FMHCA 2021 Legislative Days Delegation Registration The Legislative Days Delegation members will attend brief virtual meetings with legislators during the final week of March in order to promote SB 818 and HB 941, bills that would (a) revise F.S. 916.115 to clarify that 491 board licensees (LMHCs, LMFTs, LCSWs) can be appointed by the courts to conduct forensic evaluations; and (b) remove the requirement that registered interns in private practice settings need to have a licensed mental health professional on the premises when providing clinical services (while clarifying that they must have access to a licensed mental health professional while providing clinical services, thus making an adjustment for a telehealth environment). Click here for a summary of our intentions with the bill. Before these meetings are scheduled, the delegation will meet for a briefing to ensure that each member is adequately prepared for the meetings. It is our intention that delegates will meet with legislators in groups rather than individually. Prior experience with legislative days events is not required, and we will help you prepare for your meeting(s) with legislators. Question Title * 1. Name Question Title * 2. Home Address and Contact Information Home Address Apt., Suite, or Lot # City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 3. Licensure Status/Professional Identity (select ALL that apply) LMHC LMFT LCSW licensed psychologist graduate student counselor educator/researcher/professor registered intern MHC registered intern MFT registered intern CSW other Question Title * 4. Which of the following state or national associations are you a member of (check ALL that apply)? American Association of Marriage and Family Therapists (AAMFT) American Counseling Association (ACA) American Mental Health Counselors Association (AMHCA) American Psychological Association Florida Counseling Association (FCA) Florida Mental Health Counselors Association (FMHCA) NAADAC, the Association for Addictions Professionals National Association of Social Workers (NASW) Other None of the above Question Title * 5. Which of the following regional chapters of FMHCA are you a member of? Broward County Mental Health Counselors Association Emerald Coast Mental Health Counselors Association Gulfcoast Mental Health Counselors Association Mental Health Counselors Association of Central Florida Mental Health Counselors Association of Palm Beach Northeast Florida Mental Health Counselors Association Space Coast Mental Health Counselors Association Suncoast Mental Health Counselors Association The next question will ask you to identify who your elected state senator and state representative are. If you don't already know, who your elected officials are, click here to find out. Please note that the only two names at that link that you will be reporting are the names underneath "State House" and "State Senate." Question Title * 6. Who is your state senator? Albritton, Ben Ausley, Loranne Baxley, Dennis Bean, Aaron Berman, Lori Book, Lauren Boyd, Jim Bracy, Randolph Bradley, Jennifer Brandes, Jeff Brodeur, Jason Broxson, Doug Burgess, Danny Cruz, Janet Diaz, Manny , Jr. Farmer, Gary M. , Jr. Gainer, George B. Garcia, Ileana Gibson, Audrey Gruters, Joe Harrell, Gayle Hooper, Ed Hutson, Travis Jones, Shevrin D. "Shev" Mayfield, Debbie Passidomo, Kathleen Perry, Keith Pizzo, Jason W. B. Polsky, Tina Scott Powell, Bobby Rodrigues, Ray Wesley Rodriguez, Ana Maria Rouson, Darryl Ervin Simpson, Wilton Stargel, Kelli Stewart, Linda Taddeo, Annette Thurston, Perry E. , Jr. Torres, Victor M. , Jr. Wright, Tom A. Question Title * 7. Who is you state representative? Alexander, Ramon Aloupis, Jr., Vance Arthur Altman, Thad Andrade, Robert Alexander Arrington, Kristen Aston Avila, Bryan Barnaby, Webster Bartleman, Robin Bell, Melony M. Beltran, Mike Benjamin, Christopher Borrero, David Botana, Adam Brannan III, Robert Charles Brown, Kamia L. Buchanan, James Burton, Colleen Busatta Cabrera, Demi Bush III, Dr. James Byrd, Cord Caruso, Michael A. Casello, Joseph A. Chambliss, Kevin D. Chaney, Linda Clemons, Sr., Charles Wesley Daley, Dan Davis, Tracie Diamond, Ben DiCeglie, Nick Drake, Brad Driskell, Fentrice DuBose, Bobby B. Duggan, Wyman Duran, Nicholas X. Eskamani, Anna V. Fabricio, Tom Fernandez-Barquin, Juan Alfonso Fetterhoff, Elizabeth Anne Fine, Randy Fischer, Jason Garrison, Sam Geller, Joseph Giallombardo, Mike Goff-Marcil, Joy Gottlieb, Michael Grall, Erin Grant, Michael Gregory, Tommy Grieco, Michael Hage, Brett Thomas Harding, Joe Hardy, Omari Hart, Dianne Hawkins, Fred Hinson, Yvonne Hayes Hunschofsky, Christine Ingoglia, Blaise Jenne, Evan Joseph, Dotie Killebrew, Sam H. Koster, Traci LaMarca, Chip Latvala, Chris Learned, Andrew Leek, Thomas J. Maggard, Randall Scott Many, Thomas Patterson Mariano, Amber Massullo, MD, Ralph E. McClain, Stan McClure, Lawrence McCurdy, Travaris L. McFarland, Fiona Melo, Lauren Mooney, Jr. James Vernon Morales, Daisy Nixon, Angela Omphroy, Anika Tene Overdorf, Tobin Robers Payne, Bobby Perez, Daniel Persons-Mulicka, Jenna Plakon, Scott Plasencia, Rene Rayner, Michele K. Renner, Paul Rizo, Alex Roach, Spencer Robinson, Felicia Simone Robinson, Jr., William Cloud Rodriguez, Anthony Rommel, Bob Roth, Rick Sabatini, Anthony Salzman, Michelle Shoaf, Jason Silvers, David Sirois, Tyler I. Skidmore, Kelly Slosberg, Emily Smith, Carlos Guillermo Smith, David Snyder, John Sprowls, Chris Stevenson, Cyndi Tant, Allison Thompson, Geraldine F. Toledo, Jackie Tomkow, Josie Trabulsy, Dana Truenow, Keith L. Trumbull, Jay Tuck, Kaylee Valdés, Susan L. Willhite, Matt Williams, Patricia H. Williamson, Jayer Woodson, Marie Paule Yarborough, Clay Zika, Ardian Question Title * 8. Why do you want to be a part of the delegation? Question Title * 9. Are you available during the last week of March for 1 or more brief virtual appointments with your senator and/or representative? Yes No Question Title * 10. If so, are you available for a briefing meeting on the 3rd week of March to prepare for such a meeting? Yes No N/A-I'm not available to meet with a legislator. Done