NUMBER ON HEALTH AND HUMAN
SERVICES WILL COME TWENTY PORTER
GOOD MORNING EVERYONE HAPPY
WEDNESDAY WE CONTINUE TO WORK IN
THE PUBLIC IN PERSON- FOR THOSE
WHO CAN'T MAKE IT IN PERSON YOU
CAN PROVIDE YOUR PUBLIC COMMENT
DURING THE TELECONFERENCE
PORTION OF IT TO THESE NUMBERS
877-226-8160 THREE WITH AN
ACCESS CODE OF. SEVEN THREE SIX
TWENTY EIGHT TO THIRTY FOUR AS
ALWAYS WHEN THE TEN TWENTY ONE
BOWL STREET BUILDING IN ROOM
TWELVE HUNDRED ASK THE REST OF
THE COMMITTEE MEMBERS TO PLEASE
JOIN ME SO WE CAN ESTABLISH A
QUORUM. TODAY SECOND HERE ON THE
MAY REVISION WILL INCLUDE
HEARING BUDGET PROPOSALS INTO
DIFFERENT PARTS LIKE YESTERDAY
TODAY WILL START WITH PART EIGHT
ON- BERMAN OF HEALTH CARE
SERVICES AND DEPARTMENT OF
PUBLIC HEALTH IN PART BE ONE
CLUE CHILD CARE PROPOSALS. FROM
THE DEPARTMENT OF SOCIAL
SERVICES. SO WE'LL START YOU CAN
ACCOMPLISH A QUORUM RESTAURANT
WITH. DH CS. ONE ISSUE NUMBER
ONE. WELCOME GOOD MORNING.
FOURTEEN HERE MEMBERS MICHELLE
BOSS STRUCTURE OF THE DEPARTMENT
HEALTHCARE SERVICES STARTING
WITH ISSUE ONE THAT MET AT MADE
REVISED LOCAL ASSISTANT ESTIMATE
THE MAY REVISION REQUEST A TOTAL
OF A HUNDRED FIFTY SIX BILLION
THIRTY EIGHT BILLION FROM THE
GENERAL FUND FOR THE DEPARTMENT
FOR TWENTY THREE TWENTY FOUR.
MAJOR CHANGES IN THE
DEPARTMENT'S BUDGET IN THE MAIN
VISION INCLUDING WE WILL
HIGHLIGHT SOME OF THESE- AT FOR
THIS ITEM AND GO INTO DETAIL ON
SOME OF THESE LATER IN THE
AGENDA. RENEWAL OF THE MCO TRACK
TAX VIEW TRAILER BILL EFFECTIVE
APRIL FIRST TWENTY TWENTY THREE
NINE MONTHS EARLIER THAN PLANNED
IT GOVERNOR'S BUDGET AND AN
INCREASE IN THE SIZE OF THE
ANNUAL MCO REVENUE AS COMPARED
TO THE GOVERNOR'S BUDGET. THE
DEPARTMENT PROPOSES TO USE THE
ADDITIONAL TOTAL NET REVENUE AS
FOLLOWS USE TWO POINT FIVE
BILLION OF THE DISTAL THAT
REVENUE- IN CALENDAR YEAR TWENTY
TWENTY THREE TO CONTINUE
SUPPORTING THE MEDICAL PROGRAM
AND ACHIEVE A BALANCED BUDGET.
AND USE THE REMAINING ELEVEN
POINT ONE BILLION TO SUPPORT
MEDIC CAL INVESTMENTS THAT WILL
HELP SECURE ACCESS QUALITY IN
EQUITY IN THE MEDICARE PROGRAM
OVER AN EIGHT TO TEN YEAR PERIOD
INCLUDING THE MAY REVISION
PROPOSAL TO INCREASE RATES TO
EIGHTY SEVEN POINT 5% OF
MEDICARE. FOR SPECIFIED
PROVIDERS AND THE REMAINDER WILL
BE PUT IN A SPECIAL FUND FOR
FUTURE CONSIDERATION. THE MAY
REVISION CONTINUES TO INCLUDE
FUNDING FOR IMPLEMENTATION OF
THE MOBILE CRISIS BENEFIT WITH
SLIGHT UPDATES TO ACCOUNT FOR
EXTENDED IMPLEMENTATION
TIMELINES IN RURAL COUNTIES. THE
MAY REVISION CONTINUES TO
INCLUDE FUNDING TO BEGIN
IMPLEMENTING IMPLEMENTATION OF
BEACH CONNECT DEMONSTRATION THIS
IS FORMALLY REFERRED TO AS THE
CALIFORNIA BEHAVIORAL HEALTH
COMMUNITY COMMUNITY BASED
CONTINUUM. A WAIVER- WE'VE
RENAMED IT AT FOR PURPOSES OF
THESE- THE MAY REVISION OF
REFLECTS UPDATES TO THE H. C. B.
S. SPENDING PLAN TIMELINE FOR
CERTAIN INITIATIVES TO ALLOW FOR
ADDITIONAL TIME. TO FULLY EXPAND
THE FUNDS AND COMPLETE. IT THAT
INITIATIVE OBJECTIVES- A THIS
INCLUDES THE- ASSISTANT WAIVER.
THE MAY REVISION INCLUDES A ONE
TIME ON THE AUGMENTATION OF
FIFTEEN MILLION FOR A TOTAL OF
NINETEEN MILLION- FOR
CALIFORNIA'S NINE EIGHT EIGHT
CENTERS TO MAIN OPERATIONS IN
SERVICES- WE INCLUDE WE HAVE AN
ADDITIONAL TEN MILLION TO BEGIN
DEVELOPMENT OF THE
IMPLEMENTATION. OF THE FEE
SCHEDULE FOR THE CALIFORNIA. THE
CHILDREN AND YOUTH BEHAVIORAL
HEALTH INITIATIVE FOR A THIRD
PARTY ADMINISTRATOR. THE MAY
REVISION REFLECTS EXTENSION OF
THE CONTINGENCY MANAGEMENT PILOT
PASSED MARCH TWENTY TWENTY FOUR.
WE ALSO ARE REQUESTING FORTY
MILLION TOTAL FUNDS ARE TWENTY
MILLION GENERAL FUND TO SUPPORT
IMPLEMENTATION INITIAL
IMPLEMENTATION OF THE BEHAVIORAL
HEALTH- MODERNIZATION PROPOSAL-
THE MAY REVISION INCLUDES A FEW
BUDGET SOLUTIONS IN ADDITION TO
THE FUNDS ESOS FUNDING
ASSOCIATED WITH THAT REVISED MCO
TAX. A PROPOSAL. WE PROPOSED
SWAPPING TWO HUNDRED FIFTY
MILLION IN THAT BEHAVIORAL
HEALTH BRIDGE HOUSING PROGRAM IN
FIFTY POINT FIVE MILLION IN THE
CAL HOPE PROGRAM FROM GENERAL
FUND TO MENTAL HEALTH SERVICES
FUND- WE PROPOSED TO REDUCE. THE
BALANCE IN THE MEDICAID DRUG
REBATE FUND RESERVE FREENET TWO
HUNDRED TWENTY TWO MILLION
GENERAL FUND RESOURCES. AND THEN
IN TERMS OF TECHNICAL BUDGET
CHANGES THE MAY REVISION
REFLECTS A DECREASE OF ONE POINT
FOUR BILLION GENERAL FUND
COMPARED TO THE GOVERNOR'S
BUDGET- IN THE CURRENT YEAR AND
THIS IS PRIMARILY DUE TO START
SHIFTING OF COSTS TO LATER YEARS
WITH REGARDS TO. A MULTI YEAR
IMPLEMENTATION FOR BREACH
HOUSING THE BEHAVIOR HEALTH
CONTINUUM INFRASTRUCTURE PROGRAM
AND THE CHILDREN AND YOUTH
BEHAVIOR HEALTH INITIATIVE- THE
ESTIMATE REFLECTS A DECREASE OF
ONE POINT ONE BILLION COMPARED
TO THE GOVERNOR'S BUDGET IN THE
BUDGET YEAR. PRIMARILY DUE TO
LARGER GENERAL FUND BENEFIT AS A
RESULT OF THE MCO TAX RENEWAL.
INCREASE PROJECTED DRUG REBATE
SAVINGS TO THE GENERAL FUND AND
AS I JUST MENTIONED REPLACING
THE GENERAL. FUND WITH A MENTAL
HEALTH SERVICES ACT DOLLARS. AT
HAPPY TO ANYWAY. THANK YOU DOES
AND THEY DON'T HAVE ANY COMMENT
. THANK YOU LOCATION MORROW THE
LEGEND OF LET'S TALK. WERE BE
SPEAKING ON A COUPLE TO. ON
DOING THIS- ISSUE WILL BE
TALKING ABOUT CASELOAD CUP IN
NINETEEN POLICY UPDATES RELATIVE
TO THE JANUARY BUDGET AND I'LL
BE TURNING UP TO MY COLLEAGUE
TASTING. COMPTON TAURUS TO TALK
ABOUT THE MCO TAX UPDATES IN THE
REVISION. ON THAT CASE ON COVER
NINETEEN RELATED COSTS IN
PREVIOUS HEARINGS THIS YEAR WE
TESTIFIED THAT WE FOUND THAT THE
CASE WOULD PROJECTIONS LIKELY
WERE OVERSTATED AS WELL AS
CASELOAD COSTS IN TWENTY THREE
TWENTY FOUR- BASED ON OUR OWN
ESTIMATES OF CASE LAW TO COVER
NINETEEN COSTS. WHICH WE HAD THE
ADVANTAGE OF ADDITIONAL
INFORMATION THAT WAS NOT
AVAILABLE TO THE MINISTRATION
THE TIME THAT THEY HAD PUT
TOGETHER THEIR BUDGET. THEY HAVE
SINCE UPDATED OUR- ESTIMATES
USING THIS UPDATE INFORMATION
AND WE FIND THAT THESE ESTIMATES
ARE REASONABLE AT THIS TIME. ONE
SIX EIGHT MAYOR FASHION. ON THE
PART IN REALLY COST ESTIMATES
FOR- TALKING TO RESIDENTS WE
KNOW THAT THE MAY REVISION.
ROUGHLY DOUBLES THE COST OF THE
MEDICAID EXPANSIONS FOR
COMPREHENSIVE SERVICES TO
UNDOCUMENTED RESIDENTS- I
MERRILY DUE TO HIGH PER IN. CALL
AND THIS A SOCIAL THE CORRECTIVE
ACTION PLAN FROM THE FEDERAL
CUT. THIS IN THAT REGARD STATE
TO DEVELOP CALVET RATE. FOR THE
DUNDALK AND RESIDENTS USING
ACTUAL CLAIMS DATA FROM PAST
YEARS IN THE PAST THAT BUDGET
ESTIMATES HAVE BEEN BASED OFF
OF. ROUGH ESTIMATES USING THAT
COSTS OF SIMILAR POPULATIONS
ALREADY ENROLLED IN MEDICARE ALL
WHO ARE DOCUMENTED- THE- CHANGE
HAS RESULT IN SIGNIFICANTLY
HIGHER COST ESTIMATES- A LOT OF
THIS WE- THINK IT COULD BE DUE
TO. THIS POPULATION HAVING
LIMITED ACCESS TO STARKLY TO
MEDICAL SERVICES AND AS A RESULT
THEY HAVE HIGHER ACUITY
REALIZATION IN THE IMMEDIATE
YEARS FOLLOWING AN EXPANSION- WE
THINK THAT IT'S POSSIBLE THAT
AS- TIME GOES ON CITIES
PRIMARILY COSTS COULD. GO DOWN
AS HE'S POPULATION STABILIZING
GET ESTABLISHED WITH THE PRIMARY
CARE PROVIDERS. HOWEVER THE
MAYOR VISION- OVERALL BUT
DEFICIT SELECTED TO BE AROUND
BILLION EACH YEAR THROUGH TWENTY
TWENTY SIX TWENTY SEVEN. AND TO
THE EXTENT ADMINISTRATION SEES
CONTINUED RISKS OF INCREASED
COSTS FOR THESE- EXPANSIONS
FLETCHER MAY WANT TO BUILD AN
ADDITIONAL BUDGET CAPACITY. THAT
BEING SAID BECAUSE THE COST
COULD GO DOWN- WE RECOMMEND THAT
THE ADMINISTRATION. SIDE OF THE
LEGISLATURE CLOSELY MONITORED
ASSOCIATE COST WITH THESE
EXPANSIONS AND THE FUTURE CAPITA
RATES TO DETERMINE. TO WHAT
EXTENT IS GONNA CREATE GENERAL
FUND COST PRESSURE IN FUTURE
YEARS THANK YOU THAT ALTERNATE
WITH MY COLLEAGUE JASON. SO AS
MY COLLEAGUE NOTED ON ON THE
SALES TAX PROPOSAL. THE REALLY
ARE TWO ISSUES INVOLVED WITH
THEM SO TAX PROPOSAL THE FIRST
IS WHETHER TO RENEW AND INCREASE
THE TAX AND THEN THE SECOND
ISSUE IS HOW DOES SPEND THE
ASSOCIATED FUNDS FROM FROM DOING
SO. ALSO ON THE FIRST ISSUE IS
AS TO WHETHER TO RENEW AND
INCREASE THE TAX WE THINK THIS
CONTINUES TO WARRANT SERIOUS
LEGISLATIVE CONSIDERATION GIVEN
US A STRONG FISCAL BENEFIT OF
THE TAX FOR THE MEDICAL PROGRAM
AND FOR THE STATE. ALSO THE
RELATIVELY LOW COST ON THE
HEALTH INSURANCE INDUSTRY. WELL
THAT'S WHAT WE ARE STILL WORKING
WITH THE ADMINISTRATION TO GET
SOME KEY INFORMATION ON THE
PROPOSED TAX INCLUDING THE OF
THE MULTI YEAR IMPACT OF THE
TAX. AN ANALYSIS DEMONSTRATING
IT IT MEETS FEDERAL GUIDELINES.
RECOMMEND THE LEGISLATURE
CONTINUE TO WORK WITH THE
ADMINISTRATION TO RELEASE THIS
INFORMATION. AFTER THE SECOND
ISSUE AS TO HOW TO SPEND THE
FUNDS. BUT WE UNDERSTAND THE
DESIRE TO WANT TO USE THE FUNDS
TO INCREASE- AROUND MEANT
MEDICARE'S BUDGETS. WE DO KNOW
THIS COMES OF TRADE OFFS. OUR
OFFICE. OUR OFFICE IS INITIAL
REVENUE PROJECTIONS SUGGESTED
THAT- REVENUES ARE BILLIONS OF
DOLLARS LOWER IN. THREE TWENTY
THREE TWENTY FOUR THAN THE
ADMINISTRATION ASSUMES. AN UNDER
THE ADMINISTRATION'S MULTI YEAR
ANALYSIS THERE ARE DEFICITS IN
THE OUT YEARS. OF THE
LEGISLATURE FACING A RELATIVELY
CONSTRAINED BUDGETS. USING THE
MCO TAX FUNDS TO. AUGMENT
MEDICALS BUDGET- CONSTRAINS THE
LEGISLATURE IN IN GIVES IT LESS
FLEXIBILITY. TO ADJUST FOR
EXAMPLE WHERE THE STATE'S BUDGET
YOU WISHING TO FURTHER. EIGHT
GIVEN THAT WE RECOMMEND THE
LEGISLATURE. CONSIDER EXPLORING-
POSSIBLE ONE TIME OUR LIMITED
TERM USES OF THE FUNDS RATHER
THAN ONGOING. THIS COULD INCLUDE
FOR EXAMPLE ADOPTING
SUPPLEMENTAL. RATE INCREASES OR
OR OTHER LIMITED TERM OF- USES.
UNDER THAT APPROACH FOR EXAMPLE
USING SUPPLEMENTAL PAYMENTS THE
LEGISLATURE COULD. FIND A FEW
YEARS TO REVISIT THE ISSUE WOULD
HAVE MORE INFORMATION ON ITS
OVERALL BUDGET CAPACITY WOULD
HAVE. A BETTER INFORMATION ON
THE IMPACT OF THE RATE INCREASES
WHAT WHAT THOSE WOULD HELP ON
ACCESS. TO MEDICAL SERVICES THAT
COULD MAKE A COULD MAKE A
DECISION AT THAT TIME WHETHER TO
INCORPORATE IT INTO THE BASE.
BUT NOT TO THE EXTENT THAT THE
LEGISLATURE DESIRES TO INCREASE
PROVIDER RATES. WE THINK THE
ADMINISTRATION'S RECOMMENDATION
OR OPEN UP A PROPOSAL TO FURTHER
STUDY THE ISSUE AND COME BACK
NEXT YEAR WITH A MORE DETAILED
ANALYSIS. IS REASONABLE
RECOMMEND TAKING THAT APPROACH.
WELL WE DO RECOMMEND THE
LEGISLATURE INSURANCE AN ACTIVE
PARTICIPANT IN THAT PROCESS ONE
APPROACH WOULD BE TO- ADOPTS OF
REPORTING LANGUAGE IN THIS
YEAR'S BUDGET THAT WOULD SET
SOME PARAMETERS- TO THAT WITH
THE FOR THE DEPARTMENT TO REPORT
ON FOR EXAMPLE- YOU KNOW THE
EXISTING LEVEL OF RATES AND- THE
POTENTIAL IMPACT OF THE-
INCREASES WOULD HAVE. ON ACCESS
AND HOW THE ADMINISTRATION CAME
TO PROP UP RECOMMEND WELL WHICH
RATES TO INCREASE. BUT WITHOUT
LEVER TO QUESTIONS THANK YOU.
THANK YOU I DO WANT TO KNOW AND
THANK YOU SO MUCH IS TO REMAIN
INDEPENDENT- INFORMATION BUT WE
WILL BE DIVING FURTHER INTO THEM
STILL TAX NEXT WEEK- I DON'T
WANT THAT TO MONOPOLIZE OUR
CONVERSATION FOR TODAY SO WE CAN
HOLD OFF ON QUESTIONS ON THEM
STILL TAX UNTIL NEXT WEEK- ANY
OTHER QUESTIONS. THANK YOU NEXT
WEEK. I WAS WONDERING IF FOR
DIVING IN PERFECT- SO WE'RE
GOING TO HOLD THE ITEM OPEN AND
WILLING TO ISSUE NUMBER TWO.
THIS IS THE FAMILY HEALTH LOCAL
ESTIMATES THE MAY REVISION
TWENTY TWENTY THREE FAMILY HELP
ESTIMATE INCLUDES TWO HUNDRED
AND THIRTY EIGHT MILLION IN
TWENTY TWO TWENTY THREE
INCLUDING A HUNDRED NINETY SEVEN
MILLION FROM THE GENERAL FUND.
THIS REFLECTS A DECREASE OF
SIXTEEN MILLION GENERAL FUND
COMPARED TO THE GOVERNOR'S
BUDGET AND THIS ADJUSTMENT IS
PRIMARILY BASED ON TRINA
PROJECTIONS TO ALIGN WITH MORE
RECENT ACTUAL EXPENDITURES. THE
FAMILY HEALTH ESTIMATE INCLUDES
TWO HUNDRED AND FIFTY THREE
MILLION FOR TWENTY THREE TWENTY
FOUR INCLUDING TWO HUNDRED AND
TWENTY MILLION GENERAL FUND.
THIS REFLECTS AN INCREASE OF
TWENTY ONE MILLION COMPARED TO
THE GOVERNOR'S BUDGET PRIMARILY
FROM THE RE AT CMS NOT APPROVING
CALIFORNIA'S CLAIM ON A DRUG
REBATES ON STATE ONLY HEALTH
PROGRAMS AND THIS WAS EXPECTED.
HAPPY TO ANSWER ANY QUESTIONS.
HELLO I'M SORRY TO PROVIDE AND
EVEN ON COMING IN THE FIRST. ONE
THANK YOU CAN YOU TELL FROM THE
DEPARTMENT. UNTIL COMMENTS AT
THIS. ONE OR TWO. THANK YOU.
HELLO WE DON'T HAVE ANY CONCERNS
OF A SUCH A- THANK YOU. IF ANY
QUESTIONS ON AND- SEEN. THANK
YOU SO MUCH WE'RE GONNA HOLD OUR
I'M OPEN MOMENTOUS NUMBER THREE.
FOR THIS AS THIS IS PROPOSED
TRAILER BILL LANGUAGE. TO
SERVICE EMBLEM. OF THE
DEPARTMENT. TO EXTEND THE TIME
FOR THE S. B. SIXTY. WERE GROUP
TO. IMPLEMENTATION OF THE DO A
BENEFIT AND THE MEDICAL PROGRAM
FROM APRIL ONE TWENTY TWENTY TWO
UNTIL DECEMBER THIRTY FIRST
TWENTY TWENTY THREE. TO ACTUALLY
APRIL TWENTY FIFTH APRIL FIRST
TWENTY TWENTY THREE UNTIL JUNE
THIRTIETH TWENTY TWENTY FIVE.
THIS PROPOSAL WILL ALSO EXTEND
THE PUBLICATION OF THE
EVALUATION REPORT BY ONE YEAR
FROM JULY TWENTY TWENTY FOUR TO
NO LATER THAN JULY TWENTY TWENTY
FIVE. THESE REVISED STATE
ALIGNED WITH IMPLEMENTATION OF
THE BENEFIT ONE YEAR LATER THAN
ORIGINALLY ANTICIPATED AND ALLOW
TIME FOR REVIEW AND COMMENT ON
THE REQUIRED EVALUATION REPORT
BEFORE IT'S PUBLISHED. THE
REVISED DATES ALSO FULFILL THE
INTENT OF SB SIXTY FIVE BY
GIVING THE DEPARTMENT THE SAME
AMOUNT OF TIME AS ENVISIONED AS
UNDER SB SIXTY FIVE TO IMPLEMENT
THE BENEFIT AND COLLECT DATA TO
PROVIDE ANALYSIS OF THE BENEFIT
IN ORDER TO MAKE- INFORMED.
RECOMMENDATIONS IN. THE REPORT
HAPPY TO ANSWER ANY QUESTIONS.
BOLOGNA COME. WE DON'T HAVE ANY
CONCERNS THAT PROPOSAL TO YOU.
BUT SO ADDITIONAL COME AT THIS
BIG SO MUCH. HOLDING THAT I'M
MOVING TO ISSUE NUMBER FOUR
PLEASE. THIS IS A WORK FOR TRY A
BILLING REGARDING THE MEDICAL
INTERPRETER PILOT PROGRAM THE
DEPARTMENT PROPOSES TO EXTEND
THE EXPENDITURE AUTHORITY OF THE
MEDICAL INTERPRETER PILOT
PROJECT FOR A PERIOD OF TWELVE
MONTHS. FROM JUNE TWENTY TWENTY
FOUR TO JUNE TWENTY TWENTY FIVE
THE PROGRAM'S AN OPERATIVE DAY
WOULD ALSO BE EXTENDED FROM JULY
TWENTY TWENTY FOUR TO JULY
TWENTY TWENTY FIVE AS WELL AS
THE SUN SET DATE FROM JANUARY
TWENTY TWENTY FIVE TO JANUARY
TWENTY TWENTY SIX. EXTENDING THE
DATES WILL ALLOW MEDICAL-
INTERPRETER PILOT PROGRAM
SERVICES TO CONTINUE FOR A
PERIOD OF AN ADDITIONAL TWELVE
MONTHS TO COMPENSATE FOR THE
DELAYED- IMPLEMENTATION.
ALTHOUGH THERE'S NO DEFINITIVE
EVALUATION TIME PERIOD REQUIRED
THE DEPARTMENT BELIEVES THE
EXTENSION WILL ALLOW ADEQUATE
TIME TO COMPLETE THE PILOT
PROJECT FOR A FINAL EVALUATION
REPORT. THIS PROPOSAL IS COST
NEUTRAL AND NO ADDITIONAL
FUNDING IS REQUIRED WITH THE
EXTENSION. I HOPE P. TEAM DURING
HER YEAR AND A HALF LEFT HERE
GETS TO SEE THIS. FINISHED
ALIONA COMMITTEE WE'VE NOT RAISE
CONCERNS OF THIS PROPOSAL
PROPONENTS. OF FINANCE NO
ADDITIONAL COMMENTS AT THIS TIME
. NOTHING ELSE ARE AND THINK YOU
WERE GOING TO HOLD AN OPEN MOVE
ON TO ISSUE NUMBER FIVE- A GOOD
MORNING. AT THE ME REVISE
REMOVES THE THREE SINGLE PLAN
COUNTIES ALAMEDA CONTRA COSTA
AND IMPERIAL FROM THE WHOLE
CHILD MODEL PROPOSAL BASED ON
COUNTIES AND STAKEHOLDER
FEEDBACK- REGARD. REGARDING THE
READINESS OF THE TRANSITION TO
WHOLE CHILD MODEL BY THESE
PARTICULAR COUNTIES- THESE
CHANGES WERE MADE IN RESPONSE TO
STAKEHOLDER ENGAGEMENT- AFTER
THE RELEASE OF THE GOVERNOR'S
BUDGET IN PROPOSED TRAILER BILL-
IN FOR EXAMPLE WE HAVE RECEIVED
FROM THE COUNTY HEALTH EXECUTIVE
ASSOCIATION OF CALIFORNIA GEAC
REPRESENTING LOCAL HEALTH
DEPARTMENTS. WHO OVERSEE THE CCS
PROGRAM IN PARTNERSHIP WITH THE
DEPARTMENT THAT THEY HAVE
REMOVED THEIR OPPOSITION TO THE
TRAILER BILL AS OF MAY FIFTEENTH
HOWEVER WE CONTINUE TO HAVE
CONVERSATIONS WITH THEIR
CHILDREN'S HOSPITAL COLLEAGUES.
ON WHO ENGAGES THAT THEY REACHED
OUT WE WILL BE MEETING WITH THEM
ON FRIDAY TO CONTINUE TO DISCUSS
ANY CONCERNS THAT THEY MAY HAVE
AND TO BE ABLE TO HELP ADDRESS
THEIR CONCERNS. HAPPY TO TAKE
ANY QUESTIONS. SIX OF THIS
PROPOSAL- ADDRESSES SOME OF THE
CONCERNS THAT WE HEARD FROM
STAKEHOLDERS PARTICULARLY
AROUND- SOME OF THE FINANCIAL
IMPACT TO CHILDREN'S HOSPITALS.
FOR THAT REASON IT'S A
REASONABLE- MODIFICATION TO
CONSIDER. THAT'S IT AS WE NOTED
IN OUR ANALYSIS THE LEGISLATURE.
IS AT A CRITICAL JUNCTURE WITH
THE CCS PROGRAM AND DECIDING-
YOU KNOW. WHAT LONG TERM HOW TO
INTEGRATE IT INTO MEDICAID
MANAGED CARE. TO RECOMMEND
KEEPING THAT IN MIND WHEN
DECIDING WHETHER TO ADOPT THIS
PROPOSAL TO THE EXTENT THE
LEGISLATURE. IS INTERESTED IN
FURTHER EXPANDING- THE
INTEGRATION OF CCS INTO MEDICAID
MANAGED CARE THIS THIS WOULD BE
A REASONABLE PROPOSAL TO ADOPT.
TO THE EXTENT THE LEGISLATURE
HAS OTHER LONG TERM PLANS IT
WOULD. THAT THAT WOULD BE
SOMETHING TO CONSIDER WITH THIS
PROPOSAL. THANK YOU THINK IT
DEPARTMENT FINANCE. DETAILS AT A
DIFFERENT OF FINANCE FURTHER
COMMENTS- JUST A FEW QUESTIONS
YOU KNOW. WE SEE WE NEED A
LESSON WE SPOKE TO THE BATTLE
WAS ON THE OF COMING NOW. I'M IN
AFTER THAT AND I DO KNOW I. WITH
WHAT THE ONLY- MENTION I DO
APPRECIATE THE MODIFICATION
AFTER HEARING THE STAKEHOLDERS
CONCERNS. I'M JUST WONDERING
COULD YOU JUST TALK A LITTLE BIT
MORE ABOUT HOW YOU WE WILL BE
ADDRESSING SOME OF THE CONCERNS
THAT THE VALUATION SHOWED. IN
RELATED TO ENROLLMENT GOING DOWN
M. JUST SOME KIDS NOT BEING ABLE
TO GET CONNECTED TO SERVICES
SHARKS. I'M SO WHAT WE DID SEE A
1% REDUCTION IN ENROLLMENT THE
DEPARTMENT IS VERY COMMITTED TO
ENSURING THAT ANY CHILD CHILD
WHO IS ELIGIBLE FOR- A CCS IS
ENROLLED IN CCSO WE ARE ACTUALLY
GOING TO BE RELEASING- FOR
COMMENT IN A P. L. A DAY IN THE
WHOLE CHILD MODEL REQUIREMENTS
BASED ON FEEDBACK FROM OUR
STAKEHOLDERS AND OUR CCS
ADVISORY COMMITTEE. ON TO
INCREASE THE ACCOUNTABILITY AND
RESPONSIBILITIES OF OUR MANAGED
CARE PLANS TO ENSURE THAT THEY
ARE- ALWAYS MAKING THOSE
REFERRALS OVER AND THEN
INCLUDING ON CHANGES TO OUR
OVERSIGHT OF THE MANAGED CARE
PLANS IN REGARDS TO THIS
REFERRAL FOR CCS- DETERMINE
ELIGIBILITY DETERMINATION. ON
THAT SHOULD BE COMING OUT FOR
PUBLIC COMMENT IN A WEEK OR TWO-
AND HAPPY TO ENGAGE WITH
STAKEHOLDERS ON THAT- WE ALSO
HAVE BEEN WORKING VERY CLOSELY
WITH OUR CCS ADVISORY COMMITTEE
IN REGARDS TO A NUMBER OF
THINGS. SOME OF THEM HAVE TO DO
WITH CALLIE CALLIE WE PROPOSED
TO YOU- REEVALUATE ACROSS THE
ENTIRE CCS PROGRAM- BOTH QUALITY
MEASURES AND METRICS AND
STANDARDS THAT WE THINK. WOULD
ENSURE THAT CHILDREN ARE GETTING
ACCESS TO SERVICES WE WILL
CONTINUE TO ENGAGE THE CCS
ADVISORY COMMITTEE AND THAT.
CALTRAIN WORKGROUP ON CCS TO
FINE TUNE THOSE MEASURES AND
METRICS FOR HOBBY HOLD BOTH ARE
COUNTY PARTNERS THE DEPARTMENT
AND OUR MANAGED CARE PLANS
ACCOUNTABLE TO ENSURING CCS
CHILDREN HAVE ACCESS TO. ALL
SERVICES THE MAIN ONE THAT WE'RE
LOOKING AT BASED ON THE
EVALUATION IS THE CASE
MANAGEMENT- SO TODAY DONNELLY
CASE MANAGEMENT IS DONE EITHER
BY THE COUNTY FOR CCS CLASSIC.
BY THE MANAGED CARE PLAN FOR BY
PROVIDERS AND SO WE'LL BE
LOOKING. ACROSS ALL OF THOSE
AREAS BECAUSE ONE OF THE THINGS
EVALUATION CHAU. IS THAT WE NEED
IMPROVED FOR CASE. NOT JUST IN
WHOLE CHILD MODEL FOR ME AS CARE
PLANS BUT ALSO IN OUR- CCS
PROGRAM. THE WILL LOOKING ACROSS
THE ENTIRE PROGRAM TO MAKE SURE
THAT WE MAKE IMPROVEMENTS MOVING
FORWARD. THANK YOU MANAGER YOU
KNOW- WE'RE QUICK TO EXPRESS
CONCERNS HERE AND I DID
EXPRESSED SOME CONCERNS ABOUT
THE WHOLE TRIAL MODEL DURING THE
LAST TIME THIS. CAME UP BUT I. I
HOPE WERE ALSO QUICK TO EXPRESS
APPRECIATION SO I WANT TO THANK.
THE DEPARTMENT THANK YOU
ADMINISTRATION FOR STEPPING UP
TO THE PLATE HERE AND- WORKING
DILIGENTLY WITH STAKE HOLDERS
WHO'VE I THINK HAVE SOME
LEGITIMATE CONCERNS IN TERMS
LIKE YOU'RE ADDRESSING. THOSE
LEGITIMATE CONCERNS AYE. I HOPE
YOU CONTINUE AS YOU'VE INDICATED
TO WORK WITH HIM PARTICULARLY.
ON THOSE ISSUES IDENTIFIED IN.
THE REPORT- YOU MENTION THEM-
DROP IN ENROLLMENT EXIT MAKE
SURE WE HAVE- ACCESS TO THE
APPROPRIATE LEVELS OF CARE AND-
I LOOK FORWARD TO THE FINAL
PRODUCT BECAUSE I KNOW YOU
WORKER TO GET THERE SO. THANK
YOU VERY VERY MUCH THANK YOU
MANAGER. JUST A QUICK FOLLOW UP-
CAN DO IT IMAGES FROM MY
EDUCATION HERE- THE- LANGUAGE
PROPOSED ON THE MENTOR WILL MEAN
FOR FOSTER CHILDREN. WHERE THE
NOT INCLUDED BEFORE. A NEWS OUR
PROPOSAL AND INCLUDED FOR FOSTER
CARE MANDATORY FOR CODES AND
SINGLE PLANT AND ARE PROPOSAL
STAYED THE SAME FOR FOSTER CARE
WE DID NOT MAKE ANY CHANGES. I'M
IN REGARDS TO OUR FOSTER CARE
PROPOSAL FOR MANDATORY MANAGED
CARE ENROLLMENT OKAY THANK YOU.
WE'RE GOING TO HOLD THE ANIMAL
CAN MOVE ONTO THE NEXT ISSUE
ISSUE FIVE RIGHT. THE DEPARTMENT
PROPOSES TO SHIFT REIMBURSEMENT
FOR SPECIFIED LONG TERM CARE
FACILITIES FROM AUGUST- TO JULY
RATING PERIOD- ADD TO A CALENDAR
YEAR PERIOD EFFECTIVE JANUARY
ONE TWENTY TWENTY FOUR- EXISTING
LAW A CAR SEATS FILLED FACILITY
TYPES INTO MANAGED CARE.
AFFECTED JANUARY FIRST TWENTY
TWENTY THREE THROUGH- THE
DEPARTMENT HAS PROPOSED TRAILER
BILL TO DELAY THE CARBON FOR ICF
DD'S AND SUBACUTE SUPERCILIOUS
FOR JANUARY FIRST TWENTY TWENTY
FOUR. A MISCARRIAGE ARE SET ON A
CALENDAR YEAR- IN ALIGNING
FACILITY IN MANAGED CARE RATES
THAT WILL REDUCE ADMINISTRATIVE
COMPLEXITY FOR THE DEPARTMENT
AND FOR OUR FACILITY COLLEAGUES-
THE TRANSITION TO CALENDAR YEAR
RATE WILL- WILL NOT RESULT IN
ANY FACILITIES RECEIVING A LOWER
RATE THAN. THEY WOULD HAVE
OTHERWISE RECEIVED UNDER CURRENT
LAW. A DH CS WILL SET THE SAUDI
RATES FOR DATES FOR THE SERVICE
PERIOD OF AUGUST FIRST THROUGH
DECEMBER THIRTY FIRST FOR TWENTY
TWENTY THREE- AND FOR DATES OF
SERVICE ON OR AFTER JANUARY
FIRST TWENTY TWENTY FOR MAKING
NECESSARY MODIFICATIONS TO THE
APPLICABLE RATE SETTING
METHODOLOGIES TO ACCOUNT FOR THE
CHANGE IN THE COUNTY YOUR SHIFT-
RATES FOR FREE STANDING AS
SKILLED NURSING FACILITIES LEVEL
B. AND FREESTANDING. ADULT
SUBACUTE FOR TRANSITION TO A
CALENDAR YEAR YOUR RATE
EFFECTIVE JANUARY ONE TWENTY
TWENTY ONCE WERE CENTURY JUST
SHIFTING. DATES TO ALIGN WITH
MANAGED CARE TWO CALENDAR YEARS
HAPPY TO ANSWER ANY QUESTIONS.
TO QUICKLY REMIND ME YOUR NAME
J. C. FOR THE STATE MEDICAID
DIRECTOR. I APOLOGIZE FOR THAT.
S. MYSELF IN THE COMING. WEEKS I
MEAN YOU CAN OF THIS FROM THANK
YOU DEPARTMENT FINANCE SCRIPTED
IF I. NO ON COMMON ON THIS TYPE
CLEAN YOU. I'M HOPING TO. YEAH
YOUR AIM DON'T WORRY ABOUT THAT
. I SEE NO OTHER COMMON WE'RE TO
HOLD THAT OPEN. TO NUMBERS.
GREAT THE DEPARTMENT OF. VERSION
OF FIFTEEN LIMITED TO RESOURCE
TO PAY. POSITIONS FOR THE ADMIN
. OPERATION AND MONITOR IN OVER.
OF THE X. OF THE ASSISTED LIVING
WAIVER PROGRAM. AND TO SUPPORT
THE EXPANSION OF THE GROWING
BENEFICIARY POPULATION USUALLY.
THESE SERVICES. AND HAPPY TO
ANSWER ANY QUESTIONS THAT YOU
HAVE. CLEARLY COMMENTED WE HAVE
NOT RAISED CONCERNS OF THIS
PROPOSAL THANK YOU. FIRST OF THE
DEPARTMENT FINANCE AN ADDITIONAL
COMMENTS. NOTHING ON OUR END
FORTY NINE AM OPEN MOVING ON TO
ISSUE NUMBER SIX. THIS IS A
TECHNICAL ADJUSTMENT REGARDING
CONTROL SECTION FOUR POINT OH
FIVE IT FROM THE BUDGET ACT OF
TWENTY TWENTY ONE. THIS IS A NET
ZERO TECHNICAL ADJUSTMENT TO
SHIFT SIX HUNDRED AND FIFTY
THOUSAND FROM A REDUCTION FROM A
SPECIAL TO POP DEPOSIT FUND. IS
SO SEATED WITH THE LOCAL
EDUCATION AGENCY BILLING OPTION
PROGRAM TO FEDERAL FUNDS THE
SHIFT ALLOWS THE DEPARTMENT TO
CONTINUE TO LEAD TO FUND A ONE
POINT FIVE MILLION CONTRACT
WHICH WE'VE HAD SINCE TWO
THOUSAND FIVE TO SUPPORT THIS
PROGRAM. HELLO COMMITTEE. NO
CONCERNS OF THIS ONE. NO
ADDITIONAL COMMENTS AT THIS
TIME. WHAT'S THE IT'S GOING TO
HELP ON THE ONE POINT FIVE
MILLION FOR WHAT PROGRAM. IT'S
FOR THE LOCAL EDUCATION AGENCY
MEDIC CAL BILLION OPTION PROGRAM
L. A. BACH IS HOW IT'S REFERRED
TO. THANK YOU. NOTHING ELSE
WE'RE GOING TO HOLD ITEM OPEN
ONCE ISSUE NINE. OF THE
DEPARTMENT IS REQUESTING
RESOURCES FOR DENTAL PROCUREMENT
AND CONVERSION OF FOUR LIMITED
TERM FUNDED RESOURCES TO
PERMANENT AND TWO PERMANENT NEW
POSITIONS. I'M IN CONTRACT
EXPENDITURE THIRTY OF ONE POINT
EIGHT MILLION IN BUDGET YEAR AND
ONGOING. THESE RESOURCES SUPPORT
A MAJOR PROCUREMENT EFFORT
CONTRACTOR ADDITION AND RELATED
EFFORTS TO SECURE A NEW FISCAL
INTERMEDIARY CONTRACT. IN
SUPPORT OF DENTAL SERVICES FOR
MEDICAL MEMBERS. THIS CONTRACT
IS FOR PURPOSES OF PLAIN DENTAL
CLAIMS- AND EDUCATING PRIOR
AUTHORIZATIONS. FOR THE DENTAL
FEE FOR SERVICE PROGRAM. BRIAN
MILLER ELLIE- WE HAVE NO
CONCERNS WITH THIS PROPOSAL. AT
THE TABLE AT THE DEPARTMENT OF
FINANCE NO FURTHER COMMENTS. NO
FOR THE COMMENTS ARE ON OUR END
HOLDING OPEN TRANSITION OF
BRITAIN. THANK YOU. TURNHAM I
MIGHT I THINK HE'S DEBT A
DIRECTOR BY MENTIONED WE UPDATE
THE NAME OF OUR WAY FOR TO BE H.
CONNECTOR THE BEHAVIORAL HEALTH
COMMUNITY BASED ORGANIZED
NETWORKS OF ACTUAL CARE AND
TREATMENT DEMONSTRATION- THAT TO
REALLY MAKE IT EASIER FOR PEOPLE
TO SAY B. H. CONNECT- WE LOOK
FORWARD. TO COMING OUT WE DID
EXTENSIVE STAKEHOLDER ENGAGEMENT
ON THE WAIVER- PROPOSAL AND
CONCEPT EARLIER AT THE END OF
LAST YEAR BEGINNING OF THIS YEAR
I WILL BE COMING OUT IN JUNE BOB
WITH UPDATES BUT WE DID WANT TO
GIVE YOU SOME UPDATES THAT ARE
REFLECTED IN THE MAY REVISION AS
WELL. TWO MAIN ITEMS THAT ARE
REFLECTED IN PROPOSED ONE IS A-
A NEW WORKFORCE PROPOSAL AN
INITIATIVE UNDER B. H. CONNECT
THEY'LL MAKE TARGETED LONG TERM
INVESTMENTS IN A ROBUST DIVERSE
BEHAVIORAL HEALTH WORKFORCE. NEW
INVESTMENTS WILL BE DIRECTED
TOWARDS STRENGTHENING THE
PIPELINE OF BEHAVIORAL HEALTH
PROFESSIONALS NEEDED TO STOP
EXISTING AND NEW BEHAVIORAL
HEALTH TREATMENT SETTINGS. AS
WELL AS TOWARDS IMPROVING SHORT
TERM RECRUITMENT AND RETENTION
EFFORTS THE DEPARTMENT
ANTICIPATES THAT B. H. CONNECT
WORSE FOR WORKFORCE INITIATIVE
TO. INCLUDE A FOUR HUNDRED
EIGHTY MILLION TOTAL FUNDS EACH
YEAR OF THAT THIRTY SIX MILLION
WOULD BE FROM THE MHSAA OF
FUNDS. IN IT WOULD EQUATE TO
OVER THE FIVE YEARS TWO POINT
FOUR BILLION DOLLARS FOR B. H.
WORKFORCE WE THINK THIS IS
CRITICAL GIVEN THE BEHAVIOR
HEALTH WORKFORCE NEEDS ACROSS
THE ENTIRE STATE OF CALIFORNIA.
WE ALSO THINK IT'S CRITICAL TO
BE MAXIMIZING FEDERAL FUNDS IN
REGARDS TO OUR- WORKFORCE
DOLLARS TO MAKE SURE THAT WE ARE
STRETCHING THOSE DOLLARS AS FAR
AS WE POSSIBLY CAN TO MEET THE
NEED- OF THE BEHAVIORAL HEALTH
SERVICES ACROSS THE STATE. THE
MAY REVISION ALSO INCLUDES SOME
MINOR UPDATES- TO- THE WAIVER AS
PREVIOUSLY PROPOSED IN THE
GOVERNOR'S BUDGET THE FISCAL
ESTIMATE FOR CENTERS OF
EXCELLENCE HAS ALSO BEEN REVISED
TO REFLECT TO TRAINING AND
CERTIFICATION ACTIVITIES FOR
STATEWIDE CHILDREN'S THERAPY
BENEFITS. AS WELL AS LIKE
KNOWLEDGE IN THE FEDERAL FUNDS
ON BEING REFLECT IN THE BUDGET
FOR THOSE CENTERS OF EXCELLENCE
AS WELL AS THE CROSS SECTOR
INCENTIVE POOL. HAPPY TO ANSWER
ANY. QUESTIONS REGARDING B. H.
CONNECT. AND THE ONLY COMING
FROM. YES- WILLOW EARLIER. SO
BROADLY WE'VE- COMMON ON THIS-
FOR MAYBE THE CITY'S.
DEMONSTRATION BEFORE AT AND
GENERALLY THE PROPOSAL APPEARS
TO FIT WITHIN THE STATE'S
BROADER EFFORTS ON EXPANDING
ACCESS TO PAY FOR ALL SERVICES.
AND MANY OF THE PROPOSALS- OR
MANY OF THE POLLS WITHIN
DEMONSTRATION RATHER- SUCH AS
EXPANDING THE NUMBER OF
COMMUNITY BASED SERVICES
COUNTIES CAN RECEIVE FEDERAL.
REIMBURSEMENT FOR- HAVE MERIT IN
THAT CONTEXT. HOWEVER GIVEN THAT
WE HAVE FIVE YEAR TO SEE THE
FINAL SUBMISSION TO CMS AS WELL
AS THE- THIS IS THE NEW WORK
FORCE- INITIATIVE THAT'S A PART
OF THIS WE HAVEN'T BEEN ABLE. TO
DO A FULL ASSESSMENT THIS TIME.
REFINEMENTS DEPARTMENT OF DAN OF
ASCUS FOR. THE KIDS. I'M A
COUPLE QUESTION. YES CRITICAL
RATE- WE TALKED ABOUT WORKFORCE.
PROBABLY IN EVERY SINGLE ISSUE
THAT CAME UP IT WAS CONNECTED TO
A RIGHT TO DO APPRECIATE THAT-
Q. TALK IF YOU HAVE MORE
INFORMATION ON THE SHORT TERM
RECRUITMENT AND RETENTION WHAT
KIND OF IDEAS WE'RE LOOKING NOT.
TO ADDRESS HOW TO STRAIGHTEN THE
PIPELINE. TO RETURN TO I KIND OF
USED TO DIFFERENT PIECES THE
FIRST ONE IS- REALLY CREATE A
PIPELINE SO WORKING WITH- R. H.
K. PARTNERS AND OTHERS WHO WOULD
BE ABLE TO PARTNER WITH
EDUCATIONAL AGENCIES TO REALLY
INCREASE THE BEHAVIOR HEALTH
PIPELINE. THE SECOND IS WORKING
WITH OUR LOCAL PARTNERS WHO ALSO
NEED TO BE ABLE TO RETAIN
BEHAVIORAL HEALTH PROVIDERS
RECRUIT BEHAVIOR HEALTH
PROVIDERS THIS IS A COMMON
PRACTICE THAT WE WORK WITH OUR
COUNTY PARTNERS AND OTHER
LOCALS. IN REGARDS TO BEING ABLE
TO DO- THOSE RETENTION I'M TAKE
PAYMENTS- AND WE WOULD DO IS
STAKEHOLDER ENGAGEMENT PROCESS
TO DETERMINE WHAT THAT LOOKS
LIKE DEVELOP A PROGRAM AND THEN
WORK THROUGH BOTH OF THOSE
PIECES. I WOULD SAY THE MAJORITY
OF THE FUNDS WILL MOST LIKELY GO
TOWARDS THE PIPELINE BECAUSE WE
REALLY NEED TO SEE THE NUMBER OF
WORK FOR SIGNIFICANTLY
INCREASING CALIFORNIA. BEING
AVAILABLE IN THE VARIOUS
FACILITIES FOR EXAMPLE THAT WE
ARE LIFTING UP WITH B. AND THE
B. HAVE ROTH INFRASTRUCTURE
CONTINUING PROGRAM WHERE WERE.
OF FUNDING THE RENEWAL AND
EXPANSION AND BUILDING OF MANY
FACILITIES AS WELL AS OTHER- NEW
FACILITIES COMING UP IN SUCH A
LITTLE BIT OF BOTH AND I DON'T
KNOW WHEN HE WAS YOU KNOW I
WOULD JUST ALSO I'M KIND OF AT
THE LINKAGE TO. AND THAT'S BEING
PROPOSED TO BE THREE TO FIVE
BILLION DOLLARS TO REALLY BUILD
OUT SIX THOUSAND OR SO SUBACUTE
IN RESIDENTIAL CARE FACILITIES
AND JUST THE WORK FORCE THAT'S
GOING TO BE NEEDED TO STOOD
POTENTIALLY PROVIDE SERVICES IN
THOSE FACILITIES. THAT WE YOU
KNOW SINCE NOVEMBER WHEN WE CAME
OUT WITH A CONCEPT PAPER THE
TEAMS HAVE BEEN DOING RESEARCH
ON OTHERS OTHER STATES HAVE BEEN
USING WAIVER DOLLARS TO DRAW
DOWN FOR FEDERAL OUR EFFORT
WORKFORCE EFFORTS. TO WANTING TO
INCLUDE THIS AS PART OF OUR
PROPOSAL- TO SEE MR REALLY.
SIGNIFICANTLY LEVERAGE FEDERAL
DOLLARS FOR WORK FORCE I'M WITH
REALLY ONLY. THIRTY SIX MILLION
ANNUALLY IN STATE DOLLARS. THIS
QUESTION MIGHT BE FOR. DEPARTED
FRIENDS EARLY- YOU KNOW HEARD.
EARLY FOR THE GENERAL BUDGET.
THE PROPOSAL FOR A BUDGET
SOLUTION INTO LANE A LOT OF THE
BEHAVIORAL- WORKFORCE PIPELINES
YOU KNOW WE HEARD AROUND. US IT
THANK YOU A PSYCHIATRIST AND
ADDICTION MENTAL I MEAN MSW
SLOTS. COULD EITHER YOU TALK TO
ME IS THIS YEAR WE'VE WERE STILL
DELAY THAT IN THIS MAY REVISION.
BUT THEY WERE ASKING FOR THIS
FOR THE WORKFORCE PIPELINE. ARE
WE LOOKING AT THIS AS A
SUPPLEMENT TO THAT TO ADDRESS.
IF I MAY ADD TO JUSTICE THIS IS
THIS THESE DOLLARS WILL GO LIVE
TO APPLY TWENTY TWENTY FIVE
MINUTES TWENTY TWENTY FIVE
BECAUSE THIS WE STILL NEED TO
SUBMIT THIS TO CMS GET. FEDERAL
WAIVER APPROVAL SO THIS IS NOT
NECESSARILY A BUDGET SOLUTION
BUT KIND OF OUR VISION FOR WHAT
WE WOULD WANT TO PROPOSE TO SEE
A MASS- AS PART OF THIS. HELPFUL
THANK YOU. FOR THE REST. JUST A
COUPLE QUESTIONS. IT OCCURS TO
ME THAT ONE OF THE THINGS WE MAY
NEED TO LOOK AT- GOING FORWARD
IS THE- LENGTH OF TIME THAT WE
REQUIRE OUR BEHAVIORAL HEALTH SO
- I GUESS POSTGRADUATES TO SPEND
IN THE- POST GRADUATE. PRACTICUM
PORTION. PRIOR TO LICENSURE. AND
TO MAKE SURE THAT THE WHATEVER
THIS IS THREE THOUSAND HOURS OF
THE TWO THOUSAND MY COLLEAGUE IS
A LICENSE BECAUSE THEY DON'T
EVEN COME BY WHICH YOU DO IN
SCHOOL. SOCIAL WORKER YOU MAY.
TAKE A LOOK AT THAT AS A STATE
AND BECAUSE IT'S NOT JUST A
LICENSED CLINICAL SOCIAL WORKERS
IT'S THE OTHER BEHAVIORAL
HEALTH. PRACTITIONERS THAT HAVE
TO- AFTER COMPLETE THE REQUIRE
TO WHICH A CRYSTAL. THE ENTRY
INTO THE- THE PRACTICE
ENVIRONMENT WHERE THEY CAN
ACTUALLY PROVIDE. CARE IN A FULL
SCOPE SETTING AT LEAST THAT'S MY
UNDERSTANDING. NUMBER ONE-
NUMBER TWO ONE OF THE-
SHORTFALLS MY UNDERSTANDING IS
IN TALKING TO. SOME OF THE
SCHOOLS IS FINDING. IT LICENSED
INDIVIDUALS IN THE PRACTICE
SETTING WHO WERE WILLING TO TAKE
TIME AWAY FROM THEIR PRACTICE TO
MENTOR OR PRECEPTOR WHATEVER THE
PROPER TERM IS. OF THESE
INDIVIDUALS IF THEY'RE
COMPLETING THEIR PRACTICUM
PORTION- WHEN WHETHER IT'S A
PHYSICIAN ASSISTANTS OR OF. HER
NAME S. W. OR SOME OTHER TYPE OF
BEHAVIOR BEHAVIORAL HEALTH
COUNSELOR. I THINK WE NEED TO
TAKE A LOOK AT THAT WE'LL TRY TO
DO SO- IN THE- COMMITTEE THAT I
CURRENTLY CHAIR ASSUMING I
CONTINUE TO CHAIRED AND IF I
DON'T MAYBE MY SUCCESSOR WILL
PICK IT UP. LASTLY I'M HOPING
THAT THE BOND IS BEING DISCUSSED
INCLUDES- NOT ONLY INCLUDES A
FULL SCOPE OF BEHAVIORAL HEALTH.
FACILITIES INCLUDING ACUTE CARE
PSYCHIATRIC FACILITIES BECAUSE
AT SOME POINT IN TIME. SOME OF
THE FOLKS IN- IN DISTRESS NEED
THE ACUTE CARE SETTING. WHERE
THE RESIDENTIAL AND COMMUNITY
TREATMENT OR EVEN INTENSIVE
OUTPATIENT WORK. SO IN THAT
REGARD. HAVE WE APPLIED OR ARE
WE GOING TO APPLY FOR THE
WAIVER. TO SECURE APPROVAL TO
HAVE MORE THAN SIXTEEN BEDS. CAN
I AM D. BECAUSE IT'S MY
UNDERSTANDING AND I STAND TO BE
CORRECTED. THAT THAT CERTAINLY
INTERFERES WITH THE OPPORTUNITY
BE REIMBURSED FOR THE CARE
THAT'S PROVIDED- SO A PART OF
THE B. H. CONNECT IS TO- SEEK
AND RECEIVE FEDERAL FUNDS FOR
NINETY STAY AT THE COUNTY OPS
INTO ALL OF THE REQUIREMENTS
HAVING THE BILL CONTINUE-
BUILDING TRANSITION PROTOCOLS
EXEDRA. BUT YES THAT IS A PART
OF THE BEACH CONNECT AND WE DO
PLAN ON COMING OUT FOR FORMAL
COMMENT PERIOD IN JUNE OF THIS
YEAR- WE WILL HAVE TO DO A FEW
PUBLIC HEARINGS TO FINALIZE THAT
FINAL CONCEPT AND THEN WE PLAN
TO SUBMIT TO THE FEDERAL
GOVERNMENT IN THE FALL BUT YES
IT WOULDN'T. IT WOULD INCLUDE
THAT HOW LONG DOES IT TYPICALLY
TAKE I MEAN IS THAT IS THAT
DIFFICULT TO SAY BECAUSE EACH
WAIVER IS DIFFERENT IT IS IT IS
HOWEVER THERE IS VERY STRONG
PRECEDENTS FOR THIS PARTICULAR
TYPE OF WAIVER SO I AM THE
WAIVERS ON THE MENTAL HEALTH.
SIDE FOR SUBSTANCE OR SORRY FOR
MENTAL HEALTH SERVICES- THEY'VE
BEEN MANY APPROVED AND SO SOME
OF THE PARTS OF OUR PROPOSAL
WILL BE CONSIDERED VERY EASY FOR
THE FEDERAL GOVERNMENT TO REVIEW
AND APPROVE. WE ALSO IS
CALIFORNIA ALWAYS DOES LIKE TO
PRESS LIMITS- SO WE ALSO HAVE
THE CROSS SECTOR INCENTIVE POOL
FOR FOSTER YOUTH FOR EXAMPLE.
I'M SO SOME OF THOSE
NEGOTIATIONS MAY TAKE A LITTLE
BIT MORE TIME BUT OVERALL WE DO
THINK IT WILL BE A RELATIVELY
SIMPLE WAY FOR NEGOTIATION ON IT
WITH OUR FEDERAL PARTNERS. GOOD
GOOD THE REASON I ASK THE
QUESTION IF IT WOULD BE NICE IF
IT HAPPENS TO DOVETAIL ASSUMING
THE BOND IF IT OCCURS. PASSES
AND BONDS ARE ISSUED IT WOULD BE
NICE TO HAVE THE WAIVER COINCIDE
WITH THE TIME WHEN BOND MONEY IS
ROLLING OUT SO. INDIVIDUAL I
MEAN ENTITIES THAT ARE PLANNING
FOR FACILITIES CAN PLAN
APPROPRIATELY FOR TO SIZE THEM.
THAT IS THE GOAL WE- WE THINK WE
WOULD EASILY BE ABLE TO HAVE THE
WAIVER APPROVED PRIOR TO THAT ON
THE BOND PIECES MOVING OUT
THAT'S THE GOAL OF THE WORK
FORCE INITIATIVE TO HAVE THIS
ROLLING SOONER. GET THE DOLLARS
IN PLACE- AS WELL AS GET SOME OF
THE INFRASTRUCTURE IN PLACE OF
WHEN THOSE BONDS THAT. HOPEFULLY
I'LL PASS IN INCOME. TO FOR
WISHIN. WE WILL HAVE AND- I'D
IDEA. TAIL INTO THE- A GREAT
RESPONSE WERE LOOKING TO HAVE
YOU ALL WORKING AS- YOU. ALL THE
FOR THING IS SENATOR. I'M NOT
FURTHER ON THAT I WE'RE GONNA.
IT OPEN AND MOVE ON TO ISSUE
NUMBER ELEVEN. THE MAIN- IF. A
THE GOVERNOR'S. PER DELAY OF TO
ENTER FIFTY. AND HOW BRIDGE. AND
INCLUDES FIVE HOW. MILLION AND
ONE TIME MENTAL HEALTH SERVICES
FIND. A RESULTING IN GENERAL
FUND SAVINGS OF TWO HUNDRED
FIFTY MILLION IN TWENTY THREE
TWENTY FOUR. NO COMPLAINTS HERE.
HELLO IN LIGHT OF THE GENERAL
FUND BUDGET CONDITION AND
RECENTLY REVISED ESTIMATES
SHOWING A SIGNIFICANT INCREASE
IN ALL SERVICES FUND. DOLLARS
AVAILABLE FOR STATE PURPOSES
THAT WE THINK THAT THE
ADJUSTMENT IS REASONABLE.
OPPONENTS WILLIAMS THE
DEPARTMENT OF FINANCE. NOTHING
FURTHER AT. THREE NOTHING
FURTHER ON OUR END HOLDEN ITEM
OPEN MOVING ON TO ISSUE NUMBER
TWELVE. SIMILARLY THE MAY
REVISION ALSO REPLACES FIFTEEN
POINT FIFTY POINT FIVE MILLION
AND TEMPORARY GENERAL FUND
SUPPORT FOR CAL HOPE WITH MENTAL
HEALTH SERVICES A FUND DOLLARS.
EKELER COMMENTS ON THE PRIOR
ITEM WE THINK THAT THE JUSTIN
THREE. THE MINUTES ARE GONNA SAY
ECHO THE COMMENTS. AFFIRMATIVE
PANEL ESTAS DEPARTMENT.
AVAILABLE FOR QUESTIONS. NOTHING
FURTHER ON OUR END HOLDEN ITEM
OPEN WE DON'T ISSUE NUMBER.
THIRTEEN THE DEPARTMENT
REQUESTED BY THE CHAIN PROPOSAL
RELATED TO THAT BEHAVIORAL
HEALTH MONETIZATION- INITIATIVE-
WE ARE REQUESTING FORTY MILLION
TOTAL FUNDS TWENTY MILLION
GENERAL FUND IN TWENTY TWENTY
THREE FOR INITIAL SUPPORT OF
THIS UP AND IT SHOULD GIVE. THIS
REQUEST BEGINS THE PROCESS TO
MODERNIZE THE BEHAVIORAL HEALTH
SYSTEM TO ALIGN GOALS AND
POLICIES THAT SUPPORT DELIVERY
SYSTEM IMPROVEMENTS. THIS
INITIATIVE WILL SEEK TO ADDRESS
FUNDAMENTAL CHALLENGES THE STATE
EXPERIENCES WITH THE CURRENT
BEHAVIOR HEALTH DELIVERY SYSTEM
AND CONNECTING THOSE WHO ARE
MOST VULNERABLE TO QUALITY
SERVICES. THIS REQUEST FOR
REPRESENTS INITIAL RESOURCES AS
ADDITIONAL RESOURCES WILL BE
NEEDED TO IMPLEMENT THIS
INITIATIVE PURSUANT TO THE
STATUTORY CHANGES- THE INITIAL
EFFORTS INCLUDE BEHAVIOR HEALTH
POLICY DEVELOPMENT. DATA
COLLECTION AND REPORTING
IMPROVEMENTS ENTERPRISE
TECHNOLOGY SERVICES AND
ACCOUNTABILITY QUALITY AND
EQUITY IN BEHAVIOR HEALTH
SERVICES. THE DEPARTMENT
ANTICIPATES USING A COMBINATION
OF STATE STAFF AND CONTRACT
RESOURCES FOR INITIATIVE
DEVELOPMENT AND IMPLEMENTATION
ACTIVITIES- THE NEED IS URGENT
AND THE DEPARTMENT WANTS TO BE
IN PLACE TO IMPLEMENT AS QUICKLY
AS POSSIBLE. WELL WILL OWNS OHIO
SO AT THIS TIME- SPECIFICALLY AS
IT RELATES TO THE MODERNIZATION
PROPOSAL FOR YOU THE TWENTY
MILLION ON GENERAL FUND- WE HAVE
NOT SEEN THE B. C. P. OR THE
TRAILER BILL LANGUAGE AT FOR
THIS- AND GIVEN THAT THIS IS NEW
DISCRETIONARY SPENDING. FOR A
PROPOSAL THAT HAS. YET TO COME
FORWARD- AT THIS TIME WE'RE
RECOMMENDING REJECTING THIS BCPS
. TEN OF US BECAUSE DEPARTMENT
OF FINANCE- WE ARE WORKING
DILIGENTLY TO OPPOSE THAT THE
CPS IN AS POSSIBLE. THE DIRECTOR
US YOU KNOW I THINK AT THE END
WHEN YOU CLOSE TO MENTION THE
FUNDING JUST TO BE ABLE TO START
AS SOON AS POSSIBLE GIVEN THAT
THIS WON'T BE ON UNTIL NOVEMBER
TWENTY TWENTY FOUR. ONE OF THE
THINGS THAT YOU NEED TO GET THIS
APPROVED FOR RIGHT NOW IN
PREPARATION OF THAT MEASURE TO
THERE ARE MANY CHANGES BEING
PROPOSED IN THE INITIATIVE AND
JUST THAT THE WORK THAT IT TAKES
ONCE THE IF THE BALLOT PASSES TO
GO LIVE. IMMEDIATELY WITH SOME
OF THE COMPONENTS SEVEN
INCLUDING SOME OF THE- THE
REQUIREMENTS WITH REGARD TO THE
LOCAL A CATEGORICAL. BUT GETS IT
FOR ME TO SAY FUNDING AND ALL
THE CHANGES THAT WILL NOT BE
NEED TO BE MADE IN TERMS OF
POLICY DEVELOPMENT TECHNICAL
ASSISTANCE TO THE COUNTIES. I T.
SYSTEM CHANGES SO THAT WE CAN GO
LIVE WITH THESE CHANGES- IN THAT
THE FOLLOWING YEAR- AND SO IT'S
THE KIND OF THE PREPARATION WORK
TO MAKE SURE THAT. DOESN'T TAKE
AGAIN LIKE THREE OR FOUR YEARS
FROM THE BALLOT PASSING TO GO
LIVE WITH SOME OF THESE CHANGES
THERE'S A LOT OF PREPARATORY
WORK TO. GET US IN A PLACE TO
GO. AND PUSH THIS THE NEST NEXT
FISCAL YEAR AND STILL HAVING
THOSE COUPLE MONTHS JUST WOULD
BE TOO MUCH OF A CRUNCH. YES I
MEAN IF WE WILL DO IS
ESSENTIALLY DELAYS ARE WORK FOR
ANOTHER YEAR- SO IT WE WOULD NOT
GET RESOURCES TOLJAN JULY TWENTY
TWENTY FIVE OR TWENTY TWENTY
FOUR EXCUSE ME. AND REALLY
WANTING TO START SOME OF THAT
WORK INICIALES PARTICULARLY SOME
OF IT WORK IN THE PREPARATION
FOR WHAT NEEDS TO HAPPEN. WITH
REGARD TO THE SYSTEMS THAT WILL
BE NEEDED ME CHANGES IN TERMS OF
THE HEAVY ACCOUNTABILITY QUALITY
AND TRANSPARENCY THAT IS AN
IMPORTANT PART OF THIS
INITIATIVE. THUNDER I GUESS.
THIS OF MY TRIGGERING THREAT
HAVE BEEN I. THINK HAD TO LISTEN
SO MANY A TEAR. I JUST THINK
ABOUT YOU KNOW SO OF THE THINGS
THAT. I'VE BEEN TRYING TO
MEASURE AND- ARE. OKAY T.
PROJECTS OR- ADDRESSING HUNGER
CLIFF IN THE STATE OF
CALIFORNIA. AND I COMPARING
THOSE KIND OF TYPE OF THINGS AND
JUST. LOOKING AT THESE REQUESTS
IN THE- IN THE DEFICIT AND SEEN
WHAT WHICH HAS MORE MERIT. YOU
KNOW I'M JUST. THINKING OUT LOUD
HERE- NOTHING FURTHER WE'RE
GONNA HOLD I AM OPEN AND WILLING
TO ISSUE NUMBER FOURTEEN- BASED
ON FEEDBACK FROM THE STATE
COMPTROLLER'S OFFICE THE
DEPARTMENT PROPOSES. AMENDMENTS
TO THE TRAILER BILL LANGUAGE TO
AUTHORIZE THE DEPARTMENT RATHER
THAN THE DEPARTMENT OF FINANCE
TO SUBMIT THE UPSET AND TRANSFER
SCHEDULE TO THE CALIFORNIA STATE
CONTROLLER. ONCE COUNTY SELECT
TO AUTHORIZE THE CONTROLLER TO
TRANSFER CERTAIN MENTAL HEALTH
SERVICE FUND- IN REALIGNMENT
FUNDING INTO THE MEDIC HOW
COUNTY BEHAVIORAL HEALTH FUND.
ADDITIONALLY THE AMENDMENTS
FURTHER DESCRIBE WHEN THE
DEPARTMENT WILL PROVIDE THE
TRANSFER SCHEDULE TO THE
CONTROLLER. AND HAPPY TO ANSWER
ANY QUESTIONS. WE HAVE NO
CONCERNS WITH THE UPDATE TO THE
TROUBLING WHICH- DAN ASTON'S
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. NOTHING FURTHER
ON OUR END HOLDEN ITEM OPEN
MOVING ON TO ISSUE NUMBER
FIFTEEN. THESE ADJUSTMENTS ARE
REQUESTED TO ALIGN CURRENT YEAR
EXPENDITURE AUTHORITY WITH BLOCK
GRANT AWARD AMOUNTS FROM OUR
FEDERAL PARTNERS THE INCREASES
IN EXPENDITURE AUTHORITY
SUPPORTS COMMUNITY MENTAL HEALTH
SERVICES BLOCK GRANT INCREASE OF
APPROXIMATELY FIFTEEN MILLION.
SUBSTANCE ABUSE PREVENTION AND
TREATMENT BLOCK GRANT- INCREASE
OF A LITTLE UNDER SIX MILLION
DOLLARS- THE SUBSTANCE ABUSE AND
MENTAL HEALTH SERVICES
ADMINISTRATION SANSA PROVIDES
GRANT FUNDS TO ESTABLISH OR
EXPAND ON ORGANIZED COMMUNITY-
BASED SYSTEMS OF CARE I'D FOR
NON TITLE NINETEEN. A MENTAL
HEALTH AND AS YOU SERVICES AND
HAPPY TO ANSWER ANY QUESTIONS
YOU MAY HAVE. THE CONCERNS.
TENNECO'S DEPARTMENT OF FINANCE
NOTHING FURTHER TO ADD TO THESE
TECHNICAL ADJUSTMENTS. IN THE
CONCERNS ORINDA EITHER HOLDEN
THE ANIMAL TO MOVING ON TO ISSUE
NUMBER FIFTEEN. AS A PART OF THE
CHILDREN'S AND YOUTH BEHAVIORAL
HEALTH INITIATIVE DCS IN
COLLABORATION WITH THE
DEPARTMENT OF MANAGED HEALTH
CARE WILL DEVELOP AND MAINTAIN A
SCHOOL LINK. A STATEWIDE ALL
PAYER FEES SCHEDULED TO
REIMBURSE OUTPATIENT BEHAVIORAL
HEALTH SERVICES AT THIS FEE
SCHEDULE IS LOW- CURRENTLY
SCHEDULE TO LAUNCH BEGINNING IN
JANUARY TWENTY TWENTY FOUR AND
WILL BE PHASED IN ACROSS THE
STATE- IN VARIOUS PUBLICLY
FUNDED K. THROUGH TWELVE SCHOOLS
AS WELL AS HIGHER EDUCATION FOR
ANYONE UNDER THE AGE OF TWENTY
SIX. THE MAY REVISION INCLUDES A
NEW PROPOSAL FUNDING REQUEST
TOTALING TEN MILLION DOLLARS IN
GENERAL FUND FOR FISCAL YEAR
TWENTY THREE TWENTY FOUR. TO
BEGIN THE DEVELOPMENT AND
IMPLEMENTATION OF A STATEWIDE
INFRASTRUCTURE THAT WILL
CENTRALIZE PROVIDER MANAGEMENT
FUNCTIONS INCLUDING
CREDENTIALING AND QUALITY
OVERSIGHT. AND MANAGE BILLING
AND CLAIMING FOR THE BEHAVIOR
HEALTH SERVICES FURNISHED TO
STUDENTS BY SCHOOL BASED-
PROVIDERS AND SCHOOLING
PROVIDERS ACROSS THE STATE OF
CALIFORNIA. THE GOAL IS REALLY
TO SIMPLIFY REIMBURSEMENT
PROCESS SEASON ADMINISTRATIVE
BURDEN FOR THE SCHOOLS
PARTICIPATING IN THE CHILDREN
YOUTH BEHAVIORAL HEALTH
INITIATIVE. MANY SCHOOLS DO NOT
CURRENTLY HAVE. BUILDING
MECHANISMS TODAY WE REALLY WANT
TO MAKE THIS AS EASY AS POSSIBLE
FOR THEM TO PARTICIPATE IN THIS
PROGRAM- IT WILL ALSO ALLOW US
TO HAVE ADDITIONAL OVERSIGHT
OVER THE PROVIDER NETWORK ENSURE
QUALITY. AS WELL AS REDUCE
THAT'D MINISTRY TO BURDEN OF FOR
OUR OUR- EDUCATIONAL PARTNERS-
AND HAPPY TO ANSWER ANY
QUESTIONS YOU MAY HAVE. VALUE WE
HAVE NOT RAISED CONCERNS WITH
THIS PROPOSAL. NOTHING FURTHER
AT. SO THIS IS REALLY EXCITING
TO SEE A FIGURE COMPLETELY
RIGHT- AND SIMPLIFYING IN
REMOVING THOSE PRINTS FROM THE
SCHOOL. THIS THIS FUNDING
INCLUDE JUST THE EDUCATION
COMPONENT FOR THE SCHOOLS AND
HOW THE TRANSFERRED OVER TO THE
THIRD PARTY ADMINISTRATOR. I
SAID THIS WILL ACTUALLY BE THE
DOLLARS PAYING THE THIRD PARTY
ADMINISTRATOR TO FOR EXAMPLE-
EACH OF THE SCHOOLS WILL HAVE TO
TELL US HERE'S OUR PROVIDER
NETWORK THEY WOULD BUILD THAT
WITHIN THEIR SYSTEM SO THAT WHEN
CLAIMS COME UP WE UNDERSTAND
OKAY THIS IS AN ALLOWABLE
PROVIDER FOR THIS CLAIM. AND
THEN IT WILL BE THE T. PAY HIS
JOB INSTEAD OF THE SCHOOL TO
FIGURE OUT WHICH MANAGED CARE
PLAN THAT THEY NEED TO SEND THAT
BILL TO. WORK WITH THE MANAGED
CARE PLAN TO GET REIMBURSEMENT
AND THEN FUND THAT BACK TO THE
SCHOOL TO THE WILL BE SOME WORK
BY THE SCHOOLS BUT THERE ARE
OTHER DOLLARS IN C. Y. B. H. I.
THAT ARE GOING TO HELP FUND
THAT. INFRASTRUCTURE THAT START
UP IN READINESS FOR THE SCHOOLS
AND THEN THIS WILL FUND THE
THIRD PARTY ADMINISTRATOR TO
REDUCE THE ADMINISTRATIVE BURDEN
OF THEM HAVING TO MANAGE A
NETWORK AND DO QUALITY
OVERSIGHT. AND DO THAT PAYMENT
UP AND DOWN. WE'RE TRYING TO
REDUCE SOME OF THAT THAT BURDEN
ON OUR SCHOOLS THANK YOU AND
THEN. THE HIGHER EDUCATION
COMPONENT FOR THOSE TWENTY SIX
YEARS AND OLDER WE TALKING
COMMITTEE COLLEGE SEE ISSUES
CORRECT THESE ALL UC'S ALL
HIGHER EDUCATION OR INCLUDED IN
C. Y. B. H. I. AND THEY WOULD
ALSO BE ABLE TO AVAIL THEMSELVES
OF THE THIRD PARTY
ADMINISTRATORS FALL. PERFECT
THANK YOU SO MUCH CENTER ROUGH.
THIS WAS A- SICK. CONCERNED THE
TWO YEARS TODAY. CHAIRED
EDUCATION FINANCE I WAS
LISTENING TO SCHOOL DISTRICTS
TALK ABOUT THE- FRUSTRATIONS IN
TERMS OF TRYING TO BE. TO GAIN
REIMBURSEMENT FOR SERVICES.
PROVIDED DO YOU DO YOU THINK
THIS THIRD PARTY ADMINISTRATOR
APPROACHES IS GOING TO WORK AND-
WHAT. WHAT LEVEL OF ACTIVITY.
ARE THE SCHOOL DISTRICT TO.
PERSONAL GOING TO HAVE TO ENGAGE
IN ON THE LOCAL. THE LOCAL DOES
AT THE DISTRICT LEVEL. YES SO-
WE DO THINK THIS WILL
SIGNIFICANTLY HELP FOR EXAMPLE-
IT WOULD BE VERY HARD FOR EVERY
INDIVIDUAL SCHOOL DISTRICT OR ON
LOCAL EDUCATION AGENCY TO BE
ABLE TO ATTRACT. WHO'S ENROLLED
IN WHAT MANAGED CARE PLAN
BECAUSE THIS IS FOR ALL PAYERS
THIS IS BOTH MEDICARE. AND
COMMERCIAL. THEY WOULD HAVE TO
BE CONSTANTLY SPENDING A LOT OF
MONEY TO DOWNLOAD THOSE ROSTERS
FOR LACK OF A BETTER DESCRIPTION
INTO THEIR SYSTEMS TO KNOW WHO
TO BILL. THIS WILL ALLOW THEM TO
TAKE A CLAIM EITHER BY THE
PROVIDER THAT THEY CONTRACT WITH
OR THE SCHOOL THEMSELVES
DEPENDING ON HOW THEY APPROACH
IT. SUBMITTED TO R. T. P. A. AND
THEN THE T. P. ABLE DO THE REST
OF THAT WORK THEY WILL. TIE IT
AGAINST TO MAKE SURE IT'S A
PROVIDER WITHIN THE NETWORK THAT
THEY PROVIDED. THEY WILL- DOWN
TO THE COST ACROSS THE FEE
SCHEDULE TO MAKE IT SURE TO
SERVICE THAT IS INCLUDED. AND
THEN THEY WILL SEND THAT CLAIM
TO THE COMMERCIAL PLAN OR THE
MEDICAID MANAGED CARE PLAN.
ADJUDICATE THAT- RECEIVE THE
DOLLARS FROM THE MANAGED CARE
PLAN AND THEN TRANSFER THOSE
FUNDS TO THE SCHOOL DISTRICT SO
IT TAKES A LOT OF THAT
ADMINISTRATIVE BURDEN. THE OTHER
THING THAT'S REQUIRED BECAUSE WE
HAVE TO MEET FEDERAL
REQUIREMENTS AS WELL. THE WOULD
BE RESPONSIBLE FOR THE
CREDENTIALING OF THOSE PROVIDERS
OF THE OVERSIGHT OF THOSE
PROVIDERS TO MAKE SURE THAT
THEIR QUALITY PROVIDERS. THE
SCHOOL DISTRICTS THAT DON'T
MANAGE HEALTHCARE NETWORKS AND
WE SHOULDN'T EXPECT THEM THEM
TO. AND SO WE DO THINK THAT THIS
THIRD PARTY ADMINISTRATOR WILL
SIGNIFICANTLY REDUCE THE BURDEN
OF WHAT THE SCHOOLS HAVE TO DO.
HOWEVER THEY WILL STILL NEED TO
SUBMIT A CLAIM- I EITHER
THEMSELVES OR THROUGH THEIR
PROVIDERS TO US A LOT OF SCHOOL
DISTRICTS CONTRACT WITH
PROVIDERS AND SO THEY'RE USED TO
SUBMITTING CLAIMS. WHERE THEY
DON'T THAT'S WHERE WE'LL BE
FUNDING THEM INFRASTRUCTURE TO
ALSO HELP WITH GETTING THAT
CLAIM TO THE THIRD PARTY
ADMINISTRATOR TO THEN TAKE IT
FROM THERE. IT'S WILL BE ON THIS
HEARING I JUST MENTIONED ONE OF
THE THINGS THAT I KEPT
SUGGESTING. I MEAN THERE THERE
IT'S- PROBABLY POSSIBLE
CERTAINLY DEPENDING ON WHERE YOU
COME FROM AND. WHERE I COME FROM
IT'S A HIGH MEDICAL. APART THAT
SOME. FAMILIES NOT BE IN ROLE. I
WAS TRYING TO PRESS THE- OR TO
SUGGEST. THAT THE MEDICAID
MANAGED CARE PLANS WHERE I COME
FROM. PARTICIPATE A LITTLE MORE
ACTIVELY ON SCHOOL DISTRICT
CAMPUSES TO ASSIST IN. THE
INFORMATION AND ENROLLMENT. OF
FAMILIES THAT ARE NOT. KIDS THAT
ARE NOT CURRENTLY ENROLLED IN
THE PROGRAM. AND THEN THE OTHER
ISSUE WAS THE TRIAGE ASPECT
WHERE. YOU KNOW YOU HAVE THE
EDUCATIONAL. PIECE THAT- THAT
CAN. TAKE PLACE ON THE KONA
DISTRICT CAMPUS BUT IN THEIR
BEHAVIOR ALL THROUGH FOR
EXAMPLE- MAKING SURE THAT WE GET
THE PROPER REFERRAL TO THOSE
WITH THE MODERATE CONDITIONS TO
THE- EITHER THE COMMERCIAL KERRY
PLANS. OR THE MEDICARE THAT CAL
RATHER MANAGED CARE PLANS WERE
IN THE SERIOUS CASES TO THE
COUNTY. AND WE WERE TALKING
ABOUT NAVIGATORS ON SCHOOL
DISTRICT CAMPUSES A RELEASE THAT
THEY HAD ACCESS TO. I DON'T KNOW
IF ANY OF THAT'S ON YOUR RADAR
SCREENS BEYOND THIS HEARING SO
MAYBE WE CAN TALK ABOUT IT LATER
BUT THOSE ARE JUST MY THOUGHTS I
WOULD JUST NOTE THIS WOULD
INCLUDE FOR EXAMPLE COMMUNITY
HEALTH WORKERS TO BE ON CAMPUS.
AND IT DOES INCLUDE REFERRALS TO
THAT SO IF THEY NEED A HIGHER
LEVEL OF SERVICE TO BOTH THE
MEDICARE COMMERCIAL OR THE
COUNTY IS ALSO IT IS INCLUDED IN
THIS. A FEE SCHEDULE THE
REQUIREMENTS OUT FOR EVERYBODY
SO THAT PEACE WE WOULD SAY HAS
BEEN INCLUDED IN INCORPORATED
INTO THIS PURPOSE YOU'RE FIVE
STEPS AHEAD OF ME THANK YOU.
THANK YOU. THANK YOU GONNA HOLD
BUT I'M UP ONE TO ISSUE NUMBER.
THE DEPARTMENT IS WORK. IT X. OF
THE MILLION DOLLARS IN FISCAL
YEAR TWENTY THREE TWENTY FOUR
THE FUND ELIGIBLE NINETY DAYS A
CALL CENTER BEHAVIORAL HEALTH
CRISIS SERVICES. THIS IS IN
ADDITION TO WHAT WAS REQUEST IN
THE GOVERNOR'S BUDGET AND HAPPY
TO ANSWER ANY QUESTIONS. HELLO
AS- MISS COOPER MENTIONED- THIS
BUILT ON A PROPOSAL FROM
JANUARY- THE MADE BY REQUEST
ADDS FIFTEEN MILLION DOLLARS- IN
THE BCP DIDN'T INCLUDE SOME OF
THE WORKLOAD DATA METRICS THAT
WE WOULD TYPICALLY SEE. WE'VE
RECENTLY REQUESTED THAT FROM THE
DEPARTMENT THEY'VE INDICATED
THAT THEY'LL PROVIDED SO
SWEEPING THAT WE ARE ABLE TO
REVIEW THAT WE WOULD HAVE NO
CONCERNS. NOTHING FURTHER TO ADD
. LOOKING FURTHER ON OUR END
HOLDEN OPEN WE DON'T ISSUE
EIGHTEEN. THE MAY REVISION
INCLUDE SIXTY SEVEN MILLION
DOLLARS IN GENERAL FUND IT THIS
YEAR TWENTY THREE TWENTY FOUR
HUNDRED AND TWENTY ONE MILLION
GENERAL FUND IN TWENTY FOUR
TWENTY FIVE AND A HUNDRED AND
FIFTY TWO MILLION IN TWENTY FIVE
TWENTY SIX AND I'M GOING TO
SUPPORT. ESTIMATED COUNTY
BEHAVIORAL HEALTH DEPARTMENT
COSTS FOR THE CARE ACT. AND
COMPARED TO GOVERNOR'S BUDGET
THIS IS AN INCREASE TO ACCOUNT
FOR ADDITIONAL ACTIVITIES
REQUIRED IN DRAFT. RULES
RELEASED BY THE JUDICIAL
COUNCIL. A CHANGES IN THE HOURLY
RATE ASSUMED FOR EACH ACTIVITY
PERFORMED BY THE COUNTY'S. AND
UPDATES TO THE LENGTH OF TIME IN
HEARINGS- THE MAY REVISION ALSO
INCLUDES FIFTEEN MILLION ONE
TIME GENERAL FUND FOR LOS
ANGELES COUNTY START UP FUNDING
GIVEN. THE DECEMBER FIRST TWENTY
TWENTY THREE IMPLEMENTATION THE
DEPARTMENT HAS BEEN WORKING
CLOSELY WITH COUNTY STAKEHOLDERS
SENSE THE GOVERNOR'S BUDGET
RELEASE- TO REFINE THE CARE ACT
ESTIMATES. OF THE DEPARTMENT HAS
NOT YET COME TO AGREEMENT WITH
THE COUNTY STAKEHOLDERS
ASSOCIATIONS IN REGARDS TO THE
TOTAL POPULATION. THAT WE THINK
WOULD BE SERVED BY THE CARE ACT
PROCESS ON AN ONGOING BASIS.
THAT IS WHY THE ADMINISTRATION
IS PROPOSING TO REIMBURSE FOR
THESE SERVICES BASED ON AN
HOURLY BASIS SO ESSENTIALLY WHAT
WE'VE BEEN DOING IS FOCUSING ON.
WHAT ARE THE TYPES OF SERVICES
THAT SHOULD BE REIMBURSED AND
THEN WHAT IS THE AMOUNT OF MONEY
THAT SHOULD BE REIMBURSED PER
THAT SERVICE ON AN HOURLY BASIS-
THAT WAY THE CLAIMS CAN COME IN.
WE WOULD BE REIMBURSING BASED ON
THAT AND IT GIVES US MORE TIME
TO UNDERSTAND THE VOLUME AND
POPULATION OF COURSE WE HAVE TO
HAVE AN ESTIMATE FOR THE
PURPOSES OF THE BUDGET- AND SO
WE HAVE PUT ASSUMPTIONS AROUND
THAT FOR THESE PURPOSES. BUT
THIS WOULD ALLOW US TO A BILL
THAT EXPERIENCE OVER TIME AS YOU
KNOW WE HAVE A LOT OF EXPERIENCE
WITH COMING UP WITH BUDGET
ASSUMPTIONS OF THE DEPARTMENT
OF. HEALTH CARE SERVICES A LOT
OF OUR SERVICES OUR UTILIZATION
BASED IN THAT WAY. AND THEN WE
FINE TUNE THOSE ESTIMATES WITHIN
GOVERNOR'S BUDGET MAY REVISION
AS WE GET MORE INFORMATION AND
UTILIZATION DATA. INTO BETTER
INFORMED THAT BUDGET PROCESS-
THE MAY REFER A REVISION
REFLECTS THIS NEW COST COUNTIES
WILL INCUR TO IMPLEMENT THE
PROVISIONS OF THE CHARACTER-
ABSENT CHAIN. INSTEAD THIS WILL
BE REQUIRED TO REIMBURSE
COUNTIES FOR THE ACTIVITIES ON
AN ONGOING BASIS. A CONSISTENT
WITH STATEWIDE BUDGETING
PRACTICES THAT WE STRONGLY
RECOMMEND THAT WE INCLUDE THESE
DOLLARS IN THE ON GOING WAY AND
WILL CONTINUE TO FINE TUNE THEM
THROUGH THE BUDGET PROCESS.
HAPPY TO ANSWER ANY QUESTIONS
HELLO. YES WILL LOANS ILIO. SO
BROADLY WE RECOMMEND ADOPTING
THE- ADMINISTRATION'S PROPOSED
UPDATES TO THE- ESTIMATES OF THE
COST OF THIS PROGRAM- SO AS-
HOWEVER AS NOTED IN OUR JANUARY
NOW SAYS. GIVEN THE CARE ACT'S
IMPLEMENTATION HAS YET TO BEGIN.
THERE STILL REMAINS SIGNIFICANT
UNCERTAINTY BOTH EIGHTEEN COSTS
AS WELL AS THE ACTUAL
POPULATION- THAT WILL BE SERVED
BY THE PROGRAM- AND PARTICULARLY
IN FUTURE YEARS AS THE COUNTIES.
FACE AND- SO THE
ADMINISTRATION'S PROPOSED
INCREASE REALLY KINDA UNDERLINES
THIS UNCERTAINTY AND HOW COSTS
CAN SHIFT RELATIVELY QUICKLY. SO
WE CONTINUE TO RECOMMEND- AND IN
ADDITION TO ADOPTING THIS
ESTIMATE- IS WE CAN TO RECOMMEND
THE LEGISLATURE CONTINUE- OR
CONSIDER REQUESTING THE
ADMINISTRATION TO REPORT ON
COSTS AND PROGRAMMATIC. DATA
FROM THE FIRST COHORT BEFORE THE
BEGINNING OF THE IMPLEMENTATION
OF THE US SECOND COHORT OF
COUNTIES- WE UNDERSTAND THAT
DATA MAY BE LIMITED AT THAT
TIME. I HAVE FACING PRELIMINARY
DATA ON SOME BASIC PROGRAMMATIC.
AND COST DETAILS AS OUTLINED IN
OUR JANUARY. AND I'LL SAYS- WE
BELIEVE CAN HELP THE LEGISLATURE
MAKE BETTER DECISIONS AROUND THE
BUDGETARY AND PROGRAMMATIC
AFFECTS OF THIS PROGRAM MOVING
FORWARD- PRIOR TO FACE TO
IMPLEMENTATION AND ONGOING COSTS
. PROPONENTS DEPARTMENT OF
FINANCE- NOTHING FURTHER TO ADD
AVAILABLE FOR QUESTIONS. COULD
TALK A LITTLE BIT ABOUT YOU KNOW
MOST COUNTIES ARE ASKING FOR WAY
MORE MONEY WE DO RECOGNIZE THAT
I'M IN WITH L. A. COUNTY COMING
IN AND SAYING WE'RE GONNA JUMP
IN OVER ONE FIFTY MILLION
DOLLARS COULD BE UTILIZED ACROSS
THE OTHER COUNTIES THAT WERE IN
COURT ONCE. HOW ARE WE LOOKING
AT THIS JUST A DECISION TO MAYBE
NOT HOW THESE COUNTIES IN THE
FIRST ORIGINAL COOPER B. S.
SUCCESSFUL AS POSSIBLE AND BRING
IN ONE OF THE LARGEST COUNTIES
TO JOIN THEM AND PULLING AWAY
SOME OF THAT FUND- SO THIS
FIFTEEN MILLION IS IN ADDITION
TO SAID THIS IS AN DOLLARS THAT
WE TOOK AWAY FROM OTHER COUNTIES
IN THOSE- ALLOCATIONS HAD
ALREADY BEEN SET. OR RECOMMEND
IT COULD HAVE BEEN ADDITION
SHOULD THEM GIVEN THEIR ONGOING
REQUEST FOR MORE MONEY I THINK
THAT THAT'S A SEPARATE PART OF
OUR PROPOSAL WE HAVE
SIGNIFICANTLY INCREASED THE
DOLLARS I'M GOING TO COUNTIES
FOR THE CARE ACT I'M GOING BACK
AND FORTH WITH THEM TO FINE TUNE
OKAY WHAT ARE THOSE SERVICES
THAT NEED TO BE REIMBURSED BASED
ON THE FINAL LANGUAGE WHAT IS
THE HOURLY RATE- FOR THOSE.
SERVICES I'M SO THAT'S A
SEPARATE PART OF OUR
AUGMENTATION UNDERSTAND YOUR
YOUR POINT I THINK FROM OUR
PERSPECTIVE HAVING LOS ANGELES
GO- LIVE WITH A VERY CRITICAL. A
PRIORITY FOR THE ADMINISTRATION
AND JUMPING INTO A TO GO LIVE
WITH THE CARE ACT WE STRONGLY
SUPPORT ON THOSE DOLLARS AND WE
WANT TO MAKE SURE THE L. A.
COUNTY IS SUCCESSFUL IN THAT
INITIATIVE AND SO WE DO THINK
THE START UP FUNDS FOR LOS
ANGELES COUNTY IS CRITICAL. THEY
CAN ALSO BE SUCCESSFUL WITH A
VERY IMPORTANT INITIATIVE. A
100% I MEAN REPRESENTING ONE OF
THE CENTERS IN L. A. COUNTY OF
COURSE SOMEONE TO ME TO BE
SUCCESSFUL- I'M- JUST WONDERING
ON THAT PART. YEAH TORONTO. WELL
. I THANK YOU BY THE WAY FOR.
NOT ONLY PAY ATTENTION TO LIKE.
BUT OTHERS TO SIGNED UP AS WELL-
WE WANT ALL TO SIX. I JUST WANNA
MAKE SURE. THAT THERE'S A
COMMITMENT TO DEVOTE WHATEVER I
REALIZE WERE IN- A BIT OF A
BUDGETARY PENCH. BUT I THINK
HAVING STARTED THIS WE NEED TO
BE COMMITTED TO PROVIDE WHATEVER
RESOURCES ARE NECESSARY FOR ALL
OF THE COUNTY'S. LA OBVIOUSLY IS
HUGE- AND- PROBLEMS IN THE OTHER
COUNTIES ARE MAGNIFIED PROBABLY
TEN TIMES IN A LAKE COUNTY SO.
THERE COULD BE THE POSSIBILITY
OF A BOTTOMLESS PIT HERE BUT- I
THINK WE DO NEED TO MAKE SURE
THAT WE HAVE THE RESOURCES
AVAILABLE TO SHIP TO DRIVE DOWN
TO THE COUNTIES. AS A SECURE
PROGRAM ROLLS OUT. AND THEY
IDENTIFY- NEEDS AND
REIMBURSEMENTS THAT THEY NEED TO
HAVE IN ORDER TO BE SUCCESSFUL
GIVEN THE- THE CONSEQUENCES IF
THEY'RE NOT. SO I TAKE IT THAT
WE'RE ALL COMMITTED TO DOING
THAT AND THAT. REASSURES ME FOR
NOW BUT I AM CONCERNED BECAUSE
THIS IS A NEW EFFORT FOR
COUNTIES AND THEY MAY NOT KNOW.
AT THIS POINT FRANKLY RIVERSIDE
COUNTY I ENCOURAGED RIVERSIDE
COUNTY TO JUMP IN. AND I SAID
YOU KNOW YOU. WHEN YOU'RE NOT
THE ONLY ONE BUT YOU WANT ALL
THE TIME ABOUT HAVING. NOT
HAVING RESOURCES AND NOT HAVING
ENOUGH MONEY I SAID THE PROOF'S
IN THE PUDDING HERE. IT'S ONE
THING TO ONE IT'S ANOTHER TO
DELIVER A BILL. FOR SERVICES
RENDERED. AND BE PREPARED TO
DELIVER THE BILL IF YOU DON'T
HAVE THE MONEY TO PAY FOR WHAT
THE STATE IS ASK YOU TO DO SO.
STICK WITH ME AND THEN STAY WITH
ME AND I HOPE YOU'LL HELP US.
MAKE SURE THESE COUNTIES GET THE
APPROPRIATE MONEY THAT THEY NEED
TO. A BECAUSE THIS IS A HUGE
ENDEAVOR. THANK YOU. I WOULD
NOTICE STEVEN THE BEHAVIOR
HEALTH BRIDGE HOUSING DOLLARS.
YOU KNOW THE ELIMINATING THE
DELAY AND THAT THOSE DOLLARS ARE
INTENDED TO SUPPORT THESE CARE.
CARE IMPLEMENTATION AS WELL AND
SO KIND OF WELL NOT UNDER THIS
ITEM THOSE DOLLARS YOU KNOW
ELIMINATING THAT DELAYS IS
REALLY WAS IN RECOGNITION THAT
WE NEED TO PROVIDE ADDITIONAL
RESOURCES TO COUNTIES FOR
HOUSING. THANK YOU SO MUCH WE'RE
GOING TO HOLD THE ITEM OPEN IN
BEFORE YOU WANT TO THE NEXT
ISSUE WE CAN ESTABLISH A QUORUM.
YES.
I THINK. SENATORS MAY OF OUR-
EGGMAN HERE EGGMAN HERE I'M A-
GROW. ROTH HERE BROUGHT HERE. WE
HAVE A COURT CASE. GREAT A WE
CAN BE WITH ISSUE NUMBER
NINETEEN FOR. CAL THE DAY IN THE
NATION RECEIVE PROVE OF TO.
MANAGEMENT AS A BENEFIT IN THE
MEDICAID PROGRAM THROUGH THE
CALENDAR LEVIN FIFTEEN
DEMONSTRATION. CONTINGENCY
MANAGEMENT IS THE ONLY TREATMENT
THAT HAS DEMONSTRATED ROBUST
OUTCOMES FOR INDIVIDUALS LIVING
WITH STIMULANT USE DISORDER
INCLUDING REDUCTION- OF
SUBSTANCE USE AND LONGER
RETENTION IN TREATMENT. AT
TWENTY FOUR DRUG MEDI CAL
ORGANIZED DELIVERY SYSTEM OR
WHAT WE CALL THE NCO DS COUNTIES
COVERING 88% OF THE MEDICARE
POPULATION HAVE COMMITTED TO
IMPLEMENTING CONTINGENCY
MANAGEMENT. A PROVIDERS IN LOS
ANGELES KERN RIVERSIDE AND SAN
FRANCISCO COUNTIES HAVE RECEIVED
APPROVAL TO DELIVER THE NEW
BENEFIT. AND THE DEPARTMENT
ANTICIPATES A SIGNIFICANT
INCREASE OVER THE NEXT FEW
MONTHS AS ADDITIONAL COUNTIES
AND PROVIDER SITES COMPLETE
THEIR TRAINING AND READINESS
ASSESSMENTS IN THE MAY REVISION
THE DEPARTMENT REQUEST RESOURCES
AND EXPENDITURE AUTHORITY TO
CONVERT THE CONTINGENCY
MANAGEMENT PROGRAM FROM A PILOT
FUNDED. WITH THE ENHANCED
FEDERAL FUNDING UNDER THE HOME
AND COMMUNITY BASED SPENDING
PLAN TO A FULL OFTEN BENEFIT FOR
DMC ODS COUNTIES COVERED THROUGH
THE END OF THE CALENDAR
MINISTRATION PERIOD. A TO
CONVERT THE CONTINGENCY
MANAGEMENT PROGRAM FROM A PILOT
FUNDED ONLY THROUGH THE AGE TO
BE A SPENDING PLAN TO A FULL
CALLIE IN SECTION ELEVEN FIFTEEN
DEMONSTRATION OFTEN BENEFIT THE
DEPARTMENT IS REQUESTING ELEVEN
POSITIONS AND ONE POINT FIVE
MILLION- WHICH IS INCLUSIVE OF
SEVEN HUNDRED FIFTY FIVE MILLION
GENERAL FUND- SORRY SINCE SEVEN
HUNDRED FIFTY FIVE THOUSAND.
DOLLARS GENERAL FUND HAPPY TO
ANSWER ANY QUESTIONS. I WAS
GONNA SAY I DON'T THINK WE HAVE.
TO LEAVE A COMMENT NO CONCERNS.
REPENTANCE DISABILITY DEPARTMENT
EFFORT COMMENT. NO FURTHER
COMMENTS ARE NOT AND TELL IT ALL
WE KNOW TO NUMBER. THE
DEPARTMENT IS. FOR YEAR LOW TERM
. THIRTY TO SUPPORT THE
DEPARTMENT'S NALOXONE
DISTRIBUTION PROJECT OR WHAT'S
KNOWN AS NDP THIS PROPOSAL IN IS
IT IN ADDITION TO THE
GOVERNOR'S. BUDGET PROPOSAL
TITLED IF YOU WOULD SETTLEMENT
FUND A STATE DIRECTED PROVIDE
PROGRAMS FOR CONDUCT BY IN TOTAL
OF NINE- NINETY MILLION. DOLLARS
IN FISCAL YEAR TWENTY THREE
TWENTY FOUR AND THEN ANYWHERE
BETWEEN FORTY AND FIFTY MILLION
ON GOING IN THE YEARS AFTER
THAT. REQUESTS FOR NALOXONE HAVE
SIGNIFICANTLY INCREASED OVER THE
LAST YEAR IS LARGELY DUE TO THE
RISE IN OVERDOSES INCREASED USE
OF FAT AND ALL. TODAY THE NDP
HAS DISTRIBUTED OVER TWO POINT
THREE MILLION UNITS OF NALOXONE
WITH OVER A HUNDRED AND FORTY
SIX THOUSAND REPORTED OVERDOSE
REVERSALS. FOR THE CURRENT
FISCAL YEAR NDP ANTICIPATES A
TOTAL DISTRIBUTION OF OVER ONE
POINT TWO MILLION UNITS OF AN
ARCANE COSTING APPROXIMATELY
SIXTY MILLION DOLLARS. DUE TO
THE UNPRECEDENTED DEMANDS THE
NDP EXPECTS TO DISTRIBUTE- OVER
ONE POINT EIGHT MILLION UNITS OF
DARK AND COSTING APPROXIMATELY
EIGHTY EIGHT MILLION IN BUDGET
YEAR HAPPY TO ANSWER ANY
QUESTIONS YOU MAY HAVE. NO
CONCERNS. BERMAN FINANCE NOTHING
DAD. WHAT IS THE WAITING PERIOD
LOOKING LIKE RIGHT NOW I MEAN
IT'S A CO. US YEAH HAVE WE DID
HAVE SOME BUCK LOG AT THE
BEGINNING- OF THE YEAR AND WE'VE
WORKED DILIGENTLY TO REDUCE THAT
BACKLOG AND GET THE- GET ALL THE
DISBURSEMENTS OUT AND THERE'S A
PROCESS WHERE THEY HAVE TO FILE-
WITH THE DEPARTMENT BUT WE'VE
SIGNIFICANTLY REDUCE THAT
BACKLOG. SMOKERS THANK YOU SO
MUCH ANY OTHER QUESTIONS. WE'RE
GOING TO HOLD THE LINE AND WE'LL
BE MOVING ON TO ISSUE NUMBER
TWENTY ONE. EIGHT AT THE IS
PROPOSING TRAILER BILL LANGUAGE
TO CLARIFY AT THE READY TO
REGULATE DRIVING UNDER THE
INFLUENCE OR DO YOU AYE PROGRAMS
OFFERING SERVICES VIRTUALLY. THE
DEPARTMENT IS RESPONSIBLE FOR
THE LICENSURE AND COMPLIANCE
MONITORING OF ALL THE- I
PROGRAMS IN CALIFORNIA. AS A
RESULT OF THE PANDEMIC THE
DEPARTMENT HAS OBSERVED A STEADY
DEFINED IN THE NUMBER OF LICENSE
DO YOU AYE FACILITIES IN
CALIFORNIA DUE TO DECREASED
PARTICIPANTS ENROLLMENT. AND
LIMITED AVAILABILITY OF
QUALIFIED COUNSELORS TO PROVIDE
IN PERSON SERVICES. IN ORDER TO
REDUCE THE FURTHER LOSS OF DO
YOU AYE PROGRAMS IN AVAILABLE
SERVICES THE ABILITY TO OFFER
THE SERVICES VIRTUALLY IS
IMPERATIVE. HOWEVER THE LAW DOES
NOT PROVIDE DAC S. ANY SPECIFIC
AUTHORITY RELATED TO THE
PROVISION OF VIRTUAL DO YOU I
SERVICES. CURRENTLY THE
DEPARTMENT IS UNABLE TO
ESTABLISH CLEAR COMPLIANCE AND
OVERSIGHT REQUIREMENTS THAT
WOULD- INSURE- EQUITABLE AND
SAFE TREATMENT SERVICES WHEN DO
YOU AYE SERVICES ARE VIRTUALLY
PROVIDED. THE DEPARTMENT IS
PROPOSING TRAILER BILL LANGUAGE
TO ADDRESS THIS ISSUE HAPPY TO
ANSWERING QUESTIONS. WE KNOW CAN
. DEPARTMENT FINANCE NOTHING
ADD. TO IT. NOTHING FURTHER ON
OUR END. THANK YOU SO MUCH THAT
WAS YOUR LAST ITEM DH CS THANK
YOU FOR JOINING US THIS MORNING
WE'RE GOING TO MOVE ON TO OUR
NEXT DEPARTMENT. LIKE TO WELCOME
UP DEPARTMENT OF PUBLIC HEALTH.
GOOD MORNING WE COULD START WITH
ISSUE NUMBER ONE. GOOD MORNING
SUSAN FANELLI CHIEF DEPUTY FOR
CALIFORNIA PUBLIC HEALTH. THE
FIRST ISSUE IS ON THE COVERT
RESPONSE THE MAY REVISED AS-
MAINTAIN FIFTY ONE POINT THREE
MILLION IN GENERAL FUND TO
CONTINUE. THE STATE'S PUBLIC
HEALTH AND SAFETY RESPONSE
EFFORTS AGAINST COVERED NINETEEN
TO SUPPORT IN GENERAL THE MOST
VULNERABLE COMMUNITIES AS WE
MOVE FORWARD IN RESPONSE THE
FUNDS WILL SUPPORT PARTY
PANDEMIC RESPONSE EFFORTS
THROUGH JUNE OF TWENTY TWENTY
FOUR THIS WILL INCLUDE THE
CONSULTANTS AND REDIRECTED STAFF
FOR ACTIVITIES RELATED TO COUNTY
MONITORING TESTING STRATEGIES.
AND SUPPORT FOR OUR WEBSITE IN
PUBLIC INFORMATION CAMPAIGNS
SERVICES PAGE WILL CONTINUE
PURCHASE TEST KITS FOR- OUR
POPULATIONS THROUGHOUT THE YEAR
WE WILL CONTINUE SERVICE
AGREEMENTS FOR OUR MEDICAL
MEDICAL AND HEALTH COORDINATION
CENTER AND RECEIVING STAGING AND
STORAGE WAREHOUSE AND THEY
PROVIDE SPECIAL SERVICES AND
TECHNICAL SERVICES AND DELIVER
THOSE PRODUCTS TO THE AREAS
WHERE WE NEED THEM TO GO IT WILL
ALSO COVER ANY LEGAL SENTIMENT
SETTLEMENTS FOR COVERT RELATED
LITIGATION. IT WILL PROVIDE
GRANT INCENTIVE PROGRAMS TO
SUPPORT PEDIATRIC PROVIDERS IN
CONTINUING TO ADMINISTER
VACCINES FOR CHILDREN'S AGE ZERO
TO FIVE WILL CONTINUE SUPPORTING
THE PROVIDER CALL CENTER THAT
WILL GIVE SUPPORT TO PROVIDERS
ENROLLED IN MY ACCOUNT BACKS
PROGRAM MANAGEMENT COMMUNICATION
ACTIVITIES- AGAIN FOR BOTH LHD
ST PROVIDERS. AND FINALLY IT
WILL SUPPORT OUR IT
INFRASTRUCTURE FOR THE CARE TO
IMMUNIZATION REGISTRY. AS YOU
KNOW THE MAY REVISED DOES
INCLUDE A REDUCTION OF FIFTY
MILLION IN THE CONTINGENCY FUND
WHICH WOULD HAVE POTENTIALLY
BEEN USED TO SUPPORT PANDEMIC
RESPONSE EFFORTS. THAT WERE NOT
INCLUDED AS INDIVIDUAL LINE
ITEMS AND THAT WOULD INCLUDE
THINGS LIKE ADDITIONAL STAFFING
NEEDS- SURVEILLANCE OR
THERAPEUTICS BUT WE BELIEVE.
THAT YOU KNOW THE BUDGET THAT WE
HAVE ALONG WITH THE FEDERAL
FUNDS THAT WE THAT WILL EXPIRE
IN JUNE WILL. BE ENOUGH TO RUN
OUR RESPONSE. THE KILLING OF. WE
HAVE NO WITH PROPOSED.
PROPONENTS HONORABLY DEPART OF
FINDING NOTHING TO ADD THE YOU.
SENATOR THANK YOU. THE MORE. CAN
YOU SUGGEST. ALL MONEY THAT
WE'VE- A- DEALING WITH CO. MONEY
WHILST. AND SOME OF THE DAY WE
HAVE. INITIALLY RIGHT AND WE
WERE JUST WAS STILL WITH THIS
FOR THE FIRST TIME FOR EVER NOW
WE HAVE LIKE TRONICS HAVE EVERY
AND SO A LOT OF WHAT WE HAVE
FUNDED IS TO ADDRESS THE CRISIS
BUT ALSO. TO HOPEFULLY BUILD UP
OUR SYSTEM SO IF IT SO AS WERE
EKING OUT OF THE END OF THIS ARE
WE ALSO PREPARED FOR THE NEXT
THING THAT COMES ALONG AND WHAT
HAVE WE AND WE'VE LEARNED. THAT
THE MOST EFFECTIVE WAY TO SPEND
THE MONEY. I THINK WE'VE LEARNED
A LOT OF LESSONS THROUGHOUT
COVERED RESPONSE AND I THINK ONE
OF THEM WAS THE INFRASTRUCTURE
OF THE CORE INFRASTRUCTURE FOR
PUBLIC HEALTH AND SO BUILDING
OUR INFORMATION SYSTEMS AND
CONTINUING THOSE WHICH ARE
FUNDED IN A SEPARATE P. C. P.
THIS YEAR AND LINE ITEM I THINK
THE OTHER PIECE WE KNOW IS THAT.
WE WERE SHORT STAFFED AND THAT
WE'VE OVER MANY DECADES BEING
UNDERFUNDED IN PUBLIC HEALTH SO
WE ARE BUILDING THAT UP ACROSS.
I'VE BEEN IN THAT DEPARTMENT AS
WELL AS OUR LOCAL HEALTH
JURISDICTIONS UNDER THE FUTURE
PUBLIC HEALTH MONEY AND TO CROSS
TRAINING SOME OF THE KINDS OF
THINGS THAT WE KNOW WE NEED TO
DO SO THAT WE'RE BETTER PREPARED
FOR THE FUTURE. IN THIS FIFTY
MILLION DOLLARS WILL NOT IMPAIR
US FROM GOING FORWARD WITH THAT
KIND OF RESILIENCY THAT WE'RE
TRYING TO BUILD OUR SYSTEM.
PARTICULARLY WITH THE FEDERAL
FUNDS I'M NOT SAYING THAT WE
WON'T HAVE AN ASK COME JUNE OF
TWENTY TWENTY FOUR. BUT WE'LL BE
LOOKING AT THAT AND TO CITING
HEALTHY MOVE FORWARD WITH OUR-
FUTURE PUBLIC HEALTH FUNDING.
AND THEN. AS WE TAKE STOCK OF
WHERE WE ARE WITH COVERT
RESPONSE. THANK YOU. THANK YOU
SEE YOU KNOW FOR THE- WERE GONNA
HOLD. OPEN AND WE WANT TO.
NUMBER I HAVE ISSUED A TWO AS
WELL VERY EXCITED- THAT WE ARE
RESTORING AND HAVE FOUND A WAY
TO RESTORE OUR PIPELINE AND
RETENTION PROGRAMS. WE PUT THIS
MONEY TO WORK ALREADY IN THE
CURRENT YEAR AND- WE HAVE MANY
APPLICATIONS FOR ADDITIONAL-
EFFORTS AT THE LOCAL LEVEL AND
SO WE'RE EXCITED. I DID. HIM I
CAN'T SAY ENOUGH ABOUT HOW
EXCITED OUR PARTNERS ARE I SAW
THAT SHE ACT- ANNOUNCEMENT TODAY
THAT THEY ARE ALSO VERY EXCITED.
THAT THE MINISTRATION ON THE WAY
TO YOU- YEAH WHAT WAS A VERY
HARD DECISION OUGHT. EARLIER ON
TO BE ABLE TO RESTORE THIS IS
GONNA HELP OUR LOCAL
JURISDICTIONS AND THE STATE. AS
WE- REALLY USE THE PIPELINE
PROGRAMS FOR OUR- LABORATORIES
FAR PATHWAYS PROGRAM FOR A
NUMBER OF OTHER THINGS AND THEN.
RETENTION SO OUR NURSE FEES AND
OUR- CAREER LADDER AND
UPSKILLING YOU KNOW IT DOESN'T
DO US ANY GOOD. IF WE- HAD NEW
PEOPLE BUT WE LOSE THE PEOPLE
THERE AND WE'VE SEEN ACROSS THE
STATE THE NUMBER OF PEOPLE THAT
HAVE BEEN LOST IN PUBLIC HEALTH
BOTH AT THE LEADERSHIP LEVEL AND
THE STAFF LEVEL AND SO. ANYTHING
WE CAN DO TO HELP BUILD THAT
BACK UP WITH IS MUCH
APPRECIATED. THE POLICE SPEAKS
TO THE LESSONS LEARNED RIGHT
INVESTMENT IN THE WORK FORCE
HERE. HELLO NO WE HAVE NO
CONCERNS FOR THIS PURPOSE.
PERMANENTS MILLS APARTMENT A
FINAL NOTHING FOR TO ADD.
NOTHING TO AND OUR END HOLDEN
ISSUE- OPEN WE ONTO ISSUE NUMBER
. THREE THANK YOU SO MUCH.
GOOD MORNING CHAIR MEMBERS THE
SENATE. MANY MYSTERIES. AND I
GLAD TO BE BEFORE YOU TO PROVIDE
A OVERVIEW H. DRUG. NAY RIVER AS
. AS A ROOM. THE AGE SERVICES
PROGRAM WAS COME. REFERRED TO AS
EIGHT AT. PROVIDES ACCESS TO
LIFE SAVING MEDICATIONS FOR
ELIGIBLE CALIFORNIA RESIDENTS
LIVING WITH HIV WE ALSO PROVIDE
ASSISTANCE WITH COSTS RELATED TO
PRE EXPOSURE PROPHYLAXIS. FOR
CLIENTS AT RISK FOR ACQUIRING
HIV AND POST EXPOSURE
PROPHYLAXIS FOR CLIENTS WHO MAY
BE EXPOSED TO HIV. FOR CURRENT
YEAR WE ARE ESTIMATING THAT THE
BUDGET AUTHORITY NEEDED WILL BE.
THREE HUNDRED AND SEVENTY TWO
POINT THREE MILLION WHICH IS A
FIFTEEN POINT FIVE DECREASE FROM
THE GOVERNOR'S BUDGET WE
REQUESTED FOUR HUNDRED AND FORTY
POINT FIVE MILLION THE FIFTEEN
POINT FIVE DECREASES DRIVEN
PRIMARILY BY LOWER MEDICATION
EXPENDITURES AND PREMIUMS THAN
WHAT WE PREVIOUSLY ESTIMATED.
OUR BUDGET YOUR REQUEST IS THREE
HUNDRED AND NINETY EIGHT MILLION
WHICH IS AN EIGHTY NINE POINT
SIXTY CREES. FROM THE GOVERNOR'S
BUDGET WE REQUESTED FOUR HUNDRED
AND FORTY POINT ONE MILLION THE
NINE POINT SIXTY CREASES DRIVEN
PRIMARILY BY LOWER MEDICATION
EXPENDITURES AND PREMIUM AND
PREMIUM FAMILY PREVIOUSLY
ESTIMATED. LASTLY OGLE OVER OUR
REVENUE PROJECTIONS FOR CURRENT
YEAR. IT UP REVENUE IS EXPECTED
TO BE TWO HUNDRED EIGHTY FOUR
POINT THREE MILLION WHICH IS A
FIFTH WHICH IS FIFTEEN POINT 2%
LOWER THAN WHAT WAS REPORTED IN
THE GOVERNOR'S BUDGET. THE
FIFTEEN POINT 2% DECREASE IS
DRIVEN PRIMARILY BY A DECREASE
IN REBATES AND LOWER MEDICATION
EXPENDITURES THAN PREVIOUSLY
ESTIMATED FOR BUDGET YEAR EIGHT
UP REVENUE WILL BE THREE HUNDRED
AND SIXTY FIVE POINT THREE
MILLION. WHICH IS A THREE POINT
NINE WHICH IS THREE POINT 9%
LOWER THAN WHAT WE REPORTED AND
THE GOVERNOR'S BUDGET THE THREE
POINT 9% DECREASE IS PRIMARILY
DRIVEN BY LOWER MEDICATION
EXPENDITURES. HAPPY TO ANSWER
ANY QUESTIONS. WHERE AVAILABLE
FOR QUESTIONS. THE PLANE EARLY
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. NOTHING FURTHER
TO ADD ON OUR END HOLDING THE
ITEM OPEN WILL BE NOT TO ISSUE
NUMBER FOUR. THANK YOU THANK YOU
.
GOOD MORNING GOOD MORNING I'M
LESLIE GAFFNEY THE ASSISTANT
DEPUTY DIRECTOR AT THE CENTER
FOR FAMILY HEALTH WHICH IS OVER
THE NEXT TO THE SCREEN PROGRAM.
A GSP IS BUDGET SUPPORTS THE
ACTIVITIES OF TWO MAJOR PROGRAMS
NEWBORN SCREENING AND PRENATAL
SCREENING. IN SEPTEMBER OF
TWENTY TWENTY TWO PRENATAL
SCREENING TRANSITION TO A NEW
METHOD OF TESTING CALLED CFDA TO
TEST FOR CHROMOSOMAL HIM ANY
EMPLOYEE SPECIFICALLY TRISOMY
TWENTY ONE EIGHTEEN AND
THIRTEEN. SHORTLY THERE AFTER A
LAWSUIT WAS FILED CHALLENGING
THE PRENATAL SCREENING PROGRAMS
EXCLUSIVITY MEANING THAT ONLY
OUR LABORATORIES COULD DO THAT
TESTING FOR BOTH CFT IN A AND R.
MATERNAL SERUM AFP PROGRAM.
WHICH TESTS FOR NEURAL TUBE
DEFECTS. AT THE LEGAL ACTION
PRELIMINARY INJUNCTION WAS PUT
IN PLACE WHICH REMOVES THE
PROGRAM'S EXCLUSIVITY AND AS A
RESULT WE'VE SEEN A DECREASE IN
PARTICIPATION IN THE PROGRAM
FROM 72% OF A PREGNANT ED
INDIVIDUALS PARTICIPATING DOWN
260% TO OUR CURRENT BUDGET
EXPENDITURES ARE A HUNDRED AND
SIXTY SIX MILLION DOLLARS THIS
IS A REDUCTION OF. EIGHT MILLION
DOLLARS AND LOCAL ASSISTANCE
SPENDING ATTRIBUTED TO THAT
PARTICIPATION DROPS
SPECIFICALLY- WE USED A
DIFFERENT METHODS TO CALCULATE
PARTICIPATION FOR BUDGET FOR
CURRENT YEAR BECAUSE OF THAT AND
SO TRADITIONALLY WE'VE WE'VE
USED A THREE YEAR AVERAGE WHICH
HAS BEEN HOVERING AROUND SEVENTY
TWO PERCENT. BUT THIS YEAR WE
USED NOVEMBER TO JANUARY
PARTICIPATION WHICH WAS AFTER
THE INJUNCTION AND THEN USE THAT
Q. PROJECT FORWARD FOR THE REST
OF THE YEAR. THE COMBINED STATE
OPERATIONS AND LOCAL ASSISTANT
BUDGET EXPENDITURE FOR TWENTY
THREE TWENTY FOUR IS A HUNDRED
AND EIGHTY EIGHT MILLION DOLLARS
THIS IS AN INCREASE OF THREE
POINT TWO MILLION. IT'S THE
RESULT OF SOME INCREASE CONTRACT
RATES AS WELL AS SOME CASELOAD
INCREASES NOT FOR THE- THE
GENERAL PUBLIC PARTICIPATING IN
THE PROGRAM BUT FOR THE FOLLOW
UP AND FOLLOW UP LABORATORY
PROCEDURES THAT ARE AS A RESULT
OF THE TESTING- WE HAVE RETURNED
TO THE THREE YEAR AVERAGE
PERCENTAGE FOR CALCULATING
PARTICIPATION IN PRENATAL
SCREENING PROGRAM FOR BUDGET
YEAR. THE COMBINED REVENUE FOR
BOTH NEWBORN SCREENING AND
PRENATAL SCREENING PROJECTED FOR
THE CURRENT YEAR IS A HUNDRED
AND FIFTY EIGHT MILLION DOLLARS
WHICH IS A DECREASE OF FIFTEEN
POINT TWO MILLION FROM
GOVERNOR'S BUDGET. AND AGAIN
THIS CONTRIBUTED TO THAT
DECREASING PMS PROGRAM
PARTICIPATION TO THE INJUNCTION.
FOUR TWENTY THREE TWENTY FOUR
THE COMBINED REVENUE WAS A
HUNDRED SEVENTY SIX MILLION
WHICH IS A DECREASE OF THREE
MILLION AND THAT'S ATTRIBUTED TO
A DECREASE IN THE PROJECTED.
BILLABLE CASELOAD BASED ON THE
DECLINE IN THE D. R. EWS
PROJECTION OF THE BIRTHRATES OF
THE BIRTH RATE IS PROJECTED TO
GO DOWN SO WE'RE PROTECTING
FEWER PARTICIPANTS FOR THAT
REASON. AND THE LAST THING WE
WERE TO BRING TO YOUR ATTENTION
IS. ON PRENATAL SCREENING FOR
SEX KRUMM IN YOU PLEASE IN
DECEMBER OF LAST YEAR THE
AMERICAN COLLEGE OF MEDICAL
GENETICS AND GENOMICS RELEASED
AN UPDATED PRACTICE GUIDELINE.
THAT RECOMMENDS CFT IN A THE
PROCEDURE WERE USING FOR TRISOMY
TWENTY ONE EIGHTEEN AND THIRTEEN
SHOULD ALSO INCLUDE SCREENING
FOR SIX CHROME AND YOU PLEASE.
AND SO WE ARE PREPARING TO MAKE
THE ADDITION OF THAT TO OUR
SCREENING PANEL. THE FISCAL
IMPACT IS UNKNOWN AT THIS TIME-
WILL PROVIDE AN UPDATE IN THE
NOVEMBER ESTIMATE AS WE MOVE
FORWARD WE ARE. EXPECTING TO ADD
THAT IN THE FOURTH QUARTER OF
BUDGET YEAR SO SOMETIME AFTER
APRIL TWENTY TWENTY FOUR. I MEAN
WE WILL HAVE MORE INFORMATION
FOR YOU IN OUR NOVEMBER
ESTIMATE. HOW TO TAKE ANY CLASS
. NO COME BUT AVAILABLE FOR. I
THINK MOST OF FINANCE NOTHING
FURTHER TO ADD. DO YOU YOU LOST
ME ON THAT SECOND ONE OKAY
WHAT'S GOING TO BE ADDED. TO
CURRENT THE CURRENT METHOD THAT
WE USE FOR SCREENING IT LOOKS
FOR TRISOMY TWENTY ONE DOWN
SYNDROME. AND EIGHTEEN AND
THIRTEEN BUT- NOW THAT WOULD BE.
RECOMMENDED NATIONAL STANDARD IS
ALSO TO INCLUDE SCREENINGS FOR
SEX CRIME ABNORMALITIES SO- THAT
WAS SO- WOMEN HAS SOMETHING
CALLED TURNER SYNDROME WE ONLY
HAVE ONE X. CHROMOSOME. FOR BOYS
WHO HAVE TO WEISSER TWO AXIS OF
X. X. Y. OR X. Y. Y. TWO
VARIATIONS OF THE SEX
SPECIFICALLY THE SEX CHROMOSOMES
AND THEIR- THEIR DISORDERS THAT
AREN'T NECESSARILY. AS- SINCE.
BABIES WITH WE ALL KNOW WHAT
TYSON TWENTY ONE HAPPENS
EIGHTEENTH AND BABIES WITH
EIGHTEEN AND THIRTEEN RARELY
SURVIVE SO THEY'RE VERY SERIOUS
PEOPLE WITH SEX CRIME
ABNORMALITIES YOU MIGHT. THERE
MIGHT BE SOME IN THIS ROOM NOW
YOU MIGHT NOT KNOW THEY DO HAVE
SOME HEALTH RISKS AND SOME
PROBLEMS BUT THEY'RE LESS
SEVERE. IN THE TESTING METHOD IS
A LITTLE DIFFERENT AND HAS A
LITTLE BIT DEAR FRIENDS.
RAMIFICATIONS WHEN YOU GET A
POSITIVE IT MIGHT NOT ACTUALLY
BE THAT. IT'S NOT AS- THE ONE
HUNDRED SIXTY ALREADY SO THAT'S
GOOD PARDON ME WHEN WOULD THAT
BE INCLUDED IN THE TESTING AND
WE'RE LOOKING TO ADDED IN THE
FOURTH QUARTER OF TWENTY THREE
TWENTY FOUR SO APRIL TWENTY FOUR
OR LATER THAT LAST THREE MONTHS.
THE LITTLE FLUID RIGHT NOW BUT
THAT'S OUR TARGET AND DOES THAT
INCLUDE IN THAT. WILL INCREASE
THE COST. IT MAY WE'RE WE'RE
HAVE TO NEGOTIATE WITH THE
LABORATORIES IT'S AN ADD ON TO
ITS NOT ANOTHER SPECIMEN IT'S
NOT ADDITIONAL BLOOD WORK IT'S
JUST DOING A LITTLE TWEAKING
WHAT WE'RE DOING AND ADDING A
LITTLE BIT MORE. OUTCOME A EXTRA
PROP. THERE WERE BE EXTRA UP SO-
THE POSITIVE PREDICTIVE VALUE
FOR TWENTY ONE EIGHTEEN AND
THIRTEEN IS VERY GOOD SO WHEN
YOU TESTED AND YOU GET A
POSITIVE IT'S MORE LIKELY THAN
NOT THAT IT'S SOMETHING. THAT'S
NOT THE SAME WITH SEX CRIME
ABNORMALITIES THAT THEY'RE LESS
POSITIVE AND SO WE HAVE MORE
PEOPLE TO FOLLOW UP ON SO THAT
WE- WE THROW WIDER NET SO WE
DON'T MISS THIS MANY AND SO
THEY'LL BE MORE FOLLOW UP COSTS
SO IT'S UNLIKELY THAT WE WILL
HAVE A FEE INCREASE. BUT WILL
HAVE MORE INFORMATION FOR YOU IN
NOVEMBER WE'RE NOT REALLY SURE
WHAT EXACTLY IS THANK YOU.
SENESINO STRICKEN ITEM MOVE ON
ASIAN OF. FIVE THANK YOUNG.
CELIS CHIEF THE WAY TO AND
HEALTH. A WHICH PUTS. HAS BEEN
INCREASE SLIGHTLY AND FOOD COSTS
ARE ALSO INCREASING. THE MAY
REVISION ESTIMATE INCLUDES
PROJECTIONS OF MORE THAN NINE
HUNDRED AND FIFTY THOUSAND WICK
PARTICIPANT SERVED EVERY MONTH.
THAT'S A SLIGHT INCREASE OVER
THE PREVIOUS ESTIMATE. THE
REVISION ALSO INCLUDES INCREASES
TO FOOD EXPENDITURES. OF AN
INCREASE OF SIXTEEN MILLION
DOLLARS FOR THE CURRENT YEAR AND
SIXTY EIGHT MILLION DOLLARS FOR
THE BUDGET YEAR. THE MAJORITY OF
THAT INCREASE IS DUE TO
INFLATION AND THE INCREASE IN
PARTICIPATION. BUT A PORTION OF
IT IS ALSO ATTRIBUTED TO THE
FRUITS AND VEGETABLE INCREASE
THAT WAS HAS BEEN IMPLEMENTED BY
U. S. T. A. FOR THE PAST FEW
YEARS. THE NEW PROJECTIONS OF
BRINGS TOTAL FOOD EXPENDITURES.
TO NINE HUNDRED AND THIRTY EIGHT
MILLION DOLLARS FOR THE CURRENT
YEAR AND ONE BILLION DOLLARS FOR
THE BUDGET YEAR. FOOD
EXPENDITURES ARE FULLY COVERED
BY FEDERAL AND REBATE REVENUE.
I'M HAPPY TO ANSWER ANY
QUESTIONS. NO COMMENTS BUT WERE
AVAILABLE FOR QUESTIONS. BILL'S
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. HE FURTHER ON
OUR END MOVING ON TO THE NEXT
ISSUE. SHE NUMBER SIX. THANK YOU
SO MUCH FOR JOINING US.
GOOD MORNING. MY NAME IS MARIO
CHINA ONE OF THE ASSISTANT
DEPUTY DIRECTORS AND THE CENTER
FOR HEALTHY COMMUNITIES AND I
WILL BE COVERING. ISSUE M. SIX
FOR THE LEAD RENOVATION REPAIR
AND PAINTING PROGRAM SB TEN
SEVENTY SIX THE MAY REVISE
REFLECTS AN INCREASE OF TWO
POSITIONS AND FIVE HUNDRED FORTY
SIX THOUSAND DOLLARS AND GENERAL
FUND STATE OPERATIONS AND FISCAL
YEAR. TWENTY TWENTY THREE TO
TWENTY TWENTY FOUR TO IMPLEMENT
THE RESIDENTIAL LEAD BASED PAINT
RENOVATION REPAIR AND PAINTING
PROGRAM AS MANDATED BY SB TEN
SEVENTY SIX. THIS REQUEST IS IN
ADDITION TO THE FIRST ADJUSTMENT
THE GOVERNOR'S BUDGET WHICH
INCLUDED A REQUEST FOR ONE
POSITION AND SIX HUNDRED FIFTEEN
THOUSAND AND GENERAL FUND AT
THIRTY AND TWENTY THREE TWENTY
FOUR. UPDATED REQUEST IN THE MAY
REVISED FOR NOW REFLECT A TOTAL
INCREASE OF THREE POSITIONS AT
ONE POINT TWO MILLION GENERAL
FUND IN FISCAL YEAR 202-322-0246
HUNDRED TWENTY ONE THOUSAND
GENERAL FUND IN FISCAL YEARS
TWENTY TWENTY FOUR TO TWENTY
TWENTY SEVEN. AND A TOTAL OF
THIRTY ONE POSITIONS AND FIVE
POINT ONE MILLION FROM THE LEAD
RELATED CONSTRUCTION FUND IN
TWENTY SEVEN TWENTY EIGHTEEN ON
GOING TO IMPLEMENT THAT
RESIDENTIAL LEAD BASED PAINT
PROGRAM. WHEN THE BCP WAS
SUBMITTED AT THE GOVERNOR'S
BUDGET PROGRAM PLAN TO LEVERAGE
AND BUILD NEW FUNCTIONALITY IS
ON THE CURRENT LACK RELATED
CONSTRUCTION ONLINE SYSTEM.
SINCE THE SINCE THE SINCE THE
SUBMISSION CDPH HAS CONDUCTED
FURTHER ANALYSIS AND HAS
DETERMINED THAT THE DEPARTMENT.
THAT THE DEVELOPMENT OF AN
ONLINE CERTIFICATION APPLICATION
PLATFORM TO ISSUE LET ARE R. P.
CERTIFICATES AND MONITOR
CERTIFICATION STATUS WILL NEED
TO UNDERGO THE PROJECT APPROVAL
PROCESS. DURING WHICH PROGRAM
NEEDS TO BE EVALUATED AND A
SOLUTION WILL BE DEVELOPED.
DIGESTING THE MAY REVISE WAS
NECESSARY TO INCLUDE THE COST TO
COVER THE POWER PROCESS. NEEDED
TO EVALUATE SEVERAL ALTERNATIVES
TO DETERMINE THE MOST
APPROPRIATE SOLUTION TO PROCESS
AND TRACK THIS LARGE VOLUME OF.
CERTIFICATIONS AND TO MAKE
PERMANENT TWO ADDITIONAL
POSITIONS. BECAUSE THE REGULATED
UNIVERSE CONTAINS OVER FORTY
THOUSAND INDIVIDUALS AND MORE
THAN FIVE THOUSAND COMPANIES
CDPH CANNOT PROCESS
CERTIFICATION WITHOUT AN ONLINE
APPLICATION SYSTEM. AND
IMPLEMENTATION WILL BE DELAYED
UNTIL A SOLUTION AS IDENTIFIED
DURING THE WHOLE PROCESS.
THEREFORE TRAILER BILL LANGUAGE
IS ADMITTED TO ADDRESS SB TEN
SEVENTY SIX STATUTORILY REQUIRED
IMPLEMENTATION DATES THAT CANNOT
BE MET BY JULY ONE TWENTY TWENTY
THREE FOR EDUCATION OUTREACH AND
JANUARY ONE TWENTY TWENTY FOUR
FOR CERTIFICATION. THE TRAILER
BILL WILL EXTEND THE
IMPLEMENTATION DATES TO JULY
TWENTY JULY ONE TWENTY TWENTY
SIX FOR EDUCATION AND OUTREACH
AND JULY WHEN TWENTY TWENTY
SEVEN FOR CERTIFICATION. AND THE
TRAILER BILL WILL ALSO ADDRESS
CONSISTENCY IN TERMINOLOGY WITH
EXISTING STATUTES AND FEDERAL
REGULATIONS. OPEN TO ANY
QUESTIONS. WELL WE HAVE NOT
RAISED CONCERNS WITH THE
PROPOSAL THIS TIME. THANK MALES
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. THANK YOU SO
MUCH WE HAVE NOTHING FURTHER
WE'RE GONNA HOLD ON I'M OPEN
THANK YOU. FOR NEXT- ISSUE WE'RE
GOING TO TURN TO ZOOM
PARTICIPANT. ISSUE NUMBER SEVEN
RIGHT TO WELCOME ASSISTANT
DEPUTY DIRECTOR MICHELLE BELL.
2% GOOD MORNING EVERYONE. GOOD
MORNING. SO FOR CURRENT YEAR
TWENTY TWO TWENTY THREE C. H.
SECURE PROJECTS- REVISED
EXPENDITURE THIRTY FOUR HUNDRED
EIGHTY ONE POINT FIVE MILLION
WHICH IS A THIRTY TWO POINT
THREE MILLION INCREASE FROM THE
TWENTY THREE TWENTY FOUR
GOVERNOR'S BUDGET. THIS INCREASE
IS DUE TO AN INCREASE IN THE
FEDERAL FUND EXPENDITURES
ALREADY FOR POTENTIAL TITLE
EIGHTEEN ENTITLE NINETEEN
SUPPLEMENTAL AWARDS. AND
INCREASED HOSPICE IMPACT AWARD
AND POTENTIAL SUPPLEMENTAL CARE
ACT FUNDING. FOR BUDGET YEAR
TWENTY THREE TWENTY FOUR CDPH
ESTIMATES EXPENDITURES WILL
TOTAL FOUR HUNDRED SIXTY TWO
MILLION WHICH IS AN INCREASE OF
TWENTY NINE POINT THREE MILLION
OR SIX POINT EIGHT PERCENT.
COMPARED TO THE TWENTY TWENTY
THREE GOVERNOR'S BUDGET.
ADJUSTMENTS INCLUDE A FOUR
MILLION INCREASE IN GENERAL FUND
IS ALREADY FOR SKILLED NURSING
FACILITY STOPPING ON IT. A
TWENTY FIVE POINT THREE MILLION
INCREASE IN THE FEDERAL TRUST
FUND THE THORNY FOR POTENTIAL
TITLE EIGHTEEN ENTITLE NINETEEN
SUPPLEMENTAL WORDS. AND
INCREASED HOSPICE IMPACT AWARD.
AND THE NINE HUNDRED THIRTY NINE
THOUSAND DOLLAR INCREASE IN
REIMBURSEMENT AUTHORITY WITH A
CORRESPONDING NINE HUNDRED
THIRTY NINE THOUSAND DOLLAR
DECREASE IN AUTHORITY. FOR THE
LICENSING AND CERTIFICATION
PROGRAM FUND YOU TO A TECHNICAL
ADJUSTMENT. AS OF APRIL TWENTY
TWENTY THREE THE VACANCY RATE AT
C. H. C. Q. IS SIXTEEN POINT 2%
FOR HEALTH FACILITY EVALUATOR
NURSES WHICH IS AN INCREASE OF
THIRTEEN POINT THREE PERCENTAGE
POINTS. BEGINNING OF THE CURRENT
PANDEMIC IN FEBRUARY TWENTY
TWENTY. THIS INCREASE IS DUE IN
PART TO THIS NEARLY AUTHORIZED
POSITIONS BUT ALSO BECAUSE OF
INCREASED RETIREMENTS AND
SEPARATIONS. THIRTY THANK YOU
HAS MADE SIGNIFICANT PROGRESS
TOWARD RESTORING NORMAL
OPERATIONS AS THE STATE
CONTINUES TO RECOVER FROM THE
PUBLIC HEALTH EMERGENCY. WHILE
STAFFING SHORTAGES ARE LIKELY TO
REMAIN GIVING THE NATION WIDE
NURSING SHORTAGE CHANGED SINCE
HE WAS DEVELOPING AND
IMPLEMENTING STRATEGIES. TO
ADOPTION CONTINUE TO DELIVER
CRITICAL LICENSING AND
CERTIFICATION SERVICES. AND WITH
REGARDS TO COMPLAIN TIMELINESS
AS OF FEBRUARY TWENTY TWENTY
THREE STAGE TWO TEAMS COMPETING
. EIGHTY NINE. TWO DAYS OF
RECEIPT WHICH IS A 16% INCREASE
IN TIMELINESS SINCE JULY TWENTY
TWENTY TWO. THREE APRIL OF
TWENTY TWENTY THREE CH SECURES
CLOSED FOURTEEN THOUSAND THREE
HUNDRED TWENTY TWO LONG TERM
CARE COMPLAINTS IN THE FISCAL
YEAR. FURTHERMORE STAGE SECURES
COMPLETED NINETY TWO POINT 1% OF
BACKLOGGED COMPLAINTS THAT WERE
SUBMITTED ON OR BEFORE APRIL
FIRST OF TWENTY TWENTY ONE. OVER
TWELVE THOUSAND COMPLAINTS IN
TOTAL. AND AS OF MAY TWENTY
TWENTY THREE ONLY EIGHT HUNDRED
THIRTEEN OPEN LONG TERM CARE
COMPLAINTS REMAIN THE BACKLOG.
THANK YOU. NO COMMENTS ON THIS
PROFITABLE FOR QUESTIONS. THANK
MALES DEPARTMENT OF FINANCE
NOTHING FURTHER TO ADD THANK YOU
NICK. NOTHING FURTHER ON OUR
END- HOLDEN ITEM OPEN WE DON'T
SEE ISSUE NUMBER EIGHT. MICHELLE
WILL YOU BE PRESENTING SOME OF
THESE. YES ACTUALLY I START WITH
NUMBER EIGHT. GO AHEAD. OKAY SO
THE INTERNAL DEPARTMENTAL
QUALITY IMPROVEMENT ACCOUNT
PROVISIONAL LANGUAGE STATE ARE
STRONG FINANCE LETTER. THROUGH
FOR ANY POTENTIAL PROJECT THAT
MAY EXCEED THE EXISTING ACCOUNT
EXPENDITURE THREE OF SIX HUNDRED
EIGHTY SEVEN THOUSAND CDPH IS
REQUESTING PREVENTIVA
PROVISIONAL LANGUAGE INCLUDED IN
THE TWENTY TWENTY THREE BUDGET
ACT THAT ALLOWS THE PAGE TO
REQUEST. THE DEPARTMENT OF
FINANCE TO INCREASE THE
EXPENDITURE AUTHORITY FROM THE
ACCOUNT. AFTER REVIEWING THE
REQUEST SUBMITTED BY CDPH THAT
DEMONSTRATES THE NEED FOR
ADDITIONAL AUTHORITY. THIS
LANGUAGE ALLOWS YOU TO KEEP HER
IDENTIFIED QUALITY IMPROVEMENT
ACTIVITIES THAT WOULD LIKE TO
FIND WITH THE ACCOUNT AND
REQUEST EXPENDITURE THIRTY IN
THE CURRENT YEAR IS REQUESTED
FOR ONE YEAR ONLY. ONCE PROJECTS
ARE IDENTIFIED IN THE AMOUNT OF
THE CURRENT YEAR FUNDING IS
KNOWN SIOUXSIE Q. WILL SUBMIT A
BUDGET REVISIONS FOR ADDITIONAL
EXPENDITURE THIRTY FROM THE
ACCOUNT. SINCE YOU CAN PROJECT
THE FUND BALANCE OF EIGHTEEN
POINT FIVE MILLION DOLLARS AT
THE BEGINNING OF FISCAL YEAR
TWENTY THREE TWENTY FOUR. IN
FISCAL YEAR TWENTY TWO TWENTY
THREE AND WE'VE SPENT TWO POINT
SEVEN MILLION OUT OF THE THREE
POINT SIX MILLION APPROPRIATED.
THE TRADITIONAL EXPENDITURES
OVER THE LAST THREE YEARS HAVE
BEEN APPROXIMATELY THREE MILLION
DOLLARS PER YEAR. IN THE THREE
YEARS PRIOR TO THAT STAGE
SECURED REQUESTED TWO MILLION
DOLLARS IN EXPENDITURE THREE. AS
DIRECTLY EXPENDITURES HAVE BEEN
IN THE TWO TO THREE MILLION
DOLLAR RANGE. JIM. WE HAVE NO
CONCERNS OFFICE. PROVIDE US
SOMETHING FURTHER TO ADD THANK
YOU IF THE REST CAN JOIN US FOR
THE OTHER ITEMS ON THIS ISSUE.
GOOD MORNING THREE. I'M JOHN
RUSSELL FINDS CHAU CV PH. AND
ALL BE SPEAKING ON THE
INFORMATION TECHNOLOGY DATA
SCIENCE AND INFORMATICS
FRAMEWORK. CDPH REQUEST THE
AUGMENTATION OF FIFTEEN POINT
NINE MILLION TO CONTINUE
PLANNING EFFORTS IN THE PUBLIC
HEALTH INFORMATION TECHNOLOGY
AND INFRASTRUCTURE AND DATA
ASSOCIATED. WITH THE CRITICAL
FOUNDATIONAL ACTIVITIES AS
DESCRIBED IN THE INFORMATION
TECHNOLOGY DATA SCIENCES AND
INFORMATICS FRAMEWORK FOR THE
TWENTY FIRST CENTURY PUBLIC
HEALTH SYSTEM. INCLUDING
URGENTLY NEEDED FUNDING RELATED
TO THE DATA INITIATIVE WHICH-
WHICH ARE KEY ENABLERS. FOR THE
DATA SHARING ANALYTICS SUCH AS
ACCESSING CURRENT STATE OF OUR
DATA ECOSYSTEM UNDERSTANDING
STATE AND FEDERAL DATA POLICIES
AND STANDARDS IS STANDING UP
ENTERPRISE DATA GOVERNANCE. THE
COMPONENTS OF THE FIFTEEN POINT
NINE MILLION INCLUDE DOCUMENTING
DATA SOURCES OWNERS AND USERS
ACROSS CDPH RELATED TO
SURVEILLANCE LICENSING IN MY
RECORDS. ESTABLISHMENT OF
ENTERPRISE DATA GOVERNANCE
DEFINING DATA POLICY STANDARDS
AND LIMITATIONS ON OUR OWN USE
OF DATA ACROSS THE ECOSYSTEM.
DETERMINE PRIORITIES FOR
ENTERPRISE DATA SETS AND WORK
SPACES. DEFINING CLOUD MIGRATION
CRITERIA AND VIABILITY MATRIX TO
BEGIN CLOUD MIGRATIONS. AND
DEVELOP DATA INTEGRATION
STRATEGIES BASED ON CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
DATA FRAMEWORK AND AB ONE THIRTY
THREE PRIORITIES. AND TO FIND
INTER OPERABILITY IMPLEMENTATION
ACTIVITIES ACROSS THE ENTERPRISE
. I'M AVAILABLE FOR ANY
QUESTIONS. WE HAVE NOT RAISED
CONCERNS WITH THIS ISSUE AT THIS
TIME. CHILEAN EARLY DEPARTMENT
OF FINANCE NOTHING FURTHER TO
ADD.
THANK YOU MADAM CHAIR THUMPED
DEPARTMENT OF FINANCE- JUST TO
ADD ON TO MISTER RESELLS
TESTIMONY- THIS PROPOSAL IS FOR
BUDGET BILLING WHICH THAT WOULD
AUTHORIZE AN AUGMENTATION AND
THE BUDGET BILLING WHICH IS
IDENTICAL TO PREVIOUS LANGUAGE
INCLUDED IN THE TWENTY TWENTY TO
BUDGET OCT- NO FUN THE NEW
FUNDING WAS APPROPRIATED DURING
THE CURRENT YEAR. AND THIS WOULD
JUST EXTEND THE OPPORTUNITY TO
DO SO IN THE BUDGET YEAR. THANK
YOU FOR THE CLARIFICATION I SEE
NO OTHER QUESTIONS MOVING ON TO
THE NEXT ITEM. WITHIN THE SAME
MISSION. ALBIA FOR SETTING THE
SIDE NEXT TECHNICAL ADJUSTMENTS
BILLS FROM THE FINANCE- THE
MAYOR VISION REFLECTS THE
TECHNICAL AMENDMENTS A
PROVISIONAL LANGUAGE THAT
SPECIFIES THE AMOUNTS TO BE
REVERTED IN ORDER TO REFLECT THE
TWENTY FIVE MILLION DOLLAR
REDUCTION OF THE- CLIMATE AND
HEALTH RESILIENCE FUNDING GRANTS
AT TWENTY TWO TWENTY THREE THAT
WAS PROPOSED AT GOVERNOR'S
BUDGETS- THERE IS NO CHANGE THE
GOVERNOR'S BUDGET PROPOSAL.
GIVEN THE ONGOING STATE OF THE
BUDGET PROJECTIONS- WE HAD NO
ISSUES WITH THIS PROPOSAL
EARLIER IN JANUARY AND WE
CONTINUE TO FIND AT CEDIA.
REVISIONS REASONABLE THINGS WERE
. NOTHING FURTHER. NEXT ITEM
WITHIN THIS ISSUE. WELCOME BACK
. THANK YOU FOR THE NEXT ITEM IS
FOR THE DOMESTIC VIOLENCE
TRAINING AND EDUCATION FUND
WORKLOAD ADJUSTMENT AND THEN MAY
REVISED REFLEXIVE SHIFT OF A
HUNDRED THIRTY FIVE THOUSAND AND
THE DOMESTIC VIOLENCE TRAINING
EDUCATION FUND FROM STATE
OPERATIONS TO LOCAL LISTINGS. TO
FIND COMMUNITY BASED
ORGANIZATIONS AND CONDUCT
COMMUNITY LEVEL DOMESTIC
VIOLENCE PRIMARY PREVENTION WORK
AND THIS WAS SIMPLY A LINE ITEM
ADJUSTMENTS. JUST WHAT DOES THAT
LOOK LIKE WHAT ARE THE RESOURCES
WITHIN THAT WERE OFFERING WITHIN
OUR COMMUNITIES FOR TV
PRODUCTION. I WILL HAVE TO GET
BACK TO YOU ON THAT ONE. THANK
YOU K. NO CONCERNS WITH US.
WELLS FARGO FINANCE SOMETHING
FURTHER TO ADD. NOTHING FURTHER
MOVING ON TO MAXIMUM. PRESERVER
DURING THE FINAL ONE CAN ALSO
COME UP TO. IT'S ME OKAY. ARE
YOU DOING INCREASE RESOURCES
PUBLIC.
HI I'M TERRY MCINTYRE THE
ASSISTANT BRANCH CHIEF FOR THE
TEXAS IS BRANCH IN THE DIVISION
OF CLINICAL DISEASE CONTROL
CENTER FOR INFECTIOUS DISEASES
AND WE ARE ASKING FOR A PROGRAM
OR PROJECT FOR DISEASE PROGRAM
FOR SIXTY THOUSAND DOLLAR
AUTHORITY ONLY RAISED IN OUR
SPECIAL FUNDS OF COMPLETELY FUND
ARE ONE POSITION THAT WE HAVE.
IN THE PAST FEW YEARS WE HAD TO
MOVE MOVE THE POSITION AND HAVE
FROM THE FUNDING DONE THROUGH
GENERAL FUND BECAUSE WE DON'T
HAVE AN AUTHORITY OUR- IN OUR
FUNDING THAT'S ASKING FOR
PERFECT NO CONCERNS. DEPARTMENT
OF THAT CONTAINS. THE CONCERNED
ON OUR END FINAL SECTION WITH
THE MASSAGE. HE SO FOR PROP.
ERICA FOR A PROPOSITION NINETY
NINE ACCOUNTS THAT MAY REVISED
REFLECTS SEVERAL ADJUSTMENTS TO
THE BUDGET AS A RESULT OF
UPDATED CIGARETTE TAX REVENUE
ADJUSTMENTS. THE FIRST ONE IS-
FOR OUR PROP NINETY NINE HEALTH
EDUCATION ACCOUNT AND IT
REFLECTS AN INCREASE OF ABOUT
FIVE POINT THREE MILLION
DOLLARS. AND THIS MONEY IS USED
TO- FOR PROGRAM STAFFING
OPERATING EXPENSES ARE MEDIA
CAMPAIGNS COMPETITIVE GRANT
SURVEILLANCE AND- COMMUNICATING
DATA AND COMPETITIVE GRANTS. AND
THE NEXT ONE IS FOR OUR PROP
NINETY NINE RESEARCH ACCOUNT
WHICH REFLECTS A DECREASE OF
ABOUT EIGHTEEN THOUSAND DOLLARS.
AND THESE REVENUES ARE USED FOR
TOBACCO RELATED DISEASE RESEARCH
AND ACTIVITIES RELATED TO
SUPPORT OUR CANCER REGISTRY. THE
NEXT ONE IS FOR OUR UNALLOCATED
ACCOUNT FUND- TWO THREE SIX AND
THAT IS A DECREASE OF FIFTY
SEVEN THOUSAND DOLLARS AND THIS
MONEY IS USED FOR CALIFORNIA
HEALTH INTERVIEW SURVEY
INTERVIEW SURVEY. AND THE
REVENUES ARE USED TO SUPPORT
TOBACCO EDUCATION TOBACCO
PREVENTION EFFORTS TOBACCO
RELATED PROGRAMS ENVIRONMENTAL
PROTECTION AND RECREATIONAL
RESOURCES. AND THEN THE LAST
ADJUSTMENT IS A DECREASE OF
ABOUT TWENTY SEVEN THOUSAND
DOLLARS FOR BREAST CANCER
RESEARCH ACCOUNT WHICH IS ALSO
USED TO SUPPORT ACTIVITIES
RELATED TO SUPPORT OUR CANCER
REGISTRY. NO CONCERNS. I THINK
MOST OF OUR OPPONENTS NOTHING
FURTHER TO ADD. GREAT MOVING ON
TO THE FINAL ITEM. FOR BREAST
CANCER RESEARCH SO THAT WAS I
DISCOVERED THAT. YES I APOLOGIZE
. I APOLOGIZE OKAY. PERFECT
WE'RE GONNA HOLD- EVERY SINGLE
ITEM WITH ISSUE EIGHT TO OPEN A
MEDICAL ZERO PART II. OF TODAY'S
HEARING. THANK YOU.
THE BILL. FOUR THREE I'M MOVING
ON TO PART B. OF TODAY'S AGENDA
. IT WILL BE SURE. THEY WILL BE
HEARING INFORMATION FROM ONE
DEPARTMENT THE DEPARTMENT OF
SOCIAL SERVICES ON CHILD CARE.
WE'LL START WITH ISSUE NUMBER
ONE. GOOD MORNING GOOD MORNING
MADAM CHAIR AND MEMBERS MY NAME
IS JENNIFER TRY IT IN HERE
BEHALF FOR THE DEPARTMENT OF
SOCIAL SERVICES THE FIRST ITEM
THAT YOU ASKED US FOR AN
OVERVIEW OF THE MAY REVISION
WITH RESPECT TO OUR CHILD CARE
AND DEVELOPMENT PROGRAMS THAT
ARE ADMINISTERED BY CDSS. I'M
HAPPY TO PROVIDE THAT I WILL
ADDRESS THE SECOND QUESTION-
RELATED TO THE GENERAL CHILD
CARE SAVINGS AT THE SAME TIME.
BUT MAY REVISION INCLUDES FIVE
POINT EIGHT BILLION TOTAL FUNDS
TWO POINT NINE BILLION OF WHICH
ARE GENERAL FUND FOR CDSS CHILD
CARE AND DEVELOPMENT PROGRAMS
THIS IS A NET DECREASE OF
SEVENTY ONE MILLION DOLLARS FROM
THE GOVERNOR'S BUDGET. THE
DECREASE IS RELATED TO DECLINES
IN ACCOUNT STAGE TWO AND STAGE
THREE CAL WORKS CHILD CARE
CASELOADS AND A REDUCTION IN THE
COST OF LIVING ADJUSTMENT THAT
IS A TECHNICAL ADJUSTMENT- IN
TERMS OF CASELOADS THE AVERAGE
MONTHLY CAO WORK STAGE ONE
CASELOAD IS PROJECTED TO
INCREASE SIGNIFICANTLY BY ABOUT
TWENTY SIX PERCENT. WELL STAGES
TWO AND THREE ARE PROJECTED TO
DECLINE BY FOURTEEN AND FIVE
POINT 6% RESPECTIVELY THESE ARE
JUST CHANGES IN ESTIMATES ON THE
NATURAL RELATED TO ACTUAL IS
THAT WE HAVE UPDATED INFORMATION
FOR. IN TERMS OF ENROLLMENT AND
FUNDING FOR THE ALTERNATIVE
PAYMENT PROGRAM OR CAPP PROGRAM
AS OF APRIL TWENTY TWENTY THREE
BASED ON THE DATA LEAK WE
COLLECTED BETWEEN OCTOBER TWENTY
ONE AND MARCH OF TWENTY THREE.
THE ALTERNATIVE PAYMENT PROGRAM
ENROLLMENT HAS INCREASED BY
APPROXIMATELY FIFTY THOUSAND AND
ONE HUNDRED SLOTS. IN OTHER
WORDS THIS IS AN 89% INCREASE IN
THE PROGRAM. WITH RESPECT TO THE
GENERAL CHILD CARE PROGRAM AND
WITH AGAIN THIS IS YOUR SECOND
QUESTION AT THE MAY REVISED
REFLECTS ANTICIPATED ONE TIME
SAVINGS. THESE SAVINGS ARE
ASSOCIATED WITH THE CURRENT YEAR
THE TWENTY TWO TWENTY THREE
BUDGET YEAR AND THEY ARE A FIVE
HUNDRED AND EIGHTY EIGHT MILLION
DOLLARS. THE ALTHOUGH THE
SAVINGS ARE RECOGNIZED THE
EXPENDITURE AUTHORITY REMAINS SO
IF WE WERE ABLE TO EXPAND THE
DECISIONAL DOLLARS THE AMOUNT OF
THE SAVINGS WOULD BE REDUCED.
THE PROJECTED SAVINGS ARE BASED
ON THE RESPONSES TO OUR REQUEST
FOR APPLICATION FOR NEW SLOTS
AND HOW MUCH WE BELIEVE WE CAN
PUT INTO CONTRACTS MAXIMALLY AS
A RESULT. SO NO ONE IS RECEIVING
A DECREASE TO WHAT WE WERE ABLE
TO COME UP WITH THROUGH THE RFA
PROCESS OR ANY DECREASES THE
CONTRACTS ARE JUST MOMENTS. THIS
IS SAVINGS THAT WOULD HAVE
OCCURRED ON THE NATURAL BASED ON
THE TIME IT'S TAKING FOR SUCH A
LARGE EXPANSION WE'RE JUST
RECOGNIZING THEM A LITTLE
EARLIER THAN USUAL. IN LIGHT OF
THAT THE STAFF IS THAT THAT THE
STATE IS FACING. AT THE FINAL
ITEM IN THE OVERVIEW IS WITH
RESPECT TO THE STATUTORY COST OF
LIVING ADJUSTMENT OR COLA. THE
MAY REVISION INCLUDES A HUNDRED
AND EIGHTY THREE MILLION DOLLARS
GENERAL FUND TO REFLECT THE
STATUTORY COLA IT IS ESTIMATED
TO BE EIGHT POINT TWO TWO
PERCENT. AND THIS AMOUNT
REFLECTS A TECHNICAL ADJUSTMENT
TO HOW THE COAL IS SUPPLIED TO
THE DIRECT CONTRACTORS. A PLUS
THERE IS THAT. WE WOULD BE ABLE
TO. GO AHEAD THEN YOUR- THIRD
QUESTION WAS WITH RESPECT TO-
UNSPENT FEDERAL RELIEF FUNDS FOR
CHILD CARE INCLUDING ART THE
FUNDS. THE MAY REVISION REFLECTS
THE FULL APPLICATION FOR ALL
FEDERAL COULD REALLY FUNDS- IN
ADDITION TO THE STIPENDS
AUTHORIZED THROUGH AB ONE
SEVENTY NINE. AT CDSS IS
CONTINUING TO EVALUATE ANY
ANTICIPATED UNSPENT FUNDING WE
DO PROJECT UNSPENT CHRIS ON OUR
BACK AT STABILIZATION FUNDS ARE
WE DID. AND IN TOOK YOU ALL TOOK
EARLY ACTION IN AB ONE TEND TO
RE ALLOCATE THOSE FUNDS SO THAT
WE COULD PROVIDE A ONE TIME
SUPPLEMENT. TO CHILD CARE
PROVIDERS USING THOSE ARE BUT
STABILIZATION FUNDS WE ALSO
PROJECTED THAT THERE WERE SOME
CARISSA FUNDS THAT WOULD BE LEFT
OVER AND WE UTILIZE THOSE FOR
THE THREE MONTH EXTENSION. OF
THE FAMILY FEES WAIVER. WE WILL
CONTINUE TO WORK TO ENSURE THAT
ONE TIME FEDERAL FUND SPENDING
IS MAXIMIZED BEFORE THE
LIQUIDATION TIME FRAMES. IT IS
POSSIBLE THAT DESPITE ALL OF OUR
COLLECTIVE BEST EFFORTS THERE
COULD BE SOME FUNDING THAT
REVERTS BUT WE ARE CERTAINLY
INTERESTED AS ARE YOU IN
MINIMIZING ANY AMOUNT. THAT
WOULD FALL INTO THAT CATEGORY.
THE ONLY COMMENTS. JACKIE
BRISTOW WITH THE LEGISLATIVE
ANALYST OFFICE WERE STILL-
COMPLETING OUR AS ANALYSIS OF
THE MAY REVISION AND CONTINUE TO
WORK WITH THE ADMINISTRATION BUT
WE JUST WANTED TO FLAG FOR
THINGS AS IT RELATES TO THE
CHILD CARE BUDGET. FIRST JUST
FOLLOWING UP ON THE SAVINGS
CONVERSATION YES THE BUDGET
INCLUDES CURRENT YEAR SAVINGS
ASSOCIATED- WITH GENERAL CHILD
CARE AND ALSO THE ALTERNATIVE
PAYMENT PROGRAM FUNDS THAT WERE
NOT AWARDED. OR ENTERTAIN
CONTRACT THOSE ARE ONE TIME
SAVINGS AND WE'RE WORKING WITH
THE DEPARTMENT TO JUST GET FLIRT
FURTHER CLARITY ON- THE TOTAL
SAVINGS THAT WE COULD EXPECT.
AND ALSO REQUESTING UPDATED SLOT
INFORMATION TO THE EXTENT THAT
THERE'S A POSSIBILITY THAT WE
MAY SEE ADDITIONAL SAVINGS JUST
TO. LOWER SLOT TAKE UP RATE IN
THE FUNDS THAT WERE AWARDED- BUT
IN CONTRACT- TO THE NEXT AND
THEN TO MY SECOND POINT TO THE
EXTENT THAT THERE ARE ADDITIONAL
SAVINGS IN THOSE SAVINGS ARE
ADDITIONAL FEDERALLY FUNDS- THAT
EXPIRE SEPTEMBER TWENTY TWENTY
THREE IN OUR CONVERSATIONS WITH
THE ADMINISTRATION- IT'S- IT
SEEMS LIKE THE ANTICIPATION IS
THAT THOSE FUNDS WILL JUST
REVERT BACK. TO THE FEDERAL
GOVERNMENT JUST DUE TO TIMING
CONCERNS AND CAPACITY CONCERNS
OF THREE OBLIGATING- THOSE
DOLLARS- THE THIRD POINT THE
BUDGET DOES ASSUME A FORTY SIX
MILLION DOLLAR DECREASE IN
PROPOSITION SIXTY FOUR FUNDS.
THAT ARE NOT BACK FILLED IN THE
BUDGET YEAR FOR GENERAL CHILD
CARE- MEANING EFFORT BACK FELIZ
AND PROVIDED- FOR NOT PROVIDING
ENOUGH FUNDING FOR ALL SLOTS.
BUT OUR UNDERSTANDING IS THAT
THE ADMINISTRATION DOES INTENDED
TO USE- CURRENT PROPOSITION
SIXTY FOUR CARRYOVER FUNDS TO
BACK FILL- THAT. DECREASE IT'S
JUST A MATTER OF- GETTING
FURTHER CLARITY ON WHEN THAT
BATTLE WILL OCCUR WILL IT OCCUR
IN TIME TO JUST BE REFLECTED IN
THE BUDGET OR WILL IT BE AFTER.
AND THEN ALSO EVEN WITH THAT
FORTY SIX MILLION DOLLAR BACK
FILLED THERE STILL REMAINING.
BALANCE OF A HUNDRED FIFTY
MILLION PURPOSE XIN SIXTY FOUR
K. OVER. TO GETTING A BETTER
UNDERSTANDING OF- HOW THOSE-
REMAINING CARRYOVER FUNDS WILL
BE USED WILL THEY BE SAVED- TO
POSSIBLY BACK FILL FUTURE
PROPOSITION SIXTY FOUR
SHORTFALLS OR COULD THEY
POTENTIALLY BE USED TO BACK
FILL. SHORTFALLS IN OTHER
PROGRAMS THAT RELY ON
PROPOSITION SIXTY FOUR. AND LAST
TIME AND I WILL RAISE IS THAT-
WERE ALSO- SIMILAR TO THE
QUESTION OUTLINED IN THE AGENDA
WITH. WORKING WITH THE
DEPARTMENT TO GET BACK UP TO
CONFIRM THAT ALL AVAILABLE
FEDERAL FUNDS INCLUDING THE
FEDERAL CHILD CARE DEVELOPMENT
FUNDS THAT RECENTLY RECEIVED AN
INCREASE OF A HUNDRED SEVEN
MILLION. ARE BEING REFLECTED IN
THE BUDGET THANK YOU. THE
PROPONENTS. HEY DANA DOMINGUEZ
WITH HIS APARTMENT OF FINANCE-
NO COMMENT AT THIS TIME BUT
WE'RE HAPPY TO ANSWER QUESTIONS
. THANK YOU- YOU KNOW I'VE BEEN
TRYING TO KEEP UP WITH ALL THE
DIFFERENT ENOUGH FUNDS AND- THE
EARLY ACTION IS SO I APOLOGIZE
IF I STILL HAVEN'T BEEN ABLE TO.
REALLY SECURE THAT DON SO COUPLE
QUESTIONS THAT MIGHT HAVE MISSED
IT. OKAY SO IN THE EARLY ACTION
THE FUNDS THAT WE UTILIZE THE
FEDERAL FUNDS THOSE ARE THE ONES
ARE GOING TO EXPIRE IN TWO AND
SEPTEMBER TWENTY TWENTY THREE SO
IS IMPERATIVE FOR US TO. RELEASE
US OUT COVER SOME OF THE FAMILY
FEES LOOK AT THE RATE REFORM
INCOME STIPENDS THAT WENT OUT
RIGHT CORRECT AWESOME. IN THAT
BUDGET HEARING I ICED OF THE
REMAINING FEDERAL FUNDS AN
APPROXIMATE WE'VE BEEN HEARING
SOME NUMBERS AS CONSERVATIVE OF
A HUNDRED. MILLION TO PERHAPS
ONE POINT TWO BILLION DOLLARS
OF. OTHER FEDERAL FUNDS. YOU
MENTIONED THE FULL APPLICATION.
IN THE MAIL REVISION THAT
THERE'S A FULL OBLIGATION TO THE
REST OF THE ARC OF FINES BUT-
THERE IS A POSSIBILITY FOR SOME
OF THEM TO BE CALLED BACK- THESE
ALSO THE ONES THAT. ARE TO BE
LIQUID DIET LET THEM. OUT TO BE-
EXPIRING IN SEPTEMBER TWENTY
THREE OR NEXT YEAR. WE HAVE
DIFFERENT PARTS OF FEDERAL FUNDS
AND THERE ARE DIFFERENT
EXPIRATION DATES SO THAT THERE
ARE THOSE THAT. DO NEED TO BE
EXPANDED BY SEPTEMBER TWENTY
TWENTY THREE THERE'S ALSO SOME
THAT ARE A LONGER HORIZON. WHAT
I WAS REFERRING TO IS THAT- ALL
OF THE FUNDS AT THIS POINT ARE
OBLIGATED IN THE BUDGET SO WE
HAVE IDENTIFIED WHAT WE WANT TO
AND EXPECT TO SPEND THOSE FUNDS
ON. THERE ARE CONTINGENCIES
WITHIN THAT THOUGH THAT ARE NOT
ENTIRELY IN OUR CONTROL SO AN
EXAMPLE. IS THAT IN ORDER TO
RECEIVE THE STATE PLANS THAT WE
HAVE BUDGETED. PROVIDERS HAVE TO
FILL OUT A SURVEY THAT THE
FEDERAL GOVERNMENT REQUIRES WE
ARE OBVIOUSLY DOING EVERYTHING
WE CAN TO GET ALL OF THE
PROVIDERS TO FILL OUT THAT
SURVEY SO THAT WE CAN PROVIDE
THEM WITH THE FUNDS THAT WE HAVE
BUDGETED. TO GIVE THEM BUT IF
THERE ARE SOME PROVIDERS WHO DO
NOT COMPLETE THAT SURVEY AND WE
DO NOT HAVE TIME TO TAKE ANOTHER
ACTION TO CHANGE THE ROUNDS OF
STIPENDS. IT IS POSSIBLE THAT
THERE COULD BE SOME FUNDS THAT
WE WERE NOT ABLE TO GIVE TO
THOSE WHO WERE ENTITLED TO THEM
UNDER THE WAY WE BUDGET. AND
THEN TALK ABOUT THOSE SURVEYS
ARE WE DOING ANYTHING ON OUR
PART IS THE TECHNICAL ASSISTANCE
THAT'S NEEDED ANY CAMPAIGN
AWARENESS IS FOR HATE. BY THE
STATE. WE HAVE HAD A NUMBER OF
WEBINARS WE HAVE A LOT OF
INFORMATION POSTED ON OUR
WEBSITES. WE ARE WORKING WITH
OUR CONTRACTORS WE'VE WORKED
WITH THE C. P. U. WE DEFINITELY
ARE DOING A LOT TO TRY TO
CAMPAIGN AND MAKE SURE THAT
FOLKS ARE VERY WELL AWARE OF.
WHAT THOSE REQUIREMENTS ARE AND
THAT THEY RECEIVE THE FUNDS THAT
WE INTEND FOR THEM. SO IT.
SOUNDS LIKE THE- THE POSSIBILITY
OF THAT MONEY COMING BACK IT'S
NOT ON THE DEPARTMENT IT'S ON
THE PROVIDERS TO ENSURE THAT
THE- FILL THAT OUT. YES PERFECT.
I'M JUST SO GOING BACK TO THE
REMAINING. FEDERAL FUNDS- AND
THE ONES THAT EXPIRE NEXT YEAR.
HOW WE LOOKED AT HOW THAT'S
GOING TO BE. WE HAVE ALL OF THEM
ACCOUNTED FOR ELECTRIC WE HAVE
BUDGETED TO UTILIZE ALL OF THE
FEDERAL FUNDING. GOT AND THAT'S
WHAT YOU MENTIONED THAT WE DON'T
HAVE A SPECIFIC- ONE OF THAT.
I'M JUST A FULL ACCOUNTING OF
ALL FEDERAL FUNDS. INCLUDING
FUNDS THAT WE GET FROM THE
REGULAR FEDERAL CHILD CARE
DEVELOPMENT BLOCK GRANT- I WILL
FLAG THAT- IN OUR INITIAL
ANALYSIS OF FEDERAL FUNDS THERE
IS- ONE BUCKET OF FINDING CARES.
FACT FINDING THAT EXPIRES
SEPTEMBER TWENTY TWENTY THREE
WERE WE IDENTIFIED. A REMAINING
BALANCE OF- THIRTY TWO MILLION
AT REMAINING THAT BALANCE OF
THIRTY TWO MILLION- AND AS OF
NOW THERE'S NO ACTION TO RE
OBLIGATE THOSE DOLLARS. YES I
WILL AFFIRM THAT THERE IS A- THE
ISSUE THAT WAS RAISED AT THANK
YOU FOR THE REMINDER THAT WITH
THE TECHNICAL ERROR WHERE WE
HAVE DOUBLE COUNTED SOMETHING
AND BECAUSE WE'RE PASSED THE
APPLICATION DATE WE CANNOT ENACT
SOMETHING NEW TO. OBLIGATED
DIFFERENTLY SO THERE IS THAT-
SMALL AMOUNT OF MONEY. OBVIOUSLY
NOT SMALL IN THE SENSE THAT I
DON'T CARE ABOUT IT BUT I'M ALL
IN THE SENSE OF THE FIVE BILLION
FEDERAL FUNDING WE RECEIVED- IT
WAS A TECHNICAL A TECHNICAL
ERROR IN OUTLOOK. I JUST- ON THE
PROP SIXTY THREE FOR MONEY- SO
WE KNOW THAT THAT THAT IS GOING
DOWN- SO IS THE PLAN THEN TO SAY
FOR NEXT YEAR OR WHAT IS A PLAN
ON THAT AS IT SHOULD IT FAILURE
WAS SAYING THAT THERE IS A
HUNDRED. MILLION YES AND THERE
IS NO OUT OF I'LL LET THE
DEPARTMENT FINANCED MAINLY
HANDLE THIS BUT I DO WANT TO AND
SAY THAT IT IS FOR THIS YEAR
REALLY SORT OF MORE OF A DISPLAY
ISSUE IN THE SENSE THAT THAT.
PRODUCTION IS NOT AN OPERATIONAL
REDUCTION TO THE PROGRAM SO I'LL
SAY THAT AND THEN- TURNED IT
OVER TO MY COLLEAGUE FROM
FINANCE TO ADD MORE YES THANK
YOU GABBY CENTER DEPARTMENT OF
FINANCE THAT CELEBRITY MY
COLLEAGUES COMMENTS. AFFIRMING
THAT WE DO HAVE SUFFICIENT
CARRYOVER IN ORDER TO BACK FILL
THAT- THAT FORTY SIX MILLION
DOLLAR GAP IN THE BUDGET YEAR WE
DO NOT HAVE AT THIS POINT IN
TIME A SUFFICIENT SOLUTION TO
ADDRESS BUDGET YOUR PLUS ONE BUT
WE'RE CONTINUE TO EVALUATE TO
SEE. WHAT REMAINING FUNDS WE CAN
USE TO ACCESS TO MAKE SURE AT
THE END OF THE DAY THAT WE ARE
NOT- BUT THE FLUCTUATION IN PROP
SIXTY FOUR REVENUES DOES NOT
RESULT IN ANY IMPACT. TO THE
FIELD WHERE WERE WERE. NOT ABLE
TO FIND SLOTS THAT HAVE BEEN
FILLED. FOR THANK YOU. AND THEN
. ONE OF MY LAST PUSH. IS A-
THOSE. THE FIFTY THOUSAND IN ONE
SLOTS INCREASING PROGRAM. YOU
KNOW I REMEMBER EARLIER
CONVERSATIONS AROUND YOU KNOW
THOSE. THOSE THOUGHTS NOT BEING
ABLE TO BE FILLED TO THE WORK
FORCE. CONSTRAINTS AND SO FORTH
NOT THEY WERE INCREASING THESE
THOUGHTS. NOW HOW ARE WE LOOKING
TO ADDRESS ENSURE THAT THEY ALL
GO OUT- UTILIZE- WE ARE WORKING
VERY CLOSELY WITH OUR
CONTRACTORS TO INSURE THAT. THAT
THE RAMP UP CAN OCCUR I DO THINK
THERE WAS AN INITIAL PERIOD
WHERE IT TOOK SOME ADDITIONAL
TIME FOR US GIVEN. THAT WE WERE
MORE THAN DOUBLING THE SYSTEM-
TO BOTH STAFF UP AND GET THE
CONTRACTS OUT. AS NEEDED FOR THE
CONTRACTORS AND FOR THEN IN TURN
FOR THE CONTRACTORS TO. STAFF
UP. AND TO WORK WITH THE
FAMILIES FOR THE FAMILIES TO
IDENTIFY PROVIDERS OR TO.
CONNECT WITH THE DIRECT
CONTRACTOR SO- IN ALL AREAS IT
HAS TAKEN. TAKEN SOMETIME- AND
THE BUDGETS DID BUILD IN SOME
AMOUNT OF TIME BUT IT TOOK EVEN
LONGER. WE ARE NOW AT THE POINT
THOUGH WHERE THINGS ARE ARE
CERTAINLY MOVING- AT A MUCH
FASTER PACE SO. THE NUMBER IS A
REFERENCE WITH RESPECT TO THE
CAP PROGRAM IS THAT WE HAVE AN
89% INCREASE OVER THE FIFTY
THOUSAND ONE HUNDRED- NEW SLOTS
THAT HAVE BEEN ENROLLED. THE
TWENTY ONE BUDGET INCLUDED SIXTY
TWO THOUSAND SIX HUNDRED SLOTS
AND THE TWENTY TWO TWENTY THREE
BUDGET INCLUDED THIRTY TWO
THOUSAND SLOTS FOR CAP SO WE ARE
STILL NOT BEAR ALL THE WAY. TO
THE TWENTY ONE TO TWENTY TWO AND
TWENTY TWO TWENTY THREE
INCREASES BECAUSE THEY WERE SO
LARGE. SO IN TWENTY THREE TWENTY
FOUR WE WILL BE CONTINUING TO
WORK VERY CLOSELY WITH THE
CONTRACTORS TO SUPPORT THAT AND
DIGITAL ENROLLMENT IN ON THE CAP
SIDE. THANK YOU. FOR THE
QUESTIONS. GREAT WE'RE GONNA-
HUH DYNAMO OPEN IT. AND MOVE ON
TO ISSUE NUMBER TWO. THANK YOU.
ISSUE TWO IS WORTH IS THAT
TRAILER BILL LANGUAGE WITH
RESPECT TO THE USE OF THE
ALTERNATIVE METHODOLOGY FOR RISK
REIMBURSEMENT RATES IN THE CHILD
CARE PROGRAM- IS JUST A QUICK
REMINDER IN NOVEMBER OF TWENTY
TWENTY TWO THERE WAS A JOINT
LABOR MANAGEMENT COMMITTEE THAT.
HAD REPRESENTATIVES OF BOTH THE
STATE AND C. C. P. U. WHICH
PRESENTED A SINGLE RATE
REIMBURSEMENT STRUCTURE TO THE
DEPARTMENT OF FINANCE. THE JAIL
MC'S PRESENTATION WAS ALSO
CONSISTENT WITH THE REPORT OF A
STAKEHOLDER WORKGROUP THAT CDSS
IN CONSULTATION WITH CITY HAD
CONVENED. IN THE SUMMER AND FALL
OF TWENTY TWENTY TWO
COLLECTIVELY THE PRESENTED
APPROACH TOWARD OF A SINGLE RATE
STRUCTURE CONSISTED OF AN
ALTERNATIVE METHODOLOGY SO
RATHER THAN LOOKING AT A
REGIONAL MARKET RATE WE WOULD BE
LOOKING AT SOMETHING THAT
ACCOUNTS FOR THE ACTUAL COSTS OF
CARE. TO INFORM THE RATE SYSTEM.
BASED RATES AND THEN SOME
INCENTIVES ENHANCEMENTS AND AN
EVALUATION OF THE RATE
STRUCTURE. SO WE ARE RELYING ON
THAT PRESENTED APPROACH AND
BEGINNING TO MOVE FORWARD. IN
ORDER TO DO SO WE NEED TO ADJUST
THE STATUTE NOW TO ALLOW FOR
THAT ALTERNATIVE METHODOLOGY TO
BE UTILIZED THE STATUTES
CURRENTLY ONLY REFERENCE THE
REGIONAL MARKET RATE AS AN
OPTION. SO THIS WILL ALLOW US TO
USE THE EXISTING RESTRUCTURE AND
TELL THE RATES BASED ON THE
ALTERNATIVE METHODOLOGY ARE.
READY BUT IN THE MEANTIME GIVE
US GIVE US BOTH SETS OF OPTIONS
OF THE STATUTORY CHANGES
REQUIRED JUST TO ALLOW FOR THAT
REPLACEMENT WITH THE ALTERNATIVE
METHODOLOGY. YOU ALSO ASKED
ABOUT THE TIMELINE FOR ADJUSTING
TO MOVE TO THAT ALTERNATIVE
METHODOLOGY- WE HAVE ALREADY
SUBMITTED TO ACS THE
ADMINISTRATION FOR CHILDREN AND
FAMILIES AT THE FEDERAL LEVEL. A
REQUEST FOR PRE APPROVAL TO MOVE
TO THAT ALTERNATIVE METHODOLOGY
WHICH IS THE BEGINNING OF THE
PROCESS- WE'VE RECEIVED SOME
QUESTIONS BACK FROM THEM AND ARE
HAVING SOME SOME BACK AND FORTH
WITH THEM. TO SEEK OUT A PRE
APPROVAL. THIS WILL BEGIN THE
LAUNCH OF OUR ALTERNATIVE
METHODOLOGY STUDY TO SCIENCE A
WEEK NOW HAVE A CON. ON BOARD
CALLED P. FIVE FISCAL
STRATEGIES- AND THEY ARE
BEGINNING TO WORK ON CONSTITUENT
ENGAGEMENT AND DATA COLLECTION
IN ORDER TO ASSESS THAT ACTUAL
COST OF CARE. THIS FALL IN THE
FALL OF TWENTY TWENTY THREE THE
FEDERAL GOVERNMENT WILL RELEASE
THE PREPRINT. FOR THE STATE
PLANS FOR CCDS FUNDING. WE WILL
BE DURING THAT PERIOD CONTINUING
TO ENGAGE WITH PROVIDERS AND
STAKEHOLDERS. AND TO COLLECT
DATA AND ANALYZE THAT DATA. OUR
EXPECTATION IS THAT IN THE
WINTER OF TWENTY TWENTY FOUR WE
WOULD THEN BEGIN MODELING
SCENARIOS AND RESETTING THAT
WOULD LEAD US INTO THE SPRING
BUDGET PROCESS IN. NEXT YEAR
TWENTY TWENTY FOUR- IN ORDER TO
THEN IN THE SPRING- REVISE OUR
PLAN FOR THE FEDERAL GOVERNMENT
WE HAVE EIGHT DUE DATE OF JULY
ONE TWENTY TWENTY FOUR FOR
SUBMITTING OUR NEW CCDS STATE
PLANS TO ACF. WE ARE EXPECTING
THAT STATE PLAN TO REFLECT OUR
USE OF THE ALTERNATIVE
METHODOLOGY. AND TO SUBMIT THAT
TO ACF- ON TIME BY JULY ONE
TWENTY TWENTY FOUR. AND AS
NECESSARY SUBMIT ANY AMENDMENTS
THAT MIGHT BE REQUIRED IN ORDER
TO REFLECT RATES THAT BEN WOULD
BE UTILIZING THE ALTERNATIVE
METHODOLOGY WHEN READY. HELLO
AND WE'RE STILL REVIEWING THE
TRAILER BILL LANGUAGE AND WILL
FOLLOW UP IF WE HAVE ANY
CONCERNS WITH THE SUBCOMMITTEE.
THANK YOU PROPONENTS- NO
COMMENTS THANK YOU. THANK YOU SO
. A COUPLE OF DATES THAT WERE
GIVEN OUT BY THINGS SEEMS LIKE
THE MOST IMPORTANT ONE IS JULY
FIRST TWENTY TWENTY FOUR OF THE
DEADLINE TO SUBMIT TO FROM OUR
STATE PLAN. ONCE THAT IS
SUBMITTED WHAT IS THE TIMELINE
WE ANTICIPATE TO GET THE
FEEDBACK AND THEN ACTUALLY
IMPLEMENT. WE WILL WE HAVE TO
SUBMIT THAT WE ALSO NEED TO DO
THE WORK TO ACTUALLY MOVE TO
WHATEVER THE RATES SYSTEM AS THE
WE WILL ALSO BE CONTINGENT ON
WHAT IT IS THAT WE- IDENTIFY IN
BUDGET FOR- WHEN THAT HAS
ACCOMPLISHED WE WILL HAVE TO
AUTOMATE. ANY CHANGES IN RATES
DO OTHER WORK TOWARD
IMPLEMENTATION SO IT'S A LITTLE
BIT HARD TO SAY EXACTLY WHAT WE
WILL WIND UP AGREEING TO WITH
RESPECT TO BARGAINING WITH THE
CPU AND THEN. THE CONVERSATIONS
WITH THE LEGISLATURE ABOUT
PRECISE TIMING FOR
IMPLEMENTATION BUT WE ARE HOPING
THAT THE JULY ONE TWENTY TWENTY
FOUR PLAN WILL WILL REFLECT THE
USE OF AN ALTERNATIVE
METHODOLOGY. AND THEN THERE WILL
BE A PERIOD OF TIME FOR
IMPLEMENTATION AGAIN DEPENDING
ON THE COMPLEXITY WILL BE ABLE
TO SAY A LITTLE MORE
SPECIFICALLY WITH THAT PERIOD OF
TIME. PERFECT I I'M I'M
INTERESTED IN SEEN IN THE TO BE-
JUST A LITTLE BIT MORE CLEAR
LANGUAGE ON THIS PATH THAT YOU
JUST EXPLAIN TO US- THE TIME
LINES JUST TO BE. YOU KNOW TO
KEEP US- ACCOUNTABLE. SO IF WE
COULD. TAKE A LOOK AT THAT.
WOULD BE HAPPY TO WORK WITH YOU
TO REFINE THE TRAILER BILL
LANGUAGE GREAT ANY OTHER
QUESTIONS OVER HERE. OKAY HOLDEN
THE ANIMAL CAN LEAN ON TOUR LAST
ISSUE ISSUE NUMBER. THREE ISSUE
THREE IS TRAILER BILL LANGUAGE
AS WELL THIS IS- A PROPOSAL TO
REFLECT THE PUBLIC RECORDS ACT
EXEMPTION FOR COLLECTIVE
BARGAINING RELATED TO CHILD
CARE. AND JUST WANT TO CLARIFY
THAT THIS IS CLEAN UP LANGUAGE
THIS IS SOMETHING THAT EXISTED
IN THE EDUCATION CODE BUT WHEN
WE DID THE TRANSITION FROM CD TO
CDSS OF THE CHILD CARE PROGRAMS.
IT'S SOMETHING THAT DID NOT MOVE
OVER INTO THE CODE THE WELFARE
AND INSTITUTIONS CODE THAT WE
OPERATE UNDER AT CDSS SO THIS IS
REALLY TECHNICAL CLEAN UP. NO
MAJOR CONCERNS BUT WE ARE STILL
REVIEWING THE LANGUAGE AND WILL
COMMUNICATE BACK WITH THE
SUBCOMMITTEE IF THAT CHANGES.
DEPARTMENT OF FINANCE- NO
ADDITIONAL COMMENTS THANK YOU.
THE ADDITIONAL COMMENTS ARE ON
OUR END THANK YOU SO MUCH FOR
JOINING US TODAY THAT AND OUR-
ISSUES ON OUR AGENDA. WE'RE NOT
GOING TO BE MOVED THANK YOU WE
ARE NOT GOING TO BE MOVING INTO
A PUBLIC COMMENT PORTION FOR
THOSE WHO WISH TO PROVIDE A
PUBLIC COMMENT. IN PERSON PLEASE
STEP FORWARD. IF YOU WISH TO
PROVIDE PUBLIC COMING THROUGH A
TELECONFERENCE I'M- FORM.
TODAY'S NUMBER IS GOING TO BE
EIGHT. SEVEN SEVEN TWO TWO SIX
EIGHTY ONE SIXTY THREE IN YOUR
ACCESS CODE IS SEVEN THREE SIX.
TWENTY EIGHT THIRTY FOUR WILL
BEGIN WITH THOSE IN PERSON GO
AHEAD. HI MADAM CHAIR AND
COMMITTEE MEMBERS MY NAME IS
JUSTIN ARE PELTING I'M WITH
EVERY CHILD CALIFORNIA. WE ARE
STATEWIDE MEMBERSHIP
ORGANIZATION OF EASY PROVIDERS.
AND SUBSIDIZED CARE. AND WE
THANK YOU SO MUCH FOR BEING BOLD
AND COURAGEOUS. AND LISTENING TO
THE EARLY CARE AND EDUCATION
FIELD. BY PUTTING FORTH A
PROPOSAL THAT INCLUDES ONE
BILLION. AND RATES AS WELL AS
WEAVING FAMILY FEES ARE
SEPTEMBER THIRTIETH. UNTIL AN
EQUITABLE FEE SCHEDULE CAN BE
CREATED. THESE ARE INCREDIBLE
INVESTMENTS THAT WE
WHOLEHEARTEDLY SUPPORT. IN
ADDITION WE WOULD REQUEST THAT
CONTRACT EARNINGS ARE PAID. ON
THE MAXIMUM CERTIFIED OURS. IN
OUR ALLOWED FLEXIBILITY FOR
DIRECT CONTRACTING PROGRAMS
THANK YOU. THANK YOU. GOOD
MORNING MADAM CHAIR IN COMMITTEE
AND DR LOW ON THE WESLEY WITH.
TUCKER RESOURCE CENTER AND ALSO
PART OF THE EASY COALITION. AND
I JUST WANNA SAY UNTIL
EVERYTHING MY COLLEAGUE SAID BUT
I WANT TO DOUBLE DOWN. AND SAY
THAT WE NEED CASH OUT THE DOOR
RIGHT NOW THE MEDIA CLEAN- I
JUST WAS A PART OF EVENT
YESTERDAY AND THE D. IN THE WEEK
BEFORE THAT. AND ONE PARTICULAR
PROVIDER LOST SOMEONE ATTACHED
FOR THE EDUCATOR OF THE
CLASSROOM- THE PRIOR WEEK AND
WAS LOSING ONE THIS WEEK AND IS
LOSING ONE NEXT WEEK. AND SO
WHAT'S HAPPENING BECAUSE THE
WAGES ARE SO DISPIRITING- AND
NOT ROBUST ENOUGH FOLKS ARE
LEAVING THE FILL TO OTHER WORK
FOR SECTORS. SO WHILE THIS IS
ALL BEING DEVELOPED AND WE HAVE
THIS JULY. YOU KNOW JULY FIRST
ONE TWENTY FOUR WE ARE LITERALLY
LOSING FOLKS OUT THE DOOR IT WAS
A EDUCATOR MYSELF AND UNDERSTAND
YOU JUST CAN'T LIVE OFF THE
WAGES AND GET NATIONALLY WOULD
BE PAYING THIRTEEN TWENTY TWO AN
HOUR- AND YOU CAN EVEN THINK
ABOUT WHAT THE COST OF BRENT IS.
IT'S MORE THAN TWO THOUSAND
DOLLARS A MONTH YOU COULD GO ON
AND ON SO WE NEED- MONEY RIGHT
NOW OUT THE DOOR IMMEDIATELY IN
THIS BUDGET YEAR. AND WE KNOW
THE ASSEMBLY IS ON BOARD WE KNOW
THAT THE SENATE IS ON BOARD BUT
WHAT HAS WE TO PREPARE FOR THIS
WE NEED THE CASH. TOWARD
PROVIDERS. SO THAT WE CAN ASSIST
IN ALL OF THOSE INCREASE LOTS
THAT WE JUST TALKED ABOUT WHICH
IS GREAT- BUT WE NEED TO MAKE
SURE THEY AREN'T DARK DARK
CLASSROOMS ON THE OTHER SIDE OF
IT AND RIGHT NOW. OUR CLASSROOMS
MEAN THERE ARE EDUCATORS ARE
PROVIDERS. TO THEIR TO PROVIDE
THE CARE BUT THE FACILITY IS
READY. TO GO. THANK YOU OKAY
THANK YOU. GOOD MORNING TO
MEMBERS GIVEN AT THE COUNTY.
EXEC ASSIST. OF CALIFORNIA
REPRESENTING LOCAL HEALTH
DEPARTMENTS. AND HERE AS PART OF
THE CALIFORNIA CAN'T WAIT
COALITION AS WELL. WE WANT TO
THANK THE ADMINISTRATION FOR
WITHDRAWING THEIR GENERAL OF
JANUARY PROPOSED CUTS TO PUBLIC
HEALTH WORKFORCE TRAINING AND
DEVELOPMENT PROGRAMS. EVEN MORE
WE WOULD LIKE TO THINK THIS BILL
THE LEGISLATURE FOR YOUR
LEADERSHIP AND PRIORITIZING
PUBLIC HEALTH AND FOR THE-
CONCERNS AT THIS SUBCOMMITTEE
EXPRESSED. AROUND THAT PROPOSAL
AND WE JUST ASK THAT THOSE THE
RESTORATION OF THOSE FUNDS BE
APPROVED IN THE BUDGET. AND SO
THAT WOULD BE FOR CDPH ISSUE TO
FOR DH CS IF YOU FOR A CHECK
APPRECIATES THE ADMINISTRATION'S
REMOVING THE SINGLE PLANE
COUNTIES FROM THE WHOLE CHILD
MODEL PROPOSAL. WE LOOK FORWARD
TO CONTINUING TO WORK WITH THE
ADMINISTRATION TO ADDRESS THE
CHALLENGES WITHIN THE EXISTING
FULL TOP MODEL COUNTIES. AND
TODAY- INCLUDING CLARIFYING THE
ROLES AND RESPONSIBILITIES
BETWEEN THE COUNTIES IN THE
PLANS. AND MAKING SURE THAT
COUNTIES HAVE SUFFICIENT
RESOURCES TO MAINTAIN THEIR
ONGOING RESPONSIBILITIES THANK
YOU. THANK YOU. FOR HELLO MY
NAME IS LAURIE FURSTENFELD
DIRECTOR OF LEGAL ADVOCACY OF
THE CHILD CARE LAWCENTER. I'D
LIKE TO THANK THE COMMITTEE FOR
THEIR LEADERSHIP ON CHILD CARE.
AND THE LEGISLATURE FOR THE
ROBUST PROPOSALS IN THE STATE
BUDGET. I WANTED TO HIGHLIGHT
SOME. ISSUES THAT ARE NOT
INCLUDED IN THE MAY REVISE AND
WE IMPLORE ON THAT. THE
LEGISLATURE TO CONTINUE PRESSURE
ON THE GOVERNOR TO TAKE YOU TO
RELEASE THE SPACES NOW FOR
CHILDCARE FAMILIES NEED. CHILD
CARE NOW THEY CANNOT WAIT. AND
THOSE TWENTY THOUSAND SPACES ARE
NOT AND THEY MAY REVISED TO BE
RELEASED THIS YEAR. WE ALSO NEED
LONG A LONG TERM SOLUTION TO
MAKE CHILD CARE MORE AFFORDABLE
BY IMPLEMENTING AN EQUITABLE.
FEE SCHEDULE WHICH WE KNOW THE
SENATE IS IN SUPPORT OF SO WE
IMPLORE ON YOU TO CONTINUE THAT
PRESSURE ON THE GOVERNOR TO
ADOPT AN EQUITABLE FEE SCHEDULE
. AS MY COLLEAGUES HAVE HIGHLY
IT HIGHLIGHTED AND AS PART OF
THE E. C. COALITION. WE ASK THAT
DAY- THE WAGES FOR PROVIDERS BE
INCREASE NOW DOLLARS GO OUT THE
DOOR IMMEDIATELY BECAUSE
PROVIDERS CANNOT WAIT. TO BE
PAID. AND WE ALSO. URGE ALL OF
YOU TO ENSURE THAT THAT FEDERAL.
THE UNSPENT FEDERAL FUNDS ARE
SPENT NOW AND THAT WE DON'T NEED
ANY MONEY ON THE TABLE WE WERE
DISAPPOINTED TO HEAR THAT
CARRIES MONEY WAS LEFT ON THE
TABLE. AND THAT SHOULD NOT
HAPPEN THIS YEAR THANK YOU THANK
YOU. GOOD MORNING GOING BACK AS
FOR THE NATIONAL HARM REDUCTION
COALITION- WE COMMEND THE
ADMINISTRATION FOR INCREASED
INVESTMENT IN OVERDOSE
PREVENTION TO THE NOW LOCKS ON
DISTRIBUTION PROJECT. BUT THE
MAY REVISE STILL LACKS A WORK
FORCE TO GET THE MEDICATION INTO
THE HANDS OF PEOPLE MOST LIKELY
TO USE IT. TO SAVE LIVES. THE
NDP TODAY DISTRIBUTED TWO
MILLION DOSES AS DESCRIBED BY
THE ADMINISTRATION. 31% OF THOSE
DOSES WENT TO HARM REDUCTION
PROGRAMS WHICH ARE. UNDER
FUNDED. VOLUNTEER DRIVEN
PROGRAMS THAT WORK DIRECTLY WITH
DRUG USERS IN HOMELESS
ENCAMPMENTS IN SROS IN. MOTELS
THEY REACH PEOPLE WHERE THEY
LIVE THEY TEACH THEM HOW TO USE
THE MEDICATION. THAT'S WHY THERE
WAS 31% OF DOSES ACCOUNTED FOR
FIFTY NINE PERCENT. OF THE
REPORTED REVERSALS. EVERYBODY
ALSO GOT A LOT OF THE STATE
ACCOUNTED FOR FORTY ONE PERCENT.
THE HARM REDUCTION PROGRAMS
ACCOUNTED 459% OF LIFE STATE
SEVENTY EIGHT THOUSAND PEOPLE.
REVERSE FOR MEDICATION THEY GOT
FROM HARM REDUCTION PROGRAMS.
WITHOUT TO IMPERATIVE THAT. WE
INVEST IN THE WORK FORCE THAT
WILL DELIVER IT TO THE PEOPLE
WHO NEED IT THE PEOPLE WHO USE
IT. AND THAT THE KNOX OR NOT SEE
ON SHELVES OF THOSE WHO ARE NOT
IN CONTACT WITH THE AT RISK
COMMUNITY. THANK YOU. THINK
YOU'RE GOING. YOUR MEMBERS GET
THE MOST FOR IN A FEW CLIENTS
HERE BUT PARTICULARLY- WANT TO
ECHO THE COMMENTS OF MR BACCHUS-
IN REGARDS TO THE SAN FRANCISCO
AIDS FOUNDATION AND APLE HEALTH
TOTALLY AGREE WITH WHAT MR
BACCHUS HAS SAID. WE ARE VERY
CONCERNED IF YOU DO NOT FIND
WORK FORCE YOU WILL LEAVE A MANY
OF THESE DOSES ON THE SHELVES ON
USED AND SO ENCOURAGE THIS
COMMITTEE WE KNOW THERE'S BEEN
LEADERSHIP- IN THE LEGISLATURE
TO FURTHER OUR REQUEST TO USE
SOME OF THOSE OPIOID SETTLEMENT
DOLLARS. SIXTY ONE MILLION OVER
FOUR YEARS TO CONTINUE THE
CALIFORNIA HARM REDUCTION
INITIATIVE IN THAT PROGRAM THAT
SUPPORTS THE WORK FORCE- UNDER
THE PULSE WOULD UNDER THE
DEPARTMENT OF HEALTH ISSUE THREE
THERE WAS A TRANSFER OF FOUR
HUNDRED MILLION DOLLARS FROM THE
AIDS DRUG ASSISTANCE PROGRAM.
ORGANIZATIONS INITIALLY HAD SOME
CONCERN ABOUT THAT TRANSFER IT'S
MUCH LARGER THAN WE'VE SEEN IN
THE PAST WE'VE HAD A LOT OF
CONVERSATIONS WITH THE
ADMINISTRATION. AND WITH THE
OFFICE OF AIDS AND OTHERS AND
ALSO WITH LEGISLATIVE FOLKS TO
REALLY BE ENSURED THAT IF THIS
MONEY DOES GO OUT IT WILL COME
BACK DUE TO HAVING CONTROL
SECTION THAT SAYS THE MONEY HAS
TO BE REPAID. BACK TO THE
ACCOUNT IF IT IS NEEDED. AND WE
ALSO UNDERSTOOD THERE IS ENOUGH
MONEY IN THERE TO SUSTAIN
CURRENT PROGRAMS THAT ARE BEING
FUNDED OUT OF THAT HEAT OUT
PROGRAM. SO PREACHY THE
LEGISLATORS COULD LEGISLATURES
CONCERN AND SUPPORT OF OUR- OUR
INTEREST HERE AND REALLY FORCING
THE DEPARTMENT ADMINISTRATION
HAVE CONVERSATIONS WITH THIS
QUICKLY. WE ARE NO LONGER
OPPOSED I'LL GET MY POINT THERE
WE ARE NO LONGER OPPOSED TO THAT
TO THAT- THAT IDEA AND THEN
LASTLY ON BEHALF OF THE LOCAL
HEALTH CARE OR THE LOCAL. HEALTH
PLANS OF CALIFORNIA SUPPORT THE
CHANGES IN THE MAY REVISE. TO
THE WHOLE CHILD MODEL IN THE
GOALS THAT ARE IN THERE. REALLY
APPRECIATE THE SUPPORT OF THE
ADMINISTRATION TO BUILD ON THE
SUCCESS THAT ARE COAST COUNTIES
HAVE SEEN. AND REALLY FOCUS ON
JUST THE COAST COUNTIES THAT ARE
MOVING INTO NEW GEOGRAPHIC
EXPANSION AREAS IN. TWENTY
TWENTY FOUR THANK YOU FOR. HI
GOOD. MEMBER AND CHAIRS BUT FUN
ELSE COULD ESCAPE CALIFORNIA.
DEPART CALIFORNIA CAN'T WAIT
COALITION APPRECIATE DEEPLY AT
THE MINISTRATION RECOMMITTING TO
PUBLIC HEALTH WORKFORCE. YES THE
LEGISLATURE TO GUARANTEE THESE
MONIES ARE IN THE FINAL BUDGET.
GRATEFUL TO SEE THE CONTINUED
COMMITMENT TO MEDICAID EXPANSION
TIMELINE AS WELL- WE SUPPORT THE
MCO TAX URGED LEGISLATURE TO USE
THE MONEY TO SUPPORT MEDICARE L.
INSURING FUNDING IS GOING
DIRECTLY TOWARDS COVERAGE IN
ACCESS AND OUR WORK FORCE THAT'S
DOING THAT IMPORTANT WORK. WITH
REGARDS TO OTHER DUTIES ITEMS
ONE APPRECIATE AS WELL THE
MOVEMENT ON THE CCS WHOLE CHILD
MODEL. EXPANSION CAN YOU TO
EVALUATE- THE WHOLE TOP MODEL AS
A WHOLE- BUT AGAIN I REALLY
APPRECIATE THE MOVEMENT THERE.
LASTLY I DO WANT TO BRING UP ONE
ITEM THAT WAS NOT ON THE AGENDA
TODAY BUT DOES RELATE TO THE
BROADER CONVERSATION OF
COVERAGE- PARTICULAR. ONE TO
MAKE SURE THAT WE'RE CONTINUING
TO IDENTIFY TWO MILLION DOLLARS
TO MAKE SURE COVERED CALIFORNIA.
CAN BE SUCCESSFUL IN
IMPLEMENTING AB TWENTY FIVE
THIRTY. THAT WAS LAST YEAR'S
AVERAGE- EFFORTS HE'S MADE
AREN'T COVERED FOR STRIKING
WORKERS. WAS ABSENT FOR THE MAY
REVISE IT AGAIN LOOK FOR
TREATING THE MINISTRATION
LEGISLATURE TO FIND THOSE. TWO
MILLION DOLLARS THANK YOU SO
MUCH THANK YOU. THE MORNING CARE
MEMBERS JENNISON ALLEY WITH THE
AMERICAN FEDERATION OF STATE
COUNTY MUNICIPAL EMPLOYEES-
ESSENTIALLY DID- ON ON WITH.
WITH MY COLLEAGUE BETH MELANAU
SKI FROM US HERE YOU HAD HAD
MENTIONED- JUST REALLY
APPRECIATE THE GOVERNOR'S-
INVESTMENT IN THE PUBLIC HEALTH
WORKFORCE I HAD TO ADEQUATELY
BUILD THE PIPELINE- OF THE
PUBLIC HEALTH WORKFORCE- ALSO.
WANTED TO. SAY THAT WERE
DISAPPOINTED THAT THE REVISED
BUDGET DOES NOT INCLUDE
COMMITMENTS TO INCREASE
REIMBURSEMENT RATES. OR INVEST
IN BENEFITS FOR STATES CHILD
CARE WORK FORCE WHICH IS YET TO
RECOVER FROM THE PANDEMIC- AND
AGAIN AB TWENTY FIVE THIRTY WE'D
APPRECIATE FUNDING THAT WAS-
INADVERTENTLY LEFT OUT OF LAST
YEAR'S BUDGET. AND LASTLY WE ARE
ALSO DISAPPOINTED THAT THE
GOVERNOR'S BUDGET REMAINS
UNCHANGED ON IMPROVING HEALTH
CARE COVERAGE AFFORDABILITY FOR
THOSE ON COVER CALIFORNIA. THE
CLOCK BACK OF THREE HUNDRED
THIRTY MILLION DOLLARS MEANT FOR
THIS PROGRAM WHICH WAS INTENDED
TO HELP CONSUMERS ELIMINATE
DEDUCTIBLES. AND LOWER COPAYS
SHOULD NOT BE DIVERTED BACK. TO
THE GENERAL FUND AND APPRECIATE-
I'M GOING FURTHER CONVERSATIONS
WITH YOU ALL ON THE BUDGET AS IT
MOVES THROUGH THE PROCESS THANK
YOU THANK YOU. GOOD MORNING
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY HERE TO COMMENT
ON PART A ON THE HEALTH PEACE
FIRSTLY ON THE DEPARTMENT OF
HEALTH CARE SERVICES- PLEASE.
THAT THE TOOL IS SERVICES ON
THAT PLEASE OF THE DEPARTMENT
WORKED WITH THAT VARIOUS
STAKEHOLDERS ON THE DO LIST
SERVICE WORK GROUP ON WHICH IT
WAS EXTENDED AND BASED ON THE
WORK GROUPS SUGGESTIONS SO DO
SUPPORT. BY THE EXTENSION OF THE
EVALUATION ALL SAY MY COMMENTS
ON THE MCO TAX FOR NEXT WEEK-
ON. THE DEPARTMENT OF PUBLIC
HEALTH WE ARE CONCERNED WITH
THAT SB TEN SEVENTY SIX A THREE
YEAR DELAY. AS SUPPORTERS OF THE
BILL ON THE BILL- SET A TIME
LINE- A CLEAR TIMELINE BECAUSE
OF THE SERIOUS HARM TO CHILDREN
AND THEIR FAMILIES DUE TO LEAD
EXPOSURE THANK YOU. THANK YOU.
GOOD MORNING TURN MEMBERS MY
NAME IS RICK CAL YOFFIE ON
BEHALF THE CALIFORNIA
ALTERNATIVE PAYMENT PROGRAM SAYS
HE XIN OR KAPPA AND WE'RE LINE
FECES COALITION. ALTHOUGH WE
BELIEVE GOVERNOR NEWSOM'S MAY
REVISE IS A SOLID STARTING POINT
TO BUILD ON WE'RE VERY CONCERNED
THAT A MEANINGFUL PERMANENT
INCREASE IN CHILD CARE PROVIDER
RATES WAS NOT INCLUDED.
CALIFORNIA DESPERATELY NEEDS TO
ELIMINATE THE POLICY WERE
PARENTS WITH STABLE WORK HOURS
RECEIVE A SET AMOUNT CHILD CARE
VOUCHER WILL PARENTS WITH
UNSTABLE WORK HOURS RECEIVE A
VOUCHER WITH NO GUARANTEES.
RESULTING IN LESS STABLE CHILD
CARE. ALL INCOME ELIGIBLE
FAMILIES DESERVE THE SAME FAIR
AND EQUITABLE ACCESS CHILD CARE.
WE ARE APPRECIATIVE OF THE
EXTENDING OF EXTENDING THE
FAMILY FEE WAIVER UNTIL
SEPTEMBER THIRTIETH TWENTY
TWENTY THREE. BUT WOULD ASK THAT
PERMANENT ELIMINATION OF THE FEE
BE CONSIDERED MOVING FORWARD.
PARENTS WITH YOUNG CHILDREN MUST
HAVE ACCESS TO CHILD CARE IN
ORDER TO SECURE OR MAINTAIN THE
JOB MAKING THIS ISSUE CRITICAL
TO THE ECONOMY REBOUNDING AND
GROWING. WE HOPE TO WORK WITH
THE GOVERNOR AND THE LEGISLATURE
TO SUPPORT FAIR AND EQUITABLE
ACCESS TO SUBSIDIZED CHILD CARE
BY ALL INCOME ELIGIBLE PARENTS
THANK YOU THANK YOU. SEE NO ONE
ELSE IN PERSON MODERATE IF YOU
CAN KEEP THOSE WHO WISH TO
PROVIDE COMMENT THROUGH
TELECONFERENCE. WE'RE READY TO
BEGIN THANK YOU. THANK YOU MADAM
CHAIR IF YOU WOULD LIKE TO
PROVIDE PUBLIC COMMENT TODAY
PLEASE PRESS ONE ZERO AT THIS
TIME. THAT COMMAND AGAIN. ONE
SEVEN ZERO. AT FIRST WE WILL GO
TO LINE TWENTY FOUR. SAM SHARED
MEMBERS. ROBERT ON BEHALF OF. C.
I. YOU CALIFORNIA. THIS FOR
LITTLE COMMENTS ABOUT BEHAVIORAL
HEALTH AFFECTS OF THE OF THE-
DEPARTMENT HEALTHCARE SERVICES
ONE. WE'RE APPRECIATIVE OF THE
NINE EIGHT. EXTRA MONEY BECAUSE
WE THINK THAT'S REALLY REALLY
CRITICAL THAT YOU CAN'T. PROVIDE
THIS SERVICE WITHOUT PAYING
PEOPLE GONNA MAKE OUR REGION
TRAINING AND WHILE- AND WE HAVE
COMBINED ONE FOR FEEDING A STRAY
THAT WE CAN THEM PEARL THAT WHAT
WORK IN- L. A. COUNTY AND THE
CARE. MONEY MORE BY TO SEE IF.
GETTING THERE WE'RE GLAD SEE THE
THERE ATTENTION TO THE CAT ABOUT
. ABOUT HOW MORE DOES WE NEED TO
BE DONE. AND. I EIGHTEEN WERE.
HELLO KICKING THE BALL. STRONG
PERSPECTIVE OR DEALING. WHAT. WE
ALL USE THAT SORT WHICH OTHER
STATES MAY THAT OF WILL CAL.
LISTENING ALL YOU HAVE A THAN
SPACE PRACTICE FORCED HIM USE.
I'M MORE HAPPY SEE THAT AND
WORLD HAPPY. INCREASE DIDN'T.
FORTY THOUSAND COUNTY JACK
EVERYBODY'S IN OUR STATE FIRST
OFF WHEN A KNOWLEDGE AND THANK
THE MINISTRY AND THE LEGISLATURE
FOR THE PASSAGE OF AB ONE
HUNDRED AND EIGHTY ONE TEN THE
EARLY ACTION TRAILERS I CONTAIN
CRUCIAL CHILDCARE PROVISION SUCH
AS THE WAITING FAMILIES THESE
NUMBER OF THIS YEAR. AND THE
TEMPORARY I THANK YOU STATE STE
AS FOR THE MAIN IF WE KEEP
UNITED WILL LOOK FOR DEEP YOU 2%
COST OF LIVING. HOWEVER A CLASS
AND SOMEHOW HE SHARED RECOGNIZED
THIS PERSON THE BUDGET IS NOT
ADDED SEAT ADDRESS BUT IT
REIMBURSABLE SYSTEM THAT FAILING
OKAY. ARE RETURNING REALLY
INFORMATION WITH THE DEMAND FOR
CARE- ONLY INCREASE PROVIDERS
AND GET TO COME OUT OF POCKET
PROVIDING CARE WITH BEING RAN.
UNDERSTAND THAT WHICH THE
WORKING AT GARDEN TO LAND A THE
CALL BUT ENERGEAN. RESPECT WE
ARE ADMINISTRATION'S. THE REFORM
IN THE USE OF THE METHOD IN
WHICH ARE RIGHT WE- BUT IF YOU
CALL PROVIDING QUALITY OF. GET
THANK YOU. FOR
BUT THE PROGRAM THAT
PROGRAMMATIC EXPANSION GIVEN THE
OUT FROM THE RECENTLY RELEASED
EVALUATION WE LOOK FORWARD TO
OUR ONGOING CONVERSATIONS WITH
THE ADMINISTRATION REGARDING OUR
OUT ANY CONCERNS THANK YOU.
THANK YOU. BLIND. TWELVE THANK
YOU AND GOOD MORNING WHAT IS
YOUR MEMBERS THIS IS KATHY THEM
OFTEN ON BEHALF JOHN BURTON
ADVOCATES FOR YOU- AND A STATE
WIDE COALITION OF SEVENTY FIVE-
ORGANIZATIONS. SEEKING TO
PREVENT AND END HOMELESSNESS- WE
ARE KICKING. THE SIXTEEN POINT
SEVEN MILLION DOLLARS- IN
GENERAL FUND. TO BRING IN AN
ADDITIONAL TEN POINT EIGHT
MILLION IN MAPPING FEDERAL AND
PROVIDE A HELPING SUPPLEMENT FOR
USE IN PROPER CARE THAT ARE
PLACED THEM I'M SORRY YOU DIDN'T
EXTENDED AFTER TERROR. PLACE IN
THE PROVIDE INDEPENDENT LIVING
PLACE. THAT HIGH COURT COUNTY
BUT THE FACT- WE HAVE DONE THAT
- FOR OTHER I CAN. TRANSITIONAL
HOW. THE YOUNG ADULT LEAD ARE
INVOLVED DO YOU REMAIN OFF THE
STREET- IS A REQUEST FOR THE
THING CHAMPION BY WOMEN TEAM
CENTER TO. BUTTER DRAW LOW AND-
WE CERTAINLY SECURE SUPPORT ON
THE CLASS. THANK YOU. WHY.
TWENTY MEMBERS YOUR CALL THE
REST OF COMMITTEE TODAY ON BE
ONE CHILD CARE FOR THE CHILD
THAT CARE PROGRAM. FIRST ONE
LINE OF THOUGHT THE FOR THE ECB
CALL IT ABOUT THE NEED FOR MORE
FUNDING OVER FRAUDULENT SYSTEM.
CHILD CARE CENTERS AND PRESCHOOL
YOU A 100% MEMBERS AND WHILE
THERE ALSO BE REACH OR IN NOW IT
BE ADDED TO THE- EL THEIR
PURCHASE COMMITTEE MEAL FIVE
THAT. IS UNFAIR AND THE FAMILY
CHILD CARE RECEIVE NO ON. ONE
OUT OF EVERY FOUR MEALS IT
SERVES WE WITH- SHE ROUNDTABLE
URGING YOU TO AMONG ON GOING
BACK OF JUST ONE FIVE MILLION
DOLLAR- TO ELIMINATE AT- AT
EIGHT MEAL. YEAH UNDERPAY AND
UNDER THE EVERY CHILD CARE
PROVIDER WHO RELY FLAT FIFTEEN
IN ORDER WOMEN OF THANK THE
YOU'RE LOOKING FOR CALLING IN.
THANK. NINE TWENTY EIGHT.
MORNING ON INSURED SENATORS
PROGRAMMING SHIP LEN BEHALF THE
EARLY AND YOU CAN CAMERA TO THE
MEMBER OF THE- COALITION WELL I
THINK THAT FOR THE COMMITMENT
CHILD AND URGENT YOU CAN TO
PRIORITIZE CHILD CARE THE
TECHNICALLY AN INCREASE EVERY
IN. RATES. EXPERTS FROM OTHER
MEMBERS OF THE EAST IS. THE
REIMBURSEMENT WAIT RATES ARE TOO
LOW TO ALLOW FOR IN TO FOR
CHILDREN THIS IS YOUR ONLY BEEN
IN. BY THE OF TRANSITIONAL CAN
WHICH IS HAVING THAT SOMEONE
EFFECT ON CHILD CARE PROVIDERS
LIKE THREE OUR OPPOSITION TO THE
X. OF PRINTERS CANNOT SUMMER.
ACTIVE ONLY PROVIDED AN FOR
SUBSIDY PROVIDERS WHICH WERE
APPRECIATED- BUT THIS IS ONLY A
SMALL PORTION OF THE ECB BECAUSE
SOME. ON THE SHORES OF PROVIDERS
AND FAMILIES STRUGGLE TO FIND
CARE WE NEED TO SUPPORT ALL
PROVIDERS NOT JUST THAT THE
PROVIDERS AND WE NOW KNOW THAT
THEIR ADDITIONAL FEDERAL FUNDS
AVAILABLE TO MUST BE SENT OR
SENT BACK TO BE BELIEVE IT'S
MONEY SHOULD BE SPENT ALL
PROVIDER. FOR CALLING IN ORDERS
OF FLOAT. WHICH IS THE INTENT OF
THAT THE CODE THANK YOU. VERY
MUCH. LINE TWENTY NINE. GOOD
MORNING CHAIR AND MY- BASED MODE
WITH RAM BOTH RACIAL AND MENTAL
DISPARITIES COALITION WE WISH TO
MAKE. ON PART EIGHT THREE BEHAVE
HEALTH MODERNIZE. RAMBO IS VERY
AND DOES NOT SUPPORT THE PART OF
THE GOVERNOR'S PROPOSAL TO MAKE
CERTAIN CHANGES IN THE PROP
SIXTY THREE OR M. AT THE STATE
FUNDING REQUIREMENTS THAT THE
LOCAL LEVEL. ALTHOUGH THERE IS
NO ACTUAL BILL LANGUAGE YOU IT
YET. IF THE DESCRIPTION IS
IMPLEMENTED. HOW DO YOU THE
LOCAL COMMUNITIES WOULD BE
FORCED TO CHOOSE BETWEEN CUTTING
PREVENTION AND EARLY
INTERVENTION SERVICES OR III AND
OTHER IMPORTANT CALL COMPONENTS
SUCH AS WORK FORCE TRAINING. AND
EDUCATION AND OTHER COMPONENTS.
I PARK AND G. B. T. Q.
COMMUNITIES COULD BENEFIT MOST.
FROM THOSE PREVENTION AND
INTERVENTION PRO AND THE
GOVERNOR'S PROPOSED. WOULD VERY
LIKELY RESULT IN CUTS THESE
PROGRAMS. ADVOCATE AND THE
HEALTH AND CAN SHARE THESE. WE
HOPE THAT THE LEGISLATURE WILL
LISTEN TO OUR FEARS AND HELP
THIS MODIFIED THE PORTIONS OF
THE GOVERNOR'S THANK YOU ANDREAS
A SIMPLE THINGS COLOR. DID NOT
HARM OUR- THANK YOU. BLINDNESS.
THIRTY GOOD MORNING MADAM CHAIR
AND WORKERS THIS IS JENNIFER
CRAPPIE WITH WHAT. AT PROBLEM
MEMBERS EASY COLLECTION WE
SUPPORT AND IT PACKAGE THAT
INCLUDES A BILLION DOLLARS FOR
CHILD CARE THE CIVIC WHAT YET
25% INCREASE THE PROVIDER. HOW
WE CAN MOVE. ADULT AND EQUITABLE
YOU'VE GOT ALL THAT OUR CUSTOMER
. YOU NEED ME GREAT INCREASE
BANK CARE WAIT UNTIL IT BREAKS
IMPLEMENTED ACT OUT ABLE I AM
NOW DOWN THE BLOCK YOU TO PAY
FOR HI I'M LOOKING BACK OUR MORE
EQUITABLE YOU COULD PULL IT. THE
LABOR AT THANK YOU. THANK YOU.
ONE THIRTY TWO. GOOD MORNING
JOSH DUGGAR AND OF THE URBAN OF
K. THE HEALTH IN HUMANS WERE
THREE A PRIME. URBAN COUNTIES
THE OF THE PUBLIC WORK FOR CUTS
SPENDING DID MANAGE FOR
INCLUDING IT IN THE MAIL
REVISION ALSO WE ARE INTERESTED
IN LEARNING MORE DETAILS ABOUT
THE B. H. CONNECT WORKFORCE
PROPOSAL. FINALLY WE THINK THE
ADMINISTRATION FOR THE
CONVERSATIONS AN INCREMENTAL
IMPROVEMENT ON THE CARE ACT
RESOURCES FOR COUNTIES THAT
COUNTIES ARE GROWING CONCERN
THAT THE PROPOSAL LEAVES A
SIGNIFICANT GAP IN RESOURCES FOR
COUNTIES TO SUCCESSFULLY
IMPLEMENT THANK YOU THANK YOU.
LINE. THIRTY FOUR. YEAH AND THEN
MY NAME IS NOT ON THE BILL THE
AMOUNT ASSEMBLY CALIFORNIA I'M
CALLING IN WHAT BUT THEY WILL
MILLION FOUR K. CARE- HELLO
WANNA EIGHT- WE WANT TO. YOU
BECAUSE YOU'RE THINKING ACTION.
AND ON THE FIELD OKAY NUMBER
THIRTY BUT THIS IS JUST ON THE
BIT A MIGHT LITTLE BIT ALL- PER
FAMILY INCOME. WE NEED TO MAKE
SURE THE OUR ARMED I'M PROVIDING
I THINK ON FRIDAY IT IF SUPPORT
- THE BENEFIT IT. AND PIZZA FROM
FOR A WEEK CANNOT TURN OUR BACKS
ON THEM- THIS THE CAMPUS.
CHARACTERS M. WE NEED A MAKE
SURE THAT THE BILLION THAT IS
INCLUDED ON THE- ARE FROM- IN
GET TWENTY FIVE INCREASE. IN OUR
- IN- THE CARD WITH ANY- THE
TRUCK CARE THE ON THE FEET- I'M
NOT YOU FOR YOUR- ON. BEHALF OF
FAMILIES GET THEY CANNOT BE ON
OLD IF IT. AND ALSO BECAUSE LACK
OF- TRANSLATION AND- SO WE'VE
TAKEN A LOOK- AT FAMILIES IN Q.
FOUR OR OUT OVER TWENTY TO GO
BUY SOME COLOR WE'RE GOING TO GO
TO THE NEXT CALLER WE'RE GONNA
DO THINK MORE MINUTES A PUBLIC.
SO PLEASE LET ME OR COMMENTS
THIRTY TO THIRTY SECONDS. BLIND
THIRTY EIGHT. I CAN YOU. MY NAME
IS MARIA LOOK VERY WITH AT WHAT-
TECHNICAL IN SUPPORT OF THE ONE
DOLLAR PACKAGE WHICH I CARE. AND
PRETTY THE- OUR ONE POINT FOR
RATE FOR MY- THANK YOU FOR IT
THE NEW TIME WITH YOU OF THE
PERSON. BOTH LEAVE FIND JEWELRY
TO INCREASE IT BEYOND THAT DATE
THANK YOU VERY MUCH YOU. PINE
FORTY. THE MORNING MADAM CHAIR I
WOULD GET ON THE ON HOUSE.
CALIFORNIA HOUSE SO. I'M HERE
PROVIDE COMMENTS ON THE NUMBER
FOR WHICH IS THE WHOLE CHILD
MODEL- TRAILER BILL TO EXPAND-
X. CENTER VERSUS TO- IS THE
WHOLE CHILD MODEL. WE GREATLY
APPRECIATE THE DEPARTMENTS-
HEARING OUR CONCERNS AND
REMOVING- SOME OF THE BIGGEST
COUNTIES ALAMEDA CONTRA COSTA
AND IMPERIAL UP ON THE PROPOSAL
HOWEVER- OUR REMAINING CONCERNS
WHICH ARE STILL MEMORIALIZED.
AND THE- EVALUATION- STILL
REMAIN- WE LOOK FORWARD TO
CONTINUE WORKING WITH THE
ADMINISTRATION AND THE
DEPARTMENT IN THE FACE WE
OFFERED AMENDMENTS TO THE
DEPARTMENT AND- WE ASK THAT-
THE- IF THE ISSUE STAY OPEN SO
WE CAN- CONTINUE TO ADDRESS
THESE ISSUES THANK YOU SO MUCH.
THANK YOU FOR YOUR TIME THANK
YOU BYE. BLIND SEVEN. MORNING
CHAIR MY NAME IS DALY YOU CAN
I'M A LOT CARE AT IT WOULD CAL
AT. HOME CALLING AND FOR A OUR
EIGHT ISSUE SEVEN AND LIVING
WAIVER. PERMANENT WORKLOAD- THIS
BUT A LOT OF HEAT YES IT HIGHER
IN ADDITIONAL ADDITION. TO HELP
FOR THE VERY MUCH ANTICIPATED
EXPANSION OF THE ASSISTED LIVING
WAIVER PROGRAM. THANK YOU SO
MUCH THANK YOU. FINE EITHER.
THANK YOU OUR THIRTY WITH OPEN
NOW I AM AT COMMENTING ON ISSUES
I HAVE AROUND IT YEAH THE
TRAILER BILL. AND ABOUT I DON'T
THINK THAT'S- BY CAROLINE MY
COMMENTS AT THE BACKUP TOLD TALK
ABOUT THAT EIGHT TEN AND
CHILDREN. HELLO WE AND. NOW THAT
I THOUGHT WE ARE DEREK AND-
ABOUT IT AND ALL THAT HERE THANK
YOU THANK YOU. BINA. THIRTY
NINE. HELLO MY NAME IS INGRID
GIVE IT UP WITH MINE SPECIAL
NEEDS NOW. AND HOUSE ORANGE
REGARDING ISSUE I AND THE IT'S A
- PARTICULAR HOW IN OSCAR YOU
AND TOLD VULNERABLE NUMBER ON
THE FIRST. WE ALSO WANT TO MAKE
SURE THAT AB EIGHT SERVICE ARE
PART OF THE REIMBURSEMENT PLAN
MOVING FORWARD AND THAT'S PART
OF THE THIRD ADMINISTRATOR
PARTY. OF FOUR ISSUES AND
INFORMATION OUT THERE AND LOOTED
IN THE SERVICE. AND IT FEELS
THANK YOU. A LINE. SIX GOOD
MORNING MADAM CHAIR AND MEMBERS
GIULIANA DERA WITH THE
CALIFORNIA STATE ASSOCIATION OF
COUNTIES. UNDER PART II DTS THIS
ISSUE EIGHTEEN ON THE CARE ACT
SB SIX RESHAPED THE UPDATED
LEVEL OF FUNDING PROPOSED IN THE
NAY REVISION FOR COUNTIES
IMPLEMENT THE CARE ACT. A AND A
COLLEGE REVISED PROPOSAL
REFLECTS PROGRESS MADE DURING
OUR DISCUSSIONS WITH THE
ADMINISTRATION. TO REFINE THE
IMPACT WE HAVE MADE A FORMAL
LETTER DETAILING OUR COUNTY
ESTIMATES AND WOULD BE HAPPY TO
DISCUSS THIS FURTHER WITH YOU
AND THE COMMITTEE. SECONDS UNDER
PART A DEPARTMENT OF PUBLIC
HEALTH ISSUE TO THIRTY SECS THE
COURTS AND VERY MUCH APPRECIATE
IT MINISTRATIONS PROPOSAL
RESTORE THE FORTY NINE POINT
EIGHT BILLION DOLLARS INVESTMENT
IN PUBLIC HEALTH WORKFORCE
DEVELOPMENT. PROGRAM THANK YOU
THANK YOU. BLIND TWENTY. THANK
YOU MY LOVE HER ON OF THE
PRESIDENT OF THE ECOLE AND WE
HAVE AN A PLUS WITH THEM VERSION
ON WHOLE TIME MODEL. PROPOSAL AN
WE LOOK FORWARD TO WORKING WITH
YOU ARE AND ALL OF THE- ON THIS
ISSUE AND I THINK IT'S MUCH FOR
YOUR TIME THANK. BY. THIRTY
MADAM CHAIR MEMBERS OF THE YOUNG
HALF OF THE PUBLIC AND- AND R.
TWO HUNDRED AND BUT YOU'RE GONNA
TIONS THE FOURTH PART OF THE
BRAIN WHICH WAS NOTHING FINALLY
ONE. THE LEGISLATURE RIGHT IN
FACT THE WORD AND RECOGNIZE
BEING ON THE OTHER COMMUNITY
BASED PARTNERS IN THE CREEK THAT
COULD CREATE A AND FUNNY NOW
THAT. OF I'M- YEAH ABOUT THE EPA
TO RETURN. YEAR IT WOULD NOT
COVER IN THE NAME BY HAVE BUDGET
CAN BE CAN THE FUN AND- BUDGET
OF THE QUEST BY. YEAH RENDON OF
THE BUDGET YEAR AGREED TO BRING
OF THE LAW. EXACTLY AGAIN HOW TO
THAT IT REQUIRES BY. SHOULD GIVE
ME A WOULD BE HE DID NOT IN
EQUITY. YOUR YOUR TIME THANK.
DEVELOPING A BUDGET THAT PROVIDE
A BILLION DOLLARS BUT BASS OUT
THE RATING ISN'T AND FOR WAITING
FAMILY. MEMBER WE NEED TO
IMPLEMENT ACROSS THE BRIDGE THE
FORM WE NEED TO RAISE THE RIGHT
NOW. OUT THERE OUT. OF FAMILIES
WITH YOUNG CHILDREN AND
PROVIDERS. WITH NEWFIE BEING
ASKED WAIT THE SACRIFICE. AND
THE CONTINUED STRUGGLE TO FIND
WORKERS HEALTH. AND FALL WITH
GETTING PEOPLE BACK TO WORK
THANK YOU FOR CALLING. IN THANK
YOU AN INSTALLER. WINE FORTY
ONE. YES THEY WERE COME OUT OF
THE HAVE THE EDUCATION CUT BY WE
WOULD I THINK YOU'D LIKE THE
LEGISLATURE FOR THE EARLY ACT
AND I THINK YOU NEED TO A FAMILY
FEES. AND WE ALIGN OURSELVES
WITH THE WITH THE QUALITY AND
EASY BUDGET COALITION AN ASSET
WAGES WILL PROVIDERS INCREASE
NOW THANK YOU. THANK YOU SO MUCH
THAT CONCLUDES OUR PUBLIC
COMMENT IF YOU DID NOT FOR THOSE
WAITING UNFORTUNATELY PETER OUT
GET YOUR COMING IN YOU CAN STILL
SUBMIT IT THROUGH WRITING. BY
VISITING OUR WEBSITE- TO THE
BUDGET FISCAL REVIEW COMMITTEE
WITH THAT TO US THANK YOU
EVERYONE THIS CONCLUDES THE
BUDGET SUBCOMMITTEE. NUMBER
THROUGH AND HEALTH AND HUMAN
SERVICES.