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90_SB1858 225 ILCS 55/5 from Ch. 111, par. 8351-5 225 ILCS 55/10 from Ch. 111, par. 8351-10 225 ILCS 55/15 from Ch. 111, par. 8351-15 225 ILCS 55/35 from Ch. 111, par. 8351-35 225 ILCS 55/40 from Ch. 111, par. 8351-40 225 ILCS 55/45 from Ch. 111, par. 8351-45 225 ILCS 55/70 from Ch. 111, par. 8351-70 225 ILCS 55/85 from Ch. 111, par. 8351-85 225 ILCS 55/145 from Ch. 111, par. 8351-145 Amends the Marriage and Family Therapy Licensing Act. Provides for the licensing of associate marriage and family therapists. Sets forth qualifications necessary for obtaining a license. LRB9009991JSmbA LRB9009991JSmbA 1 AN ACT to amend the Marriage and Family Therapy Licensing 2 Act by changing Sections 5, 10, 15, 35, 40, 45, 70, 85, and 3 145. 4 Be it enacted by the People of the State of Illinois, 5 represented in the General Assembly: 6 Section 5. The Marriage and Family Therapy Licensing Act 7 is amended by changing Sections 5, 10, 15, 35, 40, 45, 70, 8 85, and 145 as follows: 9 (225 ILCS 55/5) (from Ch. 111, par. 8351-5) 10 Sec. 5. Legislative declaration of public policy. The 11 practice of marriage and family therapy in Illinois is hereby 12 declared to affect the public health, safety and welfare, and 13 to be subject to regulations in the public interest. The 14 purpose of this Act is to establish standards of 15 qualifications for marriage and family therapists and license 16 marriage and family therapists and associate marriage and 17 family therapists who meet these standards, thereby 18 protecting the public from persons who are unauthorized or 19 unqualified to represent themselves as licensed marriage and 20 family therapists or licensed associate marriage and family 21 therapists,and from unprofessional conduct by persons 22 licensed to practice marriage and family therapy. 23 (Source: P.A. 87-783.) 24 (225 ILCS 55/10) (from Ch. 111, par. 8351-10) 25 Sec. 10. Definitions. As used in this Act: 26 "Advertise" means, but is not limited to, issuing or 27 causing to be distributed any card, sign or device to any 28 person; or causing, permitting or allowing any sign or 29 marking on or in any building, structure, newspaper, magazine 30 or directory, or on radio or television; or advertising by -2- LRB9009991JSmbA 1 any other means designed to secure public attention. 2 "Approved program" and "approved comprehensive program of 3 study in marriage and family therapy" means a graduate 4 program in a regionally accredited educational institution 5 approved by the Department for the training of marriage and 6 family therapists. 7 "Board" means the Illinois Marriage and Family Therapy 8 Licensing and Disciplinary Board. 9 "Department" means the Department of Professional 10 Regulation. 11 "Director" means the Director of the Department of 12 Professional Regulation. 13 "License" means that which is required to practice 14 marriage and family therapy under this Act, the 15 qualifications for which include specific education, 16 acceptable experience and examination requirements. 17 "Licensed marriage and family therapist" and "LMFT" mean 18meansa person to whom a license as a licensed marriage and 19 family therapist has been issued under this Act. 20 "Licensed associate marriage and family therapist" and 21 "LAMFT" mean a person to whom a license as a licensed 22 associate marriage and family therapist has been issued under 23 this Act. 24 "Marriage and family therapy" means the evaluation and 25 treatment of mental and emotional problems within the context 26 of human relationships. Marriage and family therapy involves 27 the use of psychotherapeutic methods to ameliorate 28 interpersonal and intrapersonal conflict and to modify 29 perceptions, beliefs and behavior in areas of human life that 30 include, but are not limited to, premarriage, marriage, 31 sexuality, family, divorce adjustment, and parenting. 32 "Person" means any individual, firm, corporation, 33 partnership, organization, or body politic. 34 "Practice of marriage and family therapy" means the -3- LRB9009991JSmbA 1 rendering of marriage and family therapy services to 2 individuals, couples, and families as defined in this 3 Section, either singly or in groups, whether the services are 4 offered directly to the general public or through 5 organizations, either public or private, for a fee, monetary 6 or otherwise. 7 "Title or description" means to hold oneself out as a 8 licensed marriage and family therapist or a licensed 9 associate marriage and family therapist to the public by 10 means of stating on signs, mailboxes, address plates, 11 stationery, announcements, calling cards or other instruments 12 of professional identification. 13 (Source: P.A. 87-783; 87-1237.) 14 (225 ILCS 55/15) (from Ch. 111, par. 8351-15) 15 Sec. 15. Exemptions. 16 (a) Nothing contained in this Act shall restrict any 17 person not licensed under this Act from performing marriage 18 and family therapy if that person does not represent himself 19 or herself as a "licensed marriage and family therapist" or a 20 "licensed associate marriage and family therapist". 21 (b) Nothing in this Act shall be construed as permitting 22 persons licensed as marriage and family therapists or 23 associate marriage and family therapists to engage in any 24 manner in the practice of medicine as defined in the laws of 25 this State. 26 (c) Nothing in this Act shall be construed to prevent 27 qualified members of other professional groups, including but 28 not limited to clinical psychologists, social workers, 29 counselors, attorneys at law, or psychiatric nurses, from 30 performing or advertising that they perform the work of a 31 marriage and family therapist consistent with the laws of 32 this State, their training, and any code of ethics of their 33 respective professions, provided they do not represent -4- LRB9009991JSmbA 1 themselves by any title or description as a licensed marriage 2 and family therapist or a licensed associate marriage and 3 family therapist. 4 (d) Nothing in this Act shall be construed to prevent 5 any person from the bona fide practice of the doctrines of an 6 established church or religious denomination if the person 7 does not hold himself or herself out to be a licensed 8 marriage and family therapist or a licensed associate 9 marriage and family therapist. 10 (e) Nothing in this Act shall prohibit self-help groups 11 or programs or not-for-profit organizations from providing 12 services so long as these groups, programs, or organizations 13 do not hold themselves out as practicing or being able to 14 practice marriage and family therapy. 15 (f) This Act does not prohibit: 16 (1) A person from practicing marriage and family 17 therapy as part of his or her duties as an employee of a 18 recognized academic institution, or a federal, State, 19 county, or local governmental institution or agency while 20 performing those duties for which he or she was employed 21 by the institution, agency or facility. 22 (2) A person from practicing marriage and family 23 therapy as part of his or her duties as an employee of a 24 nonprofit organization consistent with the laws of this 25 State, his or her training, and any code of ethics of his 26 or her respective professions, provided the person does 27 not represent himself or herself as a "licensed marriage 28 and family therapist" or a "licensed associate marriage 29 and family therapistunder supervision in accordance with30this Act. 31 (3) A person from practicing marriage and family 32 therapy if the person is obtaining experience for 33 licensure as a marriage and family therapist or an 34 associate marriage and family therapist, provided the -5- LRB9009991JSmbA 1 person is designated by a title that clearly indicates 2 training status. 3 (4) A person licensed in this State under any other 4 Act from engaging the practice for which he or she is 5 licensed. 6 (5) A person from practicing marriage and family 7 therapy if the person is a marriage and family therapist 8 regulated under the laws of another State, territory of 9 the United States or country and who has applied in 10 writing to the Department, on forms prepared and 11 furnished by the Department, for licensing as a marriage 12 and family therapist and who is qualified to receive 13 registration under Section 40 until the expiration of 6 14 months after the filing of the written application, the 15 withdrawal of the application, a notice of intent to deny 16 the application, or the denial of the application by the 17 Department. 18 (Source: P.A. 87-783; 87-1237.) 19 (225 ILCS 55/35) (from Ch. 111, par. 8351-35) 20 Sec. 35. Examinations. 21 (a) The Department shall authorize examinations of 22 applicants as licensed marriage and family therapists or 23 licensed associate marriage and family therapists at such 24 times and places as it may determine. The examination of 25 applicants shall be of a character to give a fair test of the 26 qualifications of the applicant to practice marriage and 27 family therapy. 28 (b) Applicants for examination as marriage and family 29 therapists shall be required to pay, either to the Department 30 or the designated testing service, a fee covering the cost of 31 providing the examination. 32 (c) The Department may employ consultants for the 33 purpose of preparing and conducting examinations. -6- LRB9009991JSmbA 1 (Source: P.A. 87-783; 87-1237.) 2 (225 ILCS 55/40) (from Ch. 111, par. 8351-40) 3 Sec. 40. Qualifications for licensure. 4 (a) A person is qualified for licensure as a marriage 5 and family therapist if that person: 6 (1) is at least 21 years of age; 7 (2) has applied in writing on forms prepared and 8 furnished by the Department; 9 (3) (blank); 10 (4) has not engaged or is not engaged in any 11 practice or conduct that would be grounds for 12 disciplining a licensee under Section 85 of this Act; 13 (5) satisfies the education and experience 14 requirements of subsection (b) of this Section; and 15 (6) passes a written examination authorized by the 16 Department. 17 (b) Any person who applies to the Department shall be 18 issued a license as a licensed marriage and family therapist 19 by the Department if the person meets the qualifications set 20 forth in subsection (a) of this Section and provides evidence 21 to the Department that the person: 22 (1) holds a master's or doctoral degree in marriage 23 and family therapy approved by the Department from a 24 regionally accredited educational institution; holds a 25 master's or doctoral degree from a regionally accredited 26 educational institution in marriage and family therapy or 27 in a related field with an equivalent course of study in 28 marriage and family therapy that is recommended by the 29 Board and approved by the Department; or holds a master's 30 or doctoral degree from a program accredited by the 31 commission on accreditations for marriage and family 32 therapy education of the American Association for 33 Marriage and Family Therapists; -7- LRB9009991JSmbA 1 (2) following the receipt of the first qualifying 2 degree, has at least 2 years of experience, as defined by 3 rule, in the practice of marriage and family therapy, 4 including at least 1,000 hours of face-to-face contact 5 with couples and families for the purpose of evaluation 6 and treatment; 7 (3) has completed at least 200 hours of supervision 8 of marriage and family therapy, as defined by rule. 9 (c) Any person who applies to the Department shall be 10 issued a license as a licensed associate marriage and family 11 therapist by the Department if the person meets the 12 qualifications set forth in items (1), (2), (4), and (6) of 13 subsection (a) of this Section and provides evidence to the 14 Department that the person meets the qualifications set forth 15 in item (1) of subsection (b) of this Section. 16 Upon providing evidence to the Department that the 17 applicant either meets the qualifications set forth in item 18 (1) of subsection (b) of this Section or is in the last term 19 of an approved comprehensive program of study in marriage and 20 family therapy, the applicant shall be qualified to take the 21 written examination. 22 Upon providing evidence of completion of the applicant's 23 first qualifying degree and passage of the examination, the 24 applicant shall receive a license as a licensed associate 25 marriage and family therapist. 26 A licensed associate marriage and family therapist may 27 not practice independently but must be clinically supervised 28 by a marriage and family therapist as defined by rule. 29 A licensed associate marriage and family therapist may 30 petition the Department for licensure as a licensed marriage 31 and family therapist upon completion of the requirements set 32 forth in items (2) and (3) subsection (b) of this Section. 33 (Source: P.A. 89-387, eff. 8-20-95; 90-61, eff. 12-30-97.) -8- LRB9009991JSmbA 1 (225 ILCS 55/45) (from Ch. 111, par. 8351-45) 2 Sec. 45. Licenses; renewals; restoration; person in 3 military service. 4 (a) The expiration date and renewal period for each 5 license issued under this Act shall be set by rule. As a 6 condition for renewal of a license, the licensee shall be 7 required to complete continuing education under requirements 8 set forth in rules of the Department. 9 (b) Any person who has permitted his or her license to 10 expire may have his or her license restored by making 11 application to the Department and filing proof acceptable to 12 the Department of fitness to have his or her license 13 restored, which may include sworn evidence certifying to 14 active practice in another jurisdiction satisfactory to the 15 Department, complying with any continuing education 16 requirements, and paying the required restoration fee. 17 (c) If the person has not maintained an active practice 18 in another jurisdiction satisfactory to the Department, the 19 Board shall determine, by an evaluation program established 20 by rule, the person's fitness to resume active status and may 21 require the person to complete a period of evaluated clinical 22 experience and successful completion of a practical 23 examination. 24 However, any person whose license expired while (i) in 25 federal service on active duty with the Armed Forces of the 26 United States or called into service or training with the 27 State Militia, or (ii) in training or education under the 28 supervision of the United States preliminary to induction 29 into the military service may have his or her license renewed 30 or restored without paying any lapsed renewal fees if, within 31 2 years after honorable termination of the service, training 32 or education, except under condition other than honorable, he 33 or she furnishes the Department with satisfactory evidence to 34 the effect that he or she has been so engaged and that the -9- LRB9009991JSmbA 1 service, training, or education has been so terminated. 2 (d) Any person who notifies the Department, in writing 3 on forms prescribed by the Department, may place his or her 4 license on inactive status and shall be excused from the 5 payment of renewal fees until the person notifies the 6 Department in writing of the intention to resume active 7 practice. 8 (e) Any person requesting his or her license be changed 9 from inactive to active status shall be required to pay the 10 current renewal fee and shall also demonstrate compliance 11 with the continuing education requirements. 12 (f) Any marriage and family therapist whose license is 13 nonrenewed or on inactive status shall not engage in the 14 practice of marriage and family therapy in the State of 15 Illinois and use the title or advertise that he or she 16 performs the services of a "licensed marriage and family 17 therapist" or a "licensed associate marriage and family 18 therapist". 19 (g) Any person violating subsection (f) of this Section 20 shall be considered to be practicing without a license and 21 will be subject to the disciplinary provisions of this Act. 22 (h) (Blank). 23 (Source: P.A. 90-61, eff. 12-30-97.) 24 (225 ILCS 55/70) (from Ch. 111, par. 8351-70) 25 Sec. 70. Privileged communications and exceptions. 26 (a) No licensed marriage and family therapist or 27 licensed associate marriage and family therapist shall 28 disclose any information acquired from persons consulting the 29 marriage and family therapist or associate marriage and 30 family therapist in a professional capacity, except that 31 which may be voluntarily disclosed under the following 32 circumstances: 33 (1) In the course of formally reporting, -10- LRB9009991JSmbA 1 conferring, or consulting with administrative superiors, 2 colleagues, or consultants who share professional 3 responsibility, in which instance all recipients of the 4 information are similarly bound to regard the 5 communications as privileged; 6 (2) With the written consent of the person who 7 provided the information; 8 (3) In case of death or disability, with the 9 written consent of a personal representative, other 10 person authorized to sue, or the beneficiary of an 11 insurance policy on the person's life, health, or 12 physical condition; 13 (4) When a communication reveals the intended 14 commission of a crime or harmful act and the disclosure 15 is judged necessary by the licensed marriage and family 16 therapist or licensed associate marriage and family 17 therapist to protect any person from a clear, imminent 18 risk of serious mental or physical harm or injury, or to 19 forestall a serious threat to the public safety; or 20 (5) When the person waives the privilege by 21 bringing any public charges, criminal, or civil, against 22 the licensee. 23 (b) Any person having access to records andorany one 24 who participates in providing marriage and family therapy 25 services or who, in providing any human services, is 26 supervised by a licensed marriage and family therapist or 27 licensed associate marriage and family therapist,is 28 similarly bound to regard all information and communications 29 as privileged in accord with this Section. 30 (c) The Mental Health and Developmental Disabilities 31 Confidentiality Act is incorporated in this Act as if all of 32 its provisions were included in this Act. 33 (Source: P.A. 87-783.) -11- LRB9009991JSmbA 1 (225 ILCS 55/85) (from Ch. 111, par. 8351-85) 2 Sec. 85. Refusal, revocation or suspension. 3 (a) The Department may refuse to issue or renew, or may 4 revoke a license, or may suspend, place on probation, fine, 5 or take any disciplinary action as the Department may deem 6 proper, including fines not to exceed $1000 for each 7 violation, with regard to any licensee for any one or 8 combination of the following causes: 9 (1) Material misstatement in furnishing information 10 to the Department. 11 (2) Violations of this Act or its rules. 12 (3) Conviction of any crime under the laws of the 13 United States or any state or territory thereof that is 14 (i) a felony, (ii) a misdemeanor, an essential element of 15 which is dishonesty, or (iii) a crime that is related to 16 the practice of the profession. 17 (4) Making any misrepresentation for the purpose of 18 obtaining a license or violating any provision of this 19 Act or its rules. 20 (5) Professional incompetence or gross negligence. 21 (6) Malpractice. 22 (7) Aiding or assisting another person in violating 23 any provision of this Act or its rules. 24 (8) Failing, within 60 days, to provide information 25 in response to a written request made by the Department. 26 (9) Engaging in dishonorable, unethical, or 27 unprofessional conduct of a character likely to deceive, 28 defraud or harm the public as defined by the rules of the 29 Department, or violating the rules of professional 30 conduct adopted by the Board and published by the 31 Department. 32 (10) Habitual or excessive use or addiction to 33 alcohol, narcotics, stimulants, or any other chemical 34 agent or drug that results in the inability to practice -12- LRB9009991JSmbA 1 with reasonable judgment, skill, or safety. 2 (11) Discipline by another state, territory, or 3 country if at least one of the grounds for the discipline 4 is the same or substantially equivalent to those set 5 forth in this Act. 6 (12) Directly or indirectly giving to or receiving 7 from any person, firm, corporation, partnership or 8 association any fee, commission, rebate, or other form of 9 compensation for any professional services not actually 10 or personally rendered. 11 (13) A finding by the Department that the licensee, 12 after having his or her license placed on probationary 13 status, has violated the terms of probation. 14 (14) Abandonment of a patient without cause. 15 (15) Willfully making or filing false records or 16 reports relating to a licensee's practice, including but 17 not limited to false records filed with State agencies or 18 departments. 19 (16) Wilfully failing to report an instance of 20 suspected child abuse or neglect as required by the 21 Abused and Neglected Child Reporting Act. 22 (17) Being named as a perpetrator in an indicated 23 report by the Department of Children and Family Services 24 under the Abused and Neglected Child Reporting Act and 25 upon proof by clear and convincing evidence that the 26 licensee has caused a child to be an abused child or 27 neglected child as defined in the Abused and Neglected 28 Child Reporting Act. 29 (18) Physical or mental disability, including 30 deterioration through the aging process, or loss of 31 abilities and skills that results in the inability to 32 practice the profession with reasonable judgment, skill, 33 or safety. 34 (19) Solicitation of professional services by using -13- LRB9009991JSmbA 1 false or misleading advertising. 2 (20) A finding that licensure has been applied for 3 or obtained by fraudulent means. 4 (21) Practicing or attempting to practice under a 5 name other than the full name as shown on the license or 6 any other legally authorized name. 7 (22) Gross overcharging for professional services 8 including filing statements for collection of fees or 9 moneys for which services are not rendered. 10 (b) The Department shall deny any application for a 11 license, without hearing, or renewal under this Act to any 12 person who has defaulted on an educational loan guaranteed by 13 the Illinois Student Assistance Commission; however, the 14 Department may issue a license or renewal if the person in 15 default has established a satisfactory repayment record as 16 determined by the Illinois Student Assistance Commission. 17 (c) The determination by a circuit court that a licensee 18 is subject to involuntary admission or judicial admission, as 19 provided in the Mental Health and Developmental Disabilities 20 Code, operates as an automatic suspension. The suspension 21 will terminate only upon a finding by a court that the 22 patient is no longer subject to involuntary admission or 23 judicial admission and the issuance of an order so finding 24 and discharging the patient, and upon the recommendation of 25 the Board to the Director that the licensee be allowed to 26 resume his or her practice as a licensed marriage and family 27 therapist or an associate marriage and family therapist. 28 (d) The Department may refuse to issue or may suspend 29 the license of any person who fails to file a return, pay the 30 tax, penalty, or interest shown in a filed return or pay any 31 final assessment of tax, penalty, or interest, as required by 32 any tax Act administered by the Illinois Department of 33 Revenue, until the time the requirements of the tax Act are 34 satisfied. -14- LRB9009991JSmbA 1 (e) In enforcing this Section, the Department or Board 2 upon a showing of a possible violation may compel an 3 individual licensed to practice under this Act, or who has 4 applied for licensure under this Act, to submit to a mental 5 or physical examination, or both, as required by and at the 6 expense of the Department. The Department or Board may order 7 the examining physician to present testimony concerning the 8 mental or physical examination of the licensee or applicant. 9 No information shall be excluded by reason of any common law 10 or statutory privilege relating to communications between the 11 licensee or applicant and the examining physician. The 12 examining physicians shall be specifically designated by the 13 Board or Department. The individual to be examined may have, 14 at his or her own expense, another physician of his or her 15 choice present during all aspects of this examination. 16 Failure of an individual to submit to a mental or physical 17 examination, when directed, shall be grounds for suspension 18 of his or her license until the individual submits to the 19 examination if the Department finds, after notice and 20 hearing, that the refusal to submit to the examination was 21 without reasonable cause. 22 If the Department or Board finds an individual unable to 23 practice because of the reasons set forth in this Section, 24 the Department or Board may require that individual to submit 25 to care, counseling, or treatment by physicians approved or 26 designated by the Department or Board, as a condition, term, 27 or restriction for continued, reinstated, or renewed 28 licensure to practice; or, in lieu of care, counseling, or 29 treatment, the Department may file, or the Board may 30 recommend to the Department to file, a complaint to 31 immediately suspend, revoke, or otherwise discipline the 32 license of the individual. An individual whose license was 33 granted, continued, reinstated, renewed, disciplined or 34 supervised subject to such terms, conditions, or -15- LRB9009991JSmbA 1 restrictions, and who fails to comply with such terms, 2 conditions, or restrictions, shall be referred to the 3 Director for a determination as to whether the individual 4 shall have his or her license suspended immediately, pending 5 a hearing by the Department. 6 In instances in which the Director immediately suspends a 7 person's license under this Section, a hearing on that 8 person's license must be convened by the Department within 15 9 days after the suspension and completed without appreciable 10 delay. The Department and Board shall have the authority to 11 review the subject individual's record of treatment and 12 counseling regarding the impairment to the extent permitted 13 by applicable federal statutes and regulations safeguarding 14 the confidentiality of medical records. 15 An individual licensed under this Act and affected under 16 this Section shall be afforded an opportunity to demonstrate 17 to the Department or Board that he or she can resume practice 18 in compliance with acceptable and prevailing standards under 19 the provisions of his or her license. 20 (Source: P.A. 90-61, eff. 12-30-97.) 21 (225 ILCS 55/145) (from Ch. 111, par. 8351-145) 22 Sec. 145. Summary suspension. The Director may summarily 23 suspend the license of a marriage and family therapist or an 24 associate marriage and family therapist without a hearing, 25 simultaneously with the institution of proceedings for a 26 hearing provided for in this Act, if the Director finds that 27 evidence in his or her possession indicates that a marriage 28 and family therapist's or an associate marriage and family 29 therapist's continuation in practice would constitute an 30 imminent danger to the public. In the event that the 31 Director summarily suspends the license of a marriage and 32 family therapist or an associate marriage and family 33 therapist without a hearing, a hearing by the Board must be -16- LRB9009991JSmbA 1 held within 30 calendar days after the suspension has 2 occurred. 3 (Source: P.A. 87-783; 87-1237.)