THE SENATE BUDGET SUB COMMITTEE
NUMBER THREE ON HEALTH AND HUMAN
SERVICES WILL COME TO ORDER A
GOOD MORNING EVERYONE THE SENATE
CONTINUES TO WELCOME THE PUBLIC
IN PERSON AND VIA THE
TELECONFERENCE ORVIS FOR PUBLIC
COMMENT WE ARE HOLDER COMMITTEE
HEARINGS HERE IN THE TEN TWENTY
ONE ALL THREE BILL DEAN I ASK
ALL MEMBERS OF THE SUBCOMMITTEE
TO PRESENT IMPROVE TWELVE
HUNDRED. BEFORE WE BEGIN OUR
HEARING AS WE BEGIN OUR FIRST
SUB THREE HEARING AND IT IS A
COMPLETE HONORED TO WELCOME
EVERYONE TO THE START OF OUR SUB
THREE HEARINGS YOU KNOW OUR
STATE HAS BEEN FACING AN OVERALL
SOCIAL SERVICES CRISIS WHETHER
IT BE OUR BEHAVIOR AND MENTAL
HEALTH CRISIS OUR ACCESS OR LACK
THEREOF TO AFFORDABLE HEALTH
CARE OR DEPLETED WORKFORCE IN
THESE SECTORS. IT WILL BE MY
INTENT- THROUGHOUT THESE
HEARINGS TO DIVE INTO HOW OUR
PREVIOUS INVESTMENTS HOWEVER
HAVE NOT MADE A DIFFERENCE IN
ADDRESSING THESE ISSUES. GIVEN
THAT WE ARE NOT IN THE SAME
FINANCIAL POSITION AS WE WERE IN
THE PAST COUPLE OF YEARS I WANNA
ENSURE THAT ON TOP OF PROTECT
YOU KNOW PROGRESS PROGRESS WE
ARE HOLDING NEXT ACCOUNTABLE
THOSE WHO WERE TASKED WITH
IMPLEMENTING. SOLUTIONS. WE WILL
BE HEARING BUDGET PROPOSALS FROM
FOUR DEPARTMENTS AND AGENCIES
DURING TODAY'S HEARING INCLUDING
THE CALIFORNIA HEALTH AND HUMAN
SERVICES AGENCY THE DEPARTMENT
OF HEALTH CARE ACCESS
INFORMATION. THE DEPARTMENT OF
MANAGED HEALTH CARE AND COVERED
CALIFORNIA BEFORE WE HEAR
PRESENTATIONS ON THESE PROPOSALS
WE WILL HAVE AN OVERSIGHT ITEM
ON THE OFFICE OF YOUTH AND
COMMUNITY RESTORATION. BEFORE WE
M. NOW LET'S ESTABLISH A QUORUM
CONSULTING PLEASE CALL THE ROLL
. SENATORS MENJIVAR HERE.
MENDHAR HERE. EGGMAN GROWTH.
GROWTH HERE ROSTER ROTH HERE.
GREAT MEINEM MADAM VICE CHAIR I
JUST GAVE SOME REMARKS WHEN TO
SEE IF YOU HAD ANY OPENING
REMARKS ON YOUR END. NO MANAGER
I CAUGHT THE FIRST PART OF YOUR
MARKS MY OFFICE IN THE BALANCE
OF THEM HERE AND I THINK YOU
OUTLINED THE COMMITTEE-
PERFECTLY THANK YOU MA'AM. GREAT
LIKE I MENTIONED THE FIRST ISSUE
ON THE AGENDA IS AN OVERSIGHT
ITEM IN PANEL DISCUSSION
COVERING THE OFFICE OF YOUTH AND
COMMUNITY COMMUNITY RESTORATION.
BACK IN TWENTY TWENTY THE BUDGET
INCLUDED A PLAN TO CLOSE THE
DIVISION OF JUVENILE JUSTICE DJJ
AT THE CALIFORNIA DEPARTMENT OF
CORRECTIONS AND REHABILITATION
AND REALIGN THE JUVENILE JUSTICE
SYSTEM TO THE COUNTIES A PLAN
THAT WE DON'T KNOW WILL BETTER
ADDRESS THE NEEDS OF THIS
POPULATION. DID YOU DJJ WERE
CLOSE IN THE NEXT COUPLE OF
MONTHS PERMANENTLY ON JUNE
THIRTIETH TWENTY TWENTY THREE
AND THE YOUTH REMAINING IN DJ
WILL BE RETURNED TO THEIR HOME
COUNTIES OR COUNTIES WILL BE
RESPONSIBLE FOR CARING FOR
YOUTH. WITH MORE SERIOUS NEEDS
THIS MAJOR TRANSITION ACTUALLY
COMES AT A TIME WHEN MY HOME
COUNTRY L. A. COUNTY IS FACING.
A HUGE CRISIS IN THE JUVENILE
JUSTICE SYSTEM WE'VE HAD REPORTS
OF SEXUAL ABUSE PHYSICAL ABUSE
AND CONDITION SO SUBSTANDARD
THAT THE COUNTY MOVED. ALL OF
THE YOUTH IN ONE SITUATION FROM
ONE JUVENILE HALL TO ANOTHER TO
AVOID A STATE INSPECTION
CREATING A DANGEROUS AND
VOLATILE SITUATION. I DO
RECOGNIZE THAT LA MIGHT BE IN A
UNIQUE PROBLEM. AND WILL BE
LOOKING AT THE WHOLE STATE BUT
THESE ARE THE ISSUES THAT ARE
FRONT AND CENTER. THE WORK OF
ALL Y. C. R. IN PARTNERSHIP WITH
COUNTIES IS CRITICAL TO
REALIZING THE VISION OF THE
JUVENILE JUSTICE REFORM IN THE
WAKE OF THIS MAJOR TRANSITION SO
TODAY WE WILL HEAR FROM THE
JUDGE KATHERINE SETTLE. THE
DIRECTOR OF ALL I SEE ARE
CARRYING PINK THE EXECUTIVE
DIRECTOR OF THE CHIEF PROBATION
OFFICERS OF CALIFORNIA FRANKIE
GOOS MEN SENIOR DIRECTOR FOR
YOUTH JUSTICE WITH THE NATIONAL
CENTER FOR YOUTH LAW. AND
JASMINE TO LOOK FAR AS A YOUTH
ADVOCATE TO BURST. TO DEBATE IN
THIS DISCUSSION. THANK YOU
PARENTS FOR BE PART OF OVERSIGHT
PANEL AND LET'S BEGIN WITH THE
PRESENTATION FROM ME MISS TO
SETTLE. WELCOME A PLEASE PROCEED
. THANK YOU THANK YOU SO MUCH-
MY ASSISTANT WILL BE PUTTING OUT
THE POWER POINT. I DO WANNA
THANK THE HONORABLE COMMITTEE
MEMBERS FOR AN OPPORTUNITY TO
SHARE OUR PROGRESS. WE WERE
ASKED TO GIVE A BRIEF OVERVIEW
OF A Y. C. R. AND THEN SHE
ANSWERED SEVEN SPECIFIC
QUESTIONS. AS YOU ARE WELL AWARE
A Y. C. R. WAS CREATED BY SB
EIGHTY THREE. OR THE CLOSURE OF
THE STATE IS PRESENT AND TO
PROMOTE THE DEVELOPMENTALLY
APPROPRIATE TRAUMA INFORMED CARE
OF YOUNG PEOPLE. WHO HAVE
COMMITTED SERIOUS LAW
VIOLATIONS. SINCE THE FIRST HALF
WERE HIRED ABOUT A YEAR AGO A Y.
C. R. HAS WORKED DILIGENTLY TO
CARRY OUT THIS MISSION- I SEE
ARE IS BUILDING OUT ITS TEAM AND
AS HIRE CHIEFS FOR THE RESEARCH
AND DATA DIVISION THE TECHNICAL
ASSISTANCE DIVISION. ANY
OMBUDSPERSON DIVISION AMONG
OTHER STAFF. OF TWENTY EIGHT
AUTHORIZED POSITIONS WE HAVE
FILLED FOURTEEN OF THOSE
POSITIONS. WE HAVE FOURTEEN
VACANCIES WITH NINE ACTIVE
RECRUITMENTS. I AND MY TEAM MEET
REGULARLY WITH BROAD USE JUSTICE
COMMUNITY. INCLUDING YOUNG
PEOPLE WITH LIVED EXPERIENCE
FAMILIES PROBATION AND COMMUNITY
BASED ORGANIZATIONS. YES
ADVOCATES EDUCATORS BEHAVIORAL
HEALTH PROFESSIONALS. TRIBAL
REPRESENTATIVES AND TRIBAL COURT
JUDGES. STATE COURT JUDGES
DEFENDERS DISTRICT ATTORNEYS AND
OTHERS. OVER THE PAST YEAR WE
HAVE HAD OVER TWO HUNDRED
MEETINGS AND MORE THAN THIRTY
FOUR SITE VISITS TO THE THIRTY
FIVE SECURE USE TREATMENT
FACILITIES THAT HAVE EMERGED.
AND WE HAVE HELD THREE COMMUNITY
LISTENING SESSIONS. WE ARE ALSO
WORKING WITHIN STATE AGENCIES TO
BREAK DOWN SILOS FOR EXAMPLE WE
ARE COLLABORATING WITH PARTNERS
ACROSS THE HEALTH AGENCY OF
WHICH WE ARE LOCATED TO ELEVATE
THE RESOURCES AVAILABLE AND
NEEDED. THAT ARE IMPORTANT TO
JUSTICE INVOLVED YOU. I'VE ALSO
REQUESTED THAT THE CHILD WELFARE
COUNCIL CREATE A YOUTH JUSTICE
STANDING COMMITTEE TO TAKE OVER
THE WORK OF THE O. Y. C. R.
COMMITTEE. WHEN IT SUNSET ON
JULY ONE TWENTY TWENTY THREE. IT
IS CRITICAL FOR THE NEEDS OF THE
JUSTICE SYSTEM INVOLVED YOUTH TO
BE REPRESENTED IN ALL OUR STATE
AGENCY DISCUSSIONS. THAT I'M
INVOLVED FAMILY CHILDREN AND
YOUTH SERVING SYSTEMS. WITH
REGARD TO THE COUNTY PLANS AS
DESCRIBED IN THE BACKGROUND IT'S
AERIALS IN TWENTY TWENTY TWO OH
I SEE ARE REQUESTED REVISIONS TO
PLANS AND IMPROVE THEM ALL. THE
PLANS AND- I SEE OUR SUMMARY OF
THE PLANS ARE AVAILABLE ON OUR
WEB PAGE. THIS YEAR- I SEE ARE
IS OFFERING TECHNICAL ASSISTANCE
TO COUNTIES AND DEVELOPING THEIR
PLANS PARTICULARLY AROUND DATA.
AND OUTCOMES RETAINING USE IN
THE JUVENILE JUSTICE SYSTEM AND
AVOIDING TRANSFERRED TO ADULT
COURT. AND CULTURALLY HONORING
PROGRAM. PLANS ARE DUE ON A ONE
COUNTIES ARE NOT REQUIRED TO
UPDATE THEIR PLANS THIS YEAR BUT
WE ANTICIPATE THAT A NUMBER OF
COUNTIES WILL DO SO. AS
IMPROVEMENTS TO COUNTY PROGRAMS
AND FACILITIES CONTINUE TO BE
DEVELOPED AS WE SPEAK. WE MUST
REMEMBER THAT EACH CHIEF MUST
GET SIGN OFF AND APPROVAL FROM A
MYRIAD OF PEOPLE AND COUNTY AND
STATE GOVERNMENT. PRIOR TO FOR
EXAMPLE CHANGING AROUND
CONSTELLATION BUILDING A NEW
FENCE THAT IS LESS INSTITUTIONAL
OR INSTALLING A NEW TEMPORARY
BUILDINGS OR VOCATIONAL
TRAINING. SO WE EXPECT
IMPROVEMENTS TO CONTINUE
THROUGHOUT THE NEXT COUPLE OF
YEARS- I SEE ARE HIS DEVELOP
TECHNICAL ASSISTANCE PRIEST. TO
ADDRESS ISSUES IDENTIFIED AT
SITE VISITS INCLUDING BRIEFS ON
RECORD SEALING AND UNEMPLOYMENT.
EMPLOYMENT AND CRIMINAL HISTORY
REPORTING- I SEE ARE IS
DEVELOPING SEVERAL OTHER BRIEFS
TO RUN PROMOTE BEST PRACTICES
FOR NATIVE YOUTH. AND FOR YOUTH
INVOLVED IN BOTH PROBATION AND
THE CHILD WELFARE SYSTEMS ARE
YOU TYPICALLY KNOWN AS CROSSOVER
YOU. ARE TA TEAM IS IN THE
MIDDLE OF FOLLOWING UP ON
NUMEROUS GA REQUEST EITHER
DIRECT REQUEST OR IDENTIFIED BY
OUR STAFF IN THE COUNTY PLANS. I
KNOW RECENTLY OUR STAFF MET WITH
ONE LARGE COUNTY. WHO IS
INTERESTED ON TECHNICAL
ASSISTANCE ON HOW TO KEEP MORE
YEARS IN THE JUVENILE JUSTICE
SYSTEM AND TO PREVENT ADULT
COURT TRANSFERS. I MET WITH THE
STAFF RECENTLY. IN ORDER TO
DEVELOP A THREE PRONGED APPROACH
THAT I BELIEVE WILL HAVE VALUE
TO COUNTIES THROUGHOUT THE
STATE- I SEE ARE IS ALSO
PROVIDING YOU SEE SEE I TRAINING
FOR PROBATION DEPARTMENTS. AND
THAT WAS LAUNCHED LAST WEEK.
THERE ARE HUNDRED EIGHTEEN TOTAL
DIRECT. CHANNEL COUNTY TECHNICAL
ASSISTANCE NEEDS BOTH REQUESTED
BY COUNTIES AND IDENTIFIED BY
COUNTY LIAISONS. THE OTHER PLANS
AND SITE VISITS THIS DOES NOT
INCLUDE PRESENTATIONS THAT WE
HAVE GIVEN OVER THE LAST YEAR
NOR THE INFORMAL TECHNOLOGY
TECHNICAL ASSISTANCE WHICH IS
DELIVERED IMMEDIATELY AFTER A
SITE VISIT. BY AND HELPING TO
ENSURE INTRODUCED VIRTUAL DURING
INTRA BURCHELL INTRODUCTIONS.
GETTING CONTACTS TO COUNTIES.
GETTING THEM ARTICLES AND MAKING
SURE THAT ANY NEED THAT THEY HAD
AT THAT SITE VISIT WAS THE
FILLED. WE HAVE SERVED FORTY TWO
OF THE FIFTY EIGHT COUNTIES AND
IDENTIFIED THE TA. AT FOUR FORTY
TWO OF THE FIFTY EIGHT COUNTIES
EXAMPLES OF TA TOPICS INCLUDE
PLACEMENT PLACEMENT NEEDS FOR
YOUTH WAS SERIOUS MENTAL
ILLNESS. CONNECTIONS TO
RESOURCES LIKE THE CALIFORNIA
CONSERVATION. CORPS AND RISING
SCHOLARS. THE SACK RACE. SUPPORT
WITH THE J. J. R. COUNTY PLAN
DEVELOPMENT DAHLE STATUS
PROTOCOLS. FOSTER CARE OR PRION
THAT'S INFORMATION STEP DOWN
FURLOUGH PROCESSES FOR JUDGES.
PROGRAM OUT PAN MEASUREMENT AND
EVALUATION TECHNICAL ASSISTANCE
EDUCATIONAL POLICY RESEARCH
INFORMATION ON EVIDENCE BASED
PRACTICES. AS ALREADY INDICATED
RECORD SEALING PROTOCOLS- SHOULD
CULTURALLY RESPONSIVE SERVICES
FAMILY ENGAGEMENT. CALIFORNIA'S
APPROACH TO THE CARE OF JUSTICE
INVOLVED YOUTH IS A NEW APPROACH
THAT DOES NOT HAVE A ROAD MAP-
WHY C. R. IS LEADING THE WAY BY
DEFINING NEW PARADIGMS AND
CREATING PROJECTS TO ESTABLISH
PROOF OF CONCEPT. IT'S IMPORTANT
FOR US TO REMEMBER THAT THIS IS
THE FINAL REALIGNMENT PIECE THAT
ACTUALLY HAS BEEN IN PROCESS FOR
OVER THE LAST COUPLE OF DECADES.
IN THAT AND- I SEE ARE HAS
ALLOCATED FUNDING AVAILABLE FOR
GRANTS AND TECHNICAL ASSISTANCE
TO MAJOR PROJECTS THAT SUPPORT
LOCAL JURISDICTIONS IN
DEVELOPING COMMUNITY SPECIFIC
PROGRAMS TO CARE FOR YOU. FOR
EXAMPLE A Y. C. R. IS PARTNERING
WITH THE VERA INSTITUTE OF
JUSTICE TO SUPPORT COUNTIES IN
ENDING THE INCARCERATION OF
GIRLS AND GENDER RESPONSIVE IT
GENDER EXPANSIVE YOU. FOR THIS
PROJECT WHY C. R. IS ALLOCATING
THREE POINT FIVE MILLION DOLLARS
WHICH WILL GO TO FOR SELECTED
COUNTIES- I SEE ARE INTO. THAT
ONE POINT FIVE MILLION WILL BE
USED FOR PROBATION
ADMINISTRATION AND LEADERSHIP OF
THE PROGRAM AND TWO POINT AND
TWO MILLION FOR PROGRAM
IMPLEMENTATION INCLUDING SUPPORT
TO COMMUNITY BASED ORGANIZATIONS
THAT WILL BE CRUCIAL IN CARING
FOR GIRLS AND GENDER EXPANSIVE
VIEW. APPLICATIONS HAVE BEEN
SUBMITTED N. O. Y. C. R.
ANTICIPATES THAT WE WILL BE ABLE
TO ANNOUNCE THE COUNTIES
SELECTED BY MID MARCH. ANOTHER
AREA IS TRANSITIONAL HOUSING ONE
OF- I SEE OUR SKI FUNDING
STRATEGIES FOCUSES ON
TRANSITIONING YOUNG PEOPLE OUT
OF THE MOST RESTRICTIVE SETTINGS
AND GETTING THEM PROGRESSIVELY
BACK INTO THE COMMUNITY. WE ARE
CALLING THIS THE STEPPING HOME
MODEL- I SEE OUR ANTICIPATES
USING APPROXIMATELY FIVE MILLION
OF ITS GRANT FUNDS TO SUPPORT.
IMPLEMENTATION OF THE BEST
PRACTICE RECOMMENDATIONS IT IS
DEVELOPING. IN COLLABORATION
WITH OTHER STAKEHOLDERS
SPECIFICALLY ON OUR C. W. C. O.
Y. C. R. MANY. WE HAVE VISITED
SEVERAL TRANSITIONAL HOUSING
SITES AND THAT WAS LEADERS IN
THE FIELD BOTH IN SACRAMENTO AND
LOS ANGELES WE ARE WHERE THAT
CDCR HAS VARIOUS CONTRACTS WITH
DJJ CURRENTLY TO WORK WITH
GROUPS SUCH AS AMITY AND A. R.
C. AND ARE UNDERTAKING TO SEE
HOW WE CAN NOT ONLY. DO A
KNOWLEDGE TRANSFER BUT A
RESOURCE TRANSFER TO KEEP AND
BUILD UPON THE PROTOCOLS THAT
DJJ WAS USING IN THE LAST COUPLE
OF YEARS. WHICH WERE PROVEN TO
BE SUCCESSFUL WE ARE ALSO
WORKING TO ENSURE. THAT THE
THREE MILLION DOLLARS THAT WAS
AUTHORIZED UNDER EIGHTY ONE
SEVENTY EIGHT TO SUPPORT DJJ
YOUTH WHO ARE AT RISK OF
HOMELESSNESS CAN BE FULLY
ACCESSED BY DJJ. YOUTH ONCE
THEY- GO TO THE COUNTIES AND ARE
RELEASED FROM. THE SECURING OF
TREATMENT FACILITIES- I SEE ARE
ALSO. FUNDS IN THE FOLLOWING
AREAS FOR PROJECTS IN
DEVELOPMENT AMONG OTHERS
EXPANDING THE CAPACITY OF
COMMUNITY BASED ORGANIZATIONS
THREE MILLION DOLLARS. WHICH IS
PART OF THE C. W. C. R. Y. C. R.
COMMITTEE WORK. BUILDING LOCAL
DATA COLLECTION CAPACITY ACROSS
SYSTEMS PROBATION BEHAVIORAL
HEALTH AND EDUCATION THREE POINT
FIVE MILLION DOLLARS. LAUNCHING
A STATE LEVEL USE AND VICE VERY
COMMITTEE LED BY A CONSULTANT
THAT WE HAVE IDENTIFIED AND ARE
BRINGING ON. FIVE HUNDRED
THOUSAND DOLLARS. PARTNERING
WITH C. POTS OFFER PROBATION
FOCUSED TRAININGS AND LEARNING
COMMUNITIES AT ONE MILLION
DOLLARS. FAMILY ENGAGEMENT
GRANTS HAVE BEEN OFFERED TO
COUNTIES. AND THAT WILL BE CASE
BY CASE THE TERM DETERMINED BY
THE NEEDS. AND WE ARE ALSO
ENGAGING IN A THERAPEUTIC
FACILITIES CONTRACT WITH AN
EXPERT TO HELP US AND THE
COUNTIES UNDERSTAND HOW TO
IMPROVE THE CONDITIONS. IN IN
THEIR EXISTING FACILITIES. ALL
CHANGE HOW WE'VE ALSO HAVE AN
EDGE. EXPERT CALLED FOR CHANGE
WHICH SPECIALIZES IN DISMANTLING
THE SCHOOL TO PRISON PIPELINE
FOR USE OF COLOR. AND THEY ARE
ALSO HELPING US WITH OUR WORK
I'M ON THE CHILD WELFARE
COMMITTEE- I SEE R. AS
SUBCOMMITTEE. WITH REGARD TO OUR
ON THAT'S DIVISION. WE HAVE- OUR
OMBUDSPERSON STARTED OCTOBER
TWENTY FOURTH TWENTY TWENTY TWO
IS UP SHE IS OFTEN THAT DIVISION
IS OPERATIONAL AND RECEIVING AND
INVESTIGATING COMPLAINTS. THE
DEPUTY OMBUDSPERSON STARTED ON
JANUARY THIRD TWENTY TWENTY
THREE. OR LAYS ON POSITIONS ARE
CURRENTLY POSTED AND WILL
COVERED SOUTHERN CALIFORNIA.
AREA SACRAMENTO AND SACRAMENTO
TRANSITIONS CLOSE ON MARCH THIRD
AND WE ANTICIPATE THAT THE
RECRUITMENT PROCESS WILL
CONCLUDE WITH FINAL OFFERS I
NAY. CENTRAL CALIFORNIA WILL BE
COVERED BETWEEN SOUTHERN
CALIFORNIA AND THE BAY AREA
POSITIONS BEYOND THAT'S PERSON
HOTLINE HAS BEEN OPERATIONAL
SINCE JULY TWENTY TWENTY TWO THE
OMBUDSPERSON HOTLINE HAS HAD.
OVER ONE HUNDRED INBOUND CALLS
MORE THAN NINETY COMPLAINTS HAVE
BEEN MADE FROM YOU OR ON THEIR
BEHALF ACROSS SIX COUNTIES.
PROXIMALLY SEVENTY SIX OF THEM
ARE UNDER CURRENT INVESTIGATION
AND FOURTEEN CASES HAVE BEEN
CLOSED. OUR COMPLAINTS HAVE BEEN
INITIATED ON THE HOT LINE
THROUGH EMAILS THROUGH OUTSIDE
CONTACTS THAT ARE ON THAT STAFF
AND BY DIRECT OBSERVATION. BY
OUR STAFF ACCESSIBILITY IS BY
THE ON THAT STAFF AT. THE
FACILITIES AND IN THE COMMUNITY.
WITH REGARD TO THE WHERE IN
THIS- ON THE PERSON WERE MAILED
ALL ALSO TREAT FACILITIES AND
ADDITIONAL COPIES ARE BEING
MAILED TO ALL. ALL JUVENILE
FACILITIES IN THE STATE WE HAVE
OBSERVED AND BEING POSTED ON OUR
SITE VISIT. THE ON THIS PERSON
IS OUT IN THE COMMUNITY SHE HAS
VISITED SEVENTEEN CAUSALITIES
TODAY. ENGAGED IN DOZENS OF
MEETINGS ADVOCATES EDUCATORS
DEFENSE ATTORNEYS DISTRICT
ATTORNEYS. JUDGES PROBATION
OVERSIGHT COMMISSION COMMUNITY
BASED ORGANIZATIONS AND TRIBAL
LEADERS. MEETING SHE'S ALSO MET
WITH PROBATION OFFICERS
PROBATION CHIEFS ACROSS THE
STATE. AND OTHER COUNTY
OFFICIALS AND MADE PRESENTATIONS
AT VARIOUS CONFERENCES. WITH
REGARD TO THE IS BILL OF RIGHTS.
THAT WENT INTO EFFECT JANUARY
TWENTY TWENTY THREE THE YOUNGEST
PERSON IS WORKING PER STATUTE
WITH YOU ADVOCATES AND COMMUNITY
BASED ORGANIZATIONS FAMILIES AND
FACILITIES TO DEVELOP MATERIALS
EXPLAINING THE RIGHTS. OF THE
USED IN AN AGE APPROPRIATE
MANNER. ALL OF THE ON THE
PERSONS TO JUVENILE. AND
COMMUNITY PARTNERS HAS BEEN TO
CREATE AWARENESS AND EDUCATION
AROUND THESE BILL OF RIGHTS- I
SEE ARE IS DEVOTING INTENSIVE
EFFORTS AND RESOURCES CHARGE
MAKING THE TRANSITION OF USE
FROM DJING CHANGE THEIR HOME
COUNTIES. AS SMOOTH AS POSSIBLE
I AND MY STAFF PERSONALLY
VISITED THIRTY FOUR AND THE
THIRTY FIVE FACILITIES WHERE
MANY OF THE YOUNG PEOPLE ARE
LIKELY TO RETURN SO I AND MY
STAFF COULD SEE THE FACILITIES
THAT THEY WOULD BE RECEIVED TO.
OUR COUNTY REYES ON UNIT
TOGETHER WITH OUR DATA AND
RESEARCH UNIT WILL BE COMPLETING
A SUMMARY REPORT OF OUR VISITS
ARE LESSONS LEARNED AND TO
HIGHLIGHT BEST PRACTICES AND
AREAS FOR FURTHER TA. AND AREAS
FOR FURTHER IMPROVEMENT AND
PARTNERSHIP- I SEE ARE HAS
CONTRACTED WITH THE CALIFORNIA
COUNTY PROBATION CONSORTIUM TO
SUPPORT COUNTIES TO PROVIDE
APPROPRIATE CARE FOR EACH AND
EVERY YOUNG PERSON RETURNING
FROM DJJ. WITH THE CONSORTIUM- I
SEE ARE DEVELOP TECHNICAL
ASSISTANCE FOR COURTS TO BRING
DJJ BACK IN AN ORDERLY MANNER
TAKING INTO ACCOUNT THEIR
PARTICULAR NEEDS THIS WAS
BASICALLY AN UNSCRIPTED PART. OF
THIS TRANSITION AND WE WORKED
WITH THE JUDICIAL COUNCIL WE
WORKED WITH DJJ AND WE WORKED
WITH THE CONSORTIUM TO PUT OUT A
DOCUMENT. THAT REALLY WAS ON A
STEP BY STEP SUGGESTION ON HOW
TO MAKE SURE THAT OUR KIDS GOT
BACKS. AND TRANSITION SMOOTHLY-
AND EVERYTHING WAS TAKEN CARE OF
SO. THAT THERE COULD BE A ROAD
MAP. IN WHAT WE LEARN FROM SITE
VISITS IN OTHER CAN SOURCE A Y.
C. R. IS NOW WITH CONCERNS TO
HELP. APPROPRIATE PLACEMENT AND
CARE FOR A RELATIVELY SMALL
NUMBER OF DJJ YOUTH WAS
SPECIALIZED NEEDS. IN PARTICULAR
MENTAL HEALTH CARE NEEDS. GENDER
RESPONSIVE NEEDS THIS IS AN
INTENSIVE CASE BY CASE PROCESS
AS BEING UNDERTAKEN IN A HIGHLY
COLLABORATIVE MANNER WHILE
PROTECTING THE CONFIDENTIALITY
OF EACH YEAR. INDIVIDUAL
INFORMATION IS NOT SHARED WITH
L. Y. C. R. BUT THE
CIRCUMSTANCES AND THE- REQUEST
ARE VERY PARTICULAR BASED ON.
THE NEEDS OF THE YOUTH AND THE
NEEDS OF THE COUNTY- I SEE ARE
IN THE CONSORTIUM ARE
IDENTIFYING CRITICAL GAPS IN
CARE. OF USE RETURNING FROM DJ
CHEN THIS WILL SAYS NOT ONLY THE
YEARS RETURNING HOME BUT WILL
HELP COUNTY START TO DEVELOP
LONG TERM SOLUTIONS FOR
COMMUNITY BASED CARE. HERE'S
WHAT SERIOUS MENTAL HEALTH NEEDS
GIRLS AND GENDER NONCONFORMING
YES ALL I SEE ARE WILL WORK
COLLABORATIVELY COLLABORATIVELY
WITH DJJ LEADERSHIP AND STAFF.
TO ENSURE A FULL KNOWLEDGE
TRANSFER DJJ IS PROGRAMS AND
RESOURCES SO THAT- I SEE ARE IN
SUPPORT THE IMPLEMENTATION. OF
PROGRAMS THAT WERE MOST
SUCCESSFUL AT DJJ IN THE
COUNTIES SUCH AS VERY. USEFUL
SEX OFFENDER TREATMENT PROGRAM.
AND WE'RE WORKING VERY. CLOSELY
WITH DR BALLS ON THAT- I SEE ARE
IS ALL WORKING AND SHE URGED.
AND I THINK WE'RE ON COULD BE A
QUESTION FOR- I SEE ARE IS ALSO
WORKING TO ADDRESS THESE ISSUES
AT BOTH ON AN IMMEDIATE TIME
FRAME FOR YEARS RETURNING FROM
DJJ AND FOR THE LONG TERM. WE
HAVE UNDERTAKEN TO HIRE AN
EXPERT ON HOW TO ACCESS AND
DRIVE DOWN FUNDING AND TO
PROBLEM SOLVE BEHAVIORAL HEALTH
GAPS THAT CURRENTLY EXIST. WILL
LIGHT BORN HAS JOINED US AND- I
SEE ARE IS PARTNERING WITH
SISTER DEPARTMENTS IN CAL HHS TO
INCREASE ACCESS TO BEHAVIORAL
HEALTH TREATMENT. AND STAFF- WHY
C. R. A RESOURCES FOR JUSTICE
INVOLVED YOUTH. LINKAGES TO
OTHER HEALTH POLICY SOLUTIONS
AND GRANTS TO COUNTIES AND CBO'S
TO DEVELOP CAPACITY WITHIN THEIR
COUNTIES TO PROVIDE BEHAVIORAL
HEALTH TREATMENT THE AVENUES
THAT ARE IDENTIFIED IN THE
JURISDICTIONS. ONE MILLION
DOLLARS WAS ALLOCATED TO WORK
WITH H. HI TO PROVIDE GUARANTEED
INCOME FOR PEOPLE WITH LIVED
EXPERIENCE IN THE JUVENILE
JUSTICE SYSTEM. ENTERING THE
BEHAVIORAL HEALTH WORKFORCE OUR
STAFF IS ALSO SITTING ON THE
COMPLEX CARE COMMUNITY OR AB
TWENTY EIGHTY THREE AND REACHING
OUT TO PROBLEM SOLVE WITH DH CS
DSS. AND DJJ ON THE YEARS THAT
HAVE BEEN IDENTIFIED WITH
COMPLEX NEEDS THAT ARE RETURNING
. TO TWENTY COUNTIES BY JUNE
THIRTIETH. WITH REGARD TO- THE
SEX BEHAVIOR TREATMENT
MODALITIES AS A MEMBER OF THE
CALIFORNIA SEX OFFENDER
MANAGEMENT BOARD CASE- I URGED
THAT THE BODY DEVELOP AND ADOPT
GUIDELINES FOR TREATING AND
SUPERVISING YOU. HAVE COMMITTED
A SEXUAL OFFENCE USING A
DEVELOPMENTALLY APPROPRIATE
APPROACH BASED ON NEUROSCIENCE
WE ARE ALSO WANTING TO HIRE AN
EXPERT YOU CAN PROVIDE
SPECIALIZED GA ON THIS TOPIC TO
COUNTIES. AND WE HAVE ALREADY
BEEN IN TOUCH WITH SEVERAL
INTERESTED PARTIES THOSE
GUIDELINES WERE ADOPTED BY QUE
SON AND I BELIEVE THAT THOSE
GUIDELINES WILL ASSIST COUNTIES
AND HAVING THE CONFIDENCE. TO
RETAIN YOU IN THAT COUNTY
JUVENILE SYSTEM RATHER THAN-
POSSIBLY BEGAN FILING
TRANSFORMATIONS- OF A PERCEIVED
LACK OF EXPERTISE. WITH REGARD
TO DRAW ENJOY X. VIEWS AS I'VE
ALREADY NOTED- I SEE OURS
PARTNERING VERY. AND SUPPORTING
FOUR COUNTIES WITH THE GOAL OF
REDUCING AND ENDING THE
INCARCERATION OF GIRLS- I SEE
OUR INTENDS TO EXPAND THE WORK
ACROSS THE STATE. AFTER THE
INITIAL COHORT IS UNDER WAY SOME
OF THE COUNTIES WE HAD VISITED
HAVE COED PROGRAMS AND OR OUR
HOUSING S. WHY TF GIRLS WITH
OTHER GIRL POPULATIONS IN THEIR
FACILITIES. AND ALLOWING THE S.
Y. T. F. USED TO PROGRAM
TOGETHER DURING THE DAY. WE
CONTINUE TO WORK WITH THE
CONSORTIUM AND DJJ ON WHAT
COUNTIES NEED TO ACCOMMODATE THE
GIRLS AND ARE READY TO IDENTIFY
SOLUTIONS AND RESOURCES WITH
EITHER OUR FUNDING CURRENTLY OR
THROUGH. OTHER FUNDING STREAMS
WITHIN THE AGENCY. CAN YOU
PROVIDE THE- ARE FOCUSED ON
DEVELOPING SECURE UNITS
TREATMENT FACILITIES ABLE TO
CARE FOR YOU FOR LONGER PERIODS
OF TIME. SO ITS ARE A NEW TYPE
OF CATEGORY OR DISABILITY THAT
COUNTIES HAVE NOT PREVIOUSLY HAD
TO PROVIDE. POSSIBLY MULTI YEAR
CUSTODIAL SETTINGS HOST
EDUCATION. COUNTY PROBATION
DEPARTMENTS ARE WORKING TO
DEVELOP ENVIRONMENTS PROGRAMS
AND SERVICES THAT ARE
DEVELOPMENTALLY APPROPRIATE AND
TRAUMA INFORMED AND TAKE INTO
ACCOUNT YOUNG PEOPLE WITH LONGER
SENTENCES IN THESE EXISTING
FACILITIES. AT THE SAME TIME
COUNTIES ARE DEVELOPING
RESOURCES TO GET YOUNG PEOPLE
OUT OF THE MOST RESTRICTED
CITING AS QUICKLY AS POSSIBLE
THREE STEP DOWNS ARE WHAT WE ARE
CALLING THE STABBING HOME MODEL.
WE HAVE SEEN VARIOUS APPROACHES
TO STUDYING HOME SEVERAL S. WHY
TF YOU'D HAVE BEEN STEP TOM WITH
GPS MONITORING WHERE THEY WILL
CONTINUE THEIR CORE COMMITMENT.
SEVERAL COUNTIES ARE WORKING ON
TRANSITIONAL HOUSING RESOURCES
TO ASSIST WITH BOTH STEPPING
HOME AND RE ENTRY THE CALIFORNIA
CONSERVATION CORPS. AS NINE
RESIDENTIAL FACILITIES
THROUGHOUT CALIFORNIA AND IS
ABLE AND WILLING TO RECEIVE
SECURING ITS TREATMENT.
FACILITIES AND TO THE YOU CAN
ALSO GO TO PINE GROVE. ASSISTING
COUNTIES IN BUILDING OUT THESE
COMMUNITY BASED ALTERNATIVES IS
A MAJOR PRIORITY A Y. C. R.
WHILE MANY OF US WELL MANY YOUNG
PEOPLE RETURNING FROM G. JJ ARE
GOING INTO S. Y. T. ACTS- O. Y.
C. R. IS AWARE THAT SOME JUDGES
ARE ALSO RETURNING USED TO
COMMUNITY BASED PROGRAMMING.
SUCH AS PINE GROVE AND THE
CALIFORNIA CONSERVATION CORPS
AFTER A REMOTE SHARING. AND NOT
PLACING YOU IN THE LOCAL S.
IDEA. AT ALL. THERE ARE NOT YET
JUVENILE FACILITY REGULATIONS
FOR S. I. T. S. I AM SHARING THE
JUVENILE REGULATIONS REVISIONS.
EXECUTIVE AND STEERING COMMITTEE
SUBCOMMITTEE ON THE S. WHY TF
REGULATIONS WHICH IS CHARGED
WITH DEVELOPING MINIMUM
STANDARDS. FOR THESE. NEW
TREATMENT FACILITIES. JOHNNY
SHOULD. AT IN QUESTION SIX AND-
AT THE RUN USED. IN TO ABOUT
REGION APPROACH IS WITH BRINGING
IN PEOPLE HOME. WE HAVE HEARD
YOUNG PEOPLE AND FACILITIES TALK
ABOUT THE POSITIVE IMPACT AND
BEING CLOSER TO HOME. AND THE
INCREASED ABILITY TO NAME HER
CONNECTIONS WITH THEIR FAMILIES
BECAUSE THEY ARE NEARBY. HOWEVER
THE NEEDS OF INDIVIDUAL YEARS
MUST ALSO BE TAKEN INTO ACCOUNT.
NOT ALL COUNTIES HAVE THE SAME
TYPE OF PROGRAMMING AND THERE
MAY BE CASES WHERE CERTAIN YOUNG
PERSON WOULD DESIRE A PARTICULAR
PROGRAM OR COURSE. OFFERED BY
ANOTHER COUNTY OR WHERE THEY
HAVE SPECIALIZED TREATMENT NEEDS
SMALL COUNTIES MAY NOT HAVE THE
NUMBERS OF YOUNG PEOPLE
NECESSARY FOR A VIABLE PROGRAM.
TO THE EXTENT THAT YOUNG PEOPLE
ARE CARED FOR. FAR FROM HOME-
WHY C. R. SEEKS TO SUPPORT
COUNTIES AND MAINTAINING
POSITIVE FAMILY ENGAGEMENT- I
SEE ARE HAS OFFERED FAMILY
ENGAGEMENT GRANTS TO SUPPORT
FAMILIES WHO WERE NOT. NOT
OTHERWISE BE ABLE TO VISIT THEIR
CHILDREN HOUSED IN OTHER
COUNTIES IN RURAL COUNTIES FOR
EXAMPLE. IN OUR DISCUSSIONS WITH
COUNTIES WE ARE ASKING THAT FOR
YEARS HOUSED IN REGIONAL
FACILITIES I THINK COUNTY
PLANNED BE ESPECIALLY DETAILED
AND THOUGHTFUL AROUND THE TOPIC
AND FAMILY ENGAGEMENT AND
REENTRY. WE ARE ALSO AWARE THAT
CERTAIN YOUNG PEOPLE. WHO DO NOT
FEEL SAFE IN THEIR OWN
COMMUNITIES WOULD PREFERRED TO
RE ENTER INTO DIFFERENT LOCALITY
THESE NEEDS AND PRACTICES
PREFERENCES SHOULD BE HONORED.
THE NUMBERS OF INCARCERATED
YOUNG PEOPLE HAVE DECLINED SO
SUBSTANTIALLY THAT WE BELIEVE
THAT THEY COUNTIES CAN AND WILL.
AND WANT TO CONSIDER THE
INDIVIDUAL. NEEDS THANK YOU
PRINCIPLE IS TO SUPPORT THE
YOUNG PERSON'S POSITIVE YOUTH
DEVELOPMENT AND PREPARE THE PAST
FOR RE ENTRY FOR ANY USE. IT WAS
THEN. I HELD IN CUSTODY. AND THE
LAST ONE. I ONE OF THE O. Y. C.
R. HIGH AS PRIORITY IS. THE ROLE
OF COMMUNITY BASED ON. TO
ENCOURAGE. IN THE- OF CARE FOR
JUSTICE INVOLVED YOUTH AND
EXPANDING AVAILABILITY OF
COMMUNITY BASED OPTIONS. WE ARE
DOING THIS THROUGH MULTIPLE
APPROACHES NOTABLY AS ALREADY
MENTIONED THE VERY INSTITUTE.
ALSO THE STEPPING HOME MODEL
THAT WORK IS BEING LED BY
CONSULTANTS WITH UCLA AND WILL
LIGHT POURING OUR SPECIAL SENIOR
SPECIAL CONSULTANT. MANY COUNTY
PROBATION DEPARTMENT EITHER HAVE
ALREADY BEGAN BUILDING OUT THE
STEPPING HOME CONTINUE ON ARE IN
THE PLANNING PROCESS. FOR
EXAMPLE SOME PROBATION
DEPARTMENTS ARE PREPARING
HOUSING ON THEIR FOOT PRINT THAT
WILL BE MANAGED BY COMMUNITY
BASED ORGANIZATIONS AND SERVICE
TRANSITIONAL HOUSING FOR YOUNG
PEOPLE. READY TO START THE SEVEN
HOME AND RE ENTRY. SEVERAL
COUNTIES HAVE SENT YOUNG PEOPLE
HOME ON GPS AS MENTIONED EARLIER
AND SEVERAL COUNTIES ARE
EXPLORING CONTRACTING WAS
SUPPORTING HOUSING RESOURCES. IN
THEIR COMMUNITIES APART FROM
THOSE ALREADY MENTIONED. ONE
EXCEPTIONAL RESOURCE FOR THE
CONTINUUM IN CALIFORNIA IS
HIGHER EDUCATION SEEING THE
EDUCATIONAL HEALTH OF OUR YOUTH
WHO ARE INCARCERATED IS CRITICAL
TO THE WHOLE CHILD APPROACH.
PARTNERSHIPS BETWEEN CALIFORNIA
INSTITUTIONS OF HIGHER EDUCATION
AND JUSTICE SYSTEMS INVOLVED
PEOPLE HAVE DEMONSTRATED
REMARKABLE SUCCESS BOTH IN TERMS
OF TRADITIONAL METRICS SUCH AS
RECIDIVISM BUT ALSO IN TERMS OF
POSITIVE OUTCOMES. PROJECT
REBOUND RISING SCHOLARS AND
UNDERGROUND SCHOLARS ARE ALL
POWERFUL PROGRAMS THEY CAN NOT
ONLY PROVIDE ACCESS TO EDUCATION
BUT SUPPORTIVE SERVICES WITHIN
AND OUTSIDE THE JUVENILE
FACILITIES. RISING SCHOLARS THE
CALIFORNIA COMMUNITY COLLEGES
CHANCELLOR'S PROGRAM IS THE
FIRST PROGRAM IN THE NATION TO
FOCUS ON OFFERING HIGHER AT
RESOURCES TO JUSTICE IMPACTED
YOU. RISING SCHOLARS NOW HAS
FIFTEEN MILLION DOLLARS TO
SUPPORT THE DEVELOPMENT OF FORTY
FIVE NEW CAMPUSES FOCUS
SPECIFICALLY ON JUSTICE SYSTEM
INVOLVED YOU- I SEE ARE IS
PARTNERING WITH THE COMMUNITY
COLLEGES CHANCE CHANCELLOR'S
OFFICE. PROBATION COUNTY OFFICES
OF EDUCATION AND OTHERS TO
PROVOKE THIS EXPANSION OF RISING
SCHOLARS. AND WE HAVE HAD- A
MULTITUDE OF WELCOMING ON THIS
TOPIC AND THE COUNTY IS THAT WE
HAVE VISITED RIGHT MY HOPE IS
THAT EACH SECURE USE TREATMENT
FACILITY WILL ACTUALLY BE A
RISING SCHOLARS LOCATION. AND I
KNOW THAT THAT'S THE HOPE- THE
PROFESSIONALS THAT WE HAVE
WORKED WITH. RISING SCHOLARS
PROVIDES NOT NOT ONLY HIGHER
EDUCATION COURSES IN EDUCATIONAL
COUNSELING WITH IN JUVENILE
FACILITIES BUT ALSO TRANSITION
SUPPORT INCLUDING HOUSING
RESOURCES. WE SEE AN IMPORTANT
PARTNER IN EDUCATION AND
VOCATIONAL TRAINING AND THE
DEPARTMENT OF REHABILITATION TO
EXPAND RESOURCES FOR OUR USE
THAT WILL CARRYING IS DURING
THIS REENTRY. TOWARDS A LIVING
WAGE LONG AFTER THEY LEAVE
COUNTY CUSTODY- LICENSEE ARE
BELIEVES THAT THIS IS A POWERFUL
PIECE. OF THE STABBING HOME
MODEL AND POWERFUL MODEL FOR THE
NATION AND WILL CONTINUE TO
FOCUS ON THIS AS PART OF OUR
CHARGE IS TO. PROVIDE THAT
TECHNICAL ASSISTANCE FOR
POSITIVE WHOLE. CHILD YOUTH
DEVELOPMENT. THEY YOU I WILL AND
THAT THAT INCLUDES PRESS. AND I
AM AVAILABLE FOR QUESTIONS OF
COURSE. PERFECT WELL WAIT FOR
QUESTIONS TO THE END AFTER ALL
THE PANELISTS THANK YOU SO MUCH
NOW WE'RE GOING TO TURN OVER TO
KAREN PINK EXECUTIVE DIRECTOR OF
THE CHEAP PROBATION OFFICERS OF
CALIFORNIA. THANK YOU HI GOOD
MORNING MY NAME IS KAREN HANK. I
AM THE EXECUTIVE DIRECTOR OF THE
CHEAP PROBATION OFFICERS OF
CALIFORNIA I THANK YOU FOR THE
INVITATION TO PRESENT TODAY I'VE
BEEN ASKED TO GIVE A HISTORICAL
PERSPECTIVE OF LEADING UP TO THE
CLOSURE OF DJJ. OPERATIONS
IMPLEMENTATION EFFORTS AROUND SB
EIGHT TWENTY THREE AND SOME OF
THE CHALLENGES WE FACE WITH THE
IMPENDING DJJ CLOSURE HAPPENING
IN JUST A FEW MONTHS. I'M A
DIFFICULT TO GIVE- A SHORT OR A
BRIEF- KIND OF RETROSPECTIVE OF
THE EVOLUTION OF JUVENILE
JUSTICE IN CALIFORNIA- THE PAST
COUPLE OF DECADES A LOT HAS
TAKEN PLACE UNDER THE LEADERSHIP
OF WHEREVER I CALIFORNIA REALLY
WANTED YOU TO TAKE. A SOME OF
THE THINGS THAT YOU'RE SEEING
NOW CULMINATE IN- EIGHT TWENTY
THREE AND SOME OF THE THINGS
THAT I DIRECTOR ZERO JUST
DISCUSSED BUT REALLY AS YOU
MENTION THE PAST COUPLE OF
DECADES IS WHERE WE FIRST
STARTED TO SEE- INVESTMENTS. IN
THIS A NEW RESPONSE TO G.
JUVENILES IN OUR IN OUR CARE AND
I WE SAW AT THE I. SHIFT
HARDNESS CRIME PREVENTION ACT IN
TWO THOUSAND BEING REALLY KIND
OF THE- BEGINNING OF THAT- A
RESPONSE IN THE BUILD OUT. TO I
INVEST IN JUVENILE PROBATION AND
IT TO LOOK FOR WAYS TO FOCUS ON
PREVENTION INTERVENTIONS HI AND-
IMPROVED SUPERVISION AND SO THAT
JUST TOUCHED OFF A LOT OF THESE.
DIFFERENT CHANGES IN OUR FIELD
AND ARE THESE INVESTMENTS REALLY
HELPED USHER IN AN ERA WHERE
PROBATION STARTED TO USE THINGS
LIKE THE RISK NEEDS RESPONSIVITY
PRINCIPLES. TO TRY TO TARGET
SERVICES TO THE HIGHEST. RISK
USE. IN AT THE SAME TIME TO FOR
OR- THE LOWER RISK YEARS FROM
THE SYSTEM. I SOME OF THIS WAS
IN RESPONSE TO GROWING CONCERNS
AROUND SENDING USED TO AT THE
STATE OR GETTING DEEPER INTO THE
SYSTEM AND WANTING TO BUILD OUT
MORE THOSE INTERVENTIONS
LOCALLY. SO THESE THINGS
CONTINUE TO EVOLVE AND I IN TWO
THOUSAND AND SEVEN WE SEE. THE
FIRST MAJOR STATUTORY SHIFTED IN
SB EIGHTY ONE DEDUCTION I SHOULD
SAY OF EIGHTY ONE WHICH I MADE
CERTAIN FELONIES IN ELIGIBLE FOR
USED TO BE SENT TO THE STATE.
AND STATE PROVIDED SO THAT
LEGISLATION ALSO IS PROVIDED
SUPPORT FOR PROBATION AND
COUNTIES TO FURTHER ADDRESS SOME
OF THE GAPS IN THEIR SYSTEMS IN
ORDER TO TAKE ON THIS NEW
RESPONSIBILITY SO REALLY WHAT
THIS DID IS LEAVE THE MOST-
SERIOUS FELONIES ELIGIBLE FOR.
FOR STATE. PLACEMENT AND THAT
WAS REALLY THINGS SUCH AS- A
HIGHER RISK SEX OFFENSES
AGGRAVATED ASSAULTS MURDERS
THINGS ALONG THOSE LINES WELL
YOU DIDN'T HAVE TO GO TO THE
STATE. IF THE COUNTIES IN THE
COURT FELT THAT THEY THEY COULD
ADDRESS THAT LOCALLY THE
CERTAINLY DID IN MANY CASES BUT
WHERE THE MORE COMPLEX- NEED
AROSE WHERE AT THE STATE COULD
TO ADDRESS THAT THOSE WERE THE-
THE YEARS THAT YOU SAW. AYE
CONTINUING ON TO THE STATE'S
CARE. AND CONTINUING ON THAT THE
HISTORY YOU REALLY SEE SOMETHING
THAT I KNOW THIS COMMITTEE IS
VERY FAMILIAR WITH I'M IN TWENTY
FIFTEEN THE CONTINUUM OF CARE
REFORM WAS ADOPTED IN. A MANDATE
IN CHILD AND FAMILY TEAMING AND
PHASING OUT GROUP HOMES
PROBATION REALLY TOOK A LOT OF
LESSONS LEARNED IN THAT ARENA
ADAM AND HELPED BUILD UPON THAT.
TO PREPARE FOR AGAIN SOME OF THE
THINGS THAT WE'RE SEEING TODAY.
IN TWENTY SIXTEEN ARE PROP FIFTY
SEVEN PASSED ON THAT AMONG OTHER
THINGS ALSO ENDED THE DIRECT
FILING OF JUVENILES I TO ADULT
COURTS AND THAT'S CERTAINLY HAD
A- A SIGNIFICANT IMPACT ON THE
LANDSCAPE OF A JUVENILE JUSTICE.
AND CONTINUED IT REALLY IN THIS
VEIN NEARLY 90% OF ALL YOUTH IN
THE JUVENILE JUSTICE SYSTEM ARE
SAFELY SUPERVISING TREATED. IN
OUR COMMUNITIES- AND DETENTION
RATES CONTINUE TO GO DOWN FROM
THERE ARE HISTORIC HIGHS AT BOTH
. THE STATE AND LOCAL LEVEL. SO
HOW DO WE SO OF THESE. THE END
OF AND CALIFORNIA JUVENILE
SYSTEMS THAT SEVERAL THINGS THAT
WE DON'T HAVE TIME TO PROBABLY
DIDN'T DIVE INTO. TODAY BUT JUST
A FEW HIGHLIGHTS- REALLY A LOT
OF ALTERNATIVES PROSECUTION-
THINGS SUCH AS DIVERSION-
BECAME- SOMETHING THAT. HAVE
CREATED THE LANDSCAPE. A LOT OF
NEW EFFORTS IN THE RACIAL AND
ETHNIC DISPARITIES INVESTMENTS
IN THAT AREA AS WELL- A MENTAL
HEALTH SERVICES FOCUS I BECAME
MUCH MORE IMPORTANT AS THE LEVEL
OF ACUTE NEEDS IN OUR DETENTION
FACILITIES I BEGAN TO. BE A KIND
OF ALL IN ONE AREA AND SO THAT
NEED WAS WAS REALLY BECOMING
LASER FOCUSED- CASE PLANNING
WHERE WE REALLY ARE LOOKING AT
TO THE INDIVIDUALIZED NEEDS OF
THAT USE WAS BECOMING MORE AND
MORE PART OF THE CULTURE. AND OF
COURSE THE TRAUMA INFORMED CARE
ARE FAMILY FOCUSED- PROCESS YOUR
YOU REALLY STARTED TO SEE THAT.
YEAH PERMEATE THE- THE- AND I'M
IS REFLECTED IN A LOT OF THE
TREATMENT PLANS THAT ARE. BEING
REVIEW TODAY AT Y. C. R. SO
THAT'S REALLY JUST A QUICK HIGH
LEVEL OVERVIEW OF THE
ENVIRONMENT OF WHAT WE'RE KIND
OF HAVE AT OUR DISPOSAL. AS WE
ARE OVERLAIN AND THE
IMPLEMENTATION OF SB EIGHT
TWENTY THREE. SO WHAT DO WE KNOW
ABOUT THE POPULATION IN THE
FIRST YEAR OF IMPLEMENTATION
JUST A FEW HIGHLIGHTS- AS WAS
NOTED THAT THE SECURE USE
TREATMENT FACILITIES R. A. D.
KIND OF REPLACEMENT OPTION FOR
COURTS TO CONSIDER NOW. WHEN A
USER COMES BEFORE THEM THAT THEY
MAY HAVE PREVIOUSLY SENT TO DJJ
. I'M THE AVERAGE BASELINE TERM
THAT WE'RE SEEN- IN THAT FIRST
YEAR WAS APT FOR YEARS THE
LONGEST BEANS SEVEN POINT SIX
THE SHORTEST BEING EIGHTEEN
MONTHS. WE SAW ABOUT TWO HUNDRED
AND TWENTY NINE- USE LOCALLY.
RECEIVE THIS COMMITMENT THAT'S
COMPARED TO DJJ IN TWENTY
NINETEEN. WHICH WE SAW ABOUT
THREE HUNDRED AND THIRTY FOUR
COMMITMENTS. YOU KNOW ALL AGAIN
ALL OF THESE. COMMITMENTS REALLY
DO YOU REFLECTS KIND OF THAT
HIGHER LEVEL NEED- AND RISK AND
THAT'S STE WHILE A SMALL NUMBER
AND THAT'S A GOOD THING IS ALSO
I'M VERY. MUCH IN NEED OF A LOT
OF RESOURCES AND A LOT OF
SUPPORT IN SO YOU YOU'LL SEE A
LOT OF THAT ON IN THE TREATMENT
PLANS. A COUPLE OF OTHER THINGS
TO NOTE ABOUT THE LOCAL JUVENILE
JUSTICE CONTINUE ON- AS WAS
NOTED I THINK AT THE OPENING
COMMENTS A SENATOR YOU KNOW WE
HAVE FIFTY EIGHT DIFFERENT
COUNTIES ALL IN VERY VERY
DIFFERENT- PLACES AND HAVING
DIFFERENT RESOURCES AVAILABLE TO
THEM. BUT JUST AT A REAL HIGH
LEVEL WE HAVE FORTY ONE COUNTIES
THAT ARE OPERATING JUVENILE
HALLS WE HAVE ABOUT TWENTY SEVEN
COUNTIES THAT HAVE CAMPS OR
BRANCHES AS AN OPTION. AND ABOUT
THIRTY FIVE COUNTIES HAVE A
DESIGNATED FACILITY OR A PART OF
THEIR FACILITY FOR THE NEW SEX-
I'M SORRY- THE NEW SECURE USE
TREATMENT FACILITY. SO WHAT DO
WE KNOW ABOUT THE PLANS THAT
WERE REQUIRED TO- GO TO A WISE
HERE IN THE STATE AS WE STARTED-
KIND OF BUILDING OUT THE
CONTINUING TO. BE PREPARED TO
TAKE ON THIS NEW RESPONSIBILITY
- IT'S AS YOU CAN IMAGINE VERY
FAST A FIFTY EIGHT DIFFERENT
COUNTIES BUT WE DO HAVE A COUPLE
OF DIFFERENT. KIND OF COMMON
THEMES THAT WE I WANTED TO BRING
OUT TODAY TO JUST GIVE YOU A
SENSE OF HOW COUNTIES ARE
ADDRESSING THESE THINGS YOU DO
HAVE- KIND OF THREE BUCKETS OF
COUNTIES WHERE ONE. WILL BE ABLE
TO EXPAND MAYBE THEIR CURRENT TO
CONTINUE- TO DEVELOP A SECURE
YOU TREATMENT FACILITY OPTION
WITHIN THEIR COUNTY. SON CAN DO
THAT TOO BUT YOU PROBABLY
CANNOT. DEVELOP ENOUGH OF THE
VARIOUS DIFFERENT SPECIALIZED
PROGRAMS THAT WE'RE
DECENTRALIZING FROM DJJ IN ALL
CASES SO THEY MAY WANT TO
PARTNER WITH- A SURROUNDING
COUNTIES. IF THEY HAVE A
SPECIALIZED NEEDS THAT CANNOT BE
TAKEN CARE OF AND THAT CURRENT.
FACILITIES THAT THEY HAVE AND
THEN FINALLY AS POINTED OUT WE
HAVE PLENTY OF WELL WE HAVE
SEVERAL COUNTIES THAT WILL NOT
HAVE ANY FACILITY. OR A FACILITY
THAT JUST IS NOT- APPROPRIATE
FOR THAT THEY NEED THAT ARISES
WITH A PARTICULAR USE SO THOSE
ARE KIND OF THE THREE BUCKETS
THAT WE HAVE TO. FIND WAYS TO
ADDRESS. AS TO THE TREATMENT AND
THE TYPES OF THINGS THAT THE-
THE COUNTIES ARE WORKING ON
BUILDING INTO THEIR CONTINUE-
YOU REALLY SAW A LOT OF THOSE.
PLANS TALK ABOUT THAT TO TRAUMA
INFORMED AND CULTURALLY
COMPETENT. RESPONSES. AT THAT
AGAIN YOU START KIND OF YOU
THROUGHOUT THAT JUST- HIS. I THE
NFUSZ ON PAR YOU DEVELOP WAS OUR
MEANT- THE USE OF POSITIVE
INCENTIVES THOSE ARE THE TYPES
OF THINGS THAT I CAN TELL YOU
OUR FOLKS ARE SPENDING A
SIGNIFICANT AMOUNT OF TIME. I
TRYING TO ENSURE THEY HAVE THE
TOOLS RESOURCES AVAILABLE TO DO
THAT. I AM CONTINUING TO LOOK AT
STRATEGIES TO FIND MENTAL HEALTH
AND SUBSTANCE USE DISORDER AND
I'M CERTAINLY WOULD SAY IN THIS
COMMITTEE IN PARTICULAR FINDING
WAYS IN WHICH WE CAN. LEVERAGE
WHERE THOSE FUNDING STREAMS ARE
ANYTHING DIRECTOR THE CEREMONY
AND THAT IN HER COMMENTS AS WELL
IS CERTAINLY AN AREA THAT WAS-
NOTED AND A LOT OF THE TREATMENT
PLANS ARE THAT AS THINGS THAT WE
NEED TO ADD. INVEST MORE IN AND
LOOKS TO FIND WAYS TO BRING
THOSE INTO THE FACILITIES. THE
OTHER THING THAT TO EDITOR
SHOWED UP IN THESE PLANS WHICH I
THINK IS PARTICULARLY IMPORTANT
NOTE FOR THIS COMMITTEE IS THE
MULTI DISCIPLINARY TEAM
APPROACH- THAT AGAIN WE SAW WAS
A COMMON THREAD- IN A LOT OF
THESE PLANS. AND INTERESTINGLY I
THINK IT'S GOOD TO KNOW THAT
THEY ARE REALLY LOOKING AT IT
FROM BOTH THE INTAKE PART OF THE
PROCESS AND BUILDING IT OUT
THROUGH AND FOLLOWING IT THROUGH
TO RE ENTRY. AND WHY IS AN
IMPORTANT FOR THIS COMMITTEE OF.
I THINK THE CONNECTION TO. THE
CALLIE IMPLEMENTATION WE'RE
GOING TO WANT TO REALLY LOOK AT
CAREFULLY AS HOW THAT OVERLAYS
IN SOME OF THE EFFORTS THAT ARE
ONGOING RIGHT NOW- EXPANDING THE
PARTNERSHIPS ON REENTRY IN
TRANSITION AGAIN SOMETHING THAT
ARE ACTUALLY ZERO MENTIONED
SOMETHING THAT'S SO IMPORTANT
WITH THIS PARTICULAR- I
POPULATION AS WAS JUST
MENTIONED. THESE ARE LONGER
STAYS THIS IS BECOMING AN OLDER
POPULATION. WE REALLY NEED TO BE
LOOKING AT HOW WE ARE SAID THEM
UP FOR SUCCESS. AFTER THE LEAVE
OUR- AND WE REALLY NEED TO BE-
PARTNERING WITH WITH OTHER- AND
COMMUNITY BASED ORGANIZATIONS AS
WELL AS A SYSTEM PARTNERS TO
HELP. INSURE THAT- THAT AT THE
RE ENTRY IS SUCCESSFUL. AND THEN
FINALLY- A LOT OF DISCUSSION
AROUND HOW WE DEVELOP
SPECIALIZED PROGRAMMING BECAUSE
AGAIN M. AS WE ARE LOSING THE
STATE OPTION WHERE. AND IT WAS
MAINLY USED FOR THAT VERY HIGH
LEVEL NEED HOW ARE WE GOING TO
BE LOOKING TO REPLACE THAT
LOCALLY. HELLO HE S. C. PARKER
REGION HAS REALLY TRIED TO HELP
COORDINATE SOME OF THE COUNTY
LEVEL CONVERSATIONS- BECAUSE WE
REALLY ARE TALKING ABOUT THIS
BEING OUT AGGRESSIVE TIMELINE.
TO DO ALL OF THIS AND TO DO IT
SUCCESSFULLY SO WE ARE IN WEEKLY
IMPLEMENTATION CALLS WITH OUR
DEPARTMENTS AND THEIR LEADS ON
ALL OF THIS TO TRY TO ENSURE
THAT WE'RE SHARING INFORMATION.
SHARING THE THINGS THAT A LOT OF
THE THINGS THAT DIRECTOR WAS
ZERO SPOKE OF EARLIER- OFFERING
INFORMATIONAL WORKSHOPS
THROUGHOUT OUR AND- OUR-
PROFESSION- AGAIN LINKING THEM
TO THE STATE RIGHT TOOLS
RESOURCES THAT YOU'RE ALL TRYING
TO MAKE AVAILABLE- AND
PARTICIPATING IN THIS GAP
ANALYSIS WHICH I THINK WILL BE
REALLY IMPORTANT FOR THIS
COMMITTEE AND OTHERS TO BE
LOOKING AT HOW DO WE- FILL THOSE
GAPS TO MAKE THIS SUCCESSFUL
LONG TERM. I DEVELOPING TRAINING
MODULES THERE'S NOTHING MORE
IMPORTANT I THINK FROM OUR
ORGANIZATIONS PERSPECTIVES AND
TO TRY TO HELP IN THAT AREA
ENSURE THAT OUR- STAFF AND THOSE
WHO WORK WITH OUR YOUTH- HAVE.
AS MUCH OF THE TOOLS AVAILABLE
TRAINING AS AN OF WONDERFUL WAY
IN WHICH TO OVERCOME A LOT OF
THE HURDLES THAT I KNOW WILL
EXIST IN SOME OF THIS
IMPLEMENTATION. AND OF COURSE
OUR COLLABORATION WITH MANY OF
THE STATE PARTNERS. AS WITH
EARLIER MENTIONS. BUT WHAT ARE
OF THE- THERE ARE MANY AND- WE
HOPE TO CONTINUE TO PARTNER WITH
THE STATE AND OTHERS AND TRYING
TO FILL THOSE. SOME OF THE
COMMON CHALLENGES THAT ARE
ALREADY. COME THROUGH WITH THE
PLANNING PROCESS OF RE ENTRY
PLANNING AS NOTED BEFORE THAT
TRANSITIONAL HOUSING. AND THE
WORK FORCE DEVELOPMENT IT THAT'S
REALLY SOMETHING THAT WE ARE
HEARING AIDS WE ALSO INTERVIEW A
LOT OF THE USE THAT ARE
RETURNING FOR DJJ. AS WELL AS
THOSE WHO ARE COMING INTO OUR
SYSTEM. FOR THE LOCAL
PERSPECTIVE THAT WORKFORCE
DEVELOPMENT IS GOING TO BE. AN
IMPORTANT PIECE ADD TO THIS-
SUCCESSFUL- LAUNCH OF THE
SPECIALIZED PROGRAMMING I'VE
MENTIONED I CANNOT PROBABLY
MENTION IT ENOUGH AS A
CHALLENGE. AHEAD FOR ALL OF US-
AND THEN THE LONGER OUT
POTENTIAL THE LONGER STAYS-
BECAUSE FOR THAT TRIP
TRANSITIONAL AGE YOUTH
SPECIFICALLY. AS THEY. GET
OLDER- IN OUR- SHARE NEED BE
SURE THE WERE FINE WAYS TO KIND
OF MATRICULATED THROUGH. THE
SYSTEM AS QUICKLY AND SAFELY AND
SUCCESSFULLY AS POSSIBLE INTO
BACK INTO OUR COMMUNITIES. THE
POST SECONDARY EDUCATION AS
DIRECT LISTS ARE NOTED WE ARE
VERY- INVOLVED IN A LOT OF
THOSE- THOSE THINGS SUCH AS THE
RISING SCHOLARS- BECAUSE THAT'S
PROBABLY ONE OF THE TOP THINGS
NOTED IN A LOT OF. THE PLANS AS
A GAP. THAT NEEDED TO BE
IMMEDIATELY LOOKED AT WITH THIS
NEW. OLDER ADULT POPULATION AS
AN EXAMPLE END IN JANUARY THERE
WERE STILL ABOUT FOUR HUNDRED AT
YOUNG ADULTS AT DJJ AND AT THAT
TIME THE AVERAGE AGE ESTIMATED
AT THE TIME OF CLOSURE WHICH
WILL BE SEEN IN A COUPLE MONTHS
FROM NOW. IS ESTIMATED TO BE
TWENTY ONE YEARS OLD SO THAT'S
THAT IS AT A SIGNIFICANT CHANGE
FOR US AT THE LOCAL LEVEL. ON
THE EIGHT TWENTY THREE
IMPLEMENTATION I THINK ARE YOU
ARE AWARE THAT ALTERNATELY OUR
ORGANIZATION PROBATION
PROFESSIONALS ACROSS THE STATE
OPPOSED THE POLICY- THERE THE
AGGRESSIVE AS- A TIMELINE WAS A
CONCERN AS WELL AS SOME OF THE
UNINTENDED CONSEQUENCES FOR THE
USE. THAT WE ARE ALL NOW TRYING
VERY HARD TO MAKE SURE IT DOES
NOT HAPPEN AND ONCE IT BECAME
LAW YOU KNOW I THINK YOU STOP
PROBATION DEPARTMENTS. AT KIND
OF GET INTO ACTION AND MAKE SURE
THAT WE WERE WORKING THROUGH
THIS- POLICY TO MAKE SURE THAT
WE'RE COLLABORATING WITH ALL WHO
WOULD BE INVOLVED BECAUSE IT WAS
GOING TO TAKE- EVERYONE TO TRY.
AND IMMEDIATELY WORK ON- WAYS IN
WHICH TO MAKE THIS SUCCESSFUL.
MANY OF THE CONCERNS THAT WE
RAISED AT THE TIME OF THE
PASSAGE REALLY STILL DO REMAIN
TRUE TODAY. AND SO AS WE LOOK AT
TRANSITIONING ON THE LEFT AT THE
VERY LAST PIECE THE DJJ- YOUNG
ADULTS BACK INTO OUR CARE WE
REALLY NEED TO AGAIN MAKE SURE
ANY SYSTEM CHANGE MEETS THE CORE
TENANT OF NOT DESTABILIZING THE
YOUTH THAT ARE CURRENTLY IN OUR
SYSTEM. WE MUST BE ABLE TO
TAILOR PROGRAMS SERVICES
CAPACITY AND DELIVERY MESSAGE
STATEN METHODS THAT MATCH THE
NEEDS OF THE COMPLEX USE. THAT
YOU INTEND FOR US TO SERVE. WE
MUST ACCOUNT FOR THE COUNTIES
THAT DO NOT HAVE CAPACITY OR THE
APPROPRIATE CAPACITY FOR THIS
OLDER MORE COMPLEX IN HIGHER
RISK AT. A GROUP. AND WE MUST
CREATE A SYSTEM THAT OUR
PARTNERS ESPECIALLY COURTS HAVE
THE CONFIDENCE AND SO MORE USE
ARE NOT LOST TO BE TRANSFERRED
TO IN THE ADULT COURT
JURISDICTION. I THINK ALL OF US
ARE IN AGREEMENT THAT THAT
SHOULD BE A TOP PRIORITY. SO
WHEN YOU THINK ABOUT IT AS THE
STATE IS DECENTRALIZING A VERY
HIGHLY SPECIALIZED COMPLEX PIECE
OF THIS SYSTEM WE MUST SUPPORT
AND RECOGNIZE THIS IS BEING
DONE. AS I SAID UNDER AN
AGGRESSIVE TIMELINE WHILE WE'RE
FACING. LABOR SHORTAGES- AT
DIFFERENT- AREAS AT THE LOCAL
LEVEL WE ULTIMATELY NEED IT TOO
AT THAT SPECIALIZED PROGRAM MEAN
FOR VERY SMALL NUMBER OF THIS
COMPLEX USED- IN ORDER TO BE
SUCCESSFUL WITH THEM AND WE'RE
LOOKING AT DOING THAT NOW IN
SEVERAL JURISDICTIONS VERSUS
JUST THE ONE. CENTRALIZED SOURCE
WHEN IT WAS AT DJJ SAID THE
TRADE OFF OF GETTING OUR YOUTH
BACK CLOSER TO HOME WHICH WE ALL
SUPPORT YOU KNOW IT IS HAS THAT
CHALLENGE WITH THAT IN TRYING TO
FIGURE OUT HOW WE REPLICATE A
LOT OF THOSE- THOSE PROGRAMS. SO
WHERE DO WE GO FROM HERE ALLEN
INFLOWS SEEN I JUST WANNA BE
SURE TO NOTE THAT YOU KNOW
PROBATION HAS A LONG HISTORY OF
SUPPORTING MANY OF THESE REFORMS
THAT WE TALKED ABOUT AT THE TOP
OF MY COMMENTS AND SUCCESSFULLY
COLLABORATING ON THE
IMPLEMENTATION OF VERY COMPLEX
POLICIES. SO WHAT WE KNOW FOR
CERTAIN IS WITHOUT IMMEDIATELY
WORKING TOWARDS ADDRESSING THE
GAPS IN THE SYSTEM WEEK THAT WE
PREVIOUSLY AND CONTINUE TO
IDENTIFY THE USE. THAT THE COURT
PLACES IN OUR CARE WILL NOT
REALIZE THE PROMISE OF THIS
REFORM AND THAT WOULD BE THE-
YEAR DEALS WITH TRAGEDY WEEK WE
SPECIFICALLY WANT TO MAKE SURE
THAT WE CAN. I INSURE THAT THESE
YEARS HAVE A MORE SUCCESSFUL
OUTCOME THAT THEY PREVIOUSLY DID
BEFORE THE REEF- THE REFORM. SO
THE SPECIFIC THINGS THAT THIS
WILL INCLUDE BUT NOT LIMITED TO
AND SOME OF THIS HAS BEEN
ALREADY REFERRED TO YOU BUT WE
NEED SPECIALIZED REGIONAL SECURE
PROGRAMS. BOTH IN THE BEHAVIORAL
HEALTH SPACE SEXUAL BEHAVIOR
TREATMENT. AND FEMALE SPECIFIC
FOCUS PROGRAMS. WE NEED TO
REALLY LOOK AT IT AS FUNDING AND
EMERGING NEEDS THAT ARISE. FROM
THE DJJ USE TRANSFERRING MID IT
PROGRAM REMEMBER THESE YOUTH ARE
STILL I'M IN THE MIDDLE OF THEIR
PROGRAMMING AND DJJ THAT'S WHY
THEY'RE THERE THEY HAVEN'T BEEN
DEEMED- READY FOR PAROLE IN SO
WE DON'T WANT TO DESTABILIZE
WHAT ARE WHAT THEY ARE IN THE
PROCESS OF DOING. BUT WE MAY NOT
HAVE JAPAN YOU KNOW WHERE
THEY'RE COMING HOME TO YOU- ALL
OF THE SAME THINGS- IN PLACE-
AND SO HOW DO WE ARE QUICKLY
CLOSED THAT GAP WITH THOSE
THINGS MIGHT BE HARD TO
IDENTIFY- IN SO HAVING. A. A
KIND OF FUNDING THAT THESE MIGHT
BE ABLE TO GO AND GET SOME
MEMBER RELIEF FOR WOULD BE I. OF
GREAT BENEFIT TO THE COUNTIES AS
THEY ARE TRYING TO. BRING BACK
HOME THIS POPULATION. ULTIMATELY
WE ALSO NEED TO BOTH IN THE
EMERGENCE BUT ALSO IN THE LONG
TERM ACCESS TO HIGH LEVEL MENTAL
HEALTH TREATMENT BEDS FOR YOUTH
SUCH AS THE ONES. THAT EXISTS AT
DISH WHICH I BELIEVE IS WHAT DJJ
ARE WAS UTILIZING WE NEED TO THE
EXPANSION OF FUNDING FOR THE
LEAST RESTRICTIVE PROGRAMS
REMEMBER THAT AVERAGE LENGTH OF
STAY IS MUCH LONGER. AND THAT'S
NOT IDEAL SO WE NEED TO BE
FOCUSED ON WAYS OF MATRICULATING
THESE YET YOUNG PEOPLE THROUGH A
CONTINUE- THAT SETS THEM UP FOR
SUCCESS UPON REENTRY. AND OF
COURSE FUNDING FOR TRANSITIONAL
HOUSING AS HAS BEEN PREVIOUSLY
MENTIONED IS DESPERATELY NEEDED
FOR THIS POPULATION ONCE THEY
LEAVE OUR JURISDICTION. SO THERE
IS A LOT TO COVER IN A VERY
SMALL PERIOD OF TIME- I'M MORE
THAN HAPPY TO ANSWER ANY OTHER
QUESTIONS BUT I THANK YOU FOR
YOUR TIME AND LISTENING. TO SOME
OF OUR POINTS TODAY. REALLY
APPRECIATE THANK YOU SO MUCH
PLEASE STICK AROUND FOR
QUESTIONS AFTER A NEXT UP IS
FRANKIE GOES MEN HE'S A SENIOR
DIRECTOR FOR YOUTH JUSTICE WITH
THE NATIONAL CENTER FOR YOUTH.
LAW WELCOME FRANKIE. YOU HI GOOD
MORNING SUBCOMMITTEE THANK YOU
FOR INVITING ME TO PRESENT TODAY
MY NAME IS FRANKIE GOES MIND.
I'M THE SENIOR DIRECTOR OF YOUTH
JUSTICE AT THE NATIONAL CENTER
FOR YOUTH LAW I COME BEFORE YOU
TODAY AS A FORMERLY INCARCERATED
YOUTH WHO SERVED SIX YEARS IN
CALIFORNIA'S YOUTH JUSTICE
SYSTEM BETWEEN FIVE YEARS. AND
THE DIVISION OF JUVENILE JUSTICE
AND AN ATTORNEY WHO WORK WITH
THE LEGISLATURE TO DRAFT AND
PASS SENATE BILL EIGHT TWENTY
THREE. PURPOSE OF THIS LAW IS TO
CLOSE CALIFORNIA'S YOUTH PRISON
SYSTEM REALIGNED THE STATE
JUVENILE JUSTICE SYSTEM TO THE
COUNTIES. THAT TO ESTABLISH THE
OFFICE OF USING COMMUNITY
RESTORATION TO OVERSEE THE NEWLY
DECENTRALIZED YOU SYSTEM WITH-
HEALTH FOCUSED. THE INTENT IS TO
SHIFT AWAY FROM ARE OUTDATED AND
HARMFUL CORRECTIONAL APPROACH TO
IMPRISONING KIDS IN FAVOR OF
KEEPING ALL DJJ ELIGIBLE USED IN
THEIR HOME COMMUNITIES. HOUSE IN
THE LEAST RESTRICTIVE
APPROPRIATE VARMINTS. ANSWERED
WITH DEVELOPMENTALLY APPROPRIATE
TRAUMA INFORMED AND CULTURALLY
ROOTED SERVICES. PROVEN
EFFECTIVE AT PROMOTING POSITIVE
YOUTH DEVELOPMENT AND INCREASING
PUBLIC SAFETY. UNFORTUNATELY DUE
TO FIERCE OPPOSITION FROM
PROBATION AND COUNTY LEADERS THE
EARLY INDICATORS ARE BLEAK. FOR
MANY OF THE FIRST DJJ YOUTH WHO
HAVE BEEN RETURNED TO THE
COUNTIES SB TWENTY THREE HAS
RESULTED IN LITTLE MORE THAN
MOVING CHILDREN'S BODIES. FROM
MEDIUM SECURITY STATE USE
PRISONS TO MAXIMUM SECURITY
COUNTY JUVENILE HALLS. WITH POOR
PROGRAMMING INADEQUATE EDUCATION
LITTLE COMMUNITY INPUT AND STATE
OVERSIGHT AND NO LOCAL
ACCOUNTABILITY FOR HOW STATE
FUNDS ARE USED. AND HOW
INCARCERATED USE ARE TREATED. TO
BE HONEST WE'RE NOT IMPLEMENTING
S. B. A. TWENTY THREE WITH
FIDELITY TO ITS CORE INTENT AND
WE ARE FAILING OUR USE. FOR
EXAMPLE. UNDER THE LAW EACH
COUNTY MUST ESTABLISH A J. J. C.
C. SUB COMMITTEE. COMPOSED OF
COUNTY ADMINISTRATORS YOUTH
DEVELOPMENT EXPERTS. AND
COMMUNITY STAKEHOLDERS TO
DEVELOP COUNTY PLANS DETAILING
HOW REALIGNMENT FUNDS WILL BE
USED TO SERVE RELY ON YOUTH
LOCALLY IN ACCORDANCE WITH THE
LAW THANK YOU I'M SO SORRY IS
THERE ANY WAY YOU CAN TURN ON
YOUR VIDEO. YOUR CAMERA. I
APOLOGIZE THANK YOU SO. MUCH FOR
LETTING ME KNOW. YEAH SO YOU-
HOW IN FORTUNE COUNTY. PROBATION
COUNTY IF. HAVE DEVELOPED PLANS
WITHOUT YOU DEVELOP. AND
COMMUNITIES INPUT. AND AS A
RESULT MOST COUNTIES HAVE
DESIGNATED THEIR JUVENILE HALLS
AS SECURE YOU TREATMENT
FACILITIES ARE ASKED WHY TF. IN
WHICH TO IMPRISON DJJ ELIGIBLE
USED. BY DESIGN JUVENILE HALLS
ARE MAXIMUM SECURITY SHORT TERM
DETENTION JAILS. LACKING
ADEQUATE EDUCATION HEALTH CARE
RECREATION AND FAMILY VISITING
SPACE. JUVENILE NOT TREMENDOUSLY
. THEY ARE INHERENTLY HARMFUL TO
CHILDREN IN FACT MANY USE
WHOEVER TURN FROM DJJ TO COUNTY
S. Y. T. S. HAVE REPORTED
DEPLORABLE CONDITIONS WITH
INADEQUATE PROGRAMS. FEW
OPPORTUNITIES FOR RECREATION AND
FAMILY VISITS AND A PUNITIVE
CORRECTIONAL CULTURE. SOME HAVE
EVEN ASKED TO RETURN TO DJJ OR
BE SENT TO PRISON INSTEAD. ONE
OF THE CORE COMPONENTS OF THE
LEGISLATION IN THE ABILITY OF
COURSE TO TRANSFER USE FROM S.
WHY TF. TO A LESS RESTRICTIVE
PROGRAM OR L. R. P. TO SERVE
THEIR BASELINE CONFINEMENT TIME.
LOCALLY THERE'S CONFUSION ABOUT
WHAT CAN FUNCTION AS AN LRP. AND
TOO LITTLE ATTENTION IS PLACED
ON ENSURING COURTS ARE AWARE OF
THE SUPPORTIVE COMMUNITY OPTIONS
AVAILABLE THAT CAN SERVE AS
LEAST RESTRICTIVE PLACEMENT.
DISGRACEFULLY MANY COUNTIES ARE
NOW DEVELOPING LESS RESTRICTIVE
PROGRAMS WITHIN JUVENILE HALLS
AND ARE SIMPLY MOVING USED IN S.
Y. T. F. TO A DIFFERENT UNIT IN
THE SAME JAIL. SADLY THE CULTURE
PROBATION CONTINUES TO BE
PUNITIVE AND HARMFUL TO YOUTH
AND THEIR COMMUNITIES WHO
DESERVE BETTER. IN THE LAST FEW
MONTHS ALONE THERE HAVE BEEN
NUMEROUS NEWS ACCOUNTS OF YOU'VE
BEEN PHYSICALLY AND SEXUALLY
ABUSED BY PROBATION OFFICIALS
WHILE IN JUVENILE HALLS IN LOS
ANGELES. SANTA CLARA AND SAN
MATEO COUNTIES TO NAME A FEW.
ALSO CONCERNING IS WE'RE HEARING
FROM PROBATION CHIEFS AND
DEFENSE ATTORNEYS THAT THERE ARE
MANY MORE USE BEING COMMITTED TO
LOCAL S. WHY TF. THEY WERE
PREVIOUSLY BEEN COMMITTED TO DJ
J. THIS MEANS MORE CHILDREN ARE
BEING IMPRISONED IN SHORT TERM
DETENTION JAILS. THAN BEFORE AND
THE STATE IS GOING BACKWARDS
INSTEAD OF FORWARD.
UNFORTUNATELY NEITHER PROBATION
DEPARTMENT STORE COURTS ARE
REQUIRED TO COLLECT DATA ABOUT
USE BEEN COMMITTED TO LOCAL
SECURITY TREATMENT FACILITIES.
AND THERE IS NO REQUIREMENT THAT
DATA BE REPORTED TO THE STATE OR
TO THE PUBLIC. AS SUCH THERE'S
NO AVAILABLE DATA TO ALLOW STATE
OFFICIALS TO IDENTIFY SYSTEMIC
ISSUES AND TO DEVELOP SOLUTIONS.
WITHOUT THIS INFORMATION THE
STATE LACKS THE MOST IMPORTANT
TOOL NEEDED TO ENSURE SUCCESS OF
THE TRANSITION. FORTUNATELY SB
EIGHT TWENTY THREE CREATED THE
OFFICE IN HOUSTON COMMITTEE
RESTORATION AND THE OFFICE OF
THE OMBUDSPERSON. TO OVERSEE
LOCAL JUVENILE JUSTICE SYSTEMS.
HOWEVER TO EFFECTIVELY SHIFT OUR
JUVENILE SYSTEM TOWARDS A HEALTH
BASED SYSTEM THAT PROMOTES
POSITIVE YOUTH DEVELOPMENT AND
PUBLIC SAFETY. THE STATE
AGENCIES NEED GREATER AUTHORITY
TO INSPECT AND REGULATE LOCAL
FACILITIES AND PRACTICES.
GREATER DISCRETION OVER STATE
JUVENILE JUSTICE FUNDING TO
COUNTIES. AND REPORTING TO THE
LEGISLATURE REGARDING GRIEVANCES
MADE FROM INCARCERATED YOUTH
FAMILY MEMBERS AND STAFF ABOUT
RIGHTS VIOLATIONS HAPPENING. TO
OUR MOST VULNERABLE USE HIDDEN
AWAY IN LOCKED FACILITIES. WITH
THE ENACTMENT OF SB TWENTY THREE
CALIFORNIA CHOSE TO DO THE RIGHT
THING BY EXCUSE. AND MADE A
COMMITMENT TO YOUNG PEOPLE THEIR
FAMILIES AND COMMUNITIES WE'RE
GOING TO USE HEALTH CENTER.
RESEARCH BASED POSITIVE YOUTH
DEVELOPMENT PRACTICES. TO HELP
YOUNG PEOPLE GROW AND THRIVE. WE
THE STATE'S JEFF SYSTEM IS A
SHIP. AND THERE IS NO. THAT THE
FACE BUT AND THE POWER THAT'S
BEHIND IT IS A DIFFICULT TASK.
HOWEVER WE'RE GETTING EARLY
WARNING SIGNS THAT IS NOT GOING
WELL AND WE MUST MAKE SURE THAT
WE'RE PAYING ATTENTION AND
MAKING THE NECESSARY CORRECTIONS
FOR THE SAKE OF OUR CHILDREN AND
OUR COMMUNITIES. THANK YOU.
THANK YOU FRANKIE. OUR FINAL
PANELIST IS GOING TO BE. JASMINE
DELA FALLS THE YOUTH ADVOCATE.
THANK YOU AND WELCOME. THANK YOU
SO MUCH I'M GOOD MORNING CHAIR
IN THE C. MEMBERS OF THE SENATE
COMMITTEE- MY NAME IS JASMINE
DOLLAR BOND YOU THE ADVOCATE AND
MEMBER ALSO OF CALIFORNIA LINES
FOR YOU THINK ME JUSTICE C. A.
Y. C. J. AND OVER THE PAST
DECADE I'VE BEEN COMMITTED TO
ADVOCATING FOR YOUTH AND SHARING
THAT THEY HAVE ACCESS TO
RESOURCES AND SUPPORT THEY NEED
TO THRIVE IN HILL. I'VE BEEN
ASKED TODAY TO SHARE I WOULD
ADVOCATES AND YOU HAVE BEEN
HEARING AND SHARING WHAT CHANGES
AND PROGRESSES HAVE BEEN MADE-
TOWARD THE CONTINUE CONTINUE-
INTO FURTHER ENSURE THE INTENT
OF SB EIGHT TWENTY THREE AND SO
TODAY I'M HERE AS A YOUTH
ADVOCATE. WHO HAS PERSONAL
EXPERIENCE WORKING DIRECTLY WITH
CURRENT AND FORMER YOUTH IN DJJ
I'VE WITNESSED FIRSTHAND THE
HARSH REALITY IS THAT MANY OF
CALIFORNIANS ARE FACING AS AN
ADVOCATE I'VE TRAVELED UP AND
DOWN THE STATE SUPPORTING AND
ADVOCATING FOR YOUTH RETURNING
FROM DJJ TO THEIR LOCAL JUVENILE
HALL FACILITIES. AND ENSURING
THAT THEY HAVE THE PROPER
SUPPORT TO NAVIGATE THE SYSTEM
THAT IN MANY WAYS CONTINUE TO
HARM THEM. I'VE WORKED IN DJJ-
WHAT DJ JAY YOU ARE RETURNING
BACK TO THEIR COUNTIES ALL
ACROSS CALIFORNIA. INCLUDING
COUNTIES LIKE ORANGE COUNTY LA
COUNTY KERN SACRAMENTO SAN
JOAQUIN. MONTEREY ALAMEDA MERCED
SANTA CLARA TO NAME A FEW WELL
WE'VE HEARD THAT THE ROMANCE
HAVE BEEN DEVELOPED YOUTH AND
OFFENDERS. I'M HAVE NOT BEEN
INFORMED TO THE TAKING TO BE
KEPT IN THE LOOP ABOUT THESE
TRANSITIONS OUR FUTURE PLANS
WHEN YOU ARE LEAVING. LEAVING IT
IN DISARRAY- THE EXTENT OF THE
DRAMATIC STORIES AND YOU'VE
EXPERIENCES IN THESE FACILITIES
ARE DEVASTATING AND COULD TAKE
SEVERAL HOURS FOR ME TO SHARE.
BY UNDERSTAND WE DON'T HAVE
ENOUGH TIME FOR THIS TODAY. I'M
TODAY OVER THREE HUNDRED AND
PLUS YOU'VE BEEN DJJ AND
HUNDREDS IN JUVENILE HALLS
ACROSS THE STATE ARE CALLING ON
EACH OF YOU TO PROVE THAT THEIR
LIVES MATTER. AND THEY'RE WORTH
INVESTING IN WE'VE HEARD FROM
MANY COUNTY JUVENILE DEFENDERS
AND YOUNG PEOPLE THEMSELVES.
THAT MORE YOUTH ARE BEING
COMMITTED TO SECURE YOUR
TREATMENT FACILITIES. THEN WE'RE
COMMITTED TO DJJ THE YEAR
BEFORE. NET WIDENING IS ALREADY
TAKING PLACE AND THERE IS NO
PUBLIC AVAILABLE DATA. THE
INTENT AND PURPOSE OF SB EIGHT
TWENTY SB EIGHT TWENTY THREE WAS
CALIFORNIA'S OPPORTUNITY. TO BE
THE CALIFORNIA GOLDEN STATE YOU
TALK ABOUT TO INVEST IN HEALING
BASED APPROACHES. THE USE OF THE
JUVENILE HALL SECURE YOU
TREATMENT FACILITIES ARE NOT
TRAUMA INFORMED. AND WE
UNDERSTAND AND- CURRENTLY THAT
THE VAST MAJORITY OF THESE
COUNTIES USING JUVENILE HALL
THIS IS A CLEAR YOU TREATMENT
FACILITIES. WERE. NOT BUILT. FOR
WE'RE BUILT FOR TEMPORARY HOW
AND YOU PEOPLE PENDING COURT AND
ARE. TO IS AND EMOTIONAL TO
YOUNG. IF IMPORTANT TO READ. THE
COLOR BECAUSE- CORPS FROM PINE
GROVE'S ARE NOT COMMUNITY BASED
ALTERNATIVES TO STEP DOWN THERE
HOUSING OPTIONS. AND WE SHOULD
BE REEVALUATING WHAT WE ARE
NEEDING COMMUNITIES ALTERNATIVES
AND IT'S AT ODDS. I WITH THE
INTENT OF SB EIGHT TWENTY THREE.
SB EIGHT TWENTY THREE WAS
SUPPOSED TO MARK A SHIFT AT THE
STATE'S CURRENT INVESTMENT IN
CORRECTIONS TOWARDS INVESTMENTS
IN HELPING YOU DEVELOPMENT
APPROACHES TO USE
ACCOUNTABILITY. HOWEVER WE'RE
SEEING THAT WHEN YOUNG PEOPLE
ARE UNFORTUNATELY EXPERIENCING
AND COUNTIES IN JUVENILE HALLS.
I'M IN THESE S. Y. TEO. IN
FACILITIES ARE EXTREMELY HARMFUL
FOR YOUNG PEOPLE AND IS
ESPECIALLY THOSE. WHO ARE THERE
FOR LONG TERM STAYS THE
SITUATIONS ARE SO DIRE THAT SOME
COUNTIES THERE IS THEY THINK
THAT THEY CAN GASLIGHT EVERYONE
BY ALSO REFERRING TO JUVENILE
HALLS WITHIN JUVENILE HALL
FACILITIES I STEP DOWN. IT'S
UNACCEPTABLE AND THE LEGISLATURE
NEEDS TO PAY CLOSE ATTENTION TO
HOW HOW THESE TYPES OF PRACTICES
THAT COUNTY IS. A PRACTICE IS
DONE BY COUNTY PROBATION
DEPARTMENT. I NEED TO RECOGNIZE
THE OPPORTUNITY TO ENGAGE WITH
COMMUNITY AND STAKEHOLDERS ABOUT
ALTERNATIVES TO LESS
RESTRICTIVE. YOUNG PEOPLE ARE
SHARING THAT THE CONDITIONS IN
JUVENILE HALLS LIKE MANY IN LA
OR HORRIBLE. AND AS WE ALL KNOW
THE ONGOING CRISIS IN LA THEY'RE
EXTREMELY UNSAFE CONDITIONS. THE
IT REQUIRES. IMMEDIATE ATTENTION
FROM THE STATE TO- IN. THE OF
WHY AND BUT- IS AN- THE- IN L.
A. RBI SHAME. IN CARS YOUTH THEY
HAPPY OPPORTUNITY TO CALL IN
TODAY I CAN IMAGINE WHAT THEY
WOULD HAVE TO SAY. TO SHARE A
FEW OF THE ALLEGATIONS THAT ARE
HARD TO HEAR BUT NEED TO BE
SHARED YOU ARE NOT BEING GRANTED
THE DIGNITY OF PRIVACY TO USE
THE RESTROOM. I'M BEING FORCED
TO URINATE ENTITLES YOU PRO
TESTING SO THEY CAN BE IN
TREATMENT GETTING PROGRAMMING TO
GET EDUCATIONS THEY'RE ENTITLED
TO THESE UNITS SHOULD BE
COMMENDED FOR STANDING UP FOR
THEIR RIGHTS. BUT INSTEAD THEY
ARE BEING PUNISHED I PERSONALLY
KNOW YOU TWO HAVE ALSO BEEN.
ASKED TO GO BACK TO THE J. J.
BECAUSE OF THE TERRIBLE
CONDITIONS AND RECENTLY OUTLINED
IN THE CJ FEATURE REPORT WHICH I
ENCOURAGE YOU ALL TO- TO READ. I
DO SAY THAT IT'S A LOT BETTER
THAN THE CONDITIONS THEY'RE
FACING AND OUR LOCAL JUVENILE
HALLS. AND OF COURSE WE'VE SEEN
IN THE NEWS RECENTLY YOU BEING
PHYSICALLY AND SEXUALLY
ASSAULTED BY THE VERY STAFF WERE
SUPPOSED TO PROTECT THEM. I WANT
TO EXPRESS AND EGGS EXPAND ALL
GOAL Y. C. R. O. I. C. R. NEEDS
MORE THORNY OVER FUNDING OVER
FACILITIES OTHER PROGRAMS.
ADDITIONALLY WE NEED TO
REINFORCE AND STRENGTHEN THE
ROLE OF THE ONWARDS PERSON TO
REPORT. ON GRIEVANCES THE
SYSTEMIC PROBLEMS TO TRANSLATE
INTO POLICY SOLUTIONS IN ORDER
TO ENSURE SAFEGUARDS FOR YOUNG
PEOPLE. THE NEW OFFICE OF THE
OMBUDSPERSON PLAYS A CRITICAL
ROLE IN SHINING LIGHT ON THE
RAMPANT VIOLATIONS OF
MISTREATMENT WITHIN THESE HALLS.
BUT UNFORTUNATELY UNDER THE
CURRENT LAW IT NEEDS FORTY EIGHT
HOURS NOTICE I'M FOR THEM TO
TALK TO A YOUNG PERSON. THE
STATE LEGISLATORS SHOULD BE
REQUESTING FOR REPORTS FROM THE
OMBUDSPERSON TO FIND OUT MORE
WHAT KIND OF SYSTEMIC ISSUES.
NEED TO BE DRESSED FOR
LEGISLATIVE CHANGE. TO SHIFT TO
ANOTHER ISSUE I'VE SEEN A LACK
IN DATA COLLECTION IN THE
SENSIBILITY. THERE'S NO SYSTEMIC
APPROACH BY PROBATION AND MOST
COUNTIES TO COLLECT DATA
NECESSARY. TO UNDERSTAND THE
ISSUE THE POSSIBLE SOLUTIONS
MANY. COUNTIES- R. X. AND IN
THEIR GIVEN IN THE- TO. NOT HAVE
ENOUGH TO COLLECT THE STATE.
WORKS BY. HOWEVER COUNT LIKE OR
COUNTY. HAVE DEMONSTRATED THAT
THEY CAN TO COLLECT DATA WITH
THESE EXISTING RESOURCES. SO
THERE SHOULD BE NO EXCUSE FOR
THE LACK OF DATA GIVEN THE
RESOURCES THAT ARE GOING TO
COUNTIES INCLUDING THE HUNDRED
MILLION DOLLARS. RECENTLY GIVEN
TO PROBATION TO IMPROVE
FACILITIES. ADVOCATES IN YOU
FILL THIS MONEY WAS WASTED ON
MORE OF THE SAME INSTEAD OF
GOING TOWARDS FUNDING NEEDED.
YOU'VE DEVELOPMENT INFORMED
CONTINUE UP HERE AGAIN SB EIGHT
TWENTY THREE WAS SUPPOSED TO
MARK THE SHIFT OF THE STATE'S
CURRENT COUNTY INFECTIONS FROM
CORRECTIONS. FOR THE INVESTMENT
IN HELPING YOU DEVELOPMENT THIS
BODY NEEDS TO INVEST IN LESS
RESTRICTIVE PROGRAMS TO HAVE
FEWER BROAD OPTIONS- THE BROADER
OPTION- FOR CALIFORNIA THAT WE
HAVE THE RESOURCES TO DO WITHOUT
LASTLY. IT IS UNCLEAR HOW
PROGRAMMING IS BEING EVALUATED
IN EACH COUNTY J. J. SEIZE THE
MEMBERS IN VARIOUS COUNTIES
REPORTED THAT BASIC PROGRAM
INFORMATION SUCH AS THE NUMBER
OF YOUTH BEING SERVED- IT
DOESN'T HELP WHEN THE
REALIGNMENT BLOCK GRANT UNDER
EIGHTY FIVE OH FIVE INCLUDES NO
REQUIREMENT FOR ACCOUNTABILITY
MEASURES OVER THE SPENDING. IN
TERMS OF ME INVOLVEMENT
PROBATION THE MANY COUNTY SERVES
AS THE GATEKEEPER AND CONTROL
THE PROCESS FOR COMMUNITY INPUT
AND PARTICIPATION. AND MANY
COUNTIES THAT MEANS THAT THE
PROCESS DOES NOT INCLUDE
COMMUNITY HEALTH PROFESSIONALS
ARE YOU DEVELOPMENT EXPERTS THIS
LEADS TO A FEW PROGRAMS BEING
INCONSISTENTLY OFFERED AROUND
COUNTIES. YOUNG PEOPLE REPORTS
SEVERAL GAPS IN PROGRAMMING FOR
EXAMPLE PROGRAMMING THAT IS
TRAUMA INFORMED AND ROOTED IN
YOUTH DEVELOPMENT ARE SCARCE TO
NONEXISTENT. AND ALSO
PROGRAMMING RELATED TO GANG AND
CULTURALLY COMPETENT PROGRAMMING
EDUCATION TRANSLOCATION AND
EMPLOYMENT TREATMENTS ARE ALSO
NOT CLEAR OR BEING WELL
RESOURCE. TODAY WE LAID OUT A
LOT BUT WHAT I ENCOURAGE THIS
BODY TO WALK AWAY MORE THAN
ANYTHING IS TO PLEASE CONTINUE
TO CENTER. THE HEALING AND
WELLNESS ABOVE ALL ELSE FOR
YOUNG PEOPLE AND ALL I SEE ARE
HAS THE HAS HAD MORE AUTHORITY
TO ENSURE THE SAFEGUARDS IN
HEALING BASED LESS RESTRICTIVE
ALTERNATIVES ARE IN PLACE. THANK
YOU FOR THE NIGHT TIME. THANK
YOU TO ALL THAT'S- FOR YOUR
PRESS. TODAY BEFORE K. OFF ANY.
ON TO OUR SECOND MEMBERS I WANT
TO SEE IF. L. E. O. ANY. GOOD
MORNING RYAN MILLER LEGISLATIVE
ANALYST'S OFFICE WE HAVE NOTHING
TO ADD AT THIS TIME OR YOUR
MAILBOX FOR QUESTIONS. GREAT
THANK YOU SO MUCH RYAN WHAT
ABOUT THE DEPARTMENT OF FINANCE
. THE MORNING IN THE WHOLE
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. PERFECT OKAY I
AM I'LL KICK OFF WITH SOME
QUESTIONS AND THEN TURN IT OVER
TO MY COLLEAGUES TO MY RIGHT-
SHOULD THEY HAVE ANY QUESTIONS.
THEMSELVES. MIGHT I'LL START OFF
RELATED TO MY COMMENTS AND
BEFORE WE KICKED UP THIS
PRESENTATION YOU KNOW BEING THE
SENATOR WITHIN L. A. COUNTY I
WANT TO TURN TO DIRECTOR PAYING.
AND YOU YOU ALLUDED TO I MEAN
YOU MENTIONED SOME STAFFING
SHORTAGES AND ONE OF IN MY
DISTRICT I HAVE A JUVENILE HALL
IT'S THE- NIGHT OR PALM AND IT'S
SEEN ONE OF THE LARGEST AMOUNTS
OF. COLLINS YOU KNOW DUE TO SICK
TIME AND NOT REALLY MEETING THE
RATIO OF HAVING PERSONNEL THERE.
I'M I'M JUST WANTED TO SEE IF HE
COULD SPEAK TO A LITTLE BIT MORE
OF THAT AND WHAT WE'RE DOING
RELATED TO THE CRISIS WERE SEEN
IN AN LA JUVENILE FACILITIES HOW
CAN WE EXPECT THESE CONDITIONS-
TO BE SAFE AS RECEIPT M. HOW CAN
WE EXPECT THESE CONDITIONS TO BE
SAFE AND IF YOU HAVE RIGHT NOW.
THE NUMBER OF THE ELIGIBLE DJ.
YOU THAT WOULD BE ENTERING L. A.
COUNTY. THANK YOU SENATOR FOR
THE QUESTION- I DO NOT HAVE THE
NUMBER WITH ME BUT I KNOW WE
HAVE ACCESS TO THAT SO BE HAPPY
TO GET THAT TO YOUR OFFICE- AND
AS IT RELATES TO- THE STAFFING
SHORTAGES I THINK. THE QUESTION
IS- HELPFUL BECAUSE IT WILL ALSO
ALLOW ME TO DIFFERENTIATE IT A
LITTLE BIT- WE'RE NOT SEEING THE
SAME. KIND OF. THE SAME PROBLEM
THAT WERE HEARING IN LA- REFLECT
THAT STAFFING SHORTAGES THAT I
AM MENTIONING WITH OTHER
COUNTIES I THINK THAT'S FROM A
HIRING PERSPECTIVE THAT WE
DON'T. WE KNOW THAT WE'RE HAVING
DIFFICULTY POTENTIALLY YOU KNOW.
FEELING DIFFERENT POSITIONS
WE'VE HEARD A LOT ABOUT THE
BEHAVIORAL HEALTH- CRISIS AS
WELL FROM A POSITION SO IT'S NOT
REALLY JUST IN THE PROBATION
RANKS BUT IT CERTAINLY- KIND OF
FROM LOCAL GOVERNMENT
PERSPECTIVE ENTIRELY I THINK.
THEY'RE JUST- RECRUITMENT- AND
AT AND IN SOME CASES RETENTION
YOU KNOW CONTINUES TO BE- AN
ISSUE THAT WE'RE WE'RE KEEPING
OUR EYES ON BUT IT'S VERY
DIFFERENT THEN AS I UNDERSTAND
WHAT MAY BE HAPPENING IN LA- AS
IT RELATES TO THE SPECIFIC
ISSUES AWAY- IS LOOKING AT I
MEAN OUR REPORTS ARE THAT THEY-
ARE. VERY CONCERNED ABOUT THE
NUMBER OF YOU THAT ARE RETURNING
FROM DJJ AND- AND HOW TO. BRING
THAT INTO THE CURRENT SITUATION-
BUT AS IT RELATES TO
SPECIFICALLY- THE L. A. PLANS I
WOULD DEFER. TO ADD THE L. A.
PROBATION DEPARTMENT. THANK YOU
DEFINITELY DEFINITELY REACH OUT
I'M AN EX QUESTION IS CHIU
DIRECTOR LU SETTLE YOU MENTIONED
A COUPLE POSITIONS ARE THAT
YOU'LL BE HIRING I KNOW YOU
MENTIONED THE OMBUDSPERSON IS
BUILDING THEIR TEAM AND SO
FORTH. BUT YOU TALKED ABOUT
POSITIONS RELATED TO EXPERTS-
ARE THESE POSITIONS THAT YOU
HAVE THE CAPACITY IN FUNDING TO
ON BOARD- IS OR IS THIS GOING TO
BE SOMETHING THAT YOU'RE LOOKING
TO GET. BUDGET ON. WE DO HAVE-
A- THE ABILITY TO HIRE
CONSULTANTS. I THINK THAT- WHAT
WHAT IS AND- A LITTLE BIT MORE
CHALLENGING IS WHEN WE WANT TO
HIRE WITHIN STATE GOVERNMENT AND
HAVE. FOLKS COME OVER FROM OTHER
SPECIAL DEPARTMENTS AND WHERE WE
MIGHT NEED TO GET THERE YOU KNOW
INVOLVED IN A PROCESS FOR
GETTING THOSE POSITIONS
APPROVED- BUT WE ARE WORKING
DILIGENTLY WITH OUR- LEADERSHIP.
AND BELIEVE THAT WE ARE GOING TO
BE ABLE TO- GET WHAT WE NEED ON
BOARD AND HOPEFULLY- PRIOR TO.
THE CLOSURE. AND MADAM CHAIR I
DID WANT TO LET YOU KNOW THAT WE
ARE INFORMATION ISN'T ERIN
NINETY KIDS AS OF DECEMBER
TWENTY TWENTY TWO. THAT WILL BE
LEADING DJJ TO LA BUT THEY MAY
HAVE SOME OF THAT MAY HAVE
DISCHARGED DATES PRIOR TO THE
JUNE THIRTIETH BUT THAT'S THE
LATEST INFORMATION WE HAVE.
THANK YOU SO MUCH- I NOW TERM
BEFORE GOING TO IT ANY OTHER
QUESTIONS ANY OF MY-
SUBCOMMITTEE MEMBERS FOR
QUESTIONS. I'LL START WITH THE
US AND IRAQ. THANK YOU MADAM
CHAIR CLEARLY WE MOVING VERY
QUICKLY TOWARD THE END OF THIS
DJJ. REALIGNMENT TRANSITION AND
I FIRST WANTED TO COMMEND THAT
WANT TO COMMEND THE
ADMINISTRATION AND THOSE
INVOLVED WITH THAT- IN THIS VERY
IMPORTANT WORK. MY QUESTION
RELATES TO QUESTION NUMBER FOUR-
ON PAGE SEVEN OF THE- THE
ANALYSIS THE AGENDA THE
BACKGROUNDER. AND IT'S THIS
GIVEN THE SHORTAGES IN
BEHAVIORAL HEALTH PROVIDERS AT
THE COUNTY LEVEL- AND ACROSS THE
STATE IN MANAGED HEALTHCARE
PLANS IN COUNTY EMPLOYMENT AND
OTHER WAS. AND GIVEN THE
PROPOSED- BUDGET ACTIONS
DIFFERING MONEY TARGETED TOWARD
BEHAVIORAL HEALTH WORKFORCE
EXPANSION. I GUESS MY QUESTION
IS WHAT ARE THE SPECIFIC PLANS
TO. TO DEAL WITH THE LACK OF
PROVIDERS- WHO NEED TO BE
PROVIDING BEHAVIORAL HEALTH CARE
TO THOSE WHO WE ARE-
TRANSITIONING. FRANKLY I'M
CONCERNED IT'S SIMPLY PROVIDING
MONEY TO COUNTIES THROUGH GRANT
PROGRAMS IS NOT GOING TO ADDRESS
THE PROBLEM AT ALL. BECAUSE I'M
NOT SURE THAT IT'S HIRING AND
RECRUITING I THINK IT'S SUPPLY
THAT'S THE ISSUE. HERE I DON'T
KNOW WHO TO DIRECT THAT TO I
DON'T HAVE AN AGENDA WITH YOUR
NAMES BUT PERHAPS SOMEONE AS OF.
AN ANSWER YOU COULD JUMP IN.
THANK YOU SENATOR AND- THIS IS
HARDLY CERRO. YOU'RE ABSOLUTELY
CORRECT THAT WE HAVE HAD
COUNTIES LET US KNOW THAT IT'S
NOT FOR WANT AS ABILITY TO HIRE
HER BUT IT IS. CAN CAN ENJOY THE
WORK. AND WE ARE JUST BEING AS
CREATIVE AS WE CAN WITH REGARDS
TO THINKING ABOUT TELEHEALTH.
ABOUT REGIONAL SOLUTIONS ABOUT
SHARING- ABOUT TEAMS GOING TO
COUNTY'S VERSES COUNTIES HAVING
TO PULL AND JEANS. WE ARE WE ARE
WORKING WITH AN AGENCY OUR
PROBLEM SOLVING AS I INDICATED-
WE ARE DEDICATING SOME OF OUR
FUNDING YOUR AGE HEIGHT TO. HELP
INCENTIVIZE- PEOPLE AT
EXPERIENCE GOING INTO THE
PROFESSION THAT IS. OBVIOUSLY
GOING TO BE A LONG LONGER RANGE
PLAN. I BUT BUT WE ARE DOING
WHAT WE CAN TO LOOK AT. MAKING
THE BEST OF THE SITUATION USING
THE TELEHEALTH SOLUTIONS USING
MAYBE LOOKING AT TEAMS AS I SAID
GOING TO THE COUNTIES RICHEST
COUNTIES HIRING THE TEAMS- AND
THERE'S A LOT OF- DISCUSSIONS ON
THIS POINT- I REALIZE THAT MAY
NOT BE SATISFYING ANSWERS THAT I
WANT YOU TO KNOW THAT THIS IS
TOP OF MIND. I'M IN WITH REGARDS
TO PLAYSET FOR KIDS WITH WITH A
SERIOUS MENTAL HEALTH ISSUES
WAIT WE ARE ALSO WORKING WILL
LIGHT OR IS WORKING WITH DSS AND
OTHER AGENCY PARTNERS BECAUSE WE
ARE BEING TOLD THAT THERE ARE
OFTEN DEBTS. BUT THOSE BEDS ARE
NOT FAVORABLY OFFERS SHE THIS
POPULATION WITH YOUTH WITH
SERIOUS MENTAL HEALTH ILLNESS SO
WE'RE TRYING TO PROBLEM SOLVE
THAT. PROBLEM AS WELL WELL AS
WERE LET ME JUST SAY THIS AS
WE'RE WORKING THROUGH THIS
BUDGET WE DO BOTH MONEY AND
POLICY IT SEEMS IN THE BUDGET
MOST OF THE TIME. SO AS WE'RE
DEFERRING BUDGETARY ITEMS TO
DEAL WITH THE EXPANSION OF. THE
BEHAVIOR HEALTH WORKFORCE
PIPELINE- IF THERE ARE POLICY
ISSUES AND POLICY CHANGE THAT WE
NEED TO MAKE ORDER TO.
FACILITATE THE USE HELP. IN
ORDER TO FACILITATE THE USE OF
CROSS COUNTY TEAMS FAVOR HEALTH
TEAMS WHATEVER THE- SOLUTION IS
WHETHER IT'S A BANDAID TEMPORARY
OR PERMANENT. I THINK WE NEED TO
BE THINKING THROUGH THAT SO
APPRECIATE YOUR HELP AS WE MOVE
FORWARD WITH THIS PROCESS THANK
YOU VERY MUCH THANK YOU MANAGER
. THANK YOU NEXSTAR CINNAMON.
QUESTIONS THANK YOU VERY MUCH-
AND I APOLOGIZE I WASN'T HERE
FOR IN THE EARLIER PART OF YOUR
PRESENTATION AND ALSO MY
APOLOGIES I DON'T HAVE TO LEAVE
BEFORE WE'RE DONE TODAY. AND I
DON'T KNOW THAT I HAVE A
QUESTION BUT I JUST WANTED TO
MAKE THAT THE COMMENT AND I
DON'T KNOW IF ANYBODY WANTS TO
RESPOND TO IT AND I SAW- REFER
MIKE MY COMMUNITY. ON THEIR NICE
TO SEE YOU JASMINE- BUT THE IT
THAT WE'RE ON TRACK TO CLOSE ALL
OF OUR FACILITIES. JULY AND I
KNOW IN MY OWN HOME COMMUNITY WE
HAVE TO WE HAD TO USE FACILITIES
WERE DOWN TO ONE CURRENTLY DJJ
FACILITY. BUT I KNOW IN THAT
FACILITY I VISITED MANY TIMES
AND- AND ALWAYS APPEAR TO ME
THAT COULD WORK WAS HAPPENING
AND IN FACT I HAD. MANY OF MY
STUDENTS WHO ARE. PROFESSIONALS
BEHAVIOR HEALTH PROFESSIONALS
PEOPLE OF COLOR PEOPLE- WITH
ACCESS TO TWO DIFFERENT
LANGUAGES- AND I KNOW I'VE HEARD
LOUD AND CLEAR FROM MY COUNTY
THAT THEY DON'T HAVE GOOD
OPTIONS RIGHT NOW FOR YOUTH AND
YOUTH ARE ENDING UP IN. AS
PEOPLE SAID IN JUVENILE
DETENTION CENTERS IN SOCIAL
WORKERS OFFICES AND ALL KINDS OF
PLACES BECAUSE- THERE ARE GOOD
OPTIONS FOR PLACEMENTS- AND I. I
SO I JUST WANT TO MAKE THE POINT
THAT IF WE ARE TO AGGRESSIVE IN
OUR TIMELINE. I THINK THE SAFETY
AND THE OUTCOME FOR OUR USE AND
REALLY GIVING THEM EVERY SHOT
THEY NEED TO BE. SUCCESSFUL IS
WHAT WE SHOULD HAVE AS OUR
PRIORITY. RATHER THAN JUST. A
RUSHED TO TRY TO DEVOLVE A
SYSTEM. THAT MAY HAVE SOME
BENEFITS TO IT. IS SPECIALLY IN
THE LIGHT OF NOT HAVING
APPROPRIATE RESOURCES IN OTHER-
THROUGH OTHER AVENUES SO I JUST
WANNA. I DON'T KNOW IF ANY OF
THE- RESPONDENTS. ONE RESPOND TO
THAT OR JUST ARE WE GOING TO
FAST DO WE HAVE EVERYTHING IN
PLACE TO ENSURE- THE SAFETY OF
THESE YOUTH AND ACTUALLY
PROVIDING THE SERVICES THEY
NEED. TO BE ABLE TO LIVE
SUCCESSFUL LIVES. THE SENATOR
THIS IS KAREN HANK EXECUTIVE
DIRECTOR OF THE CHEAP PROBATION
OFFICERS OF CALIFORNIA AND- I
WOULD. AGREE THAT YOUR STATEMENT
IS PROBABLY THE FOUNDATION OF
THE TAKE AWAY THAT I THINK WE
WOULD WANT STOOD TO UNDERSCORE
AT TODAY. FOR MY MEMBERSHIP- YOU
KNOW AS NOTED WE AND IT WAS VERY
ODD FOR US TO ACTUALLY BE IN
OPPOSITION TO THIS KIND OF A
POLICY BECAUSE THE GOALS OF THE
POLICY ARE VERY MUCH SUPPORTED
BY- ARE. OUR PROFESSION IT IS A-
IT IS THE AGGRESSIVE TIMELINE
AND SOME OF THE WAY IN WHICH- WE
MIGHT BE- LOOKING AT THE
CLOSURE. I JUST REMEMBER IT IT
WAS IN TWO FULL RIGHT WE FIRST
WE STOPPED IN TAKEN SO IT
ALLOWED KIND OF COUNTIES TO
SLOWLY BE TAKING ON NEW
POPULATIONS WITH POTENTIALLY NEW
ISSUES OR MAYBE SOME THAT HAVE
SIMILAR ISSUES AND SO ON FROM AT
COUNTIES PERSPECTIVE IT WAS. A
MUCH MORE MANAGEABLE I WOULD
SAY- AND NOW YOU'RE OVERLAYING A
NEW POPULATION THAT IS IN THE
PROCESS OF MIDWAY IN THERE IT
YOU KNOW- THEIR TREATMENT PLAN
HAVE BEEN LIVING IN A VERY
DIFFERENT SITUATION AND SO WHEN
YOU KIND OF TAKE ALL OF THOSE
PIECES TOGETHER INCLUDING WHAT I
CENTER ROSS JUST MENTIONED WITH
THE- WITH THE BEHAVIORAL HEALTH
PIPELINE. LEAK RE ABOUT THE
SUPPLY- IT DOES CREATE
CHALLENGES- AGAIN PROBATION HAS.
BEEN WILLING AND ABLE TO TRY AND
TAKE ON SOME OF THESE COMPLEX
ISSUES AND WORK WITH MANY OF THE
STAKEHOLDERS AND- POLICYMAKERS
TO TRY TO FIND SOME OF THOSE
SOLUTIONS BUT THIS THIS HAS BEEN
. A PARTICULARLY CHALLENGING
ONE. THEN JUST THROUGH THE CHAIR
JUST TO MAKE THE POINT AGAIN
JUST TO BE A THE RECORD SAYING
IF THE AT THE TIMELINE IS TOO
AGGRESSIVE NO MATTER HOW MUCH WE
AGREE WITH THE VALUES OF THE
INITIATIVE THEN I THINK WE
SHOULD WE SHOULD MAKE SURE OUR
PRIORITY. IS PROVIDING THE LEVEL
OF CARE THAT YOU NEED. CENTER
EGGMAN IF I MAY ALSO- FRANKIE
WAS MINE WITH THE NATIONAL
CENTER FOR YOUTH LAW AND YOU
KNOW I WILL AGREE- I TOO WAS NOT
A STRONG SUPPORTER OF. THE
GOVERNOR'S PLAN TO CLOSE DJJ-
ACCORDING THE TIMELINE AND WITH
NO PLAN AND WORK IN THE
LEGISLATURE TO TRY TO SLOW
THINGS DOWN AND REALLY TOLD YOU
DID YOU THE RIGHT WAY BY BY
PROVIDING. THE RESOURCES IN THE
RIGHT PLACES. ROSTER STATUS
YOUNG. IN WAYS SAID MANY TIMES
COMMON FOR YOU KNOW CULTURAL AND
ALL THESE YOU KNOW OTHER THINGS
THAT ARE EVIDENCE BASED. BUT YOU
KNOW THE TRUTH AS WELL BUT THE
TIMELINE IS MUCH TOO AGGRESSIVE.
THE V. I THINK THE VIEW TAKEN BY
MANY OF THE ADMINISTRATORS IS
MUCH TOO NARROW AND IN TERMS OF
WHAT ARE AVAILABLE OPTIONS ARE
BECAUSE IF WE'RE IF WE'RE SAYING
THAT THERE AREN'T. ENOUGH OP
CORRECTIONAL HEALTH BASED
PROFESSIONALS WELL THE PROBLEM
IS IT'S A BIT OF AN OXYMORON YOU
CAN'T PRODUCE HELP. IN A
CORRECTIONAL ENVIRONMENT AND
THEY'RE GOING TO BE VERY FEW.
PEOPLE AVAILABLE TO DO THAT
BECAUSE IT IS INEFFECTIVE AND
THERE JUST ISN'T YOU KNOW A LOT
OF PEOPLE SIGNED UP. TO DO
THINGS THAT ARE ARE INEFFECTIVE
I WOULD IMAGINE. BUT TO THE
EXTENT THAT THERE ARE TREATMENT
PROVIDERS- BEHAVIORAL HEALTH
PROVIDERS. THERE ARE MANY. THE
ISSUE IS THAT WE WE'VE BEEN
LISTED. YOU KNOW THAT THE-
PROBATION AGE LEADER TO TAKE. TO
RUN NEW. THIS LOOP. IS NEW- YOU
KNOW OUR- WHICH IS HELD BASED
JUVENILE JUSTICE SYSTEMS AND
OFTEN TIMES I THINK THEY THEY
DISMISSED. OR VIEW OUR COMMUNITY
BASED PROGRAM- SERVICE PROVIDERS
WITH DISTRUST. BOB AND SO. WHAT
I'M SAYING IS THAT THERE ARE
MANY PEOPLE OUT IN THE COMMUNITY
WHO CAN STEP UP AND DO A LOT OF
THIS WORK BUT THE PARTNERSHIPS
ARE NOT HAPPENING BECAUSE- ARE
ARE. THE PEOPLE WHO WE'VE WE'VE
ENLISTED TO ROLL OUT THIS NEW
REALIGNMENT PROGRAM I THINK ARE
ARE COMING AT THIS FROM A
CORRECTIONAL LAW ENFORCEMENT
PERSPECTIVE. THAT VIEWS
COMMUNITY BASED PROVIDERS WITH
DISTRUST OR- DOESN'T DOESN'T.
VALIDATE THEM AT ALL BUT I WOULD
ARGUE THAT THERE ARE MANY PEOPLE
I MYSELF SPENT SIX YEARS IN
YOUTH AUTHORITY. I CAME OUT WITH
A LOT MORE ISSUES THAN I WENT IN
WITH. AND I TURN MY LIFE AROUND
AND BECAME SUCCESSFUL NOT
BECAUSE A CLINICIAN AND JAIL
HELP ME BECAUSE COMMUNITY BASED.
PROVIDERS YOU KNOW CREDIBLE
MESSENGERS AND OTHER BEHAVIORAL
HEALTH SPECIALISTS IN THE
COMMUNITY AND A COMMUNITY
COLLEGES. HELP ME TO DO THIS AND
SO I WOULD JUST ENCOURAGE US YOU
KNOW TO REALLY THINK CRITICALLY
ABOUT EMPOWERING HELPING
PROFESSIONALS. AND LISTENING TO
THEM EVEN IF WHAT THEY SAY IS WE
CANNOT HELP YOUNG PEOPLE IN
JUVENILE HALLS WE MUST HAVE
LEAST RESTRICTIVE OPTIONS. AND
AN ABANDONED THERE'S A GALAXY
UNWARRANTED FEAR OF YOUNG PEOPLE
USE OF COLOR. IN FAVOR OF
HELPING TO BROACH IS THAT ARE
THAT ARE PROVEN EFFECTIVE FOR
YOUNG PEOPLE AND BEGIN TO TRULY
PARTNER WITH COMMUNITY BASED
PROVIDERS. AND ALSO IF YOU WERE
OUR INVESTORS ARE GOING YOU KNOW
SHE BLOCK HAS. MENTIONED
CONSORTIUM AND TO DIRECT IN
SEATTLE WHICH IS I UNDERSTAND
ARE YOU KNOW BUT THIS NONPROFIT
ESTABLISHED BY. ELECTED
OFFICIALS LOCALLY WHICH ARE
USING. A REALIGNMENT BLOCK GRANT
FUNDS PUBLIC DOLLARS TO CREATE A
PRIVATE NONPROFIT THAT IS NOT
ACCOUNTABLE TO COMMUNITY OR OR
STATE OVERSIGHT. AND ARE IN SOME
WAYS I WOULD SAY- SERVING AS AN
INTERMEDIARY BETWEEN COUNTY
ADMINISTRATORS AND STATE
OFFICIALS. IN A WAY THAT THE
LEGISLATURE SHOULD SHOULD TAKE A
CLOSER LOOK AT- BECAUSE YOU KNOW
THIS IS THIS IS THE STATE'S
BUSINESS. AND IF. FUNDS ARE
BEING USE IN A WAY THAT CREATE
A- CONFIDENCE. MEANING SHE'S A-
ARE VOTING. TO THE CONCERT.
THERE ON BOARDS OF. AND ARE
USING PUBLIC. IN THIS WAY I
THINK THE STATE SHOULD MAYBE
HAVE A GREATER ROLE IN
UNDERSTANDING WHAT EXACTLY THE
CONSORTIUM IS. HOW FUNDS STATE
FUNDS ARE BEING USED AND WHAT
THE ACTIVITIES ARE. AND TO WHAT
BENEFIT- FOR OUR YOUNG PEOPLE
AND OUR TAXPAYERS. SENATOR AND
THEN I JUST I WANTED TO LET YOU
KNOW THAT WE'RE HEARING YOU LOUD
AND CLEAR AND- ALSO MY CO
PANELISTS- I THINK BRING UP
SOME. VERY AND- AT. WELL APPOINT
SURROUNDS AND CREDIBLE
MESSENGERS AND THAT KIND OF
THING- WE WILL CONTINUE TO WORK
ON THIS ISSUE WITH BOTH.
COUNTIES AND WOULD ADVOCATES.
AND WE- ARE HAPPY TO CONTINUE
THIS EVOLVING DIALOGUE- WITH THE
LEGISLATURE AS WELL. GREAT THANK
YOU I NO LONGER HAVE ANY
QUESTIONS ARE REALLY APPRECIATE-
FRANKIE DIVING FURTHERMORE INTO
YOU KNOW WHAT. WHAT DO WE NEED
TOOL ENVISIONED THIS REALITY
YEAR YOU KNOW WHAT WE NEED TO DO
NOW I'M IN ANTICIPATION OF THIS
CLOSURES ARE REALLY APPRECIATE
THE PRESENTERS- FROM ALL Y. C.
R. ADVOCATES FROM C. PARK. IN
PARTICIPATING IN THIS OVERSIGHT
HEARING. WE WILL NOW MOVE ON TO
HEARING BUDGET PROPOSALS FROM
THE CALIFORNIA HEALTH AND HUMAN
SERVICES AGENCY. GOOD GOOD
MORNING- GOOD MORNING CHAIR AND
MEMBERS- MY NAME IS KIMBERLY
CHEN I AM AN ASSISTANT SECRETARY
IN THE OFFICE OF PROGRAMS IN
FISCAL AFFAIRS AT THE CALIFORNIA
HEALTH AND HUMAN SERVICES
AGENCY. I'LL PROVIDE A QUICK
OVERVIEW OF OUR AGENCY IN THE
DEPARTMENT'S WE OVERSEE BUDGET
STATUS DONE A GREAT JOB OF
SUMMARIZING THAT ALREADY
INDIGENOUS ONE HOPING NOT TO BE
TOO MUCH OF THE SAME
INFORMATION. SAYS YOU'LL KNOW
OUR MISSION IS TO WORK TOGETHER
WITH COUNTY CITIES COMMUNITIES
ARE PUBLIC PRIVATE FAITH IN
EDUCATIONAL PARTNERS TO MAKE
CALIFORNIA HEALTHY VIBRANT
INCLUSIVE PLACE TO LIVE PLAY
WORK AND LEARN. WE'RE GOING TO
BUY THREE PRINCIPLE TENETS OF
BEING PERSON CENTERED EQUITY
FOCUSED AND DATA DRIVEN AND WE
DO THAT THROUGH THE TWELVE
DEPARTMENTS WE OVERSEE YOU SEE
THEM LISTED IN THE AGENDA SO I
WON'T NAME EVERY SINGLE ONE. WE
ALSO DIRECTLY OVER SEAT FIVE
OFFICES HERE AGENCY. INCLUDING
THE OFFICE OF YOUTH AND
COMMUNITY REGISTRATION WHICH OF
COURSE JUST HEARD FROM AND THE
OFFICE OF SYSTEM INTEGRATION
WHICH WILL HEAR FROM A LITTLE
BIT LATER ON IN THE GYM TO
TODAY. HI ACROSS ALL CAL JEFF
DEPARTMENT IN OFFICE ARE TOTAL
BUDGET IS TWO HUNDRED AND THIRTY
FIVE BILLION DOLLARS TOTAL
FUNDS. SEVENTY ONE AND A HALF
BILLION OF WHICH IS GENERAL
FUNDS AND A HUNDRED TWENTY
TWENTY BILLION OF FEDERAL FUNDS
THE LION'S SHARE OF THE STATE
FUNDS- GOES TOWARDS DEPARTMENT
OF HEALTH CARE SERVICES WHICH-
IS OUR STATE MEDICAID AGENCY
RUNNING BE MEDICARE PROGRAMS
THAT SPOT 53% OF IT. 18% OF THE
STATE FUNDS FOLLOWS GOING TO
DEPARTMENT OF SOCIAL SERVICES-
AND DEPARTMENT OF- UGH. BUT THE
DSE AT COSTA BECAUSE AFTER THAT
. ROSS ARE DEPARTMENTS OFFICES
COURSE. WE'VE GOT OVER THIRTY
EIGHT THOUSAND COMPOSITIONS
WITHIN AGENCIES SPECIFICALLY. UP
ORDER TOTAL FUNDS ARE AT SIX
HUNDRED NINETY MILLION A SIXTY
TWO MILLION WHICH IS GENERAL
FUND I THINK THE LION SHARE OF
OUR- ART A TOTAL FUNDS- IS AT
THE OVERSIGHT OFFICE- WHICH
WILL. BEGIN FROM LATER. AT
AGENCY WE'VE GOT FIVE HUNDRED
FIFTY SIX POSITIONS OF NINETY OF
WHICH ARE UNDER THE SECRETARY IN
THIRTY THREE UNDER THE OFFICE OF
USE INCOMING RESTORATION ORDER
JUDGE WAS SERRA WHO YOU JUST
HEARD FROM- I'LL CONCLUDE THEIR-
AND SAY AGAIN THAT THIS IS JUST
A REALLY BROAD. OVERVIEW OF THE
ACTIVITIES THAT KELLY TEACH US
WE LOOK FORWARD TO ENGAGING WITH
YOU ALL OVER THE NEXT COUPLE
MONTHS. DIVING INTO EACH OF OUR
DEPARTMENTS AND OFFICES WORK
HAPPY TO ANSWER ANY QUESTIONS OR
PROVIDE FOLLOW. UP INFORMATION
IS NEEDED THANK YOU. THANK YOU
SO MUCH WE'RE GONNA HOLD PUBLIC
COMMENTS AND QUESTIONS AT THE
END OF- ALL THE ISSUES. NEXT UP
HERE ON ISSUE THREE STATEWIDE
AUTOMATED WELL FOR SYSTEM
ONGOING SUPPORT. GOOD MORNING
THIS IS BRAND ENHANCER CAN YOU
HEAR ME. YES OKAY THANK YOU
MADAM CHAIR AND COMMITTEE
MEMBERS. AGAIN MY NAME IS
BRANDON HANSARD AND DEPUTY
DIRECTOR OF THE AUSTIN OFFICE
SYSTEMS INTEGRATION AND I'M HERE
WITH MY COLLEAGUES. FROM THE
DEPARTMENT OF SOCIAL SERVICES
RANGE LET. I DO WANT TO THANK
YOUR STAFF FOR THE DETAILED
WRITE UP ON THIS PROPOSAL AND
AGAIN DUE TO TIME I'LL JUST
BRIEFLY SUMMARIZE THE REQUEST. I
DO ALSO WANT TO NOTE THOUGH THAT
WE ARE ON CALENDAR FOR A
COMPLETE CAL SAWS PROJECT
OVERVIEW- FOR THIS COMMITTEE
JOINTLY WITH THE LEADERSHIP OF
THE COUNCIL'S PROJECT ON APRIL
TWENTY SEVENTH. AND AT THAT
POINT WE WILL COVER IN DETAIL
THE ACTIVITIES TO DATE AND THE
FUTURE ACTIVITIES INCLUDING
COMPLETION OF THE COUNCIL'S
MIGRATION TO ONE SINGLE SYSTEM.
IN THE FUTURE POLICY AUTOMATIONS
THAT ARE IN QUEUE- I ALSO WANT
TO INFORM YOU. THAT THE
COUNCIL'S ANNUAL REPORT WAS
TRACKED TRANSMITTED TO THIS
COMMITTEE EARLIER THIS MORNING.
AND WILL ADDRESS ANY OF THE
QUESTIONS IN THAT REPORT ALSO ON
APRIL TWENTY SEVEN. FOR THIS
SPECIFIC- STATE ADMINISTRATION
BUDGET PROPOSAL WE ARE ASKING TO
MAKE PERMANENT FIVE EXISTING
POSITIONS THIS FUNDING DOES
EXPIRE JUNE THIRTIETH OF THIS
YEAR- THE POSITIONS WHICH-
CONSISTED THREE AT THE
DEPARTMENT OF HEALTH CARE
SERVICES ONE AT OUR END OF
SOCIAL SERVICES AND ONE AT THE
OFFICE OF SYSTEMS INTEGRATION.
ARE VITAL PART OF THE STATE'S
ABILITY TO CONTINUE TO ENGAGE
KELSO'S PROJECT THROUGH THE
COUNCIL'S MIGRATION. AND POST
MIGRATION- ENHANCEMENT
ACTIVITIES. FOR THE OFFICE OF
SYSTEM INTEGRATION MORE
RESPONSIBLE FOR THE STATE LEVEL
PROJECT MANAGEMENT AND THE
OVERSIGHT OF THE COUNCIL'S
PROJECT. AND PROJECT SPONSORS
BOTH DEPARTMENT OF HEALTH CARE
SERVICES AND DEPARTMENT OF
SOCIAL SERVICES PARTNER WITH US.
TO VERIFY PROJECT ACTIVITIES ARE
CONDUCTED IN ACCORDANCE WITH
CONTRACTED STANDARDS AND
ADHERENCE INFORMATION TECHNOLOGY
BEST PRACTICES. A DEPARTMENT OF
HEALTH CARE SERVICES RESOURCES
IDENTIFIED HERE PROVIDE
CONTINUED OVER CITED MEDICARE
ELIGIBILITY POLICY FUNCTIONALITY
IN CALCIUM. IT INCLUDES SERVING
AS A STATE SPONSOR
REPRESENTATIVES FOR THE MEDICARE
PROGRAM PROVIDING NECESSARY
POLICY GUIDANCE AND TECHNICAL
ASSISTANCE RENT HOUSES
ACTIVITIES RELATED TO MIGRATION
DEVELOPING ANCILLARY SYSTEMS AND
ANY ONGOING ENHANCEMENT EFFORTS
. THE SPECIFIC- DEPARTMENT OF
SOCIAL SERVICES RESOURCE
PROVIDES TECHNICAL EXPERTISE TO
THE COUNCIL'S PROJECT IT IS
RESPONSIBLE FOR PROVIDING
TECHNICAL PLANNING PREPARATION
REVIEW DOCUMENTATION AND SUPPORT
ON THE PROJECT AS IT RELATES TO
VARIOUS. SOCIAL SERVICE PROGRAMS
AND APPLICATIONS. BY MAKING
THESE POSITIONS PERMANENT WILL
MORE ADEPTLY POSITION TO MAKE
THE MOST PRUDENT AND TIMELY
POLICY IMPLEMENTATION DECISIONS
DURING COUNCIL'S MIGRATION. AND
ON GOING THROUGH MAINTENANCE AND
ENHANCEMENT SUPPORT ACROSS. WITH
THESE POSITIONS SECURELY IN
PLACE TO STAY WILL BE EQUIPPED
TO MONITOR THE FUTURE CAL SAWS
RESTS IN ISSUES AND BE ABLE TO
RESPOND PROMPTLY TO MITIGATE ANY
POTENTIAL HARM TO PARTICIPANTS
IN THE PROGRAM. WITH THAT I WILL
STOP. AND SO YOU. WANT TO MOVE
TO THE NEXT ISSUE OR OR ASK
QUESTIONS THANKS RENDON I DON'T
HAVE ANY QUESTIONS. ANY OF MY WE
HAVE A QUESTION CENTER EGGMAN. I
JUST I'M JUST DONE WITH A LOT OF
WORK WITH THIS LAST YEAR AND WAS
CHECKING YOU FEEL LIKE WE'RE ON
TRACK FOR THE DECEMBER- DEADLINE
AND EVERYTHING'S GOING TO BE
SEAMLESS GONNA DO ONE
APPLICATION AND YOU'RE GONNA
KNOW EVERYTHING YOU'RE ELIGIBLE
FOR. AND IT'S GOING TO WORK LIKE
MAGIC IS THAT WE'VE DONE BRANDED
. WHAT I WILL NOT SAVE LIKE
MAGIC I WILL SAY WE ARE ON TRACK
AND I FEEL THAT THE MIGRATION
EFFORT IS VERY SUCCESSFUL- ON
APRIL TWENTY SEVENTH- THE STATE
ALONG WITH COUNCILLORS PROJECT.
IT'S GOING TO BE HAPPY TO REPORT
ON THOSE ACTIVITIES THE
MILESTONES THAT WE'VE ALREADY
ACHIEVED. AND WHAT WE SEE ON THE
HORIZON GOING INTO THE FINAL
WAVES OF MIGRATING CAL AND
COUNTIES INTO THE CALCITE SYSTEM
- WITH ANY SYSTEM OF THIS
MAGNITUDE. IT'S NEVER SEEM LESS
AND SO YOU KNOW WE ALWAYS ARE
DIGILAB IN BEING PROACTIVE IN
MITIGATING ANY OF THE RISKS OR
ISSUES THAT COULD ARISE- AND IN
DOING SO- KEEPING THE SYSTEM- UP
AND RUNNING FOR THAT. THE
COUNTIES THEY'RE ALREADY IN CAL
SAUCE WHILE ALSO ATTEMPTING TO
MIGRATE CALLIN COUNTIES AS
SEAMLESSLY AS POSSIBLE. SO I
APPRECIATE THAT CAVIAR- SO. IT'S
SO YOU HAVEN'T SEEN ANY
UNFORESEEN CIRCUMSTANCES THAT
CAUSE ALARM. FOR YOUR- APRIL.
UPDATE TO US. NO WHAT I WILL SAY
IS THAT WITH ANY MIGRATION
EFFORTS- IF SOMETHING DOES.
HAPPEN I WILL SAY THE PROJECT
HAS BEEN VERY PROACTIVE IN
HAVING MITIGATION STRATEGIES
READY- WE JUST OVER THE PAST
WEEKEND MIGRATED- THREE COUNTIES
INTO COUNCILS. AND IS NOT
WITHOUT THE VENTS THAT OCCURRED
DURING THOSE MIGRATION EFFORTS
BUT THE RESOURCES THAT ARE ABLE
TO BE A- PUT ON THIS PROJECT TO
MITIGATE THAT WALL YOUR YOUR
CONVERSION CONVERTING THE DATA
OVER AND THEY WERE ABLE TO
REMEDY THE SITUATION. AND ONLY
HAVE A COUPLE HOUR DELAY- WHICH
WILL I DO BELIEVE IS A VERY
SUCCESSFUL- MIGRATION AND SHOWS
THAT ALL THE PROACTIVE WORK YOU
HAVE DIFFERENT STRATEGIES. RAINY
AND BE ABLE TO UTILIZE THOSE
GREEN CONVERTING CONVERSION
WEEKEND- WERE ALSO SUCCESSFUL
AND THOSE WERE COUNTIES OF
VARYING SIZES. YES- YEAH IT'S A
GREAT DAY THANK YOU VERY MUCH
JUST WANNA MAKE SURE WE WERE
TALKING ABOUT JUST SIERRA COUNTY
OR SOMETHING. NO IN FACT I IT
WAS CONTRA COSTA TO LARRY IN
SANTA CLARA OKAY GOOD THANK YOU
. I'M DO WE HAVE ANY COMMENTS
FROM DEAL F. AND OR L. A. L.
RYAN MILLER ELLIE WE HAVE NO
CONCERNS WITH THE PROPOSALS
UNDER THE HHS AGENCY PORTION OF
. IN HAN DEPARTMENT OF FINANCE-
NO ADDITIONAL COMMENTS. GREAT WE
WILL NOW HOLD THIS ITEM OPEN AND
MOVE ON TO THE NEXT ISSUE. ISSUE
FOR A CASE MANAGEMENT
INFORMATION AND PAY RULING
SYSTEM. HI GOOD MORNING- MADAM
CHAIRMAN HONORABLE COMMITTEE
MEMBERS THANK YOU FOR HAVING US
HERE TODAY MY NAME IS LORN ET
AND I'M THE DEPUTY DIRECTOR OF
THE PROJECT MANAGEMENT DIVISION
AT OUR WEBSITE. AND I'M HERE
WITH MY COLLEAGUE LEORA PHYLLIS
CENA A DEPUTY DIRECTOR OF THE
ADULT PROGRAMS DIVISION AT CITY
OUTSIDE US- I WILL BE ADDRESSING
A QUESTION NUMBER ONE ON THE
AGENDA TODAY AND I WILL BE
PASSING IT TO OF THE ORDER TO
ADDRESS QUESTION NUMBER TWO- AND
AS MY COLLEAGUE JUST NOTED- BUT
WE HAVE A- VERY THOROUGH
BACKGROUND. IN YOUR PACKAGE SO I
WILL KEEP THIS UP TO A BRIEF
OVERVIEW OF THE REQUEST ITSELF.
THIS PROPOSAL REQUEST TEN POINT
SEVEN MILLION AND EXPENDITURE
AUTHORITY FOR FISCAL YEAR TWENTY
THREE TWENTY FOUR FOR THE CASE
MANAGEMENT INFORMATION TO PAY
ROLLING SYSTEM. THIS REQUEST
ALSO- REQUEST- PERMANENT
POSITION OF FORTY FOR TWO
INFORMATION TECHNOLOGY
SPECIALIST TWO POSITIONS FOR THE
OFFICE OF SYSTEMS INTEGRATION.
THE INCREASE IN EXPENDITURE
AUTHORITY ARE BEING REQUESTED
FOR OUR SITE IS RELATED TO THE
IMPLEMENTATION MAINTENANCE AND
ENHANCEMENT OF THE FOLLOWING
PREVIOUSLY APPROVED INITIATIVES
AND AGAIN FOR BREVITY I WILL
KEEP ON THE OVERVIEW OF THESE
INITIATIVES HIGH LEVEL AND
WELCOME ANY QUESTIONS I AT THE
END OF- WE ARE REQUESTING
ADDITIONAL AUTHORITY FOR
ELECTRONIC VISIT VERIFICATION.
FOR ADDITIONAL SERVICE DESK
AGENTS TO SUPPORT THE LOCATION
SERVICES FUNCTIONALITY AND TO
FUND A DEDICATED AGILE TEAM FOR
MAINTENANCE AND ENHANCEMENT OF
LOCATION SERVICES. WE ARE
REQUESTING SUPPORT FOR
ELECTRONIC FORMS TO FUND AN
AGILE TEAM AND TO PROCURE
REQUIRES SOFTWARE LICENSES. THE
ELECTRONIC FORMS IS A AN
IMPORTANT INITIATIVE AS IT IS
HELPING MOVE US AWAY FROM A
PAPER BASED ON FORMS FOR COUNTY
WORKERS FOR THEIR CASE
MANAGEMENT. AS WELL AS PAPER
BASED APPLICATIONS FOR
RECIPIENTS AND PROVIDERS. WE ARE
REQUESTING SUPPORT FOR LANGUAGE
SUPPORT FOR FOURTEEN ADDITIONAL
LANGUAGES- THIS EXPENDITURE
AUTHORITY IS BEING REQUESTED TO
ESTABLISH SERVICE DESK LANGUAGE
LINE SERVICES. INTERACTIVE VOICE
RECOGNITION SET UP AND CHANGES
AND LANGUAGE LINE TESTING
SERVICES. HOW ARE WE ARE ALSO
REQUESTING AUTHORITY FOR A
VARIETY OF SECURITY COMPLIANCE-
INITIATIVES. INCLUDING ON THE
ESTABLISHMENT OF A TWENTY FOUR
BY SEVEN SECURITY OPERATIONS
CENTER AS WELL AS SET UP OF
DYNAMIC AND STATIC APPLICATION
SECURITY TESTING. INITIATIVES
AND THEN FIND- BEAR FOR SUPPORT
FOR A VARIETY OF PROGRAM-
OFFICIAL SEASON HAVE BEEN PUT IN
PLACE- AND RESOURCES TO SUPPORT
THOSE EFFICIENCIES. OF FOR
EXAMPLE THE C. MIPS OPERATIONS
TEAM ADDED MORE PROCESSING DAYS
WHEN A PEAK TIME SHEETS MISSION
DAY FALLS ON A WEEKEND OR
HOLIDAY. WE ARE CONTINUING TO
IMPLEMENT DEVOPS TO IMPROVE
OPERATIONS AND SHORTING OUR TIME
FOR DEVELOPMENT AND DEPLOYMENT-
AS WELL AS CONTINUING TO BUILD
OUT OUR TEST AUTOMATION
CAPABILITY IS. THE TWO POSITIONS
THAT ARE BEING- REQUESTED OUR-
AGAIN A PERMANENT OPPOSITION
REQUEST FOR POSITIONS THAT WERE
PREVIOUSLY HIRED AS LIMITED
TERM. THE DELIVERY OF THE
INITIATIVES THAT I'VE JUST GONE
OVER A RESULTED IN A SUBSTANTIAL
INCREASE. IN THE VOLUME OF WORK
AND DUE TO A LACK OF ALL THIS I
RESOURCES TO PERFORM THAT
ADDITIONAL WORKLOAD. OF THE SEA
MASSOB OFFICE ESTABLISHED UNTIL
TWO TEMPORARY ITS TWO POSITIONS
USING OUR UP LIKE AT A FORTY.
AND WE ARE REQUESTING- TO MAKE
THOSE POSITIONS PERMANENT
BECAUSE THIS INCREASED WORKLOAD
WAS NOT JUST TO SUPPORT THE
DEVELOPMENT AND IMPLEMENTATION
BUT IT WAS ALSO BE NEEDED FOR
THE ONGOING MAINTENANCE AND
ENHANCEMENTS THAT WILL FOLLOW.
DELIVERY OF ALL THESE
INITIATIVES- HAS AND WILL RESULT
IN INCREASED APPLICATION AND
INFRASTRUCTURE FOOTPRINT- THAT
WILL BE ONGOING. AND UP UNTIL
THAT ADDRESS QUESTIONS ONE I
WILL TAKE A PAUSE THERE AND SEE
IF YOU HAVE ANY QUESTIONS OR IF
YOU WOULD LIKE US TO MOVE ON TO
QUESTION A REGION. QUESTION
NUMBER TWO AND THEN ONCE
QUESTIONS. CAN YOU. HI AND I
WILL UP PASSAGE LEORA TO ADDRESS
QUESTION OVER TO. THANK YOU LARA
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS- MY NAME IS LI ORACLE
CENA I AM THE DEPUTY DIRECTOR OF
THE BILL PROGRAMS DIVISION OF
THE DEPARTMENT OF SOCIAL
SERVICES. I OVERSEE THE IHS US
PROGRAM IN HOME SUPPORTIVE
SERVICES AS WELL AS ADULT
PROTECTIVE SERVICES. OF THE CASH
ASSISTANCE PROGRAM FOR
IMMIGRANTS AS A SCIENCE S. B.
I'M SURE JUST A SECOND QUESTION
EVEN BE SOLUTION TO CAPTURE GEO
LOCATION HAS BEEN DEVELOPED. AND
WE'RE CURRENTLY PRESENTING THAT
THE STAKEHOLDERS FOR THEIR
FEEDBACK. ASSEMBLY PROVIDERS
WILL HAVE THREE OPTIONS- TO MEET
THE REQUIREMENTS AND I DO WANT
TO REMIND EVERYONE THAT THIS
REALLY IMPACTS NONLIVING
PROVIDERS. THAT ARE LIVING
PROVIDERS ARE NOT REQUIRED TO DO
ELECTRONIC VISIT VERIFICATION.
THE THREE OPTIONS THEY HAVE IS
WE ARE HAVE DEVELOPED A NEW
MOBILE APPLICATION- WE'VE
MODIFIED THE ELECTRONIC SERVICES
PORTAL. AS WELL AS GIVEN THE
OPTION TO USE A LAND LINE
TELEPHONE- AT THE RECIPIENTS
RESIDENTS AND WITH OUR EXISTING
TELEPHONE TIME SHEET SYSTEM- ALL
THREE OF THESE. SOLUTIONS ARE
BEING CURRENTLY- DEMO FOR
PROVIDERS AND RECIPIENTS WE DID
HOLD A STAKEHOLDER MEETING ON
JANUARY FOURTH TWENTY TWENTY
THREE TO DISCUSS THE CHANGES
NEEDED FOR ELECTRONIC VISIT
VERIFICATION- SINCE THEN WE HAVE
DONE SEVERAL FOCUS GROUPS WITH
PROVIDERS AND RECIPIENTS WHERE
WE LIKE I SAID FOR DEMONSTRATED.
THE MOBILE APPLICATION- THAT
CHANGES TO LIKE TRONIC SERVICES
PORTAL AS WELL AS TALK ABOUT THE
TELEPHONE TIME SHEETS SYSTEM. UP
FOR THE MOST PART AS ARE THE
FEEDBACK HAS BEEN POSITIVE WITH
REGARDS TO THE SOLUTION SO WE
HAVE DONE OUR VERY BEST TO MAKE
SURE THAT- ANYTHING WE DO IS
VERY SIMPLE EASY TO USE. NOT
INTRUSIVE- AND PEOPLE HAVE
REALLY RESPONDED POSITIVELY TO
THAT. ARE WE WILL CONTINUE I'M
NEW TO DOING WITH THROUGH JULY
AND- SO- PRETTY MUCH WILL BE
SITTING OUT NOTICE. US SETTING
UP IN. CENTER INFORMATION
SESSIONS FOR INDIVIDUALS TO CALL
IN AND GET THAT AND YOU KNOW WE
NOTICED THAT EVERY TIME WE SEND
A NOTICE OUT PEOPLE FEEL THERE
THERE'S LOTS OF ANXIETY
PARTICULARLY- OR EVP XR PLAN IS
TO SEND NOTICES. SET UP
INFORMATIONAL SET- SESSIONS FOR
PEOPLE TO COME IN AND ASK
QUESTIONS SO WE CAN CLARIFY.
ADDITIONALLY STARTING IN MARCH
WE ARE TRAINING OUR COUNTY
PARTNERS AND PUBLIC AUTHORITY
PARTNERS AS WELL AS OUR UNION
PARTNERS ON ON ALL THE DIFFERENT
SOLUTIONS SO THAT THEY CAN ASK
ANSWER QUESTIONS SHOULD THEY
RECEIVE THEM AS- AS WE GO
THROUGH THE IMPLEMENTATION
PERIOD AND PEOPLE- STARK RECEIVE
NOTICES IN THE WORK IT'S OUT
THERE A LITTLE BIT MORE SO WE'RE
DEFINITELY. BEING VERY PROACTIVE
THERE SH ADDITIONALLY WILL BE
SETTING UP ANOTHER- PUBLIC
STAKEHOLDER CALL AT THE END OF
THIS MONTH- TO DEMONSTRATE THE
DIFFERENT SOLUTIONS TO THE
ENTIRE STAKEHOLDER- BROKE. AND
GET THEIR FEEDBACK- SO THAT'S
PRETTY MUCH THE KIND OF THE PLAN
WE WILL ALSO. BE DOING VERY
ROBUST TRAINING SESSIONS FOR
PROVIDERS VERY SIMILARLY TO WHAT
WE DID THE FIRST TIME WE ROLLED
OUT EDV- MULTIPLE SESSIONS IN
MULTIPLE LANGUAGES EACH WEEK
WHAT LOOKING AT SIX TO EIGHT
SESSIONS- ANECDOTALLY THOSE
SESSIONS WERE VERY WELL ATTENDED
THE LAST TIME WE DID EASY
OFTENTIMES WE HAD. UP TO FIVE
THOUSAND PROVIDERS IN THOSE
SESSIONS- GOING THROUGH THE
TRAINING SO WE ARE DOING OUR
VERY BEST TO GET PEOPLE READY
FOR THIS CHANGE AND- REALLY THE
GOAL IS TO. A GET FOLKS AWARE.
GET THEM TRAIN AND READY TO GO.
AND THEN WORK WITH THEM EVEN
AFTER THE IMPLEMENTATION DATE
AND BEYOND TO MAKE SURE THAT
THEY HAVE THE RESOURCES THAT
THEY NEED AND THAT THEY- AND
THAT WE CAN ALLEVIATE ANY FEARS
THAT THEY HAVE WITH REGARDS TO.
ELECTRONIC THIS VERIFICATION SO
I WILL STOP THERE AND IF THERE
ARE ANY QUESTIONS. THANK YOU
I'LL TURN TO A LEO AND DEAL WITH
IF THEY HAVE ANY COMMENTS.
ARAMBULA EARLIER WE HAVE NO
CONCERNS. I'M KIND OF FINANCE NO
FURTHER CONCERNS OR COMMENTS AT
THIS TIME. I'LL START UP WITH
ONE QUESTION ON MY END- WE
CURRENTLY HAVE FOUR LANGUAGES IN
WHICH WE HAVE THE FORMS AND
NOTICES AND YOU KNOW YOU YOU
SPOKE DISTRICT DEPUTY DIRECTOR
LEARN NOT TO INCREASE IT TO
FOURTEEN TO MATCH MEDIC HOW- OF
THE FOURTEEN ARE WE SEEING THE
NEED FOR EVERY SINGLE LANGUAGE
AND CONNECTED TO THAT. THE ITEM
LINE FOR LANGUAGE SUPPORT IS
THAT AS A WHOLE. FOR FOURTEEN OR
IF YOU GET LESS IT'S LESS MONEY
. YOU'RE ON MUTE. MY APOLOGIES
SENATOR THANK YOU FOR THAT
QUESTION- I'M GONNA TO PER TO
LEORA ON THE PROGRAMMATIC
QUESTION RELATED TO THE
LANGUAGES- IN TERMS OF THAT THE
LINE ITEM IS INCLUSIVE FOR THE
FOURTEEN. AND WHETHER OR NOT WE
WOULD. GET LESS OF WE
IMPLEMENTED LAST I DON'T HAVE
THAT ANSWER BUT I'M HAPPY TO
BRING THAT BACK TO YOU. M. AND
WITH AND WITH REGARDS TO A
NUMBER OF LANGUAGES YES WE ARE
CURRENTLY LOOKING AT DATA FOR
THE HSS RECIPIENT POPULATION. TO
ENSURE THAT WE ARE NOT
IMPLEMENTING LANGUAGES THAT ARE
NOT NEEDED WITHIN THE PROGRAM SO
THERE MAY BE LESS THAN- FOURTEEN
DEPENDING ON THE LANGUAGES AND
THERE MAY BE SOME CHANGES AS
WELL WE KNOW THAT. A MEDICAL HAS
AN ADDITIONAL FOURTEEN LANGUAGES
HOWEVER IF FOR SOME REASON
THERE'S A LANGUAGE. SPOKEN BY I
JUST AS RECIPIENTS ARE NOT
INCLUDED IN THAT FOURTEEN WE
WOULD ALSO- TAKE A LOOK AT
IMPLEMENTING THAT AS WELL SO
THERE'S THAT'S KIND OF ONGOING-
DISCUSSION AS WE GO THROUGH
WE'RE LOOKING AT DATA TO ENSURE
THAT WE'RE GIVING. GIVING FOLKS
THE MOST ACCESSIBILITY AS
POSSIBLE. THANK YOU WOULD LIKE
TO TURN OVER TO MY SUBCOMMITTEE
MEMBERS FOR ANY QUESTIONS. C.
NINE WE WILL NOW HOLD THIS ITEM
OPEN AND MOVE ON TO THE NEXT
ISSUE. ISSUE FIVE ELECTRIC VISIT
VISIT REVOCATION FAITH TO. I
THANK YOU MADAM CHAIR THIS IS
LEARNING A BE NOT BE SPEAKING TO
THIS IS FILE AND I'M ALSO GOING
TO WIN- BY TWO OF MY COLLEAGUES
AJOSE OF BUILDING WILL
BILLINGSLEY THE ASSISTANT DEPUTY
DIRECTOR OF INTEGRATED SYSTEMS
OF CARE AT G. H. CIALIS. AND
STEVEN PAVLOV THE DEPUTY
DIRECTOR OF FINANCIAL SERVICES
ADDS- DDS TO JOIN ME ON THIS
CALL. AT THIS TIME AS WITH THE
OTHER ONE FOR BREVITY I'M GONNA
SKIP THE BACKGROUND OF THE
PROGRAM BUT I WOULD LIKE TO
HIGHLIGHT BEFORE I JUMP INTO THE
SUMMARY OF THE B. C. P. REQUEST.
ON THE CURRENT STATUS OF THE
PROJECT AND SOME OF THE
SUCCESSES THAT EBV HAS HAD OVER
THE LAST YEAR SINCE WE LAST
REPORTED OUT TO YOU ON THIS-
WHEN WE LAST. MET TOGETHER- WE
HAD REPORTED THAT IN AUGUST OF
TWENTY TWENTY ONE- DVV PHASE TWO
PROJECT OFFICIALLY BEGAN. AFTER
RECEIVING FEDERAL AND STATE
APPROVALS AND AWARDING A FIVE
YEAR EBV SOLUTION CONTRACT TO
SEND DATA TECHNOLOGIES- AFTER
THE ORDER THAT CONTRACT IN
DECEMBER OF TWENTY TWENTY ONE
JUST FOUR MONTHS AFTER CONTRACT
AWARD. WE SUCCESSFULLY
IMPLEMENTED EBV FOR PCS. AND
THEN IN SEPTEMBER OF TWENTY
TWENTY TWO WE SUCCESSFULLY
IMPLEMENTED EBV FOR H. H. C. S.
IN COMPLIANCE WITH THE FEDERAL
MANDATE IN JANUARY FIRST TWENTY
TWENTY THREE. ALSO WE ARE FULLY
IMPLEMENTED AND FULLY COMPLIANT
WITH THE REQUIREMENTS OF THE
TWENTY FIRST CENTURY CURES ACT.
AND THEN IN DECEMBER OF TWENTY
TWENTY TWO- WE RECEIVE CMS
CERTIFICATION OF THE EBV
SOLUTION. AND THIS ALLOWED THE
STATE TO REQUEST AND RECEIVE
ENHANCED FEDERAL FUNDING OF 75%
FOR ADMIN- I HAD WE NOT RECEIVE
CERTIFICATION FROM C. AMOUNTS UP
WE WOULD HAVE BEEN FUNDED AT A
50% MATCHING RATE. AND SO WITH
THAT I'M GOING TO MOVE ON TO
JUST A BRIEF OVERVIEW OF THIS
PROPOSAL- THIS BASIC PAPER
TWENTY THREE TWENTY FOUR REQUEST
FUNDING OF TWO POINT FIVE
MILLION WITH EIGHT HUNDRED
THIRTY TWO THOUSAND GENERAL
FUND. OF FOR CONTRACT SERVICES
AND THREE PERMANENT POSITION
RESOURCES FOR THE DEPARTMENT OF
HEALTH CARE SERVICES. THE DH CS
POSITION REQUEST- IS RELATED TO
THREE PREVIOUSLY APPROVED
LIMITED TERM POSITIONS AND WE
ARE ASKING THAT THEY BE MADE
PERMANENT TO ENSURE CONTINUED
PROGRAM SUCCESS AND COMPLIANCE
WITH FEDERAL REQUIREMENTS- WE
ARE REQUESTING AUTHORITY FOR
CONTRACT SERVICES. AND WE'RE
REQUESTING- FOR ANIMAL NO
SUPPORT CONTRACT AND TO MOVE
EXPENDITURES TERRITORY RELATED
TO EXISTING CONTRACTS FROM THIS
YEAR TO TWENTY THREE TWENTY FOUR
TO RUN OUT THOSE CONTRACTS. AND
THEN WE ARE REQUESTING- AN INTER
DEPARTMENTAL CONTRACT REQUEST
AND THIS IS CENTRALLY AS A
MECHANISM THAT ALLOWS BOTH
EXCUSE ME ALWAYS HIGH CDPH AND
CDA TO BE REIMBURSED FOR ACTUAL
STAFF COSTS UNDER THIS PROJECT.
AND THEN FINALLY- WE ARE
REQUESTING A FEDERAL STATE
FUNDING SPLIT THERE'S A 75%
MATCHING RATE- AS MENTIONED FOR
THE MEDICAID PORTION IN AND
I'LL- AND I DO WANT TO MENTION
THAT AS OF THE IMPLEMENTATION OF
H. H. C. S. IN SEPTEMBER. WE ARE
NOW IN AN OFFICE OF THE PROJECT
SO WE'VE MOVED OUT OF
IMPLEMENTATION AND ARE MOVING
INTO THE MAINTENANCE OPERATIONS
FACE. SO THE REMAINING 25% OF
ABOUT FUNDING AND THEN THE NON
MEDICAID PORTION WILL MAKE UP
THE STATE JOURNAL FROM REQUEST
OF EIGHT HUNDRED AND THIRTY TWO
THOUSAND. AND WITH THAT I WILL
PAUSE TO SEE IF THERE ARE
ADDITIONAL QUESTIONS OR
CLARIFICATIONS THAT WE CAN
PROVIDE. HOUSE TURN IT OVER TO
LA- AIRED DEAL AFTER COMMENTS
BEFORE QUESTIONS. FINANCING HARM
NOTHING THAT. RYAN MILLER LEN
WE'VE NO CONCERNS. I HAVE NO
QUESTIONS COLLEAGUES AND
QUESTIONS. WHAT A WHOLE THIS
ITEM OPEN AND MOVE ON TO THE
NEXT ISSUE ISSUE NUMBER SIX. THE
CALIFORNIA BRIDGE THE MEDICAL
SERVICES DATA RESOURCE SYSTEM
WELCOME. YES THANK YOU AGAIN
MADAM CHAIR AND I WILL BE A
SPEAKING TO THIS AS WELL AND I
WILL BE INVITING ARTWORK
TRUSSELL TO JOIN ME FROM M. SON
HE IS THE CHIEF OF THEIR
ADMINISTRATIVE- DIVISION. AND
AGAIN I WILL JUST BEGIN WITH THE
QUESTION WHICH IS OPERATE
OVERVIEW OF THE PROPOSAL- THIS
IS A REQUEST BY THE OFFICE OF
SYSTEMS INTEGRATION WE ARE
REQUESTED ONE POINT ONE THREE
MILLION IN FISCAL YEAR TWENTY
THREE TWENTY FOUR EXPENDITURE
AUTHORITY. FOR SIX LIMITED TERM
POSITIONS TO PROVIDE PROJECT
MANAGEMENT FISCAL AND
PROCUREMENT SERVICES TO THE
EMERGENCY MEDICAL SERVICES
AUTHORITY IN SUPPORT OF THE
CALIFORNIA EMS RESOURCE SYSTEM
PROJECT ON THE CEDARS. THE
PROPOSAL THIS PROJECT IS
INTENDED TO CREATE LINKS BETWEEN
VARIOUS HEALTH INFORMATION
EXCHANGE SYSTEMS TO INCREASE
DATA IN OPERABILITY BETWEEN
HOSPITALS MS AGENCIES AND OTHER
HEALTHCARE ORGANIZATIONS. CEDARS
IS ENVISIONED TO PROVIDE A
SOLUTION THAT WILL ALLOW FOR THE
AGGREGATION AND ANALYSIS OF THE
MS DATA. TO ENSURE THAT PATIENTS
RECEIVE THE APPROPRIATE CARE BY
QUALIFIED EMS PROFESSIONALS. AND
INCLUDES OUR DATA REPOSITORY FOR
INFORMATION ON ALL THE AMOUNTS
TRANSPORT WITH IN CALIFORNIA.
THIS IS NEEDED TO DRIVE QUALITY
ASSURANCE TO ENSURE THE
CALIFORNIA EMS IS ALIGNED TO
NATIONAL STANDARDS AND BEST
PRACTICES AND TO ALLOW FOR
BETTER INFORMED AND DATA DRIVEN
POLICY DECISIONS. CEDAR'S
PROJECT WAS APPROVED IN- IT'S
STAGE ONE BY THE DEPARTMENT OF
TECHNOLOGY AND AGENCY AND-
TWENTY TWENTY ONE WE ARE
CURRENTLY IN STAGE TWO
ALTERNATIVES ANALYSIS OF THE
CALIFORNIA DEPARTMENT OF
TECHNOLOGIES PROJECT APPROVAL
LIFECYCLE OR PAL PROCESS. THE
BILL PROCESSES CURRENTLY
TARGETED FOR COMPLETION IN JUNE
OF TWENTY TWENTY FOUR. THE
OVERSIGHT RESOURCES REQUESTED
ARE WILL ENSURE THAT ALL STAGES
OF THE POWER PROCESSOR MANAGE
CONSISTENT WITH PROJECT
MANAGEMENT AND PROCUREMENT BEST
PRACTICES AND WITHIN A
COLLABORATIVE AND TRANSPARENT
GOVERNANCE FRAMEWORK. TO INCLUDE
INCLUSION ACROSS STAKEHOLDER
GROUPS ARE TO ACHIEVE THE
ENVISIONED OBJECTIVES AND
OUTCOMES. AND OUT WITH THAT I
WILL I WILL PAUSE THERE. I DOES
L. A. O. OR DO I HAVE D. O. F.
HAVE ANY COMMENT ON THIS ISSUE.
ALL RYAN MILLER ALIONA CONCERNS
. YOU KNOW DEPARTMENT OF FINANCE
NO CONCERNS. I DON'T HAVE ANY
QUESTIONS SUBCOMMITTEE MEMBERS
ANY QUESTIONS ON YOUR END. GREAT
WILL HOLD THIS ITEM OPEN TO MOVE
ONTO THE NEXT ISSUE ISSUE NUMBER
SEVEN GENDER AFFIRMING CARE AS
IT RELATES TO S. B. NINE TWO
THREE. THANK YOU- AGAIN CAME CAN
CHEN HERE WITH CAL HHS- D.
GENDER AFFIRMING CARE S. B.
NINETY THREE B. C. P. INCLUDES
RESOURCE REQUESTS FROM BOTH FROM
H. H. ESTIMATE C. ANTIQUES YES
AN ALTERNATE OVER TO MY
COLLEAGUE- AND TEAMMATE C. TO
TALK ABOUT- THE REQUEST. KELLY
TEACHERS HAS DELEGATED ITS
AUTHORITIES ARE ITS
RESPONSIBILITIES THE BILL TO
DAMAGE SEATED. THANK YOU CAL
MERRY WHAT'S NOT BE DIRECTOR OF
THE DEPARTMENT OF MANAGED HEALTH
CARE- S. B. NINE TWENTY THREE
REQUIRES THAT CALIFORNIA HEALTH
AND HUMAN SERVICES AGENCY TO
CONVENE A TRANS GENDER GENDER
DIVERSE OR INTERSEX WORKING
GROUP FOR THE PURPOSES OF
DEVELOPING A QUALITY STANDARD
FOR PATIENT EXPERIENCE. TO
MEASURE CULTURAL COMPETENCY
RELATED TO THE TGI COMMUNITY AND
TO RECOMMEND A TRAINING
CURRICULUM TO PROVIDE TRANSCEND
CLOSE TO HEALTH CARE. THE
WORKING GROUP WILL CONDUCT AT
LEAST FOUR LISTENING SESSIONS
ACROSS THE STATE WHERE PATIENTS
FROM THE TGI COMMUNITY THE
QUALITY STANDARD RECOMMENDATIONS
FOR THE TRAINING CURRICULUM WILL
BE DEVELOPED NO LATER THAN MARCH
OF NEXT YEAR. I'M AS KEN
MENTIONED THIS FUNCTION HAS BEEN
DELEGATED TO THE DEPARTMENT WERE
HAPPY TO TAKE ON THAT WORK SB
NINE TWENTY THREE THREE REQUIRES
HEALTH PLANS OF THEIR DELEGATE
STAFF WHO ARE IN DIRECT CONTACT
WITH AN RELEASED COMPLETE
EVIDENCE BASED CULTURAL
COMPETENCY TRAINING SO THEY CAN
PROVIDE PER. FOR OFFICIALLY
PROVIDE TRANSCEND CLOSE TO
HEALTH CARE SB NINE TWENTY THREE
ALSO REQUIRES THE CULTURAL
COMPETENCY TRAINING TO BE SET
THE STILTED BY AT TGI SERVING
ORGANIZATION. AND THE TRAINING
CURRICULUM WOULD BE SUBJECT TO
THE DMACC APPROVAL FOLLOWING
ENGAGEMENT WITH TGI SERVING
ORGANIZATIONS. THE BILL
STIPULATES THAT ANY HEALTH PLAN
STAFF WHO HAVE BEEN FOUNDER
FAILED IN PROVIDING TRANS
INCLUSIVE HEALTHCARE WOULD BE
REQUIRED TO COMPLETE A REFRESHER
COURSE ON THIS TOPIC. SB NINE
TWENTY THREE REQUIRES THE DMH
YOU TO REVIEW INDIVIDUAL CASE
COMPLAINTS THE DEPARTMENT
RECEIVED ALLEGING DISCRIMINATION
BASED ON GENDER IDENTITY. AND
REFER THOSE COMPLAINTS OF THE
CIVIL RIGHTS DEPARTMENT WILL
ALSO REVIEW THE COMPLAINTS THE
DEPARTMENT RECEIVES AND-
INVOLVING IMPROPER DENIALS TO
DETERMINE WHETHER. ANY
ENFORCEMENT ACTIONS INCLUDING
SANCTIONS MAY BE APPROPRIATE.
WILL ALSO REVIEW AND APPROVE THE
HEALTH PLANS USE OF CULTURAL
COMPETENCY TRAINING CURRICULUM.
WILL MODIFY OUR EXISTING PLAN
SURVEY METHODOLOGIES AND TOOLS
TO INCLUDE A REVIEW OF POLICIES
AND PROCEDURES FOR COMPLIANCE.
WILL ALSO BE PROVIDING A STATUS
REPORT TO THE LEGISLATURE SEMI
ANNUALLY UNTIL REGULATIONS ARE
ADOPTED. WILL ISSUE. GUIDANCE TO
THE PLANS REGARDING OTHER
REQUIREMENTS FOR TO. WILL TO THE
BILL. AND FORMALLY PROBLEM RICK-
THE CAN HOLDEN HUMANS. AGING
REQUESTING EXPENDITURE. FOR
HUNDRED THOUSAND TWENTY THREE
TWENTY FOUR FROM THE GENERAL
FUND TO REIMBURSE THE GMAC FOR
CONSULTANT SERVICES TO PLAN.
ORGANIZE AND FACILITATE THE TJ
WORKGROUP IN THE GMAC IS
REQUESTING EXPENDITURE AUTHORITY
AFFORD HAVE POSITIONS AND ONE
POINT TWO MILLION AND TWENTY
THREE TWENTY FOUR. INCREASING TO
TWO POINT TWO MILLION AND TWENTY
SEVEN TWENTY EIGHT AND IN ORDER
AFTER FROM THE MANAGED CARE FUND
TO IMPLEMENT THE REQUIREMENTS.
I'M HAPPY TO TAKE ANY QUESTIONS
ON THIS. THANK YOU I'LL TURN
OVER TO LA OVER AND DEAL OUT FOR
COMMENTS. RYAN MILLER EARLIER NO
CONCERNS. EDGERS OF DAWSON
PARTNER FINANCE IN ADDITIONAL
COMMENTS AT THIS TIME. I DO HAVE
ONE QUESTION HERE- THE TGI IN
THIS IS DIRECTED TO HHS-
ASSISTANT SECRETARY KIMBERLY THE
TEACHERS ARE WORKING GROUP WAS
SUPPOSED TO BE STARTED. I'M
CONVENE BY. YESTERDAY MARCH
FIRST WHAT THE REPORT TO COME
MARCH FIRST NEXT YEAR- AND THERE
IS OF YOU KNOW. A BUNCH
REQUESTED FOUR HUNDRED K. TO
START THIS GROUP. WHAT DO YOU
ANTICIPATE GIVEN THAT THEY HAD
TO START OR MAYBE HAS HOW MUCH
FAR BACK THE RESULTS ARE GOING
TO BE PUSHED BACK FROM MARCH
FIRST TWENTY TWENTY FOUR. YEAH
WE'VE BEEN ENGAGING IN
CONVERSATIONS WITH MEMBERS OF
THE COMMUNITY TO WORK TOWARDS
THAT WORKING GROUP AND I'LL TURN
IT OVER TO ATTRACT WATANABE TO
TALK A LITTLE BIT MORE ABOUT THE
SPECIFIC CONVERSATIONS. YOU'RE
NOW IT WORK WORKING VERY CLOSELY
I THINK WE'VE TALKED ABOUT THE
AUTHORED AND SPONSORS OF THIS
BILL- TO JUST TALK ABOUT WHERE
WE MIGHT BE ABLE TO HAVE A
LITTLE BIT OF WIGGLE ROOM ON THE
START DATES WE ARE REALLY CLOSE
TO. ANNOUNCING THE SELECTION OF
THE WORKING GROUP MEMBERS AND
HOPE TO HAVE THE FIRST MEETING
CONVENED ACTUALLY THIS MONTH-
GIVEN ALL OF THAT WE ARE STILL
ON TRACK AND HOPING TO HAVE THE
DECISIONS AROUND THE TRAINING
CURRICULUM- AS WELL AS THE-
QUALITY METRICS- IN PLACE BY THE
MARCH TWENTY TWENTY FOUR DATE SO
THOSE STATES ARE I THINK REALLY
CRITICAL WE WANT TO MAKE SURE
THAT TRYING TO GET STARTED. BUT
WERE ABOUT MAYBE A LITTLE BIT
AROUND A MONTH BEHIND ON AND
CONVENE THAT THE ARE WORKING
GROUP BUT EXCITED TO GET THAT
WORK STARTED. SO AS TO SAY THAT-
THE FUNDING FOR THE STARTING OF
THE. WORKING GROUP IS NOT
DEPENDENT ON THIS FUNDING. WHAT
WHAT WOULD JUST SAY THAT AT THIS
TIME DIMUCCI IS ABSORBING- THE
COST OF THE RESOURCES TO DO THIS
OTHER USING THEIR OWN STAFF TIME
BEING TAKEN AWAY FROM OTHER
PROJECTS TO THIS I THINK DIRECT
WATCH UP YOURSELF IS ACTUALLY
DOING A LOT OF THE WORK- WHEN'S
THIS WORKING GROUP GET STARTED
WE'RE GOING TO NEED. A LOT MORE
TECHNICAL AND SUBJECT MATTER
EXPERTISE AND THAT'S WHERE THE-
FUNDING RESOURCE CONSENT. SO
WE'RE ABLE TO DO EARLY CONVENING
SALAS FOR GETTING SORT OF THE-
THE GROUP TOGETHER IN UP STARTED
BUT ONCE THINGS START REALLY
GOING WE DIVE DETAILS. WILL.
NEED RESOURCE REQUESTS AND- IT
WILL NOT BE IF YES. STUDENTS AT
. NAGRI YEAH. THANK YOUNG TURN
OVER TO MY FACEBOOK MEMBERS.
PUSHING THANKS WILL NOW HOLD
THIS ITEM OPEN AND MOVE ON TO
THE NEXT ISSUE. ISSUE NUMBER
EIGHT. IS THE EQUITY CENTER
PROGRAMS TRANSFERRED TO
DEPARTMENT OF PUBLIC HEALTH.
GOOD MORNING MADAM CHAIR. MY
NAME IS ROSE ANOTHER KRISHNA AND
I LEAVE THE OFFICE OF HEALTH
EQUITY. I SERVED AS A DEPUTY
DIRECTOR AND CHIEF EQUITY
OFFICER FOR THE DEPARTMENT OF
PUBLIC HEALTH- INTEREST OF TIME
WILL BE BRIEF WITH THE
BACKGROUND AND THEN ANSWER THE
QUESTION BACK IN TWO THOUSAND
AND TWENTY ONE- I SERVED AT THE
LOCAL LEVEL AS A HEALTH OFFICER
WHEN THIS BUDGET ACT FIRST
INCLUDED A POSITION IN GENERAL
FUND EXPENDITURE. OF ONE POINT
SEVEN MILLION TO CONDUCT A
RETROSPECTIVE ANALYSIS OF THE
INTERSECTION OF COVERT NINETEEN
PANDEMIC AND HEALTH DISPARITIES
NONE OF US KNEW HOW LONG THIS
PANDEMIC WOULD BE IT'S STILL IN
FRONT OF US NOT QUITE IN THE
REAR VIEW MIRROR HENCE A
RETROSPECTIVE ANALYSIS HASN'T
BEEN CONCLUDED. THE RESOURCE
REQUEST WE HEAR BEFORE YOU TODAY
IS FOR OUR AGENCY CAL HHS TO
TRANSFER ONE POSITION AND
GENERAL FUND EXPENDITURE TO THE
DEPARTMENT OF PUBLIC HEALTH THAT
WILL TAKE THE LEAD ON THIS
RETROSPECTIVE ANALYSIS. THERE
ARE OTHER AFTER ACTION REPORTS
THAT HAVE STARTED- WE WILL
PARTNER AND COORDINATE WITH BOTH
INTERNAL AND EXTERNAL AFTER
ACTION REPORTS BUT DUE TO THE
ONGOING NATURE OF THE RESPONSE
FOR OUR AGENCY AND OUR
DEPARTMENT OVER THE PAST THREE
YEARS. THAT IS WHY QUESTION
NUMBER TWO THAT ANALYSIS HAS NOT
YET BEEN COMPLETED WE HAVE A
LIVE DASHBOARD THAT TALKS ABOUT
SOME OF THE INTERSECTIONS OF THE
SOCIAL DETERMINANTS OF HEALTH.
AND THE PANDEMIC WE DID ISSUE A
REPORT AND COMMISSION FROM THE
PUBLIC HEALTH ALLIANCE THAT CAME
OUT IN JULY THAT HAS SOME
RECOMMENDATIONS. BUT IT'S NOT
THE ORIGINAL INTENT FROM THIS
BACK IN TWO THOUSAND AND TWENTY
ONE WHICH IS A QUOTE
RETROSPECTIVE ANALYSIS SO. OUR
AIM IS WITH THIS ITEM. TO HIRE
THAT ONE STAFF THAT WILL BE THE
LEAD COORDINATOR AMONGST A WIDE.
LANDSCAPE ACADEMIC PARTNERS
INTERNAL REGIONAL LOCAL OTHER
STATES TO REALLY- LEARN FROM
THIS ONCE IN A CENTURY PANDEMIC
FROM AN EQUITY PERSPECTIVE IN MY
OFFICE I'LL BE HAPPY TO TAKE THE
LEAD ON THAT WITH THIS POSITION.
DEPUTY INTERNET. THANK YOU SO
MUCH- TURN IT OVER TO A LAYOVER
AND DEAL WITH FOR COMMENTS.
ARRAIGN MILLER L. A- NOTHING AT
THIS TIME. YOUR HOME DEPARTMENT
OF FINANCE SOMETHING THAT. THANK
YOU SO COMMITTEES ANY QUESTIONS
THE TURN OVER DECEMBER EGGMAN.
BUT I JUST I GUESS JUST FOR. I'M
CERTAIN I CAN HOLD YOU
RESPONSIBLE FOR THE
ADMINISTRATION IS A LITTLE
DISAPPOINTING WE ARE ALL VERY
EXCITED ABOUT- WELL I DON'T SEE
EXCITED THAT. PUBLIC HEALTH HAS
BEEN UNDERFUNDED FOR.
HISTORICALLY HAS BEEN
UNDERFUNDED WHEN THE PANDEMIC
HIT WE HAD. A LOT OF ASSURANCES
THAT WE'RE GONNA INVEST A LOT
MORE IN OUR PUBLIC HEALTH
SYSTEM. AND MAKE IT MUCH MORE
EFFECTIVE AND NIMBLE AND-
SUPPORTIVE OF OUR LOCALS. AND
WHEN THE FIRST THINGS WAS GOING
TO BE TO LOOK HAPPENED TAKE A
LOOK BEFORE WE GET TO FORGET
INVEST ALL OUR NEW MONEY. WE'RE
GONNA TAKE A LOOK. AND SEE WHICH
IS A DISAPPOINTING THAT WERE NOW
YET ONE MORE YEAR OUT AND
HAVEN'T YET BEGUN TO LOOK. ANY
OTHER QUESTIONS. THANK YOU WANNA
HOLD THIS ITEM OPEN AND MOVE
ONTO THE NEXT ISSUE. IT'S GONNA
BE ISSUE NOT THANK YOU SO MUCH
FOR COMING UP ISSUE COMING IN
PERCENT. WHEN I MOVE ON TO ISSUE
NUMBER NINE THE- SI WRECKED WE
ORGANIZATION NAME CHANGE TRAINER
BILL LANGUAGE. I THANK YOU MADAM
CHAIR SENATORS MY NAME'S ADAM
DONDERO OF THE DIRECTOR OF THE
OFFICE JUSTIN'S INTEGRATION AND
CIO FOR THE CALIFORNIA HEALTH
AND HUMAN SERVICES AGENCY. S.
TRAILER BILL REQUEST IS PRETTY
STRAIGHTFORWARD IT'S A NAME
CHANGE STRICTLY FROM OFFICE OF
SYSTEMS INTEGRATION TO THE
PROPOSED NAME OF OFFICE OF
TECHNOLOGY AND SOLUTIONS
INTEGRATION. THE RATIONALE IS
BASED ON ME LAST YEAR BEING
APPOINTED INTO THAT DUAL ROLE AS
BOTH THE A. I. L. AS WELL AS THE
DIRECTOR OF A WEBSITE. WHICH
ALLOWS US TO TAKE I WAS I WHICH
IS LARGELY HISTORICALLY BEEN
FOCUSED ON A SUBSET OF MAJOR AND
IMPORTANT IT PROJECTS. AND USE
MY POSITION AS THE A. I. O.
WITHIN THE AGENCY TO PROVIDE
MORE COORDINATED SERVICES ACROSS
THE ENTIRE AGENCY AND BENEFIT
FROM THE TECHNICAL EXPERTISE
THAT WE HAVE. SYSTEMS
INTEGRATION IS A VERY IT'S A
TERM OF ART WITHIN TECHNOLOGY
AND IT'S NOT APTLY DISTRICT OF
THE PRACTICE WHAT WE DO WITHIN
THE OFFICE. AND SO WITH THAT THE
COMBINATION OF THIS OPPORTUNITY
WE WANT TO USE THAT TO. BRING A
NAME THAT BETTER DEFINE WHAT WE
GET I'M NOT STRICTLY WITH THE
PROPOSAL IS. HAPPY TO GO INTO.
MORE DETAIL OR TAKE ANY
QUESTIONS. ANY COMMENTS LA- OR
DO F. RYAN MILLER L. A. O. NO
CONCERNS. IN THE HOME DEPARTMENT
OF FINANCE I THINK THAT. NO
QUESTIONS ON MY AND SUBCOMMITTEE
MEMBERS ANY QUESTIONS. THANK YOU
SO MUCH FOR COMING ADAM
APPRECIATE IT WE ARE GONNA HOLD
THIS ITEM OPEN TO MOVE ON TO THE
NEXT ISSUE WE ARE NOT GOING TO
BE MOVING INTO THE DEPARTMENT
DEPARTMENT OF. HEALTH CARE ACT
AS AN INFORMATION STARTING IN
WITH ISSUE ONE POINT OVERVIEW.
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS- I'M ELIZABETH PLANTS
BURKE THE DIRECTOR OF THE
DEPARTMENT OF HEALTH CARE ACCESS
AND INFORMATION OR H. CHI.
PLEASE TO PROVIDE A HIGH LEVEL
OVERVIEW OF H. CHI'S WORK AND
BUDGET INVESTMENT- SO OUR OUR
CURRENT YEAR BUDGET IS ONE POINT
FIVE BILLION. AND THEN- YOUR
YOUR AGENDA SHOWS- THAT IS
DECREASING SIGNIFICANTLY TO
THREE HUNDRED THIRTY EIGHT
MILLION- FOR FISCAL YEAR TWENTY
THREE TWENTY FOUR. THE DECREASE
OF ONE POINT TWO BILLION IS DUE
TO SIGNIFICANT ONE TIME FUNDING-
AND FUNDING AVAILABLE FROM. FROM
PRIOR YEARS OF THE VAST MAJORITY
OF IT BEING FOR HEALTHCARE
WORKFORCE DEVELOPMENT PROGRAMS.
WE ARE REQUESTING NINE
POSITIONS- IN THIS BUDGET WHICH
WILL TAKE US TO SEVEN HUNDRED
AND TWO POSITIONS. I'M H. CAI
FORMERLY OCCUPIED THE OFFICE OF
STATEWIDE HEALTH PLANNING AND
DEVELOPMENT WAS CREATED IN
NINETEEN SEVENTY EIGHT TO HELP
THE STATE UNDERSTAND THE
STRUCTURE AND FUNCTION OF ITS
HEALTHCARE DELIVERY SYSTEMS. ARE
OF AGE BECAUSE ROLE HAS EXPANDED
SIGNIFICANTLY OVER R. FOUR PLUS
YEARS OF FOR FORTY PLUS YEARS SO
WE GRADUATED FROM AN OFFICE TO A
DEPARTMENT- TWO BUDGETS AGO. OUR
MISSION IS TO EXPAND EQUITABLE
ACCESS TO QUALITY AFFORDABLE
HEALTHCARE FOR ALL CALIFORNIANS.
THROUGH RESILIENT FACILITIES
ACTIONABLE INFORMATION AND THE
HEALTHCARE WORKFORCE THAT EACH
COMMUNITY NEEDS. AND I'LL JUST
GO THROUGH A BRIEF WE ARE FIVE
PROGRAM AREAS FACILITIES
FINANCING WORKFORCE DATA AND
AFFORDABILITY. ON THE DATA SIDE
H. CHI IS THE LEADER IN
COLLECTING HEALTHCARE DATA AND
DISSEMINATING INFORMATION ABOUT
CALIFORNIA'S HEALTH CARE
INFRASTRUCTURE AND PUBLISHING
INFORMATION ABOUT HEALTHCARE
OUTCOMES. WE COLLECT ANALYZE AND
DISSEMINATE INFORMATION ABOUT
HOSPITALS SKILLED NURSING
FACILITIES CLINICS AND HOME
HEALTH AGENCIES. THIS WORKING
COMPASS IS THE HEALTH CARE
PAYMENTS DATA PROGRAM WHICH WE
ARE BUILDING THE HPV PROGRAM
OFTEN REFERRED TO AS AN ALL
PAYER CLAIMS DATABASE. THE
INFORMATION FROM THE HEALTH CARE
PAYMENTS DATA PROGRAM WILL
SUPPORT GREATER HEALTH CARE COST
TRANSPARENCY AND WILL BE USED TO
INFORM POLICY DECISIONS
REGARDING THE PROVISION OF
HEALTHCARE AND TO REDUCE
HEALTHCARE COSTS AND DISPARITIES
. MOVING ON TO FACILITIES H. CHI
IS THE BUILDING DEPARTMENT FOR
HOSPITALS AND SKILLED NURSING
FACILITIES MONITORING THE
CONSTRUCTION RENOVATION AND
SEISMIC SAFETY OF THESE
FACILITIES OUR PRIMARY GOAL IS
TO PROMOTE PATIENT SAFETY BY
ENSURING THAT EACH FACILITY
REMAINS FUNCTIONAL IN THE EVENT
OF NATURAL DISASTERS. INCLUDING
MAJOR EARTHQUAKES- AND I WOULD
JUST NOTE THAT WE HAVE SUCH
EXPERTS AT ONE OF OUR STRUCTURAL
ENGINEERS IS ACTUALLY A LEADING
A DELEGATION TO TURKEY TO ASSIST
IN THE RECOVERY AND TO CONDUCT
RESEARCH AND RECONNAISSANCE OF
AN AREA WITH SIMILAR SEISMICITY
IS CALIFORNIA. WHAT MOVING ON
HEALTHCARE WORKFORCE PROGRAMS H.
KAISER HAS A RANGE OF HEALTHCARE
WORKFORCE DEVELOPMENT PROGRAMS
WHICH SEEK TO BUILD A WORKFORCE
THAT REFLECTS CALIFORNIA'S
RACIAL AND LINGUISTIC DIVERSITY
. SECOND SERVES MEDICALLY
UNDERSERVED AREAS AND THREE
SERVICE MEDICARE MEMBERS WE
SUPPORT SPECIFICALLY HEALTH CARE
WORKFORCE IN THE PRIMARY CARE
BEHAVIORAL HEALTH AND ORAL
HEALTH AREAS. WE USE A RANGE OF
STRATEGIES INCLUDING PIPELINE
PROGRAMS TO INTRODUCE THE HEALTH
PROFESSIONALS USE FROM
UNDERREPRESENTED COMMUNITIES.
DIRECT GRANT FUNDING TO MEDICAL
SCHOOLS NURSING PROGRAMS AND
OTHER HEALTH TRAINING
INSTITUTIONS AND THEN
SCHOLARSHIPS AND LOAN REPAYMENTS
AND STIPENDS TO STUDENTS AND
HEALTH PROFESSIONALS WHO AGREED
TO PROVIDE PATIENT CARE IN
MEDICALLY UNDERSERVED AREAS. H.
CHI IS ALSO SUPPORTING PROVIDERS
AND FUNDING PROGRAMS TO ENSURE
CALIFORNIANS AND OTHERS HAVE
ACCESS TO REPRODUCTIVE HEALTH
CARE SERVICES INCLUDING ABORTION
SERVICES. WE ALSO H. KAIRANA CAL
MORTGAGE PROGRAM WHICH OFFERS
LOAN INSURANCE TO NONPROFIT AND
PUBLIC HEALTH FACILITIES FOR THE
DEVELOPMENT AND EXPANSION OF
HEALTH CARE SERVICES. OUR CAL
MORTGAGE PROGRAMS ALSO
ADMINISTERING THE NEW SMALL AND
RURAL HOSPITAL RELIEF PROGRAM TO
PROVIDE GRANTS TO SMALL RURAL
AND CRITICAL ACCESS HOSPITALS
FOR SEISMIC SAFETY A COMPLIANCE
PROJECTS. AND THEN WE ARE VERY
PLEASED IN THE LAST YEAR TO ADD
A FIFTH PROGRAM AREA-
AFFORDABILITY SO WE'RE WORKING
TO ADVANCE HEALTH CARE
AFFORDABILITY IN THE STATE- WE
HAVE ESTABLISHED IN LAST YEAR'S
BUDGET THE OFFICE OF HEALTH CARE
AFFORDABILITY- OCHA. WHICH WILL
ANALYZE CALIFORNIA'S HEALTHCARE
MARKET FOR COST TRENDS AND
DRIVERS OF SPENDING. OKAY WILL
ENFORCE HEALTHCARE SPENDING
TARGETS SET BY OUR HEALTH
AFFORDABILITY BOARD AND WILL
CONDUCT COST AND MARKET IMPACT
REVIEWS OF PROPOSED HEALTHCARE
CONSOLIDATIONS. THE NEWLY FORMED
HEALTH CARE AFFORDABILITY BOARD-
WE JUST HAD OUR LAST
APPOINTMENTS EARLIER THIS WEEK
AND THE BOARD WILL ADVISE ON KEY
ACTIVITIES AND APPROVED SPECIFIC
ACT ASPECTS OF- BECAUSE WORK
WITH INPUT FROM AN ADVISORY
COMMITTEE AND THE PUBLIC. THE
DRIVE TOWARD A HIGH VALUE SYSTEM
IN ADDITION TO COST TARGETS- GO
WILL MEASURE AND PUBLICLY REPORT
ON QUALITY AND EQUITY MEASURES.
ADOPTION OF ALTERNATIVE PAYMENT
MODELS INVESTMENT IN PRIMARY
CARE AND BEHAVIORAL. IN RESPONSE
TO INCREASE IN PRESCRIPTION DRUG
PRICES AS YOU KNOW THE STATE HAS
ESTABLISHED THAT CAL ARE EXPIRED
SIMILAR INSULIN INITIATIVE AND
H. CHI IS PARTNERING. WITH A AN
ENTITY TO DEVELOP MANUFACTURE
AND DISTRIBUTE SHORT AND LONG
ACTING TYPES OF INSULIN PRODUCTS
SO MADAM CHAIR THAT IS MY
OVERVIEW OF THE DEPARTMENT AND
OUR WORK. THANK YOU DIRECTOR
LANDSBERG- L. A. R. DO UP TO
HAVE ANY COMMENTS. ARE USING
CONTENT TO ROSELLI- I THINK THE
DEPARTMENT DID A GOOD JOB
INTRODUCING ITSELF SO I KNOW
ADDITIONAL COMMENTS ON THE SIDE
OF. YEAH I JUST I DON'T SENATE
PARMA FINANCE NOTATIONAL
COMMENTS AT THIS TIME THANK YOU
. CORRECT ONE I WOULD HAVE ONE
QUESTION IN RELATION TO THE SONG
BROWN PROGRAM AND HOW WERE ABLE
TO ROLL OVER ON SPEND FUNDS FOR
THE NEXT FIVE YEARS DO WE OFTEN
SEE THAT WE HAVE UNSPENT FUNDS
IN THE DIFFERENT CATEGORIES
UNDER THAT PROGRAM. WE DO HAVE A
LIMITED AMOUNT OF UNSPENT FUNDS
MADAM CHAIR WE I'M KAREN RISE L.
IS ON AND CAN ADD IF WE NEED
ADDITIONAL DETAILS WE DO OFTEN
HAVE A SMALL AMOUNT OF UNSPENT
FUNDS BUT WE ARE WORKING VERY
DILIGENTLY WE KNOW THAT THE
STATE IS REALLY FACING A HEALTH
CARE WORKFORCE CRISIS THAT WERE
WORKING DILIGENTLY TO GET- ALL
OF THE DOLLARS OUT BUT WE
SOMETIMES HAVE A SMALL AMOUNT
THAT WE DO CARRY. OVER FROM ONE
YEAR TO THE NEXT. THANK YOU
SUBCOMMITTEE MEMBERS ANY
QUESTIONS. THE WHOLE TO THE
SPECIFIC ISSUE. THANK THANK YOU
SO MUCH STRICTER LANSFORD WE
WILL NOW. NO WE WILL NOT MOVE ON
TO. ISSUE NUMBER TWO SUPPORT FOR
HEALTH WORKFORCE EDUCATION AND
TRAINING COUNCIL. RESPONSIBLE
PERSON. I AND- ISSUE NUMBER TWO
IS A SKILLED NURSING FACILITIES
BACK UP POWER SOURCE RELATED TO
AB. TWENTY FIVE ELEVEN. GOOD
AFTERNOON MADAM CHAIR AND BORROW
COMMITTEE MEMBERS. I AM CRYSTAL
CHRIS WITH A DEPARTMENT ALL
HEALTH CARE ACCESS INFORMATION
DEPUTY DIRECTOR ALL OF THE
OFFICE OF STATEWIDE HOSPITAL
PLANNING AND DEVELOPMENT. WE ARE
REQUESTING SB SIX P. FOR EVERY
ADDITIONAL WORKLOADS REQUIRED BY
H. KATAOKA SAID TO BE PERFORMED
AS REQUIRED BY TWENTY FIVE
ELEVEN. IN REGARDS TO THE
SKILLED NURSING FACILITY BACKUP
POWER SOURCES. I SPECIFICALLY
I'LL GIVE YOU A BRIEF OVERVIEW
OF THIS PROPOSAL. THE DEPARTMENT
OF HEALTH CARE ACCESS AND
INFORMATION IS REQUIRED BY AB
TWENTY FIVE ELEVEN TO DEVELOP
THEIR WORK BOND IN AN EXPEDITED
TIMEFRAME TO ENSURE. GUIDANCE TO
ALL THE SKILLED NURSING
FACILITIES PRIOR TO JANUARY
FIRST TWO THOUSAND TWENTY FOUR.
IT'S KIND IS REQUESTING SIX
POSITIONS AND ONE POINT FOUR
FIVE TWO MILLION DOLLARS OF
EXPENDITURE AUTHORITY FROM THE
COST OF BUILDING FIND IN THE
FISCAL YEAR. TWENTY THREE TWENTY
FOUR AN ONGOING THEREAFTER.
THERE WAS A BUILDING FUND IS
MADE UP OF FEES PAID BY YOUR
HEALTH FACILITIES INCLUDING
SKILLED NURSING FACILITIES UP ON
APPLICATION FOR CONSTRUCTION ARE
YOU TO COVER THE COSTS FOR PLAN
TO YOU AND CONSTRUCTION
OBSERVATIONS. AB TWENTY FIVE
ELEVEN REQUIRES SKILLED NURSING
FACILITY USED TO HAVE AN
ALTERNATIVE POWER SOURCE TO
PROTECT RESIDENT HEALTH AND
SAFETY FOR OUR DISTRICT NINETY
SIX HOURS. DURING ANY TYPE OF
POWER OUTAGE. THAT INCLUDES
PUBLIC SAFETY POWER SHOT ALMOST.
ANY TYPE OF AN EMERGENCY AND I
TROUBLES AUSTERE OR OTHER CAUSES
. ONE OF THE AB TWENTY FIVE
ELEVEN REQUIREMENTS IS THAT SAFE
TEMPERATURE LEVELS MUST BE
MAINTAINED AT A RANGE BETWEEN
SEVENTY ONE DEGREES FIVE NIGHT
MINIMUM GREAT TO ONE DEGREES
FAHRENHEIT MUCH MORE. THIS MAY
REQUIRE STILLNESS FACILITIES TO
PROVIDE AIR CONDITIONING TO
COMPLY WITH THE PROVISIONS OF
THE FED ARE REGULATIONS AS WELL
AS AB TWENTY FIVE ELEVEN. NOT TO
COMPLY IF I STILL BE WOULD BE
REQUIRED TO UPGRADE THEIR MERCY
GENERATOR ARE INSTALLED. AN
ALTERNATIVE SOURCE OF POWER THAT
WILL HAVE SUFFICIENT STORAGE.
AND GENERATION POWER SLUSH
CAPABILITY TO MAINTAIN OPERATION
FOR NO FEWER THAN FIVE SIX HOURS
. THERE ARE OVER A THOUSAND
SKILLED NURSING FACILITIES IN
CALIFORNIA THAT WILL REQUIRE
ELECTRICAL SYSTEMS AND EQUIPMENT
ISSUES. AND SOME FORM OF
MODIFICATION BECAUSE ALL THESE
REQUIREMENTS STATURE. YOU MUST
FACILITIES WILL NEED TO ENGAGE
IN PROJECT DESIGN. REVIEW
EMPOWER ME APPROVALS EQUIPMENT
SUPPLY LINE ISSUES IMMIGRANT
BARMAN CONSTRUCTION AND
INSPECTION TIMELINES. IT'S GUYS
CURRENTLY WORKING ON REGULATIONS
TO CODIFY THE REQUIREMENTS OF AB
TWENTY FIVE ELEVEN. THE
DEPARTMENT IS WORKING DILIGENTLY
WITH STAKEHOLDERS TO IMPLEMENT
AB TWENTY FIVE ELEVEN PURSUANT
TO A TIME LINES WITHIN THE SUCH
. AT THIS TIME WE DO NOT HAVE A
TRAILER BILL PROPOSAL. WE WILL
SHIP THE LEGISLATURE UP TO DATE
ON ANY ISSUES ARE IMPLEMENTATION
PROGRESS. I WAS BORN MY TO CHAIR
I WILL PAUSE FOR ANY QUESTIONS.
THANK YOU LIKE TO TURN OVER TO
LA- AND DEAL WITH FOR ANY
COMMENTS. CONCENTRA ROSELLI- NO
CONCERNS OF THIS PROPOSAL. JUST
DON'T SOME PERMANENT FINANCE I
KNOW DISTAL COMMENTS AT THIS
TIME THANK YOU. I DON'T HAVE ANY
QUESTIONS SUBCOMMITTEE MEMBERS
QUESTIONS. GREAT TO SOMEONE NOW
HOLD THIS ITEM OPEN AND MOVE ON
TO THE NEXT ISSUE ISSUE NUMBER
THREE HOSPITALS A SUSPECT THANK
MAKE SAFETY RELATED TO S. B.
EIGHTEEN EIGHTY TWO. THANK YOU.
I WILL CONTINUE WITHOUT A BRIEF
OVERVIEW OF THE OF THE PROPOSAL
SB EIGHTEEN EIGHTY TWO REQUIRES
H. CHI. YOU DO THE FOLLOWING.
DEVELOP NOTICES FOR PUBLIC
BOSTON FOR HASTA BUILDINGS THAT
ARE NOT COMPLYING WITH THE TWO
THOUSAND TERRY SEISMIC SAFETY
STANDARDS. NUMBER TO IDENTIFIED
ON OUR WEBSITE SEISMIC STOCK
WAS. OF JACQUI CARE HOSPITALS
AND NUMBER THREE COST BECAUSE
THAT DO NOT MEET THE TWO
THOUSAND TEN WE- ARE DEADLINE
STANDARDS MUST ALSO PROVIDE AN
IDEAL START OR STOP DATE ON
THEIR STOCKS OF PERFORMANCE
CATEGORY RATINGS OF THE
BUILDINGS. AND THIS SERVICE IS
PROVIDED IN THE JOB I COULD CARE
HOSPITAL BUILDING I'M KILL EACH
OF THE COST OF DOING THIS COMPLY
. WITH A SEISMIC SAFETY
STANDARDS. IN ORDER TO COMPLY
WITH THESE ARE. H. CHI MUST
UNDERTAKE SEVERAL ACTIVITIES
PRIOR TO JULY FIRST TWO THOUSAND
TWENTY THREE INCLUDING NUMBER
ONE. PROGRAMMING OUR EXISTING IN
HOUSE SOFTWARE TO COLLECT DATA
BASE INFORMATION I WAS REQUIRED
TO DO SO BY LAW FOR NON
COMPLIANT GENERAL COULD CARE
HOSPITALS NUMBER TWO. DEVELOP
MULTIPLE PUBLIC BUSTING. THAT
CLEARLY CONVEY YOUR PATIENTS AS
WELL. AS WELL AS THE PUBLIC
WHETHER THE COST WITHOUT USING
COMPLIANCE OR NOT WITH THE
SEISMIC SAFETY REGULATIONS AND
STANDARDS. AND NUMBER THREE
PREPARE AND PROCESS THE
NECESSARY REGULATIONS THE
CALIFORNIA BUILDING STANDARDS
COMMISSION. DURING THE TWO
THOUSAND TWENTY TWO INTERVENING
COURT CYCLE. IN ORDER TO COVER
THE OF THIS WORK H. KAISER A
VETERAN THOUSAND. FOR THE YEAR
TWENTY THREE TWENTY FOUR AND-
FOUR ONE PERMANENT POSITION FOR
A COMPLIANCE OFFICER HEALTH.
CONSTRUCTION THAT'S BASICALLY
JUST SO OTHER COMMENTS ALL OF
EIGHTEEN EIGHTY TWO AND THE
BASIS OF THE BUDGET CHANGE
PROPOSAL YOU'RE HAVING FRONT OF
YOUR- SERVICE FOR MANAGING. I
OPPOSE AGAIN FOR ANY QUESTIONS.
THANK YOU A TORNADO- TO LA- AND
WEBER. USING IS SO. ALSO NEW
CONCERNS THIS BECAUSE- YEAH JUST
AND ALSO APARTMENT NO COMMENTS
AT THE TIME THANK YOU. NO ON MY
END SUBCOMMITTEE MAY AND- TURN
OVER TO SENATOR RON. THANK I'M
JUST CURIOUS SO WE HAVE ABOUT
FOUR HUNDRED AND SEVENTY SIX
ACUTE CARE GENERAL IN.
PSYCHIATRIC FACILITIES IN ABOUT
ELEVEN HUNDRED SIXTY TWO SNIFFS
PER ANALYSIS CAN YOU TELL ME
WHAT PERCENTAGE- OF THE
STRUCTURES INVOLVED HERE MAY NOT
BE REPAIRABLE OR FUNCTIONAL
FOLLOWING AN EARTHQUAKE. WHEN IT
COMES DOWN TO THE REQUIREMENTS
OF THE SEISMIC SAFETY ACT IT
DOES NOT PERTAIN TO A SKILLED
NURSING FACILITY SKILLED NURSING
FACILITIES. ARE NOT UNDER THE
AUSPICES OF THE SEISMIC
COMPLIANCE REQUIREMENTS ALL OF
THE CUSTOMERS WHO WILL BE
SEISMIC SAFETY ARE. ALSO THE
SAME THING APPLIES FOR BEHAVIOR
HEALTH FACILITIES BEHAVIORAL
HEALTH FACILITIES ARE NOT UNDER
THE AUSPICES OF THE SIZE AND
SAFETY COMPLIANCE ONLY CHEN I
COULD CARE HOSPITALS SO HOW MANY
OR DO WE HAVE OF THOSE. JAGGERY
HOUSE HOSPITALS FACILITY WIDE
ARE GOOD SO WE HAVE FOUR HUNDRED
NINETEEN. SO ALL BUT- IF YOU
LOOK AT THE ENTIRE FACILITY
INVENTORY. YOU WERE STILL
DIFFERENT BECAUSE THE SEISMIC
PERFORMANCE THESE BUILDING
RELATED OR DESTRUCTIVE USED
BUILDING BY BUILDING ROB ON. ALL
WHAT I WOULD CALL OF YOUR FOR
SERVICE BECAUSE OF A SHALL BE MY
HAVE LAW SCHOOL BUILDINGS IN
THIS CASE. THAT ARE HAVE
DIFFERENT SIZE IMMIGRANTS. SO I
CAN GIVE YOU A QUICK CUP OFFERED
YOU ALL FALL AGAIN ARE YOU SURE
AS FAR AS BUILDING. UP
PERFORMANCE. WE DO HAVE I SEE.
I'LL GO VERY TO SEVENTY BUILT IN
FOR EITHER IF YOU FOR SO THIS.
S. 250-020-0050 FOUR TO BE EXACT
THE THEY ARE COMPLIANT I GUESS I
WAS FAR AS A STRUCTURAL SEISMIC
REQUIREMENTS WHAT'S THE NUMBER
NOW. TWENTY FIVE FIFTY FOUR
TWENTY FIVE FIFTY FOUR OUT OF
WHAT'S THE TOTAL. VERY TO
SEVENTY FIVE. OKAY. AS FAR AS-
TRULY MEETING B. R. TWO THOUSAND
THIRTY REQUIREMENTS ARE SO
BUILDINGS THEY WERE BUILT PRIOR
TO NINETEEN SEVENTY THREE AND
THEY DO NOT MEET. V. ARE WHAT I
WOULD CALL OUR GUESTS OF THE
CITING SAFETY ACT REQUIREMENTS
DOLLARS ARE ABOUT SIX HUNDRED
AND SEVENTY FOUR. AS WELL AS
THERE ARE SOME WE GET SO THAT
THEY ARE AGAIN I GUESS- RANKING
IN THE LONGER SIZE AND
PERFORMANCE CATEGORY. WHICH WE
CALL ESPECIALLY ONE AND THAT
ABOUT YOU KNOW FORTY SEVEN TO
FIFTY BUILDINGS IN THAT CATEGORY
. IT'S ABOUT BE HAPPY TO PROVIDE
YOU WITH MORE SPECIFIC
INFORMATION WELL IS THIS SICK I
GUESS I'M TRYING TO GET AN IDEA
OF HOW SIGNIFICANT PROBLEM IS
BECAUSE- WE'VE BEEN TALKING
ABOUT I'M IN MY ELEVENTH YEAR
AND WE'VE BEEN TALKING ABOUT
THIS FOR ELEVEN YEARS. SO I
GUESS THE QUESTION IS WITH
RESPECT TO THOSE THAT ARE NOT
COMPLIANT. DO WE EXPECT THEM TO
BE COMPLIANT BY TWO THOUSAND
TWENTY FIVE. TWO THOUSAND THIRTY
TWO THOUSAND THIRTY FIVE OR SOME
POINT IN THE FUTURE. AND IF IT'S
IN THE FUTURE SHOULD I BE
CONCERNED. THE SENATOR WROTE
WROTE A LIST OF THE PLANS BURKE
SO WE WERE HAPPY TO FOLLOW UP
WITH YOU WITH THE SPECIFIC
NUMBERS IN TERMS OF THE DATES.
WE DO HAVE A TWENTY THIRTY
DEADLINES SO- MR TUCKER'S IS
REFERRING TO THE S. B. C. IS THE
STRUCTURAL PERFORMANCE
CATEGORIES. SO THAT ALL
BUILDINGS THAT ARE CURRENTLY S.
B. C. TWO BUILDINGS HAVE TO. GO
THROUGH SOME RENOVATION OR THEY
HAVE TO BE RETIRED BY THE YEAR
TWENTY THIRTY. WELL IS THAT IT
WILL THAT BE UP I ASSUME THAT
THERE WILL BE SOME STRUCTURES.
THAT ARE SIMPLY IN SOME.
OPERATORS THAT WILL SIMPLY BE
UNABLE. TO BRING FACILITIES UP
TO COMPLIANCE. REGARDLESS OF THE
DEADLINE. I WE HAVE- PROPOSED
PLANS. FROM MANY OF THOSE
HOSPITALS AND THERE ARE SOME
HOSPITALS THAT WE HAVE
SIGNIFICANT CONCERNS ABOUT. AND
THEN WITH RESPECT TO THOSE THAT
YOU HAVE SIGNIFICANT CONCERNS
ABOUT. I GUESS DEPENDING ON THE
AREA WHERE THEY'RE LOCATED IN
THE STATE OF CALIFORNIA SHOULD
WE BE CONCERNED ABOUT THOSE AS
WELL- YOU MISTER TOKENS BEACON
AWARD- DETAIL BUT IT WE I DO
WANNA- YOU KNOW EDUCATE THE KING
THAT THE COMMITTEE THAT OUR
STANDARDS ARE BASED ON THE
SEISMICITY OF THE PARTICULAR
HOSPITAL IN THE PARTICULAR AREA
SO. THE HOSPITAL ON THE SAN
ANDREAS FAULT WE HAVE HIGHER
EXPECTATIONS FOR THAN A HOSPITAL
THAT'S IN LINDEN AND DOES NOT
HAVE THAT LEVEL OF SEISMICITY
SO. I CAN ASSURE YOU AN INLAND
SOUTHERN CALIFORNIA WE HAVE
EARTHQUAKE FAULTS. RIGHT YOU CAN
ONLY LOOK TO BIG BEAR. THE
DESERT- AND WHERE I LIVE IN
RIVERSIDE SO- FOR THOSE
FACILITIES AND OPERATORS WHO YOU
KNOW TO BE OR THESE PROJECT TO
BE UNABLE TO UPGRADE FACILITIES
IS THERE A STATE PLAN WE'RE
DEALING WITH THE BUDGET SO
THAT'S WHY I'M ASKING THE
QUESTION. IS THERE A STATE PLAN
TO DEAL WITH THOSE FACILITIES.
BECAUSE I HAVEN'T SEEN IT. THERE
WE THERE WAS LEGISLATION THAT
WAS PASSED LAST YEAR THAT WE'RE
IMPLEMENTING A SMALL AND RURAL
HOSPITALS RELIEF PROGRAM AND SO
THERE ARE SOME FUNDS BEING MADE
AVAILABLE TO THOSE. TO THOSE
SMALL OVERLY CRITICAL ACCESS
HOSPITALS JUST CREATING THAT
PROGRAM HAS BEEN VERY HELPFUL
FOR US IN OUR REACH SO- WE DO
HAVE A CUSTOMER SERVICE ORIENTED
APPROACH OF WORKING WITH THE
HOSPITALS- AND REALLY TRYING TO.
HELP THEM UNDERSTAND THEIR
OPTIONS SO IT'S BEEN VERY
HELPFUL TO HAVE THOSE HOSPITALS
COME I TALKED TO OUR STRUCTURAL
ENGINEERS ARCHITECTS ARE
MECHANICAL ENGINEERS THAT WE CAN
HELP THEM- DEVELOP. PLANS WELL.
YOU KNOW I APOLOGIZE FOR ASKING
THE QUESTIONS IN THE THIS IS
SORT OF AN OVERVIEW AND SO I
WON'T ASK FOR MANY MORE BUT- I'M
MINDFUL OF THE FACT THEY WERE
WATCHING TURKEY ON TV. AND I'M
ALSO MINDFUL OF THE FACT THAT
WE'VE HAD HOSPITAL'S COLLAPSE IN
THE PAST. AND I AM ALSO MINDFUL
OF THE FACT THAT SOMEBODY NEEDS
TO BE ASKING THE QUESTIONS AND-
HAVING SERVED ON HOSPITAL BOARDS
IN THE PAST AND MY PAST LIFE ON.
SEVERAL SEVERAL OCCASIONS OVER A
FAIRLY LENGTHY PERIOD OF YEARS.
I'M ALSO I ALSO SUSPECT THAT
HOSPITAL OPERATORS ARE GOING TO
BE UNABLE TO- COMPLY WITH OUR
SEISMIC STATE SAFETY STANDARDS
AND THE QUESTION IS ARE THE
STRUCTURES THAT ARE LEFT.
NONCOMPLIANT ESSENTIAL TO HEALTH
CARE SERVICES OR THE STATE OR
THE SIMPLY ABLE TO CONVERT THEM
INTO. MEDICAL OFFICE BUILDINGS
WHICH MAY NOT BE ON THE CRITICAL
LIST AND IF THEY'RE UNABLE TO
BRING INTO COMPLIANCE CRITICAL
HEALTH CARE FACILITIES. I GUESS
MY QUESTION IN THE BUDGET
CONTEXT IS WHAT ARE WE PROPOSING
TO DO ABOUT IT SO. YOU CAN ALL
YOU ALL CAN GET BACK TO ME AT A
LATER DATE BUT I WANT TO MAKE
SURE. TO BE ON THE RECORD ASKING
THE QUESTION. VERY MUCH
APPRECIATE THAT SLASH AND-
CERTAINLY WE'RE WATCHING-
EVERYTHING GOING ON IN TURKEY
WITH GREAT CONCERN- AND IT WOULD
BE VERY HAPPY TO FOLLOW UP WITH
YOU. THANK YOU VERY MUCH THANK
YOU MADAM CHAIR FOR YOUR
PATIENCE. THE CENTER THANK YOU
FOR YOUR THOUGHTFUL QUESTIONS
THERE WE'RE GOING TO HOLD THIS
ITEM OPEN AND MOVE ON TO THE
NEXT ISSUE. ISSUE NUMBER FOUR IS
THE SUPPORT FOR HEALTH WORKFORCE
EDUCATION AND TRAINING COUNCIL.
GOOD AFTERNOON I'M MY NAME IS
KAREN MYSELF I'M WITH- SB
DIRECTOR WITH OUR OFFICE OF
HEALTH WORKFORCE DEVELOPMENT
HERE AT AGE CRIED. I'M SO THIS
RBC PETE REQUEST TO POSITIONS IN
FISCAL YEAR TWENTY THREE TWENTY
FOUR TO SUPPORT THE WORK OF THE
WORKFORCE EDUCATION AND TRAINING
COUNCIL. THE COUNCIL BEGAN
MEETINGS YEAH I LAST YEAR AT
THIS TIME- AND IS ALREADY BEING
DONE DISCUSSING THE NEEDS IN
INNOVATIVE APPROACHES TO MEET
THE STATE'S WORKFORCE NEEDS-
AROUND NURSING BEHAVIORAL
HEALTH. AND GRADUATE MEDICAL
EDUCATION IN PRIMARY CARE. THE
COUNCIL HAS BEEN- NEEDING- PLANS
TO MEET FOUR TO SIX TIMES A YEAR
WOULD YOU DAY MEETINGS ARE THEM
THERE'S ACTUALLY A TWO DAY
MEETING GOING ON THIS WEEK. I'M
THE POSITIONS ARE NECESSARY TO
SUPPORT THE LOGISTICAL THAT
ADMINISTRATIVE THE DATA ANALYSIS
AND THE POLICY ANALYSIS NEEDS TO
SUPPORT THE WORK OF THE COUNCIL.
THANK YOU. ANSWERING QUESTIONS.
IT OVER TO LA- IN DEAL AFTER
COMMENTS. CONCENTRATORS OLEO ON
THIS ISSUE I WOULD JUST NOTE
THAT WE ARE WORKING WITH THE
DEPARTMENT TO CLARIFY WHAT FUN
SOURCE WOULD BE USED TO SUPPORT
THE POSITIONS. YOU CAN SEE ON
PAGE FORTY ONE OF YOUR AGENDA
THE DEPARTMENT ISN'T. REQUESTING
ANY ADDITIONAL FUNDING OF
DEPARTMENT SAYS IT HAS AN
EXISTING FUNDING YOU CAN USE
HELP SUPPORT POSITIONS AND WE'RE
JUST WORKING UNDERSTAND WHAT
THAT FUND SOURCES MAKE SURE IT.
IS REASONABLE- DEPARTMENT TODAY
HASN'T HASN'T FULLY CLARIFY THAT
ISSUE WITH US BUT WE'RE STILL
WORKING WITH THEM WE'LL BE IN
TOUCH OF THE COMMITTEE OF THE
SCREEN- IDENTIFY ANYTHING.
CONCERNING THANK YOU. YES DON'T
SEND. PLAN NO ADDITIONAL
COMMENTS AT THIS TIME OTHER THAN
WORKING WITH THE DEPARTMENTS
WELL TO ADDRESS THOSE QUESTIONS
FOR THE L. A. L. THANK YOU. NO
QUESTION BUT I WILL KNOW YOU
KNOW THE PRIORITY TOPIC AREAS
WITHIN THIS WORKGROUP ARE SO
CRUCIAL IN THIS TIME AND YOU PUT
THE FIRST ONE AT THE TOP AS THEM
IN MY OPINION EVEN MOST CUSHION
YOU'RE TALKING. YOU KNOW LEFT
APPEAR IN THE DICES ARE TWO
SENATORS WHO HAVE BEEN VERY
VOCAL YOU KNOW CORRECT ME IF I'M
WRONG US IN IRAQ ABOUT THE WORK
FORCE. ISSUE WE'RE FACING HERE
IS TYPICAL OF CALIFORNIAN THE
INVESTMENTS WE NEED TO DO IN
THIS- SO I DO LOOK FORWARD. TO
ELADIO HEARING BACK TO SEE IF
YOU KNOW THE FUNDS ARE ACTUALLY
THERE EVEN BETTER. THANK YOU
SENATE ROTH ANY COMMON QUESTION
. WHAT WHAT NOW HOLD THIS ITEM
OPEN AND MOVE ON TO THE NEXT
ISSUE. ISSUE NUMBER FIVE
ABORTION PRACTICAL SUPPORT FUND
AS IT RELATES TO S. B- ELEVEN
FORTY TWO. RIGHT THANK YOU- I'LL
SPEAK TO THIS ONE AS WELL SO H.
I REQUEST A HUNDRED THOUSAND
DOLLARS GENERAL FUND ANNUALLY
THROUGH FISCAL YEAR TWENTY SEVEN
TWENTY EIGHT. TO CONTRACT WITH
AN EXTERNAL ORGANIZATION TO
CONDUCT THE ANNUAL EVALUATIONS
OF THE WORK OF THIS PROGRAM. I'M
THIS BCP YOU WILL FIND THE
STATUTORILY REQUIRED EVALUATION
NEEDED FOR THIS PROGRAM. I'M H.
CHI IS EXECUTED A CONTRACT WITH
A NONPROFIT ORGANIZATION
ESSENTIAL ACCESS HEALTH. TO
ADMINISTER BOTH THIS AS WELL AS
THE UNCOMPENSATED CARE FUNDS
PROGRAM. AND SO WE INTEND YOU TO
CONTRACT WITH AN EXTERNAL
ORGANIZATION TO CONDUCT THE
EVALUATION. OF THIS PROGRAM.
THANK YOU HAVE BEEN ANSWERING
QUESTIONS. DOES LA OR DO I HAVE
ANY COMMENTS. DO YOU CAN
CONCENTRATE SOLELY- NO COMMENTS
ON THIS ONE. THERE'S A DOWNSIDE
APARTMENT FINANCE NOTATIONAL
COMMENTS THANK YOU. NO COMES THE
QUESTIONS MY ANSWER OCT. WILL
HOLD THIS ITEM OPEN AND MOVE ON
TO THE NEXT ISSUE THAT'S ISSUE
NUMBER SIX BUDGET SOLUTION TO
HEALTH CARE WORKFORCE DELAYS.
THANK YOU MADAM CHAIR COMMITTEE
MEMBER. JOSEPH ALSO DEPARTMENT
FINANCE WILL BE TAKING THE LEAD
ON THIS ITEM. DUE TO CLAIMING
STATE REVENUES THE BUDGET
PROPOSES DELAYING SIXTY EIGHT
MILLION IN THE CURRENT YEAR AND
THREE HUNDRED AND TWENTY NINE
POINT FOUR MILLION IN THE BUDGET
YEAR. FOR VARIOUS HEALTH CARE
WORKFORCE PROGRAMS INCLUDED IN
THE TWENTY TWENTY TO BUDGET
UNDER EACH KITES MINISTRATION
AND MECHANISM TO IMPLEMENT THIS
PROPOSAL WILL BE TBL WHICH IS
CURRENTLY POSTED ON APARTMENT
FINANCES WEBSITE FOR YOUR BILL.
NOW WHILE THE BUDGET DOES
PROPOSE THESE DELAYS THE
MINISTRATION IS STILL COMMITTED
TO INCREASING THE CAPACITY OF
THE STATE'S HEALTH CARE
WORKFORCE THESE PROGRAMS WILL
REMAIN FULLY FUNDED BUT THE
FUNDS WOULD GO OUT LATER THAN
ORIGINALLY PLANS. THE REPAYMENTS
FOR THESE DELAYS WOULD GO OUT IN
TWENTY FOUR TWENTY FIVE AND
TWENTY FIVE TWENTY SIX IN THE
AMOUNT OF A HUNDRED AND NINETY
EIGHT POINT SEVEN MILLION. IN
EACH OF THOSE SPECIFIED YEARS.
IN CLOSING WITH KNOWLEDGE THAT
WHILE WE UNDERSTAND IT THESE ARE
DIFFICULT DECISIONS TO CONSIDER
HOW THE MINISTRATION BELIEVES
THAT THESE ARE NECESSARY ACTIONS
TO ADDRESS. THE CURRENT REVENUE
SHORTFALL LAW ALSO MEAN TAKING
ON OUR COMMITMENT TO OUR STATE'S
HEALTH CARE WORKFORCE NOW POTS
YOUR- ADVANCE QUESTIONS OR CAN
GO TO THE SECOND. QUESTION IS ON
THE AGENDA AS WELL. SECOND
QUESTION PLEASE. RIGHT FROM-
SAID. PERTAIN TO PROPOSED BILL-
DIDN'T TO REPAY ON THESE YOUR
PAYMENTS IN TWENTY FOUR TWENTY
FIVE AND TWENTY SIX. I'M FIRST
MENSURATION JUST WANT TO
REITERATE ITS COMMITMENT TO
INCREASING THE CAPACITY OF OUR
STATE'S HEALTH CARE WORKFORCE.
ADMINISTRATION PROPOSED
SUBSTANTIAL INVESTMENTS ARE
ULTIMATELY INCLUDED IN THE
BUDGET AFTER TWENTY TWO.
ADDITIONALLY WE WOULD STRESS
THAT THESE INVESTMENTS. ARE
DELAYS THEY'RE NOT CUTS AND WILL
REMAIN FULLY FUNDED AT THEIR
REGIONAL LEVELS I'M FOR THE MORE
THE MINISTRATION IS CARRYING
THESE REPAYMENTS IN OUR LONG
TERM FORECASTS AND IS COMMITTED
TO. RETAIN THESE FUNDS IN THE
SPECIFIED YEARS THAN THIS-
PROPOSAL- I'M HAPPY. TO ANSWER
ANY QUESTIONS YOU HAVE THANK YOU
- MY QUESTIONS TO H. CHI
ACTUALLY- YOU KNOW. IF WE GOT
THE MONEY HOW FAST COULD THE
PROGRAMS BE READY. THANK YOU
VERY MUCH MADAM CHAIR WE ARE
ADMINISTERING THESE PROGRAMS
RIGHT THESE ARE PROGRAMS THAT
WERE ADOPTED IN LAST YEAR'S
BUDGET- AND THE TEAM HAS WORKED
VERY HARD TO. IMPLEMENT THEM AS
QUICKLY AS POSSIBLE SO THESE
THESE ARE THESE ARE PROGRAMS
THAT ARE THAT ARE IN FLIGHT.
WOULD BE ALLOWED TO COMMENT ON
MY QUESTION. RESPOND TO MY
QUESTION. I'M SURE DECENT
CONCENTRA SOLELY- IT IN TERMS OF
THE QUESTION WAS WHETHER- YOU
KNOW THE WHAT HOW QUICKLY THESE
INITIATIVES COULD BE
IMPLEMENTED. AND YOU KNOW DEPEND
A LITTLE BIT ON ON WHICH
INITIATIVE WE'RE WE'RE TALKING
ABOUT- THERE ARE SOME
INITIATIVES IN- THAT WERE
ADOPTED LAST YEAR THAT ARE NOT
BEING PROPOSED FOR SOLUTIONS. OF
FOR EXAMPLE THAT- YOU CURRENTLY.
HAVE NOT BEEN HAVE NOT BEEN
IMPLEMENTED THERE ARE SCHEDULED
. TO BEGIN SOMETIME THIS SUMMER.
THERE WOULD BE THE A GREAT
MEDICAL EDUCATION WILL REAP
PARKS LIKE. THAT'S DESCRIBED ON
PAGE FORTY SIX OF YOUR AGENDA
THAT'S A FOURTH BULLET UNDER
BEHAVIORAL. AGAIN THAT'S ONE
THAT THE ADMINISTRATION'S NOT
PROPOSING FOR SOLUTIONS BUT
HASN'T YET BEEN IMPLEMENTED. SO
MANY OTHER INITIATIVES WERE IN
THE MIDST OF BEING IMPLEMENTED-
FOR EXAMPLE THE SOME OF THE
COMMUNITY HEALTH WORKERS AND
SOCIAL WORK AND COMPREHENSIVE
NURSING INITIATIVES ARE
UNDERSTANDING IS A DOES ALREADY
HAVE BEEN IMPLEMENTED TO SOME.
EXTENT IN THE IN THE CURRENT
YEAR AND THAT THEY HAVE- IMAGERY
HAD PLANNED ON A PRIOR TO THIS
PROPOSAL AT THAT POINT ON
CONTINUING INFORMATION GOING TO.
THE NEXT FEW YEARS. IT REALLY
DEPENDS ON WHICH IN THIS WERE
TALKING. SIDERITE THANK YOU
MADAM CHAIR. YEAH I THINK THE IS
IN. FOR ACHIEVING ACTION RESULTS
. OF THE SURVEY RURAL HEALTH
WORKFORCE PROGRAMS IT APPEARED
TO BE AND THE BEHAVIOR HEALTH
WORK FORCE. ITSELF APPEARS TO BE
THE LYNCH PIN TO MANY OF THE-
PROGRAMS THAT WE- DEAL WITH IN
THIS PROPOSED BUDGET THE BUDGET
LAST YEAR IN THE BUDGET SAID
PRECEDED IT FROM. FROM OR THOSE
FROM THE DJJ REALIGNMENT TO CARE
COURT TO HOUSING AND ARE
HOMELESSNESS EFFORTS. AND THESE
WORKFORCE INITIATIVES- DON'T
HAPPEN OVERNIGHT. IT FOR EXAMPLE
EXPANDING MASTERS IN SOCIAL WORK
SLOTS AT PUBLIC SCHOOLS OF
SOCIAL WORK I'M NOT A SOCIAL
WORKER I THINK MY COLLEAGUES-
ONE ON THE LEFT AND- THE ONE ON
THE ON THE RATE- ARE. CERTAINLY
HAVE EXPERIENCE AND IT'S MY
UNDERSTANDING IT'S NOT JUST THE
CLASSROOM EDUCATION IT'S THE
THOUSANDS OF HOURS OF. OF A
CLINICAL EXPERIENCE THAT ARE
REQUIRED BEFORE LICENSURE THE
TAKE TIME- PSYCHIATRISTS DON'T
HAPPEN OVERNIGHT IT'S NOT ONLY
THE MEDICAL SCHOOL EDUCATION
IT'S A PSYCHIATRIC RESIDENCY
THAT. I'M SURE TAKES AT LEAST
THREE YEARS TO COMPLETE. SO I'M
CONCERNED ABOUT DEFERRING. OF
THESE WITH THE START OF THESE
WORKFORCE PROGRAMS BECAUSE IT'S
GOING TO IT'S GOING TO DELAY THE
POINT AT WHICH NOT ONLY THE
PROGRAMS ARE IMPLEMENTED BUT THE
POINT AT WHICH RESULTS ARE
ACHIEVED IN TERMS OF ADDITIONAL
BEHAVIORAL HEALTH WORKERS IN THE
FIELD. PROVIDING SERVICES
WHETHER IT'S IN THE CARE CORPS
PROGRAM WHETHER IT'S IN THE- THE
FOLKS WHO ARE RELYING DELIVERED
DJJ SYSTEM TO THE COUNTIES
WHETHER IT'S IN OUR HOUSING AND
HOMELESSNESS EFFORTS ON THE
STREETS OF COMMUNITIES- AROUND
THE STATE AND I TOTALED IT UP
AND IT'S ABOUT. IT LOOKS LIKE
IT'S ABOUT THREE HUNDRED AND
NINETY SEVEN MILLION DOLLARS AND
PROGRAMS THAT WERE DEFERRING.
AND I'M JUST WONDERING IN A
BUDGET THAT IS WHAT THE THREE
HUNDRED BILLION DOLLAR BUDGET
THAT WE CAN'T FIND THREE HUNDRED
NINETY SEVEN MILLION DOLLARS OF
SAVINGS SOMEWHERE ELSE. IN
PROGRAMS THAT WHILE ESSENTIAL
ARE NOT ABSOLUTELY CRITICAL IN
TERMS OF THE TIME AT WHICH THEY
START. SO THAT'S NOT A QUESTION
I APOLOGIZE FOR IT IT'S A
COMMENT BUT IT'S CERTAINLY A
CONCERN OF MINE AND I THINK WE
NEED TO LOOK FOR. THREE HUNDRED
NINETY SEVEN MILLION DOLLARS
SOMEWHERE ELSE AND START THESE
BEHAVIORAL HEALTH- WORKFORCE
TRAINING PROGRAMS AND THE
FUNDING FOR THEM AND START THEM
NOW. I DO HAVE A QUESTION THOUGH
. WITHOUT THESE DEFERRALS DO YOU
BELIEVE THAT THE FOR THE FUNDING
THAT WE HAVE PROVIDED FOR. OF
PSYCHIATRIC RESIDENCY PROGRAMS
OTHER MENTAL HEALTH TRAINING
PROGRAMS- IN OUR BUDGET AND
BUDGETS- IS ADEQUATE. BASED ON
THE NEW PROGRAMS THAT WE HAVE WE
IMPLEMENTED LAST YEAR AND THEY
WERE IMPLEMENTING THIS YEAR THAT
ABSOLUTELY DEPEND. ON A SUPPLY
OF MENTAL HEALTH PROVIDERS FOR.
PROGRAMMATIC SUCCESS. CENTER
OFTEN HAPPY TO START ANALYZED
EVERY DIRECTOR RISE THEY'LL TO
ADD ADDITIONAL SPECIFICITY SO
YOU RAISED A COUPLE OF DIFFERENT
PROGRAMS SO FOR EXAMPLE ON THE
SOCIAL WORK SITE. WE HAVE A
SOCIAL WORK EDUCATION CAPACITY-
A PROGRAM THAT THAT ISSUES
GRANTS AND WE'VE HAD GREAT
SUCCESS. IN SUPPORTING EXISTING
. BOTH OF BEHAVIOR. PARDON ME
BOTH NSW PROGRAMS. PROGRAMS
EXPANDING THOSE PROGRAMS- WE'RE
WE'RE PROUD TO SAY THERE ARE A
LOT OF NEW FOUR PLUS ONE
ACCELERATED MASTER'S IN SOCIAL
WORK PROGRAM SO. FOR EXAMPLE WE
ARE PUTTING FUNDS AND WE WE'VE
MADE SIGNIFICANT AWARDS. IN THE
PAST YEAR TO EXPAND SOCIAL WORK
EDUCATIONAL CAPACITY WE'RE
STARTING THE SITES TYPE IN
PROGRAM AND SO WE HAVE THE
EXISTING INFRASTRUCTURE AND WE
WILL USE AS MANY DOLLARS AS ARE
ARE MADE AVAILABLE SAME THING ON
PSYCHIATRY- CERTAINLY AS YOU
KNOW IT TAKES A LONG TIME TO
TRAIN A PSYCHIATRIST- BUT WE
HAVE WE LAUNCHED A PSYCHIATRIC-
EDUCATIONAL CAPACITY. OF PROGRAM
A COUPLE OF YEARS AGO AND AGAIN
OUR OUR- FUNDING PSYCHIATRIC- OF
RESIDENCY PROGRAMS THERE IS
SIGNIFICANT NEED- FOR
PSYCHIATRIST IN CALIFORNIA AND
OF COURSE THERE'S GEOGRAPHIC NOT
DISTURB DISTRIBUTION WE- ARE R.
J. R. H. I DID RESEARCH CENTER
ISSUED A REPORT- JUST LAST MONTH
THAT SHOWS. THE GEOGRAPHIC A
MAIL DISTRIBUTIONS YOU CAN LOOK
AND SEE A PSYCHIATRIST WHERE ARE
THAT YOU KNOW. NO SURPRISE WE
DON'T HAVE A PSYCHIATRIST IN THE
RURAL NORTH IN THE INLAND
EMPIRE- IN THE CENTRAL VALLEY-
SO THESE PROGRAMS ARE ALL VERY
IMPORTANT WE STAND READY TO DO
DO WHATEVER WE CAN. WELL THANK
YOU VERY MUCH FOR THE REST AND I
IF I SOUNDED OF. OVERLY CRITICAL
I DIDN'T MEAN TO BE AYE I AM
CONCERNED AND I THINK THAT
CONCERNED IS GOING TO TRANSLATE
I THINK INTO. SOME- DEGREE OF
REVIEW BY MY COLLEAGUES AND I
WITH RESPECT TO THE BUDGET
PROPOSALS BECAUSE I REALLY WOULD
LIKE TO FIND. SOME WAY TO
CONTINUE THESE WORKFORCE.
TRAINING PROGRAMS- NOW BECAUSE
OF THE LONG TIME BETWEEN
IMPLEMENTATION. AND ACHIEVE
RESULTS SO THANK YOU VERY MUCH
FOR YOUR RESPONSE THANK YOU
MADAM CHAIR FOR YOUR PATIENCE. I
WOULD LIKE TO ECHO MY COLLEAGUES
REMARKS AND ALSO SAY YOU KNOW
WELL IT SEEMS LIKE A LOT OF
MONEY DURING THE YEARS OF
DEFICIT. THIS IS A PREVENTATIVE
MEASURE A MEASURE THAT IF WE
DON'T INVEST THEIR CONTINUED TO
INVEST RIGHT NOW IS GONNA BE
TROUBLE FOR THE AMOUNT WE'RE
GOING TO NEED TO- HAVE AVAILABLE
BECAUSE THIS ARE PREVENTIVE
MEASURES TO HAVE WORK FORCE OUT
THERE DEALING WITH OUR MOST ONE
OF OUR MOST VERBAL THAT.
SOMETIMES ARE ON THE BRINK OF
BECOMING EVEN MORE. HORRIBLE
THAT IN TURN IS GOING TO REQUIRE
CALIFORNIA TO HELP IN OTHER
SOCIAL SERVICES SO- WE WILL BE
YOU KNOW LOOK FOR TO CONTINUE
THIS CONVERSATION SPECIFICALLY
TO WORK FORCE. AND THE POTENTIAL
DELAYS HERE I'M GONNA LEAVE THIS
ITEM OPEN FOR NOW AND MOVE ON TO
THE NEXT ISSUE. I'M WE ARE NOW
ACTUALLY GOING TO BE MOVING ON
TO THE DEPARTMENT OF MANAGED
HEALTH CARE STARTING OFF WITH
ISSUE ONE AND AN OVERVIEW. I GET
AFTERNOON MADAM CHAIR MEMBERS
AGAIN MERRY WATCHING ABI. OF I'M
THE DIRECTOR OF THE DEPARTMENT
OF MANAGED HEALTH CARE WITH ME I
HAVE DANCE OTHER CHIEF DEPUTY
DIRECTOR WILL TAKE TURNS
REVIEWING OUR BUDGET CHANGE
PROPOSALS. OUR FIRST I'LL START
WITH A QUICK OVERVIEW OF THE
DEPARTMENT THE DEAL MAKES THE
LICENSES AND REGULATES A HUNDRED
FORTY HEALTH PLANS TO PROVIDE
HEALTH CARE COVERAGE OF OVER
TWENTY EIGHT MILLION
CALIFORNIANS. WE REGULATE MORE
THAN 96% OF THE COMMERCIAL AND
GOVERNMENT HEALTH PLAN
ENROLLMENT OF THE STATE. OUR
TOTAL PROPOSED FISCAL YEAR
TWENTY THREE TWENTY FOUR BUDGET
IS A HUNDRED AND FIFTY SEVEN
MILLION AND SIX HUNDRED EIGHTY
FIVE AUTHORIZED POSITIONS. WERE
SPECIALLY FUNDED BY ANNUAL
ASSESSMENTS ON HEALTH PLANS AND
RECEIVE NO GENERAL FUND. THE
DAMAGE ZERO. HEALTH PLANS IN A
NUMBER OF WAYS ARE WE LICENSE AN
APPROVED PLAN PRODUCTS FOR FULL
SERVICE BEHAVIOR HEALTH VISION
AND DENTAL AND CHIROPRACTIC
PLANS. WILL ENSURE BASIC HEALTH
CARE SERVICES AND MANDATED
BENEFITS ARE PROVIDED. WE REVIEW
HEALTH PLAN THAT WORKS UPON
INITIAL LICENSURE AND ON AN
ANNUAL BASIS AND WHEN HEALTH
PLANS EXPAND OR CONTRACT OR
SERVICE AREA. WE REVIEW HEALTH
PLAN TIMELY ACCESS COMPLIANCE
REPORT FILINGS AND PREPARE AND
ALL TIMELY ACCESS REPORT. WE
REVIEW CONSUMER PROVIDER
COMPLAINTS- SINCE TWO THOUSAND
WE'VE ASSISTED OVER TWO POINT
SIX MILLION CONSUMERS AND
RECOVERED OVER A HUNDRED AND
SEVENTY SEVEN BILLION FOR
PROVIDERS. WE ALSO ADMINISTER
THE INDEPENDENT MEDICAL REVIEW
PROCESS CONDUCT ROUTINE HEALTH
PLAN MEDICAL SURVEYS AND
FINANCIAL EXAMS. AND MONITOR THE
FINANCIAL SOLVENCY AND REVIEW
HEALTH PLAN RATE FILINGS. WE
SAVE CONSUMERS OVER TWO HUNDRED
NINETY SIX MILLION SINCE THE
BEGINNING OF THE RATE REVIEW
PROGRAM. AND FINALLY WE
PROSECUTE NON COMPLIANT HEALTH
PLANS VIA FINES PENALTIES AND
OTHER CORRECTIVE ACTION PLANS AT
THAT CONCLUDES MY OVERVIEW I'M
HAPPY TO TAKE QUESTIONS WORK WE
CAN. MOVE ONTO. OUR OTHER ITEMS
. THANK YOU IT. DOES L. OR DO I
HAVE TO UP HAVE ANY COMMON.
ADDRESSING CONCENTRA SOLELY.
BERMAN DID A GOOD. OF RUNNING
OVER THE THAT'S- THAT'S ALL. IN
BUT SO WE DON'T HAVE ANY
ADDITIONAL ON THE SITE ON. AN AD
THIS IS HELPFUL TO KNOW FOR A
TIME PER WE- HAVE CONCERN WITH
THAT YOU NEED SHE PROPOSALS
BROADLY BUT ARE AVAILABLE
QUESTIONS. IT DOESN'T ALSO
DEPARTMENT FINANCE ADDITIONAL
COMMENTS ON THIS ITEM THANK YOU
. WE'RE TURN OVER NOW TO ISSUE
NUMBER TWO INFORMATION SECURITY
RESOURCES. MERIDIAN'S GONNA
COVER THAT ONE THANK YOU. NEW
MEMBERS OF THE SUBCOMMITTEE.
DMC'S OFFICE OF TECHNOLOGY AND
INNOVATION IS TASKED WITH
PROVIDING PROJECT MANAGEMENT RE
ENGINEERING AND AUTOMATING
CRITICAL BUSINESS PROCESSES. TO
MITIGATE SECURITY
VULNERABILITIES. IN TWENTY
TWENTY ONE CALIFORNIA MILITARY
DEPARTMENT IT INDEPENDENT
SECURITY AUDITS IDENTIFIED THE
DMC IS LACKING ADEQUATE
INFORMATION SECURITY RESOURCES.
THE CAPTURE DATA FROM CRITICAL
DAILY SECURITY PRACTICES
DOCUMENT SECURITY PROCEDURES IT
WAS DETERMINED TO DO USING THESE
DROPPED THIRTY EIGHT NEW
INFORMATION SECURITY POLICIES.
TWELVE INFORMATION SECURITY
PRIVACY PLANS AT A MINIMUM
EIGHTY SEVEN PROCEDURES THAT
NEED TO BE CREATED AND
MAINTAINED. DAVID C. CURRENTLY
LACKS RESOURCES TO IMPLEMENT
OPERATIONALIZE MAINTAIN THE
REQUIRED SECURITY CONTROLS AND
ADDRESS ONGOING GROWING SECURITY
THREATS IDENTIFIED IN THIS
FIGURE AGAIN FINDS SECURITY
ASSESSMENTS. DMZ IS REQUESTING
EXTRA INSURANCE ALREADY ACROSS
THE THREE POINT FIVE MILLION
DOLLARS AND THREE THREE THREE
FOUR INCREASING TO THREE POINT
SIX MILLION DOLLARS IT'S A
SECURE TWENTY SEVEN TWENTY EIGHT
AND WE THERE AFTER. THE FUND THE
REQUESTED FIVE ZERO POSITIONS
AND THIS FUNDING REQUEST ALSO
INCLUDES CONSULTING FUNDING
REQUESTS. I COULD LOSE MY BEFORE
REVIEW AND WHAT HAPPENED ITS
REQUESTS. DOES L. A. R. UP HAVE
ANY COMMENTS. YOU CAN
CONCENTRATE SOLELY- NO
ADDITIONAL COMMENTS. I JUST ALSO
PARTNER FINANCING ADDITIONAL
COMMENTS THANK YOU. I DON'T HAVE
ANY QUESTIONS SENATOR. C. NONE
WE'RE GOING TO LEAVE THIS WHOLE
THIS ITEM OPEN AND MOVE ON TO
THE NEXT ISSUE ISSUE NUMBER
THREE OFFICE OF LEGAL SERVICES
DEPARTMENT OF JUSTICE LEGAL FEES
. THANK YOU TO AN INCREASE IN
THE STATUTORY REQUIREMENTS ON
HEALTH PLANS COVERAGE OF
ABORTION AND MENTAL HEALTH
SERVICES IN CHANGES TO COPE IN
NINETEEN REQUIREMENTS. DVC HAS
BEEN A DEFENDANT IN TWO TO THREE
LEGAL ACTIONS PER YEAR SINCE TWO
THOUSAND AND NINETEEN. GIVEN THE
HIGH LEVEL OF COMPLEXITY AND
SIGNIFICANCE OF THESE MATTERS D.
WAS UTILIZES THE ATTORNEY
GENERAL'S OFFICE FOR LEGAL
GUIDES. IT'S A PREPARE THESE
CASES FOR HEARINGS. DVC IS
REQUESTING EXPENDITURE
AUTHORITY. TO ADDRESS THE
ATTORNEY GENERAL'S OFFICE LEGAL
FEES. DEC HAS NOT HAD SUFFICIENT
RESOURCES ADDRESSES ASSOCIATED
COSTS IN HISTORICALLY THE DVC IS
REALLOCATED MONEY FROM SORRY
SEEMS TO COVER ACCESS ATTORNEY
GENERAL OFFICE LEGAL FEES. WHICH
IS NOT A VIABLE LONG TERM
SOLUTION. DO YOU SEE IS A CO TO
SPEND FOR THIRTY AT THE DOLLARS.
IN FISCAL YEAR TWENTY THREE
TWENTY FOUR I'M GOING TO SUPPORT
LEGAL REPRESENTATION BY THE
ATTORNEY GENERAL'S OFFICE IN
LITIGATION TO WHICH DAY WHICH IS
A PARTY. OR CALLED AS A WITNESS
THIS BIKE INCLUDES MY BRIEF
OVERVIEW WHAT HAPPENED ANSWERING
QUESTIONS. THANK YOU CHIEF
DEPUTY DIRECTOR OF TURNING OVER
TO LA OR TO OFFER ANY COMMENTS.
AND USING CONCENTRA SOLELY- NO
ADDITIONAL COMMENTS. MISTER
DAWSON APARTMENT FINANCED
ADDITIONAL COMMENTS THANK YOU.
NO COMMENTS UP FOR ME A CITY
NINE WE'RE GOING TO LEAVE THIS
ITEM OPEN. AND TURN TO THE NEXT
ISSUE ISSUE NUMBER FOUR OFFICE
OF FINANCIAL REVIEW WORKLOAD. DO
WE SEIZE OFFICE OF FINANCIAL
REVIEW WORKS TO ENSURE STABILITY
IN CALIFORNIA'S HEALTH CARE
DELIVERY SYSTEM BY ACTIVELY
MONITORING THE FINANCIAL STATUS.
OF HEALTH PLANS AND PROVIDER
GROUPS ALSO KNOWN AS RISK
BEARING ORGANIZATIONS SO THEY
CAN MEET THE FINANCIAL
OBLIGATIONS TO CONSUMERS
PROVIDERS AND PURCHASERS. D. WAS
HIS OFFICE OF FINANCE REVIEW
CONDUCTS THIS OVERSIGHT THROUGH
ROUTINE AND NON ROUTINE.
FINANCIAL EXAMINATIONS OF EACH
HEALTH PLAN AND RBO. THE NUMBER
OF DEALS LICENSE HEALTH REYES
THE DMV JURISDICTION ESTERLY
INCREASE FROM ONE HUNDRED TWENTY
ONE LICENSE HEALTH PLANS. IN.
TWO THOUSAND FIFTEEN ONE HUNDRED
FORTY HEALTH PLANS IN TWO
THOUSAND TWENTY ONE. IN ADDITION
TO ADDRESSING THE WORKLOAD
ASSOCIATED WITH INCREASED NUMBER
OF THE LICENSE HEALTH PLAN
INDEED WE SEE IS THE TERMINUS IN
THE BEST INTERESTS OF ENROLLEES
STAKEHOLDERS TO TRANSITION TO A
SCHEDULE FOR EVERY LICENSE
HEALTH PLAN IT IS EXAMINED AT
LEAST. ONCE EVERY THREE YEARS
INSTEAD OF THE CURRENT FIVE
YEARS AND THAT ARE BILLS ARE
EXAMINED EVERY FIVE YEARS THIS
OF THE CURRENT ECLIPSE. LESS
FREQUENT EXAMINATIONS HEALTH BE
RESULTED INCREASE IN THE NUMBER
OF HEALTH PLANS IN OUR BILLS
THAT ARE FINANCIALLY INSOLVENT
OR NOT COMPLYING WITH THE KNOX
KEEN. IT DRESSES WORKLOAD THE
DEMONS USE X. REQUESTING SPENCER
FORTY OF FOURTEEN POINT FIVE
POSITIONS IN TWO POINT SIX EIGHT
BILLION DOLLARS IN FISCAL YEAR.
BETWEEN FOUR. AND TWO POINT FIVE
FIVE MILLION DOLLARS. TWENTY
FOUR TWENTY FIVE IN ITALY THERE
AFTER CHANGE AND DUCKS THE MORE
FREQUENT FINANCIAL EXAMINATIONS
AND ADDRESS THE ADDITIONAL
WORKLOAD ASSOCIATED WITH AN
INCREASED NUMBER OF. THAT
CONCLUDES BY BEFORE REVIEW BOARD
AT ITS THE QUESTION. ANY
COMMENTS FROM L. A. O. R. D. O.
F. I DO THINK CONCENTRA SOLELY-
NO ADDITIONAL COMMENTS. THERE'S
A DOLLARS AND PRIVATE FINANCE
ADDITIONAL COMMENTS. A QUICK
QUESTION- CHIEF TO BE DIRECTOR
I'M A LOT OF A LOT OF POSITIONS
HERE- DO YOU FEEL CONFIDENT THAT
YOU'LL BE ABLE TO FILL IN THOSE
POSITIONS HIGHER THAT ON INTO.
IS YOUR NUMBER THAT YOU'D BE
ABLE TO SURVIVE THAT DOESN'T
MEET THE FOURTEEN. I'M CONFIDENT
WE'LL BE ABLE TO EXPEDITIOUSLY
HIRE THESE POSITIONS IF
APPROVED. WITH RESPECT TO YOUR
SECOND QUESTION I THINK WE MIGHT
NEED TO GET BACK TO YOU WITH
THAT. SENDER ANY. SEEN NOTHING
ELSE WE WERE NOW HOLD THIS ITEM
OPEN THANK YOU SO MUCH AND MOVE
ON TO THE NEXT ISSUE. ISSUE
NUMBER FIVE HEALTH CARE COVERAGE
ABORTION SERVICES BECAUSE
SHERMAN RELATED TO S. B. TWO
FORTY FIVE. THANK YOU IN THE
BACK OF THE DIRECTOR MAY WANT
LEVEES LOCKS OR LEGISLATIVE VIS
VIS. THANK YOU DAN SB TWO FORTY
FIVE REQUIRES FULL SERVICE
HEALTH PLANS TO COVER ABORTION
AND ABORTION RELATED SERVICES
INCLUDING PRE ABORTION AND
ABORTION FOLLOW UP SERVICES
WITHOUT A COPAYMENT DEDUCTIBLE
OR ANY COST SHARING. SB TWO
FORTY FIVE REQUIRES THE GMAC TO
INTERPRET AND IMPLEMENT THE
PROVISIONS OF SB TWO FORTY FIVE
IN CONSULTATION WITH THE
DEPARTMENT OF HEALTH CARE
SERVICES. AND THE CALIFORNIA
DEPARTMENT OF INSURANCE BY MEANS
OF ALL PLANNED WATER SYSTEM WORK
ITEMS WE WILL ALSO ADOPT
REGULATIONS BY JANUARY FIRST OF
TWENTY TWENTY SIX AND ANNUALLY
REVIEW HEALTH PLAN DOCUMENTS
INCLUDE EVIDENCE OF COVERAGE OF
DISCLOSURE FORMS. YOU'LL SESSION
MANAGEMENT DATA AND HEALTH PLAN
SURVEY SURVEY DATA TO ENSURE
COMPLIANCE WITH SB TWO FORTY
FIVE. DO YOU MAY SEE IS
REQUESTING LIMITED TERM
EXPENDITURE AUTHORITY AT FOUR
HUNDRED NINETY NINE THOUSAND AND
TWENTY THREE TWENTY FOUR AND
FOUR HUNDRED EIGHTY THREE
THOUSAND AND TWENTY OR TWENTY
FIVE THREE TWENTY SEVEN TWENTY
EIGHT TO DEVELOP LEGAL MEMORANDA
AND REGULATIONS REQUIRED BY. SB
TWO FORTY FIVE. THAT CONCLUDES
MY OVERVIEW OF THIS PROPOSAL. TO
LA YOUR OUT HAVE ANY COMMENTS.
USING CONCENTRA- ADDITIONAL
COMMENTS. DAWSON APARTMENT
FINANCE NO ADDITIONAL. THANK YOU
. I AM NOT NO QUESTION OVER HERE
SEE NOTHING ELSE WE'RE GONNA
HOLD THIS ITEM OPEN AND MOVE ON
TO THE NEXT ISSUE NEXT ISSUE IS.
ISSUE SIX HEALTH CARE COVERAGE
MENTAL HEALTH AND SUBSTANCE USE
DISORDERS RELATED TO AB. TWO
FIVE EIGHTY ONE. THANK YOU AB
TWO FIVE EIGHT ONE REQUIRES
HEALTH PLANS PROVIDE COVERAGE
FOR MENTAL HEALTH OR SUBSTANCE
USE DISORDER TREATMENT. ENTERED
CREDENTIAL HEALTH CARE PROVIDERS
TO COMPLETE THE CREDENTIALING
PROCESS WITHIN SIXTY DAYS. OF
RECEIVING A COMPLETED PROVIDER
CREDENTIALING APPLICATION. FOR
PROVIDERS TO DELIVER MENTAL
HEALTH AND SUBSTANCE USE
DISORDERS. AB TWENTY FIVE EIGHTY
ONE ALSO SPECIFIES THAT HEALTH
PLAN MUST NOTIFY THE
CREDENTIALING APPLICANT WITHIN
SEVEN DAYS TO VERIFY RECEIPT OF
THE APPLICATION. AND CAN SPERM
THAT THEIR APPLICATION IS
COMPLETE. I'M DIEM YOU SEE WILL
BE REQUIRED TO ANNUALLY REVIEW
HEALTH PLAN DOCUMENTS JUST
ENSURE COMPLIANCE WITH THESE NEW
PROVISIONS MODIFIER EXISTING
PLAN SURVEY METHODOLOGIES AND
TOOLS AND WE'RE REQUESTING
EXPENDITURE AUTHORITY OF A HALF
A POSITION AND TWENTY SEVEN
THOUSAND AND TWENTY THREE TWENTY
FOUR. INCREASING TWO HUNDRED
SEVENTY SEVEN THOUSAND AND
TWENTY FIVE TWENTY SIX ANNUALLY
THEREAFTER- THAT CONCLUDES MY
OVERVIEW. THIS L. A. R. D. O. F.
ANY HAVE ANY COMMENTS. AND USING
CONCENTRA SOLO YOU KNOW NO NO
ADDITIONAL COMMENTS. S. OF
JOHNSON CURRENT FINANCE NO
ADDITIONAL COMMENTS THANK YOU.
NO QUESTION ON MY END WE HAVE
ONE QUESTION WITH CENTER ROTH.
JUST A QUICK QUESTION HOW DOES
SAID DMH C. THE SURE THE
ADEQUACY OF THE- CENTER TALKING
ABOUT COVERAGE. OF THE MENTAL
HEALTH A PROVIDER- PANEL FOR
EXAMPLE. YOU KNOW THERE THERE'S
A NUMBER OF WAYS THAT WE LOOK AT
THE ADEQUACY OF THE PROVIDER
NETWORK AT THE PLAN'S HAPPENED A
LET DOWN JUMPING HERE TO BE A
SINGLE OUT WE WENT UP PLANS
INITIALLY APPLY FOR A LICENSE WE
MAKE SURE THEY HAVE AN ADEQUATE
NETWORK TO PROVIDE ALL OF THE
SERVICES AND BENEFITS THEY'RE
REQUIRED TO COVER- WE ALSO HAVE
AN ANNUAL NETWORK FILING WHERE
WE LOOK. AT THE AVAILABLE BUT
THE GEOGRAPHIC AVAILABILITY AS
WELL AS THERE'S- OTHER
REQUIREMENTS AROUND THE NUMBER
PROVIDERS THAT NEED TO HAPPEN
THEIR NETWORK. ANNUALLY WE ALSO
LOOK AT WHETHER OR NOT THE
PLANTS ARE ABLE TO PROVIDE
TIMELY ACCESS THERE'S A SURVEY
THAT THEY DO TO MAKE SURE THEIR
ENSURING COMPLIANCE WITH THE
LAW- DIÆN WOULD ALSO MY MISTAKE
IN TERMS OF OUR OVERVIEW OF THE
NETWORKS SET A COUPLE OF THINGS
ONE IS IF THERE'S A 10% CHANGE
IN THE NAMES OF THE PROVIDERS IN
THE NETWORK. THOSE HEALTH PLANS
MUST FILE THOSE WITH US SO WE
CAN ASSESS THAT IN ADDITION EVER
HEALTH PLAN LOOKS TO EXPAND OR
CONTRACT OR SERVICE AREA WE WILL
DO ANOTHER REVIEW. OF THEIR
NETWORK TO ENSURE THAT THEIR
EXPANSION OR CONTRACTION AREA.
IS COMPLIANT WITH- NETWORK
REQUIREMENTS. ARE THERE ARE
THERE ISSUES WITH SOME WARM
MAYBE MANY OF THE MANAGED. CARE
PLANS IN IN THIS STATE AND IF SO
WHAT WHAT DO WE OR DO YOU DO
ABOUT IT. WITH RESPECT TO
BEHAVIORAL HEALTH PROVIDERS
BECAUSE THAT OBVIOUSLY. THAT'S A
CONCERN OF MINE TODAY. YEAH
MAYBE ALL OF. ALL START- YOU
KNOW I SAY. I THINK WE'RE WELL.
OF THE WORK FORCE CHALLENGES IN
THIS- SO I THINK YOU KNOW WE
WANT TO MAKE SURE THE PLANTS ARE
MEETING THE REQUIREMENTS OF THE
LAW- BUT ONE OF THE NEW
REQUIREMENTS THAT IT WAS A
RESULT OF SOME NEW LEGISLATION
WE'VE HAD THE LAST YEAR OR TWO
IS THAT IF THE PLANTS CAN'T
PROVIDED TIMELY APPOINTMENT
WITHIN THE GEOGRAPHIC
REQUIREMENTS WITHIN THEIR
NETWORK. THEY NEED TO HELP
ARRANGE FOR CARE OUT OF NETWORK
FOR THE ENROLLEES AND SO THAT'S
A REALLY IMPORTANT BACKSTOP TO
ENSURE ROLE IN SECURING THE
ACCESS THEY NEED. IS THAT THE
PLAN SHOULD BE HELPING THEM TO
OUR RANGE FOR OUT OF NETWORK
CARE- I ALSO WILL NOTE THAT WE
HAVE- BEHAVIORAL HEALTH
INVESTIGATIONS THAT WE'VE BEEN
CONDUCTING TO REALLY TRY TO
UNDERSTAND WHAT THE BARRIERS ARE
TO ACCESSING CARE- AND WHETHER
THAT INCLUDES JUST. LACK
CONSUMER'S JANET HOW TO ACCESS
CARE FROM THE BEGINNING WHETHER
THIS HAS TO DO WITH BARRIERS TO
PROVIDERS WANTING TO CONTRACT
SO. MORE INFORMATION TO COME ON
SOME OF THOSE BARRIERS- DANTE
ONE OUT ANYTHING. YEAH I JUST
WANTED TO SING IS AS WE'RE-
ANALYZING HEALTH PLANS NETWORK
FILING. IT WE SEE GAPS WE WORK
WITH THE HEALTH PLAN. TRYING TO
FILL THOSE GAPS BEFORE WE WOULD
APPROVE THAT NETWORK SLIGHTLY
AND IN MOST CASES THAT RESULTS
IN IN. IN ADDITIONAL. PROVIDERS
BEING ADDED TO THE NETWORK-
RESPECT TO THE BEHAVIOR HEALTH
AND- HAVE HAVE THEY BEEN.
COMPLETED OR ARE THEY ON GOING
AND IF ON GOING DO YOU HAVE A
TIME LINE FOR COMPLETION. YEAH I
KNOW THERE ARE ONGOING SO WE'VE
COMMITTED TO CONDUCTING FIVE A
YEAR OF THIS IS ON THE
COMMERCIAL HEALTH PLANS SIDE.
I'M SO THIS IS NOT ON THE
MEDICAL SIDE- WE ARE GETTING
CLOSE TO BEING PREPARED TO
RELEASE KIND OF OUR FIRST SUMMER
REPORT ON THE FIRST FIVE THAT
SHOULD BE COMING HERE IN THE
NEXT FEW MONTHS- AND THAT WILL
CONTINUE. ON FOR THE NEXT
PROBABLY FOR FIVE YEARS AS WE'VE
ADDED PLANTS IS GOING TO
CONTINUE A LITTLE THAT- BUT I
THINK THOSE INITIAL REPORTS WILL
SHARE SHED SOME LIGHT ON JUST
WHAT WE'VE LEARNED IN TERMS OF.
VIOLATIONS OF THE LAW BUT ALSO
JUST VERY ERRORS THAT NEED ARE
NECESSARILY A VIOLATION OF A LOT
BETTER THREE CHALLENGES BOTH FOR
CONSUMERS ACCESSING CARE AS WELL
AS PROVIDERS. THANK YOU THANK
YOU FOR THE DETAILED RESPONSE
THANK YOU MANAGER. I SEE NOTHING
ELSE WE'RE GOING TO HOLD THIS
ITEM OPEN AND MOVE ON TO THE
NEXT ISSUE WHICH IS. ISSUE SEVEN
HEALTH CARE COVERAGE
PRESCRIPTION DRUGS AS RELATES TO
AB TWENTY THREE FIFTY TWO. AB
TWENTY THREE FIFTY TWO REQUIRES
A HEALTH PLAN TO PROVIDE
SPECIFIED INFORMATION ABOUT A
PRESCRIPTION DRUG. UPON REQUEST
BY THE ENROLLEE OR THE
PRESCRIBING PROVIDER. THIS BILL
ALLOWS PRESCRIBING PROVIDERS AND
PATIENTS TO DISCUSS STRUCK COSTS
AT THE TIME THE DRUGS ARE BEING
PRESCRIBED TO HELP CONSUMERS
MAKE MORE INFORMED CHOICES. IN
ADDITION THIS BILL PROHIBITS
HEALTH PLANS ARE INSURANCE FROM
RESTRICTING PRESCRIBING PROVIDER
FROM SHARED INFORMATION ABOUT
THE PRESCRIPTION DRUG. OR
PENALIZING A PROVIDER FOR
PRESCRIBING A LOWER COST
PRESCRIPTION DRUG. IT ALSO
REQUIRES HEALTH PLANS TO RESPOND
TO REQUESTS FOR PRESCRIPTION
DRUG INFORMATION FROM PROVIDERS
OR PATIENTS IN REAL TIME. THE
REST STANDARD APPLICATION
PROGRAMMING INTERFACE OR API- AB
TWENTY THREE DUE TO REQUIRES A
TEAMMATE C. TO ANNUALLY REVIEW
HEALTH PLAN DOCUMENTS TO ENSURE
THEY'RE COMPLYING WITH THESE
PROVISIONS. AND TO MODIFY OUR
EXISTING SURVEY METHODOLOGIES
AND TOOLS INCLUDING TECHNICAL
ASSISTANCE GUIDES. WE'RE
REQUESTING EXPENDITURES FORTY OF
TWO POSITIONS AND THREE HUNDRED
FORTY THREE THOUSAND AND TWENTY
THREE TWENTY FOUR. AND
DECREASING TO THREE HUNDRED
THIRTY THREE THOUSAND AND TWENTY
TWENTY TWENTY FIVE TWENTY SIX
AND ANNUALLY THEREAFTER. THAT
CONCLUDES MY OVERVIEW. ANY QUICK
ANY COMMENTS FROM L. A. R. D. O.
F. ON THE SIDE OF. BUT USING
CONSTANT ROSELLI- NOTATIONAL
COMMENTS. YES THE DOWNSIDE
APARTMENT FINDER NO COMMENTS
THANK YOU. THANK YOU KNOW
QUESTIONS ON MY AND WE'RE GOING
TO HOLD THIS ITEM OPENING
CONTINUE TO THE NEXT ISSUE. A
NUMBER EIGHT ON HEALTH
INFORMATION RELATED TO S. B.
FOURTEEN NINETEEN. ANOTHER API
RELATED BILL SB FOURTEEN
NINETEEN REQUIRES HEALTH PLANS
TO ESTABLISH AND MAINTAIN A
PROVIDER DIRECTORY APPLICATION
PROGRAM INTERFACE. THE PROVIDES
A COMPLETE AND ACCURATE DIRECTOR
OF THE HEALTH PLAN'S NETWORK OF
CONTRACTED PROVIDERS. THIS BILL
REQUIRES HEALTH PLANS TO
ESTABLISH AND MAINTAIN AN
APPLICATION PROGRAM INTERFACE OR
API. FOR BOTH PATIENT ACCESS
PROVIDER DIRECTORY INFORMATION
AND PEER TO PEER EXCHANGE. SB
FOURTEEN NINETEEN ALSO AMENDED
EXISTING PROHIBITIONS ON THE
DISCLOSURE OF MEDICAL RECORDS TO
THE MINERS REPRESENTATIVE. AT
THE DMACC WILL ANNUALLY REVIEW
AND CAUGHT THE COMPENSATION
ARRANGEMENTS OF ADMINISTRATIVE
SERVICES AGREEMENT SUBMITTED BY
ALL HEALTH PLAN TYPES WILL
REVIEW HEALTH PLAN DOCUMENTS AND
CONTRACT TEMPLATES PROVIDED
DURING A ROUTINE EXAMINATIONS.
OVERVIEW HEALTH PLANS SUBSCRIBER
CONTRACTS AND PROVIDER CONTRACTS
AND VARIOUS OTHER HEALTH PLAN
DOCUMENTS IT WILL MODIFY
EXISTING SURVEY METHODOLOGIES
AND TOOLS WERE REQUESTING THREE
POSITIONS AND FIVE HUNDRED
SEVENTY TWO THOUSAND AND TWENTY
THREE TWENTY FOUR. AND FIVE
HUNDRED FORTY SEVEN THOUSAND AND
TWENTY FOUR TWENTY FIVE IN
ANNUALLY THEREAFTER. THAT
COMPLETES MY OVERVIEW. THANK YOU
ANY COMMENT ON BY LA OR DEAL
WITH. ADDRESSING CONSTANT
ROSELLI- NO- NO ADDITIONAL
COMMENT. YES IT ALSO CURRENT
FINANCE NO ADDITIONAL COMMENT
THANK YOU. THANK YOU KNOW
QUESTIONS ON MY END- WE'RE GONNA
LEAVE A BIT WE'RE GOING TO HOLD
THIS ITEM OPEN AND MOVE ON TO
THE NEXT ISSUE. ISSUE NINE ON
HEALTH CARE SERVICE PLANS
DISCIPLINE A CIVIL PENALTIES
RELATES TO S. B. EIGHT FIFTY
EIGHT. SB EIGHT FIFTY EIGHT
REVISED THE ADMINISTRATIVE AND
CIVIL CIVIL PENALTY PROVISIONS
OF THE KNOX KEEN ACT AND
INCREASED VARIOUS SPECIFIED
PENALTY AMOUNTS ASSESSED FOR
VIOLATIONS OF THE KNOX KEEN ACT.
THIS BILL PROVIDES THE DMH C.
WAS SPECIFIC AND FORTY TO IMPOSE
CORRECTIVE ACTION PLANS ON
HEALTH PLANS FOR VIOLATION OF
THE KNOX KEEN ACT. IT ALSO
INCREASED THE CIVIL PENALTY
AMOUNTS FOR VIOLATIONS OF THE
KNOX KEEN ACT FROM TWENTY FIVE
HUNDRED TO NO MORE THAN TWENTY
FIVE THOUSAND. ADDITIONALLY SB
FIFTY EIGHT UPDATES VARIOUS
SPECIFIC DOLLAR AMOUNT PENALTIES
THROUGHOUT THE KNOX KEEN ACT
APPLICABLES TO CIVIL PENALTIES
CRIMINAL PENALTIES AND VARIOUS
ADMINISTRATIVE PENALTIES. SB
EIGHT FIFTY EIGHT REQUIRES THE
GMAC TO CONDUCT ANNUAL RATE
CHANGE ANALYSIS TO ANALYZE
CALCULATING COMBINED THE AVERAGE
RATE CHANGE INFORMATION FOR THE
INDIVIDUAL SMALL GROUP MARKETS.
WILL ASSESS THE FINANCIAL IMPACT
OF INCREASED PENALTIES ON HEALTH
PLANS AND CONDUCT FINANCIAL
MODERATE MONITORING OF
CORRECTIVE ACTIONS FOR HEALTH
PLANS. AND RISK BEARING
ORGANIZATIONS DEVELOP
COMPREHENSIVE HEALTH PLAN SURVEY
CORRECTIVE ACTION PLANS CONDUCT
ONGOING REVIEW HEALTH PLAN
BYLANES AND AGAIN MODIFIER
SURVEY TOOLS. DO YOU MAY STILL
NEED TO ESTABLISH A COMPLIANCE
TEAM THAT WILL BE HOUSED IN OUR
OFFICE OF ENFORCEMENT TO MONITOR
ENFORCE HEALTH PLAN COMPLIANCE
WITH CORRECTIVE ACTION PLANS.
WILL LEAD THE REVIEW AND
ASSESSMENT OF THE SEVERITY OF
ISSUES THAT COME TO THE
TEAMMATES IT SEEMS ATTENTION
WHETHER FROM INTERNAL OFFICES
EXTERNAL STAKEHOLDERS THE MEDIA
SECTOR. TO DETERMINE. IF
IMMEDIATE ACTION IS NEEDED. TO
THIS REQUEST EXPENSE AUTHORITY
OF FOR POINT FIVE POSITIONS
TWELVE SIX MILLION IN TWENTY
THREE TWENTY FOUR. DECREASING TO
NINE POINT SEVEN MILLION AND
TWENTY SEVEN TWENTY EIGHT AND
ANNUALLY THEREAFTER AND THAT
CONCLUDES MY OVERVIEW ABOUT.
TURN IT OVER TO ILLEGAL BIRD
DEAL AT FOR COMMENTS. A DECENT
INTEREST ONLY- A NOTATIONAL CALL
. AS ADULTS AND PARENTS
FINANCING ADDITIONAL COMMENTS
THANK YOU. THANK YOU IT'S THE
SAME QUESTION I ASKED ON THE
LARGER REQUEST WITH A LOT OF
POSITIONS JUST BE MINDFUL OF THE
DEFICIT WOULD LOVE TO SEE IF
THERE'S ANY ROOM- TO CUT IT JUST
A LITTLE BIT TO BE MORE
REASONABLE. MODERATE SAID THAT
WORD. JUST BE MORE MINDFUL I
SUPPOSE. SENATE ROTH FOR
QUESTIONS. I'M SEE NOTHING ELSE
WE WILL NOW HOLD THIS ITEM OPEN
AND MOVE ON TO OUR GLASS
DEPARTMENT. OF TODAY THAT'S THE-
CALIFORNIA HEALTH BENEFIT
EXCHANGE KNOWN AS COME COVERED
CALIFORNIA ISSUE NUMBER ONE
OVERVIEW AN OPEN ENROLLMENT
UPDATE. THANK YOU SO MUCH MADAM
CHAIR AND SENATOR ROB MY NAME IS
KATIE RAVEL AND THE DIRECTOR OF
POLICY ELIGIBILITY IN
RESEARCHING COVER CALIFORNIA
KNOWLEDGE REST ISSUE ONE THREE
THIS AFTERNOON- AFFORDABLE CARE
ACT WHICH IS PASSED IN TWENTY
TEN REFORM THE INDIVIDUAL HEALTH
INSURANCE MARKET. IT ESTABLISHED
PUBLIC MARKETPLACES THAT OFFER
COMPREHENSIVE HEALTH PLANS WITH
INCOME BASED FINANCIAL HELP TO
LOWER PREMIUMS AND OUT OF POCKET
COSTS FOR INDIVIDUALS WHO DO NOT
HAVE AFFORDABLE COVERAGE THROUGH
AN EMPLOYER. MEDICAID OR
MEDICARE AND COVER CALIFORNIA'S
CALIFORNIA'S MARKETPLACE UNDER
THE AFFORDABLE CARE ACT. OUR
MISSION IS TO INCREASE THE
NUMBER OF ENSURE CALIFORNIANS
IMPROVE HEALTH CARE QUALITY
LOWER COSTS AND REDUCE HEALTH
DISPARITIES THROUGH AN
INNOVATIVE COMPETITIVE
MARKETPLACE EMPOWERS CONSUMERS
TO CHOOSE THE HEALTH PLAN
PROVIDERS WILL GIVE THEM THE
BEST VALUE. OVER THE LAST TWO
YEARS FEDERAL ACTION BUILT ON
THE FOUNDATION OF THE AFFORDABLE
CARE ACT TO PROVIDE MORE
FINANCIAL SUPPORT TO OUR
KNOWLEDGE BEFORE COVERAGE. THE
AMERICAN RESCUE PLAN ENACTED IN
TWENTY TWENTY ONE IN THE
INFLATION REDUCTION ACT
SIGNIFICANTLY INCREASE THE
FEDERAL PREMIUM SUPPORT. FOR
INDIVIDUALS AT ALL INCOME LEVELS
REMOVING PREMIUM REQUIREMENTS
FOR THE LOWEST INCOME ENROLLEES
AND REMOVING THE INCOME CAP THAT
PREVIOUSLY PREVENTED MIDDLE
INCOME ENROLLEES FROM ACCESSING
FEDERAL SUPPORT. THIS ENHANCE
FEDERAL FINANCIAL SUPPORT
SIGNIFICANTLY INCREASED COVER
CALIFORNIA'S ENROLLMENT COMPARED
TO PRE PANDEMIC LEVELS. IN THE
LATEST OPEN ENROLLMENT PERIOD
WHICH CLOSE ON JANUARY THIRTY
FIRST COVER CALIFORNIA RENEWED
ABOUT ONE POINT FIVE MILLION
ENROLLEES AND ADDED MORE THAN
TWO HUNDRED FIFTY THOUSAND NEW
AND ALWAYS. THAT CONCLUDES MY
BRIEF OVERVIEW IN THE INTEREST
OF TIME BUT I'D BE HAPPY TO
ANSWER ANY QUESTIONS YOU HAVE.
THANK YOU SO MUCH. ANY COMMENTS
FROM LA OR DEAL WITH. MORE WITH
A LAYOVER NO COMMENTS ON OUR END
. YES AND ALSO PERMIT FINANCE IN
ADDITIONAL COMMENTS THANK YOU.
AND THE QUESTION. GREAT THANK
YOU SO MUCH DIRECTOR WE'RE GOING
TO MOVE ON TO ISSUE NUMBER TWO
BUDGET SOLUTION CALIFORNIA
PREMIUM SUBSIDY PROGRAM
REVERSION TO GENERAL FUND. THANK
YOU MADAM CHAIR AND MEMBERS-
MEDICAL- DEPARTMENT FINANCE- THE
AGENDA PROVIDES AN EXTENSIVE
HISTORY ON COVERED CALIFORNIA.
IN RECENT HISTORY THE BUDGET ACT
OF TWENTY TWENTY TWO PROVIDED
THE STATE CONTINGENCY
APPROPRIATION OF THREE AND FOUR
MILLION FROM THE HEALTH CARE
AFFORDABILITY RESERVE FUND. IN
CASE MORE GENEROUS FEDERAL
SUBSIDIES WERE NOT EXTENDED
BEYOND TWENTY TWENTY TWO OR IS
THE STATE IMPLEMENTED HEALTH
CARE AFFORDABILITY MEASURES.
FORTUNATELY THE FEDERAL
GOVERNMENT EXTENDED THE
SUBSIDIES FOR THREE MORE YEARS
AND THE CURRENT SERVICE LEVEL
FOR CALIFORNIA REMAINS WITHOUT
ANY REDUCTION IN SERVICES. THE
LEGISLATURE ALSO PASSED SB NINE
FORTY FOUR WHICH WOULD HAVE
REQUIRED COVER CALIFORNIANS TO
REDUCE COST SHARING AND FEDERAL
PREMIUM SUBSIDIES WERE EXTENDED
. WELL CITING THE MERITS OF THE
BILL AND IT'S A PLEASURE OF
WORKING WITH THE LEGISLATURE TO
ENACT GROUND BREAKING GROUND
BREAKING COVERAGE EXPANSIONS
THROUGH MANTA CAL. THE GOVERNOR
VETOED THE BILL DUE TO CONCERNS
OVER A DOWNTURN IN REVENUES.
SUSTAINABILITY FOR A NEW STATE
ONLY PROGRAM. AND THE NEED TO
HOLD THESE FUNDS IN RESERVE
UNTIL AFTER THE FEDERAL
SUBSIDIES AND- SINCE THAT TIME.
STATE REVENUES HAVE DECLINED
FURTHER. AND AS SUCH THE
GOVERNOR'S BUDGET NOW PROPOSES
TO USE THESE RESEARCH. TRAILER
BILL LANGUAGE WOULD IMPLEMENT
THE PROPOSAL. AND IT IS POSTED
ON THE FINANCE WEBPAGE.
SPECIFICALLY IT WOULD REVERT THE
THREE INTERN FOR MILLION DOLLAR
CONTINGENCY APPROPRIATION. AND
DIRECT THE CONTROLLER TO
TRANSFER THE RESERVE BALANCE TO
THE GENERAL FUND. WINDS WILL BE
RANKED REPAID TO THE RESERVE
FUND AFTER THE FEDERAL SUBSIDIES
AND WITH THAT I'M HAPPY TO
ANSWER ANY QUESTIONS YOU MIGHT
HAVE. FIRST WE NEED TO L. E. O.
N. DEAL LEFT FOR COMMENTS. THANK
YOU. NIKISCH MORROW WITH THE
LEGISLATIVE ANALYST'S OFFICE
FIRST I WANT TO NOTE THAT THE
FUNDING THAT'S BEING PROPOSED TO
BE TEMPORARILY TRANSFERRED TO
THE GENERAL FUND IS THREE
HUNDRED THIRTY THREE POINT FOUR
MILLION- FOR THE HEALTH CARE FOR
THE BILL RESERVE TO THE GENERAL
FUND. IN ADDITION AND THAT
TWENTY TWO TWENTY THREE BUDGET
PACKAGE- THIS FUNDING. WAS IT
ORIGINALLY INTENDED TO. START OF
THAT CALIFORNIA PREMIUM SUBSIDY
PROGRAM- AND THEN AFTERWARD THAT
. ANY THREE TWENTY FOUR BUDGET
YEAR WHICH WOULD YOU SAY HEALTH
CARE AFFORDABILITY RESERVE FUND
THAT REMAIN ARE YOU GOING TO
BRING THEM OUT WOULD BE FUNDED
ON AN ONGOING BASIS USING THREE
HUNDRED FOUR MILLION GENERAL
FUND. DODD THE TIME THAT THE
BUDGET PACKAGE WAS ENACTED THERE
WAS AWARENESS THAT THE FEDERAL
GOVERNMENT MIGHT EXTEND THE
FEDERAL PREMIUM SUCH SUBSIDIES.
WHEN I SUCH PROVISIONS WERE
INCLUDED IN THE BUDGET PACKAGE
NOTING THAT IN THE EVENT THAT
ENHANCE FEDERAL PREMIUM
SUBSIDIES WERE EXTENDED. THE
FUNDING COULD BE USED TO PROVIDE
ADDITIONAL FINANCIAL ASSISTANCE
TO COVERED CALIFORNIA CONSUMERS
WITH HOUSEHOLD INCOMES UP 26100%
OF THE FEDERAL POVERTY LEVEL. WE
FIND THAT GIVEN THE BUDGET
CONDITION. THIS PROPOSAL COULD
HAVE MERIT AS IT DOES NOT IMPACT
THE LEVEL OF AFFORDABILITY
ASSISTANCE THAT COVERED
CALIFORNIA CONSUMERS CURRENTLY
RECEIVE. SO IT SHOULDN'T HAPPEN
NEGATIVE IMPACT ON THE EXISTING
CONSUMERS. HOWEVER WE NOTE THAT
THAT BECAUSE THE TWENTY TWO
TWENTY THREE BUDGET PACKAGE
INCLUDED PROVISIONS FOR WHAT.
COULD BE DONE WITH THIS MONEY TO
PROVIDE ADDITIONAL FINANCIAL
ASSISTANCE THE PROPOSAL MIGHT
NOT BE ALIGNED WITH. THE
LEGISLATIVE PRIORITIES TO THE
EXTENT DELUDE BUDGET OR CHOOSE
TO MAINTAIN THE FUNDING TO
PROVIDE ADDITIONAL FINANCIAL
ASSISTANCE FOR COVERED
CALIFORNIA. CONSUMERS THE STATE
BUDGET SHORTFALL WOULD INCREASE
BY THAT AMOUNT. AND I SAID THAT
WOULD BE A NEED TO PROVIDE
ADDITIONAL BUDGET SOLUTIONS IN
OTHER AREAS OF THE BUDGET TO
ACCOMMODATE IT. THANK YOU.
MACKELLAR FOR FINANCE SO WE CAN
KERR WITH THE L. A. THAT THE
AMOUNT OF BENEFIT TO THE BUDGET
SOLUTION HERE. IS THREE HUNDRED
THIRTY THREE POINT FOUR MILLION
WHICH IS ALL THE FUNDS AVAILABLE
AND RESERVE. THANK YOU I YOU
KNOW I UNDERSTAND THAT IT JUST
IT'S A FEELING LIKE WE'RE TRYING
TO SAVE IT ON THE BACKS OF OUR
LOW INCOME COMMUNITY OR
CONSTITUENTS ARE. CALIFORNIANS
BECAUSE- SHOULD THIS HAVE BEEN
USED FOR WHAT IT WAS INTENDED
APPROXIMATELY TWO HUNDRED FIFTY
THOUSAND CALIFORNIANS WOULD HAD
THEIR DEDUCTIBLES ELIMINATED IN
THE TIME WE'RE HAVING REALLY
HIGH RATES OF HEALTH DISPARITIES
IN COMMUNITIES. ESPECIALLY IN
COMMUNITIES THAT I REPRESENT
AREAS THEN WITH INDIVIDUALS THAT
ANY EXTRA SUPPORT WE CAN GIVE
THEM WHERE THEY ACTUALLY FEEL
IT. IS VERY DENSE IT IT'S
BENEFICIAL. IT IS THE INTENT OF
OUR BODY TOOL OBVIOUSLY ALSO
LOOK INTO IN THIS DEFICIT AND
THERE'S GOING TO BE CUTS IN
VARIOUS ENTITIES BUT I JUST
WANTED TO. KNOW SOME INITIAL
THOUGHTS THAT I HAVE HERE A
CENTER ROUGH. QUESTIONS
COMMENTS. THANK YOU MADAM CHAIR
I AM JUST TRYING TO FOLLOW THE
MONEY HERE CAN. CAN YOU ALL
PLEASE TELL ME THAT THE MONEY
WILL BE USED IN THE HEALTHCARE
ARENA ON ANOTHER HEALTH CARE.
LINE ITEM TO IMPROVE ACCESS- TO
HEALTH CARE TO OUR MOST
VULNERABLE. THESE FUNDS RIGHT
NOW YOU KNOW ARE GOING TO THE
BENEFIT OF THE GENERAL FUND AND
THEY'RE BEING USED FOR THE
OVERALL STATE PRIORITIES- AS
NOTED IN THE TESTIMONY- YOU KNOW
THE BUDGET DOES INCLUDE. FINDING
FOR IMPORTANT- POLICIES SUCH AS
THE MEDICAID EXPANSION. SO YEAH
WE APPRECIATE THE CONCERNS WE
UNDERSTAND THE CONCERNS. WE AT
LEAST WE STILL HAVE CONCERNS
WITH IMPLEMENTING NEW STATE ONLY
PROGRAM. GIVEN THE FISCAL
SITUATION. WELL GIVEN THE CUTS
IN THE DEFERRALS I'M JUST TRYING
TO. WOULD IT WOULD BE HELPFUL
AND CERTAINLY MORE COMFORTING TO
SOME OF US WHO HAVE BEEN IN THIS
BUDGET PROCESS FOR A WHILE IF.
YOU'RE TAKING MONEY THAT
CALIFORNIANS PAID AS OF AS OF
YOU KNOW PENALTY ESSENTIALLY- IN
THE HEALTHCARE ARENA AND YOU'RE
USING THAT MONEY FOR HEALTHCARE
PURPOSES SOMEWHERE ELSE IN THE
BUDGET TO ALLEVIATE A DEFERRAL
OR A CUT. THAT OTHERWISE WOULD
NEED TO BE PROPOSED BUT- I'M
JUST TELLING US THAT IT'S BEING
DUMPED IN THE GENERAL FUND
BUDGET TO BE USED FOR GENERAL
FUND PURPOSES IS NOT
PARTICULARLY HELPFUL BUT- AGAIN
I'M NOT AN ACCOUNTANT OR MY OF.
THE FINANCE PERSON SO- I GUESS
I'LL HAVE TO ACCEPT THAT ANSWER
THANK YOU VERY MUCH THOUGH FOR
YOUR RESPONSE THANK YOU MANAGER
. THANK YOU FOR EVERYONE UP FOR
ALL THE PRESENTATIONS THE BCP
PRESENTATIONS WE WILL NOW WHAT
WE'RE GOING TO HOLD THAT ITEM
OPEN HIM. INCLUDE CLOSE OUT
THERE WE WILL NOW MOVE ON TO
ANYONE WANTING TO PROVIDE PUBLIC
COMMENT- AS A REMINDER TODAY'S
PARTICIPANT NUMBER IS ONE EIGHT
FOUR FOUR. TWO NINE ONE SIX
THREE SIX FOUR AND THE ACCESS
CODE IS FOUR FIVE FIVE SIX THREE
SEVEN EIGHT. WE'RE GONNA FIRST
BEGIN WITH ANY WITNESSES HERE IN
ROOM A TWELVE HUNDRED. LET'S
BEGIN. THANK YOU MADAM CHAIR AND
MEMBERS DIANA DOUGLAS WITH
HEALTHAXIS CALIFORNIA
SPECIFICALLY COMMENTING ON
COVERED CALIFORNIA ISSUES ONE
AND TWO. AS NOTED AFFORDABILITY
REMAINS A SIGNIFICANT BARRIER TO
CALIFORNIANS ACCESSING THE
HEALTH CARE THAT THEY NEED WHEN
THEY NEED IT WITH THE DOCTOR
BILLS AS HIGH AS FIVE THOUSAND
DOLLARS IN COPAYS FOR JUST
PRIMARY CARE VISITS. AROUND
FIFTY DOLLARS IT'S NOT
SURPRISING THAT MANY LOW AND
MIDDLE INCOME CALIFORNIANS FORGO
CARE WHEN THEY NEED IT. AS NOTED
THE ADMINISTRATION IS CUTTING
HUNDREDS OF MILLIONS PER YEAR
FROM CALIFORNIANS WHO ARE
UNINSURED AND WHO CANNOT AFFORD
HEALTH INSURANCE. IN FACT OVER
ONE BILLION DOLLARS HAS BEEN
COLLECTED AND PENALTY REVENUE IN
JUST THE FIRST THREE YEARS OF
THE INDIVIDUAL MANDATE PENALTY.
THIS PENALTY MONEY SHOULD BE
USED TO HELP CALIFORNIANS AFFORD
COVERAGE AND CARE COVER
CALIFORNIA COMPLETED A
STAKEHOLDER PROCESS AND REPORT
SHOWING THAT WE COULD. WITH JUST
OVER THREE HUNDRED MILLION
ELIMINATE DEDUCTIBLES AND
DRAMATICALLY REDUCE COPAYS FOR
CALIFORNIANS UP 26100% FPL
AROUND SEVENTY FIVE THOUSAND
DOLLAR PER YOUR SALARY FOR AN
INDIVIDUAL. IT'S TIME THAT THE
ADMINISTRATION MAKE GOOD ON
EARLIER ASSURANCES THAT
AFFORDABILITY IN OUR MARKET
PLACE WOULD REMAIN A PRIORITY.
AND WE KNOW THAT WE CAN DO THAT
WITH ABOUT THREE HUNDRED MILLION
WE UNDERSTAND THAT THE
PROPOSAL'S TO SWEEP THAT AMOUNT
BUT WE ALSO KNOW THAT MANY MANY
HUNDREDS OF BILL MILLIONS MORE
HAVE PREVIOUSLY BEEN COLLECTED
AND HAVE ALREADY BEEN SWEPT.
ADDITIONALLY ON ANOTHER ITEM AND
THE DEPARTMENT OF MANAGED HEALTH
CARE ISSUE NUMBER NINE I WOULD
LIKE TO EXPRESS SUPPORT FOR THE
DEPARTMENT'S REQUEST FOR
IMPLEMENTATION OF SB EIGHT FIVE
EIGHT. ESPECIALLY GIVEN THE
DEPARTMENT'S FUNDING VIA SPECIAL
FUNDS VIA. I MIGHT BY HEALTH
PLANS WE THANK YOU VERY MUCH.
THANK YOU NEXT. BETH COULD TELL
HERE ON BEHALF OF THE TEAMSTERS
AND UNITE HERE TO OF THE MANY CO
SPONSORS OF AB TWENTY THREE
FIFTY WHICH THE GOVERNOR DID
SIGNED. LAST YEAR TO PROVIDE
HEALTH BENEFITS TO STRIKING
WORKERS THROUGH COVERED
CALIFORNIA PROVIDING THEM
IMMEDIATE AND AFFORDABLE
COVERAGE. THAT THE ITEM WAS
UNFORTUNATELY NOT CLEARLY FUNDED
IN THE BUDGET AND SO WE BECAUSE
IT'S PART OF COVERED CALIFORNIA
AND THIS IS THE DAY YOU'RE
HEARING COVERED CALIFORNIA. WE
WANTED TO BRING IT TO YOUR
ATTENTION. TO FUNDS COVERED
CALIFORNIA IS STARTING UP THE
PROGRAM AND IS FUNDING THE
OPERATIONAL COSTS OUT OF ITS OWN
BUDGET. BUT THE SUBSIDY FOR THE
ADDITIONAL AFFORDABILITY HELP
WOULD AMOUNT TO ABOUT TWO
MILLION DOLLARS A YEAR IN AN
AVERAGE YEAR OR EAT OR- IF THIS
WORKS AS WELL AS WE HOPE.
EMPLOYERS ARE NOT REQUIRED TO
REMOVE HEALTH BENEFITS FROM
STRIKING WORKERS AND IT WOULD BE
OUR HOPE THAT NEVER HAPPENS.
THAT NEVER AGAIN WILL EMPLOYER
IN CALIFORNIA WEAPONIZE HEALTH.
BENEFITS AS A WAY OF SETTLING A
LABOR DISPUTE THANK YOU. THANK
YOU WELCOME. MARK FOR A COME TO
HAVE THE CALIFORNIA HOSPITAL
ASSOCIATION COMMENTING ON THE
WORK FORCE INVESTMENTS THAT WERE
MENTIONED EARLIER. I WANT TO
FIRST THANK THE COMMITTEE CHAIR
IN THE MEMBERS FOR HIGHLIGHTING
THE IMPORTANCE OF WORKFORCE.
INVESTMENTS A CALIFORNIA
HOSPITALS ARE FACING SOME OF THE
WORST STAFFING SHORTAGES IN
MEMORY- IN A RECENT SURVEY OF
OUR HOSPITALS ARE MEMBERS OF
INDICATED THAT SHORTAGES EXIST
ACROSS ALL STAFFING CATEGORIES.
THE SPECIFICALLY REGISTERED
NURSES. ROUTE REPRESENTING THE
HIGHEST NEED- HOSPITALS OF
INDICATED THE SHORTAGES OCCURRED
PRIOR TO COVER IT BECAUSE OF IT
AS COURSE EXACERBATED- THOSE
SHORTAGES- C. CHEN R. FOUR
HUNDRED MEMBERS REALLY
APPRECIATE THE WORK OF THE
LEGISLATURE GOVERNOR- IN THE
LAST YEAR'S BUDGET IN MAKING
THESE CRITICAL INVESTMENTS AND
WORK FORCE. AS SPECIFICALLY
RELATED TO NURSING SOCIAL
WORKERS EMERGENCY MEDICAL
TECHNICIANS AND BEHAVIORAL AND
COMMUNITY HEALTH WORKERS. CJ
DOES RAISE CONCERNS THAT ANY
DELAYS REDUCTIONS OR TRIGGER
CUTS. IN WORKFORCE DEVELOPMENT
WILL NEGATIVELY OF IMPACT AND
FURTHER DELAY RESOLUTION TO OUR
WORK FORCE A CRISIS AN ESSENTIAL
WORKFORCE PROGRAMS THAT ARE NOW
MORE ESSENTIAL THAN EVER BEFORE.
THANK YOU. THANK YOU FOR COMING
MEXICO. THANK YOU VERY MUCH FOR
ASKING A WITH KP PUBLIC AFFAIRS
ON BEHALF OF THE SUNY
COMPROMISSO THE STATE WIDE
NETWORK OF FROM A THOUGHT AS THE
SALUTING COMMUNITY HEALTH
WORKERS. WE'VE BEEN WORKING
CLOSELY AND REALLY APPRECIATE
THE WORK THAT THE APARTMENT
HEALTH CARE ACCESS INFORMATION
HAS BEEN DOING ON THE ROLLOUT OF
THE COMMUNITY HEALTH WORKER
BENEFIT. THROUGH THE
CERTIFICATION PROCESS AND
TRAINING HOWEVER WE DO REMAIN
CONCERNED THAT THERE'S A BIT OF
A DELTA FOR A LOT OF COMMUNITY
BASED ORGANIZATIONS THAT HAVE
BEEN EMPLOYING PROMISED US THE
SALUTE AND UNDERSTANDING THAT
THE CAPACITY ISN'T QUITE THERE
YET. IN TERMS OF INTEGRATING
THEM INTO MEDICAL BENEFIT
THROUGH REALLY EXPECT TO BE
HELPING COMMUNITIES AND CREATING
HEALTH EQUITY. IN THE SPIRIT OF
OPTIMISM WE ARE WORKING ON A
BUDGET PROPOSAL THIS YEAR TO
HELP INCREASE THAT CAPACITY
BUILDING FOR BUT I'M AT THE
RESIDENCE AND WITHIN THE CBO IS-
KEEPING OUR FINGERS CROSSED FOR
A ROSIER SPRING. BUT LOOK
FORWARD TO WORKING WITH THE
DEPARTMENT AND WITH THIS
COMMITTEE ON THAT ITEM THANK
YOU. THANK YOU WELCOME. THANK
YOU KELLY BROOKS I'M HERE TODAY
ON BEHALF OF TWO CLIENTS BOTH
COMMENTING ON THE- THE WORK
FORCE FUNDING. DELAYS THAT WERE
DISCUSSED EARLIER IN THE
HEARING- THANK YOU VERY MUCH FOR
THE CONVERSATION YOU HAD EARLIER
THIS MORNING. I'M FIRST ON
BEHALF OF THE CALIFORNIA
ASSOCIATION PUBLIC HOSPITALS AND
HEALTH SYSTEMS- OUR SYSTEMS ARE
FACING EXTREME WORKFORCE
CHALLENGES IN ADDITION TO WHAT
MY COLLEAGUE FROM CJ MENTIONED.
AROUND REGISTERED NURSES WE'RE
HAVING TROUBLE OVER- RICK
RECRUITING CERTIFIED NURSING
ASSISTANTS MEDICAL ASSISTANTS.
CLINICAL LAB SCIENTISTS AND
TECHNICIANS RESPIRATORY
THERAPISTS BEHAVIORAL HEALTH
PROVIDERS AMONG OTHERS. AND
WE'RE BOTH EMPLOYERS OF HEALTH
CARE WORKERS AND MAJOR PROVIDERS
OF TRAINING TO THE HEALTHCARE
WORKFORCE IN ESSENTIAL SAFETY
NET SYSTEMS. AND WE ARE VERY
SUPPORTIVE OF THE FUNDING THAT
WAS PROVIDED IN THE CURRENT YEAR
TO BOTH SUPPORT AND REBUILD
CALIFORNIA'S HEALTH CARE
WORKFORCE AND WE'RE HOPEFUL THAT
THE ADMINISTRATION LEGISLATURE
CONTINUE TO PROBE PRIORITIZE
INVESTMENTS AND HEALTH
WORKFORCE. ANY DELAYS REDUCTIONS
ARE TRIGGER CUTS TO WORKFORCE
DEVELOPMENT WILL NEGATIVELY
IMPACT AND FURTHER DELAY
RESOLUTION ON OUR ON GOING
HEALTH CARE WORK FOR
CRISSCROSSES- THE SECOND ON
BEHALF OF THE URBAN COUNTIES OF
CALIFORNIA. WORKFORCE REMAINS A
TOP PRIORITY FOR URBAN COUNTIES
WE ARE STRUGGLING TO COMPETE
WITH PRIVATE SECTOR EMPLOYERS TO
ATTRACT AND RETAIN WORKERS.
ESPECIALLY FOR SOME OF THE MOST
CRITICAL SERVICES FOR COUNTIES
PROVIDE. COUNTY HOSPITALS AND-
HOSPITALS AND CLINICS AT SOME
PUBLIC HEALTH DEPARTMENTS
BEHAVIORAL HEALTH AGENCIES AND
HUMAN SERVICES AGENCIES WE'RE
VERY CONCERNED THAT THAT PUT THE
PROPOSED ELISE AND WORK FOR
SPENDING. WILL HAMPER THE
EXPANDED PIPELINE- FOR THIS VERY
ESSENTIAL WORKFORCE THANK YOU.
THANK YOU VERY MUCH WELCOME.
THANK YOU GOOD AFTERNOON CHAIR
MEMBERS MY NAME IS CHRIS STOP
MERRIN AND THE LEGISLATIVE
ADVOCATE FOR APPS ME CALIFORNIA-
IN ADDITION TO PUBLIC SECTOR
WORKERS WE ALSO REPRESENT HEALTH
CARE WORKERS IN THE PRIVATE
SECTOR. I'D LIKE TO ALIGN MY
COMMENTS WITH THOSE OF THE
REPRESENTATIVE FROM UNITE HERE-
URGING THIS BODY TO FIND AB
TWENTY FIVE THIRTY FROM LAST
YEAR. THE VET THE VAST MAJORITY
OF WORKERS DO NOT WANT TO STRIKE
WHEN THAT DIFFICULT DECISION IS
MADE STRIKING WORKERS FORGO PAY
TO DEMAND BETTER WORKING
CONDITIONS RESPECT AND DIGNITY.
JUST LAST YEAR IN CASE YOU WERE
WONDERING IF THIS ACTUALLY
HAPPENS. ASKED ME WORKERS ON
STRIKE FROM A DIGNITY HOSPITAL
WERE THREATENED WITH THE REVOKE
ATION OF THEIR HEALTHCARE WHILE
ON AN AUTHORIZED STRIKE.
ADDITIONALLY ASK ME SUPPORTS-
ASK ME ALIGNS OUR COMMENTS WITH
HEALTH ACCESS CALIFORNIA.
SUPPORTING USING REVENUE FROM
INDIVIDUAL MANDATE PENALTY TO
REDUCE DEDUCTIBLES AND
COPAYMENTS FOR COVERED
CALIFORNIA ENROLLEES THANK YOU.
THANK YOU SO MUCH. WELCOME GOOD
AFTERNOON CHAIR MEMBERS MY NAME
IS TASIA WHAT'S ON THE
LEGISLATIVE AND POLICY ADVOCATE
WITH THE CALIFORNIA ACADEMY OF
FAMILY PHYSICIANS WE ARE THE
LARGEST PRIMARY CARE MEDICAL
SOCIETY IN CALIFORNIA
REPRESENTING OVER TEN THOUSAND
FAMILY PHYSICIANS RESIDENTS AND
MEDICAL STUDENTS. WE WANTED TO
EXTEND OUR APPRECIATION THIS FAR
FOR ENSURING THAT ACCESS TO
HEALTH CARE REMAINS A CENTRAL
GOAL IN CALIFORNIA STATE BUDGET.
GROUP TRAINING FOR MAKING
DRASTIC HEALTH OR CUTS IT'S
CRITICAL FOR MANY CALIFORNIANS
EXPRESSLY AS RECOVER FROM THE
COLD NINETEEN PANDEMIC WHICH HAS
HAD A DEVASTATING HEALTH AND
CATASTROPHIC ECONOMIC IMPACT ON
THE MOST VULNERABLE RESIDENTS OF
OUR STATE. AS THIS BUDGET CYCLE
PROGRESSES WE ASK THAT YOU
PRIORITIZE IMPROVING INVESTMENTS
IN PRIMARY CARE SUCH AS THE
PRIMARY CARE RATE INCREASE IN
THE BUDGET AND CONTINUE TO
INVEST IN MEN TEAM FUNDING. AND
THE SONG BROWN PRIMARY CARE
PHYSICIAN TRAINING PROGRAM THESE
INVESTMENTS WILL IMPROVE ACCESS
TO PRIMARY CARE AND ADDRESS
CALIFORNIA'S PRIMARY CARE
PHYSICIAN WORKFORCE. LASTLY WE
ASK THAT YOU CONTINUE TO
MAINTAIN THE GENERAL FUND
EXPENDITURE TO EXPAND ACCESS TO
HEALTH CARE SUCH AS EXPANDING
FULL SCOPE MEDI CAL ELIGIBILITY
TO INCOME ELIGIBLE ADULTS AGES
TWENTY SIX TO FORTY NINE.
REGARDLESS OF IMMIGRATION
STATUS. AS THIS WILL ENSURE THAT
VIABLE POPULATIONS RECEIVE THE
CRITICAL CARE THEY DESERVE THANK
YOU FOR YOUR TIME AND
CONSIDERATION AND WE LOOK FOR TO
WORK ON YOU THROUGHOUT THIS
BUDGET CYCLE. THANK YOU FOR
COMING. WELCOME THANK YOU MADAM
CHAIR AND MEMBERS KOREA'S SHEET
A WITH THE STEINBERG INSTITUTE
WE'RE AN INDEPENDENT NON PROFIT
PUBLIC POLICY INSTITUTE
DEDICATED TO TRANSFORMING
CALIFORNIA'S MENTAL HEALTH AND
SUBSTANCE USE CARE SYSTEMS.
THROUGH EDUCATION ADVOCACY
ACCOUNTABILITY IN INSPIRED
LEADERSHIP. COMMENTING ON ISSUE
NUMBER SIX HUNDRED H. CHI FIRST
JUST ONE WITH KNOWLEDGE THE
TREMENDOUS INVESTMENT THE
LEGISLATURE IN THE
ADMINISTRATION MADE IN OUR
HEALTHCARE WORKFORCE. ANY
PARTICULAR BEHAVIORAL HEALTH
WORKFORCE IN LAST YEAR'S BUDGET.
THAT SAID WE LIKE MANY OTHERS
ARE CONCERNED ABOUT THE PROPOSED
DELAYS TO THIS WORKFORCE.
FUNDING GIVEN THE VERY PRESSING
NEED FOR A STRONG WORK FORCE TO
IMPLEMENT ALL OF THE STATE'S
MAJOR BEHAVIORAL HEALTH REFORMS-
THAT ARE UNDER WAY. AND WE WOULD
ENCOURAGE THE LEGISLATURE TO
PROTECT THIS FUNDING AND DO ALL
IT CAN TO ENSURE THAT THESE
DOLLARS GET OUT THE DOOR AS
QUICKLY AS POSSIBLE THANK YOU.
THANK YOU FOR COMMENTS. WELCOME
. HI GOOD AFTERNOON MADAM CHAIR
AND MEMBERS BETH MANAUS YOU'D S.
YEAH YOU CALIFORNIA. ON BEHALF
FOR SEVEN HUNDRED THOUSAND
MEMBERS LIKE TO OFFER A MARKET
IN A NUMBER OF ITEMS. THE
REGARDS THE AGENCY'S BUDGET
ISSUE NUMBER THREE AND CAL SAWS
AS WE ROLL OUT THE NEW SYSTEM WE
CAN TO SUPPORT. OUR PUBLISHER TO
WORK FORCE AS THEY MAKE THE
TRANSITION ENCOURAGE TRAINING
AND ALL NEW CAL SALAS FUNCTIONS.
THE REGARD STATION FOR FIVE ON
E. V. V. WE LOOK FORWARD TO THE
CONTINUED CONVERSATIONS AS WE
IMPLEMENT THE NEXT PHASE
ELECTRONIC VISIT VERIFICATION.
TO ENSURE A STREAMLINED PROCESS
FOR I JUST AS RECIPIENTS AND
PROVIDERS. CONDITIONING TO THE
H. CHI BUDGET WITH REGARDS ISSUE
NUMBER THREE WE SUPPORT THE B.
C. P. TO S. B. EIGHTEEN EIGHTY
TWO ON SEISMIC SAFETY
IMPLEMENTATION. ADDITIONALLY WE
ARE DEEPLY CONCERNED WITH THE
ADMINISTRATION'S BUDGET
SOLUTION- AS IS NO SOLUTION AT
ALL REGARDS TO HEALTH CARE
WORKFORCE. ANY WORK FORCE
FUNDING DELAYS ARE ALSO DELAY IN
THE PROVISION OF BEHAVIOR HEALTH
SERVICES. FOR MEDICAL CARE BE AT
OUR HEALTH CARE WORK FIRST
CRISIS IMPACTING OUR HOSPITALS
OR PRIMARY CARE CENTERS. OR
PREVENTION WE URGE REJECTING THE
DELAY IS OF HEALTH CARE WORK
FIRST FUNDING. LAST LAY HAND ON
BEHALF OF OUR PRIVATE SECTOR
WORKERS WERE SERVING EVERYONE
FROM OUR AIRPORTS TO OUR OFFICE
BUILDINGS AND HOSPITALS. WHEN I
SECOND THE REMARKS MADE BY MY
LABOUR COLLEAGUES. A WE WERE
ALSO AND I CA YOU PROUD IF
SUPPORTERS AND SPONSORS. OF AB
TWENTY FIVE THIRTY- AND FOR THAT
POLICY TO BE SUCCESSFUL WE NEED
FUNDS AVAILABLE TO OFFER
ENHANCED EIGHT SUBSIDIES WHEN
NEEDED FOR STRIKING WORKERS. AND
WE HOPE TO SEE THAT ADDRESSED IN
THE COVERED CALIFORNIA BUDGET.
THANK YOU AGAIN FOR YOUR TIME.
THANK YOU SO MUCH. WELCOME THANK
YOU. GOOD AFTERNOON- CHAIRMAN.
JENNA SO MAINLY WITH THE
AMERICAN FEDERATION OF STATE
COUNTY MUNICIPAL EMPLOYEES
YOU'VE ALREADY HEARD FROM MY
COLLEAGUE CHRISTOPH ON ON ONE OR
A COUPLE ITEMS. I WANTED TO
TOUCH ON THE H. K. FUNDING- ITEM
FORTY ONE FORTY- TO ISSUE THREE
WE SUPPORT THE IMPLEMENTATION OF
AB EIGHTEEN EIGHTY TWO. TO
ENSURE THE HOSPITALS IN THE
STATE CONTINUED TO WORK TOWARDS.
BEING SEISMICALLY COMPLIANCE BY
THE YEAR TWENTY THIRTY. WHICH
HOSPITALS IN THE STATE HAVE HAD.
DECADES TO ACHIEVE- AND SEEING
THE AFTERMATH OF THE HORRIFIC
EVENTS IN TURKEY WE CANNOT
AFFORD TO CONTINUE PUTTING.
THESE IMPORTANT UPGRADES- OFF TO
THE SIDE SO REALLY APPRECIATE
YOU MAKING THOSE COMMENTS
SENATOR ROTH- RELATED TO ISSUE
FOR- WE AGREE WITH THE CONCERNS
THAT SENATOR ROTH SHARED ON
DELAYING WORK FORCE FUNDING. FOR
HEALTH CARE WORKERS. DURING THE
HEIGHT OF THE PANDEMIC MANY
TRAINING PROGRAMS WERE PUT ON
PAUSE. AND SUBSEQUENTLY SOME
STUDENTS DIDN'T RETURN THEREBY
EXACERBATING THE PROBLEMS WITH
THE STABILITY IN THE RECRUITMENT
OF THE WORK FORCE. AND WE LOOK
FORWARD TO WORKING WITH YOU ON
SUPPORTING THE PIPELINE OF THIS
ESSENTIAL WORK FORCE THAT THANK
YOU VERY MUCH. THANK YOU VERY
MUCH. SEEN NO MORE IN PERSON
WITNESSES MODERATOR PEAK WOULD
PLEASE PROMPT INDIVIDUALS
WAITING TO PROVIDE PUBLIC
COMMENT WE WILL BEGIN. IF YOU
WOULD LIKE TO MAKE PUBLIC
COMMENT TODAY PLEASE PRESS ONE
SINCERO. AN OPERATOR WILL
PROVIDE YOU WITH YOUR LINE
NUMBER AND YOU WILL BE CALLED ON
BY AIRLINE NUMBER WHEN IT IS
YOUR TURN. ONCE AGAIN THAT
COMMAND IT'S ONE. ZERO AND FIRST
WE WILL HEAR FROM LINE THIRTY
THREE. THANK YOU MODERATE CAN
YOU PLEASE GIVE ME THE TOTAL
NUMBER OF PEOPLE WAITING TO
TESTIFY. OH SURE RIGHT NOW WE
HAVE TWELVE PEOPLE IN Q. PERFECT
OPEN THE LINES AND BECAUSE THE
MEMBERS OF THE PUBLIC
INDIVIDUALLY WE WILL CONTINUE.
ALL RIGHT LIVE THIRTY THREE
PLEASE GO AHEAD. GOOD AFTERNOON
MADAM CHAIR AND MEMBERS OF THE
COLD WAR THAT MAY NOT BE HALF OF
CHILDREN'S PARTNERSHIP
COMMENTING ON IT HI ISSUE SIX
RELATED TO WORK FOR. IT
PARTNERSHIP REQUEST THAT FUNDING
DELAYS THE TRAIN IN CASE.
COMMUNITY HEALTH FOR BE. THE
LENGTH. WITH THIS RAP ROCKER AT
TO SIGNIFICANT IMPROVEMENTS IN
MEDIC HOW CLINICAL AND HEALTH
EQUITY OUTCOMES THAT THE STATE
IS COMMITTED TO ACHIEVING BY
TWENTY TWENTY FIVE. THE STATE
IMPACT ON INITIATIVE MEANT TO
ADDRESS HEALTH INEQUITIES
IMPACTING CHILDREN AND FAMILIES
ENROLLED IN MEDI CAL THAT WERE
HIGHLIGHTED BY THE STATE AUDITOR
IN TWO THOUSAND EIGHTEEN AND TWO
THOUSAND TWENTY TWO. INCLUDING
CLOSING RACIAL AND ETHNIC
DISPARITIES AND WELL CHILD
VISITS AND IMMUNIZATIONS. AT
CLOSING CURRENTLY CARE DISPARITY
FOR BLACK AND NATIVE AMERICAN
PERSONS BACK FIFTY PERCENT.
IMPROVING FOLLOW UP THE MENTAL
HEALTH AND SUBSTANCE USE
DISORDER BY FIFTY PERCENT. AND
SHARING ALL HEALTH PLANS EXCEED
THE FIFTIETH PERCENTILE FOR ALL
CHILDREN PREVENTIVE CARE
MEASURES. HE STRATEGY TO ADDRESS
HEALTH INEQUITIES INCLUDING
INTEGRATED COMMUNITY HEALTH
WORKERS INTERNET STATE'S ACCOUNT
FOR THE- OR C. H. W.'S WILL BE
ABLE TO PROVIDE. SERVICES LIKE
OUTREACH NAVIGATION. EDUCATION
AND- BUT THE CRITICAL. CRITICAL
ACHIEVING GOALS TWENTY FIVE.
DELAYING THE SENATE WILL
CALIFORNIA EFFORTS KEEP ACT IN
MEDIC CAL AND I SUCH REQUEST
THAT THE LET'S. REJECTED FUNDING
DELAYS SIX THAT. THANK YOU THANK
YOU NEXT. A LINE. FIFTY ONE. HEY
AND DARBY KERNAN REPRESENTING
LEADING H. CALIFORNIA WE NEED
CALIFORNIANS THAT ARE AN
ADVOCATE FOR QUALITY NONPROFIT
DURING CELL LEVINE AND CARE- I'M
COMMENTING TODAY ON THE WORK
FORCE DELAYS. WE REPRESENT MORE
THAN SEVEN HUNDRED ORGANIZATIONS
ACROSS CALIFORNIA WHO RELY ON
NURSES AND SOCIAL WORKERS TO
ALLOW OLDER ADULTS. AND THOSE
WITH THE ABILITY TO REMAIN IN
THE HOME AND COMMUNITY BASED
SERVICE SETTING. I ARE ON THE
FRONT INTO EXPERIENCING THE DATA
HEALTH CARE WORKER CRISIS
FIRSTHAND WE AGREE WITH BOTH
CHAIRMAN JABBAR AND SENATOR ROB
I'M WORKING TO PRESERVE THE
WORKFORCE EDUCATION AND TRAINING
PROGRAMS. SPECIFICALLY WITH
REGARD TO THE NURSING INITIATIVE
BINDING THIS IS SOMETHING THAT'S
GOING TO HELP- THE STATE
CONTINUE MOVE FORWARD AND
PROTECT. OUR HEALTHCARE SYSTEM
THANK YOU. THANK YOU. NEXT
CALLER. LINE. FIFTY TWO. GOOD
AFTERNOON LINDA WAY WITH WESTERN
CENTER ON LAW AND POVERTY WE
SHARE THE- CONCERN WITH THE
PROPOSAL TO THREE COVERED
CALIFORNIA A PORTABILITY
ASSISTANCE GENERAL FUND AND
APPRECIATE THE THOROUGH STAFF
ANNOUNCED. WHEN THE
REINSTATEMENT OF THE INDIVIDUAL
MANDATE PENALTY WAS DISCUSSED IN
TWENTY NINETEEN WE ARGUED THEY
SHOULD ONLY BE DONE WITH
ADDITIONAL AFFORDABILITY
ASSISTANCE YOU DATA THAT SHOWED
A LARGE NUMBER OF LOW INCOME
INDIVIDUALS WHAT PAYING THE
PENALTY AND CONTINUE TO BELIEVE
THAT THESE FUNDS SHOULD GO TO
LOWER. HEALTH CARE COSTS FOR
THOSE WHO NEED AFFORDABILITY
EXISTENCE. IN ADDITION WE
SUPPORT THE B. C. P. FOR
PERMANENT STAFFING FOR POLICY
OVERSIGHT OVER CALDERON SOL AND
RECOMMENDED THAT USED TO DO MORE
TO AND SHARE CAL SOFT COMPLIED
WITH THE POLICY RELATED TO.
LANGUAGE ACCESS PROVISION DID
NOTICES AND TIMELY PROGRAM.
BEING FINALLY AT CODE FONG OF S.
NINE TWO THREE RELATED TO ACCESS
TO GENDER AFFIRMING. WE SUPPORT
THE HE'S THE P. AS WELL AS AS
EIGHT FIVE EIGHT RELATED TO
HEALTH PLAN PENALTY THANK YOU.
THANK YOU NEXT CALLER. BLINDER
IF BEFORE. HELLO THIS IS KEVIN
INFO WITH THE FRIENDS COMMITTEE
ON LEGISLATION CALIFORNIA.
ASKING YOU TO ADDRESS
AFFORDABILITY AS A BARRIER TO
HEALTH CARE PARTICULARLY BY
REDUCING COVERED CALIFORNIA
DEDUCTIBLES AND CO PAYS. FOR LOW
AND MIDDLE INCOME CALIFORNIANS
THANK YOU. THANK YOU NEXT COLOR
. LINE. FIFTY THREE. THANK YOU
MADAM CHAIR EDUARDO MARTINEZ ON
BEHALF OF ALL COMMITTEE HEALTH
SERVICES OFFERING COMMENTS
RELATED TO THE HEALTHCARE
WORKFORCE DELAYS. ULTIMATELY IT
COMMUNITY HEALTH CENTERS PROVIDE
HIGH QUALITY COMPREHENSIVE CARE
TO MORE THAN FIVE HUNDRED
THOUSAND CALIFORNIA. AND I'VE
BEEN A TRUSTED HEALTHCARE
PROVIDER FOR LIKE YOU KNOW MULTI
ETHNIC AND UNDERSERVED
COMMUNITIES IN SOUTHERN
CALIFORNIA FOR OVER FIFTY YEARS.
AS WE KNOW CALIFORNIA HAS MADE
MAJOR STRIDES MAKES SENSE OF THE
MEDICAL FOR THE REMAINING
UNINSURED. HOWEVER IN ORDER TO
FULLY ACHIEVE HEALTHCARE FOR ALL
FURTHER INVESTMENTS IN OUR
HEALTHCARE WORKFORCE AND
PIPELINE PROGRAMS MUST CONTINUE
TO GUARANTEE ACCESS TO HIGH
QUALITY. CULTURAL AND
LINGUISTICALLY COMPETENT CARE
AND TO ADDRESS THE STATE'S MOST
PRESSING HEALTH DISPARITIES.
AUTOMATE URGES THE LEGISLATURE
TO ADDRESS THE GOVERNOR'S
PROPOSED THE LATE THE LATE
HEALTHCARE WORKFORCE FUNDING
ALLOCATIONS IN THE BUDGET AND
PROVIDE ADDITIONAL INVESTMENTS
FOR CULTURAL AND INCLUDING THE
COMPETENT CARE AT ALL LEVELS
CALIFORNIA'S HEALTH CARE
WORKFORCE. WHEN THE- SPECIALLY
THANK SENATOR ROTH AND THE CHAIR
FOR YOUR COMMENTS ABOUT THE
PROPOSAL YOU COULDN'T AGREE MORE
AND WE LOOK FORWARD TO WORKING
WITH YOU ON THIS ISSUE. THANK.
YOU THANK YOU NEXT CALLER. LINE
FIFTY A- THANK YOU MADAM TO AND
OTHER. AMBER SHE THE CARD
BEHAVIORAL HEALTH. ASSOCIATION
THE CALIFORNIA G. B. H. D. A.
RESPECTFULLY REQUEST THAT THE
LEGISLATURE RETRACT PROPOSED
DELAYED IN THE BEHAVIOR HEALTH
AND SOCIAL WORK WORKFORCE
FUNDING IN THE GOVERNOR'S
BUDGET. SPECIFICALLY ALMOST
DELAY FIFTY TWO MILLION OF
UNIVERSITY AND COLLEGE GRANTS
WILL BE A GREAT HELP TRAINING
PROGRAM I'M THIRTY MILLION PER
SCHOOL SOCIAL WORK ARE
DETRIMENTAL THE CURRENT EFFORTS
TO RECRUIT AND RETAIN QUALIFIED.
FOR HEALTH WORKERS TO MEET THE
GROWING DEMAND FOR OUR STATE.
WORKFORCE FUNDING DELAYS WILL
JEOPARDIZE CALIFORNIANS ABILITY
TO OBTAIN BEHAVIOR HEALTH
SERVICES AT A TIME WITH NUMEROUS
STATEWIDE INITIATIVES. ARE
INTENDED TO INCREASE ACCESS. YOU
CAN STAND ALSO- ALONG WITH
NUMBER PARTNER A ASSESSMENT
WHICH WHAT'S YOUR ON FEB
THIRTEENTH TWENTY TWENTY THREE I
WILL LOOK FORWARD TO SHARING
MORE DETAILS WITH YOU ALL IN THE
FUTURE WHICH I THINK WILL
UNDERSCORE THIS INCREDIBLE NEED.
TO ENSURE THAT WORK FORCE
FUNDING. DELAYS DO NOT OCCUR IN
THE BUDGET THANK YOU SO MUCH FOR
YOUR TIME. THANK YOU NEXT CALLER
. ALIGNED FIFTY FIVE. GOOD
AFTERNOON THIS IS REBECCA
GONZALEZ OF THE NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER WE REPRESENT
PROFESSIONAL SOCIAL WORKERS WITH
A DEGREE IN SOCIAL WORK. AND
WE'RE ALSO TALKING ABOUT THE
WORK FORCE DELAYS TODAY AND WE
ARE VERY CONCERNED ABOUT THE
DELAY ABOUT MONEY FOR THE
EXPANSION OF MSW ARTICLES OF
SOCIAL WORK. AND WE WILL BE
MEETING WITH H. CHI NEXT WEEK TO
DISCUSS THESE ISSUES. WE WOULD
LIKE TO ENSURE THAT FUNDING
DELAYS WILL NOT STOP THE
PROGRESS ALREADY MADE AND
PROGRAM EXPANSION. AND WE WOULD
LIKE TO THANK THE COMMITTEE FOR
YOUR COMMITMENT TO THE SOCIAL
WORK WORKFORCE. ESPECIALLY THE
COMMENTS BY SENATOR ROCKS AND
SENATOR MANY OF OUR FOR YOUR
COMMENTS ON THE BEHAVIORAL
HEALTH WORKFORCE SHOULD BUT WE
ALSO WANT TO. POINT OUT THAT
SOCIAL WORKERS SUPPORT MANY
DIFFERENT SYSTEMS THAT UTILIZE
THE EXPERTISE OF SOCIAL WORKERS.
SUCH AS CHILD WELFARE SERVICES
AND ADULT PROTECTIVE SERVICES
WHICH SHOWS THE NEED FOR
GRADUATING MORE SOCIAL WORKERS-
THE SECOND ITEM I WANT TO TALK
ABOUT IS ABOUT COVERED
CALIFORNIA WANTED. OTHER
CONCERNED ABOUT. THAT VERY YEAR
ON AD HOC BY THE DEDUCTIBLES AND
CO PAYS. AND THAT WE DON'T THAT
WE SUPPORT THE SYSTEM SO THAT
PEOPLE CAN AFFORD TO HAVE HEALTH
CARE THANK YOU. THANK YOU
REBEKAH NEXT COLOR. A LINE FIFTY
NINE. IN RARE RIVER THE CAL. PAN
ETHNIC HOW NETWORK HERE TO
COMMENT ON ITEM FORTY EIGHT
HUNDRED RELATED TO COVERED
CALIFORNIA. AFFORDABILITY
REMAINS A SIGNIFICANT BARRIER TO
CALIFORNIANS AFTER SEEING THE
HEALTHCARE THEY NEED WHEN THEY
NEED IT. WITH THE DUCK DOUBLE
THE ALMOST FIVE THOUSAND DOLLARS
AND COPAYS FOR PRIMARY CARE
VISITS AROUND FIFTY DOLLARS.
IT'S NOT SURPRISING THAT MANY
LOW INCOME AND MIDDLE INCOME
CALIFORNIANS OFTEN DELAY CARE
SIMPLY DUE TO COST.
ADMINISTRATION AND THE
LEGISLATURE MUST ACT NOW AND WE
URGE THE LEGISLATURE TO REJECT
EVERY DIRECTION OF THE
INDIVIDUAL MANDATE PENALTY
REVENUE TO THE GENERAL FUND. AND
CONTINUE TO USE THOSE FUNDS TO
MAKE COVERED CALIFORNIA MORE
AFFORDABLE. COMMUNITIES OF COLOR
ARE URGING THE STATE TO PROVIDE
THEM WITH ASSISTANCE AND HELP
THEM AFFORD COVERAGE AND CARE.
THANK YOU. YOUR NEXT CALLER.
FULL LINE. FIFTY SEVEN. GOOD
AFTERNOON RONALD KOEMAN BY A
FIGURE WITH CALIFORNIA PAN
ETHNIC HELP THAT WORKS THE PAN
ON EACH T I ISSUE SIX WE ARE
DISAPPOINTED BY THE GOVERNOR'S
PROPOSAL TO DELAY FUNDS TO
RECRUIT TRAIN AND CERTIFY.
TWENTY FIVE THOUSAND NEW A
COMMUNITY HEALTH WORKERS IN FROM
A TOWARDS BY TWENTY TWENTY FIVE
YEARS BUT THE CRITICAL TO
BUILDING A ROBUST CULTURALLY AND
LINGUISTICALLY RESPONSIVE WORK
FORCE. THAT CAN MEET THE NEEDS
OF CALIFORNIA'S DIVERSE
POPULATIONS WHICH ALSO NOW
INCLUDES MEDICARE BENEFICIARIES
WHO NOW HAVE THIS BENEFIT. IF
THE DELAY OF BOND IS APPROVED WE
URGE THAT A PERCENTAGE OF FUNDS
HE SET ASIDE FOR PLANNING
PURPOSES THE CAN BE A PUBLIC
PROCESS THAT INCLUDES THE H. W.
AND PROMONTORIES TO DETERMINE
HOW THESE FUNDS WILL BE SPENT IN
FUTURE BUDGET YEARS. BUT WE
STRONGLY URGE THE LEGISLATURE TO
REJECT THIS DELAY ONE CAL HHS
ISSUE EIGHT ON EQUITY CENTERED
PROGRAMS WE SUPPORT THE TRANSFER
OF THE RETROSPECTIVE ANALYSIS.
THE DPH OAG HOWEVER SEAT AND IS
ALSO DISAPPOINTED NOT TO THE
WORKING FORWARD CALLIE TO DEATH
WAS ALSO TASKED WITH LANGUAGE
ACCESS ENHANCEMENTS ACROSS THE
AGENCY STAFF TRAINING AND THEIR
PROJECTS AS PART OF THE EQUITY
SENATE PROGRAMS THAT PASSED. IN
THE TWENTY TWENTY ONE BUDGET
CYCLE AND WE ENCOURAGE THE
LEGISLATURE TO GET A STATUS
UPDATE ON THE REMAINDER OF THAT
WORK THANK. YOU THANK YOU NEXT
CALLER. A LINE FIFTY SIX. MATTER
CHAIR CENTER TO RAW. THIS IS
TONY TOOK ME TO THE K. TEACHERS
ASSOCIATION REGARDING THE WORKS
FORCE EXPANSION WE HAD A
DIFFERENT ISSUE WITH REGARD TO
H. CHI WE WOULD LIKE. THEM TO
INCREASE THE NUMBER OR MAKE
ELIGIBLE PEOPLE SERVICE
PERSONNEL IN THEIR WORKFORCE
EXPANSION EFFORTS THESE ARE
INDIVIDUALS WHO ARE SCHOOL
NURSES SOCIAL WORKERS
PSYCHOLOGISTS AND COUNSELORS.
THAT HAVE C. T. C. ISSUED
CREDENTIALS. THEY CURRENTLY FUND
SCHOLARSHIPS FOR NURSING AND
IT'S EASIEST AND PSYCHIATRIC
NURSES BUT NOT CREDENTIALED
SCHOOL EMPLOYEES. LIKE I
MENTIONED DARCIS PSYCHOLOGISTS
SOCIAL WORKERS AND COUNSELORS
AND IN ANTICIPATION OF FUTURE
HEARINGS ON AGE GUY WE CONTINUE
TO EXPRESS CONCERNS AROUND THE
VIABILITY OF AGE KAISE WELLNESS
COACHES ONE INTO. AND THE
EXPECTATION OF THEIR
INTRODUCTION UNDER SCHOOL SITES
WITHOUT RESOLUTION OF THE ISSUES
OF THEIR SERVICES BEING
REIMBURSABLE WE LOOK FORWARD TO
WORKING WITH THE COMMITTEE TO
RESOLVE THESE ISSUES THANKS VERY
MUCH THANK YOU SO MUCH NEXT NEXT
CALLER. LINE. ELEVEN THANK YOU
KAREN COMMITTEE MEMBER MIKE IS
CHAMPION I AM WITH YOUR HEALTH
IMPACT THE CALIFORNIA NURSING
WORKFORCE AND POLICY CENTER AND
THE NONPROFIT ORGANIZATION. I'M
ALSO A NURSE THAT SOMEONE
PRODUCT OF. IN FACT. BY PROGRAM
WHAT THE DEVELOPMENT NURSING AND
CAL. AND I WOULD LIKE COMMENT ON
THE WORK WITH BUDGET DELAYS OF
ITEM FORTY ONE FORTY ISSUES X.
WE APPRECIATE THE L. A- ANALYSIS
ON THE HEALTH WORKFORCE A JUST
SOLUTION- FEW KEY ISSUES THAT
WERE NOT INCLUDED IN THE
ANALYSIS THAT I'D LIKE TO
HIGHLIGHT THE SENATE SUCH BUDGET
SUB COMMITTEE FOR CONSIDERATION.
FIRST THE GOVERNOR HAD PROMISED
WOULD DANCE UNIVERSAL ACCESS TO
HEALTH CARE THROUGH MEDICAID ALL
IN IN MOUNT AND IN OCTOBER
TWENTY TWENTY TWO YOU KNOW THAT
ROUGHLY TWO HUNDRED AND EIGHTY
SIX THOUSAND OLDER ADULTS
CALIFORNIANS WILL BE KEEPING FOR
KOPATICH CAL. THE RESULT OF THIS
EXPANSION WE NEED MORE HELP
PROVIDERS EDUCATED AND PREPARED.
FOR THE- NUMBER ALWAYS. I CAN'T
ACROSS THE COUNTRY IN THE CAL.
WE ARE NURSES AND OTHER
HEALTHCARE FOR. LEAVING DIRECT
POSITION AND- NUMBERS. MORAL
INJURY AND BURNOUT. MANY OF MY
COLLEAGUES I PERSONALLY KNOW
FROM ACROSS THE STATE HAVE LEFT
DIRECT CARE PRACTICE. BUT WHILE
WE NAY HOW THE NUMBER OF LIGHT
IS AVAILABLE AT THE L. A. L. A.
THEY'RE NOT IN DIRECT CARE
PRACTICE THE- THIRD. AS MANAGER
OF OUR AND SENATOR ROB NOTED THE
TIME HORIZON FOR EDUCATING
NURSES IS AT LEAST FOUR YEAR AND
FOR OTHER HEALTH PROFESSIONALS
CAN TAKE UP TO EIGHT NINETY-
DOCTOR JOANNE AT THE UPS OF HELP
FOR THANKED HER FELLOW THAT WE
ARE GOING TO HAVE A DEFICIT OF
APPROXIMATELY FORTY THOUSAND.
ARE AND FROM NOW UNTIL TWENTY
TWENTY SIX. AND LASTLY THE
NUMBER OF PROFESSIONALS LEAVE
THE PROFESSION WILL LEAVE WITHIN
THE FIRST TWO YEARS OF PRACTICE.
BUT WE NEED TO HELP INCREASE THE
NUMBER OF TRANSITION A PRACTICE
OR POSTGRADUATE APPRENTICESHIP
PROGRAM. TO KEEP THE HIGHLY
EDUCATED ME PROFESSIONAL IN THE
PROFESSION. THE LEADING IN
FUNDING FOR HEALTH CARE PRO
WORKFORCE PROGRAMS WILL PROLONG
THE WORKFORCE SHORTAGE CRISIS
THAT WE FIND OURSELVES IN TODAY.
WITH THE INCREASED INTEREST IN
HEALTH CARE FOR ALL WE NEED ALL
THE PROFESSIONALS WE CAN EDUCATE
AND RETAIN OF THE WORK FORCE. TO
PROVIDE THE NEEDED ACT THICK
CARE. H. I'D BEEN DOING A
FANTASTIC JOB WORKING WITH THE
COMMUNITY BASED ORGANIZATIONS TO
ADDRESS THE HEALTHCARE WORKFORCE
CRISIS. THANK YOU FOR THE
OPPORTUNITY TO SPEAK. TODAY
THANK YOU NEXT CALLER. LINE. SIX
ONE. HELLO MADAM CHAIR AND
MEMBERS THEY'RE A FLOCK FROM THE
CALIFORNIA LABOR FEDERATION AND
WE ARE ALSO ONE OF THE PROUD
SPONSORS OF THE P. TWENTY FIVE
THIRTY- THE BILL THAT WAS.
SIGNED INTO LAW LAST YEAR TO
ENSURE THAT NO WORKER WHO
EXERCISES THEIR LEGAL RIGHT TO
STRIKE WHAT EVER LOSE ACCESS TO
HEALTH COVERAGE- THAT BILL WE
WOULD URGE THE LEGISLATURE TO
FIND THAT BILL- BY APPROPRIATING
FUNDING FOR THE ACCOUNT AND THAT
FINANCIAL ASSISTANCE TO COVER
CALIFORNIA. TO COVER WORKERS
SHOULD YOU LOSE THEIR COVERAGE-
IN THE EVENT OF A STRIKE. AND WE
THINK THIS IS SO INCREDIBLY
IMPORTANT BECAUSE CALIFORNIA HAS
MADE GREAT STRIDES TO ENSURE
THAT EVERY CALIFORNIAN HAS
ACCESS TO AFFORDABLE HEALTH
COVERAGE AND- ALSO BEEN A LEADER
IN PROTECTING WORKERS RIGHTS.
INCLUDING THE RIGHT TO STRIKE.
AND BOTH OF THOSE VALUES ARE
EMBODIED IN AB TWENTY FIVE
THIRTY. AND SO WE HOPE THAT THAT
APPROPRIATIONS. COMMITTEE THANK
YOU SO MUCH. THANK YOU NEXT
COLOR. A. SIXTY TWO. GOOD
AFTERNOON WE WENT ABOUT
AMERICA'S MY NAME IS I'LL BE
ABLE TO CALIFORNIA ALLIANCE FOR
YOUTH AND COMMUNITY JUSTICE KHAN
AND SPEAK ON AGENDA ITEM ONE AND
A FEW THINGS OF CONCERN THAT I
HEARD. AND COMMUNIST SPEAK
SHOOTING TERRY TO SOME OF THIS.
STARTING WITH A MENTION OF THE
CALIFORNIA CONSERVATION CORP IN
PINE GROVE BEING A COMMUNITY
BASED ALTERNATIVES THAT IS NOT
TRUE THAT IS NOT ACCURATE AND
THAT IS NOT. WHAT OUR CHILDREN
NEED WHEN WE TALK ABOUT
COMMUNITY BASED ALTERNATIVES.
ALSO ORDERED- WEBER TO KEEP OUR
MENTION THE CPA FOR STREAM.
WHICH I'M NOT RESEARCH. ALMOST
AT LEAST 90% OF IT IS GOING
SOLELY TO SALARIES AND BENEFITS
NOT GOING TO HELP OUR KIDS.
GOING TO SUSTAIN. THIS EXTREMELY
LARGE INFRASTRUCTURE THAT THEY
ARE TRYING HARD TO MAINTAIN FROM
DECADES AGO. I ALSO HEARD
REFERENCES OF TRAUMA INFORMED
RESPONSES AND POSITIVE YOUTH
DEVELOPMENT. AND MY MAIN POINT
IS I UNDERSTAND AND. I OFTEN
HEAR SYSTEM STAKEHOLDERS. USE
LANGUAGE AS EVIDENCE EVIDENCE
BASED PROGRAMS. THE ONE IS
SUPPORT AND MICHAEL MY ISSUE IS
WHERE IS THE EVIDENCE OF THIS
TOM INFORMED SPONSORED POSITIVE
YOUTH DEVELOPMENT BECAUSE
EVERYTHING THAT WE HEAR AND
SPEAK AND NO. IS A BUNCH OF BAD
THINGS THAT ARE HAPPENING
CURRENTLY UP AND DOWN THE STATE-
AND MY ASK IS. WHEN ARE WE A
WHEN ARE THEY GOING TO BE WHEN
IS A DATA GONNA COME BECAUSE
THERE IS VERY LITTLE TO NO DATA
AND THEY'RE BIG ON ON MENTIONING
DATABASE DECISIONS. BUT YET WE
ALSO KNOW FROM HERE FROM SYSTEM
STAKEHOLDERS THAT MOST OF THESE
KIND IS NOT HAVE ADEQUATE
INFRASTRUCTURE FOR DATA. SO
AGAIN THERE IS NO THERE'S NO
DATA TO BACK UP NOTHING AFTER ST
. STE AND UNFORTUNATELY. THIS
OPPORTUNITY TO TRANS FROM A
PUNCH AND MARK HELP WITH MODEL
IF THE LIKE IT IS GOING IN A
VERY BAD. IS NOT GOING IN THE
RIGHT DIRECTION- IT SEEMS VERY
MUCH LIKE THEIR MAINTAINING THE
SAME ALL OUTSIDE OF THE WORDS
THAT THEY SHARED IN PRACTICE AND
POLICY IT'S THE SAME- AND THAT'S
ALL THANK YOU. THANK YOU SO MUCH
FOR YOUR COMMENTS NEXT CALLER.
LINE. SIXTY FOUR. MY NAME IS
BIANCA I'M POLICY DIRECTOR FOR
AN ORGANIZATION CALLED SMALL
BUSINESS MAJORITY WE ADVOCATE
FOR A VERY SMALL BUSINESS OWNERS
TO BE ABLE TO PROVIDE QUALITY
JOBS TO ROUGHLY HALF OF
AMERICA'S PRIVATE SECTOR WORK.
RECOGNIZING THE IMPORTANT ROLE
THAT COVER CALIFORNIA PLAYS AND
ENSURING THAT SMALL BUSINESS
OWNERS ARE ABLE TO PROVIDE YOU
QUALITY JOBS. WE WANT TO URGE
THE COMMITTEE TO. ENSURE THE
PORTABILITY REMAINS A
SIGNIFICANT- WHAT PART OF
CALIFORNIA POLICY AGENDA AND
ENSURING THAT THE- DEDUCTIBLE
THAT. CONSUMERS PAY AN AMOUNT
ALMOST FIVE THOUSAND DOLLARS AND
COPAY FOR PRIMARY CARE VISITS
AROUND FIFTY DOLLARS. ON MANY
LOW AND MIDDLE INCOME
CALIFORNIANS INCLUDING SMALL
BUSINESS OWNERS. I DELAY MUCH
NEEDED CARE AND FOR THE
ADMINISTRATION- COLLECT HUNDREDS
OF MILLIONS OF DOLLARS FROM
UNINSURED CALIFORNIANS THAT ARE
CURRENTLY IN THE I HEALTHCARE
AFFORDABILITY RESERVE FUND. WE
HOPE THAT- EIGHT THE FUNDS WILL
BE USED TO ENSURE THAT
HEALTHCARE IN CALIFORNIA CAN
DETERMINE. AFFORDABLE THANK YOU
SO MUCH. THANK YOU KNOW COLOR.
N. MADAM CHAIR THERE ARE NO
FURTHER COMMENT AT THIS TIME
THANK YOU MODERATOR HAVING HEARD
FROM OTHER MEMBERS OF THE PUBLIC
I TURN TO MY CENTER ON THE RIGHT
TO HAVE ANY ADDITIONAL QUESTIONS
OR COMMENTS TO CLOSE OUT. THANK
YOU THANK YOU TO ALL THE
INDIVIDUALS WHO PARTICIPATING IN
PUBLIC TESTAMENT TESTIMONY TODAY
IF YOU WERE NOT ABLE TO TESTIFY
PLEASE REMEMBER YOU CAN STILL
SOME OF YOUR COMMENTS OR
SUGGESTIONS IN WRITING TO THE
BUDGET IN FISCAL REVIEW
COMMITTEE. OR VISIT OUR WEBSITE
YOUR COMMENTS ARE AND
SUGGESTIONS ARE REALLY IMPORTANT
TO US AND WE WANT INCLUDE YOUR
TESTIMONY IN THE FITIAL HEARING
RECORDS THANK YOU WE ARE WE
APPRECIATE YOUR PARTICIPATION WE
HAVE CONCLUDED THE AGENDA FOR
TODAY'S HEARING THE SENATE
BUDGET SUB COMMITTEE NUMBER
THREE ON HEALTH AND HUMAN
SERVICES IS ADJOURNED.