As a licensed clinician myself, I am in favor of reform regarding the licensure process. Virginia is currently facing various challenges with access to mental health services. Individuals disproportionately impacted by the opioid crisis in underserved communities, particularly in rural areas,  are already struggling to receive the proper treatment necessary. As psychologists, we are aware of the empirical support for mental health treatment in addressing these issues, and we are not bringing forth any meaningful progress if there are systemic barriers such as the EPPP to hinder our resources. 

Not only does the exam carry a significant financial burden, we already understand that individuals of certain demographics,  including those who learned English as a second language, are more likely to be unsuccessful in passing on their first attempt. This is clearly unfair - and not only does it penalize them for being bilingual, but it prevents them from being able to serve individuals we have in Virginia who may benefit from treatment in a language other than English. 

It is my hope that the passing score is lowered to 400-450 to address the systemic inequities that have only served as a profit for the developer of the exam. 

Thank you