AND ALSO IF THEIR PEOPLE PRISON
RATES THE PRESENT --
YOU CAN MAKE THE WAY OVER AS
WELL.
OTHERWISE JUST WAITING FOR GODOT
.
THE FACT THAT NO I GET THE
ACTUAR ALL DOING STUFF SO
STROKE.
ALRIGHT SO I SEE STERN WINS HERE
SO WE ARE READY TO BEGIN IS
SUBCOMMITTEE SINCE WE HAVE A
PRESENTER [inaudible]
SO.
SO IF THERE'S ANY OF OUR
NUMEROUS.
A BILL AUTHORS [inaudible]
I SEE.
I SEE SOME ARAMBULA YOU READY
[inaudible]
ALRIGHT [inaudible]
WELCOME.
SO WE'RE GONNA GO AHEAD BEGIN
THE SUB SO LETS US.
RIGHT SO IT'S CALLED ORDERED
THIS HEARING THE SENATE
COMMITTEE ON HEALTH --
WELL WELCOME EVERYONE HERE WE
HAVE TWENTY TWO ITEMS ON OUR
AGENDA TODAY THERE FIVE ITEMS ON
THE CONSENT CALENDAR --
THOSE ARE ITEMS NUMBER FOUR AB
ONE SEVEN SEVEN SIX BY SUMMER
STEINORTH --
ITEM NUMBER THIRTEEN SALUTE AB
TWENTY FIVE TWENTY FOUR BY
SUMMER WOULD I NUMBER SEVENTEEN
AB TWENTY SIX SEVENTY NINE BY
SUMMER O'DONNELL.
ITEM NUMBER TWENTY ONE AB TWENTY
NINE SEVENTY SIX BY SUMMER QUIRK
SILVA AND I NUMBER TWENTY TWO AB
THREE THOUSAND SEVEN BY SOME
MEMBER EDUARDO GARCIA.
ALSO ONE AND MAKE NOTE THAT DOES
COMMITTEE MEMBERS COMING AND I'M
A WELCOME MAT CENTER JIM BELL IS
GOING TO JOIN YOUR COMMITTEE.
AND Y. WELCOMES HIM ARAMBULA
THANK YOU SO MUCH FOR BEING HERE
--
WE HAVE FOR YOU ITEM NUMBER TEN
YOU GET.
IF IT PLEASES YOU MISTER CHAIR I
HAVE WITNESSES FOR TWENTY NINE
SIX FIVE BEFORE WE CAN DO THAT
ONE FIRST OKAY YET SO IT'S AN
OKAY SO WE WILL BE HEARING ITEM
NUMBER.
TWENTY AB TWENTY NINE SIXTY FIVE
AS A MEMBER ARAMBULA.
THANK YOU MISTER CHAIR AND
MEMBERS.
I'VE ALWAYS BELIEVED THAT
HEALTHCARE IS A HUMAN RIGHT.
IT IS BECAUSE OF THAT BELIEF
THAT I BECAME A DOCTOR TO CARE
FOR THE RESIDENTS.
ALL OF THE RESIDENTS OF THE
CENTRAL SAN JOAQUIN VALLEY.
AS A DOCTOR I SAW THE CHALLENGES
THAT MANY OF MY PATIENTS FACE
AND ACCESSING AFFORDABLE.
HEALTH CARE THROUGH OUR CURRENT
HEALTHCARE SYSTEM.
PARTICULARLY TO THOSE MOST
VULNERABLE WITHIN OUR
COMMUNITIES.
WE KNOW THAT PEOPLE WITHOUT
INSURANCE ARE LESS LIKELY TO
RECEIVE THE MEDICAL CARE THAT
THEY NEED.
THE FEDERAL INSTITUTE OF
MEDICINE PUT IT SUCCINCTLY.
UNINSURED PEOPLE ARE MORE LIKELY
TO RECEIVE TOO LITTLE CARE AND
TO RECEIVE IT TO WAIT.
AS A RESULT.
THEY ARE SICKER AND DIE SOONER.
I HAVE SEEN THIS FIRST HAND AS I
WAS ON THE FRONT LINES OF HEALTH
CARE AND FEEL THE URGENCY TO FIX
OUR CURRENT HEALTHCARE CRISIS.
AB TWENTY NINE SIXTY FIVE SEEKS
TO EXPAND MEDICAL COVERAGE TO
INCOME ELIGIBLE UNDOCUMENTED
YOUNG ADULTS AGES NINETEEN
THROUGH.
TWENTY FIVE SIMPLY PUT THIS BILL
REMOVES THAT BARRIER TO HELP
ACCESS DUE TO IMMIGRATION STATUS
THAT THE FEDERAL GOVERNMENT HAS
UNJUSTLY IMPOSED.
AB TWENTY NINE SIXTY FIVE WILL
BRING CALIFORNIA ONE STEP CLOSER
TO ENSURING THAT EVERY
CALIFORNIA AND HOW'S
COMPREHENSIVE AFFORDABLE AND
ACCESSIBLE HEALTH CARE.
INOUR RECENTLY CONCLUDED SELECT
COMMITTEE ON HEALTH CARE
DELIVERY SYSTEMS AND UNIVERSAL
COVERAGE WHICH CHAIRMAN WOOD AND
I CO CHAIRED.
HEALTH CARE EXPERTS REITERATED
SEVERAL TIMES BUT A SHORT TERM
STEP TOWARD UNIVERSAL CARE.
ITS TO WORK WITHIN CALIFORNIA'S
CURRENT FRAGMENTED FINANCING
SYSTEM AND TO IMPROVE COVERAGE
TO EXPAND MEDICAL COVERAGE TO
THE UNINSURED.
NEARLY 60% OF CALIFORNIANS
REMAINING UNINSURED POPULATION
WHICH IS NEARLY THREE MILLION
CALIFORNIANS IS UNDOCUMENTED.
ACCORDING TO THE UC REPORT
RELEASED AT THE END OF OUR
SELECT COMMITTEE HEARINGS
EXPANDED ELIGIBILITY TO MEDI
CAL.
TO THIS POPULATION WOULD LIKELY
MAKE SUBSTANTIAL INROADS TOWARD
UNIVERSAL COVERAGE.
OVER THE LAST YEAR WE HAVE
WITNESSED THE BARRAGE OF ATTACKS
ON HEALTH CARE AT THE FEDERAL
LEVEL.
INCLUDING MULTIPLE EFFORTS TO
REPEAL THE ACA AND VARIOUS
ADMINISTRATIVE ACTIONS THAT
UNDERMINED ACCESS TO CARE.
CALIFORNIA HAS WORKED TO SHIELD
OUR STATE FROM THESE ATTACKS TO
THE EXTENT POSSIBLE.
AND WE MUST CONTINUE TO CHAMPION
AND LEAD THE NATION IN BOLD AND
INCLUSIVE POLICIES THAT SUPPORT
THE HEALTH OF OUR COMMUNITIES.
DUE TO ARE UNDOCUMENTED
CALIFORNIANS BEING UNABLE TO
ACCESS HEALTH INSURANCE AND THE
COMPOUNDING FEARS AND CHILLING
AFFECT.
CREATED BY THE FEDERAL
GOVERNMENT THEIR QUALITY OF LIFE
IS NEGATIVELY IMPACTED AND
ADDITIONAL THOMAS ARE CREATING
AN URGENCY TO ENSURE THAT THEY
ARE PROTECTED AND INSURED.
INSTEAD OF BEING ABLE TO RECEIVE
CARE IN A TIMELY MANNER TO
PREVENT ILLNESSES FROM
DETERIORATING MANY UNDOCUMENTED
CALIFORNIANS ONLY ACCESS HEALTH
CARE IN THE EMERGENCY ROOM.
WHERE MANY TIMES PHYSICIANS LIKE
MYSELF ARE NO LONGER ABLE TO
HELP DUE TO THE EXACERBATION OF
THEIR ILLNESS?
I HAVE SEEN COUNTLESS CASES IN
MY EMERGENCY ROOM IN THE CENTRAL
VALLEY IN OUR COUNTRY'S BREAD
BASKET.
WHERE THE FARMWORKERS WHO HELPED
TO PRODUCE THE FRUITS AND
VEGETABLES THAT FILL OUR TABLES
AND FEED OUR FAMILIES ARE UNABLE
TO DO THE SAME FOR THEIR OWN
FAMILIES?
DUE TO THEIR DIRE HEALTH
CIRCUMCISED INSTANCES.
NOT ONLY IS THIS CURRENT STATE
OF AFFAIRS DETRIMENTAL TO THESE
INDIVIDUALS BUT ALSO INCREASES
THE DEMAND ON EMERGENCY ROOM
SERVICES AND INCREASES COSTS.
IT ARE HEALTH CARE SYSTEM
OVERALL IN A MANNER THAT COULD
BE PREVENTED.
WE CAN DO BETTER.
THIS LEGISLATION BUILDS UPON THE
WORK OUR LEGISLATURE IS DONE
WITH HEALTH FOR ALL KIDS WHICH
WAS CHAMPIONED BY SENATOR LOTT
ARE.
WHO I AM PROUD TO BE WORKING
WITH THIS YEAR TO EXPAND TO ALL
LOW INCOME UNDOCUMENTED YOUNG
ADULTS?
THIS BILL ENSURES THAT FULL
SCOPE MEDI CAL CONTINUES TO BE
AVAILABLE TO LOW INCOME YOUNG
ADULTS AS THEY AGE OUT OF
ELIGIBILITY THROUGH HOLDS FOR
ALL KIDS WHEN THEY TURN.
NINETEEN UNDOCUMENTED YOUNG
ADULT CALIFORNIANS FACE THE
BARRIERS OF NOT HAVING HEALTH
CARE WILL ALSO CARING FOR THEIR
AGING PARENTS WHO HAVE WORKED
HARD TO PROVIDE FOR THEIR
CHILDREN.
WE INVEST IN THE HEALTH OF OUR
STATE WHEN WE INVEST IN HEALTH
COVERAGE FOR LOW INCOME
UNDOCUMENTED ADULTS.
COR A FUNDAMENTAL PART OF OUR
WORK FORCE IN OUR COMMUNITIES
AND I HOPE FOR YOUR SUPPORT HERE
TODAY.
HERE TO TESTIFY IN SUPPORT IS
MARY VALDEZ WITH HEALTH ACCESS
SONYA WAS UP BEYOND BORDERS WITH
MISS THAT GUY IN HAND THE AKP.
COMMUNITY ORGANIZING PROJECT AND
CHRIS GO YOU KNOW FOR ANY
TECHNICAL QUESTIONS THAT WE MAY
HAVE [inaudible]
PLEASE PROCEED.
CLEVERNESS DOUGLAS HELLO GOOD
AFTERNOON MISTER CHAIR AND
MEMBERS MY NAME IS SONYA SEE PAN
AND TODAY I AM HERE FOR
THOUSANDS OF AND UP.
YOUTH THAT LIVE IN CALIFORNIA
AND CONTRIBUTE SO MUCH TO OUR
CITY YET REMAIN LOCKED OUT OF
OUR HEALTHCARE SYSTEM.
AS A YOUTH COORDINATOR WITH THE
MISTAKE WHEN THE HENNA COMMUNITY
ORGANIZING PROJECTS I BELIEVE IN
EVERYBODY'S RIGHT TO BE HEALTHY
REGARDLESS OF IMMIGRATION
STATUS.
ORGANIZE YOU TO THEN TAKE YOUR
YOUTH GROUP WE DEVELOPED THE
LEADERSHIP SKILLS OF INDIGENOUS
MEXICAN USE TO PROMOTE
INDIGENOUS PRIDE ENCOURAGE
ACADEMIC ACHIEVEMENT AND
ADVOCATE AGAINST BILLING OF
INDIGENOUS YOUTH.
AB TWENTY NINE SIXTY FIVE IS
CRITICAL YOUNG ADULTS NEED TO
HEAR FROM OUR LEGISLATOR THAT
THEIR HEALTH COVERAGE WON'T BE
RIPPED AWAY ONCE THEY TURN.
NINETEEN TO ILLUSTRATE THE
URGENCY OF THIS BILL I WANT TO
SHARE WITH YOU THE STORY OF AS
ME FLOOR.
AND EMIGRATE USE FROM OXNARD WHO
COULDN'T BE WITH US TODAY.
AS MS IN A DOCUMENT INDIGENOUS
MISTAKE YOUNG WOMAN ORIGINALLY
FROM OAXACA ME HE GOING.
SHE WAS ENROLLED IN MEDICARE OUR
THANKS TO THE HEALTH FOR ALL
KIDS EXPANSION RECENTLY PASSED
IN CALIFORNIA.
CHERISH TO COMPLETE ALL HER
MEDICAL CHECKUPS BEFORE APRIL
TWENTY SECOND OF THIS YEAR
BEFORE HER NINETEENTH BIRTHDAY.
SHOES HOPING TO RECEIVE NO
GLASSES THAT SHE NEEDED IN ORDER
TO A BECAUSE MEDI CAL EXPIRATION
DATE WAS APPROACHING.
AS WE WAS TOLD HER ORDER COULD
NOT BE PROCEEDED IN TIME FOR HER
TO RECEIVE THAT GLASSES.
TODAY WILL STILL IN NEED OF NEW
GLASSES SHE ESTO CONQUERING
SCHOOL LAST WEEK SHE WAS ONE OF
THE FIRST PEOPLE ON HER FAMILY
TO GRADUATE FROM HIGH SCHOOL.
AND WILL ATTEND COMMUNITY
COLLEGE IN THE FALL.
AS ME IS ALSO DEEPLY COMMITTED
TO SERVING HER COMMUNITY SHE HAS
BEEN A LEADER OF THE TECH YOU
USE GROUPS AND SHE WAS.
FIFTEEN TODAY SHE HAS SERVED
OVER TWENTY HOURS OF VOLUNTEER
SHE HAS LED CAMPAIGNS AROUND
PESTICIDE POISONING AWARENESS
FOR FARMWORKERS REPRODUCTIVE
HEALTH WORKSHOPS FOR MOMS AND
DAUGHTERS AND HEALTH JUSTICE.
THE TERM TECHNO DESCRIBES AN
INDIGENOUS PERSONS DESIRING
OBLIGATION TO ASSIST THE
COMMUNITY WHICH AS ME FULLY
EMBODIES.
WITHOUT HEALTH FOR ALL YOUNG
ADULTS THE HEALTH CARE AND
BRIGHT FUTURES OF YOUNG ADULTS
SUCH AS AS ME.
ARE THROWN BACK INTO JEOPARDY.
HER ACCESS TO BASIC PREVENTIVE
SERVICES SUCH AS VISION CARE OR
ESSENTIAL TO AS MISS POTENTIAL
TO EXCEL.
AS MAYES FAMILY IS ALSO IMPACTED
BY THE HEALTH OF THE LACK OF
HEALTH COVERAGE.
AS KNEES MOM AND DAD ARE BOTH
FARMWORKERS THE PICK
STRAWBERRIES IN OXNARD.
WHERE SHE WATCHES HER DAD LIMP
WITH EXCRUCIATING BACK PAIN?
EVERY DAY HER FATHER COMES HOME
WITH INTENSE BACK PAIN AND VERY
LITTLE INCOME TO SHOW FOR IT.
SHE WISHES THERE WERE SOME WAY
SHE COULD HELP HER FATHER.
AS WE SAYS THAT WHAT SHE DID
THING CRY IN FRONT OF HIM AT
NIGHT SHE FINDS HERSELF IN TEARS
BECAUSE SHE FEELS HELPLESS AND
UNABLE TO ADDRESS EITHER HER
FATHER'S.
DEBILITATING PAIN OR HAS UNFAIR
LOW WAGES UNFORTUNATELY AS WE
STORY IS NOT UNIQUE.
STORIES LIKE THESE ARE HAPPENING
ALL AROUND OUR CITY.
INNOVATIVE POLICIES LIKE AB
TWENTY NINE SIXTY FIVE CAN MOVE
CALIFORNIA'S TOOK HEALTHIER MORE
EQUITABLE STATE BY REMOVING
IMMIGRATION STATUS IT AS A
BARRIER TO ACCESS HEALTH
COVERAGE.
WHERE ALL CALIFORNIANS
REGARDLESS OF STATUS AND WE HAVE
THE RIGHT TO BE HEALTHY I URGE
YOU TO SUPPORT AB TWENTY NINE
SIXTY FIVE THINK YOU?
X. MUSTN'T MEDICINE NEXT WITNESS
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS CHRISTOPHER GALLIANO OUT
FROM THE CALIFORNIA GOOD POLICY
CENTER AND PROD CO SPONSOR OF
AB.
TWO NINE SIX FIVE UNRELENTING
FEDERAL ATTACKS ON IMMIGRANTS
AND THEIR FAMILIES ATTACKS LIKE
WHAT WE'RE SEEING --
IN THE HEADLINES TODAY PLACE
IMMIGRANT COMMUNITIES UNDER
INCREDIBLE DURESS AND EVEN TOXIC
STRESS AYE DISRUPTING THEIR
PHYSICAL AND MENTAL WELL BEING.
AN EXASPERATED AND EXACERBATING
THEIR NEED FOR CARE ABOUT THE
NEED FOR COMPREHENSIVE CARE IS
URGENTLY NEEDED FOR ARE
UNDOCUMENTED YOUNG ADULT
CALIFORNIANS AND THEIR FAMILIES
WHO HAVE LONG STANDING TIES TO
OUR STATE.
YET THEY REMAIN LOCKED OUT OF
HEALTH CARE ACCESS BECAUSE OF
THEIR IMMIGRATION STATUS.
WE CANNOT WAIT ANY LONGER FOR
THESE READ SO THAT WE CAN MOVE
FAMILIES TO THIS THROUGHOUT THE
STATE FORWARD.
THANK YOU [inaudible]
NEXT WITNESS.
GOOD AFTERNOON I CHAIRMAN
MEMBERS MADE OUT OF HEALTH
ACCESS CALIFORNIA CO SPONSORS OF
SB SEVEN NINTH AT NINE SEVEN FOR
THE IMPLEMENTATION OF THE
AFFORDABLE CARE ACT BUT HEALTH
COVERAGE TO AN ITCH ADDITIONAL
SEVEN MILLION CALIFORNIANS.
UNFORTUNATELY FEDERAL LAW
EXPLICITLY EXCLUDES UNDOCUMENTED
YOUNG ADULTS AGES NINETEEN
TWENTY FIVE WHO WOULD OTHERWISE
BE ELIGIBLE FOR MEDICARE BUT FOR
THEIR IMMIGRATION STATUS.
IN TWENTY FIFTEEN AS YOU KNOW
CALIFORNIA INVESTED TO PROVIDE
COMPREHENSIVE FULL SCOPE MEDI
CAL TO ALL CHILDREN REGARDLESS
OF WHERE THEY WERE BORN THIS
BILL ENSURES THAT CHILDREN'S
HEALTH COVERAGE ISN'T TAKEN AWAY
FROM THEM WHEN THEY TURN.
NINETEEN AND A RECENT STUDY ON
HEALTH CARE EXPANSION EFFORTS
FOUND THAT ADULTS WHO BECAME
ELIGIBLE FOR PUBLIC HEALTH
INSURANCE AS CHILDREN PAY MORE
TAXES HAVE HIGHER WAGES.
AND THIS SHOWS THAT INVESTING IN
YOUNG ADULTS PROMOTES THE HEALTH
AND ECONOMIC WELL BEING OF OUR
STATE AND CONTINUES THE SUCCESS
OF CALIFORNIA'S EFFORTS TO GET
TO UNIVERSAL COVERAGE.
EVERY CALIFORNIAN BENEFITS WHEN
EVERYONE IS COVERED AND FOR
THESE REASONS WE ASK FOR YOUR
SUPPORT ON AB [inaudible]
TWO NINE SIX FIVE THANK YOU.
AND WE HAVE ADDITIONAL WITNESSES
IN SUPPORT COULD YOU JUST
IDENTIFY YOURSELF AND STATE YOU
ARE IN FAVOR OR OPPOSED OF THE
TURNOUT WOULD BE IN FAVOR.
KIMBERLY CHEN ON BEHALF THE
CALIFORNIA AN ETHICAL THAT WERE
CONCERNED SUPPORT.
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY IN STRONG
SUPPORT.
MICHELLE CUT IT WITH THE SERVICE
EMPLOYEES INTERNATIONAL UNION IN
STRONG SUPPORT.
JENNIFER RALLY WITH CALIFORNIA
ASSOCIATION HEALTH PLANS IN
SUPPORT.
YOU HUNDRED INNOCENTLY HELP OF
TRUE LOVE AND WE ARE IN STRONG
SUPPORT.
THERESA START WITH KAISER
PERMANENTE IN SUPPORT.
MICHELLE EVANS AT THE COUNTY
HEALTH EXECUTIVES ASSOCIATION OF
CALIFORNIA IN SUPPORT.
THE MOST PRIVILEGED HEALTH PLANS
CALIFORNIANS SUPPORT.
MEDIA BORN AMERICAN KARAMEA.
WALLACE CALIFORNIA SCHOOL NURSES
AND SUPPORT.
KELLY BROKE SOME BEHALF OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION AND AUTHOR SANTA
CLARA COUNTY BOARD OF
SUPERVISORS HERE IN SUPPORT.
MARY THERE WITH THE COUNTY
BEHAVIORAL DIRECTORS ASSOCIATION
IN SUPPORT --
SELLING OF OUR WITH THE
CHILDREN'S PARTNERSHIP US WELL
AS THE CALIFORNIA IT --
CHILDREN'S COVERAGE COALITION IN
SUPPORT.
REBECCA GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT.
PER CHILD DISABILITY RIGHTS
CALIFORNIANS SUPPORT.
ANGELINA ASIAN AMERICANS
ADVANCING JUSTICE CALIFORNIANS
CHUNKS PART.
MILLIONAIRES LATINO COALITION
FOR HEALTHY CALIFORNIA IN
SUPPORT.
A DAVID AND SOUTH AMERICA'S
VERSION GROUPS IN SUPPORT.
JIM WEINBERG ON BEHALF OF THE
FRIENDS COMMITTEE ON LEGISLATION
OF CALIFORNIA IN SUPPORT.
PUTTING IN SICK MAY CONSUMERS ON
BEHALF OF CALIFORNIA HEALTH PLUS
ADVOCATES IN THE THIRTEEN
HUNDRED COMMUNITY CLINICS IN
SUPPORT.
TIM AND RIBS IN THE CALIFORNIA
CHAPTER THE RARE BECAUSE
EMERGENCY PHYSICIANS IN SPORT.
MIKE MONTGOMERY CONGRESS OF
CALIFORNIA SENIORS WE SUPPORT
THANK YOU.
BIANCA BLOMQUIST FATHERS OF
MAJORITY IN SUPPORT.
I MEAN IF HE'S BAITING HIM ON
THE WOMAN THE MOTHER AND I AM
SUPPORT AND ALSO BECAUSE I'M ON
THE COMMITTEE THAT BEAT TEXAS.
TYPING WITH THE FACT BECAUSE A
CULTURAL THING.
WEST SAM'S UNITED WAYS OF
CALIFORNIANS SUPPORT THANK YOU.
HI AM CHARITY CONCERT AUTUMN OF
THE HAVING OURS THE COALITION IN
MARIN SUPPORT.
I S. SIMEON GANTA CALIFORNIA
BLACK HEALTH NETWORK IN SUPPORT.
ANYMORE WITNESSES IN SUPPORT.
MANY WITNESSES IN OPPOSITION.
OKAY SAYING NON ASSEMBLYMAN WE
ARE VERY SHORT ON COMMITTEE DOLE
WILL HAVE TO JUST CONTINUE.
WILL WILL GET A MOTION.
WHEN WE GET A COMMITTEE THAT
[inaudible]
FUND [inaudible]
RIGHT.
THE ONLY ONE MORE BLACK.
THEN YOU HAVE NOW TO ANTI. TO
SEVENTY FIVE JUST.
THINKING
.
THANK YOU MISTER CHAIRMAN
MEMBERS. TO BEGIN I WILL BE
TAKING THE COMMITTEES AMENDMENTS
FOR AB.
TWENTY TO SEVENTY FIVE AB TWENTY
TO SEVENTY FIVE REQUIRES THE
DEPARTMENT OF HEALTH CARE
SERVICES. TO ESTABLISH A QUALITY
ASSESSMENT AND PERFORMANCE
IMPROVEMENT PROGRAM TO IMPROVE
THE QUALITY OF HEALTH CARE
SERVICES PROVIDED BY MANAGED
CARE PLANS AND TO REDUCE HEALTH
DISPARITIES.
EXISTING QUALITY IMPROVEMENT
EFFORTS ARE NOT STANDARDIZED
ACROSS PLANS AND DO NOT REQUIRE
SPECIFIC IMPROVEMENTS.
PLANS THAT FAILED TO MEET
MINIMUM STANDARDS FACE
RELATIVELY WEAK CONSEQUENCES BUT
AB DETRIMENTAL IMPACTS FOR THE
INDIVIDUALS THAT ARE IN NEED OF
PROPER HEALTH CARE AND ARE
RELYING ON IT.
WELL DE AGE CS HAS MADE EFFORTS
TO IMPROVE THE QUALITY OF
SERVICES DELIVERED BY MEDI CAL
MANAGED CARE PLANS.
THE RESULTS DO NOT SHOW THE
PROGRESS ANTICIPATED BY THE
AFFORDABLE CARE ACT.
THIS BILL WILL ESTABLISH A NEW
MINIMUM PERFORMANCE LEVEL.
SET TO THE BOTTOM QUARTILE OF
MEDICAID PLANS PERFORMANCE
NATIONWIDE.
SPECIFIC STANDARDS WILL BE
DETERMINED BY A STAKEHOLDER
PROCESS THAT DRIVES QUALITY AND
REDUCES HEALTH DISPARITIES.
FURTHERMORE THIS BILL WILL
ESTABLISH FINANCIAL INCENTIVE
PROGRAMS TO REWARD MANAGED CARE
PLANS THAT MEET PERFORMANCE
TARGETS AND EXCEED THE NEW
MINIMUM PERFORMANCE LEVEL AND
ALSO INCLUDE A DEFINITION OF
HEALTH DISPARITIES.
D. H. CS WILL DEVELOP A PLAN FOR
THE INCENTIVE PROGRAM WITH
IMPLEMENTATION SUBJECT TO
LEGISLATURE LEGISLATIVE
APPROPRIATION OF FUNDS.
WITH THE ESTABLISHMENT OF THIS
QUALITY ASSESSMENT ANY
PERFORMANCE IMPROVEMENT PROGRAM
I HOPE WE CAN REDUCE HEALTH
DISPARITIES WITHIN COMMUNITIES
AND RAISE THE QUALITY OF OUR
HEALTHCARE IN ORDER TO BUILD
HEALTHIER COMMUNITIES.
HERE TO TESTIFY IN SUPPORT IS
KIM CHAN WITH THE CALIFORNIA PAN
ETHNIC HEALTH NETWORK.
AGNOSTICS BAO IN INDEPENDENT
HEALTH POLICY CONSULTANT AND
LINDA WAY WITH THE WESTERN
CENTER ON LAW AND POVERTY
[inaudible]
THANK YOU.
MY NAME IS IGNATIUS BALLYMENA
INDEPENDENT HEALTHCARE POLICY
CONSULTANT I'VE BEEN PRIVILEGED
TO WORK WITH NATIONAL
ORGANIZATIONS LIKE THE NATIONAL
QUALITY FORUM.
THE NATIONAL COMMITTEE FOR
QUALITY ASSURANCE AND HAVE
SERVED ON EXPERT ON ADVISORY
PANELS ON HEALTHCARE QUALITY AND
HEALTH CARE DISPARITIES FOR THE
US DEPARTMENT OF HEALTH AND
HUMAN SERVICES.
THE INSTITUTE OF MEDICINE THE
JOINT COMMISSION AND THE
INSTITUTE FOR HEALTHCARE
IMPROVEMENT.
I'VE ALSO BEEN ABLE TO WORK WITH
MEDICAID PROGRAMS IN STATES SUCH
AS OREGON AND CONNECTICUT.
ON HOW TO IMPROVE THE QUALITY OF
CARE THAT THEY PROVIDE AS WELL
AS TO ADDRESS HEALTH CARE
DISPARITIES.
CALIFORNIA LEADS THE WAY IN MANY
WAYS IN TERMS OF ITS EXPANSION
OF THE MEDICAID PROGRAM HERE.
AND THEN NUMBER OF PEOPLE OF THE
NUMBER OF CALIFORNIANS THAT THE
MEDICARE PROGRAM CURRENTLY
COVERS BUT AS WE KNOW WE NEED TO
GO BEYOND EXPANDING COVERAGE.
AND WE ACTUALLY NEED TO BE
CONCERNED ABOUT THE QUALITY OF
CARE THAT ARE MEDICARE
BENEFICIARIES ARE RECEIVING.
AND SO FOLLOWING IN THE STEPS OF
WHAT IS HAPPENING IN OTHER
STATES.
UP TO A DOZEN STATES ARE
IMPLEMENTING WHAT IS CALLED
VALUE BASED PAYMENT.
IN WHICH QUALITY AND COST ARE
ALSO CONSIDERED IN HOW.
THOSE MEDICAID PROGRAMS ARE RUN
IN THOSE STATES CALIFORNIA HAS A
LONG WAY TO GO.
IN MOVING TOWARDS THESE KINDS OF
VALLEY BE PAID PAYMENT SYSTEMS
IN WHICH THE QUALITY OF CARE AS
WELL AS THE COST OF TEARS.
IS CONSIDERED.
SO THIS BILL ASSEMBLY BILL
TWENTY TO SEVENTY FIVE IS A
REASONABLE WELL THOUGHT OUT STEP
TO HELP MOVE THOSE PLANS OFF OF
THIS VERY LOW MINIMUM
PERFORMANCE LEVEL OF 25%.
OF THE NATIONAL AVERAGE.
WHERE OTHER STATES LIKE OREGON
THAT I'VE WORKED AND SAT?
BOMB QUALITY TARGETS AT 75290%
OF THE NATIONAL AVERAGE AND SO
WHILE WE MAY NOT GET THERE
QUICKLY WE WANT AND KEEP MOVING
OUR MEDICAL PLANS IN THAT
DIRECTION.
WE KNOW THAT THOSE MEDICAL
PLANTS HERE IN THE STATE ALREADY
VOLUNTARILY PARTICIPATE IN
QUALITY IMPROVEMENT ACTIVITIES.
INCLUDING PAY FOR PERFORMANCE
ACTIVITIES THAT ARE TIED TO
PAYMENT.
AND SO WE WANT TO CONTINUE TO
SUPPORT THOSE PLANS IN THAT
MOVEMENT AND SUPPORT THE
DEPARTMENT OF HEALTH CARE
SERVICES IN MOVING IN THAT
DIRECTION SO ONCE AGAIN I URGE
YOUR SUPPORT FOR THIS BILL.
MISTER CHAIR I CAN REALLY CHEN
WITH THE CALIFORNIA PAN ETHNIC
HEALTH NETWORK WERE PLEASED TO
BE A CO SPONSOR ON ASSEMBLY
BILL.
TWO TWO SEVEN FIVE CALIFORNIA
HAS RIGHTLY INVEST IN AN
EXPANDING AND MEDI CAL AND NOW
COVERS ONE IN THREE IN OUR STATE
AND INCLUDES NEARLY HALF OF ALL
CHILDREN CALIFORNIA.
AND OF THOSE MEMBERS NEARLY 80%
ARE ENROLLED IN A MEDICARE
MANAGED CARE PLAN.
AND UNDER THE SYSTEM THE
DEPARTMENT OF HEALTH DELEGATES
WAS ITS ABILITY PROVIDING
HEALTHCARE TO MANAGED CARE
PLANS.
THE RECEIVE MONTHLY PREMIUM FOR
DELIVERING SERVICE SYSTEM TO
ENROLLEES.
THE DEPARTMENT IS CHARGED WITH
MEASURING AND MONITORING THE
QUALITY OF CARE PROVIDED BY THE
MANAGED CARE PLANS AND WHILE
UNDER EXISTING PRACTICES PLANS.
THAT BEFORE POORLY MAY FACE
ENFORCEMENT ACTIONS OF A NUMBER
OF A NUMBER OF A FORCEFUL
ACTIONS WE KNOW THAT BARRIERS TO
BETTER HEALTH STILL EXIST.
AND WE KNOW THAT HEALTH
DISPARITIES PERSISTS FOR
INSTANCE AFRICAN AMERICAN WOMEN
WITH RECENT BIRTHS HAVE HIGHER
RISKS OF COMPLICATIONS
ENDANGERING THEIR HEALTH.
AND THE LOWEST POSTPARTUM VISIT
RATE OF ANY RACE OR ETHNIC GROUP
AND IN MEDI CAL THESE NUMBERS
ARE GETTING WORSE NOT BETTER.
AND THAT'S WHY WE'RE PROUD TO BE
HERE WORKING WITH ASSEMBLY
MEMBER ARAMBULA AND THE WESTERN
TIME CENTER ON LAW AND POVERTY
ON AB TWO TWO SEVEN FIVE A BILL
THAT WOULD RAISE THE
EXPECTATION.
FOR MEDI CAL PLANS PROVIDE
SERVICES CREATE AN INCENTIVE A
PROGRAM.
TO A INCENTIVIZE --
GROWTH AND AND PERFORMANCE
ENSURE THAT WE HAVE THE DATA TO
MAKE EVIDENCE BASED DECISIONS
AND INVITES ALL STAKEHOLDERS TO
THE TABLE AND SITTING NEAR
EXPECTATIONS AS WELL EXCLUDE
DEFINING [inaudible]
HEALTH DISPARITIES.
COVERED CALIFORNIA THE STATE'S
INSURANCE MARKETPLACE HAS
ALREADY MOVED IN THIS DIRECTION
NOW REQUIRE HEALTH PLANS THERE
TO SHOW PROGRESS TOWARD REDUCING
CHRONIC DISEASES.
EVERYONE DESERVES QUALITY
HEALTHCARE AND THE OPPORTUNITY
TO LEAD A HEALTHIER LIFE
REGARDLESS OF OTHER ZIP CODE THE
RACE GENDER OR LET WHAT LANGUAGE
THEY SPEAK.
THIS BILL DOES THAT AND WE ARE
PROUD TO SPORT ENERGI VOTE
[inaudible]
LINDA WAY.
WITH WESTERN CENTER ON LAW AND
POVERTY PROUD CO SPONSOR OF THIS
IMPORTANT MEASURE TED DRIVE
QUALITY IMPROVEMENTS IN THE MEDI
CAL MANAGED CARE PLANS
[inaudible]
THANK YOU [inaudible]
OKAY.
DO YOU HAVE.
ADDITIONAL WITNESSES AND SUPPORT
IDENTIFY YOURSELF.
STATE YOUR POSITION.
ANGELINA WITH ASIAN AMERICANS
ADVANCING JUSTICE CALIFORNIANS
CHUNKS POINT.
AND ASKING HIM ON BEHALF WINNERS
FAMILY PARTNERSHIP HIM PROUD
SUPPORT.
JACQUELINE AREAS WITH THE RP IN
STRONG SUPPORT.
SIMEON GANT CALIFORNIA BLACK
HEALTH NETWORK IN SUPPORT.
DINA MENDELSSOHN CONSUMERS UNION
IN SUPPORT.
MICHELLE EVANS AT THE COUNTY
HEALTH EXECUTIVES ASSOCIATION OF
CALIFORNIA IN SUPPORT.
KATZENBERG HEALTH OFFICERS
ASSOCIATION OF CALIFORNIA AND
SUPPORT.
TIM MADDEN RIVERS IN THE
CALIFORNIA CHAPTER THE AMERICA
BECAUSE EMERGENCY PHYSICIANS IN
SUPPORT.
EVEN KNOWS OF THE LATINO
COALITION FOR HEALTHY CALIFORNIA
IN SUPPORT.
MARY VALDEZ HEALTHAXIS
CALIFORNIA IN SUPPORT.
REBEKAH GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT --
SIGN ARE WITH THE CHILDREN'S
PARTNERSHIP AND THE CHILDREN'S
COVERAGE COALITION IN SUPPORT.
DESKTOP DISABILITY RIGHTS
CALIFORNIA IN SUPPORT.
CHRISTOPHER GALLIANO FROM THE
CALIFORNIA GOOD POLICY CENTER IN
SUPPORT.
CARE THE KENSHIN ADAM WITH THE
HAVING AS A COALITION AND
SUPPORT.
ANY FURTHER WITNESSES IN SUPPORT
[inaudible]
OPPOSITION
.
TOM GOOD AFTERNOON MEMBERS OF
THE COMMITTEE MY NAME IS SHOT OF
RALLY AND I'M WITH THE
CALIFORNIA ASSOCIATION HEALTH
PLANS.
REPRESENTING FORTY NINE PUBLIC
AND PRIVATE ORGANIZATIONS THAT
COLLECTIVELY PROVIDE HEALTH CARE
COVERAGE TO TWENTY SIX MILLION
CALIFORNIANS WE RESPECTFULLY
OPPOSE AB. TWO TWO SEVEN FIVE
TWO DUDES ADMINISTRATIVELY
BURDENSOME AND COSTLY BILL THAT
IS EXCESSIVE AND DUPLICATE
DUPLICATIVE OF CURRENT MEDI CAL
MANAGED CARE PLAN QUALITY
EFFORTS.
CAPS MEDI CAL MANAGED CARE
MEMBERS PARTICIPATE IN THE
DEPARTMENT HEALTH CARE SERVICES
MEDI CAL MANAGED CARE.
QUALITY STRATEGY PROCESS THE
STRATEGY WAS DEVELOPED AFTER THE
DEPARTMENT RECEIVED FEEDBACK
FROM THE QUARTERLY STAKEHOLDER
ADVISORY GROUP COMMITTEE
MEETINGS THAT INCLUDES CONSUMERS
AND MEDICARE MANAGED CARE PLANS.
UNDER THE CURRENT PROGRAM THE
DEPARTMENT COORDINATES A
COMPREHENSIVE REVIEW AND UPDATES
EXISTING QUALITY STRATEGY
PROCESS EVERY THREE YEARS.
THIS ROBUST PUT ROBUST PROCESS
ALLOWS FOR THE BUILDING ONTO
PART OF YOUR STRATEGIES FOR
EVALUATING MEDI CAL MANAGED CARE
PERFORMANCE.
UPDATING PROGRESS TOWARDS
MEASURABLE OBJECTIVES FOR KEY
INDICATORS.
ESTABLISHING NEW TARGETS FOR
IMPROVEMENT ASSESSING PASSED
INTERVENTIONS INTRODUCING FUTURE
INTERVENTIONS AND DESCRIBING
CHANGES IN SERVICE DELIVERY.
CONTRACTUAL STANDARDS AND
ENHANCING OVERSIGHT AND
MONITORING OF MEDI CAL MANAGED
CARE PLANS.
AND TWO THOUSAND SIXTEEN THE
DEPARTMENT SUBMITTED A
COMPREHENSIVE MEDI CAL MANAGED
CARE.
QUALITY STRATEGY REPORT TO SEE A
MASS AS REQUIRED BY THE MEDICAID
MANAGED CARE OF REGULATIONS.
THEY RELEASED THEIR LATEST DRAFT
REPORT IN MARCH OF THIS YEAR.
FOR PUBLIC COMMENT AND
SPECIFICALLY INCLUDED A SECTION
REGARDING.
THE REDUCTION OF HEALTH
DISPARITIES.
CAPS MEMBER PLANS LOOK FORWARD
TO WORKING CLOSELY WITH THE A CS
ANOTHER STAY CLOSE THROUGHOUT
THE QUALITY IMPROVEMENT PROGRAM
PROCESSES.
MEDI CAL MANAGED CARE PROGRAMS
USE HEATERS TO MEASURE
PERFORMANCE THEY ALSO
PARTICIPATE IN THE CAPS STUDY.
AND HE JUST MEASURES ARE VERY
SPECIFIC THAT FLOW MONITOR.
ON A WIDE VARIETY OF HEALTH
OUTCOMES AND INCLUDING
DISPARITIES.
I'M I'M AVAILABLE FOR ANY
ADDITIONAL QUESTIONS THANK YOU
[inaudible]
ADDITIONAL WITNESSES
[inaudible]
IN OPPOSITION.
KATIE HEIGHT ON WITH HEALTH NET
OPPOSITION [inaudible]
THANK YOU [inaudible]
WE STILL.
I DO NOT HAVE A EVEN CLOSE TO A
QUORUM.
I APOLOGIZE.
A NOTE ON THIS AT A IT IS THIS
VALUE BASED CONCEPT.
STATUTORILY REQUIRED NOW.
OR APPLIED IN ANY MANNER OR WAY
[inaudible]
VALUE BASED.
UP MISTER CHAIR IF I MAY.
THE STATUS QUO RIGHT NOW IS IS
NOT ENOUGH TO DRIVE
COMPREHENSIVE QUALITY
IMPROVEMENTS AND DISPARITY
REDUCTIONS.
CURRENTLY THE PLANS ONLY FACE
ADVERSE CONSEQUENCES WHEN THEY
FAIL TO MEET THE MINIMUM
PERFORMANCE LEVELS.
HERE ARE FEW REWARDS OR
CONSEQUENCES FOR PLANS THAT MEET
CERTAIN QUALITY BENCHMARKS THAT
THE DEPARTMENT SETS OUTSIDE OF
THE MINIMUM PERFORMANCE LEVEL.
WELL ONE OF THE CONCERNS THAT
I'VE NOT GOING TO DELVE INTO.
TOO DEEPLY BECAUSE WE'LL GET TO
THAT IN THE FISCAL COMMITTEE.
BUT THIS COULD SEEM TO ME
DIRECTING US TOWARDS A BLANK
CHECK APPROACH.
THE HEALTH CARE.
THERE ANYTHING ANYBODY WOULD
LIKE.
WOULD HAVE TO BE FUNDED.
IT MY LOOKING AT THAT WRONG.
I WOULD ACTUALLY APPROACH IT
FROM ADIFFERENT WAY I WOULD SAY
THAT THERE ARE A QUARTER OF THE
FAT PLANS THAT ARE NOT MEETING
THE MINIMUM PERFORMANCE LEVEL.
PEOPLE WHO HAVE INSURANCE WHO
AREN'T ABLE TO ACCESS IT.
WE DON' SEE ANY REDUCTION IN
DISPARITIES BASED ON THE FACTORS
THAT WE ARE.
DISCUSSING AND IF THAT'S
ACCEPTABLE SERVE THEM THAT'S A
CHOICE THAT YOU CAN MAKE.
BUT HAVING PRACTICED I'D TRY TO
FIGHT FOR ALL OF MY PATIENTS AND
I'M TRYING TO FIGURE OUT HOW WE
CAN INCENTIVIZE APPROPRIATE
BEHAVIOR.
AND I BELIEVE WE HAVE TO START
ASKING THE TOUGH QUESTIONS
COLLECTING THE DATA SO WE CAN
THEN.
MAKE SURE WERE PROVIDING THE
APPROPRIATE RESOURCES WHEN
NEEDED.
THAT IS THE OFFICE OF MANAGED
CARE THAN FAILING.
I WOULD.
I WOULD SAY THAT THE MANAGED
CARE PLANS --
CERTAIN OF THEM ARE NOT MEETING
EXPECTATIONS I TALKED ABOUT THE
DEPARTMENT.
WELL I THINK THE DEPARTMENT
ITSELF IS DOING AN EXCELLENT JOB
AT INCREASING THE NUMBER OF
PEOPLE WHO ARE COVERED HERE IN
OUR STATE.
AND YET WE BOTH MUST LOOK AT HOW
WE ARE COVERING PEOPLE IN
ENSURING THAT THERE'S QUALITY IN
THE COVERAGE THAT THEY HAVE AS
WELL inaudible]
I UNDERSTAND.
BUT THERE ARE SOME SIGNIFICANT
FISCAL QUESTIONS.
AND I THINK MAYBE COULD YOU
RESPOND TO THE DUPLICATIVE
ARGUMENTS.
SURE I DID AGAIN JUST WANT TO
SAY I DON'T THINK THE STATUS QUO
RIGHT NOW IS ENOUGH.
I THINK THAT WE ARE NOT
COLLECTING ENOUGH DATA ON THE
POINTS THAT WE ARE ASKING THAT
THE METRICS THAT WE ARE PUSHING
ARE.
NOT BEING THEIR SCATTERSHOT
THEY'RE DEPENDENT UPON THE PLANS
WERE SITE LOOMING OF
INFORMATION.
WHAT WE'RE ATTEMPTING TO DO IS
HAVE A UNIVERSAL?
LOT METRICS THAT WE CAN TRACK IT
PLANS ARE MEETING MINIMUM
PERFORMANCE LEVELS JUST LIKE WE
WOULD DO WITH ANY OTHER INDUSTRY
WE WANT TO MAKE SURE.
THAT THEY ARE MEETING METRICS
AND CONTINUING TO IMPROVE AND
THAT WE HAVE MECHANISMS TO HELP
BOTH PROVIDE INCENTIVES. TO GET
THEM TO INCREASE.
COVERAGE BY REDUCING
DISPARITIES.
IF I PLACE GLAD. TO ADDRESS YEAR
A QUESTION CENTER --
I DON'T THINK IT'S DUPLICATIVE
--
WE ARE BRINGING TOGETHER AS THE
AUTHOR SEATED A COMPREHENSIVE
STRATEGY AROUND THIS AND JUST ON
ONE PARTICULAR NOTE ON THE
HEALTH DISPARITIES --
TO STRATEGY YES IT IS INCLUDED
IN THE QUALITY OF STRATEGY BUT
IT'S PLAN BY PLANTS A PLAN AGE
CHOOSES TO WORK ON ASTHMA.
PLAN ME BE WORKS ON DIABETES
PLANS HE WORKS ON MAYBE
HYPERTENSION ALL GOOD THINGS.
NO DOUBT.
BUT HOW ARE WE GETTING A
COMPREHENSIVE LOOK AT THE
POPULATION HEALTH THROUGHOUT THE
STATE ACROSS EVEN MAYBE
POPULATIONS WITHIN THE PLANTS I
THINK WHAT WE'RE ASKING FOR IS A
MORE COMPREHENSIVE LOOK SO THAT
WE CAN HAVE A COMPARISON.
APPLES TO APPLES NOT JUST APPLES
TO ORANGES COMPREHENSIVE PLAN OR
AN EXCLUSIVITY [inaudible]
MEETING.
THIS PLAN IS REQUIRED TO DO
THESE THINGS BY STATE LAW THIS
CREEK ARE TO DO THESE THINGS BY
STATE LAW.
AS THE OBJECTIVE OF THE BILL
WE'VE DEFINED WHAT THE
DISPARITIES ARE AND THEY ARE
GEOGRAPHIC REGION.
DISABILITY STATUS SEXUAL
ORIENTATION AND GENDER IDENTITY.
THOSE DISPARITIES ARE NOT
UNIVERSALLY COLLECTED ACROSS ALL
OF THE PLANS AND OUR HOPE IS BY
COLLECTING IT AT A STATEWIDE
LEVEL WE CAN NOW IDENTIFY
DISPARITIES AND AREAS THAT MAY
NEED FUTURE INCENTIVE IS NATION.
TO MAKE SURE THAT WE CAN REDUCE
THOSE DISPARITIES AND INCREASE
THE QUALITY OF CARE.
WHAT WOULD BE THE NEXT STEP IN
YOUR CONCEPT FOR THIS BILL TO
PASS [inaudible]
WHAT ADDITIONAL?
LEGISLATION WOULD BE REQUIRED.
I ACCOMPLISH YOUR GOALS I THINK
MOST IMPORTANTLY WOULD BE
WORKING WITH TEACH CS ON THE
INCENTIVE IS ASIAN PROGRAM. TO
MAKE SURE I MEAN THERE ARE
FURTHER STEPS.
TRUTHFULLY TO MAKE SURE THAT
THIS WOULD BE IMPLEMENTED
CORRECTLY AND I'M QUITE
INTERESTED AND WORKING WITH THE
DEPARTMENT AND STAKEHOLDERS WHO
ARE HERE. TO MAKE SURE THAT AS
THIS IS BEING ROLLED OUT THAT
WERE MAKING SURE IT'S BEING DONE
IN A RESPONSIBLE FASHION.
BOB BUT IT'S GOING TO TAKE QUITE
A BIT OF WORK TO LOOK AT THE
INCENTIVE IS ASIAN. TO IMPROVE
AND TAKE PEOPLE OUT OF THAT
MINIMUM PERFORMANCE LEVEL AND
REALLY WOULD LOOK TO WORKING
WITH THE DEPARTMENT TO FIGURE
OUT HOW TO DO THAT PASSED.
AND HOW DO YOU DETERMINE IN ANY
GIVEN AREA THEN THE MINIMUM
LEVEL HOUSE AT DETERMINE WE SET
IT AT 25% OF THE NATIONAL
MINIMUM PERFORMANCE NO NO BUT
I'VE TAKEN PROSPECTIVELY THAT
YOU DO YOU'RE GOING IN SOME
DIRECTION.
ASSEMBLY ARAMBULA SO WHERE ARE
WE HEADED FROM WHERE WE'RE AT
NOW I GUESS THAT'S MY QUESTION.
IF I MAY UM WE ARE ASKING THE
DEPARTMENT TO GO BACK AND LOOK
AT THAT MINIMUM PERFORMANCE
LEVEL AND WE DON'T THINK IT'S
APPROPRIATE TO SET THAT NUMBER
IN STATUTE BECAUSE IT MAY CHANGE
BUT WHAT WE'VE PROVIDED THE
LEGISLATION IS BENCHMARKS OF
THINGS THAT YOU SHOULD BE
LOOKING AT LOOKING.
AT WHAT THE FIFTIETH PERCENTILE
--
ACROSS PLANTS NATIONALLY MIGHT
BE LOOKING AT HOW OTHER PLANTS
THAT ARE NOT MEDICAL PLANS ARE
DOING TO THAT THERE'S A LEVEL OF
COMPOUND COMPATIBILITY SO THAT
WE'RE NOT JUST PICKING A NUMBER%
IN SAYING WELL THAT'S WHAT IT IS
--
AND WE WENT THINK IT'S
APPROPRIATE TO PICK NUMBER PUT
IT IN STATURE BECAUSE THINGS
CHANGE BUT WE'RE PUTTING HIS
GUARD RAILS OF HERE ARE THINGS
YOU MAY LOOK AT BUT ULTIMATELY
WILL BE UP TO THE DEPARTMENT.
IN CONVERSATION WITH THE
STAKEHOLDERS SENATOR WE HAVE --
ADDED LANGUAGE IN THE BILL THAT
SAYS YES THAT LET THE THE
DEPARTMENT NEEDS TO COME BACK TO
THE LEGISLATURE TO ASK FOR THE
FUNDING FOR ADDITIONAL FUNDING
IF IT THEY'D ALREADY HAVE IT --
TOO IMPLEMENT SOME OF THESE
INCENTIVE --
UP PROJECTS OR PROGRAMS THAT
THEY MAY COME UP WITH.
BUT THAT'S A BIT OF FISCAL ISSUE
THAT WILL HAVE TO BE EXAMINED --
BECAUSE WE DO HAVE FISCAL
LIMITATIONS AND AT THE LAST
PROPOSAL I BELIEVE WAS REJECTED
IN CONFERENCE COMMITTEE OR AND
FIFTH ALREADY.
SO -- WE WE
HAVE TO BE A LITTLE CAREFUL AND
PRUDENT BUT WE'LL DISCUSS THAT
IN.
THE APPROPRIATIONS COMMITTEE
WOULD YOU LIKE TO GIVE A CLOSE
ON THIS ASSEMBLY LINE.
I THINK IT'S IMPORTANT FOR OUR
STATE TO BOTH INCREASE COVERAGE
AND IMPROVE UPON QUALITY.
AND IT WILL TAKE ALL OF US
TOGETHER WITH STAKEHOLDERS AND
CONSUMERS TO ADVOCATE FOR OUR
COMMUNITIES I BELIEVE THAT THIS
MEASURE IS A MODEST PROPOSAL TO
MOVE US DOWN THAT PATH.
AND HOPE WHEN THE COMMITTEE IS
TOGETHER THAT WE CAN GET
SUPPORT.
FOR I THANK YOU SIR AND I
APOLOGIZE TO WE HAVE.
TO THE TO GO AHEAD WOULDN'T HAVE
TO BRING UP FOR THE MOTIONS.
LATER BUT WILL HAVE TO GET A
COMMITTEE HERE THAT MUCH
[inaudible]
YEAH.
ASSEMBLY MEMBER WHAT PLEASE.
FIVE NINETY FIVE SIR.
THANKS VERY MUCH MISTER CHAIRMAN
SENATORS --
FIRST OF ALL A FIRST BEFORE YOU
--
YOU ARE AMENDMENTS THAT I WILL
TAKE THAT WILL BE TAKEN IN
SENATE JUDICIARY --
FOR THE BILL PASSED OUT OF THIS
COMMITTEE AND DO SOME OF THE
FOLLOWING --
EXCEPT TECHNICAL AMENDMENTS AND
CLARIFY THAT THERE IS NO
INADVERTENT NARROWING OF THE
DEPARTMENT OF MANAGED HEALTHCARE
IS AUTHORITY.
STRIKE OUT QUALITY AND HEALTH OF
THE DISPARITIES PROVISIONS FROM
THIS BILL.
ADD A PROVISION THAT THE
DEPARTMENT OF MANAGED HEALTHCARE
DIRECTOR OBTAIN AN INDEPENDENT
ANALYSIS OF THE IMPACT OF THE
TRANSACTION --
UPON SUBSCRIBERS IN RELEASE AND
THE STABILITY OF HEALTH CARE AND
OF THE HEALTH HEALTH CARE
DELIVERY SYSTEM.
AND FINALLY TO REQUIRE THE
DEPARTMENT MANAGE HEALTH CARE TO
HOLD A PUBLIC HEARING ON THE
PROPOSED TRANSACTION.
CALIFORNIA'S HEALTH INSURANCE
MARKETS ALREADY VERY
CONCENTRATED EIGHTY FIVE NINETY
FIVE REQUIRES PRIOR APPROVAL BY
THE DEPARTMENT OF MANAGED
HEALTHCARE FOR HEALTH PLAN
MERGERS.
CONSOLIDATION IN THE HEALTH
INSURANCE OFFICE --
INDUSTRYCAN OFTEN MEAN FEWER
CHOICES.
AND COMPETITION WITH LITTLE TO
NO BENEFIT FOR CONSUMERS ARE
PURCHASERS THIS BILL IS
IMPORTANT ESPECIALLY IN A RURAL
DISTRICT LIKE MINE IN WHICH
THERE ARE MAY ONLY BE A FEW
OPTIONS.
AND POTENTIALLY LESS ACCESS TO
HEALTH CARE SERVICES GIVEN THESE
FACTORS THE DEPARTMENT MANAGE
HEALTH CARE MUST CRITICALLY
EVALUATE SIGNIFICANT CHANGES IN
THE HEALTH PLAN MARKET.
ESPECIALLY IF THE TRANSACTION
WILL IMPACT CONSUMERS POTENTIAL
IN THE FOR FORM OF FEWER CHOICES
AND HIGHER PRICES.
WITH ME TODAY ARE TWO WITNESSES
IN SUPPORT BETH CAPELL WITH OUR
SPONSORS SITE HEALTHAXIS
CALIFORNIA ANTENA MENDELSSOHN
WITH CONSUMERS UNION.
BETH CAPELL ON BEHALF OF HEALTH
ACCESS CALIFORNIA HERE IS A
SPONSOR AND IN SUPPORT OF THIS
MEASURE.
I'M GOING TO RATTLE OFF A FEW OF
THE RECENT HEALTH PLAN MERGERS
THAT WE'VE SEEN BLUE SHIELD CARE
FIRST SEVENTEEN HEALTH NET AETNA
HUMANA.
ANTHEMS CIGNA AND PENDING RIGHT
NOW ETHNICITY VS THESE ARE MAJOR
MERGERS OF HEALTH PLANS THAT WE
HAVE.
SEEN CONTEMPLATE IN THE LAST FEW
YEARS SOME HAVE PROCEED BEEN
BLOCKED BY THE FEDERAL
DEPARTMENT OF JUSTICE.
OTHERS HAVE GONE FORWARD AT WHAT
ARE THE IMPLICATIONS OF A CVS AT
NUMBER JR I THINK OF CVS AS A
PHARMACY IN MAYBE AS A PHARMACY
BENEFIT MANAGER.
WHAT SHOULD DIEM H. C. LOOK?
FOR SHOULD THEY LOOK WHAT SHOULD
THEY LOOK AT IN TERMS OF
FINANCIAL SOLVENCY IMPLICATIONS
WHAT ABOUT THE IMPLICATIONS FOR
MARKETS BUT STABILITY.
WHAT ABOUT COMPLIANCE WITH
CALIFORNIA CONSUMER PROTECTIONS
ON DRUG MANAGEMENT AND
FORMULARIES?
CENTENE HEALTH NOT A MERGER THAT
HAS GONE FORWARD ALSO RAISE
QUESTIONS FOR US AND TING WAS
PRIMARILY.
A MEDICAID MANAGED CARE PLAN BUT
HEALTH NET HAD A VERY IMPORTANT
PRESENCE IN CALIFORNIA'S
EMPLOYER COVERAGE MARKET.
WOOD DECK CONTINUE WHAT ABOUT
THE INDIVDUAL MARKET WHICH
HEALTH NET HAD EXITED SOME YEARS
AGO IN THE MIDST OF THE
RECESSION SCANDAL AND THEN
REENTERED POST A CA WITH THE
CONTINUE TO BE IN THE INDIVIDUAL
MARKET.
THE DEPARTMENT OF MANAGED
HEALTHCARE TODAY REGULATES ABOUT
96% OF THE COVERAGE REGULAR.
REGULATED BY THE STATE OF
CALIFORNIA.
TODAY THE DEPARTMENT OF MANAGED
HEALTHCARE LACKS THE AUTHORITY
TO SAY.
YES.
NO OR YES WITH CONDITIONS TO A
MERGER WITH THE MOST BASIC THING
THIS BILL DOES IS TO GIVE THAT
AUTHORITY TO THE DEPARTMENT OF
MANAGED HEALTHCARE.
SO THAT THEY THEY HAVE ATTEMPTED
TO OVERSEE MERGERS USING THEIR
GENERAL REGULATORY AUTHORITY AS
MISS MENDELSSOHN WILL DESCRIBE
THEIR DIDN'T LIMITS TO THAT.
OUR VIEW IS THAT HEALTH PLAN
SHOULD NOT GET BIGGER WITHOUT
GETTING BETTER AND BETTER WE
HEAR FROM THEM IN THESE MERGER
MEETING MERGER PUBLIC MEETINGS
ABOUT ALL THE GREAT THINGS ARE
GONNA HAPPEN.
WOULD LIKE THE DEPARTMENT HAVE
THE ABILITY TO ENSURE THAT ALL
THE GOOD THINGS THAT THEY
PROMESAS WILL IN FACT HAPPEN IS
THE MERC IF A MERGER PROCEEDS.
FOR THOSE REASONS WERE IN
SUPPORT OF THE MEASURE.
NEXT WITNESS PLACE.
GOOD AFTERNOON MEMBERS OF THE
COMMITTEE MY NAME ATHENA
MENDELSSOHN I'M A SENIOR
ATTORNEY AT CONSUMERS UNION THE
ABDUCTEE DIVISION OF CONSUMER
REPORTS.
IN OUR ADVOCATING FOR HEALTHCARE
CONSUMERS THE MERGER OF HEALTH
PLANS IS ALWAYS A CONCERN.
WE SUPPORT A. B. FIVE NINETY
FIVE BECAUSE IT WOULD GIVE
DAMAGE SEE CLEAR AUTHORITY TO
BLOCK HEALTH PLAN MERGERS THAT
ARE LIKELY TO BE DETRIMENTAL TO
CONSUMERS OF THE HEALTHCARE
SYSTEM.
CALIFORNIA HAS RECENTLY
WITNESSED A BOOM IN MERGERS IN
THE HEALTH SECTOR.
IS CRITICALLY IMPORTANT THAT THE
DEPARTMENT MATTER TALK CARE HAVE
CLEAR AND ROBUST AUTHORITY OVER
PROPOSED HEALTH PLAN MERGERS.
AND THAT THEY BE EMPOWERED TO
CONSIDER WHETHER THE ENTITY IT'S
INTENDING TO MERGE HAVE
DEMONSTRATED THAT THE PROPOSED
MERGER IS NOT CONTRARY TO THE
PUBLIC INTEREST.
THE DEPARTMENT MUST ALSO BE ABLE
TO HOLD HEALTH PLANS ACCOUNTABLE
AND TO ENSURE THE QUESTION OF A
MERGER DO NOT TAKE PLACE.
OVER THE YEARS THE DEPARTMENT
HAS PLAYED AN ACTIVE ROLE IN
REVIEWING PROPOSED MERGERS.
CONSUMERS UNION HEALTH ACCESS
AND OTHER CONSUMER GROUPS.
I'VE TAKEN THE OPPORTUNITY TO
PARTICIPATE THROUGH BOTH ORAL
AND WRITTEN TESTIMONIES.
ALTHOUGH DEAR MEETS YOU HOLD
PUBLIC MEETINGS TO EXPLORE THE
POTENTIAL RAMIFICATIONS OF
PROPOSED MERGERS.
OVER THE PAST FEW YEARS THE
DEPARTMENT DID NOT HAVE THE
SPECIFIC AUTHORITY TO MAKE A
THIRD VIEW ABOUT HOW NEWLY
MERGED PLAN WOULD AFFECT THE
MARKET.
AND HOW IT WOULD AFFECT
CONSUMERS AS WELL THAT THEY
WOULD BE ABLE TO UNDER AB.
FIVE NINETY FIVE NOR DID THEY
HAVE THE AUTHORITY TO BLOCK THE
MERGER.
IF ENACTED THIS BILL WOULD GIVE
DE ENMITY AUTHORITY TO DENY A
PROPOSED MERGER.
IN SOME CASES AND OUTRIGHT
DENIAL IT'S THE ONLY WAY TO
PROTECT CONSUMERS PROVIDERS AND
THE BROADER HEALTHCARE MARKET IN
CALIFORNIA.
IN THE ABSENCE OF THE ABILITY TO
DENY SUCH A MERGER DMA STEVE
MUCH RELY ON IMPOSING CONDITIONS
ON THE MERGER TO ADDRESS
SHORTCOMINGS.
BUT WHILE SUCH CONDITIONS KNOWN
AS UNDERTAKING VERY GOOD TOOLS
TO EXTRACT IMPORTING COMMITMENT
FROM THE PLANS.
IN CASE UBER CONSUMERS WILL BE
HURT BY A MERGER UNDERTAKING
COME SHORT.
AND WHEN THEY FAIL MERGERS
CANNOT BE UNDONE.
IN THE FAITH OF A PROPOSED MEGA
MERGER THE MEATY HAD DONE THE
BEST I COULD WITH THE AUTHORITY
THAT IT HAS.
WE ARE CONFIDENT THAT WOULD AB
FIVE NINETY FIVE IN PLACE.
THE DEPARTMENT OVERSIGHT
AUTHORITY WILL BE ON FIRMER
GROUND AND CALIFORNIANS WILL BE
THE BETTER FOR IT.
THANK YOU [inaudible]
YEAH.
ADDITIONAL WITNESSES AND SUPPORT
PLEASE IDENTIFY YOURSELVES AND
STATE YOUR POSITION.
SHARE MEMBERS SARAH FLOCKS
CALIFORNIA LABOR FEDERATION IN
SUPPORT.
WHICH OF THE CALIFORNIA PAN
NOTHING HEALTH NUMBER CAN SPORT.
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY IN SUPPORT.
CHRISTOPHER GO IN FROM THE
CALIFORNIA IMMIGRANT POLICY
CENTER IN SUPPORT.
MUNICIPAL TINA COALITION FOR
HEALTHY CALIFORNIA IN SUPPORT.
REBEKAH GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT.
MIKE MONTGOMERY CONGRESS OF
CALIFORNIA SENIORS IN SUPPORT OF
THE BILL [inaudible]
THANK YOU.
DO WE HAVE ANY WITNESSES IN
OPPOSITION.
THANK YOU MISTER CHAIR AND
MEMBERS.
BUT NICK LOUISE US WITH THE
CALIFORNIA ASSOCIATION OF HEALTH
PLANS -- WE
RESPECTFULLY OPPOSE EIGHTY FIVE
NINETY FIVE UNLESS IT IS
AMENDED.
NOW WE DO WANT TO AKNOWLEDGE
TODAY WE DID RECEIVE AMENDMENTS
I'M LATE THIS MORNING.
SO.
WE HAVE HAD THE PROPER TIME TO
ABSORB THE THE CHANGES THAT ARE
BEING PROPOSED TO THE BILL NOR
DO WE HAVE FEEDBACK COME FROM
MANY OF OUR MEMBERS YET SO.
I'M TRYING TO INCORPORATE THE
CHANGES THAT HAVE BEEN OFFERED
IN TWO OF MY COMMENTS BUT I'M
THAT MIGHT TESTIMONY WILL
LARGELY REFLECT THE BILL IN
TRAINS -- AS
ON THE AMENDMENTS ART ARE.
THE FACT THAT AMENDMENTS HAVE
BEEN OFFERED IN THE AT LEAST --
LOOK LIKE WE ATTEMPT TO ADDRESS
SOME OF THE CONCERNS --
THAT WE HAVE A RAISED WITH THE
BILL.
BUT FUNDAMENTALLY WHILE WE
DON'T.
NECESSARILY SEE YOU NEED FOR THE
BILL SENSE MERGERS ACQUISITIONS
AND RELATED TRANSACTIONS ARE
ALREADY SUBJECT TO REVIEW.
ON THROUGH THE MATERIAL
MODIFICATION OF LICENSURE PROPER
PROCESS.
AND WE HAVE TRIED TO OFFER SOME
CONSTRUCTIVE FEEDBACK AND
AMENDMENTS SO THAT THE BILL
DOESN'T ENACT UNREASONABLE.
BARRIERS ADMINISTRATION INTO
LAYS A TO THE EXISTING PROCESS
--
ESSENTIALLY OUR AMENDMENT
REQUEST CENTER FEEDBACK COME
HAVE LARGELY --
DOT BEEN INSPIRED BY THE FACT
THAT THE D. IMAGE SEIZE USE OF
UNDERTAKINGS IS IS A PRACTICE
THAT IS NOT SUPPORTED
STATUTORILY.
AND IS SUBJECT TO CURRENTLY TO
DELIBERATION BY THE IN INVOLVED
PARTIES --
PROVISIONS THAT WE HAVE --
FOUND ISSUE WITH --
WE BELIEVE COULD LEAD STATE
REGULATORS TO MAKE AGGRESSIVE
UNILATERAL DEMANDS FOR
COMMITMENTS AND COSTLY CHANGES
IN PLAN POLICIES.
PRACTICES AND MANAGEMENT AND ASK
FOR CERTAIN LANGUAGE IN THIS
BILL TO BE REMOVED --
FOR THOSE REASONS --
ONE OF THE AREAS THAT DOES NOT
LOOK TO BE.
ADDRESSED IN THE AMENDMENTS ARE
WERE OFFERED TODAY ON IS THE
SUBSECTION THAT AUTHORIZES THE
DIEM EACH CD REVIEW.
TRANSACTIONS BASED ON THEIR
IMPACT ON ON COMPETITION --
THE TEAMMATES SEE DOES NOT
CURRENTLY HAVE THIS EXPRESS
THEIR ORDEAL THOUGH ARGUABLY OF
THROUGH THE LICENSURE PROCESS ON
THE DO YOU --
LOOK AT THIS --
WE DON'T BELIEVE THAT THEY HAD
CURRENTLY HAVE THE EXPERTISE.
TO MAKE THIS DETERMINATION --
IT'S ALSO VERY UNCLEAR WHAT
STANDARDS DO YOU MAY SEE WOULD
USE A TO DETERMINE WHAT A
SUBSTANTIAL LESSENING OF
COMPETITION WOULD LOOK LIKE --
THIS ADDITIONAL PROCESS
REQUIREMENT --
WOULD LIKELY CAUSE CAUSE FURTHER
DELAYS IN THE APPROVAL OF A
TRANSACTION AND WOULD PROVIDE
YOU MAY SEE WHAT SPECIFIC
AUTHORITY TO DISAPPROVE A CHANGE
OF CONTROL FILING.
A WHICH IS NOT HAVE TODAY SO
KILLER PROVISION OF THE BILL BE
REMOVED AS WELL --
WE DO TAKE THE ISSUE OF MARKET
CONSOLIDATION SERIOUSLY --
YOU EXPERTS HAVE TESTIFIED
INFORMATIONAL HEARINGS THIS YEAR
--
IN IN IN IN THE ASSEMBLY SELECT
COMMITTEE PROCESS HAVE STATED.
THAT THERE IS SOME EVIDENCE TO
SUGGEST THAT LOWER PRICES
ASSOCIATED.
ARM OF OUR LOWER PRICES ARE
SUSHI EIGHTY WITH ENSURE
CONSOLIDATIONS --
WHAT WE DO YOU KNOW EXCEPT THAT
THESE TRANSACTIONS HAVE TO BE
REVIEWED AND AND WE JUST DON'T
WANT IT TO BE REALLY DELAYED BY
EXTRA REQUIREMENTS?
I'M ESPECIALLY WHEN --
IT IN A PAY A SINGLE CASE IS NOT
BEEN IDENTIFIED TO JUSTIFY THE
NEED I'M FOR THE SEX
REQUIREMENTS I KNOW THAT --
YOU KNOW THE SPONSOR RATTLED OFF
A NUMBER OF TRANSACTIONS TOM
THAT HAVE --
BEEN PROPOSED IN THE LAST COUPLE
OF YEARS OR SO IN AS SHE EVEN
STATED.
SOME OF THOSE HAVE BEEN BLOCKED
BY REGULATORS AND WHETHER THAT
WAS THE CORRECT DECISION OR NOT.
IS POINT OUT THERE IS A PROCESS
IN PLACE.
THAT IS SO THAT --
DE THESE ARE NOT DOWN.
ON THESE ARE NOT TRANSACTION
TECH GO WITHOUT ANY TYPE OF
REVIEW FOR OR OVERSIGHT
CURRENTLY SO.
ON THOSE BASIS WILL HOPEFULLY WE
CAN IN DOWN THE LINE TO MAYBE
REFINE THIS FURTHER AND THAT WE
CERTAINLY WITH A I'D LIKE TO
PARTICIPATE IN THOSE WHO THINK
YOU.
THANK YOU.
ADDITIONAL WITNESSES IN
OPPOSITION THANK YOU ANYONE WITH
THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE HOME
ASSOCIATION WE ALSO HAVE A
SIMILAR CONCERNS AS AS EXPRESSED
BY MISTER LOUIS SO'S WE HAVE AN
OPPOSING LIST AMENDED POSITION
WE ALSO SAW THE AMENDMENTS WE
THANK YOU A DOCTOR WOULD.
FOR THE MANY AMENDMENTS THAT
HAVE BEEN MADE TO THE BILL BUT
WE ARE IN THE SAME PLACE WE HAVE
TO TAKE THEM BACK TO OUR FOLKS
AND SEE IF THEY MOVE IS CLOSER
TO THE ANY IC MODEL WHICH IS
WHERE WE ARE BUT THINKING.
DO YOU HAVE ANYBODY ELSE IN
OPPOSITION WANT TO EXPAND
BECAUSE I'D LIKE TO GIVE YOU
SOME EQUAL TIME TO THE
PROPONENTS [inaudible]
ANYMORE [inaudible]
HEARING NONE.
ANY QUESTIONS FROM THE MEMBERS
OF THE COMMITTEE.
LET ME ASK [inaudible]
INQUIRE.
HOW HAVE THESE CONSOLIDATIONS
THAT HAVE OCCURRED THUS FAR THAT
HAVE BEEN APPROVED [inaudible]
CONTRACTED.
THE ABILITY.
OF PROVIDERS. TO SERVICE RURAL
COUNTIES.
PRETTY SIMPLE WHEN THEY'RE IF
YOU'RE COMPANIES THERE FEWER
THEIR FEWER OPTIONS FOR
CONSUMERS AND WE'RE SEEING THAT
IN IN MY DISTRICT AND I SUSPECT
IN YOURS AS WELL SENATOR.
WELL I'M TALKING ABOUT PROVIDERS
TO DIG WHAT HAVE THEY BEEN DOING
THEY'VE BEEN PULLING OUT OF THE
MARKET AND LOT DENYING.
COVERAGE A ONE OF THE THINGS IS
TO ATTRACT DOCTORS. TWO ARE THE
HOSPITAL'S THAT'S A VERY BIG
PROBLEM I THINK THAT HIS.
MAYBE NOT EVER GOING TO BE
FIXED.
BY SOMETHING LIKE THIS BUT BUT
HOW WILL THIS REALLY HELP US IN
OUR RURAL AREAS I DON'T I DON'T
BELIEVE THIS THIS THIS BILL WILL
HELP --
ATTRACT MORE PROVIDERS TO THE TO
TO OUR AREA WELL WE'RE JUST
TRYING TO CREATE INCREASED --
COMPETITION BY HAVING MORE
OPTIONS AVAILABLE FOR CONSUMERS
ARE WE KNOW THAT WITH MORE
OPTIONS THERE IS POTENTIAL FOR
LOWER PRICES.
I'M A BIG ADVOCATE I THINK YOU
KNOW FOR INCREASING THE ACCESS
AND AN INCREASE IN THE NUMBER OF
POSITIONS AND IN IN OUR RURAL
COMMUNITIES AND WE CAN DO THAT
THROUGH RESIDENCY PROGRAMS AND
OTHER INCENTIVES AS WELL.
BUT THIS I DON'T BELIEVE THIS
BILL REALLY ADDRESSES THAT
PROBLEM OR HAS AN EFFECT ON THAT
ON THAT ISSUE.
OKAY SO IT'S NOT GONNA HELP.
GET MORE PROVIDERS IN THE RURAL
AREAS I MEAN THAT ARGUMENT IN
FAVOR DOESN'T HOLD CORRECT.
IT THAT WASN'T AN ARGUMENT IN
FAVOR AND AS FOR FROM MY
PERSPECTIVE IS --
TRIED IT TRIED TO ENSURE THAT
THAT A CONSOLIDATION THE MARKET
DOES NOT LEAD TO HIGHER PRICES
FOR CONSUMERS AND LESS CHOICE.
I THINK YOU.
AND WE DO NOT HAVE.
EVEN CLOSE TO A QUORUM SO WE'RE
GONNA HAVE TO OF TOWARD LOOSER A
MINUTE YOU HAVE ANOTHER ONE
ASSEMBLYMAN THIS AND NINETEEN
FIFTY THREE THANK YOU SENATOR.
I THINK IT'S A CHAIR AND MEMBERS
OF THIS BILL AYE REQUIRES
APPLICANTS FOR A SKILLED NURSING
FACILITY LICENSE TO DISCLOSE
WHETHER OR NOT THE APPLICANT OR
THEIR PARTNER.
HAS AN OWNERSHIP OR CONTROL
INTEREST OF 5% OR MORE IN A
BUSINESS THAT PROVIDES ANY
SERVICE TO THE SKILLED NURSING
FACILITY.
THESE ARE KNOWN AS RELATED PARTY
TRANSACTIONS.
SOME SKILLED NURSING FACILITIES
RENT THEIR OWN THAT RENT THEIR
BUILDING FROM A SISTER
CORPORATION OR HAVE AN INTEREST
IN THE COMPANY THAT DOES THEIR
LAUNDRY.
THIS ALLOWS HIM TO SIPHON OFF
HIGHER PROFITS WHICH ARE NOT
RECORDED ON THE NURSING HOMES
ACCOUNTS.
THE KAISER HEALTH NEWS ANALYSIS
TO FEDERAL INSPECTION IN QUALITY
RECORDS REVEALS AT NURSING HOMES
THAT OUTSOURCE RELATED PARTIES
TEND TO HAVE FEWER NURSES.
AND AIDES PER PATIENT HAVE
HIGHER RATES OF PATIENTS AND AND
INJURIES AND ARE THE SUBJECT OF
COMPLAINTS ALMOST TWICE AS OFTEN
AS INDEPENDENT HOMES.
I'VE AMENDMENTS THAT ARE
DESCRIBED IN THE ANNOUNCES IT
WILL CLARIFY THAT THE RELATED
PARTY DATA WILL BE REPORTED TO
THE OFFICE OF STATEWIDE HEALTH
THING HELL HEALTH PLANNING AND
DEVELOPMENT CONSISTENT WITH
SIMILAR EXISTING REPORTING
REQUIREMENTS.
MAKE CONFORMING CHANGES TO THE
DEFINITIONS AND DELETE
REQUIREMENTS TO PROVIDE SIXTY
DAYS ADVANCE NOTICE OF ANY
CHANGE IN THE REQUIRED
DISCLOSURES.
I HAVE WITH US TODAY MARK
MENDOZA FROM SEIU CALIFORNIA TO
TESTIFY IN SUPPORT.
SEE MR MENDOZA.
MISTER CHAIRMAN MEMBERS AGAIN
MARK WINDOWS WITH US HERE YOU
CALIFORNIA COSTS FOR MOST
NURSING HOME PATIENTS ARE
COVERED BY PUBLIC FUNDS.
NURSING HOMES RECEIVE NEARLY
ELEVEN BILLION DOLLARS IN TWENTY
SIXTEEN WITH 41% OR FOUR POINT
FOUR BILLION DOLLARS.
NESTING DISPARITY 2% OR THREE
POINT FIVE BILLION FROM MEDICARE
AND THE REST FROM MANAGED CARE
OR PRIVATE SOURCES.
NURSING HOMES FORM COMPLEX
CORPORATE STRUCTURES TO MAXIMIZE
CORPORATE PROFIT AND LIMIT FIND
ACTUAL ABILITY LIABILITY.
TYPICALLY A NURSING FACILITY
DIVIDES THE BUSINESS INTO REAL
ESTATE INVESTMENT AND NURSING
HOME OPERATIONS.
THE FACILITY OPERATOR THEN
CONTRACTS WITH RELATED PARTIES
TO LEASE THE PROPERTY AS WELL AS
ENTER INTO CONTRACTS WITH THEIR
RELATED COMPANIES TO PROVIDE
MULTIPLE OTHER SERVICES.
INCLUDING MANAGEMENT PAYROLL
THERAPY AND PHARMACY SERVICES.
THESE BUSINESSES PRACTICES ARE
PERMISSIBLE AND QUITE COMMON IN
THE NURSING HOME INDUSTRY.
HE'S RELATED PARTY TRANSACTIONS
WERE THE SUBJECT OF RECENTLY
CONCLUDED STATE AUDIT WHICH
RECOMMENDED CALIFORNIA NURSING
FACILITIES BE REQUIRED TO SUBMIT
ANNUALLY THEY'RE RELATED PARTIES
FINANCIAL STATEMENTS TO THE
DEPARTMENT OF HEALTH CARE
SERVICES. TO PROPERLY REVIEW
WHETHER EXPENSES WERE REASONABLE
FAIR AND ALLOWABLE.
CURRENT NURSING OPERATORS ARE
REQUIRED TO SUBMIT THEIR COSTS
REPORT TO THE STATE FOR REVIEW
ANNUALLY.
WITHOUT THIS REQUIREMENT IT IS
HARD TO DETERMINE WHETHER THEIR
EXISTING RELATED PARTY CONTRACTS
ARE SET AT MARKET LEVELS AND NOT
AN ARRANGEMENT TO SHIFT PROFITS
FROM THEIR FACILITY. TO OTHER
BUSINESS LINES FURTHERMORE THIS
FRAGMENTED STRUCTURE OBSCURES
THE ENTITIES RESPONSIBLE FOR
CARE DELIVERY. FOR THESE REASONS
WE URGE YOUR SUPPORT ON AB.
NINETEEN FIFTY THREE I THANK YOU
SIR.
ANYMORE WITNESSES IN SUPPORT.
DECLAN IN S. B. RPV CLEARING
STRONG SUPPORT.
CAROL SOUL FROM THE CALIFORNIA
COMMISSION ON AGING IN STRONG
SUPPORT.
MIKE MONTGOMERY CONGRESS OF
CALIFORNIA SENIORS WHO SUPPORT.
THE ONLY THREE MILLION.
DEBORAH DISABILITY RIGHTS
CALIFORNIA WE WELCOME THE
TRANSPARENCY FOR SUPPORT
[inaudible]
THANK YOU.
DO WE HAVE ANY WITNESSES.
THAT OPPOSITION.
AND A QUESTION FROM THE MEMBER
OF THE COMMITTEE.
ASSEMBLYMAN WHO ARE GOING TO
HAVE TO JUST MOVE RIGHT ON YOU
HAVE ONE MORE ITEM NUMBER TWELVE
THAT WOULD BE.
TWENTY FOUR SEVENTY TWO THANK
YOU AGAIN MISTER CHAIR AND
MEMBERS --
FIRSTI'D LIKE TO KNOW THAT I
ACCEPT THE TECHNICAL AMENDMENTS
FROM COVER CALIFORNIA TO CLARIFY
THAT TWO OR FEWER COUNTIES ARE
DETERMINED.
THAT AT THAT THE TWO OR FEWER
COUNTIES ARE DETERMINED DURING
THE PRECEDING PLAN YEAR THAT
THIS BILLS OFFER TO NEGOTIATE
WITH COVER CALIFORNIA DOES NOT
CHANGE EXISTING COVER CALIFORNIA
APPLICATION REQUIREMENTS.
AB TWENTY FOUR SEVENTY TWO
REQUIRES ARE IN POSSESSION OF
THE COMMITTEE CHAIR PART OF
THESE ARE IN POSSESSION OF THE
COMMITTEE THING UNDER SIR THANK
YOU -- AB
TWENTY FOUR SEVENTY TWO REQUIRES
HEALTH PLANS TO OFFER TO
NEGOTIATE WITH COVERED
CALIFORNIA TO ENSURE THAT
COUNTIES HAVE MORE CHOICES IN
HEALTH PLAN OPTIONS.
AB TWENTY FOUR SEVENTY TWO WOULD
ALSO REQUIRE COVER CALIFORNIA TO
PREPARE A FEASIBILITY ANALYSIS
TO DETERMINE THE POSSIBILITY OF
A PUBLIC HEALTH INSURANCE OPTION
IN CALIFORNIA.
HOWEVER WE RECOGNIZE THE
COMPLICATIONS OF ESTABLISHING A
PUBLIC OPTION BECAUSE AMONG
OTHER REASONS OF THE EXTENSIVE
NETWORK OF LOCAL HEALTH PLANS
AND THE HEAVY CONCENTRATION.
OF MANAGED CARE IN THE EXISTING
MEDICARE PROGRAM MANY COUNTIES
IN CALIFORNIA ONLY HAVE TWO OR
FEWER HEALTH PLAN CHOICES.
THIS LIMITED OPTION IS IMPACTING
NOT JUST THE PRICES OF HEALTH
CARE BUT ALSO THE QUALITY OF
HEALTHCARE THAT CONSUMERS
RECEIVE.
I RESPECTFULLY ASK FOR YOUR AYE
VOTE AND YOU AVE A WITNESS
HEREIN SUPPORT PLEASE YOU
WITNESS.
GOOD AFTERNOON MISTER CHAIRMAN
BURRS MY NAME IS MARY JANE
FORESTS ON BEHALF OF HEALTH
ACCESS CALIFORNIA THE STATE
WHITE HEALTHCARE CONSUMER
ADVOCACY COALITION.
WE HERE IN SUPPORT OF AB TWENTY
FOUR SEVEN NEED.
TO THE BILL WOULD REQUIRE OUR
STATE MARKET.
WELL AN ANALYSIS OF DIFFERENT
PUBLIC OPTIONS THAT CAN BE
OFFERED BOTH.
ON AND OFF EXCHANGE AS WELL AS
IN THE INDIVIDUAL MARKET THE
BILL ALSO REQUIRES LICENSE MEDIC
HOW MANAGED CARE PLANS TO OFFER
TO NEGOTIATE WOULD COVER
CALIFORNIA.
WHICH WOULD HOPEFULLY PROVIDE
COMPETITION IN AREAS WHERE
CONSUMERS HAVE LIMITED OPTIONS.
HEALTHAXIS SUPPORTS THIS CONCEPT
OF A PUBLIC OPTION WE KNOW THAT
THERE ARE FEW COMMERCIAL PLANS
IN REGIONS LIKE THE NORTH COAST
AND THE CENTRAL COAST.
YET THERE ARE MEDICARE MANAGED
CARE PLANS THAT CURRENTLY
PROVIDE ACCESS TO MEDICARE
ENROLLEES IN THOSE REGIONS.
IF THE STATE COULD ENCOURAGE
THESE PLANS TO OFFER COVERAGE IN
THE INDIVIDUAL MARKET THEN
CONSUMERS WILL HAVE AN
ADDITIONAL AND GOOD OPTION TO
CHOOSE FROM.
WE THINK THAT IT IS FIT FITTING
FOR COVER CALIFORNIA TO DEVELOP
THIS ANALYSIS.
COVER CALIFORNIA OR HE THINKS OF
WASTED INCREASE PLAN OPTIONS IN
ON NINETEEN REGION'S THROUGH ITS
YEARLY PLAN NEGOTIATIONS AS AN
ACTIVE PURCHASER.
COVER CALIFORNIA HAS ALREADY
COMMISSION NUMEROUS STUDIES AND
ANALYSIS THAT HAVE BEEN USEFUL
IN BETTER UNDERSTANDING HOW THE
STATE COMMITTEE IN A STABLE AND
COMPETITIVE MARKET.
DESPITE OF ONGOING FEDERAL
UNCERTAINTY FOR THESE REASONS WE
ASK FOR YOUR ARRIVAL
[inaudible]
THANK YOU.
ADDITIONAL WITNESSES IN SUPPORT.
AFTERNOON CHEN FLOOR IN BEHALF
OF WESTERN CENTER ON LAW AND
POVERTY IN SUPPORT.
KIMBERLY CHEN ON BEHALF
CALIFORNIA PAN ETHICAL THAT WORK
IN SUPPORT.
THE MENDELSSOHN WITH CONSUMERS
UNION SUPPORT.
JUST DELUDE GATES LA COUNTY AND
WE'RE SUPPORT THE PROVISIONS OF
THE BILL THAT --
WOULD PROVIDE FOR PUBLIC HEALTH
INSURANCE OPTION FEASIBILITY
STUDY WHERE NEUTRAL THE REST
THANK YOU.
THANK YOU DO WE HAVE ANY.
OPPOSITION [inaudible]
PLEASE.
I'M GOOD AFTERNOON AGAIN I'M
JENNIFER RALLY WITH THE
CALIFORNIA ASSOCIATION HEALTH
PLANS.
BUMP CAP HAS AN OPPOSING MOST
AMENDED POSITION ON THIS BILL
BASED ON A SECTION THAT WAS
ADDED.
ON ON JUNE ELEVENTH ON WE DO NOT
OPPOSE OTHER PROVISIONS OF THE
BILL SPECIFICALLY WE ARE OPPOSED
TO THE NEWLY ADDED SECTION OF
THE BILL THAT MANDATES A MEDI
CAL MANAGED CARE PLAN NEGOTIATE
WITH THE CALIFORNIA HEALTH
BENEFIT EXCHANGE.
WHEN THERE'S AN OVERLAP BETWEEN
THE EXCHANGE SERVICE AREA AND
THE PLANTS LICENSED AREA?
WE RESPECTFULLY REQUEST THAT
THIS PERCENT PARTICULAR SECTION
OF THE BILL BE REMOVED.
ON THIS PROVISION ADDS
ADMINISTRATIVE COMPLEXITY TO OUR
HEALTH SYSTEM BY REQUIRING
PLANS.
AND THE STATE TO TELL. TO
DEDICATE DEL OUR RESOURCES AND A
PROCESS THAT ULTIMATELY MAY NOT
ACHIEVE ITS INTENDED GOAL --
MEDICARE MANAGED CARE PLANS
ALREADY HAVE THE ABILITY TO MAKE
INFORMED IN LOGICAL DECISIONS
REGARDING PARTICIPATION MARKETS
BEYOND THE MEDI CAL PROGRAM.
THEY DO NOT NEED TO BE
LEGISLATIVELY REQUIRED TO
NEGOTIATE.
WELL WE FACE MARKET CHALLENGES
DUE TO FEDERAL POLICIES
CALIFORNIA'S HEALTH INSURANCE
MARKET BROADLY SPEAKING IS
PERFORMING MUCH BETTER THAN
THOSE MARKETS WITH FEDERALLY
BASED WERE OPERATED EXCHANGES.
AND CALIFORNIA PLAN
PARTICIPATION IS HIGHER AND
PREMIUMS ARE CHANGING AT A
SLOWER RATE.
AT THE SAME TIME WE KNOW THAT
THERE ARE CERTAIN AREAS WHERE
THE PROMISE OF THE AFFORDABLE
CARE ACT BEFORE MORE FULLY
REALIZED.
WE SHARE THEAUTHOR'S DESIRE TO
SEE MORE ACCESS IN CERTAIN AREAS
OF THE STATE.
HOWEVER THERE ARE REAL
CHALLENGES THAT EXPLAIN WHY IT
IS DIFFICULT TO USE OPERATE IN
CERTAIN REGIONS.
PLANS ARE OBLIGATED TO ENSURE
ACCESS TO SERVICES BUT LACKED A
PROVIDER AVAILABILITY TO REGION
MAYBE A SERIOUS ISSUE.
IN SUMMARY OF THE STATE
ESPECIALLY IF THERE'S A SHORTAGE
OF PROVIDERS OR CONSOLIDATION OF
PROVIDER SYSTEMS THE RATES OF
REIMBURSEMENT AND CONSEQUENTLY
CONSUMER PREMIUMS CAN BE
EXTREMELY HIGH.
ADDITIONALLY RECENT CHANGES AT
THE FEDERAL LEVEL HAVE CREATED
AN AIR OF UNCERTAINTY.
MAKING ESPECIALLY IN THE
INDIVIDUAL MARKET WE SHOULD BE
ADDRESSING THOSE ISSUES BUT THIS
BILL.
WITH THE RECENTLY ADDED
PROVISIONS DOES NOT DO THAT.
REGRETTABLY WE MUST OBJECT THE
IDEAS WE PARTICULARLY WHEN THE
INTENDED OUTCOME IS UNCERTAIN.
WE RESPECTFULLY ASK FOR THE
SECTION DEALING WITH HEALTH PLAN
TO GO SHE ACTIONS BE REMOVED
[inaudible]
THANK YOU.
ANY QUESTIONS FROM THE
COMMITTEE.
I ASSEMBLYMAN WHEN WE'RE JUST
GONNA HAVE TO CONTINUE TO HAUNT
AT I JUST LIKE TO SAY THAT I'M
HAPPY AS YOU CAN GO AHEAD AND
CLOSE IF YOU LIKE NOW ACCOUNT
ALL OF BOBBY BRIEF THANK YOU
THINK YOU'RE MUCH CENTER.
THE HAPPY TO CONTINUE TALKING
WITH THE OPPOSITION ON THIS I
THINK THAT THE END OF THE DAY
WERE TRYING TO ONCE AGAIN INSURE
HAS MANY OPTIONS FOR PEOPLE AS
POSSIBLE --
IN ITS BEST IN OUR RURAL AREAS
AND THIS IS ONE MORE EFFORT TO
TRY TO DO THAT.
VERY GOOD THANK YOU THANK YOU
ALL [inaudible]
RODRIGUEZ [inaudible]
ASSEMBLYMAN GARCIA.
ASSEMBLYMAN WE'RE VERY SHORT ON
COMMITTEE TODAY SO WOULD ASK YOU
2% AND UP.
WILL HAVE TO HOLD TILL WE GET A
COMMITTEE THANK YOU SENATOR --
THE SENATE MITCHELL --
FOR YOUR ATTENTION.
VERY PLEASED TO PRESENT A. B.
SIX TWO SIX A BILL THAT HAS BEEN
A WORK IN PROGRESS FOR A SEVERAL
SESSIONS NOW.
THE GOAL OF THE BILL IS TO
PROMOTE ECONOMIC EMPOWERMENT
PARTICULARLY THEIR MOST HORRIBLE
COMMUNITIES WHERE THE SALE OF
HOME MADE FOOD.
IS ALREADY INCREDIBLY POPULAR
BUT AT THE SAME TIME.
YEAH INSTITUTING A FRAMEWORK
SAFEGUARD IF I MAY TO PROTECTING
CONSUMERS CUSTOMERS AND THE
PUBLIC HEALTH AND WELL BEING OF
CALIFORNIANS.
I'D LIKE TO CLEAR UP TO BIG
MISCONCEPTIONS ABOUT THE BILL
BEFORE YOU GET INTO THE RECORDER
OF THE PUBLIC POLICY BEFORE AS A
B..
SIX TWO SIX IS AN OPT IN PROGRAM
THAT WILL ONLY BE ALLOWED IN
COUNTIES THAT DECIDE THAT THIS
ACTIVITY IS APPROPRIATE FOR
THEM.
IF YOU ARE CONCERNED THAT HE
COUNTY YOUR DISTRICT POSES
[inaudible]
THE BILL.
IT SHOULD BE OKAY THEY ARE NOT
REQUIRED TO ADOPT THIS PERMIT AT
THE CHOOSE NOT.
TO AB SIX TWO SIX INCLUDES EVERY
AMENDMENT OFFERED BY THE
DEPARTMENT OF HEALTH REGULATORS.
THE EXPERTS WHO CONDUCT THE
ISPECTIONS FOR RETAIL FOOD
OPERATIONS HE HAS COME TO MY
ATTENTION THAT SOME GROUPS
OPPOSING THIS BILL ARE TELLING
FOLKS.
THAT HOME KITCHENS COVER BY
PERMITS CREATED UNDER THIS BILL
WOULD NOT BE SUBJECT TO
IMPORTANT HEALTH STANDARDS
REGARDING ANIMALS.
CROSS CONTAMINATION OF FOOD
REFRIGERATOR TEMPERATURE AND
OTHER.
AREAS THAT ARE EXTREMELY
IMPORTANT TO TO ALL OF US MAY BE
VERY CLEAR.
BY NESTING THIS PERMIT UNDER THE
RETAIL FOOD CODE THESE KITCHENS
WILL BE SUBJECT TO ALL AND I
REPEAT.
ALL HEALTH STANDARDS THAT
RESTAURANTS ARE SUBJECT.
TO COUNTIES THAT ADOPT AB SIX
TWO SIX WILL CREATE A PERMIT
PROCESS THAT WILL REQUIRE
INSPECTIONS.
SAFE FOOD HANDLER TRAINEE AND
OTHER SAFETY PUBLIC HEALTH
[inaudible]
PRECAUTIONS.
THIS IS IN ADDITION TO
STATISTICS THAT SHOW THAT RATES
OF FOOD BORNE ILLNESS IN HOME
SETTINGS ARE A FRACTION.
OF THE RATE OF ILLNESS WE SEE IN
COMMERCIAL SETTINGS LARGELY DUE
TO THE NUMBER OF STAFF AND SCALE
PRODUCTION AND COMMERCIAL
FACILITIES. TO SPECIFIC POINTS
THAT ARE ACCOUNTED FOR IN THIS
BILL.
THE BILL WILL CREATE A MUCH
NEEDED STEPPING STONE TOWARD THE
USE OF COMMERCIAL KITCHEN SPACES
WHEN APPROPRIATE AND AVAILABLE
TO COOKS.
FURTHER WE HAVE WORKED
EXTENSIVELY WITH INTERNET
INDUSTRY STAKEHOLDERS TO CREATE
MEANINGFUL ACCOUNTABILITY AND
TRANSPARENCY FOR THIRD PARTY
INTERMEDIARIES TO ENSURE THE ACT
RESPONSIBLY.
AND THE COOKS AND THEIR
CUSTOMERS ARE PROTECTED.
AND ALLOWING HOME ENTREPRENEURS
TO TAKE ADVANTAGE OF THE
SERVICES OFFERED BY THOSE
PLATFORMS WHEN THEY CHOOSE.
TO AB SIX TWO SIX IS LONG
OVERDUE ADJUSTMENT TO OUR CODE
THAT HAS THE POTENTIAL TO HAVE A
BIG IMPACT ON ECONOMIC
CONDITIONS OF THE VERY
COMMUNITIES WHO NEED IT THE
MOST.
AS WELL AS IT IS TO THE
SAFEGUARDS TO PROTECT
CALIFORNIANS AND THE PUBLIC
HEALTH I RESPECTFULLY ASK FOR
YOUR AYE VOTE.
AGAIN WE HAVE WITNESSES IN
SUPPORT [inaudible]
PLEASE.
I AM A SINGLE MOM AND I'VE BEEN
COOKING SINCE I WAS.
FOURTEEN YEARS OLD I'VE ALWAYS
COOK FOR LARGE FAMILIES FUND
RAISERS HOLIDAY PARTIES BABY
SHOWERS AND OF FRIENDS WERE
ALWAYS SUGGESTING THAT I SAW MY
FOOD.
SO WHEN I CAME ACROSS A HOME
MADE FOOD GROUP ON FACEBOOK I
DECIDED TO SELL FOOD
OCCASIONALLY IN STOCK BINS WHERE
HUNDREDS OF OTHER HOME COOKS
WERE SELLING TO OVER FIVE
THOUSAND MEMBERS.
IT WASN'T ALWAYS ABOUT MAKING
MONEY I WOULD OFTEN TRADE MY
FOOD WITH OTHER MEMBERS FOR
THEIR FOOD OR AT TIMES I WOULD
JUST GIVE IT AWAY TO A FAMILY IN
NEED.
IT THIS FACEBOOK GROUP WAS ALSO
A GREAT WAY TO GET TO KNOW OTHER
PEOPLE WITH THE SAME INTEREST
THAT AS I SHARED.
AND TO BE AROUND AS A POSITIVE
ENTREPRENEUR ROLE MODEL FOR MY
KIDS.
SO WHEN I LEARNED THAT I HAD
SOLD SOME FOOD TO AN UNDERCOVER
INVESTIGATOR AND WAS FACING
POSSIBLE JAIL TIME MY DREAMS
WERE SHATTERED.
I WAS OFFERED A PLEA DEAL FROM
THE DISTRICT ATTORNEY'S OFFICE
THEY WANTED ME TO AGREE TO THREE
YEARS PROBATION. EIGHTY HOURS OF
COMMUNITY SERVICE A TWO HUNDRED
AND THIRTY FIVE DOLLAR FINE AND
TO PLEAD GUILTY TO ONE OF THE
THREE MISDEMEANORS.
THAT THEY WERE TRYING TO CHARGE
ME WITH.
I IMMEDIATELY DIDN'T FEEL THAT
THE PUNISHMENT FIT THE CRIME.
FOR THE PAST TWO YEARS I HAVE
FOUGHT THOSE LEGAL CHARGES I
APPEARED IN COURT OVER ONE DOZEN
TIMES IN JUST THE FIRST YEAR.
WE FINALLY AGREED TO EIGHTY
HOURS OF COMMUNITY SERVICE AND
DURING THAT TIME I WASN'T ABLE
TO GET HIRED ANYWHERE.
DUE TO THE PENDING CHARGES IT
WAS A VERY REAL FINANCIAL AND
EMOTIONAL WE ON MY ENTIRE
FAMILY.
I AM SO THANKFUL TO REPORT THAT
THOUGH.
THE CHARGES WERE FINALLY
DISMISSED THIS PAST APRIL AFTER
COMPLETING THOSE EIGHTY HOURS.
BUT KNOWING THAT OTHERS MIGHT
NOT BE AS LUCKY MY HEART.
DOZENS OF COOKS I KNOW CONTINUE
TO SOLVE FOOD FROM HOME BECAUSE
THEY HAVE NO OTHER OPTIONS.
BUT WOULD JUMP AT THE
OPPORTUNITY TO GET THEIR
KITCHENS PERMITTED SO THEY COULD
SELL FOOD SAFELY AND WITHOUT THE
FEAR OF LEAD LEGAL ACTION.
THANK YOU ALL FOR LISTENING AND
CONSIDERING FOR THIS IMPORTANT
LAW THANK YOU NEXT WITNESS.
GOOD AFTERNOON SIR.
OF MY NAME IS PETER RODDICK I AM
A BOARD MEMBER OF SLOW FOOD
CALIFORNIA WHICH IS THE
CALIFORNIA CHAPTER OF AN
INTERNATIONAL ORGANIZATION.
THAT HAS BEEN WORKING FOR AND
PROMOTING GOOD CLEAN AND FAIR
FOOD.
FOR ALMOST THREE DECADES NOW.
WE ARE ACTIVE SUPPORTERS OF THE
LAW THIS LAW A. B..
SIX TWO SIX BECAUSE WE FEEL THAT
IT VERY MUCH AS AN ALIGNMENT.
WITH OUR EFFORTS --
TO PROMOTE GOOD AND HEALTHY FOOD
TO CONNECT.
HEATERS WITH THEIR FOOD.
HAS OF FOOD ADVOCATE.
I SPEND A LOT OF TIME TALKING.
WITH THE PEOPLE WHO PRODUCE OUR
FOOD FROM FARMERS TO RETAILERS
TWO COOKS HOME COOKS PRIVATE
CHEFS [inaudible]
I M. OFTEN SURPRISED AT THE
PRIVATE CHEFS.
KNOWLEDGE OF THE LAW MANY OF
THEM ARE OPERATING IN A GRAY
AREA. FOR OUR ILLEGAL AS MARIE
SO.
TALKED ABOUT AND THEY DON'T EVEN
KNOW IT.
THEY R. CONSCIENTIOUS PEOPLE I
CERTAINLY EAT THE FOOD THAT THEY
PRODUCE I TRUST THEM TO BE SAFE.
I KNOW THESE PEOPLE COMMUNITY IS
A VERY IMPORTANT.
ARE AS THE ASSEMBLYMAN SAID
THERE IS A LARGE.
GROUP OF PEOPLE OUT THEIR WE
DON'T KNOW HOW LARGE IT IS
ESTIMATES COULD BE THAT THEIR
FIFTY THOUSAND PEOPLE
[inaudible]
IN CALIFORNIA --
WHO ARE SELLING SOME SORT OF
HOMEMADE FOOD?
THE INTERESTING THING IS THAT
THERE IS NO PARTICULAR EPIDEMIC
THAT IS HAPPENING BECAUSE OF
THIS.
AND I WOULDN'T EXPECT THAT THIS
LAW WOULD CHANGE THAT IN FACT BY
REGULATING MANY PROBABLY NOT ALL
OF THESE COOKS.
IT SHOULD ACTUALLY HELP.
BY EDUCATING BY LETTING
REGULATORS.
INSPECT SOME OF WHAT'S GOING ON
SLOW FOOD LOOKS AT THIS LONG AS
ANOTHER STEP IN EVOLUTION OR WE
SEE THAT WORK CONNECTING PEOPLE
TO THEIR FOOD.
STARTING ABOUT SIX SIX AND A
HALF YEARS AGO WITH THE COTTAGE
FOOD LAW [inaudible]
AND LAW PROCEEDING.
THROUGH THE DEFINITION OF
COMMUNITY SUPPORTED AGRICULTURE
THE RENEWAL OF FARMERS MARKETS
AND URBAN AGRICULTURAL INCENTIVE
LA ZONES.
THIS PROBABLY WON'T BE THE LAST
STEP THAT FOOD ADVOCATES ASK FOR
IN THIS RECONNECTION.
BUT IT IS A VERY IMPORTANT NEXT
STEP.
PAN GETTING PEOPLE TO UNDERSTAND
WHERE THEIR FOOD COMES TO
CONNECT THEM TO PEOPLE WHO COOK
IT WHO ARE THEIR NEIGHBORS.
WE BELIEVE THIS CAN BE DONE
SAFELY FOOD SAFETY IS AN
ABSOLUTE CONCERN WE CAN DO IT
SAFELY THANK YOU.
THANKS MEMBERS OF THE COMMITTEE
HELLO MY NAME IS LIZ ALLEN I IN
THE LEGISLATIVE DIRECTOR FOR THE
COOK ALLIANCE THE PRIMARY
SPONSOR OF THE SPELL.
THE ALLIANCE REPRESENTS A
COALITION OF THOUSANDS OF FOOD
ADVOCATES MANY OF AND WORKING ON
THIS BILL FOR THREE YEARS.
IT'S UNCLEAR IT INCLUDES AN
ENTIRE YEAR WORKING WITH AN AD
HOC COMMITTEE SET UP BY THE
CALIFORNIA CONFERENCE OF
DIRECTORS OF ENVIRONMENTAL
HEALTH CCD E. H..
ENVIRONMENTAL HEALTH DIRECTORS A
DIRECTORS RECOGNIZE THE
IMPRACTICALITY AFTER SAYING NOW
WE'RE TURNING A BLIND EYE. TO
THE LARGE UNDERGROUND HOME
COOKING ECONOMY IN CALIFORNIA.
THIS ECONOMY WHO ESTIMATE
CONSERVATIVELY IS BETWEEN FIFTY
THOUSAND A HUNDRED THOUSAND OME
CLOCKS TO SELL FOOD TO EARN
INCOME.
AND HUNDREDS OF THOUSANDS OF
CALIFORNIANS OF COURSE BY THAT
FOOD.
I VENTURE TO GUESS THAT YOU MAY
BE ONE YOURSELF I CERTAINLY AM I
BUT TOMORROW AS I HAVE.
A PURCHASE DINNER ATTENDED EVENT
WHERE THERE'S HOME CATERED FOOD.
AND SO MANY CALIFORNIANS THAT'S
ONE OF THE REASONS ESTO SO AND
HAS SO MUCH WIDESPREAD SUPPORT.
OUR PETITION HAD FIFTY FIVE
THOUSAND SIX THIS PAST WEEK AND
WE HAVE OVER A HUNDRED
ORGANIZATIONS FROM ACROSS THE
STATE THAT HAVE SIGNED LETTERS
OF SUPPORT.
WE KNOW THERE PUBLIC HEALTH
CONCERNS WE AGREE THERE IS
NOTHING MORE IMPORTANT THAN THE
SAFETY OF OUR COMMUNITY IS.
SO I WE'VE TAKEN EVERY AMENDMENT
OFFERED BY THE PUBLIC HEALTH
OFFICIALS AND EVEN WHEN WE
WEREN'T GIVEN ANY MORE
AMENDMENTS WE ACTUALLY WORKED
WITH LOCAL HEALTH DEPARTMENTS.
AND RETIRED HEALTH INSPECTORS TO
STRENGTHENING CLARIFY THE PUBLIC
HEALTH PROTECTIONS ADDING OVER
FIFTY AMENDMENTS.
WE ALSO CARE DEEPLY ABOUT LABOR
JUSTICE AND WORKER PROTECTIONS
AND OF INCORPORATED PRECEDENT
SETTING LIMITATIONS ON WHAT
PLATFORMS DIFFICULT CHOOSES TO
TO USE ON THIS INCLUDES DATA
SHARING FEET TRANSPARENCY OF
MANDATORY NOTIFICATION OF SEA
CHANGES.
WE KNOW WE CAN'T FIX CAPITALISM
WITH THE FOOD BILL.
BUT WE TRULY BELIEVE THAT AB
SIXTY SIX REPRESENTS A MASSIVE
STEP FORWARD FOR COOKS AND
COMMUNITIES.
I'M TO CONCLUDE BY IMPRESSING
TWO THINGS --
ON YOU ONE THE ONGOING RISKS AND
COSTS OF THE STATUS QUO.
OUR HIGHER THAN THE RISKS OF
CHANGE SO EVEN IF THIS BILL
DOESN'T PASS THE BEHAVIORAL
CONTINUE.
MEANING KITCHENS BORROMEAN
UNREGULATED AND STORIES LIKE
MORITA'S WILL CONTINUE TO HAPPEN
INTO AN OPT IN BILL.
WE NO COUNTY IS WHO THAT ONE
RURAL THIS OUT AND OTHER
COUNTIES HAVE CONCERNS AND IF IT
GOT CONCERNS I DON'T NEED TO
IMPLEMENT THE PERMANENT.
SO WE REALLY BELIEVE THAT AB
SIXTY SIX CREATES HEALTHIER AND
STRONGER COMMUNITIES OF MORE
ECONOMIC OPPORTUNITIES.
AND WE HOPE YOU VOTE I AM HAPPY
TO ANSWER QUESTIONS AT THE END.
I THANK YOU FOR ALLOWING ME TO
SHARE COMMENTS WITH YOU TODAY --
IN FAVOR OF AB SIX TWENTY SIX
WHICH WILL HELP LEGITIMIZE MAKER
AND PRIZE HOME KITCHEN AND IN
OUR STATE.
WE BELIEVE THAT HOME COOK
OPERATIONS CAN BE PATHWAYS TO
ENTREPRENEURSHIP AND SMALL
BUSINESS OWNERSHIP FOR
UNDERSERVED POPULATIONS.
ESPECIALLY MINORITIES AND AND
WOMEN.
I'M HERE TODAY --
ON BEHALF OF SMALL BUSINESS
MAJORITY AND NATIONAL SMALL
BUSINESS ADVOCACY AND EDUCATION
ORGANIZATION WITH OFFICES
THROUGHOUT CALIFORNIA.
WE ARE FOUNDED AND RUN BY SMALL
BUSINESS OWNERS TO FOCUS ON AT
THOSE ISSUES --
THAT ARE FACING OUR SMALL
BUSINESS OWNERS TODAY.
SMALL BUSINESS OWNERS ARE
CRUCIAL TO CALIFORNIA'S ECONOMY.
THERE ARE NEARLY FOUR MILLION
SMALL BUSINESSES IN CALIFORNIA
WITH ONE POINT SIX OWNED BY
MINORITIES AND TO TWO POINT FIVE
MILLION BY SELF EMPLOYED
ENTREPRENEURS.
THE IMPLACABLY ROUGHLY HALF OF
THE STATE'S PRIVATE SECTOR WORK
FOREST'S AND SMALL BUSINESSES
HAVE CREATED TWO THIRDS OF THE
NET NEW JOBS NATIONWIDE.
CALIFORNIA SMALL BUT SMALLEST
BUSINESS SAYS THAT THOSE WITH
FEWER THAN TWENTY EMPLOYEES ARE
OUR BIGGEST JOB CREATORS.
MANY OF THE SMALL BUSINESSES
THAT STARTED OUT VERY SMALL
BEFORE THEY GREW AND EXPANDED
THEIR BUSINESS MICRO ENTERPRISES
AND FREELANCE ECONOMY ARE
GROWING RAPIDLY IN THESE
ENTREPRENEURS NEED POLICIES THAT
WILL HELP THEM PURSUE.
THEIR DREAMS AND BECOME JOB
CREATORS.
WE BELIEVE THIS LEGISLATION WILL
HELP MICRON JAPAN NORTH BY
ENABLING HOME COOKS TO USE THEIR
SKILLS TO GENERATE INCOME WHILE
ALSO ENSURING HEALTH AND SAFETY
STANDARDS.
ACCORDING TO A POLL BY THE COOK
ALLIANCE.
ROUGHLY 85% OF COOKS IN THE
INFORMAL FOOD ECONOMY ARE WOMEN
35% ARE FIRST GENERATION
IMMIGRANTS 40% OF PEOPLE OF
COLOR AND 40% HAVE HOUSEHOLD
INCOMES OF UNDER FORTY THOUSAND
DOLLARS A YEAR.
SMALL SCALE MICRO ENTREPRENEURS
ARE AN IMPORTANT TOOL FOR THOSE
WHO MAIN WANT TO GROW THEIR
BUSINESS.
THAT WOULD NOT OTHERWISE HAVE
ACCESS. TO SUFFICIENT CAPITAL TO
ENSURE THE COMMERCIAL FOOD
INDUSTRY.
WE SUPPORT ANY LEGISLATION THAT
WILL HELP ENTREPRENEURS DRIVE
AND WE BELIEVE AB SIX TWENTY SIX
WILL DO THAT [inaudible]
THANK YOU.
THANK YOU --
I JUST WANNA MAKE NOTE THAT WE
ACTUALLY KNOW ONLY TWO TO THREE
WITNESSES TOTAL SIX MINUTES
TESTIMONY SO I REALIZE IT AND
STABBED AT THE BEGINNING OF THIS
HEARING --
SO AFTER THIS BILL BUT SINCE WE
DID ALLOW WE WILL ALLOW THE
OPPOSITION THE TIME AS WELL --
SO OKAY WITNESSES AND SUPPORT
NAME POSITION ORGANIZATION
PLEASE.
THANK YOU MISTER CHAIR AND
MEMBERS GREG HE'S HERE ON BEHALF
OF AIRBNB IN STRONG SUPPORT OF
THE BILL BRIEFLY THANK YOU TO
MISTER GARCIA AND HIS STAFF AND
THE ADVOCATES FOR WORKING VERY
HARD IN A VERY COMPLEX PIECE OF
LEGISLATION.
I UNLIKE ITS BETTER KNOWN HOMES
BUSINESS AIRBNB HAS EXPERIENCES
WHICH HAS IN HOME SOCIAL BANNING
FOR EXTRA INCOME AND FOR
CULTURAL EXCHANGE WE STRONGLY
SUPPORT OUR THINKING.
AND THAT NAME ORGANIZATION
POSITION THANK YOU.
AARON SHOP HOME COOK AND
CONSUMER --
STRONG SUPPORT THANK YOU.
GENTLY HOME COOK STRONG SUPPORT
[inaudible]
YOU.
JEFF FREEMAN BLOOM UC DAVIS
STUDENT AND HOME COOKED STRONG
SUPPORTER [inaudible]
IF YOU.
YOU HUNKER DENNIS ON THE HEALTH
OF SHEILA AND SUPPORT.
AKSHAY PRABHU AND MEMBER OF THE
FEED NAM COOKING COMMUNITY IN
DAVIS AND A STRONG SUPPORTER
[inaudible]
KEEP.
BROUGH GARLAND HOME COOK STRONG
SUPPORT.
I'M HIGH --
ELEVEN I'M HILUM I'M FROM
AUCKLAND CALIFORNIA LAST YEAR I
BECOME A US CITIZEN.
I AM I'M FORMA EATING SAY
CONDUCT CALM --
I'M HOME COOK [inaudible]
THANK YOU.
I AM LIEUTENANT JOE I CAN FOR
FROM US TINY COMMUNITY COME TO
CALIFORNIA WHICH HAS SIX HUNDRED
RESIDENTS AND TWENTY FIVE SQUARE
MILES.
OR CLOSES RESTAURANT IS A FORTY
MINUTE DRIVE AWAY AND I'M
STRONGLY SUPPORT THIS.
THANK YOU --
I KNOW THAT WE MAY HAVE A QUORUM
HERE SO ACTUALLY SECRETARY CAN
YOU PLEASE CALL THE ROLE.
AND HERE AND HERE WHEN
[inaudible]
WELL.
BILL HERE HERNANDEZ LEYVA LEYVA
HERE MITCHELL.
MITCHELL HERE MINING.
NIELSEN.
NIELSEN HERE ROTH.
OKAY WE HAVE WE'VE BASHED HAVE A
QUORUM NOW THANK YOU --
WITNESSES IN OPPOSITION.
SHE TO MAKE ROOM FOR THEM AT THE
TABLE PLEASE
.
SO SINCE WE DID AFFORD THAT
PROPONENTS WILL FORGE YOU ALSO.
PAUL FOR VIEW.
TO TESTIFY [inaudible]
WELCOME.
BUT AFTER REVENUE ENSURING
MEMBERS MY NAME IS JOSH TO BE
SOME THE DIRECTOR OF
ENVIRONMENTAL HEALTH FOR SEMI
ACCOUNTING.
I'M HERE TODAY ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION CALIFORNIA AND
OPPOSITION AB.
SIXTY SIX WHICH POSES A NUMBER
OF PUBLIC HEALTH AND
ADMINISTRATIVE CONCERNS FROM
LOCAL HEALTH DEPARTMENTS.
PRIVATE HOMES LACKEY ELEMENTS
THE COMMERCIAL FACILITIES HAVE
TO HELP CONTROL THE ENVIRONMENT
AND DECREASE THE RISK OF FOOD
BORNE ILLNESSES.
SUCH AS DESIGNATED AREAS FOR
HAND WASHING WHERE WASHINGTON
FOOD STORAGE IN ADDITION PRIVATE
HOMES PRESENT ADDITIONAL FACTORS
THAT CONTRIBUTE TO THE INCREASED
RISK.
OF FOOD BORNE ILLNESS SUCH AS
CHILDREN PETS.
IS BORN DURING DISTRESS THE
BOOMER KNOWS THEY'RE NOT
UNCOMMON INTERACTIONSERIAL
COUNTY WE AVERAGE ROUGHLY THREE
HUNDRED FOOD BORNE ILLNESS
COMPLAINTS PER YEAR.
AND IN SOME CIRCUMSTANCES THESE
ILLNESSES CAN LEAD TO
HOSPITALIZATION OR DEATH.
MOST FOOD BORNE ILLNESSES DUE TO
THE MISHANDLING OF POTENTIALLY
HAZARDOUS FOODS WHICH IS BILL
MAIL OUT.
THE OTHER MAJOR SOURCE OF FOOD
BORNE ILLNESS IS OF COURSE
PEOPLE THEMSELVES FOOD HANDLERS
WHO ARE ILL OR DO NOT FALL FOD
HANDLING PROTOCOLS.
WITHIN THE LAST TWO YEARS OVER
21% OF RESTAURANTS ASSEMBLY OR
COUNTY RECEIVED A VIOLATION FOR
IMPROPER SANITATION OR WHERE
WASHING.
THIS COMMON VIOLATIONS SEEN
FACILITIES WITH COMMERCIAL
EQUIPMENT AND WILL BE A
CHALLENGE FOR HOME KITCHENS TO
DO PROPERLY.
IT IS VITALLY IMPORTANT TO
ENSURE FOOD SOLD FOR PUBLIC
CONSUMPTION SAFE FOR THE GENERAL
PUBLIC AND FOR THOSE HIGHLY
SUSCEPTIBLE POPULATIONS SUCH AS
THE ELDERLY CHILDREN AND THOSE
WHO ARE IMMUNE COMPROMISED.
WE RESPECTFULLY URGE YOUR NOBODY
ON THIS MEASURE THANK YOU.
GOOD AFTERNOON MY NAME IS
MICHAEL VALLEY A AND I'M THE
DIRECTOR OF ENVIRONMENTAL HEALTH
FOR SANTA CLARA COUNTY.
WE DO HAVE CONCERT SIGNIFICANT
CONCERNS ABOUT AB SIX TWENTY SIX
IT IS WELL UNDERSTOOD BY FOOD
SAFETY EXPERTS WHAT FACTORS ARE
LIKELY TO CAUSE FOOD BORNE
ILLNESS.
FACTORS SUCH AS IMPROPER HAND
WASHING TEMPERATURE ABUSE
COMMUNICABLE DISEASE
TRANSMISSION PROPER COOLING AND
COOKING TIMES CONTAMINATION
VERMIN VECTORS AND MANY OTHER
FACTORS.
AB SIX TWENTY SIX INCREASES THE
RISK OF FOOD BORNE ILLNESS AND
POSES ADDITIONAL RISK TO THE
PUBLIC.
FOOD BORNE ILLNESS IS UNDER
REPORTED HOWEVER IT IS STILL A
VERYREAL AND PRESENT THREAT
EVEN WITH THE PROTECTIONS WE
HAVE IN PLACE.
IN TWO THOUSAND FIFTEEN SANTA
CLARA COUNTY HELLO SHIGELLA
OUTBREAK AT A LOCAL TUCKER RIA
WERE TWO HUNDRED PEOPLE BECAME
ILL SOME OF THEM HOSPITALIZED.
CONTAMINATION IS MUCH MORE
LIKELY IN A HOME KITCHEN WITHOUT
A MENU LIMITATION FOR LOWER RISK
ITEMS LIKE WE HAVE CURRENTLY IN
THE COTTAGE FOODS.
THE RISK IS ENHANCED AN EXAMPLE
IS NOROVIRUS WHICH IS A HIGHLY
CONTAGIOUS FOOD BORNE ILLNESS
WHICH CAN BE SPREAD THROUGH THE
AIR.
IT'S NOT ENOUGH TO BAND SICK
PEOPLE FROM THE FOOD
PREPARATIONS AREAS THAT WOULD
ALSO BE IMPOSSIBLE TO ENFORCE
THIS.
IN REGULATING COTTAGE FOOD WE
HAVE FOUND THE IMPENDING CLOSURE
OF THE HOME KITCHEN IS DIFFICULT
TO IMPLEMENT HAS OWNERS TEND TO
IDENTIFY FOODS AS PERSONAL
ITEMS.
OF THE KEY OF THE HOME KITCHEN
VERSES FOR SALE AND WE SIMPLY
CANNOT CLOSE ANY TYPE OF HOME
KITCHEN EFFECTIVELY SINCE PEOPLE
LIVED THERE ON A FULL TIME
BASIS.
WE COMMEND THE INTENT OF THE
AUTHOR WE BELIEVE THAT THERE ARE
OTHER OPTIONS TO ENCOURAGE
ENHANCE ACCESS.
SMALL BUSINESS OWNERS SUCH AS
GRANT PROGRAMS NETWORKS OF UNDER
UTILIZED COMMERCIAL KITCHENS
COMMUNITY CENTERS AN INCUBATOR
KITCHENS.
THAT ARE JURISDICTION A CITY
RECENTLY TEAMED UP WITH THE
NONPROFIT ORGANIZATION UTILIZE
GRANT MONEY TO ESTABLISH FOOD
CARTS.
IN MANY JURISDICTIONS WE ARE
ALSO LIKELY TO SEE SIGNIFICANT
INCREASES IN THE NUMBER OF
REGULATED HOMES.
IN SANTA CLARA COUNTY ALONE WE
HAVE OVER SIX HUNDRED THOUSAND
RESIDENTIAL UNITS IF EVEN 1% OF
THESE TAKE ADVANTAGE OF THIS NEW
LAW.
THERE WILL BE ANOTHER SIX
THOUSAND PERMITS ARE OFFICE
NEEDS TO ENFORCE AND THAT WOULD
MEAN ANOTHER TWENTY TO THIRTY
INSPECTORS THAT NEED TO BE
HIRED.
AND THAT COST WOULD BE PASSED
ALONG IN THE FORM OF THE PERMIT
FEE. FOR THESE REASONS WE
RESPECTFULLY ASK THE CATIONS AND
VOTE NO.
THANK YOU MISTER CHAIR AND
MEMBERS OF MY NAME IS DOCTOR
ROBERT OLDHAM I'M THE HEALTH
OFFICER AND DIRECTOR OF PUBLIC
HEALTH FOR PLOTS RECOUNTING.
ALSO THE PRESIDENT ELECT OF THE
CALIFORNIA CONFERENCE OF LOCAL
HEALTH OFFICERS --
I'M HERE TODAY TO EXPRESS MY
STRONG OPPOSITION TO A. B. SIX
TWO SIX ON BEHALF OF PLASTER
COUNTY AND ALSO RUBBED
CALIFORNIA'S LOCAL FOR THE XIN
HEALTH OFFICERS AND HELP
EXECUTIVES.
AS A LOCAL PHYSICIAN HEALTH
OFFICER AND HELP EXECUTIVES OUR
MISSION IS TO IMPROVE HEALTH AND
WELL BEING FOR ALL CALIFORNIANS
BY ADVANCING HEALTH EQUITY IN
OUR COMMUNITIES.
BOTH WERE VERY SYMPATHETIC THE
AUTHORS OF AB SIXTY SIX A DESIRE
TO EXPLORE REGULATORY RELIEF
RELIEF FOR HOME BASED BUSINESSES
THAT MIGHT PROVIDE ECONOMIC
DEVELOPMENT OPPORTUNITIES
ESPECIALLY IN DISADVANTAGED
NEIGHBORHOODS.
WE SEE EXPANDING ECONOMIC
OPPORTUNITY AS CRITICAL TO
ADDRESSING INEQUITIES IN THE
SOCIAL DETERMINANTS OF HEALTH
THE DRIVE MOST HEALTH
DISPARITIES.
BUT WHILE WE RECOGNIZE THE GOOD
INTENTIONS BEHIND AB SIX TWO SIX
OUR EXPERIENCE CONVINCES US THAT
AB SIX TWO SIX WOULD NOT ONLY BE
IMPOSSIBLE TO IMPLEMENT FROM A
REGULATORY PERSPECTIVE.
BUT IT WOULD ALSO INCREASE THE
FREQUENCY AND SEVERITY OF COSTLY
FOOD BOARD ILLNESS OUTBREAKS
WELL ACTUALLY EXACERBATE
EXISTING HEALTH DISPARITIES.
EACH YEAR APPROXIMATELY NINE
MILLION AMERICANS WILL BE SECOND
BY FOOD BORNE ILLNESS.
WITH OVER FIFTY THOUSAND
REQUIRING HOSPITALIZATION AND
OVER TWO THOUSAND DYING AS A
RESULT.
IN ADDITION MANY VICTIMS OF FOOD
BORNE OUTBREAKS ARE UNABLE TO
WORK OR GO TO SCHOOL FOR
CHILDCARE AS A RESULT OF THEIR
ILLNESS.
SOMETIMES BEING EXCLUDED FROM
CHILD CARE OR SENSITIVE
OCCUPATIONS FOR WEEKS OR EVEN
MONTHS AT A TIME.
FOOD BORNE ILLNESS IMPACTS
EVERYONE EMPLOYERS WORKERS
PARENTS CHILDREN SCHOOLS.
AND YES EVEN LOCAL HEALTH
DEPARTMENTS WHO MUST PAY FOR
THESE COSTLY OUTBREAK
INVESTIGATIONS OUT OF ARE
INADEQUATE AND DECLINING
DISCRETIONARY BUDGETS.
BUT LIKE WITH MOST ILLNESSES
PEOPLE LIVING WITH ECONOMIC
DISADVANTAGES SEEM TO SUFFER AT
THE MOST.
ESPECIALLY WHEN I CAN GO TO WORK
HER KIDS GOOD CAN'T GOOD
CHILDCARE DUE TO THE FOOD BORNE
ILLNESS.
AND FOOD BORNE ILLNESS OUTBREAKS
CAN DRAMATICALLY DISRUPT
COMMUNITIES AND THREATEN THE
PUBLIC HEALTH INFRASTRUCTURE
ESPECIALLY IN SMALL RURAL
COMMUNITIES.
IN TWO THOUSAND FOURTEEN WE HAD
A VERY LARGE SALMONELLA OUTBREAK
DO DO WELL INTENTIONED WEDDING
CATER PREPARING POTENTIALLY
HAZARDOUS FOOD.
OUT OF HER HOME KITCHEN AND ONE
OF OUR SMALL RURAL COMMUNITIES
OF PLASTER COUNTY.
OVER HALF OF THE WEDDINGS GUESTS
INCLUDING THE BRIDE BECAME VERY
ILL ALL AT ONETIME AND MANY HAD
TO SEEK MEDICAL ATTENTION AT A
SMALL CRITICAL ACCESS HOSPITAL.
FORTUNATELY WE WERE ABLE TO
QUICKLY STOP THIS ILLEGAL AND
DANGEROUS ACTIVITY.
PREVENTING ADDITIONAL OUTBREAKS.
BUT I'M NOT AT ALL CLEAR THAT WE
WOULD HAVE HAD THE SAME RESULT
IF AB SIXTY SIX FOR LAW.
IN SUMMARY ALTHOUGH WELL
INTENTIONED AB SIX TWO SIX DOES
NOT CONSIDER THE CONSENSUS A
PUBLIC HEALTH PROFESSIONALS WHO
UNDERSTAND THAT POTENTIALLY
HAZARDOUS FOOD SHOULD NOT BE
PREPARED FOR PUBLIC CONSUMPTION
FROM HOME KITCHEN.
IGNORING THIS CONSENSUS
RECOMMENDATION WOULD ALMOST
CERTAINLY RESULT IN MORE
OUTBREAKS OF FOOD BORNE ILLNESS.
WHICH WOULD DISPROPORTIONATELY
IMPACT THE DISADVANTAGED GROUPS
THIS BILL IS TRYING TO HELP.
THUS I WOULD URGE YOU TO PROTECT
THE HEALTH OF OUR COMMUNITIES
OPPOSE AB SIXTY SIX THANKS FOR
YOUR CONSIDERATION.
GOOD AFTERNOON SENATORS MY NAME
IS CHRIS YOU NOTE FEEL I'M AN
ATTORNEY AND POLICY DIRECTOR OF
A NONPROFIT ORGANIZATION CALLED
THE SUSTAINABLE ECONOMIES LAW
CENTER.
UP PRIOR TO THAT I SOLD HOMEMADE
FOOD OUT OF MY KITCHEN --
PLEASE DON'T ARREST ME BUT I'M
ALSO PART OF A A COALITION
COALITION MADE UP OF NUMEROUS
SMALL FOOD BUSINESSES AND
COMMUNITY BASED ORGANIZATIONS IN
THE FOOD MOVEMENT AND
UNFORTUNATELY WE'RE ALL.
IN OPPOSITION TO AB SIXTY SIX ON
SOMETHING THAT PROPONENTS DIDN'T
MENTION WAS THAT THE BILL WAS
INTRODUCED AT THE BEHEST OF
GETTING ECONOMY TECHNOLOGY
COMPANIES WHO WOULD LIKE TO RUN
UBER FOR FOOD STYLE APPS AND
MAKE MONEY OFF OF HOME COOKS.
WE THINK THE BILL LACKS
PROTECTIONS YOU --
PROTECT HOME COOKS JUST LIKE
WORKERS IN OTHER PARTS OF THE
GIG ECONOMY ARE ON NOT PROTECTED
BY THESE WILD PLATFORMS THAT
HAVE MADE PUBLIC SAFETY AND
EMPLOYMENT LAWS.
WE'VE PROPOSED AN ALTERNATIVE
VISION FOR HOMEMADE FOOD IN
CALIFORNIA MODEL OFF OF
CALIFORNIA'S FARMERS MARKET
REGULATIONS WHICH ALLOW.
FARMERS MARKETS TO ONLY BE
MANAGED BY FARMERS THEMSELVES BY
NON PROFITS OR BY LOCAL
GOVERNMENTS AND THIS PREVENTS --
EXPLOITATIVE THIRD PARTY
MIDDLEMAN FROM PROFITING OFF OF
FARMERS WE THINK SOMETHING
SIMILAR.
COULD BE ADAPTED TO THE HOMEMADE
FOOD ECONOMY AND THE INTERNET
ECONOMY.
I WOULD LOVE TO WORK WITH
MEMBERS OF THE SENATE HEALTH
COMMITTEE AND THE ENVIRONMENTAL
HEALTH REGULATORS ON A BETTER
BILL IN NEXT YEAR'S LEGISLATIVE
SESSION BY.
AB SIXTY SIX REPRESENTS A SELL
OUT OF THE FOOD MOVEMENT TO BEG
TACK AND I HOPE YOU WILL REJECT
IT TODAY THANK YOU.
OKAY THANK YOU OTHER WITNESSES
IN OPPOSITION AGAIN NAME
ORGANIZATION AND POSITION.
PAT DE BURKE WITH THE HEALTH
OFFICER'S ASSOCIATION OF
CALIFORNIA IN OPPOSITION
[inaudible]
YOU.
CHAU GIVENS OF THE COUNTY HEALTH
EXECUTIVES ASSOCIATION OF
CALIFORNIAN OPPOSITION.
I CHEN EACH YEAR WITH THE
LAWYERS COMMITTEE FOR CIVIL
RIGHTS OF SAN FRANCISCO BAY AREA
--
WE OPPOSE UNLESS AMENDED
[inaudible]
AND YOU.
KAREN TAYLOR ON BEHALF OF THE
COUNTY OF SAN MATEO IN
OPPOSITION.
TRACY RYAN ROGUE COUNTY
REPRESENTS A CALIFORNIA AND ALSO
FOR THE URBAN COUNTIES OF
CALIFORNIAN OPPOSITION.
KELLY BROOKS ON BEHALF OF THE
SENATE SANTA CLARA COUNTY BOARD
OF SUPERVISORS HEARING OPPOSED
[inaudible]
YOU.
JUSTIN GARRETT THE CALIFORNIA
STATE ASSOCIATION OF COUNTIES IN
OPPOSITION.
CHIANA CITY ON BEHALF OF THE ON
THE COUNTY BOARD OF SUPERVISORS
RESPECTFULLY OPPOSE THINKING.
NICOLE WOULD AMEND ON BEHALF OF
THE SAN BERNARDINO COUNTY BOARD
OF SUPERVISORS IN OPPOSITION
MEDINA.
OKAY QUESTIONS FROM COMMITTEE
MEMBERS.
BUT YES CENTER LEYVA.
I THINK SENATOR PAN.
YOU KNOW WE CERTAIN HAD A LONG
CONVERSATION ABOUT THIS BILL --
ASSEMBLY MEMBER GARCIA --
AND WHAT MADE ME FEEL A LITTLE
BETTER ABOUT THE BILL AS IT IS
OFTEN SERVE COUNTIES DON'T WANT
TO DO THIS THEY DON'T HAVE.
TO AND I A I HAVE TO SAY AFTER
HEARING WAS MELISSA WAS THAT
YOUR WITNESSES NAME --
HEARD THERE SHE HAS HER STORY
THAT WAS JUST TALK ABOUT
PUNISHMENT THE DID NOT FIT THE
CRIME THAT WAS AWFUL BECAUSE SO
I I DO SHARE CONCERNS OF HEALTH
--
I MEAN WE HAVE THESE CONCERNS.
WE HAD A VERY LARGE CHAIN
RESTAURANT NOT TOO LONG AGO S.
TWICE HAD --
SALMONELLA OUTBREAKS AND SO I
THINK THAT.
WHAT WE HAVE TO MAKE SURE WE
PROTECT THE PUBLIC HEALTH IT
HAPPENS AND ON A BIG SCALE CAN
HAPPEN A LARGE SCALE BUT IT THIS
IS GONNA HAPPEN REGARDLESS IF
COUNTIES DON'T WANT TO DO IT
THEY DON'T HAVE TO OPT IN TO DO
IT?
AT LEAST NOW THERE WILL BE SOME
REGULATION THERE WILL BE SOME
INSPECTION AND I'LL I WILL MOVE
THE BILL INAPPROPRIATE.
IN THE QUESTIONS --
SO ACTUALLY --
A SO I ADMIT THAT I I HAVE
CONCERNS WITH THE BILL ASSURE ME
THE CONCERNS OF THE HEALTH
OFFICER SOMEONE WITH A PUBLIC
HEALTH BACKGROUND --
BUT I ALSO THINK THAT SOMETIMES
WE TAKE FOR GRANTED THE FACT
THAT WE ACTUALLY PUT IN PLACE --
DECADES TO SENTRY GO --
BUT THE TYPES OF RULES AND
REGULATIONS THAT ACTUALLY
PREVENTS AND SECTIONS DISEASE
WHICH IS MUCH MORE PREVALENT
BACK THEN.
UP BECAUSE THEY WERE SO
DEVASTATING AND I THINK
SOMETIMES PEOPLE UNDERESTIMATE
THE IMPACT INFECTIOUS DISEASE
CAN HAVE PERSON BECAUSE WE'VE
ACTUALLY PUT IN RULES IN PLACE
THAT HEALTH HELP LIMIT THEM.
AND OF TAKING THEM BUT FOR
GRANTED BECAUSE YOU DON'T HAVE
MUCH PERSONAL EXPERIENCE BUT
BEING A POSITION I'VE SEEN
CHILDREN IN THE INTENSIVE CARE
UNIT WITH FOOTBALL GOMES'S.
AND THINK THAT WE NEED TO TAKE A
MUCH MORE SERIOUSLY I GUESS THE
QUESTION I HAVE FOR THE PUBLIC
HEALTH OFFICERS IS IS THAT.
INHERENTLY --
CAN YOU EVER MAKE A HOME
KITCHEN.
SAFE ENOUGH FOR PREPARATION WE
HAVE DIFFERENT STANDARDS FOR
COMMERCIAL KITCHENS.
RIGHT DIFFERENCE SINKS DIFFERENT
THINGS AND SO FORTH.
AND I APPRECIATE WHAT THE AUTHOR
IS TRYING TO DO SAYING THAT WELL
ACTUALLY WE NEED TO CREATE A
PATH BECAUSE WHAT HAPPENS IS
THAT YOU DO YOU HAVE PEOPLE
DOING IT.
GET ALL IN A BILL LEGAL.
BUT PEOPLE ARE DOING IT AND
MAYBE WE MAYBE THERE'S A PLACE
WE CAN LAND OF WHERE WE CAN MAKE
IT SAFE ENOUGH THAT PEOPLE CAN
STILL SO WE CAN CREATE YOU KNOW
WAS OPPORTUNITY WHATEVER.
SO I GUESS ONE QUESTIONS I HAVE
FOR YOU IS GIVE AND IT I CAN DO
MY ON THAT SEARCH BUT I THINK
YOU'RE BUT EXPERTS SO I WANT.
THAT SO WHAT WHAT DO YOU SEE
CIVIL TO BAKER HOME KITCHEN I
REALIZE THERE'S GONNA BE SOME
CHALLENGES IN TERMS OF HOW MANY
INSPECTORS YOU NEED AND OF THE
INSPECTION REGIME BUT JUST SAY
INHERENTLY IN ITSELF.
CAN A HOME KITCHEN NOT THEY YOU
KNOW SUPER FANCY THAT SOMEONE
DESIGNED SPECIFICALLY FOR THIS
BY STANDARD USE THAT THE USUAL
HOME.
KITCHEN THAT MOST PEOPLE HAVE --
XP SAFE ENOUGH AND WATER TO
CHALLENGES IN TERMS OF
ENFORCEMENT BECAUSE HE SAID IT
ISN'T IN SOMEONE'S HOME SO.
WHEN WOULD SAY WELL IT'S JUST
LIKE YANK THE LICENSE BUT YOU
KNOW WHAT THAT WAS SO CANYOU
JUST WALK THROUGH?
WHAT -- THAT
SOME OF THE STANDARDS THAT ARE
GOING TO BE CHANGED AND IT'S
THAT DEMI HOW CRUCIAL ARE THEY
TO TO FOOD SAFETY YEAH THAT THIS
IS MIKE VALLEY AGAIN WITH SANTA
CLARA COUNTY I JUST WANT TO
POINT OUT THAT THE WAY A KITCHEN
IS DESIGNED IN A COMMERCIAL
ENVIRONMENT.
IS IT'S DESIGNED TO THE MENU.
SO FOR EXAMPLE IF YOU HAVE
COMPLICATED ARE COMPLEX
PROCESSES THAT REQUIRE SPECIALTY
EQUIPMENT THAT'S WHEN YOU WOULD
INSTALL AND AND UTILIZE THAT
EQUIPMENT.
THE EQUIPMENT THAT'S IN A
COMMERCIAL KITCHEN IS NSF
APPROVED IT'S THIRD PARTY
CERTIFIED WE HAVE LOTS OF
STANDARDS IN PLACE. TO MAKE SURE
THAT IT'S EASILY CLEAN HERBAL IN
THAT IT CAN BE REUSED OVER AND
OVER AGAIN IN A SAFE MANNER SAFE
MANNER.
THE CHALLENGE THAT WE HAVE BEEN
HOME CATCHES IT IS THAT THE
EQUIPMENT WHILE MAY BE GOOD FOR
UTILIZATION AND A HOME
ENVIRONMENT FOR A FAMILY OF FOUR
SIX SIMPLY IS NOT NECESSARILY.
NO INCREASE OF UP TO SEE THE
MEALS PER WEEK AND WHAT TENDS TO
HAPPEN IS THE EQUIPMENT GETS
DIRTY YOU CAN'T CLEAN IT
PROPERLY AND WE HAVE HAD
SITUATIONS FOR EXAMPLE WITH MEAT
SLICERS IN DELHI SLICERS.
THAT HAVE NOT BEEN ADEQUATELY
CLEAN WHERE OUTBREAKS HAVE
OCCURRED AND SO YOU KNOW WHEN
YOU WHEN YOU SAY CAN YOU DO IT
WE'RE DOING IT NOW IN THE FORM
OF COLLEGE FOOD.
AND IT'S AND IT IS SOMETHING
THAT CAN BE DONE FOR COTTAGE
FOOD IN FOR LIMITED OR
RESTRICTED MENU ITEMS BUT IT
WILL BE A SIGNIFICANT CHALLENGE
IN ORDER TO IMPLEMENT --
POTENTIALLY HAZARDOUS FOODS.
OKAY HE SAID WILL BE CHALLENGED
THAT CAN BE DONE. TO IN MY
OPINION NO I DON'T THINK THAT A
HOME KITCHEN IS A PLACE TO BE
ABLE TO COOK.
OF FOODS THAT ARE --
HAZARDOUS YOU KNOW IT JUST AGAIN
FOR THE CONSUMPTION BY THE
PUBLIC THERE'S THAT THEY'LL AND
WE ALSO HAVE A SINK REQUIREMENTS
YOU KNOW IN A HOME KITCHEN
YOU'RE COOKING CLEANING
SANITIZING FOOD WASHING HAND
WASHING.
A DISH WASHING ALL AND PRETTY
MUCH THE SAME BASIN.
YOU KNOW SO SO AGAIN YOU KNOW
YOU GET BACK TO THE THE WHOLE
ISSUE OF WHEN YOU'RE DEALING
WITH POTENTIALLY HAZARDOUS
FOODS.
THE INFRASTRUCTURE FOR US IS
CRITICAL.
CONSIDER FROM ADD --
I'VE AGREED EVERYTHING MICHAEL
SAID -- AND
THAT THERE MAY BE SOME HYBRID
MODEL TO SUBMIT AS MENTIONED WE
ARE TO HAVE COTTAGE FOODS WHICH
CAN BE IN.
IT'S ABSOLUTELY --
BUT THEN THAT WE HAVE I KNOW
WILL EXPLORING --
HAVING OTHER COMMUNITY BASED
ORGANIZATIONS WHO DO HAVE TO A
COMMERCIAL KITCHENS THE CHURCH'S
OTHER PLACES ON AND LETTING
PEOPLE ACCESS THOSE KITCHENS AND
HAVING WAYS FOR THAT WEEKEND --
MATH HELP AND SO WE REALLY.
SHE ATE THE DESIRE TO CREATE
ECONOMICOPPORTUNITY AND OF THE
POTENTIAL THAT THAT HAS BUT NO I
DON'T THINK IT'S FOR POTENTIALLY
HAZARDOUS FOODS IS NOT WISE TO
DO HOME HOMEBASE KITCHENS.
MEG RYAN ADD ONE THING HERE YES
--
DO JUST WANT TO POINT OUT A
QUICK OF STUDY THAT WE FOUND OF
US FROM THE CENTER OF SCIENCE IN
IN PUBLIC INTEREST THAT FOUND
THAT RESTAURANTS HAVE DOUBLE THE
AMOUNT ABOUT PREFIXES UP PRIVATE
HOMES IN TERMS OF FOOD BORNE
ILLNESS. TO ONE OF THE THINGS
THAT WE SEE HERE IS THAT LIKE
PEOPLE ARE FEEDING THEIR
FAMILIES THEIR FEEDING OUR
CHURCHES ARE DOING THIS ACTIVITY
AND SO WE THINK WITH EXTRA
TRAINING --
YOU'LL BE ABLE TO REDUCES IF IT
MORE SO I THINK THERE'S A LITTLE
BIT OF A FALLACY THAT THAT THERE
IS A TO INCREASE IN FOOD BORNE
ILLNESS FROM FROM PRIVATE HOMES.
AND I'M BECAUSE THEY FOUND
EVIDENCE TO THE CONTRARY BUT
ALSO THAT WE THINK THAT BY
TRAININ FOLKS YOU'RE GONN BE
DOING THIS ANYWAY THAT YOU
ACTUALLY REDUCE THE THE THREAT
OF FOOD BORNE ILLNESS.
I WOULD CERTAINLY BE INTERESTED
IN LOOKING AT THE STUDY BUT I
THINK ONE THE CHALLENGES HOME
BASE.
COOKING IS IS GENERALLY IN TERMS
OF REPORTING.
RIGHT BECAUSE IN THE PROFESSION
AND AND A COMMERCIAL SETTING THE
REPORTING REQUIREMENTS ARE MUCH
MORE STRICT IS NO REQUIREMENTS
FOR AYE IF IT IS SOMEONE GETS
SICK IN MY HOUSE BECAUSE WE CAN
PREPARE FOOD CORRECTLY THERE'S
NO REPORTING CRIMES UNLESS THE
PERSON SICK ENOUGH.
TO AND HOSPITAL AND THE DOCTOR
IDENTIFIED IT AND THEN THEY
DECIDE TO REPORTED THAT SHELTON
REPORT THAT A COMMERCIAL PERSON
TO ACTUALLY HOUSE FOOD BORNE AS
THEY DO HAVE TO REPORT SO YOU
GONNA HAVE REPORTING DIFFERENCES
IN TERMS RATES.
SO I I WOULD BE A LITTLE SUSPECT
ABOUT SAYING THAT WHILE MOST OF
THE FOOD BORNE ILLNESSES CAME
FROM --
COMMERCIAL SITES I MEAN IT'S
TIME.
I THINK THERE [inaudible]
ITSELF [inaudible]
S..
BUT A CENTER MITCHELL.
THANK YOU VERY MUCH IT THANKS
FOR ASKING THAT LAST QUESTION ON
MISTER CHAIRMAN AS I SAID
LISTEN.
TO THE DEBATE YOU KNOW IT OCCURS
TO ME THAT WE'RE LIVING IN A NEW
WORLD ORDER --
WHERE THERE ARE A SOCIAL MEDIA
IT NEVER OCCURRED TO ME THAT
FACEBOOK WOULD HAVE SITES AND
PEOPLE COULD YOU KNOW ENGAGE
THAT WAY --
IT'S FAIRLY NEW WORLD ORDER
WHERE WE PROCEED FOOD TRUCKS AS
HIT VERSUS AGO --
AND THIS CONVERSATION TOOK PLACE
ON THE HOW LONG AGO WHEN WE
WERE.
RECOGNIZING THE THE MASS
EXPANSION OF THE FOOD TRUCK
INDUSTRY I'M SURE THERE ARE
PEOPLE LIKE YOU MISTER CHAIRMAN
WHO QUESTIONED OUR ABILITY. TO
HAVE A SAFE EVEN EXPERIENCING
FOOD TRUCKS --
JUST AS I SAID LISTEN TO THE
OPPOSITION TALK ABOUT --
WEDDING RECEPTION CASES --
THE ONLY TIMES I HAVE HAD FOOD
POSING PERSONALLY HAVE BEEN AS A
RESULT OF HOTEL --
BIG CONFERENCES AND RESTAURANTS
AND SO I THINK WE CAN GO*
FOR TAT ABOUT WHERE YOU ARE SAFE
THIS EATING IN A HOTEL --
A REST OF THE KITCHEN THAT FALLS
UNDER --
HEALTH STANDARDS ARM OR
RESTAURANT --
I THINK WHAT IS MOST IMPORTANT
IN THAT THIS IS AN INDUSTRY THAT
HAS GOTTEN OUT AHEAD OF US
GOVERNMENT ALWAYS LAGGED BEHIND.
A WE ARE NOT INNOVATORS WERE
FOLLOWERS IT WOULD BE IN OUR
BEST INTERESTS OUR COLLECTIVE
BEST PUBLIC HEALTH INTEREST TO
ACKNOWLEDGE THAT THIS IS AN
EMERGING.
INDUSTRY ARM AND FIGURE OUT HOW
WE CAN CATCH UP AND CATCH UP BY
DEVELOPING REGULATIONS AND
RESTRICTIONS TO SUPPORT THE
INDUSTRY THAT'S ALREADY OUT IN
IN A HEAD OF US.
BY CREATING STANDARDS BY WHICH
THEY CAN THEN LIVE UP TO WHAT IF
IF THE BILL DEALS DICE TODAY.
NONE OF THOSE FOLKS TEY'RE ON
FACEBOOK WHO ARE DOING THE WORK
THEY'RE DOING ARE GOING TO STOP.
THEY ARE NOT WHETHER YOU HOOSE
RIGHT USED TO EAT THERE ARE NOT
PEOPLE ARE AND SO I THINK WE
HAVE A PUBLIC HEALTH
RESPONSIBILITY TO DO ALL WE CAN
TO MAKE THEM AS SAFE AS
POSSIBLE.
BECAUSE THE INDUSTRY IS IN FRONT
OF US ALL BE SUPPORTING THE BILL
TODAY BECAUSE I THINK IT'S THE
RESPONSIBLE THING TO DO.
THANK YOU THANK YOU I WOULD MAKE
NO DATA ACTUALLY --
I WORKED HELPED WORK ON
DEVELOPING STANDARDS FOR FOOD
TRUCKS SO CLEARLY WAS NOT SAYING
NO AND THE TWO TRUCKS --
I GUESS THE SHE OTHER QUESTIONS
--
YEAH I GUESS THE OTHER QUESTION
I HAD IS --
IN TERMS OF YOU MADE NOTE OF NOW
I WOULD NOT KNOW THAT THIS BILL
NOW BASICALLY ALLOWS COUNTIES TO
DO SOMETHING BUT DOESN'T HAPPEN
WAS TO COUNTY APPROVES IT OUT
SO.
I WOULD MAKE NO BUT ALL THE
COUNTY SUPPOSED WELL WHERE DEBT
WILL GO BUT IN TERMS OF THE
INSPECTIONS ITSELF --
THERE IS NO DEBT IF SOMEONE'S I
MEAN CAN YOU JUST PULL THE
PERSON'S LICENSE WHAT HAPPENS --
IF SOMEONE IS COOKING AT HOME
THEY SAY NOW SERVING NOW I'M NOT
--
WHAT'S ON THE CHALLENGES YOU SEE
THERE -- SO
I I THINK.
THE THE KEY HERE IS THAT IN A
TRADITIONAL RESTAURANT.
IF WE INSPECTING FINE TO SAY IN
AN EMINENT PUBLIC HEALTH RISK
MAYBE IT IT'S A BOOK ROAD
INFESTATION.
OR YOU KNOW NO WATER THINGS ON
THOSE LINES WE CLOSE THE
RESTAURANT AND IT REMAINS CLOSED
HOWEVER HOME WE'RE NOT GOING TO
BE VACATING.
PEOPLE.
AND WE'RE NOT GOING TO BE INYO
EMPTYING OUT THE RESIDENTS SO
ONCE WE LEAVE IT'S IT'S VERY
EASY FOR THEM.
TO EASILY JUST CONTINUE DOING
WHAT THEY WERE DOING THAT I
WOULD ARGUE THAT THIS WAS I
DOING IT NOW.
AND THERE'S NO PLACE SO.
WINTERS PULLING LICENSE FEE
HAVING THAT IS WHAT IT DOESN'T
THINK RIGHT NOW THEY'RE NOT
DOING IT SO I GUESS YOU CAN GO
AFTER SOMEONE [inaudible]
FOR DOING IT.
THIS OF THEY WANT TO DO IT NOW
AGAIN LICENSE.
BABIES ARE SOME PEOPLE WOULD OF
DONE IT MUST TO GET LICENSED
IDEA LICENSE THERE NOT DOING IT
RIGHT INTO SUPPORTER LICENSE AND
HOPEFULLY IF THEY WERE DOING
BEFORE.
THAT WOULD STOP.
WOULDN'T THAT BE SUFFICIENT.
ON IT DIDN'T INTERIOR COULD BE
SUFFICIENT DIDN'T YEAH I I KNOW
SOME OF THE CHALLENGES THAT
WE'VE SEEN IN THE HOW TO REALLY
GOOD QUESTION.
YOU KNOW PERSONS HOME IS THEIR
CASTLE.
AND YOU KNOW WHEN WE'RE GOING
INTO A COMMERCIAL ENVIRONMENT
THERE'S AN EXPECTATION THAT
PEOPLE UNDERSTAND WHAT WE'RE
THERE.
FOR BUT WE GO INTO SOMEBODY'S
PERSONAL HOMER WORD YOU GOING
INTO THEIR PERSONAL SPACE YOU
KNOW THINGS CAN GET A LITTLE BIT
--
MORE HECTIC IT CAN BE A LOT MORE
DIFFICULT TO GET COMPLIANCE.
AND SO I THINK THAT YOU KNOW
THAT THE ISSUE IS THERE IN THAT
CLOSURE OF AN ACTUAL HOME
ENVIRONMENT WOULD BE A BIT MORE
DIFFICULT.
IN THIS PARTIULAR SITUATION
ONLY BE.
OKAY AND AND ACTUALLY --
SENATORS AND WE HAD A GOOD
CONVERSATION UPRIGHT.
SINCE I'M BOTH OF THIS ON A
SECOND HEARING WE TO HAVE THIS
MUCH TIME TO TALK AS I WOULD
LIKE BUT I UNDERSTAND THAT --
YOU'RE OPEN TO SOME OF THE
ISSUES IN TERMS OF INSPECTION
AND AND PEOPLE BE ABLE TO WITHIN
REASON -- TO
DO INSPECTIONS AND I'VE IT'S A
SURPRISE THEY'LL SURPRISE
INSPECTIONS ARE UNANNOUNCED
INSPECTIONS WITHIN REASON.
CORRECT STRICT WAS A CHEVY WE
BELIEVE THAT THE BILL OF
ADDRESSES THE ISSUE OF SURPRISE
INSPECTIONS MY ENFORCEMENT.
ENTITIES AND IF NEED BE THAT
WOULD LIKE TO HIGHLIGHT THAT --
FURTHER --
CLARIFYING THAT OF COURSE.
YOU KNOW WE WE BELIEVE THAT --
WILL WILL UNDERSTAND THAT WE'RE
NOT EXPECTING A LOCATION LIKE
THIS UP AT NINE O'CLOCK AT NIGHT
WHEN FAMILIES PUT KIDS TO BED --
BUT WITHIN REASON OF THE
OPERATING HOURS IN AND I WOULD
LIKE TO JUST STATE THAT --
IT YOU'RE RIGHT WE ARE DEALING
WITH THE KIND OF APPLES AND
ORANGES WHEN WE'RE TALKING ABOUT
CIRCUMSTANCES OF A HOME AND OR A
COMMERCIAL SITE.
BUT I WANNA JUST REEMPHASIZE
THAT YU KNOW THE HEALTH
STANDARDS THAT WE ARE.
AT PUTTING FORWARD ARE NO
DIFFERENT THAN THE ONES AT A
COMMERCIAL SITE WOULD ACT TO
ADHERE TO A WITH THE VERY MINOR
EXCEPTIONS THAT ARE HIGHLIGHTED
IN PAGE TEN OF YOUR ANALYSIS.
THAT ARE IMPRACTICAL RIGHT --
TO BE ABLE TO ENFORCE BUT THAT
WE GIVE A LOT OF AUTHORITY
INDISCRETION TO THE COUNTIES IN
THIS BILL.
OUGHT TO BE ABLE TO SET THOSE
PARAMETERS ON HOW THEY CHOOSE TO
MOVE FORWARD IF THEY CHOOSE TO
MOVE FORWARD WITH THIS OFTEN
OPTION THAT --
IN THE BILL.
ALRIGHT WELL --
NAY I APPRECIATE THAT THE
TESTIMONY I THINK DOWN THIS IS
--
I WOULD MAKE NOTE OF WHAT US OR
MITCHELL SAID AND IN SOME SENSES
A I EIGHT IT'S CHALLENGING BUT
AND I ESTIMATE THAT I PERSONALLY
THAT -- THAT
AGREE WITH MANY OF THE POINTS
THAT WERE MADE BY MY GOOD
FRIENDS AND PUBLIC HEALTH.
CLUBHOUSES SAID IN A CLLEGE AND
AND IT ALSO AGREE WITH WHAT
CENTER MITCHELL SAID IS IS THAT
--
THIS IS ALSO GOING THEM IN THIS
IS HAPPENING AND WHILE WE MAY --
WEAK ATTEMPT AT SOME BAR THEIR
BOUNDARIES AROUND THE GAY SODOMY
STUFF IS HAPPENING AND SO THE
QUESTION IS IS THAT QUITE ARE WE
GOING TO DO. TO SET APPROPRIATE
EXPECTATIONS AND THEN SAFETY
BARRIERS AROUND THAT SO I
UNFORTUNATELY AM NOT --
ABLE TO SUPPORT THE BILL AT THIS
TIME I THINK I NEED TO HAVE SOME
MORE CONVERSATION DON'T WORK
WITH ALL OF YOU HERE PUBLIC
HEALTH AS WELL --
BUT I ALSO THINK THAT LIEU.
I KNOW IT'S CHALLENGING WE'VE
GOT TO FIGURE OUT SOME PLACE TO
LAND THIS THING AND I REALIZE I
DID DOES QUESTION ABOUT HOME
KITCHENS BECAUSE I THINK THAT'S
THAT'S A BIT OF A CHALLENGE
RIGHT BECAUSE WHAT HAPPENS YOU
HAVE A INFRASTRUCTURE FACILITY.
THAT ISN'T REALLY QUITE DESIGNED
[inaudible] FOR THE LEVEL OF
SAFETY THAT YOU'D EXPECT AN
EXTRA MORE COMMERCIAL OPERATION
IS NOT LARGE SCALE SMALL CELL SO
HOW DO WE WORK THAT OUT ITS
ADDRESS SO --
WITH THAT NOW WOULD YOU LIKE TO
CLOSE SURE I I WANT TO SEE THAT
I THINK THE UNDERLINING
CONSENSUS HERE THAT I TO AGREE.
WITH THE OPPOSITION IS THAT
WE'RE ALL TRYING TO A LOOK OUT
FOR THE PUBLIC HEALTH AND WELL
BEING OF CALIFORNIANS ARE
CONSUMING HIS FOOD.
I AND AND THAT'S IMPORTANT TO TO
HIGHLIGHT BECAUSE THAT IS AT THE
CORE OF THE OBJECTIVE OF THIS --
MEASURE BEFORE YOU.
A CERTAINLY I WANT TO JUST
HIGHLIGHT THAT --
CENTER MITCHELL YOU KNOW I USED
TO THE WHICH ALSO WAS SAID BY --
THE ENTITIES BEFORE US OPT IN
OPPOSITION THAT IT WOULD BE
IMPOSSIBLE TO REGULATE.
AND THAT'S NOT TURNED OUT TO BE
THE CASE.
IT WAS ALSO GOING TO BE
IMPOSSIBLE TO REGULATE THE CUT
FOOD INDUSTRY --
THAT WAS ADOPTED IN TWO THOUSAND
TWELVE AND THAT HASN'T.
BEEN THE CASE EITHER IN SO THAT
WE HAVE HIGHLIGHTED YOU KNOW VIA
THE WITNESS THAT WE HAD HERE
BEFORE YOU DE COMMIT JUSTICE
ELEMENT THAT TO THE BILL --
THERE'S ALSO BEEN --
IT'S BEEN SAID THAT THIS IS AN
ECONOMIC JUSTICE ISSUE AN
OPPORTUNITY.
FOR MICRO ENTERPRISES TO THE
INTERNET TO FULL BLOWN
BUSINESSES THAT PERHAPS MAYBE
AND UP AT A COMMERCIAL SITE AT A
STORE FRONT.
AND LASTLY JUST TO RE EMPHASIZE
ABOUT THIS IS A PUBLIC HEALTH
ISSUE THAT WE'RE TRYING TO
ADDRESS.
VIA ALLOWING TO COUNTIES TO
EITHER OPT IN.
A TO THE PROGRAM IF THEY SO
CHOOSE.
TO AND MAKING SURE THAT WE
UPHOLD THE HEALTH STANDARDS AT
THAT RESTAURANTS ARE SUBJECT TO
IN NOT CALIFORNIA LAW --
ALREADY SO WITH THAT THAT THANK
YOU -- FOR
YOUR TIME AND DON'T RESPECTFULLY
ASK FOR YOUR AYE BOTH.
OKAY THANK YOU SO THE BILL'S
BEEN MOVED BY SARAH LEYVA --
CITRIC PLEASE CALL THE ROLL
[inaudible]
AND WHEN [inaudible]
WELL.
BILL I HERNANDEZ LEYVA LEYVA AYE
MITCHELL.
MITCHELL AYE MONNING
[inaudible]
NIELSEN [inaudible]
BROTH.
OKAY TO FILL HAS THREE VOTES
WITH THE DAWN CALL THANK YOU SO
MUCH [inaudible]
CITIZENS [inaudible]
RIGHT IS IT --
MCCARTY.
BUT SENATOR MCCARTY UP WELCOME.
AND SEE YOU HAVE OWN SET SEE
ITEM NUMBER THREE AB.
SEVENTEEN FORTY FOUR SLOCUM
[inaudible]
THANK YOU.
WELL I LEARNED A LOT THIS
AFTERNOON.
DANGER COMMITTEE.
BILL GOES INTO PUBLIC HEALTH.
CLASSROOM.
SO HOPEFULLY WE HAVE A A BILL
THAT'S NOT AS COMPLEX IT'S
ACTUALLY A VERY STRAIGHTFORWARD
BILL.
THAT WE ALL LOVE CALIFORNIA
AFTER SCHOOL PROGRAMS WE HAVE
OUR ROBUST PROGRAMS HERE IN OUR
STATE.
THAT'S ALLOW --
DIE YOUNG PEOPLE TO DO SOMETHING
PRODUCTIVE AFTER SCHOOL WE KNOW
THAT BETWEEN THREE AND SIX IS
OFTEN PRIME TIME FOR JUVENILE
CRIME --
THESE PROGRAMS IN CALIFORNIA 80%
HAVE STUDENTS IN FREE AND
REDUCED LUNCH PROGRAMS.
AND THAT WE NEED TO MAKE SURE
THAT THEY'RE PROPERLY --
PROPERLY FUNDED AND WE DO I HAVE
SOMETHING THAT WE WANT TO
CONNECT WITH THAT IS THAT'S LAST
YEAR PEOPLE CALIFORNIA VOTED --
TO TO LEGALIZE AND S. MARIJUANA
CAN ON THE TV COMMERCIALS THAT
WE ALL SAW IT WAS A VERY CRYSTAL
CLEAR MESSAGE.
VOTE FOR PROP.
SIXTY FOUR AND MONIES WILL GO TO
AFTER SCHOOL PROGRAMS SO THE
BILL BEFORE US JUST A
MEMORIALIZES THAT COMMITMENTS
NOT A GUARANTEE.
NOT A YEAR MARK I KNOW THAT'S
THERE'S SOME OPPOSITION SAYING
WHEN WE'RE PUTTING ARE GETTING
AHEAD HEAD OF US HERE BUT TO
JUST MAKE IN THESE --
THESE PROGRAMS ELIGIBLE AND SET
THE STAGE FOR POTENTIAL
ALLOCATION WHEN WE GOT COME
AROUND TO FUNDING THESE IN THE
STATE BUDGET PROCESS IN THE NEXT
YEAR.
BUS SO WITH THAT I ASK FOR YOUR
AYE VOTE TO HAVE --
WITH ME TODAY --
CAPTAIN KATHY LUSTER FROM THE
SACRAMENTO POLICE DEPARTMENT.
AND AN ADVOCATE WITH FIGHT CRIME
INVEST IN KIDS AND JENNIFER
DIETRICH WHAT THE CALIFORNIA
AFTER SCHOOL ADVOCACY ALLIANCE
[inaudible]
THANK YOU.
THANK YOU WHAT.
BUT THE SUPPORT GOOD AFTERNOON
NAMES CAPTAIN KATHY LESTER OVER
WITH THE SACRAMENTO POLICE
DEPARTMENT FOR ABOUT TWENTY FOUR
YEARS AND I AM PLEASED TO
REPRESENT SACRAMENTO POLICE
CHIEF DANIEL HAHN.
IN THE FOUR HUNDRED MEMBERS OF
FIGHT CRIME INVEST IN KIDS IT'S
AN ORGANIZATION OF POLICE CHIEFS
SHERIFF'S DISTRICT ATTORNEYS AND
CRIME VICTIMS.
CHIEF HAN IS A LONGTIME MEMBER
OF FIGHT CRIME INVEST IN KIDS
AND WE SUPPORT AB SEVENTEEN
FORTY FOUR BECAUSE AFTER SCHOOL
PROGRAMS ARE CRITICAL TO AN
EFFECTIVE CRIME PREVENTION
STRATEGY.
I UNDERSTAND THE MANY BENEFITS
OF AFTER SCHOOL PROGRAMS NOT
ONLY AS A WORKING PARENT OF
THREE KIDS BUT ALSO FROM MY
EXPERIENCES AS A POLICE OFFICER.
CURLY OVERSEE ALL THE SACRA
PLEASE YOUTH PROGRAMS ARE MAGNET
ACADEMIES AND THE SCHOOL
RESOURCE OFFICERS WHICH SERVE
ABOUT. FIFTY THOUSAND KIDS IN
THE SACRAMENTO AREA.
AFTER SCHOOL PROGRAMS HELPED CUT
CRIME IMMEDIATELY BY KEEPING
KIDS OFF THE STREETS AND AWAY
FROM GANGS AND DRUGS DURING THE
PRIME TIME FOR JUVENILE CRIME
WHICH IS BETWEEN ABOUT THREE IN
THE AFTERNOON AND SIX AT NIGHT.
THEY ALSO HELPED CUT CRIME IN
THE LONG TERM BY KEEPING KIDS
ENGAGED IN SCHOOL.
I'M IMPROVING ATTENDANCE
DEVELOPING.
TRAIN YOUNG PEOPLE ADULTS AND
KEEPING KIDS ON TRACK TO
GRADUATE.
WILL CALIFORNIA HAS MANY GREAT
INVESTMENTS AFTER SCHOOL PROGRAM
SUPPORTING PROGRAMS AT OVER FOUR
THOUSAND SCHOOLS DALY MORE
FUNDING IS NEEDED. TO SUSTAIN
OUR EXISTING PROGRAMS THAT
STRUGGLE WITH SOME LOW
REIMBURSEMENT RATES AND DIE
INCREASING MINIMUM WAGE COSTS.
AS WELL AS ESTABLISHING NEW
PROGRAMS INCLUDING --
IN THE NEARLY THREE THOUSAND LOW
INCOME SCHOOLS WHICH RECEIVE
LIMITED OR NO STATE AND FEDERAL
FUNDING.
INVESTING UP PROP SIXTY FOUR
FUNDS IN AFTER SCHOOL PROGRAMS
MAKES PLAIN COMMON SENSE THE
CONNECTIONS CLEAR.
NOT ONLY DESTROYED USE LIKE
OTHER CRIMINAL ACTIVITY PEAK
AFTER SCHOOL RESEARCH SHOWS THAT
PARTICIPATING IN AFTER SCHOOL
PROGRAMS REDUCES DRUG USE.
AND IN A COMPREHENSIVE STUDY
FOUND THAT STUDENTS TO
PARTICIPATE IN HIGH QUALITY
AFTER SCHOOL PROGRAMS EXHIBITED
SIGNIFICANT REDUCTIONS IN DRUG
USE AND OTHER PROBLEM BEHAVIOR
SORE FOR THAT REASON.
LAW ENFORCEMENT LEADERS ACROSS
THE STATE SUPPORT BB SEVENTEEN
FORTY FOUR THANK YOU FOR THE
OPPORTUNITY SURE PERSPECTIVE
[inaudible]
THANK YOU.
GOOD AFTERNOON JAN DIETRICH ON
BEHALF OF THE PARTNERSHIP FOR
CHILDREN AND YOUTH AND THE
CALIFORNIA AFTER SCHOOL ADVOCACY
ALLIANCE IT'S A COALITION OF
MORE THAN. TWENTY AFTER SCHOOL
PROVIDERS AND ADVOCACY
ORGANIZATIONS SERVING HUNDREDS
OF THOUSAND CD TENS OF THOUSANDS
OF CHILDREN IN USE.
IN PUBLICLY FUNDED AFTERSCHOOL
PROGRAMS ACROSS THE STATE WE
STRONGLY SUPPORT AB SEVENTEEN
FORTY FOUR TO CLARIFY BUT AFTER
SCHOOL PROGRAMS ARE NOW
ALLOWABLE USE OF PROPS SIXTY
FOUR FUNDING.
AND TO BE CONSISTENT WITH PROPS
BEFORE CAMPAIGN MATERIALS AS THE
ASSEMBLY MEMBER REFERENCED.
CALIFORNIA CURRENTLY BENEFITS
FROM SUBSTANCE USE PREVENTION
THROUGH OUR SYSTEM A PUBLICLY
FUNDED AFTER SCHOOL PROGRAMS.
IN HIGH NEED COMMUNITIES WHICH
ARE AMONG THE MOST IMPACTED BY
THE WAR ON DRUGS SERVING.
MORE THAN FOUR HUNDRED EIGHTY
FIVE THOUSAND STUDENTS DALY. FOR
EXAMPLE RESEARCH SHOWS THAT
TEENS ARMED THREE TIMES MORE
LIKELY TO USE MARIJUANA AND
OTHER DRUGS IF THEY ARE NOT IN
AN AFTER SCHOOL PROGRAM.
BUT WE CAN'T MEET THE CURRENT
NEED AND GROWING NEED WITH
CURRENT FUNDING.
RIGHT NOW MOST OF OUR PROGRAMS
HAVE WAITING LISTS AND ARE IN
SUMMER AT RISK OF CLOSING THEIR
DOORS BECAUSE ONE FEDERAL
FUNDING IS PROPOSED TO BE
ELIMINATED NEXT YEAR.
AND TO STATE INVESTMENT HASN'T
KEPT PACE WITH THE GROWING.
UP PROGRAM COSTS SO THE MINIMUM
WAGE COSTS OF LIVING.
AS A RESULT NEARLY A QUARTER OF
STATE AFTER SCHOOL PROGRAMS ARE
SAY THEY ARE VERY LIKELY TO
CLOSE OUR DOOR WITHIN TWO YEARS
UNLESS THEY RECEIVE ADDITIONAL
FUNDING.AB SEVENTEEN FORTY FOUR
DOESN'T
INTRUDE ON THE DEPARTMENT OF
HEALTH CARE SERVICES AUTHORITY
THE LANGUAGE IN THIS BILL IS
PERMISSIVE.
AND THE DEPARTMENT OF HEALTH
CARE SERVICES MAY CONSIDER
SELECTING AMONG OTHER PROGRAMS
AFTER SCHOOL PROGRAMS TO
PREVENT.
AND REDUCE SUBSTANCE USE BASED
ON WHAT WAS PROMISED VOTERS BUT
IT DOESN'T REQUIRE THAT AFTER
SCHOOL PROGRAMS ARE FUNDED OVER
ANY OTHER PROGRAM.
AND IN FACT AB SEVENTEEN FORTY
FOUR DOZEN ALLOCATE ANY FUNDING
FOR AFTER SCHOOL LEAVES THE
DISBURSEMENT TO THE PERMANENT
HEALTHCARE SERVICES WITH INTER
AGENCY AGREEMENTS WITH THE
DEPARTMENT OF PUBLIC HEALTH AND
THE DEPARTMENT OF EDUCATION.
AS OUT BASED ON NECESSARY NEEDS
ANALYSIS AS STATED IN THE
PROPOSITION SO WE WE SUPPORT ON
EFFORTS FOR CHILDREN AND YOUTH
IN THE MOST IMPACTED COMMUNITIES
TO RESERVE.
IT TOO RECEIVED THE SUBSTANCE
USE AND PREVENTION THAT THEY
DESERVE --
AS PROMISED TO THE BY THE
VOTERS.
I WE ENCOURAGE YOUR SUPPORT
TODAY THINK YOU.
YOU KEEP OTHER WITNESSES IN
SUPPORT NAME OR SAGE POSITION
WELCOME GOOD AFTERNOON MISTER
CHAIRMAN SENATORS PAMELA GIVES
REPRESENTING THE LOS ANGELES
COUNTY OFFICE OF EDUCATION AND
WE ARE JUST SUPPORT FOR THE
BILL.
GOOD AFTERNOON A SIMIAN GANT
CALIFORNIA BLACK HEALTH NETWORK
IN SUPPORT OF THE BILL.
SUZANNE FAX A METHOD A AND GREEN
TECH EDUCATION TRAINING AND
SUPPORT.
GOOD AFTERNOON --
JULIE QUOTES ON BEHALF OF THE
CITY'S SUPERINTENDENT PUBLIC
CONSTRUCTION IN SUPPORT.
YOU.
CHRIS SLIPPED WARMLY CALIFORNIA
STATE ALLIANCE OF YMCAS IN
SUPPORT.
JUST QUE WITH THE CALIFORNIA
AFTER SCHOOL NETWORK IN STRONG
SUPPORT.
LYDIA BORN AMERICAN CATTERY
PEDIATRICS CALIFORNIA DIVISION
IN SUPPORT.
WEST SAM'S UNITED WAYS OF
CALIFORNIA IN SUPPORT.
PRICE MACHADO COMMONSENSE
CONDUCTION IN SUPPORT.
YOU THEIR CLINICS ON BEHALF OF
THE SIMPSON SCHOOL UNIFIED
SCHOOL DISTRICT IN THE BOYS AND
GIRLS CLUB LINES CALIFORNIANS
SUPPORT.
AFTERNOON MISTER CHAIRMAN
MEMBERS OF THE COMMITTEE PAUL
GETS ALL OF US HERE TODAY ON
BEHALF OF THE CITY OF MARINO
VALLEY IN SUPPORT.
I THINK YOU DO HAVE ANY
WITNESSES IN OPPOSITION.
OKAY SAYING NO WITNESS
SUPPOSITION QUESTIONS FROM
COMMITTEE MEMBERS.
ALRIGHT THE BILL'S BEEN MOVED
SAYING NO QUESTIONS ARE.
THANK YOU SENATOR OF I HAD THAT
CHANCE TO HEAR IT AND ACTIVITIES
WELL SO I WOULD LIKE TO CLOSE.
THANK YOU FOR YOUR SUPPORT.
THANK YOU ALRIGHT --
SO IT'S BEEN MOVED BY CENTER
MITCHELL THE MOTION IS TO PASS
APPROPRIATIONS SECOND PLEASE
CALL THE ROLL.
PAN IKE AND I WIN.
BELL.
BELLE I HERNANDEZ LEYVA.
LEYVA AYE MITCHELL AYE MITCHELL
AYE MONNING.
NIELSEN ROSS.
OKAY SO THAT BILL CURLIEST FOR
VOTES WILL HOLD THE BILL ON
CALL.
THIS MORE MEMBERS RETURN THANKS
VERY MUCH THEM OKAY AS A MEMBER
MAIENSCHEIN OKAY ITEM NUMBER
FIVE A. B. C. [inaudible] EIGHTY
IMPORTATION OF THE DISEASE DOGS
AND CATS [inaudible]
OKAY.
ALRIGHT WELCOME A CURE VERY MUCH
MR CHAIRMAN MEMBERS ANIMALS
INCLUDING OUR PETS I CAN CARRY
DANGEROUS DISEASES I INCLUDING
RABIES TAPE FORM LYME DISEASE AS
WELL AS A NUMBER OF OTHER
VIRUSES.
SOME OF THESE DISEASES ARE EVEN
COMMUNICABLE TO HUMANS EXISTING
LAW BASS IN THE DEPARTMENT OF
PUBLIC HEALTH AUTHORITY TO TAKE
SPECIFIED ACTIONS. TO CONTAIN
DISEASE OUTBREAKS WHEN THEY
OCCUR WITHIN THE STATE BUT AS
THE PREVALENCE OF ONLINE PET
SALES GROWS THE OPPORTUNITY FOR
INTERSTATE OUTBREAKS MAY
INCREASE.
AS REPORTED BY THE CDC A RECENT
AND ONGOING EXAMPLE OF SUCH AN
OUTBREAK IS A BACTERIAL
INFECTION THAT IS NOW AFFECTED
PEOPLE IN SEVENTEEN STATES.
ITS PARTICULAR DANGEROUS TO TO
THE FACT THAT THE STRAIN IS
RESISTANT. TO NUMEROUS COMMON
ANTIBIOTICS TYPICALLY USED TO
TREAT THE VIRUS WHILE THE
CURRENT OUTBREAK CONTINUES TO
SPREAD THE EXISTING SCOPE OF THE
DEPARTMENT'S AUTHORITY WOULD NOT
ENSURE THAT PATS LINK TO THE
OPERATE ARE NOT BROUGHT INTO THE
STATE.
GIVEN THE PREVALENCE OF
MULTISTATE TRANSACTIONS IN THE
DANGEROUS NATURE OF ANIMAL BORNE
DISEASE AB SEVENTEEN EIGHTY WILL
EXPAND THE DEPARTMENT'S
AUTHORITY TO BETTER PROTECT
PUBLIC HEALTH.
AND ALLOW IT TO INVESTIGATE AN
ISSUE AN ORDER PROHIBITING THE
IMPORTATION OF DOGS OR CATS
AFFECTED BY A COMMUNICABLE
DISEASE OUTBREAK INTO THE STATE.
WILL PROTECT THE PUBLIC FROM
DISEASES THAT CAN BE TRANSFERRED
FROM ANIMALS TO HUMANS PRESSURE
PROHIBITING THE IMPORTATION OF
AFFECTED DOGS OR CATS.
UP BY DISEASE OUTBREAK WITH ME
TO TESTIFY ON BEHALF OF AB
SEVENTEEN EIGHTY IS SUSAN RAKES
THE SENIOR EXECUTIVE DIRECTOR
FOR A S. PCI.
I THANK YOU WELCOME THAT
AFTERNOON SUSAN REYES WITH SPCA
I'M AS PREVIOUSLY MENTIONED BY
ASSEMBLY MEMBER BASE SHINE THE
GENESIS THAT THAT THE SPELL IS A
RECENT OUTBREAK THAT WAS SOME
ANTIBIOTIC.
RESISTANT AYE AYE CAMPYLOBACTER
ACTED SEVENTEEN STATES WELL OVER
A HUNDRED PEOPLE WERE AFFECTED
ALMOST TWO DOZEN PEOPLE
HOSPITALIZED ABOUT THIS OUTBREAK
WAS SIGNIFICANT COULD HAVE BEEN
HIGHLY DETRIMENTAL TO THE
STATE'S HEALTH AND SAFETY.
OUR CONCERN IS THAT AT THAT THAT
THIS OUTBREAK MAY ONLY BE THAT
FORESHADOWING OF WHAT'S TO COME.
FOR TO ENTER CONNECTED REASONS
FIRST WE'VE SEEN A DRAMATIC
INCREASE IN THE NUMBER OF ONLINE
PET CELLS THE OPPORTUNITY FOR
FRAUD AND THE QUESTIONABLE
MANNER IN WHICH ANIMALS ARE.
TRANSPORTED TO THE STATE THROUGH
THESE TRANSACTION PROVIDE
LIMITLESS OPPORTUNITIES FOR
SKIRTING THE LAW.
SUCK AT THE ROLE OF THE U. S. D.
A. UNDER THIS PARTICULAR
ADMINISTRATION AND REGULATING
THE PUPPY MILL INDUSTRY IS
QUICKLY DIMINISHING --
BICU STA HAS TAKEN DRAMATIC
STEPS REDUCE THE AMOUNT OF
OVERSIGHT TRANSPARENCY AND THE
PUPPY MILL INDUSTRY A GIVEN THIS
REDUCTIVE EDUCED OVERSIGHT THE
LACK OF REGULATION OF THE
INDUSTRY.
THAT SERVES THE ONLINE MARKET
THE OPPORTUNITY FOR MORE AT SIX
SICK ANIMALS AND THEREFORE AN
INCREASE AND INTERSTATE
OUTBREAKS WILL LIKELY INCREASE
BE INCREASED --
GIVEN THE LIGHT AT THE RESET
HIGHLY CONTAGIOUS OUTBREAK IN
THE POTENTIAL FOR MORE TO FOLLOW
IT IT IS IMPERATIVE THAT WE
PROVIDE THE DEPARTMENT PUBLIC
HEALTH WITH THE AUTHORITY TO
TAKE ACTION IN THE EVENT THAT
DISEASE.
CARRYING DOGS AND CATS COULD
ENDANGER THE PUBLIC HEALTH AND
SAFETY.
OF THE CALIFORNIA.
THANK YOU OTHER WITNESSES IN
SUPPORT.
OKAY XENA KNOW WHAT THE
WITNESSES IN OPPOSITION.
RIGHT QUESTIONS FOR COMMITTEE
MEMBERS.
A BILL'S BEEN MOVED SAY NO BUT
SO ACTUALLY THANKS SO MUCH FOR
BRINGING THIS BILL FORWARD RIGHT
SO I AT THE FIVE MEMBER QUICKLY
CANCELLED ACTORS ACTUALLY
GASTROINTESTINAL TRACT.
CORRECT SO IT CAUSES UPSET
STOMACH DIARRHEA THOSE TYPES OF
EXACTLY EXACTLY SO.
THE FACT HAVING IT COULD THEN
TRANSMITTED THROUGH VARIOUS
MEANS -- BUT
ALSO.
AND IT'S JUST READ TO SEVENTIES
STATES AND THEY WEREN'T ISOLATED
--
I MEAN THERE WAS EVERYTHING FROM
UTAH TO MAINE TO FLORIDA RIGHT
SO I MEAN IT REALLY DIDSPREAD.
IT THROUGHOUT THE UNITED STATES
EL PROBABLY NOT INFECTED ANIMAL
YOU WOULD HAVE A KITCHEN THAT.
OKAY.
ALRIGHT THAT WOULD LIKE TO CLOSE
IT IT'S NICE TO HAVE A DOCTOR IN
CHARGE BECAUSE I SKIPPED OVER IT
ON MY NOTES BECAUSE I CAN
PRONOUNCE IT SOUNDS.
LIKE YOU AND WATER RESPECTFULLY
REQUEST AND I'VE OUT ALRIGHT
THANK YOU --
IT'S BEEN MOVED BY SENATOR LEYVA
--
FOR THE MOTION IS.
AND I AND I WHEN.
BELL.
WELL I HERNANDEZ LEYVA THEY'VE
AYE MITCHELL.
MITCHELL AYE MONNING
[inaudible]
NIELSEN ROB [inaudible]
OKAY THE BILL HAS FOUR VOTES
WILL BUT THE BILL ON CALL MAKE
YOU THINK SO MUCH I SEE ASSEMBLY
MEMBER IN THIS AREA IN HERE.
OKAY --
WELCOME AT ITEM NUMBER SIX AB.
EIGHTEEN OH ONE ANOTHER
INFECTIOUS DISEASE.
THANK YOU MISTER CHAIR AND
MEMBERS --
I'D LIKE TO START OUT BY FIRST
OF ALL EXCEPT BEING --
THE ANALYSIS AMEND THE SUGGESTED
AMENDMENTS INDIAN ALICE'S --
FOR THIS BILL --
AB [inaudible]
SERVICES [inaudible]
XIN WITH WHICH WOULD REVIEW
ISSUE SURROUNDING
CYTOMEGALOVIRUS OTHERWISE KNOWN
AS CMV.
CNBC MOST COMMON INFECTIOUS
BECAUSE OF BIRTH DEFECTS IN THE
U. S. IMPACTING ONE IN TWO
HUNDRED INFANTS --
EACH YEAR IT CAN LEAD TO HEARING
LOSS VISION LOSS DEVELOPMENTAL
AND MOTOR DELAY AND OTHER LONG
TERM HEALTH PROBLEMS.
A SCIENTIFIC EVIDENCE ON
SCREENING AND TREATMENT FOR CMB
CONTINUES TO UNFOLD WE'RE SEEING
A TREND OF STATES PAYING CLOSER
ATTENTION TO THIS VIRUS.
SPILL ODELS WHAT WAS DONE IN
MAINE TO ASSEMBLE CALIFORNIA'S
BEST AVAILABLE TALENT IN THIS
FIELD TO UNDERSTAND THIS VIRUS
MORE CLEARLY AND ASSESS POSSIBLE
OPPORTUNITIES TO MITIGATE ITS
HARMFUL.
AFFECTS --
AS THE BIG OF A PROBLEM AS CMB
IS UNFORTUNATELY ONLY 9% OF THE
POPULATION IS EVEN AWARE OF IT.
SO BY CREATING THIS COMMISSION
CALIFORNIA WILL GATHER EVIDENCE
BASED AND DATA DRIVEN
INFORMATION.
WHICH CAN BE USED TO MAKE
APPROPRIATE RECOMMENDATIONS IN
ORDER TO ADDRESS.
SERIOUS --
AFFECTS OF THE VIRUS WITH ME IN
SUPPORT IS JANELLE GREENLEE.
A PARENT OF TWO CHILDREN
AFFLICTED WITH CMT AND FOUNDER
OF THE NATIONAL CMB FOUNDATION.
AND DOCTOR PETER BARRY CMB
RESEARCHER AT UC DAVIS I THANK
YOU WELCOME I WOULD MAKE NOTE
THAT ACTUALLY I UNDERSTAND IS
LAW SUPPORT FOR THE BILL --
BUT WE ALSO THE ONE WHO YOUR
STORY BREVITY IS APPRECIATED
THANK IF.
WONDERFUL THANK YOU VERY MUCH
CHAIRMAN PAN AND HONORABLE
MEMBERS OF THE A COMMITTEE WE
THANK YOU FOR YOUR TIME I THINK
FOR THE OPPORTUNITY TESTIFYING
BEHALF.
OF AB EIGHTEEN OR MY NAME AS
MENTIONED BY THE ASSEMBLY
MEMBERS YOU KNOW GREENLEE AND I
AM CO FOUNDER OF THE NATIONAL
SCENE THE FOUNDATION.
AND A RESIDENT OF SARATOGA IN
YOUR DISTRICT SENATOR PAUL.
THANKS TO SEE.
A DURING MY YEARS IN ADVOCATE ON
THE ISSUE OF CMV HAVE MET WITH
COUNTLESS MEDICAL AGENCY AND
POLICY PROFESSIONALS ON
NATIONWIDE AND WORLDWIDE.
ON THE NET FOR THE SAME THING
OVER AND OVER AGAIN SOMETHING
NEEDS TO BE DONE ABOUT CMV.
AYE TODAY MY HOME STATE OF
CALIFORNIA A. B. SOMETHING AB IN
EIGHTEEN OH ONE IS MENTIONED BY
THE ASSEMBLY MEMBER. SIX TO
ENGAGE APPROPRIATE AND RELEVANT
PROFESSIONALS TOGETHER AS A
COMMISSION TO ADDRESS THE ISSUE
OF CMP.
AT THIS COMMISSION WILL EVALUATE
THE BODY OF RESEARCH WITH
RESPECT TO SEE IN THE NEWBORN
SCREENING --
AND DIAGNOSIS OF ALSO IDENTIFY
HOW BEST TO EDUCATE WOMEN --
INTERSTATE ABOUT CMB THE STATE
OF MAINE RECENTLY CONVENED A
SIMILAR --
COMMISSION TO ADDRESS EVEN AS
SEEN BE RECEIVING BROAD SUPPORT
I'M FROM PEDIATRIC ASSOCIATION'S
AS WELL AS THEIR STATE CENTER.
FOR DISEASE CONTROL PREVENTION
WHICH WE DO NOT HAVE.
ONE AYE MEANS COMMISSION CLEARED
ARRAY OF PROFESSIONALS --
SPECIFICALLY EXPERIENCED IN THE
ISSUE OF SEEM VIA RESULTING IN A
THOUGHTFUL AND COMPREHENSIVE
REPORT BACK TO THE LEGISLATURE
FOR RADIO ADDITIONALLY OTHER
SEVERAL STATES HAVE ALREADY
ENACTED SEEM BE LEGISLATION --
EDUCATION SCREENING POLICIES AND
SEVERAL MORE WORKING TOWARDS A
CREAM EXPANDING THEIR EXISTING
SEEM THE INITIATIVES AND
PROGRAMS INTERNALLY.
AT THIS ATTENTION ENERGY AROUND
CMB AS EXHILARATING AS THE BODY
OF RESEARCH POINTS TO ITS
URGENCY WERE FINE IT'S HIM BE
DISPROPORTIONATELY.
AFFECTS BLACK HISPANIC AND MULTI
RACIAL COMMUNITIES REFINING THAT
THE COST IMPACT OF CMV NUMBERS
IN THE BILLIONS OF DOLLARS.
REFINE THAT CMP IS PROVING TO BE
A SIGNIFICANT CAUSE OF
MISCARRIAGE AND STILLBIRTH.
AND SOMETHING NEEDS TO BE DONE
ABOUT CMP WE WE AGREE A IN
ADDITION TO ADVOCACY WORK I'M
ALSO A MOTHER TO TWIN DAUGHTERS
RILEY AND RACHEL RILEY IS THIS
BEAUTIFUL NOISY BLONDE GIRL
WHO'S GONE AND OUT A COUPLE
TIMES.
BUT THEY WERE BORN BACK IN TWO
THOUSAND THREE WITH CONGENITAL
CMV AND SENATOR MORNINGS
DISTRICT.
I AFTER THEY WERE BORN
UNDIAGNOSED MY DOCTOR TOLD ME
THAT SEEM HE WAS RARE HAVING
NEVER HEARD OF IT MYSELF I
BELIEVED HER.
COVER THE CDC REPORTS THAT WENT
INTO HER --
BABIES ARE BORN WITH CONGENITAL
CMV ONE OUT OF FIVE OF THOSE
BABIES WILL GO ON TO HAVE LONG
TERM HEALTH ISSUES ARE
DEVELOPMENTAL DISABILITIES.
A SO OR IN PLAIN TERMS I'D LIKE
TO EXPLAIN AT THAT ONE AND TWO
HUNDRED BABIES WILL BE BORN WITH
CMV.
AND THEY GET TO LEAVE THE
HOSPITAL IDEALLY AND THEN ONE IN
A HUNDRED I MEAN PERMIT ONE IN A
THOUSAND WILL COME BACK TO THE
HOSPITAL OVER AND OVER AGAIN DUE
TO THESE LONG TERM EFFECTS.
OF BABIES LIKE MY TWIN DAUGHTERS
WRITING RACHEL WHO EACH HAVE
PROFOUND HEARING LOSS AND
TERRIBLE PALSY ADDITIONALLY MY
DAUGHTER RACHEL HAD VISION LOSS.
SEIZURES AND A FEEDING TUBE
ACTUAL SEVERELY MEDICALLY
FRAGILE CHILDREN ONLY PASSED
AWAY IN.
TWENTY FOURTEEN UP AROUND THESE
HERE TODAY AND SEE IF HEARD I'M
HERE TODAY AND A WIDE ARRAY OF
PARENTS AND PROFESSIONALS AND
FAMILIES AND SUPPORTERS AND WE
RESPECTFULLY ASK YOUR AYE VOTE
AND THANK YOU TO ASSEMBLY MEMBER
NAZARIAN FOR SPONSORING THIS
BILL.
THANK YOU [inaudible]
THANK YOU.
FEDERAL COMMITTEE CHAIR PAN AND
THE DISTINGUISHED MEMBERS OF THE
SENATE HEALTH COMMITTEE MY NAME
IS PETER BERRYHILL I'M A FACULTY
MEMBER AND RESEARCHER.
THE CENTER FOR COMPARATIVE
MEDICINE ON THE UC DAVIS CAMPUS
AND I'M ALSO A CONSTITUENT OF DR
PANTS.
LIVING IN HIS DISTRICT.
I STUDIED CMV FOR OVER THIRTY
YEARS AND I STUDIED MANY ASPECTS
SEE IN THE TRANSMISSION AND
DISEASE.
WITH SPECIAL EMPHASIS ON LOOKING
AT MECHANISMS OF PREVENTION AND
TRANSMISSIONS HARM WELL FIRST
WITH.
THE MORE LOGICAL SIDE OF CMV
[inaudible]
SOME.
MY STUDIES HAVE ALSO.
THEN SPECIFICALLY FOCUSED ON THE
DEVELOPMENT OF A VACCINE THAT
PREVENTS THE DEVASTATING
CONSEQUENCES THAT CANDACE
PARKER.
WHEN MOTHER TO FEED US
TRANSMISSION OCCURS DURING
PREGNANCY?
I BELIEVE THAT THE CRUCIAL THE
COMMISSION THROUGH AB EIGHTEEN
OR ONE NOT ONLY HAVE THE
POTENTIAL TO SAVE OUR STATE
FUNDS IN THE LONG TERM.
BUT IMPORTANTLY WILL ALSO HELP
OUR STATE BE A LEADER IN BETTER
UNDERSTANDING THE FULL PHYSICAL.
FINANCIAL AND SOCIETAL IMPACTS
OF CMV WITHIN OUR POPULATION.
FROM MY PERSPECTIVE AS A
RESEARCHER THIS COMMISSION IS
ABSOLUTELY VITAL.
AND THE CRITICAL STEP IN ONE DAY
GETTING TO THE POINT WHERE
CONGENITAL CMV IS SOMETHING
THAT'S ONLY STUDIED IN THE
HISTORY BOOKS.
THANK YOU FOR THE COMMITTEE FOR
HEARING THIS BILL AND I URGE
YOUR ON A VOTE.
THANK THANK YOU THINK SYMMETRY
TESTIMONY OF THE WITNESSES IN
SUPPORT.
GOOD AFTERNOON CHAIRMAN MEMBERS
DEREK PLAQUES ON BEHALF OF THE
CALIFORNIA SPEECH HEARING AND
LANGUAGE ASSOCIATION IN SUPPORT
THANK YOU I THANK YOU.
W. ESME DELMARK COUNTY AND I'M A
PARENT OF A YOUNG MAN WHO IS
SEVERELY IMPACTED BY CMP.
WENT AND I SUPPORT THIS BILL.
THANK YOU.
ABBY BERMAN FOR NAPA AND I'M
ALSO A PARENT OF A CHILD SELECT
AFFECTED BY CMB.
GRANDPARENTS.
FOR THANK YOU.
AFTERNOON CHAIR OF MEMBERS AND
IT BROKE MY HIM YET FOR THE
CALIFORNIA ACADEMY OF IDEOLOGY
APPRENTICE WITH THE SPELL THAT.
BABY BORN REPRESENTING MARIN CAN
BE PEDIATRICS CALIFORNIA
DIVISION ONE EXTEND OUR
HEARTFELT THANKS TO WORKING WITH
THE AUTHOR AND HIS STAFF.
ON THIS BILL WE ARE IN SUPPORT.
THANK YOU.
I'M LAURIN CHURCHILL A RESIDENT
OF EL DORADO COUNTY IN
CALIFORNIA I'M A MOTHER OF
DILLON CHURCHILL WHO HAS.
CCNP AND I STRONGLY SUPPORT THIS
BILL THANK YOU [inaudible]
NO.
I DILLON TORTURE LINES TO
IMPORT.
THANK YOU DON'T.
SPENCER CHURCHILL FATHER DILLON
CHURCHILL I TO IN STRONG SUPPORT
OF THIS BILL IF YOU.
BURGER GREENLEE A SON OF GENERAL
AGREEMENT AS POOR AT THIS BILL
[inaudible]
CHAD GREENLEE.
SON OF JANELLE GREENLEE AND I
SUPPORT THIS BILL [inaudible]
THANK YOU [inaudible]
RIGHT A WITNESS IS IN
OPPOSITION.
OKAY TALK ABOUT TO THE TABLE.
I'LL BE BRIEF OKAY BRAND IN
MARCH WITH THE CALIFORNIA
MEDICAL ASSOCIATION WE WANT TO
THANK THE AUTHOR AND COMMITTEE
FOR WORKING WITH US ON THE BILL
--
WITH THEIR RECENT AMENDMENTS --
CME WILL BE MOVING TO NEUTRAL
POSITION SO THANK YOU.
OKAY THANK YOU [inaudible]
RIGHT -- I'D
SEEN OTHER WITNESSES ACQUISITION
COMMITTEE MEMBERS.
BUT YES ASSEMBLY.
BUT A QUESTION BUT A COMMENT I
WANNA THANK YOU VERY MUCH FOR
TESTIFYING AND BRING YOUR
DAUGHTER AND YOUR PICK A PICTURE
OF YOUR DAUGHTER.
IT WE DO WE SIT THROUGH A LOT OF
COMMITTEE EARINGS AND I JUST
WANNA MAKE SURE PEOPLE REALLY
KNOW HOW IMPORTANT IT IS TO HEAR
STORIES AND PUT A FACE WITH WHAT
IS HAPPENING.
SO THANK YOU FOR ALL OF YOUR
ADVOCACY AND THANK YOU FOR BEING
A GREAT MOM.
DO I MOVE THE BILL OKAY
EXCELLENT RIGHT NOW THERE'S A
MOTION ALRIGHT I WAS WEAK FOR
THAT OKAY ANY OTHER QUESTIONS
SEEN ON IKE'S AGAIN I THINK SO
MUCH FOR TAKING THE TIME TO COME
TESTIFY WITH US AND THE BRING
YOUR DAUGHTER.
THANK YOU SO MUCH AND ALL THE
OTHER --
FAMILY MEMBERS AS WELL --
SUMS IN WHICH LIKE THE CLOTHES
VERY WELL I JUST WANT TO TAKE
THE OPPORTUNITY.
SINCE ESPECIALLY AT THIS TIME
WITH LEGISLATIVE AND BUDGET
DEADLINES WE KIND OF GET VERY
FOCUSED ON OUR WORK AND WE'VE
SOMETIMES --
DON'T SEE THE THE END USERS AND
THE RESULTS THE BENEFIT OF THE
RESULTS ENHANCE I JUST WANT TO
PUBLICLY THANK CHEN NOW. FOR
BRING THIS ISSUE TO MY ATTENTION
LAST YEAR AND WANTING TO PARTNER
UP AND WORK WITH ME.
AND I RESPECTFULLY ASK FOR AYE
VOTE OKAY THANK YOU SO THE
MOTION IS TO PASSED WITH
AMENDMENTS TO APPROPRIATIONS AND
THANK YOU FOR TAKING THE
AMENDMENTS SIR.
MOVES BY US SENATOR LEYVA AYE
SECURITIES CALL THE ROLL.
AND IKE AND I WIN.
BELL.
BELT AYE HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
NIELSEN PROFITS.
A A FIVE VOTES OF THE PEOPLE ON
CALL THANK YOU [inaudible]
ALRIGHT.
SINCE HIS NEXT THEM.
SENATE WHERE ASH KALRA BELIEF
ASIAN THAT NO.
THE SENTENCING HEARING --
SANTIAGO ISN'T HERE RIGHT PASOS
SELFISH ME OKAY SO ITEM NUMBER
--
NINE AB.
TWENTY TWO THIRTY THREE AND I
THINK AND THEN YOU ALSO WILL.
AB TWENTY EIGHT SIXTY THREE SO.
DO WHICH I TAKE THEM ABOUT ORDER
NUMBER THAT'S OKAY RIGHT SO WILL
BE LOOKS FIRST DO I AND NUMBER
NINE AB.
TWENTY TO THIRTY THREE A CAL
ASSISTED LIVING WAIVER PROGRAM
THANK YOU WELCOME.
I THINK THAT YOU WERE MUST MISS
SHARON CENTERS A. B. TWENTY TO
THIRTY THREE WOULD INCREASE THE
NUMBER OF SLOTS AVAILABLE UNDER
THE ASSISTED LIVING WAIVER
PROGRAM. TO EIGHTEEN THOUSAND
FIVE HUNDRED EXPAND GEOGRAPHIC
REPRESENTATION THE PROGRAM ON A
REGIONAL BASIS.
OUTLINED REQUIREMENTS FOR THE
STAKEHOLDER PROCESS AND ADDRESS
VARIOUS PROGRAMMATIC ELEMENTS
THAT IMPACT IS [inaudible]
CURRENT EFFECTIVENESS.
THIS IS LIVING WAIVER PROGRAM
TAKE SENIORS FROM NURSING HOMES
WHO DON'T NEED THAT LEVEL OF
CARE AND PLACES THEM IN AN
ASSISTED LIVING FACILITY OR
PROVIDE SERVICES TO SENIORS
SILICON REMAINED AT HOME.
IN BOTH CASES BY BODHI AVOIDING
THE HIGH COST OF NURSING HOME
CARE ESPECIALLY SINCE THAT LEVEL
OF CARE IS UNNECESSARY IN MANY
CASES.
THE PROVIDES A DRAMATIC COST
SAVINGS TO THE STATE.
FURTHERMORE IT FREES UP VALUABLE
NURSING HOME BEDS FOR THOSE WHO
TRULY NEED THEM.
A WIN WIN FOR EVERYONE.
CURRENTLY DEMAND VERSUS LETTING
WAIVER PROGRAM HAS OUTPACED
SUPPLY AND OPERATES WITH A
SIGNIFICANT WAITING LIST.
ACCORDING TO THE TWO THOUSAND
SEVENTEEN LONG TERM SERVICES AND
SUPPORTS SCORECARD ALMOST 11%.
OF CALIFORNIA'S NE HUNDRED ONE
THOUSAND NURSING HOME RESIDENTS
--
OR CLOSE TO ELEVEN THOUSAND A
VIGIL WAS IDENTIFIED.
AS HAVING A LOW CARE NEEDS.
BY EXPANDING THIS DISABILITY
WAIVER PROGRAM WE COULD PLACE
WAS ELEVEN THOUSAND INDIVIDUALS
IN THE MOST APPROPRIATE SEVENTY
BELONG WHERE THEY BETTER BY OUR
BEST CARE FORUM WHERE THEY WOULD
BE THE HAPPIEST.
AND HAVE THE BEST HEALTH
OUTCOMES THIS COULD ALL BE DONE
AT A SIGNIFICANT SAVINGS TO THE
STATE.
I ACCEPT THE COMMITTEE MEMBERS
TO CLARIFY --
AND APPRECIATE THE WORK OF THE
COMMITTEE AND STAFF.
I HAVE WITH ME TODAY GEORGE
CANARIAN OF SIX BEDS AIR CARLSON
THE JUSTICE AN AGING. TO TO UP
TO OFFER TESTIMONY AND HELP
ANSWER ANY QUESTIONS YOU MAY
HAVE A RESPECT WE ASK FOR MY
BOOK OKAY THANK YOU AND WELCOME.
THANK YOU.
MISTER CHAIR MEMBERS GOOD
AFTERNOON MY NAME IS GEORGE
TICKNER AND I'M HERE
REPRESENTING SIX BEDS WHICH IS A
STATE WIDE TRADE ASSOCIATION
THAT REPRESENTS OVER TWO
THOUSAND RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY.
AND ADULT RESIDENTIAL --
FACILITY SERVING SIX OR FEWER
PERSONS --
SIX BUT FACILITIES PLAY A VITAL
ROLE A ROLE IN THE ASSISTED
LIVING WAIVER PROGRAM
REPRESENTING APPROXIMATELY 50%
OF THE ALE W. PROVIDER BASED.
ABSOLUTE WOULD LIKE TO START OUT
BY THINKING ASSEMBLY MEMBER
KALRA FOR INTRODUCING THIS BILL
--
AND FOR CHAMPIONING IMPROVEMENT
OF THE ALE W. --
THIS IS A PROGRAM THAT HAS VAST
UNTAPPED POTENTIAL IN THIS BILL
TAKES CRITICAL STEPS TOWARDS
HELPING MEET --
THAT POTENTIAL PARTICULATE A
COUPLE OF AREAS --
FIRST INCREASING THE CAPACITY OF
FIVE HUNDRED SLOTS IN
CONJUNCTION WITH GEOGRAPHIC
EXPANSION --
REALLY REPRESENTS A MAJOR STEP
TOWARDS GREATER --
ACCESS AND TIMELIER ACCESS. TO
THE PROGRAM THERE ARE IT'S
CURRENTLY ESTIMATED THERE ARE
THREE THOUSAND FIVE HUNDRED
PERSONS ON THE WAIT LIST AND
BECAUSE THE ALE W. HAS A
APPLICATION PROCESS THAT IS
SEPARATE FROM REGULAR MEDI CAL
EVEN IF YOU HAD ENOUGH --
SLOTS TO ABSORB THE CURRENT
WAITLIST WE WOULD STILL
ESTIMATED IT WOULD TAKE DE EIGHT
CS UPWARDS OF TWO YEARS OR MAYBE
EVEN MORE TO PROCESS EVERYONE ON
THE WAIT LIST.
SO EVERY TIME WE GET INTO THE
LONG WAIT LISTS SITUATIONS D. H.
YES FIND ITSELF HAVING TO DIG
ITSELF.
OUT OF THE HOLE AND THE BIG
LOSERS IN THESE SCENARIOS ARE
THE MEDI CAL BENEFICIARIES --
YEAH THEM.
THE BILL THE LOSERS IN THE
SITUATION THEN BASICALLY LONG
WEIGHTLESS SITUATIONS IN ANY
HOME AND COMMUNITY BASED
SERVICES PROGRAM IS PROBLEMATIC
BUT IT'S ESPECIALLY PROBLEMATIC
FOR PROGRAMS THAT PRIMARILY
SERVES.
UP OLDER ADULTS WARY ABOUT
REMAINING LIFE EXPECTANCY IS A
REAL CONCERN THE AVERAGE MALE W.
PARTICIPANT HAS A AVERAGE LENGTH
OF STAY OF A LITTLE OVER EIGHT
pOVER POTENTIALLY TWO YEARS OR
MORE TO PROCESS EVERYONE YOU
HAVE AVERAGE LENGTH OF STAY AT
EIGHT MONTHS.
I CAN TELL YOU PRETTY
CONFIDENTLY THAT THERE'S GOING
TO BE A NUMBER OF PEOPLE ON THE
WAY WAS THAT ARE GOING TO
SURVIVE THE WAIT.
AND I WOULD RESPECTFULLY SUBMIT
TO THE COMMITTEE THAT THAT'S
JUST NOT ACCEPTABLE OUTCOME
CERTAINLY WE CAN DO BETTER AND
THIS BILL WILL DO BETTER --
AND MAINLY BY KEEPING THE
INSTEAD OF LAGGING BEHIND THE
DEMAND CURVE.
ALONG WITH IT WAS IS ALSO
PROBLEMATIC FOR PROVIDER
PARTICIPATION ANYTIME THE ALE W.
COMES TO A GRINDING HALT FOR ANY
EXTENDED PERIOD OF TIME IT HAS A
CHILLING EFFECT ON PROVIDER
PARTICIPATION.
NEW PROVIDERS DON'T WANT TO
COMMENT EXISTING PROVIDERS MAY
DISCONTINUE THEIR PARTICIPATION
OR AT LEAST SCALED BACK THEIR
PARTICIPATION AND SO TRUST IN
THE PROGRAM AMONG THE PROVIDER
COMMUNITY IS ERODING.
BUT BY PASSING THIS BILL WE CAN
HELP RESTORE THAT TRUST AND
FINALLY PROVIDER PARTICIPATION
IS IMPACTED BY REIMBURSEMENT
RATES EXCEPT FOR THE MOST RECENT
RIO A MINIMUM WAGE INCREASES
TYPE S. B..
THREE OF THE PROVIDER RATE OF
REALLY STAYED FROZEN SINCE THE
INCEPTION OF THE PROGRAM IN TWO
THOUSAND SIX WHEN MINIMUM WAGE
OF SIX SEVENTY FIVE AN HOUR SO
BASICALLY FOR A DECADE THERE
BEEN STAGNATION.
OF OF THE RACE AND IF THE LW
RATES DON'T REMAIN COMPETITIVE
THEY'LL W. PROVIDERS ARE GOING
TO INCREASINGLY FAVOR PRIVATE
PAY CLIENTS.
OVER LW CLIENTS SOME CLOSING
INCREASING THEY'LL LEVEES
CAPACITY EXPANDING AS GEOGRAPHIC
REGION INCREASING THE PROVIDER
RATE WILL CONTRIBUTE TO A MORE.
ROBUST PROVIDER ECOSYSTEM WITH
AN INCREASE IN BOTH THE BREADTH
AND DEPTH A PROVIDER
PARTICIPATION IMPORTANTLY A MORE
ROBUST PROVIDER ECOSYSTEM
TRANSLATES DIRECTLY TO GREATER
ACCESS AND CONSUMER CHOICE FOR
MEDI CAL BENEFICIARIES WE
RESPECTFULLY ASK FOR AYE VOTES
THINK YOU [inaudible]
THANK YOU [inaudible]
WELCOME [inaudible]
THANK YOU.
MY NAME IS ERIC CARLSON I'M WITH
JUSTICE IN AGING WERE A
NONPROFIT REPRESENTING THE
INTERESTS OF LOW INCOME OLDER
FOLKS.
AND NO ONE TO SPEAK FOR THEM
HERE TODAY TO POINT I WOULDN'T
IMPORTANT OPTION THIS IS OR
COULD BE FOR PEOPLE WHO ARE NO
LONGER ABLE TO TO LIVE AT HOME
WHO HAVE LIMITED FINANCIAL
RESOURCES.
AND WHO PRACTICALLY OFTENTIMES
OF OUR TABLE TO FIND AN
ALTERNATIVE OTHER THAN A NURSING
FACILITY GIVEN THE WAY.
THAT THE SYSTEM IS IS CURRENTLY
SET UP.
THIS BILL WOULD GO IF ENACTED
INTO LAW WOULD GO A LONG WAY
TOWARDS IMPROVING THE SITUATION
BY INCREASING THE SIZE IS HAS
HAS BEEN MENTIONED YOU. TO THE
CURRENT SIZE OF THE WAIVER IS
ABOUT THIRTY FIVE HUNDRED
PEOPLE.
BY ANY MEASURE THAT'S JUST A
FRACTION OF THE OF THE NEED TO
SOUTH IF YOU THINK OF THE
POPULATION OF CALIFORNIA HUNDRED
THOUSAND PEOPLE IN NURSING
FACILITIES [inaudible]
AND AND ALL THE REST EATING
EATING IMPROVES THE TRANSPARENCY
OF THE PROCESS MISTER CANARIAN
REPRESENTED THE REPUBLIC
DESCRIBED TO WAIT LIST.
THAT CURRENTLY A CONSUMER BUT AS
A PRACTICAL MATTER HAS NO
ABILITY TO KNOW WHERE HE OR SHE
MAY BE ON THE WAITLISTED AT ANY
ONE TIME IT'S A IT'S A BLACK BOX
IT'S IT'S A MYSTERY TO PEOPLE IN
ONE OF THE IMPORTANT THINGS THAT
THIS LEGISLATION.
WOULD DO WOULD REQUIRE
COMMUNICATION REQUIRE
TRANSPARENCY ALLOW ALL
PARTICIPANTS IN THE PROGRAM TO
BETTER UNDERSTAND WHERE PEOPLE
ARE AT ANY ONE TIME.
AND DUMB HE WOULD ALSO IMPROVE
THE PROGRAM TO INCREASE THE
AVAILABILITY --
BASED ON THE FINANCIAL TO BUILD
THE STANDARDS SO THAT SOME
PEOPLE.
WHO CURRENTLY ARE FORCED INTO
NURSING FACILITIES WOULD HAVE
OPTIONS AS A PRACTICAL MATTER
SINGLE INDIVIDUALS RIGHT NOW WHO
HAVE MONTHLY INCOMES OF FIFTEEN
HUNDRED SEVENTEEN HUNDRED TWENTY
TWO HUNDRED DOLLARS A MONTH?
ARE EASILY ABLE TO RECEIVE
MEDICAL REIMBURSEMENT FOR STAY
IN A NURSING FACILITY BUT NOT IN
AN ASSISTED LIVING WAIVER AND
THAT'S AN IMPROPER INCENTIVE IN
IS SOMETHING THAT THAT.
THAT THIS LEGISLATION GO ALONG
WAY -- TO
CLEAR UP SO IT'S IT'S IMPORTANT
PROGRAM IT'S UNDER UTILIZED IT
SOME.
TECHNICALLY AVAILABLE BUT NOT
PRACTICALLY AVAILABLE AND WE
RESPECTFULLY REQUEST YOUR AYE
VOTE.
THANK YOU OTHER WITNESSES IN
SUPPORT.
CAROL SAW FROM THE CALIFORNIA
COMMISSION ON AGING WE STRONGLY
SUPPORT THIS --
ECONOMICAL AND AFFORDABLE
ALTERNATIVE TO NURSING HOME CARE
OKAY THANK YOU.
REBEKAH GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT
THANK YOU.
AND CONEY I AM A CONSTITUENT
ABDUCTED PAN AND HERE AT SAID
ADVOCATE FOR THE ALZHEIMER'S
ASSOCIATION.
WE STRONGLY SUPPORT THE BELL
PRETTY.
DEBORAH DISABILITY RIGHTS
CALIFORNIA STRONG SUPPORT YOU.
IN GROSS ABOUT THE COUNTY SAN
DIEGO IN SPORT KEEP.
SHE WANTED AMONG GOES WITH THE
W. OFFICE ME LOCAL THIRTY NINE
THIRTY IN STRONG SUPPORT.
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY IN SUPPORT YOU.
KELLY BRICKS ON BEHALF OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION AND THE VENTURA
COUNTY BOARD OF SUPERVISORS HERE
IN SUPPORT MAKING.
DECLAN ILLNESS WITH THE RP WITH
STRONG SUPPORT.
THANK YOU --
Y. ANY WITNESSES OPPOSITION.
FACING DOWN QUESTIONS FROM
COMMITTEE MEMBERS.
OPEN AND THERE'S A MOTION FOR
CENTER BELL --
AND THANK YOU FOR ADDRESSING
THIS ISSUE WE DO NEED BETTER
CAPACITY WOULD YOU LIKE TO
CLOSE.
OKAY AS FOR LIVE A THANK YOU SIR
A THANK YOU SO THE MOTION IS TO
PASS WITH.
AMENDMENTS WHAT YOU'RE TAKING --
TO APPROPRIATIONS --
SINCE THAT'S BEEN MOVED BY
CENTER BELL SEXUAL PLEASE CALL
THE ROLL AND I AND II WHEN.
BELLE.
WELL I HERNANDEZ HERNANDEZ AYE
LEYVA.
MITCHELL.
MITCHELL AYE MONNING.
NIELSEN.
NIELSEN AYE ROSS.
OKAY THE BILL HAS FIVE VOTES
RIGHT NOW WITH THE BILL AND CALL
THANK YOU.
OKAY SO NEXT BILL IS --
ITEM NUMBER NINETEEN AB.
TWENTY NINE SIXTY THREE WORKER
SAFETY BLOOD LEAD LEVELS
REPORTING.
BUT I THINK YOU MISTRESS
UNDERSERVED FOR THE ADDITIONAL
OPPORTUNITY TO PRESENT AB TWENTY
NINE SIXTY THREE TODAY.
AB TWENTY NINE SIXTY THREE WOULD
REQUIRE THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH. TO
REPORT TO THE DIVISION OF
OCCUPATIONAL SAFETY AND HEALTH
WITHIN THE DEPARTMENT OF
INDUSTRIAL RELATIONS REFERS
REFERRED TO AS CAL OSHA.
INSTANCES WHERE WORKERS BUT
LEVEL IS AT OR ABOVE TWENTY FIVE
MICROGRAMS PER DECILITER.
THIS BILL WOULD ALSO REQUIRE ANY
PINE CITATIONS FROM INSPECTIONS
pBY CAL OSHA TO BE MADE PUBLICLY
AVAILABLE ON AN ANNUAL BASIS.
CURRENTLY CPA'S HAS THE ABILITY
TO RIVER REFER CASES OF ELEVATED
BLOOD LEVELS TO CAL OSHA WHICH
IN TURN PUBLIC FOLLOW UP WITH
NECESSARY INSPECTIONS TO HELP
IDENTIFY PROBLEMS.
THERE IS HOWEVER OFTEN A
DISCONNECT ABOUT WARNING THE
POTENTIALLY AFFECTED WORKERS OR
ADDRESSING THE EXPOSURE PROBLEM
AT THE WORK SITE.
AND IS RARE PROCEED P. H. TO
NOTIFY CALLOSUM THESE CASES EVEN
WHEN EMPLOYERS SUPPORT HIGH LOVE
WILL LEAD BLOOD LEVELS TO CITY
P. H..
AS WE ALL KNOW THAT CAN HAVE
PROFOUND AND PERMANENT ADVERSE
HEALTH EFFECTS IN BOTH CHILDREN
AND ADULTS.
AND AT VERY HIGH LEVELS LEAD
POISONING CAN BE FATAL.
THE CDC ITS OFFICERS THAT NO
SAFE BLOOD LEVEL.
LET BLOOD LEAD LEVEL EXISTS.
THE LEAD INSPECTION OF THE AG
SIDE PLAN THAT WAS AND THE
CONDUCTED IN.
TWO THOUSAND EIGHT OF MOSSY PH
WAS AWARE OF THE NUMEROUS LEAD
POISONED WORKERS IT WASN'T A TWO
THOUSAND FIFTEEN THAT THE PLAN
WAS PERMANENTLY CLOSE.
BUT THE ORDER THE U. S.
DEPARTMENT JUSTICE OR AGGRESSIVE
ACTION BY STATE AGENCIES.
COULD RESOLVE THE ISSUE MORE
RAPIDLY THEREBY SAVING HUNDREDS
OF WORKERS FROM EXPOSURE TO THIS
TOXIC METAL.
INCLUDED IN THE BILL BILL
ANNOUNCER MEMBERS THAT I REQUEST
THE COMMITTEE CONSIDER I LIKE TO
THINK THE CHAIR AND OTHER STUFF.
FOR WORKING WIT US THESE
AMENDMENTS ARE TECHNICAL NATURE
PROVIDE FURTHER CLARITY WITH THE
BILL.
ALIGNING THE LANGUAGE OF THE
EXISTING INVESTIGATORY STRUCTURE
WITH CAL OSHA.
AB TWENTY NINE SIXTY TWO WOULD
IMPROVE HOW PUBLIC HEALTH
OFFICIALS ARE MADE AWARE OF AND
HANDLE CASES ABOUT PLEASING
AMONG WORKERS IN CALIFORNIA.
I'M WOULD HELP PREVENT REPEATED
INCIDENTS OF LEAD POISONING AND
WORKPLACES.
BOB WELL WITH ME I HAD BILL ARE
YOU PUTTING VITAMIN A WORKING
GROUP AND ALLOW HIM FOR FOR THE
TESTIMONY THANK YOU.
THANK YOU WELCOME THANK YOU BILL
ELLIOTT WITH ENVIRONMENTAL
WORKING GROUP UP PROUD TO
SPONSOR THIS BILL.
WE HAVE HUNDREDS OF WORK SITES
IN THE STATE OF CALIFORNIA WERE
LED AS A PROBLEM WHETHER IT'S
THE EXTREME A LEAD BATTERY
RECYCLING PLANT.
A GUN RANGE AND EVERYTHING IN
BETWEEN AND AS WE KNOW LED
AFFECTS THE NEUROLOGISTS
NEUROLOGICAL SYSTEM AND RECENT
SCIENCE --
CONCLUDES IT'S MUCH A BIGGER
CONCERN FOR HEART DISEASE AND
THOUGHT OF BEFORE.
BUT WE HAVE A LOCAL CASE HERE
MANGAN GUNTER GUN RANGE WERE
WORKERS AND PEOPLE WORK THERE
AND THE NEIGHBORS WERE POLLUTED
BY THIS LAB BECAUSE DEPARTMENT
OF PUBLIC HEALTH DRAG THEIR
HEELS ON IT FOR YEARS.
THE WORST CASE THE POSTER CHILD
IS ACTS SIDE FOR HUNDREDS
WORKERS WERE POISONED BY THE
TIME IT WAS SHUT DOWN.
THOUSANDS OF NEIGHBORS WERE
POLLUTED MORE PAIN TO CLEAN THAT
UP RIGHT NOW --
THE WORKERS ARE REALLY THE
CANARY IN A COAL MINE WE DON'T
KNOW WHAT'S HAPPENING UNTIL
THEIR BLOOD THAT LEVELS ARE
REPORTED DPH AND THEY'RE
SUPPOSED.
TO ACT ON THOSE UNFORTUNATELY
ACTION HASN'T BEEN FAST ENOUGH
IN MANY CASES WELL QUICKLY GET
SOME RESPONSES TO SOME THE
OPPONENT'S ARGUMENTS. ONE IS A
SAY THIS BILL WOULD POSSIBLY
RESULT IN VIOLATIONS OF HIPPER
AND REVEAL PRIVATE MEDICAL
RECORDS WE DON'T KNOW WHERE THEY
GOT THIS PRIME THEY'VE SHOWN NO
CONCRETE WAY IN WHICH THIS COULD
HAPPEN.
SECOND THEY SAY IT'S TURNING A
COOPERATIVE WORKING PROGRAM AT
DP AIDS EXCUSE ME INTO HEAVY
HANDED ENFORCEMENT PROGRAM.
A IT'S NOT WORKING OFTEN ENOUGH
BE IT DOES NOT CHANGE A
RELATIONSHIP BETWEEN CAL O. DPH
IS LEAD POISONING PROTECTION
PROGRAM AND CAL OSHA.
DOESN'T CHANGE IT.
CALLUSES STILL OUT SIX MONTHS TO
FINISH A CASE ONCE THEY OPEN IT
WITHIN THREE DAYS IS NOT DO
SOMETHING IMMEDIATELY IT DOES
NOT INCREASE ANY CITATIONS AND
FINDS IT DOESN'T INCREASE
ENFORCEMENT.
WHAT IT DOES MAKE SURE IS THAT
THE CASE IS WILL GET
INVESTIGATED IT DOESN'T PROHIBIT
CAL OSHA?
FROM CONVERSING WITH DPH TO SAVE
YOU MONEY TO DO ANYTHING WE
FIGURED OUT IT WAS UP BY LEAD
POISONING ISSUE IN THE HOME.
SO IT DOESN'T SAY MUST ENFORCE
MUST SITE --
CALTRANS NO POSITION ON THE BILL
YET VINDICATE THE BILL IS
COMPATIBLE WITHIN THEIR EXISTING
FRAMEWORK IS NOT CREATING A NEW
ONEROUS PART PROGRAM SO.
THAT WE HOPE WE CAN --
OF SUPPORT TO PASS THIS BILL.
WITH IT THANK YOU.
THANK YOU AWAY THIS IS A
SUPPORT.
MISTER CHAIR MEMBERS THEIR
FLOCKS FROM THE CALIFORNIA LABOR
FEDERATION I THINK THE WITNESS
BEFORE ME PUT IT REALLY WELL
WORKERS REALLY ARE THE CANARY IN
THE COAL MINE.
WE KNOW WHAT OFTEN HAPPENS THAT
CANARY ON WHEN THERE WAS
DANGEROUS CONDITIONS THE CANARY
DIED AND SO THIS IS A VERY
IMPORTANT SIMPLE MEASURE TO
PROTECT WORKER HEALTH AND SAFETY
AND WHERE IN STRONG SUPPORT.
GOOD AFTERNOON I'M LINDA
ESCALANTE WITH THE NATURAL
RESOURCES DEFENSE COUNCIL AND WE
ARE IN STRONG SUPPORT
[inaudible]
THANK YOU.
OKAY.
WITNESSES OPPOSITION.
WHY COME UP TO THE TABLE
[inaudible]
WELCOME.
MISTER CHAIRMAN MEMBERS.
I'M VALERIE NARROW FOR THE
CALIFORNIA CHAMBER OF COMMERCE
AND WE ARE OPPOSED TO AB.
TWENTY NINE SIXTY THREE THAT
ALLOWS THE DEPARTMENT OF PUBLIC
HEALTH TO MANDATE TO CAL OSHA
THEIR INSPECTION.
BE TAKEN LIGHTLY THIS BILL IS
NOT THE ANSWER FOR CONTROLLING
LEAD.
LEAD EXPOSURE IN THE WORKPLACE.
UNDER CAL OSHA REQUIREMENTS
EMPLOYERS WITH OPERATIONS EXPOSE
EMPLOYEES CAN LEAD MUST OFFER
BLOOD LEVEL TEST AS PART OF
MEDICAL MONITORING.
THOSE RESULTS ARE SENT TO THE
DEPARTMENT OF PUBLIC HEALTH.
ELEVATED BLOOD LEVELS REQUIRE
FURTHER ACTION BY THE EMPLOYER
HOWEVER THEY ARE NOT A VIOLATION
OF CAL OSHA.
REGULATIONS INSTEAD IT'S AN
INDICATION TO THE EMPLOYER THAT
FURTHER ACTION MUST BE TAKEN TO
REDUCE EXPOSURE IN THE
WORKPLACE.
AB TWENTY NINE SIXTY THREE TREAT
CELLS BLOOD LEVELS AS A SERIOUS
VIOLATION AND REQUIRES COLLEGE
ATTACK ACT ON THEM.
WITH NO ROOM FOR DISCRETION BY
THE AGENCY.
A COMPLAIN OF A SERIOUS
VIOLATION REQUIRES CAL OSHA TO
INSPECT THAT WORK SITE WITHIN
THREE DAYS.
REQUIRING A RE PRIORITIZATION OF
OTHER INSPECTIONS THAT NEED TO
BE DONE.
CALLUSES NEARING THE END OF A
LONG PROCESS OF AMENDING THE
CURRENT LEAD CONTROL
REGULATIONS.
THE DRAFT IS EXPECTED TO BE
SUBMITTED FOR FORMAL RULE MAKING
IN THE FALL OF THIS YEAR. ONE OF
THE PROVISIONS IN THE PROBLEM.
WHEN THE NEW PROVISIONS WOULD
BE?
A LOWER PERMISSIBLE EXPOSURE
LEVEL FOR LATE IN ALL
INDUSTRIES.
THESE REGULATIONS ARE TWENTY SIX
PAGES OF COMPREHENSIVE CONTROL
OF LEAD EXPOSURE IN THE
WORKPLACE AND LOWER ACTIONABLE
LEAD LEVELS EVEN LOWER THAN
THOSE TRIGGERED BY THE VISIONS
OF THIS BILL.
SO RATHER THAN TELLING CALLOW
SHOW HOW TO DO ITS BUSINESS.
WE INSTEAD WOULD SUGGEST A
MEMORANDUM OF UNDERSTANDING.
BETWEEN THE TWO AGENCIES SO THAT
DATA CAN BE PROVIDED TO CAL OSHA
FROM THE DEPARTMENT OF PUBLIC
HEALTH.
IN A FORM THAT WOULD BE USEFUL
TO CALISTO AND THEN LET THAT
AGENCY DETERMINE WHAT THE MOST
APPROPRIATE COURSE OF ACTION
WOULD BE.
THINKING.
THANK YOU OTHER WITNESSES AND
OPPOSITION.
OKAY SAYING NONE I QUESTIONS
FROM COMMITTEE MEMBERS.
YES THE CENTER NIELSEN.
THE CHAMBER WHAT THE WITNESS
PLEASE.
SALARY.
THE THE LANGUAGE HERE.
SEEMS TO BE A PRESUMPTION I
DON'T KNOW THE DISH [inaudible]
UNPRECEDENTED.
BUT THE QUOTE REPORT SHALL
CONSTITUTE AN ALLEGATION OF
SERIOUS VIOLATION AND
ALLEGATIONS.
SUBJECTING THE EMPLOYMENT OR
PLACE OF EMPLOYMENT TWO
INVESTIGATION PROVISIONS AND
TIME WISE OF WHAT SUBDIVISION.
QUESTION SUBDIVISION THAT --
A OF SECTION SIXTY THREE NINE
WHAT DOES THAT PROVISION DEAL
WITH.
IM SORRY I DON'T KNOW THE ANSWER
TO THAT ABOUT HAPPY TO LOOK I
THINK THAT'S A DANGEROUS
CONSIDERATION AND I'D ASK YOU TO
TAKE A LOOK AT IT.
THAT IS MAKING A PRESUMPTION.
ON THE RECORD THAT I THINK COULD
BE HAVE STANDING IN LITIGATION.
THAN THAT IS OF GREAT CONCERN TO
ME.
THAT I'M NOT SURE ABOUT THE TIME
LINES AND THEN ALSO.
IN THE LAST SENTENCE I IT THIS
THIS WOULD BE WHAT I'D CALL A
SCARLET LETTER.
THE POND.
INVESTIGATION.
CITATIONS AND FINDS A PROPOSED
IMPOSED BY THE DIVISION SHALL BE
MADE PUBLICLY AVAILABLE ON A
ANNUAL BASIS PURSUANT
SUBDIVISION MEAN THEY NEVER GO
OFF THE RECORD I GET.
IS THAT CORRECT MAYBE DO THE
PROPONENT THERE CAN.
ENLIGHTEN ME.
SURE BILL WHILE YOU'RE FOR EACH
OF YOU INDIVIDUALLY THE LAST
SENTENCE --
EXISTING BUT FINES AND CITATIONS
SO BE MADE PUBLIC AVAILABLE IS
ACTUALLY PART OF THEIR EXISTING
LAW NOW.
THEY DON'T HAVE SUCH A SITE ON
THEIR WEBSITE SO WE LOOKED AT
THAT SAID IF THESE COME OVER
JUST SAY ANYTHING YOU MIGHT TO
DOES HE SHALL IMPOSE A CITATION
WHICH HAS AN AUTOMATIC FINE
ASSOCIATE WITH ACCORDING TO CAL
OSHA. TO SAYS GO INVESTIGATE IF
THEY END UP DOING A CITATION
WITH A FINE IT WILL BE REPORTED.
THE BILL DOESN'T SAY INCREASE
FIND SERVE MAKE SURE YOU FIND
THEY CAN INVESTIGATE AGO WE
FIXED IT ARE YOU FIX DINNER NO
ISSUE WELL THAT THAT BOTHERED ME
TOO BECAUSE IT SEEMS LIKE THAT
PRECLUDED ANY CITATION.
OF THE REMEDY IF THE REMEDY IS
PROVIDED.
AND POSSIBLE TO BE PROVIDED
SHOULD NOT THAT THE REMEDY WAS
TAKEN AND NO FIND OFFERED HER
POSTS THAT.
YEAH --
MAKEUP PUBLIC THAT --
THAT'S IT'S THAT IT'S AN
INTERESTING THOUGHT WE GO TO
LABOR COMMITTEE NEXT WEEK WE
COULD LOOK AT THAT WELL I WOULD
APPRECIATE IF WE DO THAT I MEAN
THAT'S MORE ECHOED.
THE EVERYTHING OUT TO BE ON THE
RECORD FOR THE PUBLIC
[inaudible]
THANK YOU [inaudible]
OTHER QUESTIONS --
SO ACTUALLY --
SUMMER CAR RIDE APPRECIATE YOU
--
FOR BRINGING THIS BILL FORWARD
--
I UNDERSTAND FROM THE TEST MATCH
FOR THE OPPOSITION THAT THE THE
COACHES ACTUALLY LOOKING AT
ACTUALLY A LOWER LEVEL --
FOR I WHICH ACTUALLY THEM AND I
AYE SPRY POINT OUT THAT I THINK
IN OUR INITIAL DISCUSSIONS ABOUT
THIS BILL AYE SHE WANTED LOWER
LEVEL BUT I THINK YOU THERE ARE
VARIOUS REASONS.
NOT HAVING TO WITH PUBLIC HEALTH
BUT HAVING TO DO WITH A
REGULATORY INDEPENDENT AND OTHER
PROCESSES WHY TWENTY FIVE MADE
SENSE EVEN THOUGH FROM A PUBLIC
HEALTH STANDPOINT IT'S PRETTY
HIGH LEVEL. TO TO TO IT'S FOR
SOMEONE TO HAVE AND WOULD
INDICATE WE SOMETHING'S GOING ON
MALES BUT IT'S AT THE WORKPLACE
OR SOMEWHERE ELSE BUT MADE --
DEPENDING ON WHERE YOU LIVE.
CERTAINLY HOPE WE DON'T HAVE
BEEN WHEN GALA WILL TWENTY FIVE
BE.
THEY'RE WORKING SO VIEW LOOKING
AROUND AND FIND OUT WHAT
HAPPENED --
IT SO IT IT DIDN'T SO I JUST ONE
TRYING TO UNDERSTAND AND THEY
GIVEN WHAT THE OPPOSITION IS
THAT IS IS THAT --
SO YOU HAVE A LEVEL TWENTY FIVE
THE PUBLIC HEALTH WHAT THE BILL
OF FRANCE AND THE BILL CALLS ON
THAT THAT PART OF THE HEALTH
REPORT THE INFORMATION I SOON IS
NOT A PROBLEM WITH THAT RIGHT.
NOW OKAY.
SO I GUESS IS THAT THE
PRESUMPTION OF THAT --
BECAUSE YOU HAVE TO INVESTIGATE
I MEAN IT.
IS IS THAT THE PROBLEM.
THE NATURE OF A SERIOUS
VIOLATION IS I THINK A BIGGER
PART OF OUR WATER OPPOSITION
MIGHT BE BASED ON OKAY
[inaudible]
BUT SO.
DID YOU RESPOND TO THOSE SO I
THINK AT THE CENTER YOU
ACTUALLY.
REALLY OUTLINED OF AN IMPORTANT
ASPECT OF THIS IN TWO THOUSAND
NINE THE CDC ACTUAR BAEZ'S
GUIDELINES ON ADULT LED DOWN
FROM COUNTY --
FIVE BIRD A TWENTY FIVE TO TO
MICRONS PROTEST LEADER TO TEN
RACES TO WOULD HAVE TIMES THAT
STANDARDS SO THIS IS SAYING THAT
YES IF YOU'RE AT BITS DOT AGREED
YES.
BUT IT DOES MANDATE AT LEAST AN
INSPECTION AND INVESTIGATION.
IT DOESN'T DICTATE BUT THE
INVESTIGATION OUTCOME ES ADDING
THAT'S THAT'S THE KEY ASPECT OF
THIS BUT YES.
FAR TOO OFTEN --
SCTP IT GETS THE REPORT FROM THE
EMPLOYERS AND THERE'S NO FOLLOW
UP AND THIS IS SAY OKAY IN THESE
AGREE JUST CASES THERE MUST BE
FOLLOW UP.
AND IF THERE'S AS REQUIRED BY
LAW AND THAT IT NEEDS TO BE
KNOWING A PUBLICLY NOTED BUT
IT'S NOT SAYING THAT THAT IT
THAT A SERIOUS VIOLATION MUST BE
FOUND.
BUT IT'S BUT WHAT IT'S SAYING IS
THAT IT NEEDS TO BE INVESTIGATED
AS A SERIOUS VIOLATION BUT THEN
LET CAL OSHA DO THEIR JOB AND
COME TO THE CONTENT THE
CONCLUSION AS TO WHETHER TO WAS.
ABOLISHED OR NOT.
I I APPRECIATE THAT --
I WOULD MAKE NO SPECIAL IN THE
LIGHT OF NEW EVIDENCE ABOUT LEAD
LEAD POISONING THAT ACTUALLY
LEVEL TWENTY FIVE WHICH IS WHICH
IS WHERE THE BILL IS IN WHICH I
AGREED.
GIVEN VARIOUS REASONS.
BUT WARRANT I WOULD HOPE A
RATHER RAPID INVESTIGATION YOU
WANT SOMEONE JUST SAYING IN
THAT ENVIRONMENT FOR VERY LONG
IF THERE ITS WITH THEIR BLOOD
LEVEL IS WE NEED TO FIND OUT
WHERE THAT HAPPENED HOW THAT
HAPPENED SO IN MY OPINION BUT I
UNDERSTAND CENTER ABILITY OF A
QUESTION.
SENATE BILL.
OF I SUPPORT THIS BILL --
BACK IN NAM.
THE YEAR TWO THOUSAND WHEN I
CHAIRED THE COUNTY BOARD OF
SUPERVISORS --
WE INSTRUCTED OUR ATTORNEYS. TO
FILE A LAWSUIT AN ATTORNEY AND
RAVEL FILED A LAWSUIT.
AGAINST THE LEAD PAINT
COMPANIES.
OF IN THE YEAR TWO THOUSAND WE
WERE JOINED BY --
SAN FRANCISCO.
A YEAR LATER AND THAT SEVERAL
OTHER COUNTIES AND LE THAT THAT
LAWSUIT RESULTED IN AND A
VICTORY. FOR THE COUNTIES --
CONCERNED ABOUT --
THE IMPACT OF LEAD PAINT --
ON CHILDREN.
AND GOING THROUGH THAT LONG
[inaudible]
LONG.
LITIGATION EXPERIENCE AND SEEN
HOW LONG [inaudible]
IT TOOK. TO GET THE EXPERIENCE
RESOLVED I THINK IT'S VERY
IMPORTANT THAT --
YES WE DID THE LAWSUIT WE WANT
AND THERE WAS A FACTUAL
AGREEMENT IN THE SETTLEMENT.
ABOUT THE IMPACT OF LIZARD.
ON CHILDREN IN TERMS OF
DEVELOPMENTAL DISABILITIES WHO
--
AND THE IMPACT ON ON PEOPLE SO
THERE WAS A FACTUAL.
AGREEMENT OF THE IMPACT OF LEAD
--
ON THE CHILDREN SO I WANT TO
POINT OUT I WANT TO POINT OUT
THAT -- THIS
ON THE WORKPLACE IS THE NEXT
NEXT AREA.
THAT WE NEED --
TO COMPLETE --
SO THAT WE CAN REMOVE THIS ISSUE
AS A PUBLIC HEALTH --
I I SUPPORT THIS BILL I'M ONE
WHO --
SUPPORTED STRONGLY AND IF WE
NEED.
TO APPROPRIATE --
FUN SO I'M CERTAINLY THINK IT'S
WORTHY OF THAT KIND OF ACTIVITY
--
AND AT SOME POINT. OH TO MAKE A
MOTION.
MOVE THE BILL.
THERE'S A MOTION.
ANY OTHER COMMENTS --
MISS THE SOME WOMEN WOULD YOU
LIKE TO CLOSE UP.
THANK YOU MADAM CHAIR SHARE A
THANK YOU BOTH AND THANK YOU
CENTERS FOR THE FOR THE TIME AND
FOR THE QUESTIONS --
I APPRECIATE --
THE QUESTIONS I DO AGREE THAT
ACTION COULD BE MORE STRINGENT
THAN IT IS BUT I THINK THIS AT
LEAST IS A A AGAIN THE MOST
EGREGIOUS CASES.
ALLOWS US THE OPPORTUNITY OF
REALLY DLVE DEEP INTO WHAT'S
HAPPENING THESE WORK SITES STUFF
WE ASK FOR MY BOAT.
THANK YOU SO THE MOTION IS TO
PASS TO LABOR INDUSTRIAL ASIANS
AS MY FORMER COMMITTEE IT'S BEEN
MOVED BY SENATOR BELL --
SECURE PLEASE CALL THE ROLL.
AND I AND I WENT.
WHEN NO BELLE?
BELLE I HERNANDEZ HERNANDEZ AYE
LEYVA [inaudible]
MITCHELL [inaudible]
MONNING [inaudible]
NIELSEN.
NIELSEN NO ROTH.
OKAY THE BILL'S CURLY --
THREE TWO SO WILL PUT THE BILL
ON CALL THANK YOU AND I THINK
NEXT UP AND FOLLOWED ACTUALLY IS
SIMILAR SANTIAGO SO.
ITEM NUMBER EIGHT AB
[inaudible]
SEVENTY EIGHT NINETEEN SEVENTY
ONE YEAH.
WE GIVE IT THIS IS FILE ITEM
EIGHT A. B..
NINETEEN SEVENTY ONE I BELIEVE
WE ALSO HAVE SUPPORT ON BOTH
SIDES.
MADAM CHAIR IS THAT THE A
SUGGESTION FOR BREVITY.
A WHAT THAT A SUGGESTION FOR
BREVITY.
BILLY NOTED NOT HELD NOPE YOU
KNOW I'M WRONG.
I SHOULD KNOW BETTER SORRY OKAY
[inaudible]
IT'S NOT.
SO PLEASE CONTINUE.
DON'T TAKE TOO LONG NOW
[inaudible]
UNDERSTOOD.
AB NINETEEN SEVENTY ONE WHICH
CHANGE DEFINITION ARE GRAVELY
DISABLED OUGHT TO INCLUDE
TREATMENT WHERE THE INABILITY OR
FAILURE TO RECEIVE MEDICAL
TREATMENT WOULD RESULT IN A TWO
DURING.
A PHYSICAL CONDITION --
STATE LAW CURRENTLY FILLS
ADDRESS THOSE IN NEED WITH
MENTAL --
ILLNESSES THAT ARE UNABLE TO
PROVIDE THEIR OWN BASIC MEDICAL
NEED OTHER MEDICAL IN THIS
ACCIDENT --
AS A BARRIER FOR THEM TO
ACCEPTED SUCH MEDICAL MEDIA WE
BELIEVE --
THIS BILL WOULD ADDRESS AT AN LA
COUNTY ALONE IN THE AREA THAT I
REPRESENT OTHERS OVER EIGHT
HUNDRED PEOPLE WHO DIED ON THE
STREET WHO ARE HOMELESS NOW WE
DON'T KNOW THE EXACT NUMBER OF
THE PEOPLE WHO.
WHO COULD BE SAVED UNDER THIS
BILL WE KNOW THAT IT'S THAT IT'S
AN EXISTING PROBLEM --
I'D LIKE TO TURN IT OVER TO MY
COLLEAGUE TO CONTINUE THE
PRESENTATION AND AS YOU CAN TELL
THIS IS A BIPARTISAN EFFORT.
THANK YOU [inaudible]
ELEMENT.
BUT MADAM CHAIR A MEMBER SAID
YOU SO MUCH FOR YOUR TIME I WANT
TO START OFF WITH THINKING
ASSEMBLY MEMBER.
MIGUEL SANTIAGO AND LAURA
FRIEDMAN FOR LONG HE JOINED IN
SUPPORTING AB.
NINETEEN SEVENTY ONE MAKING
CHANGES DEFINITION CREATE THE
DISABLED IS NECESSARY.
BECAUSE THOSE WHO SUFFER FROM
SERIOUS ENTAL ILLNESSES ARE
OFTEN DANGER TO THEMSELVES.
BETTER KNOWN AS A FIFTY ONE
FIFTEEN SOCIAL AND INDIVIDUAL IS
INCAPABLE OF UNDERSTANDING THE
NEGATIVE IMPACTS OF THEIR
ILLNESS.
UNDER EXISTING CALIFORNIA LAW
SERIOUSLY MENTALLY ILL IT LOOKS
A FILM THROUGH THE CRACKS OF THE
SOCIETY.
AS A RECEIVING SUPPORT TREATMENT
AND ASSISTANCE THERE BEING
JAILED HOSPITALIZE HEALTH FOR
SHORT AMOUNTS OF TIME.
RELEASED BACK TO THE STREETS
WITHOUT ADEQUATE CARE.
WHAT ELSE HEALTH MINIMAL THAT
BEFORE LA COUNTY SUPERVISOR MIKE
ANTONOVICH I'VE SEEN THE FEEL OF
THE SYSTEM ARE WORKING IN LOS
ANGELES COUNTY AND THE CITY OF
LOS ANGELES?
I SEE WHERE I LIVE IN ORANGE
COUNTY AND I SEEN UP HERE IN
SACRAMENTO.
THE FILM AND ALSO SOME
CALIFORNIA CAN BE SEEN ALL OVER
THE STATE AND ALLOWING THE MOST
FORMAL FOLKS TO FALL THROUGH THE
CRACKS IS UNACCEPTABLE.
WHEN LOOKING AT THE CHANGING OF
THE DEFINITION AGREE THAT SAME
OLD WE NEED TO BALANCE THE
INDIVIDUAL CIVIL LIBERTIES AND
THE SAFETY OF THE PEOPLE?
WHOSE MIDDLE CONDITIONS RENDER
THEM UNABLE TO MAKE DECISIONS
REGARDING THEIR MENTAL HEALTH
AND PHYSICAL HEALTH.
I RESPECTFULLY ASK YOUR AYE VOTE
AND ALLOW SALOON MIGUEL SANTIAGO
TO INTRODUCE BUT WHEN ASSIST.
WE HAVE THREE WITNESSES WILL
ALSO BE BRIEF ON THE PRESENT
THEMSELVES OF MISTER BONDS --
MISS US STOCKTON AND MISS
PREVENT THANK YOU [inaudible]
OKAY WELCOME.
THANK YOU SENATORS.
MY NAME IS DOCTOR CURLY BONDS ON
A BOARD CERTIFIED PSYCHIATRIST
ABOUT CURRENTLY SERVING AS THE
CHIEF DEPUTY DIRECTOR FOR THE
LOS ANGELES COUNTY DEPARTMENT OF
HEALTH.
UP FOR CLINICAL OPERATIONS SO I
COME TO YOU I SUPPOSE PAVED THE
PERSPECTIVE OF A PRACTICING
PHYSICIAN AS WELL AS SOMEONE WHO
HAS WORKED EXTENSIVELY WITH
MENTALLY ILL INDIVIDUALS WHO
HAVE SERIOUS MEDICAL CONDITIONS.
FOR ABOUT TEN YEARS I WORKED AT
THE UCLA MEDICAL CENTER AS A
CONSULTING PSYCHIATRIST WITH
INDIVIDUALS WHO NEED IT BOTH
MEDICAL AND PSYCHIATRIC
TREATMENT SO THIS BILL IS CLOSE
TO THE WORK THAT I'VE DONE FOR
MOST OF MY LIFE.
THE EXPANDED DEFINITION OF GRAPE
DISABILITY WOULD ACTUALLY ALLOW
US TO TREAT PEOPLE WHO ARE
CURRENTLY FALLING THROUGH THE
GAPS.
WE DO KNOW THAT BILLION TO
RECEIVE MEDICAL TREATMENT IS ONE
OF THE REASONS THAT THE MENTALLY
ILL DIE ON AVERAGE THAT
STATISTIC IS THAT THEY PASSED
AWAY TWENTY FIVE YEARS EARLIER.
THAN THEIR PEERS WHO DON'T HAVE
MENTAL ILLNESS AND IS NOT DUE TO
THEIR PSYCHIATRIC CONDITION IS
TOTALLY DUE TO TREATABLE MEDICAL
CONDITIONS.
S. B. NINETEEN SEVENTY ONE
EXTENDS THIS DEFINITION SO THAT
IN OUR CASE IN OUR COUNTY WE
HAVE ON ANY GIVEN NIGHT FROM
ABOUT FIFTY SEVEN THOUSAND
PEOPLE WHO ARE HOMELESS.
OF THOSE IN THE PAST YEAR EIGHT
HUNDRED AND THIRTY PASSED AWAY
DUE TO TREATMENT TREATABLE
MEDICAL CONDITIONS IF WE
EXTRAPOLATE THAT ABOUT 30% OF
THOSE HAVE A MENTAL ILLNESS.
THEN.
ABOUT TWO HUNDRED AND FIFTY OF
THOSE DEATHS COULD HAVE BEEN
PREVENTED BY SP.
NINETEEN SEVENTY ONE AN EXAMPLE
OF SOMEONE WHO HAS A DIABETIC
FOOT ULCER BEST NINE HEALING WHO
DOESN'T SEEK TREATMENT --
GOES ON TO COME IN AND OUT OF
THE HOSPITAL IN AND OUT OF
EMERGENCY ROOMS RECEIVING CARE
BUT WERE NOT ABLE TO DETAIN THEM
FOR LONG ENOUGH.
TO GET THEM TO THE PLACE OF
INFORMED CONSENT SO THAT THEY
CAN CONSENT TO TREATMENT FOR
THIS ALLOWS US TO TAKE SOMEONE
WHO'S REALLY TRULY A DANGER TO
THEMSELVES AND EXPAND THAT
DEFINITION.
I DO KNOW THE QUESTIONS HAVE
BEEN RAISED ABOUT THE PLACE
WHERE THIS WILL HAPPEN AND
FUNDING FOR IT.
I WOULD JUST SAY THAT IN OUR
COUNTY THEY'RE MENTAL HEALTH
SERVICES ACT DOLLARS AND THIS IS
TRUE MANY OTHER COUNTIES AS WELL
WHERE SOME OF THESE FUNDS CAN BE
USED TO TREAT THOSE IN
RESIDENTIAL FACILITIES IT
DOESN'T HAVE.
HAVE TO HAPPEN IN A HOSPITAL OR
IN THE ACUTE CARE FACILITY.
THIS BILL IS A BEGINNING IT DOES
ALLOW US TO TREAT THOSE WHO
CURRENTLY ARE DYING ON THE
STREETS OF LOS ANGELES AND OTHER
PARTS OF THE STATE THANK YOU
VERY MUCH.
GOOD AFTERNOON HOME THANK YOU
FOR THE TIME TODAY MY NAME IS
DIANE XIN SARCOMA.
MOTHER OF FOUR KIDS ON THREE OF
WHICH ARE THRIVING ONE IS NOT
HE'S THIRTY TWO YEARS OLD.
EXCUSE ME AND IS SUFFERING FROM
SCHIZOPHRENIA.
HI HE WAS DIAGNOSED AS A CHILD
HE WAS FIRST DIAGNOSED WITH
DEPRESSION AT AGE EIGHT BIPOLAR
NEEDS.
NINE PLACE IN A NON PUBLIC
SCHOOL FOR DAY TREATMENT AT AGE
TEN RESIDENTIAL TREATMENT AT
AGE.
FIFTEEN AND EXPERIENCES FOR HIS
EXPERIENCES FOR PSYCHOTIC BREAK
AT THE AGE OF TWENTY ONE OR IS
DIAGNOSIS WAS CHANGED. TO
SCHIZOPHRENIC COMPLICATED BY
SUBSTANCE ABUSE AND A LACK OF
ANY INSIGHT INTO THE FACT THAT
HE'S ILL.
HE MET CRITERIA FOR GRAVELY
DISABLED AT THAT TIME AND IT
LASTED FOR SEVEN YEARS.
BUT IT WAS ATTORNEY NO LONGER
QUALIFIED EVEN THOUGH HE NEVER
LOOKED WORSE HE BELIEVED HE WAS
A FAMOUS RAPPER TO PARK SECOR.
HE WAS UNCERTAIN WHO I WAS AND
SOME OF THE NAMES HE CALLED ME I
HONESTLY CANNOT REPEAT HERE
TODAY.
DURING THIS TIME HE SERIOUSLY
STRUGGLE TO MAINTAIN STABLE
HOUSING DESPITE THE BEST EFFORTS
OF AN ENTIRE TEAM MOSTLY HE
WANDERED THE STREETS DAY AND
NIGHT HE DID NOT PUSH A CART
FULL OF PROVISIONS.
HE REPORTED SLEEPING UNDER
BUSH'S R. STAIRWELLS ALTHOUGH WE
HAD ROOM IN OUR HOME HIS VERY
ERRATIC AND SOMETIMES HOSTILE
BEHAVIOR TOWARDS US PREVENTED US
FROM ALLOWING HIM IN.
HE WAS PSYCHIATRICALLY
HOSPITALIZED NUMEROUS TIMES AND
EACH TIME HE WAS EVALUATED FOR
GRAVELY DISABLED.
HAS LABS SHOWED EVIDENCE OF
MALNUTRITION AND DEHYDRATION.
PROVE THAT HE WAS NOT ABLE TO
PROVIDE FOR HIS OWN FOOD BUT
AFTER A COUPLE OF WEEKS OF CARE
IN A HOSPITAL HIS LABS NO LONGER
SHOW THIS EVIDENCE AND THE
COUNTY WOULD RELEASE HIM BACK TO
THE STREETS.
I FILED A FORMAL COMPLAINT SINCE
I BELIEVE THAT HE COULD NOT
PROVIDE FOR HIS OWN CARE AND I
WAS TOLD IN WRITING.
THAT A PERSON DOES NOT MEET
CRITERIA FOR GRAVELY DISABLED IF
THEY CONSUME ADEQUATE AMOUNTS OF
FOOD AND WATER WHILE ON THE
UNIT.
THIS APPARENTLY IS MY COUNTIES
INTERPRETATION OF THE LAW ON
SOMETHING I HAD NO CONTROL OR
INFLUENCE OVER.
ON ANOTHER OCCASION HE WAS
ADMITTED TO THE HOSPITAL WHEN
THE JUDGE ORDERED
CONSERVATORSHIP EVALUATION AND
THE TREATING PSYCHIATRIST SAID
THAT HE HAD NOT MET HE DID NOT
ME CRITERIAS HAD NEVER LOOKED
BETTER UPON ADMISSION.
THAT WAS SIMPLY BECAUSE HE HAD
BEEN PROVIDED FOOD CLOTHING AND
SHELTER BY THE JAIL.
HE WAS NEVER ABLE TO PROVIDE FOR
HIS OWN AND I HAD NO REQUIRES.
HE WAS ARRESTED NUMEROUS TIMES
MOSTLY FOR DISTURBING THE PEACE
DISORDERLY CONDUCT OR UNDER THE
INFLUENCE PROBATION DEPARTMENT
REVOKED HIS GRANTED FREEDOM
BECAUSE OF HIS DIFFICULT
BEHAVIOR AND FOR CUTTING OFF
ANKLE MONITORS WHICH IS A
FELONY.
HE SPENT NEARLY A YEAR AND A
HOUSE IN SOLITARY CONFINEMENT
AND HE DID NOT COME OUT OF JAIL
BETTER THAN WHEN HE WENT IN BUT
I SLEPT BETTER KNOWING HE HAD A
ROOF OVER HIS HEAD.
THROUGHOUT THE WINTER AND THAT
HE WOULDN'T BE HEARING MY
DOORBELL AT TWO AM DEMANDING
THAT WE EXECUTE EXCEPT HIS HOME.
THE FIRST THOMAS TOLD THE WAS
GRAVELY DISABLED I WAS
DEVASTATED THIS IS NOT WHAT I
PLANNED FOR WHEN THEY LEAVE THAT
BABY IN MY ARMS.
BUT WHEN THE CONSERVATORSHIP WAS
DROPPED WE SPIRALED INTO THE
DARKEST FOUR YEARS OF ALL OF OUR
ALLIES.
JASON BEG ME FOR HELP BUT HE
COULDN'T ARTICULATE WITHOUT LOOK
LIKE NO ONE COULD CONVINCE HIM
TO VOLUNTARILY ENGAGE IN
SERVICES OR TREATMENT.
THE STREETS IN JAIL OR NOT THE
ANSWER HE DESERVES APPROPRIATE
CARE.
AND I'M SHOCKED THAT THOSE WHO
ARE OPPOSE AREN'T WORRIED ABOUT
THE CIVIL RIGHTS VIOLATIONS OF
ALL THE MENTALLY ILL WHO ARE
CURRENTLY INCARCERATED.
MY SON WAS CONSERVED AGAIN THIS
JANUARY JUST PRIOR TO HIS
RELEASE FROM JAIL AS A SAID HE
DIDN'T COME OUT OF JAIL BETTER
THAN WHEN HE WON AND TODAY HE
HASN'T EATEN FOR WEEKS.
HE'S IN A MEDICAL HOSPITAL ON IV
FLUIDS AND NUTRITION.
PROGNOSIS IS GUARDED.
THE FOUR YEARS OF NO TREATMENT
SET HIM WAY BACK.
BUT AT LEAST HE'S IN A HOSPITAL
AND NOT DYING UNDER A BUSH OR
DOWN BY THE AMERICAN RIVER.
SO I SUPPOSE THERE REMAINS A
SMALL DEGREE OF HOPE.
I CAN ONLY IMAGINE HOW DIFFICULT
IT IS FOR YOU TO MAKE A DECISION
ONE THAT WILL AFFECT SO MANY
WITH VERY SERIOUS IMPLICATIONS.
THEIR GOOD ARGUMENTS ON BOTH
SIDE HOWEVER AS YOU CONTEMPLATE
YOUR DECISION PLEASE ASK
YOURSELF WHAT IF THIS WAS YOU.
WE'RE HERE TO BE DIAGNOSED WITH
SCHIZOPHRENIA AND YOU DIDN'T
KNOW THAT YOU'RE SICK HUGE HOSE
TO LIVE ON THE STREETS.
WOULD YOU WANT YOUR FAMILY AND
EVERYONE ELSE TO WALK AWAY TO
ALLOW YOU TO SLEEP UNDER BUSH'S.
DICK THROUGH DUMPSTERS FOR FOOD
URINATE DEFECATE AND POSSIBLY
DIE ON THE STREETS WITH ALL YOUR
RIGHTS AND TALK TO WOULD YOU
WANT SOMEONE TO INTERVENE.
PLEASE GIVE FIRST RESPONDERS THE
TOOLS THAT THEY NEED TO HELP
PEOPLE LIKE MY SON.
AND I'LL FOR YOUR AYE VOTE TODAY
THANK YOU.
GOOD AFTERNOON MY NAME IS LINDA
PROVIDE OUT.
MY FAMILY HAS BEEN TRYING FOR
THREE DECADES TO HAVE MY BROTHER
CONSERVED.
DO TO AN ACCIDENT THIRTY ONE
YEARS AGO MY BROTHER HAD A
MASSIVE TBI.
FRONTAL LOBE DAMAGE DEVELOPED
PARANOID SCHIZOPHRENIA HAS
CHRONIC BRAIN INFECTIONS HAS
SEIZURES HAD FIFTY FIVE
SURGERIES AND HE LOST BOTH OF
HIS EYES AND IS 1100% BLIND.
HE'S BEEN LIVING ON THE STREETS.
FOR TWELVE YEARS NOW HIS THE
EXACT DEFINITION OF GRAVELY
DISABLED.
HE'S BEEN ARRESTED NEARLY ONE
HUNDRED TIMES IN THIRTY YEARS.
HE IS A DANGER TO HIMSELF AND
OTHERS HE HAS TRIED TO COMMIT
SUICIDE APPROXIMATELY TWENTY
FIVE TIMES.
AND HE HAS BEEN IN AND OUT OF
ALL THE LOCAL E. OURS AND THE
MENTAL HEALTH SERVICES IN OUR
COUNTY.
HE CANNOT PROVIDE FOR HOUSING
FOOD CLOTHING MEDICINE OR EVEN
KNOW OR UNDERSTAND WHEN HE NEEDS
MEDICAL CARE.
MY BROTHER HAS BEEN LIVING AND
DYING ON THE STREETS FOR OVER A
DECADE.
THE FAMILY CANNOT CONTROL HIS
VIOLENT BEHAVIOR AND THREE
DECADES HAVE NOT HAD ANY LEGAL
AUTHORITY TO HAVE HIM EVALUATED
TREATED ORMEDICATED.
TODAY MY BROTHER IS STILL LOST
TO THE STREETS.
AND HIS MEDICAL NEEDS IT BEEN
IGNORED FOR TWELVE YEARS.
OUR FAMILY VERY MUCH SUPPORTS
AB.
NINETEEN SEVENTY ONE AND HOPE
YOU SEE THE DESPERATE NEED FOR
THIS BILL TO PASS SO THAT MY
BROTHER DOES NOT DIE ON THE
STREETS.
AND HE CAN GET MENTAL AND
MEDICAL TREATMENT POSSIBLY IN
PATIENT CARE.
I HAVE BEEN ADVOCATING FOR A BI
NINETEEN SEVENTY ONE WITH THE
SOLANO COUNTY BOARD OF
SUPERVISORS. FOR ABOUT SEVEN
WEEKS.
I GOT THEM TO DO A VOTE AND IT
LED THEM TO TAKE A WATCH
POSITION HESITATION WAS NOTED.
TO A. B. NINETEEN SEVENTY ONE
BECAUSE A STATE MANDATED LAW
THAT HAS NO FUNDING ATTACHED
WITH IT AND THERE'S NOT ENOUGH
IN PATIENT MENTAL HEALTH
FACILITIES ALREADY IN PLACE.
THIS MAY BE A CONCERN OF EVERY
COUNTY.
MY HOPE IS THAT FUNDING WILL BE
ADDRESSED BY THE SENATE SO THAT
THE BILL MAY MOVE FORWARD.
WE MUST CHANGE THESE OLD LAWS
THAT HAVE PREVENTED THE GRAVELY
DISABLED FROM RECEIVING HELP FOR
DECADES.
PLEASE VOTE YES ON AB NINETEEN
SEVENTY ONE THIS IS A VERY
RESPONSIBLE AND COMPASSIONATE
BILL.
EDU THANK YOU OTHER WITNESSES IN
SUPPORT.
NAME ORGANIZATION POSITION
PLEASE.
I MISTER CHAIRMAN RAN LATER FOR
THE CALIFORNIA PSYCHIATRIC
ASSOCIATION I'M HERE TO ANSWER
ANY QUESTIONS THANK YOU.
BRENDAN UP ON BEHALF OF LOS
ANGELES COUNTY SHERIFF'S
DEPARTMENT SUPPORT.
IF YOU.
WAS AND ALWAYS SHALL YOUR AND TO
THE ON BEHALF OF MAYOR CITY IN
THE CITY OF LOS ANGELES THE CITY
OF SANTA MONICA AND THE
CALIFORNIA ACADEMY OF CHILD AND
ADOLESCENT PSYCHIATRY IN
SUPPORT.
THANK YOU.
EUROPE ASIA AND THE US WITH THE
STEINBERG INSTITUTE WE ARE PROUD
SPONSORS OF THIS FILM.
AND YOU FAILS SOME OTHER A VERY
PROMINENT SUPPORT.
THANK YOU.
I WITNESSES IN OPPOSITION
ACTUALLY WE CAN MAKE SOME ROOM
FOR THEM UP TABLE PLEASE.
SO WE CAN HAVE A THREE UP TO
THREE TESTIFYING APPEAR
[inaudible]
THERE ARE [inaudible]
OKAY.
RIGHT THANK YOU WELCOME.
MISTER CHAIR MEMBERS PER CHILD
DISABILITY RIGHTS CALIFORNIA.
OF LIKE TO SAY JUST UP FRONT TO
THE THIS BILL IS REALLY STEPPING
INTO WHAT AND HAS INDEED BEEN
CONCEDED THAT THE IT ALTERING
WHAT HAS SPENT DECADES OF
LINIMENT PETRA SHORT ACT IN
CALIFORNIA.
WITH THE EXCEPTION OF THE YEARS
THAT WERE SPENT ON THIS
LEGISLATURE DEVELOPING LARA
SLOPPY ASSISTANT OUT TAPE
OUTPATIENT.
TREATMENT [inaudible]
WE CERTAINLY.
I THINK THERE HAS BEEN THE
SUGGESTION THAT THIS --
BILL IS GOING TO BE A TOOL TO
KEEP PEOPLE FROM DYING ON THE
STREET WE AGREE PEOPLE SHOULD
NOT BE DYING ON THE STREET.
THAT WE SHARE THAT GOAL THAT
SHOULDN'T BE DYING ON THE STREET
FOR SHOULDN'T BE DYING ANYWHERE
--
AND TO ESPECIALLY BECAUSE OF A
LACK OF MEDICAL CARE AND BECAUSE
OF A LACK OF OF HOUSING --
BUT I WOULD SUGGEST THAT
CONNECTING THE DOTS BETWEEN THE
STORIES YOU HEARD.
AND THIS BILL IS LACKING THAT IF
THAT IS SO IS AMENDED IN THE WAY
THAT'S BEEN SUGGESTED IN.
IN THIS BILL IT DOESN'T REACH
THE ISSUES THAT YOU OF ALL --
HEARD GOING TO MAKE THREE QUICK
POINTS IF I MAY.
IS THAT THIS BILL ALLOWS A
CONSERVATORSHIP AND HERE'S THE
STANDARD THAT'S IN THE BILL FOR
A DETERIORATING PHYSICAL
CONDITION.
WHO KNOWS WHAT THAT KIND OF
CONDITION IS --
THAT'S ONE THAT IS CERTAINLY
DOESN'T ADD EXIST WITHIN ONE
INTERMENT PETRA SHORT --
OTHERWISE IT IN YES THAT BECAUSE
THAT PROVISION IS SO VAGUE HINTS
OVER BROAD THAT IT IS INDEED
UNCONSTITUTIONAL.
AND I I WOULD ALSO SUGGEST THAT
--
ANYONE WHO IS HOMELESS
CERTAINLY.
IS GOING TO BE EXPERIENCING A A
DEAR TEARY RATING PHYSICAL
CONDITION THAT'S WHAT HAPPENS
WHEN YOU'RE ON THE UP ON THE
STREETS --
SO BESIDES THAT--
THAT STANDARD --
THERE IS NOTHING IN THE BILL
THAT HAS ANY ASSURANCES THAT
CONSERVED INDIVIDUALS WILL
RECEIVE ANY SERVICES OR ANY
pBACKTO THE A. O. T..
AND AND LOWERS LA AGAIN THAT
YEARS WERE SPENT --
ON TRYING TO REACH THE RESULT
WAS THERE THAT IS A
COMPREHENSIVE SCHEME THAT IS
AVAILABLE TO THE COUNTIES LA
COUNTY -- IS --
HAS ADOPTED LAURA'S LAW THAT
WOULD ABSOLUTELY COVER I THINK
THE CIRCUMSTANCES FOR WHICH
THERE --
THEY'RE SEEKING SERVICES THERE
IS NO GUARANTEE WITHIN THIS
LEGISLATION THAT INDIVIDUALS
WOULD RECEIVE HOUSING AND
SUPORTIVE HOUSING WRAPAROUND
SERVICES OR EVEN MEDICAL CARE --
WITHIN THAT PROVISION THE BILL
--
ALLOWS THE CONSERVATORSHIP BUT
NOT THE SERVICES ON THE BACK AND
THEN I WOULD SUGGEST THAT.
SPIRITUALLY --
WHAT IS LACKING IN IN THE BILL
AND AGAIN LET ME JUST REFER --
TO LOWERS LA ADOT THAT HAS A
VERY COMPREHENSIVE LIST OF
SERVICES THAT SHOULD BE PROVIDED
OFFERED TO INDIVIDUALS
VOLUNTARILY.
AND TO PROVIDES FOR IT
INDIVIDUALIZED PLANS FOR
COUNTIES --
BEFORE THEY ACTUALLY TO AN
INVOLUNTARY TREATMENT AND I WILL
JUST POINT OUT THAT --
AS YOU MAY RECALL --
CENTER WIENER HAD A BILL THAT'S
MOVED OVER TO THE OTHER HOUSE --
THE ACTION THAT WAS TAKEN IN THE
APPROPRIATIONS COMMITTEE HAS
THAT BILL MOVED OVER INTO THE
HOUSE WAS INDEED TO REQUIRE.
THAT LAURA'S LAW BE TRIED FIRST
BEFORE YOU COULD USE THE A
SUBSEQUENT MODIFICATION --
TO THE CONSERVATORSHIP FOR EACH
OF THOSE REASONS WE ARE JOURNAL
VOTE.
THANK YOU.
CHAIRMAN PAN ENDS UP.
TO COMMITTEE MEMBERS MY NAME IS
SCARLET HUGHES I'M THE EXECUTIVE
DIRECTOR FOR THE CALIFORNIA
STATE ASSOCIATION.
OF PUBLIC ADMINISTRATORS PUBLIC
GUARDIAN CONSERVATORS.
WE REPRESENT THE PUBLIC
GUARDIANS AND THE CONSERVATIVES
IN THE COUNTIES THEY ARE THE
COUNTY OFFICIALS AND THEIR STAFF
BUT DO THE LPS CONSERVATORSHIP
[inaudible]
AND ISN'T.
WE SERVE THE MENTALLY ILL
EVERYDAY.
AND WE ARE PASSIONATE ABOUT THE
WORK THAT WE DO.
IT'S IMPORTANT TO US THAT WE
PROVIDE SERVICES TO THIS
POPULATION.
BUT UNFORTUNATELY THIS BILL
DOESN'T DO WHAT THE AUTHORS ARE
HOPING THAT IT WILL DO IT OVER
BURDENS A SYSTEM THAT IS ALREADY
MAXED OUT.
WE HAVE.
ENORMOUS CASELOADS THERE IS NO
STATE OR FEDERAL FUNDING FOR
CONSERVATORSHIP.
AND THE ASSUMPTION THAT WAS MADE
THAT THE MENTAL HEALTH SERVICES
ACT MONIES CAN BE USED IS NOT
ACCURATE FOR CONSERVATORSHIP.
THE PUBLIC GUARDIANS THE PUBLIC
CONSERVATIVES DO NOT RECEIVE ANY
MENTAL HEALTH SERVICES ACT TO
THEIR PROGRAMS IT'S NOT ALLOWED
UNDER THE ACT.
AND WE DON'T RECEIVE ANY FUNDING
FROM ANY OTHER SOURCE EXCEPT THE
GENERAL FUND FROM THE COUNTY.
WHICH MEANS THAT EVERY COUNTY
GENERAL FUND DETERMINES HOW MUCH
MONEY THEY'RE GOING TO GIVE THE
PUBLIC GUARDIAN IT MAKES A VERY
DOES.
THAT'S SPORTS DISPROPORTIONATE
--
SERVICES FOR CONSERVATORSHIP THE
VERY LARGE COUNTIES ARE MORE
FORTUNATE THAN THE MIDDLE AND
SMALL COUNTIES THEY HAVE A
HIGHER BUDGET.
THEY ARE ABLE TO DO MORE WITH
THERE'S MENTAL HEALTH SERVICES
ACTS AND THEY SOME OF THEM HAVE.
SAID THAT THEY'RE GOING TO
PROVIDE SERVICES FOR THE
CONSERVATIVES OFFICE BY HAVING
SUPPORT SERVICES GIVEN.
BUT THAT DOESN'T HELP MOST OF
THE COUNTIES WHO ARE ALREADY
OVERBURDENED WITH LARGE
CASELOADS WE WANT TO HELP THIS
POPULATION.
BUT TO CONTINUE TO GIVE US CASES
THAT WE CAN'T MANAGE IT'S NOT
HELPING OUT POPULATION AND IT'S
GOING TO BURDEN THE COUNTIES
WITH HIGHER.
COSTS TO THE COUNTIES OF THIS
BILL PASSES.
SO.
OUR ASSOCIATION IS ASKING THAT
YOU PLEASE VOTE NO ON IT I AM
PERSONALLY I WAS A PUBLIC
GUARDIAN FOR YEARS.
AND MY CASELOADS WENT UP EVERY
YEAR AND EVERY TIME THE BILL WAS
PASSED WE ADVOCATED FOR FUNDING
WE NEVER GET IT AND WE ALWAYS
GET MORE CASES AND IT'S AT SOME
POINT WE SIMPLY CAN'T PROVIDE
THE SERVICES.
THAT ARE YOU'RE ASKING US TO
PROVIDE.
BUT THAT I RESPECTFULLY ASK THE
VOTE NOW [inaudible]
THANK YOU.
MADAM CHAIR MEMBERS ALEX
HAWTHORN OF CALIFORNIA HOSPITAL
ASSOCIATION REGRETFULLY HERE IN
OPPOSITION --
AND I SAY REGRETFULLY BECAUSE
LISTENING TO THE TESTIMONY --
WE COULD NOT AGREE MORE WITH
EVERYTHING THAT WAS SAID BY THE
SUPPORTERS WE HAVE WORK
COLLABORATIVELY.
WITH THE AUTHOR WITH THE
SPONSORS ON MANY PIECES OF
LEGISLATION ON THIS YEAR IN
PREVIOUS YEARS TO TRY AND
ADDRESS THE SITUATION SO OUR
OPPOSITION.
A DISTINCT I'M IT'S NOT SO MUCH
OF FACT I CAN FORESEE A
SITUATION WHICH WE WOULD SUPPORT
THE BILL.
BUT IN THE CIRCUMSTANCES WE HAVE
IN THE STATE OF CALIFORNIA RIGHT
NOW WE CAN'T SUPPORT ON FOR
PRACTICAL REASONS --
IT WAS MENTIONED ABOUT RESOURCES
I'M WE HAVE TO SOLVE THE PEOPLE
IN THE FRONT AND WE HAVE TO MAKE
SURE WE HAVE ENOUGH FUNDING FOR
THOSE SERVICES AND WE HAVE TO
ADDRESS THE FUNDING ON THE BACK
AND TO THE CONSERVATIVES POINT
--
THE BOTTOM LINE ON THIS BILL IS
EVEN THOUGH YOU CAN DETAIN
SOMEONE --
THAT FOR A NEW REASON WE CAN'T
LEGALLY TREAT THEM THEY STILL
HAVE THE RIGHT TO REFUSE MEDICAL
TREATMENT --
AND THERE'S ONLY A FEW REMITTED
TO ADDRESS THAT SO WE FORESEE A
SITUATION WITH MORE PATIENTS
COMING AND I'M GETTING STUCK IN
THE EMERGENCY ROOMS NOT REALLY
GETTING THE SERVICES THAT THEY
NEED -- SO
AGAIN WE OF HAVE TO POSE AT THIS
TIME WE KNOW WILL CONTINUE
WORKING WITH THE AUTHOR AND THE
SPONSORS AND TO FIND SOLUTIONS
IN THE FUTURE.
THANK YOU ANY OTHER OPPOSITION
PLEASE STATE YOUR NAME AND
AFFILIATION.
AND FLORIDA ON BEHALF OF WESTERN
CENTER ON LAW AND POVERTY IN
OPPOSITION AND I'VE ALSO BEEN
ASKED TO STATE OPPOSITION FOR
THE AMERICAN CIVIL LIBERTIES
UNION OF CALIFORNIA [inaudible]
THANK YOU [inaudible]
COLLEAGUES [inaudible]
SENATOR MITCHELL.
THANK YOU VERY MUCH --
MADAM CHAIR.
YOU KNOW THE BOOK THE LIMON
PETRA SACK.
NAM GOING TO SELL IT FIXING
NIELSEN I WAS A STAFFER HERE
WHEN NICK TEXAS WAS A MEMBER.
AND SO I'VE.
I'M SENATOR NIELSEN JUNIOR HIGH.
SERVE WITH THE THANK YOU SENATOR
BILL I WAS NOT A TEENAGER BUT
THANK YOU.
BUT YOU KNOW THE LEMON PECTUS
ACT.
WAS A MAJOR SEA CHANGE YOU KNOW
IT REPRESENTED A HISTORIC
CULTURE SHIFT.
AWAY FROM INVOLUNTARY PLACEMENT
[inaudible]
AWAY FROM.
YOU KNOW FOR STERILIZATION THAT
WE'VE WAITED ANOTHER BILL
RECENTLY [inaudible]
AND MOVED US TO VALUE AND
RESPECTING SELF DETERMINATION.
AND LEAST RESTRICTIVE
[inaudible]
ENVIRONMENTS.
I THINK THAT IS AN IMPORTANT --
CULTURE TO MAINTAIN.
I AM SYMPATHETIC [inaudible] TO
THE GROWING PERSISTENCE
CIRCUMSTANCE WE FIND OURSELVES
IN WHERE PEOPLE NEED HELP.
HELP ME UNDERSTAND ASSEMBLY
MEMBER.
WHY THE OPTIONS REFLECTED HERE
IN THE IN THE OFFICE OF PAGE TWO
UNDER CURRENT LAW?
THAT TALKS ABOUT THE LOW LAURA'S
LA.
IN WAYS IN WHICH BOARD OF
SUPERVISORS THROUGH THE LTP
SYSTEM CAN CURRENTLY GO IN AND
GET THOSE WHO NEED.
ASSISTANCE.
ASSISTANCE AS OPPOSED
[inaudible]
TO COMPLETELY REDEFINING GRAVELY
DISABLED NOW I'M YOU KNOW I I AM
NOT ONE TO SAY YOU KNOW ONCE A
LAW ALWAYS A LAW DON'T TOUCH IT
I'M I APPRECIATE THAT THERE MAY
BE.
SOME UPDATES TO LEMON PATCHES
THAT MAY BE APPROPRIATE BUT HELP
ME UNDERSTAND BECAUSE WHAT I
DON'T WANT TO DO IS TO BEGAN --
TO BECAUSE YOU KNOW WE TEND TO
HOW THE PENDULUM KIND OF
SCENARIO I DON'T WANNA DEPENDS
ON THE SWING.
BACK IN THE OTHER DIRECTION AND
WE BEGAN TO PEEL BACK --
INDEPENDENT RIGHTS.
SO HELP ME UNDERSTAND WHY THAT
ISN'T ENOUGH UNDER THE CURRENT
CIRCUMSTANCES LET ME START WITH
THE THAT WE HARE THE SAME
CONCERNS WERE NOT LOOKING TO
PICK PEOPLE UP.
PLACE THEM AGAINST THEIR OWN
WILL IN MASS NUMBERS BUT NOT
WITH THE INTENT IS HERE ON THE
VERY VERY CLEAR. ONE OF MY
COLLEAGUE TALK ABOUT LORE LA
BECAUSE HE WAS THE COUNTY WHEN
THEY ESTABLISHED AND SO BUT BUT
I WON A LOT WHEN I WANT TO REST
RIGHT NOW --
ISN'T ISN'T THAT WE'RE LOOKING
TO CHANGE THE LAW SO THAT WE CAN
HAVE THESE MASS INCARCRATIONS
ARE LOCKING UP PEOPLE ARE GOING
BACK TO WORK BUT WE WERE WE WERE
--
NOW YOU AND I OVERLAP AREA KNOWN
AS SKID ROW YEAH AND IF YOU WALK
DOWN THE STREET I MEAN YOU ARE
GOING TO ENCOUNTER PEOPLE.
WHO YOU CAN MAKE THE CASE IT'LL
BE NEAR DEATH --
WHO?
IN THE EYEBALL STABBED --
BROKEN LEGS AND YOU CAN SEE M. I
MEAN IT IS HORRIFIC WHAT YOU
SEE.
WHAT THIS IS TRYING TO DO?
IS ATTEMPTING MORE HUMANE WAY
THAN THE LET SOMEBODY DYING ST.
AND MAKE NO MISTAKE ABOUT IT'S
NOT LIKE LET'S SAY THIS WORD TO
BE ENACTED A LAW.
YOU CAN'T JUST PICK SOMEBODY UP.
A JUDGE A COURT WAS TO HAVE TO
DETERMINE.
THAT IS THE BEST INTERESTS OF
THIS INDIVIDUAL.
AND WHY WE'RE TRYING TO CHANGE.
BECAUSE CURRENTLY IF SOMEBODY
CAN HOUSE THEMSELVES CLOTHE
THEMSELVES OR FEED THEMSELVES.
THAT IS A THRESHOLD FOR
CONSERVATIVE.
SO A TOUCH CAN SAY SOMEBODY EACH
HAVE A TRASH CAN [inaudible]
IT'S LEGITIMATE.
THEY CAN FEED THEMSELVES.
AND IT'S A HIGH THRESHOLD TO
PICK SOMEBODY UP.
WHEN THEY ABSOLUTELY NEED HELP?
WE THE SETLIST [inaudible]
MEDICAL NECESSITY.
BECAUSE BECAUSE IT IS EVIDENT TO
SOMEBODY IS SUFFERING.
AND IS EVIDENT THAT THE MORE
HUMANE THING TO DO AT THAT POINT
TIME IS TO GIVE THIS INDIVIDUAL.
SOME HELP I CAN ASSURE YOU THAT
THAT.
THAT THAT WE ARE NOT GOING AFTER
PEOPLE CIVIL LIBERTIES WE ARE
NOT LOOKING THEM PICK PEOPLE UP
IN DROVES.
AND I'M WILLING TO HAVE THAT
CONVERSATION THAT'S NOT WHERE WE
WANT TO GO BELIEVE ME I I I AND
I AM ASKING FOR HELP TO GET TO
THAT PLACE.
BUT WHAT WE WANT TO DO IS ENSURE
THAT SOMEBODY IS SUFFERING WE
CANNOT LET THEM CONTINUE TO LIVE
ON THE STREETS.
I DO MOST OF YOU KNOW WHAT'S
GOOD ROOM LOOKS LIKE BUT IF BUT
IF YOU HAD NOT HAD THE
OPPORTUNITY WHAT BY.
AND WE WE ALL HAVE OUR SKID ROW
THAT LOOKS JUST A LITTLE BIT
DIFFERENT [inaudible]
MAYBE NOT.
CLOSE TO TEN THOUSAND PEOPLE IN
A FEW SQUARE BLOCKS.
BUT NOT TOO FAR AWAY FROM HERE
NEED NEAR THE RIVERS A
SACRAMENTO YOU CAN YOU CAN GO
IN.
SEE PEOPLE WHO HAVE SEVERE
MEDICAL NEEDS [inaudible]
NOW.
I WOULD URGE.
THAT IS THE ME SIEU MORE HUMANE
THING TO DO TO GIVE SOMEBODY
[inaudible]
MEDICAL HELP.
WHAT WENT WHEN THEY HAVE NOTHING
ELSE LEFT AND THEIR SUFFERING ON
THE STREET NOW?
I I AM NOT ENGAGING AT THIS
POINT TIME IN THE MIDDLE AND THE
ISSUE.
OF RESOURCES BECAUSE I CAN BUT I
CAME HERE PREPARED TO TALK ABOUT
THE POLICY.
A A BUT WE'RE TRYING TO DO.
I CAN ENGAGE IN IN THE RESOURCE
CONVERSATION BUT WE ALL JUST
VOTER THE BUDGET.
THE GIVES A GIVES MENTAL HEALTH
CARE DOLLARS TO THE COUNTIES AND
CITIES.
SORRY COUNTIES WILL MOVE THE
VOTED ON EXTRA DOLLARS THAT WILL
GO DOWN THE COUNTIES IN FACT
THIS LEGISLATURE'S PUT ON THE
BALLOT.
THIS LE NOVEMBER A NO PLACE LIKE
HOME.
OF FUNDS WHICH SHOULD I FARMER
QUICKLY TWO POINT ONE BILLION
DOLLARS.
WE GIVE MONEY TO THE COUNTIES.
AND IN THIS CASE WILL GIVE MONEY
DISEASES WHILE.
IT'S NOT A QUESTION OF RESOURCES
--
I THINK WE'LL HAVING SAID THAT
NAM LET ME HAVE MY COLLEAGUES I
TALK ABOUT THE LOWER PIECE
BECAUSE HE WORKED AT THE COUNTY
WHEN THAT HAPPENS BEFORE BEFORE
WE TRANSITION TO THAT IF YOU
DON'T MIND ASSEMBLY MEMBER IF I
COULD JUST PIGGYBACK ON YOUR
POINT --
WHAT WE PUT MONEY IN IT AND I
THIS IS AN APPROPRIATIONS BUT
BUT BUT BUT --
WE MAY HAVE TO AGREE TO DISAGREE
ON WHETHER THAT'S ADEQUATE
RESOURCES PARTICULAR FORGET
EXPAND KIND OF THE POPULATION OF
PEOPLE BEING SERVED IN KEEPING
WITH YOUR BILL --
AND SEEN TALK ABOUT PROVIDING.
MEDICAL SERVICES I'M
INTERPRETING.
WHAT YOUR BILL IS BEYOND THAT
MEDICAL SERVICES CURRENTLY HAVE
TO BE PROVIDED IF THEY CAN FIND
THEM WHAT THEIR WAY?
TO AN ER SO IT'S NOT THAT COULD
MEDICAL SERVICES ARE CURRENTLY
PROVIDED SAFETY NET NOT IDEAL
BUT SAFETY NET --
BUT BUT YOUR BILL GOES BEYOND
THAT.
I AM CLEAR ABOUT WHO'S ON SKID
ROW.
IN LOS ANGELES 99% ARE AFRICAN
AMERICAN.
IT'S MENTAL ILLNESS IT SUBSTANCE
ABUSE.
IT'S WOMEN AND CHILDREN SO I'M
CLEAR THAT THERE ARE A VARIETY
OF CONTRIBUTING FACTORS THAT
HAVE CREATED THE SCENARIO WE'RE
ALL EXPERIENCING WITH.
A HISTORICALLY HIGH NUMBER I'M
HOUSEHOLD PEOPLE.
I GET IT --
AND WE HAVE TO COME TOGETHER TO
COME UP WITH CONSTRUCTIVE
HELPFUL WAYS --
WE HAVE TO ALSO MAKE SURE THAT
WE DON'T.
BELOW THE LAW UP SUCH THAT TO
TREAT TO TRY TO SOLVE THAT
PROBLEM THAT WE CREATE ANOTHER
SCENARIO WHERE IT'S THE END --
GOOD EVENING IT IT IT CREATES
OPPORTUNITIES --
THAT LIMIT INDIVIDUAL RIGHTS
[inaudible]
SO UNDER.
BUT AGAIN ON THE ANALYSIS
CONFIRMS THE DEFINITION OF
GRAVELY DISABLED FOR PURPOSES OF
PROVIDING EMERGENCY MEDICAL
CARE.
DETAINING THE PERSON FOR
ASSESSMENT EVALUATION AND
TREATMENT PROVIDING A COURT
ORDERED EVALUATION CERTIFYING A
PERSON FOR INTENSIVE TREATMENT
AND PLACING A PERSON UNDER
CONSERVATORSHIP. TO THE EXPANDED
DEFINITION PROPOSED IN THIS BILL
SO AS YOU SO ELOQUENTLY TALKED
ABOUT WAY TO GET PEOPLE OFF THE
STREETS.
IS IT YOUR EXPECTATION THAT ONCE
IN CONSERVATORSHIP THEREFORE A
PLACEMENT WOULD TAKE PLACE OR IT
BE WORTH CONSERVANCY IT REALLY
KIND OF A LEGAL.
CATEGORY OF WHO'S RESPONSIBLE
FOR ME BUT DOES NOT GUARANTEE
QUOTE GETTING ME OFF THE STREETS
THE FOLLOWING I I DO I DO AND
AND IN THE I WOULDN'T
ENVISIONED.
CONSERVATORSHIP BELIEVING
SOMEBODY ON THE STREET I I I
WOULD I WOULD HOPE THAT IF A
JUDGE GRANTS CONSERVATORSHIP.
THAT THAT DE COUNTY OR PERSON
SEEKING CONSERVATORSHIP CAN MAKE
THE CASE THAT THIS IS A DECISION
THE BEST INTEREST AN INDIVIDUAL.
MEMBER EVEN IF WE CHANGE THE LAW
A JUDGE A COURTHOUSE TO PROVE
THIS.
SO THEY'RE GOING TO HAVE TO MAKE
A VERY STRONG CASE.
ABOUT WHAT KIND OF SERVICES THIS
INDIVIDUAL IS GOING TO END BUT
BY THE WAY WHETHER OR NOT THEY
IN IN FACT NEED.
ON THE SERVICES [inaudible]
BECAUSE A JUDGE WILL BE ABLE TO
DETERMINE BOTH THE ON THE SAID
PARAGRAPH AT USAGES SAD WHETHER
OR NOT --
THAT IT IS IN THE BEST INTEREST
IN THE OF THIS INDIVIDUAL
ALTHOUGH CERTAIN I AM AWAY LOOK
I'LL SAY I'M SURE I HAVE SOME
INFORMATION THAT MIGHT HELP
CLARIFY --
THE QUESTIONS IT IS SENATOR
MITCHELL'S [inaudible]
OKAY.
IT'S IT'S UP TO YOU.
ANSWER IF OR THAT'S FINE WHO
HICKEY THROUGH THE CHAIR
SERVICES SO ON THEIR A COUPLE
THINGS SAID I JUST WANT TO
RETURN TO ONE IS THAT.
THIS IS NOT A A GRAND NEW
POPULATION OF PEOPLE THAT ARE
ALREADY WELL KNOWN.
MANY OF THEM ARE ALREADY ENGAGED
--
UNSUCCESSFULLY IN THE
CONSERVATORSHIP PROCESS SO THE
NUMBERS THAT ARE SOME PEOPLE
MIGHT IMPUTE TO THIS PROCESS ARE
PROBABLY INFLATED.
I'M THE OTHER AS I I DID HAVE
THE PRIVILEGE OF DRAFTING --
AT THE LAWRENCE LA PROVISIONS
THAT HAVE TO DO WITH SERVICES --
THE CRITERIA AND LAURA'S LA IS
ITSELF NOT DIRECTLY RELATED TO
HEALTH MATTERS AT ALL.
IT IT'LL IT ALLOWS A PLANET AN
INTERVENTION IF THERE HAVE BEEN
TWO HOSPITALIZATIONS OR THEM
INTO WRASSE I'M THAT KIND OF
THING WITH THREATS --
AND SO IT IT IS A HAPPY ACCIDENT
THAT THAT PROGRAM PROBABLY
INCREASES THE HEALTH AND
PROVIDES HEALTH RESOURCES FOR
PEOPLE.
BUT IT IS NOT THE INTENT AND SO
IS A VERY DIFFICULT TOOL TO USE
FOR THAT ONE OF OUR WITNESSES
TALKED ABOUT THE MANY MANY MANY
YEARS OF ON UNTREATED NO ILLNESS
ON THE STREETS FLOORS LA WOULD
NOT APPLY.
SO -- I I
THINK THAT --
WHERE WE'RE LOOKING AT A
SITUATION WHERE WE HAVE?
ABSOLUTELY NO CHANGE AND THE
SUBSTANTIVE OR PROCEDURAL DUE
PROCESS PROCEDURES IN THE LAW.
THIS IS JUST ANNA AND AMEND MY
OR XIN OF THE LPS THAT HAS TO DO
WITH DEFINITIONS.
SO THAT ALL THE RIGHTS THAT WE
WANT FOR OURSELVES.
I DO THOSE PROTECTIONS DAY THOSE
PROTECTIONS STAY SO YOU HAVE THE
RIGHT TO HAVE JUDICIAL REVIEW --
TO SEAT THE CHARGES SO TO SPEAK
AGAINST YOU SEE THE EVIDENCE --
PRESENT YOUR OWN SELF IN COURT
PRESENT YOUR OWN WITNESSES YOU
HAVE THE REPORT RIGHT TO APPEAL
ALL THOSE THINGS STAY INTACT
THERE'S NO THERE'S NO CHANGE IN
THAT.
SO WHY I'D BUY I THINK IT WOULD
BE A TERRIBLE THING TO SEE US GO
BACK DOWN THE PATH WHERE WE*
NILLY --
COMMIT PEOPLE I I THINK THAT WE
HAVE BEEN VERY VERY CAREFUL TO
LEAVE THOSE PROVISIONS
UNTOUCHED.
NOT BE HAPPY TO ANSWER ANY OTHER
QUESTIONS AND I AND I APPRECIATE
THAT THAT'S OUR PERSPECTIVE IN
AND SOUTHEASTERN REMEMBERED SAID
WE'VE HAD NUMEROUS CONVERSATIONS
ABOUT YOU KNOW.
A CONSTITUENT INQUIRE EASING
CONSTITUENT --
CALLS AND DEMANDS.
ABOUT DEALNG WITH THE HOMELESS
I DOWNTOWN AND SO BE CLEAR I
WOULD NOT BE SURPRISED OF THE
BILL WOULD COME BEFORE US THAT
WOULD TAKE US BACK DOWN THAT
PATH BECAUSE THERE ARE SOME
PEOPLE WHO ARE DESPERATE.
DIDN'T FOR THOSE PEOPLE TO
SIMPLY DISAPPEAR.
I DON'T THINK THEY FRANKLY CARE
HOW OR WHERE THEY GO JUST LONG
AS THEY GO.
BOB AND SO THAT'S WHY I DON'T
THINK IT'S ON INAPPROPRIATE FOR
US TO CONTINUE TO TALK ABOUT.
THE CULTURE SHIFT ATLANTA MEN --
PETROUS BROUGHT AND THAT WE
DON'T WANT TO LOSE THE
INTEGRITY.
OF THAT SHIFT FUNDS WHAT YOU'RE
IT IT'S NOT NOT SUGGESTING THAT
THAT'S ANYONE'S HERE DESIRE BUT
I DON'T THINK WE SHOULD LOSE.
SITE OF THAT HISTORY AND IT CAME
TO BE FOR A VERY VALID REASON I
WOULD ABSOLUTELY AGREE TO I
THINK THAT THE QUESTION BEFORE
US TODAY HERE IS.
WHEN THE ORIGINAL ACT WAS
ANTICIPATED WE IDENTIFIED FOOD
CLOTHING AND SHELTER IS BASIC
HUMAN NEEDS?
BUT FOR SOME REASON WE DIDN'T.
AND WHAT WE'RE REALLY SAYING
TODAY IS THAT IS THAT AT THAT
CRITERIA IS THAT NOT A BASIC
HUMAN NEED AND IF I ANSWER IS
YES THEN IT'S A QUESTION OF HOW
WE GET THERE GOT IT.
THANK YOU VERY MUCH APPRECIATED.
OTHER QUESTIONS.
CEREMONY [inaudible]
OKAY [inaudible]
BIPARTISAN.
YOU AUTHOR 12% THE CO AUTHOR IN
OUR HOME MY QUESTION OKAY YES
THEY DESERVE FURTHER ANSWER ALL
OF THE MEN TO NEXT QUESTION SO
THAT A BALL HOG.
THAT WAS FUN.
IT'S BEEN ANSWER SENATE OKAY
WELL THEIR MONEY.
SO MY QUESTION KIND OF FOR WELL
STARTING WITH AUTHORS AND THEN
IF THERE'S AN EXPERT WHO'S
BETTER EQUIPPED [inaudible]
SOME ITS I UNDERSTAND THIS
EXPANDED DEFINITION AND IN THE A
HUMANE IN HUMANITARIAN SIDE IS
[inaudible]
TO INTERVENE.
SO THAT SOMEBODY'S.
NOT GONNA DIE AND STREET AND
THERE CAN BE MEDICAL
INTERVENTION TO POTENTIALLY SAVE
A LIFE.
STILL REQUIRES A JUDICIAL
[inaudible]
TERMINATION.
A IN I SHOW MY IGNORANCE OF
CONSERVATORSHIP LAW BUT DOES THE
PERSON IS ARE THEY ENTITLED TO
REPRESENTATION AT THAT HEARING
THEY ABSOLUTELY ARE.
AND THAT'S PROVIDED BY THE
COUNTY ITS PROVIDED BY THE
PUBLIC DEFENDER'S OFFICE
[inaudible]
I'M.
I'M IN SO THEIR ME STILL BE AN
UNWILLING PERSON WHO FITS THE
CRITERIA --
BUT WHO THROUGH THEIR OWN VOICE
OR THROUGH THEIR REPRESENTATIVE.
WOULD PRESENT TO THE JUDGE WHY
THEY DIDN'T WANT THAT
CONSERVATORSHIP NAM SO THERE IS
A DUE PROCESS HEARING IN OTHER
WORDS YES INCLUDING A TRIAL.
LAWYER TROUT NOW JUST TO TAKE
THAT ANOTHER STEP.
ASSUME THE PERSON'S [inaudible]
EPONA.
IN AN UNCONSCIOUS STATE ARM OR
OR UNABLE TO FOCUS MENTALLY ON
THE PROCEEDING IN AND SHOWING
ME.
AWARENESS OF WHAT'S GOING ON IN
THAT PROCEEDING.
A DOES THE APPOINTED
REPRESENTATIVE.
ARM.
DO THEY MAKE A DETERMINATION AS
TO WHETHER IT'S IN THE BEST
INTEREST.
OF THEIR CLIENT AT THAT POINT.
OR IS THE APPOINTED
REPRESENTATIVE SHOP.
TO RESIST THE CONSERVATORSHIP.
IF I MAY MISTER CHAIR --
AT WHAT I THINK IT YOU'RE
GETTING AT IS A VERY IMPORTANT
POINT.
AND AND SO THE QUESTION ABOUT
ALL OF THE DUE PROCESS STAYING
IN PLACE IS EXACTLY RIGHT AND
THAT'S IMPORTANT.
BUT WHAT WE HAVE TO REMEMBER IS
WHAT PROCESSES DO AND WHAT IS
THE LAW THAT THE COURT IS GOING
TO APPLY.
IN THAT PROCEEDING WE ARE
CHANGING THAT LAW IT IT'S NOT
LIKE EVERYTHING REMAINS THE SAME
AND YOU GET ALL THESE
PROTECTIONS.
IT IS A A DETERMINATION OF THE
LEGAL STANDARD THAT WILL APPLY
THAT'S ADJUDICATED.
IN THESE PROCEEDINGS AND THE
SIGNIFICANT CHANGE THAT'S
HAPPENING IN THIS BILL.
IS TO ADD MEDICAL TREATMENT
THAT'S I GET BACK.
A BUT HOW DO WE DEFINE MEDICAL
TREATMENT.
DETERIORATING PHYSICAL.
EVERY PERSON ON THE STREET I
WOULD SUBMIT TO YOU.
THAT IS HOMELESS.
IS IN A DETERIORATING PHYSICAL
CONDITION.
THAT'S THE LAW THAT THE COURTS
GOT TO APPLY.
THAT'S THE INSTRUCTION THAT THE
COURT HAS TO PROVIDE TO THE JURY
IN A JURY TRIAL IF THERE IS ON
THAT STANDARD.
SO IT'S SO IT'S NOT THAT DUE
PROCESS STANDING ALONE IS THE
VIRTUE -- OF
THIS WHAT IS IMPORTANT IS THE
DETERMINATION.
OF THE LAW THAT GETS APPLIED TO
GET INSTANT THAT'S RIGHT AND
THIS IS UP HICKS I'VE NEVER SEEN
QUITE SUCH A POOR HUD STANDARD.
THAT WOULD APPLY TO A MEDICAL
DETERMINATION AND THAT IT WOULD
BE OUR OPINION THAT IS THAT THAT
IS INDEED A CONSTITUTIONALLY
DEFECTIVE YOU STANDARD AND I
WOULD LIKE TO HEAR WITH CO
AUTHORS JUST COMMENT ON THAT
QUESTION AS WELL.
JUST BEFORE I TURN IT OVER TO
YOU.
I THINK MANY OF US HERE'S
STRUGGLE WITH.
THE HUMANITARIAN --
HUMANE RESPONSE A VERSES.
A SOMEWHAT.
MORE ABSTRACT SET OF LAWS
PROTECTIONS CENTRIST LET'S YEAH
I THINK.
WE ARE ASPIRE FOR THE SAME THING
THE QUESTION IS DOES THIS HAVE
ENOUGH SPECIFICITY.
PROVIDE BOTH THE PROTECTIONS.
AND THE DESIRED HUMANITARIAN --
OBJECTIVE BUT WOULD YOU LIKE TO
COMMENT ON THAT QUESTION PIE BE
HAVE TO CENTER --
CHAIRMAN AND MEMBERS I REALLY
APPRECIATE THE LINE OF
QUESTIONING.
SO WHEN I WAS WORKING FOR LA
COUNTY SUPERVISOR MIKE
ANTONOVICH DURING MY TENURE
THERE.
HE WAS A SUPERVISOR THAT
INCORPORATED MOORE'S LAW A. B.
FOURTEEN TWENTY ONE ONE THE
REGIONAL ONES IN THE STATE OF
CALIFORNIA WAS LA COUNTY.
AND YES THERE HAS BEEN
IMPROVEMENTS.
BUT THE ME JUST SAY THAT IN MY
EXPERIENCE THE MENTAL HEALTH AND
HEALTH THAT THE FOR LA COUNTY
SUPERVISOR MIKE ANTONOVICH FOR
OVER A DECADE.
THERE ARE VERY MUCH NECESSARY
IMPROVEMENTS WHEN YOU DID THAT
AND ADDING TO THAT.
COMPONENT IS ADDING TO HEALTH
AND MENTAL HEALTH COMPONENT TO
THAT PROCESS.
THE PEOPLE THAT HAVE COME TO OUR
OFFICE.
THAT HAD BEEN ASKING QUESTIONS
REGARDS TO THIS BILL.
SUPPORTING THIS BILL THOSE ARE
NOT THE FOLKS THAT ARE TRYING TO
PUT SOMEONE.
UNDER INVOLUNTARY MENTAL HEALTH.
IF YOU LOOK AT IT RIGHT NOW
OFTENTIMES.
THE FOLKS THAT ARE INVOLUNTARY
TREATED ARE FIFTY ONE FIFTY
THREE DANGER THEMSELVES OR
DANGER TO OTHERS THESE ARE THE
FOLKS THAT HAVE HURT THEMSELVES.
OR HURTING SOMEONE ELSE.
OFTENTIMES A FAMILY MEMBER TO
GET TO THAT POINT. TO GET A
INVOLUNTARY MENTAL HEALTH HOLD.
TWENTY FOUR FORTY EIGHT SEVENTY
TWO TWO WEEKS.
AND OFTENTIMES STATISTICALLY
YOU'LL SEE THEM IN SKID ROW OR
THE LA COUNTY JAIL SYSTEM.
AND THAT IS ARGUABLY THE LARGEST
MENTAL HEALTH TREATMENT SAID
SYSTEM IN OUR COUNTRY.
AND THE WORST PLACE TO GET
TREATMENT.
WHAT THIS BILL AND WANTS TO DO
AND THE INTENT OF THIS BILL?
IS NONSENSE.
TO AND HIBBETT FOR CIVIL
LIBERTIES BUT TO GET THEM
TREATMENT THAT THEY NEED BEFORE
THEY GET TO A POINT.
IN WHICH THEY'RE HURTING
THEMSELVES OR SOMEONE ELSE.
IT'S THE FAMILY MEMBERS THE
FAMILY MEMBERS THEY'RE ASKING
FOR THIS.
THEIR QUESTIONS OF INQUIRY ARE
WHAT WILL HAPPEN TO MY SON MY
DAUGHTER MY FAMILY MEMBER ONCE I
AM GONE.
WE WANT THEM TO GET THE
TREATMENT WHILE WE ARE STILL
HERE.
THEY'RE STILL GOING TO BE A
JUDGE THE SOVIET DUE PROCESS
SYSTEM WERE ADDING THE HEALTH
AND MENTAL HEALTH COMPONENT TO
AND SO WE CAN GET AND TREATMENT.
AND WISH THEY CAN THRIVE.
THAT'S ON THE INTENT OF THE
BILL.
AND WHAT HELP ON THE INDIVIDUALS
--
THAT ARE SUFFERING --
OFTENTIMES COLD KERNER'S ORDERS
MENTAL HEALTH AND PHYSICAL
DISORDERS AND IF I MAY IF I MAY
GIVE AN EXAMPLE.
RICHARD ALL COHEN ONE OF OUR
COLLEAGUES.
FORMER MEMBER OF THIS
LEGISLATURE.
AS WE TALKED RIGHT NOW AS WE'RE
SITTING HERE IN THE STATE
ASSEMBLY.
HIS SON IS WALKING THE STREETS
OF LOS ANGELES BI POLAR
SCHIZOPHRENIC.
AND HE WANTS TO GIVE THE
TREATMENT THAT HE DESERVES.
HE'S OVER EIGHTEEN HE CANNOT DO
THAT HE HAS THE FINANCIAL
RESOURCES TO DO SO.
AND YES A POLITICAL ACTIONS TO
GET THE BEST TREATMENT YOU COULD
EVER HOPE.
FOR BUT HE STILL CANNOT DO THAT.
THIS IS AN EFFORT TO HELP OUT
BECAUSE THANK YOU CENTER BELL.
SAN JOSE HAS THE SECOND LARGEST.
ON THE STREET HOMELESS
POPULATION AND STATE CALIFORNIA
--
AND WE'RE COPING WITH A SIMILAR.
SIMMER SIMMER ISSUES --
FIRST ONE WANT TO SEE SOME OF
THE PARENTS THAT TO HIM
[inaudible]
CHARACTER --
HE MY STEPSON HAS SO
SCHIZOPHRENIA AND HE HAS SO.
BI POLAR DISORDER SEVERAL POSEY
AND IS DEVELOP THE DISABLED.
SO -- WE
HAVE IN OUR OWN FAMILY.
PALM WE HAVE KIND OF A NAM THE
FAMILY IF YOU DON'T TALK ABOUT
--
AND WE HAVE A NAM A GROUP THAT
WORKS WITH --
EACH OTHER.
SUPPORTS EACH OTHER.
AND NOT HAVING THOSE KINDS
SUPPORT SYSTEMS SO.
HIS HELPED ALL OF US MANY OF OUR
NEMI FAMILY HAS A HOME.
FAMILY MEMBERS THAT ARE WALKING
ON THE STREETS EXACT ALMOST
EXACTLY THE SAME STORIES I HEARD
TODAY.
OF ITS SOMME.
IT'S SO SAD THAT --
DESPITE A LOTOF ATTEMPTS BY A
LOT OF US HERE IN A ROOM
EVERYBODY HERE I'M SURE
[inaudible]
CALM.
YOU KNOW AND I KNOW IS CHAIRMAN
OF THE COMMITTEE ON MENTAL
HEALTH --
DATA -- TO
WE ARE ABLE TO HAVE FULL
SERVICE.
MENTAL HEALTH SERVICE SO.
IN OUR MEDICAL SYSTEM.
OF IT STILL IS A CHRONIC CARE
SYSTEM NOT A A ME STILL IS AN
ACUTE CARE SYSTEM.
NOT AN ONGOING --
A CONTINUE OF CARE WHICH IS WHAT
WE NEED WE NEED TO HAVE ONGOING
CONTINUING CARE --
AND WHEN I LOOK AT THIS BILL --
I I LOOKED TO THE BILL BUT I
ALSO LOOKED AT THE PART THAT TO
CALM.
IF YOU DON'T HAVE THE HOUSING IN
THE ONGOING ON CONTINUE OF CARE.
YOU HAVE TO ADMIT.
YEAH IT'S GONNA LEAD TO MORE
CHRONIC YA AMINAH ACUTE CARE
EPISODES --
MORE CONSERVATORS CERTAINLY.
POSSIBLY MORE STATE HOSPITAL OF
I WOULD THINK.
AND YOU KNOW I VISITED ALL THE
STATE HOSPITALS. THREE HUNDRED
THOUSAND DOLLARS TWO HUNDRED
THOUSAND DOLLARS PER PERSON PER
YEAR -- WE
HAD TO ADD.
MADAM BUDGET CHAIR OF HUNDRED
MILLION DOLLARS IN THE BUDGET.
BECAUSE WERE OVERLOADED WITH
INCOMPETENT TO STAND TRIAL.
SO THE THE CIVIL COMMITMENTS AT
THE STATE HOSPITAL.
HAVE BEEN KINDA CROWDED OUT OF
THE STATE HOSPITAL IF YOU WANNA
SIT THAT WAY THERE AND PUSHED
OUT.
THERE'S THERE IS THE THE OF THE
STATE HOSPITALS TURN INTO A
FORENSIC ORGANIZATION.
AS MORE PEOPLE THAT HAVE
COMMITTED CRIMES.
THEY SAID THE MURPHY
CONSERVATORS RIGHT.
MADAM CONSERVATOR HAD AND THOSE
ARE VERY EXPENSIVE THOSE ARE
200-300-1000 DOLLARS
[inaudible]
PER YEAR.
THE PATIENT SO SO.
WHEN IT COMES DOWN TO IT
[inaudible]
I THINK.
THIS BILL IS GOING TO SIT ON
SOMETHING SIMILAR.
WHEN IT COMES DOWN TO IT ON THE
CLASS PART OF IT?
IT'S GOING TO COME DOWN TO
SOMETHING SIMILAR TO THE WINNER
BILL.
THE TEN FORTY FIVE WHICH WE HAVE
DEALT WITHIN THE SENATE WE KIND
OF CAME TO LIKE WELL WE CAN DO A
PILOT IN.
ANGELES AND SAN FRANCISCO --
WE WANT TO HAVE THE PROCESS SO
THAT.
YOU GO THROUGH THE LAWYERS LA
PROCESS.
YOU GO THROUGH A OF WHILE WE'RE
GOING THROUGH THIS PRODUCT WE
ARE GOING THROUGH THIS PROCESS.
AND I THINK THIS SANTA IS
SPECIALLY IN THE LAST TWO YEARS
CREATED A REVOLUTION.
IN CREATING HOUSING --
AS AN ISSUE. FOR THE GOVERNOR
AND THE LEGISLATURE.
BUT TO CREATE MORE HOUSING FOR
HOMELESS AND THE NO PLACE LIKE
HOME THE THE WORKED ITS CENTER
--
ATKINS HAS DONE --
THE HOUSING PAWN.
OF THE WORK THAT DOES THE
ASSEMBLY MEMBER CHOOSE DON
[inaudible]
AND HOUSING FIRST YEAR OF THE
TRIP DID YOU TALK TO SALT LAKE
CITY -- NAM
BUDGET CHAIR OF YOU KNOW THE
HOUSING FIRST CONCERT.
YOU KNOW YOU KNOW SOMETIMES
PEOPLE LIKE THAT HOUSING FIRST
THE IDEA BUT IT SHOULD BE A
CARE.
I MIGHT MY FEELING IS SHOULD BE
A CARE.
CARE THAT INCLUDES HOUSING
[inaudible]
A PACKAGE [inaudible]
SO.
THE QUESTION IS --
IF WE DON'T HAVE THOSE THINGS.
WE DON'T HAVE THE MEDICAL SYSTEM
REFORM.
THAT COVERS EVERYTHING AND WE
TURN MEDI CAL THE WAY IT SHOULD
BE WHICH IS TO TAKE CARE OF
THESE.
NO THEIR GRAVELY ILL IF YOU WANT
I DON'T KNOW THAT'S WHAT I WOULD
CALL IT THE SERIOUSLY
[inaudible]
MENTALLY ILL.
HOW DO YOU HOW DO YOU JUSTIFY
PASSING ALONG WITH OUT?
THOSE THINGS IN PLACE.
AND AND NOT REALIZE IT THERE'S
GOING TO BE A CONSEQUENCE THAT
WILL HAPPEN.
BUT CONSEQUENCES OF WHAT
HAPPENED.
AND YOU KNOW THERE'S GOING TO BE
A CONSEQUENCE HAPPENED. TO TO
PUSH PEOPLE INTO THEIR EMERGENCY
ROOMS THE THE CONSERVATOR LEGAL
SYSTEM WHICH COSTS A LOT OF
MONEY -- AS
OPPOSED TO PUTTING MONEY INTO.
HEALTHCARE AND HOUSING.
THE MEET POTATOES THAT WE NEED
TO HAVE HERE.
SO I'M KIND OF LIKE I'M KIND OF
LIKE I DO.
THIS WHOLE THIS WHOLE --
WHO APPROACH?
THERE'S TO MANY PITCHES THAT I
SEE I NEED [inaudible]
I DO. TO STEP TOWARDS WHAT
YOU'RE DOING HERE.
DOES NOT EXISTS NOW.
DOES NOT EXIST NOW.
THE LINKAGES WILL CREATE.
THERE I HAD ONE OTHER QUESTION
--
IT IT KIND OF INVOLUNTARY
COMMITMENT HAS LESS SUCCESS IN
TERMS OF A THERAPEUTIC --
PROGRAM.
IF IT'S INVOLUNTARY.
THEN A OUR SUCCESSFUL
[inaudible]
THERAPEUTIC VOLUNTARY
[inaudible]
APPROACH.
I THINK INVOLUNTARY VERSES
INVOLUNTARY.
I I AYE --
AYE WANT OPINIONS OF THE DOCTOR
MAYBE.
OF SOME PEOPLE DON'T OF COURSE
YOU DIAGNOSE SOME IS NOT
RECOGNIZING THE FACT THAT THEY
HAVE.
A SERIOUS SO.
MENTAL ILLNESS BUT I WANT --
TO I WANTED TO UNDERSTAND THAT I
DON'T SEE.
I CAN'T SEE HOW THIS WILL FROM
MY STANDPOINT.
HOW IT WORKS AND LETS YOU HAVE
THOSE OTHER BEINGS?
IF YOU HAVE IF YOU DON'T HAVE
ACUTE PSYCHIATRIC FACILITIES IF
YOU DON'T HAVE HOUSING.
YOU DON'T HAVE THAT THAT SERVE
STEP UP STEPPED DOWN.
CONTINUE A CARE.
THAT WE NEED TO HAVE.
HOUSE IS NOT GOING TO RESULT IN
MORE PEOPLE IN THE CRISIS
SYSTEM.
IT IT SEEMS LIKE IT'S GOING
TOWARDS PUSHING.
AT WHAT'S TOGETHER CRISIS SYSTEM
I KNOW I WAS THE CHAIRMAN OF THE
HOSPITAL COMMITTEE IN MY COUNTY
FOR TEN YEARS.
I KNOW THAT YEAH I KNOW THAT STE
THOU TENS OF THOUSANDS OF
DOLLARS TO PUT SOMEBODY IN AN
EMERGENCY PSYCHIATRIC.
FOR YOU KNOW IT'S GOING TO COST
MONEY PER PER PER DAY
[inaudible]
PER DAY.
MISS HOSPITAL EMERGENCY
PSYCHIATRIC SEE VERY EXPENSIVE.
SO HOW ARENA IN THAT AND THAT'S
YOU KNOW I'VE SEEN WHERE YOU
BURN MONEY HERE.
IF YOU DON'T HAVE A GOOD SYSTEM.
YOU BURN A LOT OF CASH.
BUT ITS NOT BEEN BURNED ON THE
CONTINUUM OF CARE AND THE
HOUSING AND ALL THE THINGS WERE
REALLY.
CENTER VOTE MAYBE CAN RESPOND TO
THAT I I HEAR YOU HAVE SAID
ABOUT HIM BUT THE UNTIL MANTECA
QUICK QUICK ADDRESS PLEASE AND I
KNOW YOU WANT TO TALK TO DOCTOR
IF I IF I MAY TO THE CHAIRS.
YES AND LEASES PUBLIC.
THIS IS ONE PIECE OF A LARGER
CONVERSATION.
ARE ALL THE THINGS THAT YOU SAID
THAT THAT ARE NEEDED.
I AGREE WITH YOU AND WE'VE ALL
WORKED ON RIGHT AND WE WE'VE NOW
DISTRIBUTED ALMOST TO THE
COUNTIES AND CITIES.
A I WILL REPEAT ALL THE THINGS
THAT WE'VE NOW DONE.
BUT I DO AGREE WITH YOU.
NOW.
IN THIS PRECISELY ISN'T FOR THE
PEOPLE WHO WOULD VOLUNTEER IT'S
IN THE ABSENCE OF SOMEBODY
VOLUNTEERING THAT WE NEED. TO
PROCEED WITH THIS.
AND I AGREE WITH YOU ABOUT IT OF
THE BORG OUR HOPE IS THAT WE
DON'T SEND THEM THE HOSPITALS
BECAUSE THE POPULATION WERE
PROBABLY TALKING ABOUT IT IS
PROBABLY THE ONES ARE ENDING UP
IN HOSPITALS.
TIME IN AND TIME OUT AGAIN SO VB
HOPE IS.
THROUGH THIS CONSERVATIVE
PROCESS RULES WHERE THEY ARE
COUNTY JAILS CRACKED WHICH IS
WHAT WE HOPE THE WHO REALLY
DON'T MY LAND --
BAY EGON HAVING SAID THAT
THERE'S NOTHING IN THIS BILL
THAT DOESN'T SAY.
AS ARE A CONSERVER SHIP --
PROCESS CAN LAND A PERSON IN A
HOME.
AND OFTENTIMES WHEN YOU WHEN YOU
TALK ABOUT FAMILY MEMBERS --
OUT ON THE STREETS.
THIS PROCESS CAN HELP SOMEBODY.
COME BACK TO A HOME.
PUT THEM ON THE PROGRAM ARE OVER
MEANT MEDICINE THAT THEY NEED TO
BE ABLE TO LIVE A MORE HAPPY
PRODUCTIVE LIFE AND ONE THAT'S
NOT ON THE STREET --
THIS ISN'T PREDETERMINED THAT
THAT THERE'S GONNA BE.
MEDICAL INSTITUTIONS WHAT WE
LOCK PEOPLE UP.
THIS CAN VERY WELL BE USED THE
BRING SOMEBODY BACK HOME.
AND PUT THEM ON A PATH
[inaudible]
A TOWARDS LIVING HEALTHY AND
PRODUCTIVE LIFE I DON'T WHY
DON'T YOU SOME OF THE APPROACH
WE USE WITH THE WINNER BILL
WHICH IS SO.
OKAY A PROTEST THAT TOM.
STARTS A PROCESS AND STARTS A
PILOT AND AND STARTS EXPLORING
THOSE.
AS AN ACCEPTABLE.
BOB CROSSES SOUTO YOU CAN MODEL
WORK YOUR BILL.
ALWAYS SEEMS LIKE.
YOU GOT TO TO WE'RE GOING TO
HAVE TO KNOW THAT WHICH IS HERE.
WELL I DON'T OKAY WELL THAT TWO
DIFFERENT AND BILLS ARE ONES
ABOUT MENTAL HEALTH CARE.
NEED OURS IS ABOUT MEDICAL
NECESSITY.
WELL THIS IS ABOUT DECISIONS
OKAY GRAVELY MILLIE OPEC BUT HIS
ABOUT MEDICAL SAME PEOPLE DON'T
LIKE ABOUT IT YES DIFFERENT
CULTURE.
ALRIGHT AND DIE IN. FOR A BRIEF
REFER SPLIT YES YES YES A
SENATOR BELL WELL WELL SPOKEN I
THINK THOSE ARE REALLY CRITICAL
ISSUES SO THIS IS HOW I LOOK AT
THIS -- EACH
CONSERVATORSHIP.
OFFICE IN EVERY COUNTY RIGHT NOW
OVER HAS A STOCK OF RESOURCES
THAT THEY DRAW.
AND THEY MAY BE INADEQUATE
THERE'S NOT ENOUGH --
BUT RIGHT NOW WE HAVE S. B.
EIGHTY TWO FUNDS WE HAVE MHSAA
FUNDS TWO BILLION DOLLARS WORTH
IN THE IN THE COUNTIES WAITING
TO BE FINDING WAYS TO BE SPENT
--
WE HAVE ALL THOSE REALIGNMENT
FINDS --
THAT ARE THERE WE'VE HAD WE HAVE
A FIVE HUNDRED MILLION DOLLAR
INITIATIVE --
BY THIS LEGISLATURE TO GIVE
HOUSING AND A HOMELESS WE HAVE
HOMELESS MENTALLY ILL OUTREACH
SO IT'S IT'S NOT AS IF THEY'RE
NO NO NO RESOURCES OUT THERE
THAT ARE DIRECTLY RELATED TO
THIS PROBLEM.
SO WE'RE NOT ON COGNIZANT OF
THAT BUT I THINK THAT WERE IF
WE'D TAKE IF WE DID YOU KNOW WE
DISALLOW THOSE KINDS OF THINGS.
WERE NOT TAKING STOCK OF THOSE
THINGS THAT ARE AVAILABLE TO
HELP.
THANK YOU UP BRIEFLY YES YES
MYTHIC CONCERT OF THE SENATE
BILL ALLEY REALLY APPRECIATE
YOUR COMMENTS I THINK WHAT THIS
BILL IS A TEN ALSO IS I'M FAT
EXACTLY WHAT YOU'RE SAYING.
THE HOW FOLKS THAT ARE MENTALLY
ILL WAR PHYSICALLY ILL TO GOES
DIRECTLY TO THE EMERGENCY ROOM.
THIS OF ONE THE REASONS WHY WANT
FORCES SUPPORTS AB NINETEEN
SEVENTY ONE WE WANT TO PREVENT
THAT FROM HAPPENING.
AND I THINK THE QUESTION IS BUT
POIGNANT QUESTION IS THE CHICKEN
A QUESTION I DON'T THINK THEY'RE
MUTUALLY EXCLUSIVE WE CAN WORK
AND THOSE THINGS IN TANDEM.
ON THIS IS SOMETHING THAT'S ON
ITS* WE DO MORE AND IN MY
OPINION.
ON THE ADDITIONAL LANE.
ONCE IN SURE THAT FOLKS THAT ARM
OR ABOUT DEEMED AS NEEDING THE
MEDICAL NECESSITY REQUIREMENT.
KEEP GOING --
TO PROJECTS INTO GOING TO POLICY
PROGRAMS THAT ARE NOT THAT LUCKY
RELATED TO THE EMERGENCY ROOM A
MENTAL HEALTH PROGRAMS THAT
COULD BE OUTPATIENT A
PSYCHIATRIC --
STEP DOWN BEDS AND THESE ARE ALL
THINGS THAT ARE POSSIBLE AND AS
MR HAGER SAID THERE'S TWO
BILLION DOLLARS RIGHT NOW AND
UNSPENT NORMAL SERVICE SERVICE
AT DOLLAR FUNDS THAT AND I CAN
BE UTILIZED FOR THAT PURPOSE.
OKAY ETCETERA LEYVA.
THANK YOU MISTER CHAIR THAT I
THINK THAT THE BILL IS VERY WELL
INTENTIONED BUT I JUST I WORRY
THAT IT'S A SLIPPERY SLOPE AND
I'VE REALLY EVER HURLEY HEARD
THE CONCERNS OF THE OPPOSITION
--
SO I JUST I'M GONNA LAY OFF THE
BILL TODAY IF SOME OF THOSE
CURRENT CONCERNS GET ADDRESS
THAN MAYBE A BILL TO SUPPORT
WHEN IT COMES TO THE SENATE
[inaudible]
OKAY.
HE AYE OTHER QUESTIONS FROM
COMMITTEE MEMBERS --
SO I I DID HAVE A GOOD.
QUESTION FOR JOBS THAT TERMS OF
IT WAS EMPHASIZED BOTH IN YOUR
INITIAL TESTIMONY AND US ON
ANSWERING QUESTIONS THAT.
SERVE THE BROADNESS OF THE THE
CHEERING PHYSICAL CONDITION
RIGHT THAT SEEM TO BE HERE --
STICKERS STICKING POINT IS THE
DO YOU HAVE AN ALTERNATIVE
SUGGESTION --
FOUR OR SOMETHING NARROWER OR IS
IT -- DUE.
TO SO DO YOU AGREE WITH THE
GENERAL IDEA BUT THAT'S TOO
BROAD OR DO YOU --
OR OR DO YOU JUST OPPOSE THE
IDEA THAT THAT SHOULD BE A CRY
IN THE SOMETHING ALONG THOSE
LINES TO BE CRITERIA BUT PERHAPS
MORE NARROW.
THANK YOU MISTER CHAIR --
ABSOLUTELY THERE ARE WAYS TO
LOOK AT A STANDARD FOR WHICH YOU
ARE TRYING TO ZERO IN ON THE
POPULATION THAT I'VE HEARD
TODAY.
IS FOLKS ARE TRYING.
TO HEARD THE GANGRENE IN THE LEG
I'VE HEARD THE STABBING IN THE
AYE.
THOSE ARE ALL CASES THAT END UP
IN THE EMERGENCY ROOM FIRST OF
ALL WE KNOW THAT.
BUT YOU YOU NEED. TO EIGHT A
DETERIORATING PHYSICAL CONDITION
IS SO FAR OUT THAT THERE IS A
LOT OF WORK THAT NEEDS TO BE
DONE TO NARROW YOU YOU'D BE OKAY
IF THERE WAS A NARROW
DEFINITION.
THINKS TWO THINGS ONE IS A
NARROW DEFINITION THE SECOND IS
THAT THERE IS A HIGH TO THIS
KIND OF CONSERVATORSHIP. TO THE
VERY SERVICES THAT ARE NECESSARY
TO MAKE IT SUCCESSFUL AS SENATOR
PELL HAS POINTED OUT --
THAT IS WHAT WILL MAKE THIS WORK
TO OPEN THE THE FAUCET. TO A NEW
FLOW OF INDIVIDUALS INTO A
SYSTEM THAT WE KNOW.
IS IN ADEQUATE DYSFUNCTIONAL AND
DOESN'T SERVE INDIVIDUALS MAKES
NO SENSE THAT IF YOU WANT TO
LOOK AT OPENING THAT FAUCET.
AS WELL AS TRYING TO FIX IT FOR
EVERYONE ELSE.
YOU BUILD THE SYSTEM ON THE
BACKEND TO ASSURE THAT THERE
WILL BE SUPPORTIVE SARAH HOUSING
THAT THERE WILL BE A WRAPAROUND
SERVICES THERE WILL BE MEDICAL
CARE AND THERE WILL BE.
BEHAVIORAL HEALTH TREATMENT.
THOSE ARE THE TWO THINGS YOU
NEED A STANDARD AND YOU NEED TO
TIE THANK YOU --
FOR THE AUTHORS AND PROPONENTS
HAVE -- AND
OF TWO ACTIVE BEEN DISCUSSIONS
ABOUT PERHAPS AND I DON'T OF
THERE'S BEEN DISCUSSIONS ABOUT A
NARRO DEFINITION BE MORE
ACCEPTABLE SEDIA.
FUNDS ARE A FEW.
PEOPLE ENGAGED ON THAT --
ARE.
SO FAR THIS POINT AND WHAT WHAT
WHAT WHAT KINDS QUESTIONS OF
HAPPENED TO TO DATE AROUND.
MAYBE SOMETHING A LITTLE LESS
NARROMINE BIT IS PRETTY
PRIVATEERING PHYSICAL CONDITION.
IT IS SO I MEAN.
EXECUTOR TO PROGRESS AS A WE
THOUGHT ABOUT INTERNALLY I THINK
THE THE WHOLE IDEA OF BEHIND THE
THIS IS THE CRITERIA HERE IS
THAT FOR PEOPLE WHO ARE GRAVELY
DISABLED.
IT'S REALLY ABOUT SOMEONE WHO'S
UNABLE GIVE INFORMED MEDICAL
CONSENT OKAY THAT'S IMPLICIT
THAT COULD ACTUALLY BECOME MORE
EXPLICIT I THINK THAT WOULD HELP
NARROW THE BILL OKAY AYE WE'RE
ALSO WILLING TO TAKE A LOOK AT
THE LANGUAGE --
AND MAYBE MODIFYING IN TERMS OF
YOU KNOW DID WITH WHAT IT
TEARING DETERIORATING PHYSICAL
CONDITION MIGHT BE.
BACK --
THERE ARE CERTAINLY EXAMPLES IN
THIRTY SEVEN OTHER STATES THAT
HAVE DECIDED TO DO THIS.
SO CERTAINLY THE PSYCHIATRIC
ASSOCIATION WE HAVE TALKED TO
OUR CO SPONSORED PARTNERS ARE
WILLING TO CONSIDER THAT OKAY SO
--
OF THAT IF ANYTHING WE HAVE BEEN
IN CONVERSATIONS AND KEEP IN
MIND AGAIN THE SAFEGUARD IS
GOING TO BE THERE IS GOING TO BE
THE JUDGE DETERMINES A AND WE
NEVER WE NEVER SAID THAT THIS IS
A BLANKET PICK SOMEBODY UP.
PUT IT IN THE COUNTY JAIL AND I
KNEW I REALIZE WE SET UP BUT BUT
THE JUDGE WILL DETERMINE IF
THERE ARE GOING TO BE SERVICES
FOR THIS PERSON AND A PATHWAY.
TOWARDS A HAPPY PRODUCTIVE LIFE
OKAY SO I HOPE THAT WE CAN NOW.
TRY TO MAYBE.
OR SOMETHING THAT WE HAVE EVERY
INTEREST ME WHERE OR AFTER HELP
IN THE SAME PEOPLE OKAY VERY
GOOD -- AND
YES AND THE MEATS AND THEN I'LL
GET TO EUROPE VERY QUICKLY --
SO I JUST WANNA SAY THAT I
APPRECIATE YOUR EFFORTS AND TRY
AND BECAUSE WE DO HAVE A
POPULATION WE TO AND THAT AND
RECOGNIZES NEARLY ONE PIECE OF A
LARGER PUZZLE SO I APPRECIATE
YOUR YOUR AND YOUR EXPLAINED
THAT.
A CENTER NIELSEN.
I WANT TO COMMEND YOU BOTH OF
ASSEMBLYMAN THIS IS A VERY
CHALLENGING ISSUE.
AS A CONVERSATION ALL SUPPORT
THE BILL TODAY BUT AS
CONVERSATION CONTINUES I'D LIKE
TO HAVE SOME ASSURANCE I THINK
I'M SURE OF IT BUT THAT.
AS A FELON MENTALLY DISORDERED
OFFENDERS WOULD NOT BE FALLING
INTO THIS CATEGORY.
OF INDIVIDUALS YOU SET FELON
RIGHT IT WOULD BE A FELON
MENTALLY JUST AT WHO HAS BEEN
DESIGNATED TO MENTALLY
DISORDERED OFFENDERS.
THAT THAT COULD BE PROBLEMATIC.
BUT PERSON WITH THOSE
DESIGNATION AIR.
IT IT IT'S COMPLICATED I WON'T
GO THROUGH THE WHOLE THING BUT
THERE ARE PEOPLE WHO WERE
DANGERS IN SELF AND OTHERS NEED
TO TREATMENT NOT AVAILABLE
COMMUNITY AND THEY CAN BE.
SIMPLY COMMITTED TO CONTINUE.
IN REHABILITATION AND THAT'S NOT
KIND OF PERSON WE SHOULD.
THE LETTING OUT IN THIS MATTER
AYE I NOW UNDERSTAND THAT WE
WERE WE WERE LOOKING AT A
POPULATION THAT IS ON THE
STREET.
YEAH I UNDERSTAND EARLY HEAD IT
WAS DIFFICULT I THINK I'M CLEAR
ABOUT IT BUT DID IT JUST TO ONE
TO HAVE SOMEWHERE TO WORK WITH
YOU MY STAFF TO WORK WITH ON
THAT THANK YOU [inaudible]
I THINK.
THANK YOU MISTER CHAIR.
WELL I WANT TO THANK THE AUTHORS
IN.
WHAT I THINK'S BEEN A VERY
PRODUCTIVE CONVERSATION IF NOT A
TOTALLY CONCLUSIVE?
ONE YET OWE IT HAS BEEN DOOR FOR
TWO JUDICIARY.
AND SOME OF THESE QUESTIONS ARE
REALLY LEGAL QUESTIONS NOT HELP
QUESTIONS BUT THERE'S AN
INTERSECTION THAT'S WHAT WE'RE
TRYING. TO TO FIND SIGNING A BE
SUPPORTIVE TODAY BUT I I DO SIT
ON JUDICIARY AND WILL.
PICK UP THE CONVERSATION THERE
AND HOPE SOME OF THE COMMITMENTS
THAT HAVE BEEN MADE.
TO FURTHER REFINE DEFINITIONS --
COULD COULD BE REVIEWED WHEN WE
GET TO JUDICIARY.
THANK YOU MISTER CHAIR FOR THE
TO THE CHAIR I'D WELCOME THAT
BECAUSE OF WHAT WE WANT TO GET
THIS RIGHT.
OKAY.
ANY OTHER QUESTIONS.
OKAY SO --
OF THIS WITH TO A CLOSE.
I RESPECTFULLY ASK FOR MY BOAT.
THANK YOU AND I URGE THE BOTH
PARTIES AND CLEAN.
SUBWAY HEARD WAS IS THAT.
IF WE CAN NARROW THE DEFINITE
ADDRESS IT TO CONDITIONS BUT BUT
ONE PIECE WAS A NARROW
DEFINITION OF FIGURE OUT HOW TO
LINK TO RESOURCES OKAY.
ALRIGHT SO TO GET SOME WORK TO
DO THERE IS OUR MOTION.
OKAY IT'S BEEN MOVED A MOTION IS
--
DO PASSAGES SHERRY SO WHY DOES
HE LIVE THE JUDICIARY QUESTIONS
WILL START COMING UP --
IT'S BEEN MOVED BY SIR MINING
SECTOR PLEASE CALL THE ROLL.
PAN I'D AND I WIN.
WHEN I FELL?
BELL NOW HERNANDEZ HERNANDEZ AYE
LEYVA [inaudible]
MITCHELL I MITCHELL AYE MONNING.
MONNING AYE.
NIELSEN AYE AYE NIELSEN AYE
ROTH.
OKAY SO THE BILL'S CURLY SIX ONE
AND TWO WILL PUT THE BILL ON
CALL THANK YOU EXTRA MUCH.
ALRIGHT I WILL MAKE NO --
TO THAT IS NOW FIVE FOUR PM.
AND WE SORT SEVERAL BILLS TO GO
AND I APPRECIATE THE PATIENCE OF
THE AUTHORS WHO'VE BEEN WAITING
--
NEXT ITEM IS ITEM NUMBER ELEVEN
AB TWENTY THREE ONE FIVE FIVE BY
SOME MEMBER QUIRK SILVA.
AND I UNDERSTAND THERE'S A LOT
OF LOVE FOR THIS BILL SO.
MAYBE WE CAN MAKE IT SHORT
[inaudible]
OKAY ARCHETYPES.
OKAY WELCOME KEEP HERE MISTER
CHAIR AND SENATORS AYE AB TWENTY
THREE FIFTEEN WOULD INSTRUCT THE
CALIFORNIA DEPARTMENT O
EDUCATION.
IN CONJUNCTION WITH THE D. EIGHT
C. AT C. S. AN APPROPRIATE
STAKEHOLDERS TO DEVELOP
GUIDELINES AT BEST PRACTICES FOR
MENTAL AND BEHAVIORAL TELEHEALTH
DELIVERY IN CALIFORNIA SCHOOLS.
SAID JUST VERY SIMPLY WE WANT TO
BEGIN TO LOOK TOWARDS THE FUTURE
WITH HAVE WHAT WE CAN HAVE --
OPPORTUNITIES AVAILABLE IN
PUBLIC SCHOOLS OUT FOR
TELEHEALTH IT AS WE HAVE SEEN
THROUGHOUT --
THIS LAST YEAR PROJECT --
THE OF ACTIVE SHOOTERS ON
CAMPUSES SOMETIMES THERE'S
IMMEDIATE RESPONSE WITH
COUNSELORS AND THAT THE FIRST
WEEK TWO WEEKS AND THEN DOWN THE
LINE SIX MONTHS LATER WE KNOW
TUGGED AT SOME TIME STUDENTS
REALLY NEED SUPPORT THERE.
SO WE HAVE TODAY ARE SELLING
NAVARRO FROM THE CHILDREN'S
PARTNERSHIP TO DO A BRIEF A
TESTIMONY.
AYE GOOD AFTERNOON CHAIR AND
MEMBERS --
AGAIN REALLY QUICKLY JUST WANT
TO THANK EVERYBODY FOR THE
CONTINUED SUPPORT AROUND
CHILDREN'S HEALTH --
MENTAL HEALTH BEHAVIORAL HEALTH
--
AND MEETING KIDS WHERE THEY ARE
--
WE KNOW THAT KIDS DO BETTER WHEN
THEY'RE HEALTHIER SO WE REALLY
LOOK TO YOU ALL TO HELP US THINK
THROUGH HOW TO GET CEATIVE WITH
--
TELEHEALTH AND INNOVATIVE ACCESS
TO HEALTH CARE IN SCHOOL SITES.
Q. OTHER WITNESSES IN SUPPORT
[inaudible]
THE OF WHAT SAN SWITCH UNITED
WAYS OF CALIFORNIA AND ON BEHALF
OF THE CALIFORNIA KIDS A
CHILDREN'S HEALTH COALITION IN
SUPPORT THANK YOU.
THANK YOU OKAY WITNESSES IN
OPPOSITION.
THE NON I QUESTIONS FOR
COMMITTEE MEMBERS.
OKAY THERE'S EMOTION --
WHICH ELECT CLOSE.
IT'S WOULD OF RESPECTFULLY ASK
FOR AN AYE VOTE.
OKAY THANK YOU OF PLEASURE TO
VOTING FOR IN THE EDUCATION AS
WELL ALREADY US THE MOTIONS TO
PASS APPROPRIATIONS IS MOVED BY
SENATOR WHEN SECRETARIES CALL
THE ROLL.
PAN I'D AND I WHEN.
WHEN I FELL?
BILL I LEYVA [inaudible]
MITCHELL.
MITCHELL AYE MONNING.
NIELSEN.
NIELSEN AYE ROSS.
PHILIP BILL IT'S EXPERTS WILL
PUT ON CALL AND ECONOMIC OKAY
THE RIVER CHIU OF LEAVE YOUR
NEXT -- YOU
FOR YOUR PATIENCE.
ITEM NUMBER FOURTEEN AB --
TWENTY FIVE SIXTY FIVE
AFFORDABLY SYSTEMS COST SHARING
WELCOME BACK IN HIS CHAIR AND TO
COLLEAGUES AND THANK YOU FOR
YOUR PATIENCE TODAY --
AB TWENTY FIVE SIXTY FIVE WOULD
IMPROVE AFFORDABILITY FOR LOW TO
MODERATE INCOME CALIFORNIANS
PURCHASING HEALTH INSURANCE
THROUGH COVERED CALIFORNIA.
WE ALL KNOW THE ACA'S MADE GREAT
STRIDES TO HELPING CONSUMERS
AFFORD HEALTH COVERAGE YET MORE
REMAINS TO BE DONE ESPECIALLY
HIGH COST STATE LIKE OURS.
OVER SEVEN HUNDRED THOUSAND
CALIFORNIANS IN COVER
CALIFORNIA'S INCOME RANGE OF
UNDER 4100% OF THE FEDERAL
POVERTY LEVEL REMAIN UNINSURED.
DESPITE EXTENSIVE OUTREACH BY
COVER CALIFORNIA OF MANY
CONSUMERS CONTINUE TO OPT OUT OF
COVERAGE WE KNOW THAT EVEN WITH
SUBSIDIES MANY ARE CITING THE
LACK OF AFFORDABILITY OR THE
LACK OF PERCEIVED VALUE BITING
COVERAGE.
AS THE REASON FOR NOT HAVING.
A AT THIS TIME FOR EXAMPLE AN
INDIVIDUAL WHO MAKES FOUR
THOUSAND DOLLARS A MONTH IS
EXPECTED TO SPEND UP TO FOUR
HUNDRED DOLLARS A MONTH AND
PREMIUMS WHICH AMOUNTS TO ABOUT
10% OF THEIR INCOME.
WE KNOW THAT IMPROVING
AFFORDABILITY WILL INCREASE TAKE
UP OF COVERAGE WHICH WOULD IN
TURN REDUCE THE NUMBER AND THE
PROPORTION OF UNINSURED.
THIS BILL WILL ADDRESS THAT
ISSUE BY CAPPING WHAT PEOPLE PAY
ACROSS THE INCOME SCALE SO THAT
CONSUMERS PAY NO MORE THAN 8% OF
THEIR INCOME ON MONTHLY
PREMIUMS.
TO HELP ENSURE THAT PEOPLE HAVE
ENOUGH ASSISTANCE TO PAY FOR
COVERAGE.
WITH ME I WANT TO TURN IT OVER
TO BETH CAPELL FROM HEALTH
ACCESS AND THE WESTERN CENTER AS
WELL OF FOR THEIR TESTIMONY
RETHINK YOU WELCOME.
THANK YOU BETH CAPELL FROM
HEALTHAXIS CALIFORNIA PLEASED TO
OF THIS MEASURE.
AS ASSEMBLY MEMBER PEPPERS.
CHIU HAS SAID NO AS YOU ALL KNOW
THIS AFFORDABLE CARE ACT HAS
HELPED MILLIONS OF CALIFORNIANS.
TO AFFORD COVERAGE BUT THERE'S
STILL MORE TO DO ESPECIALLY IN A
HIGH COST STATE LIKE OURS OTHER
HIGH COST STATES NEW YORK
MASSACHUSETTS HAD ALREADY.
HELP PEOPLE WITH THEIR PREMIUMS
THIS BILL WOULD REDUCE WHAT
PEOPLE PAY ON PREMIUMS SO THAT.
HANDFUL CALIFORNIANS HIS BELOW A
138% OF POVERTY WHO GET COVERAGE
SEAT COVERED CALIFORNIA WOULD
PAY ZERO AND NO ONE WOULD PAY
MORE THAN 8% OF INCOME ON
PREMIUMS REDUCING.
IN IMPROVING AFFORDABILITY AND
THE STUDY AFTER STUDY SHOWS WHAT
COMMONSENSE SUGGEST.
IMPROVED AFFORDABILITY AND
PROVES TAKE UP OF COVERAGE THANK
YOU.
GOOD AFTERNOON CHEN FLORA FROM
WESTERN CENTER ON LAW AND
POVERTY WE ALSO WORK WITH A
HEALTH CONSUMER ALLIANCE WHO
CONTRACTS WITH COVER CALIFORNIA
TO REPRESENT PEOPLE --
WHO RE ELIGIBLE FOR ON COOPER
CALIFORNIA THERE ARE NEARLY
FORTY THOUSAND PEOPLE ON COVER
CALIFORNIA WHO EARN LESS THAN A?
HUNDRED THIRTY EIGHT FOR IF THEY
WERE OUT.
CARE BUT INSTEAD THEY PAY 2% OF
THEIR INCOME AT IS CARE --
AND THEN THEY'RE A NUMBER OF
PEOPLE WHO ARE JUST YOU KNOW A
FEW DOLLARS OVER THE MAY.
THEY GO FROM.
FREE CARE TO HAVING TO PAY A
PERCENTAGE OF THEIR INCOME AND
PAY OUT OF POCKET COSTS --
THESE PEOPLE NEED EXTRA SYSTEMS
SOME OF THEM ARE ON COVER
CALIFORNIAN THERE FOR GROWING
OTHER NECESSITIES OF LIFE OTHERS
ARE --
CHOOSING NOT TO BE ON COVER
CALIFORNIA BECAUSE THEY JUST
CAN'T PAY IT WITH THEIR RENTS
AND THE OTHER COSTS THAT THEY
HAVE.
SO I'LL BE SURE GIVEN OUR TIME
THAT WE WERE SPREE RESPECTFULLY
REQUEST YOUR AYE VOTE OKAY THANK
YOU --
OTHERS WITNESSES SUPPORT.
EMILY TIME HALF THE CALIFORNIA
PAN ETHNIC HEALTH THAT WORK IN
SUPPORT.
PRETTY EARLY ON BEHALF OF THE
CALIFORNIA IMMIGRANT POLICY
CENTER IN SUPPORT.
HAS YOU WITHIN ON BEHALF OF
ASIAN AMERICANS ADVANCING
JUSTICE CALIFORNIANS STRONG
SUPPORT YOU.
DO THE MENDELSSOHN ON BEHALF OF
CONTINUED NEED CONSUMER UNIONS
PART.
YOU.
ALTAMONTE INCLUDED WITH THE
AMERICAN CANCER SOCIETY CANCER
ACTION NETWORK ALSO IN SUPPORT.
BIANCA BUMPUS BUSINESS MAJORITY
IN SUPPORT.
CHRISSY GOLDEN TESTED WITH THE
CHILDREN'S PARTNERSHIP IN
SUPPORT IF YOU.
AND FRAWLEY WITH CALIFORNIA
ASSOCIATION HEALTH PLANS SUPPORT
I THINK YOU.
ARE RIGHT ANY WITNESSES IN
OPPOSITION.
OKAY SAYING NONE QUESTIONS FOR
COMMITTEE MEMBERS [inaudible]
RIGHT.
SAYING NO QUESTIONS IS THERE A
MOTION [inaudible] ZERO MOTION.
OKAY IS A MOTION BY CENTER BELL
--
APPRECIATE THAT --
SO SEVERED TO I JUST WANT TO
THANK YOU SO MUCH FOR BRINGING
THIS BILL FORWARD I KNOW THAT WE
ALSO TRY TO CONSIDER THIS AND
OUR BUDGET PROCESS --
I I WOULD JUST SAY THAT YOU KNOW
MOVE THIS INTERFACE ISSUE FROM
MEDICAID OUT TO COVERED
CALIFORNIA WHERE YOU GO FROM.
THAT BASICALLY SHARE SOMETHING
WE DO NEED TO DEAL WITH
UNFORTUNATELY ALSO ACTIONS BE
TAKEN AT THE FEDERAL LEVEL
CREATED GREATER UNCERTAINTY
WHICH STAND BECAUSE PLANS TO
HAVE TO RAISE THE PREMIUMS.
AND RESPONSE BECAUSE OF THE
UNCERTAINTY IN THEM.
AND THE OF THE BUFFER --
SUMMER MOST VULNERABLE --
SERVE BASICALLY I MEAN THIS KIND
OF THE MIDDLE CLASS FROM FROM
THESE ARE COSTS AS WELL.
AND CERTAINLY HOPE THAT WE CAN
COUNT ON OUR FEDERAL PARTNERS.
TO TRY TO HELP TO STABILIZE THE
MARKET AND DESTABILIZE IT SO --
WITH THAT NOW WOULD YOU LIKE TO
CLOSE.
IN THE ARE RESPECTFULLY ASK FOR
SUPPORT OKAY THANK YOU --
SO IT'S BEEN AND SO THE MOTIONS
TO PASS APPROPRIATIONS AND IT'S
BEEN MOVED BY SENATOR BELL A
SECURE PLEASE CALL THE ROLL.
AND I AND I WHEN.
WHEN I FELL?
BUILT BY HERNANDEZ HERNANDEZ AYE
LEYVA [inaudible]
MITCHELL.
MITCHELL AYE MONNING.
NIELSEN.
NIELSEN NO ROCK.
OKAY THAT'S CURRENTLY FIVE ONE
WILL PUT THE PHONE CALL THINK
EXTRA MUCH OKAY AND SOME OTHER
ACCURATE CURRY AND EUROPE NEXT
NUMBER -- I
AM THE MEAN AB.
TO FIVE SEVEN SEASON HEALTH
CARE.
CSUS ONE HAVE LITTLE SUPPORTER
[inaudible]
SELECT THE IT'S BEEN CRAZY DAY.
OKAY I'VE BEEN TOLD THIS ONE HAS
A LOT OF LOVE TO SELL IT.
WILL MAKE IT IS OKAY THINK I'M
NIELSEN CHAIR AND SENATORS I'D
LIKE TO THANK YOU COMMITTEE
STAFF FOR WORKING WITH THE MY
OFFICE ON THIS BILL.
I WILL BE ACCEPTING THE PROPOSED
AMENDMENTS IN THE NEXT MANY
WHICH IS SENATE AND BMP.
AS YOU KNOW WELL THE TWO
THOUSAND SEVENTEEN WELFARE
SEASON WAS ONE OF THE WORST IN
CALIFORNIA'S HISTORY.
NEARLY TWO DOZEN COMMUNITY
HEALTH CENTERS WERE PUTTING
THOUSANDS OF PATIENTS CARE IN
JEOPARDY.
AB TWENTY FIVE SEVENTY SIX TAKES
THE EXPERIENCES OF A CLINICS AND
HEALTH PROVIDERS INTO ACCOUNT.
A PROPOSES CHANGES THAT WILL
PROVIDE FOR IMPROVE CONTINUITY
OF CARE IN THE FACE OF NATURAL
DISASTERS.
THIS BILL WILL CLARIFY THAT
DURING A STATE OF EMERGENCY
PROVIDERS CAN HAVE TELEPHONE
APPOINTMENTS WITH PATIENTS
PROVIDE HEALTH CARE SERVICES AND
SHELTERS AND MAKE HOME VISITS
WHERE NEEDED --
THE ABILITY TO PROVIDE M. BE
REIMBURSED FOR THESE ACTIVITIES
IS CRITICAL TO KEEP PATIENTS
HEALTHY AND AVOID UNNECESSARY
STRAIN ON THE EMERGENCY
RESPONDERS.
FURTHER THIS BILL ALSO SETS OUT
AN ACCELERATED PERMITTING
PROCESS FOR TEMPORARY PHARMACY
LICENSES.
THIS IS ESSENTIAL WHEN A HEALTH
CENTER HAS BEEN DESTROYED OR
CANNOT OPERATE THEIR PHARMACY TO
DISPENSE MEDICATION TO THE
PATIENTS.
I HAVE WITNESSES AND SUPPORT
THIS AFTERNOON OKAY FIGURE
WELCOME.
AT MISTER CHAIR MEMBERS BETH NON
ASK YOU IF YOU DIRECTOR OF
FOREIGN AFFAIRS A CALL FOR HELP
WAS ADVOCATES ON BEHALF OF
CALIFORNIA'S THIRTEEN HUNDRED
COMMUNITY HEALTH CENTERS.
AND SIX POINT MILLION
CALIFORNIANS ARE WE SERVE WERE
COSPONSORED OF AB TWENTY FIVE
SEVENTY SIX ALONG THE REDWOOD
COMMUNITY HEALTH COALITION
PROBLEMS THE INTERESTS OF HEALTH
CENTERS.
AYE IN NORTHERN CALIFORNIA SNOW
MY NAP BUT HE'LL COUNTY IS.
ON AS OUR AUTHOR STATED THIS IS
A BILL IN RESPONSE TO A
SEVENTEEN FIRESTORMS.
I'M AND FOR US REALLY IS A BILL
SEEKING TO GUARANTEE TAMMY EX TO
CARE WHEN DISASTER STRIKES.
AS STATED REALLY LOOKING
SPECIFICALLY AT TELEPHONE VISITS
CARROT SHELTERS AND CARE AT HOME
AND MAKING IMPROVEMENTS TO CARE
IN THOSE ENVIRONMENTS.
LAST YEAR OUR PROVIDERS AND
STAFF WENT TO SHELTERS THEY GOT
ON THE PHONES.
AND THEY PROVIDE LEE PROBABLY
PROVIDED CARE TO THEIR
COMMUNITIES WITH NO ASSURANCE OF
BEING ABLE TO RECEIVE PAY MANNER
SEEK REIMBURSEMENT.
I'M FROM THOSE LESSONS LEARNED
THAT WE AFFORD OF THE BILL TODAY
AND THAT WE RESPECTFULLY URGE
YOUR I'VE THOUGH TODAY ON A
BETWEEN.
FIVE SEVENTY SIX THANK YOU
MISTER CHAIRMAN THERE'S MILLION
SUPERS ON BEHALF OF CALIFORNIA
HEALTH PLUS ADVOCATES ONE OF THE
CO SPONSOR OF THE BILL.
I WOULD JUST LIKE TO THINK THAT
CHAIR AND HAS A COMMITTEE
STAFFER WORKING WITH US ON THIS
BILL AND I APPRECIATE YOUR AYE
VOTE THANK YOU THANK YOU I WITH
OTHER WITNESSES IN SUPPORT.
WELL GIVEN THAT THE COUNTY
HEALTH EXECUTIVES ASSOCIATION OF
CALIFORNIA IN SUPPORT
[inaudible]
THANK YOU.
KELBERG SOME BEHALF OF THE
ASSOCIATION OF CALIFORNIA
HEALTHCARE DISTRICT PARENTS PART
MAKING.
YOU'RE THE CITY ON THE HOUSE
PERREGAUX HEALTH IN SUPPORT
THINKING I THINK YOU'RE.
RIGHT ANYWAY THIS IS AN
OPPOSITION.
FACING DOWN QUESTIONS FROM
COMMITTEE MEMBERS [inaudible]
SIR EMOTION.
OKAY IT'S BEEN MOVED BY SENATOR
MITCHELL --
SO THAT APPRECIATE THE YOU BRING
THIS BILL FORWARD SO THAT THEIR
CLINICS WERE RESPONDING TO HER
DISEASE CAN DRESS.
AND TAKE CARE OF PEOPLE AND NOT
JUST IN THE PHYSICAL LOCATION SO
WELL WHICH LIKE THE CLOTHES
EARLY NOW NONE OF US CAN EVER
RIVER.
REPEAT. FOR UNANTICIPATED.
NATURAL DISASTERS LET ME TELL
YOU IT WAS THE SADDEST THING IN
MY ENTIRE LIFE AND TO SEE PEOPLE
WITHOUT HEALTH CARE FOR A PERIOD
OF TIME WAS EVEN MORE
DEVASTATING.
AB TWENTY FIVE SEVENTY SIX
PROPOSED PROPOSES THESE CHANGES
WILL PROVE THAT ABILITY TO
DELIVER TIMELY ACCESS I CARE
AFTER A DISASTER OCCURS.
I RESPECTFULLY ASK VERY WELL.
OKAY THANK YOU OKAY SO THE
MOTION IS TO PASSED TO BUSINESS
PROFESSIONS ECONOMIC
DEVELOPMENTS BEEN MOVE I CENTER
MITCHELL SECURITIES CALL THE
ROLL.
AND NIGHT AND I WHEN.
WHEN I FELL?
BILL AYE HERNANDEZ HERNANDEZ AYE
LEYVA.
MITCHELL.
MITCHELL AYE MONNING.
NIELSEN.
NIELSEN AYE ROTH.
I SIX ZERO OUT OF THE BILL CALL
THANK YOU ALL RIGHT AND I SEE
ASSEMBLY MEMBER BURKE WELCOME.
ALRIGHT SO WE'RE GONNA THAT'S
ITEM NUMBER SIXTEEN AB.
TWENTY FIVE SEVENTY NINE BUT A
CO CALIFORNIA SPECIAL NUTRITION
PROGRAM FOR WOMEN AND CHILDREN
LIKE [inaudible]
THANK YOU.
I THINK YOU.
MISTER CHAIR AND SENATORS
CALIFORNIA'S MAKE SIGNIFICANT
PROGRESS ENSURING OUR CHILDREN
ARE COVERED WITH ADEQUATE HEALTH
INSURANCE.
BUT I'M PARTIALLY OVER TWO
HUNDRED THOUSAND STILL REMAIN
UNINSURED OVER NINE HUNDRED OF
THOSE UNINSURED ARE ALREADY
ENROLLED IN WICK.
WICK AMERICA OF THE SAME
ELIGIBILITY REQUIREMENTS AB
TWENTY FIVE SEVENTY NINE
ESTABLISHES AN EXPRESS LANE
ELIGIBILITY PATHWAY FOR WICK TO
MEDI CAL.
AND WOULD ALLOW CHILDREN
APPLYING TO THE WICK PROGRAM TO
SUBMIT A SINGLE APPLICATION TO
SIMULTANEOUSLY OBTAIN EXPRESS
LANE ELIGIBILITY FOR THE
MEDICARE PROGRAM.
ADDITIONALLY THERE ROUGHLY
THIRTEEN THOUSAND PREGNANT WOMEN
WHO ARE ON WITH BUT NOT ENROLLED
IN MEDICAID DESPITE THEIR
ELIGIBILITY.
WE'VE AGREED TO TAKE AMENDMENTS
AS JUST BY THE COMMITTEE I
BELIEVE SERGEANTS HAVE PROVIDED
A COPY OF THOSE AMENDMENTS TO
YOU.
AB TWENTY FIVE SEVENTY NINE
ENTERS A PREGNANT WOMAN. SEVEN
DEADLY AND ROLLED INTO MEDI CAL
AND WOULD PROVIDE TEMPORARY BUT
IMMEDIATE COVERAGE WHILE THEY
COMPLETE THEIR APPLICATION
PROCESS.
FEELING THE APPLICATION PROCESS
AND ROMAN PROCESS FOR MEDI CAL
AND LICK IS A CRITICAL STRATEGY
FOR INCREASING ENROLLMENT OF
UNINSURED ELIGIBLE CHILDREN AND
PREGNANT WOMEN INTO THESE
PROGRAMS.
THINKING THE APPLICATION AND
ELIGIBILITY DETERMINATIONS FOR
THESE PROGRAMS ON FOSTER BOTH
SOUND NUTRITION AND HEALTH FOR
CHILDREN AND PREGNANT WOMEN IN
CALIFORNIA WITH THAT.
I'D LIKE TO TURN OVER --
TURNING OVER TO ONE OF THE
BILL'S SPONSORS FOR COMMENT --
pCHILDREN'S PARTNERSHIP THINKING
A WELCOME THANK YOU ALL.
OKAY IT'S BEEN MOVED SO.
AND ON AND WE WILL PART OF WE'VE
MADE GREAT PROGRESS IN
CALIFORNIA AND COVERING
UNINSURED CHILDREN AND OUR TASK
IS TO FIND A LOT OF THE
UNINSURED CHILDREN THAT ARE
ELIGIBLE FOR INSURANCE --
THERE'S FEDERAL AUTHORITY NOW
THAT ALLOWS FOR EXPRESS LANE
ELIGIBILITY AND THE SECURITY
MEANS THAT YOU CAN --
TO HAVE A REALLY SMART WAY ABOUT
FINDING THESE CHILDREN NAMELY
YOU GO TO WHERE LARGE NUMBERS OF
THEM ARE IN ARE AND ARE ELIGIBLE
SO YOU ON THE WICK PROGRAM WHICH
IS A NUTRITION PROGRAM HAS VERY
SIMILAR ELIGIBILITY RULES.
AND SO WE COULD --
ENROLL THOSE FOLKS THROUGH THE
FEDERAL AUTHORITY AND THREE
EXPRESS LANE AND ELIGIBILITY AND
AS WAS MENTIONED THERE'S NINETY
THOUSAND CHILDREN THAT ARE IN
WHERE FEDERAL IN WAKE THAT ARE
NOT RIGHT NOW.
ENROLLED IN MEDICARE ALSO
THERE'S A GREAT OPPORTUNITY TO
USE ON THE CONNECTION BETWEEN
BLACK AND MEDI CAL TO ENROLL
THOSE CHILDREN QUICKLY.
AND THE AMENDMENT THAT WAS --
THREE TWO WAS TO CHANGE THE DATE
OF IMPLEMENTATION TO GIVE THE
TIME FOR THE SYSTEMS TO AND TALK
TO EACH OTHER IN TECHNICAL
TERMS.
AND SO THAT THEY CAN --
MAKE THOSE SYSTEMS MOVE VERY
QUICKLY FOR FAMILIES.
I THINK IF.
I FELT LIKE IF I JUST REALLY
QUICKLY --
WE HAD A COLLEAGUE OF OURS FROM
THE CALIFORNIA WITH ASSOCIATION
AND JUST I WANTED US TO LET YOU
ALL KNOW THAT THEY ARE IN
SUPPORT.
YOU OTHER WITNESSES AND SUPPORT.
HIM RELIGION OF HALF THE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK IN SUPPORT [inaudible]
THANK YOU.
MARY ABOUT OF HEALTH ACCESS AND
SUPPORT ACUTE.
AND FLORA BEHALF OF WESTERN
CENTER ON LAW AND POVERTY AND
SUPPORT YOU.
IN A MENDELSSOHN ON BEHALF OF
CONSUMERS UNION AND SUPPORT YOU.
A WEST SAM'S AT UNITED WAYS OF
CALIFORNIA WHERE A CO SPONSOR --
IN SUPPORT AND ALSO ON BEHALF OF
THE CALIFORNIA CHILDREN'S HEALTH
COALITION IN SUPPORT AND YOU.
KELLY BROKE SOME BEHALF OF THE
ASSOCIATION OF CALIFORNIA
HEALTHCARE DISTRICTS AND ON
BEHALF OF THE COUNTY BEHAVIORAL
HEALTH DIRECTORS ASSOCIATION IN
SUPPORT.
JENNIFER ALI WITH CALIFORNIA
ASSOCIATION HEALTH PLANS AND
SUPPORT.
MAKING.
BUT MOST OF THE HEALTH PLANS
CALIFORNIANS SUPPORT.
THANK YOU.
BY ANY WITNESSES IN OPPOSITION.
SAYING NO AND I QUESTIONS
COMMENTS FROM COMMITTEE MEMBERS.
OKAY AT SUCH A BEEN MOVED BY
SENATOR MITCHELL THANK YOU --
SO -- BEGIN
AGAIN I THANK YOU SO MUCH SUMMER
BREAK FOR BRING THIS BILL
FORWARD --
YOU KNOW I THINK TRYING TO GET
MORE WAYS FOR PEOPLE. TO TO
AMERICA I'LL SOMETHING BE DOING
ITS EARLY WEEK IS A GREAT
PROGRAM --
FOR DOING THAT --
AT THIS AS ANOTHER OPTION SO
WITH THAT WOULD LIKE TO CLOSE IF
YOU ADD TO THE CHAIR IN YOUR
YOUR STAFF FOR YOUR SUPPORT AND
WORKING ON THEM IS WITH US WE
APPRECIATE IT.
WITHOUT RESPECT REQUEST NEVER
OKAY THANK YOU BYE TO THE MOTION
IS TO PASS AS AMENDED TO
APPROPRIATIONS HAS BEEN MOVED BY
SENATOR MITCHELL AYE SECRETARY
PLEASE CALL THE ROLL FAN I AND I
WIN.
WHEN I FELL?
BELL AYE HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN [inaudible]
BROUGH.
I'VE ROTH AYE.
OKAY THE BILL CLEARLY HAS EIGHT
VOTES SO WE'LL KEEP THAT BILL ON
CALL THANK YOU THANKS MUCH OKAY
SO WE'RE WAY FOR US ON THEIR
MAYES BUT WHILE WE'RE WAITING WE
HAVE THE CONSENT CALENDAR SO WE
HAVE FIVE FIVE ITEMS ON THE
CONSENT CALENDAR I AND NUMBER
FOUR AB.
IS.
BY SUMMER STEINORTH THIS AM I
AND NUMBER THIRTEEN AB TWENTY
FIVE TWENTY FOUR BY SEVEN EVER
WOULD.
I NUMBER SEVENTEEN AB TWENTY SIX
SEVENTY NINE BY SOMEONE READ
O'DONNELL ITEM NUMBER TWENTY ONE
AB TWENTY NINE SEVENTY SIX BY
SUMMER QUIRK SILVA.
AND ITEM NUMBER TWENTY TWO
EIGHTY THIRD THIRTY OH SEVEN BY
EDUARDO GARCIA IS THERE A MOTION
ON THE CONSENT CALENDAR.
OKAY IT'S BEEN SIMULTANEOUSLY
MOVES BY BOTH SENATORS MONEY AND
LEYVA A SECRETARY PLEASE CALL
THE ROLL ON THIS AND CONSENT
CALENDAR AND NIGHT AND I WIN.
WIN AYE BELL.
BILL AYE HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING MONNING AYE
NIELSEN PROF [inaudible]
ROTH I SO THAT BILL IS ON CALL
EIGHT ZERO AND THAT WILL PUT
THAT ON CALL AND I BELIEVE WE
HAVE BILLS THAT WE HAVE NOT
ACTUALLY.
AND MOVE YET THAT WERE HEARD
SUBCOMMITTEE SO CAN WE START
GOING THROUGH THOSE.
I HAVE TO DISTINGUISH BETWEEN.
HEALTH WILL HAVE TO DISTINGUISH
BETWEEN TO BE SENIOR MOTIONS.
OKAY SO DO YOU HAVE THE BILLS
THAT YEAH.
OKAY BECAUSE THEY NEED MOTIONS
THAT MONEY SHOULD BE.
OKAY.
PARTS OF THE BILLS THAT WE HAD
THAT WERE HEARD SUBCOMMITTEE AND
NEED MOTIONS ARE SO FIRST OF ALL
--
ITEM NUMBER --
ONE EYES AB FIVE NINETY FIVE BY
SOME A MEMBER WOULD --
OKAY SPIN MOVE BY --
CENTER LEYVA --
SECRETARY PLEASE CALL THE ROLL.
HAN.
AND ACTUALLY AND ASTUTE MOTIONS
THE PAST TO DO VERY PAN AYE.
PLAN AYE WIN NO WIN NO BELL.
WELL I HERNANDEZ AYE HERNANDEZ
AYE LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN.
ROSS [inaudible]
ROTH I ALRIGHT.
OKAY SO THAT BILLS OUT SEVEN ONE
THEN SEND SOMEONE USES LIKE.
OKAY OKAY SO THAT BILLS OUT
SEVEN ONE I DO SEE SOME EVER
MAYES HERE --
SO WELCOME.
I KEEP EXPECTING SO IT'S NUMBER
ITEM NUMBER EIGHTEEN AB.
TWENTY EIGHT TWENTY ONE WELCOME
SEXY.
TIGHT CONTEST FIVE AND ON THE
RIGHT HAND OF THANK YOU SO CHAIR
AND SENATORS NUNN AB.
TWENTY TWENTY ONE WOULD
AUTHORIZE ANY COUNTY UPON
APPROVAL OF THE COUNTY BOARD OF
SUPERVISORS TO OPERATE AN
INTEGRATED AND COMPREHENSIVE
HEALTH AND HUMAN SERVICES SYSTEM
[inaudible]
THE PLASTER.
SAN MATEO HUMBOLDT MEDICINE NO
ALAMEDA INCENDIO COUNTIES HAVE
THIS KIND OF THIRTY AT FIRST A
PURCHASE OF THE DISK ISSUE FOR
RIVERSIDE BUT AFTER WORKING WITH
THE HEALTH AND HUMAN SERVICES
AGENCY AMENDING.
THE BILL TO APPLY STATEWIDE.
BY ALLOWING FUNDING FLEXIBILITY
WITHIN. TWENTY LEVIN REALIGNMENT
AB TWENTY TWENTY ONE ALLOW.
COUNTIES LIKE THE ONES THAT
REPRESENT TO PROVIDE MORE PERSON
AND FAMILY CENTERED SERVICES AND
REINVEST SAVINGS FROM IMPROVING
OUTCOMES.
AND BETTER MORE COMPREHENSIVE
SERVICES I RESPECTFULLY ASK YOUR
AYE VOTE [inaudible]
WILLING.
TO ALRIGHT AND IT IS EVEN
DEVOTION READY SO YOU WOULD NOT
BE KELLY BOX I'M HERE ON BEHALF
OF THE RIVERSIDE COUNTY BOARD OF
SUPERVISORS --
WE ARE THE SPONSOR --
EVEN THOUGH THE BILL'S BECOME A
STATEWIDE ISSUE --
AND I DON'T REALLY HAVE ANYTHING
TO ADD HE DID A GREAT
PRESENTATION.
ARCHER A VOTE OKAY THANK YOU
ALRIGHT OTHER WITNESSES A
SUPPORT.
A ANY WITNESSES IN OPPOSITION.
I QUESTIONS OF COMMITTEE MEMBERS
AT SAYS BEEN MOVED READY OKAY --
SO HOW WOULD YOU LIKE CLOSE
CENTER MAYES.
I WOULD RESPECTFULY REQUEST AN
AYE VOTE OKAY EXCELLENT SO THE
MOTION IS --
DO PASS WITH OPPONENTS.
THAT MOTION IS DUE PASSED TO
HUMAN SERVICES HAS BEEN MOVED BY
CENTER AND WHEN SECRETARY PLEASE
CALL THE ROLL.
PAN AYE AYE AND I WHEN I WHEN I
FELL.
BELL AYE HERNANDEZ FERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN BROTH
[inaudible]
ROTH I BET BILLS OUT EIGHT ZERO
THANK YOU I THINK YOU ARE IT'S A
RETURN TO THE BILL'S HEARD
SUBCOMMITTEE NEXT ITEM IS ITEM
NUMBER --
SEVEN BY ASSEMBLYMEMBER WOULD
SENATE SAT AB I NINETEEN FIFTY
THREE DEATH BY SENATOR LEYVA
SURGERY PLEASE CALL THE ROLL.
PAN AYE PAN AYE WHEN I WHEN I
FELL.
BILL I HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN BROTH
[inaudible]
ROTH I OKAY THAT BILLS OUT EIGHT
ZERO OUR NEXT ITEM IS ITEM
NUMBER --
TEN AND THAT'S AB TWENTY TO
SEVENTY FIVE BY SOME MEMBER
ARAMBULA THE MOTION IS TO PASS
THE MEN'S APPROPRIATIONS IS OUR
MOTION.
IT'S REMOVED BY A CENTER LEYVA A
SEPARATE PLEASE CALL THE ROLL
PAN I'D AND I WHEN I WHEN I
FELL.
BILL I HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN ROTH
[inaudible]
ROTH I OKAY THAT BILL WAS OUT.
EIGHT ZERO OKAY NEXT I FOUND
NEXT ITEM IS ITEM NUMBER --
TWELVE WITCHES AB TWENTY FOUR
SEVENTY TWO BY SOME MEMBER OF
WOODS UNCOVERED CALIFORNIA SIR
AND I DO MOTION WOULD BE TO PASS
WITH AMENDMENTS TO
APPROPRIATIONS IS OUR MOTION.
THE MOVE BY CENTER LEYVA
SOCRATES CALL THE ROLL.
AND I AND I WIN [inaudible]
WHEN [inaudible]
BELT [inaudible]
WELL I HERNANDEZ HERNANDEZ AYE
LEYVA LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN ROTH
[inaudible]
ROTH I SAID THAT BILLS OUT.
SEVEN ZERO IT'S YOU.
AND THEN FINALLY ON THE WE HAVE
ITEM NUMBER --
TWENTY WITCHES AB TWENTY NINE
SIXTY FIVE BY SOME REMEMBER
ARAMBULA EMOTIONS TO PASS
APPROPRIATIONS IS OUR MOTION.
OKAY IT'S MOVED BY ETCETERA
LEYVA SECURITIES CALL THE ROLL.
PAN AYE AND I WIN.
NGUYEN KNOW WELL.
BILL AYE HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NIELSEN BROTH.
HUESO THAT BILLS OUT.
SEVEN ONE OKAY THANK YOU ALRIGHT
SO NOW LET'S GO WITH CALL ON THE
MEANING BILLS SO --
VERSES THAT ITEM NUMBER TWO A.
B. SIX TWENTY SIX BY A SUMMER
EDUARDO GARCIA SECTOR PLEASE
CALL THE ROLL ABSENT MEMBERS
[inaudible]
AND WHEN.
WHEN I?
HERNANDEZ AYE HERNANDEZ AYE
[inaudible]
MONNING.
MONNING AYE NIELSEN [inaudible]
ROTH [inaudible]
ROTH BY.
OKAY THAT BILLS OUT.
BUT BILLS OUT.
SEVEN ZERO THANK YOU PARK NEXT
ITEM IS ITEM NUMBER --
THREE AB SEVENTEEN FORTY FOUR BY
SUMMER MCCARTY SIX PLEASE CALL
THE ROLL ABSENT MEMBERS
[inaudible]
WHEN [inaudible]
WHEN I?
HERNANDEZ AYE HERNANDEZ AYE
[inaudible]
MONNING.
MONNING AYE NIELSEN [inaudible]
ROTH [inaudible]
ROTH I OKAY THAT BILLS OUT.
EIGHT ZERO OKAY NEXT ITEM IS
ITEM NUMBER --
FIVE THAT'S AB SEVENTEEN EIGHTY
BY SUMMER MAIENSCHEIN SUFFER
PLEASE CALL THE ROLL THAT'S A
MEMBERS WHEN.
WHEN I HERNANDEZ HERNANDEZ AYE
MONNING?
MONNING AYE NIELSEN.
ROTH ROTH AYE.
OKAY THAT BILLS OUT EIGHT ZERO
NEXT ITEM IS ITEM NUMBER --
SIX AB EIGHTEEN A ONE BY SOME
THURMOND SYRIAN PLEASE --
SECURITIES CALL THE ROLL ABSENT
MEMBERS WHEN [inaudible]
WHEN I?
MONNING MONNING AYE NIELSEN.
ROTH [inaudible]
ROTH I OKAY THAT'S OUT OF BILLS
OUT EIGHT ZERO NEXT ITEM IS ITEM
NUMBER EIGHT A A. B. NINETEEN
SEVENTY ONE BY SOME
MEMBERS-SANTIAGO ACETATE PLEASE
CALL THE
ROLL ABSENT MEMBERS [inaudible]
LEYVA [inaudible]
LABOR I IF I CAN'T.
TECHNICALLY IT'S ANNOUNCED THAT.
IT GOT OKAY [inaudible]
LEYVA NOW [inaudible]
ROTH [inaudible]
ROTH I OKAY THAT BILLS OUT.
SEVEN TWO OKAY --
NEXT ITEM IS ITEM NUMBER --
NINE AB TWENTY TWO THIRTY THREE
BY SEPTEMBER ASH KALRA HOW
SECURITY PLEASE CALL THE ROLL
THAT'S MEMBERS WHEN.
WHEN I LEYVA?
LEYVA AYE MONNING.
MONNING AYE ROSS [inaudible]
ROTH I NINE OKAY VET BILLS OUT.
NINE ZERO PAGE NEXT ITEM IS ITEM
NUMBER ELEVEN ASSEMBLY BILL AB
TWENTY THREE FIFTEEN BY SUMMER
QUIRK SILVA SECRETE PLEASE CALL
THE ROLL ABSENT MEMBERS
[inaudible]
LEYVA.
LEYVA AYE MONNING.
MONNING AYE ROTH ROTH I OKAY
THAT BILLS OUT.
NINE ZERO AYE NEXT ITEMS I AM
NUMBER FOURTEEN AB TWENTY FIVE
SIXTY FIVE BY SOME MEMBER CHIU
SECTOR PLEASE CALL THE ROLL OF
ABSENT MEMBERS LEYVA.
LEYVA AYE MONNING.
MONNING AYE NIELSEN.
PARK ALREADY HAD HIM AS A NO I'M
SORRY BROUGHT [inaudible]
ROTH I SO THAT BILLS OUT.
EIGHT ONE OKAY NEXT TIME AS I AM
NUMBER FIFTEEN AB TWENTY FIVE
SEVENTY SIX BY SOME MEMBER
ACCURATE CURRY.
ASSEMBLY PLEASE CALL THE ROLL
THAT'S A MEMBERS LEYVA.
LEYVA AYE MONNING.
MONNING AYE ROTH ROTH I EXCEPT
THOSE OUT.
NINE ZERO OKAY DOT NEXT ITEM IS
ITEM NUMBER SIXTEEN AB TWENTY
FIVE SEVENTY NINE BY SOME EVER
BURKE SECTOR PLEASE CALL THE
ROLL OF ABSENT MEMBERS
[inaudible]
NIELSEN.
OKAY SO THAT BILLS OUT A TWO
ZERO AND NEXT ITEMS I'M NUMBER
NINETEEN AB TWENTY NINE SIXTY
THREE BY SOME EVER.
KARA -- IT'S
ACTIVITIES CALL THE ROLL OF
ABSENT MEMBERS LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING IT
[inaudible]
MONNING I ROTH.
SO THAT'S THE BLOOD LEVEL BUT
LOOK.
AT SIXTY TWO TO ROTH I OKAY SO
THAT BILLS OUT.
SEVEN TWO OKAY THANK YOU.
OKAY AND THEN THE CONSENT
CALENDAR --
SO THE FOR THERE'S FIVE ITEMS ON
THE CONSENT CALENDAR US.
SIGNATURE OKAY DETECTIVE BEEN
MOVED WE DISSECTED PLEASE CALL
THE ROLL OF ABSENT MEMBERS
[inaudible]
NIELSEN.
OKAY SO THE CONSENT CALENDAR IS
OUT [inaudible]
EIGHT ZERO OKAY.
SO I THINK ETHICS AROUND ALRIGHT
THAT CONCLUDES.
BUT THAT SAID I CONSENT
CALENDAR.
PICKETS AND PROTECT COUNTY.
SUBJECT FUTURE OKAY AND ONCE
GOOD OKAY.
ALRIGHT THAT CONCLUDES THE
AGENDA FOR THIS HEARING OF THE
SENATE COMMITTEE ON HEALTH --
I WANT THINK IT WON'T PREDICT
DISSIPATION WE ARE NOW ADJOURNED