As the US government works feverishly to pass a $1.7 trillion spending bill before current funding runs out, MFTs and Counselors appear poised for a major policy victory. If the bill passes, the services of MFTs and Counselors would become eligible for Medicare reimbursement as of January 1, 2024. [Update: The bill passed, and was signed by President Biden.]
Family therapy
Report: Clinical exams in mental health licensing are structural racism
The California Board of Behavioral Sciences will discuss clinical exams this Friday. My colleague Tony Rousmaniere and I decided to dig into these exams, beyond just the horrifying report ASWB released this summer. (TLDR: Wildly disparate passing rates by race/ethnicity.) While I’m previously on record as not a fan of clinical exams, they’re widely accepted. We figured we would follow where the data leads us. And so here it is:
What the BBS “one week notice” rule for supervisors signing hours means
Under California law, supervisors of BBS associates must give at least one week notice if they are planning to stop signing a supervisee’s hours. Some supervisors and supervisees are not aware of this rule. Others misunderstand it. Here’s a rundown of what the one week notice rule means — and what it doesn’t.
California AB1758 signed, making video supervision legal across work settings through 2025
The bill was tagged as urgency legislation, meaning it took effect immediately upon the Governor’s signature. In addition to making video supervision legal across all work settings, it also newly requires supervisors (in all work settings, not just private practice) to assess a supervisee’s appropriateness for video supervision. I’ve created a form for that, modeled after the specific requirements in the bill. It’s available on my Resources page at the Ben Caldwell Labs site.
Kaiser to therapists on strike: We’re not abandoning patients, you are
On Tuesday, mental health clinicians for Kaiser Permanente in Northern California went on strike. While Kaiser and the union representing the therapists appear to have reached agreement on wages, the sides remain in dispute on issues related to staffing, working conditions, and client access to care. Kaiser reps have responded by calling the strike itself āunethical.ā They have said that union leaders were asking therapists to āwalk away from people who need help.ā Suggesting that your own employees are unethical when they are striking to force Kaiser to improve patient access to mental health care is, as they say, a choice. Itās one that would seem destined to only worsen Kaiserās ability to recruit and retain therapists in the future.