TITLE 22.EXAMINING BOARDS

Part 30. TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

Chapter 681. PROFESSIONAL COUNSELORS

The Texas State Board of Examiners of Professional Counselors (board) proposes amendments to §§681.2, 681.14, 681.41, 681.42, 681.45, 681.72, 681.83, 681.93, 681.101, 681.121, 681.165, 681.168, and new §681.171, concerning the licensing and regulation of professional counselors.

Specifically, the amendments cover definitions, additional fees collected, dual relationships, application requirements, examination time frame, bi-annual renewals, and emergency suspension. New §681.168 covers the surrendering of a license. The new §681.171 covers Senate Bill 161, 78th Legislature, Regular Session, 2003, which amends Occupations Code, Chapter 503, relating to emergency suspensions and administrative penalties. The licensing fee amendments are required as a result of revisions to the Health and Safety Code, Chapter 12, §12.0111 and §12.0112, pursuant to House Bill 2292, 78th Legislature, Regular Session, 2003.

House Bill 2985, 78th Legislature, Regular Session, 2003, which added Occupations Code, Chapter 101, requires the Texas State Board of Examiners of Professional Counselors to assess and collect fees to fund the Office of Patient Protection within the Texas Health Professions Council. Wording is added that authorizes the board to collect these fees.

Senate Bill 1152, 78th Legislature, Regular Session, 2003, which amends Government Code, Chapter 2054, directs all department administered licensing programs to participate in Texas Online, an electronic fee payment system developed and maintained by the Texas Online Authority. Wording is added that authorizes the Board to collect subscription and convenience fees, in amounts to be determined by the Texas Online Authority, to recover costs associated with application and renewal application processing.

Bobbe Alexander, Executive Director of the board, has determined that for each year of the first five years the sections will be in effect there will be fiscal implications for state or local government as a result of enforcing or administering the sections as proposed. The estimated increase in general revenue cannot be established because the number of persons required to comply with the proposed sections cannot be determined. For all applications and renewal applications; the department is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online.

Ms. Alexander has also determined that for each year of the first five years the proposed sections are in effect, the public benefit anticipated as a result of enforcing the sections will be to assure that the regulation of professional counselors continues to identify competent providers, resulting in the protection and promotion of the public health and welfare. There will be no effect on micro-businesses and small businesses. The estimated increase in general revenue cannot be established because the number of persons required to comply with the late renewal process cannot be determined. There is no anticipated impact on local employment.

Comments on the proposal may be submitted to Bobbe Alexander, Executive Director, Texas State Board of Examiners of Professional Counselors, 1100 West 49th Street, Austin, Texas 78756, (512) 834-6658, fax (512) 834-6789. Comments will be accepted for 30 days following the date of publication of this proposal in the Texas Register .

Subchapter A. THE BOARD

22 TAC §681.2, §681.14

The amendments are proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendments affect the Texas Occupations Code, Chapter 503.

§681.2.Definitions.

The following words and terms, when used in this chapter, shall have the following meanings unless the context clearly indicates otherwise.

(1)-(7) (No change.)

(8) Client--A person who requests and receives counseling services from a licensee or who has engaged in a therapeutic relationship with a licensee .

(9) Counseling-related field--A mental health discipline utilizing human development, psychotherapeutic, and mental health principles including, but not limited to, psychology, psychiatry, social work, marriage and family therapy, and guidance and counseling. Non-counseling related fields include, but are not limited to, sociology, education, administration, and theology.

(10)-(16) (No change.)

§681.14.Licensing Fees.

(a) Licensing fees are as follows:

(1)-(3) (No change.)

(4) a license issued for a one year term--$50;

[ (4) annual license renewal fee--$50;]

(5) a license issued for a two year term--$100;

[ (5) late renewal penalty fee:]

[ (A) 1 to 90 days after expiration--$55; and]

[ (B) 91 to 365 days after expiration--$110;]

(6) late renewal fee on one year renewal cycle:

(A) 1 to 90 days after expiration--$105; and

(B) 91 to 365 days after expiration--$160.

(7) late renewal fee on two year renewal cycle:

(A) 1-90 days after expiration--$155; and

(B) 91-365 days after expiration--$210.

(8) [ (6) ] annual inactive status fee--$25;

(9) [ (7) ] license certificate or renewal card duplication or replacement fee--$10;

(10) [ (8) ] returned check fee--$25; and

(11) [ (9) ] art therapy specialty designation application fee--$30 (in addition to any necessary application fees listed in paragraphs (1) - (10) [ (9) ] of this subsection).

(b)-(d) (No change.)

(e) For all applications and renewal applications, the board is authorized to collect subscription and convenience fees, in amounts determined by the Texas Online Authority, to recover costs associated with application and renewal application processing through Texas Online.

(f) For all applications and renewal applications, the board is authorized to collect fees to fund the Office of Patient Protection, Health Professions Council, as mandated by law.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401760

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter C. CODE OF ETHICS

22 TAC §§681.41, 681.42, 681.45

The amendments are proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendments affect the Texas Occupations Code, Chapter 503.

§681.41.General Ethical Requirements.

(a)-(j) (No change.)

(k) A licensee shall set and maintain professional boundaries. Dual relationships with clients are prohibited. A dual relationship is considered any non-counseling activity initiated by either the licensee or client for the purpose of establishing a non-therapeutic relationship.

(1) (No change.)

(2) The licensee shall not give or accept a gift from a client or a relative of a client valued at more than fifty dollars, enter into barter for services, or borrow or lend money or items of value to clients or relatives of clients or accept payment in the form of services rendered by a client .

(3) The licensee shall not enter into a non-professional relationship with a client's family member or any person having a personal or professional relationship with a client if such a relationship could be detrimental to the client .

(l)-(y) (No change.)

§681.42.Sexual Misconduct.

(a)-(d) (No change.)

[ (e) It is a defense to a disciplinary action under subsections (b)-(d) of this section if the person was no longer emotionally dependent on the licensee when the sexual exploitation began, the sexual contact occurred, or the therapeutic deception occurred, and the licensee terminated counseling with the person more than two years before the date the sexual exploitation began, the sexual contact occurred or the therapeutic deception occurred.]

(e) [ (f) ] It is not a defense under subsections (b)-(d) of this section if the sexual contact, sexual exploitation, or therapeutic deception with the person occurred:

(1) with the consent of the client;

(2) outside the professional counseling sessions of the client; or

(3) off the premises regularly used by the licensee for the professional counseling sessions of the client.

(f) [ (g) ] The following may constitute sexual exploitation if done for the purpose of sexual arousal or gratification or sexual abuse of any person:

(1) sexual harassment, sexual solicitation, physical advances, or verbal or nonverbal conduct that is sexual in nature, and:

(A) is offensive or creates a hostile environment, and the licensee knows or is told this; or

(B) is sufficiently severe or intense to be abusive to a reasonable person in the context;

(2) any behavior, gestures, or expressions which may reasonably be interpreted as inappropriately seductive or sexual;

(3) inappropriate sexual comments about or to a person, including making sexual comments about a person's body;

(4) making sexually demeaning comments about an individual's sexual orientation;

(5) making comments about potential sexual performance except when the comment is pertinent to the issue of sexual function or dysfunction in counseling;

(6) requesting details of sexual history or sexual likes and dislikes when not necessary for counseling of the individual;

(7) initiating conversation regarding the sexual problems, preferences, or fantasies of the licensee;

(8) kissing or fondling;

(9) making a request to date;

(10) any other deliberate or repeated comments, gestures, or physical acts not constituting sexual intimacies but of a sexual nature;

(11) any bodily exposure of genitals, anus or breasts;

(12) encouraging another to masturbate in the presence of the licensee; or

(13) masturbation by the licensee when another is present.

(g) [ (h) ] Examples of sexual contact are those activities and behaviors described in the Texas Penal Code, §21.01.

(h) [ (i) ] A licensee shall report sexual misconduct as follows.

(1) If a licensee has reasonable cause to suspect that a client has been the victim of sexual exploitation, sexual contact, or therapeutic deception by another licensee or a mental health services provider, or if a client alleges sexual exploitation, sexual contact, or therapeutic deception by another licensee or a mental health services provider, the licensee shall report the alleged conduct not later than the 30th day after the date the licensee became aware of the conduct or the allegations to:

(A) the prosecuting attorney in the county in which the alleged sexual exploitation, sexual contact or therapeutic deception occurred; and

(B) the board if the conduct involves a licensee and any other state licensing agency which licenses the mental health services provider.

(2) Before making a report under this subsection, the reporter shall inform the alleged victim of the reporter's duty to report and shall determine if the alleged victim wants to remain anonymous.

(3) A report under this subsection need contain only the information needed to:

(A) identify the reporter;

(B) identify the alleged victim, unless the alleged victim has requested anonymity;

(C) express suspicion that sexual exploitation, sexual contact, or therapeutic deception occurred; and

(D) provide the name of the alleged perpetrator.

§681.45.Confidentiality and Required Reporting.

(a)-(c) (No change.)

(d) A licensee shall report information if required by any of the following statutes:

(1)-(4) (No change.)

(5) A licensee shall comply with Occupations Code, Chapter 109, relating to the release and exchange of information concerning the treatment of a sex offender.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401761

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter D. APPLICATION PROCEDURES

22 TAC §681.72

The amendment is proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendment affects the Texas Occupations Code, Chapter 503.

§681.72.Required Application Materials.

(a)-(b) (No change.)

(c) The supervised experience documentation form must be completed by the applicant's supervisor and contain:

(1)-(7) (No change.)

(8) the supervisor's evaluation of the applicant's counseling skills and competence for independent or private practice; and

[ (9) the supervisor's notarized signature; and]

(9) [ (10) ] a statement that the supervised experience complies with the rules set out in Subchapter F of this chapter (relating to Experience Requirements for Examination and Licensure) and §681.73 of this title (relating to Application for Art Therapy Specialty Designation).

(d)-(e) (No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401762

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter E. ACADEMIC REQUIREMENTS FOR EXAMINATION AND LICENSURE

22 TAC §681.83

The amendment is proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendment affects the Texas Occupations Code, Chapter 503.

§681.83.Academic Course Content.

(a) An applicant must obtain [ is responsible for obtaining ] academic course work in each of the following areas: [ and demonstrating competency in the following specific areas through successful completion of the examination: ]

(1)-(7) (No change.)

(8) social, cultural, and family issues - the studies of change, ethnic groups, gender studies, family systems, urban and rural societies, population patterns, cultural patterns, and differing life styles; [ and ]

(9) professional orientation - the objectives of professional organizations, codes of ethics, legal aspects of practice, standards of preparation, and the role identity of persons providing direct counseling treatment intervention ; and

(10) Practicum (Internship) as referred to in §681.82(c) of this title (relating to Academic Requirements).

(b) The remaining courses needed to meet the 48 graduate-hour requirement shall be in areas directly supporting the development of an applicant's professional counseling skills and be [ such as practicum or internship credit and other ] courses related primarily to professional counseling.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401763

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter F. EXPERIENCE REQUIREMENTS FOR EXAMINATION AND LICENSURE

22 TAC §681.93

The amendment is proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendment affects the Texas Occupations Code, Chapter 503.

§681.93.Supervisor Requirements.

(a) All internships physically occurring in the State [ state ] of Texas for which a supervisory agreement is received [ executed ] on or after September 1, 2003, must be completed under a supervisor who holds a regular license issued by the board. The supervisor must have held the license in good standing for at least 24 months from the date of issuance. Completion of a doctoral degree in counseling or a counseling-related field at an accredited university may be substituted for 12 months of the 24 month requirement.

(b) (No change.)

(c) A supervisor under this section must have met the following requirements.

(1) The supervisor shall meet the requirements stated in subsection (a) of this section, shall submit a supervisor approval application form accompanied by a $50 supervisor approval processing fee, shall annually submit a renewal supervisor approval application form accompanied by a $50 supervisor approval processing fee, and must successfully complete [ one of the following: ]

[ (A) an examination offered for certification as a counselor supervisor or current certification as a counselor supervisor by a nationally recognized counseling association acceptable to the board;]

[ (B) ] 40 clock-hours of training in the supervision of professional counseling or mental health services through one or a combination of the following:

(A) [ (i) ] a graduate course in counselor supervision taken for credit at an accredited college or university;

(B) [ (ii) ] continuing education programs meeting the requirements of §681.142 of this title (relating to Types of Acceptable Continuing Education); or

(C) [ (iii) ] clinical supervision of the supervisor applicant by a person who has already met the requirements of this subsection or if from another state who would be acceptable under subsections (a) or (b) of this section;

(2)-(3) (No change.)

(d)-(h) (No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401764

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter G. LICENSURE EXAMINATIONS

22 TAC §681.101

The amendment is proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendment affects the Texas Occupations Code, Chapter 503.

§681.101.Examination.

(a)-(e) (No change.)

(f) An applicant who is approved to sit for the exam but does not hold the temporary license must take and pass the exam within one year of the approval date. If the exam has not been passed within one year the applicant must reapply by submitting a new application and fee in accordance with current board rules.

(g) [ (f) ] A regular license will be issued to an applicant only after completion of required supervised experience and successful completion of the licensed professional counselor examination.

(h) [ (g) ] Applicants seeking accommodations for the licensure examination under the Americans with Disabilities Act shall inform the board of any special accommodations needed in advance and in writing. Disability accommodation requests must be accompanied by verification of the disability from a professional who has diagnosed or can attest to the disability and who recommends accommodation.

(i) [ (h) ] The board shall provide written notification to persons who meet all requirements for examination.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401765

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter I. REGULAR LICENSE RENEWAL; INACTIVE AND RETIREMENT STATUS

22 TAC §681.121

The amendment is proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendment affects the Texas Occupations Code, Chapter 503.

§681.121.General.

(a) A regular license or a regular license with art therapy specialty designation must be renewed annually or bi-annually, as determined by the board .

(b) (No change.)

(c) Each person who holds a regular license or a regular license with art therapy specialty designation is responsible for renewing the license annually or bi-annually, and shall not be excused from paying late renewal fees or renewal penalty fees. Failure to receive notice from the board does not waive payment of late penalty fees.

(d)-(g) (No change.)

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401766

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236


Subchapter K. COMPLAINTS AND VIOLATIONS

22 TAC §§681.165, 681.168, 681.171

The amendments and new section are proposed under Texas Occupations Code, Chapter 503, which provides the Texas State Board of Examiners of Professional Counselors with the authority to adopt rules concerning the licensure of Professional Counselors.

The amendments and new section affect the Texas Occupations Code, Chapter 503.

§681.165.Suspension, Emergency [ Temporary ] Suspension, Revocation, or Denial.

(a)-(c) (No change.)

(d) The board or the complaints committee of the board may suspend a license on an emergency basis [ temporarily suspend a license ].

(1) (No change.)

(2) In order to [ temporarily ] suspend a license on an emergency basis , the board or complaints committee must determine whether continued practice by a license holder would constitute a continuing and imminent threat to the public welfare.

(3) (No change.)

(4) The board or complaints committee shall issue an order [ temporarily ] suspending the license. The order shall be effective upon delivery to the licensee or at a later date specified in the order.

(5) Proceedings for a formal hearing under Subchapter L of this chapter must be initiated prior to, or simultaneously on, the effective date of the emergency [ temporary ] suspension.

(A)-(B) (No change.)

(6) A preliminary hearing shall be held not later than the 14th day after the effective date of the emergency [ temporary ] suspension to determine if probable cause exists to find that a continuing and imminent threat to the public welfare still exists. The State Office of Administrative Hearings is hereby authorized to determine if probable cause exists.

(7) A final hearing shall be held not later than the 61st day after the effective date of the emergency [ temporary ] suspension.

(A)-(D) (No change.)

(8) The time periods for holding a preliminary hearing or a final hearing shall be tolled during the period of time in which the licensee makes discovery requests. The time periods may also be waived by mutual agreement of the licensee and the authorized representative of the board. If a preliminary hearing or final hearing is not held in accordance with the time periods stated in this subsection (unless tolled or waived), the emergency [ temporary ] suspension shall become null and void upon the date on which the hearing was required to be held under the Act, §503.403.

§681.168.Surrender of License when Complaint is Pending.

(a)-(c) (No change.)

(d) Upon surrender of a license during the course of the investigation, the surrender is considered accepted and is not subject to reinstatement until a hearing has been held.

§681.171.Administrative Penalties.

(a) The assessment of an administrative penalty is governed by the Texas State Board of Examiners of Professional Counselors, Occupations Code (Act), §503.500.

(b) The complaints committee, with the approval of the board may impose a fine not to exceed $250 plus costs for the first violation, and not to exceed $1,000 plus costs for each subsequent violation of the Act, and the rules adopted under the Act, on any person or entity described in the Act. The fine may be invoked as an alternative to any other disciplinary measure, except for probation, as set forth by the committee.

(c) The amount of an administrative penalty shall be based on the following criteria.

(1) The seriousness of a violation shall be categorized by one of the following severity levels:

(A) Level I--violations that have or had an adverse impact on the health or safety of a client (or former client, where applicable);

(B) Level II--violations that have or had the potential to cause an adverse impact on the health or safety of a client (or former client, where applicable) but did not actually have an adverse impact; or

(C) Level III--violations that have no or minor health or safety significance.

(2) The range of administrative penalties by severity levels is as follows:

(A) Level I--$500 to $1,000;

(B) Level II--$250 to $500; or

(C) Level III--no more than $250.

(3) Subsequent violations in the same severity level for which an administrative penalty has previously been imposed shall be categorized at the next higher severity level.

(4) Adjustments to the range of an administrative penalty may be made for:

(A) prompt reporting;

(B) corrective action;

(C) compliance history; or

(D) multiple violations.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State on March 8, 2004.

TRD-200401767

Judith D. Powell

Chairperson

Texas State Board of Examiners of Professional Counselors

Earliest possible date of adoption: April 18, 2004

For further information, please call: (512) 458-7236