1     
BEHAVIORAL HEALTH LICENSING AMENDMENTS

2     
2024 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Curtis S. Bramble

5     
House Sponsor: A. Cory Maloy

6     

7     LONG TITLE
8     Committee Note:
9          The Business and Labor Interim Committee recommended this bill.
10               Legislative Vote:     12 voting for     1 voting against     8 absent
11     General Description:
12          This bill amends behavioral health licensing provisions.
13     Highlighted Provisions:
14          This bill:
15          ▸     requires the division to consider interstate portability and make recommendations
16     regarding Utah's membership in any interstate licensing compacts;
17          ▸     expands the types of licensees who may participate in the Utah Professionals Health
18     Program;
19          ▸     establishes that mental health disorders and substance use disorders qualify an
20     individual licensee for the Utah Professionals Health Program's alternative path to
21     public disciplinary action;
22          ▸     creates the Behavioral Health Board, a multi-professional board to replace certain
23     individual license boards;
24          ▸     establishes who may supervise an applicant for licensure's supervised clinical hours;
25          ▸     expands the number of applicants for licensure a supervising licensee may
26     supervise;
27          ▸     reduces the number of clinical hours an applicant for licensure must complete to

28     obtain certain licensures;
29          ▸     increases the number of supervised clinical hours an applicant for licensure must
30     complete to obtain certain licensures;
31          ▸     creates an alternative pathway to certain licensures through increased direct contact
32     client hours and supervised clinical hours, in lieu of examination requirements;
33          ▸     creates the licenses of master addiction counselor and associate master addiction
34     counselor; and
35          ▸     makes technical corrections.
36     Money Appropriated in this Bill:
37          None
38     Other Special Clauses:
39          None
40     Utah Code Sections Affected:
41     AMENDS:
42          58-1-106, as last amended by Laws of Utah 2018, Chapter 318
43          58-4a-102, as last amended by Laws of Utah 2023, Chapter 328
44          58-4a-103, as enacted by Laws of Utah 2020, Chapter 107
45          58-40-102, as renumbered and amended by Laws of Utah 2012, Chapter 82
46          58-60-102, as last amended by Laws of Utah 2021, Chapter 313
47          58-60-109, as last amended by Laws of Utah 2020, Chapter 339
48          58-60-202, as last amended by Laws of Utah 2010, Chapters 78, 214
49          58-60-205, as last amended by Laws of Utah 2023, Chapters 283, 339
50          58-60-207, as last amended by Laws of Utah 2023, Chapter 339
51          58-60-302, as enacted by Laws of Utah 1994, Chapter 32
52          58-60-305, as last amended by Laws of Utah 2023, Chapter 339
53          58-60-307, as last amended by Laws of Utah 2019, Chapter 393
54          58-60-402, as last amended by Laws of Utah 2012, Chapter 179
55          58-60-405, as last amended by Laws of Utah 2023, Chapter 339
56          58-60-407, as last amended by Laws of Utah 2020, Chapter 339
57          58-60-502, as last amended by Laws of Utah 2019, Chapter 393
58          58-60-504, as last amended by Laws of Utah 2012, Chapter 179

59          58-60-506, as last amended by Laws of Utah 2020, Chapter 339
60          58-61-102, as last amended by Laws of Utah 2013, Chapters 16, 123
61          58-61-304, as last amended by Laws of Utah 2020, Chapter 339
62          58-84-102, as enacted by Laws of Utah 2014, Chapter 340
63          58-84-201, as last amended by Laws of Utah 2020, Chapter 339
64     ENACTS:
65          58-60-102.5, Utah Code Annotated 1953
66          58-60-512, Utah Code Annotated 1953
67     REPEALS:
68          58-40-201, as renumbered and amended by Laws of Utah 2012, Chapter 82
69          58-60-203, as last amended by Laws of Utah 2010, Chapter 214
70          58-60-303, as last amended by Laws of Utah 2000, Chapter 159
71          58-60-403, as last amended by Laws of Utah 2012, Chapter 179
72          58-60-503, as last amended by Laws of Utah 2012, Chapter 179
73          58-61-201, as last amended by Laws of Utah 2015, Chapter 367
74          58-78-201, as enacted by Laws of Utah 2009, Chapter 122
75     

76     Be it enacted by the Legislature of the state of Utah:
77          Section 1. Section 58-1-106 is amended to read:
78          58-1-106. Division -- Duties, functions, and responsibilities.
79          (1) The duties, functions, and responsibilities of the division include the following:
80          (a) prescribing, adopting, and enforcing rules to administer this title;
81          (b) investigating the activities of any person whose occupation or profession is
82     regulated or governed by the laws and rules administered and enforced by the division;
83          (c) subpoenaing witnesses, taking evidence, and requiring by subpoena duces tecum
84     the production of any books, papers, documents, records, contracts, recordings, tapes,
85     correspondence, or information relevant to an investigation upon a finding of sufficient need by
86     the director or by the director's designee;
87          (d) taking administrative and judicial action against persons in violation of the laws
88     and rules administered and enforced by the division, including the issuance of cease and desist
89     orders;

90          (e) seeking injunctions and temporary restraining orders to restrain unauthorized
91     activity;
92          (f) complying with Title 52, Chapter 4, Open and Public Meetings Act;
93          (g) issuing, refusing to issue, revoking, suspending, renewing, refusing to renew, or
94     otherwise acting upon any license;
95          (h) preparing and submitting to the governor and the Legislature an annual report of the
96     division's operations, activities, and goals;
97          (i) preparing and submitting to the executive director a budget of the expenses for the
98     division;
99          (j) establishing the time and place for the administration of examinations; [and]
100          (k) preparing lists of licensees and making these lists available to the public at cost
101     upon request unless otherwise prohibited by state or federal law[.]; and
102          (l) considering interstate portability and the preservation of licensing pathways that are
103     specific to Utah when making recommendations regarding membership in interstate licensing
104     compacts.
105          (2) The division may not include home telephone numbers or home addresses of
106     licensees on the lists prepared under Subsection (1)(k), except as otherwise provided by rules
107     of the division made in accordance with Title 63G, Chapter 3, Utah Administrative
108     Rulemaking Act.
109          (3) (a) The division may provide the home address or home telephone number of a
110     licensee on a list prepared under Subsection (1) upon the request of an individual who provides
111     proper identification and the reason for the request, in writing, to the division.
112          (b) A request under Subsection (3)(a) is limited to providing information on only one
113     licensee per request.
114          (c) The division shall provide, by rule, what constitutes proper identification under
115     Subsection (3)(a).
116          (4) (a) Notwithstanding any contrary provisions in Title 63G, Chapter 2, Government
117     Records Access and Management Act, the division may share licensee information with:
118          (i) the division's contracted agents when sharing the information in compliance with
119     state or federal law; and
120          (ii) a person who is evaluating the progress or monitoring the compliance of an

121     individual who has been disciplined by the division under this title.
122          (b) The division may make rules to implement the provisions of this Subsection (4).
123          (5) All rules made by the division under this title shall be made in accordance with
124     Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
125          Section 2. Section 58-4a-102 is amended to read:
126          58-4a-102. Definitions.
127          As used in this chapter:
128          (1) "Diversion agreement" means a written agreement entered into by a licensee and
129     the division that describes the requirements of the licensee's monitoring regimen and that was
130     entered into before May 12, 2020.
131          (2) "Licensee" means an individual licensed to practice under:
132          (a) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
133          (b) Title 58, Chapter 17b, Pharmacy Practice Act;
134          (c) Title 58, Chapter 28, Veterinary Practice Act;
135          (d) Title 58, Chapter 31b, Nurse Practice Act;
136          (e) Title 58, Chapter 40, Recreational Therapy Practice Act;
137          (f) Title 58, Chapter 60, Mental Health Professional Practice Act;
138          (g) Title 58, Chapter 61, Psychologist Licensing Act;
139          [(e)] (h) Title 58, Chapter 67, Utah Medical Practice Act;
140          [(f)] (i) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
141          [(g)] (j) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act; [or]
142          [(h)] (k) Title 58, Chapter 70a, Utah Physician Assistant Act[.];
143          (l) Title 58, Chapter 78, Vocational Rehabilitation Counselors Licensing Act; or
144          (m) Title 58, Chapter 84, State Certification of Music Therapists Act.
145          (3) "Program" means the Utah Professionals Health Program.
146          (4) "Program contract" means a written agreement entered into by a licensee and the
147     division that allows the licensee to participate in the program.
148          (5) "Substance use disorder" means the same as that term is defined in Section
149     26B-5-501.
150          Section 3. Section 58-4a-103 is amended to read:
151          58-4a-103. Program established.

152          (1) The division, in accordance with Title 63G, Chapter 3, Utah Administrative
153     Rulemaking Act, shall establish the Utah Professionals Health Program to provide an
154     alternative to public disciplinary action for licensees who have [substance use] behavioral
155     health disorders, including mental health or substance use disorders.
156          (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
157     division shall make rules governing the criteria for:
158          (a) entry into and participation of licensees in the program;
159          (b) successful completion of the program;
160          (c) expulsion from the program; and
161          (d) disqualifying a licensee from participation in the program.
162          (3) The division shall promote the program by:
163          (a) engaging in wellness education and outreach to licensees, students, and the
164     community in order to make them aware of the existence and purpose of the program;
165          (b) partnering with health care organizations, universities, trade associations, and other
166     stakeholder groups to promote professional awareness and wellness; and
167          (c) providing guidance to employers, colleagues, and family members on initiating
168     conversations with licensees about substance use.
169          Section 4. Section 58-40-102 is amended to read:
170          58-40-102. Definitions.
171          In addition to the definitions in Section 58-1-102, as used in this chapter:
172          (1) "Approved" means approval by the division in collaboration with the board when
173     used to refer to a licensing requirement.
174          (2) (a) "Assessment" means:
175          (i) a systematic collection of data to identify the strengths and limitations of a person's
176     physical, cognitive, social, behavioral, emotional, spiritual, and leisure capabilities; and
177          (ii) interpreting and analyzing collected data to identify and determine a course of
178     action for recreational therapy services for a patient.
179          (b) "Assessment" includes:
180          (i) a record review;
181          (ii) the implementation of standardized and non-standardized instruments, tests, and
182     measurements; and

183          (iii) the skilled observation and interview of a person.
184          (3) "Board" means the [Board of Recreational Therapy] Behavioral Health Board
185     created in [Section 58-40-201] Section 58-60-102.5.
186          (4) "Practice of recreational therapy" means to engage in the paid performance of
187     providing recreational therapy services according to the therapeutic recreation process to a
188     person with an emotional, social, intellectual, or physical pathology.
189          (5) "Recreational therapy" or "therapeutic recreation" means a person-centered process
190     that uses recreation and psychoeducational activities as intervention tools to improve the
191     physical, cognitive, social, behavioral, emotional, or spiritual well-being of a person with an
192     illness or a disability.
193          (6) (a) "Recreational therapy services" means using recreation and psychoeducational
194     activities as intervention tools to improve or maintain the physical, cognitive, social,
195     behavioral, emotional, or spiritual well-being of a person with an illness or a disability.
196          (b) "Recreational therapy services" include:
197          (i) assessing a person's need for recreational therapy treatment or intervention;
198          (ii) developing an individualized treatment or intervention plan that identifies goals,
199     objectives, and treatment strategies for a person;
200          (iii) implementing the individualized treatment or intervention plan;
201          (iv) documenting a person's response to the individualized treatment or intervention
202     plan, including documenting the overall outcome of the person's treatment;
203          (v) regularly evaluating a person's response to the individualized treatment or
204     intervention plan and modifying the plan when appropriate;
205          (vi) in collaboration with a person, the person's family, or other team members,
206     developing a discharge or transition plan for the person;
207          (vii) serving as a resource to help a person find recreation opportunities that will
208     promote the person's physical, cognitive, social, behavioral, emotional, or spiritual health and
209     well-being; and
210          (viii) organizing and managing recreational services according to a written plan of
211     operation as defined by rule of the division.
212          (7) "Treatment or intervention plan" means a written record containing the information
213     required by Section 58-40-602, which is composed for each patient by a person licensed under

214     this chapter as a master therapeutic recreation specialist or a therapeutic recreation specialist.
215          (8) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-40-501.
216          (9) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-40-502.
217          Section 5. Section 58-60-102 is amended to read:
218          58-60-102. Definitions.
219          [In addition to the definitions in Section 58-1-102, as] As used in this chapter:
220          (1) "Board" means the Behavioral Health Board created in Section 58-60-102.5.
221          (2) "Client" or "patient" means an individual who consults or is examined or
222     interviewed by an individual licensed under this chapter who is acting in the individual's
223     professional capacity.
224          [(2)] (3) "Confidential communication" means information obtained by an individual
225     licensed under this chapter, including information obtained by the individual's examination of
226     the client or patient, which is:
227          (a) (i) transmitted between the client or patient and an individual licensed under this
228     chapter in the course of that relationship; or
229          (ii) transmitted among the client or patient, an individual licensed under this chapter,
230     and individuals who are participating in the diagnosis or treatment under the direction of an
231     individual licensed under this chapter, including members of the client's or patient's family; and
232          (b) made in confidence, for the diagnosis or treatment of the client or patient by the
233     individual licensed under this chapter, and by a means not intended to be disclosed to third
234     persons other than those individuals:
235          (i) present to further the interest of the client or patient in the consultation,
236     examination, or interview;
237          (ii) reasonably necessary for the transmission of the communications; or
238          (iii) participating in the diagnosis and treatment of the client or patient under the
239     direction of the mental health therapist.
240          [(3)] (4) "Direct client care" means the practice of mental health therapy performed as
241     an applicant for licensure.
242          (5) (a) "Direct clinical supervision" means an applicant for licensure and the applicant's
243     supervisor meeting in real time and in accordance with the applicant for licensure's supervision
244     contract as defined by division rule.

245          (b) "Direct clinical supervision" includes group supervision.
246          (6) "Direct observation" means observation of an applicant for licensure's live or
247     recorded direct client care:
248          (a) (i) by the applicant for licensure's direct clinical supervisor; or
249          (ii) another mental health therapist supervisor that the applicant for licensure's direct
250     clinical supervisor approves; and
251          (b) after which the applicant for licensure and the observer under Subsection (6)(a)
252     meet to discuss the direct client care for the purpose of developing the applicant for licensure's
253     clinical knowledge and skill.
254          (7) "Hypnosis" means, when referring to individuals exempted from licensure under
255     this chapter, a process by which an individual induces or assists another individual into a
256     hypnotic state without the use of drugs or other substances and for the purpose of increasing
257     motivation or to assist the individual to alter lifestyles or habits.
258          [(4)] (8) "Individual" means a natural person.
259          [(5)] (9) "Mental health therapist" means an individual who is practicing within the
260     scope of practice defined in the individual's respective licensing act and is licensed under this
261     title as:
262          (a) a physician and surgeon, or osteopathic physician engaged in the practice of mental
263     health therapy;
264          (b) an advanced practice registered nurse, specializing in psychiatric mental health
265     nursing;
266          (c) an advanced practice registered nurse intern, specializing in psychiatric mental
267     health nursing;
268          (d) a psychologist qualified to engage in the practice of mental health therapy;
269          (e) a certified psychology resident qualifying to engage in the practice of mental health
270     therapy;
271          (f) a physician assistant specializing in mental health care under Section 58-70a-501.1;
272          (g) a clinical social worker;
273          (h) a certified social worker;
274          (i) a marriage and family therapist;
275          (j) an associate marriage and family therapist;

276          (k) a clinical mental health counselor; [or]
277          (l) an associate clinical mental health counselor[.];
278          (m) a master addiction counselor; or
279          (n) an associate master addiction counselor.
280          [(6)] (10) "Mental illness" means a mental or emotional condition defined in an
281     approved diagnostic and statistical manual for mental disorders generally recognized in the
282     professions of mental health therapy listed under Subsection [(5)] (9).
283          [(7)] (11) "Practice of mental health therapy" means treatment or prevention of mental
284     illness, whether in person or remotely, including:
285          (a) conducting a professional evaluation of an individual's condition of mental health,
286     mental illness, or emotional disorder consistent with standards generally recognized in the
287     professions of mental health therapy listed under Subsection [(5)] (9);
288          (b) establishing a diagnosis in accordance with established written standards generally
289     recognized in the professions of mental health therapy listed under Subsection [(5)] (9);
290          (c) prescribing a plan for the prevention or treatment of a condition of mental illness or
291     emotional disorder; and
292          (d) engaging in the conduct of professional intervention, including psychotherapy by
293     the application of established methods and procedures generally recognized in the professions
294     of mental health therapy listed under Subsection [(5)] (9).
295          [(8)] (12) "Remotely" means communicating via Internet, telephone, or other electronic
296     means that facilitate real-time audio or visual interaction between individuals when they are not
297     physically present in the same room at the same time.
298          (13) "Group supervision" means an applicant for licensure meeting with the applicant's
299     supervisor and at least one of the supervisor's other applicants for licensure:
300          (a) while the supervisor and the applicants:
301          (i) can see and openly communicate with each other; and
302          (ii) are present in the same room or via electronic video; and
303          (b) for the purpose of developing the applicants' clinical knowledge and skill.
304          [(9)] (14) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-60-109.
305          [(10)] (15) "Unprofessional conduct" is as defined in Sections 58-1-501 and
306     58-60-110, and may be further defined by division rule.

307          Section 6. Section 58-60-102.5 is enacted to read:
308          58-60-102.5. Behavioral Health Board -- Subcommittees.
309          (1) There is created the Behavioral Health Board consisting of:
310          (a) no less than four behavioral health care providers licensed in Utah to practice as a:
311          (i) clinical social worker;
312          (ii) marriage and family therapist;
313          (iii) clinical mental health counselor;
314          (iv) master addiction counselor; or
315          (v) psychologist under Chapter 61, Psychologist Licensing Act;
316          (b) no less than three other behavioral health care providers licensed in Utah to practice
317     as:
318          (i) a certified social worker;
319          (ii) a social service worker;
320          (iii) an associate marriage and family therapist;
321          (iv) an associate clinical mental health counselor;
322          (v) an associate master addiction counselor;
323          (vi) an advanced substance use disorder counselor;
324          (vii) a certified advanced substance use disorder counselor;
325          (viii) a substance use disorder counselor;
326          (ix) a certified substance use disorder counselor;
327          (x) a certified psychology resident;
328          (xi) a behavior analyst or specialist;
329          (xii) an assistant behavior analyst or specialist;
330          (xiii) a master therapeutic recreation specialist;
331          (xiv) a therapeutic recreation specialist;
332          (xv) a therapeutic recreation technician; or
333          (xvi) a certified music therapist;
334          (c) no less than four public members:
335          (i) who comprise no less than 1/3 of the total membership of the board;
336          (ii) who are not licensed to practice under:
337          (A) this chapter;

338          (B) Chapter 40, Recreational Therapy Practice Act,
339          (C) Chapter 61, Pyschologist Licensing Act; or
340          (D) Chapter 84, State Certification of Music Therapists Act; and
341          (iii) two of whom shall, at the time of appointment to the board, hold a leadership
342     position with:
343          (A) a behavioral health consumer advocacy organization;
344          (B) a behavioral health employer;
345          (C) a behavioral health payor;
346          (D) an academic institution conducting research related to the behavioral health
347     licenses under Subsection (3)(b), including public health, epidemiology, economics, and the
348     health care workforce;
349          (E) a training institution providing education credentials required for a license under
350     Subsection (3)(b);
351          (F) a licensed health care facility as defined in Section 26B-2-201; or
352          (G) a licensed human services program as defined in Section 26B-2-101; and
353          (d) one of whom the executive director of the Department of Health and Human
354     Services appoints.
355          (2) Board members shall be appointed, serve terms, and be compensated in accordance
356     with Section 58-1-201.
357          (3) The board shall:
358          (a) operate in accordance with Sections 58-1-202 and 58-1-203;
359          (b) regulate licenses under:
360          (i) this chapter;
361          (ii) Chapter 40, Recreational Therapy Practices Act;
362          (iii) Chapter 61, Pyschologist Licensing Act; and
363          (iv) Chapter 84, State Certification of Music Therapists Act;
364          (c) designate one or more of its members on a permanent or rotating basis to:
365          (i) assist the division in review of complaints concerning unlawful or unprofessional
366     practice by a licensee in any profession regulated by the board; and
367          (ii) advise the division regarding the conduct of investigations of the complaints; and
368          (d) disqualify any member from acting as a presiding officer in any administrative

369     procedure in which that member has previously reviewed the complaint or advised the division.
370          (4) (a) The division may by rule establish one or more subcommittees to consider and
371     advise the board regarding any aspect of licensing, including:
372          (i) client or patient access to qualified licensees;
373          (ii) education, examination, and supervision of applicants for licensure;
374          (iii) verification of applicant for licensure qualifications;
375          (iv) continuing education requirements;
376          (v) alternate pathways to licensure; and
377          (vi) probation and recovery assistance.
378          Section 7. Section 58-60-109 is amended to read:
379          58-60-109. Unlawful conduct.
380          As used in this chapter, "unlawful conduct" includes:
381          (1) practice of the following unless licensed in the appropriate classification or
382     exempted from licensure under this title:
383          (a) mental health therapy;
384          (b) clinical social work;
385          (c) certified social work;
386          (d) marriage and family therapy;
387          (e) clinical mental health [counselor] counseling;
388          (f) [practice as a social service worker] social service work;
389          (g) master addiction counseling; or
390          [(g)] (h) substance use disorder [counselor] counseling;
391          (2) practice of mental health therapy by a licensed psychologist who has not acceptably
392     documented to the division the licensed psychologist's completion of the supervised training in
393     mental health therapy required under Subsection 58-61-304(1)(e); or
394          (3) representing oneself as, or using the title of, the following:
395          (a) unless currently licensed in a license classification under this title:
396          (i) psychiatrist;
397          (ii) psychologist;
398          (iii) registered psychiatric mental health nurse specialist;
399          (iv) mental health therapist;

400          (v) clinical social worker;
401          (vi) master addiction counselor;
402          [(vi)] (vii) certified social worker;
403          [(vii)] (viii) marriage and family therapist;
404          [(viii)] (ix) clinical mental health counselor;
405          [(ix)] (x) social service worker;
406          (xi) associate master addiction counselor;
407          [(x)] (xii) substance use disorder counselor;
408          [(xi)] (xiii) associate clinical mental health counselor; or
409          [(xii)] (xiv) associate marriage and family therapist; or
410          (b) unless currently in possession of the credentials described in Subsection (4), social
411     worker.
412          (4) An individual may represent oneself as a, or use the title of, social worker if the
413     individual possesses certified transcripts from an accredited institution of higher education,
414     recognized by the division in collaboration with the [Social Work Licensing Board] board,
415     verifying satisfactory completion of an education and an earned degree as follows:
416          (a) a bachelor's or master's degree in a social work program accredited by the Council
417     on Social Work Education or by the Canadian Association of Schools of Social Work; or
418          (b) a doctoral degree that contains a clinical social work concentration and practicum
419     approved by the division, by rule, in accordance with Title 63G, Chapter 3, Utah
420     Administrative Rulemaking Act, that is consistent with Section 58-1-203.
421          Section 8. Section 58-60-202 is amended to read:
422          58-60-202. Definitions.
423          In addition to the definitions in Sections 58-1-102 and 58-60-102, as used in this part:
424          [(1) "Board" means the Social Worker Licensing Board created in Section 58-60-203.]
425          [(2)] (1) (a) "Practice as a social service worker" means performance of general entry
426     level services under general supervision of a mental health therapist through the application of
427     social work theory, methods, and ethics in order to enhance the social or psychosocial
428     functioning of an individual, a couple, a family, a group, or a community, including:
429          (i) conducting:
430          (A) a non-clinical psychosocial assessment; or

431          (B) a home study;
432          (ii) collaborative planning and goal setting;
433          (iii) ongoing case management;
434          (iv) progress monitoring;
435          (v) supportive counseling;
436          (vi) information gathering;
437          (vii) making referrals; and
438          (viii) engaging in advocacy.
439          (b) "Practice as a social service worker" does not include:
440          (i) diagnosing or treating mental illness; or
441          (ii) providing psychotherapeutic services to an individual, couple, family, group, or
442     community.
443          [(3)] (2) "Practice of clinical social work" includes:
444          (a) the practice of mental health therapy by observation, description, evaluation,
445     interpretation, intervention, and treatment to effect modification of behavior by the application
446     of generally recognized professional social work principles, methods, and procedures for the
447     purpose of preventing, treating, or eliminating mental or emotional illness or dysfunction, the
448     symptoms of any of these, or maladaptive behavior;
449          (b) the application of generally recognized psychotherapeutic and social work
450     principles and practices requiring the education, training, and clinical experience of a clinical
451     social worker; and
452          (c) supervision of the practice of a certified social worker or social service worker as
453     the supervision is required under this chapter and as further defined by division rule.
454          [(4)] (3) "Practice of certified social work" includes:
455          (a) the supervised practice of mental health therapy by a clinical social worker by
456     observation, description, evaluation, interpretation, intervention, and treatment to effect
457     modification of behavior by the application of generally recognized professional social work
458     principles, methods, and procedures for the purpose of preventing, treating, or eliminating
459     mental or emotional illness or dysfunctions, the symptoms of any of these, or maladaptive
460     behavior;
461          (b) the supervised or independent and unsupervised application of generally recognized

462     professional social work principles and practices requiring the education, training, and
463     experience of a certified social worker; and
464          (c) supervision of the practice of a social service worker as the supervision is required
465     under this chapter and as further defined by division rule.
466          [(5)] (4) "Program accredited by the Council on Social Work Education" means a
467     program that:
468          (a) was accredited by the Council on Social Work Education on the day on which the
469     applicant for licensure satisfactorily completed the program; or
470          (b) was in candidacy for accreditation by the Council on Social Work Education on the
471     day on which the applicant for licensure satisfactorily completed the program.
472          [(6)] (5) "Supervision of a social service worker" means supervision conducted by an
473     individual licensed as a mental health therapist under this title in accordance with division rules
474     made in collaboration with the board.
475          Section 9. Section 58-60-205 is amended to read:
476          58-60-205. Qualifications for licensure or certification as a clinical social worker,
477     certified social worker, and social service worker.
478          (1) An applicant for licensure as a clinical social worker shall:
479          (a) submit an application on a form provided by the division;
480          (b) pay a fee determined by the department under Section 63J-1-504;
481          (c) produce certified transcripts from an accredited institution of higher education
482     recognized by the division in collaboration with the board verifying satisfactory completion of
483     an education and an earned degree as follows:
484          (i) a master's degree in a social work program accredited by the Council on Social
485     Work Education or by the Canadian Association of Schools of Social Work; or
486          (ii) a doctoral degree that contains a clinical social work concentration and practicum
487     approved by the division, by rule, in accordance with Title 63G, Chapter 3, Utah
488     Administrative Rulemaking Act, that is consistent with Section 58-1-203;
489          (d) [have completed a minimum of 3,000 hours of clinical social work training as
490     defined by division rule under Section 58-1-203:] document successful completion of not less
491     than 1,200 direct client care hours:
492          (i) obtained after completion of the education requirements under Subsection (1)(c);

493          [(i)] (ii) [under the supervision of a supervisor approved by the division in
494     collaboration with the board who is a] not less than 100 of which are direct clinical supervision
495     hours under the supervision of a:
496          (A) clinical mental health counselor;
497          (B) psychiatrist;
498          (C) psychologist;
499          (D) registered psychiatric mental health nurse practitioner;
500          (E) marriage and family therapist; [or]
501          (F) clinical social worker; [and] or
502          (G) master addiction counselor;
503          (iii) not less than 25 of which are direct observation hours;
504          (iv) not more than 25 of which are group supervision hours concurrently with only one
505     other applicant for licensure; and
506          (v) not more than 25 of which are group supervision hours concurrently with more than
507     one other applicant for licensure;
508          [(ii)] (e) [including a minimum of] document successful completion of not less than
509     two hours of training in suicide prevention obtained after completion of the education
510     requirements under Subsection (1)(c) via a course that the division designates as approved;
511          [(e) document successful completion of not less than 1,000 hours of supervised
512     training in mental health therapy obtained after completion of the education requirement in
513     Subsection (1)(c), which training may be included as part of the 3,000 hours of training in
514     Subsection (1)(d), and of which documented evidence demonstrates not less than 75 of the
515     hours were obtained under the direct supervision, as defined by rule, of a supervisor described
516     in Subsection (1)(d)(i);]
517          (f) have completed a case work, group work, or family treatment course sequence with
518     a clinical practicum in content as defined by rule under Section 58-1-203;
519          (g) (i) pass the examination requirement established by rule under Section 58-1-203;
520     [and] or
521          (ii) satisfy the following requirements:
522          (A) document successful completion of not less than 500 additional direct client care
523     hours, at least 25 of which are direct clinical supervision hours, and at least five of which are

524     direct observation hours;
525          (B) submit to the division a recommendation letter from the applicant's direct clinical
526     supervisor;
527          (C) submit to the division a recommendation letter from another licensed supervisor
528     who has directly observed the applicant's direct client care hours and who is not the applicant's
529     direct clinical supervisor; and
530          (D) submit to the division a portfolio of work demonstrating clinical competence as
531     defined by rule; and
532          (h) if the applicant is applying to participate in the Counseling Compact under Chapter
533     60a, Counseling Compact, consent to a criminal background check in accordance with Section
534     58-60-103.1 and any requirements established by division rule made in accordance with Title
535     63G, Chapter 3, Utah Administrative Rulemaking Act.
536          (2) An applicant for licensure as a certified social worker shall:
537          (a) submit an application on a form provided by the division;
538          (b) pay a fee determined by the department under Section 63J-1-504; and
539          (c) produce certified transcripts from an accredited institution of higher education
540     recognized by the division in collaboration with the board verifying satisfactory completion of
541     an education and an earned degree as follows:
542          (i) a master's degree in a social work program accredited by the Council on Social
543     Work Education or by the Canadian Association of Schools of Social Work; or
544          (ii) a doctoral degree that contains a clinical social work concentration and practicum
545     approved by the division, by rule, in accordance with Title 63G, Chapter 3, Utah
546     Administrative Rulemaking Act, that is consistent with Section 58-1-203.
547          (3) An applicant for licensure as a social service worker shall:
548          (a) submit an application on a form provided by the division;
549          (b) pay a fee determined by the department under Section 63J-1-504; and
550          (c) produce certified transcripts from an accredited institution of higher education
551     recognized by the division in collaboration with the board verifying satisfactory completion of
552     an education and an earned degree as follows:
553          (i) a bachelor's degree in a social work program accredited by the Council on Social
554     Work Education or by the Canadian Association of Schools of Social Work;

555          (ii) a master's degree in a field approved by the division in collaboration with the
556     board;
557          (iii) a bachelor's degree in any field if the applicant:
558          (A) has completed at least three semester hours, or the equivalent, in each of the
559     following areas:
560          (I) social welfare policy;
561          (II) human growth and development; and
562          (III) social work practice methods, as defined by rule; and
563          (B) provides documentation that the applicant has completed at least 2,000 hours of
564     qualifying experience under the supervision of a mental health therapist, which experience is
565     approved by the division in collaboration with the board, and which is performed after
566     completion of the requirements to obtain the bachelor's degree required under this Subsection
567     (4); or
568          (iv) successful completion of the first academic year of a Council on Social Work
569     Education approved master's of social work curriculum and practicum.
570          (4) The division shall ensure that the rules for an examination described under
571     Subsection [(1)(g)] (1)(g)(i) allow additional time to complete the examination if requested by
572     an applicant who is:
573          (a) a foreign born legal resident of the United States for whom English is a second
574     language; or
575          (b) an enrolled member of a federally recognized Native American tribe.
576          Section 10. Section 58-60-207 is amended to read:
577          58-60-207. Scope of practice -- Limitations.
578          (1) (a) A clinical social worker may engage in all acts and practices defined as the
579     practice of clinical social work without supervision, in private and independent practice, or as
580     an employee of another person, limited only by the licensee's education, training, and
581     competence.
582          (b) A clinical social worker may not supervise more than [six] 10 individuals who are
583     lawfully engaged in training for the practice of mental health therapy, unless granted an
584     exception in writing from the division in collaboration with the board.
585          (2) To the extent an individual is professionally prepared by the education and training

586     track completed while earning a master's or doctor of social work degree, a licensed certified
587     social worker may engage in all acts and practices defined as the practice of certified social
588     work consistent with the licensee's education, clinical training, experience, and competence:
589          (a) under supervision of an individual described in Subsection 58-60-205(1)(d)(i) and
590     as an employee of another person when engaged in the practice of mental health therapy;
591          (b) without supervision and in private and independent practice or as an employee of
592     another person, if not engaged in the practice of mental health therapy;
593          (c) including engaging in the private, independent, unsupervised practice of social
594     work as a self-employed individual, in partnership with other mental health therapists, as a
595     professional corporation, or in any other capacity or business entity, so long as he does not
596     practice unsupervised psychotherapy; and
597          (d) supervising social service workers as provided by division rule.
598          Section 11. Section 58-60-302 is amended to read:
599          58-60-302. Definitions.
600          In addition to the definitions in Sections 58-1-102 and 58-60-102, as used in this part:
601          (1) "Assess" means the use of diagnostic procedures, tests, and interview techniques
602     generally accepted as standard in mental health therapy to diagnose any condition related to
603     mental, emotional, behavioral, and social disorders or dysfunctions.
604          [(2) "Board" means the Marriage and Family Therapist Licensing Board created in
605     Section 58-60-303.]
606          [(3)] (2) "Practice of marriage and family therapy" includes:
607          (a) the process of providing professional mental health therapy including
608     psychotherapy to individuals, couples, families, or groups;
609          (b) utilizing established principles that recognize the interrelated nature of individual
610     problems and dysfunctions in family members to assess, diagnose, and treat mental, emotional,
611     and behavioral disorders;
612          (c) individual, premarital, relationship, marital, divorce, and family therapy;
613          (d) specialized modes of treatment for the purpose of diagnosing and treating mental,
614     emotional, and behavioral disorders, modifying interpersonal and intrapersonal dysfunction,
615     and promoting mental health; and
616          (e) assessment utilized to develop, recommend, and implement appropriate plans of

617     treatment, dispositions, and placement related to the functioning of the individual, couple,
618     family, or group.
619          Section 12. Section 58-60-305 is amended to read:
620          58-60-305. Qualifications for licensure.
621          (1) All applicants for licensure as marriage and family therapists shall:
622          (a) submit an application on a form provided by the division;
623          (b) pay a fee determined by the department under Section 63J-1-504;
624          (c) produce certified transcripts evidencing completion of a masters or doctorate degree
625     in marriage and family therapy from:
626          (i) a program accredited by the Commission on Accreditation for Marriage and Family
627     Therapy Education; or
628          (ii) an accredited institution meeting criteria for approval established by rule under
629     Section 58-1-203;
630          [(d) have completed a minimum of 3,000 hours of marriage and family therapy training
631     as defined by division rule under Section 58-1-203:]
632          [(ii) obtained after completion of the education requirement in Subsection (1)(c); and]
633          (d) document successful completion of not less than 1,200 direct client care hours:
634          (i) obtained after completion of the education requirements under Subsection (1)(c);
635          [(i)] (ii) not less than 100 of which shall be direct clinical supervision hours under the
636     supervision of a mental health therapist supervisor who meets the requirements of Section
637     58-60-307;
638          (iii) not less than 25 of which are direct observation hours;
639          (iv) not more than 25 of which are group supervision hours concurrently with only one
640     other applicant for licensure; and
641          (v) not more than 25 of which are group supervision hours concurrently with more than
642     one other applicant for licensure;
643          [(iii)] (e) [including a minimum of] document successful completion of not less than
644     two hours of training in suicide prevention obtained after completion of the education
645     requirements under Subsection (1)(c) via a course that the division designates as approved;
646          [(e) document successful completion of not less than 1,000 hours of supervised
647     training in mental health therapy obtained after completion of the education requirement

648     described in Subsection (1)(c), which training may be included as part of the 3,000 hours of
649     training described in Subsection (1)(d), and of which documented evidence demonstrates not
650     less than 75 of the supervised hours were obtained during direct, personal supervision, as
651     defined by rule, by a mental health therapist supervisor qualified under Section 58-60-307;]
652          (f) (i) pass the examination requirement established by division rule under Section
653     58-1-203; [and] or
654          (ii) satisfy the following requirements:
655          (A) document successful completion of not less than 500 additional direct client care
656     hours, not less than 25 of which are direct clinical supervision hours, and not less than five of
657     which are direct observation hours by a mental health therapist or supervisor ho meets the
658     requirements of Section 58-60-307;
659          (B) submit to the division a recommendation letter from the applicant's direct clinical
660     supervisor;
661          (C) submit to the division a recommendation letter from another licensed supervisor
662     who has directly observed the applicant's direct client care hours and is not the candidate's
663     direct clinical supervisor; and
664          (D) submit to the division a portfolio of work demonstrating clinical competence as
665     defined by rule; and
666          (g) if the applicant is applying to participate in the Counseling Compact under Chapter
667     60a, Counseling Compact, consent to a criminal background check in accordance with Section
668     58-60-103.1 and any requirements established by division rule made in accordance with Title
669     63G, Chapter 3, Utah Administrative Rulemaking Act.
670          (2) (a) All applicants for licensure as an associate marriage and family therapist shall
671     comply with the provisions of Subsections (1)(a) through (c).
672          (b) An individual's license as an associate marriage and family therapist is limited to
673     the period of time necessary to complete clinical training as described in Subsections (1)(d) and
674     (e) and extends not more than two years from the date the minimum requirement for training is
675     completed, unless the individual presents satisfactory evidence to the division and the
676     appropriate board that the individual is making reasonable progress toward passing of the
677     qualifying examination for that profession or is otherwise on a course reasonably expected to
678     lead to licensure, but the period of time under this Subsection (2)(b) may not exceed four years

679     past the date the minimum supervised clinical training requirement has been completed.
680          Section 13. Section 58-60-307 is amended to read:
681          58-60-307. Supervisors of marriage and family therapists -- Qualifications.
682          (1) Each person acting as a supervisor of a marriage and family therapist shall:
683          (a) have at least two years of clinical experience, since the date of first licensure, as a:
684          (i) clinical mental health counselor;
685          (ii) psychiatrist;
686          (iii) psychologist;
687          (iv) registered psychiatric mental health nurse practitioner;
688          (v) marriage and family therapist; [or]
689          (vi) clinical social worker; or
690          (vii) master addiction counselor;
691          (b) either:
692          (i) be approved as a supervisor by a national marriage and family therapist professional
693     organization; or
694          (ii) meet the criteria established by rule; and
695          (c) provide supervision for no more than [six] 10 individuals who are lawfully engaged
696     in training for the practice of mental health therapy, unless granted an exception in writing
697     from the division in collaboration with the board.
698          (2) Persons who act as a supervisor without meeting the requirements of this section
699     are subject to discipline for unprofessional conduct.
700          Section 14. Section 58-60-402 is amended to read:
701          58-60-402. Definitions.
702          In addition to the definitions in Sections 58-1-102 and 58-60-102, as used in this part[:],
703     [(1) "Board" means the Clinical Mental Health Counselor Licensing Board created in Section
704     58-60-403.(2) "Practice] "practice of clinical mental health counseling" means the practice of
705     mental health therapy by means of observation, description, evaluation, interpretation,
706     intervention, and treatment to effect modification of human behavior by the application of
707     generally recognized clinical mental health counseling principles, methods, and procedures for
708     the purpose of preventing, treating, or eliminating mental or emotional illness or dysfunction,
709     symptoms of any of these, or maladaptive behavior.

710          Section 15. Section 58-60-405 is amended to read:
711          58-60-405. Qualifications for licensure.
712          (1) An applicant for licensure as a clinical mental health counselor shall:
713          (a) submit an application on a form provided by the division;
714          (b) pay a fee determined by the department under Section 63J-1-504;
715          (c) produce certified transcripts evidencing completion of:
716          (i) a master's or doctorate degree conferred to the applicant in:
717          (A) clinical mental health counseling, clinical rehabilitation counseling, counselor
718     education and supervision from a program accredited by the Council for Accreditation of
719     Counseling and Related Educational Programs; or
720          (B) clinical mental health counseling or an equivalent field from a program affiliated
721     with an institution that has accreditation that is recognized by the Council for Higher Education
722     Accreditation; and
723          (ii) at least 60 semester credit hours or 90 quarter credit hours of coursework related to
724     an educational program described in Subsection (1)(c)(i);
725          [(d) have completed a minimum of 3,000 hours of clinical mental health counselor
726     training as defined by division rule under Section 58-1-203:]
727          [(ii) obtained after completion of the education requirement in Subsection (1)(c); and]
728          (d) document successful completion of not less than 1,200 direct client care hours:
729          (i) obtained after completion of the education requirements under Subsection (1)(c);
730          [(i)] (ii) not less than 100 of which are direct clinical supervision hours under the
731     supervision of a clinical mental health counselor, psychiatrist, psychologist, clinical social
732     worker, registered psychiatric mental health nurse specialist, [or] marriage and family therapist
733     [supervisor], or master addiction counselor approved by the division in collaboration with the
734     board;
735          (iii) not less than 25 of which are direct observation hours;
736          (iv) not more than 25 of which are group supervision hours concurrently with only one
737     other applicant for licensure; and
738          (v) not more than 25 of which are group supervision hours concurrently with more than
739     one other applicant for licensure;
740          [(iii)] (e) [including a minimum of] document successful completion of not less than

741     two hours of training in suicide prevention obtained after completion of the education
742     requirements under Subsection (1)(c) via a course that the division designates as approved;
743          [(e) document successful completion of not less than 1,000 hours of supervised
744     training in mental health therapy obtained after completion of the education requirement in
745     Subsection (1)(c), which training may be included as part of the 3,000 hours of training in
746     Subsection (1)(d), and of which documented evidence demonstrates not less than 75 of the
747     hours were obtained under the direct supervision of a mental health therapist, as defined by
748     rule;]
749          (f) (i) pass the examination requirement established by division rule under Section
750     58-1-203; [and] or
751          (ii) satisfy the following requirements:
752          (A) document successful completion of not less than 500 additional direct client care
753     hours, not less than 25 of are direct clinical supervision hours, and not less than five of which
754     are direct observation hours by a mental health therapist supervisor who meets the
755     requirements of Section 58-60-307;
756          (B) submit to the division a recommendation letter from the applicant's direct clinical
757     supervisor;
758          (C) submit to the division a recommendation letter from another licensed supervisor
759     who has directly observed the applicant's direct client care hours and is not the candidate's
760     direct clinical supervisor; and
761          (D) submit to the division a portfolio of work demonstrating clinical competence as
762     defined by rule; and
763          (g) if the applicant is applying to participate in the Counseling Compact under Chapter
764     60a, Counseling Compact, consent to a criminal background check in accordance with Section
765     58-60-103.1 and any requirements established by division rule made in accordance with Title
766     63G, Chapter 3, Utah Administrative Rulemaking Act.
767          (2) (a) An applicant for licensure as an associate clinical mental health counselor shall
768     comply with the provisions of Subsections (1)(a) through (c).
769          (b) Except as provided under Subsection (2)(c), an individual's licensure as an
770     associate clinical mental health counselor is limited to the period of time necessary to complete
771     clinical training as described in Subsections (1)(d) and (e) and extends not more than two year

772     from the date the minimum requirement for training is completed.
773          (c) The time period under Subsection (2)(b) may be extended to a maximum of four
774     years past the date the minimum supervised clinical training requirement has been completed,
775     if the applicant presents satisfactory evidence to the division and the [appropriate] board that
776     the individual is:
777          (i) making reasonable progress toward passing of the qualifying examination for that
778     profession; or
779          (ii) otherwise on a course reasonably expected to lead to licensure.
780          (3) Notwithstanding Subsection (1)(c), an applicant satisfies the education requirement
781     described in Subsection (1)(c) if the applicant submits documentation verifying:
782          (a) satisfactory completion of a doctoral or master's degree from an educational
783     program in rehabilitation counseling accredited by the Council for Accreditation of Counseling
784     and Related Educational Programs;
785          (b) satisfactory completion of at least 60 semester credit hours or 90 quarter credit
786     hours of coursework related to an educational program described in Subsection (1)(c)(i); and
787          (c) that the applicant received a passing score that is valid and in good standing on:
788          (i) the National Counselor Examination; and
789          (ii) the National Clinical Mental Health Counseling Examination.
790          Section 16. Section 58-60-407 is amended to read:
791          58-60-407. Scope of practice -- Limitations.
792          (1) (a) A licensed clinical mental health counselor may engage in all acts and practices
793     defined as the practice of clinical mental health counseling without supervision, in private and
794     independent practice, or as an employee of another person, limited only by the licensee's
795     education, training, and competence.
796          (b) A licensed clinical mental health counselor may not supervise more than [six] 10
797     individuals who are lawfully engaged in training for the practice of mental health therapy,
798     unless granted an exception in writing from the division in collaboration with the board.
799          (2) (a) To the extent an individual has completed the educational requirements of
800     Subsection 58-60-305(1)(c), a licensed associate clinical mental health counselor may engage
801     in all acts and practices defined as the practice of clinical mental health counseling if the
802     practice is:

803          (i) within the scope of employment as a licensed clinical mental health counselor with
804     a public agency or private clinic as defined by division rule; and
805          (ii) under supervision of a qualified licensed mental health therapist as defined in
806     Section 58-60-102.
807          (b) A licensed associate clinical mental health counselor may not engage in the
808     independent practice of clinical mental health counseling.
809          Section 17. Section 58-60-502 is amended to read:
810          58-60-502. Definitions.
811          In addition to the definitions in Sections 58-1-102 and 58-60-102, as used in this part:
812          [(1) "Board" means the Substance Use Disorder Counselor Licensing Board created in
813     Section 58-60-503.]
814          [(2)] (1) (a) "Counseling" means a collaborative process that facilitates the client's
815     progress toward mutually determined treatment goals and objectives.
816          (b) "Counseling" includes:
817          (i) methods that are sensitive to an individual client's characteristics, to the influence of
818     significant others, and to the client's cultural and social context; and
819          (ii) an understanding, appreciation, and ability to appropriately use the contributions of
820     various addiction counseling models as the counseling models apply to modalities of care for
821     individuals, groups, families, couples, and significant others.
822          [(3)] (2) "Direct supervision" means:
823          (a) a minimum of one hour of supervision by a supervisor of the substance use disorder
824     counselor for every 40 hours of client care provided by the substance use disorder counselor,
825     which supervision may include group supervision;
826          (b) the supervision is conducted in a face-to-face manner, unless otherwise approved
827     on a case-by-case basis by the division in collaboration with the board; and
828          (c) a supervisor is available for consultation with the counselor at all times.
829          [(4)] (3) "General supervision" shall be defined by division rule.
830          [(5)] (4) "Group supervision" means more than one counselor licensed under this part
831     meets with the supervisor at the same time.
832          [(6)] (5) "Individual supervision" means only one counselor licensed under this part
833     meets with the supervisor at a given time.

834          [(7)] (6) "Practice as a certified advanced substance use disorder counselor" and
835     "practice as a certified advanced substance use disorder counselor intern" means providing
836     services described in Subsection [(9)] (8) under the direct supervision of a mental health
837     therapist or licensed advanced substance use disorder counselor.
838          [(8)] (7) "Practice as a certified substance use disorder counselor" and "practice as a
839     certified substance use disorder counselor intern" means providing the services described in
840     Subsections [(10)(a)] (9)(a) and (b) under the direct supervision of a mental health therapist or
841     licensed advanced substance use disorder counselor.
842          [(9)] (8) "Practice as a licensed advanced substance use disorder counselor" means:
843          (a) providing the services described in Subsections [(10)(a)] (9)(a) and (b);
844          (b) screening and assessing of individuals, including identifying substance use disorder
845     symptoms and behaviors and co-occurring mental health issues;
846          (c) treatment planning for substance use disorders, including initial planning, ongoing
847     intervention, continuity of care, discharge planning, planning for relapse prevention, and long
848     term recovery support; and
849          (d) supervising a certified substance use disorder counselor, certified substance use
850     disorder counselor intern, certified advanced substance use disorder counselor, certified
851     advanced substance use disorder counselor intern, or licensed substance use disorder counselor
852     in accordance with Subsection 58-60-508(2).
853          [(10)] (9) (a) "Practice as a substance use disorder counselor" means providing services
854     as an employee of a substance use disorder agency under the general supervision of a licensed
855     mental health therapist to individuals or groups of persons, whether in person or remotely, for
856     conditions of substance use disorders consistent with the education and training of a substance
857     use disorder counselor required under this part, and the standards and ethics of the profession
858     as approved by the division in collaboration with the board.
859          (b) "Practice as a substance use disorder counselor" includes:
860          (i) administering the screening process by which a client is determined to need
861     substance use disorder services, which may include screening, brief intervention, and treatment
862     referral;
863          (ii) conducting the administrative intake procedures for admission to a program;
864          (iii) conducting orientation of a client, including:

865          (A) describing the general nature and goals of the program;
866          (B) explaining rules governing client conduct and infractions that can lead to
867     disciplinary action or discharge from the program;
868          (C) explaining hours during which services are available in a nonresidential program;
869          (D) treatment costs to be borne by the client, if any; and
870          (E) describing the client's rights as a program participant;
871          (iv) conducting assessment procedures by which a substance use disorder counselor
872     gathers information related to an individual's strengths, weaknesses, needs, and substance use
873     disorder symptoms for the development of the treatment plan;
874          (v) participating in the process of treatment planning, including recommending specific
875     interventions to support existing treatment goals and objectives developed by the substance use
876     disorder counselor, the mental health therapist, and the client to:
877          (A) identify and rank problems needing resolution;
878          (B) establish agreed upon immediate and long term goals; and
879          (C) decide on a treatment process and the resources to be utilized;
880          (vi) monitoring compliance with treatment plan progress;
881          (vii) providing substance use disorder counseling services to alcohol and drug use
882     disorder clients and significant people in the client's life as part of a comprehensive treatment
883     plan, including:
884          (A) leading specific task-oriented groups, didactic groups, and group discussions;
885          (B) cofacilitating group therapy with a licensed mental health therapist; and
886          (C) engaging in one-on-one interventions and interactions coordinated by a mental
887     health therapist;
888          (viii) performing case management activities that bring services, agencies, resources, or
889     people together within a planned framework of action toward the achievement of established
890     goals, including, when appropriate, liaison activities and collateral contacts;
891          (ix) providing substance use disorder crisis intervention services;
892          (x) providing client education to individuals and groups concerning alcohol and other
893     substance use disorders, including identification and description of available treatment services
894     and resources;
895          (xi) identifying the needs of the client that cannot be met by the substance use disorder

896     counselor or substance use disorder agency and referring the client to appropriate services and
897     community resources;
898          (xii) developing and providing effective reporting and recordkeeping procedures and
899     services, which include charting the results of the assessment and treatment plan, writing
900     reports, progress notes, discharge summaries, and other client-related data; and
901          (xiii) consulting with other professionals in regard to client treatment and services to
902     assure comprehensive quality care for the client.
903          (c) "Practice as a substance use disorder counselor" does not include:
904          (i) the diagnosing of mental illness, including substance use disorders, as defined in
905     Section 58-60-102;
906          (ii) engaging in the practice of mental health therapy as defined in Section 58-60-102;
907     or
908          (iii) the performance of a substance use disorder diagnosis, other mental illness
909     diagnosis, or psychological testing.
910          [(11)] (10) "Program" means a substance use disorder agency that provides substance
911     use disorder services, including recovery support services.
912          [(12)] (11) "Recovery support services" means services provided to an individual who
913     is identified as having need of substance use disorder preventive or treatment services, either
914     before, during, or after an episode of care that meets the level of care standards established by
915     division rule.
916          [(13)] (12) "Substance use disorder agency" means a public or private agency, health
917     care facility, or health care practice that:
918          (a) provides substance use disorder services, recovery support services, primary health
919     care services, or substance use disorder preventive services; and
920          (b) employs qualified mental health therapists in sufficient number to:
921          (i) evaluate the condition of clients being treated by each counselor licensed under this
922     part and employed by the substance use disorder agency; and
923          (ii) ensure that appropriate substance use disorder services are being given.
924          [(14)] (13) "Substance use disorder education program" means a formal program of
925     substance use disorder education offered by an accredited institution of higher education that
926     meets standards established by division rule.

927          Section 18. Section 58-60-504 is amended to read:
928          58-60-504. License classification.
929          The division shall issue substance use disorder counselor licenses to individuals
930     qualified under this part in the classification of:
931          (1) master addiction counselor;
932          (2) associate master addiction counselor;
933          [(1)] (3) licensed advanced substance use disorder counselor;
934          [(2)] (4) certified advanced substance use disorder counselor;
935          [(3)] (5) certified advanced substance use disorder counselor intern;
936          [(4)] (6) licensed substance use disorder counselor;
937          [(5)] (7) certified substance use disorder counselor; and
938          [(6)] (8) certified substance use disorder counselor intern.
939          Section 19. Section 58-60-506 is amended to read:
940          58-60-506. Qualifications for licensure.
941          (1) An applicant for licensure under this part on and after July 1, 2012, must meet the
942     following qualifications:
943          (a) submit an application in a form prescribed by the division;
944          (b) pay a fee determined by the department under Section 63J-1-504;
945          (c) satisfy the requirements of Subsection (2), (3), (4), (5), (6), [or] (7), (8), or (9),
946     respectively; and
947          (d) except for licensure as a certified substance use disorder counselor intern and a
948     certified advanced substance use disorder counselor intern, satisfy the examination requirement
949     established by division rule under Section 58-1-203.
950          (2) An applicant for licensure as a master addiction counselor shall produce:
951          (a) a certified transcript from an accredited institution of higher education that meets
952     standards established by division rule under Section 58-1-203, verifying the satisfactory
953     completion of a doctoral or master's degree in:
954          (i) substance use disorders or addiction counseling and treatment; or
955          (ii) a counseling subject approved by the division in collaboration with the board,
956     which may include social work, mental health counseling, marriage and family therapy,
957     psychology, or medicine;

958          (b) documentation of successful completion of at least 1,200 hours of supervised
959     experience in substance use disorder and addiction treatment obtained after completion of the
960     education requirement described in Subsection (2)(a) demonstrating at least 75 of the
961     supervised hours were obtained:
962          (i) during direct, personal supervision, as defined by division rule;
963          (ii) under the supervision of a clinical mental health counselor, psychiatrist,
964     psychologist, registered psychiatric mental health nurse practitioner, marriage and family
965     therapist, clinical social worker, or master addiction counselor approved by the division in
966     collaboration with the board; and
967          (iii) at least 25 of the direct clinical supervision hours shall be obtained through direct
968     observation by either the direct clinical supervisor or by another fully licensed clinician who is
969     authorized to practice mental health therapy and who is approved by the applicant for
970     licensure's direct clinical supervisor; and
971          (c) if the applicant for licensure produces a transcript described in Subsection (2)(a)(ii),
972     evidence of completion of an additional 200 hours of supervised experience in substance use
973     disorder and addiction treatment.
974          (3) (a) An applicant for licensure as an associate master addiction counselor shall
975     comply with the provisions of Subsections (2)(a).
976          (b) An individual's licensure as an associate master addiction counselor:
977          (i) is limited to the period of time necessary to complete the hours described in
978     Subsections (2)(a)(ii) and (iii); and
979          (ii) except as provided in Subsection (3)(c), expires no more than two years after the
980     day on which the minimum time for training passes.
981          (c) The division may extend the time period under Subsection (3)(b) up to four years
982     past the day on which the minimum time for training passes if the applicant presents
983     satisfactory evidence to the division that the applicant is:
984          (i) making reasonable progress toward the relevant examination; or
985          (ii) otherwise on a course reasonably expected to lead to licensure.
986          [(2)] (4) In accordance with division rules, an applicant for licensure as an advanced
987     substance use disorder counselor shall produce:
988          (a) certified transcripts from an accredited institution of higher education that:

989          (i) meet division standards;
990          (ii) verify the satisfactory completion of a baccalaureate or graduate degree; and
991          (iii) verify the completion of prerequisite courses established by division rules;
992          (b) documentation of the applicant's completion of a substance use disorder education
993     program that includes:
994          (i) at least 300 hours of substance use disorder related education, of which 200 hours
995     may have been obtained while qualifying for a substance use disorder counselor license; and
996          (ii) a supervised practicum of at least 350 hours, of which 200 hours may have been
997     obtained while qualifying for a substance use disorder counselor license; and
998          (c) documentation of the applicant's completion of at least 4,000 hours of supervised
999     experience in substance use disorder treatment, of which 2,000 hours may have been obtained
1000     while qualifying for a substance use disorder counselor license, that:
1001          (i) meets division standards; and
1002          (ii) is performed within a four-year period after the applicant's completion of the
1003     substance use disorder education program described in Subsection (2)(b), unless, as determined
1004     by the division after consultation with the board, the time for performance is extended due to
1005     an extenuating circumstance.
1006          [(3)] (5) An applicant for licensure as a certified advanced substance use disorder
1007     counselor shall meet the requirements in Subsections [(2)(a)] (4)(a) and (b).
1008          [(4)] (6) (a) An applicant for licensure as a certified advanced substance use disorder
1009     counselor intern shall meet the requirements in Subsections [(2)(a)] (4)(a) and (b).
1010          (b) A certified advanced substance use disorder counselor intern license expires at the
1011     earlier of:
1012          (i) the licensee passing the examination required for licensure as a certified advanced
1013     substance use disorder counselor; or
1014          (ii) six months after the certified advanced substance use disorder counselor intern
1015     license is issued.
1016          [(5)] (7) In accordance with division rules, an applicant for licensure as a substance use
1017     disorder counselor shall produce:
1018          (a) certified transcripts from an accredited institution that:
1019          (i) meet division standards;

1020          (ii) verify satisfactory completion of an associate's degree or equivalent as defined by
1021     the division in rule; and
1022          (iii) verify the completion of prerequisite courses established by division rules;
1023          (b) documentation of the applicant's completion of a substance use disorder education
1024     program that includes:
1025          (i) completion of at least 200 hours of substance use disorder related education;
1026          (ii) included in the 200 hours described in Subsection [(5)(b)(i)] (7)(b)(i), a minimum
1027     of two hours of training in suicide prevention via a course that the division designates as
1028     approved; and
1029          (iii) completion of a supervised practicum of at least 200 hours; and
1030          (c) documentation of the applicant's completion of at least 2,000 hours of supervised
1031     experience in substance use disorder treatment that:
1032          (i) meets division standards; and
1033          (ii) is performed within a two-year period after the applicant's completion of the
1034     substance use disorder education program described in Subsection [(5)(b)] (7)(b), unless, as
1035     determined by the division after consultation with the board, the time for performance is
1036     extended due to an extenuating circumstance.
1037          [(6)] (8) An applicant for licensure as a certified substance use disorder counselor shall
1038     meet the requirements of Subsections [(5)(a)] (7)(a) and (b).
1039          [(7)] (9) (a) An applicant for licensure as a certified substance use disorder counselor
1040     intern shall meet the requirements of Subsections [(5)(a)] (7)(a) and (b).
1041          (b) A certified substance use disorder counselor intern license expires at the earlier of:
1042          (i) the licensee passing the examination required for licensure as a certified substance
1043     use disorder counselor; or
1044          (ii) six months after the certified substance use disorder counselor intern license is
1045     issued.
1046          Section 20. Section 58-60-512 is enacted to read:
1047          58-60-512. Scope of practice -- Limitations.
1048          (1) An individual who is licensed as a master addiction counselor:
1049          (a) may engage in practice as a licensed master addiction counselor without
1050     supervision, in private and independent practice or as an employee of another person, limited

1051     only by the licensee's education, training, and competence; and
1052          (b) may engage in the practice of mental health therapy.
1053          (2) To the extent an individual is professionally prepared by the education and training
1054     track completed while earning a degree according to Subsection 58-60-506(2)(a), a licensed
1055     associate master addiction counselor may engage in practice as a licensed advanced substance
1056     use disorder counselor consistent with the licensee's education, clinical training, experience,
1057     and competence:
1058          (a) under supervision of an individual described in Subsection 58-60-506(2)(b) and as
1059     an employee of another person when engaged in practice as a licensed advanced substance use
1060     disorder counselor;
1061          (b) without supervision and in private practice or as an employee of another person, if
1062     not engaged in practice as a licensed advanced substance use disorder counselor or in the
1063     practice of mental health therapy;
1064          (c) including engaging in private, independent, unsupervised practice as a licensed
1065     advanced substance use disorder counselor or practice of mental health therapy as a
1066     self-employed individual, in partnership with other mental health therapists, as a professional
1067     corporation, or in any other capacity or business entity, so long as the individual does not
1068     practice unsupervised psychotherapy; and
1069          (d) supervising substance use disorder counselors as provided by division rule.
1070          Section 21. Section 58-61-102 is amended to read:
1071          58-61-102. Definitions.
1072          In addition to the definitions in Section 58-1-102, as used in this chapter:
1073          (1) "Board" means the [Psychologist Licensing Board created in Section 58-61-201]
1074     Behavioral Health Board created in Section 58-60-102.5.
1075          (2) "Client" or "patient" means an individual who consults or is examined or
1076     interviewed by a psychologist acting in his professional capacity.
1077          (3) "Confidential communication" means information, including information obtained
1078     by the psychologist's examination of the client or patient, which is:
1079          (a) (i) transmitted between the client or patient and a psychologist in the course of that
1080     relationship; or
1081          (ii) transmitted among the client or patient, the psychologist, and individuals who are

1082     participating in the diagnosis or treatment under the direction of the psychologist, including
1083     members of the client's or patient's family; and
1084          (b) made in confidence, for the diagnosis or treatment of the client or patient by the
1085     psychologist, and by a means not intended to be disclosed to third persons other than those
1086     individuals:
1087          (i) present to further the interest of the client or patient in the consultation,
1088     examination, or interview;
1089          (ii) reasonably necessary for the transmission of the communications; or
1090          (iii) participating in the diagnosis and treatment of the client or patient under the
1091     direction of the psychologist.
1092          (4) "Hypnosis" means, regarding individuals exempted from licensure under this
1093     chapter, a process by which one individual induces or assists another individual into a hypnotic
1094     state without the use of drugs or other substances and for the purpose of increasing motivation
1095     or to assist the individual to alter lifestyles or habits.
1096          (5) "Individual" means a natural person.
1097          (6) "Mental health therapist" means an individual licensed under this title as a:
1098          (a) physician and surgeon, or osteopathic physician engaged in the practice of mental
1099     health therapy;
1100          (b) an advanced practice registered nurse, specializing in psychiatric mental health
1101     nursing;
1102          (c) an advanced practice registered nurse intern, specializing in psychiatric mental
1103     health nursing;
1104          (d) psychologist qualified to engage in the practice of mental health therapy;
1105          (e) a certified psychology resident qualifying to engage in the practice of mental health
1106     therapy;
1107          (f) clinical social worker;
1108          (g) certified social worker;
1109          (h) marriage and family therapist;
1110          (i) an associate marriage and family therapist;
1111          (j) a clinical mental health counselor; or
1112          (k) an associate clinical mental health counselor.

1113          (7) "Mental illness" means a mental or emotional condition defined in an approved
1114     diagnostic and statistical manual for mental disorders generally recognized in the professions of
1115     mental health therapy listed under Subsection [(6)] (5).
1116          (8) "Practice of mental health therapy" means the treatment or prevention of mental
1117     illness, whether in person or remotely, including:
1118          (a) conducting a professional evaluation of an individual's condition of mental health,
1119     mental illness, or emotional disorder;
1120          (b) establishing a diagnosis in accordance with established written standards generally
1121     recognized in the professions of mental health therapy listed under Subsection [(6)] (5);
1122          (c) prescribing a plan for the prevention or treatment of a condition of mental illness or
1123     emotional disorder; and
1124          (d) engaging in the conduct of professional intervention, including psychotherapy by
1125     the application of established methods and procedures generally recognized in the professions
1126     of mental health therapy listed under Subsection [(6)] (5).
1127          (9) (a) "Practice of psychology" includes:
1128          (i) the practice of mental health therapy by means of observation, description,
1129     evaluation, interpretation, intervention, and treatment to effect modification of human behavior
1130     by the application of generally recognized professional psychological principles, methods, and
1131     procedures for the purpose of preventing, treating, or eliminating mental or emotional illness or
1132     dysfunction, the symptoms of any of these, or maladaptive behavior;
1133          (ii) the observation, description, evaluation, interpretation, or modification of human
1134     behavior by the application of generally recognized professional principles, methods, or
1135     procedures requiring the education, training, and clinical experience of a psychologist, for the
1136     purpose of assessing, diagnosing, preventing, or eliminating symptomatic, maladaptive, or
1137     undesired behavior and of enhancing interpersonal relationships, work and life adjustment,
1138     personal effectiveness, behavioral health, and mental health;
1139          (iii) psychological testing and the evaluation or assessment of personal characteristics
1140     such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological
1141     functioning;
1142          (iv) counseling, marriage and family therapy, psychoanalysis, psychotherapy, hypnosis,
1143     and behavior analysis and therapy;

1144          (v) diagnosis and treatment of mental and emotional disorders of disability, alcoholism
1145     and substance abuse, disorders of habit or conduct, and the psychological aspects of physical
1146     illness, accident, injury, or disability; and
1147          (vi) psychoeducational evaluation, therapy, remediation, and consultation.
1148          (b) An individual practicing psychology may provide services to individuals, couples,
1149     families, groups of individuals, members of the public, and individuals or groups within
1150     organizations or institutions.
1151          (10) "Remotely" means communicating via Internet, telephone, or other electronic
1152     means that facilitate real-time audio or visual interaction between individuals when they are not
1153     physically present in the same room at the same time.
1154          (11) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-61-501.
1155          (12) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-61-502, and
1156     may be further defined by division rule.
1157          Section 22. Section 58-61-304 is amended to read:
1158          58-61-304. Qualifications for licensure by examination or endorsement.
1159          (1) An applicant for licensure as a psychologist based upon education, clinical training,
1160     and examination shall:
1161          (a) submit an application on a form provided by the division;
1162          (b) pay a fee determined by the department under Section 63J-1-504;
1163          (c) produce certified transcripts of credit verifying satisfactory completion of a doctoral
1164     degree in psychology that includes specific core course work established by division rule under
1165     Section 58-1-203, from an institution of higher education whose doctoral program, at the time
1166     the applicant received the doctoral degree, met approval criteria established by division rule
1167     made in consultation with the board;
1168          (d) have completed a minimum of 4,000 hours of psychology training as defined by
1169     division rule under Section 58-1-203 in not less than two years and under the supervision of a
1170     psychologist supervisor approved by the division in collaboration with the board;
1171          (e) to be qualified to engage in mental health therapy, document successful completion
1172     of not less than 1,000 hours of supervised training in mental health therapy obtained after
1173     completion of a master's level of education in psychology, which training may be included as
1174     part of the 4,000 hours of training required in Subsection (1)(d), and for which documented

1175     evidence demonstrates not less than one hour of supervision for each 40 hours of supervised
1176     training was obtained under the direct supervision of a psychologist, as defined by rule;
1177          (f) pass the examination requirement established by division rule under Section
1178     58-1-203;
1179          (g) consent to a criminal background check in accordance with Section 58-61-304.1
1180     and any requirements established by rule made in accordance with Title 63G, Chapter 3, Utah
1181     Administrative Rulemaking Act; and
1182          (h) meet with the board, upon request for good cause, for the purpose of evaluating the
1183     applicant's qualifications for licensure.
1184          (2) An applicant for licensure as a psychologist by endorsement based upon licensure
1185     in another jurisdiction shall:
1186          (a) submit an application on a form provided by the division;
1187          (b) pay a fee determined by the department under Section 63J-1-504;
1188          (c) not have any disciplinary action pending or in effect against the applicant's
1189     psychologist license in any jurisdiction;
1190          (d) have passed the Utah Psychologist Law and Ethics Examination established by
1191     division rule;
1192          (e) provide satisfactory evidence the applicant is currently licensed in another state,
1193     district, or territory of the United States, or in any other jurisdiction approved by the division in
1194     collaboration with the board;
1195          (f) provide satisfactory evidence the applicant has actively practiced psychology in that
1196     jurisdiction for not less than 2,000 hours or one year, whichever is greater;
1197          (g) provide satisfactory evidence that:
1198          (i) the education, supervised experience, examination, and all other requirements for
1199     licensure in that jurisdiction at the time the applicant obtained licensure were substantially
1200     equivalent to the licensure requirements for a psychologist in Utah at the time the applicant
1201     obtained licensure in the other jurisdiction; or
1202          (ii) the applicant is:
1203          (A) a current holder of Board Certified Specialist status in good standing from the
1204     American Board of Professional Psychology;
1205          (B) currently credentialed as a health service provider in psychology by the National

1206     Register of Health Service Providers in Psychology; or
1207          (C) currently holds a Certificate of Professional Qualification (CPQ) granted by the
1208     Association of State and Provincial Psychology Boards;
1209          (h) consent to a criminal background check in accordance with Section 58-61-304.1
1210     and any requirements established by rule made in accordance with Title 63G, Chapter 3, Utah
1211     Administrative Rulemaking Act; and
1212          (i) meet with the board, upon request for good cause, for the purpose of evaluating the
1213     applicant's qualifications for licensure.
1214          (3) (a) An applicant for certification as a psychology resident shall comply with the
1215     provisions of Subsections (1)(a), (b), (c), (g), and (h).
1216          (b) (i) An individual's certification as a psychology resident is limited to the period of
1217     time necessary to complete clinical training as described in Subsections (1)(d) and (e) and
1218     extends not more than one year from the date the minimum requirement for training is
1219     completed, unless the individual presents satisfactory evidence to the division and the
1220     [Psychologist Licensing Board] board that the individual is making reasonable progress toward
1221     passing the qualifying examination or is otherwise on a course reasonably expected to lead to
1222     licensure as a psychologist.
1223          (ii) The period of time under Subsection (3)(b)(i) may not exceed two years past the
1224     date the minimum supervised clinical training requirement has been completed.
1225          Section 23. Section 58-84-102 is amended to read:
1226          58-84-102. Definitions.
1227          In addition to the definitions in Section 58-1-102, as used in this chapter:
1228          (1) "Board" means the Behavioral Health Board created in Section 58-60-102.5
1229          [(1)] (2) "Practice of music therapy" means the clinical and evidence-based use of
1230     music interventions to accomplish individualized goals within a therapeutic relationship.
1231          [(2)] (3) "State certification" means a designation granted by the division in
1232     collaboration with the board on behalf of the state to an individual who has met the
1233     requirements for state certification related to an occupation or profession described in this
1234     chapter.
1235          [(3)] (4) "State certified" means, when used in conjunction with an occupation or
1236     profession described in this chapter, a title that:

1237          (a) may be used by a person who has met the state certification requirements related to
1238     that occupation or profession described in this chapter; and
1239          (b) may not be used by a person who has not met the state certification requirements
1240     related to that occupation or profession described in this chapter.
1241          Section 24. Section 58-84-201 is amended to read:
1242          58-84-201. Qualifications for state certification.
1243          (1) The division shall grant state certification to a person who qualifies under this
1244     chapter to engage in the practice of music therapy as a state certified music therapist.
1245          (2) Each applicant for state certification as a state certified music therapist shall:
1246          (a) submit an application in a form prescribed by the division;
1247          (b) pay a fee determined by the department under Section 63J-1-504; and
1248          (c) provide satisfactory documentation that the applicant is board certified by, and in
1249     good standing with, the Certification Board for Music Therapists, or an equivalent board as
1250     determined by division rule in collaboration with the board.
1251          Section 25. Repealer.
1252          This bill repeals:
1253          Section 58-40-201, Board.
1254          Section 58-60-203, Board.
1255          Section 58-60-303, Board -- Powers.
1256          Section 58-60-403, Board.
1257          Section 58-60-503, Board.
1258          Section 58-61-201, Board.
1259          Section 58-78-201, Board.
1260          Section 26. Effective date.
1261          This bill takes effect on May 1, 2024.