<a id="pl.1.3"></a><var>1.3</var>clinical counselors; modifying the definitions of mental health professionals; <br/>
<a id="pl.1.4"></a><var>1.4</var>amending Minnesota Statutes 2006, sections 148B.50, subdivision 5; 148B.53, <br/>
<a id="pl.1.5"></a><var>1.5</var>subdivision 1; 245.462, subdivision 18; 245.470, subdivision 1; 245.4871, <br/>
<a id="pl.1.6"></a><var>1.6</var>subdivision 27; 245.488, subdivision 1; 256B.0623, subdivision 5; 256B.0624, <br/>
<a id="pl.1.7"></a><var>1.7</var>subdivisions 5, 8; 256B.0943, subdivision 1; 256J.08, subdivision 73a; proposing <br/>
<a id="pl.1.8"></a><var>1.8</var>coding for new law in Minnesota Statutes, chapter 148B.<br/>
<a id="pl.1.9"></a><var>1.9</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.10"></a><var>1.10</var>    Section 1. Minnesota Statutes 2006, section 148B.50, subdivision 5, is amended to read:<br/>
<a id="pl.1.11"></a><var>1.11</var>    Subd. 5. <b>Scope of practice.</b> (a) The scope of practice of a licensed professional <br/>
<a id="pl.1.12"></a><var>1.12</var>counselor includes, but is not limited to:<br/>
<a id="pl.1.13"></a><var>1.13</var>(1) the implementation of professional counseling treatment interventions including <br/>
<a id="pl.1.14"></a><var>1.14</var>evaluation, treatment planning, assessment, and referral;<br/>
<a id="pl.1.15"></a><var>1.15</var>(2) direct counseling services to individuals, groups, and families;<br/>
<a id="pl.1.16"></a><var>1.16</var>(3) counseling strategies that effectively respond to multicultural populations;<br/>
<a id="pl.1.17"></a><var>1.17</var>(4) knowledge of relevant laws and ethics impacting practice;<br/>
<a id="pl.1.18"></a><var>1.18</var>(5) crisis intervention;<br/>
<a id="pl.1.19"></a><var>1.19</var>(6) consultation; and<br/>
<a id="pl.1.20"></a><var>1.20</var>(7) program evaluation and applied research.<br/>
<a id="pl.1.21"></a><var>1.21</var>(b) For the purposes of paragraph (a), clause (1), "professional counseling treatment <br/>
<a id="pl.1.22"></a><var>1.22</var>interventions" means the application of cognitive, affective, behavioral, systemic, and <br/>
<a id="pl.1.23"></a><var>1.23</var>community counseling strategies which include principles of human development, <br/>
<a id="pl.1.24"></a><var>1.24</var>wellness, and pathology. Counselors provide mental health services for clients whose <br/>
<a id="pl.1.25"></a><var>1.25</var>symptoms significantly interfere with daily functioning and would most likely not improve <br/>
<a id="pl.1.26"></a><var>1.26</var>in a reasonable time period without intervention.<br/>
<a id="pl.2.1"></a><var>2.1</var>(c) Licensed professional counseling does not include activities or services <br/>
<a id="pl.2.2"></a><var>2.2</var>undertaken by persons listed in section 
         <statute_ref>148B.592</statute_ref>, or the performance of any act that <br/>
<a id="pl.2.3"></a><var>2.3</var>licensed professional counselors are not educated and trained to perform. <br/>
<a id="pl.2.4"></a><var>2.4</var>(d) In order to evaluate and treat mental illness, a licensed professional counselor <br/>
<a id="pl.2.5"></a><var>2.5</var>must complete the postgraduate training specified in section 
<statute_ref>245.462, subdivision 18</statute_ref>, <br/>
<a id="pl.2.6"></a><var>2.6</var>clause (6), or 
<statute_ref>245.4871, subdivision 27</statute_ref>, clause (6). <br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.2.7"></a><var>2.7</var>    Sec. 2. Minnesota Statutes 2006, section 148B.53, subdivision 1, is amended to read:<br/>
<a id="pl.2.8"></a><var>2.8</var>    Subdivision 1. <b>General requirements.</b> (a) To be licensed as a licensed professional <br/>
<a id="pl.2.9"></a><var>2.9</var>counselor (LPC), an applicant must provide evidence satisfactory to the board that the <br/>
<a id="pl.2.10"></a><var>2.10</var>applicant:<br/>
<a id="pl.2.11"></a><var>2.11</var>(1) is at least 18 years of age;<br/>
<a id="pl.2.12"></a><var>2.12</var>(2) is of good moral character;<br/>
<a id="pl.2.13"></a><var>2.13</var>(3) has completed a master's or doctoral degree program in counseling or a related <br/>
<a id="pl.2.14"></a><var>2.14</var>field, as determined by the board based on the criteria in paragraph (b), that includes a <br/>
<a id="pl.2.15"></a><var>2.15</var>minimum of 48 semester hours or 72 quarter hours and a supervised field experience of <br/>
<a id="pl.2.16"></a><var>2.16</var>not fewer than 700 hours that is counseling in nature;<br/>
<a id="pl.2.17"></a><var>2.17</var>(4) has submitted to the board a plan for supervision during the first 2,000 hours <br/>
<a id="pl.2.18"></a><var>2.18</var>of professional practice or has submitted proof of supervised professional practice that <br/>
<a id="pl.2.19"></a><var>2.19</var>is acceptable to the board; and<br/>
<a id="pl.2.20"></a><var>2.20</var>(5) has demonstrated competence in professional counseling by passing the National <br/>
<a id="pl.2.21"></a><var>2.21</var>Counseling Exam (NCE) administered by the National Board for Certified Counselors, <br/>
<a id="pl.2.22"></a><var>2.22</var>Inc. (NBCC) or an equivalent national examination as determined by the board, and <br/>
<a id="pl.2.23"></a><var>2.23</var>ethical, oral, and situational examinations if prescribed by the board.<br/>
<a id="pl.2.24"></a><var>2.24</var>(b) The degree described in paragraph (a), clause (3), must be from a counseling <br/>
<a id="pl.2.25"></a><var>2.25</var>program recognized by the Council for Accreditation of Counseling and Related Education <br/>
<a id="pl.2.26"></a><var>2.26</var>Programs (CACREP) or from an institution of higher education that is accredited by <br/>
<a id="pl.2.27"></a><var>2.27</var>a regional accrediting organization recognized by the Council for Higher Education <br/>
<a id="pl.2.28"></a><var>2.28</var>Accreditation (CHEA). Except as provided in paragraph (e), Specific academic course <br/>
<a id="pl.2.29"></a><var>2.29</var>content and training must include course work in each of the following subject areas:<br/>
<a id="pl.2.30"></a><var>2.30</var>(1) the helping relationship, including counseling theory and practice;<br/>
<a id="pl.2.31"></a><var>2.31</var>(2) human growth and development;<br/>
<a id="pl.2.32"></a><var>2.32</var>(3) lifestyle and career development;<br/>
<a id="pl.2.33"></a><var>2.33</var>(4) group dynamics, processes, counseling, and consulting;<br/>
<a id="pl.2.34"></a><var>2.34</var>(5) assessment and appraisal;<br/>
<a id="pl.2.35"></a><var>2.35</var>(6) social and cultural foundations, including multicultural issues;<br/>
<a id="pl.3.1"></a><var>3.1</var>(7) principles of etiology, treatment planning, and prevention of mental and <br/>
<a id="pl.3.2"></a><var>3.2</var>emotional disorders and dysfunctional behavior;<br/>
<a id="pl.3.3"></a><var>3.3</var>(8) family counseling and therapy;<br/>
<a id="pl.3.4"></a><var>3.4</var>(9) research and evaluation; and<br/>
<a id="pl.3.5"></a><var>3.5</var>(10) professional counseling orientation and ethics.<br/>
<a id="pl.3.6"></a><var>3.6</var>(c) To be licensed as a professional counselor, a psychological practitioner licensed <br/>
<a id="pl.3.7"></a><var>3.7</var>under section 
         <statute_ref>148.908</statute_ref> need only show evidence of licensure under that section and is not <br/>
<a id="pl.3.8"></a><var>3.8</var>required to comply with paragraph (a), clauses (1) to (3) and (5), or paragraph (b).<br/>
<a id="pl.3.9"></a><var>3.9</var>(d) To be licensed as a professional counselor, a Minnesota licensed psychologist <br/>
<a id="pl.3.10"></a><var>3.10</var>need only show evidence of licensure from the Minnesota Board of Psychology and is not <br/>
<a id="pl.3.11"></a><var>3.11</var>required to comply with paragraph (a) or (b).<br/>
<a id="pl.3.12"></a><var>3.12</var>(e) If the degree described in paragraph (a), clause (3), is from a counseling program <br/>
<a id="pl.3.13"></a><var>3.13</var>recognized by the Council for Accreditation of Counseling and Related Education <br/>
<a id="pl.3.14"></a><var>3.14</var>Programs (CACREP), the applicant is deemed to have met the specific course work <br/>
<a id="pl.3.15"></a><var>3.15</var>requirements of paragraph (b).<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.3.16"></a><var>3.16</var>    Sec. 3. <b>[148B.5301] REQUIREMENTS FOR LICENSURE AS A LICENSED </b><br/>
<a id="pl.3.17"></a><var>3.17</var><b>PROFESSIONAL CLINICAL COUNSELOR.</b><br/>
<a id="pl.3.18"></a><var>3.18</var>    Subdivision 1. <b>General requirements.</b> (a) To be licensed as a licensed professional <br/>
<a id="pl.3.19"></a><var>3.19</var>clinical counselor (LPCC), an applicant must provide satisfactory evidence to the board <br/>
<a id="pl.3.20"></a><var>3.20</var>that the applicant:<br/>
<a id="pl.3.21"></a><var>3.21</var>    (1) is at least 18 years of age;<br/>
<a id="pl.3.22"></a><var>3.22</var>    (2) is of good moral character;<br/>
<a id="pl.3.23"></a><var>3.23</var>    (3) has completed a master's or doctoral degree program in counseling or a <br/>
<a id="pl.3.24"></a><var>3.24</var>related field, as determined by the board based on the criteria in items (i) to (x), that <br/>
<a id="pl.3.25"></a><var>3.25</var>includes a minimum of 48 semester hours or 72 quarter hours and a supervised field <br/>
<a id="pl.3.26"></a><var>3.26</var>experience in counseling that is not fewer than 700 hours. The degree must be from <br/>
<a id="pl.3.27"></a><var>3.27</var>a counseling program recognized by the Council for Accreditation of Counseling and <br/>
<a id="pl.3.28"></a><var>3.28</var>Related Education Programs (CACREP) or from an institution of higher education that is <br/>
<a id="pl.3.29"></a><var>3.29</var>accredited by a regional accrediting organization recognized by the Council for Higher <br/>
<a id="pl.3.30"></a><var>3.30</var>Education Accreditation (CHEA). Specific academic course content and training must <br/>
<a id="pl.3.31"></a><var>3.31</var>include course work in each of the following subject areas:<br/>
<a id="pl.3.32"></a><var>3.32</var>    (i) helping relationship, including counseling theory and practice;<br/>
<a id="pl.3.33"></a><var>3.33</var>    (ii) human growth and development;<br/>
<a id="pl.3.34"></a><var>3.34</var>    (iii) lifestyle and career development;<br/>
<a id="pl.3.35"></a><var>3.35</var>    (iv) group dynamics, processes, counseling, and consulting;<br/>
<a id="pl.4.1"></a><var>4.1</var>    (v) assessment and appraisal;<br/>
<a id="pl.4.2"></a><var>4.2</var>    (vi) social and cultural foundations, including multicultural issues;<br/>
<a id="pl.4.3"></a><var>4.3</var>    (vii) principles of etiology, treatment planning, and prevention of mental and <br/>
<a id="pl.4.4"></a><var>4.4</var>emotional disorders and dysfunctional behavior;<br/>
<a id="pl.4.5"></a><var>4.5</var>    (viii) family counseling and therapy;<br/>
<a id="pl.4.6"></a><var>4.6</var>    (ix) research and evaluation; and<br/>
<a id="pl.4.7"></a><var>4.7</var>    (x) professional counseling orientation and ethics;<br/>
<a id="pl.4.8"></a><var>4.8</var>    (4) has demonstrated competence in professional counseling by passing the National <br/>
<a id="pl.4.9"></a><var>4.9</var>Clinical Mental Health Counseling Examination (NCMHCE), administered by the <br/>
<a id="pl.4.10"></a><var>4.10</var>National Board for Certified Counselors, Inc. (NBCC) and ethical, oral, and situational <br/>
<a id="pl.4.11"></a><var>4.11</var>examinations as prescribed by the board. In lieu of the NCMHCE, applicants who have <br/>
<a id="pl.4.12"></a><var>4.12</var>taken and passed the National Counselor Examination (NCE) administered by the NBCC, <br/>
<a id="pl.4.13"></a><var>4.13</var>or another board-approved examination, need only take and pass the Examination of <br/>
<a id="pl.4.14"></a><var>4.14</var>Clinical Counseling Practice (ECCP) administered by the NBCC;<br/>
<a id="pl.4.15"></a><var>4.15</var>    (5) has earned graduate-level semester credits or quarter-credit equivalents in the <br/>
<a id="pl.4.16"></a><var>4.16</var>following clinical content areas as follows:<br/>
<a id="pl.4.17"></a><var>4.17</var>    (i) six credits in diagnostic assessment for child or adult mental disorders; normative <br/>
<a id="pl.4.18"></a><var>4.18</var>development; and psychopathology, including developmental psychopathology;<br/>
<a id="pl.4.19"></a><var>4.19</var>    (ii) three credits in clinical treatment planning, with measurable goals;<br/>
<a id="pl.4.20"></a><var>4.20</var>    (iii) six credits in clinical intervention methods informed by research evidence and <br/>
<a id="pl.4.21"></a><var>4.21</var>community standards of practice;<br/>
<a id="pl.4.22"></a><var>4.22</var>    (iv) three credits in evaluation methodologies regarding the effectiveness of <br/>
<a id="pl.4.23"></a><var>4.23</var>interventions;<br/>
<a id="pl.4.24"></a><var>4.24</var>    (v) three credits in professional ethics applied to clinical practice; and<br/>
<a id="pl.4.25"></a><var>4.25</var>    (vi) three credits in cultural diversity; and<br/>
<a id="pl.4.26"></a><var>4.26</var>    (6) has demonstrated successful completion of 4,000 hours of supervised, <br/>
<a id="pl.4.27"></a><var>4.27</var>postmaster's degree professional practice in the delivery of clinical services in the <br/>
<a id="pl.4.28"></a><var>4.28</var>diagnosis and treatment of child and adult mental illnesses and disorders, conducted <br/>
<a id="pl.4.29"></a><var>4.29</var>according to subdivision 2.<br/>
<a id="pl.4.30"></a><var>4.30</var>    (b) If course work in paragraph (a) was not completed as part of the degree program <br/>
<a id="pl.4.31"></a><var>4.31</var>required by paragraph (a), clause (3), the course work must be taken and passed for credit, <br/>
<a id="pl.4.32"></a><var>4.32</var>and must be earned from a counseling program or institution that meets the requirements <br/>
<a id="pl.4.33"></a><var>4.33</var>of paragraph (a), clause (3).<br/>
<a id="pl.4.34"></a><var>4.34</var>    Subd. 2. <b>Supervision.</b> (a) To qualify as a LPCC, an applicant must have completed <br/>
<a id="pl.4.35"></a><var>4.35</var>4,000 hours of postmaster's degree supervised professional practice in the delivery of <br/>
<a id="pl.4.36"></a><var>4.36</var>clinical services in the diagnosis and treatment of mental illnesses and disorders in <br/>
<a id="pl.5.1"></a><var>5.1</var>both children and adults. The supervised practice shall be conducted according to the <br/>
<a id="pl.5.2"></a><var>5.2</var>requirements in paragraphs (b) to (e).<br/>
<a id="pl.5.3"></a><var>5.3</var>    (b) The supervision must have been received under a contract that defines clinical <br/>
<a id="pl.5.4"></a><var>5.4</var>practice and supervision from a mental health professional as defined in section 245.462, <br/>
<a id="pl.5.5"></a><var>5.5</var>subdivision 18, clauses (1) to (6), or section 245.4871, subdivision 27, clauses (1) to (6), <br/>
<a id="pl.5.6"></a><var>5.6</var>or by a board-approved supervisor, who has at least two years of postlicensure experience <br/>
<a id="pl.5.7"></a><var>5.7</var>in the delivery of clinical services in the diagnosis and treatment of mental illnesses and <br/>
<a id="pl.5.8"></a><var>5.8</var>disorders.<br/>
<a id="pl.5.9"></a><var>5.9</var>    (c) The supervision must be obtained at the rate of two hours of supervision per 40 <br/>
<a id="pl.5.10"></a><var>5.10</var>hours of professional practice. The supervision must be evenly distributed over the course <br/>
<a id="pl.5.11"></a><var>5.11</var>of the supervised professional practice. At least 75 percent of the required supervision <br/>
<a id="pl.5.12"></a><var>5.12</var>hours must be received in person. The remaining 25 percent of the required hours may be <br/>
<a id="pl.5.13"></a><var>5.13</var>received by telephone or by audio or audiovisual electronic device. At least 50 percent of <br/>
<a id="pl.5.14"></a><var>5.14</var>the required hours of supervision must be received on an individual basis. The remaining <br/>
<a id="pl.5.15"></a><var>5.15</var>50 percent may be received in a group setting.<br/>
<a id="pl.5.16"></a><var>5.16</var>    (d) The supervised practice must include at least 1,800 hours of clinical client <br/>
<a id="pl.5.17"></a><var>5.17</var>contact.<br/>
<a id="pl.5.18"></a><var>5.18</var>    (e) The supervised practice must be clinical practice. Supervision includes the <br/>
<a id="pl.5.19"></a><var>5.19</var>observation by the supervisor of the successful application of professional counseling <br/>
<a id="pl.5.20"></a><var>5.20</var>knowledge, skills, and values in the differential diagnosis and treatment of psychosocial <br/>
<a id="pl.5.21"></a><var>5.21</var>function, disability, or impairment, including addictions and emotional, mental, and <br/>
<a id="pl.5.22"></a><var>5.22</var>behavioral disorders.<br/>
<a id="pl.5.23"></a><var>5.23</var>    Subd. 3. <b>Conversion from licensed professional counselor to licensed clinical </b><br/>
<a id="pl.5.24"></a><var>5.24</var><b>counselor.</b> (a) Until August 1, 2011, an individual currently licensed in the state of <br/>
<a id="pl.5.25"></a><var>5.25</var>Minnesota as a licensed professional counselor may convert to a LPCC by providing <br/>
<a id="pl.5.26"></a><var>5.26</var>evidence satisfactory to the board that the applicant has met the following requirements:<br/>
<a id="pl.5.27"></a><var>5.27</var>    (1) is at least 18 years of age;<br/>
<a id="pl.5.28"></a><var>5.28</var>    (2) is of good moral character;<br/>
<a id="pl.5.29"></a><var>5.29</var>    (3) has a license that is active and in good standing;<br/>
<a id="pl.5.30"></a><var>5.30</var>    (4) has no complaints pending, uncompleted disciplinary orders, or corrective <br/>
<a id="pl.5.31"></a><var>5.31</var>action agreements;<br/>
<a id="pl.5.32"></a><var>5.32</var>    (5) has completed a master's or doctoral degree program in counseling or a related <br/>
<a id="pl.5.33"></a><var>5.33</var>field, as determined by the board, and whose degree was from a counseling program <br/>
<a id="pl.5.34"></a><var>5.34</var>recognized by CACREP or from an institution of higher education that is accredited by a <br/>
<a id="pl.5.35"></a><var>5.35</var>regional accrediting organization recognized by CHEA;<br/>
<a id="pl.6.1"></a><var>6.1</var>    (6) has earned 24 graduate-level semester credits or quarter-credit equivalents in <br/>
<a id="pl.6.2"></a><var>6.2</var>clinical course work which includes content in the following clinical areas:<br/>
<a id="pl.6.3"></a><var>6.3</var>    (i) diagnostic assessment for child and adult mental disorders; normative <br/>
<a id="pl.6.4"></a><var>6.4</var>development; and psychopathology, including developmental psychopathology;<br/>
<a id="pl.6.5"></a><var>6.5</var>    (ii) clinical treatment planning, with measurable goals;<br/>
<a id="pl.6.6"></a><var>6.6</var>    (iii) clinical intervention methods informed by research evidence and community <br/>
<a id="pl.6.7"></a><var>6.7</var>standards of practice;<br/>
<a id="pl.6.8"></a><var>6.8</var>    (iv) evaluation methodologies regarding the effectiveness of interventions;<br/>
<a id="pl.6.9"></a><var>6.9</var>    (v) professional ethics applied to clinical practice; and<br/>
<a id="pl.6.10"></a><var>6.10</var>    (vi) cultural diversity;<br/>
<a id="pl.6.11"></a><var>6.11</var>    (7) has demonstrated, to the satisfaction of the board, successful completion of <br/>
<a id="pl.6.12"></a><var>6.12</var>4,000 hours of supervised, postmaster's degree professional practice in the delivery <br/>
<a id="pl.6.13"></a><var>6.13</var>of clinical services in the diagnosis and treatment of child and adult mental illnesses <br/>
<a id="pl.6.14"></a><var>6.14</var>and disorders; and<br/>
<a id="pl.6.15"></a><var>6.15</var>    (8) has paid the LPCC application and licensure fees required in section 148B.53, <br/>
<a id="pl.6.16"></a><var>6.16</var>subdivision 3.<br/>
<a id="pl.6.17"></a><var>6.17</var>    (b) If the course work in paragraph (a) was not completed as part of the degree <br/>
<a id="pl.6.18"></a><var>6.18</var>program required by paragraph (a), clause (5), the course work must be taken and passed <br/>
<a id="pl.6.19"></a><var>6.19</var>for credit, and must be earned from a counseling program or institution that meets the <br/>
<a id="pl.6.20"></a><var>6.20</var>requirements in paragraph (a), clause (5).<br/>
<a id="pl.6.21"></a><var>6.21</var>    (c) This subdivision expires August 1, 2011.<br/>
<a id="pl.6.22"></a><var>6.22</var>    Subd. 4. <b>Conversion to licensed professional clinical counselor after August 1, </b><br/>
<a id="pl.6.23"></a><var>6.23</var><b>2011.</b> An individual licensed in the state of Minnesota as a licensed professional counselor <br/>
<a id="pl.6.24"></a><var>6.24</var>may convert to a LPCC by providing evidence satisfactory to the board that the applicant <br/>
<a id="pl.6.25"></a><var>6.25</var>has met the requirements of subdivisions 2 and 3, subject to the following:<br/>
<a id="pl.6.26"></a><var>6.26</var>    (1) the individual's license must be active and in good standing;<br/>
<a id="pl.6.27"></a><var>6.27</var>    (2) the individual must not have any complaints pending, uncompleted disciplinary <br/>
<a id="pl.6.28"></a><var>6.28</var>orders, or corrective action agreements; and<br/>
<a id="pl.6.29"></a><var>6.29</var>    (3) the individual has paid the LPCC application and licensure fees required in <br/>
<a id="pl.6.30"></a><var>6.30</var>section 148B.53, subdivision 3.<br/>
<a id="pl.6.31"></a><var>6.31</var>    Subd. 5. <b>Scope of practice.</b> The scope of practice of a LPCC shall include all <br/>
<a id="pl.6.32"></a><var>6.32</var>those services provided by mental health professionals as defined in section 245.462, <br/>
<a id="pl.6.33"></a><var>6.33</var>subdivision 18, and section 245.4871, subdivision 27.<br/>
<a id="pl.6.34"></a><var>6.34</var>    Subd. 6. <b>Jurisdiction.</b> LPCC's are subject to the board's statutes and rules to the <br/>
<a id="pl.6.35"></a><var>6.35</var>same extent as licensed professional counselors.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.7.1"></a><var>7.1</var>    Sec. 4. Minnesota Statutes 2006, section 245.462, subdivision 18, is amended to read:<br/>
<a id="pl.7.2"></a><var>7.2</var>    Subd. 18. <b>Mental health professional.</b> "Mental health professional" means a <br/>
<a id="pl.7.3"></a><var>7.3</var>person providing clinical services in the treatment of mental illness who is qualified in at <br/>
<a id="pl.7.4"></a><var>7.4</var>least one of the following ways:<br/>
<a id="pl.7.5"></a><var>7.5</var>(1) in psychiatric nursing: a registered nurse who is licensed under sections 
         <statute_ref>148.171</statute_ref> <br/>
<a id="pl.7.6"></a><var>7.6</var>to 
         <statute_ref>148.285</statute_ref>; and:<br/>
<a id="pl.7.7"></a><var>7.7</var>(i) who is certified as a clinical specialist or as a nurse practitioner in adult or family <br/>
<a id="pl.7.8"></a><var>7.8</var>psychiatric and mental health nursing by a national nurse certification organization; or<br/>
<a id="pl.7.9"></a><var>7.9</var>(ii) who has a master's degree in nursing or one of the behavioral sciences or related <br/>
<a id="pl.7.10"></a><var>7.10</var>fields from an accredited college or university or its equivalent, with at least 4,000 hours <br/>
<a id="pl.7.11"></a><var>7.11</var>of post-master's supervised experience in the delivery of clinical services in the treatment <br/>
<a id="pl.7.12"></a><var>7.12</var>of mental illness;<br/>
<a id="pl.7.13"></a><var>7.13</var>(2) in clinical social work: a person licensed as an independent clinical social worker <br/>
<a id="pl.7.14"></a><var>7.14</var>under chapter 148D, or a person with a master's degree in social work from an accredited <br/>
<a id="pl.7.15"></a><var>7.15</var>college or university, with at least 4,000 hours of post-master's supervised experience in <br/>
<a id="pl.7.16"></a><var>7.16</var>the delivery of clinical services in the treatment of mental illness;<br/>
<a id="pl.7.17"></a><var>7.17</var>(3) in psychology: an individual licensed by the Board of Psychology under sections <br/>
<statute_ref><a id="pl.7.18"></a><var>7.18</var>148.88
         </statute_ref> to 
         <statute_ref>148.98</statute_ref> who has stated to the Board of Psychology competencies in the diagnosis <br/>
<a id="pl.7.19"></a><var>7.19</var>and treatment of mental illness;<br/>
<a id="pl.7.20"></a><var>7.20</var>(4) in psychiatry: a physician licensed under chapter 147 and certified by the <br/>
<a id="pl.7.21"></a><var>7.21</var>American Board of Psychiatry and Neurology or eligible for board certification in <br/>
<a id="pl.7.22"></a><var>7.22</var>psychiatry;<br/>
<a id="pl.7.23"></a><var>7.23</var>(5) in marriage and family therapy: the mental health professional must be a <br/>
<a id="pl.7.24"></a><var>7.24</var>marriage and family therapist licensed under sections 
         <statute_ref>148B.29</statute_ref> to 
         <statute_ref>148B.39</statute_ref> with at least <br/>
<a id="pl.7.25"></a><var>7.25</var>two years of post-master's supervised experience in the delivery of clinical services in <br/>
<a id="pl.7.26"></a><var>7.26</var>the treatment of mental illness; or<br/>
<a id="pl.7.27"></a><var>7.27</var>(6) in licensed professional clinical counseling, the mental health professional must <br/>
<a id="pl.7.28"></a><var>7.28</var>be a licensed professional clinical counselor under section 148B.5301; or<br/>
<a id="pl.7.29"></a><var>7.29</var>(7) in allied fields: a person with a master's degree from an accredited college or <br/>
<a id="pl.7.30"></a><var>7.30</var>university in one of the behavioral sciences or related fields, with at least 4,000 hours of <br/>
<a id="pl.7.31"></a><var>7.31</var>post-master's supervised experience in the delivery of clinical services in the treatment of <br/>
<a id="pl.7.32"></a><var>7.32</var>mental illness.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.7.33"></a><var>7.33</var>    Sec. 5. Minnesota Statutes 2006, section 245.470, subdivision 1, is amended to read:<br/>
<a id="pl.7.34"></a><var>7.34</var>    Subdivision 1. <b>Availability of outpatient services.</b> (a) County boards must provide <br/>
<a id="pl.7.35"></a><var>7.35</var>or contract for enough outpatient services within the county to meet the needs of adults <br/>
<a id="pl.8.1"></a><var>8.1</var>with mental illness residing in the county. Services may be provided directly by the <br/>
<a id="pl.8.2"></a><var>8.2</var>county through county-operated mental health centers or mental health clinics approved <br/>
<a id="pl.8.3"></a><var>8.3</var>by the commissioner under section 
         <statute_ref>245.69, subdivision 2</statute_ref>; by contract with privately <br/>
<a id="pl.8.4"></a><var>8.4</var>operated mental health centers or mental health clinics approved by the commissioner <br/>
<a id="pl.8.5"></a><var>8.5</var>under section 
         <statute_ref>245.69, subdivision 2</statute_ref>; by contract with hospital mental health outpatient <br/>
<a id="pl.8.6"></a><var>8.6</var>programs certified by the Joint Commission on Accreditation of Hospital Organizations; <br/>
<a id="pl.8.7"></a><var>8.7</var>or by contract with a licensed mental health professional as defined in section 
         <statute_ref>245.462, <br/>
<a id="pl.8.8"></a><var>8.8</var>subdivision 18
         </statute_ref>, clauses (1) to (4) (6). Clients may be required to pay a fee according to <br/>
<a id="pl.8.9"></a><var>8.9</var>section 
         <statute_ref>245.481</statute_ref>. Outpatient services include: <br/>
<a id="pl.8.10"></a><var>8.10</var>(1) conducting diagnostic assessments;<br/>
<a id="pl.8.11"></a><var>8.11</var>(2) conducting psychological testing;<br/>
<a id="pl.8.12"></a><var>8.12</var>(3) developing or modifying individual treatment plans;<br/>
<a id="pl.8.13"></a><var>8.13</var>(4) making referrals and recommending placements as appropriate;<br/>
<a id="pl.8.14"></a><var>8.14</var>(5) treating an adult's mental health needs through therapy;<br/>
<a id="pl.8.15"></a><var>8.15</var>(6) prescribing and managing medication and evaluating the effectiveness of <br/>
<a id="pl.8.16"></a><var>8.16</var>prescribed medication; and<br/>
<a id="pl.8.17"></a><var>8.17</var>(7) preventing placement in settings that are more intensive, costly, or restrictive <br/>
<a id="pl.8.18"></a><var>8.18</var>than necessary and appropriate to meet client needs.<br/>
<a id="pl.8.19"></a><var>8.19</var>(b) County boards may request a waiver allowing outpatient services to be provided <br/>
<a id="pl.8.20"></a><var>8.20</var>in a nearby trade area if it is determined that the client can best be served outside the <br/>
<a id="pl.8.21"></a><var>8.21</var>county.<br/>
<br/>
<a id="bill.0.6.0"></a><a id="pl.8.22"></a><var>8.22</var>    Sec. 6. Minnesota Statutes 2006, section 245.4871, subdivision 27, is amended to read:<br/>
<a id="pl.8.23"></a><var>8.23</var>    Subd. 27. <b>Mental health professional.</b> "Mental health professional" means a <br/>
<a id="pl.8.24"></a><var>8.24</var>person providing clinical services in the diagnosis and treatment of children's emotional <br/>
<a id="pl.8.25"></a><var>8.25</var>disorders. A mental health professional must have training and experience in working with <br/>
<a id="pl.8.26"></a><var>8.26</var>children consistent with the age group to which the mental health professional is assigned. <br/>
<a id="pl.8.27"></a><var>8.27</var>A mental health professional must be qualified in at least one of the following ways:<br/>
<a id="pl.8.28"></a><var>8.28</var>(1) in psychiatric nursing, the mental health professional must be a registered nurse <br/>
<a id="pl.8.29"></a><var>8.29</var>who is licensed under sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref> and who is certified as a clinical <br/>
<a id="pl.8.30"></a><var>8.30</var>specialist in child and adolescent psychiatric or mental health nursing by a national nurse <br/>
<a id="pl.8.31"></a><var>8.31</var>certification organization or who has a master's degree in nursing or one of the behavioral <br/>
<a id="pl.8.32"></a><var>8.32</var>sciences or related fields from an accredited college or university or its equivalent, with <br/>
<a id="pl.8.33"></a><var>8.33</var>at least 4,000 hours of post-master's supervised experience in the delivery of clinical <br/>
<a id="pl.8.34"></a><var>8.34</var>services in the treatment of mental illness;<br/>
<a id="pl.9.1"></a><var>9.1</var>(2) in clinical social work, the mental health professional must be a person licensed <br/>
<a id="pl.9.2"></a><var>9.2</var>as an independent clinical social worker under chapter 148D, or a person with a master's <br/>
<a id="pl.9.3"></a><var>9.3</var>degree in social work from an accredited college or university, with at least 4,000 hours of <br/>
<a id="pl.9.4"></a><var>9.4</var>post-master's supervised experience in the delivery of clinical services in the treatment <br/>
<a id="pl.9.5"></a><var>9.5</var>of mental disorders;<br/>
<a id="pl.9.6"></a><var>9.6</var>(3) in psychology, the mental health professional must be an individual licensed by <br/>
<a id="pl.9.7"></a><var>9.7</var>the board of psychology under sections 
         <statute_ref>148.88</statute_ref> to 
         <statute_ref>148.98</statute_ref> who has stated to the board of <br/>
<a id="pl.9.8"></a><var>9.8</var>psychology competencies in the diagnosis and treatment of mental disorders;<br/>
<a id="pl.9.9"></a><var>9.9</var>(4) in psychiatry, the mental health professional must be a physician licensed under <br/>
<a id="pl.9.10"></a><var>9.10</var>chapter 147 and certified by the American board of psychiatry and neurology or eligible <br/>
<a id="pl.9.11"></a><var>9.11</var>for board certification in psychiatry;<br/>
<a id="pl.9.12"></a><var>9.12</var>(5) in marriage and family therapy, the mental health professional must be a <br/>
<a id="pl.9.13"></a><var>9.13</var>marriage and family therapist licensed under sections 
         <statute_ref>148B.29</statute_ref> to 
         <statute_ref>148B.39</statute_ref> with at least <br/>
<a id="pl.9.14"></a><var>9.14</var>two years of post-master's supervised experience in the delivery of clinical services in the <br/>
<a id="pl.9.15"></a><var>9.15</var>treatment of mental disorders or emotional disturbances; or<br/>
<a id="pl.9.16"></a><var>9.16</var>(6) in licensed professional clinical counseling, the mental health professional must <br/>
<a id="pl.9.17"></a><var>9.17</var>be a licensed professional clinical counselor under section 148B.5301; or<br/>
<a id="pl.9.18"></a><var>9.18</var>(7) in allied fields, the mental health professional must be a person with a master's <br/>
<a id="pl.9.19"></a><var>9.19</var>degree from an accredited college or university in one of the behavioral sciences or related <br/>
<a id="pl.9.20"></a><var>9.20</var>fields, with at least 4,000 hours of post-master's supervised experience in the delivery of <br/>
<a id="pl.9.21"></a><var>9.21</var>clinical services in the treatment of emotional disturbances.<br/>
<br/>
<a id="bill.0.7.0"></a><a id="pl.9.22"></a><var>9.22</var>    Sec. 7. Minnesota Statutes 2006, section 245.488, subdivision 1, is amended to read:<br/>
<a id="pl.9.23"></a><var>9.23</var>    Subdivision 1. <b>Availability of outpatient services.</b> (a) County boards must provide <br/>
<a id="pl.9.24"></a><var>9.24</var>or contract for enough outpatient services within the county to meet the needs of each <br/>
<a id="pl.9.25"></a><var>9.25</var>child with emotional disturbance residing in the county and the child's family. Services <br/>
<a id="pl.9.26"></a><var>9.26</var>may be provided directly by the county through county-operated mental health centers or <br/>
<a id="pl.9.27"></a><var>9.27</var>mental health clinics approved by the commissioner under section 
         <statute_ref>245.69, subdivision 2</statute_ref>; <br/>
<a id="pl.9.28"></a><var>9.28</var>by contract with privately operated mental health centers or mental health clinics approved <br/>
<a id="pl.9.29"></a><var>9.29</var>by the commissioner under section 
         <statute_ref>245.69, subdivision 2</statute_ref>; by contract with hospital <br/>
<a id="pl.9.30"></a><var>9.30</var>mental health outpatient programs certified by the Joint Commission on Accreditation <br/>
<a id="pl.9.31"></a><var>9.31</var>of Hospital Organizations; or by contract with a licensed mental health professional as <br/>
<a id="pl.9.32"></a><var>9.32</var>defined in section 
         <statute_ref>245.4871, subdivision 27</statute_ref>, clauses (1) to (4) (6). A child or a child's <br/>
<a id="pl.9.33"></a><var>9.33</var>parent may be required to pay a fee based in accordance with section 
         <statute_ref>245.481</statute_ref>. Outpatient <br/>
<a id="pl.9.34"></a><var>9.34</var>services include: <br/>
<a id="pl.9.35"></a><var>9.35</var>(1) conducting diagnostic assessments;<br/>
<a id="pl.10.1"></a><var>10.1</var>(2) conducting psychological testing;<br/>
<a id="pl.10.2"></a><var>10.2</var>(3) developing or modifying individual treatment plans;<br/>
<a id="pl.10.3"></a><var>10.3</var>(4) making referrals and recommending placements as appropriate;<br/>
<a id="pl.10.4"></a><var>10.4</var>(5) treating the child's mental health needs through therapy; and<br/>
<a id="pl.10.5"></a><var>10.5</var>(6) prescribing and managing medication and evaluating the effectiveness of <br/>
<a id="pl.10.6"></a><var>10.6</var>prescribed medication.<br/>
<a id="pl.10.7"></a><var>10.7</var>(b) County boards may request a waiver allowing outpatient services to be provided <br/>
<a id="pl.10.8"></a><var>10.8</var>in a nearby trade area if it is determined that the child requires necessary and appropriate <br/>
<a id="pl.10.9"></a><var>10.9</var>services that are only available outside the county.<br/>
<a id="pl.10.10"></a><var>10.10</var>(c) Outpatient services offered by the county board to prevent placement must be at <br/>
<a id="pl.10.11"></a><var>10.11</var>the level of treatment appropriate to the child's diagnostic assessment.<br/>
<br/>
<a id="bill.0.8.0"></a><a id="pl.10.12"></a><var>10.12</var>    Sec. 8. Minnesota Statutes 2006, section 256B.0623, subdivision 5, is amended to read:<br/>
<a id="pl.10.13"></a><var>10.13</var>    Subd. 5. <b>Qualifications of provider staff.</b> Adult rehabilitative mental health <br/>
<a id="pl.10.14"></a><var>10.14</var>services must be provided by qualified individual provider staff of a certified provider <br/>
<a id="pl.10.15"></a><var>10.15</var>entity. Individual provider staff must be qualified under one of the following criteria:<br/>
<a id="pl.10.16"></a><var>10.16</var>(1) a mental health professional as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, <br/>
<a id="pl.10.17"></a><var>10.17</var>clauses (1) to (5). If the recipient has a current diagnostic assessment by a licensed mental <br/>
<a id="pl.10.18"></a><var>10.18</var>health professional as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (1) to (5) (6), <br/>
<a id="pl.10.19"></a><var>10.19</var>recommending receipt of adult mental health rehabilitative services, the definition of <br/>
<a id="pl.10.20"></a><var>10.20</var>mental health professional for purposes of this section includes a person who is qualified <br/>
<a id="pl.10.21"></a><var>10.21</var>under section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clause (6) (7), and who holds a current and valid <br/>
<a id="pl.10.22"></a><var>10.22</var>national certification as a certified rehabilitation counselor or certified psychosocial <br/>
<a id="pl.10.23"></a><var>10.23</var>rehabilitation practitioner; <br/>
<a id="pl.10.24"></a><var>10.24</var>(2) a mental health practitioner as defined in section 
         <statute_ref>245.462, subdivision 17</statute_ref>. The <br/>
<a id="pl.10.25"></a><var>10.25</var>mental health practitioner must work under the clinical supervision of a mental health <br/>
<a id="pl.10.26"></a><var>10.26</var>professional; or <br/>
<a id="pl.10.27"></a><var>10.27</var>(3) a mental health rehabilitation worker. A mental health rehabilitation worker <br/>
<a id="pl.10.28"></a><var>10.28</var>means a staff person working under the direction of a mental health practitioner or mental <br/>
<a id="pl.10.29"></a><var>10.29</var>health professional and under the clinical supervision of a mental health professional in <br/>
<a id="pl.10.30"></a><var>10.30</var>the implementation of rehabilitative mental health services as identified in the recipient's <br/>
<a id="pl.10.31"></a><var>10.31</var>individual treatment plan who:<br/>
<a id="pl.10.32"></a><var>10.32</var>(i) is at least 21 years of age;<br/>
<a id="pl.10.33"></a><var>10.33</var>(ii) has a high school diploma or equivalent;<br/>
<a id="pl.10.34"></a><var>10.34</var>(iii) has successfully completed 30 hours of training during the past two years in all <br/>
<a id="pl.10.35"></a><var>10.35</var>of the following areas: recipient rights, recipient-centered individual treatment planning, <br/>
<a id="pl.11.1"></a><var>11.1</var>behavioral terminology, mental illness, co-occurring mental illness and substance abuse, <br/>
<a id="pl.11.2"></a><var>11.2</var>psychotropic medications and side effects, functional assessment, local community <br/>
<a id="pl.11.3"></a><var>11.3</var>resources, adult vulnerability, recipient confidentiality; and<br/>
<a id="pl.11.4"></a><var>11.4</var>(iv) meets the qualifications in subitem (A) or (B):<br/>
<a id="pl.11.5"></a><var>11.5</var>(A) has an associate of arts degree in one of the behavioral sciences or human <br/>
<a id="pl.11.6"></a><var>11.6</var>services, or is a registered nurse without a bachelor's degree, or who within the previous <br/>
<a id="pl.11.7"></a><var>11.7</var>ten years has:<br/>
<a id="pl.11.8"></a><var>11.8</var>(1) three years of personal life experience with serious and persistent mental illness;<br/>
<a id="pl.11.9"></a><var>11.9</var>(2) three years of life experience as a primary caregiver to an adult with a serious <br/>
<a id="pl.11.10"></a><var>11.10</var>mental illness or traumatic brain injury; or<br/>
<a id="pl.11.11"></a><var>11.11</var>(3) 4,000 hours of supervised paid work experience in the delivery of mental health <br/>
<a id="pl.11.12"></a><var>11.12</var>services to adults with a serious mental illness or traumatic brain injury; or<br/>
<a id="pl.11.13"></a><var>11.13</var>(B)(1) is fluent in the non-English language or competent in the culture of the <br/>
<a id="pl.11.14"></a><var>11.14</var>ethnic group to which at least 20 percent of the mental health rehabilitation worker's <br/>
<a id="pl.11.15"></a><var>11.15</var>clients belong;<br/>
<a id="pl.11.16"></a><var>11.16</var>(2) receives during the first 2,000 hours of work, monthly documented individual <br/>
<a id="pl.11.17"></a><var>11.17</var>clinical supervision by a mental health professional;<br/>
<a id="pl.11.18"></a><var>11.18</var>(3) has 18 hours of documented field supervision by a mental health professional <br/>
<a id="pl.11.19"></a><var>11.19</var>or practitioner during the first 160 hours of contact work with recipients, and at least six <br/>
<a id="pl.11.20"></a><var>11.20</var>hours of field supervision quarterly during the following year;<br/>
<a id="pl.11.21"></a><var>11.21</var>(4) has review and cosignature of charting of recipient contacts during field <br/>
<a id="pl.11.22"></a><var>11.22</var>supervision by a mental health professional or practitioner; and<br/>
<a id="pl.11.23"></a><var>11.23</var>(5) has 40 hours of additional continuing education on mental health topics during <br/>
<a id="pl.11.24"></a><var>11.24</var>the first year of employment.<br/>
<br/>
<a id="bill.0.9.0"></a><a id="pl.11.25"></a><var>11.25</var>    Sec. 9. Minnesota Statutes 2006, section 256B.0624, subdivision 5, is amended to read:<br/>
<a id="pl.11.26"></a><var>11.26</var>    Subd. 5. <b>Mobile crisis intervention staff qualifications.</b> For provision of adult <br/>
<a id="pl.11.27"></a><var>11.27</var>mental health mobile crisis intervention services, a mobile crisis intervention team is <br/>
<a id="pl.11.28"></a><var>11.28</var>comprised of at least two mental health professionals as defined in section 
         <statute_ref>245.462, <br/>
<a id="pl.11.29"></a><var>11.29</var>subdivision 18
         </statute_ref>, clauses (1) to (5) (6), or a combination of at least one mental health <br/>
<a id="pl.11.30"></a><var>11.30</var>professional and one mental health practitioner as defined in section 
         <statute_ref>245.462, subdivision <br/>
<a id="pl.11.31"></a><var>11.31</var>17
         </statute_ref>, with the required mental health crisis training and under the clinical supervision of <br/>
<a id="pl.11.32"></a><var>11.32</var>a mental health professional on the team. The team must have at least two people with <br/>
<a id="pl.11.33"></a><var>11.33</var>at least one member providing on-site crisis intervention services when needed. Team <br/>
<a id="pl.11.34"></a><var>11.34</var>members must be experienced in mental health assessment, crisis intervention techniques, <br/>
<a id="pl.11.35"></a><var>11.35</var>and clinical decision-making under emergency conditions and have knowledge of local <br/>
<a id="pl.12.1"></a><var>12.1</var>services and resources. The team must recommend and coordinate the team's services <br/>
<a id="pl.12.2"></a><var>12.2</var>with appropriate local resources such as the county social services agency, mental health <br/>
<a id="pl.12.3"></a><var>12.3</var>services, and local law enforcement when necessary. <br/>
<br/>
<a id="bill.0.10.0"></a><a id="pl.12.4"></a><var>12.4</var>    Sec. 10. Minnesota Statutes 2006, section 256B.0624, subdivision 8, is amended to <br/>
<a id="pl.12.5"></a><var>12.5</var>read:<br/>
<a id="pl.12.6"></a><var>12.6</var>    Subd. 8. <b>Adult crisis stabilization staff qualifications.</b> (a) Adult mental health <br/>
<a id="pl.12.7"></a><var>12.7</var>crisis stabilization services must be provided by qualified individual staff of a qualified <br/>
<a id="pl.12.8"></a><var>12.8</var>provider entity. Individual provider staff must have the following qualifications:<br/>
<a id="pl.12.9"></a><var>12.9</var>(1) be a mental health professional as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, <br/>
<a id="pl.12.10"></a><var>12.10</var>clauses (1) to (5) (6); <br/>
<a id="pl.12.11"></a><var>12.11</var>(2) be a mental health practitioner as defined in section 
         <statute_ref>245.462, subdivision 17</statute_ref>. <br/>
<a id="pl.12.12"></a><var>12.12</var>The mental health practitioner must work under the clinical supervision of a mental health <br/>
<a id="pl.12.13"></a><var>12.13</var>professional; or <br/>
<a id="pl.12.14"></a><var>12.14</var>(3) be a mental health rehabilitation worker who meets the criteria in section <br/>
<statute_ref><a id="pl.12.15"></a><var>12.15</var>256B.0623, subdivision 5
         </statute_ref>, clause (3); works under the direction of a mental health <br/>
<a id="pl.12.16"></a><var>12.16</var>practitioner as defined in section 
         <statute_ref>245.462, subdivision 17</statute_ref>, or under direction of a <br/>
<a id="pl.12.17"></a><var>12.17</var>mental health professional; and works under the clinical supervision of a mental health <br/>
<a id="pl.12.18"></a><var>12.18</var>professional. <br/>
<a id="pl.12.19"></a><var>12.19</var>(b) Mental health practitioners and mental health rehabilitation workers must have <br/>
<a id="pl.12.20"></a><var>12.20</var>completed at least 30 hours of training in crisis intervention and stabilization during <br/>
<a id="pl.12.21"></a><var>12.21</var>the past two years.<br/>
<br/>
<a id="bill.0.11.0"></a><a id="pl.12.22"></a><var>12.22</var>    Sec. 11. Minnesota Statutes 2006, section 256B.0943, subdivision 1, is amended to <br/>
<a id="pl.12.23"></a><var>12.23</var>read:<br/>
<a id="pl.12.24"></a><var>12.24</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the following terms have <br/>
<a id="pl.12.25"></a><var>12.25</var>the meanings given them.<br/>
<a id="pl.12.26"></a><var>12.26</var>(a) "Children's therapeutic services and supports" means the flexible package of <br/>
<a id="pl.12.27"></a><var>12.27</var>mental health services for children who require varying therapeutic and rehabilitative <br/>
<a id="pl.12.28"></a><var>12.28</var>levels of intervention. The services are time-limited interventions that are delivered using <br/>
<a id="pl.12.29"></a><var>12.29</var>various treatment modalities and combinations of services designed to reach treatment <br/>
<a id="pl.12.30"></a><var>12.30</var>outcomes identified in the individual treatment plan.<br/>
<a id="pl.12.31"></a><var>12.31</var>(b) "Clinical supervision" means the overall responsibility of the mental health <br/>
<a id="pl.12.32"></a><var>12.32</var>professional for the control and direction of individualized treatment planning, service <br/>
<a id="pl.12.33"></a><var>12.33</var>delivery, and treatment review for each client. A mental health professional who is an <br/>
<a id="pl.12.34"></a><var>12.34</var>enrolled Minnesota health care program provider accepts full professional responsibility <br/>
<a id="pl.13.1"></a><var>13.1</var>for a supervisee's actions and decisions, instructs the supervisee in the supervisee's work, <br/>
<a id="pl.13.2"></a><var>13.2</var>and oversees or directs the supervisee's work.<br/>
<a id="pl.13.3"></a><var>13.3</var>(c) "County board" means the county board of commissioners or board established <br/>
<a id="pl.13.4"></a><var>13.4</var>under sections 
         <statute_ref>402.01</statute_ref> to 
         <statute_ref>402.10</statute_ref> or 
         <statute_ref>471.59</statute_ref>. <br/>
<a id="pl.13.5"></a><var>13.5</var>(d) "Crisis assistance" has the meaning given in section 
         <statute_ref>245.4871, subdivision 9a</statute_ref>. <br/>
<a id="pl.13.6"></a><var>13.6</var>(e) "Culturally competent provider" means a provider who understands and can <br/>
<a id="pl.13.7"></a><var>13.7</var>utilize to a client's benefit the client's culture when providing services to the client. A <br/>
<a id="pl.13.8"></a><var>13.8</var>provider may be culturally competent because the provider is of the same cultural or <br/>
<a id="pl.13.9"></a><var>13.9</var>ethnic group as the client or the provider has developed the knowledge and skills through <br/>
<a id="pl.13.10"></a><var>13.10</var>training and experience to provide services to culturally diverse clients.<br/>
<a id="pl.13.11"></a><var>13.11</var>(f) "Day treatment program" for children means a site-based structured program <br/>
<a id="pl.13.12"></a><var>13.12</var>consisting of group psychotherapy for more than three individuals and other intensive <br/>
<a id="pl.13.13"></a><var>13.13</var>therapeutic services provided by a multidisciplinary team, under the clinical supervision <br/>
<a id="pl.13.14"></a><var>13.14</var>of a mental health professional.<br/>
<a id="pl.13.15"></a><var>13.15</var>(g) "Diagnostic assessment" has the meaning given in section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.13.16"></a><var>13.16</var>11
         </statute_ref>. <br/>
<a id="pl.13.17"></a><var>13.17</var>(h) "Direct service time" means the time that a mental health professional, mental <br/>
<a id="pl.13.18"></a><var>13.18</var>health practitioner, or mental health behavioral aide spends face-to-face with a client <br/>
<a id="pl.13.19"></a><var>13.19</var>and the client's family. Direct service time includes time in which the provider obtains <br/>
<a id="pl.13.20"></a><var>13.20</var>a client's history or provides service components of children's therapeutic services and <br/>
<a id="pl.13.21"></a><var>13.21</var>supports. Direct service time does not include time doing work before and after providing <br/>
<a id="pl.13.22"></a><var>13.22</var>direct services, including scheduling, maintaining clinical records, consulting with others <br/>
<a id="pl.13.23"></a><var>13.23</var>about the client's mental health status, preparing reports, receiving clinical supervision <br/>
<a id="pl.13.24"></a><var>13.24</var>directly related to the client's psychotherapy session, and revising the client's individual <br/>
<a id="pl.13.25"></a><var>13.25</var>treatment plan.<br/>
<a id="pl.13.26"></a><var>13.26</var>(i) "Direction of mental health behavioral aide" means the activities of a mental <br/>
<a id="pl.13.27"></a><var>13.27</var>health professional or mental health practitioner in guiding the mental health behavioral <br/>
<a id="pl.13.28"></a><var>13.28</var>aide in providing services to a client. The direction of a mental health behavioral aide <br/>
<a id="pl.13.29"></a><var>13.29</var>must be based on the client's individualized treatment plan and meet the requirements in <br/>
<a id="pl.13.30"></a><var>13.30</var>subdivision 6, paragraph (b), clause (5).<br/>
<a id="pl.13.31"></a><var>13.31</var>(j) "Emotional disturbance" has the meaning given in section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.13.32"></a><var>13.32</var>15
         </statute_ref>. For persons at least age 18 but under age 21, mental illness has the meaning given in <br/>
<a id="pl.13.33"></a><var>13.33</var>section 
         <statute_ref>245.462, subdivision 20</statute_ref>, paragraph (a). <br/>
<a id="pl.13.34"></a><var>13.34</var>(k) "Individual behavioral plan" means a plan of intervention, treatment, and <br/>
<a id="pl.13.35"></a><var>13.35</var>services for a child written by a mental health professional or mental health practitioner, <br/>
<a id="pl.14.1"></a><var>14.1</var>under the clinical supervision of a mental health professional, to guide the work of the <br/>
<a id="pl.14.2"></a><var>14.2</var>mental health behavioral aide.<br/>
<a id="pl.14.3"></a><var>14.3</var>(l) "Individual treatment plan" has the meaning given in section 
         <statute_ref>245.4871, <br/>
<a id="pl.14.4"></a><var>14.4</var>subdivision 21
         </statute_ref>. <br/>
<a id="pl.14.5"></a><var>14.5</var>(m) "Mental health professional" means an individual as defined in section 
         <statute_ref>245.4871, <br/>
<a id="pl.14.6"></a><var>14.6</var>subdivision 27
         </statute_ref>, clauses (1) to (5) (6), or tribal vendor as defined in section 
         <statute_ref>256B.02, <br/>
<a id="pl.14.7"></a><var>14.7</var>subdivision 7
         </statute_ref>, paragraph (b). <br/>
<a id="pl.14.8"></a><var>14.8</var>(n) "Preschool program" means a day program licensed under Minnesota Rules, <br/>
<a id="pl.14.9"></a><var>14.9</var>parts 9503.0005 to 9503.0175, and enrolled as a children's therapeutic services and <br/>
<a id="pl.14.10"></a><var>14.10</var>supports provider to provide a structured treatment program to a child who is at least 33 <br/>
<a id="pl.14.11"></a><var>14.11</var>months old but who has not yet attended the first day of kindergarten.<br/>
<a id="pl.14.12"></a><var>14.12</var>(o) "Skills training" means individual, family, or group training designed to improve <br/>
<a id="pl.14.13"></a><var>14.13</var>the basic functioning of the child with emotional disturbance and the child's family in the <br/>
<a id="pl.14.14"></a><var>14.14</var>activities of daily living and community living, and to improve the social functioning of the <br/>
<a id="pl.14.15"></a><var>14.15</var>child and the child's family in areas important to the child's maintaining or reestablishing <br/>
<a id="pl.14.16"></a><var>14.16</var>residency in the community. Individual, family, and group skills training must:<br/>
<a id="pl.14.17"></a><var>14.17</var>(1) consist of activities designed to promote skill development of the child and the <br/>
<a id="pl.14.18"></a><var>14.18</var>child's family in the use of age-appropriate daily living skills, interpersonal and family <br/>
<a id="pl.14.19"></a><var>14.19</var>relationships, and leisure and recreational services;<br/>
<a id="pl.14.20"></a><var>14.20</var>(2) consist of activities that will assist the family's understanding of normal child <br/>
<a id="pl.14.21"></a><var>14.21</var>development and to use parenting skills that will help the child with emotional disturbance <br/>
<a id="pl.14.22"></a><var>14.22</var>achieve the goals outlined in the child's individual treatment plan; and<br/>
<a id="pl.14.23"></a><var>14.23</var>(3) promote family preservation and unification, promote the family's integration <br/>
<a id="pl.14.24"></a><var>14.24</var>with the community, and reduce the use of unnecessary out-of-home placement or <br/>
<a id="pl.14.25"></a><var>14.25</var>institutionalization of children with emotional disturbance.<br/>
<br/>
<a id="bill.0.12.0"></a><a id="pl.14.26"></a><var>14.26</var>    Sec. 12. Minnesota Statutes 2006, section 256J.08, subdivision 73a, is amended to read:<br/>
<a id="pl.14.27"></a><var>14.27</var>    Subd. 73a. <b>Qualified professional.</b> (a) For physical illness, injury, or incapacity, <br/>
<a id="pl.14.28"></a><var>14.28</var>a "qualified professional" means a licensed physician, a physician's assistant, a nurse <br/>
<a id="pl.14.29"></a><var>14.29</var>practitioner, or a licensed chiropractor.<br/>
<a id="pl.14.30"></a><var>14.30</var>(b) For developmental disability and intelligence testing, a "qualified professional" <br/>
<a id="pl.14.31"></a><var>14.31</var>means an individual qualified by training and experience to administer the tests necessary <br/>
<a id="pl.14.32"></a><var>14.32</var>to make determinations, such as tests of intellectual functioning, assessments of adaptive <br/>
<a id="pl.14.33"></a><var>14.33</var>behavior, adaptive skills, and developmental functioning. These professionals include <br/>
<a id="pl.14.34"></a><var>14.34</var>licensed psychologists, certified school psychologists, or certified psychometrists working <br/>
<a id="pl.14.35"></a><var>14.35</var>under the supervision of a licensed psychologist.<br/>
<a id="pl.15.1"></a><var>15.1</var>(c) For learning disabilities, a "qualified professional" means a licensed psychologist <br/>
<a id="pl.15.2"></a><var>15.2</var>or school psychologist with experience determining learning disabilities.<br/>
<a id="pl.15.3"></a><var>15.3</var>(d) For mental health, a "qualified professional" means a licensed physician or a <br/>
<a id="pl.15.4"></a><var>15.4</var>qualified mental health professional. A "qualified mental health professional" means:<br/>
<a id="pl.15.5"></a><var>15.5</var>(1) for children, in psychiatric nursing, a registered nurse who is licensed under <br/>
<a id="pl.15.6"></a><var>15.6</var>sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref>, and who is certified as a clinical specialist in child <br/>
<a id="pl.15.7"></a><var>15.7</var>and adolescent psychiatric or mental health nursing by a national nurse certification <br/>
<a id="pl.15.8"></a><var>15.8</var>organization or who has a master's degree in nursing or one of the behavioral sciences <br/>
<a id="pl.15.9"></a><var>15.9</var>or related fields from an accredited college or university or its equivalent, with at least <br/>
<a id="pl.15.10"></a><var>15.10</var>4,000 hours of post-master's supervised experience in the delivery of clinical services in <br/>
<a id="pl.15.11"></a><var>15.11</var>the treatment of mental illness;<br/>
<a id="pl.15.12"></a><var>15.12</var>(2) for adults, in psychiatric nursing, a registered nurse who is licensed under <br/>
<a id="pl.15.13"></a><var>15.13</var>sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref>, and who is certified as a clinical specialist in adult psychiatric <br/>
<a id="pl.15.14"></a><var>15.14</var>and mental health nursing by a national nurse certification organization or who has a <br/>
<a id="pl.15.15"></a><var>15.15</var>master's degree in nursing or one of the behavioral sciences or related fields from an <br/>
<a id="pl.15.16"></a><var>15.16</var>accredited college or university or its equivalent, with at least 4,000 hours of post-master's <br/>
<a id="pl.15.17"></a><var>15.17</var>supervised experience in the delivery of clinical services in the treatment of mental illness;<br/>
<a id="pl.15.18"></a><var>15.18</var>(3) in clinical social work, a person licensed as an independent clinical social worker <br/>
<a id="pl.15.19"></a><var>15.19</var>under chapter 148D, or a person with a master's degree in social work from an accredited <br/>
<a id="pl.15.20"></a><var>15.20</var>college or university, with at least 4,000 hours of post-master's supervised experience in <br/>
<a id="pl.15.21"></a><var>15.21</var>the delivery of clinical services in the treatment of mental illness;<br/>
<a id="pl.15.22"></a><var>15.22</var>(4) in psychology, an individual licensed by the Board of Psychology under sections <br/>
<statute_ref><a id="pl.15.23"></a><var>15.23</var>148.88
         </statute_ref> to 
         <statute_ref>148.98</statute_ref>, who has stated to the Board of Psychology competencies in the <br/>
<a id="pl.15.24"></a><var>15.24</var>diagnosis and treatment of mental illness;<br/>
<a id="pl.15.25"></a><var>15.25</var>(5) in psychiatry, a physician licensed under chapter 147 and certified by the <br/>
<a id="pl.15.26"></a><var>15.26</var>American Board of Psychiatry and Neurology or eligible for board certification in <br/>
<a id="pl.15.27"></a><var>15.27</var>psychiatry; and<br/>
<a id="pl.15.28"></a><var>15.28</var>(6) in marriage and family therapy, the mental health professional must be a <br/>
<a id="pl.15.29"></a><var>15.29</var>marriage and family therapist licensed under sections 
         <statute_ref>148B.29</statute_ref> to 
         <statute_ref>148B.39</statute_ref>, with at least <br/>
<a id="pl.15.30"></a><var>15.30</var>two years of post-master's supervised experience in the delivery of clinical services in the <br/>
<a id="pl.15.31"></a><var>15.31</var>treatment of mental illness; and<br/>
<a id="pl.15.32"></a><var>15.32</var>(7) in licensed professional clinical counseling, the mental health professional must <br/>
<a id="pl.15.33"></a><var>15.33</var>be a licensed professional clinical counselor under section 148.5301.<br/>