WEBVTT
00:00:07.508 --> 00:00:09.109
OKAY.
00:00:09.176 --> 00:00:11.378
ALRIGHT.
00:00:11.445 --> 00:00:12.679
OKAY SO YOU CAN KEEP YOUR
00:00:12.746 --> 00:00:15.849
REMARKS TO. THREE MINUTES TOTAL
00:00:15.916 --> 00:00:17.684
THAT APPRECIATED WE OFF ABSENT
00:00:17.751 --> 00:00:18.285
WE ASK QUESTIONS YOU HAVE MORE
00:00:18.352 --> 00:00:19.219
TIME TO TALK.
00:00:19.286 --> 00:00:21.889
OKAY MICKEY.
00:00:21.955 --> 00:00:23.891
GOOD AFTERNOON MISTER CHAIRMAN
00:00:23.957 --> 00:00:24.858
MEMBERS MERELY THOUGHT THAT'S
00:00:24.925 --> 00:00:26.460
WHAT HEALTHAXIS CALIFORNIA AND
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WE ARE PROUD CO SPONSORS OF
00:00:28.862 --> 00:00:30.097
HEALTH FOR ALL WHICH WILL BE IN
00:00:30.163 --> 00:00:32.132
CALIFORNIA ONE STEP CLOSER. TO
00:00:32.199 --> 00:00:33.967
UNIVERSAL COVERAGE OUTSIDE
00:00:34.034 --> 00:00:35.702
STUDIES SHOW THAT THE UNINSURED
00:00:35.769 --> 00:00:37.237
ARE LESS LIKELY TO GET
00:00:37.304 --> 00:00:39.439
PREVENTIVE CARE FOR.
00:00:39.506 --> 00:00:41.642
AND CHRONIC DISEASES PROVIDING
00:00:41.708 --> 00:00:43.110
COMPREHENSIVE COVERAGE TO
00:00:43.176 --> 00:00:43.977
CALIFORNIANS REGARDLESS OF
00:00:44.044 --> 00:00:44.278
IMMIGRATION
00:00:44.344 --> 00:00:45.846
THAT IS
00:00:45.913 --> 00:00:47.180
MEANS THAT PRIMARY AND
00:00:47.247 --> 00:00:49.483
PREVENTIVE CARE. AS WELL AS THE
00:00:49.550 --> 00:00:51.385
MANAGEMENT OF CHRONIC CONDITIONS
00:00:51.451 --> 00:00:53.387
LIKE ASTHMA DIABETES HEART
00:00:53.453 --> 00:00:54.721
DISEASE HIGH BLOOD PRESSURE
00:00:54.788 --> 00:00:56.823
MANAGEMENT WILL NOW BE COVERED
00:00:56.890 --> 00:00:58.492
FOR A POPULATION THAT HAS
00:00:58.559 --> 00:01:00.093
HISTORICALLY BEEN SHUT OUT. OF
00:01:00.160 --> 00:01:01.628
COMPREHENSIVE COMPREHENSIVE
00:01:01.695 --> 00:01:03.497
HEALTH COVERAGE IMMIGRANTS ARE A
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CRUCIAL PART OF CALIFORNIA
00:01:05.132 --> 00:01:07.167
SOCIAL AND ECONOMIC FABRIC
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ENSURING THAT ALL CALIFORNIANS
00:01:08.769 --> 00:01:09.870
CAN COUNT ON HAVING
00:01:09.937 --> 00:01:12.339
COMPREHENSIVE CARE. IS VIABLE IS
00:01:12.406 --> 00:01:14.174
VITAL TO THE SUSTAINABILITY OF
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OUR HEALTH SYSTEM AND THE WELL
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BEING OF OUR STATE AS A WHOLE
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THANK YOU.
00:01:18.912 --> 00:01:20.180
GOOD AFTERNOON CHAIR MEMBERS SAT
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SENATE BUDGET SUB COMMITTEE. I
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THANK YOU FOR THE OPPORTUNITY TO
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PRESENT ON THE HEALTH FOR A
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PROPOSAL. AYE MY NAME IS CHRIS
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GAGLIANO FROM THE CALIFORNIA
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IMMIGRANT POLICY CENTER. BY AND
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I'M HERE JOINED BY MARIA AND
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IMMIGRANT MOTHER WHOSE LIFE. IS
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GREATLY IMPACTED BY THE CURRENT
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EXCLUSIONS TO HIGH MEDICAID TO
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HEALTH CARE.
00:01:38.565 --> 00:01:39.533
I THOUGHT CALIFORNIA SHOWN GREAT
00:01:39.600 --> 00:01:40.968
I'LL CRITICAL LEADERSHIP IN
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ADVANCING BOLD PRO IMMIGRANT I
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POLICIES INCLUDING HEALTH FOR
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ALL KIDS.
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AND THAT REMOVE EXCLUSIONS THE
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FULL SCOPE MEDI CAL FOR ALL
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UNDOCUMENTED CHILDREN.
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HOWEVER TODAY UNDOCUMENTED
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PARENTS AND ADULTS.
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CONTINUE TO FACE CREW EXCLUSIONS
00:01:55.916 --> 00:01:57.317
TO HEALTH CARE BECAUSE OF THEIR
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IMMIGRATION STATUS THIS IMPACTS
00:01:59.219 --> 00:02:00.320
THE WELL BEING OF ENTIRE
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FAMILIES AND COMMUNITIES.
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IT'S OUR STATE.
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ONE IN SIX CHILDREN ARE IN
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CALIFORNIA HAS AN UNDOCUMENTED
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PARENTS. AND UNDOCUMENTED ADULTS
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MAKE UP FIFTY EIGHT PERCENT OF
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THE THREE MILLION REMAINING
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UNINSURED CALIFORNIANS.
00:02:15.502 --> 00:02:16.837
EFFORTS TO ACHIEVE UNIVERSAL
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COVERAGE IN CALIFORNIA MUST
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INCLUDE IMMIGRANT COMMUNITIES TO
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TAKE CARE OF THEIR FAMILIES
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CONTRIBUTE TO THEIR COMMUNITIES.
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AND WHO CALL CALIFORNIA HOME.
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THIS IS WHY WE NEED HELP FROM
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NOW.
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I PROPOSAL WHICH WOULD WHICH
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WOULD PROVIDE FULL SCOPE
00:02:30.751 --> 00:02:32.252
MEDICARE TO LOW INCOME
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UNDOCUMENTED ADULTS BY REMOVING
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IMMIGRATION STATUS AS AN
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ELIGIBILITY EXCLUSION.
00:02:37.090 --> 00:02:38.392
WHAT HEALTH FOR ALL WILL HELP
00:02:38.458 --> 00:02:41.795
FAMILIES LIKE MARIA'S?
00:02:41.862 --> 00:02:43.230
AND CALIFORNIA COMMUNITIES
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THRIVE THIS POWERFUL STEP CAN BE
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ACCOMPLISHED THIS YEAR AND WILL
00:02:46.833 --> 00:02:48.268
MOVE CALIFORNIA FORWARD AND SET
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A MODEL FOR THE REST OF THE
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NATION.
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NOW I'D LIKE TO INTRODUCE MARIA
00:02:52.739 --> 00:02:54.241
A SINGLE MOTHER OF THREE WHO
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WOULD BENEFIT FROM HEALTH FOR
00:02:54.908 --> 00:02:57.878
ALL.
00:02:57.944 --> 00:03:01.248
THE NUMBERS MEDINA MENDOZA NAOKO
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DEPORTING THEM.
00:03:04.418 --> 00:03:07.387
SO ONE ON THIRTY OTHER A LO FI
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SEEN THEM GROW RICE CENTER SO
00:03:10.891 --> 00:03:12.225
MOTHER SO THEY DON'T THINK OTHER
00:03:12.292 --> 00:03:15.328
SEQUELS YOU IMPLY THAT IT DOES
00:03:15.395 --> 00:03:18.899
SAY THAT GIVES THEM FAIR MOST SO
00:03:18.965 --> 00:03:22.602
YANKEE PARA COMPARTIR.
00:03:22.669 --> 00:03:26.540
MISSPELLINGS HERE COMMON METHOD
00:03:26.606 --> 00:03:36.883
THAT'LL AYE ME EMMY FOR MEDIA
00:03:36.950 --> 00:03:37.484
AND NOTHING THAT ALSO WOULD A
00:03:37.551 --> 00:03:38.752
MEDICAL.
00:03:38.819 --> 00:03:40.153
MY NAME IS MARIA COME FROM SAN
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DIEGO I'M A VOLUNTEER WITH THE
00:03:41.755 --> 00:03:42.255
EMPLOYEE RIGHTS CENTER I'M A
00:03:42.322 --> 00:03:43.290
SINGLE MOTHER.
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THREE CHILDREN AND I TAKE CARE
THEN YOU KNOW THAT.
00:03:55.635 --> 00:03:59.806
THEN THE M. WE ARE THEM SO
00:03:59.873 --> 00:04:03.810
PUTTING IMMEDIATE AYE YES GANDHI
00:04:03.877 --> 00:04:09.082
NAM INTERRUPTUS YES I MEANT THAT
00:04:09.149 --> 00:04:17.691
ONLY DANIEL GONZALEZ A
CHRONICLE.
00:04:17.757 --> 00:04:21.862
NOBODY ANY THERE ARE HARD BOILED
00:04:21.928 --> 00:04:24.164
US BUT GIMMICK WHAT PANETTA
00:04:24.231 --> 00:04:29.803
SPOLIA ID AS A RESULT OF A LOT
00:04:29.870 --> 00:04:30.737
STRESS TO
00:04:30.804 --> 00:04:31.338
THE WORRY OF NOT HAVING HEALTH
00:04:31.404 --> 00:04:37.444
AND.
00:04:37.511 --> 00:04:40.814
NOBODY COULD GET ANY ACT GAITA
00:04:40.881 --> 00:04:43.216
ETERNAL SPEAK THEM DIMINISH
00:04:43.283 --> 00:04:47.320
HYMNS YES THE NECKLACE BUT I'D
00:04:47.387 --> 00:04:52.592
ASK FEDERAL DE MOMENT W. SO IT
00:04:52.659 --> 00:04:55.295
IS ABOUT STAND THEY THEY MUST
00:04:55.362 --> 00:04:59.766
FUNDING. GIVE MISUMI PROMISES IN
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THE POLICY ON OUR VIA THE
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ESCAMILLA BY SILENCE AND LET ME
00:05:10.744 --> 00:05:14.648
GAS WATER CUP BUZZING WITH ENEMY
00:05:14.714 --> 00:05:20.587
HAVE PICKING BECAUSE THAT ALSO
DOES.
00:05:20.654 --> 00:05:21.688
I HAD WAS TO GO TO THE EMERGENCY
00:05:21.755 --> 00:05:23.089
HOSPITAL I HAD TO WAIT UNTIL
00:05:23.156 --> 00:05:25.358
LAST MOMENT AND THAT WAS
00:05:25.425 --> 00:05:26.693
EXHAUSTING AND DEVASTATING THAT
00:05:26.760 --> 00:05:28.995
I SANK FOR MONTHS IN DEPRESSION.
00:05:29.062 --> 00:05:30.297
THERE WERE DAYS WHERE I SPENT.
00:05:30.363 --> 00:05:32.566
LOCKED IN MY HOUSE I WAS NOT
00:05:32.632 --> 00:05:33.133
ABLE TO TAKE CARE MY LITTLE
00:05:33.200 --> 00:05:34.601
DAUGHTER.
00:05:34.668 --> 00:05:36.369
AND BECAUSE I WAS NOT IN GOOD
00:05:36.436 --> 00:05:37.671
HEALTH IT'S BECAUSE OF THIS
00:05:37.737 --> 00:05:41.107
EXPERIENCE THAT I'VE OP FOUND
00:05:41.174 --> 00:05:42.242
THE IN PLAY RIGHT CENTER OF
00:05:42.309 --> 00:05:44.511
OFFICE INSERTED VOLUNTEERING.
00:05:44.578 --> 00:05:46.713
WITH MUCH EFFORT A DESIRE TO GET
00:05:46.780 --> 00:05:48.148
AHEAD I SUPPORT THE HEALTH FRAUD
00:05:48.215 --> 00:05:49.115
CAMPAIGN SO THAT UNDOCUMENTED
00:05:49.182 --> 00:05:50.483
PEOPLE HAVE HEALTH INSURANCE. IN
00:05:50.550 --> 00:05:51.985
MANY CASES WE ARE HEADS OF
00:05:52.052 --> 00:05:54.921
HOUSEHOLDS AND OUR CHILDREN
00:05:54.988 --> 00:05:57.791
FAMILIES DEPEND ON US.
00:05:57.858 --> 00:05:59.893
AND SO WERE RIPPED QUITE A BIT
00:05:59.960 --> 00:06:05.498
OVER TIME SO BEGIN SORRY BUT.
00:06:05.565 --> 00:06:09.202
AT C. HOOKERS ANOTHER SCORCHER
00:06:09.269 --> 00:06:13.573
HE'S ANNOUNCED AMENDING CUENTA
00:06:13.640 --> 00:06:16.343
ALSO CLOSE ALMOST LATEST WOMAN
00:06:16.409 --> 00:06:22.282
MUST PROMOTE QUITE GIVE US YOUR
00:06:22.349 --> 00:06:26.453
ANALYST ALSO NEEDLES.
00:06:26.519 --> 00:06:29.055
EVEN THE MOST LITIGIOUS BUT HE
00:06:29.122 --> 00:06:30.590
WON INTO THAT USCIS.
00:06:30.657 --> 00:06:31.458
I ASK THAT WE BE HEARD AND TAKEN
00:06:31.524 --> 00:06:32.993
INTO ACCOUNT WE ARE HUMAN BEINGS
00:06:33.059 --> 00:06:34.494
LIKE ANY OTHER US CITIZENS AND
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WE DESERVE EQUAL RIGHTS THANK
00:06:35.161 --> 00:06:35.795
YOU.
00:06:35.862 --> 00:06:36.229
THANK YOU AND THANKS SO MUCH FOR
00:06:36.296 --> 00:06:38.031
YOUR TESTIMONY.
00:06:38.098 --> 00:06:44.738
ALRIGHT.
00:06:44.804 --> 00:06:46.573
OKAY US OUR MONEY.
00:06:46.640 --> 00:06:47.240
I JUST WANT TO THANK THE
00:06:47.307 --> 00:06:49.709
WITNESSES FOR THEIR TESTIMONY.
00:06:49.776 --> 00:06:53.847
CARESSES PURSUE PERCENT SIERRA
00:06:53.913 --> 00:06:58.318
NO SATAN WITH JOE COLUMN
00:06:58.385 --> 00:07:00.186
SUPPRESSANTS CEILING.
00:07:00.253 --> 00:07:01.388
SALUDOS A SUPER MIHNEA.
00:07:01.454 --> 00:07:02.856
THE BIG CHALLENGE FOR US
00:07:02.923 --> 00:07:05.258
IS. GOING TO BE OUT WE PAY FOR.
00:07:05.325 --> 00:07:06.026
BUT THE HUMAN RIGHT OF ACCESS TO
00:07:06.092 --> 00:07:07.127
HEALTHCARE FOR ALL.
00:07:07.193 --> 00:07:09.396
DO ANY OF YOU OR LA NO. OUR
00:07:09.462 --> 00:07:11.431
FINANCE DEPARTMENT.
00:07:11.498 --> 00:07:13.400
HAVE AN ESTIMATE OF.
00:07:13.466 --> 00:07:15.335
THE DIFFERENCE BETWEEN INVESTING
00:07:15.402 --> 00:07:16.670
IN HEALTH CARE THAT INCLUDES
00:07:16.736 --> 00:07:17.570
PREVENTION.
00:07:17.637 --> 00:07:19.873
PURSES.
00:07:19.940 --> 00:07:21.741
THE COST THAT WE PAIN NOW FOR
00:07:21.808 --> 00:07:23.243
EMERGENCY ROOM TREATMENT OF
00:07:23.310 --> 00:07:24.611
CHRONIC.
00:07:24.678 --> 00:07:26.246
DISEASES THAT COULD BE
PREVENTED.
00:07:26.313 --> 00:07:27.714
.
00:07:27.781 --> 00:07:29.215
IF THERE WERE AN INVESTMENT.
00:07:29.282 --> 00:07:34.921
OF PREVENTION.
00:07:34.988 --> 00:07:36.423
YEAH OF ALL THAT HEALTH ACCESS I
00:07:36.489 --> 00:07:37.924
MEAN YOU KNOW I AS YOU ALL KNOW
00:07:37.991 --> 00:07:40.293
WHEN AN UNDOCUMENTED PERSON IS
00:07:40.360 --> 00:07:42.329
RELEGATED TO EMERGENCY CARE.
00:07:42.395 --> 00:07:44.264
IT'S AYE MORE EXPENSIVE TO THE
00:07:44.331 --> 00:07:45.298
STATE AND.
00:07:45.365 --> 00:07:48.001
WHEN YOU INCLUDE IMMIGRANTS AND
00:07:48.068 --> 00:07:49.636
HEALTH COVERAGE THAT ACCESS TO
00:07:49.703 --> 00:07:51.604
PREVENTIVE. AYE CARE AND THE
00:07:51.671 --> 00:07:52.939
ONGOING MANAGEMENT OF CHRONIC
00:07:53.006 --> 00:07:55.709
CONDITIONS LIKE OUR WITNESS WHO
00:07:55.775 --> 00:07:57.210
I AM AS YOU HEARD FROM HER
00:07:57.277 --> 00:07:58.378
TESTIMONY.
00:07:58.445 --> 00:08:01.014
IT SHE VERY QUICKLY DETERIORATE
00:08:01.081 --> 00:08:04.084
DETERIORATED WITHOUT THE ACCESS
00:08:04.150 --> 00:08:06.720
ON TO YOU KNOW. COMPREHENSIVE
00:08:06.786 --> 00:08:09.155
FULL SCOPE MEDICAID JUST LIKE I
00:08:09.222 --> 00:08:11.725
AM OTHERS WHO WOULD BE ELIGIBLE
00:08:11.791 --> 00:08:12.792
AYE BUT FOR THEIR IMMIGRATION
00:08:12.859 --> 00:08:13.993
STATUS.
00:08:14.060 --> 00:08:15.362
AND YOU KNOW WE AGREE WITH THE
00:08:15.428 --> 00:08:18.098
STAFF ESTIMATE ON THE COST OF OF
00:08:18.164 --> 00:08:20.100
THIS PROPOSAL AND THINK IT'S
00:08:20.166 --> 00:08:20.734
REASONABLE AND.
00:08:20.800 --> 00:08:22.669
YOU KNOW WE CONTINUE TO LOOK
00:08:22.736 --> 00:08:24.337
FORWARD TO WORKING WITH THE
00:08:24.404 --> 00:08:25.271
COMMITTEE.
00:08:25.338 --> 00:08:29.409
AT ON COST AND WHAT WILL WE DO
00:08:29.476 --> 00:08:31.678
KNOW IS THAT IT'S TIME WE CAN'T
00:08:31.745 --> 00:08:33.413
CONTINUE TO RELEGATE ARE
00:08:33.480 --> 00:08:34.981
UNDOCUMENTED TO EMERGENCY ROOM
00:08:35.048 --> 00:08:38.151
CARE WHICH IS THE MOST EXPENSIVE
00:08:38.218 --> 00:08:38.651
TYPE OF CARE.
00:08:38.718 --> 00:08:39.886
YES I THINK.
00:08:39.953 --> 00:08:40.820
IN FOLLOW UP AS WE MOVE FORWARD.
00:08:40.887 --> 00:08:42.088
THERE'S THE METRIC OF INCREASED
00:08:42.155 --> 00:08:44.324
HEALTH CARE COSTS WHEN WE DON'T
00:08:44.391 --> 00:08:45.792
TREAT OR PROVIDE ACCESS AT THE
00:08:45.859 --> 00:08:47.193
FRONT END.
00:08:47.260 --> 00:08:48.728
THERE'S ALSO AN ECONOMIC IMPACT
00:08:48.795 --> 00:08:51.231
TO THE WORKFORCE.
00:08:51.297 --> 00:08:53.299
INTO THE ECONOMY THE STATE A.
00:08:53.366 --> 00:08:55.635
LOST DAYS OF WORK THE DEPENDENCE
00:08:55.702 --> 00:08:58.271
OF THIS UNCOVERED POPULATION IT
00:08:58.338 --> 00:08:59.839
BE HELPFUL TO US I THINK TO HAVE
00:08:59.906 --> 00:09:01.374
SOME ESTIMATES OF THEIR
00:09:01.441 --> 00:09:03.810
CONTRIBUTIONS TO THE OVERALL
00:09:03.877 --> 00:09:05.812
ECONOMY. OF THE STATE.
00:09:05.879 --> 00:09:06.913
COURSE WE WE HAVE THAT DATA AND
00:09:06.980 --> 00:09:08.181
WITH THE BE MORE THAN HAPPY TO
00:09:08.248 --> 00:09:09.649
SHARE THAT WITH YOU AND WHAT WE
00:09:09.716 --> 00:09:11.418
KNOW IS THAT UNDOCUMENTED UP
00:09:11.484 --> 00:09:13.386
CALIFORNIANS CONTRIBUTED HOME.
00:09:13.453 --> 00:09:14.654
LAST ESTIMATES OVER A HUNDRED
00:09:14.721 --> 00:09:16.756
AND EIGHTY BILLION DOLLARS ON TO
00:09:16.823 --> 00:09:19.259
THE ECONOMY. ARMS SO AS UNIONS
00:09:19.325 --> 00:09:22.262
VERY ROBUST AND VERY. MUCH INTO
00:09:22.328 --> 00:09:22.829
THE SOCIO.
00:09:22.896 --> 00:09:24.030
FABRIC OF THE STATE AND
00:09:24.097 --> 00:09:25.865
S. DO THAT WE CAN TO PAY.
00:09:25.932 --> 00:09:27.634
ON THAT GIVEN THE FEDERAL ATTACK
00:09:27.700 --> 00:09:28.802
THAT WHERE I'M SEEING OUR
00:09:28.868 --> 00:09:30.470
COMMUNITIES TODAY.
00:09:30.537 --> 00:09:31.571
SO THERE'S THE CONTRIBUTION TO
00:09:31.638 --> 00:09:33.440
THE ECONOMY HE COULD ALSO
00:09:33.506 --> 00:09:34.741
PROVIDE ANY ESTIMATES IN FOLLOW
00:09:34.808 --> 00:09:35.975
UP.
00:09:36.042 --> 00:09:38.311
UNDOCUMENTED WORKFORCE AND
00:09:38.378 --> 00:09:40.780
DIRECT TAXATION THROUGH.
00:09:40.847 --> 00:09:42.949
PAYROLL TAXES.
00:09:43.016 --> 00:09:46.086
PROPERTY TAXES YEAH. THERE'S
00:09:46.152 --> 00:09:49.055
THERE'S A LEVEL OF TAX REVENUE
00:09:49.122 --> 00:09:51.357
COMING TO THE STATE.
00:09:51.424 --> 00:09:53.226
THAT IS NOT BEEN RETURNED TO THE
00:09:53.293 --> 00:09:55.562
COMMUNITY THAT SPINNING.
00:09:55.628 --> 00:09:56.296
AND AND SO WE DO KNOW THAT
00:09:56.362 --> 00:09:57.430
THERE'S AN ANALYSIS.
00:09:57.497 --> 00:09:59.732
THAT I'D MORE THAN HAPPY TO
00:09:59.799 --> 00:10:00.867
SHARE WITH YOU ALL THAT TIME
00:10:00.934 --> 00:10:02.368
SHOWS THAT THE STATE AND LOCAL
00:10:02.435 --> 00:10:03.603
TAX CONTRIBUTIONS OF
00:10:03.670 --> 00:10:05.105
UNDOCUMENTED CALIFORNIANS ARM
00:10:05.171 --> 00:10:06.806
AND I. DON'T WANT TO QUOTE A
00:10:06.873 --> 00:10:08.341
WRONG NUMBER SO I WILL GIVE IT
00:10:08.408 --> 00:10:09.109
TO BUT IT'S WERE TALKING IN THE
00:10:09.175 --> 00:10:11.678
BILLIONS IT AND I THINK AS WE
00:10:11.744 --> 00:10:12.412
MOVE FORWARD.
00:10:12.479 --> 00:10:13.980
HAVING SOME OF THAT JUST ANA.
00:10:14.047 --> 00:10:16.015
SOME BULLET POINTS ON A INGLE
00:10:16.082 --> 00:10:17.617
SHEET THAT COULD INFORM ALL
00:10:17.684 --> 00:10:19.252
MEMBERS THE LEGISLATURE
00:10:19.319 --> 00:10:21.020
SO THAT WE'RE NOT LOOKING THIS
00:10:21.087 --> 00:10:24.390
IS KIND OF A ZERO SUM. GAME
JUST.%
00:10:24.457 --> 00:10:26.392
A COST TO THE STATE LET'S ALSO
00:10:26.459 --> 00:10:28.094
LOOK AT WHAT'S.
00:10:28.161 --> 00:10:31.164
WHAT'S BEING PAID IN TAXES.
00:10:31.231 --> 00:10:33.600
WHERE THOSE PAYING THE TAXES
00:10:33.666 --> 00:10:35.034
AREN'T ELIGIBLE? FOR THE
00:10:35.101 --> 00:10:36.970
SERVICES THAT OTHER TAXPAYERS
00:10:37.036 --> 00:10:39.038
ARE RECEIVING.
00:10:39.105 --> 00:10:40.173
I THINK THAT DEFINITELY WILL
00:10:40.240 --> 00:10:41.774
WORK ON HAVING THAT PREPARED
00:10:41.841 --> 00:10:43.343
AMINA ONE TENTH OF THE WORKFORCE
00:10:43.409 --> 00:10:44.711
IS UNDOCUMENTED.
00:10:44.777 --> 00:10:46.446
ONE AB ONE OUT OF EVERY SIX
00:10:46.513 --> 00:10:47.547
CHILD IN THE STATE HAS AN
00:10:47.614 --> 00:10:49.883
UNDOCUMENTED PARENTS SO HOME
00:10:49.949 --> 00:10:50.884
WILL DEFINITELY HAVE THAT DATA
00:10:50.950 --> 00:10:52.118
READILY AVAILABLE FEEL IS THE
00:10:52.185 --> 00:10:54.521
WITNESS TESTIFIED MANY ARE ALSO
00:10:54.587 --> 00:10:56.022
CARE PROVIDERS.
00:10:56.089 --> 00:10:57.157
WITHIN THEIR HOMES OR WITHIN
00:10:57.223 --> 00:10:58.691
THEIR COMMUNITIES.
00:10:58.758 --> 00:11:01.327
AND SO AGAIN THERE PROVIDING
00:11:01.394 --> 00:11:04.197
CARE TO SOMETIMES PEOPLE THAT.
00:11:04.264 --> 00:11:05.498
DO YOU HAVE SOME MEDICAL
00:11:05.565 --> 00:11:07.066
COVERAGE.
00:11:07.133 --> 00:11:09.402
BUT THEY AS CARE PROVIDERS DON'T
00:11:09.469 --> 00:11:11.204
FOR THEMSELVES OR THEIR FAMILY
00:11:11.271 --> 00:11:13.907
CYPRESS SHE. YOUR CONTINUED HELP
00:11:13.973 --> 00:11:15.608
GETTING THAT TO US THANK YOU
00:11:15.675 --> 00:11:17.877
MISTER CHAIR.
00:11:17.944 --> 00:11:20.547
HE. THE OTHER ALRIGHT BOISE
00:11:20.613 --> 00:11:21.748
WEAVER. MANY PEOPLE.
00:11:21.814 --> 00:11:24.250
PROCUMBENT SO AGAIN.
00:11:24.317 --> 00:11:26.319
TRY TO KEEP IT UNDER MEDI IF
00:11:26.386 --> 00:11:27.620
SOMEONE'S ALREADY SAID SOMETHING
00:11:27.687 --> 00:11:29.889
OF ME TOO WORKS AS WELL.
00:11:29.956 --> 00:11:31.024
.
00:11:31.090 --> 00:11:31.858
ARE ADDED TO.
00:11:31.925 --> 00:11:33.726
SO AGAIN WELCOME.
00:11:33.793 --> 00:11:35.395
LINDA WAY WITH WESTERN CENTER ON
00:11:35.461 --> 00:11:36.729
LAW AND POVERTY WERE IN STRONG
00:11:36.796 --> 00:11:38.398
SUPPORT OF THIS MEASURE AS WE
00:11:38.464 --> 00:11:39.032
BELIEVE IT'S THE RIGHT THING TO
00:11:39.098 --> 00:11:39.365
DO.
00:11:39.432 --> 00:11:41.634
THANK YOU.
00:11:41.701 --> 00:11:42.735
THANK YOU WELCOME THANK YOU
00:11:42.802 --> 00:11:44.037
MISTER RESEARCHER MEMBERS MAY
00:11:44.103 --> 00:11:45.004
CONSUMERS ON BEHALF OF
00:11:45.071 --> 00:11:46.539
CALIFORNIA HEALTH PLUS ADVOCATES
00:11:46.606 --> 00:11:47.840
IN THE THIRTEEN HUNDRED
00:11:47.907 --> 00:11:49.475
COMMUNITY HEALTH CENTERS AND
00:11:49.542 --> 00:11:51.444
CLINICS IN CALIFORNIA. DITTO.
00:11:51.511 --> 00:11:53.212
THANK YOU WELCOME. THANK YOU
00:11:53.279 --> 00:11:54.147
MISTER CHAIRMAN MEMBERS MARK
00:11:54.214 --> 00:11:55.815
WINDOWS WITH THAT'S HERE YOU
00:11:55.882 --> 00:11:56.583
CALIFORNIANS SUPPORT.
00:11:56.649 --> 00:11:58.551
THANK YOU WELCOME.
00:11:58.618 --> 00:11:59.953
THANK YOU KAREN SAVAGE I
00:12:00.019 --> 00:12:01.287
CALIFORNIA PAN ETHNIC HEALTH
00:12:01.354 --> 00:12:02.288
NETWORK WERE IN STRONG SUPPORT
00:12:02.355 --> 00:12:03.890
OF THIS PROPOSAL AND REALLY WHAT
00:12:03.957 --> 00:12:05.058
I THINK MARIA FOR HER TESTIMONY.
00:12:05.124 --> 00:12:06.759
THANK YOU WELCOME.
00:12:06.826 --> 00:12:07.860
ANY THIRDS ASIA CALIFORNIA AND
00:12:07.927 --> 00:12:09.329
SUPPORT.
00:12:09.395 --> 00:12:11.264
THANK YOU WELCOME.
00:12:11.331 --> 00:12:12.165
NATASHA PHILLIPS CALIFORNIA
00:12:12.231 --> 00:12:13.533
COVERAGE AND HEALTH INITIATIVES
00:12:13.600 --> 00:12:14.033
IN STRONG SUPPORT OF THE
00:12:14.100 --> 00:12:15.768
PROPOSAL.
00:12:15.835 --> 00:12:17.604
THANK YOU WELCOME. I'LL HANDLED
00:12:17.670 --> 00:12:18.938
AND REPRESENTING NEXT IN
00:12:19.005 --> 00:12:20.707
CALIFORNIA I'M VERY MUCH
SUPPORT.
00:12:20.773 --> 00:12:22.875
THANK YOU WELCOME.
00:12:22.942 --> 00:12:24.744
MY NAME IS ALICE. MY NAME IS
00:12:24.811 --> 00:12:26.446
ALLISON CAMINO AND I'M AND A
00:12:26.512 --> 00:12:27.880
CONSTITUENT AND FROM DISTRICT
00:12:27.947 --> 00:12:28.948
SIX IN AN IMMIGRANT RIGHTS
00:12:29.015 --> 00:12:30.783
ADVOCATES ON MY BOYS WITH MIKEY
00:12:30.850 --> 00:12:32.685
IN SUPPORT OF THIS OUR HEALTH
00:12:32.752 --> 00:12:34.020
FOR ALL MEDI CAL ACCESSIBILITY
00:12:34.087 --> 00:12:36.022
FOR AN ARC MIDDLE. NONPROFIT
00:12:36.089 --> 00:12:36.856
ORGANIZATIONS WITHIN THE
00:12:36.923 --> 00:12:37.724
DISTRICTS SUCH AS SACRAMENTO
00:12:37.790 --> 00:12:39.559
COVERED IN LA FAMILIA HAVE BEEN
00:12:39.626 --> 00:12:40.994
ABLE TO ASSIST HUNDREDS OF
00:12:41.060 --> 00:12:42.729
UNDOCUMENTED ADULTS WITHIN OUR
00:12:42.795 --> 00:12:43.963
DISTRICT IN FAMILIES WITH
00:12:44.030 --> 00:12:45.064
LIMITED MEANS THROUGH SMALL
00:12:45.131 --> 00:12:46.232
CONTRACTS AND THE HEALTHY
00:12:46.299 --> 00:12:47.800
PARTNERS PROGRAM. THROUGH THIS
00:12:47.867 --> 00:12:49.102
SEGMENT COUNTY HOWEVER THE
00:12:49.168 --> 00:12:50.637
NEATEST DOG GREATER THAN THE
00:12:50.703 --> 00:12:52.572
AXIS A PIE AND I WAS MADE AWARE
00:12:52.639 --> 00:12:54.374
BY REPRESENTATIVE THAT ONE OF
00:12:54.440 --> 00:12:55.708
THE CUT THE CONTRACTS IS NOT
00:12:55.775 --> 00:12:57.043
BEING RENEWED AND SO WHAT
00:12:57.110 --> 00:12:59.279
HAPPENS WHEN. OF THE RESOURCES
00:12:59.345 --> 00:13:00.246
ARE LOW AND THE TEMPORARY
00:13:00.313 --> 00:13:02.315
SOLUTIONS AND EXPANDING MEDI CAL
00:13:02.382 --> 00:13:03.549
WOULD HELP ADULTS ESPECIALLY
00:13:03.616 --> 00:13:05.518
DURING THIS FEARFUL TIME ONE
00:13:05.585 --> 00:13:06.953
CLIMB FROM THE LEFT AMELIA HAD.
00:13:07.020 --> 00:13:09.288
MENTIONED TO ME THAT MADE AWARE
00:13:09.355 --> 00:13:09.956
TO ME THAT.
00:13:10.023 --> 00:13:11.457
HE HAD A CONDITION WITH A LUMP
00:13:11.524 --> 00:13:13.059
ON HIS NECK WHICH COULD NOT BE
00:13:13.126 --> 00:13:14.427
DIAGNOSED BECAUSE OF THE LACK OF
00:13:14.494 --> 00:13:15.862
INSURANCE AND NOW HE'S BEEN LET
00:13:15.928 --> 00:13:17.730
GO OF ITS JOB SINCE THEN AND CAN
00:13:17.797 --> 00:13:19.699
PROVIDE FOR HIS FAMILY BECAUSE
00:13:19.766 --> 00:13:21.934
OF THE CONDITION IN THE
00:13:22.001 --> 00:13:22.935
VIABILITY OF. ON THE JOB.
00:13:23.002 --> 00:13:23.803
SEEING IS SECURING ACCESS PER A
00:13:23.870 --> 00:13:24.904
COMMUNITY MEMBERS LIKE HIM AND
00:13:24.971 --> 00:13:26.606
THEIR FAMILIES WOULD NOT ONLY
00:13:26.673 --> 00:13:28.174
SUPPORT THEM BUT INCREASE THE
00:13:28.241 --> 00:13:29.609
LIKELIHOOD OF FOR CHIU
00:13:29.676 --> 00:13:31.244
CHILDREN'S BEAM INSURED. FOR
00:13:31.311 --> 00:13:32.812
THESE REASONS I URGE OTHER
00:13:32.879 --> 00:13:34.847
CONCERNED ALLY OF THIS COMMUNITY
00:13:34.914 --> 00:13:35.515
THAT THE SENATE BUDGET
00:13:35.581 --> 00:13:36.749
SUBCOMMITTEE REPORT THIS
00:13:36.816 --> 00:13:38.151
PROPOSAL THING SO MUCH THANK
YOU.
00:13:38.217 --> 00:13:38.651
THANK YOU.
00:13:38.718 --> 00:13:40.420
WELCOME.
00:13:40.486 --> 00:13:42.121
I'VE A WEST SAM'S WITH UNITED
00:13:42.188 --> 00:13:43.322
WAYS OF CALIFORNIA IN STRONG
00:13:43.389 --> 00:13:44.590
SUPPORT.
00:13:44.657 --> 00:13:46.893
THANK YOU WELCOME.
00:13:46.959 --> 00:13:48.761
LL THIS MATERNAL AND CHILD
00:13:48.828 --> 00:13:51.898
HEALTH ACCESS WE TO.
00:13:51.964 --> 00:13:52.865
BOB DOESN'T USE TORRANCE
00:13:52.932 --> 00:13:54.100
DEFENSEMAN CALIFORNIA JUST
00:13:54.167 --> 00:13:55.034
WANTED TO PROVIDE THE
00:13:55.101 --> 00:13:56.035
PERSPECTIVE THAT THIS.
00:13:56.102 --> 00:13:58.171
HEALTH FOR ALL IT WAS A GOING
00:13:58.237 --> 00:13:59.472
TO BE A HUGE BENEFIT FOR
00:13:59.539 --> 00:14:01.908
CHILDREN BECAUSE. A PARENTS OR
00:14:01.974 --> 00:14:03.376
PARENTS AND CAREGIVERS ARE MUCH
00:14:03.443 --> 00:14:05.278
BETTER TO CARE FOR AND PROVIDE
00:14:05.345 --> 00:14:05.845
FOR THEIR FAMILIES WHEN THEY
00:14:05.912 --> 00:14:06.479
HAVE.
00:14:06.546 --> 00:14:07.513
HEALTH COVERAGE AND AL ALSO
00:14:07.580 --> 00:14:08.815
CHILDREN OF PARENTS WHO ARE
00:14:08.881 --> 00:14:10.116
COVERED OR MORE LIKELY TO GET
00:14:10.183 --> 00:14:10.883
TIMELY CARE AND BECOME A
00:14:10.950 --> 00:14:12.318
THEMSELVES THANK YOU.
00:14:12.385 --> 00:14:14.320
THANK YOU WELCOME.
00:14:14.387 --> 00:14:16.656
AND FOX LOS ANGELES LGBT CENTER
00:14:16.723 --> 00:14:18.291
IN SUPPORT THANK YOU.
00:14:18.357 --> 00:14:20.059
WELCOME I PULSE FOR FROM A
00:14:20.126 --> 00:14:21.828
KILLER HEALTH AND LOS ANGELES
00:14:21.894 --> 00:14:22.628
HERE IN STRONG SUPPORT THANK
YOU.
00:14:22.695 --> 00:14:24.897
WELCOME.
00:14:24.964 --> 00:14:25.698
PITCH MEDINA WITH ASIAN
00:14:25.765 --> 00:14:26.799
AMERICANS ADVANCING JUSTICE
00:14:26.866 --> 00:14:28.668
CALIFORNIANS SUPPORT. THANK YOU.
00:14:28.735 --> 00:14:31.104
WELCOME.
00:14:31.170 --> 00:14:32.839
I WHEN THERE'S MARIA AND I'M AN
00:14:32.905 --> 00:14:34.440
ORGANIZER FORCED BY THE FOR A
00:14:34.507 --> 00:14:35.908
FIRST NATION INTO COMMITTEE
00:14:35.975 --> 00:14:38.044
GROUP IN THE NATION NOW TO SHARE
00:14:38.111 --> 00:14:38.678
A LITTLE.
00:14:38.745 --> 00:14:39.879
QUICK STORY ABOUT. WHY IT'S
00:14:39.946 --> 00:14:41.781
IMPORTANT THAT WE HAVE TO CARE
00:14:41.848 --> 00:14:43.816
ABOUT HEALTHCARE ANTS BECAUSE
00:14:43.883 --> 00:14:45.485
NOT ONLY BECAUSE?
00:14:45.551 --> 00:14:46.119
IT OUR IMMIGRATION STATUS LIKE
00:14:46.185 --> 00:14:48.154
STOPPIN US. AND IT'S ALSO
00:14:48.221 --> 00:14:49.856
ONGOING THREAT OF ANTI IMMIGRANT
00:14:49.922 --> 00:14:52.091
ATTACKS AND RATES THAT'S
00:14:52.158 --> 00:14:53.393
HAPPENING OUR COMMUNITIES STATES
00:14:53.459 --> 00:14:54.594
MAY BEGIN THE SPHERE. THEY'RE
00:14:54.660 --> 00:14:56.162
GOING TO A DOCTOR EVEN THOUGH WE
00:14:56.229 --> 00:14:58.464
HAVE BEEN WORKING SIX SEVEN DAYS
00:14:58.531 --> 00:15:00.333
A WEEK LIKE UNDER THE TABLE AND
00:15:00.399 --> 00:15:04.270
RELATED THINGS CONDITIONS NOT
00:15:04.337 --> 00:15:04.937
AND NO ONLY THING UP ON MY
PHONE.
00:15:05.004 --> 00:15:05.304
THINK ABOUT THAT
00:15:05.371 --> 00:15:06.539
UNITY
00:15:06.606 --> 00:15:07.240
THAT'S BENEFITING THAT COULD
00:15:07.306 --> 00:15:09.542
BENEFIT FROM THIS AND I WANT YOU
00:15:09.609 --> 00:15:11.778
I'M ASKING YOU TO PLEASE LOOK AT
00:15:11.844 --> 00:15:13.479
US THAT ON TOP OF THE COMMUNITY.
00:15:13.546 --> 00:15:15.748
NOT NOT ONLY US NUMBERS BUT AS
00:15:15.815 --> 00:15:17.116
HUMAN BEINGS OF THE SORT THE
00:15:17.183 --> 00:15:18.985
BASIC NEED OF HEALTHCARE THANK
00:15:19.051 --> 00:15:19.352
YOU. THANK YOU.
00:15:19.418 --> 00:15:21.587
WELCOME
00:15:21.654 --> 00:15:23.089
I MIGHT MY NAME IS BRINA HELLO
00:15:23.156 --> 00:15:24.290
WHAT IS AND WHAT THE LATINO
00:15:24.357 --> 00:15:26.125
COALITION FOR HEALTHY
CALIFORNIA.
00:15:26.192 --> 00:15:27.527
AND HERE IN SOLITARY FOR ALL
00:15:27.593 --> 00:15:28.761
THOSE WHO STILL REMAIN AND A
00:15:28.828 --> 00:15:30.696
SHIRT AND ARE WAITING TO HAVE A
00:15:30.763 --> 00:15:32.565
DIRE CONDUCT OUR CONDITION UNTIL
00:15:32.632 --> 00:15:36.169
THEY CAN FINALLY ACCESS. CARE.
00:15:36.235 --> 00:15:37.136
BOB SO THANK YOU FOR YOUR TIME.
00:15:37.203 --> 00:15:38.504
THANK YOU STRONG SUPPORT FOR
00:15:38.571 --> 00:15:39.038
HEALTH FOR ALL THANK YOU.
00:15:39.105 --> 00:15:41.307
WELCOME.
00:15:41.374 --> 00:15:42.575
HI MY NAME IS KATHY CONCHITA
00:15:42.642 --> 00:15:43.643
THEM I'M HERE ON BEHALF OF THE
00:15:43.709 --> 00:15:45.044
HAVING OUR SAY COALITION.
00:15:45.111 --> 00:15:45.978
COMPRISED OF THIRTY
00:15:46.045 --> 00:15:48.247
ORGANIZATIONS ACROSS THE STATE
00:15:48.314 --> 00:15:49.048
AND WHERE IN STRONG SUPPORT OF
00:15:49.115 --> 00:15:50.516
THIS. THING THANK YOU.
00:15:50.583 --> 00:15:52.852
WELCOME.
00:15:52.919 --> 00:15:54.887
GOOD AFTERNOON MISTER CHAIR
00:15:54.954 --> 00:15:56.155
COMMITTEE MEMBERS KNOW AT BOTTOM
00:15:56.222 --> 00:15:57.523
OAK CALIFORNIA RURAL LEGAL
00:15:57.590 --> 00:15:59.292
ASSISTANT FOUNDATION. IN STRONG
00:15:59.358 --> 00:16:00.626
SUPPORT OF THE PROPOSAL TO
00:16:00.693 --> 00:16:02.061
INCLUDE ALL REMAINING
00:16:02.128 --> 00:16:03.830
UNDOCUMENTED ADULTS TO BE
00:16:03.896 --> 00:16:05.665
INCLUDED IN MEDI CAL ESPECIALLY
00:16:05.731 --> 00:16:07.400
ARE HARD WORKING FARMER CREEK
00:16:07.466 --> 00:16:08.034
COMMUNITIES THROUGHOUT THE STATE
00:16:08.100 --> 00:16:08.367
THANK YOU.
00:16:08.434 --> 00:16:09.335
THANK YOU.
00:16:09.402 --> 00:16:11.437
WELCOME.
00:16:11.504 --> 00:16:13.105
AND DATA OF WITH.
00:16:13.172 --> 00:16:14.373
ON BEHALF OF THE MEXICAN
00:16:14.440 --> 00:16:15.608
AMERICAN LEGAL DEFENSE AND
00:16:15.675 --> 00:16:17.176
EDUCATIONAL FUND OR MALL DEAF IN
00:16:17.243 --> 00:16:17.543
STRONG SUPPORT.
00:16:17.610 --> 00:16:19.979
THANK YOU.
00:16:20.046 --> 00:16:21.481
BUT I'M I'M AN ISRAELI I'M WITH
00:16:21.547 --> 00:16:22.782
US BY THE FOR SPANISH AND NOT
00:16:22.849 --> 00:16:24.317
MAKE GROUPS ALSO MATURED AS
00:16:24.383 --> 00:16:25.785
OTHER ASIAN BUT ASIAN START
00:16:25.852 --> 00:16:27.086
RIGHT HERE NOW THAT'S MARIA.
00:16:27.153 --> 00:16:29.188
AND THIS ONE SAY SHARE MY STORY
00:16:29.255 --> 00:16:31.691
OF MY BROTHER ALEX WHO SUFFER
00:16:31.757 --> 00:16:33.426
BRAIN CANCER TWO THOUSAND TEN
00:16:33.493 --> 00:16:35.294
AND HE WAS ABLE T GET HIS CARE
00:16:35.361 --> 00:16:35.995
THEY CAN YOU KNOW THROUGH IMAGE
00:16:36.062 --> 00:16:37.597
MEDI CAL. AND AS A DOC RECIPIENT
00:16:37.663 --> 00:16:39.031
WAS ABLE TO GET THE FOLLOW UP
00:16:39.098 --> 00:16:40.333
CARE THAT HE NEEDED SO THAT'S
00:16:40.399 --> 00:16:41.701
LIKE THE IMPACT THAT WILL HAVE
00:16:41.767 --> 00:16:43.469
FOR ALL THE PEOPLE WHO ARE.
00:16:43.536 --> 00:16:45.204
REMAIN UNSURE LIKE MY PARENTS
00:16:45.271 --> 00:16:46.172
AND THE OTHER COMMITTEE MEMBERS
00:16:46.239 --> 00:16:50.343
HERE SIX MONTHS APART HEALTH FOR
00:16:50.409 --> 00:16:51.577
ALL THAT YOU. MAKE YOU.
00:16:51.644 --> 00:16:53.145
WELCOME AYE MY NAME ASSOCIATED
00:16:53.212 --> 00:16:54.080
GONZALEZ AND WHAT THE HELL.
00:16:54.146 --> 00:16:54.780
MIX THAT GOING THE CAN I
00:16:54.847 --> 00:16:55.748
COMMITTEE ORGANIZING PROJECT I'M
00:16:55.815 --> 00:16:56.716
HEALTH POLICY AND BEGAN WERE
00:16:56.782 --> 00:16:58.284
STRONG SUPPORT HEALTH FROM. I
00:16:58.351 --> 00:16:59.585
WILL BE HELPING MY COLLEAGUE I
00:16:59.652 --> 00:17:01.087
INTERPRET INTO ENGLISH WHICH SHE
00:17:01.153 --> 00:17:02.655
HAS TO SAY HERE TODAY. THANK YOU
00:17:02.722 --> 00:17:04.624
WELCOME WHEN ESTABLISH NUMBERS
00:17:04.690 --> 00:17:05.758
WHEN I SAID I WAS SAVING MORE
00:17:05.825 --> 00:17:07.360
THAN PREDICT THE MYSTICAL AND ON
00:17:07.426 --> 00:17:10.363
THE OTHER END DIRECTLY A KEEPER
00:17:10.429 --> 00:17:11.931
GAY ON.
00:17:11.998 --> 00:17:12.899
ESTAMOS LEVELED ON THE BUT A
00:17:12.965 --> 00:17:13.533
CAPE WITH AND THAT.
00:17:13.599 --> 00:17:14.700
MEDICAL AT THE LITTLE SUBTLE
00:17:14.767 --> 00:17:17.103
DOES AND A SPECIFIC IT OPEN BUT
00:17:17.169 --> 00:17:18.337
THEY LISTEN POPULOUS THAT IN A
00:17:18.404 --> 00:17:19.839
MOMENT AT THE END EQUIPMENT THAT
00:17:19.906 --> 00:17:20.907
THE SI NOS <c.green> AND ALSO
THE</c>
00:17:20.973 --> 00:17:24.210
MOST ISSUE CHINA'S UP TO HOW THE
00:17:24.277 --> 00:17:25.311
NEXT COUPLE.
00:17:25.378 --> 00:17:25.978
I'M SO I'M HERE IN SUPPORT OF
00:17:26.045 --> 00:17:26.679
HEALTH FOR I WANT TO TELL YOU
00:17:26.746 --> 00:17:27.747
THE STORY OF MY MOM. AND SHE IS
00:17:27.813 --> 00:17:28.481
FORTY THREE YEARS OLD AND SHE
00:17:28.548 --> 00:17:29.849
HAS BEEN WORKING AT THE FARM
00:17:29.916 --> 00:17:32.251
WORKER FOR EIGHTEEN YEARS.
00:17:32.318 --> 00:17:34.220
IS AGAIN UP EARLIER THAN IT
00:17:34.287 --> 00:17:35.655
ACCESO SALUTE BUT GETS IN THE
00:17:35.721 --> 00:17:38.090
CUENTA IT BUT AS LOOK AT BY THE
00:17:38.157 --> 00:17:39.358
MOST GAY.
00:17:39.425 --> 00:17:41.594
THREE. ELLIS THAT THOSE METHODS
00:17:41.661 --> 00:17:43.262
BUT UP WITH IT THE NET AMINIKA.
00:17:43.329 --> 00:17:44.430
BUT SHE HAS BEEN LOCKED OUT OF
00:17:44.497 --> 00:17:45.865
HEALTH CARE ALL OF THESE YEARS
00:17:45.932 --> 00:17:47.700
AND FO THAT WE WANNA ASK. ON
00:17:47.767 --> 00:17:49.302
THE U. P. ZERO THE ELIGIBILITY
00:17:49.368 --> 00:17:50.002
EXCLUSION.
00:17:50.069 --> 00:17:51.504
OF A DOCUMENT COMMITTEE MEMBERS
00:17:51.571 --> 00:17:52.638
THANK YOU.
00:17:52.705 --> 00:17:54.707
BUT I DON'T THINK YOU.
00:17:54.774 --> 00:17:57.143
WELCOME.
00:17:57.209 --> 00:17:59.378
OKAY.
00:17:59.445 --> 00:18:01.113
AB ONE ESPECIALLY IF ME NOBODY'S
00:18:01.180 --> 00:18:02.848
GOTTEN SIGNED KIDS EAT THEM
00:18:02.915 --> 00:18:06.185
BEING SO UNITED US BUT WHAT DOES
00:18:06.252 --> 00:18:07.386
THAT PREDICT MYSTICAL.
00:18:07.453 --> 00:18:08.087
HELLO MY NAME IS CARMEN SONGES
00:18:08.154 --> 00:18:09.055
I'M ALSO COMMITTEE HEALTH WORKER
00:18:09.121 --> 00:18:11.757
WITH MY CUP.
00:18:11.824 --> 00:18:13.192
I KNOW A COMBAT OR NICE THIRTY
00:18:13.259 --> 00:18:15.761
OF THEIR OWN I MEAN I CANCEL BE
00:18:15.828 --> 00:18:17.663
THE POOR OUT GOES ON AND NOT THE
00:18:17.730 --> 00:18:20.833
ONE THAT CLONING WILL NOT GO
00:18:20.900 --> 00:18:21.467
THROUGH THE IF IT WOULDN'T HAVE
00:18:21.534 --> 00:18:22.735
MADE THE CALL.
00:18:22.802 --> 00:18:23.502
I ENDED.
00:18:23.569 --> 00:18:25.738
SUBITO THEIR OWN I AM FAT MADE
00:18:25.805 --> 00:18:28.441
THEM <c.green> AM TECHNIQUE ON
THE</c>
00:18:28.507 --> 00:18:29.875
NET BUT I THINK WHAT I KNOW THAT
00:18:29.942 --> 00:18:31.310
I'M DEMISE THEY'VE BEEN DANIEL'S
00:18:31.377 --> 00:18:32.812
AT ABOUT HOW GOING LAS VEGANS.
00:18:32.878 --> 00:18:34.981
MOTHER IS ON DATA AS TO OF
00:18:35.047 --> 00:18:36.115
ALIENS HAVE THOUGH MYSTICA.
00:18:36.182 --> 00:18:37.984
<c.green> I AM AT BECAUSE
HIS</c>
00:18:38.050 --> 00:18:39.952
CEREBELLUM WOODY AND GO.
00:18:40.019 --> 00:18:44.957
I THOUGHT CAPABLE IN COMBAT AND
00:18:45.024 --> 00:18:48.160
NO NOT BE THOUGHT ABOUT A CAN
00:18:48.227 --> 00:18:51.330
LET THEM GET ON. MIDDLE AND
00:18:51.397 --> 00:18:59.772
THOSE THEY THOUGHT DEAL
00:18:59.839 --> 00:19:01.540
COTTONSEED CRANDALL.
00:19:01.607 --> 00:19:03.476
E. NOT UP WILL NOT THEN THERE'D
00:19:03.542 --> 00:19:05.177
BE MEADOW LIBYA DON'T THAT IS
00:19:05.244 --> 00:19:08.280
NEEDED OR NOT IS BUT A POOR THAT
00:19:08.347 --> 00:19:08.914
I THINK THAT I IN NO SIMPLE THAT
00:19:08.981 --> 00:19:09.415
THEN.
00:19:09.482 --> 00:19:10.616
ADDRESS ON THE CAN.
00:19:10.683 --> 00:19:12.318
I'M THE ONE ACT AS IF IT
00:19:12.385 --> 00:19:13.052
WOULDN'T.
00:19:13.119 --> 00:19:13.753
SO MY FRIEND ROSA SHE IS ALSO
00:19:13.819 --> 00:19:15.121
UNDOCUMENTED HAS BEEN WORKING AT
00:19:15.187 --> 00:19:19.025
THE FARM WORKER FOR TWENTY I'M
HERE TODAY THANK YOU.
00:19:19.091 --> 00:19:19.725
EXPRESSES.
00:19:19.792 --> 00:19:22.895
BUT.
00:19:22.962 --> 00:19:24.497
THEY WANT OTHERS TO ME NUMBER IS
00:19:24.563 --> 00:19:26.699
SEEN AS GONZALEZ SO YOU KNOW THE
00:19:26.766 --> 00:19:27.299
LESS PROMOTED AS THEY MIGHT GO
00:19:27.366 --> 00:19:28.167
UP.
00:19:28.234 --> 00:19:30.069
HI MY NAME IS A ENOUGH I'M ALSO
00:19:30.136 --> 00:19:30.603
COMMIT HEALTH WORKER WITH
00:19:30.669 --> 00:19:32.038
MICHAEL.
00:19:32.104 --> 00:19:34.473
ISMS PEOPLE IS THAT CAN A MOST
00:19:34.540 --> 00:19:36.308
HUMBLE GOTTA ADMIT THE
00:19:36.375 --> 00:19:39.545
COMPATIBLE SO DO THOSE. THINGS
00:19:39.612 --> 00:19:41.147
BOY BEATNIK ON THAT WHEN I
00:19:41.213 --> 00:19:42.581
STARTED THEY WILL NOT MEANWHILE
00:19:42.648 --> 00:19:45.117
MUCUS IN WHAT DO THEY CONCEPT
00:19:45.184 --> 00:19:48.220
BORDER FILE THAT THE SIGNAL.
00:19:48.287 --> 00:19:51.123
PEOPLE FUND BY THAT MEDICAL CAN
00:19:51.190 --> 00:19:53.292
ELIGIBLE WOMAN LOOKED AT THE
00:19:53.359 --> 00:19:58.431
COVER SET UP BUT A KEY CCS OF
00:19:58.497 --> 00:19:59.131
CHECK HILLS.
00:19:59.198 --> 00:19:59.932
I'M HERE TO TELL YOU TODAY A
00:19:59.999 --> 00:20:00.599
STORY OF MY FRIEND.
00:20:00.666 --> 00:20:01.667
WHO DIED AT THE AGE OF TWENTY
00:20:01.734 --> 00:20:02.268
SEVEN FROM?
00:20:02.334 --> 00:20:02.968
STOMACH CANCER NOMINEE WAS
00:20:03.035 --> 00:20:04.336
BECAUSE HE WAS UNABLE TO ACCESS
00:20:04.403 --> 00:20:04.870
THE CARE HE NEEDED WHEN HE
00:20:04.937 --> 00:20:05.604
NEEDED.
00:20:05.671 --> 00:20:06.005
THANK YOU MASSES.
00:20:06.072 --> 00:20:07.840
WELCOME.
00:20:07.907 --> 00:20:08.541
BUT THE REVEREND JERRY FLOWERS
00:20:08.607 --> 00:20:10.076
ARE ASSOCIATE DIRECTOR ALSO FROM
00:20:10.142 --> 00:20:11.410
MY CUP AS YOU HEARD FROM MY
00:20:11.477 --> 00:20:12.211
COLLEAGUES.
00:20:12.278 --> 00:20:13.713
WE NEED THIS FOR OUR COMMUNITY
00:20:13.779 --> 00:20:15.281
HERE IN CALIFORNIA WE NEED NOW
00:20:15.347 --> 00:20:16.649
SO MY CUP IS THE STRONG SUPPORT
00:20:16.716 --> 00:20:17.950
OF THIS MEASURE THANK YOU. THANK
00:20:18.017 --> 00:20:18.250
YOU.
00:20:18.317 --> 00:20:20.286
WELCOME.
00:20:20.352 --> 00:20:22.288
THIRTY HEX REPRESENTING EQUALITY
00:20:22.354 --> 00:20:22.888
CALIFORNIA AND STRONG SUPPORT
00:20:22.955 --> 00:20:23.222
DAY.
00:20:23.289 --> 00:20:24.390
THANK YOU.
00:20:24.457 --> 00:20:26.459
WELCOME.
00:20:26.525 --> 00:20:27.626
IT'S RESPONSIBLE TRAILER THE
00:20:27.693 --> 00:20:28.561
COALITION FOR HUMANE IMMIGRANT
00:20:28.627 --> 00:20:30.196
RIGHTS RECORD REPRESENTING
00:20:30.262 --> 00:20:30.796
IMMIGRANT FAMILIES DIRECTLY
00:20:30.863 --> 00:20:31.831
IMPACTED THROUGH UPSTATE
00:20:31.897 --> 00:20:33.365
CALIFORNIA INCLUDING FORMER CAN
00:20:33.432 --> 00:20:35.801
FAMILIES IN RURAL CALIFORNIA
00:20:35.868 --> 00:20:36.402
STRONG SUPPORT FOR AHA THROW.
00:20:36.469 --> 00:20:36.902
THANK YOU.
00:20:36.969 --> 00:20:39.371
WELCOME.
00:20:39.438 --> 00:20:40.639
I AM A CHRISTIAN GOLDEN TESTED
00:20:40.706 --> 00:20:41.941
WITH THE CHILDREN'S PARTNERSHIP
00:20:42.007 --> 00:20:43.309
IN STRONG SUPPORT OF THIS
00:20:43.375 --> 00:20:45.811
PROPOSAL AND HEALTHCARE FOR ALL
00:20:45.878 --> 00:20:46.812
IS BUILDING ON THE STRONG
00:20:46.879 --> 00:20:48.247
SUCCESS OF THE HEALTH FOR ALL
00:20:48.314 --> 00:20:49.915
KIDS. THAT WE'VE HAD IN THE
00:20:49.982 --> 00:20:52.284
STATE HAS BEEN VERY PROUD OF
AND.
00:20:52.351 --> 00:20:54.086
THIS I THE NEXT OBVIOUS
00:20:54.153 --> 00:20:55.654
PROGRESSION WHEN YOU COVER WHEN
00:20:55.721 --> 00:20:57.123
YOU COVER PARENTS THE KIDS ARE
00:20:57.189 --> 00:20:57.756
ALSO GOING TO BE MORE HEALTHY.
00:20:57.823 --> 00:21:00.960
OKAY THANK YOU.
00:21:01.026 --> 00:21:02.795
AND THERE.
00:21:02.862 --> 00:21:04.597
SO I WANT THINKS THAT PRESENTERS
00:21:04.663 --> 00:21:06.132
THANK YOU SO MUCH FOR SHARING
00:21:06.198 --> 00:21:08.734
YOUR STORY AS WELL. CAN.
00:21:08.801 --> 00:21:10.836
TRANSLATE IF YOU'RE SPEAKING OF
00:21:10.903 --> 00:21:13.806
STAIRS TO TRANSLATE THAT.
00:21:13.873 --> 00:21:14.774
THE CRISIS.
00:21:14.840 --> 00:21:17.409
AYE IT'S WHY MAKE NOTE OF THAT
00:21:17.476 --> 00:21:18.677
NUMBER FOUR.
00:21:18.744 --> 00:21:19.845
BUT I'M THE ACA IN HERE
00:21:19.912 --> 00:21:20.980
CALIFORNIA WE WERE ACTUALLY
00:21:21.046 --> 00:21:22.348
TRYING TO DO HEALTH REFORM BILLS
00:21:22.414 --> 00:21:22.648
NOTED THAT.
00:21:22.715 --> 00:21:24.183
.
00:21:24.250 --> 00:21:26.886
THAT EVERYBODY YOU ACTUALLY WAS
00:21:26.952 --> 00:21:29.588
INSURED ESSENTIALLY WAS PAYING
00:21:29.655 --> 00:21:31.857
AND THOUSAND DOLLARS EXTRA.
00:21:31.924 --> 00:21:33.292
TO.
00:21:33.359 --> 00:21:35.127
BASICALLY FOR THE COST OF
00:21:35.194 --> 00:21:36.862
PEOPLE UNINSURED TO BASICALLY
00:21:36.929 --> 00:21:39.598
DIDN'T CARE INTEL'S
00:21:39.665 --> 00:21:41.467
WAIT. I MEAN ACTUALLY.
00:21:41.534 --> 00:21:42.301
PEOPLE DON'T HAVE INSURANCE
00:21:42.368 --> 00:21:43.502
DON'T IN THE SHOP EMERGENCY ROOM
00:21:43.569 --> 00:21:45.204
MORE OFTEN BUT WHEN THEY FINALLY
00:21:45.271 --> 00:21:47.206
SHOW UP THERE MUCH SICKER AND
00:21:47.273 --> 00:21:48.774
MORE LIKELY NEED HOSPITALIZATION
00:21:48.841 --> 00:21:49.742
AND THAT.
00:21:49.809 --> 00:21:53.445
AND SO ACTUALLY ALL OF US ARE
00:21:53.512 --> 00:21:56.348
IN SOME WAYS REYES SUBSIDIZING.
00:21:56.415 --> 00:21:58.450
THAT FINANCIALLY BUT.
00:21:58.517 --> 00:22:00.152
THE HOUSE BURDEN WAS ON THE
00:22:00.219 --> 00:22:01.887
PERSONS UNINSURED WHO.
00:22:01.954 --> 00:22:03.455
DOESN'T USING THE ARE MORE OFTEN
00:22:03.522 --> 00:22:04.690
BUT WHAT HAPPENS IS PAYING OFF
00:22:04.757 --> 00:22:06.825
CAREFULLY OF CARE UNTIL IT IS
00:22:06.892 --> 00:22:09.628
VERY LATE AND OFTEN TOO LATE.
00:22:09.695 --> 00:22:12.498
AND THE US SO THAT'S HUMAN COST.
00:22:12.565 --> 00:22:14.133
BUT WE ALSO TO FIGHT IT'S BOTH
00:22:14.200 --> 00:22:16.569
HUMAN AND FINANCIAL COSTS AND.
00:22:16.635 --> 00:22:18.804
THAT WE WE WORK TO. EXPAND MEDI
00:22:18.871 --> 00:22:20.773
CAL AND DO THEY CA AND THEN
00:22:20.840 --> 00:22:21.740
WE'VE HERE IN CALIFORNIA WE
00:22:21.807 --> 00:22:23.409
STEPPED UP AND AT LEAST TRY TO
00:22:23.475 --> 00:22:24.743
GET THE CHILDREN.
00:22:24.810 --> 00:22:25.110
HEALTH CARE.
00:22:26.612 --> 00:22:27.513
SO.
00:22:27.580 --> 00:22:30.082
AND SO THAT.
00:22:30.149 --> 00:22:32.418
NEED TO QUOTE CROSS SUBSIDIZE
00:22:32.484 --> 00:22:34.253
HOPEFULLY HAS DECREASED BECAUSE
00:22:34.320 --> 00:22:36.355
OF THAT BUT WE STILL HAVE TOO
00:22:36.422 --> 00:22:37.489
MANY PEOPLE IN OUR COMMUNITIES
00:22:37.556 --> 00:22:39.558
ARE UNSURE UNFORTUNATELY WITH
00:22:39.625 --> 00:22:40.793
THE FEDERAL GOVERNMENT REPEALING
00:22:40.860 --> 00:22:41.260
THE ATTACK.
00:22:41.327 --> 00:22:43.229
FOR.
00:22:43.295 --> 00:22:45.064
FOR BEING ASSURED WE DO
00:22:45.130 --> 00:22:47.199
EXPECTED MORE PEOPLE TO BE
00:22:47.266 --> 00:22:48.801
UNCERTAIN EVEN PEOPLE ARE FAIRLY
00:22:48.868 --> 00:22:49.935
WELL OFF.
00:22:50.002 --> 00:22:52.071
THIS BUT STILL THE MOST WE CAN
00:22:52.137 --> 00:22:53.138
CAUSE GOING OF BANKRUPTCY THEY
00:22:53.205 --> 00:22:55.107
CAN AFFORD DATA PAYING OUT OF
00:22:55.174 --> 00:22:56.308
POCKET SO.
00:22:56.375 --> 00:22:58.911
YOU KNOW THIS THIS REALLY IS OF
00:22:58.978 --> 00:23:00.145
TRYING TO GET TO.
00:23:00.212 --> 00:23:02.381
HEALTH FOR ALL THIS PROPOSAL
00:23:02.448 --> 00:23:04.149
CERTAINLY IS A WAY. THAT BOTH TO
00:23:04.216 --> 00:23:06.385
ADDRESS NOT ONLY THE HUMAN COSTS
00:23:06.452 --> 00:23:07.519
WHICH I THINK SHOULD BE FOR
00:23:07.586 --> 00:23:08.988
THOSE FOUR FRONT. AND THE
00:23:09.054 --> 00:23:10.489
DECISION BUT ALSO EVEN.
00:23:10.556 --> 00:23:12.891
FINANCIALLY SO WE LOOK AT IT I
00:23:12.958 --> 00:23:14.159
THINK IS CENTER MONEY SAID.
00:23:14.226 --> 00:23:15.227
ABOUT YOU KNOW ONE LEVEL YOU CAN
00:23:15.294 --> 00:23:16.695
LOOK AT SAY THIS IS THE COST OF
00:23:16.762 --> 00:23:17.763
DOING IT RIGHT WE'RE GOING TO
00:23:17.830 --> 00:23:19.365
HAVE HOW MANY MORE PEOPLE ON THE
00:23:19.431 --> 00:23:21.967
PROGRAM ETCETERA BUT WHAT WE
00:23:22.034 --> 00:23:22.468
OFTEN NOT.
00:23:22.534 --> 00:23:23.702
HE IS IS THAT WELL.
00:23:23.769 --> 00:23:25.471
WHAT'S THE COST OF NOT DOING IT.
00:23:25.537 --> 00:23:27.006
RIGHT AS WELL SO WE HAVE THE
00:23:27.072 --> 00:23:28.607
HUMAN COSTS WHICH WE ARE TALKING
00:23:28.674 --> 00:23:31.510
ABOUT BUT ALSO EVEN FINANCIALLY
00:23:31.577 --> 00:23:32.578
WE ARE BUDGET SUBCOMMITTEE.
00:23:33.078 --> 00:23:35.648
BECAUSE MAY NOT BE AS MUCH AS
00:23:35.714 --> 00:23:38.484
WE THINK THAT BECAUSE WE TAKE.
00:23:38.550 --> 00:23:40.753
WHAT WE KNOW PENCIL OUT IS THE
00:23:40.819 --> 00:23:43.022
COST FOR COVERAGE BUT THEN WE?
00:23:43.088 --> 00:23:44.356
THEN TAKE WAIT SAID WATER WE
00:23:44.423 --> 00:23:45.391
PAINT FOR RIGHT NOW FOR NOT
00:23:45.457 --> 00:23:47.059
DOING ANYTHING I THINK THAT
00:23:47.126 --> 00:23:48.661
DIFFERENCE MAY NOT BE AS LARGE
00:23:48.727 --> 00:23:50.529
AS WE THINK SO. BUT WE DO NEED
00:23:50.596 --> 00:23:52.331
TO WORK THAT OUT. AND HOPEFULLY
00:23:52.398 --> 00:23:52.898
WE CAN.
00:23:52.965 --> 00:23:54.900
THAT WE CAN WE CAN MAKE
00:23:54.967 --> 00:23:56.268
PROGRESS ON THIS
00:23:56.335 --> 00:23:57.269
SO WITH THAT.
00:23:57.336 --> 00:23:58.971
I THINK YOU SO MUCH FOR COMING
00:23:59.038 --> 00:24:00.339
TO TESTIFY.
00:24:00.406 --> 00:24:02.174
AND OF WE WILL HOLD WILL HOLD
00:24:02.241 --> 00:24:04.810
THIS ITEM OPEN FOR IT NOW.
00:24:04.877 --> 00:24:05.711
OKAY THANK YOU.
00:24:05.778 --> 00:24:07.746
.
00:24:07.813 --> 00:24:09.481
THE NEXT ITEM IS THE.
00:24:09.548 --> 00:24:11.317
AGE BLIND DISABLED PROGRAM
00:24:11.383 --> 00:24:13.252
ELIGIBILITY AND.
00:24:13.319 --> 00:24:14.420
WE HAVE.
00:24:14.486 --> 00:24:16.755
LISTA SERLO POVERTY AT THE
00:24:16.822 --> 00:24:18.824
WAYS YOU BACK HERE AND THE BROTH
00:24:18.891 --> 00:24:19.325
FROM DISBELIEVE IT SAYS
00:24:19.391 --> 00:24:21.126
CALIFORNIA.
00:24:21.193 --> 00:24:24.296
SEC OF OPEN UP. BUT IT DOESN'T.
00:24:24.363 --> 00:24:25.898
OKAY SO ACTUALLY KNOW WHAT DID I
00:24:25.965 --> 00:24:27.299
KNOW HE DID DEVICE CAO IT PUTS
00:24:27.366 --> 00:24:28.467
QUICKLY DO THE INTRODUCTIONS
00:24:28.534 --> 00:24:30.469
HERE AND THEN YOU GOT. INTO IT
00:24:30.536 --> 00:24:31.537
TO YOU CAN DO IN THREE MINUTES
00:24:31.603 --> 00:24:33.739
THAT BE GREAT SELL BUT OF BEACH
00:24:33.806 --> 00:24:35.975
DO INTRODUCTIONS THAT DOESN'T
00:24:36.041 --> 00:24:36.709
COUNT AGAINST A TIME.
00:24:36.775 --> 00:24:37.376
LYNDA WITH WESTERN CENTER ON LAW
00:24:37.443 --> 00:24:38.977
AND POVERTY.
00:24:39.044 --> 00:24:40.379
GEN FLORA PRESENTING THE HEALTH
00:24:40.446 --> 00:24:41.680
CONSUMER ALLIANCE TODAY THE
00:24:41.747 --> 00:24:42.881
STATEWIDE CONSORTIUM OF LEGAL
00:24:42.948 --> 00:24:44.483
AID ASSOCIATIONS THAT REPRESENT
00:24:44.550 --> 00:24:45.184
ALL OF OUR LOW INCOME
00:24:45.250 --> 00:24:47.086
CALIFORNIANS AND HEALTH ISSUES.
00:24:47.152 --> 00:24:48.854
THANK YOU.
00:24:48.921 --> 00:24:50.656
PRESENT. THANK YOU WE APPRECIATE
00:24:50.723 --> 00:24:53.425
THE OPPORTUNITY I TO TH
00:24:53.492 --> 00:24:55.060
PRESENTED A SUBCOMMITTEE OF THE
00:24:55.127 --> 00:24:56.428
PROPOSAL TO RAISE THE MEDI CAL
00:24:56.495 --> 00:24:58.330
AGING DISABLED INCOME LIMIT
00:24:58.397 --> 00:24:59.965
TO HUNDRED THIRTY EIGHT PERCENT
00:25:00.032 --> 00:25:01.767
OF THE FEDERAL POVERTY LINE.
00:25:01.834 --> 00:25:02.868
UNDER THE AFFORDABLE CARE ACT
00:25:02.935 --> 00:25:05.137
ALMOST ALL ADULTS.
00:25:05.204 --> 00:25:06.672
WITH INCOMES OF TWO HUNDRED
00:25:06.739 --> 00:25:07.773
THIRTY EIGHT PERCENT OF THE
00:25:07.840 --> 00:25:08.674
FEDERAL POVERTY LINE ARE
00:25:08.741 --> 00:25:10.709
ELIGIBLE FOR FREE MEDI CAL
00:25:10.776 --> 00:25:13.145
EXCEPT FOR SENIORS THOSE SIXTY
00:25:13.212 --> 00:25:15.114
FIVE AND OLDER. BY VIRTUE OF
00:25:15.180 --> 00:25:16.982
THEIR AGE PEOPLE SIXTY FIVE AND
00:25:17.049 --> 00:25:18.117
OLDER HAVE A LOWER INCOME
00:25:18.183 --> 00:25:20.219
ELIGIBILITY THRESHOLD OF ABOUT A
00:25:20.285 --> 00:25:21.420
HUNDRED AND TWENTY THREE PERCENT
00:25:21.487 --> 00:25:23.022
OF THE FEDERAL POVERTY LINE.
00:25:23.088 --> 00:25:25.024
WHICH IS ABOUT A HUNDRED FIFTY
00:25:25.090 --> 00:25:26.725
DOLLAR DIFFERENCE WHEN COMPARED
00:25:26.792 --> 00:25:28.260
TO AB ONE THIRTY EIGHT.
00:25:28.327 --> 00:25:30.229
IF THE SENIORS INCOME IS MORE
00:25:30.295 --> 00:25:31.997
THAN TWELVE FORTY TWO A MONTH.
00:25:32.064 --> 00:25:33.665
HERE SHE CAN ONLY GET FREE
00:25:33.732 --> 00:25:34.400
MEDICARE HOW WITH THE SHERIFF
00:25:34.466 --> 00:25:35.901
COST
00:25:35.968 --> 00:25:37.269
A SHARE OF BECAUSE OF THE AMOUNT
00:25:37.336 --> 00:25:39.104
AN INDIVIDUAL MUST KICK AND THE
00:25:39.171 --> 00:25:40.672
FOR FREE MEDI CAL KICKED OUT
00:25:40.739 --> 00:25:43.442
KICKS IN. A PERSON'S SHARE COST
00:25:43.509 --> 00:25:45.444
IS THEIR MONTHLY INCOME MINUS
00:25:45.511 --> 00:25:46.745
SIX HUNDRED DOLLARS AND THIS IS
00:25:46.812 --> 00:25:48.981
BASED ON THE ANTIQUATED IDEA
00:25:49.048 --> 00:25:50.249
THAT PEOPLE CAN LIVE OFF OF SIX
00:25:50.315 --> 00:25:51.850
HUNDRED DOLLARS THAT SIX HUNDRED
00:25:51.917 --> 00:25:54.253
DOLLARS IS ENOUGH. FOR FOOD RANT
00:25:54.319 --> 00:25:55.954
ON AND OTHER BASIC LIVING
00:25:56.021 --> 00:25:56.855
EXPENSES.
00:25:56.922 --> 00:25:58.590
FORCE BETWEEN PAYING FOR RENT
00:25:58.657 --> 00:26:00.092
AND FOOD OR THEIR MEDI CAL SHARE
00:26:00.159 --> 00:26:02.628
COST MANY SENIORS FOREGO NEEDED
00:26:02.694 --> 00:26:04.596
MEDICAL EXPENSE PROMPTING THEM
00:26:04.663 --> 00:26:05.964
TO MOVE INTO SKILLED NURSING
00:26:06.031 --> 00:26:07.733
FACILITIES AT A HIGH COST TO THE
00:26:07.800 --> 00:26:09.368
STATE. AND EVEN HIGHER PERSONAL
00:26:09.435 --> 00:26:10.769
COST.
00:26:10.836 --> 00:26:12.671
TO THEIR OWN UP INDEPENDENCE AND
00:26:12.738 --> 00:26:14.873
WELL BEING WE STRONGLY URGE THE
00:26:14.940 --> 00:26:17.309
COMMITTEE TO AYE RAISE THE MEDI
00:26:17.376 --> 00:26:19.244
CAL AGING DISABLED LIMIT ON SO
00:26:19.311 --> 00:26:20.145
THAT IT IS A HUNDRED AND THIRTY
00:26:20.212 --> 00:26:23.115
EIGHT PERCENT CREATING PARITY.
00:26:23.182 --> 00:26:24.316
FOR ALL ADULTS THINKING.
00:26:24.383 --> 00:26:25.651
I'M HERE JUST TO GIVE A STORY TO
00:26:25.717 --> 00:26:27.152
ILLUSTRATE WHAT THIS MEANS THAT
00:26:27.219 --> 00:26:28.954
TO REAL REAL SENIORS IN REAL
00:26:29.021 --> 00:26:31.723
DOLLARS HOW RECENTLY WE HAD A.
00:26:31.790 --> 00:26:33.225
COUPLE COME INTO ONE OF OUR
00:26:33.292 --> 00:26:34.793
LOCAL PROGRAMS AND TULARE
COUNTY.
00:26:34.860 --> 00:26:36.328
AND THEY HAD BEEN ON.
00:26:36.395 --> 00:26:37.963
MEDI CAL AND THEY'VE ACTUALLY
00:26:38.030 --> 00:26:39.131
BEEN WAITING ABOUT A YEAR TO GET
00:26:39.198 --> 00:26:40.165
AND HOME SUPPORTIVE SERVICES AND
00:26:40.232 --> 00:26:40.632
HAD JUST GOT.
00:26:40.699 --> 00:26:42.367
LAST MONTH
00:26:42.434 --> 00:26:44.436
BUT WHEN THEY GOT A NOTICE THIS
00:26:44.503 --> 00:26:46.004
MONTH IT WAS BECAUSE IN THEIR
00:26:46.071 --> 00:26:47.139
SOCIAL SECURITY INCOME HAD JUST
00:26:47.206 --> 00:26:48.540
GONE UP.
00:26:48.607 --> 00:26:50.109
PUTTING THEM SIX DOLLARS OVER
00:26:50.175 --> 00:26:52.244
THE LIMIT. AND SO THEN WHAT
00:26:52.311 --> 00:26:54.847
RESULTED IS FOR A COUPLE AND THE
00:26:54.913 --> 00:26:56.281
MAINTENANCE NEED INCOME LEVEL IS
00:26:56.348 --> 00:26:57.916
SEVEN HUNDRED FIFTY DOLLARS SO
00:26:57.983 --> 00:26:58.650
THAT MEANT THAT THEY HAD TO
00:26:58.717 --> 00:27:00.285
SPEND SEVEN HUNDRED FIFTY FIVE
00:27:00.352 --> 00:27:01.920
DOLLARS. OVER HALF OF THEIR
00:27:01.987 --> 00:27:03.589
INCOME BEFORE THEY COULD ACCESS
00:27:03.655 --> 00:27:05.657
ANY SERVICES SO THIS COUPLE WILL
00:27:05.724 --> 00:27:07.326
NOT BE ABLE TO AFFORD TO ACCESS
00:27:07.392 --> 00:27:09.061
IN HOME SUPPORTIVE SERVICES AND
00:27:09.128 --> 00:27:10.496
THEY WON'T BE ABLE TO. AFFORD TO
00:27:10.562 --> 00:27:11.730
ACCESS THE OTHER HEALTH CARE
00:27:11.797 --> 00:27:13.699
SERVICES THEY NEED UNLESS YOU
00:27:13.765 --> 00:27:15.234
KNOW THEY'RE ABLE TO PAY OUT OF
00:27:15.300 --> 00:27:17.336
POCKET UP INTO PAIN SEVEN. SEVEN
00:27:17.402 --> 00:27:18.137
HUNDRED FIFTY FIVE DOLLARS A
00:27:18.203 --> 00:27:20.105
MONTH HAD THIS COUPLE BEEN UNDER
00:27:20.172 --> 00:27:21.907
AGE SIXTY FIVE THEY WOULD HAVE
00:27:21.974 --> 00:27:23.509
BEEN COVERED FOR A LOT OF OUR
00:27:23.575 --> 00:27:25.177
SENIORS IN CALIFORNIA TURNING
00:27:25.244 --> 00:27:26.745
AGE SIXTY FIVE BECOMES A REALLY
00:27:26.812 --> 00:27:27.813
BAD BIRTHDAY.
00:27:27.880 --> 00:27:29.381
SO WE JUST WANT TO MAKE SURE
00:27:29.448 --> 00:27:30.149
THAT OUR SENIORS ARE CUT.
00:27:30.215 --> 00:27:33.519
EVERYONE.
00:27:33.585 --> 00:27:36.889
OKAY THANK YOU. INCOMES FROM DTS
00:27:36.955 --> 00:27:38.790
ALRIGHT BELIAU WOMEN'S PROPOSAL
00:27:38.857 --> 00:27:39.558
FINANCE
00:27:39.625 --> 00:27:41.560
NO ALRIGHT.
00:27:41.627 --> 00:27:44.530
QUESTIONS FROM COMMITTEE
MEMBERS.
00:27:44.596 --> 00:27:46.231
OKAY SO I GUESS THIS IS A.
00:27:46.298 --> 00:27:47.232
I WAS A HISTORICAL ANOMALY BUT
00:27:47.299 --> 00:27:49.535
IT'S.
00:27:49.601 --> 00:27:52.437
THE TAP AND IS OVER TIME EROSION
00:27:52.504 --> 00:27:54.106
AND THAT SUPPORT THAT ALRIGHT.
00:27:54.173 --> 00:27:55.240
OKAY WELL LET'S GO HEAD TAKE
00:27:55.307 --> 00:27:55.607
PUBLIC COMMENT.
00:27:55.674 --> 00:27:57.876
WELCOME.
00:27:57.943 --> 00:27:59.178
NATASHA PHILLIPS OF CALIFORNIA
00:27:59.244 --> 00:28:00.712
COVERAGE AND HEALTH INITIATIVES
00:28:00.779 --> 00:28:02.314
IN STRONG SUPPORT I THINK THIS
00:28:02.381 --> 00:28:03.882
IS A SIMPLE SOLUTION TO A
00:28:03.949 --> 00:28:04.449
NONSENSICAL PROBLEM.
00:28:04.516 --> 00:28:05.817
THANK YOU.
00:28:05.884 --> 00:28:08.153
WELCOME.
00:28:08.220 --> 00:28:10.656
IT AFTER. ARMY GOOD AFTERNOON
00:28:10.722 --> 00:28:12.124
I'M NINA Y. THE HER WELL WITH A
00:28:12.190 --> 00:28:14.026
R. P. WE STAND SUPPORT OF THIS
00:28:14.092 --> 00:28:14.626
PROPOSAL.
00:28:14.693 --> 00:28:16.395
TOM.
00:28:16.461 --> 00:28:18.297
ERIC P. POLICY ARE POLICY BOOK
00:28:18.363 --> 00:28:20.032
ACTUALLY EXPLICITLY SUPPORTS
00:28:20.098 --> 00:28:22.534
RAISING THE POVERTY LEVEL FOR
00:28:22.601 --> 00:28:24.870
ALL MEDICAID RECIPIENTS TO ONE
00:28:24.937 --> 00:28:26.538
THIRTY PERCENT OF POVERTY. WE
00:28:26.605 --> 00:28:28.574
STRONGLY URGE THIS COMMITTEE TO
00:28:28.640 --> 00:28:29.841
EVENTUALLY VOTE IN FAVOR THANK
00:28:29.908 --> 00:28:30.175
YOU.
00:28:30.242 --> 00:28:31.276
THANK YOU.
00:28:31.343 --> 00:28:33.679
WELCOME.
00:28:33.745 --> 00:28:34.313
THANK YOU MISTER CHAIRMAN
00:28:34.379 --> 00:28:35.847
MEMBERS MARK WINDOWS WITH AS
00:28:35.914 --> 00:28:37.249
HERE YOU CALIFORNIANS SUPPORT.
00:28:37.316 --> 00:28:39.284
THANK YOU WELCOME.
00:28:39.351 --> 00:28:40.052
THANK YOU KAREN SAVAGE
00:28:40.118 --> 00:28:41.520
CALIFORNIA PAN ETHNIC HEALTH
00:28:41.587 --> 00:28:43.021
NETWORK ALSO IN STRONG SUPPORT
00:28:43.088 --> 00:28:44.923
THANK YOU WELCOME.
00:28:44.990 --> 00:28:46.458
NO I BOTTOM OR CALIFORNIA RURAL
00:28:46.525 --> 00:28:48.393
LEGAL ASSISTANCE FOUNDATION IN
00:28:48.460 --> 00:28:49.328
STRONG SUPPORT. THANK YOU.
00:28:49.394 --> 00:28:51.096
WELCOME.
00:28:51.163 --> 00:28:52.598
PRO SUPPORT A BLUE SHIELD OF
00:28:52.664 --> 00:28:53.765
CALIFORNIA ALSO IN SUPPORT THANK
00:28:53.832 --> 00:28:54.366
YOU.
00:28:54.433 --> 00:28:56.268
WELCOME.
00:28:56.335 --> 00:28:57.236
KELLY BROKE SOME BEHALF OF THE
00:28:57.302 --> 00:28:58.236
COUNTY WELFARE DIRECTORS
00:28:58.303 --> 00:28:59.972
ASSOCIATION HERE IN SUPPORT
00:29:00.038 --> 00:29:01.473
THANK YOU WELCOME.
00:29:01.540 --> 00:29:02.774
BUT PULSE FOR FROM A KILLER
00:29:02.841 --> 00:29:05.043
HEALTH AND SUPPORT THANK YOU.
00:29:05.110 --> 00:29:06.845
WELCOME AARON FOX LOS ANGELES
00:29:06.912 --> 00:29:09.681
LGBT CENTER IN SUPPORT THANK
YOU.
00:29:09.748 --> 00:29:11.316
ALTHOUGH I ACCURATELY CONTAIN
00:29:11.383 --> 00:29:12.884
ITEM ON BEHALF OF THE HAVING OUR
00:29:12.951 --> 00:29:14.119
SAY COALITION WERE IN STRONG
00:29:14.186 --> 00:29:15.787
SUPPORT. THANK YOU.
00:29:15.854 --> 00:29:17.589
WELCOME IN ASOLO THE CALIFORNIA
00:29:17.656 --> 00:29:18.824
EMIGRATE POLICY SENATE'S PORT
00:29:18.890 --> 00:29:20.392
THANK YOU.
00:29:20.459 --> 00:29:22.060
OKAY VERY VALDEZ HEALTH ACCESS
00:29:22.127 --> 00:29:23.962
AND SUPPORT MAKING.
00:29:24.029 --> 00:29:25.430
WELCOME LEVEL THIS MATERNAL
00:29:25.497 --> 00:29:26.798
CHILD HEALTH ACCESS AND SUPPORT
00:29:26.865 --> 00:29:28.200
THANK YOU.
00:29:28.266 --> 00:29:29.968
WELCOME RENDON BARNABY HAVE OF
00:29:30.035 --> 00:29:30.569
THE AIDS HEALTHCARE FOUNDATION
00:29:30.636 --> 00:29:30.902
SUPPORT.
00:29:30.969 --> 00:29:31.570
THANK YOU.
00:29:31.637 --> 00:29:33.572
ALRIGHT.
00:29:33.639 --> 00:29:35.073
A YES ANDERSON THE FIGURES
00:29:35.140 --> 00:29:36.575
JEROEN THANK YOU FOR THE
00:29:36.642 --> 00:29:37.943
EDUCATION OF.
00:29:38.010 --> 00:29:39.344
YEAH I DON'T UNDER KNOW HOW ANY
00:29:39.411 --> 00:29:41.013
GOVERNMENTAL AGENCY CAN ASSUME
00:29:41.079 --> 00:29:42.014
THAT A SENIOR CITIZEN
00:29:42.080 --> 00:29:43.282
COMMITMENTS SIX SEVEN DOLLARS A
00:29:43.348 --> 00:29:45.050
MONTH THAT WE WE GOTTA WE GOTTA
00:29:45.117 --> 00:29:47.319
GET THAT FIXED THAT'S JUST NOT
00:29:47.386 --> 00:29:48.120
RIGHT APPRECIATED YOU PRESS.
00:29:48.186 --> 00:29:49.755
FOR THE INEQUITIES.
00:29:49.821 --> 00:29:51.323
IT WITH OUR SENIOR CITIZENS
00:29:51.390 --> 00:29:52.658
THAT ARE STRUGGLING.
00:29:52.724 --> 00:29:53.358
AND.
00:29:53.425 --> 00:29:55.894
I WANT TO JUST OFFER MY SUPPORT
00:29:55.961 --> 00:29:57.329
TO. THE CORPORATE IF YOU WILL
00:29:57.396 --> 00:29:58.397
MAKE SURE THAT OUR SENIOR
00:29:58.463 --> 00:29:59.798
CITIZENS GETTING MEDIA. THEY
00:29:59.865 --> 00:30:01.800
PURPOSES THAT'S THEY NEED AND I
00:30:01.867 --> 00:30:03.969
LOOK FORWARD TO WORK WITH MY
00:30:04.036 --> 00:30:05.303
COLLEAGUES ON THIS AS WELL.
00:30:05.370 --> 00:30:06.605
IF YOU THINK ABOUT WHAT WENT ONE
00:30:06.672 --> 00:30:08.206
QUESTION.
00:30:08.273 --> 00:30:08.840
HAVE YOU GUYS PUT A PRICE TAG ON
00:30:08.907 --> 00:30:10.709
THIS.
00:30:10.776 --> 00:30:12.711
RIGHT NOW IT'S ESTIMATED ABOUT
00:30:12.778 --> 00:30:14.046
THIRTY MILLION GENERAL FUND AND
00:30:14.112 --> 00:30:16.281
THAT'S BASED ON A PREVIOUS BILL.
00:30:16.348 --> 00:30:16.882
IT'S PRETTY MODEST FIGURE MUCH
00:30:16.948 --> 00:30:19.551
OF.
00:30:19.618 --> 00:30:21.219
OKAY.
00:30:21.286 --> 00:30:22.788
SINCE OKAY YEAH AND I THINK IT'S
00:30:22.854 --> 00:30:24.256
WE TALKED ABOUT SOMETIMES A
00:30:24.322 --> 00:30:25.457
LARGER NUMBERS
00:30:25.524 --> 00:30:27.426
ALRIGHT. TRIED HOPEFULLY WE CAN
00:30:27.492 --> 00:30:28.627
YACHT SO WE'RE GONNA HOLD THAT
00:30:28.694 --> 00:30:30.696
OPEN AND HOPEFULLY WE CAN SEE
00:30:30.762 --> 00:30:32.531
WHAT I CAN DO BY MAY REVISE AND.
00:30:32.597 --> 00:30:34.166
FLEE THE GOVERNOR'S OFFICE MIGHT
00:30:34.232 --> 00:30:34.933
CONSIDER.
00:30:34.1000 --> 00:30:36.868
THE.
00:30:36.935 --> 00:30:38.670
CONSISTENCY HAVE DOING THAT OF
00:30:38.737 --> 00:30:39.771
THAT. ALRIGHT.
00:30:39.838 --> 00:30:41.940
NEXT ITEM WE HAVE HERE IS A
00:30:42.007 --> 00:30:43.375
DISKLESS EXPRESS LANE
00:30:43.442 --> 00:30:47.179
ELIGIBILITY FOR WHAT PROGRAM.
00:30:47.245 --> 00:30:48.046
AND WE HAVE.
00:30:48.113 --> 00:30:49.147
PERSON TEST OF TOOLS
00:30:49.214 --> 00:30:50.782
PARTNERSHIP.
00:30:50.849 --> 00:30:52.484
AND WE HAVE ANOTHER OKAY THOUGHT
00:30:52.551 --> 00:30:54.286
SHE CAN JUST INTRODUCE YOURSELF
00:30:54.352 --> 00:30:57.222
AND SILLY VALDEZ RIGHT. ALRIGHT
00:30:57.289 --> 00:30:58.490
SERVE ACTIONS WANT TO GO AHEAD
00:30:58.557 --> 00:30:59.658
FORMALLY INTRODUCE YOURSELVES
00:30:59.725 --> 00:31:01.626
FOR THE RECORD AND THEN WE'LL GO
00:31:01.693 --> 00:31:02.561
AHEAD AND THAT
00:31:02.627 --> 00:31:03.528
BETWEEN TWO YOU CAN DO IN THREE
00:31:03.595 --> 00:31:07.566
MINUTES THAT BE GREAT SO.
00:31:07.632 --> 00:31:09.368
THE SHIP ON BEHALF OF THE GUN
00:31:09.434 --> 00:31:10.535
CALIFORNIA CHILDREN'S COVERAGE
00:31:10.602 --> 00:31:12.537
CAN COALITION.
00:31:12.604 --> 00:31:13.672
IRV EARLY WITH THE CALIFORNIA
00:31:13.739 --> 00:31:14.873
WITH ASSOCIATION FOR THE EIGHTY
00:31:14.940 --> 00:31:16.908
THREE AGENCIES.
00:31:16.975 --> 00:31:18.443
THANK YOU RIGHT BUT HAVE BEEN ON
00:31:18.510 --> 00:31:20.011
MY MIND TO THINK OF THIS
00:31:20.078 --> 00:31:20.979
COMMITTEE AND.
00:31:21.046 --> 00:31:22.447
NUYS CHAIRMAN FOR.
00:31:22.514 --> 00:31:23.715
HEARING US AND HEARING THIS
00:31:23.782 --> 00:31:27.486
PROPOSAL AND WE ARE VERY PROUD
00:31:27.552 --> 00:31:28.053
OF CALIFORNIA SHOULD BE VERY
00:31:28.120 --> 00:31:28.587
PROUD OF THIS
00:31:28.653 --> 00:31:28.920
S. WE'VE MADE IN COVER
00:31:28.987 --> 00:31:29.621
CHILDREN.
00:31:29.688 --> 00:31:32.591
FORNEY AND.
00:31:32.657 --> 00:31:33.859
BUT THERE ARE TWO HUNDRED
00:31:33.925 --> 00:31:35.560
THOUSAND CHILDREN STILL
00:31:35.627 --> 00:31:37.295
UNINSURED IN CALIFORNIA.
00:31:37.362 --> 00:31:38.597
AND HALF OF THEM ARE ELIGIBLE
00:31:38.663 --> 00:31:40.132
FOR MEDICAID ALSO CLEARLY THE
00:31:40.198 --> 00:31:41.433
WORK TO BE DONE IS TRYING TO
00:31:41.500 --> 00:31:43.468
FIND THOSE THAT ON OUR ELIGIBLE
00:31:43.535 --> 00:31:45.670
IN ROLL THEM. SO AND THIS IS A
00:31:45.737 --> 00:31:47.939
PROPOSALS AND SO SMART SORT OF
00:31:48.006 --> 00:31:49.941
US SMART EFFICIENT STRATEGY OF
00:31:50.008 --> 00:31:51.243
GOING TO WEAR THAT LARGE NUMBER
00:31:51.309 --> 00:31:53.111
OF CHILDREN ARE. AND ACCORDING
00:31:53.178 --> 00:31:54.846
TO THE WICK DATA THERE'S ABOUT
00:31:54.913 --> 00:31:55.914
NINETY THOUSAND.
00:31:55.981 --> 00:31:58.350
WHERE CHILDREN THAT ARE
00:31:58.417 --> 00:32:00.585
ELIGIBLE AND FOR MEDI CAL BUT
00:32:00.652 --> 00:32:03.054
NOT IN RULED? AND SO THIS IS A
00:32:03.121 --> 00:32:04.723
CLEAR AUTUMN OPPORTUNITY TO
00:32:04.790 --> 00:32:05.724
ENROLL THEM BASED ON THE
00:32:05.791 --> 00:32:06.992
INFORMATION THEY ALREADY HAVE
00:32:07.058 --> 00:32:08.527
PROVIDED FROM THERE WICK
00:32:08.593 --> 00:32:09.861
APPLICATION.
00:32:09.928 --> 00:32:11.963
AND SO BECAUSE THE SYSTEM'S
00:32:12.030 --> 00:32:13.265
ALREADY TALK TO EACH OTHER AT
00:32:13.331 --> 00:32:15.767
THE END THERE IS A WAY IN WHICH
00:32:15.834 --> 00:32:17.269
WE COULD VERY EASILY MAKE THAT.
00:32:17.335 --> 00:32:18.103
FROM SOMETHING THAT A AND
00:32:18.170 --> 00:32:19.404
EXPEDITES ENROLLMENT THERE'S
00:32:19.471 --> 00:32:22.040
FEDERAL AUTHORITY AND TO IT TO
00:32:22.107 --> 00:32:23.975
DO THIS THAT ALLOWS THEM TO USE
00:32:24.042 --> 00:32:25.811
THE WICK AND FINDINGS AND WE
00:32:25.877 --> 00:32:27.212
EVEN HAVE A STATE STATUTE ON
00:32:27.279 --> 00:32:28.980
THAT SO. ON IT ALL THE PLACE
00:32:29.047 --> 00:32:31.316
PIECES ARE IN PLACE AND I THINK
00:32:31.383 --> 00:32:31.917
EASY FIX TO TRY AND GET THOSE
00:32:31.983 --> 00:32:34.719
KIDS.
00:32:34.786 --> 00:32:35.253
AND SHE'S HERE FOR OF ANY
00:32:35.320 --> 00:32:36.621
QUESTIONS.
00:32:36.688 --> 00:32:38.457
IF YOU HAVE ANY UNLIKE.
00:32:38.523 --> 00:32:39.124
OKAY.
00:32:39.191 --> 00:32:41.726
ELLIOTT AND ACTUALLY DTS
00:32:41.793 --> 00:32:42.527
INCUMBENTS.
00:32:42.594 --> 00:32:43.829
BIO.
00:32:43.895 --> 00:32:44.729
FINANCE.
00:32:44.796 --> 00:32:46.031
THE.
00:32:46.097 --> 00:32:47.365
COMMITTEE MEMBERS.
00:32:47.432 --> 00:32:49.801
UP SO.
00:32:49.868 --> 00:32:53.271
ALRIGHT SO I AM IN TERMS OF.
00:32:53.338 --> 00:32:55.507
I MEANS WELL BECAUSE THERE IS A
00:32:55.574 --> 00:32:56.942
WELL KNOWN PROGRAM.
00:32:57.008 --> 00:32:58.944
THEORY COLLECTING DATA
00:32:59.010 --> 00:33:00.612
ELIGIBILITY TO CERTAIN EXTENT.
00:33:00.679 --> 00:33:02.747
SPLURGED PREGNANT WOMEN AND
00:33:02.814 --> 00:33:03.648
KIDS SO YOU THINK.
00:33:03.715 --> 00:33:05.650
.
00:33:05.717 --> 00:33:07.385
WHAT DO YOU SEE ANY CHALLENGES
00:33:07.452 --> 00:33:08.486
TO DECIDE FROM MONEY TO DOING
00:33:08.553 --> 00:33:09.187
THIS?
00:33:09.254 --> 00:33:14.860
PARENTS.
00:33:14.926 --> 00:33:16.361
WELL A DIPLOMATIC AS DEPARTMENT
00:33:16.428 --> 00:33:16.995
OF FINANCE.
00:33:17.062 --> 00:33:19.130
WILL HAVE TO GO BACK AND
00:33:19.197 --> 00:33:19.397
EVALUATE.
00:33:19.464 --> 00:33:20.398
.
00:33:20.465 --> 00:33:22.634
THAT PIECE I AM I DON'T KNOW IF
00:33:22.701 --> 00:33:24.402
WE'VE TAKEN A LOOK AT.
00:33:24.469 --> 00:33:28.173
ELIGIBILITY AND WAKE.
00:33:28.240 --> 00:33:30.208
BUT WILK WILL GO BACK AND TAKE
00:33:30.275 --> 00:33:31.877
A LOOK A CLOSER LOOK. BUT NO
00:33:31.943 --> 00:33:33.011
THERE'S ANYTHING THAT.
00:33:33.078 --> 00:33:34.379
YOUR CAN SHARE THAT WOULD BE
00:33:34.446 --> 00:33:36.448
VERY HELPFUL. OKAY YEAH BECAUSE
00:33:36.514 --> 00:33:38.049
AT LEAST IN OUR NOTES HERE AND
00:33:38.116 --> 00:33:38.683
OF COURSE.
00:33:38.750 --> 00:33:39.818
WE'RE LOOKING AT ABOUT EIGHT
00:33:39.885 --> 00:33:42.454
MILLION FOR THE HEALTH CARE
00:33:42.521 --> 00:33:44.523
ITSELF AND ABOUT A MILLION TO.
00:33:44.589 --> 00:33:46.124
BUT ALL THE PIECES TOGETHER. BUT
00:33:46.191 --> 00:33:47.492
SEVEN MILLION FOR THEN ROMAN AND
00:33:47.559 --> 00:33:49.227
AND JUST OF MINUS LIKE FOUR
00:33:49.294 --> 00:33:50.629
HUNDRED THOUSAND AND JEN OKAY
00:33:50.695 --> 00:33:52.230
EVEN LET SARAH CHANGES ONE TIME
00:33:52.297 --> 00:33:54.566
SYSTEM CHANGES OKAY SO I LET'S
00:33:54.633 --> 00:33:57.335
SILICON.
00:33:57.402 --> 00:33:59.037
SIMPLY BECAUSE IT'S ME.
00:33:59.104 --> 00:34:00.038
ALRIGHT WELL WE HAVE PUBLIC
00:34:00.105 --> 00:34:01.573
COMMENT MAYBE THEY WILL SEE WITH
00:34:01.640 --> 00:34:03.275
THEIR DEGREE OR NOT.
00:34:03.341 --> 00:34:04.309
LINDA AWAY WITH WESTERN CENTER
00:34:04.376 --> 00:34:06.011
ON LAW AND POVERTY WE SUPPORT
00:34:06.077 --> 00:34:07.612
EFFORTS TO GET ELIGIBLE AYE
00:34:07.679 --> 00:34:09.014
WOMEN AND CHILDREN ON TED MEDI
00:34:09.080 --> 00:34:09.681
CAL THANK YOU.
00:34:09.748 --> 00:34:11.783
THANK YOU WELCOME.
00:34:11.850 --> 00:34:12.784
I WAS ABUSED CHILDREN'S DEFENSE
00:34:12.851 --> 00:34:14.052
FUND CALIFORNIA LIKE TO COMMENT
00:34:14.119 --> 00:34:15.487
ON BEHALF A CDF CALIFORNIA AND
00:34:15.553 --> 00:34:16.655
ALSO THE CHILDREN'S PARTNERSHIP
00:34:16.721 --> 00:34:17.989
THAT WE STRONGLY SUPPORT THIS
00:34:18.056 --> 00:34:20.191
COMMONSENSE MEASURE TO GET. A
00:34:20.258 --> 00:34:21.159
ELIGIBLE CHILDREN AND ROLL THIS
00:34:21.226 --> 00:34:22.627
IS BEEN A GOAL FOR CALIFORNIAN
00:34:22.694 --> 00:34:23.562
CALIFORNIA'S DOING REALLY WELL
00:34:23.628 --> 00:34:25.130
AS A GREAT WAY TO REACH SOME OF
00:34:25.196 --> 00:34:25.530
THE LAST.
00:34:25.597 --> 00:34:26.131
KIDS OUT THERE
00:34:26.197 --> 00:34:27.232
OKAY THANK YOU.
00:34:27.299 --> 00:34:29.234
WELCOME.
00:34:29.301 --> 00:34:30.802
WEST SAM'S AGAIN THAT WAS A
00:34:30.869 --> 00:34:32.804
CALIFORNIA US TWO. OKAY THANK
00:34:32.871 --> 00:34:33.171
YOU.
00:34:33.238 --> 00:34:35.040
WELCOME.
00:34:35.106 --> 00:34:37.075
MARRIED OUT OF HEALTH ACCESS AND
00:34:37.142 --> 00:34:39.044
SUPPORT THANK YOU WELCOME.
00:34:39.110 --> 00:34:40.579
NO I PART OF MOST CRLA
00:34:40.645 --> 00:34:42.314
FOUNDATION WE AGREE TO HANK YOU
00:34:42.380 --> 00:34:44.616
THANK YOU. WELCOME ENABLE THIS
00:34:44.683 --> 00:34:46.184
NCH ACCESS STRONG SUPPORT THANK
00:34:46.251 --> 00:34:46.518
YOU.
00:34:46.584 --> 00:34:48.420
ALTHOUGH.
00:34:48.486 --> 00:34:49.087
A TOUCH OF OF CALIFORNIA
00:34:49.154 --> 00:34:50.155
COVERAGE IN HEALTH INITIATIVES
00:34:50.221 --> 00:34:51.423
IN STRONG SUPPORT. OKAY THANK
00:34:51.489 --> 00:34:53.124
YOU.
00:34:53.191 --> 00:34:54.993
WELL IT SOUNDS LIKE ANONYMOUS
00:34:55.060 --> 00:34:56.761
ALRIGHT SOUNDS GOOD.
00:34:56.828 --> 00:34:59.364
ANY OTHER QUESTIONS.
00:34:59.431 --> 00:34:59.698
ALRIGHT WELL.
00:34:59.764 --> 00:35:01.700
.
00:35:01.766 --> 00:35:03.168
STRIVE FIGURE THIS OUT THAT THE
00:35:03.234 --> 00:35:05.170
NUMBERS BUT TAXABLE US SEE WHAT
00:35:05.236 --> 00:35:06.905
MAY REVISE HOLDS AND.
00:35:06.972 --> 00:35:08.840
WILL HOLD THIS ITEM OPEN TO
00:35:08.907 --> 00:35:09.708
THINK SYMMETRY ADJUSTMENT.
00:35:09.774 --> 00:35:12.611
ALRIGHT.
00:35:12.677 --> 00:35:14.212
OKAY AND.
00:35:14.279 --> 00:35:16.314
THE THINGS.
00:35:16.381 --> 00:35:18.750
OTHERS THAT'S RIGHT OKAY LAST
00:35:18.817 --> 00:35:21.152
AGAIN NEXT ITEM IS THAT YES MEDI
00:35:21.219 --> 00:35:22.320
CAL AND ROMAN ASSISTANT ARE
00:35:22.387 --> 00:35:23.521
REACHED TALK ABOUT TRYING TO GET
00:35:23.588 --> 00:35:25.757
MORE PEOPLE FINDING THE PEOPLE
00:35:25.824 --> 00:35:27.158
WHO ARE QUALIFIED IN THE ROLE.
00:35:27.225 --> 00:35:28.493
SO WE HAVE SILLY ABOUT THIS
00:35:28.560 --> 00:35:30.195
MATERNAL AND CHILD HEALTH ACCESS
00:35:30.261 --> 00:35:31.896
RIGHT THINGS WELCOME THANK YOU
00:35:31.963 --> 00:35:33.698
SO MUCH FOR THIS OPPORTUNITY TO
00:35:33.765 --> 00:35:35.367
SPEAK. AGAIN MY NAME IS SAID
00:35:35.433 --> 00:35:36.901
EVER THIS I AM THE AVERAGE AN
00:35:36.968 --> 00:35:38.903
AROMA DIRECTOR OF MATERNAL AND
00:35:38.970 --> 00:35:39.904
CHILD HEALTH ACCESS.
00:35:39.971 --> 00:35:40.939
A NONPROFIT COMMUNITY BASED
00:35:41.006 --> 00:35:42.474
ORGANIZATION LOS ANGELES
00:35:42.540 --> 00:35:44.342
DEDICATED TO ENSURING MEANINGFUL
00:35:44.409 --> 00:35:47.012
ACCESS TO HEALTHCARE.
00:35:47.078 --> 00:35:49.347
AND CHICHI PARTNERS WITH A TINY
00:35:49.414 --> 00:35:51.049
MOMENT COLLABORATIVE A FIFTEEN
00:35:51.116 --> 00:35:53.385
ALLEY KHAN UNITY ORGANIZATIONS
00:35:53.451 --> 00:35:54.953
AND A STATEWIDE NETWORK OF OVER
00:35:55.020 --> 00:35:56.888
FORTY ORGANIZATIONS AND RULE AS
00:35:56.955 --> 00:35:58.690
WELL AS URBAN COUNTIES. ON THE
00:35:58.757 --> 00:36:00.558
COAST AND INLAND AND THE NORTH
00:36:00.625 --> 00:36:02.160
AND THE SOUTH OUR PARTNER
00:36:02.227 --> 00:36:03.895
ORGANIZATIONS ARE IN SACRAMENTO
00:36:03.962 --> 00:36:06.431
RIVERSIDE FRESNO SAN BERNARDINO
00:36:06.498 --> 00:36:07.599
SAN JOAQUIN.
00:36:07.666 --> 00:36:09.334
MONTEREY ORANGE CINEMA PLUS
00:36:09.401 --> 00:36:10.802
TWENTY OTHER COUNTIES MAKING IT
00:36:10.869 --> 00:36:12.637
TWENTY EIGHT TOTAL.
00:36:12.704 --> 00:36:13.805
HERE TODAY TO ASK FOR YOUR
00:36:13.872 --> 00:36:15.340
SUPPORT FOR THE CONTINUATION OF
00:36:15.407 --> 00:36:16.841
AB EIGHTY TWO FUNDING HAND THE
00:36:16.908 --> 00:36:18.576
AMOUNT OF TWENTY SIX POINT FIVE
00:36:18.643 --> 00:36:19.844
MILLION.
00:36:19.911 --> 00:36:21.413
OVER A TWO YEAR PERIOD.
00:36:21.479 --> 00:36:22.781
GRAININESS SEE OPPORTUNITY TO
00:36:22.847 --> 00:36:24.282
CONTINUE PROVIDING HEALTH
00:36:24.349 --> 00:36:26.351
OUTREACH ENROLLMENT AND ADVOCACY
00:36:26.418 --> 00:36:28.753
TWIN SURE UTILIZATION OR ACCESS
00:36:28.820 --> 00:36:29.888
AND THE RETENTION OF HEALTHCARE
00:36:29.954 --> 00:36:31.322
BENEFITS.
00:36:31.389 --> 00:36:32.657
AS YOU KNOW CURRENT FUNDING IS
00:36:32.724 --> 00:36:33.958
SCHEDULED TO END ON JUNE
00:36:34.025 --> 00:36:35.960
THIRTIETH OF THIS YEAR.
00:36:36.027 --> 00:36:37.362
WE ARE A NETWORK OF HIGHLY
00:36:37.429 --> 00:36:38.897
SKILLED AND EXPERIENCED HEALTH
00:36:38.963 --> 00:36:39.898
CARE ADVOCATES WHO HAVE BEEN
00:36:39.964 --> 00:36:41.399
COMMITTED TO SERVING THE MOST
00:36:41.466 --> 00:36:43.501
VULNERABLE IN OUR COMMUNITIES.
00:36:43.568 --> 00:36:45.370
WE SERVE THE UNINSURED AND THE
00:36:45.437 --> 00:36:46.704
UNDERINSURED THE MEDICALLY
00:36:46.771 --> 00:36:48.640
FRAGILE HIGH EMERGENCY ROOM
00:36:48.707 --> 00:36:50.442
USERS THE HOMELESS POOR AND
00:36:50.508 --> 00:36:52.143
WORKING POOR.
00:36:52.210 --> 00:36:53.945
CHILDREN AND MAKES ON
00:36:54.012 --> 00:36:55.580
IMMIGRATION STATUS FAMILIES
00:36:55.647 --> 00:36:57.248
VIRUS PREGNANT WOMEN FORMER AND
00:36:57.315 --> 00:36:58.883
FOSTER YOUTH.
00:36:58.950 --> 00:36:59.951
AND SENIORS.
00:37:00.018 --> 00:37:01.720
AND ALSO THE FORMERLY
00:37:01.786 --> 00:37:03.488
INCARCERATED AS WELL.
00:37:03.555 --> 00:37:05.123
WE NEED THEM WHERE THEY ARE
00:37:05.190 --> 00:37:06.458
BRINGING OUR SERVICES TO THEM WE
00:37:06.524 --> 00:37:08.126
SPEAK THEIR LANGUAGE WE GOTTA
00:37:08.193 --> 00:37:10.528
WORK SITES CHURCHES SCHOOLS
00:37:10.595 --> 00:37:12.263
SHELTERS FOOD PANTRIES
00:37:12.330 --> 00:37:13.832
LAUNDROMATS EXEDRA. WE ENROLLED
00:37:13.898 --> 00:37:15.200
THEM INTO HEALTH COVERAGE AND
00:37:15.266 --> 00:37:16.067
MAKE SURE THEY GET THE CARE THEY
00:37:16.134 --> 00:37:17.902
NEED WE ALSO CONNECTING TO ALL
00:37:17.969 --> 00:37:19.304
TYPES OF OTHER HEALTH SERVICES
00:37:19.370 --> 00:37:20.839
INCLUDING MENTAL HEALTH.
00:37:20.905 --> 00:37:22.173
AND SUBSTANCE ABUSE TREATMENT
00:37:22.240 --> 00:37:23.942
PROGRAMS AND ALSO CONNECTING TWO
00:37:24.008 --> 00:37:25.643
FOOD AND HOUSING SUPPORT
00:37:25.710 --> 00:37:27.112
SERVICES.
00:37:27.178 --> 00:37:28.880
AN ALLEY COUNTY ALONE WITH APD
00:37:28.947 --> 00:37:30.248
TO ARE REACHING A MOMENT FUNDS
00:37:30.315 --> 00:37:31.483
WE HAVE REACHED NEARLY TWO
00:37:31.549 --> 00:37:33.318
MILLION PEOPLE AND ASSISTED OVER
00:37:33.384 --> 00:37:34.719
TWO HUNDRED THOUSAND. WHEN
00:37:34.786 --> 00:37:36.521
ENROLLMENT JUST AS THE AS OF
00:37:36.588 --> 00:37:39.023
LAST OCTOBER RETENTION RATES AND
00:37:39.090 --> 00:37:41.493
THESE PROGRAMS ARE IN THE HIGH
00:37:41.559 --> 00:37:42.627
EIGHTY TO NINETY PERCENT.
00:37:42.694 --> 00:37:44.028
ARE AMONG THE POPULATIONS WE
00:37:44.095 --> 00:37:45.196
HAVE SERVE AND HUNDREDS OF
00:37:45.263 --> 00:37:46.264
THOUSANDS MORE HAVE BEEN
00:37:46.331 --> 00:37:47.499
ASSISTED THROUGHOUT THE STATE
00:37:47.565 --> 00:37:49.200
WITH THESE FUNDS OUR WORK IS
00:37:49.267 --> 00:37:51.136
CRITICAL AND ESPECIALLY. IN THIS
00:37:51.202 --> 00:37:52.504
FEDERAL CLIMATE WE SPEND A LOT
00:37:52.570 --> 00:37:54.172
OF TIME EDUCATING FAMILIES WITH
00:37:54.239 --> 00:37:55.673
IMMIGRANT MEMBERS AND USING
00:37:55.740 --> 00:37:57.442
THEIR FEARS WE ARE LOOKED UPON
00:37:57.509 --> 00:37:59.277
FOR ANSWERS CLARIFICATION AND
00:37:59.344 --> 00:38:00.678
HAVE BUILT TRUST WITHIN OUR
00:38:00.745 --> 00:38:02.480
COMMUNITIES. FOR THIS REASON WE
00:38:02.547 --> 00:38:04.382
SEEK YOUR SUPPORT LOSING THESE
00:38:04.449 --> 00:38:05.950
SERVICES DUE TO EXPIRED FUNDING
00:38:06.017 --> 00:38:07.819
WILL BE A DETRIMENT NOT ONLY TO
00:38:07.886 --> 00:38:09.087
THESE COMMUNITIES BUT TO THE
00:38:09.154 --> 00:38:10.555
ENTIRE STATE OF CALIFORNIA.
00:38:10.622 --> 00:38:13.124
THANK YOU SO MUCH.
00:38:13.191 --> 00:38:15.426
THANK YOU. A COMMENT SITE
00:38:15.493 --> 00:38:16.995
INCOMES FROM THE C. S..
00:38:17.061 --> 00:38:18.029
OKAY LA JOH.
00:38:18.096 --> 00:38:21.533
FINANCE.
00:38:21.599 --> 00:38:22.867
MISTER CHAIR MEMBERS AS YOU KNOW
00:38:22.934 --> 00:38:23.935
THESE PURPLES ARE THESE
00:38:24.002 --> 00:38:25.336
PROPOSALS ARE OUTSIDE OF THE
00:38:25.403 --> 00:38:26.938
GOVERNOR'S SPENDING PLAN WILL
00:38:27.005 --> 00:38:28.406
CONTINUE TO HAVE DISCUSSIONS.
00:38:28.473 --> 00:38:30.308
AND WE DO NOT HAVE A POSITION.
00:38:30.375 --> 00:38:31.843
ON THESE PROPOSALS AT THIS TIME
00:38:31.910 --> 00:38:33.745
OKAY BUT I DO APPRECIATE THEIR
00:38:33.812 --> 00:38:35.747
OUTSIDE THE. GOVERNOR'S CURRENT
00:38:35.814 --> 00:38:37.048
PROPOSAL BUT WE'RE HOPING THAT
00:38:37.115 --> 00:38:37.382
THAT.
00:38:37.448 --> 00:38:39.050
.
00:38:39.117 --> 00:38:41.419
WE CAN ALL COME TOGETHER.
00:38:41.486 --> 00:38:42.554
INCLUDES ELEMENT THERE ITSELF.
00:38:42.620 --> 00:38:45.056
.
00:38:45.123 --> 00:38:47.125
ACTUALLY IF WE'RE.
00:38:47.192 --> 00:38:48.159
SO WHERE IS THE FUNDING COMING
00:38:48.226 --> 00:38:50.161
FROM BEFORE.
00:38:50.228 --> 00:38:52.363
SELF KERN SO THAT I UNDERSTAND
00:38:52.430 --> 00:38:53.464
FUND SOME FUNNIES CAN BE
00:38:53.531 --> 00:38:55.233
EXPIRING AT THE END OF THIS BUT
00:38:55.300 --> 00:38:57.068
YELL AND JUNE THIRTIETH SO WHAT
00:38:57.135 --> 00:38:58.303
WHAT WHAT WHAT WHO IS CURRENTLY
00:38:58.369 --> 00:38:58.937
FUNDING.
00:38:59.003 --> 00:39:00.738
SO SO WE WE HAVE SOME AB TWO
00:39:00.805 --> 00:39:02.707
DOLLARS.
00:39:02.774 --> 00:39:05.543
.
00:39:05.810 --> 00:39:09.047
MODELERS SO IT'S FEDERAL
00:39:09.113 --> 00:39:10.415
MEDICARE OWN ADMINISTRATIVE
00:39:10.481 --> 00:39:11.850
ACTIVITIES.
00:39:11.916 --> 00:39:14.352
BINDING MONIES FOR THAT'S
00:39:14.419 --> 00:39:15.954
WHAT'S KIND OF KEPT US GOING I'M
00:39:16.020 --> 00:39:18.756
NOT SURE ANOTHER COUNTIES THAT.
00:39:18.823 --> 00:39:20.325
IS BEING WORKED OUT.
00:39:20.391 --> 00:39:22.861
OKAY AND SHE TOOK CAN LOOK LIKE
00:39:22.927 --> 00:39:23.461
YOU'RE ABOUT TO SAY SOMETHING
00:39:23.528 --> 00:39:24.729
ABOUT THE. THE FUNDING WAS
00:39:24.796 --> 00:39:26.664
ORIGINALLY I'M PROVIDED TO US
00:39:26.731 --> 00:39:27.265
THROUGH A FOUNDATION SO THEIR
00:39:27.332 --> 00:39:28.299
NON.
00:39:28.366 --> 00:39:30.001
BUT NOT STATE DOLLARS OKAY
00:39:30.068 --> 00:39:31.236
AFFECT TO DRAW DOWN THE FEDERAL
00:39:31.302 --> 00:39:33.404
MATCHING DOLLARS OKAY SO OF WAS
00:39:33.471 --> 00:39:35.173
ENTIRE AT HOW MUCH OF THE NON
00:39:35.240 --> 00:39:37.242
FEDERAL WAS. ALL THAT WAS A
00:39:37.308 --> 00:39:39.210
FOUNDATION. FOUNDATION OKAY SO
00:39:39.277 --> 00:39:41.012
NOW THE FOUNDATIONS.
00:39:41.079 --> 00:39:42.413
STOP DOING BUT IT'S BEEN
00:39:42.480 --> 00:39:43.848
FRAGMENTED SO WE'VE BEEN KIND OF
00:39:43.915 --> 00:39:45.617
SPLIT WITHIN LA SOME
00:39:45.683 --> 00:39:47.452
ORGANIZATIONS HAVE BEEN AB TWO
00:39:47.518 --> 00:39:49.387
AND OTHERS HAVE. HAVE BEEN
00:39:49.454 --> 00:39:50.588
MODELER OKAY FUNDED ALRIGHT
00:39:50.655 --> 00:39:53.258
OKAY.
00:39:53.324 --> 00:39:55.460
OKAY WELL WON'T GO AHEAD TAKE
00:39:55.526 --> 00:39:56.828
PUBLIC COMMENT THEN.
00:39:56.894 --> 00:39:58.663
LINDA WAY WITH WESTERN SINCE
00:39:58.730 --> 00:39:59.197
FEDERAL LAW AND POVERTY IN
00:39:59.264 --> 00:40:00.965
STRONG SUPPORT.
00:40:01.032 --> 00:40:03.167
WELCOME.
00:40:03.234 --> 00:40:03.968
THOUSAND VIEWS TO THE CHILDREN'S
00:40:04.035 --> 00:40:05.169
DEFENSE FUND A CALIFORNIA
00:40:05.236 --> 00:40:06.437
SPEAKING ON BEHALF OF CDF AND
00:40:06.504 --> 00:40:07.805
ALSO THE CHILDREN'S PARTNERSHIP
00:40:07.872 --> 00:40:08.973
IN STRONG SUPPORT JUST WANT TO
00:40:09.040 --> 00:40:10.108
POINT OUT THAT CALIFORNIA HAS
00:40:10.174 --> 00:40:11.342
ALREADY DONE SUCH A GREAT JOB TO
00:40:11.409 --> 00:40:12.777
EXPAND COVERAGE TO KIDS BUT.
00:40:12.844 --> 00:40:14.912
WITHOUT SERVICES LIKE THIS OUT
00:40:14.979 --> 00:40:15.680
WE WILL NEVER BE ABLE TO REALIZE
00:40:15.747 --> 00:40:17.515
THE FULL. POTENTIAL OF THAT AND
00:40:17.582 --> 00:40:19.417
ALSO JUST TO NOTE THAT ON IN THE
00:40:19.484 --> 00:40:20.485
CURRENT POLITICAL CLIMATE.
00:40:20.551 --> 00:40:21.753
UNDOCUMENTED CHILDREN ARE
00:40:21.819 --> 00:40:23.087
ELIGIBLE IN CALIFORNIA AND THOSE
00:40:23.154 --> 00:40:24.355
CHILDREN A LOT OF THEM WE MIGHT
00:40:24.422 --> 00:40:26.157
BE ABLE TO REACH WITHOUT ON
00:40:26.224 --> 00:40:26.758
SERVICES LIKE THIS THANK YOU.
00:40:26.824 --> 00:40:27.592
THANK YOU.
00:40:27.659 --> 00:40:29.827
WELCOME.
00:40:29.894 --> 00:40:31.095
WHAT SENDS UNITED WAYS
00:40:31.162 --> 00:40:32.096
CALIFORNIANS STRONG SUPPORT?
00:40:32.163 --> 00:40:32.864
THANK YOU.
00:40:32.930 --> 00:40:35.266
WELCOME.
00:40:35.333 --> 00:40:36.401
VERY VALID HEALTH ACCESS AND
00:40:36.467 --> 00:40:38.970
SUPPORT THAT YOU. WELCOME.
00:40:39.037 --> 00:40:40.538
PERRANCE AVERAGE SEE PAN IN
00:40:40.605 --> 00:40:42.206
SUPPORT THANK YOU BOTH.
00:40:42.273 --> 00:40:43.408
KELLY BROOKS ON BEHALF OF THE
00:40:43.474 --> 00:40:44.742
COUNTY WELFARE DIRECTORS
00:40:44.809 --> 00:40:45.943
ASSOCIATION PLEASED APPEARANCE
00:40:46.010 --> 00:40:48.112
PART THANK YOU. WELCOME.
00:40:48.179 --> 00:40:49.480
A TOUCH OF US A CALIFORNIA
00:40:49.547 --> 00:40:50.748
COVERAGE AND HEALTH INITIATIVE A
00:40:50.815 --> 00:40:52.417
STATEWIDE NETWORK OF OUT REACH
00:40:52.483 --> 00:40:53.084
MOMENT AND NAVIGATION
00:40:53.151 --> 00:40:54.752
ORGANIZATIONS HELPING FAMILIES
00:40:54.819 --> 00:40:56.521
GET INTO COVERAGE AND NAVIGATE
00:40:56.587 --> 00:40:58.156
THE HEALTHCARE DELIVERY SYSTEMS.
00:40:58.222 --> 00:40:59.257
AND OBVIOUSLY WERE IN VERY
00:40:59.324 --> 00:41:00.725
STRONG SUPPORT THANK YOU.
00:41:00.792 --> 00:41:03.728
WELCOME. NOBODY MOST CRLA
00:41:03.795 --> 00:41:05.263
FOUNDATION IN STRONG SUPPORT.
00:41:05.330 --> 00:41:06.831
THIS IS FUNDING THE NEEDS TO GO
00:41:06.898 --> 00:41:07.865
TO OUR COMMUNITIES THIS IS
00:41:07.932 --> 00:41:09.801
ACTUAL FUNDS THAT ARE ON THE
00:41:09.867 --> 00:41:11.903
GROUND SERVING OUR FARM WORKER
00:41:11.970 --> 00:41:13.738
UNDERSERVED RURAL COMMUNITIES IN
00:41:13.805 --> 00:41:14.372
PARTICULAR THANK YOU VERY MUCH.
00:41:14.439 --> 00:41:19.010
THANK YOU.
00:41:19.077 --> 00:41:21.145
ANY OTHER SO SHE'S. AN OF IN HIS
00:41:21.212 --> 00:41:22.613
ANSWERS QUESTIONS SO.
00:41:22.680 --> 00:41:24.115
I UNDERSTAND THAT.
00:41:24.182 --> 00:41:26.584
.
00:41:26.651 --> 00:41:29.954
LOOKS LIKE HERE ABOUT. WAS IT.
00:41:30.021 --> 00:41:31.356
A SEVEN THOUSAND APPROVED
00:41:31.422 --> 00:41:33.257
MEDICAL APPLICATIONS RESULTING
00:41:33.324 --> 00:41:33.524
FROM THIS.
00:41:33.591 --> 00:41:35.159
.
00:41:35.226 --> 00:41:36.494
THREE THIRTY THOUSAND
00:41:36.561 --> 00:41:38.997
BENEFICIARIES I MEAN OF.
00:41:39.063 --> 00:41:41.833
LUIS WAS LIKE IF PHAM.
00:41:41.899 --> 00:41:43.167
IF THEY DON'T GET ENROLLED A
00:41:43.234 --> 00:41:45.236
CERTAIN PERCENTAGE WILL BE SICK
00:41:45.303 --> 00:41:46.838
AND THOSE SHOPPERS UNINSURED.
00:41:46.904 --> 00:41:48.673
AND THEN WE'RE SUBSIDIZING BAD
00:41:48.740 --> 00:41:50.341
SOMEWAY PRIDE BECAUSE THAT
00:41:50.408 --> 00:41:52.010
MEASURE APPRECIATED BY CAN
00:41:52.076 --> 00:41:54.278
AFFORD TO ACTUALLY PAY. AND IN
00:41:54.345 --> 00:41:55.713
SOME SENSES.
00:41:55.780 --> 00:41:57.215
IF WE DON'T DO THIS HOW MUCH IS
00:41:57.281 --> 00:42:00.785
THIS GOING TO COST US.
00:42:00.852 --> 00:42:02.720
AND AND I'D LIKE TO ADD THAT I
00:42:02.787 --> 00:42:04.055
MEAN I KNOW THAT YOU DID BEFORE
00:42:04.122 --> 00:42:06.224
MY COMMENTS RIGHT SO MUCH OF OUR
00:42:06.290 --> 00:42:07.358
TIME IS SPENT ON.
00:42:07.425 --> 00:42:08.359
TROUBLESHOOTING.
00:42:08.426 --> 00:42:10.495
SO MAKING SURE THAT PEOPLE HAVE
00:42:10.561 --> 00:42:12.630
ACCESS TO ACTUAL SERVICES.
00:42:12.697 --> 00:42:14.165
SO COURT MAKE HELPING THEM
00:42:14.232 --> 00:42:15.833
COORDINATE THEIR THEIR SERVICES
00:42:15.900 --> 00:42:17.035
IN WORKING WITH THE HEALTH PLANS
00:42:17.101 --> 00:42:18.803
TO MAKE SURE THEIR. SERVICES GET
00:42:18.870 --> 00:42:20.204
AUTHORIZED I MEAN THERE'S A LOT
00:42:20.271 --> 00:42:22.907
OF WORK THAT'S TIED INTO TO
THIS.
00:42:22.974 --> 00:42:25.343
THAT'S BEEN DONE AND WE DO WE
00:42:25.410 --> 00:42:27.145
WORRY ABOUT WHERE WE'RE KIND OF
00:42:27.211 --> 00:42:28.479
THE ONLY GROUPS THAT ARE REALLY
00:42:28.546 --> 00:42:29.580
GOING OUT INTO THE COMMUNITIES
00:42:29.647 --> 00:42:31.082
THAT WE EXPECT PEOPLE TO GOING
00:42:31.149 --> 00:42:32.250
TO A GOVERNMENT OFFICE WHAT ARE
00:42:32.316 --> 00:42:34.585
THE CHANCES. OF THAT HAPPENING
00:42:34.652 --> 00:42:36.087
OKAY GETS UNDONE JUST ALSO
00:42:36.154 --> 00:42:38.256
TRYING TO FIGURE OUT HOW DO YOU
00:42:38.322 --> 00:42:39.690
QUANTIFY FOR EXAMPLE.
00:42:39.757 --> 00:42:41.225
IF YOU DON'T DO THIS YOU'RE NOT
00:42:41.292 --> 00:42:43.027
GONNA GET FOLKS.
00:42:43.094 --> 00:42:46.097
GOLD THIS PRINCESS AGE OF THESE
00:42:46.164 --> 00:42:48.099
MUNDANE DELFT PERCENTAGE OF THE.
00:42:48.166 --> 00:42:49.801
PEOPLE THEY NEED HEALTH CARE.
00:42:49.867 --> 00:42:51.235
THEY DON'T GET IT OR THEY SHOW
00:42:51.302 --> 00:42:52.870
UP AND THEY CAN'T AFFORD PAY FOR
00:42:52.937 --> 00:42:54.872
IT. AT THE BEGINNING OF FEDERAL
00:42:54.939 --> 00:42:56.240
MATCH DOLLAR THIS MONEY BUT IF
00:42:56.307 --> 00:42:58.876
THERE STEUBENVILLE MEDICARE
ALSO.
00:42:58.943 --> 00:43:00.678
WHATEVER COSTS THERE IS A FIFTY
00:43:00.745 --> 00:43:03.214
CAL WAS A FIFTY FIFTY AND BACK
00:43:03.281 --> 00:43:04.549
HOUSE NOT THE YOU KNOW.
00:43:04.615 --> 00:43:05.950
AND NOT THE HIGHEST FIGURE IN
00:43:06.017 --> 00:43:07.452
THE WORLD SO THAT BUT.
00:43:07.518 --> 00:43:10.021
DAYS I MEAN THAT'S THEIR LIVES
00:43:10.088 --> 00:43:11.322
MY FEDERAL MONEY WE BELIEVE ON
00:43:11.389 --> 00:43:12.957
THE TABLE BY NOT DOING THIS IN
00:43:13.024 --> 00:43:13.658
TERMS OF.
00:43:13.724 --> 00:43:15.626
IN TERMS OF ACTUAL YOU KNOW THE
00:43:15.693 --> 00:43:17.962
ACTUAL EXPENSE OF OF BY NOT
00:43:18.029 --> 00:43:19.397
DOING THIS RIGHT BECAUSE OF WHAT
00:43:19.464 --> 00:43:20.698
THAT MEANS IS THAT WHILE THEY
00:43:20.765 --> 00:43:22.934
SHOP IN A. HOSPITAL EMERGENCY
00:43:23.000 --> 00:43:25.970
ROOM.
00:43:26.037 --> 00:43:27.672
ETCETERA NOW OF WELL. HOW HOW
00:43:27.738 --> 00:43:28.739
DOES THAT COST GET COVERED
00:43:28.806 --> 00:43:30.842
ESPECIALLY SINCE AN UPRIGHT ABLE
00:43:30.908 --> 00:43:32.076
TO FOOT THE BILL THEMSELVES SO?
00:43:32.143 --> 00:43:34.345
AND IF THERE'S A WAY TO.
00:43:34.412 --> 00:43:35.580
COME UP WITH THAT ELISE STEVEN A
00:43:35.646 --> 00:43:38.049
BACKING A NAPKIN CALCULATION OF
00:43:38.115 --> 00:43:39.817
WHAT THE ACTUAL COSTS WOULD BE.
00:43:39.884 --> 00:43:41.619
AND THAT THEM THE FEDERAL THEM
00:43:41.686 --> 00:43:43.154
THE MODERATES ARE VERY MINIMAL
00:43:43.221 --> 00:43:45.690
THEY JUST HOPE A LOT MORE GROUPS
00:43:45.756 --> 00:43:48.159
TO THE SOUR. OKAY ALRIGHT. OKAY
00:43:48.226 --> 00:43:49.861
WELL.
00:43:49.927 --> 00:43:51.362
AND THOUGH THE COURTS THEN OF OF
00:43:51.429 --> 00:43:52.396
COURSE WILL HOLD THIS OPEN BUT
00:43:52.463 --> 00:43:54.265
MAYBE WE CAN LOOK AT SOME OF
00:43:54.332 --> 00:43:57.268
THAT AND SEE. ME HAD AT THAT.
00:43:57.335 --> 00:43:58.469
THINK THERE ARE I THINK THERE'S
00:43:58.536 --> 00:43:59.971
SOME ARGUMENT THAT MAY STILL BE
00:44:00.037 --> 00:44:01.005
COST EFFECTIVE TO.
00:44:01.072 --> 00:44:03.307
TO DO THIS.
00:44:03.374 --> 00:44:04.742
SO. OUR FAQ.
00:44:04.809 --> 00:44:06.477
MUCH.
00:44:06.544 --> 00:44:08.279
OKAY.
00:44:08.346 --> 00:44:09.347
ALRIGHT.
00:44:09.413 --> 00:44:10.715
OKAY.
00:44:10.781 --> 00:44:12.884
RIGHT.
00:44:12.950 --> 00:44:14.485
OKAY WELL I THINK WE'RE COMING
00:44:14.552 --> 00:44:16.254
UP TO THE ITEM THAT EVERYONE'S
00:44:16.320 --> 00:44:19.490
BEEN WAITING FOR THREE FORTY BE.
00:44:19.557 --> 00:44:21.792
ISSUE NUMBER SIX.
00:44:21.859 --> 00:44:23.427
I'M FRIGHTENED SO WILL I SEE
00:44:23.494 --> 00:44:25.496
SOME NEW PEOPLE AROUND THE TABLE
00:44:25.563 --> 00:44:26.597
SO MAY VOTE DO IT YES.
00:44:26.664 --> 00:44:29.033
FAQ I'M I'M SO.
00:44:29.100 --> 00:44:30.268
I HAD TO DO THIS BUT I HAVE A
00:44:30.334 --> 00:44:32.570
FLIGHT ALSO AND THIS IS REALLY
00:44:32.637 --> 00:44:32.970
IMPORTANT TO AND.
00:44:33.037 --> 00:44:34.238
.
00:44:34.305 --> 00:44:35.540
I WAS JUST WANTING IF IT WAS
00:44:35.606 --> 00:44:37.608
POSSIBLE IF I COULD. ASK A FEW
00:44:37.675 --> 00:44:39.143
QUESTIONS BEFORE I HAVE TO LEAVE
00:44:39.210 --> 00:44:40.211
BECAUSE I CAN'T MAKE KIND OF
00:44:40.278 --> 00:44:40.611
WAITING FOR THIS.
00:44:40.678 --> 00:44:41.479
.
00:44:41.546 --> 00:44:42.914
EVENT AND THAT I WOULD LOVE TO
00:44:42.980 --> 00:44:44.215
HEAR THE PRESENTATION BUT I
00:44:44.282 --> 00:44:45.216
THINK I UNDERSTAND THE SUBJECT
00:44:45.283 --> 00:44:46.384
MATTER. AND.
00:44:46.450 --> 00:44:47.485
THE LET ME JUST FOR THE RECORD
00:44:47.552 --> 00:44:48.719
OR DO IT BECAUSE IF YOU NEED
00:44:48.786 --> 00:44:50.254
BASIS QUICKEN TRADUCTION THIS
00:44:50.321 --> 00:44:51.756
AND DO NOT WE DO HAVE THE
00:44:51.822 --> 00:44:52.957
BACKGROUND ON TAPE FOR HERE SO
00:44:53.024 --> 00:44:54.592
I'LL.
00:44:54.659 --> 00:44:56.294
WELL LET'S PUT CENTER SOUND AND
00:44:56.360 --> 00:44:57.495
I GO AHEAD AND ASK HIS
QUESTIONS.
00:44:57.562 --> 00:44:57.962
IF YOU BY CHANCE READ
00:44:58.029 --> 00:44:59.730
BACKGROUND.
00:44:59.797 --> 00:45:01.532
OKAY SO WE CAN JUST QUICK
00:45:01.599 --> 00:45:03.401
INTRODUCTIONS AROUND THE TABLE.
00:45:03.467 --> 00:45:05.403
AND FOR CANDIDATES YES THEY CAN.
00:45:05.469 --> 00:45:05.870
RACES PICKFORD PLANNED
00:45:05.937 --> 00:45:07.438
PARENTHOOD.
00:45:07.505 --> 00:45:09.073
SUSAN ERLICH I'M THE CHIEF
00:45:09.140 --> 00:45:10.675
EXECUTIVE OFFICER IT'S LIKE UBER
00:45:10.741 --> 00:45:11.709
SEVERANCE ESCUCHA.
00:45:11.776 --> 00:45:15.012
IT SEEMED.
00:45:15.079 --> 00:45:16.547
PRETTY GUERRERO CEO SACRAMENTO
00:45:16.614 --> 00:45:17.949
NATIVE AMERICAN HEALTH CENTER
00:45:18.015 --> 00:45:19.984
OKAY ALEJO.
00:45:20.051 --> 00:45:22.086
BEN JOHNSON WITH DEALIO. FINANCE
00:45:22.153 --> 00:45:22.920
WELL ABOVE MONDAY BECAUSE
00:45:22.987 --> 00:45:24.889
FINANCE AND SERGIO EIGLER
00:45:24.956 --> 00:45:26.557
DEPARTMENT OF FINANCE OKAY THANK
00:45:26.624 --> 00:45:27.258
YU.
00:45:27.325 --> 00:45:28.559
SO NORMALLY WOULD HAVE DIRECTOR
00:45:28.626 --> 00:45:30.494
CANPRESENT BUT I'M GONNA ASSUME
00:45:30.561 --> 00:45:32.163
WE ARE. SOME OF US KNOW WHAT'S
00:45:32.229 --> 00:45:33.831
GOING ON AND I'M GONNA GO AHEAD
00:45:33.898 --> 00:45:35.333
LET'S HEAR STONE ASKS QUESTIONS
00:45:35.399 --> 00:45:36.968
BEFORE YES LEAVE FAKE YOU MISTER
00:45:37.034 --> 00:45:38.169
CHAIRMAN.
00:45:38.236 --> 00:45:39.136
TO ALL OF YOU THANK YOU FOR YOUR
00:45:39.203 --> 00:45:41.339
INDULGENCE LE. UNFORTUNATE
00:45:41.405 --> 00:45:42.340
SOUTHERN CALIFORNIA PEOPLE WE
00:45:42.406 --> 00:45:43.874
ONLY GET SO MANY OPTIONS TO GET
00:45:43.941 --> 00:45:45.176
ON A PLANE TO GET HOME SO.
00:45:45.242 --> 00:45:46.677
I APPRECIATE YOUR AND MEDIA KIND
00:45:46.744 --> 00:45:47.378
OF.
00:45:47.445 --> 00:45:49.347
COULD ADVANCE US SOME QUESTIONS
00:45:49.413 --> 00:45:50.314
TO YOU.
00:45:50.381 --> 00:45:51.949
IF THERE'S BEEN ANY ISSUE SO
00:45:52.016 --> 00:45:53.084
FAR THIS YEAR THAT I'VE GOTTEN
00:45:53.150 --> 00:45:54.518
SIGNIFICANT PHONE CALLS ON IT'S
00:45:54.585 --> 00:45:55.920
CERTAINLY BEEN THE THREE FORTY
00:45:55.987 --> 00:45:57.555
BE PROGRAM. AND I UNDERSTAND
00:45:57.622 --> 00:45:59.123
THIS CAMP THAT THE THE THE THE
00:45:59.190 --> 00:46:00.391
GOVERNOR HAS A DIRECTION HE
00:46:00.458 --> 00:46:01.392
WANTS TO GO ON THIS.
00:46:01.459 --> 00:46:03.527
BUT I AM VERY CONCERNED THAT
00:46:03.594 --> 00:46:05.096
THIS IS GOING TO INCREASE THE
00:46:05.162 --> 00:46:06.664
COSTS OF PHARMACEUTICALS FOR. A
00:46:06.731 --> 00:46:08.833
LOT OF HOSPITALS AND.
00:46:08.899 --> 00:46:11.402
ESPECIALLY ARE HURTING THE THE
00:46:11.469 --> 00:46:12.937
MORE RULING ONCE AND I DO HAVE A
00:46:13.004 --> 00:46:15.039
NUMBER RURAL HOSPITALS IN MY
00:46:15.106 --> 00:46:15.406
DISTRICT.
00:46:15.473 --> 00:46:16.040
AND.
00:46:16.107 --> 00:46:18.042
AYE I'M WORRIED THAT THAT'S
00:46:18.109 --> 00:46:19.510
GONNA.
00:46:19.577 --> 00:46:21.112
CREATE AN ACCESS PROBLEM TO
00:46:21.178 --> 00:46:23.047
THESE NEGATIVELY NEGATIVELY
00:46:23.114 --> 00:46:24.215
AFFECTED HOSPITALS.
00:46:24.282 --> 00:46:27.318
DO YOU SEE THAT POSSIBLE LACK
00:46:27.385 --> 00:46:29.120
OF ACCESS BECAUSE. WE TALK ABOUT
00:46:29.186 --> 00:46:30.187
A SIGNIFICANT AMOUNT OF MONEY TO
00:46:30.254 --> 00:46:31.722
SOME OF THESE ENTITIES.
00:46:31.789 --> 00:46:34.225
BUT CAN'T.
00:46:34.292 --> 00:46:37.094
I'M. SO I THINK THERE'S PROBABLY
00:46:37.161 --> 00:46:38.529
A DIFFERENCE OF OPINION.
00:46:38.596 --> 00:46:42.066
AS TO THE THE COST FOR THE LOSS
00:46:42.133 --> 00:46:43.701
OR THE SAVINGS IN THE PROGRAM.
00:46:43.768 --> 00:46:46.103
IT'S A PROGRAM THAT WAS NOT
00:46:46.170 --> 00:46:47.605
EVER INTENDED TO SERVE FOR THE
00:46:47.672 --> 00:46:49.206
MEDICAID POPULATION RIGHT.
00:46:49.273 --> 00:46:50.841
THE THREE FORTY BE PROGRAM WAS
00:46:50.908 --> 00:46:52.576
CREATED AND IS OPERATED BY
00:46:52.643 --> 00:46:54.679
HERSELF IT IS MEANT TO PROVIDE
00:46:54.745 --> 00:46:55.713
DISCOUNTED PHARMACEUTICAL
00:46:55.780 --> 00:46:57.181
COMPANIES ARE DISCOUNTED
00:46:57.248 --> 00:46:58.582
PHARMACEUTICALS.
00:46:58.649 --> 00:46:59.784
TWO INDIVIDUALS THAT ARE SERVED
00:46:59.850 --> 00:47:01.218
BY SAFETY NET CLINICS.
00:47:01.285 --> 00:47:02.720
THAT ARE SERVING UNINSURED AND
00:47:02.787 --> 00:47:03.821
LOW INCOME.
00:47:03.888 --> 00:47:05.189
THERE HAS BEEN.
00:47:05.256 --> 00:47:07.124
CONTINUED INTEREST AT THE
00:47:07.191 --> 00:47:09.393
FEDERAL LEVEL ABOUT MAKING SURE
00:47:09.460 --> 00:47:10.728
THAT THE DISCOUNTS THAT ARE
00:47:10.795 --> 00:47:12.296
OFFERED UNDER THOSE.
00:47:12.363 --> 00:47:14.999
PROGRAMS ON THOSE DRUGS
00:47:15.066 --> 00:47:15.199
ARE.
00:47:15.266 --> 00:47:17.101
.
00:47:17.168 --> 00:47:18.369
NOT OTHERWISE.
00:47:18.436 --> 00:47:20.571
HAVING.
00:47:20.638 --> 00:47:22.273
COSTS PASSED ON TO OTHER PAIRS
00:47:22.340 --> 00:47:24.008
AND I THINK THAT'S REALLY KIND
00:47:24.075 --> 00:47:25.409
OF THE HEART OF THE PROPOSAL.
00:47:25.476 --> 00:47:27.144
I'M FROM THE ADMINISTRATION
00:47:27.211 --> 00:47:29.480
WHICH IS WE ARE A PARTY TO THE
00:47:29.547 --> 00:47:30.781
THREE FORTY BE.
00:47:30.848 --> 00:47:32.516
DISCOUNTS AND AGREEMENTS
00:47:32.583 --> 00:47:34.518
BETWEEN THE PROVIDER AND THE
00:47:34.585 --> 00:47:36.721
MANUFACTURE AND YET WE ARE.
00:47:36.787 --> 00:47:39.557
REQUIRED TO ENSURE THAT THERE
00:47:39.623 --> 00:47:41.325
ARE NO DUPLICATE DISCOUNTS
00:47:41.392 --> 00:47:41.926
BEING.
00:47:41.992 --> 00:47:43.661
RETAINS.
00:47:43.728 --> 00:47:46.464
WE HAVE BECOME AWARE.
00:47:46.530 --> 00:47:48.733
DIET OBVIOUSLY AS YOU HAVE
00:47:48.799 --> 00:47:50.334
HEARD FROM MULTIPLE PROVIDERS
00:47:50.401 --> 00:47:51.302
THAT THEY'RE CONCERNED ABOUT
00:47:51.369 --> 00:47:53.637
THIS ON. IF YOU ARE A THREE
00:47:53.704 --> 00:47:55.773
FORTY BE. PROVIDER.
00:47:55.840 --> 00:47:57.875
AND YOU'RE WRITING A SCRIPT IS
00:47:57.942 --> 00:47:59.343
SOMEONE WHO GOES TO A PHARMACY
00:47:59.410 --> 00:48:01.545
THAT PHARMACY MAY NOT KNOW. THAT
00:48:01.612 --> 00:48:03.280
YOU ARE THREE FORTY BE PROVIDER
00:48:03.347 --> 00:48:04.181
YOU SHOULD PROBABLY TELL THEM
00:48:04.248 --> 00:48:05.950
BUT. THESE THINGS DON'T ALWAYS
00:48:06.016 --> 00:48:06.784
WORK OUT.
00:48:06.851 --> 00:48:09.820
AND THERE'S NO PROHIBITION THAT
00:48:09.887 --> 00:48:11.122
THREE FORTY BE PROVIDERS
00:48:11.188 --> 00:48:13.224
SUBMIT AND GET REIMBURSED FROM
00:48:13.290 --> 00:48:15.392
MANAGED CARE. AFTER ACQUISITION
00:48:15.459 --> 00:48:18.963
COSTS AND SO WE THE STATE ARE UP
00:48:19.029 --> 00:48:20.030
SO I'M SAYING THIS IS WHY WE
00:48:20.097 --> 00:48:21.298
WOULD RESPECTFULLY CAN JUST HAVE
00:48:21.365 --> 00:48:23.134
A DIFFERENCE OF OPINION IS THE
00:48:23.200 --> 00:48:25.069
PLAN SUBMIT THEIR RATES. US AND
00:48:25.136 --> 00:48:26.804
THEIR COSTS
00:48:26.871 --> 00:48:28.939
IF THEY ARE PAYING A COST BACK
00:48:29.006 --> 00:48:30.508
TO A THREE FORTY BE PROVIDER
00:48:30.574 --> 00:48:31.008
THAT IS NOT AT A THREE.
00:48:31.075 --> 00:48:32.510
POSITION
00:48:32.576 --> 00:48:34.712
BUT IT IS A HIGHER COST
00:48:34.779 --> 00:48:35.613
THE COST GETS PASSED US THE
00:48:35.679 --> 00:48:37.481
STATE. AS MEDICAID PROVIDER AND
00:48:37.548 --> 00:48:39.550
SO I THINK.
00:48:39.617 --> 00:48:40.217
THERE CERTAINLY.
00:48:40.284 --> 00:48:43.487
AB ITS A FAR MORE COMPLEX BAD
00:48:43.554 --> 00:48:44.722
DISCUSSION BUT I THINK THERE'S A
00:48:44.789 --> 00:48:46.157
DIFFERENCE OF PERSPECTIVE AS TO
00:48:46.223 --> 00:48:48.292
WHO PAYS AND HOW AND. AND WHO
00:48:48.359 --> 00:48:50.294
GETS SAVINGS AND WHO DOESN'T AND
00:48:50.361 --> 00:48:51.362
SO THAT'S KIND OF WHY THIS
00:48:51.428 --> 00:48:53.364
PROPOSAL IS IN FRONT OF HIM TH
00:48:53.430 --> 00:48:54.398
AND THANK YOU FOR THOSE ANSWERS.
00:48:54.465 --> 00:48:55.933
AND I CERTAINLY UNDERSTAND THE.
00:48:55.1000 --> 00:48:57.535
THE GOVERNOR'S CONCERNED ABOUT
00:48:57.601 --> 00:48:59.303
A WE CALLED DOUBLE DIPPING AND
00:48:59.370 --> 00:49:00.471
GETTING TOOL DISCOUNTS.
00:49:00.538 --> 00:49:02.540
BUT IT IT'S OUTLINED IN THE TWO
00:49:02.606 --> 00:49:04.175
THOUSAND SIXTEEN OIG REPORT THAT
00:49:04.241 --> 00:49:05.676
STATES ACROSS THE COUNTRY HAVE
00:49:05.743 --> 00:49:06.844
FOUND WAYS TO ENSURE THAT
00:49:06.911 --> 00:49:08.512
THEY'RE NOT CLAIMING REVIEWED ON
00:49:08.579 --> 00:49:09.880
DRUGS PURCHASED TWO THREE FORTY
00:49:09.947 --> 00:49:11.282
BE PROGRAM.
00:49:11.348 --> 00:49:12.683
SO WHY DOES.
00:49:12.750 --> 00:49:14.952
DCS THINK THAT THE WHOLE SO
00:49:15.019 --> 00:49:16.787
ELIMINATION OF THE WHOLE PROGRAM
00:49:16.854 --> 00:49:18.355
IS THAT IS THE BEST SOLUTION
FOR.
00:49:18.422 --> 00:49:19.590
FOR FOR MEDI CAL.
00:49:19.657 --> 00:49:21.759
.
00:49:21.826 --> 00:49:23.794
WHEN IT SUCH A VITAL COMPONENT I
00:49:23.861 --> 00:49:25.262
UNDERSTAND ITS ORIGINAL INTENT
00:49:25.329 --> 00:49:26.664
BUT WHEN YOU. YOU'RE LOOKING
00:49:26.730 --> 00:49:28.532
HOSPITALS TODAY AND YOU LOOK AT
00:49:28.599 --> 00:49:30.000
THE UNINSURED POPULATIONS ARE
00:49:30.067 --> 00:49:32.369
GOING TO THE EMERGENCY ROOMS AND
00:49:32.436 --> 00:49:33.871
ESPECIALLY THOSE RURAL AREAS.
00:49:33.938 --> 00:49:35.840
I THINK IT'S GOING TO HAVE A
00:49:35.906 --> 00:49:36.841
SIGNIFICANT.
00:49:36.907 --> 00:49:38.509
IMPACT ON THE ACCESS TO CARE
00:49:38.576 --> 00:49:40.511
WHICH IS SOMETHING THAT BROKEN.
00:49:40.578 --> 00:49:41.912
AND AYE I WOULD DEFER TO THE
00:49:41.979 --> 00:49:43.380
PROVIDERS TO HAVE TALK ABOUT.
00:49:43.447 --> 00:49:45.015
YOU KNOW IF YOU'RE ACQUIRING A
00:49:45.082 --> 00:49:46.550
DRUG.
00:49:46.617 --> 00:49:48.185
YOU KNOW AT A HUNDRED DOLLARS.
00:49:48.252 --> 00:49:49.687
I'M AND YOU'RE BEING REIMBURSED
00:49:49.753 --> 00:49:50.621
FOR THAT HUNDRED DOLLAR
00:49:50.688 --> 00:49:52.189
ACQUISITION COSTS.
00:49:52.256 --> 00:49:53.924
I OULD I WOULD DEFER TO THEM AS
00:49:53.991 --> 00:49:56.327
TO HOW THAT CHANGES THEIR COST.
00:49:56.393 --> 00:49:58.329
BUT FROM OUR STANDPOINT IS YOU
00:49:58.395 --> 00:50:00.698
KNOW WE AS A STATE AND OBVIOUSLY
00:50:00.764 --> 00:50:01.599
AS A.
00:50:01.665 --> 00:50:03.968
AS A PURCHASER INNER AB ENTITY
00:50:04.034 --> 00:50:05.369
THAT'S RESPONSIBLE FOR BOTH
00:50:05.436 --> 00:50:07.271
FEDERAL AND STATE FUNDS I'M WE
00:50:07.338 --> 00:50:08.539
ARE SEEKING TO NOT.
00:50:08.606 --> 00:50:09.974
.
00:50:10.040 --> 00:50:11.141
PAY FOR SOMETHING THAT WE
00:50:11.208 --> 00:50:12.576
OTHERWISE SHOULD BE REIMBURSING
00:50:12.643 --> 00:50:13.577
AT A DIFFERENT LEVEL YOU KNOW WE
00:50:13.644 --> 00:50:14.478
HAVE.
00:50:14.545 --> 00:50:17.214
FEDERAL RULES THAT SAY YOU KNOW.
00:50:17.281 --> 00:50:18.849
OUT PATIENT DRUGS SHOULD BE PAID
00:50:18.916 --> 00:50:20.784
FOR OUT AN ACQUISITION COST PLUS
00:50:20.851 --> 00:50:22.353
THE DISPENSING FEE. ON THE
00:50:22.419 --> 00:50:24.121
COMPLEXITY OF HOW THREE FORTY BE
00:50:24.188 --> 00:50:25.856
IS EITHER CONTRACTED ARE
00:50:25.923 --> 00:50:27.324
PROVIDED CERTAINLY MAKES IT MORE
00:50:27.391 --> 00:50:29.293
DIFFICULT SO A THREE A THREE
00:50:29.360 --> 00:50:30.628
FORTY BE DRUG.
00:50:30.694 --> 00:50:34.231
OR AT THREE FORTY BE A REBATE
00:50:34.298 --> 00:50:35.633
SHOULD NEVER HIT OUR REBATE
00:50:35.699 --> 00:50:38.369
SYSTEM AND YET THEY DO BECAUSE
00:50:38.435 --> 00:50:39.737
WHAT HAPPENS IS A PHARMACY FILLS
00:50:39.803 --> 00:50:40.871
A CLAIM.
00:50:40.938 --> 00:50:42.806
LATER ON THAT THREE FORTY BE
00:50:42.873 --> 00:50:44.375
PROVIDER GIVES A LIST TO THAT
00:50:44.441 --> 00:50:45.643
PHARMACY IN SAYS THESE ARE THE
00:50:45.709 --> 00:50:48.112
DRUGS THAT WERE THREE FORTY BE.
00:50:48.178 --> 00:50:50.147
DRUGS AND THEN THE PROBLEM IS AT
00:50:50.214 --> 00:50:52.149
THE PHARMACY WE PAY IN REAL TIME
00:50:52.216 --> 00:50:53.851
AS A PHARMACIST YOU WOULD KNOW.
00:50:53.918 --> 00:50:55.719
WE PAY IN REAL TIME SO THE
00:50:55.786 --> 00:50:57.555
PHARMACY LATER ON HOUSE TO AMEND
00:50:57.621 --> 00:50:58.789
THE CLAIM AND SAY OH BY THE WAY
00:50:58.856 --> 00:51:00.324
HERE ARE THE DRUGS THAT WERE
00:51:00.391 --> 00:51:01.892
THREE FORTY BE.
00:51:01.959 --> 00:51:03.527
THEY'VE ALREADY BEEN CLAIMS THEY
00:51:03.594 --> 00:51:05.362
WERE TO BEEN REIMBURSED AND SO
00:51:05.429 --> 00:51:07.231
THERE'S NO MECHANISM FOR WHICH
00:51:07.298 --> 00:51:08.933
WE ARE CAPABLE OF KIND OF UNWIND
00:51:08.999 --> 00:51:09.934
IN THAT AND THEN THE
00:51:10.000 --> 00:51:11.902
MANUFACTURES DISPUTE.
00:51:11.969 --> 00:51:13.304
THE INVOICES BECAUSE THEIR
00:51:13.370 --> 00:51:15.739
REBATES DON'T MATCH WITH WHAT WE
00:51:15.806 --> 00:51:16.273
HAVE SUBMITTED SO IT JUST.
00:51:16.340 --> 00:51:17.508
.
00:51:17.575 --> 00:51:19.276
IT IS A REALLY DIFFICULT.
00:51:19.343 --> 00:51:22.179
SYSTEM FOR US TO OPERATE AND
00:51:22.246 --> 00:51:23.948
AGAIN GOING BACK TWO THIS WAS
00:51:24.014 --> 00:51:25.549
NOT THE INTENTION OF THE PROGRAM
00:51:25.616 --> 00:51:27.318
RIGHT IT'S NOT A MEDICAID.
00:51:27.384 --> 00:51:29.620
RELATED ITEMS SO THIS WEEK D. H.
00:51:29.687 --> 00:51:31.655
CS RELEASE THE DRAFT LETTER TO
00:51:31.722 --> 00:51:33.424
ALL PLANS OUTLINING.
00:51:33.490 --> 00:51:35.225
STEPS AND MEDICARE MANAGED CARE
00:51:35.292 --> 00:51:36.760
PLANS MUST TAKE TO PREVENT THE
00:51:36.827 --> 00:51:38.929
DUPLICATIVE DISCOUNTS RECURRING.
00:51:38.996 --> 00:51:40.197
WHY NOT GIVE THAT A CHANCE FOR
00:51:40.264 --> 00:51:42.099
YEAR TO SEE IF THAT MIGHT SOLVE
00:51:42.166 --> 00:51:43.367
THE PROBLEM?
00:51:43.434 --> 00:51:45.302
BECAUSE MY AGAIN MIGHT MIGHT MY
00:51:45.369 --> 00:51:47.071
ULTIMATE CONCERN IS I DON'T TAKE
00:51:47.137 --> 00:51:48.739
ANY. MONEY ESPECIALLY FEDERAL
00:51:48.806 --> 00:51:50.808
MONEY OUT OF OUR HEALTH SYSTEM
00:51:50.874 --> 00:51:52.543
IN THE STATE OF CALIFORNIA.
00:51:52.610 --> 00:51:54.078
AND SO WHEN THE STATE CLAIMS A
00:51:54.144 --> 00:51:55.579
REBATE FROM A DRUG MANUFACTURE
00:51:55.646 --> 00:51:56.981
THESE HALF THAT REPEATS GOT A
00:51:57.047 --> 00:51:57.815
RETURN TO THE FEDERAL GOVERNMENT
00:51:57.881 --> 00:51:59.316
AND HE TALKED FOR ABOUT EIGHTY
00:51:59.383 --> 00:52:00.250
EIGHT TWELVE WE TALK ABOUT
00:52:00.317 --> 00:52:02.252
NINETY FIVE FIVE. YOU TALK ABOUT
00:52:02.319 --> 00:52:04.955
FIFTY FIFTY. AND SO. IT CENTERS
00:52:05.022 --> 00:52:05.956
ARE GOING TO BE TAKING A
00:52:06.023 --> 00:52:07.224
SIGNIFICANT AMOUNT OF MONEY OUT
00:52:07.291 --> 00:52:09.460
OF OUR HEALTHCARE SYSTEM AND.
00:52:09.526 --> 00:52:11.028
SENDING IT BACK TO WASHINGTON
DC.
00:52:11.095 --> 00:52:12.763
SO IT'S IT'S NOT THE REBATES
00:52:12.830 --> 00:52:14.698
THAT ARE IN QUESTION RIGHT SO WE
00:52:14.765 --> 00:52:16.500
GET BOTH MANDATED FEDERAL AND
00:52:16.567 --> 00:52:17.735
STATE REBATES AS A MEDICAID
00:52:17.801 --> 00:52:19.169
ENTITY WE HAVE A STATE
00:52:19.236 --> 00:52:20.938
SUPPLEMENTAL REBATE PROGRAM THAT
00:52:21.005 --> 00:52:22.706
WE NEGOTIATED WITH MANUFACTURERS
00:52:22.773 --> 00:52:25.075
DIRECTLY. I THINK THE ISSUE IN
00:52:25.142 --> 00:52:27.311
THIS IS A FAIR DISCUSSION IS THE
00:52:27.378 --> 00:52:30.214
BENEFIT OF THOSE DISCOUNTS AND
00:52:30.280 --> 00:52:30.414
THE.
00:52:30.481 --> 00:52:30.648
.
00:52:30.714 --> 00:52:32.516
THE.
00:52:32.583 --> 00:52:34.151
THE MONEY THAT IS BEING PAID BY
00:52:34.218 --> 00:52:35.252
THE HEALTH PLANS TO A THREE
00:52:35.319 --> 00:52:37.054
FORTY BE ENTITY THAT MAY NOT BE
00:52:37.121 --> 00:52:38.756
A THREE FORTY BE PRICE. THOSE
00:52:38.822 --> 00:52:40.357
BENEFITS ACCRUE OUTSIDE OF THE
00:52:40.424 --> 00:52:42.126
PURVIEW OF THIS DEPARTMENT AND
00:52:42.192 --> 00:52:44.595
OUTSIDE THE PURVIEW. OF.
00:52:44.662 --> 00:52:46.196
POLICY MAKERS ARE TAXPAYERS AND
00:52:46.263 --> 00:52:47.264
I THINK THAT THAT'S YOU
00:52:47.331 --> 00:52:49.199
CERTAINLY PART OF THE NAIONAL
00:52:49.266 --> 00:52:49.800
CONVERSATION THAT'S ALSO BEEN
00:52:49.867 --> 00:52:50.934
TAKING.
00:52:51.001 --> 00:52:53.303
PLACES THERE WERE. HEARINGS THE
00:52:53.370 --> 00:52:54.505
OTHER DAY IN THE SENATE.
00:52:54.571 --> 00:52:55.839
BETWEEN HOSPITALS AND THE
00:52:55.906 --> 00:52:58.208
FEDERAL SENATORS ABOUT YOU KNOW
00:52:58.275 --> 00:53:00.544
WHO GETS THE BENEFIT YOU KNOW IF
00:53:00.611 --> 00:53:02.312
THE BENEFIT IS ACCRUING TO THE
00:53:02.379 --> 00:53:04.214
HOSPITAL. BUT IT'S
00:53:04.281 --> 00:53:05.549
SUPPORTING THE SAFETY NET HOW DO
00:53:05.616 --> 00:53:06.717
WE KNOW THAT THOSE DOLLARS ARE
00:53:06.784 --> 00:53:08.252
GOING IN THE RIGHT PLACE I THINK
00:53:08.318 --> 00:53:09.119
THE PROBLEM IS IS THAT NGUYEN
00:53:09.186 --> 00:53:10.821
THE NEGOTIATION AND THE BENEFIT
00:53:10.888 --> 00:53:12.456
DON'T ACCRUE TO THE. TO THE
00:53:12.523 --> 00:53:14.658
STATE ALMOND SO IF THERE'S A
00:53:14.725 --> 00:53:16.527
CONVERSATION TO BE HAD THAT'S
00:53:16.593 --> 00:53:17.861
THIS IS THE TIME TO HAVE THAT.
00:53:17.928 --> 00:53:19.630
SO I WOULD LOVE TO FURTHER OUR
00:53:19.697 --> 00:53:20.898
CONVERSATION I REALLY DO
00:53:20.964 --> 00:53:22.199
APPRECIATE YOUR ANSWERS AND I'M
00:53:22.266 --> 00:53:24.168
JUST WONDERING. I'M I HAVE HAD
00:53:24.234 --> 00:53:25.836
SOME VISITS FROM VARIOUS
00:53:25.903 --> 00:53:27.538
ENTITIES OF THROUGHOUT THE STATE
00:53:27.604 --> 00:53:28.172
BUT IN PARTICULAR THE RIVERSIDE
00:53:28.238 --> 00:53:29.039
COUNTY.
00:53:29.106 --> 00:53:30.374
REGIONAL MEDICAL CENTER WHICH
00:53:30.441 --> 00:53:31.642
IS UNIVERSITY HEALTH SYSTEMS
00:53:31.709 --> 00:53:33.177
IMPACTS ON THEM AND CERTAINLY
00:53:33.243 --> 00:53:34.445
SOME ARE RURAL HOSPITALS.
00:53:34.511 --> 00:53:35.879
WOULD YOU MIND IF MY OFFICE
00:53:35.946 --> 00:53:36.914
WHICH COULD DROP A FOLLOW UP
00:53:36.980 --> 00:53:38.716
APPOINTMENT WITH SOME OF THESE
00:53:38.782 --> 00:53:40.184
ENTITIES TO SHARE THEIR
CONCERNS.
00:53:40.250 --> 00:53:42.086
BECAUSE I THINK WE ALL WANT IS
00:53:42.152 --> 00:53:42.786
IT WHEN IT OCCURS MANY
00:53:42.853 --> 00:53:44.455
CALIFORNIANS AS WE POSSIBLY CAN
00:53:44.521 --> 00:53:45.756
AND. AND AND KEEP THOSE FEDERAL
00:53:45.823 --> 00:53:47.391
DOLLARS HERE IF WE POSSIBLY CAN
00:53:47.458 --> 00:53:48.692
BUT I KNOW WE HAVE SOME ISSUES
00:53:48.759 --> 00:53:50.260
OF IT WILL AGREE ON SOME THINGS
00:53:50.327 --> 00:53:53.397
WILL DISAGREE ON. BUT I'LL
I'LL-EVERYONE TO GO TO THE MAT
FOR
00:53:53.464 --> 00:53:54.898
THESE HOSPITALS ARE DOING
00:53:54.965 --> 00:53:56.066
YEOMAN'S JOB OF TRYING TO KEEP
00:53:56.133 --> 00:53:57.101
PEOPLE.
00:53:57.167 --> 00:53:58.869
HEALTHY ABSOLUTELY THANK YOU SO
00:53:58.936 --> 00:54:00.571
MUCH WHICH SHERMAN APPRECIATED I
00:54:00.637 --> 00:54:03.006
THINK YOU CENTER STONE APOLOGIZE
00:54:03.073 --> 00:54:04.742
THAT. YOU HAVE THE.
00:54:04.808 --> 00:54:05.342
THAT WE BUMPED UP AGAINST HER
00:54:05.409 --> 00:54:06.944
FLIGHT HERE.
00:54:07.010 --> 00:54:09.046
THE DELAYS ARE RIGHT WELL I KNOW
00:54:09.113 --> 00:54:10.080
THIS MAY SOUND WILL BACKWARDS
00:54:10.147 --> 00:54:10.781
BUT.
00:54:10.848 --> 00:54:12.015
FOR THE FOR ALL THE PEOPLE HAVE
00:54:12.082 --> 00:54:13.917
AND IT'S ABLE TO FOLLOW EIGHTY
00:54:13.984 --> 00:54:16.620
CAN PRESENT WHAT THE PROPOSAL
IS.
00:54:16.687 --> 00:54:18.088
WE WILL HAVE A SIMILAR DALY
00:54:18.155 --> 00:54:20.424
OAKLAND FINANCE COMMENTS AND.
00:54:20.491 --> 00:54:22.559
THEN WILL HAVE THE PANEL WHICH
00:54:22.626 --> 00:54:24.094
I'M SURE. THAT YOU'RE HERE
00:54:24.161 --> 00:54:25.562
EXHIBIT OPINION ABOUT THAT SELF
00:54:25.629 --> 00:54:26.563
OKAY.
00:54:26.630 --> 00:54:27.798
SURE AND SO JUST VERY QUICKLY
00:54:27.865 --> 00:54:29.333
BASED ON THE QUESTIONS I THINK.
00:54:29.399 --> 00:54:31.401
IT IT SHOULD BE CLEAR THAT THE
00:54:31.468 --> 00:54:33.137
GOVERNOR'S PROPOSAL IS TO
00:54:33.203 --> 00:54:34.304
ELIMINATE THE USE OF THREE FORTY
00:54:34.371 --> 00:54:36.240
BE. DRUGS IN THE MEDICAID
00:54:36.306 --> 00:54:37.141
PROGRAM.
00:54:37.207 --> 00:54:38.475
FOR A LOT OF.
00:54:38.542 --> 00:54:39.877
OF THE ADMINISTRATIVE REASONS
00:54:39.943 --> 00:54:41.245
THAT I JUST WENT INTO IN TERMS
00:54:41.311 --> 00:54:41.979
OF THEY ARE.
00:54:42.045 --> 00:54:43.714
DISCOUNTED DRUGS
00:54:43.780 --> 00:54:45.449
THE STATE RECEIVES DISCOUNTS.
00:54:45.516 --> 00:54:46.984
FROM PHARMACEUTICAL COMPANIES
00:54:47.050 --> 00:54:48.051
AS A.
00:54:48.118 --> 00:54:49.653
AS THE BENEFIT OF BEING A
00:54:49.720 --> 00:54:51.989
MEDICAID AGENCY AND SO THAT THE.
00:54:52.055 --> 00:54:53.690
ADMINISTRATIVE COMPLEXITY OF
00:54:53.757 --> 00:54:55.259
HOW WE BOTH REIMBURSED FOR
00:54:55.325 --> 00:54:56.693
PHARMACY AS WELL AS THE
00:54:56.760 --> 00:54:57.694
CONTINUED.
00:54:57.761 --> 00:55:00.397
AND FAR REACHING ON MANAGED
00:55:00.464 --> 00:55:01.131
CARE.
00:55:01.198 --> 00:55:02.866
EXPANSION IN CALIFORNIA HAS
00:55:02.933 --> 00:55:04.601
CERTAINLY CHANGED THE WAY IN
00:55:04.668 --> 00:55:06.003
WHICH WE REIMBURSE FOR. THESE
00:55:06.069 --> 00:55:08.372
PRODUCTS AND SO THE NATURE OF
00:55:08.438 --> 00:55:09.640
THE.
00:55:09.706 --> 00:55:11.775
WORKLOAD AROUND MAKING SURE
00:55:11.842 --> 00:55:13.076
THAT THESE ARE NOT A DUPLICATE
00:55:13.143 --> 00:55:14.678
DISCOUNTS ISN'T THAT ONE OF THE
00:55:14.745 --> 00:55:16.480
REASONS AND OBVIOUSLY THEY'VE
00:55:16.547 --> 00:55:18.081
BEEN FEDERAL CONCERNS REYES
SAID.
00:55:18.148 --> 00:55:18.682
BURYING.
00:55:18.749 --> 00:55:20.417
FORUMS THAT HAS LED US TO
00:55:20.484 --> 00:55:22.352
PROVIDE YOU KNOW PROPOSE WHAT WE
00:55:22.419 --> 00:55:23.520
ARE PROPOSING TODAY.
00:55:23.587 --> 00:55:26.123
WE WOULD BE PROBABLY COMING
00:55:26.190 --> 00:55:28.058
FORTH IN THE MAY REVISION.
00:55:28.125 --> 00:55:29.159
WITH SON.
00:55:29.226 --> 00:55:32.229
ABILITY ARE SOME AND.
00:55:32.296 --> 00:55:34.498
ROUGH SAVINGS I THAT WOULD BE
00:55:34.565 --> 00:55:36.233
REALIZE BASED ON THIS PROPOSAL
00:55:36.300 --> 00:55:38.035
TIME SHOULD BE ADOPTED IN TERMS
00:55:38.101 --> 00:55:40.237
OF WHAT THE SAVINGS ORINDA COST
00:55:40.304 --> 00:55:44.241
AVOIDANCE WOULD BE OTHERWISE.
00:55:44.308 --> 00:55:46.343
OKAY THAT COMES FROM A LEO.
00:55:46.410 --> 00:55:48.212
.
00:55:48.278 --> 00:55:49.446
YESTERDAY EVENING WE ACTUALLY
00:55:49.513 --> 00:55:50.914
RELEASED A REPORT DATA THAT
00:55:50.981 --> 00:55:52.482
INCLUDES OUR ANALYSIS OF THE
00:55:52.549 --> 00:55:53.917
GOVERNOR'S PROPOSAL.
00:55:53.984 --> 00:55:56.086
ON THE THREE FORTY P. PROGRAM
00:55:56.153 --> 00:55:56.720
AND.
00:55:56.787 --> 00:55:58.222
IN THE REPORT WE REALLY NEED
00:55:58.288 --> 00:56:00.057
THAT WE TEND TO REALLY CLEARLY
00:56:00.123 --> 00:56:01.825
AND SIMPLY LAYOUTS OF HOW THE
00:56:01.892 --> 00:56:03.493
PROGRAM INTERACTS WITH MEDI CAL
00:56:03.560 --> 00:56:04.895
AND SOME OF THE MAJOR ISSUES
00:56:04.962 --> 00:56:05.996
THAT ARE HERE.
00:56:06.063 --> 00:56:07.898
WE PROVIDE AN ASSESSMENT AND IN
00:56:07.965 --> 00:56:08.799
OUR ASSESSMENT WE RECOGNIZE
00:56:08.865 --> 00:56:10.534
AS THE ADMINISTRATIVE
00:56:10.601 --> 00:56:11.802
AND JUST BECAUSE BY THE PROGRAM
00:56:11.869 --> 00:56:12.803
FOR THE DEPARTMENT OF HEALTH
00:56:12.870 --> 00:56:14.037
CARE SERVICES.
00:56:14.104 --> 00:56:15.272
AND AGREE WITH THE
00:56:15.339 --> 00:56:16.707
ADMINISTRATION'S ASSESSMENT THAT
00:56:16.773 --> 00:56:18.041
THE ELIMINATION OF THREE FORTY
00:56:18.108 --> 00:56:19.776
P. IN MEDI CAL WOULD LIKELY
00:56:19.843 --> 00:56:21.245
RESULT IN AN OVERALL STATE
00:56:21.311 --> 00:56:31.788
SAVINGS.
00:56:31.855 --> 00:56:32.389
THE SAVINGS HOWEVER WE KNOW
00:56:32.456 --> 00:56:33.023
WOULD WOULD COME AT THE.
00:56:33.090 --> 00:56:33.690
EXPENSE OF SAVINGS THAT ARE
00:56:33.757 --> 00:56:34.324
CURRENTLY RETAINED BY COVERED
00:56:34.391 --> 00:56:35.025
ENTITIES AS WELL AS BY THEIR
00:56:35.092 --> 00:56:35.626
PARTNERS AND OTHER PARTICIPANTS
00:56:35.692 --> 00:56:36.193
IN THE HEALTHCARE SYSTEM.
00:56:36.260 --> 00:56:36.793
OVERALL WE FIND THAT THE
00:56:36.860 --> 00:56:37.461
PROPOSAL OF THE GOVERNOR.
00:56:37.527 --> 00:56:40.030
A MERIT SERIOUS CONSIDERATION.
00:56:40.097 --> 00:56:42.232
FLETCHER SENSE IT WOULD LIKELY
00:56:42.299 --> 00:56:44.201
RESULT IN SAVINGS AND ELIMINATE
00:56:44.268 --> 00:56:45.702
THOSE ADMINISTRATIVE CHALLENGES
00:56:45.769 --> 00:56:46.670
AND IT WOULD PREVENT THE
00:56:46.737 --> 00:56:48.305
DUPLICATE DISCOUNTS THAT ARE
00:56:48.372 --> 00:56:50.274
RECEIVING FEDERAL SCRUTINY. OF
00:56:50.340 --> 00:56:51.975
THE POTENTIAL SAVINGS THAT WOULD
00:56:52.042 --> 00:56:53.644
BE PROPONENT WOULD BE GENERATED
00:56:53.710 --> 00:56:55.712
UNDER THE PROPOSAL OUT WOULD BE
00:56:55.779 --> 00:56:57.080
GENERAL FUND RESOURCES
00:56:57.147 --> 00:56:58.782
ALTERNATELY AVAILABLE FOR
00:56:58.849 --> 00:57:00.918
APPROPRIATION BY THE
LEGISLATURE.
00:57:00.984 --> 00:57:02.419
AND GIVE THE LEGISLATURE
00:57:02.486 --> 00:57:03.854
FLEXIBILITY PURSUE ITS
00:57:03.921 --> 00:57:05.389
PRIORITIES AND SO FORTH AND
00:57:05.455 --> 00:57:07.157
MAXIMIZE THE LEGISLATIVE
00:57:07.224 --> 00:57:09.059
OVERSIGHT OVER HOUSE SAVINGS
00:57:09.126 --> 00:57:11.194
FROM DRUG DISCOUNT IN AND IN THE
00:57:11.261 --> 00:57:11.995
MEDICARE UNDER THE MEDICAID
00:57:12.062 --> 00:57:14.665
PROGRAM. ARE ULTIMATELY
TARGETED.
00:57:14.731 --> 00:57:17.000
WOULD PROVIDE CERTAIN EXAMPLES
00:57:17.067 --> 00:57:18.468
AND I KNOW THAT.
00:57:18.535 --> 00:57:20.304
WITH THE SAVINGS THE
00:57:20.370 --> 00:57:22.306
LEGISLATURE COULD OPT TO EITHER
00:57:22.372 --> 00:57:24.541
TEND TO HOLD COVERED ENTITIES TO
00:57:24.608 --> 00:57:26.143
SOME DEGREE HARMLESS FOR.
00:57:26.209 --> 00:57:27.544
FOR THE SAVINGS THAT THEY LOSE
00:57:27.611 --> 00:57:28.946
OR TO TARGET THE FUNDING FOR
00:57:29.012 --> 00:57:30.280
EXAMPLE TO.
00:57:30.347 --> 00:57:32.349
SPECIFIC COVERED ENTITIES WHO.
00:57:32.950 --> 00:57:34.818
WHERE THERE MIGHT BE ACCESS
00:57:34.885 --> 00:57:37.287
CHALLENGES AND SO FORTH SO WE
DO?
00:57:37.354 --> 00:57:39.289
WE DO ACTUALLY THOUGH.
00:57:39.356 --> 00:57:40.957
TO RECOMMEND THAT BEFORE
00:57:41.024 --> 00:57:42.125
REACHING A DECISION ON THE
00:57:42.192 --> 00:57:43.527
GOVERNOR'S PROPOSAL.
00:57:43.593 --> 00:57:46.229
THAT THE LEGISLATURE SHOULD ASK
00:57:46.296 --> 00:57:47.998
FOR ADDITIONAL KEY INFORMATION
00:57:48.065 --> 00:57:49.633
INCLUDING WHATWHAT THE MEDICAL
00:57:49.700 --> 00:57:51.835
SAVINGS BE LIKELY MOSTLY IN THE
00:57:51.902 --> 00:57:53.370
OUT YEARS.
00:57:53.437 --> 00:57:55.205
AND THEN WHAT WOULD THE FISCAL
00:57:55.272 --> 00:57:57.507
AND OTHER IMPACTS ON ON COVERED
00:57:57.574 --> 00:57:59.009
ENTITIES BE.
00:57:59.076 --> 00:58:00.377
FINALLY JUST NOTE THAT WE DO
00:58:00.444 --> 00:58:01.578
PROVIDE SOME PRELIMINARY
00:58:01.645 --> 00:58:03.246
ANALYSIS OF ALTERNATIVE
00:58:03.313 --> 00:58:05.449
APPROACHES TO SOLVING THIS ISSUE
00:58:05.515 --> 00:58:07.084
ON HAPPY TO TAKE ANY QUESTIONS
00:58:07.150 --> 00:58:08.652
ON THOSE.
00:58:08.719 --> 00:58:10.153
I DO. SO WHEN YOU'RE LOOKING AT
00:58:10.220 --> 00:58:11.254
THIS ISSUE USE YOU NOTE THE
00:58:11.321 --> 00:58:12.622
STATE SAVINGS.
00:58:12.689 --> 00:58:16.393
BUT IN TERMS OF OVERALL SO.
00:58:16.460 --> 00:58:19.029
IF WE ELIMINATE THREE FORTY BE.
00:58:19.096 --> 00:58:19.629
WHAT'S THE.
00:58:19.696 --> 00:58:21.932
.
00:58:21.999 --> 00:58:24.034
IS IS THIS THE AMOUNT OF MONEY
00:58:24.101 --> 00:58:25.736
THAT COVERED ENTITIES WHO OF
00:58:25.802 --> 00:58:27.571
COURSE WE ALSO PAY FOR ALL THE
00:58:27.637 --> 00:58:29.006
THINGS THAT WE KINDA NEED THEM.
00:58:29.072 --> 00:58:31.141
THERE SHE DELIVERED SERVICES.
00:58:31.208 --> 00:58:32.642
ARE AT ODDS IS THE AMOUNT OF
00:58:32.709 --> 00:58:37.080
STATE SAVINGS EQUIVALENT TO
WHAT.
00:58:37.147 --> 00:58:37.514
WE ARE WE GOING TO
00:58:37.581 --> 00:58:38.448
IN THAT
00:58:38.515 --> 00:58:40.484
LHASA FEDERAL DOLLARS BECAUSE
00:58:40.550 --> 00:58:42.419
THEY ACTUALLY GOT.
00:58:42.486 --> 00:58:44.287
YOU NO TWICE AS MUCH AND NOW
00:58:44.354 --> 00:58:45.722
WHAT HAPPENS IS WILL SAVE HALF
00:58:45.789 --> 00:58:47.891
OF THAT BUT THEY LOSE ALL OF IT
00:58:47.958 --> 00:58:50.360
AND SO WE WERE SO THAT.
00:58:50.427 --> 00:58:52.796
OUR HOUSE DARBAR MEDICARE.
00:58:52.863 --> 00:58:54.931
HEALTH SYSTEM ACTUALLY IS AND
00:58:54.998 --> 00:58:56.500
DOING WHAT THE OVERALL IMPACT
ON.
00:58:56.566 --> 00:58:58.068
AYE OCCULT ARE MEDI CAL HEALTH
00:58:58.135 --> 00:58:59.569
SYSTEM RIGHT SO IT THAT'S
00:58:59.636 --> 00:59:01.104
OBVIOUSLY STATE IS A PAYER BUT
00:59:01.171 --> 00:59:03.473
WE ALSO HAVE ALL THE ENTITIES
00:59:03.540 --> 00:59:04.341
ARE DELIVERING THE CARE.
00:59:04.408 --> 00:59:06.209
IS THAT IS THE END POINT THAT WE
00:59:06.276 --> 00:59:07.411
ACTUALLY SO YOU KNOW THE STATE
00:59:07.477 --> 00:59:09.246
HAS SAVINGS BUT OVERALL THERE'S
00:59:09.312 --> 00:59:10.881
THAT MUCH LESS MONEY IN THE
00:59:10.947 --> 00:59:13.216
OVERALL MEDI CAL. SYSTEM YEAH WE
00:59:13.283 --> 00:59:14.618
WE ABSOLUTELY RECOGNIZE THAT
00:59:14.684 --> 00:59:16.386
CONCERN SINCE THE SAVINGS WOULD
00:59:16.453 --> 00:59:17.988
BE I HAVE TO BE SHARED WITH THE
00:59:18.055 --> 00:59:19.589
FEDERAL GOVERNMENT HOWEVER WE
00:59:19.656 --> 00:59:21.024
NOTE THAT INSOFAR AS WE USE
00:59:21.091 --> 00:59:22.959
THOSE SAVINGS TO AUGMENT THE
00:59:23.026 --> 00:59:24.428
MEDI CAL PROGRAM IN OTHER WAYS
00:59:24.494 --> 00:59:26.063
SUCH AS THE IDEA OF YOU KNOW
00:59:26.129 --> 00:59:27.731
TARGETING FUNDS TOWARDS. COVERED
00:59:27.798 --> 00:59:29.266
ENTITIES WHERE THERE ARE ACCESS
00:59:29.332 --> 00:59:30.133
CHALLENGES.
00:59:30.200 --> 00:59:32.002
YOU KNOW PROVIDED IT'S IS
00:59:32.068 --> 00:59:33.437
WITHIN FEDERAL RULES WE COULD
00:59:33.503 --> 00:59:35.005
READ IT WE COULD ALSO DRAW DOWN
00:59:35.072 --> 00:59:37.207
THAT FUNDING AND SO STILL BE
00:59:37.274 --> 00:59:38.942
ABLE TO MAINTAIN THE USE OF
00:59:39.009 --> 00:59:41.011
FEDERAL DOLLARS SIMILARLY IF WE.
00:59:41.077 --> 00:59:43.146
USE THE SAVINGS ON OTHER SORT
00:59:43.213 --> 00:59:44.948
OF FEDERAL MATCHING PROGRAMS WE
00:59:45.015 --> 00:59:46.416
COULD YOU KNOW OVERALL.
00:59:46.950 --> 00:59:48.618
BENEFIT TO A LARGER DEGREE THAN
00:59:48.685 --> 00:59:50.120
JUST WHAT THE SAVINGS OF THE
00:59:50.187 --> 00:59:52.456
STATE WOULD RETAIN A UNDER THE
00:59:52.522 --> 00:59:53.390
GOVERNOR'S PROPOSAL.
00:59:53.457 --> 00:59:55.292
SO WITH SO I UNDERSTAND WHAT
00:59:55.358 --> 00:59:58.261
YOU'RE SAYING IS THAT.
00:59:58.328 --> 01:00:00.464
SAVINGS MIGHT NET OUT AS LONG AS
01:00:00.530 --> 01:00:02.099
THE THAT THAT THAT WHATEVER
01:00:02.165 --> 01:00:03.700
GENERAL FUND SAVINGS WE GENERATE
01:00:03.767 --> 01:00:04.801
FROM DOING THIS HAVE TO GO BACK
01:00:04.868 --> 01:00:06.736
INTO MEDI CAL.
01:00:06.803 --> 01:00:08.138
YEAH RIGHT I CAN IMAGINE HOW ARE
01:00:08.205 --> 01:00:09.706
YOU KNOW BECAUSE.
01:00:09.773 --> 01:00:10.874
NOW IN TERMS OF THE GIVEN THE
01:00:10.941 --> 01:00:12.943
LEVEL THE MATCH RIGHT EXACTLY
01:00:13.009 --> 01:00:14.377
TOP TEN TENDS TO BE HIGH
01:00:14.444 --> 01:00:15.545
NATURALLY NOT NOT NOT BE
01:00:15.612 --> 01:00:17.848
DIVERTED SOMEWHERE ELSE AND SOME
01:00:17.914 --> 01:00:19.282
OTHER PORTION THE BUDGET.
01:00:19.349 --> 01:00:21.084
I'M AYE YAY AND TO THE DEGREE%
01:00:21.151 --> 01:00:22.619
THAT IT'S PUT TOWARDS MATCHING
01:00:22.686 --> 01:00:23.587
DOLLARS WE COULD YOU KNOW
01:00:23.653 --> 01:00:24.955
INCREASE THE TOTAL FUNDS.
01:00:25.021 --> 01:00:26.823
BUT YES MEDI CAL HAS HIGH
01:00:26.890 --> 01:00:28.892
MATCHES AND IN CERTAIN AREAS
01:00:28.959 --> 01:00:30.827
EXPECT BESTSELLER TO BREAK EVEN.
01:00:30.894 --> 01:00:32.796
OUT IN THE I BELIEVE WE COULD IF
01:00:32.863 --> 01:00:34.798
IF IF THE MATCHING RATE TURNED
01:00:34.865 --> 01:00:35.966
AT THAT TURNED OUT TO THE SORT
01:00:36.032 --> 01:00:37.901
OF BE EXACTLY COMPARABLE THEN
01:00:37.968 --> 01:00:39.102
YEAH WE COULD WE COULD
01:00:39.169 --> 01:00:41.271
POTENTIALLY BREAK EVEN. ARE
01:00:41.338 --> 01:00:45.108
EXCELLENT CLARIFY OKAY FINANCE.
01:00:45.175 --> 01:00:46.943
IT'S A DRAG OVER DEPARTMENT OF
01:00:47.010 --> 01:00:48.211
FINANCE AS THOUGH FINANCE THAT
01:00:48.278 --> 01:00:49.479
SUPPORT THIS PROPOSAL TO
01:00:49.546 --> 01:00:51.081
ELIMINATE THE USE OF THREE FORTY
01:00:51.148 --> 01:00:52.582
PEOPLE IN THE MEDICAL PROGRAM.
01:00:52.649 --> 01:00:53.583
OUTRO THOUGH DOES ALLOW THE
01:00:53.650 --> 01:00:55.585
STATE TO COMPLY WITH FEDERAL
01:00:55.652 --> 01:00:57.687
REQUIREMENTS AYE HELPS PROTECT
01:00:57.754 --> 01:00:59.990
PROGRAM INTEGRITY AND REDUCE
01:01:00.056 --> 01:01:02.159
UNNECESSARY OVERPAYMENTS I'D
01:01:02.225 --> 01:01:03.226
ALSO ALLOW THE TWO CLICK
01:01:03.293 --> 01:01:04.127
MISSIONAL.
01:01:04.194 --> 01:01:04.761
STAY AT.
01:01:04.828 --> 01:01:07.597
DE FEDERAL DRUG REBATES AND
01:01:07.664 --> 01:01:08.932
THEN ALSO MITIGATES THE AMOUNT
01:01:08.999 --> 01:01:10.901
TIME AND RESOURCES SPENT ON
01:01:10.967 --> 01:01:11.768
TRYING TO ADDRESS.
01:01:11.835 --> 01:01:14.504
DRUG REBATE DISPUTES UP FOR
01:01:14.571 --> 01:01:16.273
THREE FORTY BE RELAYS CLAIMS AS
01:01:16.339 --> 01:01:17.807
A DIRECTOR CAN MENTIONED EARLIER
01:01:17.874 --> 01:01:19.442
WE ARE CURRENTLY IN THE PROCESS
01:01:19.509 --> 01:01:21.178
OF DEVELOPING A. FISCAL ESTIMATE
01:01:21.244 --> 01:01:23.079
FOR THE COST TO THE STATE AND WE
01:01:23.146 --> 01:01:25.916
DO AIMS AT SOMETHING FOR ME
01:01:25.982 --> 01:01:26.483
REVISE.
01:01:26.550 --> 01:01:27.117
HOWEVER WE DO KNOW SOME
01:01:27.184 --> 01:01:28.785
SIGNIFICANT CHALLENGES WITH
01:01:28.852 --> 01:01:30.387
DEVELOPING UP FISCAL ESTIMATE IN
01:01:30.453 --> 01:01:31.488
TERMS OF THE IMPACT OF COVERED
01:01:31.555 --> 01:01:33.557
ENTITIES PARTICULARLY GIVEN THAT
01:01:33.623 --> 01:01:35.759
THE LACK OF DATA. AND WE ARE
01:01:35.825 --> 01:01:36.493
OPEN HAVING CONTINUE
01:01:36.560 --> 01:01:39.062
CONVERSATIONS WITH THE LA JOH ON
01:01:39.129 --> 01:01:40.830
A POTENTIAL PROCHE TO TO LOOK AT
01:01:40.897 --> 01:01:41.765
THE IMPACT THE COVERED ENTITY
01:01:41.831 --> 01:01:43.600
THAN ALSO OPEN A CONVERSATION
01:01:43.667 --> 01:01:44.901
THE COVERED ENTITIES. ON THE
01:01:44.968 --> 01:01:46.636
AVAILABILITY OF DATA THAT COULD
01:01:46.703 --> 01:01:48.104
HELP US ACTUALLY DETERMINE A
01:01:48.171 --> 01:01:51.441
FISCAL IMPACT.
01:01:51.508 --> 01:01:53.109
AS FINANCING AGREE THAT.
01:01:53.176 --> 01:01:55.078
IF WE DO THIS BECAUSE OF THE
01:01:55.145 --> 01:01:57.047
NET LOSS TO COVERED ENTITIES
01:01:57.113 --> 01:01:59.482
THAT ANY SAVINGS WOULD BE RE
01:01:59.549 --> 01:02:03.486
SPENT AS NOT TO FILL. AS
01:02:03.553 --> 01:02:10.961
ADDITIONAL MEDICAL DOLLARS.
01:02:11.027 --> 01:02:11.995
I THINK WE'RE ALWAYS OPEN THE
01:02:12.062 --> 01:02:13.663
CONVERSATION DISCUSSION THEN AND
01:02:13.730 --> 01:02:15.298
I'D SAY OPEN THE CONVERSATIONS
01:02:15.365 --> 01:02:16.166
YOU GOOD THE CONCEPT SINCE WE'RE
01:02:16.233 --> 01:02:17.767
GONNA BASICALLY TAKE THE MONEY
01:02:17.834 --> 01:02:19.936
OUT OF THE COVERED ENTITIES THAT
01:02:20.003 --> 01:02:20.537
THAT MONEY NEEDS TO STAND MEDI
01:02:20.604 --> 01:02:21.571
CAL.
01:02:21.638 --> 01:02:23.440
SO WE CAN TO AT LEAST BREAK
EVEN.
01:02:23.506 --> 01:02:24.708
AT THAT THE CONVERSATION THAT WE
01:02:24.774 --> 01:02:26.710
CAN HAVE BUT WE GET THE C. AS
01:02:26.776 --> 01:02:28.945
TWO SEPARATE THINGS OF UNKNOWN
01:02:29.012 --> 01:02:30.513
THEY'RE NOT SEPARATE.
01:02:30.580 --> 01:02:32.816
YOU'RE CUTTING.
01:02:32.882 --> 01:02:35.685
BUT IT'S AN EGG CARTON.
01:02:35.752 --> 01:02:37.821
OKAY ALRIGHT I GOT AYE I HEARD
01:02:37.887 --> 01:02:39.856
WHAT YOU SAID. OKAY ALRIGHT WELL
01:02:39.923 --> 01:02:40.090
IT THAT.
01:02:40.156 --> 01:02:41.124
.
01:02:41.191 --> 01:02:42.692
OKAY NO THE QUESTION THEN I
01:02:42.759 --> 01:02:43.760
THINK WE'LL GO AHEAD THAT SIR
01:02:43.827 --> 01:02:45.829
HAVE A PANEL HERE.
01:02:45.895 --> 01:02:47.597
.
01:02:47.664 --> 01:02:49.065
AND WHAT ORDER YOU GUYS WANNA GO
01:02:49.132 --> 01:02:49.733
IN.
01:02:49.799 --> 01:02:51.468
BUT ART THEM I THINK I'M FIRST
01:02:51.534 --> 01:02:53.003
ON THE AGENDA AT MY NAME IS
01:02:53.069 --> 01:02:54.638
DENISE FOREMAN I'M THAT I'M A
01:02:54.704 --> 01:02:56.006
PHARMACIST AND I'M ALSO THE
01:02:56.072 --> 01:02:58.108
DIRECTOR OF PHARMACY SERVICES AT
01:02:58.174 --> 01:02:59.309
WHAT THE MEMORIAL HOSPITAL.
01:02:59.376 --> 01:03:01.077
WITH A MEMORIAL PARTICIPATES IN
01:03:01.144 --> 01:03:02.545
THE THREE FORTY BE PROGRAM I'M
01:03:02.612 --> 01:03:04.981
HERE TODAY IN OPPOSITION OF THIS
01:03:05.048 --> 01:03:06.983
BUDGET PROPOSAL TO PRECLUDE
01:03:07.050 --> 01:03:08.084
THREE FORTY BE PROVIDERS FROM
01:03:08.151 --> 01:03:10.387
DISPENSING DRUGS. PURCHASED
01:03:10.453 --> 01:03:11.054
THROUGH THE THREE FORTY BE
01:03:11.121 --> 01:03:12.822
DISCOUNT PROGRAM TO MEDI CAL
01:03:12.889 --> 01:03:14.124
PATIENTS.
01:03:14.190 --> 01:03:15.525
SERVING THE CITY OF WETLANDS IN
01:03:15.592 --> 01:03:16.960
THE SURROUNDING COMMUNITY FOR
01:03:17.027 --> 01:03:19.062
OVER A CENTURY WOODLAND PROVIDES
01:03:19.129 --> 01:03:21.031
NUMEROUS SERVICES SUCH AS ACUTE
01:03:21.097 --> 01:03:22.966
AND EMERGENCY CARE WERE
01:03:23.033 --> 01:03:24.200
RECOGNIZED THAT SINCE HER
01:03:24.267 --> 01:03:25.502
CENTERS OF EXCELLENCE FOR
01:03:25.568 --> 01:03:27.470
NUMEROUS SERVICES SUCH AS CRITIC
01:03:27.537 --> 01:03:29.205
WELLNESS PROGRAM CHEST PAIN
01:03:29.272 --> 01:03:30.974
CENTER. FAMILY BURST CENTER
01:03:31.041 --> 01:03:33.143
PRIMERS STROKE CENTER AND WE'RE
01:03:33.209 --> 01:03:34.778
ALSO A CERTIFIED BY THE
01:03:34.844 --> 01:03:36.713
COMMISSION ON CANCER WE ALSO
01:03:36.780 --> 01:03:38.982
INVEST IN SPECIAL COMMUNITY
01:03:39.049 --> 01:03:41.151
SERVICES SUCH AS THE YOLO ADULT
01:03:41.217 --> 01:03:42.218
DAY HEALTH CENTER.
01:03:42.285 --> 01:03:43.753
WE ARE ALSO ONE OF THE FEW
01:03:43.820 --> 01:03:45.655
PROVIDERS IN CALIFORNIA WITH AN
01:03:45.722 --> 01:03:48.658
INPATIENT PSYCHIATRIC ACUTE CARE
01:03:48.725 --> 01:03:50.160
PROGRAM AND RECENTLY EXPANDED
01:03:50.226 --> 01:03:53.029
OUR UNIT TO THIRTY ONE THAT'S.
01:03:53.096 --> 01:03:54.831
PATIENTS WITH PSYCHIATRIC NEEDS
01:03:54.898 --> 01:03:56.299
THAT NEED ACUTE CARE COME TO
01:03:56.366 --> 01:03:58.635
WOODLAND MEMORIAL FROM ALL OVER
01:03:58.702 --> 01:04:00.270
CALIFORNIA TO GET TREATMENT. FOR
01:04:00.336 --> 01:04:03.306
NEARLY TWENTY YEARS ARE INFUSION
01:04:03.373 --> 01:04:05.208
CENTER HAS PROVIDED ACCESS TO
01:04:05.275 --> 01:04:07.077
LIFESAVING TREATMENTS TO OUR
01:04:07.143 --> 01:04:08.611
NEIGHBORS SO THEY DON'T HAVE TO
01:04:08.678 --> 01:04:10.380
DRIVE TO SACRAMENTO OR TO THE
01:04:10.447 --> 01:04:11.881
BAY AREA TO GET TREATMENT.
01:04:11.948 --> 01:04:13.016
THE CENTER ALSO PLAYS AN
01:04:13.083 --> 01:04:14.617
IMPORTANT ROLE IN PROVIDING
01:04:14.684 --> 01:04:16.352
ACCESS TO TREATMENT PROVIDING
01:04:16.419 --> 01:04:18.121
CARE TO TWENTY FIVE PATIENTS
01:04:18.188 --> 01:04:19.689
TRIPS PER DAY WHICH IS ROUGHLY
01:04:19.756 --> 01:04:21.358
SIX THOUSAND FIVE HUNDRED
01:04:21.424 --> 01:04:23.360
PATIENTS PER YEAR. INDIAN FUSION
01:04:23.426 --> 01:04:24.461
CENTER.
01:04:24.527 --> 01:04:26.162
CANCER PATIENTS HAVE ACCESS TO
01:04:26.229 --> 01:04:28.398
CHEMOTHERAPY MS PATIENTS HAVE
01:04:28.465 --> 01:04:30.633
ACCESS TO DRUGS THAT HELP THEM
01:04:30.700 --> 01:04:32.535
STAY HEALTHY AND MOBILE.
01:04:32.602 --> 01:04:34.270
I THINK PATIENTS BATTLING OTHER
01:04:34.337 --> 01:04:35.405
DID PELLETS DEBILITATING
01:04:35.472 --> 01:04:37.674
ILLNESSES HAVE ACCESS TO OTHER
01:04:37.741 --> 01:04:38.942
LIFESAVING THERAPIES.
01:04:39.008 --> 01:04:40.243
OUR APPEARED MAKES IS
01:04:40.310 --> 01:04:41.745
CHALLENGING THE COMMUNITY WE
01:04:41.811 --> 01:04:43.380
SERVE IS DIVERSE.
01:04:43.446 --> 01:04:45.315
THE AVERAGE PATIENT AGES SIXTY
01:04:45.381 --> 01:04:46.816
PLUS YEARS BUT WE ALSO CARE FOR
01:04:46.883 --> 01:04:47.517
INDIVIDUALS RATE.
01:04:47.584 --> 01:04:49.719
SENIOR CENTER.
01:04:49.786 --> 01:04:51.688
TO THE HOMELESS TEENAGE
CHILDREN%
01:04:51.755 --> 01:04:53.556
COMING IN FOR CARE AFTER SCHOOL
01:04:53.623 --> 01:04:55.258
AND EVERYWHERE EVERYONE IN
01:04:55.325 --> 01:04:57.527
BETWEEN. BECAUSE WE ARE LOCATED
01:04:57.594 --> 01:04:59.095
IN THE COMMUNITY CHILDREN DO NOT
01:04:59.162 --> 01:05:01.030
HAVE TO MISS SCHOOL THE HOMELESS
01:05:01.097 --> 01:05:02.665
DO NOT HAVE TO TAKE A BUS ALL
01:05:02.732 --> 01:05:04.334
DAY TO RECEIVE CARE.
01:05:04.401 --> 01:05:05.902
SENIOR CITIZENS DO NOT UP TO
01:05:05.969 --> 01:05:07.403
CROSS THE CAUSEWAY INJURE
01:05:07.470 --> 01:05:08.838
CAPITAL CITY TRAFFIC TO
01:05:08.905 --> 01:05:10.840
IS THAT CARE. NEARLY FORTY
01:05:10.907 --> 01:05:12.208
PERCENT OF OUR PATIENTS ARE ON
01:05:12.275 --> 01:05:13.476
MEDICARE.
01:05:13.543 --> 01:05:15.445
AND MORE THAN THIRTY TWO PERCENT
01:05:15.512 --> 01:05:18.114
ARE MEDI CAL BENEFICIARIES LAST
01:05:18.181 --> 01:05:20.483
YEAR ALONE OUR HOSPITAL ONLY A
01:05:20.550 --> 01:05:22.552
HUNDRED AND THREE BEDS. PROVIDED
01:05:22.619 --> 01:05:24.654
MORE THAN THIRTY FOUR MILLION
01:05:24.721 --> 01:05:26.790
AND COMMUNITY BENEFIT. NEARLY
01:05:26.856 --> 01:05:28.925
FORTY PERCENT OF THE BENEFIT
01:05:28.992 --> 01:05:30.560
ALMOST THIRTEEN MILLION WAS A
01:05:30.627 --> 01:05:32.862
SHORT FALL FROM THE COST
01:05:32.929 --> 01:05:34.697
NOT CHARGES FOR CARING FOR MEDI
01:05:34.764 --> 01:05:36.199
CAL PATIENTS.
01:05:36.266 --> 01:05:37.734
ONE OF THE WAYS WE'RE ABLE TO
01:05:37.801 --> 01:05:39.636
SUSTAIN THIS LEVEL COMMITMENT TO
01:05:39.702 --> 01:05:40.870
OUR COMMUNITY IS BY
01:05:40.937 --> 01:05:42.405
PARTICIPATING IN THE THREE FORTY
01:05:42.472 --> 01:05:45.642
BE DISCOUNT DRUG PROGRAM. IN
01:05:45.708 --> 01:05:47.110
ADDITION TO HELPING A STRETCH
01:05:47.177 --> 01:05:48.878
SCARES REIMBURSEMENT BUT THREE
01:05:48.945 --> 01:05:50.680
FORTY BE PROGRAM ALLOWS US TO
01:05:50.747 --> 01:05:52.415
PURCHASE LIFESAVING DRUGS
01:05:52.482 --> 01:05:55.151
INCLUDING EXPENSIVE.
01:05:55.218 --> 01:05:57.086
CANCER TREATMENTS AN MS DRUGS AT
01:05:57.153 --> 01:05:59.022
A DISCOUNT TO TREAT THE PATIENTS
01:05:59.088 --> 01:06:01.524
IN OUR COMMUNITY. THE VALUE IN
01:06:01.591 --> 01:06:03.293
TWENTY SEVENTEEN TO THE THREE
01:06:03.359 --> 01:06:05.495
FORTY BE PROGRAM TO OUR HOSPITAL
01:06:05.562 --> 01:06:07.197
AMOUNTED TO ROUGHLY TWO POINT
01:06:07.263 --> 01:06:08.965
SIX MILLION DOLLARS JUST A
01:06:09.032 --> 01:06:11.167
FRACTION OF THE SHORTFALL WE
01:06:11.234 --> 01:06:11.734
EXPERIENCE FROM THAT ACCOUNT
01:06:11.801 --> 01:06:12.702
ALONE.
01:06:12.769 --> 01:06:16.172
NAPA.
01:06:16.239 --> 01:06:18.374
I'M HERE. TO ENCOURAGE THE
01:06:18.441 --> 01:06:19.742
COMMITTEE TO RECOMMEND THE
01:06:19.809 --> 01:06:20.477
DEPARTMENT TO WORK WITH
01:06:20.543 --> 01:06:22.412
PROVIDERS TO PROPERLY ADDRESS
01:06:22.479 --> 01:06:24.113
THE ISSUE OF DUPLICATE DISCOUNTS
01:06:24.180 --> 01:06:25.882
AND LEVER EXISTING COMPLAINTS
01:06:25.949 --> 01:06:27.217
METHODOLOGIES.
01:06:27.283 --> 01:06:29.853
WE OURSELVES DO CONDUCT INTERNAL
01:06:29.919 --> 01:06:32.689
AUDITS AND WE IDENTIFY ADDRESS.
01:06:32.755 --> 01:06:34.657
DISCREPANCIES FOR THE PROGRAM.
01:06:34.724 --> 01:06:36.092
I RESPECTFULLY ENCOURAGE YOU TO
01:06:36.159 --> 01:06:38.161
MAINTAIN PATIENT ACCESS TO CARE
01:06:38.228 --> 01:06:39.128
AND NOT TO APPROVE THIS HARMFUL
01:06:39.195 --> 01:06:41.097
PROPOSAL.
01:06:41.164 --> 01:06:43.733
THANK YOU THANK YOU ACRYLIC.
01:06:43.800 --> 01:06:45.368
I AM DOCTOR SUSAN EHRLICH ON THE
01:06:45.435 --> 01:06:46.769
CEO AT SOCCER PERSIMMONS IT'S
01:06:46.836 --> 01:06:48.605
GOOD GENERAL AND A PRIMARY CARE
01:06:48.671 --> 01:06:50.540
INTERNIST BECAUSE IF SHE IS ONE
01:06:50.607 --> 01:06:52.308
OF TWENTY ONE PUBLIC HIGH
01:06:52.375 --> 01:06:54.210
HEALTHCARE SYSTEMS IN CALIFORNIA
01:06:54.277 --> 01:06:55.445
THAT WOULD BE IMPACTED VERY
01:06:55.512 --> 01:06:57.413
SEVERELY BY THIS PROPOSAL. AND
01:06:57.480 --> 01:06:58.548
SO I'M HERE TODAY TO EXPRESS MY
01:06:58.615 --> 01:07:01.050
CONCERNS NOT JUST ABOUT MY
01:07:01.117 --> 01:07:02.218
FACILITY BUT ABOUT ALL OF THESE.
01:07:02.285 --> 01:07:03.386
TWENTY ONE.
01:07:03.453 --> 01:07:05.255
AND MOST IMPORTANTLY THE
01:07:05.321 --> 01:07:06.523
PATIENTS THAT WE SERVE.
01:07:06.589 --> 01:07:08.524
SOME BACKGROUND JUSTABOUT OUR
01:07:08.591 --> 01:07:10.059
FACILITY WE'RE THREE OR NINETY
01:07:10.126 --> 01:07:10.760
SEVEN.
01:07:10.827 --> 01:07:13.129
BED ACUTE CARE HOSPITAL OBSERVE
01:07:13.196 --> 01:07:14.864
MORE THAN A HUNDRED AND SIX
01:07:14.931 --> 01:07:16.366
THOUSAND PATIENTS PER YEAR.
01:07:16.432 --> 01:07:17.867
WERE PART OF THE SAN FRANCISCO
01:07:17.934 --> 01:07:19.769
DEPARTMENT OF PUBLIC HEALTH IN A
01:07:19.836 --> 01:07:20.537
CRITICAL RESOURCE FOR THE
01:07:20.603 --> 01:07:23.072
COMMUNITY. WHERE THE CITY'S
ONLY?
01:07:23.139 --> 01:07:24.607
THE CITY AND NORTHERN CEMETERY
01:07:24.674 --> 01:07:26.442
COUNTIES ONLY LEVEL ONE TRAUMA
01:07:26.509 --> 01:07:28.211
PROGRAM WHERE THE CITY'S ONLY
01:07:28.278 --> 01:07:30.146
TWENTY FOUR SEVEN PSYCHIATRIC
01:07:30.213 --> 01:07:31.648
EMERGENCY SERVICE.
01:07:31.714 --> 01:07:33.316
WE PROVIDE ALMOST SIX HUNDRED
01:07:33.383 --> 01:07:35.385
THOUSAND OUT PATIENT VISITS HERE
01:07:35.451 --> 01:07:36.986
THESE ARE PRIMARY CARE VISITS
01:07:37.053 --> 01:07:38.321
AND MEDICAL AND SURGICAL
01:07:38.388 --> 01:07:39.589
SPECIALTY VISITS WERE THOSE
01:07:39.656 --> 01:07:42.158
SPECIALTY HUB. FOR NOT JUST THE
01:07:42.225 --> 01:07:43.459
SAN FRANCISCO DEPARTMENT OF
01:07:43.526 --> 01:07:44.761
PUBLIC HEALTH BUT MOST OF THE A
01:07:44.827 --> 01:07:46.062
FEDERALLY QUALIFIED HEALTH
01:07:46.129 --> 01:07:47.897
CENTERS IN THE CITY.
01:07:47.964 --> 01:07:49.499
SO ALL THERE WERE NO CITYWIDE
01:07:49.566 --> 01:07:51.701
RESOURCE WE REALLY FOCUS ON THE
01:07:51.768 --> 01:07:53.069
MOST VULNERABLE IN OUR COMMUNITY
01:07:53.136 --> 01:07:54.671
ABOUT FIFTY PERCENT OF OUR
01:07:54.737 --> 01:07:55.438
PATIENTS ARE COVERED BY MEDICARE
01:07:55.505 --> 01:07:57.173
ALL. IN ABOUT TEN PERCENT ARE
01:07:57.240 --> 01:08:00.843
UNINSURED.
01:08:00.910 --> 01:08:02.478
THE DISCOUNTS WE GET A THREE
01:08:02.545 --> 01:08:03.980
FROM THE PHARMACEUTICAL INDUSTRY
01:08:04.047 --> 01:08:05.381
THROUGH THREE FORTY BE SUPPORT
01:08:05.448 --> 01:08:06.582
OUR EFFORTS TO IMPROVE CARE FOR
01:08:06.649 --> 01:08:08.918
ALL PATIENTS INCLUDING OFFERING
01:08:08.985 --> 01:08:10.954
SPECIAL SERVICES OFFER SPECIFIC
01:08:11.020 --> 01:08:12.355
POPULATIONS.
01:08:12.422 --> 01:08:14.090
THE PROGRAM ALSO PROTECTS
01:08:14.157 --> 01:08:15.925
SYSTEMS LIKE OURS FROM VERY HIGH
01:08:15.992 --> 01:08:17.627
DRUG PRICES.
01:08:17.694 --> 01:08:19.362
I WANT TO PROVIDE A FEW EXAMPLES
01:08:19.429 --> 01:08:20.596
OF THE SPECIAL SERVICES WERE
01:08:20.663 --> 01:08:22.231
ABLE TO PROVIDE TO OUR PATIENTS
01:08:22.298 --> 01:08:23.800
BECAUSE OF THE THREE FORTY BEEP
01:08:23.866 --> 01:08:24.934
BEEP PROGRAM.
01:08:25.001 --> 01:08:26.269
ONE EXAMPLE IS THAT OUR
01:08:26.336 --> 01:08:28.004
OPPOSITION FORMS THE OPERATION
01:08:28.071 --> 01:08:29.906
PROVIDES A FULL COMPLEMENT OF
01:08:29.973 --> 01:08:31.240
DISCHARGE PHARMACY SERVICES THAT
01:08:31.307 --> 01:08:33.109
ARE DESIGNED TO REDUCE HOSPITAL
01:08:33.176 --> 01:08:34.410
READMISSIONS FOR OUR MOST
01:08:34.477 --> 01:08:36.879
COMPLEX CLIENTS. WE IDENTIFY A
01:08:36.946 --> 01:08:38.414
PATIENTS AT HIGHEST THE HIGHEST
01:08:38.481 --> 01:08:40.249
RISK FOR RE ADMISSION. OF BASED
01:08:40.316 --> 01:08:41.684
ON THEIR HIGH RISK MEDICAL
01:08:41.751 --> 01:08:43.653
CONDITIONS LIKE HEART FAILURE OR
01:08:43.720 --> 01:08:45.421
HIGH RISK MEDICATIONS LIKE
01:08:45.488 --> 01:08:47.357
ANTICOAGULANTS OR INSULIN OR
01:08:47.423 --> 01:08:48.591
PATIENTS WITH A HISTORY OF
01:08:48.658 --> 01:08:50.927
MEDICATION NONCOMPLIANCE.
01:08:50.994 --> 01:08:53.029
AND THE SERVICE IS BASICALLY
01:08:53.096 --> 01:08:54.364
MEETING THE PATIENT BEFORE THEIR
01:08:54.430 --> 01:08:56.499
DISCHARGED PROVIDING THEM IN
01:08:56.566 --> 01:08:58.635
HAND WITH MEDICATIONS SO THEY'RE
01:08:58.701 --> 01:08:59.602
MORE LIKELY TO HAVE THEM AND
01:08:59.669 --> 01:09:01.404
TAKE THEM.
01:09:01.471 --> 01:09:03.139
SECONDLY PROVIDED ONE POINT SIX
01:09:03.206 --> 01:09:04.040
MILLION DOLLARS IN FREE
01:09:04.107 --> 01:09:06.209
MEDICATIONS FOR PATIENTS WHO ARE
01:09:06.275 --> 01:09:09.345
UNINSURED OR UNDER INSURED FOR.
01:09:09.412 --> 01:09:11.014
THEIR MEDICATIONS AND THEN
01:09:11.080 --> 01:09:11.948
FINALLY.
01:09:12.348 --> 01:09:13.816
THE LAST EXAMPLE PROVIDED
01:09:13.883 --> 01:09:15.151
SPECIALIZED SUPPORT FOR PATIENTS
01:09:15.218 --> 01:09:17.620
WITH HIV AND HEPATITIS C.
01:09:17.687 --> 01:09:18.955
REQUIRE COUNSELLING FOR THEIR
01:09:19.022 --> 01:09:20.256
MEDICATIONS WE DO THIS IN OUR
01:09:20.323 --> 01:09:22.358
SPECIALTY CLINICS. WE ALSO HAVE
01:09:22.425 --> 01:09:23.793
PHARMACISTS BASED IN OUR OUT
01:09:23.860 --> 01:09:26.029
PATIENT PRIMARY CARE CLINICS YOU
01:09:26.095 --> 01:09:27.230
CAN PROVIDE EXTRA COUNSELLING
01:09:27.296 --> 01:09:28.998
FOR PATIENTS WHO HAVE COMPLEX
01:09:29.065 --> 01:09:30.199
MEDICAL REGIMENS.
01:09:30.266 --> 01:09:32.101
OR EXTENSIVE NUMBERS OF
01:09:32.168 --> 01:09:33.369
MEDICATIONS I'VE USED THIS
01:09:33.436 --> 01:09:35.905
SERVICE RIGHT PATIENTS MYSELF.
01:09:35.972 --> 01:09:37.173
AND IT'S ESSENTIAL.
01:09:37.240 --> 01:09:38.975
TO PROVIDE A GOOD CARE TO THEM.
01:09:39.042 --> 01:09:41.244
.
01:09:41.310 --> 01:09:42.445
SUIT THE STATE'S PROPOSAL TO
01:09:42.512 --> 01:09:44.280
ELIMINATE THREE FORTY BE IN MEDI
01:09:44.347 --> 01:09:46.349
CAL WILL DRAMATICALLY INCREASE
01:09:46.416 --> 01:09:47.684
OUR PHARMACY COSTS BY MILLIONS
01:09:47.750 --> 01:09:50.420
OF DOLLARS IDEAS HAVE G. R. DRUG
01:09:50.486 --> 01:09:51.821
COSTS WOULD MORE THAN DOUBLE.
01:09:51.888 --> 01:09:54.690
FURTHERMORE UNDER FEDERAL LAW
01:09:54.757 --> 01:09:56.159
SOME THREE FORTY BE PROVIDERS
01:09:56.225 --> 01:09:57.560
LIKE US ARE PROHIBITED FROM
01:09:57.627 --> 01:09:59.128
PURCHASING DRUGS TO OTHER GROUP
01:09:59.195 --> 01:10:01.798
DISCOUNT OF PURCHASING PROGRAMS.
01:10:01.864 --> 01:10:03.833
AND SO WE WOULD BE FORCED TO
01:10:03.900 --> 01:10:06.335
PERVERTED BY OUR DRUGS AT THE
01:10:06.402 --> 01:10:08.104
WHOLESALE ACQUISITION COST.
01:10:08.171 --> 01:10:09.772
SORRY YES ALTERNATELY RAPIDLY
01:10:09.839 --> 01:10:11.207
JUST A COUPLE EXAMPLES OF WHAT
01:10:11.274 --> 01:10:13.409
THAT MEANS RETURN SEMANTICALLY
01:10:13.476 --> 01:10:14.677
PATIENTS FOR WHICH REMIT
01:10:14.744 --> 01:10:16.112
ARTHRITIS.
01:10:16.179 --> 01:10:17.847
IT GOES FROM ELEVEN THOUSAND
01:10:17.914 --> 01:10:20.049
TWO HUNDRED PER YEAR PER PATIENT
01:10:20.116 --> 01:10:22.285
TO TWENTY FIVE THOUSAND DOLLARS
01:10:22.351 --> 01:10:23.019
PER YEAR PER PATIENT.
01:10:23.086 --> 01:10:25.655
HIV MEDICATION.
01:10:25.721 --> 01:10:26.322
TO.
01:10:26.389 --> 01:10:27.490
TWENTY SIX HUNDRED DOLLARS PER
01:10:27.557 --> 01:10:28.858
MONTH A.
01:10:28.925 --> 01:10:29.058
TO.
01:10:29.125 --> 01:10:30.660
.
01:10:30.726 --> 01:10:32.495
SORRY DOT FIFTEEN HUNDRED
01:10:32.562 --> 01:10:33.896
DOLLARS PER MONTH AYE IN TWELVE
01:10:33.963 --> 01:10:34.931
FORTY BEE.
01:10:34.997 --> 01:10:37.433
TO TWENTY SIX HUNDRED DOLLARS
01:10:37.500 --> 01:10:39.402
SO EVEN BASIC DRUGS LIKE LANCE'S
01:10:39.469 --> 01:10:42.538
INSULIN COST TRIPLES FOR ROSS.
01:10:42.605 --> 01:10:45.208
A AND THEN AND SO WAS THE RESULT
01:10:45.274 --> 01:10:46.476
OF THIS WE WOULD HAVE TO.
01:10:46.542 --> 01:10:47.877
POTENTIALLY CLOSE THE ARE OUT
01:10:47.944 --> 01:10:49.745
PATIENT PHARMACY PRODUCER
01:10:49.812 --> 01:10:51.247
LIMITED ACCESS TO MEDICATIONS
01:10:51.314 --> 01:10:52.448
FOR THE AND UNINSURED OR
01:10:52.515 --> 01:10:54.617
UNDERINSURED. AND MAKE MAJOR
01:10:54.684 --> 01:10:56.686
FORMULARY RESTRICTIONS SO WHERE
01:10:56.753 --> 01:10:58.321
IN SUPPORT OF.
01:10:58.387 --> 01:10:59.889
TRYING TO FIX THE PROBLEM OF THE
01:10:59.956 --> 01:11:02.558
DUPLICATE DISCOUNTS AND NOT
01:11:02.625 --> 01:11:03.192
THROWING THE BABY OUT WITH THE
01:11:03.259 --> 01:11:04.193
BATHWATER.
01:11:04.260 --> 01:11:05.828
BECAUSE IT WOULD HAVE EXTENSIVE
01:11:05.895 --> 01:11:08.765
HARM ON A PROVIDERS LIKE THE SSG
01:11:08.831 --> 01:11:09.766
AND OUR COLLEAGUES IN THE OTHER
01:11:09.832 --> 01:11:11.234
UP ESSENTIAL PUBLIC HOSPITALS
01:11:11.300 --> 01:11:13.102
THANK YOU VERY MUCH THANK YOU
SO.
01:11:13.169 --> 01:11:15.404
I THINK FOR THEM THREE MINUTES.
01:11:15.471 --> 01:11:16.739
BUT TRY TO GO STRAIGHT TO THE
01:11:16.806 --> 01:11:18.007
POINT ABOUT WHAT THE FORTY BEES
01:11:18.074 --> 01:11:20.409
GONNA DO TO YOUR ORGANIZATION SO
01:11:20.476 --> 01:11:21.110
DON'T TELL ME.
01:11:21.177 --> 01:11:23.746
TYPE.
01:11:23.813 --> 01:11:25.214
MISTER CHAIR THANK YOU FOR THE
01:11:25.281 --> 01:11:26.749
OPPORTUNITY TO SHARE THE HEALTH
01:11:26.816 --> 01:11:28.017
CENTER PERSPECTIVE ON THREE
01:11:28.084 --> 01:11:30.019
FORTY P. AND THE IMPORTANT ROLE
01:11:30.086 --> 01:11:30.653
IT PLAYS IN SUPPORTING ACCESS TO
01:11:30.720 --> 01:11:31.821
CARE.
01:11:31.888 --> 01:11:33.022
MY NAME IS PRETTY GUERRERO I'M
01:11:33.089 --> 01:11:34.423
THE CEO OF THE SACRAMENTO NATIVE
01:11:34.490 --> 01:11:35.892
AMERICAN HEALTH CENTER.
01:11:35.958 --> 01:11:37.226
A NONPROFIT FEDERALLY QUITE
01:11:37.293 --> 01:11:38.828
HEALTH CENTER AN URBAN INDIAN
01:11:38.895 --> 01:11:40.997
PROGRAM. PROVIDING HEALTHCARE TO
01:11:41.063 --> 01:11:42.398
OVER EIGHTEEN THOUSAND PATIENTS
01:11:42.465 --> 01:11:44.100
DROUGHT SACRAMENTO. I'M A PROUD
01:11:44.167 --> 01:11:46.702
MEMBER OF CPC A CENTRAL. VALLEY
01:11:46.769 --> 01:11:47.870
HEALTH NETWORK AND THE
01:11:47.937 --> 01:11:48.838
CALIFORNIA CONSORTIUM PERMANENT
01:11:48.905 --> 01:11:52.041
AND HEALTH.
01:11:52.108 --> 01:11:52.642
I'M GONNA JUMP RIGHT INTO THE
01:11:52.708 --> 01:11:54.310
IMPACTS.
01:11:54.377 --> 01:11:55.711
NOT BEEN PROVIDING OR
01:11:55.778 --> 01:11:57.180
PARTICIPATING IN THE THREE FORTY
01:11:57.246 --> 01:11:58.648
BE PROGRAM SENSE AT TWENTY
01:11:58.714 --> 01:12:00.249
TWELVE.
01:12:00.316 --> 01:12:01.651
THE BEST SERVER CLIENTS WE HAVE
01:12:01.717 --> 01:12:03.219
AN IN HOUSE PHARMACY AND
01:12:03.286 --> 01:12:05.388
SEVENTEEN CONTRACT PHARMACIES.
01:12:05.454 --> 01:12:06.556
THIS MODEL ALLOWS OUR PATIENTS
01:12:06.622 --> 01:12:08.591
TIMELY ACCESS TO PHARMACEUTICALS
01:12:08.658 --> 01:12:09.992
INCLUDING SPECIALTY MEDIC
01:12:10.059 --> 01:12:12.228
MEDICATIONS PATIENTS CAN PICK UP
01:12:12.295 --> 01:12:13.462
MEDICATIONS RIGHT AFTER THEY SEE
01:12:13.529 --> 01:12:15.431
THEIR PROVIDER AND OR SUBMIT
01:12:15.498 --> 01:12:16.766
REFILLS AT PHARMACIES CLOSE TO
01:12:16.833 --> 01:12:19.502
THEIR HOMES.
01:12:19.569 --> 01:12:21.404
TODAY IRKS ME.
01:12:21.470 --> 01:12:23.339
BUT THE VAST MAJORITY OF SNACKS
01:12:23.406 --> 01:12:24.340
THREE FORTY BE PROGRAM IS AN
01:12:24.407 --> 01:12:26.108
MEDI CAL.
01:12:26.175 --> 01:12:28.411
OVER SIXTY PERCENT OF OUR THREE
01:12:28.477 --> 01:12:30.346
FORTY PER PROGRAM IS IN. MANAGED
01:12:30.413 --> 01:12:31.948
CARE MEDI CAL WELL TWENTY
01:12:32.014 --> 01:12:34.684
PERCENT HIS MP FOR SERVICE.
01:12:34.750 --> 01:12:36.118
WE DEPEND ON THREE FORTY BE
01:12:36.185 --> 01:12:37.653
SAVINGS TO IMPLY MEMBERS OF OUR
01:12:37.720 --> 01:12:38.888
CARE TEAM SUCH AS CARE TEAM
01:12:38.955 --> 01:12:41.657
NURSES CASE MANAGERS.
01:12:41.724 --> 01:12:43.359
REFERRAL COORDINATORS AND OTHER
01:12:43.426 --> 01:12:44.527
POSSESS AB POSITIONS NOT
01:12:44.594 --> 01:12:45.661
ELIGIBLE FOR THE PPS
01:12:45.728 --> 01:12:47.797
REIMBURSEMENT.
01:12:47.864 --> 01:12:49.098
THESE CARE COORDINATION SERVICES
01:12:49.165 --> 01:12:50.766
ARE CRITICAL TO ENSURE THE
01:12:50.833 --> 01:12:52.101
COMPLEX NEEDS OF OUR PATIENT
01:12:52.168 --> 01:12:53.803
POPULATION ARE BEING MET. BY
01:12:53.869 --> 01:12:54.804
CONNECTING PATIENTS WITH
01:12:54.870 --> 01:12:56.706
COVERAGE TO ENROLL WITH COVERAGE
01:12:56.772 --> 01:12:58.107
ENROLLMENT.
01:12:58.174 --> 01:12:59.475
TRANSPORTATION TRANSLATION
01:12:59.542 --> 01:13:01.644
SERVICES SPECIALISTS AND OTHER
01:13:01.711 --> 01:13:02.245
SUPPORT OF SERVICES THAT THEY
01:13:02.311 --> 01:13:03.679
NEED.
01:13:03.746 --> 01:13:05.414
LOS A THREE FORTY BASED SAVINGS
01:13:05.481 --> 01:13:06.983
WOULD CREATE BARRIERS TO PROVIDE
01:13:07.049 --> 01:13:08.317
THE STANDARD OF CARE REQUIRED
01:13:08.384 --> 01:13:10.253
PARA CREDITING BODIES.
01:13:10.319 --> 01:13:10.753
WELL ALSO IMPACTING OUR
01:13:10.820 --> 01:13:12.688
WORKFORCE.
01:13:12.755 --> 01:13:14.357
THESE NON BILLABLE PROVIDERS AND
01:13:14.423 --> 01:13:16.192
THE SERVICE IS TIED TO THEM WILL
01:13:16.259 --> 01:13:17.660
BE AT RISK REDUCED ARE
01:13:17.727 --> 01:13:20.029
POTENTIALLY ELIMINATED.
01:13:20.096 --> 01:13:21.831
WITHOUT THREE FORTY BE SAVINGS
01:13:21.898 --> 01:13:23.399
WE RELY SO MUCH ON TO SUPPORT A
01:13:23.466 --> 01:13:26.736
WRAPAROUND PROGRAMS AND
SERVICES.
01:13:26.802 --> 01:13:27.603
IF WERE UNABLE TO CONTINUE
01:13:27.670 --> 01:13:29.238
PARTICIPATION OF A THREE FORTY
01:13:29.305 --> 01:13:31.707
BE PROGRAM UNDER FEE FOR
SERVICE.
01:13:31.774 --> 01:13:33.876
AND MANAGE CARE MEDI CAL WE ALSO
01:13:33.943 --> 01:13:34.410
NEED TO CLOSE OUR IN HOUSE
01:13:34.477 --> 01:13:35.778
PHARMACY.
01:13:35.845 --> 01:13:37.313
DISRUPTING PHARMACEUTICAL ACCESS
01:13:37.380 --> 01:13:38.948
FOR ALL OF OUR PATIENTS AND FOR
01:13:39.015 --> 01:13:41.117
MANY RAISING COSTS AS WE PROVIDE
01:13:41.183 --> 01:13:43.085
LOW COST AND FREE MEDICATIONS TO
01:13:43.152 --> 01:13:44.520
CASH PAYING PATIENTS. IN AND THE
01:13:44.587 --> 01:13:46.922
UNINSURED.
01:13:46.989 --> 01:13:48.557
AS RESPONSIBLE THREE FORTY BE
01:13:48.624 --> 01:13:50.026
PARTICIPANTS
01:13:50.092 --> 01:13:51.460
WE HAVE CONTRACTED A THIRD PARTY
01:13:51.527 --> 01:13:56.999
ADMINISTRATOR ELIMINATE
DUPLICATE DISCOUNTS
01:13:57.066 --> 01:13:57.533
UNDER THE THREE FORTY THE
01:13:57.600 --> 01:13:58.868
PROGRAM.
01:13:58.935 --> 01:13:59.936
WE ABSOLUTELY WANT TO
01:14:00.002 --> 01:14:01.137
COLLABORATE WITH THE STATE
01:14:01.203 --> 01:14:04.573
PHARMACIES PLANTS. MANUFACTURERS
01:14:04.640 --> 01:14:06.375
AND OTHER COVERED ENTITIES ON
01:14:06.442 --> 01:14:07.610
WAYS THAT WE CAN ASSURE THE
01:14:07.677 --> 01:14:09.011
APPROPRIATE DRUG DISCOUNT
01:14:09.078 --> 01:14:10.846
INFORMATION IS BEING REPORTED AN
01:14:10.913 --> 01:14:13.582
AUDIT AT.
01:14:13.649 --> 01:14:15.284
IF ENACTED THIS PROPOSAL WILL
01:14:15.351 --> 01:14:16.852
HAVE A DIRECT ND IMMEDIATE
01:14:16.919 --> 01:14:17.820
IMPACT ON HEALTH CENTERS AND
01:14:17.887 --> 01:14:19.388
WILL ULTIMATELY HARM ACCESS FOR
01:14:19.455 --> 01:14:20.823
LOW INCOME AND VULNERABLE
01:14:20.890 --> 01:14:22.158
COMMUNITIES.
01:14:22.224 --> 01:14:24.026
LIKE SNACK HEALTH CENTERS ACROSS
01:14:24.093 --> 01:14:25.528
THE STATE AND AMONG FEDERALLY
01:14:25.594 --> 01:14:26.128
DEFINED THREE FORTY BE COVERED
01:14:26.195 --> 01:14:28.464
ENTITY.
01:14:28.531 --> 01:14:29.999
AS SUCH THEY RELY ON THREE FORTY
01:14:30.066 --> 01:14:31.734
BE SAVINGS TO ENHANCE PATIENT
01:14:31.801 --> 01:14:32.968
SERVICES EXPAND HOURS OF
01:14:33.035 --> 01:14:34.937
OPERATION.
01:14:35.004 --> 01:14:36.639
AND. AT ADDITIONAL PROVIDERS AND
01:14:36.706 --> 01:14:38.708
SUPPORT STAFF.
01:14:38.774 --> 01:14:40.209
WE LIKE OUR THREE FORTY BE
01:14:40.276 --> 01:14:41.010
COVERED ENTITY COLLEAGUES ON
01:14:41.077 --> 01:14:42.511
THIS PANEL.
01:14:42.578 --> 01:14:43.579
ARE CONCERNED ABOUT A HASTY
01:14:43.646 --> 01:14:46.716
PROPOSAL.
01:14:46.782 --> 01:14:47.683
WITH A FEDERAL POLICY
01:14:47.750 --> 01:14:48.918
ENVIRONMENT THE CONTINUES TO
01:14:48.985 --> 01:14:50.720
THREATEN AND DESTABILIZE
01:14:50.786 --> 01:14:52.755
CALIFORNIA'S HEALTH SYSTEM.
01:14:52.822 --> 01:14:53.522
CALIFORNIAN NEEDS TO BE
01:14:53.589 --> 01:14:54.690
INVESTING IN SUPPORTING BOTH
01:14:54.757 --> 01:14:56.258
COVERAGE AND ACCESS AND NOT
01:14:56.325 --> 01:14:57.393
TAKING FROM ONE TO SUPPORT THE
01:14:57.460 --> 01:14:59.095
OTHER. WE RESPECTFULLY URGE YOU
01:14:59.161 --> 01:15:00.763
TO REJECT THE ADMINISTRATION'S
01:15:00.830 --> 01:15:02.298
PROPOSED CHANGES TO THREE FORTY
01:15:02.365 --> 01:15:03.666
BE PROGRAM.
01:15:03.733 --> 01:15:04.867
AND AS YOU CONTINUE YOUR
01:15:04.934 --> 01:15:06.235
DELIBERATIONS ON THE THREE FORTY
01:15:06.302 --> 01:15:07.670
BE PROGRAM.
01:15:07.737 --> 01:15:09.038
HEALTH CENTER COMMUNITY LOOKS
01:15:09.105 --> 01:15:10.740
FORWARD TO BEING A RESOURCE TO
01:15:10.806 --> 01:15:11.607
YOU IN YOUR TEAM. THANK YOU
01:15:11.674 --> 01:15:15.444
THANK YOU.
01:15:15.511 --> 01:15:16.912
I REMEMBER THE MARKET PRETTY
01:15:16.979 --> 01:15:19.315
BRIEF.
01:15:19.382 --> 01:15:19.982
MY NAME IS FRANCIS PICKFORD AND
01:15:20.049 --> 01:15:21.450
AND I'M THE VICE PRESIDENT OF
01:15:21.517 --> 01:15:22.651
FINANCE FOR PLANNED PARENTHOOD
01:15:22.718 --> 01:15:23.953
OF THE PACIFIC SOUTHWEST.
01:15:24.020 --> 01:15:24.620
PLANNED PARENTHOOD HEALTH
01:15:24.687 --> 01:15:25.388
CENTERS THROUGHOUT CALIFORNIA
01:15:25.454 --> 01:15:26.188
SERVE OVER A HUNDRED THOUSAND
01:15:26.255 --> 01:15:28.491
PATIENTS ANNUALLY.
01:15:28.557 --> 01:15:29.558
APPROXIMATELY EIGHTY SEVEN
01:15:29.625 --> 01:15:31.227
PERCENT OF OUR PATIENTS ARE
01:15:31.293 --> 01:15:33.963
ELIGIBLE FOR MEDICAL.
01:15:34.029 --> 01:15:35.664
LAST YEAR WE SERVE CLOSE TO TWO
01:15:35.731 --> 01:15:38.234
HUNDRED SIXTY THOUSAND PATIENTS.
01:15:38.300 --> 01:15:40.136
THROUGH OUT SEVENTEEN HEALTH
01:15:40.202 --> 01:15:41.570
CENTERS IN SAN DIEGO RIVERSIDE
01:15:41.637 --> 01:15:43.973
AND IMPERIAL COUNTIES.
01:15:44.039 --> 01:15:45.341
THE LAST YEAR OF FEDERAL THREATS
01:15:45.408 --> 01:15:46.809
ASIDE YOU COULD IMAGINE THE
01:15:46.876 --> 01:15:48.844
FINANCIAL BALANCING ACT WE FACE
01:15:48.911 --> 01:15:50.212
WITH PROVIDING QUALITY SERVICES
01:15:50.279 --> 01:15:52.248
TO OUR PATIENTS.
01:15:52.314 --> 01:15:54.016
WELL MAYBETING OVERHEAD COSTS
01:15:54.083 --> 01:15:56.652
AS A SAFETY NET PROVIDER.
01:15:56.719 --> 01:15:57.887
BUT TODAY THE CONTACTS ARE
01:15:57.953 --> 01:15:58.988
HEALTH CENTERS LIVE IN IS THAT
01:15:59.055 --> 01:16:00.523
OF THE FEDERAL ADMINISTRATION
01:16:00.589 --> 01:16:02.691
SEEKING INSIDIOUS WAYS TO COME
01:16:02.758 --> 01:16:04.260
AFTER BASIC HEALTH CARE. WE
01:16:04.326 --> 01:16:06.829
PROVIDE AND ALSO OUR PIECES.
01:16:06.896 --> 01:16:08.097
OUR DOORS OPEN TO ALL
01:16:08.164 --> 01:16:09.932
CALIFORNIANS FOR A WIDE RANGE OF
01:16:09.999 --> 01:16:11.333
HEALTH SERVICES AND THE THREE
01:16:11.400 --> 01:16:14.236
FORTY BE PROGRAM IS A VITAL
PART.
01:16:14.303 --> 01:16:15.938
OF THE CONTRACEPTION.
01:16:16.005 --> 01:16:18.474
VACCINATION AN STI TREATMENTS
01:16:18.541 --> 01:16:19.909
THAT WE PROVIDE.
01:16:19.975 --> 01:16:20.843
AT OUR LOCAL AFFILIATE OF
01:16:20.910 --> 01:16:22.278
POSSIBLY THIRTY FIVE PERCENT OF
01:16:22.344 --> 01:16:24.013
OUR PATIENTS. LEVER HEALTH
01:16:24.079 --> 01:16:25.614
CENTERS WITH THE PRESCRIPTION
01:16:25.681 --> 01:16:27.183
PURCHASE UNDER THE THREE FORTY
01:16:27.249 --> 01:16:29.118
BE PROGRAM.
01:16:29.185 --> 01:16:30.386
EVEN WITH A THREE FORTY BE
01:16:30.453 --> 01:16:32.154
PROGRAM WE CONTINUE THE STRUGGLE
01:16:32.221 --> 01:16:33.923
THAT BY THEIR HEALTH CENTERS.
01:16:33.989 --> 01:16:35.091
AS A MATTER OF FACT SEVERAL
01:16:35.157 --> 01:16:36.492
PLANNED PARENTHOOD AND OTHER
01:16:36.559 --> 01:16:38.194
LIKE HEALTH CENTERS HAVE CLOSER
01:16:38.260 --> 01:16:39.628
RECENT YEARS DUE TO FISCAL
01:16:39.695 --> 01:16:42.965
CHALLENGES.
01:16:43.032 --> 01:16:44.166
IF WE LOS ACCESS TO THREE FORTY
01:16:44.233 --> 01:16:45.901
BE PROGRAM WE WOULD FACE
01:16:45.968 --> 01:16:47.570
SIGNIFICANT COSTS INCREASE.
01:16:47.636 --> 01:16:49.205
INCREASES THAT WOULD IMPACT
01:16:49.271 --> 01:16:51.240
THEIR OPERATING MARGIN AND THEIR
01:16:51.307 --> 01:16:53.576
ABILITY TO KEEP OUR DOORS OPEN.
01:16:53.642 --> 01:16:55.244
FOR EXAMPLE THE COST OF ONE OF
01:16:55.311 --> 01:16:57.146
OUR MOST EFFECTIVE BIRTH CONTROL
01:16:57.213 --> 01:16:58.647
METHODS AYE YOU DE WHICH TRIPLE
01:16:58.714 --> 01:17:01.584
IN PRICE.
01:17:01.650 --> 01:17:02.985
OVER THE YEARS WE PARTNER WITH
01:17:03.052 --> 01:17:04.420
THE DEPARTMENT ON PROPER
01:17:04.487 --> 01:17:06.989
BUILDING USING YOU THE
MODIFIERS.
01:17:07.056 --> 01:17:08.491
THEM HAPPY TO REPORT THAT THE
01:17:08.557 --> 01:17:09.792
PAST TWO YEARS WE HAVE NOT BEEN
01:17:09.859 --> 01:17:12.161
A RECIPIENT OF INCREASE FROM.
01:17:12.228 --> 01:17:13.496
THE DEPARTMENT ABOUT DUPLICATE
01:17:13.562 --> 01:17:14.897
DISCOUNTS.
01:17:14.964 --> 01:17:16.098
WE HOPE TO CONTAIN THE USER
01:17:16.165 --> 01:17:17.900
THREE FORTY BE PROGRAM IN ORDER
01:17:17.967 --> 01:17:20.002
TO PROVIDE ACCESS TO CARE TO THE
01:17:20.069 --> 01:17:21.070
ALMOST EIGHT HUNDRED THOUSAND
01:17:21.137 --> 01:17:22.238
CALIFORNIANS THAT WE SERVE
01:17:22.304 --> 01:17:24.306
ACROSS THE STATE.
01:17:24.373 --> 01:17:25.374
AGAIN THANK YOU FOR THIS
01:17:25.441 --> 01:17:27.042
OPPORTUNITY AND FOR YOUR
01:17:27.109 --> 01:17:29.879
CONSIDERATION OF OUR
PROSPECTIVE.
01:17:29.945 --> 01:17:34.450
THANK YOU.
01:17:34.517 --> 01:17:34.884
SO.
01:17:34.950 --> 01:17:35.951
IN TERMS OF.
01:17:36.018 --> 01:17:39.922
A.
01:17:39.989 --> 01:17:41.223
IT'S ABOUT WHY I'M HEARING A LOT
01:17:41.290 --> 01:17:42.892
FROM FOLKS IS THAT WHAT WE NEED
01:17:42.958 --> 01:17:44.360
BEST SAVINGS THE BILL TO FUND A
01:17:44.426 --> 01:17:44.793
LOT OF OTHER STUFF.
01:17:44.860 --> 01:17:45.828
RIGHT.
01:17:45.895 --> 01:17:48.931
.
01:17:48.998 --> 01:17:50.733
THE HOW.
01:17:50.799 --> 01:17:53.269
BILL I MEAN.
01:17:53.335 --> 01:17:55.871
YES IN TERMS OF FARM.
01:17:55.938 --> 01:17:57.273
WELL ACTUALLY WE WATCH EXPLAINED
01:17:57.339 --> 01:17:58.908
HOW WELL.
01:17:58.974 --> 01:18:01.043
START WITH MARIKA OUT HOW THIS
01:18:01.110 --> 01:18:03.212
THREE FORTY BE HELP I MEAN IT'S
01:18:03.279 --> 01:18:05.014
SIR YET YOU HAVE. GATHERED
01:18:05.080 --> 01:18:06.048
CHEAPER MEDICATION IS THAT
01:18:06.115 --> 01:18:09.018
BECAUSE YOU PAY YOUR PAIN GAME
01:18:09.084 --> 01:18:10.286
PAID MORE I MEAN HOW THE HELL
01:18:10.352 --> 01:18:13.522
OUT WAREHOUSED SAVINGS. GENERATE
01:18:13.589 --> 01:18:15.758
THE HOUSES IN A SAVINGS FOR ALL
01:18:15.824 --> 01:18:17.459
THE OTHER STUFF TO TALK ABOUT.
01:18:17.526 --> 01:18:18.494
WELL WE GET THE DISCOUNTS RIGHT
01:18:18.561 --> 01:18:19.428
WERE ABLE TO DELIVER.
01:18:19.495 --> 01:18:21.697
.
01:18:21.764 --> 01:18:23.332
LOW COST AND NO COST
01:18:23.399 --> 01:18:24.967
PRESCRIPTION ELECTIONS RIGHT
01:18:25.034 --> 01:18:26.068
PLANTATION HOUSE THEM RIGHT WE
01:18:26.135 --> 01:18:28.304
GET THE DISCOUNTS AND PHARMACY
01:18:28.370 --> 01:18:29.438
BEN GETS THE REBATE.
01:18:29.505 --> 01:18:32.007
SO WE HAVE A THIRD PARTY
01:18:32.074 --> 01:18:32.708
ADMINISTRATOR HELPS DID THE
01:18:32.775 --> 01:18:34.276
BILLING AND THEN THE SAVINGS IS
01:18:34.343 --> 01:18:36.078
PASSED ON TO US.
01:18:36.145 --> 01:18:37.446
OKAY AND THEN THERE PREVENT THE
01:18:37.513 --> 01:18:38.881
COOK
01:18:38.948 --> 01:18:40.783
THE COLLISION WITH THE STATE'S
01:18:40.849 --> 01:18:42.451
WOULD YOU DO.
01:18:42.518 --> 01:18:43.953
AND WE HAVE A MONTHLY
01:18:44.019 --> 01:18:45.721
RECONCILIATION PROCESS AND WE
01:18:45.788 --> 01:18:46.722
ALSO HAVE A THIRD PARTY
01:18:46.789 --> 01:18:48.390
ADMINISTRATOR MONITORING.
01:18:48.457 --> 01:18:49.291
.
01:18:49.358 --> 01:18:51.360
ALL THE.
01:18:51.427 --> 01:18:53.329
PHARMACEUTICALS THAT WE PURCHASE
01:18:53.395 --> 01:18:53.929
AND HOW THE ALLOCATED TO EACH
01:18:53.996 --> 01:18:55.331
PATIENT.
01:18:55.397 --> 01:18:56.198
AND HOW THAT GOING PROCESS TAKES
01:18:56.265 --> 01:18:58.100
PLACE.
01:18:58.167 --> 01:18:59.435
SO THERE'S A TRACKING.
01:18:59.501 --> 01:19:01.770
MECHANISM THOR NPI NUMBER SO
01:19:01.837 --> 01:19:03.105
ALL OF THE MEDICATIONS THAT WE
01:19:03.172 --> 01:19:04.173
PURCHASE ON ALL OF THE
01:19:04.239 --> 01:19:06.175
MEDICATIONS THAT ARE DISTRIBUTED
01:19:06.242 --> 01:19:08.344
ATTRACT DIRECTLY BACK TO US.
01:19:08.410 --> 01:19:09.845
OKAY AND HOW THAT INTERFACE
WITH.
01:19:09.912 --> 01:19:12.214
WITH
01:19:12.281 --> 01:19:14.717
THAT THE CS WOULD HAVE TO.
01:19:14.783 --> 01:19:17.119
AND ON HER RESPONSE.
01:19:17.186 --> 01:19:19.588
SO I THINK THERE'S A.
01:19:19.655 --> 01:19:20.055
THERE'S A LOT.
01:19:20.122 --> 01:19:22.324
BILL ELLIOTT DOES
01:19:22.391 --> 01:19:24.393
REPORT ACTION DOES A NICE JOB OF
01:19:24.460 --> 01:19:25.894
FLAYED OUT IN A KIND OF A CLEAR.
01:19:25.961 --> 01:19:27.963
CIRCULAR PATH
01:19:28.030 --> 01:19:29.965
SO IF THEY ARE PUTTING THE RATE
01:19:30.032 --> 01:19:31.433
MODIFIERS ON.
01:19:31.500 --> 01:19:34.169
WHAT IT TELLS THE PLAN IF THEIR
01:19:34.236 --> 01:19:35.804
MANAGED CARE ENTITIES THAT
01:19:35.871 --> 01:19:36.905
THAT'S A?
01:19:36.972 --> 01:19:38.440
A PHARMACY CLAIM THAT SHOULD NOT
01:19:38.507 --> 01:19:40.376
BE.
01:19:40.442 --> 01:19:42.111
PAID OUT.
01:19:42.177 --> 01:19:44.513
ORG INCLUDED IN THE UTILIZATION
01:19:44.580 --> 01:19:45.948
DATA THAT WE OTHERWISE WOULD
01:19:46.015 --> 01:19:47.716
SUBMIT FOR FEDERAL OR STATE
01:19:47.783 --> 01:19:49.485
REBATES I THINK WHERE THE
01:19:49.551 --> 01:19:51.954
SAVINGS ACCRUE. ON THE CLINICS
01:19:52.021 --> 01:19:53.989
AND OTHER COVERED ENTITIES SIDE
01:19:54.056 --> 01:19:55.424
IS THE AMOUNT THAT THEY ARE
01:19:55.491 --> 01:19:57.693
REIMBURSED BY THE PLAN IS HIGHER
01:19:57.760 --> 01:19:58.427
THAN THE THREE FORTY BE
01:19:58.494 --> 01:19:59.928
ACQUISITION COSTS AND SO IT'S
01:19:59.995 --> 01:20:01.397
THAT DIFFERENCE.
01:20:01.463 --> 01:20:02.331
THAT WERE NOT PARTY TO BECAUSE
01:20:02.398 --> 01:20:04.033
THAT'S NOT SOMETHING THAT WE SO
01:20:04.099 --> 01:20:05.701
BASICALLY THE FINANCES WILL PAY
01:20:05.768 --> 01:20:07.703
ACTS BUT YOU'RE ACTUALLY PLAYING
01:20:07.770 --> 01:20:10.239
WHY YOU GET THE DIFFERENCE.
01:20:10.306 --> 01:20:13.075
IT'S AMERICA ALRIGHT OKAY AND IN
01:20:13.142 --> 01:20:15.110
TERMS OF BEING ABLE TO.
01:20:15.177 --> 01:20:17.146
TO ZEALOT TERMS OF BEING ABLE TO
01:20:17.212 --> 01:20:19.915
BE SURE THAT WE'RE NOT DOUBLE
01:20:19.982 --> 01:20:20.482
DIP I NEED ANY WITH THE BIG
01:20:20.549 --> 01:20:20.916
ISSUES.
01:20:20.983 --> 01:20:23.519
DOUBLE DIPPING.
01:20:23.585 --> 01:20:25.187
AS CERTAIN XML DEBTS THAT THE
01:20:25.254 --> 01:20:25.621
OPERATIONAL ISSUE.
01:20:25.688 --> 01:20:29.091
.
01:20:29.158 --> 01:20:31.060
I MEAN. IT AND STANDARDS THAT
01:20:31.126 --> 01:20:32.795
THE TALENT I GUESS IS THAT.
01:20:32.861 --> 01:20:33.629
IS THERE A WAY TO UNIVERSALLY BE
01:20:33.696 --> 01:20:34.730
SURE WE DON'T HAVE THIS HAPPEN
01:20:34.797 --> 01:20:36.999
NAY AND MAYBE INDIVIDUAL PEOPLE
01:20:37.066 --> 01:20:41.904
AND THAT PART IN SAYING NO.
01:20:41.970 --> 01:20:42.838
WELL IT'S IT'S A COVER SOURCES
01:20:42.905 --> 01:20:44.907
GOOD GENERAL WE PUT A MODIFIER
01:20:44.973 --> 01:20:46.175
HONOR MEDICA.
01:20:46.241 --> 01:20:47.309
WE OUGHT WITH THAT'S ALREADY OUR
01:20:47.376 --> 01:20:49.912
PRACTICE AND SO TAT ALLOWS THE
01:20:49.978 --> 01:20:51.613
DEPARTMENT TO SEE. WHERE WE'VE
01:20:51.680 --> 01:20:54.183
ALREADY GOTTEN A DISCOUNT AND SO
01:20:54.249 --> 01:20:56.151
THERE SHOULDN'T BE THEIR THERE
01:20:56.218 --> 01:20:57.753
SHOULDN'T BE A DUPLICATE? NAM
01:20:57.820 --> 01:20:59.421
IT'S ABOUT IT'S ABOUT GETTING
01:20:59.488 --> 01:21:01.290
PUTTING THE MODIFIER ON AND THEN
01:21:01.356 --> 01:21:03.058
MANAGING THE CLAIMS IN A TIMELY
01:21:03.125 --> 01:21:05.160
WAY SO YOU'RE NOT GETTING IT
01:21:05.227 --> 01:21:06.128
DUPLICATE DISCOUNT.
01:21:06.195 --> 01:21:07.796
SO THERE'S DEFINITELY AWAY TO
01:21:07.863 --> 01:21:10.566
AVOID THE TYPICAL CUT CLAIMS.
01:21:10.632 --> 01:21:11.567
THE THE THING ABOUT THE
01:21:11.633 --> 01:21:13.502
RESOURCES IS A TRICKY ONE
01:21:13.569 --> 01:21:15.704
BECAUSE IF YOU LOOK AT A ZOO FOR
01:21:15.771 --> 01:21:17.473
US.
01:21:17.539 --> 01:21:18.540
FOR THOUGH COSTS OF PROVIDING
01:21:18.607 --> 01:21:20.476
CARE MEDI CAL PATIENTS WE HAVE A
01:21:20.542 --> 01:21:22.010
HUNDRED MILLION DOLLARS IN
01:21:22.077 --> 01:21:23.846
UNREIMBURSED COSTS. AND THAT'S
01:21:23.912 --> 01:21:25.280
BASED ON SHORT FALLS EVEN THOUGH
01:21:25.347 --> 01:21:26.482
WE GET.
01:21:26.548 --> 01:21:28.984
A RATE WE GET A WE GET.
01:21:29.051 --> 01:21:30.285
SUPPLEMENTAL PAYMENTS AND WE
01:21:30.352 --> 01:21:32.488
STILL PROVIDE SERVICES THAT GO
01:21:32.554 --> 01:21:35.557
BEYOND THAT THAT OUR REVENUES.
01:21:35.624 --> 01:21:37.059
WHEN YOU LOOK AT THAT THE THE
01:21:37.126 --> 01:21:38.660
MONEY THAT WE SAVE ON ACQUIRING
01:21:38.727 --> 01:21:40.796
DRUGS.
01:21:40.863 --> 01:21:42.131
ALLOWS US TO CONTINUE TO PROVIDE
01:21:42.197 --> 01:21:43.499
SERVICE EVEN THOUGH WE HAVE THAT
01:21:43.565 --> 01:21:46.435
GIANT GAP BETWEEN WHAT WE
01:21:46.502 --> 01:21:47.002
PROVIDING WHAT WE GET PAID.
01:21:47.069 --> 01:21:48.971
.
01:21:49.037 --> 01:21:51.540
SO WE REALLY REQUIRE THOSE THOSE
01:21:51.607 --> 01:21:53.342
DISCOUNTS IN ORDER TO KEEP DOING
01:21:53.409 --> 01:21:55.210
WHAT WE'RE DOING AND AVOID BIG
01:21:55.277 --> 01:21:56.879
CUTS TO SERVICES LIKE THE ONES
01:21:56.945 --> 01:21:59.114
THAT YOU YOU DESCRIBED.
01:21:59.181 --> 01:22:01.183
OKAY SO WE BELIEVE YOU CAN AVOID
01:22:01.250 --> 01:22:02.484
THE DUPLICATE DISCOUNTS AND
01:22:02.551 --> 01:22:03.452
CONTINUE TO PROVIDE COVERED
01:22:03.519 --> 01:22:04.086
ENTITIES.
01:22:04.153 --> 01:22:05.988
WITH FEES
01:22:06.054 --> 01:22:08.090
VERY GOOD RATES AT OF ACQUIRING
01:22:08.157 --> 01:22:09.958
PHARMACEUTICALS.
01:22:10.025 --> 01:22:12.361
WE ALSO GO ABOVE AND BEYOND AND
01:22:12.427 --> 01:22:13.862
HAVE THAT YOU DO MODIFY HONOR
01:22:13.929 --> 01:22:15.264
CLAIMS AS WELL AND THEN WE ALSO
01:22:15.330 --> 01:22:17.332
DO AUDITS MONTHLY TO LOOK IT
01:22:17.399 --> 01:22:19.468
WHICH DRUGS WERE PURCHASED WHICH
01:22:19.535 --> 01:22:21.370
PATIENTS AND THEN ALSO LOOK AT
01:22:21.436 --> 01:22:24.339
THE BILLING FOR THAT AS WELL.
01:22:24.406 --> 01:22:24.940
IT'S NEVER THE COMPLIANCE WORK
01:22:25.007 --> 01:22:26.575
PLAN.
01:22:26.642 --> 01:22:28.911
SO I SEEDS.
01:22:28.977 --> 01:22:30.345
THESE ARE SAYING AYE WEEKEND
01:22:30.412 --> 01:22:31.713
TOWN PEOPLE USED A MODIFIER WE
01:22:31.780 --> 01:22:33.115
CAN'T HAVE A PENALTY IF YOU
01:22:33.182 --> 01:22:34.216
DON'T USE A MODIFIER
01:22:34.283 --> 01:22:36.718
INAPPROPRIATELY GET BANNED FROM
01:22:36.785 --> 01:22:38.020
DOING IT I MEAN THERE'S A
01:22:38.086 --> 01:22:38.687
THERE'S A WAY TO TWO HUNDRED
01:22:38.754 --> 01:22:42.124
COVERED ENTITIES APPROXIMATELY
01:22:42.191 --> 01:22:43.625
IN CALIFORNIA SO. THERE'S.
01:22:43.692 --> 01:22:45.394
OR IF IT WERE OF THEM HERE.
01:22:45.461 --> 01:22:46.762
I DON'T EVEN FEE FOR SERVICE.
01:22:46.829 --> 01:22:48.430
IT'S MAYBE A LITTLE BIT CLEANER
01:22:48.497 --> 01:22:50.265
WHEN YOU'RE SUBMITTING INTO OUR
01:22:50.332 --> 01:22:51.900
PHARMACY CLAIMS ON A FEE FOR
01:22:51.967 --> 01:22:53.836
SERVICE BASIS I THINK THE USE OF
01:22:53.902 --> 01:22:56.605
CONTRACTS PHARMACIES WHICH AGAIN
01:22:56.672 --> 01:22:57.339
THAT LEO DID A NICE JOB.
01:22:57.406 --> 01:23:00.042
IF A PATIENT WALKS OUT WITH A
01:23:00.108 --> 01:23:02.511
SCRIPT AND GOES TO. CVS OR
01:23:02.578 --> 01:23:03.812
WALGREENS OR RITE AID FROM A
01:23:03.879 --> 01:23:05.581
COVERED ENTITY IT MAY NOT BE
01:23:05.647 --> 01:23:06.782
CLEAR TO THE PHARMACY AT THE
01:23:06.849 --> 01:23:07.749
TIME HEN THEY FILL THE
01:23:07.816 --> 01:23:08.484
PRESCRIPTION THAT IT'S A THREE
01:23:08.550 --> 01:23:10.252
FORTY BE HOT CLAIMED THEY SUBMIT
01:23:10.319 --> 01:23:11.720
THEY GET REIMBURSED ON A REAL
01:23:11.787 --> 01:23:13.088
TIME BASIS.
01:23:13.155 --> 01:23:15.123
AND THEN IT'S A BACKEND PROCESS
01:23:15.190 --> 01:23:16.158
WHERE IT'S GREAT THAT THEY DO
01:23:16.225 --> 01:23:17.759
RECONCILIATION BUT THE PROBLEM
01:23:17.826 --> 01:23:20.162
IS WE VERY PAID THE CLAIM. IT'S
01:23:20.229 --> 01:23:21.630
ARTY HIT THE REBATE SYSTEM.
01:23:21.697 --> 01:23:23.031
AND SO WHERE DO IN THE BACKEND
01:23:23.098 --> 01:23:24.433
WORK TO UNDO THE DUPLICATE
01:23:24.499 --> 01:23:26.034
DISCOUNT THAT SHOULD NEVER HAVE
01:23:26.101 --> 01:23:27.135
BEEN DONE IN THE FIRST PLACE
01:23:27.202 --> 01:23:28.103
RIGHT FROM AN ADMINISTRATIVE
01:23:28.170 --> 01:23:30.038
STANDPOINT THAT'S THE KIND OF
01:23:30.105 --> 01:23:30.606
COMPLEXITY THAT WERE TALKING
01:23:30.672 --> 01:23:32.708
ABOUT.
01:23:32.774 --> 01:23:34.510
SO ASIDE FROM ESSENTIALLY TRAIN
01:23:34.576 --> 01:23:35.811
ELIMINATE THE WHOLE PROGRAM IS
01:23:35.878 --> 01:23:38.447
THERE A WAY TO WORK IT SAID
THAT.
01:23:38.514 --> 01:23:40.649
BASICALLY.
01:23:40.716 --> 01:23:42.718
PHARMACIES THAT.
01:23:42.784 --> 01:23:44.152
IF YOU CAN SHOW THAT THEY'RE
01:23:44.219 --> 01:23:46.822
ABLE TO DO THE RIGHT THING AND
01:23:46.889 --> 01:23:48.190
HAVE THE INFORMATION SO I MEAN
01:23:48.257 --> 01:23:49.791
VERSES.
01:23:49.858 --> 01:23:50.492
BUT THE PHARMACY.
01:23:50.559 --> 01:23:51.860
.
01:23:51.927 --> 01:23:53.695
ARE ABLE TO.
01:23:53.762 --> 01:23:56.331
TAKE ADVANTAGE OF THIS AND THEN
01:23:56.398 --> 01:23:58.200
TRY TO BASICALLY OTHER ONES THAT
01:23:58.267 --> 01:24:00.402
ARE GONNA DO IT THE RIGHT WAY OR
01:24:00.469 --> 01:24:04.172
JUST DON'T KNOW HOW IS NOT
01:24:04.239 --> 01:24:06.275
TELLING THE FAMILY WERE DONE.
01:24:06.341 --> 01:24:07.309
MAYES THIS ASIDE FROM DESTROYING
01:24:07.376 --> 01:24:08.610
ELIMINATE THE WHOLE PROGRAM.
01:24:08.677 --> 01:24:09.144
THAT THAT WE LOOK AT SOME
01:24:09.211 --> 01:24:09.845
ALTERNATIVES.
01:24:09.912 --> 01:24:11.113
SEEMS LIKE A LITTLE DRASTIC STEP
01:24:11.179 --> 01:24:12.948
TO JUST SIMPLY SAY WILLIAM.
01:24:13.015 --> 01:24:14.116
WELL THE WHOLE THING UP BUT I
01:24:14.182 --> 01:24:16.485
MEAN I THINK AND WE WE HAD A
01:24:16.552 --> 01:24:18.353
BRIEF PROPOSAL IN THE GOVERNOR'S
01:24:18.420 --> 01:24:20.889
BUDGET LAST YEAR WHICH ALSO WAS
01:24:20.956 --> 01:24:22.958
NOT RECEIVED WELL. AND THIS IS
01:24:23.025 --> 01:24:25.027
THE CURRENT ADMINISTRATION
01:24:25.093 --> 01:24:26.428
PROPOSAL TO THE EXTENT THAT THE.
01:24:26.495 --> 01:24:27.563
STAKEHOLDERS THINK THAT THERE'S
01:24:27.629 --> 01:24:29.031
A BETTER WAY TO DO IT THAT STILL
01:24:29.097 --> 01:24:30.265
GETS THAT THE CONCERNS THAT
01:24:30.332 --> 01:24:31.967
WE'VE EXPRESSED IN TERMS OF OUR
01:24:32.034 --> 01:24:33.635
ADMINISTRATION OF THE PROGRAM
01:24:33.702 --> 01:24:35.270
AND THE DUPLICATION OF THE.
01:24:35.337 --> 01:24:37.272
DISCOUNTS ON THE KIND OF
01:24:37.339 --> 01:24:38.407
ADMINISTRATIVE BACK AND WORK.
01:24:38.473 --> 01:24:40.175
WERE WELL TO HEAR THOSE
01:24:40.242 --> 01:24:42.110
PROPOSALS BUT THIS IS THE
01:24:42.177 --> 01:24:43.278
ADMINISTRATION'S PROPOSAL OF THE
01:24:43.345 --> 01:24:44.980
NO I KNOW.
01:24:45.047 --> 01:24:47.349
BUT MY GUESS IS THAT WE'RE NOT
01:24:47.416 --> 01:24:48.183
LOOKING TO KINDLY AT AT THE
01:24:48.250 --> 01:24:50.552
MOMENT. OKAY. SO HOPING THAT WE
01:24:50.619 --> 01:24:51.086
CAN COME TO SOMETHING ELSE
01:24:51.153 --> 01:24:51.687
SO.
01:24:51.753 --> 01:24:54.489
.
01:24:54.556 --> 01:24:55.490
TRAVESTY MY HOPE COMMITTEE IS IN
01:24:55.557 --> 01:24:56.992
HERE BUT YOU HEARD FROM ONE
01:24:57.059 --> 01:24:57.626
OTHER MEMBER YOU'RE HEARING FROM
01:24:57.693 --> 01:24:59.027
ME.
01:24:59.094 --> 01:24:59.928
ALRIGHT.
01:24:59.995 --> 01:25:02.164
BUT WHAT WE GO AHEAD AND HEAR
01:25:02.230 --> 01:25:03.665
PUBLIC COMMENT WAS EVEN WITH
01:25:03.732 --> 01:25:04.333
WILL SEE WHAT THE PUBLIC COMMENT
01:25:04.399 --> 01:25:07.002
GOES. RIGHT WELCOME DOCTOR PAN
01:25:07.069 --> 01:25:08.604
TERRY CALLIER HILL ON BEHALF OF
01:25:08.670 --> 01:25:09.771
THE HEMOPHILIA COUNCIL OF
01:25:09.838 --> 01:25:11.974
CALIFORNIA. I REPRESENT THE FOUR
01:25:12.040 --> 01:25:13.775
THOUSAND PATIENTS THAT HAVE
01:25:13.842 --> 01:25:15.077
HEMOPHILIA WHICH IS A RARE
01:25:15.143 --> 01:25:16.979
BLEEDING DISORDER AS WELL AS THE
01:25:17.045 --> 01:25:18.380
THREE HUNDRED FORTY THOUSAND
01:25:18.447 --> 01:25:20.449
PATIENTS IN CALIFORNIA. WHO HAVE
01:25:20.515 --> 01:25:21.650
ON WILLEBRAND DISEASE WHICH IS A
01:25:21.717 --> 01:25:23.952
SIMILAR BLEEDING DISORDER WE ARE
01:25:24.019 --> 01:25:25.387
I RESPECTFULLY OPPOSE TO THIS
01:25:25.454 --> 01:25:27.055
PROPOSAL BECAUSE OF ITS IMPACT
01:25:27.122 --> 01:25:29.191
ON PATIENTS AND ACCESS TO CARE?
01:25:29.257 --> 01:25:31.326
OUR PATIENTS RECEIVE EXCELLENT
01:25:31.393 --> 01:25:33.095
CARE AT HEMOPHILIA TREATMENT
01:25:33.161 --> 01:25:35.130
CENTERS IN CALIFORNIA THEY ARE
01:25:35.197 --> 01:25:37.165
PRIMARILY LOCATED IN CHILDREN'S
01:25:37.232 --> 01:25:38.767
HOSPITALS AND UC MEDICAL CENTER
01:25:38.834 --> 01:25:40.736
SUCH AS UC DAVIS MEDICAL CENTER
01:25:40.802 --> 01:25:42.337
HERE IN SACRAMENTO. AND OUR
01:25:42.404 --> 01:25:43.872
PATIENTS CAN GO IN AND SEE THEIR
01:25:43.939 --> 01:25:46.375
HEMATOLOGIST THEIR SOCIAL
WORKER.
01:25:46.441 --> 01:25:48.143
AND THEIR PHYSICAL THERAPIST AND
01:25:48.210 --> 01:25:49.444
THOSE.
01:25:49.511 --> 01:25:51.179
THREE FORTY BE DOLLARS ARE USE
01:25:51.246 --> 01:25:52.514
TO PROVIDE THAT THE SERVICES
01:25:52.581 --> 01:25:54.016
THAT THOSE PATIENTS PROVIDE ARE
01:25:54.082 --> 01:25:56.318
ARE PROVIDED AND INCLUDING NEW
01:25:56.385 --> 01:25:58.220
ULTRASOUND MACHINES WHICH CAN
01:25:58.286 --> 01:25:59.621
LOOK AT THE JOINTS AND COULD.
01:25:59.688 --> 01:26:01.390
SHOW A COST EFFECTIVE WAY IN
01:26:01.456 --> 01:26:03.158
WHICH THAT THE DOCTORS CAN TREAT
01:26:03.225 --> 01:26:04.192
THOSE PATIENTS THAT WITH WE
01:26:04.259 --> 01:26:05.627
DON'T HAVE ACCESS
01:26:05.694 --> 01:26:06.461
TO THE HEMOPHILIA TREATMENT
01:26:06.528 --> 01:26:07.796
CENTERS BECAUSE THEY'RE FUNDING
01:26:07.863 --> 01:26:10.365
GOES AWAY. THAT'S PROBLEMATIC
01:26:10.432 --> 01:26:11.500
FROM A PATIENT CARE PERSPECTIVE
01:26:11.566 --> 01:26:13.235
I MIGHT ALSO ADD THAT BLOOD
01:26:13.301 --> 01:26:15.203
FACTOR IS CARVED OUT OF MEDI CAL
01:26:15.270 --> 01:26:16.672
MANAGED CARE'S THOUGH IT COULD
01:26:16.738 --> 01:26:18.273
BE EASILY TREATED SEPARATELY AS
01:26:18.340 --> 01:26:20.742
YOU'VE MENTIONED DOCTOR PAN SO
01:26:20.809 --> 01:26:21.309
WE RESPECTFULLY OPPOSE THIS
01:26:21.376 --> 01:26:21.643
PROPOSAL.
01:26:21.710 --> 01:26:21.943
THANK YOU.
01:26:22.010 --> 01:26:24.579
WELCOME.
01:26:24.646 --> 01:26:26.148
I AM MY NAME IS STEPHANIE DOWN
01:26:26.214 --> 01:26:28.183
SKIRT AND I'M HERE TO GIVE A A
01:26:28.250 --> 01:26:30.152
FACE A VOICE.
01:26:30.218 --> 01:26:32.254
IN A NAME TO THE TO THE ISSUE AT
01:26:32.320 --> 01:26:33.689
HAND I HAVE A THIRTY ONE YEAR
01:26:33.755 --> 01:26:36.091
OLD SON WAS SEVERE HEMOPHILIA.
01:26:36.158 --> 01:26:37.459
IT CAME AS A SURPRISE AS A
01:26:37.526 --> 01:26:39.561
SURPRISE TO US. BUT AFTER THE
01:26:39.628 --> 01:26:41.063
DIAGNOSIS HE ENDED UP AT ONE OF
01:26:41.129 --> 01:26:42.230
THESE FEDERALLY FUNDED
01:26:42.297 --> 01:26:43.899
HEMOPHILIA TREATMENT CENTERS AND
01:26:43.965 --> 01:26:45.767
IT SAVED HIS LIFE I'M NOT SAYING
01:26:45.834 --> 01:26:47.936
THAT TO BE OR MELODRAMATIC OR TO
01:26:48.003 --> 01:26:50.005
EXAGGERATE BUT BECAUSE. OF THE
01:26:50.072 --> 01:26:51.006
CLINICAL TRIAL THAT WAS
01:26:51.073 --> 01:26:52.207
AVAILABLE THAT HEMOPHILIA
01:26:52.274 --> 01:26:54.076
TREATMENT CENTER MY SON WAS NOT
01:26:54.142 --> 01:26:57.879
EXPOSED HIV OR HEPATITIS C..
01:26:57.946 --> 01:26:59.648
HE DID NOT SUFFER ANY INTER
01:26:59.715 --> 01:27:01.583
CRANIAL LEADS WHICH COULD HAVE
01:27:01.650 --> 01:27:03.552
LED TO BRAIN DAMAGE OR EVEN
01:27:03.618 --> 01:27:05.754
WORSE WORSE DEATH.
01:27:05.821 --> 01:27:07.622
TODAY IS INDEPENDENT FULLY
01:27:07.689 --> 01:27:09.191
EMPLOYED AND A CONTRIBUTING
01:27:09.257 --> 01:27:12.194
MEMBER TO THE CALIFORNIA
ECONOMY.
01:27:12.260 --> 01:27:14.529
HTC CARE ALSO SAVED MY SON'S
01:27:14.596 --> 01:27:16.531
JOINT REPEATED BLEEDING INTO
01:27:16.598 --> 01:27:18.366
MUSCLES AND JOINTS DID NOT CAUSE
01:27:18.433 --> 01:27:19.968
ANY DMAGE HE WAS ABLE TO BE
01:27:20.035 --> 01:27:22.037
PHYSICALLY ACTIVE ATTEND SCHOOL.
01:27:22.104 --> 01:27:23.772
I WAS ABLE TO GO TO WORK MY
01:27:23.839 --> 01:27:25.073
HUSBAND WAS ABLE TO GO TO WORK
01:27:25.140 --> 01:27:26.341
OUR DAUGHTER WAS ABLE TO GO TO
01:27:26.408 --> 01:27:28.009
SCHOOL THE IMPACT ON THE FAMILY
01:27:28.076 --> 01:27:31.146
WAS REDUCED GREATLY.
01:27:31.213 --> 01:27:32.814
WHERE IT ALSO PROVIDED CARE FOR
01:27:32.881 --> 01:27:34.282
OUR ENTIRE FAMILY CYLES OF
01:27:34.349 --> 01:27:36.885
SOCIAL SUPPORT FOR ALL OF US?
01:27:36.952 --> 01:27:38.820
ALLOWED US TO MANAGE THIS.
01:27:38.887 --> 01:27:39.521
CONDITION SO THAT FOR ALL
01:27:39.588 --> 01:27:41.189
INTENTS AND PURPOSES MY SON HAS
01:27:41.256 --> 01:27:42.691
HAD A NORMAL LIFE OUR FAMILY HAS
01:27:42.757 --> 01:27:44.793
MOVED ON.
01:27:44.860 --> 01:27:46.128
I'M GAINFULLY EMPLOYED MY
01:27:46.194 --> 01:27:47.095
HUSBAND'S GAINFULLY EMPLOYED.
01:27:47.162 --> 01:27:48.563
PLEASE
01:27:48.630 --> 01:27:50.398
FIND SOME OTHER WAY TO RESOLVE
01:27:50.465 --> 01:27:52.868
THIS PROBLEM BUT DO NOT.
01:27:52.934 --> 01:27:53.435
THROUGHOUT THE BABY WITH THE
01:27:53.502 --> 01:27:55.303
BATH WATER.
01:27:55.370 --> 01:27:57.205
BUT YOU CAN TRY KEEP TO A MINUTE
01:27:57.272 --> 01:27:58.306
AND APPRECIATE IT THANK YOU
01:27:58.373 --> 01:27:59.875
WELCOME. THOUGH I'M DOCTOR DIE
01:27:59.941 --> 01:28:01.710
IN NEW CHEN I REPRESENT THE
01:28:01.776 --> 01:28:03.979
ELEVEN CALIFORNIA HTC'S
01:28:04.045 --> 01:28:06.114
HEMOPHILIA TREATMENT CENTERS AS
01:28:06.181 --> 01:28:08.850
WELL AS THE FOUR WESTERN STATES
01:28:08.917 --> 01:28:10.218
ARE HER SIR WESTERN STATES.
01:28:10.285 --> 01:28:11.887
OUR OUR THREE FORTY BE PROGRAM
01:28:11.953 --> 01:28:13.955
IS AN H. M. DESIGNATION IT'S
01:28:14.022 --> 01:28:15.157
DIFFERENT FROM THE DISH
01:28:15.223 --> 01:28:17.759
HOSPITALS. AND BECAUSE OF THAT
01:28:17.826 --> 01:28:19.461
WE'VE BEEN UNDER SCRUTINY BY THE
01:28:19.528 --> 01:28:21.062
GOVERNMENT FEDERAL GOVERNMENT
01:28:21.129 --> 01:28:22.831
AND OFFICE OF PHARMACY AFFAIRS
01:28:22.898 --> 01:28:24.099
FOR TWENTY YEARS WITH OUR
01:28:24.166 --> 01:28:25.333
PROGRAM.
01:28:25.400 --> 01:28:27.202
WE HAVE DEVELOPED A REALLY GREAT
01:28:27.269 --> 01:28:29.471
SYSTEM IN COLLABORATION WITH
01:28:29.538 --> 01:28:31.006
CALIFORNIA STATE PHARMACY
01:28:31.072 --> 01:28:33.608
SERVICES TO IDENTIFY ADD
01:28:33.675 --> 01:28:35.710
MODIFIERS THAT REALLY CLEARLY
01:28:35.777 --> 01:28:38.547
SEPARATES FACTOR ARM SO THAT
01:28:38.613 --> 01:28:40.482
THERE ARE NO DOUBLE DISCOUNTS WE
01:28:40.549 --> 01:28:41.883
DO REGULAR MONITORING AND
01:28:41.950 --> 01:28:44.553
AUDITING WE ARE HERE TO HELP.
01:28:44.619 --> 01:28:46.655
THE OTHER ENTITIES THE DISH
01:28:46.721 --> 01:28:48.123
HOSPITALS AND SO ON TO DEVELOP
01:28:48.190 --> 01:28:50.559
AND PUT THE SYSTEM IN PLACE.
01:28:50.625 --> 01:28:52.594
I IT'S IMPORTANT TO REALIZE THAT
01:28:52.661 --> 01:28:53.128
SINCE THE.
01:28:53.628 --> 01:28:56.431
A CA THE REBATES THAT THE
01:28:56.498 --> 01:28:59.100
STATES ARE GETTING IS LESS THAN
01:28:59.167 --> 01:29:01.203
THE UP FRONT DISCOUNT THAT WE'RE
01:29:01.269 --> 01:29:02.838
GETTING FOR THE FACTORED SO
01:29:02.904 --> 01:29:04.339
ALTHOUGH YOU WILL GET A REBATE
01:29:04.406 --> 01:29:06.107
IT IS LESSEN YOUR COST SAVINGS
01:29:06.174 --> 01:29:07.742
UP FRONT AND WE'VE BEEN ABLE TO
01:29:07.809 --> 01:29:09.244
DEMONSTRATE THAT THROUGH TWENTY
01:29:09.311 --> 01:29:10.245
YEARS OF.
01:29:10.312 --> 01:29:12.347
FEDERAL REPORTING ON HOW THE NET
01:29:12.414 --> 01:29:14.749
INCOME IS USED IN OUR STATE SO
01:29:14.816 --> 01:29:16.985
BUT DON'T MAKE US GO BACK TO THE
01:29:17.052 --> 01:29:18.653
BAD DAYS THANK YOU VERY MUCH
01:29:18.720 --> 01:29:20.855
THANK YOU. WELCOME.
01:29:20.922 --> 01:29:21.456
THANK YOU MISTER CHAIRMAN
01:29:21.523 --> 01:29:22.257
CONSUMERS ON BEHALF OF THE
01:29:22.324 --> 01:29:24.392
CALIFORNIA HEALTH PLUS ADVOCATES
01:29:24.459 --> 01:29:25.360
THE COMMUTER HEALTH CENTERS AND
01:29:25.427 --> 01:29:26.962
CLINICS GONNA APPRECIATE THE
01:29:27.028 --> 01:29:27.729
DIALOGUE.
01:29:27.796 --> 01:29:29.464
FROM ALL PARTIES TODAY THIS IS
01:29:29.531 --> 01:29:30.699
REALLY AN IMPORTANT ISSUE FOR
01:29:30.765 --> 01:29:32.467
OUR HEALTH CENTERS I JUST WANTED
01:29:32.534 --> 01:29:33.535
TO MENTION A COUPLE OF THINGS I
01:29:33.602 --> 01:29:34.970
THINK YOU KNOW IT'S IMPORTANT
01:29:35.036 --> 01:29:36.171
THAT IF WE REFER TO THESE
01:29:36.238 --> 01:29:37.739
DOLLARS ITS POTENTIAL STATE
01:29:37.806 --> 01:29:38.940
SAVINGS. THAT REALLY THESE ARE
01:29:39.007 --> 01:29:40.408
DOLLARS THAT ARE GOING TO
01:29:40.475 --> 01:29:41.877
HOSPITALS CLINICS SAFETY NET
01:29:41.943 --> 01:29:44.012
PROVIDERS TODAY AND IF WE TURN
01:29:44.079 --> 01:29:46.314
AROUND AND SAY THAT THE STATE
01:29:46.381 --> 01:29:46.948
CAN USE THOSE DOLLARS.
01:29:47.015 --> 01:29:48.683
MAYBE NOT MAYBE IN MEDI CAL
01:29:48.750 --> 01:29:50.852
MAYBE NOT THERE WOULD HAVE TO
01:29:50.919 --> 01:29:52.520
SEND AT LEAST HAVE TO THE FEDS
01:29:52.587 --> 01:29:54.356
MAYBE NINETY FIVE PERCENT.
01:29:54.422 --> 01:29:56.324
THOSE ARE DOLLARS LIKE I SAID
01:29:56.391 --> 01:29:58.193
THERE'S CURRENTLY BEING USED BY
01:29:58.260 --> 01:30:00.161
A PROVIDERS TO FOR SERVICES THAT
01:30:00.228 --> 01:30:01.763
THEY OTHERWISE CANNOT PAY FOR I
01:30:01.830 --> 01:30:03.098
THINK THAT'S A REALLY IMPORTANT
01:30:03.164 --> 01:30:03.965
POINT THAT DESERVES MORE
01:30:04.032 --> 01:30:06.568
DISCUSSION. I ALSO THINK THAT
01:30:06.635 --> 01:30:07.969
YOU KNOW WELL IT MIGHT BE LESS.
01:30:08.036 --> 01:30:09.938
OF ADMINISTRATIVELY BURENSOME
01:30:10.005 --> 01:30:11.706
TO ELIMINATE THE PROGRAM I DO
01:30:11.773 --> 01:30:13.275
THINK IT DESERVES IT MORE FULLER
01:30:13.341 --> 01:30:14.509
CONVERSATION ABOUT HOW WE CAN
01:30:14.576 --> 01:30:15.944
MAKE SURE THESE DISCOUNTS ARE
01:30:16.011 --> 01:30:16.645
BEING TRACKED.
01:30:16.711 --> 01:30:17.846
OUR HEALTH CENTERS WANT TO BE IN
01:30:17.913 --> 01:30:19.648
COMPLIANCE IF FOR NOT CURRENTLY
01:30:19.714 --> 01:30:21.216
IN COMPLIANCE WITH THE STATE AND
01:30:21.283 --> 01:30:22.617
WITH FEDERAL GUIDELINES WE WANNA
01:30:22.684 --> 01:30:24.119
MAKE SURE WERE AT THE TABLE
01:30:24.185 --> 01:30:25.754
PRESENTING OURSELVES AS.
01:30:25.820 --> 01:30:28.223
AS STAKEHOLDERS WE WANT TO WORK
01:30:28.290 --> 01:30:29.557
WITH THAT THE LEGISLATURE AND
01:30:29.624 --> 01:30:30.425
THE DEPARTMENT TO FIND A
01:30:30.492 --> 01:30:32.294
SOLUTION BUT AT THIS TIME WE.
01:30:32.360 --> 01:30:34.396
CANNOT SUPPORT THIS PROPOSAL I
01:30:34.462 --> 01:30:35.764
WOULD ASK THAT IS REJECTED AT
01:30:35.830 --> 01:30:37.365
THE APPROPRIATE TIME THANK YOU.
01:30:37.432 --> 01:30:39.601
THANK YOU WELCOME.
01:30:39.668 --> 01:30:40.969
HI MY NAME IS KIM SURFER AND A
01:30:41.036 --> 01:30:42.337
NURSE PRACTITIONER AT THE UC
01:30:42.404 --> 01:30:43.972
DAVIS HEMOPHILIA TREATMENT
01:30:44.039 --> 01:30:46.441
CENTER. WE PROVIDE COMPREHENSIVE
01:30:46.508 --> 01:30:48.610
CARE TO PATIENTS WITH INHERITED
01:30:48.677 --> 01:30:49.678
BLOOD DISORDERS.
01:30:49.744 --> 01:30:51.579
AND OUR STAFF INCLUDES SOCIAL
01:30:51.646 --> 01:30:53.348
WORKERS HAD PHYSICAL THERAPIST
01:30:53.415 --> 01:30:55.550
DENTAL HYGIENIST A COLLABORATIVE
01:30:55.617 --> 01:30:58.019
APPROACH WITH OBGYN TO ADDRESS
01:30:58.086 --> 01:30:59.888
ALL THE NEEDS OF OUR PATIENTS.
01:30:59.954 --> 01:31:01.189
IF THE THREE FORTY BE INCOME
01:31:01.256 --> 01:31:03.792
GOES WAY. OUR HTC WILL BE IN
01:31:03.858 --> 01:31:05.627
DIRE STRAITS AND WE WILL
01:31:05.694 --> 01:31:07.595
DISAPPEAR AND ALONG WITH THAT IT
01:31:07.662 --> 01:31:08.963
WILL PLACE THE PATIENTS IN DIRE
01:31:09.030 --> 01:31:11.700
NEED. A NEED THESE VITALLY AND
01:31:11.766 --> 01:31:13.468
SPECIAL CARE THAT WE PROVIDE TO
01:31:13.535 --> 01:31:15.303
THE PATIENTS WITHOUT THAT THEY
01:31:15.370 --> 01:31:17.005
WILL HAVE A NEGATIVE IMPACT SO I
01:31:17.072 --> 01:31:18.773
URGE YOU TO. OPPOSE THE
01:31:18.840 --> 01:31:21.076
ELIMINATION OF THREE FOUR AB
01:31:21.142 --> 01:31:21.509
THANK YOU. BANKING.
01:31:21.576 --> 01:31:24.045
WELCOME.
01:31:24.112 --> 01:31:25.347
HI ELAINE BECAUSE TRAINED
01:31:25.413 --> 01:31:26.681
REGISTERED NURSE PROGRAM MANAGER
01:31:26.748 --> 01:31:29.284
AT STANFORD ON IN SOLIDARITY
01:31:29.351 --> 01:31:30.852
WITH OUR COLLEAGUES AT THE
01:31:30.919 --> 01:31:32.020
WESTERN SEATS AT THE REGIONAL
01:31:32.087 --> 01:31:34.022
HEMOPHILIA CENTER. AND W ARE
01:31:34.089 --> 01:31:36.658
STRONGLY OPPOSED TO THIS BILL AS
01:31:36.725 --> 01:31:38.126
OUR COLLEAGUES HAVE SAID BEFORE
01:31:38.193 --> 01:31:39.794
OUR PATIENTS GREATLY BENEFIT
01:31:39.861 --> 01:31:41.029
FROM THIS ARE PROGRAM INCOME
01:31:41.096 --> 01:31:42.497
SUPPORTS A MULTI DISCIPLINARY
01:31:42.564 --> 01:31:45.333
TEAM. THAT SUPPORTS PATIENTS AND
01:31:45.400 --> 01:31:46.368
PROVIDES CARE FOR.
01:31:46.434 --> 01:31:47.869
FOR THOSE THAT DIAGNOSIS AND
01:31:47.936 --> 01:31:49.537
THROUGHOUT THE CONTINUUM OF LIFE
01:31:49.604 --> 01:31:50.772
ADDITIONALLY WE ALSO SUPPORT
01:31:50.839 --> 01:31:52.107
OUTREACH AND EDUCATIONAL
01:31:52.173 --> 01:31:53.775
SERVICES TO OUR COMMUNITY
01:31:53.842 --> 01:31:55.176
PARTNERS AND. AND JUST
01:31:55.243 --> 01:31:57.412
INCREASING OUR CAPACITY TO GIVE
01:31:57.479 --> 01:31:59.948
CORRECT ACCESS AND COMPREHENSIVE
01:32:00.015 --> 01:32:00.515
CARE TO PATIENTS WITHIN OUR
01:32:00.582 --> 01:32:01.816
COMMUNITY.
01:32:01.883 --> 01:32:02.817
THANK YOU.
01:32:02.884 --> 01:32:04.452
WELCOME.
01:32:04.519 --> 01:32:05.420
ANYWHERE TO UNITS OF THE
01:32:05.487 --> 01:32:06.221
CALIFORNIA PHARMACISTS
01:32:06.287 --> 01:32:07.555
ASSOCIATION WE REPRESENT
01:32:07.622 --> 01:32:08.623
PHARMACISTS IN EVERY PRACTICE
01:32:08.690 --> 01:32:09.924
SETTING RESPECTFULLY OPPOSE TO
01:32:09.991 --> 01:32:10.625
THIS PROPOSAL.
01:32:10.692 --> 01:32:11.493
THANK YOU.
01:32:11.559 --> 01:32:13.995
WELCOME.
01:32:14.062 --> 01:32:14.763
THANK YOU MISTER CHAIRMAN
01:32:14.829 --> 01:32:16.197
AMBER'S MARK WINDOWS ON BEHALF
01:32:16.264 --> 01:32:17.532
OF AS HERE YOU CALIFORNIA.
01:32:17.599 --> 01:32:19.067
WE BELIEVE THAT THIS PROPOSAL
01:32:19.134 --> 01:32:20.869
WOULD MAKE A DEVASTATING IMPACT
01:32:20.935 --> 01:32:22.137
ON CRIME CALIFORNIA SEEKING A
01:32:22.203 --> 01:32:23.204
PROVIDERS.
01:32:23.271 --> 01:32:24.539
HARMING LOW INCOME AND
01:32:24.606 --> 01:32:25.940
VULNERABLE COMMUNITIES.
01:32:26.007 --> 01:32:27.776
AND POPULATIONS.
01:32:27.842 --> 01:32:29.110
IN CONTRAST TO WHAT THE
01:32:29.177 --> 01:32:30.979
ADMINISTRATION HAS PROPOSED WE
01:32:31.046 --> 01:32:32.047
WOULD URGE THE COMMITTEE TO
01:32:32.113 --> 01:32:33.815
REQUEST THAT DH CS ENGAGE
01:32:33.882 --> 01:32:35.984
STAKEHOLDERS TO DEVELOP SYSTEMS
01:32:36.051 --> 01:32:36.818
FOR THE STATE TO ENSURE
01:32:36.885 --> 01:32:38.887
INTEGRITY AND FULL COMPLIANCE
01:32:38.953 --> 01:32:39.521
WITH FEDERAL REQUIREMENTS THINK
01:32:39.587 --> 01:32:40.789
YOU.
01:32:40.855 --> 01:32:42.357
THANK YOU WELCOME AFTERNOON
01:32:42.424 --> 01:32:43.725
CRACKPOTS FOR FROM A KILLER
01:32:43.792 --> 01:32:44.859
HEALTH AND CO CHAIR OF THE
01:32:44.926 --> 01:32:46.261
CALIFORNIA HIV ALLIANCE WHERE A
01:32:46.327 --> 01:32:48.630
COALITION OF OVER A DOZEN HIV
01:32:48.696 --> 01:32:50.098
SERVICE PROVIDERS IN THE STATE.
01:32:50.165 --> 01:32:51.866
AYE WE ARE STRONGLY OPPOSED TO
01:32:51.933 --> 01:32:53.201
THE PROPOSAL I THINK YOU'D AGREE
01:32:53.268 --> 01:32:54.936
WITH THE CHAIR THAT IT'S GOING
01:32:55.003 --> 01:32:56.037
TO RESULT IN A NET LOSS.
01:32:56.104 --> 01:32:57.705
I'LL LET SERVICES ESPECIALLY
01:32:57.772 --> 01:32:59.107
SERVICES TO ADDRESS THE HIV AND
01:32:59.174 --> 01:33:00.675
STD EPIDEMICS.
01:33:00.742 --> 01:33:01.976
OBVIOUSLY LESS SERVICE HAS
01:33:02.043 --> 01:33:03.244
EQUALS LESS OUT POOR HEALTH
01:33:03.311 --> 01:33:04.579
OUTCOMES
01:33:04.646 --> 01:33:06.081
SO STRONGLY URGE YOU TO REJECT
01:33:06.147 --> 01:33:07.582
THE PROPOSAL THANK YOU.
01:33:07.649 --> 01:33:09.784
THANK YOU WELCOME.
01:33:09.851 --> 01:33:11.119
I AARON FUNCTIONAL LOS ANGELES
01:33:11.186 --> 01:33:13.021
LGBT CENTER WE ARE COVERED AND
01:33:13.088 --> 01:33:15.423
IN THE EYES AND FQHC RYAN WHITE
01:33:15.490 --> 01:33:17.725
PROVIDER AND STD CLINIC WE THINK
01:33:17.792 --> 01:33:19.093
THIS IS AN ILL ADVISED.
01:33:19.160 --> 01:33:22.096
AN UNWISE PROPOSAL PUT FORTH BY
01:33:22.163 --> 01:33:22.764
THE ADMINISTRATION.
01:33:22.831 --> 01:33:25.433
THAT AGAIN IS GOING TO RESULT
01:33:25.500 --> 01:33:27.268
IN A NET. NEGATIVE FOR
01:33:27.335 --> 01:33:28.603
CALIFORNIA BILLS AND HEALTH
01:33:28.670 --> 01:33:29.404
OUTCOMES.
01:33:29.471 --> 01:33:31.940
AND IN BUDGET AND WHILE WE
01:33:32.006 --> 01:33:33.808
WOULD OBVIOUSLY URGE OF THE
01:33:33.875 --> 01:33:34.476
COMMITTEE.
01:33:34.542 --> 01:33:37.011
TO REJECT THIS PROPOSAL.
01:33:37.078 --> 01:33:38.746
WE WOULD FIRST URGE THE
01:33:38.813 --> 01:33:40.148
ADMINISTRATION TO PULL THIS
01:33:40.215 --> 01:33:42.217
PROPOSAL FROM EVEN CONSIDERATION
01:33:42.283 --> 01:33:43.451
AND TO SIT DOWN WITH
01:33:43.518 --> 01:33:45.320
STAKEHOLDERS MONTHS COME TO A
01:33:45.386 --> 01:33:47.388
CONSENSUS RATHER THAN DOING
THIS.
01:33:47.455 --> 01:33:48.156
THE WAY THAT THE ADMINISTRATION
01:33:48.223 --> 01:33:50.925
IS THE SIDE TO IT.
01:33:50.992 --> 01:33:52.560
OKAY THANK YOU WELCOME. THANK
01:33:52.627 --> 01:33:53.962
YOU MISTER CHAIR IT'S FAIRLY
01:33:54.028 --> 01:33:55.196
PAID TING WITH THE CALIFORNIA
01:33:55.263 --> 01:33:56.731
STATE ASSOCIATION OF COUNTIES
01:33:56.798 --> 01:33:57.565
REPRESENTING ALL FIFTY EIGHT
01:33:57.632 --> 01:33:59.133
COUNTIES IN CALIFORNIA WE
01:33:59.200 --> 01:34:00.568
RESPECTFULLY OPPOSED TO THIS
01:34:00.635 --> 01:34:01.703
PROPOSAL BY THE GOVERNOR WE LOOK
01:34:01.769 --> 01:34:03.037
FORWARD TO WORKING WITH DH YES
01:34:03.104 --> 01:34:05.373
AND OTHERS. AS WELL AS PROVIDERS
01:34:05.440 --> 01:34:06.107
COUNTY HOSPITALS AND COUNTY
01:34:06.174 --> 01:34:08.576
CLINICS TO FINDING A SOLUTION
01:34:08.643 --> 01:34:09.744
THANK YOU.
01:34:09.811 --> 01:34:11.379
THANK YOU WELCOME. MICHELLE
01:34:11.446 --> 01:34:12.413
GIVEN THAT THE COUNTY HEALTH
01:34:12.480 --> 01:34:13.815
EXECUTIVES ASSOCIATION OF
01:34:13.882 --> 01:34:14.983
CALIFORNIA REPRESENT THE LOCAL
01:34:15.049 --> 01:34:15.884
HEALTH DEPARTMENTS THROUGHOUT
01:34:15.950 --> 01:34:17.018
OUR STAY IN WE ALSO MUST
01:34:17.085 --> 01:34:18.520
RESPECTFULLY OPPOSE THE PROPOSAL
01:34:18.586 --> 01:34:20.221
BEFORE YOU. WE WOULD ASK THAT
01:34:20.288 --> 01:34:21.556
THE SUBCOMMITTEE REJECTED AND WE
01:34:21.623 --> 01:34:22.690
HAVE CONCERNS ABOUT WHAT IT WILL
01:34:22.757 --> 01:34:24.058
DO TO ACCESS AND OTHER SERVICES
01:34:24.125 --> 01:34:25.059
THAT WE PROVIDE WITHIN OUR LOCAL
01:34:25.126 --> 01:34:27.462
HEALTH DEPARTMENTS AND AND
01:34:27.529 --> 01:34:29.430
PARTICULARLY AT FAMILY PACKS
ARE.
01:34:29.497 --> 01:34:31.933
THANK YOU WELCOME.
01:34:31.1000 --> 01:34:33.368
BUT KELLY BROOK SOME BEHALF OF
01:34:33.434 --> 01:34:34.869
THE BOARD OF SUPERVISORS OF
01:34:34.936 --> 01:34:36.538
SANTA CLARA VENTURA AND
01:34:36.604 --> 01:34:37.639
RIVERSIDE COUNTIES AS WELL AS
01:34:37.705 --> 01:34:38.740
THE ASSOCIATION OF CALIFORNIA
01:34:38.806 --> 01:34:40.642
HEALTH CARE DISTRICTS.
01:34:40.708 --> 01:34:41.342
I'M HERE AND RESPECTFUL
01:34:41.409 --> 01:34:43.411
OPPOSITION I JUST WANTED TO ADD
01:34:43.478 --> 01:34:43.945
TO THE CONVERSATION THAT.
01:34:44.012 --> 01:34:45.280
.
01:34:45.346 --> 01:34:46.414
PUBLIC HOSPITALS ARE REALLY
01:34:46.481 --> 01:34:48.383
USING THEIR SCARCE RESOURCES TO
01:34:48.449 --> 01:34:50.051
DO INNOVATIVE THINGS I'M FOR
01:34:50.118 --> 01:34:51.653
EXAMPLE IN RIVERSIDE THEY'RE
01:34:51.719 --> 01:34:52.854
ACTUALLY FUNDING.
01:34:52.921 --> 01:34:54.722
A CLINICAL PHARMACY PROGRAM
01:34:54.789 --> 01:34:55.423
THAT IS.
01:34:55.490 --> 01:34:57.859
TRAINING PHARMACISTS TO DO SOME
01:34:57.926 --> 01:34:59.194
OF THE OUT REACH INTO THE
01:34:59.260 --> 01:35:00.328
COMMUNITY BECAUSE OF THE
01:35:00.395 --> 01:35:01.896
SHORTAGE OF POSITIONS IN THE
01:35:01.963 --> 01:35:03.431
INLAND EMPIRE AND SO I THINK
01:35:03.498 --> 01:35:05.199
YOU'RE GONNA SEE INNOVATION AND
01:35:05.266 --> 01:35:07.669
CREATIVITY LIKE THAT STIFLED BY
01:35:07.735 --> 01:35:08.203
THOSE LOSS OF I'M DOLLARS
01:35:08.269 --> 01:35:08.536
THINKING.
01:35:08.603 --> 01:35:10.905
THANK YOU.
01:35:10.972 --> 01:35:12.607
WELL. MISTER CHAIR GERMAN
01:35:12.674 --> 01:35:13.441
DIVORCE ON BEHALF URBAN COUNTIES
01:35:13.508 --> 01:35:14.909
OF CALIFORNIA RE REPRESENT THE
01:35:14.976 --> 01:35:16.578
FORTUNE WAS POPULOUS COUNTIES IN
01:35:16.644 --> 01:35:18.379
THE STATE. MANY OF WHICH HAVE
01:35:18.446 --> 01:35:19.981
COUNTY PUBLIC HOSPITALS WHICH
01:35:20.048 --> 01:35:20.982
ARE THE SAFETY NET WE ARE
01:35:21.049 --> 01:35:22.584
THEREFORE. I RESPECTFULLY APART
01:35:22.650 --> 01:35:23.885
ON OPPOSITION TO THE GOVERNOR'S
01:35:23.952 --> 01:35:25.853
PROPOSAL OBVIOUSLY WILLING TO
01:35:25.920 --> 01:35:27.789
WORK ON DOUBLE DIPPING ISSUES
01:35:27.855 --> 01:35:28.389
ARE DUPLICATE.
01:35:28.456 --> 01:35:30.291
ISSUES BUT NOT WILLING TO
01:35:30.358 --> 01:35:31.459
COMPLETELY ELIMINATE THIS
01:35:31.526 --> 01:35:33.428
PROGRAM WHICH PROVIDES IMPORTANT
01:35:33.494 --> 01:35:35.396
SAVINGS FOR THE SAFETY NET THANK
01:35:35.463 --> 01:35:35.730
YOU.
01:35:35.797 --> 01:35:37.599
THANK YOU.
01:35:37.665 --> 01:35:39.133
MISTER CHAIRMAN BARBOUR GLAZER
01:35:39.200 --> 01:35:40.401
ON BEHALF OF THE CALIFORNIA
01:35:40.468 --> 01:35:42.103
HOSPITAL ASSOCIATION IN
01:35:42.170 --> 01:35:43.771
CALIFORNIA WE HAVE ONE HUNDRED
01:35:43.838 --> 01:35:45.907
AND SEVENTY FIVE HOSPITALS THAT
01:35:45.974 --> 01:35:47.909
PARTICIPATE IN THIS PROGRAM. AND
01:35:47.976 --> 01:35:50.044
THEY DO SAVE SIGNIFICANT AMOUNTS
01:35:50.111 --> 01:35:51.679
OF DOLLARS THROUGH THE THREE
01:35:51.746 --> 01:35:52.847
FORTY BE PROGRAM.
01:35:52.914 --> 01:35:54.182
WE BELIEVE THAT THE ORIGINAL
01:35:54.248 --> 01:35:55.984
INTENT OF THE PROGRAM WAS TO
01:35:56.050 --> 01:35:58.152
STRETCH SCARCE HEALTHCARE
01:35:58.219 --> 01:36:00.121
DOLLARS ACROSS ALL PAYER TYPES
01:36:00.188 --> 01:36:01.656
NOT NOT JUST FOR ANY ONE GROUP
01:36:01.723 --> 01:36:02.724
OR ANOTHER.
01:36:02.790 --> 01:36:05.093
ON HOSPITALS AND CLINICS PROVIDE
01:36:05.159 --> 01:36:06.928
A NUMBER OF VERY IMPORTANT
01:36:06.995 --> 01:36:08.663
PROGRAMS YOU'VE HEARD ABOUT THEM
01:36:08.730 --> 01:36:10.265
TODAY. IF THE DEPARTMENT'S
01:36:10.331 --> 01:36:12.367
PROPOSAL MOVES FORWARD MANY OF
01:36:12.433 --> 01:36:13.601
THOSE PROGRAMS WILL HAVE TO BE
01:36:13.668 --> 01:36:15.937
SIGNIFICANTLY REDUCED IF NOT
01:36:16.004 --> 01:36:17.438
DONE AWAY WITH ALTOGETHER.
01:36:17.505 --> 01:36:18.673
WE WOULD LIKE TO WORK WITH THE
01:36:18.740 --> 01:36:20.675
DEPARTMENT TO WORK THROUGH SOME
01:36:20.742 --> 01:36:22.210
OF THE DOUBLE DISCOUNT PROBLEMS
01:36:22.276 --> 01:36:23.945
IN ANY PROBLEMS THERE MAY BE BUT
01:36:24.012 --> 01:36:25.480
WE REALLY DON'T WANT TO SEE THIS
01:36:25.546 --> 01:36:27.248
PROGRAM ELIMINATED IT'S SIMPLY
01:36:27.315 --> 01:36:28.750
TOO IMPORTANT IN OUR. FOR OUR
01:36:28.816 --> 01:36:30.485
COMMUNITIES AND OUR HOSPITALS
01:36:30.551 --> 01:36:32.787
THANK YOU.
01:36:32.854 --> 01:36:35.323
THANK YOU WELCOME NOON THERE HAS
01:36:35.390 --> 01:36:36.157
GIVE ALSO WRITTEN FROM THE
01:36:36.224 --> 01:36:37.358
CALIFORNIA ASSOCIATION OF PUBLIC
01:36:37.425 --> 01:36:38.826
HOSPITALS ALSO RESPECTFULLY AN
01:36:38.893 --> 01:36:39.961
OPPOSITION TO THE GOVERNOR'S
01:36:40.028 --> 01:36:41.829
PROPOSAL WE WOULD MAKE ONE OTHER
01:36:41.896 --> 01:36:42.997
NOTE MISTER CHAIR YOU ASKED
01:36:43.064 --> 01:36:44.966
ABOUT ALTERNATIVE PROPOSED OR
01:36:45.033 --> 01:36:46.367
ALTERNATIVE APPROACHES TO THOSE.
01:36:46.434 --> 01:36:47.802
ON THE STATE ACTUALLY RELEASED
01:36:47.869 --> 01:36:49.470
ALL PLANNED LETTER EARLIER THIS
01:36:49.537 --> 01:36:50.972
WEEK THAT DEMONSTRATES THERE'S
01:36:51.039 --> 01:36:52.540
MORE THAN ONE WAY WE MAY BE ABLE
01:36:52.607 --> 01:36:54.008
TO APPROACH THE ISSUE AROUND
01:36:54.075 --> 01:36:55.310
DOUBLE DISCOUNT SO THAT.
01:36:55.376 --> 01:36:56.944
PROVIDERS IN THE STATE CAN WORK
01:36:57.011 --> 01:36:59.113
VERY CLOSELY TOGETHER TO ENSURE
01:36:59.180 --> 01:37:00.715
ROLLING COMPLIANCE THANK.
01:37:00.782 --> 01:37:02.750
THANK YOU WELCOME. AND GOOD
01:37:02.817 --> 01:37:04.052
AFTERNOON CHAIR.
01:37:04.118 --> 01:37:05.186
MY NAME'S ANGELA GILLIARD I
01:37:05.253 --> 01:37:06.287
REPRESENT THE UNIVERSITY
01:37:06.354 --> 01:37:07.455
CALIFORNIA.
01:37:07.522 --> 01:37:09.924
MEDICAL CENTERS I'M WE'RE HERE
01:37:09.991 --> 01:37:11.459
IN OPPOSITION AND WE HAVE.
01:37:11.526 --> 01:37:12.694
SUBMITTED A LETTER IN
01:37:12.760 --> 01:37:14.295
OPPOSITION WITH DETAILS ABOUT
01:37:14.362 --> 01:37:16.130
SOME OF THE PROGRAMS WERE ABLE
01:37:16.197 --> 01:37:17.899
TO PROVIDE WITH THE DISCOUNT AND
01:37:17.965 --> 01:37:20.334
AND AND THE POTENTIAL IMPACT TO
01:37:20.401 --> 01:37:21.602
US WE ASSOCIATE OUR COMMENT.
01:37:21.669 --> 01:37:23.504
WITH I'M MOST OF THE COMMENTS
01:37:23.571 --> 01:37:25.306
YOU'VE HEARD HERE AYE TODAY THAT
01:37:25.373 --> 01:37:26.874
WE DON'T THINK IT'S A AT A GOOD
01:37:26.941 --> 01:37:28.576
IDEA TO DO THIS AND AT THE SAME
01:37:28.643 --> 01:37:30.611
TIME WE'RE WILLING TO WORK. WITH
01:37:30.678 --> 01:37:33.214
THE STATE ON A SOLUTION ARM ON
01:37:33.281 --> 01:37:35.183
THE STATE A PROBLEM OF DUPLICATE
01:37:35.249 --> 01:37:35.550
AT A DISCOUNT.
01:37:35.616 --> 01:37:37.552
THANK YOU.
01:37:37.618 --> 01:37:39.053
WELCOME MISTER CHAIR MEGHAN LOW
01:37:39.120 --> 01:37:40.188
BROWN BEHALF OF THE DISTRICT
01:37:40.254 --> 01:37:41.756
HOSPITAL LEADERSHIP FORUM AND
01:37:41.823 --> 01:37:42.790
OUR THIRTY EIGHT DISTRICT A
01:37:42.857 --> 01:37:44.192
MUNICIPAL HOSPITALS HERE IN
01:37:44.258 --> 01:37:46.060
CALIFORNIA. I WOULD ECHO THE
01:37:46.127 --> 01:37:48.129
COMMENTS WE RESPECTFULLY ASK THE
01:37:48.196 --> 01:37:49.263
REJECT THIS PROPOSAL MAY LOOK
01:37:49.330 --> 01:37:50.765
FOURTEEN OPPORTUNITY TO WORK ON
01:37:50.832 --> 01:37:52.233
AN ALTERNATIVE SOLUTION.
01:37:52.300 --> 01:37:53.134
THANK YOU.
01:37:53.201 --> 01:37:55.503
WELCOME.
01:37:55.570 --> 01:37:57.238
SOME I KNOW HARD ON BEHALF OF
01:37:57.305 --> 01:37:57.972
THE CHILDREN SPECIAL TO CARE
01:37:58.039 --> 01:37:59.974
COALITION IN OPPOSITION TO THIS
01:38:00.041 --> 01:38:01.409
PROPOSAL BEING CAREFUL.
01:38:01.476 --> 01:38:03.878
YOU WELCOME. JENNIFER TENER HELL
01:38:03.945 --> 01:38:05.012
ON BEHALF OF THE CALIFORNIA
01:38:05.079 --> 01:38:06.748
CHILDREN'S HOSPITALS ASSOCIATION
01:38:06.814 --> 01:38:08.883
ALSO IN OPPOSITION FOR THE
01:38:08.950 --> 01:38:09.517
REASONS STATED HERE TODAY THANK
01:38:09.584 --> 01:38:10.818
YOU.
01:38:10.885 --> 01:38:13.121
I THANK YOU WELCOME.
01:38:13.187 --> 01:38:14.622
REMEMBER NO MEMBERS MISTER CHAIR
01:38:14.689 --> 01:38:16.057
HER GRAND BAR NOT BE HEALTHY
01:38:16.124 --> 01:38:17.458
IT'S HEALTHCARE FOUNDATION I'M
01:38:17.525 --> 01:38:18.226
SURELY THE ELIMINATION OF
01:38:18.292 --> 01:38:19.594
PROGRAM WOULD BE IMPACT OUR
01:38:19.660 --> 01:38:20.895
ABILITY TO PROVIDE THE RANGE OF
01:38:20.962 --> 01:38:22.830
SERVICES THAT WE DO NOW. BUT I
01:38:22.897 --> 01:38:23.664
WANT TO POINT OUT THERE'S AN
01:38:23.731 --> 01:38:24.298
ADDITIONAL.
01:38:24.665 --> 01:38:26.634
OUTCOME UP ELIMINATING THIS
01:38:26.701 --> 01:38:28.136
PROGRAM AND THAT'S THE IMPACT ON
01:38:28.202 --> 01:38:29.904
THE PUBLIC HEALTH. I'M IN LOS
01:38:29.971 --> 01:38:31.939
ANGELES EIGHT CHEF HAS A RATE OF
01:38:32.006 --> 01:38:32.740
EIGHTY FIVE PERCENT OF OUR
01:38:32.807 --> 01:38:34.842
PATIENTS WHOSE VIRAL LOAD IS
01:38:34.909 --> 01:38:36.644
UNDETECTABLE. THAT MEANS ONCE
01:38:36.711 --> 01:38:38.045
IT'S UNDETECTABLE BUT THEY ARE
01:38:38.112 --> 01:38:39.747
NO LONGER INFECTIOUS. I'M IF WE
01:38:39.814 --> 01:38:41.048
DO NOT HAVE THE RANGE OF
01:38:41.115 --> 01:38:42.417
SERVICES THAT WE HAVE CURRENTLY
01:38:42.483 --> 01:38:44.152
I'M WE FEAR THAT THAT RATE WOULD
01:38:44.218 --> 01:38:45.953
GO DOWN AND MORE PEOPLE WOULD BE
01:38:46.020 --> 01:38:46.621
IN.
01:38:46.687 --> 01:38:48.356
INFECTIOUS AND WE'D SEE A RISE
01:38:48.422 --> 01:38:53.461
IN THE HIV EPIDEMIC AGAIN SO WE
01:38:53.528 --> 01:38:54.028
ENCOURAGE YOU TO REJECT THIS
01:38:54.095 --> 01:38:54.495
PROPOSAL.
01:38:54.562 --> 01:38:55.363
THANK YOU WELCOME.
01:38:55.430 --> 01:38:56.964
MR MCGREGOR ON BEHALF OF ALAMEDA
01:38:57.031 --> 01:38:58.766
HEALTH SYSTEM. I'M AS YOU HEARD
01:38:58.833 --> 01:39:00.501
WE REINVEST THOSE SAVINGS INTO
01:39:00.568 --> 01:39:01.936
PROGRAMS.
01:39:02.003 --> 01:39:03.971
THAT HELP MEDICATION ADHERENCE
01:39:04.038 --> 01:39:05.606
AND PREVENT READMISSIONS SO AS
01:39:05.673 --> 01:39:07.742
YOU POINTED OUT. ELIMINATION
01:39:07.809 --> 01:39:09.076
THESE EVAN.
01:39:09.143 --> 01:39:11.245
OF THE THREE FORTY BE PROGRAM.
01:39:11.312 --> 01:39:12.880
AND ELIMINATION OF THOSE
01:39:12.947 --> 01:39:14.015
PROGRAMS THAT WERE USING TO FIND
01:39:14.081 --> 01:39:15.216
WOULDN'T.
01:39:15.283 --> 01:39:17.585
INCREASE READMISSIONS AND NOT
01:39:17.652 --> 01:39:19.287
ELIMINATE THE OVERALL COST OF
01:39:19.353 --> 01:39:20.454
THE PROS STATE PROGRAMS.
01:39:20.521 --> 01:39:22.056
THANK YOU.
01:39:22.123 --> 01:39:24.659
WELCOME.
01:39:24.725 --> 01:39:26.761
ANDREAS MEL BEHALF OF PLANNED
01:39:26.828 --> 01:39:27.462
PARENTHOOD AFFILIATES OF
01:39:27.528 --> 01:39:29.363
CALIFORNIA. AND WE JUST WANT TO
01:39:29.430 --> 01:39:30.865
THANK THE COMMITTEE FOR CREATING
01:39:30.932 --> 01:39:32.266
A PUBLIC FORUM ON THIS IMPORTANT
01:39:32.333 --> 01:39:34.168
ISSUE. AND I'D LIKE TO ECHO THE
01:39:34.235 --> 01:39:36.471
COMMENTS AND CONCERNS OF MY OUR
01:39:36.537 --> 01:39:37.004
COLLEAGUE FROM THE PACIFIC
01:39:37.071 --> 01:39:37.638
SOUTHWEST.
01:39:37.705 --> 01:39:40.274
THANK YOU.
01:39:40.341 --> 01:39:44.045
RIGHT WELL.
01:39:44.111 --> 01:39:44.979
HOPING WE COULD FIGURE OUT HOW
01:39:45.046 --> 01:39:46.747
TO LAND THIS AMIN.
01:39:46.814 --> 01:39:48.015
YEAH CERTAINLY THE DEPARTMENT
01:39:48.082 --> 01:39:50.084
HAS I THINK OF YOU KNOW VERY
01:39:50.151 --> 01:39:51.085
ILLEGITIMATE AND.
01:39:51.152 --> 01:39:52.920
SERIOUS ISSUE THAT THEY HAVE TO
01:39:52.987 --> 01:39:53.221
DEAL WITH.
01:39:53.287 --> 01:39:54.589
WHICH IS
01:39:54.655 --> 01:39:56.324
TO DUPLICATE NAM THAT'S NOT
01:39:56.390 --> 01:39:57.859
SOMETHING WE NEED AND ALSO
01:39:57.925 --> 01:40:00.995
TRYING TO. BE ABLE TO SIGNAL AND
01:40:01.062 --> 01:40:01.863
AT THE FRONT END AND NOT THE
01:40:01.929 --> 01:40:03.231
BACK END SO THAT WE'RE NOT
01:40:03.297 --> 01:40:04.332
CONSTANTLY TRY TO CHASE OUR
01:40:04.398 --> 01:40:06.267
TAILS SO. I THINK THAT'S
01:40:06.334 --> 01:40:07.602
EXTREMELY IMPORTANT POINT MADE
01:40:07.668 --> 01:40:08.336
BY THE DEPARTMENT
01:40:08.402 --> 01:40:10.104
NEED A SOLUTION THAT ADDRESS
01:40:10.171 --> 01:40:11.739
IS THAT SO AT THE FRONT END.
01:40:11.806 --> 01:40:13.241
I'D I DO THINK THAT.
01:40:14.609 --> 01:40:15.910
YOU KNOW JUST TRYING TO LIMIT
01:40:15.977 --> 01:40:18.012
THE PROGRAM SEEMS TO BE A BIT OF
01:40:18.079 --> 01:40:18.880
A AND.
01:40:18.946 --> 01:40:19.146
YOU KNOW.
01:40:19.213 --> 01:40:20.915
.
01:40:20.982 --> 01:40:23.317
AND IMPACTS WOULD NEGATIVE PET
01:40:23.384 --> 01:40:24.719
THAT WIDESPREAD NEGATIVE IMPACTS
01:40:24.785 --> 01:40:26.821
I THINK I THINK THAT WE CAN TRY
01:40:26.888 --> 01:40:27.922
TO SOLVE THE PROBLEM WITHOUT.
01:40:27.989 --> 01:40:30.157
TRYING TO GO THAT FAR RIGHT I
01:40:30.224 --> 01:40:31.359
THINK THERE'S THERE ARE
01:40:31.425 --> 01:40:33.294
DIFFERENT WAYS WE CAN GO ABOUT
01:40:33.361 --> 01:40:34.428
BEING SURE THAT AT THE FRONT END
01:40:34.495 --> 01:40:36.063
ELVES IF A PROVIDER IS GOING TO
01:40:36.130 --> 01:40:38.065
USE THIS PROGRAM THEY NEED TO
01:40:38.132 --> 01:40:39.233
USE APPROPRIATE MODIFIER RIGHT
01:40:39.300 --> 01:40:40.167
UP FRONT IF.
01:40:40.234 --> 01:40:42.470
DO THAT OR.
01:40:42.537 --> 01:40:43.271
THEY DON'T HAVE THE EXPERIENCE
01:40:43.337 --> 01:40:44.972
TO DO THAT YOU KNOW WE SHOULD
01:40:45.039 --> 01:40:46.107
NARROW THE NUMBER THEN THE
01:40:46.173 --> 01:40:48.409
NUMBER PEOPLE PARTICIPATE DE CAN
01:40:48.476 --> 01:40:50.578
DO THAT. A BUT I I THINK THAT.
01:40:50.645 --> 01:40:52.980
I JUST SIMPLY SINGLE ELIMINATE
01:40:53.047 --> 01:40:54.949
THE PROGRAM ALTOGETHER.
01:40:55.016 --> 01:40:55.650
.
01:40:55.716 --> 01:40:57.318
AND I AM NOT SURE THAT WORKS AND
01:40:57.385 --> 01:40:58.486
AND AND FRANKLY.
01:40:58.552 --> 01:41:00.555
AND I YOU KNOW I I HAVE TO HAVE
01:41:00.621 --> 01:41:02.256
BEEN I HAVEN'T HAD A CHANCE TO
01:41:02.323 --> 01:41:04.058
FULLY READ THE REPORT BUT. AT
01:41:04.125 --> 01:41:05.259
LEAST BASED ON THE TESTIMONY
01:41:05.326 --> 01:41:07.795
HERE THE BEST WE CAN DO IS
QUOTE.
01:41:07.862 --> 01:41:09.196
BREAK EVEN HAPPENED QUOTES.
01:41:09.263 --> 01:41:11.999
AND FOR THE SYSTEM OVERALL.
01:41:12.066 --> 01:41:12.667
AND.
01:41:12.733 --> 01:41:14.735
I'M NINETEEN ASSURANCES THAT
01:41:14.802 --> 01:41:16.003
THE MONEY WILL STAY SO AS FAR AS
01:41:16.070 --> 01:41:17.271
I'M CONCERNED THAT THAT'S JUST
01:41:17.338 --> 01:41:18.506
MONEY BEING TAKEN OUT OF THE
01:41:18.573 --> 01:41:19.974
MEDICARE PROGRAM THAT'S READY
01:41:20.041 --> 01:41:21.108
UNDER FUNDED SO.
01:41:21.175 --> 01:41:22.810
I THINK THAT.
01:41:22.877 --> 01:41:24.779
LET'S SEE WHETHER WE CAN COME
01:41:24.845 --> 01:41:27.248
TO A BETTER SOLUTION AND NUMBER
01:41:27.315 --> 01:41:29.083
NOT THE ONLY STATE THAT. HAS
01:41:29.150 --> 01:41:30.885
THIS PROGRAM AND OTHER STATES
01:41:30.952 --> 01:41:31.586
MAKE IT WORK TO SELL.
01:41:31.652 --> 01:41:33.888
.
01:41:33.955 --> 01:41:36.324
SO LET'S MAKE SURE WE CAN FIGURE
01:41:36.390 --> 01:41:38.559
THIS OUT AND BUT THE ASSEMBLY I
01:41:38.626 --> 01:41:40.094
THINK ELIMINATED PROGRAM I DON'T
01:41:40.161 --> 01:41:41.629
THINK IT'S SOMETHING THAT. I
01:41:41.696 --> 01:41:44.498
WOULD FIND THE OF APPROPRIATE
01:41:44.565 --> 01:41:45.166
ARE ARE ARE.
01:41:45.232 --> 01:41:47.401
IS GONNA WORK OUT FOR FOR FOR
01:41:47.468 --> 01:41:49.470
SYSTEM SO WE STILL HAVE TIME.
01:41:49.537 --> 01:41:50.771
FIGURES OUT SO I HOPE IT WILL
01:41:50.838 --> 01:41:54.775
COME TOGETHER. BUT I DO ALSO
SAY-THE ON WE HAVE TO SOLVE THE
01:41:54.842 --> 01:41:56.978
FETUSES PROBLEM TO WRITE IT SAID
01:41:57.044 --> 01:41:58.813
WE CAN'T JUST HAVE THE WILD WEST
01:41:58.879 --> 01:42:00.481
AND HAVING THEM HAVING TO.
01:42:00.548 --> 01:42:02.249
CHASE DOWN STUFF ALL THE TIME SO
01:42:02.316 --> 01:42:04.151
LET'S SEE WHAT WE CAN LAND LAND
01:42:04.218 --> 01:42:05.252
THIS THING ALRIGHT.
01:42:05.319 --> 01:42:08.055
OKAY.
01:42:08.122 --> 01:42:10.057
ANY OTHER COMMENTS.
01:42:10.124 --> 01:42:11.058
BUT DIRECTORY CAN'T ENJOY
01:42:11.125 --> 01:42:12.526
SAVINGS.
01:42:12.593 --> 01:42:14.462
I THINK WE'RE DONE FOR THE DAY
01:42:14.528 --> 01:42:15.162
SANTA I LOOK FORWARD TO SEEING
01:42:15.229 --> 01:42:17.198
YOU AGAIN SOON. OKAY WELL THANK
01:42:17.264 --> 01:42:18.599
HISTORY MUCH ALRIGHT WELL I
01:42:18.666 --> 01:42:20.701
THINK EVERYONE FOR BEING HERE
01:42:20.768 --> 01:42:21.235
FOR THE PARTY HEALTH CARE
01:42:21.302 --> 01:42:23.504
SERVICES.
01:42:23.571 --> 01:42:25.506
AND WHAT WE'LL DO IS I KNOW.
01:42:25.573 --> 01:42:26.607
YEAH AND WE WILL HOLD THIS ITEM
01:42:26.674 --> 01:42:28.843
OPEN.
01:42:28.909 --> 01:42:30.211
SINCE I DON'T HAVE ENOUGH
01:42:30.277 --> 01:42:33.547
MEMBERS VOTED DOWN ANSWER.
01:42:33.614 --> 01:42:36.283
YET.
01:42:36.350 --> 01:42:38.319
OKAY.
01:42:38.386 --> 01:42:39.987
ALRIGHT SO WHAT PART PUBLIC
01:42:40.054 --> 01:42:40.655
HEALTH.
01:42:40.721 --> 01:42:42.089
EXCEED WHAT WE TAKE AYE I KNOW
01:42:42.156 --> 01:42:43.524
THAT YOU GUYS AND WE HAVE TO
01:42:43.591 --> 01:42:44.992
TAKE A TWO MINUTE BREAK. STRETCH
01:42:45.059 --> 01:42:46.827
BREAK. I THINK OF THE PUBLIC
01:42:46.894 --> 01:42:47.995
HEALTH UNDERSTAND STRETCHING.
01:42:48.062 --> 01:42:49.163
AND THEN WE'LL GO AHEAD GET
01:42:49.230 --> 01:42:50.965
STARTED WITH THAT I KNOW IT'S
01:42:51.032 --> 01:42:51.465
GETTING LATE TO ANYONE.
01:42:51.532 --> 01:43:07.815
SO ALRIGHT THINKS
01:45:37.765 --> 01:45:48.042
YEAH.
01:45:48.108 --> 01:45:50.811
OKAY.
01:45:50.878 --> 01:45:53.948
ALRIGHT WERNER HOMESTRETCH.
01:45:54.014 --> 01:45:55.382
SO ALL OF THIS IS IN ANY
01:45:55.449 --> 01:45:57.051
COMPENSATION FOR COMING LASTS
01:45:57.117 --> 01:45:59.053
TODAY BUT I WILL JUST BEFORE HE
01:45:59.119 --> 01:46:00.721
STARTED TO SAY THAT THE PART
01:46:00.788 --> 01:46:01.922
PUBLIC HEALTH I LOVE ALL THE
01:46:01.989 --> 01:46:03.457
DEPARTMENTS OVERSEE BUT I DO
01:46:03.524 --> 01:46:04.959
HAVE SOME FAVORITES.
01:46:05.025 --> 01:46:08.629
ONE OF THEM. SO SORRY TO START
01:46:08.696 --> 01:46:10.598
OFF WITH THAT AND AGAIN WELCOME
01:46:10.664 --> 01:46:11.899
AND SO WILL DO IS JUST THAT DID
01:46:11.966 --> 01:46:12.600
A QUICK ROUND ROBIN
01:46:12.666 --> 01:46:15.903
INTRODUCTIONS FOR THE RECORD AND
01:46:15.970 --> 01:46:18.539
THEN. THE.
01:46:18.606 --> 01:46:19.573
TRAKTOR BEGINS OF YOU CAN JUST
01:46:19.640 --> 01:46:20.841
THAT QUICK INTRODUCTION.
01:46:20.908 --> 01:46:21.709
KAREN SMITH DIRECTOR SORT
01:46:21.775 --> 01:46:22.243
CALTRAIN DEPARTMENT PUBLIC
01:46:22.309 --> 01:46:23.677
HEALTH.
01:46:23.744 --> 01:46:24.345
RENDON NEWNESS CHIEF DEPUTY
01:46:24.411 --> 01:46:25.946
DIRECTOR FOR OPERATIONS OF THE
01:46:26.013 --> 01:46:27.948
DEPARTMENT OF PUBLIC HEALTH
01:46:28.015 --> 01:46:30.751
HELLO. SONYA PEDICLE AO.
01:46:30.818 --> 01:46:34.154
MANY GREAT LENA GRANT FINANCE.
01:46:34.221 --> 01:46:35.389
BELOW PLANTS A THANK YOU.
01:46:35.456 --> 01:46:36.223
ALRIGHT SO ITEM NUMBER ONE IS.
01:46:36.290 --> 01:46:38.058
THE OVERVIEW AND I THINK
01:46:38.125 --> 01:46:38.892
THEY'LL JUST NEED TO HIT THE
01:46:38.959 --> 01:46:40.361
HIGHLIGHTS AND THAT THANK YOU
01:46:40.427 --> 01:46:41.428
FOR BEING HERE.
01:46:41.495 --> 01:46:42.062
THANK YOU.
01:46:42.129 --> 01:46:43.998
CHAIR FOR THIS OPPORTUNITY I
01:46:44.064 --> 01:46:44.732
THINK I KNOW YOU'RE VERY
01:46:44.798 --> 01:46:45.499
FAMILIAR WITH THE DEPARTMENT I
01:46:45.566 --> 01:46:45.833
MEAN HIT SOME.
01:46:45.900 --> 01:46:46.600
.
01:46:46.667 --> 01:46:47.801
THINGS THAT HAVE HAPPENED A SOME
01:46:47.868 --> 01:46:48.435
ACTIVITIES FROM THE PAST YEAR
01:46:48.502 --> 01:46:51.171
THAT WERE ABOVE THE USUAL ON
01:46:51.238 --> 01:46:52.973
SUSPECTS IF YOU WILL OF THE WORK
01:46:53.040 --> 01:46:54.475
THAT WE DO AS A DEPARTMENT. I'M
01:46:54.541 --> 01:46:56.710
REALLY IT'S BEEN A BANNER YEAR
01:46:56.777 --> 01:46:58.112
FOR INFECTIOUS DISEASE OUTBREAKS
01:46:58.178 --> 01:47:00.414
AS I SURE.
01:47:00.481 --> 01:47:01.081
I'M INFLUENCE OF BEING THE MOST
01:47:01.148 --> 01:47:03.017
REAL RECENT IN ADDITION TO OUR
01:47:03.083 --> 01:47:05.219
USUAL I'M SUPPORT FOR THE HEALTH
01:47:05.286 --> 01:47:06.287
SYSTEM I THE LOCAL HEALTH
01:47:06.353 --> 01:47:07.655
DEPARTMENTS WE ALSO.
01:47:07.721 --> 01:47:09.390
DISTRIBUTED OVER TWO MILLION
01:47:09.456 --> 01:47:10.858
DOSES OF INFLUENZA VACCINE
01:47:10.925 --> 01:47:12.126
INCLUDING ONE POINT FIVE MILLION
01:47:12.192 --> 01:47:15.195
DOSES OF PEDIATRIC VACCINE. ON
01:47:15.262 --> 01:47:15.863
THE HEPATITIS A OUTBREAK WE HAVE
01:47:15.930 --> 01:47:17.364
THE UNFORTUNATE DISTINCTION OF
01:47:17.431 --> 01:47:18.832
THE LARGEST HEPATITIS A OUTBREAK
01:47:18.899 --> 01:47:20.234
PERSON A PERSON IN THE UNITED
01:47:20.301 --> 01:47:22.636
STATES. OVER THE PAST YEAR.
01:47:22.703 --> 01:47:24.405
AND THERE AGAIN PROVIDING
01:47:24.471 --> 01:47:26.073
SUPPORT BUT ALSO TO.
01:47:26.140 --> 01:47:26.740
DISTRIBUTING OVER HUNDRED
01:47:26.807 --> 01:47:28.442
TWENTY THREE THOUSAND VACCINES
01:47:28.509 --> 01:47:30.177
INCLUDING THIRTY EIGHT THOUSAND
01:47:30.244 --> 01:47:33.080
DOSES THAT WERE STATE FUNDED I'M
01:47:33.147 --> 01:47:34.181
DUE TO THE EMERGENCY ORDER THAT.
01:47:34.248 --> 01:47:36.150
THAT THE GOVERNOR AND PUT OUT
01:47:36.216 --> 01:47:38.118
BUT WE ARE ALSO STILL MONITORING
01:47:38.185 --> 01:47:41.488
FOR ZECA AND WE CONTINUE TO HAVE
01:47:41.555 --> 01:47:42.423
SECRET KISSES AND.
01:47:42.489 --> 01:47:44.291
WE'VE HAD TWELVE CONGENITAL
01:47:44.358 --> 01:47:46.727
CASES UNFORTUNATELY AS WELL.
01:47:46.794 --> 01:47:49.229
AND WE'RE CONTINUING TO WORK
01:47:49.296 --> 01:47:50.898
WITH VECTOR CONTROL AGENCIES ON
01:47:50.965 --> 01:47:54.335
AND HAVE A STATEWIDE PLAN THAT
01:47:54.401 --> 01:47:55.002
TO YOU.
01:47:55.069 --> 01:47:58.839
CONTROLS ECA AS WELL AS REALLY
01:47:58.906 --> 01:47:59.373
AGGRESSIVE OUTREACH AT THE
01:47:59.440 --> 01:47:59.940
BORDER.
01:48:00.007 --> 01:48:00.574
AND THEN I JUST WANNA IN
01:48:00.641 --> 01:48:01.041
ADDITION TO THE COMMUNICABLE
01:48:01.108 --> 01:48:01.575
DISEASE OUTBREAKS.
01:48:01.642 --> 01:48:02.242
HEPATITIS BUT ALSO TO.
01:48:02.309 --> 01:48:03.977
FETAL AM BACTERIAL MENINGITIS.
01:48:04.044 --> 01:48:04.611
OUR.
01:48:04.678 --> 01:48:05.446
EMERGENCY OPERATIONS CENTER
01:48:05.512 --> 01:48:06.847
THAT THE MEDICAL HEALTH
01:48:06.914 --> 01:48:07.781
COORDINATION CENTER HAS BEEN
01:48:07.848 --> 01:48:09.149
ACTIVATED EVERY SINGLE DAY THIS
01:48:09.216 --> 01:48:10.217
YEAR PRETTY MUCH.
01:48:10.284 --> 01:48:11.585
FOR A VARIETY OF OTHER
01:48:11.652 --> 01:48:12.486
ACTIVITIES.
01:48:12.553 --> 01:48:14.688
INCLUDING THE.
01:48:14.755 --> 01:48:16.857
IT TO THE EVACUATION OF ELEVEN
01:48:16.924 --> 01:48:18.125
FACILITIES IN FOUR HUNDRED
01:48:18.192 --> 01:48:18.993
SEVENTY PATIENTS FOR THE OR BILL
01:48:19.059 --> 01:48:20.527
DAM A RESPONSE.
01:48:20.594 --> 01:48:21.929
OVER TWENTY EIGHT FACILITIES
01:48:21.995 --> 01:48:23.130
AND A THOUSAND PATIENTS
01:48:23.197 --> 01:48:25.065
EVACUATED DURING THE NORTHERN
01:48:25.132 --> 01:48:25.532
CALIFORNIA FIRES
01:48:25.599 --> 01:48:26.233
THE.
01:48:26.300 --> 01:48:27.735
FIFTY FOUR FACILITIES SOME FIVE
01:48:27.801 --> 01:48:28.836
HUNDRED NINETY FIVE PATIENTS
01:48:28.902 --> 01:48:29.970
EVACUATED DURING THE SOUTHERN
01:48:30.037 --> 01:48:31.805
CALIFORNIA FIRES. AND THEN IN
01:48:31.872 --> 01:48:33.340
JANUARY THE MUD SLIDES WHICH
01:48:33.407 --> 01:48:34.441
WE'RE AT NOW HAVE SEVERAL
01:48:34.508 --> 01:48:35.909
FACILITIES THAT ARE ACTUALLY ON
01:48:35.976 --> 01:48:37.578
THEIR FOURTH EVACUATION.
01:48:37.644 --> 01:48:39.246
DOWN IN SANTA BARBARA COUNTY SO
01:48:39.313 --> 01:48:41.281
WE REMAIN VERY ACTIVE IN ARMOR
01:48:41.348 --> 01:48:42.549
RESPONSE TO EMERGENCIES
01:48:42.616 --> 01:48:43.150
THROUGHOUT THE STATE OF
01:48:43.217 --> 01:48:44.918
CALIFORNIA. THANK YOU ALSO
01:48:44.985 --> 01:48:45.986
FAMILIAR WITH OUR WORK ON THE
01:48:46.053 --> 01:48:47.588
OPIATE EPIDEMIC WE CONTINUE TO
01:48:47.654 --> 01:48:48.856
HAVE A SEVERE PUBLIC HEALTH
01:48:48.922 --> 01:48:50.924
PROBLEM WE ALSO HAVE ONE OF THE
01:48:50.991 --> 01:48:52.893
MOST INNOVATIVE AND BROADS BROAD
01:48:52.960 --> 01:48:54.028
APPROACHES TO.
01:48:54.094 --> 01:48:55.829
THE OPIATE EPIDEMIC IN THE
01:48:55.896 --> 01:48:56.430
UNITED STATES AND WE'RE
01:48:56.497 --> 01:48:58.198
BEGINNING TO SEE. SOME I'M
01:48:58.265 --> 01:48:58.866
ENCOURAGING.
01:48:58.932 --> 01:49:01.435
THAT CHANGES IN PRESCRIBING
01:49:01.502 --> 01:49:02.770
PATTERNS IN PARTICULAR AND WE'RE
01:49:02.836 --> 01:49:04.204
CONTINUING TO WORK ON THAT.
01:49:04.271 --> 01:49:06.407
ACTIVELY ALSO MANAGED TO VERY
01:49:06.473 --> 01:49:07.775
SUCCESSFULLY I THINK.
01:49:07.841 --> 01:49:09.710
LAUNCH BOTH A REGULATORY
01:49:09.777 --> 01:49:11.945
STRUCTURE BUT ALSO LICENSING FOR
01:49:12.012 --> 01:49:13.747
THE MANUFACTURE OF CANNABIS AND
01:49:13.814 --> 01:49:15.015
TO DO SO THAT'S JUST A KIND OF.
01:49:15.082 --> 01:49:16.350
HIGH LEVEL OVERVIEW OF SOME OF
01:49:16.417 --> 01:49:17.985
THE THINGS BEYOND OUR NORMAL
01:49:18.052 --> 01:49:19.119
WORK THAT WE'VE BEEN DOING THIS
01:49:19.186 --> 01:49:21.688
PAST YEAR. FAQ AND.
01:49:21.755 --> 01:49:25.726
BRAND IT'S GONNA GIVE YOU THE
01:49:25.793 --> 01:49:28.395
F. FINANCIAL REVIEW JUST A QUICK
01:49:28.462 --> 01:49:29.563
OVERVIEW ON OUR BUDGET OF COURSE
01:49:29.630 --> 01:49:31.398
WE HAVE A BUDGET THREE POINT TWO
01:49:31.465 --> 01:49:33.767
BILLION FOR SEVENTEEN EIGHTEEN.
01:49:33.834 --> 01:49:36.737
GOING INTO EIGHTEEN NINETEEN
01:49:36.804 --> 01:49:37.204
IT'S RELATIVELY FLAT.
01:49:37.271 --> 01:49:37.671
CHANGES
01:49:37.738 --> 01:49:38.272
ABOUT A ONE PERSON
01:49:38.338 --> 01:49:38.705
A KLEIN FROM THE SEVENTEEN
01:49:38.772 --> 01:49:39.807
EIGHTEEN BUDGET.
01:49:39.873 --> 01:49:41.175
COURSE WE HAVE A BUDGET THAT HAS
01:49:41.241 --> 01:49:41.842
A.
01:49:41.909 --> 01:49:42.843
MIX OF GENERAL FUND VERY SMALL
01:49:42.910 --> 01:49:43.777
PERCENTAGE AND OFTEN A FOUR
01:49:43.844 --> 01:49:44.478
PERCENT.
01:49:44.545 --> 01:49:45.112
LARGE PROPORTION OF OUR FUNDING
01:49:45.179 --> 01:49:45.779
COMES FROM FEDERAL FUNDS OF
01:49:45.846 --> 01:49:46.480
ABOUT HALF AND THEN WE HAVE A
01:49:46.547 --> 01:49:47.147
LARGE NUMBER OF SPECIAL FUNDS IN
01:49:47.214 --> 01:49:48.515
ABOUT FORTY SIX PERCENT OR ONE
01:49:48.582 --> 01:49:50.217
AND A HALF BILLION COMES FROM
01:49:50.284 --> 01:49:51.618
OUR SPECIAL FUNDS SOURCES.
01:49:51.685 --> 01:49:53.487
YOU'LL BE HEARING TODAY FROM A
01:49:53.554 --> 01:49:55.088
NUMBER OF OUR CENTERS.
01:49:55.155 --> 01:49:56.623
THAT.
01:49:56.690 --> 01:49:58.325
DID THE CHANGES RELATED TO OUR
01:49:58.392 --> 01:49:59.960
BUDGET OBVIOUSLY DRIVEN BY NINE%
01:50:00.027 --> 01:50:01.228
BCP'S THAT WE HAVE WE HAVE FOR
01:50:01.295 --> 01:50:03.163
ESTIMATES WILL BE PRESENTING TO
01:50:03.230 --> 01:50:04.097
YOU THIS YEAR FROM OUR WOMEN
01:50:04.164 --> 01:50:05.199
INFANTS AND CHILDREN ARE GENETIC
01:50:05.265 --> 01:50:07.167
DISEASE SCREENING. OUR LICENSING
01:50:07.234 --> 01:50:09.937
AND CERTIFICATION AND ARE HIV
01:50:10.003 --> 01:50:10.804
ASSISTANCE PROGRAM.
01:50:10.871 --> 01:50:12.306
YOU'LL BE HEARING MOST OF THOSE
01:50:12.372 --> 01:50:13.974
ADJUSTMENTS THIS YEAR AND HEARD
01:50:14.041 --> 01:50:15.509
TODAY ACTUALLY AND THEN WE HAVE
01:50:15.576 --> 01:50:16.710
ON THE SMALL GENERAL FUND
01:50:16.777 --> 01:50:18.178
INCREASE THAT HIGHLIGHT THIS
01:50:18.245 --> 01:50:18.745
YEAR.
01:50:18.812 --> 01:50:19.580
WE HAVE THREE AND A HALF
01:50:19.646 --> 01:50:21.381
MILLION THAT'S GOING TO BOTH OUR
01:50:21.448 --> 01:50:23.650
AL'S HYMERS PROGRAM AND OUR MEAT
01:50:23.717 --> 01:50:26.286
SAFETY MONITORING PROGRAM YOU'LL
01:50:26.353 --> 01:50:26.887
HEAR ABOUT BOTH THOSE AS WELL
01:50:26.954 --> 01:50:27.221
TODAY.
01:50:27.287 --> 01:50:28.989
THANK YOU.
01:50:29.056 --> 01:50:29.590
THANK YOU COMES FROM ALEJO.
01:50:29.656 --> 01:50:31.825
FINANCE.
01:50:31.892 --> 01:50:32.059
ALRIGHT.
01:50:32.126 --> 01:50:34.528
.
01:50:34.595 --> 01:50:35.696
JUST YOU KNOW I THINK EVERY
01:50:35.762 --> 01:50:37.664
SHAPE THE OVERVIEW I THINK.
01:50:37.731 --> 01:50:39.867
WENT QUESTIONS I HAVE IS IS
01:50:39.933 --> 01:50:41.068
THAT GIVEN THE FACT THAT.
01:50:41.135 --> 01:50:41.935
REALLY I MEAN THE THREE POINT
01:50:42.002 --> 01:50:44.171
TWO BILLION DOLLAR BUDGET BUT
01:50:44.238 --> 01:50:45.672
THE GENERAL FUND PORTION IS SUCH
01:50:45.739 --> 01:50:47.141
A SMART PORTION MOST OF THIS IS
01:50:47.207 --> 01:50:50.310
FEDERAL MONEY DO YOU SEE THREATS
01:50:50.377 --> 01:50:51.378
IN THE FEDERAL BUDGET TO.
01:50:51.445 --> 01:50:54.014
TO TO OUR DEPARTMENT AND.
01:50:54.081 --> 01:50:57.050
ARE POTENTIAL PREPAREDNESS ARE
01:50:57.117 --> 01:50:57.651
TO BE OUT THERE ARE CARRY OUT
01:50:57.718 --> 01:50:57.985
THERE.
01:50:58.051 --> 01:50:58.952
DEPARTMENT
01:50:59.019 --> 01:51:00.521
AIMS OF.
01:51:00.587 --> 01:51:01.688
IT'S SORT OF THE TALKS ABOUT.
01:51:01.755 --> 01:51:03.590
THE LARGE CUTS TO A TO
01:51:03.657 --> 01:51:05.993
PREVENTION FUND PROGRAM FUNDING
01:51:06.059 --> 01:51:07.794
AND AT THE FEDERAL LEVEL. BUT AT
01:51:07.861 --> 01:51:08.962
THE FROM WE HAVE SEEN SOME
01:51:09.029 --> 01:51:10.364
DECREASES IN.
01:51:10.430 --> 01:51:12.599
SOME OF OUR PROGRAMS THAT DUST
01:51:12.666 --> 01:51:13.433
OR WE'VE BEEN ABLE TO ABSORB
01:51:13.500 --> 01:51:15.269
PRETTY WELL AND GOOD NEWS FROM
01:51:15.335 --> 01:51:17.171
THIS MORNING ASSUMING THAT THE
01:51:17.237 --> 01:51:18.972
APPROPRIATIONS BILL PASSES THAT
01:51:19.039 --> 01:51:20.440
WENT THROUGH THE SENATE. I'M IT
01:51:20.507 --> 01:51:21.575
LOOKS LIKE WE'RE ACTUALLY NOT
01:51:21.642 --> 01:51:22.743
GOING TO SEE MANY OF THE LARGEST
01:51:22.809 --> 01:51:22.976
CUTS
01:51:23.043 --> 01:51:25.646
SO.
01:51:25.712 --> 01:51:26.513
ALRIGHT SO BE VERY SENSITIVE THE
01:51:26.580 --> 01:51:28.382
FACT THAT ARE. PART OF A CULT
01:51:28.448 --> 01:51:29.950
BUDGET IS.
01:51:30.017 --> 01:51:31.885
AND NOW THE GENERAL FUND SIDE
01:51:31.952 --> 01:51:33.620
NAY EVEN SMALLER PORTION WHAT.
01:51:33.687 --> 01:51:35.756
KEYS MAYBE SPIEGEL WITHOUT SO
01:51:35.822 --> 01:51:37.558
WE HAVE THIS THREE BILLION TO
01:51:37.624 --> 01:51:38.292
WHAT WE SPEND THE GENERAL FUND.
01:51:38.358 --> 01:51:40.594
SLEEP.
01:51:40.661 --> 01:51:43.830
IN TERMS OF THE.
01:51:43.897 --> 01:51:46.033
SO AND THIS PAST YEAR OVER THE
01:51:46.099 --> 01:51:47.000
PAST COUPLE YEARS THERE'S BEEN
01:51:47.067 --> 01:51:48.802
SOME AUGMENTATIONS THAT HAVE
01:51:48.869 --> 01:51:50.604
COME FROM OUR GENERAL FUND.
01:51:50.671 --> 01:51:53.173
WE HAD TO NAPA AND SIXTEEN
01:51:53.240 --> 01:51:54.641
SEVENTEEN ALONE WE HAD SOMEONE
01:51:54.708 --> 01:51:55.242
SIGN UP AUGMENTATIONS OF ABOUT
01:51:55.309 --> 01:51:57.044
TWO.
01:51:57.110 --> 01:51:58.645
DISEASE PROGRAM.
01:51:58.712 --> 01:51:59.646
WE HAD.
01:51:59.713 --> 01:52:01.648
THREE MILLION THAT CAME FROM.
01:52:01.715 --> 01:52:03.584
DRUG OVERDOSE A DRUG OVERDOSE
01:52:03.650 --> 01:52:05.385
PREVENTION PROGRAM.
01:52:05.452 --> 01:52:07.387
THIS PAST YEAR WE RECEIVED AND
01:52:07.454 --> 01:52:08.855
I WENT ASIAN OF ABOUT ONE POINT
01:52:08.922 --> 01:52:10.157
SEVEN MILLION I'M FROM PARKER
01:52:10.224 --> 01:52:11.792
FROM OUR PARKINSON'S REGISTRY A
01:52:11.858 --> 01:52:13.627
LARGE PROPORTION ALSO GOES TO WE
01:52:13.694 --> 01:52:14.761
HAVE THE RICHMOND
01:52:14.828 --> 01:52:16.096
I HAVE BEEN SO. PART OF THE THAT
01:52:16.163 --> 01:52:17.664
THE PROCESS OF REPAINTING BONDS
01:52:17.731 --> 01:52:19.199
GOES TO THAT.
01:52:19.266 --> 01:52:21.902
I WOULD SAY THAT. THAT'S A AND
01:52:21.969 --> 01:52:23.570
THEN ANOTHER STAFF PERSONNEL
01:52:23.637 --> 01:52:25.405
COSTS ON LARGE PORTION OF IT
01:52:25.472 --> 01:52:27.140
ACTUALLY IS WITH OUR CENTER FOR
01:52:27.207 --> 01:52:28.775
INFECTIOUS DISEASES BECAUSE A
01:52:28.842 --> 01:52:30.310
LOT OF OUR LAB INFRASTRUCTURE IS
01:52:30.377 --> 01:52:32.312
GENERAL FUND.
01:52:32.379 --> 01:52:35.215
SO THAT'S WHERE MOST OF IT.
01:52:35.282 --> 01:52:36.683
I APPRECIATE THAT AYE AYE AYE IT
01:52:36.750 --> 01:52:37.618
BELIEVE THAT WE'RE ACTUALLY
01:52:37.684 --> 01:52:39.653
GOING TO HAVE A. PANEL ON ARE
01:52:39.720 --> 01:52:41.688
THE TEXAS DISEASE ARE CONTAGION
01:52:41.755 --> 01:52:43.323
PREVENTION THAT A FUTURE HEARING
01:52:43.390 --> 01:52:45.626
SO I APPRECIATE YOU CITING THOSE
01:52:45.692 --> 01:52:47.194
THINGS BECAUSE BOB EVEN AS WE'RE
01:52:47.261 --> 01:52:48.228
DEALING WITH WILD FIRES AND MUD
01:52:48.295 --> 01:52:50.264
SLIDES AND WORRY ABOUT
01:52:50.330 --> 01:52:51.431
EARTHQUAKES AND FLOODS.
01:52:51.498 --> 01:52:54.167
IT DIED THE NEW NORMALS ALSO.
01:52:54.234 --> 01:52:56.203
SEEMS LIKE EVERY YEAR THERE'S
01:52:56.270 --> 01:52:57.704
ANOTHER. ACTIONS DISEASE
01:52:57.771 --> 01:53:00.040
OUTBREAK CRICHTON DUH AND HOW WE
01:53:00.107 --> 01:53:02.409
MITIGATE THAT RIGHT SO THAT THEY
01:53:02.476 --> 01:53:03.677
SEEK A.
01:53:03.744 --> 01:53:07.180
YELL STDS RIGHT HERE FOR YOU TO
01:53:07.247 --> 01:53:08.749
CITIES AROUND AYE AND WE STILL
01:53:08.815 --> 01:53:09.650
HAVE VALLEY
01:53:09.716 --> 01:53:10.217
EVER PLUS NINE.
01:53:10.284 --> 01:53:11.785
AROUND.
01:53:11.852 --> 01:53:13.287
PURPOSELY NOT ANOTHER MEASLES A
01:53:13.353 --> 01:53:14.288
THINK AWFULLY WE HAVE POLICIES
01:53:14.354 --> 01:53:15.789
IN PLACE THAT MITIGATE THAT BUT.
01:53:15.856 --> 01:53:17.391
SO.
01:53:17.457 --> 01:53:19.826
BUT IT SEEMED LIKE EVERY YEAR
01:53:19.893 --> 01:53:20.527
THERE'S ANOTHER ONE TO TALK
01:53:20.594 --> 01:53:22.963
ABOUT SO. ALRIGHT. RATE OF ANY
01:53:23.030 --> 01:53:26.266
PUBLIC COMMENT ON THE OVERVIEW.
01:53:26.333 --> 01:53:29.002
ALRIGHT SEEING NONE I WILL START
01:53:29.069 --> 01:53:29.503
GETTING INTO SOME OF THE
01:53:29.569 --> 01:53:30.837
SPECIFIC.
01:53:30.904 --> 01:53:31.571
CHIU SO THAT WAS JUST
01:53:31.638 --> 01:53:33.740
INFORMATIONAL SO I ISSUE NUMBER
01:53:33.807 --> 01:53:35.375
TUESDAY ALZHEIMER'S DISEASE
01:53:35.442 --> 01:53:44.418
PROGRAM GRANT AWARDS.
01:53:44.484 --> 01:53:47.354
WELCOME AND IF YOU CAN AND JUST.
01:53:47.421 --> 01:53:48.989
INTRODUCE YOURSELF FIRST FOR
01:53:49.056 --> 01:53:50.924
THE RECORD AND THEN. THEN AFTER
01:53:50.991 --> 01:53:52.325
THAT WE CAN BEGIN THE
01:53:52.392 --> 01:53:54.328
PRESENTATION GOOD AFTERNOON THIS
01:53:54.394 --> 01:53:55.028
IS MONIQUE UMBRELLAS AND THE
01:53:55.095 --> 01:53:56.596
DEPUTY DIRECTOR FOR THE CENTER
01:53:56.663 --> 01:53:57.698
FOR CHRONIC DISEASE PREVENTION
01:53:57.764 --> 01:54:00.867
AND HEALTH PROMOTION.
01:54:00.934 --> 01:54:02.269
AFTERNOON MARK STAR W. DIRECTOR
01:54:02.336 --> 01:54:03.737
FOR RONALD HEALTH.
01:54:03.804 --> 01:54:06.106
OKAY EXCELLENT HERE TO ASSIST
01:54:06.173 --> 01:54:06.873
WITH SOME QUESTIONS IF THEY MAY
01:54:06.940 --> 01:54:08.909
PAPA. ALRIGHT EXCELLENT OKAY
01:54:08.975 --> 01:54:10.277
WHICH GO THEN BEGIN.
01:54:10.343 --> 01:54:11.445
SO ISSUE NUMBER TO THE
01:54:11.511 --> 01:54:13.213
LZHEIMER'S DISEASE UP PROGRAM
01:54:13.280 --> 01:54:15.916
FUNDED SO ON CP IT IS REQUESTING
01:54:15.982 --> 01:54:17.517
A ONE TIME INCREASE IN BUDGET
01:54:17.584 --> 01:54:19.486
AUTHORITY FOR FROM THE
01:54:19.553 --> 01:54:21.121
ALZHEIMER'S SPECIAL FIND. UP TO
01:54:21.188 --> 01:54:23.356
SPEND AN ADDITIONAL TWO HUNDRED
01:54:23.423 --> 01:54:23.957
FORTY TWO THOUSAND DOLLARS IN
01:54:24.024 --> 01:54:24.491
LOCAL.
01:54:24.558 --> 01:54:26.827
IN EIGHTEEN AND NINE.
01:54:26.893 --> 01:54:28.128
AND THIS IS TO HONOR THE TOTAL
01:54:28.195 --> 01:54:29.996
RESEARCH GRANT AMOUNTS THAT THE
01:54:30.063 --> 01:54:32.365
PROGRAM I'VE PUT IN PLACE.
01:54:32.432 --> 01:54:34.468
AND THIS PAST YEAR UNFORTUNATELY
01:54:34.534 --> 01:54:37.904
THE PROGRAM MISTAKENLY AWARDED
A.
01:54:37.971 --> 01:54:40.674
IN EXCESS IN OUR RESEARCH.
01:54:40.741 --> 01:54:42.008
GRANTS AND SO THIS IS WHAT WE'RE
01:54:42.075 --> 01:54:43.777
MAKING TO AND THE FIRST TASK FOR
01:54:43.844 --> 01:54:45.278
THIS BCP.
01:54:45.345 --> 01:54:47.981
ON THE SECOND ASK IS IN OF.
01:54:48.048 --> 01:54:49.449
ONGOING DECREASE IN OPERATION
01:54:49.516 --> 01:54:51.485
EXPENDITURE AUTHORITY. FROM THE
01:54:51.551 --> 01:54:53.019
ALZHEIMER'S RESEARCH ACCOUNT
01:54:53.086 --> 01:54:54.321
CONSISTING OF A HUNDRED AND
01:54:54.387 --> 01:54:56.156
THIRTY THOUSAND DOLLARS AND THIS
01:54:56.223 --> 01:54:57.657
IS JUST FOR US TO BALANCE OUR
01:54:57.724 --> 01:54:59.326
EXPENDITURE WITH A LOT
01:54:59.392 --> 01:55:00.060
PROJECTIONS FOR READING.
01:55:00.127 --> 01:55:02.195
FULLER.
01:55:02.262 --> 01:55:04.197
FINALLY. OF WE REQUESTED AN
01:55:04.264 --> 01:55:05.499
EXPENDITURE AUTHORITY INCREASE
01:55:05.565 --> 01:55:07.367
OF THREE POINT ONE MILLION
01:55:07.434 --> 01:55:09.169
DOLLARS FROM THE GENERAL FUND.
01:55:09.236 --> 01:55:10.504
SO THESE CHANGES FOR ITS REALLY
01:55:10.570 --> 01:55:13.073
ARE JUST TO CONTINUE THE WORK
01:55:13.140 --> 01:55:14.174
THAT WE'RE DOING AROUND
01:55:14.241 --> 01:55:16.643
SOMERS SUSIE'S IN.
01:55:16.710 --> 01:55:18.345
THAT YOU SEE OUTLINED IN THE
01:55:18.412 --> 01:55:20.247
AGENDA TODAY PROGRAM.
01:55:20.313 --> 01:55:22.616
OKAY THANK YOU.
01:55:22.682 --> 01:55:24.384
AND ANY COMING FROM ELIOT. NO
01:55:24.451 --> 01:55:26.286
FINANCE.
01:55:26.353 --> 01:55:27.320
LEANING GRANT DEPARTMENT OF
01:55:27.387 --> 01:55:29.222
FINANCE AND.
01:55:29.289 --> 01:55:30.857
ALONG WITH JUST THE.
01:55:30.924 --> 01:55:32.592
FINANCE SUPPORTS A PROPOSAL TO
01:55:32.659 --> 01:55:34.761
FUND ADDITIONAL AND. FROM THE
01:55:34.828 --> 01:55:37.397
START WEST ALRIGHT AND A HOME
01:55:37.464 --> 01:55:39.666
THE AIRED IT LED TO THE OVER THE
01:55:39.733 --> 01:55:41.768
GRANTING OR EXPENDITURE TRAN IS
01:55:41.835 --> 01:55:43.603
THAT WE IDENTIFIED THE ROOT
01:55:43.670 --> 01:55:45.272
CAUSE OF THAT.
01:55:45.338 --> 01:55:46.173
THE VALUE OF HAVING THE FUTURE
01:55:46.239 --> 01:55:48.208
YES WE DID AND WE ACTUALLY HAVE
01:55:48.275 --> 01:55:50.243
PUT ON STRONG SYSTEMS IN PLACE
01:55:50.310 --> 01:55:52.012
OF ADDED DID DOUBLE.
01:55:52.078 --> 01:55:54.514
IN A REVIEW BASICALLY OF WHAT
01:55:54.581 --> 01:55:56.216
WE HAVE AN AUTHORITY VERSUS WHAT
01:55:56.283 --> 01:55:56.817
WE ACTUALLY HAVE IN THE FINE.
01:55:56.883 --> 01:55:59.853
OKAY TO.
01:55:59.920 --> 01:56:01.288
APPRECIATE YOU COMING FORWARD
01:56:01.354 --> 01:56:02.889
NOTING THAT THAT HAPPENED IN
01:56:02.956 --> 01:56:04.758
WHICH I'M SURE IT.
01:56:04.825 --> 01:56:06.459
TRY TO AVOID THOSE AND FUTURE
01:56:06.526 --> 01:56:07.861
ABSOLUTELY OKAY ALRIGHT ANY
01:56:07.928 --> 01:56:10.630
PUBLIC COMMENT.
01:56:10.697 --> 01:56:14.568
WELCOME.
01:56:14.634 --> 01:56:16.102
BLAMES JOSS WHEDON AND REPS IN
01:56:16.169 --> 01:56:17.971
THE ALZHEIMER'S ASSOCIATION.
01:56:18.038 --> 01:56:19.406
AND WE STRONGLY SUPPORT THIS
01:56:19.472 --> 01:56:21.274
PROPOSAL INCREASED ARM AT THIS
01:56:21.341 --> 01:56:22.843
TIME THERE'S NO WAY TO CURE
01:56:22.909 --> 01:56:23.877
TREAT OR PREVENT ALZHEIMER'S
01:56:23.944 --> 01:56:25.679
DISEASE AND ALZHEIMER'S DISEASE.
01:56:25.745 --> 01:56:27.581
IT IS A FATAL DISEASE.
01:56:27.647 --> 01:56:28.849
CURRENTLY AT THIS MOMENT EVERY
01:56:28.915 --> 01:56:30.650
DOLLAR WE SPEND ON RESEARCH.
01:56:30.717 --> 01:56:31.885
SPEND A HUNDRED DOLLARS ON CARE
01:56:31.952 --> 01:56:34.287
AND SUPPORT RESULTING AND THE
01:56:34.354 --> 01:56:35.422
AVERAGE LIFETIME COST OF
01:56:35.489 --> 01:56:36.623
ALZHEIMER'S DISEASE TREATMENT
01:56:36.690 --> 01:56:38.525
FOR BEING THREE HUNDRED FORTY
01:56:38.592 --> 01:56:39.159
THOUSAND DOLLARS FOR EACH FAMILY
01:56:39.226 --> 01:56:40.126
MEMBER.
01:56:40.193 --> 01:56:41.761
SO IF WE'RE GOING TO HEAD OFF
01:56:41.828 --> 01:56:43.396
THIS COSTS WERE SOCIETY.
01:56:43.463 --> 01:56:45.265
AND PROVIDE CARE AND SUPPORT AND
01:56:45.332 --> 01:56:46.366
CURE THIS DISEASE ME TO SPEND
01:56:46.433 --> 01:56:46.700
ONE RESEARCH
01:56:46.766 --> 01:56:47.801
THANK YOU.
01:56:47.868 --> 01:56:49.769
I THINK YOU.
01:56:49.836 --> 01:56:51.371
SINGLE OIL SUPPLY MICROPHONE.
01:56:51.438 --> 01:56:54.341
BEHOLD THE SAME OPEN DATA
01:56:54.407 --> 01:56:54.841
THANKS SO MUCH FOR YOUR
01:56:54.908 --> 01:56:56.409
PRESENTATION.
01:56:56.476 --> 01:56:56.743
OKAY.
01:56:56.810 --> 01:56:58.712
NEXT ITEM.
01:56:58.778 --> 01:57:00.146
IS ITEM NUMBER THREE IS EXPANDED
01:57:00.213 --> 01:57:01.548
LET TESTING FOR CALIFORNIA'S
01:57:01.615 --> 01:57:04.751
CHILDREN AB THIRTEEN SO.
01:57:04.818 --> 01:57:05.919
AGAIN FOR THE RECORD MONIQUE
01:57:05.986 --> 01:57:07.687
UMBRELLAS AND DEPUTY DIRECTOR
01:57:07.754 --> 01:57:08.221
FOR THE CENTER FOR CHRONIC
01:57:08.288 --> 01:57:11.057
DISEASE.
01:57:11.124 --> 01:57:12.826
I'M SO THIS PC PETER CRESCENT
01:57:12.893 --> 01:57:15.328
EXPENDITURE OF FORTY OF TO.
01:57:15.395 --> 01:57:17.163
THOUSAND TWO HUNDRED AND
01:57:17.230 --> 01:57:19.165
SEVENTY SIX THOUSAND IN STATE
01:57:19.232 --> 01:57:21.735
OPERATIONS FROM THE LEAD.
01:57:21.801 --> 01:57:23.770
THE TYPE OF LEAD POISONING.
01:57:23.837 --> 01:57:25.605
TO CARRY AT THE NEW REGULATIONS
01:57:25.672 --> 01:57:26.673
PERSON BILLY DALE THIRTEEN
01:57:26.740 --> 01:57:28.341
SIXTEEN.
01:57:28.408 --> 01:57:30.343
PACIFIC EARLY THIS FUNDS UP TO
01:57:30.410 --> 01:57:32.212
STATE POSITIONS FOR US TO BUILD
01:57:32.279 --> 01:57:33.513
OF THE CUT
01:57:33.580 --> 01:57:36.616
CITY TO. FOLLOW UP ON THE NEW
01:57:36.683 --> 01:57:38.818
REGULATIONS THE DATA ANALYSIS
01:57:38.885 --> 01:57:40.153
THAT REPORTING THAT WILL TAKE
01:57:40.220 --> 01:57:42.188
PLACE AND BECAUSE OF AB THIRTEEN
01:57:42.255 --> 01:57:45.025
SIXTEEN.
01:57:45.091 --> 01:57:47.127
CURRENT BELIAU.
01:57:47.193 --> 01:57:49.629
FINANCE WENT. OF IT SAID ONE
01:57:49.696 --> 01:57:51.398
QUESTION REGARDING THIS ISSUE.
01:57:51.464 --> 01:57:53.800
AND OUR ANALYSIS IT.
01:57:53.867 --> 01:57:55.902
THE TERMS OF REGULATORY PROCESS
01:57:55.969 --> 01:57:57.304
IT SAID IT WAS.
01:57:57.370 --> 01:57:59.139
GONNA TAKE A MINIMUM OF TWO
01:57:59.205 --> 01:58:01.474
YEARS AND. LEAD THIS PRE WILL
01:58:01.541 --> 01:58:04.377
RESEARCH SO MISS WONDERING AS TO
01:58:04.444 --> 01:58:05.879
WHY WOULD TAKE SO LONG TO THE
01:58:05.946 --> 01:58:07.447
ABOUT THE REGULATIONS.
01:58:07.514 --> 01:58:09.783
THERE IS A PROTOCOL THAT WE HAVE
01:58:09.849 --> 01:58:11.618
TO FOLLOW INCLUDING FOR EXAMPLE
01:58:11.685 --> 01:58:13.420
OF FORTY FIVE DAY OF.
01:58:13.486 --> 01:58:16.122
COMMENTS THE STANDARDS ALSO
01:58:16.189 --> 01:58:17.190
WORKING WITH STAKEHOLDERS
01:58:17.257 --> 01:58:19.793
BRINGING THEM TOGETHER. BAD AND
01:58:19.859 --> 01:58:21.394
WE BELIEVE WILL TAKE AS AND THAT
01:58:21.461 --> 01:58:23.129
PERIOD OF TIME THEY WERE
01:58:23.196 --> 01:58:24.597
ACTUALLY CURRENTLY RIGHT NOW.
01:58:24.664 --> 01:58:26.499
ACTIVE THE ALREADY A YOU KNOW IN
01:58:26.566 --> 01:58:28.401
DESIGNING AND IMPLEMENTING AND.
01:58:28.468 --> 01:58:31.037
WORKING WITH OUR TEAM TO KIND OF
01:58:31.104 --> 01:58:32.639
MAKE SURE THAT WE TRY TO MEET
01:58:32.706 --> 01:58:33.807
THAT DEADLINE.
01:58:33.873 --> 01:58:34.374
WELL I MEAN CERTAINLY IT'S
01:58:34.441 --> 01:58:35.475
IMPORTANT BRING TOGETHER
01:58:35.542 --> 01:58:37.944
STAKEHOLDERS AND SO FORTH BUT
01:58:38.011 --> 01:58:39.312
YOU KNOW FORTY FIVE DAYS SOME.
01:58:39.379 --> 01:58:41.548
MONTH AND A HALF SO THAT. I DO I
01:58:41.614 --> 01:58:43.149
HOPE THAT WE CAN LOOK AT AND SEE
01:58:43.216 --> 01:58:45.719
WHAT CAN BE DONE TO SPEED THE
01:58:45.785 --> 01:58:46.286
PROCESS.
01:58:46.353 --> 01:58:49.623
NOW ALONG ITS.
01:58:49.689 --> 01:58:50.757
ABSOLUTELY IT'S SPILLWAYS
01:58:50.824 --> 01:58:52.258
CONCERNING THAT GIVEN ISSUE
01:58:52.325 --> 01:58:53.126
OBVIOUSLY LEADS TO SERIOUS ISSUE
01:58:53.193 --> 01:58:54.594
AND. TO HEAR THAT YOU TAKE TWO
01:58:54.661 --> 01:58:57.697
YEARS DEVELOP REGULATIONS THEM
01:58:57.764 --> 01:58:58.999
I'M NOT SURE THERE'S A BUNCH OF
01:58:59.065 --> 01:59:00.333
PEOPLE WHO WANT IT'S THE
01:59:00.400 --> 01:59:01.701
POISONED BY LEAD HIS LOBBY ON
01:59:01.768 --> 01:59:03.403
THE OTHER SIDE BUT. YOU KNOW I
01:59:03.470 --> 01:59:04.104
THINK THAT.
01:59:04.170 --> 01:59:06.272
WERE HOPEFULLY THIS IS MORE
01:59:06.339 --> 01:59:07.774
STRAIGHT FORWARD AND WE CAN WE
01:59:07.841 --> 01:59:10.844
CAN GET WE CAN GET THERE FASTER
01:59:10.910 --> 01:59:12.646
AND PERHAPS A.
01:59:12.712 --> 01:59:13.413
AND IF YOU BECOME IT MAYBE YOU
01:59:13.480 --> 01:59:14.447
NEED BABY OF A COMMENT THAT I
01:59:14.514 --> 01:59:16.249
NEED TO CHANGE SOME LAWS OR
01:59:16.316 --> 01:59:17.384
SOMETHING TO SPEED THE PROCESS
01:59:17.450 --> 01:59:19.686
BUT I JUST SEEMS LIKE A LONG
01:59:19.753 --> 01:59:21.488
TIME FOR FOR THIS SO. AND.
01:59:21.554 --> 01:59:22.389
YEAH I COULD CHIME IN LITTLE BUT
01:59:22.455 --> 01:59:25.158
MY CENTER FROM RUN HEALTH DOES.
01:59:25.225 --> 01:59:26.960
A LOT OF REGULATIONS.
01:59:27.027 --> 01:59:28.261
IN OTHER AREAS OF THE RHETORIC
01:59:28.328 --> 01:59:30.130
PROCESS IS PRETTY WELL DEFINED
01:59:30.196 --> 01:59:31.998
CALIFORNIAN AND THE SUPPLIED BY
01:59:32.065 --> 01:59:33.366
ONLY ALLEN AND.
01:59:33.433 --> 01:59:35.869
MINISTER RIGHT EXACT SO WE'RE.
01:59:35.935 --> 01:59:37.671
WHAT OUR EXPENSES IT TYPICALLY
01:59:37.737 --> 01:59:38.772
TAKES ABOUT THREE YEARS FOR
01:59:38.838 --> 01:59:40.306
REGULATION PACKAGE TO BE
01:59:40.373 --> 01:59:42.375
COMPLETED SO TOM WE CAN DO SOME
01:59:42.442 --> 01:59:43.143
FASTER?
01:59:43.209 --> 01:59:44.511
BUT AS A LOT OF IT'S PRESCRIBED
01:59:44.577 --> 01:59:46.413
IN THOSE TIME LINES THAT ARE
01:59:46.479 --> 01:59:48.181
NECESSARY NOT JUST THE FORTY
01:59:48.248 --> 01:59:48.782
FIVE DAY COMMENT PERIOD THAT'S
01:59:48.848 --> 01:59:50.016
ONE OF THEM.
01:59:50.083 --> 01:59:50.984
NEITHER COME I MIGHT ADD IS THAT
01:59:51.051 --> 01:59:53.053
WE ARE PROGRAM ALREADY DOES
01:59:53.119 --> 01:59:55.321
ANTICIPATORY GUIDANCE FOR
01:59:55.388 --> 01:59:56.189
PHYSICIANS HEALTH CARE PROVIDERS
01:59:56.256 --> 01:59:58.158
ABOUT CHILDHOOD LEAD EXPOSURES
01:59:58.224 --> 02:00:01.227
AND. ON MANY OF THE ITEMS THAT
02:00:01.294 --> 02:00:02.395
ARE PART OF THE RISK ASSESSMENT.
02:00:02.462 --> 02:00:04.964
WE ENCOURAGE PROVIDERS ARE TO
02:00:05.031 --> 02:00:06.332
DO THAT AND ANY GUIDANCE.
02:00:06.399 --> 02:00:08.368
THIS WILL REQUIRE REGULATIONS TO
02:00:08.435 --> 02:00:09.035
HAVE SOME OF THE SAME
02:00:09.102 --> 02:00:10.770
INFORMATION BUT. NOW WE'RE NOT
02:00:10.837 --> 02:00:12.038
STANDING STILL RIGHT NOW LOWER
02:00:12.105 --> 02:00:13.373
WHILE WE'RE WORKING ON THE RACE
02:00:13.440 --> 02:00:15.909
AS WELL.
02:00:15.975 --> 02:00:16.843
I APPRECIATE THAT AND I
02:00:16.910 --> 02:00:18.244
PERSONALLY EXPERIENCE THAT AS
02:00:18.311 --> 02:00:20.847
WELL AS SONOZAKI PRACTICING.
02:00:20.914 --> 02:00:25.585
ANY PUBLIC COMMENT.
02:00:25.652 --> 02:00:28.221
WELCOME GOOD AFTERNOON THANK
YOU.
02:00:28.288 --> 02:00:29.456
MY NAME SUSAN LITTLE I'M WITH
02:00:29.522 --> 02:00:31.024
THE ENVIRONMENTAL WORKING GROUP
02:00:31.091 --> 02:00:33.393
AND I'M HERE ON BEHALF OF EWG AS
02:00:33.460 --> 02:00:35.495
WELL AS THE CALIFORNIA COALITION
02:00:35.562 --> 02:00:37.130
OF WELFARE RIGHTS ORGANIZATIONS.
02:00:37.197 --> 02:00:38.965
EWG WAS A SPONSOR OF AB
02:00:39.032 --> 02:00:40.266
THIRTEEN SIXTEEN LAST YEAR AND
02:00:40.333 --> 02:00:41.901
I'M.
02:00:41.968 --> 02:00:43.636
JUST INITIALLY IN IN RESPONSE TO
02:00:43.703 --> 02:00:45.238
THE QUESTIONS ABOUT TIMING. NO
02:00:45.305 --> 02:00:47.574
WE WOULD DEVON WELCOME ANDI
PAHS.
02:00:47.640 --> 02:00:49.375
BRICK NAM.
02:00:49.442 --> 02:00:50.944
INTEREST AND GETTING SOME EARLY
02:00:51.010 --> 02:00:52.946
COMMENTS FROM OUR ORGANIZATION
02:00:53.012 --> 02:00:54.614
OUR COALITION OF FOLKS.
02:00:54.681 --> 02:00:55.949
BEFORE THINGS EVEN GET GOING IF
02:00:56.015 --> 02:00:57.650
WE NEED TO. TALK ABOUT SPEEDING
02:00:57.717 --> 02:00:59.552
UP THE PROCESS THAT WE BE HAPPY
02:00:59.619 --> 02:01:01.855
TO DO THAT. ARM JUST WANT TO SAY
02:01:01.921 --> 02:01:03.256
THAT WORST DEATHLY WERE VERY
02:01:03.323 --> 02:01:04.390
MUCH IN SUPPORT OF THE
02:01:04.457 --> 02:01:06.392
DEPARTMENT'S RECOMMENDATION THAT
02:01:06.459 --> 02:01:07.794
THEY RECEIVE THIS FUNDING. A
02:01:07.861 --> 02:01:10.096
MEMBER DEFTLY ASKED THE THE CAN
02:01:10.163 --> 02:01:11.664
MEDI TO FULLY FUND THE
02:01:11.731 --> 02:01:12.766
RECOMMENDATIONS SINCE THERE ARE
02:01:12.832 --> 02:01:14.868
TEARS OF FUNDING OPTIONS.
02:01:14.934 --> 02:01:16.736
YOU KNOW MOST WE HAVE WORKED
02:01:16.803 --> 02:01:17.937
WITH ASSEMBLY MEMBER QUIRK AND
02:01:18.004 --> 02:01:19.272
DATA.
02:01:19.339 --> 02:01:21.274
THE STM COMMITTEE TO TAKE A LOOK
02:01:21.341 --> 02:01:23.643
AT D. H. CS IS BILLING DATA FOR
02:01:23.710 --> 02:01:25.979
MEDI CAL KIDS AND. AS PART OF
02:01:26.045 --> 02:01:28.014
THAT WE FOUND OR D. H. CS IS
02:01:28.081 --> 02:01:29.482
NUMBER ON THEIR HAND COUNT OF
02:01:29.549 --> 02:01:31.151
THOSE NUMBERS.
02:01:31.217 --> 02:01:32.452
FOUND THAT MOST LOW INCOME
02:01:32.519 --> 02:01:34.487
CHILDREN WHO ARE SUPPOSED TO BE
02:01:34.554 --> 02:01:35.688
GETTING LED TESTS ARE NOT
02:01:35.755 --> 02:01:37.991
GETTING THOSE TESTS AND SO IN
02:01:38.057 --> 02:01:39.726
THAT BACKS UP DATA FROM.
02:01:39.793 --> 02:01:41.227
THE PUBLIC HEALTH INSTITUTE
02:01:41.294 --> 02:01:42.829
WHICH INDICATES THAT WERE. AS
02:01:42.896 --> 02:01:44.030
MANY AS SIXTY THREE PERCENT OF
02:01:44.097 --> 02:01:45.331
KIDS
02:01:45.398 --> 02:01:46.332
IN CALIFORNIA THERE LEAD
02:01:46.399 --> 02:01:48.034
POISONED ARE NOT IDENTIFIED IN
02:01:48.101 --> 02:01:50.570
SO. WE DO BELIEVE THIS IS A.
02:01:50.637 --> 02:01:51.871
TOM AN ISSUE THAT NEEDS TO BE
02:01:51.938 --> 02:01:53.273
ADDRESSED IN A TIMELY WAY IT'S
02:01:53.339 --> 02:01:54.240
WERE TALKING ABOUT.
02:01:54.307 --> 02:01:55.708
AND THAT THE LEAD TESTING
02:01:55.775 --> 02:01:57.610
REGULATIONS NEED TO BE REVISED
02:01:57.677 --> 02:01:58.244
AS QUICKLY AS POSSIBLE SO THANK
02:01:58.311 --> 02:01:59.112
YOU.
02:01:59.179 --> 02:02:01.080
THANK YOU.
02:02:01.147 --> 02:02:01.414
ALRIGHT WELL.
02:02:01.481 --> 02:02:02.982
.
02:02:03.049 --> 02:02:04.384
GO TO HOLD THIS ITEM OPEN BUT
02:02:04.450 --> 02:02:06.419
CERTAINLY WHAT THE SUPPORT
02:02:06.486 --> 02:02:08.121
DEPARTMENT AND BE ABLE TO TO
02:02:08.188 --> 02:02:09.389
ADDRESS THIS VERY IMPORTANT
02:02:09.455 --> 02:02:10.356
ISSUE AND.
02:02:10.423 --> 02:02:11.424
IMPLEMENT THAT THIS IMPORTANT
02:02:11.491 --> 02:02:13.459
BILL THANK YOU.
02:02:13.526 --> 02:02:14.994
ALRIGHT CIVILIAN MOVE ONTO ISSUE
02:02:15.061 --> 02:02:16.696
NUMBER FOUR WHICH IS A PROGRAM
02:02:16.763 --> 02:02:22.702
UPDATE THE RURAL HEALTH PROGRAM.
02:02:22.769 --> 02:02:26.005
THAT'S WHERE.
02:02:26.072 --> 02:02:28.041
YOU CAN INTRODUCE YOURSELF FOR
02:02:28.107 --> 02:02:29.876
THE RECORD.
02:02:29.943 --> 02:02:31.177
AND ACTUALLY GONNA HAVE US
02:02:31.244 --> 02:02:35.014
STAKEHOLDER HOLES MOVES WELL SO
02:02:35.081 --> 02:02:37.584
WE GOT ROOM THERE OKAY.
02:02:37.650 --> 02:02:39.085
SO I SEE FEDERAL AND CAN
02:02:39.152 --> 02:02:40.620
INTRODUCE THEMSELVES FOR THE
02:02:40.687 --> 02:02:41.821
RECORD AND THEN.
02:02:41.888 --> 02:02:43.856
WILL START WITH THE
02:02:43.923 --> 02:02:44.390
PRESENTATION FROM THE PARK
02:02:44.457 --> 02:02:48.294
PUBLIC OFFICE OF.
02:02:48.361 --> 02:02:49.762
LARA. EXITED.
02:02:49.829 --> 02:02:50.864
VERY GOOD DEL DIRECTOR.
02:02:50.930 --> 02:02:52.932
WITH THE CALIFORNIA DEPARTMENT
02:02:52.999 --> 02:02:54.634
PUBLIC HEALTH WELCOME.
02:02:54.701 --> 02:02:55.602
MICHELLE GIBBONS AT THE COUNTY
02:02:55.668 --> 02:02:57.237
HEALTH EXECUTIVES ASSOCIATION OF
02:02:57.303 --> 02:02:58.771
CALIFORNIA.
02:02:58.838 --> 02:03:00.039
BOB BREANNA PITTMAN SPENCER WITH
02:03:00.106 --> 02:03:01.107
THE CALIFORNIA DENTAL
02:03:01.174 --> 02:03:02.742
ASSOCIATION THANK YOU.
02:03:02.809 --> 02:03:04.377
ALRIGHT SO THE DOCTOR YOU CAN
02:03:04.444 --> 02:03:06.012
THEN BEGIN.
02:03:06.079 --> 02:03:07.347
THANK YOU THANK YOU FOR THE
02:03:07.413 --> 02:03:08.014
OPPORTUNITY.
02:03:08.081 --> 02:03:10.116
THERE ARE THREE QUESTIONS THE
02:03:10.183 --> 02:03:11.985
FIRST ONE IS ABOUT THE OR BRIEF
02:03:12.051 --> 02:03:14.454
OVERVIEW OF THE ORAL HEALTH
02:03:14.520 --> 02:03:15.488
PROGRAM SAID.
02:03:15.555 --> 02:03:17.757
DEPARTMENT OF. PUBLIC HEALTH.
02:03:17.824 --> 02:03:19.158
OAK OR TO HELP PROGRAM'S
02:03:19.225 --> 02:03:20.760
MISSION IS TO PROMOTE OR HOW THE
02:03:20.827 --> 02:03:22.128
NEWS ORDER TO SEE THIS THROUGH
02:03:22.195 --> 02:03:24.163
PREVENTION EDUCATION AND
02:03:24.230 --> 02:03:25.365
ORGANIZED COMMUNITY EFFORTS.
02:03:25.431 --> 02:03:26.933
OUR PROGRAM IS FOCUSED ON
02:03:26.1000 --> 02:03:28.835
SITTING AT YOU BOTH POPULATION
02:03:28.901 --> 02:03:30.169
HEALTH GOALS AND OUTCOME
02:03:30.236 --> 02:03:32.405
MEASURES DEVELOPING SURVEILLANCE
02:03:32.472 --> 02:03:34.240
SYSTEM TO TRACK PROGRESS.
02:03:34.307 --> 02:03:36.309
ADVANCING POLICY SYSTEMS AND
02:03:36.376 --> 02:03:37.577
ORGANIZATIONAL CHANGES TO
02:03:37.644 --> 02:03:39.078
ACHIEVE IMPROVEMENTS.
02:03:39.145 --> 02:03:40.179
ALIGNING OUR PROGRAMS WITH
02:03:40.246 --> 02:03:41.614
ESTABLISHED EVIDENCE BASED
02:03:41.681 --> 02:03:43.283
PRACTICES AND FINALLY LIVE
02:03:43.349 --> 02:03:44.984
LEVERAGING STRATEGIC VALUE
02:03:45.051 --> 02:03:46.753
PARTNERSHIPS AND COLLABORATION.
02:03:46.819 --> 02:03:48.788
SO IN TWO THOUSAND SEVENTEEN BE.
02:03:48.855 --> 02:03:52.191
PUBLISHED A BOOK STATUS OF ORAL
02:03:52.258 --> 02:03:53.493
COUNTY IN CALIFORNIA.
02:03:53.559 --> 02:03:54.927
NOW WATER DISEASE BURDEN AND
02:03:54.994 --> 02:03:56.195
PREVENTION.
02:03:56.262 --> 02:03:58.097
AND IN JANUARY THIS YEAR
02:03:58.164 --> 02:03:58.998
REPUBLISHED BE.
02:03:59.065 --> 02:04:02.502
CALIFORNIA OR OF HEALTH PLAN.
02:04:02.568 --> 02:04:04.504
THIS IS A ROADMAP FOR OF WATER
02:04:04.570 --> 02:04:06.339
HAD PRIORITIES FOR THE NEXT TEN
02:04:06.406 --> 02:04:08.675
YEARS FOR THE STATE TO ADDRESS.
02:04:08.741 --> 02:04:10.810
A WITH RESPECT TO OUR REGULATORY
02:04:10.877 --> 02:04:12.979
RESPONSIBILITIES AND HEALTH AND
02:04:13.046 --> 02:04:14.480
SAFETY CORD ESTABLISHES THE
02:04:14.547 --> 02:04:16.015
OFFICE OF PUBLIC OFFICE OF OR
02:04:16.082 --> 02:04:17.984
HOW. THERE ARE CERTAIN SECTIONS
02:04:18.051 --> 02:04:20.486
IN THE CORD. THAT ESTABLISH OUR
02:04:20.553 --> 02:04:22.121
AUTHORITY FOR SEPIA EDGE TO IT
02:04:22.188 --> 02:04:23.856
MAINTAIN THE DENTAL PROGRAM THAT
02:04:23.923 --> 02:04:26.826
INCLUDES. SEVERAL.
02:04:26.893 --> 02:04:27.827
THE AREAS.
02:04:27.894 --> 02:04:29.896
THE PROGRAM USFSA DEPARTMENTS
02:04:29.963 --> 02:04:31.898
GENTLE A PARTY. OUT TO ISSUE
02:04:31.965 --> 02:04:33.333
GUIDELINES AS FAR
02:04:33.399 --> 02:04:35.501
ORGANIZATIONALLY BR INTO CENTER
02:04:35.568 --> 02:04:36.936
FOR CHRONIC DISEASE PREVENTION
02:04:37.003 --> 02:04:38.638
AND HEALTH PROMOTION BIAFRA
02:04:38.705 --> 02:04:39.605
THREE DOING THAT.
02:04:39.672 --> 02:04:41.174
ADMINISTRATION PROGRAM
02:04:41.240 --> 02:04:43.776
INTERVENTIONS AND THEN FINALLY
02:04:43.843 --> 02:04:46.980
SURVEILLANCE AND EVALUATION.
02:04:47.046 --> 02:04:49.349
A OUR INITIATIVES INCLUDE AND
02:04:49.415 --> 02:04:51.351
THE MANAGEMENT OF THE.
02:04:51.417 --> 02:04:54.153
TOBACCO TAX OF TWO THOUSAND
02:04:54.220 --> 02:04:54.787
SIXTEEN OR HOW OFTEN THEY SHOULD
02:04:54.854 --> 02:04:55.621
DO.
02:04:55.688 --> 02:04:57.557
THROUGH WHICH THE FUNDING IN
02:04:57.623 --> 02:04:59.058
THE MIND THIRTY MILLION IS
02:04:59.125 --> 02:05:00.960
AVAILABLE ANNUALLY TO IMPLEMENT
02:05:01.027 --> 02:05:03.096
THE STATE OR ABOUT PLAN.
02:05:03.162 --> 02:05:05.531
I THOUGHT I HAD THE PROGRAM IS
02:05:05.598 --> 02:05:07.166
COMMUNITY WATER FLUORIDATION.
02:05:07.233 --> 02:05:11.337
WE HAVE A FEDERAL HER SON GRANT.
02:05:11.404 --> 02:05:13.473
HOW TO THE IT WITH RESPECT ORAL
02:05:13.539 --> 02:05:15.675
HEALTH WORKFORCE EXPANSION IT'S
02:05:15.742 --> 02:05:17.477
FOCUSED ON PILOT TESTING? TELLY
02:05:17.543 --> 02:05:18.911
DENTISTRY PROJECT.
02:05:18.978 --> 02:05:21.547
VIRTUAL DENTAL HOME.
02:05:21.614 --> 02:05:23.149
WE ALSO HAVE ANOTHER GRAND FROM
02:05:23.216 --> 02:05:25.451
HER SCENT AND IT IS SO FOCUSED
02:05:25.518 --> 02:05:27.720
ON PREGNANT WOMEN AND YOUNG
02:05:27.787 --> 02:05:29.722
CHILDREN SET QUALITY IMPROVEMENT
02:05:29.789 --> 02:05:31.557
PROJECT IT'S A PILOT PROJECT IN
02:05:31.624 --> 02:05:34.260
NASA NUMBER COUNTY.
02:05:34.327 --> 02:05:36.062
THE SECOND QUESTION IS ABOUT THE
02:05:36.129 --> 02:05:37.997
OR HOW THE OR HAD PROGRAM IS
02:05:38.064 --> 02:05:39.766
MEETING DEFINED GOALS IDENTIFIED
02:05:39.832 --> 02:05:40.967
IN THE CALIFORNIA OR OF HEALTH
02:05:41.034 --> 02:05:42.769
PLAN.
02:05:42.835 --> 02:05:44.337
IBM ESTABLISH TO GRANT THE GRANT
02:05:44.404 --> 02:05:46.672
PROGRAM TO PROVIDE FUNDS TO ALL
02:05:46.739 --> 02:05:47.607
SIXTY ONE LOCAL HIGH
02:05:47.673 --> 02:05:49.275
JURISDICTIONS BUT PLANNING AND
02:05:49.342 --> 02:05:50.810
IMPLEMENTING EVIDENCE BASED
02:05:50.877 --> 02:05:52.345
PROGRAMS AND POLICIES.
02:05:52.412 --> 02:05:54.714
SO IN PHASE ONE LOCAL HOW
02:05:54.781 --> 02:05:55.848
JURISDICTIONS UP CONDUCTING
02:05:55.915 --> 02:05:57.984
NEEDS ASSESSMENT AND DEVELOPING
02:05:58.051 --> 02:05:58.584
A COMMUNITY HEALTH IMPROVEMENT
02:05:58.651 --> 02:05:59.619
PLAN.
02:05:59.685 --> 02:06:01.554
AND IN PHASE TWO FUNDS MAY BE
02:06:01.621 --> 02:06:03.256
USED FOR SUCH ACTIVITIES AS
02:06:03.322 --> 02:06:04.490
COORDINATION OF SCHOOL BASED
02:06:04.557 --> 02:06:06.125
PROGRAMS.
02:06:06.192 --> 02:06:07.727
PROMOTING KINDERGARTEN OR A
02:06:07.794 --> 02:06:10.296
HOUSE ASSESSMENT REQUIREMENT AND
02:06:10.363 --> 02:06:11.631
THEN USING THAT DATA FOR
02:06:11.697 --> 02:06:13.399
PLANNING INTERVENTIONS.
02:06:13.466 --> 02:06:14.801
ESTABLISHING A COORDINATE AND
02:06:14.867 --> 02:06:16.469
BUT THIS COORDINATED SYSTEM FOR
02:06:16.536 --> 02:06:18.037
SCREENING AND REFERRAL OF
02:06:18.104 --> 02:06:19.672
CHILDREN AND PREGNANT WOMEN.
02:06:19.739 --> 02:06:21.340
PROMOTING RETHINK YOUR DRINK
02:06:21.407 --> 02:06:22.975
CAMPAIGN AND TOBACCO CESSATION
02:06:23.042 --> 02:06:24.710
IN DENTAL SETTINGS.
02:06:24.777 --> 02:06:26.579
AND ALSO LAUNCHING EDUCATION AND
02:06:26.646 --> 02:06:28.481
HELP THE TO SEE CAMPAIGNS.
02:06:28.548 --> 02:06:30.383
OTHER GRANTS AND CONTRACTS WILL
02:06:30.450 --> 02:06:31.684
HELP COMMUNITIES TO PROMOTE.
02:06:31.751 --> 02:06:34.320
EVIDENCE BASED INTERVENTIONS
02:06:34.387 --> 02:06:35.254
LIKE COMMUNITY WATER
02:06:35.321 --> 02:06:36.022
FLUORIDATION AND SCHOOL BASED
02:06:36.088 --> 02:06:37.857
PROGRAMS.
02:06:37.924 --> 02:06:39.258
WE HAVE ESTABLISHED THAT
02:06:39.325 --> 02:06:40.893
CONTRACT WITH THE UC A STEP DOWN
02:06:40.960 --> 02:06:42.995
SCHOOL TO PROVIDE TRAINING AND
02:06:43.062 --> 02:06:44.497
TECHNICAL ASSISTANCE TO LOCAL
02:06:44.564 --> 02:06:46.966
HOW JURISDICTIONS.
02:06:47.033 --> 02:06:48.835
YEAH WE ARE.
02:06:48.901 --> 02:06:49.969
WELL TO EXPLORING SEVERAL
02:06:50.036 --> 02:06:51.938
CAMPAIGNS THAT WILL IMPROVE ORAL
02:06:52.004 --> 02:06:53.272
HEALTH BUT TO SEE.
02:06:53.339 --> 02:06:54.807
THE FIRST ONE IS TO ENHANCE
02:06:54.874 --> 02:06:56.209
COMMUNICATION AND DENTAL
02:06:56.275 --> 02:06:57.944
SETTINGS WE ARE UP PROPOSING TO
02:06:58.010 --> 02:06:59.178
CREATE A TOOLKIT FOR DENTAL
02:06:59.245 --> 02:07:01.047
OFFICES.
02:07:01.114 --> 02:07:03.115
I IT'S BASED ON THE. AGENCY FOR
02:07:03.182 --> 02:07:05.118
HEALTHCARE RESEARCH AND QUALITY
02:07:05.184 --> 02:07:06.819
UNIVERSAL PRECAUTIONS KID. THIS
02:07:06.886 --> 02:07:08.254
WAS HOW DENTAL OFFICES TO
02:07:08.321 --> 02:07:10.022
CREATED A SPOT. RESPECTFUL
02:07:10.089 --> 02:07:11.290
ENVIRONMENT.
02:07:11.357 --> 02:07:13.059
COMMUNICATE USING PLAIN LANGUAGE
02:07:13.126 --> 02:07:13.759
AND.
02:07:13.826 --> 02:07:16.128
SIMPLE VISUALS AND ALSO USED TO
02:07:16.195 --> 02:07:18.364
TEACH BACK METHOD.
02:07:18.431 --> 02:07:19.165
A THE AMERICAN DENTAL
02:07:19.232 --> 02:07:21.167
ASSOCIATION FOUNDATION HOUSE A
02:07:21.234 --> 02:07:23.603
CAMPAIGN COURT TINY SMILES IT'S
02:07:23.669 --> 02:07:25.104
DESIGNED TO ENGAGE THREE
02:07:25.171 --> 02:07:28.441
INFLUENTIAL GROUPS EDUCATORS.
02:07:28.508 --> 02:07:29.408
DENTAL PROFESSIONALS AND MEDICAL
02:07:29.475 --> 02:07:31.110
PROFESSIONALS.
02:07:31.177 --> 02:07:33.813
AND WE ARE. PLANNING TO LAUNCH
02:07:33.880 --> 02:07:35.781
THIS CAMPAIGN AND SOME CAMINO
02:07:35.848 --> 02:07:37.783
COUNTIES.
02:07:37.850 --> 02:07:39.318
THERE IS NO THE CAMPAIGN YOU MAY
02:07:39.385 --> 02:07:40.219
BE BUT A FAMILY OF Y. THE
02:07:40.286 --> 02:07:42.021
AMERICAN ACADEMY OF PEDIATRICS.
02:07:42.088 --> 02:07:44.790
CAMPAIGN CALLER BRAASCH BOOK IN
02:07:44.857 --> 02:07:47.326
BED BEEN ALSO. INTERESTED IN
02:07:47.393 --> 02:07:49.162
PROMOTING THAT CAMPAIGN IN SOME
02:07:49.228 --> 02:07:50.296
COMMUNITIES.
02:07:50.363 --> 02:07:52.164
WELL WE ARE ESTABLISHING A
02:07:52.231 --> 02:07:53.900
SURVEILLANCE SYSTEM TED WILL BE
02:07:53.966 --> 02:07:55.468
CONSISTENT WITH THE NATIONAL OR
02:07:55.535 --> 02:07:57.103
A HOT SURVEILLANCE SYSTEM AND IT
02:07:57.169 --> 02:07:59.071
INCLUDING QUESTIONS IN MANY OF
02:07:59.138 --> 02:08:01.807
OUR STATE BASED SERVICE LACTIS
02:08:01.874 --> 02:08:03.209
BEYOND A PROCESS SEND ME HA.
02:08:03.276 --> 02:08:05.678
IN WHERE THERE ARE GAPS WILL BE
02:08:05.745 --> 02:08:07.480
A AND WE ARE DESIGNING SPECIAL
02:08:07.547 --> 02:08:08.881
SURVEYS TO GATHER DATA
02:08:08.948 --> 02:08:10.416
ESPECIALLY ON THE.
02:08:10.483 --> 02:08:14.420
OR A HOUSE OUTCOMES IN CHILDREN.
02:08:14.487 --> 02:08:15.821
THE FINAL QUESTION IS ABOUT THE
02:08:15.888 --> 02:08:17.089
STATUS OF CLIENTS.
02:08:17.156 --> 02:08:20.259
WE HAVE PROCESS TO FIFTY SEVEN
02:08:20.326 --> 02:08:22.228
APPLICATION SO FAR.
02:08:22.295 --> 02:08:23.763
AND EXECUTED FORTY NINE
02:08:23.829 --> 02:08:24.630
AGREEMENTS.
02:08:24.697 --> 02:08:27.066
BE HAVE GRANTED EXTENSION BUT
02:08:27.133 --> 02:08:28.701
THREE LOCAL HAS JURISDICTION.
02:08:28.768 --> 02:08:30.836
A.
02:08:30.903 --> 02:08:32.271
THE A LOCAL HOUSE JURISDICTIONS
02:08:32.338 --> 02:08:33.839
ON IN THE PROCESS OF HIDING
02:08:33.906 --> 02:08:35.908
STAFF AND CONSULTANTS AND ALSO
02:08:35.975 --> 02:08:37.677
FINALIZING CONTRACTS AND
02:08:37.743 --> 02:08:38.844
APPROACHES SAUNDERS.
02:08:38.911 --> 02:08:41.347
MOST OF THESE CONTRACTS BECAME.
02:08:41.414 --> 02:08:43.516
EFFECTIVE IN MARCH.
02:08:43.583 --> 02:08:45.284
SO THIS IS A GRANT PROGRAM THAT
02:08:45.351 --> 02:08:47.220
GIVES FLEXIBILITY TO LOCAL
02:08:47.286 --> 02:08:49.055
HEALTH JURISDICTIONS TO DESIGN
02:08:49.121 --> 02:08:50.256
THEIR OWN PROGRAMS BASED ON THAT
02:08:50.323 --> 02:08:51.991
NEEDS.
02:08:52.058 --> 02:08:53.559
IN GENERAL WE ARE ASKING THE
02:08:53.626 --> 02:08:55.461
GRANT IS TO FOCUS ON REDUCING TO
02:08:55.528 --> 02:08:57.296
DECAY PREVALENCE IN UNTREATED
02:08:57.363 --> 02:08:58.564
DISEASE IN CHILDREN.
02:08:58.631 --> 02:09:00.666
INCREASING DENTAL VISIT TRAITS
02:09:00.733 --> 02:09:02.168
AND CHILDREN AND ADULTS
02:09:02.235 --> 02:09:04.470
ESPECIALLY PREGNANT WOMEN PEOPLE
02:09:04.537 --> 02:09:05.805
WITH DIABETES AND BORDER ON
02:09:05.871 --> 02:09:07.506
THOSE.
02:09:07.573 --> 02:09:09.108
I ALSO ADDRESSING COMMON RISK
02:09:09.175 --> 02:09:10.943
FACTORS SUCH. BUDGET DIETARY
02:09:11.010 --> 02:09:13.479
CHOICES AND PROMOTING TOBACCO
02:09:13.546 --> 02:09:16.482
CESSATION IN DENTAL SETTINGS.
02:09:16.549 --> 02:09:18.050
INTEGRATION OF ORAL HEALTH AND
02:09:18.117 --> 02:09:19.986
PRIMARY CARE IS A HIGH PRIORITY
02:09:20.052 --> 02:09:22.054
AT THE NATIONAL LEVEL.
02:09:22.121 --> 02:09:24.357
THE ARE ENCOURAGING A LOCAL HOW
02:09:24.423 --> 02:09:26.692
JURISDICTIONS TO FOCUS ON UNITED
02:09:26.759 --> 02:09:28.594
STATES PREVENTIVE SERVICES
STUFF.
02:09:28.661 --> 02:09:30.563
TAX FORCE RECOMMENDATIONS.
02:09:30.630 --> 02:09:32.531
HOW FOR A?
02:09:32.598 --> 02:09:33.532
AB AND OF WHICH RECOMMENDS THE
02:09:33.599 --> 02:09:35.635
APPLICATION OF FLUORIDE VARNISH
02:09:35.701 --> 02:09:37.436
AND PRIME TICKET OFFICES.
02:09:37.503 --> 02:09:39.238
THERE'S A NATIONAL CONSENSUS
02:09:39.305 --> 02:09:40.539
STATEMENT OVERLOOKED BY HER SON
02:09:40.606 --> 02:09:42.174
THAT RECOMMENDS.
02:09:42.241 --> 02:09:44.010
THAT ALL HEALTH PROFESSIONALS
02:09:44.076 --> 02:09:45.778
PROVIDE PREGNANT WOMEN WITH
02:09:45.845 --> 02:09:47.179
APPROPRIATE AND TIMELY ORAL
02:09:47.246 --> 02:09:48.748
HEALTH CARE.
02:09:48.814 --> 02:09:50.916
OF THEIR. ASKING ALL LOCAL HOW
02:09:50.983 --> 02:09:53.419
JURISDICTIONS TO PROMOTE THIS
02:09:53.486 --> 02:09:53.986
AND THEY'RE OUT COMMUNITIES
02:09:54.053 --> 02:09:56.622
THANK YOU.
02:09:56.689 --> 02:09:58.224
THANK YOU I REMEMBER SERVING ON
02:09:58.291 --> 02:10:00.459
A CD A FOUNDATION TASK FORCE ON
02:10:00.526 --> 02:10:03.229
ON THAT VERY ISSUE ABOUT
GETTING.
02:10:03.296 --> 02:10:04.897
A TRAIN WOMEN ARE OF.
02:10:04.964 --> 02:10:07.300
THE SERVICES. SURE THEY GOT
02:10:07.366 --> 02:10:08.467
THERE WILL HEALTH CARE GREAT.
02:10:08.534 --> 02:10:11.037
SO AND COMES FROM A LEO DEL
02:10:11.103 --> 02:10:12.772
FINANCE.
02:10:12.838 --> 02:10:14.707
RIGHT. AND I BELIEVE WE HAVE OUR
02:10:14.774 --> 02:10:16.776
PANEL HAS A PROPOSAL REGARDING
02:10:16.842 --> 02:10:20.046
FUNDING FLEXIBILITY SO.
02:10:20.112 --> 02:10:22.481
WE CAN DO IT IN THREE MINUTES OR
02:10:22.548 --> 02:10:24.784
LESS LESS WHEN. OKAY GREAT.
02:10:24.850 --> 02:10:27.286
SO I HAVE ROPOSITION FIFTY SIX
02:10:27.353 --> 02:10:27.887
INCLUDES THIRTY MILLION A YEAR
02:10:27.953 --> 02:10:29.388
FOR THE OR.
02:10:29.455 --> 02:10:31.357
OBSERVERS UP.
02:10:31.424 --> 02:10:32.458
S. WE ARE VERY EXCITED THAT THE
02:10:32.525 --> 02:10:34.160
OUT PIECES IN THERE AND WANT TO
02:10:34.226 --> 02:10:35.194
MAKE SURE THAT THERE IS MAXIMUM
02:10:35.261 --> 02:10:36.729
FLEXIBILITY TO GET THE MONEY OUT
02:10:36.796 --> 02:10:38.197
THE DOOR WE REALLY SEE THIS THIS
02:10:38.264 --> 02:10:39.131
IS A TOTAL GAME CHANGER FOR ORAL
02:10:39.198 --> 02:10:40.266
HEALTH.
02:10:40.333 --> 02:10:42.268
WE HAVE HAD SOME CONCERNS ABOUT
02:10:42.334 --> 02:10:43.669
HOW WITH IMPLEMENTATION WAS
02:10:43.736 --> 02:10:45.471
GONNA LOOK LIKE WE RAISE THOSE
02:10:45.538 --> 02:10:46.706
WITH ON THE DEPARTMENT OF
02:10:46.772 --> 02:10:48.174
FINANCE AND DPH AND WHERE
02:10:48.240 --> 02:10:49.475
ESSENTIALLY STAR FILLED IN THE
02:10:49.542 --> 02:10:51.043
STATUTE IS WHAT IT IS. MONIES
02:10:51.110 --> 02:10:52.044
COMING EVERY YEAR.
02:10:52.111 --> 02:10:54.213
WE HAVE THE SENSE THAT HEARD
02:10:54.280 --> 02:10:55.581
SOME CONCERNS FROM THE LOCAL
02:10:55.648 --> 02:10:56.849
AGENCIES WHICH I THINK MY
02:10:56.916 --> 02:10:58.184
COLLEAGUE CAN SPEAK TO A LITTLE
02:10:58.250 --> 02:10:59.485
BIT MORE CLEARLY. AND SO
02:10:59.552 --> 02:11:00.820
COALITION CAME TOGETHER.
02:11:00.886 --> 02:11:02.688
MODELED SOME LANGUAGE AFTER
02:11:02.755 --> 02:11:04.256
OTHER PROGRAMS AND DPH THAT HAVE
02:11:04.323 --> 02:11:05.424
A LITTLE BIT MORE FLEXIBILITY
02:11:05.491 --> 02:11:06.926
SPECIFICALLY. THREE YEAR
02:11:06.992 --> 02:11:08.027
SPENDING AUTHORITY IN THOSE
02:11:08.094 --> 02:11:10.196
GRANTS JUST TO GIVE ENOUGH TIME
02:11:10.262 --> 02:11:11.497
TO THE COUNTIES ACTUALLY GET OUT
02:11:11.564 --> 02:11:12.865
THE DOOR SO WE KNOW IF IT'S A
02:11:12.932 --> 02:11:14.100
IT'S A SYSTEM THAT'S BEEN USED
02:11:14.166 --> 02:11:15.501
BEFORE AMENDED WE JUST WANNA
02:11:15.568 --> 02:11:16.902
MAKE SURE THAT THERE ARE ANY.
02:11:16.969 --> 02:11:18.070
ANY BARRY BARRIERS.
02:11:18.137 --> 02:11:20.873
FOR FOLKS SPENDING THIS MONEY
02:11:20.940 --> 02:11:21.440
BECAUSE WE ARE VERY EXCITED
02:11:21.507 --> 02:11:22.074
ABOUT IT.
02:11:22.141 --> 02:11:22.708
THANK YOU KNOW AND AND WE DO
02:11:22.775 --> 02:11:23.809
APPRECIATE THE COLLABORATION
02:11:23.876 --> 02:11:24.677
THAT'S BEEN HAPPENING WITH THE
02:11:24.744 --> 02:11:25.711
CALIFORNIA DEPARTMENT PUBLIC
02:11:25.778 --> 02:11:27.480
HEALTH AND PARTICULARLY WITH DR
02:11:27.546 --> 02:11:29.515
KUMAR IN HIS TEAM. I THINK AND
02:11:29.582 --> 02:11:30.950
JUST TO FURTHER ELABORATE ON
02:11:31.016 --> 02:11:32.251
WHAT BEYOND A HIS SAID LOOK ALL
02:11:32.318 --> 02:11:33.452
DEPARTMENTS ARE FACING
02:11:33.519 --> 02:11:34.453
CHALLENGES AROUND EXPENDING THE
02:11:34.520 --> 02:11:35.488
FUNDING PARTICULARLY IN THE
02:11:35.554 --> 02:11:36.956
FIRST YEAR BUT WE COULD FOR SEE.
02:11:37.022 --> 02:11:38.157
THIS BEING A NEED ON THE ONGOING
02:11:38.224 --> 02:11:39.825
BASIS AND SO WHAT WE'RE ASKING
02:11:39.892 --> 02:11:40.559
FOR IS THE ABILITY FOR THE
02:11:40.626 --> 02:11:42.561
DEPARTMENT TO ROLL OVER THAT THE
02:11:42.628 --> 02:11:43.129
FUNDING FROM ONE YEAR TO THE
02:11:43.195 --> 02:11:44.630
NEXT.
02:11:44.697 --> 02:11:45.331
TO MAKE SURE THAT A JURISDICTION
02:11:45.398 --> 02:11:46.031
CAN CONTINUE TO SPEND THE FUNDS
02:11:46.098 --> 02:11:48.100
IN THE FUTURE YEARS JUST TO GIVE
02:11:48.167 --> 02:11:49.502
YOU HAVE IT A BIT OF AN EXAMPLE
02:11:49.568 --> 02:11:50.569
AS DR KUMAR SAID THERE'S A
02:11:50.636 --> 02:11:52.004
NUMBER OF CONTRACTS THAT HAVE
02:11:52.071 --> 02:11:52.638
NOT BEEN IMPLEMENTED OR WERE NOT
02:11:52.705 --> 02:11:53.439
AND THE.
02:11:53.506 --> 02:11:55.174
UNTIL ON MARCH OF THIS YEAR
02:11:55.241 --> 02:11:55.975
WHICH MEANS THAT THEY HAVE THREE
02:11:56.041 --> 02:11:57.710
MONTHS TO ESSENTIALLY SPENT
02:11:57.777 --> 02:11:58.744
COUPLE YEARS ALLOCATION OF
02:11:58.811 --> 02:12:00.613
FUNDING. AND FUNDING WITHIN THE
02:12:00.679 --> 02:12:02.014
GRANTS ARE PROVIDED TO LOCAL
02:12:02.081 --> 02:12:03.682
HEALTH DEPARTMENTS AND THEY HAVE
02:12:03.749 --> 02:12:04.450
AT THE SAME AMOUNT OF FUNDING
02:12:04.517 --> 02:12:06.185
PER YEAR. AND SO WE HAVE A FULL
02:12:06.252 --> 02:12:07.753
YEAR'S ALLOCATION SPEND IN THREE
02:12:07.820 --> 02:12:09.221
MONTHS OR AT THE MAX IT WAS SIX
02:12:09.288 --> 02:12:10.756
MONTHS AND SO THAT'S PRETTY
02:12:10.823 --> 02:12:11.757
CHALLENGING AND DIFFICULT NAY
02:12:11.824 --> 02:12:13.159
DON'T WANNA MAKE RASH DECISIONS
02:12:13.225 --> 02:12:14.326
ON HOW THEY SPEND THE FUNDS THEY
02:12:14.393 --> 02:12:15.194
WANT TO MAKE SURE THAT THEY ARE
02:12:15.261 --> 02:12:16.695
DOING IT TO BUILD. AND A FIRST
02:12:16.762 --> 02:12:17.797
IN THE EARLY PHASES TO BUILD
02:12:17.863 --> 02:12:19.698
THAT CAPACITY AT THE LOOK AT THE
02:12:19.765 --> 02:12:20.466
LOCAL LEVEL TO MAKE SURE THAT
02:12:20.533 --> 02:12:21.567
THEY'RE DOIG THE NEEDS
02:12:21.634 --> 02:12:23.102
ASSESSMENT AND DOING IT IN A WAY
02:12:23.169 --> 02:12:24.170
THAT WILL PROVIDE MEANINGFUL
02:12:24.236 --> 02:12:25.838
INFORMATION ABOUT HOW WE CAN
02:12:25.905 --> 02:12:27.139
BEST MAKE THE INVESTMENTS INTO
02:12:27.206 --> 02:12:27.907
OUR COMMUNITIES.
02:12:27.973 --> 02:12:29.708
AND SEND AND THEN GOING FORWARD
02:12:29.775 --> 02:12:31.243
AND ANY MONEY THAT'S ROLLED OVER
02:12:31.310 --> 02:12:32.711
INTO FUTURE YEARS THAT ARE NOT
02:12:32.778 --> 02:12:34.146
NEEDED FOR PLANNING WILL THEN GO
02:12:34.213 --> 02:12:35.681
TOWARDS ADDITIONAL INVESTMENTS
02:12:35.748 --> 02:12:37.116
THAT CAN HAPPEN. TO REALLY
02:12:37.183 --> 02:12:38.384
FURTHER THE WORK OF THE THE ORAL
02:12:38.450 --> 02:12:39.452
HEALTH GRANTS IN THE INTENDED
02:12:39.518 --> 02:12:40.920
PURPOSE FOR IT SO YOU WE ARE
02:12:40.986 --> 02:12:42.588
REALLY ASKING FOR WHAT WE
02:12:42.655 --> 02:12:43.989
BELIEVE TO JUST BE A SIMPLE FIX
02:12:44.056 --> 02:12:46.192
TO ALLOW FUNDING TO BE ALLOCATED
02:12:46.258 --> 02:12:48.694
FROM YEAR TO YEAR.
02:12:48.761 --> 02:12:50.563
ALRIGHT THANK YOU ANITA COMMENTS
02:12:50.629 --> 02:12:53.399
FROM THE. APARTMENT ABOUT THE.
02:12:53.466 --> 02:12:55.301
THIS REQUEST IT WE UNDERSTAND
02:12:55.367 --> 02:12:56.569
THE CONCERNS AND WE HAVE BEEN
02:12:56.635 --> 02:12:57.703
WORKING.
02:12:57.770 --> 02:12:59.839
TO DISSOLVE THIS WHEN WE HAVE A
02:12:59.905 --> 02:13:00.906
MECHANISM THROUGH THE STATE
02:13:00.973 --> 02:13:03.175
ADMINISTRATIVE MANUAL TO ALLOW
02:13:03.242 --> 02:13:03.843
THE FLEXIBILITY FOR LOCAL
02:13:03.909 --> 02:13:05.477
JURISDICTIONS.
02:13:05.544 --> 02:13:06.946
YEAH WE'LL BE PROVIDING
02:13:07.012 --> 02:13:08.347
ADDITIONAL GUIDANCE I'M IN THE
02:13:08.414 --> 02:13:09.982
COMING WEEKS
02:13:10.049 --> 02:13:11.550
OKAY ILIO THE CUMMINS NOT
02:13:11.617 --> 02:13:13.519
FINANCE.
02:13:13.586 --> 02:13:14.286
NO ISSUES WITH THIS IDEA.
02:13:14.353 --> 02:13:15.221
GOOD.
02:13:15.287 --> 02:13:19.692
WELL.
02:13:19.758 --> 02:13:20.359
AS DR KUMAR NOTED.
02:13:20.426 --> 02:13:22.461
YOU KNOW THIS IS A NEW FUNDING
02:13:22.528 --> 02:13:23.796
STREAM AND WE DO ACKNOWLEDGE
02:13:23.863 --> 02:13:25.030
THAT THERE WILL BE BUMPS IN THE
02:13:25.097 --> 02:13:26.765
ROAD AND WE'VE BEEN HAVING A LOT
02:13:26.832 --> 02:13:28.167
OF CONVERSATIONS WITH THE.
02:13:28.234 --> 02:13:30.336
STAND WHAT THE CONCERNS ARE AND
02:13:30.402 --> 02:13:31.403
WE'VE BEEN WORKING WITH THEM AND
02:13:31.470 --> 02:13:32.771
WE DO BELIEVE IT THERE'S AN
02:13:32.838 --> 02:13:33.772
ADMINISTRATIVE MECHANISM TO DO
02:13:33.839 --> 02:13:35.708
THIS. SO WE'RE STILL IRONING OUT
02:13:35.774 --> 02:13:38.410
ALL DETAILS FOR THAT BUT HOPE TO
02:13:38.477 --> 02:13:38.978
HAVE MORE INFORMATION FOR.
02:13:39.044 --> 02:13:41.280
PROVOKES.
02:13:41.347 --> 02:13:42.982
I LIKE THE IDEA ADMINISTRATIVE
02:13:43.048 --> 02:13:44.250
OKAY HE HAS AND THAT'S REALLY
02:13:44.316 --> 02:13:45.351
GOOD NEWS TO HEAR AND WE LOOK
02:13:45.417 --> 02:13:46.051
FORWARD TO HAVING FORTHE
02:13:46.118 --> 02:13:46.752
CONVERSATIONS WITH THE
02:13:46.819 --> 02:13:48.354
ADMINISTRATION THE ONLY THING
02:13:48.420 --> 02:13:49.355
THAT I WOULD NOTICE TO MAKING
02:13:49.421 --> 02:13:51.423
SURE THAT WE'RE ABLE TO ROLL IT
02:13:51.490 --> 02:13:52.024
OVER FOR A NUMBER OF YEARS AND
02:13:52.091 --> 02:13:52.725
THAT. WE HAVE
02:13:52.791 --> 02:13:55.261
THE ADVANCE NOTICE TO DO THAT SO
02:13:55.327 --> 02:13:56.161
THE STATUTE THAT WE WERE LOOKING
02:13:56.228 --> 02:13:57.229
A CHANGE WOULD ALLOW ROLL OVER
02:13:57.296 --> 02:13:59.465
FOR A THREE YEAR PERIOD AFTER
02:13:59.532 --> 02:14:00.633
AND THAT YOUR CLOSES AND WE
02:14:00.699 --> 02:14:02.101
WANNA MAKE SURE THAT. LOCAL
02:14:02.167 --> 02:14:04.103
JURISDICTIONS KNOW IN ADVANCE AT
02:14:04.169 --> 02:14:05.170
THAT THEY WOULD BE ABLE TO DO
02:14:05.237 --> 02:14:06.639
THAT ON AN ANNUAL BASIS VERSUS
02:14:06.705 --> 02:14:08.507
HAVING IT BE SUBJECT ELEGANT
02:14:08.574 --> 02:14:09.775
PROCREATION OR ANYTHING LIKE
02:14:09.842 --> 02:14:10.910
THAT SO WE JUST.
02:14:10.976 --> 02:14:11.510
I'M ASKED FOR THAT FLEXIBILITY
02:14:11.577 --> 02:14:13.279
AS WELL.
02:14:13.345 --> 02:14:14.847
OKAY WELL SKIES WORK IT OUT IF
02:14:14.914 --> 02:14:16.048
TURNS OUT THERE'S SOME
02:14:16.115 --> 02:14:17.883
LEGISLATIVE PEACEFUL FIGURE OUT
02:14:17.950 --> 02:14:19.318
OUT TOO. ALRIGHT OF PUBLIC
02:14:19.385 --> 02:14:22.021
COMMENT.
02:14:22.087 --> 02:14:22.688
TIM GIVES THE AMERICAN CANCER
02:14:22.755 --> 02:14:24.156
SOCIETY CANCER ACTION NETWORK
02:14:24.223 --> 02:14:26.091
AND ALSO SPONSOR PROPOSITION
02:14:26.158 --> 02:14:27.326
FIFTY SIX I WANTED TO ECHO THE.
02:14:28.761 --> 02:14:29.828
QUESTION FLEXIBILITY ON HOW
02:14:29.895 --> 02:14:31.564
THESE FUNDING THAT ABBAS THESE
02:14:31.630 --> 02:14:33.499
FUNDS ARE SPENT SOME EXAMPLE
02:14:33.565 --> 02:14:35.568
PROPOSITION NINETY NINE FUNDS
02:14:35.634 --> 02:14:36.068
THAT CALIFORNIA TOBACCO
02:14:36.135 --> 02:14:37.336
EDUCATION AND.
02:14:37.403 --> 02:14:38.570
RESEARCH PROGRAMS THEY'VE THE
02:14:38.637 --> 02:14:40.306
TWENTY FIVE YEAR HISTORY OF
02:14:40.372 --> 02:14:41.807
MULTI YEAR SPENDING AUTHORITY
02:14:41.874 --> 02:14:42.308
AND WITH THE PASSAGE OF
02:14:42.374 --> 02:14:43.142
PROPOSITION FOR
02:14:43.208 --> 02:14:44.743
THE SIX IT SEEMS AN EFFORT TO
02:14:44.810 --> 02:14:46.979
CURTAIL THAT EFFORT WITHOUT.
02:14:47.046 --> 02:14:48.280
ADEQUATE EXPLANATION WHY SO WE
02:14:48.347 --> 02:14:50.215
JUST ENCOURAGE.
02:14:50.282 --> 02:14:50.916
BOB CONTINUED.
02:14:50.983 --> 02:14:53.052
.
02:14:53.118 --> 02:14:55.187
CONVERSATION AND ENDS MAXIMUM
02:14:55.254 --> 02:14:57.056
FLEXIBILITY SO WE CAN SPEND
02:14:57.122 --> 02:14:57.690
THESE TOBACCO TAX FUNDS AS THEY
02:14:57.756 --> 02:14:58.057
WERE INTENDED.
02:14:58.123 --> 02:14:58.991
THANK YOU.
02:14:59.058 --> 02:15:01.927
WELCOME.
02:15:01.994 --> 02:15:02.561
RATHER THAN THE FATE IS A THE
02:15:02.628 --> 02:15:03.362
AMERICAN LUNG ASSOCIATION IN
02:15:03.429 --> 02:15:05.197
CALIFORNIA AND SUPPORTING THE
02:15:05.264 --> 02:15:06.565
PROPOSAL ON AT GOING WHAT MY.
02:15:06.632 --> 02:15:08.267
FRIEND FROM THE CANCER SOCIETY
02:15:08.334 --> 02:15:10.069
SAID. I IT'S REALLY IMPORTANT
02:15:10.135 --> 02:15:11.036
THAT THESE FUNDS HAVE THIS
02:15:11.103 --> 02:15:12.538
FLEXIBILITY AT SOMETHING THAT
02:15:12.605 --> 02:15:13.405
HAS BEEN BUILT INTO IT AND IN
02:15:13.472 --> 02:15:14.907
FACT PROPOSITION FIFTY SIX
02:15:14.974 --> 02:15:15.874
OUTLINED TO CONTINUE ITS
02:15:15.941 --> 02:15:17.109
APPROPRIATION FOR THESE FUNDS
02:15:17.176 --> 02:15:18.877
AND SO. I WE NEED TO MAKE SURE
02:15:18.944 --> 02:15:20.579
THAT WE YOU KNOW BY BY THE WILL
02:15:20.646 --> 02:15:22.748
OF THE VOTERS AND DO WHAT NEEDS
02:15:22.815 --> 02:15:23.382
TO BE DONE SOMETHING CAL. THANK
02:15:23.449 --> 02:15:24.183
YOU.
02:15:24.249 --> 02:15:26.051
WELCOME. GOOD AFTERNOON COOL
02:15:26.118 --> 02:15:26.885
CUTTING WITH THE AMERICAN HEART
02:15:26.952 --> 02:15:28.087
ASSOCIATION AMERICAN STROKE
02:15:28.153 --> 02:15:30.122
ASSOCIATION I'M ALSO WERE CO
02:15:30.189 --> 02:15:31.223
SPONSORS OF PROPOSITION FIFTY
02:15:31.290 --> 02:15:33.225
SIX A ECHO THE SENTIMENTS OF MY
02:15:33.292 --> 02:15:34.560
COLLEAGUE FROM. CANCER CITING
02:15:34.627 --> 02:15:35.961
AMONG WE SUPPORT THE STAKEHOLDER
02:15:36.028 --> 02:15:37.396
PROPOSAL TO ALLOW FOR MAXIMUM
02:15:37.463 --> 02:15:39.698
FLEXIBILITY IN HOW THESE FUNDS
02:15:39.765 --> 02:15:40.332
ARE SPENT THANK YOU. THANK YOU.
02:15:40.399 --> 02:15:42.368
WELCOME.
02:15:42.434 --> 02:15:44.036
AFTERNOON KATIE ANDREW CHILDREN
02:15:44.103 --> 02:15:44.703
NOW.
02:15:44.770 --> 02:15:47.506
EYES ONE ECHO AS IS SENTIMENTS
02:15:47.573 --> 02:15:48.774
OF THOSE WHO CAME BEFORE ME.
02:15:48.841 --> 02:15:50.442
WE ARE ALSO IN STRONG SUPPORT
02:15:50.509 --> 02:15:51.944
OF THIS PROPOSAL TO PROVIDE
02:15:52.011 --> 02:15:54.079
LOCAL HEALTH JURISDICTIONS THE
02:15:54.146 --> 02:15:54.413
FLEXIBILITY.
02:15:54.480 --> 02:15:55.547
THANK YOU.
02:15:55.614 --> 02:15:57.616
WELCOME.
02:15:57.683 --> 02:15:58.617
AFTERNOON DOUG VICTOR CHRISTY
02:15:58.684 --> 02:15:59.485
WITH CALIFORNIA HELPLESS
02:15:59.551 --> 02:16:00.919
ADVOCATES REPRESENTING COMMUNITY
02:16:00.986 --> 02:16:02.454
HEALTH CENTERS US SOMETIMES A
02:16:02.521 --> 02:16:03.856
COMMITTEE HEALTH CENTERS ARE THE
02:16:03.922 --> 02:16:05.958
ONLY PROVIDER IN TOWN. ALSO
02:16:06.025 --> 02:16:07.493
HAVING THIS OF FLEXIBILITY WOULD
02:16:07.559 --> 02:16:09.395
REALLY ALLOW US TO WORK WITH OUR
02:16:09.461 --> 02:16:10.562
PROVIDERS TO I'M.
02:16:10.629 --> 02:16:12.464
REALLY MEET THE NEEDS. OF THE
02:16:12.531 --> 02:16:14.233
EVOLVING OUR.
02:16:14.299 --> 02:16:15.901
MEET THE NEEDS OF PATIENTS IN
02:16:15.968 --> 02:16:16.502
THE COMMUNITY SO THE GUITAR IN
02:16:16.568 --> 02:16:17.369
SUPPORT.
02:16:17.436 --> 02:16:18.671
OKAY THANK YOU.
02:16:18.737 --> 02:16:21.106
RIGHT.
02:16:21.173 --> 02:16:22.775
APPRECIATE THE PRESENTATION I DO
02:16:22.841 --> 02:16:25.077
JUST BEFORE WE. MOVE ONTO THE
02:16:25.144 --> 02:16:25.744
NEXT ITEM.
02:16:25.811 --> 02:16:27.312
FROM YOUR WORLD DISEASE BURDEN
02:16:27.379 --> 02:16:28.047
REPORT.
02:16:28.113 --> 02:16:30.082
ONE THIRD OF CHILDREN HAVE
02:16:30.149 --> 02:16:31.850
UNTREATED TOOTH DECAY.
02:16:31.917 --> 02:16:32.985
FORTY FOUR PERCENT OF
02:16:33.052 --> 02:16:34.787
BENEFICIARIES.
02:16:34.853 --> 02:16:35.554
AND.
02:16:35.621 --> 02:16:36.855
MEDIC CAO.
02:16:36.922 --> 02:16:38.290
CABIN ROLE FOR LEASE NINETY
02:16:38.357 --> 02:16:39.725
CONTINUOUS DAYS
02:16:39.792 --> 02:16:41.126
ONLY FORTY FOUR PERCENT
RECEIVED.
02:16:41.193 --> 02:16:43.495
AT LEAST ONE.
02:16:43.562 --> 02:16:46.298
THAT SERVICE.
02:16:46.365 --> 02:16:48.534
SO WE HAVE SOME WORK TO DO HERE.
02:16:48.600 --> 02:16:50.736
THANK YOU. SO. WILL HOLD THIS
02:16:50.803 --> 02:16:53.138
ITEM OPEN AND HOPEFULLY WE CAN
02:16:53.205 --> 02:16:54.173
WORK SOMETHING OUT FOR.
02:16:54.239 --> 02:16:56.809
ME REVISE.
02:16:56.875 --> 02:16:58.277
SO THANKS SO MUCH PRESENTATION
02:16:58.343 --> 02:16:59.545
OKAY.
02:16:59.611 --> 02:17:02.081
I NEXT ISSUES ISSUE NUMBER FIVE.
02:17:02.147 --> 02:17:03.816
PUBLIC BEACHES PUBLIC BEACH
02:17:03.882 --> 02:17:05.784
INSPECTIONS FOR TEN MINUTES
02:17:05.851 --> 02:17:06.351
INFLATION SP THIRTEEN NINETY
02:17:06.418 --> 02:17:08.554
FIVE.
02:17:08.620 --> 02:17:11.090
WELCOME BACK.
02:17:11.156 --> 02:17:12.791
SO HAVE YOU INTRODUCE YOURSELF
02:17:12.858 --> 02:17:13.425
FOR THE RECORD AGAIN IS FOR THE
02:17:13.492 --> 02:17:16.662
SIDE.
02:17:16.728 --> 02:17:17.963
THANK YOU VERY MUCH MR SHARE HIT
02:17:18.030 --> 02:17:19.431
AFTERNOON MARK STAR W. DIRECTOR
02:17:19.498 --> 02:17:20.833
FOR RONALD HEALTH IN THE FORM OF
02:17:20.899 --> 02:17:22.401
PUBLIC HEALTH.
02:17:22.468 --> 02:17:24.002
BUT THIS REQUEST IS TO ENABLE
02:17:24.069 --> 02:17:25.070
THE DEPARTMENT OF PUBLIC HEALTH
02:17:25.137 --> 02:17:26.839
A FINALIZED IMPLEMENTATION OF
02:17:26.905 --> 02:17:28.740
MANDATED PER. PROVISIONS OF
02:17:28.807 --> 02:17:30.042
SENATE BILL THIRTEEN NINETY FIVE
02:17:30.109 --> 02:17:31.610
WHICH WAS CHAPTER IN TWENTY
02:17:31.677 --> 02:17:33.045
FOURTEEN.
02:17:33.112 --> 02:17:34.513
AND IT'S ABOUT THE APPROVAL OF
02:17:34.580 --> 02:17:36.381
THE USE OF NEW RAPID TEST
02:17:36.448 --> 02:17:38.283
METHODS FOR BEACH WATER TESTING.
02:17:38.350 --> 02:17:39.451
YOUR AGENDA PACKET HAS NIXON
02:17:39.518 --> 02:17:41.253
RIGHT OPPOSE PROPOSAL SOLVES
02:17:41.320 --> 02:17:42.988
PROVIDE A VERY QUICK OVERVIEW.
02:17:43.055 --> 02:17:44.890
THE CONTEXT HERE IS THAT LOCAL
02:17:44.957 --> 02:17:46.258
DEPARTMENTS ARE RESPONSIBLE FOR
02:17:46.325 --> 02:17:47.726
BEACH WATER SAFETY TESTING FOR
02:17:47.793 --> 02:17:49.094
CONTAMINATION.
02:17:49.161 --> 02:17:50.896
BACTERIAL CONTAMINATION FROM
02:17:50.963 --> 02:17:52.331
OVER USE OR FROM NEARBY US
02:17:52.397 --> 02:17:54.032
SOURCES.
02:17:54.099 --> 02:17:55.100
AND THEY'RE ALSO RESPONSE FOR
02:17:55.167 --> 02:17:56.568
POSTING OR CLOSING BEACHES AS
02:17:56.635 --> 02:17:57.936
NECESSARY.
02:17:58.003 --> 02:17:59.438
OUR ROLE THE STATE IS TO
02:17:59.505 --> 02:18:00.372
DETERMINE THE TESTING METHODS
02:18:00.439 --> 02:18:02.441
AND STANDARDS FOR THAT TESTING
02:18:02.508 --> 02:18:03.542
AND THAT SPECIFIED IN
02:18:03.609 --> 02:18:05.511
REGULATIONS.
02:18:05.577 --> 02:18:07.246
THE CURRENT GOLD STANDARD IS
02:18:07.312 --> 02:18:09.081
BACK TO LOGIC CULTURE.
02:18:09.148 --> 02:18:10.549
REQUIRES ABOUT TWO DAYS OF TURN
02:18:10.616 --> 02:18:12.351
AROUND TIME. AND THERE'S
02:18:12.417 --> 02:18:14.153
POTENTIAL HEALTH OF IMPACTS OF
02:18:14.219 --> 02:18:15.988
THAT BECAUSE YOU MAY HAVE A
02:18:16.054 --> 02:18:16.655
BEACH IS CONTAMINATED BICU
02:18:16.722 --> 02:18:17.589
DON'T ACTUALLY IDENTIFIED FOR
02:18:17.656 --> 02:18:18.991
TWO DAYS.
02:18:19.057 --> 02:18:20.792
THERE'S ALSO ECONOMIC IMPACTS IN
02:18:20.859 --> 02:18:22.427
REOPENING BEACHES AND DELAYING
02:18:22.494 --> 02:18:24.062
THAT ON THAT ARE IMPORTANT FOR
02:18:24.129 --> 02:18:25.397
TOURISM.
02:18:25.464 --> 02:18:27.1000
SO THE NEW RAPID PCR TEST BECAME
02:18:28.066 --> 02:18:29.501
AVAILABLE EARLIER THIS DECADE
02:18:29.568 --> 02:18:30.302
AND.
02:18:30.369 --> 02:18:31.503
THEY HAVE ABOUT A FOUR HOUR
02:18:31.570 --> 02:18:33.505
TURNAROUND TIME.
02:18:33.572 --> 02:18:35.007
YEAH SO S. B. THIRTEEN NINETY
02:18:35.073 --> 02:18:37.209
FIVE CAME INTO PLAY AFTER THAT
02:18:37.276 --> 02:18:39.111
WHICH REQUIRES US TO DEVELOP
02:18:39.178 --> 02:18:40.546
INVALIDATE THE NEW TEST METHODS
02:18:40.612 --> 02:18:42.548
AND THE COMPLEX PROCESS THEIR
02:18:42.614 --> 02:18:44.016
SITE SPECIFIC.
02:18:44.082 --> 02:18:44.917
TESTING THERE'S INTERFERING
02:18:44.983 --> 02:18:46.018
SUBSTANCE IS A DIFFERENT
02:18:46.084 --> 02:18:47.553
LOCATIONS THAT'S MUCH MORE
02:18:47.619 --> 02:18:49.354
DIFFICULT EMPLOYMENT AND
CULTURE.
02:18:49.421 --> 02:18:50.923
BUT TO DO SIDE BY SIDE
02:18:50.989 --> 02:18:51.623
COMPARISON WITH THE CULTURE
02:18:51.690 --> 02:18:53.325
TESTING. AND ULTIMATELY PREPARE
02:18:53.392 --> 02:18:55.727
TESTING STANDARDS GUIDELINES DO
02:18:55.794 --> 02:18:57.262
TRAININGS AND AND SO ON.
02:18:57.329 --> 02:18:59.898
SO THE FIRST BUDGET PROPOSAL.
02:18:59.965 --> 02:19:01.433
IN TWENTY FIFTEEN AND SIXTEEN
02:19:01.500 --> 02:19:03.435
PROVIDED THREE YEARS RESOURCES
02:19:03.502 --> 02:19:05.470
FOR ONLY THE INITIAL LAB WORK.
02:19:05.537 --> 02:19:07.940
WHICH HAS OF BEEN US VERY
02:19:08.006 --> 02:19:09.508
SUCCESSFUL AND THE PROGRESS IS
02:19:09.575 --> 02:19:11.210
DESCRIBED IN YOUR AGENDA PACKET
02:19:11.276 --> 02:19:12.110
INCLUDING OUR CLOSE
02:19:12.177 --> 02:19:13.912
COLLABORATION WITH STAKEHOLDERS.
02:19:13.979 --> 02:19:14.947
THIS PROPOSAL REQUEST THE
02:19:15.013 --> 02:19:17.282
RESOURCES NEEDED TO COMPLETE THE
02:19:17.349 --> 02:19:18.617
JOB BASICALLY THERE'S TWO TASKS
02:19:18.684 --> 02:19:20.285
COMPLETE THE LAB WORK. AND IN
02:19:20.352 --> 02:19:21.787
THE SECOND ONE IS TO THEN WRITE
02:19:21.853 --> 02:19:23.655
THE REGULATIONS.
02:19:23.722 --> 02:19:24.489
WE VERY TALK ABOUT REGULATIONS
02:19:24.556 --> 02:19:26.825
ARE. A IN ORDER TO.
02:19:26.892 --> 02:19:28.927
ALLOW LOCAL JURISDICTIONS TO BE
02:19:28.994 --> 02:19:30.862
ABLE TO UTILIZE THIS TEST THIS
02:19:30.929 --> 02:19:32.331
IS ALL NECESSARY BEFORE LOCAL
02:19:32.397 --> 02:19:33.332
HEALTH DEPARTMENTS CAN USE THE
02:19:33.398 --> 02:19:35.467
RAPID TESTS. FOR THEIR BEACH
02:19:35.534 --> 02:19:39.271
MANAGEMENT DECISIONS.
02:19:39.338 --> 02:19:40.739
THANK YOU SO WENDY ANTICIPATE
02:19:40.806 --> 02:19:43.575
REGULATIONS BEING AVAILABLE FOR
02:19:43.642 --> 02:19:45.177
OUR OUR BEACH COUNTIES TO BE
02:19:45.244 --> 02:19:46.345
ABLE TO USE THIS.
02:19:46.411 --> 02:19:47.713
THE ARE SCHEDULED FOR COMPLETION
02:19:47.779 --> 02:19:49.448
IS FIVE YEARS.
02:19:49.514 --> 02:19:51.617
FIVE MORE YEARS WE HAVE THROUGH
02:19:51.683 --> 02:19:53.418
THROUGH THREE YEARS OF LAB OF
02:19:53.485 --> 02:19:54.853
FINISHING LABOR AND THEN THERE'S
02:19:54.920 --> 02:19:56.622
AN OVERLAP YEAR. THE THIRD YEAR
02:19:56.688 --> 02:19:57.990
AND THEN AFTER THAT THERE'S TWO
02:19:58.056 --> 02:19:59.391
MORE YEARS.
02:19:59.458 --> 02:19:59.958
TO COMPLETE THE RATE VERY
02:20:00.025 --> 02:20:01.693
PROCESS BUT ALSO THERE'S
02:20:01.760 --> 02:20:03.262
GUIDELINES TECHNICAL ASSISTANCE
02:20:03.328 --> 02:20:05.097
EDUCATIONAL WORKING TRAIN TO BE
02:20:05.163 --> 02:20:06.798
PART OF THAT I'M KINDA JUST.
02:20:06.865 --> 02:20:07.633
ARE TRYING TO SUMMARIZE THIS
02:20:07.699 --> 02:20:09.301
QUICKLY FOR IT I APPRECIATE THAT
02:20:09.368 --> 02:20:12.070
AND I DON'T I KNOW THIS CASE YOU
02:20:12.137 --> 02:20:13.505
HAVE TO GATHER SOME DATA. YEAH
02:20:13.572 --> 02:20:15.207
YOU'RE DOES FROM THE LAB WORK
02:20:15.274 --> 02:20:17.442
AND SO FORTH.
02:20:17.509 --> 02:20:18.644
JUST THINKING LIKE WE GOTTA FIND
02:20:18.710 --> 02:20:19.912
A WAY TO MAKE WITH THESE THINGS
02:20:19.978 --> 02:20:21.914
FASTER BUT ANYWAY. OKAY WELL
02:20:21.980 --> 02:20:23.482
HOPEFULLY IN FIVE YEARS WE CAN
02:20:23.548 --> 02:20:25.150
OPEN OUR BEACHES MORE QUICKLY
02:20:25.217 --> 02:20:26.318
THAN ALRIGHT.
02:20:26.385 --> 02:20:28.754
COMES FROM ELIO. NO FINANCE
02:20:28.820 --> 02:20:30.555
BELT.
02:20:30.622 --> 02:20:34.159
ANY BEACH COMMENTERS OUT THERE.
02:20:34.226 --> 02:20:35.594
NO SO FOR THE NEXT FIVE YEARS
02:20:35.661 --> 02:20:37.462
THESE CLOTHES FOR TWO DAYS YOU
02:20:37.529 --> 02:20:39.531
KNOW WHY. IT'S WERE WAITING.
02:20:39.598 --> 02:20:40.332
OKAY.
02:20:40.399 --> 02:20:42.434
BOHO THIS ITEM OPEN THANKS MUCH
02:20:42.501 --> 02:20:43.769
FOR YOUR PRESENTATION NOW IS THE
02:20:43.835 --> 02:20:47.005
BY THIS. VERY PORTANT TRIES
02:20:47.072 --> 02:20:48.707
DELUDE FOR ITSELF THANK YOU.
02:20:48.774 --> 02:20:50.442
ALRIGHT ISSUE NUMBER SIX
02:20:50.509 --> 02:20:53.145
OVERSIGHT. CALIFORNIA SAFE
02:20:53.211 --> 02:20:54.513
COSMETICS FOR.
02:20:54.579 --> 02:20:56.815
WE.
02:20:56.882 --> 02:20:58.850
HAVE FUN A SOME STAKEHOLDERS TO
02:20:58.917 --> 02:21:01.253
HAVE A PROPOSAL SO OKAY FEAR WE
02:21:01.320 --> 02:21:02.688
CAN JUST MAKE LITTLE ROOM FOR
02:21:02.754 --> 02:21:04.423
THEM ON THE SIDE THERE.
02:21:04.489 --> 02:21:06.825
AT SEA.
02:21:06.892 --> 02:21:08.961
SO WE HAVE.
02:21:09.027 --> 02:21:10.429
TWO PRESENTERS I FLICK WITH TWO
02:21:10.495 --> 02:21:13.498
CHAIRS OR GOOD THERE OKAY SO.
02:21:13.565 --> 02:21:16.568
ALRIGHT. AND THE.
02:21:16.635 --> 02:21:17.436
WE'LL DO IS WE'LL HAVE THAT PART
02:21:17.502 --> 02:21:20.739
OF PRESENT AND AND IF THE UPDATE
02:21:20.806 --> 02:21:22.040
AND THEN YOU CAN INTRODUCE
02:21:22.107 --> 02:21:23.342
YOURSELVES AFTER WE.
02:21:23.408 --> 02:21:25.043
IS THAT ALRIGHT SO.
02:21:25.110 --> 02:21:27.546
I TRIED AGAIN.
02:21:27.612 --> 02:21:28.347
GOOD AFTERNOON FOR THE RECORD
02:21:28.413 --> 02:21:29.481
THIS IS MONEY COME AROUND THIS
02:21:29.548 --> 02:21:30.615
DEPUTY DIRECTOR FOR THE CENTER
02:21:30.682 --> 02:21:31.950
FOR CHRONIC DISEASE PREVENTION
02:21:32.017 --> 02:21:33.352
AND HEALTH PROMOTION. THERE
02:21:33.418 --> 02:21:34.853
SPECIFICALLY TO QUESTIONS FOR
02:21:34.920 --> 02:21:36.288
ISSUE NUMBER SIX OF THE
02:21:36.355 --> 02:21:37.689
DEPARTMENT WILL BE ANSWERING.
02:21:37.756 --> 02:21:38.590
WILL START WITH THE FIRST ONE
02:21:38.657 --> 02:21:40.158
WHICH IS REGARDING THE DATA
02:21:40.225 --> 02:21:42.260
COLLECTION REPORTING ACTIVITIES
02:21:42.327 --> 02:21:42.861
OF THE SIX COSMETICS PROGRAM.
02:21:42.928 --> 02:21:44.429
ON.
02:21:44.496 --> 02:21:46.698
OUR PROGRAM CURRENTLY MANAGES AN
02:21:46.765 --> 02:21:48.400
ONLINE SYSTEMIC OR COMPANY
02:21:48.467 --> 02:21:49.735
FREEPORT PRODUCTS CONTAINING
02:21:49.801 --> 02:21:51.136
INGREDIENTS IDENTIFIED OR
02:21:51.203 --> 02:21:54.039
SUSPECTED. OF HAVE COURT AND TO
02:21:54.106 --> 02:21:56.742
BECOME A CARCINOGENS FOR FIVE
02:21:56.808 --> 02:21:58.243
REPRODUCTIVE TOXINS.
02:21:58.310 --> 02:22:00.212
IN ADDITION WE MANAGE A PUBLIC
02:22:00.278 --> 02:22:01.646
DATABASE WHERE CUSTOMERS CAN
02:22:01.713 --> 02:22:04.182
ACTUALLY LOOK UP THESE PRODUCTS
02:22:04.249 --> 02:22:04.816
THAT THESE COMPANIES ARE
02:22:04.883 --> 02:22:06.351
REPORTING. PART OF THE DATA
02:22:06.418 --> 02:22:08.487
COLLECTION THAT WE DO AND TELLS.
02:22:08.553 --> 02:22:10.255
YOU KNOW COLLECTING PRODUCT
02:22:10.322 --> 02:22:11.957
NAME TYPE OF PRODUCT BRAND OR
02:22:12.023 --> 02:22:13.258
COMPANY NAME.
02:22:13.325 --> 02:22:17.796
AND REPORTABLE INGREDIENTS.
02:22:17.863 --> 02:22:19.398
IN TERMS OF QUESTION NUMBER TO A
02:22:19.464 --> 02:22:21.566
HOW WE VERIFY THAT THE COSMETIC
02:22:21.633 --> 02:22:23.535
PRODUCTS OF THAT ARE BEING
02:22:23.602 --> 02:22:26.038
REPORTED. CURRENTLY THE PROGRAM.
02:22:26.104 --> 02:22:28.673
IT HAS A VERY DIFFICULT TIME
02:22:28.740 --> 02:22:30.742
DETERMINE AT ANY POINT ATONE
02:22:30.809 --> 02:22:32.310
NUMBER OF COMPANIES WHO HAVE TO
02:22:32.377 --> 02:22:34.212
REPORT THE PRODUCTS.
02:22:34.279 --> 02:22:36.415
IN WHO MEET THE CRITERIA PER.
02:22:36.481 --> 02:22:38.784
SAFE COSMETICS ACT.
02:22:38.850 --> 02:22:40.919
AND IT'S VERY DIFFICULT FOR US
02:22:40.986 --> 02:22:42.754
BECAUSE IT IS ANY BALL BEING A
02:22:42.821 --> 02:22:44.589
BUSINESS FORMULATIONS ARE
02:22:44.656 --> 02:22:46.058
CONSTANT BEING DEVELOPED.
02:22:46.124 --> 02:22:47.926
SO IT'S IT MAKES IT DIFFICULT
02:22:47.993 --> 02:22:49.628
FOR US TO ACTUALLY KNOW AND
02:22:49.694 --> 02:22:51.263
COMPANIES ARE WE DON'T HAVE ANY
02:22:51.329 --> 02:22:52.697
EXISTING LIST OF ALL THE
02:22:52.764 --> 02:22:54.566
COMPANY'S HAN. SINCE IT'S A
02:22:54.633 --> 02:22:56.635
MOVING TARGET.
02:22:56.701 --> 02:22:57.469
IN TERMS OF QUESTION NUMBER
02:22:57.536 --> 02:23:00.405
THREE OF PRODUCTS THAT ARE NOT
02:23:00.472 --> 02:23:01.840
BEING REPORTED TO THE PROGRAM
02:23:01.907 --> 02:23:03.542
AND HOW WE GO ABOUT IT. I'M A
02:23:03.608 --> 02:23:04.376
DIDN'T YOU KNOW THAT
02:23:04.443 --> 02:23:06.044
CALIFORNIA'S OF COSMETICS ACT OF
02:23:06.111 --> 02:23:07.479
TWO THOUSAND FIVE DID NOT
02:23:07.546 --> 02:23:08.847
PROVIDE ANY SPECIFIC GUIDANCE ON
02:23:08.914 --> 02:23:10.515
HOW THE.
02:23:10.582 --> 02:23:12.651
WOULD IN FORCE REPORTING AND SO
02:23:12.717 --> 02:23:14.519
THEREFORE WE HAVE YOU KNOWN
02:23:14.586 --> 02:23:15.987
KNOWN FORSMAN CAPABILITIES.
02:23:16.054 --> 02:23:18.723
HOWEVER I WHEN WE DO FIND OUT
02:23:18.790 --> 02:23:20.425
THAT OF PRODUCT NEEDS TO BE
02:23:20.492 --> 02:23:21.960
REPORTED WE DO FOLLOW UP WITH
02:23:22.027 --> 02:23:23.795
THE COMPANY. AND WE SEND ALSO
02:23:23.862 --> 02:23:26.064
LETTERS A ANNUALLY WE SING
02:23:26.131 --> 02:23:29.267
MOUSE SOME.
02:23:29.334 --> 02:23:32.170
OKAY THANK YOU UP COMES LA YOU.
02:23:32.237 --> 02:23:33.638
KNOW FINANCE.
02:23:33.705 --> 02:23:35.807
ALRIGHT.
02:23:35.874 --> 02:23:38.143
OKAY SO ONE SANDERS A PROPOSAL
02:23:38.210 --> 02:23:40.278
HERE SO HE CAN KEEP FOR TOGETHER
02:23:40.345 --> 02:23:41.513
WITHIN THREE MINUTES.
02:23:41.580 --> 02:23:44.583
APPRECIATED.
02:23:44.649 --> 02:23:45.584
AND ACTUALLY POINT YOU'VE UP
02:23:45.650 --> 02:23:46.852
BEFORE WE START THE CLOCK WANT
02:23:46.918 --> 02:23:48.520
TO JUST INTRODUCE YOURSELVES
02:23:48.587 --> 02:23:49.955
EACH FOR THE RECORD.
02:23:50.021 --> 02:23:51.590
MY NAME IS DOCTOR JEAN CONNIE
02:23:51.656 --> 02:23:52.691
AND I'M AN OBSTETRICIAN
02:23:52.757 --> 02:23:53.959
GYNECOLOGIST FROM ROSA
02:23:54.025 --> 02:23:55.927
CALIFORNIA HAS PRESIDENT OF THE
02:23:55.994 --> 02:23:56.728
AMERICAN COLLEGE OF
02:23:56.795 --> 02:24:00.532
OBSTETRICIANS. AND
GYNECOLOGISTS.
02:24:00.599 --> 02:24:02.133
GOOD AFTERNOON MY NAME IS JANET
02:24:02.200 --> 02:24:03.101
MIDDLEMAN I'M WITH A BREAST
02:24:03.168 --> 02:24:05.337
CANCER PREVENTION PARTNERS AND
02:24:05.403 --> 02:24:07.005
WE ARE ONE OF THE STAKEHOLDER. A
02:24:07.072 --> 02:24:09.508
PROPOSAL PROPOSERS ALONG WITH
02:24:09.574 --> 02:24:11.042
BLACK WOMAN FROM WELLNESS OKAY
02:24:11.109 --> 02:24:12.944
NICE EVEN GO IN BEGIN THANK YOU
02:24:13.011 --> 02:24:14.579
I SERVE ON THE EXECUTIVE BOARD
02:24:14.646 --> 02:24:16.081
OF THE INTERNATIONAL FEDERATION
02:24:16.148 --> 02:24:17.015
OF OBSTETRICIANS.
02:24:17.082 --> 02:24:18.450
AND GYNECOLOGISTS AND LEAD A
02:24:18.517 --> 02:24:20.418
GLOBAL TASK FORCE AND HOW THE
02:24:20.485 --> 02:24:21.887
ENVIRONMENT IMPACTS ARE HOOKED.
02:24:21.953 --> 02:24:24.356
SORRY. AND A CUT IS THE LEADING
02:24:24.422 --> 02:24:26.391
I AM PROVIDER FOR WOMEN'S HEALTH
02:24:26.458 --> 02:24:28.026
CARE AROUND THE UNITED STATES
02:24:28.093 --> 02:24:29.561
WERE MEMBERSHIP ORGANIZATION
02:24:29.628 --> 02:24:31.363
FIFTY EIGHT THOUSAND WOMEN A
02:24:31.429 --> 02:24:32.931
FIFTY THOUSAND POSITIONS. AND
02:24:32.998 --> 02:24:34.599
THE WOMEN WE SERVE ACROSS UNITED
02:24:34.666 --> 02:24:37.002
STATES FIVE THOUSAND POSITIONS
02:24:37.068 --> 02:24:39.137
HERE IN CALIFORNIA.
02:24:39.204 --> 02:24:39.905
I'M GRATEFUL FOR THIS
02:24:39.971 --> 02:24:41.606
OPPORTUNITY TO SPEAK TO THE
02:24:41.673 --> 02:24:43.275
SUBCOMMITTEE. AND TO
02:24:43.341 --> 02:24:44.809
CONGRATULATE OUR LEGISLATIVE
02:24:44.876 --> 02:24:47.445
BODY AND A VERY SUCCESSFUL
02:24:47.512 --> 02:24:49.080
EXISTING CALIFORNIA'S SAFE
02:24:49.147 --> 02:24:50.815
COSMETICS PROGRAM.
02:24:50.882 --> 02:24:53.451
WE ARE PROPOSING A FEE BASED.
02:24:53.518 --> 02:24:55.587
FUNDING INCREASE TO SUPPORT THAT
02:24:55.654 --> 02:24:57.322
EXISTING PROGRAM SO WE'RE NOT
02:24:57.389 --> 02:24:59.658
QUESTIONING THE EXISTENCE WE DO
02:24:59.724 --> 02:25:01.026
APPRECIATE HOW DIFFICULT IT IS.
02:25:01.092 --> 02:25:02.327
ADAM WITH WHAT YOU'VE OUTLINED
02:25:02.394 --> 02:25:03.662
TODAY.
02:25:03.728 --> 02:25:05.564
FIVE YEARS AGO A COG AND
02:25:05.630 --> 02:25:06.898
PRESENTED A MAJOR COMMITTEE
02:25:06.965 --> 02:25:08.233
OPINION.
02:25:08.300 --> 02:25:09.901
AND REAFFIRMED IT THIS YEAR THAT
02:25:09.968 --> 02:25:12.837
THE ENVIRONMENTAL IMPACTS OF
02:25:12.904 --> 02:25:14.406
TOXIC CHEMICALS CAN IMPACT OUR
02:25:14.472 --> 02:25:15.740
HEALTH WHETHER WE'RE TALKING
02:25:15.807 --> 02:25:16.708
ABOUT THE HEALTH OF WOMEN OR THE
02:25:16.775 --> 02:25:18.610
FETUS.
02:25:18.677 --> 02:25:21.379
AND THE GO IN THREE YEARS AGO
02:25:21.446 --> 02:25:23.215
ISSUED A SIMILAR OPINION TO
02:25:23.281 --> 02:25:24.616
SUMMARIZE SOME OF THE IMPORTANT
02:25:24.683 --> 02:25:27.419
POINTS THEIR. NUMBER ONE. WE
02:25:27.485 --> 02:25:29.054
RECOGNIZE THAT THE IMPORTANCE OF
02:25:29.120 --> 02:25:30.121
REDUCING AND PREVENTING
02:25:30.188 --> 02:25:31.122
EXPOSURES
02:25:31.189 --> 02:25:33.225
TO TOXIC CHEMICALS IS A CRITICAL
02:25:33.291 --> 02:25:36.328
AREA FOR PRACTICING CLINICIANS.
02:25:36.394 --> 02:25:36.895
AND ALL THE PATIENTS THAT WE
02:25:36.962 --> 02:25:38.096
SERVE.
02:25:38.163 --> 02:25:40.298
NUMBER TWO PREGNANCIES A
02:25:40.365 --> 02:25:42.334
PARTICULARLY VULNERABLE TIME.
02:25:42.400 --> 02:25:44.269
FOR WOMEN BECAUSE THE CHEMICALS
02:25:44.336 --> 02:25:46.771
THAT THEY ARE EXPOSED TO CAN BE
02:25:46.838 --> 02:25:48.573
CUMULATIVE CAN BE ADDITIVE. AND
02:25:48.640 --> 02:25:51.042
THE TIMING OF THE EXPOSURE CAN
02:25:51.109 --> 02:25:52.744
IMPACT THE EFFECT ON THE FETUS.
02:25:52.811 --> 02:25:54.246
THE PREGNANCY IS A PARTICULARLY
02:25:54.312 --> 02:25:56.648
VULNERABLE PERIOD. AND THIRD
02:25:56.715 --> 02:25:58.750
UNDERSERVED WOMEN ARE ESPECIALLY
02:25:58.817 --> 02:26:01.186
VULNERABLE BECAUSE THEY HAVE AN
02:26:01.253 --> 02:26:02.921
EXPOSURE TO HIGHER POTENTIAL
02:26:02.988 --> 02:26:05.657
TOXICS SO THOSE ARE THREE
02:26:05.724 --> 02:26:07.826
UNDERLYING AREAS OF CONCERN.
02:26:07.892 --> 02:26:09.628
AS A PHYSICIAN I APPRECIATE THE
02:26:09.694 --> 02:26:11.296
FORESIGHT OF OUR LEGISLATIVE
02:26:11.363 --> 02:26:13.131
BODY THAT LED TO THE CALIFORNIA
02:26:13.198 --> 02:26:14.366
SAFE COSMETICS
02:26:14.432 --> 02:26:16.234
PROGRAM IT IS AN IMPORTANT TOOL
02:26:16.301 --> 02:26:17.936
FOR PHYSICIANS.
02:26:18.003 --> 02:26:19.704
CONSUMERS AND WORKERS.
02:26:19.771 --> 02:26:20.872
WITH THE INFORMATION THAT THEY
02:26:20.939 --> 02:26:22.107
NEED TO AVOID EXPOSURE TO
02:26:22.173 --> 02:26:23.608
POTENTIAL CARCINOGENS
02:26:23.675 --> 02:26:25.744
REPRODUCTIVE TOXIC.
02:26:25.810 --> 02:26:26.911
WE ALSO REALIZE THE CONSUMERS
02:26:26.978 --> 02:26:29.848
WORKERS HAVE A RIGHT TO KNOW.
02:26:29.914 --> 02:26:31.449
POSITIONS HAVE A NEED TO KNOW.
02:26:31.516 --> 02:26:33.084
IF WE'RE GOING TO PROVIDE THE
02:26:33.151 --> 02:26:35.754
RIGHT GUIDANCE FOR OUR PATIENTS.
02:26:35.820 --> 02:26:37.422
THIRTY SEVEN YEARS AGO I HAD MY
02:26:37.489 --> 02:26:38.890
FIRST CHILD AND I REMEMBER
02:26:38.957 --> 02:26:40.792
ASKING MY POSITION ABOUT A CREAM
02:26:40.859 --> 02:26:42.327
THAT I USED AND HE SAID FOR
02:26:42.394 --> 02:26:43.828
GOD'S SAKE YOU'RE NOT EATING UP
02:26:43.895 --> 02:26:44.963
WHY ARE YOU WORRIED.
02:26:45.030 --> 02:26:46.131
THAT'S NOT HOW WE SHOULD RESPOND
02:26:46.197 --> 02:26:47.632
TODAY.
02:26:47.699 --> 02:26:49.367
THIS IS A VERY SIMPLE PROPOSAL
02:26:49.434 --> 02:26:50.669
THAT CREATES A FEE BASED
02:26:50.735 --> 02:26:53.171
STRUCTURE TO PROVIDE ONGOING.
02:26:53.238 --> 02:26:54.939
AND FUNDING FOR IMPORTANT
02:26:55.006 --> 02:26:56.741
PROGRAM THAT HELPS GUIDE OUR
02:26:56.808 --> 02:26:58.543
PATIENTS AND PHYSICIANS THANK
02:26:58.610 --> 02:27:02.614
YOU.
02:27:02.681 --> 02:27:03.848
I'M ACTUALLY HERE TODAY GOD JUST
02:27:03.915 --> 02:27:05.650
TO TO RESPOND TO QUESTIONS THAT
02:27:05.717 --> 02:27:06.851
YOU MIGHT HAVE I KNOW HOW LONG
02:27:06.918 --> 02:27:09.254
THAT THEY HEARINGS GONE ALREADY
02:27:09.320 --> 02:27:09.954
SO. I'LL.
02:27:10.021 --> 02:27:11.990
SKIP ANY ADDITIONAL COMMENTS AT
02:27:12.057 --> 02:27:14.292
THIS TIME. AND EXACTLY THREE
02:27:14.359 --> 02:27:15.093
MINUTES MAKING.
02:27:15.160 --> 02:27:16.394
PERFECT.
02:27:16.461 --> 02:27:18.763
OF.
02:27:18.830 --> 02:27:20.498
SO JUST TO CLARIFY THE. TO
02:27:20.565 --> 02:27:22.400
YOU'RE. A FEE FOR EACH PRIDE HOW
02:27:22.467 --> 02:27:23.768
MUCH
02:27:23.835 --> 02:27:25.336
REVENUE EXPECTING TO RAISE WITH
02:27:25.403 --> 02:27:27.238
THE CITY.
02:27:27.305 --> 02:27:28.740
WELL IN THE LAST ROUND OF
02:27:28.807 --> 02:27:30.342
REPORTING THAT WAS CONDUCTED BY
02:27:30.408 --> 02:27:32.177
THE THE SAFE COSMETICS PROGRAM
02:27:32.243 --> 02:27:33.645
SIXTY FIVE THOUSAND PRODUCTS
02:27:33.712 --> 02:27:35.447
WERE REPORTED TO THE PROGRAM.
02:27:35.513 --> 02:27:36.514
BETWEEN TWO THOUSAND AND NINE
02:27:36.581 --> 02:27:38.249
AND TWO THOUSAND AND FIFTEEN SO
02:27:38.316 --> 02:27:39.984
WE USE THAT NUMBER.
02:27:40.051 --> 02:27:40.485
TO.
02:27:40.552 --> 02:27:41.252
IT TO COME UP WITH A
02:27:41.319 --> 02:27:42.554
RECOMMENDED FEE OF THIRTY
02:27:42.620 --> 02:27:44.789
DOLLARS PER REPORTABLE PRODUCT
02:27:44.856 --> 02:27:46.024
WHICH WOULD GENERATE ABOUT ONE
02:27:46.091 --> 02:27:47.592
POINT FIVE MILLION DOLLARS AND
02:27:47.659 --> 02:27:49.694
AN ADDITIONAL REVENUE.
02:27:49.761 --> 02:27:51.730
AND DOES.
02:27:51.796 --> 02:27:53.698
YOUR CONCERN IS THAT THERE ISN'T
02:27:53.765 --> 02:27:56.267
SUFFICIENT STAFFING CURRENTLY TO
02:27:56.334 --> 02:27:58.370
IMPLEMENT THE CURRENT LAW WILL
02:27:58.436 --> 02:28:00.205
ARE OUR BIGGEST CONCERN I HAVE
02:28:00.271 --> 02:28:02.340
IS THAT THE PROGRAM HAS BEEN
02:28:02.407 --> 02:28:03.742
CHRONICALLY UNDERFUNDED.
02:28:03.808 --> 02:28:05.343
AND THAT'S NO ONE'S FAULT THERE
02:28:05.410 --> 02:28:06.644
ARE SO MANY COMPETING PRIORITIES
02:28:06.711 --> 02:28:09.314
FACING THAT.
02:28:09.380 --> 02:28:10.648
BUT SINCE ITS INCEPTION THE
02:28:10.715 --> 02:28:12.283
PROGRAM HAS BEEN CUT TWENTY FIVE
02:28:12.350 --> 02:28:14.719
PERCENT IN FUNDING IT NOW HAS A
02:28:14.786 --> 02:28:15.920
BUDGET OF ABOUT THREE HUNDRED
02:28:15.987 --> 02:28:17.188
SEVENTY THOUSAND DOLLARS IT'S
02:28:17.255 --> 02:28:19.357
ONLY ABLE TO EMPLOYEE TO STAFF.
02:28:19.424 --> 02:28:21.292
SO WITH ADDITIONAL FUNDING
02:28:21.359 --> 02:28:22.494
THOUGH PROGRAM WOULD BE ABLE TO
02:28:22.560 --> 02:28:24.429
HIRE ADDITIONAL STAFF AS WELL AS
02:28:24.496 --> 02:28:26.664
FULLY COMPLY THE LAW BY HIRING
02:28:26.731 --> 02:28:29.501
AN ENFORCEMENT OFFICER.
02:28:29.567 --> 02:28:30.068
ANY COMMENTS FROM THE PUBLIC
02:28:30.135 --> 02:28:32.670
BECAUSE.
02:28:32.737 --> 02:28:34.439
NO NOT CURRENTLY THINKING OKAY
02:28:34.506 --> 02:28:37.475
LA JOH DOESN'T FINANCE.
02:28:37.542 --> 02:28:38.743
YES OTHER STAKEHOLDERS HAVE
02:28:38.810 --> 02:28:39.911
REACHED OUT TO US IN AT THIS
02:28:39.978 --> 02:28:40.879
TIME ARE STILL ASSESSING THE
02:28:40.945 --> 02:28:42.847
PROPOSAL WE DON'T OF A POSITION
02:28:42.914 --> 02:28:43.381
OR HAVE IT RIGHT TECHNICAL
02:28:43.448 --> 02:28:43.648
SUPPORT.
02:28:43.715 --> 02:28:45.550
OKAY.
02:28:45.617 --> 02:28:49.754
AND I THINK WE'RE PUBLIC
COMMENT.
02:28:49.821 --> 02:28:51.556
WELCOME.
02:28:51.623 --> 02:28:52.690
GOOD AFTERNOON MISTER CHAIR
02:28:52.757 --> 02:28:54.692
CORBULO SOME HALF OF BEST CANCER
02:28:54.759 --> 02:28:55.994
PREVENTION PARTNERS.
02:28:56.060 --> 02:28:57.695
S. CANCER ACTION IN.
02:28:57.762 --> 02:28:58.496
AND KEEP ABREAST IN SUPPORT.
02:28:58.563 --> 02:29:00.031
OKAY
02:29:00.098 --> 02:29:01.366
THANK YOU WELCOME.
02:29:01.433 --> 02:29:03.334
WELCOME.
02:29:03.401 --> 02:29:05.069
WHEN SPENCER ON BEHALF OF THE
02:29:05.136 --> 02:29:06.337
AMERICAN COLLEGE OBSTETRICIANS
02:29:06.404 --> 02:29:07.172
AND GYNECOLOGISTS THE
02:29:07.238 --> 02:29:08.940
ASSOCIATION SUPPORT THE STICKERS
02:29:09.007 --> 02:29:10.708
PROPOSAL THANK YOU. THANK YOU.
02:29:10.775 --> 02:29:12.544
WELCOME.
02:29:12.610 --> 02:29:13.444
GOOD AFTERNOON MAYOR DALEY ON
02:29:13.511 --> 02:29:14.445
BEHALF OF THAT PERSONAL CARE
02:29:14.512 --> 02:29:15.480
PRODUCTS COUNCIL.
02:29:15.547 --> 02:29:17.415
.
02:29:17.482 --> 02:29:19.350
I WANNA WE OPPOSE THE THE THIS
02:29:19.417 --> 02:29:20.819
BUDGET REQUESTS AND I WANNA SAY
02:29:20.885 --> 02:29:22.387
AT THE OUTSET THAT.
02:29:22.453 --> 02:29:24.322
ON BEHALF OF THE COSMETICS
02:29:24.389 --> 02:29:26.324
INDUSTRY WE OBVIOUSLY CARE ABOUT
02:29:26.391 --> 02:29:27.826
THE SAFETY OF CONSUMERS.
02:29:27.892 --> 02:29:29.294
AND SAFETY IS A PRIORITY FOR
02:29:29.360 --> 02:29:30.762
INDUSTRY OTHERWISE OUR BRANDS OF
02:29:30.829 --> 02:29:31.729
BE EXTREMELY COMPROMISE.
02:29:31.796 --> 02:29:33.932
I'M.
02:29:33.998 --> 02:29:35.967
WE ARE OPPOSE WE WERE OPPOSED TO
02:29:36.034 --> 02:29:38.002
SB FORTY FOUR THAN THAT CREATED
02:29:38.069 --> 02:29:39.504
THIS DATABASE BACK THEN AND WE
02:29:39.571 --> 02:29:41.806
ARE OPPOSED TO. THE EXPANSION OF
02:29:41.873 --> 02:29:43.274
THE DATABASE TODAY.
02:29:43.341 --> 02:29:44.676
BASED ON THIS FEE BASED
02:29:44.742 --> 02:29:47.078
APPROACH TO FIND AND EXPAND THIS
02:29:47.145 --> 02:29:48.246
PROGRAM.
02:29:48.313 --> 02:29:50.648
IT'S RATHER BAFFLING THAT WE
02:29:50.715 --> 02:29:52.484
HAVE A STATE FUNDED AND STATE
02:29:52.550 --> 02:29:53.818
RUN PROGRAM THAT PROVIDES
02:29:53.885 --> 02:29:55.053
INFORMATION THAT'S READILY
02:29:55.119 --> 02:29:57.055
AVAILABLE ON THE PRODUCT LABEL.
02:29:57.121 --> 02:29:59.057
IT WAS ASKED AT THE ASSEMBLY
02:29:59.123 --> 02:30:00.692
HEARING WHETHER THERE WOULD BE
02:30:00.758 --> 02:30:02.427
ANY DIFFERENT INFORMATION THAT
02:30:02.494 --> 02:30:03.628
WOULD BE FOUND ON THIS DATABASE
02:30:03.695 --> 02:30:05.430
THAT COULDN'T BE FOUND ON THE
02:30:05.496 --> 02:30:07.532
PRODUCT LABEL AND THE ANSWER IS
02:30:07.599 --> 02:30:09.567
NO NOTS THE REALITY.
02:30:09.634 --> 02:30:10.869
WE ARE NOT HERE ASKING FOR THE
02:30:10.935 --> 02:30:12.403
ELIMINATION OF THE PROGRAM BUT
02:30:12.470 --> 02:30:14.505
WE ARE VERY MUCH OPPOSED TO THE
02:30:14.572 --> 02:30:16.474
EXPANSION OF THIS PROGRAM ON THE
02:30:16.541 --> 02:30:18.142
BACKS OF MANUFACTURES.
02:30:18.209 --> 02:30:19.477
THE REALITY IS THAT THE INDUSTRY
02:30:19.544 --> 02:30:20.745
IS COME A REALLY LONG WAY WE
02:30:20.812 --> 02:30:23.648
HAVE EMBRACED TRANSPARENCY IN
02:30:23.715 --> 02:30:25.083
MANY WAYS LIKE I SAID WE LIST
02:30:25.149 --> 02:30:26.918
ARE INGREDIENTS HONOR LABELS
02:30:26.985 --> 02:30:28.553
THOSE OF THE PRODUCTS THAT ARE
02:30:28.620 --> 02:30:30.054
AVAILABLE DIRECTLY TO CONSUMERS.
02:30:30.121 --> 02:30:31.523
AND LAST YEAR WE DID SOMETHING
02:30:31.589 --> 02:30:32.757
THAT WAS RATHER UNPRECEDENTED
02:30:32.824 --> 02:30:34.459
WHERE WE EMBRACED
02:30:34.525 --> 02:30:36.461
A TRANSPARENCY MEASURE TO
02:30:36.528 --> 02:30:38.162
PROVIDE INGREDIENT DISCLOSURE
02:30:38.229 --> 02:30:40.999
FOR. PROFESSIONAL COSMETICS AND
02:30:41.065 --> 02:30:42.367
WE UNDERSTAND THAT BACKING TWO
02:30:42.433 --> 02:30:43.968
THOUSAND FIVE MINUTES BEFORE HE
02:30:44.035 --> 02:30:46.304
FOUR WAS ENACTED. THE THE ONE OF
02:30:46.371 --> 02:30:47.539
THE MAJOR COMPONENTS OF THE BILL
02:30:47.605 --> 02:30:49.741
WAS TO PROVIDE SAFETY AND
02:30:49.807 --> 02:30:52.010
INFORMATION TO SALON WORKERS AND
02:30:52.076 --> 02:30:53.678
SO THERE WAS A BILL LAST YEAR A.
02:30:53.745 --> 02:30:55.680
B. FIFTEEN SEVENTY FIVE KALRA.
02:30:55.747 --> 02:30:57.248
THAT CALLED FOR IN GREETING
02:30:57.315 --> 02:30:58.716
DISCLOSURE OF THOSE CATEGORIES
02:30:58.783 --> 02:31:00.752
OF PRODUCTS WE CAME WE SUPPORTED
02:31:00.818 --> 02:31:02.620
THAT BILL WE REMAIN COMMITTED TO
02:31:02.687 --> 02:31:03.955
SUPPORTING AGAIN THIS YEAR.
02:31:04.022 --> 02:31:05.189
THE STATE HAS ALSO COME A LONG
02:31:05.256 --> 02:31:06.624
WAY WE'VE ENACTED A NUMBER OF
02:31:06.691 --> 02:31:08.059
PROGRAMS TO REGULATE THESE
02:31:08.126 --> 02:31:09.661
PRODUCTS.
02:31:09.727 --> 02:31:10.995
AND I KNOW THIS IS BEEN A
02:31:11.062 --> 02:31:12.797
REALLY LONG HEARING MISTER
CHAIR.
02:31:12.864 --> 02:31:14.699
SO I WOULD JUST KEEP IT BRIEFLY
02:31:14.766 --> 02:31:16.067
WE'VE ENACTED GREEN CHEMISTRY
02:31:16.134 --> 02:31:17.635
BACK IN TWO THOUSAND EIGHTEEN
02:31:17.702 --> 02:31:19.437
EXTENSIVE REGULATORY AUTHORITY
02:31:19.504 --> 02:31:20.772
THEY'VE NAMED OUR PRODUCTS AS
02:31:20.838 --> 02:31:21.406
PART OF THE TWO THOUSAND
02:31:21.472 --> 02:31:22.640
EIGHTEEN TWO THOUSAND TWENTY
02:31:22.707 --> 02:31:24.175
WORK PLANS THEY WILL BE LOOKING
02:31:24.242 --> 02:31:25.977
AT. OUR PRODUCTS THEY WILL HAVE
02:31:26.044 --> 02:31:27.712
REGULATORY AUTHORITY TO MANDATE
02:31:27.779 --> 02:31:29.314
SAFER FORMULATIONS THAT AS A
02:31:29.380 --> 02:31:32.183
MEANS TO AN END. NOT A DATABASE
02:31:32.250 --> 02:31:33.418
THAT REPLICATES WHAT YOU CAN
02:31:33.484 --> 02:31:34.986
ALREADY FIND ON PRODUCTS FOR
02:31:35.053 --> 02:31:36.020
THOSE REASONS.
02:31:36.087 --> 02:31:37.155
WE OPPOSE.
02:31:37.221 --> 02:31:38.690
OKAY CAN I GIVE YOU SOME EXTRA
02:31:38.756 --> 02:31:40.325
TIME AND FAIRNESS
02:31:40.391 --> 02:31:41.859
THROUGH SINCE THE PRISONERS HAD
02:31:41.926 --> 02:31:43.161
CHANCE TO GIVE A.
02:31:43.227 --> 02:31:44.829
PRESENTATIONS SO BUT IF WE CAN
02:31:44.896 --> 02:31:46.331
ASK EVERYONE ELSE TO KEEP TO A
02:31:46.397 --> 02:31:47.398
MINUTE.
02:31:47.465 --> 02:31:48.967
IF YOU MISTER SIERRA DAWN KEPT
02:31:49.033 --> 02:31:50.301
HERE ON THE Q. CAPTAIN
02:31:50.368 --> 02:31:51.035
ASSOCIATES ON BEHALF THE
02:31:51.102 --> 02:31:52.370
CALIFORNIA MANUFACTURERS AND
02:31:52.437 --> 02:31:54.205
TECHNOLOGY ASSOCIATION ALSO
02:31:54.272 --> 02:31:55.640
REGRETTABLY OPPOSED
02:31:55.707 --> 02:31:57.308
PUZZLE. ADEN WOULD ECHO THE
02:31:57.375 --> 02:31:59.243
COMMENTS BY MISLEAD EYES WHILE
02:31:59.310 --> 02:32:00.812
IT JUST INDICATES ON THAT
02:32:00.878 --> 02:32:02.213
RELATED TO THE CHEMICALS
02:32:02.280 --> 02:32:04.849
REQUIRED VIA. NOTIFIED ONTO
02:32:04.916 --> 02:32:06.618
DEPARTMENT UNDER THIS PROGRAM
02:32:06.684 --> 02:32:07.518
THOSE ARE CHEMICALS THAT ARE
02:32:07.585 --> 02:32:09.187
ALSO COVERED UNDER PROP SIXTY
02:32:09.253 --> 02:32:10.888
FIVE I MEAN ALTHOUGH PROP SIXTY
02:32:10.955 --> 02:32:13.024
FIVE IS NOT UNNECESSARILY ON
02:32:13.091 --> 02:32:14.726
SOMETHING YOU OFTEN DISCUSS AS
02:32:14.792 --> 02:32:16.427
PART OF THIS SUBCOMMITTEE. I
02:32:16.494 --> 02:32:17.996
CERTAINLY IDEAS RELEVANT
02:32:18.062 --> 02:32:19.797
RELATIVE TO THE CARCINOGENS AND
02:32:19.864 --> 02:32:20.932
REPRODUCTIVE TOXICANTS AT THE
02:32:20.999 --> 02:32:22.767
PROGRAM COVERS UNDER THAT
02:32:22.834 --> 02:32:24.268
PROGRAM AS YOU WELL KNOW OUR
02:32:24.335 --> 02:32:26.270
REQUIREMENTS TO WARREN HI
02:32:26.337 --> 02:32:29.173
RELATIVE TO. AYE EXPOSURES AND
02:32:29.240 --> 02:32:31.175
WE THINK THAT AS FAR AS ON THAT
02:32:31.242 --> 02:32:32.377
PROGRAM GOES THERE IS OVERLAP
02:32:32.443 --> 02:32:34.112
AND POSSIBLY DUPLICATION WITH
02:32:34.178 --> 02:32:35.913
THIS PARTICULAR PROGRAM FURTHER
02:32:35.980 --> 02:32:37.715
THAT PROGRAM UNDER A NEW
02:32:37.782 --> 02:32:38.850
APPROACHES THAT THEY'RE TAKING
02:32:38.916 --> 02:32:40.284
BASED ON RECENTLY ADOPTED
02:32:40.351 --> 02:32:41.919
REGULATIONS. ARE PROVIDING MORE
02:32:41.986 --> 02:32:45.657
CONTEXT FOR THOSE CHEMICALS
02:32:45.723 --> 02:32:46.557
RATHER THAN JUST A NAME
02:32:46.624 --> 02:32:47.892
AND I KNOW FOR THE CONTEXT AS TO
02:32:47.959 --> 02:32:49.727
WHAT THERE. ARE PARTICULAR
02:32:49.794 --> 02:32:51.429
BENEFIT A REASON FOR A CHEMICAL
02:32:51.496 --> 02:32:53.031
BEING INCLUDED SUCH AS A
02:32:53.097 --> 02:32:53.931
SUNSCREEN PROTECTION MIGHT HOW
02:32:53.998 --> 02:32:55.533
BILL AS A BELLOWS REASONS
02:32:55.600 --> 02:32:57.435
ANOTHER SO WE APPRECIATE YOUR
02:32:57.502 --> 02:32:59.971
TIME AND MUST OPPOSE. THANK YOU
02:33:00.038 --> 02:33:01.739
THANK YOU WELCOME. IDENTICAL
02:33:01.806 --> 02:33:03.074
KENYATTA'S ON BEHALF OF THE
02:33:03.141 --> 02:33:03.875
HOUSEHOLD AND COMMERCIAL
02:33:03.941 --> 02:33:05.343
PRODUCTS ASSOCIATION AND THE
02:33:05.410 --> 02:33:06.144
INTERNATIONAL FRAGRANCE
02:33:06.210 --> 02:33:07.812
ASSOCIATION OF NORTH AMERICA WE
02:33:07.879 --> 02:33:09.814
ARE ALSO OPPOSE I JUST ONE MORE
02:33:09.881 --> 02:33:11.416
POINT ONE I'D APPRECIATE THAT
02:33:11.482 --> 02:33:12.750
THE PROPONENTS. HAVE.
02:33:12.817 --> 02:33:14.452
OFFERED A THIRTY DOLLAR FEE
02:33:14.519 --> 02:33:15.153
SORT OF.
02:33:15.219 --> 02:33:17.422
AS PART OF PROPOSAL HOWEVER THE
02:33:17.488 --> 02:33:19.157
LANGUAGE THAT'S BEEN OFFERED TO
02:33:19.223 --> 02:33:20.458
THE COMMITTEE I AM IS MUCH MORE
02:33:20.525 --> 02:33:22.760
BROAD AND SIMPLY STATES THAT THE
02:33:22.827 --> 02:33:23.428
DEPARTMENT OF FINANCE COULD
02:33:23.494 --> 02:33:25.363
ASSESS A FEE ANNUALLY OR WOULD
02:33:25.430 --> 02:33:26.597
REQUIRE THEM TO SAYS AVI
02:33:26.664 --> 02:33:29.567
ANNUALLY WITH NO CAP SO. I'M
02:33:29.634 --> 02:33:30.134
SIMILAR COMMENT THANK YOU.
02:33:30.201 --> 02:33:30.435
THANK YOU.
02:33:30.501 --> 02:33:31.803
WELCOME.
02:33:31.869 --> 02:33:33.905
I CARE BANKING ON THE FOUNDER OF
02:33:33.971 --> 02:33:35.506
A JUICE BEAUTY IN ORGANIC
BEAUTY.
02:33:35.573 --> 02:33:37.208
PRODUCTS COMPANY THANK YOU FOR
02:33:37.275 --> 02:33:38.409
THE CALIFORNIA BALLOT PRODUCTS
02:33:38.476 --> 02:33:40.678
ACT WOULD LOVE THAT. AND I'M
02:33:40.745 --> 02:33:41.779
HERE IN SUPPORT OF.
02:33:41.846 --> 02:33:43.281
THAT THE.
02:33:43.347 --> 02:33:45.116
SAFE COSMETICS ACT IT IS
02:33:45.183 --> 02:33:46.751
POSSIBLE TO.
02:33:46.818 --> 02:33:49.020
FORMULATE IN A HEALTHIER WAY
02:33:49.087 --> 02:33:50.621
WITHOUT ALL THE CHEMICALS THAT
02:33:50.688 --> 02:33:52.957
ARE OUTLINED IN PROP SIXTY FIVE
02:33:53.024 --> 02:33:54.625
SO WE USE THE DATABASE
02:33:54.692 --> 02:33:56.527
EXTENSIVELY. OF BEAUTY COUNTER
02:33:56.594 --> 02:33:57.795
WAS ALSO HERE FROM SOUTHERN
02:33:57.862 --> 02:33:59.163
CALIFORNIA BUT THEY HAD TO LEAVE
02:33:59.230 --> 02:33:59.864
SO.
02:33:59.931 --> 02:34:02.333
THEY ARE ALSO IN SUPPORT OF THE.
02:34:02.400 --> 02:34:03.701
ACT THANK YOU THANK YOU THANK
02:34:03.768 --> 02:34:04.001
YOU.
02:34:04.068 --> 02:34:06.003
WELCOME.
02:34:06.070 --> 02:34:08.606
I DO WE SET THAN FLEET ON BEHALF
02:34:08.673 --> 02:34:10.174
OF A NUMBER OF ORGANIZATIONS
02:34:10.241 --> 02:34:11.576
HAVE ALREADY HAD TO LEAVE.
02:34:11.642 --> 02:34:13.377
SO IN BRIEF.
02:34:13.444 --> 02:34:14.679
NATURAL RESOURCES DEFENSE
02:34:14.746 --> 02:34:16.481
COUNCIL CLEAN WATER ACTION
02:34:16.547 --> 02:34:18.049
WOMEN'S VOICES FOR THE EARTH
02:34:18.116 --> 02:34:19.851
TEENS TURNING GREEN. THE HEALTH
02:34:19.917 --> 02:34:21.352
A NAIL SALON COLLABORATIVE WORK
02:34:21.419 --> 02:34:23.087
SAFE POSITIONS FOR SOCIAL
02:34:23.154 --> 02:34:24.889
RESPONSIBILITY SAN FRANCISCO BAY
02:34:24.956 --> 02:34:26.824
AREA BLACK WOMEN FOR WELLNESS
02:34:26.891 --> 02:34:27.692
AND THE CALIFORNIA LEAGUE OF
02:34:27.758 --> 02:34:29.660
CONSERVATION VOTERS IN STRONG
02:34:29.727 --> 02:34:31.229
SUPPORT OF THIS PROPOSAL.
02:34:31.295 --> 02:34:33.297
AND JUST VERY QUICKLY FOR THOSE
02:34:33.364 --> 02:34:34.699
PEOPLE SHOPPING ONLINE THE
02:34:34.765 --> 02:34:36.467
PROPOSITION SIXTY FIVE WARNINGS
02:34:36.534 --> 02:34:37.468
AND THE INGREDIENT LABELS ARE
02:34:37.535 --> 02:34:39.036
NOT ALWAYS VISIBLE SO THIS
02:34:39.103 --> 02:34:40.605
DATABASE IS EXTREMELY IMPORTANT
02:34:40.671 --> 02:34:41.906
FOR THOSE DOING COMPARISON
02:34:41.973 --> 02:34:43.508
SHOPPING AND RESEARCH. TO GET
02:34:43.574 --> 02:34:44.976
INFORMATION
02:34:45.042 --> 02:34:46.878
ABOUT TOXIC CHEMICALS IN THESE
02:34:46.944 --> 02:34:48.746
PRODUCTS THANK YOU. THANK YOU.
02:34:48.813 --> 02:34:50.715
WELCOME.
02:34:50.782 --> 02:34:51.849
GIVE CATHARINE BATES
02:34:51.916 --> 02:34:53.184
REPRESENTING INVESTOR
02:34:53.251 --> 02:34:53.951
ENVIRONMENTAL HEALTH NETWORK IN
02:34:54.018 --> 02:34:54.685
STRONG SUPPORT.
02:34:54.752 --> 02:34:57.221
THANK YOU.
02:34:57.288 --> 02:34:58.856
THANK YOU WELCOME. THOUGH SUSAN
02:34:58.923 --> 02:34:59.824
LITTLE WITH THE ENVIRONMENTAL
02:34:59.891 --> 02:35:02.059
WORKING GROUP ALSO HERE ON
02:35:02.126 --> 02:35:03.494
BEHALF OF THE CAP ON COALITION.
02:35:03.561 --> 02:35:04.829
TO MAKE HELP HEARD THE
02:35:04.896 --> 02:35:06.097
CALIFORNIA PRODUCT STEWARDSHIP
02:35:06.164 --> 02:35:08.232
COUNCIL. AND THE.
02:35:08.299 --> 02:35:09.734
CENTER FOR ENVIRONMENTAL HEALTH
02:35:09.800 --> 02:35:10.735
ALSO IN SUPPORT THINK.
02:35:10.801 --> 02:35:16.174
THANK YOU.
02:35:16.240 --> 02:35:17.775
SO I ACTUALLY JUST HAVE A GOOD
02:35:17.842 --> 02:35:19.911
SELF OFTEN I'VE REALIZED
02:35:19.977 --> 02:35:21.445
DEPARTMENT. DIDN'T REALLY HAVE A
02:35:21.512 --> 02:35:23.014
COMMENT ON THE PROPOSAL BUT IN
02:35:23.080 --> 02:35:25.883
TERMS OF THE CAPACITY OF THE
02:35:25.950 --> 02:35:26.417
DEPARTMENT TO PERFORM THE
02:35:26.484 --> 02:35:27.585
FUNCTION.
02:35:27.652 --> 02:35:29.720
DOES REFERENCE SERVICE SAY HEY
02:35:29.787 --> 02:35:30.021
BUDGET CUT.
02:35:30.087 --> 02:35:30.755
.
02:35:30.822 --> 02:35:33.624
.
02:35:33.691 --> 02:35:35.793
YEAH THAT THERE WASN'T THE BCP
02:35:35.860 --> 02:35:37.929
FROM THE DEPARTMENT ON THIS SO
02:35:37.995 --> 02:35:40.865
WAS THAT CAN CAN PERHAPS COMMENT
02:35:40.932 --> 02:35:42.733
ON ON THE CAPACITY OF THE
02:35:42.800 --> 02:35:44.602
DEPARTMENT TO PERFORM THE
02:35:44.669 --> 02:35:46.103
FUNCTION NOW. TERMS OF THE
02:35:46.170 --> 02:35:47.805
STAFFING NECESSARY TO CARRY OUT
02:35:47.872 --> 02:35:49.574
THE FUNCTIONS OF.
02:35:49.640 --> 02:35:51.876
OF THE ACT OF THE ACT.
02:35:51.943 --> 02:35:52.944
YES SIR AND FOR THE RECORD THIS
02:35:53.010 --> 02:35:54.445
IS A MONEY COME AROUND AS YOU
02:35:54.512 --> 02:35:56.581
KNOW WE HAVE TO STAFF THAT WORK
02:35:56.647 --> 02:35:58.616
IN THIS PROGRAM AND AND YOU KNOW
02:35:58.683 --> 02:36:00.685
THE WE ARE ACTIVELY JUST TRYING
02:36:00.751 --> 02:36:04.455
TO MANAGE THE DATABASE. FOR THE
02:36:04.522 --> 02:36:06.924
COMPANIES AND FOR THE CUSTOMERS
02:36:06.991 --> 02:36:08.125
ON THAT ONE TO ACTUALLY GO
02:36:08.192 --> 02:36:10.027
ONLINE AND SEARCH THE DATABASE
02:36:10.094 --> 02:36:13.231
SO. AT THIS POINT WE YOU KNOW.
02:36:13.297 --> 02:36:13.998
.
02:36:14.065 --> 02:36:15.800
TRIED EXIST IT TROUBLESHOOT SOME
02:36:15.867 --> 02:36:17.535
OF THE ISSUES THAT WE'RE FACING
02:36:17.602 --> 02:36:19.070
WITH THE WEBSITE.
02:36:19.136 --> 02:36:20.371
I'M IN REPORTING AND WORKING
02:36:20.438 --> 02:36:22.707
WITH OUR IT TO ALSO TRY TO FIND
02:36:22.773 --> 02:36:24.909
SOME OTHER ON SOLUTIONS TO
02:36:24.976 --> 02:36:26.644
UPGRADE OUR CURRENT IT OF THE
02:36:26.711 --> 02:36:27.545
SYSTEM SO.
02:36:27.612 --> 02:36:29.614
I THINK YOU KNOW TOGETHER WITH
02:36:29.680 --> 02:36:31.649
THE TO STAFF WE WERE TRYING OUR
02:36:31.716 --> 02:36:32.250
HARDEST JUST KIND OF MEET THE
02:36:32.316 --> 02:36:35.453
DEMAND.
02:36:35.519 --> 02:36:36.754
BUT THAT WASN'T EXACTLY AN
02:36:36.821 --> 02:36:38.556
ANSWER TO THE QUESTION.
02:36:38.623 --> 02:36:40.091
BUT.
02:36:40.157 --> 02:36:40.291
ARE A.
02:36:40.358 --> 02:36:42.560
.
02:36:42.627 --> 02:36:43.294
SO ONE OF THE COMMENTS WAS MADE
02:36:43.361 --> 02:36:45.129
WAS THAT ESSENTIALLY LUIS IS THE
02:36:45.196 --> 02:36:45.863
SAME AS YOU CAN FIND ON THE
02:36:45.930 --> 02:36:46.564
BOTTLE.
02:36:46.631 --> 02:36:48.866
ARE ON THE LABEL OR WHATEVER I
02:36:48.933 --> 02:36:50.968
KNOW SOMEONE TESTIFIED TO SAYING
02:36:51.035 --> 02:36:53.437
THAT WELL MAYBE HARD TO READ IT
02:36:53.504 --> 02:36:55.139
BUT CAN YOU COMMENT ON THAT.
02:36:55.206 --> 02:36:58.376
YEAH THAT'S A HOME AT THIS THIS
02:36:58.442 --> 02:37:00.077
PROGRAM WAS CREATED SPECIFICALLY
02:37:00.144 --> 02:37:02.613
TO PROVIDE CONSUMERS AND WORKERS
02:37:02.680 --> 02:37:03.614
AND THE DEPARTMENT OF PUBLIC
02:37:03.681 --> 02:37:05.116
HEALTH ANOTHER STATE AGENCIES
02:37:05.182 --> 02:37:07.051
AND REGULATORS. WITH INFORMATION
02:37:07.118 --> 02:37:08.252
ABOUT.
02:37:08.319 --> 02:37:10.221
SIXTY FIVE CHEMICALS IN PRODUCTS
02:37:10.288 --> 02:37:11.856
AND WELL THEY MIGHT APPEAR ON A
02:37:11.923 --> 02:37:13.858
PRODUCT LABEL MOST OF US EVEN
02:37:13.925 --> 02:37:15.726
THOSE OF US UNDER FORTY HAVE A
02:37:15.793 --> 02:37:17.461
VERY HARD TIME FINDING. THOSE
02:37:17.528 --> 02:37:19.263
INGREDIENTS ON THE PRODUCT LABEL
02:37:19.330 --> 02:37:20.531
TO BEGIN WITH I MEAN THEY'RE
02:37:20.598 --> 02:37:22.199
THEY'RE VERY SMALL IF YOU LOOK
02:37:22.266 --> 02:37:23.634
AT SOME MAKE UP PRODUCTS.
02:37:23.701 --> 02:37:25.403
YOU CAN BARELY EVEN SEE THE
02:37:25.469 --> 02:37:26.771
PRODUCT LABELS YOU NEED A
02:37:26.837 --> 02:37:28.873
MAGNIFYING GLASS TO DO SO.
02:37:28.940 --> 02:37:30.641
PROFESSIONAL SALON PRODUCTS
02:37:30.708 --> 02:37:32.376
AREN'T EVEN REQUIRED BY LAW TO
02:37:32.443 --> 02:37:33.511
BEAR A DECLARATION OF THE
02:37:33.577 --> 02:37:34.378
INGREDIENTS ON THEIR PRODUCT
02:37:34.445 --> 02:37:35.780
LABELS.
02:37:35.846 --> 02:37:37.715
THE PROP SIXTY FIVE CHEMICALS IN
02:37:37.782 --> 02:37:39.850
THESE PRODUCTS ARE ALSO REPORTED
02:37:39.917 --> 02:37:41.585
TO THE DATABASE WHICH WHICH
02:37:41.652 --> 02:37:43.120
PROVIDES A REALLY IMPORTANT
02:37:43.187 --> 02:37:44.155
RIGHT TO NO FUNCTION FOR THAT
02:37:44.221 --> 02:37:47.158
COMMUNITY AS WELL.
02:37:47.224 --> 02:37:48.392
THE OTHER THING I DO HAVE ONE
02:37:48.459 --> 02:37:49.293
MORE THING.
02:37:49.360 --> 02:37:51.062
ACTUALLY I'M SORRY AND THAT IS
02:37:51.128 --> 02:37:52.997
THE A REALLY IMPORTANT FUNCTION
02:37:53.064 --> 02:37:54.765
OF THE DATABASES TO AGGREGATE
02:37:54.832 --> 02:37:57.234
ALL OF THIS INFORMATION SO
WHILE.
02:37:57.301 --> 02:37:58.669
YOU AND I MIGHT IF WE HAVE THE
02:37:58.736 --> 02:38:00.371
THE THE GOOD EYESIGHT TO DO SO
02:38:00.438 --> 02:38:01.772
BE ABLE TO FIND THE INGREDIENT
02:38:01.839 --> 02:38:03.240
ON THE PRODUCT LABEL. BUT THAT
02:38:03.307 --> 02:38:04.875
THE DATABASE DOES IS IT IS IT
02:38:04.942 --> 02:38:07.011
PRESENTS A SNAPSHOT OF THE
02:38:07.078 --> 02:38:09.447
OVERALL. A USE OF THESE PROP
02:38:09.513 --> 02:38:11.349
SIXTY FIVE CHEMICALS IN PRODUCTS
02:38:11.415 --> 02:38:12.550
SOLD IN THE STATE AND THEN THE
02:38:12.616 --> 02:38:14.085
NUMBER OF PROP.
02:38:14.151 --> 02:38:15.786
USING PROPS SIXTY FIVE CHEMICAL
02:38:15.853 --> 02:38:17.655
SOLD IN THE STATE AND THERE'S
02:38:17.722 --> 02:38:19.623
TWO NUMBERS THAT JUST REALLY I
02:38:19.690 --> 02:38:21.826
FIND MIND BOGGLING. ESPECIALLY
02:38:21.892 --> 02:38:22.994
IN RESPONSE TO WHAT THE
02:38:23.060 --> 02:38:24.862
OPPOSITION SIDE WHICH IS THAT
02:38:24.929 --> 02:38:26.897
THERE IS NO PROBLEM REAL PROBLEM
02:38:26.964 --> 02:38:28.199
THAT PROGRAM IS TRYING TO
02:38:28.265 --> 02:38:29.300
ADDRESS AND THAT IS THE FACT
02:38:29.367 --> 02:38:31.469
THAT. SIXTY FIVE THOUSAND
02:38:31.535 --> 02:38:32.703
PRODUCTS WERE REPORTED TO THE
02:38:32.770 --> 02:38:34.872
SAFE COSMETICS PROGRAM BETWEEN
02:38:34.939 --> 02:38:36.240
TWO THOUSAND AND NINE AND TWO
02:38:36.307 --> 02:38:37.708
THOUSAND AND FIFTEEN.
02:38:37.775 --> 02:38:39.944
CONTAINING EDTA INDIVIDUAL
02:38:40.011 --> 02:38:42.146
UNIQUE PROP SIXTY FIVE CHEMICALS
02:38:42.213 --> 02:38:43.681
AND I HAVE THIS FACT SHEET WHICH
02:38:43.748 --> 02:38:44.382
I COULD LEAVE WITH YOU.
02:38:44.448 --> 02:38:46.350
IT SHOWS.
02:38:46.417 --> 02:38:47.985
THERE'S ONE PRODUCT HERE THAT
02:38:48.052 --> 02:38:49.954
CONTAINS TEN DIFFERENT PROP
02:38:50.021 --> 02:38:51.756
SIXTY FIVE CHEMICALS.
02:38:51.822 --> 02:38:54.024
IT THEY'RE END NUMEROUS
02:38:54.091 --> 02:38:56.560
CHEMICALS MANY CONSUMERS DON'T
02:38:56.627 --> 02:38:58.095
KNOW WHICH OF THE CHEMICALS THE
02:38:58.162 --> 02:38:59.497
PROP SIXTY FIVE CHEMICALS THAT
02:38:59.563 --> 02:39:00.598
THEY SHOULD BE CONCERNED ABOUT
02:39:00.664 --> 02:39:02.266
SO IT SHINES A LIGHT ON THE
02:39:02.333 --> 02:39:03.267
PRESENCE OF THESE.
02:39:03.334 --> 02:39:05.736
PARTICULARLY TOXIC CHEMICALS.
02:39:05.803 --> 02:39:06.837
AND I WOULD ECHO THAT I WOULD
02:39:06.904 --> 02:39:08.739
SAY MOST PATIENTS ASSUME
02:39:08.806 --> 02:39:10.674
EVERYTHING IS SAFE WE A CUT
02:39:10.741 --> 02:39:13.010
BECAME INVOLVED WITH THIS WHEN
02:39:13.077 --> 02:39:13.644
THE LEGISLATORS PHONE DOESN'T
02:39:13.711 --> 02:39:15.746
SAID. WHAT'S A CUT POSITION
02:39:15.813 --> 02:39:17.248
UNLEADED LIPSTICK AND OUR
02:39:17.314 --> 02:39:19.116
RESPONSES WE HAD NO IDEA THERE
02:39:19.183 --> 02:39:20.851
WAS LETTING LIPSTICK. THAT WAS
02:39:20.918 --> 02:39:22.520
JUST THE TIP OF THE ICEBERG
02:39:22.586 --> 02:39:24.789
PATIENTS DON'T READ A LABEL ON
02:39:24.855 --> 02:39:26.690
LIPSTICK NOR DO THEY READ MOST
02:39:26.757 --> 02:39:28.926
OF THE LABELS NOW YES WE CAN SAY
02:39:28.993 --> 02:39:29.894
THAT'S THEIR PROBLEM THEY SHOULD
02:39:29.960 --> 02:39:31.896
KNOW. THAT THERE ARE ALL THESE
02:39:31.962 --> 02:39:32.997
CHEMICALS IN IT.
02:39:33.064 --> 02:39:34.398
BUT IF WE HAVE A MEANS OF
02:39:34.465 --> 02:39:36.167
LETTING THEM KNOW THAT THERE'S
02:39:36.233 --> 02:39:37.435
THEY SHOULD BE AWARE THAT SOBRE
02:39:37.501 --> 02:39:40.538
COMPLICATING.
02:39:40.604 --> 02:39:41.872
IT IS ONE OF THE COMMON AS IT
02:39:41.939 --> 02:39:45.109
MAKES AND I REALIZE IT.
02:39:45.176 --> 02:39:46.544
THE OBVIOUS TEXAS EAST BASED ON
02:39:46.610 --> 02:39:49.613
DOES RIGHT IT'S NOT JUST NEARLY
02:39:49.680 --> 02:39:51.182
EASE THE EXISTENCE OR LACK IN
02:39:51.248 --> 02:39:52.583
THEIR THINGS A VIOLENT OF IRON
02:39:52.650 --> 02:39:54.385
ANDSO I'VE SIMILAR WE'RE
02:39:54.452 --> 02:39:55.586
TALKING ABOUT IS.
02:39:55.653 --> 02:39:56.821
THE ABSORPTION RATES ARE YOU
02:39:56.887 --> 02:39:59.156
KNOW EXPOSURE AT AT DOSES THAT
02:39:59.223 --> 02:40:00.057
THAT WOULD ACTUALLY BE
02:40:00.124 --> 02:40:01.926
CONCERNING.
02:40:01.992 --> 02:40:03.360
IN THE IN THE IN A CONCISE IS
02:40:03.427 --> 02:40:04.995
PROBABLY THE MOST IN DEPTH
02:40:05.062 --> 02:40:06.931
ANALYSIS OF THAT M. PUBLISHED
02:40:06.997 --> 02:40:08.466
NOW TWICE WHEN THEY TALK ABOUT
02:40:08.532 --> 02:40:15.539
AND IT CAN DISRUPTING. CHEMICALS
THAT WE SHOULD BE AWARE OF WHAT
02:40:15.606 --> 02:40:16.474
THEY WERE TALKING ABOUT THE
02:40:16.540 --> 02:40:18.642
LIBRARY DISEASE ADAM
INFERTILITY.
02:40:18.709 --> 02:40:20.077
CHANGING IN SPERM COUNTS A
02:40:20.144 --> 02:40:22.980
NUMBER OF DIFFERENT CONCERNS.
02:40:23.047 --> 02:40:24.582
CAN YOU SHOW CAUSE AND EFFECT
02:40:24.648 --> 02:40:26.984
THAT ONE PERSON USING THIS HAIR
02:40:27.051 --> 02:40:29.820
PRODUCT WILL DEVELOP CANCER NO.
02:40:29.887 --> 02:40:31.188
NO THAT'S NOT POSSIBLE BUT CAN
02:40:31.255 --> 02:40:33.023
WE LOOKED IN AGGREGATE AND SAY
02:40:33.090 --> 02:40:34.391
THAT WE'VE SEEN DISEASE
02:40:34.458 --> 02:40:36.794
PROCESSES INCREASE OVER TWENTY
02:40:36.861 --> 02:40:38.329
TO THIRTY YEAR TYPE BEARD WITH
02:40:38.395 --> 02:40:39.663
THOSE CHEMICALS ARE BEING
02:40:39.730 --> 02:40:40.898
PRODUCED WEEKEND.
02:40:40.965 --> 02:40:42.700
AND WE ALSO DO KNOW THAT BUT
02:40:42.766 --> 02:40:44.268
THERE IS A GROWING BODY OF
02:40:44.335 --> 02:40:45.336
EVIDENCE THAT SHOWS THAT
02:40:45.402 --> 02:40:47.371
CUMULATIVE EXPOSURES TO THESE
02:40:47.438 --> 02:40:49.373
CHEMICALS ARE IN FACT GETTING UP
02:40:49.440 --> 02:40:50.407
TO HARM.
02:40:50.474 --> 02:40:51.775
AND NONE OF US LIVE IN A BUBBLE
02:40:51.842 --> 02:40:54.211
SO AN INDIVIDUAL A BABY IS AND
02:40:54.278 --> 02:40:55.946
EXPOSED TO FORMALDEHYDE JUSTIN
02:40:56.013 --> 02:40:58.182
HER BUBBLE BATH SHE MIGHT BE
02:40:58.249 --> 02:40:59.984
EXPOSED TO THE SAME CHEMICAL. IN
02:41:00.050 --> 02:41:02.419
NAM IN A BODY WASH AND IN A
02:41:02.486 --> 02:41:04.588
SHAMPOO AND ALSO IN THE CLEANING
02:41:04.655 --> 02:41:06.590
PRODUCTS USED IN HER HOME. AND
02:41:06.657 --> 02:41:08.125
IN THE THE FLOORING AND THE
02:41:08.192 --> 02:41:10.928
BUILDING MATERIALS SO THE LIST
02:41:10.995 --> 02:41:12.796
REALLY GOES ON AND ON WE'VE SEEN
02:41:12.863 --> 02:41:15.232
NOT ONLY CUMULATIVE EXPOSURES
02:41:15.299 --> 02:41:16.667
LINK TO HARM BUT ALSO THE TIMING
02:41:16.734 --> 02:41:17.668
OF EXPOSURES.
02:41:17.735 --> 02:41:20.171
A RESULTING IN AN INCREASED RISK
02:41:20.237 --> 02:41:23.207
OF DISEASE LATER IN LIFE.
02:41:23.274 --> 02:41:24.642
BUT OUT OF SOME BIG NOTE THAT
02:41:24.708 --> 02:41:25.442
FOR EXAMPLE FORMALDEHYDE IS
02:41:25.509 --> 02:41:26.343
ACTUALLY A NATURAL METABOLIC
02:41:26.410 --> 02:41:27.845
PRODUCT OF THE BODY AS WELL I
02:41:27.912 --> 02:41:29.880
MEAN IT DEPENDS ON THE DOES HOW
02:41:29.947 --> 02:41:31.582
MUCH EXPOSURE YOU HAVE THEN IT
02:41:31.649 --> 02:41:33.617
YES IT CAN BE CUMULATIVE TO
SELL.
02:41:33.684 --> 02:41:35.219
SO I THINK WE HAVE TO GO BEYOND
02:41:35.286 --> 02:41:36.287
JUST SIMPLY SAYING ó LOOK
02:41:36.353 --> 02:41:37.755
THERE'S SOMETHING WITH THE SCARY
02:41:37.821 --> 02:41:38.489
NAME IN THE.
02:41:38.556 --> 02:41:41.625
THEN AND WE HAVE TO THINK ABOUT
02:41:41.692 --> 02:41:42.626
LEVEL EXPOSURE ON YOUR RIGHT TO
02:41:42.693 --> 02:41:45.696
LIVE EXPOSURE IS SOMETHING WE
02:41:45.763 --> 02:41:46.363
SHOULD THE.
02:41:46.430 --> 02:41:47.464
THAT IS SOMETHING THAT. NEEDS
02:41:47.531 --> 02:41:48.432
TO BE ADDRESSED AND I WOULD
02:41:48.499 --> 02:41:49.233
ARGUE THAT THE THERE ARE I MEAN
02:41:49.300 --> 02:41:49.934
WE DON'T HAVE THE RESEARCH
02:41:50.000 --> 02:41:50.634
STUDIES THAT WE CAN WE CAN GIVE
02:41:50.701 --> 02:41:51.535
THEM TO YOU. BUT THERE CERTAINLY
02:41:51.602 --> 02:41:52.870
ARE A NUMBER OF STUDIES THAT
02:41:52.937 --> 02:41:54.438
HAVE LOOKED AT NOT JUST
02:41:54.505 --> 02:41:56.373
CUMULATIVE BUT THE IMPACTS ON
02:41:56.440 --> 02:41:57.942
HEALTH NATIONAL INSTITUTE OF
02:41:58.008 --> 02:41:59.410
ENVIRONMENTAL HEALTH SCIENCES.
02:41:59.476 --> 02:42:01.312
IS BY THE MOST IMPORTANT
02:42:01.378 --> 02:42:03.213
ORGANIZATION FOR PROVIDING SOME
02:42:03.280 --> 02:42:05.449
OF THAT RESEARCH FOR US
02:42:05.516 --> 02:42:06.350
ON CAREER DR CONNERY WAS
02:42:06.417 --> 02:42:07.418
REFERRING TO SOME OF THE NEW
02:42:07.484 --> 02:42:09.086
SCIENCE TALKING ABOUT LOW DOSE
02:42:09.153 --> 02:42:10.854
EXPOSURES BECAUSE DOCTOR PAN
02:42:10.921 --> 02:42:12.723
YOU'RE RIGHT. NOT EVERY EXPOSURE
02:42:12.790 --> 02:42:14.758
IS GOING TO RESULT IN A IN A
02:42:14.825 --> 02:42:15.960
DISEASE.
02:42:16.026 --> 02:42:17.094
TO THAT THE HOUSE OR TRADE
02:42:17.161 --> 02:42:19.163
ASSOCIATED WITH THAT CHEMICAL ON
02:42:19.229 --> 02:42:19.930
THE OTHER SIDE.
02:42:19.997 --> 02:42:21.265
BUT THE DOSE MAKES THE POISON
02:42:21.332 --> 02:42:22.733
HAS REALLY BEEN TURNED ON ITS
02:42:22.800 --> 02:42:24.301
HEAD WHEN IT COMES TO THESE
02:42:24.368 --> 02:42:25.236
ENDOCRINE DISRUPTING COUNT
02:42:25.302 --> 02:42:27.071
POUNDS. BETTER TOXIC AT
02:42:27.137 --> 02:42:28.806
SOMETIMES AT PARTS PER BILLION
02:42:28.872 --> 02:42:31.242
OR PARTS PER TRILLION. BPA FOR
02:42:31.308 --> 02:42:32.509
EXAMPLE CAN CROSS.
02:42:32.576 --> 02:42:34.511
THE PLACENTA AND IMPACT THE
02:42:34.578 --> 02:42:36.246
MAMMARY GLANDS OF THE DEVELOPING
02:42:36.313 --> 02:42:37.781
FETUS AT PARTS PER BILLION OR
02:42:37.848 --> 02:42:39.416
PARTS PER TRILLION.
02:42:39.483 --> 02:42:41.318
PREDISPOSING THAT THAT FETUS
02:42:41.385 --> 02:42:42.853
THAT DEVELOPING FETUS TO AN
02:42:42.920 --> 02:42:45.956
INCREASED RISK OF BREAST CANCER
02:42:46.023 --> 02:42:47.157
OF LATER AND I WAS LIKE A
02:42:47.224 --> 02:42:47.925
SENSUAL OILS HAVE JUST BEEN AND
02:42:47.992 --> 02:42:49.727
THAT IDENTIFIED AS YOU KNOW
02:42:49.793 --> 02:42:50.694
CAUSING KIND OF PANIC.
02:42:50.761 --> 02:42:53.063
POTENTIALLY PERHAPS GANIC MASIUS
02:42:53.130 --> 02:42:55.633
SELF WILL AND THAT'S A GOOD
02:42:55.699 --> 02:42:56.233
POINT BECAUSE THE OTHER THING
02:42:56.300 --> 02:42:57.101
THE SAFE BECAUSE.
02:42:57.167 --> 02:42:58.168
AUTHORIZES IS FOR THE SAFE
02:42:58.235 --> 02:43:00.838
COSMETICS PROGRAM TO
INVESTIGATE.
02:43:00.904 --> 02:43:02.573
BOTH THE CHEMICALS AND THE
02:43:02.640 --> 02:43:03.774
PRODUCTS AND THE EXPOSURE
02:43:03.841 --> 02:43:05.743
POPULATIONS AND THEN MAKE
02:43:05.809 --> 02:43:07.077
RECOMMENDATIONS TO OTHER STATE
02:43:07.144 --> 02:43:08.145
AGENCIES AS TO HOW TO PROVIDE A
02:43:08.212 --> 02:43:09.780
HARD.
02:43:09.847 --> 02:43:12.650
WORKERS FOR EXAMPLE OR TO TO
02:43:12.716 --> 02:43:13.851
YOUNG PEOPLE INFANTS PREGNANT
02:43:13.917 --> 02:43:15.586
WOMEN EXCITE AURA.
02:43:15.653 --> 02:43:16.654
I THINK WE JUST HAVE TO BE
02:43:16.720 --> 02:43:20.791
CAREFUL ABOUT OUR LANGUAGE.
02:43:20.858 --> 02:43:22.860
AND I I WOULD SAY THAT A COG IN
02:43:22.926 --> 02:43:24.161
THE A CUT IN THE WORLD COLLEGE
02:43:24.228 --> 02:43:25.496
CAME OUT WITH THEIR COMMITTEE
02:43:25.562 --> 02:43:27.331
OPINION IN THE SAME YEAR. AND
02:43:27.398 --> 02:43:28.766
BOTH OF US MET AND SAID. WE HAVE
02:43:28.832 --> 02:43:30.000
TO.
02:43:30.067 --> 02:43:31.835
INCREASED AWARENESS WITHOUT THE
02:43:31.902 --> 02:43:33.604
ALARM AND AS OBSTETRICIANS WE
02:43:33.671 --> 02:43:35.673
KNOW ANYTHING WE SAY CAN SCARE
02:43:35.739 --> 02:43:38.008
PATIENTS THAT HAVE TO BE
02:43:38.075 --> 02:43:39.743
CAUTIOUS AND HOW YOU SAY IT. BUT
02:43:39.810 --> 02:43:41.178
I'LL TELL YOU THE QUESTION I GET
02:43:41.245 --> 02:43:42.379
ASKED ALL THE TIME IS.
02:43:42.446 --> 02:43:43.013
WHAT SHOULD I BE DOING WHILE I'M
02:43:43.080 --> 02:43:44.448
PREGNANT?
02:43:44.515 --> 02:43:46.216
WHAT CHEMICALS YOU KNOW WHAT
02:43:46.283 --> 02:43:47.484
PRODUCTS WITH SAFE?
02:43:47.551 --> 02:43:50.454
WELL.
02:43:50.521 --> 02:43:51.989
THE PEDIATRICIAN IDEA THAT'S THE
02:43:52.056 --> 02:43:55.292
ROCKETS TO SELL. THAT'S GREAT
02:43:55.359 --> 02:43:56.093
AND THAT'S A REALLY NICE
02:43:56.160 --> 02:43:58.328
CONCLUDING THOUGHT WHICH IS THE
02:43:58.395 --> 02:43:58.896
SAFE COSMETICS PROGRAM ISN'T
02:43:58.962 --> 02:44:00.497
USED.
02:44:00.564 --> 02:44:02.032
FORNEY CONSUMERS AND.
02:44:02.099 --> 02:44:03.400
IT'S IT'S SEEN AS A NATIONAL
02:44:03.467 --> 02:44:05.502
TREASURE BY BY PEOPLE THROUGHOUT
02:44:05.569 --> 02:44:06.603
THE COUNTRY THAT ARE REALLY
02:44:06.670 --> 02:44:07.805
CONCERNED.
02:44:07.871 --> 02:44:09.640
ABOUT INCREASING EXPOSURES TO
02:44:09.707 --> 02:44:11.241
TOXIC CHEMICALS AND THE LINK
02:44:11.308 --> 02:44:12.309
BETWEEN INCREASING RATES OF
02:44:12.376 --> 02:44:14.478
DISEASE AND WANT TO DO SOMETHING
02:44:14.545 --> 02:44:18.148
ABOUT THE PROBLEM.
02:44:18.215 --> 02:44:19.583
OKAY WELL WE'RE GONNA HOLD ITEM
02:44:19.650 --> 02:44:19.850
OPEN. AND.
02:44:19.917 --> 02:44:21.819
.
02:44:21.885 --> 02:44:24.254
GO AHEAD AND MOVE ONTO.
02:44:24.321 --> 02:44:24.855
THANK YOU FOR YOUR TIME THANK
02:44:24.922 --> 02:44:27.791
YOU AND GIVE.
02:44:27.858 --> 02:44:31.462
ISSUE NUMBER SEVEN.
02:44:31.528 --> 02:44:32.229
WHEN INFANTS CHILDREN LOOK
02:44:32.296 --> 02:44:48.545
LISTEN ESTIMATE
02:44:51.915 --> 02:44:52.116
.
02:44:52.116 --> 02:44:55.052
ONE.
02:44:55.119 --> 02:44:55.919
HELLO I'M CONNIE MITCHELL.
02:44:55.986 --> 02:44:58.255
OKAY.
02:44:58.322 --> 02:44:59.823
I'M THE DEPUTY DIRECTOR OF THE
02:44:59.890 --> 02:45:01.258
CENTER FOR FAMILY HEALTHY AND
02:45:01.325 --> 02:45:02.459
YOU'RE GOING TO BE HEARING TODAY
02:45:02.526 --> 02:45:03.794
FROM NOW ON EACH OF OUR
02:45:03.861 --> 02:45:04.628
DIVISIONS WE HAVE THREE
02:45:04.695 --> 02:45:06.063
DIVISIONS OF THE CENTER FOR
02:45:06.130 --> 02:45:07.064
FAMILY HELPED. BY THE WEAK
02:45:07.131 --> 02:45:08.665
DIVISION WILL BE PRESENTING
02:45:08.732 --> 02:45:10.300
THEIR ESTIMATE.
02:45:10.367 --> 02:45:12.569
WICCAN AT SUB AT THAT SRONG
02:45:12.636 --> 02:45:14.872
FOCUS ON PROVIDING ACCESS TO
02:45:14.938 --> 02:45:16.273
HEALTHY FOODS HILL HERE FROM OUR
02:45:16.340 --> 02:45:18.242
HOME VISITING PROGRAM WHICH IS
02:45:18.308 --> 02:45:19.810
EARLY UPSTREAM INTERVENTION FROM
02:45:19.877 --> 02:45:22.212
ALL THE ROLE WOMEN. AND FINALLY
02:45:22.279 --> 02:45:24.681
OUR GENETIC THE SECURITY PROGRAM
02:45:24.748 --> 02:45:27.518
TAX AMERICAN JUST DO
02:45:27.584 --> 02:45:28.519
INTRODUCTIONS FIRST.
02:45:28.585 --> 02:45:29.620
LESLIE CALLOUSLY CHIEF OF THE
02:45:29.686 --> 02:45:31.789
NCA EACH DIVISION.
02:45:31.855 --> 02:45:32.990
RICHARD ONLY CHIEF OF THE JOHNS
02:45:33.056 --> 02:45:33.791
THE SCREENING PROGRAM.
02:45:33.857 --> 02:45:34.792
CHRISTINA OLSEN CHIEF OF THE
02:45:34.858 --> 02:45:36.794
WEAK DIVISION OF PUBLIC HEALTH.
02:45:36.860 --> 02:45:38.695
THANK YOU AND WE CAN PROCEED
02:45:38.762 --> 02:45:40.831
SHOULD NUMBER SEVEN ACCESS ISSUE
02:45:40.898 --> 02:45:42.166
NUMBER SEVEN PLEASE ACT
THINKING.
02:45:42.232 --> 02:45:42.866
SO YOU HAVE ASKED THREE
02:45:42.933 --> 02:45:44.201
QUESTIONS ABOUT THE WITH PROGRAM
02:45:44.268 --> 02:45:45.002
AND THEY WILL LEAD WHAT
02:45:45.068 --> 02:45:46.303
PERFECTLY ONE INT THE OTHER
02:45:46.370 --> 02:45:48.439
SELF ON DISK PRIME GIVE YOU A
02:45:48.505 --> 02:45:49.239
QUICK UPDATE.
02:45:49.306 --> 02:45:51.241
I'M THE WOULD PROGRAM WE OF
02:45:51.308 --> 02:45:52.209
COURSE HIS YOU KNOW RECEIVES
02:45:52.276 --> 02:45:53.644
FEDERAL DOLLARS FROM THE US
02:45:53.710 --> 02:45:55.279
DEPARTMENT OF AGRICULTURE AND WE
02:45:55.345 --> 02:45:56.380
HAVE SUFFICIENT FEDERAL FUNDING
02:45:56.447 --> 02:45:57.614
TO CONTINUE TO OPERATE THE
02:45:57.681 --> 02:45:58.615
PROGRAM WITH NO IN.
02:45:58.682 --> 02:46:00.617
GENERAL FUND.
02:46:00.684 --> 02:46:02.386
IN ADDITION TO FEDERAL DOLLARS
02:46:02.452 --> 02:46:03.754
FROM USDA WE ALSO RECEIVE A
02:46:03.821 --> 02:46:05.222
REBATE FUNDS FROM THE CONTRACTED
02:46:05.289 --> 02:46:07.157
INFANT FORMULA MANUFACTURER AND
02:46:07.224 --> 02:46:08.292
WE MUST SPEND THOSE REBATE
02:46:08.358 --> 02:46:10.227
DOLLARS FIRST ON OUR FOOD BEFORE
02:46:10.294 --> 02:46:11.695
WE CAN TAP INTO FEDERAL DOLLARS
02:46:11.762 --> 02:46:12.996
FOR FOOD.
02:46:13.063 --> 02:46:14.798
COST DRIVERS FOR THE PROGRAM FOR
02:46:14.865 --> 02:46:15.833
FOOD COSTS ARE PROGRAM
02:46:15.899 --> 02:46:18.302
PARTICIPATION AND INFLATION ON
02:46:18.368 --> 02:46:20.504
FOOD COSTS.
02:46:20.571 --> 02:46:22.139
AB FOR THE BUDGET YEAR SUE ME
02:46:22.206 --> 02:46:23.474
FOR THE IN THE BUDGET ACT WE HAD
02:46:23.540 --> 02:46:24.942
ESTIMATED THAT WE WOULD SPEND
02:46:25.008 --> 02:46:26.443
EIGHT HUNDRED SEVENTY FOUR
02:46:26.510 --> 02:46:28.612
MILLION DOLLARS ON FOOD. AND
02:46:28.679 --> 02:46:30.247
THIS ESTIMATE REVISE IS THAT THE
02:46:30.314 --> 02:46:31.014
CURRENT YEAR FIVE TO EIGHT
02:46:31.081 --> 02:46:32.583
HUNDRED AND THIRTY TWO MILLION
02:46:32.649 --> 02:46:34.751
FOR FOOD AND EIGHT HUNDRED AND
02:46:34.818 --> 02:46:35.352
NINETEEN MILLION IN THE BUDGET
02:46:35.419 --> 02:46:36.019
YEAR.
02:46:36.086 --> 02:46:37.554
THE BUDGET YEAR THAT ESTIMATE
02:46:37.621 --> 02:46:38.822
INCLUDES FIVE HUNDRED EIGHTY
02:46:38.889 --> 02:46:40.057
EIGHT MILLION DOLLARS FROM THE
02:46:40.123 --> 02:46:41.925
FEDERAL FUND AND TWO HUNDRED AND
02:46:41.992 --> 02:46:43.093
THIRTY ONE DOLLARS FROM OUR
02:46:43.160 --> 02:46:45.295
REBATE FUNDS.
02:46:45.362 --> 02:46:46.864
THERE IS NO CHANGE YOUR ESTIMATE
02:46:46.930 --> 02:46:48.732
FOR OUR A LOCAL SERVICES THAT
02:46:48.799 --> 02:46:50.200
HAVE THREE HUNDRED ONE MILLION
02:46:50.267 --> 02:46:52.302
DOLLARS AND A MINOR ADJUSTMENT
02:46:52.369 --> 02:46:54.137
TO OUR STATE OPERATIONS.
02:46:54.204 --> 02:46:55.606
CALIFORNIA WHICH SERVES JUST
02:46:55.672 --> 02:46:57.574
OVER ONE MILLION PARTICIPATION
02:46:57.641 --> 02:46:59.209
PARTICIPANTS EACH MONTH AND THAT
02:46:59.276 --> 02:47:01.111
NUMBER HAS BEEN DECLINING SINCE
02:47:01.178 --> 02:47:03.514
TWENTY TWELVE.
02:47:03.580 --> 02:47:04.648
I'M EACH YEAR THE US DEPARTMENT
02:47:04.715 --> 02:47:06.783
OF AGRICULTURE PREPARES A REPORT
02:47:06.850 --> 02:47:07.951
ESTIMATING THE WITH ELIGIBLE
02:47:08.018 --> 02:47:09.219
POPULATION AND COMPARES THAT
02:47:09.286 --> 02:47:10.287
ACTUAL NUMBER OF PRETTY
02:47:10.354 --> 02:47:12.155
DEPENDS SERVED.
02:47:12.222 --> 02:47:13.757
AND THE RESULTING PERCENTAGES
02:47:13.824 --> 02:47:15.592
CALLED THE PROGRAM REACH.
02:47:15.659 --> 02:47:17.194
CALIFORNIA CONTINUES TO HAVE THE
02:47:17.261 --> 02:47:21.064
HIGHEST PROGRAM REACH OF ALL
02:47:21.131 --> 02:47:22.666
DECLINING IN THE PAST YEARS.
02:47:22.733 --> 02:47:24.601
THE MOST RECENT REPORT FROM USDA
02:47:24.668 --> 02:47:25.936
WAS JUST RELEASED AND OF
02:47:26.003 --> 02:47:28.038
FEBRUARY AND IT'S LOOKING AT
02:47:28.105 --> 02:47:29.606
TWENTY FIFTEEN DATA.
02:47:29.673 --> 02:47:31.074
CALIFORNIA'S PROGRAM REACH WITH
02:47:31.141 --> 02:47:32.609
SIXTY FIVE PERCENT OF THE
02:47:32.676 --> 02:47:34.077
ELIGIBLE POPULATION WHILE THE
02:47:34.144 --> 02:47:35.279
NATIONAL AVERAGE WAS FIFTY TWO
02:47:35.345 --> 02:47:36.980
PERCENT.
02:47:37.047 --> 02:47:39.016
AT LAST YEAR'S REPORT WE WERE AT
02:47:39.082 --> 02:47:40.717
SEVENTY ONE PERCENT ARM PROGRAM
02:47:40.784 --> 02:47:42.452
REACH SO NOT ONLY ARE NUMBERS
02:47:42.519 --> 02:47:43.754
DECLINING BUT OUR PROGRAM
02:47:43.820 --> 02:47:45.989
REACHES DECLINING WHICH. IS A
02:47:46.056 --> 02:47:48.191
SIGNIFICANT ISSUE FOR US.
02:47:48.258 --> 02:47:50.460
THE USDA REPORT AB PRODUCES THIS
02:47:50.527 --> 02:47:51.995
REPORT JUST AT THE STATE LEVEL
02:47:52.062 --> 02:47:53.564
AND WE WANTED TO DIG DOWN DEEPER
02:47:53.630 --> 02:47:55.132
SO A FEW YEARS AGO WE PARTNER
02:47:55.198 --> 02:47:56.600
WITH MATERNAL. CHILD AND
02:47:56.667 --> 02:47:58.235
ADOLESCENT HEALTH THEY HAVE A
02:47:58.302 --> 02:47:59.903
GREAT EPIDEMIOLOGISTS TEAM. AND
02:47:59.970 --> 02:48:01.738
THEY'D PREPARED A METHODOLOGY TO
02:48:01.805 --> 02:48:04.541
TAKE THAT USDA PROCESS AT THE
02:48:04.608 --> 02:48:05.876
LOCAL LEVEL WITH IN CALIFORNIA
02:48:05.943 --> 02:48:07.911
SO WE WERE ABLE TO. ESTIMATE THE
02:48:07.978 --> 02:48:09.713
PROGRAM REACH MORE AT THE COUNTY
02:48:09.780 --> 02:48:10.614
LEVEL.
02:48:10.681 --> 02:48:11.782
THE LAST TIME THAT WE DID THAT
02:48:11.848 --> 02:48:13.817
WAS LOOKING AT BELIEVE IT WAS
02:48:13.884 --> 02:48:15.552
TWENTY ELEVEN DATA AND SO WERE
02:48:15.619 --> 02:48:17.421
UPDATING IT THIS YEAR TO LOOK AT
02:48:17.487 --> 02:48:18.822
MORE RECENT DAVIS WILL ALSO HAVE
02:48:18.889 --> 02:48:20.490
TWENTY FIFTEEN DATA. TO BE ABLE
02:48:20.557 --> 02:48:23.226
TO CONNECT WITH THE USDA REPORT.
02:48:23.293 --> 02:48:25.162
AND ONE LAST THE LAST TIME THAT
02:48:25.228 --> 02:48:27.130
WE SAW WE SAW QUITE A VARIATION
02:48:27.197 --> 02:48:28.298
ACROSS THE COUNTIES. IN
02:48:28.365 --> 02:48:29.666
CALIFORNIA SO IT'S REALLY
02:48:29.733 --> 02:48:30.701
IMPORTANT FOR US AND HOW WE
02:48:30.767 --> 02:48:32.369
TARGET OUR OUR EFFORTS TO
02:48:32.436 --> 02:48:34.938
IMPROVE PARTICIPATION.
02:48:35.005 --> 02:48:37.207
WE'D LOOK WHEN WE DO OUR WORK
02:48:37.274 --> 02:48:38.041
TO INCREASE PROGRAM
02:48:38.108 --> 02:48:39.676
PARTICIPATION WE LOOK AT THREE
02:48:39.743 --> 02:48:40.877
DIFFERENT CATEGORIES OF
02:48:40.944 --> 02:48:42.546
INDIVIDUALS.
02:48:42.613 --> 02:48:43.347
THE FIRST IS RETAINING OUR
02:48:43.413 --> 02:48:43.814
ACTIVE PART
02:48:43.880 --> 02:48:46.049
OFFENSE.
02:48:46.116 --> 02:48:48.185
SECOND IS RE ENGAGING FAMILIES
02:48:48.251 --> 02:48:49.553
THAT ARE CURRENTLY CERTIFIED IN
02:48:49.620 --> 02:48:51.555
WHAT PROGRAM BUT NOT COMING IN
02:48:51.621 --> 02:48:53.223
ACTIVELY TO RECEIVE THEIR TAX.
02:48:53.290 --> 02:48:55.092
SO WHAT THE USDA COUNTS AS A
02:48:55.158 --> 02:48:56.593
PARTICIPANT IS SOMEBODY THAT IS
02:48:56.660 --> 02:48:57.928
NOT JUST CERTIFY BUT ACTUALLY
02:48:57.995 --> 02:48:58.395
COMING IN ON A BREAK.
02:48:58.462 --> 02:48:59.863
IT'S TO THE
02:48:59.930 --> 02:49:01.965
TO PICK UP THEIR CHECKS.
02:49:02.032 --> 02:49:03.667
AND ALASKA A CATEGORY IS
02:49:03.734 --> 02:49:05.402
RECRUITING ELIGIBLE FAMILIES AND
02:49:05.469 --> 02:49:06.670
IT'S IMPORTANT TO NOTE THAT
02:49:06.737 --> 02:49:08.972
THOSE FAMILIES THAT ARE ELIGIBLE
02:49:09.039 --> 02:49:10.907
NOT CERTIFIED. THEY MAY BE
02:49:10.974 --> 02:49:12.476
COMPLETELY NEW TO WORK OR THEY
02:49:12.542 --> 02:49:13.543
MAY HAVE BEEN PREVIOUS WITH
02:49:13.610 --> 02:49:15.145
PARTICIPANTS PERHAPS THE CHILD
02:49:15.212 --> 02:49:17.180
IS NOW THREE OR FOUR YEARS OLD
02:49:17.247 --> 02:49:18.482
AND THEY'VE DROPPED OUT OF THE
02:49:18.548 --> 02:49:19.349
PROGRAM OR THEY'VE.
02:49:19.416 --> 02:49:21.218
.
02:49:21.284 --> 02:49:22.919
SO THAT'S IT IMPORTANT THING
02:49:22.986 --> 02:49:23.553
WHEN WE TALK ABOUT OUR OUTREACH
02:49:23.620 --> 02:49:24.721
MESSAGING.
02:49:24.788 --> 02:49:26.123
ARE THREE KEY STRATEGIES.
02:49:26.189 --> 02:49:27.557
THE FIRST AREA IS DATA AND
02:49:27.624 --> 02:49:29.192
RESEARCH.
02:49:29.259 --> 02:49:31.128
SECOND AS OUTREACH AND THIRD IS
02:49:31.194 --> 02:49:32.496
REVIEWING THE PROGRAM TO IMPROVE
02:49:32.562 --> 02:49:34.231
UPON.
02:49:34.297 --> 02:49:37.968
HALF OF THE PROGRAM THAT.
02:49:38.035 --> 02:49:38.668
SO LOOKING AT DATA THERE'S A
02:49:38.735 --> 02:49:39.269
NUMBER OF THINGS THAT WE'VE BEEN
02:49:39.336 --> 02:49:39.970
DOING ANALYZING TRENDS
02:49:40.037 --> 02:49:41.338
CONDUCTING STUDIES TO UNDERSTAND
02:49:41.405 --> 02:49:42.906
THE REASONS WHY PEOPLE DO NOT
02:49:42.973 --> 02:49:45.475
COME. TO WAKE OR STAY IN WAKE
02:49:45.542 --> 02:49:47.177
AND THERE'S ALSO A NUMBER OF. OF
02:49:47.244 --> 02:49:48.979
OUR PARTNERS OF DIFFERENT ABBASI
02:49:49.046 --> 02:49:50.681
GROUPS AND FEDERAL PARTNERS THAT
02:49:50.747 --> 02:49:51.181
ARE LOOKING AT THE SAME
02:49:51.248 --> 02:49:52.649
QUESTIONS.
02:49:52.716 --> 02:49:54.217
WE'VE PROVIDED DATA AND GEO
02:49:54.284 --> 02:49:55.619
MAPPING TOOLS TO OUR LOCAL
02:49:55.685 --> 02:49:57.888
AGENCIES. WE'VE FUNDED LOCAL
02:49:57.954 --> 02:49:59.956
AGENCY PROJECTS WHO CONDUCTS AND
02:50:00.023 --> 02:50:01.658
EVALUATE INNOVATIVE PROJECTS AS
02:50:01.725 --> 02:50:04.094
WELL SO A FEW YEARS AGO YOU STA
02:50:04.161 --> 02:50:05.796
OFFERED A GRANT FOR THAT. WAS A
02:50:05.862 --> 02:50:06.697
VERY SMALL.
02:50:06.763 --> 02:50:09.299
LEVEL OF NUMBER OF OF GRANTS
02:50:09.366 --> 02:50:10.667
THEY WOULD GIVE NATIONALLY IN A
02:50:10.734 --> 02:50:12.836
VERY SMALL DOLLAR AMOUNT AND
02:50:12.903 --> 02:50:14.104
WE'VE KIND OF TOOK THAT.
02:50:14.171 --> 02:50:16.573
PROCESS AND REPLICATED IT TO BE
02:50:16.640 --> 02:50:18.542
MUCH BROADER WITHIN CALIFORNIA.
02:50:18.608 --> 02:50:19.676
WE'RE ALSO DOING A LOT OF WORK
02:50:19.743 --> 02:50:21.044
IN OUTREACH TO CONTINUE TO
02:50:21.111 --> 02:50:22.913
SUPPORT LOCAL LOCAL OUTREACH
02:50:22.979 --> 02:50:24.514
EFFORTS AND EXPANDING OUR STATE
02:50:24.581 --> 02:50:26.149
LEVEL OUTREACH EFFORTS.
02:50:26.216 --> 02:50:27.517
WE'VE DEVELOPING NEW
02:50:27.584 --> 02:50:28.752
PARTNERSHIPS AND MESSAGING
02:50:28.819 --> 02:50:30.253
ENSURING THAT WE'RE RESPONSIVE
02:50:30.320 --> 02:50:31.354
TO WHAT WE LEARN FROM THE
02:50:31.421 --> 02:50:33.724
RESEARCH ABOUT REASONS WHY
02:50:33.790 --> 02:50:34.624
PEOPLE DON'T COMMERCE STAY IN
02:50:34.691 --> 02:50:35.659
THE WITH PROGRAM. AND WE'RE
02:50:35.726 --> 02:50:37.060
CONTINUE TO PARTNER WITH THE COW
02:50:37.127 --> 02:50:39.162
FRESH PROGRAM ON OUTREACH
02:50:39.229 --> 02:50:41.565
STRATEGIES AS WELL.
02:50:41.631 --> 02:50:42.666
LASTLY WE'VE BEEN MAKING THE OF
02:50:42.733 --> 02:50:43.934
REVIEWING OUR PROGRAM AND MAKING
02:50:44.000 --> 02:50:45.035
FOR IMPROVEMENTS TO REDUCE
02:50:45.102 --> 02:50:47.337
BARRIERS. OR MAKING ENROLLMENT
02:50:47.404 --> 02:50:49.106
PROCESS MORE EFFICIENT REVIEWING
02:50:49.172 --> 02:50:50.974
STATE POLICIES AND PROCEDURES TO
02:50:51.041 --> 02:50:52.309
REDUCE ACCESS TIME WHILE
02:50:52.375 --> 02:50:54.144
MAINTAINING MAINTAIN PROGRAM
02:50:54.211 --> 02:50:55.812
INTEGRITY. MODERNIZING
02:50:55.879 --> 02:50:59.015
COMMUNICATION WITH FAMILIES M.
02:50:59.082 --> 02:51:00.851
ACCRETING NEW OR UPDATING
02:51:00.917 --> 02:51:02.452
NUTRITION EDUCATION CLASSES A
02:51:02.519 --> 02:51:03.854
MATERIAL SO THAT ONE FAMILIES
02:51:03.920 --> 02:51:05.489
COMING TO WAKE THEY'RE NOT
02:51:05.555 --> 02:51:06.389
SAYING THE SAME COSTS THAT
02:51:06.456 --> 02:51:08.725
PERHAPS THEY SAW A YEAR AGO OR
02:51:08.792 --> 02:51:09.559
TWO YEARS AGO WITH THE PREVIOUS
02:51:09.626 --> 02:51:12.028
TROUT. AND CONTINUE TO FOCUS ON
02:51:12.095 --> 02:51:13.497
TRAINING ON THE LOCAL AGENCY
02:51:13.563 --> 02:51:14.965
STAFF SO THAT THE CUSTOMER
02:51:15.031 --> 02:51:17.801
SERVICE THAT CLIENTS RECEIVED
IS.
02:51:17.868 --> 02:51:21.171
IS OF UTMOST QUALITY WHILE.
02:51:21.238 --> 02:51:24.674
THANK YOU A INCOMES ILIO
FINANCE.
02:51:24.741 --> 02:51:24.908
SO.
02:51:24.975 --> 02:51:25.509
JUST
02:51:25.575 --> 02:51:27.310
SO.
02:51:27.377 --> 02:51:28.945
GIVEN THE DATA MAYBE I MISSED IT
02:51:29.012 --> 02:51:30.013
WHEN HE SAID THAT WHAT IS THE
02:51:30.080 --> 02:51:30.947
FORTY THINK IS THE BIGGEST
02:51:31.014 --> 02:51:33.283
FACTOR IN THE DECLINE AND
02:51:33.350 --> 02:51:36.386
PARTICULARLY THE UP PERCENTAGE.
02:51:36.453 --> 02:51:37.954
YOUR REACH FACTOR AND. THERE'S
02:51:38.021 --> 02:51:39.022
A NUMBER OF REASONS AND
02:51:39.089 --> 02:51:41.858
UNFORTUNATELY IT'S NOT ONE.
02:51:41.925 --> 02:51:44.060
REALLY CLEAR ANSWER THERE WASN'T
02:51:44.127 --> 02:51:45.095
THERE HAS BEEN SOME STUDIES
02:51:45.162 --> 02:51:46.429
ABOUT WHITE PEOPLE THAT WERE
02:51:46.496 --> 02:51:48.732
ELIGIBLE FOR WAKE DID NOT IN
02:51:48.799 --> 02:51:50.700
ROLL. THAT BATES TO QUESTIONS
02:51:50.767 --> 02:51:52.802
THERE IS THE BIGGEST RESPONSE
02:51:52.869 --> 02:51:54.337
THE MOST COMMON RESPONSES OR. I
02:51:54.404 --> 02:51:56.206
DIDN'T THINK I WAS ELIGIBLE SO
02:51:56.273 --> 02:51:57.140
ONE OF THE THINGS THAT WE WANT
02:51:57.207 --> 02:51:58.909
TO FOCUS ON IS WORKING FAMILIES
02:51:58.975 --> 02:52:00.777
MAKING SURE THAT THEY KNOW THAT
02:52:00.844 --> 02:52:02.979
THEY MIGHT THEIR OWN SELF
02:52:03.046 --> 02:52:03.680
PERCEPTION OF JAIL OUR OWN SELF.
02:52:03.747 --> 02:52:04.347
AND THEN THE SECOND PIECE WHICH
02:52:04.414 --> 02:52:05.782
IS REALLY INTERESTING IS THEY
02:52:05.849 --> 02:52:07.117
DIDN'T FEEL THAT THEY NEED AT
02:52:07.184 --> 02:52:08.685
THE PROGRAM OWE IT AND.
02:52:08.752 --> 02:52:10.954
THE ME HA MATERNAL INFANT
02:52:11.021 --> 02:52:12.956
HEALTH ASSESSMENT QUESTIONNAIRE
02:52:13.023 --> 02:52:14.825
THAT ALSO MC H. CONDUCTS.
02:52:14.891 --> 02:52:17.027
THEY ASKED THE QUESTION OF
02:52:17.093 --> 02:52:18.195
PREGNANT WOMEN OR WOMEN THAT
02:52:18.261 --> 02:52:19.729
HAVE GIVEN BIRTH.
02:52:19.796 --> 02:52:21.731
THAT WERE WITH THEIR. DELIVERY
02:52:21.798 --> 02:52:23.166
WAS COVERED BY MEDICARE SO WHY
02:52:23.233 --> 02:52:25.368
DID YOU ENROLL IN WAKE WHEN YOU
02:52:25.435 --> 02:52:26.870
WERE ELIGIBLE FOR WAKE.
02:52:26.937 --> 02:52:28.672
AND THEY SOME OF THEM SAID THEY
02:52:28.738 --> 02:52:30.240
DIDN'T NEED THE PROGRAM BUT THEY
02:52:30.307 --> 02:52:31.174
ALSO MIGHT ANSWER ANOTHER
02:52:31.241 --> 02:52:32.709
QUESTION THAT SAYS YES THEY DO
02:52:32.776 --> 02:52:34.377
EXPERIENCE FOOD INSECURITY.
02:52:34.444 --> 02:52:37.480
SO THAT'S VERY.
02:52:37.547 --> 02:52:38.582
PROCESS VERY INTERESTING
02:52:38.648 --> 02:52:40.550
RESPONSE THERE SO WE NEED TO
02:52:40.617 --> 02:52:42.452
CONTINUE TO MESSAGE TO FAMILIES
02:52:42.519 --> 02:52:44.221
THAT WORKING FAMILIES ARE.
02:52:44.287 --> 02:52:45.889
ELIGIBLE FOR THE PROGRAM HOW DO
02:52:45.956 --> 02:52:46.923
WE AND HOW DO WE CREATE.
02:52:46.990 --> 02:52:48.158
.
02:52:48.225 --> 02:52:50.327
RESOLVE THOSE MANY PEOPLE HAVE
02:52:50.393 --> 02:52:51.695
TIME DATE I MEAN IS THAT AND
02:52:51.761 --> 02:52:52.529
BECAUSE HE SAID IT'S DECLINING
02:52:52.596 --> 02:52:54.864
SO IT'S THEIR SHIFTING ATTITUDE
02:52:54.931 --> 02:52:56.266
THAT'S CHANGING OUR AYE OF ARE
02:52:56.333 --> 02:52:57.300
YOU ONLY HAVE ONE POINT TIMES
02:52:57.367 --> 02:52:58.735
THAT'S WHEN THAT INTERVIEW THAT
02:52:58.802 --> 02:53:00.537
WAS A THAT WAS ONE PARTICULAR.
02:53:00.604 --> 02:53:03.340
SURVEY ASKING OKAY PRIVATELY
02:53:03.406 --> 02:53:04.541
OWNED Y. THEY DIDN'T ENROLL
02:53:04.608 --> 02:53:05.742
ANOTHER PIECE THAT HAS BEEN
02:53:05.809 --> 02:53:08.578
CHANGING AS THAT GAP OF.
02:53:08.645 --> 02:53:09.746
FAMILIES THAT ARE CERTIFIED BUT
02:53:09.813 --> 02:53:10.914
NOT COMING IN FOR THE CHECKS
02:53:10.981 --> 02:53:12.015
THAT THAT GROUP IS GROWING AS
02:53:12.082 --> 02:53:12.449
WELL.
02:53:12.515 --> 02:53:16.052
OKAY.
02:53:16.119 --> 02:53:16.920
ALRIGHT I DECIDED EMPATHIZES
02:53:16.987 --> 02:53:18.154
WITH REDUCTION IS HAPPENING ALL
02:53:18.221 --> 02:53:19.823
ACROSS THE COUNTRY SO ALL OTHER
02:53:19.889 --> 02:53:21.424
STATE SAY HOW'RE YOU DOING SO
02:53:21.491 --> 02:53:22.692
GOOD.
02:53:22.759 --> 02:53:24.561
DON'T THINK THAT WE THINK
02:53:24.628 --> 02:53:25.629
THERE'S A LOT OF ROOM FOR
02:53:25.695 --> 02:53:27.264
IMPROVEMENT BUT THAT'S THE SAME
02:53:27.330 --> 02:53:28.698
PHENOMENA ALL ACROSS THE COUNTRY
02:53:28.765 --> 02:53:29.966
THERE'S A SOLELY IN SOME KIND OF
02:53:30.033 --> 02:53:32.569
SECULAR TREND THAT'S GOING ON.
02:53:32.636 --> 02:53:34.437
THAT'S OKAY THAT MAY BE
02:53:34.504 --> 02:53:35.505
HAPPENING ACROSS THE COUNTRY IN.
02:53:35.572 --> 02:53:36.439
BIRTH
02:53:36.506 --> 02:53:38.241
SO ARE DECLINE SIMILAR TO THAT
02:53:38.308 --> 02:53:39.943
OF OTHER STATES INTERNET RATE.
02:53:40.010 --> 02:53:42.078
OKAY.
02:53:42.145 --> 02:53:42.746
ALRIGHT WELL GET SOME WORK TO DO
02:53:42.812 --> 02:53:45.282
THERE.
02:53:45.348 --> 02:53:46.483
ALRIGHT.
02:53:46.549 --> 02:53:47.617
AT ANY COMMENTS. OKAY PUBLIC
02:53:47.684 --> 02:53:49.486
COMMENT.
02:53:49.552 --> 02:53:50.687
BUT HEARING FARLEY WITH THE
02:53:50.754 --> 02:53:51.821
CALIFORNIA WITH ASSOCIATION
02:53:51.888 --> 02:53:53.256
ASSOCIATION FOR THE EIGHTY THREE
02:53:53.323 --> 02:53:54.557
AGENCIES.
02:53:54.624 --> 02:53:55.592
AND WE APPRECIATE THIS
02:53:55.659 --> 02:53:56.926
DISCUSSION ON THE DECLINE IT'S
02:53:56.993 --> 02:53:59.062
VERY CONCERNING AND SOMETHING
02:53:59.129 --> 02:54:00.597
THAT WE HAVE TO REMEMBER IS WITH
02:54:00.664 --> 02:54:02.165
ASSOCIATED WITH A VERY
IMPORTANT.
02:54:02.232 --> 02:54:04.434
HEALTH OUTCOMES.
02:54:04.501 --> 02:54:05.235
AND THESE ARE PROBABLY ALREADY
02:54:05.302 --> 02:54:06.336
ERODING IF WE'VE HAD FIVE YEAR
02:54:06.403 --> 02:54:07.938
DECLINE.
02:54:08.004 --> 02:54:09.973
LOW BIRTH WEIGHTS PRETERM BIRTHS
02:54:10.040 --> 02:54:12.475
ANEMIA. CHILDHOOD OBESITY THESE
02:54:12.542 --> 02:54:13.977
ARE THINGS THAT WHAT REALLY
02:54:14.044 --> 02:54:16.613
CREDITED WITH IT WITH IMPROVING.
02:54:16.680 --> 02:54:17.881
VOTE RELEVANT TO YOUR COMMITTEE
02:54:17.948 --> 02:54:19.449
WHAT I'D LIKE TO POINT OUT. IS A
02:54:19.516 --> 02:54:20.884
LOCAL AGENCIES ARE VERY
02:54:20.951 --> 02:54:21.818
CONCERNED ABOUT THE TYPE OF
02:54:21.885 --> 02:54:23.453
CONTRACT THEY HAVE WITH THE
02:54:23.520 --> 02:54:25.422
STATE DEPARTMENT OF PUBLIC
02:54:25.488 --> 02:54:26.489
HEALTH IT'S QUITE RESTRICTIVE.
02:54:26.556 --> 02:54:28.091
AND WITH DECLINING PARTICIPATION
02:54:28.158 --> 02:54:29.059
WE HAVE TO BE REALLY AWARE THAT
02:54:29.125 --> 02:54:30.527
WE'RE PROTECTING THOSE FEDERAL
02:54:30.593 --> 02:54:32.862
DOLLARS IN THE LOCAL AGENCIES
02:54:32.929 --> 02:54:34.998
CAN FULLY USE THOSE CONTRACTS
02:54:35.065 --> 02:54:36.433
AND SPEND THEIR MONEY. WERE
02:54:36.499 --> 02:54:37.567
AWARE.
02:54:37.634 --> 02:54:39.202
THAT THE STATE USES SOME OTHER
02:54:39.269 --> 02:54:41.071
CONTRACTS FOR OTHER PROGRAMS
02:54:41.137 --> 02:54:42.472
THAT ARE PERHAPS MORE FLEXIBLE.
02:54:42.539 --> 02:54:45.342
YOU WOULD ASK THAT SOME A
02:54:45.408 --> 02:54:47.077
INVESTIGATION BE AYE.
02:54:47.143 --> 02:54:48.845
HE PUT ON THIS TOPIC SO THAT.
02:54:48.912 --> 02:54:49.979
THE LOCAL AGENCIES CAN BE
02:54:50.046 --> 02:54:51.781
REASSURED THAT THEY CAN FULL USE
02:54:51.848 --> 02:54:53.149
THEIR DOLLARS AND WE WOULD
02:54:53.216 --> 02:54:54.818
RESPECTFULLY SUGGEST.
02:54:54.884 --> 02:54:56.920
AN URGENCY TO THE US AND THAT
02:54:56.987 --> 02:54:58.621
THE TRAILER BILL MIGHT BE A AN
02:54:58.688 --> 02:54:59.756
AVENUE FOR ADDRESSING THIS
02:54:59.823 --> 02:55:00.290
VEHICLE VERY SOON.
02:55:00.357 --> 02:55:03.059
THANK YOU.
02:55:03.126 --> 02:55:04.461
THANK YOU ANY COMMENTS FROM THE
02:55:04.527 --> 02:55:07.130
DEPARTMENT ABOUT FLEXIBILITY AT
02:55:07.197 --> 02:55:10.233
CHALLENGES THERE.
02:55:10.300 --> 02:55:11.401
SO WE CERTAINLY HAVE HAD THIS
02:55:11.468 --> 02:55:13.003
DISCUSSION FOR AWHILE WITH OUR
02:55:13.069 --> 02:55:14.704
LOCAL AGENCIES AND.
02:55:14.771 --> 02:55:17.507
ITEM WE FOLLOW AT THE CONTRACT
02:55:17.574 --> 02:55:19.609
MODEL THAT IN A PUBLIC CONTRACT
02:55:19.676 --> 02:55:22.479
CODE FOR CONTRACTS THAT ARE NOT.
02:55:22.545 --> 02:55:23.847
ALLOCATED THROUGH COMPETITIVE
02:55:23.913 --> 02:55:25.482
BID PROCESS AND MANY OF OUR
02:55:25.548 --> 02:55:27.617
LOCAL AGENCIES ARE NOT COUNTY
02:55:27.684 --> 02:55:28.685
HEALTH DEPARTMENTS AS WELL SO
02:55:28.752 --> 02:55:30.086
THAT DOES.
02:55:30.153 --> 02:55:31.187
CREATE AN ADDITIONAL CHALLENGE
02:55:31.254 --> 02:55:32.622
WHERE THERE ARE SOME CONTRACT
02:55:32.689 --> 02:55:35.158
MODELS THAT ARE ALLOWABLE IF ALL
02:55:35.225 --> 02:55:36.326
THE AGENCIES ARE COUNTY HEALTH
02:55:36.393 --> 02:55:37.794
DEPARTMENTS BUT WE ARE NOT ABLE
02:55:37.861 --> 02:55:38.995
TO FOLLOW THOSE.
02:55:39.062 --> 02:55:40.997
BECAUSE WE HAVE A LOT ABOUT HALF
02:55:41.064 --> 02:55:41.765
OF OUR CONTRACTS ARE NOT WITH
02:55:41.831 --> 02:55:43.366
COUNTY HEALTH DEPARTMENTS.
02:55:43.433 --> 02:55:45.335
IN THIS MODEL OF CONTRACTING IS
02:55:45.402 --> 02:55:46.035
THAT SOMETHING THAT'S RECENT
02:55:46.102 --> 02:55:47.837
ARTS AND EVEN DOING THE SAME WAY
02:55:47.904 --> 02:55:48.872
FOR EVER.
02:55:48.938 --> 02:55:50.673
BETWEEN.
02:55:50.740 --> 02:55:52.575
WE JEFF WE HAD TO CHANGE THAT
02:55:52.642 --> 02:55:55.044
MODEL ABOUT FOUR YEARS AGO.
02:55:55.111 --> 02:55:56.679
BEFORE YEARS OUT OF FOUR YEARS
02:55:56.746 --> 02:55:57.447
AGO.
02:55:57.514 --> 02:56:00.884
OKAY.
02:56:00.950 --> 02:56:02.685
EN WELL AS IF THERE'S A SECULAR
02:56:02.752 --> 02:56:04.454
TREND FOR DECLINE BUT THE THINK
02:56:04.521 --> 02:56:05.855
IT HAS ANYTHING.
02:56:05.922 --> 02:56:07.624
THE THINK THERE'S AN IMPACT OF
02:56:07.690 --> 02:56:08.825
THAT TO CHECK ON WHAT THE
02:56:08.892 --> 02:56:10.026
PREVIOUS MODELS BEFORE IS
02:56:10.093 --> 02:56:12.028
CHANGED AND WHETHER IT WAS MORE
02:56:12.095 --> 02:56:13.863
FLEXIBILITY HERE.
02:56:13.930 --> 02:56:14.831
SO THE NEW I HAVE TO LOOK AT
02:56:14.898 --> 02:56:16.366
THE NEW CONTRACT MODEL CAME
02:56:16.433 --> 02:56:17.934
AFTER THE DECLINE HAD ALREADY
02:56:18.001 --> 02:56:19.135
STARTED AND THE DECLINE AS
02:56:19.202 --> 02:56:20.403
CONNIE HAD SAID THEY'D DECLINE
02:56:20.470 --> 02:56:21.371
IS HAPPENING IN OTHER STATES AS
02:56:21.438 --> 02:56:22.105
WELL.
02:56:22.172 --> 02:56:23.940
WELL.
02:56:24.007 --> 02:56:25.608
IT'S
02:56:25.675 --> 02:56:27.043
DOES NOT THINK ABOUT WHETHER YOU
02:56:27.110 --> 02:56:29.078
KNOW.
02:56:29.145 --> 02:56:30.079
MAYBE IT DOESN'T THAT I MEAN I'M
02:56:30.146 --> 02:56:31.047
NOT SAYING TO THE CLIENTS
02:56:31.114 --> 02:56:32.715
BECAUSE JUST BY THIS BUT YOU
02:56:32.782 --> 02:56:34.117
KNOW THIS EXACERBATED DOES IT
02:56:34.184 --> 02:56:35.985
CAUSE ANY ISSUES ARE WHATEVER
02:56:36.052 --> 02:56:37.787
ELSE.
02:56:37.854 --> 02:56:39.322
PAGE GOT TO RECOGNIZE IS ALWAYS
02:56:39.389 --> 02:56:39.856
CHALLENGES WHEN YOU PUBLIC
02:56:39.923 --> 02:56:41.458
DOLLARS IN.
02:56:41.524 --> 02:56:42.926
ACTUALLY HAVE I GUESS IS A SOLE
02:56:42.992 --> 02:56:44.394
SOURCE CONTRACT OF SORTS RIGHT.
02:56:44.461 --> 02:56:45.061
NOW THAT THERE ALWAYS PRESENTS
02:56:45.128 --> 02:56:46.696
SOME CHALLENGES TO IN TERMS OF
02:56:46.763 --> 02:56:47.664
ACCOUNTABILITY AND SO FORTH BUT.
02:56:47.730 --> 02:56:49.032
.
02:56:49.099 --> 02:56:50.467
AND ASSURING THE PUBLIC.
02:56:50.533 --> 02:56:54.170
BUT VIA ALSO LOOKS MORE.
02:56:54.237 --> 02:56:56.272
MY THINK SINCE THEY. THINK ABOUT
02:56:56.339 --> 02:56:58.141
THAT STUFF ALRIGHT.
02:56:58.208 --> 02:56:59.142
A DESPITE WANTED OUT OF AT THE
02:56:59.209 --> 02:57:00.877
TIME. I THINK THAT WE REALLY
02:57:00.944 --> 02:57:03.246
NEEDED TO LEARN WHAT MIGHT BE
02:57:03.313 --> 02:57:04.481
CONTRIBUTING TO THE DECLINE AND
02:57:04.547 --> 02:57:06.182
SELL THE IDEAS FIRST TO REALLY
02:57:06.249 --> 02:57:08.418
UNDERSTAND WHO IS A FIVE MINUTE
02:57:08.485 --> 02:57:09.185
POPULATION THAT WE NEED TO
02:57:09.252 --> 02:57:11.421
ADDRESS. HOW DO WE BEST REACH
02:57:11.488 --> 02:57:13.289
THEM ONE OF THE KEY MESSAGES AND
02:57:13.356 --> 02:57:13.923
THEN?
02:57:13.990 --> 02:57:15.225
HAVE A COORDINATED APPROACH
02:57:15.291 --> 02:57:16.459
THROUGHOUT THE WHOLE STATE THERE
02:57:16.526 --> 02:57:17.994
IS SOME CONCERN THAT GET PEOPLE
02:57:18.061 --> 02:57:19.629
DOING KIND OF THEIR OWN THING
02:57:19.696 --> 02:57:20.897
THAT YOU'RE NOT REALLY
02:57:20.964 --> 02:57:21.998
ADDRESSING THE REAL PROBLEM.
02:57:22.065 --> 02:57:23.266
THEM IN A COMMENT TO SINCE CAN
02:57:23.333 --> 02:57:27.270
PARLAY THE CALIFORNIA
02:57:27.337 --> 02:57:28.471
ASSOCIATION VERY STRONG PARTNER.
02:57:28.538 --> 02:57:30.607
BY THEY REFERRED TO THE TBL THAT
02:57:30.673 --> 02:57:32.242
CAME UP I'M PREVIOUS OF THE THE
02:57:32.308 --> 02:57:33.610
OBSTACLE TO PROPOSAL.
02:57:33.676 --> 02:57:35.645
WE ARE VERY MUCH IN FAVOR OF
02:57:35.712 --> 02:57:36.646
TRYING TO FIND HUESO CROPPING
02:57:36.713 --> 02:57:38.448
APPEASING CROSS ELIGIBILITY
02:57:38.515 --> 02:57:39.916
BETWEEN MEDI CAL ON LIKE WE JUST
02:57:39.983 --> 02:57:41.951
NOT HAVE HAD THE OPPORTUNITY TO
02:57:42.018 --> 02:57:44.254
EVALUATE THE FISCAL IMPACT FOR
02:57:44.320 --> 02:57:45.822
OUR PROGRAM IN IMPLEMENTING THAT
02:57:45.889 --> 02:57:46.990
I WANT TO MAKE SURE THAT. WE
02:57:47.056 --> 02:57:48.992
HAVE THAT ON THE RECORD OKAY
02:57:49.058 --> 02:57:50.126
THANK YOU.
02:57:50.193 --> 02:57:51.628
ALRIGHT OF CIVIL HOLD THAT ITEM
02:57:51.694 --> 02:57:53.830
OPEN AND LET'S MOVE ON THE ISSUE
02:57:53.897 --> 02:57:55.732
MEMORY EARLY IN AND. INFINITE
02:57:55.798 --> 02:57:56.799
EARLY CHILDHOOD HOME VISITATION
02:57:56.866 --> 02:57:58.268
PROGRAM.
02:57:58.334 --> 02:57:59.769
THANK YOU SO MUCH THE MATERNAL
02:57:59.836 --> 02:58:00.837
CHILD AND ADOLESCENT HEALTH
02:58:00.904 --> 02:58:02.405
DIVISION REQUEST TO CONVERT
02:58:02.472 --> 02:58:04.107
TWENTY SEVEN LAMENTED TERM
02:58:04.174 --> 02:58:05.408
POSITIONS INTO PERMANENT
02:58:05.475 --> 02:58:06.409
POSITIONS.
02:58:06.476 --> 02:58:08.545
HE'S TWENTY SEVEN POSITIONS ARE
02:58:08.611 --> 02:58:10.346
FUNDED BY FEDERAL FUNDS.
02:58:10.413 --> 02:58:12.749
AND AS OF FEBRUARY NINTH PIECE
02:58:12.815 --> 02:58:14.851
THE FEDERAL FUNDS THAT WE KNOW
02:58:14.918 --> 02:58:15.919
THE FEDERAL GOVERNMENT PASSED IN
02:58:15.985 --> 02:58:17.787
THEIR THEIR RESOLUTION MONEY TO
02:58:17.854 --> 02:58:19.155
SUPPORT THESE HOME VISITING
02:58:19.222 --> 02:58:21.791
PROGRAMS. FOR ANOTHER FIVE YEARS
02:58:21.858 --> 02:58:23.493
SO WE KNOW THAT THAT THE FUNDING
02:58:23.560 --> 02:58:25.395
IS SOLID FROM THE FEDS WE GET
02:58:25.461 --> 02:58:26.930
ABOUT TWENTY TWO MILLION DOLLARS
02:58:26.996 --> 02:58:28.698
FOR THESE TWENTY SEVEN
POSITIONS.
02:58:28.765 --> 02:58:30.466
AND THAT A ENABLES US TO CARRY
02:58:30.533 --> 02:58:32.168
OUT HOME VISITING PROGRAMS IN
02:58:32.235 --> 02:58:33.469
TWENTY THREE COUNTIES ACROSS
02:58:33.536 --> 02:58:34.938
CALIFORNIA.
02:58:35.004 --> 02:58:37.740
WE HAVE TODAY'S MADE OVER ARE
02:58:37.807 --> 02:58:38.641
CLOSE TO A HUNDRED AND FIFTY
02:58:38.708 --> 02:58:40.243
THOUSAND HOME VISITS WE SERVED
02:58:40.310 --> 02:58:41.811
NEARLY EIGHT THOUSAND FAMILIES
02:58:41.878 --> 02:58:43.780
AND CURRENTLY WE CARRY CASELOAD
02:58:43.846 --> 02:58:46.783
OF AROUND TWO THOUSAND.
02:58:46.849 --> 02:58:48.251
THANK YOU ANY COMES FROM ALEJO.
02:58:48.318 --> 02:58:50.853
FINANCE.
02:58:50.920 --> 02:58:51.821
BUT IT'S JUST KNOWS THAT WE
02:58:51.888 --> 02:58:53.156
SUPPORT THE PROPOSAL.
02:58:53.222 --> 02:58:55.525
OKAY THANK YOU WELL I APPRECIATE
02:58:55.592 --> 02:58:56.993
THE GOVERNORS THAT COMMITMENT TO
02:58:57.060 --> 02:58:58.595
HOME VISITATION WE'D THERE'S ALL
02:58:58.661 --> 02:59:00.096
THAT DATA AND THEY BILLS MODEL
02:59:00.163 --> 02:59:01.531
ALL THAT.
02:59:01.598 --> 02:59:02.665
MILLER THAT AND SO.
02:59:02.732 --> 02:59:05.401
ANY PUBLIC COMMENT.
02:59:05.468 --> 02:59:07.337
CASEY NO PUBLIC COMMENT.
02:59:07.403 --> 02:59:11.307
WE WILL. ALSO PUT THAT.
02:59:11.374 --> 02:59:13.509
I WASN'T ON HOLD A.
02:59:13.576 --> 02:59:14.310
LEAVE IT OPEN.
02:59:14.377 --> 02:59:16.479
BUT CERTAINLY WANTED SUPPORT
02:59:16.546 --> 02:59:18.548
CONTINUING OUR CHILDHOOD SOME
02:59:18.615 --> 02:59:20.516
VISITATION PROGRAMS.
02:59:20.583 --> 02:59:21.618
AND I'VE ANY COMMITTEE MEMBERS
02:59:21.684 --> 02:59:22.452
HERE OF A RUNNY THINKS THE
02:59:22.518 --> 02:59:23.886
MOMENT BUT.
02:59:23.953 --> 02:59:26.022
MAY REVISE WOLF OKAY AYE AYE
02:59:26.089 --> 02:59:27.457
ISSUE NUMBER SIX GENETIC
02:59:27.523 --> 02:59:28.625
SCREENING PROGRAM LOCAL
02:59:28.691 --> 02:59:30.893
ASSISTANCE ESTIMATES.
02:59:30.960 --> 02:59:34.731
I'M NOT NINE A CITY.
02:59:34.797 --> 02:59:36.733
EIGHTEEN NINETEEN THE GDP SP
02:59:36.799 --> 02:59:37.867
ESTIMATE IN THE GOVERNMENT'S
02:59:37.934 --> 02:59:39.235
BUDGET LISTS A TOTAL OF JUST
02:59:39.302 --> 02:59:41.004
UNDER HUNDRED AND THIRTY THREE
02:59:41.070 --> 02:59:42.639
MILLION DOLLARS WHICH IS AS YOU
02:59:42.705 --> 02:59:43.773
KNOW FEE SUPPORTED THROUGH THE
02:59:43.840 --> 02:59:44.107
GENETIC.
02:59:44.173 --> 02:59:46.075
STING FUN.
02:59:46.142 --> 02:59:47.343
AND THIS REPRESENTS AN INCREASE
02:59:47.410 --> 02:59:48.745
OF ABOUT A HALF MILLION OVER THE
02:59:48.811 --> 02:59:50.780
SEVENTEEN EIGHTEEN ESTIMATE AND
02:59:50.847 --> 02:59:51.681
ABOUT ONE AND A HALF MILLION
02:59:51.748 --> 02:59:53.016
OVER THE SEVENTEEN EIGHTEEN
02:59:53.082 --> 02:59:54.851
BUDGET ACT.
02:59:54.917 --> 02:59:56.986
THEY'VE ONLY BEEN SLIGHTCHANGES
02:59:57.053 --> 02:59:58.521
IN OUR SCREENING CASELOAD THIS
02:59:58.588 --> 03:00:00.023
INCREASE IN OUR BUDGET FOR
03:00:00.089 --> 03:00:01.691
EIGHTEEN NINETEEN IS LARGELY DUE
03:00:01.758 --> 03:00:03.726
TO EXPENDITURES REQUIRED TO
03:00:03.793 --> 03:00:05.294
COMPLY WITH THE NEWBORN
03:00:05.361 --> 03:00:08.598
SCREENING EXPANSION. PREVENTS
03:00:08.665 --> 03:00:09.632
ENACTED IN TWENTY SIXTEEN.
03:00:09.699 --> 03:00:10.800
THROUGH LEGISLATION AND
03:00:10.867 --> 03:00:12.935
INITIATED BY THE CHAIR.
03:00:13.002 --> 03:00:14.437
WHICH WILL EFFECTIVELY A TWO
03:00:14.504 --> 03:00:15.538
NEW NEW DISORDERS TO THE
03:00:15.605 --> 03:00:17.407
CALIFORNIA NEWBORN SCREENING
03:00:17.473 --> 03:00:18.941
PANEL IN TWENTY EIGHTEEN.
03:00:19.008 --> 03:00:19.509
DUE TO THE RECENT ADDITION
03:00:19.575 --> 03:00:21.911
THE FEDERAL BURKE.
03:00:21.978 --> 03:00:23.446
SCREENING PAN ON THOSE DISORDERS
03:00:23.513 --> 03:00:24.514
ARE POMPEII DISEASE AND IM PS
03:00:24.580 --> 03:00:26.382
ONE.
03:00:26.449 --> 03:00:28.051
THE INCREASE IN EXPENDITURES
03:00:28.117 --> 03:00:29.752
WILL BE REQUIRED FOR EXPANSIONS
03:00:29.819 --> 03:00:31.921
AND TESTINGS IN OUR LABORATORY
03:00:31.988 --> 03:00:33.823
IN RICHMOND. OF FOR THE NEW
03:00:33.890 --> 03:00:35.591
DISORDERS A WHICH IS REQUIRED TO
03:00:35.658 --> 03:00:38.194
BEGIN BY AUGUST TWENTY EIGHTEEN.
03:00:38.261 --> 03:00:39.529
THESE ADDITIONAL COSTS WILL
03:00:39.595 --> 03:00:41.464
REQUIRE A NEWBORN SCREENING FEE
03:00:41.531 --> 03:00:43.666
INCREASE OF TWELVE DOLLARS PER
03:00:43.733 --> 03:00:46.202
SPECIMEN FOR THE NEW DISORDERS.
03:00:46.269 --> 03:00:47.603
OF SO LITTLE GO FROM AROUND
03:00:47.670 --> 03:00:48.938
HUNDRED THIRTY DOLLARS TWO
03:00:49.005 --> 03:00:50.540
HUNDRED FORTY TWO DOLLARS AND
03:00:50.606 --> 03:00:52.442
TWENTY FIVE CENTS EFFECTIVE IN
03:00:52.508 --> 03:00:54.243
JULY THIS YEAR.
03:00:54.310 --> 03:00:55.311
BY THE FEE INCREASE WILL
03:00:55.378 --> 03:00:57.313
PRIMARILY COSTS BECAUSE OF.
03:00:57.380 --> 03:00:59.282
COVER THE COSTS OF ROUTINE
03:00:59.349 --> 03:01:00.550
TESTING WITH OUR LABORATORY
03:01:00.616 --> 03:01:02.385
DEVELOPED TESTS.
03:01:02.452 --> 03:01:03.786
AND EVENTUALLY THE COSTS OF
03:01:03.853 --> 03:01:05.888
PROCESSES INVOLVED WITH ROLLOUT
03:01:05.955 --> 03:01:08.758
OF FDA APPROVED TEST KITS.
03:01:08.825 --> 03:01:10.393
THAT COULD BE USED IN OUR
03:01:10.460 --> 03:01:12.095
REGIONAL LABORATORIES.
03:01:12.161 --> 03:01:13.863
ARE APPROVALS BY THE FDA ARE
03:01:13.930 --> 03:01:15.565
PROJECTED TO OCCUR LATER THIS
03:01:15.631 --> 03:01:17.633
YEAR OR AND TWENTY NINETEEN THEN
03:01:17.700 --> 03:01:19.001
WE WOULD PLAN TO IMPLEMENT
03:01:19.068 --> 03:01:20.636
SCREENING OVER TWO OR THREE
03:01:20.703 --> 03:01:23.473
YEARS AFTER THAT.
03:01:23.539 --> 03:01:24.006
THANK YOU.
03:01:24.073 --> 03:01:25.675
ALEJO SUMMITS FINANCE
03:01:25.742 --> 03:01:28.144
I PUBLIC COMMENT.
03:01:28.211 --> 03:01:29.712
OKAY THANK YOU FOR YOUR HARD
03:01:29.779 --> 03:01:31.380
WORK ON THIS.
03:01:31.447 --> 03:01:32.915
SAVING LIVES AND ACTUALLY WE'RE
03:01:32.982 --> 03:01:34.617
SAVING I THINK WILL BE SAVING
03:01:34.684 --> 03:01:36.953
MONEY TO BECAUSE WELL IT'S NOT
03:01:37.019 --> 03:01:38.721
THE PUBLIC HEALTH SIDE. AMEND
03:01:38.788 --> 03:01:40.423
HER COLLEAGUES IN MEDI CAL WILL
03:01:40.490 --> 03:01:42.091
HOPEFULLY BE HAVING TO PAY FOR.
03:01:42.158 --> 03:01:44.894
CARE DATA WAS BECAUSE MY CITIES
03:01:44.961 --> 03:01:45.528
DISEASES WE CAN PREVENT THEM SO
03:01:45.595 --> 03:01:46.629
THANK YOU.
03:01:46.696 --> 03:01:48.698
YES OKAY ISSUE NUMBER TEN NEW
03:01:48.765 --> 03:01:51.033
GENETIC DISORDERS SP TEN NINETY
03:01:51.100 --> 03:01:52.902
FIVE AND SECOND YOUR TESTING.
03:01:52.969 --> 03:01:54.570
BUT SO THIS IS ARE OF A NEWBORN
03:01:54.637 --> 03:01:56.706
SCREENING BCP AND WE HAVE AROUND
03:01:56.773 --> 03:01:58.141
TWO MILLION DOLLARS.
03:01:58.207 --> 03:01:59.542
REQUESTED AN ONGOING
03:01:59.609 --> 03:02:01.711
EXPENDITURE AUTHORITY FROM THE
03:02:01.778 --> 03:02:03.379
GENETIC DISEASE TESTING FUN. OF
03:02:03.446 --> 03:02:04.981
THIS IS WHAT WITH FIFTEEN NEW
03:02:05.047 --> 03:02:06.516
POSITIONS FOR PERSONNEL WHO WERE
03:02:06.582 --> 03:02:08.151
PERFORMED SCREENING FOR THE NEW
03:02:08.217 --> 03:02:10.486
DISORDERS AND ARE A RICHMOND
03:02:10.553 --> 03:02:11.754
LABORATORY.
03:02:11.821 --> 03:02:14.257
WORD MEANING EXPECTED TIMELINE
03:02:14.323 --> 03:02:16.125
SO THERE ARE NO CONCERNS ABOUT
03:02:16.192 --> 03:02:18.027
THE EXPECTED LAUNCH OF THE NEW
03:02:18.094 --> 03:02:19.295
DISORDER SCREENING IN OUR AND
03:02:19.362 --> 03:02:20.463
AUGUST.
03:02:20.530 --> 03:02:21.631
OTHER NEW PERSONNEL WILL BE
03:02:21.697 --> 03:02:23.566
REQUIRED TO CARRY OUT CARRY OUT
03:02:23.633 --> 03:02:25.268
THE ONGOING PROCESSES OF
03:02:25.334 --> 03:02:26.068
SCREENING.
03:02:26.135 --> 03:02:27.036
FOR THE NEW DISORDERS IN OUR
03:02:27.103 --> 03:02:28.504
LAB.
03:02:28.571 --> 03:02:30.540
AND ALSO IN THE BCP WE'VE LISTED
03:02:30.606 --> 03:02:32.108
A FOUR HUNDRED SIXTY THOUSAND
03:02:32.175 --> 03:02:34.777
DOLLARS AND A STATE OPERATIONS.
03:02:34.844 --> 03:02:36.345
EXPENDITURE AUTHORITY AND THREE
03:02:36.412 --> 03:02:38.514
POSITIONS FOR ONGOING SECOND
03:02:38.581 --> 03:02:39.415
TIER TESTING.
03:02:39.482 --> 03:02:40.750
SECOND YOUR TESTING IS
03:02:40.817 --> 03:02:42.318
PERFORMING A SECOND SCREEN ON
03:02:42.385 --> 03:02:43.653
THE SAME BLOOD SPOT THAT'S A
03:02:43.719 --> 03:02:46.289
COLLECTED. ORIGINALLY TO REDUCE.
03:02:46.355 --> 03:02:49.459
FALSE POSITIVE RESULTS.
03:02:49.525 --> 03:02:50.893
BUT I'M WE ALREADY DO THIS A
03:02:50.960 --> 03:02:51.928
LITTLE BIT OF SECOND TIER
03:02:51.994 --> 03:02:53.863
TESTING FOR A CONDITION SUCH AS
03:02:53.930 --> 03:02:55.465
ADRENAL CATASTROPHE.
03:02:55.531 --> 03:02:57.166
AS DISPLAYED IN THE ESTIMATE
03:02:57.233 --> 03:02:57.800
THIS.
03:02:57.867 --> 03:02:59.435
FOUR HUNDRED SIXTY THOUSAND
03:02:59.502 --> 03:03:01.537
DOLLAR INCREASE WILL BE OFFSET
03:03:01.604 --> 03:03:03.573
BY A DECREASE ARE OF THE SAME
03:03:03.639 --> 03:03:04.907
AMOUNT IN LOCAL ASSISTANCE
03:03:04.974 --> 03:03:06.342
FUNDING.
03:03:06.409 --> 03:03:07.743
AND THAT AND HAPPENS BY
03:03:07.810 --> 03:03:10.012
DECREASING OUR COSTS FOR FOLLOW
03:03:10.079 --> 03:03:11.747
UP OF FALSE POSITIVES SCREENS
03:03:11.814 --> 03:03:13.149
AND FOR UNNECESSARY CONFIRMATORY
03:03:13.216 --> 03:03:15.518
TESTING.
03:03:15.585 --> 03:03:19.622
I THANK YOU COMES ALEJO FINANCE.
03:03:19.689 --> 03:03:20.690
AND SUPPORTS A PROPOSAL OF
03:03:20.756 --> 03:03:22.091
BECAUSE IT ACCOMMODATES AND THE
03:03:22.158 --> 03:03:23.860
EW TESTING THAT IS REQUIRED BY
03:03:23.926 --> 03:03:25.628
THE FEDERAL RUST.
03:03:25.695 --> 03:03:26.696
THANK YOU BYE PUBLIC COMMENT.
03:03:26.762 --> 03:03:28.931
SEEING NONE.
03:03:28.998 --> 03:03:31.434
THANK YOU. AGAIN AND IT WILL
03:03:31.501 --> 03:03:34.036
HOLD THIS ITEM OPEN.
03:03:34.103 --> 03:03:35.037
THAT THE GUYS NEVER SAID THE
03:03:35.104 --> 03:03:37.039
PREVIOUS ITEM AS WELL SO. LIVES
03:03:37.106 --> 03:03:38.975
NINE INTERNAL HELD OPEN. RIGHT
03:03:39.041 --> 03:03:39.909
THANK YOU SO NEXT THAT IS
03:03:39.976 --> 03:03:41.410
FINALLY IS ISSUE NUMBER ELEVEN
03:03:41.477 --> 03:03:43.546
WE HAVE TO.
03:03:43.613 --> 03:03:45.381
PROPOSALS FOR INVESTMENT.
03:03:45.448 --> 03:03:50.820
WHAT'S ONE.
03:03:50.887 --> 03:03:51.821
DON'T ENOUGH GREAT OKAY SO I
03:03:51.888 --> 03:03:53.589
GUESS RESERVE ONE TO HEAR TODAY
03:03:53.656 --> 03:03:55.591
WITCHES.
03:03:55.658 --> 03:03:56.692
FOR WAS A DIFFERENT OF THE CARE
03:03:56.759 --> 03:03:56.993
FOR A LS.
03:03:57.059 --> 03:03:59.061
WELCOME.
03:03:59.128 --> 03:04:03.366
IT.
03:04:03.432 --> 03:04:05.635
ACTUALLY SIR SOMEONE FROM THE
03:04:05.701 --> 03:04:08.237
PART PUBLIC HEALTH WHO.
03:04:08.304 --> 03:04:10.239
BIRD THIS WOULD FALL UNDER WANTS
03:04:10.306 --> 03:04:11.340
TO BE A FABLE LAWLER.
03:04:11.407 --> 03:04:15.878
THANK YOU.
03:04:15.945 --> 03:04:17.280
WE ALSO GIVE THE DEPARTMENT
03:04:17.346 --> 03:04:18.347
OPPORTUNITIES SAY SOMETHING THEY
03:04:18.414 --> 03:04:20.616
HAVE A THING TO SAY ABOUT IT AND
03:04:20.683 --> 03:04:23.586
IF YOU DON'T MOTHER WAS. LISTENS
03:04:23.653 --> 03:04:24.620
WELL ALRIGHT THANK YOU.
03:04:24.687 --> 03:04:26.188
OKAY US SO FOR THE RECORD OF YOU
03:04:26.255 --> 03:04:27.523
TO PLEASE INTRODUCE YOURSELVES
03:04:27.590 --> 03:04:28.157
AND THEN I'LL ASK IF YOU CAN TRY
03:04:28.224 --> 03:04:29.292
TO.
03:04:29.358 --> 03:04:31.427
I KEEP REMARKS TWO. TOTAL THREE
03:04:31.494 --> 03:04:33.262
MINUTES I APPRECIATE ITSELF WAS
03:04:33.329 --> 03:04:34.230
FIRST INTRODUCED INTRODUCTIONS
03:04:34.297 --> 03:04:35.731
FIRST BUT THANK YOU MISTER
03:04:35.798 --> 03:04:36.599
CHAIRMAN AND MEMBERS I'M FRED
03:04:36.666 --> 03:04:37.800
NOWHERE IN OUR FROM REPRESENTS
03:04:37.867 --> 03:04:38.834
THE ALICE'S.
03:04:38.901 --> 03:04:42.071
THANK YOU.
03:04:42.138 --> 03:04:44.206
SEC VOLUNTEER I WITH THE ELLIS
03:04:44.273 --> 03:04:45.775
ASSOCIATION ALSO ON THE BOARD OF
03:04:45.841 --> 03:04:48.044
THE GOLDEN WEST CHAPTER OF THE
03:04:48.110 --> 03:04:49.145
ALS ASSOCIATION OF YOUR BUT YOUR
03:04:49.211 --> 03:04:50.479
NAME AGAIN FOR THE RECORD LINDA
03:04:50.546 --> 03:04:52.481
DELA. RIGHT OF BY FUNDS OFF WITH
03:04:52.548 --> 03:04:53.783
A TIME PAMELA JACOBSEN I'M THE
03:04:53.849 --> 03:04:56.519
VICE PRESIDENT OF CARE SERVICES
03:04:56.586 --> 03:04:58.487
FOR THE ALS ASSOCIATION.
03:04:58.554 --> 03:05:00.022
OKAY WELL WELCOME EVERYONE.
03:05:00.089 --> 03:05:01.357
YOU WANT OF IT BEGIN.
03:05:01.424 --> 03:05:02.592
THANK YOU MISTER CHAIR IT'S A
03:05:02.658 --> 03:05:03.726
VERY NICE BEARD WE WOULD VERY
03:05:03.793 --> 03:05:04.927
MUCH APPRECIATE THE OPPORTUNITY
03:05:04.994 --> 03:05:06.295
PRESENTS PROPOSAL.
03:05:06.362 --> 03:05:07.863
AND BEEN BRIEFED THE LS
03:05:07.930 --> 03:05:09.765
ASSOCIATION IS REQUESTING THREE
03:05:09.832 --> 03:05:10.866
MILLION DOLLARS.
03:05:10.933 --> 03:05:12.602
TO SUPPORT THE ONGOING WORK.
03:05:12.668 --> 03:05:14.103
OF ITS ACTIVITIES AND DIRECT
03:05:14.170 --> 03:05:16.138
CARE FOR PATIENTS WHO HAVE BEEN
03:05:16.205 --> 03:05:16.706
DIAGNOSED WITH LOU GEHRIG'S
03:05:16.772 --> 03:05:17.840
DISEASE.
03:05:17.907 --> 03:05:19.809
AND JUST A BIT OF BACKGROUND IN
03:05:19.875 --> 03:05:21.544
TWO THOUSAND A THE ASSOCIATION
03:05:21.611 --> 03:05:23.145
SPONSORED SENATE BILL FIFTY NO
03:05:23.212 --> 03:05:24.680
THREE SIGNED BY THEN GOVERNOR
03:05:24.747 --> 03:05:26.782
SCHWARZENEGGER THAT PUT INTO THE
03:05:26.849 --> 03:05:28.651
IS HEALTH AND SAFETY CODE. THE
03:05:28.718 --> 03:05:30.853
OPTIMAL MODEL OF CARE FOR ALS
03:05:30.920 --> 03:05:32.688
PATIENTS NAMELY AND THE
03:05:32.755 --> 03:05:34.523
SUBCOMMITTEE ANALYSIS DID A VERY
03:05:34.590 --> 03:05:36.359
NICE JOB DESCRIBING IT. AND
03:05:36.425 --> 03:05:37.560
EVIDENCE BASED MULTI
03:05:37.627 --> 03:05:39.862
DISCIPLINARY WRAPAROUND SYSTEM
03:05:39.929 --> 03:05:42.064
OF CARE THAT COMBINES MEDICAL
03:05:42.131 --> 03:05:43.132
COMMUNITY AND HOME BASED
03:05:43.199 --> 03:05:44.500
SERVICES.
03:05:44.567 --> 03:05:46.502
THEY'LL ASSOCIATION CERTIFIES
03:05:46.569 --> 03:05:48.237
THE SITES AROUND THE STATE KNOWN
03:05:48.304 --> 03:05:49.972
AS CENTERS OF EXCELLENCE WHERE
03:05:50.039 --> 03:05:53.476
ALS PATIENTS RECEIVED THIS CARE.
03:05:53.542 --> 03:05:54.977
ALL OF THE MONEY THE ASSOCIATION
03:05:55.044 --> 03:05:58.047
RAISES FOR ITS PROGRAMS COMES
03:05:58.114 --> 03:06:00.016
FROM PHILANTHROPIC SOURCES AND
03:06:00.082 --> 03:06:01.550
WE'RE HERE TODAY BECAUSE. THE
03:06:01.617 --> 03:06:03.919
ASSOCIATION CANNOT KEEP PACE
03:06:03.986 --> 03:06:06.155
WITH THE GROWING DEMAND FOR CARE
03:06:06.222 --> 03:06:07.990
FOR THREE ESSENTIAL REASONS
03:06:08.057 --> 03:06:09.158
NUMBER ONE.
03:06:09.225 --> 03:06:10.993
MORE AND MORE PATIENTS WITH THE
03:06:11.060 --> 03:06:13.763
DISEASE ARE AVAILING THEMSELVES
03:06:13.829 --> 03:06:15.297
OF THE CARE IS AT THE CENTERS.
03:06:15.364 --> 03:06:16.565
REFERRALS FROM GENERAL
03:06:16.632 --> 03:06:18.501
NEUROLOGISTS TO THE CENTERS ARE
03:06:18.567 --> 03:06:20.569
GROWING AND THE GOOD NEWS IS
03:06:20.636 --> 03:06:22.204
MORE PATIENTS ARE COMING TO THE
03:06:22.271 --> 03:06:23.939
CENTERS AT AN EARLIER STAGE IN
03:06:24.006 --> 03:06:24.640
THEIR DIAGNOSIS.
03:06:24.707 --> 03:06:26.509
NUMBER TWO.
03:06:26.575 --> 03:06:27.810
CALIFORNIA HAS MORE PATIENCE
03:06:27.877 --> 03:06:29.478
THAN ANY OTHER STATE DIAGNOSED
03:06:29.545 --> 03:06:31.247
WITH LOU GEHRIG'S DISEASE. AND
03:06:31.313 --> 03:06:32.615
WITH THE GROWING GENERAL
03:06:32.682 --> 03:06:34.483
POPULATION IN THE STATE. THE
03:06:34.550 --> 03:06:36.318
OVERALL CASELOAD AVAIL AS
03:06:36.385 --> 03:06:37.720
PATIENTS IN CALIFORNIA IS ALSO
03:06:37.787 --> 03:06:39.188
GROWING.
03:06:39.255 --> 03:06:40.556
AND ONE OF OUR WITNESSES WILL
03:06:40.623 --> 03:06:41.891
SPEAK TO THIS IN A MINUTE.
03:06:41.957 --> 03:06:43.759
AND AND NUMBER THREE BECAUSE OF
03:06:43.826 --> 03:06:45.828
THE QUALITY OF CARE RECEIVED AT
03:06:45.895 --> 03:06:47.229
THE CENTERS AND AGAIN MORE
03:06:47.296 --> 03:06:49.131
PEOPLE ARE AT THE CENTERS.
03:06:49.198 --> 03:06:50.366
AND I AS WELL AS IN THE
03:06:50.433 --> 03:06:51.434
COMMUNITY IN THE SERVICES THAT
03:06:51.500 --> 03:06:53.836
THE ASSOCIATION PROVIDES PEOPLE
03:06:53.903 --> 03:06:54.403
WITH THE DISEASE ARE LIVING
03:06:54.470 --> 03:06:55.604
LONGER.
03:06:55.671 --> 03:06:56.772
I THINK WAS VERY NOTABLE THAT
03:06:56.839 --> 03:06:58.407
STEPHEN HAWKING PASSED AWAY BUT
03:06:58.474 --> 03:07:00.409
TEN DAYS AGO HE HAD EXEMPLARY
03:07:00.476 --> 03:07:02.378
CARE AND THERE'S NO DOUBT THE
03:07:02.445 --> 03:07:04.413
EVIDENCE SHOWS. LIFE IS LONGER
03:07:04.480 --> 03:07:05.715
WHEN YOU HAVE BETTER CARE.
03:07:05.781 --> 03:07:06.949
WE HAD ONE EXPLORATORY MEETING
03:07:07.016 --> 03:07:08.718
WITH THE DEPARTMENT OF PUBLIC
03:07:08.784 --> 03:07:10.286
HEALTH AND WHAT FINANCE. AND WE
03:07:10.352 --> 03:07:12.121
SIMPLY WANT TO THANK YOU AGAIN
03:07:12.188 --> 03:07:13.389
FOR YOUR ATTENTION. TOWARD
03:07:13.456 --> 03:07:15.391
REQUEST TO KEEP THEM HIS PROGRAM
03:07:15.458 --> 03:07:17.026
GOING IN THE IN LIGHT OF THE
03:07:17.093 --> 03:07:18.127
GROWTH OF THE NUMBERS.
03:07:18.194 --> 03:07:20.329
THE CURRENT FINANCIAL STRUCTURES
03:07:20.396 --> 03:07:22.498
UNSUSTAINABLE WE REALLY HAVE
03:07:22.565 --> 03:07:25.000
NOWHERE ELSE TO GO SO THANK YOU.
03:07:25.067 --> 03:07:26.902
ALRIGHT THANK YOU HOUSTON ALMOST
03:07:26.969 --> 03:07:28.604
ALL THE TIME BUT. MEDICAID. AND
03:07:28.671 --> 03:07:29.872
LINDA AND AYE LINDA DANO
03:07:29.939 --> 03:07:31.807
REPRESENT PATIENTS AND FAMILIES
03:07:31.874 --> 03:07:33.776
WITH A LS ON. AND I'M ALSO HERE
03:07:33.843 --> 03:07:35.678
IN MEMORY OF MY HUSBAND WHO WAS
03:07:35.745 --> 03:07:36.879
THE CHIEF CONSULTANT FOR THE
03:07:36.946 --> 03:07:38.380
SENATE ENERGY. ENERGY COMMITTEE
03:07:38.447 --> 03:07:39.815
FROM US TWENTY YEARS HE PASSED
03:07:39.882 --> 03:07:41.250
AWAY IN TWO THOUSAND EIGHT WITH
03:07:41.317 --> 03:07:41.951
A LS.
03:07:42.017 --> 03:07:43.552
BUT A LOT OF PEOPLE DON'T KNOW
03:07:43.619 --> 03:07:45.387
ABOUT ALS IS THAT IT'S SUCH A
03:07:45.454 --> 03:07:47.256
COMPLICATED DISEASE THAT ANYONE
03:07:47.323 --> 03:07:48.924
DOCTOR USUALLY DOESN'T KNOW WHAT
03:07:48.991 --> 03:07:51.227
TO DO. AND EVEN IN THE MOST
03:07:51.293 --> 03:07:52.461
NEUROLOGISTS I KNOW YOUR DOCTOR
03:07:52.528 --> 03:07:54.563
MOST UROLOGISTS MAYBE ONLY SEE
03:07:54.630 --> 03:07:56.298
ONE LS PATIENT IN THEIR ENTIRE
03:07:56.365 --> 03:07:57.266
CAREER.
03:07:57.333 --> 03:07:59.301
SO WE ARE VERY DEPENDENT UPON
03:07:59.368 --> 03:08:01.170
THE CENTERS THAT ARE DEVELOPED
03:08:01.237 --> 03:08:02.872
BY THE LS ASSOCIATION.
03:08:02.938 --> 03:08:04.840
TO JUST SUSTAIN LIFE AND
03:08:04.907 --> 03:08:06.509
EVERYBODY'S ELLIS IS DIFFERENT
03:08:06.575 --> 03:08:09.645
SO THESE ARE LIFE SUSTAINING A.
03:08:09.712 --> 03:08:12.047
CENTERS THAT NEED YOUR SUPPORT
03:08:12.114 --> 03:08:13.449
AND I WOULD LIKE TO UNDERSCORE
03:08:13.516 --> 03:08:15.017
THAT THANK YOU VERY MUCH FOR
03:08:15.084 --> 03:08:17.553
YOUR FOR ANY SUPPORT AND YOU.
03:08:17.620 --> 03:08:19.288
CORD OF THIS MODEL OF CARE OUR
03:08:19.355 --> 03:08:21.090
CLINIC COORDINATORS CASE
03:08:21.157 --> 03:08:22.558
CONFERENCING TO DEVELOP CARE
03:08:22.625 --> 03:08:25.027
PLANS AND CARE MANAGEMENT TO
03:08:25.094 --> 03:08:26.929
IMPLEMENT THESE CARE PLANS NONE
03:08:26.996 --> 03:08:28.697
OF WHICH IS CURRENTLY FUNDED.
03:08:28.764 --> 03:08:29.765
THEY'RE ALL TAKING CARE OF
03:08:29.832 --> 03:08:30.699
THROUGH PHILANTHROPIC DOLLARS
03:08:30.766 --> 03:08:32.268
WHICH WERE RAISED FROM THE LS
03:08:32.334 --> 03:08:34.236
COMMUNITY. SO ALS THE ATLAS
03:08:34.303 --> 03:08:35.805
COMMUNITIES FUNDING THEIR OWN
03:08:35.871 --> 03:08:36.739
CARE.
03:08:36.806 --> 03:08:37.840
THAT'S WHERE THE ELLIS
03:08:37.907 --> 03:08:39.575
ASSOCIATION COMES AND. BAYLISS
03:08:39.642 --> 03:08:41.243
ASSOCIATION OFFSETS THE COSTS OF
03:08:41.310 --> 03:08:42.144
THESE CLINICS THROUGH
03:08:42.211 --> 03:08:44.146
PHILANTHROPIC DOLLARS PROVIDES
03:08:44.213 --> 03:08:45.681
CARE MANAGEMENT TO SERVE AS A
03:08:45.748 --> 03:08:47.616
BRIDGE BETWEEN THE CLINIC THE
03:08:47.683 --> 03:08:49.185
HOME AND THE COMMUNITY SETTINGS
03:08:49.251 --> 03:08:52.087
TO IMPLEMENT CARE PLANS.
03:08:52.154 --> 03:08:53.622
AND THIS IS A VERY EXPENSIVE
03:08:53.689 --> 03:08:55.257
DISEASE THIS IS A DISEASE WHERE
03:08:55.324 --> 03:08:56.492
PEOPLE CAN NO LONGER WORKING
03:08:56.559 --> 03:08:58.060
OFTENTIMES THEIR SPOUSES NEED TO
03:08:58.127 --> 03:08:59.495
QUIT WORK IN ORDER TO CARE FOR
03:08:59.562 --> 03:09:00.930
THEIR LOVED ONE. THE FINANCIAL
03:09:00.996 --> 03:09:02.832
IMPACT IS DEVASTATING ASKING THE
03:09:02.898 --> 03:09:04.633
ANALYST COMMUNITY TO COMPETE
03:09:04.700 --> 03:09:06.602
CONTINUE TO FIT THE UP FOR THE
03:09:06.669 --> 03:09:08.804
BILL. IS DEVASTATING. MEANWHILE
03:09:08.871 --> 03:09:10.306
THIS WRAPAROUND MODEL OF CARE IS
03:09:10.372 --> 03:09:12.208
THE ONLY THING CURRENTLY PROVEN
03:09:12.274 --> 03:09:13.843
TO HELP PEOPLE LIVE LONGER WITH
03:09:13.909 --> 03:09:14.710
A LS
03:09:14.777 --> 03:09:16.011
SO WE APPRECIATE YOUR TIME TODAY
03:09:16.078 --> 03:09:16.845
IN HER OPEN DIDN'T QUESTIONS YOU
03:09:16.912 --> 03:09:18.814
MAY HAVE.
03:09:18.881 --> 03:09:21.150
I THINK YOU. ANY COMES FROM THE
03:09:21.217 --> 03:09:23.953
TOP OF THE GULF.
03:09:24.019 --> 03:09:24.587
NO WE DID.
03:09:24.653 --> 03:09:26.088
HAVE AN OPPORTUNITY TO MEET
03:09:26.155 --> 03:09:27.890
WITH THEY'LL ASSOCIATION AS WE
03:09:27.957 --> 03:09:29.124
MENTIONED TO THEM WE DON'T
03:09:29.191 --> 03:09:30.960
CURRENTLY HAVE AN ALICE PROGRAM.
03:09:31.026 --> 03:09:32.061
AT THE DEPARTMENT OVER HERE TO
03:09:32.127 --> 03:09:33.495
FIGHT TECHNICAL ASSISTANCE AS
03:09:33.562 --> 03:09:35.397
NEEDED OKAY A ALEJO.
03:09:35.464 --> 03:09:37.967
ONCE FINANCE.
03:09:38.033 --> 03:09:41.337
DEPARTMENT BONE WE MET WITH THE
03:09:41.403 --> 03:09:42.271
ADVOCATE SUMMER SAYS MR WERE
03:09:42.338 --> 03:09:44.573
STILL ASSESSING THE PROPOSAL BUT
03:09:44.640 --> 03:09:45.207
WE DON'T HAVE A POSITION AT THIS
03:09:45.274 --> 03:09:46.542
TIME.
03:09:46.609 --> 03:09:48.911
SO I GUESS FROM I UNDERSTAND THE
03:09:48.978 --> 03:09:49.979
PROPOSAL I MEAN THE REQUESTS FOR
03:09:50.045 --> 03:09:51.247
FUNDING TO SUPPORT THE CENTERS
03:09:51.313 --> 03:09:53.916
ARE PROVIDING WELL CLINICAL
WELL.
03:09:53.983 --> 03:09:55.117
CLINT CRITICAL SUPPORT
03:09:55.184 --> 03:09:56.752
COORDINATION OF CARE EIGHT.
03:09:56.819 --> 03:09:59.221
OF SO I GUESS.
03:09:59.288 --> 03:10:01.390
CERTAIN IN ADDITION OUTSIDE FROM
03:10:01.457 --> 03:10:03.259
THE OUT THE OUT OF THE NEED FOR
03:10:03.325 --> 03:10:04.727
FOR THE SERVICES.
03:10:04.793 --> 03:10:07.796
I GUESS ONE QUESTION IS THAT IT
03:10:07.863 --> 03:10:08.697
IS WORTH HEARING INTO CONTEXT
03:10:08.764 --> 03:10:10.499
THE PART OF PUBLIC HEALTH IS THE
03:10:10.566 --> 03:10:12.668
PRIME PUBLIC HEALTH OPERATE ANY
03:10:12.735 --> 03:10:14.203
SIMILAR TYPES CENTERS ARE
03:10:14.270 --> 03:10:16.105
SERVICES FOR OTHER CHRONIC
03:10:16.171 --> 03:10:18.207
DISEASE ENTITIES OURS IS.
03:10:18.274 --> 03:10:21.076
BETTER ALONG IN A MORE CLINICAL
03:10:21.143 --> 03:10:22.478
THE FIRELIGHT WELL AS IT COULD
03:10:22.544 --> 03:10:23.879
BE LIKE PCS ACTUALLY FUNDS
03:10:23.946 --> 03:10:25.648
CLINICAL CARE. ARE OR SOME OTHER
03:10:25.714 --> 03:10:28.417
AGENCY AND FOR THE RECORD THIS
03:10:28.484 --> 03:10:29.885
IS MONICA WELL AS UPS.
03:10:29.952 --> 03:10:30.886
A SIMILAR PROGRAM OF THE YEAR
03:10:30.953 --> 03:10:32.087
ALZHEIMER'S PROGRAM ACTION HONEY
03:10:32.154 --> 03:10:33.088
WHERE WE FIND.
03:10:33.155 --> 03:10:35.424
AND THE DEBTS AT GUN ALZHEIMER'S
03:10:35.491 --> 03:10:38.694
CENTERS ACROSS THE STATE THERE'S
03:10:38.761 --> 03:10:39.495
TEN OF THEM AS YOU REMEMBER
03:10:39.561 --> 03:10:41.964
RIGHT YEAH YEAH. SAID THAT'S
03:10:42.031 --> 03:10:43.732
SOMETHING SIMILAR THAT WE HAVE.
03:10:43.799 --> 03:10:45.100
INVESTIGATOR THAT'S SOMETHING WE
03:10:45.167 --> 03:10:45.868
LOOKED AT IN DEVELOPING A
03:10:45.934 --> 03:10:48.304
PROPOSAL. UP I'M GONNA AND AGAIN
03:10:48.370 --> 03:10:49.505
THERE'S THERE'S A CENTER OF
03:10:49.571 --> 03:10:50.706
EXCELLENCE ELEMENT BUT THERE'S
03:10:50.773 --> 03:10:53.142
ALSO THE COMMUNITY A OF WORK
03:10:53.208 --> 03:10:54.476
THAT'S DONE AND HASN'T JUST AS A
03:10:54.543 --> 03:10:56.111
QUICK EXAMPLE. PEOPLE WHO HAVE
03:10:56.178 --> 03:10:57.680
FAILED US IS YOU KNOW ULTIMATELY
03:10:57.746 --> 03:10:59.882
LOSE THEIR ABILITY TO USE THEIR
03:10:59.949 --> 03:11:00.582
LAMBS.
03:11:00.649 --> 03:11:02.685
RIGHT AND SO MANY PATIENTS HAVE
03:11:02.751 --> 03:11:04.420
A HOIST IN THEIR BEDROOM TO TO
03:11:04.486 --> 03:11:07.222
PUT THE PATIENT IN BED AT NIGHT.
03:11:07.289 --> 03:11:07.856
QUESTION WHERE IS ALWAYS COME
03:11:07.923 --> 03:11:09.425
FROM WHO MAINTAINS IT WHO
03:11:09.491 --> 03:11:11.093
TEACHES THAT FAMILY MEMBERS HOW
03:11:11.160 --> 03:11:12.628
TO USE IT THAT'S WHAT THESE
03:11:12.695 --> 03:11:12.895
FOLKS DO.
03:11:12.961 --> 03:11:13.962
SO
03:11:14.029 --> 03:11:17.032
IT'S A GOOD EXAMPLE.
03:11:17.099 --> 03:11:18.634
SO I MEAN I THINK A PART OF FINE
03:11:18.701 --> 03:11:20.703
SIR MENTALLY THINKING ABOUT IS
03:11:20.769 --> 03:11:22.037
THAT WE THINK ABOUT OUR SYSTEM
03:11:22.104 --> 03:11:24.106
OF CARE. AND THEY KNOW YOU'RE
03:11:24.173 --> 03:11:25.407
COMING FOR THIS PROPOSAL.
03:11:25.474 --> 03:11:27.109
MIKE WHERE WHERE DID THE
03:11:27.176 --> 03:11:29.445
DIFFERENT PARTS SAID RIGHT SO.
03:11:29.511 --> 03:11:31.413
NO WEAR OUT AND THAT YOU KNOW
03:11:31.480 --> 03:11:33.382
WELL.
03:11:33.449 --> 03:11:34.950
THE UGLY FUND COORDINATION OF
03:11:35.017 --> 03:11:37.186
CARE YOU KNOW WHO DO THAT THAT
03:11:37.252 --> 03:11:39.555
THE OUT THE RANGER EDUCATION OR
03:11:39.621 --> 03:11:41.123
ARE OUR OUR OUR TRAINING OF. THE
03:11:41.190 --> 03:11:42.491
FAMILY MEMBERS OF THE CARE
03:11:42.558 --> 03:11:44.793
GIVERS.
03:11:44.860 --> 03:11:45.828
THEY'RE NOT SO YEAH.
03:11:45.894 --> 03:11:46.495
YEAH GREAT POINT.
03:11:46.562 --> 03:11:48.130
FOR THE RECORD I I SHOULD SAY
03:11:48.197 --> 03:11:49.231
THAT WE FUND AL SUMMERS RESEARCH
03:11:49.298 --> 03:11:50.833
THAT.
03:11:50.899 --> 03:11:52.201
YEAH SO WE WERE NOT CURRENTLY
03:11:52.267 --> 03:11:54.903
FINDING CARE COORDINATION AND
UP.
03:11:54.970 --> 03:11:57.139
THROUGH THE ALZHEIMER'S FUNDING.
03:11:57.206 --> 03:11:59.641
AND PROGRAM SO IT IS DIFFERENT
03:11:59.708 --> 03:12:01.844
IN TERMS OF THE CLINICAL ANGLE
03:12:01.910 --> 03:12:02.978
THAT THIS SPECIFIC PROPOSAL HAS.
03:12:03.045 --> 03:12:03.645
ALRIGHT
03:12:03.712 --> 03:12:06.749
OKAY.
03:12:06.815 --> 03:12:07.449
OKAY AND ANY PUBLIC COMMENT.
03:12:07.516 --> 03:12:08.517
YOU.
03:12:08.584 --> 03:12:10.319
ALRIGHT.
03:12:10.386 --> 03:12:12.721
SO A BIG CERTAINLY YEAH I.
03:12:12.788 --> 03:12:15.157
THIS IS A A.
03:12:15.224 --> 03:12:17.459
.
03:12:17.526 --> 03:12:19.161
I MEAN THIS IS A VERY IMPORTANT.
03:12:19.228 --> 03:12:20.963
ISSUE OF THOSE FOR.
03:12:21.030 --> 03:12:23.365
.
03:12:23.432 --> 03:12:24.600
YOUR COMMUNITY THIS.
03:12:24.666 --> 03:12:27.770
PEOPLE OF THE DUTIES ALSO I
03:12:27.836 --> 03:12:29.038
THINK WE DO HAVE SERVER.
03:12:29.104 --> 03:12:30.272
LARGER QUESTION.
03:12:30.339 --> 03:12:30.973
ABOUT.
03:12:31.040 --> 03:12:33.442
.
03:12:33.509 --> 03:12:34.910
THERE ARE NUMEROUS BACK CRANK
03:12:34.977 --> 03:12:36.478
DISEASE ENTITIES THE GOOD NEWS
03:12:36.545 --> 03:12:37.880
IS THAT THERE ARE MEDICAL CARE
03:12:37.946 --> 03:12:39.882
IS GOTTEN BETTER BUT IT HASN'T
03:12:39.948 --> 03:12:41.683
DEVELOPED THE CURIA AT.
03:12:41.750 --> 03:12:43.652
SO WE HAVE PEOPLE WHO
03:12:43.719 --> 03:12:44.086
FORTUNATELY OUR LIVE
03:12:44.153 --> 03:12:44.386
UNDER
03:12:44.453 --> 03:12:45.354
MORE PER
03:12:45.421 --> 03:12:46.755
OF LIVES
03:12:46.822 --> 03:12:48.290
BUT WHO NEED THESE VITAL
03:12:48.357 --> 03:12:50.426
SERVICES AND. FIGURE OUT WHERE
03:12:50.492 --> 03:12:53.328
THEY FIT IN GO EN AND THE
03:12:53.395 --> 03:12:55.197
PROBLEM IS IS OUT TO OFTENTIMES
03:12:55.264 --> 03:12:56.565
THE VERY SERVICE YOU TALK ABOUT
03:12:56.632 --> 03:12:57.499
HALF ALL THE CRACKS IN LIKE
03:12:57.566 --> 03:12:59.435
WELLS THAT REIMBURSED HERE IS
03:12:59.501 --> 03:13:00.769
THAT COVER THAT PROGRAM SO PLACE
03:13:00.836 --> 03:13:03.405
SO. WE DO NEED TO FIGURE OUT
THE.
03:13:03.472 --> 03:13:05.374
BEST OF THE PLACE THE WHERE
03:13:05.441 --> 03:13:06.909
WHERE IT LANDED AND DIVE
03:13:06.975 --> 03:13:08.043
APPRECIATE THAT ACTUALLY THE
03:13:08.110 --> 03:13:11.814
PART PUBLIC HEALTH IS LOOKING
AT.
03:13:11.880 --> 03:13:12.481
POTENTIALLY BEING.
03:13:12.548 --> 03:13:13.649
AT LEAST THAT A PLACE WHERE WE
03:13:13.715 --> 03:13:15.250
CAN NOW PUT THIS JOB BUT I THINK
03:13:15.317 --> 03:13:16.285
MOVE WE DO HAVE TO THINK A
03:13:16.351 --> 03:13:17.386
LITTLE BIT ABOUT.
03:13:17.453 --> 03:13:19.755
HOW WE CAN ALSO MAXIMIZE THE
03:13:19.822 --> 03:13:21.523
RESOURCES AS WELL SO EVEN AS
03:13:21.590 --> 03:13:22.991
YOU'RE LOOKING AT A GENERAL
FUND?
03:13:23.058 --> 03:13:24.893
?
03:13:24.960 --> 03:13:26.895
I REQUEST YOU KNOW WE SHOULD BE
03:13:26.962 --> 03:13:28.697
LOOKING AT IS. WHO HAS THE
03:13:28.764 --> 03:13:30.065
EXPERTISE TO SEE WHETHER WE CAN
03:13:30.132 --> 03:13:31.700
USE THAT AS A CORE TO LEVERAGE
03:13:31.767 --> 03:13:33.135
SOME OTHER FUNDS ARE RESOURCES
03:13:33.202 --> 03:13:34.169
AS WELL?
03:13:34.236 --> 03:13:37.172
TO TRY TO GET GET MORE SO SINCE.
03:13:37.239 --> 03:13:38.707
SIGHTS Y. KEEP DOWN THE BACK OF
03:13:38.774 --> 03:13:40.409
MY MIND AS WELL. AND THINKING
03:13:40.476 --> 03:13:41.877
ABOUT IT THERE'S NO OF SOME OF
03:13:41.944 --> 03:13:43.445
THE SERVICES THAT ARE THAT WOULD
03:13:43.512 --> 03:13:44.646
BE DONE BY THE CENTERS ARE COULD
03:13:44.713 --> 03:13:46.448
BE.
03:13:46.515 --> 03:13:47.082
YOU KNOW COULD WE COULD FIND A
03:13:47.149 --> 03:13:48.183
WAY TO LEVERAGE SOME FEDERAL
03:13:48.250 --> 03:13:49.718
MONEY OR SOME OTHER TYPES OF
03:13:49.785 --> 03:13:52.154
RESOURCES WHILE IN. HOW HOW WE
03:13:52.221 --> 03:13:55.023
WOULD DO THAT? AS WELL THOUGH.
03:13:55.090 --> 03:13:56.725
OKAY WELL I WANNA THANK YOU SO
03:13:56.792 --> 03:13:58.227
MUCH FOR YOUR PRESENTATION NOW
03:13:58.293 --> 03:13:59.328
WE'RE GONNA HOLD THAT THIS ITEM
03:13:59.394 --> 03:14:01.096
OPENED. AND ON THE.
03:14:01.163 --> 03:14:01.930
BUT.
03:14:01.997 --> 03:14:04.333
APPRECIATE. THE PRESENTATION
03:14:04.399 --> 03:14:05.234
AND ALSO.
03:14:05.300 --> 03:14:06.468
TRYING TO HELP US FIGURE
03:14:06.535 --> 03:14:08.470
FIGURES OUT THE NEED HERE ITSELF
03:14:08.537 --> 03:14:10.072
WE CAN FIGURE SOMETHING OUT. A
03:14:10.139 --> 03:14:12.508
REVISED. FIGURE THANK YOU THANK
03:14:12.574 --> 03:14:13.442
YOU THANKS VERY MUCH.
03:14:13.509 --> 03:14:14.009
OKAY.
03:14:14.076 --> 03:14:15.844
WITH THAT I THINK WE'VE
03:14:15.911 --> 03:14:17.012
CONCLUDED OUR AGENDA.
03:14:17.079 --> 03:14:19.648
SELL.
03:14:19.715 --> 03:14:21.016
I WAS PROUD FARM WHERE ONLY
03:14:21.083 --> 03:14:22.584
DESPITE THIRTY FIVE.
03:14:22.651 --> 03:14:23.852
THAT'S A PHYSICAL OR ANY.
03:14:23.919 --> 03:14:26.421
SILENT AGAIN THANK EVERYONE FOR
03:14:26.488 --> 03:14:26.722
BEING HERE.
03:14:26.788 --> 03:14:27.356
.
03:14:27.422 --> 03:14:31.026
AND THE.
03:14:31.093 --> 03:14:33.061
SO WE WILL ADJOURN THIS HEARING
03:14:33.128 --> 03:14:34.396
AT THE US SENATE BUDGET FISCAL
03:14:34.463 --> 03:14:35.831
REVIEW COMMITTEE NUMBER THREE.
03:14:35.898 --> 03:14:37.065
ON HEALTH AND HUMAN SERVICES
03:14:37.132 --> 03:14:38.267
THANK YOU