limitations placed on the limited license shall

 

25  include the supervision requirement described in subsection (5)(b).

 

26        (b) The limited license is valid for 2 years and, subject to

 

27  subdivision (c), is renewable as follows:


 1        (i) Except as otherwise provided in subparagraph (ii), for 1

 

 2  additional 2-year period.

 

 3        (ii) If the individual is enrolled in a doctoral program that

 

 4  meets the requirements of subsection (1), for 2 additional 2-year

 

 5  periods.

 

 6        (c) The board may renew a limited license granted under this

 

 7  subsection for 1 additional 2-year period if the individual

 

 8  demonstrates to the satisfaction of the board that, due to a

 

 9  hardship, the individual needs time beyond the time described in

 

10  subdivision (b) to fulfill the requirements for initial licensure

 

11  as a psychological associate under subsection (7) or a

 

12  psychologist.

 

13        (7) The board shall grant a full license as a psychological

 

14  associate to an individual who meets all of the following

 

15  requirements:

 

16        (a) He or she has a master's degree in psychology from a

 

17  regionally accredited or board approved college, university, or

 

18  institution, the preparation for which included education and

 

19  training appropriate to engage in the practice of a psychological

 

20  associate.

 

21        (b) He or she has at least 4,000 hours of supervised

 

22  experience in the practice of a psychological associate in an

 

23  organized health care setting or other arrangement, as established

 

24  by the board. The following apply to the requirement described in

 

25  this subdivision:

 

26        (i) The board shall only recognize hours that are accumulated

 

27  in not fewer than 2 years or more than 4 years. However, the board


 1  may consider hours that are accumulated in not fewer than 2 years

 

 2  or more than 6 years if the individual demonstrates to the

 

 3  satisfaction of the board that, due to a hardship, the individual

 

 4  needed time beyond 4 years to fulfill the 4,000-hour requirement.

 

 5        (ii) The hours must be completed under the supervision of a

 

 6  psychologist who has a license other than a limited license.

 

 7  However, if a psychologist who has a license other than a limited

 

 8  license is not available, the board may authorize an individual who

 

 9  has a full license as a psychological associate that is not a

 

10  limited license and who has at least 3 years of experience under

 

11  the full license as a psychological associate to provide the

 

12  supervision required under this subdivision.

 

13        (c) Subject to standards included in any rule promulgated

 

14  under subsection (5), he or she has passed the examination for

 

15  professional practice in psychology as developed by the Association

 

16  of State and Provincial Psychology Boards.

 

17        (8) The board shall grant a full license as a psychological

 

18  associate to an individual who has continuously held a limited

 

19  license under subsection (2) before the effective date of the

 

20  amendatory act that added this subsection.

 

21        (9) Notwithstanding section 16182, an individual who is

 

22  granted a license to engage in the practice of a psychological

 

23  associate under this part shall not administer, produce, or

 

24  distribute written or verbal psychometric assessments, evaluations,

 

25  or reports, or document or distribute the psychometric assessments,

 

26  evaluations, or reports in a clinical record unless supervised and

 

27  countersigned by a psychologist who has a license other than a


 1  limited license. An individual licensed as a psychological

 

 2  associate may use nonpsychometric intake assessment tools.

 

 3        Sec. 18233. (1) In addition to the requirements of part 161,

 

 4  the board may require that a licensee seeking renewal of a license

 

 5  to must furnish the board with satisfactory evidence that during

 

 6  the 2 years immediately preceding application for renewal the

 

 7  licensee has attended continuing education courses or programs that

 

 8  are designed to further educate licensees and are approved by the

 

 9  board. totaling not less than a The department, in consultation

 

10  with the board, by rule may establish the minimum number of hours

 

11  established by rule of the board in of subjects related to the

 

12  practice of psychology and designed to further educate licensees.or

 

13  practice as a psychological associate, as appropriate, for

 

14  continuing education courses or programs required under this

 

15  subsection.

 

16        (2) As required under section 16204, the department, in

 

17  consultation with the board, shall promulgate rules requiring each

 

18  applicant for license renewal to complete as part of the continuing

 

19  education requirement of subsection (1) an appropriate number of

 

20  hours or courses in pain and symptom management.

 

21        Sec. 18236. The amendments to this part made by the amendatory

 

22  act that added this section do not require new or additional third-

 

23  party reimbursement or mandated worker's compensation benefits for

 

24  services rendered by an individual who is licensed as a

 

25  psychological associate under this part.

 

26        Sec. 18237. A psychologist licensed or allowed to use that

 

27  title licensee under this part or an individual under his or her


 1  supervision cannot be compelled to disclose confidential

 

 2  information acquired from an individual consulting the psychologist

 

 3  licensee in his or her professional capacity if the information is

 

 4  necessary to enable the psychologist licensee to render services.

 

 5  Information may be disclosed with the consent of the individual

 

 6  consulting the psychologistlicensee, or if the individual

 

 7  consulting the psychologist licensee is a minor, with the consent

 

 8  of the minor's guardian, pursuant to section 16222 if the

 

 9  psychologist licensee reasonably believes it is necessary to

 

10  disclose the information to comply with section 16222, or under

 

11  section 16281. In a contest on the admission of a deceased

 

12  individual's will to probate, an heir at law of the decedent,

 

13  whether a proponent or contestant of the will, and the personal

 

14  representative of the decedent may waive the privilege created by

 

15  this section.