Bill Text: FL S0700 | 2023 | Regular Session | Introduced
Bill Title: Mental Health Professionals
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2023-05-05 - Died in Health Policy [S0700 Detail]
Download: Florida-2023-S0700-Introduced.html
Florida Senate - 2023 SB 700 By Senator Burgess 23-00764A-23 2023700__ 1 A bill to be entitled 2 An act relating to mental health professionals; 3 amending s. 491.003, F.S.; revising definitions; 4 amending s. 491.0045, F.S.; reclassifying intern 5 registrations as associate licenses for the 6 professions of clinical social work, marriage and 7 family therapy, and mental health counseling; amending 8 s. 491.005, F.S.; conforming provisions to changes 9 made by the act; deleting the requirement that a 10 licensed mental health professional be present on the 11 premises when registered interns are providing 12 clinical services in a private practice setting; 13 amending ss. 491.007, 491.009, 491.012, 491.014, and 14 491.0149, F.S.; conforming provisions to changes made 15 by the act; amending s. 916.115, F.S.; revising 16 qualification requirements for experts appointed in 17 certain criminal proceedings related to the mental 18 condition of a defendant; amending s. 1002.394, F.S.; 19 revising the purposes for which certain funds awarded 20 under the Family Empowerment Scholarship Program may 21 be used; amending s. 414.065, F.S.; conforming a 22 cross-reference; providing an effective date. 23 24 Be It Enacted by the Legislature of the State of Florida: 25 26 Section 1. Present subsections (5) through (14), (15), 27 (16), and (17) of section 491.003, Florida Statutes, are 28 redesignated as subsections (8) through (17), (5), (6), and (7), 29 respectively, and paragraph (c) of present subsection (8), 30 paragraph (c) of present subsection (9), paragraph (c) of 31 present subsection (10), and present subsections (15), (16), and 32 (17) are amended, to read: 33 491.003 Definitions.—As used in this chapter: 34 (11)(8)The “practice of clinical social work” is defined 35 as the use of scientific and applied knowledge, theories, and 36 methods for the purpose of describing, preventing, evaluating, 37 and treating individual, couple, marital, family, or group 38 behavior, based on the person-in-situation perspective of 39 psychosocial development, normal and abnormal behavior, 40 psychopathology, unconscious motivation, interpersonal 41 relationships, environmental stress, differential assessment, 42 differential planning, and data gathering. The purpose of such 43 services is the prevention and treatment of undesired behavior 44 and enhancement of mental health. The practice of clinical 45 social work includes methods of a psychological nature used to 46 evaluate, assess, diagnose, treat, and prevent emotional and 47 mental disorders and dysfunctions (whether cognitive, affective, 48 or behavioral), sexual dysfunction, behavioral disorders, 49 alcoholism, and substance abuse. The practice of clinical social 50 work includes, but is not limited to, psychotherapy, 51 hypnotherapy, and sex therapy. The practice of clinical social 52 work also includes counseling, behavior modification, 53 consultation, client-centered advocacy, crisis intervention, and 54 the provision of needed information and education to clients, 55 when using methods of a psychological nature to evaluate, 56 assess, diagnose, treat, and prevent emotional and mental 57 disorders and dysfunctions (whether cognitive, affective, or 58 behavioral), sexual dysfunction, behavioral disorders, 59 alcoholism, or substance abuse. The practice of clinical social 60 work may also include clinical research into more effective 61 psychotherapeutic modalities for the treatment and prevention of 62 such conditions. 63 (c) The terms “diagnose” and “treat,” as used in this 64 chapter, when considered in isolation or in conjunction with the 65 rules of the board, may not be construed to permit the 66 performance of any act which clinical social workers are not 67 educated and trained to perform, including, but not limited to, 68 admitting persons to hospitals for treatment of the foregoing 69 conditions, treating persons in hospitals without medical 70 supervision, prescribing medicinal drugs as defined in chapter 71 465, authorizing clinical laboratory procedures, or radiological 72 procedures, or use of electroconvulsive therapy. In addition, 73 this definition may not be construed to permit any person 74 licensed, provisionally licensed,registered,or certified 75 pursuant to this chapter to describe or label any test, report, 76 or procedure as “psychological,” except to relate specifically 77 to the definition of practice authorized in this subsection. 78 (12)(9)The term “practice of marriage and family therapy” 79 means the use of scientific and applied marriage and family 80 theories, methods, and procedures for the purpose of describing, 81 evaluating, and modifying marital, family, and individual 82 behavior, within the context of marital and family systems, 83 including the context of marital formation and dissolution, and 84 is based on marriage and family systems theory, marriage and 85 family development, human development, normal and abnormal 86 behavior, psychopathology, human sexuality, and 87 psychotherapeutic and marriage and family therapy theories and 88 techniques. The practice of marriage and family therapy includes 89 methods of a psychological nature used to evaluate, assess, 90 diagnose, treat, and prevent emotional and mental disorders or 91 dysfunctions (whether cognitive, affective, or behavioral), 92 sexual dysfunction, behavioral disorders, alcoholism, and 93 substance abuse. The practice of marriage and family therapy 94 includes, but is not limited to, marriage and family therapy, 95 psychotherapy, including behavioral family therapy, 96 hypnotherapy, and sex therapy. The practice of marriage and 97 family therapy also includes counseling, behavior modification, 98 consultation, client-centered advocacy, crisis intervention, and 99 the provision of needed information and education to clients, 100 when using methods of a psychological nature to evaluate, 101 assess, diagnose, treat, and prevent emotional and mental 102 disorders and dysfunctions (whether cognitive, affective, or 103 behavioral), sexual dysfunction, behavioral disorders, 104 alcoholism, or substance abuse. The practice of marriage and 105 family therapy may also include clinical research into more 106 effective psychotherapeutic modalities for the treatment and 107 prevention of such conditions. 108 (c) The terms “diagnose” and “treat,” as used in this 109 chapter, when considered in isolation or in conjunction with the 110 rules of the board, may not be construed to permit the 111 performance of any act that marriage and family therapists are 112 not educated and trained to perform, including, but not limited 113 to, admitting persons to hospitals for treatment of the 114 foregoing conditions, treating persons in hospitals without 115 medical supervision, prescribing medicinal drugs as defined in 116 chapter 465, authorizing clinical laboratory procedures or 117 radiological procedures or the use of electroconvulsive therapy. 118 In addition, this definition may not be construed to permit any 119 person licensed, provisionally licensed,registered,or 120 certified pursuant to this chapter to describe or label any 121 test, report, or procedure as “psychological,” except to relate 122 specifically to the definition of practice authorized in this 123 subsection. 124 (13)(10)The term “practice of mental health counseling” 125 means the use of scientific and applied behavioral science 126 theories, methods, and techniques for the purpose of describing, 127 preventing, and treating undesired behavior and enhancing mental 128 health and human development and is based on the person-in 129 situation perspectives derived from research and theory in 130 personality, family, group, and organizational dynamics and 131 development, career planning, cultural diversity, human growth 132 and development, human sexuality, normal and abnormal behavior, 133 psychopathology, psychotherapy, and rehabilitation. The practice 134 of mental health counseling includes methods of a psychological 135 nature used to evaluate, assess, diagnose, and treat emotional 136 and mental dysfunctions or disorders, whether cognitive, 137 affective, or behavioral, interpersonal relationships, sexual 138 dysfunction, alcoholism, and substance abuse. The practice of 139 mental health counseling includes, but is not limited to, 140 psychotherapy, hypnotherapy, and sex therapy. The practice of 141 mental health counseling also includes counseling, behavior 142 modification, consultation, client-centered advocacy, crisis 143 intervention, and the provision of needed information and 144 education to clients, when using methods of a psychological 145 nature to evaluate, assess, diagnose, treat, and prevent 146 emotional and mental disorders and dysfunctions (whether 147 cognitive, affective, or behavioral), behavioral disorders, 148 sexual dysfunction, alcoholism, or substance abuse. The practice 149 of mental health counseling may also include clinical research 150 into more effective psychotherapeutic modalities for the 151 treatment and prevention of such conditions. 152 (c) The terms “diagnose” and “treat,” as used in this 153 chapter, when considered in isolation or in conjunction with any 154 provision of the rules of the board, may not be construed to 155 permit the performance of any act that mental health counselors 156 are not educated and trained to perform, including, but not 157 limited to, admitting persons to hospitals for treatment of the 158 foregoing conditions, treating persons in hospitals without 159 medical supervision, prescribing medicinal drugs as defined in 160 chapter 465, authorizing clinical laboratory procedures or 161 radiological procedures, or the use of electroconvulsive 162 therapy. In addition, this definition may not be construed to 163 permit any person licensed, provisionally licensed,registered,164 or certified pursuant to this chapter to describe or label any 165 test, report, or procedure as “psychological,” except to relate 166 specifically to the definition of practice authorized in this 167 subsection. 168 (5)(15)“Licensed associateRegisteredclinical social 169 workerintern” means a person licensedregisteredunder this 170 chapter who is completing the postgraduate clinical social work 171 experience requirement specified in s. 491.005(1)(c). 172 (6)(16)“Licensed associateRegisteredmarriage and family 173 therapistintern” means a person licensedregisteredunder this 174 chapter who is completing the post-master’s clinical experience 175 requirement specified in s. 491.005(3)(c). 176 (7)(17)“Licensed associateRegisteredmental health 177 counselorintern” means a person licensedregisteredunder this 178 chapter who is completing the post-master’s clinical experience 179 requirement specified in s. 491.005(4)(c). 180 Section 2. Section 491.0045, Florida Statutes, is amended 181 to read: 182 491.0045 Associate licenseIntern registration; 183 requirements.— 184 (1) An individual who has not satisfied the postgraduate or 185 post-master’s level experience requirements, as specified in s. 186 491.005(1)(c), (3)(c), or (4)(c), must apply for an associate 187 licenseregister as an internin the profession for which he or 188 she is seeking full licensure before commencing the post 189 master’s experience requirement or an individual who intends to 190 satisfy part of the required graduate-level practicum, 191 internship, or field experience, outside the academic arena for 192 any profession, and must apply for an associate licenseregister193as an internin the profession for which he or she is seeking 194 full licensure before commencing the practicum, internship, or 195 field experience. 196 (2) The department shall licenseregisteras an associatea197 clinical social workerintern, associate marriage and family 198 therapistintern, or associate mental health counselorintern199 each applicant who the board certifies has: 200 (a) Completed the application form and remitted a 201 nonrefundable application fee not to exceed $200, as set by 202 board rule; 203 (b)1. Completed the education requirements as specified in 204 s. 491.005(1)(c), (3)(c), or (4)(c) for the profession for which 205 he or she is applying for licensure, if needed; and 206 2. Submitted an acceptable supervision plan, as determined 207 by the board, for meeting the practicum, internship, or field 208 work required for licensure that was not satisfied in his or her 209 graduate program. 210 (c) Identified a qualified supervisor. 211 (3) An individual licensed as an associateregisteredunder 212 this section must remain under supervision while practicing 213 under associate licensureregistered internstatus. 214 (4) An individual who fails to comply with this section may 215 not be granted a full license under this chapter, and any time 216 spent by the individual completing the experience requirement as 217 specified in s. 491.005(1)(c), (3)(c), or (4)(c) before being 218 issued an associate licenseregistering as an interndoes not 219 count toward completion of the requirement. 220 (5) An associate licenseintern registrationis valid for 5 221 years. 222 (6)A registration issued on or before March 31, 2017,223expires March 31, 2022, and may not be renewed or reissued.Any 224 intern registration issued after March 31, 2017, but before July 225 1, 2023, under former s. 491.0045, Florida Statutes 2022, 226 expires 60 months after the date it is issued. Any associate 227 license issued on or after July 1, 2023, expires 60 months after 228 the date it is issued. The board may make a one-time exception 229 to the requirements of this subsection in emergency or hardship 230 cases, as defined by board rule, if the candidate has passed the 231 theory and practice examination described in s. 491.005(1)(d), 232 (3)(d), and (4)(d). 233 (7) An individual who has held a provisional license issued 234 by the board may not apply for an associate licenseintern235registrationin the same profession. 236 Section 3. Paragraph (c) of subsection (1), paragraph (c) 237 of subsection (3), and paragraph (c) of subsection (4) of 238 section 491.005, Florida Statutes, are amended to read: 239 491.005 Licensure by examination.— 240 (1) CLINICAL SOCIAL WORK.—Upon verification of 241 documentation and payment of a fee not to exceed $200, as set by 242 board rule, the department shall issue a license as a clinical 243 social worker to an applicant whom the board certifies has met 244 all of the following criteria: 245 (c) Completed at least 2 years of clinical social work 246 experience, which took place subsequent to completion of a 247 graduate degree in social work at an institution meeting the 248 accreditation requirements of this section, under the 249 supervision of a licensed clinical social worker or the 250 equivalent who is a qualified supervisor as determined by the 251 board. An individual who intends to practice in Florida to 252 satisfy clinical experience requirements must register pursuant 253 to s. 491.0045 before commencing practice. If the applicant’s 254 graduate program was not a program which emphasized direct 255 clinical patient or client health care services as described in 256 subparagraph (b)2., the supervised experience requirement must 257 take place after the applicant has completed a minimum of 15 258 semester hours or 22 quarter hours of the coursework required. A 259 doctoral internship may be applied toward the clinical social 260 work experience requirement.A licensed mental health261professional must be on the premises when clinical services are262provided by a registered intern in a private practice setting.263 (3) MARRIAGE AND FAMILY THERAPY.—Upon verification of 264 documentation and payment of a fee not to exceed $200, as set by 265 board rule, the department shall issue a license as a marriage 266 and family therapist to an applicant whom the board certifies 267 has met all of the following criteria: 268 (c) Completed at least 2 years of clinical experience 269 during which 50 percent of the applicant’s clients were 270 receiving marriage and family therapy services, which must be at 271 the post-master’s level under the supervision of a licensed 272 marriage and family therapist with at least 5 years of 273 experience, or the equivalent, who is a qualified supervisor as 274 determined by the board. An individual who intends to practice 275 in Florida to satisfy the clinical experience requirements must 276 register pursuant to s. 491.0045 before commencing practice. If 277 a graduate has a master’s degree with a major emphasis in 278 marriage and family therapy or a closely related field which did 279 not include all of the coursework required by paragraph (b), 280 credit for the post-master’s level clinical experience may not 281 commence until the applicant has completed a minimum of 10 of 282 the courses required by paragraph (b), as determined by the 283 board, and at least 6 semester hours or 9 quarter hours of the 284 course credits must have been completed in the area of marriage 285 and family systems, theories, or techniques. Within the 2 years 286 of required experience, the applicant shall provide direct 287 individual, group, or family therapy and counseling to cases 288 including those involving unmarried dyads, married couples, 289 separating and divorcing couples, and family groups that include 290 children. A doctoral internship may be applied toward the 291 clinical experience requirement.A licensed mental health292professional must be on the premises when clinical services are293provided by a registered intern in a private practice setting.294 295 For the purposes of dual licensure, the department shall license 296 as a marriage and family therapist any person who meets the 297 requirements of s. 491.0057. Fees for dual licensure may not 298 exceed those stated in this subsection. 299 (4) MENTAL HEALTH COUNSELING.—Upon verification of 300 documentation and payment of a fee not to exceed $200, as set by 301 board rule, the department shall issue a license as a mental 302 health counselor to an applicant whom the board certifies has 303 met all of the following criteria: 304 (c) Completed at least 2 years of clinical experience in 305 mental health counseling, which must be at the post-master’s 306 level under the supervision of a licensed mental health 307 counselor or the equivalent who is a qualified supervisor as 308 determined by the board. An individual who intends to practice 309 in Florida to satisfy the clinical experience requirements must 310 register pursuant to s. 491.0045 before commencing practice. If 311 a graduate has a master’s degree with a major related to the 312 practice of mental health counseling which did not include all 313 the coursework required under sub-subparagraphs (b)1.a. and b., 314 credit for the post-master’s level clinical experience may not 315 commence until the applicant has completed a minimum of seven of 316 the courses required under sub-subparagraphs (b)1.a. and b., as 317 determined by the board, one of which must be a course in 318 psychopathology or abnormal psychology. A doctoral internship 319 may be applied toward the clinical experience requirement.A320licensed mental health professional must be on the premises when321clinical services are provided by a registered intern in a322private practice setting.323 Section 4. Section 491.007, Florida Statutes, is amended to 324 read: 325 491.007 Renewal of license, registration,or certificate.— 326 (1) The board or department shall prescribe by rule a 327 method for the biennial renewal of licenses or certificates at a 328 fee set by rule, not to exceed $250. 329 (2) Each applicant for renewal shall present satisfactory 330 evidence that, in the period since the license or certificate 331 was issued, the applicant has completed continuing education 332 requirements set by rule of the board or department. Not more 333 than 25 classroom hours of continuing education per year shall 334 be required. A certified master social worker is exempt from the 335 continuing education requirements for the first renewal of the 336 certificate. 337 Section 5. Subsection (1) of section 491.009, Florida 338 Statutes, is amended to read: 339 491.009 Discipline.— 340 (1) The following acts constitute grounds for denial of a 341 license or disciplinary action, as specified in s. 456.072(2) or 342 s. 491.017: 343 (a) Attempting to obtain, obtaining, or renewing a license,344registration,or certificate under this chapter by bribery or 345 fraudulent misrepresentation or through an error of the board or 346 the department. 347 (b) Having a license, registration, or certificate to 348 practice a comparable profession revoked, suspended, or 349 otherwise acted against, including the denial of certification 350 or licensure by another state, territory, or country. 351 (c) Being convicted or found guilty of, regardless of 352 adjudication, or having entered a plea of nolo contendere to, a 353 crime in any jurisdiction which directly relates to the practice 354 of his or her profession or the ability to practice his or her 355 profession. However, in the case of a plea of nolo contendere, 356 the board shall allow the person who is the subject of the 357 disciplinary proceeding to present evidence in mitigation 358 relevant to the underlying charges and circumstances surrounding 359 the plea. 360 (d) False, deceptive, or misleading advertising or 361 obtaining a fee or other thing of value on the representation 362 that beneficial results from any treatment will be guaranteed. 363 (e) Advertising, practicing, or attempting to practice 364 under a name other than one’s own. 365 (f) Maintaining a professional association with any person 366 who the applicant, licensee,registered intern,or 367 certificateholder knows, or has reason to believe, is in 368 violation of this chapter or of a rule of the department or the 369 board. 370 (g) Knowingly aiding, assisting, procuring, or advising any 371 nonlicensed, nonregistered,or noncertified person to hold 372 himself or herself out as licensed, registered,or certified 373 under this chapter. 374 (h) Failing to perform any statutory or legal obligation 375 placed upon a person licensed, registered,or certified under 376 this chapter. 377 (i) Willfully making or filing a false report or record; 378 failing to file a report or record required by state or federal 379 law; willfully impeding or obstructing the filing of a report or 380 record; or inducing another person to make or file a false 381 report or record or to impede or obstruct the filing of a report 382 or record. Such report or record includes only a report or 383 record which requires the signature of a person licensed,384registered,or certified under this chapter. 385 (j) Paying a kickback, rebate, bonus, or other remuneration 386 for receiving a patient or client, or receiving a kickback, 387 rebate, bonus, or other remuneration for referring a patient or 388 client to another provider of mental health care services or to 389 a provider of health care services or goods; referring a patient 390 or client to oneself for services on a fee-paid basis when those 391 services are already being paid for by some other public or 392 private entity; or entering into a reciprocal referral 393 agreement. 394 (k) Committing any act upon a patient or client which would 395 constitute sexual battery or which would constitute sexual 396 misconduct as defined pursuant to s. 491.0111. 397 (l) Making misleading, deceptive, untrue, or fraudulent 398 representations in the practice of any profession licensed,399registered,or certified under this chapter. 400 (m) Soliciting patients or clients personally, or through 401 an agent, through the use of fraud, intimidation, undue 402 influence, or a form of overreaching or vexatious conduct. 403 (n) Failing to make available to a patient or client, upon 404 written request, copies of tests, reports, or documents in the 405 possession or under the control of the licensee, registered406intern,or certificateholder which have been prepared for and 407 paid for by the patient or client. 408 (o) Failing to respond within 30 days to a written 409 communication from the department or the board concerning any 410 investigation by the department or the board, or failing to make 411 available any relevant records with respect to any investigation 412 about the licensee’s, registered intern’s,or 413 certificateholder’s conduct or background. 414 (p) Being unable to practice the profession for which he or 415 she is licensed, registered,or certified under this chapter 416 with reasonable skill or competence as a result of any mental or 417 physical condition or by reason of illness; drunkenness; or 418 excessive use of drugs, narcotics, chemicals, or any other 419 substance. In enforcing this paragraph, upon a finding by the 420 State Surgeon General, the State Surgeon General’s designee, or 421 the board that probable cause exists to believe that the 422 licensee, registered intern,or certificateholder is unable to 423 practice the profession because of the reasons stated in this 424 paragraph, the department shall have the authority to compel a 425 licensee, registered intern,or certificateholder to submit to a 426 mental or physical examination by psychologists, physicians, or 427 other licensees under this chapter, designated by the department 428 or board. If the licensee, registered intern,or 429 certificateholder refuses to comply with such order, the 430 department’s order directing the examination may be enforced by 431 filing a petition for enforcement in the circuit court in the 432 circuit in which the licensee, registered intern,or 433 certificateholder resides or does business. The licensee,434registered intern,or certificateholder against whom the 435 petition is filed may not be named or identified by initials in 436 any public court records or documents, and the proceedings shall 437 be closed to the public. The department shall be entitled to the 438 summary procedure provided in s. 51.011. A licensee, registered439intern,or certificateholder affected under this paragraph shall 440 at reasonable intervals be afforded an opportunity to 441 demonstrate that he or she can resume the competent practice for 442 which he or she is licensed, registered,or certified with 443 reasonable skill and safety to patients. 444 (q) Performing any treatment or prescribing any therapy 445 which, by the prevailing standards of the mental health 446 professions in the community, would constitute experimentation 447 on human subjects, without first obtaining full, informed, and 448 written consent. 449 (r) Failing to meet the minimum standards of performance in 450 professional activities when measured against generally 451 prevailing peer performance, including the undertaking of 452 activities for which the licensee, registered intern,or 453 certificateholder is not qualified by training or experience. 454 (s) Delegating professional responsibilities to a person 455 who the licensee, registered intern,or certificateholder knows 456 or has reason to know is not qualified by training or experience 457 to perform such responsibilities. 458 (t) Violating a rule relating to the regulation of the 459 profession or a lawful order of the department or the board 460 previously entered in a disciplinary hearing. 461 (u) Failure of the licensee, registered intern,or 462 certificateholder to maintain in confidence a communication made 463 by a patient or client in the context of such services, except 464 as provided in s. 491.0147. 465 (v) Making public statements which are derived from test 466 data, client contacts, or behavioral research and which identify 467 or damage research subjects or clients. 468 (w) Violating any provision of this chapter or chapter 456, 469 or any rules adopted pursuant thereto. 470 Section 6. Paragraphs (i) through (l) of subsection (1) of 471 section 491.012, Florida Statutes, are amended to read: 472 491.012 Violations; penalty; injunction.— 473 (1) It is unlawful and a violation of this chapter for any 474 person to: 475 (i) Practice clinical social work in this state for 476 compensation, unless the person holds a valid, active license to 477 practice clinical social work issued pursuant to this chapter or 478 is an associate clinical social worker licensedintern479registeredpursuant to s. 491.0045. 480 (j) Practice marriage and family therapy in this state for 481 compensation, unless the person holds a valid, active license to 482 practice marriage and family therapy issued pursuant to this 483 chapter or is an associate marriage and family therapist 484 licensedintern registeredpursuant to s. 491.0045. 485 (k) Practice mental health counseling in this state for 486 compensation, unless the person holds a valid, active license to 487 practice mental health counseling issued pursuant to this 488 chapter or is an associate mental health counselor licensed 489intern registeredpursuant to s. 491.0045. 490 (l) Use the following titles or any combination thereof, 491 unless he or she holds a valid associate licenseregistration as492an internissued underpursuant tothis chapter: 493 1. “Licensed associateRegisteredclinical social worker 494intern.” 495 2. “Licensed associateRegisteredmarriage and family 496 therapistintern.” 497 3. “Licensed associateRegisteredmental health counselor 498intern.” 499 Section 7. Subsections (1), (2), and (4) of section 500 491.014, Florida Statutes, are amended to read: 501 491.014 Exemptions.— 502 (1) No provision of this chapter shall be construed to 503 limit the practice of physicians licensed pursuant to chapter 504 458 or chapter 459, or psychologists licensed pursuant to 505 chapter 490, so long as they do not unlawfully hold themselves 506 out to the public as possessing a license, provisional license, 507registration,or certificate issued pursuant to this chapter or 508 use a professional title protected by this chapter. 509 (2) No provision of this chapter shall be construed to 510 limit the practice of nursing, school psychology, psychology, or 511 occupational therapy, or to prevent qualified members of other 512 professions from doing work of a nature consistent with their 513 training and licensure, so long as they do not hold themselves 514 out to the public as possessing a license, provisional license, 515registration,or certificate issued pursuant to this chapter or 516 use a title protected by this chapter. 517 (4) No person shall be required to be licensed, 518 provisionally licensed,registered,or certified under this 519 chapter who: 520 (a) Is a salaried employee of a government agency; a 521 developmental disability facility or program; a mental health, 522 alcohol, or drug abuse facility operating under chapter 393, 523 chapter 394, or chapter 397; the statewide child care resource 524 and referral network operating under s. 1002.92; a child-placing 525 or child-caring agency licensed pursuant to chapter 409; a 526 domestic violence center certified pursuant to chapter 39; an 527 accredited academic institution; or a research institution, if 528 such employee is performing duties for which he or she was 529 trained and hired solely within the confines of such agency, 530 facility, or institution, so long as the employee is not held 531 out to the public as a clinical social worker, mental health 532 counselor, or marriage and family therapist. 533 (b) Is a salaried employee of a private, nonprofit 534 organization providing counseling services to children, youth, 535 and families, if such services are provided for no charge, if 536 such employee is performing duties for which he or she was 537 trained and hired, so long as the employee is not held out to 538 the public as a clinical social worker, mental health counselor, 539 or marriage and family therapist. 540 (c) Is a student providing services regulated under this 541 chapter who is pursuing a course of study which leads to a 542 degree in a profession regulated by this chapter, is providing 543 services in a training setting, provided such services and 544 associated activities constitute part of a supervised course of 545 study, and is designated by the title “student intern.” 546 (d) Is not a resident of this state but offers services in 547 this state, provided: 548 1. Such services are performed for no more than 15 days in 549 any calendar year; and 550 2. Such nonresident is licensed or certified to practice 551 the services provided by a state or territory of the United 552 States or by a foreign country or province. 553 Section 8. Subsection (2) of section 491.0149, Florida 554 Statutes, is amended to read: 555 491.0149 Display of license; use of professional title on 556 promotional materials.— 557 (2)(a) A person licensedregisteredunder this chapter as 558 an associateaclinical social workerintern, associate marriage 559 and family therapistintern, or associate mental health 560 counselorinternshall conspicuously display the valid associate 561 licenseregistrationissued by the department or a true copy 562 thereof at each location at which the licensed associate 563registered internis completing the experience requirements. 564 (b) A licensed associateregisteredclinical social worker 565internshall include the words “licensed associateregistered566 clinical social workerintern,” a licensed associateregistered567 marriage and family therapistinternshall include the words 568 “licensed associateregisteredmarriage and family therapist 569intern,” and a licensed associateregisteredmental health 570 counselorinternshall include the words “licensed associate 571registeredmental health counselorintern” on all promotional 572 materials, including cards, brochures, stationery, 573 advertisements, and signs, naming the licensed associate 574registered intern. 575 Section 9. Paragraph (a) of subsection (1) of section 576 916.115, Florida Statutes, is amended to read: 577 916.115 Appointment of experts.— 578 (1) The court shall appoint no more than three experts to 579 determine the mental condition of a defendant in a criminal 580 case, including competency to proceed, insanity, involuntary 581 placement, and treatment. The experts may evaluate the defendant 582 in jail or in another appropriate local facility or in a 583 facility of the Department of Corrections. 584 (a) To the extent possible, the appointed experts shall 585 have completed forensic evaluator training approved by the 586 department, and each shall be a psychiatrist or physician 587 licensed under chapter 458 or chapter 459, a psychologist 588 licensed under chapter 490, or a mental health professional 589 licensed under chapter 491psychologist, or physician. 590 Section 10. Paragraph (b) of subsection (4) of section 591 1002.394, Florida Statutes, is amended to read: 592 1002.394 The Family Empowerment Scholarship Program.— 593 (4) AUTHORIZED USES OF PROGRAM FUNDS.— 594 (b) Program funds awarded to a student with a disability 595 determined eligible pursuant to paragraph (3)(b) may be used for 596 the following purposes: 597 1. Instructional materials, including digital devices, 598 digital periphery devices, and assistive technology devices that 599 allow a student to access instruction or instructional content 600 and training on the use of and maintenance agreements for these 601 devices. 602 2. Curriculum as defined in subsection (2). 603 3. Specialized services by approved providers or by a 604 hospital in this state which are selected by the parent. These 605 specialized services may include, but are not limited to: 606 a. Applied behavior analysis services as provided in ss. 607 627.6686 and 641.31098. 608 b. Services provided by speech-language pathologists as 609 defined in s. 468.1125(8). 610 c. Occupational therapy as defined in s. 468.203. 611 d. Services provided by physical therapists as defined in 612 s. 486.021(8). 613 e. Services provided by listening and spoken language 614 specialists and an appropriate acoustical environment for a 615 child who has a hearing impairment, including deafness, and who 616 has received an implant or assistive hearing device. 617 f. Services provided by a mental health counselor as 618 defined in s. 491.003. 619 4. Tuition or fees associated with full-time or part-time 620 enrollment in a home education program, an eligible private 621 school, an eligible postsecondary educational institution or a 622 program offered by the postsecondary educational institution, a 623 private tutoring program authorized under s. 1002.43, a virtual 624 program offered by a department-approved private online provider 625 that meets the provider qualifications specified in s. 626 1002.45(2)(a), the Florida Virtual School as a private paying 627 student, or an approved online course offered pursuant to s. 628 1003.499 or s. 1004.0961. 629 5. Fees for nationally standardized, norm-referenced 630 achievement tests, Advanced Placement Examinations, industry 631 certification examinations, assessments related to postsecondary 632 education, or other assessments. 633 6. Contributions to the Stanley G. Tate Florida Prepaid 634 College Program pursuant to s. 1009.98 or the Florida College 635 Savings Program pursuant to s. 1009.981 for the benefit of the 636 eligible student. 637 7. Contracted services provided by a public school or 638 school district, including classes. A student who receives 639 services under a contract under this paragraph is not considered 640 enrolled in a public school for eligibility purposes as 641 specified in subsection (6). 642 8. Tuition and fees for part-time tutoring services 643 provided by a person who holds a valid Florida educator’s 644 certificate pursuant to s. 1012.56, a person who holds an 645 adjunct teaching certificate pursuant to s. 1012.57, a person 646 who has a bachelor’s degree or a graduate degree in the subject 647 area in which instruction is given, a person who has 648 demonstrated a mastery of subject area knowledge pursuant to s. 649 1012.56(5), or a person certified by a nationally or 650 internationally recognized research-based training program as 651 approved by the department. As used in this paragraph, the term 652 “part-time tutoring services” does not qualify as regular school 653 attendance as defined in s. 1003.01(13)(e). 654 9. Fees for specialized summer education programs. 655 10. Fees for specialized after-school education programs. 656 11. Transition services provided by job coaches. 657 12. Fees for an annual evaluation of educational progress 658 by a state-certified teacher under s. 1002.41(1)(f), if this 659 option is chosen for a home education student. 660 13. Tuition and fees associated with programs offered by 661 Voluntary Prekindergarten Education Program providers approved 662 pursuant to s. 1002.55 and school readiness providers approved 663 pursuant to s. 1002.88. 664 14. Fees for services provided at a center that is a member 665 of the Professional Association of Therapeutic Horsemanship 666 International. 667 15. Fees for services provided by a therapist who is 668 certified by the Certification Board for Music Therapists or 669 credentialed by the Art Therapy Credentials Board, Inc. 670 Section 11. Paragraph (c) of subsection (4) of section 671 414.065, Florida Statutes, is amended to read: 672 414.065 Noncompliance with work requirements.— 673 (4) EXCEPTIONS TO NONCOMPLIANCE PENALTIES.—Unless otherwise 674 provided, the situations listed in this subsection shall 675 constitute exceptions to the penalties for noncompliance with 676 participation requirements, except that these situations do not 677 constitute exceptions to the applicable time limit for receipt 678 of temporary cash assistance: 679 (c) Noncompliance related to treatment or remediation of 680 past effects of domestic violence.—An individual who is 681 determined to be unable to comply with the work requirements 682 under this section due to mental or physical impairment related 683 to past incidents of domestic violence may be exempt from work 684 requirements, except that such individual shall comply with a 685 plan that specifies alternative requirements that prepare the 686 individual for self-sufficiency while providing for the safety 687 of the individual and the individual’s dependents. A participant 688 who is determined to be out of compliance with the alternative 689 requirement plan shall be subject to the penalties under 690 subsection (1). The plan must include counseling or a course of 691 treatment necessary for the individual to resume participation. 692 The need for treatment and the expected duration of such 693 treatment must be verified by a physician licensed under chapter 694 458 or chapter 459; a psychologist licensed under s. 490.005(1), 695 s. 490.006, or the provision identified as s. 490.013(2) in s. 696 1, chapter 81-235, Laws of Florida; a therapist as defined in s. 697 491.003(2) or (10)(7); or a treatment professional who is 698 registered under s. 39.905(1)(g), is authorized to maintain 699 confidentiality under s. 90.5036(1)(d), and has a minimum of 2 700 years’ experience at a certified domestic violence center. An 701 exception granted under this paragraph does not automatically 702 constitute an exception from the time limitations on benefits 703 specified under s. 414.105. 704 Section 12. This act shall take effect July 1, 2023.