THE COMEDIAN BUDGET ON FISCAL
REVIEW WILL COME TO ORDER SEE I
DON'T THINK WE OF COURSE YET SO
WE WILL START AS A SUBCOMMITTEE
- WE THE SENATE IS CONTINUING TO
WELCOME THE PUBLIC IN PERSON AND
VIA THE TELECONFERENCE ORBIS FOR
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT TODAY'S
PARTICIPANT NUMBERS.
877-226-8216 THE ACCESS CODE IS
SIX TWO ONE SEVEN ONE SIX ONE.
THAT WILL BE PERIODICALLY UP ON
OUR SCREEN ALSO FROM THE
WEBSITE- I WILL MAINTAIN DECORUM
DURING HEARING AS IS CUSTOMARY
IN ANY INDIVIDUAL WHO IS
DISRUPTIVE MAY BE REMOVED FROM
THE REMOTE MEETING SERVICE OR
HAVE THEIR CONNECTIONS MUTED-
THE- THOSE PROVIDING TESTIMONY
BEFORE THE COMMITTEE TODAY ARE
ALSO PART NO THOSE OF YOU WERE
PROVIDED TESTIMONY OR HERE IN
PERSON THAT'S GREAT- SO THAT IS
WONDERFUL. AND- WHAT WE'RE GONNA
DO. WELL FIRST TO ALLOW PUBLIC
ACCESS THERE ARE MEMBERS OF THE
PUBLIC IN THE HEARING ROOM AND
THE TELECONFERENCE ORVIS AS I
MENTIONED I GAVE THAT ACCESS
NUMBER WE WILL HAVE OUR PUBLIC
COMMENT AFTER ALL THE ITEMS ARE
PRESENTED. AND WE WILL NOT VOTE
ON THOSE BILLS UNTIL WE'VE ALL
THE ROOM BEEN PRESENTED AND WE
HAVE YOUR PUBLIC COMMENT- WHAT
WE'RE- GOING TO DO IS HAVE OUR
DEPARTMENT OF FINANCE PRESENTS.
A BILL EACH BILL BUT NOT AT ONCE
IN OTHER WORDS INDIVIDUALLY SO
THE COMMITTEE MEMBERS CAN- REYES
QUESTIONS OR CONCERNS THAT THEY
MAY HAVE- BUT AFTER ALL THAT
PRESENTATION IN YOUR QUESTIONS
WILL HAVE THE PUBLIC COMMENT.
AND THEN WE WILL- VOTE- NOW LET
ME DESCRIBE WHAT IT IS WE HAVE
BEFORE US TODAY WE'LL HAVE WE
HAVE A LIMITED PACKAGE OF BILLS
TODAY. THAT OUR EARLY ACTION
ITEMS THAT REQUIRE RESOLUTION
PRIOR TO OUR ADOPTION OF THE
JUNE BUDGET. AND THESE INCLUDE
TECHNICAL FIXES TO THE TWENTY
TWENTY TO BUDGET EXPENDITURES.
ON CHILD CARE WE ARE UTILIZING
FUNDS ARPA FUNDS FROM THE
FEDERAL GOVERNMENT TO WAIVE
FAMILY FEES FOR PRESCHOOL AND
CHILD CARE THROUGH SEPTEMBER
THIRTIETH TWENTY TWENTY THREE
AND PROVIDING FEDERAL FUNDS THAT
WE WOULD OTHERWISE. LOSE FOR
STIPENDS FOR CHILDCARE TO ENSURE
THE FUNDS ARE USED FOR THE
ORIGINAL PURPOSE. THAT WE GAVE
IT DURING THE PANDEMIC RECOVERY
. THE ANOTHER BILL IS TO ENSURE
PANDEMIC RELIEF AND LOAN
FORGIVENESS FOR COLLEGE STUDENTS
. AND TO MAKE SURE THAT IT IS
NOT CONSIDERED INCOME FOR
PURPOSES OF STATE INCOME TAXES.
AND THE FINAL BILL- RATHER NOT
FINAL BILL THE THIRD BILL IS TO
PROVIDE HARDSHIP. RELIEF TO
STRUGGLING HOSPITALS AND THEN
THE FINAL BILL IS TO FINALIZE
CRUCIAL DETAILS THAT WERE
NEGOTIATED WITH OUR FARMERS
UNIONS. AND I LOOK FORWARD TO
DISCUSSING THESE IMPORTANT
MEASURES AND CONTINUING TO
COLLABORATE WITH THE
ADMINISTRATION AS WE PREPARE AND
FINALISE THE TWENTY THREE TWENTY
FOUR BUDGET. VICE CHAIR NEIL OF
YOU HAVE SOME COMMENTS YOU'D
LIKE TO- WELL THIS IS THE- FIRST
ACTUAL MEETING OF BUDGET CA
WE'VE HAD- A LOT OF
INFORMATIONAL HEARINGS BEFORE
AND- I'M LOOKING FORWARD TO
GETTING INTO THE DETAILS. THREE
ALL RIGHT LET US- ME JUST PULL
UP MY- PAPER JANET FOR A QUICK
THING. I DIDN'T HAVE IT UP
AMERICAN FASTENERS ALL RIGHT
LET'S LET US. FOR IN FACT WE
HAVE COR LET'S JUST KERR FIRST.
GO AHEAD AND. SENATORS I AM HERE
HELLO HERE BAKER. CABALLERO
DOLLARS. THE RAW. EGGMAN GROVE.
WHERE HERE MCGUIRE. IMAGE OF OUR
- MAN. NEWMAN OCTOBER. DEAR DEAR
ROTH. SEYARTO THERE SMALLER
CUEVAS HERE. WELCOME. SIX AXLE-
WITH A CELL A QUORUM SO NOW WE
CAN- BEGIN FORMER PROCESS WE
WILL NOW HEAR FOR ERICA LEAVE
THE OF FINE. ON AB ONE. WHICH IS
THE UP THE BUT AX TWENTY TWO ONE
AND TWO TWENTY TWO DISSLY THANK
YOU GOOD MORNING CHURCH VICE
YELLOW AND MEMBERS OF PROJECT- I
AM ERIC LEGAL DEPARTMENT IF I
AND I'M HERE TO PER ON A OF
BILLS- FOR YOUR- FOR- EARLY
BUDGET- BEGINNING WITH. A ONE
HUNDRED- WHICH AS A SURE STATE
THIS IS A BUILD THAT AMENDS OF
THE TWO TWENTY AND THE TWENTY
TWENTY TO BUDGET ACT BUDGET ACTS
THE CIVICALLY THIS BILL INCLUDES
A FIFTEEN POINT FOUR MILLION-
FIFTY POINT FOUR MILLION DOLLARS
FOR CAL RECYCLE FOR CLEANUP AND
DEBRIS REMOVAL ACTIVITIES
ASSOCIATED WITH THE MAKENI
WILDFIRE- IT. IS- US IT'S PAST
FIVE AN ADDITIONAL FOUR POINT
FOUR MILLION NINE PROP NINETY
EIGHT GENERAL FUND AND FIVE
POINT THREE MILLION A PROP
NINETY EIGHT GENERAL FUND- THAT
IT MAY BE USED TO SUPPORT THE
EXTENSION OF FAMILY FEE WAIVERS
FROM JULY ONE TWENTY TWENTY
THREE THROUGH THE END OF
SEPTEMBER OF THIS YEAR. THIS
BILL ALSO MAKES VARIOUS
TECHNICAL CHANGES AMENDS VARIOUS
LOCAL FISCAL AGENTS AND EXPANDS
THE USE OF FUNDS. FOR SEVERAL
ORGANIZATIONS. STUDENT. TO
VARIOUS LEGISLATIVE PRIORITIES.
THIS BILL X. EXPENDITURE
TIMELINE OF TEN. GENERAL
APPROPRIATED IN THE TWENTY
TWENTY BUDGET ACT TWENTY TWENTY
TWO BUDGET ACT- TO SUPPORT
HEALTH INFORMATION TECHNOLOGY
HOUSING OR WELLNESS
INFRASTRUCTURE PROJECTS FOR THE
ST PAUL'S PROGRAM FOR ALL
INCLUSIVE CARE FOR THE ELDERLY
OR THE PEACE ORGANIZATION. IN
SAN DIEGO THROUGH JUNE THIRTY
TWENTY TWENTY FIVE- AND THIS
BILL MAKES OTHER TECHNICAL AND
CLARIFYING CHANGES- I'M JOINED
BY COLLEAGUES AND I'M HAPPY TO
ANSWER ANY QUESTIONS THAT THE
COMMITTEE MAY HAVE. THERE WAS
ANY QUESTION. MEMBERS ANY. ON
THIS- CLEAN UP PART FOR TWENTY
TWENTY ONE AND TWENTY TWO I MEAN
YEAH TWENTY TWENTY ONE TWENTY
TWENTY TWO FACT ACCESS- YES
SENATOR DRAWS SO. DON'T KNOW
OKAY. ALL RIGHT GREAT SO SEEN NO
QUESTIONS WE WILL MOVE ON THEN
TO AB ONE TEN WHICH IS THE EARLY
CARE. EARLY CHILD CARE AND
EDUCATION ACTION GO AHEAD MISLI.
THANK YOU AB ONE TEN IS A BILL
IN EARLY CHILD CARE AND- EARLY
EDUCATION THIS BILL AUTHORIZES
THE CALIFORNIA DEPARTMENT OF
EDUCATION AS AS WELL AS THE
DEPARTMENT OF SOCIAL SERVICES TO
USE AVAILABLE FEDERAL FUNDS. TO
PROVIDE TEMPORARY STIPENDS TO
CALIFORNIA STATE PRESCHOOL
PROGRAM AND STATE SUBSIDIZED
CHILD CARE PROGRAM PROVIDERS- AN
ESTIMATED ONE HUNDRED TWELVE
MILLION FEDERAL FUNDS BALANCES
AVAILABLE FOR THE DEPARTMENT OF
EDUCATION TO DISTRIBUTE
TEMPORARY STIPENDS. TO PRESCHOOL
PROVIDERS AND AN ESTIMATED ONE
HUNDRED FIFTY NINE POINT ONE
MILLION IN FEDERAL FUNDS BALANCE
IS AVAILABLE FOR THE DEPARTMENT
OF SOCIAL SERVICES TO DISTRIBUTE
TEMPORARY STATEMENTS TO CHILD
CARE PROVIDERS- BUT WITHOUT THE
STATUTORY CHANGE THESE FEDERAL
FUNDS WOULD OTHERWISE GO AND
SPEND. AND RETURN AND BE
RETURNED TO THE FEDERAL
GOVERNMENT. AND LASTLY THIS BILL
EXTENDS THE WAIVER OF FAMILY
FEES FOR STATE SUBSIDIZED HEALTH
CARE PROGRAMS. AND THE
CALIFORNIA STATE PRESCHOOL
PROGRAM FROM JULY ONE TWENTY
TWENTY THREE THROUGH THE END OF
SEPTEMBER OF THIS YEAR. I'M
HAPPY TO TAKE ANY QUESTIONS FROM
THE COMMITTEE- VACANCY LET ME-
FOR FOUR EIGHT I'M SURE THERE'S
GONNA BE SOME QUESTIONS BUT LET
ME JUST- MAKE SOME COMMENTS BUT
ALSO BEFORE I MAKE THE COMMENTS
ON THE JUST ASK. I KNOW THAT OUR
OWN CHILD CARE UNIONS IN
NEGOTIATIONS NOW. AND THIS
ACTION INCLUDES STIPENDS. AND
HI- I WANTED TO I GUESS I WANT
TO KNOW FROM YOU. DO ANY OF THE
ACTIONS THAT WE ARE TAKING TODAY
TO UC'S ARPA MONIES. ARE THEY
GOING TO AFFECT IN OTHER WORDS
DOES THE ADMINISTRATION CD'S AS
REPLACING ANYTHING THAT WE MAY
BE NEGOTIATING FOR OUR OUR JUNE
BUDGET. THIS IS A SEPARATE AND
INDEPENDENT ACTION AND IT IS FOR
A BUCKET OF FUNDS THAT WOULD
OTHERWISE DEFINED SPENT TO BE
REVERTED BACK TO THE FEDERAL
GOVERNMENT SO WE DON'T WANNA
LEAVE ANY MONEY ON THE TABLE-
AND THAT I WOULD SAY THIS IS. A
SEPARATE ACT TO WHAT IS
HAPPENING AT THE BARGAINING
TABLE. OKAY SHE ADDED- THE- I
KNOW THAT- AT LEAST THE
DEMOCRATIC SENATE PLAN. HAS
STRONG ADVOCACY FOR RATE
INCREASES AND BY- I ASKED THE
QUESTION BECAUSE I WANT TO MAKE
SURE THAT OUR APPROVAL OF THIS
MONEY THAT I UNDERSTAND NOW WHAT
OTHERWISE WE WOULD LOSE- TO
PROVIDE THE STATEMENTS WHICH IS
SOMETHING THAT WE- WE AS A BUNCH
COMMITTEE PRIORITIZE DURING THE
PANDEMIC TO PROVIDE OUR CHILD
CARE. OPERATOR STATEMENTS
BECAUSE SO MANY OF THEM IN FACT
THEY THEY HAD TO STOP OPERATING
THEY DIDN'T HAVE- THEY DIDN'T
HAVE FAMILIES PAYING BECAUSE WE
SHUT DOWN. SO THE STATEMENTS
WERE TO HELP- TO BRIDGE THAT.
AND IT WAS THE ARE BOTH THE
FEDERAL GOVERNMENT'S PURPOSE FOR
APPROVING THE MONEY AND OUR
INTENT FOR ACCEPTING IT- BUT I
JUST WANTED TO CLARIFY THAT.
THIS THAT ARE ACTION NOW WHILE
IT STEMS FROM THE PANDEMIC AND
IS UTILIZING THESE- FEDERAL
FUNDS. DOES NOT AFFECT EITHER
OUR NEGOTIATIONS WITH THE
ADMINISTRATION ON THE R. BUDGET
POSITION AROUND RATES FOR STATE
CHILD CARE- UNIONS NEGOTIATIONS.
ENTERS CAN I WOULD JUST ADD THAT
THAT THESE FUNDS HAVE BEEN
OBLIGATED SPECIFICALLY FOR
STIPENDS AND SLOTS VERSUS. MORE
ON GOING RIGHT DISCUSSION VERY
AND THAT WAS ALSO UNDER FEDERAL
RULES CORRECT NOT JUST THE STATE
START- AND THAT IS WHAT WE AS A
STATE OBLIGATED THOSE FUNDS FOR
TO THE FEDERAL GOVERNMENT LAST
YEAR WHEN UPON. RECEIPT OKAY
GREAT LET ME SEE IF THERE'S A
YES- CENTER. THANK YOU SO MUCH
GOOD MORNING- QUESTION TO EITHER
DEAL WITH FOR LEO HOW MUCH OF
FEDERAL FUNDING WE HAVE LEFT
OVER FROM OUR- OUR BOOK. FUNDS
THAT CAN GO INTO CHILD CARE- THE
FINE THAT ARE ON. THE STATE ARE
IT'S A HUNDRED MILLION FEDERAL
FUNDS TOP OF THAT'S ONE THAT
CAME IS A POTENTIAL CALLED BACK.
WE HAVE ANOTHER POT- I AM I'LL
HAVE TO CALL FOR ASSISTANCE ON
THE- JACKIE BRISTOW AT THE
LEGISLATIVE ANALYST'S OFFICE WE
WOULD NOTE THAT THERE IS A
BUCKET OF FUNDING THAT IS SET TO
EXPIRE SEPTEMBER TWENTY TWENTY
FOUR. THAT IS BEING PRIMARILY
USED IF I'M CORRECT FOR SLOT
INCREASES THOSE FUNDS ARE
IMPACTED BY THIS EARLY ACTION
ITEMS THE OF THE FUNDS THAT ARE
IMPACTED BY THIS EARLY ACTION
ITEM OR THOSE THAT EXPIRE
SEPTEMBER TWENTY TWENTY THREE
THE LEGISLATURE WOULD STILL-
POSSIBLY NEED TO MAKE DECISIONS
ON HOW TO EXPAND ANY. FREED UP
FUNDING FROM THAT SEPTEMBER
TWENTY TWENTY FOUR BUCKET AND
THERE'S TIME TO DO THAT THROUGH
THE NORMAL BUDGET PROCESS YOU
KNOW HOW MUCH WE HAVE LEFT IN
THAT TWENTY TWENTY FOUR BUCKET
AFTER THIS IS IT. IT ALLIES AND
THAT'S DEPENDENT ON SLOT TAKE UP
RATE WHICH ARE UNDERSTANDING IS
IT IS SLOWER THAN EXPECTED- WE
ARE NOT FAMILIAR WITH A CURRENT
ESTIMATE OF THOSE FUNDS- OUR
OFFICE IS WORKING ON A BROADER
ESTIMATE OF THAT AND HOPEFULLY
WE WILL. BE ABLE TO REPORT BACK
SOON- BUT I WOULD DEFER TO THE
ADMINISTRATION ON- ANY ESTIMATE
THAT THEY HAVE FOR THAT
PARTICULAR BUCKET. FIVE GABBY
CENTER DEPARTMENT OF FINANCE- I
JUST WANT TO ADD THAT- THE
ADMINISTRATION IS WORKING
CONTINUOUSLY TO MAKE SURE THAT
WE ARE MAXIMIZING USE OF ALL THE
FEDERALLY FUNDS THAT WERE
AWARDED TO THE STATE- AND- AS
PART OF OUR- FORTHCOMING A
PROPOSAL FOR THE MAY REVISION TO
THE GOVERNOR'S BUDGET WILL BE.
PROPOSING ANY ON ANY FUNDS THAT-
ANY BALANCES THAT WE HAVE- AND
COVER TO MAKE SURE THAT WE'RE
SPENDING EVERY DOLLAR THAT WE
WERE. AWARDED THANK YOU SO MUCH
- I HAVE A FOLLOW UP QUESTION TO
THAT SO WHEN IN DEPARTMENT
FINANCE CAN ANSWER LA- WHEN YOU
REFERENCE THAT THIS MONEY THIS
BUCKET. THAT WE HAVE AVAILABLE
UNTIL TWENTY TWENTY FOUR. IS FOR
SLOTS IS THAT. A A DECISION THAT
WE MADE WE'D BE. IN OUR BUDGET
ACT FOR A FOR A REQUIREMENT
AFTER THE FED'S. RIGHT AND SO I
GUESS THE IMPLICATION MY
QUESTION SINCE THE BEST WE HAVE
FLEXIBILITY ON IT. FOR RE
PURPOSING IT FOR EXAMPLE FOR
OTHER CHILD CARE NEEDS. IT THE
ADMINISTRATION CORRECT ME IF I'M
WRONG BUT THE OBLIGATION DATE
FOR THAT I BELIEVE IS SEPTEMBER
TWENTY TWENTY THREE. THE
DECISION A USED- THAT PARTICULAR
BUCKET OF MONEY FOR SLOTS THAT
WAS A STATE DECISION- TO THE
EXTENT THAT OBLIGATION COULD
CHANGE. OUR UNDERSTANDING IS WE
HAVE UNTIL SEPTEMBER TWENTY
TWENTY THREE TO LOCK IN THOSE
OBLIGATIONS. OKAY AB ELABORATE
ON L. A. AS COMMENTS JUST
AFFIRMING THAT. THAT APPLICATION
DEADLINE IS THE SEPTEMBER SO.
OUR PROPOSAL IS LIKE ESSENTIALLY
LIKE. THE WAY THAT WE CAN MAKE
SURE THAT WE'RE NOT LETTING
THOSE FUNDS REVERT. THE MEANING
OF. THIS PROPOSAL THAT WE'RE
DEALING WITH RIGHT NOW IS NOT
THAT BUCKET IT IS DIFFERENT. THE
SUIT SAID THAT THE BUCKET THAT
IS PROPOSED AS PART OF EARLY
ACTION THAT IS WHAT IS EXPIRING
SEPTEMBER TWENTY TWENTY THREE
RIGHT BUT THE TWENTY TWENTY FOUR
IS WHAT WE WERE ASKING THE
QUESTIONS ABOUT FOCUS. APOLOGIES
MY MISUNDERSTANDING- THE SERVER
SO- THE ADMINISTRATION HAS
WORKED OF LEGISLATURE TO. HAVE
INITIAL ALLOCATIONS OF ALL THE
FEDERAL FUNDS THAT WERE AWARDED
BASED ON WHATEVER THE FEDERAL
APARTMENTS ARE. THESE DIFFERENT
PARTS HAVE DIFFERENT WAYS THAT
WE CAN USE THE FUNDS. WHAT WE
PLAN 2% IS ANY BALANCES THAT WE
UNCOVERED BASED ON THE WAYS THAT
THE ADMINISTRATION AND
LEGISLATURE HAD AGREED TO
ALLOCATE THESE FUNDS IF THERE
ANY BALANCES. WE WOULD
REALLOCATE THOSE THAT WE ARE
MEETING THE SEPTEMBER THIRTIETH
TWENTY TWENTY FOUR. A
LIQUIDATION DEADLINE SO DO WE
EXPECT THAT WE WOULD TAKE THAT
ACTION GIVEN THAT IT HAS TO BE-
ALLOCATOR APPROPRIATED BY TWENTY
TWENTY THREE THAT WE WOULD.
SEPTEMBER TWENTY TWENTY THREE
THAT WE WOULD TAKE THAT ACTION
ON THIS SECOND BUCKET THAT- IS
AVAILABLE TO US TILL SEPTEMBER
TWENTY TWENTY FOUR THAT WE WOULD
TAKE THAT ACTIONS IN OUR JUNE
BUDGET ADOPTION. THAT IS CORRECT
. OKAY SO THAT. IN THE
NEGOTIATIONS BETWEEN NOW AND
THEN WE HAVE SOME ABILITY TO-
TO. TO DISCUSS WHAT ARE WHAT IS
THE APPROPRIATE- DIRECTION
YOU'RE USED TO THOSE FUNDS.
THAT'S RIGHT YOU YOU SHOULD BE-
RECEIVING THAT AND ARMY
REVISIONS. OKAY RIGHT OTHER
QUESTIONS FOR MANY OTHER MEMBERS
ON THIS CHILD CARE BUCKET. FILE
ITEM. OKAY I KNOW OUR QUESTIONS
. JUST NOW WE'RE ALL ABOUT MONEY
THAT IS NOT BEFORE US. WHAT
WE'RE DEALING WITH NOW IS JUST
THE MONEY THAT WOULD WAY FAMILY
FEES AND PROVIDE THE STIPENDS.
AND IS MONEY THAT WILL BE- WE
WILL NO LONGER HAVE ACCESS TO
FROM THE FEDS UNLESS WE ACT NOW.
OKAY SO NOW WE'LL GO TO OUR NEXT
ITEM WHICH IS A. B- ONE ONE ONE.
AND IT IS ON THE- EXCLUDING OUR
STUDENT LOAN DEBT RELIEF FROM
PERSONAL INCOME TAX. THANK YOU
AB ONE ELEVEN IS A BILL THAT
PROVIDES TAX RELIEF TO
CALIFORNIANS WHO HAD TO STUDENT
LOANS ARE FEES DISCHARGED AS
PART OF FINANCIAL RELIEVED
INDIVIDUALS IMPACTED BY ECONOMIC
HARDSHIP FROM THE COVER NINETEEN
PANDEMIC. SPECIFICALLY UNDER THE
AMERICAN RESCUE PLAN AFTER OUR
PHONE FEDERAL LICENSE LAWS
EXEMPTS LOANS DISCHARGED IN
TWENTY TWENTY ONE THREE TWENTY
TWENTY FIVE FROM TAXATION. AND
THIS BILL WOULD ALLOW THE STATE
TO PROVIDE THE SAME TAX RELIEF
AT THE STATE LEVEL. THIS BILL
ALSO INCLUDES STUDENT LOAN DEBT
THAT WOULD BE DISCHARGED UNDER
THE BIDEN HERE'S MINISTRATIONS
FEDERAL STUDENT LOAN DEBT RELIEF
PLAN WHICH IS CURRENTLY ON HOLD.
THIS BILL ALSO EXEMPTS FROM
STATE INCOME TAX THE COMMUNITY
COLLEGE FEES DISCHARGED UNDER
THE COVER NINETEEN EMERGENCY IN
TAXABLE YEARS TWENTY TWENTY TWO
THROUGH TWENTY TWENTY SIX- AND
FINALLY THE BILL CLARIFIES AT
THE HIGHER EDUCATION EMERGENCY
GRANT FUNDS RECEIVED BY STUDENTS
IN POSTSECONDARY EDUCATION. TO
SUPPORT EXPENSES AND FINANCIAL
NEEDS OF STUDENTS RELATED TO THE
KOBE NINETEEN PANDEMIC ARE NOT
SUBJECT TO STATE INCOME TAX IN
TAXABLE YEARS TWENTY TWENTY
THROUGH TWENTY TWENTY SEVEN. I'M
HAPPY TO TAKE ANY QUESTIONS FROM
THE COMMITTEE. LET ME SEE IF
THERE ARE ANY FROM MIKE. THE
QUESTION ONE GO AHEAD. S.
INTERVIEW- BOB BE SUPPORTING THE
BUT IT AND TO POINT OUT THAT WE
REALLY DON'T KNOW WHAT THE
FISCAL IMPACT IS BECAUSE- IT
WILL CHANGE SIGNIFICANTLY
DEPENDING UPON US FOR A SPRING
COURT DECISION. CORRECT THAT IS
TRUE FOR THE BITING HER CANCER-
BUT UNDER THE ARPA- STUFF
FEDERALIZE OPTIONS WE DON'T
EXPECT THIS TO HAVE IT LARGE OR
SIGNIFICANT REVENUE IMPACT ON
THE STATE. THE FORGIVENESS OF
THE STUDENT LOANS AS PROPOSED BY
THE BITE AND MINISTRATION
CURRENTLY BEFORE THE SUPREME
COURT YOU DO NOT. BELIEVE THAT
WILL HAVE A SIGNIFICANT M. SORRY
UNDER THE R. BUT RESCUE PLAN ACT
THE FEDERAL LAW EXEMPTS LOANS
THAT WERE DISCHARGED INSULTS A
SEPARATE SET OF LOANS- BUT THE
BIDEN HARRIS- PROGRAM AS YOU
MENTIONED IS ON HOLD AND SO
THERE'S- THERE. AT THIS POINT
THE EXPECTATION IS THAT IT COULD
PROVIDE RELIEF OF UP TO ONE
POINT THREE. BILLION IN TAX
RELIEF FOR CALIFORNIANS- BECAUSE
WE HAVE ABOUT THREE POINT FIVE
MILLION CALIFORNIANS THAT WOULD
BE ELIGIBLE- BUT AGAIN AS YOU
STATED THIS IS ON HOLD-
INDEFINITELY CANCELLING WE ARE
APPROVING IT BUT WE DON'T KNOW
WHAT THE FISCAL IMPACT US- WE
HAVE AN ESTIMATE THAT IT WOULD
BE. LESS THAN ONE POINT THREE
BILLION. THE BILL. THE FIRM.
RIGHT DO SOME FOLLOW UP ON. AND
OUR- OBVIOUSLY S. R. VICE
CHAIRMAN OUT. THE RELIEF THAT IS
PER BY BY DIDN'T. IS NOW BEING
UP IN THE COURTS HOW THERE
THREE. THAT WAS PROVIDED DURING
THE PANDEMIC SO THIS AT LEAST
MAKES CALIFORNIA WHICH WE
OTHERWISE WITHOUT ACTING ARE NOT
CONSISTENT WITH FEDERAL LAW FOR
THOSE PEOPLE THAT DID- ACCESS
THAT RELIEF FUND STUDENT LOANS
DURING THE PANDEMIC THAT THEY
WOULD NOT HAVE THAT. A STATE TAX
OBLIGATIONS SO IT DOES MAKE IT
RELEVANT TO ACTING NOW IS THAT A
CORRECT STATEMENT. THAT'S
CORRECT OKAY. GREAT YEAH I JUST
WANT TO ADD TO MR CENTER DELES
IDENTIFY YOUR SORRY COLBY WHITE
DEPARTMENT FINANCING- STIRRED
CENTER NEIL'S COMMENTS THAT THE
BUDGET WE DON'T CURRENTLY HAVE
ANY COULD BECAUSE THE PINE ERIS
PLAN IS NOT CURRENT LAW. WE ARE
NOT THERE'S CURRENTLY NO-
RECOGNITION THAT WE WOULD
RECEIVE ANY REVENUES. AS A
RESULT OF- A FORGIVING THAT
STUDENT DEBT SO THAT'S THAT'S
THE BASELINE WHERE WE ARE RIGHT
NOW. AND JUST TO POINT OUT THAT
AS MISLI MENTIONED WE DO EXPECT
THIS TO PROVIDE UP TO ONE POINT
THREE BILLION IN RELIEF TO
TAXPAYERS- BUT THE ACTUAL
REVENUE IMPACT IF WE WERE TO
SCORE IT WOULD BE. SIGNIFICANTLY
LESS THERE'S A MANY BORROWERS
THAT WOULD QUALIFY FOR AN
EXCLUSION BASED ON A
CANCELLATION OF DEBT INCOME WHEN
THEIR ASSETS. DO NOT EXCEED
THEIR LIABILITIES ARE
LIABILITIES EXCEED THEIR ASSETS.
AND THEN- AND SECONDARILY WE
EXPECT THIS COMPLETES CONFORM IS
VERY IMPORTANT. BECAUSE
TAXPAYERS- THAT AFFECT THE
FEDERAL GOVERNMENT IS INDICATED
THAT THEY WILL NOT BE ISSUING
TEN NINETY NINES THERE WILL BE A
LOT OF CONFUSION. AND THEREFORE
THIS- IT IT'S NOT CLEAR HOW HOW
TAXPAYERS WOULD RESPOND. TO ME
TO KNOCK IN A TEN NINETY NINE
AND WHAT THEY WOULD ACTUALLY.
REPORT ON THE TAX RETURN. SORRY
ANY OTHER COMMENTS QUESTIONS.
RIGHT WE WILL THEN MOVE TO. OUR
FOURTH FILE ITEM FOR IS AB ONE
ONE TWO ONE TWELVE. ON THE-
DISTRESSED HOSPITAL LOAN PROGRAM
. YES AB ONE TWELVE DISTILLATES
DEVILISH IS A NEW SHORT TERM
LOAN PROGRAM TO PROVIDE INTEREST
FREE CASH FLOW LOANS TO
QUALIFIED HOSPITALS IN EXTREME
FINANCIAL DISTRESS IN ORDER TO
STABILIZE HIS HOSPITALS. AND
ALLOW AND MAINTAIN ACCESS TO
CARE PARTICULARLY IN RURAL AND
DISADVANTAGED COMMUNITIES- IT
ESTABLISHES THE DISTRUST
HOSPITAL LOAN FUND AND
AUTHORIZES THE DEPARTMENT OF
FINANCE TO TRANSFER UP TO ONE
HUNDRED FIFTY MILLION GENERAL
FUND. TO THAT FUND TO BE
AVAILABLE FOR THIS PARTICULAR
PROGRAM. THE BILL REQUIRES THE
DEPARTMENT OF HEALTH CARE ACCESS
AND INFORMATION OR H. CHI AND
THE CALIFORNIA HEALTH FACILITIES
FINANCING AUTHORITY- TELEPHONE
TO DEVELOP A METHODOLOGY TO
DETERMINE ELIGIBILITY
ELIGIBILITY FOR THIS PROGRAM.
THIS BILL STATES THAT LOANS WILL
BE INTEREST FREE AND PAID BACK
OVER SIX YEARS AND IF CERTAIN
CONDITIONS ARE MET A PORTION OF
THE LOAN MAY BE FORGIVEN AT THE
DISCRETION OF THE STATE-
IMPORTANT TO KNOW PRIOR TO LOAN
FORGIVENESS THE BILL REQUIRES
APPROVAL BY THE DEPARTMENT OF
FINANCE AND NOTICE TO THE JOINT
LEGISLATIVE BUDGET COMMITTEE AS
WELL AS RELEVANT FISCAL AND
POLICY. COMMITTEES OF THE
LEGISLATURE. AND REGARDING OTHER
ACCOUNTABILITY AND TRANSPARENCY
MEASURES THIS BILL INCLUDES
LEGISLATIVE REPORTING ON LOAN
FORGIVENESS AS I JUST MENTIONED
AS WELL AS ON ANY LOAN
MODIFICATIONS. IT REQUIRES
ELIGIBLE FACILITIES TO SUBMIT
FINANCIAL INFORMATION WHICH WILL
BE TREATED CONFIDENTIALLY. BY
APPROPRIATE STATE OFFICIALS
SIMILAR TO OTHER PROGRAMS-
REGULATING SENSITIVE INFORMATION
AND IT ALSO AUTHORIZES THE STATE
TO IT REQUIRE ANY HOSPITAL WITH
OUTSTANDING LOANS FOR A YEAR TO
PROVIDE AN INDEPENDENT AUDIT. OF
ITS OPERATIONS LASTLY THIS
PROGRAM WILL SUNSET ON DECEMBER
THIRTY FIRST OF TWENTY THIRTY
ONE- WE'RE HAPPY TO RESPOND TO
ANY COMMITTEE QUESTIONS ON THIS
BILL. GREAT I THINK THERE WILL
BE SOME QUESTIONS- CENTER
MENJIVAR SENATOR PEDIA CENTER
LAYERED. IN CENTER DRAWS THE
MANAGER- I UNDERSTAND H. CARLY
IT'S GOING TO GIVE OUT THE- PUT
OUT THE LEGIBILITY OF. QUICK
QUESTION IF WE'VE TALKED ABOUT
ALREADY HOW MANY HOSPITALS THIS
WILL HELP IN SECOND. DO WE
ANTICIPATE WITH THE SUNSET DATE
OF TWENTY THIRTY ONE IT'S GOING
TO TAKE US THAT LONG TO-
DISTRIBUTOR HUNDRED FIFTY
MILLION. I WILL RESPOND TO YOUR
FIRST QUESTION AND THEN TURNED
OVER TO MY COLLEAGUE I'M IN
REGARDS TO THE NUMBER OF
HOSPITALS HEALTH I THINK THIS
IS- IT'S A SHORT TERM FIX TO A
LONGER TERM PROBLEM. AND AT THIS
POINT- THE HUNDRED FIFTY MILLION
AND THE REASON FOR I'M GOING TO
EARLY ACTION IS TO ADDRESS
IMMEDIATE. CONCERNS IMMEDIATE
NEEDS OF CERTAIN HOSPITALS AND
THERE WILL BE A DETERMINATION OF
ELIGIBILITY FROM BOTH H. CHI AND
JAVA IN REGARDS TO THE- THE
NEEDS OF THE HOSPITALS THE
PRIORY'S OF THOSE THOSE HOSPITAL
SO CAN'T GIVE AN ANSWER TO THE
QUESTION OF THE NUMBER OF
HOSPITALS THAT THE IDEAS TO.
ADDRESS IMMEDIATE URGENT NEEDS
NOW VERSUS WAITING FOR JULY ONE
TO COME FOR AT LEAST WE MAY HAVE
AN UNDERSTANDING HOW MANY WHICH
HOSPITALS ARE- I THINK BASED ON
THE ELIGIBILITY REQUIREMENTS AND
THE DIFFERENT FACTORS THAT H.
HIGH AND TOUGH ARE LOOKING AT-
WE MAY HAVE A SENSE- I. I CAN'T
SPEAK TO THE SPECIFICS ON THAT-
AND IN REGARDS TO YOUR SECOND
QUESTION- TURN THAT OVER TO. MY
COLLEAGUE ADAM DORSEY. THANK YOU
FOR THAT AND RECEIVED BERMAN
FINANCE- SO. THE LANGUAGE ALLOWS
UP TO SEVENTY TWO MONTHS TO
ROUTE TO REPAIR THE LOANS- BUT
THIS IS A BIT OF A FLUID
SITUATION AND EVERY HOSPITAL
SITUATION MAY BE A LITTLE BIT
UNIQUE AND SO IT'S UNCLEAR.
WHETHER HOSPITALS WILL WILL NEED
THE SEVENTY TWO MONTHS BUT
THAT'S SORT OF THE FRAMEWORK
THAT THE LANGUAGE SETS UP. FOR
THE FIRST TO THE TWENTY THIRTY
ONE INCHES THE DATE THEY HAVE
UNTIL THEY CAN PAY IT BACK NOT
FOR US TO. DISPERSE THE FUNDS.
THEY HAVE SEVENTY TWO MONTH FROM
THE THAT THE LOAN IS A- TO RIP.
IT THE SUN DATE IS JUST. SORT OF
WRECKING. THAT THIS IS A YOU
KNOW. THE ESPECIALLY MENTIONED.
YOU KNOW TEMPORARY PROGRAM TO
GET US THROUGH THIS PERIOD TO
KIND OF MAKE A DETERMINATION AS
TO- YOU KNOW HOW THE STATE
SHOULD PROCEED IN ON AN ONGOING
BASIS. CENTER PDF. THANKS VERY
MUCH. I'M SURE THAT MINISTRATION
REQUESTED BUILD AUTHORIZED TOTAL
TRANSFER AUTHORITY UP TO ONE
HUNDRED FIFTY MILLION THREE
TWENTY FOUR. THEY PROVIDE. ANY
ANALYSIS AS TO WHETHER IT'S TO
THE SUFFICIENCY OF THAT NUMBER
IN THE NEAR TERM GIVEN THE
SUBSTANTIAL. ACUTE DISTRESS TO
SOME OF THESE DELIVERY SYSTEMS
FIND THEMSELVES AND PARTICULARLY
IN RURAL AND UNDER INVESTED.
COMMUNITIES TO SERRA. IS OUR
METHODOLOGY THAT THEY UTILIZED
TO ARRIVE AT THAT THIRTY REQUEST
THAT IT WOULD BE SUFFICIENT TO
COVER DEMAND. SOMEBODY ADDRESS
AT THE- SURE CENTER PEDIA ERIC
WITH OF FINE. AND I'M- GOING
BACK TO MY COMMENT EARLIER I
THINK YOU KNOW. WE ARE- AND
ADDING A LITTLE COLOR OBVIOUSLY
WE'RE FACING OFFICE FISCAL
CONSTRAINTS AT THIS MOMENT AND-
BUT WE ALSO UNDERSTAND THAT
THERE ARE NEEDS THAT AT. VARIOUS
HOSPITALS TO ADDRESS SOME OF
THEIR FINANCIAL ISSUES AND SO
HUNDRED FIFTY MILLION AS
SOMETHING THAT WE BELIEVE WE CAN
ABSORB AT THIS TIME- AT FURTHER
DISCUSSIONS ON ADDITIONAL FUNDS
I THINK WE'LL BE NECESSARY
BEYOND THIS TIME- BUT THAT IS-
TRYING TO ADDRESS AN ISSUE.
DURING FISCAL CONSTRAINTS IS
ALWAYS DIFFICULT BECAUSE YOU'RE
ALWAYS BALANCING LOTS OF
PRIORITIES BUT THIS IS OBVIOUSLY
A PRIOR TO THE ADMINISTRATION OF
THE LEGISLATURE TO COMMUNITIES
AND SO WE ARE TRYING TO ADDRESS
THAT. URGENTLY UNDERSTAND
APPRECIATE THE WORK I THINK
YOU'RE SPEAKING TO THE CAPACITY
AND THE RELATIVE SORT OF-
PRIORITY SETTING THAT YOU ALONG
ON THE BUDGETING SIDE WE HAVE TO
ADDRESS. AS A LEGISLATURE THAT'S
DISTINCT FROM SORT OF A THOROUGH
ANALYSIS ON THE DEMAND SIDE OF
WHAT THE EXTENT AND NATURE. OF
THE CAPITAL ASSISTANCE REQUIRED
AND HOW WE PRIORITIZE WHAT
SYSTEM IS IN THE MOST DIRE NEED
VIS A VIS OTHER SYSTEMS SEEMS TO
ME YOU WANT TO BE STRATEGIC
ABOUT THAT AS WELL SO THAT
ANALYSIS IS ULTIMATELY REALLY
IMPORTANT. AS WELL AND I WOULD
LOOK FORWARD UNDERSTANDING. MORE
AS A KIND OF ALL THE PROCESS
THANK. YOU MANAGER. SENDER
LAYERED. THING YOU VERY. LET ME
JUST. ASK A- QUESTION. IN THAT
IS YOUR TALK ABOUT. SHORT TERM.
IT THIS REALLY. STRESSED
HOSPITALS RIGHT NOW AND YOU
THINK THAT IN THE BUDGET PROCESS
IN JUNE WE WILL TALK ABOUT
EITHER A LARGER AMOUNT OR A
LONGER TERM FIX THIS JUST GETS
US TO THE BUDGET IS THAT THE
INTENT OF THE SIDE OF. WELL AS
AS NOTED THE SUNSET IS THROUGH
DECEMBER THIRTY FIRST TWENTY
THIRTY ONE AND THEN. WE BELIEVE
THAT IS SHORT TERM BECAUSE IT IS
A PROBLEM THAT WILL TAKE. NO I
GET THAT COMPLETELY. BUT. THE
THIS IS YOUR IDEA THAT THIS THE
TOP. RISK TO THE DISTRESSED AT
THIS IS GETTING US THROUGH THE
SHORT TERM AND WE'RE GONNA TALK
ABOUT THIS IN JUNE. ABOUT
WHETHER THERE'S A LOT MORE TO DO
. YES THAT AS MENTIONED THIS IS
TO GET US THROUGH THIS- THIS
ACT. IN THE ANIMAL NO I KNOW I
ASKED IF IT WAS SHORT TERM AND I
GOT AN ANSWER ABOUT TWENTY
THIRTY ONE. SO OR WHATEVER THAT
WAS I GUESS JUST TRYING TO
FIGURE OUT IF THIS IS SHORT TERM
CHERNOBYL AND DEFINITELY MORE
DISCUSSIONS NEED TO OCCUR FOR
AND THEN SOME I HAVE A MORE A
SERIAL QUESTION AND BASICALLY.
IT'S ABOUT THE GUARD RAILS ON
THIS AND IT'S SAYS THERE'S
PLANTS BUT IT'S ABOUT HOW YOU
JUDGE THE PLANS AND HOW YOU ACT
ON THE PLANS AND- JUST TO USE
THREE EXAMPLES. IT'S LAST YEAR.
I WORKED REALLY HARD ON SAVING A
HOSPITAL. AND THEY HAD A VERY
PLAN OF WHAT IT TOOK. A BOSTON
OPERATING DEFICIT GETTING TO A
THING MOVING TO PUBLIC. ART
AMOUNT OF MONEY THAT WOULD HELP
ON THERE AND THEN IT WAS
PURCHASED A RENEGOTIATED. THEIR
PROVIDER AGREEMENTS THEY'RE ON
THE PATH TO SUSTAINABILITY. AND
IT WAS A LITTLE STATE SUPPORT
AND A BIG COMMUNITY UP. THEN
THERE'S ANOTHER ONE IN MY ABOUT
TO BE DISTRICT. THAT IS GOING
ON- AND THEY'RE NOT BEING REALLY
TRANSPARENT. DAYS SORT OF WANT
MONEY FOR A TWO MONTH PERIOD AND
BASICALLY IT'S SO THAT WE CAN
ASK FOR MORE MONEY IN TWO
MONTHS. AND IT'S OSTENSIBLY
ABOUT THE SAME LEVEL OF SERVICE
AND THEN THEY CLOSE CLINICS
DURING THOSE TWO MONTHS AND TO
ME THAT'S NOT BEEN TRANSPARENT.
AND THEY DON'T HAVE A PLAN FOR
GETTING THERE. AND THEN THERE'S
A THIRD HOSPITAL LET'S. THAT
PEOPLE ARE FAMILIAR WITH ON THE
DAY. DIED CLOSE. WITH SORT OF-
DOING SOME OF THE THEY COULD DO
TO REMAIN OPEN AND I WOULD BE A
MUCH BIGGER HILL TO GET THEM TO
RE OPEN. SO ALL THREE MIGHT BE
QUALIFIED EVEN UNDER THIS EVEN
THOUGH ONE OF THEM IS PRETTY
MUCH. ON THE PAST THE
SUSTAINABILITY WITHOUT THIS. SO
HOW DO YOU DECIDE IT SAYS THEY
HAVE TO SUBMIT A PLAN YOU HAVE
TO DETERMINE VIABILITY BUT YOU
GOT ALL THESE FACTORS ABOUT.
THAT IT'S JUST TEMPORARY SPORTS
NOT REALLY SUSTAINABLE WHAT ARE
CUTTING THE LEVEL OF SERVICE.
HOW DO YOU DECIDE. IN A PRIORITY
ABOUT WHERE TO PUT MONEY IN
WORST TO GUARD RAILS ON THIS TO
MAKE SURE THEY THEY TRULY HAVE A
PLAN TO SUSTAINABILITY. AND WE
ARE SUPPORTING THAT BECAUSE IT
SEEMS TO ME THAT. THAT IF YOU
LOOK AT PAGE SIX OF THE BILL
WHICH MAKE A DETERMINATION ABOUT
WHAT PLAN IS VIABLE. AND IT'S
HAVE A STRATEGY HER THE FACTORS
SOMEBODY'S GONNA HAVE TO DECIDE
IT'S UNCLEAR HOW IT'S GOING TO
BE DECIDED AND SO. THAT'S VERY
IMPORTANT TO US IN DECIDING
WHETHER OR NOT TO INVEST IN
ANYTHING AND SO. HOW WOULD YOU
RESPOND TO THAT- SO- IT DID YEAH
THERE IS THERE'S SORT OF A- A
TRADEOFF BETWEEN SORT OF THE
URGENT NEED AND WANTING TO ACT
QUICKLY BECAUSE WE KNOW THAT
HOSPITAL THERE ARE A HANDFUL OF
HOSPITALS THAT- MAY NEED RELIEF
QUICKLY. AND HAVING EVERYTHING
LINED OUT EXACTLY THE WAY THAT
WE ALL WOULD LIKE AND THEN THAT
THE LEGISLATURE WOULDN'T WOULD
LIKE- AT THE OUTSET. AND SO THE
TRADE OFF HERE IS THAT WE'VE
TRIED TO OUTLINE. A FRAMEWORK AS
MUCH AS POSSIBLE. THAT GIVES
SOME FLEXIBILITY FOR US PAID TO
DEVELOP RULES. AND AND CREATE
SOME SOME OF THE DETAILS AROUND
THAT FRAMEWORK. AND SO I THINK
THAT SORT OF THE TRADE OFF HERE
IS THAT IT'S DIFFICULT TO SAY
AND ALSO BECAUSE WE DON'T HAVE
INSIGHT INTO EVERY HOSPITAL'S
BOOKS NECESSARILY AT THE OUTSET-
THAT THERE THE BE SOME SORT OF
PROCESS DEVELOPED FOR THE
DEPARTMENT- THAT THEY CAN MAKE
THAT DETERMINATION ON A CASE BY
CASE BASIS. WHEN YOU SAY YOU
DON'T HAVE INSIGHT INTO THEIR
BOX IT SOUNDS TO ME LIKE YOU'RE
ALMOST SETTING UP THE SITUATION
THIS IS SURGICAL PUTTING TO MUCH
MONEY IN. TWO MONTHS THE MONEY.
I NEVER FINDING TO THEIR BOOKS
THAT THAT WAS MONEY DOWN A RAT
HOLE. BECAUSE THERE'S NO PATH TO
SUSTAINABILITY DOES THAT SOUND
LIKE THAT'S A POSSIBILITY IN
THIS. I'M SORRY SAID I SHOULD
MENTION THAT AS WELL AS THAT-
THAT THAT THERE DOES NEED TO BE
A PATH TO SUSTAINABILITY AS PART
OF THE APPLICATION PROCESS AND I
BELIEVE THERE IS MENTION OF THAT
LANGUAGE AS WELL. AND DON'T GET
ME WRONG I REALLY MOST OF THESE
HOSPITALS ARE DISTRESSED ARE
RURAL. MOST OF MORE
DISADVANTAGED COMMUTER LOT ARE
DISADVANTAGED COMMUNITIES AND A
LOT OF MORE DUE TO THEIR MIX.
OF- OF PAY. BENEFITS
OVERWHELMING PUBLIC PAY EASE.
IT'S OVERWHELMINGLY. AND I KNOW
IN THE BUDGET. WE'RE NOT TALKING
ABOUT IT HERE. BUT IF THE TAXES
RESTORED ON A MATIC CAL DAY.
ALLOWS FOR IN. IN MEDICAL RATES
THAT BE SOMETHING THAT HELP US.
THERE SOME OF THINGS THAT MY
MAKE IT WORK BUT- AHA HE IS OUT
. THING I'VE- BECAUSE I SPENT
SIX MONTHS WORKING ON SAVING THE
HOSPITAL LAST YEAR THEY WANTED
TO HELP THEMSELVES. AND WANTING
TO HELP THEMSELVES THAT A PLAN-
THAT THE COMMUNITY BEHIND- WE
KNEW WHAT WE HAD TO DO. AND
THERE'S SOME THAT YOU DON'T GET
A FEELING TOTALLY HAVE ACCEPTED
THE FACT THAT THEY WANT TO HELP
THEMSELVES ARE NOT BEING
TRANSPARENT. YOU KNOW NURSES ARE
STANDING AT PODIUMS AT HOSPITAL
MEETINGS AND SAYING WE DON'T
UNDERSTAND WHAT THE FINANCING IS
HERE. AND IT'S HOW WE EXACT THAT
FROM THIS PROCESSES I THINK MY
CONCERNED TO MAKE SURE THAT.
HOME WHAT'S MISSING IN PEOPLE
WANTING TO HELP THEMSELVES SO I
KNOW SOME OF THIS IS VERY
ETHEREAL. IT BUT IT'S JUST HOW
DOES THE SYSTEM GET ADDED AND I
REALLY APPRECIATE THIS AND I
THINK IN SOME WAYS I'M NOT SURE
THAT THERE'S ANYTHING TO DO
DIFFERENT ABOUT THIS BILL. BUT
IT'S TO RECOGNIZE THAT THAT'S A
CONCERN IT HAS TO BE ACTED UPON
IN THIS BECAUSE- I THINK THE
PREVIOUS QUESTION ABOUT HOW MUCH
IS GOING TO WORK HOSPITAL. WILL
OBVIOUSLY BE DETERMINED BY THESE
PLANS BUT IF. IF WE FIND OUT
SEVENTY FIVE MILLION IS GOING TO
ONE HOSPITAL A DAY REALLY. OUR
ONE ON A PATH TO SISTER. IN A
LOT OF SMALL RURAL HOSPITALS
REQUIRE A LESSER AMOUNT AND
THEY'RE NOT GETTING IT THOSE ARE
SOME OF THE- BALANCES IN THIS
THAT DON'T TOTALLY WORK SO. I
JUST FELT LIKE I NEEDED TO MAKE
THOSE CONCERNS AND I THINK WHEN
WE HAVE THIS DISCUSSION IN JUNE
BECAUSE WE ARE LOOKING MORE LONG
TERM. I'M HOPING WE HAVE A
LITTLE BIT OF A TRACK RECORD ON
THIS MONEY TO START TO TELL US
WHAT WAS NECESSARY WHAT WAS HOW
ONE OUT THE DOOR. WHAT WE WERE
MISSING AND PLANS WHAT IS NEEDED
IN A SORORITY TO REALLY TAKE A
GOOD FISCAL LOOK AT THIS SO THAT
IF WE ARE LOOKING AT A LONGER
TERM ONE. WE CAN BUILD THOSE
THINGS INTO THE NEXT STEPS THANK
YOU MADAM CHAIR. ALL RIGHT LET
ME- JUST LET YOU KNOW WHO I HAVE
ON THE LIST SO YOU CAN FEEL
COMFORTABLE I'VE- GOT YOU I HAVE
A SENATOR DRAWS- FOLLOWED BY
SENATOR CAFIERO SENATOR DOLLY
AND SENATOR ROTH AND SENATOR
SEYARTO. I THINK THAT'S SENATOR
DRAWS THANK YOU VENTURE- FOR OF
ALL I DO THINK THIS IS THE
NUMBER. A PROPOSAL TO HELP THAT.
TO I WANT TO MAKE SURE THAT. THE
LEGISLATURE IS MADE AWARE OF
WHERE THE MONEY IS GOING. AND IF
THE LIMITED PUBLIC DOLLARS THAT
WE HAVE RIGHT NOW. ARE GOING TO
ACTUALLY PRESERVE ACCESS TO CARE
- AND- I JUST WANNA SAY FROM THE
ONSET I. APPRECIATE ALL A NUMBER
OF MEETINGS AT CENTER CABALLERO
MADE TO HAVE THE CONVERSATION.
BECAUSE WHILE WE WANT QUICK
RELIEF YEAH THE TRADE OFF SHOULD
NOT BE THAT WERE JUST DOLING OUT
OF MONEY. WHO KNOWS HOW MUCH TO
WHOM FOR WHAT REASON AND WHERE
WHERE DO WE END UP SO I HAVE A
AND A NUMBER OF QUESTIONS AROUND
THOSE CONCERNS. COULD YOU
DESCRIBE WHAT THE TRANSPARENCY
OF THIS. A PROGRAM IS WHAT THE
STEPS BEING TAKEN TO MAKE SURE
THAT THERE IS. FULL TRANSPARENCY
HERE. SO THERE'S A COUPLE OF-
THINGS HERE THAT THAT I THINK
REALLY KIND OF ENCOURAGE
TRANSPARENCY AND ONE IS- JAIL B.
C. NOTIFICATION ANYTIME THAT
THERE'S A- MODIFICATION OR
FORGIVENESS OF MADE TO ANY OF
THOSE OF THE LOANS I THINK THAT-
YOU KNOW THERE'S A AUDIT
REQUIREMENTS- AND HE WAS PART IT
MADE. ME REQUEST- YOU KNOW
AUDIT- ARE CERTAINLY- ATTEMPTS
HERE TO TRY TO BE AS TRANSPARENT
AS POSSIBLE AND SORT OF SIGNALED
THAT MORE PARTNERING WITH THE
LEGISLATURE AND TRYING TO
ADMINISTER THE PROGRAM SPENT
TRANSPARENTLY. YEAH THAT'S
THAT'S THE THAT'S NOT A
REQUIREMENT I MEAN TO JUST TO
GIVE NOTICE MEANS WE FIND OUT
ABOUT IT AFTER THE DECISION IS
MADE. NOT NOT BEFORE HAND AND
NOT TO INFLUENCE TO ME THAT'S
THAT'S NOT A TRANSPARENCY- IT
SEEMS TO ME THAT SINCE THE
HOSPITALS ARE REQUIRED TO SUBMIT
THIS FINANCIAL LIABILITY PLANS
TO. H. CHI- THAT THOSE PLANS
SHOULD BE AVAILABLE TO THE
PUBLIC. AND IS THE PUBLIC'S
DOLLARS WE'RE GIVING OUT UP TO A
HUNDRED AND FIFTY MILLION
DOLLARS- NORTEL'S HOW MUCH MORE
AFTER THAT BETWEEN NOW AND
TWENTY THIRTY. AT TWENTY THIRTY
ONE- AND SO I'D LIKE TO HEAR
ABOUT. THAT THAT THIS WOULD BE
SOMETHING MADE AVAILABLE TO THE
PUBLIC- SO THAT. WE KNOW HOW AND
WHAT IS BEING CONSIDERED TO MAKE
UP THAT MAKE THE DECISION AS TO
HOW MUCH IS GOING TO WHICH
HOSPITAL. AND I'M CONCERNED
BECAUSE WILD WE HAVE A VERY
URGENT NEED RIGHT NOW. QUESTION
IS- ARE WE JUST AGAIN JUST
GIVING OUT MONEY WITHOUT REALLY.
PROVIDING STRONG CASE FOR WHO
GETS THAT MONEY- SO THAT'S JUST
ONE. ISSUE AND I THINK ALSO THE-
THE- THE INFORMATION- THAT
EXTENDS TO YOU'LL BE GETTING
HOSPITALS OF FINANCIAL AND
UTILIZATION DATA. YOU KNOW
THAT'S PART OF WHAT COMES HERE
BUT AGAIN I THINK THAT SHOULD BE
MADE PUBLIC I DON'T SEE WHY. THE
PUBLIC SHOULD HAVE ACCESS TO
THAT KIND OF INFORMATION- AND
THEN WHY ONLY A NOTICE TO THE
LEGISLATURE. WHY APPROVAL. YES
SO I THINK THIS IS KIND OF
SIMILAR TO SOME OF THE EARLIER
DISCUSSION AROUND KIND OF
BALANCING- A DESIRE TO HELP
QUICKLY WHERE WE HAVE THE- YOU
KNOW A CRISIS SITUATION AND HAVE
YOU KNOW KIND OF FULL
TRANSPARENCY AND- I THINK THAT
WHAT WE TRIED TO DO IS STRUCTURE
THE LANGUAGE IN A WAY THIS SORT
OF CONSISTENT HOW WE HANDLE
OTHER SORT OF- YOU KNOW
INFORMATION THAT THE STATE
WOULDN'T NECESSARILY ALWAYS HAVE
ACCESS TO. CONFIDENTIAL YOU KNOW
FINANCIAL INFORMATION OF A
PRIVATE ENTITY AND TRYING TO
SORT OF BE CONSISTENT IN THIS
PROCESS AS MUCH AS POSSIBLE WITH
WITH WITH OTHER PROCESS SEES
BUT- CERTAINLY THIS IS SOMETHING
THAT. WE WANT TO ENGAGE A
LEGISLATURE AND IF THERE'S
CHANGES NEED IN THE FUTURE I
MEAN THAT'S EXACTLY THE SORT OF-
YOU KNOW WAY THAT WE WOULD WANT
TO ENGAGE LEGISLATURE AND
FIGURING OUT HOW TO IMPROVE THE
PROGRAM OVER TIME. OKAY WELL I
REALLY- I HEAR. I DON'T HEAR THE
IS BEING THE CASE WAS IN MAY TWO
ONE. WITH REAL INFORMATION WITH
REAL EVIDENCE. OF HOW. BIG OR
HOW SMALL OR WHAT THE SIZES OF
THE URGENCY. I DON'T HEAR THAT I
DON'T HEAR THAT BEING PRESENTED
TO US YOU START WITH THE POINT
OF. THERE IS A- EMERGENCY THERE
IS URGENCY. BUT WE DON'T GET THE
INFORMATION TO BACK THAT UP WE
DON'T KNOW HOW MANY HOSPITALS
BECAUSE CERTAINLY THERE'S A LOT
OF HOSPITALS THAT ARE DOING
WELL. WE DON'T KNOW HOW MANY
HOSPITALS WE DON'T KNOW WHICH
AREAS THOSE HOSPITALS ARE THAT
WOULD BE CONSIDERED. WE DON'T
KNOW ANYTHING. AND NOW WE'RE
ASKED TO APPROVE A HUNDRED FIFTY
MILLION DOLLARS TO BE DOLED OUT
WITHOUT ACCESS TO PLANS WITHOUT
ACCESS TO. THE FINANCES THAT
WOULD BACK UP THAT WOULD GIVE US
THE EVIDENCE TO THAT TO FEEL
COMFORTABLE WITH THIS. AND WE'RE
SAYING THIS TO GO ALL THE WAY
TILL TWENTY THIRTY ONE. IS THAT
UNDER FIFTY MILLION DOLLARS
EVERY YEAR OR POTENTIALLY EVERY
YEAR. WHAT DOES THAT MEAN
BETWEEN NOW AND TWENTY THIRTY
ONE BUT BUT REALLY IS. WE'RE
WE'RE BEING ASKED TO APPROVE OF
SOMETHING WHERE WE HAVEN'T THE
CASE IS NOT BEEN MADE. THAT WAS
FOR OTHER THAN. WE HEAR. WITH OF
ON OUR NEWS PER ARTICLE ABOUT
HOW. CLOSED AND THEN IT'S THE
SKY IS FALLING. WHERE IS THE
EVIDENCE TO BACK THIS UP. SO IT
IS. THIS IS A VERY CHALLENGING
QUESTION AT FOR- SO- THE VIET I
THINK THE- I THINK THAT WE ARE A
SIMILAR. THAT YOU ARE AND THAT
SOME OF THIS IS SORT OF- SELF
REPORTED IT WITH THE EXCEPTION
OF ONE HOSPITAL ACTUALLY DOES
CLOSE. AND WHAT WE KNOW IS THAT
WE HAVE NETWORK REQUIREMENTS
THAT ARE THERE TO PROTECT.
PATIENTS IN MEN AND MAKE SURE
THAT- WE HAVE AN ADEQUATE
NETWORK TO- FOR A FOR A MEDICAL
PROGRAMS IN PARTICULAR BAD
COMMERCIAL PLANTS OF SIMILAR
REQUIREMENTS AND- THERE ARE
CERTAIN HOSPITALS THAT ARE
REALLY IMPORTANT TO. HAVING THAT
THAT NETWORK IN PLACE. AND IF
ONE OF THOSE HOSPITALS WERE IN
DANGER OF CLOSING- WE FEEL LIKE
THIS PROPOSAL IS DESIGNED TO
STEP IN AND- AND ASSIST IN THE
CASE LIKE THAT. IT'S NOT MEANT
FOR SORT OF BROAD BASED SORT OF
YOU KNOW. TEN DOT UP TO PRAY
BUSINESSES AND SO I THINK THAT'S
SORT OF THE BALANCE THAT WE'RE
TRYING TO STRIKE IS- STEPPING IN
WHERE- THAT NETWORK REALLY NEEDS
TO BE PROTECTED AND- THE
HOSPITAL THIS COMING IN AND
APPLYING CAN DEMONSTRATE THAT
THEY'RE SORT OF AN IMMINENT
NEED. AND UNTIL WE'RE IN THAT
POSITION IT'S VERY HARD TO KIND
OF DO SOME SORT OF A SURVEY AND
MAKE ESTIMATES AROUND KIND OF.
WHAT WE THINK THE TOTAL TOTAL
NEED MAYBE OVER TIME. AND THE-
HUNDRED AND FIFTY MILLION IS
THAT. WHERE AND HOW MUCH MORE
COULD THAT GIRL BETWEEN NOW AND
TWENTY THIRTY ONE. RIGHT NOW THE
PROPOSAL IS FOR A ONE TIME ONE
HUNDRED FIFTY MILLION DOLLAR
INVESTMENT AND I THINK THAT. WE
WILL HAVE TO WORK WITH THE
LEGISLATURE TO FIGURE OUT. HOW
TO PROCEED GOING FORWARD- AFTER
THIS INVESTMENTS MADE. AND I'M
SORRY JUST ONE MORE- WHEN IT
SAYS COULD YOU. EXPLAIN WHEN IT
SAYS CONTINUOUSLY APPROPRIATED.
SO JUST MECHANICALLY THE WAY
THAT THAT THE PROPOSAL WOULD
WORK IS THAT WE WOULD TRANSFER
HUNDRED FIFTY MILLION DOLLARS
INTO THIS FUND AND THEN THE FUND
IS CONTINUOUSLY APPROPRIATED
FROM- IT SHOWED THAT- AS
REPAYMENTS ARE MADE TO THE FUND.
YOU COULD YOU KNOW CONCEIVABLY
LOAN OUT- FROM THERE WITHOUT
HAVING TO COME BACK FOR AN
ADDITIONAL APPROPRIATION AND SO-
THAT'S SORT OF THE KIND OF
TECHNICAL BUDGET STRUCTURE OF
THE SERVICE CLEAR FIGHT CENTER
DRAWS IT DOES NOT MEAN THAT
THERE WOULD BE. A HUNDRED AND
FIFTY- OF. NOON GF AGAIN AGAIN
AND AGAIN IT'S THE POINT THAT
MADE YOU NEED. SINCE IT SAFE
THAT WERE ESTABLISHED FOR THAT
SPECIFIC NUMBER OF YEARS. IT THE
CONTINUOUS PREPARATION ALLOWS
YOU TO HAVE IT ESTABLISHED FOR
THE NUMBER OF YEARS PLUS TO RE
APPROPRIATE IF YOU RECEIVE MONEY
BACK FROM ALONE. A. DO YOU HAVE
ANY ADDITIONAL QUESTIONS AT
NIGHT YES GOING. OUR IN- LET
ONCE I'M SO JEFF GOING. WITH
REGARDS TO- I THE INFORMATION
THAT. I ALSO THINK THIS THE
PUBLIC ALSO THE EMPLOYEES OF
THOSE HOUSE. SHOULD HAVE TO THE
FOR SINCE AND THEY SHOULD HAVE A
SAY AS TO WHAT'S GOING ON HE
SHOULD HAVE A SAY AS TO. WHAT
THEIR OPINION IS THEY'RE THE
ONES WHO WORK THE HOSPITAL THEY
KNOW WHAT'S GOING ON YOU KNOW
NOBODY COULD COVER THINGS UP TO
THEM THEY KNOW EXACTLY WHAT'S
GOING ON AND I THINK THEY NEED
TO BE A PART OF THE PROCESS AS
WELL. THANK YOU MANAGER
CERTAINLY- CENTER COPYRIGHT AND
THAT WILL BE FOLLOWED BY SENATOR
DOLLY THANK YOU VERY MUCH MADAM
CHAIR- SO. SHEESH WHERE DO I
START- A NEW. I HAVE THE AND
FOR. PRIVILEGE OF HAVING A HIGH
CLOSE MY DE IN MIDAIR IN THIS
THAT COUNTY OF MADERA. YEAH.
BASICALLY THE- A WHOLE
OPPORTUNITY FOR PEOPLE TO BE
ABLE TO ACCESS HEALTH CARE
WITHIN THEIR COMMUNITY AND THEY
HAVE TO DRIVE AT LEAST THIRTY
MILES AWAY IN ORDER TO GET CARE.
PEOPLE HAVE DIED IN ROUTE THEY
HAVE DIED IN ROUTE IT'S NOT AN
EASY TRACK. TO GO TO FRESNO OR
PERCENT TELL ME TO SAY I'VE BEEN
LIVING THIS DAY AND NIGHT SINCE
I'VE HOSPITAL CLOSED- I WAS TOLD
BY THE HOSPITAL ASSOCIATION
THERE WERE EIGHT OR NINE
HOSPITALS THAT ARE AT RISK OF
CLOSING THIS YEAR- IF YOU DON'T
BELIEVE I'M FINE. THAT THAT'S
OKAY WITH ME THE BOTTOM LINE IS
I HAVE A HOSPITAL IT'S CLOSE
AND- SENATOR FROM SANTA CRUZ
DISCUSSED A HOSPITAL IN- IT IS
PART OF THE DISTRICT HE
REPRESENTS BUT HE DOESN'T
REPRESENT THAT HOSPITAL YET- BUT
THAT THAT WAS IN MY OLD
DISTRICT. AND I'VE BEEN ASKED TO
CONTINUE REPRESENTING THAT
DISTRICT IN THAT HOSPITAL IS
TEETERING AS WELL SO TO
HOSPITALS. IN TWO COUNTIES THAT
ARE VERY HIGH MEDI CAL MEDICARE.
OPERATED AND- THAT. HAVE IT
MEANS THAT THERE WILL BE NO
HOSPITALS IN THOSE COUNTIES IF
THE IF THEY GO DOWN. SO I
BELIEVE THE EIGHT OR NINE
HOSPITALS AND NEXT YEAR THERE'S
ANOTHER SEVEN OR EIGHT OR NINE
HOSPITALS THAT WILL CLOSE IF WE
DON'T DO SOMETHING SO. INACTION
IS NOT. IS NOT A SOLUTION-
NUMBER ONE NUMBER TWO IS THAT- I
GOT A GROUP OF US TOGETHER THAT
WERE AT RISK OF LOSING HOSPITAL
THIS YEAR- AND I SHOULD STARTED
OFF BY SAYING THANK YOU TO THE
ADMINISTRATION FOR THIS PROPOSAL
BECAUSE IT'S EXACTLY WHAT WE
NEED RIGHT NOW. IT IS NOT
EVERYTHING. AND IT'S JUST THE
BEGINNING IT'S- IT'S- ANTISEPTIC
OINTMENT ON THE CUT WE HAVEN'T
EVEN STARTED WITH THE BAND AID-
BECAUSE- IF YOU IF YOU THINK
ABOUT WHAT HOSPITAL DOES. AND
THE EXODUS OF DOCTORS AND
TRAINED PROFESSIONALS THAT
COMPRISE HEALTH CARE WHEN A
HOSPITAL CLOSES. IT'S AN
INCREDIBLE DRAIN ON THE
COMMUNITY. AND YOU'LL NEVER GET
IT BACK AGAIN IT WILL BE
IMPOSSIBLE SO- SO HERE'S WHAT
HERE'S WHAT THIS THIS GROUP HAS
BEEN- THIS IS A MENACE SENATE-
EXERCISE. IN TERMS OF TRYING TO
FIGURE OUT WHAT ARE THE PIECES
THAT WE NEED TO PUT TOGETHER- WE
HAVE ADDED. MILLIONS OF PEOPLE
TO OUR TO OUR MEDIC MEDIC HELP
MEDICAL SYSTEM. ALL FOR REALLY
GOOD REASONS BUT THE BOTTOM LINE
IS WE HAVEN'T CHANGED HEALTH
CARE AT ALL IN ORDER TO
ACCOMMODATE THOSE EXTRA PEOPLE.
AND THERE ARE PEOPLE THAT ARE
USED TO UTILIZING THE EMERGENCY
ROOM AS A PRIMARY CARE PROVIDER
SO IT'S AN INCREDIBLE STRESS ON
ON THE HOSPITAL SYSTEM AND THEN
COPYRIGHT COBIT IN EVERYTHING
ELSE WITH IT SO HERE'S WHAT.
HERE'S WHAT WE'VE BEEN TALKING
ABOUT ISN'T NUMBER ONE IS WE
NEED A PERMANENT SOURCE OF
REVENUE TO HELP US. TO
AMELIORATE. THE IMPACT OF MEDIC
CAL ON THE OUR HOSPITAL SYSTEM.
SO THAT THEY CAN SET UP. CLINICS
AND TO DO AS MUCH TRIAGING BACK
TO THE CLINICS AS POSSIBLE SO
YOU KEEP THE HOSPITAL AS A
PRIMARY CARE. AS A- EMERGENCY
CARE PROVIDER SO IT'S AT IT
THAT'S THE DISCUSSION AROUND THE
MCO TAX THAT WE HAVE NOT HAD WE
WILL HAVE IT DURING THE BUDGET.
THAT TAX- WILL BRING IN
ADDITIONAL FEDERAL. RESOURCES
THAT WE DESPERATELY NEED TO
MATCH OUR RESOURCES SO THAT'S
GOING TO BE REALLY IMPORTANT AND
THAT MCO TAX HAS THE ABILITY TO
DO A NUMBER OF THINGS THAT WILL
HELP OUR HEALTH CARE SYSTEM.
LIKE TAKE PEOPLE OUT OF THE
HOSPITAL SAID SITTING CENTER
FIFTY ONE FIFTY THAT ARE BROUGHT
IN FIFTY ONE FIFTY BECAUSE
PEOPLE HAVE SEEN. WHAT HAPPENS
WHEN YOU WHEN YOU MIX
POPULATIONS IN THE EMERGENCY
ROOMS THAT ARE VERY SMALL AND
THEY'RE NOT. CAPABLE WERE SET UP
FOR THAT FOR ALL THE FIFTY ONE
FIFTIES THAT WE'RE BRINGING IN
THE FOR THEM THAT MEANT PEOPLE
COMING IN AND SIGNIFICANT MENTAL
DISTRESS THERE'S A POSSIBILITY
OF DOING- SCHOLARSHIPS FOR
DOCTORS AND NURSES. SO THAT THEY
CAN PAY DOWN THERE THERE THERE
THEIR- EXPENSES AND- AND WE CAN
BRING SOME MUCH NEEDED SERVICES
TO COMMUNITIES THAT DON'T HAVE
DOCTORS AND DON'T HAVE- A NUMBER
OF- NURSING OPPORTUNITIES AND WE
CAN MAKE THEM PART OF A TEACHING
EXPERIENCE AT THESE HOSPITALS-
AND- POTENTIALLY WE CAN THAT WE
CAN USE SOME OF THE FUNDS FOR.
EARTHQUAKE SAFETY WHICH I KNOW
ALL OF US ARE REALLY CONCERNED
ABOUT AS WELL AND THAT THAT THE
HOSPITALS JUST DON'T HAVE THE
CAPACITY TO FUND RIGHT NOW SO
THERE'S A NUMBER OF THINGS WE
CAN DO WITH THE MCO TAX- BUT-
BACK TO THIS. HUNDRED MILLION
DOLLARS ONE OF THE SOLUTIONS
THAT HAVE BEEN TO THAT WAS
TALKED ABOUT. BY THIS SENATE-
GROUP FOR LACK OF A BETTER WORD
AND WE MET WITH EVERYONE. THAT
WAS INTERESTED IN MEETING WITH
US ABOUT THIS ISSUE IS TO SET UP
A PROCESS VERY SIMILAR TO WHAT
WE DO. WHEN OUR SCHOOLS ARE IN
DISTRESS. IF YOU HAVE A SCHOOL
DISTRICT IN YOUR DISTRICT THAT
HAS FINANCIAL TROUBLE PROBLEMS.
ADMINISTRATIVE PROBLEMS OR BOARD
PROBLEMS THEN THAT- THERE'S A
DISTRESS CALL THAT GOES OUT TO
THE COUNTY OFFICE OF EDUCATION
AND- PHYS MATT COMES IN AND THEY
DO A THOROUGH ANALYSIS OF ALL OF
THE WORKING RELATIONSHIPS IN
THAT SCHOOL DISTRICT. TO
DETERMINE WHETHER THEY SHOULD
GET A STATE COURT ALONE. AND
WHETHER THERE SHOULD BE A
TAKEOVER OF THE SCHOOL QUITE
FRANKLY- WHICH IS THE MOST
SIGNIFICANT AND SEVERE ACTION
THAT COULD COULD HAPPEN. WE'RE
TALKING ABOUT DOING THAT IN THIS
SAYS IN THIS SETTING AS WELL
WHERE THERE'S A PHASE MATT KIND
OF PROCESS THEY COME IN THEY
TAKE A LOOK AT THE BOOKS. THEY
TAKE A LOOK AT THE BOARD MINUTES
TO FIND OUT IF THE BOARD IS
ASSUMING RESPONSIBILITY FOR THE
FISCAL OVERSIGHT OR ARE THEY
JUST A RUBBER STAMP AND THEY
LOOK AT THE ADMINISTRATION
DETERMINE WHETHER THE
ADMINISTRATION IS CAPABLE. OF A
RECOVERY AT THE HOSPITAL SO THAT
WE'RE NOT- WE'RE NOT THROWING
GOOD MONEY AFTER BAD IT AND.
WE'RE DOING EVERYTHING WE CAN TO
TRY TO SAVE. A HOSPITALS IN. AS
A FOOTNOTE. THE UC- THE ARE YOU
SEE SYSTEM IS VERY INTERESTED IN
TALKING ABOUT PARTNERSHIPS
BECAUSE WE DESPERATELY NEED
HOSPITALS THAT CAN DO TRAINING
AND WE'RE AND WE DON'T HAVE
ENOUGH. INTO PARTICULARLY IN
COMMUNITIES OF COLOR WE DON'T
HAVE ENOUGH IN SO THERE'S A
REALLY GOOD POSSIBILITY THAT
DOWN THE ROAD BUT- HERE WE ARE
TRYING. TO FIX AN ENGINE OF A
PLANE IT'S UP IN THE AIR. DOES
IT LOOK PRETTY NO. YEAH ARE YOU
GONNA GET EVERY SINGLE INSURANCE
THAT YOU NEED THAT EVERY FIVE
WOULD BE DOTTED NO. BUT WE GOTTA
MOVE BECAUSE WE HAVE OTHER
HOSPITALS- AND I'M SURE YOU'RE
GOING TO HEAR FROM SOME OF THE
SENATORS THAT HAVE BEEN WITH ME
ON THIS COMMITTEE. WEBER THE
HOSPITALS THAT ARE ARE- ADDRESS
THE MINUTE YOU SENT OUT THE
NOTICE IT'S REQUIRED BY LAW.
THAT YOU'RE GOING TO YOU'RE
GOING TO CLOSE WITHIN A CERTAIN
NUMBER OF DAYS FROM YOUR
HOSPITAL. IF YOU SEE PEOPLE
LEAVE. THEY DON'T WANT TO BE THE
LAST PERSON ON THE SHIP GOING
DOWN THEY WANT TO MAKE SURE THEY
HAVE A JOB. AND AND I DON'T
BLAME THEM BUT- THAT'S ONE OF
THE REASONS YOU DON'T HAVE A
LIST IN FRONT OF YOU BECAUSE A
MINUTE THAT THIS BECOMES PUBLIC-
WE'RE WE'RE IN A WORLD OF HURT
SO- I JUST WANT TO SAY THAT.
THANK YOU TO THE GOVERNOR'S
OFFICE THIS IS A REALLY
IMPORTANT FIRST EIGHTY B. D. B.
D. STEP WE'RE GOING TO BE BACK
IN IN THIS BUDGET LOOKING OVER
ALL THIS STUFF ALL OVER AGAIN
BECAUSE- HUNDRED FIFTY MILLION
IS A DROP IN THE BUCKET- THESE.
THESE COSTS ARE VERY EXPENSIVE
IT'S VERY EXPENSIVE TO RUN A
HOSPITAL. AND THE MINUTE YOU
HAVE A HOSPITAL CLOSE IT'S GOING
TO TAKE ALL BECAUSE THERE'S ALL
KINDS OF PROBLEMS. IF YOU KNOW I
WAS JUST LOOKING AT THE
BANKRUPTCY. NOTICE THAT WAS
FILED. WELL THERE'S A MAIN
BRITISH ON MAY NINTH TWO IS FILE
IT DOESN'T THE STAFF OF THE OF
THE- OF THE COURT- YOU DON'T
WANT LOOK AT THAT. FRIENDS I
MEAN YOU DON'T WANT YOU DON'T
WANT TO HAVE TO BE LOOK. AT
PAYING. PAY FOR A- IN YOUR
DISTRICT THE- IN THAT- THAT IS.
RISKING THE- OF PEOPLE IN IN
YOUR CA. SO THANK YOU. TO THE
MINISTRY. FOR THAT ENDED REASON
IT HAVE ANSWERS IS BECAUSE WE'RE
STILL WORKING ON SOME OF THIS
IN. A TAB IT'S A THREE PARTY
AGREEMENT WITH THE ASSEMBLY THE
SENATE AND THE ADMINISTRATION
AND I REALLY APPRECIATE THE
ADMINISTRATION'S. SWIFT MOVEMENT
ON THIS- BECAUSE WE WE'VE GOT TO
SHOW SOME LEADERSHIP IN THIS.
THANK YOU. MADAM CHAIR I DON'T
HAVE ANY QUESTIONS. CERTAINLY
SENATOR KERRY OR SENATOR DOLLY
FOLLOWED BY SENATOR ROTH
FOLLOWED BY SENATOR SEYARTO
FOLLOWED BY CENTER GROVE. THANK
YOU MADAM CHAIR THANK YOU TO THE
ADMINISTRATION AND- THOSE RIGHT
HERE I. I'M HAPPY THAT THE I'M
SITTING RIGHT NEXT TO MY FRIEND
WHO HAD BEEN MEETING WITH FOR
NOW SINCE WE CAME BACK TO
SESSION ON THIS ISSUE. AND I
JUST START OUT BY SAYING YOU
KNOW THE CHAIR OPENED UP OUR-
OUR MEETING WITH. IS A DEMOCRAT
PLAN AND I HATE PARTISANSHIP
BECAUSE THESE ARE REAL PROBLEMS
THAT HAVE TO HAPPEN. AND
TYPICALLY. WE DON'T GET TO THE
TABLE VERY OFTEN AS FAR SIDE
YELLED OUT TO TALK ABOUT THESE
ISSUES- BECAUSE I'VE BEEN
WORKING ON THIS FOR SOME TEN
YEARS NOW WITH RULE HOSPITALS.
IN MY DISTRICT THAT HAVE BEEN
FACING THE SAME ISSUES. ABOUT
MEDICARE REIMBURSEMENT RATES AND
I'VE BEEN TRYING TO KEEP THEM
TOGETHER AND I REPRESENT. ALL
KINDS DISTRICT HOSPITALS WE
ACTUALLY PAY A PROPERTY TAX TO
HAVE A HOSPITAL I HAVE NON
PROFITS I HAVE FOR PROFIT I HAVE
THEM ALL. AND I WANT TO JUST.
GIVE YOU A FLAVOUR OF THE
DIFFICULTIES OF WHAT WE'RE
DEALING WITH HERE FIRST OF ALL
THANK YOU TO THE ADMINISTRATION
FOR. COMING TO THE TABLE AND
GIVING US A- ACTUALLY- OINTMENT
IT ISN'T A BANDAID IT'S A THUMB
IN THE DIKE. BECAUSE WE HAVE
HUGE PROBLEMS IN THIS AREA AND I
WANT TO TAKE THIS OPPORTUNITY
MADAM CHAIR. TO JUST. LET OUT
THE PROBLEMS THAT ARE WE'RE
GOING TO BE FACED WITH IN TWO
MONTHS BECAUSE- I WON'T BE AT
THE TABLE WITH THE GOVERNOR. AND
THE DEMOCRATS TALKING ABOUT THIS
SO THIS IS MY OPPORTUNITY TO SAY
WHAT I THINK NEEDS TO HAPPEN
HAPPEN. FIRST WE SHOULD NOTE
THAT IN TWO THOUSAND AND TEN. WE
GAVE ABOUT EIGHTEEN AND A HALF
BILLION DOLLARS ON THE GENERAL
FUND. AND WE'RE GIVING OUT
THIRTY FIVE BILLION DOLLARS
TODAY HOW THE GENERAL FUND. TO
HELP TO HELP MEDICARE ALL IN
MEDICAID REIMBURSEMENT RATES.
BAYPORT FILM EIGHT POINT FOUR
MILLION CALIFORNIANS IN TWO
THOUSAND TEN OR 23% OF THEM WERE
ENROLLED IN MEDI CAL. WE'RE ON A
PACE THAT SCHOOL. EXTENDING THAT
BY MUCH FIFTEEN POINT FIVE
MILLION CALIFORNIANS ARE NOW.
GETTING MEDICAL TREATMENT USING
META CAL THAT SOME 40% WE'VE
ADDED UNDOCUMENTED WE'VE ADDED.
ALL KINDS OF PEOPLE WHICH IS
LEGISLATURE DID WITHOUT
INCREASING THE RATE. WHICH
HOSPITALS GET REIMBURSED SEVENTY
FOUR CENTS. ON EVERY DOLLAR THEY
SPENT YOU CANNOT RUN A BUSINESS.
IF YOUR REIMBURSEMENT IS SEVENTY
FOUR CENTS AND YOU'RE SPENDING
AT ALL. THAT IS THE FUNDAMENTAL
PROBLEM WITH OUR HEALTH CARE
SYSTEM AND THERE ARE. A LOT OF
LEGISLATORS WHO. YOU ARE FOCUSED
ON. ONE PORTION OF IT MAYBE IT'S
LABOR MAYBE IT'S- AND I SOME
HOSPITALS DON'T DO A VERY GOOD
JOB AND SOME DO. BETTER JOBS.
BUT AT THE END OF THE DAY YOU
CAN'T RUN. A BUSINESS LOSING.
TWENTY SIX CENTS ON EVERY DOLLAR
YOU SPEND. YOU WANNA TALK ABOUT
. DIFFICULTIES I HAVE HOSPITALS
NOW IN MY DISTRICT THAT DON'T
DELIVER BABIES IN SOME CASES
IT'S A HUNDRED AND FIFTY MILES
YOU HAVE TO DRIVE. TO HAVE A
CHILD. AND THOSE ARE FOR PEOPLE
WHO DON'T HAVE PUBLIC
TRANSPORTATION I DON'T HAVE CARS
. DO YOU WANT TO TALK ABOUT
DISADVANTAGED COMMUNITIES I
HAVEN'T AND WE'VE BEEN DEALING
WITH THIS FOR SOME TIME NOW I'M
GONNA TALK ABOUT SOME OF THE
FIXES THE I THINK IT HAPPENED WE
HAVE THOSE DISCUSSIONS. NUMBER
ONE. OTHER BROWN WE DID THE MCO
TAX I VOTED FOR AS REPUBLICAN
GOT. SLAMMED BY HOWARD JARVIS
AND ALL THE PEOPLE THAT DON'T
TAXES BUT WE ACTUALLY. GOT MONEY
FROM THE FEDERAL GOVERNMENT AND
THE PLANS DID NOT WANT THIS TO
HAPPEN BECAUSE THEY HAVE TO PAY
. NOW I VOTED FOR WE GOT AB
NINETY SEVEN CALL BACKS WHICH
HELPED MY LITTLE HOSPITALS. THAT
MONEY THEY ALREADY SPEND HOW TO
PAY BACK. BUT THE GUT BUT THE
MONEY WENT TO THE GENERAL FUND.
THE MONEY THAT WE GAIN GOING TO
THE GENERAL FUND. I GOVERNOR
BROWN AND ABOVE ALL THE SPIN ON
WHAT EVERYONE'S BEEN ON. WE NEED
TO DO THE MCO TAX AGAIN. WE NEED
TO HAVE THE PLANS AT THE TABLE
AND WE NEED TO GIVE THE MONEY TO
HEALTHCARE WORK SHOULD GO. THAT
HELPED DRIVE UP. THE
REIMBURSEMENT RATE SO YOU DON'T
LOSE TWENTY SIX CENTS ON EVERY.
DOLLAR YOU SPEND. SOMEONE I'M A
TALK ABOUT SOMETHING ELSE THAT.
MOST PEOPLE I TALK ABOUT THE
KAISER YOU DON'T HEAR KAISERIN
HERE. BECAUSE THE GOVERNOR. DID
IT NO BID CONTRACT OR BASICALLY.
HE NEGOTIATED THE DEAL DURING
COVERT AND KAISER GOT A
SWEETHEART DEAL. AND THEN A YEAR
LATER. THE LEGISLATURE CAME BACK
AND RATIFIED. HIS DEAL SO NOW
IT'S LAW. BUT KAISER IS.
PIRATING OFF OF OUR RULE
HOSPITALS RURAL HOSPITALS AND
TAKING ALL THE ONES THAT MAKE
MONEY ON AND EVEN. THOSE OTHER
HOSPITALS TO PAY THE BILL. SO
THAT IS EXACTLY WHAT IS
HAPPENING HERE I WANT TO THANK
THE REGISTRATION FOR. COMING TO
THE TABLE TO HELP PUT A BANDAID
ON AN ISSUE THAT IS HUGE. THE
HOSPITAL. CAME IN WITH SAY WE
NEED A BILLION AND A HALF
DOLLARS THIS YEAR TO COVER THE
COST TO KEEP HIS OFFICE OPEN. SO
WE HAVE A LOT OF WORK TO DO.
THIS NEED TO BE BIPARTISAN WHICH
IT IS IN OUR WORKING GROUP AND
WE'RE TALKING ABOUT SOME OF THE
ISSUES. BUT THIS IS NOT GOING TO
GO AWAY. THIS IS GONNA BE HERE
FOR SOMETIME UNTIL WE FIGURE OUT
A FUNDING SOURCE TO. REIMBURSE A
REIMBURSABLE RATE THAT ACTUALLY
KEEPS THEM IN BUSINESS. SO THAT
IS. THE BOTTOM LINE WE CAN'T
GIVE SOME HOSPITALS KAISER KNOWS
BETTER DEALS AND PRIOR TO YES OR
OTHER ONES DOESN'T WORK. AND SO
AM HERE AVAILABLE AT THE TABLE
AND WORK ON THIS FOR MANY YEARS
. AND IT IS DIFFICULT AND UNTIL
WE GET THAT CHANGED WE'RE GONNA
BE IN THE SAME PLACE AND WE
CAN'T CONTINUE TO ADD PEOPLE TO
THE ROLLS. AND NOT FIGURE OUT A
WAY TO BALANCE THE BALANCE THE
CHECKBOOK AT THE END OF THE DAY
SO THOSE ARE MY COMMENTS MADAM
CHAIR. THANK YOU TO THE
ADMINISTRATION FOR GETTING US AT
LEAST. TO HAVE THIS CONVERSATION
BECAUSE IS NOT GOING AWAY IT'S
REALLY. MORE THAN BILL IT'S
BILLIONS AND BILLIONS OF DOLLARS
YEAR THAT WE HAVE TO FIGURE OUT
HOW WE'RE GONNA FUND OR WE'RE
GONNA SEE ALL ROSTERS AND THE
LAST THING I WANT TO SAY. IS
THAT WE HAVE HOSPITALS THAT ARE
JUST TRYING TO DO SEISMIC.
RETROFITS I HAD I GOT ON OF ZOOM
WITH EVERY SINGLE HOSPITAL MY
DISTRICT. AND SOME ARE WORRIED
ABOUT THEIR- KEEPING THE DOORS
OPEN WHAT THEY HAVE A SIZE.
PROBLEM AT THE SAME TIME AS A
DON'T WORRY ABOUT YOUR SIZE
MAKE. IT IF YOU DON'T HAVE ALSO
ENOUGH TO ABOUT SIZE. THAT'S THE
MY STORY I HERE TO HELP. THIS IS
CALLED. IS NOT EASY. BUT WE NEED
TO BE. WE NEED TO TALK THE REAL.
ARE OUT. WITH HOSPITALS IT
ISN'T. IT ISN'T. JUST ONE
PROBLEM IT'S SEVERAL PROBLEMS
THAT ARE STACKED ON TOP OF EACH
OTHER. THANK YOU MADAM CHAIR FOR
ALLOWING ME. TO EXPAND MY
THOUGHT PROCESS. YOU'RE WELCOME
SENATOR. SENATOR ROTH. THANK OF
FOR SOME ME SAY. THIS IS A
CRITICAL. ISSUE CRITICALLY
CRITICAL FOR SOMEONE COLLEAGUES
IN THE CENTRAL VALLEY IN THE
NORTHERN PART OF THE STATE BUT-
THEY'RE ALSO ISSUES IN THE
SOUTHERN PART AS WELL. OF SO.
ROTH WILL BE AYE ON THIS WILL
PROBABLY HAVE TO DO THIS AGAIN.
I SUSPECT IN ROTH WILL BE I ON
THAT ONE TOO. BUT HAVING SPENT A
COUPLE DECADES ON ONE HOSPITAL
BORDER THE OTHER BEFORE I GOT UP
HERE FOR THIS GIG- I GUESS I
HAVE SOME QUESTIONS I MEAN.
USUALLY USED TO MORE SPECIFIC
PLANS AND ANALYSIS. IN TERMS OF
THE FIX BECAUSE PUTTING MONEY
INTO A PROBLEM. WELL IT MAY KEEP
THE SHIP AFLOAT UNLESS THERE'S A
PLAN AT THE END. WHETHER IT'S
VERSION A OR THE NEXT VERSION IT
FOLLOWS. ALL WE'RE DOING IS
POSTPONING SOMETHING THAT WE
DON'T WANT TO SEE. PEOPLE
CONSIDER COVER HEROES DISTRICT
WILL CONTINUE TO BE ARMED. SO
HAVE YOU TAKEN A LOOK WE'VE BEEN
TALKING ABOUT TWELVE OR THIRTEEN
US BILLS MAYBE IT'S FIFTEEN
DEPENDING ON WHO'S TALKING AND
WHAT THEY'RE TALKING ABOUT. WHAT
WILL. LOS HAVE YOU TAKEN A LOOK
AT TO SEE WHAT THE COMMON CAUSE
IF THERE IS A COMMON CAUSE. FOR
THE HOSPITAL DISTRESS IN THIS
PARTICULAR SITUATION. AND IF SO
WHAT DID YOU FIND. BECAUSE I'VE
AND I'M ASKING BECAUSE OBVIOUSLY
CALIFORNIA HOSPITAL ASSOCIATION
IS IN THE MIX. AND OF COURSE
WITH CALIFORNIA HOSPITAL
ASSOCIATION IN THE MIX ASKING
FOR A FIX. IT SHOULDN'T BE QUITE
SO MUCH OF A PROBLEM TO GET A
LOOK AT THE BOOKS. AND IF
SOMEONE ROLLS INTO BANKRUPTCY
EVERYBODY'S GOING TO GET A LOOK
AT THE BOOKS SO. SENATOR IT'S A
IT'S A- THAT'S A GOOD QUESTION-
I WE KNOW WE KNOW- WITH THE
PERSPECTIVE OF THE INDUSTRY IS
M. AND- WE'VE BEEN TALKING TO
THEM OF COURSE- YOU KNOW I THINK
THAT- EVERY HOSPITAL IS A LITTLE
BIT DIFFERENT I THINK IT DOES
MAKE AN ANALYSIS- SOMEWHAT
CHALLENGING BUT- CERTAINLY- YOU
KNOW- YEAH I WOULD SAY THAT- WE-
LOOK FORWARD TO LEARNING MORE.
AS THIS PROGRAM ROLLS OUT AND WE
HAVE ACCESS TO MORE INFORMATION
AND I THINK THAT IN THE FUTURE
WILL HAVE A BETTER ANSWER THAT
QUESTION AND- IN IF HELPFUL I
THINK THAT WE CAN CIRCLE BACK
WITH- SOME OF THE PROGRAM
EXPERTS THAT THAT EVALUATE SOME
OF THE DATA THAT WE DO HAVE
ACCESS TO. AND MAYBE PROVIDE A
LITTLE BIT BETTER ANSWER BUT I
MEAN SHOULDN'T WE CAN MULTI TASK
APPEAR I THINK THEY SAY NOT TO
DO IT TOO MUCH BUT- SHOULDN'T WE
BE DOING. BUT TAKING A SAMPLE OF
THESE HOSPITALS AND DOING AN
ANALYSIS TO FIGURE OUT WHAT
WOULD WE NEED TO DO WHAT WITH
THE ADMINISTRATION NEED TO DO.
IN ORDER TO TRY TO RIGHT THE
SHIP IS IT A MEDIC CAL
REIMBURSEMENT RATE INCREASE AND
IF SO. HOW MUCH OF A
REIMBURSEMENT RATE INCREASE FOR
THESE RURAL CHALLENGED HOSPITALS
NORTH CENTRAL OR MAYBE SOUTH
CERTAINLY SELVES AS WELL- IF SO
HOW MUCH OF A MEDICARE
REIMBURSEMENT RATE INCREASE OR
WITH AN OVERALL RATE INCREASE DO
THE TRICK I SUSPECT NOT. ARE
THESE BECAUSE OF OUR RULES ON
LICENSING HOSPITALS THAT
REQUIRE. EMERGENCY DEPARTMENTS
AND FULL SERVICE FULL SERVICE
LINES ACROSS THE BOARD IN AREAS
THAT PROBABLY CAN'T SUPPORT.
FULL SERVICE LINES IN A FULL
SCOPE HOSPITAL. SHOULD THE
LICENSING RULES. B. CHANGED FOR
THE HOUSE. TO STANDALONE
EMERGENCY DEPARTMENT AMBULATORY
CARE FACILITIES WITH TWENTY
THREE OUR BEDS AND A WHOLE
VARIETY OF OTHER. THINGS WHERE
YOU COULD TRIAGE TREAT AND
TRANSFER AS APPROPRIATE OR
TRIAGE TREAT AND SEND HOME OR
KEEP FOR TWENTY THREE HOURS. I
MEAN I WOULD THINK THAT THAT IS
PART AND PARCEL OF THIS WE WOULD
DO. WE WOULD DO SOME SOME LARGER
SCALE ANALYSIS BECAUSE WE'RE
GONNA BE TALKING ABOUT AN MCO
TAX OKAY BUT- THAT'S THE TAX AND
THAT GETS THE MONEY IN THE
PIPELINE WHAT DO YOU DO WITH THE
MONEY ONCE IT'S IN THE PIPELINE.
ARE WE GOING TO JUST FIGURE IT
OUT LATER THOSE ARE A SERIES OF
RHETORICAL QUESTIONS BUT PERHAPS
YOU COULD FIND A REAL QUESTION
IN THERE AND- GIVE ME SOME
COMFORT. I THINK THAT THE IN THE
MY SORT OF RISK. IS I WANNA RISK
NOT HAVING LIKE A STEEL MAN OR
STRONGMAN DEPENDING ON YOUR
PERSPECTIVE SORT OF RESPONSE AND
TRY TO REPRESENTS SORT OF WHAT
THE INDUSTRY MIGHT SAY IF THEY
WERE IF THEY WERE HERE TO KIND
OF TESTIFYING- IN MY BEHALF I
THINK THAT. THE MY ONLY RESPONSE
THAT I THINK THAT THAT IS
APPROPRIATE IS THAT. THE
HEALTHCARE SYSTEM IS A SERIES OF
DIFFERENT PAYER MIXES AND THE
INDUSTRY MAY OR MAY NOT HAVE. A
PROBLEMS WITH MEDICARE
REIMBURSEMENT AND SO YOU
MENTIONED MEDICAL RATES OF SORT
OF. ACROSS THE BOARD RATE
INCREASE IS 1% OF MY MEDIC.
MEDIC OUT RIGHT OUT. ABSOLUTELY
THAT THAT COULD BE ONE THING-
BUT THEY THEY MAY OR MAY NOT BE
HAPPY WITH THEIR NEGOTIATIONS
WITH PRIVATE PLANS IN THEIR
PARTICULAR AREA. THEY MAY OR MAY
NOT BE HAPPY WITH MEDICARE RATES
AND SO THE QUESTION THAT WE HAVE
TO ANSWER THEN IS WHAT'S THE
APPROPRIATE STATE ROLE THEN IN
THIS AND- AND I THINK THAT
THERE'S A TREMENDOUS AMOUNT OF
ANALYSIS IS STILL THESE TO BE
DONE BEFORE WE FIGURE OUT SORT
OF. WHAT THAT LONG TERM
SOLUTIONS WELL I GUESS YOU HAVE
A HUNDRED AND FIFTY MILLION
DOLLARS. STARTING WITH DOLLAR
ONE AND FINISHING WITH A HUNDRED
AND FIFTY MILLION FIGURED OUT
BUT AT SOME POINT. WE'RE GOING
TO HAVE TO DEVOTE SOME BRAIN
WAVES TO THIS BECAUSE- I THINK
IT'S GOING TO REQUIRE. A MUCH
LARGER RESTRUCTURE OF THE WAY WE
DELIVER HEALTH CARE IN SOME OF
THESE RURAL. UNDERSERVED AREAS
WHERE IT'S DIFFICULT TO RECRUIT
PHYSICIANS. THEY CAN'T SURVIVE
IN THEIR PRACTICE ENVIRONMENTS
IT'S DIFFICULT TO ROOT RECRUIT
ALLIED HEALTH PROFESSIONALS. AND
YET WE REQUIRE HOSPITALS TO
MAINTAIN. FULL SERVICE LINES.
FULLY STAFFED IN ACCORDANCE WITH
OUR STAFFING RATIOS. WITH
MEDICARE RATES BECAUSE IT'S
LARGELY A MEDICAL POPULATION
THAT ARE BARELY SUFFICIENT. TO
KEEP ANYTHING OPEN LET ALONE A
FULL SERVICE. FULL SCOPE
HOSPITAL. THANK YOU MADAM CHAIR
. THANK YOU US. ROTH CENTERS.
THANK YOU. MUCH SO. REALLY ISN'T
A QUESTION OF- RIGHT I MEAN THE
ANSWER IS OP. WE WILL NEED TO
SPUR A HUNDRED MILLION DOLLARS
ARE BROKE- TO SAVE SOME
HOSPITALS- THE FIGURES WE GOT.
AND SOME RESEARCH WE DID IT IT'S
OVER HALF OF THEM ARE IN THE RED
. CALIFORNIA AND 20% OR MORE
READY TO CLOSE. AND IF YOU'VE
EVER BEEN PART OF WATCHING A-
HOSPITAL SYSTEMS COLLAPSE. IT'S
BRUTAL- ONCE ONE COLLAPSES. THE
IMPACTS THAT MADE THAT HOSPITAL
COLLAPSE GET PASSED TO THE NEXT
HOSPITAL'S UPON THE RAIN. AND
THEN THOSE HOSPITALS START
COLLAPSING AND PRETTY SOON YOU
HAVE YOUR VOID. OF THE CARE THAT
AND THE SERVICES THAT PEOPLE
NEED IN THOSE COMMUNITIES- SO
YOU KNOW FOR IT FOR THIS
PARTICULAR. ITEM EIGHTY YEAH
THAT'S A DEFINITE. YES BECAUSE
IT HAS TO BE- TRYING TO SPEND A
LOT OF TIME AND I KNOW THAT WHAT
YOU'RE SAYING WITH BY THE TIME
YOU. YOU MAKE PEOPLE GO THROUGH
THE PROCESS. TO DECIDE WHETHER
THEY'RE OR BOARD HAVE THE
INVESTIGATORS DECIDE WHETHER
THEY'RE BEING COMPLETELY
TRANSPARENT OR NOT- YOU'LL FIND
OUT. BECAUSE THE DON'T BE CLOSED
AND NOBODY WILL BE GETTING
ANYTHING AND NO EMPLOYEES WILL
HAVE ANY JOBS- SO. WE KNOW WHAT
WE'VE DONE TO THE HOSPITAL
SYSTEM I SAY THAT WHAT WE HAVE
DONE. BECAUSE THAT'S WHAT HAS
HAPPENED THESE ARE SELF
INFLICTED WOUNDS. PARTIALLY
BECAUSE OF SOME OF THE THINGS
THE- GOOD SENATOR FROM RIVERSIDE
WAS TALKING ABOUT. AND YOU KNOW
WHEN WE MAKE A POLICY. WHEN WE
CREATE A POLICY THAT FEELS
REALLY GOOD PART OF THAT POLICY
HAS TO BE IN AN AND ACCURATE
ANALYSIS OF HOW MUCH MONEY WE
HAVE TO INVEST. TO MAKE IT
HAPPEN IF WE'RE GOING TO SAY HEY
YOU KNOW WHAT WE'RE EXPANDING
MEDICARE ON MEDICARE TO
EVERYBODY- WELL GUESS WHAT.
THERE'S A COST TO THAT IN A NEW
FOR UNDERESTIMATING THAT BECAUSE
WE CAN'T WE DURING THE ANNOUNCES
WE CAN'T SAY THERE'S NOT MUCH OF
A COST THE STATE BECAUSE THE
HOSPITAL TO JUST ABSORB IT.
THEY'RE NOT GOING TO ABSORB THIS
IS WHAT'S HAPPENING THEY CAN
ABSORB THAT COST. AND SO THEY'RE
CLOSING IN WITH THAT GOES THE
TALENT. THAT IS. HELPING US
SURVIVE BASICALLY. SO THAT'S
THAT'S ONE OF THE ISSUES THAT
WE'RE WHEN WE'RE LOOKING AT AT
BILLS WE NEED TO WE NEED TO KNOW
HOW WE'RE GOING TO FIND THIS
IT'S NOT JUST A MATTER OF THIS
MAKES ME FEEL GOOD. AND THEN PUT
IT IN AND THEN WATCH IT
COLLAPSES SYSTEM THAT WILL MAKE
US ALL FEEL BAD- LABOR COSTS ARE
PART OF THIS. NOT ONLY HAVE WE
ADDED LABOR COSTS WE'VE ADDED
OTHER REGULATORY REQUIREMENTS
THAT ARE COSTING. WE JUST SAID
HEY HERE'S THE COSTS ABSORB THEM
. HOSPITALS CAN'T ABSORB ALL OF
THOSE COSTS. WORSHIPPING IN
NURSES FROM OUT IF I JUST TALKED
TO TWO NURSES TO TRAVELLING
NURSES I RUN INTO HIM ALL THE
TIME. BUT THESE TWO TRAVELLING
NURSES CAME FROM ALABAMA. THEY
FLY OUT HERE. THEY GET PER DIEM.
THEY GET PREMIUM DOLLARS. THEY
GET FLOWN OUT HERE THEY A PLACE
TO STAY. AND THEN AFTER OF I
THINK IT'S SIX OR SEVEN MONTHS.
IT'S ACTUALLY FOR FIVE MONTHS
AND TWENTY NINE DAYS THEY GOT A
FLY HOME. AND THEN I HAVE TO
WORK WHEN THEY GET HOME BECAUSE
THEY MADE A BUNCH OF MONEY HERE
IN CALIFORNIA. BUT THEY HAVE TO
HOP FLY HOME SO THEY DON'T HAVE
TO BE RESIDENT REQUIREMENTS.
THAT MEET RESIDENT REQUIRED TO
AVOID RESIDENCY REQUIREMENTS FOR
CALIFORNIA. THAT'S NOT A WAY. IT
IS TO STAY IN A BALL FOR
CALIFORNIA'S MEDICAID MEDICA
MEDICAL SYSTEM. AND YET THAT'S
WHAT WE HAVE DONE WE HAVE
CREATED THAT. THAWS SO. IF WE'RE
GONNA AND THEN IN THE IN THE
OTHER THE MADERA HA. THEY HAD A
BUYER. NOW THE BUYER PROBABLY
WASN'T GOING TO CLUE. CERTAIN
MEDICAL PROCEDURES BUT CERTAINLY
THEY WERE GONNA BE THERE FOR
PEOPLE HAVING HEART ATTACKS AND
HAVING BABIES AND HAVING STROKES
AND HAVING ALL THOSE OTHER
THINGS. IT GOT BLOCKED. BECAUSE
THEY DIDN'T HAVE THE ONE
PROCEDURE THAT COULD BE DONE
DOWN THE STREET. I GOT BLOCKED
AND SO NOW THEY'RE CLOSED. SO
THESE ARE THE THINGS THAT ARE
THESE ARE THE THINGS. THERE
REALLY STICK IN THE CRAW OF A
LOT OF PEOPLE. GETTING MYSELF AS
YOU CAN PROBABLY SEE. BECAUSE
I'VE SEEN IT HAPPEN BEFORE I SEE
IT HAPPENING AGAIN. AND MORE. WE
FORCED TO THROW BANDAIDS AT IT
OTHERWISE IT'S JUST GOING TO
ACCELERATE AND WE WON'T HAVE A
CHANCE TO RECOVER BEFORE IT
BEFORE A LOT OF A LOT MORE
HOSPITALS CLOSE WE CAN'T JUST
KEEP KEEPING THESE COSTS. ON THE
HOSPITALS AND EXPECTING THEM TO
SURVIVE THEY CAN GO FROM THIRTY
PERCENT. TAKING CARE OF MEDICAL
PATIENTS 270% IN SOME REGIONS
BECAUSE THAT'S HOW THE
DEMOGRAPHICS WORK. IF WE'RE IF
WE'RE GOING TO DO THAT WE'RE
GONNA COLLAPSE OF HOSPITALS AND
THOSE HOSPITALS WILL HELP OTHER
HOSPITALS COLLAPSE. SO- SEVENTY
THANK YOU GUYS FOR YOU KNOW
RECOGNIZING THE URGENCY. AND DO
EVERYTHING YOU CAN TO. BE YOU
KNOW ENSURE THAT THE HOSPITAL'S
IMMEDIATE MOST ARE GETTING IT.
SO THAT THEY CAN SURVIVE WE
MIGHT BE THROWING GOOD AFTER BAD
RIGHT NOW BUT RIGHT NOW. EVEN
THAT IS HELPING PATIENTS THAT
NEED TO BE SEEN. AND NEED
MEDICAL CARE IN THE INTERIM
UNTIL WE FIGURE THIS OUT. AND IT
SHOULDN'T BE THAT TOUGH FOR US
TO FIGURE THIS OUT. THANK YOU.
THANK YOU- CENTER GROVE HERE
NEXT. THANK YOU MADAM CHAIR.
FIRST I'D LIKE TO THANK MY
COLLEAGUE SENATOR CAFIERO NO
WE'RE NOT SUPPOSED TO NAME
PEOPLE BUT- YOU KNOW I DON'T
THINK EITHER ONE OF US WE'RE
GOING TO WORK ON HOSPITALIZATION
THIS YEAR I HAD MY LEGISLATIVE
PACKAGE ALL FILLED OUT AND I
THINK SHE DID AS WELL. AND THEN.
YOU KNOW OF COURSE MADERA IN THE
CLOSING AND THEN WITH MADERA
CLOSING AND MADERA HAD A HUNDRED
FIFTY THOUSAND RESIDENTS IT IS
SERVED- YOU KNOW THEY HAD SIX
HUNDRED EIGHTY SEVEN PERMANENTLY
OFF THE MAIN HOSPITAL HAD
SEVENTY OR MORE THREE SHATTERED
SATELLITE FACILITIES. AND- THE
PROVIDERS HAVE NO PLACE TO
PRACTICE MEDICINE SO THEY'RE NOT
STAYING I MEAN IT'S NOT LIKE YOU
CAN. FIXING A BROKEN ARMOR DO
SURGERY IN THE BACKYARD SO THOSE
PROVIDERS AREN'T STAINS THAT
WHEN WE SAY THAT IT'S ALMOST
IMPOSSIBLE. TO BRING BACK THESE
PROVIDERS AFTER HOSPITAL CLOSES
IT'S IMPOSSIBLE TO BRING BACK
PROVIDERS WITH HOSPITAL CLOSES
AND THE DEVASTATING IMPACT THAT
HAS ON. A PREDOMINATELY LOW
INCOME MEDIC CAL COMMUNITY
THAT'S A FARMING COMMUNITY FOR
FARMWORKERS GO TO GET HEALTH
CARE. AT THAT TENT A HUGE IMPACT
ON THE FRESNO FACILITY THAT I
REPRESENT. AND THEN OF COURSE WE
TALK ABOUT KOREA. WHICH WAS THE
NEXT HOSPITAL IN THE LOOP- THEY
BECAME IT WAS PUBLIC THEY CAME
OUT THEY THINK THEY CAME OUT AT
FIFTY TWO DAYS CASH OPERATING-
CUT- DOLLARS LEFT. THEY'VE SIX
HUNDRED THIRTEEN LICENSE BED
FIFTY TWO HUNDRED EMPLOYEES
SEVEN HUNDRED PROVIDERS SEVENTY
THREE BEDS IN THE EMERGENCY ROOM
THROUGH THE LARGEST EMPLOYER IN
TULARE COUNTY. THAT I REPRESENT
THE NUMBER ONE MEDIC CAL AND
ROMAN. POPULATION OVER 70% OF
THE PEOPLE THAT THEY TREAT HAVE
A MEDIC CAL. AND FORTY FIVE
HUNDRED BABIES ARE DELIVERED
HUNDRED TWELVE THOUSAND URGENT
CARE VISITS AND TEN THOUSAND
PLUS SURGERIES ARE DONE EVERY
YEAR. WHICH BRINGS ME TO THE
REAL. ELEPHANT IN THE ROOM IT'S
BEEN MENTIONED SEVERAL TIMES BUT
NOBODY'S ASKED THAT I KNOW OF I
KNOW IT WAS A FEW MINUTES LATE
ASKED THE DIRECT QUESTION. WHEN
WAS THE LAST TIME THAT MEDICARE
RATES WERE INCREASED IN THE
STATE OF CALIFORNIA. SO IT'S A
COMPLICATED QUESTION I MEAN
THERE'S INCREASES EVERY YEAR
BECAUSE WE HAVE ACTUARIAL BASED
RATE SETTING WITH OUR MANAGED
CARE PLANS AND SO THE ACTUARIES
DETERMINE- THE RATE INCREASES
NEEDED BASED ON THE COSTS THAT
ARE OBSERVED IN THE PROGRAM AND
SO- YOU KNOW. THERE ARE. READ
INCREASES SORT OF BAKED INTO THE
BASE PROGRAM EVERY YEAR-
ASSOCIATED WITH THAT PROCESS.
AND THEN THE OTHER SORT OF SIDE
OF THAT WOULD BE SORT OF ONE OF
THEIR EXPLICIT FEE FOR SERVICE
RATE INCREASES PROPOSED. AND
THAT'S A MATTER BETWEEN THE
LEGISLATURE IN THE
ADMINISTRATION TO NEGOTIATE
EVERY YEAR AND CERTAINLY THERE
ARE PACKAGES THAT WE DO FROM
TIME TO TIME AND- YOU KNOW IT.
DEFERRED OTHER TO MAKE MIGHT BE
FAMILIAR WITH SOME OF THE MORE
RECENT INVESTMENTS BUT-
CERTAINLY- THOSE ARE THOSE ARE
THINGS THAT THEY DO GET
PROPOSED- OFTEN- FOR EXAMPLE
ARE. PROP FIFTY SIX PACKAGE
INCLUDES- THE RATE INCREASES
THAT ARE ASSOCIATED WITH THE
PROPOSED TOBACCO TAX REVENUE
AND- WE'VE WE'VE RECENTLY
DISCUSSED A MANAGE CARE. TAX
THAT WOULD HAVE SOME SOME
ONGOING RATE INCREASES BUT AS
PART OF THAT BUT- NO SPECIFICS
YET SO. I DID. GOING BACK TO THE
QUESTION FOR THE MEN REAR. RATES
FOR FEE FOR SERVICE HOMES THE
LAST TIME THE STATE OF
CALIFORNIA INCREASE DIRECT
MEDICARE PAYMENTS. I SAY IT'S
TWO THOUSAND AND THIRTEEN AM I
CORRECT OR NOT. CRITICS I'D HAVE
TO TAKE IT BACK. BUT I DON'T I
DON'T RECALL OFF THE TOP OF MY
HEAD. OKAY IS TWO THOUSAND
THIRTEEN THE LAST TIME THAT THIS
LEGISLATIVE BODY IN THE GOVERNOR
NOT THIS GOVERNOR THE PREVIOUS
GOVERNOR AGREED ON. A RATE
INCREASES FOR DIRECT FEE FOR
SERVICE FOR MEDICARE RECIPIENTS
I REALIZE THERE'S ALL THESE
FORMULAS AND- AND YOU KNOW IF
YOU PER TREAT A HIGHER
PERCENTAGE OF COMMERCIAL PLANS
YOU GET. HIGHER REIMBURSEMENTS
REIMBURSEMENTS FOR THAT BUT THE
BOTTOM LINE IS THAT IT DOESN'T
MATTER. IT DOESN'T MATTER HOW
YOU SHUFFLE THE DOLLARS ANYONE
WHO'S IN BUSINESS AND ROUGHLY
PAYS OUT A DOLLAR FOR EVERY FEE
FOR SERVICE AND GET SEVENTY
CENTS BACK ON THAT DOLLAR
ROUGHLY. IT'S A PATHWAY TO
BANKRUPTCY. AND THAT'S WHAT WE
HAVE WITH OUR HOSPITALS A
PATHWAY TO BANKRUPTCY- A CLEARER
I THINK HAS LESS THAN TWENTY
DAYS OPERATING CASH. FOR THE
LARGEST SIMPLE IT IS THE LARGEST
EMPLOYER IN TULARE COUNTY WITH
THE HIGHEST- MEDIC CAL- I SAY
FEE FOR SERVICE THAT MEDIC CAL-
ACCESS TO HEALTH CARE. SO I NOW
UNDERSTAND THAT THIS BODY PASSED
MEDICARE FOR ALL. AND THAT MAKES
A GREAT STATEMENT IN THE MEDIA
AND THAT EVERYBODY'S GOING TO
GET HEALTH CARE COVERAGE BUT
WHEN YOU DON'T HAVE HOSPITALS
AND PROVIDERS PROVIDING THAT
COVERAGE BECAUSE THE
REIMBURSEMENT RATE. IS SO LOW
THEY CAN'T STAY IN BUSINESS.
THEN THAT THE LEGISLATURE AND
THE GOVERNOR'S OFFICE NEED TO
WORK TOGETHER IN AND- YOU KNOW
SOLVE THAT PROBLEM. I WANT TO
SAY I AM SO GREATLY APPRECIATIVE
OF THE GOVERNOR'S OFFICE OF THAT
THE GOVERNOR. AND WORKING ON
THIS AND GIVING US IMMEDIATELY A
HUNDRED FIFTY MILLION DOLLARS I
DON'T THINK IT'S ENOUGH. I DON'T
LIKE THE IDEA THE MCO TAX BEING
40% PUT INTO THE GENERAL FUND
AND NOT DIRECTLY TO HEALTH CARE.
SPECIFICALLY TO THOSE HOSPITALS
THAT PROVIDE MEDICAL. SERVICES I
MEAN THERE ARE A LOT OF
HOSPITALS THAT ARE DOING VERY
VERY WELL SOME GOT A SWEETHEART
DEAL- SOME HAVE A VERY WEALTHY
BENEFACTORS THAT SET UP
FOUNDATIONS THAT MAKE UP THE
DIFFERENCE AND TREAT. YOU KNOW
60% OF COMMERCIAL PLANS A VERY
FEW PERCENTAGE OF MEDICARE ALL
BUT IN THE CENTRAL VALLEY THAT
MY COLLEAGUE FROM THE NORTH. OF
THE VALLEY REPRESENTS IN THE
SOUTH THAT I REPRESENT- AND. OUR
COLLEAGUE IN THE MIDDLE HERE- AT
. ARE REIMBURSEMENT RATE FOR
MEDICAID. IS THE HUGE ISSUE
IMPACT OUR PROVIDERS AND OUR
HOSPITALS WE HEAR THAT EVERY
DAY- MY COLLEAGUE FROM BEAVER.
WAS YOU KNOW FRANTICALLY YELLING
ABOUT THAT FOUR YEARS AGO IS IT
THREE OR FOUR YEARS AGO. AND WE
DID NOTHING WHEN HIS HOSPITAL
CLOSED BUT NOW THAT IT'S
AFFECTING THE CENTRAL VALLEY I'M
GRATEFUL THAT WE'RE STEPPING IN
NOW I WISH WE'D LEARNED OUR
LESSON. WHEN HIS HOSPITALS WERE
CLOSING. AND I WHERE I JUST WANT
TO. I WANT YOU TO TAKE REALLY
INTO CONSIDERATION THE DIRECT.
INCREASE FOR MEDIC CAL AND IT
DOESN'T HAVE TO BE I DON'T KNOW
I'M WILLING TO TALK AND WORK ON
THIS ISSUE DOESN'T HAVE TO BE
EVERYTHING I REALIZE THAT'S A
HUGE SAFETY LIFT. FOR THE STATE
OF CALIFORNIA. BUT WHAT ABOUT
CERTAIN CODES WHAT ABOUT THE TOP
TWENTY FIVE CODES THAT YOU KNOW
YOU WANT FOR RESPIRATORY ISSUES
OR WHATEVER THEM YOU KNOW GET
WITH THE HOSPITALS IN THE
PROVIDERS AND WHAT'S THE- WHAT'S
THE TOP TWENTY FIVE THINGS YOU
GUYS TREAT FOR EVERY SINGLE DAY
I'M NOT A DOCTOR. YOUR I DON'T
THINK YOU'RE A DOCTOR I DIDN'T
READ YOUR RESUME BUT- AND SO WE
DON'T KNOW WHAT THE TREAT FOR
EVERY DAY SO IT'S FIND OUT WHY.
YOU LOOK AT THE SEISMIC ISSUES
LOOK AT COST OF A PAYROLL GOING
UP THERE'S ANOTHER BILL MY
COLLEAGUE FROM LOS ANGELES HAS
TO. YOU KNOW MAKE THE MINIMUM
WAGE TWENTY FIVE DOLLARS THAT
INCREASES EVERY. EVERY SALARIED
EMPLOYEE HAS TO GO OUT BECAUSE
YOU HAVE TO BE THAN DOUBLE THE
MINIMUM WAGE SO IF YOU'RE PAYING
FORTY DOLLARS AN HOUR BASICALLY
NOW. THAT SALARY YOU'LL PAY
FIFTY DOLLARS AN HOUR AT ONE OF
MY SMALL HOSPITALS VERY SMALL
HOSPITAL TWENTY BEDS. IN THE
MIDDLE OF RIDGECREST NINETY
MILES FROM NOWHERE. THAT'LL ADD
TEN MILLION DOLLARS TO THEIR
COST AND THEY ARE. AND THE
FINANCIALLY DISTRESSED HOSPITALS
THAT ARE THRILLED TO DEATH ABOUT
THIS LOAN PROGRAM. THAT'S GOING
THROUGH. SO I APPLAUD YOU GUYS
IS THAT I REALLY DO. THAT BUT
THIS IS A SHORT TERM TO ME. AND
I WANT TO ASK YOU THIS IS A
SHORT TERM SOLUTION RIGHT. WE
HAVE A MEDIUM AND A LONG TERM.
SOLUTION IN THE WORKS CORRECT.
NOBODY I DON'T THINK WE SPEAK TO
FUTURE PROPOSALS. YOU CAN'T.
OKAY WELL IN THEN I UNDERSTAND
CAN UNDERSTAND WHERE MY
COLLEAGUE FROM LOS ANGELES WAS
GOING BUT IF THERE'S- THERE'S
NO- YOU KNOW ISSUES MOVING
FORWARD. YOU KNOW IT IS KIND OF
JUST THROWING. GOOD MONEY AFTER
BAD IF THEY'RE JUST GOING TO GO
BANKRUPT IN. TWO MONTHS INSTEAD
OF. THIRTY DAYS SO- I HAVE TO
BELIEVE IN MY HEART AND I TRUST
THE WHAT I'VE HEARD THAT. THERE
IS THERE IS SOME TYPE OF
SOLUTION MOVING FORWARD THAT'S
GOING TO ADDRESS THIS. ISSUE IN
A LONG TERM WAY. AND THEN- YOU
KNOW GOING BACK TO I KNOW MY
COLLEAGUES PRODUCTS SEISMIC.
WITH THE WORST EARTHQUAKE AND-
IN THIS DECADE IN RIDGECREST
CALIFORNIA- JULY FIFTH AT I
THINK FOUR OR FOUR O'CLOCK IN
THE AFTERNOON WE HAD A PIPE FIVE
POINT FOUR AND THEN EIGHT
O'CLOCK WITH A SEVEN POINT ONE.
DO YOU KNOW THAT THE SIZE MAKE
PART OF THE HOSPITAL THAT WAS
RETROFITTED WHERE THEY INVESTED
BILLIONS OF DOLLARS IN CASH
STRAPPED THEIR HOSPITAL. WAS THE
ONLY PART OF THE HOSPITAL THEY
HAD TO BE VACATED BECAUSE IT
WASN'T SAFE. TO BE THERE. SO
THIS WHOLE SEISMIC THING I MEAN
IF WE CAN WITHSTAND AN
EARTHQUAKE OF SEVEN POINT ONE
AND STILL HAVE AN EMERGENCY ROOM
THAT OPERATES. AND GETS PEOPLE
STABLE SO THEY CAN GO NINETY
MILES- WE NEEDED TO REALLY LOOK
AT THE WAY SEISMIC IS AFFECTING
OUR HOSPITALS BECAUSE IT'S GOT
A- MULTI BILLION DOLLAR PRICE
TAG. AND IT'S ALMOST DONE
AFFORDABLE TO BE ABLE TO.
MAINTAIN THE SEISMIC
REQUIREMENTS THAT ARE COMING UP
WITH A HARD DEADLINE. AND THEN
ALSO. AND THE REIMBURSEMENT
RATES AND GOING THROUGH THE
WHOLE BALANCE OF MANAGED CARE
FOR- SQ MANAGE CARE VERSUS. AND
THE COMMERCIAL PLANS VERSUS
MEDICARE REIMBURSEMENT. BUT
AGAIN I WANT TO FINISH WITH- THE
ADMINISTRATION LET ME BE A PART
OF THIS PROCESS. MY COLLEAGUE
FROM MADERA- WHO WORKED ON THIS
MY COLLEAGUE FROM BEAVER WHO
CAME TO EVERY SINGLE MEETING.
AND WE MET WITH EVERY
STAKEHOLDER- AND THEN THE NUMBER
ONE THING OTHER THAN ONE
STAKEHOLDER WAS THE
REIMBURSEMENT RATES ARE TOO LOW
AND NOW THEY'VE INCREASED
MILLIONS OF PATIENTS. TO COME
INTO THE SYSTEM WITH NOT
ADEQUATE REIMBURSEMENT RATES. SO
I'D LIKE TO SEE THAT IN THE
FUTURE BUT AGAIN ON WHERE WE ARE
IN THIS PARTICULAR MOMENT RIGHT
NOW. I APPLAUD THE
ADMINISTRATION PLOT THE GOVERNOR
HE LOOKED ME RIGHT IN THE EYE
WHEN HE WAS ON THE FLOOR FOR.
SOMETHING CITY WAS GONNA LET
THESE HOSPITALS BILLS HE'S
KEEPING HIS WORD. AND I THINK
HIM FOR THAT BECAUSE THE CITY
DEVASTATING TO NOT ONLY- MY
DISTRICT BUT OTHER HOSPITALS
AROUND THE STATE. THAT ARE
FINDING THEMSELVES IN THIS
REALLY BAD FINANCIAL SITUATION.
THANK YOU. RIGHT I SENATOR PER
DAY IN CENTER SMALLWOOD CUEVAS.
BERMAN MANAGER- JUST BRIEFLY SO
OF CLARIFYING RETURN TO EARLIER
AREAS INQUIRY SORT RETURN TO THE
ACTION REQUEST BEFORE US- I. THE
GREAT. BUT WHAT'S BEFORE US ON
THE STATE'S QUESTION OF THE
TRANSFER AUTHORITY THAT'S BEING
REQUESTED TO SUPPORT THE LENDING
PROGRAM. THE REASON IS SIMPLE
FOR THIS MEMBER. TO INQUIRE.
ABOUT THE BASIS FOR REACHING THE
INITIAL INVESTMENT IN THE
LENDING PROGRAMS BECAUSE IT'S
OBVIOUSLY DIRECTLY RELEVANT. TO
BOTH THE SUFFICIENCY AND
POTENTIALLY THE EFFICACY OF
LENDING PROGRAM. AS ONE OF MANY
MANY TOOLS THAT THIS LEGISLATURE
IS GOING TO HAVE TO EXAMINE. IN
TERMS OF OUR ABILITY TO SUPPORT
WHAT IS FAST BECOMING A CRISIS
IN THE HEALTHCARE DELIVERY
SYSTEM. AND SO I WANT TO RETURN
TO THAT I WANT TO CLARIFY THAT
BECAUSE I HEARD YOU KNOW A LOT
OF A DIALOGUE ABOUT. YOU KNOW
KIND OF WE'LL FIGURE IT OUT
LATER AND THERE'S AN ANALYSIS
AND IT'S AN ONGOING BUDGET
PRESENT UNDERSTAND ALL THAT. BUT
THE EARLY ACTION REQUEST THIS
BEFORE THIS BODY IS SPECIFICALLY
AS TO THE TRANSFER AUTHORITY
BEING REQUESTED FOR THIS
PARTICULAR TOOL. AND IT'S
IMPORTANT UNDERSTAND THE BASIS
FOR THAT INVESTMENT EVEN AS AN
EARLY ACTION. BECAUSE IT'S
RELEVANT AGAIN TO THE
SUFFICIENCY OF THE LENDING
PROGRAM AND HOW MUCH AFFECTED
COULD POSSIBLY HAVE. AND I
WANTED TO CLARIFY THAT MY THANK
YOU MANAGER. THANK YOU A
CENTERPIECE CENTER SMALLWOOD
CUEVAS NO I JUST WANT TO THANK
MY COLLEAGUES FOR THIS
CONVERSATION AND- WANT TO.
RECOGNIZE SENATOR COVER GYROS-
WORK ON THIS AND- I'M IN SUPPORT
OF THIS YOU KNOW EARLY ACTION
REQUEST THIS IS SENATOR PEDIA-
SO ELOQUENTLY PUT IT- I THINK.
WHAT I HEARD ON THE DIET TODAY
IS. WE HAVE A REVENUE PROBLEM.
AND I'M GLAD TO HEAR- THE
COMMITMENT TO HOW DO YOU REALLY
THINK ABOUT WAYS TO FIND
HEALTHCARE SO THAT IT REALLY IS
A RIGHT THAT EVERYONE HAS ACCESS
TO. IN THE STATE OF CALIFORNIA-
WE HAVE SO MANY MORE FOLKS THAT
NEED THIS HELP- IN SUPPORT WE
HAVE MORE AND MORE WORKERS WHO
DON'T EARN ENOUGH WHOSE JOBS
DON'T PROVIDE ADEQUATE HEALTH
CARE- WHO CANNOT PAY FOR HEALTH
CARE ON THEIR OWN FOR. AN AND
ARE DYING QUITE FRANKLY IN MY
DISTRICT- A BLACK RESIDENTS DIE
SEVENTEEN YEARS SOONER THAN
ANYONE ELSE IN THE COUNTY FROM
PREVENTABLE DISEASES. LIKE
DIABETES AND HYPERTENSION
BECAUSE THERE IS NOT ADEQUATE
ACCESS TO HEALTH CARE IN ITS
URBAN AND ITS RULES SO I JUST
WANT TO SAY I'VE APPRECIATED.
THE AGREEMENT AND IN CENTER
DOLLY ACROSS. RIGHT PARTISAN
LINES THAT WE WE'VE GOT TO
FIGURE OUT WAYS TO PAY- FOR THE
HEALTH CARE THAT OUR FOLKS
DESERVE- AND I THINK IT'S BEYOND
THIS EARLY ACTION I THINK IT'S A
DEEPER CONVERSATION AND I HOPE
THAT WE CONTINUE. TO HAVE THESE
CONVERSATIONS- I WAS LOOKING-
AND I'M ALSO APPRECIATIVE THAT
MINISTRATION HELPING TO ANSWER
THESE QUESTIONS AND TO WORK
THROUGH THIS AND BECAUSE CLEARLY
IT'S SO IMPORTANT TO ALL OF US-
THAT THAT FOLKS. HAVE THE RIGHT
TO THE HEALTH CARE THAT THEY
NEED- BUT ON THE METHODOLOGY YOU
KNOW ONE OF THE THINGS I WAS
CURIOUS ABOUT HOW WE'RE GRADING-
ACCESS TO THESE DOLLARS IS. YOU
KNOW WE HAVE A LOT OF HEALTH
CARE WORKERS- AND MORE AND MORE
AS WE'RE SEEING IN OTHER
INDUSTRIES THIS SORT OF THREAT
OF LAYOFFS OF CUTS- IS THAT AN
ACTUAL. MET THE MAN. SORT OF A
METHOD ALLOW. SORT OF FOLK AND
PRIORITIZATION I DON'T SEE IT
CALLED OUT SPECIFICALLY IN THIS
LIST BUT IT'S SOMETHING THAT-
I'M CURIOUS CAN CAN WE LOOK AT-
HOSPITALS THAT ARE PLANNING TO.
DO MAJOR CUTS TO THEIR TO THEIR
SEATS TO THEIR WORK FORCE OR WHO
HAVE ALREADY LAID OFF. MEMBERS
OF THEIR STAFF I THINK THAT IS
ALSO SOMETHING THAT WE NEED TO
PRIORITIZE- FOR ME RECESSION
PROOFING OUR STATE IS MAKING
SURE FOLKS STAY IN THEIR JOBS
AND KEEP WORKING AND IF WE DON'T
EXPLICITLY CALL THAT OUT I
THINK. THAT HAS TO BE FACTORED
IN- ALSO HAVING WORKED A LOT
WITH UNEMPLOYED WORKERS- AND
LOOKING AT INDUSTRIES- THAT.
THAT WE WANT TO CONNECT WORKERS
WITH AYE I SPENT SOME TIME
LOOKING AT- THE WORK OF PREVIOUS
ADMINISTRATIONS AROUND HOW TO
STABILIZE AN INDUSTRY TO KEEP
WORKERS EMPLOYED THINKING ABOUT
THE AUTO INDUSTRY AND I KNOW
WE'RE TALKING ABOUT HEALTHCARE.
BUT ONE OF THE THINGS THAT TOOK
PLACE IN SORT OF UNPACKING THE
SAVING OF THE AUTO INDUSTRY WAS
A REAL. STAKEHOLDER TABLE THAT
WAS BUILT THAT BROUGHT. THE
EMPLOYERS- OF THE MANUFACTURERS
THE UNIONS- THE KEY STAKEHOLDERS
AROUND THE TABLE TO SORT OF LOOK
AT HOW DO WE ACTUALLY SECURE THE
INDUSTRY HOW DO WE HOW DO WE
MAKE IT MAKE IT STRONG I KNOW
SENATOR LAYERED AND I- HAVE
HEARD. FROM ON THE ON EDUCATION
BUT A BUDGET SUB ONE A LOT ABOUT
THE WAYS IN WHICH WE HAVE
ESTABLISH SORT OF THE SAFETY NET
TEAMS THAT COME IN AND REALLY
HELP TO MAKE SURE THAT THOSE-
SCHOOL DISTRICTS AND SCHOOLS
THAT ARE IN TROUBLE THAT WE ARE
REALLY ANALYZING WHAT ARE THE
THINGS THAT THEY NEED. TO MAKE
SURE THAT THEY CAN MEET THE
STANDARDS AND CONTINUE TO THRIVE
AND GROW- I THINK TOO OFTEN ON
THE PRIVATE SECTOR SIDE WE DON'T
DO ENOUGH- TO ENSURE THAT- IT'S
NOT JUST THE REIMBURSEMENT RATES
BUT IT'S ALSO HOW WE OPERATE
RIGHT TO MAKE SURE THAT THE
OPERATIONS. HAS SUFFICIENT-
INPUT IN SUPPORT TO MAKE THE
CHANGES THAT NEED TO BE MADE TO
ENSURE THAT THE INDUSTRIES
THRIVE- WE CAN HAVE STRONG
WORKERS ARE STRONG UNIONS
WITHOUT STRONG INDUSTRY AND SO
WE NEED TO MAKE SURE. THAT THE
OPERATIONS ARE IN PLACE SO I SAY
THAT TO SAY HE IS IN PART OF
THIS EARLY ACTION- HOW IS THE
ADMINISTRATION THINKING ABOUT
THE OVERSIGHT AND THE
STAKEHOLDER TABLES. IN WHETHER
IT BE REPRESENTING RURAL AND
URBAN- HOSPITAL- ADMIN- ALONG.
THOSE UNIONS- WORKER
REPRESENTATIVES TO REALLY SIT TO
TALK ABOUT WHAT ARE THE WAYS WE
CAN WORK PUBLIC AND PRIVATE
SUPPORT TO ENSURE. THE
STABILIZATION OF THIS- IMPORTANT
SECTOR HAS THE ADMINISTRATION
REQUIRED THAT IS PART OF THIS
EARLY LOAN PROGRAM IS THAT KIND
OF STAKEHOLDER INFRASTRUCTURE IN
OVERSIGHT BEING PUT IN PLACE FOR
THIS- FIRST STEP- THIS THE
CENTER THAT THE LANGUAGE DOES
NOT SPELL OUT THAT SORT OF
FRAMEWORK SPECIFICALLY- HOWEVER
I THINK THAT AS- SORT OF SOME OF
THE MORE DETAILS OF THE
FRAMEWORK OR A RELEASE WE CAN
CERTAINLY TAKE THAT BACK IT'S
SORT OF FEEDBACK AND- YOU KNOW
LOOK FORWARD. THINGS THAT THAT
YOU KNOW THE LEGISLATURE WOULD
LIKE TO SEE IS PART OF A PART OF
THOSE DETAILS IN THE FUTURE. SO
THE ANSWER IS NO ON THAT AT THIS
POINT- THAT'S A NO AND NO
MEANING IT CANNOT HAPPEN BEFORE
THIS EARLY ACTION OR NO MEANING
THAT. I'M TRYING TO CLARIFY.
WITH UP YOU KNOW IT'S A IT'S A
GOOD IT'S A GOOD QUESTION I
DON'T KNOW THE ANSWER AND SO I
THINK LET'S JUST TAKE THAT BACK
IN AND IT'S SOMETHING THAT WILL
STOP TO DISCUSS AND THEN. TO MY
POINT ABOUT HAVING ANOTHER UNDER
H. ANOTHER METHODOLOGY METHOD.
THEY YOU. WITH THAT IS A TOUGH
WORK ADDING TO THE METHODOLOGY
THIS WHOLE QUESTION OF HAVE
THERE BEEN LAYOFFS ARE THEIR
PLANNED FUTURE LAYOFFS SO THAT
THAT IS ALSO SOMETHING THAT GETS
WAITED- IN TERMS OF WHO COULD
QUALIFY IN THE MOST ELIGIBLE-
FOR THESE. RESOURCES FOR THE
LAST DIRECTOR IS SOMETHING I
WOULD LIKE TO SEE IN THIS. SORRY
THIS IS WITH. CENTER NEELAM.
THANK YOU MADAM CHAIR WHEN I
ASKED YOU SAID THAT I WOULD BE.
USUALLY WE ONCE I'LL BE. LET'S
FOLLOW BY AN END STRING OF WORDS
I PROMISE I WON'T DO THAT- IN
THIS SEGMENT OF RE WE HAVE. A
FAIRLY RELATIVELY HEALTHY AND
STABLE HOSPITAL SO WE'RE LOOKING
AT RURAL AREAS. SO I SYMPATHIZE
WITH- THE CHALLENGES THAT THEY
HAVE BUT IF WE KEEP ADDING
POPULATIONS BENEFICIARIES AND IF
WE KEEP ADDING BENEFITS UNDER
THE CURRENT SYSTEM- I WILL BE
EMPATHIZING WITH THEM IN THE
FUTURE BECAUSE WILL HAVE THE
SAME PROBLEM HERE- IN LAST WE
ARE WILLING TO. RAISE RATES TO
COVER COSTS. OR CUT BACK ON
BENEFITS THIS IS GOING TO BE A
CONTINUAL PROBLEM AND IT WILL
GRADUALLY GET WORSE ONE QUESTION
ONE QUICK POINT ABOUT- THE
SEISMIC STANDARDS THIS IS
ANOTHER EXAMPLE OF THE STATE
PROVIDING A ONE SIZE FITS ALL.
APPROACH TO A CHALLENGE- IN
SACRAMENTO- WE HAVE HOSPITALS
THAT WILL BE- RETROFITTING FOR A
SEISMIC STANDARDS MEETING THE
SAME STANDARDS AS A HOSPITAL
THAT SITS ON TOP OF THE
EARTHQUAKE ZONE. SACRAMENTO IS
FRANKLY KNOWN AS AN EARTHQUAKE
EARTHQUAKE FREE ZONE IT'S
FRANKLY ONE OF THE SELLING
POINTS FOR ECONOMIC DEVELOPMENT
AND YET WE HAVE TO SET SATISFIED
THE SAME STANDARDS AS THOSE THAT
ARE- ON A FAULT- SO- THOSE ARE
MY COMMENTS MADAM CHAIR I HOPE.
I WAS BRIEF ENOUGH THANK YOU
VERY MUCH. THANK YOU- FOR CHAIR
- RIGHT BEFORE WE MOVED TO THE
NEXT I HAVE IF COMMON TO MAKE- I
APPRECIATE THE- COMMENTS AND
QUESTIONS BY MY COLLEAGUES. THIS
CALIFORNIA HAS HAD A HOSPITAL
SHORTAGE FOR YEARS WE'RE RANKED
WE'RE IN THE BOTTOM FIVE OF
STATES IN TERMS OF HOSPITAL BEDS
PER CAPITA- LAST I CHECKED ONLY
WASHINGTON OREGON HAD FEWER WE
HAVE ABOUT ONE POINT EIGHT NOT
MAYBE EVEN LOWER NOW GIVING IT
SOME HOSPITALS CLOSED. SOUTH
DAKOTA FOR EXAMPLE HAS CLOSE TO
FIVE BEDS PER HUNDRED THOUSAND.
PEOPLE SO WHO WOULD HAVE EVER
THOUGHT THAT SOUTH DAKOTA WOULD
HAVE LOWER HOSPITAL ACCESS THING
CALIFORNIA THIS IS A LONG TERM
PROBLEM- BUT OF COURSE THE- THEY
ARE A NUMBER OF THINGS THAT
EXACERBATED. OUR HOSPITALS ARE
REVENUE CIRCUMSTANCE OR
FINANCIAL CIRCUMSTANCE THE
PANDEMIC DURING THE PANDEMIC
MOST OF US I THINK NOBODY HERE
THE MANY HOSPITALS DIDN'T WANT
TO GIVE ANY ELECTIVE SURGERIES
BUT ALSO MOST OF US WOULDN'T
WANT TO GO GET ONE. SO MUCH OF A
THE KIND OF REVENUE THAT
HOSPITALS DO DEPEND ON SHUTDOWN
DURING THAT PANDEMIC SO YOU'RE
SOME ESTIMATES THAT ARE
HOSPITALS LOST UP TO TWENTY
BILLION DOLLARS DURING THE
PANDEMIC IN TERMS OF REVENUE.
WHETHER THAT'S AN ACCURATE
ASSESSMENT OR NOT WE KNOW IT HIT
HIM HARD WE ALSO KNOW THAT
INFLATION HAS HIT OUR HOSPITALS
HARD AND OF COURSE MANY OF MY
COLLEAGUES HAVE MENTIONED TO
MEDIC CALORIES. AND THAT FIGHT
WE KNOW THAT IS A FACTOR BECAUSE
OF THE PERCENT OF CALIFORNIANS
WHO ARE ON MEDICARE. NOW WHAT'S
INTERESTING IS THAT WHEN YOU
LOOK AT WHERE IN THE STATE HAS
HIRED. BEDS PER CAPITA AND WE'RE
NEW HOSPITALS ARE BEING PROPOSED
IT IS ALL IN VERY WEALTHY AREAS.
SO IT IS IN AREAS WHERE THE
PAYER MIX IS MUCH HIGHER A
PRIVATE PAYER SO WELL CERTAINLY
DEPARTMENT FINANCE COMMENTS THAT
YOU KNOW PRIVATE PAYER THERE ARE
SOME PROBLEMS THERE YES THERE
ARE BUT CERTAINLY NOT- NOT AS
LARGE BECAUSE- WHY WOULD YOU SEE
NEW HOSPITALS BEING PROPOSED. IN
WEALTHY AREAS THAT ARE MUCH
HIGHER PERCENT PRIVATE PAYER-
SO. THESE ARE ALL FACTORS THAT-
HAVE TO BE CONSIDERED AS WE DEAL
WITH TRYING TO. TO I MEAN WE
NEED TO KEEP PROSPERO'S OPEN WE
NEED WE ALREADY YOU'RE TOO LOW.
IN TERMS OF NUMBER OF BETS- NOW
I DID HAVE CONCERNED. WHERE I
AND I. LOOK I KNOW THAT WE HAVE
A SHORTFALL HOWEVER TO HEAR THAT
WE CHOSE THE DOLLAR AMOUNT. ON
THE BASIS OF WHAT WE FELT WE
COULD ABSORB. VERSUS WHAT THE
ANALYSIS OF WHAT WE FEEL ARE
HOSPITALS NEED WAS A LITTLE
DISCONCERTING- THERE'S ESTIMATES
THAT 50% OF OUR HOSPITALS HALF
OF OUR HOSPITALS RIGHT NOW OR IN
THE RED. NOW BEING IN THE RED
DOESN'T NECESSARILY MEAN YOU'RE
AT RISK OF CLOSURE- SO YOU KNOW
GETTING THAT REAL DATA OF
EXACTLY- THE CIRCUMSTANCE AND
ALSO WHERE THE NEED IS HIGHEST
SO. YOU KNOW DO WE AND AGAIN
THIS ALRP LOOK I DON'T WANT TO
EVER CHOOSE WHAT HOSPITALS SAFE
BUT- DO WE FOCUS ON SAVING THOSE
THAT ARE IN AREAS WHERE THERE IS
THE LOWEST PER CAPITA- HOSPITAL
ACCESS THAT SEEMS LIKE A VERY
IMPORTANT CRITERIA. NOW I WOULD
BE MUCH MORE COMFORTABLE IF WE
ALREADY HAD THE KIND OF. OF
PHYSICAL EVALUATION THAT SENATOR
COPYRIGHT RIFF REFERENCED THAT
WE DO FOR EXAMPLE WHEN WE LOOK
AT SCHOOL DISTRICTS IF THAT WAS
PART OF THIS ITEM. THERE ARE A
LOT OF THINGS I WOULD BE MUCH
MORE COMFORTABLE WITH IT AND TO
BE PART OF THIS ITEM BECAUSE I
FEEL LIKE. TO DATE YOU KNOW
WE'RE BEING ASKED NOW DURING
EARLY ACTION ITS MAY SECOND
WE'RE GOING TO ADOPT THE BUDGET
IN- IT AT OUR CONSTITUTIONAL
OBLIGATION BY JUNE FIFTEENTH
WHICH MEANS FUNDS WILL BE
AVAILABLE JULY ONE. NOW IDEA AND
SO NOW IF WE ACT ON THIS. AND
ASSUMING THAT BOTH HOUSES
PASSAGE YES FUNDS WILL BE
AVAILABLE A MONTH SOONER MAYBE A
LITTLE MORE THAN A MONTH SOONER-
AND CLEARLY IF THAT KEEPS A VERY
IMPORTANT HOSPITAL WHEN THAT IS
AN AREA WHERE. IS IN. AN AREA
WITH LESS ACCESS- OPEN. THEN YOU
KNOW OBVIOUSLY SMARTEN. HOWEVER
I A LITTLE AGAIN BY HAVE SOME
COME TO BELIEVE THAT ISN'T.
AMOUNT OF GENERAL FUND BUT IN
THIS. IS POINT OUT ANY MANAGER
FUND GOING TO BE CAN CAREFULLY.
AND. YES WE- THAT KIND CRAZY.
AND WITHOUT THE- INTENSE FISCAL
ANALYSIS. AND I'VE PARTLY SPEAK
FROM. ANY CAN ANY OF US SENATE
DISTRICT I. FOUGHT FOR AND
SUCCEEDED IN GETTING MONEY IN
TWENTY FOURTEEN FOR A HOSPITAL
IN MY DISTRICT IN A VERY
UNDERSERVED AREA. THAT WAS IN
FINANCIAL TROUBLE. AND IT. THE
FACT THAT THE LEGISLATURE PROVED
IT THE GOVERNOR SIGNED IT. THE
RESCUE MONEY THAT WE PROVIDED IT
WAS ALWAYS IFFY WHETHER IT WOULD
BE ABLE TO STAY OPEN IT HAD A
KIND OF SHAKY PLAN FOR. FOR
SECURITY AND THAT PLAN OF COURSE
FELL THROUGH SO ARE FUNDS ONLY
KEPT IT OPEN MAYBE FOUR TO FIVE
MONTHS LONGER THAN IT WOULD HAVE
BEEN- AND I THINK WE WHILE I
DON'T REGRET THAT BECAUSE IT WAS
A VERY VERY IMPORTANT IT'S STILL
IN AN AREA THAT'S HOSPITAL
DESERT WHICH OF COURSE IT
DOESN'T EXIST ANYMORE- I WILL.
GIVEN THAT WE ARE IN A SHORTFALL
I WANT TO BE SMARTER ABOUT HOW
WE USE OUR MONEY SO BY MAKING
KNOWLEDGE BEING THAT THE NEED IS
REAL. AND I WILL SUPPORT THE
ITEM BUT I'M- I DON'T LOVE HOW
IT WAS. AND- AND I LOOK FORWARD
TO A MUCH. HE TO OUR JUNE FIFTY
BUDGET A MUCH MORE AND- WATCH.
JEFF FLESHED OUT PROPOSAL ROBUST
ALL USE WHATEVER WORD YOU WANT
TO USE ONE THAT GIVES THE KINDS
OF- ASSURANCES OR IF NOT SURE AT
LEAST THE CRITERIA THAT MANY OF
MY COLLEAGUES HAVE REYES FROM
THE DICE. SO WE'LL LEAVE THAT
AND DECIDE FOR THOSE OF YOU CAME
A LITTLE LATE WE'RE NOT VOTING
YET WE'RE GOING TO HEAR OUR LAST
ITEM. THEN WE'RE GOING TO HEAR
FROM PUBLIC COMMENT AND THEN WE
WILL VOTE OKAY SO. I WILL CLOSE
THIS ONE AND WE WILL OPEN OUR
NEXT ITEM OUR LAST ITEM AND THAT
IS- AB ONE ONE THREE- AND THE-
AGRICULTURAL LABOR RACE
RELATIONS. THANK YOU ALMOST
FORGOT WE HAD ONE ABOUT LEFT. AB
ONE THIRTEEN IS A PLAN FOR AB
ONE EIGHTY THREE THIS BILL MAKES
CHANGES TO THE PROVISIONS
RELATING TO THE ELECTION AND
APPEALED BONTA PROVISIONS IN AB
TWENTY ONE EIGHTY THREE AS
AGREED UPON BY. THE STATE AND
THE UNITED FARM WORKERS-
AMENDMENTS THIS BILL INCLUDE A
CAP ON THE NUMBER OF KARTIK
TENSIONS OVER THE NEXT FIVE
YEARS AND CREATE AN INDEPENDENT
AND CONFIDENTIAL VERIFICATION
PROCESS. THAT THE AGRICULTURAL
LABOR RELATIONS BOARD MISCONDUCT
BEFORE LABOR ORGANIZATION CAN BE
DEEMED THE REPRESENTATIVE OF THE
BARGAINING UNIT IN ORDER TO
ADEQUATELY PROTECT WORKER
CONFIDENTIALITY AND SAFETY- THIS
BILL ALSO APPROPRIATES TEN
THOUSAND DOLLARS OF GENERAL FUND
TO ALLOW THE AGRICULTURAL LABOR
RELATIONS BOARD TO BEGIN
IMPLEMENTING PROVISIONS. OF THIS
BILL IN THE CURRENT YEAR. I'M
HAPPY TO RESPOND TO ANY
QUESTIONS. GREAT THANK YOU
LIMITS SKEWS ME LET ME SEE IF
THERE ARE ANY QUESTIONS FROM THE
DYESS YES AN ATTORNEY LOW. THANK
YOU OUT OF HERE. THE ONLY THING
THAT MAKES THIS A BUDGET ITEM IS
THE- APPROPRIATION OF. TEN
THOUSAND DOLLARS- TO THE
AGRICULTURAL LABOR RELATIONS
BOARD WHICH REALLY ISN'T
NECESSARY FOR THE POLICY
PERSPECTIVE OF THIS BILL- THIS
REALLY IS POLICY BEING PASSED IN
A- BUDGET TRAILER BILL FIVE.
MADE COMMENTS ABOUT THIS IN THE
PAST ITS- THE- ENVIRONMENT HERE
IS MUCH DIFFERENT THAN IT WAS
WHEN I WAS. HERE ABOUT TWELVE
YEARS AGO THIRTEEN YEARS AGO.
BUT WHY IS IT NECESSARY FOR THIS
TO BE A BUDGET TRAILER BILL WHY
COULD IT NOT BE A POLICY BILL
BUT WITHOUT THE TEN THOUSAND
DOLLARS- SURE AND TO YOUR POINT
I WOULD JUST STATE THAT THIS WAS
AN AGREED UPON AND- THESE ARE
AGREED UPON AMENDMENTS- PURSUANT
TO DISCUSSIONS WHEN THE BILL WAS
SIGNED AT THE END OF LAST YEAR.
AND THAT A. L. A. R. B. IS IN
NEED OF FUNDING FOR
IMPLEMENTATION SOMETHING. THAT
THE TEN THOUSAND DOLLARS IS
NECESSARY TO ACCESS SUPPORT
THEIR THEIR WORK YET TO EXECUTE
ITS NECESSARY THIS POLICY COULD
NOT BE EXECUTED WITHOUT THE TEN
THOUSAND DOLLARS I THINK IT'S
AGAIN IT'S BATES SUBS TO.
FINANCIALLY SUPPORT THEIR WORK I
BY UNDERSTAND WHY IS IT
NECESSARY FOR IT TO BE A BUDGET
BILL- AND AGAIN I WOULD JUST GO
BACK TO THAT THIS WAS AN
AGREEMENT BETWEEN THE STATE AND
THE OF- FARMWORKERS THE UNIT
FARMWORKERS THAT THIS WOULD WE
WOULD. AMEND THE BILL THAT WAS
AGREED UPON- AS SOON AS- WAS
POSSIBLE THIS IS THE FIRST-
ABOUT PERTINENT TO DO SO. ALL
RIGHT. THE OTHER COMMENTS FROM
THE DICE NOT SEEING A- WE WILL
NOW GO TO OUR PUBLIC COMMENT CAN
WE'LL HEAR FIRST FROM THOSE IN
THE ROOM- SO THOSE WHO WANT TO.
COMMENT ON ANY OF THESE BILLS
PLEASE COME FORWARD AND I WILL.
HOLD YOU TO. A MINUTE THIS IS-
AND THEN FOR WE'LL GET ON THE-
LINES AFTER. GO AHEAD PLEASE. I
THANK YOU CHAIRED MEMBERS MARK
FRUIT WITH THE CALIFORNIA
HOSPITAL ASSOCIATION I THANK YOU
FOR THE ROBUST DISCUSSION
REGARDING. AB ONE TWELVE- THE
LOAN PROGRAM THAT WE'VE TALKED
ABOUT WILL ADDRESS IMMEDIATE
NEEDS FOR A SMALL GROUP OF
HOSPITALS THERE ON THE EDGE OF
THE FINANCIAL CLIFF IN FACING
THE DIFFICULT CHOICE. OF SERVICE
REDUCTIONS BANKRUPTCY OR EVEN
CLOSURE. WE'VE ALREADY SEEN
HOSPITAL CLOSURES- REFERENCING
MADERA HOSPITAL AND THEN JUST
LAST WEEK BEVERLY HOSPITAL
MONTEBELLO ALSO FILED FOR
BANKRUPTCY. A RECENT STUDY BY
KAUFMAN HALL SENATE ROUGHLY ONE
IN FIVE CALIFORNIA HOSPITALS ARE
AT RISK OF CLOSURE- THE HUNDRED
FIFTY MILLION PROPOSED IN THIS
FUND- IS AN IMPORTANT FIRST STEP
TO ENSURE THAT CALIFORNIANS HAVE
ACCESS TO HEALTH CARE SERVICES
THEY NEED AND DEPEND ON.
ADDITIONAL FINANCIAL ASSISTANCE
WILL BE NEEDED BY DOZENS MORE
HOSPITALS AT RISK OF CLOSURE AS
WELL AS THOSE THAT HAVE TO REACH
THAT HAVE HAD TO REDO SERVICES.
JUST REMAIN IN OPERATION THAT'S
WHY CJ CONTINUES TO SUPPORT. ON
AN IMMEDIATE LIFELINE AND
SUSTAINED WHILE ONGOING SOLUTION
TO PROTECT CARE FOR MEDI CAL
PATIENTS THROUGHOUT THE STATE CJ
LOOKS FORWARD TO FURTHER
DISCUSSIONS WITH THE GOVERNOR
AND THE LEGISLATURE ON LONGER
TERM STABILIZATION PACKAGE TO
THE ON GOING BUDGET PROCESS. WE
WOULD ALSO AS THAT PROCESS
CONTINUES ENCOURAGE- LOOK AT-
ENSURING THAT ALL HOSPITALS IN
DISTRESS- WOULD RECEIVE SOME
TYPE OF RELIEF- IS THIS CURRENT
PROPOSAL IS LIMITED AND
DEFINITION OF CERTAIN TYPES
FOSSILS. IN RELATION TO THE DATA
REPORTING REQUIREMENTS WE JUST
NOTE THAT- IN THIS PROPOSAL IT'S
REQUIRING DATA REPORTS ALSO BE
SUBMITTED BY HOSPITALS THAT
WOULD NOT QUALIFY. BY DEFINITION
FOR THE ONES ON THIS PROGRAM WE
ALSO ENCOURAGE FURTHER
DISCUSSIONS RELATED TO THE DATA
REPORTING. WE THINK THERE MAY BE
A BETTER WAY TO GET THE DATA-
THAT THE DEPARTMENT IS LOOKING
FOR HOSPITALS CURRENTLY REPORTS
THEIR BALANCE SHEETS ON A YEARLY
BASIS. THIS CHANGES THAT THE
QUARTERLY BUT THIS MAY NOT GIVE
YOU. THE LOOK THAT YOU'RE
LOOKING FOR IN ORDER TO
IDENTIFY- STRESS HOSPITALS BUT
LOOKING FORWARD FURTHER
DISCUSSIONS. THANK YOU ALL FOR
YOUR TIME THANK YOU. EXCUSE ME
MISS SHORT REPRESENTING. THE SO
THAT REPRESENTS THE HUNDRED
HOSPITALS THAT MAKE UP
CALIFORNIA'S HOSPITAL SAFETY
NET- ALARMING 75% OF THESE
HOSPITALS ARE OPERATING AT A
LOSS AND ARE STRUGGLING- AND ONE
OF THESE HOSPITALS WE'VE HEARD A
LITTLE BIT ABOUT- IS BEVERLY
HOSPITAL- THERE ARE TWO HUNDRED
BED ACUTE CARE HOSPITAL IN
MONTEBELLO- THAT IS SORT OF THE
COMMUNITY FOR SEVENTY YEARS. 90%
OF THEIR PATIENTS ARE MEDICAID
AND MEDICARE ARE COVERED BY
MEDICAID AND MEDICARE- THEY HAVE
SEEN FORTY THOUSAND PEOPLE IN
THEIR EMERGENCY DEPARTMENT LAST
YEAR. AN INCREASE OF 20% FROM
THE YEAR BEFORE. AND THEY'RE
FIGHTING TO STAY. OPEN TO SERVE
THEIR COMMUNITY AND SERVE THE
POPULATIONS THEY CARE ABOUT THEY
HAVE FILED A CHAPTER ELEVEN
BANKRUPTCY WHICH ALLOWS THEM TO
STAY OPEN. THEY'RE WORKING WITH
THEIR COMMUNITY THEY'RE WORKING
WITH THEIR STAFF THEY ARE
WORKING WITH OTHER PARTNERS TO
TRY AND FIGURE OUT HOW TO CARVE
ON THEIR WAY OUT OF THIS AND
THIS BILL IN THESE RESOURCES
WILL ALLOW THEM TO CONTINUE THAT
FIGHT AND TO CONSIDER SAY OPEN.
FOR THEIR COMMUNITY THAT THEY
CARE ABOUT SO WE THINK. THIS
COMMITTEE WE THANK SENATOR
CABALLERO- THREE SAYING- THE PRO
TEM AND THE GOVERNOR'S OFFICE
FOR ALL THEIR WORK ON THIS AND
WE LOOK FORWARD TO CONTINUING TO
WORK WITH YOU. ON THOSE
STRUCTURAL CHANGES THAT WE NEED
IN THE MEDICAID PROGRAM TO MAKE
SURE THAT THE REST OF OUR
HOSPITAL SAFETY NET DON'T END UP
IN THIS POSITION SO THANK YOU.
THANK YOU. WE GOOD. MADAM
CHAIRMAN MEMBERS COUNTY. AND OF
THE DOES COST LEADERSHIP FORUM
REP THE THIRTY THREE DOES I MEAN
THIS HAAS. AND STATE HERE IN
SUPPORT OF AB ONE TWELVE THAT
CREATES THE DISTRESSED HOSPITAL
LOAN PROGRAM. MEMBERS THESE
HOSPITALS ARE UNIQUE THEIR
GOVERNMENTAL ENTITIES THEY ARE
STANDALONE FACILITIES SO THEY
HAVE TO MAKE IT OR BREAK IT ON
THEIR OWN. A MANY OF THEM ARE
LOCATED IN RURAL AND UNDERSERVED
COMMUNITIES WE'VE WE'VE HEARD
MENTION OF SEVERAL OF THOSE
HOSPITALS TODAY. IN NINETEEN
COUNTIES DISTRICT HOSPITALS ARE
THE ONLY PUBLIC HOSPITALS WITHIN
THE COUNTY. AND OUR FIGURES SHOW
THAT FROM THE THIRD QUARTER OF
TWENTY TWENTY TO TWENTY FIVE OF
THE THIRTY THREE. HOSPITALS HAD
A NEGATIVE NET INCOME.
SIGNIFICANT MEDICAL SHORTFALLS
HAVE CAUSED- HOSPITALS TO CLOSE
OR REDUCE SERVICES WE'VE HAD
MUCH DISCUSSION ABOUT THAT
TODAY. WE SAW DEVASTATING
EFFECTS FROM THE HOSPITAL THAT
CLOSED IN MADERA. AND WHAT THAT
DID TO THOSE PATIENTS IN THOSE
COMMUNITIES WE REALLY WANT TO
THANK- CENTER COVER YET- FOR
HER. LEADERSHIP ON THIS ISSUE AS
WELL AS MEMBERS HERE ON THIS
COMMITTEE. PROGRAMS LIKE THE
DISTRESS HOSPITAL PROGRAM OR
STEP IN THE RIGHT DIRECTION. TO
STAVE OFF ADDITIONAL CLOSURES
AND REDUCTIONS WE WANT TO THANK
THE GOVERNOR FOR. THE MEMBERS OF
THIS COMMITTEE AS I SAID AND ALL
THOSE IN IN THE STEP IN THE
RIGHT DIRECTION TO PROVIDING
SOME RESOURCES FOR HOSPITALS
THAT DON'T FALL OFF THE CLIFF WE
WANT TO CONTINUE. TO KEEP THE
DOORS OPEN AND SERVE THE
PATIENTS. AT THE STATE THANK YOU
THANK YOU. A GOOD MORNING
SENATORS. ALL OF WESTERN
ASSOCIATION I'LL KEEP MY
COMMENTS BRIEF THIS MORNING BUT
I WOULD JUST SAY THAT THE
FRUSTRATION IS REAL WHEN IT
COMES TO THE AG LABOR RELATIONS
ACT. AT WHAT TRANSPIRED LAST
YEAR WITH THE CAR CHECK. BILL AB
TWENTY ONE EIGHTY THREE. AB
TWENTY ONE EIGHTY THREE AND AB
ONE ONE THREE- BOTH ELIMINATE
FUNDAMENTALLY THE EFFECTIVE
ABILITY FOR FARMWORKERS AT THE
SECRET ABOUT ELECTION PROCESS.
UP UNTIL LAST YEAR UNDER THE
ADLAI RELATIONS ACT THAT WAS
HELD SACROSANCT. AS THE BEST
ABILITY TO PROTECT AND
SAFEGUARD. AND ELIMINATE
COERCION IN ANY OF THE ELECTION
PROCESS FOR FARMWORKERS- SO
THERE'S A LOT OF FRUSTRATION
AROUND- WHERE WE ARE TODAY ON
CARD CHECK. WE WERE TOLD LAST
YEAR THAT- IN THE DEBATE ON
TWENTY THREE IT WAS ALL ABOUT
MAIL IN VOTING- WELL MAILING
BUILDINGS NOT IN THESE
PROVISIONS OUT ALL. THEY HAVE
BEEN ELIMINATED- OTHER ITEM I
LIKED IT TO BRING FORWARD
INTERESTINGLY ENOUGH IS THAT THE
APPEAL BOND PROCESS WAS LEFT IN
THE LANGUAGE. SO THERE'S A HUGE
HURDLE IN FRONT OF ADDED PLAYERS
IF THEY WANT THE RIGHT. TO
APPEAL A DECISION OF THE L. R.
B. AND THAT BOND HAS TO BE FILED
WITH THE BOARD NOT A NEUTRAL
THIRD PARTY. IN EVERY OTHER AREA
OF THE LAW. THE APPLET BOND IS
FILED WITH A NEUTRAL THIRD PARTY
AYE EITHER SUPERIOR COURT. WE
BELIEVE THAT'S FUNDAMENTALLY
UNFAIR. AND THEN LASTLY- THIS
WAS AN AGREEMENT MADE IN THE
FINAL HOUR- RIGHT PRIOR TO THE
GOVERNOR GOVERNOR SIGNATURE. OF
AB TWENTY ONE EIGHTY THREE AND
THE AG INDUSTRY WAS WAS LEFT
ENTIRELY OUT OF THAT
CONVERSATION SO- WE REMAIN.
OPPOSED TO THIS THANK YOU. THANK
YOU. K. ENGLAND AWAY WITH WEST
CENTER LAW AND FOR. WE A PRE
THIS PLAN. TO INCLUDE REVENUES
AND INVESTMENTS FOR MORE
EQUITABLE CALIFORNIA ENSURING
WEALTHY CORPORATIONS PAY THEIR
FAIR TAXES. WE ALSO APPRECIATE
THE ROBUST DISCUSSION REGARDING
AB ONE TWELVE WHICH WE SUPPORT
ALTHOUGH NEED NOTING THE NEED
FOR GREATER TRANSPARENCY. THE
BILL INSURERS HEALTH CARE ACCESS
FOR LOW INCOME CALIFORNIANS
PARTICULARLY FOR MADERA
RESIDENTS WHO HAVE BEEN WITHOUT
A HOSPITAL IN THE WHOLE COUNTY.
FOR SINCE DECEMBER. WHEN IT
ABRUPTLY CLOSED WITHOUT MEETING
IT'S A HUNDRED EIGHTY DAYS
NOTICING REQUIREMENTS WE LOOK
FORWARD TO. FUTURE CONVERSATIONS
AROUND LONG TERM SOLUTIONS THANK
YOU. THANK YOU. THE MORNING
MADAM CHAIR MEMBERS MALIK BYNUM
WITH CHILD CARE PROVIDERS UNITED
A PARTNERSHIP BETWEEN. YOU AND
YOU DO W. OR WAS ENDING OVER
FORTY THOUSAND ON THE CHILD CARE
PROVIDERS IN OUR STATE- WANTED
TO APPRECIATE THE TIME FOR THE
HEARING TODAY AND ALSO
ACKNOWLEDGE AB ONE HUNDRED
EIGHTY ONE TEN. AND THE
PROVISIONS RELATING TO EXTENDING
FAMILY FEES TO SEPTEMBER
THIRTIETH OF THIS YEAR
ADDITIONALLY WE APPRECIATE THE
PROPOSED- TEMPORARY REYES
SUPPLEMENTS- FOR CHILD CARE
PROGRAMS BUT WE ACKNOWLEDGE THAT
THERE'S MUCH MORE TO DO AT THE
BARGAINING TABLE AS WE LOOK
TOWARDS- A NEW METHODOLOGY THAT
ACCOUNTS FOR THE TRUE COST OF
PROVIDING CHILDCARE IN
CALIFORNIA. THANK YOU THANK YOU
FOR. AMY HINES SHAIKH WITH THE
CALIFORNIA COMMUNITY LAND TRUST
NETWORK I'D LIKE TO THINK THE
HONORABLE CHAIR AND MEMBERS FOR
REMAINING INTACT THE TWENTY
TWENTY ONE INVESTMENT FOR THE
FORECLOSURE INTERVENTION HOUSING
PRESERVATION PROGRAM. AND LOOK
FORWARD TO LONG TERM HOUSING
SOLUTIONS AS THE PATRICK
CONVERSATION PROGRESSES THANK
YOU THANK YOU. GOOD MORNING OF
MISTER MANAGER AND- MEMBERS
COMMITTEE BRIAN LITTLE
CALIFORNIA FARM BUREAU
FEDERATION. I I'D LIKE TO SEE
MYSELF WITH THE REMARKS MADE BY
MATTHEW ALLEN A FEW MINUTES AGO
I CAN'T REALLY IMPROVE ON THAT
VERY MUCH- BUT I WOULD LIKE TO
POINT OUT THAT CENTER NIELLO HIT
THE NAIL SQUARELY ON THE HEAD-
AB ONE THIRTEEN. WHICH ARE
OPPOSED TO ADDITIONAL WESTERN
GROWERS- IS POLICY BEING MADE IN
THE BUDGET PROCESS- WE WERE
EXCLUDED FROM THE PROCESS BY
WHICH AB TWENTY THREE CAN'T
LARGELY WHAT I'M SORRY WHAT. IN
THE PROCESS BY WHICH AB ONE
THIRTEEN CAME ABOUT- HALF OF THE
STAKEHOLDERS IN THE AB ONE
THIRTEEN DEBATE WERE HEARD THE
OTHER HALF WERE NOT INCLUDED US-
SO WHAT YOU'RE DOING HERE IS
YOU'RE GOING TO PASS SIGNIFICANT
CHANGES IN POLICY. THAT WILL
NEVER GO BEFORE POLICY COMMITTEE
OF THIS BUT IF EITHER OF THESE
TWO BODIES A LEGISLATURE- YET
THAT THAT. TAKES AWAY ANY
OPPORTUNITY THAT WE WILL HAVE TO
BE ABLE TO COMMENT ON WHETHER IT
MAKES ANY KIND OF SENSE OR NOT
AND I'D LIKE TO WRAP UP- BY
NOTING. THAT THE FUNDAMENTAL
PROBLEM WITH AB TWENTY ONE
EIGHTY THREE AND AB ONE THIRTEEN
PUT TOGETHER. IS THAT THEY
EFFECTIVELY REMOVE FROM ANY
MEANINGFUL OVERSIGHT. THE
PROCESS OF COLLECTING
AUTHORIZATION CARDS IN
PETITIONS. THAT WILL OCCUR
ENTIRELY OUTSIDE THE OVERSIGHT
OF THE AG LABOR RELATIONS BOARD.
WHO WILL NO LONGER HAVE ANY
CAPACITY TO BE ABLE TO PROTECT.
AGRICULTURAL EMPLOYEES FROM
INTIMIDATION AND COERCION AND
MAKING A VERY IMPORTANT DECISION
ABOUT THEIR ONGOING ECONOMIC
FUTURE. SELF THANK YOU FOR YOUR
TIME. THANK YOU. MADAM CHAIR AND
- PETER CALLISON ON BEHALF OF ST
PAUL'S SENIOR HOMES AND SERVICES
LOCATED IN SAN DIEGO. THERE IN
SUPPORT OF AB ONE HUNDRED- ONE
SECTION IN PARTICULAR WHICH
EXTENDS THE ENCUMBRANCE FOR
FUNDS TO PROVIDE TO THE
INFRASTRUCTURE FOR WELLNESS. AND
HOUSING FOR FRAIL AND VULNERABLE
SENIORS. APPRECIATE STAFF IN THE
ADMINISTRATION WORKING WITH US
ON THIS THANK YOU. THANK YOU.
THE MORNING CARE MEMBERS
JENNISON ONLY WITH THE AMERICAN
FEDERATION OF STATE COUNTY
MUNICIPAL EMPLOYEES- WANTED TO
ALIGN OUR COMMENTS WITH MILLIE
KLEIN- FROM OUR- AFFILIATE. THE
UNITED DOMESTIC WORKERS ON CHILD
CARE SO THANK YOU FOR THE
ADMINISTRATION ON THAT- BUT ALSO
WANTED TO MAKE SOME COMMENTS
ABOUT- AB ONE TWELVE AND- TRULY
APPRECIATE SENATORS. LAYERED AND
TERRAZZO- AND SMALLWOOD CUEVAS
ON COMMENTS ABOUT TRANSPARENCY
THROUGH THIS PROCESS YES WHEN A
HOSPITAL CLOSES IT ABSOLUTELY
AFFECTS THE COMMUNITY AND
AFFECTS THE WORKERS- WHO- LIKELY
LIVE IN THE AREA- WE NEED TO
ENSURE THAT TRANSPARENCY- IS A
TOP PRIORITY. AT THAT THESE
FUNDS ARE BEING USED TO SUPPORT
HOSPITALS THAT HAVE A PLAN
MOVING FORWARD TO STAY OPEN IN
THOSE COMMUNITIES AND TO SERVE
THOSE COMMUNITIES MOVING FORWARD
SO THANK YOU AND ASK ME- WOULD
UP APPRECIATE OUR ONGOING
CONVERSATIONS WITH THE- WITH THE
LEGISLATURE AND THE
ADMINISTRATION ON THIS PROPOSAL.
THANK YOU THANK YOU. GOOD
MORNING MADAM CHAIR AND MEMBERS
JULIE ON AIR WITH THE CALIFORNIA
STATE ASSOCIATION OF COUNTIES ON
BEHALF OF FIFTY COUNTIES- HERE
IN SUPPORT OF AB ONE TWELFTH- AS
A FIRST STEP ON THIS ISSUE THANK
YOU THANK YOU. GOOD MORNING
JERRY MEMBERS OF THE COMMITTEE
I'M JULIA TERRY WITH CHILD CARE
RESOURCE CENTER CCRC OUR PROBLEM
AMBER OF THE SIKH COALITION AND
WE WOULD LIKE TO THINK THE
SENATE FOR- MAKING CHILD CARE A
TOP PRIORITY IN YOUR SENATE
BUDGET PACKAGE AND ALSO WOULD
LIKE TO THANK YOU FOR ADDRESSING
THE CRITICAL ISSUES OF CHILD
CARE RATES AND FAMILY FEES. IN
THIS EARLY ACTION PACKAGE
THOUSANDS OF FAMILIES WILL BE
ABLE TO SUSTAIN ACCESS TO CARE
BECAUSE OF THIS FAMILY FEE
WAIVER EXTENSION NUMBER IN FULL
SUPPORT OF AB ONE TEN AND WE
WOULD ASK THE COMMITTEE TO.
COMMIT YOUR ITEM THANK YOU. THE
YOU. GOOD MORNING SENATORS MY
NAME IS JUSTIN- POLDING AND I'M
WITH EVERY CHILD CALIFORNIA AND
ON BEHALF OF OUR MEMBERS WHO ARE
SUBSIDIZED CARE PROVIDERS ACROSS
THE STATE OF CALIFORNIA. WE WANT
TO THANK YOU FOR THE EARLY
ACTION PACKED PACKAGE
PRIORITIES. OF CHILD CARE WITH
INCREASES TO RATE REIMBURSEMENT.
AND DELAYING FAMILY FEES TO GET
TIME TO DEVELOP A MORE EQUITABLE
FAMILY FEE SCHEDULE. THESE
CHANGES ARE A STEP TOWARD
STABILIZING THE SUBSIDIZED EARLY
CHILD CARE FIELD AND YOU HAVE
OUR SINCERE GRATITUDE THANK YOU
THANK YOU. CAN REALLY
ROSENBERGER WITH SEIU WE ARE
REALLY APPRECIATIVE OF THE
EFFORTS- TO DO THESE EARLY
ACTIONS ESPECIALLY IN BRIDGING
THE GAP ON THE- FAMILY FEES-
WERE A LITTLE DISAPPOINTED THAT
THERE'S SUCH A LACK OF CLARITY
AROUND THE ARE BUT ALL OURS BUT
WE ARE APPRECIATIVE OF
PRIORITIZING BEING THAT MONEY
HOW IS MUCH NEEDED TO STABILIZE
OUR WORKFORCE. AND WE HOPE WE
CAN CONTINUE THOSE CONVERSATIONS
WITH DSS ON THE BEST WAY TO.
DISSEMINATE THOSE FUNDS IN A
TIMELY MANNER- NOW I'M GONNA
SPEAK SLIGHTLY OUT OF MY ISSUE
AREA WITH COMMENTS FROM MY
COLLEAGUES- S. YEAH YOU. ON AB
ONE TWELVE WE ARE APPRECIATIVE
OF THE PROPOSAL TO PROTECT
COMMUNITY COMMITTEES ACCESS TO
CARE WE AGREE WITH THE COMMITTEE
ON THE NEED FOR ADDITIONAL
TRANSPARENCY AND ACCOUNTABILITY
IN THE PROGRAM. BUT WE
SPECIFICALLY WANT TO ENSURE THAT
THE PLANS FINANCES AND STAFF
ASSESSMENTS ARE MADE AVAILABLE
TO ENSURE THE PUBLIC CAN REVIEW
AND HOLD HOSPITALS ACCOUNTABLE.
TO ENSURING ACCESS TO CARE
ESPECIALLY WHEN IT COMES TO
HOSPITALS NEED TO ADDRESS
WORKFORCE RETENTION- AND THE
TURN OVER IT HAS BEEN A STRUGGLE
FOR STAFF SO WE WOULD HOPE TO
SEE THAT THERE'S MORE-
REQUIREMENTS AROUND INVESTMENT
IN THE HEALTHCARE WORKFORCE. AND
WE SINCERELY APPRECIATE THE
KNOWLEDGE ABOUT THE BENEFITS OF
THE I. H. S. S. CAREER PATHWAYS
PROGRAM IN THANK YOU FOR THE
INCLUSION OF BLUEPRINT TO EXTEND
THE PROGRAM THROUGH DECEMBER
TWENTY TWENTY FOUR. THANK YOU
THANK YOU. MADAM AND MEMBERS
COURT JENSEN ON BEHALF OF THE
LOWER. AND FOR- WERE INSTEAD OF
A ONE TEN AND A PROUD MEMBER OF
THE C. COALITION. LIFT WORKS
WITH PROVIDERS AND TO ADVOCATE
FOR QUALITY CHILD CARE AT
FACILITIES THE INFRASTRUCTURE
AND PHYSICAL BUILDINGS THAT ADD
THAT CHILDREN ARE TAKEN CARE OF
AND- WE REALLY THINK YOU AND
THINK ABOUT THIS ISSUE IN TWO
WAYS WHICH IS THE AND FOR AND-
OF THE INFRASTRUCTURE THE PEOPLE
AND THE BUILDINGS. THIS GOES
REALLY FAR AND MAKING FIRST
STEPS TO MAKE SURE THE PEOPLE-
THAT ARE. THAT WORKING IN THESE
FACILITIES ARE TAKING CARE OF
OUR PAID CORRECTLY AND
ADEQUATELY- AND WE ALSO CONTINUE
TO URGE SUPPORT FOR ADDITIONAL
INVESTMENTS FOR THE
INFRASTRUCTURE- FOR THE PHYSICAL
BUILDINGS THAT THESE CHILDREN
ARE TAKEN CARE OF AND THROUGH
THE AYE CHILD CARE AND
DEVELOPMENT INFRASTRUCTURE GRANT
PROGRAM WHICH IS HOUSED AT DSS.
THIS LEGISLATURE HAS DONE AN
INCREDIBLE AMOUNT OF WORK OVER
THE PAST COUPLE OF YEARS TO
INVEST- DOLLARS INTO THE
PHYSICAL INFRASTRUCTURE- AND WE
NEED TO CONTINUE THAT THAT THAT
THAT. MOMENTUM TO MAKE SURE THAT
PROVIDERS HAVE ACCESS TO THE
FUNDS THAT THEY NEED FOR-
UPDATES FOR ON THE BUILDING NEW
FACILITIES TO MAKING SURE THAT
THE SLOTS ARE AVAILABLE. THANK
YOU. THANK YOU. GOOD MORNING
MADAM CHAIR AND SENATORS
ROSEANNE ACROSS ELITE I'LL BE
OUT OF THE EARLY AND- CONSORTIUM
. WHICH IS A CESSATION OF
MULTISTATE MULTI SITE HIGH
QUALITY CHILD CARE PROVIDERS-
THE MEMBERS OF ECC HAVE ABOUT
FOUR HUNDRED SEVENTY CENTERS
HERE IN CALIFORNIA WITH THE
CAPACITY TO SERVE SIXTY SIX
THOUSANDS OF STUDENTS SO-
CHILDREN SKEWS ME. SO ONE OF
THINGS START BY THANKING THE
SENATE DEMOCRATS FOR THEIR
PACKAGE- PRIORITIZING CHILD CARE
REALLY APPRECIATE THAT IS
INCREDIBLY IMPORTANT- AND
APPRECIATE THE SENATE'S
COMMITMENT TO THAT. ADDITIONALLY
WANT TO EXPRESS SUPPORT FOR AB
ONE TEN- IN THE EXTENDED FAMILY
FEE WAIVERS AS WELL AS THE
ADDITIONAL- FUNDING FOR SUBSIDY
PROVIDERS ONE THING TO NOTE
HOWEVER IS YOU KNOW NOT JUST
SUBSIDY PROVIDERS ARE STRUGGLING
FROM COLLUDED TO- YET
TRANSITIONAL KINDERGARTEN
EXPANSION TO WORK FORCE ISSUES
THERE. THE CHILD CARE OF FIELD
IS STRUGGLING ACROSS THE BOARD
AND IT IS NOT JUST LIMITED TO
THE TO SUBSIDY PROVIDERS SO I
WANT TO JUST PUT A PLUG OUT
THERE THAT ALL PROVIDERS NEED
HELP BUT AGAIN THANK YOU FOR
THAT THE CONTINUED SUPPORT FOR
CHILD CARE. AND SUPPORT AB. ONE
TEN TODAY THANK YOU THANK YOU.
FOR GOOD MORNING MY NAME MARY.
I'M THE EXECUTIVE OF PARENT
VOICES. WE REALLY WANT TO THANK
YOU FOR THIS EARLY ACTION-
EXTENDING THE CHILD CARE FAMILY
FEES AND THE RATES FOR
PROVIDERS. WE'VE HAD PARENTS
COME AND TESTIFY IN THE FULL
COMMITTEE IN SUB THREE OUR YOUTH
HAVE COME. THEY WAITED HOURS ON
THE PHONE TO TESTIFY ABOUT THE
IMPACT OF THESE FEES AND SO
WE'RE JUST SO GRATEFUL THAT YOU
HEARD THEM. I ALSO JUST WANTED
PRECIADO THAT THE SENATE-
PRIORITY BILLS INCLUDES CHILD
CARE AND AN OVERHAUL OF THE FEE
SCHEDULE THAT THIS EARLY ACTION
GETS THIS TO SEPTEMBER BUT- THE
REST OF THE BUDGET GETS SYSTEM
REALLY OVERHAUL IN THAT SYSTEM.
AND FINALLY LONG TERM SOLUTIONS
TO. THE TRUE COST OF CHILD CARE
AND WE APPRECIATE ALL OF THE
CONVERSATION THAT HAPPENED
AROUND REVENUES TODAY AND THAT.
THE PRIORITIES INCLUDES-
CORPORATE TAXES TO PAY FOR SOME
OF THESE ITEMS. THESE
CORPORATIONS HAVE BENEFITTED
FROM THE PANDEMIC AND THE
BENEFIT ON OUR WORKING FAMILIES
WERE THE ESSENTIAL WORKERS. AND
THE CHILD CARE WORKERS WHO KEPT
THEIR PROGRAMS OPEN THORACOTOMY
COULD RECOVER AND- THESE ACTIONS
WILL HELP THEM RECOVER AS WELL
THANK YOU THANK YOU. HI THERE
BECAUSE IF YOU'RE NOT I MEAN NOT
SNOW BEHALF OF CHILDREN NOW WANT
I THINK. SEN LEADERSHIP- FOR
COMMEND YOU FOR THIS BUDGET
PLAN- TO PROVIDE A BILLION
DOLLARS TO ADDRESS HEALTHCARE
RATE INCREASES THAT FOR WAITING
FAMILY FEES UNTIL SEPTEMBER. WE
JOIN PREVIOUS SPEAKERS
COLLEAGUES FROM THE C. COALITION
STRONG SUPPORT OF AB ONE TEN-
THE ONE BILLION DOLLAR PLAN IN
THE SENATE INCLUDING THE SENATE.
INCLUDING THE SENATE PLAN IS A
GREAT START HOWEVER WE KNOW THAT
TO GET TO THE ACTUAL COST OF
CARE IT WILL TAKE BILLIONS MORE-
TO IMPLEMENT A COST BASED RATES
SYSTEM AND WE ENCOURAGE YOU AND
LEGISLATIVE LEADERSHIP. TO
CONTINUE TO ADDRESS THE CHILD
CARE ACROSS CRISIS OUR CHILD
CARE WORKERS ARE AN ESSENTIAL
WORKFORCE- WE NEED TO TRANSFORM
CHILD CARE AND EARLY LEARNING
CALIFORNIA TO ENSURE THAT
FAMILIES AND. CHILDREN CAN
THRIVE THANK YOU THANK YOU. ALL
RIGHT I'LL TRY TO A- BE BRIEF-
GREETINGS MEMBERS MADAM CHAIR
SENATORS MY NAME'S TASIA STEVENS
KAMALA JUST LIKE ADVOCATE FOR
CATALYST CALIFORNIA. AND ON
BEHALF OF MY ORGANIZATION AND
SOME OF MY OTHER EASY COALITION
MEMBERS WE WANT TO THANK YOU.
HAVE FOR THIS EARLY ACTION PLAN
PRIORITIZING CHILD CARE IN THE
BUDGET. WE ARE IN STRONG SUPPORT
OF AB ONE TEN AND WE LOOK
FORWARD TO SEEING A MORE
EQUITABLE IN COMMUNITY BASED-
SCOPE. WHEN WE LOOK AT THE MODEL
FOR THE TRUE COST. OF CHILD CARE
THANK YOU SO MUCH THANK YOU.
MADAM CHAIRMAN OF THE COMMITTEE
LOUIS BROWN TODAY- IN SUPPORT OF
AB ONE TWELVE ON BEHALF OF
UNITED AG IN CALIFORNIA FRESH
FRUIT ASSOCIATION AGREE WITH
CONVERSATION THAT THIS IS ONLY
THE BEGINNING- MANY SMALL STEP
IN THE RIGHT DIRECTION TO
ADDRESS SEEN. OUR RURAL HEALTH
CARE ISSUES I'M AND THEN I WILL
ASSOCIATE MY- COMMENTS ON OUR
OPPOSITION TO AB ONE THIRTEEN. A
WITH THOSE MADE BY WESTERN
GROWERS AND THE FARM BUREAU OF
BOTH ON THE POLICY AND THE LACK
OF PROCESS THANK YOU. THANK YOU.
SO SEEING NO OTHER- PUBLIC IN
THE ROOM WHO WANTED TO SPEAK
DIRECTLY TO US I WANT TO GO TO
THE PHONE LINES NO I'M GONNA
HOLD THE PHONE LINE COMMENTED
TEN MINUTES. SO THAT WE HAVE
TIME TO VOTE- BEFORE OUR- FOR
ALL OF US NEED TO GO TO CAUCUS
SO- AS A REMINDER THE
PARTICIPANT NUMBER IS. EIGHT
SEVEN SEVEN TWO TWO SIX EIGHT
TWO ONE SIX. THE ACCESS CODE IS
. SIX TWO ONE SEVEN ONE SIX ONE
AND WE WILL TAKE JUST ME TO USE
ON THIS PHONE LINE AND WE WILL
GO NO LONGER THAN TEN MINUTES-
MODERATOR GO AHEAD. THANK YOU
PLEASE PRESS ONE ZERO AT THIS
TIME. AGAIN IT'S ONE ZERO. YOUR
FIRST TO LINE NUMBER TWELVE
PLEASE GO AHEAD. I KEPT THINKING
CHAIR MEMBERS OF THE COMMITTEE
MY NAME IS DEANNA FOR NOT A
PROBLEM I MADE THOUSAND. FROM
THE SAID OF BALDWIN PARK. A MAN
OF CHILD CARE PROVIDERS UNITED A
PROJECT OF YEAH YOU LOVE WHEN I
NINE. I WOULD LIKE TO THANK YOU
FOR HEARING US AND ADDRESSING
OUR IMMEDIATE NEEDS. WE URGE YOU
YOUR CONTINUED SUPPORT AS WE
ADDRESS PRIOR ONGOING RIGHT
THANK YOU THIS IS A ME TOO ONLY.
YOU'RE IN SUPPORT OBVIOUSLY. YES
OKAY THANK YOU. CONNECT TWEET
LINE. ELEVEN ARTICLE FIFTEEN FOR
ARMY CAL PROVIDERS NUMBER OF
UCBCP YOU I AM SUPPORT. THE. BY
NINETEEN. HELLO MY NAME IS
ORLANDO. I'M WITH THE- FREE TO
GREEK. AND THE- TEMPTATION FOR
HELLO BARS RIGHTS HUNDREDS. SB
ONE ONE. THANK YOU. LINE. TWENTY
MEMBERS BY DAVID THOUGHT UP THE
OF THAT SIZE GIVE THE BENCH OF
THE CAMPAIGN FOR CALIFORNIA
FARMERS TRY. OF THE REPORT OF AB
LEVEL AT THE OF YOU. FOR EXLINE
. THIRTY SEVEN. SANTA FE NEW
MEXICO AND ALSO PART OF THE K.
FOR BIRDS RIGHT PUBLISHED CLEAN
THANK THE AB. ONE ELEVEN.
THE NIGHT. THANK YOU THINK NOT
LEVEL CHARLIE. THIRTY NINE. I AM
I'M I AGREE WITH THAT CAN MEET-
FIVE YOU FOR- SUPPORTING ENOUGH
TYPE OF. THANK YOU YOU. LINE
TWENTY SEVEN. PERCENT THE
MORNING CARE NUMBERS THIS SUMMER
JASTI ON BEHALF OF THE K.
ALTERNATIVE PAYMENT PROGRAMS HE
. CALLING IN SUPPORT AND AB PET
AND ACCORDING TO CALL BUT YOU
SEE CO ASK THANK YOU FOR YOU.
THANK YOU FOR THANK YOU FOR LINE
. FORTY FIVE. GOOD AFTERNOON
THIS IS BILLY COSTS THAT WOULD
INVOICE IS IN SUPPORT OF AB ONE
ELEVEN X. AND ONE FORTY SIX. C.
MORNING ACTUALLY HAPPEN ON
BEHALF OF THE CALIFORNIA CHAMBER
OF COMMERCE IN OPPOSITION TO AB
ONE ONE THREE FOR THE REASONS
STATED BY THE WESTERN GROWERS
THANK YOU THANK YOU. THANKS LINE
. FORTY EIGHT. HELLO KELLY
REYNOLDS ON THE HALF OF EARLY
EDGE CALIFORNIANS SUPPORT OF AB
ONE TEN THEY ALSO WANT TO THANK
THE SENATE FOR PRIORITIES
PRIORITIZING CHILD CARE AND
BUDGET PACKAGE LOOK FORWARD TO
WORKING WITH THE LEGISLATURE
ADMINISTRATION TO INCREASE
ACCESS TO HIGH QUALITY EARLY
LEARNING CARE THANK YOU. FULL I
. FIFTY ONE. WHEN IT THE NUMBER
OF THAT ONLY WHAT THEY SEE
PARTED WAYS THAT THEY MIGHT
PRACTICAL POLICY AT YOUR THE
BEGINNING IN THE LUCK WITH THE
FIVE MINUTE A GREAT BENEFIT YEAH
I THINK DEBATE DEVELOPMENTS. I
WOULDN'T KNOW IT FROM. BUILDING
AUTHORITY THE AND THE- WITCHER
THAT THERE'S.
THANK YOU. MIXTURE OF LINE FIFTY
THREE. THANK YOU MADAM CHAIR AND
MEMBERS OF THE COMMITTEE THAT
THE GLORY FURSTENFELD FROM THE
CHILD CARE LAWCENTER DIRECTOR OF
LEGAL ADVOCACY AND MEMBER OF THE
E. C. COALITION. FEAR IN STRONG
SUPPORT AB ONE TEN. AND ON A
PERSONAL LEVEL I'M ALSO INTO FOR
IT AB. ONE ELEVEN THANK YOU.
THANK YOU. WIND FORTY ONE. GOOD
MORNING MADAM CHAIR AND
COMMITTEE MEMBERS THIS IS MY
EVIL MARCH- BEHALF- KIDDING GO
WE ARE EACH CHILD CARE AND
PRESCHOOL PROVIDER IN THE BAY
AREA AND WE ARE IN STRONG
SUPPORT OF AB ONE TEN THANK YOU
SO MUCH THANK YOU. LINE. FORTY
NINE. IN THEORY WITH A ALL FORTY
CHILD CARE RESTORE AND MARK
NETWORK IT'S FOR OF AB. THIS
LINES. FIVE THE MORNING HARDAKER
ON HOUSE WITH ACTS AND SUPPORT
OF AB. ONE BLIND EIGHT. YOUR HI
YES MY IS ON CALL IN THE PER
FROM CAPS ALSO THEM OF CHUCK
PROVIDE UNITE I AM IN STRONG
SUPPORT OF EXTEND THE FAMILY
FEELING. ADDRESSING HIGHER ON
RATE BETWEEN THAN IF IT IN.
NINETEEN TO.
OF THE CALIPHATE SIGNIFICATION
CALLING AND SUPPORT OF TRAILER
BILL AB ELEVEN. ONE ELEVEN
THIRTY THANK YOU. FOUR NINE
THIRTY SIX. THIS WOMAN IN THE
QUALITY KERN AND ORIGINALITY-
INVOICE THE PHARMACIST
RESTAURANTS FOR AB ONE AND
THINGS BUCKS FOR. TO THE FROM
WITH. THIRTY THANK FOR LINE
TWENTY. THANK IS GONNA WITH
INSTITUTE FOR COLLEGE AND WORK
IN STRONG SUPPORT OF AB ONE
ELEVEN THANK YOU. I HAVE CLIENTS
. SEVEN CUMBERLAND FROM THE HAVE
YOU EDGES TRUST INSTRUCTED OF A
ONE IN ONE TO THANK THE
COMMITTEE FOR ACTION LEADERSHIP
ON THE BUDGET ITEM. FOR ALIGNED
THREE. THIS HELLO MY NAME HELEN
FELLOW MEMBER OF THE NIGHT IT
CALLING ON BEHALF OF FLAG ARE.
ON THE ASSEMBLY FOR THE FULL
SUPPORT. THANK YOU VERY. MUCH OF
THE SATELLITE LINE. FIFTY I.
OKAY FROM.
FOR YOUR ACTION TO CONTINUE TO
SPEND THE FAMILY FEET THROUGH
SEPTEMBER THIRTEENTH TWENTY
TWENTY THREE AND FOR THE
TEMPORARY INCREASING
REIMBURSEMENT FOR ALL CHILD CARE
PROGRAMS THANK YOU. SO AND MA'AM
FURTHER Q. FOR COMMENT. IT IS A-
GREAT THANK YOU SO MEMBERS THAT
WE ARE- CONCLUDED WITH THAT
PUBLIC COMMENT WE WILL NOW MOVE
TO VOTE AND WE WILL START WITH
THE FIRST ITEM AB ONE HUNDRED ME
I GET A MOTION. RIGHT WE'VE- THE
BILL HAS MOVED AND- WE WILL CALL
THE ROLL. AB ONE HUNDRED MOTION
IS TO PASS SENATORS SKINNER FIVE
SIX CARE I KNEW A FIVE YOUR SIDE
BAKER. BAKER AYE CARRIER.
COPYRIGHT DOLLY DALY I'D DRAWS A
I DRAWS I EGGMAN. FRIEDMAN I
GREW I PROVIDE LAYERED OFF
WHERE'D I'D MCGUIRE. MCGUIRE AYE
MAJOR. TWENTY FOUR I MAY THANK
AND I'D NEWMAN I NEWMAN AYE OR
CHOI. THE TROUBLE BY THE DEER HI
THIS THERE ARE ROTH. ROTH I
SEYARTO HI ZERO TWO FIVE MODE I
SMALLER QUICK ARE. THE BILL HAS
. SHOW THE BILL IS OUT WE WILL
NOW GO AB ONE TEN ON EARLY CARE
AND IT- I HAVE A MOTION FOR A
SENATOR OF ARM. SEVERAL CALL.
SENATORS BY SKINNER HI NEIL HI
MILLERI BAKER. SPECTOR I CARRY.
YOUR EYES DAHLE. TÔI THERE ALSO
DRAWS I EGGMAN EGGMAN I'D GROW I
GROVE AYE LAYERED ON WHERE I AM
GOING.
I SMALLER QUAVERS I SPOKE WITH
WAS. RIGHT THAT THE BILL HAS
SAID SEVENTEEN VOTES WHICH YOU
CAN UNANIMOUS SO IT'S PAST WE
WILL NOW GO TO AB ONE ELEVEN ON
THE STUDENT LOAN DEBT- INCOME
TAX EXCLUSION TO HAVE A MOTION
SO MOVED. SENATOR OCHO BURKE
MOVED GO AHEAD WITH ROLL CALL.
SENATORS SKINNER HI SKINNER ARE
NEW LOW HI MILLO I'D BAKER.
BAKER AYE CARRIER CARRIER I'D
DOLLY I DALI I'D DRAW OF. DRUGS
EGGMAN. EGGMAN HI GROWTH. GROVE
I'D LAYERED ON FLARED BY MCGRAW
. MCGUIRE AYE MATURE. MY IRONMEN
AYE MAN AYE NEWMAN AYE NEWMAN
AYE O. JOGO AYE PATROLLED BY THE
DEER HI THERE ARE ROCKS I ROTH I
HERE. TO ZERO TWO ON SMALL
GROWERS HI SMOKE ARE.
TWELVE THE DISTRESSED HOSPITAL
LOAN PROGRAM AYE THE MOTION BY
SENATOR GROWTH. SENATORS SKINNER
HI SKINNER ARE NEAR NEW LOW. HI
YOU ARE BAKER. THE CHECKER OUR
KERRIER HI. ALL RIGHT. THE I'D
DRAWS A- RAZA EGGMAN. FRIEDMAN
HIGH GROW. GROVE ARE LAYERED
WHERE ARE MY CAR YEAH THE CHOIR
I OF OUR- MAJURA MAN. AND-
NEWMAN. NEWMAN ARE OR TROUBLE.
THE TROUBLE I HAVE TO DO. THERE
ARE.
WE WENT TWELVE THAT FILLS OUT
UNANIMOUS WILL NOW GO TO AB ONE
THIRTEEN WE HAVE A MOTION-
SENATORS MOVED BY SENATOR
SMALLWOOD CUEVAS ROLL CALL
PLEASE SENATORS SKINNER BY
SKINNER AYE NEW LOW NO. NO NO
BAKER. BAKER ODD CAREER CARRIER
ARE DOLLAR DAHLE NO THE RAZA.
DRAWS A EGGMAN. WHEN I GROW YEAH
PROCHNOW FLARED. BLARED BY
MCGUIRE REQUIRE I MAJOR FOR
IMAGE OF OUR AYE MAN. NEWMAN. SB
SIX ONE MAN MAN I. NEWMAN NEWMAN
AYE THE TROUBLE NO CHARBONEAU
THE DEER DEAR I ROTH.
I JUST HAPPEN TO THINK
DEPARTMENT FINANCE THANK THE MY
COLLEAGUES AND WITH- I LOOK
FORWARD TO MANY MORE DISCUSSIONS
BETWEEN NOW AND- ARE- WHEN WE
ADOPT THE BUDGET IN JUNE AND
WITH THAT THE SENATE HEALTH
COMMITTEE ON BUDGET AND FISCAL
REVIEW ADJOURNS.