### ATTORNEY GENERAL OFTEXAS GREG ABBOTT



### April 18, 2006

The Honorable D. Matt Bingham Smith County Criminal District Attorney Smith County Courthouse 100North Broadway, Fourth Floor Tyler, Texas 75702 Opinion No. GA-0423 Re: Whether a physician, psychiatrist, licensed professional counselor, licensed marriage and family therapist, orsocial worker must belicensed by the Council on Sex Offender Treatment to provide rehabilitation services or act as a sex offender treatment provider (RQ-0405-GA)
Dear Mr. Bingham: Youaskwhether aphysician,psychiatrist, licensed professional counselor, licensedmarriage and family therapist, or social worker may provide rehabilitation services or act as a sex offender treatment provider without being licensed by the Council on Sex Offender Treatment (the “Council”).’ You also ask about the discretion of counselors concerning the scope of the terms

“rehabilitation service” and “sex offender” as defined in chapter 110 of the Occupations Code. Request Letter, sugLa note 1,at 1. As background, we observe that chapter 110 ofthe Occupations Code generally governs~sex offender treatment providers. Under the chapter, a sex offender treatment provider is:

a person, licensed or certified to practice in this state, including a physician, psychiatrist, psychologist, licensed professional counselor, licensed marriage and family therapist, or social worker, who provides mental health or medical services for rehabilitation of sex offenders.

TEX. Oct. CODE ANN. 5 llO.OOl(7) (Vernon Supp.~2005). Prior to 2005, the Council maintained avoluntary registry of sex offender treatment providers who (1) met the Council’s criteria for the treatment of sex offenders and (2)provided mental health or medical services for the rehabilitation ofsex offenders. Act ofMay 20,2003,78th Leg., ch. 1276,s 14.005(a), 2003 Tex. Gen. Laws 4158,

‘See Letter from Honorable D. Matt Bingham, Smith County Criminal District Attorney, to Honorable Greg Abbott, Attorney General of Texas (Oct. 13, 2005) (on tile with the Opinion Committee, ako mailable af h~p://www.oag.state.tx.us) [hereinafter Request Letter].The Honorable D. Matt Bingham - Page 2 (GA-0423)

4309 (formerlycoditiedas TEX.OCC.CODEANN. §llO.OOl(4)). During the legislature’s lastregular session in 2005, it changed the Council’s mission from registering sex offender treatment providers on avoluntary basis to mandatory licensing. Act ofMay 25,2005,79th Leg., R.S., ch. 1089,2005 Tex. Gen. Laws 3579. Thus, chapter 110 now provides:

(a) A person may not provide arehabilitation service or act as a sex offender treatment provider unless the person is licensed under this chapter. TEX.Oct. CODEANN. 5 110.301(a) (Vernon Supp. 2005). You state that Smith County currently provides counseling tojuveniles inthejuvenile justice system through several counselors of different backgrounds: alicensed psychologist and diplomat in forensic psychology, aperson licensed as aclinical social worker and as aprofessional counselor, alicensed master social worker, alicensed professional counselor intern, and agraduate student at the University ofTexas atTyler. See Request Letter, supra note 1,at2. You askwhether the health care licenses that qualify a person as a sex offender treatment provider in section 110.001(7) constitute the license required in section 110.301(a). See id.at 4-5. We must construe statutes in context. See TEX:GOV’TCODEANN. § 311.Oll(a) (Vernon 2005). Consequently, we must consider section 110.301 in light of other sections of chapter 110 governing the Council and sex offender treatment providers, particularly those that pertain to licensing. See Helena Chem.Co.v. Wilkins, 47 S.W.3d 486,493 (Tex. 2001) (“We should not give one provision ameaning out ofharmony or inconsistent with other provisions .“). Chapter 110 charges the Council with setting the standards that sex offender treatment providers must meet to be eligible for a license under the chapter. See TEX. OCC.CODEANN. 5 110.151(2) (Vernon Supp. 2005). The Council has broad authority to adopt rules consistent with chapter 110 and has the specific duty to develop and implement license requirements by rule. See id. 55 110.152(2), ,158, ,302 (Vernon 2004). Under section 110.301, aperson must be licensed “under” chapter 110 either to “provide a rehabilitation service” or to “act as a sex offender treatment provider.” Id. 5 110.301(a) (Vernon Supp. 2005). A “rehabilitation service” is “a mental health treatment or medical intervention program designed to treat or remedy a sex offender’s mental or medical problem that may relate or contribute to the sex offender’s criminal or paraphiliac problem.” Id. 5 llO.OOl(5). A person “act[s] as a sex offender treatment provider” when the person provides “mental health ormedical services for rehabilitation of sex offenders.” Id. $5 110.001(7), .301(a). Aperson who does not have a license under chapter 110 and who provides arehabilitation service or acts as a sex offender treatment provider may be liable criminally. See id.5 110.401 (providing that violations of section 110.301 are a Class A misdemeanor). You state that several of the licensed professionals who are counseling juveniles for Smith County Juvenile Services meet the definition of a sex offender treatment provider in section 110.001(7) but do not possess any additional license under chapter 110. See Request Letter, supra note 1, at 34. You suggest that the legislature likely did not intend to “provide an exclusive licensing program, to the exclusion of other licensing as provided for in section 110.001(7) of theThe Honorable D. Matt Bingham - Page 3 (GA-0423)

Occupations Code.” Id.at4. Also, while you acknowledge that section 110.302 asrevised “seems to contemplate the issuanceof a license by the Council,” you note that the Council had not promulgated licensing rules as of the date of your request. Id. For these reasons, you perceive a conflict among sections 110.001(7) (defining a sex offender treatment provider), section 110.301 (requiring a license), and 110.302 (requiring the Council to promulgate licensing rules). You propose that the conflict may be resolved by construing the provision in 110.301 that requires a person to be “licensed under this chapter” as referring to any ofthe health care licenses listed in section 110.00 l(7). Id.at 4-5. However, the plain language ofthe statutes does not support your construction. Sections 110.001(7), 110.301 and 110.302 do not conflict. Section llO.OOl(7) defines a person who isasex offender treatment provider, not alicensed sex offender treatment provider. See TEX. Oct. CODE ANN.3 llO.OOl(7) (Vernon Supp. 2005). The license required in section 110.301 is the sex offender treatment provider license, not any of the various health care licenses listed in section llO.OOl(7). See id. 5 110.301. Physicians, psychiatrists, psychologists, professional counselors, marriage and family therapists, and social workers do not receive their respective professional licenses “under” chapter 110. See, e.g., id.$5 155.001 (license to practice medicine); 501.25 1(psychologist license); 503.301 (professional counselor license) (Vernon 2004). Chapter 110 requires a person to have both a professional license and a sex offender treatment provider license before the person may render rehabilitation services or provide mental health or medical services for the rehabilitation ofsex offenders. See id.§§ 110.001(7), .301(a) (Vernon Supp. 2005). We note that persons who held aregistration issued under Chapter 110, Occupations Code, on the effective date of the 2005 legislation, September 1, 2005, are to be “considered to hold a license under Chapter 110, Occupations Code, as amended.” Act ofMay 25,2005,79th Leg., R.S., ch. 1089, $3 33, 36, 2005 Tex. Gen. Laws 3579, 3586-87. Thus, if any of the Smith County Juvenile Services professionals ~wereregistered with the Council on September 1, 2005, they are automatically deemed to be licensed sex offender treatment providers. For further guidance concerning the implementation of chapter 110, you should keep apprised of any rules as they are promulgated by the Council.* You suggest that if chapter 110 requires a separate license, itposes practical problems for professional counselors not licensed bythe Council due tothe scope ofterms such as “rehabilitation service” and “sex offender.” Request Letter, supru note 1,at 4-5. A “rehabilitation service” is a “mental health treatment or medical intervention program designed to treat or remedy a sex offender’s mental or medical problem that mayrelateor contributetothe sex offender’s criminal or paraphiliac problem.” TEX.OCC.CODEANN. 3 110.001(5) (Vernon Supp. 2005) (emphasis added). A “sex offender” is not only a person who has been convicted of or received deferred adjudication for a sex crime, but also a person who admits to violating a state or federal law regarding sexual conduct or who “experiences or evidences aparaphiliac disorder as defined by the Revised Diagnostic and Statistical Manual.” Id. § 110.001(6)(A)-(D). Thus, you conjecture that

‘We note that the Council has proposed rules concerning various categories of licenses and licensing requirements. See 31 Tex. Reg. 209,234-64 (proposed Dec. 30,200s) (Council on Sex Offender Treatment).The Honorable D. Matt Bingham - Page 4 (GA-0423)

a professional counselor who is not licensed by the Council and is treating a condition such as substance abuse may have to terminate treatment ifthe patient admits apast sex crime or evidences a paraphiliac disorder. See Request Letter, supra note 1, at 4-5. You also suggest that such a counselor should be granted ameasure ofdiscretion to determine iftreatment for aproblem such as substance abuse should continue. See id.at 5. We agree that the respective definitions of .the terms “rehabilitation service” and “sex offender” are markedly broad, but the “wisdom or expediency of the law is the Legislature’s prerogative,” Smiths. Davis, 426 S.W.2d 827,.831 (Tex. 1968). Under section 110.001(5), aperson must be licensed under chapter 110 to provide mental health treatment or administer a medical intervention program to treatyor remedy a sex offender’s mental or medical problem if it “may relate or contribute to the sex offender’s criminal or paraphiliac problem.” TEX.OCC.CODEANN. 5 1lO.OQl(5) (Vernon Supp. 2005). Whether the patient is a“sex offender” as defined, and whether the treatment orprogram is for aproblem that “may relate or contribute to” the offender’s criminal or paraphiliac problem is amatter for the treating professional’s determination in the first instance. But the professional must exercise the discretion to make that determination within the confines of chapter 110’s express terms and the rules promulgated by the Council. See id.@ 110.001(5), (7), ,401.The Honorable D. Matt Bingham - Page 5 (GA-0423)

SUMMARY Chapter 110 of the Occupations Code requires a person to have one of the professional licenses listed in section 1lO.OOl(7) as well as a sex offender treatment provider license under section 110.301(a) before the person may render rehabilitation services or provide mental health ormedical services forthe rehabilitation ofsex offenders. A person who was registered as a sex offender treatment provider as of September 1, 2005, is considered to hold a license under chapter 110. Whether the patient is a“sex offender” as defined and whether the treatment or program is for a problem that “may relate orcontribute” tothe offender’s criminal orparaphiliac problem is a matter for the treating professional’s determination within the bounds ofchapter 110’s express terms and the rules ofthe Council on Sex Offender Treatment.

’ Attom&&eral of Texas

BARRY R. MCBEE First Assistant Attorney General ELLEN L. WITT Deputy Attorney General for Legal Counsel NANCY S. FULLER Chair, Opinion Committee William A. Hill Assistant Attorney General, Opinion Committee