DEVELOPMENT FOR OUR HEARING OF
MONDAY JUNE ELEVENTH.
WE YOU HAVE FOURTEEN BILLS ARE
FILED TODAY HOWEVER ONE BILL AB
TWENTY EIGHT FIFTY NINE. WILL BE
PUT OVER UNTIL THE TWENTY FIFTH
OVER WORKING WITH THE.
AUTHOR TO MAKE SOME
CLARIFICATIONS OF WITH THE
LEGISLATION WE HAVE FOUR ITEMS
PROPOSED FOR CONSENT FILE ITEM
ONE A. B. SIXTEEN FIFTY NINE.
FILE ITEM TO AB SEVENTEEN NINETY
ONE FILE ITEM FIVE AB TWENTY TWO
FIFTY SIX.
AND FILE ITEM SEVEN AB TWENTY
THREE ELEVEN.
SO WE DO NOT HAVE A QUORUM
ESTABLISHED AT THIS POINT BUT WE
WILL BEGIN AS A SUB COMMITTEE
AND.
AND THEN HAVE OUR VOTES WHEN WE
DO ESTABLISH A QUORUM SO
ASSEMBLY MEMBER GIPSON WELCOME
WE'RE WE WILL TAKE YOU FIRST AND
ITEM NUMBER THREE. AB NINETEEN
NINETY THREE.
WELCOME.
THANK YOU VERY MUCH.
MISTER CHAIR AND SENATORS THANK
YOU ALLOW ME TO PRESENT ASSEMBLY
BILL NINETEEN NINETY THREE.
WHICH SEEKS TO CREATE AN EVEN
PLAYING FIELD FOR SECONDHAND
DEALERS BY REDUCING THE THIRTY
DAY HOLD ON ITEMS BOUGHT OFF A
OF A PRIVATE CITIZEN TO FIVE
DAYS AS WELL AS COLLECT.
CONSUMER INFORMATION. UP TO TWO
DAYS AFTER THE WHOLE HAS BEEN
LIFTED SECONDHAND DEALERS ARE
ADDED TO HUGE DISADVANTAGE WHEN
IT COMES TO SELLING ITEMS THEY
ARE PERFECTLY HAVE PURCHASED.
FROM AN INDIVIDUAL FOR EXAMPLE.
WHEN INDIVIDUAL WALKS INTO A
PAWNSHOP JEWELERY STORE OR OTHER
BUSINESSES AND PURCHASE A WELL
ITEMS FROM A PRIVATE CITIZEN
THEY MUST HOLD THOSE ITEMS FOR
THIRTY DAYS BEFORE PUTTING. UP
IT'S UP FOR SALE MEANWHILE THERE
ARE HUNDREDS OF WEBSITES.
CRAIGSLIST FACEBOOK ON THAT
OFFERS.
ITEMS FOR SALE AND GOODS.
AT THAT SAME DAY.
AT THIS WHOLE IS PUTTING
SECONDHAND DEALERS AT A
DISADVANTAGE WHEN RESELLING
THESE ITEMS THEY COULD OTHERWISE
TURN AROUND THE SAME EXACT DAY.
US IN THE BILL NINETEEN NINETY
THREE SIMPLY SEEKS TO CREATE AN
EVEN PLAYING FIELD FOR
SECONDHAND DEALERS BY REDUCING
THE WHOLE OR ITEMS BOUGHT OFF OF
A PRIVATE CITIZENS TO FIVE DAYS
HERE WITH ME TO PROVIDE.
SUPPORTING TESTIMONY AND
TECHNICAL SUPPORT AS WELL IS
MISS TO DO IT BILL TO PLEASE THE
REPRESENTING THE CALIFORNIA PAWN
BROKERS ASSOCIATION.
YOU.
IT WAS A
THANK YOU MISTER CHAIRMAN
SENATORS BILL DUPLESSIS
REPRESENTING THE CALIFORNIA PAWN
BROKERS ASSOCIATION.
JUST TO PUT THIS IN SOME KIND OF
HISTORICAL CONTEXT BY LOCAL
ORDINANCE GOING BACK TO NINETEEN
THIRTY SEVEN AS WELL.
WHEN THE HOLD CAME INTO BEING
AND THAT WAS DONE LOS ANGELES
AND SAN FRANCISCO.
AND THEN IN NINETEEN FIFTY NINE
BEFORE THERE WAS ANY REPORTING
ANY MANDATORY REPORTING TO LONG
FORCE IN THE THIRTY DAY HOLD WAS
CODIFIED IN STATUTE.
NOW SINCE THAT TIME BECAUSE WE
HAVE AN ENTIRE PROGRAM MANY OF
YOU MAY HAVE BEEN IN THE
LEGISLATURE WHEN WE PASSED.
THE PAN BILL A. B..
THREE NINETY ONE.
IT'S CREATED A RATHER LARGE
SOPHISTICATED DATABASE FOR LAW
ENFORCEMENT THAT.
SECONDHAND DEALERS REPORT
REPORTABLE ITEMS TO WITHIN
TWENTY FOUR HOURS OF THE
ACQUISITION OF THAT ITEM.
WHEN WE INTRODUCED.
NINETEEN NINETY THREE COURSE.
BUSH SAID WHEN WERE NEGOTIATED
NIGHT DE THREE NINETY ONE THE
PAN BILL I HAD KNOW IDEA THAT
THE MARKETPLACE WOULD BE WHAT
IT.
WHAT IT IS TODAY AND THAT IS?
WITH INTERNET SELLERS AND REALLY
MORE.
MORE THREATENING TO OUR
INDUSTRY OR THE APP SELLERS
BECAUSE THEY CAN BE LOCALIZED
AND CUSTOMIZED.
AND WHATEVER I THEM IT IS THAT
YOU WANT.
ON THESE AB BASED.
SELLING PLATFORMS THEY CAN BE IN
YOUR HANDS WITHIN AN HOUR
FIFTEEN MINUTES A DEPENDING ON
WHERE YOU HAPPEN TO BE AT THE
TIME.
AND WE'RE FINDING THIS TO BE A
DISASTROUS.
.
IMPEDIMENT TO OUR RETAIL SIDE
OF OUR BUSINESSES THE PALM SIDE
WHICH ON LOANS AS YOU'LL RECALL
OR FOUR MONTHS LONG SO IT'S NOT
REALLY AN ISSUE BUT. ON THE
RETAIL SIDE OF OUR BUSINESS IT'S
REALLY BEEN QUITE A DEVASTATING
TO US SO.
WE INTRODUCED THE BILL
ORIGINALLY WITH NO HOLDEN ALL
WHICH WOULD HAVE ACTUALLY BEEN
ILL A LEVEL PLAYING FIELD WE
AMENDED IT TO THREE DAYS. AND
THEN WE AMENDED INTO SEVEN DAYS
WHICH IS WHAT IT IS RIGHT NOW.
AND.
SEEKING TO ELIMINATE THE
OPPOSITION HOWEVER THAT DIDN'T
HAPPEN.
IT IT DID VERY WELL OF COURSE
IN THE ASSEMBLY.
PASSED ON I BELIEVE THE ONLY
FOR NO VOTES.
AND THERE WERE ASKING OF FOR
YOUR SUPPORT FOR A BI NINETEEN
NINETY THREE THANK YOU MISTER
DUPLICITY APPRECIATED OTHERS IN
SUPPORT.
GOOD AFTERNOON CARL BRACKEN SICK
ON BEHALF OF THE CALIFORNIA COIN
AND BULLION MERCHANTS
ASSOCIATION. ALTHOUGH COLEEN'S
ARE EXEMPT FROM THIS HOLD ON
COIN DEALERS OFTEN DO TAKE OTHER
NON QUEEN ITEMS IN OUR INTO
THEIR POSSESSION. AND SO THIS
BILL DOES AFFECT US AND WE ARE
CERTAINLY SUPPORTIVE OF ITS
PROVISIONS BURGER THANK YOU
OTHERS IN SUPPORT.
PLEASE COME FORWARD.
THERE IS NO ONE IS THERE ANYONE
HERE IN OPPOSITION TO THE BILL.
GOOD AFTERNOON.
THE.
S. LUCIA MUCH OUR ON BEHALF THE
CALIFORNIA STATE SHERIFFS
ASSOCIATION ON REGRETFULLY WITH
YOU MUST CONTINUE OPPOSITION TO
THAT I AB NINETEEN NINETY THREE
AS WE FELT THAT THE TIMELINE IS
INSUFFICIENT FOR LAW ENFORCEMENT
TO. A PROPERLY INVESTIGATE AND
RECOVER STOLEN PROPERTY AND IT
IS AT BEST A DISSERVICE TO
VICTIMS OFF PROPERTY CRIMES. ON
WE HAVE THAT THEY'VE BEEN I'VE
THE AUTHORS OFFICE HAS BEEN VERY
CORDIAL TO US AND WE HAVE HAD
CONTINUE DISCUSSIONS BUT THIS
TIME WE JUST CANNOT. AGREE I TO
A TIME LINE SALINAS REGRETFULLY
OPPOSE THINK YOU WOULD THINK IF
IF I COULD ASK YOU A QUESTION
OF.
DO WE HAVE WOULD YOU HAVE ANY
OTHER.
IDEA OF OR ANY DATA RELATED TO
THE AMOUNT OF STOLEN ITEMS THAT
HAVE BEEN RECOVERED OR ARE BEING
RECOVERED BASED ON THE THIRTY
DAY THAT WE CURRENTLY HAVE.
THANK YOU FOR THE QUESTION AT
THIS TIME WE DO NOT THAT WE ARE
CERTAINLY HAPPY TO.
ASKED THE SHERIFF'S TO AND GET
THAT DATA AND WE ARE HAPPY TO
PASS THAT ALONG TO YOU. THANK
YOU VERY MUCH OTHERS IN
OPPOSITION.
YOU KNOW ONE BRING IT BACK TO.
THE COMMITTEE.
AND THE SOCIAL SCENE NO COMMENT
THROUGH CONCERNS RAISED AT THIS
POINT.
ASSEMBLY MEMBER WOULD LIKE TO
CHAIRMAN.
WE ARE DATA SHOWS IS LESS THAN
ONE PERCENT IN TERMS OF THAT OF
THOSE ITEMS ACTUALLY RECOVERED.
ALSO LET ME JUST PUT A FOOTNOTE
HERE IS THAT THE DAY ARM
PAWNBROKERS ARE. PEOPLE GOING TO
THEIR SOFTLY DO BUSINESS.
.
THIS INFORMATION IS COLLECTED
CONSUMER INFORMATION COLLECTED
BUT I WANT TO UNDERSCORE. YOU
CAN SELL GOODS.
OPEN YOUR PHONE UP RIGHT NOW ON
FACEBOOK. YOU DON'T KNOW OF
THOSE GOODS ARE STOLEN. ARE ARE
THERE.
ARE LEGITIMATE AND SO WITH THIS
IS A LEGITIMATE BUSINESS UMP THE
PAWN BROKERS IN JEWELRY STORE
OWNERS WHO ARE DOING THINGS
ABOVE BOARD ABOVE REPROACH
WORKING WITH LAW ENFORCEMENT. ON
SEEKING TO DO THE RIGHT THING
AGAIN ON THE ON SOCIAL MEDIA
WEBSITES. I'M WHEN YOU PURCHASE
SOMETHING YOU KNOW THAT THOSE
GUYS ARE STOLEN NOT BECAUSE
THERE'S NO IN BETWEEN THERE'S
NO.
INFORMATION BEING GATHERED THIS
INDUSTRY SEEKS TO DO THE THE
RIGHT WAY AND WORK WITH LAW
ENFORCEMENT TO MAKING SURE THAT
SOMETHING STOLEN THEY HAVE THE
INFORMATION IS PASSED ON THEY
CAN HOPEFULLY RECOVER THAT
INFORMATION. AND GET THE
INFORMATIONAL ITEMS BACK TO THE
RIGHTFUL OWNER I RESPECTFULLY
ASK WHEN I VOTE AND BY THE WAY
THIS A BILL HAS RECEIVED
BIPARTISAN SUPPORT IN THE
ASSEMBLY SO RESPECTFULLY ASK
WHEN I BONE ACHE GOING TO
REMEMBER GIPSON AND AYE AYE TO
AGREE I THINK WE NEED A. LEVEL
FOOT PLAYING FIELD THAT THE
SECONDHAND DEALERS HAVE BEEN.
I DON'T OVERLOOKED OVERLY
BURDENED BUT HAVING TOURED SOME
OF THE FACILITIES IN THE.
THE TECHNOLOGY THAT THEY NEED TO
USE IN ORDER TO ADMIT REMAIN
COMPLIANT. IS A IT IS MIND
BOGGLING TO SEE THAT AND TO KNOW
THAT. THEY THEY DO THAT AND
THEY'RE WILLING TO DO IT AND
THEY'RE ALL VERY UPSTANDING
BUSINESSES.
IN CALIFORNIA THAT IT'S IT'S
HARD TO.
TO SEE AND I THINK THIS IS
TRYING TO DO WHAT WE DON'T WANT
TO SEE HAPPEN TO THIS INDUSTRY
WHAT WE'VE SEEN HAPPEN TO THE
TRANSPORTATION INDUSTRY GHOMESHI
WITH TAXIS AND. IN THOSE TYPES
OF TRANSIT AGENCIES WITH THE NEW
TECHNOLOGY SO.
WITH THAT WE WILL OF. ENTERTAIN
A MOTION AT THE APPROPRIATE TIME
WHEN WE'VE ESTABLISHED A QUORUM
THANK YOU THANK YOU VERY MUCH.
I SEE ASSEMBLY MEMBER LACKEY IS
HERE AND I APOLOGIZE ASSEMBLY
MEMBER QUIRK.
IF IT.
ASSEMBLY ROCKET PLEASE.
ALRIGHT WELL THANK YOU OF THIS
USER IMAGE TONIGHT SO I RIVER
FOR A BI NINETEEN NINETY SIX I'M
SORRY PLEASE PLEASE PROCEED
OKAY.
THINKS FOR THE OPPORTUNITY TO
PRESENT OF THIS ASSEMBLY BILL.
NUMBER TWENTY NINE NINE SIX.
THIS BILL WILL ENSURE THAT THE
NAME OF THE CALIFORNIA CANNABIS
RESEARCH PROGRAM. IS CONSISTENT
THROUGHOUT CODE I WILL CLARIFY
THE PROGRAM IS HOSTED BY. THE
CENTER FOR CANNABIS RESEARCH.
THE GOAL OF THE NINETEEN NINETY
SIX ASSEMBLY TOGETHER.
AUTHORIZATION TO THE PROGRAM TO
CONTINUE PERFORMING EFFECTIVE
RESEARCH.
THIS PROGRAM IS TASKED WITH
DEVELOPING AND CONDUCTING
STUDIES INTENDED TO DETERMINE
THE SAFETY AND. EFFICACY OF
CANNABIS.
IT'S CRITICAL TO MAKE
ADJUSTMENTS TO THE CURRENT CODE
TO ALLOW FOR THE SUCCESS OF THE
STUDIES.
THIS BILL DOES JUST THAT BY
PRESENTING RESEARCH IS WITH
OPPORTUNITIES TO EXPAND THEIR
THEIR.
SCOPE OF WORK.
VERY GOOD THANK YOU ARE THEIR
WITNESSES IN SUPPORT OF THE
LEGISLATION TODAY PLEASE.
NICE TO SEE YOU THIS AFTERNOON
AWARENESS TO CHAIRMAN AMY
JENKINS ON BEHALF OF THE
CALIFORNIA CANNABIS INDUSTRY
ASSOCIATION IN STRONG SUPPORT
THANK YOU VERY GOOD THANK YOU
OTHERS IN SUPPORT.
IN NO ONE IS THERE ANYONE HERE
IN OPPOSITION.
BRING IT BACK TO THE COMMITTEE.
COMMENTS OR THOUGHTS.
I THINK THIS IS VERY
STRAIGHTFORWARD AND OF VERY
WELCOMED.
BY THE COMMITTEE AND.
CERTAINLY BY A.
I THINK THE STATE SO THANK YOU
FOR THAT IT WOULD YOU LIKE TO
CLOSE AND WE WILL JUST REAL
BRIEFLY I JUST WANT TO
ACKNOWLEDGE THE WORK OF THESE
RESEARCHERS. WHICH OF
SPEARHEADED IN ORDER TO HAVE
PROTECT THE HEALTH THE SAFETY OF
ALL CALIFORNIANS IN THIS BILL
WERE PRETTY. MET THESE
RESEARCHERS TO CONTINUE WORKING
TOWARDS.
THE GOAL THAT WE ALL WANT THEM
TO SUCCEED AND SO I WOULD ASK
FOR THE AYE BUT WHEN YOU CLICK
HERE AT THE APPROPRIATE TIME
WILL ENTERTAIN A MOTION AND
UNTIL THEN THANK YOU VERY
FUTURE.
ASSEMBLY MEMBER QUIRK.
A SAID QUICKLY BEFORE ANYONE CAN
WALK IN THE DOOR.
YOU.
WE'RE NOW MOVING TO ITEM NUMBER
NINE AB TWENTY SEVEN TWENTY ONE
BY ASSEMBLY MEMBER QUIRK.
YES THANK YOU CHAIR AND.
SENATOR WELLS.
ARE AB TWENTY SEVEN TWENTY ONE
RENEWS AMBIGUITY REGARDING
CANNABIS TESTING.
CANNABIS OUR LABORATORIES TEST
FOR A WIDE VARIETY OF PESTICIDES
CONTAMINATES MOLDS.
ARE UNDER CURRENT LAW CANNABIS
TESTING LABORATORIES CAN ACCEPT
SAMPLES FROM A LICENSED CANNABIS
BUSINESS OR MEDICAL CANNABIS
PATIENT. OR CARE GRAVERT. WHO
GROW PLANTS FOR THEIR PERSONAL
MEDICAL USE HOWEVER THE LAWS ON
CLEAR AS TO WHETHER CANNABIS
TESTING LABORATORIES CAN ACCEPT
CHAPELS?
FROM PEOPLE WHO GROW FOR
PERSONAL USE.
AB TWENTY SEVEN TWENTY ONE.
BOB REMOVED HIS HAND THE CURIOUS
AMBIGUITY.
BY CLEARLY PERMITTING CANNABIS
TESTING LABORATORIES TO ACCEPT
SAMPLES FROM PEOPLE WHO GROW
CANNABIS FOR THEIR PERSONAL USE.
FURTHER SIMILAR TO CANNABIS OUR
REGULATIONS HE'S TESTED SAMPLES
WOULD NOT BE CERTIFIED RESELLER
TRANSFER. AND THE SERVICES WOULD
BE PAID FOR BY THE CONSUMER WHO
BOUGHT THE SAMPLE IN FOR
TESTING.
WITH ME TO TESTIFY IN SUPPORT OF
AB TWENTY SEVEN TWENTY ONE IS
AMY JENKINS WITH CALIFORNIA
CANNABIS INDUSTRY ASSOCIATION.
YOU CAN THANK YOU MISTER
CHAIRMAN AND MEMBERS ONLY
JENKINS ON BEHALF OF THE
CALIFORNIA CANNABIS INDUSTRY
ASSOCIATION OR SEE CIA. WE NOW
HAVE OVER FOUR HUNDRED AND FIFTY
MEMBERS REPRESENTING SIX HUNDRED
BRANDS AND OVER TEN THOUSAND
EMPLOYEES SO WE ARE GROWING. OF
THIS ISSUE ACTUALLY ACT WAS
BROUGHT TO OUR ATTENTION BY THE
NUMBER OF TESTING LABS THAT WE
REPRESENT AS PART OF THE
ASSOCIATION. AND TO THE TO THE
AUTHOR'S POINT THERE IS A LACK
OF OF CLARITY IN EXISTING LIES
TO WHETHER. A CONSUMER OF
CANNABIS THAT IS GROWING FOR
PERSONAL USE CAN UTILIZE AT
THESE COMMERCIAL TESTING LABS TO
ENSURE THAT THE. CANNABIS THAT
THEY ARE CONSUMING IS SAFE AND
MEETS ADD THE APPROPRIATE%
STANDARD SO.
IT FREE OF CONTAMINANTS SUCH AS
MOLD BACTERIA AYE PESTICIDES
EXCEPT TRACK I'M SO CERTAINLY IT
PROMOTES HEALTH AND SAFETY WHICH
WE ALL STRONGLY ENCOURAGE IT IS
A FUNDAMENTAL TENET OF OUR
ASSOCIATION. THE OTHER THING I
WOULD JUST NOTICE THERE ARE
APPROPRIATE PROTECTIONS IN HERE
TO SAFEGUARD AGAINST THE WITH
THAT ACTIVITIES SO. FOR INSTANCE
I THERE WOULD NO THERE WOULD NOT
BE AYE ANY SORT OF LABS AS
CERTIFICATION DOCUMENTATION THAT
COULD BE UTILIZED SO I'M THIS IS
THIS IS CERTAINLY SOMETHING THAT
IS LIMITED TO A COMMERCIAL.
CANNABIS BEING SOLD TO
CONSUMERS.
IN FACT ALL TESTING.
ALL DOCUMENTS AT THAT WOULD AND.
ALLOW FOR TESTING ACTIVITY I
WOULD BE AGAIN STRICTLY.
AB FOR COMMERCIAL CANNABIS AND
NOT FOR THE PERSONAL USE TESTS
WILL BE RECORDED HOWEVER WITH
THE NAME OF THE PERSON
SUBMITTING A SAMPLE. AND THE
AMOUNT OF CANNABIS TO CANNABIS
PRODUCTS RECEIVED AGAIN TO
SWEETING ILLICIT OPERATORS FROM
USING TESTING IN AN ATTEMPT TO
LEGITIMIZE THEIR PRODUCTS.
THE CCA DOES STRONGLY SUPPORT
THIS BILL WE ENCOURAGE YOUR
SUPPORT TODAY AND THANK YOU FOR
YOUR TIME.
YOU.
THANK YOU OTHER OTHERS IN
SUPPORT PLEASE.
IF COME FORWARD.
GOOD EDITOR A MEMBERS RAND MARK
ON BEHALF OF CMG KHALIFAN STRONG
SUPPORT FIGURE THANK YOU OTHERS
IN SUPPORT.
SEE NO ONE IS THERE ANYONE IN
OPPOSITION.
NO ONE HERE TODAY.
BRING IT BACK TO THE COMMITTEE
QUESTIONS OR COMMENTS.
NO SENATOR GLAZERS WELCOME.
NO QUESTIONS OR COMMENTS TO WHAT
WE WILL DO WOULD YOU LIKE TO
CLOSE AND ASSEMBLY MEMBER QUIRK
IN THAT WE WILL HOLD THAT WE
WILL. WAIT UNTIL THE APPROPRIATE
TIME FOR A QUORUM
THANK YOU SENATORS TO ASK YOUR
AYE VOTE VERY GOOD THANK YOU
VERY MUCH APPRECIATED.
WE WILL.
WAIT UNTIL WE ESTABLISH A
CORPSMAN THEN TAKE UP YOUR
MATTER THINK YEAH.
CAREFUL HOW WE.
WE WILL.
WAIT FOR ANOTHER AUTHOR AND
THEN.
FORWARD
AND HERE.
IT WOULD.
WE COULD NOT IN.
I'M.
HEY.
I'M SURE SOMEONE WOULD WANT IT
WILL WANT TO.
AVOID THE RUSH.
I'M DOWN
ASSEMBLYMEMBER HOLDEN PLEASE
BEFORE YOU GET COMFORTABLE.
YOU HAVE THE FLOOR ITEM NUMBER
EIGHT MOVING TO AB TWENTY SEVEN
OH FIVE WELCOME. THANK YOU
SENATOR.
SHARON MEMBERS.
TODAY.
I'M PRESENTING ASSEMBLY BILL
TWENTY SEVEN OH FIVE WHICH
BRINGS PARITY.
TO OUR WORKERS COMPENSATION LAWS
FOR CONTRACTORS.
CONTRACTORS ARE REQUIRED TO HAVE
WORKERS COMPENSATION INSURANCE.
THIS PROTECTS THE HOME AND
PROPERTY OWNERS THAT HIRE THEM.
FROM LIABILITY IN CASE OF AN
ACCIDENT.
HAVE A LICENSE OR UNLICENSED
CONTRACTOR DOES NOT HAVE WORKERS
COMPENSATION INSURANCE THEIR
CLIENTS CAN FILE A COMPLAINT
WITH THE CONTRACTORS LIFE STATE
LICENSED BOARD. RESOLUTION.
IF A CONTRACTOR IS LICENSED THE
BOARD HAS TWO YEARS FROM THE
DATE OF THE VIOLATION TO
INVESTIGATE.
BUT IF THE CONTRACTORS
UNLICENSED ETCETERA LIMITATIONS
IS ONLY ONE YEAR.
DUE TO THE AMOUNT OF TIME IT
TAKES TO REPORT A VIOLATION AND
INVESTIGATE. TOO MANY OF THESE
VIOLATIONS BY UNLICENSED
CONTRACTORS ARE GOING ON
PROSECUTED.
THIS BILL WILL BRING PARITY TO
THE INVESTIGATION PROCESS BY
GIVING THE BOARD TWO YEARS TO
INVESTIGATE WORKERS COMPENSATION
VIOLATIONS WHETHER THE
CONTRACTOR WAS LICENSED OR
UNLICENSED.
TODAY I'M WITH ME MICO SOME NET
SKI. ARE FROM THE CONTRACTORS
STATE LICENSE BOARD TO FURTHER
EXPLAIN THE IMPORTANCE.
OF THIS BILL VERY GOOD THANK YOU
PLEASE COME FORWARD.
WE'D LIKE TO SIT.
THANK YOU.
I THINK YOU CHAIR MEMBERS OUT MY
JIM FTA FROM THE CONTRACTORS
STATE LICENSE BOARD. AND AS THE
ASSEMBLY MEMBER STATED I THIS
WOULD AYE INCREASE THE STATUTE
OF LIMITATIONS IN WHICH TO
INVESTIGATE AN UNLICENSED
CONTRACTOR WHOSE ACT IN THE
CAPACITY OF AN EMPLOYER. WHO
DOES NOT PROVIDE WORKERS
COMPENSATION CURRENTLY THIS IS A
PROBLEM FOR OUR REACTIVE CASES
FEATHERS OF THE CASES TAT ARE
FILED BY CONSUMING AT CSL BE HAS
TO RECEIVE? AND THEN GO
INVESTIGATE THAT CAN TAKE SIX
MONTHS TO EIGHT MONTHS AND BY
THE TIME WE ESTABLISH A
VIOLATION THE STATURE
LIMITATIONS HAS PASSED ON THE
WORKERS COMPENSATION VIOLATION.
WE BELIEVE THAT THIS WILL BRING
CLARITY TO THE AYE LICENSE NON
LICENSED CON HAVE VIOLATIONS FOR
FAILURE BY WORKERS COMP. THANK
YOU VERY THANK YOU OTHERS IN
SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION.
SEE HOW THEY COULD BE IN
OPPOSITION CENTERFOLD INSISTS
THAT YOU COULD BILL AND SO. SO
APPROPRIATE AND.
IT'S GOING TO COMMONSENSE AND
WHAT WE NEED TO ESPECIALLY TO
PROTECT THIS LICENSE CONTRACTORS
WHO NOW. RELEASE OF THE TWO OF
UNFORTUNATE DISADVANTAGE IN THIS
CASE SO THANK YOU. OUT WE WOULD
LIKE TO CLOSE ASSEMBLYMEMBER
HOLDEN AND THEN WE WILL.
AND WAIT UNTIL WE ESTABLISH A
QUORUM IN THE TAKE A VOTE.
THE COMMISSION PHEROMONE WHAT
YOUR COMMENTS ME MY CLOTHES FOR
YOU THANK YOU VERY MUCH
APPRECIATE THAT WE WILL.
ONCE WE ESTABLISH A QUORUM WE
WILL TAKE THE VOTE IN THAT AND.
THEN THAT THAT I'M SURE THERE
WILL BE A PROBLEM TODAY. THANK
ASSEMBLYMEMBERS HOLDEN THANK YOU
VERY MUCH OF THE TESTIMONY
.
ASSEMBLYMEMBER BURKE PLEASE
WELCOME.
WE'RE NOW MOVING TO ITEM NUMBER
TEN AB.
TWENTY SEVEN FORTY ONE.
THANK YOU.
MISTER CHAIR AND MET AND
SENATORS AB TWENTY SEVEN FORTY
ONE IS A BIPARTISAN MEASURE
THAT'S IT'S A FIVE DAY LIMIT ON
IT WILL BE A PRESCRIPTION. FOR A
Q. PAIN MANAGEMENT FOR MINORS
WITH THE EXCEPTION FOR CHRONIC
PAIN MANAGEMENT HOSPITALS
PUNITIVE IN CANCER PATIENTS
MINORS WHO ARE UNDER TREATMENT
FOR SUBSTANCE USE DISORDERS.
IMPATIENT SUFFERING FROM SICKLE
CELL DISEASE.
AFTER DISCUSSION WITH THE
CALIFORNIA CHAPTER OF AMERICAN
COLLEGE MERGES THE POSITIONS
WE'VE RECENTLY AGREED TO TAKE
AMENDMENTS THAT FURTHER CLARIFY.
THAT THE PRESCRIPTION LIMIT DOES
NOT APPLY TO MERCHANTS YOU
SERVICES.
AB TWENTY SEVEN FORTY ONE ENJOYS
THE SUPPORT OF THE MEDICAL BOARD
OF CALIFORNIA AND THE CALIFORNIA
GOVERNOR'S ASSOCIATION.
AB TWENTY SOME OF FORTY ONE DOES
NOT USURP A PROVIDERS DISCRETION
A PHYSICIAN CAN PRESCRIBE MORE
THAN FIVE DAYS IF HE OR SHE FELT
IT IS MATH MEDICALLY NECESSARY.
THE CENTER FOR DISEASE DISEASE
CONTROL RELEASED UPDATED ISLANDS
IN JULY OF TWO THOUSAND
SEVENTEEN WHICH ARE BEING HANDED
OUT TO YOU RIGHT NOW. THE
RECOMMEND NO MORE THAN THREE DAY
PRESCRIPTION FOR ACUTE PAIN
MANAGEMENT. THE MEDICAL BOARD OF
CALIFORNIA SPECIFICALLY
RECOMMENDS OPIOIDS FOR PAIN AND
MINERS ONLY AFTER NON OPIATE
ALTERNATIVES HAVE FAILED.
I DON'T THINK WE SHOULD TAKE THE
CONCEPT OF PRESCRIPTION LIMITS
LATELY HOWEVER I DO. I DO
BELIEVE THERE ARE CERTAIN
PROBLEMS THAT REQUIRE SO IT AN
EXCEPTIONAL LEGISLATIVE
RESPONSE.
ACCORDING TO MARCH TWO THOUSAND
SAYS SEVENTEEN STUDY BY THE CDC
LONG TERM OPIOID USE OFTEN
BEGINS WITH TREATMENT OF ACUTE
PAIN.
THE PROBABILITY OF LONG TERM
OPIOID USE INCREASES MOST
SHARPLY IN THE FIRST DAYS OF
THERAPY ESPECIALLY AFTER FIVE
DAYS.
BY JULY TWO THOUSAND SEVENTEEN
TWENTY THREE OTHER STATES HAVE
IT WILL HAVE ENACTED LEGISLATION
WAS SOMETIME OF LIMITED.
GUIDANCE A REQUIREMENT RELATED
TO OPIOID PRESCRIBING.
AS A RESULT THEY HAVE SEEN A
DECREASE IN PRESCRIPTIONS
MEANWHILE IN OUR STATE THERE ARE
COUNTIES WERE PRESCRIPTION RATES
AND ABUSE ARE RISING BY THE DAY.
WE ARE IN THE MIDST OF THE WORST
DRUG ADDICTION EPIDEMIC IN THE
UNITED STATES HISTORY BUT WE ARE
STILL MASSIVELY OVER FOR
SCRAPING.
IT CAN TAKE UP TO TEN YEARS FOR
NEW RECOMMENDATIONS TO BECOME
COMMON PRACTICE.
THIS EPIDEMIC IS RESPONSIBLE FOR
NINETY ONE DEATHS EACH DAY FORTY
TWO OF THEM FROM A PRESCRIBED
OPIOID WE CANNOT WAIT.
WHEN IT COMES OUR CHILDREN WE
DON'T HAVE THE LUXURY OF WAITING
TEN YEARS. I RESPECTFULLY ASK
YOUR AGO BURGER THANK YOU.
OTHER WITNESSES AND SUPPORT.
PLEASE COME FORWARD.
THE BASIC IF YOU.
WHATEVER YOU'RE COMFORTABLE
WITH.
THE CALIPHATE.
AND BEFORE YOU BEGIN IF I COULD
JUST HOLD YOU WOULD LIKE TO
ESTABLISH A QUORUM PLEASE. USE
THE.
CALL THE ROLL HEALTH HERE PHIL
HERE FULLER.
FULLER HERE DON GALGIANI AYE
GLAZER.
GLAZER HERE HERNANDEZ NEWMAN PAN
THERE AND HERE. PRESENT WILL
REPAIR DELUDE WE HAVE
ESTABLISHED A QUORUM AND NOW. WE
HAVE WITH US. GOING BUT I AM
KATHY HOLLOW REPRESENTING THE
CALIFORNIA STATE PTA AND WE ARE
IN SUPPORT.
THANK YOU VERY MUCH OF THIS IN
SUPPORT.
AMERICA CANNOT THE CALIFORNIA
DENTAL ASSOCIATION REPRESENTING
OVER TWENTY SEVEN THOUSAND GONNA
START THE STATE. I'M HERE AS A
WITNESS.
I IN TWO THOUSAND SIXTEEN
OPIOIDS KILLED MORE THAN FORTY
TWO THOUSAND PEOPLE WITH FORTY
OF FORTY PERCENT OF THOSE DEATHS
INVOLVING A PRESCRIPTION PAIN
RELIEVER. FOR MINORS MANY TIMES
THE FIRST EXPOSURE TO AN OPIOID
CAN OCCUR AFTER A SERIOUS
INJURY.
OR AFTER SURGERY SUCH AS WISDOM
TEETH REMOVAL.
I'M INNER SPENCER TO THE
STAGGERING FAX OUR NATIONAL
ORGANIZATION THE AMERICAN DENTAL
ASSOCIATION ADOPTED AN INTERIM
POLICY ON OPIOIDS WHICH
IMPORTANT PERTINENT PART.
SUPPORTS OPIOID PRESCRIBING
LIMITS OF NO MORE THAN SEVEN
DAYS.
WITHIN A PRACTICE OF DENTISTRY
PRESCRIBING OPIOIDS IS USUALLY
NECESSARY IN LIMITED
CIRCUMSTANCES SUCH AS TREATING
PAIN FROM AN INFECTION OR DECAY
WHEN TREATMENT CAN. CANNOT BE
PROVIDED IMMEDIATELY OR TO HELP
WITH RECOVERY OF A SURGICAL
PROCEDURE.
WELL IT WAS ONCE COMMON TO HEAR
STORIES OF PATIENTS UNDERGOING
DENTAL PROCEDURES AND BEING
PRESCRIBED LARGE AMOUNTS OF
OPIOIDS IN ORDER TO KEEP
PATIENTS COMFORTABLE IN OUT OF
PAIN. PRESCRIBING PRACTICES HAVE
SINCE CHANGED TO REFLECT THE
EFFECTIVENESS OF NON OPIOIDS
WHEN APPROPRIATE AND LOWER
AMOUNTS OF OPIOIDS BETTER
APPROPRIATE UNDER THE PRACTICE
OF DENTISTRY. I'M ASSEMBLY
MEMBER BURKE BILL CODIFIED
STENNIS TREES CURRENT PRACTICE.
PRESIDING PRACTICES AND FOR
THAT REASON CA STANDS IN SUPPORT
THANK YOU THANK YOU.
I WASN'T SURE MEMBERS RAND MAR
NAM BEHALF THE AIDS HEALTHCARE
FOUNDATION YOU MAY BE AWARE THE
CDC HAS IDENTIFIED OPIOID OF
PRESCRIPTION DRUGS AS A AS A
CORRELATED TO THE INCREASE IN
HIV AND STD EPIDEMICS.
I'M IN FACT H. UP WAS INVITED IN
BY THE STATE OF INDIANA A COUPLE
OF YEARS AGO BECAUSE THERE WAS
A.
A MASSIVE OUTBREAK OF HIV IN A
SMALL COMMUNITY WHERE.
OPIOID ABUSE WAS RAMPANT EVEN
AMONG PEOPLE WHO ARE UNDER
EIGHTEEN YEARS OF AGE SO WE
BELIEVE BILLS LIKE THIS WILL
HELP US STEM THAT KIND OF
ACTIVITY HAPPENING. ON WHERE
WHERE.
HIV COULD BE A RESULT OF OF
THAT ABUSE.
I WE'RE APPRECIATE YOUR SUPPORT
THANK YOU THANK YOU OTHERS TO
SUPPORT THINKING GOOD AFTERNOON
SHERRY MCKEE REPRESENT THE
CALIFORNIA CHAMBER OF COMMERCE
AND SUPPORT THE BILL.
YOU.
JENNIFER SUMMERS OF THE MEDICAL
BOARD OF CALIFORNIA AND SUPPORT
THANK YOU THANK YOU.
GARY COOPER REPRESENTING
CALIFORNIA ASSOCIATION OF ORAL
AND MAXILLOFACIAL SURGEONS IN
SUPPORT OF YOUR THINKING RECOUP
OTHERS IN SUPPORT.
THOSE IN OPPOSITION PLEASE.
FOR.
RAN FOR ONE THANK YOU.
GOOD AFTERNOON.
THE AFTERNOON MISTER CHAIRMAN
MEMBERS MAKE IT ALRIGHT ON
BEHALF OF THE CALIFORNIA EDICAL
ASSOCIATION. I'VE REGRETFULLY IN
OPPOSITION TO AB TWENTY SEVEN
FORTY ONE.
I JUST TO CLARIFY ON THE CDC THE
CENTERS FOR DISEASE CONTROL AND
PREVENTION DEVELOPED THE
ENTITLED CDC GUIDELINES FOR
PRESCRIBING OPIOIDS FOR CHRONIC
PAIN. AND IS DESCRIBED AS FOR
PRIMARY CARE CLINICIANS TREATING
ADULT PATIENTS FOR CHRONIC PAIN
IN OUTPATIENT SETTINGS.
SO. THERE ARE NO GUIDELINES THAT
ARE SPECIFIC TO MINORS.
THAT THE CDC IS PUT OUT THAT
HAVE ANYTHING TO DO WITH HAN.
ACUTE PAIN WHAT THEY DO SAY ON
ACUTE PAIN. IS THAT WHEN OPIOIDS
ARE USED FOR ACUTE PAIN
CLINICIANS TO PRESCRIBE THE
LOWEST EFFECTIVE DOSE FOR
IMMEDIATE RELEASE OPIOIDS. AND
NO GREATER QUANTITY THAN NEEDED
FOR THE EXPECTED DURATION OF
PAIN SEVERE ENOUGH TO REQUIRE OF
YOU IT'S. THREE DAYS OR LESS
WILL OFTEN BE SUFFICIENT MORE
THAN SEVEN DAYS WILL RARELY BE
NEEDED.
I AM THE LANGUAGE SPECIFIC TO
THE. LOWEST EFFECTIVE AND
APPROPRIATE DOSE AND DURATION IS
ACTUALLY IN.
AT IN LEGISLATION THAT HAS BEEN
NEGOTIATED THAT IS MOVING INTO
THAT HAS JUST MOVED INTO THE
SENATE. AYE AND IT'S ANY
PROVISIONS SPECIFIC TO MINORS
THAT ZMA HAS BEEN WORKING ON
WITH ASSEMBLY AT. WITH THE
ASSEMBLY HEALTH COMMITTEE IN
ASSEMBLY MEMBER RODRIGUEZ.
YOU ALSO SAW A BILL EARLIER THIS
YEAR. BY SENATOR BATES THAT
DEALT SPECIFICALLY WITH OPIOID
PRESCRIBING TO MINERS THAT WE
BELIEVE IS TARGETED
APPROPRIATELY.
AND ACTUALLY REACHES A THE
BROADER AUDIENCE IN PLACES WHERE
IT'S GOING TO BE THE MOST
EFFECTIVE.
I.
WE JUST WANTED TO.
MAKE AN IMPORTANT DISTINCTION IS
THAT TERM MEMBER THAT A MINOR
CAN RANGE IN AGE FROM SIZE FOR
AGE AND SIZE.
FROM SIX AND SIXTY POUNDS TO
SEVENTEEN AND THREE HUNDRED
POUNDS OR ANYWHERE IN BETWEEN.
THIS IS WHY THE POSITION IS BEST
SUITED TO DECIDE WHAT MEDICATION
IS APPROPRIATE GIVEN ALL OF THE
UNIQUE FACTORS AFFECTING THAT
PATIENT.
WE REALLY WOULD URGE YOUR
OPPOSITION TO THE SPELL WE
UNDERSTAND THAT THE INTENT OF
THE AUTHOR BUT WE HAVE WORKED
REALLY HARD ON. OTHER PIECES OF
LEGISLATION THAT WE THINK ARE
MORE NARROWLY TAILORED TO
ACTUALLY MAKE THE CHANGES THAT
ARE NEEDED.
I. AND THAT CALIFORNIA POSITIONS
HAVE ALREADY MADE A HUGE LEAPS
AND BOUNDS AND THEY'RE
PRESCRIBING COMING DOWN ALMOST
TEN PERCENT OVER THE LAST YEAR.
AND WE UNDERSTAND THAT THE
CRISIS STILL NEEDS TO BE
ADDRESSED AND THAT'S WHY.
THERE'S LEGISLATION TO MOVE
FORWARD INTO THE SEAT PREVENTION
AND TREATMENT AFTER THIS. BUT WE
THINK THAT THIS BILL TAKE THAT A
STEP IN THE WRONG DIRECTION I'M
WHEN WE REALLY NEED TO BE.
FOCUSING ON. EDUCATION AND
PREVENT HER AND TREATMENT AND
PREVENTION GOING FORWARD.
WE'D ASK YOUR OPPOSITION.
THANK YOU VERY MUCH.
GRAPHENE IT AFTERNOONS FOR.
SHANNON SMITH CROWLEY
REPRESENTING THE CALIFORNIA
COALITION.
AUTUMN BURKE HOT CONCORD
COALITION WITH AND WE ALSO
REGRETFULLY ARE IN OPPOSITION I
WANT TO TALK A LITTLE BIT ABOUT
SOMETHING THAT. MOST FOLKS
HAVEN'T TALKED ABOUT THIS
LEGISLATION.
ARE THE PATIENTS.
I'M AYE WE APPRECIATE THAT
ASSEMBLY MEMBER BURKE LISTED OUT
THESE CONDITIONS BUT.
IN TERMS OF EXEMPTIONS FROM THIS
FIVE DAY RULE.
THIS IS BUT A FEW.
AND ONE OF THE AREAS ALONE
APOLOGIES TO THE POSITIONS OF
THE ROOM.
BUT WE'VE GOT AN ISSUE WITH. USE
THAT OFTEN THE DIAGNOSTIC
ODYSSEY.
TAKES THINGS WARM DRINKS.
FOR MONTHS.
SOMEBODY CONVENE EXTREME PAIN
DURING THAT TIME YOU COULD HAVE
FOR INSTANCE TEENAGE YEARS ARE
RIPE YEARS FOR BONE TUMORS. THE
COULD BE BREAKING SOMEBODY'S
BONES
PHIL CANCER HAS BEEN DIAGNOSED
YET.
BUT WHAT HAPPENS IS IN THAT IN
THAT.
INTERMIXING OF THIS OF THESE
ISSUES IS THAT.
WHEN THERE ARE SO MANY
RESTRICTIONS ON POSITIONS THEY
BECOME I'M NOT SURE IF IT'S
INTIMIDATING.
FOR WHATEVER REASON PATIENTS
FEEL LIKE THEY'VE BEEN BRANDED
WITH THE SCARLET LETTER.
BUT POSITIONS DON'T WANT TO TAKE
CARE OF THEM. THEY AVOID THEM IN
THE STOCK EVEN LOOKING TO GET
BRANDED AS A PAIN PATIENTS.
AND.
THE GERMAN BUT UP. THE ODYSSEY
TO FIGURE OUT WHAT IS AT THE
VERY BOTTOM OF THIS OFTEN STOPS.
ALSO FOR THOSE OF YOU THAT OUR
PARENTS YOU CAN IMAGINE IF YOU
WERE A CHILD IS IN ONE OF THE
CIRCUMSTANCES AND GOING THROUGH.
EXTREME PROBLEMS WHERE THEY NEED
YOUR HELP AND YOU'VE GOT
MULTIPLE CHILDREN HOME. RUNNING
TO AND FROM THE DOCTOR'S OFFICE
WHERE YOU HAVE TO GET A HARD
COPY. OF THE PRESCRIPTION AND
GOING TO THE PHARMACY EVERY FIVE
DAYS IS A LOGISTICALLY A
NIGHTMARE.
SO WE APPRECIATE THAT ALL OF THE
ISSUES ABOUT THE ADVICE WE THINK
THAT THAT'S VERY SMART THAT'S
VERY WAS A LOT OF PEOPLE DON'T
KNOW ALL OF THIS.
BUT WE OBJECT TO THE FRIDAY
LIMITATION AND WE WOULD ASK FOR
A NO VOTE. VERY GOOD THANK YOU
OTHERS IN OPPOSITION.
PLEASE.
IT WOULD.
BERRYHILL. BRAND SPENCER AT THE
CALIFORNIA ACADEMY OF FAMILY
PHYSICIANS AND AMERICAN COLLEGE
OBGYN STRYCHNINE IN OPPOSITION
THANK YOU WISH THAT YOU.
ANYONE REPRESENTING AMERICAN CAN
BE PEDIATRICS ON I WOULD ONLY
ADD TO THE COMMENTS OF MY
COLLEAGUES IS THAT MORE RESEARCH
IS NEEDED TO LOOK AT. THE ISSUE
OF CHILDREN AND HOW WE HANDLE
CHRONIC PAIN.
ARE FOR THAT REASON GUEST ONE OF
HOPE THANK YOU.
MR MEMBERS TO MADDEN REPRESENT
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF EMERGENCY
PHYSICIANS AND WE'D LIKE TO
THANK ALSO MEMBER BURKE FOR
WORKING WITH US TO GET THE
CLARIFYING AMENDMENTS AROUND
EMERGENCY SERVICES. AND WITHOUT
AMENDMENT WERE REMOVING OUR
OPPOSITION WE THANK YOU
APPRECIATE OTHERS IN OPPOSITION.
FOR REMOVING OPPOSITION.
SEEING NO ONE BRING IT BACK TO
THE. COMMITTEE FOR COMMENTS AND.
QUESTIONS OR CONCERNS.
AND REPENT.
THANK YOU AND.
THEM BURKE I APPRECIATE YOUR
TRYING TO ADDRESS THIS VERY
IMPORTANT ISSUE.
.
AND I THINK YOU KNOW A FEW.
THE VICE.
IF YOU'RE NOT ACTUALLY IN THE
PRACTICE OF MEDICINE PEOPLE HAVE
PRECONCEPTIONS ABOUT WHAT
ACTUALLY HAPPENS IN
WHAT CONDITIONS PATIENTS CAN
HAVE. AND I APPRECIATE THAT
YOU'VE TRIED TO.
IDENTIFY AT LEAST SOME GROUPS OF
PATIENTS WHO HAVE CHRONIC PAIN.
BUT THERE ARE OTHER PATIENTS.
THAT.
.
YOU KNOW I SAW PATIENT TO HAD A.
BRAIN DISORDER.
WHERE?
THE PATIENT.
BASICALLY.
NEEDED
A VERY SPECIAL KIND OF BRAIN
STIMULATION TREATMENT DOES GIVE
ME DOWN EAST YOURSELF BUT TOOK
ACTUALLY DOES A LOT OF.
THE LEAD UP TO THAT UP POINT
WHAT THE PROCEDURE COULD BE
DONE.
THERE WAS A LOT OF WORK TO
STABILIZE THE PATIENT AND.
AT CEDAR DISORDERS HE COULD
HAVE SEIZURES AT THE TIME IT'S
THERE SO IT'S THOSE TAKING.
MONTHS
TO GET HIM TO THE POINT WHERE
THIS IS WHERE YOU GET THE
TREATMENT THAT THE PATIENT HAD
MULTIPLE POSSIBILITIES BUT
CLEARLY. WAS AND ASK
HAVE A CHRONIC PAIN.
BECAUSE OF THAT CONDITION IT'S
NOT.
ONE OF THESE.
.
SIX I GUESS. NIPPLES.
AND SO THE CHALLENGES IS THAT
MEN DON'T THAT PATIENTS ACTUALLY
A WHEELCHAIR AND IT'S HARD FOR
THE MOTHER TO GET ANY JUST
TRYING TO GET. THIS PATIENT.
TO OUR OFFICE AND DON'T HAVE
POINT PRIME CAREFUL IN HIS DEATH
NEUROLOGY APPOINTMENTS THEY'RE
ACTUALLY DOING FOLLOW UP WITH.
TRAVELING THE SAN FRANCISCO THAT
TO TO SEE ABOUT GETTING THIS.
PROCEDURE DONE.
LOGISTICALLY A HUGE CHALLENGE
YELLED THEY USUALLY END UP
SHOWING LAKE FOR THE POINT
BECAUSE THEY HAVE SO MUCH
CHALLENGE CHINA JUST NET TO GET.
THE FOURTH AND.
YELLS NOT THAT. I WANT TO SIT
THERE AND.
THEY I THINK THE PROBLEM IS IS
THAT I I CAN'T SEE HOW THIS.
FAMILY MEMBER GOES.
FAMILY GOES BACK AND FORTH
EVERY FIVE DAYS.
THE WE KNOW THAT THAT THIS IS AN
ONGOING CHRONIC CONDITION I MEAN
I. I GET THE IDEAS IN THE
BEGINNING AND AGAIN WE DON'T
WANT TO PRESCRIBE OPIOIDS
UNNECESSARILY.
WE'RE NOT TRY OUTS THIS IS NOT
AN ACUTE SITUATION.
ACTUALLY I'VE TRIED VARIETY
DIFFERENT TYPES OF TURN ABOUT
ITSELF WAS JUST LIKE ALL IT'S
LIKE PICKING OPIOID.
YOU'VE BEEN TO BED ON TIME
MULTIPLE DIFFERENT. OUR
TREATMENTS.
ARE BOTH PAIN ON PAIN TREATMENTS
AND THIS IS THE. AND ACTUALLY
AFTER HOSPITALIZATIONS THAT
APPLY THAT THIS IS THE WIND AS
IT HAD TURNED OUT AN OPIOID
LISTA. ONE MEDICATION THAT AT
LEAST GET A RESPONSE THE PAIN
AND THAT PATIENTS SO WASN'T THAT
WE JUST WENT OPIOID AND SAID
THAT'S THE ONE WE GO IF I KNOW
THAT WAS AN ISSUE BEFORE.
UNDER THIS BILL.
.
I BASICALLY WOULD NOT BE ABLE TO
PRESCRIBE ONGOING PAIN TREATMENT
SO INCORRECT PUBLIC AREA CLAIM
TO ME HA SO YOU CAN YOU
ABSOLUTELY CAN ALL YOU HAVE TO
DO IS NOTED THE FILE AND I CAN
FIND I'M HAVING NO TAKE THE FILE
WITH WHAT'S. OF ONE OF FOUR SO
IF YOU'RE HAVING IF THERE IS
CHRONIC PAIN IF FOR ANY REASON
ANY REASON THEY U. S. A POSITION
AND AND. LISTEN I HAVE A SMALL
CHILD WHO YOU KNOW SO I DON'T
WOULD NEVER WANT HER IN PAIN
EITHER. SO AS A PHYSICIAN IF YOU
BELIEVE THAT IT IS NECESSARY FOR
OVER FIVE DAVE T BE PRESCRIBED
IN THIS BILL YOU MAY DO SO ALL
YOU HAVE TO DO IS NOTATE THE
FILE. I'M NOT I WOULD NEVER WANT
TO TEACH I WOULD NEVER WANT TO
PUT A CHILD IN PAIN LEAVE A
CHILD IN PAIN OR LET YOU SO WHAT
YOU LEGAL WHEN INNOVATION WHAT I
PUT IN THE MATTER. WRITERS
ENSURE THAT THEM FOR THAT THE.
BORDER IS IN THAT ARTICLE OR TO
CALIFORNIA DOES NOT THREATEN MY
LICENSE.
THE REASON ALL WE ASK WE DON'T
WE DON'T EVEN PRESCRIBE WHAT
THAT REASON S. B. THE REASON
WHATEVER THAT REASON IS WE JUST
WANT YOU TO BE CONSCIENTIOUS OF
IT WHEN YOU ARE PRESCRIBING OKAY
ALL RIGHT AYE AYE AYE SO I
ACTUALLY HOLD MEDICAL LICENSE I
WIND EXACTLY WHAT. DO I HAVE TO
WRITE AND RECORD THAT MAKES ME
AND WILL USUALLY HAVE TO GET AYE
HURDLE AND ANSWER. I AM HAPPY TO
PUT THAT DOCTOR I AM HAPPY IF
YOU NEED AN EXACT SENTENCE I AM
COMPLETELY HAPPY TO INCLUDE AN
EXACT SENTENCE.
IN THE BILL I JUST WAS TRYING TO
BE LESS PRESCRIPTIVE ABOUT IT
THEN WORKERS BECAUSE IT IS WHAT
IT IS THERE IS THIS IF THAT
WOULD IF PASSED WOULD SATISFY
YOU. I AM HAPPY TO INCLUDE WHAT
KNOW CHILE'S OVERCOME IF WE'RE
LOOKING AT THE. PAGE.
THREE OF THE BILL LINE THIRTY
NINE FROM THE PRESCRIBERS
PROFESSIONAL JUDGMENT COMPLYING
WITH SUBDIVISIONS RANG WITH
PARAGRAPH THREE.
OUT OF RESPECT WITH RESPECT TO
THE MINORS TREATMENT WOULD BE
DETRIMENTAL TO THE MINERS HEALTH
OR SAFETY.
THE PRESCRIBER SHALL DOCUMENT IN
THE MINORS MEDICAL RECORD THE
FACTORS.
FACT OR FACTORS WHICH THE
PRESCRIBERBELIEVED CONSTITUTED
CAUSE FOR NOT FULFILLING THE
REQUIREMENTS OF SUBDIVISION SEE
OR PARAGRAPH THREE OF SEVEN
ITSELF SO ABLY SO WE LEVERAGE
YOUR DISCRETION.
THAT THE PART YOU OF MANY CATS
AND SO I THINK SO MEDICAL W.
REVERSER AND THEY ARE HERE TO
MOVE BURKE WITH YOU THAT. THE
SENATOR. AND I KNOW SHE WAS
ASTHMA MANAGEMENT. I'M ASKING
FOR THE MEDICAL BOARD LOOK SO.
GIVEN GIVEN THE PROVISIONS OF
WHAT. SO BY JUST SIMPLY RIGHT IN
THE RECORD BY THE WAY WIPED
RIGHT PRESCRIPTION.
THAT'S PART THE RECORD.
SO THE VERY FACT I WROTE A
PRESCRIPTION FOR MORE IN FIVE
DAYS THAT THIS.
SO BASICALLY IT WHEN THE MEDICAL
BOARD M. INVESTIGATES COMPLAINTS
WE USE THE MEDICAL RECORDS AS A
BASIS FOR THAT INVESTIGATIONS WE
HAVE ANOTHER EXPERT. SO WE WILL
LOOK AT THE MEDICAL RECORDS AND
BASICALLY WAS THAT LLAMA A
REWRITING DEL THE FACTORS OF YOU
KNOW I BELIEVE THAT THIS PERSON
SHOULD OF GOTTEN FIVE MORE DAYS
BECAUSE EXPLAINS AND THAT'S WHY
I PRESCRIBE THE MORE THE FIVE
DAYS AND SO OUR POSITION EXPERT
WOULD LOOK. AT THAT AND MAKE
SURE THAT MATHIS TERAKHIR I MEAN
OUR BOARD HAD SIMILAR CONCERNS
ABOUT YOU KNOW WE ADDED A COUPLE
OF THOSE AM ILLNESSES THAT WERE
IN THERE ARE ONE OF OUR BOARD
MEMBER PEDIATRICIANS WENT A
COUPLE THOSE ADDED BUT. THEY DID
WANT TO MAKE SURE THERE WAS A
CLAUSE THAT WOULD ALLOW FOR THE
PHYSICIAN'S JUDGMENT AND OUR
BOARD FELT THAT THIS ACTUALLY
ALLOWED FOR AT NIGHT I JUST WANT
NOW CLEAR FOR THE RECORD FROM
MEDICAL BOARD MET IF I SIMPLY
DOCUMENT. PERSON HAS CHRONIC
PAIN.
IS THAT SUFFICIENT
WE DEPEND ON EACH CASE SO I'M
NOT A PHYSICIAN OBVIOUSLY IT'S
OUR POSITION WOULD EXPERT LOOK
AT ALL THE FACTS SURROUNDING
THAT CASE LOOK AT THE MEDICAL
RECORDS. AND IF NOT MET THE
STANDARD OF CARE I'M NOT A
POSITION SO I CAN'T SAY OF THAT
ONE.
WHITNEY IN EVERY CASE.
SO I I I AM CONCERNED ABOUT LACK
OF CLARITY AND NOT SAYING THAT
THE HAS CONSISTENTLY SENATE'S IN
CODE BECAUSE I THINK THAT'S ALSO
LEE OVERLY RESTRICTIVE.
CLARITY TO POSITIONS WHO ARE
TAKING CARE OF PATIENTS ON
CHRONIC PAIN.
THAT THERE THAT THAT THAT THERE.
THAT THAT THAT THEY CAN DO THIS
BECAUSE BASICALLY WHAT THIS.
LA THIS BILL DOES IS IT SEND THE
SIGNALS VISIONS OF YOU PRESCRIBE
MORE IN FIVE DAYS YOUR LICENSE
AT RISK.
OKAY IN THAT MANY COMES DOWN TO.
SAYING THAT WELL GEE DO I WANT
TO TAKE ON A PATIENT.
DO NEEDS TO HAVE THIS KIND OF
TREATMENT BECAUSE DO I WANT TO
PUT MY. BECAUSE IS YOU KNOW.
EVEN JUST THAT MERE ACCUSATION
OFTEN HAS A DETRIMENTAL IMPACT
ON PATIENTS ON A PHYSICIAN'S
PRACTICE.
SO THERE'S I THINK THAT THAT
THAT THAT IS A CONCERN BECAUSE
WHAT HAPPENS IS THAT THOSE
PATIENTS GONNA FIND IT HARDER.
TO GET.
OUR BECAUSE WHAT HAPPENS IF IT'S
NOT CLEAR. WHAT KIND OF
DOCUMENTATION YOU NEED TO DO?
AND IT'S LIKE GO ALSO WAS DON'T
LOOK AT IT AGAIN THEN THEY'RE
GOING TO DECIDE.
WELL AND I WENT EXACTLY WHAT
ITEMS DO I NEED TO PUT INTO THE
RECORD.
TWO.
TO TO TO TO TO TO JUSTIFY THAT
BECAUSE YOU KNOW BEGAN MEDICAL
PRACTICE TENDS ON EXACTLY WHAT
THE SPECTRUM OF THE PATIENT
THAT'S THAT'S BEING SEEN.
AND I THINK THAT.
.
I AM CONCERNED OF THAT.
PUTTING THIS KIND OF EIGHT
SPECIFIC DAY RESTRICTION AND
INTO CODE.
AND THEN SAYING THAT WELL IF YOU
WANT LONGER.
WE'LL LEAVE IT UP TO THE MEDICAL
BOARD TO DECIDE WHETHER IT'S
OKAY OR NOT AT THE RISK OF YOUR
LICENSE.
IT'S PROBLEMATIC AND I THOUGHT
AND SO I EIGHT THAT'S WHY I
ASKED YOU TO COULD GET GUIDANCE
FROM THE MEDICAL BOARD A
RELATION OPPOSITION TO YOUR
REPRESENT THE MEDICAL BOARD.
.
YEAH AWARENESS HEARING.
I'M ACTUALLY LICENSE POSITION I
RIGHT NOW DO NOT FEEL WHEN I
READ THE BILL ANALYSIS THAT I
HAD CLARITY ON WHAT I NEED TO DO
TO BE SURE THAT THE MEDICAL
BOARD. ISN'T WHEN I HAVE
PATIENTS OF CHRONIC PAIN IT'S
EASY FOR ME TO SIMPLY SAY YOU
KNOW WHAT. THOUGH I SEE THEM.
MAKE A REFERRAL SPECIALIST
HOPING THEY'LL SEE THEM I DON'T
HAVE TO DEAL WITH THIS BECAUSE
AND AND I I WILL I WILL POINT
OUT THAT.
IT WASN'T THAT LONG AGO IT
WASN'T THAT LONG AGO THIS THIS
VERY LEGISLATURE ACTUALLY.
PASSED A BILL REQUIRING US AND
WE STILL HAVE THAT REQUIREMENT
IN LAW THAT WE HAD TO TAKE.
I'M PRACTICALLY A DAY'S WORTH
OF CME ON PAIN MANAGEMENT.
AND.
I REMEMBER ONE I HAD TO TO THAT
AS A LICENSE POSITION I WAS TOLD
I WAS BEING TO.
SCARED DIRECT. OPIOID RISK
THAT WAS WHAT THE COURSE.
ACTUALLY TOLD ME THAT WE WEREN'T
DOING ENOUGH TO TREAT CHRONIC
PAIN.
THAT WE WERE NOT DOING ENOUGH
AND WE SHOULD BE PRESCRIBING
MORE. NOT LESS.
SO YOU KNOW I'M NOT SURE THAT
WAS ALSO A GOOD THING GIVEN
WHAT'S HAPPENED SUBSEQUENTLY.
ALRIGHT.
BUT I I WANT TO BE VERY CAREFUL
THAT WE'RE NOT GOING TO HAVE.
PATIENTS WHO HAVE CHRONIC PAIN.
AND WE ARE WE ARE WORKING WITHIN
THE PROFESSION TO EDUCATE PEOPLE
ABOUT AND THAT'S WHY WE SEE THIS
DROP IN OPIOID PRESCRIBING AND
THERE'S BEEN A DROP IN OAKLEY
PRESCRIBING. PEOPLE REALIZE THAT
YOU KNOW THIS IS NOT THAT THAT
THE CONSEQUENCE OF THIS IS THAT
ACTUALLY MAYBE ZERO PAIN IS NOT
REALLY THE GOAL WE SHOULD BE
GETTING TO
I MEAN I THINK THAT THAT WAS
WHAT WAS THE MEAT THAT WAS THE
GOOD PART OF WHAT WE TRY DRIVE.
TO WASN'T THAT WE WANT JUST
RIGHT THIS MOMENT OF POINT OF TO
EIGHT. WEEK PEOPLE THOUGHT THAT
MAYBE ZERO PAIN WAS THE GOAL WE
NEED TO GET TO I THINK THERE'S
SOME RECONSIDERATION THAT SHOULD
WE GET TWO ZERO PAIN ANYMORE
RIGHT THAT. THAT THE COST OF
GETTING TO QUOTE ZERO PAIN WAS
ADDICTION
AND YOU KNOW AND SO.
YOU SHOULDN'T DO THAT
BUT SAME TIME I THINK THAT WE
DON'T WANT TO ALSO RESTRICT
PEOPLE FROM.
ASIDE ZERO PAIN TO TRY TO HELP.
MODULATE THAT AND PARTICULARLY
PATIENTS WITH CHRONIC.
PAIN.
THAT'S THE CHALLENGE RATES THIS
IS NOT THE CUTE I TWISTED MY
ANKLE AND PLEASE GIVE ME SOME
PERCOCET OR WHATEVER OXYCONTIN
RIGHT IT'S THIS IS.
WE HAVE CHILDREN WHO OF CHRONIC
PAIN AND I DON'T AND I'M
CONCERNED THAT.
YOU'RE.
PRIMARY CARE PHYSICIAN AND AS
THEY'RE DOING THE VALUATION OF
USED. IT THAT THEY'RE GOING TO
BE VOTE OUT THAT CLARITY.
THEY'RE NOT VERY GOOD THAT
THEY'RE NOT GONNA BE WILLING TO
PRESCRIBE THE.
THAT THE MEDICATION ALRIGHT
HERE'S YOUR FIVE DAYS ALL CALL
ME BACK IN FIVE DAYS.
COME TO THE OFFICE
FISHING CAN'T MAKE IT A WELL. MY
MY.
CHILD ETCETERA NOW.
AND.
YOU THINK YOU DON'T DEPEND ON
HOME OTHER
COMMENTS OR QUESTIONS
RE-ATTEMPT.
TO PUT YOU IN A SITUATION IN
WHICH YOU FEEL THAT YOU CANNOT
ACCEPT PATIENTS WITH CHRONIC
PAIN AND THAT PATIENTS WITH
CHRONIC PAIN DO NOT GET THE
MEDICATION THEY NEED.
ON AN HOWEVER TWENTY FOUR OTHER
STATES HAVE DONE THIS AND WE
HAVE SEEN A DROP. UNFORTUNATELY
WHEN WE PUT PROTOCOLS AND PLEASE
IT'S TAKING IT TAKES A LONG TIME
FOR THOSE PARTICLES TO MAKE IT
ALL THE WAY THROUGH. AND
PRACTICE I AM BUT I AM NO WE
WANNA PUT YOU OR YOUR LICENSE IN
JEOPARDY ESPECIALLY THOSE WHO
ARE TAKING GOOD CARE OF THEIR
PATIENTS. SO I WANT TO MAKE IT
VERY CLEAR FOR THE RECORD THAT I
AM HAPPY TO INCLUDE SOMETHING IN
THE BILL THAT MAKES IT MUCH MORE
CLEAR AS TO WHAT THAT FILE NEEDS
TO BE NOTATED WITH. ON AND YOU
HAVE MY COMMITMENT TO DO THAT.
SO I I I DO THINK THAT.
.
IT IS IMPORTANT TO SAY THAT AS
LONG AS YOU DOCUMENTS ONE HAS
CHRONIC PAIN.
I MEAN YOU HAVE A SET BUT I MEAN
I THINK IT IS IMPORTANT TO. SAY
THAT IF THOSE LAWS WE DOCUMENT
THAT A PATIENT HAS HAS CHRONIC
PAIN THEN THAT LIMIT DOES NOT
APPLY.
RIGHT I MEAN THAT'S WHAT YOU'RE
DOES DOES BUT IF YOU WOULD LIKE
IN LEAN IN NOTING THAT AND I'M
HAPPY TO DO. WELL.
WE THOUGHT I MEAN IT WILL.
INTO THAT.
SENATOR GLAZER AND THEN SENATOR
DODD.
YEAH THANK YOU MISTER CHAIR SO
I'M READING ON PAGE TWO.
.
LINE NINETEEN AND DECLARE LINE
TWENTY FOUR.
AND MAYBE THE AUTHOR CAN CLARIFY
WHETHER THAT'S RESPONSIVE TO THE
SENATOR'S CONCERN IT SAYS.
SHALL NOT PRESCRIBE MORE THAN A
FIVE DAY SUPPLY AND LESS THE
PRESCRIPTION IS FOR ANY OF THE
FOLLOWING AND THEN LINE TWENTY.
FOUR SAYS.
MANAGEMENT OF CHRONIC PAIN.
NOT ASSOCIATED WITH CANCER.
THAT FIGURE INTENDING TO DO THAT
YEAH THAT WAS MY INTENTION
HOWEVER AS A PHYSICIAN DOCTOR
PAN IT SENATOR AND DOCTOR P. AND
FEELS LIKE THAT IS NOT EXPLICIT
ENOUGH I AM HAPPY TO INCLUDE
SOMEWHERE IN HERE THAT SAYS.
THAT NOTATION SHOULD REFLECT.
SOMETHING TO THE EFFECT OF THIS
PATIENT HAS CHRONIC PAIN.
THAT'S I MEAN BILL I'M HAPPY TO
DO THAT. OKAY I HAD A COUPLE OF
THE QUESTIONS.
THE THE MEDICAL BOARD I WAS
INTERESTED IN.
THEIR INTERPRETATION OF THE.
YEAH THE SO CALLED
UNPROFESSIONAL CONDUCT A
VIOLATION OF THIS SECTION.
CONSTITUTES UNPROFESSIONAL
CONDUCT AND GROUNDS FOR JUST.
SO I THINK IT DOES THIS GIVE
DISCRETION NURSES THIS WE WERE
HAVING A CONVERSATION EARLIER
TODAY ABOUT WHETHER THIS IS A
SHALLOWER A MAY.
AND.
MAYBE YOU COULD SPEAK TO THAT.
WHEELER GOT IT THAT WE WOULD
HANDLE ARE COMPLAIN VESTED ISSUE
LIKE WE WOULD HANDLE ANY OTHER
INVESTIGATION AND SO WE WOULD
LOOK AT THE FACTS OF THAT CASE.
INTO PAIN ON THE FACTS THAT CASE
UNPROFESSIONAL CONDUCT IS A
PRETTY BROAD AND AREA FOR THE
MEDICAL BOARD TAKE DISCIPLINE SO
JUST DEPEND ON THE FACTS OF THE
CASE AND THEN. WE WILL DECIDE
WHAT DISCIPLINE WOULD BE
APPROPRIATE IF IT'S SO.
THIS THIS LEGISLATION'S MAKING
CLEAR THAT IF YOU DIDN'T PUT
SOMETHING IN THE RECORD RIGHT
EXPLAINING WHY YOU ARE.
SCRIBE MORE THAN A FIVE DAY
SUPPLY.
THAT THAT WOULD BE A VIOLATION
RIGHT AND THIS SECTION HERE SAYS
OF VIOLATION CONSTITUTES.
AND PROFESSIONAL GREAT. OKAY SO
DO YOU THINK THAT GIVES YOU
DISCRETION TO SAY YES THAT MAY
HAVE BEEN A MISTAKE BY THAT
POSITION BUT WE DON'T THINK IT
CONSTITUTES UNPROFESSIONAL
CONDUCT EARLY IT WOULD YOU SEE
IT AS BEING PERMISSIVE THE WE
DON'T HAVE TO TAKE ACTION IF WE
DON'T. WE DON'T BELIEVE THE
FACTS IN THE CASE WARRANTED AND
SO IT ALSO DISCRETIONARY IS WHAT
DISCIPLINE WE CAN TAKE SO.
UNPROFESSIONAL CONDUCT DOESN'T
EQUAL THREE YEARS PROBATION OR A
CERTAIN DISCIPLINE OUT COUNTY
BUT IT DOES INDICATE A PRETTY
SERIOUS.
I DEFINITIONS CHARGE THAT THEY
ACTED
PROFESSIONAL.
I THINK CORRECTIVE THERE AND
THEY'RE SUCH SIGNED YOUR THAT
YOU'RE TALKING ABOUT WHETHER
THERE THERE'S A PENALTY WHAT THE
EXTENT OF THE PENALTY WOULD BE
RIGHT. BUT THIS SEEMS TO
I FIND THAT FAILURE AS
PROFESSIONAL CONDUCT ON THAT
POSITIONS RECORD NOW FOREVER.
I MEAN WE JUST HAVE TO
INVESTIGATE LIKE ANY OTHER CASE
IN IF WE DON'T FEEL WE HAVE
ENOUGH WE WOULDN'T WE DON'T. WE
DON'T SEE IT AS BINDING OUR
HANDS OF HAVING TO TAKE A
CERTAIN DISCIPLINARY ACTION.
THAT'S HOW WE WE'VE LOOKED AT IT
AND THERE'S BEEN OTHER BILLS
THAT HAVE STAYED THE SAME WE
DON'T ACTUALLY NEED A BILL TO
SAY THAT WE CAN WE CAN GO AHEAD
AND AND INVESTIGATE ANY COMPLAIN
TAKE. THEM ACTION FOR WHATEVER
IT MAY BE UNPROFESSIONAL CONDUCT
CHRIS NEGLIGENCE WHATEVER THAT
BECAUSE MAYBE SO WE DON'T SEE IT
IS TYING OUR HANDS I MEAN WE
DON'T ACTUALLY NEED IT AND THERE
TO TAKE AND TO TAKE DISCIPLINARY
ACTION MAKES ALL EASIER BECAUSE
WE CAN SAY. THIS EQUALS DOT AND
IT'S AN AUTOMATIC KIND OF THING
IF WE BELIEVE THAT IT'S
NECESSARY BUT WE DON'T SEE IS A
TYING OUR HANDS WE HAVE TO TAKE
DISCIPLINARY ACTION.
SENATOR GLAZERS FIGHT COULD JUST
ON THAT.
QUICKLY BECAUSE WE WORKED WITH
THE OTHER BILL THAT HAD AND
PROFESSIONAL CONDUCT AND IT. AYE
SPECIFIC TO THIS BILL AND THIS
LANGUAGE OF VIOLATION OF ANY OF
THE PROVISIONS IS UNPROFESSIONAL
CONDUCT SO IN FAILURE TO HAVE
THE CONSULTATION THOUGH IT IS
JUST VERBAL. FAILURE TO HAVE
EVERY ASPCT OF THAT KIND
CONVERSATION AS PUT INTO
STATUTE.
IS UNPROFESSIONAL CONDUCT I
MEAN.
YES THEY MAY HAVE DISCRETION AS
TO WHETHER THEY WANT TO IMPOSE.
SOME SORT OF PENALTY OR THEY
JUST WANT TO LOOK AT IT IN LIGHT
OF OTHER THINGS HOWEVER.
THEY HAVE. THE MEDICAL ORDERS
EXPLAINED THAT THEY LOOK AT
STATUTE FIRST AND THEN THEY GO
TO THE STANDARD OF CARE WHEN
THEY'RE GOING OVER. A CASE AND
SO STATUTORILY STATUTE WISE THAT
WOULD BE UNPROFESSIONAL CONDUCT
THERE'S NO WAY TO GET AROUND IT
AND THEY WOULD. THEY WOULD
EXPRESS THAT THAT THEY'VE
VIOLATED STATUTES AND SO THEY
DON'T HAVE THE DISCRETION IN A
VIOLATION A CLEAR VIOLATION OF
STATUTE THEY HAVE THE DISCRETION
IN THE ENFORCEMENT.
BUT AS TO YOU KNOW WHAT PENALTY
OR NOT PENALTY BUT THEY DON'T I
MEAN IT IS UNPROFESSIONAL
CONDUCT THIS DOCTOR DOESN'T
GIVE.
THE DISCRETION AS TO WHETHER IT
IS UNPROFESSIONAL CONDUCT OR
NOT.
I I UNDERSTAND THAT
AND MAYBE I COULD ASK A COUPLE
FOLLOW UP QUESTIONS.
DO YOU.
ON.
I UNDERSTAND THAT YOU'RE
CONCERNED ABOUT.
AT THE GOVERNMENT GETTING IN THE
WAY OF A OF A PHYSICIAN
DOING WHAT THEY THINK IS BEST
FOR THAT PATIENT.
AND THAT'S A PRIMARY OBJECTION
THAT YOU HAVE BUT. YOU SEE
ANYTHING ELSE HERE IS AS OVERLY
BURDENSOME TO A PHYSICIAN THAT
THAT IT'S OTHER ELEMENTS OF THE
BILL.
AT I DO I THINK THAT THE FIVE
DAY PRESCRIPTION LIMIT IS THE
MOST BURDENSOME AND HEAR. I DO
UNDERSTAND THAT THERE ARE CARP
ARE THERE ARE EXCEPTIONS FOR
CHRONIC PAIN OR FOR IF IN THE.
IN THEIR PROFESSIONAL JUDGMENT
THEY THINK THAT FOR MORE THAN
FIVE DAYS IS NECESSARY WE WOULD
ARGUE THAT IF THEY'RE
PRESCRIBING MORE THAN FIVE DAYS
THAN IN THEIR PROFESSIONAL
JUDGMENT THAT'S A GIVEN THAT
THEY THINK IT'S NECESSARY.
HOWEVER.
TO ME IT'S AT THAT POINT WHEN
YOU KNOW DUCKED PAN OR ANYBODY
WOULD HAVE TO DOCUMENT HERO MY
REASONINGS. IT'S ESTABLISHING
THAT THREE DAYS IS THE STANDARD.
OR FIVE DAYS IS THE STANDARD
FIVE DAYS IS THE MOST OF THIS
PATIENT SHOULD NEEDS AND I YOU
HAVE TO DEFEND HERSELF AS TO.
WHY THEY MIGHT NEED MORE BECAUSE
YOU'RE AUTOMATICALLY GOING TO
GET LOOKED OUT FOR VIOLATING THE
STANDARD OF CARE?
UNTIL YOU CAN PROVE THAT YOU
WERE RIGHT AND AS A PHYSICIAN.
DEFENDING YOURSELFON YOUR
PRESCRIBING TRACE OF THE PATIENT
THAT YOU'RE THE ONLY ONE THAT
HAS SEEN AT THAT POINT AND EVEN
WHEN THE MEDICAL BOARD. GOES
OVER YOUR FILE TEY'RE STILL NOT
SEEN YOUR PAGE AND THEY'RE
LOOKING AT THE FILE BUT. YOU HAD
THE INTERACTION WITH A PATIENT.
SO MAKING THEM DEFEND THEMSELVES
AND AND SUFFER LIABILITY AT THAT
POINT I OR BE PLACED IT AT
LIABILITY.
IS A PROBLEM TO US AND ALSO THE
LANGUAGE AND JUST AS THE MEDICAL
BOARD SAID THEY WOULD LOOK AT IF
YOU DOCUMENTED THIS IS FOR
CHRONIC PAIN. MEDICAL OR LOOK AT
THE ENTIRE FILE AND THE WHOLE
PATIENT RECORD AND DETERMINE
WHETHER THEY FELT IT WAS
APPROPRIATE.
SO THAT'S NOT SAFE HARBOR
LANGUAGE
pIN SAFE HARBOR LANGUAGE THAT'S
ONE THING WHERE IF YOU PUT. THIS
IS FOR CHRONIC PAIN THEN NO
MATTER WHAT THE REST OF YOUR
FILE SAYS.
THEN YOU'RE SAFE THAT'S ONE
THING BUT I DON'T THINK THAT
THAT'S WHAT'S ON THE TABLE HERE.
I THINK THAT YOU HAVE A
SUGGESTION THAT RESPECTS
IT I WOULD SAY THAT ANY IF
SOMETHING IS A CLEAR SAFE HARBOR
THEN THAT WOULD BE A DIFFERENT
DISCUSSION. MEANING WHAT YOU
DOCUMENT YOUR REASONING OR
EXPLAINING THAT THIS IS.
IN MY PROFESSIONAL JUDGMENT I
THOUGHT THAT MORE THAN FIVE DAYS
WAS NECESSARY.
THAT THAT WAS YOUR EXEMPTION OF
NOTHING ELSE%
WAS GOING TO BE CONSIDERED IF IT
WERE TAKEN AND. THEN I'LL BE
FINE I DON'T KNOW THAT THE
NETWORK WOULD BE OKAY WITH THAT
BUT.
I MEAN THAT WOULD BE TRUE SAFE
HARBOR LANGUAGE.
OKAY BUT THAT OTHER OTHER THAN
THAT THE OTHER REQUIREMENTS ARE
TO YOU ARE AN ONEROUS.
THE GUIDANCE THE ORAL
COMMUNICATION THAT.
WELL AT THE LOOK THE
CONSULTATION ITSELF IS IN. IS
IDENTICAL LANGUAGE BUT WITHOUT
THE PENALTY THAT'S ANOTHER BILL
THAT YOU ALREADY SUPPORTED
COMING OUT OF THIS COMMITTEE
JUST ASKING WHETHER YOU FIND I'M
JUST OUT HERE SO THAT WHEN WE'RE
TIMELY TRYING TO UNDERSTAND THE
KEY DIFFERENCES.
THAT'S WHAT I'M TRYING TO HELP.
SORRY THAT IF IF YOUR ISSUE IS.
THE THE ARBITRARY NATURE OF THE
FIVE DAYS YOU EXPLAINED THE CDC
LANGUAGE WHICH DOESN'T SAY FIVE
DAYS RIGHT IT PROVIDES SOME.
OBSERVATIONS ABOUT WHAT THEY
THINK IS APPROPRIATE.
.
AND AND THEN THE FACT THAT IT'S
THERE'S NO SAFE HARBOR LANGUAGE.
FOR PRESCRIPTION A FOR A
PHYSICIAN THAT PRESCRIBES MORE.
THERE'S NOTHING ELSE IN HERE
THAT'S IT IS TROUBLESOME TO.
BUT I THINK THAT THAT THE TWO
MAIN PROVISIONS OF THE BILL ARE
THAT THE CAP ON WHAT GOES ALONG
WITH THAT AND THEN THE
CONSULTATION. AND SO YES THE CAP
IS THE PROBLEMATIC PROVISION TO
US.
AND THE PENALTY THAT GOES ALONG
WITH THE CONSULTATION BECAUSE
YOU DON'T THINK IT IS.
.
BECAUSE IT'S IT'S
OUTSIDE.
VERY CLEAR THAT IT'S A VIOLATION
PERIOD.
RIGHT RESPECTIVE THE WEATHER OF
PENALTIES ASSESSED
HIGHER LOWER. THE WAY THE BILL'S
WRITTEN NOW
THE VIOLATION.
RIGHT IN THE MIDDLE. LIKE THE
MEDICAL BOARD SAID WITHOUT THAT
LANGUAGE THEY COULD STILL FIND
THAT YOU ARE IN VIOLATION OF THE
STANDARD OF CARE. FOR NOT HAVING
IMPORTANT ELEMENTS OF THAT
DISCUSSION FOR NOT INFORMING
YOUR PATIENTS THEY DON'T NEED
THAT BUT THIS TAKES AWAY THE
DISCRETION OF BARS AND WITH THE
SHUTTERS DISCUSSION WHERE TO ASK
YA THROUGHOUT.
OF COURSE THAT WOULD
OKAY ABSOLUTELY I CERTAINLY I I
TOTALLY AGREE WITH WHAT YOU'RE
TRYING TO ACCOMPLISH
BILL AND THANK YOU FOR YOUR
ENGAGEMENT.
I'M AS YOU HEARD THAT THE REVIEW
OF THE CDC.
GUIDANCE IS A ITTLE DIFFERENT
THAN THEY RECOMMEND A FIVE DAY
AND.
I'M.
COULD YOU SPEAK TO THAT THE FIVE
DAY AND WHY I'M GETTING IS THAT
ARBITRARY AND OBVIOUSLY WE WANT
TO REDUCE.
IT'S NECESSARY WE WANT TO REDUCE
WHAT'S IN THAT THE MEDICINE
CHEST AFTER THAT THE PAIN HAS
SUBSIDED AND ALL THAT. BUT WHAT
THE LIVE FIVE DAYS SO THE.
CDC SAYS THREE TO SEVEN DAYS.
AND IT'S FOR ADULTS.
OTHER AND OTHER DOCUMENTATION SO
THAT THAT WE SHOULD NOT BE
PRESCRIBING OR THREE DAYS FOR
CHILDREN.
MOST OF ITS SAYS FIVE AYE ME
MOST IS THREE DAYS SO WE GAVE
FIVE TO GIVE A LITTLE BIT OF WE
WAYNE FOR DOCTORS BUT TO THAT
SAME POINT.
WE ARE I LIKE A I TOLD DOCTOR
KING AND WE'RE HAPPY TO CREATE
SAFE HARBOR LANGUAGE TO MAKE
SURE THAT IT IS CLEAR THAT ONCE
THAT IF YOU NEED TO PRESCRIBE
OVER THOSE FIVE DAYS. THAT THAT
YOU ARE PROTECTED IN THE WAY
THAT YOU KNOW TAKE THE FILE I AM
HAPPY TO DO THAT AND THAT'S THE
FIRST TIME EVER THAT I WOULD
HAVE ALREADY DONE IT HONESTLY IF
THAT IF I HAD HEARD OF THAT.
ON.
.
ALRIGHT Y. FIVE DAYS OVER
PRESCRIBING IS ONE OF THE
LEADING CAUSES TO IS THE
EPIDEMIC THAT WE HAVE TODAY. I'M
HAVING THE EXTRA OPIOIDS IN THE
MEDICINE CABINET IS HOW IT GETS
TO THE STREETS IT DOESN'T KNOW
THAT IS ONE OF THE DIRECT PASSED
TO THE STREETS.
SO.
AS THE MOTHER AND A LEGISLATOR
IF YOU IF THE RECOMMENDATIONS IN
SOMEWHERE BETWEEN THREE AND
SEVEN DAY IS AND I AM GIVING YOU
FIVE DAYS PLUS THE POSSIBILITY.
TO PRESCRIBE MORE A THING THAT I
HAVE BEEN AMPLY LENIENT WITH
WITH.
PHYSICIANS I'M WILLING TO
PROVIDE THEM WITH THE SAFE
HARBOR BUT AT THE SAME TIME
REACHING OUR GOAL WHICH IS THE
GOAL OF TWENTY FOUR OTHER STATES
THAT HAVE DONE THE SAME THING
WHICH IS LINKED LIMIT OPIOID.
PRESCRIPTIONS AND I'M JUST
KEEPING IT TO MINORS THEY'RE THE
MOST SUSCEPTIBLE WE FIND THAT
THE NUMBER ONE LEADING CAUSE OF
ADDICTION IS THROUGH PRESCRIBED
OPIOID DRUGS THEIR PRESCRIBED
THESE ARE DRUGS OR ART THAT WERE
PRESCRIBED BY A DOCTOR THE
TRUSTED. IN IN THE ASSEMBLY WE
HIDE AND WE HAD A A WITNESS TO
SPEAK TO IT THE FACT THAT SHE
TRUSTED HER DOCTOR TO PRESCRIBE.
MEDICATIONS ARE THAT SHE GOT
THESE OPIOIDS THAT SHE BECAME
ADDICTED AND SHE WILL LIVE WITH
THAT THE REST OF HER LIFE LIKELY
SHE'S RECOVERED.
BUT THAT IS A CHALLENGE YOU'LL
FACE FOREVER ANOTHER THE
CHALLENGE THAT WE HAVE.
MORE PRESCRIPTIONS IN SOME AREAS
THAT WE HAVE PEOPLE.
WE WE TRY.
WE TRUST OUR DOCTORS WE HOPE
THAT THEY DO THE BEST WE KNOW
THEY DO THE BEST THEY CAN. BUT
AS DOCTOR PAN HAS STATED WE HAVE
EDUCATED DOCTORS TO A ZERO
TOLERANCE ZERO TOLERANCE FOR
PAIN.
EDUCATION LEVEL NOW. AND NOW
WE'RE HAVING TO BACKTRACK WHAT
WE HAVE DONE.
AND THE REALITY IS OF THAT IS
THAT IT'S GOING TO TAKE SWIFT
AND DECISIVE ACTION AND WE ARE
ALL GOING TO BE RESPONSIBLE FOR
THAT. WHETHER THAT IT WHETHER
YOU'RE A DOCTOR OR WHETHER
YOU'RE LEGISLATOR OR WITH YOUR
MOM.
SO TO ME I THINK WE I AM I AM
WILLING TO WORK WITH WITH WITH
DOCTOR PAN ON WHAT THAT LANGUAGE
SHOULD LOOK LIKE SO THAT WE DO
PROTECT DOCTORS WHO ARE TRAPPED
TREATING THOSE WITH CHRONIC
PAIN.
I AM I AM WILLING TO CONTINUE TO
LOOK. AT UPRIVER THE
UNPROFESSIONAL CONDUCT LANGUAGE.
HOWEVER LAKE EYES AND THIS IS WE
ALL HAVE RESPONSIBILITY IN THIS
EPIDEMIC AND THIS IS OURS AND I
BELIEVE THAT.
IF ON THE
COMMENTED THE.
CNN MENTIONED IT I MEAN I I
WOULD JUST SAY THAT I AM.
RE GOING UNPROFESSIONAL CONDUCT
IT DOES MAKE IT EASIER ROAD I
GUESS WHAT I WAS SAYING IS WE
DON'T HAVE TO AUTOMATICALLY TAKE
DISCIPLINARY ACTION BASED ON
THAT AND SO WE STILL HAVE THE
ABILITY TO LOOK AND SAY. YOU
KNOW IS DISCIPLINARY ACTION
WARRANTED WORKING WITH THE
ATTORNEY GENERAL'S OFFICE TO
HAVE ENOUGH TO GO FOR WITH
DISCIPLINE IS IT YOU KNOW. SO WE
DO WE DON'T FEEL LIKE IT'S IT'S
REQUIRING US TO TAKE SOME KIND
OF ACTION AND THAT WE STILL HAVE
THE ABILITY TO WORK WITH THE
ATTORNEY GENERAL'S OFFICE AND
INVESTIGATE. THEM AND WE WOULD
BE OPEN TO WORKING WITH THE
AUTHORS OFFICE OTHERS ON
LANGUAGE REGARDING
UNPROFESSIONAL CONDUCT WE WE ARE
LOOKING AT LIKE CHRONIC PAIN WAS
INCLUDED AND SO WE WOULDN'T HAVE
AN ISSUE. THEM WITH ANY
AMENDMENTS REGARDING THAT SO
LET'S ALL I HAVE TO OUT THINK
YOU WITH THANK YOU SENATOR.
I I APPRECIATE.
COPPER.
THE CONVERSATION WE'VE WE'VE HAD
HERE IDEA I.
I THINK THE AUTHORS MAY IT CLEAR
THAT SHE WOULD.
.
YOU KNOW WORK I ON THE ON THIS
ISSUE I AM PREPARED TO MAKE A
MOTION TO APPROVE.
GOOD. WE DO THAT CENTER
GALGIANI DID YOU.
I APPRECIATE ALL OF YOUR WORK
AND I APPRECIATE YOU CALLING
LAST WEEK AND I APOLOGIZE THAT I
DIDN'T REACH OUT TO YOU IN AND
RESPOND AFTER MORE THOUGHT ON
THIS BILL.
I'M I GUESS PHILOSOPHICALLY I
HAVE A BROADER CONCERN THAT THAT
THE BILL CAN'T EVEN THERE'S I
DON'T THINK THERE'S A FIX FOR
ME.
I USED TO WORK IN A HOSPITAL FOR
EIGHT YEARS AND I'VE SEEN SOME
HORRIBLE HORRIBLE THINGS
AND TWO ADULTS TO YOUNG PEOPLE.
AND I'VE ALSO WATCHED WHAT WE'VE
DONE AND NOT DONE WITH REGARD TO
DRUG ADDICTION I'M IN MY TWELFTH
YEAR IN THE US IN THE
LEGISLATURE. AND THE STATE USED
TO DO MUCH MORE DEFINED DRUG
REHAB. AND YOU KNOW NOW IF
YOU-HAVE A KID THAT WANTS TO GET
INTO DRUG REHAB THERE'S THERE'S
NO PLACE FOR THAT KID. UNLESS
YOU'VE GOT THE BEST INSURANCE IN
THE WORLD AND THEN VAN EVEN THEN
YOU CAN'T GET WE HAVE AND
SUBSTANCE ABUSE. AND COUNSELING
FOR YOUR FOR YOUR YOUNG PERSON
OR AN ADULT. WE'RE NOT DOING
NEARLY ENOUGH
FOR DRUG REHAB FOR PEOPLE WHO
NEED IT AND MY CONCERN IS THAT
WE KEEP FOCUSING ON OPIOID
ADDICTION AND BLAMING THE
DOCTORS. WHEN IN REALITY I THINK
THAT WE THE STATE ARE TO BLAME
THAT WE'RE NOT DOING ENOUGH TO
REALLY GET TO THE ROOT OF THE
PROBLEM. AND MY DISTRICT YOU
KNOW IF IF YOU CAN'T GET WHAT
YOU WANT OUT WHICH WOULD BE THE
OPIOID.
WE'VE GOT PEOPLE THAT ARE AND
THEY'RE OUT THERE MAKING
METHAMPHETAMINE OUT THERE
THEY'RE GONNA USE SOMETHING
HOUSES ALWAYS FOR PEOPLE WHO
HAVE BEEN AND.
AND AND IT AN INVERSION WHO ARE
INCLINED TO ABUSE A SUBSTANCE
THEY'RE GOING TO DO THAT AND WE
NEED TO GET AT THE ROOT OF THE
PROBLEM. INSTEAD OF IN MY VIEW
TRYING TO FIND WAYS TO BLAME THE
DOCTORS AND AND BLAME THE
PRESCRIBERS AND I HAVE I HAVE.
ELDERLY PEOPLE VERY CLOSE TO ME
ON THAT I'VE KNOWN FOR A LONG
TIME ABOUT ONE WOMAN WHO SPENT A
MENTOR FOR YEARS SHE CANNOT GET
HER DOCTOR TO GIVE HER ANYTHING
FOR PAIN. BECAUSE SHE HASN'T HAD
ANY KIND OF SURGERY HE SEVENTY
NINE YEARS OLD SHE'S BEEN AND
CHRONIC PAIN FOR THE LAST
FIFTEEN YEARS. AND SO WHERE WERE
IN MY VIEW WE'RE SEEING IS THIS
REVERSE WHERE.
AND NOW DOCTORS AFRAID TO
PRESCRIBE BECAUSE OF ALL OF THIS
LIABILITY THAT'S OUT THERE AND
WHEN YOU'RE IN PAIN. AND YOU
NEED SOMETHING IT'S A WHOLE A
WHOLE DIFFERENT STORY AND I'M
I'M WORRIED THAT WE'RE JUST
GOING KIND OF IN THE WRONG
DIRECTION.
AND SO AGAIN THERE'S NOTHING
THAT'S WRONG WITH YOUR BILL THAT
CAN ADDRESS.
YOU KNOW OF YOU POINT LIKE THAT
THAT.
I I CAN'T I CAN'T SUPPORT YOUR
BILL TODAY I'M SORRY.
THE FIFTH THANK YOU SENATOR
GALGIANI.
I HAVE NOT RECOGNIZED THE
MOTION AS OF YET SO WHAT WE CAN
DO IS ONE OF TWO NUMBER OF
THINGS WHEN WE CAN.
CAN RECOGNIZE THE MOTION AND
HAVE A VOTE
IT DOES NOT PAST WEEK EVERY
CONSIDERATION YOU CAN MAKE THE
AMENDMENTS THAT'S FOR SURE THAT
YOU'RE COMFORTABLE WITH.
IF IT.
DOESN'T IT WE COULD NOT DO THE
VOTE AND YOU COULD CONSIDER
DOING THAT FOR NEXT WEEK AND I'D
LIKE TO TAKE VOTE PRECURSOR.
THAT WE DO HAVE A MOTION FOR
SENATOR DIED A PEACEFUL WORLD.
MISSION IS TO PASS
I'M AS AMENDED TO SENATE RULES
HILL BY HILL.
I FULLER.
DOT AYE DODD AYE GALGIANI
GALGIANI NO LASER.
HERNANDEZ. HERNANDEZ AYE NEWMAN.
AND.
WILK.
THREE TWO ONE O. NO IT INTO.
MEMBERS AFTER ISRAEL HERE.
SHOULD WE OWE.
WILL HOLDING ALONE AND IF IT
DOES NOT A RECONSIDERATION
BECAUSE ELECTION WOULD BE
GRANTED UP WHEN WE CLOSE THE
ROLE THANK YOU VERY MUCH.
NOT COULD EVER.
SORRY.
THANK YOU.
BUT WHAT WE WILL DO IS.
.
IF IF WE COULD HAVE SOME
INDULGENCE FOR A MINUTE IS GO
BACK INTO HAVE A MOTION
ENTERTAINED ON THE CONSENT
CALENDAR WHICH IS ITEM NUMBER
ONE EVERY SIXTEEN FIFTY NINE. TO
SEVENTEEN NINETY ONE.
FIVE TWENTY TWO FIFTY SIX AND
SEVEN AB TWENTY THREE ELEVEN WE
HAVE A MOTION BY. SENATOR PENN
THANK YOU VERY MUCH PLEASE CALL
THE ROLL.
HILL AYE HILL AYE FULLER. FULLER
AYE DODD.
DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
HERNANDEZ AYE HERNANDEZ AYE
NEWMAN.
AND AYE PAN AYE WILK AYE AYE
LOOK NOT.
HE.
THOUGH THAT BUILDING THE OTHER
CONTENT ON IS A VOTE. IT IS OUT
FOR SEVEN MINUTES UNCERTAIN
SEVEN VOTE.
IT WILL HOLD THE ROLE OF A FOR
THE ABSENT MEMBERS SORRY SEVEN
VOTES AND THEY WILL HOLD THE
ROLE OPEN FOR ABSENT MEMBERS
WILL NOW MOVE TO. ITEM NUMBER
THREE ASSEMBLY MEMBER GIPSON A.
B. NINETEEN NINETY THREE
ENTERTAIN A MOTION.
OCTOBER SENATOR WILL PLEASE CALL
THE ROLL MOTION IS TO PASS THE
SENATE PUBLIC SAFETY COMMITTEE
HILL AYE. HILL AYE FULLER.
FULLER AYE DODD. DODD AYE
GALGIANI.
GLAZER.
HERNANDEZ HERNANDEZ AYE NEWMAN.
AND I'VE AND I WILK AYE AYE.
WILK AYE.
THE BILL HAS FIVE VOTES WILL THE
ROLE OF INTERACTION MEMBERS
MOVING TO ITEM NUMBER.
.
FOR ASSEMBLY MEMBER LACKEY BE
NINETEEN NINETY SIX PEACEFULLY
AFTER MEMBERS.
EVERITT EMOTIONAL VERY MOTION BY
SENATOR WILK.
MISSION IS TO PASS THE SENATE
APPROPRIATIONS COMMITTEE HILL
AYE.
HILL I'VE FULLER. FULLER AYE
DODD.
DODD AYE GALGIANI GALGIANI AYE
GLAZER. GLAZER AYE HERNANDEZ
HERNANDEZ AYE NEWMAN.
AND AYE AND I WILL TRY LOW FI.
IT'S ZERO THAT BILL IS OUT.
MOVING TO ITEM NUMBER EIGHT
EIGHT THREE TWENTY SEVEN ZERO
FIVE ASSEMBLY MEMBER HOLDEN
PLEASE CALL THE AT LEAST
ENTERTAIN A MOTION.
SENATOR GLACIER THANK YOU FOR
THE MOTION.
LAST QUESTION IS DO PASS THE
SENATE APPROPRIATIONS COMMITTEE
HILL AYE HILL AYE FULLER AYE
FULLER AYE DODD. DODD AYE
GALGIANI.
GALGIANI AYE GLAZER AYE GLAZER
AYE HERNANDEZ. AND AND IT'S AYE
NEWMAN.
AND I'VE AND AYE WILK AYE AYE
WILK AYE.
EIGHT ZERO THAT PHIL IS OUT BUT
I REMEMBER NINETY BETWEEN SEVEN
TWENTY ONE BY ASSEMBLY MEMBER
QUIRK I'LL ENTERTAIN A MOTION.
SENATOR DODGE MOTIN THANK YOU
VERY MUCH WHICH FOLLOW THE ROLE.
AND MUCH HAS DO PASSED THE
SENATE PREPARATIONS COMMITTEE
HELD AYE. HILL AYE FULLER.
DODD.
DODD AYE GALGIANI.
GALGIANI I'VE GLAZER. GLAZER AYE
HERNANDEZ AYE. HERNANDEZ AYE
NEWMAN.
PAN. AND I WILL. LOOK I.
SEVEN.
THE BILL HAS SEVEN VOTES.
IT IS.
OUT.
MOVING NOW TO A ASSEMBLY MEMBER
IRWIN. WELCOME GOOD AFTERNOON
THANK YOU FOR THE.
THANK YOU FOR THE INDULGENCES
AFTERNOON FOR YOUR PATIENCE WELL
I I.
THIS IS ITEM NUMBER SIX AB
TWENTY TWO EIGHTY ONE.
PLEASE PROCEED I THANK YOU VERY
MUCH.
MISTER CHAIR AND COMMITTEE
MEMBERS AB TWENTY ONE EIGHTY ONE
WILL ALLOW MEDICAL LABORATORY
TECHNICIANS OR AND MULTISPORT
FORM FOR ADDITIONAL TESTS.
OF MODERATE COMPLEXITY THIS BILL
WILL ENABLE AB AND MULTI USED
PRACTICE SKILLS THEY'RE TRAINED
FOR AND THAT THEIR. A
COUNTERPARTS IN OTHER STATES ARE
ALREADY PERFORMING CONSIDERING
THAT OUR STATE IS EXPERIENCED
EXPERIENCING A LAB PERSONNEL
SHORTAGE. AB TWENTY TWO EIGHTY
ONE WILL IMPROVE THE EFFICIENCY
OF OUR CURRENT LABORATORY
WORKFORCE BY MODERNIZING A PART
OF THE STATUTE THAT HASN'T BEEN
TOUCHED SINCE TWO THOUSAND TWO.
WITH ME HERE IN SUPPORT IS THE
CALIFORNIA SOCIETY OF
PATHOLOGISTS AND FORMER DIRECTOR
OF LAB. AT THE LABORATORIES AT
UCSF DR TIM.
GOOD AFTERNOON AND WELCOME.
FROM AN AUTHENTIC.
ARE SO THE CALIFORNIA
PATHOLOGISTS.
BECAME INTERESTED IN SPONSORING
THIS LEGISLATION.
AS LABORATORY DIRECTORS WE SEE
DOWN A DAY TO DAY BASIS BUT THE
PROBLEM WITH STAFF IN OUR
LABORATORIES ADEQUATELY WITH
QUALITY PERSONNEL.
TRAINING PROGRAMS HAVE DEPLETED.
WE'VE GOT AN AGING WORKFORCE.
IT'S PROBLEMATIC IN CALIFORNIA
FOR PEOPLE TO COME FROM OTHER
STATES
DO OUR WORK ON OUR LABORATORIES
JUNE TWO THOUSAND SEVEN DML
TEASE. CAME ONLINE AS A ADJUNCT.
WORKFORCE THAT WOULD HOPEFULLY
ALLOW US TO ALLEVIATE SOME OF
THE PROBLEMS THAT WE'RE HAVING
STAFF IN OUR LABORATORIES.
THE PROM WAS WHEN THE M. L. T.
REGULATIONS WERE WRITTEN. ARE
THEY LIMITED THE ML TEASE TO A
SCOPE OF PRACTICE THAT MAKES
THEM IMPRACTICAL FOR MANY
LABORATORIES TO EMPLOY.
SPECIFICALLY THE CAN DO NO WORK
AND BLOOD BANKING THEY CAN DO NO
MICROSCOPIC ANALYSIS.
SO WHEN WE STARTED ASKING AROUND
AND ASK LABORATORIES WHY ARE YOU
HIRING WELL I'VE ONLY GOT ONE
PERSON ON THE NIGHT SHIFT.
THEY NEED TO BE ABLE TO DO
EVERYTHING I CAN'T HIRE THEM OUT
T..
I'D LIKE TO HIRE AN M. L. T. IN
HEMATOLOGY BUT WE DO MICROSCOPIC
YOUR ANALYSIS AND THEY NEED TO
BE ABLE AT LEAST REVIEW BLOOD
SMEARS SUCCUMB OFFER AUTOMATED
MACHINES. AND THEY CAN'T DO THAT
SO WHY WE'RE TRAINING A MULTI IS
IN CALIFORNIA MANY OF THEM ARE
LEAVING THE STATE. TO GO TO
OTHER STATES WHERE THEY CAN
PRACTICE.
MODERATE AND HIGH COMPLEXITY
TESTING AND OTHER STATES
SO WE'RE TRYING TO JUST MOVE THE
THAT BAR A LITTLE BIT TO EXPAND
THEIR SCOPE.
TO ALLOW THEM TO DO SOME HIGH
VOLUME TASKS THAT HOPEFULLY WILL
ALLEVIATE SOME OTHER ISSUES THAT
WE HAVE WITH CLS.
BEING UNABLE TO FULFILL OUR OUR
CLS NEEDS.
THE THREE TESTS YOU MICROSCOPIC
YOUR ANALYSIS IS MODERATELY
COMPLEX.
ARE YOU
SMEAR REVIEW AND THERE'S MANY
DIFFERENT TERMS FOR THAT BUT
BASICALLY IT'S TAKING.
A SMEAR STAINED.
WHEN THE INSTRUMENT FLAGS AND
THE INSTRUMENTS ARE VERY GOOD.
BUT IN MAYBE TEN FIFTEEN PERCENT
OF THE CASES THEY WILL THROW OUT
FLAGS AND THOSE.
SAMPLES NEED TO BE PUT ONTO A
SLIDE AND LOOKED AT.
NOW A FORMAL EVALUATION BY A CLS
WOULD BE CONSIDERED HIGH
COMPLEXITY WHERE THEY DO A MORE
I A LEUKOCYTES DIFFERENTIAL
COUNT COUNT A HUNDRED CELLS.
THEY LOOK AT RED CELL MORPHOLOGY
THEY LOOK AT OTHER PARAMETERS.
FOREIGN MLT MODERATELY COMPLEX
IS JUST REVIEWING THE SMEAR TO
SEE.
OKAY THE MACHINE FLAG FOR WHITE
CYCLOPS
YES I SEE THOSE.
FROM THE FLAG WAS CORRECT THE
MACHINE FLAG FOR PLATELETS
ABNORMALITIES I SEE CLUBS
THAT WOULD MEET THAT CRITERIA.
THEY WOULDN'T BE DOING OUT ANY
MANUAL DIFFERENTIALS WE HAVE
ADDED LANGUAGE TO EXCLUDE THAT
THAT WOULD BE A HIGH COMPLEXITY
TEST.
BUT IT WOULD ALLOW THEM TO AT
LEAST REVIEW SMEARS AND IF THEY
SEE AN ABNORMALITY THAT THEY
CAN'T NAME.
THERE'S A LOT OF RED CELL
CHANGES HERE THEN THEY WOULD
PASS THAT OFF TO A CO LAST FOR A
FORMAL REVIEW BUT ALLEVIATE THE
SEA LEVEL VLS FROM LOOKING AT
THE.
MAYBE COUPLE HUNDRED SLIDES A
DAY AND A LARGE LABORATORY WHERE
NOW THE MACHINE FLAT CORRECTLY
EVERYTHING'S JUST FINE.
THE IMMUNO HEMATOLOGY THE BLOOD
BANKING TASKS WERE ASKED BEING
ONLY TO ALLOW EMERALD HE'S TO
PERFORM MODERATE COMPLEXITY
TESTING ON AUTOMATED
INSTRUMENTATION. CURRENTLY FDA
APPROVED THAT WOULD DO HBO R. H.
AND ANTIBODY SCREENS THAT WOULD
AGAIN ALLEVIATE CLS IS FROM
DOING THAT KINDA MONDAY IN TASK
OVER AND OVER AGAIN WHEN.
THE MACHINE ACTUALLY PRODUCES A
RESULT.
WE'RE GOOD THANK YOU.
ARE THERE OTHERS IN SUPPORT.
FORWARD.
MR MEMBERS ALEX HAWTHORN WITH
THE CALIFORNIA HOSPITAL
ASSOCIATION AND SUPPORT.
IF YOU WANT REPRESENTING BLOOD
CENTERS OF CALIFORNIA QUALIFIED
VIA COMMITTEE CONSULTANTS
WALLACE'S SPONSORS ON OFF THE
FOR WORKING WITH US TO. BRANSON
CLARIFYING AMENDMENTS WHERE IN
SUPPORT.
HELLO I'M CHRISTY FOR WITH A
CALIFORNIA CLINICAL LABORATORY
ASSOCIATION IN STRONG SUPPORT.
NOW THAT MY GROUPS IN HERE ON
BEHALF QUEST DIAGNOSTICS IN
SUPPORT.
OR.
NO ONE
NOT AS A.
MISTER CHAIRMAN MEMBERS OF THE
COMMITTEE SHANE GUSMAN ON BEHALF
OF THE ENGINEERS AND SCIENTISTS
OF CALIFORNIA AND THE TEAMSTERS
BOTH OF THESE UNIONS REPRESENT
CLINICAL LABORATORY SCIENTISTS
IN CALIFORNIA.
WE DO HAVE CONCERNS WITH THE
BILL AND WE HAVE REGISTER
OPPOSITION I THINK THAT A.
WE DON'T HAVE ANYTHING AGAINST A
MULTI USE WE THINK THEY PERFORM.
AN IMPORTANT FUNCTION WE JUST
HAVE A DISAGREEMENT ON WHETHER
OR NOT THERE ADEQUATELY TRAINED
AND EDUCATED FOR THE TO PASS
THAT THERE ARE PERFORMING. ON
WITH YOUR INDULGENCE MISTER
CHAIRMAN.
WE HAVE TO.
CLINICAL LABORATORY SCIENTISTS
THAT WOULD LIKE TO GET MORE
CERTAIN COMMENTS ON ON.
GOD CONCERN REALLY GOOD IF YOU
LIKE.
WELL FLOOR IN.
YOU VERY MUCH.
MY NAME IS CHRISTIAN SIDE I'M A
CLINICAL LABORATORY SIENTISTS
AM I WAS LICENSED HERE IN
CALIFORNIA I GOT A BROCHURE THAT
SEGMENT OF STATE.
TO THE VERY SPECIFIC BACHELORS.
MY COURSES ARE NOT OFFERED AS
AN ASSOCIATE'S DEGREE YOU CAN'T
YOU CAN ONLY GET THEM IF YOU GO
TO A FOUR YEAR COLLEGE.
SPECIFICALLY HEMATOLOGY IS A
BIG ONE I'M IN THE STATE OF
CALIFORNIA THERE'S A LACK OF
HEMATOLOGIST TO TEACH THE
COURSE.
SO IT'S VERY HARD TO TAKE THAT
COURSE.
IN ORDER.
JUNE TWO TO GET LICENSE.
AND THAT'S ONE OF THE BIGGEST
COURSES YOU NEED TO WORK IN THE
HEMATOLOGY DEPARTMENT WHICH
DOES.
BLOOD SMEARS BUT.
I'M HERE TO TALK ABOUT BLOOD
BANKING.
I DO WORK IN ALL DEPARTMENTS OF
THE LABORATORY.
MORE THE MAIN ONES I WORK IN IS
BY BEING AND DOING A OF YOURS
CONFIRMATION IS MUCH MORE IS
MUCH MORE THAN JUST A MOTOR
COMPLEXITY TESTING IT'S WHAT
DETERMINES WHETHER YOU GIVE A
PATIENT WATER NOT.
THE ANTIBODY SCREEN SEE AN YEAR
ARE YOU IN A OR YOU
AND.
THERE'S I'M
SO MANY THINGS ON YOUR RED BLOOD
CELLS THAT CAN MAKE A DIFFERENCE
ON WHETHER OR NOT YOU ACTUALLY
HAVE A PROBLEM RECEIVING BLOOD.
THEY'RE VERY LOW FREQUENCY
WHICH MEANS YOU CAN THAT YOU CAN
HAVE A REACTION TO BLOOD THAT
YOU WHEN YOU EN OTHERWISE NO AND
YOU WOULD DIE ON THE OPERATING
TABLE OR IN THE DELIVERY ROOM.
.
SO. IT'S IT'S MUCH MORE THAN
JUST OWE IT'S AN EASY TASK I'M
AND THEN YOU HAVE LABORATORIES
THAT HAVE WHERE LIKE THE HOUSE
BY WORK OUT OF THE TRAUMA
CENTER.
WE ALSO HAVE AN AL INDEED WHICH
MEANS THAT ANY KIND OF A THING
THAT'S AN EMERGENT SITUATION WE
DO MANUALLY SO HAVING IS AN
ADMIRALTY. WORK IN THE BLOOD
BANKING WHEN THEY NEED TO USE AN
AUTOMATED ANALYZER WOULDN'T
REALLY HELP YOU BECAUSE YOU HAVE
TO DO THOSE WORK UPS MANUALLY SO
YOU CAN GET THEM BLOOD AS FAST
AS POSSIBLE.
.-SO.
IT'S THERE'S THERE'S MUCH MORE
TO IT AGAIN.
AS WAS STATED OR NOT AGAINST
AND MULTI IS BEING IN THE
LABORATORY I THINK THEY'RE GREAT
HEALTH AND THE BULK OF OUR
WORKLOAD IS NOT THE ABNORMAL
HIGH COMPLEXITY TESTING. THE
BULK OF OUR WORK LORD LOAD IS
THE NORMAL RESULTS ON WHICH AND
WHAT HE'S ALREADY CAN HELP WITH.
SO.
BUT YOU KNOW LOWERING THE
EDUCATIONAL BAR IS NOT REALLY
THE SOLUTION IN MY OPINION.
I THINK THAT THERE ARE HUNDREDS
OF PEOPLE TURNED AWAY EVERYDAY
WHO WANT TO BE A CLS.
AND I THINK THAT OPENING MORE
CLS PROGRAMS AND GETTING MORE
CLS IS IN THE WORK FIELD IS IS.
A BIG SOLUTION TO A CLS SHORTAGE
I ALSO AM NOT IN IT YOU
DISAGREEMENT THAT HAVING A BILL
TO THE LAB WOULD HELP.
I JUST DON'T THINK THAT
LOWERING THE EDUCATIONAL PART OF
THE SOLUTION.
MY NAME IS SANDRA.
I'M A STILL AS A TRAINED ABOUT
CHILDREN'S HOSPITAL SOMEONE OF
THAT HOUSE IT'S ADDING LET'S NOT
REVIEWS LOOKING OUT THAT NOT
ONLY ARE YOU LOOKING OUT THE RED
BLOOD CELLS WHITE BLOOD CELLS.
BUT TO YOU TAKE A SMEAR YOU'RE
LOOKING AT THE WHOLE SO BUT NOW
YOU SEE THAT THERE'S A NOT
NORMAL SO. THAT WAS TACK
COMPLEXITY TOSSED
SO INSTEAD OF HAVING A SALE
LET'S FINISH THE WORK RIGHT
AWAY.
IT'S LIKE OKAY THE MLT DOES A.
OUR GUESTS A BURSARY THE
STEELERS A SECOND REVIEW AYE
CHILDREN'S HOSPITAL ALL PLAYERS
ARE MANUALLY.
AT THAT I WORKED AT A CHILDREN'S
HOSPITAL AND WE DO ALL THIS
YEAR'S MANUALLY THERE'S NO
AUTOMATION ESPECIALLY HER BABIES
YEARS BECAUSE THE. WHITE BLOOD
CELLS THEY JUST LOOK FUNKY AT
THE BABY DOESN'T KNOW WHAT
THEY'RE DOING ITS LIKE YOU HAVE
TO BE ABLE TO. UNDERSTAND THE
MORPHOLOGY SO YEAH THEY COULD
LOOK AT RED BLOOD CELLS BUT WHAT
IF.
AS SOME DOCTORS REQUIRE MANUAL
DIFFERENTIALS
SO THEN THE MLT CAN'T DO THAT SO
THERE'S LIKE A FINE WINE TO ME
TO MY GOING TO MONICA FIVE CITY
HIGH COMPLEXITY LIKE FOR AB
LET'S THINK.
I.
SO IT MOT LET'S SAY THEY DO OF.
A TYPE IN SCREEN OR WHERE THEY
THEY IDENTIFY ANTIBODY THAT
BECOMES POSITIVE. SO NOW I'M WAS
SO HIGH COMPLEXITY TESTING SO
YEAH YOU HAVE AN IDOL TO THAT OF
THE FREELY WORK BUT YOU ALSO
NEED OF THE LAST. ANIMAL DO YOU
HAVE TO WORK UNDER THE
SUPERVISOR SHOULD KNOW SO YOU
SONY DOES DOES THAT SO YOUR
SMALL HOSPITAL ERROR HOSPITAL.
YOU CAN'T HAVE IT YOU CAN HIRE
AND ALL TIMOTHY ILLUS.
ESPECIALLY BECAUSE THEY DO NEED
TO BE SUPERVISED
SO FINANCIALLY SPEAKING WHAT IS
A HOSPITAL SMALL HOSPITAL GONNA
DO THEY RATHER HIGHER IS THE
LAST. THAN A MULTI I MEAN IT
MIGHT WORK RIGHT LOOK GREAT LIKE
MANY IMAGES MIGRATE REQUEST
THINGS THEY DO HIGH VOLUME
NORMAL TESTING HEY LET'S.
YOU NEVER SOLD EVERYTHING UP BUT
NOT FOR HOSPITALS YOU HAVE YOUR
PATIENCE THEY COME IN THEY'RE
SICK.
YOU KNOW THEY'RE NOT THERE
BECAUSE OUR HEALTHY SOME A LOT
OF THINGS OR ABNORMAL THAT'S
WHERE OUR MAIN CONSERVATIVE.
THERE'S NO.
THANK YOU MISTER CHAIRMAN MURS
MITCH SNIDER WITH THE CALIFORNIA
LABOR FEDERATION ALSO IN
OPPOSITION.
AS YOU GROW WITH THE UFCW
WESTERN STATES COUNCIL IN STRONG
OPPOSITION.
I'M GAIL JONES I'M A CLINICAL
LABORATORY SCIENTISTS IN
ROSEVILLE. AND I STRONGLY POSE
AB TWENTY TWO EIGHTY ONE WHEN WE
WORK IN TRANSFUSION SERVICES
WHERE THE RISK TO KILL PEOPLE.
AND WHEN WE WORK IN HEMATOLOGY
WE OFTEN ARE THE FIRST PEOPLE TO
DETERMINE WHAT SOMEBODY HAS
CANCER THOSE IMPORTANT JOBS.
IF YOU.
PLEASE.
HADN'T I'M AND I'M A SALAS I'M
JUST OPPOSING THAT THAT MATISSE
AS QUICK MINDED TOO MUCH OUT
THAT NOT REQUIRE THE NOT TRAINED
FOR. REALLY THANK YOU.
OR MISTER SHARON MEMBERS MY NAME
IS ANTHONY HOW MERCILESS AYE
OPPOSED BILL THANK YOU THANK
YOU.
WILLIAMS ALONE AYE ANDERSON I'VE
BEEN A CLS FOR FOURTEEN YEARS
AND I OPPOSE THE I BELIEVE IT'S
A STEP BACK AND HEALTH CARE AND
IN EDUCATION.
IF YOU.
MY NAME'S LISA FOR NOT A LOT
FORTY YEAR CLS AND PROFESSOR OF
THAT A MULTI PROGRAM. AND I
OPPOSE THIS BILL THANK YOU.
HELLO MY NAME IS STEPHANIE WHILE
I'M HEMATOLOGY SUPERVISOR FOR
KAISER SANTA CLARA FOR TWENTY
YEARS THAT I OPPOSE THIS BILL
THANK YOU FOR BEING HERE.
HI MY NAME IS MATT IRAQI I'M COS
AND I STRONGLY OPPOSE THIS BILL.
DANGEROUS LEGISLATION THANK YOU.
I I MIGHT ADD THE MUSCLE AND I'M
CRISIS BOND KISER SOMETHING
THAT.
I MOST STRONGLY OPPOSED TO THIS
BECAUSE I'M A THEATER WITH THE
FOR BY SORT FOR OVER FIFTY.
THANK YOU FOR YOUR TESTIMONY.
GOOD AFTERNOON AFTERNOON MY NAME
SHAY SHOP AND SALAS ME STRONGLY
OPPOSE THIS BILL IF YOU.
HI MY NAME IS STEPHEN GARDENER
MISTY LSU EXCEPT THAT KAISER
OAKLAND MEDICAL CENTER AND I
OPPOSE THIS BILL.
I GIVE HIM.
MY NAME IS THAT BRING WILLIAM
SOME CLINICAL LAB SCIENTIST SOME
ALSO A SPECIALIST IN BANKING.
AND I WANT TO POINT OUT THAT.
YOU KNOW THE BILL IS BEING
PASSED OFF AS THESE ARE MODERATE
COMPLEXITY TAX ACTUALLY ANY A
REAL OPERATES AND ANY ANYBODY
SCREEN THAT IS USED TO DETERMINE
PATIENT.
DOT EVERY ATOM COMPATIBILITY IS
HIGH COMPLEXITY DOES MATTER IF
IT'S AUTOMATED OR NOT.
THAT'S RIGHT OFF THE FDA WEBSITE
ALSO YOU'RE LEAVING THE IT'S.
SMEARS IT SOUNDS LIKE AND WHAT
HE WOULD BE THE ONE WHO'S
DETERMINING IF THERE'S ABNORMAL
CELLS TO PASS ONTO CELOS. BUT
FOR NOT EDUCATED AND AND TRAIN
TO KNOW THOSE THINGS AS THE
LESSONS ARE. AND YOU WOULD NEVER
MAKE IT THAT FAR HE WOULDN'T
MISS THOSE ABNORMALITIES THAT
COULD COLLAPSE SCIENTISTS.
DO I BELIEVE THIS IS ABOUT
PATIENT SAFETY AND OPPOSE THIS
THANK YOU VERY MUCH.
ABOUT SHARE MEMBERS OF THE
COMMITTEE MY NAME IS KEN
BRANAGH.
CLINICAL LABORATORY SCIENTISTS
WITH KAISER PERMANENTE A OPPOSE
THIS BILL. DOES NOT PROVIDE
ADEQUATE TRAINING OR
COMPENSATION
THANK YOU.
LIMON IS CHRIS FOR OUTGOING
NUMBER CLINICAL OF TO A
SCIENTIST THAT HAS A SANTA
CLARA.
AND OPPOSE THIS BILL BECAUSE IT
CREATES MORE WORK AND NO
COMPENSATION FOR IT NOT.
THANK YOU FOR YOUR ERA TESTIMONY
TODAY ANYONE ELSE IN OPPOSITION
YOU KNOW ONE BRING IT BACK TO
THE COMMITTEE FOR COMMENTS.
SENATOR BEN.
THANK YOU SO I'M I TRY TRY TO
CLARIFY WHAT THIS BILL ACTUALLY
DOES.
WHAT IT DOESN'T DO?
?
SO JUST
JUST TO CLARIFY SO TERMS OF
BECAUSE I HEARD TESTIMONY FROM
THE.
FROM OUR CLINICAL SCIENTISTS
AND.
I AGREED TO BASICALLY GET OUT
THE.
EXAMPLE TESTING FOR.
BUT COMPATIBILITY FOR
TRANSFUSION IS IS SOMETHING THAT
THE NOKIA.
HAS THE OF HIGH STAKES TESTS I
KNOW YOU KNOW THAT AS WELL AS A
PATHOLOGIST.
.
IT.
AND AND ACTUALLY WHEN I COME
THE IT'S LIKELY IF I SAID IS IT
A SAYING IN AND THIS BILL I MEAN
IT DOUBTS HE'S NOT.
THE TURNING THE MATCH RIGHT
THERE WHAT EXACTLY ARE YOU.
SAY SO THEY'RE NOT GOING BE ABLE
ACTUALLY DO THE HOMEWORK UP
THERE WHAT EXACTLY ARE YOU
SAYING THEY'RE DOING WHEN IT
COMES TO THE.
NO THAT'S ABOUT THE BLOOD SMEARS
WELLS OF YES AT THE PROPOSAL
WOULD BE THAT THE ML TEASE COULD
OPERATE.
THE.
MODERATELY COMPLEX AUTOMATED
INSTRUMENTATION WITH IN A BLOOD
BANK RIGHT NOW THEY CAN'T WALK
INTO A BLOODBATH.
AND THEY WOULD IF THEY FOUND AN
AB. ABNORMAL ANTIBODY SCREEN
THAT WOULD HAVE TO BE PASSED OFF
TO A CLS TO WORK THAT OUT VERY
SO THEY'RE OPERATING AT.
AN AUTOMATED MACHINE YES.
ALRIGHT AND THEN.
BECAUSE OF THE BLOOD SMEAR
EXACTLY WHAT ARE YOU PERMITTING
THEM TO DO.
AND THAT REMAIN THE DO OURSELVES
IT AGAIN IS THAT THE MACHINE ARE
THAT THAT ACTUALLY LOOKING AT
THE SMEAR SO TYPICALLY IN IN
LIKE IN IN MOST HEMATOLOGY
LABORATORY ISSUE DOING CBC'S ON
HIGHLY AUTOMATED.
CEMENT HAITIANS THAT DO
TYPICALLY A FIVE PART LUCAS AYE
IN MANY CASES EIGHTY FIVE NINETY
PERCENT OF THE THE SAMPLES AGO
THROUGH THE MACHINE WILL SPIT
OUT THE INFORMATION.
THE MLT CANDY CAN ACTUALLY.
.
LOOK AT THOSE RESULTS AND
RELEASE THOSE RESULTS THAT
MODERATELY COMPLEX TESTING BUT
OCCASIONALLY THEMACHINE WILL
WILL THROW FLAG.
THAT MAKES
MAKING A SMEAR STAINING IT
LOOKING AT IT PART OF THE REVIEW
OF THAT SAMPLE.
SO IN THIS CASE THE NLT WOULD DO
THE INITIAL REVIEW JUST TO SEE.
OKAY IT'S SAYING I'VE GOT PLATE
LIKE CLUBS ARE DO I SEE PLATE
LOOKUPS HERE OR IS IT SOMETHING
OUT SO HARD TO JUST I'D LIKE BE
REALLY CLEAR ABOUT YOUR SO WHAT
HAPPENS IS THAT.
CURRENTLY THE MLT CANS
THAT THE BLOOD SAMPLE INTO THE
ANALYZER THE MACHINE RIGHT.
AND THEN IT'S GOING TO SPIT OUT
A SET OF RESULTS YET THE FLU IN
A SEAT AND THEN SO WHAT THIS
BILLS GOT PERMIT THEM TO DO IS
THAT OKAY NOW I SEE AS A.
POTENTIAL ABNORMALITY RIGHT.
THEY'RE GOING TO MAKE A SMEAR
AND LOOK AT IT.
CORRECT.
OR SOMEONE ELSE IN THE LAB I
MEAN THE SMEAR CAN BE MADE BYE.
BYE LAB ASSISTANTS GOT RIGHT ON
WELL AS THAT BUT THEY WOULD
ACTUALLY MAKE THEY WOULD
ACTUALLY LOOK AT IT UNDER THE
MICROSCOPE YES.
THAT'S NOT WHAT THEY CAN DO NOW
BUT THAT'S WHAT THEY'RE GOING TO
CORRECT WHAT THIS IS.
CORRECT ANOTHER CLEAR LOOKING AT
TO SMEAR WITHOUT DOING A MANUAL
DIFFERENTIAL IS CONSIDERED
MODERATELY COMPLEX.
BUT BECAUSE OUR REGULATIONS
CALIFORNIA LIMIT MICROSCOPY
THEY CAN'T EVEN LOOK AT THIS.
OKAY.
.
SO THE NLT IS GOING TO BE THE
FIRST PERSON TO LOOK AT THIS
MAHER BECAUSE THE VAST MAJORITY
OF THOSE THAT COME OUT THAT HAVE
A FLAG THAT HAVE SOMETHING THAT
NEEDS TO BE LOOKED AT. ARE GOING
TO BE NORMAL.
AND THAT THERE ARE OTHERS AS
IT'S NOT THE NORMAL ONES ARE
WORRIED ABOUT IS THE ABNORMAL
ONES RIGHT RIGHT ITSELF SO BUT
THERE'S A THERE'S I WOULD ARGUE
THERE'S A DIFFERENCE DOCTOR PAN
BETWEEN IDENTIFYING THAT.
SOMETHING LOOKS ABNORMAL HERE
AND BEING ABLE TO SAY WHAT THE
ABNORMALITY IS.
YEAH I AGREE I THINK I THINK THE
QUESTION.
THAT'S
AND THEN FIVE PERHAPS OUT.
ALSO ONE OF THE.
R. CYTISUS
TO THIS TO IS AYE I GUESS THE
QUESTION IS IS THAT IS THE
PERSON.
YES THERE IS A DIFFERENCE
BETWEEN.
NO SAYING SOMETHING'S AB NORMAL
NATURAL IT IS BUT IT'S ABNORMAL
AND.
WHY EXACTLY AT THE ABNORMALITY
IS I THINK THERE'S ALSO A PART
ABOUT WILL YOU HAVE I MEAN? OUT
IS A.
YOU KNOW THIS WERE BOTH
POSITIONS WERE ALLIES. AS A
RESIDENCY DIRECTOR JUST TRAINING
SOME OF THE KNOW WHEN
SOMETHING'S NOT QUITE RIGHT.
ISN'T THE I'LL THAT THAT TAKES
OF WORK TOO I MEAN THAT'S NOT
THAT'S NOT SOMETHING THAT I
WOULD AGREE LET ME CLARIFY
TO-THINK AS ONE IT'S ALWAYS THE
RESPONSIBILITY THE LABORATORY
DIRECTOR TO MAKE SURE THAT.
EVERY INDIVIDUAL WORKING IN THE
LABORATORY IS COMPETENT TO
PERFORM THE TASK AT THEIR
ASSIGNED TO SO. YOU KNOW A MLT
WHO'S NOT COMPETENT TO LOOK AT
THE SMEAR THE LAB DIRECTOR
SHOULD NOT BE ALLOWING THEM TO
LOOK AT IT.
SECONDLY I IT'S BEEN STATED
THAT MLCS DO NOT RECEIVE THE
TRAINING. ALL OF THE PROGRAMS
CURRENTLY OPERATING IN
CALIFORNIA TO TRAIN AND MILTIE'S
ARE NATIONALLY CERTIFIED.
BECAUSE NATIONAL CERTIFICATION
REQUIRES BOTH TRAINING IN BLOOD
BANKING AND HEMATOLOGY.
ALL OF THESE INDIVIDUALS ARE
TRAINED IN THOSE DISCIPLINES
DURING THEIR COURSE WORK AS AN
EDITOR CHANGE REVIEW LAST
YEAR'S.
WELL DID YOU HAVE ANY KIDS YEAH
WHAT I KNOW WHICH ONE.
SO.
IT IN REGARDS TO THE TO THE
BLOOD SMEARS AND TODAY EDUCATION
I AGAIN.
THERE'S THAT THERE'S A VERY
THERE'S A BIG DIFFERENCE AND YOU
TOOK ME ABOUT SIX MONTHS
CLINICAL TRAINING.
ON THE YOU KNOW AFTERWARDS
ABOUT YOU TO YOUR ASSOCIATES
DEGREE VERSES YOU SPENT
LITERALLY TWO YEARS IN YOUR
BACHELOR'S DEGREE. LOOKING AT
BLOOD CELLS AN ABNORMAL AND AND
NORMAL CELLS.
AND THEN TAKING ANOTHER
FOURTEEN MONTH PROGRAM AFTER YOU
GRADUATE WITH YOUR BACHELORS AND
SPENDING THAT ENTIRE FOURTEEN
MONTHS ALSO LOOKING AT NORMAL
AND ABNORMAL BECAUSE I'LL TELL
YOU IT. IS VERY EASY TO SAY THIS
IS A NORMAL SELF THE HARD PART
IS GENUINELY TO LOOK AT A SMEAR
AND SAY. THIS DOESN'T LOOK RIGHT
I NEED TO SEND THIS TO THE
PATHOLOGIST BECAUSE THIS PATIENT
HAS NO HISTORY OF ANYTHING AND
IT MIGHT BE CANCER. AND MOST THE
TIMES YOU NOTICE THOSE IT IS
CANCER.
AND IF THE PERSON DOING THAT
INITIAL REVIEW IS NOT HAS NOT
SPENT YOU KNOW THREE YEARS.
LOOKING AT WHO LOOKING AT
ABNORMAL CELLS.
YEAR IT'S GONNA BE IT'S GONNA BE
A BIG POSSIBILITY THAT THEY WILL
BE MISSED NOT GONNA SAY ONE
HUNDRED PERCENT THAT THEY WOULD
BE MESSED. BUT THAT'S YOUR
INITIAL SCANS SEE IF YOU HAVE
CANCER OR YOU HAVE SOME OTHER
ABNORMALITY. THAT TO ME IT'S A
BIG RISK TO JUST SAY WE'RE GONNA
LET SOMEONE LESS EDUCATED BE THE
PER PERSON TO DO THE INITIAL
REVIEW.
AND THEN IF THEY SEE SOMETHING
WRONG OR AND GIVE IT TO THE MORE
EDUCATED PERSON.
YOU KNOW TED LET THEM GO AHEAD
AND DO IT NOW.
ONE.
CHO HAD ASKED YOU LIKE HBO ARE
EACH TYPING AS YOU PUT THE STAMP
ON THE MACHINE BUT SOMETIME THE
MACHINE TELLS THE QUESTION MARK.
I DON'T KNOW WHAT THIS SAYS
FLUIDS TO THE JUDGMENT OF THE
THEA LASTED TERMINE YES THIS IS
NEGATIVE NO THIS IS NOT NEGATIVE
I HAVE TO DEFER TO WORK UP. I
HAD A CASE LAST TIME I WASN'T
LETTING IT WAS A WEAK POSITIVE.
THAT WE LOOK NEGATIVE I'M IS
STERN BUT IT'S UP TO OUR
JUDGMENT TO DECIDE HEY THIS IS A
WEAK POSITIVE I NEED TO DO FOR
WORK AT. ITS WORST CURED OF
THOSE INITIAL REVIEWS I GET
MESSED
HAVING A POSITIVE ANTIBODY
SNIPPETS OF TRAUMA THE PATIENT
NEEDS WHAT IN THE NEXT FIVE
MINUTES.
ARE WE IT WERE PUTTING THAT
PATIENT RISK TRANSFUSION
REACTION YOU KNOW HOW ABOUT
THOSE ARE DOCTOR POUND IT'S LIKE
IT CAN GO BAD REALLY ABOUT THE
PATIENTS ALREADY SICK.
SO IT'S LAKE ABOUT INITIAL
REVIEW IS THE MOST IMPORTANT.
ONCE THE PATIENT HAS HISTORY
OKAY NOW IT'S LIKE RELIVING A
WAR WHERE WHAT TO LOOK FOR.
YOU THANK YOU.
WOULD YOU LIKE TO RESPOND
QUICKLY TO PUT TOGETHER SO. IF
YOU DON'T THE DELTA SUPPLY
BANKING IS WITH IN IN CLEAR IS
ONE OF THE UNUSUAL.
.
DISCIPLINES AND THE FDA HAS
LOOKED AT THE AUTOMATED
ANALYZERS AND IF YOU LOOK ON THE
FDA WEBSITE IT SAYS MODERATELY
COMPLEX IT HAS A LAST REST THE
ASTROS WAS PUT THERE IN NINETEEN
NINETY TWO AND SAYS.
IF IT DIDN'T USED FOR
TRANSFUSION PURPOSES.
THEN IT'S HIGH COMPLEXITY.
IF YOU CHOOSE JUST TO IDENTIFY I
GOT UP WOMAN IN THEIR FIRST
TRIMESTER PREGNANCY I WANT TO
KNOW WHAT HBO ON OUR H. TYPING
IF THEY HAVE ANY ANY ANTIBODIES.
NOT RELATED TO TRANSFUSION.
NOW MULTI CANNOT PERFORM.
ANYTIME YOU'RE USING IN AB ONE
ARE EIGHT YEARS FOR
DOCUMENTARIAN PURPOSES MELTY
CANNOT PERFORM THAT.
WE'RE NOT ASKING FOR HIGH
COMPLEXITY TESTING
WE'RE ASKING AND WE PUT IN
SPECIFIC LANGUAGE THAT IT WOULD
BE A. B. L.. R. H. AN ANTIBODY
SCREENING OF MODERATE
COMPLEXITY.
SO.
WORK WE'RE TALKING TWO DIFFERENT
THINGS HERE.
WELL I I GUESS.
AND A PRETTY INDULGENT OF THE
CHAIR.
.
I HAVE MORE COMFORT IN THE SENSE
THAT IF THERE OP THING A SIMPLE
AND OPERATING A MACHINE THAT HAS
ALSO GET LICENSES CERTIFIED
TERMS.
Z. AND ITS ACCURACY AND SO FORTH
AND.
HOW MUCH YOU
THE LETTER SAMPLE AND SO FORTH?
PROBABLY A LITTLE MORE
COMFORTABLE THAT I'M THAT THE
MID I HAVE I DO HAVE
SOME-DISCOMFORT ABOUT NOW
BECAUSE
THAT LOOKING AT THE SLIDE IS
MORE OF A JUDGMENT CALL.
THERE'S I MEAN THERE'S SOME
JUDGMENT TO MAKE THE MACHINE
DOESN'T ALWAYS SPREAD OUT EIGHT.
CLEAR ANSWER BUT.
I AT THAT I HAVE MET I'M I HAVE
MORE DISCOMFORT ABOUT THE IDEA
THAT WERE YET AGAIN YOU KNOW WE
CAN ARGUE THEY'LL HAVE.
BY NOW SYMBOL IS A SHOULD BE
ABOUT THE EXACT ABOUT IT
EDUCATION THE ON THAT OF THE
TRAINING BUT I.
THE I AM THAT MORE CONCERNED
ABOUT SOMEONE BASICALLY LOOKING
AT A SAMPLE. BUT IT'S A SLIDER
SOMETHING.
AND
THEN.
THE LEVEL OF EXPERIENCE TRAINED
TO HAVE ABOUT THAT BECAUSE OF
COURSE THEN IN THE END WE DEPEND
ON THOSE RESULTS I MEAN DIANA'S
I'M GONNA MAKE A CLINICAL
DECISION BASED ON THIS LAB
REPORT. AND IF IT'S NOT AND I
KNOW THAT THE LAB DIRECTORS GO
TAKE ULTIMATE RESPONSIBILITY BUT
IF THERE IS SOMETHING THAT'S
OFTEN THAT.
AND THERE'S A MISTAKE MADE WE'RE
GONNA MAKE.
POTENTIALLY ALL THAT SCULLY TO A
BAD CLINICAL DECISION
POTENTIALLY SO. AND AND I'M JUST
CONCERNED ABOUT SOMEONE LOOKING
AT A SLIDE WHO.
THEY'LL.
THIS
NOT DOESN'T ISN'T.
HOW MUCH TRAINING HAVE AND
FIGURE OUT WHAT THEY'RE ACTUALLY
LOOKING AT SO?
SO THAT'S.
I THINK I WOULD LIKE TO JUST ADD
AND THAT THIS IS BEING PERFORMED
AND ALMOST AND ALTES ARE
PERFORMING THESE.
MODERATE A COMPLEXITY TESTS IN
ALMOST EVERY OTHER STATE AND IF
YOU IN THE COMMITTEE ANALYSIS IT
SAYS THERE IS NOT ONE STUDY THAT
SHOWS THAT THAT.
THERE HAVE BEEN ANY ADVERSE
CONSEQUENCES OF THIS.
SO THIS THAT WE'RE NOT REALLY
GOING INTO. A NEW AREA WITH.
WITH THIS REQUEST.
THANK YOU VERY MUCH IN THE ANY
OTHER QUESTIONS OR COMMENTS.
WHERE MEMORIES OUT BE HAPPY TO
ENTERTAIN A MOTION?
ABSURD.
IF IT SENATOR LATER MOVE THE
BILL WOULD LIKE TO CLOSE
ASSEMBLYMEMBER ABOVE JUST
RESPECT AND WE ASK FOR YOUR I
WILL ACCEPT THE AMENDMENTS THAT
ARE UL KESSLER COULD HAVE OR
ACCEPTING THE COMEDIAN AND AGAIN
THANK YOU VERY MUCH.
IT'S REFRESHING I WOULD
APPRECIATE THAT THANK YOU
EMOTION FOM SENATOR GLACIER.
PLEASE CALL THE ROLL.
MISSION IS
ADD TO PASS AS AMENDED TO SENATE
APPROPRIATIONS COMMITTEE HEALTH
AYE. HILL AYE FULLER.
FULLER AYE DODD AYE DODD AYE
GALGIANI. GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
NEWMAN.
PAN.
WILK AYE WILK AYE.
THE BILL HAS SIX VOTES IT IS OUT
IF YOU VERY MUCH.
NOW MOVE TO.
ASSEMBLYMEMBER ROW I SELL OVER.
HERE.
THEN I SEWED ASSEMBLYMEMBER
JONES SAWYER EARLIER.
IDEA I KNOW IT'S HARD TO.
.
AS.
HIS WE NEED SUMA.
IT'S A MEMBERS.
TO ASSEMBLY MEMBERS.
WE CAN CALL IT THAT RIGHT.
CLOSER TO IT.
CONTENT GOVERNOR COVERAGE HERE
RIGHT.
OKAY LET YOU GO BACK INTO IN
OPEN THE ROLE ON THE CONSENT
CALENDAR.
PLEASE CIRCLE THE ROLE FOR
ABSENT MEMBERS.
GLAZER.
NEWMAN.
CONSENT ON LASER AYE.
LATER ON I THAT THE BILL DOES
THE CONSENT CALENDAR HAS EIGHT
VOTES IT IS OUT.
WILL MOVE NOW TO ITEM NUMBER
THREE ASSEMBLY MEMBER GIPSON. AB
NINETEEN NINETY THREE PLEASE
CALL THE AFTER MEMBERS.
GALGIANI.
GLAZER.
GLAZER AYE NEWMAN.
ZERO.
SEVEN ZERO THAT BILL IS OUT.
ANDREW MOVED.
.
O. IS ROOM EVERYONE IS HERE WE
WILL MOVE TO ITEM TEN AB TWENTY
SEVEN FORTY ONE. PLEASE CALL THE
ABSENT MEMBERS.
FULLER.
GLAZER.
GLAZER I.
NEWMAN.
HAND.
WILK.
THE SHORTER ONE.
FOR ONE THAT BILL FAILS AND.
WITHOUT OBJECTION
RECONSIDERATION IS GRANTED.
ON ITEM NUMBER TEN WHEN I MOVED
TO ITEM NUMBER ELEVEN AB TWENTY
SEVEN NINETY NINE ASSEMBLY
MEMBER JONES SAWYER THAT YOU.
WELCOME SORRY FOR THE DELAY
TODAY.
THEN EASY ONCE FOR. PLEASE
PROCEED ASSEMBLYMEMBER.
YES.
THAT WAS THE.
IT WAS THE BURKE BILL.
YOU'RE GOING TO OFFER THE BILL
SO WE WILL.
OF.
THE MOTION TO RECONSIDER.
MOTION TO RECONSIDER PLEASE CALL
THE ROLL RECONSIDERATION.
BUT.
SO I COULD WITH THAT.
THAT OBJECTION ON
RECONSIDERATION.
AND I WILL CALL THE ROLL AGAIN.
AFTER.
I DON'T.
OKAY.
SUCH.
YES FOR THAT. WE SHOULD REALLY
CONSIDERATION SO.
YES.
SO WE WILL.
THE DO A RECONSIDERATION AS
LONG.
SO.
TO
WE'RE NOT CHANGING HIM.
SO.
TO DO WHAT'S RENTAL
GOOD AFTERNOON CHAIR AND
MEMBERS.
AB TWENTY SEVEN NINETY NINE
WILL REQUIRE AN APPLICANT FOR A
CANNABIS LICENSE TO PROVIDE A
STATEMENT ALONG WITH THEIR
APPLICATION AFFIRMING THAT THEY
WILL ENSURE THAT AT LEAST ONE
SUPERVISOR. AND ONE EMPLOYEE
RECEIVED TRAINING FROM CAL OSHA
THE CALIPHATE THIRTY HOURS
GENERAL INDUSTRY TRAINING MUST
BE COMPLETED BY SUPERVISOR. AND
AN EMPLOYEE WITHIN ONE YEAR OF
THE CANNAIS APPLICANT RECEIVING
THEIR LICENSE.
THIS IS TO ENSURE THAT THE
CAMPUS BUSINESS ADHERES TO THE
SAME SAFETY STANDARDS AS OTHER
INDUSTRIES.
AND TO HELP ANSWER ANY QUESTIONS
I THAT I THAT YOU MAY HAVE TODAY
OBJECTS HE GRAY WALL WITH UFCW
WESTERN STATES COUNSEL AND ROBIN
DO WE WHAT DO YOU EAT USED UC
BERKELEY LABOR OCCUPATIONAL
HEALTH PROGRAM.
RESPECTFULLY ASK FOR YOU I WILL.
WOULD YOU LIKE TO TESTIFY ON THE
BILL THAN OF IT FEELS LIKE.
THERE'S A WITNESS IN SUPPORT
PLEASE ADD MISTER CHAIRMAN
MEMBERS GOOD AFTERNOON MY NAME
IS DIES HE GROW ON I'M HERE ON
BEHALF OF UFCW WESTERN STATES
COUNSEL. REPRESENTING MORE THAN
A HUNDRED AND SIXTY THOUSAND
WORKERS INCLUDING MANY WORKING
IN THE CANNABIS AND.
REGULATING CANNABIS IS UNIQUE
NEVER BEFORE IN THE HISTORY THE
STATE HOUSING WIDESPREAD
INDUSTRY LONG SKILLED AT
OPERATING OUTSIDE THE WALLS ALL
THE SUDDEN BECOME LEGAL. AND
EXPECTED TO COMPLY WITH ALL
LAWS.
INCLUDING CRITICAL WORKPLACE
SAFETY LAWS THAT PREVENT OUR
MEMBERS AND YOUR CONSTITUENTS
FROM DYING BEING INJURED ARE
FALLING EL.
THE SOME OF THE HOUSES IN THE
CANNABIS INDUSTRY FOR THOSE WHO
WORK IN IT INCLUDE HE ILLNESS
EXPOSURE TO PESTICIDES.
CARBON MONOXIDE FROM THE USE OF
FUEL BURNING EQUIPMENT.
I'M SO STAKEHOLDERS HAVE
REPEATEDLY TESTED TO THIS NEW
INDUSTRY IS A LACK OF AWARENESS
OF THE CAL OSHA PROGRAM. BASIC
EMPLOYER WORKPLACE
RESPONSIBILITIES AND WORKERS
RIGHTS.
THIS BILL WOULD ENSURE THAT THE
INDUSTRY IS GETTING THAT
INFORMATION.
ON BEHALF OF OUR MEMBERS I
RESPECTFULLY ASK FOR YOUR AYE
VOTE. OUT WITH ME HERE TODAY AS
ROBIN DEWEY WITH THE UC BERKELEY
LABOR OCCUPATIONAL HEALTH
PROGRAM TO TALK ABOUT HER
EXPERIENCE WITH THE CAL OSHA
PROGRAM AND TO HELP ANSWER ANY
QUESTIONS YOU THANK YOU. THANK
YOU FOR HAVING ME.
I WANTED TO TALK A LITTLE BIT
ABOUT THE OSHA THREE HUNDRED.
CLASS AND WHY IT'S A GOOD
REQUIREMENT.
I TO BE INCLUDED FOR THIS
INDUSTRY FIRST OF ALL IT WAS
ESTABLISHED.
BY FEDERAL OSHA AND IS TAUGHT
BY OSHA TRAINING INSTITUTE
CERTIFIED TRAINERS THAT ARE PART
OF FEDERAL OSHA.
ON AND THERE ARE THREE OTI SITES
IN CALIFORNIA.
THAT OSHA THIRTY.
INCLUDES TRAINING ON WORKER
RIGHTS AND RESPONSIBILITIES
UNDERSTANDING HOW ILLNESSES AND
INJURIES ARE IDENTIFIED AND
PREVENTED. INVESTIGATING
ACCIDENTS AND THEN SEVERAL
TOPICS RELATED TO THE INDUSTRY
THAT.
WHERE PEOPLE ARE EMPLOYED AYE
INCLUDING?
MANY OF THE THINGS THAT ARE
IMPORTANT TO THE CANVAS
INDUSTRIES SO HAZARDOUS
MATERIALS BLOOD BORNE PATHOGENS
ERGONOMICS.
SAFETY AND HEALTH PROGRAMS AND
AT CETERA.
SO I THINK THE RATIONALE FOR
REQUIRING THE OSHA THIRTY IS.
SOMETHINGS THAT JESSE SAID
WHICH ARE A THIS IS A NEW
INDUSTRY THERE ARE A LOT OF
DIVERSE HAZARDS.
SO REQUIRING THE OSHA THREE
THIRTY IS A WAY OF MAKING SURE
THAT WORKERS IN THIS INDUSTRY.
I GET THE BENEFIT OF HAVING AT
LEAST TWO PEOPLE IN IT A
SUPERVISOR AND A WORKER LEADER
HAVING GONE THROUGH THIS CLASS
ITS INVENTED COURSE.
THAT INCLUDES ALL THE THINGS
THAT THAT OSHA BELIEVES ARE
IMPORTANT FOR PROTECTING WORKERS
IN TERMS OF TRAINING.
AND IT'S ALSO AN OPPORTUNITY TO
SUPPORT THE IDEA OF REALLY
PRIORITIZING HEALTH AND SAFETY
IN THIS NEW INDUSTRY.
AND ALSO I HAVE A.
TRAINING.
WORKER LEADERS ANA
SO THE OTHER THING I WOULD JUST
SAY IS THAT THERE ARE A LOT OF
STATES NOW THAT ARE WRITTEN AND
EMPLOYERS AROUND THE COUNTRY
THAT ARE WEEKS STARTING TO
REQUIRE. OSHA'S ON TEN COURSE
OUR OCEANS THIRTY THE OSHA
THIRTY COURSE.
FOR A NUMBER OF DIFFERENT
WORKERS AND I THINK THE GIVEN
THAT THIS INDUSTRY HAS SO MANY
HAZARDS.
AND IS SO DIVERSE.
IT WOULD BE A VERY GOOD IDEA TO.
I REQUIRED THIS THIS COURSE FOR
FOR THOSE OF PEOPLE AS WELL.
THANK YOU.
FORWARD THANK YOU.
MACINNES RETURN MEMBERS MUCH
TIGHTER WITH CALIFORNIA LABOR
FEDERATION ALSO SUPPORT THANK
YOU ANYONE ELSE IN SUPPORT SEEN
NO ONE DOES IN OPPOSITION.
PLEASE COME FORWARD IS THERE
ANYONE HERE.
YOU KNOW ONE BRING IT BACK TO
THE COMMITTEE FOR.
THANK YOU WE HAVE A MOTION FROM
SENATOR PAN ANY COMMENTS OR
QUESTIONS SEEN AND WOULD LIKE TO
CLOSE ASSEMBLY MEMBER.
SPEC FLATTERY I VOTE WE DO THANK
YOU WE COULD HAVE A MOTION BY
SENATOR PENN PLEASE CALL THE
ROLL. MOTION IS TO PASS THE
SENATE APPROPRIATIONS COMMITTEE
HEALTH AYE HILL AYE FULLER.
FULLER NOW THOUGHT.
DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ. HERNANDEZ
AYE NEWMAN.
AND I AND I WILL.
LOOK I.
SEVEN TWO ONE THE BILL IS OUT
THANK YOU VERY MUCH WE CAN MAKE
YOU MISTER CHAIR MEMBERS
WE NEED
THANK YOU FOR. YOUR ADDRESS NO
APPRECIATE YOUR PATIENCE TODAY.
ITEM NUMBER THIRTEEN AB THIRTY
SIXTY SEVEN PLEASE PRETTY THANK
YOU VERY MUCH MISTER CHAIR AND
MEMBERS ARE AB THIRTY SIXTY
SEVEN WOULD. PROHIBIT THE
OPERATOR OF AN INTERNET WEBSITE
OR ONLINE SERVICE APPLICATION OR
MOBILE APPLICATION FROM
MARKETING CANNABIS PRODUCTS OR
SERVICES TO MINORS.
ARE IN TWENTY THIRTEEN SP FIVE
SIXTY EIGHT BY SENATOR STEINBERG
ESTABLISHED A PRIVACY RIGHTS OUT
FOR CALIFORNIA MINERS IN A
DIGITAL WORLD STATUTE. WHICH
PROHIBITS THE OPERATORS OF
INTERNET WEBSITES ONLINE
SERVICES ONLINE APPLICATIONS AND
MOBILE APPLICATIONS. THAT ARE
DIRECTED TO MINORS FROM
MARKETING CERTAIN PRODUCTS OR
SERVICES THAT MINORS CANNOT
LEGALLY PURCHASE.
SUCH AS ALCOHOL AND TOBACCO.
THE LAW ALSO PROHIBITS ARE THE
SIR SITES AND SERVICES FROM
MARKETING SUCH PRODUCTS IF THE
OPERATOR HAS ACTUAL KNOWLEDGE
THAT A MINOR IS USING THE
WEBSITE. ALL ONLINE SERVICE.
AMONG THE PRODUCTS THE LAW
PROHIBITS THE. FOSSIL PROHIBITS
A DIRECT GOT PARAPHERNALIA FROM
BEING ADVERTISED TO MINORS
HOWEVER DID NOT SPECIFICALLY
PROHIBIT THE ADVERTISING OF
CANNABIS BECAUSE OF THE TIME
RECREATIONAL USEOF CANNABIS WAS
NOT LEGAL IN CALIFORNIA. A. B.
OUR THIRTY SIXTY SEVEN WOULD
REMEDY THIS SITUATION BY ADDING
CANNABIS TO THE LIST OF ITEMS
THAT ARE PROHIBITED. FROM BEING
ADVERTISED ON OUR CHILDREN'S
WEBSITE ADDING CANNABIS TO THIS
ARE. A LIST WOULD ENSURE THAT
THESE ONLINE OPERATORS ARE
PROHIBITED FROM MARKETING
CANNABIS PRODUCTS TO A PERSON
UNDER THE AGE OF EIGHTEEN IF THE
OPERATOR HAS ACTUAL KNOWLEDGE
THAT.
AND UNDER EACH INDIVIDUAL IS
USING THEIR ONLINE SERVICE THE
BILL WOULD ALSO CONSIDER AN
ONLINE OPERATOR TO BE IN
COMPLIANCE. WITH THIS BILL IF
ARE THE OPERATOR TAKES
REASONABLE ACTIONS IN GOOD FAITH
DESIGNED TO AVOID MARKETING THE
PRODUCT TO THOSE UNDER THE AGE
OF EIGHTEEN. AND FINALLY THIS
BILL WOULD PROHIBIT THE OPERATOR
OR THIRD PARTY ON A.
MONEY OPERATORS BEHALF FROM OUR
KNOWINGLY USING THIS CLOSING AND
COMPILING PERSONAL INFORMATION
OF SOMEONE UNDER THE AGE OF
EIGHTEEN WHEN THIS INFORMATION
WOULD BE USEFUL MARKETING OR
ADVERTISING OF CANADA'S PRATICA.
TO A MINOR ARE WITH GOD I
RESPECTFULLY AS SELF WE IDLE AND
NOW LET ME TURN IT OVER TO MY
AWARENESS GOOD THANK YOU.
GOOD AFTERNOON CHAIRMAN AND
OTHER MEMBERS MY NAME IS
DANIELLE KENDO KAISER ON BEHALF
OF COMMON SENSE KIDS ACTION.
WE ARE THE ADVOCACY ARM OF
COMMON SENSE MEDIA LEADING
NATIONAL NONPROFIT ORGANIZATION.
THAT HELPS KIDS AND FAMILIES TO
SAFELY AND HAPPILY AT NAVIGATE
NAVIGATE THE INTERNET.
ON COMMONSENSE WORKS TO ENSURE
THAT THE KIDS ARE SAFE AND
INFORMED ONLINE AS WELL AND
WE'RE PLEASED TO SUPPORT A. B.
THIRTY SIXTY SEVEN. AS IT
FURTHERS THE PURPOSE AND AND AND
AND INTENT OF BOTH THE PRIVACY
RIGHTS FOR CALIFORNIA MINERS IN
THE DIGITAL WORLD. AND THE ADULT
USE OF MARIJUANA ACT BY
PROTECTING PERSONS UNDER TWENTY
ONE YEARS OF AGE FROM BEING
EXPOSED TO ADVERTISING AND
MARKETING. OF MARIJUANA.
THE PRODUCTS AND THE MARIJUANA
BUSINESS WE URGE YOUR AYE VOTE
THEY CAN THANK YOU VERY MUCH
OTHERS IN SUPPORT PLEASE COME
FORWARD. TO CHAIR MEMBERS YOU.
ARE TOM READ PRETTY WITH THE
COUNTY BE ABLE HEALTH DIRECTORS
ASSOCIATION.
ARE WE DO SUPPORT THIS BILL
REGARDLESS OF OUR WHAT WE MIGHT
THINK ABOUT MARIJUANA
LEGALIZATION I THINK THERE'S
SUBSTANTIAL EVIDENCE THAT SHOWS.
THAT THERE'S NEGATIVE AFFECTS
OUR HEALTH EFFECTS OF CANNABIS
ON ADOLESCENTS AND SO ANYTHING
TO PROTECT.
OBVIOUSLY OUR MINERS AND TO AND
TO CLOSE THE GAP THAT WAS LEFT
BY PROP SIXTY FOUR WE WOULD
CERTAINLY SUPPORT THAT MAKE YOU
VERY MUCH.
GOOD AFTERNOON SENATORS BETSEY
ARMSTRONG ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA
REPRESENTING CALIFORNIA'S LOCAL
HEALTH DEPARTMENTS AND NURTURES
THANK YOU VERY MUCH FOR BEING
HERE.
GRAPH LOW CHAIR MEMBERS ANYMORE
WEATHER'S COMMUNITY ORGANIZER
FROM LOCAL NONPROFIT YOU FORWARD
IN SUPPORT OF THIS BILL THANK
YOU.
KATHY HALL FROM THE CALIFORNIA
PARENT TEACHERS ASSOCIATION AND
WHERE IN SUPPORT THINKERS ALL.
THE OF ONE REPRESENTING AMERICAN
CAN BE PEDIATRICS WE ARE
SUPPORTER GOOD THANK YOU OTHERS
IN SUPPORT.
THOSE IN OPPOSITION PLEASE COME
FORWARD.
ANYONE.
YOU KNOW AND BRING IT BACK TO
THE COMMITTEE FOR.
AND TURNED TO COMMENT IF MOTION
FROM A SENATOR PAN WOULD YOU
LIKE TO CLOSE I RESPECTFULLY ASK
REYES LOOK VERY MUCH
ASSEMBLYMEMBER CHANNEL PLEASE
CALL THE ROLL. MISSION IS TO
PASS THE SENATE JUDICIARY
COMMITTEE HEALTH I HILL AYE
FULLER AYE FULLER AYE DODD. DODD
AYE GALGIANI. GALGIANI AYE
GLAZER. GLAZER AYE HERNANDEZ AYE
BANANAS AYE NEWMAN.
AND I AND I WILL. LOOK I. TAKE A
VOTE THE BILL IS OUT THANK YOU
VERY MUCH.
ASSEMBLYMEMBER BROUGHT SO YOU
THERE YOU DID KEVIN.
WE MOVED ITEM FOURTEEN A. B.
THIRTY ONE TWENTY SIX I
UNDERSTAND THIS IS YOUR FIRST
BILL.
A THIRD PREGNANCY CARE CENTERS
A. B. THIRTY ONE TWENTY SIX IS
NECESSARY TO ENSURE THAT THE
CONTRACTOR STATE LICENSING BOARD
CAN AFFECT WE REGULATE
CONTRACTORS IN CALIFORNIA.
ENSURE THAT PERSONS HIRING
CONTRACTORS OR WORKING FOR
CONTRAST YOU MAY HOLD THE THEN A
CONTRACTOR DOES NOT PERFORM THE
WORK OR PROBABLY PAY EMPLOYEES
CURRENTLY. OR THE ALTERNATIVES
TO UPON THIS IS TYPICAL OF
DEPOSIT ISSUED BY A BANK OR
SAVINGS ASSOCIATION.
WAR HAS NO JURISDICTION CONTROL
OVER HOW THESE ISSUES.
OUR OF FINANCIAL INSTITUTIONS
ARE OR ENSURE THAT ACCOUNT EVEN
EXIST WHEN THIS OCCURS NOT ONLY
IS CONSUMER UNABLE TO RECEIVE
THE ENTITLED FUNDS. THE CONTRACT
WAS FAILED TO MAINTAIN THE
REQUISITE BOND IS A VIOLATION OF
LAW. AB THIRTY ONE TWENTY SIX IS
SUPPORTED BY THE BOARD AND
SUPPORTED BY A BROAD COALITION
OF BUILDERS AND CONTRACTORS
PROFESSIONAL ORGANIZATIONS WITH
ME TODAY IS MICHAEL. JIM NETSKY
WITH THE CONTRACTORS BOARD THANK
YOU AND ASK YOU OUT THANK YOU
VERY MUCH.
KAMINSKY GOOD MORNING THANK YOU.
AS ASSEMBLY MEMBER PRO STATED I
EXISTING LAW DOES REQUIRE
CONTRACTORS TO MAINTAIN A BOND
ON FILE WITH THE S. OF THE TO
MAKE SURE. CONSUMERS OR
EMPLOYEES WHO ARE HARMED ADD BY
THE VIOLATIONS OF THE
CONTRACTORS STATE LICENSE LAW OR
LABOR OUR LABOR AND WAGE
VIOLATIONS OF THE CONTRACTOR ARE
MADE WHOLE. ARE CURRENTLY CSO WE
CANNOT ENSURE THAT THOSE.
PROTECTIONS ARE IN PLACE
BECAUSE OF OUR NUMBERS SHOW A
POINT THREE PERCENT HAVE
CONTRACTORS ARE USING AT VARIOUS
ALTERNATIVES TO BONDS.
THE CURRENT LAW DOES PROVIDE
THAT IN THE CODE OF CIVIL
PROCEDURE THAT THE PRINCIPAL WHO
IS THE LICENSE FEE IN THIS CASE.
I MAY FILE WITH THE OFFICER WHO
IS THE BOARD IN THIS CASE AN
ALTERNATIVE IN LIEU OF VARIOUS
SPINES. AND IT IS THOSE LINES
THAT WE LACKED JURISDICTION OVER
WE CANNOT INSURE THEIR EMPLACED
AND WE'VE SEEN A NUMBER OF
CONSUMERS. TAKE THE CONTRACTED A
CORE AND BE UNABLE TO OBTAIN
THOSE FINES DOES FIND.
BETUL PROCEDURE SECTION DOES
PROVIDE DIED. IN IT IF THERE IS
A STATUTE THAT PRECLUDES THOSE
ALTERNATIVE BOND FROM BEING IN
PLACE THEN THEY'RE NOT REQUIRED
TO BE USED. THERE'S A B. THIRTY
ONE TWENTY SIX WOULD BE SUCH A
STATURE.
WE'RE GOOD THANK YOU. OF OTHER
WITNESSES IN SUPPORT.
WITNESSES IN OPPOSITION.
BRING IT BACK TO THE COMMITTEE
FOR ACQUITTAL WITH EMOTION FROM
SENATOR DODD WOULD YOU LIKE TO
CLOSE AND I JUST RESPECT RUSSIA
YOUR GOOD THANK YOU VERY GOOD
BILL. PLEASE CALL THE ROLL
MOTIONS TO PASS THE SENATE
JUDICIARY COMMITTEE. FELL BY
HILL AYE FULLER AYE FULLER AYE
DODD.
DODD AYE GALGIANI GALGIANI AYE
GLAZER.
THESE ARE I HERNANDEZ WHEN AND
IF I NEWMAN. AND. AND I WILL.
LOOK I.
EIGHT ZERO THE BILL IS OUT
THANKS VERY.
YEAH SO.
THAT CONCLUDES THE.
THE SENATE BUSINESS AND
PROFESSIONS AND ECONOMIC
DEVELOPMENT COMMITTEE HEARING
FOR TODAY THANK YOU