ALRIGHT EVERYONE WELCOME TO THE
CALIFORNIA SENIOR LEGISLATURE
SENATE HEALTH COMMITTEE.
CALLING THIS MEETING TO ORDER.
ON OUR FIRST OF ORDER OF
BUSINESS IS TO CALL ROLE TO
VERIFY.
QUORUM OUR SENIOR SENATOR WOULD
PRESENT.
VICE CHAIR MCKAY MCKAY ARMOR
WEST MOYAMOYA [inaudible]
ABSENT.
WE'LL TELL CENTER BARTEL THANK
YOU.
SENATOR FULLER [inaudible]
HAD [inaudible]
THANK YOU.
SENATOR KICK IN [inaudible]
ABSENT [inaudible]
SENATOR LOPEZ [inaudible]
GOOD AFTERNOON --
SENATOR WALKER [inaudible]
AFTERNOON.
SENATOR WILDER HERE [inaudible]
RIGHT.
ALL RIGHT SO ONE TWO THREE FOUR
FIVE SIX MEMBERS OF FARM
DESIGNED EIGHT MEMBERS SO WE
HAVE A QUORUM.
SO WALKING ME TO EVERYONE IF YOU
IF YOU'RE NOT ALREADY PLEASE
TURN YOURSELF FUNDS TO SILENT OR
VIBRATE.
ON SERVING PROCEED IN AN ORDERLY
FASHION WITHOUT INTERRUPTION --
OUR FIRST ORDER OF BUSINESS IS
TO PROCEED AFTER WE'VE
ESTABLISHED THE FORM.
MOM WITH IDENTIFYING OUR SUPPORT
PERSON ALSO WE HAVE TODAY WITH
US --
LEGISLATIVE COUNSEL WHO IS
PRESENT [inaudible]
YES COUNCIL.
GOOD AFTERNOON ON THIS IS I AM
DANIELLA LOPEZ GARCIA WITH
OFFICE OF LEGISLATIVE COUNSEL
ASSIGNED TO YOUR COMMITTEE TODAY.
MA'AM OR COMMITTEE CONSULTANT.
THAT OFF OKAY.
MOM IN OUR COMMITTEE RESOURCE.
COORDINATOR.
GOOD AFTERNOON MY NAME IS
STEPHANIE I WORK WITH ASSEMBLY
COMMITTEE ON PUBLIC SAFETY AND
I'LL BE YOUR COMMITTEE SECRETARY
FOR TODAY.
THANK YOU.
NEWMAN I DON'T KNOW TO RIP A
MESSENGER.
NOT CURRENTLY OKAY GREAT.
ALL RIGHT --
WE WANT TO TRY AND RUN AN
ORDERLY BEING TODAY ON MEMBER
UNDER A LITTLE BIT OF TIME
CONSTRAINTS BUT I THINK WE
SHOULD BE ABLE TO PROCEED --
PRETTY WELL ON THE NEXT ORDER OF
BUSINESS UPON US IS TO FORWARD
NOMINEES TO ON BOTH THE
LEGISLATIVE COMMITTEE.
AND ALSO --
THE J. R. C. MY UNDERSTANDING IS
THAT THIS COMMITTEE PROPOSES ON
NO MORE THAN TWO NOMINEES ON FOR
EACH OF THOSE.
MOM AND I'M UNDER --
THEN FOR MAY LOVE IS A CANDIDATE --
FOR LEGISLATIVE AND ALSO MICKEY
PEABODY MY INSTRUCTIONS ARM FROM
MISTER POINTER ARE THAT WE MOVE
FOR EACH NMINEE TO BE FORWARDED
AND WE TAKE EACH NOMINEE ON
NOMINEE BY NOMINEE.
CONSEQUENTLY MOM I WOULD ACCEPT
ON A MOTION TO FORWARD MS LOS
ARM NOMINATION SO MOVE.
MR WILDER MOVE SECOND
[inaudible]
SECOND FROM [inaudible]
HOW [inaudible]
ONE SENATOR BARTEL.
ALL RIGHT --
TO DO REAL COOPER [inaudible]
SEC [inaudible]
OKAY.
THE PERSON OKAY CORRECT ARM.
MISS UP DO YOU WISH TO SPEAK AT
ALL FOOD YOU'RE KIND OF SICK.
THEY DON'T HAVE TO BE.
RESUME RECRUITING FOR WHEN.
OKAY THEN I'LL DO [inaudible]
ALLEN AND WRITTEN BECAUSE YOU A
LITTLE BIT ABOUT MYSELF --
MEAN QUE AND THAT.
YEAH.
IN HERE MA'AM OKAY.
DIANA LOVE I LIVE IN PALMDALE
CALIFORNIA --
I AM CURRENTLY THE PRESIDENT OF
LOCAL ALWAYS STANDS FOR LOS
ANGELES COUNTY COMMISSION FOR
OLDER ADULTS.
I'M ALSO COURSE VIA SENIOR
SENATOR FOR CALIFORNIA --
SENIOR LEGISLATURE I ALSO HAVE A
NONPROFIT --
FOR SENIORS IS ENTITLED FORGET
US NOT COMMUNITY SERVICES AND IT
IS TO GIVE BACK WHICH IS THE
STUDY OF AGING.
I'VE ALSO WORKED FOR THE
CALIFORNIA SENIOR LEGISLATOR AS
THEY FEEL REPRESENTATIVE OVER
THE PAST --
FEW YEARS BACK --
I AM ALSO THE A A RP DISTRICT
LIAISON SO I DO WORK WITH THE
LEGISLATORS IN MY COMMUNITY --
ALSO ON MENTAL HEALTH ADVISORY
BOARD -- I
ALSO AM I WORK WITH --
THE CANCER SOCIETY
THE LIBRARY ON THE PRESIDENT OF
THE BOARD FOR OF THE PALM DALE
MOBILE PHONE REVIEW BOARD --
I DO A LOT OF POLITICAL THINGS --
I'M CURRENTLY THE CAMPAIGN
MANAGER FOR A SCHOOL BOARD.
OF CANDIDATE WHO'S SEEKING REAL
THIS ADVOCATE FOR SENIORS THAT'S
WHY I'M HERE TODAY TO PRESENT --
BEFORE YOU ON MEDICARE PENALTIES --
I CAN'T THINK OF ANYTHING ELSE
AT THE MOMENT I'M SURE THERE'S
OTHER THINGS --
THAT'S ABOUT ALL FOR NOW OR
THANK YOU SO WE ALREADY HAVE A
NOMINATION TO FORWARD A MOTION
TO FORWARD YOUR NOMINATION --
AND I'M HAPPY TO JUST --
YOU KNOW TAKE A VOTE BY
ACCLAMATION OR DO WE HAVE TO DO
ROLL CALL.
WE HAVE TO DO ROLL CALL
.
AND DAVID WOULD --
HIGH SO THANK YOU MISS LOVE --
REPORTING YOUR NOMINATION.
SECOND CANDIDATES --
IS NOT PRESENT FROM.
PEABODY I DO NOT KNOW MICKEY
PEABODY --
DOES ANYONE HERE ON NO MICKEY
PEABODY [inaudible]
YEAH REPRESENTS --
STANISLAUS COUNTY WHICH IS
ABOUT SAN JOAQUIN COUNTY WHICH I
REPRESENT.
AND I KNOW HER IS --
JUST FORMA THE LAST SESSION.
A LOT OF ASIAN.
WANT ME TO READ WHAT SHE
SUBMITTED --
HER LEADERSHIP EXPERIENCE CHAIR
HOUSE OF THE HOSPITAL VOLUNTEERS.
SHE'S ALSO ON A MENTAL HEALTH
BOARD -- IN
CHAIR OF HER COMMISSION ON AGING.
SOME THE CITY COUNCIL MAYOR PRO
TEM -- OTHER
EXPERIENCE --
TAX MEASURES --
IN THEIR AREA --
HER -- SHE'S.
MARRIED AND SHE HAS NUMBER OF
AWARDS SO --
SHE'D LIKE TO SERVE ANOTHER TERM --
AS THE SENIOR SENATOR OF TOTAL
COSTS TO THE CALIFORNIA CSL.
AND SERVE ON THE AREA AGENCY ON
AGING CUT THEIR COMMISSION ON
AGING -- FOR
THAT COUNTY AND SHE'S BEEN DOING
THIS SINCE THE TWO THOUSAND AND
FOUR SO I WON'T READ ANYMORE
THAT THERE'S A LOT OF OF ABOUT
BACKGROUND --
PROFILE THAT JANICE AND I
BELIEVE OR VICE CHAIRS JOINING
US --
WELCOME CENTER TO MAKAYLA.
THERE IS WITH US.
WE MAKE A MOTION BEFORE HE ABOUT
NAME [inaudible]
YEAH.
HI SO --
SPIN --
ALREADY --
HELD BY ON SENATOR WILDER AND
ALSO TOOK A BY WALKER WE ALREADY
[inaudible]
WALKER [inaudible]
LOPEZ [inaudible]
FULLER.
AND WOULD I SAW BOTH CANDIDATES
WILL BE FORWARDED FROM THIS
COMMITTEE THIS COMMITTEE IS AN
OFF ON A POSITION OF AUTHORIZING
TWO NOMINEES --
SO THANK YOU MS Là PRESENTATION
ON AND BOTH OF THOSE --
NOMINEES FOR LEDGE WILL BE
FORWARDED OUT OF THIS COMMITTEE.
FOR THE JRC SENATOR BARTEL IS A
CANDIDATE AND ALSO --
FOR JRC ON SENATOR WOOD IS A
CANDIDATE SENATOR BOAR TELE
DEFER TO YOU IN YOUR SENIORITY
IN YOUR EXPERTISE.
A TAB THEN ON THE CSL. FOR SIX
YEARS AND THIS IS MY SEVENTH ON
CONFERENCE --
MEN ON THE J. R. C.. FOR THE
LAST THREE YEARS AND I'D LIKE TO
CONTINUE SERVING THERE I WRK ON
THE FUND DEVELOPMENT AND HAD
THAT COMMITTEE --
WE'RE WORKING ON A LEGACY
PROGRAM SO THAT.
IT WILL BE EASY --
TO IN YOUR WILL OR YOUR DUE TO
TRUST I'M NOT DETER BUT YOU'RE.
LIVING TRUSTS --
CONNECTED WITH YOUR WILL TO
LEAVE SOME PERCENT OF YOUR STATE
TO THE CSL --
THIS ORDER.
THAT'S ONE OF THE CURRENT
PROJECTS I'M WORKING ON FOR CSL
THROUGH THROUGH THE G. HA ARE C.
UP COMMITTEE THAT I HAVE HEADED.
FOR SEVERAL YEARS --
REALLY INTERESTED IN THE BIGGEST
CHALLENGE I THINK OF AGING WHICH
IS -- ELVES
TIMERS AND DEMENTIA --
AND SO MY PROPOSAL CHAU DO
SHORTLY --
HAS TO DO WITH --
IDENTIFYING --
WHAT YOU OUGHT TO BE SAYING AND
SO TWO PEOPLE WITH DEMENTIA AND
IDENTIFYING CERTAIN?
THINGS --
I'VE BEEN INTRODUCED --
TO OTHER LOGIC OTHER LEGISLATION
IN THE CSL REGARDING --
TEACHING PEOPLE OF ROLES OF THAT
WE THINK --
THROUGH A LOT OF NEW RESEARCH
WILL HELP PEOPLE TO FOR OR AVOID
ELSE HYMERS ALTOGETHER.
AND THESE ARE LIFESTYLE.
CHANGES --
INVOLVING DIET AND EXERCISE AND
SO FORTH HARKEN BACK --
TO A PROFESSOR ROOM CORD DR DEAL
BREASTS AND WHO.
HAS WRITTEN A BOOK TO A RECENTLY
AND CALL THE END OF ELSE TIMERS.
AND HE HAS --
QUITE FAMOUSLY --
TAKEN A NUMBER OF PATIENCE AND
WHO COULDN'T WORK ANYMORE AND GO
THROUGH THIS --
LIFESTYLE CHANGES IS THIRTY SIX
PROTOCOLS --
THEM TO GET BACK --
TO THEIR LIVES --
SO MENTAL HEALTH --
PARTICULARLY ALZHEIMER'S IS A AN
AREA THAT I WORK ON THAT'S IT.
THANK YOU SENATOR BARTEL.
OWN BEARS A QUESTION PLEASE. FOR
BOTH OF YOU ACTUALLY.
SITTING ON THE J. R. C..
WILL YOU PROMOTE REASONABLE
ACCOMMODATIONS ELSE THE POLICY
OF THE J. RC OF CSL.
IN I MEAN REASONABLE
ACCOMMODATIONS IN REGARD TO
PEOPLE WITH DISABILITIES.
YES I THINK WE ALREADY DO.
ACTUALLY DOING REFERENCE.
THERE'S ABSOLUTELY NO REFERENCE
AND SHE IS A MATERIAL ABOUT
REASONABLE ACCOMMODATIONS THE
APA OUR STATE EQUAL ACCESS LAW.
THE I I THOUGHT WE DO HAVE THAT
SOMEWHERE BUT IF YOU SAY YOU HAD
NOT BEEN ABLE TO FIND IT --
I'LL TALK WITH THE OF SHARE SEE
CHAIR AND AS WELL AS JANICE AND
TO WHERE WE ARE ON MOST THINGS
[inaudible]
PORTANTINO.
I THANK YOU ARM.
OF A MOTION TO FORWARD US UNDER
BORTLES NOMINATION. SEVEN FOR
FRONT AND SECOND FROM SENATOR
MACKAY ARMOR.
ON HOW WELL YOU CENTER
[inaudible]
FOR LOPEZ [inaudible]
WALKER I OKAY HI.
FATHER BY WOULD BY THANK YOU
CENTER MOTEL REPORTING YOUR
NOMINATION.
ON SECOND CANDIDATE --
IS DAVID WOULD WHICH IS ME --
I'M A CLINICAL PSYCHOLOGIST OUT
OF PHONE CENTRAL CALIFORNIA
REPRESENTING KINGS AND TULARE
COUNTIES ON THE CHAIR OF THE
ADVISORY COUNCIL FOR KINGS
TELERI.
AGENCY ON AGENCY HAPPEN FOR
SEVERAL YEARS THE MENTAL HEALTH
BOARD FOR TULARE COUNTY.
ON THE PAST PRESIDENT PASSED
FIRST VICE PRESIDENT EXCUSE ME
FOR THE CALIFORNIA ASSOCIATION
OF LOCAL BEHAVIORAL HEALTH
BOARDS AND COMMISSIONS WHICH IS
A STATEWIDE ORGANIZATION. FOR
MENTAL HEALTH BOARDS.
THIS IS MY SECOND YEAR WE SEE
OURSELVES SO I DEFER TO SENATOR
FORETELL WITH HIS SENIORITY IN
HIS EXPERTISE.
OM OBVIOUSLY IS A VERY QUALIFIED
CANDIDATE AND I'M VERY HAPPY FOR
THIS COMMITTEE FOR HIS NAME IN
NOMINATION.
I SUBMITTED MY NAME BECAUSE I
THINK THAT I HAVE A
RESPONSIBILITY TO CONTRIBUTE
PARTICIPATE FULLY IN ANY
ORGANIZATION THAT I JOIN.
ON IN KEEPING WITH --
EQUAL ACCESS IN ON THE ADA I
HAVE A HISTORY OF ACTUALLY
MAKING SURE THAT WE DID THAT
WITHIN MY ON MENTAL HEALTH BOARD
ON BY.
OBTAINING APPROPRIATE SOUND
EQUIPMENT SO THAT EVERYONE WHO
WAS ATTENDING INCLUDING THE
PUBLIC WOULD HELP AHMAN
OPPORTUNITY TO BE ABLE TO HEAR
CLEARLY --
WITH MICROPHONE SYSTEM SUCH AS
WE HAVE HERE CURRENTLY --
I HAVE CONTRIBUTED ON TO THE
POLICY AND PROCEDURE MANUALS OF
THE KINGS TULARE AGENCY ON AGING
ON TO OUR COUNTY MENTAL HEALTH
BOARD.
AND THE CALIFORNIA ASSOCIATION
FOR LOCAL PEOPLE HEALTH BOARDS
AND COMMISSIONS --
I HAVE DOG BEEN ACTIVELY
INVOLVED IN THE REVIEW OF
POLICIES AND PROCEDURES AND BY
LAWS FOR ALL OF THOSE
ORGANIZATIONS AND IN KEEPING
WITH THE CALIFORNIA STATE LAW.
UNDER MY CHAIRMANSHIP ON THE TWO
THE FIRST TIME IN THE PAST TWO
YEARS SUBMITTED SOME ANNUAL
REPORT AS REQUIRED BY THE
WELFARE AND INSTITUTIONS CODE.
ON WE'RE MOVING TOWARDS DOING
THE SAME FOR THE ADVISER COUNSEL
FOR KATIE TRIPLE A I THINK IT'S
INCUMBENT UPON AN ORGANIZATION
TO BE RESPONSIBLE TO IT SO
STAKEHOLDERS.
ALMOND TO SHARE --
WITH THE CONSUMERS --
THAT THE CITIZENS AND THE
GOVERNING BOARD HOME WHAT'S
TRANSPIRED LAST YEAR SO I'VE
SUBMITTED --
MY NAME ON NAIVELY WITHOUT.
KNOWING ABOUT SENATOR BARTEL AS
A CANDIDATE --
I CERTAINLY APPRECIATE RESPECT
EVERYTHING YOU'VE DONE CENTER
MORE TOUGH ON MEN I'VE SUBMITTED
MY NAME JUSTICE --
ARM AN OPPORTUNITY TO PROVIDE
FOR THEIR SERVICE TO THE CSL
THANK YOU.
I MAKE A MOTION TO FORWARD
SENATOR WOODS NAME. TO THE JRC
[inaudible]
THANK [inaudible]
WHAT [inaudible]
YES MA'AM.
RIGHT I'M GONNA GO I'M CENTER
FOR PUBLIC [inaudible]
LOPEZ I WELCOME ALL RIGHT
[inaudible]
OKAY I'M.
I WOULD WAS A GREAT ARE YOU
RUNNING FOR THEIR OFFICES
AGAINST MISTER PATEL IS THAT
WHAT THAT IS NO THE COMMITTEE IS
ABLE TO FORWARD TWO NOMINEES
FROM THIS COMMITTEE OKAY --
OKAY THEN I SAY I GO.
MR WILDER ARE.
AND DIVERT DAVID WOULD I
ABSTAINED ON MISTER BARTEL ART
THANK YOU.
BYE SO BOTHA BOTH CANDIDATES FOR
LEGISLATIVE COMMITTEE REPORTED
OUT OF THIS COMMITTEE AND BOTH
CANDIDATES FOR J. R. C. --
ARE FORWARDED OUT OF THIS
COMMITTEE MAY I ASK A QUESTION
OF YOU MISTER WOODS.
A CLINICAL PSYCHOLOGIST%
CORRECTED MENTAL HEALTH AND I'M
ALSO ON THE BEHAVIOR HEALTH
BOARD.
WOULD YOU STAND --
AND WE DO NOT OLDER ADULTS WITH
THAT -- WELL
AT DEPRESSIONS GOING BE THE
NUMBER ONE KILLER.
NEXT TWO YEARS.
OF OLDER ADULTS AND A LOT OF
THAT HAS TO DO WITH THE MENTAL
HEALTH AND WHAT'S YOUR POSITION.
ON DEMENTIA.
AND AND DEPRESSION CAUSED BY
DEMENTIA --
BECOMING PART OF MENTAL HEALTH
BECAUSE RIGHT NOW IT IS NOT.
I'M HAPPYTO ADDRESS THAT
QUESTION ON THE Và ELLEN'S
POSITION BECAUSE I I WOULD BE
HAPPY TO DISCUSS THAT WITH YOU
ARM AFTER WE'VE YOU HAVE POINTED.
TO USE SUPPORT THE MERGING OF
THE TWO OR THAT THAT'S ONE A I
HAVE A I I JUST HAVE A QUESTION.
WELL YEAH I'M I'M VERY MUCH IN
FAVOR OF INTEGRATED SERVICES ON
MY VERY MUCH IN FAVOR OF YOU
KNOW PEOPLE BEING RECOGNIZED FOR
ON THERE MIXED COPING --
CHALLENGES AND SO AS A CLINICAL
PSYCHOLOGIST I STRUGGLE
PERIODICALLY WITH DEVELOPMENTAL
DISABILITIES NOT ALWAYS BEING
ACCOMMODATED WITHIN THE MENTAL
HEALTH SYSTEM --
AND ALSO HOME HIM CONCERNED
ABOUT --
GERONTOLOGY SHOES PURSES SOME
DEPRESSION AND I THINK THAT WE
NEED TO INCREASE OUR
SOPHISTICATION IN TERMS OF OUR
DIAGNOSIS AND OUR TREATMENT AND
INTEGRATION OF SERVICES FOR THAT
ANOTHER WE HAVE SOME.
ON PROPOSED BILLS PENDING ON IN
TERMS OF MENTAL HEALTH SERVICES
AS WELL --
IN WITHIN TWO OR COUNTY WERE
ACTUALLY PUBLIC HEALTH CLINICS
WHEN WE HELP SENIORS PRESENTING
FOR WELLNESS VISITS ON WHICH IS
I THINK IMPORTANT AND OBVIOUSLY.
ON DIFFERENTIAL DIAGNOSIS WITH --
DEMENTIA AND ALL COGNITIVE
IMPAIRMENTS CRITICAL
[inaudible]
TO SUCCESSFUL QUESTION.
YEAH I HAVE A SET I DO WHICH IS
COMMON IDEA AS SOMETHING I LOOK
FORWARD TO WORKING WITH YOU --
DAVE BECAUSE ELLIE Là CAN I
HAVE.
BEEN PRESSURING --
THE MENTAL HEALTH SERVICES
OVERSIGHT.
COMMITTEE AND WE THAT MIST --
THE SOMETHING FIRED AT US
LUCKILY BECAUSE THE CALIFORNIA
COMMISSION ON AGING AS WELL AS
OUR BODIES CAME TO SACRAMENTO TO
AND THEY WERE TRYING.
TO SEND --
SENIORS OF TO A LOWER LEVEL OF
PUTTING YOUTH UP WITH THE TOP OF
THOSE TO BE HELPED BY THE MENTAL
HEALTH SERVICES ACT THE
MILLIONAIRES ATTACKS --
WHICH IS OVER WILL MEAN THIS
COUNTIES DON'T EVEN SPEND THE
MONEY WELL OR AND THEY'RE BEING --
DROWNED IN IT SO --
IT WAS.
RIDICULOUS --
PROPOSAL AND I KNOW WHERE IT
CAME FROM --
AND I THINK HOPE THE LOBBYIST IS
QUIET AFTER THIS --
BECAUSE SO WE WERE ABLE TO
PRESERVE THE THAT THERE WAS NOT
A PRIORITY --
FOR SENIORS IN THAT MENTAL
HEALTH SERVICES ACT.
APPRECIATE THE DISCUSSION --
I DO FEEL A LITTLE BIT OF A
CONSTRAINT TO MAKE SURE THAT WE
HAVE A HEARING ON EACH OF THE
PROPOSED PIECES OF LEGISLATURE
ARM OF LEGISLATION IN FRONT OF
US SO ARM WITH WITH A NO FURTHER
COMMENT SIP WE WOULD.
BE ABLE TO PROCEED THAT WOULD BE
HELPFUL.
OUR FIRST --
PROPOSALS INTRODUCED BY A SENIOR
SENATOR BOAR TELL S. P. --
NINE AND I APPRECIATE YOUR
FLEXIBILITY WITH SCHEDULING
SERVE BECAUSE WE HAD TO KIND OF
SHIFT THINGS AROUND TO MAKE SURE
THAT EVERYBODY HAD A OPPORTUNITY
PRESENT THEIR LEGISLATION AND
ALSO APPEAR.
SYSTEMS WITH THE NAME OF THE
LEGISLATION.
PERCENT.
BY.
ON SARS SO.
AFTERWARDS I HOPE EVERYBODY'S
RECEIVES A COPY OF THE CARD THAT.
IS THE CENTRAL FOCUS OF AS P. --
NINE WHICH USER CALLED CARE
GIVER AND FIRST RESPONDER
COMMUNICATION WITH PERSONS
SUFFERING FROM DEMENTIA.
OR OTHER MENTAL ILLNESSES.
A PROPOSAL THAT A STATE CARD --
BE PRINTED.
AND WE'VE SAID A COST OF UP TO
FOUR FIVE HUNDRED THOUSAND
DOLLARS BE APPROPRIATED. FOR THE
GENERAL FUND TO THE DEPARTMENT
OF AGING. TO DISTRIBUTE THE CARD.
TWO COUNTY BEHAVIORAL HEALTH AND
RECOVERY SERVICES NURSING HOMES.
RESIDENTIAL CARE FACILITIES THE
ELDERLY HOSPITALS.
INCOME IN HOME SUPPORTIVE
SERVICES ARE HSS.
A WORKERS OTHER CARE GIVERS AND
FIRST RESPONDERS SUCH AS
PARAMEDICS FIRE DEPARTMENT AND
POLICE DEPARTMENT.
AND WHAT.
I SEE.
OF LIKELY.
THAT THE COST BENEFIT OF THIS IS.
IS QUITE --
TO QUITE REASONABLE --
BECAUSE IF [inaudible]
FIRST RESPONDER --
CAN FOLLOW SOME OF THE TIPS AND
RULES ON THIS CARD --
IT MIGHT AVOID HOSPITALIZATION.
JAIL -- ALL
KINDS OF SOCIAL COSTS BED JUST
FOR THIS FIRST RESPONDER KNOWING --
DATE YOU DON'T TRY TO CONVINCE
SOMEONE WHO HAS DEMENTIA OF
SOMETHING THAT.
MAY BE LOGICAL TO YOURSELF BUT
IT'S NOT LOGICAL AT ALL TO THAT
PERSON.
AND REALLY WE FOUND IN MARIN
COUNTY WHERE THIS WAS DEVELOPED
BY SPECIAL TASKFORCE CALDER
AGING ACTION INITIATIVE.
WHERE WE AHEAD SEVERAL --
SEMINARS WHERE WE WOULD TEACH
PEOPLE OF TEACHES FIRST RESPOND
HERS HOW --
TO USE THESE TIPS ON THIS AND SO
WE'RE PROPOSING.
THAT THIS.
BE RECOMMENDED --
TO A LEGISLATOR OR OF WHO WE CAN
NOW.
GET TO INTRODUCE IT --
SO THAT --
BECAUSE SPREAD THIS.
KNOWLEDGE OF IN AND ALSO JUST --
PARENTHETICALLY IN MARIN COUNTY
OUR MENTAL HEALTH SERVICES ACT
INNOVATION PROJECT IS ACTUALLY
GOING TO INVOLVE OF THESE KINDS
OF OF TEACHING SESSIONS TO
PEOPLE WHO COME IN CONTACT WITH
THOSE WITH.
DEMENTIA --
SO.
THAT MIGHT BE A PILOT THAT.
CAN -- GO
FURTHER SINCE IN THE INNOVATION --
FUNDING OF THE MENTAL HEALTH
SERVICES ACT AND THEY'RE JUST
NOW PUTTING OUT THE R. F. P. FOR
THAT SO.
THIS IS SOMETHING WE'RE
FOLLOWING VERY CLOSELY IN MARIN
AND SHOULD BE ABLE TO HELP.
PUSH THIS OF FURTHER ALONG --
IF THE PILOT WORKS OUT WELL --
BUT WE BELIEVE THE JOYSTICK
PRODUCTION OF THIS CARD COULD BE
HELPFUL --
TO THOSE PEOPLE TO WHOM IT
DISTRIBUTED.
IN MAKING THEM AWARE OF HOW TO
COMMUNICATE --
WE CALL IT DETECT AND CONNECT
THAT'S THE PROPOSAL AND I GET
SUCH A QUESTIONS [inaudible]
WES -- MY
QUESTION IS --
IF THIS IS APPROVED AND THE CDVA
CARDS IN ME I THE FOR STATE
STATEWIDE OR EACH COUNTY HAS ITS
OWN.
YOU LIKE THE PHONE NUMBERS HERE
YES THIS IS JOHN HOW RENTS
VERSION A STATE VERSION WOULD
HAVE.
OF EITHER COUNTY --
NOT PHONE NUMBERS --
OF PEOPLE --
TO CONTACT OR OR STATE TO
OFFICES.
THEY WOULD HAVE LOCAL COUNTY
RESPONDED YES LOCAL WOULD WOULD
BE PREFERABLE HOWEVER IF THE
STATE PRODUCES IT --
IT WOULD HAVE TO BE REFINED --
TO FIGURE OUT JUST WHAT'S THE
MOST EFFICIENT WAY TO DO IT.
IN OKAY AND ALL RIGHT SO --
YOU BUT WILL BE UP TO THE COUNTY
TO ACCEPT IT OR WHAT IT WOULD BE
A STATEWIDE MANDATE. FOR THEM
ALL COUNTY SAID SUCH UNDECIDED
OF I'VE BEEN MADE THAT --
TO CONCLUSION ONE WAY THE OTHER
ALL RIGHT THANK.
MISTER CHAIRMAN.
MISS WALDRON.
WOULDN'T THIS BE MORE
APPROPRIATE GOING.
TO THE CALIFORNIA ASSOCIATION OF
COUNTIES.
A LOT THE COUNTY ADOPTED WITHOUT
A STATE MANDATE.
WELL I HADN'T THOUGHT OF THAT
BIRDS.
ARE THEY DON'T.
I DON'T THINK THEY HAVE FUNDING
FOR SOMETHING LIKE THIS --
TO BUT THEY COULD REQUIRE WITH
THEIR COUNTY MENTAL HEALTH
AGENCY ONLY BORDERS SUPERVISORS
COULD FIND THE FUNDS MAY BE IN
THE MENTAL HEALTH SERVICES ACT
FUNDS.
THAT THEY'RE NOT REALLY SPENDING
SO WELL.
IS THAT ARE MAKING IT A STATE
MANDATE THAT ARE JUST CONCERNED
A LOT OF COUNTY.
IN WATER LEGISLATORS ARE
OPPOSING THINGS THAT MAKE STATE
MANDATES BECAUSE WHEN THE STATE
MANDATES.
THE STATE HAS TO PAY.
FOR SO IT IT DOESN'T GET AS GOOD
A READ.
AS IT MAY WE SHOULD HAVE I'M
JUST POSING THERE MAY BE A
DIFFERENT WAY. TO GET TO THE
SAME END RESULT WE ARE.
I THINK THAT'S A THAT'S MAKES A
LOT OF SENSE DAVID AND IF WE GET
A SPONSORED.
IN THE LEGISLATURE WE CAN
CERTAINLY TWEAK IT --
IN THAT DIRECTION LIKE YOU'RE
YOU'RE SAYING BUT I DID NOT
CONSIDER THAT BEFORE.
MORE LIKE 2% YES MA'AM.
I'M THE AND JUST A POINT OF
CLARIFICATION SO THESE CARDS
WOULD BE.
PROVIDED TO PROVIDERS LIKE AN E.
OURS AND THINGS LIKE THAT --
I WOULD THEY CARRY THEM AROUND
OR I MEAN IT SEEMS A LITTLE
CUMBERSOME THE YOU KNOW HERE
COMES NOW SUMMERS PATIENT LET ME
IT'S CONVENIENT ENOUGH TO CARRY
IT AROUND BUT I WOULDN'T EXPECT
PEOPLE TO JUST --
FIND GO FIND IT WHEN THEY
CONFRONT SOMEONE OVER THERE COME
INTO.
A SITUATION WHERE SOMEONE OF
LOOKS LIKE THEY HAVE DIMENSION
THEY CAN'T COMMUNICATE WELL BUT
HOPEFULLY THEY WILL OF READ IT
OVER BEFORE AND DISCUSSED IT.
SO TO THE FORMAT IS FOR
EDUCATION OF PERSONS PROVIDING
SERVICES CORRECT L. ROBERTS IS.
THE INDIVIDUAL ALZHEIMER'S
CARRYING IT AROUND AND LIKE SAY
FOR TURNER SOMETHING THAT'S AN
INFORMATIONAL TOOL.
BUT A MILLION WE TYPICALLY ARE
SCHEDULED TO HAVE FIFTEEN
MINUTES FOR EACH BILL ON WERE
ALREADY KIND OF RUNNING LATE SO
DID YOU HAVE A QUICK QUESTION
STRIPS CENTER YOU MAKAYLA
[inaudible]
QUESTION [inaudible]
EIGHT AND IF.
IT'S GOT TO BE ALL COMPANIES
HAVE TO ACCEPT THE VIEW YOU
LEAVE IT UP.
TO EACH COUNTY TO ACCEPT THAT
YOU'RE NOT GOING TO HIT
UNIVERSAL COMPLIANCE IS.
IS THAT TRUE INTENTION.
WELL IN IN SOME CASES THE STATE
DEALS DIRECTLY WITH CERTAIN
AGENCIES.
LINE ITEM AND PARTICULARLY
RESPONDING TO BUT WHAT DAVID
SAID WAS --
AND YOU.
WOULD HAVE.
TO I I YOU SEE ARE YOU SAYING
THAT WOULD HAVE TO BE UNIVERSAL
YEAH.
WE SHOULD EXAMINE THAT AND*
FIND A SPONSOR --
WOULD CERTAINLY GO THAT
DIRECTION AND SEE WHAT THE
COUNTY ROLES CAN BE IN THIS SORT
OF THING.
THANK YOU.
THANK YOU THE CHAIR WILL
ENTERTAIN ON MOTION.
SOUTHERN OKAY --
MAYOR.
MOVING.
OUR MOVE [inaudible]
SECOND.
ON SB NINE CHARACTER UBER AND
FIRST RESPONDER COMMUNICATION
WITH PERSONS SENATOR WOULD
[inaudible]
NAY.
SENATOR MARCO JANA [inaudible]
HI [inaudible]
BOARD TELL [inaudible]
FULLER [inaudible]
KAGAN [inaudible]
LOPEZ -- HI
[inaudible]
WILDER NAY.
THANK YOU SENATOR BARTEL --
REGRETTABLY THAT TO DOT PASSED
THROUGH THE COMMITTEE BUT I
WELCOME YOU TO ENTERTAIN THE
COMMENTS IN TERMS OF
COMMUNICATING FOR THE WITH
COUNTY ASSOCIATION OF
GOVERNMENTS AND AM PROCEEDING
FURTHER WE APPRECIATE YOUR TIME
AND YOUR PRESENTATION.
ON THAT --
PROPOSAL WILL NOT PROCEED FROM
COMMITTEE [inaudible]
NEXT.
ALRIGHT SO --
OUR NEXT --
PRESENTATION IS SCHEDULED FROM
SENATOR --
FOR LOVE.
THE PROPOSAL IS S. F. P. TO ARM.
SUMMARY IS MEDICARE PENALTIES BY
SENIOR SENATOR LOVE.
I'M SORRY MA'AM.
YES MA'AM I DO.
THE ORIGINAL ONE THAT WAS SENT
OUT MISTER CHAIRMAN WAS REPLACED.
BY A MORE DETAILED.
ONE IN A SUBSEQUENT EMAIL.
THAT'S CORRECT TOM DID AND
SENATOR WALTER POINTED OUT THAT --
INITIALLY THIS WAS --
DISTRIBUTED WITH I THINK JUST
THE FIRST PAGE AND THEN THERE
WAS -- AN
AMENDED --
ON PDF THAT WAS FORWARDED THAT
WAS THE COMPLETE TEXT AND I
THINK THAT WAS SUPPORTED IN THE
LAST -- TWO
DAYS OR SO ARMS EVERYONE HAVE
THE COMPLETE COPY [inaudible]
EIGHTEEN ONE TWENTY SIX THE
THERE'S BEEN A COUPLE LITTLE
KINDA GLITCHES ALONG THE WAY SO
WE CAN RE ORDERED THE
PRESENTATIONS SOME.
SEQUENCES WORLD SO THAT WE CAN
MAKE SURE THAT EVERYBODY HAD A
CHANCE TO BE PRESENT AND PRESENT
THEIR OF LEGISLATION OF THE
COMMITTEES.
ON BUT WE'RE NOW ON WITH
REFERENCE TO MEDICARE PENALTIES --
IN SENIOR CENTER TO LOVE PHAM
PLEASE PROCEED.
AND AGAIN GOOD AFTERNOON --
I COME BEFORE YOU TODAY TO TALK
ABOUT THE PENALTIES FOR MEDICARE.
A. B. E. N. D..
EN EN BEFORE I GET STARTED I
JUST WANT TO SAY ON BEHALF OF
SENIORS THAT.
I JUST FEEL THAT --
IT SEEMS LIKE OUR GOVERNMENT IT
HAS LOST THEIR COMPASSION. FOR
SENIORS THEIR OWN THEIR LEFT
BEHIND --
THEY'RE BEING PUNISHED FOR LACK
OF FOOD FOR CONFUSION
FORGETFULNESS AND LOSS OF MEMORY
CHALLENGES AND THEY'RE LOSING
THEIR DIGNITY AND THEIR HONOR IN
THAT RESPECT BY.
BY BEING PENALIZED AND FOR SOME
OF THESE THINGS THAT AFFECTS
THEIR ACTIVITIES OF DAILY LIVING
THE COST INVOLVED.
AND OUR SENIORS --
SINCE TWENTY TEN HAS GROWN FROM
11% 214% AND BY TWENTY THIRTY
WILL BE INCREASED TO ABOUT 22%.
AND BY TWENTY SIXTY BY ABOUT
POINT 4%.
AND FIRST OF ALL MEDICARE --
A IS FOR THE HOSPITAL SERVICES
EXPENSES AND BE AS FOR THE
HEALTH INSURANCE COVERAGES AND
DE IS FOR PRESCRIPTIONS AND END
THE RESEARCH THAT I DID.
I HAVE FOUND THAT EVEN IN THE
PENALTY.
GUIDELINE IN THE BOOKS IT TALKS
ABOUT CONFUSION BEING A LACK OF
THE REASON THAT.
SENIORS DO NOT ENROLL BY.
THEIR SIXTY FIFTH BIRTHDAY
BECAUSE YOU HAVE THAT WINDOW YOU
HAVE THREE MONTHS BEFORE YOU
HAVE THE MONTH OF YOUR BIRTHDAY
AND YOU HAVE THREE MONTHS AFTER
YOUR BIRTHDAY. TO A ROLE AND
WITH THAT --
HYPOTHETICALLY IF YOU ON YOUR
HUSBAND OR YOUR WIFE'S PLAN AND
YOU DON'T NEED MEDICARE AND YOU
DON'T IN ROLE AND THEN SIX
MONTHS DOWN THE LINE ARE YOU
DOWN THE LINE YOU DO YOU IT
COMES. TO YOUR ATTENTION THAT
YOU DO NEED IT YOU ARE THEN
PENALIZED BECAUSE YOU DID NOT
SIGN UP FOR WHEN YOU TURN SIXTY
FIVE YEARS OLD.
AND YOU'RE PENALIZED FOR LIFE
AND AND THE TERM LIFE MEANS AS
LONG AS YOU'RE PAYING THE
PREMIUM SO IF YOU PLAN THE
PREMIUM FOR THE REST OF YOUR
LIFE.
YOU ARE PENALIZED FOR THAT --
THE SAME WITH --
IF YOU ARE CONFUSED IF YOU HAVE
CARE GIVERS IF YOU TAKE MULTIPLE
MEDICATIONS AND DIFFERENT THINGS
AND IT DOESN'T OCCUR TO YOU --
THAT THIS HAS TO BE DONE BECAUSE
OF THE LITERATURE.
THAT COMES IN THE MAIL TO YOU
I'LL USE MYSELF AS AN EXAMPLE
AND I'M WELL AWARE OF READING
ALL THE DIFFERENT THINGS THAT
COME ALONG AND I WAS QUITE
CONFUSED AS TO WHAT I NEEDED TO
DO.
AND IN THE END FOR MYSELF I
FOUND OUT.
THAT I DIDN'T NEED TO DO
ANYTHING BECAUSE I RECEIVE
SOCIAL SECURITY WHEN YOU SEE SO
SECURITY.
THEY ARE SUPPOSED TO SIGN YOU UP
FOR MEDICARE BUT NOBODY TOLD ME
THAT IFOUND THAT OUT IN PASSING
LISTENING TO A CONVERSATION IN
THE HOSPITAL ROOM ONE DAY AND
EMERGENCY.
AND I CALLED AND FOUND OUT WHAT
AGAIN IF THAT SLIPS THROUGH THE
CRACKS AND YOU DON'T GET SIGNED
UP A SIXTY FIVE YOU PENALIZED.
AND I GAVE THE CHAIR OF THE OF
THIS --
FLYER WHICH TALKS ABOUT THE
CONFUSION WHICH TALKS ABOUT --
HOW THAT THEY'VE DONE STUDIES
AND HOW MANY PEOPLE HAVE TO PAY
THOUSANDS OF DOLLARS IN
PENALTIES?
AND AND I FEEL AS THOUGH THAT
ONE OF TWO THINGS.
CAN BE DONE EITHER YOU CAN --
BE DROPPED OFF LET'S SAY WITH
OPEN ENROLLMENT LET'S SAY YOU
YOU ARE PENALIZED THE FIRST TIME
AROUND BECAUSE YOU FORGET.
THEN WHEN OPEN ENROLLMENT COMES
AROUND THAT YOU ARE DROPPED OFF.
BECAUSE YOU ARE NOW THE ROLE
BECAUSE YOU ARE BEING AGAIN --
CHALLENGED BY THE FACT THAT YOU
DIDN'T SIGN UP WHICH YOU MAY NOT
HAVE DONE FOR ONE I'M MORE
REASONS --
IT THEN IT TALKSABOUT IN AND
THIS --
CHART ABOUT THE ROOM THE REASONS
IN THE WORST CASE SCENARIOS OF
WHY YOU DO NOT.
SIGN UP AWHILE WHY PEOPLE HAVE
NOT SIGNED UP AND I MARK SOME OF
THE PAGES FOR THE CHAIR AND HE
AND HE CAN SHARE WITH YOU.
AND IT SAYS HERE ON ON PAGE NINE
THAT -- WHY
DO PEOPLE END UP PAYING MEDICARE
PENALTIES IS AS LACK OF
KNOWLEDGE THEY DIDN'T KNOW --
THEY SAID IN COGNITIVE ABILITY --
HOW MANY PLANS YOU HAVE TO
CHOOSE FROM WHAT DOES THAT SAY
RUNNING OUT OF TIME SO OKAY?
IF THESE UP VERY QUICKLY JUST
WANT YOU TO ALSO KNOW THAT ONE
OF THE WAYS ABOUT FUNDING IF
THIS WAS TO GO THROUGH IS --
IS JUST TO PROVIDE AN ADDITIONAL
PAGE IN THE MEDICARE GUIDE TO
SAY THAT THE PENALTIES HAVE BEEN
CHANGED TO SOMETHING OR TO
ADELINE.
AND I'VE ALSO HAD THE TIME
BEFORE I CAME HERE ALL THE
DIFFERENT ORGANIZATIONS THAT
BELONG TO I DISCUSSED THIS WITH
ALL THE SENIORS --
THE MAJORITY OF PEOPLE ARE WHEN
IT WILLING TO DO A PETITION OR
WHATEVER NECESSARY TO BRING
NAMES AND SIGNATURES FORWARD AND
I'VE ALSO SPOKEN WITH ONE OF OUR
CONGRESSIONAL LEADERS WHO IS
RUNNING AND CONGRESS --
TWENTY FIVE WHICH IS A HIGHLY ON
SHE HAS AGREED THAT IF THIS
PASSES TO DISCUSS WITH ME ABOUT
CARRYING THE BILL SO I'VE GONE
FORWARD IN AND TRYING TO GET
SOMEONE ON THE ON THE FEDERAL
SIDE TO COME FORWARD TO SUPPORT
SENIORS.
THANK YOU.
HAVE QUESTIONS CENTER LOW BASS.
UGH DO FIRST OF ALL HERE HERE
LONG OVERDUE BUT A COUPLE OF
QUESTIONS --
IS THERE ANY I DON'T SEE
ANYTHING IN THE TEXT ABOUT
RETROACTIVITY PEOPLE WHO ARE
ALREADY PAYING PENALTIES AND IF
GOING FORWARD THERE WOULD BE
NINE THEN IT SEEMS SOMEWHAT
INEQUITABLE THAT.
THOSE WHO HAVE BEEN CAUGHT IN
THAT TRAP WOULD HAVE TO CONTINUE
TO DO IT THAT'S ONE CONCERN --
AND I ALSO WONDER IF --
THE REASONS FOR NOT HAVING
REDDING MEDICARE MIGHT BE
SOMEHOW --
INDICATIVE OF PENALTIES OR NOT
AND WHAT I'M THINKING OF IS THE
DIFFERENCE BETWEEN --
HAVING CONTINUOUS COVERAGE --
AND NOT HAVING ANY COVERAGE AT
ALL FOR TEN YEARS AND THEN
SUDDENLY IT SEVENTY FIVE YOU
DECIDE YOU WANTMEDICARE BECAUSE
YOU GET SICK SO.
YOU KNOW THERE MIGHT BE SOME
THINGS TO DISCUSS AROUND THAT.
ALSO -- IN
TERMS OF COST YES PRINTING AN
EXTRA --
FROM THE PENALTIES THAT THE
GOVERNMENT ONE KNOWS EVERY
COLLECTING WOULD BE A REVENUE
ISSUE -- AND
IT JUST KIND OF THOUGHTS AT THIS
TIME I DON'T HAVE ANSWERS OR
RESOLUTIONS BUT THINGS THAT WE
SHOULD PROBABLY CONSIDER BUT I
IN GENERAL --
THE IDEAS LONG OVERDUE THANK YOU
SO MUCH YES.
WELL.
WHAT WOULD THE --
WHAT WOULD YOU WHAT WOULD THE
BILL SAY DELETE?
WITH THE SAY THE LEAKED ALL
PENALTIES REGARDING LATE METRO --
REGISTRATIONS AND MEDICARE THE
TURTLE WITH ITS LIKE I THINK I
WILL I PROBABLY PERSONALLY REFER
THAT TO THE RESEARCHERS TO COME
UP WITH THE TERMINOLOGY THAT WE
THINK THAT THE GOVERNMENT WOULD --
AGREE WITH TO TO GET THE BILL
PASSED BUT BUT I BELIEVE THAT
SAYING THAT GOING FORWARD THERE
WILL BE NO.
LATE PENALTIES FOR SENIORS WHO
DO NOT SIGN UP AT AGE SIXTY FIVE
AND THEN MAYBE GO BACK TO WHAT
THE A SENATOR LOPEZ WAS SAYING
ABOUT THOSE THAT ARE BEING
PENALIZED THAT THERE'S SOMETHING
ABOUT.
DROPPING HIM OFF THE ROLLS GOING
FORWARD.
BY A MY READING OF THIS TEXT --
I BELIEVE FROM.
THE FIRST PARAGRAPH UNDER ON THE
SUMMARY COUNSEL'S DIGEST --
ON MRS QUOTE PROHIBIT.
MEDICARE LATE ENROLLMENT
PENALTIES AND THEN ON PAGE TWO
IN THE MORE COMPLETE TEXT FROM.
THE THIRD PARAGRAPH FROM THE
BOTTOM MORE SAYS RESULT BUT THE
SENIOR CENTER AGAIN IT SAYS
PROPOSES A PROHIBITION ON
MEDICARE LATE ENROLLMENT
PENALTIES SO THE TEXT OF THIS
PROPOSED LEGISLATION --
REITERATES PROHIBIT AS OPPOSED
FOR EXAMPLE WAR --
OTHER OR THE VARIATIONS --
SO THIS LEGISLATION AS PROPOSED
INCLUDES --
TEXT WHICH SAYS PROHIBIT --
PENALTIES AND THE CHAIR WILL
ENTERTAIN ON THE COMMITTEE'S
DISCUSSION ON MOVING FORWARD
WITH THIS OR NOT. TO MAKE A
MOTION TO MOVE THIS FORM FORWARD
WITH AN AYE VOTE [inaudible]
SECOND.
MOVED FOR BY A SENATE-ROOM
WILDER SECOND BY SENATOR LOPEZ.
ON SENATOR PORTELLI PREPARED
UBER [inaudible]
I'M SORRY.
ON SFPD TO MEDICARE PENALTIES
WOULD.
THEY WOULD NAY MCCARTY YAMA.
I OKAY I'M I FORETELL.
POR TELL I FEWER [inaudible]
I FULLER I CAYENNE [inaudible]
LOPEZ.
LOPEZ I WALKER.
WALKER I'D.
N. WILDER I'VE WATER I MOTION
CARRIES THANK YOU ARE CENTER
LOVE AND I ENCOURAGE YOU TO
PROCEED --
WITH YOUR CONGRESSMAN AND OTHER
REPRESENTATIVES --
TO CONSIDER SOME OF THE CONCERNS
THAT BEEN EXPRESSED --
I THINK EVERYBODY'S IN AGREEMENT
THAT IT'S A GREAT IDEA DOESN'T
BALK AT LOSS OF REVENUE SO
PERHAPS A CAP ON WOULD BE
SOMETHING TO CONSIDER AND THEN
THE OTHER I THINK --
TOPIC THAT CAME OUT OF THIS
COMMITTEE WAS --
WHETHER OR NOT THERE'S A RED OAK
RETROACTIVE ON BENEFIT FOR THOSE
PEOPLE WHO'VE ALREADY BEEN
PENALIZED SO --
OBVIOUSLY THIS IS YOUR PROPOSED
LEGISLATION BUT THE CAT AT A
POINT IN TIME IF AND WHEN IT
GETS LOBBY TO THAN THOSE MIGHT
BE IMPORTANT CONSIDERATIONS.
THANK YOU THANK YOU.
SENATOR KAY HAGAN.
KAGAN IS NOT HERE.
SO ON LOOK AMERICAN SENATOR
COMPANY READ.
SOME [inaudible]
SENATE OCCASIONS --
S. P..
EIGHT BETTER WOULD CHANGE THE
SCHEDULES A LITTLE BIT SO --
THE CURRENT SCHEDULE IS BARTEL
WHICH HAS BEEN PRESENTED LOVE
WHICH HAS BEEN PRESENTED CAKE IN
WHICH IS PENDING ROTELLA.
ARM AND THEN MORE NOR.
SO ON BEFORE US IS --
THE LEGISLATION INTRODUCED BY
SENIOR CENTER K. AGAIN S. P..
EIGHT ARM WHICH HAS RESIDENTIAL
CARE FACILITIES FOR THE ELDERLY
IN THE ABSENCE OF THE SENATOR
THEN THE VICE CHAIR.
MS EMPOWERED TO PROVIDE AN
OVERVIEW OF THE THIS IS WHAT.
WE DO A FOR THIS LOAN YOU MINE.
U. S. WEST WILSON FROM.
SO I I SO READ THE THE THE
DODGERS DIGEST --
INTRODUCED BY A SENIOR SENATOR
KING IN CAGAYAN OR KING AND I
THE TWO WITHOUT A PRONOUNCE THAT
NAME.
ON THE EXCUSE ME CENTER MOTEL
NOW ON WE HAVE TO ASK YOU TO
PLEASE DO THAT FROM THE PODIUM
[inaudible]
OKAY
.
OKAY AGAIN --
THIS BILLS INTRODUCED BY --
SENIOR SENATOR.
KAGAN AND THE S..
S. B..
EIGHT OKAY AND IS THIS THE
LEGISLATIVE COUNSEL'S DIGEST.
S. P. EIGHT RESIDENTIAL CARE THE
ONLY.
EXISTING LAW THE CALIFORNIA
RESIDENTIAL CARE FACILITIES FOR
THE ELDERLY ACT.
PROVIDES FOR THE LICENSURE AND
REGULATION OF RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY.
BY THE STATE DEPARTMENT OF
SOCIAL SERVICES.
THIS MEASURE.
WOULD MEMORIALIZE THE
LEGISLATURE AND THE GOVERNOR TO
ENACT LEGISLATION THAT WOULD
REQUIRE RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY. TO
COMPLETE A COGNITIVE.
AND PHYSICAL ASSESSMENT TRANSFER
FORM.
THAT INCLUDES CURRENT BASELINE
COGNITIVE AND PHYSICAL
INFORMATION ABOUT THE RESIDENT
OF THE FACILITY.
AND PROVIDE THIS FORUM ALONG
WITH ANY OTHER INFORMATION
REQUIRED BY LAW. TO AN EMERGENCY
MEDICAL TECHNICIAN WHEN
TRANSPORTING A RESIDENT. TO THE
EMERGENCY UNIT OF THE GENERAL
ACUTE CARE HOSPITAL --
SO S. P. A. RELATING TO
RESIDENTIAL CARE FACILITIES FOR
THE ELDERLY.
WHERE AS CALIFORNIA HAS THE
HIGHEST NUMBER?
OF RESIDENTIAL CARE AND ASSISTED.
I MEAN BETTER --
NO DO I HAVE TO READ --
I THINK --
THE OVERVIEW WAS HELPFUL THANK
OKAY ON THE NIGHT OR ANY PROCEED
EVERYONE HAS THE TEXT I HOPE.
AND WE'VE ALL HAD IT
[inaudible]
WHY AND?
OKAY I DON'T HAVE TO SUPPORT IT
AND I DID I MEAN I CAN STAND
HERE AND IF THERE ANY QUESTIONS
LIKE.
IF YOU LIKE --
TEN FIELD QUESTIONS AND RESPOND
THAT WOULD BE GREAT OMAR THE
QUESTIONS [inaudible]
THE STAMP.
NOT A QUESTION BUT A CONCERN --
IN IMPLEMENTATION I I WOULD
THINK IN THIS KIND OF A
ASSESSMENT WOULD HAVE TO BE PART
OF THE OF THE LEGISLATION WOULD
HAVE TO BE THAT IT.
WAS PROVIDED AT INTAKE OR AT
IGNITION AND THEN IT WAS UPDATED
REGULARLY BECAUSE THINGS IN
NURSING HOMES CHANGE VERY
QUICKLY --
SO IN ORDER FOR IT TO BE USEFUL
I WOULD.
I THINK THAT AT A MINIMUM THAT
THAT WOULD HAVE TO BE PART OF
THE PROPOSAL --
THANK YOU.
FROM WHAT I HAVE READ TO HEAR.
THIS WOULD BE UPON TRANSFER.
SO IT WOULD BE DONE AT THE TIME
A PERSON IS TRANSFERRED TO ACUTE
CARE HOSPITAL.
IN OUR KNOW FROM MY OWN
EXPERIENCE TRYING TO KEEP UP
WITH RECORDS LIKE THIS.
WHEN THEY'RE ADMITTED IN THEM
THROUGHOUT MONTHS OR YEARS IS
DIFFICULT BUT UPON TRANSFER IT
MAKES LOGICAL SENSE?
BECAUSE YOU'RE SENDING.
MY FATHER WENT FROM A NURSING
HOME [inaudible]
THE REGULAR FACILITY. TO THE
HOSPITAL BUT THEY DID NOT TELL
THE HOSPITAL THAT HE SUFFERED
FROM DEMENTIA.
SO WHEN THE DOCTOR ASKED HIM HOW
ARE YOU DOING HE SAID FINE.
HE TOTALLYFORGOT WHY HE WAS
GOING TO THE HOSPITAL.
THIS TYPE OF FORM WOULD HAVE
PREVENTED THAT TYPE OF MISTAKE.
SO THE WAY I READ THIS IT'S UPON
TRANSFER. FOR MORE WRONG.
YES I THINK I BELIEVE SO I THINK
THE MY QUESTION THE AFT HAVING
READ THIS IS --
PAPER I MEAN A PRIVACY AND
CONFIDENTIALITY HERE ARE --
GOV UP IN THE AIR WITH THE SIGN.
SIGN A RELEASE OF INFORMATION SO
I DON'T KNOW ON ITS IMPLEMENTED
MYSELF.
MY READING OF THIS TEXT IS THAT --
THE FACILITY WOULD QUOTE
COMPLETE A COGNITIVE AND
PHYSICAL ASSESSMENT TRANSFER
FORM THAT INCLUDES CURRENT
BASELINE COGNITIVE AND PHYSICAL
INFORMATION ABOUT THE RESIDENT
OF THE FACILITY.
HERE ARE THE SENATOR WALKER.
I'D LIKE AND NO WORK WHERE THIS
FORM IS THAT.
I LIKE TO SEE A COPY INFORMED.
BEFORE RIGHT RIGHT SUPPORT THE
FORM.
THIS -- ONE
WHICH ONE WHICH ONE YOU TALKING
ABOUT.
THE FORM THERE'S SUPPOSED TO
FILL OUT --
THE COGNITIVE AND PHYSICAL
ASSESSMENT TRANSFER FORM.
WHERE IS THAT FORM?
I HAVE NO IDEA I THINK THAT
NEEDS THAT WILL HAVE TO BE.
GOD CREATED AND WRITTEN THE IF
THIS PASSES YES.
THIRD LOPEZ WITH --
AYE AYE.
IF IN FACT THE FORMS TO BEAT BE
CREATED AT THE POINT OF TRANSFER
I SEE THAT AS AN EVEN BIGGER
PROBLEM BECAUSE THE FORM IS
GOING TO GET COMPLETED AT THAT
TIME THAT'S WHY I SAID THE ONLY
THING THAT MAKES SENSE TO ME IS
DOING IT AND KEEPING IT.
SORT OF ON FILE FOR THE PURPOSE
OF TRANSFER IF THERE IS.
ONE SO EITHER EITHER WAY I SEE
IT IS.
NOT LIKELY TO OCCUR EFFECTIVELY.
I I THINK THE FORM.
WOULD BE GOOD.
BUT I THINK THE LEGISLATION THE
LANGUAGE THESE TO BE CHANGED.
THE TWO BE CREATED UPON INTAKE.
AND MAINTAIN YOUR CURRENT.
FASHION THROUGHOUT THE PERSON'S
STAY [inaudible]
CENTER.
FOR HAVING VAN AN OMBUDSMAN. FOR
EASTERN KERN COUNTY.
IMPLEMENTING.
IN ENFORCING US IN A LIFE
THREATENING EMERGENCY I HAVE A
PERSONAL ISSUE AS ARE OTHER
GENTLEMAN HERE.
MY MOTHER'S BELL AND THEY WERE
MORE CONCERNED ABOUT STOPPING
THIS WOUND IN HER HEAD FROM
LOSING OLIVER BUT THEN THEY WERE
ABOUT WHAT HER MENTAL STATUS WAS.
SO THERE NEEDS TO BE AN AWFUL
AWFUL LOT OF CLARIFICATION.
ALRIGHT THANK YOU SO ON IN THE
INTEREST OF TIMELINESS OF THE
NOR THE QUESTIONS OR COMMENT.
MAMA CALLED IN FOR THE COMMITTEE
TO MOVE THE PROPOSAL.
I DON'T THINK THAT [inaudible]
IF YOU.
CENTER FOUR MOVES TO CONSIDER
MOTION FURTHER --
SIR SECOND.
SECOND.
CENTER MOTEL SECOND.
HE WILL CALL THE ON SB A
RESIDENTIAL CARE FACILITIES
WOULD.
A WOULD NAY LOCAL YAMA.
HEY.
WE ON FORETELL.
YES POR TELL AYE.
FULLER [inaudible]
FULLER NAY LOPEZ NAY.
WALKER.
WALKER NAY.
AND WILDER.
THE WIDER NET NAY.
THANK YOU FOR THE PROPOSAL IT
WILL NOT BE FORWARDED OUT OF
COMMITTEE --
ANY PERSON WHO WISHES TO HAVE
FUN YOU KNOW CONSULTATION WITH
THE AUTHOR HOME AND TO HELP THE
AUTHORS --
CONSIDER FINE TUNING OM
CERTAINLY ONE WOULD HOPE THAT
THAT'S A STANDARD OF CARE AND
MOST FACILITIES ON WHETHER OR
NOT HOME THE STATE ORDERS AN
ENTIRE FORM THAT --
YOU KNOW ALL ALL AGENCIES HAVE
TO COMPLY WITH ACROSS THE STATE
IS ANOTHER ISSUE ENTIRELY --
BUT AT THIS POINT --
THAT WILL NOT PROCEED FROM
COMMITTED.
SO AT THIS POINT --
WE HAD OUR PROPOSAL --
OKAY.
CHICKENS TIME THE DILLON ARE --
SENIOR SENATOR --
ROTELLA S. P. TWELE FARM HEALTH
ANNUAL WELLNESS VISIT COGNITIVE
ASSESSMENT.
GOOD AFTERNOON.
I'M.
MY NAME'S ATTORNEY OR DOLLARS
HERE CENTER.
AND RIGHT NOW OUR MEDICARE AND
MEDI CAL.
ARE BETTER FISHERIES SHOULD HAVE
A MANUAL --
ASSESSMENT.
IF THIS MEASURE WOULD.
BE MORE MEMORIALIZED THE
LEGISLATOR THE CUTS IN THE
GOVERNOR. TO ENACT LEGISLATION
THAT REQUIRE MEDICARE.
ELIGIBLE PATIENTS WHO ARE MEDI
CAL --
BETTER FISHERIES IN CALVERT TO
BE OFFERED AS PART IS THE ANNUAL
WELLNESS VISIT I'VE BALLOTS
[inaudible]
COGNITIVE.
AS SAYS ROOM THAT IS TO DISTRICT
WHICH DISTINGUISH BETWEEN MILD
COGNITIVE IMPAIRMENT AND NORMAL
AGING OR IT. FOR THE CAUSES OF
COGNITIVE IMPAIRMENT TO BE --
TO DETECTED AT THE EARLIEST AND
BOWSTREET WILL STAGE RIGHT NOW
WHEN YOU GO TO THE DOCTOR.
DOCTOR SAYS HOW YOU FEELING TONY
I SAY I'M FEELING OKAY
[inaudible]
WELL.
OUR AS SOON AS YOU SAY THAT
THERE'S OUR A NINETY FIVE DOLLAR
CHARGE.
THE GOES IN FOR HIM FOR THE
DOCTOR.
ARE.
MY PROPOSAL WOULD INDICATED ALL
TWO YEARS.
WHEN THEY GO IN THERE?
WOULD BE ARE ADMINISTER SOME
KIND OF OF COGNITIVE IMPAIRMENT --
ASSESSMENT.
THAT PERSON THAT SENIOR IS.
IN EARLY STAGES OF DEMENTIA.
ALZHEIMERS OR JUST AGING.
ARE THE BEAUTIFUL THING ABOUT
THIS BILL IS THE FACT THAT THERE
IS AN OLD.
I'LL COST BECAUSE OF THEM DOS
CASA ALREADY BORNE BY MEDI CAL
AND MEDICARE --
I WORKED WITH --
DOCTOR ARE.
THE HEAD.
GOTTA.
WHICH THAT IS A ROOM.
OF IT THE OUR SENIORS SENIOR
MOMENT [inaudible]
OUR ART.
CAN ONE BELIEVE IS.
AIMED AT THE ARE.
HOPE HOSPITAL IN ORANGE COUNTY.
HE'S HEAD OF THE AGING.
A BRAIN IMAGING DEPARTMENT AND
THERE.
AND EVEN I I COLLABORATED WITH
THEM IN [inaudible]
THIS BILL.
AND HE SAID THAT.
IF WE GET PEOPLE SENIORS AT
EARLY STAGES GIVEN THEM OUT JUST
A A TEST NOT JUST HOW YOU
FEELING [inaudible]
THAT WOULD --
HELD THE DOCTOR --
TO TRIED [inaudible]
TO ASSESS.
WHAT LEVEL OF ARE IT'S EITHER
AGING ARE IN STAGES THE MAIN
SHOW OR --
ALZHEIMER'S SO THAT BASICALLY IS
THE BILL.
I THANK YOU ON QUESTIONS
COMMENTS CENTER LOCALES --
AM WONDERING WHY IT WAS TARGETED
AT A CARE FOLK WHO HVE WHO ARE
MANY MANY AND ALSO HAVE MEDI CAL.
VERSES MAKING IT A FEDERAL
PROPOSAL FOR MEDICARE PATIENTS
WHICH IS SORT OF A LARGER
POPULATION I'M JUST CURIOUS AS
TO WHY IT WELL DEVELOPED THAT
WAY WEALTH BUT WITH START STATE
THEN MAYBE ASK.
OUR ONE OF OUR MY REPRESENTATIVE
TO OUR CENTER.
MEAN CONGRESSMAN QUREIA.
I HAVE SCHEDULED A MEETING WITH
THEM.
AND MAYBE HE WOULD TAKE A TWO
HOUR.
OUR THE CONGRESS BECAUSE SEASON
RIGHT NOW HE'S IN.
IN THAT RACE TO OUR GET
REELECTED AS CONGRESS BUT IT
THAT THE TRY THIS STATE FIRST
DIDN'T.
I WILL GO THROUGH THE MEDICARE
THING SENATOR PAUL.
I'M CURIOUS AS TO WHAT THE WHAT
ORIGINATING.
THE A THE WRITER OF THIS
PROPOSAL. TO ME MY QUESTION
WOULD BE WHY WHY DID WHY WOULD
WE DO THAT.
AND WHAT'S THE LONGER I WOULD
SIDE OF CATCHING IT EARLY AND
TREATING IT IT ACCORDINGLY.
WORKING WITH SENIORS.
IT.
ASSEMBLY WERE JUST CONCERNED ARM
FINE REGARDLESS OF WHAT YOU
THINK I AM.
WELL ONE KNOW WHAT THE THE
OVERALL COST.
IF YOU DON'T CATCH IT EARLY
STAGE THE COST OF
THE COST OF PUTTING A MASS
CONSISTENT FAMILY ASSISTED DOWN
FACILITIES.
AS YOU ARE AS THE IS THE THE
COGNITIVE ARE.
OUR ABILITY OF THAT PERSON
DETERIORATES THE COST.
ESCALATES BY DOING THIS CATCH IT
EARLY YOU COULD NOT STE ARE YOU
COULD NOT --
CLICK HERE IT BUT YOU CAN SLOW
DOWN TREMENDOUSLY RIGHT NOW
WE'RE ESTIMATING THAT IT --
IT'LL COST ABOUT. 200-002-25000
DOLLARS A YEAR TO TREAT SOMEBODY
FOR IN RIGHT NOW --
FACILITY.
OUR WITH DEMENTIA OR ALZHEIMER'S.
BUT WE DO.
WOULD YOU HAPPEN TO HAVE THE
STATISTICS.
ON WHO PEOPLE HOW MANY PEOPLE
HAVE A ROUTINE.
PHYSICAL.
WHAT YOU'RE THE THAT ARE WELL AT
THIS AT THIS PRESENT TIME IT'S
SUPPOSED TO BE ADMINISTERED?
ARE IN BUT WHAT IS HAPPENING
RIGHT NOW IS THAT DOCTORS ARE
JUST GOING EYES SENATOR WILDER.
STATED EARLIER THEY JUST ASK YOU --
HOW YOU DOING?
THEY SAY LINDA HOW YOU DOING YOU
SAY YOU DON'T FIND IN OUR IN.
THERE'S A STOP RIGHT THERE
[inaudible]
BUT IT.
THIS BILL WOULD COME IN INTO OUR
PROVISION IT WOULD.
END DATE THAT DOCTOR AS A SINGER
COMES IN.
A WANTED MAN IT'S A SOME KIND OF
COGNITIVE ASSESSMENT. TO
DETERMINE WHETHER TO SAY AGING.
IRON STATION DEMENTIA OR
ALZHEIMER'S.
CENTERED PORTAL [inaudible]
YES THAT.
ACT --
QUESTIONNAIRE.
OF PRESENTED TO ME UPON.
THE ANNUAL MEDICARE CHECKUP AND
CHILL RUDIMENTARY IT'S IT'S IT'S
LAUGHABLE.
AND I THINK WE CERTAINLY NEED TO
BE FED UP.
ALL RIGHT SO ON ONE CRISIS
CENTER [inaudible]
TO DETERMINE --
MILD COGNITIVE IMPAIRMENT AS IT
IS WELL AS YOU KNOW LATE.
IN MY MEAN CHRONIC IMPAIRMENT SO.
IT WILL.
THIS WOULD COST STRAIGHT AND
THIS WOULD REQUIRE TRAINING I
WOULD THINK.
MOST LIKELY S. WHOM YOU MOST
LIKELY THAT WOULD BE A COST WHEN
IN A OKAY.
WHAT SIDE BY CHOOSE TO SPEAK TO
THIS IS A CLINICAL PSYCHOLOGIST --
WHEN I TALKED TO SOME
MEASUREMENTS AT THE UNIVERSITY
OF UTAH --
THERE ARE --
WAS A LECTURE THAT I PRESENTED
WHICH WAS ALL ABOUT POLITICALLY
ALMOND THE TITLE OF THAT LECTURE
WAS DOES A VALENTINE MEAN LOVE.
OM SO -- I
CAN ALSO SPEAK ANECDOTALLY THAT --
THE CHAIR OF THE DEPARTMENT OF
GERONTOLOGY WHO IS AN
ANTIPSYCHOTIC TRYST ACTUALLY
CALLED ARM AND SPOKE TO MY
SPOUSE.
AND THAT DOUBT IN THERE'S
EXCELLENT VERBAL SKILLS HARM BUT
HAVING BEEN SNOOKERED FOR AN
EXTENDED PERIOD OF TIME
COMMENTED TO MY WIFE IS A SPEECH
LANGUAGE PATHOLOGIST AND SHE I
THINK -- MRS
WOULD MIGHT BE DEMENTED AT WHICH
POINT MY WIFE --
COVER THE PHONE LOOKED AT ME AND
SAID DO YOU THINK.
ON SO ON BALANCE I THINK THIS IS
A GOOD IDEA BUT I KNOW THAT
THERE'S A DEARTH OF CLINICAL
PSYCHOLOGISTS WHO ARE AVAILABLE
TO PROVIDE --
MEDICARE REIMBURSEMENT --
COGNITIVE ASSESSMENTS OF THE
DOOR IS WIDE OPEN FOR WHAT KIND
OF AN ASSESSMENT WOULD BE A
VALID ASSESSMENT THE QUESTION
HERE WITH THIS PROPOSED
LEGISLATION AGAIN AS BY WHICH
TYPE OF PROVIDER BECAUSE I COULD
SEE THAT THIS MIGHT BE.
A POTENTIAL RECOMMENDATION OR
EVEN A REQUIREMENT BUT THAT DOES
NOT MEAN THAT IT WOULD BE A
MARRIAGE FAMILY THERAPIST OR
LICENSED CLINICAL SOCIAL WORKER
WHO IS NOT TRAINED IN TEST
MEASUREMENTS PROVIDING THAT
ASSESSMENT.
OR PERHAPS AN M. DEAL LIKE A
FAMILY PRACTICE REGIONAL
PRACTICE PHYSICIAN WHO AGAIN IS
NOT AN EXPERT ON YOU KNOW
GERONTOLOGIST ON COGNITIVE
EVALUATOR --
SO -- I
BELIEVE THAT IT WOULD BE
APPROPRIATE FOR THIS TO BE THE
DOMAIN OF A CLINICAL
PSYCHOLOGIST.
IN THAT REGARD I WOULD PREFER
THAT WE COLLABORATE ON WITH THE
CALIFORNIA PSYCHOLOGICAL
ASSOCIATION --
IN TERMS OF YOU KNOW MOVING FOR
SUCH AS THIS DETAILING IT A
LITTLE BIT OF WHAT WOULD BE THE
POSSIBLE RANGE OF MEASURES
BECAUSE ANYBODY CAN DO IT MANY
MENTAL STATUS EXAM FOR EXAMPLE
BUT IT'S NOT NECESSARILY
COMPELLING.
IN TERMS OF AGING VERSUS
DEMENTIAON SO I THINK THERE'S A
NUMBER OF DIFFERENT --
DIFFERENT CHALLENGES FOR THIS --
SO -- WITH
THAT BEING SAID --
I'M READY TO CALL THE QUESTION.
CELTIC ON A MOTION TO PROCEED
WITH THIS.
I SOME OF CENTER MOTEL MOVE IN
WE PROCEED SECOND [inaudible]
I'M SORRY. FOR SECOND A SALOON
NOW WILL THE WHOLE THE VOTE --
I THINK THAT YOU KNOW YOU
DESERVE THE THE CONSIDERATION OF
A RESPECT FOR ALL OF YOUR TIME
IN WORK AND EFFORT IN HIGH
PRESSURE YOU'RE PRESENTING TO US.
ARMS LET'S CALL ROLL CALL VOTE
PLEASE ON SB TWELVE HEALTH
ANNUAL WELLNESS VISIT WHAT.
NAY WHAT NAME MOCHA YAMA.
HEY WE MONDAY FORETELL.
I PORTELLA I FULLER [inaudible]
FULLER NAY [inaudible]
KAGAN.
OKAY IN I LOPEZ.
OPUS NAY.
WALKER.
WALKER NAY WILDER [inaudible]
WALDRON NAY.
ALL RIGHTS SENATOR RODILLA THANK
YOU VERY MUCH IT DOES NOT KERRY
SO WE WILL NOT PROCEED FROM
COMMITTEE BUT I HOPE THAT YOU
WILL CONSIDER CONTINUING WITH
THIS AND NOT.
IN A FINE TUNING IN
COLLABORATING I ENCOURAGE YOU TO
CONTACT --
YOU KNOW THE THE LOCAL CHAPTER
OF THE CALIFORNIA PSYCHOLOGICAL
ASSOCIATION TO GET SOME --
SOME EXPERTISE ON MY WOULD
CERTAINLY ENCOURAGE YOU TO
CONFER WITH THE CLINICAL KNURLED --
I THINK THAT TOM AS THE
CALIFORNIA SENIOR LEGISLATURE
MOVES FORWARD MAY CHOOSE TO
INCREASE ITS COLLABORATION WITH
OTHER AGENCIES SO THIS IS
SOMETHING THAT I THINK WOULD BE
A GREAT COLLABORATION WITH THE
CALIFORNIA PSYCHOLOGICAL SO
SESSION.
FROM MY MY MAJOR CONCERNS ARE
NOT THE ASSESSMENT PER SE BUT
YOU KNOW THE THE ISSUE OF VALID
COGNITIVE ASSESSMENT.
ARM AND ARM BY WHOM --
BUT THAT BEING SAID I THINK IT'S
STILL WORTH PURSUING AND JUST
KIND OF FINE TUNING AND TWEAKING
SO THANK YOU FOR YOUR WORK I
WOULD I I WOULD ADD TO THAT IF
YOU WOULD FIND OUT THE COST.
THE COST OF THAT LOAD FOR INTAKE
BY MIDNIGHT SEASON OR ANY OTHER.
IT WILL COST AND THERE IS NEW
MEDICARE LEGISLATION WHICH IS
JUST COME INTO EFFECT AND THERE
ARE NEW TESTING CODES THAT --
PSYCHOLOGISTS HAVE TO USE FOR
REIMBURSEMENT ON IN THERE'S A
WHOLE OTHER STORY OF BEING
REIMBURSED BUT THAT'S THAT'S
ANOTHER DAY IN ANOTHER
DISCUSSION --
CENTER TO MOURN ARE.
WE HAVE --
FIFTEEN MINUTES SO LET'S --
TO FIVE MINUTES FOR
PRESENTATIONS THAT ARE MORE IN
OUR S. P..
FOR MOM DENTAL INSURANCE.
THANK YOU --
FOR PROVIDING ME WITH THE YOU'RE
THROUGH WITH THEIR TIME.
OF A RECENT ARTICLE UP IN SANTA
CRUZ SENTINEL ONE DRUM PL CITY --
THIRTEEN IN SANTA CRUZ COUNTY
LIBRARY PRISONERS HANNAH CREWS
HAVE BEEN A SAN BENITO COUNTY.
AND THOSE ARTICLES WRITTEN BY A
COUPLE OF DOCTORS OF ONE OF OUR
SUPERVISORS.
HE SAID WE SEE A DAILY THE
AFFECTS OF LIMITED ACCESS TO
DENTAL CARE IN OUR COMMUNITY
ADULTS WITH THE ABSCESS TEETH
SWOLLEN FACES.
THAT AND UP IN EMERGENCY ROOMS
AND COUNTY CLINICS.
CHILDREN ARE MISSING SCHOOL
BECAUSE OF DOUBLE PANE.
SENIORS WHO ARE LOSING WEIGHT
DUE TO JURORS.
OF HIP --
HAVE LOW SELF ESTEEM BECAUSE OF
UP [inaudible]
DENTAL DECAY.
AB MY BILLS SIMPLY IS OF SIMPLY
ASKING.
THAT THE INSURANCE COMMISSION.
COMMISSIONER AND SAID IT WAS
STATE OF CALIFORNIA CONDUCT TO
STUDY [inaudible]
BOB.
LOOKING AT THE NUMBER OF TIMES
THAT SENIORS HAVE TO GO TO WAR
MERGER CRE.
URGENCY ROOMS OR WHATEVER ELSE
BECAUSE OF BAD DOWN WILL
SITUATIONS.
OF AND THE COST TO THE STATE FOR
THAT -- WITH
THOSE RECURRENCES [inaudible]
VERSES.
COMING UP WITH THE PROGRAM.
THAT WOULD PROVIDE FOR SENIORS
AND OTHER NEEDY PEOPLE.
THROUGH A MEDI CAL MEDICARE
WHATEVER [inaudible]
OF BETTER INSURANCE LISTS
AVAILABLE.
ALL INSURANCE IS PRETTY MUCH
CAPPED AT FIFTEEN HUNDRED
DOLLARS.
ABOUT DOESN'T COVER THE TRUE
NEEDS IN ALL OF THE PEOPLE.
AND ALL ORAL HEALTH IS EXTREMELY
IMPORTANT AND AFFECTS.
PERSONS OVERALL HEALTH.
TO SHOW IT BUT THE BILL IS ONLY
ASKING FOR A STUDY.
THE MATCH UP. THIRTY QUESTIONS
COMMENTS [inaudible]
CENTER WALTER.
NOT JUST THE INSURANCE
COMMISSION BUT ALSO DEPARTMENT
OF HEALTH CARE SERVICES WHICH IS
WHERE YOU WOULD GET YOUR
STATISTICS.
SO THE INSURANCE COMMISSION
SHOULD COMMISSIONER SHOULD BE
DIRECTED. TO TALK WITH
DEPARTMENT OF HEALTH CARE
SERVICES TO GET THE DATA.
THEY'RE THE ONES ARE GOING TO DO
THE DATA COLLECTION I APPRECIATE
WHAT YOU JUST SAID AND I'M I'M
WIDE OPEN FOR ANY.
POSSIBLE MEMBER THE TRIP LIKE TO
MAKE.
I'D LIKE TO MAKE THAT AMENDMENT.
TO BUT CERTAIN CAN YOU --
GIVE US A SORT OF A SUGGESTED --
TEXT TO ARM OUT TO THIS.
CERTAINLY OF THE INSURANCE
COMMISSIONER.
SHOULD BE STRONGLY ENCOURAGED.
TO WORK WITH THE DEPARTMENT OF
HEALTH CARE SERVICES. TO ACQUIRE
THE DATA.
THERE IS ALREADY AVAILABLE IN
THE HOSPITAL SYSTEM.
DOES THAT WORK.
THROUGH CHANGING THEN TENTH.
WHAT I'VE [inaudible]
PLEASE OF IN THE SPIRIT OF YOUR
AMENDMENT SENATOR --
I WOULD RECOMMEND.
THE FOLLOWING AMENDMENT.
THIS MEASURE WOULD MEMORIALIZE
THE LEGISLATURE AND THE GOVERNOR
TO ENACT LEGISLATION THAT WOULD
REQUIRE THE DEPARTMENT OF
INSURANCE COMMA.
IN COLLABORATION WITH THE STATE
DEPARTMENT OF HEALTH CARE
SERVICES COMMA TO COMMISSION A
STUDY [inaudible]
PERFECT.
THAT'S ACCEPTABLE TO ABSOLUTELY
PART.
ALL RIGHT THANK YOU SO I WILL
ENTERTAIN A MOTION TO ACCEPT.
THAT AMENDMENT [inaudible]
SO MOVED [inaudible]
SECOND.
FROM SENATOR TAKEN AND ALSO OF
CENTER TO OPPOSE [inaudible]
HELLO.
SB FOR DENTAL INSURANCE THE
MOTION IS TO PASS AS AMENDED
WOULD.
I WHAT I MORE WHO YAMA.
HI -- ALMA I
FORETELL HIGH FORETELL I'D
[inaudible]
FULLER.
FULLER AYE.
KAGAN.
KAGAN AYE.
LOPEZ.
LOCUSTS I WALKER.
WALKER I AND WILDER.
WHILE THERE I MOTION CARRIES ON
CENTER MALL NOR AS YOU CONTINUE
FORWARD WITH THIS ON DO NOT
DISMISS THE IMPORTANCE OF ALSO
COMMENTING ON THE INFECTIOUS
PROCESS FROM AN ABSCESS AND HOW
THAT CREATES INFLAMMATION IN THE
BRAIN IN NOT.
EXACERBATE SOME THE NEURO
PSYCHOLOGY OF A PERSON SO --
WITH MILD COGNITIVE IMPAIRMENT
FOR EXAMPLE ON HAVING A
SIGNIFICANT INFECTIOUS PROCESS
IN THE BRAIN WOULD BE A BAD
COURSE TO FOLLOW THE SIR YOU
HAVE A COMMENT CENTER WALKER.
YEAH I JUST DONE NEEDED NO WE'RE
THAT AMENDMENT GOES IN TO
RESOLVE WOULD RESOLVE IS IN
[inaudible]
SO CANCEL.
IT'S SET UP THE BOTTOM PARAGRAPH
FORCES THIS MEASURE WOULD
MEMORIALIZE THE LEGISLATURE AND
SET UP THAT WOULD BE THE
AMENDMENT TO THE DIGEST.
YES THAT WOULD BE THE AMENDMENT
TO THE DIGEST AND THEN IN THE
RESOLUTION --
IT WOULD BE IN THE FIRST AW
RESOLVED PARAGRAPH.
THE AT THE BOTTOM OF PAGE --
ONE ONE THREE THE DEPARTMENT.
RESIDENTS.
OUR DEPARTMENT OF INSURANCE --
COMMA IN COLLABORATION WITH THE
STATE DEPARTMENT OF HEALTH CARE
SERVICES.
COMMA.
DOES IT SAY THERE WERE A YOU
KNOW.
THAT'S THE AMENDMENT THAT'S BEEN
A PLEASANT TO YOUR INTERNET.
AFTERWARDS AS DEPARTMENT.
THE WORD SAYS DEPARTMENT THE
LAST LINE SAYS DEPARTMENT OF
INSURANCE COMMISSION
[inaudible]
COMMA.
IN COLLABORATION WITH WHAT.
THE DEPARTMENT OF HEALTH CARE
SERVICES WITH [inaudible]
THE OKAY THANK YOU BUT TO MY
UNDERSTANDING OF PROTOCOL IS
THAT WE'VE APPROVED THE
AMENDMENT AND HAVING APPROVED
ARE TO ME JUST BECAUSE AMEND
[inaudible]
THAT'S OKAY GREAT.
SO WE'RE LIKE THEM OF THE
STANISLAUS FROM SO --
IT'S GOING TO BE FORWARDED TO
THE ASSEMBLY FOR REVIEW SO THANK
YOU FOR YOUR EDUCATIONAL AND IS
TO AS REGARD YOUR LAST COMMENTS
AS A FATHER OF A PSYCHOLOGIST
I'D LIKE YOU.
THANK YOU FOR BEING THE FATHER
OF A PSYCHOLOGIST.
ALL RIGHT --
NOT HEARING ANY FURTHER BUSINESS
AT THIS POINT IN TIME I THINK --
WE RETURN THANK YOU TO EVERYONE
ESPECIALLY IF YOU'RE TALLER TO
ME AS A NEWBIE [inaudible]
WITH