SENATE.
HEALTH COMMITTEE. FOR CSL.
TWENTY EIGHTEEN CALLING THE
MEETING TO ORDER.
I'M DOCTOR DAVID WOOD ON THE
CHAIR OF OUR SECOND DAY OF
HEARINGS HERE TODAY --
FOR YOUR REVIEW COMMITTEE
MEMBERS --
WE WILL BE HEARING THREE BILLS
TODAY FROM THE ASSEMBLY.
ON THE FIRST IS ASSEMBLYWOMAN
CROHN'S A P. THIRTEEN WHICH IS
ON PAGE THIRTY FIVE OF YOUR
BINDERS TO SERVE PREFERENCE THAT
DOCUMENT --
THE SECOND AND THIRD OR BOTH BY
ASSEMBLY MEMBER COOLED --
A. F. P. NUMBER TWO ON PAGE.
FORTY THREE AND THEN A P.
EIGHTEEN ON PAGE.
THIRTY NINE ASSEMBLYWOMAN HOUSE
A LITTLE BIT OF A DEMANDING
SCHEDULE WITH PRESENTING AT A
DIFFERENT COMMITTEE --
SO SHE MAY BE --
HOPEFULLY ON TIME FOR OUR ONE
THIRTY ON SCHEDULE FOR HER SHE
MIGHT BE SLIGHTLY TO LATE.
I ASSUME THAT ASSEMBLYWOMAN
CROWN WOULD BE MORE THAN HAPPY
TO TAKE A FEW EXTRA MOMENTS IF
NECESSARY FOR ANY DISCUSSION
ABOUT HER BILL --
THAT BEING SAID WOULD YOU LIKE
TO TAKE THE TENNIS [inaudible]
WHAT [inaudible]
PRESIDENT [inaudible]
MOAKLEY ALMA [inaudible]
FORETELL [inaudible]
FULLER HERE [inaudible]
KAGAN [inaudible]
LOPEZ [inaudible]
WALKER HERE.
AND WILDER HERE.
ALL RIGHT SO WE DO HAVE A QUORUM.
MOM AND I WILL REMIND US TODAY
THAT WE ARE WELCOME TO HAVE A
DISCUSSION BUT AMENDMENTS WILL
NOT BE MADE TO LEGISLATIVE
PROPOSALS DURING THE DAY TO
HEARING.
SO THERE MAY BE DISCUSSION THERE
MAY BE RECOMMENDATION --
THERE MAY BE --
SUGGESTION BUT THERE WILL NOT BE
FORMAL CHANGE TO THE ACTUAL TEXT
OF THE PROPOSED BILL
[inaudible]
ANY QUESTIONS.
ALRIGHT THAT BEING SAID MOM WE
ARE READY TO HELP OUR HEARING ON
ON EIGHT P. THIRTEEN BY ASSEMBLY.
WOMAN CROWN ON MENTAL HEALTH
SERVICES FOR SENIORS ARE WE
PREPARED.
ALL RIGHTS OWNER TEN MOVEMENT
HERE THE BILL.
ARE YOU.
OKAY ARE SO AWESOME WE WON
CHROME PLACE [inaudible]
IT WORKS.
WELL THANK YOU ALL FOR ALLOWING
ME TO MAKE THIS PRESENTATION.
THE MENTAL HEALTH SERVICES ACT
THAT WAS IMPLEMENTED SEVERAL
YEARS AGO IS PROP SIXTY THREES
I'M SURE YOU KNOW.
AND IT'S SET UP A COMMISSION. TO
PROVIDE OVERSIGHT AND
ACCOUNTABILITY IN CALIFORNIA.
SURELY THAT HAS NOT BEEN AS
SUCCESSFUL AS ANYBODY WOULD LIKE
IT TO BE AND THERE'S BEEN A LOT
OF SHORTCOMINGS AND WHAT NOT.
AND IT'S INTERESTING WES AND
ALAN AND I HAD A COUPLE OF OTHER
PEOPLE TOOK THE TRAIN DOWN --
TO CAMPBELL TO MEET WITH SENATOR
BAIL WHO IS ON THAT COMMISSION
AND IT WAS RIGHT AT THE IME
THAT THE UCLA STUDY WAS BEING
FINALIZED.
THE UCLA STUDY WAS DONE IN
JANUARY OF LAST YEAR --
IT WAS ACTUALLY --
COMMISSIONED BY THE DECOMMISSION
THE MENTAL HEALTH COMMISSION.
AND THE FINDINGS WERE PRETTY
STUNNING IN TERMS OF OF YOU KNOW
WHERE THE GAPS ARE IN THE
SERVICE AND AND WHERE THE THE
ISSUES ARE AS IN SO FAR AS
MENTAL HEALTH [inaudible]
ACCOUNTABILITY AND OVERSIGHT.
AND IT IT IT HAS BEEN SHOWN THAT
PROP SIXTY THREE MONEY.
IS BEING REQUESTED.
BY COUNTIES MIDDLE HEALTH
ASSOCIATIONS TO DO A LOT OF
DIFFERENT THINGS BUT WHEN THEY
GET THE MONEY THAT THEY
REQUESTED OFTEN THAT MONEY GOES%
FOR THINGS THAT HAVE NOTHING TO
DO WITH MENTAL HEALTH.
THAT WAS ONE OF THE FINDINGS AND
IN THE STUDY.
THAT MEANS THAT OVERSIGHT IS IS
NOW PROP SIXTY THREE MONEY.
IS WHAT 1% OF EVERYBODY MAKING
OVER A MILLION DOLLARS OR
SOMETHING.
IS PRETTY LUCRATIVE RIGHT NOW
AND BUT I WOULD LIKE TO THINK
THAT THE MONEY THAT IS GOING FOR
MENTAL HEALTH ISSUES ACTUALLY IS
GOING FOR MENTAL HEALTH ISSUES.
THAT'S WHY I HAVE RECOMMENDED IN
THIS PROPOSAL AND AS A RESULT OF
THE STUDY FROM UCLA.
THAT EIGHTY ARE ADDED MINISTRY
TO STAFF AT THE STATE LEVEL.
BE CREATED TO PROVIDE THAT
OVERSIGHT AND ACCOUNTABILITY TO
BE PAID FOR OUT OF PROP SIXTY
THREE MONEY.
THERE WOULD BE A DIRECTOR OF
SOME KIND AND I I'M I'M I'M NOT
EVEN GOING TO SUGGEST IF IT
SHOULD BE THE DEPARTMENT OF
AGING OR HEALTH AND HUMAN
SERVICES.
THAT CAN BE DECIDED LATER I JUST
THINK WE NEED TO HAVE THAT --
AT THE STATE LEVEL.
I WANT TO BE ABLE TO HAVE AUDITS
[inaudible]
PERFORMED.
ON WHAT COUNTIES ARE SAYING
THEY'RE DOING TO SEE IF THEY'RE
ACTUALLY DOING IT.
THAT IS SORELY LACKING RIGHT NOW
AND WE NEED TO WE NEED TO
IMPLEMENT THAT.
NOW AS A AS AN OFF SHOOT IT JOHN
AND I HAVE TALKED ABOUT THE
COORDINATION WITH OTHER
ORGANIZATIONS.
OTHER YOUR AGING ORGANIZATIONS
IN WELL SEE FOR A CALIFORNIA
TRIPLE A AGENCIES ON AGING
WHATEVER THAT ACRONYM IS.
THANK YOU DAVID --
BUT THE POINT IS THAT THEIR
LEGISLATIVE COMMITTEE HAS
PARTNERED WITH THE CSL --
TO WORK ON THIS AND AS I HAVE
TALKED TO A FEW PEOPLE AROUND
HERE.
AFTER THIS PROPOSAL WAS
PRESENTED AND HOPEFULLY IF WE
FIND AN AUTHOR.
I'M GOING TO SET UP A COMMITTEE
WORKING WITH THE AUTHOR TO GO
OVER THIS IN A MORE FINE TUNE
WORK WITH THE ACTUAL AUTHORS OF
THE STUDY. TO MAKE SURE WE'VE
INCORPORATED EVERYTHING THEY
THOUGHT WAS IT PERMANENT INTO
THIS --
PROPOSAL.
SO WHAT I HAVE HERE IS THE BEST
THAT I COULD GET OUT OF THE
STUDY FROM UCLA AND THERE COULD
BE OTHER THINGS I ALREADY KNOW.
THAT WE NEED TO HAVE PREVENTION
AND EARLY INTERVENTION.
INCORPORATED INTO THIS PROPOSAL.
SO WITH THAT I HOPE I CAN GET
YOUR YOUR SUPPORT.
ON THIS [inaudible]
DAVID --
SURELY IF YOU'RE GONNA TALK TO
SEE FOR A ONE OF THE PEOPLE IS A
MEMBER OF C. FOR A IS.
YEAH SHE'S OUT APPEARS A TWENTY
SHE IS A FORMER DEPUTY DIRECTOR
OF THE DEPARTMENT OF BEHAVIORAL
HEALTH.
AARON SHE WORKED BOTH SIDES
RIGHT TIME NOW SHE'S A TRIPLE A
DIRECTOR.
YOU TALK HERE NEVINS USERNAME.
SHE'S VERY SHARP.
SHE WAS IN CHARGE OF THE PROP
SIXTY THREE PHONES THERE FOR
QUITE AWHILE SO SHE MAY HAVE
SOME INSIGHT SURFING.
YEAH.
WE'VE BEEN ABLE TO GET UP FROM A
STANDARD SEE FOR A MEMBER.
OF ALSO GOING TO INCORPORATE
LAND BINGE WITH THAT DEPARTMENT.
BEFORE AND AND THEN HAD HER
CONTRACT CANCELLED WHEN THE
BUDGET ISSUES CAME UP.
AND THAT POSITION WAS NEVER
FILLED.
YEAH. TO WESLEY.
OF HAVING THE COMPANY'S VIEW
WITH YOU TO SEE SERVO.
I U. S. KEEN ON IN THIS PROPOSAL.
TO TO SUBSTITUTE THE IMAGE THE
MENTAL HEALTH OVERSIGHT AND
ACCOUNTABILITY COMMITTEE TO HAVE
A DIFFERENT COMMITTEE TO DO THIS
[inaudible]
RATHER THAN.
MAKE THE MENTAL HEALTH SERVICES
IN OVER SAY.
EVALUATION AS SOON AS YOU KNOW
SKEWS ME BUT AS YOU KNOW.
I THINK YOU AND I BOTH GOT ANY
EMAIL.
TALKING ABOUT OPEN POSITIONS ON
THE COMMISSION THEY'RE TRYING TO
GET SOME MORE POWERFUL PEOPLE
INVOLVED IN THE COMMISSION.
I DON'T SEE IT GOING AWAY.
I JUST SEE THAT WE NEED TO HAVE
A COLLABORATIVE EFFORT BETWEEN
THAT COMMISSION AND HOEVER WE
COULD PUT AT THE STATE LEVEL TO
PROVIDE THAT OVERSIGHT AND
ACCOUNTABILITY.
THE COMMISSION ISN'T GOING TO GO
OUT AND DO AUDITS.
AND THEY'RE NOT GOING TO CHECK
THE BOOKS OF THE RECORDS TO SEE
YOU KNOW HOW THE MONEY IS BEING
SPENT THEY'LL HAVE FULL TIME
JOBS.
SO WE NEED WE MEET NEED MORE
ACCOUNTABILITY AT THE STATE
LEVEL SEPARATE COMMITTEE.
A SEPARATE COMMITTEE TO TO THE
OVERSIGHT.
TOTALLY SEPARATE COMMITTEE TO DO
THAT -- IS
THAT WE USE LESS I CAN HARDLY
HEAR YOU.
SO THIS WOULD BE A SEPARATE
OVERSIGHT COMMITTEE.
INDEPENDENT OF THE MENTAL HEALTH
OVERSIGHT AND ACCOUNTABILITY
COMMITTEE I WOULDN'T EVEN CALL
IT AN OVERSIGHT COMMITTEE I
WOULD SAY IT'S PART OF THE
DEPARTMENT THAT IT WOULD BE
ASSIGNED TO YOU.
AND THE COMMISSION WOULD STILL
BE RELEVENT.
OF BEAR THE ONES THAT IF IT ASKS
FOR THIS AUDIT AND I THINK
THAT'S ONE OF YOUR THEY THOUGHT
IT WAS THE THE WHO OVER HERE
[inaudible]
OKAY [inaudible]
SHE HONDA JUST CONFUSE WILL IT.
WHAT WHAT WHAT YOU ARE
SUGGESTING IN THIS?
PROPOSAL IS A SEPARATE AND
DIFFERENT [inaudible]
COMMISSION. TO DO THIS.
MENTAL HEALTH SERVICES OVERSIGHT
AND ACCOUNTABILITY COMMISSION
WHICH IS ALREADY IN EXISTENCE
HAS NOT PROVIDED THE OVERSIGHT
OR ACCOUNTABILITY THOUGH IN YOUR
PROPOSAL YOU ON A DIFFERENT.
ONE SEPARATE TOTALLY SEPARATE
ONE UNDER YOU YOU DON'T KNOW
WHICH DEPARTMENT.
IS THAT WHAT YOU SAID YEAH.
OKAY I HAVE TO THINK ABOUT.
ALL RIGHT SO.
OTHER COMMENTS OR QUESTIONS I
HAVE A NUMBER OF THINGS THAT I
WOULD CHOOSE TO SAY SO I WILL
WAIT ON CENTER [inaudible]
FOR HOTELS [inaudible]
WALKER [inaudible]
ASK [inaudible]
WILDER [inaudible]
DAVID [inaudible]
I FORETELL.
I AGREE WITH.
SURELY --
AND I'VE BEEN.
TO A COUPLE OF THE MEETINGS OF
THE MENTAL HEALTH SERVICES YOUR
IS YOUR MIKE ON YEAH I'VE BEEN
TO A COUPLE OF THE MEETINGS OF
THAT.
ACCOUNTABILITY COMMISSION AND
IT'S PRETTY WORTHLESS --
AND THERE'S BEEN NO OVERSIGHT --
WORTH ANYTHING THEY THEY HAVE
ALMOST NO COUNTY DATA --
FOLLOWING UP THE HUNDREDS OF
MILLIONS OF DOLLARS THAT THEY
PUT OUT AND THEY'RE CURRENTLY
RUNNING TWO BILLION A YEAR.
IN INCOME OVER THE TRANSOM SO --
THEY REALLY NEED TO BE WATCHED
CLOSER.
LET ME JUST ADD ANOTHER COMMENT
IF I IF I HAVE THE PLEASURE OF
DOING SO.
MENTAL HEALTH ISSUES ARE FRONT
AND CENTER IN THE MEDIA THESE
DAYS WHEN YOU'RE READING ABOUT
IT EVERY SINGLE DAY WHETHER IT'S
HOMELESSNESS.
WHETHER IT'S VETERANS SUICIDE OR
DEPRESSION OR WHATEVER.
AND IT DOESN'T SEEM TO HAVE ANY
AGE LIMITATIONS SO THIS
PARTICULAR LEGISLATION WOULD
COVER ANY.
MENTAL HEALTH ISSUE. FOR THE
AGING IT FOR ANYBODY AS WELL AS
FOR I FORGOT I WAS GONNA SAY.
MR WILDER I HAVE ANOTHER
QUESTION ARE YOU TALKING MORE OF
A STAFF AUDIT LIKE CB A DOSE OF
THE TRIPLE A.'S.
IT COULD BE BUT I WANT THIS I
THINK THIS SHOULD BE A FULL TIME
NOT JUST.
YOU KNOW TO DO AN AUDIT THE
OTHER THING THAT I THINK IS
IMPORTANT IS THAT THERE COULD BE
PROGRAMS RIGHT NOW IN CALIFORNIA.
THAT ARE DOING AN EXCEPTIONAL
JOB ON DEALING WITH HOMELESS
ISSUES OR HOUSING ISSUES FOR
ELDERLY AND DISABLED FOLKS OKAY.
WHO KNOWS ABOUT IT?
THERE IS NO WAY TO TAKE THAT
INFORMATION AND GET IT OUT TO
EVERYBODY THAT'S FOR THE
ACCOUNTABILITY AND THE OVERSIGHT
WOULD REALLY BE.
A BENEFIT.
YOU WANT BEST PRACTICES BEST
PRACTICES ABSOLUTELY LESSONS
LEARNED YOU BET --
YEAH.
YEAH ABSOLUTELY CENTER.
FOR THANK YOU.
I I REALLY WOULD LIKE TO COMMEND
YOU.
ABSOLUTELY IT'S VERY IMPORTANT.
I AM BRAND NEW WITH THIS THIS IS
MY VERY FIRST TIME AND I DON'T
KNOW IF THIS IS THE TIME OF THE
PRICE BUT I THOUGHT THAT I HAVE
IT'S UNFORTUNATE THAT WE HAVE TO
PAY WATCH DOGS TO WATCH THE DOGS.
SOMEBODY IS NOT DOING THEIR JOB
AND SO MAYBE WE'RE NOT LOOKING
AT THIS CORRECTLY.
YOU KNOW ONE OF THE OTHER ISSUES
THAT I THINK THE CSL COULD LOOK
INTO -- AND
IN VERY EFFECTIVELY IS THE LACK
OF GERIATRICIANS IN GERIATRICS
IN THE IN THE WORK FORCE THERE'S
A REAL.
LACK OF THAT PROFESSION OUT
THERE AND THEY COULD BE A REAL
BENEFIT TO THIS POPULATION
ANYWAY AASHA [inaudible]
OTHER COMMENTS.
ALL RIGHT SO --
FASTEN YOUR SEATBELT.
ALL RIGHT I'M A LICENSED
PSYCHOLOGIST IN THE STATE OF
CALIFORNIA.
I AM THE CURRENT CHAIRPERSON OF
THE TELLER COUNTY MENTAL HEALTH
BOARD I'VE BEEN THAT CHAIR FOR
TWO YEARS I'VE BEEN ON THAT
BOARD FOR SEX.
I AM ALSO THE CHAIR OF THE
ADVISORY AGENCIES TO KING'S
TYLER AREA AGENCY ON AGING.
AND FURTHERMORE I AM A PREVIOUS
FIRST VICE PRESIDENT FOR THE
CALIFORNIA ASSOCIATION OF LOCAL
BEHAVIORAL HEALTH BOARDS AND
COMMISSIONS.
I DO NOT SEE ANY EFFORT AND THIS
CURRENT DRAFT WHICH I THINK IS A
VERY WORTHWHILE ENDEAVOR BUT
POSSIBLY PREMATURE. TO
COLLABORATE WITH THE CALIFORNIA
ASSOCIATION OF LOCAL BEER FOR
HEALTH BOARDS AND COMMISSIONS I
DO NOT SEE ANY INDICATION OF ANY
COLLABORATION WITH THE
CALIFORNIA ON BOARD OF MENTAL
HEALTH DIRECTORS.
I DO NOT SEE ANY ATTEMPT AT
COLLABORATION WITH THE
CALIFORNIA BE ABLE HEALTH
PLANNING COMMISSION.
AS A MEMBER OF THE MENTAL HEALTH
BOARD OF TYLER S. TO YOU THAT I
PARTICIPATE ACTIVELY ON THE
OLDER ADULTS SUBCOMMITTEE.
OF TELERI COUNTY MENTAL HEALTH
WHICH IS AN INNER AGENCY
INTERDISCIPLINARY ACTIVITY THAT
IS COMPOSED OF ME IN MY ROLE AS
OUR REPRESENTATIVE OF THE
ADVISORY COUNCIL AND ALSO AS A
PSYCHOLOGIST ON THE MENTAL
HEALTH BOARD.
WE ALSO HAVE MEMBERS FROM THE
DEPARTMENT OF PUBLIC SOCIAL
SERVICES --
WE HAVE MEMBERS FROM THE PUBLIC
GUARDIAN'S OFFICE AND THE LIKE I
CAN TELL YOU THAT THE C. B H.
PC AND THE C. A. L. B. H. BC.
ARE VERY MUCH CONCERNED ABOUT
THE APPROPRIATE EXPENDITURES OF
MONEY BY THE MHS SO I SEE THE
MENTAL HEALTH SERVICES OVERSIGHT
AND ACCOUNTABILITY COMMISSION
BUT AT THE SAME TIME I DO TAKE
EXCEPTION WITH SOME OF THE
LANGUAGE IN THE US --
SO FOR EXAMPLE --
WHEN -- ON
PAGE THIRTY SIX THE STATEMENT IS
THAT THE MENTAL HEALTH SERVICES
OVERSIGHT AND ACCOUNTABILITY
COMMISSION HAS NOT PROVIDED THE
OVERSIGHT OR ACCOUNTABILITY. TO
PROMOTE WELLNESS AND OTHER
ISSUES THAT WOULD INSURE
POSITIVE OUTCOMES FOR
INDIVIDUALS I THINK IT MIGHT BE
MORE ACCURATE TO SAY THAT IT
COULD DO A BETTER JOB --
THERE MIGHT BE PREFERABLE TO
PERFORM BUT I FIND THAT AN
UNNECESSARILY PROVOCATIVE AND
CONFRONTATIONAL STATEMENT THAT
ALSO IS INACCURATE --
YOU KNOW --
MUCH OF THE MONEY ON PAGE THIRTY
SEVEN AND THAT MAKES US A FUND --
HAS GONE ON SPENT BY THE
COUNTIES THAT IS --
OF SO FOR A THE TELLER COUNTY
DEPARTMENT OF MENTAL HEALTH HAS
SIGNIFICANT RESPONSIBILITIES TO
RESPOND TO MEDICAL AUDITS AND TO
IMAGES BOISE AUDITS --
AND AT THE SAME TIME LEGAL IS
MANDATED TO MAINTAIN A PRUDENT
RESERVE THAT PRUDENT RESERVE IS
OPEN TO DEBATE BECAUSE PROBATION
AND THAT COUNTY FOR EXAMPLE.
CARRIES 8% OF ITS OPERATING
BUDGET AND APPROVED RESERVE FOR
US AND ALL HEALTH CARE IS A MUCH
LARGER AMOUNT.
UNFORTUNATELY WE COULD SAY ON
THE ONE HAND MENTAL HEALTH IS BO
GUARDING OR SITTING ON MILLIONS
OF DOLLARS THAT SHOULD BE SPENT
ON SERVICES.
BUT ON THE OTHER HAND THE MENTAL
HEALTH SERVICES DEPARTMENT ALSO
RECEIVES A MEDICAL AUDIT THAT
SAYS -- G.
RETROACTIVELY TO THREE OR FOUR
YEARS AGO WE NEED FOR FIVE
MILLION DOLLARS BACK FROM YOU SO
THERE ARE A NUMBER OF DIFFERENT
PROBLEMS WITH THIS GENERAL MODEL
ON AND I THINK FOR EXAMPLE WHEN
YOU SAY THAT THERE'S A
SIGNIFICANT NEED FOR MORE
GERONTOLOGIST IN THE STATE.
THAT IS ONE OF THE WAYS THAT YOU
CAN ALLOCATE P. E. I. MONIES --
PREVENTION EARLY EDUCATION
INTERVENTION ON THE NHL SO AC
NOT ONLY TRADITIONS.
EXCUSE ME HE SAID GERIATRICIAN
GERONTOLOGIST SELECT OF
QUALIFIED MENTAL HEALTH
PROFESSIONALS WITH SPECIALTY
EXPERTISE IN GERONTOLOGY.
ALL RIGHT NOW ON THE MHS SO A C.
FOR ALL OF THE CRITICISM THERE
IT'S RECEIVING AND THIS BILL IS
CURRENTLY RECRUITING FOR NOT
JUST COMMISSIONERS BUT ALSO
ACTIVE PARTICIPANTS IN WORK
COMMITTEES.
AND ONE OF THOSE WORK COMMITTEES
IS HOW TO TRAIN PROFESSIONALS IN
MENTAL HEALTH AND HOW TO YOU
KNOW RECRUIT THEM FOR
UNDERSERVED AREAS.
ON AND THAT WOULD BE AGAIN A
GOOD TARGET. FOR APPROPRIATE USE
OF P. E. I. MONIES BUT THERE ARE
INNOVATION FUNDS THERE ARE ON
PREVENTION EARLY EDUCATION
INTERVENTION FUNDS AND THOSE
DOLLARS MAY NOT BE SPENT ON ANY
OTHER ACTIVITY.
SO I THINK AGAIN IN BRIEF
SUMMARY THIS IS A VERY PROMISING
BILL BUT I THINK IT'S PREMATURE
I HAVE SOME VERY SIGNIFICANT
CONCERNS ABOUT SOME OF THE
LANGUAGE AND THE WAY THAT IT IS
GOING TO ANTAGONIZE HIM PROVOKE.
ON ENTERING AGENCY WHICH IS
GOING TO HUNKER DOWN AND NOW
FIGHT BACK WITH YOU --
AND I THINK THAT YOU KNOW WOULD
BE IN.
TWO TAKE A DEEP BREATH REVISIT
THIS AND THE NEXT YEAR BUILD UP
A STRONG GROUP OF ALLIES FROM
THE AFFILIATED MENTAL HEALTH
DISCIPLINES AND SEE WHAT WE CAN
DO ABOUT USING EXISTING
STRUCTURES WITHIN THE MHS OAC --
FOR SPENDING DOLLARS APPROPRIATE
AND THANK YOU FOR YOUR ATTENTION.
AND YOU KNOW WHAT I APPRECIATE
ALL OF THE COMMENTS THAT I'VE
HEARD WEST CAN AND I'VE BEEN ON
THE MENTAL HEALTH BOARD BEHAVIOR
OUT FOR SINCE NINETEEN EIGHTY
SIX OFTEN I LOOK TO YOU.
CAMPS BUT AND ALSO BEEN CHAIR OF
THE BEHAVIORAL HEALTH --
IN SANTA CLARA COUNTY AND I WORK
WITH THAT JIM BELL QUITE A BIT.
I I WOULD AGREE WITH YOU --
CHIP.
THE CHAIRPERSON HERE AND I WOULD
SAY.
THE WE WE NEED TO DO MORE WORK
BECAUSE YOU'VE GOT TO MAKE THAT
THE BELLE ISLE SERVICE.
IS --
OVERSIGHT AND ACCOUNTABILITY
MORE RESPONSIBLE IN.
IN SEEING THAT THINGS GET DONE
AND I A IT TO CREATE A NEW.
NEW --
COMMISSION WOULD.
I DON'T KOW IF IT WOULD BE
LEGAL.
ACTUALLY BECAUSE IT'S UNDER
UNDER THE DEPARTMENT OF MENTAL
HEALTH AND THROUGHOUT THE STATE
SO.
I THINK THIS IS IT'S A DIFFICULT
DECISION ALTHOUGH --
I'VE WORKED WITH SERVICE PHONE
AND I'M AFRAID I'M NOT GOING TO
HAVE TO AGREE WITH.
WITH THIS THIS PROPOSAL WE HAVE
A HEARING SUCH AS THIS IT'S NOT
TO THE BASICALLY DISAPPOINT TO
FRUSTRATE PEOPLE BUT YOU KNOW
POINT OUT.
ON THAT WE AGREE FUNDAMENTALLY
WITH THE ISSUE AND WE WE
FUNDAMENTALLY WITH THE APPROACH
TO RESOLVING AN ISSUE BUT THAT
WE WOULD PREFER TO FINE TUNE AND
IMPROVE UPON SO THAT IT'S A MORE
COMPETITIVE PROPOSAL WITH A
HIGHER PROBABILITY OF SUCCESS.
ON SO --
THAT BEING SAID I'M I'M WILLING
TO ENTERTAIN A MOTION TO PROCEED
CENTER LOPEZ.
ALL RIGHT SECOND FROM CENTER --
FOR TO CALL THE ROLL CALL PLEASE.
ON A P. THIRTEEN MENTAL HEALTH
SERVICES FOR SENIORS MOTION DO
PASSWORD.
MAY WOULD NAME --
YAMA THE LOCAL YEAH MY NAME.
FORETELL.
YES FORETELL I FULLER.
FULLER NAY.
KAGAN [inaudible]
LOPEZ.
LOPEZ MAY WALKER.
WALKER NEE WHAT WILDER
[inaudible]
WILDER NAY.
ALL RIGHT THANK YOU VERY MUCH
ASSEMBLYWOMAN ARM.
I APOLOGIZE THAT WERE NOT ABLE
TO MOVE FORWARD WITH THAT AT
THIS DATE.
THAT WOULD BE EXCELLENT AND I
ADVISE YOU THAT I AM MORE THAN
WILLING TO BACK UP ON MY
COMMENTS WITH ASSISTANCE FROM
AND I WOULD ENCOURAGE US TO MOVE
FORWARD WITH COLLABORATING WITH
FROM A SISTER AGENCIES.
SAY SOMETHING YES SIR.
YEAH.
YOU KNOW.
WE'RE NOT EXPECTED AS SO TO
DRILL DOWN AND HAVE ALL THE
DETAILED KNOWLEDGE OF EVERY
SUBJECT THESE ARE PROPOSALS WE
TAKE THEM TO LEGISLATORS.
AND THEN THEIR STAFF AND THE
LEGISLATOR HIMSELF OR HERSELF
REFINE THEM.
WE ARE JUST A PROPOSAL MAKING
BODY AND WE CAN'T EXPECT OF THE
DETAIL THAT THEY'RE CHOOSING TO
DEMAND.
A GERMAN WORD --
I'M SORRY IF I'M COMING ACROSS
AS BEING OVERLY DEMANDING I
THINK THAT WE HAVE A PROBLEM
WITH OUR PROCEDURE BECAUSE THIS
ARRIVES TO US TODAY WITHOUT A
POSSIBILITY OF AMENDMENT.
HAD WE HAVE POTENTIAL TO AMEND
HAD I BEEN ABLE TO SHARE IT WITH
THE POTENTIAL FOR AMENDMENT THAT
WOULD THAT WOULD HAVE BEEN A
DIFFERENT CASE ALSO QUITE
HONESTLY SENATOR.
ON MY INTENT IS TO SUPPORT THE
ASSEMBLY WOMAN AND TO SUPPORT
THIS AGENDA BUT TO PRESENT A
BILL THAT IS BASICALLY A PIECE
OF DRAFT LEGISLATION ALREADY IN
HAND --
THAT'S A A WELL CRAFTED PIECE OF
PROPOSED LEGISLATION THAT HAS
SIGNIFICANT SUPPORT SO I OPPOSE
I SUPPOSE MAYBE WE'RE GONNA HAVE
TO AGREE TO DISAGREE ALTHOUGH I
DO TAKE YOUR COMMENT AND
APPRECIATE IT.
I THINK IT MAY NOT BE AWARE BUT
EVERYTHING EVERY PROPOSAL.
THIS BODY BRINGS TO THE STATE
LEGISLATURE [inaudible]
GETS.
SO REGURGITATED AND SO CHANGED
AROUND.
THAT IF YOU WERE TO PROVIDE THE
DETAIL AND ALL OF THE THINGS
YOU'VE PROVIDED --
IT IT IT WOULD BE --
OVERWHELMING AND IT WOULDN'T
HAPPEN ANYWAY BECAUSE WE'RE HAVE
TO CONFORM TO WHAT THE
LEGISLATOR IN HIS OR HER STAFF --
DO WITH THESE THINGS THAT'S WHY
ICE.
FALL BACK ON THIS IDEA OF THAT --
WE CAN CRAFT THINGS TO THE LAST
DETAIL.
BUT I DON'T THINK THAT A THAT
THAT'S WHY WE'RE HERE --
TO REALLY RIGHT BILLS WERE HERE.
THAT'S ALL I HAVE TO SAY I THINK
YOU APPRECIATE YOUR COMMENT
SENATE OFFICE.
YEAH I AM I'M EXTREMELY FAMILIAR
WITH THE LIFE CYCLE OF A BILL
AND THE FIRST UP FROM HEAT FROM
HERE WITH OUR PROPOSALS IS TO
HAVE SOMEONE BUY INTO IT SO HE
CAN GET TO THE LEGISLATURE SO I
THINK OUR PURPOSE IS NOT TO
WRITE A PERFECT BILL.
BUT TO WRITE A PROPOSAL THAT IS
AGREEABLE AND ACCEPTABLE BY.
A LEGISLATOR THAT WILL CARRY
THAT BILL BECAUSE UNLESS WE GET
THERE.
IT'S NOT GOING ANYWHERE.
SO ARM SENATOR I I'M NOT GONNA
ARGUE THE LAST WORD I THINK IF
YOU KNOW OF SENIORITY OVER ME
AND SIGNIFICANT MATURITY WITHIN
YOUR ORGANIZATION I THINK ON
WHAT WHAT WE WOULD HOPE TO DO IS
MAYBE REVIEW THESE ISSUES WITHIN
THE J. R. C. AND EVEN THE LEAD
COUNSEL.
IN TERMS OF LIKE --
WHAT IS THE WHAT IS THE STATUS
OF A PROPOSAL ON HOW DO WE MAKE
A COME UP COMPETITIVE PROPOSAL
HOMEWORK AS BEST WE CAN
CERTAINLY SUPPORT OUR COLLEAGUES
AS THEY WORK VERY HARD?
PROPOSING ON IN IN OUR OUR
LISTENING TO THE PROPOSALS.
THAT BEING SAID --
MOVE ON TO ANA.
ASSEMBLYWOMAN GOLD --
A. F. P. NUMBER TWO WHICH IS ON
PAGE FORTY THREE OF YOUR BINDER
[inaudible]
THANK YOU.
I'M JUST SICK TO ADD FOR A
SECOND ABOUT YOUR DISCUSSION
LEDGE COUNCIL.
WITH MY PROPOSALS ALWAYS CALLS
ME AND WE ALWAYS TALK ABOUT
THEIR IDEAS AND HOW THEY CAN
CHANGE THINGS TO MAKE IT MORE.
LIKE A PROPOSAL IT'S GOING TO
PASS SO WE DO HAVE THAT YOU KNOW
WE DO HAVE THEIR HELP AND THEY
DO HELP A LOT SO --
I AM MARSHA GOLD I'M FROM PSA
TWENTY FIVE AND I HAVE TWO
PROPOSALS FOR USE IT WHEN I'M
FINISHED HERE FINISHED I THINK
THESE ARE THE LAST --
TWO THE FIRST ONE THAT YOU
WANTED ME TO TALK ABOUT HAD TO
DO WITH.
GRAB BARS IN I THINK THIS IS THE
THIRD PROPOSAL WERE HAVING
DURING THIS THIS TIME THAT HAS
TO DO WITH THE GRAB BARS.
MY PROPOSAL SPECIFICALLY.
IS A FEDERAL PROPOSAL AND IT HAS
TO DO WITH MEDIC HERE AND I NEED
YOUR HELP.
SO THAT WE CAN GET A LEGISLATOR
FROM THE STATE OF CALIFORNIA TO
PASS IT ON TO TO THE FEDERAL
GOVERNMENT.
BASICALLY --
GRAHAM WHICH HELP SENIORS IN
WHICH HELPS PEOPLE THAT ARE
DISABLED WE KNOW PRETTY MUCH
WHAT MEDICARE IS --
GRAB BARS.
I AM TOLD.
DO NOT FIT IN. TO DURABLE
MEDICAL EQUIPMENT ACCORDING TO
MEDICARE.
SOUL I HAVE ALL THE DEFINITIONS
HERE FOR YOU.
ALONG WITH SOME SPECIFIC NUMBERS
THAT YOU NEED TO KNOW.
FIRST OF ALL --
MET AS I SAID MEDICARE DOESN'T
COVER THIS BECAUSE IT SAYS IT'S
NOT DURABLE MEDICAL EQUIPMENT SO
LET'S GO THROUGH THIS NUMBER.
ONE THEY CAN WITHSTAND REPEATED
USE DO A GREAT.
THAT GRAB BARS OKAY NUMBER TWO
THEY HAVE AN EXPECTED LIFE OF AT
LEAST THREE YEARS.
WE SAY YES TO THAT.
THEY ARE PRIMARILY IN
CUSTOMARILY USE OF THIS IS PART
CUSTOMARILY USED OUGHT TO SERVE
A MEDICAL PURPOSE.
FALLS OR MEDICAL PURPOSE.
AND NUMBER FOUR THEY'RE
GENERALLY NOT USEFUL TO AN
INDIVIDUAL WHO DOES NOT HAVE AN
INJURY OR ILLNESS.
AND SO THIS IS FOR PEOPLE THAT
NEED TO HAVE THIS THESE ARE.
THAT'S ANOTHER REASON WE
CONSIDER THEM DURABLE METAL --
DURABLE MEDICAL EQUIPMENT AND
THE LAST ONE SAYS THEY ARE
APPROPRIATE FOR USE IN THE HOME.
SO CAN WE ARGUE WITH ANY OF
THESE FIVE THINGS TO KNOW SO
THAT'S MY WHOLE IDEA HERE.
THEN I WANT TO GIVE YOU SOME
NUMBERS THAT GO WITH THIS --
I'VE DONE A LOT OF RESEARCH ON
THIS AND HAVE A LOT OF NUMBERS
AND I'LL JUST PASS ON A COUPLE
IN TWO THOUSAND FOURTEEN THAT'S
A FEW YEARS AGO [inaudible]
TWENTY H. ONE MINUTE --
TWENTY EIGHT POINT 7% OF OLDER
OF OLDER AMERICANS EXPERIENCED.
TWENTY NINE MILLION FALLS. ONE
YEAR. TWENTY TIME TWENTY FIVE
TWENTY NINE MILLION FALLS.
AND ACCORDING TO THE SAME
INFORMATION --
THIS IS FROM THE MORE MORBIDITY
AND MORTALITY WEEKLY REPORT.
THAT --
TWENTY EIGHT MILLION TWENTY TWO
POINT EIGHT MILLION EMERGENCY
DEPARTMENT VISITS. EIGHT HUNDRED
THOUSAND HOSPITALIZATIONS AND
TWENTY SEVEN MILLION DEATHS.
SO HOW ARE WE GOING TO SOLVE
SOME OF THESE PROBLEMS WITH
FALSE THIS ALL HAS TO DO WITH
FALLS WE PUT GRAB BARS.
INTO BATHROOMS [inaudible] FOR
SENIORS.
ON AND WE WANT MEDICARE TO PAY
FOR IT THAT'S THE WHOLE REASON
THAT WE'RE DOING THIS --
ACCORDING TO THE SAME REPORT
INJURIES DUE TO FALLS CLASS
MEDIC HERE AN ESTIMATED THIRTY
ONE POINT THREE BILLION DOLLARS.
OKAY WE DON'T WANT THAT WE WANT
MEDICARE TO BE ABLE TO USE THEIR
MONEY FOR THINGS LIKE GRAB BARS.
TO REDUCE THE COST THAT THEY
HAVE TO PAY OUT FOR INJURIES.
ON IT SAYS HERE INJURIES GETTING
ON AND OFF THE TOILET ARE QUITE
HIGH IN PEOPLE WHO ARE OVER
SIXTY FIVE IN CASE YOU DIDN'T
KNOW THAT --
SLIPPERY FLOORS --
IN BATHROOMS ON I'M JUST TRYING
TO GO THROUGH SOME OF THESE
OTHER THINGS.
OKAY WE'VE TALKED ABOUT THAT SO
BASICALLY WHAT I'M SAYING IS
THAT WE WOULD LIKE MEDICARE TO
PAY FOR GRAB BARS IN THE HOMES
OF SENIORS. ONE OF THE THE
AMENDMENT THAT CAME FROM THE
ASSEMBLY COMMITTEE WAS THAT THEY
WANTED TO HAVE INCLUDED IN THIS
AND YOU PROBABLY HAVE THAT TODAY --
PROPER INSTALLATION.
I DID NOT INCLUDE INSTALLATION I
GUESS I WAS ASSUMING THAT IF
THEY'RE GOING.
TO GIVE A GRAB BARS TO PEOPLE IN
THEIR HOMES THEY DON'T EXPECT
THEM TO LOOK AT THEM SO WE HAD
TO PUT IT.
THAT THEY WOULD BE INSTALLED
DOES ANYBODY HAVE ANY QUESTIONS
FOR ME.
YES SENATOR KAGAN NOW.
YES SENATOR WILDER [inaudible]
WELDER.
FEW THINGS YES NUMBER ONE YOU
MIGHT WANT TO REFERENCE WHEN
YOU'RE TRYING TO SELL THIS BILL
WITH.
A DECK.
THE AMERICANS WITH DISABILITIES
ACCESS GUIDELINES.
A THAT'S WHERE YOU GET THE
STANDARDS FOR PROPER
INSTALLATION OKAY EIGHTY EIGHT
G..
YOU COULD FIND IT --
TWENTY EIGHT CFR PART.
THIRTY SIX OF THE ABA IN THE
BACK OF THE REGULATION AND ALSO
YOU MAY WANT TO FIND THE CURRENT
STATISTICS.
IN THE TWO THOUSAND CENSUS FROM
PEOPLE OVER AGE SIXTY FIVE WITH
THE STATE FORTY TWO POINT 2% HAD
A DISABILITY.
OKAY I KNOW IT'S UP IN.
TWO THOUSAND TWO BUT I HAVEN'T
BEEN ABLE TO FIND.
WITH MY EQUIPMENT I CAN'T.
DIG DOWN AGAIN I'M JUST NOT SURE
THAT THEY WERE TALKING ABOUT
DISABILITIES WERE JUST TALKING
ABOUT TO SENIORS IN PARTICULAR.
I UNDERSTAND WHEN YOU'RE SELLING
IT -- TO BUT
MEMBER RIGHT SENATOR.
TALK TO THEM ABOUT HOW I'M GONNA
TEEN YEARS ALREADY HAVE
DISABILITIES AND I'M GOING TO
SINCE I'M ON THE LEGISLATIVE
COMMITTEE DEFINITELY I'M GONNA
TALK TO YOU THIS I'LL BE TALKING
TO THE LEGISLATORS THANK YOU
VERY MUCH.
THERMAL CAM --
I'D LIKE TO SAY I I ONE HUNDRED
AND 20% SUPPORT YOU THANK YOU --
I YOU KNOW.
WHEN I SEE PEOPLE RUNNING DOWN
THE STAIRS [inaudible]
THANKS --
YOU KNOW I THINK THAT I HAVE TO
HAND HANG ON TO AND RAILS AS I
THE WAY THAT DID NOT PASS AGAIN
THIS YEAR YEAH.
I WAS WONDERING THE QUESTION I
HAVE IS WHAT THE GOVERNOR BROWN
SAY WHEN HE VETOED.
YOUR LAST --
HE'S NEVER IT'S NEVER GOTTEN I
THOUGHT IT WITH THIS NEW.
OKAY SO IS NOT GOTTEN TO THE
GOVERNOR I'M STILL WAITING FOR A
FEDERAL LEGISLATORS. TO ME ABOUT.
YOU HAVE MY SUPPORT THANK YOU
VERY MUCH UNDERTAKEN
[inaudible]
THANK YOU.
I THINK TWO MONTHS AGO PERHAPS I
WOULD HAVE MY DOUBTS BUT AS
BEING THE VICTIM OF THE FALL IN
THE BATHTUB LAST MONTH.
I COULDN'T AGREE WITH YOU MORE
YOU HAVE 1100% OF MY BANKING
WITH DANCING YES I HAVE SO MANY
FRIENDS WHO HAVE FALLEN.
AND THEY HAVE SINCE GOTTEN GRAB
BARS I WAS GIVEN MINE BUT I HAD
TO PAY TO HAVE IT INSTALLED.
IN A MEDICARE COVERS THAT I IT
IS MY BELIEF THAT THEY WILL TAKE
CARE OF THAT AND LOOK AT ALL THE
MONEY THEY'RE GOING TO SAVE FROM
HAVING PEOPLE IN HOSPITALS AND
OTHER PLACES BECAUSE THEY FALL
IN.
IT I WAS VERY SURPRISED AT THE
HOTEL THE UPPER ACT DID NOT HAVE
GRAB BARS INTERESTING POINTS.
TO YET THEY PUT HERE THEY
PROBABLY HAVE A CERTAIN ROOMS-THAT HAVE THEM BUT YOU HAVE TO
ASK FOR THE THREE ROOMS THE
ARTISTS IN THE WHOLE PLACE WE
ROOMS OKAY I MIGHT JUST ADD TO
THIS VERY QUICKLY THEN AND THE
LOS ANGELES TIMES IN SEPTEMBER
THERE WAS A SHORT.
TALKS ABOUT POTENTIAL LIFE
SUPPORT --
STYLES OF LIFE SUPPORT AND IT
GOES ON AND ON AND IT SAYS
DELIVERED TO THE HOME
TRANSPORTATION TO THE DOCTOR'S
OFFICE AND EVEN SAFETY FEATURES
IN THE HOME.
SUCH AS BATHROOM GRAB BARS.
SO THEY ARE THINKING ABOUT IT
AND AS LONG AS THEY'RE THINKING
ABOUT AND IF WE CAN ACTUALLY
PUSH THIS THROUGH I THINK WE'VE
GOT A MINUTE [inaudible]
UNDER WATER.
SOMETHING ELSE TO THINK ABOUT.
I'VE GOT A NONPROFIT IN DECEMBER
IN ACCOUNTING USED TO INSTALL
GRAB BARS OKAY --
AROUND THE TOILET AND SHOWER.
IT WOULD COST US LESS THAN THREE
HUNDRED DOLLARS. TO BUY THE GRAB
BARS IN HAVE THEM INSTALLED.
THEM DOLE COST COMPARISON IN MY
WERE FREE AND IT COST ME FIFTY
DOLLARS RIGHT BUT IF MEDICARE
PAID FORUM YEP.
WE'RE TALKING THREE TO FOUR
HUNDRED DOLLARS PER UNIT.
HER HOUSE OKAY COULD STALL TO
BUY THEM IN TO INSTALL THEM
THANK COMPARISON TO WATER COST
RECOVER FROM A FALL.
WELL LOOKS LIKE IT'S PRETTY
EXPENSIVE. TO TAKE CARE OF MY I
JUST HAVE REMEMBERS WOULD HELP.
OKAY CHILLED PROPOSAL.
NATURAL ENTERTAIN A MOTION. TO
MOVE.
FROM MR WILDER AND MISTER KING
[inaudible]
PLEASE.
ON A IF PETE TO MEDICARE DURABLE
MEDICAL EQUIPMENT WHAT.
ARE WHAT I YAMA I AGREE ALMA I
FORETELL.
PORTAL I FULLER.
FULLER I'D KAGAN ARE KAGAN I'D.
LOPEZ.
LOPEZ I..
WALKER.
WALKER I BOTHER.
WHILE THERE I MOTION PASSES
CONGRATULATIONS AND SOME WOMEN
FEEL THEY CAN --
SINCE WE'RE FORTUNATE ALREADY
HAVE YOU AT THE PODIUM.
IF YOU'D LIKE TO PROCEED WITH.
THE P. EIGHTEEN WHICH IS ON PAGE
THIRTY NINE OF PEOPLE'S BINDERS
IT IS --
BECAUSE OF THIS PROPOSAL.
I'VE RECEIVED AN AWARD THAT ALL
OF YOU SAW THIS YEAR BECAUSE IT
WAS THE NUMBER ONE PROPOSAL LAST
YEAR THE YEAR BEFORE THE YEAR
BEFORE THAT SO YOU'RE WONDERING
WHY AND MY BACK HERE.
EVERYONE SUPPORTS THIS I HAVE
THIS FOR THE DEPARTMENT OF
PHARMACY.
THE PHARMACIST --
FOR THEY'VE BEEN TRYING TO DO
THIS FOR A LONG TIME OMBUDSMAN
PROGRAM I HAVE A LETTER HERE
FROM A COMPANY.
THAT I DISCOVERED AND THEY WROTE
A LETTER TO SENIOR LEGISLATURE
SUPPORT FOR PURPOSES OF OF THE
MEDICATION ON LABELS.
AND THEN IT'S A TOTAL I DON'T
HAVE TO READ IT YOU JUST NEED TO
KNOW THAT IT'S IN SUPPORT FROM A
COMPANY CALLED INSTITUTE FOR
SAFE MEDICATION PRACTICES.
IT IS PART OF WHAT'S CONSIDERED
A PATIENT CENTERED LABEL.
AND YET WE DO NOT HAVE THE
PURPOSE OF OUR MEDICATION ON OUR
BOTTLES.
SOME INFORMATION THAT HAS NEVER
BEEN PUBLICIZED IF YOU ASK YOUR
DOCTOR THEY LEGALLY HAVE TO PUT
IT ON IF YOU SAY I WANT THIS
PURPOSE THEY CAN'T SAY NO I'M
NOT GONNA DO IT.
IT IS LEGAL AND THEY HAVE TO PUT
IT ON THAT IS THE WAY THE LAW IS
NOW.
WHAT I AM DOING IS SAYING I
WANTED ON ALL MEDICATION BOTTLES
AND LESS?
THE DOCTOR OR THE PATIENT
DOESN'T WANTED THEIR REASONS OF
PRIVACY I UNDERSTAND THAT I
COVER THIS LEGALLY.
SO I KNOW THAT THIS IS THE WAY
IT COULD DO WITH IT COULD BE
PASSED LEGALLY --
SOMETHING THAT YOU NEED TO THINK
ABOUT FIRST OF ALL YOU CANNOT GO
INTO ANY STORE AND BUY AN OVER
THE COUNTER MEDICATION.
THAT DOESN'T HAVE THE PURPOSE ON
IT.
WHEREVER WE SHOP IT ALWAYS TELLS
YOU WHAT TO DO WITH YOUR
TOOTHPASTE WHAT TO DO WITH IT IN
A PARTICULAR MEDICATION WHY
SHOULD OUR MEDICATIONS.
WHY SHOULD OUR MEDICATIONS BE
ANY LESS SAFE?
THEY SHOULDN'T BE --
IN TWO THOUSAND ONE THE
CALIFORNIA HEALTHCARE FOUNDATION
FOUND THAT MEDICATION ERRORS
REPRESENT THE LARGEST SINGLE
CAUSE OF ERRORS IN HOSPITALS
ACCOUNTING FOR MORE THAN SEVEN
THOUSAND DEATHS ANNUALLY.
THAT WAS.
TWO THOUSAND ONE THERE IS
ADDITIONALLY OCCUR IN THE HOME
OR HEALTHCARE FACILITY AND AN
ESTIMATED FIVE HUNDRED THOUSAND
AMERICANS.
MISINTERPRET.
THEIR LABEL BECAUSE THEY HAVE NO
IDEA WHAT IT'S FOR MY WHOLE IDEA
CAME FROM OPENING A MEDICINE
CABINET IN MY HOME AND SAYING
GEE THESE I'VE BEEN HERE FOR A
WHILE I DON'T REMEMBER WHAT I
TOOK THEM.
THAT'S WHAT GOT ME STARTED WITH
THIS [inaudible]
HI [inaudible]
AND ON SO I STARTED ASKING
PEOPLE THEY SAID THE SAME THING
WE DON'T KNOW WHAT THEY'RE FOR
AND NOW.
I HAVE THREE MEDICATIONS THAT
LOOK VERY VERY SIMILAR.
YEAH I KNOW BUT THERE.
FOR MY DOCTORS PUT THE REASON
I'M THERE BUT I STILL CAN TELL
WHAT THEY'RE FOR WE NEED TO HAVE
THAT WE NEED TO HAVE THIS ON THE
LABEL.
EVERY ORGANIZATION THAT I HAVE
SPOKEN TO ACCEPT.
ONE SAYS THIS IS ABSOLUTELY WHAT
THEY WANT AND MY TWO DOCTORS IN
KAISER.
IN WOODLAND HILLS SAID HAVE
KAISER PAY ME I'M GOING WITH YOU
WHEN YOU GO VISIT LEGISLATORS WE
WANT THIS TO BE AUTOMATIC WE
WANT THIS TO GO WE WILL.
ALL WE HAVE TO DO IS PUT FOUR
AND THE PURPOSE THAT WAS IT --
ME SEE WHAT ELSE I NEED I'M BE
VIGILANT PASSIONATE ABOUT THIS
[inaudible]
OKAY.
SITTETH SIX ILLUSTRATE THE COST
SAVINGS WOULD BE DRAMATIC LOOK
AT ALL THE PEOPLE WOULDN'T END
UP IN HOSPITALS THE PEOPLE THAT
WOULDN'T DIE IF THEY KNEW
EXACTLY WHAT THEY WERE TAKING IT
DOESN'T TOTALLY ELIMINATED.
BUT IT CERTAINLY IS A BIG FACTOR --
LET'S SEE AND ALSO WITH THE
CHECK AND BALANCE BETWEEN THE
DOCTOR AND THE PHARMACIST.
IF THE PHARMACIST HAS A QUESTION
NOT EVERYBODY DOES TYPES THERE.
THERE --
PRESCRIPTION ORDERS SOME PLACES
STILL HAND WRITE THEM.
AND IF THE PHARMACIST NEEDS TO
KNOW WE'VE GOT A WE'VE GOT A
CHECK AND BALANCE HERE --
OKAY I THINK I'VE GIVEN YOU
ENOUGH INFORMATION BUT I'D BE
HAPPY TO ANSWER ANY QUESTIONS
THANK YOU QUESTIONS COMMENTS
CENTER POLE.
I HAVE A QUESTION --
PULL OR HAS THE FORCE FOR OWN.
AS THINK.
AGAIN I COMMEND YOU I DO HAVE A
COUPLE QUESTIONS AND AND A
COMMENT.
HAVING BEEN IN NAM OMBUDSMAN IN
A MEDICAL FACILITY.
I A MAY I ASSUME THAT YOU DID
YOUR DO DO YOU HAVE A CHANCE
WITH HIPAA COMPLIANCE YES IN THE
AMENDMENT PROGRAM IS ONE OF THE
PROGRAMS IS FULLY BACKING ABBAS
ARE REALLY GOOD GIRL YOU DID
YOUR AND SOMETHING THAT I MAY
ADD TO YOU.
ARE YOUR BENEFIT.
IT WOULD BE VERY BENEFICIAL AND
THAT I DO IN HOME CARE.
AND IF I HAVE A BRAND NEW
PATIENT.
IT WOULD HELP EDUCATE ME AS TO
WHAT 'M GIVING THE MEDICATION
FOR AND I DIDN'T MENTION THAT
THAT IS ONE OF THE OBVIOUSLY IN
AN ASSISTED CARE IN HOSPITALS
AND THINGS WHERE PEOPLE DON'T
NORMALLY MEMBERS YES.
YOU KNOW IF YOUR CHILDREN COME
IN AND YOU CAN HELP YOU WERE
SENT THE SOUND RIGHT THAT'S MY
TWO CENTS.
THURBER TELL YOUR QUESTION OR
COMMENT.
THE MARCIA --
I NOTICED UP PROPOSALS BEEN.
AND I'VE HAD A LOT OF BY THE WAY
LEGISLATORS THAT HAD BEEN
INTERESTED IN IT AND IF YOU
REALLY WANT TO KNOW WHY IT'S NOT
PASSING I'LL TELL YOU BUT I'M
NOT SURE IF THAT'S GOOD FOR ME
AND NOT --
THAT THAT WAS MY QUESTION BUT
THAT'S A GOOD ONE TO ANSWER ALSO
BUT MY QUESTION WAS --
HOW HAS THIS BILL BEEN TWEAKED
COMPARED WITH A RECENT YEARS I
GO OVER I GO OVER ALL THE NEW
INFORMATION EVERY YEAR TO ALL OF
THESE PLACES THAT I'VE GOT MY
OTHER INFORMATION AND THEN THE
LEDGE?
I TALKED THE LEDGE COUNCIL AND
THEY HAVE EVEN MORE INFORMATION
SO BETWEEN WHAT I HAVE NEW WITH
THEY HAVE NO WE PUT IT TOGETHER
SO THAT EVERY TIME I BROUGHT
THIS UP IT HAS THE NEWEST
INFORMATION.
OKAY I DID I JUST WONDER WHAT
WOULD BE AN EXAMPLE OF THAT --
ONLY GOSH SOME OF THE NEWER
YEARS TIME SYSTEM TWO THOUSAND
ONE OF THAT SO MUCH HERE.
ACTUALLY IT HAS TO DO WITH THE
NUMBER OF OF OF PEOPLE WHO DIE
BECAUSE I'M NOT TAKEN THE RIGHT
MEDICATION OKAY.
THERMAL CAMERA.
I SUPPORT YOU BUILD BUT THERE'S
A WHOLE SLEW OF OTHER.
MANY PEOPLE GO TO NATURAL
PASSING HOMEOPATHS AND THEY GET
SUPPLEMENTS EIGHT AND IT WOULD
BE GOOD IF THAT COVERED ON THE
SUPPLEMENTS AS WELL THAT THEY
TAKE BECAUSE SOMETIMES THEY
INTERACT WITH.
WITH THE PRESCRIBE MEDICATIONS
AND YOU KNOW YOU WHICH IS SEVEN
ALL CERTAINLY CONSIDER THAT IF I
WOULD THINK THAT THAT WILL BE
BECAUSE HE IS A NEW GENERATION
IS GOING THROUGH OUT.
THAT ARE LEAVING THE MEDICAL.
COMMUNITY AND I'D HAVE TO LOOK
THAT COVERS DOCTORS AND SURGEONS
AND REGULAR MEDICINE OKAY. FOR
THIS MAN CENTRAL OFFICE.
JUST A COMMENT --
AN ADDITIONAL REASON THAT THIS
IS SUCH A GREAT IDEA IS --
I MY OWN MOTHER AS WELL AS MANY
OTHER PEOPLE THAT I HAVE --
TREATED I MEAN --
T. --
CONTINUE TO TAKE MEDICATIONS.
THAT THEY DON'T NEED ANYMORE
BECAUSE THEY DON'T KNOW WHY
THEY'RE TAKING THEM THEY PUT
THEM IN THEIR LITTLE PILLBOX
EVERY SINGLE DAY [inaudible]
AND THE THE CONDITION FOR WHICH
IT WAS PRESCRIBED IS IS NO
LONGER VALID AND THAT'S ANOTHER
REALLY GOOD REASON TO DO THIS
BECAUSE YOU CAN LOOK AT YOUR
BOTTLE AND SAY.
OH I DON'T HAVE THAT ISSUE
ANYMORE AND THEN YOU'RE NOT
GONNA TAKE IT THEY JUST KEEP
TAKING AND TAKING AND TAKE THAT
THAT IS TRUE THANK YOU.
YES SIR CENTER WALKER.
THANK YOU HAVE.
AS I UNDERSTAND IS THE REASON
WHY.
THIS ISN'T ON THE LABEL IS
BECAUSE OF POSITION.
DIDN'T PUT ON THE PRESCRIPTION
THE PHARMACISTS ARE NOT ALLOWED
TO ADD ANYTHING THAT THE DOCTOR
DOESN'T RIGHT.
SO WHEN MY CURRENT SO ARE YOU.
SHOWS SO.
HAVE HAVE YOU --
THE WHOEVER TAKES CARE OF
DOCTORS.
THAT THAT ORGANIZATION ARE THEY
IN FAVOR OF AN ENGINE THAT.
HOW INTERESTING YOU MENTION THAT?
THAT IS THAT IS MY PROBLEM.
AND I'M NOT SURE HOW TO DEAL
WITH IT ALTHOUGH I DO HAVE A
SENATOR THAT LOOKS LIKE SHE MAY
PICK IT UP.
THE CALIFORNIA MEDICAL
ASSOCIATION.
SAID TO ME AND I WENT TO IN THE
SACRAMENTO TO THEIR OFFICE WHY
AREN'T YOU PASSING THIS PEOPLE
ARE DYING.
AND HE SAID AND I SAY THIS.
VERBATIM. TO TO TO MUCH WORK FOR
A DOCTOR'S.
SO I SAID REALLY.
AND SO I PASS THIS ON TO MY
DOCTORS AT KAISER IN THESE THAT
ARE YOU CAN COME IN HERE I WANT
SO IF I DO THAT.
COME WITH ME I HAVE TWO DOCTORS
THAT SAID IF THE IF KAISER WOULD
PAY THEN THEY COME WITH ME WHEN
I GO SEE LEGISLATORS BECAUSE
THEY ARE SO MUCH FOR THIS THEYJUST FEEL.
THAT IT WILL SOLVE A LOT OF
PROBLEMS.
SO THAT'S IT THAT'S WHAT I'M
FIGHTING LAST YEAR I SENT IT TO
THEM EARLY.
I WANT YOU TO GO THROUGH THIS
TELL ME WHAT YOU DON'T LIKE.
LET'S GET TOGETHER LET'S TALK
ABOUT IT AND SEE IF WE CAN
CHANGE IT.
SO I CALLED THREE WEEKS BEFORE
LAST YEAR'S SESSION OVER STILL
WORKING ON IT.
THEN I CALLED A FEW DAYS LATER
WELL I'M SORRY THEY'RE STILL
WORKING ON IT AND OF COURSE THEY
NEVER EVER GOT BACK TO ME.
SO THAT IS WHERE I AM AT THIS
POINT AND THAT'S WHY WITH THIS
ONE SENATOR.
THAT IS WORKING ON THIS I
BELIEVE SHE'LL BE ABLE TO HANDLE
IT SO JUST AS AN EXAMPLE FAMA
POSITION MIGHT PRESCRIBE BAMBI
AND BLAH BLAH BLAH YOU KNOW FOR
INSOMNIA.
AND YOUR RECOMMENDATION IS THAT
SOMEWHERE ON IN CAPITAL LETTERS
SLEEP THAT KAISER DOES DO THAT
BY THE WAY CROSS SLEEP IN PAIN
ALREADY GONE TO THEIR LABELS ARE.
THERE ANY OTHER QUESTIONS OR
COMMENT.
RIGHT TO THE CHAIR WILL
ENTERTAIN A MOTION YOU HAVE ANY
QUESTIONS I WOULD LIKE TO ANSWER
THEM.
MARCH SENATOR KAGAN MOVES AND
SECOND FROM CENTER WALKER.
ON A P. EIGHTEEN LABELING OF
PRESCRIPTION DRUGS MOTIONS TO
PASSWORD BY WHAT I MOKRI ALMA I
YAMA I BOARD TELL.
FORETELL.
FULLER.
HI FULLER III KAGAN.
KAGAN I GLOBUS.
LOPEZ I. WALKER.
WALKER I WALTER.
WALTER I THE QUESTION FOR YOU
THIS MA'AM CONGRATULATIONS IT'S
PAST THANK YOU YOU SAID DO PAS.
WHAT HAPPENED A CONSENT WHEN
EVERYBODY?
THERE'S NO NEGATIVES.
AND THERE IS.
CONSENT AS WELL THERE'S NO
NEGATIVES AND WE'RE NOT ADDING
ANYTHING DO PASS MEANS THERE'S
BEEN NEGATIVE DISCUSSION BUT
WE'RE STILL PASSING.
AND THEN I'LL TAKE IT EITHER WAY
BUT THAT.
ALL RIGHT SO I'VE BEEN ADVISED
THAT --
QUOTE WE DO THINGS A LITTLE
DIFFERENT --
BUT IT WILL BE FORWARDED --
WITH AND SO.
VERY MUCH AND I BELIEVE I'M THE
LAST PERSON SOME GET NOT HERE
FOR YOU YES MA'AM THANK YOU VERY
MUCH YOU ALL OF YOU I REALLY
APPRECIATE IT.
THANK YOU COMMITTEE MEMBERS --
AND WE WILL BE CONVENING MOM IN
THE GENERAL SESSION.
THE COUPLE HOURS SO