FULL AGENDA TODAY SO MAKE SOME
BRIEF REMARKS.
I THINK WE CAN ALL AGREE THAT
INDIVIDUALS WITH SUBSTANCE USE
DISORDERS NEED ACCESS TO
TREATMENT. ANY SITTING MOST
APPROPRIATE FOR THEM.
IN A WAY THAT WILL PROMOTE
THEIR RECOVERING.
AND MANY INDIVIDUALS IN THIS
ROOM HAVE DONE AMAZING WORK TO
CREATE A SYSTEM THAT WILL
PROVIDE. THAT OPPORTUNITY.
BUT RECENTLY WE'VE HEARD
TROUBLING NEWS ABOUT INDIVIDUALS
WHO TAKE ADVANTAGE OF THE SYSTEM.
INCLUDING INTERVENTIONISTS WHO
LURE VULNERABLE PATIENTS TO
CALIFORNIA FROM OUT OF STATE.
SIGN THE MY FOR INSURANCE
COVERAGE AND THEN DUMP THEM ON
THE STREETS WHEN THEIR BENEFITS
ARE DONE OR EXHAUSTED.
UNLICENSED FACILITIES ADVERTISE
SERVICES.
THEY ARE LEGALLY ALLOWED OR
CAPABLE OF PROVIDING WHICH IS OF
THE SEA BAD FOR THE PATIENT.
UNLICENSED PROVIDER FRAUD GENTLY
BILLION INSURANCE FOR
UNNECESSARY SERVICES.
IT'S IMPORTANT FOR THE GROUP.
CONVENED TODAY TO DISCUSS THESE
TROUBLING TRENDS
AND TO HEAR FROM REGULATORS
ABOUT EFFORTS TO ADDRESS THE
MANY CONCERNS. THAT HAVE BEEN
VOICED TOO MANY LEGISLATORS
OFFICES ARE WITHIN THESE PAST
FEW YEARS.
WE'LL ALSO HEAR FROM COMMUNITIES
A HAVE REPORTED PROBLEMS SO CITY
WAS RESIDENTIAL FACILITIES I
HEAR IT FROM. BOTTOM MY
SURROUNDING COMMUNITIES WE HAVE
MEMBERS OF INTRODUCED BILLS TO
TRY TO SOLVE THIS PROBLEM. IN
THE GOAL IS TO GAIN A GREATER
UNDERSTANDING OF THE SYSTEM AS
IT WORKS CITY AND TO IDENTIFY
AREAS THAT NEED IMPROVEMENT WITH
THAT I INVITE THE OTHER MEMBERS.
TO SEE IF YOU WEREN'T IS THERE
ANYBODY THAT LIKE TO ANY THE.
INDIVIDUALS HERE LIKE THE SAME
THING SENATOR BATES.
I THINK YOU ARE CHAIRMAN.
FINE.
REALLY VERY PLEASED THAT. HAVE
ENOUGH I TODAY I. IT'S IN THE
NEWS BECAUSE ALMOST DAILY ALL
THE PROBLEMS THE HA HA AT EVERY
LEVEL HE HAS.
YOU KNOW BE VERY VEXING TO ALL
OF US IN TERMS OF SOLTIONS AND
TAUGHT TO SEE. ESPECIALLY OUR
YOUNG PEOPLE WHO BECOME CAPTURED.
IN THE.
WHO APPEALED TO WORLD AND OF
LOSE LIVES LOSE THE FUTURE IT'S
VERY TROUBLING TALA FLOW WE'RE
HOPEFUL TODAY WITH A
PRESENTATIONS ON? ARE THE
PROBLEM ITSELF AND POTENTIAL.
SOLUTIONS ARTHURLIE IS LONG
OVERDUE AND I'M SO HAPPY THAT
YOU'RE REALLY. BY TAKING THIS UP
AND WE'RE GONNA GET SOMEPLACE
THIS YEAR I HOPE THANK YOU I WAS
INTERESTED IN NEWMAN IT WHEN SHE
ANY COMMENTS TO LIKE TO MAKE.
CENTER BASIS SAID EXACTLY WHAT I
WAS GOING TO SAY SO. BOB THIS IS
A DEBATE TIMELY AND IMPORTANT
ISSUE WHEN IT'S NECESSARY FIND
THE RIGHT BALANCE.
AND I'M LOOKING FOR THE TEST.
THANK YOU CENTER PAN.
PERFECT HE LET'S GO AHEAD AND
START OFF WITH FARM. OVERVIEW OF
SUBSTANCE USE DISORDER SYSTEM PLEASURE TO BE HERE UP TO
ADDRESS TO ALL OUR MONEY AND. AS
YOU SAID THERE ARE NO RIGHT I'M
A RESEARCHER AT UCLA INTEGRATED
SUBSTANCE ABUSE PROGRAMS. ALL
JUST BY WAY OF DISCLOSURE IMPART
SOME MIGHT SOME OF MY UP
PROJECTS ARE FUNDED BY DHS OF
DEPARTMENT UP TO TALK ABOUT
TODAY.
BY WAVE DISCLAIMER.
EVERYTHING I SAY. ALL ALL COM
ITSELF ENTIRELY MY VIEWS.
DOESN'T NECESSARILY REFLECT
UCLA OR DEUS YES BUT LIKE TO
THINK THAT ALL MY OPINIONS ARE
CORRECT. RESPONDED THAT IN THERE.
ALRIGHT WELL KNOWN THAT IS YOUR
IS YOUR WIFE AGREE WITH THAT AS
WELL NO PROBLEM LINDA.
TODAY'S TALK I'VE BEEN GIVEN
SEVEN MINUTES TO TO GET THROUGH.
FIELD THAT I'M STILL LEARNING
ABOUT AFTER TWENTY YEARS ON
DISCONTENT JUMP IN IF THAT'S
OKAY.
WE'VE WATCHED.
RELAX SO THAT DOES HAPPEN.
.
BUT I THINK OUR OUR DESIRE AS
HUMAN BEINGS IS IS THAT PREMIUM
LOGISTICS PEOPLE PERMANENTLY THE
FIRST TIME AND THEN THEY CAN
MOVE ON AND BECOME THE SAME
PERSON THEY WERE BEFORE. THAT'S
IT BUT UNFORTUNATELY JUST
BECAUSE THAT'S WHAT WE WANT
TREATMENT WORK ISN'T NECESSARILY
THE WAY.
IT DOESN'T MEAN THAT THAT IS
THE WAY IT WORKS TO ANOTHER WAY
TO THINK ABOUT IT IS IN TERMS OF
OTHER CHRONIC HEALTH CONDITIONS
OF WHICH IS WHAT THIS SAYS.
AND WE FIND THAT SUBSTANCE USE
OF THE IT PEOPLE WITH ADDICTIONS
THEY RELAPSE ABOUT AT ABOUT THE
SAME RATES AS PEOPLE WHO HAVE
DIABETES HYPERTENSION ASTHMA.
ALL MIGHT HAVE A BIT OF AS A
MYSELF AND I KNOW THAT AND WHEN
I START FEELING BETTER I.
STOPPED TAKING MY MEDICATION TO
STOP TREATMENT AND THEN SOON
ENOUGH I'M WHEEZING AGAIN SO.
YOU THINK I OF ALL PEOPLE WOULD
KNOW TO STICK WITH THE TREATMENT
BUT.
AND DOESN'T TURN DOCTOR ARE
PEOPLE WITH ADDICTIONS OF
RELAPSE.
GOT LESS THAN PEOPLE WOULD MOVE
AS WELL SO THIS RESTATES ó
FROM WHAT I'VE JUST SAID. TO GET
ON TURNED TO CALIFORNIA AND
WHAT'S GOING ON HERE.
I APPRECIATE ALL THE THE THE
COMMENTS IN THE CHAIRMAN MADE.
THE ABOUT THE THE MEDIA THERE'S
BEEN A LOT OF MEDIA COVERAGE OF
WHAT'S GOING ON.
AND THROWING AROUND THE TERM WE
HAVE.
AND I THINK.
IT'S IT'S IT'S BEEN CONFUSING
AND SOME OF THE WAYS REVIEWS AND
THAT THEY'VE LEFT A LOT OF
DIFFERENT THINGS TOGETHER UNDER
THAT ONE TERM.
BUT THERE THE VERY DIFFERENT
THINGS THAT CALL FOR VERY
DIFFERENT POLICY RESPONSES SO
JUST TO.
IF WE GET NOTHING ELSE
CLARIFIED HERE JUST TO GET THAT
ONE CLARIFIED SOBRE LIVING POEMS
ALSO GOV RECOVERY RESIDENCES
SIMPLE LIVING ENVIRONMENTS.
THOSE ARE THE ONES THAT ARE
COMPLETELY ON LICENSE ON
CERTIFIED BY THE STATE RIGHT NOW.
THERE ARE SOME.
EFFORTS TO SELF.
I REGULATED AYE I KNOW SEE CAP
IS ON THE AGENDA AND SO WE WILL
TALK ABOUT THAT LATER. THE REST
OF THE SERVICES ARE.
LICENSED CERTIFIED BY DH YES.
I THAT I HAD TO PICK ONE.
GRAPH THAT WOULD SORT OF.
TRIUMPH PUT EVERYTHING IN A
NUTSHELL THIS IS SO I PICK THIS
ONE THIS IS TIME AND TREATMENT
AMONG RESIDENTIAL TREATMENT
COMPLETED SO PEOPLE WHO
COMPLETED TREATMENT.
ALONG WITH THE AND TREATMENT.
THE SPIKES THAT YOU SEE HERE
ESPECIALLY LAWYER NINETY DAYS.
THEY SHOULDN'T BE HERE.
SO WHAT THIS MEANS IS THAT
PEOPLE ARE GETTING DISCHARGED
NOT THIS IS EARLY BASED ON.
THEIR NEEDS THEIR INDIVIDUAL
NEEDS.
ALL BUT RATHER ON WHEN THEY'RE
FUNDING RUNS OUT.
THINGS LIKE THAT SO ON THIS IS
HISTORICALLY HOW IT'S HOW THE
SYSTEM HAS BEEN IT IS POSSILE I
MEAN IT'S IT'S IT'S NOT TRUE
THAT ON DAY EIGHTY NINE
EVERYBODY NEEDS MORE TREATMENT
EIGHTEEN NINETY. WHERE I THINK
SPIKE IS THEY'RE THEY'RE?
MEDICALLY CLEAR IN THE FINE.
AND THEY CAN BE DISCHARGED SO
WHAT WE WANT IS A SYSTEM THAT
LOOKS MORE LIKE THIS THIS IS
SANTA CLARA. AND THEY'VE BEEN
WORKING ON A SYSTEM WHERE PEOPLE
ARE ASSESSED USING AMERICAN
SOCIETY ADDICTION MEDICINE
CRITERIA AND THEN THEN IT MOVED
ALONG A CONTINUUM OF CARE. ON
THE ONLY SAN RESIDENTIAL
TREATMENT AS LONG AS THEY NEED
TO BE THERE BUT NO LONGER.
SO THAT HAS COST IMPLICATIONS
AND.
ALL OTHER IMPLICATIONS BUT THEY
MIGHT BE MOVED INTO SOMETHING
THAT HAS YOU KNOW FOR PERSONS
HOMELESS MIGHT BE OUT PATIENT
PLUS SOBRE LIVING WHICH. BRINGS
THAT ISSUE BACK OF TO BEAR SO
THAT DOES HAVE IT DOES HAVE A
RULE.
SO HOW DO WE GET FROM YOU KNOW
HERE WITH THE SPIKES TO HEAR.
WELL RIGHT NOW. IN THE PUBLIC
SERVICE IN THE DRUG MEDI CAL
ORGANIZED DELIVERY SYSTEM.
IS A IS AN EFFORT TO THAT'S
PARTIALLY INSPIRED BY WHAT'S
HAPPENING IN SANTA CLARA TO TO
MOVE TOWARDS THAT.
SO THIS IS BEEN SPEARHEADED BY
THE FOLKS OVER D. H. YES AND
IT'S JUST GETTING UNDER WAY
RIGHT NOW ABOUT FORTY WILL FORTY
COUNTIES ARE ARE GOING TO. UP
PARTICIPATE.
THE IMPORTANT POINT HERE IS THAT
CARE IS BASED AGAIN ON
ASSESSMENTS DONE BY
PROFESSIONALS NOT.
NOT BASED ON RECRUITERS ARE
PATIENT BROKERING WELL OF SOLD
TO THE HIGHEST HIGHS BETTER. AND
THEN THIS ISRAEL TREATMENT THIS
IS NOT JUST JUST OVER LIVING.
SO.
.
THERE A LOT OF CHANGES.
ASSOCIATED WITH THIS I WILL GO
THROUGH THE LIST AND READ THEM
ALL.
BUT THERE'S A CONTINUUM OF CARE
THE LICENSE PROFESSIONALS
MEDICATIONS ARE AVAILABLE A AND
OTHER EVIDENCE BASED PRACTICES
THAT CAN AND SHOULD BE USED.
AND RESIDENTIAL TREATMENT.
AND.
SO I JUST WOULD LIKE TO URGE YOU
ALL AS YOU THINK ABOUT THIS. TO
MEMBER THAT THERE'S THE
INSURANCE PAID SIGHED WHICH I
KNOW YOU HAVE A BILL HERE FROM
LATER AND THEN THERE'S THE.
PUBLIC SIDE WHICH HAS A LOT OF
CHANGES GOING ON RIGHT NOW AND I
THINK THAT WE HAVE TO BE CAREFUL
TO LAYER TOO MANY CHANGES ON TOP
OF THAT BECAUSE.
IT LOOKS LIKE IT'S MOVING IN THE
RIGHT DIRECTION NUYS EVALUATOR
OF STAY NEUTRAL I DON'T WE DON'T
HAVE THE DATA TO SAY FOR SURE
YET BUT WE'RE WORKING ON THAT.
THESE ARE THERE ADDICTION
SOCIETY OF ADDICTION MEDICINE
LEVELS OF CARE THAT ALL THE
COUNTIES WITH PEOPLE. REQUIRED
TO HAVE.
AND THEN JUST TO.
TO SUMMARIZE YOUR TREATMENT
WORKS.
SOBRE LIVINGS AND COUNCIL
CERTIFICATION OR NOT CURRENTLY
OVERSEEN BY THE STATE. UP
PERHAPS THEY SHOULD BE.
OUT YOU KNOW THE OBVIOUS THAT
THAT THAT'S UP TO YOU.
THERE'S A NEED TO BALANCE
CLAMPING DOWN ON AND.
AND OF. THEY ENCOURAGING EXPECT
EXPANSION BECAUSE I KNOW.
PULL ONLY ABOUT TEN PERCENT OF
PEOPLE WHO HAVE SUBSTANCE USE
DISORDERS GET TREATMENT.
A SO WE NEED TO EXPAND TREATMENT.
DRAMATICALLY BUT. AT THE SAME
TIME IUNDERSTAND THE NEED TO TO
REGULATE ONE OF THE THE THE TWO.
ONE THING THAT WE HAVE FOUND IN
OUR EALUATION IS THAT THE TWO
MODALITIES THAT ARE HARDEST TO
EXPAND OUR. DETOX AND
RESIDENTIAL TREATMENT SO
ESPECIALLY AS WE TALK ABOUT
THOSE KIND OF THINGS THOSE. HOME.
WE HAVE TO BE CAREFUL TO BALANCE.
THOSE CONCERNS.
BECAUSE ABOUT LAYING ONTO MANY
CHANGES. AND. PEOPLE LIKE ME
WOULD LIKE TO BE ABLE TO PROVIDE
A INFORMATION TO POLICY MAKERS
LIKE YOURSELVES ANA EXACTLY
WHAT'S HAPPENING BUT SMETIMES
WE RUN INTO. ISSUES WITH GETTING
DATA FROM DIFFERENT APARTMENTS
SO.
IT IT.
IF ANY OF YOU ARE INTERESTED IN
AND THAT ISSUE UNLESS OUT THE
THE TOPIC TODAY THOUGH THAN BE
HAPPY TALK TO YOUR YOUR YOUR
STAFF.
SO WE CAN AND HELP INFORM YOU
LATER.
AND I BELIEVE THAT'S PROBABLY
THE END OF MY SEVEN MINUTES OF
PUTTING GO OVER. PAGES ANY
QUESTIONS FROM ANY OF THE
MEMBERS YES CENTER PAN.
NO THANK YOU FOR YOUR
PRESENTATION.
NAY.
SO YOU SAID YOU'RE YOU'RE
ACTUALLY PROVIDE A PERFORMING
SOME THE.
VALUATIONS.
AND MAYBE YOU CAN TALK ABOUT SO
WHERE WE AND EVALUATION WHEN DO
YOU EXPECT SO AND WE DIDN'T
QUITE TALK ABOUT SOME THE
TIMELINE SO THIS DOT YES IN YOUR
VALUE IN THIS NEW APPROACH YOU
MENTION FROM SANTA CLARA WINDED
OUR STATE BEGIN THAT.
HOW MANY YEARS HAVE WE BEEN
DOING AT WHAT POINT DO YOU THINK
YOU'LL GET RESULTS? AND YOU'LL
AND WHEN DO YOU ANTICIPATE BEING
ABLE TO GET DATA TO US
POLICYMAKERS SO WE CAN.
HAVE INFORMATION BEING FLORIDA
APPRECIATE YOU SAYING THAT ABOUT
LAYING ON BUT WE ALSO NEED TO
HAVE A TIME LINE AND AS YOU KNOW
THAT. THIS IS A BIG ISSUE A.
COMEDIAN THEIR LOT LOT PEOPLE
ASKING US TO DO SOMETHING ABOUT
IT SO. THANK YOU CALM GREAT
QUESTIONS SO THE THE WAIVER IT
IS PART OF THE MEDICAL TWENTY
TWENTY WAIVER BUT. REALLY THE
IMPLEMENTATION I JUST STARTED IN
TWO THOUSAND SEVENTEEN WE'VE GOT
I BELIEVE EIGHT PER COUNTIES
THAT HAVE ACTUALLY STARTED SO
THERE'S FORTY THAT HAVE APPLIED
TO BE PART OF THIS.
BUT.
ONLY IF I GOT THAT RIGHT HAVE
TEN TEN HAVE NOW STARTED.
OKAY BEVERAGES.
.
BUT.
BUT WHAT THE DATA THERE'S A.
WHAT ARE GOING TO FAR TOO
THERE'S A DELAY AND DID YOU FOR
EXAMPLE YOU'VE GOT SIX MONTHS?
TO SUBMIT CLAIMS AND THINGS LIKE
THAT.
SO.
WHEN WILL WE HAVE RESULTS WE
CAN HAVE RESULTS ON THE EARLY
ONES IT SO THE FIRST TWO COUNTY
START AND LAST FEBRUARY.
AND WE HAVE SOME PRELIMINARY.
PRELIMINARY DATA THAT'S JUST
GOING TO COME OUT. ON THAT AND I
I SUSPECT THE NEXT SIX MONTHS OR
SO WILL HAVE.
MORE WE'RE GOING TO TURN INTO A
REPORT IN
JULY THAT WILL HAVE.
.
THE. ELLIE SHUFFLING PHOTO THE
MERRY RESULTS OKAY SO THIS JULY.
ON THE TWO COUNTIES THAT FIRST
STARTED OUT ON THE TWO COUNTIES
HOPEFULLY ON MORE THAN THAT.
OKAY HAVE TO LOOK AT THE DATA
ALLEN DIDN'T JUST THAT MAYBE YOU
CAN ELABORATE LOW BUT IN TERMS
OF THE EVALUATION PLAN CLEARLY
THE TO START TWENTY SEVEN TEAMS
WERE STILL EARLY ON.
UP TO JUST GIVE LOW MORE A TIME
LINE ABOUT.
DISCIPLINARY DATA WHEN WE GET
MORE FINAL DATA.
ALSO. MAYBE A LITTLE BIT ABOUT
WHAT ARE THE MAJOR METRICS.
YOU'RE GOING TO BE ABLE TO FIND
OUT I MEAN ACTUALLY GREAT TO
HEAR JULY BUT I'M.
AND THAT.
BUT ALSO TO STRAYED TRIVIA I
DON'T SEE YOU HAVE TO IMPLEMENT
A PROGRAM TO TAKE SOME TIME TO
OPERATE AND SO FORTH SO.
PERHAPS YOU COULD ELABORATE A
LITTLE MORE ABOUT.
THE NATURE OF THE EVALUATION
AND WHAT WE CAN EXPECT
IN TERMS OF FIRE OBVIOUSLY DON'T
KNOW WHAT THE RESULTS ARE.
WHAT WHAT WHAT KIND?
WHY TO MEET
YOU'RE LOOKING AT?
VALUATION.
GLAD YOU ASKED THAT.
SO WE'RE LOOKING AT. QUALITY OF
CARE ACCESS TO CARE.
OF FOR EXAMPLE ACCESS WOULD BE
IN OUR MORE PEOPLE COMING
TREATMENT QUALITY.
WELL WE HAVE A RANGE OF OF ALL
THE MEASURES THAT I I CONSENT TO
YOU.
.
WHAT COSTS
SO WE'RE LOOKING AT HEALTHCARE
COSTS?
FARM.
WE HOPE TO SEE REDUCTIONS IN
EMERGENCY ROOM USE INPATIENT
HOSPITALIZATION HAS BEEN FOUND
IN OTHER TYPES OF BEING REAL
HEALTH. AND OTHER STUDIES OF OF
THIS NATURE.
WELL WHAT WE WOULD LIKE TO DO
ALSO IS EXPAND BEYOND THAT TO
LOOK AT.
CRIMINAL JUSTICE.
OUR SOCIAL SERVICES WELFARE
EMPLOYMENT THINGS LIKE THAT
BECAUSE I THINK THAT'S WHERE THE
BIG PICTURES IS.
WHERE IT IS GOING TO COME
TOGETHER WILL OFTEN IN IN
EVALUATIONS OF THIS NATURE
BEFORE WHAT WE FIND IS TO START
TREAT TREATING PEOPLE? WHO HAVE
SOMETHING JUST PROBLEMS FOR A
LONG TIME THAT FIRST AND THAT
THE HEALTHCARE COSTS BY GO UP
BECAUSE THEY'VE HAD A LOT OF
ISSUES THAT THEY HAVE BEEN
TAKING CARE? THAT YOU'RE PAYING
FOR THE TREATMENT SALT AND
THAT'S A GOOD THING BUT SO.
TO GET THE FULL PICTURE.
HOWEVER EVEN IF WE'VE TAKE
THINGS LIKE COME ALL JUSTICE
INTO ACCOUNT IN THAT OFFSETS
BECAUSE AND I BEING INCARCERATED
IS OFTEN AND WORK AND AND THEN
THE PICTURE LOOKS VERY DIFFERENT
SO.
IF YOU JUST LOOK AT HEALTHCARE
COSTS OF MY LOOK LIKE TO CLOSE
UP BUT IF YOU LOOK AT EVERYTHING
OFTEN SEAT WILL SEE SAVINGS IS
ALSO WE'RE TRYING TO GET ON DATA
FROM.
OTHER SORTS OTHER DEPARTMENTS
THAT'S THE THING I'M IN THE
MANSION AT THE END THERE'S A
COUPLE OF FOUNDATIONS ARE
INTERESTED IN HELPING OUT WITH
THIS.
NINETY EIGHT YESES BEEN HELPFUL
TO BUT WE KNOW THAT IF WE APPLY
FOR DATA FROM.
IMPLEMENT MILTON DEPARTMENT THE
GOING TO SAY WHAT IS YOUR.
LEGAL.
.
THE AUTHORITY TO GET THIS DATA
AND THAT'S WHERE. WE WE NEED
HELP FROM THE LEGISLATURE THAT
SIDES MY CLARIFIED THE BARRIERS
TO YOU DOING THOSE SOME OF THE
ASPECTS OF OF.
.
EVALUATION YOU TALKED ABOUT IS
SO FIRST OF ALL DO YOU HAVE THE
RESOURCES TO DO THAT KIND
EVALUATION ASIDE NO I'VE REALIZE
YOU HAVE SOME REGULATORY ISSUES
TO DEAL WITH DO YOU HAVE THE
RESOURCES.
RIGHT NOW WE HAVE A CONTRACT
WITH THE DEPARTMENT HEALTHCARE
SERVICES WHERE WE'RE WORKING ON
EXTENDING IT TO TWO THOUSAND
TWENTY AND THAT WOULD GIVE US
RESOURCES AND THAT CONTRACT
INCLUDE BECAUSE HE SAID THINGS
YOU'D LIKE TO DO I MEAN ZACK
CLUED THE THINGS YOU MENTIONED
ARE NOT.
THE.
CALIFORNIA HEALTHCARE
FOUNDATION AND BLUE SHIELD.
.
OF AMERICA OF CALIFORNIA
FOUNDATION OF AGREED TO KEEP AN
EXTRA MONEY FOR THAT.
BUT OF COURSE IT DEPENDS ON US
GETTING BEING ABLE TO ACTUALLY
GET THE DATA TO DO IT OKAY AND
THEN YOU ALSO SAID YOU NEED SOME
HELP.
GETTING THAT DATA YEAH YEAH THAT
WOULD BE GREAT OKAY.
I I I LOOK FORWARD TO HEARING
FROM THE DEPARTMENT IN THE
FUTURE PERHAPS NOT THIS HEARING
ABOUT HOW WE'RE GOING ABOUT
DOING THAT.
THANK YOU.
BUT WE'VE SENATOR MINING HAD A
QUESTION COMETS.
THANK YOU MISTER CHAIR ON.
DOCTOR I THINK YOU FOR YOUR
PRESENCE IN FOR YOUR WORK AND
HAD A COUPLE OF QUESTIONS.
HOME RECOVERING ADDICTS IN
OUTPATIENT SERVICE.
THEY BETTER SERVE LIVING IN
THEIR OWN HOMES OR IN A RECOVERY.
RESIDENTS WERE CENTER IN TERMS
OF.
EFFECTIVENESS NINETEEN HAVE ANY
THOUGHTS ON THAT I THINK IT
PROBABLY DEPENDS ON ON WHAT'S
GOING ON IN THEIR OWN HOMES. WE
CAN MAKE A BLANKET STATEMENT
ABOUT THAT
IF IT'S A SUPPORTIVE ENVIRONMENT
FOR THEM TO BE AND ACCORDING TO
THE SAME CRITERIA. THAT WOULD.
YOU KNOW MAYBE THEY THEY CAN BE
THERE IF IT'S NOT SUPPORTIVE
THERE'S OTHER PEOPLE USING DRUGS.
.
THINGS LIKE THAT THERE'S THERE'S
ABUSE GOING ON THEN THAT'S
BUBBLING ON THE BEST PLACE TO BE
RIGHT SO IT'S. IT REALLY DEPENDS
ON EACH INDIVIDUAL CIRCUMSTANCE
AND THEN I THINK YOU JUST
ALLUDED TO IT BUT THE SCIENTIFIC
EVIDENCE THAT SUPPORTS.
A SUCCESS.
WHEN ADDICTS DO LIVE TOGETHER.
.
AFTER DETOX NAM.
IS THERE DATA THAT SHOWS. THAT
THAT CAMBIA SUPPORTIVE
ENVIRONMENT FOR.
A.
LONG TERM RECOVERY.
I BELIEVE THERE IS WHAT I'LL
HAVE TO I. I DON'T HAVE THE DATA
AND THE TOP MY HIT ME.
YEAH ON THAT THE EDITOR OF
THERE'S BEEN. ANY LONGITUDINAL
STUDIES THAT I KNOW HOW RECENT
THE ADVENT OF GROUP HOMES IS FOR.
STEPPING STONE FOR DETOX SPIT
NAM. IF IF THERE IS ANY
SCIENTIFIC.
A STUDY I THINK THAT WOULD BE
HELPFUL TO US JUST TO GET A
SENSE OF. THE CASE MADE AYE
KNOWING YOUR SIDE TO DITCH SHOW.
YOU WERE COUNTING THESE
DIFFERENT STAGES OF MEDICALLY
SUPPORTED HER.
VERSES.
AND LICENSED PURSES.
UNLICENSED TERM.
NON MEDICALLY SUPERVISED BUT. UP
IN THAT LATTER CATEGORY THE
GROUP HOMES WHICH WERE GONNA
HEAR ABOUT TODAY I THINK CAN.
AGAIN THEY DON'T ALL FIT INTO A
SINGLE BOX IN TERMS OF EFFICACY.
A SUCCESS THAT'S A GREAT POINT
AND THEN THE DATA ON.
ON THOSE OVER LIVING HOMES IS.
IS FAR SPLIT.
WITH THE OTHER TYPES THE TREE
THEN WE CAN GET DATA FROM D. H.
YES ON CLAIMS ON CALLUM'S WHICH
IS A DATA SET THAT ARE ALL
REQUIRED TO. REPORT TO PUT SINCE.
THOSE HOMES ARE.
UNREGULATED BY THE STATE THEY'RE
NOT REQUIRED TO REPORT ANYTHING
WE I CAN'T EVEN REALLY TELL YOU
EXACTLY HOW MANY THERE ARE.
THANK YOU.
THANK YOU MISTER ITALY MISTER
HOSER NEWMAN THE QUESTIONS. AND
THANK YOU MISTER IT THAT DR
EROTIC QUICK QUESTION ON THE ON
THE SLIDE. THAT WE LISTED THE
RECIDIVISM RATES THE THE THE
RATE FOR OF RECIDIVISM FOR.
ENTRY WAS FORTY SIX PERCENT
WHICH IS THAT'S A VERY WIDE
RANGE COULD YOU JUST GIVE US A
LITTLE BIT OF.
AB CLARITY AND ON WHITE Y.
SITUATE RANGE WOULD BUT IS THAT
ACCOUNT FOR.
.
THIS THIS IS AYE DISPLAYS ON
DIFFERENT STUDIES THAT THIS IS
THE SAME FOR. ALL OF THESE I
KNOW.
.
FOR EXAMPLE FOR.
.
WILL BE THEY TRIED TO USE THE
THE SAME.
DEFINITION ACROSS ALL THESE
WHICH IF I'M REMEMBERING
CORRECTLY IS OUT THE PERSON'S
SYMPTOMS.
I CAME BACK TO THE EXTENT THAT
THEY. THEY NEEDED TO SEEK
ADDITIONAL CARE. TO GET THOSE
SYMPTOMS BACK INTO REMISSION.
BOB WITH THE ANYTHING WITH.
A.
I MEAN.
ALL THESE HEALTH CONDITIONS ARE
THERE'S A WIDE RANGE STUDIES ARE
IS THE WIDE RANGE BECAUSE THAT'S
THE RANGE CROSSED STUDIES
RESENTED DIFFERENT RANGE ACROSS
DIFFERENT POPULATIONS.
THERE IS ALSO RAN ACROSS
DIFFERENT POPULATIONS ARE NOT
I'LL HAVE TO GO BACK AND SEE
EXACTLY WHAT NIGHT IT WAS.
WAS CITING HERE BUT. THAT'S
THAT'S A GOOD POINT ON THE THE.
PEOPLE WHO ARE LOWER SOCIAL
ECONOMIC AND ECONOMIC STATUS AND
DIDN'T HAVE SUPPORT THEY TENDED
TO HAVE HIGHER RELAPSE RATE.
NOT ONLY FOR DRUG ADDICTION BUT
ALSO FOR DIABETES HYPERTENSION.
WELL AS WELL.
THANK YOU.
SENATE BATES.
THANK YOU I DOCTOR OFF FOR A
PRESENTATION I DIDN'T HEAR.
BONTA OF THE TWO COUNTIES THAT
ARE PARTICIPATING WE. WIN IF THE
TREATMENT FIGHTS
THE THREE USING ARE THEY ARE ALL
REMOTE WHERE THOUGH CREATION IS
LIVING AT HOME AND GOING TO THE
SITES YOU HAPPEN TO KNOW CALL.
THE.
THE THERE THERE IS A TELEHEALTH
OPTION IN THE WAIVER BUT AS FAR
AS I KNOW THEM THE VAST MAJORITY
ARE ON SITE.
ATTENDING YOUR OPERATION OR
RESIDENTIAL.
.
WERE. WHICH AMENDMENT. BILL
THEIR ON SITE AT LICENSED HOMES
OR AT A COUNTY OUR HOSPITAL
FACILITIES OUTPATIENT.
OF THESE WOULD BE SPECIALTY CARE.
LICENSED ARM AND DRAMATIC HEALTH
CERTIFIED.
I EITHER HOMES OR COULD BE
OPERATION OF.
THEY MIGHT BE DOING OF
WITHDRAWAL MANAGEMENT WOULD
DETOXIFICATION.
IN.
AND HOSPITALS BUT THEN THEY
WOULD BE EXPECTED TO STEP DOWN
TO.
THEY EIGHT SPECIALTY TREATMENT
CENTER.
BUT RESIDENTIAL OR OUTPATIENT.
IN THE MOST BEYOND TREATMENT
FACILITIES THAT ALREADY HAD A
GOOD TRACK RECORD.
BEFORE THEY ACTUALLY GOT INTO A
PROGRAM BECAUSE THAT'S PART OF
OUR PROBLEM WE HAVE RIGHT ANY
OPERATING IN A ON THE RESULTS
FROM. THOSE ARE NOT ENCOURAGING.
THE.
.
THESE WOULD BE PLACES THAT OF
ALL THE AND LICENSE AND
CERTIFIED IN ONE OF THE. THE
INTERESTING THINGS THAT THE
WAIVER DID WAS THAT PROVIDED
MORE.
FLEXIBILITY TO THE COUNTIES TO
CONTRACT ONLY WITH PROVIDERS
THAT THEY THEY WANTED IN THEIR
NETWORK WAS.
PRIOR TO THAT.
THEY DIDN'T REALLY HAVE THAT
CHOICE IT ARE THEY COULD CHOOSE
NOT TO CONTRACT WITH A
PARTICULAR PROVIDED BUT THEN THE
PROPHETIC GO DIRECTLY TO THE
STATE TO BETTER TRACK CONTRACTS
OR. AND THEN SO IN EFFECT THEY
THEY WERE STILL ON THE SYSTEM.
SO THE THE WAIVER.
DOES AFFECT THAT. BUILT THE
WAIVER ALLOWS AND THEN TO BE
MORE SELECTIVE. SAY.
GREAT THANK YOU.
ARMED.
DOUG I THINK FOR BEING HERE.
COME ONE COME TO GO BACK TO
THIS GRAPH THAT'S KIND OF
STARTLING ORDER STRIKING
DIFFERENCE BETWEEN THE.
STATE WAIT TIME AND TREATMENT
AMONG RESIDENTS TREATMENT COME
UP CREATORS AND THEN THE NEXT
ONE TREATMENT THEY ARE.
BASED ON PATIENTS NEEDS AND
YOU'RE TALKING ABOUT COMPARING.
TO THE PUBLIC SIDE WHICH IS THE
SENATE CLEAR MODEL.
OKAY SO I GUESS THE QUESTION I
HAVE IS.
OF THE PATIENTS HAD INNER ON THE
PRICE ON THE MARKET SIDE LET'S
SAY THE PRIVATE SIDE.
THEM IS THERE'S THE SAME AMOUNT
OF DOLLARS SPENT.
INDIAN BOTH.
I THAT'S A GOOD PORTION OF I
DON'T KNOW THE ANSWER BECAUSE I
ONLY HAVE ACCESS TO THE PUBLIC
DATA SO.
MEDICAID MEDICARE.
BUT I DON'T HAVE ACCESS TO.
INSURANCE DATA.
OKAY FELT SOME OF THESE NOW
THESE NUMBERS HERE THEY.
THIS THIS COMES FROM A A DID
SYSTEM CALL CALLUM'S THAT IS
SUPPOSED TO BE.
REPORTED BY BOTH PRIVATE AND AND
PUBLIC SYSTEMS LARA PROGRAMS.
EVEN AS LONG AS THEY ARE IN SOME
WAY SAY THEIR LICENSE BY DHS
THEIR SOURCE BE REPORTING TO THE.
WHETHER THEY ALL ARE IS IS IS
PROBABLY DIFFERENT STORY BUT
THERE THERE IS AT LEAST SOME
PRIVATE NEXT AND OKAY. SO I
GUESS MY CONCERN AND I GUESS THE
CONCLUSION I'M DRYING IS IT'S
SORT OF UNFORTUNATE THAT ON THE.
AND THE PAYER SIDE THAT YOU KNOW
THE PATIENTS ARE YOU GOING TO
LET LOOSE AFTER HE SAID THE
NINETY IS THE NINETY DAYS OR SO.
THAT IS NOT SO ON THE.
PUBLIC SIDE AND I WOULD ASSUME
THAT ON THE PUBLIC SIDE THE
COMING OF A LOT LOWER REIMBURSED
BECAUSE IT'S PREDOMINATED CAL.
AND SEEMS LIKE.
IF WE'RE GONNA.
SOLVE THIS WE GOTTA FIGURE OUT
HOW DO WE FOR HOW COME UP WITH
THE TREATMENT MODALITY THAT'S
PATIENT CENTRIC AS.
TRULY BASED ON.
THE RATES IN US I'M I'M TRYING
TO SEE IF THERE'S A NEXUS THERE
ARE.
RIGHT ELM.
YEAH THAT THAT I THINK IS IS THE.
THAT'S A REAL PUSH OF THE THIS
WAIVERS TO MAKE MORE PATIENT
CENTRIC RIGHT. BY HAVING THEY
SAM ASSESSMENTS AND BASING.
NOT ONLY THEIR INITIAL PLACEMENT
BUT ALSO FUTURE MOVEMENT OUT OF
RESIDENTIAL AND I AGREE I THINK
THAT'S WHERE WE SHOULD GO AND I
THINK HOW DO WE CHANGE THE
CULTURE WITHIN THE PRIVATE
PARASITE TO INCENTIVIZE.
THE PATIENT CENTRIC PORTION OF
IT TO TREAT TO KEEP PEOPLE
HEALTHY AS OPPOSED TO JUST
BILLION ONCE THEY'RE INSURANCE
RUNS OUT AND KICKED HIM OUT. AND
I THINK THAT'S KIND OF THE
POLICY DISCUSSION THAT WE HAVE
TO EVENTUALLY GET.
AND. I THINK YOU THAT'S ALL THE
QUESTIONS I HAD.
THANK YOU VERY MUCH WE'RE GONNA
MOVE ON TO.
.
THIRD SECTION EFFECTIVE APPROACH
TO TREATMENT WE HAVE OUR
CRISTINA TWO PHONO. FORMER.
CHIEF HEALTH RIGHT THREE
SIXTEEN ALBERTA SIMILAR.
PRESIDENT CEO OF TARZANA
TREATMENT CENTERS.
AFTERNOON.
OKAY WHO YAHOO LIKE GOPHERS
WOULD CRISTINA LIKE TO GO FIRST.
KNOWING WHERE TO GO WHEREVER YOU
GUYS DECIDE.
REVENUES.
MY NAME IS CHRISTINA TO PHONE
HOME BIGGER BROUGH VITAMINAS
SHARE MY EXPERIENCES.
I NEVER THOUGHT IT WOULD BE HERE
TODAY. MI HERE ON ON THE INSIDE
IS BEAUTIFUL BUILDING HAVE AN
HONOR TO SPEAK BEFORE THIS PANEL.
I MEAN ALIVE.
TODAY I AM EXTREMELY PROUD TO BE
A PERSON LIVING IN RECOVERY.
AUGUST FIFTH WILL MARK MY. TENTH
YEAR BEING CLEAN AND SOBER.
WHEN I WAS GROWING UP IN
CALIFORNIA I STARTED SMOKING
WEED AND DRINKING ALCOHOL AROUND
EIGHT TO FIFTEEN.
WHEN I WAS TWENTY FIVE
EVERYTHING CHANGED FOR ME WHEN
MY HUSBAND ABANDONED ME AND MY
NEW BABY.
I'M ASHAMED TO ADMIT THIS.
BUT TO COPE WITH MY PAIN AND
FEAR I STARTING USING
METHAMPHETAMINES.
I COULDN'T KEEP MY LIFE TOGETHER.
I COULD BARELY CARE FOR MYSELF
MUCH LESS MY KID.
I WAS RUNNING AMOK.
I'M GRATEFUL TO MY MOTHER MY
FAMILY FOR TAKING CARE OF MY
KIDS FOLLOWS RUNNING TEN YEARS
OF HELL.
I TRIED TO WORK ODD JOBS.
WELL MOSTLY THOSE IN JAIL ARE
TRYING TO GET HIGH.
OVER TEN YEARS I WAS IN JAIL AT
LEAST THIRTY TIMES.
I TRIED TREATMENT A COUPLE TIMES
BUT I ALWAYS SPLIT THE PROGRAM
AFTER A FEW DAYS.
A DECADE LATER I NOW KNOW THE
PHRASE.
THE CLIENT DOESN'T FILL THE
PROGRAM.
THE PROGRAM FAILS THE CLIENT.
BUT AT THAT TIME I BLAME MYSELF.
WHICH ONLY MADE ME FEEL WORSE
ABOUT MYSELF THOUSAND IMPOSSIBLE.
IN TWO THOUSAND EIGHT I WAS IN
JAIL SERVING FOUR MONTHS FOR
POSSESSION AND MET THEM BURGLARY.
FEELING DESPERATE FOR HELP IF
FOR CHANGE.
MAYBE I WASN'T WHOLLY REALLY
STOP USING DRUGS.
BUT ANYWAY DO NO ONE LINE EITHER
YOU WANT LIFE I WAS LEADING
ANYMORE.
I WROTE TO MAY PROGRAMS BEGGING
FOR SOMEONE TO GIVE YOUR CHANCE.
ABOUT A MONTH. ABOUT A MONTH I
HEARD FROM A PROGRAM THAT WAS
CALLED WALDRON.
AT THE TIME.
NOW IT'S CALLED HEALTH RIGHT
THREE SIXTY.
PICK HIM TO VISIT ME IN
ASSESSMENT FOR TREATMENT.
AND THEY ACCEPTED ME.
WELL MY SENSE IS WAS OVER THEY
ACTUALLY CAME TO PICK ME UP.
DROVE ME TO THE RESIDENTIAL
PROGRAM SAN FRANCISCO.
AND THEY HAD A SIGN ON THE FRONT
DOOR THE SAID.
TODAY WAS THE FIRST DAY FOR THE
REST OF YOUR LIFE.
WALKING INTO THE PROGRAM THE
ONLY THING THAT I NEW FOR SURE
WAS THAT. IF I WANTED SANTA HANK
HOST.
ANOTHER SUCCESSFUL LIFE.
I NEEDS TO COMPLETE THIS PROGRAM.
SO I STUCK TO STAY. I HELD ONTO
MY RED CHAIR. WAIT FOR AMERICA.
WHEN I GOT IT'S A TREATMENT I
WAS INTRODUCED TO RUN A CONCEPT
CALLED GENDER RESPONSIVE TRAUMA
INFORMED TREATMENT.
I HAD NO IDEA THE WOMEN THERE.
HOW DO YOU NEED NEWS IN
TREATMENT? THAT WOMEN THAT MOST
WOMEN ME INCLUDED.
HAVE DEEP AND LONG HISTORIES OF
TRAUMA THEIR FIELD OUR
ADDICTIONS.
AND THAT WITHOUT ADJUSTING OUR
TRAUMA THERE'S LITTLE HOPE OF
GETTING BETTER.
DURING MY ENTIRE LIFE EVEN.
THE TIME DURING WHEN I WAS
WORKING SO HARD TO RUIN MY LIFE.
MY MOM HAD BEEN MY ROCK AND MY
SUPPORT FOR ME.
MOST IMPORTANTLY BE THE MAIN
CAREGIVER FOR MY CHILDREN WHEN I
COULD NOT.
SOON AFTER I CAME INTO TREATMENT.
SHE PASSED AWAY.
UNEXPECTEDLY.
HOSTED VERY FLAT EVERYDAY.
THIS YOU CAN SEE THE RESULTS OF
MY TREATMENT HOW WELL. I'M DOING
TODAY.
WHEN I WAS IN TREATMENT.
I TOOK A CLASS GOAL OF HELPING
WOMEN RECOVER.
THOUGH THE TURNING POINT FOR MY
PATH TO RECOVERY.
WE DIDN'T EXERCISE CALLED MOTHER
MYTH.
WE WOULD TALK TO AN EMPTY CHAIR
INSULAR MOTHERS EVERYTHING WE
NEEDED TO.
FOR ME I GOTTA RELEASED ALL THE
THINGS THAT I WASN'T ABLE TO
TELL MY MOTHER BEFORE BECAUSE I
WAS TOO HIGH.
NOT IN MY RIGHT MIND.
RELEASING ALTHOUGH HILTON SHAME
CLEARED THE WAY FOR ME TO START
BECOMING THE PERSON I WANT TO BE.
TREATMENT ALSO INTRODUCED ME TO
THE CONCEPT OF. HOPE TO SKILLS.
I HAVE NO IDEA I HAD THE OPTION
TO MANAGE MY FEELINGS IN MY
CIRCUMSTANCE.
WHEN I WAS IN TREATMENT OH WAS
PART OF A COMMUNITY WITH MY
PEERS.
AND THE AMAZING STUFF WHO SERVED
AS BOTH CULTURES AND
INSPIRATIONS.
I LEARNED THAT.
THERE WERE PEOPLE WHO I WANTED
TO BE ACCOUNTABLE FOR. TO.
AND THAT THERE WAS A WIDE WORLD
OUT THERE WILLING TO SUPPORT ME.
I WAS INTRODUCED TO NARCOTICS
ANONYMOUS AN ALCOHOLICS
ANONYMOUS MEETINGS IN EVERY
SATURDAY MORNING WE WALKED DOWN
TO THE LOCAL COMMUNITY CENTER
THAT OFFERED. A WOMAN'S EMPOWER
ME MEETINGS. OPEN TO ANYONE.
ENVIRONMENT MANY STRONG WOMEN
WHO ARE MY ROLE MODELS TODAY.
THIS PROCESS ALSO ALLOWED ME TO
RECONNECT WITH MY FAITH IN GOD.
SOMETHING THAT I WAS NOT ABLE TO
OPEN MYSELF UP TO FOR MANY YEARS.
BUT THIS HAS BEEN A DRIVING
FORCE IN MY LIFE EVER SINCE.
EVEN THOUGH I FELT STRONG AFTER
ALMOST A YEAR TREATMENT I WILL
STILL VERY SCARED. ABOUT
COMPLETING PROGRAM AND LEAVING.
FOR A LOT OF US ACHIEVEMENT WE
SAY THE IDLE TIME IS THAT
DOUBLES TIME.
I TRANSITION TO OUT PACE AND
SERVICES.
LIVING WITH MY FAMILY IS
SEARCHING FOR A JOB.
I MET A WOMAN WHO WILL START WHO
STARTED YOUTH EMPOWERMENT
PROGRAM.
SHE ONLY HAD A BUILDING SHE HAD
NO FUNDING.
NOT EVEN A DOLLAR TO PAY THE
STAFF.
I WORKED.
FOR THREE MONTHS AS A
RECEPTIONIST WITHOUT PAY.
THEN I STARTED HELPING HER RIGHT
GRANT APPLICATIONS
SHE GOT A GRANT SHE STARTED
PAYING.
EVENTUALLY I WANT TO SCHOOL AND
EARNED A CERTIFICATE IN DRUG AND
ALCOHOL COUNSELING.
WHEN I WAS IN TREATMENT I DIDN'T
KNOW WHAT EVIDENCE BASED
PRACTICES WHERE.
I JUST KNEW THAT THE THING THAT
I WAS LEARNING WE'RE HELPING
HELP ME BETTER IT BETTER.
I ALWAYS KNEW THAT I DID DO IT
ON MY OWN.
BUT NOW I UNDERSTAND THAT IT WAS
MORE THAN LOVE THAT HELP ME
EXPERIENCE THE MIRACLE OF
RECOVERY.
AND TURN ME INTO THE PERSON THAT
MY CHILDREN TO BE PART OF.
MY EDUCATION TAUGHT ME THAT THE
TREATMENT I GOT WAS ROOTED IN
SCIENCE AND EVIDENCE.
I WILL ALWAYS BE GRATEFUL FOR
HAVING RECEIVED HIGH QUALITY
NONJUDGMENTAL CARE.
WITH JUST THE RIGHT MIX OF LOVE
IN EVIDENCE BASED PRACTICES TO
HELP ME BECOME. THE BEST
POSSIBLE VERSION OF MYSELF.
IF YOU.
THANK YOUR APPRECIATE YOUR
TESTIMONY AND WE'RE GONNA MOVE
ON TO.
ALBERT SIMILAR. AFTERNOON THANK
YOU FOR THE OPPORTUNITY TO
ADDRESS THE COMMITTEE TODAY.
BUT MY NAME IS ALSO NOW ON THE
PRESIDENT THE CALIFORNIA
ASSOCIATION OF ALCOHOL AND DRUG
PROGRAM EXECUTIVES A LARGE
STATEWIDE.
ASSOCIATION REPRESENTING BOTH
PRIVATE NOT FOR PROFIT PROVIDERS
UP AND DOWN THE STATE.
I'M ALSO THE PRESIDENT CEO OF
TARZANA TREATMENT CENTERS A
LARGE PROVIDER ORGANIZATION.
BUT BASED IN LOS ANGELES COUNTY.
SOME I'M GLAD THAT THESE
HEARINGS ARE BEING HELD IN THAT
WE'RE ALL TRYING TO TALK THROUGH
SOME SOLUTIONS TO A. PROBLEM
THAT WE SHOULDN'T BE SURPRISED
WE'RE HERE TALKING ABOUT.
WE ARE FRANKLY COLLECTIVELY O.
BOTH FEDERALLY O. M. LOCALLY
PART OF THE REASON WHY. WE'RE
HERE TODAY TALKING ABOUT THIS
BECAUSE OF OUR OWN FAILURE TO
ACT.
IN MANY WAYS MUCH SOONER.
THE UP UP PENT UP DEMAND FOR
CARE FOR SUBSTANCE USE DISORDERS.
HAS LONG BEEN KNOWN ACROSS THE
COUNTRY.
WELL IN THIS STATE IN THE LOCAL
COMMUNITIES.
AND WE HAVE FAILED TO ACT TO
ADDRESS THAT DEMAND FOR MANY
MANY YEARS.
ALLOWING SOME OF THESE OTHER
OPERATORS TO STEP VAN AND PLAY
THE GAMES THAT WERE NOW BOTH
CONCERNED ABOUT TODAY.
AND SO I'M HOPEFUL THAT ABOUT
COLLECTIVELY WE CAN FIND SOME
SOLUTIONS.
NUMBER OUT TO THOSE ISSUES.
I WOULD LIKE TO.
.
BUT TOUCH YOU'VE I THINK HAVE MY
WRITTEN COMMENTS I WILL NOT READ
THROUGH THEM.
TOM BUT I WILL LIKE TO HIGHLIGHT
A FEW POINTS BUT WITH THEM.
.
BUT IT ONE OF THE THINGS I WAS
ASKED TO. TALK ABOUT.
AROUND BEST PRACTICES IS SORT
OF.
WHAT WE SEE THAT BEING AND?
THE ASSOCIATION AND THAT'S
MEMBERS HAVE LONG AND BRACED.
WELL AN INTEGRATED SYSTEM OF
CARE.
THAT.
THE INCORPORATES MEDICATION
ASSISTED TREATMENT USES A MULTI
DISCIPLINARY PROFESSIONAL TEAM
OF STAFF.
WELL INCORPORATES A BEST
PRACTICES KNOWN BEST PRACTICES.
WELL INTO THE DELIVERY SYSTEM.
YOU HEARD OF SOME OF THOSE BEST
PRACTICES MENTIONED AND NOT WELL.
PRESENTATION A MOMENT AGO.
.
BUT IN RECENT YEARS SO YOU HER
DOCTOR YOU'RE OUGHT TO SPEAK
ABOUT THE ON DRUG MEDICARE
ORGANIZED DELIVERY SYSTEM.
WE HAD THE OPPORTUNITY TO.
WORK CLOSELY WITH A OF THE
DEPARTMENT D. H. CS.
ARE IN THE DESIGN AND IN THE
IMPLEMENTATION OF THE ORGANIZED
DELIVERY SYSTEM.
WE WERE ONE OF A NUMBER OF
ADVOCATES THAT ADVOCATED FOR
THIS INTEGRATED DELIVERY
APPROACH ARE IN THE ORGANIZED
DELIVERY SYSTEM.
ALL WHICH WAS EMBRACED AND
INCLUDED IN THE.
FINAL.
TERMS AND CONDITIONS.
WELL IT IS DRIVEN BY OF ALL
PROVEN.
STANDARDIZED ASSESSMENT TOOL OR
YOU HEARD REFERRED TO AS A SAM.
DICTION.
OF SOCIETY OF ADDICTION
MEDICINE ASSESSMENT TOOL.
IT INCORPORATES PLACEMENT
CRITERIA SO THAT AFTER THAT
ASSESSMENT. ARE YOU LOOK AT THAT
INDIVIDUAL AND FIGURE OUT THE
MOST APPROPRIATE LEVEL OF CARE.
SO IF A BASED ON THAT ASSESSMENT
THEY DON'T BELONG IN OUTPATIENT
THEY REALLY NEED RESIDENTIAL YOU
GET THEM PLACED IN THAT
APPROPRIATE LEVEL OF CARE. OR
THEY NEED DETOX WOULD DRAW
MANAGEMENT THEY GET THAT FIRST
BEFORE THEY MOVE INTO ANOTHER
LEVEL OF CARE.
THERE'S NO REASON A SYSTEM LIKE
THIS COULDN'T EXTEND OUTSIDE
THAT DRUG MEDI CAL SYSTEM MORE
BROADLY STATEWIDE.
IT WOULD DO A LOT TO DRIVE
IMPROVEMENTS IN SOME OF WHAT
WERE BOTH CONCERNED ABOUT TODAY.
WELL BUT LIKE TO STAY ISSUES OF
THAT WERE TALKED ABOUT THEIR A
DOLLARS AND CENTS ISSUE.
AND THIS ALL PLAYS OUT BOTH IN
PUBLIC SECTOR AS WELL AS THE
PRIVATE SECTOR WORST IN THE
PRIVATE SECTOR MY MIND THAT.
AUDITOR'S INSURANCE COMPANIES
OFTEN WON'T APPROVE. US STAYS
BEYOND WHAT THEY VIEW AS
APPROPRIATE.
WHERE ARE THE MEDICAL NECESSITY
MIGHT ARGUE THAT PERSON SHOULD
STATE THE INSURANCE COMPANY IS
DENYING? ANY FURTHER PAYMENT
FOLKS.
BOB BARR THEN ARE SENT OUT.
ACCORDINGLY.
WE LOOK FORWARD TO CONTINUING
TO WORK WITH THE DEPARTMENT ONE
THEY ARE TAKE UP THE RENEWAL
ELEVEN FIFTEEN WAY FOR. ALL TO
OF FURTHER IMPROVE OF THAT A
SYSTEM OF CARE. ALL WE BELIEVE
IT IS ON TRACK TO.
HAVE A SIGNIFICANT IMPACT.
ALL IN THE SUBSTANCE USE
DISORDER SERVICES IN THE STATE
OF CALIFORNIA.
I MAY NOT MAKE SOME FRIENDS. OUT
TODAY WERE SOME OF MY COMMENTS
BUT.
.
O. I THINK THEY NEED TO BE MADE.
ONE OF THE SIGNIFICANT BUT
ISSUES THAT I DON'T KNOW THAT
THE PUBLIC AT LARGE HER EVEN
MEMBERS OF THE LEGISLATURE FULLY
UNDERSTAND. IS THERE IS A
SUBSTANTIAL DIFFERENCE.
BETWEEN THE PUBLIC SYSTEM OF
CARE.
AND THE PRIVATE SYSTEM OF CARE
THE DOES NOT CONTRACT FOR PUBLIC
FUNDS.
THE OVERSIGHT AND ACCOUNTABILITY
IN THE PUBLIC SYSTEM OF CARE BAR
NONE IS LEAPS AND BOUNDS ABOVE
WHAT GOES ON IN THE PRIVATE
SECTOR.
OFFER MANY PROVIDERS.
EVEN THOUGH SOME OF THEM ALL
PULP VOLUNTARILY GET ACCREDITED
BY ACCREDITING BODIES I MYSELF
HAVE THREE DIFFERENT
ACCREDITATIONS BY THE JOINT
COMMISSION AND TO CERTIFICATIONS
BY THE JOINT COMMISSION.
THE JOINT COMMISSION ACCREDITING
BODIES DON'T REALLY BOTHER
THEMSELVES TO MUCH WITH MY
BUSINESS PRACTICES.
SO IF I WANT TO BE SOME SCAM
ARTIST OUT THERE HUSTLING.
ADMISSIONS INTO MY FACILITY EVEN
THOUGH I'M A CREDIT AND HAVE TO
MEET A AT A CERTAIN SET OF
STANDARDS. OUGHT TO KEEP THAT
ACCREDITATION WHAT I DO IN MY
BUSINESS PRACTICES IT'S LARGELY
NOT SOMETHING THAT THEY MONITOR
OR. WELL LOOK INTO WHEN THEY
COME TO THEIR. UP SITE VISITS IN
THEIR MONITORING.
AND.
SO IN THE PRIVATE SECTOR THAT
DOES NOT CONTRACT WITH COUNTIES
ARE OTHER GOVERNMENT ENTITIES.
THEY DO NOT HAVE THE SAME SET OF
OVERSIGHT MONITORING AND
AUDITING BUT THE PUBLIC SECTOR
DOES HAVE.
MUCH OF THE ABUSE WE HEAR ON THE
NEWS HAS NOTHING TO DO WITH THE
PUBLIC SECTOR. BUT WE ARE THROWN
IN BY THE MEDIA INTO THAT SAME
BOAT. AND SO I THINK IT'S VERY
IMPORTANT THAT YOU UNDERSTAND
THAT THERE IS A SUBSTANTIAL
DIFFERENCE.
TOM THE ADMITTING PRACTICES OF
COURSE.
THAT GO ON ALL OF YOU KNOW OF
HERB PPO PLANS INSURANCE PLANS
LET ME BILL YOU THESE FIVE
THOUSAND DOLLAR A DAY RATES OR
WHATEVER IT MAY BE YOUR FIFTEEN
HUNDRED DOLLARS FOR YOU A. PATH
AND I'LL JUST SETTLE FOR THE OUT
IN THAT WORK WELL PAYMENT
BECAUSE IT'S GONNA BE
SUBSTANTIAL ANYHOW.
BUT MOST OF THESE ENTITIES DON'T
CONTRACT WITH THE PRIVATE
INSURANCE OH. BUT COMPANIES THEY
USE THAT OUT OF NETWORK APPROACH
TO MANIPULATE THE SYSTEM.
MOST PUBLIC PROVIDERS THAT ALSO
DO BUSINESS WITH THE COMMERCIAL
SECTOR DO IT ALL THROUGH
PREFERRED PROVIDER CONTRACTS.
SO THAT YOU'VE NEGOTIATED A
REIMBURSEMENT RATE IT DOESN'T
MATTER WHAT YOU BILL YOU'RE ONLY
GOING TO GET. THE NEGOTIATED
REIMBURSEMENT RIGHT VERY MUCH
LIKE THE PUBLIC SECTOR.
NEGOTIATED RATES
BUT YOU GET REIMBURSED FOR.
THAT'S THAT DOESN'T MATTER WHAT
YOU BILL ME ERNIE THE REST OF
THAT SOBRE MOTIVATIONS ARE
OFTENTIMES DIFFERENT.
SOME.
OVER CONCENTRATION LA WAS
TOUCHED ON EARLIER I.
BOTH HAPPENED IN MY COMMENTS
THIS IS SOMETHING THAT I THINK
IS WORTH LOOKING AT.
WELL I THINK WE CAN COME TO SOME
SOLUTION AROUND THIS ISSUE. ARE
IN COMMUNITY CARE LICENSING
OTHER R. O. LIMITS BUT TO HOW
CLOSE FACILITIES CAN BE. WE LOOK
FORWARD TO WORKING WITH THE
LEGISLATURE.
IN THE COMING YEAR TO PERHAPS
COME UP WITH A SOLUTION TO OUR.
.
A FEW OTHER ITEMS THAT BUT I
WILL COVER HERE QUICKLY. O. WE
WE KNOW THAT THE DEPARTMENT IS
RESPONSIBLE FOR THE OVERSIGHT
AND REGULATION OF LICENSED AND
CERTIFIED PROGRAMS.
WE HAVE WORKED CLOSELY WITH THE
DEPARTMENT AS AN ASSOCIATION.
ABOUT RECENTLY FALL.
REVAMPING THE RESIDENTIAL
REGULATIONS THAT GOVERN
RESIDENTIAL LICENSED FACILITIES.
ALT INCORPORATED IN THEM WILL BE
A NEW SERVICE CALLED INCIDENTAL
MEDICAL SERVICES.
WHICH A ALLOWS FOR.
MINIMAL MEDICAL SERVICES IN
THESE RESIDENTIAL FACILITIES
THAT ARE OTHERWISE DESCRIBED AS
NON MEDICAL IN NATURE. OUGHT TO
PROVIDE SOME PROFESSIONAL STAFF
BELOW. O. PHYSICIANS TO DO.
DETOXIFICATION MEDICATION
ASSISTED TREATMENT.
ARMED WITH THE IMPROVEMENTS ON
THE REGULATIONS I BELIEVE GIVE
THE DEPARTMENT MUCH MORE TEETH.
IN MANY AREAS TO HELP ENFORCE.
REGULATIONS TO HELP INSURE O.
O. PROVIDERS ARE MORE COMPLIANT
WITH ALL THE RULES. AND THE
ABILITY TO DO SOMETHING ABOUT IT
IF THEY'RE NOT.
ROME AND THAT THE DEPARTMENT HAS
BEEN VERY RESPONSIVE I THINK TO
A. TO THE BAA FEEDBACK FROM OUR
STAKEHOLDERS AND THE DEVELOPMENT
OF THESE.
IMPROVE REGULATIONS.
THERE IS A AND WE LOOK FORWARD
TO THE CONTINUED WORK ON THEM.
THERE IS SOMETHING WITHIN THE
REGULATIONS HOWEVER THAT WE HAVE
LONG OH WISHED OF WE COULD TAKE
A HARDER LOOK AT.
ALL THE REGULATIONS.
COME ABOUT FROM STATUTE THAT'S
EXTREMELY OLD.
AND AT THE TIME IT WAS DEVELOPED
IT INCORPORATES RECOVERY HOMES.
WITH TREATMENT.
UP PROVIDERS.
THERE'S REALLY A BIG DIFFERENCE
AND BOUGHT LEVEL OF CARE BETWEEN
THE TWO.
ARM AND WE THINK THAT IT'S WORTH
LOOKING AT. UP PERHAPS
SEPARATING OUT THE RECOVERY
HOMES.
FROM THE MORE FULL BLOWN
TREATMENT PROVIDERS.
ONE IT WOULD AFFORD THE ABILITY
TO EVEN BE* TREATMENT
STANDARDS MORE. AND TO IT
WOULDN'T FORCE.
LOWER LEVEL RECOVERY PROVIDERS.
MORE SELF HELP APPROACH TO HAVE
TO MEET A WHOLE BUNCH OF
REGULATIONS AND STANDARDS THAT
THEY MAY NOT EVEN BE. CAPABLE OF
MEETING AND SO. WE'RE HOPING
THAT OF THE IN THE FUTURE WE CAN
SIT DOWN WITH THAT STAKEHOLDER
GROUPS. AND PERHAPS TAKE A LOOK
AT MAYBE SOME LEGISLATION THAT
WOULD CREATE THAT. OUR
SEPARATION OF THOSE TWO TYPES OF
FACILITIES WE BELIEVE IT'S VERY
CONVOLUTED TODAY AND SOMEWHAT
MISLEADING TO THE PUBLIC. OUT
WITH A BUNCH TOGETHER IN THE
SAME SET OF REGULATIONS.
UP SOBRE LIVING OUR HOMES.
TOTALLY UNREGULATED.
GOVERNED BY ALL KINDS OF
HOUSING RULES.
WELL I'M VERY DIFFICULT.
PROBLEM.
WELL THERE ARE PRIVATE SOBER
LIVING OPERATORS OPERATING
OUTSIDE OF ANY OVERSIGHT
WHATSOEVER. THERE ARE MANY SOBRE
LIVING OPERATORS THAT OPERATE IN
CONJUNCTION WITH LICENSED
CERTIFIED TREATMENT PROGRAMS
UNDER CONTRACTS WITH COUNTIES.
THAT DO HAVE A LOT OF OVERSIGHT
AND SUPERVISION. OF HAVE A LOT
OF POLICIES AND PROCEDURES THAT
THEY IT HERE TOO IN THAT REGARD.
THAT UP PROVIDE A LEVEL OF
OVERSIGHT AGAIN THAT MAY NOT
EXIST THOUGH DOES NOT EXIST IN
MUCH OF THE PRIVATE OPERATIONS.
WE HAVE LONG.
ADVOCATED FOR THE VOLUNTARY
STATEWIDE CERTIFICATION PROCESS
FOR SO WERE LIVING.
AS A POSSIBLE SOLUTION TO SOME
OF THE PROBLEMS CERTAINLY NOT
ALL OF THEM.
THE DEPARTMENT HAS A VOLUNTARY
PROGRAM CERT FOR.
OF
TREATMENT PROVIDERS TODAY.
IT'S NOT MANDATED IT'S VOLUNTARY
BUT IT'S SUCH A BAR HIGHER THAN
WOULD OTHERWISE BE MET BY THOSE
PROVIDERS. BUT THEY CAN
VOLUNTARY APPLY FOR PAY THE FEES
FOR GET CERTIFIED FOR.
WE THINK THAT THIS IS A OF FAIR
THING TO LOOK AT WITH REGARD TO
SOBER LIVING ENVIRONMENTS.
EVEN THOUGH NOT MANDATED IT'S
VOLUNTARY AND ANY OPERATOR OF
SOBER LIVING THAT IS WORTH THEIR
SALT WOULD BE INTERESTED IN
BEING ABLE TALK WAVE THAT FLAG
THAT THEIR MEETING THOSE
STATEWIDE STANDARDS IN THEIR
OPERATIONS.
BUT WE DON'T THINK THIS BELONGS
IN THE PRIVATE SECTOR BUT RATHER
A STATE. OF RON CERTIFICATION.
BUT LASTLY I WANT TO TOUCH ON OF
WITHDRAWAL MANAGER
DETOXIFICATION AGAIN OF LONG
STANDING ITEM OF THE ASSOCIATION
WITH REGARD TO.
A HOSPITAL DETOXIFICATION BOATS
THE MORE ACUTE LEVEL OF
WITHDRAWAL MANAGEMENT.
SOMETHING PERMITTED WITHIN THAT
WAY FOR A DRUG MEDI CAL WAIVER.
NUMBER ONE WE DON'T THINK THAT
THE RESOURCES WERE PROVIDED BY
THE LEGISLATURE FOR THIS.
ACUTE LEVEL OF BUT
DETOXIFICATION WE DON'T THINK IT
WAS PROVIDED IN THE SAME MANNER
IT WAS FOR RESIDENTIAL SERVICES.
ALL THE WAIVER UP PROVIDED THE
OPPORTUNITY TO USE THESE I AM DE
FACILITIES ARE UNDER THE DRUG
MEDI CAL PROGRAM.
WELL AS PART OF THIS
DEMONSTRATION.
IN THAT RECOGNITION RESIDENTIAL
WAS IDENTIFIED IS THAT I AM DE.
WAS WAIVED ALL ALLOWING DRUG
MEDI CAL DOLLARS TO BE USED FOR
REIMBURSEMENT.
AND IT WAS RECOGNIZED BY OF THE
LEGISLATURE THAT WE'RE GONNA
HAVE TO PUT UP SOME MONEY TO
HELP PAY FOR THIS EXPANDED
SERVICE.
THAT SAME THING DID NOT HAPPEN
WITH HOSPITAL DETOXIFICATION.
AND WERE HOPEFUL THAT WE CAN
HAVE A DISCUSSION THIS YEAR TO
GET THAT ADDRESS.
COUNTIES AS THEY ALL PUT
TOGETHER THEIR IMPLEMENTATION
PLANS.
WHO TO PARTICIPATE IN DRUG MEDI
CAL ART INCLUDING THIS BENEFIT
BECAUSE THEY DON'T HAVE THE
RESOURCES? IN THEIR ALLOCATIONS
O. TO AFFORD AND IN THEIR
ESTIMATION.
THANK YOU.
THANK IS ANY QUESTION TO SENATOR
ROTH.
THANK YOU MISTER CHAIR YOU KNOW
I'M SORT OF.
NEW TO THIS ISSUE ALTHOUGH THERE
HAVE BEEN A SERIES OF ARTICLES
AND CERTAINLY THE SOUTHERN
CALIFORNIA NEWSPAPERS.
OVER THE LAST TWELVE MONTHS OR
SO ABOUT.
DRUG REHABILITATION AND SO I'M
GONNA ASK RATHER NAIVE QUESTION
WHY DO WE HAVE NON MEDICAL DETOX.
WHY WE HAVE NON MEDICAL THE
TALKING THERE ARE LOW LEVELS OF
ADDICTION?
THAT DON'T RISE UP TO THAT
MEDICAL NECESSITY THERE ARE
DRUGS THAT. YOU DON'T REALLY GET
PHYSICALLY ADDICTED TO COCAINE
METHAMPHETAMINE EVEN HEAVY
MARIJUANA USERS WHERE YOU. OUGHT
MAY NOT NEED TO PRESCRIBE
MEDICATIONS FOR FURTHER
WITHDRAWAL ó THEY MIGHT NEED
SOME VITAMINS SOME JUICES SOME.
MONITORING BUT DOT TO MAKE SURE
THEY MOVE THROUGH THAT THAT
FIRST FEW DAYS SAFELY.
TOM BUT THEY MAY NOT NEED A REAL
MEDICAL INTERVENTION FOR THAT
BUT IS THAT A RELATIVELY RISK
FREE. PROCESS THEN THAT DETOX
PROCESS MOST YES
FOR MOST WHAT HAPPENS TO THOSE
WHO DO WELL THERE ARE SOME
METHAMPHETAMINE USERS THAT.
SO SIGNIFICANT WAY THEY'RE.
CUTE USERS ARE MORE WHERE.
THE LACK OF THAT MEDICATION
CAUSES OTHER. OF OH PROBLEMS TO.
SURFERS MENTAL ILLNESSES SO
HALLUCINATIONS DELUSIONS THINGS
LIKE THAT CAN BE PART OF THAT
PROCESS AND IS THEN THERE THAT
IS THERE THEN SOME TRIAGE IN
PROCESS THAT. TAKES THAT
INDIVIDUAL IDENTIFIES THAT
INDIVIDUAL AND.
SUBMIT THAT I REFERRED TO.
BUT DOES THAT POETRY ARCHING IN
WALKS YOU THROUGH THAT PROCESS
SO THAT YOU CAN DETERMINE THE
APPROPRIATE LEVEL. SO THAT
INDIVIDUAL NEVER WINDS UP IN A.
THE ONE YOU JUST DESCRIBED.
MORE CUTESY NOT IS NOT UNDER
THIS SYSTEM BUT IT HAPPENS
CONSTANTLY IN THE PRIVATE SYSTEM
THAT IS NOT EMBRACING.
MOST OF THEM DO NOT EMBRACE THIS
STANDARDIZED.
JUST MEANT TOOL IN THEIR PROCESS
MANY OF THEM ARE SIMPLY
SCREENING SOMEBODY OVER THE
PHONE RETIREMENT IN CALIFORNIA.
WE'RE TALKING ABOUT CALIFORNIA.
SCREAMING SOMEBODY OVER THE
PHONE.
OKAY WE CAN DEAL WITH YOU.
WHAT YOUR INSURANCE YOU HAVE AN
ABILITY TO PAY SKETCH YOU IN THE
BED?
AND SO WHAT SUPPORT WHAT'S THE
PROBLEM THE PROBLEM WE NEED TO
FIX THAT AS WE NEED TO REGULATE
THAT INDUSTRY WE WE YES WE'RE
GOOD AT THAT WE CAN AND.
I. THINK THAT WE CAN.
AS I MENTIONED THERE'S NO
REASON.
WELL WHAT WAS BUILT INTO THE
DRUG MEDI CAL ASSISTANCE TERMS
OF THE STANDARDIZED ASSESSMENT
PLACEMENT CRITERIA THERE'S NO
REASON WE CAN'T LOOK AT MOVING
THAT SAME SORT OF. STANDARDIZE
REQUIREMENTS INTO ALL LICENSED
FACILITIES.
BUT HERE'S A HERE'S THIS IS JUST
A.
ONE A MANY NEWS ARTICLES OF MY
CONSTITUENTS READ IN THE
FORTUNATELY I READ THEM TOO SO I
CAN RESPOND BUT. HERE'S A CASE
IN TWO THOUSAND SIXTEEN TO
TWENTY ONE YEAR OLD FOUND DEAD
OF A HEART ATTACK ON THE PATIO
OF THIS PARTICULAR DETOX
DISABILITY.
TWO DAYS AND WAS DETOX RIDGE
REGIMEN.
VIDEO SHOWED RE HAVE WORKERS
CHECKING ON HIM FINING HIM
UNRESPONSIVE AND WALKING AWAY.
WITHOUT CALLING FOR MEDICAL HELP
PERFORMING CPR.
I DON'T TO TELL YOU THAT'S
OUTRAGEOUS ORIGIN.
AND THAT CANNOT BE ALLOWED TO
CONTINUE. READY TO THE EXTENT IT
EXISTS IN CALIFORNIA.
BUT THAT'S WHAT WE SEE IN THE
PRIVATE.
BUT THE PUBLIC PROVIDERS NON
MEDICAL DETOX MOST OF THESE
ARTICLES ARE ALL ABOUT PRIVATE.
AND THANK YOU MISTER OR
QUESTIONS.
SOME QUESTION PERM BOB FIRST
MAYBE A COMMENTATOR I REALLY
APPRECIATE YOUR. OCKENDON THIS
ABOUT.
POINTING OUT THE DIFFERENT IN
PUBLIC AND THEN THE PRIVATE AND
HOW WITHIN THE PUBLIC SYSTEMS
THERE ARE MUCH MORE EFFICIENT
BETTER TREATMENT PLANTS IN
BETTER OUTCOMES.
WHEN WE'RE LOOKING AT THE
PRIVATE ENTITY AND I THINK LATER
ON I MEAN OBVIOUSLY A LOT OF
THESE ARTICLES AND YOU YOURSELF
FOR SAYING THAT. A LOT OF THESE
EGREGIOUS ACTS ARE WITHIN THE
PRIVATE ENTITIES.
I'M ASSUMING IT'S MAINLY DRIVEN
BY PROFITS AND THEN. THEY WON'T
TAKE PATIENTS SAID OR WON'T TAKE
PATIENTS HAVE INSURANCE AND ONCE
INSURANCE.
RUNS OUT IN THE COMING JUST GET
RID OF THEM WITHOUT ANY.
.
METHOD OF TRYING TO.
TREAT THE PATIENT IS THAT
CORRECT.
SO LET ME BE CLEAR THERE ARE
MANY VERY GOOD VERY QUALIFIED
PRIVATE PROVIDERS AND ANNOUNCING
THAT THERE IS AN BUT I'VE SEEN
WHERE YOU THINK THE PROBLEM IS
WE IS WITHIN THE PRICE IT'S AIS
LARGELY WITHIN THE PRIVATE
SECTOR WHERE THEY'RE ABLE TO.
TOM THERE'S THERE'S THEY'RE ABLE
TO DO THAT BECAUSE OF A LACK OF
ALL. OVERSIGHT AND SUPERVISION.
THAT COMES IN THE PUBLIC SECTOR
NOT JUST FROM THE STATE.
BUT FROM ALL OF THE COUNTIES
THAT THE PUBLIC SECTOR PROVIDERS
CONTRACT WITH.
THERE ARE MANY OTHER GOVERNMENT
ENTITIES THAT END UP INSPECTING
US
SURVEYING OFFICE.
LOOKING AT OUR BUSINESS
PRACTICES HOW'RE WE BILLING HOW
WERE WE REIMBURSED HOW WAS THAT
BILLING EVEN JUSTIFIED IN THE
FIRST PLACE SHOW ME THE PATIENT
RECORD WHERE THE SERVICE WAS
DELIVERED.
S. DOES NOT OCCUR IN THE PRIVATE
SECTOR.
THE BILL THE INSURANCE COMPANY
IF YOU HEAR FROM THE INSURANCE
COMPANY IT'S TO VERIFY MEDICAL
NECESSITY BUT THEY'RE NOT COMING
OUT KNOCKING AT YOUR DOOR
INSPECTING WHAT YOU'RE DOING. OF
CASUALLY THEY MIGHT ASK FOR A
RECORD TO. TO LOVE REVIEW IT AND
DETERMINE IF MEDICAL NECESSITY
WAS THERE. AND IN PART. IS WHAT
THEY'RE COMPLAINING ABOUT ME
INSURANCE INDUSTRY IS THAT SO
OFTEN THEY FIND OUT THAT WHAT
THEY GOT BILLED FOR WHAT THEY
PAID FOR. DIDN'T MEET
ABOUT THE UP THE LETTERS ON THE
THINGS A SOLUTION IS MORE
OVERSIGHT. COMPARABLE TO WHAT'S
IN THE PUBLIC SECTION SECTOR TO
BE IN THE PRIVATE SECTOR AS WELL
AS.
AND THEN MOVING ON I KNOW YOU
MENTIONED RECOVERY HOMES OR
TREATMENT FACILITIES.
AND I KNOW THAT SEEMS TO BE CA.
AN AREA OF CONTENTION OF
SPECIMENS LIVE THE CITY'S.
WHERE OF THE HOMES ARE GREEN
WHERE ARE AT? HIGH AND THEY WERE
THE TREATMENT IS BEING PROVIDED
AND YOU'RE ALSO TALKING ABOUT
GOING ASK YOU. HOW HOW DO YOU
FIND A SOLUTION TAT THE NEW
MENTION ABOUT VOLUNTARY
STATEWIDE LICENSING OF SOBER
LIVING HOMES?
AND WITH THAT HOW IS AT THE
INVOLUNTARY HOW IS THAT GOING TO
SOLVE THE PROBLEM FOR USERS TO
QUESTIONS HOW TO RESOLVE THIS.
YOU KNOW THE.
SOBER LIVING HOMES WITHIN
COMMUNITIES THAT WHERE A LOT OF
THE MUNICIPALITIES DON'T WANT
THEM THERE AND HOW DO WE GET
THOSE PATIENTS ACTUALLY GET
TREATMENT.
AND WHERE'S THAT RESOLUTION THAT.
SO I WISHED I HAD A RESOLUTION
FROM THAT AGAIN BECAUSE THE
THESE HOMES ARE PROTECTED UNDER
ALL KINDS OF OTHER HOUSING LAWS.
YOU YOU CAN'T JUST CLOSE THEM
DOWN THE HAVE A RIGHT TO EXIST
AND WE SUPPORT. THOSE HOUSING.
LAWS.
BUT I DO THINK THAT A VOLUNTARY
CERTIFICATION PROCESS IS A STEP
IN THE RIGHT DIRECTION.
ALL BECAUSE IT WOULD BE I N.
AGAIN FROM THE STATE THAT HAS
SOME AUTHORITY SOME TEETH BEHIND
IT.
WELL THAT OF MANY OPERATORS THAT
DON'T WANT TO BE COUPLED IN WITH
THOSE BAD APPLES.
PRIVATE OPERATORS THAT DON'T
WANNA BE COUPLED IN WITH THOSE
BAD APPLES THAT ARE OUT THERE
WILL VOLUNTARILY APPLY AND
ACQUIRE THAT CERTIFICATION SO
THEY'VE GOT SOMETHING THE FLAG
TO HOLD UP TO SAY. THAT'S NOT A
HOUSE WERE MEETING A MUCH HIGHER
LEVEL OF STANDARD OF OF OUR
PRACTICE FOR OUR SOBRE
ENVIRONMENTS.
OF THAN THAT UP PERSON DOWN THE
STREET IS DOING GOOD KIND OF
THING BUT I THINK THAT LOCAL.
OUR CITIES COUNTIES
CAN ALSO NEGOTIATE WITH THE UP
OF OPERATORS TO HATE OKAY WOULD
YOU AT LEAST APPLYING GET THE
CERTIFICATION SO THAT WE KNOW
YOU'RE MEETING THE STANDARDS IN
TERMS OF. ALL YOUR OPERATION IN
OUR COMMUNITY AND AND I PROMISE
YOU PROVIDERS WILL DO THAT
BECAUSE IT IT HELPS SOLVE BOOK
RELATIONSHIP THE PROBLEM THEY'RE
HAVING WITH MANY OF THESE. THESE
OTHER CITIES AND.
GOVERNMENT ENTITIES BAND LOCAL
RESIDENCES THAT VERY GREGORY
THINKS IN LIKE THAT WOULD BE A
GOOD START HAVING VOLUNTEERING
BUT I WOULD JUST POSE A QUESTION
WHEN THAT MAKE IT MANDATORY FOR
ALL FACILITIES.
US WHICH THE AND LICENSE ONE SO
THAT YOU NOW CAN ACTUALLY
MEASURE OUTCOMES ARE YOU HAVE
LIKE AN ANTI WOULD HAVE NO
OBJECTION TO THAT EITHER BAR IF
IT CAN BE DONE LEGALLY I'M JUST
NOT SURE CAMPAIGN BUT THAT THAT
PART OF NOT SEEN TO. REMOVE THE
HOUSING ELEMENT OF IT BECAUSE.
PROTECTED BY THE
JAY AND
AND HEARD BUT ELISE.
I'M KNOW WHAT'S GOING ON THERE
LICENSE SO THERE'S AN YOU KNOW
AND ANY KIND OF
INAPPROPRIATENESS WHICH YOU CAN
AT LEAST MONITOR IT.
I'M JUST POSING THE QUESTION AND
JUST AND THAT'S WHAT WE'RE HERE
FOR IS CAN FIGURE OUT. HOW DO WE
SOLVE THESE PROBLEMS MINE AND I
HAVE NO OBJECTION OKAY ARE AND I
GET PAID THANK YOUS AS SEEN ON
THE QUESTION OF YES?
SENATE ROTH.
BUT A SOURCE SENATOR NEWMAN CALL
CENTER NEWMAN ETCETERA. MISS YOU
SEE NO THANK YOU FOR YOUR
TESTIMONY.
YOU TOUCHED ON PATIENT BROKERING
AND IN YOUR TESTIMONY AND AND
MENTION THAT.
YOU ORGANIZATION POSES PRACTICE
SPORTS LEGISLATIVE PROPOSALS TO
PROHIBIT. AYE IS THEIR CURRENT
LEGISLATION THAT YOU'RE
SUPPORTING OR IF NOT DO YOU HAVE
SUGGESTIONS AS OUR OF THERE IS A
BILL THAT HAS.
I THINK IT TO YOUR BILL.
TRYING TO ADDRESS THIS ISSUE
THAT WE ARE SUPPORT OF ALL OF.
I DON'T RECALL THE BILL NUMBER
OFF THE TOP OF MY HEAD MAYBE ONE
OF THE OTHER SPEAKERS BUT WILL
RECALL IT.
CERTAINLY WE COULD FORWARD THAT
TO YOU.
THEY I I WOULD LOVE IF THERE
WAS A. ó. A PLACE WHERE CALM
OF THESE.
.
OF FOLKS THAT ENGAGE IN THIS
BROKE.
FIVE OR SIX TIMES A MONTH FROM
ONE PERSON OR ANOTHER TRYING TO
SELL ME PATIENTS.
LITERALLY EVERY SINGLE MONTH.
MANY OF THEM ARE NOT LOCATED IN
THIS STATE ARE OUT OF STATE.
THEY WANNA HASSEL FOR YOU ACROSS
THE NATION AND THEN FEED AMENDED
YOU FOR FEES.
TOM LITERALLY.
FOUR FIVE SIX TIMES A MONTH I
GET CONTACT BY THESE PEOPLE AND
WOULD LOVE TO BE ABLE TO TAKE
THAT INTO READ ON TACK
INFORMATION AND TURN IT OVER TO
EUROPE I THINK THAT'S WHERE REAL
PROBLEMS THAT'S WHERE WE HAVE TO
GET TO THE CRUX OF IT BECAUSE
YOU. BRING IT OUT OF STATE
PATIENTS AND PAIN FOR THE
PREMIUM AND THAT.
THEY'RE CHARGING THE INSURANCE
COMPANIES THAT IN FACT INCREASES
THE COST FOR HEALTHCARE FOR
EVERYBODY WITHIN CITY CALIFORNIA.
SO THAT THAT'S A REAL PROBLEM I
THINK WE HAVE TO ADDRESS.
IF SENATOR ROTH.
YEAH I'M I'M FASCINATED BUT AS
I'M NOT USED TO THIS SORT OF
WILD WILD WEST APPROACH TO
INSURANCE AND PAYMENTS AND. YOU
KNOW IN OTHER AREAS WHETHER IT'S
WORKERS COMP OR. I'M MOVING IN
THE HEALTHCARE AREA I'M USE TO
UTILIZATION REVIEW AND PEOPLE
QUESTIONING IN FRAUD
INVESTIGATIONS BY DISTRICT
ATTORNEYS AND BY. COMPANIES DOES
NOT NOT EXIST IN THIS ARENA OR
IF YOU HAVE AND IF IT IS
INSURANCE MONEY FLOWING THEY
JUST PAY AND PAY AND PAY AND.
PEOPLE TAKE TAKEN TO A COUSIN OF
OURS.
KINDA GOT IT THAT'S KIND OF
WHAT'S BEEN GOING ON AND AGAIN
AS I SAID A GREAT BUSINESS MODEL
I SAID IN MY OPENING COMMENTS
THE NO WERE ALL. FAULT FOR
ALLOWING THIS
THING TO GROW OUT OF. CONTROL
THE WAY ANNOUNCED.
BUT INSURANCE COMPANIES INCLUDED
BECAUSE THEY'VE BEEN REIMBURSING
FOR THIS INSANITY FOR. YEARS
BEFORE THEY STARTED REALIZE IS
REALLY GETTING CRAZY WHAT'S GONE
ON HERE. WELL WHAT SOMEBODY SEND
YOU A BILL FOR FIFTEEN HUNDRED
DOLLARS FOR A DRUG TEST. RED
FLAG SHOULD HAVE ALREADY GONE UP
BUT IT.
IT'S GONE IN HUGE WAYS FOR FOR
YEARS WITH NO RED FLAGS POPPING
UP FROM INSURERS BIAS WILL SEE
WHAT THE NEXT PANELIST SAY BUT
THEY HAVE BEEN AND BY THE WAY
THAT UTILIZATION REVIEW.
PROCESS AND EVERYTHING IS.
THAT OVERSIGHT IS BUILT INTO
THIS DRUG MEDI CAL SYSTEM WE
TALKED ABOUT. HOME IT'S NOT
BUILT INTO THE PRIVATE SECTOR
WORLD BUFFS. SIGNATURE.
BUT I THINK YOU VERY MUCH
APPRECIATE YOUR TIME.
WE'RE GONNA MOVE ON TO SAY WE HAVE JANICE ROCCO DEPUTY
COMMISSIONER HEALTH POLICY
REFORM DEPARTMENT OF INSURANCE.
JENNIFER CAN'T DIRECTOR
DEPARTMENT OF HEALTH CARE
SERVICES.
PATA LEARY CHIEF DEPUTY
DIRECTOR DEPARTMENT OF SOCIAL
SERVICES.
A MELANIE FUND HAS RAINER
SPECIAL ASSISTANT TO THE
ATTORNEY GENERAL CALIFORNIA
ATTORNEY GENERAL'S OFFICE.
WELCOME AND I KNOW WHO WOULD
LIKE TO GO FIRST WE START OFF
WITH HIS SON ROCCO.
THANK YOU MISTER CHAIR AND
JANICE ROCCO DEPUTY COMMISSIONER
WITH THE CALIFORNIA DEPARTMENT
OF INSURANCE.
AND.
WHILE I WAS PRIMARILY INVITED
TO SPEAK ABOUT HEALTH INSURANCE
FRAUD IN THE DEPARTMENT'S ROLE
IN.
INVESTIGATING THAT FRAUD.
I DID WANT TO SET THE STAGE A
LITTLE BIT IN TERMS OF SOME
CHANGES OVER THE LAST FEW YEARS.
WITH THE PASSAGE OF THE
AFFORDABLE CARE ACT.
A WE HAVE MILLIONS OF
CALIFORNIANS WHO GAINED HEALTH
INSURANCE COVERAGE IN CALIFORNIA.
AND AND THAT THE COVERAGE
INCLUDED. SUBSTANCE USE DISORDER
TREATMENT FOR MANY PEOPLE WHO
DIDN'T HAVE IT BEFORE BECAUSE OF
ITS DESIGNATION AS AN ESSENTIAL
HEALTH BENEFIT. ADDITIONALLY
WITH THE FEDERAL COST SHARING
REDUCTION FUNDING WHILE IT
LASTED.
THAT HELPED COVER DEDUCTIBLES
AND OTHER OUT OF POCKET COSTS
SO MANY MORE PEOPLE COULD
ACTUALLY AFFORD TO USE THEIR
HEALTH AND.
COVERAGE WHEN THEY.
S. USE DISORDER NEEDS.
AND THE A CA DID AWAY WITH
LIFETIME AND ANNUAL CLAIMS
LIMITS ON THOSE HEALTH INSURANCE
POLICIES.
I MENTION THIS BECAUSE WHEN WE
HEAR ABOUT THE DRAMATIC INCREASE
IN CLAIMS COSTS ASSOCIATED WITH
SUBSTANCE USE DISORDER CARE I
JUST WANNA MAKE SURE EVERYONE'S
AWARE.
MUCH OF THAT THE MAJORITY OF
THAT IS BECAUSE WE HAVE A LOT
MORE PEOPLE IN CALIFORNIA WITH
HEALTH INSURANCE AND WITH HOUSE
INSURANCE BUT COVERS THESE
BENEFITS.
SO IT'S NOT JUST AN INCREASE IN
FRAUD OR OR THE FRAUD THIS IN
THE SYSTEM. ADDITIONALLY.
OVER THE LAST TWO YEARS FOR
THROUGH CHANGES IN FEDERAL LAW
AND THROUGH ADDITIONAL
ENFORCEMENT AT THE STATE LEVEL.
OF THE MENTAL HEALTH PARITY
REQUIREMENTS IN THE FEDERAL LAW
AND STATE LAW.
WE HAVE SEEN INSURANCE
COMPANIES UP BE REQUIRED WE'VE
REQUIRED INSURANCE COMPANIES TO
CHANGE THEIR POLICIES.
US SO THAT THEY.
THERE'S PARITY FOR OUT OF
POCKET COSTS BETWEEN MEDICAL
SURGICAL CARE AND A MENTAL
HEALTH AND SUBSTANCE
DISORDER TREATMENT. AND AND DO
AWAY WITH DIFFERENCES HAVING TO
DO WITH PRE AUTHORIZATION FOR
TREATMENT OR TREATMENT
LIMITATIONS.
AND SO WE'VE ALSO SEEN OUR
ADDITIONAL COVERAGE AVAILABLE TO
FOLKS BECAUSE OF THAT TYPE OF
THIS SITUATION.
I WAS ASKED TO SPEAK ABOUT THE
DEPARTMENT'S ROLE WHEN IT COMES
TO HEALTH INSURANCE FRAUD.
THE CALIFORNIA DEPARTMENT OF
INSURANCE ACTIVELY INVESTIGATES
ARRESTS AND REFERS FOR
PROSECUTION THOSE WHO COMMIT
INSURANCE FRAUD AND OTHER
VIOLATIONS OF LAW.
THE DEPARTMENT THEREFORE
INVESTIGATES FRAUD AGAINST
HEALTH INSURERS.
US CD EYES FRAUD INVESTIGATIONS
ARE UNDERTAKEN BY THE FRAUD
DIVISION ARE OF OUR ENFORCEMENT
BRANCH WHICH AS PRIMARILY
STAFFED BY SWORN PEACE OFFICERS.
THESE DETECTIVES CONDUCT
CRIMINAL INVESTIGATIONS THAT
PERTAIN TO INSURANCE FRAUD.
CDI RECEIVES FRAUD REFERRALS
FROM HEALTH INSURERS.
WHISTLEBLOWERS SUCH AS
EMPLOYEES ARE FORMER EMPLOYEES
WHO FORKED.
AT FACILITIES.
INFORMANTS SOMETIMES OTHER LAW
ENFORCEMENT AGENCIES AND
CERTAINLY PATIENTS AND THEIR
FAMILIES.
THE MAJORITY OF THE FROG
REFERRALS COME FROM HEALTH
INSURERS STATE LAW REQUIRES
INSURERS TO REFER TO THE
DEPARTMENT OF INSURANCE ANY
CLAIM THAT THEY REASONABLY
BELIEVED OR NO TO BE FRAUDULENT.
EACH INSURER HAS A SPECIAL
INVESTIGATORY UNIT WE CALL THEM
AS I USE THAT IS RESPONSIBLE FOR
DETECTING FRAUD AND PROVIDING
REPORTS TO THE DEPARTMENT ABOUT
SUSPECTED.
WHEN I TALK ABOUT THE KIND OF
HEALTH INSURANCE FRAUD
ALLEGATIONS THE DEPARTMENT OF
INSURANCE INVESTIGATE SOME
EXAMPLES INCLUDE.
A MEDICAL PROVIDER BILLING FOR
SERVICES THAT WERE NEVER
RENDERED BILLING FOR MORE
EXPENSIVE SERVICES THAN THOSE
THAT WERE RIPPED RENDERED.
SOMEIMES DOUBLE BILLING.
IN TERMS OF THE UP CODING OR
BILLING FOR SERVICES NOT
RENDERED SOMETIMES IN THIS AREA
WE MIGHT SEE. INTENSIVE
OUTPATIENT SERVICES BEING BILLED
WHEN IN FACT SOMETHING THAT
REQUIRES.
LESS EXPENSIVE CARE WAS
ACTUALLY WHAT WAS PROVIDED.
SIGNING SOMEONE UP FOR HEALTH
INSURANCE WITHOUT THEIR
KNOWLEDGE IS ACTUALLY.
A SITUATION THAT WE'VE COME
ACROSS MANY TIMES IN THIS
PARTICULAR REALM.
AND THAT.
SITUATION WE MAY SEE PROVIDING
FALSE INFORMATION ON THE
INSURANCE FARM OR FORGERY IF
YOU'RE SIGNING SOMEONE OUT FOR
INSURANCE WITHOUT THEIR
KNOWLEDGE.
ON THIS OFTEN INCLUDES PROVIDING
A FALSE ADDRESSES THE PERMANENT
ADDRESS FOR THE PATIENT.
USING A FALSE ADDRESS ALSO MEANS
THAT THE PATIENT DOESN'T RECEIVE
ANYTHING IN THE MAIL LIKE AN
INSURANCE CAR OR AN EEL BE OR
ANYTHING LETTING THEM KNOW THAT
INSURANCE HAS BEEN BILLED FOR
THE SERVICES THAT THEY HAVE BEEN
RECEIVING.
SIGNING UP FOR COVERAGE WITH TO
INSURERS.
SIGNING THE INDIVIDUAL UP HER
ENTRANCE WITH TWO DIFFERENT SHIP
INSURERS AT THE SAME TIME AND
THEN BILLING FOR THE SAME
SERVICES TO BOTH INSURERS.
AND SOMETIMES
WE SEE THAT LICENSED HEALTH
SCHEMES. AND IN THAT SITUATION
THOSE FOLKS THAT SHOULD
CERTAINLY ALSO BE REPORTED TO
THE DEPARTMENT OF INSURANCE SO
THAT WE CAN INVESTIGATE WHETHER
OR NOT.
INSURANCE AGENTS SHOULD BE
SUSPENDED OR REVOKED.
AND THE SO WHAT I'VE JUST GIVEN
YOU A FEW EXAMPLES OF THE TYPES
OF THINGS THAT REALLY SHOULD BE
REPORTED TO THE.
DEPARTMENT OF INSURANCE.
FOR FRAUD INVESTIGATION.
THE DEPARTMENT RECEIVES
APPROXIMATELY SEVEN HUNDRED
SUSPECTED FRAUDULENT CLAIMS
RELATED TO PRIVATE HEALTH
INSURANCE EACH YEAR. AND OVER
ONE THOUSAND OF THOSE WITHIN THE
WORKERS COMPENSATION HEALTH
CARE'S.
EACH REFERRAL IS REVIEWED
INDIVIDUALLY.
TO DETERMINE IF IT HAS THE
ELEMENTS OF WHAT WOULD APPEAR TO
BE INSURANCE FRAUD AND THEN IT'S
ASSIGNED TO A DETECTIVE FOR
INVESTIGATIONS SUBJECT TO
SUFFICIENT RESOURCES BEING ABLE
TO AVAILABLE TO INVESTIGATE EACH
SUCH REFERRAL.
FOR COMPLEX MEDICAL PROVIDER
FRAUD CASES IT'S NOT UNUSUAL TO
HAVE TEAMS OF TWO TO SIX
DETECTIVES DEDICATED TO THE
INVESTIGATION BOMB AND OFTEN
WORKING WITH OTHER AGENCIES.
HEALTH CARE FRAUD CLAIMS RANGE
FROM THE RELATIVELY SIMPLE TO
HIGHLY COMPLEX PROVIDER FRAUD
SCHEMES THAT MAY TAKE SEVERAL
YEARS ON THOUSANDS OF STAFF
HOURS TO PROPERLY INVESTIGATE.
INVESTIGATIONS MAY INCLUDE THOSE
SUSPECTED OF BOMB FRAUD BY A
PHYSICIAN BY PHARMACY BY
SURGICAL CENTER BY HOSPITAL OR
BY AND SUBSTANCE USE DISORDER
TREATMENT FACILITY.
DEPENDING UPON THE CIRCUMSTANCES
THE DEPARTMENT WILL INVESTIGATE
OR THE COUNTY DA'S OFFICE WILL
INVESTIGATE OR WILL JOINTLY
INVESTIGATE. CDI ADMINISTERS A
THE STATE'S DISABILITY AND
HEALTH CARE FRAUD GRANT PROGRAM
THAT PROVIDES FUNDING TO COUNTY
DISTRICT ATTORNEY OFFICES TO
ASSIST WITH THEIR EFFORTS TO
INVESTIGATE AND PROSECUTE
INSURANCE FRAUD.
WE WORK CLOSELY WITH THE LOCAL
DISTRICT ATTORNEY OFFICES
THROUGHOUT THE STATE. SOMETIMES
WITH THE S. FBI'S SOMETIMES WITH
THE.
POSTAL OFFICE OF THE EXPECT
INSPECTOR GENERAL SOMETIMES WITH
US HEALTH AND HUMAN SERVICES
OTHER STATE DEPARTMENTS.
AND SOMETIMES US ATTORNEYS TO
COMBAT THE HEALTH INSURANCE
FRAUD.
OUR DEPARTMENT IS INVESTIGATED
AND MADE ROOF.
ARRESTS IN THE LAST SEVERAL
YEARS AND DOZENS OF MEDICAL
PROVIDER OF DOZENS OF MEDICAL
PROVIDERS AND WHICH OF LED TO
CONVICTIONS.
WHEN A PROSECUTING AGENCY
WORKING WITH ONE OF OUR
DETECTIVES DETERMINED THERE IS
SUFFICIENT EVIDENCE TO FILE A
CASE EITHER A GRAND JURY INDICTS
OR.
WE HAVE THE ART DEPARTMENT
OFTEN.
DOES THAT WITH THE ARREST
WARRANT ANNA AND.
THE DEPARTMENT STAFF CONTINUES
AS A PART OF THE PROSECUTION
TEAM UNTIL CASE IS ADJUDICATED
BY THE CORE.
AS RELATES TO SUBSTANCE USE
DISORDER FRAUD. AND YOUR
COMMITTEE STAFF SUGGESTED THAT I
TALK ABOUT A PARTICULAR CASE
THAT HAS GOTTEN A FAIR AMOUNT OF
ATTENTION.
THIS IS CASE WHERE THE
ARRESTS OF BEEN MADE.
BUT WE DO NOT HAVE CONVICTIONS
YET SO I CAN GIVE YOU A CERTAIN.
BUT.
UNTIL THEY'RE ACTUALLY CONVICTED
IT WOULDN'T BE A I WOULD GET
INTO ANY OF THE SPECIFICS.
THE DEPARTMENT OF INSURANCE
DETECTIVES ASSISTED BY MULTIPLE
LAW ENFORCEMENT AGENCIES
ARRESTED CHRISTOPHER ABOUT FROM
AND KIRSTEN WALLACE ON MULTIPLE
FELONY COUNTS.
OF INSURANCE FRAUD FOR
SUBMITTING CLAIMS FOR SERVICES
NOT PROVIDED AND DUPLICATE.
IDENTITY THEFT FOR SUBMITTING
FRAUDULENT HEALTH INSURANCE
APPLICATIONS WITHOUT PATIENCE
KNOWLEDGE.
FOR GRAND THEFT AND FOR MONEY
LAUNDERING.
ON ON THE DAY OF THE ARRESTS
WHICH WAS IN NOVEMBER OF TWENTY
SIXTEEN SEARCH WARRANTS WERE
ALSO EXECUTED IT FIFTEEN
LOCATIONS THROUGHOUT LOS ANGELES
AND ORANGE COUNTIES.
AND THE DEPARTMENT NOTIFIED THE
DEPARTMENT HEALTH CARE SERVICES
IN ADVANCE OF THE ARREST BEING
MANIC MADE SO THAT THEIR STAFF
COULD BE ON SITE TO WORK WITH
THE PATIENTS TO ASSIST THOSE WHO
WISH TO BE RELOCATED TO
DIFFERENT FACILITIES.
THE DEPARTMENT OF INSURANCE'S
INVESTIGATION REVEALED THAT
BASSMAN WALLACE CONSPIRE TO
STEAL PATIENT IDENTITIES AND BUY
HEALTH INSURANCE POLICIES FOR
PATIENTS WITHOUT THEIR KNOWLEDGE.
AFTER INDIVIDUALS COMPLETED
TREATMENT. A BATHROOM ALLEGEDLY
CONTINUE TO BILL INSURANCE
COMPANIES FOR TREATMENT SERVICES.
AFROMAN WALLACE ALLEGEDLY BUILD
HEALTH INSURANCE COMPANIES IN
CALIFORNIA MORE THAN A HUNDRED
AND SEVENTY SIX MILLION DOLLARS
IN FRONT.
THE INSURERS INCLUDED ANTHEM
BLUE SHIELD CIGNA HEALTH NET AND
HUMANA AND THEY PAID OUT
APPROXIMATELY FORTY FOUR MILLION
DOLLARS IN TOTAL. BEFORE
DISCOVERING THIS OF SUSPECTED
FRAUD AND STOPPING THE PAYMENTS
TO THE ENTITIES OWNED BY.
MR BATHROOM.
BUT THESE INDIVIDUALS ACTUALLY
EXPECTED TO GO ON TRIAL IN ABOUT
A MONTH'S TIME.
THE DEPARTMENT HAS OTHER OPEN
INVESTIGATIONS AS WELL BUT THE
CASE I MENTIONED IS CERTAINLY
ONE OF THE MOST SIGNIFICANT
HEALTH INSURANCE FRAUD CASES IN
TERMS OF THE AMOUNT OF MONEY
INVOLVED.
AND AS THE THE CHAIRMANSHIP
EARLIER.
DEFINING INSURERS HURTS THE
PATIENCE AND INCREASES THE
PREMIUMS THAT WE ALL PAY FOR
HEALTH INSURANCE.
THANK YOU VERY MUCH WE WILL DO
IS WAIT FOR QUESTIONS AFTER ALL
THE PANELS SPEAKS LEVINE TO
JENNIFER CAN'T DIRECTOR
DEPARTMENT HEALTH SERVICES GOOD
AFTERNOON MISS CAN'T.
AFTERNOON.
I ALSO.
FOR QUESTIONS AND MORE DETAILED
INFORMATION I AM I BROUGHT MY
LEAST PERES WHO'S THE DIVISION
CHIEF FOR OUR SUBSTANCE USE.
DISORDER COMPLIANCE DIVISION
AND SO SHE DIRECTLY OVERSEAS A
LOT OF THAT BOTH LICENSURE AND
INVESTIGATION WORK THAT WE HAVE
WITHIN THE DEPARTMENT. I THINK
JUST FROM WANTING TO SET.
THE STAGE FOR THE DISCUSSION
TODAY.
THERE'S A DIFFERENCE BETWEEN
LICENSE AREN'T CERTIFICATION AND
I HEAR THE TERMS GET USED
INTERCHANGEABLY WHEN WE'RE
TALKING ABOUT FACILITIES AND SO
I JUST. WANTED TO.
LEVEL SET WITH.
.
THE COMMITTEE FOR PURPOSES OF
LICENSURE IT IS ENUMERATED IN
THE HEALTH AND SAFETY CODE IT
GIVES US RESPONSIBILITY AS AN
APARTMENTOVER. WHO AND WHAT IS
LICENSE FOR THE PURPOSE OF
RESIDENTIAL FACILITIES AND SO I
REALLY LIKE TO EXPLAIN THIS
AND MOST BASIC TERMS AS THE
BRICKS AND MORTAR?
SO WHEN AN APPLICANT COMES TO
US AND SAYS I WOULD LIKE TO BE A
RESIDENTIAL TREATMENT FACILITY
FOR SUBSTANCE USE DISORDER WE
ARE REALLY KIND OF.
WE ARE GOING OUT WE'RE
INSPECTING THEM ON SITE WE ARE
LOOKING AT THEIR.
APPLICATION AND IT'S THE BRICKS
AND MORTAR PER SE OF WHAT THEY
ARE GOING TO BE DOING AND A LOT
OF THE FACILITIES THAT WE
LICENSE TODAY. ARE ON THE
COMMERCIAL OR IN THE PRIVATE HE
SIGHED THEY'RE NOT CERTIFIED
WHICH IS DIFFERENT.
FOR PURPOSES OF MEDI CAL AND.
IN. IN THE PRIOR CONVERSATION
IN THE PRIOR TESTIMONY.
CALIFORNIA HISTORICALLY HAS NOT
PROVIDED A DEEP BENEFIT FOR
SUBSTANCE USE TREATMENT DISORDER.
PRIOR TO THE.
NEGOTIATION OF THE ELEVEN
FIFTEEN WAIVER.
THERE REALLY WAS NOT MUCH OF A.
BENEFIT TO TALK ABOUT THERE WAS
COUNSELING THAT WAS METHADONE
THERE WAS PERINATAL SERVICES FOR
PREGNANT WOMEN AND THAT WAS IT
THERE WAS NO RESIDENTIAL BENEFIT.
THERE WAS NO STEP DOWN A SAM
CRITERIA THERE WAS NOT THIS
CONTINUUM OF CARE FOR SUBSTANCE
USE DISORDER. ON WHEN WE SECURED
THE.
WAIVER WITH THE FEDERAL
GOVERNMENT FOR OUR.
ORGANIZED DELIVERY SYSTEM.
MY LEASE WAS THAT MAIN
ARCHITECTS
OF THIS BENEFIT AND SO I LIKE TO
GIVE HER LOTS OF CREDIT. BUT.
WE WERE THE FIRST IN THE
COUNTRY TO DO THAT AS A MEDICAID
PROGRAM SO. THEN THE BENEFIT IS
VERY VERY NEW AND.
AS MR SIN ELLA SAID.
THIS HAS LED TO BOTH GOOD AND
BAD THINGS GOOD IN THAT WE'RE
PROVIDING A LOT RICHER.
SET OF SERVICES TO INDIVIDUALS
THAT DESPERATELY NEED THEM.
BAD IN THAT THERE ARE AND WHEN
YOU HAVE A FUNDING SOURCE YOU
INEVITABLY HAVE.
TO YOU HAVE TO TIGHTEN UP AND.
INCREASE YOUR REGULATORY
OVERSIGHT TO MAKE SURE THAT
THOSE SERVICES ARE PROVIDED
APPROPRIATELY AND NOT
INAPPROPRIATELY.
SO WITHIN OUR DEPARTMENT AND WAS
IN MY LEASES DIVISION WE HAVE.
STAFF ASSIGNED TO BOTH THE
LICENSURE ASPECT OF THESE
FACILITIES AS WELL AS TO
INVESTIGATING COMPLAINTS THAT WE
RECEIVE AND.
LIKE MISS ROCCO SAID WE RECEIVE
COMPLAINTS FROM A VARIETY OF
SOURCES WE RECEIVE THEM FROM.
HEALTH PLANS WE RECEIVE THEM
FROM THE PUBLIC WE WORK ON
WITHIN THE DEPARTMENT WE HAVE.
NOT ONLY WITHIN.
.
MY LEASES DIVISION BUT WE
HAVEN'T AND TIRE DIVISION CALLED
THE AUDITS INVESTIGATION
DIVISION IN WHICH WE HAVE SWORN
PEACE OFFICERS AS WELL THAT
CONDUCT A LOT OF ON SITE AND.
UNDERCOVER WORK NOT JUST
INVOLVING ON SUBSTANCE USE BUT
ALSO JUST BROADER. PROGRAM
COMPLIANCE AND PROGRAM INTEGRITY
ISSUES WITH AND MEDICAL.
STEPPING BACK OFF OF THE
LICENSURE AND TALKING ABOUT THE
CERTIFICATION. I'M CERTIFICATION
FOR US.
IMPLIES THAT DIED PROVIDER HAS
BEEN CERTIFIED BY THE MEDICAL
PROGRAM TO RECEIVE FUNDING AND
PROVIDE SERVICES TO MEDICARE
BENEFICIARIES. IT DOES NOT
NECESSARILY MEAN THAT IT IS.
THAT WE ARE CERTIFYING THAT FOR
OTHER TYPES OF HEALTH PROVIDERS
SOME HEALTH PROVIDERS ON THEIR
OWN HAVE REQUIRED THAT. THERE
PROVIDERS ALSO GET THIS
VOLUNTARY CERTIFICATION THAT WE
PROVIDE FOR OUT PATIENT.
TREATMENT SERVICES AND SO WHEN
WE SAY LICENSURE AND
CERTIFICATION.
IT REALLY KIND OF DEPENDS AND
WE HAVE TO BE JUST VERY CAREFUL
ABOUT THE WORDS THAT WE USE BUT.
.
WHEN WE RECEIVE COMPLAINTS
AROUND.
RESIDENTIAL FACILITIES WE CAN
GO ON SITE WE CAN LOOK INTO WHAT
THEY HAVE OR HAVE NOT DONE
APPROPRIATELY SOMETIMES THESE
INVESTIGATIONS CAN TAKE.
MONTHS IF NOT YEARS AND LIKE
MISS ROCCO WAS I'M ALLUDING TO
IF IT INVOLVES UM A CRIMINAL.
AYE ASPECT OR THERE'S LITIGATION
INVOLVE SOME OF THESE I'M CASES
CERTAINLY DON'T.
GET COSED QUICKLY IF WE ARE
RECEIVING A COMPLAINT AROUND A
SOBER LIVING HOME OR A GROUP
HOME IS ONE OF THE TERMS IT'S
USED. AND THEY'RE NOT LICENSED.
AND THEY ARE ALSO NOT PROVIDING
OFFERING OR ADVERTISING.
RECOVERY DETOX OR TREATMENT
SERVICES THERE ISN'T NOTHING
WITHIN OUR STATUTORY OR
REGULATORY AUTHORITY IS A
DEPARTMENT THAT WE CAN DO ABOUT
THOSE FACILITIES AND I THINK.
I'M LISTENING TO THE
CONVERSATION THERE'S A LOT OF
DIFFERENT MOVING PIECES WITHIN
THIS POLICY DISCUSSION BUT
WANTED TO JUST MAKE IT.
REALLY CLEAR THAT THE
BOUNDARIES OF OUR DEPARTMENTS
AUTHORITY RESTS IN BOTH THE
HEALTH AND SAFETY CODE AROUND
THE LICENSURE. AND THE.
APPROPRIATE ENFORCEMENT OF
LICENSE TREATMENT FACILITIES AS
WELL AS OUR RESPONSIBILITIES AS
A CERTIFYING ENTITY FOR PURPOSES
OF THE CERTIFICATION OF THOSE
FACILITIES AND WHAT IT MEANS AND
SO. ON I WILL STOP IN AND HAPPY
TO ANSWER QUESTIONS BUT JUST
WANTED TO MAKE SURE THAT WE KIND
OF.
.
A NEW RATED SOME OF THE I'M
STATUTORY AND REGULATORY
AUTHORITIES THAT WE EITHER DO OR
DON'T HAVE A SET RELEASED A
DIFFERENT TYPES OF FACILITIES.
THANK YOU YOU MAY HAVE HAD
CLEARING CHIEF DEPUTY DIRECTOR
DEPARTMENT SO SERVICES.
THANK YOU MISTER CHAIR PAT LEARY.
YOURSELF ASSETS CLUB TALK ABOUT.
THE OVER CRIMES NUTRITION ISSUE
AS IT RELATES TO COMMUNITY CARE
LICENSE
A SILLY SO DEPARTMENT SOCIAL
SERVICES.
HAS RIPPED TWENTY NINE
DIFFERENT CATEGORIES OF LICENSE.
ALTHOUGH ALL THROUGHOUT THE
STATE FROM INFANT CENTERS ALL
THE WAY UP TO ASSISTED LIVING
FACILITIES WITH HOSPICE AND
EVERYTHING IN BETWEEN.
.
WE ARE GOVERNED BY THREE PRIMARY
ACTS IN THE IN THE CODE THAT.
COMMUNITY CARE FACILITIES ACT
THE RESIDENTIAL CARE FOR THE
ELDERLY.
RESIDENTIAL CARE FACILITIES FOR
THE ELDERLY ACT THE OUR CFE ACT
AND THE CHILD CARE OCT.
THEY REALLY ALL GREW OUT OF
THROUGH THE CORE OF IT GROWS OUT
OF THAT COMMUNITY CARE.
FACILITIES ACT NOW THAT IN IN
VARIOUS FORMS HS BEEN AROUND
SINCE THE NINETEEN FORTIES BUT
IN THE NINETEEN SEVENTIES EARLY
IN THE NINETEEN SEVENTIES.
THEY RE DID THAT ENTIRE ACT
AND THAT'S WHERE WE FOUND THE
MAN SORT OF LOOKING BACK FOR
THEIR STORE OR OCCURRED. THE
FIRST REFERENCES TO WHY DO WE
TREAT
SMALL SIX BED OR FEWER
FACILITIES LIKE HOUSES WHY DO WE
TREAT THEM LIKE RESIDENTIAL ON
FAMILIES. AND THERE'S.
A LOT OF OF.
PRETTY CLEAR LEGISLATIVE INTENT.
LANGUAGE THAT'S INCLUDED IN THE
CODES.
THAT TALKS ABOUT THE NEED FOR.
DEVELOPING FACILITIES IN THE
COMMUNITY AND HAVING A SUPPLY OF
FACILITIES FOR THE COMMUNITY.
IN NINETEEN SEVENTY THREE THE
BIG CONCERN THAT WAS MENTIONED
IN THE IN THE LEGISLATIVE INTENT
WAS STATE HOSPITAL.
BECAUSE WE JUST HAD THE CLOSURE
OF MANY OF THE STATE MENTAL
HOSPITALS AND THE NEED FOR
COMMUNITY CARE FOR THOSE
INDIVIDUALS WHO WOULD NO LONGER
BE INSTITUTIONALIZED BUT WILL BE
ABLE TO DO THAT.
A FEW YEARS AFTER ABOUT ENTIRE
ACT WAS WAS REVAMPED AND THIS
WAS JUST A SMALL PART OF IT.
IN NINETEEN SEVENTY EIGHT THERE
WAS AN ACT THAT INCLUDED BEING.
PROVISIONS THAT YOU HAD TO
INCLUDE.
IF YOU COULD NOT REGULATE THE
SIX BED.
HOMES ANY DIFFERENTLY THAN ANY
OTHER HOUSE ON THE STREET.
THEY WERE CONSIDERED A FAMILY
RESIDENTS AND FROM A LOCAL LAND
USE PERSPECTIVE IT COULDN'T HAVE
ANY ADDITIONAL.
REQUIREMENTS AND THAT IS WHEN
IT ALSO INCLUDES THE OVER
CONCENTRATION LANGUAGE AND WHAT
ARE OVER CONCENTRATION LANGUAGE
SAYS IS THE DEPARTMENT
HOUSE TO HAS A REQUIREMENT. TO
LOOK AND SEE IF THERE ARE ANY
FACILITIES WITHIN THROUGH THAT
WE LICENSE WITHIN THREE HUNDRED
FEET OF A DIFFERENT FACILITY.
AND THOSE THOSE THREE HUNDRED
FEET MEASUREMENTS GO FROM THE
WALL OF THE FACILITY TO THE WALL
OF THE FACILITY.
AND IT DOESN'T MATTER IT'S AS
THE CROW FLIES SO IT DOESN'T
MATTER IF IT'S ON THE SAME
STREET OR ITS ON THE COLDEST ACT
BEHIND IT'S IT'S ALL WITHIN THE
SAME THREE HUNDRED.
FEET.
AND THE STATUTE ITSELF CALLS OUT
THE PROCESS FOR DOING AS WE HEAR
REQUIRED TO WHEN WE NOTICED THAT
THERE ISN'T OVER WE HAVE AN
APPLICATION FOR A NEW FACILITY.
WE NOTICED THAT THERE IS
ANOTHER FACILITY WITHIN THAT
THREE HUNDRED FEET WERE REQUIRED
TO SEND A NOTIFICATION TO THE
LOCAL PLANNING OFFICE BE AT THE
CITY.
PLANNING DEPARTMENT OF THE
COUNTY PLANNING DEPARTMENT.
TO INFORMING THEM OF THAT AND
INFORMING THEM OF THEIR ABILITY
TO REQUEST TO DENY THAT LICENSE.
IF WE DO NOT HEAR A DENIAL BACK
FROM THE.
A REQUEST FOR A DENIAL BACK
FROM THE CITY BASED ON THE
SPECIAL CIRCUMSTANCES OF AB
BEACH LICENSE WHICH WE HAVE TO
CONVERT CENTER INDIVIDUALLY. WE
CAN GO AHEAD AND AND LICENSE
THAT.
I WILL SAY THAT OVER THE LAST
YEARS I ASKED.
ALL OF OUR STAFF TODAY INVOLVED
IN AND THE FACILITIES THAT ARE
ARE COVERED BY THIS HOW OFTEN IT
HAPPENS THAT WE GET AND OVER
CONSTITUTION IT ACTUALLY HAPPENS
FAIRLY INFREQUENTLY.
REAR WAS A TERM THAT THAT CAME
UP WE DO NOT TRACK
THE INFORMATION SO I CAN'T GIVE
YOU A SPECIFIC.
NUMBER ANYTHING MORE THAN THE
ANECDOTAL REPORTS OF OF STAFF
BUT THEY WERE HARD PRESSED.
TO GIVE ME ANYTHING MORE THEN
THREE FINGERS FIVE FINGERS.
IT CERTAINLY LAST DOWN.
A DOZEN.
AND I THINK IT'S PROBABLY
SIGNIFICANTLY LESS.
THE ONLY FACILITIES THAT ARE NOT
COVERED BY THE OVER
CONCENTRATION.
STATUTE ARE THOSE RESIDENTIAL
CARE FACILITIES FOR THE ELDERLY
OR ASSISTED LIVING AS MOST FOLKS
KNOW THEM.
OUR FOSTER FAMILY HOMES AND
RESOURCE.
FAMILY HOMES
AND SMALL FAMILY CHILD CARES.
.
INDIVIDUALS THAT ARE PROVIDING
CHILD CARE IN THEIR HOME OF UP A
LESS THAN TWELVE.
CHILDREN ARE NOT COVERED BY
OVER CONCENTRATION BUT ALL THE
REST OF OUR TWENTY NINE OTHER
TYPES OF LICENSED FACILITIES
HARM WHO INCLUDED IN THAT.
AND.
AND SO THAT'S HOW WE PROVIDE IT.
ONE OF THE THINGS ALL KNOW WELL
AND THERE WAS SOME QUESTION
ABOUT.
.
LICENSE VERSUS UNLICENSED
FACILITIES AND WHAT THE
DEPARTMENT DOES TO.
INVESTIGATE UNLICENSED
FACILITIES WE GET COMPLAINTS OF
UNLICENSED FACILITIES ALL THE
TIME.
AND WE WILL GO OUT AND OUR
USUAL.
SORT OF.
DECIDING FACTOR IS WHETHER OR
NOT CARE AND SUPERVISION IS
BEING PROVIDED TO THOSE
INDIVIDUALS.
AND THE SOBRE LIVING
ENVIRONMENTS.
BUT THAT FOLKS ARE TALKING
ABOUT HERE NOT GENERALLY
PROVIDING CARE AND SUPERVISION
SO WE DO OCCASIONALLY GET A
COMPLAINT.
BUT THAT'S OPERATING IS DONE
LICENSE FACILITY AND WE CAN'T
SUBSTANTIATE IT BECAUSE THEY ARE
NOT REQUIRED TO BE LICENSED
UNDER OUR STATUTES.
AND I'D BE HAPPY TO ANSWER ANY
QUESTIONS YOU MIGHT.
I THINK YOU WERE GONNA MOVE ON
TO.
MELANIE FUENTES RAINER SPECIAL
ASSISTANT TO THE ATTORNEY
GENERAL'S.
CALIFORNIA ATTORNEY JONES
OFFICE.
THINKING.
AND TODAY OVER BY A GENERAL
OVERVIEW OF THE TYPES OF CASES
ENFORCEMENT AUTHORITIES
UNDERTAKEN.
BY THE ATTORNEY GENERAL IN THE
DEPARTMENT JUSTICE.
THE DEPARTMENT WORKS PRIMARILY
INTO AREAS.
IN THE SUBSTANCE USE DISORDER
SYSTEM ONE IS OUR WORK FOR THE
DEPARTMENT HEALTH CARE SERVICES
THROUGH THE HEALTH EDUCATION AND
WELFARE SECTION.
AND THIS THE SECOND PRIMARY IS
THE OUR BUREAU OF MEDICAL FRAUD
AN ELDER ABUSE.
SECTION IN ADDITION THE AG HAS
BROAD AUTHORITIES A MUCH RICHER
WHICH COULD POTENTIALLY BE USED.
FOR ENFORCEMENT IN THE
SUBSTANCE USE DISORDER SYSTEM.
WHEN OUR PRIMARY ROLES IS OUR
WORK WITH THE DEPARTMENT HEALTH
CARE SERVICES.
YOU UP AS A SEED DCS IS THE
SOLE STATE AGENCY.
WHICH IS RESPONSIBLE FOR
LICENSING AND OVERSIGHT OF.
RESIDENTIAL CARE OF FACILITIES
WITH TWENTY FOUR HOUR
RESIDENTIAL CARE AND ALCOHOL AND
SUBSTANCE USE FACILITIES.
UNDER CALIFORNIA LAW YOU'RE NOT
ALLOWED TO OPERATE WITHOUT A
LICENSE.
OUR ROLE IS WHEN THE CASES ARE
REFERRED FROM D. H. CS TO OUR
HEALTH EDUCATION AND WELFARE
SECTION.
DCS PRIMARILY SEEKS TO STOP
PARTY'S FROM OPERATING I'M
WITHOUT A LICENSE.
TYPICALLY WE ASSIST IN THIS
PROCESS TWO WAYS FIRST DURING AN
INVESTIGATION THE DARK
DEPARTMENT JUSTICE CAN OBTAIN.
INSPECTION WARRANTS ON BEHALF OF
D. H. CS.
SECOND AFTER D. H. C. UHS
CONDUCTS AN INVESTIGATION OF AN
UNLICENSED FACILITY.
AND THEY DETERMINED THAT THE
FACILITY IS HOLDING THEM OUT TO
BE A TWENTY FOUR HOUR
RESIDENTIAL ALCOHOL AND DRUG
RECOVERY FACILITY DCS WILL SEND
A NOTICE OF VIOLATION TO THE
FACILITY.
AND AND URGING THE PROPERTY
OWNERS TO CEASE AND DESIST THE
UNLICENSED ACTIVITY.
AND IF THE PARTIES DO NOT CEASE
AND DESIST THE ACTIVITIES DCS
AND WORKS IN THE DEPARTMENT OF
JUSTICE TO STOP THE PARTIES WHO
PROVIDING THE SERVICES FURTHER.
IN THE PAST FIVE YEARS DECSS
REFERRED APPROXIMATELY THREE
CASES THE DEPARTMENT OF JUSTICE
REGARDING UNLICENSED ALCOHOL AND
DRUG ABUSE RECOVERY AND
TREATMENT FACILITIES.
CASES COME TO S. IF THE PARTIES
FAIL.
TINT TO ABIDE BY THE NOTICE OF
VIOLATION PRESENTED BY DEEP SEA
YES.
AND THIS IS TO BE DISTINGUISHED
AS THE COMPETITION SAID EARLY ON
SEPARATE LIVING FACILITIES WHICH
AS WE HAVE DISCUSSED SIR ARE NOT
LICENSE A PRIMARILY WE ENGAGE
WITH THOSE FACILITIES.
WITH DH YES WHEN THEY ARE
HOLDING THEMSELVES OUT TO BE
LICENSE ARE PROVIDING SERVICES
THAT ARE SUPPOSE TO BE LICENSE.
THE SECOND MAJOR PART OF THE
WORK HERE IS A PARAMEDIC HEALTH
FRAUD IN ELDER ABUSE OUR BUREAU
OF MEDICAL OLDER FRAUD ELDER
ABUSE IS THE STATE'S MEDICAID
FRAUD CONTROL UNITS.
ITS MISSION IS TO INVESTIGATE
AND PROSECUTE BOTH CRIMINALLY
AND CIVILLY MEDI CAL PROVIDER
FRAUD AN ELDER INDEPENDENT ABUSE.
D. H. YES IS RESPONSIBLE FOR
THE ADMINISTRATIVE AND FISCAL
OVERSIGHT OF THE DRUG MET
MEDICAL PROGRAM AS MY COLLEAGUES
TALKED ABOUT EARLIER. DH YES
REFERS CASES TO BE A MATH CA
INVOLVING FRAUD COMMITTED B
LICENSED PROVIDERS IN SUBSTANCE
USE DISORDER TREATMENT. THIS
INCLUDES FRAUDULENT BILLING FOR
COUNSELING AND SERVICES THAT
NEVER OCCURRED BILLING FOR
MEDICALLY UNNECESSARY SERVICES
KICKBACKS FOR LEGAL REFERRALS
FALSIFYING BILLICK FALSIFYING
BILLING RECORDS AS TO DIAGNOSES
OR TREATMENTS.
SINCE TWENTY THIRTEEN BE AN FDA
HAS INVESTIGATED AND PROSECUTED
OVER NINETY CASES REFERRED TO IT
BY DEEDS YES.
REGARDING FRAUD BYLICENSED
PROVIDERS RESULTING IN A HUNDRED
THREE CONVICTIONS AND OVER ONE
POINT TWO MILLION DOLLARS IN
LOST MEDICAL FUNDS RECOVERED
THUS FAR.
IBM FTA ALSO WORKS IN CASES WITH
SUBSTANCE USE DISORDER THAT ARE
NOT REFERRED BY D. H. CS.
AND WE HAVE A HOTLINE WHICH IS
ONE EIGHT HUNDRED SEVEN TWO TWO
ZERO FOUR THREE TWO.
AND WE WELCOME REFERRAL SEEKS
AND THAT THERE IS MISCONDUCT.
IN ADDITION AS A DISCUSS THE
ATTORNEY GENERAL HAS BROUGHT
AUTHORITIES.
GENERAL CONSTITUTIONAL
AUTHORITY TO ENSURE THE LIES
BEING UNIFORMLY AND ADEQUATELY
ENFORCED.
FURTHER HE HAS VERY SPECIFIC
STATUTORY AUTHORITY FOR EXAMPLE
THE CALIFORNIA UNFAIR
COMPETITION LAW.
FOR UNFAIR DECEPTIVE UNTRUE OR
MISLEADING ADVERTISING OR THE
STATE'S FALSE ADVERTISING LAW
WHICH PROHIBITS FALSE AN AD
FALLS IN MISS MISLEADING
ADVERTISING THIS IS SHARED WITH
OUR DISTRICT ATTORNEYS AT THE
LOCAL LEVEL.
IN ADDITION WE YOU KNOW WE HAVE
OUR UNDERGROUND ECONOMY UNIT AS
WELL AS OUR CHARITABLE TRUST
AUTHORITY WHEN THEY ARE
OPERATING AS A NONPROFIT ENTITY.
ARMS AS HE EXTENT THERE IS
MISCONDUCT OUR OFFICE.
DOES HAVE OTHER AUTHORITIES YOU
COULD POTENTIALLY USE.
WE HAVE THE PUBLIC INQUIRY UNIT
WHICH AGAIN WE HAVE A WEBSITE
OAG DOT CA DOT GO THIS BACKSLASH
REPORT.
AND IN THE EVENT THAT YOU ARE I
MEAN SOUND LIKE THERE ARE
REFERRALS WE WE WE WOULD WELCOME
THIS REFERRALS ARE OFF OUR
OFFICE DOES INVESTIGATE THEM ON
AN ONGOING BASIS WITH OUR SISTER
AGENCIES AS WELL AS OUR LOCAL
PARTNERS.
SO THANK YOU FOR HAVING HEARING
AND I WOULD BE HAPPY TO ANSWER
QUESTIONS THINK USE ANY
QUESTIONS YES.
BUT CENTER ROTH THEN CENTER PAN
AND THEN CENTER MONEY SO SERVICE
IN IRAQ.
PERSONALLY SAY I I'M SH BUT I AM
POSITIVE THAT ALL OF YOU WITHIN
YOUR RELATIVE AREAS OF AUTHORITY
YOU'RE DOING A FINE JOB IN.
REGULATING ENFORCING THE
STATUTES IN THE REGULATIONS THAT
WE HAVE IN PLACE.
THAT LED TO ONE OF THE ARTICLES
IN THE NEWSPAPER THAT I'M
NEWSPAPERS AND I AM.
HAVE THE PRIVILEGE OF READING.
ONE OF THEM WAS DETOX CAN END IN
DEATH AT SOME NON MEDICAL
SOUTHERN CALIFORNIA REEVES.
I'M A.
I'M NOT GONNA SPEAK TO THE
CITING OF THESE FACILITIES I'M
SURE THEY'RE DO YOU KNOW THE
PONY OF REASONS TO SPREAD THEM
OUT THE COMMUNITIES AND MAKE
SURE THAT WE HAVE COMMUNITY
BASED TREATMENTS ALL OVER THE
PLACE.
MY QUESTION IS THIS WHAT WHY
DOESN'T AND WHY SHOULDN'T THE
STATE EXERCISE MORE.
CONTROL OVER THE CARE PROVIDED
IN I GUESS WHAT I UNDERSTAND TO
BE.
PRIVATE PAY FACILITIES.
IN THE STATE OF CALIFORNIA.
AT WHAT IS IT SOMETHING WE NEED
TO DO.
HERE IN TERMS OF LEGISLATION TO
EMPOWER.
TO THE EXTENT THAT WE HAVEN'T.
GOVERNMENT AGENCIES TO.
TO INSPECT
AND AND TO TIPS HAVE SOME
EXERCISE SOME CONTROL OVER.
THE QUALITY OF CARE PROVIDED IN
SOMETHING OTHER THAN SOME OF A
SOBER LIVING FACILITY WHERE
PEOPLE COME TOGETHER TO TRY TO
HELP THEMSELVES AS I UNDERSTAND
IT.
STAY ON THE RIGHT TRACK.
IS THAT A FAIR QUESTION.
THERE AN ALL ARMED AND THEN I'LL
MAYBE TAKE THE FIRST.
TACT AND THEN I MIGHT DEFERRED
TO MERRILEES FOR SOME ADDITIONAL.
AND HELP ON THIS ONE SO WHEN WE
RECEIVE A COMPLAINT ABOUT A
FACILITY THAT IS LICENSE SO
WE'LL JUST STIPULATE THAT ALL
WE'RE TALKING ABOUT A LICENSE
FACILITIES. I'M SAY THERE IS A.
AND INAPPROPRIATE.
ADMISSION THAT RESULTS IN
SIGNIFICANT PATIENT HARM OR
PATIENT DEATH AND WE RECEIVE THE
COMPLAINT WE HAVE STAFF THAT.
TAKE THAT INFORMATION AND WE.
EITHER GO OUT ON SITE OR IF WE
SUSPECT THAT THERE ARE OTHER.
AGENCIES THAT NEED TO BE
INVOLVED IN AN INVESTIGATION
WOULD CERTAINLY REACH OUT TO OUR
STAFF TAKE THAT.
INITIAL INTAKE OF INFORMATION
WE WILL GO OUT WILL CONDUCT AN
INVESTIGATION IF THE FACILITY.
.
HAS SOMETHING THAT WE KNOW TO BE
A DEFICIENCY ITEM WE WILL WRITE
UP A CORRECTIVE ACTION PLAN AS
YOU WOULD WITH ANY OTHER KIND OF
LICENSE FACILITY CRACKED AND. WE
WILL GIVE IT TO THEM AND SAY
WE'VE NOTICED YOU FOR A
DEFICIENCY WE NEED TO SEE A
CORRECTIVE ACTION PLAN AND THEN
WE WOULD BE WORKING TO MONITOR.
AND MAKE SURE THAT THEY ACTUALLY
CORRECTED THE.
PROBLEM WE HAVE.
.
WE HAVE FACILITIES WHERE WE HAVE
GONE OUT TO INVESTIGATE.
ADVERSE EVENTS OR AND
SIGNIFICANT PATIENT HARM AND WE
HAVE EITHER REVOKED THE LICENSE
OR WE HAVE TAKEN AND I'M PRETTY
SIGNIFICANT PUNITIVE ACTION AND
I CAN. LET MERRILEES KIND OF
TALK IRREGULAR THAT RIGHT OKAY
GOOD.
AND THEN SHE CAN TALK MORE
ABOUT WHAT WE DO SO KIND OF
ENSURE THAT THERE IS QUALITY
WITH AND. YOU KNOW BOTH STAFF
SEEN AS WELL AS.
APPROPRIATE TREATMENT AND
TRIAGE OF PATIENTS THAT ARE
EITHER SEEKING OR NEEDING
ADDITIONAL MEDICAL CARE.
I'M I THINK I'M MISTER SIMILAR
REFERENCE TO IN HIS.
QUESTION ANSWER WITH YOU.
THE ONLY PAGE AND.
CASE IN WHICH THERE REALLY IS
I'M MEDICAL.
OVERSIGHT REQUIRED AND I DIDN'T
KNOW THIS BEFORE I ACTUALLY HAD
THIS JOB WAS I'M PEOPLE CAN DIE
FROM ALCOHOL WITHDRAWAL. AND
THAT REALLY DOES REQUIRE A MUCH
MORE SIGNIFICANT MEDICAL
OVERSIGHT AND WHICH YOU ARE YOU
YOU SHOULD BE EN A CHEMICAL
DEPENDENCY RECOVERY HOSPITAL OR
AN ACUTE GENERAL CARE. HOSPITAL
SETTING WHICH IS NOT LICENSED BY
US RIGHT LICENSE BY THE
DEPARTMENT PUBLIC HEALTH BECAUSE
IT IS A. MEDICAL FACILITY DETOX
AROUND OTHER SUBSTANCES.
MAKES YOU FEEL REALLY REALLY
BAD.
YOU CAN HAVE SOME NEGATIVE.
HEALTH FROM COMPLICATIONS BUT
THE RISK OF.
DEATH.
IS MUCH.
LESS LIKELY IN THOSE TYPES OF
SITUATIONS AND SO ON. ANY GOOD
FACILITY IF YOU HAVE SOMEONE
THAT IS DEALING WITH AN ALCOHOL
WITHDRAWAL SHOULD AND COULD BE
MAKING THAT PERSON.
PLACED INTO IT MORE HIGHER
LEVEL I'M SUBSTANTIVE MEDICAL
FACILITY.
AND ANYTHING ELSE YOU WANNA AT.
I THINK THE ONLY THING I WOULD
WANT TO ADD IS.
WITH OTHER TESTIMONIES HERE AND
THE CASE THAT WAS REFERRED TO
I'M CRLA. I'M SO WE'RE ALL
ACTING LIKE YOU STATED WITHIN
THE AUTHORITY THAT WE HAVE SO
VILE THE INVESTIGATION WAS
OCCURRING WITH THE DEPARTMENT
INSURANCE DH CS WAS ALSO DOING
AN INVESTIGATION. BASED ON
UNLICENSED ACTIVITY WE WERE
WORKING WITH THE ATTORNEY
GENERAL'S OFFICE THEY HELPED US
GET INJUNCTIONS FOR ALL OF THE
SITES THAT WERE MENTIONED. WE
WENT OUT TO SEE IF LICENSABLE
SERVICES WERE OCCURRING THEY
WORE SO THEN WE WENT BACK WE
ISSUED THE NOTICES OF VIOLATION.
WE WORK TOGETHER WITH THE LOCAL
LAW ENFORCEMENT ARE WE WORK WITH
THE FBI DEPARTMENT INSURANCE
THEY LET OUT ON THE
INVESTIGATION WE ALL WENT OUT
TOGETHER WE SERVE. OUR THIRTY
THEY TOOK CARE OF THEIR PIECE ON
WE WILL WORK. COLLABORATIVELY
TOGETHER BECAUSE I'M SURE IF
YOU'RE JUST REALLY LEARNING
ABOUT THIS ISSUE IT HAS MULTIPLE
LIKES TO IT.
AND SO I THINK IT AN ANSWER TO
YOUR QUESTION YES I I FEEL LIKE
IN WORKING WITH OUR PARTNERS
HERE AT THE TABLE WE ARE
EXERCISING THE AUTHORITIES THAT
WE HAVE.
BUT AT THE SAME TIME THERE HAS
BEEN SUCH AN EXPLOSION OF
ACTIVITY AND THEN THERE IS THE
ISSUE OF THE SOBRE LET THINGS.
THAT ARE NOT OVERSEEN AND SO
SOME OF THE ARTICLES THAT YOU'RE
REFERRING TO THERE'S A LOT OF
CONFUSION. AND MIXING LICENSED
RESIDENTIAL FACILITIES.
AND SOBRE LIVING ENVIRONMENTS
THAT AREN'T OVERWHELMING ONLY BE
MORE SPECIFIC IN THAT IN A
PARTICULAR NEWS ARTICLE THIS IS
A TWO THOUSAND ELEVEN SITE TO A
CASE WHERE A YOUNG MAN TWENTY.
A SUFFERS A HEART ATTACK AND
DIES WHILE UNDERGOING TREATMENT
FOR BULIMIA ALCOHOLISM AT A
PARTICULAR FACILITY WHICH IS.
DESCRIBE IS A NON MEDICAL DETOX
CENTER IN SOUTHERN CALIFORNIA.
SO I GUESS MY AND I'M I'M NOT I
KNOW SO LITTLE ABOUT THIS AND
I'M NOT SURE I CAN PUT TOGETHER
AN ARTICULATE QUESTION BUT I'M
GONNA TRY COULD STICK TOLD ME IN
LAW SCHOOL WERE NOT SUPPOSED TO.
SPEECHES BUT ASK QUESTIONS.
SHOULD THERE NOT BE A SET OF
STANDARDS FOR THESE FACILITIES
THAT ARE. NON MEDICAL DETOX
DISABILITIES RECOGNIZING THAT.
ALCOHOLISM IN DETOX MAY REQUIRE
ACUTE CARE FACILITIES WHATEVER
BUT THE DRUG DEEP BAD DRUG OF
DETOXIFICATION CAN BE SLIGHTLY
DIFFERENT BUT SHOULDN'T THERE BE
A SET OF STANDARDS THAT WE SET
AND THEN INSPECT TO.
WHERE FACILITIES ARE REQUIRED TO
TRIAGE A CASE
TO HAVE MEDICAL INSPECTION OF
INDIVIDUALS BEFORE THEY ADMIT TO
DETERMINE OR DISCOVER WHETHER
SOMEONE HAS A PRE EXISTING HEART
CONDITION OR SOME OTHER MEDICAL
CONDITION? THAT PUTS THEM IN
HIGH RISK.
AND IF THEY DON'T WE COMMEND AS
A STATE AND SAY BAN YOU YOU'RE
OUT OF BUSINESS.
BECAUSE. IF WE DON'T SET THE
STANDARDS AND WE DON'T INSPECTED
THE STANDARDS AND WE.
WE RUN A COMPLAINT BASED.
OPERATION WHERE IF THERE'S A
REASON LEAST BECAUSE N THE
HOSPITAL BUSINESSES SEMINAL.
INCIDENT OR SOMETHING ANYWAY IT
SEEMS THAT IT.
SENTINEL INCIDENT OF A SUB
STERLING NESS.
WHERE WE LAUNCHER INSPECTION
TEAM AND THEN GO OUT AND YOU
KNOW THE TWENTY FOUR HOUR
WHATEVER THE RULE IS?
IF IF THAT'S HOW WE BASE OUR
ENFORCEMENT SCHEME THEN WHAT
HAPPENS WHEN THERE'S NO
COMPLAINT AND HOW MANY PEOPLE
DROP THROUGH THE CRACKS IN. HAVE
HEART A TEXAN AND DIE SUB
SHOULDN'T WE CHANGE.
AND I REALLY HUMAN OF A THIRTY
TO DO IT BUT IT'S UP TO US BUT
SHOULD WE CHANGE OUR. OUR OUR
SYSTEM HERE'S TO TRY TO REACH
THESE PIPE PRIVATE PAY
FACILITIES THE IN THESE NON
MEDICAL.
DETOX FACILITIES TO SAY HEY.
IT'S NOT SUFFICIENT BUT YOU
LABEL YOURSELF AS DRUG DETOX AND
WE UNDERSTAND IT'S LOW RISK WELL.
YOU KNOW LOW RISK IS NOT NO RISK.
AND THESE
NEWS ARTICLES HAVE TO STOP.
DON'T THINK.
I WOULD AGREE AYE AYE FOR
LICENSED FACILITIES WE DON'T
JUST WORK ON A COMPLAINT ONLY
BASIS SO IT'S NOT A LICENSE AND
WE NEVER SEE YOU AGAIN. WE
LICENSE THEM AND WE VISIT PASSED
AT LEAST EVERY TWO YEARS AND SO
IN ADDITION TO RECEIVING
COMPLAINTS THAT MAY BRING OUR
STAFF OUT TO DO A COMPLAIN
VESTED NATION. WE'RE ALSO GOING
BACK OUT TO EVERY SINGLE ONE OF
OUR LICENSED FACILITIES EVERY
TWO YEARS ON A REGULAR BASIS
MEDICINE NONMEDICAL DETOX
DISABILITY FOR EXAMPLE.
WHEN YOU GO DO YOU PULL FILE OF
FILED A PATIENT.
AND DISSIPATION FILE HAVE TO
HAVE A MEDICAL A MEDICAL
PHYSICAL MEDICAL CLEARANCE.
PARTICIPATE IN A DETOX PROGRAM
SO RECENTLY THAT.
LEGISLATURE APPROVED AND EIGHTY
EIGHT FORTY EIGHT WHICH ALLOWS
AND O'DONNELL MEDICAL SERVICES
IN RESIDENTIAL FACILITIES SO
WHAT YOU'RE DESCRIBING I'M
DESCRIBING RIGHT NOW. ACTUALLY
JUST STARTED TO BE IMPLEMENTED
IN RESIDENTIAL FACILITIES THAT
SMALL
TERRY IT'S.
TORY BUT FACILITIES THAT HAVE
THIS DESIGNATION ON THEIR
RESIDENTIAL LICENSE EVERYTHING
YOU'RE TALKING ABOUT OCCURS
THERE'S.
THERE HAS TO BE A PHYSICAL ALL
THEY HAVE TO BE SURE THAT THAT
PATIENT CAN BE THERE AT THE
FACILITY THERE IS I'M. A
PHYSICIAN OR HEALTH CARE
PRACTITIONER DOESN'T ASSESSMENT
TO SEE WHAT OTHER KINDA NEEDS
THEY HAVE THAT CAN HELP OF
THROUGH THE DETOX PROCESS
BECAUSE PRIOR TO THIS
LEGISLATION. ALL RESIDENTIAL
FACILITIES WERE NON MEDICAL
WOULD YOU SAY THAT IT'S
VOLUNTARY AND IT'S A VOLUNTARY
DESIGNATION BUT SHOULDN'T WE
MAKE IT MANDATORY.
WHEN SOMEONE DISK SAID THAT. BUT
I'M CERTAINLY NO EXPERT THAT.
DRUG DETOXIFICATION IS RATHER
LOW RISK BUT THERE ARE
SITUATIONS WHERE RISK CAN OCCUR
I'M NOT A PHYSICIAN NOWHERE
CLOSE TO IT BUT. WHY WOULDN'T WE
REQUIRE IN THAT CIRCUMSTANCE
WHERE WE'RE GOING TO ALLOW A NON
MEDICAL DETOX FACILITY TO EXIST
IN THE STATE OF CALIFORNIA?
ADVERTISE BILL INSURANCE
COMPANIES AND COLLECT MONEY
PRESUMABLY TO PROVIDE A SERVICE
HOPEFULLY IN A SAFE MANNER WHY
WOULDN'T WE REQUIRE THEM TO.
SO NOT CAN HAVE A DOCTOR ON THE
PREMISES IN THE TREATMENT CARE
IS NOT GONNA BE SUPERVISED BY A
HEALTHCARE PROVIDER AND
PHYSICIANS OR PHYSICIAN
EQUIVALENT. BUT WHEN WE REQUIRE
PHYSICAL IN SOME MEDICAL
CLEARANCE BEFORE. ENTERING THE
PROGRAM AND NOT ALLOW IT TO BE.
OF LOCAL OPTION.
BUT CERTAINLY SOMETHING THAT THE
LEGISLATURE CAN CONSIDER SO.
LEGISLATION THAT MY LEASE WAS
REFERRING TO WAS.
AB FORTY EIGHT BY MISTER STONE
PROGRAM UP BEING CRITICAL DIDN'T
KNOW AND I KNOW.
SO I WAS CERTAINLY.
IT WAS TWO YEARS AGO THAT THAT
BILL WAS.
NEGOTIATED AND SIGNED BY THE
GOVERNOR I THINK THAT THAT IS
ALWAYS.
SOMETHING I THINK AS AGAIN AS
WE CONTINUE TO EITHER SEE THE
EXPANSION OF SERVICES IN
CALIFORNIA OR. IN SOME CASES.
.
THE.
WE BECOME MORE AWARE OF KIND OF
SYSTEMIC ISSUES WITHIN THE
DELIVERY SYSTEM MORE BROADLY I
THINK THAT THAT'S SOMETHING THAT.
IS CERTAINLY.
.
A GOOD PLACE FOR THE LEGISLATURE
TO LOOK AND SAY THAT WAS
LEGISLATION THAT MADE HEADWAY IN
TERMS OF MAKING THE SERVICE.
AVAILABLE TO FACILITIES THAT
CHOOSE TO MAKE IT AVAILABLE AND
THEN I THINK THAT'S A QUESTION
THAT POLICYMAKERS SHOULD LOOK AT
AND CONSIDER AND WE'RE ALWAYS
HAPPY TO BE. A PART OF THE
CONVERSATION WHICH IS SHOULD BE
MANDATORY OR VOLUNTARY ON THE
BILL THAT WAS SIGNED BY THE
GOVERNOR SAID IT'S VOLUNTARY SO
FOR NOW IT THAT'S WHAT IT IS BUT
I THINK THAT'S SOMETHING THAT
CAN CERTAINLY BE CONSIDERED.
MATURE FEW WINDOWS ME ONE ONE
QUICK FOLLOW UP HERE AND THEN
WHEN YOU HAVE A QUESTION ON
INSURANCE.
THEN LET ME JUST MAKE SURE I
UNDERSTAND SO.
TWO WE LICENSE EVERYTHING OTHER
THAN SOBER LIVING FACILITIES
WHETHER IT'S PRIVATE PAY OR.
MEDI CAL.
RIGHT SO WE LICENSE ALL
RESIDENTIAL TREATMENT FACILITY
OKAY AND THEN I'M ONES THAT ARE
PROVIDING SERVICES TO MEDICARE
BENEFICIARIES ARE CERTIFIED
SERVE GOOD. WILHELMINA'S CAN
INSURANCE QUESTION HERE.
.
BECAUSE I'M I'M OBSERVER
BOTHERED BY THIS SAME READ
NEWSPAPER ARTICLES WERE. URINE
TESTS ARE FOUR HUNDRED TO
FIFTEEN HUNDRED DOLLARS THAT'S
WHAT THE CHARGES ANYWAY.
IN THIS BUSINESS.
ARE THERE NOT BILLING CODES IS
THERE NOT SOME.
STANDARD.
BILLING STANDARD OR OR OR
BILLING CHARGED IT'S.
ACCEPTABLE IN THE INDUSTRY FOR
THIS TYPE OF.
WELL ACTIVITY ARI CAN YOU JUST
SUBMIT A BILL ONE.
AND HOPE YOU GET PAID HOW DOES
THAT WORK.
CHAU WHEN AT A PATIENT.
USES THEIR INSURANCE AT A
PARTICULAR PROVIDER IF THAT IN
FIGHTER IS IN THE NETWORK WITH
THE INSURER THAN THEY HAVE AN
AGREED UPON RATE FOR EACH
SERVICE.
AHEAD OF TIME.
WHEN IN IN THE SITUATIONS BIRD
LARGELY TALKING ABOUT TODAY IT
IS COMMON FOR THE PATIENT TO BE
USING A PPO AND USING THEIR OUT
OF NETWORK COVERAGE WHERE
THERE'S NO CONTRACT BETWEEN THE
INSURER IN THE OUT OF NETWORK
PROVIDER.
IT IS VERY COMMON FOR THE
CONTRACT BETWEEN THE POLICY
HOLDER AND THE INSURER TO SAY IF
YOU GO OUT OF NETWORK WE WILL
PAY.
THE AVERAGE CONTRACTED RATE THAT
WE USE FOR OUR PROVIDERS IN THIS
AREA OR WILL PAY.
A HUNDRED AND EIGHTY PERCENT OF
THE MEDICARE RATE THEY HAVE
SOMETHING IN THE CONTRACT THAT
INDICATES IF YOU GO OUT OF
NETWORK WHAT WOULD BE PAID.
THERE HAVE BEEN RARE INSTANCES
THAT BUT THOUGH THEN BECOME VERY
EXPENSIVE WHERE AN INSURER WOULD
HAVE SOMETHING IN THEIR CONTRACT
THAT SAID.
IF YOU GO OUT OF NETWORK AND
THERE'S NO MEDICARE RATE THEN
WILL PAY TAX PERCENT OF BILLED
CHARGES.
AND THAT'S WHEN YOU CAN GET INTO
REAL PROBLEMS BECAUSE THE AND
THERE'S NO LIMIT ON WHAT THE
PROVIDER.
CAN CHARGE AND BE PAID EXPERTS
AND OF THOSE BILL CHARGES AND
THAT IS AN AREA WHERE YOU KNOW
THE LEGISLATURE COULD CERTAINLY
DECIDE WHETHER IT WOULD BE
APPROPRIATE. TO WEIGH IN ABOUT.
IF THERE'S SOME LEVEL OF.
CHARGE FOR A PARTICULAR SERVICE
LETTUCE.
BEYOND WHAT SHOULD BE PERMITTED
THANK YOU AND THANK YOU MISTER
CHAIR FOR YOUR PATIENCE I
BELIEVE SENATOR PAN HAD A
QUESTION THEN WE'RE GOING TO SET
OUR MONEY. ISOLATE US SO THANK
YOU SO VERY MUCH FOR YOUR
PRESENTATION SOME.
HE. STRUCK OUT SWUNG ASKING THE
TERMS OF FIVE UNIT WITH
APARTMENT INSURANCE.
.
MONIQUE IN TERMS OF FOR
POTENTIAL FRAUD OR OTHER TYPES
OF THINGS.
IT.
IN TERMS OF THOUGHT OF THE PART
OF SHARON'S YOU KNOW WE HAVE LOT
OF HEALTH BHOSLE PLANS COVERED
BY DE ME SEE EACH MASSIVE FOURTH
SO WHEN YOU'RE TALKING.
WE HAVE SEVEN HUNDRED AND IT'S
NOT JUST.
THE ALBUM SUBSTANCE ABUSE THAT
YOU'RE TALKING ABOUT. IS THE
GIST OF IT ARE YOU JUST TALKING
ABOUT THE.
THE ENTITIES IN WHICH YOU
DIRECTLY REGULATE OR WHAT
HAPPENS IF SOMEONE COMMITS FRAUD
IT'S NOT A HEALTH PLAN THAT YOUR
REGULAR EXISTS NOT A PPO
WHATEVER IT'S.
HMO IT'S A DEBATE SEE REGULATE
SO BITES Y. CLARIFY YOUR
TESTIMONY YOU'RE TALKING JUST
ABOUT THIS IS IT JUST THE PLANS
THAT YOU THAT THE ALLIES
REGULATING DIRECTLY.
YES BUT NOT QUITE AND.
THE MAJOR HEALTH INSURERS IN
CALIFORNIA ALSO HEALTH HAVE
HEALTH CARE SERVICE PLANS THAT
ARE REGULATED BY THE DEPARTMENT
MANAGED HEALTH CARE. IF THEY
COME TO IF ONE OF THOSE MAJOR
HEALTH INSURERS OR ONE OF THE
SMALLER HEALTH INSURERS COMES
WITH WITH THE COMPLAINT.
ABOUT POTENTIAL INSURANCE FRAUD
THEY PROBABLY HAVE.
BILLINGS FROM PATIENTS BOTH IN
THERE PPO PRODUCTS AND THEIR HMO
PRODUCTS SO THAT WE MIGHT FOR.
AS WE'RE DOING OUR
INVESTIGATION FOUGHT IN BOTH
SPACES WE ARE CERTAINLY NOT
CHARGED WITH LOOKING.
AT MEDI CAL FRAUD.
AGAIN IF WE FOUND THAT AS WE
WERE DOING AN INVESTIGATION THEN
WE WOULD WORK WITH THE
DEPARTMENT OF HEALTH CARE
SERVICES OR OTHER APPROPRIATE
ENTITIES.
TO LET THEM KNOW WHAT WAS GOING
ON IN THAT SPACE OKAY BUT I'M
JUST TO CLARIFY.
YOU SAID CERTAINLY YOU CAN HAVE
A PLAN RDF MODEL PRODUCTS SOME
THEIR DEBATES SEE SOME THERE DO
Y.. IF.
IT'S STILL I WASN'T INVOLVED IN
REGULATING DENSITY THAT WERE
FIRST THE FRYER ALL WITH THE EYE
STILL BE INVOLVED OR WAS THAT
DEBATE SEE.
I'M SOMEONE COULD COME TO US
WITH A COMPLAINT BUT IF IT IS
SOLELY HEALTH CARE SERVICE PLAN
THEY WOULD LIKELY GOOD IMAGE THE
OKAY SO SO YOU WOULD NOT THEN BE
I MEAN. PERHAPS THE ATTORNEY
GENERAL IT AND WE WILL HAVE
DEBATE SEE HERE SO WE CAN ASK
ABOUT THAT BUT. OKAY I JUST WANT
TO CLARIFY THAT YOUR QUESTION
WOULD BE AND AGAIN I'D THE TERMS
OF ENFORCEMENT MAYBE IT'S OUT OF
SEE WHY ARE. ARTISTS IT GETS
TREATED ATTORNEY GENERAL.
IF SOMEONE OPERATES A FACILITY
AND.
IT'S A OUT OF STATE PLAN.
RIGHT SO STILL THE SAID SUPPOSE
SOMEONE. BROUGHT SOMEONE FROM
NEVADA ARE SOME OTHER STATE TO
CALIFORNIA RIGHT THERE
RECRUITING PATIENTS.
AND I COME OVER AND THEY SANTA
FOR HEALTH PLAN THAT'S COULD BE
A SIGN UP FOR HEALTH PLAN THAT'S
NOT LICENSED IN CALIFORNIA AND
AND HAVE THEM BILL AND BUT HAD
DELIVERED SERVICE IN CALIFORNIA.
SO.
IF SOMEBODY IS INSURED BY A PLAN
OUTSIDE OF CALIFORNIA. RIGHT.
LAPLAND OUTSIDE OF CALIFORNIA
WOULDN'T BE TERRIBLY LIKELY TO
COVER SERVICES IN CALIFORNIA
THEY WOULD PROBABLY RESTRICT THE
PATIENT GOING. TO ANNA WITHIN
THEIR NETWORK OR EVEN OUT OF
NETWORK WITHIN THEIR STATE WOULD
BE A COMMON RESTRICTION AND NOT
THE POLICY HOLDERS CONTRACT.
OKAY BUT WE WOULD BE MORE LIKELY
TO SEE IN WHAT WAS MENTIONED
EARLIER IS SOMEONE WHO LIVES
OUTSIDE OF CALIFORNIA BEING AND
CURLY COURAGE TO COME TO
CALIFORNIA TO SIGN UP FOR HEALTH
INSURANCE AND IN CALIFORNIA FOR
WHICH THEY'RE NOT ACTUALLY
ELIGIBLE BECAUSE THEY'RE NOT A
RESIDENT.
OFFERING A AND THEN SEEKING
SERVICES IN CALIFORNIA OKAY I
JUST WANT TO CLARIFY MIGHT HEARD
STORIES ABOUT ACTUALLY IN
FLORIDA CERTAIN PARTS FLORIDA
WHERE THEY HAVE A LOT OF.
TREATMENT FACILITIES.
WHERE'D HER BRAIN PATIENTS FROM
ALL OVER THE COUNTRY AND SO I
THINK HAT ALSO SPEAKS TO THE
IMPORTANCE OF.
AT THE FEDERAL LEVEL NOT
LETTING PEOPLE CROSS STATE LINES.
WITHOUT A HELL.
IN TERMS OF SPRING TO HEALTH
INSURANCE BECAUSE THEN DO WE
HAVE TO DAN APPEAL TO A.
INSURANCE COMMISSIONER AND OTHER
STATE FOR SOMEONE WHO'S GETTING
TREATED IN OUR STATE SO
OBVIOUSLY THAT'S HOPEFULLY HAVES
AND HAVE.
WELL AND THERE ARE TIME
SO WHEN.
A AN OWNER OF A FACILITY THAT'S
IN CALIFORNIA OWNS FACILITIES
OUTSIDE OF CALIFORNIA AND BOTH
ARE BEING IN.
EDUCATED.
BY THE RESPECTIVE DEPARTMENT OF
INSURANCE AND THEN THE COURT.
OKAY.
AND THEN THE OTHER QUESTION
ACTUALLY I'M FOR.
DTS IS YOUR LICENSING THESE
FACILITIES.
.-YES CERTAINLY I UNDERSTAND OF
SOME CONFUSION FOR SOME PEOPLE
ABOUT YOU KNOW IS IT LICENSED OR
NOT IT IS A SOBER LIVING WHICH
ISN'T LICENSE OF WORK BUT. ABOUT
WHAT KIND OF PROACTIVE
ACTIVITIES ARE WE DOING TO
IDENTIFY PEOPLE MAY BE OPERATING
WITHOUT A LICENSE SHOULD BE
LICENSED ARE WE MONITORING.
ADVERTISING.
A FOURTH TO
DO WE KNOW TO EXTEND THAT
SOMEONE MAY ACTUALLY OPERATING
AT. A IN ENTITY THAT SHOULD BE
LICENSED BUT PERHAPS FOR SOME
REASON. MAY BE SEVERAL REASONS
WHY THEY MAY NOT WANT TO BE IT
LICENSE STAR THE GAS OF WHAT WE
KNOW THE SCOPE OF THAT I MEAN WE
HAD WE KNOW THERE'S PEOPLE MAYBE.
FILING COMPLAINTS OR CONFUSED
WHETHER A PERSON SHOULD BE
LICENSE OR NOT JOE PUBLIC MAY
NOT KNOW. BUT WE KNOW TO THE
EXTENT THAT THERE ARE FACILITIES
THAT.
SHOULD BE LICENSE BUT PERHAPS
FOR SOME REASON.
DO NOT SEEK LICENSURE.
YES SO WE ALSO A THE DEPARTMENT
HAVE THE AUTHORITY TO
INVESTIGATE UNLICENSED
COMPLAINTS AND WE DO EXACTLY
WHAT YOU'RE TALKING ABOUT WE DO
SOME PROACTIVE OF. NO LOOKING AT
WEBSITES WE RECEIVE.
QUITE A FEW UNLICENSED
COMPLAINT SOMETIMES IT IS A
LITTLE CONFUSING FOR THE PUBLIC
OR WHOEVER IS FILING THE
COMPLAINT.
BECAUSE IT MAY JUST ACTUALLY BE
A SOBER LIVING AND NOT REALLY
LICENSABLE SERVICES A BUT WE DO
HAVE THE AUTHORITY TO GO OUT AND
INVESTIGATE. NOW FOR UNLICENSED
INVESTIGATIONS IF THEY DON'T
ALLOW US ENTRANCE ON THE
PROPERTIES THAT THEY DON'T HAVE
A LICENSE FOR US WE HAVE TO THEN
WORK WITH THE ATTORNEY GENERAL'S
OFFICE.
MAY GET THE INJUNCTION AND THEN
WE WILL GO BACK OUT AND WE HAVE
OVER THE LAST TIME. BUT FIVE
YEARS ISSUED OVER SEVENTY
NOTICES OF OPERATING WITHOUT A
LICENSE SO THE UNLICENSED ISSUE
HAS RISEN. OVER THE LAST FEW
YEARS.
BUT SO YEAH WE HAVE THE
AUTHORITY TO TAKE THE ACTION WE
GO OUT TO THEM DESTINATIONS AND
THEN WORK WITH THE ATTORNEY
GENERAL'S OFFICE IF WE NEED TO
GO FURTHER ITH LITIGATION. OKAY
SO TO SAYING.
IN THE PAST YEAR SEVEN SENTRY SS
OF THE SCOPE OF THE SIZE OF THE
PROBLEM.
OKAY AND.
WHEN IT COMES OKAY.
ALRIGHT AND AND.
.
TYPE ALL LEAVE IT THAT THANK YOU.
THEIR MONEY.
THANK YOU MISTER CHAIRMAN. WANT
TO THANK ALL OF YOU YOUR
RESPECTIVE DEPARTMENTS FOR FOR
YOUR WORK.
SO WITH THE EXPANSION OF NEED
AND THE EXPANSION OF SERVICES
AND.
THE WAIVER PROVIDING.
REIMBURSEMENT.
IN A MANNER THAT WASN'T
PROVIDED BEFORE.
DO YOUR RESPECTIVE DEPARTMENTS
HAVE SUFFICIENT RESOURCES FOR
YOUR ENFORCEMENT NAM.
OBLIGATIONS.
AS IT PERTAINS TO THOUGH WAIVER
AND THE BUDGET IN THE THE
CURRENT FISCAL YEAR THAT WE'RE
IN THE LEGISLATURE AND THE
ADMINISTRATION PROVIDED
ADDITIONAL LICENSING I RESOURCES
TO MY LEASES DIVISION. I'M
REALLY TO KIND OF ADDRESS A LOT
OF THE.
INCREASE IN APPLICATIONS RIGHT
FROM PEOPLE THAT HAVE BEEN I'M
SEEKING LICENSURE AND THERE WAS
I'M SPECIFIC ACCOMMODATIONS MADE
FOR AND LOS ANGELES COUNTY JUST
GIVEN THE SIZE. I'M ALSO. I LOS
ANGELES COUNTY CAME ONLINE AS A
WAIVER I COUNTY AND ON JULY
FIRST.
I'M WHICH WAS EXTRAORDINARILY
SIGNIFICANT FOR A LOT OF REASONS
RIGHT IT'S A BIG.
PORTION OF THE STATE'S
POPULATION THERE'S A LOT OF NEED
THERE BUT THE COUNTY ITSELF WAS
REALLY CONCERNED THAT.
BEFORE THEY COULD GO IN
CONTRACT WITH CERTAIN FACILITIES
AND PROVIDERS THEY NEEDED TO BE
BOTH LICENSED BY US AS WELL AS
CERTIFIED AND THE TIME FRAME.
FOR THAT WAS.
WAS A CONCERN AND SO WE WORKS
ON THROUGH THE BUDGET PROCESS
THIS YEAR TO SECURE ADDITIONAL
RESOURCES AND TO THE EXTENT THAT
I'M.
NOT AWARE OF EITHER COMPLAINTS
OR ISSUES AROUND THE KIND OF
TIMELY PROCESSING OF THOSE I
THINK WE'VE WE'VE BEEN STAYING
UP ON THAT.
THANK YOU AND.
OTHER FIRMS BUT THERE ARE
CERTAINLY AS WITH ANY DEPARTMENT
RESOURCE CONSTRAINTS.
GIVEN THE NUMBER OF REFERRALS
WE GET FROM HEALTH INSURERS AND
OTHERS OF SUSPECTED FRAUD WE
INVESTIGATE MANY OF THEM BUT
THERE ARE CASES THAT ARE CLOSED
WHERE WE DON'T HAVE THE
RESOURCES TO DEDICATE TO THEM TO
PER.
FURTHER.
IN PERHAPS IN FOLLOW UP ON.
GIVING THE LEGISLATURE SOME
SENSE OF WHAT. WHAT THAT SHORT
PHONE IN ENFORCEMENT CAPACITY
RESPONSE TIME?
WOULD BE IMPORTANT AGAIN WITH
THE. PUBLIC SAFETY AND
PROTECTION OF.
PATIENTS CLIENTS ANNA WOULD BE
SOME OF THE OTHER TWO AGENCIES.
SO I WOULD SAY FROM OUR BUREAU
OF MEDICAL FRAUD ELDER ABUSE.
THEY GET FUNDS FROM FEDERAL
DOLLARS RIGHT BECAUSE IT'S PART
OF THAT.
MEDICAID FRAUD CONTROL UNIT.
.
BUT I WOULD SAY WITH AGES
BROADER AUTHORITIES SUCH THAT WE
WANTED TO LOOK INTO FRAUDULENT
OR DECEPTIVE PRACTICES RIGHT
THERE ARE OBVIOUSLY RESEARCH CAN
CHANGE BECAUSE THAT IS NOT JUST
FORCE ABILITY FACILITIES THAT IS
FOR. EVERY FRAUDULENT OR
DECEPTIVE PRACTICE ACROSS THE
STATE OF CALIFORNIA.
AND CERTAINLY WORK WITH OUR
LOCAL PARTNERS IN OUR SISTER
AGENCIES.
AD IN CERTAIN INSTANCES IT IS
MORE APPROPRIATE FOR LOCAL SEGOE
WHEN.
HOWEVER THERE ARE INSTANCES
REDUCE STATEWIDE RIGHT MAYBE
MORE APPROPRIATELY TRAINED AT
ALL TO GO IN AND AND I DO THINK
THAT.
WE WOULD ALWAYS WELCOME
CONVERSATION UP RESOURCES.
THINKING ON SOCIAL SERVICES M.
FROM SOCIAL SERVICES AGAIN WE
DON'T WELL THEN WE TO REGULATE
THAT.
THE TREATMENT FACILITY SO THAT
ARE SOARING QUESTION HERE AND WE
HAVE RECEIVED SOME RESOURCES
OVER THE LAST COUPLE OF YEARS
THROUGH THE BUDGET PROCESS.
TO INCREASE OUR FREQUENCY OF
INSPECTIONS WHICH HELPS US VERY
MUCH GET OUT INTO FACILITIES
MORE FREQUENTLY THAN WE WERE
PREVIOUSLY WHICH REALLY HELPS US
WITH PROACTIVELY AND DETERMINING
WHETHER OR NOT THEIR CONDITIONS
ARE CONCERNS.
BEFORE BAD THINGS HAPPEN. THAT
IS REALLY HELPED AND SO WE ARE
NOW IN THE.
FOURTH YEAR OF A FIVE YEAR
PROGRAM TO INCREASE THE
FREQUENCY OF INSPECTION IN.
RESIDENTIAL CARE FACILITIES FOR
THE ELDERLY WE WILL END UP
ANNUAL INSPECTIONS AND.
EVERY TWO YEARS FOR CHILDREN'S
RESIDENTIAL AND OUR.
CHILD CARE FACILITIES AND OTHER
TYPES OF FACILITIES OR EVERY
THREE YEARS SO WE ARE ALMOST AT
THAT TWO YEAR WHERE I HAPPENED
REACHING THE TO YOUR POINT BY
THE END OF THIS YEAR. AND IN THE
FOLLOWING YEAR WILL GET TO ONE
YEAR AND THE LEGISLATURE HAS HAS
PROVIDED US RESOURCES ALSO
PROVIDED US RESOURCES FOR
HELPING US DEAL WITH SOME OF OUR
COMPLAINT.
INVESTIGATION BACKLOGS ON WHICH
A BEEN VERY HELPFUL.
THINKING AND THEN.
I MIGHT MISTER CHAIRED ANOTHER
QUESTION I THINK FROM MISS CAN'T.
.
SO IN TERMS OF.
WHAT PROMPTS?
IN INSPECTION.
OF EITHER A LICENSED OR
UNLICENSED FACILITY CERTIFIED.
SO YOU DO HAVE AUTHORITY OVER
THE CERTIFIED.
SO THE SISTERS YOU DESCRIBED.
A DIFFERENT SET OF.
OF REQUIREMENT SIR OVERSIGHT.
IF THERE ARE.
REPORTS OF POLICE RESPONSE TO
PARTICULAR FACILITY EMERGENCY
RESPONSES.
I'M.
FILINGS IN SUPERIOR COURT. DO
ANY OF THOSE EVENTS TRIGGER.
DO THEY GET TO YOUR ATTENTION
FOR PURPOSES OF.
PERHAPS PROMPTING INTEREST
STIRRED THE NEED FOR AN
INSPECTION.
I THINK THEY CAN.
I WOULDN'T SAY THAT WE RECEIVE
ALL OF THE KINDS OF.
ISSUES THAT YOU JUST ARE CITED
AS ON A REGULAR BASIS SO IF
SOMEONE. ARM WAS IN A LICENSED
FACILITY AND.
NINE ONE ONE WAS CALLED YOU
KNOW FOR AND AN EMERGENCE YOU
KNOW URGENT YOU KNOW
TRANSMISSION TO AN ER I AM NOT
SURE THAT WE WOULD NECESSARILY.
KNOW ABOUT THAT UNLESS THE
FACILITY REPORTED IT TO US AS AN
ADVERSE EVENT OR AN. UNUSUAL
OCCURRENCE WE ARE AND WE DO
REQUIRE FACILITIES TO REPORT
THOSE TO US SO THAT IF YOU SAW A
PATTERN WHERE. PASSED WE GOT
FIVE UNUSUAL OCCURRENCE REPORTS
WITHIN THE LAST.
MON THIRD THREE MONTHS OR SIX
MONTHS ME MAYBE WE NEED TO GO
OUT AND DO SOMETHING ABOUT IT.
I WOULDN'T.
I WOULDN'T KNOW THAT WE WOULD
HAVE POLICE REPORTS UNLICENSED
FACILITIES ARE UNLICENSED
FACILITIES UNLESS SOMEONE ELSE.
MADE US YOUR TI BROUGHT TO OUR
ATTENTIVENESS ENGLISH THREE FOR
A LICENSE FACILITY.
IF THERE WERE A SERIES OF.
NINE ONE ONE CALLS
SAY SIX WITHIN TWO WEEKSDO
THERE'S THE LICENSED FACILITY
HAVE A DUTY IN THEIR REPORTING
TO MAKE YOU AWARE OF THAT SO ALL
OF OUR LICENSE FACILITIES HAVE
TO REPORT ANY UNUSUAL EVENTS TO
S.. I'M SO THAT COULD INCLUDE
TAKING SOMEONE TO THE EMERGENCY
DEPARTMENT ON ANYTHING THAT'S
OCCURRED AT THE FACILITY AND
THEY'RE REQUIRED TO REPORT TO US
AND WITHIN TWENTY FOUR HOURS.
AND THEN A CERTIFIED FACILITY
SAVES SOBRE LIVING.
HOUSE
I DON'T HAVE ANY THOSE.
OBLIGATION NOT CERTIFY. AGAIN
GETTING BACK TO WRITING CENTER
RAS QUESTIONS IN.
MAY WILL GET THIS FROM OUR NEXT
PANEL ON RECOMMENDATIONS BUT.
DIDN'T HEAR CLEAR RESPONSE FROM
ANYONE IF.
IF YOU THINK THE CERTIFIED
FACILITIES THE NON LICENSE.
WOULD RESIDENTS.
DATE BENEFIT.
FROM A HIGHER LEVEL OF
REGULATION REQUIRING LICENSURE.
OF FACILITIES THAT ARE CURRENTLY
LICENSE CLARIFY WHERE I THINK YOU'RE
GOING.
YOU'RE SPEAKING TO MISTER SUN
ELLIS SUGGESTION ABOUT.
SOBER LIVING HOMES RECEIVING
VOLUNTARY CERTIFICATION.
RIGHT YES OKAY WELL WHICH
DOESN'T EXIST RIGHT. NOW WITH
UR DEPARTMENT RIGHT BECAUSE
THEY'RE NOT UNLICENSED AND NOT
CERTIFIED.
OKAY SO LET'S TAKE UNLICENSED
NON CERTIFIED.
WOULD YOU FAVOR.
CREATING SOME. REGULATORY.
S. WE'RE OVERSIGHT.
FOR THOSE FACILITIES.
I'M.
SO I WOULD SAY THAT.
.
TO THE EXTENT THAT THERE ARE
POPULATIONS
BUT ARE.
BOTH SEEKING AND DESERVING OF
TREATMENT SERVICES
AND THAT WE AS A STATE AND THAT
MEANS BOTH WE AS A DEPARTMENT AS
WELL AS WE OBSERVE A BROADER.
BODY POLITIC
DECIDE THAT WE NEED TO DO A
BETTER JOB OF OVERSEEING WHERE
THOSE SERVICES ARE DELIVERED AND
HOW THEY'RE DELIVERED. AND
MAKING SURE THAT THEY'RE
DELIVERED AN APPROPRIATE WAY I
THINK THAT WHERE WE COME AT IT
FROM A DEPARTMENT IS NOT.
IN TERMS OF.
YOU KNOW.
OUR LINES ARE THIRTY STOP AT A
CERTAIN PLACE BUT I THINK FROM.
AND THIS IS MORE OF A PERSONAL
STATEMENT AS THERE ARE
INDIVIDUALS THAT ARE SEEKING
RECOVERY SERVICES I OR FAMILIES
THAT ARE SEEKING RECOVERY
SERVICES FOR THEIR LOVED ONE.
AND SOMETIMES THEY ARE AND ONE
OF THE MOST VULNERABLE PORT.
TIMES OF THEIR LIFE.
AND TO THE EXTENT THAT THERE IS
NOT A CONSISTENCY OF SERVICE OR
A.
A MINIMUM LEVEL OF QUALITY I
THINK THAT THAT.
LEADS TO BOTH TRAGIC OUTCOMES
AS WELL AS LEAVES.
PEOPLE WITH EXPECTATIONS THAT
ARE NO FULFILLED. SO TO THE
EXTENT THAT WE BROADLY SPEAKING
ARE ABLE TO ASSURE FAMILIES AND
INDIVIDUALS SEEKING TREATMENT
BUT THEY GET A QUALITY PRODUCT
FOR WHAT THEY ARE EITHER. USING
THEIR OWN MONEY FOR OR USING
HEALTH COVERAGE DOLLARS FOR I
THINK WE OWE IT TO THEM TO
ASSURE THEM THAT SERVICE.
THANK YOU VACUUMS INFILTRATED
FOREVER THERE WAS AN ANSWER
THERE. WELL THERE WAS.
OKAY I GUESS JUST ONE OTHER
FOLLOW UP LOOP. DOESN'T WE'VE
HEARD REFERENCE TO ROGUE
FACILITIES.
SO IF THEY CROSS THE LINE OF
ENGAGED IN CRIMINAL CONDUCT.
THEY MAY BE CRIMINALLY
PROSECUTED AND SHUT DOWN.
BUT.
THEY MAY FALL SHORT OF CRIMINAL
CONDUCT.
BUT THEY'RE NOT PROVIDING
QUALITY SERVICES IT'S IT'S MORE
OF A.
THEY'VE FIGURED OUT A WAY TO.
MAKE MONEY OFF OF VERY
VULNERABLE.
POPULATION.
I'M
SHORT OF CROSSING THE LINE TO
SOMEBODY FILING A.
COMPLAINT OF CRIMINAL WRONGDOING.
DOES THE DEPARTMENT HAVE ANYWAY
TO.
TO IDENTIFY THOSE IN.
AND WOULD YOU NEED MORE
AUTHORITY TO BE ABLE TO GO AFTER.
ROGUE FACILITIES THAT ARE
LICENSED OR CERTIFIED.
YES WE WOULD NEED ADDITIONAL
AUTHORITY BECAUSE AT THIS POINT
WE HAVE NO AUTHORITY OVER.
FACILITIES OR HOMES THAT ARE
MEETING THE STANDARDS THAT
REQUIRE LICENSURE TODAY.
THAT MAYBE EITHER I'M DOING AS
YOU WOULD SAY ROGUE ACTIVITIES
OR DOING AN APPROPRIATE
ACTIVITIES IF THEY DON'T MEET
THE KIND OF.
SQUARE OF THE LAW IN TERMS OF
WHAT CONSTITUTES A LICENSE
ACTIVITY THEN WE HAVE NO
AUTHORITY TO TAKE ANY ACTION
AGAINST THEM TODAY.
THANK YOU.
BELIEVE SENATE ROTH HAD ONE MARK
QUESTION JUST TO FOLLOW UP ON MY
COLLEAGUE'S QUESTION. ABOUT
INSPECTIONS CYCLES WITH RESPECT
TO THE.
LICENSED. AND LICENSED AND
CERTIFIED RESIDENTIAL FACILITIES.
WHAT'S THE IN SPINO WE YOU'VE
INDICATED YOU INSPECTORS AND IN
ADDITION TO RESPONDING TO
COMPLAINTS SO WHAT WOULD WHAT'S
THE INSPECTIONS CYCLE IS IT ONE
YEARS IT EVERY TWO IS EVERY
THREE ISN'T IT.
FIVE.
FOUR LICENSED.
AND LICENSED AND CERTIFIED
FACILITIES MY UNDERSTANDING IS
MEDI CAL.
SO FOUR OUR LICENSED RESIDENTIAL
FACILITIES AND WHEN WE
ORIGINALLY RECEIVE AN
APPLICATION AYE WE ACTUALLY DO
AN ON SITE INSPECTION. AND AND
THEN IF THE LICENSES ISSUED
THERE ON A TWO YEAR CYCLE SO WE
GO OUT EVERY TWO YEARS TO DO A
LICENSING SITE VISIT AND THAT
DOESN'T COUNT. AND IF WE RECEIVE
LIKE A COMPLAINT OR IF THERE'S
REQUEST FOR TECHNICAL ASSISTANCE
THAT WILL BE OUT THERE FURTHER.
NOW IF THEY ALSO HAVE LIKE A
MEDICAL CERTIFICATION THERE'S
ALSO A DIFFERENT ON APPLICATION
PROCESS FOR THAT WITH AN ON SITE
REVIEW. AND THAT IF THEY ARE IN
THAT PUBLIC FUNDING SOURCE THEN
THEY'RE GOING TO BE RECEIVING
MONITORING VISITS ABOUT PUBLIC
FUNDING AS WELL FROM THE STATE
AND THE COUNTY SO THERE'S A LOT
OVERSIGHT. OVER THE PUBLIC
FUNDING BUT IF IT'S JUST A
FACILITY THAT'S DOING PRIVATE
PAYER INSURANCE.
WE JUST HAD THE AUTHORITY TO DO
THAT INITIAL BUT INITIAL LICENSE
ON THEM EVERY TWO YEARS VISITS
THANK YOU THIS VERY GOOD ANSWER
IN WITH RESPECT TO THE SOBER
LIVING FACILITIES IS IT MY
UNDERSTANDING THERE IS NO.
INSPECTION AND ALL THAT SO THERE
IS NO GOVERNMENT ENTITY THAT
OVERSEES A SOBER LIVING
ENVIRONMENT.
THANK YOU MISTER.
THANK YOU WANNA THANK ALL OF YOU
FOR YOUR COMMENTS AND WE'RE
GONNA MOVE ON TO.
OUR FIFTH PANEL. OR A FOURTH
PANEL.
ISSUE THE RECOMMENDATIONS WE
HAVE KIM SAVAGE LAW OFFICE OF
KIM SAVAGE.
HEATHER.
STRAT MINCIO ASSOCIATION OF
CALIFORNIA CITIES ORANGE COUNTY.
BLUEMONT COUNCILMEMBER CITY
AMALAPURAM.
P. NIELSEN CEO CALIFORNIA
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS. AND AN EEL
WHEN A SENIOR VICE PRESIDENT SO
SEASICK CALTRAIN LIFE AND HEALTH
INSURANCE COMPANIES.
IN IF YOU DON'T MIND WE'RE GOING
THAT
.
YEAH TIME.
FILLING IN FOR OUR CHAIR
MOMENTARILY OF WE'LL START WITH
HIM SAVAGE.
ALRIGHT WE'LL START OVER.
I'M AN ATTORNEY WHO WORKS IN THE
AREA OF LAND USE AND ZONING AND
FAIR HOUSING.
I REPRESENTED INDIVIDUALS AND
FAMILIES WITH DISABILITIES. I
REPRESENTED ANA HOUSING
DEVELOPERS AND PROVIDERS OF.
RESIDENTIAL USES AND SERVICES TO
INDIVIDUALS WITH DISABILITIES
AND I PROVIDING CONSULTATION TO
LOCAL GOVERNMENTS.
WHO NEED ASSISTANCE AND REVISING
THEIR ZONING CODES TO COMPLY
WITH FAIR HOUSING LAWS?
I'M GOING TO TOUCH ON THREE
DIFFERENT AREAS THIS AFTERNOON
FIRST TELL GIVE A VERY BRIEF
OVERVIEW. OF FAIR HOUSING LAWS.
AND YOU SHOULD HAVE A HANDOUT
THAT IS ABOUT MOON THREE PAGES
DOUBLE SIDED. GIVES YOU JUST A
LITTLE SUMMARY OF FAIR HOUSING
LAWS AND OTHER RELEVANT LAWS NOW
PROVIDE SOME ADDITIONAL LAWS AS
I SPEAK THIS AFTERNOON.
I'LL EXPLAIN THE DISTINCTIONS
BETWEEN STATE LICENSED
FACILITIES AND.
HOUSING FOR PEOPLE WITH
DISABILITIES THAT IS NOT SUBJECT
TO LICENSURE.
AND WITHOUT BEING REDUNDANT I
JUST WNNA MAKE SURE WE'RE ALL
ON THE SAME PAGE ON THAT. AND
THEN FINALLY I'LL EXPLAIN WHAT
CAN AND CANNOT BE REGULATED IN
TERMS OF HOUSING.
WE HAVE A FEDERAL FAIR HOUSING
STATUE FAIR HOUSING AMENDMENTS
ACT OF NINETEEN EIGHTY EIGHT.
AND WE HAVE CALIFORNIA'S. OWN
FAIR HOUSING STATUTE. WHICH IS
THE FAIR EMPLOYMENT HOUSING ACT
WHICH WAS ADOPTED SUBSEQUENT. TO
THE FEDERAL STATUTE.
FOR PURPOSES OF TODAY I'M GONNA
JUST.
SOME CONSIDER THEM EQUIVALENT.
AND THESE LAWS HAVE A DUAL
PURPOSE NOT ONLY TO PROHIBIT
DISCRIMINATION AND HOUSING BUT
TO ALSO.
FURTHER HOUSING OPPORTUNITIES.
FOR PROTECTED CLASSES IN IN
CALIFORNIA THERE FIFTEEN ONE OF
WHICH IS.
INDIVIDUALS WITH DISABILITIES.
INDIVIDUALS WITH DISABILITIES
ARE THOSE WHO HAVE AN IMPAIRMENT.
THAT LIMITS A MAJOR LIFE
ACTIVITY THAT'S THE PRIMARY
DEFINITION.
SOMEONE CAN ALSO MEET THAT
DEFINITION THEY'RE REGARDED AS
HAVING AN IMPAIRMENT.
HOME OR IF THEY HAVE A HISTORY
OF AN IMPAIRMENT.
UNDER BOTH FEDERAL AND STATE LAW.
INDIVIDUALS CURRENTLY IN
RECOVERY.
FOR SUBSTANCE ABUSE ALCOHOL OR
DRUGS ARE PROTECTED UNDER FAIR
HOUSING LAWS.
THAT MEANS.
THE HOUSING WHICH IS PROVIDING.
A RESIDENTS FOR INDIVIDUALS IN
RECOVERY AS WELL ASTHE
INDIVIDUALS ARE PROTECTED BY
FEDERAL AND STATE FAIR HOUSING
LAWS.
LAND USE AND ZONING REGULATIONS
POLICIES PRACTICES PROCEDURES
AND DECISION MAKING.
THAT IMPEDES RESTRICTS OR
PROHIBITS HOUSING OPPORTUNITIES
FOR INDIVIDUALS WITH
DISABILITIES IS SUSPECT UNDER
FAIR HOUSING LAWS.
IT'S A VERY BROAD STATEMENT COME
WE CAN'T REALLY GET INTO THE
WEEDS BUT I CAN GIVE YOU A
COUPLE OF EXAMPLES. OF HOW A
ZONING REGULATION. MIGHT VIOLATE
FAIR HOUSING LAWS TO CUT IT
GENERAL. UP PROVISIONS WOULD BE.
A PROVISION WHICH SINGLES OUT
HOUSING FOR PEOPLE WITH
DISABILITIES. AND TREATED
DIFFERENTLY.
THEN SIMILARLY SITUATED HOUSING
FOR THOSE WITHOUT DISABILITIES.
FOR A ZONING CODE PROVISION
WHICH IMPOSES ADDITIONAL
REQUIREMENTS.
SPECIFICALLY BECAUSE IT IS
HOUSING FOR INDIVIDUALS WITH
DISABILITIES.
SOMETIMES WE SAY YOU CAN LOOK AT
THE USE OF A PARTICULAR DWELLING.
BUT YOU CAN'T LOOK INSIDE AND
WHOSE RECITING THERE BECAUSE IT.
POTENTIALLY LEADS TO A
DISCRIMINATORY PRACTICE.
WHEN WE TALK ABOUT FAIR HOUSING
LAWS AND LAND USE AND ZONING. WE
MEAN THE FULL RANGE OF HOUSING.
THE TYPE OF STATE LICENSE
FACILITIES WE ARE TALKING ABOUT.
THE FAIR HOUSING LAW PROTECTIONS
ALSO APPLY. TO A FULL RANGE OF.
HOUSING FOR PEOPLE WITH
DISABILITIES THAT IS NOT SUBJECT
TO LICENSURE.
SOBER LIVING HOMES WHICH WERE
TALKING ABOUT TODAY.
TRANSITIONAL HOUSING.
TRANSITIONAL AGE USE HOUSING
PERMANENT SUPPORTIVE HOUSING TO
NAME JUST A FEW.
THESE ARE ALL INDEPENDENT LIVING
ARRANGEMENTS.
WHAT YOU'RE NOT SUBJECT TO
LICENSURE BUT ARE ALSO PROTECTED
BY FAIR HOUSING LAWS?
LIABILITY FOR FAIR HOUSING
VIOLATIONS ATTACH IS WHETHER IT
IS INTENTIONAL OR UNINTENTIONAL.
THE LAW WOULD LOOK TO WHETHER OR
NOT A PARTICULAR. LAW OR
REGULATION IS NEUTRAL ON ITS
FACE BUT WEIGHS MORE HEAVILY AND
ADVERSELY IMPACTS.
PEOPLE WITH DISABILITIES AND
THEIR HOUSING OPPORTUNITIES.
WE'VE ALREADY HAD A LOT OF.
GREAT PRECIPITATIONS TODAY ON
STATE LICENSED FACILITIES ARM I
JUST WANT TO REITERATE VIS ARE
FACILITIES THAT PROVIDE.
TWENTY FOUR HOUR NON MEDICAL
CARE AND SUPERVISION TO
INDIVIDUALS WHO NEED CARE AND
SUPERVISION THEY NEED ASSISTANCE
WITH ACTIVITIES OF DAILY LIVING.
THEY OUR RESIDENTIAL TREATMENT
PROGRAMS AND DUTY OF CARE AND
TREATMENT ARE KEY. AS WE GO
THROUGH THIS AFTERNOON TALKING
ABOUT THE CONCERNS.
AND WE HAVE WHAT'S FREQUENTLY
REFERRED TO FINALLY AS THE SIX
AND UNDER RULE WHICH IS THE
STATE PREEMPTION STATUTE WHICH
HAS BEEN ALLUDED TO EARLIER.
THAT FOR COMMUNITY CARE
FACILITIES AS WELL AS AMD'S
ALCOHOL AND OTHER DRUG PROGRAMS.
THOSE LICENSE FACILITIES WITH
SIX OR FEWER RESIDENTS MUST BE
TREATED LIKE FAMILIES.
THEY ARE PERMITTED IN SINGLE
FAMILY RESIDENCE RESIDENTIAL
ZONES AND ANY OTHER RESIDENTIAL
ZONES. WITHOUT ANY KIND OF
ADDITIONAL PROCEDURES.
THEY DON'T RECOUP THEIR
PERMITTED BY RIGHT.
NOW.
THE REASON FOR THAT IS PRETTY
CLEAR THE STATE LEGISLATURE HAS
SAID THAT WE WANT TO MAKE
RESIDENTIAL TREATMENT PROGRAMS
AVAILABLE IN THE COMMUNITY.
INCREASES THE POSSIBILITY OF
RECOVERY A SUCCESSFUL RECOVERY
THAT PEOPLE ARE NOT BEING MOVED
FAR AWAY AN ISOLATED LOCATIONS
THAT THEY ARE. CLOSELY.
INTEGRATED INTO A COMMUNITY CAN
TURN BACK SUCCESSFULLY TO THEIR
FAMILIES THEIR JOBS.
AND THE FRIENDS.
HOUSING FOR PEOPLE WAS NOT GOOD
THAT IS NOT SUBJECT. TO
LICENSURE IS AS I'VE SAID BEFORE
A THERE'S A WIDE RANGE AND THE
STATE ALREADY HAS STATUTES ON
THE BOOKS. WHICH RECOGNIZES
THOSE EXEMPTIONS.
SO HEALTH AND WELFARE CODE
FIFTEEN OH FIVE.
EXAMS RECOVERY HOUSES OR OTHER
SIMILAR FACILITIES PROVIDING
GROUP LIVING ARRANGEMENTS FOR
ADULTS RECOVERING FROM ALCOHOL
ALCOHOLISM.
OR DRUG ADDICTION WHERE.
SUPERVISION. AND CARE ARE NOT
PROVIDED.
HEALTH AND SAFETY CODE FIFTEEN
OH FOUR POINT FIVE TALKS ABOUT
INDEPENDENT LIVING ARRANGEMENTS
GENERALLY ENDS THEN SPECIFICALLY
PERMANENT SUPPORTIVE HOUSING.
EXEMPTING THOSE FROM LICENSURE.
ADDITIONALLY IT'S UNDERSTOOD
THAT THESE.
TYPES OF LIVING ARRANGEMENTS ARE
SUBJECT TO CALIFORNIA LANDLORD
TENANT LAWS AGAIN REINFORCING
THEIR EXEMPT FROM LICENSURE
BECAUSE THEY ARE HOUSING.
IN CALIFORNIA WE ALSO HAVE A
STRONG RECOGNITION OF PRIVACY
RIGHTS. AND PEOPLE WHO ARE
UNRELATED HAVING THE RIGHT TO
RESIDE TOGETHER NINETEEN SEVENTY
EIGHT THE SUPREME COURT. IN CITY
OF SANTA BARBARA VERSUS ADAMSON.
DECLARED THAT DEFINITIONS OF
FAMILY CANNOT DISTINGUISH
BETWEEN RELATED AND UNRELATED
INDIVIDUALS AND CANNOT CAP THE
NUMBER OF UNRELATED INDIVIDUALS.
WHO MAY RESIDE TOGETHER SO THAT
OLD DEFINITION THAT WE'VE ALL
SEEN FOR FAMILY WHICH IS PEOPLE
RELATED BY BLOOD MARRIAGE
ADOPTION OR COURT ORDER? BUT NO
MORE THAN FIVE UNRELATED
INDIVIDUALS THOSE ARE ILLEGAL
SINCE NINETEEN SEVENTY EIGHT
ALTHOUGH YOU STILL MAY SEE THEM
IN A FEW ZONING CODE.
AND THAT IS ALSO AN IMPORTANT
RECOGNITION.
AS WELL AS FAIR HOUSING LAWS WE
HAVE PRIVACY RIGHTS OF
INDIVIDUALS.
SO YOU'VE ALSO BEEN PROVIDED
WITH A HUD AND DOJ.
STATEMENT JOINT STATEMENT ON
GROUP HOMES AND. FAIR HOUSING
LAWS IN THE PROTECTIONS.
IT'S PRETTY LENGTHY BUT IT'S A
VERY INFORMATIVE QUESTION AND
ANSWER FORMAT.
AND I'M JUST POINTING OUT
SEVERAL THINGS TO YOU. THAT HUD
AND DOJ.
WHO ENFORCE FAIR HOUSING LAWS?
ON AS WELL AS OTHER FEDERAL
CIVIL RIGHTS STATUTES. INDICATE
THAT SPACING REQUIREMENTS ARE
SUSPECT AND.
GENERALLY ILLEGAL UNDER FAIR
HOUSING LAWS BECAUSE THEY SINGLE
OUT HOUSING FOR PEOPLE WITH
DISABILITIES AND TREATED
DIFFERENTLY.
AND THE JOINT MEMORANDUM ALSO
POINTS OUT SOMETHING VERY
IMPORTANT. WHICH IS THAT LOCAL
DECISION MAKERS.
CANNOT RELY ON NOW PREJUDICIAL
STATEMENTS.
OF.
INDIVIDUALS WHO TESTIFY AT
HEARINGS IN RENDERING A DECISION.
ON IN OTHER WORDS A DECISION IS
IS IS PAINTED IN POTENTIALLY. ON
DISCRIMINATORY IF THERE'S
RELIANCE ON THAT ONE NEEDS TO BE
RELIED ON ARE LEGITIMATE.
PLANNING.
FACTORS.
I'M I'M HAPPY TO ANSWER ANY
QUESTIONS YOU MIGHT HAVE I THINK
THIS. HEARING HAS COME LAID OUT
SOME VERY IMPORTANT ISSUES WHAT
WHAT I HAVE TALKED ABOUT IS
SEPARATE AND DISTINCT.
FROM LA THE MEDICAL FRAUD
ISSUES AND OTHER POTENTIAL ABUSE
ISSUES THAT INDIVIDUALS. ARE ARE
CONCERNED WITH MY.
COMMENTS ARE REALLY DIRECTED AND
AT WHAT CAN BE DONE IN TERMS OF.
REGULATING THE DEVELOPMENT
CITING AND USE OF HOUSING FOR
PEOPLE WITH DISABILITIES WHETHER
IT IS SUCH A LICENSURE. OR ITS
HOUSING AND NOT SUCH A LICENSE
SIR THANK YOU.
AND TO MOVE ON TO RUN HEATHER
STRAT MINCIO ASSOCIATION
CALIFORNIA CITIES ORANGE COUNTY.
AND AFTERNOON MISTER CHAIRMAN
AND MEMBERS OF THE COMMITTEE
THANK YOU FOR HAVING ME AND MY
NAME'S HEATHER SHANNON I'M THE
CHIEF EXECUTIVE OFFICER FOR THE
ASSOCIATION OF CALIFORNIA
CITIES.
ORANGE COUNTY.
HOW WE EDUCATE COLLABORATE AND
ADVOCATE ON BEHALF OF THE THIRTY
FOUR CITIES OF ORANGE COUNTY THE
DOZENS OF SPECIAL DISTRICTS?
THE BUSINESS COMMUNITY HIGHER
EDUCATION AND NONPROFIT ENTITIES.
FOUR ON REGIONAL PUBLIC POLICY
ISSUES ON BEHALF OF THREE POINT
TWO MILLION ORANGE COUNTY
RESIDENTS.
THE ASSOCIATION BRINGS TOGETHER
DIVERSE STAKEHOLDERS TO TACKLE
CHALLENGING PUBLIC POLICIES
PUBLIC POLICY ISSUES SUCH AS
RESIDENTIAL RECOVERY.
WE'RE FOCUSED ON RESIDENT
PRESIDENTIAL RECOVERY AND I WANT
TO MAKE IT CLEAR WE ARE NOT
TARGETING GROUP HOMES PERMANENT
SUPPORTIVE HOUSING OR OTHERWISE
TODAY WE ARE VERY FOCUSED ON
RESIDENTIAL RECOVERY.
OUR COUNTY AND OUR NEIGHBORING
COUNTY COUNTIES HAVE SEEN AN
UNPRECEDENTED RISE IN THE NUMBER
OF BOTH LICENSED AND UNLICENSED
RESIDENTIAL RECOVERY HOMES IN
THE LAST FIVE YEARS.
NOT ONLY IS OUR WEATHER AND
SCENIC COASTAL LANDSCAPER
DESIRABLE LOCATION TO RECOVER
SOME FROM SAYS SUBSTANCE ABUSE
CHALLENGES. BUT THE DRAMATIC
OPIOID EPIDEMIC COMBINED WITH
EXPANSIVE FAT FUNDING THROUGH
THE AFFORDABLE HEALTHCARE ACT
AND LACK OF FEDERAL REGULATIONS
HAVE LED US TO A RAPID INCREASE
IN THE ESTABLISHMENT OF
RESIDENTIAL RECOVERY FACILITIES
ACROSS THE NATION.
CALIFORNIA IS PARTICULARLY
DESIRABLE STATE FOR RESIDENTIAL
RECOVERY.
A RECENT CONTACT CONGRESSIONAL
MEMBER SAID TO ME WHILE HEATHER
WOULD YOU LIKE YOUR FAMILY
MEMBER TO GET CLEAN AND OHIO OR
CALIFORNIA. AND THIS IS A
SENTIMENT THAT IS SHARED BY VERY
MANY OF US.
THIS SHEER DEMS DENSIFICATION OF
FACILITIES THROUGHOUT CALIFORNIA
AND PARTICULARLY IN SOUTHERN
CALIFORNIA YOUR COMMUNITIES
SHOULD BE OF INTEREST TO THIS
BODY.
BOTH TO ENSURE THAT THE TENS OF
THOUSANDS OF PATIENTS THAT ARE
RESIDING IN KEEPING LICENSE
CALIFORNIA STATE FACILITIES ARE
RECEIVING RECEIVING DECENT AND
EFFECTIVE CARE THAT THEY NEED.
WHILE ALSO ENSURING. THAT THERE
IS AN INTEGRATED REGULATORY
FRAMEWORK AT THE FEDERAL STATE
AND LOCAL LEVEL TO ENFORCE
INDIVIDUAL PATIENT RIGHTS WHILE
GRANTING. LOCAL JURISDICTIONS
ZONING ZONING AND COLD INFOS
ENFORCEMENT AUTHORITY.
TODAY WE DO NOT HAVE THIS AND
THE RESULT IS BOTH PATIENTS
RECEIVING ONGOING. IMPROPER CARE
AND EVEN DYING.
AS WELL AS PUBLIC SAFETY IMPACTS
TO COMMUNITIES WHO HAVE NO
ABILITY TO REGULATE MEDICAL CARE.
BUSINESSES OPERATING IN SINGLE
FAMILY NEIGHBORHOODS.
WITHOUT ADEQUATE OVERSIGHT OR
ENFORCEMENT.
THOSE ARE THOSE THERE THERE ARE
THOSE WHO OPPOSE THE PERSPECTIVE
THAT CITY SHOULD HAVE THE RIGHT
TO REGULATE ZONE ENFORCED CODE
ENFORCEMENT STANDARDS. TO THOSE
IN RECOVERY FOR REFILL
FACILITIES THERE ARE CLAIMS THAT
CITIES ARE FOCUSED ON ENEMY
STRATEGY THAT LEGAL AND
LEGISLATIVE ATTEMPTS ARE OVER
REACHING AND WOULD SUPERSEDE
FEDERAL FHA. AND FTA LAWS AND
THAT THE REGULATORY AND
LEGISLATIVE FIXES AT. OUR AT THE
FEDERAL LEVEL AND LASTLY WE'VE
HEARD FREQUENTLY THAT THE STATE
OF CALIFORNIA IS DOING
EVERYTHING IT CAN WITHOUT
PREEMPTING FEDERAL LAW.
HERE'S MY RESPONSE TO THE I AM
THOUGHTS ON MOVING FOR DISSOLVE
THIS GROWING CHALLENGE.
FIRST I BELIEVE AND BASED ON THE
ASSOCIATION'S EXTENSIVE WORK AND
DATA COLLECTION IN MANY CITIES
AT A RESIDENT LEVEL. POINTS TO
MANY RESIDENTS UNDERSTANDING AND
EMBRACING THE IDEA OF INDIVIDUAL
SOBRIETY WITHIN A COMMUNITY
NEIGHBORHOOD AND STRUCTURE THAT
AND NOT.
IS WHAT I HEART IS RESIDENTIAL
RECOVERIES ABOUT.
COMMUNITIES TEND NOT TO OPPOSE
SUCH FACILITIES WHEN THEY'RE
BOTH REGULATED FOR PATIENT CARE
PROTECTION AND PUBLIC SAFETY.
AS WELL AS BUT WHEN PERMITTING
OF FACILITIES IS APPROPRIATELY
SPACE AND IMMIGRATED WITHIN A
COMMUNITY.
COMMUNITIES BOTH REJECTED OUR
UNSUPPORTIVE ONE FACILITIES ARE
OPERATING OUTSIDE OF THE
PERCEIVED VALUES OF THAT
NEIGHBORHOOD AND THAT COMMUNITY.
THIS IS TRUE OF ANY NEIGHBORHOOD
IN THE COMMUNITY ANY NEVER
REGARDLESS OF THE ISSUE.
STRUCTURE REGULATORY CERTAINTY
AND ENFORCEMENT IS NECESSARY AND
WE HAVE SOLUTIONS TO BRING TO
THE TABLE. TO ADDRESS THESE
CONCEPTS
SECOND THE ASSOCIATION SPONSORED
EIGHTY FIVE SEVENTY TWO AUTHORED
BY ASSEMBLY MEMBER SHARON QUIRK
SILVA.
WHICH UNDERSCORES THE IMPORTANCE
OF OVERSIGHT AND ENFORCEMENT THE
INTENT OF AB FIVE SEVENTY TWO IS
TO CREATE A PILOT PROGRAM. AND I
EMPHASIZE PILOT PROGRAM THAT
DEBT THAT HOUSES THE DEPARTMENT
OF HEALTH CARE SERVICES
INSPECTOR IN ORANGE COUNTY TO
FILL TO FILL NOT ONLY THE
MANDATORY INSPECTION
REQUIREMENTS. UNDER CURRENT LAW.
BUT ALSO RAPIDLY RESPOND TO THE
MANY COMPLAINTS THAT ARE FILED
WITH THE DEPARTMENT ON AN
MONTHLY BASIS.
WHAT THE SEVERAL HUNDRED DENSELY
LOCATED FACILITIES IN ORANGE
COUNTY ALONE AN INSPECTOR COULD
STAY BUSY JUST KEEPING UP WITH
THIS SATCH STATUTORY INSPECTION
INSPECTION REQUIREMENTS? TO DAY.
FURTHER THIS LOCAL OFFICE OR
REGIONAL APPROACH IS NOT NEW TO
THE STATE OF CALIFORNIA
HISTORICALLY IT'S BEEN VERY
COMMON FOR THE STATE AGENCIES TO
AVERAGE A ON
SAYS.
PARTICULARLY WHEN IT COMES TO
PERMITTING LICENSING AND
OVERSEEN FACILITIES AND
OPERATIONS AT THE LOCAL LEVEL.
I BELIEVE AB FIVE SEVENTY TWO IS
AN IMPORTANT STEP FORWARD TO
LOOK AT NEW SOLUTIONS TO AN
ISSUE THAT EMERGE BEFORE A
THOUGHTFUL REGULATORY REGULATORY
STRUCTURE FRAMEWORK WAS IN PLACE
TO PROPERLY ADDRESS THE
COMPLEXITIES OF SUBSTANCE AND
BEHAVIORAL HEALTH.
AND THE THOUSANDS OF PATIENTS
WITHIN THE STATE'S LICENSED
FACILITIES.
AB FIVE SEVENTY TWO WAS HOW DOES
A TWO YEAR BONUS COMMITTEE LAST
SUMMER AFTER ANONYMOUSLY GETTING
THROUGH THE ASSEMBLY.
WERE HOPEFUL THAT THE CHAIRMAN
AND THE COMMITTEE WILL CONSIDER
MOVING EIGHTY FIVE SEVENTY TWO
FORWARD TO THE GOVERNOR'S
CONSIDERATION.
THE BILL HAS NOT ONLY A
TEMPORARY MEASURE THAT PROVIDES
A CLEAR SIGN SAID SHE DID NOT
PRODUCE ARE INTENDED GOALS.
BUT IT ALSO SHOULD CONSIDER HOW
TO UTILIZE THIS PILOT PROGRAM TO
COLLECT VITAL DATA.
BEGIN TO ANALYZE OPPORTUNITIES
FOR REGULATORY IMPROVEMENTS.
AND TO IMPLEMENT BEST PRACTICES
THAT WE CAN UTILIZED THROUGHOUT
THE STATE ENCRYPT THE SYSTEM OF
CARE FOR PATIENTS.
AND CRAIG EVEN BETTER
OPPORTUNITIES FOR COMMUNITIES TO
SUPPORT RESIDENTIAL RECOVERY.
WE ALSO HAVE A FEDERAL GRANT BUT
AS A VERY AFRAID OF A FEDERAL
ABBOTT AGGRESSIVE ADEQUATE
ADVOCACY STRATEGY STRATEGY AT
THAT HITS.
FEDERAL LEVEL THAT SPANS OUTSIDE
OF SOUTHERN CALIFORNIA REGION
AND FOLDS INTO CITIES ACROSS THE
NATION BANKS TO PARTNERSHIPS
BETWEEN THE ASSOCIATION OF
CITIES AND THE HONORABLE LOUIS
LAMONT WHO'S HERE TODAY.
OUR EFFORTS ARE FOCUSED ON
FEDERAL LEGISLATION AND
REGULATORY REFORM THAT WOULD
GRAMINIS APOLOGIES APPROPRIATE
ZONING AUTHORITY.
WELL ASSURING THAT PATIENTS NOT
THE BUSINESSES THAT THEY ARE AND
RECEIVED PROTECTION UNDER THE
AMERICAN DISABILITIES ACT AND
THE FEDERAL. HOUSING ACT
AND I WANT TO UNDERSCORE THAT
THOSE TWO LAWS EDA AND FHA WERE
INTENDED TO PROTECT THE PATIENT.
NOT THE BUSINESSES THAT WERE
MANAGING THEIR CARE. THAT IS
REALLY REALLY IMPORTANT TODAY WE
NEED SUBSTANTIAL REFORM AT THE
FEDERAL LEVEL AND. FEDERAL LEVEL
NOW MORE THAN EVER. AND THESE
FEDERAL REFORMS ONE ABLE TO
STAYS TO CREATE LICENSING AND
REGULATORY PROGRAM PROGRAMMING
THAT CONSIDERS A DIVERSE
PERSPECTIVE OF PATIENTS.
FAMILIES COMMUNITIES AND
OPERATORS ALL OF WHICH SHARE
COMMON GOALS THAT ARE NOT
EXCLUSIVE FROM ONE ANOTHER.
I URGE THE COMMITTEE TO EMBRACE
THIS LEADERSHIP OPPORTUNITY
BEFORE YOU TODAY TO CREATE A
SYSTEM OF CARE THE PROTECT
VULNERABLE PATIENTS. AND SUPPORT
YOUR LOCAL COMMUNITIES AND
RESIDENTS.
THERE ARE MANY OPPORTUNITIES TO
BRING TOGETHER MULTIPLE
STAKEHOLDERS WHO HAVE SIMILAR
GOALS OF PROVIDING FIRST CLASS
RESIDENTIAL RECOVERY IN OUR
COMMUNITIES. UNDER PROGRAMS TO
PROTECT PATIENT CARE AND RIGHTS
WHILE ENSURING THAT OUR LOCAL
COMMUNITIES HAVE THE ABILITY TO
PROVIDE OVERSIGHT AND ENFORCE
PUBLIC SAFETY MEASURES. THANK
YOU.
THANK YOU WERE GONNA GO TO
NEWMONT CUTS MEMBERS CITY A
MALIBU.
THANK YOU VERY MUCH AND.
THANK YOU ALL FOR LISTENING TO
US TODAY I REALLY APPRECIATE
THIS OPPORTUNITY. I IN ADDITION
TO BEING A COUNCIL MEMBER OF THE
CITY OF ALBUM. I'M ALSO THE
IMMEDIATE PAST PRESIDENT OF
CALIFORNIA CONTRACT CITIES
ASSOCIATION.
AND THE LEAGUE OF CALIFORNIA
CITIES AND THE NATIONAL LEAGUE
OF CITIES. ARE FEDERAL ADVOCACY
COMMITTEE.
ARE ALL OF THOSE ORGANIZATIONS
HAVE.
EXPRESSED SUPPORT FOR SOME KIND
OF LEGISLATION IN THIS
PARTICULAR AREA THE NATIONAL
LEAGUE OF CITIES IN PARTICULAR.
IS DEALING WITH THE SOBRE OF
LIVING HOMES ISSUE.
AS HEATHER SAID WE JUST
RECENTLY RETURNED FROM
WASHINGTON.
.
AND WE MET WITH DOZENS OF.
CONGRESS MEMBERS AND FOR SENATOR
IS A TETRAD TO DISCUSS THAT
ISSUE BECAUSE IT'S NOT EMISSIONS
CAN BE SOLVED HERE IN CALIFORNIA
IT CAN BE SOLVED IN WASHINGTON
AND WE ARE ACTIVELY WORKING ON
THAT.
SO WE'VE HEARD IT DISUSSED THE
LICENSE REHAB FACILITIES.
AND.
THE THING I WANT YOU KNOW AS FAR
AS MY CITY IS CONCERNED AND
EVERYONE FOR THE OTHER
ORGANIZATIONS WERE TALKING ABOUT.
A WELL RUN SIX BED FACILITY AND
A SINGLE FAMILY HOME IN A
NEIGHBORHOOD IS TERRIFIC. IT'S
GOOD FOR THE COMMUNITY IT'S GOOD
FOR THE NEIGHBORHOOD BOTH
SUBORDINATES GOOD FOR THE
PATIENT.
BUT WHAT'S HAPPENED IS THERE
HAVE BEEN SINCE NINETEEN SEVENTY
EIGHT.
.
SO MANY CHANGES IN THIS TOWN
ONLY IN THIS INDUSTRY BUT. IN IN
THE SEVERITY OF THIS PROBLEM. UP
THAT LEGISLATION HAS NOT CAUGHT
UP WITH.
WE HAVE.
.
THERE ARE THERE ARE LOOPHOLES IN
SOME LEGISLATION THAT EXISTS NOW
THAT NEED TO BE ADDRESSED AND
FOR THE PAST SEVERAL MONTHS
WE'VE BEEN WORKING CLOSELY WITH
THE DEPARTMENT HEALTH CARE
SERVICES.
IN ORDER TO ADDRESS THE ISSUES
THAT. WILL HELP THEM DO THEIR
JOB BETTER.
AND.
ONE OF THE IMPORTANT THINGS THAT
WE'RE TALKING ABOUT IS GOING TO
COME TO REFORM THE CURRENT
LICENSING IS TO PROVIDE.
ENABLING AUTHORITY FOR THE
DEPARTMENT TO ENSURE ALL
PROGRAMS AND SERVICES PROVIDED
BY A LICENSED FACILITY ARE
WITHIN THE SAME LICENSED
FACILITY.
CURRENTLY LEGAL AUTHORITY FOR
RESIDENTIAL LICENSING DOES NOT
REQUIRE THAT SERVICES PERMITTED
UNDER RESIDENTIAL LICENSE ARE
PROVIDED AT THE LOCATION WHERE
THE STATE LICENSES ISSUED.
BAD ACTORS ARE EXPLOITING THIS
AMBIGUITY AMBIGUITY AND EXISTING
LAW.
WHAT'S INTENDED FOR A SMALL SIX
BED RESIDENTIAL FACILITY IN A
NEIGHBORHOOD WITH MISTER SMITH
NEXT GORE AND HIS DOG AND MRS
JONES ON THE OTHER SIDE WITH
THEIR CHILDREN. SO YOU CANNOT.
WORK YOU WAY BACK INTO BEING
PART OF THE COMMUNITY FROM BEING
AN ADDICT.
IT DOESN'T EXIST BECAUSE WHAT'S
HAPPENING IS SO SIX BED THINGS
ARE SO PROFITABLE THAT IS
OPERATED BY THE HOUSE NEXT DOOR
HOUSED EXTORTED THAT HAVE STICKS
TO DO THAT. AND PRETTY SOON YOU
DON'T HAVE NEIGHBORHOOD ANYMORE
HAVE A HOSPITAL DON'T AND THAT'S
ONE OF THE ISSUES THAT NEEDS TO
BE ADDRESSED.
AND BECAUSE OF THAT THE PROFITS
AND AND THE CURRENT MINIMAL
FINDS THAT THE DEPARTMENT IS.
A ALLOWED TO COLLECT
THERE PEOPLE RUNNING RAMPANT
OVER THIS ISSUE. AND.
WE I HAVE HARDWARE CREATING
LEGISLATION NOW WE'RE TALKING TO
BOTH HOUSES. I. HAVE LEGISLATURE.
TO COME UP WITH PLANS THAT WILL
A.
IT SURE THAT EVERYTHING THAT YOU
ARE LICENSED FOR IN YOUR
FACILITY IN YOUR SIX BED
FACILITY TAKES PLACE ON YOUR SIX
BED FACILITY. NOT NEXT DOOR OR
THE DOOR ON THE OTHER SIDE OR
SOMEWHERE ELSE.
SO IT ACTUALLY GOES BACK TO THE
INTENT OF THE LAW WHICH
ESSENTIALLY WAS TO KEEP IT IN A
NEIGHBORHOOD AND WE COMPLETELY
SUPPORT THAT CONCEPT. WHAT WE'RE
HAVING AN ISSUE WITH IS THE BIG
WHEN THEY BECOME LARGE?
CAMPUS LIKE FACILITIES AND
RESIDENTIAL NEIGHBORHOODS THAT
ARE NOT PREPARED OR EQUIPPED TO
DEAL WITH THAT KIND OF.
INFLUX AT CONNOR TRAFFIC.
NOW WITHOUT LEGISLATIVE
CERTIFICATION THAT CLARIFICATION
IF THE SERVICES UNDER
RESIDENTIAL LICENSE MUST BE
PROVIDED INSIST PACIFIC.
RESIDENTS WITH A STATE LICENSES
ISSUED.
AND INCREASED FIND BAD ACTORS
WILL KEEP DEVELOPING THESE MULTI
STRUCTURE CAMPUS LIKE FACILITIES.
AND A CHANGE THE CHARACTER OF
PRESIDENTIAL NEIGHBORHOODS.
CAUSING THE NEIGHBOR TO BECOME
LIKE HOSPITAL'S OWNER A BUSY
COMMERCIAL CENTER.
AND EXPLOITATION OF THESE
EXISTING LOOPHOLES IN
RESIDENTIAL NEIGHBORHOODS ACROSS
CALIFORNIA IS ACTUALLY HINDERING
THE THERAPEUTIC BENEFITS THAT
BEING IN A RESIDENTIAL FACILITY
PROVIDE FOR PATIENTS.
BECAUSE THEY'RE NOT IN A
RESIDENTIAL FACILITY
THEY'RE IN A HOSPITAL.
TO REFORMING THIS IS A WHEN THE
THINGS WE REALLY WOULD LOVE
YOU'D CONSIDER AS WHOSE ARE
RICHEST LIFE I'VE LEGISLATION IS
COMPLETE WHICH WILL BE THERE
SHORTLY.
THE OTHER ISSUE THAT I JUST
WANT TO TOUCH I'M BRIEFLY IS
UNDER THE BODY BROKERING PART OF
THAT SECOND.
I BROKERING AS I AM IN ADDITION
TO BEING ON ALL THESE OTHER
ORGANIZATIONS I MAY. COMMISSION
ON THE LOS ANGELES COUNTY
COMMISSION OF ALCOHOL AND OTHER
DRUGS
BODY BROKERING IS AN ENORMOUS
ISSUE THERE. I WE'VE ACTUALLY
JUST THAT.
THE OTHER MEMBERS SAID WE ARE
GOT OUR WAIVER ON JANUARY FIRST
OUR JULY FIRST. BUT BODY
BROKERING HAS BECOME AN
OVERWHELMING ISSUE FOR ALL THE
LICENSE AND NON LICENSED%
SO IT HE'S VERY FAMILIAR WITH
THE PUBLIC PART OF IT. SO.
WE SUPPORT ANY KIND LEGISLATION
THAT WORKED HARD TO.
DEAL WITH THIS BODY PROGRAM IN
FACT WE'RE WORKING WITH AYE SOME
OF THE BETTER PLAYERS IN THIS
INDUSTRY OUGHT TO TRY TO PROMOTE
THAT KIND OF LEGISLATION.
AM I HERE PRETTY
FOUR INCLUANT TO KEEP NIELSEN
CEO CALIFORNIA CONSORTIUM OF
ADDICTION PROGRAMS AND
PROFESSIONALS.
AFTERNOON ARMCHAIR MEMBERS.
I AM THE NIELSEN CEO OF
CALIFORNIA'S
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS.
WHICH REPRESENTS OVER FIVE
HUNDRED I'VE FOR PROFIT
NONPROFIT PROGRAMS AND RECOVERY
RESIDENCES AND.
MORE THAN.
TWENTY THOUSAND ADDICTION
TREATMENT PROFESSIONALS.
WHO TREAT MILLIONS OF
CALIFORNIA STATEWIDE? OUR ROOTS
ARE IN THE. AYE RECOVERY AND.
SOCIAL MODEL MOVEMENT BEGINNING
IN THE EARLY SEVENTIES AND PART
OF THE DEVELOPMENT. OF THE
ADDICTION TREATMENT AND AB
PROFESSION AND INDUSTRY.
AND DATA OUR VISION IS TO. MAKE
THE WORLD A BETTER PLACE BY.
GETTING RID OF THE DEVASTATING
EFFECTS OF ADDICTION.
AND NOW WE BELIEVE THAT THAT IS
POSSIBLE THROUGH. I'M HAVING A
CAUGHT CALIFORNIA COMPREHENSIVE
ADDICTION RECOVERY ACT. WE THINK
IT'S TIME FOR THE ELECTION
TREATMENT INDUSTRY TO GET AN
UPGRADE.
AND WE THINK THERE THE NEEDS TO
BE SOME CHANGE SO. I AM.
AND IN ORDER.
WE BELIEVE THAT.
THERE'SHAVE FOUR COMPONENTS SO
THAT QUALITY IMPROVEMENT ACCESS
TO CARE IMPROVEMENTS. ICLEAR
REIMBURSEMENT METHODOLOGY
PARAMETERS AND SERIOUS REVIEW OF
OUR COMMITMENT TO INVEST IN OUR
WORKFORCE.
IN ORDER TO.
REACH THESE GOALS A CONFERENCE
APPROACH NECESSARY.
THERE ARE NEEDS THEIR NEEDS FOR
A QUALITY IMPROVEMENTS.
AND ACCESS TO CARE IMPROVEMENTS
CLEAR REIMBURSEMENT
METHODOLOGIES.
AND I'M A SERIOUS REVIEW OF OF
THE COMMITMENT.
HOW TO WORKFORCE?
AND MEANING THAT. WE NEED TO
HAVE MORE QUALIFIED
PROFESSIONALS BECAUSE I'M OFFICE
STATEWIDE HEALTH PLANNING HAS. I
AM.
HAS LOOKED AT.
THE ADDICTION TREATMENT
WORKFORCE AND THAT. IT IS A AND
DEFINITELY AND SEVERE NEED.
WE ALSO AND BELIEVE IN EXPANSION
OF TREATMENT.
SYSTEM WITHOUT PARAMETERS ON
QUALITY IS A AND INVITATION TO
BAT AT AT TWO BAD APPLES OR BAD
ACTORS.
AND DOWN.
WE BELIEVE THAT. WE NEED TO HAVE
THE THE AS SOME SYSTEMATIC
CHANGES TO THE TREATMENT
INDUSTRY.
I'M IF WE DO NOT ADDRESS THE
SHORTCOMINGS OF BAD TREATMENT
SYSTEM VALUABLE RESOURCES WILL
BE SQUANDERED THE PUBLIC WILL
LOSE CONFIDENCE IN RECOVERY AND
PEOPLE WITH ADDICTION WILL DIE.
TOGETHER WE CAN WORK TOWARDS
SOLUTION THAT I MAKE COMMUNITY
SAFER REUNITE FAMILIES AND
IMPROVE.
HEALTH AND AYE PRODUCTIVITY OF
OUR STATE.
SEVERAL SPEAKERS HAVE ADDRESSED
AND.
I CONSTRAINTS IN OUR DRAFTING
LEGISLATION IN REGARD TO FAIR
HOUSING DISABILITY RIGHTS THE
FOLLOWING AS SPECIFIC
RECOMMENDATIONS FOR IMPROVING
IMPROVING QUALITY. AND EXPANDING
ACCESS ARE NOT CONTRARY TO THESE
IMPORTANT PROTECTIONS.
TO ADDRESS THE QUALITY AND
NEIGHBORHOOD CONCERNS FOR AYE
RECOVERY RESTED HIS WE HAVE
PROPOSED VOLUNTARY AS
CERTIFICATION FOR RECOVERY
RESIDENCES.
I HAD THIS WOULD ENCOURAGE THOSE
WHO WISH TO ABBY RECOGNIZE TO
COMMIT TO NATIONAL A QUALITY
STANDARDS. ETHICAL BUSINESS
PRACTICES.
ON SITE REVIEW AND A BAD
CONTINUOUS COMMITMENT TO YEARLY
TRAINING AND COMPLAIN RESOLUTION
WHEN NECESSARY AND REWARD. THEM
WITH OUR REFERRALS FROM A
LICENSED AND CERTIFIED PROGRAMS.
AND NOTIFY A LOCAL GOVERNMENTS
AND CERTIFIED RESIDENCES IN
THERE AYE LOCALITIES AND I
PROVIDE THEM WITH COMPLAIN
RESOLUTION CONTACT INFORMATION
WITHIN A TWENTY FOUR HOUR
RESPONSE TIME.
I RESIDENTS HIS FOUND AND.
TOO BAD NOT BE IN COMPLIANCE
WITH NATIONAL STANDARDS COULD BE
BARRED FROM FUTURE REFERRALS AND
WOULD BE PLACED ON A REVOKED
LISTS. VIEWED BY THE PUBLIC.
REFORM PAYMENT REIMBURSEMENT
PRACTICES HARM AND PROHIBITED
PATIENT BROKERING.
I'M.
REQUIREMENT THAT TIME ALCOHOL
AND DRUG PROGRAMS AND
PROFESSIONALS ABIDE BY THE SAME
ETHEL STANDARDS.
REGARDING REFERRALS TO ALL
HEALTHCARE INDUSTRIES I'D BE
ABIDED BY.
I TAKE THE RAP PROFIT.
MOTIVE OUT OF REFERRALS AND
STRENGTHEN PLACEMENT BASED ON
RECOGNITION OF THE A IMPLY
SPENT CRITERIA. AND WE BELIEVE
THAT I ANY BUSINESS OR ANY
pTREATMENT FACILITY SHOULD PLACE
PEOPLE BEFORE PROFITS.
AND WE NEED TO STOP THE FLOW OF
KICKBACKS BETWEEN SOBER LIVING
AND TREATMENT THAT ALLOWS THAT
FLORIDA MODEL. EYED TO
NEGATIVELY IMPACT NEIGHBORHOODS
AND DIVERT INSURANCE PAYMENTS TO
UNSCRUPULOUS PROVIDERS.
AND THE DEADLY PRACTICE OF PAID
TO PATIENT WHERE PERSONS VILLIAN
RECOVERY ARE SENT LARGE CHECKS
MAKING THEM VULNERABLE TO
RELAPSE PEOPLE IN RECOVERY
SHOULD NOT.
I'D BE AT USED AS PAWNS.
BETWEEN INSURERS WHO SEEK TO
PUNISH ADDED NETWORK PROVIDERS
AND FAMILIES SEEKING CARE FOR
THEIR LOVED ONES.
HOW WE NEED TO CREATE A
WORKFORCE I MENTION THIS EARLIER?
AND AND NEEDS TO DELIVER
SERVICES ON PAR WITH THE
TREATMENT OF OTHER THREATENED
LIFE THREATENING DISEASES.
JOIN THE THIRTY TWO STATES THAT
I LICENSE A DRUG AND ALCOHOL
COUNSELLORS ARE BY AND AND HAVE
THEM BE I JOINED THE LICENSE
HEALTH.
PRACTITIONERS THAT WE CURRENTLY
HAVE THAT WE DSPERATELY NEED
MORE OF.
BY HAVING A HOW LICENSE ALCOHOL
AND DRUG COUNSELOR. INCLUDE AOD
COUNSELORS AND OTHER
PROFESSIONALS I WANTING TO
EXPAND THEIR DICTION COMPETENCY.
AND. WITH LOAN REPAYMENT AND
GRANT PROGRAMS TO GROW THE
NUMBER OF TREATMENT
PROFESSIONALS.
I'M CLOSE LOOPHOLES AND
UNREGULATED OUT PATIENT MARKET
WILL ACQUIRE THAT ALL ADDICTION
TREATMENT BE.
PROVIDED BY EITHER A LICENSED
PRACTITIONER OR AND LICENSE
ENVIRONMENT.
WE BELIEVE THAT THERE ARE MANY.
OUT PATIENT FACILITIES THAT ARE
UNREGULATED BECAUSE THEY DO NOT
HAVE TO BE CERTIFIED BY THE
DEPARTMENT OAKLAND DRUGS WE
BELIEVE THAT THAT SHOULD BE
MANDATORY.
.
WE BELIEVE AND CALIFORNIA.
.
IS A NATIONAL MODEL. I'M.
WE BELIEVE THAT TAX CALIFORNIA
IS A PIONEER BECAUSE OF THE LOVE
OF FIFTEEN WAIVER.
AND IT IS OUR DUTY TO ENSURE
THAT IT SUCCEEDS BY CREATING AN
ENVIRONMENT WHERE PEOPLE ARE
SAFE TREATMENT IS MEANINGFUL AND
RECOVERY IS LASTING.
AS THE SEA OF SEA CAP.
I REPRESENT ARE INDUSTRY AND
PROFESSION AS OUR NATION AT
ANIMATIONS AT CAPITAL AT A
HEARING ON THE SUBJECT WE HAVE
CUT WE WERE COVERING TODAY.
WE STAND READY AS AN
ORGANIZATION AND. AND AS
INDIVIDUAL PRACTITIONERS TO WORK
WITH YOU.
ARE.
ARE HONORABLE CHAIR AND ALL
MEMBERS OF THIS COMMITTEE TO
DEVELOP LEGISLATION TO IMPROVE
THE RELATIONSHIPS BETWEEN
TREATMENT PROVIDERS AND
COMMUNITIES.
I HAD TO AND THE DESPICABLE
PRACTICES OF SELLING CLIENTS.
AND TO CONTINUE TO BEAR ON OUR
PATH
FOR DEVELOPING A QUALITY
WORKFORCE.
WE WILL LIKE AT TO THINK AS
SENATOR BRADFORD FOR SPONSORING
LEGISLATION TO END BY BROKERING.
AND ASSEMBLYMAN.
RODRIGUEZ AND ASSEMBLY WOMAN I
MELENDEZ FOR CO AUTHORING.
I HAD.
THE LEGISLATION TO CREATE
CERTIFICATION FOR RECOVERY
RESIDENCES.
WE LOOK FORWARD TWO WORKING WITH.
ASSEMBLY AND JONES
I SAWYER AND OTHERS WHO DRESS
WORKFORCE ISSUES I I'M IN
AVAILABLE TASK IN THE QUESTIONS
WHEN APPROPRIATE.
THANK YOU AND WE'RE GOOD TO THEM
AND ARE UN SENIOR VICE
PRESIDENTS WAS HITCHING
CALIFORNIA AT LIFE AND HEALTH
INSURANCE COMPANIES NQ.
I GOOD AFTERNOON EVERYBODY LAST
BUT HOPEFULLY NOT LEAST I'M I'M
AN E. ALONG WITH THE ASSOCIATION
OF CALIFORNIA LIFE AND HEALTH
INSURANCE COMPANIES.
BACK CLICK REPRESENTS.
HEALTH INSURERS TO PROVIDE
COVERAGE SU PPO.
POLICIES AND THAT'S WHY I'M
HERE BECAUSE AS YOU'VE HEARD. OF
MOST OF THE ISSUES THAT WERE
SEEN OUR OCCUR IN OUT OF NETWORK
PPO COVERAGE.
AND WE'VE BEEN ASKED TO COME TO
THIS COMMITTEE AND ADDRESS SOME
OF THE ISSUES THAT WE'VE BEEN
SAYING IN RECENT YEARS OUR WHERE
WE'VE SEEN A SIGNIFICANT GROWTH
A FRAUDULENT ACTIVITIES.
BY SOME SUBSTANCE ABUSE
TREATMENT ON PROVIDERS JUST SOME
NOT ALL.
AND THEY'RE TAKING ADVANTAGE AS
IT ADDED AS IT APPEARS AND.
.
THE MORE EXPANDED COVERAGE THAT
WAS PROVIDED UNDER THE ACA FOR
SUCH INCIPIO'S DISORDER
TREATMENT BUT ALSO THE
GUARANTEED ISSUE REQUIREMENTS
UNDER THE ACA.
AND THAT THEY'RE DOING THAT TO
ENRICH THEMSELVES.
BEFORE I GET INTO THE DETAILS OF
A BEEN ASKED TO ADDRESS ARM I
WANTED TO KINDA JUST STEP BACK%
AND GIVE US MORE OF A BIGGER
PICTURE OF WHAT WE'RE ADDRESSING
HERE AND JUST WHY.
THIS DISCUSSION THAT WE'RE
HAVING A DAY IS SO TIMELY AND
IMPORTANT FOR THE INDIVIDUAL
MARKET.
IN CALIFORNIA BECAUSE IN THE
NEXT TIME COMING MONTHS
THIS COMMITTEE AND THE
LEGISLATURE AS A WHOLE IS GOING
TO BE LOOKING AT WAYS TO TRY.
AND KEEP THAT INDIVIDUAL MARKET
STABLE AFFORDABLE AND VIABLE IN
THE FACE OF THE REQUIREMENT THAT
PEOPLE PROVIDE COVER OUR
MAINTAIN COVERAGE. THAT PENALTY
WILL BE TAKEN AWAY IN A YEAR AND
SO THIS COMMITTEES CAN BE
LOOKING AT WAYS TO MAKE SURE
THAT THAT MARKETPLACE STAYS
VIABLE. WHEN PEOPLE DON'T HAVE
TO BUY COVERAGE.
AND I THINK THE KEY FACTOR FOR
KEEPING THE INDIVIDUAL MARKET
STABLE AT LEAST ONE OF THE
IMPORTANT FACTORS.
IS THAT WE NEED TO LOOK AT
AREAS OF FRAUD AND ABUSE THAT
SHIFT HUGE RISK AND COST INTO
THAT MARKET. AND SO THAT'S
REALLY WHAT WE'RE LOOKING AT
HERE BECAUSE IN THE LAST FEW
YEARS TENS OF MILLIONS OF
DOLLARS IN INSURANCE OVER BILL
MEANT PAYMENT.
FRAUD AND OTHER.
UNSAVORY PRACTICES.
HAS BEEN OCCURRING IN THE
INDIVIDUAL MARKET AND THE TWO
MILLION PEOPLE WHO ARE IN THAT
MARKET NOW.
CAN BARELY AFFORD WHAT THEY HAVE
NOW AND THEY'RE CERTAINLY NOT
AND BE ABLE TO SUSTAIN THOSE
KIND OF LOSSES IN TERMS OF
INCREASED PREMIUMS.
SO I JUST WANNA COMMEND THE
COMMITTEE FOR TAKING THE FORWARD
THINKING OF HAVING NESS AND THE
LEADERSHIP TO LOOK AT THIS ISSUE
TODAY.
WELL AS YOU HEARD.
AND I WON'T TRY ó TRY NOT TO
REPEAT ALL THE WONDERFUL POINTS
HAVE BEEN MADE UP TO THIS POINT
BUT.
.
I DO WANNA SAY THERE ARE A LOT
OF VERY REPUTABLE TREATMENT
PROVIDERS THAT ARE OUT THERE THE
USER THAT CLINICS IN THE OUT
PATIENT TREATMENT CENTERS ARE
DOING A GREAT JOB AND THE KIND
OF.
A SILLY DECENT OUR MEMBERS WANT
TO CONTRACT WITH AGAIN IT'S NOT
AN ISSUE OF WHETHER OR NOT WE
HAVE ADEQUATE NETWORKS HEALTH
INSURERS MUST MAINTAIN ADEQUATE
NETWORKS IT'S.
THAT THESE.
FRAUDULENT ACTIVITIES WORK MUCH
BETTER IN THE.
OUT OF NETWORK WORLD.
SO WE'RE GONNA BE ADDRESSING
THOSE PROVIDERS I JUST WANT TO
MAKE THAT DISTINCTION OFF THE
BAT.
DISEASE PROVIDERS DON'T WANT TO
GO THROUGH THE CLINICAL
APPROPRIATENESS.
AND SOME AS THE.
TREATMENT REVIEWS THAT ARE
PROVIDERS IN THAT WORK ARE
WILLING TO GO THROUGH.
SO HERE'S WHAT'S HAPPENING
HERE'S WHAT WE'RE SEEING THE
SAME SORT OF THINGS THAT HAVE
ALREADY BEEN DISCUSSED TODAY.
I'M AWARE AS SEEN THAT MANY
PEOPLE ARE BEING RECRUITED FROM
OUT OF STATE.
BECAUSE ADAM OF ALL THE SUNNY
WONDERFUL CLIMBS IN SOUTHERN
CALIFORNIA. THEIR.
DECEPTIVE MARKETING AT THAT
WOULD GIVE THEM INCENTIVES TO
COME THE FRE COVERAGE YOU GET A
SCHOLARSHIP MOST OF THESE PEOPLE
ARE UNWILLING. UNWITTING DUPES
THEY REALLY DON'T EVEN KNOW THAT
THEIR EVEN BEING SIGNED UP FOR
HEALTH INSURANCE SOMETIMES.
AND WHAT'S HAPPENING IS.
AS WAS ALLUDED TO THAT THESE AM
QUOTE UNQUOTE BODY BROKERS.
ARE GOING TO OTHER STATES OTHER
COMMUNITIES THEY GO OUT THEY GO
TO A A MEETINGS THEY GO TO JAIL
THEY GO TO ANY AREA WHERE THEY
THINK THEY CAN FIND VULNERABLE
PEOPLE THAT ARE LOOKING FOR HELP.
THEY SIGN THEM UP.
AND GET THE MINUTE GROUP AND
THEN THE SELLING TO THE HIGHEST
BIDDER.
AND.
THEY SALAM TO THESE.
.
THESE MORE UNSCRUPULOUS.
PROVIDERS AUNT SO THAT THEY
WOULD BE GOING TO THOSE
FACILITIES.
NOW WHAT WE'RE SEEING AND I
DON'TKNOW IF THIS IS BEEN I
THINK YOU DISCUSSED IT SENATOR
HERNANDEZ BAD TAMA WE'RE SEEING
IS THAT THERE THERE'S PROMISES
OF PAYING. FOR THE HEALTH
INSURANCE PREMIUM AND THAT IS
OCCURRING OTHERS.
SPECIAL ENROLLMENT.
PROVISIONS THAT.
WHETHER BREEN THESE FOLKS SAN
BECAUSE IF YOU CHANGE YOUR ZIP
CODE OR YOUR COUNTY YOU CAN BE
STE AND ELIGIBLE FOR SPECIAL
ENROLLMENT IN GETTING MEDIA
COVERAGE. THERE'S NO MEDICAL
UNDERWRITING SO THERE'S NO
REASON WHY ANY HEALTH INSURER
WITH THINK.
YEAH OR EVEN KNOW WHY THEY'RE
ENROLLING. AND WE'RE FINDING
FRAUD IN TERMS OF THEM.
FIX PUTTING THEIR OWN ADDRESS
FOR THE FACILITY DOWN IN ORDER
TO HAVE THAT CHANGE OF LOCATION.
THEIR COURSE I WANNA BE PICKED
UP RIGHT AWAY.
THERE AYETHEY KNOW. THAT EVEN
THOUGH THEY BE PAYING FOR OUT OF
NETWORK COVERAGE IN THE PREMIUMS
AND OF COURSE IT'S MORE
EXPENSIVE TO GET COVERAGE AYE
NETWORK THEY KNOW THAT THEY'LL
BE MAKING MUCH MORE IN TERMS OF
WHAT THEY'RE DEALING. THEM WHAT
THEY'RE ACTUALLY GOING TO HAVE
TO PUT OUT OF POCKET.
IN THAT REGARD I WOULD JUST SAY
KEEP A CLOSE EYE AND I'M ON
COVER CALIFORNIA WE NEED TO
PROTECT IT.
BECAUSE THE ENROLLEES IN COVER
CALIFORNIA GET A SUBSIDY AND
THAT WOULD MAKE IT CHEAPER FOR
THESE BROKERS TO PUT THEM INTO
COVER CALIFORNIA.
SO WE NEED TO KEEP THIS IN MIND
IN TERMS OF THE INDIVIDUAL
MARKET AS A WHOLE. AND I WOULD
JUST SAY TO THAT ON THE
ENROLLMENT FORMS.
I'M MONEY THESE PEOPLE.
HAVE NO I'M THEY DON'T OF JOBS.
THEY SHOULD BE IN MEDI CAL IF
THEY WENT TO THAT ARE COVERED
CALIFORNIA PORTAL THE SHOULD
AUTOMATICALLY BE REFERRED TO
MEDI CAL THAT'S NOT HAPPENING
WHICH MEANS THAT THERE MUST BE
SOME KIND OF APPLICATION FRAUD
GOING ON. WHERE THEY ARE?
THEY'VE BEEN PUTTING FINANCIAL
INFORMATION AND THAT MAKES IT
CLEAR THAT THEY MIGHT BE.
ELIGIBLE FOR SUBSIDIZED
COVERAGE AND THEY'RE SHIFTING
THAT RISK AGAIN WERE TALKING
ABOUT SHIFTING REST INTO THE
COMMERCIAL MARKET.
OKAY SEEM MAY WELL ASK SO WATER
INSURERS DOING TO PROTECT
AGAINST FRAUD.
WE HEARD FROM.
MS ROCCO IN TERMS OF THE
SPECIAL INVESTIGATIVE UNITS THAT
INSURERS ARE REQUIRED TO HAVE.
AND.
THEY IN ADDITION TO THE SPECIAL
INVESTIGATIVE UNITS HEALTH
INSURERS PAY TWENTY CENTS A
POLICY ANNUALLY TO THE
DEPARTMENT OF INSURANCE TO FUND
SOME OF THE EFFORTS THAT THEY
WERE TALKING ABOUT IN TERMS OF
THEIR OWN INVESTIGATION AND.
A LOT THAT MONEY GOES TO LOCAL
DA'S.
SO WE PUT A LOT OF INVESTMENT
INTO FRAUD DETECTION.
I'M.
WHEN THE SPECIAL INVESTIGATIVE
UNITS GET A LITTLE FLAG THAT
SOMETHING MIGHT BE GOING ON THE
TEND TO LOOK AT ENROLLMENT FORMS
TO FIND OUT IF THERE'S ANY OF
THE TYPE OF OF FALSIFICATION OF
ENROLLMENT FORMS.
DAISY LOOK AT PROVIDER BILLING
PRACTICES TO SEE IF ANYTHING
FLAGS.
AND THEN THEY'RE ALSO MAKING
CHANGES TO THEIR POLICY FORUMS
SO A LOT OF THOSE OUT OF NETWORK
PAYMENT. ON ISSUES THAT WERE
ALLUDED TO BY A MISS ROCCO THEIR
THEIR TIGHTENING UP THEIR
CONTRACTS.
BUT IT SEEMS THAT EVERYTIME
INSURERS MOVE TO PROTECT AGAINST
FRAUD THE FRAUDULENT ARE ALWAYS
TWO STEPS AHEAD OF THEM.
IF THEY PUT SOMETHING IN THEIR
CONTRACT THAT SAYS WE WILL NOT
PAY WHEN A THIRD PARTY PAYS FOR
YOUR PREMIUM.
THEY WILL GO AHEAD AND GIVE
GIFT CARDS TO TO THE PATIENT SO
THAT THEY CAN PAY. FOR THEIR OWN
PREMIUMS IN SO THERE'S ALL SORTS
OF WAYS OF GETTING AROUND
ANYTHING THAT WE MIGHT. TRY AND
DO.
I AM.
SO WHAT CAN WE DO ABOUT IT THE
WAY I'M IN ADDITION TO THE
ISSUES ASSIST ALSO TALK ABOUT
ADAM.
RECOMMENDATIONS.
WELL FIRST OF ALL.
WHEN IT COMES TO TRYING TO DEAL
WITH THIS ON A CLAIMS BASIS. AN
OUNCE OF PREVENTION PREVENTION
IS WORTH A POUND OF CURE. YOU
KNOW ADAM CLAIMS ARE DONE ANA.
.
AFTER THE FACT BASIS THEY'RE NOT
HAND SORTED GENERALLY AND MANY
TIMES THESE THINGS WON'T FLAG
UNTIL YOU SEE A REAL HIGH SPIKE
IN SOMETHING.
AND THEN EVEN AFTER THAT AS YOU
HEARD IT TAKES A LONG TIME TO DO
THE INVESTIGATIONS SEND THIS TO
THE DEPARTMENT.
WE HAVE TO HAVE A PROFOUND
HEALTH INSURERS HAVE TO PAY
THEIR CLAIMS ON A TIMELY BASIS
THEY CAN'T JUST SAY I'M NOT PAIN
IS BECAUSE IT'S FRAUDULENT FIRST
OF ALL WE DON'T WANNA. TELL
GIVE SOME PEOPLE REASON TO THINK
THAT THEY'RE BEING INVESTIGATED
BECAUSE WHAT HAPPENS IS THEY
CLOSE UP SHOP. DUMP PEOPLE TO
THE CURB AND ANY POP BUT
SOMEWHERE ELSE UNDER ANOTHER
NAME. ON THE OTHER HAND INSURERS
HAVE TO MAKE SURE THAT THEY
PROVIDE SPECIFIC REASONS FOR
DENIAL AND SO IT'S VERY
DIFFICULT
A CLAIMS BASIS TO BE CATCHING.
THAT DOESN'T MEAN THAT WE
SHOULDN'T PUT EVERY EFFORT INTO
THAT BUT I THINK THE ANSWER
PREVENTION THAT I'M TALKING
ABOUT WOULD COME IN THE IN THE
FORM OF WHAT SOME OF THE. SENATE
THINGS YOU'VE ALREADY HEARD THIS.
TODAY MAKING IT ILLEGAL TO PAY
DOWN PREMIUMS OR SHARE OF COSTS
FOR NON RELEASE HEALTH INSURANCE.
WHEN THERE'S A DIRECT FINANCIAL
INCENTIVE TO DO SO WE'RE NOT
TALKING ABOUT PARENTS WHO WANT
TO PAY FOR THEIR.
KIDS INSURANCE OR ON SOME OF
THESE FOUNDATIONS.
LIKE THE RYAN WHITE FOUNDATION
FOR HIV AND AIDS THAT PAY
PREMIUMS TO GET PEOPLE COVERAGE
FOR NOT TALKING ABOUT REPUTABLE.
THEY WERE TALKING ABOUT. WHEN
THERE'S A FINANCIAL INCENTIVE.
AND OF COURSE CURTAILING THE
UNSCRUPULOUS OF FALSE
ADVERTISING PRACTICES OF THESE
PROVIDERS THAT ARE. PROVIDE A
PROMISING ALL KINDS OF BENEFITS
AND NOT GIVING ANY RESULTS.
AND MAKING IT ILLEGAL TO BROKER
THESE LIES FOR PROFIT IN A
MANNER THAT.
WHERE SEEN?
I'M NOT TALKING ABOUT THE
LEGITIMATE PRACTICES OF.
INSURANCE AGENT FINDING HEALTH
INSURANCE FOR SOMEONE WHO IS
DESPERATELY LOOKING FOR HELP.
I'M TALKING ABOUT FOLKS ARE
BUYING AND SELLING THESE PEOPLE
AS IF THEY'RE CHATTEL. WHICH IS
REPREHENSIBLE.
BUT WE SHOULD NOT DO IS.
TAKE OUT OF THE HANDS OF
INSURERS THOSE TOOLS THAT WE
NEED TO FIND OUT ABOUT FRAUD TO
COMBAT FRAUD TO IDENTIFY IT AND
THEN INVESTIGATE IT.
ME NEED TO INSURE THAT THERE'S
APPROPRIATE CLINICAL I'M
TREATMENT GOING ON SO THAT THE
BENEFITS THE PEOPLE PAYING FOR
THEIR GETTING.
WE SHOULD NOT TAKE AWAY
INCENTIVE FOR IN CHARGE TO SEE
COVERAGE IN NETWORK BECAUSE
THAT'S WHERE THEY'RE GOING TO
GET.
THE APPROPRIATE CLINICAL.
TREATMENT THAT THEY NEED
INSTEAD OF THESE OUT OF NETWORK
MORE SHADY YOUR OPERATORS.
SO THESE ARE JUST SOME
RECOMMENDATIONS SAM WE WOULD OF
COURSE BE VERY EVERY INTEREST IN
SOME OF THE OTHER ENFORCEMENT
RECOMMENDATIONS. CATHOLIC WANTS
TO WORK AS A PARTNER WITH ALL OF
YOU TO SOLVE THIS PROBLEM IT
CAN'T BE DONE JUST BY US. SO
WE'RE LOOKING FOR FOR ON
PARTNERSHIP WITH EVERYBODY HERE
AND AND.
STAND.
TO BE A PARTNER WITH THIS
COMMITTEE AND THE LEGISLATURE
NSO WITHOUT I JUST OPEN TO FOR
QUESTIONS THANK YOU I.
SENATE ROTH.
A FAIR BATES BENSINGER PAN.
SOURCE SERAPH THANK YOU MISTER
CHAIR JUST A TAG QUESTION A
FOLLOW UP THEM.
I'M I'M.
IF YOU STUDENT TEN TODAY'S
TWENTY FIRST CENTURY AN
INTERCONNECTED EVERYTHING. I'M
SURPRISED WHEN IT COMES TO AN
INSURANCE APPLICATION COVERED
CALIFORNIA OR WHATEVER. IT
THERE'S NOT A MECHANISM GIVEN
THE FACT THAT YOU PUT AN ADDRESS
DOWN TO SORT OF DO A CROSS CHECK.
YEAH TO MAYBE FIND OUT THAT THE
PERSON.
JUST MOVED IN A WEEK AGO FROM
NEW HAMPSHIRE WHERE THAT THE
ADDRESSES A WAREHOUSE AND NOT AN
APARTMENT OR RESIDENTIAL.
SILLY OR AT LEAST AT THE POINT
OF THE FIRST CLAIM THAT THE
ADDRESS ON THE APPLICATION
HAPPENS TO MATCH THE ADDRESS.
OF THE OF THE ENTITY THAT JUST
THAT SUBMITTED THE BILLING CLAIM
FOR REIMBURSEMENT IS ARE NOT.
MECHANISM IN THE INDUSTRY TO
SORT OF.
WHICH OBVIOUSLY I UNDERSTAND
PREVENTION BUT I MEAN YOU
CERTAINLY WANT TO STOP THIS
PRETTY QUICKLY WITHOUT PAYING A
LOT OF MONEY OUT BECAUSE THAT'S
THE. THAT'S THE LOS RIGHT ACT
IT'S AN EXCELLENT EXCELLENT
POINT AND WHAT HAPPENS IS IS
THAT. THESE THESE.
.
THEY'RE NOT THAT THEY'RE NOT
MANUALLY REVIEWED BUT WHAT
HAPPENS IS IS THAT JUST THE
THINGS THAT YOU'RE TALKING ABOUT
SENATOR DO HAPPEN IN A SPECIAL
INVESTIGATIVE UNIT. AND WHEN
THEY FIND THAT THERE'S ANY SORT
OF BLIP THEY WILL LOOK AT
PARTICULAR ADDRESSES THE LOOK TO
SEE.
FOR EXAMPLE IF SEVERAL ENROLLEES
HAVE THE SAME ADDRESS.
AND THERE ALL OF A SUDDEN HAVING
IS SPIKE IN HESE KIND OF IT BUT
IT TAKES THAT SORT OF IT'S
ALMOST A MANUAL REVIEW AT THAT
POINT COMPUTER ASSISTED AS
OPPOSE TO SOMETHING THAT'S
AUTOMATIC WHEN SOMEONE'S NAME
AND ADDRESS IS TYPED INTO YOUR.
INSURANCE DATABASES AS A CARRIER
AT NOW WHOEVER YOU ARE WON'T
REMEMBER TO THESE ARE AT OUR
NETWORK PROVIDERS AND THEY'RE
LOCATED IN RESIDENTIAL HER HIPS.
AND SO.
ONE YOU'RE PUTTING IN AN A AND
AN APPLICATION AND YOU AND
EVERYTHING LOOKS FINE. AND
THERE'S NO REASON TO BE MANUALLY
LOOKING AT THESE IT'S UP BUT WE
DO KEEP TRACK INSURERS TO KEEP
TRACK
WHEN A PARTICULAR PROVIDER. IT
WHEN WE START SEEING THOSE KIND
OF PATTERNS AND WE DO KEEP TRACK
AND IT DOES KICK IT OUT OF THE
SYSTEM SO. THEY'RE TRYING TO TO
DO THAT BUT AGAIN THESE ARE OUT
IN NETWORK PROVIDERS AND THE
ADDRESS LOOKS.
FINALLY DON'T CHECK EVERY SINGLE
ADDRESS OF THE THOUSANDS OF
APPLICATIONS WEEK AT.
BUT WE DO WHEN WE GET INTO THE
SPECIAL INVESTIGATIVE UNIT NOT
TO SAY THAT WE CAN'T DO A BETTER
JOB AND AND I THINK WHAT WE'RE
SEEING IS.
THREE OR FOUR YEARS.
KERRY'S OF GOT MORE
SOPHISTICATED AND TRYING TO
CATCH THIS BUT AGAIN LIKE I SAY
IT'S KIND OF ON THE BACKEND
RATHER THAN* TRYING TO DO
SOMETHING THERE MAYBE PEROT MORE
PROACTIVE ON THE FRONT AND
PRESIDENT OF BEING CRITICAL I
MEAN YOU KNOW NO I I THINK
THEY'RE MAKING.
MISTER HILL SESSION OF THIS
THIS EARLIER SO MAYBE I CAN ASK
IT OF YOU.
THE SOBER LIVING HOMES WHAT
ACTUALLY GOES ON IN THERE I MEAN
IS A SUB PLAN OR TENANT
SITUATION WHERE I BUY A HOME AND
MAKE IT AVAILABLE TO.
FIVE PEOPLE ARE SIX PEOPLE WHO
ARE RECOVERING.
FROM ADDICTION AND JUST NEED A
PLACE TO LIVE AND SORT OF HELP
EACH OTHER STAY ON THE RIGHT
TRACK AND AND FIND JOBS AND GOOD
WORK AND COME HOME AT NIGHT OR
SOMETHING ELSE GOING ON.
IN THESE HOMES TO THE COUNCIL
MEMBERS POINT.
DEPENDS SIR HOMES THAT ARE
PRODUCED I INDIVIDUALS THAT ARE
RECOVERING FROM ADDICTION
THEY'RE LIVING TOGETHER THEY
CHOOSE THAT THAT THEY WOULD LIKE
TO. LIVE TOGETHER FOR SUPPORT
I'M TO USE EIGHT BITS THEY'RE
STRONGER TOGETHER THAN
INDIVIDUALLY. THERE'S OTHER ONES
THAT ARE MORE STRUCTURED WORK
LIKE THE OX FOR FOR HOUSES WHERE
THEY ACTUALLY HAVE A STRUCTURE
IN A GOVERNANCE AND AND. THEY
WERE TOGETHER THERE HAVE AN
OWNER OPERATORS EIGHT THEY SELF
GOVERNANCE.
AND THEN THERE'S THE OWNER
OPERATOR MODEL WHERE WHERE THERE
IS A OWNER AND AND.
THEY.
.
MAKE SURE THAT THE HOUSES IS A
RECOVERY ENVIRONMENT THAT YOU
KNOW THAT IF PEOPLE ARE USING
DRUGS THAT THEY THEY'RE NO
LONGER THERE. THAT THERE'S
CERTAIN RULES THAT HAVE BY PIE
AS WELL AS HEALTH AND SAFETY.
AND AND THEN YOU ALSO HAVE.
I MORE STRUCTURED A TYPE OF
THAT RECOVERY RESIDENCES THAT
ARE.
PARTLY CONTINUE CARE FOR
TREATMENT FACILITY SO UNDER THE
LM FIFTEEN WAIVERS THEY
ORGANIZED DELIVERY SYSTEM. AND
THERE IS A CONTINUUM OF CARE SO.
SOMEBODY WILL LEAVE A
RESIDENTIAL TREATMENT AND GO TO
SOBER LIVING A RECOVERY
RESIDENCES
AND OUR PART OF THE TREATMENT
FACILITY AND THE MOVE AND TO
THAT AND THAT WOULD BE COVERED
BY.
MEDICAID AND AND UNDER THE
ORGANIZED DELIVERY SYSTEM AND
WHAT SORT OF CARE IS PROVIDED IN
THAT CIRCUMSTANCE IS A
COUNSELING'S NOW COUNSELING
KANSEN CANNOT BE PROVIDED IN A
RECOVERY RESIDENTS THERE'S JUST
SUPPORT.
THERE IS HOUSE MEETINGS I AM AND
IT'S BASICALLY THE SUPPORT IS.
I INDIVIDUALS THAT ARE
RECOVERING FROM THE SAME DISEASE
THEY'RE THERE TO SUPPORT EACH
OTHER AND THEIR TIMING NEED PUTS
LIKE IN A MEETING OF THE HOUSE.
YES OTHER THERE NO PROFESSIONALS
PROVIDING SERVICES IN THE SOBRE
LIVING SO I'M TRYING TO. FIGURE
OUT WHAT GOES ON WHEN YOU HAVE
THESE
CAMPUSES IN THIS IT'S BEEN
REFERRED TO IN SOME LOCATIONS
WHERE YOU HAVEFIVE OR SIX HOMES.
ARE THERE.
SERVICE IS BEING PROVIDED IN THE
HOME AND MY UNDERSTANDING FROM
WHAT YOU JUST SAID IS NO.
YOU'RE TALKING ABOUT RESIDENTIAL
TREATMENT.
THEY'RE TALKING ABOUT
RESIDENTIAL TREATMENT AND SIX
BUT HOMES MY UNDERSTANDING IT IS
WHAT I HEARD WHICH YOUR LICENSE
FACILITIES LICENSED FACILITY
OKAY I'M TALKING ABOUT THE
UNLICENSED.
UNLICENSED CERTIFIED FACILITIES
WHICH YOU'RE SOBER LIVING
FACILITIES. NO SERVICES PROVIDED
OTHER THAN THE SUPPORT THAT
RESIDENTS PROVIDE EACH OTHER.
THANK YOU THANK YOU MISTER.
SENATE BATES.
I THINK YOU AND THANK YOU ALL
FOR COMING I'D PROVIDING A
TESTIMONIAL TODAY. ON IS A BIG
PROBLEM THAT'S BEEN WITH THIS
LEGISLATURE FOR MANY MANY YEARS
I YOU'RE ALL VERY AWARE THAT.
BEEN A NUMBER OF LAW PIECE OF
THE LEGISLATION OVER MANY YEARS
THAT. HAVEN'T FOUND THEIR WAY
AYE AND SOLVE THE PROBLEM SO WE
NEVER GIVE UP RIGHT. ON MY
QUESTION IS NUMBER ONE NOW FOR
ALL YOU HAVE THERE. I HAVE
THEY'RE NOT AFRAID CYCLE AND
OTHER NON.
WHEN YOU'VE ALL MADE.
THE TRIP Y. TO WASHINGTON
DID YOU GET ANY INDICATION THAT
ARE. GONNA CONGRESSMAN ICE IS
BILL IS GOING ANYWHERE THAT SEEM
TO BE A BRIGHT LIGHT IN TERMS OF
PROVIDING SOME OPPORTUNITY FOR
LOCAL GOVERNMENTS TO HAVE.
AWESOME OVERSIGHT. YOU KNOW
STANDARDS IF YOU WILL.
WE WE WE CERTAINLY DID WE AYE I
THINK COMBINED. OVER TWENTY TWO
MEETINGS IN THIRTY SIX HOURS OF
WHICH I HAVE AYE AYE A YOU KNOW
I WOULD I WOULD ASSOLUTA COMMENT
BUT.
WE LEARNED A TREMENDOUS AMOUNT
AND I THINK WHAT WE GLEANED FROM
A CONGRESSMAN ISIS BALANCE IN.
PARTICULAR IT WAS THAT. WE
NEEDED TO MAKE SOME AMENDMENTS
THAT WERE THERE WAS SOME
REDEFINING THAT WE NEEDED TO DO
BASED ON HIS RETIREMENT WE HAVE
TO RE INTRODUCE THAT BILL.
BUT AT WE NEED A COMPANION
PIECE OF LEGISLATION AND THE
SENATE AND SENATOR FEINSTEIN AND
SENATOR HARRIS HAVE HAVE TAKEN
GREAT INTEREST IN THIS ISSUE AND
HAVE. HAVE STARTED A PROCESS
WITH ASK BED SHOULD USE.
HEARINGS AND ADDITIONAL
AWARENESS IN THE SENATE THAT
SHOULD COMPLIMENT AT EFFORTS OF
THE HOUSE.
YES THAT'S GREAT NEWS IS
BIPARTISAN. OUT FOR MISS HE'LL
END OF. IS IT POSSIBLE FOR THE.
INSURANCE
BOB HEALTH PLANS
THAT RP PO'S KIM IS THERE A WAY
THAT YOU. COULD REQUIRE
CERTIFICATION.
BOB FOR P. MATCH WELL I AS YOU
DO FOR. YOU KNOW BOMB DOCTORS
SENDING HIM SERVICES BETTER IN
THE PLANNER IN THE NETWORK.
BECAUSE IT WOULD SEEM TO ME THAT
WE GIVE YOU A GREAT TOOL IF YOU.
COULD REQUIRE CERTIFICATION
BEFORE A PERSON WAS SENT
TO THAT PARTICULAR FACILITY. OFF
THROUGH WHATEVER REFERRAL
SERVICES OUT THERE.
MY UNDERSTANDING IS THAT ALMOND
ORDER TO PAY CLAIMS.
THAT HAS TO COME FROM A
LICENSED FACILITY AND I SEPARATE
THAT FROM THE SOBRE LIVING.
ARRANGEMENTS BECAUSE SOME HEALTH
INSURERS DON'T PAY FOR THOSE.
AND THOSE ARE THAT'S MORE RENT
AND THEIR DATA PROVIDE MEDICAL
SERVICES THERE REALLY PAY FOR
MEDICAL SERVICES.
I WOULD SAY JUST AS AN ADJUNCT
THAT WE HAVE SEEN ARMS SOME.
SOME OF THESE OF RELATING
ARRANGEMENTS ON HAVE
RELATIONSHIPS WITH LABS THAT
THEY SEND PEOPLE TO AND.
AND JUST THE FREQUENCY SEVERAL.
OF REQUIREMENTS IN ORDER JUST
DID A TOXICOLOGY SCREENS SO WE
SEE THAT THERE ARE SOME ABUSES
THERE.
BUT WE DON'T HAVE.
WE DON'T PAYS SPECIFIC CLAIMS
FROM SOBER LIVING ARM HOMES.
IN TERMS OF WE DO REQUIRE
LICENSURE AND.
IT WHEN I WHEN I FOUND OUT
TALKING TO MY MEMBERS IS WHAT
HAPPENS IS WHEN THEY WHEN THEY
REQUIRE LICENSURE LOTS OF TIMES
THESE FOLKS OF FOLD UP SHOP.
YOU KNOW SHOW ME PROOF THAT YOU
HAVE A LICENSE AND IT'S IN GOOD
STANDING AND I'LL SOMETIMES
SPELLED SHOP. BUT THEY DO
REQUIRE LICENSURE.
I'M.
AND EGG AGAIN THESE FOLKS ARE
BEING MOVED INTO THESE
FACILITIES AND SO I DON'T KNOW
TO WHAT EXTENT WE CAN STOP THIS
BEFORE THEY GET THERE.
BECAUSE ONCE THEY GET THERE THEY
SIGNED UP FOR HEALTH INSURANCE.
SO I DON'T KNOW ABOUT THE
PROACTIVE I'M REQUIRING
LICENSURE BEFORE THE MOVIE AND.
HEALTH INSURANCE IS ALWAYS ON A
CLAIMS BASIS MANSOUR O. ARM. THE
GOOD POINT IT WOULD BE NICE IF
YOU COULD REQUIRE THAT.
I JUST THINK IT WOULD BE AN
IMPETUS FOR ARE THE VOLUNTARY
CERTIFICATION.
ARE BECAUSE WE HEARD EARLIER
THESE PILOT PROGRAMS THAT ARE
GOING ON WITH THE MEDI CAL
WAIVER.
THE COUNTIES FIRE ARE REFERRING
PEOPLE TO TO FACILITIES. THAT
ARE CERTIFIED.
AND THAT'S A VOLUNTARY
CERTIFICATION I'M ASSUMING BAD
IF THAT COULD BE SOMEHOW
FACTORED INTO. A WHICH YOU WOULD
BE ABLE TO DO THAT WOULD HELP.
MOTIVATES THESE HOME SIGH AND
AND LICENSE STOCK TO GET
CERTIFIED ALSO IT'S A HIGHER
LEVEL OF THAT KIND OF QUALITY OF
DELICIOUS SOMETHING AND I I
DON'T KNOW THAT IT CAN BE
MANDATED THROUGH LEGISLATION.
I'M THINKING IF YOU COULD WORK
TOGETHER. AYE AS YOU GO FORWARD
AND FIND OUT AWAY THAT
CERTIFICATION IS SOMETHING THAT
BECOMES PART OF. THE APPROVED.
.
TO SOLIDIFY PAYMENT.
GREAT WILL CERTAINLY LOOK INTO
THAT FOR THE LICENSED FACILITIES
AGAIN THE SOBER LIVING HOMES IF
THEY GOT CERTIFIED WE WENT.
IF WE DON'T PAY FOR THAT. YAK
GOOD POINT.
SENATE PANEL.
THANK YOU.
SO I.
FEW QUESTIONS SO FIRST OF ALL
JUST TO CLARIFY.
I GUESS OWNERS PREPS MISS
DRENNAN ARE.
DURA COMES MARILYN MONDAY SO
IT'S OF.
SOBER LIVING HOMES AND IN THEIR
HOUSING ARRANGEMENTS AND
INTERNET WERE NOT. THIS STERN
ISSUE WITH THEM I MEAN DE I'VE
HEARD FROM.
THE SAVAGE THAT YOU KNOW
DISCRIMINATION LAWS APPLY THINK
IMPORTANT WE DON'T DISCRIMINATE
GUESTS WITH DISABILITIES SO HARD
THAT WE OFF THE TABLE ON THOSE
ARE THEIR PROBLEM THERE I THINK
A IN TERMS OF STATE LAW ROTH
HEADLINE. BUT I DO THINK IN
TERMS OF FEDERAL LAW AND THERE
IS CHANGE TO BE MADE THE ALL OF
THE REPRESENTATIVES AND SENATORS
THAT WE DISCUSS THIS WITH. A
VOTE WAS WILL THIS ISN'T THIS
JUST A STATE PROBLEM ISN'T JUST
A ZONING ISSUE HANNAH STUNT ITS
FAIR HOUSING ACT AND THEY BEGAN
TO UNDERSTAND THAT NAY BUT. THEN
THEY BEGAN TO UNDERSTAND HOW IT
WAS IN FACT SENATOR FEINSTEIN
SAID. IT'S VERY MUCH LIKE THE
OLD WOMAN PORT PLACES THEY STAB
AND SARAH AND SAN FRANCISCO. AND
IT TOOK US AN ETERNITY TO BE
ABLE TO REGULATE THOSE WE HAVE FACILITY SAYING NO WE
RENTED A HOUSE WE CAN YOU KNOW.
SO I ENDED UP ALL THESE PEOPLE
OVER HERE WILL MAKE A BUNCH OF
MONEY ON AS HELL THAT'S
HAPPENING A LOT BOOK AND SO SO
WHEN THINGS I THINK WE HAVE THE
VERY CAREFUL ABOUT. RIGHT IS
THAT WE DON'T NOW START
DISCRIMINATING AS PEOPLE
DISABILITIES ACT COMMITTEE THERE
IS A VERY I MEAN THAT SIR.
BECAUSE YOU KNOW THE QUESTION IS
IS THE ISSUE I MEAN.
IF THE ISSUE IS WERE APPLYING
THE SAME STANDARD TO ANY GROUP
OF PEOPLE WHO ARE LIVING THERE.
THAT'S PRIDE FINE BUT IT'S ONLY
APPLIES TO PEOPLE WHO ARE
RECOVERING FROM ADDICTION AND
THEN WE START GETTING I MEAN I
THINK THERE'S SOME HUMAN RIGHTS
ISSUES THAT WE START YEAH AND
THERE ARE AND WE ARE MORE THAN
AWARE OF THAT. BUT THE OTHER
THING AND JUST WANTED TO POINT
OUT HERE
AND IN TERMS OF THAT FEDERAL
LEGISLATION.
ABOUT A YEAR AGO.
THERE WAS A LETTER THAT WAS
SENT FROM TENER ELIZABETH WARREN
AND MARCO RUBIO TO THE GENERAL
ACCOUNTING OFFICE.
ACCOUNTABILITY OFFICE AND THERE
A. S. FOR AN INVESTIGATION HONDA
SOBRE LIVING FACILITIES BECAUSE
THEY'RE ELECT IS LIKE WE ARE AND
WE HEAR FROM EVERYBODY. AND SO
THEY WANTED TO FIND OUT MORE
ABOUT IT THEY GOT.
YOU SENATOR ORRIN HATCH TO
AGREED TO SIGN THE BILL NOW JOHN
MCCAIN SIGNED THE BILL BOTH THE
SENATORS FROM. UP CONNECTICUT
SIGNED THE BILL IT'S A VERY
BIPARTISAN OPERATION FACT I
SPOKE TO SENATOR WARREN ABOUT
AYE SO WHEN I SAW THIS LETTER
WITH YOUR NAME AND MARK A
RUBIO'S. EITHER WAS GOING TO
BURST INTO FLAMES AND ANTI SAID
MARCOS MY PEN PAL ON THIS
BECAUSE IT'S A PROBLEM THEY HAVE
IN MASSACHUSETTS THEY HAVE IN
FLORIDA WE HAVE IN CALIFORNIA.
HAVE AN OHIO HAVE EVERYWHERE AND
SAID THE S. WITH THIS STUDY IN
THE STUDY ACCORDING TO OUR LAST.
MEETINGS IN WASHINGTON IN THE
MIDDLE OF DECEMBER I GUESS MY FATHER QUESTION.
NO SAVAGE SINCE YOUR TALK ABOUT
HOUSING RIGHTS.
.
I ALSO HEARD ONE IN THE
TESTIMONY THAT.
THERE'S A CONCERN THAT WAS
EXPRESSED.
I THINK I THINK WAS PAYING
ACCOUNTS WERE LANTE ABOUT.
YOU KNOW YOU HAVE THE SO NOW
SECOND SO RELATING HOMES LET'S
TALK ABOUT THE LICENSE. RIGHT
AND SO YOU HAVE FACILITIES ARE
ACTUALLY PROVIDING SERVICES THAT
ARE ALSO PLACE WHERE PEOPLE LIVE.
BECAUSE HER RECOVERING A LETTER.
AND.
YOU HAVE BASICALLY THE BECAUSE
I THINK IF I COULD I COULD I
WON'T FEEL A. COULD NOT DIRECT
QUOTE BUT BASICALLY NOW WHAT
HAPPENS RETREATING SINCE THE
ZONES RIGHT THEY'VE WON HOME THE
OTHER ON THE OTHER ON THE OTHER
HOW.
OF FROM A HOUSING RIGHTS
PERSPECTIVE.
IS THE I MEAN I I THINK ON ONE
LEVEL WE DON'T WANT TO YOU KNOW
WE WANT SHIRLEY.
ADULTS CANADIANS FEEL
DISABILITIES.
SAMETIME.
AND IDEAL EN SAMETIME WE YELL I
MEAN THERE'S REASONS FOR ZONING
LAWS RIGHT SO WHAT HAPPENS IS
NOW YOU START HAVING.
ESSENTIALLY HOUSES DOUBLING UP
THIS TREATMENT FACILITIES AND
AND THERE'S A BUNCH OF THE MARK
CLUSTERED TOGETHER.
MAYBE YOU CAN GIVE ME SOME
THOUGHTS ARE.
HOW DO WE HANDLE THAT WHILE
ENSURING THAT WE DON'T
DISCRIMINATE AGAINST PEOPLE
DISABILITIES I THINK?
WHAT YOU'RE ASKING ABOUT IS OVER
CONCENTRATION YES AND?
?
I THINK THAT.
.
AND WHETHER YOU COULD HAVE
SPACING REQUIREMENTS ARE THEY'VE
LEGAL.
SO WE DO HAVE IN CALIFORNIA
WE'VE HAD FOR QUITE THINK. SINCE
NINETEEN SEVENTY EIGHT WE'VE HAD
A THREE HUNDRED FOOT RULE AS WAS
EXPLAINED EARLIER FOR COMMUNITY
CARE FACILITIES.
AND TO BE PERFECTLY FRANK
THERE'S NOT ONE FOR STATE
LICENSED ALCOHOL AND DRUG
PROGRAMS.
BECAUSE THERE'S BEEN TALK OF
THAT.
IF YOU LOOK AT THE CASE LAW AND
YOU LOOK AT THE DOJ HUD JOINT
STATEMENT.
.
THE GENERAL STATEMENT IS THAT
SPACING REQUIREMENTS.
ARE ILLEGAL BECAUSE THEY ARE
TREATING.
A A TYPE OF HOUSING OR IN THIS
CASE A LICENSED FACILITY
DIFFERENTLY THAN YOU WOULD.
.
OTHER. LIKE USES AND CERTAINLY
FOR THE SIX AND UNDER THE STATE
OF CALIFORNIA HAS PREEMPTED.ANY
KIND OF LOCAL CITY OR COUNTY
REGULATION OF THE SMALL
FACILITIES.
BECAUSE WE'VE.
THE LEGISLATURE HAS SAID THESE
ARE REALLY IMPORTANT WE'RE GONNA
TREAT HIM JUST LIKE FAMILIES.
SO.
.
I I THINK THAT IT'S YOU KNOW
IT'S IT'S NOT PERFECTLY CLEAR
BUT I THINK IT WOULD BE
PROBLEMATIC TO IMPOSE.
SPACING REQUIREMENTS.
PARTICULARLY FOR.
THE SMALL HOMES.
OR SAID YOU TREAT HIM LIKE A
FAMILY I ALSO THINK THATI MEAN
THE COMMUNITY FOLKS FROM
APARTMENT SOCIAL SERVICES HAS
SAID.
BAD OVER CONCENTRATION.
WAS NOT AN ISSUE THAT THEY FOUND
THAT THEIR STAFF IN THE SERVER
THEIR STAFF THEY SAID RARE.
.
YOU KNOW I DON'T KNOW WHAT THE
RESULT WOULD BE IF YOU LOOK AT A.
DIS.
IF YOU IF YOU WOULD FIND THAT A
HOME.
BLOCK MY EXPERIENCE MORE THAT.
THAT THE THAT THE SIX.
AND UNDER ARE EXTREMELY HARD. TO
OPERATE ECONOMICALLY FINANCIALLY
THERE REALLY REALLY TOUGH AND SO
WHAT. LOT OF PROVIDERS GOOD
PROVIDERS ARE INTERESTED IN IS
HAVING SOMETHING LARGERAND THEN
THEY FACE INCREDIBLE DIFFICULTY
GETTING THROUGH. THE PLANNING
APPROVAL PROCESS TO HAVE YOU
KNOW SEVEN SEVEN OR MORE THEY GO
THROUGH ENTITLEMENT PROCESS SO
THAT WAS A LITTLE OFF TRACK BUT
I WANT TO MAKE FOLKS AWARE THAT.
THE LARGER SOME OF THE LARGER
FACILITIES HAVE EXTREME. AND THE
GOOD ONES HAVE EXTREME
DIFFICULTY CITING.
ITSELF CIRCLING BACK I THINK
THAT UP SPACING REQUIREMENTS ON
WOULD BE TOUGH.
SOME AND.
THE ONE IN CALIFORNIA FOR
COMMUNITY CARE FACILITY IS THREE
HUNDRED. AND CERTAINLY THE CASE
LAW IS IF YOU TRY TO IMPOSE LIKE
THOUSAND. IT'S NOT GONNA WORK AT
ALL.
AND NO I APPRECIATE THAT I MEAN
I I AM A I ALSO HEARD THE
TESTIMONY ABOUT. DON'T YOU DO
NEED TO PRIDE ALL THE SERVICES
WITHIN THE ONE STRUCTURE. AND
I'VE MET THERE'S PART OF ME THAT
WAS GOING VITAL NO FROM A.
FROM A SCALE PERSPECTIVE YOU
ACTUALLY HAD TO OPERATE KNOWS
YOU'RE YOU'RE DOING YOU ACTUALLY
TOPPING GOOD FAITH INTO IS
WHETHER.
THAT WORKS FOR EVERY SERVICE ARE
NOT BECAUSE YOU KNOW YOU'RE IF
YOU ONLY HAVE SAID SO AND I
THINK WE GOT FIGURE HOW DO WE
STRIKE THAT BALANCE.
I ALSO THINK THAT YOU'RE NOT UP
ON ON ONE DEL OBVIOUSLY IF YOU
HAVE A WHOLE BUNCH OF FACILITIES
IN ONE PLACE ACTUALLY LOST
NEIGHBORHOOD FEELS I GOT THAT
RIGHT AND ACTUALLY THAT'S WHY WE
WANT PEOPLE IN.
SO YOU KNOW I INTEGRATING
SUDDENLY
HOWEVER BY.
DO NOT ACTUALLY KNOW
NEIGHBORHOOD YOU'RE JUST WITH A
MUCH OF.
BUT WE ALSO HAVE A I I'M I'M
SURE WE DON'T HAVE UNINTENDED
CONSEQUENCES TO WE SIMPLY SAY
ALL THE SERVICES HAVE DELIVERED
AND NOW IT AGAIN WE HAVE TO LOOK
OPERATIONALIZE THAT MAKES SENSE
IS THAT CAN BE TOO EXPENSIVE IS
THAT GOING TO BE INEFFICIENT.
ETCETERA BUT ALSO BE SURE THAT
WE CAN ACTUALLY MEET INTENT WE
WANT WHICH IS ACTUALLY BICU.
OUT HELPING PEOPLE RE INTEGRATES
ANNA TREATMENT FACILITY BACK IN
THE NEIGHBORHOOD OF THEIRS IN
THE NEIGHBORHOOD AROUND BECAUSE
EVERY OTHER HOUSES. THAT'S A
PROBLEM TOO SO I THINK YOU KNOW
BY TYPE WE CAN TRY TO FIGURE
THIS OUT NO WAY.
THAT.
THAT MAKE SENSE. I DID
SYMPATHETIC HAVE SOME QUESTIONS
I HAD REGARDING AN INCH ON THE
SHORE
IT'S AND.
IN ASIA U. ROSE SEVERAL ISSUES
OF SO FIRST OF ALL I JUST
FUNDAMENTALLY.
HERE YOU CAN'T IT.
A PPO BY DEFINITION RIGHT IS
LONG PEOPLE GO OUT NETWORK
OTHERWISE YOU JUST HAVE AN HMO
RIGHT.
SO SO SO THERE'S NO REQUIREMENT
THAT YOU SELL A PPO PRODUCT IS
THERE IN THE STATE OF CALIFORNIA
DO YOU HAVE TO SELL THE PPO
PRODUCTS YOU DON'T WANT TO.
I KNOW YOU KNOW SO IF YOU OKAY
DON'T WATCHES AYE I THINK M..
I THINK IT WE SELL AT
VIDEOS BECAUSE PEOPLE WANT ABOUT
OKAY RIGHT SO THE EXACTLY OKAY
SIDES I JUST WANT TO PUT THAT
OUT THERE BECAUSE OF SOME
COMMENT MADE ABOUT WILL WE
SHOULD LET PEOPLE DOWN NETWORK
EXCEPT YOU CAN DO THAT YOU WANT
TO YOU JUST DON'T SELL. PPO
PRIDE
PTI DEFINITION IS A LIKE IF WE
GOT NOW.
OKAY.
THE OTHER QUESTION IS IS THAT
YOU.
.
YOU SAID IS THERE ANY LAW
PREVENTS A HEALTH PLAN FROM
SAYING YOU HAVE TO BE LICENSE IN
OR FOR ME TO PAY THE PROVIDER.
NO NO A DUCT PAN I'M NO IN FACT
THAT'S WHAT I WAS EXPLAINING
p WE GENERALLY REQUIRE LICENSE.
OKAY SO BECAUSE I DO HAVE SOME
DISCUSSION ABOUT BEGAN WE DON'T
NEED A LOT FOR THAT A HEALTH
PLAN CAN SIMPLY INSURE CAN SAY
IF YOU'RE NOT LICENSE WERE NOT
PAYING THAT PROVIDER RATE.
RIGHT AND I THINK WHAT WE'VE
HEARD IS THAT THEY'RE REQUIRED
TO BE LIKE.
OKAY RIGHT OKAY SO BECAUSE YOU
DIDN'T MADE A COMMENT THAT WILL.
WANT YOU TO ASK RELEASE ISSUED A
FULL THAT SHOP AND A DISAPPEAR
BUT I ASSUME THAT YOU CAN JUST
REQUIRED LICENSURE UP FRONT
BEFORE WE SEND A CHECK OVER TO
THE PROVIDER CORRECT WELL THAT'S
RIGHT AND SO BEFORE THEY SEND A
CHECK THEY ASK OKAY. BECAUSE
THEY KNOW THEY'RE BEING
INVESTIGATED AND THEY KNOW
THEY'RE NOT LICENSED FOR WHAT
THEY'RE FEELING FOR THAT'S MONEY.
BECAUSE THAT SHOP ALRIGHT AND
THEN I GUESS THE OTHER QUESTION
I HAVE IS IS THAT.
.
YOU KNOW AGAIN YOU SAID NAM.
YOU HAVE CLAIMS.
YOU HAVE SOME ELDERLY AID
HEALTH PLAN BY HAS SOME
INFORMATION ABOUT.
WHAT WAS THIS AND YOU ARE ONLY
ASPIRIN NUMERAL RIGHT?
IS THERE FOR EXAMPLE IS THERE
SOME WAY THAT.
.
WHETHER WITHIN HEALTH PLAN ARE
THE HEALTH PLANS OP IN
CALIFORNIA MAYBE DEAL I CAN HELP
IN TERMS OF PULLING INFORMATION
TO HELP YOU BETTER DETECT PEOPLE
WHO ARE COMMITTING FRAUD ARE
TRYING TO BEYOND THE BROKERS AND
SO FORTH. AS THERE I MEAN IF WE
THINK ABOUT BIG DATA AND SO
FORTH OKAY WE HAVE A BUNCH OF
PEOPLE WHO JUST AND.
A PROVIDER WHO SUDDENLY HAVE A
SPIKE AND NOW A BRAND NEW
PROVIDER WHO'S NOW. BILLING FOR
ALL THESE NEW PEOPLE WHO SHOWED
UP I THINK.
AND I THINK BUT A QUESTION THAT
PERHAPS IN IRAQ THAT'S LIKE WELL
YOU YOU HAVE SOMEONE TO CITIES
YOU TYPE IN A DATABASE CAN THAT
BE MATCHED UP AGAINST A LIST OF.
VICIOUS ADDRESSES ARE ADDRESSES
YOU KNOW THINGS THAT WE HAVE
BRED FLEISS DOESN'T MEAN THAT
SOMETHING'S GOING ON RIGHT NOW
BUT IT'S LIKE HURT WAIT A MINUTE
THERE'S A RED FLAG HERE.
THIS IS A SOMEWHAT SUSPICIOUS
ATOM SO ADDRESS OR SOMETHING
SOME WAY TO DO MATCHING IN THAT
REGARD I MEAN YOU DID MENTION
THAT YOU DO NOTICE IF YOU HAVE A
BUNCH OF PEOPLE ALL SIGNED UP TO
THE SAME ADDRESS.
BUTMAYBE THAT'S SO I'M JUST I
THINK ABOUT WAYS THAT.
.
GOOD WE CAN TRY TO PASS A LAW AB
SIDE.
IT IN FACT IT IS THE SUBJECT OF
MANY LOS HEALTH INSURANCE
COMPANY SAYS IT THERE TO PRETTY
BLUNT INSTRUMENTS AND THERE'S
WAYS WE CAN FACILITATE X.
INFORMATION EXCHANGE ESTO
PROTECTS PEOPLE PRIVACY BUT.
ALLOWS YOU TO COMBAT FRAUD
PERHAPS WE SHOULD BE THINKING
ABOUT THOSE INSTEAD OF JUST.
TRYING TO LATER ON MORE
LEGISLATION. INNOCENTLY
REPUBLICANS ARE.
A YOU DIDN'T RECEIVE I CAN A
BREAK THAT DOWN A LITTLE BIT I.
I THINK THAT.
I DON'T KNOW IF WE'VE EVER
EXPLORED SHARING DATA I DON'T
KNOW WHAT THE LIMITATIONS
BE BUT I.
NEEDED TO TALK TO THE DEPARTMENT
OF INSURANCE ABOUT THAT I I
THINK OUR GOAL IS IS TO. MAKE
SURE THE BIGGEST.
VICTIM HERE THE PEOPLE ARE
LIKING THE TREATMENT RIGHT THAT
THEY SHOULD THEY THINK THERE
SHOULD BE GETTING.
AND SO. TO THE EXTENT THAT WE
CAN ALL WORK TOGETHER TO FIX
THAT FRAUD THAT'S THAT'S IN THE
BETTER INTEREST OF IRON RELEASE
SO. YES AND I AM A BIG THE IN
TERMS OF FLAGGING THEM I THINK
THAT'S WHAT OUR SPECIAL
INVESTIGATIVE UNITS ARE DOING
WELL.
I AM IT'S JUST THAT YOU YOU HAVE
TO SEE SERVE A PATTERN OR
PRACTICE TO KNOW WHAT SHOULD BE
FLAG.
AND SO THAT'S WHY I'M SAYING IN
SOME OF THE RECOMMENDATIONS WE
HEAR ARE MAKING ARE MORE IN OUR
ON LINE LET. LET'S TRY AND STOP
SENATE THINGS THAT BECAUSE SOME
OF THESE PROBLEMS FIRST RATHER
THAN FINING THEM ABOUT THEM
AFTERWARDS BUT I THINK ALL OF
THESE THINGS ARE REALLY GOOD
IDEAS AND AND.
OUR COMPANIES ARE DOING AND BE
HAPPY TO TALK ABOUT.
BETTER THINGS WE CAN BE DOING
CELL.
THEN YOU'D GET POINTS AND THEN
ONE LAST AND ACTUALLY I DON'T.
NEVER DISMISS THE PRICKLY
APPLIES TO AND I MISS RAINIER
FROM THIS VERY GENERAL'S OFFICE.
HE'S STILL HERE.
ELIOT.
SO WHAT IF POINTS THAT WAS MADE
WAS THAT.
COUNTERS OUT ADVERTISING AND I
KNOW YOU KNOW THEIR TEARS
CERTAINLY CERTAIN RIGHTS
ENFORCEMENT FOR COMMERCIAL
ADVERTISING BUT. I JUST KNOWS
AND PARTICULARLY IN HEALTH CARE
BECAUSE PEOPLE MOST VULNERABLE.
MOTHERS FOR SUBSTANCE ABUSE OR
OTHER CONDITIONS.
THERE'S A LOT OF.
.
ADVERTISING OF SERVICES THAT
HAVE NO EVIDENCE BEHIND THEM.
THE PEOPLE PROFITING FROM THEIR
BASE ON PSEUDO SCIENCE.
THAT MAYBE OUTRIGHT FRAUD.
WHAT CAN WE DO TO?
?
GO AFTER PEOPLE WHO ENGAGE IN
THAT KIND OF ADVERTISING
INCLUDING PEOPLE TRYING TO SEE
FAMILY MEMBERS WHO WERE
DESPERATE TRYING TO GET HELP FOR
THEIR LOVED ONES WHO HAVE
ADDICTION PROBLEMS I MEAN. IS
THERE SOMETHING IS THERE I'M
CERTAIN ADDITIONAL LEGISLATION
WE NEED WHAT ELSE DO WE NEED TO
DO TO SUPPORT. THAT KIND OF FIVE
PROSECUTION.
YEAH I SCRAPS OUT A FEW WILLING
TO COME UP AND.
ANSWER THAT QUESTION I MEAN WHAT.
WHAT TOOLS DO WE NEED MORE TOOLS
FOR THEIR AG'S OFFICE TO BE ABLE
TO PURSUE THAT BECAUSE I MEAN
FUNDAMENTALLY THAT'S HOW THE?
YOU KNOW.
THE BODY BROKERS AND OTHER
PEOPLE FIND THEIR VICTIMS RIGHT
IT'S.
IT'S THIS KIND OF ADVERTISING
AND.
.
YES.
IT SURE CITY ATTORNEY GENERAL'S
OFFICE WILL ALWAYS WELCOME.
RESOURCES.
AS A SAID WE HAVE A VERY LARGE
STATUTORY MANDATE THAT IS AN ALL
ENCOMPASSING ACROSS THE STATE.
AT SUCH AS HEALTH CARE IT'S
OTHER INDUSTRIES AS WELL ON THAT
BEING SAID THIS ATTORNEY GENERAL
IS VERY COMMITTED TO.
NO CREASING ACCESS AFFORDABLE
HEALTH CARE.
AND COMBATING NO SUBSTANCE USE
DISORDER CLING OPIOID EPIDEMIC
IN WORKING TO ENSURE THAT PEOPLE
HAVE.
AND SO WE ARE MORE THAN WILLING
TO WORK WITH YOU OR OTHER
MEMBERS I'M TALKING MORE ABOUT
HOW WE CAN USE THAT CURRENT
AUTHORITIES WE HAVE UNDER LAW TO
LOOK AT THE FRAUD ASPECT.
YOU KNOW THAT I THINK THAT'S A
CONVERSATION THAT YOU KNOW WE WE
HAVE SOME FOLKS YOU KNOW THAT
WOULD BE CERTAINLY WELCOME TO
COME IN AND BRIEF YOU ON THAT
TOUCH YOU MORE ABOUT. WHAT IS
THAT LOOK LIKE YOU KNOW WE HAVE
WEEK WE HADN'T GOTTEN MANY?
REFERRALS THAT ON THIS POINT AT
THIS POINT.
AND SO I THINK IT'S JUST A
RATHER OF THE YOU KNOW WHETHER
OR NOT T'S APPROPRIATE FOR US
TO GO IN BUT IT'S CERTAINLY
SOMETHING WE'RE WILLING TO LOOK
AT. AND CERTAINLY NO RESOURCES
WOULD HELP.
OKAY SO I MEAN IT'S IT'S HELPFUL
TO KNOW FOR EXAMPLE ONE NINE
ATTORNEYS THAT WHAT THE LEGAL
BOUNDARIES ARE.
YA IF PEOPLE ADVERTISING ALL
SORTS OF STUFF OUT THERE. ARE
THEY ADVERTISE OF YELLOW AND ON
SOCIAL MEDIA ON THE INTERNET.
BUT A FALSE CLAIMS BEING MADE.
AND.
JUST THE IT WOULD DEFINITELY
WANT THE I THINK THAT
UNFORTUNATELY.
THEY MISLEAD. AT WORST THEY AT
LEAST AT BEST A MISLEAD THE
PUBLIC AT WORST.
WE HAVE PEOPLE.
THAT PEOPLE DIDN'T EVEN DIE
BECAUSE.
THEY'VE BEEN LED DOWN THE WRONG
PATH BY SOMEONE WHO BASICALLY IS
LOOKING TO PROFIT FROM SOMEONE'S
ELSE'S MISERY. AND.
THEIR DOCTORS THEIR DE AND
ENTER YOUR THEIR CHALLENGES AND
SO. MYTH EQUIP A RITE AID I
THINK WHAT WE'VE HEARD AND IS IS
THAT.
NOW THESE OPERATORS THEY'RE NOT
JUST DOING THIS THERE ALSO
ADVERTISING IN OUT THERE AND. WE
NEED TO HELP PROTECT PUBLIC BY.
NOT. LETTING THEM GO SCOT FREE
JUST SO THAT'S WHEN YOU'RE
STANDING UP AND WAVING SAYING
HEY LOOK WE'RE DOING THIS STUFF
AND. WHEN NO ONE DOES ANYTHING
THEY GET AWAY WITH IT.
YEAH I MEAN I THINK IT A WHOLE
HEARTILY AGREE I THINK.
WOULD BE HAPPY TO TALK WITH YOU
MORE ABOUT YOU KNOW WHETHER
THERE ARE SPECIFIC THINGS
POPPING UP IN PARTS OF THE STATE
IF YOU'RE HEARING THEM WE DID
GET THE INFORMATION REFERRAL
BOTH OUR PUBLIC. INCREASE UNIT.
AND THE BMF CA BUREAU MEDI CAL
FRAUD ELDER ABUSE ON HOTLINE ON
BOTH THOSE.
THOSE ENTITIES ARE WAYS WE CAN
GET CASE REFERRALS.
FROM IT WE GET THEM FROM OUR
SISTER AGENCIES LIKE CD I LIKE
THAT THE UNITY EIGHT CS AND
OTHERS BUT WE ALSO GET THEM.
FOR THE PUBLIC RIGHT AND SO I
THINK THAT'S ONE WAY AND WE CAN
ALSO THINK ABOUT YOU KNOW THIS
IS SOMETHING LAWS FEATURE IS
INTERESTING AND TALKING ABOUT
OUR LIVES HERE DIRECTOR SHOT
APPETITE. IS HERE IT WOULD BE
HAPPY TO TALK MORE ABOUT YOU
ABOUT HOW TO ENGAGE FURTHER WITH
THE LEGISLATURE UNLESS.
WELL THANK YOU AND PERHAPS SOME
OF US GET TOGETHER AND. FIGURE
OUT WHAT WE CAN DO THAT.
PURSUE THAT THANK YOU.
OKAY CHAIR WANNA THANK ALL THE
PANELISTS WHO HAVE PARTICIPATED
APPRECIATE ALL THE COMMENTS AT
THIS POINT WE'RE GONNA OPEN UP
TO PUBLIC COMMENT WE'VE WE CAN
HAVE YOU GO TO THE LEFT SIDE. MY
LEFT SIDE YOUR RIGHT SIDE.
PLEASE STATE YOUR NAME WHO YOU
REPRESENT. NO OVER THERE.
HI I'M.
I AM STAMP CORBIN AND I
REPRESENT THE ADDICTION
TREATMENT ADVOCACY COALITION.
SO THE FIRST THING ALL I WANNA
SAY IS I'M VERY DISAPPOINTED.
THAT EVERYONE WAS TALKING ABOUT
PRIVATE TREATMENT FOR PROFIT
TREATMENT CENTERS.
NOT ONE WAS REPRESENTED HERE
TODAY.
AND SO WE ADVOCATE ON BEHALF OF.
BOTH NONPROFIT AND FOR PROFIT
TREATMENTS HONORS.
AND.
YOU GUYS ARE OPERATING UNDER
SADDAM.
.
ASSUMPTIONS THAT OUR TRIP.
ARE FOR EXAMPLE.
ARE THE SUBSTANCE ABUSE
TREATMENT FACILITIES.
ARE I'D FINANCIAL RISK NOW
BECAUSE.
YOU'VE BEEN TALKING ABOUT THESE
FIVE THOUSAND DOLLAR PAYMENTS.
AND NOW. ONE OF THE MAJOR
INSURANCE CARRIERS IN CALIFORNIA
PAYS FIVE HUNDRED DOLLARS.
FOR SUBSTANCE USE RESIDENTIAL
TREATMENT.
THE AVERAGE COST OF A HOTEL ROOM
IN LOS ANGELES IS TWO HUNDRED
AND FIFTY SIX DOLLARS AND SIXTY
THREE CENTS.
SO FOR THE OTHER TWO HUNDRED
FORTY FOUR DOLLARS AYE SUBSTANCE
USE TREATMENT OFF FACILITY HAS
TO HAVE.
TWENTY FOUR HOUR NURSING CARE
ONE ON ONE COUNSELING.
GROUP COUNSELING CRISIS
MANAGEMENT
SAFETY EDUCATIONAL SERVICES
TREATMENT PLANNING AS WELL AS
PROVIDE ROOM AND BOARD.
IT'S IMPOSSIBLE.
SATURN'S.
IF. WHOLE CONCEPT.
OF PAYING TO PATIENTS.
AFTER CARE HAS BEEN PROVIDED.
INSURANCE COMPANIES
PENALIZE OUT OF NETWORK
PROVIDERS.
BY SENDING PAYMENTS DIRECTLY TO
PATIENTS.
ONLY SIXTY PERCENT OF THAT IT'S
GOING TO BE COLLECTIBLE BY. ANY
PHYSICIAN AND IT'S NOT JUST
SUBSTANCE USE TREATMENT
PROVIDERS.
THEY DO IT TOO THEY DO ATTACK
CHIROPRACTORS THEY DO IT TO
DENTISTS.
AND GUESS WHO FOOTS THE BILL.
THE BILL IS FUNDED BY THE STATE
LEGISLATURE BECAUSE I WRITE OFF
A THOUSAND DOLLARS I DIDN' GET
FROM THE PATIENT.
YOU GIVE ME AN EIGHT POINT EIGHT
FOUR PERCENT TAX REDUCTION.
SO.
NO SKIN OFF THE HEARTS OF THE
INSURANCE COMPANY TO PAY THE
PROVIDER THEY JUST DON'T DO IT.
AND FINALLY.
OUT OF NETWORK PROVIDERS THEY
KEEP TALKING ABOUT THEM LIKE OH
MY GOSH. THERE THESE HORRIBLE
PEOPLE.
WELL. I HAVE HAD MY MEMBERS
APPLY.
TO BE A NETWORK.
AND I CAN STE
OUR SHOW YOU SCHOOL WORDS.
OF LETTERS FROM INSURANCE
COMPANIES THAT SAY WELL WE DON'T
NEED ANY MORE PROVIDERS WE'RE
GOING TO NARAL NETWORKS SO
THEREFORE YOU'RE GONNA HAVE TO
REMAIN AS AN OUT OF NETWORK
PROVIDER. IT IS NOT A LACK OF
DESIRE.
BY THESE FOLKS BY SUBSTANCE
ABUSE TREATMENT PROVIDERS TO GO
IN NETWORK.
ARMY WHICH STATED THAT ALL GOSH
THEY DON'T WANT TO GO THROUGH
THE PROCESS IN ORDER TO. GO A
NETWORK THAT'S JUST NOT TRUE.
AB IF YOU LIKE ME TO PROVIDE YOU
WITH THE DOCUMENTATION I WILL. I
HAD OTHER COMMENTS BUT I REALIZE
THAT THERE OTHER PEOPLE WHO WANT
TO SPEAK SO I WILL GIVE YOU ARM
THE REST OF OUR PUBLIC COMMENT
FROM THE ADDICTION TREATMENT
AFFECTS THE CLAIM DO YOU CAN GO
AND GIVE IT TO THE SERGEANT OVER
HERE WE ARE MAKE COPIES GIVE. IT
TO ALL THOSE WHO WERE PRESENT AS
WELL.
AND PLEASE TAKE YOUR NAME YOUR
PERSON
HI DOCTOR QUINN MEDICINE DOCTOR
PAT PAT THANK YOU VERY MUCH FOR
STAYING MY NAME MOON IS LARGER
AND I MUST STAKEHOLDER WITH
ADVOCATES FOR RESPONSIBLE
TREATMENT. NEITHER WE NOR OUR
ALLIES THE VICTIMS OF ROOM THREE
HALVES WERE INVITED TO SPEAK
TODAY. ON WHERE AN UNPAID ALL
VOLUNTEER ORGANIZATION AND I'M
HERE TO TELL YOU THAT THERE'S A
WIN WIN.
I'M JEFF PROBABLY THINKING HOW
COULD THERE BE A WIN WIN THERE'S
NEVER A WIN WIN THERE'S ALWAYS A
LOSER. AND I'M GOING TO GET TO
THAT BUT I WANT TO FOCUS ON ONE
THING IF YOU MAKE RESIDENTIAL
RECOVERY SAFER.
CITIES WILL BE HAPPIER AND
RECOVERING ADDICTS WE WILL
RECOVER AT HIGHER RATES IT'S
EASY.
MAKE PATIENT BROKERING A FELONY
IN CALIFORNIA SO DA'S WANT TO
PROSECUTE.
REQUIRE THE SAME FINGERPRINTING
BACKGROUND CHECKS YOU ALREADY
REQUIRE OF OTHER GROUP CARE.
WE HAVE A NUMBER OF OTHER
REASONABLE IDEAS BUT I'M AFRAID
I DON'T HAVE TIME FOR THOSE.
IN FACT IF THE STATE INTRODUCES
SEPARATION REQUIREMENTS.
RECOVERY RESIDENCES.
READ RECOVERY RESIDENCES TO
BENEFIT THE DISABLED NOT ONLY IS
IT NOT DISCRIMINATING AGAINST
THE DISABLED YOU ACTUALLY
BENEFIT THE DISABLED. AND
NEIGHBORS AND PREVENT NEEDLESS
TO CITY LAWSUITS AND I WANT TO
BE REALLY CLEAR BECAUSE CCAP P..
CRITICISM OF SECURITY AROUND A
CONCEPT HERE AND I THINK I'VE
FINALLY LISTENED LONG ENOUGH TO
THE STATE LEGISLATURE TO
UNDERSTAND WHAT WHAT WHAT WE ARE
SAYING AND HOW TO SAY THE WAY
YOU WANT TO SAY.
YOU HAVE YOUR LICENSE FACILITIES
YOU HAVE UNLICENSED FACILITIES
BUT AMONGST HER UNLICENSED
FACILITIES ARE BOARDING CARES.
SO NORMALLY THOSE UNLICENSED
FACILITIES WOULD FALL UNDER
SOCIAL SERVICES AND BE LICENSE
UNDER SOCIAL SERVICES SO I'M NOT
SURE IF YOU UNDERSTAND THE
DISTINCTION BUT A MONK'S. ALONG
WAS CONTINUING THERE'S A SET OF
FACILITIES THAT SHOULD BE
LICENSE AND WOULD BE LICENSE AS
BOARDING CARES BECAUSE THOSE OF
THE SERVICES THEY'RE PROVIDING
NOT PROVIDING TREATMENT BUT
THEY'RE PROVIDING.
AND YOU ASKED A CONDUCTOR PAM
WHAT THEY WERE PROVIDING THAT
PROVIDE TRANSPORTATION THEY
PROVIDE SCHEDULING THE PROVIDE
FOOD.
THAT PROVIDE ENTERTAINMENT THEY
PROVIDE JUST ABOUT EVERYTHING
THAT THEIR RESIDENT MIGHT WANT
AND IT'S ABOVE A CERTAIN
STANDARD OF REASONABLE
ACCOMMODATION IT IS A BOARD AND
CARE.
AND IS NOT STRICTLY A AN
INDEPENDENT LIVING FACILITY AND
IN FACT BE A NATIONAL
ASSOCIATION RECOVERY RESIDENCES
HOUSE FOR WORK CATEGORIES OF
CARE IS NOT JUST TO.
ON SO WHAT DO YOU DO WHAT COULD
YOU DO IT'S EASY LICENSE
BUSINESSES BUT OFFER SPECIAL
CARE SERVICES. BEYOND THOSE THAT
MEET REASONABLE ACCOMMODATION
STANDARDS.
LICENSE RESIDENCES THAT TWO OR
MORE TENANTS WITH CONTRACTS AT
LICENSE TREATMENT CENTERS
INTRODUCED SEPARATION
REQUIREMENTS THAT YOU ALREADY
REQUIRE FOR OTHER FORMS OF
RESIDENTIAL CARE. AND IT'S ALSO
AMAZING TO ME THAT.
DEAD AHEAD THE LAWYER DOESN'T
REFER TO THE EIGHT HUNDRED FOOT
SEPARATION OF THE DEPARTMENT OF
JUSTICE AND HIDE.
SAID WAS OKAY IN PRESCOTT
ARIZONA.
SO WHILE WE GOT A LOT OF FEAR
UNCERTAINTY AND DOUBT AROUND
THIS ISSUE. THEY'RE ACTUALLY
LISTENING A SEPARATION
REQUIREMENTS OKAY.
PEOPLE ARE GOING TO TELL YOU
CALIFORNIA NEEDS ALL THE BEDS WE
CAN GET WRONG YOU DON'T NEED
BEDS IN REHAB BUT SCAM
RECOVERING ADDICTS COMMIT FRAUD.
COMPROMISED OF PATIENTS SO THE
END UP DEAD.
THOSE ARE KIND OF LIKE FAKE BADS
DHS LIKES TO COUNT THEM SO IT
LOOKS LIKE THEY'RE DOING
SOMETHING GOOD FOR REHAB IS
HARMING RECOVERING ADDICTS THOSE
BEDS APART THE OPIOID CRISIS
PROBLEM NOT ITS SOLUTION.
SHOULD WE ELIMINATE THOSE BEDS
THOSE SCAMMERS OBVIOUSLY YES
SHOULD BE SHUT DOWN VACANT
SOLUTIONS OBVIOUSLY YES WHY
HAVEN'T WE DONE IT ALREADY. ASK
DH YES.
SO WHO DOES LOSE.
WHO COMMITS CRIMINALS DRUG
DEALERS SEXUAL PREDATORS
UNSCRUPULOUS MEDICAL
PROFESSIONALS FELONS CAN'T BREAK
A BAD HABIT?
LET'S HAVE A MOMENT OF SILENCE
FOR ALL THE POTENTIAL LOSERS.
AND THEN ACTUALLY LOAD LET'S
JUST NOT DO THAT BECAUSE THERE'S
NOT ENOUGH TIME AND THAT TOO
MANY LIVES AT STAKE.
PLEASE BE A PART OF THE SOLUTION
WE HAVE ANSWERS FOR LEGISLATORS
LEGISLATIVE DIRECTORS ARE AIDS
HAVE OUR CONTACT INFORMATION
THANK YOU.
GOOD AFTERNOON THANK YOU CHAIR
MISTER CHAIRMAN PRESS VERENIGDE
TING ON BEHALF OF THE CALIFORNIA
STATE ASSOCIATION OF COUNTIES
WANT TO THANK YOU FOR HOLDING
THIS HEARING IN EXAMINING THIS
MULTIFACETED ISSUE. COUNTIES.
AREN'T STRONG SUPPORT OF HAVE
IN THE CONTINUUM OF CARE.
THAT'S BEEN DISCUSSED TODAY WE
ALSO HAVE SUPPORTED IN THE PAST
AND WILL SUPPORT IN THE FUTURE
WAYS TO HAVE.
ADDITIONAL CERTIFICATION
VOLUNTARY CERTIFICATION BEEFED
UP ACCREDITATION AND OTHER WAYS
THAT WE CAN ENSURE THAT THE.
FACILITIES THAT COUNTIES
CONTRACT WITH ARE SAFE AND
PROVIDING THE SERVICES THAT WERE
CONTRACTING FOR YOU THINK IT'S
REALLY IMPORTANT ISSUE ON A
PARITY SIDE OF THINGS AS WELL AS
A HOUSING SIDE OF THINGS. AGAIN
I WANT TO THANK YOU FOR YOUR
TIME.
THANK YOU.
MISTER CHAIR SENATOR PAN I TOO
WANT TO THANK YOU FOR HOLDING
THIS HEARING.
I THINK IT WAS VERY IMPORTANT
IN WHAT YOU WERE ABLE TO DO HERE
IS TRYING TO START SEPARATING
SOME OF THE REAL ISSUES AND
THOSE THAT ARE NOT THE REAL
ISSUES. AS YOU MIGHT IMAGINE FOR
PERSONS WITH DISABILITIES IT IT
IS CRITICAL THAT THEY BE ABLE TO
ASSOCIATE DONE AND RESIDE LIVE
WITH THOSE WHO THEY CHOOSE TO
LIVE WITH.
AND VERY IMPORTANT TO
DISABILITY RIGHTS CALIFORNIA IS
THE ONGOING CONCEPT.
OF COMMUNITY INTEGRATION AND
THE OLMSTEAD DECISION AND SO IF
YOU'RE STARTING TO LOOK I THINK
AS MS SAVAGE.
SUGGEST IF YOU'RE STARTING TO
LOOK BEHIND THE DOOR AND AND
MAKING DECISIONS
ABOUT. RESIDENTS REQUIREMENTS OF
PERSONS IN THEIR HOME BASED ON
THEIR STATUS THAT'S WHERE I
BELIEVE SUCH ACROSS THE. CROSS
THAT LINE SO TO THE EXTENT THAT
WE ARE LOOKING AT THE THE MANY
ISSUES THAT HAVE BEEN IDENTIFIED.
WE CERTAINLY SUPPORT.
REGULATING AND RESTRICTING ON
PROSECUTING THOSE LAWS THAT WE
SHOULD.
IF IF THERE ARE DO SINCE
PROBLEMS THERE ARE.
NUISANCE STATUTES ORDINANCES TO
DEAL WITH.
THOSE AS WELL BUT BUT FROM OUR
PERSPECTIVE.
REMEDIES SUCH AS LOOKING TO
SUCH ICONS AS THE FEDERAL FAIR
HOUSING ACT TO MAKE AMENDMENTS
TO THE THAT. TO DEAL WITH I
THINK SOME OF THESE OTHER
PROBLEMS WERE STRUGGLING WITH
HIS IS ALMOST REPREHENSIBLE.
FORTUNATELY WHILE WE MAY NOT BE
ABLE ALWAYS TO.
.
IMPACT WOULD HAPPENS IN
WASHINGTON NOW WE DO HAVE STATE
LAW AND OUR STATE HOUSING LAW
AND I WOULD URGE AS.
AS THE COMMITTEE LOOKS AT THESE.
BILLS AND AS THEY MOVE.
THIS YEAR THAT THAT WE PROTECT
THAT STATE FAIR HOUSING LAW THAT
PROTECTS SO MANY OF THOSE.
WITH A PROTECTED CLASSES AGAIN
THANKS FOR YOUR.
WILLINGNESS TO HOLD THE HEARING
IN THE ISSUES THAT YOU RAISE.
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS MARY JANE FLOORS ON
BEHALF OF HEALTH ACCESS
CALIFORNIA WE APPRECIATE THIS
POLICY CONVERSATION AS IT
HIGHLIGHTS ARE REALLY CRITICAL
COMPONENT OF OUR HEALTHCARE
DELIVERY SYSTEM. WHICH IS ACCESS
TO EFFECTIVE SUBSTANCE USE THIS
ORDER TREATMENTS
THE ACA AND THE FEDERAL MENTAL
HEALTH PARITY ACT ENSURED THAT
PEOPLE SUFFERING FROM ADDICTION.
GET KAREN COVERAGE WHEN THEY
NEED THEM REGARDLESS OF
PREEXISTING CONDITIONS AND WE
FULLY SUPPORT THAT WE LOOK
FORWARD TO WORKING WITH YOU AS
YOU CONTEMPLATE CHANGES BOTH ON.
THE REGULATORY BODY AS WELL AS
ACCESS TO CARE ARM AS WE THINK
ABOUT HOW WE INNOVATE MEDICAL
AND BEHAVIORAL HEALTH CARE IN
THE CURRENT SYSTEM THAT WE HAVE
THANK YOU.
MISTER CHAIRMAN THERE'S ROBERT
HARRIS ON THE HALF OF
CALIFORNIA'S SOCIETY OF
ADDICTION MEDICINE.
WE TALKED EARLIER PANEL TALKED
EARLIER OF THE A SAM CRITERIA
THAT'S NOW BEING USED IN THE
ORGANIZED SYSTEM THE LIVERY.
ACTUALLY MOST THAT WAS DEVELOPED
BY SEE SAM MEMBERS.
WE WE DEEPLY CARE ABOUT THIS
ISSUE WE DON'T WANT.
AB OUT.
THINGS BECAUSE BY.
A FEW BAD ACTORS TO CUT OFF THE
SUPPLY OF TREATMENT.
BUT PART OF ITS
IN IN THE STATUTE ITSELF WAS
WRITTEN ALL LOOK DRUG TREATMENT
STATUTE WAS WRITTEN IN THE
SEVENTIES.
AND IT'S BARELY BEEN AMENDED.
AS WE LEARN MORE ABOUT ADDICTION
AND MORE ABOUT TREATMENT.
IT TOOK US SIX YEARS TO ALLOW OF
POSITION TO WORK YET IN A IN A
RESIDENTIAL RECOVERY FACILITY
BECAUSE IT SAYS NON MEDICAL
THAT'S LIKE IT INSANE.
SO SO THERE IS SOME STATURE
CLEAN UP IT NEEDED PART OF ITS
BID. GOOD MODEL TREATMENT IS
CHANGING.
BUT BUT THE INSURANCE MODEL
HEALTH INSURANCE MODEL STILL
PAYS FOR THIRTY DAYS IN PATIENT
HARDLY ANY AFTERCARE AND YET ALL
THE EVIDENCE AND ALL THE DATA
SHOWS THAT AFTER CARE IS MORE
IMPORTANT. THAN THIRTY DAYS
YOUNG PATIENT WE.
YOU KNOW WE UNDERSTAND THAT
THERE'S A LOT OF PEOPLE ON THE
EDGES WHO NEED THAT KIND OF.
LONGER TREATMENT BUTTON FACT.
ON THE OUT PATIENT HAND WHERE
EVERYONE'S GOING TO END UP WHERE
PEOPLE END UP LIVING IN THE
COMMUNITIES.
WE DON'T EVEN LICENSE THE
FACILITIES.
WE ONLY CERTIFY.
AND AND THAT'S SOMETHING MISTER%
NIELSEN POINT OUT AND IT'S LIKE.
IT'S INSANE
WHY THE MOST CRITICAL PART OF
CARE WE DON'T HAVE ANY STANDARDS
FOR WHAT YOU DO.
YOU KNOW SOLD SO THAT'S
SOMETHING TO BE.
DEALT WITH I THINK IN THE FUTURE
I DON'T THINK ANYONE IN THIS
ADMINISTRATION GOING TO SUPPORT.
ADDED ADDING ALMOST DOUBLING THE
AMOUNT OF PEOPLE IN NEED
LICENSES.
THE OTHER THING IS WHAT THE
COUNSELORS SHOULD BE LICENSED
WHY HAVE PRIVATE CERTIFYING
ORGANIZATIONS.
SO YOU'VE IT THIS THIS PERSON'S
GOODNESS FIRST AND PAT RIGHT.
IT SHOULD IT'S A STATE
RESPONSIBILITY IT'S A MEDICAL
ITS MEDICAL CONDITION.
THAT NEEDS MEDICAL TREATMENT.
AND WE SHOULD HAVE PEOPLE.
LICENSED WHO PROVIDE THAT
TREATMENT SO SO THOSE TWO THINGS
FROM FROM C. CAP WE TOTALLY
AGREE WITH. WE THINK IT'S TIME
THAT REVIEW ALL OF ALL OF.
THE POLICY IS AROUND SUBSTANCE
ABUSE TREATMENT BECAUSE LIKE I
SAID THEY WERE WRITTEN IN THE
SEVENTIES ONE IS ALL I WAS WAS
TWELVE STEPPER NOTHING.
THANK YOU VERY MUCH YOUR TIME
THANK YOU FOR THE HEARING IT'S
BEEN VERY INFORMATIVE AND
BROUGHT OUT A WHOLE BUNCH ISSUES
THAT.
EVERYBODY'S BEEN TRYING TO
GRAPPLE WITH FOR THE LAST FOUR
OR FIVE YEARS.
THANK YOU VERY MUCH.
IT MY NAME IS JOHN A QUESTION
AND MOVES.
A.
I'M THE VICE PRESIDENT THE
DICTION TREATMENT ABBASI
COALITION BUT MORE IMPORTANTLY.
IS THAT I WAS THE OWNER AND CEO
FOR MANY YEARS OF.
AND I AM A FOR PROFIT OUT OF
NETWORK. REALLY GOOD TREATMENT
FACILITY. BAT ON GOT NOTHING BUT
PRAISE AND I FELT HORRIBLE TODAY
HEARING EVERYBODY DOWN AND OUT
AND.
ON OUR NETWORK FACILITIES AUTUMN
BECAUSE I THINK YOU REALLY DON'T
KNOW MUCH ABOUT HIM. AND ARE
THERE BAD PLAYERS YES BUT RATHER
BAD PLAYERS ON THE INSURANCE
SIDE ALSO.
AND I'D A FOR INSTANCE.
AND AS FAR AS I CAN TELL TODAY
EXCEPT WITH SOME CATASTROPHIC
BLUE SHIELD POLICIES THERE ARE
NO PPL POLICIES AVAILABLE. FOR
PEOPLE INSTEAD OF CALIFORNIA OR
INDIVIDUALS.
SO IT'S KIND OF I'M LISTENING TO
EVERYBODY TALK ABOUT IT BUT
THEY'RE NOT THERE.
AND BLUE SHIELD NOBODY WAS OUT
OF NETWORK PROBABLY TAKES ANYWAY
BECAUSE. BED THE MATH JUST
DOESN'T WORK YOU HAVE TO KEEP SO
MANY TREATMENT FOUR HUNDRED
FIFTY DAYS TO MAKE A DOLLAR.
SO THAT'LL CHANGE.
I'M YOU COULD ADOPT A STARK LAW
YOU'LL KNOW IT'S DARK LIES YOUR
DOCTOR RIGHT.
AND YOU CAN THERE WITHIN THE
EASIEST WAY TO END PATIENT
BROKERING THE LAWS ALREADY THERE.
JUST ADOPTED IN CALIFORNIA.
I'M.
I'M SO SHOCKED ABOUT THIS. ALL
OF US ARE AM THE GENTLEMAN WHO
JUST SPOKE A LOT OF REALLY GOOD
IDEAS.
I AM ALSO I WANT TO SAY I AM
PAID A PATIENT IS COSTING THE
STATE A HUNDRED MILLION DOLLARS
A YEAR.
BECAUSE INSTEAD OF A COULD USE
THAT MONEY TO PATIENTS WHO DON'T
REMITTANCES ON IT INSTEAD OF
GIVING IT TO THE PROVIDERS WHO
THEN HAVE TO PAY. TAX TO THE
STATE.
ON.
ANYWAY I'M NOT GONNA KEEP GOING
BECAUSE I'M REALLY UPSET BUT.
I'M ALRIGHT A LETTER TO ALL OF
YOU ARE ON THE COMMITTEE AND
TELL YOU WHY.
THANK YOU KNOW MORE OF THEIR
FURTHER PUBLIC COMMENT SEEN NINE
I LIKE TO THANK EVERYONE WHO
PARTICIPATED AND AT THIS POINT
WE ARE GOING TO BE A JOURNEYMAN
HEARING THANK YOU