This would be detrimental to our patients. We live in a very rural area and it is very difficult to obtain qualified staff. We currently have approximately 60% of our clients who are on Medicaid. Over 50% of outpatient counseling staff are supervisees. We have caseloads that are extremely high and we need additional staff to meet the needs of those requiring this service. Should this take effect, it will be detrimental to those that are currently receiving services not to mention those who will need services in the future. I cannot imagine the crisis this would cause here on the Shore, let alone around the state. There is a shortage of licensed staff across the country and very few are choosing to enter this field, as it is. We would just be making it even more difficult to obtain licensing, thus discouraging those who are considering counseling careers.