CALL TO ORDER THIS.
.
HEARING OF THE BUDGET SENATE AND
THE SENATE BUDGET FISCAL VIEW
COMMITTEE SUBCOMMITTEE NUMBER
THREE.
WE ARE GOING TO BE HEARING.
RUSSIA TAKE SEVERAL OF VOTE
ONLY ITEMS.
ON THE CALENDAR SO WE WILL
FIRST BEGAN WITH THE VOTE ONLY
ON PART A AND THEN THE VOTE ONLY
ON PART BE.
AND THEN WE HAVE.
ISSUES FOR DISCUSSION APART A SO
WILL TAKE THAT UP NEXT AND THOSE
ARE SO THE VOTE ONLY ACCOUNT
ITEMS ARE FOR THE CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
EMERGENCY MEDICAL SERVICES
AUTHORITY THE OFFICE OF
STATEWIDE. HEALTH PLANNING
DEVELOPMENT THE DEPARTMENT OF
HEALTH CARE TO PERMIT HEALTHCARE
SERVICES DEPARTMENT PUBLIC
HEALTH DEPARTMENTS STATE
HOSPITALS. ARGUING SERVICE
DEVELOPMENT DEPARTMENT CHILD
SUPPORT SERVICES DEPARTMENT
SOCIAL SERVICES.
AND A PART A WE DO HAVE SOME
ITEMS FOR DISCUSSION BASED ON
THE MAY REVISE FOR THE PART OF
PUBLIC HEALTH DEPARTMENTS THE
HOSPITALS WERE HERE TODAY.
AND THEN.
IN PART BE WE HAVE ITEMS FOR
CALIFORNIA HEALTH HUMAN SERVICES
AGENCY DEPARTMENTS SOCIAL
SERVICES I WOULD MAKE NOTE FOR
THOSE FOR FALLING FOR PART B..
WE DO HAVE.
AN ITEM.
THE LAST ISSUE SIX
EIGHTEEN WHICH IS THE.
.
CASELOAD ADJUSTMENTS FOR PARKS
SOCIAL SERVICES WE'RE GONNA TAKE
THAT OUT OF ORDER AND TAKE OUT
THE FIRST ITEM.
PART B..
AND SO WE WILL TAKE THAT FIRST.
AND THEN WE'LL TAKE THE REST OF
THOSE ITEMS IN ORDER. HIGH JELLY
WE WILL HAVE THE. AGENCY AND THE
LA JOH AND FINANCE A COMMENT.
ON THESE ITEMS AND THEN.
WE WILL.
FOR.
APARTMENT GROUPING WILL THEN
TAKE PUBLIC COMMENT THE END OF
THAT APARTMENT GROUPING.
AND THE.
YET TO ASK THAT YOU TRY TO KEY
PUBLIC COMMENT TO A MINUTE OR
LESS.
SO WITH THAT.
HOW WE SHOULD GO AHEAD AND
ESTABLISH A QUORUM?
SO THE TAKE.
CALLED.
PAN HERE. MONNING YEAR STONE.
OKAY WE ARE ALL HERE.
ALRIGHT SO LET'S GO AHEAD AND.
WE HAVE.
.
PART A WE EVER VOTE
CALENDAR HERE.
HAY.
ALRIGHT.
SO FIRST ITEM IS.
DEPARTMENT OF HEALTH AND HUMAN
SERVICE AGENCY DEPRIVE
HEALTHCARE SERVICE DEPARTMENT
SOCIAL SERVICES ISSUE ONE MEDI
CAL ELIGIBILITY DATA
MODERNIZATION SYSTEM BETS
MODERNIZATION. IS THERE A MOTION
WILL. SPEND MOVE BY SARAH MINING
ACETATE SHE'S CALL THE ROLL PAN
AYE AYE MONNING. STONE.
OKAY NEXT I MISSION OVER TO HIS
RIGHT SIZING OF OFFICE LAWS
ENFORCEMENT SUPPORT.
IS THERE A MOTIONS AND MOVE BY
SENATOR MINING.
SECURITIES CALL THE ROLL PAN
AYE MONNING STONE.
ISSUE NUMBER THREE ACTIONS AND
WHAT I SHOULD CALL OUT THE.
CULTURE OKAY SO THAT'S OUT THREE
ZERO ALSO ISSUE NUMBER ONE IS
OUT THREE ZERO.
OKAY.
.
NEXT IS.
EMERGENCY MEDICAL SERVICES
AUTHORITY.
INCREASE AT INTEREST TO
INFORMATION TECHNOLOGY SECURITY
RESOURCES THEIR MOTION.
IT'S BEEN MOVED BY SECOND US
UNDERMINING ACEKARD PLEASE CALL
THE ROLL PAN AYE MONEY STONE.
OKAY SO THAT'S OUT THREE ZERO
NEXT ITEM IS OFFICE STATEWIDE
HEALTH PLANNING AND DEVELOPMENT.
MENTAL HEALTH LOAN ASSUMPTION
PROGRAM IS SAVE RESOURCES IS OUR
MOTION. AND MOVE AYE SIR MINING
SECTOR PLEASE CALL THE ROLL PAN
AYE MONEY.
STONE.
OKAY A SO THAT'S OUT THREE ZERO
OKAY NEXT I DON'T PERMITS HEALTH
CARE A CONSUMER OUT REACH AN
ASSISTANT PROGRAM EXTENSION.
YOUR MOTION.
PROVEN IT UP
MULDER BUT
KNOWING. YES AND TO FUND THE
PROGRAM IS TO HAVE MILLION
ALRIGHT SPIN MOVE BY CENTER
MINING SECTOR PLEASE CALL THE
ROLL PAN AYE MONNING AYE STONE.
OKAY SO THAT'S OUT TO ONE.
I NEXT ITEM IS PART HEALTHCARE
SERVICES FEDERAL MANAGED CARE
REGULATION IMPLEMENTATION AND
THE NEARBY CENTER MINING* IF
IT PLEASE CALL THE ROLL PAN AYE
AYE MONNING. STONE.
THAT'S OUT THREE ZERO.
NEXT ITSELF DISCONTINUATION OF
THE THREE FORTY BE DRUG
REIMBURSEMENT PROGRAM
IT'S BEEN MOVED BY. THIS TO DENY
ME.
SELF ARTISTIC.
WELL ACTUALLY IT'S TO THIS THE
ADMINISTRATION'S PROPOSAL.
SO YOU MOVED TO REJECT A TRAILER
BILL BY MOVE BY US CENTER STONE
SO ACTUALLY I GUESS.
KLAY.
BURTON.
WERE VOTING TO.
ALRIGHT WE ARE VIRGINIANS.
I'LL HAVE TO MOVE THEM.
OKAY.
REJECTION OKAY SO THEM OKAY TO
THE FISH THE THE MOTION. IS TO
REJECT ADMINISTRATION'S PROPOSAL
FOR DISCONTINUATION THREE FORTY
PM SURE ONE KNOWS WE'RE VOTING
FOR OKAY SO THEREFORE AN AYE
VOTE IS A VOTE TO REJECT
DEMONSTRATIONS PROPOSAL.
BEEN MOVED BY SENATOR STONE A
SECTOR PLEASE CALL THE ROLL. PAN
AYE AND REJECTION
MONEY.
I TO REJECT.
STONE.
REALLY.
OKAY I HAD SO THE THREE ZERO
TAMMY JACK THE.
ITS CONTINUATION OF THE THREE
FORTY BE DRUG REIMBURSEMENT FROM
OKAY.
VERY CLEAR WHAT THE.
OKAY ISSUE NUMBER THREE IS DRUG
MEDI CAL SPECIALTY MENTAL
HEALTH.
FOLK OFF I HEALTH THERE'S A
RULE HEALTH CENTERS.
TO MOVE BY CENTER MINING AS
ACCURATE THESE CALL THE ROLL PAN
AYE MONNING. STONE.
OKAY THAT'S OUT THREE ZERO.
ISSUE NUMBER FORCE HEALTH CARE
REFORM FINANCIAL REPORTING SO
MOVE SMOTE MOVE BY SARAH MINING
SECTOR PLEASE CALL THE ROLL PAN
AYE MONNING. STONE.
THAT'S OUT THREE ZERO.
NEXUS ORANGE COUNTY OFFICE
CONSOLIDATION.
IT'S MOVE I CEREMONY SECTOR
PLEASE CALL THE ROLL AND I MONEY
STONE.
GET THAT OUT THREE ZERO
A NEXUS HIPER OF PRIVACY RULE
COMPLIANCE SOON VICE ARE MINING
SECTOR PLEASE CALL THE ROLL PAN
AYE MONNING AYE AYE STONE.
THAT'S OUT THREE ZERO.
NEXUS CALIFORNIA TECHNICAL
ASSISTANCE PROGRAM EXTENSION
THEM SPIN MOVE BY SARAH MINING
SECTOR PLEASE CALL ROLL PAN AYE
MONNING AYE STONE.
THAT'S OUT THREE ZERO.
THE NEXUS CALIFORNIA ELEVEN
FIFTEEN WAIVER MEDI CAL TWENTY
TWENTY.
LET'S MOVE AYE CENTER MINING
SECTOR OF THESE CALL THE ROLL
PAN AYE AYE MONEY STONE.
NEXUS GRADUATE MEDICAL
EDUCATION PROGRAM OVERSIGHT AND
MONITORING SO.
AND WE BY CEREMONY SECTOR PLEASE
CALL THE ROLL PAN AYE AYE MONEY
STONE.
THAT'S OUT THREE ZERO.
NEXUS QUAN HOSPITAL QUALITY
ASSURANCE FEE PROGRAM.
I MOVE TO APPROVE AN EIGHT DOT
PLACEHOLDER TRAILER BILL.
OKAY THE MOTION THAT'S SO SINCE
MOVED TO ADOPT AND APPROVING
ADOPT PLACE PLACEHOLDER TRAILER
BILL LANGUAGE SICK OF HIS CALL
THE ROLL. PAN AYE MONEY AND
STONE.
OKAY THAT'S OUT THREE ZERO.
TEXAS FULLY QUALIFIED HEALTH
CENTER AUDITS.
THE MOTION TO APPROVE SOON MOVE.
IT'S BEEN MOVED BY CEREMONY
SECTOR PLEASE CALL THE ROLL PAN
AYE MONNING STONE.
OKAY THAT'S OUT THREE ZERO.
NEXUS CLINICS SLASH COMMUNITY
TREATMENT FACILITY SUPPLEMENTAL
PAYMENTS.
THE MOVE BY CEREMONY.
SEC RIPLEY'S CULTURAL PAN AYE
MONNING AYE STONE OKAY SETS OF
THREE OUT THREE ZERO PROVE.
ISSUE NUMBER THIRTEEN THAT
ABUTS MONK CUSTOMER RELATIONS
MANAGEMENT SYSTEM.
BEEN MOVED BY SARAH MINING.
SECRETARIES CALL ROLL.
I MONEY
STONE.
THAT'S OUT THREE ZERO NEXUS MEDI
CAL.
PROGRAM TERRY DATA ANALYSTS AND
THE MOTION WOULD BE THE PROVEN
ADOPT PLACEHOLDER BILL LANGUAGE
AND IT'S BEEN BY CEREMONY SECTOR
OF THESE CALL THE ROLL PAN AYE
MONEY. STONE.
OKAY THAT'S OUT THREE ZERO NEXUS
DEPARTMENT PUBLIC HEALTH.
WE HAVE THE ALZHEIMER'S DISEASE
PROGRAM OF GRANT AWARDS IT'S
BEEN MOVED BY CENTER STONE
TAYLOR PLEASE CALL THE ROLL PAN
AYE MONNING AYE STONE.
OKAY THAT'S OUT THREE ZERO.
NEXT ITEM IS PUBLIC BEACHES
INSPECTION FOR CONTAMINANTS AND
SWEDISH OF SP THIRTEEN NINETY
FIVE. THE MOVE TO NEW BY
CEREMONY SECTOR OF THESE CALL
THE ROLL PAN AYE MONNING STONE.
OKAY THAT'S OUT THREE ZERO.
LEX'S RICHMAN LAB VIRAL RICKETTS
ILL DISEASE LOVE. LAB UPGRADE.
AND IT'S BEEN MOVE I CENTER
MINING SECTOR PLEASE CALL THE
ROLL PAN AYE MONNING. STONE.
OKAY THAT'S OUT THREE ZERO.
OKAY.
AND SEAT NEXT.
EXCEPT THE PART OF STATE
HOSPITALS UNIFIED HOUSE BILL
COMMUNICATION PUBLIC ADDRESS
SYSTEM FACE TO THE MOVE TO
NEARBY CENTER MINING SECTOR
PLEASE CALL THE ROLL PAN. AYE
MONNING STONE.
THAT'S OUT THREE ZERO.
NEXT IS ONGOING COSTS FOR
PERSONAL DURESS ALARM SYSTEM.
AND AND MOVE AYE CENTER MINING.
SECTOR PLEASE CALL THE ROLL PAN
AYE AYE MONEY AND STONE.
OKAY THAT'S OUT THREE ZERO
EXCESS INFORMATION SECURITY
PROGRAM EXPANSION.
THE MOVE HAS BEEN MADE BY
CEREMONY SIX OF THESE CULTURAL
PAN AYE MONNING STONE.
S. THIS ELECTRONIC HEALTH
RECORDS PLANNING.
IT'S BEEN MOVED BY CENTER STONE
HAS EXTRA PLEASE CALL THE ROLL
PAN AYE MONNING STONE.
OKAY THAT'S OUT THREE ZERO.
X. ITEMS CLING GUN U. ACTIVITY
COURTYARD REAPPROPRIATION.
IT'S BEEN A BY CEREMONY SECTOR
PLEASE CALL THE ROLL PAN AYE
MONNING. STONE.
THAT'S OUT THREE ZERO NEXUS
METROPOLITAN CONSOLIDATION OF
POLICE OPERATIONS. AND MOVE TO
I. CENTER MINING SECTOR PLEASE
CALL THE ROLL PAN AYE MONNING.
STONE.
OUR NEXT ISSUE THAT'S OUT THREE
ZERO NEXUS METROPOLITAN CD
FIRE ALARM.
SYSTEM UPGRADE REAPPROPRIATION
WOUNDS IN THEIR BY CEREMONY
SECTOR PLEASE CALL THE ROLL PAN
AYE AYE MONEY. STONE.
OKAY THAT'S OUT THREE ZERO.
NEXT THIS.
PATENT FIRE ALARM SYSTEM
UPGRADE. THEM TO MOVE BY CENTER
MINING SECTOR PLEASE CALL THE
ROLL AND AYE MONNING. STONE.
A THAT'S OUT THREE ZERO. AYE
PATENT CONSTRUCT NEW MAIN
KITCHEN A REAPPROPRIATION.
REMOVAL OKAY SECTOR MINING.
MOVES.
SEXUALLY PLEASE CALL THE ROLL
PAN AYE MONEY.
STONE.
OKAY THAT'S OUT THREE ZERO OKAY
SO THAT COMPLETES THE VOTE ONLY
COUNTERPART A. WE'RE GOING TO
MOVE ON TO THE VOTE ONLY
CALENDAR FOR PART VII
.
OKAY SO WE'RE GONNA BEGIN WITH
DEPARTMENT OF COMMUNITY SERVICES
AND DEVELOPMENT
AT STYLE.
WHY KEEP THAT FEDERAL FUNDS
INCREASE?
?
THEY SHOULD
TO APPROVE AS THEIR EMOTION.
THEREBY CENTER MINING SECTOR
PLEASE CALL THE ROLL PAN AYE
MONNING. STONE.
THAT'S OUT THREE ZERO X.
APARTMENT CHILD SUPPORT SERVICES
MAY REVISION ESTIMATE.
.
OKAY IT'S BEEN MOVED BY SO FOR
APPROVAL IT'S BEEN MOVED BY
CENTER STONE SECRETARY PLEASE
CALL THE ROLL PAN AYE MONEY AND
STONE.
THAT'S OUT THREE ZERO THE PART
OF SOCIAL SERVICES CAO WORKS
INCREASED.
AB EIGHTY FIVE SAVINGS.
MOVED BY S..
CENTER MINING SECTOR PLEASE
CALL THE ROLL PAN AYE MONNING
AND STONE.
NEXT ITEM IS THE FAR SOCIAL
SERVICES CHILD WELFARE SERVICES.
.
SO I.
THAT THIS CHILD PROGRAMS
REAPPROPRIATION.
AND THAT'S US THAT'S BEEN MOVED
BY CEREMONY SECTOR PLEASE CALL
THE ROLL PAN.
I MONEY OKAY STONE.
NEXT PART OF SOCIAL SERVICES AND
HOME SUPPORT SERVICES ARE B. C.
P..
MACHINE FOR POLLS WERE IN DEPTH
MONITORING AYE TO ASSESS TO MOVE
BY CENTER STONE AYE SECRETARY
PLEASE CALL THE ROLL PAN AYE
MONEY AND STONE.
OKAY THAT'S OUT THREE ZERO.
NEXT IS DEPARTMENT SOCIAL
SERVICES COMMUNITY CARE
LICENSING.
IT'S THE BUT SHE FROZE OVER
PRIVATE ALTERNATIVE BOARDING
SCHOOLS OF THE PROGRAM OVERSIGHT
AND IT'S BEEN MOVED BY SARAH
MINING SECTOR PLEASE CALL THE
ROLL PAN AYE MONNING. STONE.
OKAY THAT'S OUT TO ONE.
OKAY NEXT SIZE FARM SOCIAL
SERVICES ADULT PROTECTIVE
SERVICES HOME SAFE PROGRAM.
.
SO APPROVED FUNDING IS REQUESTED
APPROVED.
TRAILER BILL LANGUAGE AS A
PLACE HOLDER AND THE DIRECT
DEPARTMENT WORKED CDA REGARDING
EXPANDING THE HOMELESS AND AT
RISK HOMELESS ELIGIBILITY
CRITERIA IN THE FOLLOWING WAYS.
SO.
BEEN MOVED BY CENTERS.
STONE A SECRETARY PLEASE CALL
THE ROLL PAN AYE MONNING NIGHT
STONE.
OKAY THAT'S OUT THREE ZERO.
OKAY THAT COMPLETES THE VOTE
ONLY CALENDAR FOR. HEART BEAT SO
WE WILL MOVE ON TO DISCUSSION
APART A
.
ALL RIGHT.
OKAY SO WE'RE GOING TO BEGIN
WITH THE DEPARTMENT OF PUBLIC
HEALTH.
.
AND THAT'S WHAT WE'RE GONNA DO
NOW IS ACTUALLY FOR THE RECORD.
WOODS THAT EVERYONE CAN
INTRODUCE THEMSELVES A START
WITH PART PUBLIC HEALTH.
I AM DOCTOR KAREN MARC THIESSEN
OFFICE OF AIDS.
IF YOU ALEJO.
SO NEPETA BELIAU.
THE FAR FINANCE.
WE REGRET PERMANENTLY THERESA
COVERED BY THE FINANCE.
SO WHEN OF BEGIN WITH THE AIDS
DRUG ASSISTANT.
PROGRAM A DAFT BAY REVISION
ESTIMATE AND IT JUST.
AND YOU THINK YOU GOOD
AFTERNOON.
I'M SO THE GUY TWO THOUSAND
EIGHTEEN NINETEEN GOVERNOR'S
BUDGET INCLUDED IT UP LOCAL
SYSTEMS FUNDING OF THREE HUNDRED
NINETY EIGHT POINT ONE MILLION
NO STATE GENERAL FUND
CORPORATION. I. FOR FISCAL YEAR
SEVENTEEN EIGHTEEN REVISED
CURRENT YEAR BUDGET IS THREE
HUNDRED NINETY TWO MILLION. A
DECREASE OF SIX POINT TWO
MILLION OR ONE POINT FIVE
PERCENT WHEN COMPARED WITH THE
GOVERNOR'S BUDGET. AND THE
DECREASE IS MAINLY DUE TO AT
PROJECTED DECREASING CASELOAD.
AND WE'RE REQUESTING A DECREASE
OF SIX POINT TWO MILLION AND
EIGHT APP REBATE FIND
AND THE CHURCH AUTHORITY WHEN.
BUDGET
AND THE REVISED BUDGET NOTES
DOES NOT INCLUDE ANY GENERAL
FUND APPROPRIATION OR ANY KIND
SERVICES.
AND THEN FOR FISCAL YEAR
EIGHTEEN NINETEEN THE PROPOSED
EIGHT UP LOCAL ASSISTANCE
FUNDING FOR THE BUDGET YEAR. IS
FOUR HUNDRED AND TIRTY TWO
POINT ONE MILLION A DECREASE OF
TWO POINT THREE MILLION OR ZERO
POINT.
SENATE WHEN COMPARED WITH THE
GOVERNOR'S BUDGET.
AN INCREASE OF FORTY ONE FORTY
POINT ONE MILLION WHEN COMPARED
WITH THE REVISED.
SEVENTEEN EIGHTEEN FUNDING THE
DECREASE FROM THE GOVERNOR'S
BUDGET IS PRIMARILY DUE TO
PROJECTED.
SLOW AGAIN.
AND CHANGES TO THE BUDGET
AUTHORITY WHEN COMPARED WITH THE
TWO THOUSAND SEVENTEEN BUDGET
ACT INCLUDES DECREASE OF TWO
POINT THREE MILLION IRAQI DEPUTY
FUND. BUDGET AUTHORITY.
THERE IS ONE NEW EIGHT OUT
POLICY CHANGE IN IT ARE SPECIAL
FUNDS STATE OPERATIONS COST
ADJUSTMENT. RELATED TO FUNDING
IT HAPPEN MOMENT SYSTEM. AND I
CAN PROVIDE A BRIEF OVERVIEW OF
THOUGHT NOW.
AND THE INTERMEDIATE AND ROMAN
SYSTEM WAS BUILT AS A BASIC
INTERIM SOLUTION WELL A
PERMANENT IT SOLUTION CAN BE
IDENTIFIED VIA THE PROJECT PROVE
A LIFE CYCLE OF POWER PROCESS.
THE CALIFORNIA DEPARTMENT OF
TECHNOLOGY AND THE CD PH
INFORMATION TECHNOLOGY SERVICES
DIVISION HAVE BEEN WORKING
COLLABORATIVELY WITH THE OFFICE
OF LEADS TO EVALUATE A LONG TERM
IT SOLUTION. FOR THE IT OUT
BENEFITS MOMENT SYSTEM.
WE ARE REQUESTING ANY
SUBSPECIALTY AND STATE
OPERATIONS EXPENDITURE
ADJUSTMENT TO REFLECT AN
INCREASE OF ONE POINT SIX
MILLION FOR FISCAL YEAR
SEVENTEEN EIGHTEEN AND FOUR
POINT FOUR MILLION. FOR FISCAL
YEAR EIGHTEEN NINETEEN AND THE
DETAILS OF THAT ARE OUTLINED IN
THE ESTIMATE BUT JUST VERY
BRIEFLY. AND THESE COSTS ARE
REALLY RELATED TO OUR CONTRACT
AMENDMENTS FOR CONTRACTOR
STAFFING RESOURCES
TO ADD FUNCTIONALITY TO THAT IT
HAPPEN ROMAN SYSTEM. NECESSARY
TO FACILITATE THE VARIOUS
PROGRAM ENHANCEMENTS THAT WE'VE
DONE ON INCLUDING THE PUBLICIST
AND PROGRAM AND THAT EXTENSION
OF INSURANCE PREMIUMS A MEDICAL
OUT OF POCKET COSTS PAYMENTS TO
INDIVIDUALS WITH EMPLOYER BASED
INSURANCE.
AND OUR MEDICARE PART B..
AND THEN ALSO SOME COSTS RELATED
TO UNDERGOING GOING THROUGH THE
POWER PROCESS.
THANK YOU ANY COMMENTS FROM
ALEJO. FINANCE.
ASK ME NUMBER.
OKAY.
TELELOGIC SO MUCH FOR YOUR
PRESENTATION SIMPLY HOLD SIDE OF
OPEN FOR.
OKAY.
NEXT ADDITION EIGHT ZERO
SCREENING PROGRAM MAY REVISION
ESTIMATES.
INTRODUCE YOURSELF FOR THE
RECORD.
SOMEONE.
THE CENTER FOR FAMILY HEALTH.
SO WE ARE PLEASED A COME BACK TO
YOU IN MAY. IN REPORT SOME MINOR
CHANGES TO CASELOAD FOR BOTH
NEWBORN SCREENING AND PRENATAL
SCREENING. AND NEWBORN SCREENING
FOR CURRENT YEAR WHERE
ADJUSTING.
DOWNWARD A DECREASE OF POINT
FOUR PERCENT AND PRENATAL
SCREENING AYE DECREASE OF POINT
THREE FIVE PERCENT. FOR BUDGET
YEAR WE SHOW A SLIGHT INCREASE
OF UP FOR NEWBORN SCREENING OF
POINT ZERO TWO PERCENT. AND FOR
PRENATAL SCREENING OF POINT ZERO
ONE FIVE FOR.
AND THAT MEANS THAT FOR. A LOCAL
ASSISTANCE IN THE CURRENT YEAR
WE ARE SHOWING DECREASE.
FROM ONE POINT. ONE HUNDRED FOUR
POINT SEVEN MILLION DOWN TO ONE
HUNDRED FOUR POINT. FOR MY HAND
AND WE HOLD STEADY IN BUDGET
YEAR AT ONE OF THREE POINT FIVE.
STATE OPERATIONS REMAINS THE
SAME FOR BOTH BY YEARS.
FOR OUR FUTURE FISCAL ASSUMPTION
WE HOLD STEADY FOR. FUN S. B.
TEN NINETY FIVE WHICH IS ARE
REQUIRED EXPANSION OF ADDITIONAL
A NEWBORN SCREENING TO
SUPPORTERS WITHIN TWO YEARS OF
THEIR ADDITION TO THE RASP.
OF NOTE FOR YOU IS THAT THE A
FEDERAL COMMITTEE RECOMMENDED TO
THAT FEDERAL SECRETARY OF HEALTH
AND HUMAN SERVICES THAT SPINAL
MUSCULAR ATROPHY BE ADDED TO.
THE PANEL IN FEBRUARY THE
SECRETARY HAS A HUNDRED AND
TWENTY DAYS TO RESPOND TO THAT
SO WE ARE ANTICIPATING. AN
ANSWER ONE WAY OR THE OTHER BUT
YOU.
I AM AND THEN. IN THE NOVEMBER.
ESTIMATE WE REPORTED THAT WE
WILL BE SUBMITTING TRAILER BILL
LANGUAGE TO. GIVE THE DIRECTOR
THE AUTHORITY TO SET THE AMOUNT
OF
THEY LIVE.
FEE THAT IS PASSED FROM PRENATAL
SCREENING TO THE BIRTH DEFECTS
MONITORING PROGRAM.
RIGHT BEFORE IT WENT TO THE
GOVERNOR IT WAS RETRACTED AND SO
THAT IS NOT IN THERE WE HAVE
DECIDED TO.
SUPPORT THE.
BIRTH DEFECTS MONITORING
SURVEILLANCE ACTIVITIES
THROUGH THE JACK DISEASE TESTING
FUND VARIOUS EXISTING STATUTE
THAT ALLOWS US TO USE THE GTF.
FOR THE SURVEILLANCE ACTIVITIES
NOT THE BY A BANK ACTIVITIES BUT
SPECIFICALLY FOR SURVEILLANCE
ACTIVITY SO WE WILL BE ABSORBING
THAT IN THE JACK TO.
FUND AND SO THERE IS NO TRAILER
BILL.
AND QUESTIONS.
ALRIGHT COMING FROM ALEJO.
FINANCE.
MEMBERS.
YES THERE'S NO PREVIEW.
I'M I'M VERY HAPPY TO HEAR ABOUT
THE INCLUSION OF THE VERY.
MUSCULAR DYSTROPHY TYPE. DON'T
ANSWER COULD BE.
A SCREEN. TELL ME HOW DO YOU.
.
YOU.
PARTICIPATE AS A THAT
THE PERINATAL.
PATIENT TO TO.
THE SCREEN A SWEETENER SCREENING
EVERYBODY I IS.
FOR FOR SPINAL MUSCULAR ATROPHY
OR FOR THESE OTHER.
.
SCREENINGS.
THAT WE HAVE THE GENETIC
SCREENING PROGRAM SO WE HAVE TWO
PROGRAMS WE HAVE NEWBORN
SCREENING RIGHT TO WHICH IS THE
SCREENING PROGRAM THAT ALL
BABIES GET USUALLY PRIOR TO
DISCHARGE FROM THE HOSPITAL BUT
I THINK YOU HAVE. IT EVERYDAY IN
UTERO.
NO NO WE DON'T. THAT PRENATAL
SCREENING PROGRAM THAT WE OFFER
FOR PREGNANT WOMEN IS A.
PERSONAL BLOOD TEST THAT WOMEN
COMING. THEY CAN PARTICIPATE IN
A NUMBER OF WAYS I CAN GET A
FIRST TRIMESTER SPECIMEN AND A
SECOND TRIMESTER SPECIMEN. AS
WELL AS A SPECIAL I'M ULTRASOUND
MEASUREMENT THAT IS.
OF A VERY ACCURATE ESTIMATE OF
THE BABIES.
ARE ACTUALLY ESTIMATE A VERY
ACCURATE MEASUREMENT OF THE
BABY'S AGE OF THE FETUS IS
EIGHTEEN. AND TOGETHER THAT
ALGORITHM ALONG WITH SOME
INFORMATION ABOUT THE WOMAN HOW
MUCH SHE WEIGHS WHAT RATIOS
GIVES A RISK ANALYSIS OF FOR HER
PREGNANCY FOR THE BABY HAVING
DOWN SYNDROME. TRISOMY EIGHTEEN
WE ALSO IN THE SECOND TRIMESTER
ARE LOOKING FOR NEURAL TUBE
DEFECTS. AND SO THOSE ARE THE
THINGS WE LOOK FOR IN THE
PRENATAL SCREENING PROGRAM IF A
WOMAN HAS A POSITIVE.
SCREEN THAN SHE IS OFFERED
FOLLOW UP AS PART OF THE COST
SHE PAID FOR THE ORIGINAL SCREEN
SO SHE IS REFERRED TO A PRENATAL
DIAGNOSIS CENTER. AND SHE CAN
GET GENETIC COUNSELING CHICKEN
CONDITIONAL ULTRASOUND SHE COULD
GET AMNIOCENTESIS SHE CAN GET SO
FREAKIN A. CHU BEN DIAGNOSE
WHETHER OR NOT HER FETUS HAS ONE
OF THESE.
AND HOW DO YOU CHOOSE THE.
THE DEPARTMENT.
LADIES THAT PARTICIPATED IN THE
IN THE SCREENING IS IT SO HARD
THREE HIGH RISK FAMILY HAS YOU
KNOW IT'S EVERY PREGNANT WOMAN
ACTUALLY. ON PRENATAL CARE
PROVIDERS IN CALIFORNIA ARE
REQUIRED TO OFFER THE PROGRAM TO
EVERY WOMAN WHO EMBARRASSED
THEIR CARE PRIOR TO TWENTY WEEKS
OF PREGNANCY. WOMEN DON'T HAVE
TO PARTICIPATE BUT THE DOCTORS
REQUIRED SLUMBER OFFER. AND THEN
THE WOMAN SHOULD SIGN WHETHER
SHE WANTS TO PARTICIPATE OR NOT
SUCH OPEN TO EVERYBODY AND SO
FOR THE. FINANCIALLY CHALLENGED
WHERE WE'RE PROVIDING FUNDS TO
MAKE SURE MEDICAL HELICOPTER
THOUGH S. HOPS ONTO PRIVATE
INSURANCE'S.
ROUTINELY PAY FOR THIS KIND OF
SERVICE.
YOU KNOW IT'S BEEN A CHALLENGE
FOR ASK HIM.
THE CHALLENGE BEING THE WAY THE
LAW GOVERNS INSURANCE AND
MANAGED CARE. IN THE IDEA OF IN
NETWORK AND OUT OF NETWORK IN
THE HOUSING CALIFORNIA WORK
UNIQUE WE'RE THE ONLY STATE WITH
THIS KIND OF PROGRAM. WE DON'T
CONTRACT LOW INSURANCE COMPANIES
TO BE THERE IN NETWORK PROVIDER
SU IT'S BEEN CHALLENGE HIM FOR
S. WE.
WE AT RECENTLY A YEAR AGO I
THINK WE HAVE TALKED TO YOU
ABOUT THE FACT THAT WE
OUTSOURCED OUR MEDICAL BILLING
AND THAT'S BEEN VERY SUCCESSFUL
WE HAVE A COMPANY THAT IS
SPECIALIZES IN MEDICAL BILLING
REALLY WORKING WITH INSURANCE
COMPANIES AND GOING BACK AND
FORTH IN. NEGOTIATING WITH THEM
TO GET THE BILL WITH WHAT IS A
COST FOR KESSLER.
IT'S TWO HUNDRED AND TWENTY ONE
DOLLARS AND NOT THAT BAD.
I IT'S VERY REASONABLE TO MUCH
CHEAPER IF YOU WERE A PRIVATE
PATIENTS SEEKING THIS TACIT IF
YOU'RE INVOLVED IN FREEBIE
ARISTIDE IF YOU'RE IN IF YOU'RE
IN A.
MEDICAL HMO LA IS OUR MANDATE
THAT THEY PROVIDE THIS.
YEAH IT'S A IT'S A COVERED
BENEFIT FROM. ABSOLUTELY EVEN IF
THE CALCIUM WE WE COLLECT FROM
MEDICAL VERY EASILY BUT EVEN I
DIDN'T MANAGE CARE MODELS MATCH
LIKE GREAT. THANK YOU VERY MUCH
KATE AMANDA.
OKAY THANK YOU THANK YOU SO MUCH
FOR YOUR WORK FISHING.
THAT'S REMIND OUR AUDIENCE THAT
WE WILL BE TAKING PUBLIC COMMENT
ALL OF THE PUBLIC HEALTH ITEMS
AT THE CONCLUSION OF.
.
PUBLIC HEALTH ITEMS.
SO.
ALRIGHT SO NEXT THAT WE HAVE
THE.
WITH.
PROGRAM A REVISION ESTIMATES
A COMMUNITY YOURSELF FOR THE
RECORD I AM CHRISTINE NELSON
CHIEF OF THE WITH DIVISION AND
THE DEPARTMENT OF PUBLIC HEALTH.
YOUR HONOR MAY WE REVISION OF WE
HAVE ESTIMATED ARE EXCUSE ME
UPDATED OUR FOOD EXPENDITURES IN
PARTICIPATION. WE CONTINUE TO
SEE A DECLINE IN PARTICIPATION
THE WHAT PROGRAMS HORTON REVISED
NUMBERS ARE. SHOULD DECREASE OF
ABOUT TWELVE THOUSAND
PARTICIPANTS EACH AND IN CURRENT
YEAR AND BUDGET YEAR.
I'M BUDGET YEAR PROGRAM
PARTICIPATION IS ESTIMATED JUST
OVER A MILLION PARTICIPANTS EACH
MONTH.
AND OUR FOOD EXPENDITURES OF
ALSO DECREASED IN THE CURRENT
YEAR WE HAVE SEEN A REDUCTION%
AND TO EIGHT HUNDRED. AND ONE
MILLION DOLLARS WHICH IS ABOUT.
A FOUR PERCENT DECREASE.
AND IN THE BUDGET YEAR BECAUSE
OF DECLINING. PARTICIPATION ALSO
INFLATION THAT THE ESTIMATE IS
NINE HUNDRED SEVENTY TWO MILLION
DOLLARS EXCUSE ME. BILLION.
MILLION DOLLARS I DO THAT EVERY
TIME SEVEN HUNDRED SEVENTY
MILLION DOLLARS FOR FOOD WE HAVE
NO CHANGES IN OUR LOCAL SYSTEMS
EXPENDITURES ARE STATE
OPERATIONS. FROM STAY NOVEMBER
ESTIMATE.
WE DO HAVE A FEW.
.
ASSUMPTIONS ALL TALK ABOUT A ONE
FUTURE FISCAL ISSUE ABOUT THE
PRESIDENT'S BUDGET WAS.
CURRENT YEAR BUDGET WAS SIGNED
IN FEBRUARY AFTER READ BE
RELEASED THE THE NOVEMBER
ESTIMATE. A BUT WE STILL DON'T
KNOW EXACTLY WHAT THE NEW YEAR'S
THE NEW BUDGET WILL BEGIN THAT
STARTING OCTOBER OF.
THIS OCTOBER AND SO WE ARE ARE
ANTICIPATING THAT THERE MIGHT BE
A SLIGHT REVISION A REDUCTION IN
THE AND OUR BUDGET WE DON'T SEE
ANY CHANGES. NECESSARY CHANGES
TO THE PROGRAM THOUGH BECAUSE OF
THOSE CHANGES.
I'M AT SEA.
A NEW ASSUMPTION WE DID UPDATE
LAST YEAR'S FEDERAL BUDGET. AND
THEN A COUPLE OTHER ITEMS ABOUT
THE INFANT FORMULA CONTRACT
THAT'S REALLY. BEEN IN PLACE NOW
FOR A COUPLE OF YEARS.
THANK YOU COMES FROM ILLEGAL
FINANCE.
RIGHT COMMITTEE MEMBERS US SO
AGAIN I UNDERSTAND THAT SO WE
ARE BUT.
COMPARED TO OTHER STATES WHEN
THE BEST PERFORMING IN TERMS OF
OUR OUR REGION
AND ROME AND ALL THOSE EVEN AS
ONE THE BEST WE.
STILL ONLY AROUND.
THIRDS.
ELIGIBLE PEOPLE ENROLLED YES
THAT'S CORRECT SO EACH YEAR THE
USTA'S DEPARTMENT OF
AGRICULTURE.
PRESENT.
PUBLISHES A REPORT ON PROGRAM
REACH FOR THEY ESTIMATE THE
ELIGIBLE POPULATION AND WE DO
HAVE THE HIGHEST RATE OF ALL
STATES ABOUT SIXTYFIVE PERCENT
OF THE ELIGIBLE AND CALIFORNIA
ARE SERVED. WHERE THE NATIONAL
AVERAGES ABOUT FIFTY PER?
SO SO THAT'S GOOD NEWS AND BAD
NEWS RIGHT WITHOUT A THIRD WHO
DON'T KNOW SO PUBLIC.
PUBLIC PSA RIGHT PLEASE IF YOU
QUALIFY FOR WAKE.
COME RIGHT THIS OTHERS A NUMBER
OF THINGS THAT WE'RE DOING TO
HELP INCREASE IN INFORMATION AND
KNOWLEDGE ABOUT THE PROGRAM BUT
ALSO REDUCE ANY BARRIERS TO
PARTICIPATION WE WANNA MAKE SURE
WE HAVE SITES IN THE RIGHT
PLACES THAT OUR APPLICATION
PROCESS IS EASY ALL THOSE TYPES
OF THINGS TO. MAKE THEM
CONTINUED PARTICIPATION THE
PROGRAM OKAY HOSOE SO EVEN
THOUGH WE HAVE A DECLINING
ENROLLMENT.
STOP OPPORTUNITIES TO GET MORE
PEOPLE YES ABSOLUTE OKAY.
ALRIGHT THANK YOU VERY MUCH IF
YOU.
OKAY.
ISSUE NUMBER FOUR CENTER FOR
HEALTH CARE QUALITY MAY
REVISIONIST MEN JUST.
GOOD AFTERNOON CHIU NICENO
DEPUTY DIRECTOR CENTER FOR
HEALTH CARE QUALITY AND SCOPE
VERSUS INDIVIDUAL YOU'RE FLAT
HEALTHCARE QUALITY.
SO FOR OUR CURRENT YEAR THE
TWENTY SEVENTEEN BUDGET ACT
APPROPRIATE TUNE CITY FOUR POINT
TWO MILLION DOLLARS TO SEE THE
PITCH.
CCQ PROJECTS A TWENTY SEVENTEEN
EIGHTEEN X. CONTRA LOWER LEVEL
OF TURN THREE TWO POINT FIVE
MILLION WHICH IS UNCHANGED FROM
THE COVERS BUDGET US MEDI.
FOR BUDGET HERE.
TWENTY EIGHTEEN CCQ INVESTMENTS
LIKE PRINTERS WHO.
TOOLING ABOUT TWO HUNDRED AND
FORTY OPPORTUNITY POINT FOUR
MILLION WHICH IS AN INCREASE OF
TWO POINT SEVEN MILLION OR ONE
PERCENT COMPARE THE GOVERNOR'S
BUDGET.
THIS INCREASES DUE TO THE
EIGHTEEN NINETEEN SPRING
PRESSLER WHICH WE. DISCUSSED
EARLIER IN COMMITTEE.
IT COMES FROM ALEJO.
NO FINANCE.
OKAY.
ALRIGHT SO CERTAINLY WE WILL
HOPEFULLY CAN TRY TO INCREASE
OUR SUPPLY OF SEE AN ACE THINGS
WERE TRYING TO.
GET MORE SAN A RICH. MEETS A
RATIO REQUIREMENTS RIGHT THAT'S
GREAT. SO YOU'D ASK FOR A REVIEW
OF A PROJECT THAT WE'RE HAWKINS
AND UNDER DEVELOPMENT RIGHT NOW.
SO.
COULD QUALITY HEALTHCARE
FOUNDATION.
WHICH IS AN ADJUNCT OF OF CAP.
HAS NOT COME FORWARD THE PROJECT
TO ASK FOR FEDERAL OF CIVIL
MONETARY PENALTIES TO FUND A
PROJECT. THEY'RE ASKING FOR
ABOUT TWO POINT SEVEN MILLION
DOLLARS.
TO FUND A PROJECT WITH
INTENTION OF INCREASING THE
AVAILABILITY OF FRONTLINE
CAREGIVERS AND AT ADDRESSING THE
HIGH TURNOVER RATE WITHIN THE
SITE OF THIS CLASSIFICATION OF
EMPLOYEES.
THE SCENE EIGHT A TRAINING KICKS
OR PROGRAM AS AS THE PROJECT IS
BEING TITLE. WILL ASSIST
PROVIDERS THE DEVELOPMENT OF
SLEEP BASED TRAINING PROGRAMS
WITH THE INTENT OF KILLING
SIXTEEN NEW IN HOUSE TRAINING
PROGRAMS.
A APPROVED BY THE DEPARTMENT OF
PUBLIC HEALTH.
THE PROJECT WILL PROVIDE FUNDS
FOR THE TRAINING OF A THOUSAND.
SCENE ES OVER TWENTY FOUR MONTH
PERIOD. OF THE PROJECT OF FIVE
HUNDRED FIRST YEAR IN THE FIVE
HUNDRED AND THE SENIOR US A
BRING ON MORE PROJECTS ONLINE.
ANY FURTHER COMMENTS FROM THE
EARLIER.
YES THINK YOU WE REVIEWED THE
PROPOSAL BY THE DEPARTMENT OF
PUBLIC HEALTH AND INTERVIEWING
THE PROPOSAL WE DID NOTE THAT
THERE IS NO MENTION OF THE
ADMINISTRATION'S OTHER PROPOSALS
TO TRY TO INCREASE.
TRAINING PROGRAMS FOR C. N.
A.'S.
THERE'S ACTUALLY TWO THAT HAVE
BEEN PROPOSED ONE IN OF THE
THEM.
EMPLOYMENT TRAINING PANEL IN
THE.
EDT AND THE OTHER IN HIGHER
EDUCATION.
WE WOULD NOTE THAT THERE IS
CONSIDERABLE POTENTIAL
DUPLICATION BETWEEN THIS
PROPOSED PROJECT AND THE ETP.
EMPLOYMENT TRAINING PANEL
PROJECT.
I. SO KNOW WE WOULD JUST.
RECOMMENDS THAT CAREFUL
COORDINATION BE DONE BETWEEN.
DEPARTMENTS TO MAKE SURE
THERE'S NOT DUPLICATION IN
EFFORTS.
WE ALSO NOTE THAT IT APPEARS
THAT THE AWARD WAS ALREADY MADE
TO THE FOUNDATION WITHOUT.
LEGISLATIVE APPROVAL WE DO NO
MORE NOW ABOUT HOW THIS ACCOUNT
WORKS.
BUT WE DO. I THINK IT'S
IMPORTANT FOR THE LEGISLATURE TO
HAVE A CHANCE TO WIN.
BUT IT'S.
WE WOULD NOT WE SEE THE VARIOUS
DNA PROPOSALS IS COMPLEMENTARY
NOT DUPLICATIVE AND DIFFERENT
VARYING WAYS THAT TO GET OUT.
AND THE NEED TO HIRE MORE SEE AN
EIGHTIES AND WITH THIS PROPOSAL
WE HAVE BEFORE YOU THE REQUEST
FOR AUTHORITY. TO SO THAT THIRTY
IS NOT BEEN GRANTED TO THE
DEPARTMENT TO SPEND THESE
DOLLARS THAT'S THE REQUEST
BEFORE YOU CAN AND PROVISIONAL
LANGUAGE. UP WE HAVE PROVISIONAL
IN WHICH WE FOUND OUT RECENTLY
THAT THE WORD WAS MADE WAS JUST
TOO LATE TO BILLS. TO NAY
REVISION SO WE EXPECT A TRIGGER
THAT PROVISIONAL ENGLISH VERY
SOON AND EIGHTEEN NINETEEN.
AND YES CONSERVATIVE JUST
PROBABLY MORE BACKGROUND WHEN
WHEN THEY SAID THEY WERE WITH
MAY BASICALLY THESE ARE FUNDS
THAT ARE ARE ARE GOVERNED BY CMS
WHERE THE HOLDER OF THE BAKER OF
POLICE FEDERAL FUNDS AND SO VOTE
SEEM S. THEMSELVES APPROVE THE
PROJECT. AND WE HAVE NOT YET
COME INTO CONTACT WITH THE
PROJECT PROPOSAL YET WE ARE IN
THE PROCESS OF DEVELOPING A
SCHOOL OR WORK. SO ALTHOUGH AS
MAY HAVE APPROVED US TO AFFORD
WE HAVE NOT YET ENTERED INTO A
CONTRACT TO BEGIN TO EXPAND.
AND CAN YOU SPEAK TO LA IS
CONCERNED ABOUT.
WANTS DUPLICATION COMPANY BUT
WHY ARE WE DOING TO BE SURE
THAT.
GIVEN THE FACT THAT AND I THINK
THE MAN IS THERE'S NOT WORRIED
THAT WE'RE SPENDING TOO MUCH
MONEY TRYING TO GET SEEN IS THAT
WE'RE NOT BASICALLY DUPLICATING
ARE RUNNING AFOUL OF EACH OTHER
THAT WE ARE HAVING A COORDINATED
EFFORT TO TRY TO.
SO CERTAINLY THESE ARE
INDEPENDENT PROJECTS AS PRIDE
WAS FIRST PROPOSED TO THE
DEPARTMENT BACK IN OCTOBER SO.
EVEN BEFORE WE BECAME AWARE
THAT THERE IS ANY OTHER PROJECTS
GOING FORWARD WITHIN THE
ADMINISTRATION.
SO THEY ARE AN INDEPENDENT
PROJECT IS RUN SEPARATELY
THROUGH A AND ALSO IT'S TCP AGE
REALLY HAS NO OVERSIGHT ROLE
EXCEPT FOR THE FACT IT WILL BE A
CONTACT MANAGER TO MAKE SURE THE
DELIVERABLES OF THE PROJECT ARTS
ARE. PORTANTINO DELIVERED SO THE
THERE'S A SCOPE OF WORK THAT
WILL BE DEVELOPED OUT TO THE TO
THE WE CAN NAVIGATE HOW THE.
.
CUT IT INTO SLACKED FACILITIES
FOR A MINUTE YOU HAVE CALLER
MISSIONS AND AND AND WORK THAT
WILL WILL CAN TRY TO WORK WITH
OUR COLLEAGUES NEEDY. AGAIN
THESE ARE TOTALLY SEPARATE
PROJECTS AND WE AGREE WITH
MASSIVE TH ARE COMPLEMENTARY IN
NOT COMPETING.
BUT I WILL TRY WILL FINANCE GET
AS MUCH AS WE CAN BETWEEN THE
HAS TO PROGRESS AS A JUST TO
CLARIFY ELATED HAVE COME.
WHY WAS JUST GONNA SAY THAT THE?
THE ETP PROJECT IN THIS PROJECT
OUR BOTH.
IN HOUSE SKILLED NURSING
FACILITY BASED TRAINING PROGRAM
SO.
WE DO THINK IT WOULD MAKE SENSE
TO TRY TO DO AS MUCH
COORDINATION WITH THE TP AS
POSSIBLE SO THEY'RE NOT
TARGETING THE SAME FACILITIES.
SO SO ONE OF THINGS I HOPE TO
SET IT IN THAT FROM I UNDERSTAND
WE SAYING IS THAT.
THE MONEY ACTUALLY HE'S GOING TO
FACILITIES YEAR DID MINISTRY
THERE. RIGHT RIGHT OKAY BUT I
THINK.
PERHAPS AND RULES ADMINISTRATOR.
THERE SHOULD BE COMMUNICATIONS
WITH THE FACILITIES FOR YOUR
PROGRAM TO MAKE THEM AWARE ALSO.
HOPEFULLY WILL ALSO WE CAN WORK
WITH EDT AS WELL BECAUSE WHAT WE
DON'T HAVE A SITUATION IS IS
THAT BASICALLY OF THE SAME
FACILITY DRAWING UP TO SET THE
FUNDS FOR THE SAME WEEK WE CAN
BUILD IT INTO THE SCOPE OF WORK
AS WE. AS WE DON'T THE CONTACT
MAKE SURE THAT THIS COORDINATION
BETWEEN THE PROJECT.
MISTER ON THEIR SIDE TO WORK
WITH HIM PDD AND AND WE CAN BE
KIND OF A PARTNER IN BETWEEN
RIGHT YEAH I THINK I THINK
THERE'S THAT THE I THINK BE GOOD
TO HAVE A. TO HAVE SOME EFFORTS
AT COORDINATION AND
COMMUNICATION COURTNEY
COMMUNICATIONS AS WELL BECAUSE
MULTIMILLION IS I UNDERSTAND THE
FACILITIES ARE DOING THE
TRAINING.
THAT ARE BETWEEN THE TWO
PROGRAMS THAT.
.
WE ACTUALLY.
WORK WITH CIVILITY AND BE SURE
THAT THEY'RE NOT GETTING.
LOOKING MESSAGES OR THAT NOW
YOU'RE SPENDING VERY SAME PERSON
BEING PAID FOR BY. DUPLICATE
PAYMENTS STUFF LIKE THAT.
SO.
THAT THAT WOULD BE OKAY THANK
YOU.
ALRIGHT.
OKAY SO AGAIN THANK YOU VERY
MUCH WILL HOLD THAT ITEM OPEN.
OKAY WITH ISSUE NUMBER FIVE PROP
NINETY NINE ADJUSTMENTS HEALTH
EDUCATION ALLOCATED. AMOUNT AND
ALLOCATED AMOUNTS.
WELCOME.
THANK YOU.
GOOD AFTERNOON FOR THE RECORD
MONICA LOYALISTS AND CHRONIC
DISEASE DEPUTY DIRECTOR FOR THE
DEPARTMENT OF PUBLIC HEALTH I'M
HERE JUST TO GIVE YOU AN UPDATE
ON.
SOME OF THE HAVE AN INCREASE IN
THE HEALTH EDUCATION AND
UNALLOCATED ACCOUNTS FOR PROP
NINETY NINE. AND SPECIFICALLY WE
HAVE.
THE HEALTH EDUCATION ACCOUNT
INCREASE ABOUT ONE POINT TWO
MILLION ONE POINT YEAH I'M TWO
MILLION DOLLARS.
THESE DOLLARS WILL BE UTILIZED
TO FIND TWO TO FOR COMPETITIVE
GRANTS
UP TO COMMITTEE BASED
ORGANIZATIONS TO CONTINUE OUR.
PREVENTION WORK AND ACTIVITIES
AND THAT ARE CURRENTLY TAKING
PLACE IS JUST.
AND EXPANSION OF THE CURRENT
WORK THAT WERE ALREADY DOING. IN
ADDITION FOR OUR UNALLOCATED
ACCOUNT INCREASE OF ABOUT SIXTY
SIX THOUSAND DOLLARS. THIS AGAIN
JUST CONTINUES OUR
ADMINISTRATIVE SUPPORT
ACTIVITIES.
PERTAINING TO TECHNICAL
ASSISTANCE WORKFORCE DEVELOPMENT
AND TRAINING IN OUR DEPARTMENT
SO. I'M VERY FAMILIAR AND SURE
WITH THE WORK THAT WE'RE DOING
INTO BACK.
I THINK YOU LA OF COMMENTS.
MEMBERS.
A QUESTION ON THE.
GRANTS FOR THAT ONE POINT TWO
MILLION THAT. ARE IT IS THAT IT
ARE YOU JUST EXPANDING IN
EXISTING GRANT PROGRAM THEY HAVE
MORE MONEY CAN GIVE A FEW MORE
GRANTS CURRENT OKAY YOU NEXT
ALYSIA HOLD UPGRADE GOOD.
ALRIGHT ALRIGHT WE DON'T NEED
THE OVERHEAD.
OKAY THANK YOU VERY MUCH OF THE
HOLD THIS ITEM OPENED.
AND FINALLY WE HAVE THE ISSUE
NUMBER SIX PROP FIFTY SIX
AUTHORITY TECHNICAL ADJUSTMENTS.
HI AGAIN FOR THE RECORD MONICA
MORALES W. DIRECTOR FOR THE
CENTER FOR CHRONIC DISEASE
PREVENTION.
AGAIN THIS IS JUST ON ENACTED
AN INCREASE HER PROP FIFTY SIX
OF THREE POINT FIVE MILLION
DOLLARS APPROXIMATELY FOR
EIGHTEEN. ON IN NINETEEN. VERY
SIMILAR THESE DOLLARS ARE JUST
CONTINUE TO INCREASE OUR MEDIA
CAMPAIGN RELATING.
YOU KNOW EXPANDING. OUR
SERVICES IN AWARENESS ALSO
CONTINUE OUR EVALUATION EFFORTS
AND REALLY TRYING TO BRING
TOGETHER SOME OF THE OR REGIONAL
SUB GRANTEES BY HOSTING SOME
TECHNICAL ASSISTANCE MEETINGS
WITH THEM SO. FOR JUSTIN
CONTINUATION AGAIN OF THE WORK
THAT WE'RE DOING FOLLOWING ARE
SEEN WORK PLAN THAT WE HAVE IN
PLACE.
AND JUST TO CLARIFY BEFORE WEAK
INCOME US MILLION FINANCE WE'RE
ALSO ASIDE FROM THE AMOUNTS
THERE'S ALSO A DESIRE TO CHANGE
THIS.
GENIUS APPROPRIATION FOR THESE
CATEGORIES AS WELL.
CORRECT IN OUT I CAN LET.
OKAY WELL THAT FINANCE GOING ON
THAT WE GET TO THAT ILIO.
YOU ALWAYS HAVE COMMENTS ABOUT
CONTINUES APPROPRIATIONS RIGHT.
SURE DO OCEAN I MAKE THOSE NOW
OR WAIT FOR AFTER FINANCE TALKS
ABOUT IT OR.
BY ITS WATCH ELABORATE FIRST
SURE YOU DO YOU HAVE YOU LET.
AND THAT IT.
IT A VERY HIGH LEVEL THE MAYOR
OF VISION PROPOSES TO SHIFT
BEGINNING IN EIGHTEEN NINETEEN
GOES BUDGET ACT PREPARATIONS AND
FOR NON MEDICAL PROFIT DE SIX
FUNDS TO CONTINUOUS
APPROPRIATIONS.
WE SEE THIS SHIFT AS CONSISTENT
LEGAL INTERPRETATION OF THE
PROPOSITION. AND.
AGAIN THIS DOES NOT AFFECT THAT
THAT DEPARTMENT HEALTHCARE
SERVICES PROP FIFTY SIX MONTHS.
SO YOU GET THE LAST WORD.
IT WAS A TRYING TO DO THAT.
BUT AS YOU NOTED OUR OFFICE
TYPICALLY RECOMMENDS AGAINST
CONTINUES APPROPRIATIONS AND IN
THIS CASE WE RECOMMEND EJECTING
ALL OF THE PROP FIFTY SIX.
REQUEST TO CHANGE THEIR
ALLOCATIONS CONTINUES
APPROPRIATIONS.
I WE DO THINK THAT SOME OF THEM
MIGHT BE APPROPRIATE FOR
CONTINUOUS ALLOCATIONS BUT THINK
THE LEGISLATURE.
.
SHE GOT MORE TIME TO CONSIDER
IT.
WITH THE JANUARY NEXT JANUARY'S
BUDGET PROPOSAL.
COMES FROM COMMITTEE MEMBERS
ALRIGHT WELL.
I WILL TAKE THIS COUCH DULY
NOTED THAT WE WILL HOLD THIS
ITEM OPEN AND. DELIBERATE ABOUT
CONTINUES APPROPRIATIONS.
OKAY. ALRIGHT WITH THAT WE'VE
COMPLETED OUR ITEMS RELATED
DEPARTMENT PUBLIC HEALTH AND ASK
FOR PUBLIC COMMENTS ON THOSE SIX
ITEMS. I WOULD IN GENERAL ASK
EVERYONE IF YOU CAN KEEP YOUR
COMMENTS UNDER A MINUTE I ALSO
REALIZE YOU'RE SIX DIFFERENT
ITEMS SO YOU DO HAVE COMMENTS
ABOUT. SEVERAL OF THEM I'LL GIVE
YOU A LITTLE THAT YOU HAVE ONE
MORE TIME JUST BECAUSE YOU HAVE
TO COVER SO MANY OF THEM.
BUT IF IT'S ONLY YOU'RE ONLY
HAVING ONE OR TWO PLEASE TRY TO
KEEP IT DOWN TO IN UNDER A
MINUTE THANK YOU.
GOOD AFTERNOON MICHELLE GIVENS
IS THE COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA
REPRESENTING LOCAL HEALTH
DEPARTMENTS AND WANTED TO MAKE
SOME COMMENTS RELATED TO ISSUE
SIX THE PROPOSITION FIFTIES
AUTHORITY IN TECHNICAL
ADJUSTMENTS FROM OUR
UNDERSTANDING BASED ON
CONVERSATIONS WITH THE
DEPARTMENT. I'M EARLIER TODAY
THIS.
PROPOSAL BEFORE YOU WOULD ALLOW
FOR THE ROLL OVER PROVISIONS
THAT WE'VE BEEN SEEKING FOR THE
ORAL HEALTH PROGRAM FOR TOBACCO
PROP PROPOSITION FIFTY SIX
FUNDING THAT COMES DOWN TO THE
LOCAL DEPARTMENTS. AND FOR THOSE
REASONS WERE SUPPORTIVE OF THE
PROPOSAL WITH THE CAVEAT THAT
WE'D.
LIKE CONTINUE CONVERSATION WITH
THE ADMINISTRATION TO ENSURE
THAT IT WORKS OUT THAT WAY AND
THAT.
ADDITIONAL GUIDANCE IS SENT OUT
TO LOCAL HEALTH DEPARTMENTS AND
PARTNERS TO MAKE SURE THAT THEY
FULLY UNDERSTAND THAT THE
ROLLOVER PROVISIONS ARE
ALLOWABLE IN THE FUTURE. IT
WOULD JUST YOU KNOW AND ASK THAT
WE CAN CONTINUE TO BRING THIS
BOARD SHOULD NOT WORK OUT THE
WAY THAT IT'S DESCRIBED.
LOOKING.
OKAY THANK YOU.
KIMBERLY CHEN WITH A CALIFORNIA
PAN ETHNIC HEALTH NETWORK WOULD.
ALIGN OURSELVES WITH COMMENTS
OF THIS GIVEN SO I'M REGARDING
PEOPLE OVER THIRTY. ROLL OVER.
THANK YOU WELCOME HIVE
INTEGRATORS OF THE AMERICAN LUNG
ASSOCIATION CALIFORNIA ONE OF
THE PROPONENTS OF PROPOSITION
FIFTY SIX ALSO LIGHTING MY
COMMENTS WITH THAT AS GEAC AND
JUST HIGHLIGHTING THAT IT'S
REALLY IMPORTANT THAT THESE PROP
FIFTY SIX FUNDS. ARE BE ARE
ALLOWED TO BE SPENT IN THE SAME
WITH THE PART NINETY NINE POUNDS
AND THIS SEEMS TO DO THAT'S WERE
HAPPY WITH THAT.
THANK YOU.
WELCOME. JENNIFER SIGN ON BEHALF
OF THE CALIFORNIA ASSOCIATION OF
HEALTH FACILITIES WE JUST WANTED
TO EXPRESS OUR SUPPORT FOR.
OTHER DEPARTMENT PUBLIC HEALTH
EFFORTS IN PARTNERSHIP WITH THE
QUALITY HEALTHCARE FOUNDATION ON
MOVING FORWARD WITH THIS
KICKSTARTER GRANT PROGRAMS.
WE WOULD ALSO I'M.
PORT THE DEPARTMENT FINANCES
COMMENTS ABOUT THE FACT THAT WE
DON'T INTEND THESE PROGRESS TO
BE DUPLICATIVE. MANY OF THOSE
DOLLARS WILL HELP.
PROGRAMS ACTUALLY START THE
TRAINING PROGRAM AND PROVIDE
MODELS AND DIFFERENT AND HELP
AND SUPPORT FOR THOSE PROGRAMS
TO DO IT I DON'T BELIEVE THAT WE
WOULD DUPLICATE FUNDING FOR.
ASSISTANCE IN PAYING FOR THOSE
TRAINING PROGRAMS I'M SO VERY
MUCH.
ENTHUSIASTIC ABOUT THE GRANT
LOOKING FORWARD TO WORKING WITH
THE DEPARTMENT.
THANK YOU.
I KEEP.
TIM GIVES AT THE AMERICAN CANCER
SOCIETY CANCER ACTION NETWORK
AND BACK TO.
JUST WANTED TO ECHO THE COMMENTS
OF.
MY COLLEAGUES WE BELIEVE THIS
ROLL OVER.
AUTHORITY IS CRITICAL FOR LOCAL
HEALTH DEPARTMENTS TO CARRY OUT
THE MANDATE OF PROPOSITION
THE SIX AND LOOK FORWARD TO.
A CONTINUING WORK ON THIS ISSUE.
I KEEP.
WELCOME ONCE.
HELLO BOB THANK YOU FOR THIS
OPPORTUNITY. MY NAME IS BRENDA
ANDERSON. I'M HERE TO FOLLOW UP
I THROUGH NAMES OF THE OTHERS
I'VE ALREADY SENT TO. AND I DO
HAVE COPIES FOR YOU. I'M HERE TO
BRING YOUR WHERE NEWS OF.
THE LONG TERM CARE BUT IS FOR.
PRIVATE INDEPENDENT. UNLICENSED
FACILITIES.
THAT OUR VANTAGE BAR.
REAL SEE COMPANY REAL ESTATE
AGENTS.
SO.
A I NEED TO HAVE THESE.
AGENCIES RISE.
ARE THEY ARE PRESENTLY
CIRCUMVENTING.
CORDON FORCE RARE AND OTHER LAWS
THAT YOUR FACILITIES.
ARE.
MEN MUCHO HERE TO.
I NEED DELIVERY FALL UNDER SCOPE
OF ACCOUNTABILITY YOU HAVE. BED
SOON OVER HOW THE ANIMALS.
INFUSION WHO EVERYBODY HAS A
LICENSE.
AND.
I LIVE THERE WAS AND I
WITNESSED THINGS.
AND UP AS YOU HAVE THE
DOCUMENTATION FOR YOU BUT I DO
THINK THAT YOU NEED TO REALLY
CONSIDER.
ALL ALL FACILITIES THE HOUSE IN
THE VISION OF
DO TO ELDERLY SENIORS DISABLE.
THE IS A LICENSE FOR SOON.
YEAH IT.
ANOTHER THE DROUGHT A. MAKE YOU
VERY IMPORTANT OKAY WELL YOU
THAT A LOT OF THE SERGEANTS OKAY
THANK YOU THANK YOU.
AND ACTUALLY YOU CAN.
WELL ACTUALLY MAY WANT TO FOLLOW
UP WITH THE DEPARTMENT PUBLIC
HEALTH ABOUT THE LICENSING
AUTHORITY ABOUT THAT THIS ISSUE
PERHAPS MAYBE LASSEN PART PUBLIC
HEALTH. BRIEFLY COMMENT ON.
NO UNLICENSED WHAT THEY'RE DOING
TO TRACK DOWN ON LICENSES OVER
THE SKY.
MY TIMING IS PERFECT KELLY BEAM
ON BEHALF OF THE DENTAL
ASSOCIATION WE JUST WANTED TO
ECHO THE COMMENTS OF CHI ACT
THAT THIS SEEMS LIKE A STEP IN
THE RIGHT DIRECTION ON ITEM
NUMBER SIX.
AND AND WE APPRECIATE THE
ADMINISTRATION ADDRESSING THE
ISSUES WE'VE REYES.
AND WE LOOK FORWARD TO WORKING
AND TO SEEING THE GUIDANCE
PROVIDED TO DPH FOR LOCAL
ENTITIES AND DUCKLING WANT TO
ENGAGE IF ADDITIONAL CHANGES
INFLEXIBILITY ARE REGARDING THE
FUNDING ARE NEEDED.
THE.
THANK YOU.
ACTUALLY THERE'S ANYONE FROM
ACTUALLY.
AND OF WE HAVE SO FOR THE PUBLIC
HEALTH AS A PROBLEM THE
LICENSING AND I KNOW EQUALITY.
AREA.
I REALIZE THIS IS THAT WHAT YOU
TESTIFIED TO HERE EVER SO QUITE
ALRIGHT I'M RETIRED I'M NOT.
EXACTLY FAMILIAR WITH THE ISSUE
THAT THE WOMAN REYES. WHAT IT
SOUNDS LIKE TO US THOUGH IS THAT
THE TYPE OF FACILITY SHE MAY BE
DESCRIBING?
WHAT IF THEY WERE TO BE LICENSE
WOULD BE LICENSED BY THE
DEPARTMENT OF SOCIAL SERVICES
BECAUSE THEY DO ASSISTED LIVING
ON THAT LEVEL? REDUCE SKILLED
NURSING FACILITIES.
CERTAINLY IF SOMEONE IS
OPERATING A SKILLED NURSING
FACILITY WITHOUT A LICENSE WE
WOULD LIKE TO KNOW ABOUT THAT.
ALRIGHT OKAY SO A BIT THAT YOU
CAN TALK OFF LINE.
AND.
AND PERHAPS PART OF SOCIAL
SERVICES.
MAYBE THE RIGHT ONES.
OKAY.
AND.
YEAH YEAH. AND ACTUALLY MAYBE
JUST QUICK COMMENT.
SO WELL WE HEARD FROM THE
ADVOCATES ABOUT ITEM NUMBER SIX
IN TERMS OF ROLLOVER SO.
.
AND I DON'T KNOW HOW THAT TIED
TO THE NATURE OF THE
APPROPRIATIONS.
IT'S A BABY FINANCE WHAT'S COME
ON THAT FIRST.
AND SO I THINK A LOT OF THE
DISCUSSION WE'VE HAD BEEN PRIOR
TO ME REVISION WE WERE LOOKING
AT ADMINISTRATIVE MECHANISMS.
BECAUSE I AM THROUGH THE PROJECT
APPROPRIATIONS WE HAVE THE
DEPARTMENT HAS ONE YOUR GOING
CUMBER AND IN TWO YEARS TO
LIQUIDATE BUT ONCE ENCUMBER ONCE
A FUNDS REACH THE LOCALS. AND
YOU KNOW THERE MIGHT BE OTHER
CONTRACTING MECHANISMS THAT ARE
IN PLACE THE KIND OF GOVERNMENT
USE OF THOSE FUNDS AND HOW THOSE
FUNDS COME BACK. WE POINTED OUT
PREMADE REVISION THAT WE HAD
INDIVIDUAL FUNDS FOR A LOT OF
THESE PROP FOR ALL THE PROP
FIFTY SIX PROGRAMMATIC COMPONENT
IN THAT KIND OF. TAKES CARE OF
ONE ROLLOVER ISSUE WHICH IS THE
FUND'S RETURN TO THE FUND FROM
WHICH THEY CAME. THE ROLLOVER I
THINK THAT THAT.
ADVOCATES ARE MENTIONING A KIND
OF THE ROLL OVER ONCE IT'S OUT
IN THE COMMUNITY AND WHAT IT'S
TO THE LOCALS WE THINK THE
CONTINUES A PREPARATION KIND OF
GIVES MORE FLEXIBILITY. WITHOUT
REGARD AND THERE IS STILL THE
WORK THAT THESE ENTITIES HAVE TO
DO WITH AND THE PROP FIFTY SIX.
DEPARTMENTS ALLOCATE THE SOLAR
SO I THINK THERE I THINK THAT'S
WHAT A LOT OF THESE COMMENTS ARE
FOCUSED ON THIS KIND OF THAT
CONTINUING DISCUSSION. AND THE
ADVOCATES ADAM. UP WANTING TO
SEE.
THOSE CONTRACT ITEMS MECHANISMS
AND AND SET UPS BE MORE LIKE POP
NINETY NINE. ITEM WE ALSO KNOW
ON THE CONTINUES A PREPARATION
WE WE WILL STILL BE PUBLISHING
THE FUND CONDITION STATEMENTS
FOR THESE FUNDS SO YOU ALSO HAVE
THAT TRANSPARENCY OF WHERE THE
DOLLARS ARE GOING AND. COMING
AND.
EVEN IF THEY'RE NOT IN THE
PROJECT WILL BE THE FUN
CONDITIONS IT WILL CONTINUE TO
REFLECT THOSE IS ANOTHER.
COMPONENT TO THAT FAC.
ALRIGHT AND ON A FELLOW I
COMMENT ON BEING LIKE PROP
NINETY NINE AND ROLL OVER AND
WHETHER TO HOW TO CHOOSE
APPROPRIATIONS NECESSARY NOT
NECESSARY FOR DOING THAT KIND
OF.
WELL OTHER AM I WOULD I WOULD
JUST NOTE THAT AND.
AT WINTER B. AWAY TO ALLOW
THROUGH.
.
THROUGH THE BUDGET.
.
TO GIVE THE LOCAL ORGANIZATIONS
THE AUTHORITY TO SPEND THE MONEY
OVER MORE THAN ONE YEAR.
AND THAT WAY YOU WOULD STILL
MAINTAIN LEGISLATIVE OVERSIGHT.
NO THANK YOU. ALRIGHT.
OKAY.
ALRIGHT THANKS VERY MUCH OKAY
LET'S MOVE ONTO STE DEPARTMENT
STATE HOSPITALS.
HE TEAM HERE.
YES SO WHY FINANCE OVER HERE LA
OVER HERE AND NO ONE ON THE BIG
ROOM AND ALL OF THE AGENCY IN
THE MIDDLE.
THIS IS LIKE BUDGETS TO FORGET.
ASSEMBLY.
ALRIGHT SO THIS IS A WHOLE NEW
TEAM HERE WHILE WE HAVE.
EVERYONE INTRODUCE THEMSELVES
OF US ARE THE AGENCY.
STEPHANIE CLINTON AND CHIEF
DEPUTY DIRECTOR.
THE BALANCE OF THE S. DEPUTY
DIRECTOR OF ADMINISTRATION OKAY.
DRUSILLA WORK LEGISLATIVE
ANALYST'S OFFICE OKAY FINANCE
S. COOKED BERMAN FINANCE
I'M GOING TO PER AND FINANCE
ALRIGHT EXCELLENT. OKAY SO THE
FIRST ISSUE IS THAT THE PROGRAM
UPDATES TWENTYNINE PROGRAM THEY
THAT UPDATES AND MAY REVISION
ADJUSTMENTS.
I THINK YOU I'M IN THIS ITEM
THERE ARE AND SEVEN AT THE SIME
PROGRAMMATIC UPDATES TO PROVIDE
I'M ALL GOT HIM IN THE SAME
ORDER THAT THEY WERE IN THE JOHN
THAN ON JUST HIT THE HIGHLIGHTS
OF THEM. AND SO FOR THE FIRST
ONE IT'S A CONDITIONAL RELEASE
PROGRAM TURNED ON SEXUALLY
VIOLENT PREDATORS.
THE.
IN MAY REVISION REQUESTED ASKS.
PARDON
GOVERNOR'S BUDGET I'M INCLUDED
REQUEST OF NINE HUNDRED AND
SEVENTY SIX THOUSAND AND BUDGET
YOUR AN ON GOING TO ESTABLISH A
NEW TEST.
STATEWIDE TRANSITIONAL RELEASE
PROGRAM TO SERVE I'M SIXTEEN
PATIENTS.
IN MAY REVISION WE ARE.
.
AND REQUESTING THE SAME FOR
EIGHTEEN NINETEEN BY INCREASING
I REQUEST TO ONE POINT SIX
MILLION AN ON GOING.
AND ONGOING FUNDING.
THIS IS TO.
INCREASE THE NUMBER OF PATIENTS
SERVED FROM SIXTEEN TO TWENTY
SIX WE'VE IDENTIFIED A NEW
FACILITY IN NORTHERN CALIFORNIA
THAT HAS I'M TWENTY SX BUT SO
THIS WOULD BE THE ONGOING. TIME
THE INCREASE WOULD BE FOR THE
ONGOING FUNDING OF THAT TWENTY
SIX.
BECAUSE THE SECOND ITEM ISN'T
THAT DEEP RELATED TO OUR
ADMISSION EVALUATION AND
STABILIZATION CENTER.
WE AN GOVERNOR'S BUDGET I'M WE
IDENTIFIED A ONE POINT SEVEN
MILLION DOLLARS SAVINGS AND
CURRENT YEAR ARE DUE TO.
DELAYS AN ACTIVATION OF THE
ADMISSION OF THE CIVILIZATION
CENTER AND.
BUT WE ARE INCREASING IT OR INTO
SPENDING INCREASE IN NINE
HUNDRED THOUSAND DOLLARS IN
SAVINGS.
FOR THE CURRENT YEAR FOR THIS
ITEM WE HAVE NOW ACTIVATED THE
I'M A YES CENTER IT WENT LIVE IN
IN APRIL.
AND SO WE ARE.
INC. CURRENTLY I'M ADMITTING
PATIENTS AT THE RATE OF ABOUT
FIVE PER WEEK TO BRING THAT UP
TO ITS FULL BY CAPACITY OF AB
SIXTY BEDS SO THIS ADDITIONAL
SAVINGS JUST RECORD.
FIGHT.
RECOGNIZE THAT ADDITIONAL TIME
TIMELINE FOR.
THE THIRD ITEM.
IT IS.
IS.
IT'S A NON BUDGET ACT ITEM IT'S
MEDICARE OF IT'S AN INCREASE
TERM MEDICARE AUTHORITY TO PAY
IN MEDICARE PREMIUMS FOR OUR
PATIENTS.
AND TWO THOUSAND SIXTEEN
SEVENTEEN WE EXPENDED ONE POINT
ONE MILLION DOLLARS IN MEDICAL
TREATMENT MEDICARE PREMIUMS THIS
IS.
CURRENT APPROPRIATION IS
CURRENTLY FIVE HUNDRED THOUSAND
SO WE'RE REQUESTING INCREASED
REFLECT OUR CURRENT EXPENDITURE
LEVEL.
THE FOURTH ITEM IS AN UPDATE TO.
THE SOUTH NAPA EARTHQUAKE CREE
RECALLS EARTHQUAKE REPAIR
REQUESTS THAT WE HAD IN THE
GOVERNOR'S BUDGET.
WE'RE REQUESTING TO SPEND AN
ADDITIONAL ONE POINT I'M ONE TWO
MILLION IN THE CURRENT YEAR TO
REFLECT THE MOST RECENT
CONSTRUCTION COST ESTIMATES FROM
THE GS.
AND.
.
ALSO IN CRESCENT REQUESTING
ADDITIONAL REIMBURSEMENT THIRTY
TO RECEIVE THE PAYMENT
REIMBURSEMENTS IS WHAT IT JUST
THE I REQUEST ABOUT THE CURRENT
AND IN CURRENT YEAR. THE
EIGHTEEN NINETEEN AND NINETEEN
TWENTY.
AND THAT THIS ITEM IN THERE IS
THE AYE METROPOLITAN INCREASE
SECURED FED CAPACITY.
COM AT GOVERNOR'S BUDGET WE
REQUESTED THE POSITIONS.
IN EIGHTEEN NINETEEN AND
FUNDING TIME FOR IN EIGHTEEN
NINETEEN NINETEEN TWENTY AND I'M
GOING EXCUSE ME TO ACTIVATE TWO
HUNDRED THIRTY SIX AM FRIENDS AT
TREATMENT BEDS. PRIMARY WE COULD
MEET DESK REDUCING HAT REQUEST
DOWN TO TWENTY FOUR POINTS AND
EIGHT MILLION AND A HUNDRED AND
SIXTY TWO POINT EIGHT POSITIONS
IN THE BUDGET YEAR. AND FIFTY
POINT SIX MILLION AND THREE
HUNDRED FORTY TWO POINT TWO
POSITIONS IN NINETEEN TWENTY.
AND THIS IS I'M COMMENSURATE
WITH THE CHANGING CONSTRUCTION
TIMELINES AND UNIT ACTIVATIONS
DUE TO DELAYS IN AWARDING THE
CONSTRUCTION CONTRACT.
BUT WE ARE ALSO AND IDENTIFIED A
CURRENT YEAR SAVINGS OF TEN
POINT ONE POSITIONS AND WHEN I'M
JUST OVER MILLION DOLLARS IN
THIS IS DUE TO DELAYS IN
ACTIVITY IN THE HUNDREDS
BUILDING.
FOR TRANSFER THE LPS PATIENTS
THAT CURRENTLY OCCUPIED THAT
PATIENT BUILDING AND THIS WAS
DUE TO ADMIT IT YOU KNOW THE
UNAVAILABILITY OF THE STATE FIRE
MARSHAL DUDE AND DURING THE I'M
SIGNIFICANT FIRE ACTIVITY THIS
YEAR.
THERE'S ALSO CONTAINED WITHIN
THIS REQUEST A TECHNICAL
ADJUSTMENT TIME WE HAD REQUESTED
AND NINE LABORATORY TECHNICIANS
IN A SENIOR PSYCHIATRIST IN THE
GOVERNOR'S BUDGET BUT AND
REWORKING THE NUMBERS FOR THIS
REQUEST WE IDENTIFIED THAT WE
HAD BUILT IN THE WRONG FUNDING
AMOUNT FOR THOSE POSITIONS AND
SO WE. HAVE REFLECTING THAT
CORRECTION AS WELL.
THIS SIXTH ITEM IN HERE IS THE.
.
AND WE'RE JUST IN THE GOVERNOR'S
BUDGET REQUEST FOR OUR JOB BASE
COMPETENCY TREATMENT PROGRAMS.
IT'S IS A ONE POINT SIX MILLION
A ONE TIME REDUCTION AND BUDGET
YOUR FOR EXISTING GB CT PROGRAMS
AND ALSO REFLECTS A ONE POINT
ONE MILLION SAVINGS AND CURRENT
YEAR. AND A FOUR POINT NINE
MILLION ONE TIME REDUCTION IN
BUDGET YOUR FOR NEW GB CT
PROGRAMS.
IN TWO POINT TWO MILLION
SAVINGS ON GOING.
THIS REQUEST INCLUDES I AM
ADJUSTMENTS OR EXISTING.
GB'S JB CITY PROGRAMS.
WE ARE MOVING TIMELINES OUT FOR
SOME OF THOSE BASED ON CURRENT
CONVERSATIONS WITH THE.
FOR THE
THE COUNTY IS THIS IS AN
ADJUSTMENT TO BUT MENDOCINO AND
SAN BERNARDINO COUNTY. AND THEN
WE ALSO HIGH REQUESTING AND FOUR
EGGS IT'S TIME TO ADD TO THAT
STORE EXISTING PROGRAM WITH
CINEMA COUNTY AND THEN FOR NEW
PROGRAMS THAT WERE PROPOSED AT
GOVERNOR'S BUDGET EVERYBODY'S IS
THAT REQUEST FROM FIVE NEW GB CT
PROGRAMS DOWN TO TWO NEW JB CT
PROGRAMS.
AND MOVING THE TIMELINES I'M
AROUND A LITTLE BIT AS FAR AS
WHEN WE THINK THOSE WERE REALLY
COME ONLINE.
BASED ON THE CURRENT
NEGOTIATIONS WITH US COUNTIES
AND THEN SAFE THING FOR WE HAD
TWO SMALL COUNTY PROGRAMS.
PROPOSED WE CAN STILL CONTINUE
TO DO THAT. TO REQUEST FUNDING
FOR THE TWO SMALL CUT OFF BUT IT
JUST THAT I'M TIMELINE AS WELL.
AND THEN FINALLY. WE HAVE THE
TIME.
UPDATES TO THE ENHANCE TREATMENT
PROGRAM REQUESTS.
IN GOVERNOR'S BUDGET WE
REQUESTED TWO POINT EIGHT
MILLION AND TWENTY THREE POINT
TWO POSITIONS IN BUDGET YEAR AND
EIGHT POINT THREE.
FIVE MILLION AND SIXTY FIVE
POINT SEVEN POSITIONS IN
NINETEEN TWENTY AN ON GOING IN
THIS WAS FOR BY THE STAFF
OPERATING EXPENSES NEEDED FOR
THE ACTIVATION OF THE THIRD AND
FOURTH ETP UNIT. IN A DIFFERENT
WAY IDEA I HAD IDENTIFIED
APPROXIMATELY BUT BY MILLION
DOLLAR.
SAVINGS AND CURRENT YEAR DUE TO
DELAYS IN THE ACT PAGE
ACTIVATION OF THAT FIRST TWO ETP
UNITS. AT MAY REVISION WE ARE.
REQUESTED. REVISING THIS
REQUEST DOWN BY SEVEN POINT MARK
DOWN TO SEVEN POINT FOUR MILLION
EIGHTY POINT ONE POSITIONS IN
EIGHTEEN NINETEEN AND DOWN BY
FIFTY THOUSAND AND NINETEEN
TWENTY. AND UPDATING OUR CURRENT
YEAR SAVINGS I AM INDEED
DECREASING NOT BY SEVENTY
THOUSAND AND THESE ADJUSTMENTS
REFLECT THREE CHANGES THAT
VERSUS UPDATES TO THE TIMING OF
RESOURCES AND THAT.
ó YOU NEED FOR OF THE
ACTIVATIONS OF THE FOUR UNITS.
AND THESE ARE AT CONSTRUCTION
TIME LINES HAVE CHANGED DUE TO
GET ON THE US AS STATE FIRE
MARSHAL OF IT.
AVAILABILITY TO REVIEW PLANS.
WE'VE ADDED A REQUEST FOR TWO
POINT ONE MILLION AND BUDGET
YOUR IN FOUR HUNDRED TO THIRTY
TWO THOUSAND ONGOING FOR IT
EQUIPMENT AND SERVICES THAT ARE
NEEDED TO AND FROM THE
ACTIVATION OF THE THIRD AND
FOURTH UNIT. IT'S INCLUDES
INSTALLING OF THE THE SAME.
COMPONENTS THAT WE HAD
REQUESTED FOR THE FIRST TWO. I'M
UNITS AND THEN A CURRENT YEAR.
ANTICIPATED SAVINGS WAS
ADJUSTED DOWN BY SEVENTY
THOUSAND WE RECOGNIZE THAT WE
HAD ACTUALLY.
AB PROPOSE REDUCING OUR
RECRUITMENT EVERY AYE RETENTION
PAY DIFFERENTIALS FOR THE HBO IS
THAT I'VE BEEN HIRED AND THAT
ACTALLY NEED TO RETAIN THAT
BECAUSE WE DID HIGHER THAT IT
GETS.
THAT WAS ALL OF THOSE AND I.
THINK YOU.
COMES FROM MILLION.
YES AS YOU'LL RECALL IN ON OUR
EARLIER MEETING ON THE PROPOSED
EXPANSION TIE ASK BIASED HE
CAPACITY WE'D RECOMMENDED THAT
LIST.
AND IN LIGHT OF THAT WAIT LIST
WE THOUGHT THAT IT'S POSSIBLE
THAT MOST HIGHEST HE'D NEED
COULD BE SERVICED. BY JUST
FOCUSING ON THE EXPANSION OF JB
CT PROGRAMS THE LA COUNTY
PROGRAM WHICH WILL DISCUSS
LATER.
AND ONLY A PARTIAL ACTIVATION OF
THE PROPOSED CAPACITY AT
METROPOLITAN.
WE WOULD KNOW THAT THIS
ADJUSTMENT IS ACTUALLY
CONSISTENT WITH THE AMOUNT OF
CAPACITY WE THOUGHT MIGHT BE
NECESSARY METROPOLITAN. FOR THE
ONLY PROPOSED.
MODIFICATION WE BACK TO IT IS
THAT WE WANT PROPOSED INCREASING
THE AMOUNT OF BEDS ACTIVATED IN
FUTURE YEARS JUST KEEPING IT AT
THE NINETY EIGHT PER THEY NINETY
SIX ON BAD LEVEL.
FINANCE.
HAWAIIAN DEPARTMENT OF FINANCE
ARE GIVEN THE EVER INCREASING
WITNESS WE CONTINUE TO SUPPORT
THE HEALTH DEPARTMENT'S
PROPOSAL.
OKAY ALRIGHT.
WISHES FOR COMMITTEE MEMBERS.
NO I IT IN JUST TO CLARIFY IN A
WEEK BROUGHT THIS UP BUT THE
REGULAR HEARING YOU WE HEARD
ABOUT THE LAYS RELATED TO THE
FIRE MARSHALL. IS IT ACTUALLY
BECAUSE.
THE FIRE MARSHAL WAS AVAILABLE
THIS IS SOMETHING WE TALKED TO
THE FIRE MARSHAL'S OFFICE ABOUT
THE BUDGET OR IS THIS BECAUSE OF
OTHER. FACTORS.
AND JUST.
BECAUSE A SEEM TO HAVE COME UP
IN THE AIR.
FOR SO GREAT SO THE
ADMINISTRATION HAS BANNED IN
CONVERSATIONS WITH THE FIRE
MARSHALL IT FROM MY
UNDERSTANDING IS NOT NECESSARILY
THE FIRE MARSHAL THEMSELVES. IS
SOME OF THE OTHER ENTITIES THAT
THEY CONTRADICT THEIR. SEEKING
NOW APPROVALS WITH SO IT'S NOT
THEM DIRECTLY THEM BEING PULLED
OFFICES THE ADMINISTRATIVE
PROCESS IN WHICH THEM BEING ABLE
TO GET TO THE STATE HOSPITALS.
TO PROVIDE THOSE DATA CLEARANCES
AND APPROVALS.
OKAY SO IT'S NOT JUST THE WILL I
GUESS WHAT I'M SAYING IS IT'S
NOT SOLELY THE FIRE MARSHALS
THEMSELVES THERE UNLESS I THINK
OTHER ENTITIES THAT ARE
INVOLVED.
YEAH SEEKING APPROVAL.
SO I GUESS MY CONCERN IS IS THAT
WE'RE HEARING ABOUT THE LAYS.
ANY IN THIS CASE WERE DELAYING
THINGS SO THEREFORE WE'RE
DOWNSIZING SOME OF THEIR REQUEST
BUT I MEAN OVERALL WE.
SO INCREASES INCREASING COSTS
RELATED TO DELAYEDCONSTRUCTION
WHATEVER AND WE'RE BEING TOLD IS
FIRE MARSHALS BY MARSHALL'S
OFFICE ARE. AND IT'S A CONTRACT
OR SOMETHING OR SOMETHING WE CAN
DO TO.
FIX THAT I MEAN SOUND LIKE WE'RE
LOSING ANY FOR SPENDING MONEY
BECAUSE OF THIS IS THERE
SOMETHING THAT WE SHOULD BE DO I
REALIZE THAT MAYBE OUT OF REVIEW
THE SPECIFIC SUBCOMMITTEE BUT
AND DO I NEED TO TALK TO MY
COLLEAGUE AND ANOTHER
SUBCOMMITTEE THAT.
I QUICKLY DO THIS TO TO TO TO
GET AROUND THIS SO WE'VE BEEN
WORKING WITH THE FIRE MARSHAL
TO.
YOU KNOW ADDRESS THE CONCERNS OF
THE DEPARTMENT HAS WITH. EXPLAIN
THEIR APPROVALS AND SO WE WE'VE
BEEN IN CONVERSATION WITH THEM
TO. TO MOVE US FORWARD OKAY I I
JUST TELL I'M JUST HEARING THAT.
OVER AND OVER AGAIN I'M GET
CONCERNED AND THERE'S MONEY
USING MONEY ATTACHED THAT ARE
THAT ARE DONE THE LATENT ACCESS
TO SERVICES THAT WERE IN THERE
DELAYS ON THE FINAL
CHARACTERIZED HIM AS COSTS.
NECESSARILY JUST DELAYS AND AND
ACTIVATING BEDS.
WELL THERE'S CIVIL RIGHT NOW TO
HAVE DELAYS INACTIVATING BEDS
BUT I'M ALSO CONCERNED THAT AND
THEN AS MAY ONE RECESSION IT'S
CONSTRUCTION COSTS WILL GO DOWN
BUT.
THE LAYS USE GLAZER USUALLY
MONEY AND AND CONSTRUCTION RIGHT
WHEN YOU BUILDING THINGS SO.
AND AND AND.
ALSO WITH THAT.
ALSO CONSIDER INCREASING
CONSTRUCTION COSTS AS WELL SO
ALRIGHT WELL I'M JUST BEING.
BECAUSE I KEEP HEARING ABOUT AND
I KEEP SAYING I SEE THE BUDGET
PARTS AND I'M GONE ALRIGHT WELL
YOU KNOW THAT THE.
GIVEN BOTTLENECK WE NEED THIS
THAT DRESS IT AND THAT FEED FIX
DINNER TAKES A LITTLE BIT OF
MONEY THAT WE WERE SPENT EL WE
CAN SAVE SOME MONEY ON THE.
THE INCREASE CONSTRUCTION COSTS
WORTH BRING SOME MONEY UP FRONT
TO TRY TO GET AHEAD OF ITSELF
ALRIGHT.
SO I HOPE TO HEAR THAT WE'RE
HAVING SUCCESSFUL CONVERSATIONS.
ON THAT REGARD OKAY IF I DEFYME
CLARIFIES AND THAT WILL.
FOR THE METROPOLITAN STATE
HOSPITAL THAT PROJECT HAS BEEN
APPROVED BY THE SLAYER FROM
STATE FIRE MARSHAL IN THE
CONSTRUCTION IS UNDERWAY. AND
FOR THE ENHANCE TREATMENT
PROGRAM THREE OF THE FOUR UNITS
ARE APPROVED BY THE STATE FIRE
MARSHAL NOW SO THINGS HAVE
DEFINITELY BEEN MOVING ALONG
WITH THE STATE PARK MARSHALL SO
I DID WANT TO NOTE THAT YOU KNOW
THAT WE ARE CAN. YOU KNOW THAT
IN THOSE FLIGHTS ARE CONTINUING
WE ARE MEETING ON THIS PROJECT
RIGHT SO HOPEFULLY NEXT YEAR WE
WON'T BE HEARING ABOUT THE LAYS
VERY. GOOD OKAY ANYTHING ELSE
OKAY SO WILL HOLD THAT ITEM OPEN
APPRECIATE LA IS COMMENTS ABOUT.
THE MAN. SO ALRIGHT CEMEX ISSUES
PROTECTED HEALTH INFORMATION.
GOOD AFTERNOON CHAIR MEMBERS
DEPEND ON SO THE S. ADMIN DEPUTY
DIRECTOR. FOR ISSUE NUMBER TWO
WE ARE REQUESTING NINE HUNDRED
AND EIGHTY THOUSAND FOUR THREE
FISCAL YEAR SUCH A THOUSAND
EIGHTEEN NINETEEN. NINETEEN
TWENTY AND TWENTY TWENTY ONE.
FOUR EIGHT LINDA TRIPP POSITIONS
THAT WOULD INCLUDE FIVE
ACCOUNTING OFFICER SPECIALISTS.
AND THREE ASSOCIATE COUNTING
ANALYSTS TO DO TWO THINGS. THE
FIRST THING WOULD BE TO
IMPLEMENT THE PROCEDURES FOR
PROCESSING AND WATSON PAYMENTS
RELATED TO OUTSIDE MEDICAL.
PROVIDERS AND THEN THE SECOND
WOULD BE TO SUPPORT ONGOING
RECONCILIATION ACTIVITIES AS WE
HAVE BEEN. CONSOLIDATED OUR
FINANCIAL OPERATIONS FROM SIX
INDEPENDENCE OF BUSINESS UNITS
TO ONE CURRENTLY* BEEN NOTED
IN THE BCP WE HAVE A PAPER BASED
PROCESS.
WE PROCESS OVER FIFTY FIVE
THOUSAND INVOICES AND SIXTY FIVE
PERCENT OF THEM HAVE PROTECTED
HEALTH INFORMATION. OTHERWISE
KNOWN AS PEACH EYESORE IN TERMS
SOLUTION WHILE I WAS TO PROCURE
ADJUDICATE CLAIMS AND MAKE
PAYMENTS CONTRACT UNDER HISTORY.
AND THEN SECONDLY IT WILL ALSO
ALLOW US THE OPPORTUNITY TO
CONTINUE TO DO OUR ACCOUNT AND
AS SEE A RECONCILIATION.
I THINK YOU COMES ALEJO FINANCE.
ME MEMBERS.
OKAY GREAT.
HOLD THAT ITEM OPENED. RIGHT
NEXT ISSUES LA COUNTY INCUMBENTS
THE INTRO COMMUNITY MEANT.
THE GOVERNOR'S BUDGET FAMILY
REQUESTED FOURTEEN POINT EIGHT
MILLION AND EIGHTEEN NINETEEN AN
ON GOING TO ESTABLISH A.
A SHIP BUT LOS ANGELES COUNTY TO
PROVIDE KIND COMPETENCY
RESTORATION SERVICES FOR A
HUNDRED AND FIFTY LA COUNTY
PHONE INCUMBENT STAMP TRIAL
PATIENTS IN COMMUNITY MENTAL
HEALTH SETTINGS. MIGHT MAY
REVISION WE'RE REQUESTING TO
REVISE THIS REQUEST TO DOWN TO
THIRTEEN POINT I'M ONE THREE.
MILLION N EIGHTEEN NINETEEN AND
FIFTEEN POINT FIVE MILLION ON
GOING.
.
AND THIS IT REFLECTS THREE
CHANGES TO THIS PROPOSAL THE
FIRST ONE IS TO ADJUST THE FIRST
YEAR BAD COP RAES ARE NOT RATES
EXCUSE ME THE TOTAL COST OF THE
BANDS.
AND STOPPING BECAUSE REFLECTING
THAT WE WANT THEM TO PUT A
HUNDRED AND FIFTEEN PEOPLE ON
THE COMMUNITY IN THE SAME TIME
SO THIS TIME. RECOGNIZES THAT WE
HAVE AN IMPLEMENTATION PLAN FOR
TEND EIGHTEEN PATIENTS PER MONTH
WE ADDED AND SEVEN HUNDRED AND
FIFTY THOUSAND AND ONE TIME
FUNDING IN BUDGET YEAR TO ASSIST
AND I'M ACTIVATING NEW HOUSING
SITES TO PROVIDE FUNDING FOR
SECURING HOUSING AND TENANT
IMPROVEMENTS AND FURNISHING
PATIENT ROOMS AND STAFF. OFFICES
AS NEEDED.
AND THIRDLY THAT WE ADDED I AM
AN ADDITIONAL SEVEN HUNDRED AND
FIFTY THOUSAND AND BUDGET YEAR
FUNDING FOR AN ADDITIONAL TEAM
RELATED TO THIS REQUEST. AND
THAT'S WHEN I GOT OUT
ENCOMPASSES PSYCHIATRIST TO
SOCIAL WORKERS AND ONE TIME BOTH
CLERK OR ADMIN SUPPORT.
THIS AND TEAM WILL MONITOR
FELONY HIGHEST HE'S IN THE LA
COUNTY JAIL WHATEVER IT THEY
REESE.
RESTORED A COMPETENCY WHILE IN
JAIL AND THEN WORK WITH THE
COURTS TO RETURN THEM BROWN
PRIOR TO GETTING ABOUT IS THAT I
HAVE TO GO ALL THE WAY TO A
PLACEMENT SETTING AND THEN COME
BACK.
WE TREATED THEM COME.
I THINK ANY QUESTIONS.
WELL YOU.
INCOME AT HOME YES WE THINK THAT
THIS IS A POTENTIALLY PROMISING
WAY OF TREATING AYE AYE AS THE
PATIENT AS I MENTIONED EARLIER
WE WOULD NOTE THIS IS A NEW
APPROACH HOWEVER AND SO WE'D
RECOMMEND APPROVING IT ON A
LIMITED TERM BASIS IN REQUIRING
THAT IT BE EVALUATED TO. MAKE
SURE THAT THIS IS AN EFFECTIVE
APPROACH
THINKING FINANCE.
OKAY ALRIGHT KEY MEMBERS.
YES THE WATER SO IT IS EARLY
COMING DOING TO TRY TO INCREASE
OUR BACK CAPACITY OVER THE NEXT
FIVE YEARS.
FOR THIS PROGRAM SPECIFICALLY.
AS SO THEY ARE WORKING TO.
I ACTUALLY INCREASE THEIR
CAPACITY AND I'M IN THERE.
IN THEIR.
.
PARDON ME.
THE TERMS OF KEEPING ME.
FOR THEIR RESIDENTIAL SETTINGS.
BE UNLOCKED RESIDENTIAL
SETTINGS THAT WE ARE PROPOSING
TO PLACE THEM MEN AND
IDENTIFYING ADDITIONAL HOUSING.
FOR THEM SO THE AND THEY HAVE
ANY.
THEY WORK WITH A DIFFERENT
COUNTY PARTNERS IDENTIFY SITES
AND THEN TO DO THERE DOES THAT
SMALL MODIFICATIONS WE HAVE
NEEDED IN ORDER TO. BRING THOSE
ONLINE.
SO IS IS THIS EXPECTATION OF
THIS.
.
MONEY THEY WERE GIVING THEM THIS
YEAR.
ASSUMING THE INCREASE THAT
CAPACITY AS ERNIE GUARANTEES AT
THEIR THE STATE'S GONNA CONTINUE
UNDERWRITING THE EXPANSION OF
THESE DEBTS FOR. THE SUMMIT WE
EXPECT THEM TO TRY TO TAKE THEM
AT THEIR OWN BUDGET.
SO WHERE HELPING TO AND AT THAT
SEVEN HUNDRED AND FIFTEEN TO
PROVIDE THE UP FRONT COST TO
BRING THOSE BEDS ONLINE TO
SERVICE OUR PATIENTS AND THEN WE
WILL JUST FUNDING BUT COSTS ON
AN ONGOING BASIS TO AND PROVIDE
THE TREATMENT IN THOSE BETS.
THANK YOU.
SO WHAT IS THE NATURE OF WITH
THE.
DEVALUATION THAT'S CAN BE DONE
LESS GIVEN THE LA AS COMMENTARY
AND.
DO EVALUATION OF THIS
INTERVENTION.
WELL WE WILL THEY WORK ON AND
THE LOS ANGELES AND COUNTY IS
ALREADY PROVIDING RESTORATION OF
COMPETENCY SERVICES I'M FOR
THEIR MISDEMEANOR AND SO THIS IS
BUILDING ON AN EXISTING PROGRAM
ALREADY IN THE COMMUNITY. THERE
SO IT'S PROVIDING.
THE SERVICE IN THE SAME
SERVICES OF THE PROVIDING FOR
THEIR MISDEMEANOR ANTS TO THE
FELONY AND COMPETENT TO STAND
TRIAL PATIENTS. SO WE WILL BE
CONTRACTING WITH LOS ANGELES
COUNTY TO PROVIDE THE SERVICE
SAYS AND MONITORING THE RATES AT
WHICH THEY PLACE I'M PATIENTS IN
THE COMMUNITY.
AND ONLY REIMBURSING FOR THE
SERVICES THAT ARE RECEIVED.
AND THEN MONITORING TO
DETERMINE AND YOU KNOW WHAT THAT
LED LENGTH OF TIME IN THE
TREATMENT.
AND THAT THOSE INDIVIDUALS ARE
GETTING RESTORED I'M AND AND
RETURNED BACK TO COURT. I THINK
A V. HELPFUL TO HAVE THE LEAST
SOME THAT BASIC EVALUATION
INCLUDING IDENTIFY SOME METRICS
BECAUSE SUBSEA. SUCCESS AND LA
COUNTY OTHER LA IS A VERY LARGE
COUNTY MAY ALSO HELP US WITH
OTHER COUNTIES WHO MADE MY
PURSUE SOMETHING SIMILAR SO.
IF THE CERTAINLY HOPE THAT.
I THINK IT'S GOOD TO MEASURE
HOW WELL SOMETHING WOKS AND
WHAT THE DEGREE OF MAGNITUDE
THE.
IMPACT IT HAS SO THAT WE CAN
CONSIDER EXPANSION ARE.
BETSY'S. IN FUTURE BUDGETS FOR
OTHER JURISDICTIONS ARE OF IT'S
NOT SUCCESSFUL AS WE THOUGHT
THEN. WE MAY NOT.
PUSH FOR EXPANSION SO. SO I HOPE
OF DEPARTMENT WILL CONSIDERED
THINKING ABOUT.
THAT VICE METRICS IN TERMS OF
FAILED TO FIND THE LEVEL SUCCESS
OF THIS INTERVENTION AS WE'VE
TRIED OF.
BRING IT TO A LARGE SCALE SO
THIS.
THANK YOU.
PRICE WILL HOLD THAT ITEM OPEN.
OKAY ISSUE NUMBER FOUR IS THE
METROPOLITAN STATE HOSPITAL
CENTRAL UTILITY PLANTS.
ISSUE NUMBER FOUR WE ARE
REQUESTING TWO POINT FIVE EIGHT
MILLION IN EIGHTEEN NINETEEN AND
I'M GOING TO FROM THE
OPERATIONAL COSTS OF RUNNING.
PSH MUCHOS CENTRAL UILITY I'M
SORRY CENTRAL UTILITY PLANT
OTHERWISE KNOWN AS THE CUT.
SO THE CENTRAL UTILITY PLANT
CONTAINS STEAMED AND THAT'S
RIGHT IT CONTAINS A CENTRAL
STEAM BOILER SYSTEM AND CHILLER
PLANTS. THOUGHT IN ESSENCE THAT
PROVIDE STEAM AND CHILLED WATER
TO SUPPORT OUR HEATING AND
COOLING SYSTEM AND IT SUPPORTS
THIRTY TWO BUILDINGS. THAT CUP
WAS PREVIOUSLY OWNED AND
OPERATED BY A THIRD PARTY
ADMINISTRATOR THAT TRANSFER OF
OWNERSHIP OCCURRED ON FEBRUARY
EIGHTEEN OF THIS YEAR. IT'S OF
THIS REQUEST WILL SUPPORT THAT
ONGOING MAINTENANCE UNTIL WE
FIND A PERMANENT SOLUTION.
OKAY.
COMES VALUE FINANCE.
THE MEMBERS.
THIS IS A SPECIES SAID FROM A
SOLUTION WHAT IS SO WHAT'S THE
FUTURE PLANNED AND SO RIGHT NOW
THIS IS YOU GASSING FOR
TEMPORARY OPERATIONS A PLATE TO.
SET ME TO PLAN TO RE CONTRACTED
OUT OR YOU'RE NOT GOING TO IN
HOUSE AND. WE SIT FUTURE PLANS.
WITH RESPECT TO FUTURE PLANS WE
ARE ENGAGING IN A STUDY TO
DETERMINE WHAT IS OF. WHAT MIGHT
BE THE FUTURE PLANS OF PROVIDING
HEATING AND COOLING SYSTEMS TO
THE PLAN? THE PLAN ITSELF IS
MORE THAN I AM LOW FORTY YEARS
OLD THIRD IT'S PART OF THAT
ONGOING ME SO MAKING YOU
FACILITY OUSTED IT.
OKAY RIGHT. CLICK IT DIFFERENT
OPTIONS RIGHT.
AB IT UPGRADED FACILITIES MAYBE
SOLAR. OKAY ALL RIGHT THANK YOU
FOR ALL THAT ITEM OPEN OKAY SO.
IT'S JUST
AMAZING WE'RE GOING FROM TAKING
CARE OF PATIENTS TO OPERATING
PLANTS RIGHT HEPATITIS AND THEN
HOPE TO HAVE TO PAY SEAT
INFECTIOUS DISEASE. OKAY.
SUCH AS RATHER SUBCOMMITTEE AT
RENAISSANCE APARTMENT ALRIGHT.
OKAY THAT THEY SEE TENSION.
FULLER ISSUE NUMBER FIVE WE ARE
REQUESTING THREE POINT THREE
MILLION TO SUPPORT OUR EXPANDED
TREATMENT ELIGIBILITY CONSISTENT
WITH RECENT GUIDELINES HAVE BEEN
PROVIDED BY THE AMERICAN
ASSOCIATION. FOR THE STUDY OF
LIVER DISEASE OUR CURRENT
PRACTICES TO TREAT PATIENTS THAT
EITHER HAVE A LIVER FIBROSIS
HIGHER THAN SPEECH TO OR
INDIVIDUALS I HAVE PATIENTS WHO
HAVE STAGED FIBROSIS WITH A
COMORBID CONDITION. THESE RECENT
UPDATES ARE RECOMMENDED
TREATMENT AND THEY WOULD INCLUDE
FOR ALL ELIGIBLE PATIENTS AGED
THIRTEEN AND ABOVE REGARDLESS OF
THEIR LIVER FIBROSIS STAGE OR CO
MORBIDITY.
COMMENTS MALAYO. PLANTS
ME MEMBERS.
OKAY GOOD WE CAN LIVE ANY
HEPATITIS C. ALRIGHT. SALINAS
WAS OKAY FINALLY.
ISSUE NUMBER SIX OH HOLD THAT
ITEM OPEN CUT YOU SIX
MISCELLANEOUS TECHNICAL
ADJUSTMENTS. FAMILIES ARE INDEED
MISCELLANEOUS TECHNICAL
ADJUSTMENTS FOR ISSUE NUMBER SIX
THAT WE HAVE TO TECHNICAL
ADJUSTMENTS ONE RELATED TO. THE
HP ACADEMY REIMBURSEMENT AND THE
OTHER ONE RELATED TO HAVE OUR
REIMBURSEMENT FOR THE HBO THE
HOSPITAL POLICE OFFICER
REIMBURSEMENT ACADEMY WERE
REQUESTING A ONE TIME.
AUGMENTATION OF A HUNDRED AND
FIFTY THOUSAND AND THIS IS
RELATED TO OUR ONE TIME EXPANDED
CAPACITY FOR OUR ACADEMY WE CAN
COLLECT AT TWO SEVENTY TWO
THOUSAND PER ACADEMY WE ARE
EXPECTING THREE ACADEMY SESSIONS
AND EIGHTEEN NINETEEN. WE
CURRENTLY HAVE EXISTING
MISCELLANEOUS REIMBURSEMENT OF
SIXTY SIX THOUSAND SO WE'RE
REQUESTING THE DIFFERENCE
BETWEEN THE SIXTY SIX AND THE
TWO HUNDRED AND SIXTY TWO.
OR TO INTRINSIC SCHEME WHICH
LOOKS AT ONE FIFTY.
FULLER HIT THAT WE'RE REQUESTING
REMOVAL OF ONE POINT ONE FIVE
FOUR IN FROM THEIR SUMMIT
AUTHORITY RELATED TO HIT THE.
AND THIS REIMBURSEMENT AUTHORITY
WAS USED TO COLLECT FUNDS FROM
DEPARTMENT OF HEALTH CARE
SERVICES FOR MEDICAL RELATED
ITEMS AND WE NO LONGER. AND
PROVIDE THE SERVICES THEREFORE
WE'RE NO LONGER COLLECTING ON
THOSE ITEMS AND THOSE I HAVEN'T
COLLECTION SEIZED TWENTY MH
BECAME STATE HOSPITALS.
THANK YOU CONSTANTLY O..
FINANCE.
AB MEMBERS.
ALRIGHT WILL HOLD ITS
MISCELLANEOUS ITEMS OPEN AND
FOUND HAVE COMPETENCY
RESTORATION ASSESSMENTS.
FOR THE SAYS I'M PROPOSED
TRAILER BILL LANGUAGE WOULD
ALLOW COURTS TO MAKE A
DETERMINATION THAT A PATIENT HAS
REGAINED COMPETENCY PRIOR TO
ADMISSION TO EITHER DEISTS EACH
FACILITY OR THE PROPOSED LOS
ANGELES COUNTY RESTORATION AND
COMMUNITY MENTAL HEALTH
TREATMENT PROGRAM.
UNDER EXISTING LAW WHEN THE
DEFENDANT HAS BEEN DETERMINED
INCOMPETENT TO STAND TRIAL ON
FELONY CHARGES THE DEFENDANT MAY
BE COMMITTED TO DO SAGE OR OTHER
TREATMENT FACILITIES FOR
COMPETENCY RESTORATION.
EXISTING LAW PROVIDES FOR THE
MEDICAL DIRECTOR OF THE STATE
HOSPITAL OR THE COMMUNITY
PROGRAM DIRECTOR TO PROVIDE A
CERTIFICATE OF RESTORATION FOR A
PATIENT COMMITTED TO DS AGE AS
INCOMPETENT TO STAND TRIAL
HOWEVER THERE IS NO STATUTORY
AUTHORIZATION FOR COMMUNITY
PROGRAM ADMINISTERED THROUGH A
STATE AND COUNTY PARTNERSHIP.
I'M SUCH AS OUR LA COUNTY
PROGRAM TO FILE A CERTIFICATE
RESTORATION ONCE A PATIENT HAS
REGAINED COMPETENCY.
ADDITIONALLY COUNTIES HAVE
REPORTED THAT MANY PATIENTS UPON
FURTHER ASSESSMENT AFTER THEIR
AND THEY'VE BEEN COMMITTED TO
THE DEPARTMENT PRIOR TO
TRANSMISSION TRANSFER TO THE
DEPARTMENT STATE HOSPITALS. AT
THE REPORT HAVE REGAINED
RECUMBENT SAN NO LONGER REQUIRE
THE COMPETENCY RESTORATION
SERVICES. AND THERE BUT THERE IS
CURRENTLY NO MECHANISM IN
STATUTE THAT ALLOWS FOR THE
FINDING OF THAT PATIENT WHOSE
WREAKING COMPENSATE PRIOR TO
ADMISSION TO IDEAS EACH
FACILITY.
.
SO THEY ARE REQUIRED TO BE
TRANSFERRED TO DE SHN THEN
ASSESS FOR COMPETENCY AND
RESTORED.
AND RETURN TO THE COURT.
SO THE PROPOSED TRAILER BILL
THAT WOULD ALLOW PATIENT
COMMITTED TO THE PROPOSED LA
COUNTY PROGRAM UPON RESTORATION
INCUMBENCY TO BE RETURNED TO THE
COURT AND ASK CONFIDENCE IT. AS
COMPANY IT IT ALSO FELT THAT
ALLOW OUR LA COUNTY PROVIDERS
AND WHO ARE ASSESSING IN
STABILIZING A PATIENT IN JAIL TO
IDENTIFY SOMEBODY HAS BEEN STE.
BEEN DETERMINED TO BE RESTORED
AND FILE THAT THAT PAPERWORK
WITH THE COURT AND AND RETURN
THEM. ONTO THE COURT AND THEN IT
WILL ALSO ALLOW COURT STATE. AND
TO APPOINT A LICENSE
PSYCHIATRISTS OR PSYCHOLOGISTS
OR ANOTHER EXPERT TO MAKE A
DETERMINATION OF WHETHER A
PATIENT THAT WAS COMMITTED TO DS
AGE BUT NOT YET TRANSFERRED
HOUSE PREGAME COMPETENCY.
THANK YOU ALEJO.
FINANCE.
MEMBERS.
ALRIGHT. THANKS SO MUCH RIPPIN I
BEFORE YOU GO ON A TAKE PUBLIC
COMMENT ON ALL THESE ITEMS.
RIGHT SO LUNATIC BUT THE COME
ON STATE HOUSE BRIAN'S WELCOME.
GOOD AFTERNOON CLAN BACK IS FOR
THE CALIFORNIA APPETITES
ALLIANCE PROJECT INFORM AND DRUG
POLICY ALLIANCE. IN SUPPORT OF
ITEM FIVE THE INCREASE
INVESTMENT IN HEPATITIS C.
CONTROL. OF AS YOU KNOW HAVE
COURTESY IS NUMBER ONE CAUSE OF
DEATH AMONG US ALL COMMENDABLE
DISEASES IN UNITED STATES IT.
HOW THE SIXTY ONE DISEASES
REPORTED TO THE CDC?
IT KILLS MORE THAN THE OTHER
SIXTY.
MICHAEL DISEASES COMBINED.
BUT INVESTMENT BY THE
ADMINISTRATION BY THE DEPARTMENT
IT'S FISCALLY SOUND IN THAT IT
WILL. PREVENT LATE STAGE LIVER
DISEASE IN THE COSTS ASSOCIATED
AND PREVENT TRANSMISSION OTHER
PERSON.
THE OF.
FOR THESE REASONS.
.
IT ORGANIZATION ARE STRONG
SUPPORT THANK YOU.
THANK YOU FELLOW HAD A VACCINE
HE'S GONNA COME.
YOUR MEMBERS KATHY MUST WORK
WITH THE SAN FRANCISCO AIDS
FOUNDATION ALSO WANNA GO ON
RECORD IN SUPPORT OF ITEM FIVE
APPRECIATE THE ADMINISTRATION
THE GOVERNOR'S INCLUSION OF THIS
AND ASSOCIATE MYSELF WITH MY
COMMENTS MY COLLEAGUE THINK.
OKAY THANK YOU.
RIGHT THAT OKAY THANK YOU VERY
MUCH FOR YOUR PRESENTATION
ALRIGHT SO OFTEN.
THEN ALRIGHT CIVILIAN MOVE ON
TO.
.
PART B. AS THEY SIT MENTIONED
EARLIER WE HAVE DEPARTMENT
SOCIAL SERVICES WANT TO GO AHEAD
AND TAKE UP.
ISSUE SIXTEEN FIVE ONE FIGHTER.
THINK MADE PROVISION CASELOAD
ADJUSTMENTS.
NATIONAL.
HOW TO SOCIAL SERVICES HERE?
YEAH ARE. THINGS YOU.
OKAY ALRIGHT OKAY.
SO WE WILL BE HEARING THIS IN
AND TAKING A VOTE ON THIS ITEM.
.
SO AYE SHE FOR THE RECORD. WE
CAN JUST HAVE EVERYONE
INTRODUCED THEMSELVES.
SATELLITE BORN DIRECTOR OF THE
CALIFORNIA DEPARTMENT OF SOCIAL
SERVICES THINKING
FEATURING CHO CHIEF DEPUTY
DIRECTOR.
ELIOT. JAZZ ALMOST LIKE
GENERAL'S OFFICE
JACQUI BRAZIL ATLEO TO FINANCE.
DAILY WITH FINANCE
TYLER WAS A FINANCE THANK YOU
ALRIGHT SO WE'RE GONNA START
WITH ISSUE SIXTEEN WHICH IS THEM
A REVISION CASELOAD ADJUSTMENTS
THEN I'LL GO BACK AND HE ORDERS.
THANK YOU MISTER CHAIR MEMBERS.
FEATURE OF INTO WITH THE
DEPARTMENT AGAIN.
.
WE APPRECIATE THE.
AFTER YOUR STAFF MADE TO LAY
OUT THE CASELOAD ADJUSTMENTS
THERE THESE ARE ALL REASONABLE
THINGS WE DO EVERY SINGLE YEAR.
BASED ON AVAILABLE INFORMATION.
ABOUT CASELOAD IN THE PROGRAMS.
BUT A CASELOADS AND ALL OF OUR
MAJOR PROGRAMS CONTINUE TO
SHRINK ALBEIT SLIGHTLY.
INCLUDES GUY CAL WORKS AYE H.
ASSASSIN SIX HIGHEST RISK.
I CAL FRESH IS ACTUALLY
FLATTENING.
IN DECLINE RELATIVE TO WHAT WE
PREDICTED IT AT NAY REVISION BY
A STORY OF GOVERNOR'S BUDGET.
EVERYTHING THAT YOU SEE LISTED
ARE ON PAGES FOURTEEN AND
FIFTEEN IN TERMS OF THE ACTUAL
CASELOAD ADJUSTMENTS.
AND THE ASSOCIATED DOLLARS FOR
THOSE ARE THEY'RE HAPPY TO
ANSWER ANY SPECIFIC QUESTIONS
YOU MAY HAVE.
OKAY THANK YOU I AM.
SURE REGARDING THAT THE COW
WORKS CASTLE ESTIMATES ARE
OFFICE REVIEW THEM WE IN FACT
HAVE VERY SIMILAR ESTIMATES TO
THE ADMINISTRATION'S FOR THE MAY
REVISE PERIOD. PALM THE THIRD.
THE EIGHTEEN NINETEEN CASELOAD
AT FOUR HUNDRED SIX THOUSAND IS
UP A LITTLE BIT FROM WHERE IT
WAS THE GOVERNOR'S BUDGET. TOM
BOTH THE ADMINISTRATION AND OUR
OFFICE ANTICIPATE THAT IN THE
NEXT YEAR TO THE CASE WILL BEGIN
TO DECLINE MORE SLOWLY THAN IT
HAS BEEN.
BUT DETERMINING WHERE THAT IS
WHAT WHAT WHAT POINT THAT OCCURS
IS VERY DIFFICULT SO WE'RE
MONITORING AND ADMINISTRATION OF
IS WHAT.
I FINANCE.
NO IT'S ALRIGHT COMMITTEE
MEMBERS.
A.
CLAUDIA DOT COM ADVOCATE PLEASE
I.
WITH REGARDS TO THE I JUST SIZE.
RIGHT TO SUCH AS THAT.
APARTMENT MENTIONED IT'S A
SLIGHTLY LOWER CASE LOW ESTIMATE
THAN IN THE JANUARY BUDGET
MEANING THAT THAT COSTS DRIVERS
FOR THIS ADJUSTMENT ARE MERELY
ATTRIBUTED TO HOURS PER CASE
PROVIDER COST PER CASE AND
OVERTIME COSTS.
AT THIS POINT WE REYES NO
CONCERNS WITH THE ESTIMATES BUT
WE ARE IN CONTINUE CONVERSATIONS
WITH THE DEPARTMENT TO REVIEW
THE BACKUP.
ANY FURTHER COMMENT FROM FINANCE
ON THAT.
OKAY ALRIGHT SO SOUNDS LIKE
EVERYONE'S IN AGREEMENT BUT
CASELOAD OKAY A PUBLIC COMMENT
ON THE CASE LOADS.
PRICING NO PUBLIC COMMENT.
ENTERTAIN A MOTION UP FOR THE
SPIN MOVE BY YASSER MINING WE'VE
CRUZ THE CASELOAD ADJUSTMENTS
THAT'S ACTUALLY PLEASE CALL THE
ROLL. SENATOR PAN BY SENATOR
MINING SENATOR STONE.
OKAY THAT'S OUT THREE ZERO THANK
YOU. RIGHT SALUTE A MOVE UP TO.
.
GETTING HERE WITH DEPARTMENTS ME
SERVICES DEVELOPMENT I THINK
SOCIAL THAT APPLICABLE.
I HOPE IT LOOKS LIKE THAT. I'VE
SKIPPED. HAVE DIFFERENT TACK
THAT ARE. ACTUALLY DEPARTMENT OF
HEALTH AND HUMAN SERVICES OFFICE
SYSTEM IMMIGRATION DEPARTMENT
SOCIAL SERVICES ISSUE ONE PCP
ELECTRONIC VISIT VERIFICATION.
MULTI DEPARTMENTAL PLANNING
TEAM.
OKAY LET'S LIKE WE DO HAVE SOME
RESHUFFLING OF PEOPLE HERE SOME
ABLE DO A QUICK ROUND OF
INTRODUCTIONS AGAIN OKAY LA JOH.
DO THIS MY LIST WITH THE
LEGISLATIVE ANALYST'S OFFICE
TODAY.
RIGHT BUILT.
WE'LL BE BACK.
USUALLY FINDS ACCURACY OLEO OKAY
WE HAVE SEEN.
I STILL HAVE THE SAME FOLKS THAT
PARTY SOCIAL SERVICES RIGHT
EXCELLENCE WILL GO AHEAD AND
BEGIN.
AND.
THIS ITEM
THAT THE CP I TRY VISIT
VERIFICATION.
THANK YOU AGAIN MISTER CHAIRMAN
MEMBERS INTERBANK AGAIN WITH THE
DEPARTMENT.
THIS ISSUE AND AND.
THE COUPLE THAT FOLLOW.
ARE ARE ALL INTERRELATED.
AT THE END OF DECEMBER TWENTY
SIXTEEN.
FEDERAL LEGISLATION ENACTED A
REQUIREMENT FOR ELECTRONIC VISIT
VERIFICATION IN IN.
MEDICAID PERSONAL CARE AND HOME
CARE SERVICES.
BY VARIOUS STATES ARE DAY ARE
FOR PERSONAL CARE SERVICES IT'S
REQUIRED TO BE IMPLEMENTED BY
JANUARY OF TWENTY NINETEEN.
AND THE STATE HAS ALREADY
INDICATED PUBLICLY IN OUR
STAKEHOLDER PROCESS THAT WE
INTEND TO PURSUE OF SOME GOOD
FAITH EXTENSION WITH SEE A MASS.
OF THAT WE'RE CURRENTLY WORKING
ON FOR THAT DATE. THE FEDERAL
STATUTE IN ADDITION TO REQUIRING
IMPLEMENTATION OF THE UV VIS.
REQUIRES A.
VERY ROBUST STAKEHOLDER
CONSULTATION PROCESS AND
REQUIRES THAT ANY SOLUTION
THAT'S IMPLEMENTED TO COMPLY
WITH THAT REQUIREMENT IS
MINIMALLY BURDENSOME.
WE ALREADY HAD A NUMBER OF
STAKEHOLDER MEETINGS ARE. ON
THIS ON THE SUBJECT AROUND
CALIFORNIAN HERE IN SACRAMENTO.
WE'VE HEARD VERY LOUD AND CLEAR.
DEBT THAT FOLKS ARE UNHAPPY
WITH THIS ITEM WE ALSO THINK THE
FEDERAL STATUTE IS VERY CLEAR IN
CALIFORNIA HAS A CHOICE TO
EITHER COMPLY OR PAY VERY HEFTY
ONGOING FOR A FEDERAL.
PENALTIES FOR FOR NOT DOING
THAT.
NO WE ARE AS A.
PRESENTING TO PEOPLE A PROPOSED
SOLUTION FOR THAT WHAT YOU SEE
BEFORE YOU IN THE REQUEST HERE
IS A SPECIFIC TO THE I. H.
ASSESSED PROGRAM IT'S NOT THE
ONLY PROGRAM SUBJECT TO THE DVD
REQUIREMENT IN CALIFORNIA. SO I
WANT TO MAKE SURE THAT THAT
FOLKS KEEP THAT IN MIND.
THIS IS REQUESTING A FUNDING
FOR FOR A COUPLE POSITIONS IN
OUR DEPARTMENT TO DO THAT
STAKEHOLDER ENGAGEMENT WORK
RIGHT THE PLANS RIGHT TO
STAKEHOLDER.
AMENDMENTS TO COMPLETE THE
ITUNES PROGRAMMING CHANGE YEAH
DESIGN WORK THAT NEEDS TO BE
DONE.
AND MONITOR IT'S ABOUT
PRODUCTION DEVELOPMENT
IMPLEMENTATION INCALIFORNIA
THERE'S A TREMENDOUS AMOUNT OF
WORK THAT WILL BE REQUIRED IN
THE NEXT COUPLE OF YEARS TO DO
IT.
.
IF I MAY I I MENTIONED THAT IT'S
RELATED TO THE BUDGET BILL
LANGUAGE.
PROPOSAL ON PAGE SIX AND ALSO.
YOUR AGENDA MENTIONS ASSOCIATED
TRAILER BILL LANGUAGE ON PAGE
SEVEN THE REASON THAT I ASK IS
THAT WE HAVE A CHANGE TO OUR
PROPOSAL AND IF YOU WHEN YOU'RE
READY AMERICA JUST PLAIN SO JUST
THAT SO FOR. MONTHS WATCHING IT
WILL DO IS.
OUR OF CFC HEARING THIS ISSUE
RIGHT NOW.
LOOKS.
WHILE DO IS WHAT WE GO AND DO
ISSUE ONE AND TWO.
AND.
WHAT'S NOW LISTED AS.
INVITE ONE FIDO PART SOCIAL
SERVICE AYE TESTS US WHEN WE HAD
TO GO AHEAD PRESENT THOSE TO
SINCE THEY'RE ALL INTERLINKED.
THAT WILL TAKE COMING FROM LA
THOUGH THEY COME FROM FINANCE
WILL TAKE PUBLIC COMMENT.
THAT AFTER THAT SO SINCE
THEY'RE ALL SORT OF PACKAGE
SO WHAT YOU GO AHEAD AND.
AND PRESENT THE ISSUE ONE.
DPL IT TRIED HIS VERIFICATION
AND THEN FOLLOW AT THE TRAILER
BILL LANGUAGE WITHOUT
PRESENTATIONS WHAT.
WHAT I'M?
SORRY BUT WHAT WHAT I'M PASSING
AROUND JE FOR YOU IS
REPLACEMENT.
PROPOSAL.
BASICALLY ISSUE TOO OF THE
ADMINISTRATION WOULD LIKE TO
WITHDRAW ANY TRAILER BILL
PROPOSAL ON THAT ON THIS TOPIC.
BY THE TRAILER BILL PROPOSAL AS
AS DESCRIBED IN YOUR AGENDA WAS
SIMPLY A ABILITY TO IMPLEMENT BY
ALL COUNTY LETTER. AND WE HAD A
VERY GOOD CONVERSATION WITH OR
WITH A NUMBER OF FOLKS AND OVER
THE LAST A CURATIVE DAYS.
AND SO WHAT YOU SEE IN FRONT OF
YOU IS REPLACEMENT BUDGET BILL
LANGUAGE FOR WHAT'S DESCRIBED IN
ITEM ONE IN THE AGENDA.
BUT BASICALLY THIS BUDGET BILL A
LANGUAGE BECAUSE OF THE FEDERAL
AND CERTAINLY WE DON'T HAVE EVEN
THOUGH THE FEDERAL STATUTE IS
BEING PASSED MORE THAN A YEAR
AGO WE STILL DON'T HAVE
REGULATORY GUIDANCE OR EVEN
PROGRAM INSTRUCTIONS FROM. THE
FEDERAL CENTERS FOR MEDICARE
MEDICAID SERVICES. OF SO WE HAVE
SOME UNCERTAINTY ABOUT WHAT
WE'RE ABOUT WE ALSO THINK THAT'S
AN OPPORTUNITY TO READ THE
STATUTE LITERALLY AND MAKE OUR
OWN BEST INTERPRETATION.
OVER WHAT WE CAN DO TO COMPLY.
WE ALSO.
BECAUSE WE ARE STILL IN THE
STAKEHOLDER ENGAGEMENT PROCESS
WE DON'T HAVE AT A FIRM PROPOSAL
WE HAVE PRESENTED ONE BUT THAT
MAY NOT BE ITS FINAL FORM.
AND SO WHAT WE'RE PROPOSING
HERE IS BUDGET BILL LANGUAGE
THAT WOULD ALLOW THE DEPARTMENT
OF FINANCE TO INCREASE THE
BUDGET TO BUY A MILLION DOLLARS
GENERAL FUND. IN THE NEXT FISCAL
YEAR CONTINGENT UPON TO THE
THIRTY DAY PRIOR NOTIFICATION OF
THE JOINT LEGISLATIVE BUDGET
COMMITTEE.
UP IN RECOGNITION OF THE
UNCERTAINTY YOU'LL SEE AND SIX A
ONE THROUGH FOR A DESCRIPTION.
OF THE THINGS ARE THIS NORMALLY
WE RIGHT KIND OF A ONE PAGE
LETTER AND AN EXPLANATION FOR
BUDGET INCREASES. BY HERE WERE
PROPOSING TO TO JUSTIFY THE A
PROPOSED IN EXPENDITURES
INCLUDING A A DID A WRITTEN PLAN
DESCRIBING THE PROPOSED
APPROACH.
HAY AND A WHAT THE SOLUTION
LOOKS LIKE A DESCRIPTION OF THE
STAKEHOLDER PROCESS AND IT THAT
WE WENT THROUGH. AND THE INPUT
WE RECEIVED AND EXPLANATION OF
ANY INPUT THAT WE DID NOT
ADDRESS IN THE PROPOSED SOLUTION
AND A COST ESTIMATE NOT JUST FOR
THE BUDGET YEAR BUT FOR THE
OVERALL COST OF COMPLIANCE.
.
AND THE LANGUAGE IN SUBDIVISION
BE ALLOWS US SOME TRANSFER OF
THAT MONEY AYE TO FOR STATE
OPERATIONS AND OTHER CONTRACTS
AS NECESSARY. ARM AND THERE'S A
STATEMENT IN AND SEE ABOUT
LEGISLATIVE INTENT.
.
AGAIN.
AS AS A PROPOSAL.
THAT WOULD ALLOW US FOR A I
THROUGH THE END OF OUR.
IN THE NINETEEN TWENTY FISCAL
YEAR TO IMPLEMENT BY ALL COUNTY
LETTER THIS IS VERY CALM AND
WHEN WE HAVE NEW STATUTES AND
YOU PROGRAMS FOLLOWED BY
RULEMAKING.
SO WE ARE MAKING AN ATTEMPT HERE
TO BE VERY CLEAR ABOUT WHAT
WE'RE ABOUT AND WHY I'M GIVING
AMPLE OPPORTUNITY FOR
LEGISLATIVE SCRUTINY OF FAT. AND
HAPPY TO ANSWER QUESTIONS.
OKAY THANK YOU.
COMMENTS FROM ALEJO.
YES ONCE AGAIN TO DIVEST
MADONNA'S WITH ALEJO UP THE
RESEARCHER QUESTION THIS
PROPOSAL DOES APPEAR REASONABLE.
AND WE UNDERSTAND THAT THE
ADMINISTRATION MAY NEED SOME
FLEXIBILITY IN THIS AREA GIVEN
THE IMPLEMENTATION OF THE IT'S
VERY COMPLEX.
THERE'S STILL SOME UNCERTAINTY
ABOUT WHAT THE FEDERAL
GOVERNMENT TO REQUIRE OF THE
SYSTEM IN THE POTENTIAL FOR
PENALTIES. HOWEVER WE WERE
CONCERNED WITH THE LANGUAGE THAT
WAS PROPOSED LAST WEEK IN THE
GOVERNOR'S MAY REVISION WELL IT
BEING OVERLY BROAD AND PERHAPS
LIMITING LEGISLATIVE OVERSIGHT.
WE DID RECEIVE THE REVISED
LANGUAGE OF THIS AFTERNOON IT
DOES APPEAR TO MOVE IN THE RIGHT
DIRECTION BUT WE ARE STILL
REVIEWING AT TIME. PREVIOUS TO
THIS HEARING WE HAD SUGGESTED
SOME QUESTIONS FOR THE
LEGISLATURE VIA STAFF TO HELP
UNDERSTAND WHAT PARAMETERS MIGHT
BE BUILT IN AND THOSE ARE
REFLECTED IN YOUR AGENDA.
THANK YOU FINANCE.
ALRIGHT I COMMITTEE MEMBERS US
CENTER MUCH.
THANK YOU MISTER CHAIRMAN.
THANK YOU FOR BRINGING THIS IT
SOUNDS LIKE A LITTLE BIT OF A
CHICKEN AND EGG IS SAYS WE HAVE
TO DO THIS BY JANUARY TWENTY
NINETEEN. BUT THE FEDERAL
GOVERNMENT HASN'T PROVIDED.
ANY GUIDANCE OR REGULATIONS
TO HAVE ANY TIMETABLE ON WHEN WE
EXPECT.
THAT TO BE AVAILABLE FROM THE.
FEDERAL GOVERNMENT. THE DATES
WE'VE HEARD UP TO THIS POINT
INCLUDED JANUARY AND FEBRUARY
WHICH OBVIOUSLY HAVE NOW PASSED
AND WE STILL DON'T HAVE ANYTHING
SO I'D PREFER NOT TO SPECULATE.
SO JUST SO I UNDERSTAND THE.
ELECTRONIC VERIFICATION. IS THAT
FOR THE IN HOME SUPPORT OF
PROVIDER TO SECURE. VERIFICATION
FROM THE CLIENT THAT.
THEY WERE THERE PROVIDED
SERVICES AT FOR PURPOSES OF.
AND CONFIRMING A PAYROLL SHEET
WHAT. GIVE BE A LITTLE MORE
SENSE OF.
WHAT'S CONTEMPLATED HERE.
SORRY APOLOGIZE FOR PROVIDING
NOT NOT BACKGROUND.
ELECTRONIC VISIT VERIFICATION
IS BASICALLY A REQUIREMENT THAT
WE.
CAPTURE TIME WORKED ON
ELECTRONIC BASIS.
WE. BASICALLY OUR CURRENT
PAYROLL SYSTEM DOES THAT EXCEPT
THAT IT'S NOT ELECTRONIC EXCEPT
FOR THOSE USING ELECTRONIC TIME
SHEET.
SYSTEM AND THERE ARE TWO THINGS
THAT ARE CURRENT PAYROLL PROCESS
DOES NOT.
COLLECT WE DIED THE FIRST IS A
THE ACTUAL TIME AT WHICH THE
HOURS WERE WORKED SO FOR EXAMPLE
OUR CURRENT PAYROLL SAYS TODAY I
WORKED EIGHT HOURS OF ME RIGHT
EIGHT HOURS ON THE TIME SHEET.
THE FEDERAL REQUIREMENTS AS THE
START AND END TIME OF THE HOURS
THAT ARE WORKED ON AND WE THINK
THERE'S SOME FLEXIBILITY IN THE
INTERPRETATION OF THAT. AND THE
FEDERAL GOVERNMENT ALSO REQUIRES
CAPTURE OF THE LOCATION AT WHICH
THE SERVICES WERE PROVIDED. ON
THE RIGHT NOW WE DON'T HAVE TO
REPORT THAT DETAIL OBVIOUSLY AT
THE SERVICES US HOME CARE OR
PERSONAL CARE OFTEN DELIVERED IN
THE HOME. BUT WE ALSO DO THINGS
LIKE MEDICAL ACCOMPANIMENT TO
DOCTORS VISITS WE ALLOW
GROCERIES AND SHOPPING LAUNDRY
SERVICES MAY REQUIRE SIMPSON WHO
WOULD BE RESPONSIBLE WOULD IT BE
THE PROVIDER WHO WOULD THEN
BRING A. WOULD IT BE A CELLPHONE
AND NOTEPAD AND IPAD IN THEN HOW
SOPHISTICATED IS THE. RECIPIENT
HALF TO ME AND KNOW SOME.
RECIPIENTS OF IN HOME SUPPORT
SERVICES BY DEFINITION SUFFER
FROM DISABILITIES THEY MAY NOT
BE COMPUTER.
FLUENT OR HAVE COMPUTERS SO
HOW'S THIS.
ADAPTED TO. THEY'RE TECHNICALLY
THE EMPLOYER THE RECIPIENT OF
THE SERVICES AND I AM FAMILIAR
THAT THEY CURRENTLY VERIFY. LIKE
IT'S TIME SHE BASICALLY. WHICH
USUALLY PREPARED BY THE PROVIDER
AND SIGNED. BY THE RECIPIENT
BUT.
ANY FURTHER INSIGHT TEN. POINTS
ANTICIPATED.
A COUPLE BACKGROUND COMMENTS
AGAIN TYPICALLY TODAY THE
PROVIDER COMPLETES A TIME SHEET
AND SUBMITS IT TO THE RECIPIENT
WHO SIGNS IT UNDER THE PENALTY
OF PERJURY SAID THAT THAT.
THERE'S THIS WOULD MAINTAIN THAT
PROCESS OF THE PROVIDER FILLING
IT OUT.
IN THE WEBINARS THAT CMS HOUSE
NOT ON THIS TOPIC THERE'D TWO
THINGS TO NOTE ONE.
DOES THE STATUTE DOES NOT
REQUIRE REAL TIME VERIFICATION
SO YOU DON'T HAVE TO WALK AROUND
WITH A AND NAP ON YOUR PHONE
THAT USED. START AND STOP IN
REAL TIME.
AND THEY'VE INDICATED THAT.
WE HAVE SOME FLEXIBILITY BOTH
IN TERMS OF DESCRIBING THE
SERVICES PROVIDED WE COULD CALL
THEM JUST PERSONAL SERVICES AND
NOT THE TWENTY SIX UNIQUE
SERVICES WITHIN THE IHS PROGRAM.
AND HAS TO LOCATION AYE WE THINK
WE HAVE SOME FLEXIBILITY AS WELL
AN INTERPRETATION OF THAT.
SO THE PROPOSAL THAT WE'VE MADE.
AND OUR FOR OUR WORKING THROUGH
WITH THE STAKEHOLDER PROCESS IS
TO BASICALLY LEVERAGE THE
EXISTING ELECTRONIC TIMESHEET
SYSTEM.
SO THAT PEOPLE COULD STILL AS
THEY DO TODAY EITHER MONDAY AT A
TIME OR AT THE END OF A TWO WEEK
PAY PERIOD. RECORD ALL OF THE
STATE AND CONTINUE TO USE THE
EXISTING TOOLS ARE FAMILIAR
WITH.
OF FOR THOSE WHO ARE NOT
COMPUTER SAVVY TO ANSWER THE
OTHER PART OF YOUR QUESTION.
IN THEIR.
THE LEGISLATURE FUNDED FOR US A
COUPLE YEARS AGO I THE CREATION
OF.
A TELEPHONIC TIMESHEET SYSTEM
FOR PERSONS WHO ARE BLIND AND
VISUALLY IMPAIRED.
BUT THAT'S ALSO AVAILABLE FOR
PEOPLE WHO AREN'T CANNOT
DESCRIPTION I AND WE WOULD PLAN
TO.
USE THAT SYSTEM AS WELL FOR
EVEN A V. WITH THE A A
DEVELOPMENT OF A SMARTPHONE APP
AS WELL OLD ULTIMATELY FOR THOSE
WHO WISH EXISTE SOMEWHAT
OPPOSING. THOSE THREE CHANNELS
THINK UNIT IN THIS COMPLIANCE
SPECIFICITY SPECIFICITIES
HELPFUL FOR ME YOU DID SAY IN
YOUR EARLIER STATEMENT I THINK
YOU ARE WORKING WITH STAKEHOLDER
GROUPS.
TO TRY TO. MAKE THIS AS.
CLIENT FRIENDLY AS POSSIBLE.
IN ADAPTABLE THANK YOU MISTER
CHAIR.
OKAY THANK YOU.
PRESSURE I. I DO HAVE SOME
QUESTIONS AND PERHAPS BE WHAT
I'D LET'S.
HANDSOME PUBLIC COMMENT FIRST
AND THEN NOW I'M ABLE TO FOLLOW
UP ON ON BASED ON THAT SO. IS
THERE PUBLIC COMMENT ON THE LA
TRONIC VERIFICATION VISIT
VERIFICATION PROPOSALS WE HAVE
BOTH.
THE MULTI PART OF PLANNING TEAM
THE.
THEBUDGET LANGUAGE AND TRAILER
BILL LANGUAGE WELCOME OF MR
CHECK HER CHILD DISABILITY
RIGHTS CALIFORNIA WE SHARE I
THINK THE ISSUES THAT WERE
RAISED BY YOUR STAFF IN THE
ANALYSIS AGREE WITH THEIR
RECOMMENDATIONS. ALONG THE WAY
WE OBVIOUSLY HAVEN'T SEEN THAT'S
MOST RECENT LANGUAGE SHAFT FROM
THIS AFTERNOON THAT WE'D BE
HAPPY TO TO LOOK AT.
A OUR CONCERN WAS THAT THIS WAS.
QUITE BROAD AND PROBABLY QUITE
EARLY ON WHERE WE'RE AT IN THE.
IN THE PROCESS I THINK THERE'S
A LOT OF DETAILS THAT WE STILL
NEED TO SORT THROUGH AND THE
QUESTION SENATOR MONNING WAS
GETTING TOO I THINK WERE. YOU
KNOW THE RIGHT ONES AND WILL
CONTINUE TO WORK ON THIS I JUST
SAY THAT THE DEPARTMENT HAS BEEN
GREAT TO WORK WITH ON THIS IN
VERY TRANSPARENT.
ON THE PROCESS AND WE LOOK
FORWARD TO CONTINUING TO.
TO WORK WITH THEM BUTTA PERHAPS
A LITTLE EARLY.
ON SOME OF THIS LANGUAGE THEM.
THANK YOU.
WELCOME ROBERT HARRIS FUND WE
HAVE AS YOU KNOW YOU CALIFORNIA
THEN WE HAVEN'T SEEN THE
LANGUAGE WE DID NOT LIKE THAT
THE. LIKE OF TOWARD THE THAT WAS
GIVEN PREVIOUSLY. AND TRUSTING
THE DEPARTMENT TO OF MOVED IN
THE RIGHT DIRECTION AND TRACTION
RECOMMENDED BY STAFF.
AND SO WE LOOK FORWARD TO
WORKING WITH YOU TO MAKE SURE
THAT THAT.
WHEN THIS IS IMPLEMENTED IT'S
IMPLEMENTED IN THE CORRECT WAY
WHO HAS LEGISLATIVE OVERSIGHT
BACK.
EDU.
ALRIGHT.
OKAY.
SIMILAR COMMENTS.
I APPRECIATE YOUR PRESENTATION
AND.
AND THE.
REVISED LANGUAGE YOU KNOW I'VE
HAD A CHANCE TO REVIEW IT YET.
LOOKING AS YOU'RE PASSING IT
OUT.
YEAH I I DO THINK AS WE'VE
TALKED ABOUT THIS ISSUE BEFORE
IN A PREVIOUS HEARING OUT THERE
ARE SEVERAL ISSUES THAT. WERE
OUT THERE THAT I THINK.
WILL I BE SURE THAT THERE IS
LEGISLATIVE OVERSIGHT AND THEN
PUT INTO.
NO ONE WAS SEXUAL PRIVACY
ISSUES RIGHT IN AND REALIZE YOU
HAVE BUT NOW WHAT WE'RE TRYING
TO DO IS WE'RE TRYING TO
IMAGINE.
YOU MAY HAVE A BETTER IDEA THAN
WE DO ABOUT WE AWARD FEDERAL
FINALLY COME OUT AND WE'RE GOT
LAND BUT.
TO DO IT IN A WAY THAT IS BOTH.
THAT IS THE LEAST INTRUSIVE.
THAT.
.
TIMES GO PLACES AND TAKE UP THE
NUMBER THE PROVIDER WHO SHOULD
BE PRIDING CARES TIME BUT MOST
IMPORTANTLY PROTECTING THE.
THAT THAT THE PERSON RECEIVING
THE CARE.
INCLUDING THEIR A DOCTOR PRIVACY
SO BE AWFULLY AMPLE LOCATION AND
AGAIN WE DON'T KNOW WHAT FEDERAL
GUIDELINES WILL BE I CAN JUST
SAY. THEIR HOME NOT HAVE TO PUT
ADDRESS OF ONE KNOWS WHERE IT IS
RIGHT OR.
A PHYSICIAN AND VERSES THAT
YOU'RE GONNA SEE A DOCTOR VERSES
THOUGH NOW I KNOW YOUR GOING TO
A PSYCHIATRIST RIGHT MAYBE THEY
DON'T WANT TO BE SO EXPLICIT
ABOUT HOW THE A WITH WHO CETERA
SO.
.
AND SO DEPENDING WE SHOULD AND
THAT STATEMENT THOUGH BY THE
WAY.
HAS HOPE THAT'S ANOTHER STORY.
BUT YOU KNOW PEOPLE HAVE YOU
KNOW SO SO IN AGAIN I REALIZE
SOME OF THIS IS OUT OF YOUR
CONTROL.
AT THE MOMENT BUT WE ALSO WANT
TO KNOW THAT ONCE THE FEDERAL
GUIDELINES COME NOW. UNCERTAINLY
AND I KNOW THAT YOU YOU YOU AND
THAT THE PART MEN HAVE THAT YOU
DID. WANT TO DO THE RIGHT THING
AND WE KNOW YOU WELL BUT STILL I
THINK WE HAVE TO ANSWER PEOPLE
ASK US QUESTIONS WE HAVE TO BE
ABLE TO SAY LOOK WE TOOK A LOOK
OVER WE PROVIDED INPUT AND SO
FORTH SO. SO I DO APPRECIATE THE
LANGUAGE MOONLIGHT CORRECTION.
AND I DO. UNDERSTAND THERE'S
SOME CHALLENGES WITH OKAY NOW
THE RIGS ARE OUT THERE'S MONEY
ATTACHED AND WE HAVE TO RESPOND
QUICKLY.
BUT I THINK YOU KNOW THIS IS
NOT THE FIRST TIME WE'VE HAD TO
DO WITH FEDERAL REGULATIONS
RIGHT WE.
WE'VE HAD FEDERAL REGULATIONS
I'VE SEEN BILLS GO THROUGH WITH
URGENCY LANGUAGE.
THROUGH THE LEGISLATURE WE'VE
HAD.
SITUATIONS WHERE DARE WE OWE
THERE'S A MECHANISM FOR
EMERGENCY REGULATIONS FOLLOWED
UP BY ONCE LEGISLATION THROUGH
TWO. TWO SEKI ALSO SO WE DO HAVE
EXISTING MECHANISMS AND I DON'T
WANT TO CIRCUMVENT.
THAT I'M.
NECESSARILY AS WELL.
TOO MUCH SO FIELDS OF THEM SOME
CONCERN ABOUT ALL COUNTY LETTERS
AND SO FORTH LIKE OKAY WE'RE
KIND. BECAUSE.
WE UNDERSTAND THERE YOU'D DO YOU
NEED TO ACT AS A CERTAIN SPEED
SAMETIME EVEN IF OR PLAY A
LITTLE CATCH UP AT TIMES.
WE NEED TO BE ABLE TO HAVE BE
ABLE TO SAY OKAY WE'RE GOOD WITH
THIS OR WE CAN PUSH BACK.
CA AND AND MAKE SOME DECISIONS.
ABOUT IT AND AND AND AND SO
FORTH SO.
SO LOOK FOR TO THE CONTINUING
WORK ON THIS ISSUE WE'RE GOING
TO HOLD THESE ITEMS OPEN AT THE
MOMENT I KNOW THAT.
WILL HAVE TO BE VOTING ON IN
THE NEXT TO THAT.
HOPEFULLY.
THERE'S PEOPLE THAT TENS OF THE
JUST THE LANGUAGE AND MAKES
FURTHER SUGGESTIONS.
WE CAN. SEE SEE WHERE WE GO BUT
AGAIN I WOULD. URGE SAID LOOKING
AT THIS IS NOT THE FIRST TIME
WE'VE HAD FEDERAL REGULATIONS
COME DOWN AND WE DID HOLE A CA
WHAT WAS A FEDERATES ANYONE
FEDERATES GOING TO BE RIGHT AND.
THEN WHEN THEY CAME DOWN WE
FIGURE OUT HOW TO DEAL WITH THEM
SO.
NEATO FIGHT IT JUST JUST WANNA
SAY THAT.
.
WEEK WE CAN FIGURE OUT HOW TO DO
THIS AND I THINK THE LEGISLATURE
WANTS TO BE SURE WE HAVE OUR.
THE OVERSIGHT SO.
OKAY. ALRIGHT SO WE IT WE DO
HAVE ISSUE NUMBER THREEI JUST
US COUNTY ADMINISTRATION
ADJUSTMENT.
.
BUT I'LL KEEP IT SHORT I. MAY
ASK FOR HELP IF IF YOU HAVE
QUESTIONS OR ADDITIONAL DETAILS.
.
PHONE BASICALLY AT AS ANNOUNCED
IN IN.
THAT THE GOVERNOR'S BUDGET.
KIND UNDER THE I JUST ASSEMBLY
THAT WAS ENACTED LAST YEAR.
THERE WAS ALSO A CALL TO BE
CLEAR ABOUT WHAT THE ADMIN AS
BOTH FOR.
COUNTIES BUT WHAT THE ADMIN
COSTS ARE FOR CUNTIES AND
THEREFORE WHAT THE AMMO WE
SHOULD BE INCLUSIVE OF PUBLIC
AUTHORITIES. HOW WE WORKED ARE
QUITE HARD AND I'D LIKE TO THANK
DEBBIE THOMPSON MY DEPUTY
DIRECTOR FOR IT ALL PROGRAMS AND
THE COUNTIES? OF AND AND THEY AS
STATE ASSOCIATION OF COUNTIES OF
AND AND THE PART OF. THE
CALIFORNIA ASSOCIATION OF PUBLIC
AUTHORITIES ON THERE'S A LOT OF
WORK DONE IN THE LAST FEW MONTHS
TO COME UP WITH THE METHODOLOGY.
WAIT YOUR GENDER DESCRIBED IS
ACCURATE THERE'S AN INCREASE IN
THE ADMIN.
PROPOSAL FOR.
THE IHS PROGRAM ARE THAT
ACCURATE WE THINK MUCH MORE
ACCURATELY REFLECTS A BUDGETING
A METHODOLOGY THAT WOULD BE
APPROPRIATE ON A GO FORWARD
BASIS UNDER THE M. ONLY.
RIGHT BECOMES FAMILIAR.
AS MUCH BY THE DEPARTMENT THIS
IS ONE OF MANY.
PROGRAMS IN WHICH THE
DEPARTMENT HAS TRIED TO LAND ON
A NEW BUDGETING METHODOLOGY YOU
WITH REGARDS TO COUNTY
ADMINISTRATION COSTS. AND THE
ADJUSTMENT IT IS OUR
UNDERSTANDING IS PRIMARILY
INFORMED BY NEW ASSUMPTIONS
AROUND BENEFITS AND OVERHEAD
COSTS.
DID DEPARTMENT HAS SIGNALED
WITH REGARDS TO JUST SIZE THAT
THERE WILL BE REAL LOOKING AT
THE ADMIN METHODOLOGY AS PART OF
THE TWENTY TWENTY TWENTY ONE.
BUDGET TO THE EXTENT THAT THE
LEGISLATURE WOULD LIKE TO ADD
REPORTING REQUIREMENTS AND
REALLY.
PINPOINT CERTAIN CRITERIAS ARE
PARAMETERS FOR THAT EVALUATION
THAT SOMETHING THAT YOU ALL CAN
DO OKAY THINKING FINANCE.
OKAY.
COMMITTEE MEMBERS OKAY LOOKS
LIKE ALRIGHT WELL.
SO APPRECIATE THE WORKING WITH
COUNTIES WE HAS THAT LOOKS LIKE
WE ARE TRYING TO WORK IT MORE.
YES
A RATIONAL THREAT WORD.
CONNECTED METHODS OF THE CAN'T
MINISTRATION ó IS A PUBLIC
COMMENT ON THIS ITEM.
MISS FEAR MEMBERS ROBERT HARRIS
ON BEHALF HOUSE YEAH YOU
CALIFORNIA.
UNFORTUNATELY THE WORK THE
AMOUNT OF WORK WAS.
FIGURED OUT.
PRETTY CORRECTLY UNFORTUNATELY
WHAT WAS AND FIGURED OUT WAS
WHAT. CAVE WHAT THE WAGES OF THE
CASELOAD WORKERS ARE.
AND IF YOU DON'T USE THE RIGHT
NUMBERS YOU GET THE WRONG AMOUNT
AT THE END.
ARE THE I JUST ASK
SOCIAL WORKERS ARE. PAID MORE
THAN THE AVERAGE BECAUSE I'VE
DONE THIS FOR A LONG TIME.
AND SO WE THINK THE NUMBERS
DON'T REFLECT THAT. THE SECOND
THING IS THAT.
OKAY AND AND WHAT RESULTS FROM
THAT IS THAT PUTS PRESSURE
DOWNWARD PRESSURE ON THEM ON THE
CASELOAD WORKERS
IT COMES FROM THE COUNTY THEN
IT'S DOWNWARD PRESSURE ON THEM.
AND THAT BECOMES DOWNWARD
PRESSURE ON HOW PEOPLE GET
SIGNED UP TO THE PROGRAM AND I
TO ASSESS PROVIDERS. AND THAT
RESULTS IN BUT SERVICES AND
SEWER SERVICES FOR THE
RECIPIENTS WHO THIS IS ALL
ABOUT.
SO WE THINK PERIODIC GO BACK AND
FIGURE THAT PART OUT THAT WAGES
AND THEY ALSO ARE BECAUSE THE
OTHER THING THAT RESULTS IN
DOWNWARD PRESSURE IF YOU DON'T
ALLOW FOR CASA LIVING JUST WENT.
WHICH HAPPEN EVERY YEAR BUT ONE
FACT YOU'VE DONE IS CUT THE
PROGRAM EVERY YEAR. IN REVERSE
SENSE THAT WE THINK BECAUSE
GOTTA BE BE LOOKED AT AND THE
WAGES OF THAT ARE ACTUALLY PAID
TO THE WORKERS WHO DO THIS WORK.
SHOULD BE BE REFLECTED DIRECTLY
IN THE FINAL THE ESTIMATE OF THE
COST.
THANK YOU.
THANK YOU MISTER CARE FRANK
MCCOURT THE COUNTY WELFARE
DIRECTORS ASSOCIATION LIKE THAT.
ECHO MISTER CHAIRMAN BECAUSE.
THANKS TO THE ADMINISTRATION
AND TO SEE SECOND EVERYBODY THAT
WORKED REALLY HARD ON THIS
METHODOLOGY.
THE GOOD NEWS IS WE AGREE ON THE
AMOUNT OF WORK IT TAKES.
NUMBER OF HOURS IT TAKES TO
ADMINISTER THE I JUST THAT'S
PROGRAM AND THAT'S THAT'S A
SIGNIFICANT ACCOMPLISHMENT.
THE ADMINISTRATION ALSO
ATTEMPTED TO SORT A TRUE UP WHAT
IT COSTS FOR A SOCIAL WORKER AND
THAT'S IT.
MISTER HARRIS'S WAS MENTIONING
AND WE PROVIDED INFORMATION ON
THE ACTUAL COST OF A SOCIAL
WORKER IN THE ADMINISTRATION'S
METHODOLOGY.
USED A PROXY ARM.
AND THAT PROXY WAS AND ADVERTISE
SALARY RANGE ON A COUNTY WEBSITE
AND IMPLEMENT POINT WAS CHOSEN.
AND THE ACTUAL WAGES PAID TO I
JUST THAT'S WORKERS ARE MORE
THAN THAT PROXIMATE POINT
BECAUSE THESE TEND TO BE MORE
EXPERIENCED WORKERS.
BOB AND SO THE NET EFFECT IS A
SORT OF IN UNDER FUNDING OF THE
ACTUAL MIND OF WHERE. WE HAD
REALLY GOOD DISCUSSIONS AS EARLY
AS AN HOUR AGO AT THE DEPARTMENT
OF FINANCE WE CONTINUE TO TALK
ABOUT THIS ISSUE. TALKED ABOUT
IT WITH THE DEPARTMENT AS WELL
SO WE HOPE THAT WE CAN RECONCILE
THIS BEFORE THE BUDGETS ADOPTED
OKAY.
SO DO I. FAQ. WELCOME BY JUSTIN
CARE WITH THE CALIFORNIA STATE
ASSOCIATION OF COUNTIES ALSO ON
BEHALF OF THE URBAN COUNTIES
CALIFORNIA I'M JUST REALLY
APPRECIATE THE STRONG
PARTNERSHIP IN COLLABORATION
WITH THE DEPARTMENT ON THIS
ISSUE.
I'D LIKE TO DISCONNECT ALL THE
COMMENTS MCW DAY IN TERMS OF.
NEEDING TO UTILIZE THE BEST
AVAILABLE COST THERE THAT WAS
PROVIDED IN ORDER TO. GET CLOSER
TO THE TRUE COST BUT I'M REALLY
OUR SUPPORT OF THE INCREASE AND
APPRECIATE THE COLLABORATION.
OKAY THANK YOU.
AND OF THE ANY COULD BECOME AND
SON WHAT WAS SAYS SAID AND
ESPECIALLY AROUND US COST OF THE
SOCIAL WORKER I MEAN SOUNDS LIKE
IF THEY'RE IF REAL DATA IS
AVAILABLE SAID USING A PROXY OF
MEANS THE CAN YOU MAYBE
ELABORATE LOW THAT AS TO THE
CHOICE OF METHODOLOGY. BEING
USED BY THE DEPARTMENT ARE.
WITHOUT GOING INTO TOO MUCH
DETAIL THERE'S LOTS OF AVAILABLE
DATA I THINK WE JUST NEED TO
UNDERSTAND WHAT'S IN THAT DATA
BEFORE WE PROCEED IN USING IT SO
LEADERSHIP AND HAVING GOOD
CONVERSATIONS AND EXPECT. TO GET
THIS RESOLVED THIS LAW.
OKAY FINANCE INCOMING.
RIGHT.
OKAY ALRIGHT.
I MEAN SOMEONE WHO'D.
WAS A RESEARCHER I UNDERSTAND
THERE'S STATE OUT THERE'S
CLEANING DATA AND ALL THAT OTHER
STUFF BUT HOPEFULLY WE CAN.
GET GET THEIR ALRIGHT. OKAY SON
NEXT ITEM IS FAR SOCIAL SERVICES
CHILD WELFARE SERVICES WE HAVE
PASSED SEVERAL ISSUES.
RELATED TO CHILD WELFARE
SERVICES WILL HEAR EACH OF THESE
ISSUES AND THEN THAT WILL TAKE
PUBLIC COMMENT AT THE
AND.
SO LET'S BEGIN WITH.
CONTINUING CARE REFORM RESOURCE
FAMILY APPROVAL BACKLOG.
ALRIGHT AND LOOKS LIKE SINCE WE
HAVE A NEW SECTION OF THE
DEPARTMENT MAYBE WE'LL PUT IT
FROM PEOPLE TABLE DO
INTRODUCTIONS AGAIN FOR THE
RECORD.
WE'LL LET PORN DEPARTMENT OF
SOCIAL SERVICES.
I'M GREAT.
GREG WROTE THAT THE DIRECTOR FOR
CHILDREN FAMILY SERVICES.
SORRY PICTURE BLANCA WITH THE
DEPARTMENT.
I HAVE AND JOHNSON ELIA A
FINANCE.
LIAM MORE FINANCE.
JUSTIN GREATEST FINANCE THANK
YOU ALL RIGHT ADDITIONAL
FORECLOSURE CCR WELL AM. VERY
BRIEFLY ISSUED ON BEFORE MISTER
CHAIR IS THE ALL MAD AS WE
DISCUSSED REGARDING THE. BACKLOG
BUT IT DEVELOPED IN SOME
COUNTIES AROUND PROCESSING
PARFAIT. COLUMN.
EARLIER THE LEGISLATURE AND
GOVERNOR APPROVED ON SOME OF THE
SHORT TERM FUNDING SOLUTION FOR
PAYMENT TO FAMILIES THAT HADN'T
YET BEEN APPROVED. THE ITEM
ISSUE FOR IS A LOOK ADDITIONAL
FUNDING TO SUPPORT OF
ESSENTIALLY OVERTIME FOR
COUNTIES TO CLEAR THE BACKLOG
SO THAT WE SORT OF. GET THIS
BEHIND US.
Q. ATLEO.
AND THEN JOHNSON ATTILIO WE
RAISE SOME INITIAL QUESTIONS
ABOUT.
DUH ASSUMED NUMBER IN THE QUE
IN THE BACKLOG GOT THREE
THOUSAND R. SEEMED IN THE.
IN THE MEDICAL OR IN THE BUDGET
HERE ABOUT WHERE'S PREVIOUS DATA
HAD DA AD A HIGHER NUMBER THAT
WE HAD SEEN OUR UNDERSTANDING
FROM.
TODD SPEAKING WITH THE
DEPARTMENT IS THAT THE FUNDING
IS TO CLEAR A BACKLOG FOR
ACTUALLY A SUBSET OF THOSE CASES
THAT ARE BACK BACKLOG IT'S FOR
THE.
OF CASES IN WHICH A CHILD IS
ALREADY PLACED WITH THE RESOURCE
FAMILY ON AN EMERGENCY BASIS AND
SO THERE IS AN ADDITIONAL
BACKLOG.
OF JUST YOUR REGULAR FOSTER
CARE GIVER WHO'S WANTING TO SIGN
UP FOR THE PROGRAM THAT WOULDN'T
BE ADDRESSED BY THIS FUNDING.
OKAY FINANCE.
COMMENTS
OKAY ARE INVOLVED ON THE ONLY
COMMUTER ALRIGHT.
SO.
.
OKAY SO JUST SO IT'S LA A SAID
WITH SEXUALLY AT WITH THAT
SPECIFIC POPULATION WERE NOT.
THAT BRIGHT WE WE WANT TO BE
SURE THAT WE DON'T HAVE
SITUATIONS OF CHILDREN PLACED IN
HOMES BUT THE HOMES ARE GETTING
PROCESS.
ALRIGHT.
OKAY.
LIPSTICK ON THE ISSUE FIVE
CEASE LEVEL OF CARE ASSESSMENT
TOOL.
THIS IS SO AGAIN SORT OF ARM AN
ESTIMATE OF WHAT THE INCREASED
TIME ACTIVITY FOR SOCIAL WORKERS
WILL BE TWO ON THE UTILIZED THE
COUPLE OF CARE TOOL. AUTUMN
WHICH IS YOU KNOW IT'S SORT OF
BEEN.
GOING OUT IN STAGES AND WE
EXPECT TO HAVE FULL
IMPLEMENTATION IN BUDGET YEAR.
ALONE WHO KNOW THE COMMENT ON OF
CONCERN ABOUT THE. FUNDING FOR
THE CANS OF. TOOL OUR BELIEF IS
THAT IN THE ORIGINAL CC ARE
BUDGET
ON THE CHILD AND FAMILY TEAMS
WERE WE BELIEVE APPROPRIATELY
FUNDED AND KARENS IS A FUNCTION
OF THE TILE FAMILY TEAM PROCESS
IN ADDITION. CANS TAKES THE
PLACE OF ON A TOOL THAT WHO HAS
OR READY BEEN USED IN OUR COUNTY
TROUBLE FOR PRACTICE AND COST
CHILD ASSESSMENT. AND SO OR
BELIEF IS THAT THIS IS
APPROPRIATELY RESOURCE.
OKAY ELIA.
BUT WE DO RECOGNIZE THE THE
ADMINISTRATION'S RATIONALE THAT
SOME OF THE ACTIVITIES
ASSOCIATED WITH THE CANS COULD
BE SUBSUMED IN OTHER FUNDING
SOURCES BUT WE HAVE NOT SEEN A
COST ESTIMATE OF HOW MUCH. IT
WOULD BE TO IMPLEMENT THE CANS
AS THE AS THE STATE IS NOW
REQUIRING INTO THAT WOULD
REQUIRE AND THIS THIS PROPOSAL
AND WOULD LIKE TO SEE HOW THE
COST ESTIMATES.
THE COST OF THE CANS.
COMPARES TO THE FUNDING THAT
HAS ALREADY BEEN PROVIDED AND
HOW THAT FUNDING.
IS RELATED TO SORT OF SPECIFIC
ACTIVITIES THAT THE CANS WOULD
REPLACE.
FINANCE.
BUT WE JUST LIKE TO ACKNOWLEDGE
IN SUPPORT OF THE AND THEN
DEPARTMENTS PROPOSAL AND THAT
COMMENTS MADE REGARDING THE CANS
ASSESSMENTS WILLING FUNDING
THAT'S ALREADY INCLUDED WITHIN
THE CHILD AND FAMILY TEAMS AND
THE BUDGET.
OKAY.
AND A WHAT'S THE CURRENT
DISCUSSION WITH I UNDERSTAND
SOME DISAGREEMENT WITH SOME THE
ADVOCATES IN TERMS OF
ASSUMPTIONS.
POWELL HOW THOSE DISCUSSIONS
GOING HERE WEEK WE'LL ATARI WILL
DEFINITELY CONTINUE TWO AND A
PRODUCER I UP ASSUMPTION DATA ON
HAS THE LA WAS SUGGESTING.
ALL RIGHT.
LET'S MOVE ON TO ISSUE NUMBER
SIX WHICH IS THE RIVER AND I
REVISED GROUP HOME.
CASELOAD PROJECTION.
THANK YOU MISTER CHAIR AGAIN
THIS IS SORT OF.
RECONCILIATION WITH ACTUAL
EXPERIENCE ALL THE QUESTION
POSED AND. TO ACTUALLY RELATES
ALSO TO ITEM SIX
DENIED.
FIRST ITEM NINE NINE YELLOW AND
LATER ON THE AGENDA.
SO. WE CAN ADDRESS IT HERE OR
THERE I TO TAKE IT OUT NOW
VOLATILE. BECAUSE.
SEE WTAS PROPOSED LANGUAGE THAT
CALM WOULD MAKE POSSIBLE THE
EXTENSION OF PARTICULAR
GROUPON'S UNDER PARTICULAR
CIRCUMSTANCES.
ALL OF THEM ONE OF COUNTY
DEMONSTRATES. THE PROCESS AND
PROGRESS BEING MADE FOR FULL
IMPLEMENTATION. OF THE AND SO WE
THINK THAT THAT IS AN APPROACH
THAT YOU KNOW IT WAS RUSSIAN
COULD WORK WITH. ALMOND
THEREFORE WE CAN SORT OF.
THE GOAL REMAINS FULL TRANSITION
CALM AS PER THE GREATEST EXTENT
POSSIBLE BUT THE SAME TIME WE
DON'T WANT A SITUATION IN WHICH.
OWN CHILDREN ARE IN ANY WAY AT
RISK AND WE THINK THAT THE.
APPROACH IS ONE WE CAN WORK.
OKAY BELIAU.
YEAH I WOULD JUST NOTE THAT. A
PORTION OF THE INCREASE IN THE
EXPECTED COST OF CC ARE OVER THE
BUDGET WINDOW TWENTY SEVENTEEN
EIGHTEEN AND EIGHTEEN NINETEEN
IS RELATED TO US LOWER CASE LOAD
UP PROJECTIONS OF KIDS MOVING
OUT OF GROUP HOMES.
AND GIVEN THE SLOWER.
MOVEMENT OUT OF GROUP HOMES IT
IT YOU KNOW FORTY DEUCE ALSO
HAVE QUESTIONS AND CONCERNS
ABOUT HOW WE WOULD HAVE TO GET
ALL THE REMAINING CHILDREN GROUP
HOMES OUT OF THEM BY.
JANUARY ONE TWENTY NINETEEN AND
SO.
I'D ISSUE A AND A SOLUTION LIKE
THIS I THINK IS WORTH
EXPLORATION.
PLANS.
DON'T.
.
SO I ACTUALLY. IN TERMS OF AND I
KNOW THE SERVER ALSO COVERS
SADDAM.
ISSUE NINE.
.
DO YOU EXPECT SENT WITH THE. A
CASELOAD MOVEMENT BEING SLOW
WHEREIN.
.
THIS.
.
AND I KNOW THERE'S THE GOAL OF
pOUT OF NEW HOMES AND WE'RE
SERVE
PUSHING OFF THE DEADLINE A BIT.
IS I MEAN AT WHAT POINT DO YOU
SAY THAT.
KILL MAYBE THERE'S A MINIMUM
NUMBER WHERE WE JUST CAN'T.
I MEAN THIS IT IS AND I LIKE.
COMMITTEE HERESY BY SAYING THAT
I MEAN IS THERE SOME POINT AND
YOU SAY WHERE YOU SELL OURS AS A
JUST RESISTANCE THAT'S TAKING
LONGER TO DO THINGS ARE. IS
THERE ARE WE FINDING OUT THAT
THERE ARE SOME.
IS GOING TO SOME SET OF CASES
WHERE IT'S JUST THAT THAT.
THAT THE CHALLENGES ARE TO
SIGNIFICANT TOO GREAT AND I'M
AND I I CERTAINLY HOPE THAT
THAT'S NOT THE CASE BUT I JUST
TO STOP REALISTICALLY WHERE WE
HEADING TOWARDS.
REALISTICALLY IT'S GOING TO BE A
CHILD BY CHILD SHARP EXPERIENCE
YES CALM THE IT WHAT IF A CHILD
IS NOT IN NEED OF CHRISTY RTP
LEVEL CARE. OF THEM THE.
I DON'T BELIEVE IT IS REASONABLE
TO SAY THERE IS NO PLACEMENT
AVAILABLE FOR.
A CHILD IN A HOME AND NO.
GIVEN THE TIME FRAMES AVAILABLE
WHAT MAY BE THE AGE OF A CHILD
MAY BE TRIALS OWN CHOICES ARE AT
A. PARTICULAR TRANSITION POINT
MOM WE MAKE IT A WEEK MAY ON A
CASE BY CASE BASIS HALF TO HAVE
EXTENSIONS.
THE ACCOMMODATE THAT AND BOUGHT
IT FROM US ABOUT A CONCEPTUAL
BASIS I THINK BOTH WE AND OUR
CAR COUNTY PARTNERS.
DON'T BELIEVE THAT THERE IS SUCH
A THING AS A NON A CHILD WHO
KEPT YOU KNOW WHO CAP LIVE IN A
FAMILY. OWNED AND SO THAT'S THE
BASIS WILL BE MOVING FORWARD ALL
THE.
BUT I THINK LARGELY IT IS MORE
OF A TIMING ISSUE AND AGAIN WHEN
YOU SORT OF LOOK AT GRANULAR
DATE A COUNTY BY COUNTY BY
COUNTY YOU SEE DIFFERENCES OF
LEVELS OF MOVEMENT AND.
OBVIOUSLY THERE ARE DIFFERENT
STARTING CRISIS AND SO THAT'S
THAT'S A FACTOR. HOME WELL I
THINK WHAT WE'RE GOOD AT
ANTICIPATING HERE'S JUST BEING
SURE THAT WE HAVE. THE
FLEXIBILITY ON THE MARGIN.
TO AVOID ANY BAD DECISIONS.
THAT.
PER CHILD.
I CERTAINLY AGREE WITH YOU THERE
ERELI WE DON'T TREAT
HILL POSSIBLE
RELATIONS WHERE WE HAVE
DEADLINES THAT WILL LEAD TO HARM
SELL JUST THE MEDIA DEADLINES I
APPRECIATE THE FACT THAT. WE'RE
LOOKING AT THIS.
OKAY QUESTIONS ALRIGHT SO.
WE'RE GONNA MOVE ON TO ISSUE
NUMBER SEVEN SPECIALIZED CARE
INSTRUMENTS SAVINGS ADJUSTMENT.
I GUESS I GOT SORT OF VERY. IT
IN SOME RESPECTS SIMILAR TO THE
THE OTHER ITEM WHICH IS NOT A
MATTER OF TIMING IS TO. HAS THE.
LEVEL OF CARE TOOL STARTS BEING
USED ON UNIFORMLY THEN. WE
EXPECT THAT THERE WILL BE
OFFSETTING SAVINGS WITH BESSIE I
JUST THE TIMING PROBLEM IS IS A
FACTOR. WE'VE ARE BEGINNING TO.
OF I THINK WE'VE RECEIVED THE
FIRST COUNTY S. C. I PLAN. HALL
OF MODIFICATION ALONE YESTERDAY
OR TODAY BOMB AND SO THERE'S
THIS IS KNOWING RESTRUCTURE
EXPECT THEM TO SEE THEM COMING
AND SO ARE BETWEEN HERE AND THE
END OF JUNE IS WHEN AND.
THIS IS SORT OF GOT UP. CRYSTAL
OF PASSION.
I OF.
WHAT WE DO AGREE WITHOUT THE
ADJUSTMENT MADE FOR THE CURRENT
YEAR THAT TO ANY OFFSETTING
SAVINGS TO THE S. YEAH SHOULD BE
REMOVED OUT WE DO NOTE THAT
THERE IS SOME RISK THAT THE
BUDGET?
UNDERESTIMATES COST IN THE
BUDGET YEAR BECAUSE IT DOES A
STILL ASSUME A PRETTY AGGRESSIVE
SCEI SCGA IMPLEMENTATION
SCHEDULE AND IT IT IT
POTENTIALLY.
OVERESTIMATES THE AMOUNT OF
SAVINGS THAT WOULD COME IN
FOLLOWING SORT OF COST
RECONCILIATION WITH THE COUNTY
SO WE DO THINK THERE IS SOME
RISK IN THE BUDGET YEAR.
AND WE'RE GONNA CONTINUE TO
EXPLORE THIS ISSUE OVER THE
COMING DAYS.
FINANCE.
BY THE NUMBERS.
I GUESS IN TERMS OF THAT
POTENTIAL RISK.
WE COULD BE COMING BACK TO
LEGISLATURE FOR MAKING
ADJUSTMENT IF IT TURNS OUT
THINGS ARE. OKAY.
ALRIGHT. OKAY ISSUE NUMBER
EIGHT.
TRAILER BILL LANGUAGE HOME BASE
FAMILY REQUALIFICATION.
HI PROGRESS DEPUTY DIRECTOR FOR
THE POTENTIAL THE FAMILY
SERVICES DID THAT WHAT THIS DOES
IS IT REALLY TRIES TO.
DAY IT BASICALLY KEEPS.
FAMILIES WHO.
WHO WHERE KIDS EXITED TO HAVE
PERMITS SEE?
ALIGNED WITH THE RATE STRUCTURE
THAT WAS IN PLACE AT THE TIME
THAT THEY ACHIEVED PERMANENCY.
SO IN EACH OF THESE CATEGORIES
SO THAT'S WHAT LOOKED AT IT THIS
TRAILER BILL DOES.
ALRIGHT. ELLIOTT COMMENTS ON
THIS MONTH FINANCE.
REMEMBERS OKAY. YEAH ISSUE
NUMBER NINE I KNOW YOU SPOKE TO
ANYTHING MORE TO SAY.
ALL RIGHT KELLY HOW ANY FURTHER
COMMENT ON.
THEY SHOULD NINE FINANCE.
OKAY ISSUE NUMBER TEN PERFECT
FOR.
FULL.
PROPOSAL FOR INVESTMENT A
SPECIALIZED CARE RECIEVING
CENTRAL.
TRAIL BILL.
OKAY SO THAT SAY YES.
ALRIGHT. I THINK WE STILL ROOM
UP HERE FOR YOU COME ON UP.
ALRIGHT SO THAT THERE'S A.
PROPOSED SHOWED BILL LANGUAGE
FROM.
THANK YOU MISTER CHAIR ARMS
UNDER THE PROVISIONSOF
PROPOSITION THIRTY WHICH WAS
ATTENDED TO TWO THOUSAND ELEVEN
REALIGNMENT.
THAT ANY NEW COSTS BEYOND THAT
COSTS INCURRED BY COUNTIES AS OF
TWO THOUSAND ELEVEN A ELEVEN
REALIGNMENT THAT ARE IMPOSED BY
THE STATE HAVE TO BE. REIMBURSED
BY THE STATE. AND CCR IS SORT OF
A LARGE EFFORTS. THAT INVOLVES
SOME COST ON ISSUES AND SOME
SAVINGS ISUES AND SO. WE WORKED
WITH THE DEPARTMENT OF SOCIAL
SERVICES AND THE DEPARTMENT OF
FINANCE TO COME UP WITH.
A TRUE UPPER RECONCILIATION
PROCESS WHEREBY THE STATE. CAN
CALCULATE WHAT THOSE COSTS AND
BENEFITS ARE AND MAKE SURE THAT
TO THE EXTENT THAT THEIR SAVINGS
THE STATE RECOUP THEM. TO THE
EXTENT THAT THERE ARE COSTA
COUNTIES ARE REIMBURSED FOR
THEM.
AND WE WOULD ASK FOR THE
CODIFICATION OF THAT. BOMB IN
RASKIN FOR TRAILER BILL.
THAT WE'RE STILL WORKING ON
SUBMITTED AS FOR PLACEHOLDER
CONNECTIONS BEEN TAKEN TODAY.
NOT BECAUSE WE THINK THAT THIS
ADMINISTRATION WILL REMEMBER BUT
THIS IS THIS IS INCREDIBLY
COMPLICATED* LIKE I COULDN'T
POSSIBLY EXPLAIN HOW COMPLICATED
IT IS. AND WE THINK WOULD BE
GOOD TO IN CHINA FOR FUTURE
ADMINISTRATIONS SO THAT THE
PROCESS THAT WE'VE ALL AGREED
TO.
I'M IS UNDERSTOOD AS WE MOVE
FORWARD IN SIXTY ARE.
COMES APART SOCIAL SERVICE NOT A
GOOD THANK YOU MISTER WILL LOOK
FOR FROM I'M GLAD MR MAKE A SAID
THAT WE HAVEN'T SEEN THE
LANGUAGE BECAUSE I WAS
SCRATCHING MY HEAD THIS MORNING
HE. I DON'T REMEMBER READING. SO
WHEN A REAP WILL OF COURSE THE
KIND OF WHEN WE DON'T YOUR
MEMORY STILL GOOD OKAY.
COMPETITORS
OKAY ALEJO.
FINANCE.
JUST PRETTY FINANCED THROUGH
THEM AGAIN AS EVERYTHING WE
HAVEN'T SEEN THE TRAILER
LANGUAGE SO THIS TIME WE WOULD
NOT BE IN SUPPORT THE PROPOSAL
AND WOULD WANT AND NO SAY THAT
THEIR SERVICE STAKEHOLDERS THAT
ARE PART OF THIS RECONCILIATION
PROCESS AND. AS.
MISTER MECCA EXPLAINED IT'S A
COMPLICATED PROCESS SO TRYING TO
CODIFY SOMETHING RIGHT NOW WOULD
ELIMINATE A LOT OF FLEXIBILITY.
THAT WE COULD HAVE LATER ON DOWN
THE ROAD WHEN WE'RE DEALING WITH
ON THIS.
OKAY.
GOV A SHOVEL WHAT COME ON UP
THAT.
COULD QUESTIONS FROM COMMITTEE
MEMBERS OF OKAY O ACTUALLY
THREE WHICH I LIKE TO RESPOND AS
WHAT THEIR ELECTED OTHER
STAKEHOLDERS I THINK THAT
CALIFORNIA STATE ASSOCIATION OF
COUNTIES IS HERE IN THEIR THIRD
OF PROBABLY THE PRIMARY COUNTY
STAKEHOLDER.
.
AND I BELIEVE WOULD CONCUR BUT
TO THE EXTENT THAT.
.
THERE IS A POSSIBILITY THAT A
FINELY TUNED AGREEMENT OF HOW
TRUE RUPTURED WORK MIGHT BE
CHANGED IN THE FUTURE IS
ACTUALLY PRECISELY WHY WE'D LIKE
IT CODIFIED.
BOB.
SO IF A FUTURE ADMINISTRATION
OUR LEGISLATURE DECIDED THEY
WANTED TO CHANGE THAT FORMULA
THEY ALWAYS COULD THEY COULD
STATUTORILY MODIFIED.
BUT TO CREATE THE DISCRETION TO
DO SO GIVES US PAUSE AND
DISCOMFORT. ARM AS WE MOVE
FORWARD GIVEN THAT THE HIGH
STAKES OF THIS FARM THIS
ENDEAVOR.
OKAY I'VE BEEN HERE TO.
THE ACTUALLY BEFORE YOU LEAVE.
BUDGET NUMBERS ARROGANT HEIGHTS
IN FRONT OF A FASTER THAN NORMAL
DIED OUT.
.
THE ZEISS CERTAINLY UNDERSTAND
POTENTIAL CONCERNS A. NEST DEL.
AND.
EVENTUALLY WILL BE A NEW
ADMINISTRATION AND SO FORTH BUT
ALSO I MEAN I THINK.
I HOPE THAT.
EVEN FUTURE ADMINISTRATIONS
WOULD RECOGNIZE
PREVIOUS AT A PARTICULAR
SPECIFIC ISSUE NOW I MEAN I NEED
TO THE A GIVEN HOW THE
COMPLEXITY DOES NOT RICH OR
EVERY KIND OF LIKE ORPORATE
EVERYTHING IN THE CODE OR WE
JUST TRYING TO MAYBE GET THE
MAIL. ELEMENTS THERE'S NO SORT
OF PARTICULAR PART OF THIS THAT
WE FEAR MIGHT BE LOST GOING
FORWARD BUT.
.
I'VE REPRESENTED COUNTIES LONG
ENOUGH TO KNOW THAT MEMORIES CAN
BE SHORT AND NEW ADMINISTRATIONS
CAN COME IN WITH NEW IDEAS AND.
.
AS.
.
MR JOHNSON FROM THE LA THOUGH
SAID THERE ARE SOME SIGNIFICANT
RISK FOR EXAMPLE IN THE ASCII
ESTIMATE.
AT RISK FOR US ARM IS A CASH
FLOW RISK IF.
THE TRUE UP WORKS
BECAUSE.
COSTS AND SAVINGS GET NETTED OUT
IN THE COURSE OF THE TRUE UP AND
SO TO THE EXTENT THAT THAT
BUDGETS WRONG.
FOR EXAMPLE ON SGI'S THE COUNTY
SORT EAT THAT.
BUT THERE IS A PROCESS BY WHICH
WE CAN BE MADE WHOLE. AND. MUCH
OF CCAR'S BRAND NEW AND IT'S
WERE ALL TAKING LEAPS OF FAITH
INCLUDING COUNTY BOARD OF
SUPERVISORS THAT ARE THAT ARE
FRONTING RESOURCES AND SO. ON
IT'S REALLY SORT OF THE NEWNESS
OF CCR THAT THE SIGNIFICANT
UNCERTAINTY CENTER DOING NEW
THINGS.
THAT THAT CREATES I THINK.
AND ENHANCE NEED ON OUR PART TO
BE SURE THAT AT THE END OF THE
DAY.
COUNTIES WILL BE REIMBURSED
FAIRLY IN THE STATE'S SHARE
SAVINGS WILL BE CALCULATED
FAIRLY.
OKAY.
WELL THANK YOU.
I FIND THAT MEMORIES REALLY
SHORTENED DURING BAD ECONOMIC
TIMES.
OKAY SO AND THAT WE HAVE TEN
ISSUES REAL WELL ACTION NICE WE
WE HEARD OF THE SOVIET ISSUES.
BEFORE THROUGH TEN FOR OUR
SOCIAL SERVICE CHILD WELFARE
SERVICES ARE IS THERE PUBLIC
COMMENT ON ANY OF THOSE ISSUES.
SO I WILL ASK YOU TO KEEP UNTIL
UNDER MET AT HOW PRESS RECOGNIZE
GIVEN THE FACT THAT THERE ARE
SIX OF THEM IF YOU HAVE COME
INTO MULTIPLE I GIVE THE
LATITUDE TO GET THE MULLIN.
THANK YOU DOCTOR PAN WITH
RESPECT TO. WHICH YOU FOUR AND
FIVE BASICALLY THREE ASPECTS OF
WORKLOAD THE RESEARCH FAMILY
APPROVAL SOME LEVEL OF CARE
ASSESSMENT.
AND CANS. WITH RESPECT TO OUR
AFFAIR AND EVEL OF CARE WE DO
HAVE SOME. THIRD ISSUES WITH THE
METHODOLOGIES CHOSEN FOR EXAMPLE
AN RFA. WE THINK IT WOULD BE
HELPFUL TO INCLUDE IN THE
BACKLOG THOSE FAMILIES THAT
DON'T CURRENTLY HAVE A CHILD FOR
EXAMPLE THEY COULD BE A RELATIVE
WAITING TO HAVE A CHILD. WAITING
TO RECEIVE A CHILD.
COMMENTS THAT WE PROVIDED THE
BACK UP TO YOUR STAFF INTO THE
ADMINISTRATION. IS A FAIRLY
SIGNIFICANT DIFFERENCE OF
OPINION AT THIS MOMENT ON THE
WORKLOAD ASSOCIATED WITH CANS
AND LOOK FORWARD TO CONTINUE
DISCUSSION.
REGARDING THAT.
THEM WITH RESPECT TO THE GROUP
HOME CONTINUED SEE LANGUAGE I
JUST WANT TO CONCUR. WITH MISTER
LIFE BORN WEEKLY DRAFT OF THAT
LANGUAGE.
IN THE HOPE THAT IT JUST IN
CASE WE NEED A CONTINGENCY BUT
IT'S NOT A REFLECTION OF THE
FACT THAT WE HOPE TO BE THERE
THAT WE EXPECT TO BE THERE. AND
THAT I'D LIKE TO POINT OUT THAT
THE LANGUAGE ACTUALLY REQUIRES
ANY COUNTY THAT MIGHT.
ASK FOR AN EXTENSION AND HAVE TO
SUBMIT A ROADMAP BY AUGUST
FIFTEENTH. THAT SHOWS BY CHILD
HOW THEY PLAN TO MOVE. OF THOSE
CHILDREN WHO ARE CURRENTLY IN A
GROUPON. INTO A FAMILY BAY
SETTING SO IT'S NOT A SITUATION
WHERE WE'RE WAITING FOR DECEMBER
AND THEN. YOU KNOW HAVE TO SEEK
THE AYE EXTENSION WE'RE GOING TO
WORK VERY HARD TO MAKE SURE THAT
IT'S INVOKED AS LITTLE AS
POSSIBLE.
THANK YOU.
WELCOME.
JUSTIN GO CALIFORNIA STATE
ASSOCIATION OF COUNTIES I'M A
FIRST SPEAK TO ISSUE TEN.
SINCE HIS ACT WAS REFERENCED IN
THAT WOULD TO SAVE HIS ACT WAS
VERY INVOLVED IN KIND OF.
THE AGREEMENT RELATED TO THAT
SHOW UP TO SEE SEE OUR COSTS
IT'S.
IT INVOLVES PROP THIRTY IT'S A
KEY PART OF YOU KNOW ESSENTIALLY
MAKING CC ARE WORKING ENSURING
THAT COUNTIES ARE ADEQUATELY
FUNDED FOR THE INCREASED
WORKLOAD AND SO WE WOULD HAVE
CONCERNS.
ABOUT.
FLEXIBILITY ON HOW THAT WOULD
WORK IN IN FUTURE YEARS SO WE'RE
SUPPORTIVE OF THE PROPOSAL
INTENT TO. PROVIDE ADDITIONAL
CERTAINTY IN AND CODIFY THAT THE
STATE LAW.
COM. AND THEN ON A COUPLE OF
OTHER ISSUES ALSO ON BEHALF OF
THEIR BEEN COUNTIES CALIFORNIA
I'M WE ARE SUPPORTIVE OF THE
ADDITIONAL FUNDING FOR COUNTY
WORKLOAD WITH RFA AND ELSIE. I'M
BUT ALSO RECOGNIZE THAT YOU KNOW
WE THINK ADDITIONAL FUNDING IS
NEEDED.
I'M RELATED TO THE CANS
ASSESSMENT AS WELL SO LOOK
FORWARD TO CONTINUING
CONVERSATIONS ON THOSE. AND AND
I'M REALLY APPRECIATE THAT.
THE FLEXIBILITY TO DISCUSSIONS
RELATED TO THE GROUP HOME
DECEMBER THIRTY FIRST DEADLINE.
CERTAINLY KEEP IN MIND THAT THE
THE BEST INTEREST OF THE
CHILDREN AND YOUTH ARE WHAT'S
MOST IMPORTANCE OF THIS PROVIDE
SOME FLEXIBILITY TO ENSURE THAT.
THANKS THANK YOU.
WELCOME.
HI CELINA PRIOR WITH SEIU IM I
JUST WANT TO ECHO THE COMMENTS
OF CWD A AND C. SACKLER
SUPPORTIVE OF THEIR PROPOSAL FOR
ADDITIONAL FUNDING BUT I ALSO
WANT TO SAY THAT OUR SOCIAL
WORKERS WE ARE. COMMITTED TO
DOING THIS WORK. BUT I'M WITHOUT
PROPER UP RESOURCES.
IT'S ALMOST IMPOSSIBLE AND SO
YOU KNOW WE WE ARE VERY
SUPPORTIVE OF PETITIONS.
THANK YOU THANK YOU.
WELCOME.
KELLY BROOK ON BEHALF OF THE
VENTURA COUNTY BOARD OF
SUPERVISORS AND DITTO TO THE.
PRESENTERS ABOUT THE CONCERNS
ARE UNDER FUNDING OF THE COUNTY
WORKLOAD ON LOOK FORWARD TO
WORKING WITH FOLKS ON THIS ON TO
THE NEXT COUPLE WEEKS THINK THEY
THINK YOU.
OKAY SO WHY GO AHEAD MOVE ONTO
CAO WORKS NOW SO.
VIA FAX OR SERVERS CHO WORKS.
AND NEARLY SHUFFLING.
YES.
WE NEED A BREAK.
RIGHT.
OKAY SO WILL TO STICK AROUND
RATHER THAT YOUR ACTIONS AGAIN.
TEAM HERE CERTAINLY WILL LIGHT
FOR DEPARTMENT OF SOCIAL
SERVICES.
PICTURE TAKEN WITH THE
DEPARTMENT. KIM JOHNSON CALTRAIN
PURPOSES SERVICES LF TRIES
ALMOST DEALIO.
TYLER WAS.
OKAY ALRIGHT SINGLE ALLOCATION
CAO WORKS.
SURE SO.
AS WE'VE DISCUSSED WE STARTED
WITH THE ELIGIBILITY COMPONENT
ADMINISTRATION COMPONENT OF THE
SINGLE IN TERMS OF DEVELOPING
RECOMMENDATIONS FOR NEW
METHODOLOGY.
THAT'S WHAT YOU HAVE INCLUDED
FOR YOU HERE. WHY WE TOOK INTO
CONSIDERATION AND LEARN FROM BY
A TWENTY WO COUNTY I ANNUAL?
TEXAS WE ANNUAL TO BILLY WORKER
COSTS WERE TAKEN TO ACCOUNT IN
THE SURVEY AS PROOF THAT
PRODUCTIVE WORK HOURS AT IN TIME
TO COMPLETE MAJOR ELIGIBILITY
PROCESSES ALONG THE WAY. SO THE
NEW METHODOLOGY FOR ELIGIBILITY
INCLUDES A VARIABLE AND FIXED
COSTS TO ADD SIXTY FORTY PERCENT
FIXED AND SIXTY PERCENT
VARIABLE.
AND WITHIN THAT VARIABLE COSTS
WE ARE LOOKING FOR ESTABLISHING
AN INCREMENTAL AYE CHANGING
CASELOAD SO AS WITHIN FIVE
PERCENT INCREMENTS THE CASELOAD
CHANGES IN EITHER DIRECTION THE
AMOUNT OF THAT.
ELIGIBILITY COMPONENT WITHIN
CHANGE.
WITH THAT BEING SAID THE CAO
WORKS ADMINISTRATION COMPONENT
OF THE SINGLE I IS CURRENTLY
PROPOSED TO BE AT SIX HUNDRED
AND SIX MILLION WITH THE
ELIGIBLE COMPONENT BEING FIVE
HUNDRED NINETY THREE POINT THREE
MILLION.
I WITHOUT THE CHANGES
METHODOLOGY TO DIFFERENCE OF
ABOUT TWO HUNDRED MILLION
DOLLARS.
YOUR AGENDA ALSO.
ASKS ABOUT ME ADVOCATE CONCERNS
I JUST POINTING OUT AGAIN WE
START WITH ELIGIBILITY FOR
EMPLOYMENT SERVICES AS OUR NEXT
PIECE OF WORK RELATED TO THE
METHODOLOGY SO. I WE HAVE.
PROPOSED THAT IN OCTOBER WILL BE
BRINGING BACK RECOMMENDATIONS TO
THE EMPLOYMENT SERVICES
CASELOAD.
I IN TERMS OF MAY REVISED
EMPLOYMENT SERVICES CASELOAD IS
CONSISTENT WITH EXISTING AYE
METHODOLOGY AYE INCLUDES AT
CASELOAD PROJECTED KICKS ON THE
KIND OF CAL WORKS OF FOUR POINT
FOUR PERCENT OVER ON A CASELOAD
SO IT'S CONSISTENT WITH CURRENT
PRACTICE FOR IT EMPLOYMENT
SERVICES.
THANK YOU AND I JUST WANNA SAY I
KNOW I THROUGH THE CHALLENGE OUT
NAY APPRECIATE ALL THE
STAKEHOLDERS TRYING TO WORK
TOGETHER I UNDERSTAND THERE'S
STILL SOME DISAGREEMENTS NOT
SURPRISINGLY BUT.
I'M GLAD TO KNOW THAT WE'RE
MAKING PROGRESS IN ESTABLISHING.
THIS MECHANISM.
AFFORD SINGLE ALLOCATION SO
HOPEFULLY WE CAN GET INTO.
AGREEMENT ABOUT A WHICH YOU KNOW
A FAIR SYSTEM THAN WE'VE HAD
BEFORE AND I HOPE FOR ALL THE
DISAGREEMENTS EVERYONE'S
AGREEING THAT THIS IS A BETTER
AND MORE APPROPRIATE WAY TO DO.
UP XIN.
TO DO THE FUNDING THAN WE'VE
HAD BEFORE WHICH BASICALLY DID
ACKNOWLEDGE THAT THERE ARE FIXED
COSTS AND AND SO FORTH SO.
ELLIOTT.
REGARDING THE NEW METHODOLOGY
FOR THE ELIGIBILITY
ADMINISTRATION COMPONENT I'M.
OBVIOUSLY OUR PRELIMINARY REVIEW
SUGGESTED IT'S A AN IMPROVEMENT
OVER THE PAST PRACTICE
CERTAINLY.
.
IT IS A COMPLEX METHODOLOGY AND
IT TOOK SEVERAL MONTHS DEVELOP
ITS DATA DRIVEN SO WE'RE STILL
WORKING WITH THE DEPARTMENT AS
WELL AS WITH THE PART OF
FINANCE.
TO SORT OF BETTER UNDERSTANDS
FOR THE DATA THAT WENT INTO IT
TO REVIEW IT BUT. CLINT
PRELIMINARILY.
WE WE SEE IT IS PRETTY
REASONABLE. FUN WE WOULD NOTE
THAT SERVE AS A RESULT OF THE
INCREASE TO THE THE ELIGIBILITY
COMPONENT FOR.
TWO THOUSAND EIGHTEEN NINETEEN
AND A NET DECREASE ON THE
EMPLOYMENT SERVICES COMPONENT
THE OVERALL SINGLE ALLOCATION
FOR THE BUDGET YEAR IS ACTUALLY
PRETTY CLOSE TO WHAT IT WAS. FOR
THE CURRENT YEAR TWENTY
SEVENTEEN EIGHTEEN ON A YEAR
OVER YEAR BASIS IT'S RELATIVELY
CLOSE.
THE FINANCE.
A MONTH.
TO ME MEMBERS OKAY.
ALRIGHT SO. WE WILL PICK PUBLIC
COMMENT WE GET TO THE END OF THE
CAO WORK SECTION.
SO NEXT ITEM IS THE.
.
MOBILE TITLE FOR E. START
ADMINISTRATIVE COSTS.
ALRIGHT.
NBAE THEIR FACES SO JUST KEEP
GOING HANRAHAN.
THE PICTURE BIGGER WITH THE
DEPARTMENT THIS IS A CHILD
WELFARE PROPOSAL IT'S NOT
ACTUALLY WITHIN THE CAL WORKS TO
THE PROGRAM.
.
JUST JUST FOR CLARITY THIS Y.
YOU SAW SOME SHUFFLING.
WE BUDGET.
THE THE STATE MATCH FOR FEDERAL
FUNDING FOR.
THAT THE TWO TRIBES IN
CALIFORNIA THAT HAVE FOR RE
AGREEMENTS.
BUT IT'S.
A NEW PROGRAM FOR THEM.
THERE SOME STARTUP DIFFICULTIES
pSALARY COSTS IN IN THE FIRST
COUPLE YEARS IS GOING TO BE
DIRECTLY RELATED TO A PARTICULAR
CASE. ALSO WERE SIMPLY PROPOSING
THAT AS WE DO IN MANY PLACES I
WOULD NEW COUNTY PROGRAMS THAT
WE PROVIDE A LITTLE BIT OF UP
FRONT MONEY AND YOU CAN SEE THE
AMOUNT HERE'S TO MINIMIZE.
FOR THOSE TRIED STEP TO HELP
THEM GET GOING AND ESTABLISH ARE
CLAIMING PROCESSES AND OTHER
THINGS THAT IT TAKES TO GET THE
PROGRAM OFF THE GROUND.
YOU TODAY DAY AT TRIBES HAD
APPROACHED US IN FACT ABOUT%
ABOUT DEVELOPING SOME LANGUAGE
THAT CLEARLY AUTHORIZING THAT AS
WELL. A BECAUSE THEY'RE TRYING
TO BE PRUDENT AND CAREFUL AS
WELL SO WE'RE. HAPPY TO SUPPORT
THIS PROPOSAL. THANK YOU ALEJO.
GINNY BELLOW AT THE ANALYST'S
OFFICE WE HAVE NO CONCERNS AT
THE PROPOSAL AND CONCEPT WE DID
JUST GET THE TRAILER BILL
LANGUAGE SERVICE ON THE PROCESS
OF REVIEWING THE DETAILS ON WHAT
YOU KNOW IF. A WE NEED TO FIGHT
ANYTHING.
IF YOU FINANCE.
CORRECT ME MEMBERS.
RIGHT. PAY THIS MOVE ON TO.
THE COW WHAT'S HOUSING SUPPORT
PROGRAM.
HELLO ONLY CERTAIN. CDSS SO.
THAT MAYBE BATES HAD I'M AN
ADDITIONAL TWENTY FOUR MILLION
DOLLARS IN GENERAL FUND.
CAN I TO THE FORTY SEVEN
MILLION DOLLARS CURRENTLY FOR
AGES P. AND THEN AN ADDITIONAL
TWENTY FOUR MILLION DOLLARS THE
FOLLOWING. OFFICE CLEAR AS WELL
THE CAPITA FIT NINETY FIVE
MILLION DOLLARS THAT YOU'RE
MOVING FORWARD.
TELL.
OKAY ELLIOTT IS A COLLEGE.
ITS EXPANSION OF AN EXISTING
PROGRAM IS PART THE GOVERNOR'S
OVERALL PACKAGE ON HOMELESSNESS
SIDE APPEARS REASONABLE TYPES.
AND FINANCE.
OKAY REMEMBERS OKAY CEREMONY.
BLOOM THANK YOU MISTER CHAIRMAN.
GLAD TO SEE THE GOVERNOR'S
PRIORITIZATION HERE I GUESS. MY
QUESTION TIME.
THIS PROVIDES A SUPPLEMENT TO
HOWMUCH THAT'S ALREADY
ALLOCATED DINO AND FORTY SEVEN
MILLION DOLLARS ANNUALLY RIGHT
NOW. AND HOW DOES THAT GET
DISTRIBUTED STATEWIDE WHAT IS
THE. WHAT IS THE PROCESS OF
DETERMINING IF IT GOES INTO
MONTEREY COUNTY RIGHT LOS
ANGELES COUNTY RIGHT THAT THE
COMPETITIVE ALLOCATION ANNUALLY
AND RIGHT NOW WE HAVE FORTY NINE
COUNTIES PARTICIPATING?
EXPANDED QUITE A BIT SINCE THE
BEGINNING OF THE PROGRAM AND.
AND ARE FEW GOES OUT EVERY YEAR
WITH SORT OF ELIGIBILITY
REQUIREMENTS REPORT BACK ON HOW
THE PROGRAM IS BEING GOING AND
WE HAVE PRETTY RIGOROUS DATA.
COLLECTION EFFORTS MONTHLY FROM
THEM IS ALSO WERE SORT OF
TRACKING FROM PERFORMANCE THAT
WINDOWS IS THERE COMPETITION
AMONG. LIKE SITUATED COUNTIES OR
IS IT A FREE FOR ALL BETWEEN THE
COUNTIES SPARKED A.
REFILL MAKES ME NERVOUS.
YOU CAN CHOOSE YOUR OWN TERMS.
I'M I MEAN WE WE PUT SOME BEST
PRACTICES BASED ON THE EVIDENCE
BASE OF RAPID RE HOUSING THAT
FOLKS ARE SUPPOSED TO BE
COMPLYING WITH AND SO. YOU KNOW
THERE'S IT'S AYE WITH IT LIGHTLY
COMPETITIVE RIGHT NOW.
BUT WHEN FOLKS YOU KNOW THAT
THAT LAST YEAR WAS THE FIRST
YEAR WAS FIVEFUNDED. AND SO AND
UP UNTIL THEN IT HAD REALLY BEEN
AROUND.
PROVING THE NEED AND SORT OF
DETERMINED THAT THEY HAD A
PROGRAM THAT WAS STRONG ENOUGH
TODAY.
ONE HAVE A PROGRAM INTO IF
THEY'RE ASKING FOR INCREASED
PROVIDE THAT INCREASE TO THEM SO
LAST YEAR WAS THE FIRST RARE
WAS.
IF I FIND IT INTRIGUING.
COMPETING ANOTHER GREAT THANK
YOU VERY MUCH THANK YOU.
WELL THANK YOU I IT TO
APPRECIATE.
THE GOVERNOR.
THING SOME FOCUS ON TRADE
ADDRESS HOMELESSNESS NOW ADMIT
THIS IS.
CUT WITH SMALLER PROGRAM.
ABOUT HOW DO WE KNOW HOW MANY
PEOPLE WILL SERVE.
TREMOR ABOUT THE LAND. AND SO
AS OF JANUARY FROM THE BEGINNING
OF THE PROGRAM WE HOUSE OVER TEN
THOUSAND FAMILIES.
SO PRETTY SIGNIFICANT AMOUNT
RIGHT NOW WITH THE CURRENT FORTY
SEVEN MILLION DOLLARS MORE PER
ROUND.
NO ONE TO GET EXACT BUT I I
THINK IT'S AROUND THREE THOUSAND
FAMILIES HERE.
THAT WE'RE ESTIMATING THAT WILL
HOUSE IT DOESN'T MEAN THAT'S THE
NUMBER WHICH SERVE AND THAT IS
WHY WE SERVE THAT ACTUALLY WARY.
FIGHT HOUSING FOR.
OKAY AND THIS IS FOR.
.
FOR TEMPORARY HOUSING FOR ITS
FOR RAPID WE HAD ALREADY I'M AN
EMERGENCY SHELTER IT IS SORT OF
AS THEIR FINDING THAT MORE
PERMANENT REP THREE PRICE
DIFFERENCE UNTIL THAT CITIES OF
A LOT OF CASE MANAGEMENT WRAPPED
AROUND TO TRY TO GET THEM SO TO
DITCH THIS OF THE TRANSITION. TO
HOPEFULLY PERMANENT HOUSING YEAH
YEAH OKAY.
ALRIGHT.
OKAY WILL HOPEFULLY THIS WILL.
HOW ABOUT SOME AREAS CUPS OKAY?
NINE ANOTHER QUESTIONS THAT'S
MOVE ON ISSUE NUMBER FOURTEEN
ENTRIES CAO WORKS HOMELESS
ASSISTANCE PROGRAM PAYMENT RATE
AND.
TRAILER BILL LANGUAGE.
SO THIS IS JUST.
COVERAGE WE'VE BEEN HAVING
QUITE A BIT BUT IT'S INCREASING
THAT THE NIGHTLY RATE FROM SIXTY
FIVE DOLLARS EIGHTY FIVE DOLLARS
NOT SURPRISING IT'S BEEN
DIFFICULT FOR A LOT OF COUNTIES
TO FIGURE OUT HOW TO. HOW THE
FAMILY SAFELY AND WITH SIXTY
FIVE I'M A CATCHER SO THIS WHAT
IS HELP THEM DO THAT MORE SAFE?
OKAY JUST ON THE.
THE SHORTNESS OF ISSUE ONE
GOVERNMENT. OKAY WELL AFFECTED
AT ALL YOUR COMMENTS.
HELP FINANCE.
RIGHT HAIRLIKE.
TO GUINNESS.
THIS DALY PAYMENT RATE IT'S THE
SAME WHEREVER YOU ARE.
SIR BEN IN THE EXPLORATION OF.
SUGGESTING THAT BY REGION BY
COST IF WE HAVE AN INHERENT
HOUSING AND LAST YEAR WE HAVE
BEEN ASKED AND THEY WERE SORT OF
IN THE MIDST OF PAIN FROM THE
GOVERNOR IT'S A LITTLE BIT.
VOID GIVEN FIRST PROPOSAL BUT
TO PUT TOGETHER A REPORT AROUND
TRUE COST OF OF MOTEL BADGERS
AND OBVIOUSLY WE'RE FINDING THAT
THAT IS QUITE DIFFERENT ACROSS
THE. THE STATE BUT WE HAVE NOT
RIGHT NOW WE'RE JUST SORT OF
PROVIDING INFORMATION.
BUT IT SOUNDS LIKE IT'S ON YOUR
RADAR THAT THIS IS NOT
NECESSARILY SUFFICIENT RIGHT IN
OUR REGIONS AND MAYBE NOT IN ANY
REGION RIGHT.
AND WHAT WE FOUND IN IN SOME OF
THE HIGHER COST COUNTIES FOR
BETTER FOR WORSE SAFE AND TAKING
SOME OF THE JUST THE FUNDING
THAT IS ALLOWABLE FOR. INITIAL
EMERGENCY SHELTERS WELL IN AND
SORT OF HELP AND UPGRADE.
LAMENTING THAT THREATENS.
NOT IDEAL BUT STILL PROVIDING A
SAFE PLACE FOR FAMILIES
THINKING THANK YOU MISTER CHAIR.
AND JUST TO CLARIFY THE TRAILER
BILL LANGUAGE BECAUSE I MEAN
THIS SEEMS LIKE A STREET FOR
RATING TREES PROPOSAL CELICA
TRAILER BILL ARE WE LOOKING FOR
RATES ACTUALLY SPECIFIED IN THE
STATURE SO EXAM ONLINE HROUGH
IT PUTTING. NUMBER AND AND THERE
WERE A FEW.
SO THAT'S ALL TRAILER BILL IS
GOING TO BE.
GREAT CHANGES OKAY.
RIGHT.
OKAY THANK YOU THANK YOU RIGHT
SO WON'T GO AHEAD AND TAKE A
PUBLIC COMMENT.
WE HAVE ISSUES ELEVEN THROUGH
FOURTEEN AND HOW IT WORKS.
RIGHT.
WELCOME HAS TO BE.
WHICH CARE.
AND MEMBERS MY CAROL WITH THE
WESTERN CENTER ON LAW AND
POVERTY FROM SO I WISH TO
COMMENT ON THEM ISSUES ELEVEN
THIRTEEN AND FOURTEEN. SO ARM ON
THE SINGLE ALLOCATION ISSUE
NUMBER ELEVEN FROM WE TO SUPPORT
APPRECIATE THE ADMINISTRATION'S
EFFORTS WORK THE COUNTIES. TO
DEAL WITH THE ELIGIBILITY SIDE
OF THIS.
AND WE DO LOOK FORWARD TO A
ROBUST CONVERSATION ABOUT
EMPLOYMENT SERVICES GOING
FORWARD I'M AFTER ALL THIS IS
REALLY THE CORE THE PROGRAM WHAT
WE'RE ABOUT DOING AND WE LOOK
FORWARD TO A DISCUSSION ABOUT
WHETHER OR NOT THAT IS STILL.
THE.
APPROPRIATE STANDARD THAT WE
HAVE.
ON THE HOUSING PROGRAMS.
I A WE WILL HAVE TO TELL YOU
MEAN HOUSING HOMELESSNESS IS A
CRISIS IN OUR STATE RIGHT NOW WE
WE WE CAN USE EVERY DOLLAR WE
CAN GET AND IT'S IT'S
HEARTWARMING AND REASSURING TO
SEE THAT THE ADMINISTRATION. HAS
PRIORITIZE THESE TWO EFFORTS
BOMBED THE HOME OF SUBSISTENCE
PAYMENT INCREASES SOMETHING THAT
ADVOCATES HAVE BEEN PUSHING FOR
FOR MANY YEARS AND WE'RE VERY
PLEASED TO SEE THE
ADMINISTRATION. INCLUDE THIS IN
THEIR BUDGET COME BUT I WOULD
JUST NOTE. OFFER NOTE OF CAUTION
OR SUGGESTION GOING FORWARD
WHICH IS THAT WE ARE.
.
RAPIDLY EXPANDING THE NUMBER OF
SMALL PROGRAMS THAT WE USE
THROUGHOUT THE STATE TO TRY TO
DEAL WITH THE ISSUES OF
HOMELESSNESS. ARM AT THE CORE.
ONE OF THE REASONS WHY PEOPLE
BECOME HOMELESS BOTH IN CAL
WORKS IN THE SSI PROGRAMS
BECAUSE OF THE GRANTS ARE SO
LOW.
SO WE WOULD STRONGLY ENCOURAGE
THE COMMITTEE AS YOU GO FORWARD
TO THINK ABOUT INCREASING THOSE
GRANT LEVELS BECAUSE I THINK IT
WOULD REDUCE THE PRESSURE TO
CAN.
INCREASINGLY HAVE HOMES PROGRAMS
FUNDED AND THE LAST THING I'LL
FINISH WITH THIS.
THE COMMITTEE MAY WISH TO
CONSIDER GOING FORWARD WHETHER.
TO TO TAKE A LOOK AT HOW THESE
PROGRAMS ALL WORK TOGETHER DO
THEY REALLY HELP ARE. IF THEY
WORK TOGETHER DO THEY NOT WORK
TOGETHER AND ARE WE BEING THE
MOST EFFICIENT THAT WE CAN TO
MAKING SURE THAT WE'RE SERVING
THE FOLKS OF THE GREATEST
HOUSING NEEDS. SO WE'RE JUST
LEAVE A MARKER THAT PLACE FOR
FURTHER DISCUSSION IN THE
FUTURE.
OKAY THANK YOU I APPRECIATE
THAT.
ALSO I'M CONCERNED AS WE HAVE
MULTIPLE LITTLE PROGRAMS OFTEN
THE OVERHEAD FOR ALL
ACCUMULATIONS SO EXACTLY HOW
THEY ALL.
COME TOGETHER AND. THAT WE
MAKING MOST EFFECTIVE USE OF OUR
RESOURCES WHEN I.
THAT MULTIPLE SMALL PROGRAMS
VERSUS INVESTING MORE INTO THE.
I GUESS BECAUSE THE LARGER OR
THE MORE CORE PROGRAMS.
AND I THINK ONE OF THE
CHALLENGES FOR THE LEGISLATURE
IS THAT. OF THE GOVERNOR HAS
OTHER PROPOSALS THAT WE ALSO
SUPPORTING THINKER GOOD. BUT
THEY'RE BEING HEARD IN DIFFERENT
SUBCOMMITTEES AND IT'S HARD FOR
THE LEGISLATURE I THINK A TO SEE
THESE AS A WHOLE AND TO REALLY
PUT THEIR POLICY STAFF ON WHAT
IS OUR STRATEGY FOR COMBATING
THIS ISSUE.
OKAY.
NOT ENOUGH PEOPLE WORRY THAT
MORE SO THAT WE CAME FROM MORE
STUFF TO BE IN THIS BUDGET
SUBCOMMITTEE BUT I HAVE.
THANK YOU MISTER OTHER FRANK
NICOLAS YOU HAVE AGAIN IF I
COULD START WITH THAT ISSUE AND
WORK FASTER BURKE BACKWARDS.
WERE VERY APPRECIATIVE OF THE.
INCREASE THAT HOUSING SUPPORT
PROGRAM AND THAT'S DALY SHELTER
RATE. WITH RESPECT TO THE
HOUSING SUPPORT PROGRAM IT WAS
CREATED IN A WAY TO SORT OF NOT
REINVENT THE WHEEL AND TO WORK
WITH EXISTING STRUCTURES.
ANY OTHER SOCIAL SERVICES THE
LATEST HOUSING PROGRAMS THE
DEPARTMENT ACTUALLY DOES DO. AN
EXACTING JOB. OF ENSURING THAT.
THE COUNTY PLANTS ARE SUBMITTED
LEVERAGE EXISTING RESOURCES AS
OPPOSED TO SORT OF. REINVENTING
THE WHEEL WORK WITH THE.
EXISTING HOUSING INFRASTRUCTURE
TO THE BEST WE CAN SO I THINK
IT'S AN APPROPRIATE CAUTION AND
ONE THAT THE ADMINISTRATION
INTENDS TO. I'M WITH RESPECT TO
THE SINGLE ALLOCATION AND WE
DEFINITELY APPRECIATE THE
ADDITIONAL FUNDING FOR
ELIGIBILITY WITH COMPLETELY
SUPPORT. P. ALLODYNIA
ELIGIBILITY METHODOLOGY. NAM WE
REGRET TO THE EXTENT THAT
CASELOAD WENT DOWN FROM JANUARY
TO MAY FOR.
EMPLOYMENT SERVICES AND NOW
THERE'S ABOUT A TWENTY FIVE
MILLION DOLLAR REDUCTION FROM
THE CURRENT YEAR. AGAIN BASED ON
CASELOAD AND WE HAVEN'T YET
TURNED OUR ATTENTION YET. BUT WE
HAVE TURNED ATTENDED BUT WE
DON'T HAVE A NEW METHODOLOGY FOR
EMPLOYMENT SERVICES AND WE WOULD
REALLY URGE THE ADMINISTRATION
IN THE LEGISLATURE TO TRY TO
KEEP THIS PROGRAM.
HELD HARMLESS TO ITS CURRENT
YEAR FUNDING LEVEL SO WE DON'T
FURTHER WE WROTE IT EMPLOYMENT
SERVICES WHILE WE COME UP WITH A
NEW METHODOLOGY AND THAT'S ABOUT
IT TWENTY FOUR MILLION DOLLAR
DIFFERENCE.
BETWEEN THE MAY REVISION AND
OUR PRIOR YEAR APPROPRIATION.
THANK YOU. JUSTIN GARRETT
CALIFORNIA STATE ASSOCIATION OF
COUNTIES I'M ALSO ON A THEY'RE
APPRECIATION FOR THE PROCESS
THAT WAS ON UNDERTAKEN WITH THE
COW WORKS METHODOLOGY AND SEE
IF CAN PROGRESS IS MADE AND
REALLY APPRECIATE.
SO THE NEW METHODOLOGY AND
ESPECIALLY THAT COMPONENT THAT
STICKS FUNDING.
WE WOULD SHARE SUPPORT
CONSISTENT WITH OUR ASK
THROUGHOUT THE YEAR FOR THAT
ADDITIONAL TWENTY FOUR MILLION
TO KIND OF HOLD OVERALL LEVEL
FUNDING THEM CONSISTENT WITH THE
CURRENT YEAR.
AND THEN ON ISSUES THIRTEEN
FOURTEEN ALSO ON BEHALF OF THE
URBAN COUNTIES CALIFORNIA I'M
WE'RE SUPPORTIVE OF THE PROPOSAL
AND APPRECIATE ADMINISTRATION
DEDICATING RESOURCES ON TO HELP
WITH COVERS FAMILIES DEALING
WITH HOMELESSNESS.
THANK YOU.
WELCOME.
HI CELINA PRIOR WITH ASCII YOU I
WANNA ECHO THE COMMENTS OF
MISTER MECCA MOM AND ALSO TO SAY
THAT OURS ARE MEMBERS ARE THE
ONES WHO ACTUALLY PERFORM
IMPLEMENT SERVICES. AND WITHOUT
THE RESOURCES TO DO THE JOB.
HOW DO YOU GET PEOPLE ON A PATH
TO SELF SUFFICIENCY SO WE WOULD
ASK THAT? A ME WOULD.
KEEP THE FUNDING.
CLEVELAND TELLING METHODOLOGY
HAS BEEN.
.
AND. CRANKY THANK YOU.
KELLY BREAKS ON BEHALF OF THE
SENATE CLARA COUNTY SUPERVISORS
IN THE VENTURA COUNTY BOARD OF
SUPERVISORS BOTH HERE TO THINK
THE ADMINISTRATION FOR THE TO
HOMELESSNESS PROPOSALS ON ISSUES
THIRTEEN AND FOURTEEN.
AND JUST A SPECIAL NOTE FOR
VENTURA WHICH IS ONE OF THE
WILDFIRE COUNTIES BOB MY SHARE
WERE SUPPORTIVE OF CW'S TRAILER
BILL LANGUAGE TO ENSURE THAT CAL
WORKS FAMILIES WHO ARE VICTIMS
OF OF WILDFIRES.
ARE INCLUDED IN THE HOUSINGS.
THE PORTLAND PROGRAM THANK YOU.
THANK YOU.
WELCOME AFTERNOON CHAIR MEMBERS
THANK YOU TERESA COOK ON BEHALF
OF THE ALAMEDA COUNTY FOR
SUPERVISORS HERE IN SUPPORT OF
ISSUE NUMBER ELEVEN THE AYE
SINGLE ALLOCATION PUZZLE THANK
YOU. OKAY THANK YOU.
ALRIGHT EXCELLENT. ALRIGHT
TALKING ABOUT.
DISASTERS THEM LET'S MOVE ON WE
HAVE FOR. ISSUE NUMBER FIFTEEN
WHICH IS DISASTER ASSISTANCE
FROM.
THE PARCEL SERVICES DISASTER
SERVICES BUREAU.
BUT AFTERNOON.
THANK YOU MISTER CHAIR AND
MEMBERS CURRENT DICKERSON DEPUTY
DIRECTOR WITH THE ADMINISTRATION
OF VISION AT SOCIAL SERVICES.
FROM SOCIAL SERVICES IS
RESPONSIBLE FOR ADMINISTERING
THE STATE SUBLIMINAL GRANT
PROGRAM TO HELP MEET UNMET.
NEEDS FOR DISASTER SURVIVORS IN
A DISASTER DECLARED BY THE
PRESIDENT.
SO INDIVIDUALS MUST FIRST GO TO
FRAME A FOR ASSISTANCE AND IF
THEY'RE STILL UNMET NEED. THE
STATE'S UP AMONG GRANT PROGRAM
PROVIDES AN AMOUNT NOT TO EXCEED
TEN THOUSAND DOLLARS PER
APPLICANT.
IN THE CURRENT YEAR WE HAVE
PROCESS
APPROXIMATELY. TWO HUNDRED
APPLICATIONS FOR ALMOST ONE
POINT NINE MILLION.
GRANTS MAYBE PROCESS UP TO
EIGHTEEN MONTHS FOLLOWING A
FEDERAL DISASTER DECLARATION.
THUS THE NEED FOR SOME
ADDITIONAL RESOURCES IN THE
BUDGET YEAR TO BE ABLE TO
PROVIDE ASSISTANCE TO THOSE
INDIVIDUALS WHO MAY BE APPLIED
FOR FEMA AND THEN WE'LL FOLLOW
UP THE STATE APPLICATION COMING
TO US.
OKAY THANK YOU EARLIER COMMENTS.
FINANCE.
IT COMES FROM OF COMMITTEE
MEMBERS OKAY SO.
NOT THAT GREAT ALRIGHT BY ANY
PUBLIC COMMENT ON THIS ITEM.
OKAY SAYING NONE. ALRIGHT SO I
THANK SO MUCH OF PRESENT OVER
THE HOLD OPEN ALL ITEMS ISSUE
ONE THROUGH FIFTEEN OF COURSE WE
DID A READY VOTE ON ISSUES
SENATE APPROVED DATA CASELOAD
ADJUSTMENT. SO THAT WE HAVE.
PLEADED THE AGENDA FOR.
.
SENATE BUDGET FISCAL REVIEW
COMMITTEE SUBCOMMITTEE NUMBER
THREE ON HEALTH AND HUMAN
SERVICES FOR TODAY I WILL BE
BACK TOMORROW AS.
I THINK TEN THIRTY WE HAVE
BOUGHT MORE ITEMS. AND SO THANKS
VERY MUCH AND WE ARE NOW
ADJOURNED THANK YOU FOR