Current through Vol. 42, No. 1, September 16, 2024
(a)
Authority. Section
1928 of Title 59 of the Oklahoma
Statutes (59 O.S. § 1928) directs Oklahoma Human Services (OKDHS)
Developmental Disabilities Services (DDS) to provide for licensing of BCBAs and
certification of BCaBAs.
(b)
Definitions. The following words and terms, when used in this,
shall have the following meanings, unless the context clearly indicates
otherwise:
(1)
"Applied behavior
analysis" means the process of systematically applying interventions
based upon the principles of learning theory to improve socially significant
behaviors to a meaningful degree, and to demonstrate that the interventions
employed are responsible for the improvement in behavior.
(2)
"Behavior Analyst Certification
Board (BACB)" means the national-accrediting Behavior Analyst
Certification Board or its successor.
(3)
"Board Certified Assistant Behavior
Analyst (BCaBA)" means an individual who is certified by the BACB as a
Board Certified Assistant Behavior Analyst and practices under the close,
ongoing supervision of a BCBA.
(4)
"Board Certified Behavior Analyst (BCBA)" means an individual who
is certified by the BACB as a Board Certified Behavior Analyst.
(5)
"Human services
professional" means an individual licensed or certified in Oklahoma as a
licensed:
(A) physical therapist or physical
therapist assistant;
(B)
occupational therapist or occupational therapist assistant;
(C) clinical social worker;
(D) masters social worker;
(E) social work associate;
(F) psychologist or health service
psychologist;
(G) speech
pathologist;
(H)
audiologist;
(I) professional
counselor or professional counselor candidate;
(J) marital and family therapist or marital
and family therapist candidate; or
(K) behavioral practitioner or behavioral
practitioner candidate.
(6)
"Oklahoma Certified Assistant
Behavior Analyst (OCABA)" means a BCaBA who is certified by OLBAB under
authority of OKDHS DDS to provide applied behavior analysis services in
Oklahoma.
(7)
"Oklahoma
Licensed Behavior Analyst Board (OLBAB)" means the state board
responsible for licensing behavior analysts, certifying assistant behavior
analysts and regulating the practice of applied behavior analysis
professionals.
(8)
"Oklahoma
Licensed Behavior Analyst (OLBA)" means a BCBA who is licensed by OLBAB
under authority of OKDHS DDS to provide applied behavior analysis services in
Oklahoma.
(9)
"Registered
behavior technician (RBT)" means a paraprofessional who is certified by
the BACB and practices under the close, ongoing supervision of a BCBA. The RBT
works under the license number of a BCBA and is primarily responsible for the
direct implementation of BCBA designed and prescribed behavior-analytic
services.
(10)
"Supervisee" means a BCaBA, RBT, or Behavior Analyst in training
who acts under the authority and supervision of a BCBA to provide applied
behavior analysis services or a BCaBA or RBT candidate in training to provide
such services in accordance with the requirements and procedures of the BACB.
(A) The supervisee does not design
intervention or assessment plans but may assist the BCBA performing those tasks
to the extent the BACB allows. It is the supervising BCBA's responsibility to
determine which other tasks the supervisee may perform as a function of his or
her training, experience, and competence.
(B) The BCBA is responsible for the
supervisee's work on the cases he or she is overseeing.
(C) A BCBA, BCaBA, RBT or Behavior Analyst in
training as a guardian or parent, may not provide services to his or her own
child or ward.
(11)
"Supervision" means at least two face-to-face, real time contacts
with at least one occurring during the provision of service by a BCBA, BCaBA,
RBT or Behavior Analyst in training.
(c)
Qualifications.
(1) Each person wishing to practice as a BCBA
or BCaBA in Oklahoma applies to DDS using Form 06LC001E, Application for BCBA
License and BCaBA Certification, and furnishes evidence that he or she:
(A) passed the Board examination and is
certified by the BACB as a BCBA or as a BCaBA, as applicable; and
(B) has not had a professional license or
state certification refused, revoked, suspended, or restricted and does not
have a complaint, allegation, or investigation pending in any regulatory
jurisdiction in the United States or in another country for reasons that relate
to unprofessional conduct unless DDS finds that the conduct was corrected or
that mitigating circumstances exist that prevent
resolution.
(2) No person
may claim the title of or hold himself or herself out as being an OLBA or OCABA
unless he or she meets the applicable requirements and obtains a license or
certification, per this Section.
(A)
Supervisees provide applied behavior analysis under the supervision of an
OLBA.
(B) This Section does not
restrict the practice of applied behavior analysis by human services
professionals, provided such individuals are working within the scope of their
professions and the practice of applied behavior analysis is commensurate with
their level of training and experience and provided such professionals do not
hold themselves out as being an OLBA, OCABA, BCBA, or BCaBA if they do not
possess such credentials.
(C) This
Section does not prohibit the practice of applied behavior analysis by a family
member, guardian or caregiver of a person implementing a plan for that person
acting under the extended authority and direction of an OLBA or
OCABA.
(D) This Section does not
apply to persons employed by a school district who provide services solely to
the school district under the Individuals with Disabilities Education Act
(IDEA), 20 U.S.C., Section
1400 et seq., provided they do not claim the
title of an OLBA, OCABA, BCBA, BCaBA, or RBT unless they are in compliance with
the requirements for the RBT as promulgated and administered by the
BACB.
(E) OKDHS Legal Services may
file and seek injunctive relief against any person who wrongfully holds himself
or herself out as an OLBA, OCABA, BCBA, or BCaBA, and does not in fact meet the
applicable requirements set forth above, or who is not licensed or certified as
this policy requires. The injunctive relief set forth in this Section is filed
in the district court for any county wherein which the person holding himself
or herself out as an OLBA, OCABA, BCBA or BCaBA.
(F) The term supervisee includes:
(i) a matriculated graduate student or
postdoctoral fellow whose activities are part of a defined behavior analysis
program of study, practicum, or intensive practicum, provided that the practice
under this exemption is directly supervised by a licensed behavior analyst in
this state or an instructor in a course sequence approved by the certifying
entity; or
(ii) an unlicensed
individual pursuing experience in behavior analysis consistent with the
experience requirements of the certifying entity, provided such experience is
supervised by a licensed behavior analyst in the state.
(H) A violation of this subsection is
punishable by a fine of not more than $500, the suspension or revocation of a
license or certification issued per this Section, or both fine, and loss of
licensure or certification.
(d)
Application. Oklahoma
licenses and certificates are issued for two-year terms following the initial
OLBAB certification period.
(1)
Licensure. A person requesting licensure provides for:
(A) an initial request:
(i) a current copy of BACB certification;
and
(ii) Form 06LC001E;
(B) a renewal:
(i) a current copy of BACB certification;
and
(ii) Form 06LC001E
(2)
Certification. A person requesting certification provides for:
(A) an initial request:
(i) a current copy of BACB certification;
and
(ii) Form 06LC001E;
(B) re-certification:
(i) a current copy of BACB certification;
and
(ii) Form 06LC001E.
(3)
Post-military
personnel. Pursuant to the Post-Military Service Occupation, Education
and Credentialing Act, 59 O.S. § 4100.1, issuance of an Oklahoma license
or certificate to post-military service members and spouses is expedited upon
receipt of required application materials and verification of BACB
certification.
(4)
Temporary
License. OLBAB may issue a temporary license to practice behavior
analysis in Oklahoma for 30-calendar days or less in a calendar year. For a
temporary license to be issued, the person must be licensed to practice
behavior analysis in another state whose requirements are substantially
equivalent to Oklahoma requirements, per 59 O.S. § 1928(B) and this
Section.
(5)
Licensure
Requirements. OLBAB may issue a license to a person who:
(A) holds a valid license or certificate from
another state;
(B) meets the
requirements specified in 59 O.S. § 1928(B) and this Section;
(C) meets any additional licensing
requirements contained in administrative regulation promulgated by OLBAB;
and
(D) has no imposed or pending
disciplinary actions.
(e)
Licensure and certification.
A person licensed or certified:
(1) maintain
active status and fulfill all requirements of certification or recertification
with the BACB;
(2) conduct
professional activities in accordance with the ethical and professional
standards of the BACB available on its website at
www.bacb.com; and
(3) applies for license or certification
renewal on or before April 30 of each odd-numbered year to continue practicing
in Oklahoma.
(f)
Fees.
(1) OLBA licensure fees:
(A) for initial licensing are pro-rated on a
rounded average of $50 for each full-calendar year remaining on the BACB
certification; and
(B) $100 for
each two-year license thereafter.
(2) OCABA certification fees:
(A) for initial certification are pro-rated
on a rounded average of $25 for each full-calendar year remaining on the BACB
certification; and
(B) $50 for each
two-year certification thereafter.
(g)
Requirements of supervision.
an OCABA or RBT works under the supervision of an OLBA. The OLBA follows the
supervision guidelines of the BACB.
(h)
OLBAB.
(1) OLBAB has at least five members
consisting of:
(A) at least three OLBAs
appointed by the OKDHS Director or designee, one of whom may be employed by
OKDHS, and two who are recommended by the:
(i)
largest nonprofit professional association for behavior analysts in the state;
or
(ii) OLBAB;
(B) at least one OCABA or RBT who may be
employed by OKDHS appointed to the OLBAB by the OKDHS Director or designee;
and
(C) one member of the public
who is, or in the last five years has been, a consumer of behavior analytic
services, or family member of a consumer of behavior analytic services provided
or supervised by an OLBA.
(2) The OKDHS Director or designee appoints
the chair of OLBAB.
(3) Upon
OLBAB's request or at the Director's own determination, and before an OLBAB
member's term expires, the OKDHS Director or designee may remove an OLBAB
member for malfeasance, neglect of duty, or incompetency, or revoke or suspend
the member's license.
(4) If an
OLBAB member resigns appointment, or a board seat is otherwise vacated prior to
completion of term, the OKDHS Director or designee appoints a replacement
member to complete the term.
(5)
The OKDHS Director or designee may reappoint OLBAB members for additional two
year terms.
(6) DDS staff provides
administrative support of the OLBAB.
(7) OLBAB meets a minimum of four times per
calendar year. All meetings are subject to the Open Meetings Act, per 25 O.S.
§ 301-314.
(8) Travel expenses
for members of OLBAB are reimbursed, per 74 O.S. § 500.4.
(9) Money received for the licensure or
certification of behavior analysts and assistant behavior analysts, and any
penalties, fines, appropriations, gifts, grants or donations received for
purposes relating to the duties of OLBAB are deposited in a fund and are used
exclusively for OLBAB operations and administration of 59 O.S. §
1928.
(10) Each new member of OLBAB
completes orientation training provided by DDS within 60 calendar days after
his or her appointment to OLBAB. Orientation includes, but is not limited to:
(A) the purpose of OLBAB and the duties of
OLBAB members; and
(B) any
applicable laws and regulations including the provisions of the governing law
and regulations of OLBAB, administrative hearing requirements, confidentiality
requirements, complaint investigation, and disposition procedures.
(11) Appointees to OLBAB are free
of conflict of interest in performing the duties of OLBAB. OLBAB Members adhere
to the ethical standards of OKDHS in executing duties of OLBAB. No OLBAB member
participates in any matter before OLBAB in which the member has a pecuniary
interest or other conflict of interest.
(12) OLBAB maintains a list of all persons
licensed or certified to provide behavior analytic services in Oklahoma and
provides copies to interested persons upon written request.
(i)
Ethics.
(1) Any person licensed or certified by DDS
as either an OLBA or OCABA reports to OLBAB within five-business days of any
sanction, denial of initial or renewal certification, revocation, suspension,
or any other limitation of license or certification or combination of BACB
sanctions. When a person loses BACB licensure or certification for any reason,
he or she immediately forfeits the Oklahoma license or certification and must
notify OLBAB within five-business days of such BACB action and immediately
stops providing BCBA or BCaBA services in Oklahoma.
(2) All persons licensed or certified, per 59
O.S. § 1928(D)(2), complies with the BACB Standards for Supervision and
Ethics Code for Behavior Analysts, and OLBAB may investigate any complaints and
impose sanctions for any violations of these provisions or the applicable BACB
ethics and supervision requirements in effect at the time of the relevant
conduct or occurrence.
(3) Grounds
for disciplinary action including denial, suspension, forfeiture, or
non-renewal of a license or certification for practice in Oklahoma. Other
disciplinary or remedial action include:
(A)
obtaining or attempting to obtain a license or certification by making a false
or misleading statement, failure to make a required statement, or fraud or
deceit in any communication to OLBAB;
(B) violations of the BACB professional and
ethical compliance codes;
(C) aiding
and abetting the unlawful practice of behavior analysis;
(D) failing to cooperate with or respond
promptly, completely, and honestly to OLBAB requests in connection with
licensing, certifying, investigative, or disciplinary activities;
(E) gross or repeated negligence,
incompetence, misconduct, or malpractice in professional work including, but
not limited to:
(i) any physical or mental
condition that currently impairs competent professional performance or poses a
substantial risk to the recipient of behavior analysis services;
(ii) professional conduct that constitutes an
extreme and unjustified deviation from the customary standard of practice
accepted in the applied behavior analytic community and creates a serious risk
of harm to or deception of service recipients;
(iii) abandonment of a service recipient
resulting in the termination of imminently needed care without adequate notice
or provision for transition;
(iv)
professional record keeping or data collection that constitutes an extreme and
unjustified deviation from the customary standard of practice for the field, or
deceptively altering service recipient's records or data;
(v) engaging in blatant fraud, deception,
misrepresentation, false promise or pretense, intimidation in the practice of
applied behavior analysis, or in solicitation of service recipients; or
(vi) the unauthorized material
disclosure of confidential service recipient information;
(F) limitation, sanction, revocation, or
suspension by a health care organization, professional organization, or other
private or governmental body, relating to behavior analysis practice, public
health or safety, or behavior analysis certification;
(G) any conviction of a felony or misdemeanor
directly relating to behavior analysis practice or public health or safety;
or
(H) failure to adequately
supervise or be supervised in accordance with the BACB Standards for
Supervision.
(4)
Applicants and persons holding a current license or certificate report to the
OLBAB within 30-calendar days of occurrence:
(A) a change in name, address, or other vital
information;
(B) the filing of any
criminal or civil charges;
(C) the
initiation of any disciplinary charges, investigations, findings, or sanctions
by a health care organization, federal or state agency, or other professional
association; and
(D) any other
change in information provided by the applicant or person holding a current
license or certificate.
(5) RBTs providing services in Oklahoma abide
by the BACPs RBT Ethics Code. When OLBAB becomes aware of a potential code
violation, a referral is made to the BACB that has the responsibility for
investigating and initiating disciplinary action, when determined
necessary.
(j)
Complaint investigation. All complaints regarding unprofessional
conduct of a BCBA or BCaBA are submitted to OLBAB in writing. The DDS Quality
Assurance programs administrator assists with investigations upon request and
reports any findings to the OLBAB for action.
(1) A complaint is defined as the receipt of
any information by OLBAB indicating that there may be grounds for disciplinary
action against a licensed behavior analyst or a licensed assistant behavior
analyst, an individual claiming to be a licensed behavior analyst or a
certified assistant behavior analyst, or an individual practicing without a
license or certificate.
(2)
Complaints may be initiated by any person or by OLBAB on its own
initiative.
(3) Complaints sent to
OLBAB:
(A) are addressed as
confidential;
(B) are in
writing;
(C) clearly identify the
person against whom the complaint is being made;
(D) contain the date;
(E) identify, by signature, the person
initiating the complaint; and
(F)
contain a clear and concise statement of the facts giving rise to the
complaint.
(4) At the
next regularly scheduled meeting of OLBAB, or as soon as practicable, OLBAB
determines whether the complaint warrants further investigation.
(5) If OLBAB determines that a complaint
warrants further investigation, OLBAB notifies the licensee or applicant
against whom the complaint has been made by certified mail. The notice includes
a:
(A) notice that a complaint has been
filed;
(B) statement of the nature
of the complaint;
(C) reference to
the particular Section(s) of the statutes, administrative code, or ethical
standards that may be involved; and
(D) request for cooperation in obtaining a
full understanding of the circumstances.
(6) The respondent provides OLBAB a written
response to the initiating complaint within 30-calendar days.
(7) During the investigation phase, OLBAB may
communicate with the complainant and the respondent in an effort to seek
resolution of the complaint without a formal hearing.
(8) If a satisfactory resolution cannot be
identified in the investigation phase, or OLBAB determines that the
circumstances may warrant the denial, revocation, or suspension of a license,
OLBAB initiates a formal hearing. The purpose of the hearing is to determine:
(A) if the respondent committed certain acts
or omissions and whether those acts or omissions violated one or more of the
following:
(i) 59 O.S. § 1928;
(ii) the professional and ethical compliance
code for behavior analysts of the certifying entity; or
(iii) prior conditions OLBAB imposed
regarding the respondent; and
(B) appropriate disciplinary
action.
(9) Upon final
resolution of a complaint submitted pursuant to this process, OLBAB notifies
the complainant and respondent of the outcome of OLBAB's actions.
(10) OLBAB has the authority to determine
that a formal hearing should be initiated immediately on any
complaint.
(k)
Sanctions. OLBAB determines sanctions.
(1) After notice to the respondent, and an
opportunity for a hearing conducted before a majority of OLBAB members, OLBAB
may:
(A) refuse to license or certify any
applicant;
(B) refuse to renew the
license or certificate of any person;
(C) suspend or revoke or place on probation
the license or certificate of any person;
(D) impose restrictions on the scope of
practice or conditions of practice, including additional supervisory
requirements, professional education, treatment requirements or physical or
mental examination requirements or other practice conditions or limitations of
any person;
(E) issue a letter of
censure to any person;
(F) issue an
administrative reprimand to any person;
(G) issue a written or verbal admonishment to
any person; or
(H) impose fines for
violations, not to exceed $500.
(2) OLBAB may temporarily suspend a license
or certificate prior to the hearing referenced in (j)(8). If OLBAB determines
the licensee poses a substantial risk to the individual or individuals
receiving applied behavior analysis services. The temporary suspension remains
effective until the:
(A) hearing referenced in
(j)(8) is conducted; or
(B) matter
is otherwise resolved prior to the hearing as set forth in Section (j)(8) of
this rule.
Added at 28 Ok Reg 51,
eff 8-13-10 (emergency); Added at 28 Ok Reg 897, eff
6-1-11