Virginia Regulatory Town Hall
Agency
Department of Health Professions
 
Board
Board of Counseling
 
chapter
Regulations Governing the Practice of Professional Counseling [18 VAC 115 ‑ 20]
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8/5/24  12:13 am
Commenter: Anonymous

Yes!
 

This change is crucial for the economic viability of residents in counseling and for fostering a more equitable entry into the profession.

Currently, residents are often caught in a difficult financial situation. They are required to undergo extensive training and supervision, which is essential for ensuring quality care. However, the inability to directly bill clients creates a financial bottleneck that can discourage talented individuals from continuing in the profession. Many residents face low wages and struggle to meet their basic living expenses, let alone pay for the supervision required to advance in their careers.

By allowing residents to bill clients directly, we are acknowledging their role as professionals who are capable of managing their own practices under supervision. This change does not reduce the amount or quality of supervision required; instead, it allows residents to focus on providing excellent care without the additional stress of financial uncertainty.

This amendment would also bring Virginia in line with other states that have modernized their regulations to reflect the realities of today’s healthcare environment. In a world where digital payments are standard and the administrative burden on professionals is increasing, streamlining the billing process is not just a convenience—it's a necessity. This change would simplify the payment process for clients, reduce administrative burdens on supervisors, and make it more feasible for residents to establish their own practices.

Moreover, the current regulations may inadvertently penalize those who choose to work in private practice settings under supervision, as opposed to exempt settings where billing and payment practices are less restricted. This creates an uneven playing field that limits opportunities for many qualified professionals.

In summary, allowing residents to bill clients directly is a common-sense change that supports the financial and professional growth of new counselors while maintaining the necessary safeguards of supervision. It’s a step towards a more sustainable and equitable path into the counseling profession.

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