Announcement of Public Workshop, "Examining Health Care Competition" ("Health Care Workshop") Project No. P13-1207
I mention two issues that need to be addressed: interstate practice and recognition of qualified providers at the federal level. Interstate Practice As a licensed professional clinical counselor, additionally credentialed to provide clinical supervision (LPCC-S), I can provide telehealth services to residents of Ohio, yet not to someone just across the Ohio River in Kentucky. While I could apply for licensure in Kentucky this is financially unrealistic to pay for a separate license in 50 states. We need workable reciprocity policy. Federal Recognition President Bush signed legislation recognizing professional counselors (National Defense Authorization Act for Fiscal Year 2006) yet the Secretary of Defense has imposed a requirement that excludes thousands of independently licensed counselors throughout the country. Specifically, the rule requires graduation from a program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Quality education is a goal counselors share but is not the exclusive domain of CACREP. To provide some examples of the absurd lengths this exclusionary rule goes, the programs at Harvard, Johns Hopkins, and the Ohio State University are not currently CACREP accredited. No other mental health professions (e.g. psychologists, clinical social workers) have been subject to this type of exclusionary practice. Requirements for psychologists and clinical social workers include license, educational credits and supervised experience -- as it should be -- but not program accreditation by a particular body.