WEBVTT
Region: id=rollup2 lines=2 scroll=up
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.
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MY CALL TO ORDER THIS HEARING OF
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THE BUDGET BUDGETS ARE SENATE
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BUDGET THAT'S GOING VIEW
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SUBCOMMITTEENUMBER THREE ON
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HEALTH AND HUMAN SERVICES AND
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WELCOME.
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I'M WILL GO TODAY WE HAVE
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SEVERAL ITEMS FOR DISCUSSION.
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INCLUDING EMERGENCY MEDICAL
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SERVICES DOUGHERTY THE OFFICE OF
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STATEWIDE HEALTH PLANNING
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DEVELOPMENT DEPARTMENT MANAGED
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HEALTHCARE.
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AND FARM HEALTH YOUR SERVICE IN
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THE PARK PUBLIC HEALTH.
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WE'RE NOT COVERING ALL ITEMS
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RELATED TO THOSE SOME OF THOSE
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DEPARTMENTS US SO WE'LL BE BACK
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TO HEAR ABOUT OTHER THINGS IN
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THOSE APARTMENTS BUT.
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WE ARE GOING COVER MANY ITEMS
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THAT YOU SHOULD SEE ON THE
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AGENDA I DO WANNA MAKE NO.
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AND TERMS OF THE AGENDA I AM
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GOING TO TAKE ONE ITEM OUT OF
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ORDER WHICH IS.
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.
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IN THE PART HEALTHCARE SERVICES
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ISSUE NUMBER SEVEN OF WE'RE
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GOING TO MOVE THAT TOWARD THE
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FRONT OF THAT SECTION ON THE
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PART HEALTHCARE ERVICES TO
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UNDERSTAND MANY OF THE STAFF.
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WHO WILL BE TESTIFYING WILL ALSO
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BE TESTIFYING IN THE PRIOR ITEM
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THAT WAS THE JOINT DEPARTMENT
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HEALTH CARE AND BY HEALTHCARE
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SERVICES OF THOSE STAFF DON'T
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HAVE TO WAIT?
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UNTIL THAT ISSUE COMES UP SO
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WILL.
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FOOT THAT.
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AROUND SO THE STAFF CAN GET BACK
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TO DOING THE WORK OF THE PEOPLE.
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IN THEIR OFFICE.
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.
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WE'RE GOING TO AS WE TAKE THE
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ITEMS I AM WHAT WE'LL DO IS I
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AYE MATE GROUPS SOME OF THEM.
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AND THEN WE'LL.
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SO INDICATE WHEN WILL DO PUBLIC
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COMMENT.
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WHEN IT COMES PUBLIC COMMENT
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APPRECIATED IF PEOPLE KEEP THEIR
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COMMENTS TO A MINUTE ARE.
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BUS AND.
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AND THEN.
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WE WILL THEN TAKE WHATEVER
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ACTIONS WITH SCI FI TO TAKE SO.
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I WITH THAT WILLIAM BEGIN WITH
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THE ITEM FORTY ONE TO GO MERCY
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MEDICAL SERVICES AUTHORITY SELF
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ARE THE FOLKS WHO COME UP AND
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FROM THE AGENCY IN LA JOH AND
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FINANCE.
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AND THEN WHAT WE WILL DO IS.
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WILL HAVE A BECAUSE THEY BRIEF
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OVERVIEW WE DO HAVE THAT
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WRITTEN.
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INFORMATION ABOUT THE DEPARTMENT
00:02:11.431 --> 00:02:15.035 region:rollup2
SO. NO NEED TO REPEAT ALL OF
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THAT I THINK JUST SERVE GIVEN
00:02:15.035 --> 00:02:18.739 region:rollup2
THE HIGHLIGHT OF SERVE THE
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IMPORTANT ISSUES.
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THAT HAVE HAPPENED THE PAST YOUR
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DATA RELATED TO THE BUDGET AND
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THEN.
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WE WILL ALSO I'M.
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THE COMMENT FROM LA ON FINANCE
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AND SO BEFORE YOU BEGIN JUST FOR
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THE RECORD IT JUST LIKE EVERYONE
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TO INTRODUCE THEMSELVES SO
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STARTING WITH. THE AGENCY.
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NUMBER MORNING.
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CHAIRMAN PAN AND COMMITTEE
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MEMBERS I I'M A DOCTOR HOWARD
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BACK OR AN EMERGENCY PHYSICIAN
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AND THE DIRECTOR OF THE
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EMERGENCY MEDICAL SERVICES
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AUTHORITY. IMAGES THAT DO
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INTRODUCTIONS IN AND YOU CAN
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LOOK AT JUST THE RIGHT IT
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ALRIGHT. AGAINST MILEY CHIEF
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DEPUTY DIRECTOR MERCHANTS
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MEDICAL SERVICES OKAY ELIA.
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BERNIE PETTITTE ILIO YOU
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FINANCE.
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LINA GRANT BERMAN FINANCE.
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FOLLOW DEPARTMENT FINANCE FAQ
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MCCARTY MAYBE AND THANK YOU OF
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OUR DEPARTMENT EMERGENCY THE EMS
00:03:02.949 --> 00:03:06.286 region:rollup2
AUTHORITY AS A STATE AGENCY
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RESPONSIBLE FOR THE COORDINATION
00:03:06.286 --> 00:03:09.322 region:rollup2
INTEGRATION OF ALL STATE
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ACTIVITIES CONCERNING EMERGENCY
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MEDICAL SERVICES.
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TO ENSURE THE PROVISION OF
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EFFECTIVE AND EFFICIENT
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EMERGENCY MEDICAL CARE. BEEN IN
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CALIFORNIA.
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THERE ARE OVER FOUR MILLION
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NINE ONE ONE REQUEST FOR
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EMERGENCY CARE ANNUALLY. WE HAVE
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THREE MAJOR AREAS OF
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RESPONSIBILITY FIRST WE WILL
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LICENSE AND.
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TWENTY THREE THOUSAND
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PARAMEDICS AND DISCIPLINE THE
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LICENSES WHEN NECESSARY. AND WE
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SET THE SCOPE OF PRACTICE
00:03:32.312 --> 00:03:35.215 region:rollup2
TRAINING STANDARDS AND
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REGULATIONS FOR ALL LEVELS VIA
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MASS INCLUDING PUBLIC SAFETY
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FIRST AID.
00:03:38.351 --> 00:03:40.921 region:rollup2
SECOND THE EMS AUTHORITY
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DEVELOPED GUIDELINES AND
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APPROVES PLANS FOR EMERGENCY
00:03:42.556 --> 00:03:45.992 region:rollup2
MEDICAL SYSTEMS BETTER
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IMPLEMENTED AND OPERATED BY THE
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THIRTY THREE LOCAL EMS AGENCIES.
00:03:49.162 --> 00:03:52.566 region:rollup2
THE AND THE EMS AUTHORITY
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DEVELOPS REGULATIONS FOR DESIGN
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AND QUALITY OF SPECIALTY CARE
00:03:53.867 --> 00:03:56.837 region:rollup2
SYSTEMS.
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THAT INCLUDE THE TRAUMA SYSTEM
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THAT CURRENTLY WITH EIGHTY ONE
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DESIGNATED CENTERS. PEDIATRIC
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EMERGENCY CARE WITH A HUNDRED
00:04:02.242 --> 00:04:05.745 region:rollup2
ELEVEN CENTERS.
00:04:03.844 --> 00:04:07.247 region:rollup2
STROKES SYSTEM WITH A HUNDRED
00:04:05.745 --> 00:04:09.449 region:rollup2
FIFTY FOUR CENTERS. AND A
00:04:07.247 --> 00:04:10.784 region:rollup2
CARDIAC HER STEMI SYSTEM WITH A
00:04:09.449 --> 00:04:12.185 region:rollup2
HUNDRED AND FORTY FIVE SENATORS
00:04:10.784 --> 00:04:13.520 region:rollup2
AND THE CALIFORNIA POISON
00:04:12.185 --> 00:04:14.688 region:rollup2
CONTROL SYSTEM.
00:04:13.520 --> 00:04:16.456 region:rollup2
AND OUR THIRD MAJOR AREA
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RESPONSIBILITIES TO MEDICAL
00:04:16.456 --> 00:04:19.593 region:rollup2
RESPONSE TO ISASTER. WHERE WE
00:04:18.325 --> 00:04:21.094 region:rollup2
PARTNER WITH THE DEPARTMENT OF
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PUBLIC HEALTH AND FEDERAL AND
00:04:21.094 --> 00:04:23.630 region:rollup2
LOCAL PARTNERS?
00:04:22.762 --> 00:04:24.598 region:rollup2
THE BILL TO PUBLIC HEALTH AND
00:04:23.630 --> 00:04:26.066 region:rollup2
MEDICAL EMERGENCY SUPPORT
00:04:24.598 --> 00:04:27.501 region:rollup2
FUNCTION.
00:04:26.066 --> 00:04:29.302 region:rollup2
THE PLAN AND RESPOND TO THE
00:04:27.501 --> 00:04:32.472 region:rollup2
MEDICAL IMPACT OF ANY TYPE OF
00:04:29.302 --> 00:04:33.807 region:rollup2
DISASTER OR HEALTH EMERGENCY.
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THE GOVERNOR'S PROPOSED BUDGET
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FOR TWENTY EIGHTEEN NINETEEN
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INCLUDES EXPENDITURE AUTHORITY
00:04:36.576 --> 00:04:40.413 region:rollup2
IN AMOUNT OF THIRTY SEVEN POINT
00:04:38.245 --> 00:04:42.382 region:rollup2
FOUR MILLION DOLLARS AND SEVENTY
00:04:40.413 --> 00:04:43.817 region:rollup2
PERMANENT POSITIONS. AND OF THIS
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AMOUNT FORTY FOUR PERCENT IS
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DELEGATED THE STATE OPERATIONS
00:04:45.418 --> 00:04:49.022 region:rollup2
AND FIFTY SIX PERCENT TO LOCAL
00:04:46.653 --> 00:04:50.624 region:rollup2
ASSISTANCE.
00:04:49.022 --> 00:04:51.358 region:rollup2
WE HAVE ONLY ONE NEW WORKLOAD
00:04:50.624 --> 00:04:53.393 region:rollup2
ADJUSTMENT UNDER CONSIDERATION
00:04:51.358 --> 00:04:54.828 region:rollup2
BY THE LEGISLATURE.
00:04:53.393 --> 00:04:56.396 region:rollup2
WE ARE REQUESTING ONE PERMANENT
00:04:54.828 --> 00:04:58.398 region:rollup2
POSITION AND A GENERAL FUND
00:04:56.396 --> 00:05:00.367 region:rollup2
AUGMENTATION IN FISCAL YEAR
00:04:58.398 --> 00:05:01.601 region:rollup2
TWENTY EIGHTEEN NINETEEN.
00:05:00.367 --> 00:05:03.470 region:rollup2
TOTALING THREE HUNDRED FIFTY SIX
00:05:01.601 --> 00:05:05.238 region:rollup2
THOUSAND DOLLARS WHICH INCLUDES
00:05:03.470 --> 00:05:06.506 region:rollup2
ONE TIME FINDING OF A HUNDRED
00:05:05.238 --> 00:05:07.440 region:rollup2
AND NINETY SIX THOUSAND DOLLARS
00:05:06.506 --> 00:05:08.775 region:rollup2
FOR IT INFRASTRUCTURE
00:05:07.440 --> 00:05:10.443 region:rollup2
IMPROVEMENTS.
00:05:08.775 --> 00:05:12.245 region:rollup2
AND ONGOING FUNDING OF A HUNDRED
00:05:10.443 --> 00:05:13.513 region:rollup2
AND EIGHTY NINE THOUSAND.
00:05:12.245 --> 00:05:15.081 region:rollup2
THEY REQUESTED TO ADDRESS THE
00:05:13.513 --> 00:05:17.484 region:rollup2
FINDINGS OF THE REQUIRED
00:05:15.081 --> 00:05:19.186 region:rollup2
INDEPENDENT SECURITY ASSESSMENT
00:05:17.484 --> 00:05:20.187 region:rollup2
AS PART OF A B. SIX SEVENTY BY
00:05:19.186 --> 00:05:22.455 region:rollup2
THE CALIFORNIA MILITARY
00:05:20.187 --> 00:05:24.357 region:rollup2
DEPARTMENT CYBER NETWORK DEFENSE
00:05:22.455 --> 00:05:26.593 region:rollup2
TEAM. THAT WAS DONE IN DECEMBER
00:05:24.357 --> 00:05:27.827 region:rollup2
OF TWENTY SIXTEEN.
00:05:26.593 --> 00:05:29.596 region:rollup2
THIS COMPREHENSIVE REVIEW
00:05:27.827 --> 00:05:31.665 region:rollup2
DEMONSTRATED THAT M. SO LACKS
00:05:29.596 --> 00:05:33.867 region:rollup2
SUFFICIENT IT INFRASTRUCTURE IN
00:05:31.665 --> 00:05:35.735 region:rollup2
SUPPORT STAFFING LEVELS TO MEET
00:05:33.867 --> 00:05:36.269 region:rollup2
STATE POLICY AND PROCEDURAL
00:05:35.735 --> 00:05:38.305 region:rollup2
REQUIREMENTS NECESSARY TO
00:05:36.269 --> 00:05:40.507 region:rollup2
ENSURE.
00:05:38.305 --> 00:05:43.109 region:rollup2
IT INFRASTRUCTURE SECURITY AND
00:05:40.507 --> 00:05:49.616 region:rollup2
PARTICIPATION IN STATE LEVEL AN
00:05:43.109 --> 00:05:49.916 region:rollup2
AGENCY WIDE I. T. INITIATIVES.
00:05:49.616 --> 00:05:51.518 region:rollup2
THANK YOU.
00:05:49.916 --> 00:05:53.687 region:rollup2
I THINK YOU'VE TOOK ON BOTH
00:05:51.518 --> 00:05:55.722 region:rollup2
THAT THEIR REVIEW AND.
00:05:53.687 --> 00:05:56.656 region:rollup2
THESE ISSUE NUMBER TWELVE WHICH
00:05:55.722 --> 00:05:57.824 region:rollup2
WAS AYE AND THAT'S ALRIGHT WE'LL
00:05:56.656 --> 00:06:00.260 region:rollup2
JUST DO THEM TOGETHER.
00:05:57.824 --> 00:06:02.729 region:rollup2
COMES FROM ILLEGAL. DON'T
00:06:00.260 --> 00:06:03.763 region:rollup2
FINANCE.
00:06:02.729 --> 00:06:04.331 region:rollup2
AND SUPPORTS THE PROPOSAL FOR
00:06:03.763 --> 00:06:04.331 region:rollup2
AND SAID IMPROVE ITS SECURITY
00:06:04.631 --> 00:06:05.799 region:rollup2
CAPABILITIES.
00:06:05.865 --> 00:06:10.036 region:rollup2
COMMITTEE MEMBERS AND. ACTUALLY.
00:06:08.168 --> 00:06:10.303 region:rollup2
SO FIRST OF ALL IT'S THE TO
00:06:10.036 --> 00:06:11.071 region:rollup2
TOUCH ON.
00:06:10.303 --> 00:06:12.772 region:rollup2
.
00:06:11.071 --> 00:06:13.974 region:rollup2
I IN TERMS OF.
00:06:12.772 --> 00:06:16.443 region:rollup2
PREPAREDNESS SUBS AND WE'VE HAD
00:06:13.974 --> 00:06:18.111 region:rollup2
THE WILDFIRES MUDSLIDES NAM.
00:06:16.443 --> 00:06:18.478 region:rollup2
ADVERTISED COME TO TALK ABOUT
00:06:18.111 --> 00:06:19.779 region:rollup2
THE NEW NORMAL.
00:06:18.478 --> 00:06:21.581 region:rollup2
AS WELL.
00:06:19.779 --> 00:06:21.781 region:rollup2
BUT IN TERMS OF PREPARATION FOR
00:06:21.581 --> 00:06:23.917 region:rollup2
THAT.
00:06:21.781 --> 00:06:27.787 region:rollup2
OBVIOUSLY รณ YES HAS A LEADING
00:06:23.917 --> 00:06:28.889 region:rollup2
ROLE BUTTA. AND WAS AS.
00:06:27.787 --> 00:06:31.091 region:rollup2
NEIGHBORHOODS WERE BURNING DOWN
00:06:28.889 --> 00:06:31.491 region:rollup2
HOSPITAL'S HAD TO BE EVACUATED
00:06:31.091 --> 00:06:32.926 region:rollup2
OTHER FACILITIES.
00:06:31.491 --> 00:06:34.494 region:rollup2
.
00:06:32.926 --> 00:06:37.397 region:rollup2
I'VE SEEN PEOPLE NEED HELP.
00:06:34.494 --> 00:06:38.565 region:rollup2
TERMS OF I AM SAYS ROLE AND
00:06:37.397 --> 00:06:40.567 region:rollup2
PREPAREDNESS AND THAT BEING SURE
00:06:38.565 --> 00:06:42.135 region:rollup2
PEOPLE HAVE ACCESS TO OF
00:06:40.567 --> 00:06:43.436 region:rollup2
EMERGENCY MEDICAL CARE.
00:06:42.135 --> 00:06:44.971 region:rollup2
DO YOU SEE.
00:06:43.436 --> 00:06:46.473 region:rollup2
THAT YOU HAVE SUFFICIENT
00:06:44.971 --> 00:06:48.608 region:rollup2
RESOURCES TO ADDRESS.
00:06:46.473 --> 00:06:48.909 region:rollup2
THE NEW NORMAL IS THE
00:06:48.608 --> 00:06:49.709 region:rollup2
GOVERNOR'S.
00:06:48.909 --> 00:06:51.978 region:rollup2
SAID.
00:06:49.709 --> 00:06:53.680 region:rollup2
I AM.
00:06:51.978 --> 00:06:54.347 region:rollup2
THAT'S A LOADED QUESTION.
00:06:53.680 --> 00:06:56.783 region:rollup2
WE.
00:06:54.347 --> 00:06:58.652 region:rollup2
WHO WELL ALL I CAN SAY THE THAT
00:06:56.783 --> 00:07:00.453 region:rollup2
OUR RESPONSE?
00:06:58.652 --> 00:07:01.588 region:rollup2
AND NOT JUST HIM SO BAD I A
00:07:00.453 --> 00:07:04.124 region:rollup2
RESPONSE OF THE.
00:07:01.588 --> 00:07:05.859 region:rollup2
EMERGENCY SERVICES FUNCTION FOR
00:07:04.124 --> 00:07:07.994 region:rollup2
OUR SUPPORT FUNCTION FOR PUBLIC
00:07:05.859 --> 00:07:09.229 region:rollup2
HEALTH AND MEDICAL I THINK WAS
00:07:07.994 --> 00:07:11.598 region:rollup2
HIGHLYSUCCESSFUL.
00:07:09.229 --> 00:07:13.900 region:rollup2
WE LEVERAGE ALL OF OUR PARTNERS
00:07:11.598 --> 00:07:16.069 region:rollup2
AND IT IT'S THE IT GOES BEYOND
00:07:13.900 --> 00:07:17.871 region:rollup2
PUBLICHEALTH AND AN A AND M.
00:07:16.069 --> 00:07:19.739 region:rollup2
SAY INTO OUR OF THE OTHER
00:07:17.871 --> 00:07:20.307 region:rollup2
DEPARTMENTS OF OUR AGENCY. AND
00:07:19.739 --> 00:07:23.376 region:rollup2
WE UTILIZE A M. SO UTILIZED
00:07:20.307 --> 00:07:24.844 region:rollup2
IT'S.
00:07:23.376 --> 00:07:27.280 region:rollup2
A RESPONSE CAPABILITIES
00:07:24.844 --> 00:07:28.081 region:rollup2
ESPECIALLY OUR AMBULANCE STRIKE
00:07:27.280 --> 00:07:30.750 region:rollup2
TEAMS.
00:07:28.081 --> 00:07:32.719 region:rollup2
WE USED DE ARE ALWAYS THIRTY
00:07:30.750 --> 00:07:34.821 region:rollup2
AND ON STRIKE TEAMS DE WOULD
00:07:32.719 --> 00:07:35.855 region:rollup2
MATEO EVACUATED MULTIPLE
00:07:34.821 --> 00:07:37.524 region:rollup2
FACILITIES
00:07:35.855 --> 00:07:39.959 region:rollup2
AND HUNDREDS OF OF PATIENTS IN
00:07:37.524 --> 00:07:41.561 region:rollup2
THAT SYSTEM OF MUTUAL AID.
00:07:39.959 --> 00:07:43.863 region:rollup2
WORKED VERY WELL.
00:07:41.561 --> 00:07:46.032 region:rollup2
REGIONALLY ACROSS THE STATE WE
00:07:43.863 --> 00:07:49.002 region:rollup2
ALSO UTILIZED ARE A DISASTER
00:07:46.032 --> 00:07:50.437 region:rollup2
VOLUNTEER SYSTEM WE MOBILIZED DE
00:07:49.002 --> 00:07:52.272 region:rollup2
THE LOCALS USED TO MEDICAL
00:07:50.437 --> 00:07:53.506 region:rollup2
RESERVE COURSE MULTIPLE MEDICAL
00:07:52.272 --> 00:07:54.607 region:rollup2
RESERVE CORES. INCLUDING
00:07:53.506 --> 00:07:56.443 region:rollup2
VETERINARY.
00:07:54.607 --> 00:07:57.911 region:rollup2
RESERVE COURSE WHICH OR ARE
00:07:56.443 --> 00:07:59.112 region:rollup2
ROSTERED WITH OUR DISASTER
00:07:57.911 --> 00:08:01.281 region:rollup2
VOLUNTEERS.
00:07:59.112 --> 00:08:03.950 region:rollup2
THIS SO WE WERE ABLE TO PULL UP
00:08:01.281 --> 00:08:06.453 region:rollup2
THE ISSUE OF PERSONNEL REQUESTS
00:08:03.950 --> 00:08:09.155 region:rollup2
AS WELL THAT RANGE FROM DIRECT
00:08:06.453 --> 00:08:11.891 region:rollup2
HEALTH CARE TO. OTHER SUPPORT IN
00:08:09.155 --> 00:08:12.792 region:rollup2
THE EMERGENCY OPERATION CENTER
00:08:11.891 --> 00:08:16.429 region:rollup2
AND OUR OUR.
00:08:12.792 --> 00:08:17.063 region:rollup2
AS AN AGENCY WE COORDINATED.
00:08:16.429 --> 00:08:18.765 region:rollup2
THE.
00:08:17.063 --> 00:08:20.834 region:rollup2
A COORDINATED LOOK TAKE A
00:08:18.765 --> 00:08:23.169 region:rollup2
LOOK IN AND AND AND MAKING SURE
00:08:20.834 --> 00:08:25.205 region:rollup2
THAT WE KNEW THE STATUS OF ALL
00:08:23.169 --> 00:08:25.739 region:rollup2
THE FACILITIES NOT JUST ACUTE
00:08:25.205 --> 00:08:26.573 region:rollup2
CARE HOSPITALS AND NURSING
00:08:25.739 --> 00:08:28.341 region:rollup2
HOMES.
00:08:26.573 --> 00:08:30.577 region:rollup2
BUT EVERY LICENSE FACILITY BY
00:08:28.341 --> 00:08:33.513 region:rollup2
BOTH A PUBLIC HEALTH AND.
00:08:30.577 --> 00:08:35.382 region:rollup2
OUR A AND OUR SOCIAL DEPARTMENT
00:08:33.513 --> 00:08:37.384 region:rollup2
OF SOCIAL SERVICES AND WE
00:08:35.382 --> 00:08:40.353 region:rollup2
EVALUATED THE STATUS OF EVERYONE
00:08:37.384 --> 00:08:40.854 region:rollup2
OF THOSE AND AND WE KNOW IT'S OF
00:08:40.353 --> 00:08:42.822 region:rollup2
THEIR LEVEL OF OPERATION
00:08:40.854 --> 00:08:46.292 region:rollup2
IF THEY EVACUATED WHERE THERE.
00:08:42.822 --> 00:08:47.427 region:rollup2
WHERE THE PATIENTS WINTER WHERE
00:08:46.292 --> 00:08:49.896 region:rollup2
THEY'RE THEY'RE THE PEOPLE THEY
00:08:47.427 --> 00:08:51.664 region:rollup2
SERVE WHEN WE HAVE A A DIRECT
00:08:49.896 --> 00:08:53.867 region:rollup2
ROLE IN SAID A DIRECT ROLE IN
00:08:51.664 --> 00:08:55.402 region:rollup2
SUPPORTING THE EVACUATION AND
00:08:53.867 --> 00:08:57.871 region:rollup2
SUPPORT OF OUR CINEMA
00:08:55.402 --> 00:08:59.506 region:rollup2
DEVELOPMENTAL CENTER AS WELL?
00:08:57.871 --> 00:09:01.274 region:rollup2
AND AND FOR THAT PURPOSE
00:08:59.506 --> 00:09:03.343 region:rollup2
ACTUALLY WE ENDED UP USING.
00:09:01.274 --> 00:09:05.311 region:rollup2
MANY OF OUR MOBILE MEDICAL
00:09:03.343 --> 00:09:08.348 region:rollup2
SHELTERS WHICH IS THE.
00:09:05.311 --> 00:09:10.049 region:rollup2
IS THE EQUIPMENT LEFT OVER FROM
00:09:08.348 --> 00:09:11.618 region:rollup2
THE DEEMED IT KIND OF THAT THE
00:09:10.049 --> 00:09:14.454 region:rollup2
DEMOBILIZATION OF OUR.
00:09:11.618 --> 00:09:17.190 region:rollup2
BAR MOBILE HOSPITAL AND THE
00:09:14.454 --> 00:09:20.059 region:rollup2
SYSTEM. WHICH WE NOW THAT
00:09:17.190 --> 00:09:22.128 region:rollup2
UTILIZE A AYE AS MEDICAL.
00:09:20.059 --> 00:09:24.097 region:rollup2
SHELTERS ARE MULTI PURPOSE AS
00:09:22.128 --> 00:09:24.798 region:rollup2
SHELTERS AND IN THIS CASE WE USE
00:09:24.097 --> 00:09:27.200 region:rollup2
THAT.
00:09:24.798 --> 00:09:28.268 region:rollup2
NOT A TO HOUSE PATIENTS AND
00:09:27.200 --> 00:09:29.936 region:rollup2
BECAUSE THEY HAD A HARD SHELTER
00:09:28.268 --> 00:09:31.738 region:rollup2
FOR THAT BUT WE USED TO FOR ALL
00:09:29.936 --> 00:09:35.075 region:rollup2
THE ANCILLARY SERVICES STAFF.
00:09:31.738 --> 00:09:37.143 region:rollup2
AND OTHERS.
00:09:35.075 --> 00:09:38.678 region:rollup2
I APPRECIATE THAT AND THE FACT
00:09:37.143 --> 00:09:39.846 region:rollup2
THAT YOU KNOW WE FUND OF THE.
00:09:38.678 --> 00:09:41.381 region:rollup2
ISSUE THE MOBILE HOSPITALS HAS
00:09:39.846 --> 00:09:43.550 region:rollup2
BEEN THE SUBJECT OF DISCUSSION
00:09:41.381 --> 00:09:44.717 region:rollup2
PREVIOUS BUDGET HEARINGS AND.
00:09:43.550 --> 00:09:46.019 region:rollup2
.
00:09:44.717 --> 00:09:47.220 region:rollup2
NOTING THAT IT'S NOT JUST IT'S
00:09:46.019 --> 00:09:48.388 region:rollup2
EVEN SOMETIMES EQUIPMENT
00:09:47.220 --> 00:09:49.722 region:rollup2
ALTHOUGH I I DO KNOW THAT YOU
00:09:48.388 --> 00:09:50.223 region:rollup2
DIDN'T EXACTLY ANSWER MY
00:09:49.722 --> 00:09:52.058 region:rollup2
QUESTION WAS DO YOU HAVE
00:09:50.223 --> 00:09:54.527 region:rollup2
SUFFICIENT RESOURCES.
00:09:52.058 --> 00:09:55.428 region:rollup2
YES.
00:09:54.527 --> 00:09:57.630 region:rollup2
WELL THERE YOU KNOW PERMIT THE I
00:09:55.428 --> 00:09:58.731 region:rollup2
THINK THAT THERE'S THERE'S TWO
00:09:57.630 --> 00:10:00.900 region:rollup2
THINGS THERE'S THERE'S.
00:09:58.731 --> 00:10:03.102 region:rollup2
FISCAL RESOURCES LIKE ARE.
00:10:00.900 --> 00:10:05.638 region:rollup2
ARE AM TO STRIKE TEAMS IN THE.
00:10:03.102 --> 00:10:07.574 region:rollup2
YOU KNOW THAT THE SHELTERS.
00:10:05.638 --> 00:10:09.776 region:rollup2
WHICH WE HVE AND AND YOU KNOW
00:10:07.574 --> 00:10:11.144 region:rollup2
THAT WE ADVOCATED FOR.
00:10:09.776 --> 00:10:13.179 region:rollup2
YOU KNOW THAT THAT THE THE
00:10:11.144 --> 00:10:14.948 region:rollup2
CAPABILITY OF EVERY Q. CARE
00:10:13.179 --> 00:10:16.382 region:rollup2
HOSPITALS BUT WE ARE.
00:10:14.948 --> 00:10:18.318 region:rollup2
WHO WE ARE WE ARE HAVE
00:10:16.382 --> 00:10:20.253 region:rollup2
REGROUPED AND AND RE PURPOSED
00:10:18.318 --> 00:10:22.755 region:rollup2
AND THE THE EQUIPMENT AS FAR AS
00:10:20.253 --> 00:10:24.958 region:rollup2
PERSONNEL GOES I THINK THEY WERE
00:10:22.755 --> 00:10:25.925 region:rollup2
REASONABLY STAFFED AND NOW WE WE
00:10:24.958 --> 00:10:28.928 region:rollup2
DID JUST HAVE TO?
00:10:25.925 --> 00:10:30.430 region:rollup2
ARE HAVING TO ABSORB A CUT IN
00:10:28.928 --> 00:10:33.099 region:rollup2
THE FEDERAL HEALTH HOSPITAL
00:10:30.430 --> 00:10:34.200 region:rollup2
PREPAREDNESS GRANT.
00:10:33.099 --> 00:10:36.669 region:rollup2
IN WHICH WILL.
00:10:34.200 --> 00:10:37.971 region:rollup2
IT IMPACT YOU KNOW OUR OUR
00:10:36.669 --> 00:10:39.706 region:rollup2
STAFF AND.
00:10:37.971 --> 00:10:43.309 region:rollup2
AS WELL AS OVER IN PUBLIC
00:10:39.706 --> 00:10:44.978 region:rollup2
HEALTH AND THAT'S THAT'S A
00:10:43.309 --> 00:10:47.714 region:rollup2
FEDERAL DECISION.
00:10:44.978 --> 00:10:50.149 region:rollup2
MEAN SO I HERE WE WE CAN ONLY
00:10:47.714 --> 00:10:52.418 region:rollup2
WE PRIORITIZE OUR OUR PLANNING
00:10:50.149 --> 00:10:55.889 region:rollup2
AND. ACCORDING TO OUR OUR
00:10:52.418 --> 00:10:56.923 region:rollup2
STAFFING LEVELS AND WHEN A
00:10:55.889 --> 00:11:00.059 region:rollup2
DISASTER HAPPENS EVERYTHING ELSE
00:10:56.923 --> 00:11:02.729 region:rollup2
STOPS AND EVERYBODY FOCUSES ON.
00:11:00.059 --> 00:11:03.429 region:rollup2
RESPONDING TO THE DISASTER.
00:11:02.729 --> 00:11:04.697 region:rollup2
ALRIGHT WELL.
00:11:03.429 --> 00:11:06.833 region:rollup2
IT'S FUNNY SURE THAT.
00:11:04.697 --> 00:11:08.067 region:rollup2
WE'RE STAYING ON TOP OF THIS
00:11:06.833 --> 00:11:09.369 region:rollup2
SIZE AND COURSE WE WANT TO WORK
00:11:08.067 --> 00:11:10.069 region:rollup2
PARTNER WITH THE ADMINISTRATION
00:11:09.369 --> 00:11:11.938 region:rollup2
AND.
00:11:10.069 --> 00:11:14.207 region:rollup2
VARIOUS ENTITIES AS WELL AND
00:11:11.938 --> 00:11:15.241 region:rollup2
WELL I'M SURE WE HAVE THE
00:11:14.207 --> 00:11:17.310 region:rollup2
APPROPRIATE RESOURCES.
00:11:15.241 --> 00:11:18.845 region:rollup2
AS A MAKE NOTE THAT AND YOU
00:11:17.310 --> 00:11:20.413 region:rollup2
KNOW WE TALKED PUBLIC HEALTH AND
00:11:18.845 --> 00:11:21.981 region:rollup2
OTHER FOLKS IS THAT YES I
00:11:20.413 --> 00:11:23.416 region:rollup2
UNDERSTAND WINTERS DISASTER YOU
00:11:21.981 --> 00:11:25.151 region:rollup2
PULL EVERYONE TOGETHER AND FOCUS
00:11:23.416 --> 00:11:25.985 region:rollup2
ON DISASTER BUT THE WORK THAT
00:11:25.151 --> 00:11:27.854 region:rollup2
THEY WERE DOING BEFORE THE
00:11:25.985 --> 00:11:29.188 region:rollup2
DISASTER OFTEN HAS IMPORTANCE AS
00:11:27.854 --> 00:11:30.657 region:rollup2
WELL MAY NOT. MAYBE NOT THIS
00:11:29.188 --> 00:11:32.825 region:rollup2
URGENT.
00:11:30.657 --> 00:11:34.360 region:rollup2
AS WHAT'S HAPPENING AT THE TIME
00:11:32.825 --> 00:11:35.762 region:rollup2
OF THE DISASTER AND THAT'S WHAT
00:11:34.360 --> 00:11:37.497 region:rollup2
WE DO THAT BUT.
00:11:35.762 --> 00:11:39.065 region:rollup2
NOW WHEN WE TALK ABOUT STAFFING
00:11:37.497 --> 00:11:40.633 region:rollup2
YOU NEED TO BE ABLE TO RAMP UP
00:11:39.065 --> 00:11:42.602 region:rollup2
YOU KNOW WHAT SURGE CAPACITY
00:11:40.633 --> 00:11:43.069 region:rollup2
THINGS LIKE THAT AND SO I HOPE
00:11:42.602 --> 00:11:45.138 region:rollup2
THAT.
00:11:43.069 --> 00:11:47.340 region:rollup2
THERE ARE DISCUSSIONS GOING ON.
00:11:45.138 --> 00:11:48.474 region:rollup2
WITHIN THE ADMINISTRATION TO BE
00:11:47.340 --> 00:11:49.676 region:rollup2
SURE THAT WE ARE READY.
00:11:48.474 --> 00:11:51.377 region:rollup2
FOR.
00:11:49.676 --> 00:11:52.312 region:rollup2
OR EVENTS IN THAT WE HAVE THE
00:11:51.377 --> 00:11:54.047 region:rollup2
NOW SUFFICIENT SURGE CAPACITY
00:11:52.312 --> 00:11:55.615 region:rollup2
OBVIOUS.
00:11:54.047 --> 00:11:58.284 region:rollup2
NOTES THIRDS CAPACITY TO HANDLE.
00:11:55.615 --> 00:12:00.353 region:rollup2
AT LEAST EVENT SO WE CAN NO
00:11:58.284 --> 00:12:01.487 region:rollup2
REASONABLY ANTICIPATE AS AS THE
00:12:00.353 --> 00:12:03.122 region:rollup2
GOVERNOR'S RACE DECLARED NO
00:12:01.487 --> 00:12:05.024 region:rollup2
THERE'S A NEW NORMAL SO WE HAVE
00:12:03.122 --> 00:12:06.226 region:rollup2
TO. WE SHOULD BE PREPARING FOR
00:12:05.024 --> 00:12:07.927 region:rollup2
THE NEW NORMAL APPRECIATE THAT
00:12:06.226 --> 00:12:09.996 region:rollup2
AND CARE OF THE OTHER QUESTION I
00:12:07.927 --> 00:12:10.663 region:rollup2
DO HAVE IS THIS REGARDING THE.
00:12:09.996 --> 00:12:14.367 region:rollup2
THE.
00:12:10.663 --> 00:12:14.367 region:rollup2
A PROPOSAL FOR INFORMATION
00:12:14.434 --> 00:12:16.903 region:rollup2
IS SECURITY ASSESSMENT WAS DONE.
00:12:16.603 --> 00:12:18.938 region:rollup2
.
00:12:16.903 --> 00:12:20.540 region:rollup2
BACK AND AT TWENTY SIXTEEN AND
00:12:18.938 --> 00:12:21.708 region:rollup2
WERE RESPONDING TO THAT ASSURING
00:12:20.540 --> 00:12:23.476 region:rollup2
WE HAVE SECURE SYSTEM.
00:12:21.708 --> 00:12:24.477 region:rollup2
DOING QUESTION I DID HAVE IS
00:12:23.476 --> 00:12:26.412 region:rollup2
HOW.
00:12:24.477 --> 00:12:27.880 region:rollup2
HOW FREQUENTLY ARE REDOING THE
00:12:26.412 --> 00:12:29.315 region:rollup2
SECURITY ASSESSMENTS OFFICE THE
00:12:27.880 --> 00:12:31.184 region:rollup2
LAST ONES TWENTY SIXTEEN WERE
00:12:29.315 --> 00:12:33.286 region:rollup2
NOW DOING A RESPONSE TO THAT?
00:12:31.184 --> 00:12:36.055 region:rollup2
IS THIS SOMETHING THAT CAN BE
00:12:33.286 --> 00:12:37.357 region:rollup2
DONE ON THE ONGOING REGULAR
00:12:36.055 --> 00:12:37.957 region:rollup2
BASIS I KNOW THOSE.
00:12:37.357 --> 00:12:39.892 region:rollup2
DE I GUESS WAS DONE BUT
00:12:37.957 --> 00:12:41.027 region:rollup2
CYBERSECURITY TEAM OVER AND
00:12:39.892 --> 00:12:41.928 region:rollup2
ANOTHER.
00:12:41.027 --> 00:12:43.529 region:rollup2
THE OTHER ANOTHER DEPARTMENT
00:12:41.928 --> 00:12:46.833 region:rollup2
BUT. IN TERMS OF WHAT'S THE
00:12:43.529 --> 00:12:48.968 region:rollup2
ANTICIPATED REGULARITY OF OF
00:12:46.833 --> 00:12:51.037 region:rollup2
BEGAN ASSESSING ARE ARE I IT
00:12:48.968 --> 00:12:51.904 region:rollup2
SECURITY AND IN THIS APARTMENT.
00:12:51.037 --> 00:12:53.740 region:rollup2
LET ME SEE IF DANCE MILEY HAS
00:12:51.904 --> 00:12:54.607 region:rollup2
THE ANSWER TO THAT.
00:12:53.740 --> 00:12:56.776 region:rollup2
BOB THANK YOU.
00:12:54.607 --> 00:12:58.645 region:rollup2
DANCE MILEY AND CHIEF DEPUTY
00:12:56.776 --> 00:13:00.246 region:rollup2
DIRECTOR FOR EMSA. OF THE PLAN
00:12:58.645 --> 00:13:01.347 region:rollup2
RIGHT NOW IS THAT WE ARE WORKING
00:13:00.246 --> 00:13:02.815 region:rollup2
WITH THE CALIFORNIA MILITARY
00:13:01.347 --> 00:13:04.684 region:rollup2
DEPARTMENT AND WORKING WITHIN
00:13:02.815 --> 00:13:07.120 region:rollup2
THEIR SCHEDULING PROCESS WE
00:13:04.684 --> 00:13:08.755 region:rollup2
ANTICIPATE ANOTHER ASSESSMENT
00:13:07.120 --> 00:13:10.089 region:rollup2
WITHIN APPROXIMATELY TWO YEARS.
00:13:08.755 --> 00:13:12.825 region:rollup2
ADDITIONALLY THE DEPARTMENT OF
00:13:10.089 --> 00:13:15.428 region:rollup2
TECHNOLOGY ARE ALSO HAS A VERY
00:13:12.825 --> 00:13:17.063 region:rollup2
OF SECURITY AUDIT UP PROCEDURES
00:13:15.428 --> 00:13:18.765 region:rollup2
AND WERE ACT CURRENTLY TRYING TO
00:13:17.063 --> 00:13:20.767 region:rollup2
FIGURE OUT WHEN THAT SCHEDULES
00:13:18.765 --> 00:13:22.502 region:rollup2
GOING TO OCCUR. OF THEY HAVE NOT
00:13:20.767 --> 00:13:24.103 region:rollup2
YET PUBLISHED THAT YET BUT WE DO
00:13:22.502 --> 00:13:25.838 region:rollup2
KNOW THAT WHAT WE WANT WITH THIS
00:13:24.103 --> 00:13:27.206 region:rollup2
IS THAT.
00:13:25.838 --> 00:13:29.042 region:rollup2
PART OF THE STAFF PERSONS A
00:13:27.206 --> 00:13:31.077 region:rollup2
RESPONSIBILITY AND.
00:13:29.042 --> 00:13:32.045 region:rollup2
THE INFRASTRUCTURE THAT WERE
00:13:31.077 --> 00:13:34.180 region:rollup2
GOING TO BE PURCHASING AS PART
00:13:32.045 --> 00:13:35.648 region:rollup2
OF THIS. THEIR WHOLE GOAL IS TO
00:13:34.180 --> 00:13:36.282 region:rollup2
GET READY FOR THAT NEXT STEP
00:13:35.648 --> 00:13:37.150 region:rollup2
SECURITY ASSESSMENT PROBABLY IN
00:13:36.282 --> 00:13:39.318 region:rollup2
THE
00:13:37.150 --> 00:13:41.554 region:rollup2
THAT TWO TO THREE YEARS.
00:13:39.318 --> 00:13:43.656 region:rollup2
OKAY THANK YOU.
00:13:41.554 --> 00:13:46.259 region:rollup2
ANY OTHER QUESTIONS REMEMBER CSS
00:13:43.656 --> 00:13:47.093 region:rollup2
OUR SON. BACK YOU ARE MISTER
00:13:46.259 --> 00:13:49.162 region:rollup2
CHAIR AND UP.
00:13:47.093 --> 00:13:49.729 region:rollup2
THIS IS BEEN A VERY BUSY YEAR
00:13:49.162 --> 00:13:50.963 region:rollup2
FOR YOUR DEPARTMENT I WANNA
00:13:49.729 --> 00:13:53.332 region:rollup2
JUST.
00:13:50.963 --> 00:13:54.701 region:rollup2
THANK YOU FOR. REALLY DOING A
00:13:53.332 --> 00:13:56.769 region:rollup2
GREAT JOB AND HELPING A LOT OF
00:13:54.701 --> 00:13:56.936 region:rollup2
PEOPLE IN NEED.
00:13:56.769 --> 00:13:58.871 region:rollup2
AND.
00:13:56.936 --> 00:14:00.073 region:rollup2
I THINK OUR OUR MUTUAL AID
00:13:58.871 --> 00:14:01.774 region:rollup2
SYSTEM IN THE STATE OF
00:14:00.073 --> 00:14:03.376 region:rollup2
CALIFORNIA WHICH I ASSUME YOU
00:14:01.774 --> 00:14:05.611 region:rollup2
HELP MOBILIZE.
00:14:03.376 --> 00:14:05.778 region:rollup2
WAS VERY HELPFUL AND I MEAN WE
00:14:05.611 --> 00:14:07.613 region:rollup2
HAD.
00:14:05.778 --> 00:14:09.082 region:rollup2
.
00:14:07.613 --> 00:14:10.783 region:rollup2
FIRE DEPARTMENTS EVEN OF THE
00:14:09.082 --> 00:14:12.518 region:rollup2
PECHANGA TRIED.
00:14:10.783 --> 00:14:14.854 region:rollup2
CENTER FIRE DEPARTMENT OF TWO
00:14:12.518 --> 00:14:15.655 region:rollup2
FIRES TO HELP OUT AND IT'S NICE
00:14:14.854 --> 00:14:17.590 region:rollup2
TO SEE THAT COLLECTIVE EFFORT
00:14:15.655 --> 00:14:18.858 region:rollup2
WHEN. WE HAVE AREAS OF THE STATE
00:14:17.590 --> 00:14:20.893 region:rollup2
THAT ARE IN NEED.
00:14:18.858 --> 00:14:23.363 region:rollup2
I ALSO KNOW THAT I ASSUME THAT
00:14:20.893 --> 00:14:25.365 region:rollup2
MANY OF THE SERVICES THAT YOU
00:14:23.363 --> 00:14:26.532 region:rollup2
PROVIDE WHEN THERE IS A STATE
00:14:25.365 --> 00:14:28.201 region:rollup2
DISASTER THAT IS FEDERALLY
00:14:26.532 --> 00:14:28.735 region:rollup2
RECOGNIZED THAT WE ARE GOING TO
00:14:28.201 --> 00:14:30.603 region:rollup2
BE THE BENEFICIARY OF FEMA
00:14:28.735 --> 00:14:32.472 region:rollup2
FUNDS.
00:14:30.603 --> 00:14:34.340 region:rollup2
AND SO DO YOU HAVE ANY IDEA WHAT
00:14:32.472 --> 00:14:36.209 region:rollup2
THE THEME I REQUEST IS GOING TO
00:14:34.340 --> 00:14:38.177 region:rollup2
BE FOR YOUR DEPARTMENT WHAT THE
00:14:36.209 --> 00:14:40.113 region:rollup2
TIMEFRAME IS FOR US TO GET THAT
00:14:38.177 --> 00:14:42.648 region:rollup2
MONEY. AND HOW DOES IT REALLY
00:14:40.113 --> 00:14:43.983 region:rollup2
GET REFLECTED INTO YOUR BUDGETS.
00:14:42.648 --> 00:14:45.952 region:rollup2
AGAIN ABITTER HAVE DAN ANSWER
00:14:43.983 --> 00:14:46.652 region:rollup2
THAT BUT I WILL MAKE ONE OR TWO
00:14:45.952 --> 00:14:48.888 region:rollup2
POINTS.
00:14:46.652 --> 00:14:50.323 region:rollup2
THAT I'M DO THE PUBLIC HEALTH
00:14:48.888 --> 00:14:52.959 region:rollup2
AND MEDICAL HAVE.
00:14:50.323 --> 00:14:56.195 region:rollup2
IT AID THEY ARE A UNIQUE.
00:14:52.959 --> 00:14:58.865 region:rollup2
A MUTUAL AID SYSTEM THAT IS
00:14:56.195 --> 00:15:01.367 region:rollup2
THAT FEEDS INTO THE STATEWIDE
00:14:58.865 --> 00:15:06.072 region:rollup2
AND STEM SYSTEM BUT WE ACTUALLY
00:15:01.367 --> 00:15:08.040 region:rollup2
I BASED ON STATUTE HAVE A. OF A.
00:15:06.072 --> 00:15:10.376 region:rollup2
THE DISASTER MEDICAL AND HEALTH.
00:15:08.040 --> 00:15:13.246 region:rollup2
IT YOU KNOW SPECIALIST IT EACH
00:15:10.376 --> 00:15:14.614 region:rollup2
COUNTY AND IN IN A REGION THAT
00:15:13.246 --> 00:15:17.116 region:rollup2
THEY ARE THE ONES OF FUN ALL THE
00:15:14.614 --> 00:15:19.152 region:rollup2
REQUESTS UP AND TRY TO MEET THE.
00:15:17.116 --> 00:15:19.819 region:rollup2
THE MUTUAL AID WITHIN THE REGION
00:15:19.152 --> 00:15:21.988 region:rollup2
AND IF THEY CAN'T DO THAT THEN
00:15:19.819 --> 00:15:22.855 region:rollup2
THAT THE TICKET TO THE STATE AND
00:15:21.988 --> 00:15:24.991 region:rollup2
AND WILL BE.
00:15:22.855 --> 00:15:27.693 region:rollup2
AND DEPENDING ON THE ON THE
00:15:24.991 --> 00:15:29.996 region:rollup2
RESOURCE REQUEST O. REAL ENGAGE
00:15:27.693 --> 00:15:31.664 region:rollup2
THE STATEWIDE SYSTEM WE WE DON'T
00:15:29.996 --> 00:15:33.666 region:rollup2
REALLY GET INVOLVED IN THE
00:15:31.664 --> 00:15:35.868 region:rollup2
MUTUAL AID TO RESPOND TO THE TO
00:15:33.666 --> 00:15:37.870 region:rollup2
THE FIRES HIS THE FIRE AGENCY
00:15:35.868 --> 00:15:38.438 region:rollup2
HAS THEIR OWN MUTUAL AID SYSTEM
00:15:37.870 --> 00:15:40.640 region:rollup2
AT AS WELL.
00:15:38.438 --> 00:15:43.276 region:rollup2
AND THEN THE OTHER THING IS IT
00:15:40.640 --> 00:15:44.877 region:rollup2
YEAH THE. HAVE RELATED TO
00:15:43.276 --> 00:15:47.447 region:rollup2
REIMBURSEMENT FROM FEMA.
00:15:44.877 --> 00:15:48.748 region:rollup2
AND THE ONE THING THAT MAKES IT
00:15:47.447 --> 00:15:50.983 region:rollup2
WHO MORE CHALLENGING ENOUGH FOR
00:15:48.748 --> 00:15:52.685 region:rollup2
ME MEDICAL AND HEALTH IS AT FEMA
00:15:50.983 --> 00:15:54.187 region:rollup2
DOESN'T REIMBURSE MEDICAL CARE.
00:15:52.685 --> 00:15:55.855 region:rollup2
AND SO WE SOMETIMES OF BIG I'VE
00:15:54.187 --> 00:15:56.422 region:rollup2
GOTTEN INTO CHALLENGES IN TERMS
00:15:55.855 --> 00:15:58.724 region:rollup2
OF GETTING THE REIMBURSEMENT
00:15:56.422 --> 00:16:01.561 region:rollup2
FOR.
00:15:58.724 --> 00:16:03.563 region:rollup2
FOR AMBULANCE TRANSPORT WHICH
00:16:01.561 --> 00:16:04.997 region:rollup2
KIND OF FALLS A LITTLE BIT DE
00:16:03.563 --> 00:16:06.532 region:rollup2
HIM BETWEEN A AT ALL IT'S
00:16:04.997 --> 00:16:11.237 region:rollup2
GENERALLY COVERED.
00:16:06.532 --> 00:16:13.139 region:rollup2
BY HEALTH THE INSURERS AND SO.
00:16:11.237 --> 00:16:14.941 region:rollup2
WE WE HAVE HAD SOME CHALLENGES
00:16:13.139 --> 00:16:16.843 region:rollup2
WITH THAT DAN DO YOU HAVE MOTHER
00:16:14.941 --> 00:16:18.344 region:rollup2
COMMENTS I WOULD JUST SAY THAT
00:16:16.843 --> 00:16:19.912 region:rollup2
THIS IS ALL PART OF UP. THAT YOU
00:16:18.344 --> 00:16:21.714 region:rollup2
KNOW IN TERMS OF OUR PLANNING OF
00:16:19.912 --> 00:16:22.281 region:rollup2
THIS IS IN COORDINATION WITH THE
00:16:21.714 --> 00:16:23.282 region:rollup2
ADMINISTRATION DEPARTMENT OF
00:16:22.281 --> 00:16:25.251 region:rollup2
FINANCE.
00:16:23.282 --> 00:16:27.220 region:rollup2
AND CAL YES BECAUSE IT THIS IS
00:16:25.251 --> 00:16:29.088 region:rollup2
ALL PART OF A LARGER DISCUSSION.
00:16:27.220 --> 00:16:32.058 region:rollup2
PRIORITIZATION AS PART OF THE
00:16:29.088 --> 00:16:34.060 region:rollup2
AFTER ACTION REPORTS ON UP ON
00:16:32.058 --> 00:16:36.028 region:rollup2
WHAT ACTUALLY WENT ON IN IN AND
00:16:34.060 --> 00:16:38.297 region:rollup2
WHAT THE MISSION REQUESTS WORK.
00:16:36.028 --> 00:16:40.199 region:rollup2
WITH RESPECT A REIMBURSEMENT PAN
00:16:38.297 --> 00:16:41.834 region:rollup2
THAT AT THIS POINT I'M NOT SURE
00:16:40.199 --> 00:16:44.770 region:rollup2
THAT WE HAVE AN EXACT UMBER.
00:16:41.834 --> 00:16:47.740 region:rollup2
WE KNOW THAT WE HAVE SUBMITTED.
00:16:44.770 --> 00:16:49.709 region:rollup2
EIGHT YOU KNOW SOME PARTICULAR.
00:16:47.740 --> 00:16:51.510 region:rollup2
REQUEST SUCH AS FOR AND DON'T
00:16:49.709 --> 00:16:53.479 region:rollup2
STRIKE TEAMS USE THE MOBILE
00:16:51.510 --> 00:16:55.848 region:rollup2
MEDICAL SHELTER STAFFING TO
00:16:53.479 --> 00:16:58.384 region:rollup2
CALLOW YES WERE SORTING OUT THE
00:16:55.848 --> 00:17:01.020 region:rollup2
MISSION NUMBERS OF BECAUSE YEAH
00:16:58.384 --> 00:17:01.554 region:rollup2
EVERY REQUEST FOR REIMBURSEMENT
00:17:01.020 --> 00:17:02.622 region:rollup2
HAS TO HAVE AN APPROPRIATE
00:17:01.554 --> 00:17:04.657 region:rollup2
MISSION NUMBER.
00:17:02.622 --> 00:17:06.392 region:rollup2
AND DETERMINED NATION FOR
00:17:04.657 --> 00:17:09.662 region:rollup2
ELIGIBILITY AND WHETHER THAT'S A
00:17:06.392 --> 00:17:12.498 region:rollup2
LOCAL VERSUS STATE COST-A.
00:17:09.662 --> 00:17:14.166 region:rollup2
A WE ARE HOPEFUL THAT.
00:17:12.498 --> 00:17:15.101 region:rollup2
IT AGAIN I'M GET A PUNT TO
00:17:14.166 --> 00:17:16.903 region:rollup2
CALLOW YES ON THE EXACT TIME
00:17:15.101 --> 00:17:19.105 region:rollup2
OF THIS BECAUSE.
00:17:16.903 --> 00:17:21.374 region:rollup2
THAT THE ENTIRE RECOVERY AND
00:17:19.105 --> 00:17:23.309 region:rollup2
REIMBURSEMENT PROCESSES IS ALL
00:17:21.374 --> 00:17:24.043 region:rollup2
CENTERED AROUND THEIR WORK WITH
00:17:23.309 --> 00:17:24.243 region:rollup2
THE DEPARTMENT OF FINANCE ON
00:17:24.043 --> 00:17:25.478 region:rollup2
THAT.
00:17:24.243 --> 00:17:27.446 region:rollup2
.
00:17:25.478 --> 00:17:29.782 region:rollup2
A OVERALL I DON'T THINK I'M
00:17:27.446 --> 00:17:32.418 region:rollup2
SAYING KURD THAT MANY DIRECT.
00:17:29.782 --> 00:17:33.786 region:rollup2
MY COSTS
00:17:32.418 --> 00:17:34.320 region:rollup2
OTHER THAN WITH THE AMULET
00:17:33.786 --> 00:17:35.855 region:rollup2
STRIKE TEAMS IN THE MOBILE
00:17:34.320 --> 00:17:37.356 region:rollup2
MEDICAL SHOP.
00:17:35.855 --> 00:17:38.991 region:rollup2
OKAY MY HOPE THAT.
00:17:37.356 --> 00:17:41.027 region:rollup2
WOULD ONE LEAVING THE MONEY ON
00:17:38.991 --> 00:17:41.561 region:rollup2
THE TABLE IF YOU WE NEED A
00:17:41.027 --> 00:17:43.896 region:rollup2
COMPREHENSIVE ANALYSIS OF
00:17:41.561 --> 00:17:45.398 region:rollup2
WHATEVER. YOU'RE ELIGIBLE TO TO
00:17:43.896 --> 00:17:47.133 region:rollup2
GET BACK WE CERTAINLY WANT TO
00:17:45.398 --> 00:17:47.934 region:rollup2
SEE YOU GET IT BACK AND.
00:17:47.133 --> 00:17:50.670 region:rollup2
HELP YOUR AGENCY OUT SO AGAIN
00:17:47.934 --> 00:17:51.871 region:rollup2
THANK YOU.
00:17:50.670 --> 00:17:55.007 region:rollup2
AND QUESTIONS SAY NOT ALL RIGHT
00:17:51.871 --> 00:17:57.410 region:rollup2
UP PUBLIC COMMENTS ON ITEMS ONE
00:17:55.007 --> 00:17:59.478 region:rollup2
INTO REGARDING HIMSELF.
00:17:57.410 --> 00:18:02.114 region:rollup2
SAYING NO ONE AT THE MICROPHONE.
00:17:59.478 --> 00:18:04.350 region:rollup2
.
00:18:02.114 --> 00:18:05.851 region:rollup2
ALRIGHT SO I SEE FIRSTHAND THIS
00:18:04.350 --> 00:18:08.688 region:rollup2
INFORMATIONAL SECOND ORDER SO.
00:18:05.851 --> 00:18:10.690 region:rollup2
WE WILL UPHOLD OPEN.
00:18:08.688 --> 00:18:12.191 region:rollup2
ISSUE NUMBER TWO I THINK IT'S
00:18:10.690 --> 00:18:15.227 region:rollup2
YOU KNOW NEVER IT WAS THIS THE.
00:18:12.191 --> 00:18:16.596 region:rollup2
ALICE'S INFORMATIONAL SELF I
00:18:15.227 --> 00:18:18.097 region:rollup2
THINK USM.
00:18:16.596 --> 00:18:19.398 region:rollup2
BUT THANK YOU VERY MUCH FOR YOUR
00:18:18.097 --> 00:18:20.199 region:rollup2
PRESENTATIONS AND.
00:18:19.398 --> 00:18:22.702 region:rollup2
LOOK FOR TO.
00:18:20.199 --> 00:18:24.170 region:rollup2
.
00:18:22.702 --> 00:18:26.439 region:rollup2
TOUCH BASE AGAIN WITH A REVISED
00:18:24.170 --> 00:18:28.374 region:rollup2
THANK YOU HOPEFULLY PEOPLE TALK
00:18:26.439 --> 00:18:29.775 region:rollup2
ABOUT SURGE CAPACITY. ALRIGHT.
00:18:28.374 --> 00:18:31.344 region:rollup2
OKAY SO NEXT I AM UP TO IS A
00:18:29.775 --> 00:18:31.944 region:rollup2
FOUR ONE FOUR OH OFFICE OF
00:18:31.344 --> 00:18:33.279 region:rollup2
STATEWIDE HEALTH PAIN
00:18:31.944 --> 00:18:33.612 region:rollup2
DEVELOPMENT.
00:18:33.279 --> 00:18:34.814 region:rollup2
WE WILL HAVE.
00:18:33.612 --> 00:18:35.314 region:rollup2
.
00:18:34.814 --> 00:18:37.617 region:rollup2
ISSUE NUMBER ONE IS THE
00:18:35.314 --> 00:18:38.951 region:rollup2
OVERVIEW.
00:18:37.617 --> 00:18:41.287 region:rollup2
AND SO WE CAN HAVE THE AGENCY LA
00:18:38.951 --> 00:18:44.457 region:rollup2
OWN FINANCE.
00:18:41.287 --> 00:18:45.625 region:rollup2
HERE THAT.
00:18:44.457 --> 00:18:47.560 region:rollup2
SO WE HAVE TO ISSUES IN THIS
00:18:45.625 --> 00:18:48.461 region:rollup2
CATEGORY.
00:18:47.560 --> 00:18:50.429 region:rollup2
AND I UNDERSTAND WE HAVE A
00:18:48.461 --> 00:18:53.199 region:rollup2
STAKEHOLDER PROPOSAL RELATED TO
00:18:50.429 --> 00:18:53.599 region:rollup2
THE OVERVIEW SELLABLE TO ISSUE
00:18:53.199 --> 00:18:54.700 region:rollup2
ONE.
00:18:53.599 --> 00:18:56.702 region:rollup2
HERE AND THEN SHARED
00:18:54.700 --> 00:18:57.770 region:rollup2
STAKEHOLDER PROPOSAL. SO WELL
00:18:56.702 --> 00:18:59.905 region:rollup2
BEFORE WE BEGIN.
00:18:57.770 --> 00:19:00.473 region:rollup2
LET'S GO AHEAD HAVE EVERYONE
00:18:59.905 --> 00:19:01.273 region:rollup2
INTRODUCE THEMSELVES FOR THE
00:19:00.473 --> 00:19:03.376 region:rollup2
RECORD.
00:19:01.273 --> 00:19:04.176 region:rollup2
ROBERT DAVID DIRECTOR OFFICE OF
00:19:03.376 --> 00:19:04.777 region:rollup2
STATEWIDE HEALTH PLANNING
00:19:04.176 --> 00:19:07.580 region:rollup2
DEVELOPMENT MOURNING MOURNING
00:19:04.777 --> 00:19:09.115 region:rollup2
YOU.
00:19:07.580 --> 00:19:10.583 region:rollup2
STACEY WALKER AND DEPUTY
00:19:09.115 --> 00:19:11.317 region:rollup2
DIRECTOR AT THE OFFICE OF
00:19:10.583 --> 00:19:13.285 region:rollup2
STATEWIDE HEALTH PLANNING AND
00:19:11.317 --> 00:19:14.987 region:rollup2
DEVELOPMENT. KEEP.
00:19:13.285 --> 00:19:16.455 region:rollup2
GOOD MORNING SCOTT CHRISTMANN A
00:19:14.987 --> 00:19:18.024 region:rollup2
DEPUTY DIRECTOR CHAU OFF
00:19:16.455 --> 00:19:20.226 region:rollup2
STATEWIDE HEALTH PLANNING
00:19:18.024 --> 00:19:20.926 region:rollup2
DEVELOPMENT. I KEEP ELLIOT.
00:19:20.226 --> 00:19:24.563 region:rollup2
BRIAN MATTES CARRILLO AND
00:19:20.926 --> 00:19:26.866 region:rollup2
FINANCE.
00:19:24.563 --> 00:19:28.501 region:rollup2
NO JOHNSON DEPARTMENT FINANCE.
00:19:26.866 --> 00:19:30.469 region:rollup2
ANDERSON DEPARTMENT FINE IT'S A
00:19:28.501 --> 00:19:31.971 region:rollup2
THANK YOU WELCOME. RIGHT TO VOTE
00:19:30.469 --> 00:19:33.305 region:rollup2
SO WHEN WE GO AHEAD AND BEGIN
00:19:31.971 --> 00:19:34.306 region:rollup2
WITH THE OF REVIEW AND I THINK
00:19:33.305 --> 00:19:36.075 region:rollup2
WE'RE GOING TO HEAR A LITTLE
00:19:34.306 --> 00:19:38.411 region:rollup2
MORE SPECIFICALLY SOME REQUESTS
00:19:36.075 --> 00:19:39.879 region:rollup2
ABOUT THE. THE WHAT PROGRAM SO
00:19:38.411 --> 00:19:41.881 region:rollup2
YOU MEAN IF YOU WANT DRILL IN A
00:19:39.879 --> 00:19:43.249 region:rollup2
LITTLE MORE ON ON THAT IF YOU
00:19:41.881 --> 00:19:44.650 region:rollup2
HAVE ANYTHING MORE TO SAY BUT.
00:19:43.249 --> 00:19:47.019 region:rollup2
WE DO HAVE THE WRITTEN DOCUMENTS
00:19:44.650 --> 00:19:47.620 region:rollup2
SO I'D SEARCH SEARCH AT THE
00:19:47.019 --> 00:19:49.655 region:rollup2
HIGHLIGHTS.
00:19:47.620 --> 00:19:49.955 region:rollup2
AND JUST A QUICK OVERVIEW AT THE
00:19:49.655 --> 00:19:51.457 region:rollup2
DEPARTMENT.
00:19:49.955 --> 00:19:53.426 region:rollup2
.
00:19:51.457 --> 00:19:54.393 region:rollup2
POSH PAIRED DATA HAS THREE
00:19:53.426 --> 00:19:55.728 region:rollup2
MAJOR AREAS HEALTHCARE
00:19:54.393 --> 00:19:57.263 region:rollup2
CONSTRUCTION FINANCING
00:19:55.728 --> 00:19:58.631 region:rollup2
HEALTHCARE WORKFORCE DEVELOPMENT
00:19:57.263 --> 00:19:59.732 region:rollup2
AND HEALTH CARE DATA COLLECTION
00:19:58.631 --> 00:20:01.434 region:rollup2
REPORTING.
00:19:59.732 --> 00:20:02.835 region:rollup2
OUR TWENTY NINETEEN A PROPOSED
00:20:01.434 --> 00:20:05.037 region:rollup2
BUDGET IS A HUNDRED AND FORTY
00:20:02.835 --> 00:20:06.906 region:rollup2
FIVE MILLION. NUMBER FUNDED
00:20:05.037 --> 00:20:08.340 region:rollup2
PRIMARILY BY SPECIAL FUNDS OF
00:20:06.906 --> 00:20:09.442 region:rollup2
MANY THAT MURPHY SUPPORTED.
00:20:08.340 --> 00:20:10.743 region:rollup2
AND WE HAVE A SMALL AMOUNT OF
00:20:09.442 --> 00:20:11.811 region:rollup2
FEDERAL FUNDING ABOUT ONE POINT
00:20:10.743 --> 00:20:13.546 region:rollup2
FIVE MILLION FOR WORKFORCE
00:20:11.811 --> 00:20:14.847 region:rollup2
PROGRAMS.
00:20:13.546 --> 00:20:16.248 region:rollup2
BEGINNING WITH HEALTHCARE
00:20:14.847 --> 00:20:17.850 region:rollup2
CONSTRUCTION FINANCING.
00:20:16.248 --> 00:20:18.918 region:rollup2
AS YOU KNOW SENATORS WERE THE
00:20:17.850 --> 00:20:21.053 region:rollup2
BILLING DEPARTMENT FOR
00:20:18.918 --> 00:20:23.022 region:rollup2
CALIFORNIA'S HOSPITALS.
00:20:21.053 --> 00:20:24.390 region:rollup2
AND SKILLED NURSING FACILITIES.
00:20:23.022 --> 00:20:26.559 region:rollup2
IN TWO THOUSAND ONE FORTY
00:20:24.390 --> 00:20:27.793 region:rollup2
PERCENT OF CALIFORNIA'S HOSPITAL
00:20:26.559 --> 00:20:29.562 region:rollup2
BUILDING INVENTORY OVER THOUSAND
00:20:27.793 --> 00:20:31.263 region:rollup2
BUILDINGS.
00:20:29.562 --> 00:20:33.165 region:rollup2
WAS CLASSIFIED IT BEING UP
00:20:31.263 --> 00:20:34.734 region:rollup2
POTENTIALLY AT RISK FOR COLLAPSE
00:20:33.165 --> 00:20:36.435 region:rollup2
IN A MAJOR EARTHQUAKE.
00:20:34.734 --> 00:20:37.970 region:rollup2
AND TODAY I AM PLEASED TO REPORT
00:20:36.435 --> 00:20:40.072 region:rollup2
THAT NINETY FOUR PERCENT. OF
00:20:37.970 --> 00:20:40.706 region:rollup2
CALIFORNIA'S ACUTE CARE HOSPITAL
00:20:40.072 --> 00:20:42.675 region:rollup2
BUILDINGS IN THE STATE NOW
00:20:40.706 --> 00:20:45.478 region:rollup2
COMPLY. WITH THE SEISMIC SAFETY
00:20:42.675 --> 00:20:47.947 region:rollup2
ACCESS TWENTY TWENTY STANDARDS.
00:20:45.478 --> 00:20:49.782 region:rollup2
WE'VE ALSO PROMULGATED A NEW
00:20:47.947 --> 00:20:51.617 region:rollup2
SEISMIC PERFORMANCE CATEGORY
00:20:49.782 --> 00:20:52.918 region:rollup2
CALLED S. B. C. FOUR D..
00:20:51.617 --> 00:20:54.587 region:rollup2
THAT'LL ALLOW ON HOW OLDER
00:20:52.918 --> 00:20:55.888 region:rollup2
HOSPITAL BUILDINGS TO UPGRADE TO
00:20:54.587 --> 00:20:57.323 region:rollup2
A STANDARD THAT'LL KEEP THEM
00:20:55.888 --> 00:20:59.125 region:rollup2
SEISMICALLY COMPLIANT.
00:20:57.323 --> 00:21:00.860 region:rollup2
PAST TWENTY THIRTY.
00:20:59.125 --> 00:21:02.228 region:rollup2
UP TO DATE FORTY TWO HOSPITAL
00:21:00.860 --> 00:21:03.696 region:rollup2
BUILDINGS IN TWENTY TWO
00:21:02.228 --> 00:21:04.797 region:rollup2
HOSPITALS HAVE APPLIED FOR THOSE
00:21:03.696 --> 00:21:06.232 region:rollup2
UPGRADES.
00:21:04.797 --> 00:21:07.600 region:rollup2
AND THIS IS A VERY COST
00:21:06.232 --> 00:21:08.767 region:rollup2
EFFECTIVE AND GOOD OPTION
00:21:07.600 --> 00:21:10.069 region:rollup2
PARTICULAR FOR HOSPITALS THAT
00:21:08.767 --> 00:21:12.204 region:rollup2
WOULD OTHERWISE HAVE TO BE
00:21:10.069 --> 00:21:14.240 region:rollup2
REPLACED REMOVED FROM SERVICE.
00:21:12.204 --> 00:21:15.608 region:rollup2
IN TWENTY SEVENTEEN NINETY FIVE
00:21:14.240 --> 00:21:17.309 region:rollup2
PERCENT OF ALL PROJECT
00:21:15.608 --> 00:21:17.977 region:rollup2
APPLICATIONS TO AJ BUT WERE
00:21:17.309 --> 00:21:19.445 region:rollup2
DIRECTLY SUBMITTED
00:21:17.977 --> 00:21:20.880 region:rollup2
ELECTRONICALLY INTO OUR E.
00:21:19.445 --> 00:21:22.815 region:rollup2
SERVICES PORTAL.
00:21:20.880 --> 00:21:25.551 region:rollup2
AND ALSO LAST YEAR NINETY SEVEN
00:21:22.815 --> 00:21:27.586 region:rollup2
PERCENT OF OVER FIFTEEN THOUSAND
00:21:25.551 --> 00:21:29.955 region:rollup2
TOTAL PROJECT REVIEWS. WERE
00:21:27.586 --> 00:21:30.823 region:rollup2
COMPLETED ON SCHEDULE.
00:21:29.955 --> 00:21:32.525 region:rollup2
AND WE ALSO HAVE A PROGRAM
00:21:30.823 --> 00:21:34.326 region:rollup2
CALLED CAL MORTGAGE WHICH
00:21:32.525 --> 00:21:36.362 region:rollup2
PROVIDES A NONPROFIT AND PUBLIC
00:21:34.326 --> 00:21:38.197 region:rollup2
HEALTH FACILITIES. ACCESS TO LOW
00:21:36.362 --> 00:21:39.732 region:rollup2
COST FINANCING OUT BY OFFERING
00:21:38.197 --> 00:21:40.833 region:rollup2
LOAN INSURANCE.
00:21:39.732 --> 00:21:41.967 region:rollup2
I SINCE TWENTY THIRTEEN THAT
00:21:40.833 --> 00:21:43.102 region:rollup2
PROGRAM IS INSURED FORTY SIX
00:21:41.967 --> 00:21:45.171 region:rollup2
LOANS.
00:21:43.102 --> 00:21:45.704 region:rollup2
TOTALING OVER ONE POINT FOUR
00:21:45.171 --> 00:21:47.373 region:rollup2
BILLION DOLLARS TO THESE
00:21:45.704 --> 00:21:49.275 region:rollup2
FACILITIES. AT NO COST TO THE
00:21:47.373 --> 00:21:50.743 region:rollup2
GENERAL FUND.
00:21:49.275 --> 00:21:52.178 region:rollup2
RELATED TO HEALTH CARE
00:21:50.743 --> 00:21:54.146 region:rollup2
WORKFORCE DEVELOPMENT AND WE
00:21:52.178 --> 00:21:55.881 region:rollup2
HAVE TO PROGRAMS OUR HEALTHCARE
00:21:54.146 --> 00:21:57.149 region:rollup2
WORKFORCE DEVELOPMENT DIVISION.
00:21:55.881 --> 00:21:59.185 region:rollup2
AND THE HEALTH PROFESSIONS
00:21:57.149 --> 00:22:01.153 region:rollup2
EDUCATION FOUNDATION.
00:21:59.185 --> 00:22:02.621 region:rollup2
OF ONE OF OUR PRIMARY
00:22:01.153 --> 00:22:04.490 region:rollup2
HEALTHCARE WORKFORCE PROGRAMS IS
00:22:02.621 --> 00:22:06.125 region:rollup2
A SONG BROWN PROGRAM.
00:22:04.490 --> 00:22:07.126 region:rollup2
SONG BROWN AWARDS FUNDING.
00:22:06.125 --> 00:22:08.661 region:rollup2
TO HEALTH CARE TRAINING.
00:22:07.126 --> 00:22:09.728 region:rollup2
AND RESIDENCY PROGRAMS TO
00:22:08.661 --> 00:22:11.197 region:rollup2
INCREASE ACCESS TO HEALTHCARE
00:22:09.728 --> 00:22:12.965 region:rollup2
PROVIDERS.
00:22:11.197 --> 00:22:14.066 region:rollup2
IN UNDERSERVED AREAS I'M THROUGH
00:22:12.965 --> 00:22:15.534 region:rollup2
THE RECRUITMENT OF UNDER
00:22:14.066 --> 00:22:17.102 region:rollup2
REPRESENTED MINORITIES A
00:22:15.534 --> 00:22:18.237 region:rollup2
CLINICAL TRAINING IN AREAS OF
00:22:17.102 --> 00:22:20.039 region:rollup2
UNMET NEED. AND GRADUATE
00:22:18.237 --> 00:22:20.973 region:rollup2
PLACEMENT.
00:22:20.039 --> 00:22:23.042 region:rollup2
AND LASTLY THE HEALTH
00:22:20.973 --> 00:22:25.044 region:rollup2
PROFESSIONS EDUCATION FOUNDATION
00:22:23.042 --> 00:22:26.979 region:rollup2
IS NOT NOT FOR PROFIT. BUT ONCE
00:22:25.044 --> 00:22:28.314 region:rollup2
HE THREE WHICH IS HOUSED WITHIN
00:22:26.979 --> 00:22:29.882 region:rollup2
US BID TO PROVIDE LOAN
00:22:28.314 --> 00:22:31.750 region:rollup2
REPAYMENTS AND SCHOLARSHIPS TO
00:22:29.882 --> 00:22:33.118 region:rollup2
THOSE WILLING TO WORK. IN
00:22:31.750 --> 00:22:34.853 region:rollup2
UNDERSERVED AREAS I MIGHT NOTE
00:22:33.118 --> 00:22:36.522 region:rollup2
IT'S A VERY POPULAR PROGRAM.
00:22:34.853 --> 00:22:38.624 region:rollup2
PARTICULARLY AS AS THE CHAIR
00:22:36.522 --> 00:22:40.860 region:rollup2
KNOWS SARAH IS A LOT OF MEDICAL
00:22:38.624 --> 00:22:42.194 region:rollup2
SCHOOL DEBT OUT THERE AND DIE
00:22:40.860 --> 00:22:43.829 region:rollup2
AND IT'S A REAL REAL BIG HELP.
00:22:42.194 --> 00:22:45.531 region:rollup2
AND THEN HEALTHCARE DATA
00:22:43.829 --> 00:22:46.866 region:rollup2
COLLECTION REPORTING WE COLLECT
00:22:45.531 --> 00:22:49.468 region:rollup2
HEALTHCARE DATA FROM NEARLY SIX
00:22:46.866 --> 00:22:51.971 region:rollup2
THOUSAND FACILITIES LICENSED BY.
00:22:49.468 --> 00:22:53.272 region:rollup2
DEPARTMENT OF PUBLIC HEALTH.
00:22:51.971 --> 00:22:55.174 region:rollup2
I'M WE PRODUCE MEASURES AND
00:22:53.272 --> 00:22:56.508 region:rollup2
ANALYSES AND REPORTS ON HEALTH
00:22:55.174 --> 00:22:58.544 region:rollup2
CARE OUTCOMES AND QUALITY SAN.
00:22:56.508 --> 00:23:00.279 region:rollup2
RELATED HEALTH TOPICS.
00:22:58.544 --> 00:23:01.614 region:rollup2
I'M FINALLY ASH PIT IS A AND
00:23:00.279 --> 00:23:03.382 region:rollup2
YOU'LL BE HEARING A LITTLE MORE
00:23:01.614 --> 00:23:04.717 region:rollup2
ABOUT THIS LEADERS IMPLEMENTING
00:23:03.382 --> 00:23:07.152 region:rollup2
SENATE BILL SEVENTEEN.
00:23:04.717 --> 00:23:09.121 region:rollup2
WERE CALLING THIS PROGRAM COST
00:23:07.152 --> 00:23:11.090 region:rollup2
TRANSPARENCY ARE EX.
00:23:09.121 --> 00:23:12.891 region:rollup2
I S. B. SEVENTEEN SEEKS TO
00:23:11.090 --> 00:23:15.027 region:rollup2
INCREASE PRESCRIPTION DRUG COSTS
00:23:12.891 --> 00:23:16.896 region:rollup2
TRANSPARENCY. REQUIRING ADVANCED
00:23:15.027 --> 00:23:18.163 region:rollup2
NOTIFICATION TO PUBLIC AND
00:23:16.896 --> 00:23:19.698 region:rollup2
PRIVATE PURCHASERS.
00:23:18.163 --> 00:23:21.133 region:rollup2
BEFORE SPECIFIED COST INCREASE
00:23:19.698 --> 00:23:22.768 region:rollup2
OCCURS AND MAKING PUBLIC CERTAIN
00:23:21.133 --> 00:23:24.737 region:rollup2
INFORMATION.
00:23:22.768 --> 00:23:26.906 region:rollup2
ASSOCIATED WITH THAT INCREASE.
00:23:24.737 --> 00:23:28.607 region:rollup2
AS OF JANUARY FIRST.
00:23:26.906 --> 00:23:30.342 region:rollup2
OF THIS YEAR AYE WE'RE PROVIDING
00:23:28.607 --> 00:23:32.578 region:rollup2
A DATABASE OF PURCHASERS WHO
00:23:30.342 --> 00:23:34.613 region:rollup2
WISH TO RECEIVE SIXTY DAY.
00:23:32.578 --> 00:23:36.148 region:rollup2
ADVANCE NOTIFICATIONS FROM
00:23:34.613 --> 00:23:37.716 region:rollup2
PRESCRIPTION DRUG MANUFACTURERS
00:23:36.148 --> 00:23:39.652 region:rollup2
WHEN THE COST RISES ABOVE A
00:23:37.716 --> 00:23:41.353 region:rollup2
CERTAIN LEVEL.
00:23:39.652 --> 00:23:42.821 region:rollup2
AS IS SAYS STATED IN THE LAW.
00:23:41.353 --> 00:23:44.390 region:rollup2
STARTING IN TWENTY NINETEEN I
00:23:42.821 --> 00:23:46.091 region:rollup2
WILL BE RECEIVING ADDITIONAL
00:23:44.390 --> 00:23:47.459 region:rollup2
DATA FROM THE MANUFACTURERS.
00:23:46.091 --> 00:23:49.428 region:rollup2
GIVING THE RATIONALE FOR THE
00:23:47.459 --> 00:23:51.030 region:rollup2
INCREASES AND WILL BE PUBLISHING
00:23:49.428 --> 00:23:52.231 region:rollup2
THAT INFORMATION ON OUR WEBSITE
00:23:51.030 --> 00:23:53.966 region:rollup2
IN THE SECOND QUARTER OF TWENTY
00:23:52.231 --> 00:23:55.601 region:rollup2
NINETEEN.
00:23:53.966 --> 00:23:56.769 region:rollup2
I'M THIS LAW NEW LAW HAS ADDED
00:23:55.601 --> 00:23:58.404 region:rollup2
IN KILEY NEW GROUP OF
00:23:56.769 --> 00:23:58.904 region:rollup2
STAKEHOLDERS FOR US AND
00:23:58.404 --> 00:23:59.972 region:rollup2
RESPONSIBILITIES TO OUR
00:23:58.904 --> 00:24:01.307 region:rollup2
DEPARTMENT.
00:23:59.972 --> 00:24:03.776 region:rollup2
AND WE'RE MOVING QUICKLY TO
00:24:01.307 --> 00:24:04.410 region:rollup2
IMPLEMENT ITS PROVISIONS.
00:24:03.776 --> 00:24:06.245 region:rollup2
I'M DEPUTY DIRECTOR SCOTT
00:24:04.410 --> 00:24:07.746 region:rollup2
CHRISTMAS A TO MY RIGHT WILL BE
00:24:06.245 --> 00:24:09.648 region:rollup2
PRESENTING A BUDGET CHANGE
00:24:07.746 --> 00:24:10.783 region:rollup2
PROPOSAL ON THIS TOPIC SHORTLY.
00:24:09.648 --> 00:24:12.351 region:rollup2
I'M THAT CONCLUDES MY INITIAL
00:24:10.783 --> 00:24:13.218 region:rollup2
PRESENTATION CENTERS I'M HAPPY
00:24:12.351 --> 00:24:14.586 region:rollup2
TO ANSWER ANY QUESTIONS OR WE
00:24:13.218 --> 00:24:15.788 region:rollup2
CAN MOVE ON TO THE REQUESTED
00:24:14.586 --> 00:24:18.424 region:rollup2
UPDATE ON OUR PRIMARY CARE
00:24:15.788 --> 00:24:19.325 region:rollup2
WORKFORCE PROGRAMS.
00:24:18.424 --> 00:24:19.858 region:rollup2
I THINK YOU'RE A KITTEN THAT I
00:24:19.325 --> 00:24:20.859 region:rollup2
YOU KNOW THAT.
00:24:19.858 --> 00:24:22.561 region:rollup2
WE'RE GONNA BE HAVING A
00:24:20.859 --> 00:24:24.163 region:rollup2
SEPARATE PRESENTATION ON.
00:24:22.561 --> 00:24:26.131 region:rollup2
THE S. B. SEVENTEEN
00:24:24.163 --> 00:24:27.800 region:rollup2
IMPLEMENTATION SO PEOPLE WHO ARE
00:24:26.131 --> 00:24:29.101 region:rollup2
INTERESTED THAT WILL PUT UP WE
00:24:27.800 --> 00:24:30.569 region:rollup2
DELVE INTO THAT A LITTLE MORE WE
00:24:29.101 --> 00:24:33.272 region:rollup2
GET ISSUED NUMBER TWO.
00:24:30.569 --> 00:24:34.673 region:rollup2
LA OWE ANY COMMENTS AND.
00:24:33.272 --> 00:24:36.342 region:rollup2
FINANCE
00:24:34.673 --> 00:24:38.043 region:rollup2
NO ALRIGHT QUESTIONS REMEMBERS
00:24:36.342 --> 00:24:39.878 region:rollup2
CENTER STONE BUT YOU OF
00:24:38.043 --> 00:24:40.212 region:rollup2
APPRECIATE YOUR YOUR
00:24:39.878 --> 00:24:41.580 region:rollup2
PRESENTATION.
00:24:40.212 --> 00:24:42.281 region:rollup2
ONE OF THE CONCERNS THAT I'VE
00:24:41.580 --> 00:24:44.083 region:rollup2
HAD IS.
00:24:42.281 --> 00:24:46.085 region:rollup2
TALKING WITH SOME MY LOCAL
00:24:44.083 --> 00:24:49.655 region:rollup2
HOSPITALS IS THE TURNAROUND TIME
00:24:46.085 --> 00:24:52.091 region:rollup2
FOR EXPANSIONS LE CONSTRUCTION.
00:24:49.655 --> 00:24:54.860 region:rollup2
ONE OF OUR LOCAL HOSPITALS THAT
00:24:52.091 --> 00:24:56.128 region:rollup2
CA IS NEWARS HAVE AN APPLICATION
00:24:54.860 --> 00:24:57.129 region:rollup2
WELL OVER A YEAR NOW.
00:24:56.128 --> 00:24:59.198 region:rollup2
A WHAT DO YOU DOING IN YOUR
00:24:57.129 --> 00:25:00.733 region:rollup2
DEPARTMENT A TRY TO EXPLAIN SOME
00:24:59.198 --> 00:25:02.334 region:rollup2
OF THESE PLANS BECAUSE WE HAVE A
00:25:00.733 --> 00:25:04.103 region:rollup2
STRONG NEED IS YOU KNOW IN THE
00:25:02.334 --> 00:25:05.471 region:rollup2
INLAND EMPIRE. RIVERSIDE COUNTY
00:25:04.103 --> 00:25:06.438 region:rollup2
IN PARTICULAR WHICH IS THE
00:25:05.471 --> 00:25:08.073 region:rollup2
FASTEST GROWING COUNTY IN THE
00:25:06.438 --> 00:25:09.308 region:rollup2
STATE. THEY WANTED LIBERTIES
00:25:08.073 --> 00:25:10.109 region:rollup2
MEDICAL SERVICES BUT THEY CAN'T
00:25:09.308 --> 00:25:11.810 region:rollup2
DO IT UNTIL THEY GET YOUR
00:25:10.109 --> 00:25:12.111 region:rollup2
APPROVALS.
00:25:11.810 --> 00:25:13.045 region:rollup2
SO.
00:25:12.111 --> 00:25:15.647 region:rollup2
COULD YOU TELL ME WHAT YOU DO
00:25:13.045 --> 00:25:16.615 region:rollup2
INTO AN EXPERT AYE PLANS AND
00:25:15.647 --> 00:25:17.950 region:rollup2
WHAT IS THE AVERAGE TURN AROUND
00:25:16.615 --> 00:25:19.017 region:rollup2
TIME NOW WITH A LARGE PART TO
00:25:17.950 --> 00:25:21.153 region:rollup2
TRY TO GET SOME.
00:25:19.017 --> 00:25:23.522 region:rollup2
MAJOR HOSPITAL EXPANSION STUNT
00:25:21.153 --> 00:25:26.825 region:rollup2
AT AT AVERAGES DIFFICULT BECAUSE
00:25:23.522 --> 00:25:29.528 region:rollup2
WE WE HAVE PLANS IN UP FROM ANY
00:25:26.825 --> 00:25:30.996 region:rollup2
SIZE FROM FIFTY THOUSAND TO.
00:25:29.528 --> 00:25:32.831 region:rollup2
THE BIGGEST PROJECT ACTUALLY WE
00:25:30.996 --> 00:25:34.900 region:rollup2
HAVE IS ISN'T IT IN THE INLAND
00:25:32.831 --> 00:25:35.501 region:rollup2
EMPIRE IS LOW MULLIN THAT WHICH
00:25:34.900 --> 00:25:36.301 region:rollup2
IS ALMOST A TWO BILLION DOLLAR
00:25:35.501 --> 00:25:38.771 region:rollup2
PROJECT.
00:25:36.301 --> 00:25:40.506 region:rollup2
AND DOES THAT PROJECT ACTUALLY.
00:25:38.771 --> 00:25:43.842 region:rollup2
.
00:25:40.506 --> 00:25:45.411 region:rollup2
WHERE? WE ARE LA OFFICE IS.
00:25:43.842 --> 00:25:47.079 region:rollup2
VERY VERY HEAVILY FOCUSED ON
00:25:45.411 --> 00:25:48.380 region:rollup2
THAT PROJECT AND THEY WERE THEY
00:25:47.079 --> 00:25:50.749 region:rollup2
WERE BEHIND SCHEDULE. THEY'RE
00:25:48.380 --> 00:25:50.916 region:rollup2
ACTUALLY AS A DOING QUITE WELL
00:25:50.749 --> 00:25:52.918 region:rollup2
NOW.
00:25:50.916 --> 00:25:53.786 region:rollup2
IN TERMS OF.
00:25:52.918 --> 00:25:55.487 region:rollup2
SOME OF THE STRATEGIES THAT
00:25:53.786 --> 00:25:56.555 region:rollup2
WE'VE DONE. ELECTRONIC PLAN
00:25:55.487 --> 00:25:58.056 region:rollup2
REVIEW IS ONE.
00:25:56.555 --> 00:25:59.191 region:rollup2
THAT WE'VE THAT I MENTION THAT
00:25:58.056 --> 00:26:01.894 region:rollup2
WE'VE IMPLEMENTED DEATH FAIRLY
00:25:59.191 --> 00:26:02.961 region:rollup2
RECENTLY WE ALSO ENCOURAGE
00:26:01.894 --> 00:26:03.729 region:rollup2
HOSPITALS.
00:26:02.961 --> 00:26:06.031 region:rollup2
PARTICULARLY.
00:26:03.729 --> 00:26:08.300 region:rollup2
OF A PROJECT OF MAJOR PROJECTS
00:26:06.031 --> 00:26:09.435 region:rollup2
A OVER A TWENTY MILLION DOLLARS
00:26:08.300 --> 00:26:10.869 region:rollup2
TO ACTUALLY COME IN AT THE
00:26:09.435 --> 00:26:12.805 region:rollup2
BEGINNING OF THAT.
00:26:10.869 --> 00:26:15.240 region:rollup2
PROCESS WITH OUR DESIGN TEAM AND
00:26:12.805 --> 00:26:17.309 region:rollup2
MEET WITH US AND WE WILL.
00:26:15.240 --> 00:26:18.644 region:rollup2
I MEAN LITERALLY SAT ACROSS
00:26:17.309 --> 00:26:20.079 region:rollup2
FROM A TABLE AND AGREE ON TIME
00:26:18.644 --> 00:26:21.480 region:rollup2
FRAMES
00:26:20.079 --> 00:26:22.815 region:rollup2
AND I AGREE THAT THEY'LL BE
00:26:21.480 --> 00:26:24.149 region:rollup2
SUBMITTING THINGS TO US AT A
00:26:22.815 --> 00:26:25.951 region:rollup2
CERTAIN TIME FRAME AND THAT WILL
00:26:24.149 --> 00:26:27.920 region:rollup2
RESPOND IN IN A CERTAIN TIME
00:26:25.951 --> 00:26:28.887 region:rollup2
FRAME. AND SO IT'S A IT'S A KIND
00:26:27.920 --> 00:26:29.988 region:rollup2
OF A COLLABORATIVE REVIEW
00:26:28.887 --> 00:26:31.490 region:rollup2
PROCESS.
00:26:29.988 --> 00:26:33.692 region:rollup2
AND THAT'S THAT'S PROVEN PRETTY
00:26:31.490 --> 00:26:35.861 region:rollup2
SUCCESSFUL AND THEN WERE I'M
00:26:33.692 --> 00:26:37.696 region:rollup2
ALWAYS A INTERESTED IN HEARING
00:26:35.861 --> 00:26:39.465 region:rollup2
FROM HOSPITALS IF A PROJECTS
00:26:37.696 --> 00:26:41.567 region:rollup2
GOING OFF THE RAILS. IT WE WANT
00:26:39.465 --> 00:26:43.836 region:rollup2
TO GET IT BACK ON AND I REALIZE
00:26:41.567 --> 00:26:45.704 region:rollup2
THAT TIME IS MONEY. AND THE I'M
00:26:43.836 --> 00:26:46.839 region:rollup2
WE WANT FOLKS THAT WE WANT TO
00:26:45.704 --> 00:26:48.574 region:rollup2
COST EFFECTIVE HEALTHCARE SYSTEM
00:26:46.839 --> 00:26:49.942 region:rollup2
AND WHATEVER WHATEVER I CAN DO
00:26:48.574 --> 00:26:51.243 region:rollup2
TO HELP THAT I'M HERE TO HELP.
00:26:49.942 --> 00:26:52.277 region:rollup2
OKAY APPRECIATE THAT I'LL
00:26:51.243 --> 00:26:54.746 region:rollup2
PROBABLY BE CONTACTING YOU TO DO
00:26:52.277 --> 00:26:55.347 region:rollup2
IS I'D LIKE TO SEE THIS A LOCAL
00:26:54.746 --> 00:26:56.014 region:rollup2
HOSPITAL GET THE EXPANSION OF
00:26:55.347 --> 00:26:57.282 region:rollup2
THE NEED.
00:26:56.014 --> 00:26:59.084 region:rollup2
NOT BECAUSE TIME IS MONEY IS
00:26:57.282 --> 00:27:00.552 region:rollup2
BECAUSE IT'S TIME TO COMPENSATE
00:26:59.084 --> 00:27:01.386 region:rollup2
LIVES SO AND MAKE SURE THOSE
00:27:00.552 --> 00:27:03.255 region:rollup2
MEDICAL SERVICES ARE VAILABLE
00:27:01.386 --> 00:27:06.391 region:rollup2
TO BUY.
00:27:03.255 --> 00:27:08.994 region:rollup2
APPRECIATE YOUR ANSWERS.
00:27:06.391 --> 00:27:10.229 region:rollup2
THEIR MONEY.
00:27:08.994 --> 00:27:13.298 region:rollup2
THANK YOU I JUST WANNA COMMENT
00:27:10.229 --> 00:27:15.534 region:rollup2
ON THE SONG BROWN RESOURCES AND.
00:27:13.298 --> 00:27:16.668 region:rollup2
GLAD TO SEE THAT THAT IS ONGOING
00:27:15.534 --> 00:27:18.504 region:rollup2
THE THREE YEAR COMMITMENT IS
00:27:16.668 --> 00:27:20.472 region:rollup2
THAT CORRECT SO WE'RE IN THE
00:27:18.504 --> 00:27:22.040 region:rollup2
FIRST YEAR OF THAT WHEN THE
00:27:20.472 --> 00:27:24.142 region:rollup2
SECOND. WHERE IN THE SECOND AS
00:27:22.040 --> 00:27:25.511 region:rollup2
RIGHT?
00:27:24.142 --> 00:27:26.945 region:rollup2
WE'RE IN THE FIRST GOING TO THE
00:27:25.511 --> 00:27:29.081 region:rollup2
SEC WE IMPLEMENT COULD HAPPEN
00:27:26.945 --> 00:27:31.016 region:rollup2
I'M GONNA ASK A. DEPUTY DIRECTOR
00:27:29.081 --> 00:27:32.751 region:rollup2
WALKER TO THANK YOU WHERE WHERE
00:27:31.016 --> 00:27:34.319 region:rollup2
ACTUALLY IN THAT FIRST
00:27:32.751 --> 00:27:36.955 region:rollup2
IMPLEMENTATION YEARS THAT WE
00:27:34.319 --> 00:27:38.891 region:rollup2
HAVE THE FIRST ROUND OF FUNDING
00:27:36.955 --> 00:27:40.792 region:rollup2
AND NOVEMBER.
00:27:38.891 --> 00:27:42.394 region:rollup2
AND WHAT WE'RE LOOKING AT IS
00:27:40.792 --> 00:27:43.729 region:rollup2
THAT CONTINUED.
00:27:42.394 --> 00:27:45.297 region:rollup2
SECOND YEAR OF A THREE YEAR
00:27:43.729 --> 00:27:47.099 region:rollup2
COMMITMENT.
00:27:45.297 --> 00:27:48.433 region:rollup2
I KNOW IN THE PAST THERE WERE
00:27:47.099 --> 00:27:49.835 region:rollup2
SOME CONTRIBUTION FROM THE
00:27:48.433 --> 00:27:52.471 region:rollup2
CALIFORNIA ENDOWMENT.
00:27:49.835 --> 00:27:54.740 region:rollup2
A THIS IS ALL GENERAL FUND
00:27:52.471 --> 00:27:56.642 region:rollup2
ALLOCATION OF THIS POINT.
00:27:54.740 --> 00:27:58.177 region:rollup2
IS THERE ANY SOURCE OF THAT
00:27:56.642 --> 00:28:01.079 region:rollup2
FUNDING THAT COMES INTO THE
00:27:58.177 --> 00:28:03.048 region:rollup2
GENERAL FUND OR SUGGESTS.
00:28:01.079 --> 00:28:05.083 region:rollup2
ST GENERAL FUND ALLOCATION.
00:28:03.048 --> 00:28:06.451 region:rollup2
IN IN OTHER WORDS ARE WE DOING
00:28:05.083 --> 00:28:08.987 region:rollup2
ANY ARE THERE ANY FEES THAT
00:28:06.451 --> 00:28:09.421 region:rollup2
SUPPORT THIS.
00:28:08.987 --> 00:28:12.291 region:rollup2
WELL.
00:28:09.421 --> 00:28:14.426 region:rollup2
BUT THE BASE FUNDING FOR THE
00:28:12.291 --> 00:28:15.961 region:rollup2
SONG BROWN PROGRAM IS FROM.
00:28:14.426 --> 00:28:17.563 region:rollup2
OF THE CALIFORNIA THAT DATA
00:28:15.961 --> 00:28:19.731 region:rollup2
FUND.
00:28:17.563 --> 00:28:21.433 region:rollup2
AND IT'S HOW MUCH YEARS ABOUT
00:28:19.731 --> 00:28:22.000 region:rollup2
SAYS ABOUT HIM MALL AT ABOUT TWO
00:28:21.433 --> 00:28:24.736 region:rollup2
POINT SEVEN FOR. UP PRIMARY
00:28:22.000 --> 00:28:28.073 region:rollup2
CARE.
00:28:24.736 --> 00:28:30.842 region:rollup2
WE ALSO RECIEVE A SMALL AMOUNT
00:28:28.073 --> 00:28:33.845 region:rollup2
OF MONEY WITCHES HAD DONATION.
00:28:30.842 --> 00:28:35.847 region:rollup2
BETS AT POSITIONS COULD PROVIDE
00:28:33.845 --> 00:28:37.716 region:rollup2
THROUGH THE ATOM.
00:28:35.847 --> 00:28:41.019 region:rollup2
BUT AFFORD NAY COLLECTIVE FEET
00:28:37.716 --> 00:28:42.988 region:rollup2
FORESTS AND BAIT THEY UPDATE US
00:28:41.019 --> 00:28:44.456 region:rollup2
ANNUALLY ON WHAT THAT THAT.
00:28:42.988 --> 00:28:45.591 region:rollup2
CLIENTS LIKE IT'S A SMALL
00:28:44.456 --> 00:28:45.891 region:rollup2
PERCENTAGE OF AREAS WERE WRONG
00:28:45.591 --> 00:28:47.492 region:rollup2
COMMITMENT.
00:28:45.891 --> 00:28:50.729 region:rollup2
AND.
00:28:47.492 --> 00:28:52.297 region:rollup2
THE PLAN IS.
00:28:50.729 --> 00:28:53.966 region:rollup2
THIS IS THE SECOND YEAR
00:28:52.297 --> 00:28:54.1000 region:rollup2
COMMITMENT AND THE COMMITMENTS
00:28:53.966 --> 00:28:56.735 region:rollup2
THERE FOR.
00:28:54.1000 --> 00:28:58.070 region:rollup2
A THIRD YEAR.
00:28:56.735 --> 00:29:02.741 region:rollup2
OF THE HUNDRED MILLION.
00:28:58.070 --> 00:29:03.675 region:rollup2
SAT ACCURATE.
00:29:02.741 --> 00:29:05.777 region:rollup2
MY MISTER MEMBERS.
00:29:03.675 --> 00:29:07.713 region:rollup2
YES SO THE GOVERNOR'S BUDGET
00:29:05.777 --> 00:29:08.847 region:rollup2
DOES INCLUDE. THE ASSUMPTION
00:29:07.713 --> 00:29:10.148 region:rollup2
THIRTY THREE POINT ONE MILLION
00:29:08.847 --> 00:29:11.450 region:rollup2
GENERAL FUND FOR THE SECOND YEAR
00:29:10.148 --> 00:29:13.318 region:rollup2
THE PROGRAM.
00:29:11.450 --> 00:29:15.988 region:rollup2
THANK YOU.
00:29:13.318 --> 00:29:17.889 region:rollup2
AND THEN IS THERE ANY.
00:29:15.988 --> 00:29:19.891 region:rollup2
DATA CAPTURED THEIR SOME IN HERE
00:29:17.889 --> 00:29:21.793 region:rollup2
ABOUT THE NUMBER OF POSITIONS
00:29:19.891 --> 00:29:23.395 region:rollup2
SAYS SEVENTY TWO NEW RESIDENCY
00:29:21.793 --> 00:29:25.631 region:rollup2
SLOTS SUPPORTED BY THE SONG
00:29:23.395 --> 00:29:28.033 region:rollup2
BROWN PROGRAM. FOR SEVENTEEN
00:29:25.631 --> 00:29:29.668 region:rollup2
EIGHTEEN. ON.
00:29:28.033 --> 00:29:31.870 region:rollup2
WELL THAT NUMBER STAY.
00:29:29.668 --> 00:29:33.005 region:rollup2
STAY THE SAME WILL IT WILL BE
00:29:31.870 --> 00:29:35.741 region:rollup2
INCREASED OVER THE NEXT
00:29:33.005 --> 00:29:37.409 region:rollup2
TWO YEARS.
00:29:35.741 --> 00:29:38.810 region:rollup2
THE WAY THE FUNDING ALLOCATED
00:29:37.409 --> 00:29:40.379 region:rollup2
AND THE WAY IT WORKS IN OUR
00:29:38.810 --> 00:29:42.080 region:rollup2
PROGRAM IS.
00:29:40.379 --> 00:29:43.615 region:rollup2
NEXT YEAR.
00:29:42.080 --> 00:29:45.784 region:rollup2
IF THERE ARE ADDITIONAL NEW
00:29:43.615 --> 00:29:48.220 region:rollup2
PROGRAMS THAT ARE COMING ONLINE
00:29:45.784 --> 00:29:49.988 region:rollup2
THEY CAN APPLY FOR THOSE AWARDS.
00:29:48.220 --> 00:29:52.057 region:rollup2
AND THEN WE WE WOULD EVALUATE
00:29:49.988 --> 00:29:54.059 region:rollup2
THE PROGRAM AND WHAT THE FUNDS
00:29:52.057 --> 00:29:55.527 region:rollup2
ACCORDINGLY SO THERE THERE COULD
00:29:54.059 --> 00:29:57.329 region:rollup2
BE ADDITIONAL EXPANSION BEYOND
00:29:55.527 --> 00:29:59.097 region:rollup2
THE SEVENTY TWO.
00:29:57.329 --> 00:30:00.832 region:rollup2
FIRST YEAR RESIDENT SLOTS THAT
00:29:59.097 --> 00:30:02.501 region:rollup2
WE SAW THIS YEAR.
00:30:00.832 --> 00:30:04.670 region:rollup2
THANK YOU IN IS THERE ANY OTHER
00:30:02.501 --> 00:30:07.005 region:rollup2
ADDITIONAL DATA THAT IS CAPTURED
00:30:04.670 --> 00:30:09.775 region:rollup2
IS THE PROGRAM MOVES FORWARD.
00:30:07.005 --> 00:30:12.077 region:rollup2
CLEARLY RESIDENCY SLOTS IS EASY
00:30:09.775 --> 00:30:13.845 region:rollup2
TO MEASURE USERNAME MEASUREMENT.
00:30:12.077 --> 00:30:15.814 region:rollup2
OF BY CREATION OF THESE IN
00:30:13.845 --> 00:30:17.649 region:rollup2
UNDERSERVED AREAS THE NUMBER OF
00:30:15.814 --> 00:30:19.284 region:rollup2
RESIDENTS WHOSE CONTINUE TO
00:30:17.649 --> 00:30:20.686 region:rollup2
PRACTICE IN THAT UNDERSERVED
00:30:19.284 --> 00:30:23.655 region:rollup2
AREA.
00:30:20.686 --> 00:30:26.925 region:rollup2
WE HADN'T DATA ON THE NUMBER OF
00:30:23.655 --> 00:30:29.161 region:rollup2
SITES IN UNDERSERVED AREAS WE
00:30:26.925 --> 00:30:30.729 region:rollup2
ALSO HAVE DATA ON THE NUMBER OF
00:30:29.161 --> 00:30:32.497 region:rollup2
FIRST YEAR RESIDENTS.
00:30:30.729 --> 00:30:34.700 region:rollup2
IN THE PROGRAMS THAT WE WANTED
00:30:32.497 --> 00:30:36.435 region:rollup2
TO SO THERE WERE FIVE HUNDRED
00:30:34.700 --> 00:30:38.236 region:rollup2
AND FIFTY EAST I KIND OF BREAK
00:30:36.435 --> 00:30:39.705 region:rollup2
THE FUNDING INTO TWO DIFFERENT
00:30:38.236 --> 00:30:41.673 region:rollup2
THINGS ONE IS.
00:30:39.705 --> 00:30:43.175 region:rollup2
STAINING THE CURRENT INDUSTRY
00:30:41.673 --> 00:30:44.943 region:rollup2
AND THE SECOND IS GROWING IN THE
00:30:43.175 --> 00:30:47.212 region:rollup2
INDUSTRY WHICH IS WHAT YOU.
00:30:44.943 --> 00:30:48.747 region:rollup2
ALLUDED TO EARLIER BUT AS FAR AS
00:30:47.212 --> 00:30:51.316 region:rollup2
SUSTAINING THE INDUSTRY WE.
00:30:48.747 --> 00:30:53.185 region:rollup2
AWARD FUNDS TO PROGRAMS THAT
00:30:51.316 --> 00:30:56.154 region:rollup2
SUSTAINED FIVE HUNDRED AND FIFTY
00:30:53.185 --> 00:30:57.322 region:rollup2
SEVEN FIRST YEAR RESIDENTS.
00:30:56.154 --> 00:30:59.558 region:rollup2
GREET ONE THAT'S HELPFUL I'M.
00:30:57.322 --> 00:31:01.226 region:rollup2
VERY SUPPORTIVE OF THIS PROGRAM
00:30:59.558 --> 00:31:02.928 region:rollup2
I THINK IT WOULD BE HELPFUL WHEN
00:31:01.226 --> 00:31:05.097 region:rollup2
WE GET THROUGH THESE THREE YEARS
00:31:02.928 --> 00:31:07.399 region:rollup2
TO MAKE A CASE.
00:31:05.097 --> 00:31:10.335 region:rollup2
FOR CONTINUATION IF DATA COULD
00:31:07.399 --> 00:31:12.604 region:rollup2
BE COLLECTED THAT DOES SHOW.
00:31:10.335 --> 00:31:14.206 region:rollup2
LONGITUDINALLY HOW MANY OF THESE
00:31:12.604 --> 00:31:16.308 region:rollup2
SUPPORTED RESIDENTS
00:31:14.206 --> 00:31:18.810 region:rollup2
CONTINUE TO WORK AFTER THEIR
00:31:16.308 --> 00:31:20.712 region:rollup2
RESIDENCY. IN THAT UNDERSERVED
00:31:18.810 --> 00:31:22.681 region:rollup2
AREA I KNOW AT THE COUNTY
00:31:20.712 --> 00:31:23.315 region:rollup2
HOSPITAL IN SALINAS AND
00:31:22.681 --> 00:31:25.050 region:rollup2
ACTIVIDAD THERE'S A HIGH RATE.
00:31:23.315 --> 00:31:26.885 region:rollup2
OF.
00:31:25.050 --> 00:31:28.487 region:rollup2
MEDICAL STUDENTS WHO DO THEIR
00:31:26.885 --> 00:31:30.088 region:rollup2
RESIDENCY THERE WHO CONTINUE TO
00:31:28.487 --> 00:31:31.189 region:rollup2
PRACTICE
00:31:30.088 --> 00:31:32.791 region:rollup2
IN THE UNDERSERVED REGION I
00:31:31.189 --> 00:31:35.460 region:rollup2
THINK THAT WOULD.
00:31:32.791 --> 00:31:37.229 region:rollup2
BE SUPPORTIVE EVIDENCE FOR HOW
00:31:35.460 --> 00:31:38.196 region:rollup2
THIS INVESTMENT SERVICE HEALTH
00:31:37.229 --> 00:31:39.865 region:rollup2
CARE NEEDS BEYOND THE
00:31:38.196 --> 00:31:41.666 region:rollup2
EXPENDITURE.
00:31:39.865 --> 00:31:43.235 region:rollup2
SAID IS ONE OF OUR CRITERIA AND
00:31:41.666 --> 00:31:44.770 region:rollup2
WE TO COLLECT THAT DATA RATE WE
00:31:43.235 --> 00:31:46.338 region:rollup2
BE MORE THAN HAPPY TO GET THAT
00:31:44.770 --> 00:31:48.140 region:rollup2
TO YOU AT THE END OF THE. CAN BE
00:31:46.338 --> 00:31:51.176 region:rollup2
GREAT. THANK YOU VERY MUCH THANK
00:31:48.140 --> 00:31:52.778 region:rollup2
YOU MISTER CHAIR.
00:31:51.176 --> 00:31:54.446 region:rollup2
BUT SHE OUT MY HAVE
00:31:52.778 --> 00:31:55.614 region:rollup2
A FEW QUESTIONS AND NOW FIRST
00:31:54.446 --> 00:31:57.215 region:rollup2
FOLLOW UP WITH CENTER MINING
00:31:55.614 --> 00:31:57.783 region:rollup2
CERTAINLY SONG BROWN PROGRAMS
00:31:57.215 --> 00:31:59.317 region:rollup2
EXTREMELY PORTENT ASSURE WE
00:31:57.783 --> 00:32:01.353 region:rollup2
HAVE.
00:31:59.317 --> 00:32:02.587 region:rollup2
PROPIA WORK FORCES WE.
00:32:01.353 --> 00:32:03.755 region:rollup2
SAID AS A STATE GOAL TO EXPAND
00:32:02.587 --> 00:32:05.690 region:rollup2
HEALTH CARE COVERAGE OF.
00:32:03.755 --> 00:32:07.092 region:rollup2
EVENTUAL
00:32:05.690 --> 00:32:07.893 region:rollup2
THE REACHING OF HEALTH X. NO
00:32:07.092 --> 00:32:09.494 region:rollup2
ACCESS TO HEALTHCARE FOR ALL
00:32:07.893 --> 00:32:11.329 region:rollup2
CALIFORNIANS.
00:32:09.494 --> 00:32:12.264 region:rollup2
STATE WILL BE HEARING MORE ABOUT
00:32:11.329 --> 00:32:14.232 region:rollup2
THAT LATER.
00:32:12.264 --> 00:32:16.802 region:rollup2
WHERE THINGS AIDS THE ALSO WANT
00:32:14.232 --> 00:32:18.103 region:rollup2
TO? AS WE STARTED THIS PROGRAM
00:32:16.802 --> 00:32:19.838 region:rollup2
I'M A FORMER RESIDENCY PROGRAM
00:32:18.103 --> 00:32:21.907 region:rollup2
DIRECTOR AND US OF FAMILY
00:32:19.838 --> 00:32:22.507 region:rollup2
MEDICINE RESIDENCY A PRIVATE
00:32:21.907 --> 00:32:24.209 region:rollup2
RESIDENCIES USING THREE YEARS
00:32:22.507 --> 00:32:26.344 region:rollup2
RIGHT.
00:32:24.209 --> 00:32:27.846 region:rollup2
AND WHEN YOU START.
00:32:26.344 --> 00:32:29.047 region:rollup2
A RESIDENT YOU DON'T WANT OF LAY
00:32:27.846 --> 00:32:30.248 region:rollup2
THEM OFF IN THE MIDDLE I MEAN
00:32:29.047 --> 00:32:31.950 region:rollup2
THAT FACT THAT'S NOT CONSIDERED
00:32:30.248 --> 00:32:32.617 region:rollup2
ACCEPTABLE BY THE ACCREDITATION
00:32:31.950 --> 00:32:32.784 region:rollup2
BODY.
00:32:32.617 --> 00:32:34.886 region:rollup2
SO.
00:32:32.784 --> 00:32:36.288 region:rollup2
.
00:32:34.886 --> 00:32:37.622 region:rollup2
ARE YOU IN TERMS OF GETTING
00:32:36.288 --> 00:32:38.824 region:rollup2
SOBER IN THE FIRST YEAR WERE
00:32:37.622 --> 00:32:40.792 region:rollup2
PLAYING THE FIRST YEAR MY
00:32:38.824 --> 00:32:41.393 region:rollup2
CONCERN IS IS WE GET TO THE
00:32:40.792 --> 00:32:41.793 region:rollup2
SECOND YEAR AND THEN THE THIRD
00:32:41.393 --> 00:32:43.862 region:rollup2
YEAR.
00:32:41.793 --> 00:32:45.497 region:rollup2
WHERE?
00:32:43.862 --> 00:32:47.299 region:rollup2
I PROGRAMS MAY BE RELUCTANT TO
00:32:45.497 --> 00:32:49.868 region:rollup2
MAKE COMMITMENTS
00:32:47.299 --> 00:32:52.204 region:rollup2
FOR ADDITIONAL PROGRAMS IF THEY
00:32:49.868 --> 00:32:54.639 region:rollup2
REALIZE THE ONLY HAVE A YEAR
00:32:52.204 --> 00:32:55.674 region:rollup2
LEFT AND MEANWHILE. THEY YEAR
00:32:54.639 --> 00:32:56.541 region:rollup2
THEY HAVE A COMMITMENT TO THAT
00:32:55.674 --> 00:32:58.109 region:rollup2
RESIDENTS.
00:32:56.541 --> 00:32:59.277 region:rollup2
FOR THREE YEARS
00:32:58.109 --> 00:33:01.847 region:rollup2
YOU CAN'T JUST SAY WELL OUR
00:32:59.277 --> 00:33:03.315 region:rollup2
FUNDING RAN OUT SO I'M LAID OFF.
00:33:01.847 --> 00:33:04.349 region:rollup2
ALRIGHT AND YOU CAN'T GO TO THE
00:33:03.315 --> 00:33:05.784 region:rollup2
ACCREDITATION COUNCIL WHICH I
00:33:04.349 --> 00:33:07.953 region:rollup2
USE TO SIT ON THE BOARD AND SAY
00:33:05.784 --> 00:33:09.120 region:rollup2
WELL WE'LL HAVE THE RESIDENTS
00:33:07.953 --> 00:33:10.155 region:rollup2
ONE YEAR AND.
00:33:09.120 --> 00:33:11.523 region:rollup2
YOU KNOW WE DON'T HAVE A PLAN
00:33:10.155 --> 00:33:13.525 region:rollup2
FOR THE SECOND THIRD YEAR YOU
00:33:11.523 --> 00:33:14.059 region:rollup2
ARE EXPECTED TO.
00:33:13.525 --> 00:33:15.727 region:rollup2
ALLOW THEM CLIP COMPLETED
00:33:14.059 --> 00:33:17.262 region:rollup2
TRAINING ARE THERE SOME
00:33:15.727 --> 00:33:19.531 region:rollup2
CONVERSATIONS ABOUT.
00:33:17.262 --> 00:33:20.398 region:rollup2
THAT THAT ISSUE OUR YOU HEAR
00:33:19.531 --> 00:33:21.933 region:rollup2
ANYTHING ABOUT THAT PARTICULAR
00:33:20.398 --> 00:33:23.902 region:rollup2
ISSUE.
00:33:21.933 --> 00:33:25.604 region:rollup2
ARE CONCERNED FROM RED SEA
00:33:23.902 --> 00:33:26.438 region:rollup2
PROGRAMS FOR THIS FUNDING STREAM
00:33:25.604 --> 00:33:27.706 region:rollup2
I APPRECIATE THAT THE GOVERNMENT
00:33:26.438 --> 00:33:29.875 region:rollup2
MAY TAKE.
00:33:27.706 --> 00:33:33.311 region:rollup2
YOU KNOW WE COULD NEGOTIATE THAT
00:33:29.875 --> 00:33:35.213 region:rollup2
FOR THREE YEARS AND.
00:33:33.311 --> 00:33:37.549 region:rollup2
BUT IN TERMS OF.
00:33:35.213 --> 00:33:39.050 region:rollup2
MOVING BEYOND THAT I HOPE I
00:33:37.549 --> 00:33:39.885 region:rollup2
DON'T WANT SOMEONE TO GO LOOK AT
00:33:39.050 --> 00:33:41.486 region:rollup2
SAID WELL YOU KNOW WHAT TREAT
00:33:39.885 --> 00:33:42.821 region:rollup2
PROGRAM MADE A GOOD START AND
00:33:41.486 --> 00:33:44.823 region:rollup2
THEN IT TAPERED OFF THAT MEANS
00:33:42.821 --> 00:33:46.324 region:rollup2
PEOPLE ARE INTERESTED ANY MORE.
00:33:44.823 --> 00:33:47.859 region:rollup2
SO I'D.
00:33:46.324 --> 00:33:48.593 region:rollup2
YES I KNOW IT'S I JUST LIKE TO
00:33:47.859 --> 00:33:50.028 region:rollup2
KNOW WHETHER WHAT KIND OF
00:33:48.593 --> 00:33:51.129 region:rollup2
FEEDBACK OR CONVERSATIONS YOU'VE
00:33:50.028 --> 00:33:52.764 region:rollup2
HAD WITH.
00:33:51.129 --> 00:33:53.498 region:rollup2
RESIDENCY PROGRAMS HOSPITAL
00:33:52.764 --> 00:33:54.633 region:rollup2
SPONSORING ORGANIZATIONS
00:33:53.498 --> 00:33:56.134 region:rollup2
HOSPITALS COMMITTEE HEALTH
00:33:54.633 --> 00:33:59.070 region:rollup2
CENTERS AROUND THAT PARTICULAR
00:33:56.134 --> 00:34:01.006 region:rollup2
ISSUE.
00:33:59.070 --> 00:34:02.974 region:rollup2
HISTORICALLY I DO KNOW THAT THE
00:34:01.006 --> 00:34:03.842 region:rollup2
RESIDENCY PROGRAMS HAVE BEEN AT
00:34:02.974 --> 00:34:05.577 region:rollup2
CASH STARVED INDUSTRY.
00:34:03.842 --> 00:34:07.178 region:rollup2
.
00:34:05.577 --> 00:34:08.546 region:rollup2
EACH PROGRAM OF COURSE BRAIDS
00:34:07.178 --> 00:34:09.814 region:rollup2
OWN FUNDING AND PROBABLY HAS YOU
00:34:08.546 --> 00:34:12.050 region:rollup2
KNOW.
00:34:09.814 --> 00:34:14.686 region:rollup2
EACH EACH PROGRAM PROBABLY HAS A
00:34:12.050 --> 00:34:16.021 region:rollup2
UNIQUE SET OF CIRCUMSTANCES.
00:34:14.686 --> 00:34:17.923 region:rollup2
SOME OF THE THINGS THAT WE DO IN
00:34:16.021 --> 00:34:18.323 region:rollup2
THE SONG BROWN PROGRAM TO HELP
00:34:17.923 --> 00:34:20.525 region:rollup2
SUPPORT THE STATE
00:34:18.323 --> 00:34:23.795 region:rollup2
SUSTAINABILITY.
00:34:20.525 --> 00:34:25.096 region:rollup2
IS FOR THE POTS OF MONEY SUCH AS
00:34:23.795 --> 00:34:26.932 region:rollup2
THE EXISTING PRIMARY CARE
00:34:25.096 --> 00:34:29.801 region:rollup2
RESIDENCY SLOTS.
00:34:26.932 --> 00:34:32.470 region:rollup2
WE ACTUALLY BREAK THE FUNDING UP
00:34:29.801 --> 00:34:34.606 region:rollup2
THAT WE AWARD OVER THREE YEARS
00:34:32.470 --> 00:34:35.507 region:rollup2
SO INSTEAD OF JUST RECEIVING ALL
00:34:34.606 --> 00:34:37.075 region:rollup2
THE MONEY UP FRONT THE FIRST
00:34:35.507 --> 00:34:38.143 region:rollup2
YEAR. THEY RECEIVED OVER THE
00:34:37.075 --> 00:34:40.512 region:rollup2
LIFE OF THE RESIDENTS
00:34:38.143 --> 00:34:42.547 region:rollup2
SO THAT.
00:34:40.512 --> 00:34:43.949 region:rollup2
HELPFUL OF THE OTHER THINGS THAT
00:34:42.547 --> 00:34:46.184 region:rollup2
COULD SO JUST CLARIFY.
00:34:43.949 --> 00:34:47.986 region:rollup2
AND I APPRECIATE THAT YOU DO
00:34:46.184 --> 00:34:50.622 region:rollup2
THAT AND I'VE HEARD ABOUT THAT
00:34:47.986 --> 00:34:52.857 region:rollup2
SO AM IS THE RESIDENTS SO. IT IN
00:34:50.622 --> 00:34:54.426 region:rollup2
TERMS OF AUTHORIZATION.
00:34:52.857 --> 00:34:54.926 region:rollup2
OUTPUTS FOR YOU ARE FINANCE.
00:34:54.426 --> 00:34:57.462 region:rollup2
SO.
00:34:54.926 --> 00:34:58.229 region:rollup2
THEN YOU'RE THREE OF THIS
00:34:57.462 --> 00:35:01.132 region:rollup2
FUNDING PROGRAM.
00:34:58.229 --> 00:35:02.367 region:rollup2
WE KNOW THAT DOBIE GRANTS OR
00:35:01.132 --> 00:35:04.035 region:rollup2
WHATEVER WE CALL THEM YOU'LL
00:35:02.367 --> 00:35:05.370 region:rollup2
FUNDING GIVEN NOW BUT THAT
00:35:04.035 --> 00:35:06.571 region:rollup2
FUNDING IS NOT EXPECTED BE
00:35:05.370 --> 00:35:07.872 region:rollup2
EXPENDED ALL THAT ONE YEAR IT
00:35:06.571 --> 00:35:09.474 region:rollup2
WOULD BE.
00:35:07.872 --> 00:35:10.775 region:rollup2
OVER THAT BECAUSE THE STATE'S
00:35:09.474 --> 00:35:12.210 region:rollup2
FOR RESIDENCY POSITION IN THE
00:35:10.775 --> 00:35:13.678 region:rollup2
PROGRAM SAYS I NEED TO HAVE IT
00:35:12.210 --> 00:35:15.880 region:rollup2
OVER THREE YEARS.
00:35:13.678 --> 00:35:16.448 region:rollup2
THAT AND I'M NOT SURE EXACTLY
00:35:15.880 --> 00:35:17.582 region:rollup2
YOUNG YOU DO TO THE POSSIBLE
00:35:16.448 --> 00:35:18.850 region:rollup2
NEEDS.
00:35:17.582 --> 00:35:20.518 region:rollup2
SPREAD OVER THREE YEARS ARE
00:35:18.850 --> 00:35:22.153 region:rollup2
EXACTLY HOW THAT'S HOW THAT'S
00:35:20.518 --> 00:35:23.688 region:rollup2
ACCUNTED FOR BUT. THAT'S ONLY
00:35:22.153 --> 00:35:25.023 region:rollup2
GONNA BE A VERY IMPORTANT TO BE
00:35:23.688 --> 00:35:26.524 region:rollup2
SURE THAT PEOPLE ARE INTERESTED
00:35:25.023 --> 00:35:27.692 region:rollup2
IN THAT PROGRAM SO I MEANS ON
00:35:26.524 --> 00:35:29.828 region:rollup2
YOUR THREE.
00:35:27.692 --> 00:35:31.896 region:rollup2
IT'S FOR THAT YEAR AND TWO MORE
00:35:29.828 --> 00:35:33.898 region:rollup2
YEARS FOR THAT SAME AMOUNT OF
00:35:31.896 --> 00:35:35.734 region:rollup2
MONEY BUT IT'S GOING TO BE.
00:35:33.898 --> 00:35:37.769 region:rollup2
PAID OUT OVER OR JUST HARPER
00:35:35.734 --> 00:35:38.370 region:rollup2
MANAGE OVER THREE YEARS SO THEY
00:35:37.769 --> 00:35:39.170 region:rollup2
SURE THAT WE HAVE THE PROGRAM
00:35:38.370 --> 00:35:42.340 region:rollup2
SO.
00:35:39.170 --> 00:35:42.974 region:rollup2
IS SO THAT THE WAIVER THE
00:35:42.340 --> 00:35:48.213 region:rollup2
UNDERSTANDING OF HOW WE'RE GONNA
00:35:42.974 --> 00:35:49.247 region:rollup2
HANDLE THESE FUNDS.
00:35:48.213 --> 00:35:50.582 region:rollup2
SO I WOULD NOTE THAT THE
00:35:49.247 --> 00:35:52.417 region:rollup2
PROVISIONAL LANGUAGE THAT IS
00:35:50.582 --> 00:35:54.586 region:rollup2
ATTACHED TO IT THE THIRTY THREE
00:35:52.417 --> 00:35:55.787 region:rollup2
POINT ONE MILLION PASS. IT DOES
00:35:54.586 --> 00:35:57.489 region:rollup2
HAVE AN EXTENDED.
00:35:55.787 --> 00:35:59.457 region:rollup2
LIQUIDATION PERIODS SO.
00:35:57.489 --> 00:36:01.326 region:rollup2
IN TERMS OF HAVING A LONGER
00:35:59.457 --> 00:36:03.194 region:rollup2
TIMELINE TO TO LIQUIDATE IT IS
00:36:01.326 --> 00:36:06.231 region:rollup2
INCLUDED IN THE BUDGET.
00:36:03.194 --> 00:36:07.198 region:rollup2
SO I CAN AND ADD TO THAT WE'VE
00:36:06.231 --> 00:36:09.367 region:rollup2
ACTUALLY TAKEN THAT INTO
00:36:07.198 --> 00:36:12.470 region:rollup2
CONSIDERATION AND HAVE AWARE
00:36:09.367 --> 00:36:12.704 region:rollup2
AWARDING AND. STRUCTURING THE
00:36:12.470 --> 00:36:15.373 region:rollup2
FUNDING.
00:36:12.704 --> 00:36:16.307 region:rollup2
.
00:36:15.373 --> 00:36:18.576 region:rollup2
WE HAVE SIX YEARS TO AWARD THOSE
00:36:16.307 --> 00:36:20.945 region:rollup2
FUNDS.
00:36:18.576 --> 00:36:22.580 region:rollup2
WE UNDERSTAND THAT THERE'S BEEN
00:36:20.945 --> 00:36:24.416 region:rollup2
A THREE YEAR COMMITMENT AND
00:36:22.580 --> 00:36:26.718 region:rollup2
TYPICALLY IN OUR PROGRAM WE HAVE
00:36:24.416 --> 00:36:28.753 region:rollup2
RULE OVER FUNDING.
00:36:26.718 --> 00:36:30.255 region:rollup2
WE'VE GOT.
00:36:28.753 --> 00:36:32.524 region:rollup2
LAST YEAR DURING THE AWARD CYCLE
00:36:30.255 --> 00:36:34.125 region:rollup2
THERE WAS A SMALL AMOUNT THAT WE
00:36:32.524 --> 00:36:36.795 region:rollup2
WILL BE ROLLING OVER.
00:36:34.125 --> 00:36:39.197 region:rollup2
AND WE WILL BE ABLE TO HAVE A
00:36:36.795 --> 00:36:40.932 region:rollup2
SMALL AMOUNT OF ROLLOVER FOR A
00:36:39.197 --> 00:36:42.901 region:rollup2
FOURTH YEAR OF FUNDING.
00:36:40.932 --> 00:36:44.636 region:rollup2
SHOULD THERE BE NO COMMITMENT
00:36:42.901 --> 00:36:47.238 region:rollup2
BEYOND THAT THREE YEARS SO IT
00:36:44.636 --> 00:36:49.474 region:rollup2
WILL BE LESS OF AN IMPACT ON THE
00:36:47.238 --> 00:36:52.177 region:rollup2
RESIDENCY PROGRAMS.
00:36:49.474 --> 00:36:53.545 region:rollup2
IF THOSE IF FUNDS WERE TO BECOME
00:36:52.177 --> 00:36:55.113 region:rollup2
AVAILABLE IN THE FOURTH YEAR.
00:36:53.545 --> 00:36:56.648 region:rollup2
THE COMMISSION COULD GO AHEAD
00:36:55.113 --> 00:36:57.849 region:rollup2
AND RECONSIDER THE AWARD
00:36:56.648 --> 00:37:00.318 region:rollup2
STRUCTURE AND ADJUSTED
00:36:57.849 --> 00:37:01.553 region:rollup2
ACCORDINGLY.
00:37:00.318 --> 00:37:03.021 region:rollup2
IT IS A SURE WE HAVE THE
00:37:01.553 --> 00:37:04.122 region:rollup2
ELEMENTS IN PLACE TO.
00:37:03.021 --> 00:37:06.458 region:rollup2
TO.
00:37:04.122 --> 00:37:07.726 region:rollup2
GIVE CONFIDENCE TO THE AWARDEES.
00:37:06.458 --> 00:37:08.693 region:rollup2
WHO ALSO HAVE TO MAKE THEIR OWN
00:37:07.726 --> 00:37:10.495 region:rollup2
COMMITMENTS?
00:37:08.693 --> 00:37:11.529 region:rollup2
AS WELL THAT.
00:37:10.495 --> 00:37:13.631 region:rollup2
THAT.
00:37:11.529 --> 00:37:14.799 region:rollup2
THEY'RE GONNA BE SUCCESSFUL AND
00:37:13.631 --> 00:37:16.334 region:rollup2
THAT AS WELL SO I APPRECIATE
00:37:14.799 --> 00:37:17.936 region:rollup2
THAT.
00:37:16.334 --> 00:37:19.237 region:rollup2
THE OTHER QUESTION I ACTUALLY
00:37:17.936 --> 00:37:21.973 region:rollup2
ALSO HAD IS IS THAT.
00:37:19.237 --> 00:37:24.776 region:rollup2
I NOTE THAT THE OVERALL AND.
00:37:21.973 --> 00:37:26.611 region:rollup2
AUTHORIZED POSITIONS. AND AND
00:37:24.776 --> 00:37:28.046 region:rollup2
SEVENTEEN EIGHTEEN WE ABOUT
00:37:26.611 --> 00:37:28.913 region:rollup2
THRICE FOUR HUNDRED FORTY SEVEN.
00:37:28.046 --> 00:37:30.548 region:rollup2
I CERTAINLY UNDERSTAND
00:37:28.913 --> 00:37:30.982 region:rollup2
SOMETIMES THERE'S VACANCIES AND
00:37:30.548 --> 00:37:32.717 region:rollup2
SO.
00:37:30.982 --> 00:37:33.985 region:rollup2
THAT THE REVISED OFFICE
00:37:32.717 --> 00:37:35.487 region:rollup2
POSITIONS IS FOUR HUNDRED THIRTY
00:37:33.985 --> 00:37:37.355 region:rollup2
THREE POINT FIVE AND WHAT'S BEEN
00:37:35.487 --> 00:37:38.656 region:rollup2
BUDGETED FOR TWENTY EIGHTEEN
00:37:37.355 --> 00:37:39.891 region:rollup2
NINETEEN IS FOUR HUNDRED THIRTY
00:37:38.656 --> 00:37:41.559 region:rollup2
POINT FIVE.
00:37:39.891 --> 00:37:43.128 region:rollup2
SO. YOU KNOW DROPPED OF.
00:37:41.559 --> 00:37:44.696 region:rollup2
PROBABLY APPROXIMATELY.
00:37:43.128 --> 00:37:47.699 region:rollup2
YOU KNOW SEVENTEEN HOURS
00:37:44.696 --> 00:37:49.267 region:rollup2
SIXTEEN HAVE POSITIONS.
00:37:47.699 --> 00:37:50.168 region:rollup2
I JUST.
00:37:49.267 --> 00:37:51.736 region:rollup2
DODD OF COURSE IN YOUR PRESENT
00:37:50.168 --> 00:37:52.570 region:rollup2
OVERVIEW PRESENTATION IT SEEMS
00:37:51.736 --> 00:37:54.105 region:rollup2
LIKE ACTUALLY YOU PRY HAVE MUCH
00:37:52.570 --> 00:37:56.074 region:rollup2
MORE WORK THAN LESS.
00:37:54.105 --> 00:37:58.009 region:rollup2
SO I JUST WANT TO CHECK IN AS
00:37:56.074 --> 00:37:59.377 region:rollup2
FAR AS YOUR STAFFING AND DEL THE
00:37:58.009 --> 00:38:01.713 region:rollup2
FACT WE'RE JUSTIN DOWNWARD BY
00:37:59.377 --> 00:38:02.080 region:rollup2
SEVENTEEN OR SIXTEEN AFTER
00:38:01.713 --> 00:38:03.414 region:rollup2
ASSERTIONS THAT.
00:38:02.080 --> 00:38:04.749 region:rollup2
.
00:38:03.414 --> 00:38:06.518 region:rollup2
BUT THOSE POSITIONS I MEAN THEIR
00:38:04.749 --> 00:38:09.420 region:rollup2
DATES.
00:38:06.518 --> 00:38:11.356 region:rollup2
BUT IN TERMS OF WORK WORK FLOW
00:38:09.420 --> 00:38:12.957 region:rollup2
AND DE HAVING SUFFICIENT STAFF.
00:38:11.356 --> 00:38:13.258 region:rollup2
AT THE RATIONALE FOR THE
00:38:12.957 --> 00:38:15.727 region:rollup2
REDUCTION.
00:38:13.258 --> 00:38:19.330 region:rollup2
IN THOSE POSITIONS.
00:38:15.727 --> 00:38:21.166 region:rollup2
BY IT.
00:38:19.330 --> 00:38:22.800 region:rollup2
SO A PART OF THIS IS THAT PART
00:38:21.166 --> 00:38:25.737 region:rollup2
OF A STATEWIDE EFFORT MORE.
00:38:22.800 --> 00:38:27.705 region:rollup2
ACCURATELY DAD DISPLAY E. NUMBER
00:38:25.737 --> 00:38:28.039 region:rollup2
POSITIONS THROUGHOUT* THAT
00:38:27.705 --> 00:38:29.908 region:rollup2
DEPARTMENT SO.
00:38:28.039 --> 00:38:31.042 region:rollup2
.
00:38:29.908 --> 00:38:32.510 region:rollup2
YES THAT IS PART OF THAT. DOWN
00:38:31.042 --> 00:38:32.677 region:rollup2
GOING FOR.
00:38:32.510 --> 00:38:34.746 region:rollup2
SO.
00:38:32.677 --> 00:38:36.548 region:rollup2
.
00:38:34.746 --> 00:38:38.349 region:rollup2
THEN I'M SURE WILL HAVE THIS
00:38:36.548 --> 00:38:39.651 region:rollup2
CONVERSATION PERHAPS BUT WILL.
00:38:38.349 --> 00:38:41.286 region:rollup2
BUILD A LITTLE MORE DEEPLY
00:38:39.651 --> 00:38:43.121 region:rollup2
JUST BECAUSE THE ISSUE AND TRUCK
00:38:41.286 --> 00:38:44.656 region:rollup2
SO I APPRECIATE THAT YOUR MAKING
00:38:43.121 --> 00:38:46.090 region:rollup2
THOSE ADJUSTMENTS IN SOME WAYS
00:38:44.656 --> 00:38:47.258 region:rollup2
THOUGH OF COURSE WHENEVER WE
00:38:46.090 --> 00:38:48.993 region:rollup2
HAVE PEOPLE COMING UP FOR BC
00:38:47.258 --> 00:38:49.994 region:rollup2
FEES AND SO FORTH YOU KNOW WE.
00:38:48.993 --> 00:38:51.596 region:rollup2
THERE'S WORK THAT.
00:38:49.994 --> 00:38:53.531 region:rollup2
PROPOSED THAT IT THAT ARE NEEDED
00:38:51.596 --> 00:38:54.465 region:rollup2
FOR THE POSITION.
00:38:53.531 --> 00:38:56.734 region:rollup2
I WOULD SO BE SURE THAT WHEN
00:38:54.465 --> 00:38:58.703 region:rollup2
THEY'RE VACANCIES YOU'RE MAKING
00:38:56.734 --> 00:38:59.871 region:rollup2
GAL THAT ADJUSTMENT THAT THE
00:38:58.703 --> 00:39:01.372 region:rollup2
WORK THAT WAS TO SPEED DONE BY
00:38:59.871 --> 00:39:03.274 region:rollup2
THOSE VACANCIES IS THAT BECAUSE
00:39:01.372 --> 00:39:04.209 region:rollup2
YOU COULDN'T RECRUIT AND WE NEED
00:39:03.274 --> 00:39:05.877 region:rollup2
TO DO A BETTER JOB RECRUITING
00:39:04.209 --> 00:39:07.278 region:rollup2
ARE. BETTER SALARIES OR
00:39:05.877 --> 00:39:08.246 region:rollup2
SOMETHING ELSE THAT WE'RE NOT
00:39:07.278 --> 00:39:09.981 region:rollup2
COMPETING IN UP TO THE PRIVATE
00:39:08.246 --> 00:39:12.217 region:rollup2
SECTOR. I DON'T JUST WRITE OFF
00:39:09.981 --> 00:39:13.084 region:rollup2
POSITIONS THAT ACTUALLY ARE
00:39:12.217 --> 00:39:14.752 region:rollup2
NECESSARY TO DO WORK.
00:39:13.084 --> 00:39:16.654 region:rollup2
OUR IS IT THAT YOU KNOW WELL WE
00:39:14.752 --> 00:39:18.223 region:rollup2
RECOGNIZE IN LOOKING AT THAT WE
00:39:16.654 --> 00:39:19.357 region:rollup2
USE
00:39:18.223 --> 00:39:21.693 region:rollup2
BEEN REALLY NEED THAT WAS SO I
00:39:19.357 --> 00:39:22.994 region:rollup2
XIV VERY CAREFUL ABOUT AND I
00:39:21.693 --> 00:39:23.628 region:rollup2
APPRECIATE THAT WE ARE TRYING
00:39:22.994 --> 00:39:23.962 region:rollup2
MORE ACTUALLY FLIGHT TO THE MIX
00:39:23.628 --> 00:39:24.696 region:rollup2
FROM.
00:39:23.962 --> 00:39:26.130 region:rollup2
MORE ACCURATE BUDGETING BUT I
00:39:24.696 --> 00:39:28.900 region:rollup2
ALSO.
00:39:26.130 --> 00:39:29.934 region:rollup2
ONE YEAH WE WE SIT HERE WE TALK
00:39:28.900 --> 00:39:31.736 region:rollup2
ABOUT AND WE'RE GONNA TALK ABOUT
00:39:29.934 --> 00:39:33.805 region:rollup2
THIS YOU TO REACT Y. RECRUIT ONE
00:39:31.736 --> 00:39:34.772 region:rollup2
PERSON TO PEOPLE CETERA. THAT WE
00:39:33.805 --> 00:39:36.908 region:rollup2
ARE AT THAT.
00:39:34.772 --> 00:39:37.842 region:rollup2
POSITIONS ARE VACANT.
00:39:36.908 --> 00:39:40.278 region:rollup2
.
00:39:37.842 --> 00:39:42.213 region:rollup2
THAT WE ARE ALSO ENSURING THAT
00:39:40.278 --> 00:39:43.681 region:rollup2
WE HAVE THE RIGHT CUT HIM THAT
00:39:42.213 --> 00:39:45.450 region:rollup2
WE'RE COMPETITIVE IN GETTING THE
00:39:43.681 --> 00:39:47.118 region:rollup2
PEOPLE WE NEED TO DO THE WORK OF
00:39:45.450 --> 00:39:48.119 region:rollup2
THE PEOPLE CALIFORNIA I'M.
00:39:47.118 --> 00:39:49.520 region:rollup2
AFTER ALL CALIFORNIA ACTUALLY
00:39:48.119 --> 00:39:50.989 region:rollup2
HAS WON THE LOWEST RATIOS OF
00:39:49.520 --> 00:39:53.157 region:rollup2
STATE EMPLOYEES THE TOTAL
00:39:50.989 --> 00:39:55.126 region:rollup2
POPULATION SO.
00:39:53.157 --> 00:39:56.961 region:rollup2
THIS IS WHAT WE SURE THAT WERE
00:39:55.126 --> 00:39:58.429 region:rollup2
BUT THE VACANCIES. TO BE CAREFUL
00:39:56.961 --> 00:40:00.265 region:rollup2
ABOUT THE VACANCIES AND.
00:39:58.429 --> 00:40:02.033 region:rollup2
AND BE SURE THAT THOSE
00:40:00.265 --> 00:40:03.434 region:rollup2
VACANCIES ARE YOU KNOW WE'RE NOT
00:40:02.033 --> 00:40:05.370 region:rollup2
JUST SAYING WELL BECAUSE THEY'VE
00:40:03.434 --> 00:40:09.173 region:rollup2
BEEN TAKEN BEAT.
00:40:05.370 --> 00:40:11.409 region:rollup2
BOATS BIKE. MINE ABOUT SO.
00:40:09.173 --> 00:40:12.577 region:rollup2
WE WOULD NOTED THAT.
00:40:11.409 --> 00:40:13.878 region:rollup2
THERE'S NOT ACTUALLY FEWER
00:40:12.577 --> 00:40:15.713 region:rollup2
PEOPLE THAT THESE POSITIONS WERE
00:40:13.878 --> 00:40:17.782 region:rollup2
FILLED AND WE ARE ATTEMPTING TO
00:40:15.713 --> 00:40:18.950 region:rollup2
MAKE IT. A MORE EFFECTIVE AND
00:40:17.782 --> 00:40:20.618 region:rollup2
EFFICIENT WHEN WE'RE ANALYZING
00:40:18.950 --> 00:40:22.053 region:rollup2
BCP'S.
00:40:20.618 --> 00:40:24.122 region:rollup2
AM I HAVING THE ACCURATE LEVELS
00:40:22.053 --> 00:40:26.190 region:rollup2
OKAY ANY COMMENT FROM THE
00:40:24.122 --> 00:40:28.092 region:rollup2
DIRECTOR. I'M WERE MANAGING IT
00:40:26.190 --> 00:40:29.294 region:rollup2
CAREFULLY. AND WE THINK WE HAVE
00:40:28.092 --> 00:40:30.361 region:rollup2
THE RESOURCES WE NEED I
00:40:29.294 --> 00:40:31.996 region:rollup2
CERTAINLY APPRECIATE YOUR
00:40:30.361 --> 00:40:32.764 region:rollup2
CONCERN ANTI ASSURE THE
00:40:31.996 --> 00:40:33.865 region:rollup2
CONCERNED.
00:40:32.764 --> 00:40:35.700 region:rollup2
WEREN'T CONTINUAL CONVERSATIONS
00:40:33.865 --> 00:40:37.468 region:rollup2
WITH FINANCE ABOUT IT
00:40:35.700 --> 00:40:39.270 region:rollup2
OKAY. WELL WE WANT TO BE SURE
00:40:37.468 --> 00:40:40.772 region:rollup2
YOU HAVE THE TOOLS THAT YOU NEED
00:40:39.270 --> 00:40:42.707 region:rollup2
TO DO THE WORK YOU DO BECAUSE
00:40:40.772 --> 00:40:44.208 region:rollup2
IT'S EXTREMELY IMPORTANT. THAT.
00:40:42.707 --> 00:40:45.476 region:rollup2
AND SO WELL HOPEFULLY WE WILL
00:40:44.208 --> 00:40:47.445 region:rollup2
CONTINUE TO HAVE LIKE TO HAVE
00:40:45.476 --> 00:40:47.779 region:rollup2
ACCURATE BUDGETS ENACTED
00:40:47.445 --> 00:40:48.980 region:rollup2
STAFFING AND.
00:40:47.779 --> 00:40:50.348 region:rollup2
BUT.
00:40:48.980 --> 00:40:52.450 region:rollup2
AND ALSO TO BE SURE THAT.
00:40:50.348 --> 00:40:54.252 region:rollup2
WE ARE.
00:40:52.450 --> 00:40:55.687 region:rollup2
BEING COMPETITIVE IN RECRUITING
00:40:54.252 --> 00:40:56.554 region:rollup2
THE PEOPLE WE NEED.
00:40:55.687 --> 00:40:58.556 region:rollup2
TO DO THE WORK THAT PEOPLE.
00:40:56.554 --> 00:40:58.756 region:rollup2
CALIFORNIA.
00:40:58.556 --> 00:41:00.825 region:rollup2
OKAY.
00:40:58.756 --> 00:41:05.163 region:rollup2
.
00:41:00.825 --> 00:41:07.832 region:rollup2
THE OTHER SENIOR.
00:41:05.163 --> 00:41:09.834 region:rollup2
AND ANNOUNCED.
00:41:07.832 --> 00:41:10.301 region:rollup2
OKAY WELL I THINK MAYBE WILL DO
00:41:09.834 --> 00:41:12.003 region:rollup2
IS.
00:41:10.301 --> 00:41:14.038 region:rollup2
MOVE ON WE HAVE A.
00:41:12.003 --> 00:41:15.073 region:rollup2
.
00:41:14.038 --> 00:41:17.241 region:rollup2
TERMS OF THAT WORKFORCE
00:41:15.073 --> 00:41:19.811 region:rollup2
EDUCATION TRAINING PROGRAM.
00:41:17.241 --> 00:41:19.944 region:rollup2
WE DO HAVE SOME FOLKS WHO HAVE
00:41:19.811 --> 00:41:21.979 region:rollup2
A.
00:41:19.944 --> 00:41:24.182 region:rollup2
QUEST
00:41:21.979 --> 00:41:26.317 region:rollup2
SO MAY WELL DO SUPPORT.
00:41:24.182 --> 00:41:27.318 region:rollup2
THE HAVE YOU SHIFT THE SIDE AND
00:41:26.317 --> 00:41:29.020 region:rollup2
DELTA HAVE GONE OUT SO WE CAN
00:41:27.318 --> 00:41:30.154 region:rollup2
MAKE SOME ROOM UP FRONT A TABLE.
00:41:29.020 --> 00:41:33.524 region:rollup2
AND.
00:41:30.154 --> 00:41:41.265 region:rollup2
TO ME IT'S OKAY LA IF YOU HAVE
00:41:33.524 --> 00:41:44.302 region:rollup2
YOUR BACK TO ME THAT'S FINE.
00:41:41.265 --> 00:41:49.374 region:rollup2
SO WE STAKEHOLDER PROPOSAL.
00:41:44.302 --> 00:41:50.708 region:rollup2
AND SEE.
00:41:49.374 --> 00:41:52.076 region:rollup2
APPRECIATE IT IF YOU CAN KEEP
00:41:50.708 --> 00:41:55.813 region:rollup2
YOUR PRESENTATION TO THREE
00:41:52.076 --> 00:41:56.914 region:rollup2
MINUTES.
00:41:55.813 --> 00:42:01.953 region:rollup2
YOU HAVE SOME WRITTEN
00:41:56.914 --> 00:42:03.888 region:rollup2
INFORMATION AS WELL.
00:42:01.953 --> 00:42:05.189 region:rollup2
CRITICA.
00:42:03.888 --> 00:42:07.125 region:rollup2
WHAT YOU TO DO IT YOURSELF FOR
00:42:05.189 --> 00:42:08.960 region:rollup2
THE RECORD FIRST AND THEN NASA
00:42:07.125 --> 00:42:10.628 region:rollup2
WILL TAKE UP YOUR TIME AND AND I
00:42:08.960 --> 00:42:12.797 region:rollup2
WILL GO UP AGAIN SO MUCH
00:42:10.628 --> 00:42:13.898 region:rollup2
INTRODUCED YOURSELF FIRST?
00:42:12.797 --> 00:42:15.566 region:rollup2
LET'S SEE AN ADVOCACY IT UP WITH
00:42:13.898 --> 00:42:17.001 region:rollup2
FAMILY SERVICES.
00:42:15.566 --> 00:42:17.935 region:rollup2
PAUL CURTIS EXECUTIVE DIRECTOR
00:42:17.001 --> 00:42:18.836 region:rollup2
THE CALIFORNIA COUNCIL OF
00:42:17.935 --> 00:42:20.505 region:rollup2
COMMUNITY BEHAVIORAL HEALTH
00:42:18.836 --> 00:42:22.373 region:rollup2
AGENCIES.
00:42:20.505 --> 00:42:22.840 region:rollup2
ASSEMBLY SLAUGHTERS LOW CHAIR OF
00:42:22.373 --> 00:42:25.109 region:rollup2
THE MFT CONSORTIUM OF
00:42:22.840 --> 00:42:27.845 region:rollup2
CALIFORNIA.
00:42:25.109 --> 00:42:29.781 region:rollup2
AND ARE I WANT TO O AND BEGIN
00:42:27.845 --> 00:42:30.815 region:rollup2
OUCH KEEP THREE MINUTES TOTAL.
00:42:29.781 --> 00:42:32.350 region:rollup2
GOOD MORNING NOT CHAIR IN
00:42:30.815 --> 00:42:34.218 region:rollup2
SENATORS MY NAME'S PAUL CURTIS
00:42:32.350 --> 00:42:35.787 region:rollup2
EXECUTIVE DIRECTOR CBH A WE ARE
00:42:34.218 --> 00:42:37.688 region:rollup2
AN ORGANIZATION REPRESENTING
00:42:35.787 --> 00:42:39.891 region:rollup2
SEVENTY BEHAVIOR HEALTH AGENCIES
00:42:37.688 --> 00:42:40.992 region:rollup2
ACROSS CALIFORNIA. WE HEAR TO
00:42:39.891 --> 00:42:43.828 region:rollup2
REQUEST THAT YOU CONSIDER
00:42:40.992 --> 00:42:44.962 region:rollup2
SUPPORTING OUR FUNDING REQUEST
00:42:43.828 --> 00:42:46.431 region:rollup2
TO EXTEND THE WORK FORCE AND
00:42:44.962 --> 00:42:48.633 region:rollup2
EDUCATION FOR THE TRAINING
00:42:46.431 --> 00:42:49.801 region:rollup2
PROGRAM KNOWN AS WELL. INITIATED
00:42:48.633 --> 00:42:51.969 region:rollup2
UNDER PROP SIXTY THREE FOR AN
00:42:49.801 --> 00:42:53.738 region:rollup2
ADDITIONAL YEAR THIS PROGRAM WAS
00:42:51.969 --> 00:42:55.506 region:rollup2
SLATED TO BE FUNDING FOR TEN
00:42:53.738 --> 00:42:57.575 region:rollup2
YEARS BUT IT'S ONLY BEEN FUNDED
00:42:55.506 --> 00:42:59.377 region:rollup2
FOR NINE YEARS. DUE TO A CHANGE
00:42:57.575 --> 00:43:01.179 region:rollup2
IN OVERSIGHT OF THE PROGRAM
00:42:59.377 --> 00:43:02.713 region:rollup2
AFTER ITS FIRST FIVE YEARS IT IS
00:43:01.179 --> 00:43:04.415 region:rollup2
CRITICAL THAT WE PUT THE STOP
00:43:02.713 --> 00:43:06.584 region:rollup2
GAP FUNDING IN PLACE TO ENSURE
00:43:04.415 --> 00:43:08.619 region:rollup2
LOAN FORGIVENESS AND EDUCATIONAL
00:43:06.584 --> 00:43:09.854 region:rollup2
STIPEND PROGRAMS. CONTINUE TO BE
00:43:08.619 --> 00:43:11.923 region:rollup2
FUNDED.
00:43:09.854 --> 00:43:12.990 region:rollup2
A CONTINUING FUNDING TO ALLOW
00:43:11.923 --> 00:43:15.293 region:rollup2
FOR CONTINUITY OF CARE FOR YOUR
00:43:12.990 --> 00:43:16.227 region:rollup2
CONSTITUENTS WHO WE PROVIDE MUCH
00:43:15.293 --> 00:43:18.396 region:rollup2
NEEDED BEHAVIORAL HEALTH
00:43:16.227 --> 00:43:19.964 region:rollup2
SERVICES TO. IT IS IMPORTANT
00:43:18.396 --> 00:43:22.166 region:rollup2
NOTE THAT THIS FUNDING REQUEST
00:43:19.964 --> 00:43:23.067 region:rollup2
IS FOR ONE YEAR. DURING THIS
00:43:22.166 --> 00:43:25.102 region:rollup2
YEAR WE ARE COMMITTED TO WORKING
00:43:23.067 --> 00:43:26.971 region:rollup2
WITH US TED AND THE REST OF THE
00:43:25.102 --> 00:43:29.140 region:rollup2
PAPER HEALTH COMMUNITY TO CREATE
00:43:26.971 --> 00:43:30.875 region:rollup2
A LONG TERM PLAN A NEW PLAN. FOR
00:43:29.140 --> 00:43:32.610 region:rollup2
CONTINUING THIS PROGRAM WITH ME
00:43:30.875 --> 00:43:34.278 region:rollup2
TODAY ARE TWO WITNESSES WHO CAN
00:43:32.610 --> 00:43:35.546 region:rollup2
SPEAK THE IMPACT OF. THESE
00:43:34.278 --> 00:43:37.014 region:rollup2
PROGRAMS AND THE STUFF THAT THEY
00:43:35.546 --> 00:43:37.815 region:rollup2
REPRESENT NOT GIVE THEM THE REST
00:43:37.014 --> 00:43:39.283 region:rollup2
OF MY TIME.
00:43:37.815 --> 00:43:40.618 region:rollup2
AGAIN GOOD MORNING ABOUT THAT US
00:43:39.283 --> 00:43:42.153 region:rollup2
A SENIOR DIRECTOR OF POLICY AND
00:43:40.618 --> 00:43:44.188 region:rollup2
ADVOCACY AND APPLY FAMILY
00:43:42.153 --> 00:43:45.857 region:rollup2
SERVICES WHEN AGENCY PROVIDING
00:43:44.188 --> 00:43:46.958 region:rollup2
BEHAVIOR HEALTH AND CHILD
00:43:45.857 --> 00:43:48.259 region:rollup2
WELFARE SERVICES. TO
00:43:46.958 --> 00:43:49.594 region:rollup2
APPROXIMATELY THIRTY THOUSAND
00:43:48.259 --> 00:43:50.795 region:rollup2
CHILDREN AND FAMILIES ACROSS THE
00:43:49.594 --> 00:43:52.563 region:rollup2
STATE.
00:43:50.795 --> 00:43:54.565 region:rollup2
OUR AGENCY RELIES ON WEBSITE AND
00:43:52.563 --> 00:43:56.634 region:rollup2
FUNDS TO HIRE AND TRAIN GRADUATE
00:43:54.565 --> 00:43:57.969 region:rollup2
INTERNS WHO BECOME SKILLFUL AT
00:43:56.634 --> 00:43:59.704 region:rollup2
PROVIDING INNOVATIVE AND
00:43:57.969 --> 00:44:00.872 region:rollup2
EFFECTIVE. EVIDENCE BASED
00:43:59.704 --> 00:44:02.974 region:rollup2
PROGRAMS FOR CHILDREN AND
00:44:00.872 --> 00:44:04.775 region:rollup2
FAMILIES EXPERIENCE MENTAL OR
00:44:02.974 --> 00:44:06.244 region:rollup2
BEHAVIOR HEALTH CHALLENGES.
00:44:04.775 --> 00:44:07.912 region:rollup2
MOST IN TERMS BECOME.
00:44:06.244 --> 00:44:10.982 region:rollup2
EMPLOYEES AND CONTINUE TO
00:44:07.912 --> 00:44:12.049 region:rollup2
pPROVEN NOW COMES TO THOSE WE
00:44:10.982 --> 00:44:13.951 region:rollup2
SERVE.
00:44:12.049 --> 00:44:15.086 region:rollup2
WE ARE EXTREMELY CONCERNED THAT
00:44:13.951 --> 00:44:16.320 region:rollup2
WITHOUT CONTINUATION OF THE WHAT
00:44:15.086 --> 00:44:18.756 region:rollup2
PROGRAM THE MENTAL HEALTH
00:44:16.320 --> 00:44:21.225 region:rollup2
WORKFORCE SHORTAGE WILL PERSIST
00:44:18.756 --> 00:44:23.160 region:rollup2
OR WORSE GROW EXPONENTIALLY OVER
00:44:21.225 --> 00:44:24.795 region:rollup2
THE NEXT FEW YEARS IMPACTING
00:44:23.160 --> 00:44:26.330 region:rollup2
SERVICES TO THOSE IN NEED OF.
00:44:24.795 --> 00:44:28.432 region:rollup2
CRITICAL MENTAL HEALTH SERVICES
00:44:26.330 --> 00:44:30.001 region:rollup2
ESPECIALLY VULNERABLE CHILDREN
00:44:28.432 --> 00:44:31.402 region:rollup2
AND YOUTH WHO HAVE EXPERIENCED
00:44:30.001 --> 00:44:32.837 region:rollup2
TRAUMA IN THEIR LIFE. ALLOWING
00:44:31.402 --> 00:44:34.839 region:rollup2
THIS FUNDING TO EXPIRE WOULD
00:44:32.837 --> 00:44:36.507 region:rollup2
CAUSE IRREPARABLE HARM TO A
00:44:34.839 --> 00:44:38.175 region:rollup2
PROGRAM THAT IS A VALUABLE
00:44:36.507 --> 00:44:39.944 region:rollup2
RESOURCES FOR PROVIDERS ACROSS
00:44:38.175 --> 00:44:42.613 region:rollup2
THE STATE. AND THE CLIENTS WE
00:44:39.944 --> 00:44:44.916 region:rollup2
SERVE I RESPECTFULLY ASK THAT
00:44:42.613 --> 00:44:47.151 region:rollup2
YOU SUPPORT THIS REQUEST.
00:44:44.916 --> 00:44:48.619 region:rollup2
YES GOOD MORNING. VIETNAM OF TO
00:44:47.151 --> 00:44:50.421 region:rollup2
CONSORTIUM OF CALIFORNIA
00:44:48.619 --> 00:44:52.523 region:rollup2
CONSISTS OF NINETY TWO. PUBLIC
00:44:50.421 --> 00:44:54.158 region:rollup2
PRIVATE AND NONPROFIT GRADUATE
00:44:52.523 --> 00:44:56.227 region:rollup2
SCHOOLS.
00:44:54.158 --> 00:44:57.728 region:rollup2
THAT UP PROVIDE DEGREES TO TO
00:44:56.227 --> 00:44:59.931 region:rollup2
MARRIAGE AND FAMILY THERAPIST.
00:44:57.728 --> 00:45:01.799 region:rollup2
THE CONSORTIUM HAS ADMINISTERED
00:44:59.931 --> 00:45:03.701 region:rollup2
THE EDUCATIONAL STIPENDS FUNDED
00:45:01.799 --> 00:45:05.603 region:rollup2
THROUGH THE METAL SERVICES ACT.
00:45:03.701 --> 00:45:07.038 region:rollup2
THAT PROVIDE INCENTIVES TO TWO
00:45:05.603 --> 00:45:08.239 region:rollup2
MAJOR FAMILY THERAPY STUDENTS.
00:45:07.038 --> 00:45:10.274 region:rollup2
TO PURSUE A CAREER IN PUBLIC
00:45:08.239 --> 00:45:11.676 region:rollup2
MENTAL HEALTH.
00:45:10.274 --> 00:45:13.611 region:rollup2
THE SCHOOLS OF THE CONSORTIUM
00:45:11.676 --> 00:45:15.680 region:rollup2
HAVE AWARDED THE STIPENDS.
00:45:13.611 --> 00:45:17.715 region:rollup2
TO ADMIT TO SCHOOLS DEVOTEE
00:45:15.680 --> 00:45:18.783 region:rollup2
STUDENTS WHO ARE TRAINED. AND
00:45:17.715 --> 00:45:20.618 region:rollup2
COMMITTED TO PUBLIC MENTAL
00:45:18.783 --> 00:45:22.086 region:rollup2
HEALTH CARE.
00:45:20.618 --> 00:45:25.156 region:rollup2
AS OF TODAY SEVEN HUNDRED NINETY
00:45:22.086 --> 00:45:27.158 region:rollup2
SIX BE ZERO HEALTH AGENCIES IN
00:45:25.156 --> 00:45:28.693 region:rollup2
FORTY COUNTIES.
00:45:27.158 --> 00:45:31.395 region:rollup2
HAD EMPLOYED THE USE OF STEP
00:45:28.693 --> 00:45:33.965 region:rollup2
RECIPIENTS UPON GRADUATING.
00:45:31.395 --> 00:45:36.634 region:rollup2
MOST ARE EMPLOYED AND THE HARD
00:45:33.965 --> 00:45:39.937 region:rollup2
TO HIRE RULE IN URBAN.
00:45:36.634 --> 00:45:41.072 region:rollup2
I COMMUNITIES WHERE THEY RECITE.
00:45:39.937 --> 00:45:42.773 region:rollup2
IN FACT SEVENTY FIVE SEVENTY
00:45:41.072 --> 00:45:44.508 region:rollup2
FOUR PERCENT OF OF THESE
00:45:42.773 --> 00:45:46.344 region:rollup2
RECIPIENTS PROVIDE CARE. IN A
00:45:44.508 --> 00:45:48.946 region:rollup2
SECOND LANGUAGE.
00:45:46.344 --> 00:45:50.982 region:rollup2
AND EIGHTY FOUR PERCENT REMAIN
00:45:48.946 --> 00:45:52.650 region:rollup2
IN PUBLIC MENTAL HEALTH SYSTEM.
00:45:50.982 --> 00:45:54.518 region:rollup2
ON BEHALF OF THE PROVIDERS AND
00:45:52.650 --> 00:45:55.786 region:rollup2
THE COMMUNITIES THAT HAVE
00:45:54.518 --> 00:45:57.955 region:rollup2
BENEFITTED BY THIS SO WHAT
00:45:55.786 --> 00:45:59.757 region:rollup2
PROGRAM. I WANT TO THANK DESERVE
00:45:57.955 --> 00:46:01.325 region:rollup2
SUBCOMMITTEE FOR FAVORABLE
00:45:59.757 --> 00:46:02.293 region:rollup2
CONSIDERATION.
00:46:01.325 --> 00:46:03.327 region:rollup2
TO CONTINUE FUNDING THE WHAT
00:46:02.293 --> 00:46:05.263 region:rollup2
PROGRAMS FOR ANOTHER YEAR THANK
00:46:03.327 --> 00:46:06.397 region:rollup2
YOU.
00:46:05.263 --> 00:46:07.398 region:rollup2
THANK YOU THANKS MUCH PER
00:46:06.397 --> 00:46:09.433 region:rollup2
PRESENTATION.
00:46:07.398 --> 00:46:13.471 region:rollup2
ANY COMMENTS FROM OCCUPIED.
00:46:09.433 --> 00:46:14.171 region:rollup2
TO THIS REQUEST.
00:46:13.471 --> 00:46:15.406 region:rollup2
I WOULD JUST SAY WE DON'T HAVE A
00:46:14.171 --> 00:46:16.707 region:rollup2
POSITION ON THE ON THE FUNDING
00:46:15.406 --> 00:46:18.175 region:rollup2
AT THIS POINT AND WE DO HAVE THE
00:46:16.707 --> 00:46:19.844 region:rollup2
INFRASTRUCTURE IN PLACE IF THE
00:46:18.175 --> 00:46:21.679 region:rollup2
DECISION IS TO MOVE FORWARD ON
00:46:19.844 --> 00:46:25.950 region:rollup2
IT OFFICIALLY HERE. OKAY.
00:46:21.679 --> 00:46:27.518 region:rollup2
LA JOH INCUMBENTS DON'T FINANCE.
00:46:25.950 --> 00:46:28.052 region:rollup2
JUST NOT THE DISPOSAL IS NOT
00:46:27.518 --> 00:46:30.187 region:rollup2
INCLUDED IN THE GOVERNOR'S
00:46:28.052 --> 00:46:31.956 region:rollup2
BUDGET.
00:46:30.187 --> 00:46:35.493 region:rollup2
OKAY I I DO KNOW THAT. ANY OTHER
00:46:31.956 --> 00:46:39.263 region:rollup2
COMMENTS ON IT.
00:46:35.493 --> 00:46:41.132 region:rollup2
NO. OUT ALRIGHT WELL.
00:46:39.263 --> 00:46:41.966 region:rollup2
SO THAT THE PRESENTERS SADDAM
00:46:41.132 --> 00:46:44.669 region:rollup2
DEL MADE NOTE THAT.
00:46:41.966 --> 00:46:46.470 region:rollup2
THIS WAS ORIGINALLY A TEN YEAR.
00:46:44.669 --> 00:46:48.673 region:rollup2
.
00:46:46.470 --> 00:46:51.175 region:rollup2
THAT GIVEN SOME I GUESS AWAY
00:46:48.673 --> 00:46:52.810 region:rollup2
QUOTE THEM. GETTING THINGS GOING
00:46:51.175 --> 00:46:55.613 region:rollup2
WE'RE SHORT ONE YEAR.
00:46:52.810 --> 00:46:56.947 region:rollup2
DE DEBTS TO CLARIFY I MEAN WHAT
00:46:55.613 --> 00:46:59.316 region:rollup2
KIND OF COMMITMENTS
00:46:56.947 --> 00:47:01.052 region:rollup2
WERE ITSELF WE DON'T DO THIS ARE
00:46:59.316 --> 00:47:02.720 region:rollup2
WE LEAVING PEOPLE HANGING THAT
00:47:01.052 --> 00:47:04.288 region:rollup2
WORK MINUTES THAT WERE MADE
00:47:02.720 --> 00:47:05.956 region:rollup2
BECAUSE THE EXPECTATIONS FIVE
00:47:04.288 --> 00:47:08.092 region:rollup2
YEARS. ADS FOR CLARIFY THAT
00:47:05.956 --> 00:47:10.361 region:rollup2
ISSUE.
00:47:08.092 --> 00:47:11.662 region:rollup2
UP FINANCED IT REQUEST.
00:47:10.361 --> 00:47:13.564 region:rollup2
OKAY I THINK CLEARLY THERE'S A
00:47:11.662 --> 00:47:15.332 region:rollup2
NEED IT'S THAT THE DIFFICULTY IS
00:47:13.564 --> 00:47:17.535 region:rollup2
THE FUNDING SOURCES GOING AWAY
00:47:15.332 --> 00:47:19.070 region:rollup2
IN ELLIS'S A SPECIAL FUND UP
00:47:17.535 --> 00:47:21.338 region:rollup2
PROP SIXTY THREE MONEY.
00:47:19.070 --> 00:47:23.007 region:rollup2
ANDA.
00:47:21.338 --> 00:47:23.708 region:rollup2
SO YOU KNOW IT'S IT DIFFICULT
00:47:23.007 --> 00:47:25.676 region:rollup2
DIFFICULT SITUATION.
00:47:23.708 --> 00:47:26.811 region:rollup2
AND IT'LL BE UP TO.
00:47:25.676 --> 00:47:29.980 region:rollup2
THE LEGISLATURE THE GOVERNOR TO
00:47:26.811 --> 00:47:30.548 region:rollup2
DECIDE ON PRIORITIES TERMS OF.
00:47:29.980 --> 00:47:34.218 region:rollup2
WHAT GETS FUNDED DEBT GOING
00:47:30.548 --> 00:47:35.986 region:rollup2
FORWARD?
00:47:34.218 --> 00:47:38.689 region:rollup2
SO I GUESS MY QUESTION IS THIS
00:47:35.986 --> 00:47:40.658 region:rollup2
IS THAT SO WE HAVE FOLKS WHO ARE
00:47:38.689 --> 00:47:42.626 region:rollup2
CURRENTLY GETTING STIPENDS AND
00:47:40.658 --> 00:47:43.894 region:rollup2
OTHER TYPES OF THINGS.
00:47:42.626 --> 00:47:45.096 region:rollup2
THE ARE ARE WE IN THE NEWS I
00:47:43.894 --> 00:47:47.098 region:rollup2
MEAN I DO WE HAVE PEOPLE WHO
00:47:45.096 --> 00:47:49.333 region:rollup2
SUPPOSEDLY WERE COMMITTED TO FOR
00:47:47.098 --> 00:47:50.434 region:rollup2
ANOTHER YEAR THAT SELF THE
00:47:49.333 --> 00:47:51.302 region:rollup2
FUNDING SOME THE FALLS OFF.
00:47:50.434 --> 00:47:53.471 region:rollup2
I MEAN WE HAVE PEOPLE WHO ARE
00:47:51.302 --> 00:47:54.705 region:rollup2
EXPECTING THE FUNDING FOR ONE
00:47:53.471 --> 00:47:56.207 region:rollup2
MORE YEAR BECAUSE IS ORIGINALLY
00:47:54.705 --> 00:47:57.641 region:rollup2
A TEN YEAR PLAN THAT NOW FALL
00:47:56.207 --> 00:47:58.709 region:rollup2
OFF OR.
00:47:57.641 --> 00:48:00.344 region:rollup2
EVELYN SAID LIKE WHAT WE'D LIKE
00:47:58.709 --> 00:48:02.546 region:rollup2
TO HAVE ANOTHER YEAR BUT. WE'VE
00:48:00.344 --> 00:48:04.381 region:rollup2
NEVER MADE A COMMITMENTS PASSED.
00:48:02.546 --> 00:48:06.917 region:rollup2
NOT THIS YEAR WE'VE MADE NO
00:48:04.381 --> 00:48:09.253 region:rollup2
COMMITMENTS PASSED THIS YEAR.
00:48:06.917 --> 00:48:10.755 region:rollup2
SOME OF THE CONTRACTS WILL GO ON
00:48:09.253 --> 00:48:12.656 region:rollup2
BEYOND THIS YEAR BUT AS FAR AS
00:48:10.755 --> 00:48:14.492 region:rollup2
THE FUNDING.
00:48:12.656 --> 00:48:16.127 region:rollup2
IT ENDS AT ALL ARE AND
00:48:14.492 --> 00:48:17.928 region:rollup2
COMMITMENTS END.
00:48:16.127 --> 00:48:18.963 region:rollup2
JUNE THIRTIETH.
00:48:17.928 --> 00:48:19.930 region:rollup2
SO THERE'S NO FUNDING
00:48:18.963 --> 00:48:23.300 region:rollup2
COMMITMENTS BEYOND.
00:48:19.930 --> 00:48:24.235 region:rollup2
CRACKED RIGHT.
00:48:23.300 --> 00:48:26.203 region:rollup2
WHY DO OF SMUGGLING BITES ONCE
00:48:24.235 --> 00:48:28.639 region:rollup2
IT'S COMMITTEE MEMBER QUESTION?
00:48:26.203 --> 00:48:29.640 region:rollup2
OKAY UP THEN AND HOW MANY AND I
00:48:28.639 --> 00:48:30.641 region:rollup2
DON'T LIKE THAT NO I MISSED IT
00:48:29.640 --> 00:48:32.243 region:rollup2
WHEN YOU SEE MATCHING YOUR
00:48:30.641 --> 00:48:33.778 region:rollup2
TESTIMONY SO. RESEMBLE THE
00:48:32.243 --> 00:48:36.113 region:rollup2
STIPEND SIXTEEN POINT TWO
00:48:33.778 --> 00:48:38.282 region:rollup2
MILLION HOW MANY POSITIONS ARE
00:48:36.113 --> 00:48:39.717 region:rollup2
BEING FUNDED WITH THE STIPENDS.
00:48:38.282 --> 00:48:41.652 region:rollup2
DOESN'T KNOW WHAT THEY'RE
00:48:39.717 --> 00:48:43.053 region:rollup2
SEVERAL STIPEND SO SEVERAL ON MY
00:48:41.652 --> 00:48:45.723 region:rollup2
TOP PROFESSIONALS THAT RECEIVE
00:48:43.053 --> 00:48:47.191 region:rollup2
STIPENDS. WE REPRESENT PRIMARILY
00:48:45.723 --> 00:48:48.325 region:rollup2
THE MARRIAGE AND FAMILY THERAPY
00:48:47.191 --> 00:48:50.628 region:rollup2
PROGRESS BUT THEY WILL KNOW HOW
00:48:48.325 --> 00:48:51.729 region:rollup2
MANY WERE BEING SUPPORTED WITH
00:48:50.628 --> 00:48:53.998 region:rollup2
THOSE STATEMENTS.
00:48:51.729 --> 00:48:57.334 region:rollup2
THESE PROGRAMS ARE STILL ONGOING
00:48:53.998 --> 00:48:58.936 region:rollup2
AND WE ARE STILL AWAITING FUNDS
00:48:57.334 --> 00:49:01.305 region:rollup2
THROUGH JUNE THIRTIETH SO WE'RE
00:48:58.936 --> 00:49:02.807 region:rollup2
NOT QUITE SURE HOW MANY STIPENDS
00:49:01.305 --> 00:49:04.608 region:rollup2
BUT TO DATE.
00:49:02.807 --> 00:49:06.544 region:rollup2
I AM NINE HUNDRED AND FIFTY
00:49:04.608 --> 00:49:07.912 region:rollup2
STIPENDS OF UP TO TWENTY ONE
00:49:06.544 --> 00:49:08.746 region:rollup2
THOUSAND DOLLARS.
00:49:07.912 --> 00:49:10.781 region:rollup2
WENT TO MENTAL HEALTH
00:49:08.746 --> 00:49:11.348 region:rollup2
PROFESSIONS IN EXCHANGE FOR
00:49:10.781 --> 00:49:12.783 region:rollup2
WORKING IN THE PUBLIC MENTAL
00:49:11.348 --> 00:49:14.452 region:rollup2
HEALTH.
00:49:12.783 --> 00:49:16.187 region:rollup2
PAST SYSTEM FOR TWELVE MONTHS.
00:49:14.452 --> 00:49:18.489 region:rollup2
AND BE LOAN ASSUMPTION PROGRAM
00:49:16.187 --> 00:49:21.325 region:rollup2
WHICH IS ALSO A VERY POPULAR
00:49:18.489 --> 00:49:23.427 region:rollup2
PROGRAM. AND THOSE FUNDS
00:49:21.325 --> 00:49:24.895 region:rollup2
SUPPORTED. MORE THAN EIGHT
00:49:23.427 --> 00:49:27.064 region:rollup2
THOUSAND HAVE MENTAL HEALTH
00:49:24.895 --> 00:49:28.699 region:rollup2
PROFESSIONALS BY PROVIDING A TEN
00:49:27.064 --> 00:49:30.434 region:rollup2
THOUSAND DOLLAR.
00:49:28.699 --> 00:49:31.435 region:rollup2
A LOAN REPAYMENT EXCHANGE FOR
00:49:30.434 --> 00:49:34.138 region:rollup2
WORKING TWELVE MONTHS IN THE
00:49:31.435 --> 00:49:34.705 region:rollup2
PUBLIC MENTAL HEALTH.
00:49:34.138 --> 00:49:35.806 region:rollup2
BUT IT SOUNDS LIKE A LOT OF
00:49:34.705 --> 00:49:38.175 region:rollup2
PEOPLE.
00:49:35.806 --> 00:49:38.375 region:rollup2
OKAY. ALRIGHT.
00:49:38.175 --> 00:49:40.377 region:rollup2
OKAY.
00:49:38.375 --> 00:49:42.112 region:rollup2
.
00:49:40.377 --> 00:49:44.315 region:rollup2
QUESTIONS
00:49:42.112 --> 00:49:45.850 region:rollup2
SO WHILE WE GO AHEAD AND TAKE
00:49:44.315 --> 00:49:48.252 region:rollup2
PUBLIC COMMENT ON BOTH THE
00:49:45.850 --> 00:49:49.720 region:rollup2
OVERVIEW AND THIS ALSO
00:49:48.252 --> 00:49:50.654 region:rollup2
SPECIFICALLY ON THE WHAT PROGRAM
00:49:49.720 --> 00:49:53.591 region:rollup2
PROPOSAL.
00:49:50.654 --> 00:49:53.757 region:rollup2
SO WELCOME. INTRODUCE YOURSELF
00:49:53.591 --> 00:49:56.227 region:rollup2
AND.
00:49:53.757 --> 00:49:57.528 region:rollup2
AND THEN.
00:49:56.227 --> 00:49:59.163 region:rollup2
BUT YOU THE MORNING SENATORS MY
00:49:57.528 --> 00:50:00.231 region:rollup2
NAME IS JANE ADCOCK I'M THE
00:49:59.163 --> 00:50:01.765 region:rollup2
EXECUTIVE OFFICER FOR THE
00:50:00.231 --> 00:50:03.734 region:rollup2
CALIFORNIA BEHAVIORAL HEALTH
00:50:01.765 --> 00:50:04.869 region:rollup2
PLANNING COUNCIL WE HAVE A ROLE
00:50:03.734 --> 00:50:07.104 region:rollup2
TO PLAY MY COMMENTS ARE
00:50:04.869 --> 00:50:08.906 region:rollup2
SPECIFICALLY TO THE REQUEST. FOR
00:50:07.104 --> 00:50:10.708 region:rollup2
THE WAY ADDITIONAL WET FUNDING
00:50:08.906 --> 00:50:13.310 region:rollup2
FOR THE FINAL YEAR. THE
00:50:10.708 --> 00:50:15.312 region:rollup2
COUNCIL'S SUPPORTS THIS REQUEST
00:50:13.310 --> 00:50:21.585 region:rollup2
AND HOPES THAT THE SENATOR'S
00:50:15.312 --> 00:50:22.453 region:rollup2
SUPPORT THIS REQUEST AS WELL.
00:50:21.585 --> 00:50:24.822 region:rollup2
WELCOME MICHELLE CAPITA WITH A
00:50:22.453 --> 00:50:27.424 region:rollup2
CA YOU CALIFORNIA IN LIGHT OF
00:50:24.822 --> 00:50:30.027 region:rollup2
ALL THE MEANS AND ATTENTION TO.
00:50:27.424 --> 00:50:30.561 region:rollup2
BEHAVIORAL HEALTH ISSUES THAT
00:50:30.027 --> 00:50:31.662 region:rollup2
FACE BY THE LEGISLATURE IN
00:50:30.561 --> 00:50:33.097 region:rollup2
CALIFORNIA.
00:50:31.662 --> 00:50:34.899 region:rollup2
WE ARE HAPPY TO SUPPORT THE
00:50:33.097 --> 00:50:38.402 region:rollup2
PROPOSAL FOR ADDITIONAL WEB
00:50:34.899 --> 00:50:40.804 region:rollup2
FUNDING FOR ONE YEAR THANK YOU.
00:50:38.402 --> 00:50:42.039 region:rollup2
THANK YOU ANY OTHER QUESTIONS.
00:50:40.804 --> 00:50:43.974 region:rollup2
SO I GUESS THE OTHER QUESTION I
00:50:42.039 --> 00:50:44.241 region:rollup2
HAVE IS OKAY YOU'RE ASKING FOR
00:50:43.974 --> 00:50:46.310 region:rollup2
ONE YEAR.
00:50:44.241 --> 00:50:48.112 region:rollup2
.
00:50:46.310 --> 00:50:50.881 region:rollup2
YOU I YEAR TO A DO YOU HAVE SOME
00:50:48.112 --> 00:50:51.782 region:rollup2
THOUGHTS OR PLANS OR IDEAS ABOUT
00:50:50.881 --> 00:50:54.518 region:rollup2
WHAT WILL HAPPEN THE FOLLOWING
00:50:51.782 --> 00:50:57.187 region:rollup2
YEAR ASIDE FROM ANOTHER REQUEST
00:50:54.518 --> 00:50:57.655 region:rollup2
FOR ANOTHER YEAR I MEAN I GUESS
00:50:57.187 --> 00:50:58.789 region:rollup2
I WOULD BUY IT YOU'RE
00:50:57.655 --> 00:51:01.158 region:rollup2
REQUESTING.
00:50:58.789 --> 00:51:02.459 region:rollup2
SUCH A FOR A ONE YEAR.
00:51:01.158 --> 00:51:04.895 region:rollup2
TIME PERIOD TO KIND OF SPEND
00:51:02.459 --> 00:51:07.431 region:rollup2
THAT SORT OF REPRESENTS THE LAST
00:51:04.895 --> 00:51:08.532 region:rollup2
YEAR OF THEIR ORIGINAL YOU KNOW
00:51:07.431 --> 00:51:09.366 region:rollup2
IMUS CALL COMMITMENT ARE DEAD
00:51:08.532 --> 00:51:09.600 region:rollup2
ANTICIPATED PLAN WHEN WE STARTED
00:51:09.366 --> 00:51:10.401 region:rollup2
PROP SIX
00:51:09.600 --> 00:51:12.503 region:rollup2
THREE.
00:51:10.401 --> 00:51:13.837 region:rollup2
AT THE.
00:51:12.503 --> 00:51:15.439 region:rollup2
WHAT DO YOU PERHAPS TALK A
00:51:13.837 --> 00:51:17.041 region:rollup2
LITTLE BIT ABOUT WHAT YOU EXPECT
00:51:15.439 --> 00:51:18.375 region:rollup2
TO GOT BILL ACCOMPLISHED IN THE
00:51:17.041 --> 00:51:20.077 region:rollup2
YEAR TO TRY TO DEVELOP TO THAT
00:51:18.375 --> 00:51:22.212 region:rollup2
FIVE FUNDING STREAM?
00:51:20.077 --> 00:51:23.714 region:rollup2
OF.
00:51:22.212 --> 00:51:24.882 region:rollup2
FIRST WE BELIEVE OF BOTH OF
00:51:23.714 --> 00:51:26.183 region:rollup2
THESE PLANTS WERE DEVELOPED
00:51:24.882 --> 00:51:27.952 region:rollup2
SOMETIME AGO THERE NEEDS TO BE A
00:51:26.183 --> 00:51:29.720 region:rollup2
NEW FIVE YEAR PLAN. BASED ON
00:51:27.952 --> 00:51:31.355 region:rollup2
CURRENT DATA AND THE CHALLENGES
00:51:29.720 --> 00:51:33.190 region:rollup2
THAT WE FACE FOR US WITH THE
00:51:31.355 --> 00:51:34.558 region:rollup2
BEACH A ONE OF THE CRITICAL
00:51:33.190 --> 00:51:36.260 region:rollup2
ELEMENTS WE BELIEVE WE NEED. AS
00:51:34.558 --> 00:51:36.827 region:rollup2
A CAREER PATHWAY FROM HIGH
00:51:36.260 --> 00:51:37.061 region:rollup2
SCHOOL THROUGH THE COMMUNITY
00:51:36.827 --> 00:51:38.696 region:rollup2
COLLEGES
00:51:37.061 --> 00:51:40.297 region:rollup2
THE UNIVERSITY.
00:51:38.696 --> 00:51:41.832 region:rollup2
FOR BEHAVIORAL HEALTH CARE
00:51:40.297 --> 00:51:43.334 region:rollup2
THERE'S CRITICAL SHORTAGES THAT
00:51:41.832 --> 00:51:44.935 region:rollup2
ARE DOCUMENTED AT THE LICENSED
00:51:43.334 --> 00:51:46.637 region:rollup2
PROFESSIONAL CATEGORIES A
00:51:44.935 --> 00:51:48.272 region:rollup2
PSYCHOLOGIST PSYCHIATRIST AB OF
00:51:46.637 --> 00:51:49.907 region:rollup2
TEAS BUT THERE'S FOR OUR MEMBERS
00:51:48.272 --> 00:51:51.442 region:rollup2
THERE'S. THEY CAN HIRE PEOPLE
00:51:49.907 --> 00:51:52.776 region:rollup2
AND ALL THE LEVELS CLERICAL
00:51:51.442 --> 00:51:54.611 region:rollup2
LEVELS AND AND EVERYWHERE ELSE
00:51:52.776 --> 00:51:56.613 region:rollup2
THE UNFUNDED POSITIONS GOING
00:51:54.611 --> 00:51:58.048 region:rollup2
OPEN ALL THE TIME. THERE'S WORK
00:51:56.613 --> 00:51:59.950 region:rollup2
THERE WAITING FOR PEOPLE IN HIGH
00:51:58.048 --> 00:52:02.353 region:rollup2
SCHOOL THE NEVERS AS A AS UP A
00:51:59.950 --> 00:52:04.221 region:rollup2
REAL GOOD CAREER PATHWAY BUT WE
00:52:02.353 --> 00:52:05.022 region:rollup2
HAVE TO DEVELOP THAT PATH WE
00:52:04.221 --> 00:52:06.557 region:rollup2
DON'T HAVE THE RIGHT NOW.
00:52:05.022 --> 00:52:08.025 region:rollup2
COLLECT BUT THE NURSES DID ABOUT
00:52:06.557 --> 00:52:09.526 region:rollup2
FIFTEEN TO TWENTY YEARS AGO AND
00:52:08.025 --> 00:52:11.228 region:rollup2
AND REALLY LOOKING AT ALL THE
00:52:09.526 --> 00:52:11.795 region:rollup2
SHORTAGES AT ALL THE LEVELS. YOU
00:52:11.228 --> 00:52:13.430 region:rollup2
KNOW WE'D LIKE TO BE ABLE TO
00:52:11.795 --> 00:52:14.898 region:rollup2
WORK WITH US PET BUT ALSO WITH
00:52:13.430 --> 00:52:16.900 region:rollup2
THE REST TO BE ABLE HEALTH
00:52:14.898 --> 00:52:18.736 region:rollup2
COMMUNITY TO DEVELOP A NEW PLAN.
00:52:16.900 --> 00:52:20.904 region:rollup2
THAT ADDRESSES THE CRITICAL
00:52:18.736 --> 00:52:23.307 region:rollup2
ISSUES WE FACE NOW WORK FIRST
00:52:20.904 --> 00:52:24.541 region:rollup2
DEVELOPMENT IS THE MOST CRITICAL
00:52:23.307 --> 00:52:26.410 region:rollup2
ISSUE FOR OUR MEMBERS THAT
00:52:24.541 --> 00:52:28.746 region:rollup2
CANNOT FILL THE POSITIONS ACROSS
00:52:26.410 --> 00:52:30.180 region:rollup2
THE BOARD. AND THAT GOES TO A
00:52:28.746 --> 00:52:31.782 region:rollup2
SHORTAGE OF TREATING THE PEOPLE
00:52:30.180 --> 00:52:34.885 region:rollup2
FACING MENTAL HEALTH AND
00:52:31.782 --> 00:52:38.288 region:rollup2
SUBSTANCE USE DISORDER ISSUES
00:52:34.885 --> 00:52:39.657 region:rollup2
AND SERVICE IN THE AND THE
00:52:38.288 --> 00:52:40.424 region:rollup2
SERVICES THAT THEY NEED.
00:52:39.657 --> 00:52:41.759 region:rollup2
AND I UNDERSTAND THAT ACTUALLY
00:52:40.424 --> 00:52:42.593 region:rollup2
IN TERMS OF THE FUNDING REQUESTS
00:52:41.759 --> 00:52:44.461 region:rollup2
DOVE. WE'RE NOT LOOKING FOR
00:52:42.593 --> 00:52:46.664 region:rollup2
FUNDING FOR THE NEXT FIVE YEAR
00:52:44.461 --> 00:52:47.498 region:rollup2
PLAN AS TO HOW I DO. IT AND IS
00:52:46.664 --> 00:52:48.999 region:rollup2
THAT SOMETHING THAT YOU'LL BE
00:52:47.498 --> 00:52:50.968 region:rollup2
DOING WITH OSSIFIED ARE.
00:52:48.999 --> 00:52:51.735 region:rollup2
.
00:52:50.968 --> 00:52:52.202 region:rollup2
S. FIVE YEAR PLAN GOING TO BE
00:52:51.735 --> 00:52:53.037 region:rollup2
PUT TOGETHER.
00:52:52.202 --> 00:52:55.439 region:rollup2
AND HOW THAT CAN BE SUPPORTED.
00:52:53.037 --> 00:52:56.306 region:rollup2
AND.
00:52:55.439 --> 00:52:59.343 region:rollup2
IN STATUTE.
00:52:56.306 --> 00:53:01.145 region:rollup2
HOSPITALS REQUIRED TO DEVELOP.
00:52:59.343 --> 00:53:03.447 region:rollup2
A FIVE YEAR PLAN EVERY FIVE
00:53:01.145 --> 00:53:05.616 region:rollup2
YEARS OF THE NEXT ONE IS DOING
00:53:03.447 --> 00:53:06.817 region:rollup2
TWENTY NINETEEN. I AM RIGHT NOW
00:53:05.616 --> 00:53:08.052 region:rollup2
WE HAVE SEVERAL INTERNAL
00:53:06.817 --> 00:53:09.486 region:rollup2
INITIATIVES WHICH WERE FUNDED
00:53:08.052 --> 00:53:10.854 region:rollup2
THROUGH THE EXISTING FIVE YEAR
00:53:09.486 --> 00:53:13.791 region:rollup2
PLAN.
00:53:10.854 --> 00:53:16.360 region:rollup2
WHICH INCLUDED AT PROJECTIONS
00:53:13.791 --> 00:53:19.463 region:rollup2
OF DEMAND THROUGHOUT THE STATE.
00:53:16.360 --> 00:53:20.731 region:rollup2
WE HAVE A CONTRACT WHERE WE'RE
00:53:19.463 --> 00:53:22.633 region:rollup2
GOING TO BE GATHERING
00:53:20.731 --> 00:53:24.935 region:rollup2
STAKEHOLDER INPUT ON WHAT THE
00:53:22.633 --> 00:53:27.171 region:rollup2
NEEDS ARE THROUGHOUT THE STATE.
00:53:24.935 --> 00:53:29.173 region:rollup2
AND WE HAVE A CONTRACTOR ON
00:53:27.171 --> 00:53:32.009 region:rollup2
BOARD TO EVALUATE OUR CURRENT
00:53:29.173 --> 00:53:33.744 region:rollup2
PROGRAMS.
00:53:32.009 --> 00:53:35.179 region:rollup2
THAT'S ALREADY COULD BE
00:53:33.744 --> 00:53:37.014 region:rollup2
SUPPORTED. MAY ACTUALLY ALRIGHT
00:53:35.179 --> 00:53:40.017 region:rollup2
AND.
00:53:37.014 --> 00:53:41.318 region:rollup2
THAT IT IN TERMS OF BOTH THOSE
00:53:40.017 --> 00:53:42.152 region:rollup2
AT HOME BOTH PARTIES TO
00:53:41.318 --> 00:53:43.654 region:rollup2
QUESTIONS HERE SO. THE PRIOR
00:53:42.152 --> 00:53:44.955 region:rollup2
FIVE YEAR PLAN ADDRESSED THE
00:53:43.654 --> 00:53:46.290 region:rollup2
FUNDING ISSUE I MEAN OUT OF
00:53:44.955 --> 00:53:47.658 region:rollup2
PEOPLE DISSIPATED THAT IT WILL
00:53:46.290 --> 00:53:49.359 region:rollup2
BE SURE. THAT THAT THE MONEY WAS
00:53:47.658 --> 00:53:51.061 region:rollup2
GONNA RUN OUT FOR YEARS AND THAT
00:53:49.359 --> 00:53:53.464 region:rollup2
IN TERMS OF THE FUTURE FIVE YEAR
00:53:51.061 --> 00:53:54.932 region:rollup2
PLAN THAT YOU'RE OBLIGATED TO DO
00:53:53.464 --> 00:53:55.966 region:rollup2
UNDER STATUTE.
00:53:54.932 --> 00:53:57.534 region:rollup2
AS ACTED ALSO DRESSED FUNDING
00:53:55.966 --> 00:53:58.669 region:rollup2
FUNDING SOURCES.
00:53:57.534 --> 00:54:06.176 region:rollup2
AS WELL FOR. ADDRESSING THE
00:53:58.669 --> 00:54:07.311 region:rollup2
WORKFORCE.
00:54:06.176 --> 00:54:08.245 region:rollup2
SO I WOULD NOTE THAT IN THE
00:54:07.311 --> 00:54:09.480 region:rollup2
ORIGINAL.
00:54:08.245 --> 00:54:12.015 region:rollup2
TWENTY FOURTEEN TO TWENTY
00:54:09.480 --> 00:54:13.417 region:rollup2
NINETEEN PLAN THE BUDGET ALWAYS
00:54:12.015 --> 00:54:14.718 region:rollup2
BEEN A DISPLAY THAT LASTING
00:54:13.417 --> 00:54:17.821 region:rollup2
UNTIL THE END OF TWENTY
00:54:14.718 --> 00:54:19.590 region:rollup2
SEVENTEEN. I EIGHTEEN. AND THAT
00:54:17.821 --> 00:54:21.091 region:rollup2
TIME AT THIS TIME WE DO NOT KNOW
00:54:19.590 --> 00:54:22.292 region:rollup2
IF THE NEXT PLAN WILL INCLUDE
00:54:21.091 --> 00:54:23.794 region:rollup2
PAN.
00:54:22.292 --> 00:54:24.895 region:rollup2
D. THAT SPECIFIC FUNDING
00:54:23.794 --> 00:54:26.196 region:rollup2
BUDGETED AND I WOULD ALSO NOTE
00:54:24.895 --> 00:54:28.665 region:rollup2
THAT A PLAN.
00:54:26.196 --> 00:54:30.567 region:rollup2
DOESN'T NECESSARILY INCLUDE.
00:54:28.665 --> 00:54:31.935 region:rollup2
SPECIFIC FUNDING FOR PROGRAMS
00:54:30.567 --> 00:54:33.470 region:rollup2
THERE'S ALSO ADDITIONAL
00:54:31.935 --> 00:54:34.571 region:rollup2
ACTIVITIES IN A PLAN SUCH AS
00:54:33.470 --> 00:54:36.273 region:rollup2
CREATING AT A STRATEGIC
00:54:34.571 --> 00:54:39.042 region:rollup2
FRAMEWORK FOR THE FOR THE STATE
00:54:36.273 --> 00:54:39.543 region:rollup2
BUT NOT NECESSARILY. A SPECIFIC
00:54:39.042 --> 00:54:42.379 region:rollup2
OUT OF FUNDING. BOTTOM.
00:54:39.543 --> 00:54:43.614 region:rollup2
THANK YOU.
00:54:42.379 --> 00:54:44.248 region:rollup2
I CERTAINLY UNDERSTAND PLAN
00:54:43.614 --> 00:54:54.792 region:rollup2
DOESN'T HAVE TO INCLUDE FOR NEXT
00:54:44.248 --> 00:54:57.661 region:rollup2
FIVE YEAR PLAN BUT
00:54:54.792 --> 00:55:00.364 region:rollup2
WITHOUT. ANY.
00:54:57.661 --> 00:55:03.133 region:rollup2
WOULDN'T DO PLEDGES DO ATTEND TO
00:55:00.364 --> 00:55:04.601 region:rollup2
IT DICE TRY TO ADDRESS THAT SOME
00:55:03.133 --> 00:55:05.669 region:rollup2
OF THE AT LEAST SOME OF THE
00:55:04.601 --> 00:55:07.171 region:rollup2
FUNDING ISSUES THAT THAT WOULD
00:55:05.669 --> 00:55:09.873 region:rollup2
BE NECESSARY TO IMPLEMENT.
00:55:07.171 --> 00:55:12.709 region:rollup2
WHATEVER PLAN YOU COME UP WITH
00:55:09.873 --> 00:55:13.811 region:rollup2
THE FOLLOWING FIVE YEARS.
00:55:12.709 --> 00:55:14.678 region:rollup2
AB RECEIVE FINANCE I I JUST
00:55:13.811 --> 00:55:15.279 region:rollup2
DON'T KNOW THAT WERE IN A
00:55:14.678 --> 00:55:15.979 region:rollup2
POSITION RIGHT NOW TO COMMIT
00:55:15.279 --> 00:55:18.549 region:rollup2
FUTURE GOVERNORS AND
00:55:15.979 --> 00:55:19.850 region:rollup2
LEGISLATURES TO THE I MEAN YOU
00:55:18.549 --> 00:55:21.752 region:rollup2
KNOW.
00:55:19.850 --> 00:55:24.054 region:rollup2
USING THIS FUNDS SOURCE I'M IN A
00:55:21.752 --> 00:55:26.823 region:rollup2
WAYS THAT BUT ARE NOT IN VISION
00:55:24.054 --> 00:55:28.625 region:rollup2
RIGHT NOW THOUGH I AM BOATS OF
00:55:26.823 --> 00:55:29.827 region:rollup2
THIS WHY I'M NOT ASKING THAT WE
00:55:28.625 --> 00:55:32.162 region:rollup2
MAKE A COMMITMENT TODAY I'M JUST
00:55:29.827 --> 00:55:33.130 region:rollup2
ASKING THAT IN THE DEVELOPMENT
00:55:32.162 --> 00:55:33.730 region:rollup2
OF A PLAN.
00:55:33.130 --> 00:55:35.232 region:rollup2
WELL AS POINTED OUT IT'S NOT
00:55:33.730 --> 00:55:35.866 region:rollup2
NECESSARY TO DRESS FUNDING.
00:55:35.232 --> 00:55:36.600 region:rollup2
IF YOU REALLY WANT TO IMPLEMENT
00:55:35.866 --> 00:55:38.335 region:rollup2
A PLAN YOU NEED TO IDENTIFY
00:55:36.600 --> 00:55:40.504 region:rollup2
RESOURCES SO. I ASSUME THAT
00:55:38.335 --> 00:55:42.306 region:rollup2
SOMETHING THAT WOULD BE DONE BY
00:55:40.504 --> 00:55:43.073 region:rollup2
OUR SPOT AND STAKEHOLDER SILLY
00:55:42.306 --> 00:55:44.141 region:rollup2
THAT'S BEING DONE LATEST RATIONS
00:55:43.073 --> 00:55:44.708 region:rollup2
SO I'M NOT AND ON THAT PRE
00:55:44.141 --> 00:55:46.076 region:rollup2
DECLARING THE PLAN RIGHT UP
00:55:44.708 --> 00:55:47.444 region:rollup2
HERE.
00:55:46.076 --> 00:55:49.413 region:rollup2
ARE SAYING THAT WE SHOULD BE
00:55:47.444 --> 00:55:50.614 region:rollup2
PUTTING INTO THE BUDGET EXACTLY
00:55:49.413 --> 00:55:51.648 region:rollup2
THE FOR
00:55:50.614 --> 00:55:52.449 region:rollup2
A SOURCE FOR THE NEXT FIVE YEAR
00:55:51.648 --> 00:55:53.483 region:rollup2
PLAN WHICH HASN'T EVEN BEEN PUT
00:55:52.449 --> 00:55:54.117 region:rollup2
TOGETHER YET I'M
00:55:53.483 --> 00:55:56.787 region:rollup2
IT'S ASKING WHETHER THE
00:55:54.117 --> 00:55:57.221 region:rollup2
INTENTION IS OF. THE.
00:55:56.787 --> 00:55:58.188 region:rollup2
I'VE FOUGHT AND THE
00:55:57.221 --> 00:55:59.690 region:rollup2
ADMINISTRATION AND THE
00:55:58.188 --> 00:56:01.892 region:rollup2
STAKEHOLDERS TO ACTUALLY TRY TO
00:55:59.690 --> 00:56:02.960 region:rollup2
DRESS FUNDING ISSUES WHEREVER
00:56:01.892 --> 00:56:04.528 region:rollup2
THE FUNDING MAY COME FROM A NOT
00:56:02.960 --> 00:56:06.663 region:rollup2
NECESSARY BE FROM THE STATE IN
00:56:04.528 --> 00:56:08.665 region:rollup2
THE. NEXT FIVE YEAR PLAN THAT
00:56:06.663 --> 00:56:10.667 region:rollup2
THEY'RE OBLIGATED PERFORMED BY
00:56:08.665 --> 00:56:13.470 region:rollup2
STATUTE. I I GUESS I WOULD AND I
00:56:10.667 --> 00:56:14.104 region:rollup2
WOULD URGE THAT THEY DO BUT
00:56:13.470 --> 00:56:14.838 region:rollup2
ABSENCE ASKING WHETHER THEY PLAN
00:56:14.104 --> 00:56:16.673 region:rollup2
TO.
00:56:14.838 --> 00:56:18.108 region:rollup2
YEAH I THINK THAT.
00:56:16.673 --> 00:56:19.409 region:rollup2
WE JUST HAVEN'T.
00:56:18.108 --> 00:56:20.944 region:rollup2
WE HAVE GOTTEN THERE YET SO WE
00:56:19.409 --> 00:56:21.545 region:rollup2
DON'T WE DON'T KNOW IF IT WILL
00:56:20.944 --> 00:56:22.713 region:rollup2
INCLUDE A FUNDING PLAN AT THIS
00:56:21.545 --> 00:56:24.114 region:rollup2
POINT.
00:56:22.713 --> 00:56:26.350 region:rollup2
AND WELL I I WOULD I WOULD I
00:56:24.114 --> 00:56:27.784 region:rollup2
WOULD SUGGEST THAT FOR PLAN TO
00:56:26.350 --> 00:56:29.553 region:rollup2
TO TO TO.
00:56:27.784 --> 00:56:31.321 region:rollup2
TO HAVE.
00:56:29.553 --> 00:56:33.390 region:rollup2
THREE IMPLEMENTABLE THAT AT
00:56:31.321 --> 00:56:35.158 region:rollup2
LEAST SOME IDENTIFICATION EFFORT
00:56:33.390 --> 00:56:36.727 region:rollup2
TO ADDRESS RESOURCES AND
00:56:35.158 --> 00:56:38.662 region:rollup2
DEDICATE RESOURCES AND THEY MAY
00:56:36.727 --> 00:56:39.596 region:rollup2
NOT ENOUGH MAY NOT NECESSARILY
00:56:38.662 --> 00:56:41.598 region:rollup2
BE FROM THE STATE AND MAYBE.
00:56:39.596 --> 00:56:43.033 region:rollup2
BUT IT'S
00:56:41.598 --> 00:56:44.701 region:rollup2
ONE THING TO SAY WE NEED X. Y.
00:56:43.033 --> 00:56:45.869 region:rollup2
AND Z. AND THEN SAY WELL IT'S
00:56:44.701 --> 00:56:47.537 region:rollup2
EVERYONE ELSE'S PROM THE FIGURE
00:56:45.869 --> 00:56:49.106 region:rollup2
OUT HOW WE GET THERE. AND.
00:56:47.537 --> 00:56:51.108 region:rollup2
I HOPE THAT.
00:56:49.106 --> 00:56:52.609 region:rollup2
IN IN DEVELOPMENT THE NEXT FIVE
00:56:51.108 --> 00:56:55.145 region:rollup2
YEAR PLAN AS WELL.
00:56:52.609 --> 00:56:56.079 region:rollup2
TO TRY JUSTICE RESOURCE ISSUES
00:56:55.145 --> 00:56:57.981 region:rollup2
AND THAT'S ALSO WHY AFTER THE
00:56:56.079 --> 00:56:59.650 region:rollup2
LAST FIVE YEAR PLAN ALSO ADDRESS
00:56:57.981 --> 00:57:02.653 region:rollup2
RESOURCE ISSUES AS WELL BECAUSE
00:56:59.650 --> 00:57:04.655 region:rollup2
I THINK WE. DON'T WANT PLANNED
00:57:02.653 --> 00:57:07.591 region:rollup2
THEY SHOULD SIT ON SEATS SHELVES
00:57:04.655 --> 00:57:09.626 region:rollup2
WE WANT PLANS THAT CAN BE
00:57:07.591 --> 00:57:10.894 region:rollup2
IMPLEMENTED SO AS WELL.
00:57:09.626 --> 00:57:11.361 region:rollup2
I GUESS WE'LL LEAVE IT AT THAT.
00:57:10.894 --> 00:57:12.896 region:rollup2
THING MILLER QUESTIONS
00:57:11.361 --> 00:57:15.766 region:rollup2
ALRIGHT.
00:57:12.896 --> 00:57:17.934 region:rollup2
OKAY WELL WE WILL HOLD THIS
00:57:15.766 --> 00:57:19.736 region:rollup2
ITEM OPEN AND TERMS OF THAT
00:57:17.934 --> 00:57:20.537 region:rollup2
STAKEHOLDER PROPOSAL.
00:57:19.736 --> 00:57:22.072 region:rollup2
SO I APPRECIATE YOUR
00:57:20.537 --> 00:57:24.775 region:rollup2
PRESENTATION THANK YOU VERY MUCH
00:57:22.072 --> 00:57:26.443 region:rollup2
THANK YOU. OKAY SO LET'S GO
00:57:24.775 --> 00:57:26.843 region:rollup2
AHEAD AND MOVE ON TO.
00:57:26.443 --> 00:57:28.879 region:rollup2
ISSUE ITEM NUMBER
00:57:26.843 --> 00:57:30.647 region:rollup2
TO.
00:57:28.879 --> 00:57:32.449 region:rollup2
WHICH IS A.
00:57:30.647 --> 00:57:35.652 region:rollup2
RELATED TO IMPLEMENTATION OF S.
00:57:32.449 --> 00:57:37.154 region:rollup2
B. SEVENTEEN.
00:57:35.652 --> 00:57:38.755 region:rollup2
THANK YOU THANK YOU SCOTT
00:57:37.154 --> 00:57:39.890 region:rollup2
CHRISTMAS ADOPTED WRITER OFTEN.
00:57:38.755 --> 00:57:40.590 region:rollup2
AS THOSE DIRECTOR DAVID
00:57:39.890 --> 00:57:42.492 region:rollup2
OUTLINED.
00:57:40.590 --> 00:57:43.827 region:rollup2
THAT WERE WERE NOW ANDASIAN
00:57:42.492 --> 00:57:45.862 region:rollup2
IMPLEMENTING SP SEVENTEEN
00:57:43.827 --> 00:57:47.931 region:rollup2
PROVISIONS OF OF OF THE NEW LAW.
00:57:45.862 --> 00:57:49.733 region:rollup2
THE PROPOSAL SPECIFICALLY FOR
00:57:47.931 --> 00:57:50.734 region:rollup2
THREE POSITIONS IN FISCAL YEAR
00:57:49.733 --> 00:57:53.170 region:rollup2
EIGHTEEN NINETEEN.
00:57:50.734 --> 00:57:54.171 region:rollup2
REALLY INTENDED TO TO WORK ON
00:57:53.170 --> 00:57:57.741 region:rollup2
REGULATIONS SYSTEMS AND
00:57:54.171 --> 00:57:59.643 region:rollup2
PROCESSES FOR THE COLLECTION.
00:57:57.741 --> 00:58:01.278 region:rollup2
MANAGEMENT MOSTLY PUBLICATION
00:57:59.643 --> 00:58:08.785 region:rollup2
OF A COST INCREASE.
00:58:01.278 --> 00:58:09.286 region:rollup2
DATA FOR PRESCRIPTION DRUG.
00:58:08.785 --> 00:58:11.088 region:rollup2
RIGHT ANY COMMENTS THAT
00:58:09.286 --> 00:58:14.925 region:rollup2
FAMILIAR.
00:58:11.088 --> 00:58:16.360 region:rollup2
NOPE FINANCE.
00:58:14.925 --> 00:58:18.495 region:rollup2
IT IS NOT THAT THAT WE YOU
00:58:16.360 --> 00:58:20.797 region:rollup2
SUPPORT AT THIS BUDGETARY
00:58:18.495 --> 00:58:21.398 region:rollup2
PROPOSAL. IN AS A THAT
00:58:20.797 --> 00:58:22.366 region:rollup2
ACCOMPLISHES THE GOALS OF THE
00:58:21.398 --> 00:58:23.467 region:rollup2
LEGISLATION.
00:58:22.366 --> 00:58:26.336 region:rollup2
OKAY THANK YOU QUESTIONS FROM
00:58:23.467 --> 00:58:28.038 region:rollup2
COMMITTEE MEMBERS.
00:58:26.336 --> 00:58:30.841 region:rollup2
COUPLE QUESTIONS.
00:58:28.038 --> 00:58:31.108 region:rollup2
IN TERMS OF FIVE PRESHEAF THE
00:58:30.841 --> 00:58:32.576 region:rollup2
TIMELINE.
00:58:31.108 --> 00:58:34.845 region:rollup2
.
00:58:32.576 --> 00:58:36.279 region:rollup2
THEY JUST SAID. IF YOU COMPLETED
00:58:34.845 --> 00:58:37.681 region:rollup2
THE PUBLIC WORKSHOP THE DATA
00:58:36.279 --> 00:58:40.417 region:rollup2
USERS AGAINST THAT WOULD HAVE
00:58:37.681 --> 00:58:41.752 region:rollup2
BEEN. A FEW DAYS AGO OF LAST
00:58:40.417 --> 00:58:43.220 region:rollup2
WEEK CORRECT AND HOW THAT GO. BY
00:58:41.752 --> 00:58:46.256 region:rollup2
IT WENT DOING VERY WELL SO WE
00:58:43.220 --> 00:58:47.024 region:rollup2
HAD A GOOD DISCUSSION AROUND
00:58:46.256 --> 00:58:48.225 region:rollup2
DEFINITIONS THAT WILL BE.
00:58:47.024 --> 00:58:48.592 region:rollup2
AND THE REGULATIONS PACKAGE AS
00:58:48.225 --> 00:58:50.093 region:rollup2
WELL AS.
00:58:48.592 --> 00:58:51.495 region:rollup2
DATA ELEMENTS TO BE INCLUDED IN
00:58:50.093 --> 00:58:53.263 region:rollup2
A.
00:58:51.495 --> 00:58:54.798 region:rollup2
AROUND COST INCREASES AND IT
00:58:53.263 --> 00:58:56.166 region:rollup2
WILL ALSO WORK TO SOME. USE
00:58:54.798 --> 00:58:59.536 region:rollup2
CASES HOW HOW MY TUESDAY TO BE
00:58:56.166 --> 00:59:00.470 region:rollup2
USED IN ANALYSIS AND AND
00:58:59.536 --> 00:59:02.039 region:rollup2
INFORMING THAT PERSON DECISIONS.
00:59:00.470 --> 00:59:02.973 region:rollup2
OKAY AND THE OTHER QUESTION I
00:59:02.039 --> 00:59:05.042 region:rollup2
HAD IS IS THAT.
00:59:02.973 --> 00:59:07.044 region:rollup2
SO IN TERMS OF NOTIFICATION I
00:59:05.042 --> 00:59:10.580 region:rollup2
UNDERSTAND YOUR YOU PUT TOGETHER
00:59:07.044 --> 00:59:12.783 region:rollup2
A SERVER DATABASE OF PURCHASERS.
00:59:10.580 --> 00:59:14.751 region:rollup2
I MEAN IS THAT.
00:59:12.783 --> 00:59:16.520 region:rollup2
THIS BUT SO DO.
00:59:14.751 --> 00:59:18.055 region:rollup2
IN TERMS OF PEOPLE WHO WANT
00:59:16.520 --> 00:59:19.556 region:rollup2
NOTIFICATION IS THERE SOME SIR
00:59:18.055 --> 00:59:22.826 region:rollup2
REVIEWS TO BE SURE THAT THE
00:59:19.556 --> 00:59:24.528 region:rollup2
PURCHASERS PURDAH LA. THE JUST
00:59:22.826 --> 00:59:26.530 region:rollup2
OPEN ENDED TIME WHAT KIND OF
00:59:24.528 --> 00:59:28.165 region:rollup2
PROCESSES I SPIED USING IN TERMS
00:59:26.530 --> 00:59:30.567 region:rollup2
OF. NOT BEING SURE THAT THE
00:59:28.165 --> 00:59:31.068 region:rollup2
INFORMATION IS GOING TO
00:59:30.567 --> 00:59:31.201 region:rollup2
APPROPRIATE PEOPLE AND.
00:59:31.068 --> 00:59:31.768 region:rollup2
.
00:59:31.201 --> 00:59:33.804 region:rollup2
.
00:59:31.768 --> 00:59:35.138 region:rollup2
SO YEAH.
00:59:33.804 --> 00:59:36.673 region:rollup2
IF THEY THINK THEM SO YEAH AT
00:59:35.138 --> 00:59:39.042 region:rollup2
THIS TIME WE WE BASICALLY.
00:59:36.673 --> 00:59:40.110 region:rollup2
YOU SET UP UP A BASIC ONLINE
00:59:39.042 --> 00:59:42.412 region:rollup2
REGISTRY.
00:59:40.110 --> 00:59:43.213 region:rollup2
OUTLINED AS BASELESS SELF CERT
00:59:42.412 --> 00:59:44.948 region:rollup2
IN PROCESS
00:59:43.213 --> 00:59:45.549 region:rollup2
LANGUAGE APPROPRIATE TO
00:59:44.948 --> 00:59:47.784 region:rollup2
SO.
00:59:45.549 --> 00:59:49.419 region:rollup2
BEFORE CATEGORIES OUTLINED.
00:59:47.784 --> 00:59:52.823 region:rollup2
IN IN THE LAW ARE SORT OF.
00:59:49.419 --> 00:59:54.858 region:rollup2
DE PROVIDED THERE AND AND MEDIA.
00:59:52.823 --> 00:59:56.359 region:rollup2
THE REGISTRANT IS ASKED TO
00:59:54.858 --> 00:59:57.561 region:rollup2
VOICE WAS LIKE ONE OF THOSE
00:59:56.359 --> 00:59:59.496 region:rollup2
STATE PURCHASER.
00:59:57.561 --> 01:00:02.299 region:rollup2
HEALTH SERVICE PLAN HEALTH
00:59:59.496 --> 01:00:03.100 region:rollup2
INSURER OR OF A PHARMACY BENEFIT
01:00:02.299 --> 01:00:04.935 region:rollup2
MANAGER.
01:00:03.100 --> 01:00:07.971 region:rollup2
SO THEIR SELF IDENTIFY IS THERE
01:00:04.935 --> 01:00:08.772 region:rollup2
ANY FORM OF VERIFICATION OF ANY
01:00:07.971 --> 01:00:10.740 region:rollup2
SORTS.
01:00:08.772 --> 01:00:11.274 region:rollup2
HOURS EACH ASSEMBLY ITSELF
01:00:10.740 --> 01:00:12.476 region:rollup2
EDUCATION AND YOUR IN THE
01:00:11.274 --> 01:00:13.477 region:rollup2
DATABASE.
01:00:12.476 --> 01:00:15.212 region:rollup2
YEAH I'M THE REQUIRED FIELDS
01:00:13.477 --> 01:00:16.847 region:rollup2
INCLUDE A YOU KNOW COMPANY AND
01:00:15.212 --> 01:00:18.381 region:rollup2
AND CONTACT SO YOU KNOW BY
01:00:16.847 --> 01:00:19.316 region:rollup2
COMPANY NAME WE DO THAT AND THEN
01:00:18.381 --> 01:00:20.584 region:rollup2
ACTUALLY WE'RE WE'RE KIND OF
01:00:19.316 --> 01:00:22.018 region:rollup2
MOVING NOW TO DO A LITTLE BIT
01:00:20.584 --> 01:00:23.720 region:rollup2
MORE CURATION.
01:00:22.018 --> 01:00:24.821 region:rollup2
YOU KNOW WITHOUT BEING.
01:00:23.720 --> 01:00:26.990 region:rollup2
HEAVY HANDED.
01:00:24.821 --> 01:00:27.958 region:rollup2
IN TERMS OF OF YOU KNOW
01:00:26.990 --> 01:00:29.326 region:rollup2
VALIDATING THAT THOSE COMPANIES
01:00:27.958 --> 01:00:32.462 region:rollup2
ARE ACTUALLY ONE OF THOSE
01:00:29.326 --> 01:00:34.064 region:rollup2
CATEGORIES A PURCHASER.
01:00:32.462 --> 01:00:35.899 region:rollup2
OKAY NOTE THAT WE DO CERTAINLY
01:00:34.064 --> 01:00:37.634 region:rollup2
DON'T WANT TO GO SCOURGE PEOPLE
01:00:35.899 --> 01:00:40.337 region:rollup2
WHO WHO ARE LEGITIMATELY NEED
01:00:37.634 --> 01:00:41.805 region:rollup2
THAT INFORMATION THAT I MAKE IT
01:00:40.337 --> 01:00:43.440 region:rollup2
TOO ONEROUS BUT I THINK.
01:00:41.805 --> 01:00:44.207 region:rollup2
I THINK THERE IS OF BOYS WERE
01:00:43.440 --> 01:00:45.976 region:rollup2
ABOUT THE SECURITY AND OTHER
01:00:44.207 --> 01:00:46.243 region:rollup2
TYPES OF THINGS AND SO JUST BE
01:00:45.976 --> 01:00:46.943 region:rollup2
SURE THAT.
01:00:46.243 --> 01:00:48.578 region:rollup2
.
01:00:46.943 --> 01:00:50.480 region:rollup2
WE WE KNOW WHO'S GETTING WHAT
01:00:48.578 --> 01:00:50.981 region:rollup2
CELL.
01:00:50.480 --> 01:00:52.849 region:rollup2
OKAY EXCELLENT. ALRIGHT.
01:00:50.981 --> 01:00:54.651 region:rollup2
.
01:00:52.849 --> 01:00:56.720 region:rollup2
OF TAKE PUBLIC COMMENT.
01:00:54.651 --> 01:00:58.121 region:rollup2
WELCOME.
01:00:56.720 --> 01:00:59.222 region:rollup2
MISTER CHAIR MEMBERS SARAH
01:00:58.121 --> 01:01:01.057 region:rollup2
FLOCKS IN THE CALIFORNIA LABOR
01:00:59.222 --> 01:01:03.026 region:rollup2
FEDERATION WE ARE ONE OF THE CO
01:01:01.057 --> 01:01:04.427 region:rollup2
SPONSORS OF S. B. SEVENTEEN AND
01:01:03.026 --> 01:01:07.164 region:rollup2
WE ARE HERE IN VERY STRONG
01:01:04.427 --> 01:01:09.533 region:rollup2
SUPPORT OF THE BCP FOR US PETTIT
01:01:07.164 --> 01:01:10.967 region:rollup2
TO IMPLEMENT THAT SPELL. AND
01:01:09.533 --> 01:01:12.335 region:rollup2
THIS WAS A GROUNDBREAKING
01:01:10.967 --> 01:01:13.503 region:rollup2
BREAKING PIECE OF LEGISLATION TO
01:01:12.335 --> 01:01:15.138 region:rollup2
BRING TRANSPARENCY TO
01:01:13.503 --> 01:01:16.573 region:rollup2
PRESCRIPTION DRUG PRICES WE KNEW
01:01:15.138 --> 01:01:19.676 region:rollup2
WOULD BE A NEW ISSUE AREA FOR I
01:01:16.573 --> 01:01:20.677 region:rollup2
SPED. AND THEY HAVE GONE ABOVE
01:01:19.676 --> 01:01:22.212 region:rollup2
AND BEYOND IN THEIR
01:01:20.677 --> 01:01:23.980 region:rollup2
IMPLEMENTATION OF THE BILL AND
01:01:22.212 --> 01:01:24.648 region:rollup2
YOU CAN SEE ON PAGE SIXTEEN THAT
01:01:23.980 --> 01:01:26.483 region:rollup2
THEY HAVE A VERY EXTENSIVE
01:01:24.648 --> 01:01:27.717 region:rollup2
TIMELINE. WE'VE BEEN INVOLVED
01:01:26.483 --> 01:01:29.653 region:rollup2
SINCE NOVEMBER.
01:01:27.717 --> 01:01:30.787 region:rollup2
IT IS BEEN VERY THOROUGH VERY
01:01:29.653 --> 01:01:32.289 region:rollup2
RIGOROUS WE'VE BEEN BEEN
01:01:30.787 --> 01:01:34.958 region:rollup2
IMPRESSED SO FAR AND LOOK
01:01:32.289 --> 01:01:36.092 region:rollup2
FORWARD TO SEEING. MORE OF THE
01:01:34.958 --> 01:01:37.027 region:rollup2
PRODUCT IN WORKING FOR THEM.
01:01:36.092 --> 01:01:38.828 region:rollup2
SINCE I HAVE TO LEAVE I ALSO DO
01:01:37.027 --> 01:01:40.864 region:rollup2
A PLUG FOR DEBATE SEIZE
01:01:38.828 --> 01:01:42.933 region:rollup2
INCREDIBLE WORK AND I AM ALSO
01:01:40.864 --> 01:01:43.934 region:rollup2
HERE IN SUPPORT OF THEIR BCP FOR
01:01:42.933 --> 01:01:45.902 region:rollup2
S. B. SEVENTEEN THANK YOU.
01:01:43.934 --> 01:01:47.804 region:rollup2
THANK YOU.
01:01:45.902 --> 01:01:48.772 region:rollup2
WELCOME TO MORNING MISTER
01:01:47.804 --> 01:01:50.273 region:rollup2
CHAIRMAN MEMBERS MARY ABOUT IS
01:01:48.772 --> 01:01:51.575 region:rollup2
WITH HEALTHAXIS CALIFORNIA WHERE
01:01:50.273 --> 01:01:53.643 region:rollup2
THE SATE WHAT HEALTH CONSUMER
01:01:51.575 --> 01:01:54.711 region:rollup2
ADVOCACY COALITION ADVOCATING
01:01:53.643 --> 01:01:56.746 region:rollup2
FOR AFFORDABLE QUALITY
01:01:54.711 --> 01:01:57.380 region:rollup2
HEALTHCARE FOR ALL A WE ALSO
01:01:56.746 --> 01:01:59.749 region:rollup2
WANT TO ECHO.
01:01:57.380 --> 01:02:01.017 region:rollup2
THE COMMENTS FROM OUR CO
01:01:59.749 --> 01:02:02.586 region:rollup2
SPONSORS AT THE CALIBER OF FAT
01:02:01.017 --> 01:02:03.887 region:rollup2
CAT AND HEALTH ACCESS WITH A
01:02:02.586 --> 01:02:05.855 region:rollup2
PROUD CO SPONSOR OF THE MEASURE
01:02:03.887 --> 01:02:07.057 region:rollup2
ONE I THINK I WAS PAID FOR ALL
01:02:05.855 --> 01:02:09.226 region:rollup2
OF THE WORK TO IMPLEMENT THE
01:02:07.057 --> 01:02:10.794 region:rollup2
BILL WE ARE ALSO. VERY HAPPY
01:02:09.226 --> 01:02:13.496 region:rollup2
WITH THE PROGRESS AND.
01:02:10.794 --> 01:02:14.931 region:rollup2
LOOK FORWARD TO CONTINUE
01:02:13.496 --> 01:02:16.733 region:rollup2
WORKING WITH YOU.
01:02:14.931 --> 01:02:18.335 region:rollup2
I THINK YOU'RE WELCOME.
01:02:16.733 --> 01:02:19.736 region:rollup2
I GOTTA TELL ON BEHALF OF TO THE
01:02:18.335 --> 01:02:21.605 region:rollup2
OTHER CO SPONSORS OF THIS
01:02:19.736 --> 01:02:23.573 region:rollup2
HISTORIC MEASURE TEAMSTERS AND
01:02:21.605 --> 01:02:25.075 region:rollup2
UNITE HERE TECAU THE OTHER
01:02:23.573 --> 01:02:27.043 region:rollup2
COMMENTS AND ALSO ON BEHALF OF
01:02:25.075 --> 01:02:28.411 region:rollup2
SEA PEN WITH SUPPORTERS OF THE
01:02:27.043 --> 01:02:30.347 region:rollup2
MEASURE THANK YOU.
01:02:28.411 --> 01:02:31.481 region:rollup2
THANK YOU WELCOME. LINDA AWAY
01:02:30.347 --> 01:02:33.049 region:rollup2
WITH WESTERN CENTER ON LAW AND
01:02:31.481 --> 01:02:36.019 region:rollup2
POVERTY WE SUPPORTED THE
01:02:33.049 --> 01:02:36.853 region:rollup2
LEGISLATION IN SUPPORT THE PCV.
01:02:36.019 --> 01:02:38.788 region:rollup2
MICHELLE CAPITA WITH SEIU
01:02:36.853 --> 01:02:40.523 region:rollup2
CALIFORNIA AND WE WOULD LIKE TO
01:02:38.788 --> 01:02:41.891 region:rollup2
ALIGN OURSELVES WITH THE AYE THE
01:02:40.523 --> 01:02:43.360 region:rollup2
COMMENTS OF THE CO SPONSORS OF
01:02:41.891 --> 01:02:45.695 region:rollup2
S. B. SEVENTEEN WHICH WE ALSO
01:02:43.360 --> 01:02:47.030 region:rollup2
SUPPORTED. AND SUPPORT THE BCP
01:02:45.695 --> 01:02:48.798 region:rollup2
THANK YOU.
01:02:47.030 --> 01:02:51.067 region:rollup2
ALRIGHT THANK YOU KNOW THE
01:02:48.798 --> 01:02:52.902 region:rollup2
QUESTIONS REMEMBERS NOT.
01:02:51.067 --> 01:02:55.138 region:rollup2
OKAY WELL I THINK WE WILL LEAVE.
01:02:52.902 --> 01:02:56.273 region:rollup2
THAT ITEM ON HOLD BUT OTHERS
01:02:55.138 --> 01:02:57.407 region:rollup2
PAY LESS OBVIOUS AGENCY
01:02:56.273 --> 01:02:57.707 region:rollup2
OBVIOUSLY BUT.
01:02:57.407 --> 01:02:58.441 region:rollup2
CERTAINLY.
01:02:57.707 --> 01:02:59.976 region:rollup2
WANT TO
01:02:58.441 --> 01:03:01.678 region:rollup2
SURE THE.
01:02:59.976 --> 01:03:02.846 region:rollup2
THE THE PARK OCCUPIED HAS THE
01:03:01.678 --> 01:03:05.315 region:rollup2
RESOURCES THEY NEED TO IMPLEMENT
01:03:02.846 --> 01:03:06.483 region:rollup2
THIS VERY IMPORTANT BILL AND
01:03:05.315 --> 01:03:08.051 region:rollup2
JUST BEFORE YOU GO WHAT.
01:03:06.483 --> 01:03:09.552 region:rollup2
THINK US BUT FOR ALL THE HARD
01:03:08.051 --> 01:03:11.187 region:rollup2
WORK YOU DO YOU ARE TO THE
01:03:09.552 --> 01:03:13.256 region:rollup2
AGENCY DENTURES WE HAVE THE CAT
01:03:11.187 --> 01:03:15.225 region:rollup2
INFRASTRUCTURE WE NEED TO THAT
01:03:13.256 --> 01:03:18.294 region:rollup2
TRY TO LIVE OUR PROMISES OTHERS
01:03:15.225 --> 01:03:19.796 region:rollup2
ARE HOSPITALS ARE WORKFORCE.
01:03:18.294 --> 01:03:20.664 region:rollup2
MANY OTHER THINGS AND I NOW
01:03:19.796 --> 01:03:22.732 region:rollup2
PRESCRIPTION DRUG PLAN
01:03:20.664 --> 01:03:24.234 region:rollup2
TRANSPARENCY SO I APPRECIATE THE
01:03:22.732 --> 01:03:26.303 region:rollup2
WORK THAT YOU DO AND THANKS SO
01:03:24.234 --> 01:03:27.604 region:rollup2
MUCH FOR BEING HERE. AND YOU.
01:03:26.303 --> 01:03:30.140 region:rollup2
I THANK YOU. ALL RIGHT.
01:03:27.604 --> 01:03:31.107 region:rollup2
SO NEXT UP IS SAID THE FARMING
01:03:30.140 --> 01:03:33.943 region:rollup2
MANAGE HEALTH.
01:03:31.107 --> 01:03:51.127 region:rollup2
HERE ACTUALLY YES
01:03:33.943 --> 01:03:51.127 region:rollup2
PERMITS HEALTH CARE VIBO WELCOME
01:03:53.430 --> 01:03:55.165 region:rollup2
.
01:03:53.563 --> 01:03:56.966 region:rollup2
SO I JUST BEFORE WE START LET'S
01:03:55.165 --> 01:03:58.735 region:rollup2
DO THE ROUND ROBIN INTRODUCTIONS
01:03:56.966 --> 01:04:01.371 region:rollup2
FOR THE RECORD.
01:03:58.735 --> 01:04:02.706 region:rollup2
GOOD MORNING.
01:04:01.371 --> 01:04:03.473 region:rollup2
GOOD MORNING MARTA GREEN CHIEF
01:04:02.706 --> 01:04:04.908 region:rollup2
DEPUTY DIRECTOR DEPARTMENT
01:04:03.473 --> 01:04:05.909 region:rollup2
MANAGED HEALTH CARE.
01:04:04.908 --> 01:04:07.610 region:rollup2
JENNY PHILLIPS DEPARTMENT
01:04:05.909 --> 01:04:08.111 region:rollup2
MANAGED HEALTHCARE DEPUTY
01:04:07.610 --> 01:04:10.980 region:rollup2
DIRECTOR FOR LEGISLATIVE
01:04:08.111 --> 01:04:12.916 region:rollup2
AFFAIRS.
01:04:10.980 --> 01:04:15.118 region:rollup2
RAMBLES ELIO.
01:04:12.916 --> 01:04:16.152 region:rollup2
ORANGE ON DEPARTMENT OF FINANCE.
01:04:15.118 --> 01:04:17.921 region:rollup2
ADAM TO RECEIVE FINANCE IF YOU
01:04:16.152 --> 01:04:19.255 region:rollup2
ARE.
01:04:17.921 --> 01:04:21.157 region:rollup2
WE BEGIN WITH THE.
01:04:19.255 --> 01:04:22.659 region:rollup2
OVERVIEW AND.
01:04:21.157 --> 01:04:23.793 region:rollup2
CAN TAKE THE HIGHLIGHTS SO IF
01:04:22.659 --> 01:04:25.428 region:rollup2
YOU.
01:04:23.793 --> 01:04:26.463 region:rollup2
THANK YOU OTHER MISSION OF THE
01:04:25.428 --> 01:04:28.098 region:rollup2
DEPARTMENT MANAGED HEALTH CARE
01:04:26.463 --> 01:04:30.033 region:rollup2
IS TO PROTECT CONSUMERS HEALTH
01:04:28.098 --> 01:04:31.534 region:rollup2
CARE RIGHTS AND ENSURE A STABLE
01:04:30.033 --> 01:04:32.836 region:rollup2
HEALTH CARE DELIVERY SYSTEM. WE
01:04:31.534 --> 01:04:34.471 region:rollup2
DO THAT THROUGH LICENSING AND
01:04:32.836 --> 01:04:35.572 region:rollup2
REGULATING APPROXIMATELY ONE
01:04:34.471 --> 01:04:37.140 region:rollup2
HUNDRED AND TWENTY FOUR HEALTH
01:04:35.572 --> 01:04:37.707 region:rollup2
PLANS THAT PROVIDE COVERAGE TO
01:04:37.140 --> 01:04:39.209 region:rollup2
MORE THAN TWENTY SIX MILLION
01:04:37.707 --> 01:04:40.710 region:rollup2
QUE.
01:04:39.209 --> 01:04:42.011 region:rollup2
WE REGULATE APPROXIMATELY NINETY
01:04:40.710 --> 01:04:44.481 region:rollup2
PERCENT OF THE COMMERCIAL
01:04:42.011 --> 01:04:45.415 region:rollup2
COVERAGE MARKET. ARE PROPOSED AT
01:04:44.481 --> 01:04:46.750 region:rollup2
TWO THOUSAND EIGHTEEN TWO
01:04:45.415 --> 01:04:47.984 region:rollup2
THOUSAND NINETEEN BUDGET AS
01:04:46.750 --> 01:04:49.886 region:rollup2
SEVENTY NINE POINT TWO MILLION
01:04:47.984 --> 01:04:51.855 region:rollup2
DOLLARS AND DECREASE OF
01:04:49.886 --> 01:04:53.123 region:rollup2
APPROXIMATELY ONE MILLION OR ONE
01:04:51.855 --> 01:04:54.758 region:rollup2
POINT TWO PERCENT FROM THE
01:04:53.123 --> 01:04:56.025 region:rollup2
CURRENT YEAR SPENDING AUTHORITY.
01:04:54.758 --> 01:04:57.727 region:rollup2
AND WE HAVE FOUR HUNDRED AND
01:04:56.025 --> 01:04:58.928 region:rollup2
FIFTY ONE AUTHORIZED POSITIONS
01:04:57.727 --> 01:05:00.597 region:rollup2
WE ARE SPECIALLY FUNDED BY
01:04:58.928 --> 01:05:02.399 region:rollup2
ANNUAL ASSESSMENTS ON HEALTH
01:05:00.597 --> 01:05:03.867 region:rollup2
PLANS WITH NO GENERAL FUNDS I
01:05:02.399 --> 01:05:06.202 region:rollup2
CAN GIVE MORE DETAIL BUT ALL
01:05:03.867 --> 01:05:08.471 region:rollup2
POTS THERE IF YOU WOULD LIKE.
01:05:06.202 --> 01:05:09.606 region:rollup2
WHAT DID BUT YOU WANTED COVER
01:05:08.471 --> 01:05:11.741 region:rollup2
SOME OF THE PROGRAM AREAS ARE
01:05:09.606 --> 01:05:11.941 region:rollup2
JUST KINDA KEEP IT AT THAT HIGH
01:05:11.741 --> 01:05:12.742 region:rollup2
LEVEL?
01:05:11.941 --> 01:05:15.912 region:rollup2
?
01:05:12.742 --> 01:05:17.213 region:rollup2
OKAY WHAT I THINK WE CAN. THEIR.
01:05:15.912 --> 01:05:18.381 region:rollup2
ALRIGHT WELL WE KEEP ONE GUY AND
01:05:17.213 --> 01:05:20.016 region:rollup2
KEEP IT THE HIGH LEVEL AND WHAT
01:05:18.381 --> 01:05:21.050 region:rollup2
WILL DRILL DOWN SOME QUESTIONS.
01:05:20.016 --> 01:05:22.085 region:rollup2
THANK YOU OKAY.
01:05:21.050 --> 01:05:22.619 region:rollup2
SO THE RESEARCH A NUMBER OF
01:05:22.085 --> 01:05:24.154 region:rollup2
QUESTIONS OUTLINED IN THE
01:05:22.619 --> 01:05:26.055 region:rollup2
AGENDA.
01:05:24.154 --> 01:05:27.891 region:rollup2
FOR THE OVERVIEW SECTION
01:05:26.055 --> 01:05:29.859 region:rollup2
SOLDIERS KIND OF JUMP INTO THOSE
01:05:27.891 --> 01:05:31.127 region:rollup2
THE FIRST RELATED TO THE TIMELY
01:05:29.859 --> 01:05:33.329 region:rollup2
ACCESS REPORT AND A SUMMER.
01:05:31.127 --> 01:05:34.497 region:rollup2
ENDINGS.
01:05:33.329 --> 01:05:36.199 region:rollup2
AND SO AS A RESULT OF
01:05:34.497 --> 01:05:37.867 region:rollup2
SIGNIFICANT EFFORTS UNDERTAKEN
01:05:36.199 --> 01:05:38.434 region:rollup2
BY BOTH THE DEPARTMENT AS WELL
01:05:37.867 --> 01:05:40.437 region:rollup2
AS THE HEALTH PLANS THAT WE
01:05:38.434 --> 01:05:41.971 region:rollup2
REGULATE TIMELY ACCESS STATIST
01:05:40.437 --> 01:05:42.472 region:rollup2
SUBMITTED IN TWENTY SEVENTEEN
01:05:41.971 --> 01:05:43.940 region:rollup2
FOR CALENDAR YEAR TWENTY
01:05:42.472 --> 01:05:46.075 region:rollup2
SIXTEEN.
01:05:43.940 --> 01:05:47.811 region:rollup2
CONTAINED FAR FEWER ERRORS IN
01:05:46.075 --> 01:05:48.812 region:rollup2
THE TWENTY FIFTEEN DATA SO THE
01:05:47.811 --> 01:05:50.346 region:rollup2
DAMAGE HE WAS ABLE TO CREATE
01:05:48.812 --> 01:05:51.915 region:rollup2
SOME CHARTS COMPARE POINT
01:05:50.346 --> 01:05:53.383 region:rollup2
AVAILABILITY TIMES ACROSS HEALTH
01:05:51.915 --> 01:05:54.751 region:rollup2
PLANS. AND BEHAVIORAL HEALTH
01:05:53.383 --> 01:05:56.953 region:rollup2
PLANS FOR THE CALENDAR YEAR OF
01:05:54.751 --> 01:05:58.321 region:rollup2
TWENTY SIXTEEN. SO ACROSS ALL
01:05:56.953 --> 01:05:59.622 region:rollup2
APPOINTMENT TYPES THE PERCENTAGE
01:05:58.321 --> 01:06:00.590 region:rollup2
OF AVAILABLE APPOINTMENTS
01:05:59.622 --> 01:06:01.524 region:rollup2
AVAILABLE WITHIN THE WAY TIME
01:06:00.590 --> 01:06:03.459 region:rollup2
STANDARDS.
01:06:01.524 --> 01:06:04.961 region:rollup2
FOR ALL THE DIFFERENT PROVIDER
01:06:03.459 --> 01:06:06.196 region:rollup2
TYPES AN APPOINTMENT TYPES
01:06:04.961 --> 01:06:08.298 region:rollup2
RANGED FROM A HIGH OF NINETY
01:06:06.196 --> 01:06:09.365 region:rollup2
FIVE PERCENT TO A LOW OF THIRTY
01:06:08.298 --> 01:06:10.767 region:rollup2
TWO PERCENT.
01:06:09.365 --> 01:06:12.435 region:rollup2
BUT DEPOSITS BRIEFLY THERE TO
01:06:10.767 --> 01:06:13.369 region:rollup2
SAY THAT THIS DOES NOT MEAN THAT
01:06:12.435 --> 01:06:14.504 region:rollup2
ONLY THIRTY TWO PERCENT OF THE
01:06:13.369 --> 01:06:15.772 region:rollup2
ENROLLEES WERE ABLE TO GET AN
01:06:14.504 --> 01:06:17.307 region:rollup2
APPOINTMENT WHAT IT MEANS IS
01:06:15.772 --> 01:06:18.575 region:rollup2
THAT. FOR ANY GIVEN NETWORK FOR
01:06:17.307 --> 01:06:20.310 region:rollup2
ANY GIVEN PROVIDER TYPE THIRTY
01:06:18.575 --> 01:06:21.945 region:rollup2
TWO PERCENT OF THE PROVIDERS
01:06:20.310 --> 01:06:23.279 region:rollup2
THAT WERE SURVEYED HAD
01:06:21.945 --> 01:06:24.848 region:rollup2
APPOINTMENTS AVAILABLE WITHIN
01:06:23.279 --> 01:06:26.616 region:rollup2
THE TIME LAPSED STANDARD. I CAN
01:06:24.848 --> 01:06:27.750 region:rollup2
ALSO PROVIDE YOU A MORE DETAILED
01:06:26.616 --> 01:06:29.052 region:rollup2
SUMMARY OF SOME OF THE SPECIFIC
01:06:27.750 --> 01:06:31.855 region:rollup2
FINDINGS IF YOU WOULD LIKE KERN
01:06:29.052 --> 01:06:33.623 region:rollup2
OR PAUSE THERE.
01:06:31.855 --> 01:06:34.924 region:rollup2
ACTUALLY OF BE IT WOULD BE
01:06:33.623 --> 01:06:36.226 region:rollup2
INTERESTED KNOWING LOW MORE
01:06:34.924 --> 01:06:37.827 region:rollup2
BECAUSE THIS IS CERTAINLY AN
01:06:36.226 --> 01:06:39.929 region:rollup2
ISSUE THAT WE HAD A GREAT
01:06:37.827 --> 01:06:42.031 region:rollup2
INTEREST IN LAST. YEAR AND OF
01:06:39.929 --> 01:06:43.633 region:rollup2
COURSE THAT WAS VERY UNFORTUNATE
01:06:42.031 --> 01:06:45.568 region:rollup2
THAT THAT THAT POINT NOSE
01:06:43.633 --> 01:06:48.538 region:rollup2
POINTED OUT THAT NINETY PERCENT
01:06:45.568 --> 01:06:49.606 region:rollup2
OF THE PLANS DO NOT HAVE. DATA
01:06:48.538 --> 01:06:51.040 region:rollup2
SUBMITTED IN THE FORM THAT
01:06:49.606 --> 01:06:52.775 region:rollup2
ALLOWED YOU TO DO THE ANALYSIS
01:06:51.040 --> 01:06:53.409 region:rollup2
SO.
01:06:52.775 --> 01:06:54.711 region:rollup2
SO WOULD LOVE TO KNOW WHAT YOU
01:06:53.409 --> 01:06:56.479 region:rollup2
HAVE RIGHT NOW. IT WAS MUCH
01:06:54.711 --> 01:06:58.114 region:rollup2
BETTER THIS YEAR SO FOR THE
01:06:56.479 --> 01:06:58.615 region:rollup2
VARIOUS DIFFERENT CATEGORIES FOR
01:06:58.114 --> 01:06:58.982 region:rollup2
URGENT APPOINTMENTS THE
01:06:58.615 --> 01:07:01.885 region:rollup2
SENATE DEMOCRATS
01:06:58.982 --> 01:07:02.519 region:rollup2
AVAILABLE.
01:07:01.885 --> 01:07:03.486 region:rollup2
A LAB STANDARDS FOR ALL SURVEYED
01:07:02.519 --> 01:07:04.821 region:rollup2
PROVIDE
01:07:03.486 --> 01:07:05.855 region:rollup2
S. RANGE FROM A HIGH OF NINETY
01:07:04.821 --> 01:07:07.290 region:rollup2
FOUR PERCENT TO A LOW OF
01:07:05.855 --> 01:07:08.892 region:rollup2
EIGHTEEN PERCENT.
01:07:07.290 --> 01:07:10.026 region:rollup2
FOR NON URGENT APPOINTMENTS THE
01:07:08.892 --> 01:07:11.694 region:rollup2
PERCENTAGE OF APPOINTMENTS
01:07:10.026 --> 01:07:12.962 region:rollup2
AVAILABLE WITHIN THE STANDARDS A
01:07:11.694 --> 01:07:14.864 region:rollup2
RANGE FROM NINETY SEVEN TO
01:07:12.962 --> 01:07:16.165 region:rollup2
THIRTY SIX PERCENT. FOR PRIMARY
01:07:14.864 --> 01:07:17.367 region:rollup2
CARE PHYSICIAN APPOINTMENTS
01:07:16.165 --> 01:07:19.269 region:rollup2
MEETING THE WAIT TIMES STANDARDS
01:07:17.367 --> 01:07:21.070 region:rollup2
FOR BOTH URGENT AND ARE NON
01:07:19.269 --> 01:07:22.605 region:rollup2
URGENT CARE RANGE FROM A HIGH OF
01:07:21.070 --> 01:07:23.973 region:rollup2
NINETY FIVE PERCENT TO A LOW OF
01:07:22.605 --> 01:07:25.174 region:rollup2
FORTY FOUR PERCENT. WELL
01:07:23.973 --> 01:07:26.509 region:rollup2
SPECIALIST APPOINTMENTS MEETING
01:07:25.174 --> 01:07:28.144 region:rollup2
THE WAY THAMES STANDARDS RANGED
01:07:26.509 --> 01:07:29.279 region:rollup2
FROM NINETY SIX PERCENT TO
01:07:28.144 --> 01:07:29.879 region:rollup2
TWENTY ONE PERCENT.
01:07:29.279 --> 01:07:31.681 region:rollup2
WITHIN.
01:07:29.879 --> 01:07:32.382 region:rollup2
BEHAVIORAL HEALTH PLANS SO THE
01:07:31.681 --> 01:07:33.950 region:rollup2
USER POWER PLANTS ARE
01:07:32.382 --> 01:07:35.518 region:rollup2
SUBCONTRACTED FROM FULL SERVICE
01:07:33.950 --> 01:07:36.986 region:rollup2
HEALTH PLANS TO DO THE FULL
01:07:35.518 --> 01:07:39.155 region:rollup2
SUITE OF BEHAVIORAL SERVICES.
01:07:36.986 --> 01:07:40.790 region:rollup2
SURVEYED PROVIDERS REPORTED
01:07:39.155 --> 01:07:42.258 region:rollup2
APPOINTMENT AVAILABILITY ACROSS
01:07:40.790 --> 01:07:43.693 region:rollup2
ALL PROVIDER TYPES WITHIN THE
01:07:42.258 --> 01:07:44.694 region:rollup2
WAIT TIMES STANDARDS FOR BOTH
01:07:43.693 --> 01:07:45.728 region:rollup2
URGENT AND NON URGENT
01:07:44.694 --> 01:07:47.964 region:rollup2
APPOINTMENTS FROM SEVENTY TWO
01:07:45.728 --> 01:07:49.232 region:rollup2
PERCENT TO SIXTY SEVEN PERCENT.
01:07:47.964 --> 01:07:50.400 region:rollup2
AND FOR URGENT APPOINTMENTS THE
01:07:49.232 --> 01:07:52.335 region:rollup2
RANGE WAS FROM FIFTY NINE
01:07:50.400 --> 01:07:53.603 region:rollup2
PERCENT TO FIFTY THREE PERCENT
01:07:52.335 --> 01:07:54.637 region:rollup2
SO THAT MEANS THAT FOR NON
01:07:53.603 --> 01:07:56.272 region:rollup2
URGENT APPOINTMENTS THE RANGE
01:07:54.637 --> 01:08:00.143 region:rollup2
WAS EIGHTY TWO EIGHTY THREE TO
01:07:56.272 --> 01:08:02.579 region:rollup2
SEVENTY TWO PERCENT.
01:08:00.143 --> 01:08:04.514 region:rollup2
AND SO ALL THAT PORTION OF THE
01:08:02.579 --> 01:08:07.083 region:rollup2
DATA A REFLECTS THE RESULTS OF
01:08:04.514 --> 01:08:09.218 region:rollup2
THE SURVEY SO ALL PLANS BUT ONE
01:08:07.083 --> 01:08:10.853 region:rollup2
CONDUCT A SURVEY TO ASSESS.
01:08:09.218 --> 01:08:12.555 region:rollup2
APPOINTMENT AVAILABILITY WITHIN
01:08:10.853 --> 01:08:13.723 region:rollup2
THE TIME LAPSED STANDARD KAISER
01:08:12.555 --> 01:08:15.558 region:rollup2
PERMANENTE DOESN'T AUDITED
01:08:13.723 --> 01:08:18.161 region:rollup2
METHOD METHODOLOGY FOR THE
01:08:15.558 --> 01:08:20.363 region:rollup2
MAJORITY OF ITS POSITIONS.
01:08:18.161 --> 01:08:22.432 region:rollup2
SO WHAT KAISER REPORTED FOR THE
01:08:20.363 --> 01:08:23.533 region:rollup2
FOLLOWING IS THAT THE PERCENTAGE
01:08:22.432 --> 01:08:24.601 region:rollup2
OF AUDITED PROVIDERS MEETING
01:08:23.533 --> 01:08:26.102 region:rollup2
APPOINTMENT WAIT TIME STANDARDS
01:08:24.601 --> 01:08:27.236 region:rollup2
ACROSS ALL PROVIDER TYPES AND
01:08:26.102 --> 01:08:28.871 region:rollup2
ALL APPOINTMENT TYPES BOTH
01:08:27.236 --> 01:08:30.006 region:rollup2
URGENT AND NON URGENT WAS EIGHTY
01:08:28.871 --> 01:08:31.040 region:rollup2
THREE PERCENT.
01:08:30.006 --> 01:08:32.342 region:rollup2
AND THE PERCENTAGE OF ALL
01:08:31.040 --> 01:08:33.509 region:rollup2
AUDITED PROVIDERS MEETING URGENT
01:08:32.342 --> 01:08:35.545 region:rollup2
APPOINTMENT STANDARDS WAS EIGHTY
01:08:33.509 --> 01:08:37.413 region:rollup2
PERCENT AND THE PERCENTAGE OF
01:08:35.545 --> 01:08:39.282 region:rollup2
ALL ADDED PROVIDERS MEETING NON
01:08:37.413 --> 01:08:40.683 region:rollup2
OR. NON URGENT APPOINTMENT
01:08:39.282 --> 01:08:42.552 region:rollup2
STANDARDS WITH EIGHTY TWO
01:08:40.683 --> 01:08:44.020 region:rollup2
PERCENT. AUDITED APPOINTMENT
01:08:42.552 --> 01:08:45.455 region:rollup2
WAIT TIMES DENTERS ACROSS BOTH
01:08:44.020 --> 01:08:47.023 region:rollup2
URGENT AND NON URGENT
01:08:45.455 --> 01:08:49.525 region:rollup2
APPOINTMENT WAS NINETY FIVE
01:08:47.023 --> 01:08:51.461 region:rollup2
PERCENT FOR PC PEAS AND EIGHTY
01:08:49.525 --> 01:08:59.235 region:rollup2
TWO PERCENT FOR SPECIALIST.
01:08:51.461 --> 01:09:00.303 region:rollup2
IT'S THE FULL SUMMARY THE DATA.
01:08:59.235 --> 01:09:01.437 region:rollup2
WOULD YOU LIKE ME TO JUMP TO THE
01:09:00.303 --> 01:09:03.773 region:rollup2
NEXT LEVEL YEAH OKAY GREAT
01:09:01.437 --> 01:09:05.241 region:rollup2
RIGIDITY GOING YES SIR SO.
01:09:03.773 --> 01:09:06.642 region:rollup2
THE NEXT QUESTION RELATED TO
01:09:05.241 --> 01:09:08.344 region:rollup2
THE STEPS THAT WERE TAKEN TO
01:09:06.642 --> 01:09:09.946 region:rollup2
ENSURE THAT THE TWENTY SEVENTEEN
01:09:08.344 --> 01:09:11.547 region:rollup2
TIMELY ACCESS REPORT APPROACH
01:09:09.946 --> 01:09:12.515 region:rollup2
REPORTS PROVIDE USEFUL
01:09:11.547 --> 01:09:14.250 region:rollup2
INFORMATION.
01:09:12.515 --> 01:09:15.284 region:rollup2
SO. REWINDING A LITTLE BIT
01:09:14.250 --> 01:09:16.786 region:rollup2
FOLLOWING THE RELEASE OF TH
01:09:15.284 --> 01:09:18.021 region:rollup2
TWENTY FIFTEEN REPORT ABOUT A
01:09:16.786 --> 01:09:19.355 region:rollup2
YEAR AGO WE TOOK A NUMBER OF
01:09:18.021 --> 01:09:20.857 region:rollup2
STEPS TO ENSURE ACCURATE
01:09:19.355 --> 01:09:22.225 region:rollup2
REPORTING INTO THE FUTURE. THE
01:09:20.857 --> 01:09:23.860 region:rollup2
STEPS INCLUDING REQUIRING THE
01:09:22.225 --> 01:09:25.361 region:rollup2
PLANS TO RETAIN DATA VALIDATORS
01:09:23.860 --> 01:09:27.397 region:rollup2
TO REVIEW AND AUTHENTICATE THE
01:09:25.361 --> 01:09:28.998 region:rollup2
TIMELY ACCESS DATA BEFORE SOME.
01:09:27.397 --> 01:09:29.732 region:rollup2
SEEN AND TWENTY SEVENTEEN
01:09:28.998 --> 01:09:31.200 region:rollup2
COMPLIANCE REPORTS TO THE DAMAGE
01:09:29.732 --> 01:09:32.468 region:rollup2
SAY.
01:09:31.200 --> 01:09:34.504 region:rollup2
WHEN WE ISSUE THE REPORT.
01:09:32.468 --> 01:09:36.139 region:rollup2
ON THE TWENTY FIFTEEN DATA AND
01:09:34.504 --> 01:09:37.206 region:rollup2
FEBRUARY TWENTY SEVENTEEN THE
01:09:36.139 --> 01:09:38.474 region:rollup2
HEALTH PLANS HAD ALREADY
01:09:37.206 --> 01:09:40.076 region:rollup2
COMPLETED THE SURVEYS FOR TWENTY
01:09:38.474 --> 01:09:41.511 region:rollup2
SIXTEEN SO THE REPORT WE JUST
01:09:40.076 --> 01:09:43.046 region:rollup2
RELEASED THOSE SURVEYS HAD
01:09:41.511 --> 01:09:44.047 region:rollup2
ALREADY BEEN COMPLETED.
01:09:43.046 --> 01:09:46.082 region:rollup2
AND THE SERVICE THAT WERE
01:09:44.047 --> 01:09:47.550 region:rollup2
CONDUCTED FOR TWENTY SEVENTEEN
01:09:46.082 --> 01:09:49.152 region:rollup2
WAS SO OBVIOUSLY DONE LAST YEAR
01:09:47.550 --> 01:09:50.787 region:rollup2
WERE COMPLETED AFTER WE PUT A
01:09:49.152 --> 01:09:51.554 region:rollup2
LOT OF THESE MEASURES INTO PLACE
01:09:50.787 --> 01:09:52.955 region:rollup2
SO WE ANTICIPATE THERE WILL BE
01:09:51.554 --> 01:09:54.557 region:rollup2
VERY SIGNIFICANT IMPROVEMENT
01:09:52.955 --> 01:09:55.758 region:rollup2
OVER THIS YEAR'S REPORT. WHICH
01:09:54.557 --> 01:09:57.260 region:rollup2
WAS ALREADY SIGNIFICANT
01:09:55.758 --> 01:09:58.995 region:rollup2
IMPROVEMENT OVER LAST YEAR'S
01:09:57.260 --> 01:10:00.496 region:rollup2
REPORT. SO THROUGHOUT TWENTY
01:09:58.995 --> 01:10:01.764 region:rollup2
SEVENTEEN WE TOOK THE FOLLOWING
01:10:00.496 --> 01:10:03.966 region:rollup2
ADDITIONAL STEPS TO MEN MITIGATE
01:10:01.764 --> 01:10:05.334 region:rollup2
SOME OF OUR ISSUES WE HOSTED BY
01:10:03.966 --> 01:10:06.836 region:rollup2
WEEKLY WORK GROUP MEETINGS.
01:10:05.334 --> 01:10:09.172 region:rollup2
WE IMPROVE DATA ACCURACY IN THE
01:10:06.836 --> 01:10:10.540 region:rollup2
TIMELY ACCESS COMPLIANCE PROCESS
01:10:09.172 --> 01:10:11.874 region:rollup2
WE GATHERED FEEDBACK TO IMPROVE
01:10:10.540 --> 01:10:13.709 region:rollup2
OUR METHODOLOGY AND IMPROVE THE
01:10:11.874 --> 01:10:14.544 region:rollup2
DATA ACCURACY AND WE PROVIDED
01:10:13.709 --> 01:10:16.045 region:rollup2
MULTIPLE.
01:10:14.544 --> 01:10:17.180 region:rollup2
TRAININGS AND WEBINARS FOR
01:10:16.045 --> 01:10:18.915 region:rollup2
PLANTS AND OTHER PEOPLE THAT
01:10:17.180 --> 01:10:20.349 region:rollup2
WORK IN COMPLIANCE.
01:10:18.915 --> 01:10:21.717 region:rollup2
WE DEVELOPED A TECHNICAL
01:10:20.349 --> 01:10:23.119 region:rollup2
SOLUTION WITHIN THE DAMAGE CITY
01:10:21.717 --> 01:10:24.687 region:rollup2
WITH A FOCUS ON A DATA
01:10:23.119 --> 01:10:25.922 region:rollup2
SUBMISSION VALIDATION.
01:10:24.687 --> 01:10:27.724 region:rollup2
IS THAT PERFORMANCE UP FRONT
01:10:25.922 --> 01:10:29.592 region:rollup2
CHECK FOR CERTAIN FIELDS AND
01:10:27.724 --> 01:10:30.827 region:rollup2
THESE PROCESSES ABOUT REDUCE THE
01:10:29.592 --> 01:10:32.428 region:rollup2
NUMBER OF ERRORS THAT WE SAW IN
01:10:30.827 --> 01:10:33.396 region:rollup2
THIS YEAR'S DATA AND WILL
01:10:32.428 --> 01:10:35.398 region:rollup2
CONTINUE TO DO SO IN THE FUTURE.
01:10:33.396 --> 01:10:37.233 region:rollup2
AND.
01:10:35.398 --> 01:10:39.569 region:rollup2
SO THE NEXT QUESTION HAD TO DO
01:10:37.233 --> 01:10:40.937 region:rollup2
WITH RESPECT TO HOW FREQUENTLY
01:10:39.569 --> 01:10:42.505 region:rollup2
DO NON CONTRACTING PROVIDERS
01:10:40.937 --> 01:10:44.774 region:rollup2
OFFER SERVICES AND BECAUSE.
01:10:42.505 --> 01:10:46.843 region:rollup2
SPINDLES AND WHETHER OTHERS
01:10:44.774 --> 01:10:48.010 region:rollup2
CHANGES IN CONTRACT PRACTICING.
01:10:46.843 --> 01:10:48.945 region:rollup2
WITH RESPECT INCREASING THE
01:10:48.010 --> 01:10:50.379 region:rollup2
NUMBER OF CONTRA TO PROVIDERS
01:10:48.945 --> 01:10:52.048 region:rollup2
AND HOSPITALS WE DON'T HAVE A
01:10:50.379 --> 01:10:54.350 region:rollup2
CLEAR METHOD IT TO MEASURE
01:10:52.048 --> 01:10:55.218 region:rollup2
CHANGE IN THIS AREA HOWEVER WHEN
01:10:54.350 --> 01:10:56.719 region:rollup2
THE TWENTY SEVENTEEN AND OO
01:10:55.218 --> 01:10:58.621 region:rollup2
NETWORK FILINGS COMING ON MARCH
01:10:56.719 --> 01:10:59.722 region:rollup2
THIRTY FIRST OF THIS YEAR. WE
01:10:58.621 --> 01:11:01.691 region:rollup2
COULD COMPARE THE TOTAL NUMBER
01:10:59.722 --> 01:11:03.426 region:rollup2
OF HOSPITAL BASED SPECIALIST
01:11:01.691 --> 01:11:04.794 region:rollup2
THAT HEALTH PLAN HAS CONTRACTED
01:11:03.426 --> 01:11:06.295 region:rollup2
WITH WHAT THEY HAD A YEAR PRIOR
01:11:04.794 --> 01:11:08.030 region:rollup2
IT'S IT'S A BIT OF A BLUNT
01:11:06.295 --> 01:11:09.365 region:rollup2
INTEREST INSTRUMENT BUT WE COULD
01:11:08.030 --> 01:11:10.299 region:rollup2
DO THAT COMPARISON.
01:11:09.365 --> 01:11:11.467 region:rollup2
IT IT WOULD BE A LITTLE
01:11:10.299 --> 01:11:12.602 region:rollup2
SIMPLISTIC AND WOULDN'T TAKE
01:11:11.467 --> 01:11:14.070 region:rollup2
INTO ACCOUNT ANY OTHER PATTERN
01:11:12.602 --> 01:11:15.605 region:rollup2
CHANGES LIKE WHETHER THEY
01:11:14.070 --> 01:11:17.240 region:rollup2
WITHDREW FROM SERVICE AREAS AND
01:11:15.605 --> 01:11:19.842 region:rollup2
THAT'S ARE. CAUSING PART OF THE
01:11:17.240 --> 01:11:22.445 region:rollup2
CHANGE IN CONTRACTING PRACTICES.
01:11:19.842 --> 01:11:23.412 region:rollup2
OR IF THEY EXPANDED INTO A
01:11:22.445 --> 01:11:24.747 region:rollup2
SERVICE AREA THAT'S ACTUALLY
01:11:23.412 --> 01:11:26.582 region:rollup2
WHAT INCREASE THE NUMBER.
01:11:24.747 --> 01:11:28.017 region:rollup2
ALSO SINCE AB SEVENTY TWO BECAME
01:11:26.582 --> 01:11:29.585 region:rollup2
EFFECTIVE IN JULY WERE REALLY
01:11:28.017 --> 01:11:31.053 region:rollup2
WILL BUT ONLY BE SEE CHANGES
01:11:29.585 --> 01:11:32.622 region:rollup2
FROM THE LAST SIX MONTHS OF
01:11:31.053 --> 01:11:34.257 region:rollup2
TWENTY SEVENTEEN SO I'M NOT SURE
01:11:32.622 --> 01:11:36.125 region:rollup2
HOW GOOD OF A MEASURE WOULD BE
01:11:34.257 --> 01:11:36.692 region:rollup2
BUT WE COULD PERFORM THAT
01:11:36.125 --> 01:11:38.361 region:rollup2
ANALYSIS ONCE THE DATA COMES
01:11:36.692 --> 01:11:41.764 region:rollup2
AND.
01:11:38.361 --> 01:11:43.232 region:rollup2
SO AND THEN WE HAVE HOW DO WE
01:11:41.764 --> 01:11:44.600 region:rollup2
LOOK AT NON CALL HOW DOES THE
01:11:43.232 --> 01:11:46.068 region:rollup2
USE OF NON CONTRACTING PROVIDERS
01:11:44.600 --> 01:11:48.337 region:rollup2
AND CONTRACT HOSPITALS FACTOR
01:11:46.068 --> 01:11:49.739 region:rollup2
INTO THE EVALUATION OF A PLANS.
01:11:48.337 --> 01:11:51.707 region:rollup2
NETWORKS ABILITY TO PROVIDE
01:11:49.739 --> 01:11:53.242 region:rollup2
TIMELY ACCESS TO CARE. THE
01:11:51.707 --> 01:11:54.844 region:rollup2
LINKAGE TO TIMELY ACCESS TO CARE
01:11:53.242 --> 01:11:56.045 region:rollup2
AT LEAST THAT THE SURVEY THAT WE
01:11:54.844 --> 01:11:57.547 region:rollup2
CONDUCT OR THAT THAT HEALTH
01:11:56.045 --> 01:11:59.115 region:rollup2
PLANS CONDUCT AND IS A LITTLE
01:11:57.547 --> 01:11:59.849 region:rollup2
BIT OF A WEEK TIED BECAUSE
01:11:59.115 --> 01:12:02.185 region:rollup2
THEY'RE LOOKING AT APPOINTMENT
01:11:59.849 --> 01:12:04.020 region:rollup2
AVAILABILITY. AND A LOT OF THE
01:12:02.185 --> 01:12:05.721 region:rollup2
NON CONTRACTING PHYSICIANS AT
01:12:04.020 --> 01:12:06.422 region:rollup2
WORK IN HOSPITALS THEY DON'T IF
01:12:05.721 --> 01:12:07.824 region:rollup2
YOU DON'T QUALITY
01:12:06.422 --> 01:12:08.958 region:rollup2
ANESTHESIOLOGISTS FOR AN
01:12:07.824 --> 01:12:10.893 region:rollup2
APPOINTMENT AND SO THEY'RE NOT
01:12:08.958 --> 01:12:12.929 region:rollup2
SURVEYED IN THAT SAME WAY.
01:12:10.893 --> 01:12:14.230 region:rollup2
SO IT'S THE RELATIONSHIP ISN'T
01:12:12.929 --> 01:12:17.133 region:rollup2
AS STRONG FOR THE HOSPITAL BASED
01:12:14.230 --> 01:12:18.201 region:rollup2
PROVIDERS.
01:12:17.133 --> 01:12:20.236 region:rollup2
AND THAT'S I THINK A AND OTHER
01:12:18.201 --> 01:12:22.538 region:rollup2
QUESTIONS IN THE AGENDA.
01:12:20.236 --> 01:12:23.472 region:rollup2
NO THANK YOU AYE COME IT'S ON
01:12:22.538 --> 01:12:24.774 region:rollup2
THE OVERVIEW FROM BELIAU.
01:12:23.472 --> 01:12:27.577 region:rollup2
FINANCE.
01:12:24.774 --> 01:12:28.811 region:rollup2
OKAY COMMITTEE MEMBERS.
01:12:27.577 --> 01:12:30.746 region:rollup2
I HAVE A FEW QUESTIONS HERE.
01:12:28.811 --> 01:12:32.215 region:rollup2
.
01:12:30.746 --> 01:12:35.051 region:rollup2
AND TERMS OF THE.
01:12:32.215 --> 01:12:35.451 region:rollup2
SO.
01:12:35.051 --> 01:12:37.787 region:rollup2
AS YOU MENTIONED.
01:12:35.451 --> 01:12:40.089 region:rollup2
THE MAIL WE HAVE A BIT OF A LAG
01:12:37.787 --> 01:12:42.859 region:rollup2
ABOUT ONE TIME YOU DO THE SURVEY
01:12:40.089 --> 01:12:43.059 region:rollup2
AND SO I ANTICIPATE THAT NEXT
01:12:42.859 --> 01:12:44.760 region:rollup2
YEAR.
01:12:43.059 --> 01:12:46.462 region:rollup2
.
01:12:44.760 --> 01:12:49.665 region:rollup2
ARE YOU HAD MENTIONED BUT.
01:12:46.462 --> 01:12:49.932 region:rollup2
.
01:12:49.665 --> 01:12:51.234 region:rollup2
AT THAT.
01:12:49.932 --> 01:12:53.069 region:rollup2
WHEN WHEN WE PRESENT THE RESULTS
01:12:51.234 --> 01:12:55.037 region:rollup2
FOR NEXT YEAR I'M NOT GOING TO
01:12:53.069 --> 01:12:56.973 region:rollup2
HEAR ANYTHING ABOUT WELL SOMEONE
01:12:55.037 --> 01:12:58.908 region:rollup2
DIDN'T SUMMIT THE WRONG DATA DID
01:12:56.973 --> 01:13:00.276 region:rollup2
KNOW A FORMAT THAT'S ALL FIXED
01:12:58.908 --> 01:13:02.078 region:rollup2
RIGHT I AMFEELING QUITE
01:13:00.276 --> 01:13:03.079 region:rollup2
CONFIDENT THE PLANS ARE WELL ON
01:13:02.078 --> 01:13:04.747 region:rollup2
THEIR WAY TO HAVE VERY CLEAR
01:13:03.079 --> 01:13:05.348 region:rollup2
TODAY.
01:13:04.747 --> 01:13:07.116 region:rollup2
OKAY AND.
01:13:05.348 --> 01:13:08.651 region:rollup2
AND I GUESS IF THERE'S ANY
01:13:07.116 --> 01:13:10.519 region:rollup2
PLANS ARE YEARS IF YOU FEEL
01:13:08.651 --> 01:13:10.720 region:rollup2
DIFFERENTLY PLEASE LET ME KNOW
01:13:10.519 --> 01:13:13.356 region:rollup2
BUT.
01:13:10.720 --> 01:13:15.925 region:rollup2
MY EXPECTATION IS IS THAT
01:13:13.356 --> 01:13:16.926 region:rollup2
WHATEVER DATA WE HAVE NEXT YEAR.
01:13:15.925 --> 01:13:20.329 region:rollup2
IS.
01:13:16.926 --> 01:13:21.764 region:rollup2
IT IS THE IT IS MIS STATED THAT
01:13:20.329 --> 01:13:23.766 region:rollup2
WERE GONNA YOU KNOW THAT THERE'S
01:13:21.764 --> 01:13:25.401 region:rollup2
IN MANAGUA HAVE ANY ISSUES ABOUT
01:13:23.766 --> 01:13:26.936 region:rollup2
WHAT WE DO KNOW WHICH WAS A FILE
01:13:25.401 --> 01:13:28.604 region:rollup2
THAT WAS AND NOW WE ARE NOT
01:13:26.936 --> 01:13:29.238 region:rollup2
CLEAR IT'S ERA SO EXPECT A
01:13:28.604 --> 01:13:30.873 region:rollup2
HUNDRED PERCENT COMPLY.
01:13:29.238 --> 01:13:33.042 region:rollup2
IT'S RIGHT I EXPECT THAT WE WILL
01:13:30.873 --> 01:13:34.710 region:rollup2
HAVE IF NOT A HUNDRED PERCENT
01:13:33.042 --> 01:13:36.412 region:rollup2
DARN NEAR THEIR DUNURE OKAY.
01:13:34.710 --> 01:13:36.612 region:rollup2
SO THE OTHER QUESTION I HAVE IS
01:13:36.412 --> 01:13:38.381 region:rollup2
THAT.
01:13:36.612 --> 01:13:40.049 region:rollup2
.
01:13:38.381 --> 01:13:41.684 region:rollup2
NOW EVEN WITH YOUR IMPROVEMENTS
01:13:40.049 --> 01:13:42.351 region:rollup2
I YOU MAY KNOW TO THOSE RANGES.
01:13:41.684 --> 01:13:44.587 region:rollup2
THAT.
01:13:42.351 --> 01:13:46.088 region:rollup2
AND REALIZING THERE SOME
01:13:44.587 --> 01:13:47.523 region:rollup2
IMPERFECTIONS IN THE DATA BUT.
01:13:46.088 --> 01:13:49.158 region:rollup2
YELLS GOOD THAT WHEN SOMEONE'S
01:13:47.523 --> 01:13:51.727 region:rollup2
AT THAT NINETY SEVEN PERCENT.
01:13:49.158 --> 01:13:52.728 region:rollup2
AND I WOULD NOTE THOUGH THAT
01:13:51.727 --> 01:13:54.931 region:rollup2
THE STANDARDS ARE.
01:13:52.728 --> 01:13:56.232 region:rollup2
IN STATUTE CORRECT.
01:13:54.931 --> 01:13:57.600 region:rollup2
I MEAN WHAT STANDARDS ARE THERE
01:13:56.232 --> 01:13:59.101 region:rollup2
ANY DEBTS TIMELY BETTER
01:13:57.600 --> 01:14:01.504 region:rollup2
REGULATION OKAY BUT.
01:13:59.101 --> 01:14:02.872 region:rollup2
BY STATUTE NEAR ACTUALLY
01:14:01.504 --> 01:14:04.140 region:rollup2
REQUIRED TO MEET THAT IS RIGHT.
01:14:02.872 --> 01:14:06.242 region:rollup2
FOR THE WHOLE HOST HEALTH PLAN
01:14:04.140 --> 01:14:07.243 region:rollup2
NETWORK NOT EVERY PHYSICIAN AND
01:14:06.242 --> 01:14:09.445 region:rollup2
A HEALTH PLAN NETWORK IS
01:14:07.243 --> 01:14:10.346 region:rollup2
REQUIRED TO HAVE AN APPOINTMENT
01:14:09.445 --> 01:14:11.047 region:rollup2
AVAILABLE WITHIN THIS RIGHT.
01:14:10.346 --> 01:14:13.149 region:rollup2
IT'S JUST THAT WITHIN THE
01:14:11.047 --> 01:14:15.084 region:rollup2
NETWORK YOU HAVE ACCESS WITHIN
01:14:13.149 --> 01:14:16.152 region:rollup2
THAT TIME FRAME AND SO ONE OF
01:14:15.084 --> 01:14:17.386 region:rollup2
THE QUESTIONS THAT WE WILL BE
01:14:16.152 --> 01:14:18.254 region:rollup2
ENGAGING IN AS WE MOVE FOR NOW
01:14:17.386 --> 01:14:19.689 region:rollup2
THAT WE.
01:14:18.254 --> 01:14:21.090 region:rollup2
THE DATA IS WHAT IS AN
01:14:19.689 --> 01:14:22.958 region:rollup2
APPROPRIATE RATE A COMPLIANCE SO
01:14:21.090 --> 01:14:24.060 region:rollup2
WHAT PERCENTAGE OF THE NETWORK
01:14:22.958 --> 01:14:25.661 region:rollup2
SHOULD HAVE AN APPOINTMENT
01:14:24.060 --> 01:14:27.129 region:rollup2
AVAILABLE WITHIN THE TIME LAPSED
01:14:25.661 --> 01:14:28.731 region:rollup2
ENTERED TO ENSURE ACCESS TO
01:14:27.129 --> 01:14:29.732 region:rollup2
ENROLLEES. AND WE'RE THINKING
01:14:28.731 --> 01:14:31.567 region:rollup2
ABOUT THIS IN A LOT OF DIFFERENT
01:14:29.732 --> 01:14:33.169 region:rollup2
WAYS A ONE OF THE WAYS WE'RE
01:14:31.567 --> 01:14:35.271 region:rollup2
CONTEMPLATING IS AT SHOULD IT BE
01:14:33.169 --> 01:14:36.339 region:rollup2
THAT WITHIN TWO PHONE CALLS ARE
01:14:35.271 --> 01:14:37.373 region:rollup2
WITHIN THREE PHONE CALLS TO.
01:14:36.339 --> 01:14:39.408 region:rollup2
ECCLES SPEAKING WILL FIND A
01:14:37.373 --> 01:14:40.643 region:rollup2
PROVIDER THAT HAS AN APPOINTMENT
01:14:39.408 --> 01:14:42.311 region:rollup2
AVAILABLE TO YOU WHEN THE TIME
01:14:40.643 --> 01:14:43.579 region:rollup2
LAPSED ENTERED FOR SOME A LITTLE
01:14:42.311 --> 01:14:45.014 region:rollup2
BIT A CHALLENGES SO WE THINK
01:14:43.579 --> 01:14:45.881 region:rollup2
THROUGH THAT BECAUSE NOT ALL
01:14:45.014 --> 01:14:47.850 region:rollup2
HEALTH PLANS OPERATE THE SAME
01:14:45.881 --> 01:14:48.818 region:rollup2
WAY. FOR EXAMPLE CERTAIN HMO
01:14:47.850 --> 01:14:50.686 region:rollup2
PRODUCTS.
01:14:48.818 --> 01:14:52.288 region:rollup2
A LOT OF THE REFERRALS ARE DONE
01:14:50.686 --> 01:14:53.456 region:rollup2
PHYSICIAN TO PHYSICIAN AND NOT
01:14:52.288 --> 01:14:55.124 region:rollup2
THE AND REALLY MAKING A PHONE
01:14:53.456 --> 01:14:56.692 region:rollup2
CALL IT SO THERE MAY BE.
01:14:55.124 --> 01:14:58.627 region:rollup2
DIFFERENT METHODS OR DIFFERENT.
01:14:56.692 --> 01:15:00.162 region:rollup2
RATES OF COMPLAINTS STANDARDS
01:14:58.627 --> 01:15:00.997 region:rollup2
SHOULD BE APPLIED TO DIFFERENT
01:15:00.162 --> 01:15:02.298 region:rollup2
PRODUCT TYPES.
01:15:00.997 --> 01:15:03.566 region:rollup2
BUT THAT'S THAT'S THE NEXT STEP
01:15:02.298 --> 01:15:06.102 region:rollup2
IN THIS PROCESS IS TRIGGERING
01:15:03.566 --> 01:15:08.604 region:rollup2
NIGHT SO WHEN DO YOU ANTICIPATE.
01:15:06.102 --> 01:15:10.172 region:rollup2
TO WORK NOW WHEN DO YOU
01:15:08.604 --> 01:15:12.174 region:rollup2
ANTICIPATE HAVING THOSE.
01:15:10.172 --> 01:15:13.709 region:rollup2
STANDARDS ARE AT THAT PROCESS
01:15:12.174 --> 01:15:16.245 region:rollup2
AND IN PLACE.
01:15:13.709 --> 01:15:18.814 region:rollup2
THE FINAL REGULATION IS REQUIRED
01:15:16.245 --> 01:15:19.815 region:rollup2
TO BE COMPLETED BY TWENTY TONY.
01:15:18.814 --> 01:15:21.083 region:rollup2
SO WE WILL BEGIN A STAKEHOLDER
01:15:19.815 --> 01:15:22.918 region:rollup2
PROCESS THIS YEAR WITH THE FINAL
01:15:21.083 --> 01:15:24.987 region:rollup2
REGULATION COMPLETED IN TWENTY
01:15:22.918 --> 01:15:27.923 region:rollup2
TWENTY OF QUE. SE SAID TWENTY
01:15:24.987 --> 01:15:29.592 region:rollup2
TWENTY IS NOW TWENTY EIGHTEEN.
01:15:27.923 --> 01:15:30.860 region:rollup2
SO I GUESS THE OTHER QUESTION IS
01:15:29.592 --> 01:15:32.762 region:rollup2
SO BY DOING SO NEXT YEAR WHEN WE
01:15:30.860 --> 01:15:33.295 region:rollup2
GET THE THIS.
01:15:32.762 --> 01:15:35.598 region:rollup2
NEAR PERFECT DATA.
01:15:33.295 --> 01:15:38.467 region:rollup2
.
01:15:35.598 --> 01:15:40.536 region:rollup2
WHAT STANDARD DURING APPLY?
01:15:38.467 --> 01:15:42.071 region:rollup2
AND TO ENSURE THAT THE PEOPLE
01:15:40.536 --> 01:15:44.340 region:rollup2
OF CALIFORNIA HAVE.
01:15:42.071 --> 01:15:45.241 region:rollup2
APPROPRIATE ACCESS BECAUSE
01:15:44.340 --> 01:15:46.375 region:rollup2
BUT YOU'RE TELLING ME RIGHT NOW
01:15:45.241 --> 01:15:47.943 region:rollup2
IS GOING TO HAVE A STANDARDS OF
01:15:46.375 --> 01:15:49.812 region:rollup2
WEB DATA BUT WE DON'T HAVE A
01:15:47.943 --> 01:15:51.647 region:rollup2
STANDARD NEXT YEAR. SO THAT THE
01:15:49.812 --> 01:15:53.449 region:rollup2
TIME ACCESS REPORT IS ONE METHOD
01:15:51.647 --> 01:15:54.650 region:rollup2
THAT WE USE TO TRACK COMPLIANCE
01:15:53.449 --> 01:15:56.786 region:rollup2
AND FORCED TIMELY ACCESS
01:15:54.650 --> 01:15:57.920 region:rollup2
REQUIREMENTS I WITH HEALTH PLANS
01:15:56.786 --> 01:16:00.122 region:rollup2
WE ALSO LOOK AT.
01:15:57.920 --> 01:16:01.657 region:rollup2
OUR ON SITE SURVEY PROCESS TO
01:16:00.122 --> 01:16:03.626 region:rollup2
LOOK AT THE CONSUMER EXPERIENCE
01:16:01.657 --> 01:16:04.860 region:rollup2
WE HAVE OUR HELP CENTER WITH THE
01:16:03.626 --> 01:16:06.395 region:rollup2
COMPLAINTS THE CUMIN IN
01:16:04.860 --> 01:16:08.497 region:rollup2
RESOLVING THOSE AND SO. IS SO
01:16:06.395 --> 01:16:09.065 region:rollup2
IT'S THIS ISN'T THE ONLY TOOL
01:16:08.497 --> 01:16:10.466 region:rollup2
THAT WE HAVE IN THE TOOLBOX
01:16:09.065 --> 01:16:11.534 region:rollup2
I'M IT'S A VERY IMPORTANT TOOL
01:16:10.466 --> 01:16:13.135 region:rollup2
BUT WE DON'T HAVE A SPECIFIC
01:16:11.534 --> 01:16:15.404 region:rollup2
STANDARD TO SAY OKAY IF YOU
01:16:13.135 --> 01:16:17.606 region:rollup2
DON'T HAVE EIGHTY PERCENT THEN.
01:16:15.404 --> 01:16:19.108 region:rollup2
WE WE CAN PROSECUTE EASILY SO IN
01:16:17.606 --> 01:16:20.509 region:rollup2
THE AREA IN QUESTION AND AT WHAT
01:16:19.108 --> 01:16:23.179 region:rollup2
POINT WOULD SOMEONE STUDENT
01:16:20.509 --> 01:16:24.213 region:rollup2
PERFORMANCE BE SO POOR THAT YOU
01:16:23.179 --> 01:16:24.380 region:rollup2
WOULD ACTUALLY TAKE ACTION TO.
01:16:24.213 --> 01:16:26.082 region:rollup2
TO.
01:16:24.380 --> 01:16:27.817 region:rollup2
.
01:16:26.082 --> 01:16:29.752 region:rollup2
FOR LOVE PROSECUTION WHATEVER
01:16:27.817 --> 01:16:32.321 region:rollup2
ELSE I MEAN IF WE HAVE SPECIFIC
01:16:29.752 --> 01:16:34.123 region:rollup2
CASES OF OF LACK OF ACCESO WE
01:16:32.321 --> 01:16:34.590 region:rollup2
HAVE AN ENROLLEE WHO WAS NOT
01:16:34.123 --> 01:16:35.491 region:rollup2
ABLE TO SEE A CERTAIN
01:16:34.590 --> 01:16:38.260 region:rollup2
SPECIALIST.
01:16:35.491 --> 01:16:39.028 region:rollup2
WITHIN THE TIME.
01:16:38.260 --> 01:16:40.563 region:rollup2
AS A RESULT
01:16:39.028 --> 01:16:41.997 region:rollup2
WE WOULD PROCESS
01:16:40.563 --> 01:16:45.134 region:rollup2
YOU THAT OKAY SO YOU SAID
01:16:41.997 --> 01:16:46.302 region:rollup2
SPECIFIC EXAMPLES BUT SO OKC GET
01:16:45.134 --> 01:16:48.204 region:rollup2
THE DATA NEXT YEAR I KNOW YOU
01:16:46.302 --> 01:16:50.039 region:rollup2
HAVEN'T ESTABLISHED STANDARD THE
01:16:48.204 --> 01:16:51.807 region:rollup2
PLANS THAT.
01:16:50.039 --> 01:16:53.943 region:rollup2
FIFTY PERCENT.
01:16:51.807 --> 01:16:55.444 region:rollup2
FORTY PERCENT.
01:16:53.943 --> 01:16:57.179 region:rollup2
TWENTY PERCENT TEN PERCENT
01:16:55.444 --> 01:16:58.914 region:rollup2
WHERE'S THE LINE WHERE'S WHERE'S
01:16:57.179 --> 01:17:00.115 region:rollup2
WHERE'S WHERE'S THE MINIMUM LINE
01:16:58.914 --> 01:17:01.717 region:rollup2
I MEAN IT'S THAT IF IT DID WE IT
01:17:00.115 --> 01:17:03.219 region:rollup2
SO. WE DO WE SAIL WE DON'T HAVE
01:17:01.717 --> 01:17:05.120 region:rollup2
A STANDARD SO YEAR AT FIVE
01:17:03.219 --> 01:17:07.189 region:rollup2
PERCENT WERE STILL OKAY WE WON'T
01:17:05.120 --> 01:17:08.123 region:rollup2
DO ANYTHING UNTIL NEXT YEAR. WE
01:17:07.189 --> 01:17:08.958 region:rollup2
WOULD CERTAINLY FIND ANY OF
01:17:08.123 --> 01:17:11.060 region:rollup2
THOSE THE FIGURES TO BE
01:17:08.958 --> 01:17:11.861 region:rollup2
SOMETHING TO WORK WITH THE PLAN
01:17:11.060 --> 01:17:13.229 region:rollup2
DIRECTLY ONTO WE HAVE.
01:17:11.861 --> 01:17:14.964 region:rollup2
PACIFIC STANDARD THAT WE CAN
01:17:13.229 --> 01:17:18.167 region:rollup2
PROSECUTE AGAINST NO BUT WE
01:17:14.964 --> 01:17:18.167 region:rollup2
COULD WORK WITH THE PLAN ON A
01:17:18.234 --> 01:17:21.303 region:rollup2
ENSURE THAT THERE'S ACCESS SO
01:17:19.902 --> 01:17:23.339 region:rollup2
HOW LOW IS.
01:17:21.303 --> 01:17:25.241 region:rollup2
TO LOW.
01:17:23.339 --> 01:17:26.575 region:rollup2
THAT'S WHAT OUR ARE CREATING THE
01:17:25.241 --> 01:17:28.844 region:rollup2
RATE OF OUR COMPLAINTS.
01:17:26.575 --> 01:17:30.646 region:rollup2
STANDARD IS GOING TO DEFINE
01:17:28.844 --> 01:17:31.714 region:rollup2
WHAT IS TOO LOW BUT AT THE END
01:17:30.646 --> 01:17:33.682 region:rollup2
OF THE DAY OF HEALTH PLAN
01:17:31.714 --> 01:17:35.451 region:rollup2
DOESN'T HAVE A CONTRACTED
01:17:33.682 --> 01:17:36.785 region:rollup2
PROVIDERS THAT CAN PROVIDE THE
01:17:35.451 --> 01:17:38.354 region:rollup2
SERVICE WITH IN THE TIME LAPSE
01:17:36.785 --> 01:17:39.855 region:rollup2
STANDARD THAN THE HEALTH PLAN IS
01:17:38.354 --> 01:17:41.257 region:rollup2
REQUIRED TO FIND A NON CONTRACT.
01:17:39.855 --> 01:17:42.191 region:rollup2
PROVIDER AND ENSURE THAT THE
01:17:41.257 --> 01:17:43.826 region:rollup2
ENROLLEES ONLY SUBJECT TO AND
01:17:42.191 --> 01:17:45.427 region:rollup2
NETWORK CULTURE.
01:17:43.826 --> 01:17:47.963 region:rollup2
SO THAT THAT RIGHT NOW THAT IS
01:17:45.427 --> 01:17:50.299 region:rollup2
OUR BACKSTOPS.
01:17:47.963 --> 01:17:53.168 region:rollup2
OKAY I'M NOT FEELING VERY
01:17:50.299 --> 01:17:55.204 region:rollup2
CONFIDENT RIGHT NOW.
01:17:53.168 --> 01:17:58.707 region:rollup2
PAT BECAUSE FRANKLY A LOT THINGS
01:17:55.204 --> 01:18:00.676 region:rollup2
HINGE ON OUR STANDARDS OF FOR
01:17:58.707 --> 01:18:01.243 region:rollup2
BECAUSE WHAT HAPPENS IS THAT
01:18:00.676 --> 01:18:02.912 region:rollup2
SOMEONE SIGNS UP FOR HEALTH
01:18:01.243 --> 01:18:04.480 region:rollup2
PLAN.
01:18:02.912 --> 01:18:06.215 region:rollup2
THERE AND THE OTHER NOT JUST
01:18:04.480 --> 01:18:07.516 region:rollup2
SIGNING UP TO PAY PREMIUMS ARE
01:18:06.215 --> 01:18:09.985 region:rollup2
SAYING UP TO GET HEALTHCARE
01:18:07.516 --> 01:18:12.221 region:rollup2
RIGHT AND SO THEY HAVE. AND
01:18:09.985 --> 01:18:15.758 region:rollup2
THAT'S WHY WE HAVE NOT SCHEME.
01:18:12.221 --> 01:18:16.292 region:rollup2
AND SO IF THE PLAN AND WE HAVE A
01:18:15.758 --> 01:18:17.893 region:rollup2
LOT PEOPLE DOING THEIR OWN
01:18:16.292 --> 01:18:19.995 region:rollup2
NETWORKS.
01:18:17.893 --> 01:18:22.031 region:rollup2
AND IF SOMEONE CAN'T GET EN.
01:18:19.995 --> 01:18:23.766 region:rollup2
.
01:18:22.031 --> 01:18:24.967 region:rollup2
YOU WERE TELLING EVERYONE THAT
01:18:23.766 --> 01:18:25.801 region:rollup2
EVEN THOUGH WE HAVE SYSTEMS AND
01:18:24.967 --> 01:18:27.036 region:rollup2
THE PROBLEM IS THAT FOR EACH
01:18:25.801 --> 01:18:29.438 region:rollup2
INDIVIDUAL THERE NOT ONLY SURE
01:18:27.036 --> 01:18:30.973 region:rollup2
LIKE OKAY WELL WHAT SO YOU'RE
01:18:29.438 --> 01:18:33.409 region:rollup2
SAYING THAT WE WAIT FOR COMPLAIN
01:18:30.973 --> 01:18:34.143 region:rollup2
BUT ALSO WE SYSTEMATICALLY NO
01:18:33.409 --> 01:18:35.878 region:rollup2
THERE'S A PROBLEM THAT'S
01:18:34.143 --> 01:18:38.814 region:rollup2
INSANELY. YOU KNOW YOU GET DATA.
01:18:35.878 --> 01:18:40.616 region:rollup2
IF SOMEONE'S.
01:18:38.814 --> 01:18:43.052 region:rollup2
DOWN AT FIFTY PERCENT. THIRTY
01:18:40.616 --> 01:18:44.286 region:rollup2
PERCENT TEN PERCENT FIVE PERCENT
01:18:43.052 --> 01:18:45.754 region:rollup2
YOU KNOW I MEAN.
01:18:44.286 --> 01:18:47.489 region:rollup2
DID.
01:18:45.754 --> 01:18:48.958 region:rollup2
THAT'S
01:18:47.489 --> 01:18:50.159 region:rollup2
THAT SOUNDS LIKE THAT THE BIG
01:18:48.958 --> 01:18:51.627 region:rollup2
PROBLEM I MEAN IT'S GREAT YOU
01:18:50.159 --> 01:18:53.495 region:rollup2
WHY DO A CORRECTIVE ACTION PLAN
01:18:51.627 --> 01:18:55.230 region:rollup2
IT'S ONE THING IF YOU'RE CLOSE
01:18:53.495 --> 01:18:56.265 region:rollup2
BUT IF YOU'RE FAR FAR AWAY.
01:18:55.230 --> 01:18:58.534 region:rollup2
AND YOU HAVE SYSTEMATIC DATA
01:18:56.265 --> 01:19:00.102 region:rollup2
SHOWING THAT.
01:18:58.534 --> 01:19:01.670 region:rollup2
SO WE IN ADDITION TO THE TIMELY
01:19:00.102 --> 01:19:03.038 region:rollup2
ACCESS REPORT WHICH IS WHICH IS
01:19:01.670 --> 01:19:03.872 region:rollup2
REALLY MEASURING THE PERCENTAGE
01:19:03.038 --> 01:19:05.407 region:rollup2
OF PROVIDERS THAT HAVE
01:19:03.872 --> 01:19:06.809 region:rollup2
AVAILABILITY WITHIN THE SPECIFIC
01:19:05.407 --> 01:19:08.744 region:rollup2
TIME WINDOW WE'RE ALSO
01:19:06.809 --> 01:19:10.546 region:rollup2
CONDUCTING AN IN DEPTH ANALYSIS
01:19:08.744 --> 01:19:11.747 region:rollup2
ON. THE QUANTITY PENETRATION AND
01:19:10.546 --> 01:19:13.082 region:rollup2
AVAILABILITY OF THE WHOLE
01:19:11.747 --> 01:19:14.617 region:rollup2
PROVIDER ROSTER WITHIN THE
01:19:13.082 --> 01:19:15.951 region:rollup2
NETWORK SO DO YOU ARE YOU
01:19:14.617 --> 01:19:17.920 region:rollup2
MEETING THE STATUTORY AND
01:19:15.951 --> 01:19:18.988 region:rollup2
REGULATORY STANDARDS AB ONE TO
01:19:17.920 --> 01:19:21.156 region:rollup2
TWELVE HUNDRED.
01:19:18.988 --> 01:19:22.324 region:rollup2
FOR OVERALL PHYSICIAN
01:19:21.156 --> 01:19:23.993 region:rollup2
PENETRATION ONE TO TWO THOUSAND
01:19:22.324 --> 01:19:25.127 region:rollup2
FOR THE PRIMARY CARE WITH THE
01:19:23.993 --> 01:19:27.062 region:rollup2
WITH THE ALLOWED PHYSICIAN
01:19:25.127 --> 01:19:28.597 region:rollup2
EXTENDERS WE'RE ALSO LOOKING AT
01:19:27.062 --> 01:19:30.499 region:rollup2
GEOGRAPHIC ACCESS STANDARDS SO
01:19:28.597 --> 01:19:32.534 region:rollup2
THAT. IT IS ONE DATA POINT IT IS
01:19:30.499 --> 01:19:34.303 region:rollup2
A VERY SERIOUS MEASURE THAT WE
01:19:32.534 --> 01:19:35.371 region:rollup2
ARE COMMITTED TO ENSURING WE
01:19:34.303 --> 01:19:37.206 region:rollup2
HAVE A VERY STRONG COMPLIANCE
01:19:35.371 --> 01:19:38.440 region:rollup2
STANDARD FOR WE JUST DON'T HAVE
01:19:37.206 --> 01:19:40.109 region:rollup2
ESTABLISHED YET SO WE WILL
01:19:38.440 --> 01:19:41.710 region:rollup2
CONTINUE TO RELY. ON THE OTHER
01:19:40.109 --> 01:19:44.213 region:rollup2
WAYS THAT WE MEASURE ACT
01:19:41.710 --> 01:19:45.347 region:rollup2
CONSUMER ACCESS A WHILE THAT
01:19:44.213 --> 01:19:46.982 region:rollup2
STANDARD IS BEING CREATED.
01:19:45.347 --> 01:19:48.951 region:rollup2
ALRIGHT WELL I AT THE DATE ON
01:19:46.982 --> 01:19:49.685 region:rollup2
THE PEPPER NUMBERS LOOK GOOD
01:19:48.951 --> 01:19:51.287 region:rollup2
WHEN YOU'RE NINETY SEVEN NINETY
01:19:49.685 --> 01:19:52.988 region:rollup2
FIVE BUT. WE ARE SAID TO RANGE
01:19:51.287 --> 01:19:55.124 region:rollup2
GIVES AVOID THIRTY SIX FORTY
01:19:52.988 --> 01:19:56.025 region:rollup2
FIVE MINUTES FOR A FIFTY PERCENT
01:19:55.124 --> 01:19:57.493 region:rollup2
NOW. NOW.
01:19:56.025 --> 01:19:58.327 region:rollup2
SO WHAT YOU'RE TELLING AND AND
01:19:57.493 --> 01:19:59.828 region:rollup2
WHAT ARE THE THINGS WE'RE DOING
01:19:58.327 --> 01:20:00.763 region:rollup2
IS LOOKING AT A WORKING WITH A
01:19:59.828 --> 01:20:03.932 region:rollup2
STATISTICAL.
01:20:00.763 --> 01:20:05.334 region:rollup2
AB. STATISTICIAN EXCUSE ME TO
01:20:03.932 --> 01:20:07.102 region:rollup2
DETERMINE WHAT DOES THAT FROM
01:20:05.334 --> 01:20:08.871 region:rollup2
CONSUMER EXPERIENCE WHAT DOES
01:20:07.102 --> 01:20:10.272 region:rollup2
SIXTY PERCENT MAIN
01:20:08.871 --> 01:20:11.373 region:rollup2
WHAT DOES FIFTY PERCENT MEANS.
01:20:10.272 --> 01:20:12.174 region:rollup2
HOW MANY PHONE CALLS WOULD YOU
01:20:11.373 --> 01:20:13.842 region:rollup2
HAVE TO MAKE TO FIND
01:20:12.174 --> 01:20:15.811 region:rollup2
STATISTICALLY SPEAKING TO FIND A
01:20:13.842 --> 01:20:17.379 region:rollup2
PROVIDER THAT HAD AN APPOINTMENT
01:20:15.811 --> 01:20:18.514 region:rollup2
WITHIN THE TIME LAPSED STANDARD?
01:20:17.379 --> 01:20:19.348 region:rollup2
I'M AND I THINK THOSE ARE THE
01:20:18.514 --> 01:20:20.949 region:rollup2
TYPES OF QUESTIONS THAT WE'RE
01:20:19.348 --> 01:20:22.217 region:rollup2
GOING TO BE ASKED IN IS IT GONNA
01:20:20.949 --> 01:20:23.752 region:rollup2
BE STATIC ACROSS THE STATE
01:20:22.217 --> 01:20:25.087 region:rollup2
DEPENDING ON HOW MANY DIFFERENT
01:20:23.752 --> 01:20:26.488 region:rollup2
PROVIDER TYPES SERVE DIFFERENT
01:20:25.087 --> 01:20:27.756 region:rollup2
COMMUNITIES I MEAN WE ALL KNOW
01:20:26.488 --> 01:20:28.357 region:rollup2
THAT THERE'S A NUMBER OF
01:20:27.756 --> 01:20:29.491 region:rollup2
COMMUNITIES IN CALIFORNIA THAT
01:20:28.357 --> 01:20:30.459 region:rollup2
HAVE.
01:20:29.491 --> 01:20:31.927 region:rollup2
LOW PENETRATION OF SPECIALIST
01:20:30.459 --> 01:20:34.163 region:rollup2
SIR RIGHT AND SO IN THAT
01:20:31.927 --> 01:20:35.397 region:rollup2
PARTICULAR COMMUNITY IS IT GOING
01:20:34.163 --> 01:20:36.832 region:rollup2
TO BE THAT THE THREE
01:20:35.397 --> 01:20:38.867 region:rollup2
CARDIOLOGISTS OR WHATEVER THE
01:20:36.832 --> 01:20:41.003 region:rollup2
SPECIALTY TYPE IS THAT'S DEBTS
01:20:38.867 --> 01:20:42.938 region:rollup2
SERVING THAT AREA. THEY'RE
01:20:41.003 --> 01:20:44.840 region:rollup2
BOOKED HOW TWO MONTHS SO IS THE
01:20:42.938 --> 01:20:46.475 region:rollup2
STANDARD GONNA BE IDENTICAL IN
01:20:44.840 --> 01:20:47.710 region:rollup2
ALL OF THE GEOGRAPHIC REGIONS OF
01:20:46.475 --> 01:20:48.744 region:rollup2
THE STATE AND THAT SOME OF THE
01:20:47.710 --> 01:20:50.579 region:rollup2
VARIANTS HERE SAYING IN THE
01:20:48.744 --> 01:20:51.947 region:rollup2
REPORT. AND THAT'S WHY IT WE'RE
01:20:50.579 --> 01:20:53.449 region:rollup2
GOING TO HAVE SUCH AS ROBUST
01:20:51.947 --> 01:20:54.717 region:rollup2
STAKEHOLDER PROCESS TO DETERMINE
01:20:53.449 --> 01:20:55.617 region:rollup2
AN APPROPRIATE RATE OF
01:20:54.717 --> 01:20:57.619 region:rollup2
COMPLIANCE OR RATES OF
01:20:55.617 --> 01:21:00.189 region:rollup2
COMPLIANCE DEPENDING ON HOW WE
01:20:57.619 --> 01:21:02.424 region:rollup2
SLICE THIS DATA.
01:21:00.189 --> 01:21:04.059 region:rollup2
WELL. AND MARK MY CONCERN AND I
01:21:02.424 --> 01:21:05.994 region:rollup2
APPRECIATE YOUR DOING IT IS
01:21:04.059 --> 01:21:06.762 region:rollup2
THAT'S FAR OUT HIM I MEAN I
01:21:05.994 --> 01:21:07.896 region:rollup2
REALLY TAKE SOME TIME.
01:21:06.762 --> 01:21:10.432 region:rollup2
AND.
01:21:07.896 --> 01:21:11.033 region:rollup2
YEAH.
01:21:10.432 --> 01:21:13.335 region:rollup2
PEOPLE LEFT HEALTH PROBLEMS I
01:21:11.033 --> 01:21:14.703 region:rollup2
CAN'T WAIT AND WE WE KNOW THAT
01:21:13.335 --> 01:21:16.105 region:rollup2
AND I REALIZE IS IN PERFECT DATE
01:21:14.703 --> 01:21:17.639 region:rollup2
OF THE NEXT YEAR HOPEFULLY WE
01:21:16.105 --> 01:21:20.476 region:rollup2
HAVE NEAR PERFECT DATA.
01:21:17.639 --> 01:21:21.343 region:rollup2
SO WE VERY WAITED FOR TWO YEARS
01:21:20.476 --> 01:21:23.312 region:rollup2
TO GET TO THE POINT WHERE WE
01:21:21.343 --> 01:21:24.813 region:rollup2
ACTUALLY HAVE DATA I MEAN I JUST
01:21:23.312 --> 01:21:26.215 region:rollup2
FOUND IT SHOCKING LAST YEAR THAT
01:21:24.813 --> 01:21:28.317 region:rollup2
NINETY PERCENT.
01:21:26.215 --> 01:21:29.451 region:rollup2
RIGHT AND FOR WHATEVER REASON WE
01:21:28.317 --> 01:21:30.986 region:rollup2
WE WENT THROUGH SOME OF THOSE
01:21:29.451 --> 01:21:33.555 region:rollup2
REASONS OKAY.
01:21:30.986 --> 01:21:34.757 region:rollup2
ZONE THEY'RE TOLD THAT WE HAVE
01:21:33.555 --> 01:21:36.558 region:rollup2
TO WAIT TWO YEARS.
01:21:34.757 --> 01:21:39.027 region:rollup2
AND NOW I'M HEARING IS THAT EVEN
01:21:36.558 --> 01:21:41.063 region:rollup2
AFTER WE GET THE DATA.
01:21:39.027 --> 01:21:43.499 region:rollup2
THERE WILL BE STANDARDS YET.
01:21:41.063 --> 01:21:45.267 region:rollup2
I MEAN THAT'S LIKE THAT. BLACKS
01:21:43.499 --> 01:21:47.169 region:rollup2
QUINOA IS NOT SOMETHING WE JUST
01:21:45.267 --> 01:21:49.071 region:rollup2
PASSED A FEW YEARS AGO I MEAN
01:21:47.169 --> 01:21:50.506 region:rollup2
IT'S BEEN AROUND SO WHY IS IT
01:21:49.071 --> 01:21:52.307 region:rollup2
TAKING SO LONG.
01:21:50.506 --> 01:21:54.743 region:rollup2
BUT WE WILL HAVE A DRAFT THAT.
01:21:52.307 --> 01:21:55.744 region:rollup2
REGULATION OF FOR CIRCULATION
01:21:54.743 --> 01:21:58.180 region:rollup2
PUBLIC COMMENT IN TWENTY
01:21:55.744 --> 01:21:59.715 region:rollup2
NINETEEN SO ALTHOUGH WE ARE
01:21:58.180 --> 01:22:00.783 region:rollup2
DEADLINE IS TWENTY TWENTY TO
01:21:59.715 --> 01:22:02.351 region:rollup2
HAVE THE FULL STANDARDS IN
01:22:00.783 --> 01:22:03.519 region:rollup2
EFFECT IN IN PLACE THE
01:22:02.351 --> 01:22:04.820 region:rollup2
REGULATION FULLY PROBLEM.
01:22:03.519 --> 01:22:06.522 region:rollup2
I THINK WILL HAVE A VERY CLEAR
01:22:04.820 --> 01:22:08.223 region:rollup2
INDICATION BEFORE THEN WHAT AN
01:22:06.522 --> 01:22:08.824 region:rollup2
APPROPRIATE RATE OF COMPLIANCE
01:22:08.223 --> 01:22:10.626 region:rollup2
OR RATES OF COMPLIANCE SHOULD
01:22:08.824 --> 01:22:11.260 region:rollup2
BE.
01:22:10.626 --> 01:22:13.095 region:rollup2
AND THEN THE OTHER THING IS IS
01:22:11.260 --> 01:22:15.063 region:rollup2
THAT. IT WILL SEE WHAT THE
01:22:13.095 --> 01:22:17.132 region:rollup2
NUMBERS ACTUALLY TURNOUT BUT FOR
01:22:15.063 --> 01:22:18.934 region:rollup2
RIGHT NOW WEARY NO THEIR PLANS
01:22:17.132 --> 01:22:20.669 region:rollup2
THAT ARE. I MEAN.
01:22:18.934 --> 01:22:23.839 region:rollup2
BELOW FIFTY PERCENT I MEAN FIFTY
01:22:20.669 --> 01:22:25.073 region:rollup2
PERCENT OR NOT. DESERT.
01:22:23.839 --> 01:22:26.608 region:rollup2
I MEAN THESE ARE STANDARDS THAT
01:22:25.073 --> 01:22:27.843 region:rollup2
ARE.
01:22:26.608 --> 01:22:28.410 region:rollup2
THROUGH OUR IMPLEMENTED BY
01:22:27.843 --> 01:22:30.279 region:rollup2
REGULATION.
01:22:28.410 --> 01:22:32.314 region:rollup2
.
01:22:30.279 --> 01:22:33.682 region:rollup2
THIS LIKE IT I MEAN IT SHOULD BE
01:22:32.314 --> 01:22:34.983 region:rollup2
A HUNDRED PERCENT.
01:22:33.682 --> 01:22:36.852 region:rollup2
I MEAN SO THERE'S GONNA BE SOME
01:22:34.983 --> 01:22:38.554 region:rollup2
VARIATION RIGHT BUT I MEAN
01:22:36.852 --> 01:22:40.656 region:rollup2
BASICALLY AND NOW ARE SAYING
01:22:38.554 --> 01:22:41.156 region:rollup2
THAT ALL FIFTY PERCENT OKAY I
01:22:40.656 --> 01:22:42.057 region:rollup2
MEAN THAT'S HARDLY .
01:22:41.156 --> 01:22:43.458 region:rollup2
.
01:22:42.057 --> 01:22:45.294 region:rollup2
THAT'S I'VE HARDLY FIND THAT
01:22:43.458 --> 01:22:47.196 region:rollup2
ACCEPTABLE I I I I COMPLETELY
01:22:45.294 --> 01:22:48.864 region:rollup2
UNDERSTAND THAT VIC KEEP IN MIND
01:22:47.196 --> 01:22:49.364 region:rollup2
THAT I'M A HUNDRED PERCENT MEANS
01:22:48.864 --> 01:22:51.366 region:rollup2
THAT A HUNDRED PERCENT.
01:22:49.364 --> 01:22:52.601 region:rollup2
DOCTORS IN YOUR NETWORK.
01:22:51.366 --> 01:22:53.702 region:rollup2
APPOINTMENTS AVAILABLE WITHIN
01:22:52.601 --> 01:22:55.237 region:rollup2
SOME OF THE STANDARDS ARE QUITE
01:22:53.702 --> 01:22:56.839 region:rollup2
SHORT YOU KNOW THEY RANGE FROM
01:22:55.237 --> 01:22:58.273 region:rollup2
ANYWHERE FROM SEVENTY TWO HOURS
01:22:56.839 --> 01:22:59.575 region:rollup2
FOR CERTAIN TYPES OF NON URGENT
01:22:58.273 --> 01:23:01.276 region:rollup2
APPOINTMENTS ALL THE WAY UP TO.
01:22:59.575 --> 01:23:02.110 region:rollup2
THE TEN OR FIFTEEN BUSINESS DAYS
01:23:01.276 --> 01:23:04.179 region:rollup2
FOR SOME OF THE SPECIALTY
01:23:02.110 --> 01:23:05.547 region:rollup2
APPOINTMENTS AND SO I DON'T KNOW
01:23:04.179 --> 01:23:06.882 region:rollup2
THAT ANY HEALTH PLAN IS EVER
01:23:05.547 --> 01:23:07.783 region:rollup2
GOING TO HAVE A HUNDRED PERCENT
01:23:06.882 --> 01:23:09.318 region:rollup2
OF THEIR PROVIDERS.
01:23:07.783 --> 01:23:10.652 region:rollup2
HAVE APPOINTMENTS AVAILABLE
01:23:09.318 --> 01:23:12.855 region:rollup2
WITHIN THOSE TIME FRAMES BUT
01:23:10.652 --> 01:23:14.823 region:rollup2
SOME SUBSET OF THAT HUNDRED
01:23:12.855 --> 01:23:16.425 region:rollup2
PERCENT IS GOING TO NEED TO IN
01:23:14.823 --> 01:23:17.493 region:rollup2
ORDER TO ENSURE THAT ENROLLEES
01:23:16.425 --> 01:23:18.393 region:rollup2
CAN WHEN THEY NEED AN
01:23:17.493 --> 01:23:19.895 region:rollup2
APPOINTMENT WITHIN THOSE TIME
01:23:18.393 --> 01:23:21.363 region:rollup2
FRAMES GET. THEIR ONLY CAN
01:23:19.895 --> 01:23:22.764 region:rollup2
ALWAYS CHOOSE TO WAIT LONGER IF
01:23:21.363 --> 01:23:24.800 region:rollup2
THEY WANT TO GO TO A SPECIFIC
01:23:22.764 --> 01:23:26.034 region:rollup2
SPECIALIST WHO'S BACKED UP BUT
01:23:24.800 --> 01:23:27.569 region:rollup2
THEY SHOULD HAVE A SPECIAL YOU
01:23:26.034 --> 01:23:30.138 region:rollup2
YEAH BUT YOU GET WHAT I'M SAYING
01:23:27.569 --> 01:23:31.273 region:rollup2
ANNOYANCES SAID RIGHT SO SO SO
01:23:30.138 --> 01:23:34.009 region:rollup2
SO I WAS THE GOALS A HUNDRED
01:23:31.273 --> 01:23:34.643 region:rollup2
PERCENT. ALRIGHT WE'RE NINETY
01:23:34.009 --> 01:23:36.144 region:rollup2
FIVE OR NINETY SEVEN.
01:23:34.643 --> 01:23:37.479 region:rollup2
SIXTY.
01:23:36.144 --> 01:23:38.614 region:rollup2
FIFTY.
01:23:37.479 --> 01:23:41.083 region:rollup2
FORTY.
01:23:38.614 --> 01:23:43.652 region:rollup2
THIRTY.
01:23:41.083 --> 01:23:46.521 region:rollup2
I MEAN WE'RE TALKING HERE RIGHT.
01:23:43.652 --> 01:23:49.157 region:rollup2
THAT.
01:23:46.521 --> 01:23:51.526 region:rollup2
AND WE KNOW WHAT.
01:23:49.157 --> 01:23:53.095 region:rollup2
I'M LIKE OKAY. WELDON KNOW WHAT
01:23:51.526 --> 01:23:54.763 region:rollup2
WE KNOW THIS IS THE PERCENTAGE
01:23:53.095 --> 01:23:56.465 region:rollup2
OF PROVIDERS WITHIN THE NETWORK
01:23:54.763 --> 01:23:58.133 region:rollup2
THAT HAVE AVAILABILITY WITHIN
01:23:56.465 --> 01:24:00.435 region:rollup2
THE TIME LAPSED STANDARDS SO
01:23:58.133 --> 01:24:02.204 region:rollup2
THAT MEANS IF. IF IT'S.
01:24:00.435 --> 01:24:03.538 region:rollup2
IT.
01:24:02.204 --> 01:24:05.007 region:rollup2
IT'S IT'S REALLY ABOUT HOW MY
01:24:03.538 --> 01:24:05.908 region:rollup2
CONTACTS YOU HAVE TO MAKE IF YOU
01:24:05.007 --> 01:24:07.476 region:rollup2
NEED THAT APPOINTMENT WITHIN
01:24:05.908 --> 01:24:08.043 region:rollup2
SEVENTY TWO HOURS OR YOU NEED
01:24:07.476 --> 01:24:09.411 region:rollup2
THAT APPOINTMENT WITHIN TEN
01:24:08.043 --> 01:24:10.879 region:rollup2
DAYS.
01:24:09.411 --> 01:24:12.881 region:rollup2
SO IF YOU CALL YOUR FIRST
01:24:10.879 --> 01:24:14.082 region:rollup2
PROVIDER AND THEY SAY I'M SORRY
01:24:12.881 --> 01:24:15.884 region:rollup2
I DON'T HAVE AN APPOINTMENT
01:24:14.082 --> 01:24:17.519 region:rollup2
WITHIN TEN DAYS I HAVE ONE
01:24:15.884 --> 01:24:19.321 region:rollup2
TWENTY DAYS OUT. YOU CAN AS AN
01:24:17.519 --> 01:24:20.522 region:rollup2
AND REALLY SAY I CAN WAIT THE
01:24:19.321 --> 01:24:21.990 region:rollup2
TWENTY DAYS MIKE MY HEALTH
01:24:20.522 --> 01:24:23.592 region:rollup2
CONDUCT MAKE THE CHOICE OR I CAN
01:24:21.990 --> 01:24:25.127 region:rollup2
SAY NO I ACTUALLY NEED. THAT
01:24:23.592 --> 01:24:26.862 region:rollup2
APPOINTMENT WITHIN TEN DAYS AND
01:24:25.127 --> 01:24:28.864 region:rollup2
SO I IT REASONABLE TO EXPECT
01:24:26.862 --> 01:24:30.432 region:rollup2
THAT IT AND THAT HEALTH PLAN HAS
01:24:28.864 --> 01:24:32.334 region:rollup2
TO HAVE A NETWORK THAT. WITHIN
01:24:30.432 --> 01:24:33.468 region:rollup2
TWO PHONE CALLS YOU CAN GET
01:24:32.334 --> 01:24:34.536 region:rollup2
ACCESS TO THAT APPOINTMENT IS IT
01:24:33.468 --> 01:24:36.471 region:rollup2
THREE PHONE CALLS MENDOZA THE
01:24:34.536 --> 01:24:36.939 region:rollup2
WAYS IN WHICH WERE THINKING
01:24:36.471 --> 01:24:37.940 region:rollup2
ABOUT THESE COMPLIANCE
01:24:36.939 --> 01:24:38.140 region:rollup2
STANDARDS.
01:24:37.940 --> 01:24:40.409 region:rollup2
AND.
01:24:38.140 --> 01:24:41.877 region:rollup2
SO WE HAVE BEEN TO STAKEHOLDERS
01:24:40.409 --> 01:24:44.179 region:rollup2
HOW MANY PATIENT GROUPS ARE IN
01:24:41.877 --> 01:24:45.881 region:rollup2
THAT STAKEHOLDER GROUPS.
01:24:44.179 --> 01:24:46.915 region:rollup2
WHAT I'M I'M SORRY I'M A PATIENT
01:24:45.881 --> 01:24:48.750 region:rollup2
GROUPS ARE PART OF YOUR
01:24:46.915 --> 01:24:50.285 region:rollup2
STAKEHOLDER PROCESS LOW WE WILL
01:24:48.750 --> 01:24:51.753 region:rollup2
WORK WITH ALL OF OUR CONSUMER
01:24:50.285 --> 01:24:53.722 region:rollup2
ADVOCATE COLLEAGUES REPRESENTING
01:24:51.753 --> 01:24:55.490 region:rollup2
A BROAD RANGE OF BOTH? UP
01:24:53.722 --> 01:24:56.959 region:rollup2
PATIENT CONSUMER ADVOCATES AS
01:24:55.490 --> 01:24:58.393 region:rollup2
WELL AS PROVIDERS AND THE
01:24:56.959 --> 01:24:58.961 region:rollup2
PROVIDER COMMUNITY AND THE
01:24:58.393 --> 01:25:02.264 region:rollup2
HEALTH PLAN COMMUNITY AS WE
01:24:58.961 --> 01:25:04.666 region:rollup2
DEVELOP THIS.
01:25:02.264 --> 01:25:06.435 region:rollup2
OKAY WELL I EVEN DO NOT MAKE ME
01:25:04.666 --> 01:25:08.136 region:rollup2
FEEL VERY CONFIDENT RIGHT NOW I
01:25:06.435 --> 01:25:09.304 region:rollup2
MEAN TO YOU LAST YEAR WE REALLY
01:25:08.136 --> 01:25:12.307 region:rollup2
HAD TO DEAL WITH NINETY PERCENT
01:25:09.304 --> 01:25:13.709 region:rollup2
NO DATA WE SCREWED UP IN TERMS
01:25:12.307 --> 01:25:14.776 region:rollup2
OF PEOPLE AND YET CETERA.
01:25:13.709 --> 01:25:16.278 region:rollup2
WE HAVE TO WAIT TWO YEARS
01:25:14.776 --> 01:25:17.913 region:rollup2
BECAUSE THAT I AND NOW YOU'RE
01:25:16.278 --> 01:25:19.681 region:rollup2
TELLING NOW I'M HEARING THAT
01:25:17.913 --> 01:25:20.882 region:rollup2
DON'T YOU HAVE STANDARDS.
01:25:19.681 --> 01:25:22.884 region:rollup2
SO YOU KNOW WE COULD START
01:25:20.882 --> 01:25:24.720 region:rollup2
STANDARD PROCESS EARLIER THIS
01:25:22.884 --> 01:25:26.388 region:rollup2
LAWS BEEN AROUND ON THE BOOKS
01:25:24.720 --> 01:25:28.523 region:rollup2
FOR AWHILE.
01:25:26.388 --> 01:25:30.459 region:rollup2
IT'S NOT. SOMETHING BRAND NEW
01:25:28.523 --> 01:25:31.126 region:rollup2
IT'S NOT LIKE GO AWAY WHEN IT
01:25:30.459 --> 01:25:32.894 region:rollup2
TOOK US AWHILE THAT I MEAN THE
01:25:31.126 --> 01:25:34.663 region:rollup2
FLAWS BEEN AROUND FOR AWHILE AND
01:25:32.894 --> 01:25:36.298 region:rollup2
NOW I'M HEARING THAT EVEN AFTER
01:25:34.663 --> 01:25:38.066 region:rollup2
WE GET THE DATA AFTER WE HAVE A
01:25:36.298 --> 01:25:39.801 region:rollup2
LAGGED.
01:25:38.066 --> 01:25:41.069 region:rollup2
WE'RE STILL GOING TO BE.
01:25:39.801 --> 01:25:42.471 region:rollup2
WE STILL WON'T HAVE A STANDARD
01:25:41.069 --> 01:25:43.605 region:rollup2
TO HOLD PEOPLE ACCOUNTABLE.
01:25:42.471 --> 01:25:45.073 region:rollup2
BUT WITH THE FIRST STEP IN
01:25:43.605 --> 01:25:46.708 region:rollup2
ESTABLISHING THAT STANDARD WAS
01:25:45.073 --> 01:25:47.876 region:rollup2
GETTING DATA THAT WE COULD RELY
01:25:46.708 --> 01:25:48.944 region:rollup2
UPON AND FIGURING OUT WHAT IS
01:25:47.876 --> 01:25:49.544 region:rollup2
THE PERFORMANCE OF THE HEALTH
01:25:48.944 --> 01:25:51.713 region:rollup2
PLAN NETWORKS TODAY. AND WHAT
01:25:49.544 --> 01:25:53.782 region:rollup2
IS.
01:25:51.713 --> 01:25:54.783 region:rollup2
WHAT IS REASONABLE TO EXPECT
01:25:53.782 --> 01:25:55.417 region:rollup2
ESPECIALLY IN THE RURAL PARTS OF
01:25:54.783 --> 01:25:56.752 region:rollup2
OUR STATE HOW?
01:25:55.417 --> 01:25:58.420 region:rollup2
CAN PEOPLE.
01:25:56.752 --> 01:26:00.055 region:rollup2
IT'S EVEN IF EVER
01:25:58.420 --> 01:26:01.790 region:rollup2
SINGLE PROVIDER THAT WAS SERVING
01:26:00.055 --> 01:26:03.425 region:rollup2
THOSE WORKING A SPECIFIC AREA
01:26:01.790 --> 01:26:04.726 region:rollup2
WORK TOOK ALL TYPES OF INSURANCE
01:26:03.425 --> 01:26:05.694 region:rollup2
WHICH WE KNOW THAT THEY DON'T
01:26:04.726 --> 01:26:06.294 region:rollup2
THAT THE PROVIDERS MAKE THEIR
01:26:05.694 --> 01:26:09.097 region:rollup2
OWN. CHOICES AND AND SO THERE
01:26:06.294 --> 01:26:10.966 region:rollup2
IS.
01:26:09.097 --> 01:26:11.900 region:rollup2
WEEK THE FIRST STEP WAS
01:26:10.966 --> 01:26:13.869 region:rollup2
ESTABLISHING WHAT THAT
01:26:11.900 --> 01:26:15.537 region:rollup2
APPROPRIATE DATA WAS AND FROM
01:26:13.869 --> 01:26:17.339 region:rollup2
THERE WE CAN FIGURE OUT WHAT IS
01:26:15.537 --> 01:26:18.640 region:rollup2
THE MEAN STANDARD AND DO WE HAVE
01:26:17.339 --> 01:26:21.076 region:rollup2
PLANTS THAT ARE OUT LIARS.
01:26:18.640 --> 01:26:21.643 region:rollup2
AND THAT ARE NOT PROVIDING THE
01:26:21.076 --> 01:26:33.255 region:rollup2
SAME LEVEL OF CARE AS OTHER
01:26:21.643 --> 01:26:37.492 region:rollup2
PLANS.
01:26:33.255 --> 01:26:39.227 region:rollup2
IF.
01:26:37.492 --> 01:26:41.363 region:rollup2
SO SO WHAT'S THE WHAT'S THE
01:26:39.227 --> 01:26:42.798 region:rollup2
CONSEQUENCE THEN TELL WE GET THE
01:26:41.363 --> 01:26:44.232 region:rollup2
DATA NEXT YEAR YOU'RE TELLING US
01:26:42.798 --> 01:26:46.134 region:rollup2
NO CONSEQUENCES THEN BECAUSE
01:26:44.232 --> 01:26:47.869 region:rollup2
THERE'S NO STANDARD.
01:26:46.134 --> 01:26:48.470 region:rollup2
BUT AS I MENTIONED BEFORE
01:26:47.869 --> 01:26:49.938 region:rollup2
TIGHTLY AT WHAT YOU'RE TELLING
01:26:48.470 --> 01:26:51.907 region:rollup2
ME RIGHT NOW.
01:26:49.938 --> 01:26:52.474 region:rollup2
YOU HAVE A LAW IN PLACE THERE'S
01:26:51.907 --> 01:26:53.942 region:rollup2
REGULATIONS AND AND I CAN BE
01:26:52.474 --> 01:26:55.444 region:rollup2
ENFORCED.
01:26:53.942 --> 01:26:56.812 region:rollup2
IF THERE IS ANY SPECIFIC
01:26:55.444 --> 01:26:58.180 region:rollup2
INSTANCE WHERE AND REALLY CANNOT
01:26:56.812 --> 01:26:59.381 region:rollup2
GET ACCESS TO CARE WITHIN THE
01:26:58.180 --> 01:27:01.016 region:rollup2
TIME LAPSED STANDARD WE WILL
01:26:59.381 --> 01:27:01.917 region:rollup2
PROSECUTE THAT INSTANCE
01:27:01.016 --> 01:27:03.518 region:rollup2
WE JUST ARE NOT ENOUGH AND SO
01:27:01.917 --> 01:27:05.253 region:rollup2
WHAT'S THE PENALTY IF.
01:27:03.518 --> 01:27:06.555 region:rollup2
FOR FOR FOR VIRUSES WE HAVE TO
01:27:05.253 --> 01:27:07.622 region:rollup2
DO A CASE BY CASE IS GOING TO BE
01:27:06.555 --> 01:27:09.157 region:rollup2
SIGNIFICANT ENOUGH TO MAKE
01:27:07.622 --> 01:27:10.592 region:rollup2
PEOPLE CHANGE WHAT PROCESSES IT
01:27:09.157 --> 01:27:11.726 region:rollup2
DEPENDS ON THE FACTS OF THE CASE
01:27:10.592 --> 01:27:13.095 region:rollup2
BUT YES SOME OF OUR SOME OF OUR
01:27:11.726 --> 01:27:14.563 region:rollup2
ACCESS TO CARE PENALTIES CAN BE
01:27:13.095 --> 01:27:15.430 region:rollup2
QUITE HIGH.
01:27:14.563 --> 01:27:16.798 region:rollup2
YOU THE PROBLEM IS IS THAT
01:27:15.430 --> 01:27:17.399 region:rollup2
YOU'RE TELLING EVERYONE THEY
01:27:16.798 --> 01:27:18.500 region:rollup2
HAVE TO DO IT ONE BY ONE YOU
01:27:17.399 --> 01:27:19.935 region:rollup2
HAVE DATA THAT SHOWS
01:27:18.500 --> 01:27:20.702 region:rollup2
SYSTEMATICALLY THERE'S A PROBLEM
01:27:19.935 --> 01:27:22.471 region:rollup2
BUT YOU'RE NOT GONNA DO ANYTHING
01:27:20.702 --> 01:27:23.972 region:rollup2
ABOUT IT. BUT WHAT WE HAVE DATA
01:27:22.471 --> 01:27:25.474 region:rollup2
THAT INDICATES IS THE PERCENTAGE
01:27:23.972 --> 01:27:26.475 region:rollup2
OF PROVIDERS WITHIN A GIVEN
01:27:25.474 --> 01:27:27.843 region:rollup2
NETWORK WITHIN A GIVEN
01:27:26.475 --> 01:27:29.144 region:rollup2
GEOGRAPHIC REGION THAT HAVE
01:27:27.843 --> 01:27:30.879 region:rollup2
APPOINTMENTS AVAILABLE WITHIN
01:27:29.144 --> 01:27:32.447 region:rollup2
THE TIME LAPSED STANDARD. NOT
01:27:30.879 --> 01:27:34.749 region:rollup2
WHETHER OR NOT IN ROWLEY WAS OR
01:27:32.447 --> 01:27:35.817 region:rollup2
WAS NOT ABLE TO GET ACCESO. FROM
01:27:34.749 --> 01:27:37.452 region:rollup2
THERE WE ARE GOING TO DEVELOP
01:27:35.817 --> 01:27:39.488 region:rollup2
THE APPROPRIATE STANDARDS TO SAY
01:27:37.452 --> 01:27:42.224 region:rollup2
THIS IS HOW WHAT A NETWORK IN
01:27:39.488 --> 01:27:56.004 region:rollup2
TOTAL SHOULD PREFER.
01:27:42.224 --> 01:28:00.075 region:rollup2
ALRIGHT WELL. I.
01:27:56.004 --> 01:28:02.110 region:rollup2
RIGHT BULLARD SAID.
01:28:00.075 --> 01:28:02.878 region:rollup2
WELL THINK ABOUT WHAT THAT.
01:28:02.110 --> 01:28:05.547 region:rollup2
WE SHOULD DO.
01:28:02.878 --> 01:28:05.847 region:rollup2
THE OTHER ISSUE IS.
01:28:05.547 --> 01:28:09.050 region:rollup2
REGARDING.
01:28:05.847 --> 01:28:10.585 region:rollup2
.
01:28:09.050 --> 01:28:12.521 region:rollup2
FIGHTERS AND HOSPITALS.
01:28:10.585 --> 01:28:14.256 region:rollup2
SO I KNOW IT'S NOT APPOINTMENT
01:28:12.521 --> 01:28:16.424 region:rollup2
TIME ISSUE BUT.
01:28:14.256 --> 01:28:17.893 region:rollup2
WHY THINGS OF COURSE IS IS THAT
01:28:16.424 --> 01:28:19.661 region:rollup2
IF YOU HAVE A CONTRACT FOR THE
01:28:17.893 --> 01:28:21.663 region:rollup2
HOSPITAL AND YOU HAVE CONTRACTS
01:28:19.661 --> 01:28:22.831 region:rollup2
WITH THE PHYSICIANS WHO PROVIDE
01:28:21.663 --> 01:28:26.234 region:rollup2
THE AND HOSPITAL CARE?
01:28:22.831 --> 01:28:28.603 region:rollup2
NOT SURPRISINGLY.
01:28:26.234 --> 01:28:31.173 region:rollup2
YOU'RE GONNA END UP WITH.
01:28:28.603 --> 01:28:32.807 region:rollup2
A BILL THAT'S NINE SO.
01:28:31.173 --> 01:28:34.743 region:rollup2
SO I THINK WHEN DID VERY
01:28:32.807 --> 01:28:36.978 region:rollup2
IMPORTANT ISSUES IS TO RECOGNIZE
01:28:34.743 --> 01:28:38.680 region:rollup2
IS THAT IF YOU YOU NEED CONTACT
01:28:36.978 --> 01:28:39.347 region:rollup2
EVERYBODY.
01:28:38.680 --> 01:28:41.516 region:rollup2
OTHERWISE IT DOESN'T MAKE SENSE.
01:28:39.347 --> 01:28:44.219 region:rollup2
RIGHT.
01:28:41.516 --> 01:28:46.121 region:rollup2
SO SO IT'S NOT APPOINTMENT
01:28:44.219 --> 01:28:48.290 region:rollup2
TIME LIKE ONCE* YA IT'S WILL
01:28:46.121 --> 01:28:49.791 region:rollup2
YOU CONTRACT WITH THE NC DOLLARS
01:28:48.290 --> 01:28:51.393 region:rollup2
TO PROVIDE AND CZ OLOGY
01:28:49.791 --> 01:28:53.962 region:rollup2
OTHERWISE ITEMS I HAVE SURGEON
01:28:51.393 --> 01:28:54.329 region:rollup2
OF THE HOSPITAL AND BOYLAN Y.
01:28:53.962 --> 01:28:55.564 region:rollup2
GOT THIS BILL.
01:28:54.329 --> 01:28:55.931 region:rollup2
RIGHT
01:28:55.564 --> 01:28:57.232 region:rollup2
SO.
01:28:55.931 --> 01:28:58.633 region:rollup2
SO I HOPE WE'RE LOOKING AT THAT.
01:28:57.232 --> 01:28:59.901 region:rollup2
AS WELL I APPRECIATE YOU SHARING
01:28:58.633 --> 01:29:01.169 region:rollup2
SOME OF THE DATA YOU HAD I THINK
01:28:59.901 --> 01:29:03.004 region:rollup2
THERE ARE INDICATIONS THAT THERE
01:29:01.169 --> 01:29:03.572 region:rollup2
ARE SEVERAL HOSPITALS WHERE
01:29:03.004 --> 01:29:05.140 region:rollup2
DON'T CONTRACTS WITH THE IN
01:29:03.572 --> 01:29:06.474 region:rollup2
HOSPITAL.
01:29:05.140 --> 01:29:07.909 region:rollup2
PHYSICIANS FOR AND HOSPITAL
01:29:06.474 --> 01:29:09.444 region:rollup2
SERVICES
01:29:07.909 --> 01:29:11.479 region:rollup2
THAT AND SO WE ONLY NEED TO
01:29:09.444 --> 01:29:12.047 region:rollup2
CLOSE THAT GAP ABSOLUTELY AND
01:29:11.479 --> 01:29:13.748 region:rollup2
THAT'S PART OF OUR ANNUAL
01:29:12.047 --> 01:29:15.650 region:rollup2
NETWORK REVIEW PROCESS WHERE WE
01:29:13.748 --> 01:29:17.018 region:rollup2
REVIEW THAT NETWORKS IN TOTALITY
01:29:15.650 --> 01:29:18.854 region:rollup2
SAID THEIR ENTIRE PROVIDER
01:29:17.018 --> 01:29:20.589 region:rollup2
ROSTER AND WHERE THERE ARE GAPS.
01:29:18.854 --> 01:29:22.791 region:rollup2
EITHER IN PROVIDER TYPES OR IN
01:29:20.589 --> 01:29:23.325 region:rollup2
GEOGRAPHIC COVERAGE WE WORK
01:29:22.791 --> 01:29:24.025 region:rollup2
THROUGH A LENGTHY PROCESS
01:29:23.325 --> 01:29:35.704 region:rollup2
THE WHOLE PLANT WOULD
01:29:24.025 --> 01:29:37.505 region:rollup2
TO CLOSE THIS GAP.
01:29:35.704 --> 01:29:38.506 region:rollup2
ALRIGHT WELL. PERHAPS THE
01:29:37.505 --> 01:29:40.742 region:rollup2
DIRECTOR MIGHT WANNA SHOW UP FOR
01:29:38.506 --> 01:29:42.510 region:rollup2
MAY REVISE.
01:29:40.742 --> 01:29:44.913 region:rollup2
NOT BE GOOD.
01:29:42.510 --> 01:29:46.948 region:rollup2
ALRIGHT.
01:29:44.913 --> 01:29:48.216 region:rollup2
OKAY NEARLY QUESTIONS.
01:29:46.948 --> 01:29:52.120 region:rollup2
ALRIGHT PUBLIC COMMENTS ON THE
01:29:48.216 --> 01:29:56.758 region:rollup2
OVERVIEW.
01:29:52.120 --> 01:29:58.326 region:rollup2
NOPE NO PUBLIC COMMENT.
01:29:56.758 --> 01:29:59.227 region:rollup2
SO WE DO HAVE A STAKEHOLDER
01:29:58.326 --> 01:30:02.497 region:rollup2
PROPOSAL HERE.
01:29:59.227 --> 01:30:05.300 region:rollup2
SO I REGARDING THE ACT THEM OUT
01:30:02.497 --> 01:30:06.401 region:rollup2
REGION'S SYSTEM PROGRAM.
01:30:05.300 --> 01:30:07.335 region:rollup2
ACTUALLY BECAUSE OF THE SITE
01:30:06.401 --> 01:30:09.104 region:rollup2
THERE WAS A RUMOR AT THE END.
01:30:07.335 --> 01:30:11.940 region:rollup2
SO.
01:30:09.104 --> 01:30:14.442 region:rollup2
YOU.
01:30:11.940 --> 01:30:15.543 region:rollup2
THREE MINUTES
01:30:14.442 --> 01:30:18.013 region:rollup2
IT AYE DONATING ALL THREE YOU
01:30:15.543 --> 01:30:18.613 region:rollup2
DON'T WANT TO WIN.
01:30:18.013 --> 01:30:19.214 region:rollup2
I'LL TRY TO BE SURE EVEN AWAY
01:30:18.613 --> 01:30:20.615 region:rollup2
WITH WESTERN CENTER ON LAW AND
01:30:19.214 --> 01:30:22.083 region:rollup2
POVERTY A MEMBER OF THE HEALTH
01:30:20.615 --> 01:30:24.052 region:rollup2
CONSUMER ALLIANCE ALONG WITH
01:30:22.083 --> 01:30:25.654 region:rollup2
NINE OTHER. COMMUNITY BASED
01:30:24.052 --> 01:30:26.755 region:rollup2
LEGAL AID ORGANIZATIONS AS
01:30:25.654 --> 01:30:28.757 region:rollup2
REQUESTING ADDITIONAL FUNDING
01:30:26.755 --> 01:30:29.557 region:rollup2
FOR THE CONSUMER OUTREACH AND
01:30:28.757 --> 01:30:31.059 region:rollup2
ASSISTANCE PROGRAM.
01:30:29.557 --> 01:30:32.661 region:rollup2
THE HELP CONSUMER ALLIANCE IS
01:30:31.059 --> 01:30:34.562 region:rollup2
THE ONLY STATEWIDE RESOURCE IN
01:30:32.661 --> 01:30:36.331 region:rollup2
CALIFORNIA FOR ALL HEALTH CARE
01:30:34.562 --> 01:30:38.166 region:rollup2
CONSUMERS TO OBTAIN ADVOCACY
01:30:36.331 --> 01:30:39.968 region:rollup2
WOULD CONFRONTING BARRIERS TO
01:30:38.166 --> 01:30:41.136 region:rollup2
ELIGIBILITY COVERAGE OR
01:30:39.968 --> 01:30:44.139 region:rollup2
OBTAINING SERVICES THROUGH FEET
01:30:41.136 --> 01:30:45.607 region:rollup2
PRETTY. LEGAL SERVICES A LAST
01:30:44.139 --> 01:30:47.509 region:rollup2
YEAR EACH CA SERVED OVER
01:30:45.607 --> 01:30:49.010 region:rollup2
SEVENTEEN THOUSAND INDIVIDUALS
01:30:47.509 --> 01:30:51.246 region:rollup2
AND CLOSE NEARLY FIFTEEN
01:30:49.010 --> 01:30:53.815 region:rollup2
THOUSAND CASES. WHICH ALLOW
01:30:51.246 --> 01:30:56.051 region:rollup2
CLIENTS TO. KEEP MAINTAINED AND
01:30:53.815 --> 01:30:57.986 region:rollup2
WARM PARTLY USED HEALTH COVERAGE
01:30:56.051 --> 01:30:59.888 region:rollup2
THEREFORE WE RESPECTFULLY ASK
01:30:57.986 --> 01:31:01.856 region:rollup2
FOR TWO MILLION AUGMENTATION AT
01:30:59.888 --> 01:31:03.325 region:rollup2
THE PROGRAM. AND FOR FUNDING TO
01:31:01.856 --> 01:31:05.593 region:rollup2
BE ADJUSTED ANNUALLY FOR
01:31:03.325 --> 01:31:06.461 region:rollup2
INFLATION.
01:31:05.593 --> 01:31:08.096 region:rollup2
THIS MONEY WOULD I REPLACE THE
01:31:06.461 --> 01:31:09.030 region:rollup2
DEBATES THE SALARY SAVINGS THAT
01:31:08.096 --> 01:31:10.699 region:rollup2
ARE CURRENTLY FUNDING THE
01:31:09.030 --> 01:31:12.600 region:rollup2
PROGRAM THEREBY INCREASING THAT
01:31:10.699 --> 01:31:14.102 region:rollup2
PROGRAM FUNDING FROM TWO POINT
01:31:12.600 --> 01:31:14.369 region:rollup2
FIVE MILLION TO TWO POINT SIX
01:31:14.102 --> 01:31:19.641 region:rollup2
MILLION.
01:31:14.369 --> 01:31:21.776 region:rollup2
THANK YOU.
01:31:19.641 --> 01:31:23.278 region:rollup2
THANK YOU ARE ANY COMMENT FROM
01:31:21.776 --> 01:31:24.646 region:rollup2
THE MITZI ON THIS PROPOSAL
01:31:23.278 --> 01:31:26.348 region:rollup2
BECAUSE THIS IS NOT A PROPOSAL
01:31:24.646 --> 01:31:27.749 region:rollup2
INTRODUCED BY THE ADMINISTRATION
01:31:26.348 --> 01:31:29.384 region:rollup2
WE DON'T HAVE ANY COMMENTS ON
01:31:27.749 --> 01:31:29.851 region:rollup2
THE PROPOSAL ITSELF HOWEVER
01:31:29.384 --> 01:31:31.386 region:rollup2
WE'RE HAPPY TO PROVIDE
01:31:29.851 --> 01:31:32.454 region:rollup2
TECHNICAL.
01:31:31.386 --> 01:31:36.624 region:rollup2
THANK YOU ELIA.
01:31:32.454 --> 01:31:37.993 region:rollup2
FINANCE.
01:31:36.624 --> 01:31:39.361 region:rollup2
FINANCES AND HAVE A POSITION AT
01:31:37.993 --> 01:31:40.061 region:rollup2
THIS TIME BUT WE CAN ALSO
01:31:39.361 --> 01:31:42.397 region:rollup2
PROVIDE TECHNICAL ASSISTANCE.
01:31:40.061 --> 01:31:43.531 region:rollup2
THANK YOU.
01:31:42.397 --> 01:31:45.233 region:rollup2
QUESTION COMMITTEE MEMBERS.
01:31:43.531 --> 01:31:47.402 region:rollup2
BOB.
01:31:45.233 --> 01:31:49.471 region:rollup2
ONE QUICK QUESTION IN TERMS OF.
01:31:47.402 --> 01:31:51.439 region:rollup2
SO CURRENTLY COOPER THE AND
01:31:49.471 --> 01:31:52.040 region:rollup2
ANALYSIS MENTIONS THAT.
01:31:51.439 --> 01:31:53.308 region:rollup2
THAT.
01:31:52.040 --> 01:31:53.875 region:rollup2
THEY ALSO RECEIVE.
01:31:53.308 --> 01:31:55.844 region:rollup2
.
01:31:53.875 --> 01:31:57.612 region:rollup2
AS.
01:31:55.844 --> 01:31:59.748 region:rollup2
FUNNY FROM SOME OTHERS DREAMS
01:31:57.612 --> 01:32:00.315 region:rollup2
FROM TEAMMATES SEE.
01:31:59.748 --> 01:32:01.783 region:rollup2
IT'S ABOUT WHAT'S THE TOTAL
01:32:00.315 --> 01:32:03.585 region:rollup2
FUNDING THAT COOP GETS RIGHT NOW
01:32:01.783 --> 01:32:05.120 region:rollup2
FROM WE CURRENTLY HAVE A LINE
01:32:03.585 --> 01:32:06.221 region:rollup2
ITEM IN OUR BUDGET OF SIX
01:32:05.120 --> 01:32:08.356 region:rollup2
HUNDRED AND SIXTY THOUSAND
01:32:06.221 --> 01:32:10.258 region:rollup2
DOLLARS TO SUPPORT THIS PROGRAM.
01:32:08.356 --> 01:32:11.960 region:rollup2
WE HAVE BEEN AUGMENTING THAT
01:32:10.258 --> 01:32:13.695 region:rollup2
FIGURE WITH SALARY SAVINGS AS A
01:32:11.960 --> 01:32:15.063 region:rollup2
RESULT OF OUR VACANCY RATE WHICH
01:32:13.695 --> 01:32:17.098 region:rollup2
HAS DROPPED DRAMATICALLY AND SO
01:32:15.063 --> 01:32:18.867 region:rollup2
ARE OUR SALARY SAVINGS ARE NO
01:32:17.098 --> 01:32:19.467 region:rollup2
LONGER AT THE LEVEL AT WHICH
01:32:18.867 --> 01:32:20.468 region:rollup2
THEY USE TO BAKER HOW MUCH IS
01:32:19.467 --> 01:32:22.604 region:rollup2
THAT.
01:32:20.468 --> 01:32:24.038 region:rollup2
WE WERE WE HAVE BEEN SO THE SIX
01:32:22.604 --> 01:32:25.407 region:rollup2
SIXTIES THE LINE TEM WE HAD A
01:32:24.038 --> 01:32:27.575 region:rollup2
CONTRACT FOR TWO POINT FIVE
01:32:25.407 --> 01:32:28.476 region:rollup2
MILLION SO THE SALARY SAVINGS WE
01:32:27.575 --> 01:32:30.545 region:rollup2
WERE USING TO SUPPORT THIS
01:32:28.476 --> 01:32:32.147 region:rollup2
CONTRACT WAS ONE POINT NINE
01:32:30.545 --> 01:32:33.982 region:rollup2
MILLION. OKAY.
01:32:32.147 --> 01:32:37.519 region:rollup2
YEAH ALRIGHT THANK YOU A PUBLIC
01:32:33.982 --> 01:32:39.020 region:rollup2
COMMENT.
01:32:37.519 --> 01:32:40.455 region:rollup2
MARY VALDEZ WITH HEALTHAXIS IN
01:32:39.020 --> 01:32:43.091 region:rollup2
CALIFORNIA IN SUPPORT.
01:32:40.455 --> 01:32:45.660 region:rollup2
GIVE.
01:32:43.091 --> 01:32:47.095 region:rollup2
RIGHT SEEN OTHER PUBLIC COMMENTS
01:32:45.660 --> 01:32:49.197 region:rollup2
AND ANY OTHER QUESTIONS
01:32:47.095 --> 01:32:50.832 region:rollup2
NOPE SAYING NONE OF OKAY WE WILL
01:32:49.197 --> 01:32:56.404 region:rollup2
HOLD OPEN.
01:32:50.832 --> 01:32:58.273 region:rollup2
THIS SETUP PROPOSAL.
01:32:56.404 --> 01:33:00.475 region:rollup2
RIGHT ISSUE NUMBER TWO FEDERAL
01:32:58.273 --> 01:33:02.510 region:rollup2
MENTAL HEALTH PARITY COMPLIANCE
01:33:00.475 --> 01:33:03.111 region:rollup2
REVIEW RESOURCES EXTENSION.
01:33:02.510 --> 01:33:04.479 region:rollup2
THANK YOU.
01:33:03.111 --> 01:33:05.980 region:rollup2
FEDERAL MENTAL HEALTH PARITY
01:33:04.479 --> 01:33:07.582 region:rollup2
REQUIRES HEALTH PLANS TO
01:33:05.980 --> 01:33:09.651 region:rollup2
CLASSIFY BENEFITS INTO FEDERALLY
01:33:07.582 --> 01:33:11.920 region:rollup2
MANDATED CLASSIFICATIONS SUCH AS
01:33:09.651 --> 01:33:13.221 region:rollup2
INPATIENT AND NETWORK INPATIENT
01:33:11.920 --> 01:33:16.891 region:rollup2
OUT OF NETWORK EMERGENCY
01:33:13.221 --> 01:33:18.426 region:rollup2
pONCE A BENEFITS ARE CLASSIFIED
01:33:16.891 --> 01:33:19.928 region:rollup2
PLANS REQUIRED TO ENSURE THAT
01:33:18.426 --> 01:33:21.496 region:rollup2
THE FINANCIAL REQUIREMENTS AND
01:33:19.928 --> 01:33:22.730 region:rollup2
QUANTITATIVE TREATMENT LIMITS
01:33:21.496 --> 01:33:24.566 region:rollup2
LIMITATIONS FOR MENTAL HEALTH
01:33:22.730 --> 01:33:26.134 region:rollup2
AND SUBSTANCE USE DISORDER. ARE
01:33:24.566 --> 01:33:27.268 region:rollup2
NOT MORE RESTRICTIVE THAN THE
01:33:26.134 --> 01:33:28.837 region:rollup2
REQUIREMENTS ARE LIMITATIONS
01:33:27.268 --> 01:33:30.472 region:rollup2
APPLIED TO MEDICAL SURGICAL
01:33:28.837 --> 01:33:31.906 region:rollup2
BENEFITS IN THE SAME.
01:33:30.472 --> 01:33:32.841 region:rollup2
LIMITED TERM FUNDING IN THE
01:33:31.906 --> 01:33:33.875 region:rollup2
AMOUNT OF FIVE HUNDRED TWENTY
01:33:32.841 --> 01:33:35.743 region:rollup2
NINE THOUSAND DOLLARS WAS
01:33:33.875 --> 01:33:37.045 region:rollup2
INITIALLY GRANTED FOR TWO YEARS
01:33:35.743 --> 01:33:39.080 region:rollup2
AND FISCAL YEAR SIXTEEN
01:33:37.045 --> 01:33:41.316 region:rollup2
SEVENTEEN. AND IS SET TO EXPIRE
01:33:39.080 --> 01:33:42.517 region:rollup2
ON JUNE THIRTIETH OF THIS YEAR.
01:33:41.316 --> 01:33:44.119 region:rollup2
TO THIS REQUEST IS TO CONVERT
01:33:42.517 --> 01:33:45.353 region:rollup2
THAT LIMITED TERM FUNDING TO
01:33:44.119 --> 01:33:46.921 region:rollup2
PERMANENT WHICH WILL ALLOW THE
01:33:45.353 --> 01:33:48.289 region:rollup2
CLINICAL CONSULTANTS TO CONTINUE
01:33:46.921 --> 01:33:49.991 region:rollup2
ASSISTING THE DAMAGE SEE. WITH
01:33:48.289 --> 01:33:51.092 region:rollup2
UP FRONT COMPLIANCE REVIEWS FOR
01:33:49.991 --> 01:33:52.794 region:rollup2
NEW PLANTS
01:33:51.092 --> 01:33:54.496 region:rollup2
PLANS ENTERING A MARKET SEGMENT
01:33:52.794 --> 01:33:55.930 region:rollup2
FOR THE FIRST TIME AND PLANS
01:33:54.496 --> 01:33:56.998 region:rollup2
HAVE CHANGED ASPECTS OF THE
01:33:55.930 --> 01:33:58.066 region:rollup2
COMPLIANCE METHODS THAT WERE
01:33:56.998 --> 01:33:59.834 region:rollup2
PREVIOUSLY APPROVED BY THE
01:33:58.066 --> 01:34:00.735 region:rollup2
DEPARTMENT.
01:33:59.834 --> 01:34:03.705 region:rollup2
NO POSITIONS ARE ASSOCIATED WITH
01:34:00.735 --> 01:34:05.807 region:rollup2
THIS REQUEST.
01:34:03.705 --> 01:34:09.711 region:rollup2
OKAY ARM COMES FROM ALEJO.
01:34:05.807 --> 01:34:10.879 region:rollup2
NO COMMENTS FINANCE.
01:34:09.711 --> 01:34:13.148 region:rollup2
I AND SUPPORTS THIS BUDGET
01:34:10.879 --> 01:34:13.681 region:rollup2
CHANGE PUZZLE ONTO ADDRESS
01:34:13.148 --> 01:34:14.816 region:rollup2
COMPLIANCE WITH THE MENTAL
01:34:13.681 --> 01:34:18.319 region:rollup2
HEALTH PARITY ACT.
01:34:14.816 --> 01:34:19.554 region:rollup2
OKAY.
01:34:18.319 --> 01:34:22.157 region:rollup2
OKAY NO QUESTIONS THAT PUBLIC
01:34:19.554 --> 01:34:24.726 region:rollup2
COMMENT.
01:34:22.157 --> 01:34:25.894 region:rollup2
CREDIBILITY HALF OF SEA PEN BUT
01:34:24.726 --> 01:34:28.696 region:rollup2
IN SUPPORT OF THE.
01:34:25.894 --> 01:34:30.131 region:rollup2
REQUEST ON MY PS IN THE WE'VE
01:34:28.696 --> 01:34:31.633 region:rollup2
WORKED CLOSELY MENTAL HEALTH
01:34:30.131 --> 01:34:33.101 region:rollup2
ISSUES ARE VERY IMPORTANT TO
01:34:31.633 --> 01:34:33.968 region:rollup2
COMMUNITIES OF COLOR IN THE
01:34:33.101 --> 01:34:35.203 region:rollup2
MENTAL HEALTH PARITY
01:34:33.968 --> 01:34:37.172 region:rollup2
IMPLEMENTATION HAS BEEN
01:34:35.203 --> 01:34:38.139 region:rollup2
IMPORTANT AS WELL. I WOULD ALSO
01:34:37.172 --> 01:34:40.341 region:rollup2
NOTE.
01:34:38.139 --> 01:34:42.377 region:rollup2
ONE ISSUE ONE ON TIMELY ACCESS
01:34:40.341 --> 01:34:44.279 region:rollup2
THAT WE THINK ITS VERY IMPORTANT
01:34:42.377 --> 01:34:46.381 region:rollup2
LANGUAGE ACCESS BE INCLUDED IN
01:34:44.279 --> 01:34:46.581 region:rollup2
TIMELY ACCESS IN THAT IS ONE OF
01:34:46.381 --> 01:34:48.149 region:rollup2
THE.
01:34:46.581 --> 01:34:50.652 region:rollup2
MISSIONS CURRENTLY IN THE
01:34:48.149 --> 01:34:52.687 region:rollup2
REPORT WE WOULD ALSO CONCUR WITH
01:34:50.652 --> 01:34:54.589 region:rollup2
THE. WHAT WE INFER FROM THE
01:34:52.687 --> 01:34:57.225 region:rollup2
CHAIR'S COMMENTS THAT IT IS NOT
01:34:54.589 --> 01:34:58.459 region:rollup2
THE CONSUMER'S RESPONSIBILITY TO
01:34:57.225 --> 01:35:02.597 region:rollup2
ASSURE TIMELY ACCESS IT IS THE
01:34:58.459 --> 01:35:04.599 region:rollup2
PLAN?
01:35:02.597 --> 01:35:07.402 region:rollup2
I THINK YOU AND I YES YOU
01:35:04.599 --> 01:35:09.737 region:rollup2
HANFORD CORRECTLY AFTER.
01:35:07.402 --> 01:35:12.674 region:rollup2
AND THAT'S WHY MY EXPECTATION IS
01:35:09.737 --> 01:35:12.907 region:rollup2
FROM OUR LIKE ATARI AGENCY.
01:35:12.674 --> 01:35:14.542 region:rollup2
OKAY SO.
01:35:12.907 --> 01:35:16.144 region:rollup2
.
01:35:14.542 --> 01:35:17.745 region:rollup2
BUT WILL CERTAINLY HAVE WE WANT
01:35:16.144 --> 01:35:19.113 region:rollup2
TO ENSURE THAT WE IN FORCE
01:35:17.745 --> 01:35:20.481 region:rollup2
MENTAL HEALTH PARITY SO.
01:35:19.113 --> 01:35:22.183 region:rollup2
.
01:35:20.481 --> 01:35:23.284 region:rollup2
BUT THAT WE WILL PUT THAT ITEM
01:35:22.183 --> 01:35:24.953 region:rollup2
ON HOLD FOR RIGHT NOW AND.
01:35:23.284 --> 01:35:26.754 region:rollup2
.
01:35:24.953 --> 01:35:29.390 region:rollup2
SO WE HOPE THAT FTA APPRECIATE
01:35:26.754 --> 01:35:30.959 region:rollup2
THAT THAT THAT IS SET APART THE
01:35:29.390 --> 01:35:32.460 region:rollup2
GOVERNOR'S BUDGET AND THAT.
01:35:30.959 --> 01:35:33.828 region:rollup2
WELL DRESSED AGAIN MAY REVISE
01:35:32.460 --> 01:35:35.163 region:rollup2
ALL RIGHT ISSUE NUMBER THREE.
01:35:33.828 --> 01:35:36.464 region:rollup2
.
01:35:35.163 --> 01:35:39.867 region:rollup2
PRESCRIPTION DRUG COSTS
01:35:36.464 --> 01:35:41.736 region:rollup2
TRANSPARENCY SP SEVENTEEN.
01:35:39.867 --> 01:35:42.337 region:rollup2
I SUMA NOT WAITING UNTIL LIKE
01:35:41.736 --> 01:35:44.072 region:rollup2
TWENTY TWENTY FIVE TO DO WITH
01:35:42.337 --> 01:35:46.608 region:rollup2
THIS.
01:35:44.072 --> 01:35:47.875 region:rollup2
THING SO OKAY THOUGH AS WE HEARD
01:35:46.608 --> 01:35:49.277 region:rollup2
EARLIER SENATE BILL SEVENTEEN
01:35:47.875 --> 01:35:50.511 region:rollup2
ADDRESSES THE HIGH PRICES FOR
01:35:49.277 --> 01:35:51.913 region:rollup2
PRESCRIPTION DRUGS BY CREATING
01:35:50.511 --> 01:35:52.747 region:rollup2
GREATER TRANSPARENCY AND DRUG
01:35:51.913 --> 01:35:54.248 region:rollup2
PRICING.
01:35:52.747 --> 01:35:56.050 region:rollup2
FOR THE DAMAGE SEE THE BILL
01:35:54.248 --> 01:35:57.819 region:rollup2
REQUIRES HEALTH PLANS TO REPORT
01:35:56.050 --> 01:35:59.621 region:rollup2
TO US THE TWENTY FIVE MOST
01:35:57.819 --> 01:36:01.489 region:rollup2
FREQUENTLY PRESCRIBED DRUGS
01:35:59.621 --> 01:36:03.491 region:rollup2
TWENTY FIVE MOST COSTLY DRUGS BY
01:36:01.489 --> 01:36:04.626 region:rollup2
TOTAL ANNUAL SPENDING. TWENTY
01:36:03.491 --> 01:36:06.261 region:rollup2
FIVE DRUGS WITH THE HIGHEST YEAR
01:36:04.626 --> 01:36:08.029 region:rollup2
OVER YEAR INCREASE IN TOTAL
01:36:06.261 --> 01:36:09.731 region:rollup2
ANNUAL SPENDING. HEALTH PLANS
01:36:08.029 --> 01:36:12.066 region:rollup2
MUST REPORT TO THIS THIS DATA TO
01:36:09.731 --> 01:36:13.501 region:rollup2
THE DAMAGE SEE BY OCTOBER FIRST
01:36:12.066 --> 01:36:14.969 region:rollup2
OF TWENTY EIGHTEEN AND ANNUALLY
01:36:13.501 --> 01:36:16.337 region:rollup2
THEREAFTER WE WILL ISSUE A
01:36:14.969 --> 01:36:18.106 region:rollup2
REPORT TO THE LEGISLATURE WITH
01:36:16.337 --> 01:36:19.807 region:rollup2
AGGREGATE DATA BEGINNING JANUARY
01:36:18.106 --> 01:36:21.676 region:rollup2
FIRST TWENTY NINETEEN AND
01:36:19.807 --> 01:36:23.778 region:rollup2
ANNUALLY. THEREAFTER. SUITABLE
01:36:21.676 --> 01:36:24.212 region:rollup2
SEVENTEEN IMPORTANTLY ALSO HAS
01:36:23.778 --> 01:36:25.813 region:rollup2
ADDITIONAL REPORTING
01:36:24.212 --> 01:36:27.415 region:rollup2
REQUIREMENTS IN THE LARGE GROUP
01:36:25.813 --> 01:36:28.916 region:rollup2
MARKET SUCH AS THE PERCENTAGE OF
01:36:27.415 --> 01:36:30.718 region:rollup2
PREMIUM ATTRIBUTABLE TO DRUG
01:36:28.916 --> 01:36:32.420 region:rollup2
COSTS FOR EACH CATEGORY OF
01:36:30.718 --> 01:36:35.890 region:rollup2
PRESCRIPTION DRUGS SO. FOR
01:36:32.420 --> 01:36:36.357 region:rollup2
EXAMPLE IS A GENERIC BRAND NAME
01:36:35.890 --> 01:36:36.624 region:rollup2
AND BRAND NAME GENERIC
01:36:36.357 --> 01:36:37.825 region:rollup2
SPECIALTY.
01:36:36.624 --> 01:36:39.427 region:rollup2
THE YEAR OVER YEAR INCREASES
01:36:37.825 --> 01:36:41.062 region:rollup2
PERCENTAGE IN A PER MEMBER PER
01:36:39.427 --> 01:36:42.363 region:rollup2
MONTH COSTS FOR EACH CATEGORY.
01:36:41.062 --> 01:36:43.731 region:rollup2
THE YEAR OVER YEAR INCREASE IN
01:36:42.363 --> 01:36:45.533 region:rollup2
PER MEMBER PER MONTH COSTS FOR
01:36:43.731 --> 01:36:46.167 region:rollup2
DRUG PRICES COMPARED TO OTHER
01:36:45.533 --> 01:36:47.935 region:rollup2
COMPONENTS OF THE HEALTH CARE
01:36:46.167 --> 01:36:49.303 region:rollup2
PREMIUM. A SPECIALTY TEAR
01:36:47.935 --> 01:36:50.371 region:rollup2
FORMULA REALIST.
01:36:49.303 --> 01:36:51.673 region:rollup2
THE PERCENTAGE OF PREMIUM
01:36:50.371 --> 01:36:53.241 region:rollup2
ATTRIBUTABLE TO PRESCRIPTION
01:36:51.673 --> 01:36:54.842 region:rollup2
DRUGS ADMINISTERED IN A DOCTOR'S
01:36:53.241 --> 01:36:56.611 region:rollup2
OFFICE THAT ARE COVERED UNDER
01:36:54.842 --> 01:36:58.379 region:rollup2
THE MEDICAL BENEFIT AS SEPARATE
01:36:56.611 --> 01:37:00.415 region:rollup2
FROM WHAT'S ADMINISTERED THROUGH
01:36:58.379 --> 01:37:01.916 region:rollup2
A PHARMACY FROM THE PHARMACY
01:37:00.415 --> 01:37:03.184 region:rollup2
BENEFIT. AND INFORMATION ON THE
01:37:01.916 --> 01:37:04.018 region:rollup2
USE OF A PHARMACY BENEFIT
01:37:03.184 --> 01:37:04.952 region:rollup2
MANAGER IF ANY INCLUDING WHICH
01:37:04.018 --> 01:37:06.621 region:rollup2
PROVIDE.
01:37:04.952 --> 01:37:08.456 region:rollup2
WHICH
01:37:06.621 --> 01:37:09.524 region:rollup2
COMPONENTS OF PRESCRIPTION DRUG
01:37:08.456 --> 01:37:11.159 region:rollup2
COVERAGE ARE MANAGED BY THE
01:37:09.524 --> 01:37:12.627 region:rollup2
PHARMACY BENEFIT BENEFIT MANNER
01:37:11.159 --> 01:37:13.795 region:rollup2
MANAGER.
01:37:12.627 --> 01:37:14.796 region:rollup2
I WON'T GET INTO ALL OF THINGS
01:37:13.795 --> 01:37:17.265 region:rollup2
IT REQUIRES.
01:37:14.796 --> 01:37:19.567 region:rollup2
THE WHOLE MANUFACTURERS REPORT
01:37:17.265 --> 01:37:21.035 region:rollup2
ARE SPREAD SO FOR THIS BILL THE
01:37:19.567 --> 01:37:22.270 region:rollup2
DAMAGE SHE REQUEST ONE PERMANENT
01:37:21.035 --> 01:37:23.638 region:rollup2
POSITION AND EXPENDITURE
01:37:22.270 --> 01:37:25.239 region:rollup2
AUTHORITY IN THE AMOUNT OF THREE
01:37:23.638 --> 01:37:26.674 region:rollup2
HUNDRED AND SEVEN THOUSAND FOR
01:37:25.239 --> 01:37:28.009 region:rollup2
FISCAL YEAR EIGHTEEN NINETEEN.
01:37:26.674 --> 01:37:29.711 region:rollup2
TWO HUNDRED EIGHTY ONE THOUSAND
01:37:28.009 --> 01:37:30.945 region:rollup2
FOR FISCAL YEAR NINETEEN TWENTY
01:37:29.711 --> 01:37:32.580 region:rollup2
AND THE SAME AMOUNT ANNUALLY
01:37:30.945 --> 01:37:35.516 region:rollup2
THEREAFTER TO A DRASTIC INCREASE
01:37:32.580 --> 01:37:36.551 region:rollup2
WORKLOAD.
01:37:35.516 --> 01:37:39.253 region:rollup2
S. COMES FROM OHIO.
01:37:36.551 --> 01:37:41.289 region:rollup2
FINANCE.
01:37:39.253 --> 01:37:42.223 region:rollup2
FINANCE SUPPORTS THESE RESOURCES
01:37:41.289 --> 01:37:44.492 region:rollup2
TO IMPLEMENT THE PROVISIONS OF
01:37:42.223 --> 01:37:47.495 region:rollup2
SB SEVENTEEN.
01:37:44.492 --> 01:37:49.263 region:rollup2
THANK YOU A. QUESTION FROM YES
01:37:47.495 --> 01:37:50.998 region:rollup2
US THEM BIG RESEARCHER.
01:37:49.263 --> 01:37:53.401 region:rollup2
.
01:37:50.998 --> 01:37:53.968 region:rollup2
AS WE A LOT OF DATA COLLECTION.
01:37:53.401 --> 01:37:55.603 region:rollup2
OF WHAT IS GOING TO BE THE.
01:37:53.968 --> 01:37:56.938 region:rollup2
.
01:37:55.603 --> 01:37:58.573 region:rollup2
THE NET BENEFIT THIS FAR IS.
01:37:56.938 --> 01:38:00.007 region:rollup2
.
01:37:58.573 --> 01:38:00.908 region:rollup2
DRUG PRICES IN THE STATE OF
01:38:00.007 --> 01:38:02.610 region:rollup2
CALIFORNIA THIS AT WITH THIS
01:38:00.908 --> 01:38:04.312 region:rollup2
EFFECTUALLY LOWER PRICES
01:38:02.610 --> 01:38:06.080 region:rollup2
INTERVIEW OR IS THIS JUST A.
01:38:04.312 --> 01:38:07.348 region:rollup2
A REPORTING REQUIREMENT FIRST
01:38:06.080 --> 01:38:09.784 region:rollup2
QUESTION SECOND QUESTION AS.
01:38:07.348 --> 01:38:11.586 region:rollup2
.
01:38:09.784 --> 01:38:12.653 region:rollup2
THERE'S OFTEN A DELAY IN.
01:38:11.586 --> 01:38:13.521 region:rollup2
PRICE INCREASES.
01:38:12.653 --> 01:38:15.523 region:rollup2
.
01:38:13.521 --> 01:38:16.824 region:rollup2
THAT.
01:38:15.523 --> 01:38:18.826 region:rollup2
ARE REPORTED TO.
01:38:16.824 --> 01:38:20.895 region:rollup2
P. B. M.'S.
01:38:18.826 --> 01:38:22.463 region:rollup2
AND MANY TIMES OUR PHARMACIES AT
01:38:20.895 --> 01:38:24.165 region:rollup2
HER DISPENSING.
01:38:22.463 --> 01:38:25.233 region:rollup2
DRUGS THAT ARE PAYING HIGHER
01:38:24.165 --> 01:38:27.401 region:rollup2
PRICES FOR.
01:38:25.233 --> 01:38:29.804 region:rollup2
IN THE PDM STONE.
01:38:27.401 --> 01:38:34.075 region:rollup2
REIMBURSE EXCEPT FOR THE.
01:38:29.804 --> 01:38:34.709 region:rollup2
LOWER PRICE SO IT IN.
01:38:34.075 --> 01:38:36.544 region:rollup2
THE FIRST QUESTION IS DO YOU SEE
01:38:34.709 --> 01:38:37.612 region:rollup2
THIS.
01:38:36.544 --> 01:38:38.780 region:rollup2
NEW PROVISION THAT YOU'RE
01:38:37.612 --> 01:38:39.981 region:rollup2
REQUIRED TO TO DO THIS DATA
01:38:38.780 --> 01:38:41.048 region:rollup2
COLLECTION IS A CAN HAVE AN
01:38:39.981 --> 01:38:42.650 region:rollup2
IMPACT ON DRUG PRICES IN THE
01:38:41.048 --> 01:38:44.018 region:rollup2
STATE OF CALIFORNIA IN YOUR VIEW
01:38:42.650 --> 01:38:46.454 region:rollup2
INTO. USING THIS WILL IMPROVE
01:38:44.018 --> 01:38:47.021 region:rollup2
THE COMMUNICATIONS OF P. B. M.'S
01:38:46.454 --> 01:38:47.622 region:rollup2
TO MAKE SURE THEY GET THOSE
01:38:47.021 --> 01:38:48.256 region:rollup2
INCREASES
01:38:47.622 --> 01:38:49.624 region:rollup2
PHARMACIES DON'T DISPENSED DRUGS
01:38:48.256 --> 01:38:51.159 region:rollup2
AT A LOSS.
01:38:49.624 --> 01:38:51.626 region:rollup2
I THINK THAT BOTH EXCELLENT
01:38:51.159 --> 01:38:53.594 region:rollup2
QUESTIONS.
01:38:51.626 --> 01:38:55.229 region:rollup2
I'D I BELIEVE THE TRANSPARENCY
01:38:53.594 --> 01:38:56.898 region:rollup2
CAN HAVE A POSITIVE IMPACT IN
01:38:55.229 --> 01:38:57.765 region:rollup2
PRESCRIPTION DRUG PRICING BUT
01:38:56.898 --> 01:38:59.734 region:rollup2
THE TIME WILL HAVE TO TELL
01:38:57.765 --> 01:39:00.368 region:rollup2
WHETHER NOTED IT HAS THE
01:38:59.734 --> 01:39:01.068 region:rollup2
INTENDED IMPACT BUT HOW WILL DO
01:39:00.368 --> 01:39:03.638 region:rollup2
THE.
01:39:01.068 --> 01:39:05.440 region:rollup2
WELL IF WE KNOW THE COSTS ARE ON
01:39:03.638 --> 01:39:07.241 region:rollup2
A. ARE THE TWENTY FIVE MOST
01:39:05.440 --> 01:39:08.776 region:rollup2
COSTLY DRUGS ON A YEAR OVER YEAR
01:39:07.241 --> 01:39:10.778 region:rollup2
BASIS WE CAN YOUR ONE WE KNOW
01:39:08.776 --> 01:39:11.746 region:rollup2
WHAT THAT THAT COST YOUR TO.
01:39:10.778 --> 01:39:12.413 region:rollup2
YOUR PSYCHE YOUR REPORTING WE'RE
01:39:11.746 --> 01:39:13.581 region:rollup2
GONNA WHAT WHEN WE'RE GONNA SEE
01:39:12.413 --> 01:39:15.249 region:rollup2
THE TREND IN BETWEEN THOSE TWO
01:39:13.581 --> 01:39:16.450 region:rollup2
YEARS SO WE WILL WE WILL WE BE
01:39:15.249 --> 01:39:18.419 region:rollup2
ABLE TO DRAW A BRIGHT LINE
01:39:16.450 --> 01:39:18.986 region:rollup2
BETWEEN TRANSPARENCY AND.
01:39:18.419 --> 01:39:20.421 region:rollup2
ACTUAL DEEP
01:39:18.986 --> 01:39:22.223 region:rollup2
ZORA LEVELING
01:39:20.421 --> 01:39:24.125 region:rollup2
DRUG PRICES MAYBE NOT BUT I DO
01:39:22.223 --> 01:39:26.327 region:rollup2
THINK TRANSPARENCY HELPS IN THAT
01:39:24.125 --> 01:39:27.628 region:rollup2
EFFORT SO WE WE ARE HOPEFUL THAT
01:39:26.327 --> 01:39:29.330 region:rollup2
THIS IS IMPACTFUL IN THAT WAY
01:39:27.628 --> 01:39:30.431 region:rollup2
BUT WE WON'T KNOW FOR SURE UNTIL
01:39:29.330 --> 01:39:31.699 region:rollup2
WE SEE THE DATA.
01:39:30.431 --> 01:39:33.467 region:rollup2
WITH RESPECT TO THE PDM
01:39:31.699 --> 01:39:35.136 region:rollup2
QUESTION I DON'T BELIEVE THERE'S
01:39:33.467 --> 01:39:36.170 region:rollup2
ANY SPECIFIC PROVISIONS IN SB
01:39:35.136 --> 01:39:37.505 region:rollup2
SEVENTEEN THAT ARE GONNA OF
01:39:36.170 --> 01:39:39.674 region:rollup2
IMPROVE THE COMMUNICATION A
01:39:37.505 --> 01:39:41.642 region:rollup2
RELATIONSHIP BETWEEN PBM SOME
01:39:39.674 --> 01:39:42.610 region:rollup2
PHARMACIES THEMSELVES. THOUGH
01:39:41.642 --> 01:39:44.612 region:rollup2
FOR THE FIRST TIME WE WILL HAVE
01:39:42.610 --> 01:39:45.279 region:rollup2
A GREATER UNDERSTANDING IT AT
01:39:44.612 --> 01:39:47.248 region:rollup2
THAT IMAGE SEE UP.
01:39:45.279 --> 01:39:47.782 region:rollup2
WHAT THE RELATIONSHIP IS BETWEEN
01:39:47.248 --> 01:39:49.917 region:rollup2
THE?
01:39:47.782 --> 01:39:51.652 region:rollup2
HEALTH PLAN AND THE PHARMACY
01:39:49.917 --> 01:39:54.355 region:rollup2
BENEFIT MANAGER AND WHAT.
01:39:51.652 --> 01:39:55.923 region:rollup2
DELEGATED RESPONSIBILITIES ARE
01:39:54.355 --> 01:39:57.425 region:rollup2
ARE COMING TO THE PHARMACY
01:39:55.923 --> 01:39:59.494 region:rollup2
BENEFIT MANAGER WHETHER THAT'S
01:39:57.425 --> 01:40:00.728 region:rollup2
CONSISTENT ACROSS THE INDUSTRY
01:39:59.494 --> 01:40:02.096 region:rollup2
OR IF THERE ARE DIFFERENT NICHE
01:40:00.728 --> 01:40:04.298 region:rollup2
RELATIONS.
01:40:02.096 --> 01:40:05.499 region:rollup2
POTENTIALLY COULD DERIVE SOME OF
01:40:04.298 --> 01:40:07.034 region:rollup2
THAT MISCOMMUNICATION SO IT'S
01:40:05.499 --> 01:40:08.269 region:rollup2
POSSIBLE BUT I DON'T THINK THAT
01:40:07.034 --> 01:40:10.705 region:rollup2
THERE'S A SPECIFIC PROVISION
01:40:08.269 --> 01:40:12.473 region:rollup2
THAT'S GONNA ADDRESS THAT
01:40:10.705 --> 01:40:17.545 region:rollup2
PARTICULAR ISSUE OKAY ASSERTING
01:40:12.473 --> 01:40:18.479 region:rollup2
OPEN HOUSE THANK YOU.
01:40:17.545 --> 01:40:21.048 region:rollup2
BUT A PART OF THE.
01:40:18.479 --> 01:40:22.683 region:rollup2
REQUEST IS A CONSULTANT FUNDING
01:40:21.048 --> 01:40:24.318 region:rollup2
TO AS IT ANNUALLY TO ASSIST OF
01:40:22.683 --> 01:40:25.853 region:rollup2
PREPARATION REPORT PUBLIC
01:40:24.318 --> 01:40:27.855 region:rollup2
MEETINGS AND THAT CETERA.
01:40:25.853 --> 01:40:29.590 region:rollup2
IS THIS WORK THAT'S GOING TO BE
01:40:27.855 --> 01:40:30.892 region:rollup2
DONE I MEANS THAT'S ANNUAL SO
01:40:29.590 --> 01:40:34.328 region:rollup2
THIS WORK THAT'S GONNA BE DONE
01:40:30.892 --> 01:40:34.929 region:rollup2
ON AN ONGOING BASIS YEAR AFTER
01:40:34.328 --> 01:40:35.796 region:rollup2
YEAR AFTER YEAR OURS AT ITS.
01:40:34.929 --> 01:40:37.798 region:rollup2
THING.
01:40:35.796 --> 01:40:39.600 region:rollup2
IT IS NOT ONE TIME IT IS WE WILL
01:40:37.798 --> 01:40:40.601 region:rollup2
RECEIVE THE INFORMATION
01:40:39.600 --> 01:40:41.469 region:rollup2
BEGINNING OCTOBER TWENTY FOR
01:40:40.601 --> 01:40:42.970 region:rollup2
OCTOBER FIRST OF THIS YEAR AND
01:40:41.469 --> 01:40:44.672 region:rollup2
THEN AND.
01:40:42.970 --> 01:40:46.974 region:rollup2
ON OCTOBER FIRST AT EVERY YEAR
01:40:44.672 --> 01:40:48.109 region:rollup2
AFTER AND THEN WE WILL HAVE THE
01:40:46.974 --> 01:40:49.543 region:rollup2
REPORT THAT WE WILL DO FOR THE
01:40:48.109 --> 01:40:50.811 region:rollup2
FIRST TIME IN JANUARY OF TWENTY
01:40:49.543 --> 01:40:52.613 region:rollup2
NINETEEN AND THEN ANNUALLY
01:40:50.811 --> 01:40:54.916 region:rollup2
THEREAFTER. AND HOLD A PUBLIC
01:40:52.613 --> 01:40:56.417 region:rollup2
MEETING I BELIEVE IN FEBRUARY
01:40:54.916 --> 01:40:58.219 region:rollup2
ANNUALLY BEGINNING AT TWENTY OO
01:40:56.417 --> 01:40:59.954 region:rollup2
SO WHERE WE GOTTA Y. WE HAVING
01:40:58.219 --> 01:41:01.956 region:rollup2
CONSULTANTS Y. NOT HIRE SOMEONE
01:40:59.954 --> 01:41:03.124 region:rollup2
DO THAT. IT'S A WAR IT'S REGULAR
01:41:01.956 --> 01:41:04.492 region:rollup2
WORK SHOULD BE THE STATE
01:41:03.124 --> 01:41:06.394 region:rollup2
WORKFORCE DOING IT WE HAVE BOTH
01:41:04.492 --> 01:41:08.696 region:rollup2
SO WE HAVE THE ON GOING.
01:41:06.394 --> 01:41:09.363 region:rollup2
POSITION THE SAME RIGHT YES I
01:41:08.696 --> 01:41:11.098 region:rollup2
GOT THAT.
01:41:09.363 --> 01:41:12.633 region:rollup2
AND THEN WE DO HAVE SOME SHORT
01:41:11.098 --> 01:41:14.068 region:rollup2
TERM WORKLOAD FOR THE PURPORT
01:41:12.633 --> 01:41:16.237 region:rollup2
PREPARATION WHICH WE COULDN'T
01:41:14.068 --> 01:41:17.338 region:rollup2
SUSTAIN A FULL TIME POSITION FOR
01:41:16.237 --> 01:41:18.339 region:rollup2
YOU HAVE THREE OR SIXTY FIVE
01:41:17.338 --> 01:41:20.441 region:rollup2
DAYS AND SO WE HAVE A
01:41:18.339 --> 01:41:22.009 region:rollup2
COMBINATION OF ONE FULL TIME
01:41:20.441 --> 01:41:22.977 region:rollup2
POSITION AS WELL AS.
01:41:22.009 --> 01:41:24.345 region:rollup2
THE CONSULTING SERVICES TO
01:41:22.977 --> 01:41:24.946 region:rollup2
AUGMENT THAT POSITION FOR THE
01:41:24.345 --> 01:41:27.214 region:rollup2
PORTION OF THE YEAR THAT WERE
01:41:24.946 --> 01:41:29.617 region:rollup2
ANALYZE.
01:41:27.214 --> 01:41:30.184 region:rollup2
OKAY WELL I DID I JUST WANT HIM
01:41:29.617 --> 01:41:31.586 region:rollup2
BECAUSE THIS IS KIND OF ON.
01:41:30.184 --> 01:41:32.219 region:rollup2
WORK.
01:41:31.586 --> 01:41:34.789 region:rollup2
AROUND.
01:41:32.219 --> 01:41:36.290 region:rollup2
.
01:41:34.789 --> 01:41:37.258 region:rollup2
YEAH I THINK OF YOU SEE I KNOW
01:41:36.290 --> 01:41:39.126 region:rollup2
IF IT'S ONE TIMER YOU'RE TRYING
01:41:37.258 --> 01:41:41.062 region:rollup2
TO START OFF AND YOU NEEDED
01:41:39.126 --> 01:41:42.597 region:rollup2
THAT'S ONE THING BUT ONGOING
01:41:41.062 --> 01:41:43.564 region:rollup2
WORK SHOULD BE DONE BY THE STATE
01:41:42.597 --> 01:41:44.365 region:rollup2
WORKFORCE.
01:41:43.564 --> 01:41:45.433 region:rollup2
RIGHT SO IT'S SOMETHING THAT
01:41:44.365 --> 01:41:47.101 region:rollup2
WILL BE DOING EVERY YEAR OVER
01:41:45.433 --> 01:41:48.269 region:rollup2
AND OVER AND.
01:41:47.101 --> 01:41:49.904 region:rollup2
I MEAN THAT'S PART OF LIKE THE
01:41:48.269 --> 01:41:51.138 region:rollup2
STANDARD OPERATING PROCEDURE
01:41:49.904 --> 01:41:53.341 region:rollup2
SENSUALLY SHOULD BE BROUGHT IN
01:41:51.138 --> 01:41:54.976 region:rollup2
HOUSE SO I I JUST WANNA MAKE
01:41:53.341 --> 01:41:57.178 region:rollup2
NOTE OF THAT TOM AND.
01:41:54.976 --> 01:42:00.448 region:rollup2
SO HOPEFULLY WE CAN TAKEA LOOK
01:41:57.178 --> 01:42:01.315 region:rollup2
AT THAT THOSE FUNCTIONS AND SEE
01:42:00.448 --> 01:42:02.116 region:rollup2
WHETHER IT'S A WAY TO HAVE THAT.
01:42:01.315 --> 01:42:03.451 region:rollup2
DONE.
01:42:02.116 --> 01:42:04.719 region:rollup2
IF IT'S GOING TO BE SOMETHING
01:42:03.451 --> 01:42:05.720 region:rollup2
THAT'S OF USE BY GO WHICH IS
01:42:04.719 --> 01:42:06.954 region:rollup2
GOING FOR THIS ONE YEAR
01:42:05.720 --> 01:42:08.489 region:rollup2
TEMPORARY AND WE JUST AND THAT
01:42:06.954 --> 01:42:10.024 region:rollup2
SPECIALIZED AND WE HAVE
01:42:08.489 --> 01:42:11.225 region:rollup2
STANDARDS IN PLACE FOR WHAT
01:42:10.024 --> 01:42:12.493 region:rollup2
SHOULD BE CONTRACTED OUT WHAT
01:42:11.225 --> 01:42:12.893 region:rollup2
SHOULD BE KEPT IN HOUSE BUT. I
01:42:12.493 --> 01:42:15.129 region:rollup2
THINK.
01:42:12.893 --> 01:42:16.664 region:rollup2
.
01:42:15.129 --> 01:42:18.799 region:rollup2
SOUNDS THIS IS TRYING TO SOUND
01:42:16.664 --> 01:42:19.767 region:rollup2
LIKE STUFF THAT SHOULD BE DONE
01:42:18.799 --> 01:42:20.968 region:rollup2
IN HOUSE BUT PERHAPS AS A CUT
01:42:19.767 --> 01:42:23.604 region:rollup2
FROM FINANCE.
01:42:20.968 --> 01:42:25.339 region:rollup2
YEAH I MEAN WE CERTAINLY.
01:42:23.604 --> 01:42:26.240 region:rollup2
EVALUATE THESE REQUESTS THAT
01:42:25.339 --> 01:42:27.775 region:rollup2
FOR THOSE STANDARDS BECAUSE
01:42:26.240 --> 01:42:29.944 region:rollup2
YOU'RE RIGHT TO STAY POLICY IS
01:42:27.775 --> 01:42:31.345 region:rollup2
TO TIRE STATE WORKERS FIRST
01:42:29.944 --> 01:42:32.813 region:rollup2
BEFORE CONTRACTORS SOME OF THESE
01:42:31.345 --> 01:42:34.582 region:rollup2
POSITIONS ARE VERY HARD TO FILL
01:42:32.813 --> 01:42:37.018 region:rollup2
IN PARTICULARLY FOR SOME OF THE
01:42:34.582 --> 01:42:38.519 region:rollup2
LIMITED TERM WORK THAT SAM.
01:42:37.018 --> 01:42:40.554 region:rollup2
THAT'S UP FRONT BECOMES VERY
01:42:38.519 --> 01:42:42.256 region:rollup2
DIFFICULT TO HIRE SOMEONE.
01:42:40.554 --> 01:42:44.525 region:rollup2
OFF THE STREET FOR.
01:42:42.256 --> 01:42:45.693 region:rollup2
SIMPSON THAT LIMITED TERM WORK.
01:42:44.525 --> 01:42:47.161 region:rollup2
AND PARTICULARLY WHEN IT'S A
01:42:45.693 --> 01:42:48.429 region:rollup2
SPECIALIZED SKILL SET WHEN YOU
01:42:47.161 --> 01:42:49.030 region:rollup2
CAN FIND FULL TIME EMPLOYMENT
01:42:48.429 --> 01:42:50.631 region:rollup2
PERMANENT BASIS ELSEWHERE AND
01:42:49.030 --> 01:42:52.667 region:rollup2
SO.
01:42:50.631 --> 01:42:55.469 region:rollup2
AND THAT IS WHY WE FELT LIKE
01:42:52.667 --> 01:42:57.505 region:rollup2
THIS WAS I'M MATCHING.
01:42:55.469 --> 01:42:59.874 region:rollup2
MATCHING UP A STATE POLICY
01:42:57.505 --> 01:43:01.542 region:rollup2
NICELY TO DO CONTRACT WORK IN
01:42:59.874 --> 01:43:05.513 region:rollup2
THIS CASE.
01:43:01.542 --> 01:43:06.814 region:rollup2
OKAY UP PUBLIC COMMENT.
01:43:05.513 --> 01:43:09.116 region:rollup2
MARY VALDEZ WITH HEALTHAXIS
01:43:06.814 --> 01:43:10.718 region:rollup2
CALIFORNIA WE WANT. TO THANK THE
01:43:09.116 --> 01:43:12.186 region:rollup2
DEPARTMENT FOR ALL THEIR WORK
01:43:10.718 --> 01:43:13.020 region:rollup2
ARE COLLABORATING WITH OFSHE PET
01:43:12.186 --> 01:43:13.788 region:rollup2
IN THE INFLAMMATION
01:43:13.020 --> 01:43:15.256 region:rollup2
IMPLEMENTATION OF S. B.
01:43:13.788 --> 01:43:16.924 region:rollup2
SEVENTEEN. I'M AS MENTIONED
01:43:15.256 --> 01:43:18.693 region:rollup2
BEFORE WE PROBABLY CO SPONSORED
01:43:16.924 --> 01:43:20.361 region:rollup2
THE BILL AND REALLY LOOK FORWARD
01:43:18.693 --> 01:43:22.730 region:rollup2
TO MAKING SURE THAT.
01:43:20.361 --> 01:43:24.498 region:rollup2
THE PUBLIC UNDERSTANDS HOW DRUG
01:43:22.730 --> 01:43:25.733 region:rollup2
COSTS AFFECT HEALTH PREMIUMS AND
01:43:24.498 --> 01:43:27.535 region:rollup2
WE REALLY APPRECIATE ALL YOUR
01:43:25.733 --> 01:43:27.935 region:rollup2
WORK AND SUPPORT THE BCP THANK
01:43:27.535 --> 01:43:29.737 region:rollup2
YOU.
01:43:27.935 --> 01:43:31.405 region:rollup2
WELCOME.
01:43:29.737 --> 01:43:34.208 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
01:43:31.405 --> 01:43:34.842 region:rollup2
LAW AND POVERTY ALIGNING ARE A
01:43:34.208 --> 01:43:36.377 region:rollup2
COMMENTS OF THE PREVIOUS SPEAKER
01:43:34.842 --> 01:43:38.412 region:rollup2
IN SUPPORT.
01:43:36.377 --> 01:43:38.946 region:rollup2
IF YOU BOOK.
01:43:38.412 --> 01:43:41.348 region:rollup2
BETH PROPELLANT HAVE OF
01:43:38.946 --> 01:43:42.750 region:rollup2
TEAMSTERS AND UNITE HERE TO OF
01:43:41.348 --> 01:43:44.251 region:rollup2
THE CO SPONSORS OF S. B.
01:43:42.750 --> 01:43:47.588 region:rollup2
SEVENTEEN ALSO IN SUPPORT OF THE
01:43:44.251 --> 01:43:49.290 region:rollup2
BCP. IN PARTICULAR BECAUSE LAST
01:43:47.588 --> 01:43:51.792 region:rollup2
YEAR AND THIS YEAR AGAIN OVER A
01:43:49.290 --> 01:43:53.627 region:rollup2
THOUSAND WORKERS TURNED OUT THAT
01:43:51.792 --> 01:43:54.962 region:rollup2
PUBLIC MEETING TO TALK ABOUT THE
01:43:53.627 --> 01:43:56.297 region:rollup2
IMPACT OF HEALTH CARE COSTS.
01:43:54.962 --> 01:43:58.599 region:rollup2
INCLUDING PRESCRIPTION DRUG
01:43:56.297 --> 01:44:00.801 region:rollup2
COSTS ON THEIR ABILITY TO AFFORD
01:43:58.599 --> 01:44:02.069 region:rollup2
TO LIVE IN CALIFORNIA THINK ITS
01:44:00.801 --> 01:44:04.305 region:rollup2
A VERY IMPORTANT ELEMENT OF THIS
01:44:02.069 --> 01:44:04.872 region:rollup2
AND ALSO ON BEHALF OF SEIZE PAN
01:44:04.305 --> 01:44:05.306 region:rollup2
TO SUPPORT OF THE BILL THANK
01:44:04.872 --> 01:44:07.975 region:rollup2
YOU.
01:44:05.306 --> 01:44:09.744 region:rollup2
THANK YOU.
01:44:07.975 --> 01:44:11.378 region:rollup2
ALRIGHT ANY OTHER QUESTIONS
01:44:09.744 --> 01:44:12.146 region:rollup2
NEEDS ALRIGHT SO WE'RE GONNA
01:44:11.378 --> 01:44:14.615 region:rollup2
HOLD THAT ITEM OPEN.
01:44:12.146 --> 01:44:16.717 region:rollup2
BOB.
01:44:14.615 --> 01:44:19.487 region:rollup2
ACTUALLY I THINK FOR OUR NEXT
01:44:16.717 --> 01:44:20.921 region:rollup2
ITEM WE STILL NEED TO GET.
01:44:19.487 --> 01:44:22.356 region:rollup2
DIRECTOR SO I THINK MAYBE WE'LL
01:44:20.921 --> 01:44:23.991 region:rollup2
TAKE A BRIEF BREAK BUT ACTUALLY
01:44:22.356 --> 01:44:25.893 region:rollup2
MONIES ASK ONE QUESTION GOING
01:44:23.991 --> 01:44:26.193 region:rollup2
BACK TO THE OVERVIEW.
01:44:25.893 --> 01:44:27.094 region:rollup2
AND HEALTH.
01:44:26.193 --> 01:44:29.663 region:rollup2
.
01:44:27.094 --> 01:44:30.531 region:rollup2
SO.
01:44:29.663 --> 01:44:32.099 region:rollup2
RIGHT NOW I KNOW YOU HAVE A
01:44:30.531 --> 01:44:34.235 region:rollup2
PERFECT DATA BUT YOU HAVE SOME
01:44:32.099 --> 01:44:35.669 region:rollup2
PLANS FOR YOU GETTING YOU HAVE
01:44:34.235 --> 01:44:37.805 region:rollup2
DATA THAT SHOWS THAT THERE DOWN
01:44:35.669 --> 01:44:39.006 region:rollup2
AT. NUMBER FIFTY PERCENT BELOW
01:44:37.805 --> 01:44:40.574 region:rollup2
EIGHTY PERCENT.
01:44:39.006 --> 01:44:42.943 region:rollup2
AND YOU TALKED ABOUT.
01:44:40.574 --> 01:44:44.979 region:rollup2
LOW WHAT OUR PLAN IS IS THAT IF
01:44:42.943 --> 01:44:46.447 region:rollup2
SOMEONE IS IS BELOW A CERTAIN
01:44:44.979 --> 01:44:48.115 region:rollup2
THRESHOLD WE TRY TO DO SOME
01:44:46.447 --> 01:44:49.016 region:rollup2
CORRECTIVE ACTION. SO ARE YOU
01:44:48.115 --> 01:44:51.619 region:rollup2
GONNA SIR DID ARE YOU DOING
01:44:49.016 --> 01:44:54.588 region:rollup2
CORRECTIVE ACTION PLANS BASED ON
01:44:51.619 --> 01:44:56.323 region:rollup2
THE INFORMATION YOU HAVE THAT.
01:44:54.588 --> 01:44:58.459 region:rollup2
THOSE WHO ARE NOT WAITING UNTIL
01:44:56.323 --> 01:44:59.560 region:rollup2
NEXT YEAR FOR ANY OF THAT NO
01:44:58.459 --> 01:45:00.794 region:rollup2
WE'RE NOT WAITING WE JUST DON'T
01:44:59.560 --> 01:45:02.196 region:rollup2
HAVE A SPECIFIC STANDARD AGAINST
01:45:00.794 --> 01:45:03.597 region:rollup2
WHICH WE COULD.
01:45:02.196 --> 01:45:05.633 region:rollup2
ACUTE A PLAN BUT WE ARE
01:45:03.597 --> 01:45:07.301 region:rollup2
REGULARLY MEETING WITH AND
01:45:05.633 --> 01:45:09.637 region:rollup2
CONFERRING WITH THE PLANS AND
01:45:07.301 --> 01:45:10.938 region:rollup2
I'M PROVIDING COMMENTS AND OTHER
01:45:09.637 --> 01:45:12.039 region:rollup2
SORT OF COMMUNICATIONS WITH
01:45:10.938 --> 01:45:13.107 region:rollup2
RESPECT ABOUT TIMELY ACCESS AS
01:45:12.039 --> 01:45:15.810 region:rollup2
WELL AS.
01:45:13.107 --> 01:45:17.545 region:rollup2
NETWORK REVIEW AND THE ALL ALL
01:45:15.810 --> 01:45:20.214 region:rollup2
OF THE THINGS THAT RELATE TO.
01:45:17.545 --> 01:45:21.849 region:rollup2
AND REALLY ACCESS SO IT IT IS
01:45:20.214 --> 01:45:23.250 region:rollup2
IT'S HOLISTIC INSIDE IT LOOKS
01:45:21.849 --> 01:45:25.319 region:rollup2
SEPARATE WHEN WE TALK ABOUT THEM
01:45:23.250 --> 01:45:26.820 region:rollup2
IS INDIVIDUAL THINGS BUT WE ARE
01:45:25.319 --> 01:45:28.956 region:rollup2
IN ROUTINE COMMUNICATION WITH
01:45:26.820 --> 01:45:30.024 region:rollup2
THE PLANS ON. HOW ADEQUATE IS
01:45:28.956 --> 01:45:31.025 region:rollup2
THEIR NETWORK TO SERVE THE
01:45:30.024 --> 01:45:33.093 region:rollup2
ENROLLEES THAT NEED HEALTH CARE
01:45:31.025 --> 01:45:34.695 region:rollup2
OKAY WELL I HOPE MOURN JUST
01:45:33.093 --> 01:45:36.897 region:rollup2
COMMUNICATION BUT AND BECAUSE
01:45:34.695 --> 01:45:38.465 region:rollup2
THE PATIENTS CAN'T WAIT? RIGHT I
01:45:36.897 --> 01:45:40.501 region:rollup2
MEAN I'M A PHYSICIAN NICE
01:45:38.465 --> 01:45:42.837 region:rollup2
SEE THE FRUSTRATION WHEN SOMEONE
01:45:40.501 --> 01:45:44.838 region:rollup2
CAN'T GET THE CARE.
01:45:42.837 --> 01:45:46.640 region:rollup2
INDEED AND DODD AND SO THAT'S.
01:45:44.838 --> 01:45:48.309 region:rollup2
.
01:45:46.640 --> 01:45:50.544 region:rollup2
IT'S PART OF MY VERY SIGNIFICANT
01:45:48.309 --> 01:45:51.879 region:rollup2
FRUSTRATION THAT ONLY FIRST
01:45:50.544 --> 01:45:53.280 region:rollup2
TALKING TWENTY SEVENTEEN WE
01:45:51.879 --> 01:45:54.682 region:rollup2
DIDN'T HAVE DATA AND AS I WILL
01:45:53.280 --> 01:45:55.282 region:rollup2
TAKE TWO YEARS TO GET THE DATA
01:45:54.682 --> 01:45:55.883 region:rollup2
NOW I'M HEARING THAT WE WILL.
01:45:55.282 --> 01:45:58.852 region:rollup2
STANDARD
01:45:55.883 --> 01:46:01.155 region:rollup2
AND WHAT YOU KNOW I MEAN.
01:45:58.852 --> 01:46:03.324 region:rollup2
PEOPLE ARE WAITING RIGHT. AND SO
01:46:01.155 --> 01:46:04.124 region:rollup2
WE KNOW SOMETHING'S GOING ON AND
01:46:03.324 --> 01:46:05.960 region:rollup2
WE'RE JUST ABLE TO KEEP WAITING
01:46:04.124 --> 01:46:06.527 region:rollup2
AND WAITING WAY UNTIL THEY DO
01:46:05.960 --> 01:46:08.829 region:rollup2
SOMETHING ABOUT IT.
01:46:06.527 --> 01:46:10.931 region:rollup2
THAT'S NOT ACCEPTABLE.
01:46:08.829 --> 01:46:12.833 region:rollup2
ALRIGHT BUT THAT WILL TAKE P
01:46:10.931 --> 01:46:14.535 region:rollup2
BRIEF FIVE FIVE MINUTE BREAK AND
01:46:12.833 --> 01:46:30.985 region:rollup2
DOUBLES.
01:46:14.535 --> 01:46:30.985 region:rollup2
SEE ABOUT OUR NEXT WITNESSES
01:59:20.220 --> 01:59:23.990 region:rollup2
BECAUSE.
01:59:22.489 --> 01:59:25.825 region:rollup2
YEAH GO AHEAD RECONVENE AND
01:59:23.990 --> 01:59:27.293 region:rollup2
AMEND IT TEARS ARE ACTUALLY A
01:59:25.825 --> 01:59:29.863 region:rollup2
FEW SECONDS.
01:59:27.293 --> 01:59:31.164 region:rollup2
SO WE'RE GONNA TAKE UP ITEM
01:59:29.863 --> 01:59:31.164 region:rollup2
NUMBER FOR ITS THAT YOU FOUR ONE
01:59:31.464 --> 01:59:32.932 region:rollup2
FIVE.
01:59:32.999 --> 01:59:35.902 region:rollup2
AND FORTY SIX UP TO IT IT'S A
01:59:35.035 --> 01:59:36.536 region:rollup2
JOINT.
01:59:35.902 --> 01:59:37.604 region:rollup2
OVERSIGHT ITEM A MANAGE CARE
01:59:36.536 --> 01:59:39.806 region:rollup2
TIMELY ACCESS TO CARE
01:59:37.604 --> 01:59:41.007 region:rollup2
ENFORCEMENT.
01:59:39.806 --> 01:59:42.709 region:rollup2
SO I KNOW WE'VE JUST TALKED A
01:59:41.007 --> 01:59:43.276 region:rollup2
BIT ABOUT.
01:59:42.709 --> 01:59:44.110 region:rollup2
THE FACTS ON THE COMMERCIAL
01:59:43.276 --> 01:59:44.277 region:rollup2
SIDE.
01:59:44.110 --> 01:59:46.579 region:rollup2
SO.
01:59:44.277 --> 01:59:48.148 region:rollup2
.
01:59:46.579 --> 01:59:49.983 region:rollup2
SO BASICALLY I WANT TO WELCOME.
01:59:48.148 --> 01:59:50.750 region:rollup2
DIRECTOR CAN'T I KNOW YOU'RE
01:59:49.983 --> 01:59:52.018 region:rollup2
BUSY.
01:59:50.750 --> 01:59:53.153 region:rollup2
TESTIFY BEFORE LOU HOOVER
01:59:52.018 --> 01:59:55.055 region:rollup2
COMMISSION.
01:59:53.153 --> 01:59:58.191 region:rollup2
SO PRE SHEET THAT YOU'RE ABLE
01:59:55.055 --> 02:00:01.027 region:rollup2
TO RUSH DOWN HERE AND. MAKE IT
01:59:58.191 --> 02:00:02.429 region:rollup2
SO BUT THANKS FOR THE RECORD
02:00:01.027 --> 02:00:04.998 region:rollup2
THAT WE SHOULD JUST GO QUICKLY
02:00:02.429 --> 02:00:06.332 region:rollup2
DO THE ROUND ROBIN OF
02:00:04.998 --> 02:00:08.301 region:rollup2
INTRODUCTIONS.
02:00:06.332 --> 02:00:13.573 region:rollup2
AND THEN WE'LL GO AHEAD AND
02:00:08.301 --> 02:00:15.408 region:rollup2
START WITH THIS ITEM SO. I GUESS
02:00:13.573 --> 02:00:16.509 region:rollup2
WE'LL THEIR TEND TO US THAT
02:00:15.408 --> 02:00:18.445 region:rollup2
WOULD GO DOWN THE LINE FOR
02:00:16.509 --> 02:00:19.746 region:rollup2
AGENCIES. JENNIFER CAN'T.
02:00:18.445 --> 02:00:21.214 region:rollup2
DEPARTMENT OF HEALTH CARE
02:00:19.746 --> 02:00:25.685 region:rollup2
SERVICES AND THANK YOU FOR THAT
02:00:21.214 --> 02:00:26.319 region:rollup2
COURTESY EXTENDED SO THAT I
02:00:25.685 --> 02:00:27.320 region:rollup2
COULD GET FROM ONE FLOOR TO THE
02:00:26.319 --> 02:00:27.921 region:rollup2
NEXT.
02:00:27.320 --> 02:00:28.521 region:rollup2
GOOD AFTERNOON SIERRA BROOKS
02:00:27.921 --> 02:00:28.888 region:rollup2
WITH THE DEPARTMENT OF HEALTH
02:00:28.521 --> 02:00:29.823 region:rollup2
CARE SERVICES.
02:00:28.888 --> 02:00:30.690 region:rollup2
MARTA GREEN WITH THE DEPARTMENT
02:00:29.823 --> 02:00:31.424 region:rollup2
OF MANAGED HEALTHCARE.
02:00:30.690 --> 02:00:33.159 region:rollup2
JENNY PHILLIPS DEPARTMENT A
02:00:31.424 --> 02:00:35.762 region:rollup2
MATCH HEALTH CARE.
02:00:33.159 --> 02:00:38.098 region:rollup2
FELLOW AND JOHNSON.
02:00:35.762 --> 02:00:39.466 region:rollup2
AROUND WAS REALLY OFF A FINANCE.
02:00:38.098 --> 02:00:43.036 region:rollup2
JUST BECAUSE I GUESS FINANCE
02:00:39.466 --> 02:00:44.437 region:rollup2
MAKE YOU. WRITE A GOOD PRESENT.
02:00:43.036 --> 02:00:45.105 region:rollup2
SO THE WAY THE AGENDA WAS SET UP
02:00:44.437 --> 02:00:45.739 region:rollup2
IT HAD THE DEPARTMENT OF HEALTH
02:00:45.105 --> 02:00:46.406 region:rollup2
CARE LISTED FIRST SO I WILL GO
02:00:45.739 --> 02:00:47.040 region:rollup2
AHEAD AND GET STARTED. AS OF THE
02:00:46.406 --> 02:00:47.540 region:rollup2
FIRST QUESTION RELATED TO THE
02:00:47.040 --> 02:00:48.108 region:rollup2
DEPARTMENT'S ENFORCEMENT
02:00:47.540 --> 02:00:48.775 region:rollup2
ACTIVITIES AND PROCESSES FOR
02:00:48.108 --> 02:00:50.043 region:rollup2
TURNING DETERMINING HEALTH PLAN
02:00:48.775 --> 02:00:50.877 region:rollup2
COMPLIANCE WITH TIMELY ACCESS
02:00:50.043 --> 02:00:52.512 region:rollup2
STANDARDS.
02:00:50.877 --> 02:00:54.147 region:rollup2
SO THE FIRST QUESTION UNDER
02:00:52.512 --> 02:00:59.085 region:rollup2
THAT WAS WHAT DOC.
02:00:54.147 --> 02:01:00.553 region:rollup2
PLANS FOR REGARDING.
02:00:59.085 --> 02:01:01.888 region:rollup2
SO I TOOK A LITTLE BIT ABOUT IT
02:01:00.553 --> 02:01:03.423 region:rollup2
BEFORE BUT I GO TO A LITTLE BIT
02:01:01.888 --> 02:01:04.491 region:rollup2
MORE DETAIL HEALTH PLANS MUST
02:01:03.423 --> 02:01:06.059 region:rollup2
SENATOR TIMELY ACCESS.
02:01:04.491 --> 02:01:07.660 region:rollup2
ANNUALLY THERE DUE ON MARCH
02:01:06.059 --> 02:01:09.696 region:rollup2
THIRTY FIRST OF EACH YEAR EACH
02:01:07.660 --> 02:01:10.663 region:rollup2
REPORT INCLUDES ABOUT FIVE TO
02:01:09.696 --> 02:01:12.465 region:rollup2
SIX COMPONENTS.
02:01:10.663 --> 02:01:14.167 region:rollup2
DAY HOW THEY HAVE TO DESCRIBE
02:01:12.465 --> 02:01:15.368 region:rollup2
IN GREAT DETAIL THE PLAN'S
02:01:14.167 --> 02:01:16.903 region:rollup2
INTERNAL PROCESSES AND
02:01:15.368 --> 02:01:17.403 region:rollup2
PROCEDURES FOR DETERMINING
02:01:16.903 --> 02:01:19.272 region:rollup2
TIMELY ACCESS FOR THEIR
02:01:17.403 --> 02:01:20.573 region:rollup2
ENROLLEES. A LIST OF EVERY
02:01:19.272 --> 02:01:22.108 region:rollup2
PROVIDER CONTRACTED BY THE
02:01:20.573 --> 02:01:23.076 region:rollup2
HEALTH PLANS OF THAT A FULL
02:01:22.108 --> 02:01:25.145 region:rollup2
ROSTER.
02:01:23.076 --> 02:01:26.813 region:rollup2
A PLAN SURVEY RESULTS OF FROM
02:01:25.145 --> 02:01:28.314 region:rollup2
THEIR TIMELY ACCESS SURVEY WHICH
02:01:26.813 --> 02:01:30.016 region:rollup2
WAS THAT THE TOPIC THAT WERE
02:01:28.314 --> 02:01:31.417 region:rollup2
TALKING ABOUT EARLIER. A
02:01:30.016 --> 02:01:32.719 region:rollup2
PROVIDER AND REALLY SATISFACTION
02:01:31.417 --> 02:01:34.020 region:rollup2
SURVEY RESULTS AS WELL AS
02:01:32.719 --> 02:01:36.022 region:rollup2
VARIOUS OTHER INDICATORS OF
02:01:34.020 --> 02:01:37.123 region:rollup2
COMPLIANCE INCLUDING.
02:01:36.022 --> 02:01:38.691 region:rollup2
INFORMATION RELATED TO
02:01:37.123 --> 02:01:40.260 region:rollup2
GRIEVANCES AN APPEALS THAT
02:01:38.691 --> 02:01:41.394 region:rollup2
INDICATOR EITHER IN A PATTERN OF
02:01:40.260 --> 02:01:42.428 region:rollup2
NONCOMPLIANCE BY SPECIFIC
02:01:41.394 --> 02:01:43.997 region:rollup2
PROVIDER GROUPS WITHIN THE
02:01:42.428 --> 02:01:45.598 region:rollup2
NETWORK R INCIDENTS OF
02:01:43.997 --> 02:01:46.766 region:rollup2
NONCOMPLIANCE THAT INVOLVED
02:01:45.598 --> 02:01:48.635 region:rollup2
SUBSTANTIAL HARM.
02:01:46.766 --> 02:01:49.869 region:rollup2
SO THE SECOND SUB QUESTION WAS
02:01:48.635 --> 02:01:51.671 region:rollup2
HOW DO WE EVALUATE THIS
02:01:49.869 --> 02:01:53.273 region:rollup2
DOCUMENTATION.
02:01:51.671 --> 02:01:54.541 region:rollup2
SO WE REVIEW ALL OF THE DATA AND
02:01:53.273 --> 02:01:56.442 region:rollup2
INFORMATION SUBMITTED FOR
02:01:54.541 --> 02:01:57.477 region:rollup2
ACCURACY AND COMPLETENESS FOR
02:01:56.442 --> 02:01:59.112 region:rollup2
THE PLAN'S INTERNAL.
02:01:57.477 --> 02:02:00.680 region:rollup2
TIMELY ACCESS POLICIES AND
02:01:59.112 --> 02:02:01.714 region:rollup2
PROCEDURES PROVIDER AD AND
02:02:00.680 --> 02:02:03.883 region:rollup2
REALLY SATISFACTION SYRUP SERVER
02:02:01.714 --> 02:02:05.618 region:rollup2
RESULTS AND THE OTHER.
02:02:03.883 --> 02:02:06.753 region:rollup2
THAT I DESCRIBED WE MONITOR
02:02:05.618 --> 02:02:08.555 region:rollup2
COMPLIANCE AND OUTCOMES DURING
02:02:06.753 --> 02:02:09.756 region:rollup2
OUR REGULARLY SCHEDULED ON SITE
02:02:08.555 --> 02:02:11.057 region:rollup2
SURVEYS IS A FUNCTIONAL AUDITS
02:02:09.756 --> 02:02:12.425 region:rollup2
THAT WE CONDUCT EVERY THREE
02:02:11.057 --> 02:02:14.027 region:rollup2
YEARS AT THE PLANS.
02:02:12.425 --> 02:02:15.695 region:rollup2
AND WE LOOK AT ALL AREAS OF
02:02:14.027 --> 02:02:17.363 region:rollup2
HEALTH PLANS PERFORMANCE WITH
02:02:15.695 --> 02:02:19.032 region:rollup2
RESPECT TO ACCESSIBILITY. FOR
02:02:17.363 --> 02:02:20.633 region:rollup2
THE COMPLETE PROVIDE A ROSTER
02:02:19.032 --> 02:02:22.001 region:rollup2
THAT IS SUPPLIED THE DAMAGE SEE
02:02:20.633 --> 02:02:23.203 region:rollup2
USES GEO MAPPING SOFTWARE TO
02:02:22.001 --> 02:02:24.704 region:rollup2
ENSURE THAT THE VARIOUS PROVIDER
02:02:23.203 --> 02:02:26.539 region:rollup2
RATIO AND GEOGRAPHIC STANDARDS
02:02:24.704 --> 02:02:28.374 region:rollup2
ARE MET. AND FOR THE TIMELY
02:02:26.539 --> 02:02:29.375 region:rollup2
ACCESS SURVEY RESULTS THE DAMAGE
02:02:28.374 --> 02:02:30.910 region:rollup2
TO REVIEWS FOR ADHERENCE TO THE
02:02:29.375 --> 02:02:33.580 region:rollup2
STANDARDIZED METHODOLOGY AND FOR
02:02:30.910 --> 02:02:35.849 region:rollup2
OTHER DATA RELATED ISSUES AS WE.
02:02:33.580 --> 02:02:37.383 region:rollup2
WORK TOWARDS IT ARE.
02:02:35.849 --> 02:02:39.519 region:rollup2
COMPLIANCE DETERMINATION.
02:02:37.383 --> 02:02:41.087 region:rollup2
AND I I TALKED AT GREAT LENGTH
02:02:39.519 --> 02:02:42.522 region:rollup2
EARLIER ABOUT THE EXCEPT ALREADY
02:02:41.087 --> 02:02:43.723 region:rollup2
COMPLIANCE FOR THE APPOINTMENT
02:02:42.522 --> 02:02:44.557 region:rollup2
WAIT TIME STANDARDS AND WE'RE
02:02:43.723 --> 02:02:46.392 region:rollup2
WORKING WITH STANDARDS
02:02:44.557 --> 02:02:47.694 region:rollup2
STATISTICIANS TO QUANTIFY HOW
02:02:46.392 --> 02:02:48.795 region:rollup2
THE PERCENTAGE OF SURVEYED
02:02:47.694 --> 02:02:50.296 region:rollup2
PROVIDERS WITHIN THE APPOINTMENT
02:02:48.795 --> 02:02:52.165 region:rollup2
AVAILABILITY. WITHIN THE WAIT
02:02:50.296 --> 02:02:53.933 region:rollup2
TIME STANDARDS TRANSLATES INTO A
02:02:52.165 --> 02:02:54.534 region:rollup2
RELIABLE ESTIMATE OF AN AND
02:02:53.933 --> 02:02:56.669 region:rollup2
RELEASE ABILITY TO IT OBTAINS
02:02:54.534 --> 02:02:57.570 region:rollup2
ARE.
02:02:56.669 --> 02:02:59.105 region:rollup2
SO THE NEXT QUESTION.
02:02:57.570 --> 02:02:59.639 region:rollup2
.
02:02:59.105 --> 02:03:01.241 region:rollup2
SO HOW WE RESPONDED AFTER
02:02:59.639 --> 02:03:03.209 region:rollup2
REVIEW.
02:03:01.241 --> 02:03:06.346 region:rollup2
THEIR DOCUMENTATION INDICATES
02:03:03.209 --> 02:03:07.614 region:rollup2
AND SIGNIFICANT COMPLIANCE.
02:03:06.346 --> 02:03:08.815 region:rollup2
SO WHEN THE DME SEE IDENTIFIES
02:03:07.614 --> 02:03:09.983 region:rollup2
ISSUES WITH THE WAY IN WHICH THE
02:03:08.815 --> 02:03:11.484 region:rollup2
HEALTH PLAN CONDUCTED ITS
02:03:09.983 --> 02:03:12.785 region:rollup2
PROVIDERS SURVEYED THE DAMAGE HE
02:03:11.484 --> 02:03:13.753 region:rollup2
NOTIFIES THE PLAN AND WHERE
02:03:12.785 --> 02:03:15.388 region:rollup2
APPROPRIATE AND.
02:03:13.753 --> 02:03:16.456 region:rollup2
REFERS AT TWENTY FORCE MEANT
02:03:15.388 --> 02:03:17.724 region:rollup2
FOR THOSE VIOLATIONS
02:03:16.456 --> 02:03:19.392 region:rollup2
AND AS I DESCRIBED EARLIER MORE
02:03:17.724 --> 02:03:20.693 region:rollup2
SUBSTANTIVE
02:03:19.392 --> 02:03:22.328 region:rollup2
SUBSTANTIVELY BEGINNINGTHIS
02:03:20.693 --> 02:03:23.963 region:rollup2
YEAR WILL BE ENGAGED IN A ROBUST
02:03:22.328 --> 02:03:24.898 region:rollup2
STAKEHOLDER PROCESS TO DETERMINE
02:03:23.963 --> 02:03:26.432 region:rollup2
WHAT AN ACCEPTABLE RATE OF
02:03:24.898 --> 02:03:27.233 region:rollup2
COMPLIANCE IS FOR THE TIMELY
02:03:26.432 --> 02:03:28.635 region:rollup2
ACCESS.
02:03:27.233 --> 02:03:31.471 region:rollup2
SURVEY RESULTS.
02:03:28.635 --> 02:03:33.506 region:rollup2
I WILL ALSO SAY THAT WITH THE A
02:03:31.471 --> 02:03:35.441 region:rollup2
REVIEW OF THE PROVIDER ROSTER.
02:03:33.506 --> 02:03:37.443 region:rollup2
THERE IS AN EXTENSIVE.
02:03:35.441 --> 02:03:39.045 region:rollup2
ANALYSIS USING THE GEO MAPPING
02:03:37.443 --> 02:03:40.713 region:rollup2
SOFTWARE TO LOOK FOR AREAS WHERE
02:03:39.045 --> 02:03:43.182 region:rollup2
THERE MAY BE GAPS IN COVERAGE
02:03:40.713 --> 02:03:45.118 region:rollup2
FOR SPECIFIC PROVIDER TYPES OR.
02:03:43.182 --> 02:03:46.352 region:rollup2
WHERE HEALTH PLANS OF
02:03:45.118 --> 02:03:47.654 region:rollup2
PERFORMING THE SAME REGION MAYBE
02:03:46.352 --> 02:03:49.222 region:rollup2
PERFORMING DIFFERENTLY AND WHY
02:03:47.654 --> 02:03:51.057 region:rollup2
ONE PLAN HAS A LOWER
02:03:49.222 --> 02:03:53.159 region:rollup2
CONCENTRATION OF PROVIDERS THAN
02:03:51.057 --> 02:03:55.094 region:rollup2
ANOTHER PLAN?
02:03:53.159 --> 02:03:56.796 region:rollup2
OF SO THE NEXT QUESTION RELATED
02:03:55.094 --> 02:03:57.363 region:rollup2
TO ENFORCEMENT ACTIONS THAT WE
02:03:56.796 --> 02:03:59.732 region:rollup2
UNDERTOOK.
02:03:57.363 --> 02:04:01.334 region:rollup2
TO CORRECT NON COMPLIANCE.
02:03:59.732 --> 02:04:02.936 region:rollup2
WE HAVE A BROAD RANGE OF TOOLS
02:04:01.334 --> 02:04:04.604 region:rollup2
IN OUR TOOLBOX OF THE DAMAGE SEE
02:04:02.936 --> 02:04:05.972 region:rollup2
WE MAY ISSUE FINES WE MAY ENTER
02:04:04.604 --> 02:04:07.106 region:rollup2
INTO SETTLEMENT AGREEMENTS WE
02:04:05.972 --> 02:04:08.241 region:rollup2
MAY IMPOSE CORRECTIVE ACTION
02:04:07.106 --> 02:04:09.442 region:rollup2
PLANS.
02:04:08.241 --> 02:04:10.977 region:rollup2
FOLLOWING THE TWENTY FIFTEEN
02:04:09.442 --> 02:04:12.378 region:rollup2
SURVEY RESULTS THAT WE USE BOTH
02:04:10.977 --> 02:04:13.513 region:rollup2
FINES AND CORRECTIVE ACTION
02:04:12.378 --> 02:04:16.049 region:rollup2
PLANS WITH AN EMPHASIS ON
02:04:13.513 --> 02:04:17.917 region:rollup2
PRODUCING MORE. A RELIABLE DATA.
02:04:16.049 --> 02:04:19.919 region:rollup2
AND AS I MENTIONED BEFORE THIS
02:04:17.917 --> 02:04:21.120 region:rollup2
IS THE TIMELY ACCESS SURVEY IS
02:04:19.919 --> 02:04:23.289 region:rollup2
JUST ONE WAY THAT WE ARE.
02:04:21.120 --> 02:04:24.490 region:rollup2
YOU USING TO MONITOR AND REALLY
02:04:23.289 --> 02:04:25.692 region:rollup2
ACCESS
02:04:24.490 --> 02:04:28.061 region:rollup2
I AM I DESCRIBED OUR HELP CENTER
02:04:25.692 --> 02:04:29.362 region:rollup2
IS WE WE TALKED ABOUT BEFORE IN
02:04:28.061 --> 02:04:30.963 region:rollup2
ADDITION TO SPECIFIC PENALTIES
02:04:29.362 --> 02:04:32.498 region:rollup2
THAT WE IMPOSE. IF.
02:04:30.963 --> 02:04:33.700 region:rollup2
AN ENROLLEE CONTEXT THE HOUSE
02:04:32.498 --> 02:04:34.600 region:rollup2
ON THE HELP CENTER IS HAVING
02:04:33.700 --> 02:04:37.236 region:rollup2
DIFFICULTY GETTING.
02:04:34.600 --> 02:04:38.338 region:rollup2
AN APPOINTMENT A WE OFTENTIMES
02:04:37.236 --> 02:04:39.672 region:rollup2
WILL GET ON A THREE WAY CALL
02:04:38.338 --> 02:04:40.873 region:rollup2
WITH THE PLAN AND HELP THEM
02:04:39.672 --> 02:04:42.275 region:rollup2
SECURE THAT APPOINTMENT WORK
02:04:40.873 --> 02:04:44.544 region:rollup2
THAT STILL IS NOT SUCCESSFUL WE
02:04:42.275 --> 02:04:46.346 region:rollup2
WILL REQUIRE THE PLAN. TO.
02:04:44.544 --> 02:04:47.947 region:rollup2
APPROVED ACCESS TO DATA NETWORK
02:04:46.346 --> 02:04:48.881 region:rollup2
PROVIDER AT IT NETWORK COST
02:04:47.947 --> 02:04:50.750 region:rollup2
SHARING.
02:04:48.881 --> 02:04:51.584 region:rollup2
IF THERE IS ANY CASE WHERE AN
02:04:50.750 --> 02:04:53.519 region:rollup2
ENROLLEE.
02:04:51.584 --> 02:04:55.254 region:rollup2
CAN'T GET ACCESS OR THERE IS
02:04:53.519 --> 02:04:56.089 region:rollup2
SUBSTANTIAL HARM OR ANY HARM TO
02:04:55.254 --> 02:04:57.590 region:rollup2
AN ENROLLEE THEY WILL BE
02:04:56.089 --> 02:05:00.093 region:rollup2
REFERRED HER OFFICE OF
02:04:57.590 --> 02:05:02.028 region:rollup2
ENFORCEMENT FOR PROSECUTION.
02:05:00.093 --> 02:05:03.596 region:rollup2
SO THE NEXT QUESTION WAS RELATED
02:05:02.028 --> 02:05:04.964 region:rollup2
TO WHETHER OR NOT WE UNDERTAKEN
02:05:03.596 --> 02:05:07.667 region:rollup2
INDEPENDENT ANALYSIS OF
02:05:04.964 --> 02:05:09.035 region:rollup2
VERIFICATION OF NETWORK ADEQUACY
02:05:07.667 --> 02:05:10.603 region:rollup2
IN PROVIDER AVAILABILITY. SO AS
02:05:09.035 --> 02:05:12.538 region:rollup2
I MENTIONED EARLIER YES WE DO DO
02:05:10.603 --> 02:05:13.172 region:rollup2
GEO MAPPING TO DETERMINE WHETHER
02:05:12.538 --> 02:05:14.173 region:rollup2
PROVIDERS ARE WITHIN THE MAXIMUM
02:05:13.172 --> 02:05:15.875 region:rollup2
TIME.
02:05:14.173 --> 02:05:17.176 region:rollup2
STANDARDS FROM ENROLLEES
02:05:15.875 --> 02:05:18.811 region:rollup2
WE APPROACH THIS REVIEW BY
02:05:17.176 --> 02:05:20.947 region:rollup2
MEASURING THE DISTANCE TO A
02:05:18.811 --> 02:05:22.749 region:rollup2
PROVIDER FROM ALL POP POSSIBLE
02:05:20.947 --> 02:05:24.384 region:rollup2
POPULATION POINTS WITHIN EVERY
02:05:22.749 --> 02:05:25.685 region:rollup2
ZIP CODE IN THE SERVICE AREA.
02:05:24.384 --> 02:05:26.886 region:rollup2
AND MAKE A DETERMINATION OF
02:05:25.685 --> 02:05:28.488 region:rollup2
WHETHER THE STANDARD IS MEANT
02:05:26.886 --> 02:05:30.857 region:rollup2
FOR EACH ZIP CODE.
02:05:28.488 --> 02:05:31.891 region:rollup2
AND THEN WE ALSO CONDUCT AN
02:05:30.857 --> 02:05:33.059 region:rollup2
INDEPENDENT ASSESSMENT OF
02:05:31.891 --> 02:05:35.962 region:rollup2
NETWORK CAPACITY IN PROVIDER
02:05:33.059 --> 02:05:37.330 region:rollup2
AVAILABILITY. SO THE ACT
02:05:35.962 --> 02:05:38.197 region:rollup2
REQUIRES THAT ALL HEALTH PLANS
02:05:37.330 --> 02:05:39.899 region:rollup2
PAUL HEALTH PLAN NETWORKS
02:05:38.197 --> 02:05:41.768 region:rollup2
PROVIDE ONE FULL TIME EQUIVALENT
02:05:39.899 --> 02:05:43.302 region:rollup2
PCP FOR EVERY TWO THOUSAND AND
02:05:41.768 --> 02:05:44.737 region:rollup2
RELEASE AND ONE FULL TIME
02:05:43.302 --> 02:05:46.372 region:rollup2
EQUIVALENT PHYSICIAN FOR EVERY
02:05:44.737 --> 02:05:47.907 region:rollup2
TWELVE HUNDRED AND RE ENROLLEES.
02:05:46.372 --> 02:05:49.609 region:rollup2
WITH INPUT FROM OUR STATISTICAL
02:05:47.907 --> 02:05:50.810 region:rollup2
VENDOR WE USE THAT DATA
02:05:49.609 --> 02:05:52.211 region:rollup2
REGARDING PROVIDER PARTICIPATION
02:05:50.810 --> 02:05:54.580 region:rollup2
FROM ALL OF THE LICENSE PLANS.
02:05:52.211 --> 02:05:57.817 region:rollup2
UNDER OUR JURISDICTION TO
02:05:54.580 --> 02:05:58.851 region:rollup2
DETERMINE AN F. T. VALUE FOR ITS
02:05:57.817 --> 02:05:59.352 region:rollup2
PHYSICIANS SO AS AN EXAMPLE IF
02:05:58.851 --> 02:06:00.553 region:rollup2
ONE PHYSICIAN IS INTEND
02:05:59.352 --> 02:06:02.455 region:rollup2
NETWORKS.
02:06:00.553 --> 02:06:04.557 region:rollup2
THEN EACH NETWORK IS A PORTION
02:06:02.455 --> 02:06:05.892 region:rollup2
TEN PERCENT IT'S VERY SIMPLISTIC
02:06:04.557 --> 02:06:08.995 region:rollup2
CALCULATION BUT THAT'S THE WAY
02:06:05.892 --> 02:06:10.396 region:rollup2
WE WE CALCULATE OF TNCS.
02:06:08.995 --> 02:06:11.497 region:rollup2
AND THAT WE ALSO REVIEW EACH
02:06:10.396 --> 02:06:13.166 region:rollup2
NETWORK TO ENSURE THAT ALL
02:06:11.497 --> 02:06:14.434 region:rollup2
PRIMARY PROVIDER TYPES NECESSARY
02:06:13.166 --> 02:06:17.703 region:rollup2
TO DELIVER ALL BASIC HEALTHCARE
02:06:14.434 --> 02:06:20.840 region:rollup2
SERVICES ARE INCLUDED.
02:06:17.703 --> 02:06:23.242 region:rollup2
SO THE NEXT.
02:06:20.840 --> 02:06:24.777 region:rollup2
QUESTION RELATED TO HOW DO WE
02:06:23.242 --> 02:06:26.479 region:rollup2
EVALUATE PLAN REQUEST FOR
02:06:24.777 --> 02:06:27.346 region:rollup2
ALTERNATIVE ACCESS STANDARDS
02:06:26.479 --> 02:06:28.548 region:rollup2
UNDER THE NEXT FAD THAT ARE
02:06:27.346 --> 02:06:29.782 region:rollup2
ASKING ACT.
02:06:28.548 --> 02:06:30.917 region:rollup2
SOME OF A PLANT IS UNABLE TO
02:06:29.782 --> 02:06:32.785 region:rollup2
MEET THE ESTABLISH TIME AND
02:06:30.917 --> 02:06:34.720 region:rollup2
DISTANCE GEOGRAPHIC STANDARDS.
02:06:32.785 --> 02:06:36.022 region:rollup2
IT FOR PC PEAS ARE HOSPITALS
02:06:34.720 --> 02:06:36.556 region:rollup2
BECAUSE AS THE TWO AREAS FOR
02:06:36.022 --> 02:06:38.024 region:rollup2
WHICH WE HAVE
02:06:36.556 --> 02:06:39.892 region:rollup2
IF A SPECIFIC GEOGRAPHIC
02:06:38.024 --> 02:06:41.527 region:rollup2
STANDARD. THE PLAN MAY REQUEST
02:06:39.892 --> 02:06:43.162 region:rollup2
ALTERNATE GEOGRAPHIC ACCESS
02:06:41.527 --> 02:06:44.664 region:rollup2
STANDARDS SOWS SO LONG AS THE
02:06:43.162 --> 02:06:46.399 region:rollup2
PLANE CAN JUSTIFY THE REQUEST
02:06:44.664 --> 02:06:47.433 region:rollup2
ACCORDING TO FIFTEEN FACTORS
02:06:46.399 --> 02:06:49.735 region:rollup2
THAT WE HAVE SET FORTH IN
02:06:47.433 --> 02:06:51.337 region:rollup2
REGULATION. THESE INCLUDE.
02:06:49.735 --> 02:06:52.939 region:rollup2
CONSIDERATION OF PATTERNS OF
02:06:51.337 --> 02:06:54.640 region:rollup2
PRACTICE WITHIN THE REGION WORK
02:06:52.939 --> 02:06:56.075 region:rollup2
THE RURAL OR URBAN NATURE OF THE
02:06:54.640 --> 02:06:57.710 region:rollup2
SERVICE AREA THE OVERALL
02:06:56.075 --> 02:06:58.911 region:rollup2
AVAILABILITY AND DISTRIBUTION OF
02:06:57.710 --> 02:07:00.613 region:rollup2
PROVIDERS AND THE PRESENCE OF
02:06:58.911 --> 02:07:02.715 region:rollup2
OTHER HEALTH PLAN OPTIONS WITHIN
02:07:00.613 --> 02:07:04.250 region:rollup2
THE REGION. AND UNDER THE ACT
02:07:02.715 --> 02:07:06.319 region:rollup2
HEALTH PLAN MAY ALSO REQUEST
02:07:04.250 --> 02:07:07.753 region:rollup2
ALTERNATE TIMELY ACCESS SUPPORT
02:07:06.319 --> 02:07:09.455 region:rollup2
WAIT TIMES STANDARDS BUT TO DATE
02:07:07.753 --> 02:07:11.991 region:rollup2
NOT A SINGLE PLAN HAS REQUESTED
02:07:09.455 --> 02:07:13.159 region:rollup2
SACHA. DOES THAT ALTERNATE
02:07:11.991 --> 02:07:14.894 region:rollup2
STANDARD.
02:07:13.159 --> 02:07:16.462 region:rollup2
SO THE NEXT QUESTION RELATED TO
02:07:14.894 --> 02:07:16.996 region:rollup2
HOW MANY ALTERNATIVE ACCESS
02:07:16.462 --> 02:07:18.231 region:rollup2
STANDARDS ARE CURRENTLY IN
02:07:16.996 --> 02:07:20.266 region:rollup2
PLACE.
02:07:18.231 --> 02:07:21.534 region:rollup2
FOR GEOGRAPHIC ACCESS THERE WERE
02:07:20.266 --> 02:07:23.769 region:rollup2
APPROXIMATELY FIVE THOUSAND
02:07:21.534 --> 02:07:24.804 region:rollup2
ALTERNATIVE TIME.
02:07:23.769 --> 02:07:26.372 region:rollup2
STANDARDS CURRENTLY APPROVED BY
02:07:24.804 --> 02:07:27.974 region:rollup2
THE DAMAGE CITY.
02:07:26.372 --> 02:07:28.541 region:rollup2
THAT NUMBER INCLUDES THIRTY FOUR
02:07:27.974 --> 02:07:29.442 region:rollup2
HUNDRED APPROVED ALTERNATIVE
02:07:28.541 --> 02:07:31.177 region:rollup2
ACTS
02:07:29.442 --> 02:07:32.912 region:rollup2
OUR HOSPITAL ACCESS
02:07:31.177 --> 02:07:34.514 region:rollup2
AND ACROSS SEVEN HUNDRED AND
02:07:32.912 --> 02:07:35.915 region:rollup2
FORTY DISTINCT ZIP CODES BECAUSE
02:07:34.514 --> 02:07:37.350 region:rollup2
REMEMBER THIS ANALYSIS IS DOWN
02:07:35.915 --> 02:07:38.451 region:rollup2
TO THE ZIP CODE LEVEL. AND
02:07:37.350 --> 02:07:39.886 region:rollup2
NEARLY SIXTEEN HUNDRED
02:07:38.451 --> 02:07:41.554 region:rollup2
ALTERNATIVE ACCESS STANDARDS FOR
02:07:39.886 --> 02:07:42.622 region:rollup2
PRIMARY CARE PROVIDERS
02:07:41.554 --> 02:07:45.091 region:rollup2
IT'S FOUR HUNDRED AND THIRTY ONE
02:07:42.622 --> 02:07:46.325 region:rollup2
CALIFORNIA ZIP CODES.
02:07:45.091 --> 02:07:47.994 region:rollup2
AND THEN THE NEXT QUESTION HAD
02:07:46.325 --> 02:07:48.794 region:rollup2
TO DO WITH THE TIME IT IS
02:07:47.994 --> 02:07:51.197 region:rollup2
REQUIRED.
02:07:48.794 --> 02:07:53.199 region:rollup2
TO APPROVE OR DENY DENY AN
02:07:51.197 --> 02:07:55.635 region:rollup2
ALTERNATIVE ACCESS REQUEST.
02:07:53.199 --> 02:07:56.969 region:rollup2
IT CAN REALLY VARY DEPENDING ON
02:07:55.635 --> 02:07:58.204 region:rollup2
OF THE NUMBER OF ZIP CODESWERE
02:07:56.969 --> 02:08:00.173 region:rollup2
TALKING ABOUT I MEAN FOR THE
02:07:58.204 --> 02:08:01.974 region:rollup2
VERY SMALL REQUEST IT COULD BE A
02:08:00.173 --> 02:08:02.875 region:rollup2
VERY QUICK TURNAROUND TIME. THE
02:08:01.974 --> 02:08:04.577 region:rollup2
SUFFICIENCY OF THE PLAN'S
02:08:02.875 --> 02:08:06.712 region:rollup2
JUSTIFICATION FOR THE FOR THE
02:08:04.577 --> 02:08:07.280 region:rollup2
ALTERNATIVE STANDARD. WEATHER
02:08:06.712 --> 02:08:08.981 region:rollup2
THE PLANET'S REQUESTING AN
02:08:07.280 --> 02:08:10.483 region:rollup2
ALTERNATIVE ACCESS STANDARD FOR
02:08:08.981 --> 02:08:12.351 region:rollup2
A NEWLY PROPOSED NETWORK SO IT'S
02:08:10.483 --> 02:08:13.886 region:rollup2
GOING INTO A NEW GEOGRAPHIC AREA
02:08:12.351 --> 02:08:16.088 region:rollup2
OR IF IT'S WITHIN ITS EXISTING
02:08:13.886 --> 02:08:17.623 region:rollup2
NETWORK. AND THE EXTENT TO WHICH
02:08:16.088 --> 02:08:20.159 region:rollup2
PLANTS ARE SEEKING TO CONTRACT
02:08:17.623 --> 02:08:20.960 region:rollup2
WITH OTHER PROVIDERS OR NEW
02:08:20.159 --> 02:08:22.295 region:rollup2
PROVIDERS IN THE AREA.
02:08:20.960 --> 02:08:23.896 region:rollup2
AND WHAT OTHER NETWORK ISSUES
02:08:22.295 --> 02:08:25.565 region:rollup2
MAYBE IMPACT IMPLICATED IN
02:08:23.896 --> 02:08:27.833 region:rollup2
CONJUNCTION WITH THE FILING SO
02:08:25.565 --> 02:08:29.135 region:rollup2
IF. IF WE APPROVE THIS HOW DOES
02:08:27.833 --> 02:08:33.239 region:rollup2
THAT IMPACT THE OTHER NETWORKS
02:08:29.135 --> 02:08:35.274 region:rollup2
BOMB UNDER REVIEW.
02:08:33.239 --> 02:08:38.077 region:rollup2
SO THE NEXT QUESTION.
02:08:35.274 --> 02:08:39.078 region:rollup2
SAID WHAT FACTORS MUST EXIST
02:08:38.077 --> 02:08:40.513 region:rollup2
PREVENTING A PLAN FOR MEETING
02:08:39.078 --> 02:08:42.215 region:rollup2
THAT ARE SCHEME TIMELY ACCESS
02:08:40.513 --> 02:08:43.616 region:rollup2
STANDARDS THAT WOULD QUALIFY THE
02:08:42.215 --> 02:08:45.051 region:rollup2
PLAN FOR APPROVAL OF ALTERNATIVE
02:08:43.616 --> 02:08:46.652 region:rollup2
ACCESS.
02:08:45.051 --> 02:08:48.421 region:rollup2
AND SO AGAIN WE HAVEN'T YET
02:08:46.652 --> 02:08:50.122 region:rollup2
APPROVED ANY ALTERNATIVE ACTS
02:08:48.421 --> 02:08:51.157 region:rollup2
STANDARDS FOR APPOINTMENT WAIT
02:08:50.122 --> 02:08:52.225 region:rollup2
TIMES BUT SHOULD A HEALTH PLAN
02:08:51.157 --> 02:08:52.692 region:rollup2
REQUEST
02:08:52.225 --> 02:08:54.794 region:rollup2
SUCH.
02:08:52.692 --> 02:08:56.362 region:rollup2
AN ALTERNATIVE ACCESS STANDARD
02:08:54.794 --> 02:08:58.164 region:rollup2
WE WOULD EVALUATE THAT REQUEST
02:08:56.362 --> 02:08:59.599 region:rollup2
AGAINST THE FACTORS THAT ARE
02:08:58.164 --> 02:09:01.334 region:rollup2
FOUND IN THE IN THE LAW. BUT
02:08:59.599 --> 02:09:02.835 region:rollup2
THEY AND THEY INCLUDE IMPACT ON
02:09:01.334 --> 02:09:05.371 region:rollup2
CLINICAL OUTCOMES WHETHER THE
02:09:02.835 --> 02:09:06.439 region:rollup2
SERVICE AREA IS A RURAL URBAN.
02:09:05.371 --> 02:09:08.174 region:rollup2
AND THE NATURE OF PHYSICIAN
02:09:06.439 --> 02:09:10.009 region:rollup2
PRACTICES THE URGENCY OF THE
02:09:08.174 --> 02:09:10.743 region:rollup2
CARE SERVICES FOR SPECIFIC TYPE
02:09:10.009 --> 02:09:12.278 region:rollup2
OF CARE.
02:09:10.743 --> 02:09:14.146 region:rollup2
OTHER PROFESSIONALLY RECOGNIZED
02:09:12.278 --> 02:09:15.648 region:rollup2
STANDARDS OF PRACTICE.
02:09:14.146 --> 02:09:17.016 region:rollup2
THE ACTUAL AVAILABILITY IN
02:09:15.648 --> 02:09:19.085 region:rollup2
DISTRIBUTION OF PROVIDERS WITHIN
02:09:17.016 --> 02:09:19.819 region:rollup2
THE AREA AND PROP PATTERNS OF
02:09:19.085 --> 02:09:21.954 region:rollup2
PRACTICE.
02:09:19.819 --> 02:09:23.356 region:rollup2
WE WILL POST ON OUR WEBSITE IF
02:09:21.954 --> 02:09:24.857 region:rollup2
WE EVER APPROVE AN ALTERNATIVE
02:09:23.356 --> 02:09:25.091 region:rollup2
ACCESS STANDARD FOR TIMELY
02:09:24.857 --> 02:09:27.393 region:rollup2
ACCESS.
02:09:25.091 --> 02:09:29.161 region:rollup2
.
02:09:27.393 --> 02:09:30.730 region:rollup2
AND THEN OF THE NEXT QUESTION
02:09:29.161 --> 02:09:32.498 region:rollup2
SAYS HOW DOES WILL THE DAMAGE
02:09:30.730 --> 02:09:33.833 region:rollup2
SEE EVALUATE WHETHER A PLAN WILL
02:09:32.498 --> 02:09:35.468 region:rollup2
BE ALLOWED TO OPERATE UNDER ON
02:09:33.833 --> 02:09:37.203 region:rollup2
ALTERNATIVE ACCESS STANDARD AND
02:09:35.468 --> 02:09:38.971 region:rollup2
SO AS I MENTIONED BEFORE. WE
02:09:37.203 --> 02:09:40.339 region:rollup2
HAVEN'T APPROVED ANY WITH
02:09:38.971 --> 02:09:41.641 region:rollup2
RESPECT TIMELY ACCESS
02:09:40.339 --> 02:09:43.442 region:rollup2
BUT WITH RESPECT TO ALTERNATIVE
02:09:41.641 --> 02:09:45.611 region:rollup2
GEOGRAPHIC ACCESS STANDARDS WE
02:09:43.442 --> 02:09:47.680 region:rollup2
TAKEN ALL OF THOSE THOSE FACTORS
02:09:45.611 --> 02:09:48.314 region:rollup2
THAT I DESCRIBED EARLIER TIME
02:09:47.680 --> 02:09:49.348 region:rollup2
EVALUATING WHETHER PLAN WILL BE
02:09:48.314 --> 02:09:50.783 region:rollup2
ALLOWED.
02:09:49.348 --> 02:09:53.319 region:rollup2
OPERATE UNDER THAT ALTERNATIVE
02:09:50.783 --> 02:09:55.121 region:rollup2
GEOGRAPHIC ACCESS STANDARD.
02:09:53.319 --> 02:09:56.622 region:rollup2
SO I THINK.
02:09:55.121 --> 02:09:58.824 region:rollup2
WE'RE JUST ABOUT DON'S OF THE
02:09:56.622 --> 02:10:00.459 region:rollup2
NEXT QUESTION HAS TO DO WITH HOW
02:09:58.824 --> 02:10:03.195 region:rollup2
ARE WE CHANGING OUR PROCESS AS A
02:10:00.459 --> 02:10:05.131 region:rollup2
RESULT TO OF. THE DHS HAS WORK
02:10:03.195 --> 02:10:06.565 region:rollup2
TO IMPLEMENT AB TO A FIVE. SO IN
02:10:05.131 --> 02:10:07.700 region:rollup2
GENERALALL LICENSED MEDICARE
02:10:06.565 --> 02:10:09.635 region:rollup2
MANAGED CARE PLANS ARE SUBJECT
02:10:07.700 --> 02:10:11.003 region:rollup2
TO THE SAME TYPES AND SCOPE OF
02:10:09.635 --> 02:10:12.571 region:rollup2
REVIEW IS ALL OTHER LICENSED
02:10:11.003 --> 02:10:13.673 region:rollup2
HEALTH PLANS SO WE WE DON'T
02:10:12.571 --> 02:10:14.840 region:rollup2
TREAT MEDICAL MANAGE CARE
02:10:13.673 --> 02:10:16.509 region:rollup2
DIFFERENTLY THAN WE TREAT THE
02:10:14.840 --> 02:10:17.843 region:rollup2
COMMERCIAL POPULATION. BUT I
02:10:16.509 --> 02:10:19.979 region:rollup2
WOULD NOTE THAT OF COURSE WE DO
02:10:17.843 --> 02:10:22.448 region:rollup2
NOT CONDUCT REVIEWS OF KNOX CAN
02:10:19.979 --> 02:10:24.383 region:rollup2
EXEMPT UP THAT COUNTY ORGANIZE
02:10:22.448 --> 02:10:26.152 region:rollup2
HEALTH SYSTEM PLANTS.
02:10:24.383 --> 02:10:27.753 region:rollup2
SO TO THE EXTENT OF THAT DHSS
02:10:26.152 --> 02:10:29.355 region:rollup2
NETWORK ADEQUACY PROVISIONS IN
02:10:27.753 --> 02:10:31.023 region:rollup2
ITS CNTRACT WITH MEDICAL PLANS
02:10:29.355 --> 02:10:32.158 region:rollup2
OVER LAUGHTER INTERSECT WITH NOT
02:10:31.023 --> 02:10:34.593 region:rollup2
SCHEME PLANS.
02:10:32.158 --> 02:10:36.529 region:rollup2
WE WORK CLOSELY TO COORDINATE
02:10:34.593 --> 02:10:37.063 region:rollup2
OUR REVIEW SO THAT OUR FINDINGS
02:10:36.529 --> 02:10:37.997 region:rollup2
ARE COORDINATED THAT WE'RE
02:10:37.063 --> 02:10:39.532 region:rollup2
GIVING THE.
02:10:37.997 --> 02:10:41.734 region:rollup2
PLANS THE SAME OR CONSISTENT OR
02:10:39.532 --> 02:10:42.968 region:rollup2
COMPLEMENTARY DIRECT.
02:10:41.734 --> 02:10:44.370 region:rollup2
WHERE THE MEDICAL PLANS ARE NOT
02:10:42.968 --> 02:10:45.805 region:rollup2
REQUIRED TO PROVIDE SPECIFIC
02:10:44.370 --> 02:10:47.540 region:rollup2
SERVICES BECAUSE MAYBE THAT
02:10:45.805 --> 02:10:48.541 region:rollup2
SUITE OF SERVICES IS CARVED OUT
02:10:47.540 --> 02:10:50.076 region:rollup2
AND IS ADMINISTERED BY SOMEBODY
02:10:48.541 --> 02:10:52.378 region:rollup2
ELSE WE DON'T LOOK FOR THOSE
02:10:50.076 --> 02:10:54.113 region:rollup2
PROVIDER TYPES WITHIN? A MONTH
02:10:52.378 --> 02:10:55.881 region:rollup2
OF THE PLANS REVIEW.
02:10:54.113 --> 02:10:57.516 region:rollup2
WITH THE ADOPTION OF AB TO A
02:10:55.881 --> 02:10:58.951 region:rollup2
FIVE THERE ARE MANY AREAS WHERE
02:10:57.516 --> 02:11:00.519 region:rollup2
THE DH YES CONTRACTS INCLUDE
02:10:58.951 --> 02:11:01.654 region:rollup2
NETWORK ADEQUACY STANDARDS THAT
02:11:00.519 --> 02:11:02.888 region:rollup2
DIFFER FROM KNOX CAME
02:11:01.654 --> 02:11:04.223 region:rollup2
PROFESSIONS AND WHERE THE
02:11:02.888 --> 02:11:05.958 region:rollup2
NETWORK ADEQUACY STANDARDS
02:11:04.223 --> 02:11:07.727 region:rollup2
DIVERGE WE APPLY THE KNOX KING
02:11:05.958 --> 02:11:08.761 region:rollup2
STANDARD.
02:11:07.727 --> 02:11:10.396 region:rollup2
THE DAMAGE SEE AN IDIOT STAFF
02:11:08.761 --> 02:11:11.831 region:rollup2
WHO WORK CLOSELY DEFINED AREAS
02:11:10.396 --> 02:11:14.333 region:rollup2
OF OVERLAP BETWEEN KNOCKS KEEN
02:11:11.831 --> 02:11:16.135 region:rollup2
AND AB TO A FIVE AND WHERE THERE
02:11:14.333 --> 02:11:18.237 region:rollup2
IS NO IT. OVERLAPPED IDIOCY IS
02:11:16.135 --> 02:11:18.771 region:rollup2
PROVIDED INPUT INTO THE DITCH CS
02:11:18.237 --> 02:11:20.106 region:rollup2
REGARDING HOW THE DEMON.
02:11:18.771 --> 02:11:21.440 region:rollup2
LISTING PRICE
02:11:20.106 --> 02:11:23.542 region:rollup2
AS FOR NETWORK REVIEW MAY BE
02:11:21.440 --> 02:11:25.344 region:rollup2
USEFUL TO THAT APARTMENT.
02:11:23.542 --> 02:11:25.845 region:rollup2
AND SO THE NEXT QUESTION HAD TO
02:11:25.344 --> 02:11:27.446 region:rollup2
DO.
02:11:25.845 --> 02:11:29.181 region:rollup2
WITH HOW DO WE HANDLE
02:11:27.446 --> 02:11:30.683 region:rollup2
COMPLAINTS THE SAME WAY WE
02:11:29.181 --> 02:11:32.084 region:rollup2
ALWAYS HAVE SO.
02:11:30.683 --> 02:11:33.319 region:rollup2
MEDICAID MANAGED CARE PLANS
02:11:32.084 --> 02:11:34.520 region:rollup2
THAT ARE ENROLLED IN AN OX KING
02:11:33.319 --> 02:11:35.955 region:rollup2
LICENSED HEALTH PLAN
02:11:34.520 --> 02:11:37.957 region:rollup2
THE CONTACTED IMAGE SEE AT ANY
02:11:35.955 --> 02:11:42.294 region:rollup2
TIME AND WE WILL HANDLE THE THE
02:11:37.957 --> 02:11:43.963 region:rollup2
COMPLAINTS IS THAT COMMENT.
02:11:42.294 --> 02:11:45.531 region:rollup2
FLORA DHS BEGINS TO AYE CLARIFY
02:11:43.963 --> 02:11:47.833 region:rollup2
SO YOU SAID THAT THE MEAT SEE
02:11:45.531 --> 02:11:50.002 region:rollup2
IT'S NOT RECEIVED. ANY REQUESTS
02:11:47.833 --> 02:11:51.670 region:rollup2
FOR ALTERNATE ACCESS STANDARDS
02:11:50.002 --> 02:11:54.473 region:rollup2
PORT FOR TYLER INTO OUR TIME
02:11:51.670 --> 02:11:55.808 region:rollup2
TIME FOR THAT AT THE TIME LAPSED
02:11:54.473 --> 02:11:56.375 region:rollup2
STANDARDS AT THE TIME STATE.
02:11:55.808 --> 02:11:57.777 region:rollup2
OKAY SO WE HAVE A NUMBER OF
02:11:56.375 --> 02:11:59.345 region:rollup2
GEOGRAPHIC.
02:11:57.777 --> 02:12:00.479 region:rollup2
OKAY SO WHEN YOU'RE WHEN YOU'RE
02:11:59.345 --> 02:12:02.381 region:rollup2
SAYING THAT THERE ARE LIKE SIX
02:12:00.479 --> 02:12:04.350 region:rollup2
AND SIXTEEN HUNDRED I THINK
02:12:02.381 --> 02:12:04.750 region:rollup2
POSITION AND THEN AFTER HOW THE
02:12:04.350 --> 02:12:06.385 region:rollup2
HOSPITAL WAS THAT.
02:12:04.750 --> 02:12:07.920 region:rollup2
.
02:12:06.385 --> 02:12:09.889 region:rollup2
I LOOK AT MY NOTES SORRY. THIRTY
02:12:07.920 --> 02:12:11.357 region:rollup2
FOUR OKAY SAID THAT WAS THAT'S
02:12:09.889 --> 02:12:12.658 region:rollup2
DOUBTS FOR GEOGRAPHIC GEOGRAPHIC
02:12:11.357 --> 02:12:13.993 region:rollup2
SO THIS IS THESE ARE REALLY
02:12:12.658 --> 02:12:15.261 region:rollup2
CONCENTRATED AREAS THE STATE
02:12:13.993 --> 02:12:16.996 region:rollup2
WHERE THERE'S NO HOSPITALS IN
02:12:15.261 --> 02:12:19.532 region:rollup2
RURAL PARTS OF CALIFORNIA OR
02:12:16.996 --> 02:12:21.767 region:rollup2
THEIR ARMOR. ARE AND AND NOT A
02:12:19.532 --> 02:12:22.968 region:rollup2
SIGNIFICANT DISTRIBUTION OF
02:12:21.767 --> 02:12:24.670 region:rollup2
PRIMARY CARE FOR.
02:12:22.968 --> 02:12:26.172 region:rollup2
SO.
02:12:24.670 --> 02:12:27.873 region:rollup2
SO WE HAVE SEVERAL FOR
02:12:26.172 --> 02:12:29.542 region:rollup2
GEOGRAPHIC NONE NONE NONE FOR
02:12:27.873 --> 02:12:32.678 region:rollup2
TIME.
02:12:29.542 --> 02:12:35.848 region:rollup2
ARE YOU SURPRISED THAT.
02:12:32.678 --> 02:12:37.616 region:rollup2
NO BECAUSE I THOUGH AN ENROLLEE
02:12:35.848 --> 02:12:39.618 region:rollup2
MAY NEED TO TRAVEL FURTHER IF
02:12:37.616 --> 02:12:40.386 region:rollup2
HERE SHE LIVES IN AN AREA THAT
02:12:39.618 --> 02:12:42.888 region:rollup2
DOESN'T HAVE A HEAVY
02:12:40.386 --> 02:12:44.523 region:rollup2
CONCENTRATION OF PROVIDERS. I
02:12:42.888 --> 02:12:48.260 region:rollup2
WOULD EXPECT THAT THE NETWORK WE
02:12:44.523 --> 02:12:50.162 region:rollup2
SHOULD STILL BE ABLE TO PRINT.
02:12:48.260 --> 02:12:51.931 region:rollup2
SO NO I'M NOT SURPRISED I'M IT'S
02:12:50.162 --> 02:12:54.266 region:rollup2
JUST THAT IF YOU'RE.
02:12:51.931 --> 02:12:55.534 region:rollup2
FIFTY MILES FROM YOUR NEAREST
02:12:54.266 --> 02:12:57.002 region:rollup2
HOSPITAL. THEIR HEALTH PLAN
02:12:55.534 --> 02:12:58.170 region:rollup2
CAN'T CREATE HOSPITAL THAT
02:12:57.002 --> 02:12:59.939 region:rollup2
DOESN'T EXIST THERE BUT I STILL
02:12:58.170 --> 02:13:01.207 region:rollup2
EXPECT THAT THAT IN ROWLEY WHEN
02:12:59.939 --> 02:13:02.575 region:rollup2
THEY NEED TO SEE A PRIMARY CARE
02:13:01.207 --> 02:13:03.175 region:rollup2
PHYSICIAN HERE SHE MAY HAVE TO
02:13:02.575 --> 02:13:09.982 region:rollup2
TRAVEL SO JUST AND APPRECIATES
02:13:03.175 --> 02:13:11.617 region:rollup2
WHAT
02:13:09.982 --> 02:13:12.785 region:rollup2
CLARIFY THIS AND WHAT. BUILT
02:13:11.617 --> 02:13:15.521 region:rollup2
INTO THIS ISSUE LOW MORE AFTER
02:13:12.785 --> 02:13:17.356 region:rollup2
WE HEAR FROM THE X. YES BUT IT'S
02:13:15.521 --> 02:13:19.425 region:rollup2
BECAUSE.
02:13:17.356 --> 02:13:20.759 region:rollup2
SO WE DON'T FORGET. SIGHTS Y.
02:13:19.425 --> 02:13:21.494 region:rollup2
CLIFF AYE SO BASICALLY.
02:13:20.759 --> 02:13:22.895 region:rollup2
.
02:13:21.494 --> 02:13:24.096 region:rollup2
IN TERMS OF TIMELY ACCESS NOT A
02:13:22.895 --> 02:13:24.797 region:rollup2
SINGLE PLAN.
02:13:24.096 --> 02:13:26.632 region:rollup2
AS REQUESTED SO APPARENTLY
02:13:24.797 --> 02:13:27.933 region:rollup2
THERE'S NO ISSUES FOR EXAMPLE IN
02:13:26.632 --> 02:13:30.269 region:rollup2
A RURAL AREA THAT YOU KNOW WHAT
02:13:27.933 --> 02:13:30.836 region:rollup2
WE CONTRACT WITH EVERY DOCTOR WE
02:13:30.269 --> 02:13:32.805 region:rollup2
CAN CONTRACT WITH UNDERSTOOD
02:13:30.836 --> 02:13:34.373 region:rollup2
ALL.
02:13:32.805 --> 02:13:36.175 region:rollup2
ISN'T A I AM.
02:13:34.373 --> 02:13:37.710 region:rollup2
AND WE STILL CAN'T GET PEOPLE IN
02:13:36.175 --> 02:13:39.712 region:rollup2
ON TIME THAT PARENTS NOT A
02:13:37.710 --> 02:13:41.180 region:rollup2
PROBLEM KNOWN SUPPLYING TO SAY I
02:13:39.712 --> 02:13:42.348 region:rollup2
HAVE A PROBLEM THERE NO ONE HAS
02:13:41.180 --> 02:13:44.516 region:rollup2
REQUESTED THOUGH NOT LIKE I'VE
02:13:42.348 --> 02:13:47.520 region:rollup2
YOU KNOW. ALL ALL THE PEOPLE I
02:13:44.516 --> 02:13:48.153 region:rollup2
CAN CONTRACT WITH I FINALLY A
02:13:47.520 --> 02:13:49.521 region:rollup2
CONTRACT WITH THAT I STILL HAVE
02:13:48.153 --> 02:13:50.789 region:rollup2
A WAY TIME.
02:13:49.521 --> 02:13:51.690 region:rollup2
NO ONE'S SAYING A I NEED TEN
02:13:50.789 --> 02:13:52.958 region:rollup2
APPLICATIONS A LOOK AT THE ON
02:13:51.690 --> 02:13:54.426 region:rollup2
EVERYTHING I CAN.
02:13:52.958 --> 02:13:56.161 region:rollup2
OKAY SO BE VERY CLEAR ABOUT THAT
02:13:54.426 --> 02:13:56.328 region:rollup2
OKAY ALRIGHT BUT SOME OKAY THANK
02:13:56.161 --> 02:13:58.597 region:rollup2
YOU
02:13:56.328 --> 02:14:01.333 region:rollup2
A.
02:13:58.597 --> 02:14:02.401 region:rollup2
THANK YOU DTS EUROPE BUT US AIR
02:14:01.333 --> 02:14:03.736 region:rollup2
BOX WITH THE DEPARTMENT
02:14:02.401 --> 02:14:03.936 region:rollup2
HEALTHCARE SERVICES SO ARE JUST
02:14:03.736 --> 02:14:05.037 region:rollup2
READ.
02:14:03.936 --> 02:14:06.705 region:rollup2
A STATEMENT THAT RESPONSE TO
02:14:05.037 --> 02:14:10.609 region:rollup2
THE VARIOUS QUESTIONS WHY OVER
02:14:06.705 --> 02:14:11.243 region:rollup2
THE PAST FIVE PLUS YEARS D. H.
02:14:10.609 --> 02:14:11.510 region:rollup2
YES HAS WORKED TO SIGNIFICANTLY
02:14:11.243 --> 02:14:12.912 region:rollup2
STRAIGHT.
02:14:11.510 --> 02:14:15.314 region:rollup2
TWENTY FOUR MEDI CAL
02:14:12.912 --> 02:14:16.448 region:rollup2
IT'S CARE HEALTH PLANS.
02:14:15.314 --> 02:14:17.917 region:rollup2
DH YES OVERSEE SIX DIFFERENT
02:14:16.448 --> 02:14:20.286 region:rollup2
MODELS OF MANAGED CARE HEALTH
02:14:17.917 --> 02:14:22.087 region:rollup2
PLANS ALL OF WHICH ARE ARE
02:14:20.286 --> 02:14:22.755 region:rollup2
REQUIRED TO OBTAIN A NOT SCHEME
02:14:22.087 --> 02:14:23.956 region:rollup2
LICENSE THIRTY INMATES THE WITH
02:14:22.755 --> 02:14:25.424 region:rollup2
THE EXCEPTION OF COUNTY
02:14:23.956 --> 02:14:26.926 region:rollup2
ORGANIZED HEALTH SYSTEMS AS MISS
02:14:25.424 --> 02:14:27.560 region:rollup2
GREENE STATED.
02:14:26.926 --> 02:14:28.427 region:rollup2
THOUGH IT IS IMPORTANT TO NOTE
02:14:27.560 --> 02:14:29.995 region:rollup2
THAT CODES ARE BOUND BY THE SAME
02:14:28.427 --> 02:14:31.530 region:rollup2
NOT SCHEME REQUIREMENTS IS NON
02:14:29.995 --> 02:14:32.731 region:rollup2
KOS THROUGH THE D. H. SIESTA
02:14:31.530 --> 02:14:33.732 region:rollup2
HEALTH PLAN CONTRACT.
02:14:32.731 --> 02:14:35.501 region:rollup2
IN ADDITION MONITORING AND
02:14:33.732 --> 02:14:36.835 region:rollup2
OVERSIGHT OF KOS AND NON BECAUSE
02:14:35.501 --> 02:14:39.505 region:rollup2
PLANS ARE TREATED THE SAME BY DH
02:14:36.835 --> 02:14:41.240 region:rollup2
CS.
02:14:39.505 --> 02:14:42.841 region:rollup2
PARENTS USING.
02:14:41.240 --> 02:14:44.209 region:rollup2
DH YES WORKS IN PARTNERSHIP WITH
02:14:42.841 --> 02:14:45.978 region:rollup2
THE IMAGE SEE ONE OVERSEEING
02:14:44.209 --> 02:14:47.947 region:rollup2
MEDI CAL MANAGED CARE HEALTH
02:14:45.978 --> 02:14:48.547 region:rollup2
PLANS WITH KNOX KY LICENSES.
02:14:47.947 --> 02:14:49.448 region:rollup2
THOUGH THIS IS A CASE IT IS
02:14:48.547 --> 02:14:50.382 region:rollup2
IMPORTANT TO NOTE THAT WE HAVE
02:14:49.448 --> 02:14:52.017 region:rollup2
SEPARATE RESPONSIBILITIES AS
02:14:50.382 --> 02:14:53.419 region:rollup2
DEPARTMENT.
02:14:52.017 --> 02:14:55.054 region:rollup2
WELL DH YES WORKS UNDER THE
02:14:53.419 --> 02:14:56.055 region:rollup2
AUSPICES OF STATE STATUTES AND
02:14:55.054 --> 02:14:57.590 region:rollup2
ITS RESPONSIBILITIES TO THE
02:14:56.055 --> 02:14:58.958 region:rollup2
FEDERAL GOVERNMENT.
02:14:57.590 --> 02:14:59.825 region:rollup2
THE IMAGE THE IS RESPONSIBLE FOR
02:14:58.958 --> 02:15:01.260 region:rollup2
THE ENFORCEMENT OF THE KNOCKS
02:14:59.825 --> 02:15:02.528 region:rollup2
CAN ACT AS MISS GREENE ALSO
02:15:01.260 --> 02:15:03.562 region:rollup2
SPOKE TO.
02:15:02.528 --> 02:15:05.097 region:rollup2
TO PROVIDE A LITTLE BACKGROUND
02:15:03.562 --> 02:15:06.832 region:rollup2
ABOUT EACH YES AND OUR OVERSIGHT
02:15:05.097 --> 02:15:08.033 region:rollup2
ACTIVITIES BUT DEPARTMENT NOW
02:15:06.832 --> 02:15:09.268 region:rollup2
ANNUALLY COMPLETES A MEDICAL
02:15:08.033 --> 02:15:10.469 region:rollup2
AUDIT OF ALL OF OUR MANAGED CARE
02:15:09.268 --> 02:15:11.904 region:rollup2
HEALTH PLANS.
02:15:10.469 --> 02:15:12.905 region:rollup2
THESE AUDITS ARE ON SITE AT THE
02:15:11.904 --> 02:15:14.540 region:rollup2
HEALTH PLAN AND CAN RESULT IN
02:15:12.905 --> 02:15:16.442 region:rollup2
ANYWHERE FROM ONE TO SAY AROUND
02:15:14.540 --> 02:15:17.343 region:rollup2
TEN FINDINGS.
02:15:16.442 --> 02:15:18.811 region:rollup2
OVER THE PAST THREE YEARS THE
02:15:17.343 --> 02:15:20.245 region:rollup2
NUMBER OF FINDINGS HAS DECREASED
02:15:18.811 --> 02:15:21.513 region:rollup2
PER HEALTH PLAN FROM AN AVERAGE
02:15:20.245 --> 02:15:23.048 region:rollup2
OF TWENTY FIVE IN TWO THOUSAND
02:15:21.513 --> 02:15:24.950 region:rollup2
SIXTEEN TO SEVEN IN TWO THOUSAND
02:15:23.048 --> 02:15:25.951 region:rollup2
EIGHTEEN. INDICATING THAT THE
02:15:24.950 --> 02:15:27.319 region:rollup2
DEPARTMENT STRENGTHENED
02:15:25.951 --> 02:15:29.054 region:rollup2
OVERSIGHT IS DECREASING HELP
02:15:27.319 --> 02:15:30.422 region:rollup2
PLANT EFFICIENCY'S.
02:15:29.054 --> 02:15:31.757 region:rollup2
AT TIMES THESE FINDINGS CAN BE
02:15:30.422 --> 02:15:32.992 region:rollup2
RELATED TO NETWORK ADEQUACY
02:15:31.757 --> 02:15:34.393 region:rollup2
WHICH MAY INCLUDE SOMETHING
02:15:32.992 --> 02:15:36.128 region:rollup2
SIMPLE LIKE UPDATING A POLICY
02:15:34.393 --> 02:15:37.262 region:rollup2
AND PROCEDURE TO IDENTIFICATION
02:15:36.128 --> 02:15:39.198 region:rollup2
OF A POTENTIAL SHORTAGE OF A
02:15:37.262 --> 02:15:40.532 region:rollup2
TYPE OF A PROVIDER.
02:15:39.198 --> 02:15:42.034 region:rollup2
FOLLOWING EACH AUDIT SHOULD
02:15:40.532 --> 02:15:43.602 region:rollup2
THERE BE A FINDING D. H. YES
02:15:42.034 --> 02:15:44.770 region:rollup2
IMPOSES A CORRECTIVE ACTION PLAN
02:15:43.602 --> 02:15:46.839 region:rollup2
AND WORKS WITH THE PLANET FOR A
02:15:44.770 --> 02:15:49.174 region:rollup2
PERIOD OF TIME TO AMELIORATE ANY
02:15:46.839 --> 02:15:50.476 region:rollup2
IDENTIFIED DEFICIENCIES.
02:15:49.174 --> 02:15:51.810 region:rollup2
DHS HAS ALSO WORKED OVER THE
02:15:50.476 --> 02:15:53.479 region:rollup2
PAST YEARS TO IMPLEMENT MORE
02:15:51.810 --> 02:15:54.013 region:rollup2
ROBUST DATA SYSTEMS WHICH HAVE
02:15:53.479 --> 02:15:55.981 region:rollup2
BETTER AT THE DEPARTMENT'S
02:15:54.013 --> 02:15:57.783 region:rollup2
ABILITY TO COLLECT BALADI AND
02:15:55.981 --> 02:15:59.184 region:rollup2
ANALYZE DATA THAT ARE SUBMITTED
02:15:57.783 --> 02:15:59.818 region:rollup2
TO US BY THE HEALTH PLANS.
02:15:59.184 --> 02:16:01.286 region:rollup2
THIS IS INCLUDED THE
02:15:59.818 --> 02:16:02.655 region:rollup2
IMPLEMENTATION OF NEW AUTOMATED
02:16:01.286 --> 02:16:04.156 region:rollup2
DATA SYSTEMS WHICH PROVIDE FOR
02:16:02.655 --> 02:16:06.425 region:rollup2
UP FRONT AND IT'S ON BOTH IN.
02:16:04.156 --> 02:16:08.127 region:rollup2
PROVIDER DATA SET.
02:16:06.425 --> 02:16:09.762 region:rollup2
THESE NEW DATA SYSTEMS PROVIDE
02:16:08.127 --> 02:16:11.296 region:rollup2
DHS WITH NEW ABILITIES TO
02:16:09.762 --> 02:16:12.731 region:rollup2
OVERSEE HEALTH PLANS ALLOWING
02:16:11.296 --> 02:16:14.700 region:rollup2
JCS ENGAGE IN MORE TIMELY
02:16:12.731 --> 02:16:16.368 region:rollup2
RESPONSES TO DATA QUALITY ISSUES
02:16:14.700 --> 02:16:18.103 region:rollup2
AND MAKING DATA AVAILABLE WHICH
02:16:16.368 --> 02:16:19.571 region:rollup2
PREVIOUSLY WERE NOT.
02:16:18.103 --> 02:16:21.340 region:rollup2
WITH RESPECT OVERSIGHT OF
02:16:19.571 --> 02:16:22.741 region:rollup2
NETWORK ADEQUACY DEEDS CS
02:16:21.340 --> 02:16:24.309 region:rollup2
FACILITATES THIS PROCESS IN
02:16:22.741 --> 02:16:25.778 region:rollup2
SEVERAL WAYS REGARDING
02:16:24.309 --> 02:16:27.046 region:rollup2
APPOINTMENT APPOINTMENT
02:16:25.778 --> 02:16:28.313 region:rollup2
AVAILABILITY OR TIMELY ACCESS.
02:16:27.046 --> 02:16:29.982 region:rollup2
SO AS NOT TO SOLELY RELY ON
02:16:28.313 --> 02:16:31.383 region:rollup2
HEALTH PLAN DATA THAT'S REPORTED
02:16:29.982 --> 02:16:33.085 region:rollup2
TO US ONLY WE'VE ENGAGED OR
02:16:31.383 --> 02:16:34.620 region:rollup2
EXTERNAL QUALITY REVIEW IT
02:16:33.085 --> 02:16:36.588 region:rollup2
ORGANIZATION OR EAT CROW AN
02:16:34.620 --> 02:16:38.691 region:rollup2
INDEPENDENT ENTITY. TO CONDUCT
02:16:36.588 --> 02:16:39.892 region:rollup2
QUARTERLY TIMELY ACCESS SURVEYS
02:16:38.691 --> 02:16:41.293 region:rollup2
ON THE DEPARTMENTS BEHALF.
02:16:39.892 --> 02:16:42.061 region:rollup2
THIS INCLUDES THE COLLECTION OF
02:16:41.293 --> 02:16:43.328 region:rollup2
DATA QUARTERLY THROUGH A
02:16:42.061 --> 02:16:44.863 region:rollup2
STATISTICALLY SIGNIFICANT
02:16:43.328 --> 02:16:46.398 region:rollup2
TELEPHONE SURVEY FOR EACH HEALTH
02:16:44.863 --> 02:16:48.200 region:rollup2
PLAN IN EACH GEOGRAPHIC AREA
02:16:46.398 --> 02:16:49.301 region:rollup2
THAT IT OPERATES AND.
02:16:48.200 --> 02:16:50.536 region:rollup2
THE SURVEY WILL COLLECT DATA
02:16:49.301 --> 02:16:51.770 region:rollup2
ABOUT WE TIMES FOR THE NEXT
02:16:50.536 --> 02:16:52.971 region:rollup2
THREE APPOINTMENTS FOR PRIMARY
02:16:51.770 --> 02:16:54.606 region:rollup2
CARE PROVIDERS COURSE
02:16:52.971 --> 02:16:57.042 region:rollup2
SPECIALISTS NON PHYSICIAN MENTAL
02:16:54.606 --> 02:16:59.278 region:rollup2
HEALTH PROVIDERS. OBDII ENDS.
02:16:57.042 --> 02:17:00.712 region:rollup2
AND SOME ANCILLARY SERVICES
02:16:59.278 --> 02:17:01.880 region:rollup2
DECIMATED SAMPLE SIZES TWENTY
02:17:00.712 --> 02:17:02.881 region:rollup2
EIGHT THOUSAND THREE HUNDRED
02:17:01.880 --> 02:17:04.216 region:rollup2
FIFTY FIVE PROVIDERS FOR TWENTY
02:17:02.881 --> 02:17:06.118 region:rollup2
EIGHTEEN ALONE.
02:17:04.216 --> 02:17:07.920 region:rollup2
RESULTS FROM THE SURVEY ARE
02:17:06.118 --> 02:17:09.421 region:rollup2
pPURPORTEDLY DASHBOARD THAT THE
02:17:07.920 --> 02:17:11.290 region:rollup2
DEPARTMENT ISSUES ON A QUARTERLY
02:17:09.421 --> 02:17:12.524 region:rollup2
BASIS.
02:17:11.290 --> 02:17:14.293 region:rollup2
I'M REGARDING TIME AND DISTANCE
02:17:12.524 --> 02:17:15.761 region:rollup2
DHS IS REQUIRING HEALTH PLANS TO
02:17:14.293 --> 02:17:16.762 region:rollup2
SUBMIT TIME DISTANCE REPORTS
02:17:15.761 --> 02:17:18.430 region:rollup2
THROUGH ITS ANNUAL NETWORK
02:17:16.762 --> 02:17:19.231 region:rollup2
CERTIFICATION PROCESS.
02:17:18.430 --> 02:17:21.133 region:rollup2
THROUGH THE ANNUAL NETWORK
02:17:19.231 --> 02:17:22.167 region:rollup2
SEARCH PROCESS DCS WILL CERTIFY
02:17:21.133 --> 02:17:24.670 region:rollup2
TIME AND DISTANCE FOR THE EIGHT
02:17:22.167 --> 02:17:26.004 region:rollup2
WRITER TYPES AS REQUIRED UNDER
02:17:24.670 --> 02:17:27.906 region:rollup2
THE MANAGED CARE FINAL RULE.
02:17:26.004 --> 02:17:29.108 region:rollup2
DHL'S ALSO HAS THE ABILITY TO
02:17:27.906 --> 02:17:30.876 region:rollup2
RUN TIME AND DISTANCE REPORTS
02:17:29.108 --> 02:17:32.177 region:rollup2
USING ARCGIS SOFTWARE BY WHICH
02:17:30.876 --> 02:17:33.512 region:rollup2
DATA IS OBTAINED THROUGH A
02:17:32.177 --> 02:17:35.280 region:rollup2
MONTHLY FILES SUBMITTED TO THE
02:17:33.512 --> 02:17:36.548 region:rollup2
DEPARTMENT BY THE HEALTH PLAN.
02:17:35.280 --> 02:17:37.616 region:rollup2
THE DEPARTMENT IS ABLE TO RUN
02:17:36.548 --> 02:17:39.017 region:rollup2
THESE REPORTS THROUGHOUT THE
02:17:37.616 --> 02:17:43.755 region:rollup2
YEAR AS NEEDED SHOULDN'T AREA OF
02:17:39.017 --> 02:17:45.324 region:rollup2
CONCERN BE IDENTIFIED.
02:17:43.755 --> 02:17:45.991 region:rollup2
SHOULD HELP WENT BE FOUND TO BE
02:17:45.324 --> 02:17:46.959 region:rollup2
OUT NOT COMPLY WITH ANY NETWORK
02:17:45.991 --> 02:17:47.926 region:rollup2
ADEQUACY STANDARD A VARIATION OF
02:17:46.959 --> 02:17:50.028 region:rollup2
OVERSIGHT ACTIVITIES ARE
02:17:47.926 --> 02:17:51.697 region:rollup2
AVAILABLE TO TEACH YES. WE MADE
02:17:50.028 --> 02:17:54.833 region:rollup2
TO STARE DATA PROVIDE TECHNICAL
02:17:51.697 --> 02:17:54.833 region:rollup2
INS ASSISTANCE.
02:17:54.900 --> 02:17:57.169 region:rollup2
WHICH WOULD INCLUDE SPECIFIC
02:17:56.201 --> 02:17:58.570 region:rollup2
MILESTONES AND TIMELINES TO
02:17:57.169 --> 02:17:59.505 region:rollup2
MILITARY ISSUES
02:17:58.570 --> 02:18:01.540 region:rollup2
AND OR IMPOSE SANCTIONS AND OR
02:17:59.505 --> 02:18:02.574 region:rollup2
PENALTIES.
02:18:01.540 --> 02:18:03.876 region:rollup2
THE DEPARTMENT HAS BROAD
02:18:02.574 --> 02:18:05.077 region:rollup2
SANCTION AUTHORITY AND JUDGES
02:18:03.876 --> 02:18:06.512 region:rollup2
EACH SANCTION ON A CASE BY CASE
02:18:05.077 --> 02:18:06.912 region:rollup2
BASIS.
02:18:06.512 --> 02:18:08.280 region:rollup2
SINCE.
02:18:06.912 --> 02:18:09.982 region:rollup2
TWO THOUSAND FIFTEEN WE HAVE
02:18:08.280 --> 02:18:11.783 region:rollup2
ISSUED SEVEN DIFFERENT SANCTIONS
02:18:09.982 --> 02:18:12.251 region:rollup2
THE SANCTIONS TYPES INCLUDE A
02:18:11.783 --> 02:18:13.318 region:rollup2
REDUCTION AND DEFAULT
02:18:12.251 --> 02:18:14.586 region:rollup2
ENROLLMENT.
02:18:13.318 --> 02:18:15.354 region:rollup2
MONETARY PENALTIES AND THE
02:18:14.586 --> 02:18:17.456 region:rollup2
MANDATES TERMINATE A
02:18:15.354 --> 02:18:18.624 region:rollup2
SUBCONTRACTOR.
02:18:17.456 --> 02:18:19.958 region:rollup2
REGARDING HOW DH YES WILL
02:18:18.624 --> 02:18:21.393 region:rollup2
EVALUATE PLAN REQUEST FOR
02:18:19.958 --> 02:18:22.761 region:rollup2
ALTERNATIVE ACCESS STANDARDS
02:18:21.393 --> 02:18:24.429 region:rollup2
UNDER THE NEW MANAGED CARE FINAL
02:18:22.761 --> 02:18:25.430 region:rollup2
RULE REQUIREMENTS. HEALTH PLANS
02:18:24.429 --> 02:18:26.765 region:rollup2
ARE REQUIRED TO SUBMIT
02:18:25.430 --> 02:18:28.267 region:rollup2
ALTERNATIVE ACCESS STANDARD
02:18:26.765 --> 02:18:29.434 region:rollup2
REQUEST USING A DEPARTMENT
02:18:28.267 --> 02:18:30.736 region:rollup2
DEVELOP TEMPLATE.
02:18:29.434 --> 02:18:32.004 region:rollup2
INFORMATION IN INFORMATION
02:18:30.736 --> 02:18:33.438 region:rollup2
SUBMITTED MUST BE SPECIFIC TO
02:18:32.004 --> 02:18:34.706 region:rollup2
ZIP CODE AND COUNTY AND INCLUDE
02:18:33.438 --> 02:18:36.141 region:rollup2
THE DRIVING TIME AND OR DISTANCE
02:18:34.706 --> 02:18:37.843 region:rollup2
IN MILES BETWEEN THE NEAREST IN
02:18:36.141 --> 02:18:39.278 region:rollup2
NETWORK PROVIDER FROM THE MOST
02:18:37.843 --> 02:18:40.379 region:rollup2
REMOTE BENEFICIARY.
02:18:39.278 --> 02:18:41.446 region:rollup2
THE REQUEST MUST INCLUDE THE
02:18:40.379 --> 02:18:42.948 region:rollup2
DESCRIPTION OF THE HEALTH PLANS
02:18:41.446 --> 02:18:44.616 region:rollup2
CONTRACTING EFFORTS IN THE TIME
02:18:42.948 --> 02:18:46.151 region:rollup2
AND DISTANCE AREA INCLUDING A
02:18:44.616 --> 02:18:47.886 region:rollup2
LIST OF PROVIDERS WITH WHICH THE
02:18:46.151 --> 02:18:49.454 region:rollup2
HEALTH PLANETARIUMS AND AN
02:18:47.886 --> 02:18:50.989 region:rollup2
EXPLANATION WHY THE CONTRACT WAS
02:18:49.454 --> 02:18:52.157 region:rollup2
NOT EXECUTED.
02:18:50.989 --> 02:18:53.659 region:rollup2
SHOULD D. H. YES A PROVEN
02:18:52.157 --> 02:18:54.927 region:rollup2
ALTERNATIVE ACCESS REQUEST THE
02:18:53.659 --> 02:18:56.261 region:rollup2
REQUEST IS VALID FOR ONE
02:18:54.927 --> 02:18:56.562 region:rollup2
CONTRACT YEAR MUST BE RENEWED IN
02:18:56.261 --> 02:18:58.697 region:rollup2
THE NEXT CON
02:18:56.562 --> 02:19:00.866 region:rollup2
CHAIR.
02:18:58.697 --> 02:19:02.134 region:rollup2
AB TWO OH FIVE OUTLINES THE
02:19:00.866 --> 02:19:03.368 region:rollup2
FACTORS THAT MUST EXIST PREVENT
02:19:02.134 --> 02:19:04.636 region:rollup2
A HEALTH PLAN FOR MEETING THE
02:19:03.368 --> 02:19:06.004 region:rollup2
STATUTORY AND REGULATORY
02:19:04.636 --> 02:19:07.206 region:rollup2
STANDARDS THAT WOULD QUALIFY FOR
02:19:06.004 --> 02:19:08.507 region:rollup2
APPROVAL OF ALTERNATIVE ACCESS
02:19:07.206 --> 02:19:09.842 region:rollup2
STANDARDS.
02:19:08.507 --> 02:19:11.243 region:rollup2
EITHER A HEALTH PLAN MUST HAVE
02:19:09.842 --> 02:19:12.611 region:rollup2
EXHAUSTED ALL OTHER REASONABLE
02:19:11.243 --> 02:19:14.446 region:rollup2
OPTIONS TO OBTAIN PROVIDERS TO
02:19:12.611 --> 02:19:15.781 region:rollup2
MEET HE APPLICABLE STANDARD. OR
02:19:14.446 --> 02:19:16.715 region:rollup2
THE DEPARTMNT DETERMINES THE
02:19:15.781 --> 02:19:17.950 region:rollup2
HEALTH PLAN HAS DEMONSTRATED
02:19:16.715 --> 02:19:19.117 region:rollup2
THAT IT'S DELIVERY STRUCTURE IS
02:19:17.950 --> 02:19:19.718 region:rollup2
CAPABLE OF DELIVERING THE
02:19:19.117 --> 02:19:22.154 region:rollup2
APPROPRIATE LEVEL OF CARE AND
02:19:19.718 --> 02:19:23.755 region:rollup2
HOW.
02:19:22.154 --> 02:19:24.957 region:rollup2
DHS DOES COORDINATE WITH YOU MAY
02:19:23.755 --> 02:19:26.592 region:rollup2
SEE DURING THE ALTERNATIVE
02:19:24.957 --> 02:19:28.193 region:rollup2
ACCESS APPROVAL PROCESS AND WILL
02:19:26.592 --> 02:19:29.528 region:rollup2
DO SO MOVING FORWARD AS WELL.
02:19:28.193 --> 02:19:30.562 region:rollup2
FOR EXAMPLE THE DEPARTMENT HAS
02:19:29.528 --> 02:19:32.297 region:rollup2
MANDATED THROUGH ITS NETWORK
02:19:30.562 --> 02:19:34.199 region:rollup2
CERTIFICATION ARE PLANNED LETTER
02:19:32.297 --> 02:19:34.933 region:rollup2
THAT AN ALTERNATE ACCESS REQUEST
02:19:34.199 --> 02:19:36.368 region:rollup2
MUST BE SUBMITTED TO BOTH
02:19:34.933 --> 02:19:37.836 region:rollup2
DEPARTMENTS TO KEEP THE
02:19:36.368 --> 02:19:39.137 region:rollup2
COMMUNICATION GOING.
02:19:37.836 --> 02:19:40.439 region:rollup2
TO DATE DHS HAS RECEIVED AND
02:19:39.137 --> 02:19:41.907 region:rollup2
PROCESSED ALTERNATIVE ACCESS
02:19:40.439 --> 02:19:43.375 region:rollup2
REQUESTS FROM THE TO HELP PLANS
02:19:41.907 --> 02:19:44.910 region:rollup2
THAT HAVE IMPLEMENTED RECENTLY
02:19:43.375 --> 02:19:46.645 region:rollup2
IN SACRAMENTO AND SAN DIEGO
02:19:44.910 --> 02:19:47.980 region:rollup2
COUNTY AT NINE UNITED.
02:19:46.645 --> 02:19:49.181 region:rollup2
WE'RE IN THE PROCESS OF
02:19:47.980 --> 02:19:50.649 region:rollup2
RECEIVING ALTERNATIVE ACCESS
02:19:49.181 --> 02:19:51.850 region:rollup2
REQUESTS FROM HEALTH PLANS FOR
02:19:50.649 --> 02:19:52.851 region:rollup2
THE UPCOMING CONTRACT YOUR IN SO
02:19:51.850 --> 02:19:54.086 region:rollup2
THAT IT WAS RECENTLY SUBMITTED
02:19:52.851 --> 02:19:55.153 region:rollup2
TO US SOME.
02:19:54.086 --> 02:19:56.855 region:rollup2
OFFICE OF PROCESSING AT THIS
02:19:55.153 --> 02:19:58.957 region:rollup2
TIME.
02:19:56.855 --> 02:19:59.858 region:rollup2
AND THAT CONCERNS THAT CONCLUDES
02:19:58.957 --> 02:20:03.128 region:rollup2
MY TESTIMONY WERE HAPPY TO
02:19:59.858 --> 02:20:04.930 region:rollup2
ANSWER ANY QUESTIONS.
02:20:03.128 --> 02:20:05.564 region:rollup2
ACTUALLY AND THAT I THAT THEY
02:20:04.930 --> 02:20:06.598 region:rollup2
THINK IS IN THERE OF ITS KIND
02:20:05.564 --> 02:20:07.966 region:rollup2
LIKE UNDER BOTH OF YOU SO HOW
02:20:06.598 --> 02:20:09.434 region:rollup2
HOW DID.
02:20:07.966 --> 02:20:12.204 region:rollup2
THE TO AGENCIES TO VIEW
02:20:09.434 --> 02:20:12.638 region:rollup2
COORDINATE IN TERMS OF WHEN
02:20:12.204 --> 02:20:13.205 region:rollup2
YOU'RE DEALING WITH.
02:20:12.638 --> 02:20:15.207 region:rollup2
.
02:20:13.205 --> 02:20:16.675 region:rollup2
I GUESS
02:20:15.207 --> 02:20:19.077 region:rollup2
OF MAYBE THE SAME PLAN MADE
02:20:16.675 --> 02:20:19.811 region:rollup2
ABOUT SAME PLAN SAME COMPANIES
02:20:19.077 --> 02:20:22.948 region:rollup2
SO.
02:20:19.811 --> 02:20:24.316 region:rollup2
SOAKING JUST THAT SPEAK THAT
02:20:22.948 --> 02:20:26.251 region:rollup2
THE COORDINATION BETWEEN.
02:20:24.316 --> 02:20:27.552 region:rollup2
TO AGENCIES CERTAINLY IT SO.
02:20:26.251 --> 02:20:28.987 region:rollup2
THERE'S IT HAPPENS A LOT OF
02:20:27.552 --> 02:20:29.655 region:rollup2
DIFFERENT WAYS AND XTERRA AND
02:20:28.987 --> 02:20:30.822 region:rollup2
DID.
02:20:29.655 --> 02:20:31.590 region:rollup2
DESCRIBE ONE OF THE WAYS
02:20:30.822 --> 02:20:33.158 region:rollup2
THROUGH ONE OF THE CONTRACT
02:20:31.590 --> 02:20:35.527 region:rollup2
PROVISIONS WHERE'D THE
02:20:33.158 --> 02:20:36.428 region:rollup2
ALTERNATIVE ACCESS. REQUESTS ARE
02:20:35.527 --> 02:20:37.362 region:rollup2
FILED SIMULTANEOUSLY SO WHERE
02:20:36.428 --> 02:20:39.298 region:rollup2
BOTH NOTIFIED
02:20:37.362 --> 02:20:40.499 region:rollup2
SAME TIME WE HAVE A ROUTINE
02:20:39.298 --> 02:20:41.700 region:rollup2
PHONE CALLS BETWEEN THE TWO
02:20:40.499 --> 02:20:43.335 region:rollup2
DEPARTMENTS AND WORKING GROUPS
02:20:41.700 --> 02:20:44.369 region:rollup2
THAT TACKLE THESE ISSUES.
02:20:43.335 --> 02:20:45.671 region:rollup2
JOINTLY.
02:20:44.369 --> 02:20:47.072 region:rollup2
WE HAVE ALIGNED A LOT OF OUR
02:20:45.671 --> 02:20:48.573 region:rollup2
FILING REQUIREMENTS SO THEY COME
02:20:47.072 --> 02:20:50.242 region:rollup2
IN AT THE SAME TIME SO THAT WE
02:20:48.573 --> 02:20:51.977 region:rollup2
CAN REVIEW THEM AT THE SAME TIME
02:20:50.242 --> 02:20:53.645 region:rollup2
AND THEN. TALK TO ANY SPECIFIC
02:20:51.977 --> 02:20:54.846 region:rollup2
ISSUES THAT WE HAVE SO WE HAVE
02:20:53.645 --> 02:20:58.150 region:rollup2
BOTH FORMAL AND INFORMAL
02:20:54.846 --> 02:20:58.917 region:rollup2
PROCESSES FOR US TO DO THAT.
02:20:58.150 --> 02:21:01.186 region:rollup2
I MEAN THE ONLY THING I WOULD
02:20:58.917 --> 02:21:03.388 region:rollup2
SAY TO IS WE ALIGN OUR AUDIT
02:21:01.186 --> 02:21:04.823 region:rollup2
SCHEDULES. THOUGH YOU KNOW WE
02:21:03.388 --> 02:21:06.325 region:rollup2
JUST RECENTLY ENOUGH.
02:21:04.823 --> 02:21:08.126 region:rollup2
FINALIZED OUR AUDIT SCHEDULE
02:21:06.325 --> 02:21:08.760 region:rollup2
WHERE WE GO OUT TO THE PLANS AND
02:21:08.126 --> 02:21:11.430 region:rollup2
WE TRY TO DO IT AS A.
02:21:08.760 --> 02:21:12.064 region:rollup2
AS A COMBINED EFFORT SO THAT
02:21:11.430 --> 02:21:13.165 region:rollup2
WE'RE NOT HITTING A PLAN
02:21:12.064 --> 02:21:14.967 region:rollup2
DIFFERENTLY SO IT THERE'S A OT
02:21:13.165 --> 02:21:16.568 region:rollup2
OF DIFFERENT LAYERS OF
02:21:14.967 --> 02:21:17.769 region:rollup2
COORDINATION ACROSS.
02:21:16.568 --> 02:21:20.138 region:rollup2
OKAY THANK YOU. A COMMENCEMENT
02:21:17.769 --> 02:21:23.241 region:rollup2
LEO.
02:21:20.138 --> 02:21:27.679 region:rollup2
THE PRINTING NO FINANCE.
02:21:23.241 --> 02:21:29.448 region:rollup2
IT'S TIME OKAY THURMOND AND.
02:21:27.679 --> 02:21:31.650 region:rollup2
THANK YOU I HAVE A QUESTION FOR
02:21:29.448 --> 02:21:33.085 region:rollup2
THE AGE CSU MADE REFERENCE TO
02:21:31.650 --> 02:21:34.486 region:rollup2
SANCTIONS AND PENALTIES.
02:21:33.085 --> 02:21:36.421 region:rollup2
COULD YOU ILLUSTRATE A LITTLE
02:21:34.486 --> 02:21:39.124 region:rollup2
BIT MORE QUICK.
02:21:36.421 --> 02:21:40.592 region:rollup2
AN EXAMPLE OF A SANCTION AND
02:21:39.124 --> 02:21:41.126 region:rollup2
WHAT'S THE RANGE OF PENALTIES
02:21:40.592 --> 02:21:43.362 region:rollup2
ARE THE MONETARY PENALTIES
02:21:41.126 --> 02:21:45.797 region:rollup2
FINES.
02:21:43.362 --> 02:21:48.533 region:rollup2
AT LEAST SO WE ARE ABLE TO STOP.
02:21:45.797 --> 02:21:50.435 region:rollup2
THE FALL ENROLLMENT TO HELP
02:21:48.533 --> 02:21:51.203 region:rollup2
PLAN WE ALSO WERE ABLE TO IMPOSE
02:21:50.435 --> 02:21:52.371 region:rollup2
SANCTIONS.
02:21:51.203 --> 02:21:54.272 region:rollup2
IN THE WAY IN MONTH IN THE WAY
02:21:52.371 --> 02:21:55.640 region:rollup2
OF MONETARY FINES SO AN EXAMPLE
02:21:54.272 --> 02:21:57.175 region:rollup2
THAT IS WE DID.
02:21:55.640 --> 02:21:58.076 region:rollup2
IMPOSE A SANCTION OF OF
02:21:57.175 --> 02:21:59.244 region:rollup2
APPROXIMATELY FIVE MILLION
02:21:58.076 --> 02:22:00.545 region:rollup2
DOLLARS ON ONE OF OUR HEALTH
02:21:59.244 --> 02:22:03.281 region:rollup2
PLANS OF THE LAST YEAR HERE.
02:22:00.545 --> 02:22:04.416 region:rollup2
AND.
02:22:03.281 --> 02:22:06.284 region:rollup2
IN ADDITION TO THE PAYMENT OF
02:22:04.416 --> 02:22:08.653 region:rollup2
THE FINE.
02:22:06.284 --> 02:22:11.523 region:rollup2
DO YOU MONITOR ARE THEY ELIGIBLE
02:22:08.653 --> 02:22:13.091 region:rollup2
TO CONTINUE PROVIDING SERVICES.
02:22:11.523 --> 02:22:14.359 region:rollup2
YES A BURIAL ELIGIBLE TO
02:22:13.091 --> 02:22:16.595 region:rollup2
CONTINUE PROVIDING SERVICES
02:22:14.359 --> 02:22:17.929 region:rollup2
OBVIOUSLY IT DEPENDS ON WHAT THE
02:22:16.595 --> 02:22:19.364 region:rollup2
ISSUE IS THAT WE'VE IDENTIFIED
02:22:17.929 --> 02:22:20.465 region:rollup2
IN THIS CASE IT WAS RELATED TO
02:22:19.364 --> 02:22:21.767 region:rollup2
ENCOUNTER DATA.
02:22:20.465 --> 02:22:22.734 region:rollup2
WE WOULD.
02:22:21.767 --> 02:22:24.102 region:rollup2
EVALUATE THE ISSUE
02:22:22.734 --> 02:22:25.504 region:rollup2
INDETERMINATE WOULD PROVIDE
02:22:24.102 --> 02:22:26.138 region:rollup2
TECHNICAL ASSISTANCE ORPHALI
02:22:25.504 --> 02:22:27.472 region:rollup2
WOULD IMPOSE A CORRECTIVE ACTION
02:22:26.138 --> 02:22:29.007 region:rollup2
PLAN.
02:22:27.472 --> 02:22:29.608 region:rollup2
IN WITH THE CORRECTIVE VAN
02:22:29.007 --> 02:22:32.010 region:rollup2
ACTION PLAN I THINK YOU
02:22:29.608 --> 02:22:32.611 region:rollup2
MENTIONED. IF CERTAIN MILESTONES
02:22:32.010 --> 02:22:35.981 region:rollup2
THAT YOU MONITOR THAT ABILITY
02:22:32.611 --> 02:22:37.182 region:rollup2
TO.
02:22:35.981 --> 02:22:39.518 region:rollup2
TO COMPLY YES THAT'S CORRECT
02:22:37.182 --> 02:22:40.786 region:rollup2
MOVEMENT AND.
02:22:39.518 --> 02:22:43.355 region:rollup2
THE ONE WITH A LARGE FINE TELL
02:22:40.786 --> 02:22:45.524 region:rollup2
ME AGAIN WHAT WAS WHAT WAS THE
02:22:43.355 --> 02:22:46.558 region:rollup2
NON COMPLIANCE ISSUE IT WAS
02:22:45.524 --> 02:22:48.794 region:rollup2
ACTUALLY RELATED TO.
02:22:46.558 --> 02:22:50.228 region:rollup2
REPORTING OF ENCOUNTER DATA SO
02:22:48.794 --> 02:22:52.230 region:rollup2
HEALTH PLANS ARE REQUIRED TO
02:22:50.228 --> 02:22:53.698 region:rollup2
REPORT MONTHLY TO DCS ALL
02:22:52.230 --> 02:22:54.232 region:rollup2
ENCOUNTERS AND WE FOUND
02:22:53.698 --> 02:22:55.467 region:rollup2
DEFICIENCIES IN THE HEALTH
02:22:54.232 --> 02:22:57.169 region:rollup2
PLANS.
02:22:55.467 --> 02:22:58.036 region:rollup2
REPORTING AND SO DID WORK WITH
02:22:57.169 --> 02:23:00.005 region:rollup2
THEM UNDER CORRECTIVE ACTION
02:22:58.036 --> 02:23:01.440 region:rollup2
PLAN WHEN THEY DIDN'T COME INTO
02:23:00.005 --> 02:23:02.841 region:rollup2
COMPLIANCE THAT WE DID IMPOSE A
02:23:01.440 --> 02:23:05.110 region:rollup2
FINANCIAL SANCTION.
02:23:02.841 --> 02:23:07.145 region:rollup2
THANK YOU IN THEM.
02:23:05.110 --> 02:23:11.416 region:rollup2
THANK BACK TO EARLIER TESTIMONY.
02:23:07.145 --> 02:23:12.684 region:rollup2
pFROM DAMAGE SEEN.
02:23:11.416 --> 02:23:14.586 region:rollup2
HE SAID THERE'D BEEN NO TIMELY
02:23:12.684 --> 02:23:18.023 region:rollup2
ACCESS
02:23:14.586 --> 02:23:20.492 region:rollup2
COMPLAINTS BUT THERE YOU CITED.
02:23:18.023 --> 02:23:21.660 region:rollup2
ME WAS DAMAGE SEE BUT THIS THE
02:23:20.492 --> 02:23:21.927 region:rollup2
CITATION OF.
02:23:21.660 --> 02:23:23.929 region:rollup2
.
02:23:21.927 --> 02:23:25.664 region:rollup2
.
02:23:23.929 --> 02:23:27.766 region:rollup2
FAILURE TO PROVIDE GEOGRAPHIC.
02:23:25.664 --> 02:23:29.034 region:rollup2
COMPLIANCE.
02:23:27.766 --> 02:23:32.537 region:rollup2
SO WE WE HAVE.
02:23:29.034 --> 02:23:34.005 region:rollup2
AND I I HAVE TO ADMIT THAT BUT
02:23:32.537 --> 02:23:35.974 region:rollup2
BUT WE'VE NEVER APPROVED A
02:23:34.005 --> 02:23:37.375 region:rollup2
TIMELY ACCESS STANDARD FIVE WERE
02:23:35.974 --> 02:23:37.609 region:rollup2
A DEVIATION WE MAY HAVE RECEIVED
02:23:37.375 --> 02:23:39.845 region:rollup2
ONE I'M
02:23:37.609 --> 02:23:40.846 region:rollup2
YOU'RE PURE.
02:23:39.845 --> 02:23:42.314 region:rollup2
DOCTOR AND WAS VERY POINT I WANT
02:23:40.846 --> 02:23:43.648 region:rollup2
TO MAKE SURE I'M VERY ACCURATE
02:23:42.314 --> 02:23:45.283 region:rollup2
WE MAY HAVE RECEIVED ONE WE HAVE
02:23:43.648 --> 02:23:46.084 region:rollup2
NEVER APPROVED ONE SO
02:23:45.283 --> 02:23:48.120 region:rollup2
IN CERTAINLY GO BACK AND. AT
02:23:46.084 --> 02:23:49.721 region:rollup2
WEST.
02:23:48.120 --> 02:23:51.356 region:rollup2
I MAY HAVE RECEIVED ONE EVERY
02:23:49.721 --> 02:23:52.924 region:rollup2
SEED ONCE ABOUT IT BUT WE HAVE
02:23:51.356 --> 02:23:54.392 region:rollup2
NOT AT THE FOOT ONE THAT THEY
02:23:52.924 --> 02:23:55.427 region:rollup2
NEVER PROVED LAND BUT THE NUMBER
02:23:54.392 --> 02:23:57.529 region:rollup2
REQUEST IS ACTUALLY VERY VERY
02:23:55.427 --> 02:23:59.097 region:rollup2
SMALL YET IT IT BUT WE COULD
02:23:57.529 --> 02:23:59.865 region:rollup2
HAVE LEGAL DIGITS. SINGLE DIGIT
02:23:59.097 --> 02:24:00.999 region:rollup2
OF.
02:23:59.865 --> 02:24:02.968 region:rollup2
SAMPLES ON THE GEOGRAPHICAL.
02:24:00.999 --> 02:24:04.703 region:rollup2
.
02:24:02.968 --> 02:24:06.071 region:rollup2
SO THIS IS SHIRTS CERTAINLY SAID
02:24:04.703 --> 02:24:07.205 region:rollup2
THE GEOGRAPHIC ACCESS STANDARD
02:24:06.071 --> 02:24:09.341 region:rollup2
IS FIFTEEN MILES OR THIRTY
02:24:07.205 --> 02:24:11.776 region:rollup2
MINUTES FROM ENROLLEES HOME OR
02:24:09.341 --> 02:24:14.112 region:rollup2
THEIR WORKPLACE I'M SO.
02:24:11.776 --> 02:24:15.947 region:rollup2
A COMMON ACCESS STANDARD WITH
02:24:14.112 --> 02:24:17.616 region:rollup2
WOULD BE LIKE THE NEAREST
02:24:15.947 --> 02:24:18.917 region:rollup2
HOSPITAL IS FORTY SIX MY.
02:24:17.616 --> 02:24:21.419 region:rollup2
AND SO THEREIS NO PHYSICAL
02:24:18.917 --> 02:24:23.188 region:rollup2
HOSPITAL THAT'S WITHIN THE
02:24:21.419 --> 02:24:24.022 region:rollup2
FIFTEEN MILES THIRTY MINUTES AND
02:24:23.188 --> 02:24:25.524 region:rollup2
SO A WE'RE REQUESTING AN
02:24:24.022 --> 02:24:27.559 region:rollup2
ALTERNATIVE ACTS
02:24:25.524 --> 02:24:28.660 region:rollup2
STANDARD TO THE NEAREST PHYSICAL
02:24:27.559 --> 02:24:30.195 region:rollup2
HOSPITAL WHICH IS FORTY SIX
02:24:28.660 --> 02:24:31.463 region:rollup2
MILES AWAY.
02:24:30.195 --> 02:24:32.864 region:rollup2
AND THEN WITH THE PRIMARY CARE
02:24:31.463 --> 02:24:34.733 region:rollup2
PROVIDER I UNDERSTAND THE
02:24:32.864 --> 02:24:36.535 region:rollup2
HOSPITAL YOU CAN'T REQUIRE THEM
02:24:34.733 --> 02:24:38.803 region:rollup2
TO BUILD A HOSPITAL.
02:24:36.535 --> 02:24:42.507 region:rollup2
WITH PRIMARY CARE PROVIDERS.
02:24:38.803 --> 02:24:43.542 region:rollup2
GIVE ME AN EXAMPLE OF OF THAT
02:24:42.507 --> 02:24:45.010 region:rollup2
IT WOULDN'T LOOK THAT DIFFERENT
02:24:43.542 --> 02:24:46.945 region:rollup2
SO IF THE NEAREST PRIMARY CARE
02:24:45.010 --> 02:24:49.181 region:rollup2
PRACTICE LOCATION IS ALSO NOT
02:24:46.945 --> 02:24:51.183 region:rollup2
WITHIN A FIFTEEN MILES OR IF
02:24:49.181 --> 02:24:51.750 region:rollup2
THEY'VE HAD A PRIMARY CAC THAT
02:24:51.183 --> 02:24:54.185 region:rollup2
PRACTICE LOCATION THAT HAS.
02:24:51.750 --> 02:24:55.153 region:rollup2
DID TO ONLY ACCEPT.
02:24:54.185 --> 02:24:56.221 region:rollup2
AS AN EXAMPLE AND THEY'RE NOT
02:24:55.153 --> 02:24:57.889 region:rollup2
INTERESTED IN PARTICIPATING IN
02:24:56.221 --> 02:24:59.024 region:rollup2
THE COMMERCIAL MARKET.
02:24:57.889 --> 02:24:59.891 region:rollup2
WHATEVER THE CASE MAY BE THEY
02:24:59.024 --> 02:25:01.760 region:rollup2
WOULD THEY WILL SAY THAN THE
02:24:59.891 --> 02:25:03.228 region:rollup2
NEAREST PRACTICES THAT I HAD TO
02:25:01.760 --> 02:25:05.630 region:rollup2
THESE VARIOUS PORTIONS OF THE
02:25:03.228 --> 02:25:07.032 region:rollup2
ZIP CODES. ARE ACT IN AN ACCESS
02:25:05.630 --> 02:25:08.567 region:rollup2
OF THE FIFTEEN MILES IN THIRTY
02:25:07.032 --> 02:25:10.001 region:rollup2
MINUTES AND SO I'M REQUESTING A
02:25:08.567 --> 02:25:12.170 region:rollup2
STANDARD THAT.
02:25:10.001 --> 02:25:13.405 region:rollup2
WORKS FOR WHERE THE PRACTICES
02:25:12.170 --> 02:25:16.841 region:rollup2
ARE BUT IN THE BASE OF THIS
02:25:13.405 --> 02:25:18.276 region:rollup2
THE.
02:25:16.841 --> 02:25:19.811 region:rollup2
THE HEALTH CARE NETWORK HAS TO
02:25:18.276 --> 02:25:22.847 region:rollup2
COMPILE THAT INFORMATION
02:25:19.811 --> 02:25:23.348 region:rollup2
APPROACH TO SAY THIS IS WHAT WE
02:25:22.847 --> 02:25:24.482 region:rollup2
CAN ACHIEVE OUR WE CAN'T
02:25:23.348 --> 02:25:25.517 region:rollup2
ACHIEVE.
02:25:24.482 --> 02:25:27.052 region:rollup2
AND I WOULD EXPECT THIS IS
02:25:25.517 --> 02:25:29.087 region:rollup2
PARTICULARLY CHALLENGING IN
02:25:27.052 --> 02:25:30.455 region:rollup2
RURAL AREAS. THAT THE VAST
02:25:29.087 --> 02:25:32.090 region:rollup2
MAJORITY OF THE ALTERNATIVE
02:25:30.455 --> 02:25:33.258 region:rollup2
ACCESS REQUESTS THAT COME INTO
02:25:32.090 --> 02:25:35.360 region:rollup2
THE DEPARTMENT ARE IN RURAL
02:25:33.258 --> 02:25:37.495 region:rollup2
CALIFORNIA AND IT REALLY HAS
02:25:35.360 --> 02:25:39.531 region:rollup2
PRIMARILY TO DO WITH THE.
02:25:37.495 --> 02:25:42.500 region:rollup2
DENSITY OF PROVIDERS IN THOSE
02:25:39.531 --> 02:25:43.635 region:rollup2
AREAS THAT YOU DO INDIAN ALICE'S
02:25:42.500 --> 02:25:47.238 region:rollup2
OF THE PROVIDER WHO.
02:25:43.635 --> 02:25:48.306 region:rollup2
WON'T PROVIDE SERVICES.
02:25:47.238 --> 02:25:50.508 region:rollup2
HOW LONG CONTRACT IT WON'T
02:25:48.306 --> 02:25:52.310 region:rollup2
CONTRACT TO THE PLAN BECAUSE THE
02:25:50.508 --> 02:25:54.112 region:rollup2
PLANT'S REIMBURSEMENT? IS TOO
02:25:52.310 --> 02:25:55.714 region:rollup2
LOW WE REQUIRE THE PLAN TO
02:25:54.112 --> 02:25:57.382 region:rollup2
PROVIDE DOCUMENTATION ABOUT
02:25:55.714 --> 02:25:58.817 region:rollup2
THOSE NEGOTIATIONS WRITTEN.
02:25:57.382 --> 02:26:00.452 region:rollup2
ROOM IN OUR THEIR STANDARDS SET
02:25:58.817 --> 02:26:02.754 region:rollup2
BY.
02:26:00.452 --> 02:26:03.755 region:rollup2
REGION THEN BY RURAL AREA OF
02:26:02.754 --> 02:26:05.857 region:rollup2
WHAT'S CONSIDERED.
02:26:03.755 --> 02:26:07.158 region:rollup2
.
02:26:05.857 --> 02:26:08.326 region:rollup2
REQUIRED REIMBURSEMENT LEVELS
02:26:07.158 --> 02:26:10.028 region:rollup2
NOW THERE'S NO SPECIFIC
02:26:08.326 --> 02:26:12.264 region:rollup2
STANDARDS BUT WE DO REQUIRE THEM
02:26:10.028 --> 02:26:14.866 region:rollup2
TO HAVE MADE A GOOD FAITH EFFORT
02:26:12.264 --> 02:26:18.336 region:rollup2
TO TO NEGOTIATE.
02:26:14.866 --> 02:26:19.471 region:rollup2
IS THERE DATA THAT SHOWS THEM.
02:26:18.336 --> 02:26:21.006 region:rollup2
HOW MANY PROVIDERS ARE NOT?
02:26:19.471 --> 02:26:23.008 region:rollup2
?
02:26:21.006 --> 02:26:25.243 region:rollup2
CONTRACTING WITH.
02:26:23.008 --> 02:26:27.646 region:rollup2
NETWORKS NOT SPECIFICALLY THAT
02:26:25.243 --> 02:26:29.848 region:rollup2
YOU CAN KIND OF GET THERE SO.
02:26:27.646 --> 02:26:30.782 region:rollup2
WE HAVE THE DATA DOWNLOADED
02:26:29.848 --> 02:26:31.616 region:rollup2
FROM THE DEPARTMENT OF CONSUMER
02:26:30.782 --> 02:26:32.117 region:rollup2
AFFAIRS THAT LISTS EVERY SINGLE
02:26:31.616 --> 02:26:35.787 region:rollup2
LICENSE.
02:26:32.117 --> 02:26:37.789 region:rollup2
OR IN THE STATE.
02:26:35.787 --> 02:26:39.090 region:rollup2
AND AT WHICH WILL HAVE A PRIMARY
02:26:37.789 --> 02:26:41.159 region:rollup2
PRACTICE LOCATION NOT EVERY
02:26:39.090 --> 02:26:42.794 region:rollup2
PRACTICE LOCATION WHERE HEAR ME
02:26:41.159 --> 02:26:44.863 region:rollup2
HERE SHE MAY PRACTICE AND YOU
02:26:42.794 --> 02:26:46.965 region:rollup2
CAN OVERLAY THAT WITH THE DATA
02:26:44.863 --> 02:26:48.199 region:rollup2
FILE THAT CONTAINS EVERY MANAGED
02:26:46.965 --> 02:26:49.668 region:rollup2
CARE. AND.
02:26:48.199 --> 02:26:50.902 region:rollup2
CONTRACTED PROVIDER AND IT'S
02:26:49.668 --> 02:26:52.671 region:rollup2
NOT A HUNDRED PERCENT MATCH
02:26:50.902 --> 02:26:53.672 region:rollup2
THERE ARE PROVIDERS THAT FOR
02:26:52.671 --> 02:26:55.140 region:rollup2
WHATEVER REASON ARE NOT
02:26:53.672 --> 02:26:57.275 region:rollup2
CONTRACTED WITH MANAGED CARE
02:26:55.140 --> 02:26:59.177 region:rollup2
PLANS AND SO WE LOOK AT BOTH OF
02:26:57.275 --> 02:27:00.645 region:rollup2
THOSE FILES WHEN WE ARE ON
02:26:59.177 --> 02:27:01.313 region:rollup2
DETERMINING WHETHER OR NOT WE'RE
02:27:00.645 --> 02:27:03.081 region:rollup2
GONNA PROVE AN ALTERNATIVE ACTS.
02:27:01.313 --> 02:27:04.716 region:rollup2
STANDARD.
02:27:03.081 --> 02:27:06.785 region:rollup2
THANK YOU BECAUSE I KNOW SOME OF
02:27:04.716 --> 02:27:09.387 region:rollup2
MY DISTRICT IS A LOT OF MY
02:27:06.785 --> 02:27:11.756 region:rollup2
DISTRICT IS RURAL IN. COMPLAINTS
02:27:09.387 --> 02:27:13.291 region:rollup2
WE GET FROM CONSTITUENTS IS THEY
02:27:11.756 --> 02:27:14.993 region:rollup2
CAN'T FIND.
02:27:13.291 --> 02:27:16.961 region:rollup2
PROVIDERS UNDER THEIR PLAN WHO
02:27:14.993 --> 02:27:19.531 region:rollup2
WILL ACCEPT THEIR PLAN.
02:27:16.961 --> 02:27:20.899 region:rollup2
YEAH PEN AND THERE'S.
02:27:19.531 --> 02:27:23.335 region:rollup2
THERE'S NO WAY WE CAN HELP THEM.
02:27:20.899 --> 02:27:24.569 region:rollup2
OPEN THERE'S THERE'S NO RESPONSE
02:27:23.335 --> 02:27:26.004 region:rollup2
WE CAN PROVIDE THEY JUST HAVE TO
02:27:24.569 --> 02:27:27.439 region:rollup2
KEEP LOOKING
02:27:26.004 --> 02:27:28.840 region:rollup2
WELL WE COULD ALWAYS SEND THEM
02:27:27.439 --> 02:27:29.841 region:rollup2
TO US AND WE WILL GET ON THE
02:27:28.840 --> 02:27:31.242 region:rollup2
PHONE WITH THAT PLAN AND WE WILL
02:27:29.841 --> 02:27:34.312 region:rollup2
ENSURE THAT THEY GET OUT.
02:27:31.242 --> 02:27:36.214 region:rollup2
TO CARE SO I WILL BY WICCANS.
02:27:34.312 --> 02:27:37.349 region:rollup2
OUR COLLATERAL IN INCOME TAX
02:27:36.214 --> 02:27:39.417 region:rollup2
INFORMATION SENT HERE DISTRICT
02:27:37.349 --> 02:27:41.353 region:rollup2
OFFICE SO THAT WE CAN REFER THEM
02:27:39.417 --> 02:27:42.287 region:rollup2
DIRECTLY TO US AND WE LOT. I
02:27:41.353 --> 02:27:45.457 region:rollup2
APPRECIATE THAT WOULD BE VERY
02:27:42.287 --> 02:27:46.991 region:rollup2
HELPFUL THANK YOU.
02:27:45.457 --> 02:27:48.426 region:rollup2
SO. BIG YOU CAN PRESERVE THE
02:27:46.991 --> 02:27:49.627 region:rollup2
PRESENTATION SHARE SOME OF THE
02:27:48.426 --> 02:27:50.995 region:rollup2
SAME CONCERNS AS MY FRIEND US
02:27:49.627 --> 02:27:52.630 region:rollup2
SENATOR MONEY DOES HAVING SOME
02:27:50.995 --> 02:27:56.000 region:rollup2
RURAL AREAS WHERE.
02:27:52.630 --> 02:27:57.402 region:rollup2
WE HAD A CASE WHERE SOMEBODY
02:27:56.000 --> 02:27:58.837 region:rollup2
WAS SUPPOSED TO GO AND FOR SOME
02:27:57.402 --> 02:28:00.772 region:rollup2
ONCOLOGICAL SURGERY AND WAS
02:27:58.837 --> 02:28:02.273 region:rollup2
REFERRED ONE INSTITUTION WAS
02:28:00.772 --> 02:28:04.576 region:rollup2
CONTRACTED TO SAID IT COULDN'T
02:28:02.273 --> 02:28:05.210 region:rollup2
TAKE IT THEY DON'T REFER TO
02:28:04.576 --> 02:28:05.944 region:rollup2
ANOTHER ONE SAID IT COULD TAKE.
02:28:05.210 --> 02:28:07.045 region:rollup2
IT'S IT'S FRIGHTENING ENOUGH
02:28:05.944 --> 02:28:08.146 region:rollup2
WHEN YOU'RE DIAGNOSED WITH
02:28:07.045 --> 02:28:09.414 region:rollup2
CANCER AND YOU DO GO TO SEARCH
02:28:08.146 --> 02:28:10.715 region:rollup2
AND YOU CAN FIND A. AN
02:28:09.414 --> 02:28:12.650 region:rollup2
APPROPRIATE FACILITY TO DO IT WE
02:28:10.715 --> 02:28:13.118 region:rollup2
REACHED OUT TO OTHER
02:28:12.650 --> 02:28:14.686 region:rollup2
REPRESENTATIVE HERE IN
02:28:13.118 --> 02:28:15.320 region:rollup2
SACRAMENTO WHICH.
02:28:14.686 --> 02:28:17.389 region:rollup2
WE SOLVE THE PROBLEM BY HAVING
02:28:15.320 --> 02:28:17.589 region:rollup2
TO GO TO YOU WHICH WAS PROBABLY
02:28:17.389 --> 02:28:19.724 region:rollup2
GOOD.
02:28:17.589 --> 02:28:21.426 region:rollup2
.
02:28:19.724 --> 02:28:24.863 region:rollup2
IF I LET HIM BACK TO THE
02:28:21.426 --> 02:28:25.497 region:rollup2
SANCTIONS FOR SECOND IF I COULD.
02:28:24.863 --> 02:28:26.498 region:rollup2
WHAT IS THE INCIDENCE OF
02:28:25.497 --> 02:28:27.866 region:rollup2
SANCTIONS IN THE STATE OF
02:28:26.498 --> 02:28:29.434 region:rollup2
CALIFORNIA COMMON PLACE THAT WE
02:28:27.866 --> 02:28:30.902 region:rollup2
FIND PLANS THAT ARE NOT
02:28:29.434 --> 02:28:32.604 region:rollup2
COMPLYING WITH A?
02:28:30.902 --> 02:28:33.204 region:rollup2
THE DEPARTMENT OR IS THIS BRED
02:28:32.604 --> 02:28:34.906 region:rollup2
THE EXCEPTION RATHER THAN THE
02:28:33.204 --> 02:28:36.407 region:rollup2
RULE.
02:28:34.906 --> 02:28:37.642 region:rollup2
THAT'S VERY HARD TO ANSWER I
02:28:36.407 --> 02:28:39.210 region:rollup2
MEAN I CAN KIND OF DO TRACKING
02:28:37.642 --> 02:28:41.079 region:rollup2
AND TRENDING OVERTIME ACCOUNT
02:28:39.210 --> 02:28:43.281 region:rollup2
CARE PLANS AGAINST EACH OTHER
02:28:41.079 --> 02:28:45.583 region:rollup2
BUT AN ENTIRE INDUSTRY. AND THAT
02:28:43.281 --> 02:28:46.851 region:rollup2
IS IT'S IT'S HARD TO SAY SO FOR
02:28:45.583 --> 02:28:48.219 region:rollup2
EVERY CASE THAT COMES INTO THE
02:28:46.851 --> 02:28:49.020 region:rollup2
HELP CENTER THE PLAN MAY OR MAY
02:28:48.219 --> 02:28:51.055 region:rollup2
NOT.
02:28:49.020 --> 02:28:52.290 region:rollup2
TREATED APPROPRIATELY AND SO
02:28:51.055 --> 02:28:53.491 region:rollup2
FOR EVERY CASE THAT'S NOT
02:28:52.290 --> 02:28:54.793 region:rollup2
TREATED APPROPRIATELY WHERE THEY
02:28:53.491 --> 02:28:55.827 region:rollup2
DIDN'T RESPOND TO THE IN RELEASE
02:28:54.793 --> 02:28:56.561 region:rollup2
ISSUES WHERE THEY DIDN'T PROCESS
02:28:55.827 --> 02:28:57.629 region:rollup2
THE GRIEVANCE CRY
02:28:56.561 --> 02:28:59.063 region:rollup2
KLAY WHERE THEY DIDN'T THEN
02:28:57.629 --> 02:29:00.064 region:rollup2
WE'RE GOING TO HAVE SOME LEVEL
02:28:59.063 --> 02:29:01.433 region:rollup2
OF MONETARY PENALTY ASSOCIATED
02:29:00.064 --> 02:29:02.967 region:rollup2
WITH THAT.
02:29:01.433 --> 02:29:04.969 region:rollup2
THE SAME THING WITH OUR SURVEY
02:29:02.967 --> 02:29:05.403 region:rollup2
RESULTS SO WHAT WE DO IS WE LOOK
02:29:04.969 --> 02:29:07.772 region:rollup2
AT.
02:29:05.403 --> 02:29:09.040 region:rollup2
MARKERS ACROSS PLANS TO TRY TO
02:29:07.772 --> 02:29:10.742 region:rollup2
SEE WHERE WE HAVE OUT LAYERS OF
02:29:09.040 --> 02:29:12.343 region:rollup2
PERFORMANCE SO WE LOOK AT
02:29:10.742 --> 02:29:15.046 region:rollup2
COMPLAINTS ON A PRETEND THOUSAND
02:29:12.343 --> 02:29:17.115 region:rollup2
BASIS SO IT NORMALIZES LARGE
02:29:15.046 --> 02:29:17.782 region:rollup2
PLANTS AND SMALL PLANS. AND WE
02:29:17.115 --> 02:29:20.251 region:rollup2
LOOK AT.
02:29:17.782 --> 02:29:21.486 region:rollup2
SPECIFIC STANDARDS FOR ON SITE
02:29:20.251 --> 02:29:22.954 region:rollup2
FUNCTIONAL AUDITS MUCH VERY
02:29:21.486 --> 02:29:25.156 region:rollup2
SIMILAR TO THE AUDITS THAT THE
02:29:22.954 --> 02:29:26.524 region:rollup2
DEEP SEA ES CONDUCTS YOU SEE HOW
02:29:25.156 --> 02:29:28.960 region:rollup2
MANY OF VARIOUS.
02:29:26.524 --> 02:29:30.161 region:rollup2
A DEFICIENCIES ARE DISCOVERED
02:29:28.960 --> 02:29:31.930 region:rollup2
WHETHER OR NOT THEY'RE SERIOUS
02:29:30.161 --> 02:29:33.865 region:rollup2
DEFEAT DECISION DEFICIENCIES OR
02:29:31.930 --> 02:29:35.767 region:rollup2
PROCEDURAL DEFICIENCIES WHETHER
02:29:33.865 --> 02:29:37.469 region:rollup2
OR NOT THE REPEATED. AND SO
02:29:35.767 --> 02:29:39.204 region:rollup2
THAT'S HOW WE MONITOR PLAN
02:29:37.469 --> 02:29:41.573 region:rollup2
PERFORMANCE AGAINST THE
02:29:39.204 --> 02:29:43.208 region:rollup2
STANDARDS REALLY AT NOT ISN'T
02:29:41.573 --> 02:29:44.409 region:rollup2
INDUSTRIES A WHOLE BUT EACH PLAN
02:29:43.208 --> 02:29:45.977 region:rollup2
ON ITS OWN SO WITH RESPECT TO
02:29:44.409 --> 02:29:47.579 region:rollup2
THE FIVE MILLION DOLLAR EXAMPLE
02:29:45.977 --> 02:29:49.414 region:rollup2
THAT YOU GAVE BEFORE WAS. WAS
02:29:47.579 --> 02:29:51.015 region:rollup2
AFTER A SANCTION IT BECAUSE.
02:29:49.414 --> 02:29:52.450 region:rollup2
OF COMPLAINTS.
02:29:51.015 --> 02:29:54.486 region:rollup2
OF THE PLAN NOT FULFILLING
02:29:52.450 --> 02:29:55.687 region:rollup2
THEIR RESPONSIBILITIES ARE WHAT
02:29:54.486 --> 02:29:57.522 region:rollup2
WAS THE NATURE IF YOU GET MORE
02:29:55.687 --> 02:29:58.857 region:rollup2
DETAIL OF WHAT THE. FINALISTS
02:29:57.522 --> 02:29:59.524 region:rollup2
FOR.
02:29:58.857 --> 02:30:00.191 region:rollup2
MEASURE INITIALLY TRY AND GIVE A
02:29:59.524 --> 02:30:00.959 region:rollup2
LITTLE BIT MORE DETAIL SO WE HAD
02:30:00.191 --> 02:30:03.561 region:rollup2
A PLAN SO ALL PLANS HAVE TO
02:30:00.959 --> 02:30:04.195 region:rollup2
SUBMIT IN CANADA SO HOW MANY
02:30:03.561 --> 02:30:06.731 region:rollup2
PRIMARY CARE FOR VISITS DID YOU
02:30:04.195 --> 02:30:08.299 region:rollup2
GET. HOW MANY DRUGS THAT HAD A
02:30:06.731 --> 02:30:09.534 region:rollup2
REBATE ASSOCIATED WITH IT YOU
02:30:08.299 --> 02:30:11.102 region:rollup2
KNOW JUST IT WASN'T DATA
02:30:09.534 --> 02:30:11.703 region:rollup2
SEBASTIAN ISSUE AND WE HAD WORK
02:30:11.102 --> 02:30:13.471 region:rollup2
WITHOUT PLAN? OVER THE COURSE
02:30:11.703 --> 02:30:14.973 region:rollup2
OF.
02:30:13.471 --> 02:30:17.175 region:rollup2
.
02:30:14.973 --> 02:30:19.511 region:rollup2
PRETTY EXTENSIVE PERIOD OF TIME
02:30:17.175 --> 02:30:21.813 region:rollup2
AND THEY JUST WERE UNABLE TO
02:30:19.511 --> 02:30:23.214 region:rollup2
SUBMIT THAT DATA. BUT WHICH.
02:30:21.813 --> 02:30:24.816 region:rollup2
DOESN'T EXIST WE CAN'T FIND IT
02:30:23.214 --> 02:30:25.650 region:rollup2
WE CAN'T GET IT AND WE KIND OF
02:30:24.816 --> 02:30:26.851 region:rollup2
COME BACK AND SAY NO WE REALLY
02:30:25.650 --> 02:30:29.053 region:rollup2
NEED A AND THEY BELIEVE THAT.
02:30:26.851 --> 02:30:31.656 region:rollup2
WE'RE TRYING BUT WE CAN GET IT
02:30:29.053 --> 02:30:32.991 region:rollup2
AND SO WAS KIND OF A AFTER THE.
02:30:31.656 --> 02:30:34.926 region:rollup2
A LOT OF OTHER TOOLS AND A LOT
02:30:32.991 --> 02:30:37.695 region:rollup2
OF OTHER MECHANISMS HAD BEEN
02:30:34.926 --> 02:30:39.330 region:rollup2
TRIED. I'M AND FINALLY THAT PLAN
02:30:37.695 --> 02:30:42.500 region:rollup2
WAS SANCTIONED FOR FIVE MILLION
02:30:39.330 --> 02:30:44.168 region:rollup2
DOLLARS. AND I THINK WE ARE NOW
02:30:42.500 --> 02:30:45.803 region:rollup2
FINDING THEM TO BE IN COMPLIANCE
02:30:44.168 --> 02:30:47.505 region:rollup2
WITHIN CANADA SUBMISSIONS.
02:30:45.803 --> 02:30:50.441 region:rollup2
BY CYNICALLY THE FIVE MILLION
02:30:47.505 --> 02:30:51.009 region:rollup2
DOLLAR DEAD ANIMAL THEY DON'T
02:30:50.441 --> 02:30:51.209 region:rollup2
PAY IT WE TAKE IT OFF THEIR
02:30:51.009 --> 02:30:52.577 region:rollup2
CLAIM
02:30:51.209 --> 02:30:53.378 region:rollup2
SO.
02:30:52.577 --> 02:30:54.746 region:rollup2
BECAUSE RIPPING THE COMPETITION
02:30:53.378 --> 02:30:56.481 region:rollup2
WE HAVE A SLIGHTLY DIFFERENT WAY
02:30:54.746 --> 02:30:57.715 region:rollup2
IN WHICH WE CAN ACHIEVE
02:30:56.481 --> 02:30:59.350 region:rollup2
COMPLIANCE WITH THAT FAIRLY
02:30:57.715 --> 02:31:00.652 region:rollup2
QUICKLY. AND I THINK I WOULD
02:30:59.350 --> 02:31:02.820 region:rollup2
ALSO JUST LIKE TO SAY WHY I'M WE
02:31:00.652 --> 02:31:03.988 region:rollup2
DO NOT GOOD OF FINANCIAL
02:31:02.820 --> 02:31:05.990 region:rollup2
PENALTIES AS OUR FIRST.
02:31:03.988 --> 02:31:07.525 region:rollup2
COURSE RIGHT WE TRY TO WORK
02:31:05.990 --> 02:31:09.193 region:rollup2
WITH THE PLAN ON A TECHNICAL
02:31:07.525 --> 02:31:10.762 region:rollup2
BASIS IN A SERIOUS SAID WHEN WE
02:31:09.193 --> 02:31:11.863 region:rollup2
GO IN ON OUR ANNUAL AUDITS AND
02:31:10.762 --> 02:31:12.897 region:rollup2
DO A CORRECTIVE ACTION PLAN AND
02:31:11.863 --> 02:31:14.132 region:rollup2
WE SAY YOU KNOW YOU DID HAVE
02:31:12.897 --> 02:31:16.100 region:rollup2
THIS POLICY AND PROCEDURE
02:31:14.132 --> 02:31:17.368 region:rollup2
UPDATED OR. WE YOU KNOW WE WERE
02:31:16.100 --> 02:31:19.070 region:rollup2
UNHAPPY WITH HOW OLD FAST
02:31:17.368 --> 02:31:20.672 region:rollup2
RIPPING CLAIMS ACCORDING TO THE
02:31:19.070 --> 02:31:22.774 region:rollup2
WAY THAT THE CONTRACT REQUIRES
02:31:20.672 --> 02:31:23.942 region:rollup2
OR YOU KNOW WHATEVER. ON THE
02:31:22.774 --> 02:31:25.944 region:rollup2
PLANS ARE USUALLY PRETTY
02:31:23.942 --> 02:31:26.311 region:rollup2
RESPONSES AND COMING BACK TO US
02:31:25.944 --> 02:31:27.512 region:rollup2
AND WANTING TO.
02:31:26.311 --> 02:31:28.813 region:rollup2
.
02:31:27.512 --> 02:31:30.281 region:rollup2
CORRECT THAT BECAUSE CORRECTIVE
02:31:28.813 --> 02:31:31.883 region:rollup2
ACTION PLANS ARE EVENTUALLY MADE
02:31:30.281 --> 02:31:34.385 region:rollup2
PUBLIC AND SO THEY'RE VERY
02:31:31.883 --> 02:31:36.054 region:rollup2
MINDFUL OF. HOW THAT LOOKS AND
02:31:34.385 --> 02:31:38.656 region:rollup2
CERTAINLY WE DON'T GO TO
02:31:36.054 --> 02:31:40.158 region:rollup2
FINANCIAL PENALTIES AS OUR FIRST
02:31:38.656 --> 02:31:41.793 region:rollup2
WAY OF DOING BUSINESS I THINK
02:31:40.158 --> 02:31:43.061 region:rollup2
THE MORE OTHER DRAMATIC THINGS
02:31:41.793 --> 02:31:44.262 region:rollup2
THAT WE HAVE HAD TO DO IN THE
02:31:43.061 --> 02:31:47.165 region:rollup2
PAST FOR PLANS?
02:31:44.262 --> 02:31:48.433 region:rollup2
INVOLVED US WORKING CLOSELY
02:31:47.165 --> 02:31:50.401 region:rollup2
WITH THE DEPARTMENT OF MANAGED.
02:31:48.433 --> 02:31:52.370 region:rollup2
CARE ON A PLANET HAD.
02:31:50.401 --> 02:31:54.405 region:rollup2
NOT ACCEPTABLE LEVELS OF
02:31:52.370 --> 02:31:56.107 region:rollup2
TANGIBLE THE EQUITY SO WE NEEDED
02:31:54.405 --> 02:31:57.942 region:rollup2
TO PUT A TEMPORARY MANAGER INTO
02:31:56.107 --> 02:31:59.243 region:rollup2
THAT PLAN AND THAT WAS DONE IN
02:31:57.942 --> 02:32:00.311 region:rollup2
COOPERATION THAT'S A PRETTY
02:31:59.243 --> 02:32:03.147 region:rollup2
DRAMATIC.
02:32:00.311 --> 02:32:04.282 region:rollup2
ACTION AND WE ALSO SUSPENDED
02:32:03.147 --> 02:32:05.283 region:rollup2
ENROLLMENT AND DEFAULT
02:32:04.282 --> 02:32:06.985 region:rollup2
ENROLLMENT INTO THAT PLANTS WE
02:32:05.283 --> 02:32:08.453 region:rollup2
BASICALLY CUT OFF.
02:32:06.985 --> 02:32:09.087 region:rollup2
NEW MEMBERS FLOWING INTO THAT
02:32:08.453 --> 02:32:10.755 region:rollup2
PLAN UNTIL THEY CAN GET
02:32:09.087 --> 02:32:13.091 region:rollup2
STABILIZE IN SO THERE'S A
02:32:10.755 --> 02:32:15.727 region:rollup2
VARIETY OF MECHANISMS THAT WE
02:32:13.091 --> 02:32:16.995 region:rollup2
TRIED TO. USE BEFORE WE GO TO A
02:32:15.727 --> 02:32:18.229 region:rollup2
FINANCIAL PENALTY AND THEN THE
02:32:16.995 --> 02:32:20.164 region:rollup2
OTHER ONES ARE MUCH SMALLER
02:32:18.229 --> 02:32:22.100 region:rollup2
AROUND USUALLY ROUND ENCOUNTER
02:32:20.164 --> 02:32:23.801 region:rollup2
DATA AND. VIDEO ID JUDE YOU HAVE
02:32:22.100 --> 02:32:26.170 region:rollup2
ANY IDEA WHAT AND TWO THOUSAND
02:32:23.801 --> 02:32:28.773 region:rollup2
SEVENTEEN WHAT THE SANCTION
02:32:26.170 --> 02:32:31.309 region:rollup2
AMOUNT WAS THAT THE STATE DUH.
02:32:28.773 --> 02:32:32.610 region:rollup2
ASSESSED.
02:32:31.309 --> 02:32:34.612 region:rollup2
IS IT IS IT WOULD FIVE MILLIONS
02:32:32.610 --> 02:32:35.813 region:rollup2
OF A LOT OF MONEY YOU KNOW OF
02:32:34.612 --> 02:32:37.015 region:rollup2
THIS IS WHAT WE CALL IT A
02:32:35.813 --> 02:32:38.149 region:rollup2
HUNDRED BILLION DOLLARS A TEN
02:32:37.015 --> 02:32:38.916 region:rollup2
MILLION DOLLARS FIVE MILLION
02:32:38.149 --> 02:32:40.485 region:rollup2
DOLLARS RIGHT BECAUSE THAT WAS
02:32:38.916 --> 02:32:43.821 region:rollup2
IT. FOR SEVENTEEN WITHOUT ONE
02:32:40.485 --> 02:32:44.656 region:rollup2
PLANNED SO THAT'S IT FOR US AND
02:32:43.821 --> 02:32:45.490 region:rollup2
I HOPE I CAN LOOK AT.
02:32:44.656 --> 02:32:45.757 region:rollup2
AND I DON'T KNOW OFF THE TOP OF
02:32:45.490 --> 02:32:47.658 region:rollup2
MY HEAD.
02:32:45.757 --> 02:32:50.361 region:rollup2
BUT I WILL SAY THAT OVER TIME
02:32:47.658 --> 02:32:51.362 region:rollup2
ARE ANNUAL. AVERAGE SANCTION
02:32:50.361 --> 02:32:52.697 region:rollup2
AMOUNT IS A BIT HOVERS JUST
02:32:51.362 --> 02:32:54.832 region:rollup2
ABOVE A MILLION DOLLARS
02:32:52.697 --> 02:32:55.967 region:rollup2
SO IT GOES UP WITH VERY
02:32:54.832 --> 02:32:57.502 region:rollup2
SIGNIFICANT PENALTIES DROPS DOWN
02:32:55.967 --> 02:32:58.603 region:rollup2
WHEN WE DON'T HAVE.
02:32:57.502 --> 02:32:59.537 region:rollup2
THERE'S ALSO A DISTINCTION FOR
02:32:58.603 --> 02:33:01.105 region:rollup2
US BECAUSE WE DON'T HAVE A
02:32:59.537 --> 02:33:02.674 region:rollup2
DIRECT COLLECTION METHOD AS THE
02:33:01.105 --> 02:33:04.342 region:rollup2
WAY THAT THE DH CS DOES WE
02:33:02.674 --> 02:33:06.010 region:rollup2
IMPOSE IT AND WE MAY GO THROUGH
02:33:04.342 --> 02:33:08.179 region:rollup2
BOTH AND ADMINISTRATIVE AS WELL
02:33:06.010 --> 02:33:10.014 region:rollup2
AS A CORK BASED PROCESS WITH
02:33:08.179 --> 02:33:10.782 region:rollup2
EVERY THURMOND STREET JUDGE IT'S
02:33:10.014 --> 02:33:12.150 region:rollup2
ONLY WANTED TO APPEAL THAT.
02:33:10.782 --> 02:33:12.984 region:rollup2
REALLY HAVE ADMINISTERED
02:33:12.150 --> 02:33:14.352 region:rollup2
PROCESS AND THEN.
02:33:12.984 --> 02:33:15.887 region:rollup2
IF THE PLAN IS STILL
02:33:14.352 --> 02:33:18.456 region:rollup2
DISSATISFIED WITH THE OUTCOME OF
02:33:15.887 --> 02:33:18.990 region:rollup2
THE ADMINISTRATIVE PROCESS THAN
02:33:18.456 --> 02:33:19.190 region:rollup2
THEY CAN WE GO TO SUPERIOR
02:33:18.990 --> 02:33:20.825 region:rollup2
COURT.
02:33:19.190 --> 02:33:24.629 region:rollup2
AND DO YOU SANCTION FOR.
02:33:20.825 --> 02:33:24.929 region:rollup2
A QUALITY OF CARE OF THAT.
02:33:24.629 --> 02:33:26.597 region:rollup2
THESE PLANS.
02:33:24.929 --> 02:33:28.933 region:rollup2
.
02:33:26.597 --> 02:33:29.667 region:rollup2
PUT FORWARD AND IF THERE IS A
02:33:28.933 --> 02:33:31.803 region:rollup2
CONCERN ABOUT THE QUALITY OF
02:33:29.667 --> 02:33:33.538 region:rollup2
CARE. AND THEY ARE SANCTIONED IS
02:33:31.803 --> 02:33:35.339 region:rollup2
AT A PUBLIC OF THAT PUBLIC
02:33:33.538 --> 02:33:36.908 region:rollup2
PUBLIC INFORMATION.
02:33:35.339 --> 02:33:37.809 region:rollup2
YES INDEED CS WOULD IN AN
02:33:36.908 --> 02:33:39.544 region:rollup2
INSTANCE THAT SOMETHING MORE
02:33:37.809 --> 02:33:40.278 region:rollup2
EGREGIOUS SANCTION FOR QUALITY
02:33:39.544 --> 02:33:42.580 region:rollup2
OF CARE ISSUES.
02:33:40.278 --> 02:33:43.648 region:rollup2
AS THE DIRECTOR STATED WE DO
02:33:42.580 --> 02:33:44.215 region:rollup2
TRY TO WORK WITH THE HEALTH
02:33:43.648 --> 02:33:45.416 region:rollup2
PLANS AND PROVIDE TECHNICAL
02:33:44.215 --> 02:33:46.617 region:rollup2
ASSISTANCE
02:33:45.416 --> 02:33:47.952 region:rollup2
START A BUT THAT WOULD BE MADE
02:33:46.617 --> 02:33:50.721 region:rollup2
PUBLIC GAS.
02:33:47.952 --> 02:33:52.323 region:rollup2
IN AN EVER HAD TO DO THAT SO BUT
02:33:50.721 --> 02:33:53.224 region:rollup2
IF WE DID WE WOULD CERTAINLY AND
02:33:52.323 --> 02:33:54.559 region:rollup2
I KNOW IT'S PROBABLY OUTSIDE THE
02:33:53.224 --> 02:33:55.993 region:rollup2
SCOPE OF THIS AGENDA ITEM BUT I
02:33:54.559 --> 02:33:58.262 region:rollup2
WAS JUST CURIOUS DOES SIDE YOU
02:33:55.993 --> 02:34:00.531 region:rollup2
DEPARTMENT DO YOU. IN ANY WAY.
02:33:58.262 --> 02:34:02.233 region:rollup2
RATE THE HEALTH CARE PLANS ON A
02:34:00.531 --> 02:34:05.369 region:rollup2
AND A WAY IN WHICH A CONSUMER
02:34:02.233 --> 02:34:06.170 region:rollup2
CAN MAKE A COMPARATIVE ANALYSIS.
02:34:05.369 --> 02:34:07.772 region:rollup2
KNOW THE WORDS OF AYE AYE HE
02:34:06.170 --> 02:34:08.673 region:rollup2
TOOK COMMITTED TO COMPARE THEM
02:34:07.772 --> 02:34:10.208 region:rollup2
TO RESTAURANTS YOU GO TO
02:34:08.673 --> 02:34:11.509 region:rollup2
RESTAURANT YOU GOT AN A RATING
02:34:10.208 --> 02:34:13.344 region:rollup2
OF THE RATINGS SEE RATING.
02:34:11.509 --> 02:34:14.412 region:rollup2
YOU UNDERSTAND YOUR RISK OF
02:34:13.344 --> 02:34:14.612 region:rollup2
GOING TO SEE RATED RESTAURANT
02:34:14.412 --> 02:34:16.747 region:rollup2
WELL.
02:34:14.612 --> 02:34:18.349 region:rollup2
.
02:34:16.747 --> 02:34:19.183 region:rollup2
EVALUATING HEALTHCARE PLAN
02:34:18.349 --> 02:34:20.885 region:rollup2
SOMETIMES CAN BE VERY
02:34:19.183 --> 02:34:22.320 region:rollup2
COMPLICATED I DID NOT THERE WAS
02:34:20.885 --> 02:34:24.288 region:rollup2
ANY TYPE OF AN EVALUATION TOOL
02:34:22.320 --> 02:34:26.124 region:rollup2
THAT ISSUES THAT THE PUBLIC CAN
02:34:24.288 --> 02:34:28.493 region:rollup2
NOW READILY DEPEND ON. WE DON'T
02:34:26.124 --> 02:34:28.860 region:rollup2
HAVE AN EIGHT BC SOMETHING THAT
02:34:28.493 --> 02:34:31.062 region:rollup2
SIMPLE.
02:34:28.860 --> 02:34:32.296 region:rollup2
IT WHICH WOULD OF COURSE BE
02:34:31.062 --> 02:34:34.031 region:rollup2
MUCH MORE A CONSUMER FRIENDLY
02:34:32.296 --> 02:34:34.599 region:rollup2
BUT WE DO HAVE A DASHBOARD THAT
02:34:34.031 --> 02:34:35.099 region:rollup2
RATE HEALTH PLAN PERFORMANCE
02:34:34.599 --> 02:34:37.368 region:rollup2
ARE.
02:34:35.099 --> 02:34:38.936 region:rollup2
S. A VARIETY OF METRICS.
02:34:37.368 --> 02:34:40.238 region:rollup2
THAT CONSUMERS CAN USE IT ALSO
02:34:38.936 --> 02:34:41.839 region:rollup2
BREAKS IT DOWN BY LINES OF
02:34:40.238 --> 02:34:43.741 region:rollup2
BUSINESS SO IT'LL TELL YOU HOW
02:34:41.839 --> 02:34:45.309 region:rollup2
MANY COMPLAINTS PRETEND THOUSAND
02:34:43.741 --> 02:34:47.078 region:rollup2
WITHIN THE. THE COMMERCIAL
02:34:45.309 --> 02:34:48.946 region:rollup2
MARKET AND SO ON AND SO FORTH SO
02:34:47.078 --> 02:34:50.248 region:rollup2
ANY LICENSE PLAN WHO GO SEE HOW
02:34:48.946 --> 02:34:52.083 region:rollup2
THEY'RE DOING AGAINST AS VARIOUS
02:34:50.248 --> 02:34:54.118 region:rollup2
BENCHMARKS BUT THAT IS NOT THEN
02:34:52.083 --> 02:34:55.887 region:rollup2
TRANSLATED INTO. THIS MEANS IT'S
02:34:54.118 --> 02:34:56.954 region:rollup2
AN A. AIR THIS MEANS IT'S A BE I
02:34:55.887 --> 02:34:57.889 region:rollup2
WOULD MENTION THAT ONE OF OUR
02:34:56.954 --> 02:34:59.423 region:rollup2
SISTER STATE DEPARTMENTS THE
02:34:57.889 --> 02:35:01.559 region:rollup2
OFFICE THE PATIENT ADVOCATE DOES
02:34:59.423 --> 02:35:03.127 region:rollup2
PUBLISH A. UP QUALITY REPORT
02:35:01.559 --> 02:35:04.295 region:rollup2
CARD OF ALL OF THE PLANS IN THE
02:35:03.127 --> 02:35:05.696 region:rollup2
MEDICAL GROUPS UNDERNEATH THOSE
02:35:04.295 --> 02:35:07.298 region:rollup2
PLANS AT THAT IT MAKES AVAILABLE
02:35:05.696 --> 02:35:08.900 region:rollup2
ON ITS WEBSITE AND IS A STAR
02:35:07.298 --> 02:35:10.968 region:rollup2
RATING. AND SO IT IS A LITTLE
02:35:08.900 --> 02:35:11.602 region:rollup2
BIT MORE CONSUMER FOCUSED AND A
02:35:10.968 --> 02:35:13.304 region:rollup2
LITTLE BIT MORE READILY
02:35:11.602 --> 02:35:16.274 region:rollup2
ACCESSIBLE AND THEN WHAT IS A
02:35:13.304 --> 02:35:17.708 region:rollup2
PROCESS FOR. YOU TO COMMUNICATE
02:35:16.274 --> 02:35:20.478 region:rollup2
TO PATIENTS THAT IF THERE IS A
02:35:17.708 --> 02:35:21.612 region:rollup2
PROBLEM. THAT YOUR AGENCY IS A
02:35:20.478 --> 02:35:23.047 region:rollup2
WANT TO BE CALLED ISOMER
02:35:21.612 --> 02:35:25.416 region:rollup2
SOMETHING A STATUTE THAT A
02:35:23.047 --> 02:35:27.952 region:rollup2
HEALTH PLAN MUST PROVIDE. FOR A
02:35:25.416 --> 02:35:28.553 region:rollup2
CONSUMER IF THERE'S ANY ISSUES
02:35:27.952 --> 02:35:29.820 region:rollup2
YOU'RE GONNA CALL THIS NUMBER
02:35:28.553 --> 02:35:30.454 region:rollup2
BECAUSE.
02:35:29.820 --> 02:35:32.356 region:rollup2
MAYBE ALL THE COMPLAINTS DON'T
02:35:30.454 --> 02:35:33.591 region:rollup2
GET YOU. WE ARE CERTAIN THAT NOT
02:35:32.356 --> 02:35:35.092 region:rollup2
ALL THE PUT COMPLAINTS GET TO US
02:35:33.591 --> 02:35:36.093 region:rollup2
BUT THERE'S A VARIETY OF PLACES
02:35:35.092 --> 02:35:38.129 region:rollup2
WITHIN THE ACT THAT HEALTH PLANS
02:35:36.093 --> 02:35:39.430 region:rollup2
ARE REQUIRED TO USE. LANGUAGE IT
02:35:38.129 --> 02:35:40.731 region:rollup2
SPECIFICALLY REFERS TO OUR
02:35:39.430 --> 02:35:43.134 region:rollup2
WEBSITE AND OUR HELP CENTER.
02:35:40.731 --> 02:35:45.536 region:rollup2
FOR EXAMPLE IN ANY.
02:35:43.134 --> 02:35:46.370 region:rollup2
AT DENIAL OF SERVICES AND THE
02:35:45.536 --> 02:35:47.471 region:rollup2
HEALTH PLAN HAS TO GIVE
02:35:46.370 --> 02:35:48.639 region:rollup2
INFORMATION ABOUT IT BOTH ITS
02:35:47.471 --> 02:35:50.541 region:rollup2
INTERNAL GRIEVANCE PROCESS AS
02:35:48.639 --> 02:35:52.043 region:rollup2
WELL AS THE.
02:35:50.541 --> 02:35:53.344 region:rollup2
AS ONE EXAMPLE ALSO IN THEIR
02:35:52.043 --> 02:35:53.911 region:rollup2
EVIDENCE OF COVERAGE BOOKLET
02:35:53.344 --> 02:35:55.179 region:rollup2
IT'S ALSO REQUIRED TO BE IN
02:35:53.911 --> 02:35:57.281 region:rollup2
THERE.
02:35:55.179 --> 02:35:58.749 region:rollup2
THANKS EDUCATION. AND ANSWER
02:35:57.281 --> 02:36:00.518 region:rollup2
WON'T TAKE CREDIT FOR IT SO I
02:35:58.749 --> 02:36:03.321 region:rollup2
WILL DO IT FOR HER.
02:36:00.518 --> 02:36:04.488 region:rollup2
IN THAT SHE WAS THE LEAD PERSON
02:36:03.321 --> 02:36:05.656 region:rollup2
THAT DOES AND DESIGNED OUR.
02:36:04.488 --> 02:36:07.024 region:rollup2
.
02:36:05.656 --> 02:36:09.160 region:rollup2
DASHBOARD FOR OUR MANAGED CARE
02:36:07.024 --> 02:36:11.028 region:rollup2
PLANS AND SO IT'S BEEN AN EFFORT
02:36:09.160 --> 02:36:12.496 region:rollup2
THAT WE HAVE BOTH REFINED AND
02:36:11.028 --> 02:36:14.098 region:rollup2
CERTAINLY I THINK BEEN A
02:36:12.496 --> 02:36:16.200 region:rollup2
NATIONAL LEADER ON FOR MEDICAID.
02:36:14.098 --> 02:36:17.435 region:rollup2
STATES IN GENERAL AND THAT ARE
02:36:16.200 --> 02:36:18.769 region:rollup2
ALL OF OUR PLANS ARE PUT ON A
02:36:17.435 --> 02:36:21.472 region:rollup2
QUARTERLY DASHBOARD.
02:36:18.769 --> 02:36:23.107 region:rollup2
USING OF YOU KNOW DIFFERENT
02:36:21.472 --> 02:36:24.308 region:rollup2
METRICS FOR EACH QUARTER SO THAT
02:36:23.107 --> 02:36:26.077 region:rollup2
YOU CAN KIND OF GET A FLAVOR AND
02:36:24.308 --> 02:36:27.044 region:rollup2
THAT EACH PLAN ISKIND OF STOCKS.
02:36:26.077 --> 02:36:29.013 region:rollup2
ACCORDING TO THOSE METRICS AND
02:36:27.044 --> 02:36:30.281 region:rollup2
THEN THERE'S OTHER INDICATORS ON
02:36:29.013 --> 02:36:33.050 region:rollup2
IN TERMS OF GRIEVANCES APPEALS.
02:36:30.281 --> 02:36:34.886 region:rollup2
ANY KIND OF OTHER THINGS BUT.
02:36:33.050 --> 02:36:37.588 region:rollup2
UTILIZATION BUT YES THERE WAS
02:36:34.886 --> 02:36:38.289 region:rollup2
THE. CREATOR OF OUR DASHBOARD
02:36:37.588 --> 02:36:39.857 region:rollup2
AND SO SHE'S NOT GONNA TAKE
02:36:38.289 --> 02:36:41.826 region:rollup2
CREDIT FOR SOME TO GIVE IT TO
02:36:39.857 --> 02:36:43.060 region:rollup2
OUR FIRST BEFORE SHE.
02:36:41.826 --> 02:36:44.095 region:rollup2
I DON'T THINK ANYTHING OF.
02:36:43.060 --> 02:36:45.496 region:rollup2
AND NO I THINK.
02:36:44.095 --> 02:36:47.131 region:rollup2
SIMILAR TO THE D. INMATES SEE
02:36:45.496 --> 02:36:48.833 region:rollup2
WE HAVE SIMILAR PROCESSES
02:36:47.131 --> 02:36:49.800 region:rollup2
WHEREBY WE MAIL LA INFORMATION
02:36:48.833 --> 02:36:51.202 region:rollup2
AND WE LOOKED AT THE EVIDENCE OF
02:36:49.800 --> 02:36:52.236 region:rollup2
COVERAGE TO PROVIDE INFORMATION
02:36:51.202 --> 02:36:53.671 region:rollup2
TO OUR BENEFICIARIES ABOUT WHERE
02:36:52.236 --> 02:36:55.840 region:rollup2
THEY CAN.
02:36:53.671 --> 02:36:57.208 region:rollup2
COMPLAIN OR MAKE A COMPLAINT
02:36:55.840 --> 02:36:59.610 region:rollup2
ABOUT AN ISSUE THAT THEY MAY
02:36:57.208 --> 02:37:00.811 region:rollup2
HAVE IDENTIFIED I'M ALSO WHEN
02:36:59.610 --> 02:37:01.846 region:rollup2
THERE'S A DOWN DAY NOW THAT
02:37:00.811 --> 02:37:03.147 region:rollup2
OCCURS WE ALSO MAIL OUT
02:37:01.846 --> 02:37:04.548 region:rollup2
INFORMATION AND WE WORK WITH
02:37:03.147 --> 02:37:06.284 region:rollup2
TEAMMATES SEEM COORDINATION TO
02:37:04.548 --> 02:37:08.452 region:rollup2
INCLUDE THEIR INFORMATION.
02:37:06.284 --> 02:37:10.087 region:rollup2
IN OUR MAILINGS SHOULD THERE BE
02:37:08.452 --> 02:37:11.522 region:rollup2
A DENIAL FOR A HEALTH PLAN THAT
02:37:10.087 --> 02:37:12.757 region:rollup2
THEY'RE ALSO RESPONSIBLE FOR
02:37:11.522 --> 02:37:13.858 region:rollup2
OVERSEEING WOULD YOU SAY THAT'S
02:37:12.757 --> 02:37:15.259 region:rollup2
WHEN YOUR BIGGEST COMPLAINTS IS
02:37:13.858 --> 02:37:16.260 region:rollup2
TOMORROW FOR COVERAGE FOR
02:37:15.259 --> 02:37:21.699 region:rollup2
CERTAIN PROCEDURES.
02:37:16.260 --> 02:37:24.302 region:rollup2
WITH THE HEALTH CARE PLANS.
02:37:21.699 --> 02:37:26.003 region:rollup2
BUT FOR US THAT IS THE DE WE CAN
02:37:24.302 --> 02:37:27.338 region:rollup2
BREAK IT DOWN BIT AND IT CHANGES
02:37:26.003 --> 02:37:29.206 region:rollup2
YOUR FOR YEAR RIGHT SO.
02:37:27.338 --> 02:37:29.740 region:rollup2
I THINK IN MOST RECENT YEARS
02:37:29.206 --> 02:37:31.909 region:rollup2
ARE.
02:37:29.740 --> 02:37:33.044 region:rollup2
LARGEST COMPLAINT VOLUME WAS
02:37:31.909 --> 02:37:35.046 region:rollup2
WITH RESPECT TO.
02:37:33.044 --> 02:37:35.713 region:rollup2
PROCESSING CANCELLATIONS OF
02:37:35.046 --> 02:37:36.480 region:rollup2
COVERAGE FOR NON PAYMENT OF PRE.
02:37:35.713 --> 02:37:39.150 region:rollup2
WE GOT A.
02:37:36.480 --> 02:37:39.884 region:rollup2
AND US.
02:37:39.150 --> 02:37:42.486 region:rollup2
BECAUSE THERE WAS A LOT OF
02:37:39.884 --> 02:37:43.921 region:rollup2
CONFUSION AND HOW THE.
02:37:42.486 --> 02:37:46.390 region:rollup2
SAYS THAT HAS RAINED DOWN
02:37:43.921 --> 02:37:47.792 region:rollup2
SIGNIFICANTLY YEAR OVER YEAR BUT
02:37:46.390 --> 02:37:49.493 region:rollup2
I WOULDN'T SAY THAT IT'S NILE.
02:37:47.792 --> 02:37:51.429 region:rollup2
OF CARE IS THE HIGHEST.
02:37:49.493 --> 02:37:55.800 region:rollup2
TYPICALLY
02:37:51.429 --> 02:37:56.067 region:rollup2
I AGREE WITH THAT. FIGURE MUCH.
02:37:55.800 --> 02:37:57.668 region:rollup2
THANK YOU.
02:37:56.067 --> 02:37:58.703 region:rollup2
.
02:37:57.668 --> 02:38:02.039 region:rollup2
QUESTION MYSELF.
02:37:58.703 --> 02:38:04.275 region:rollup2
SO EXCUSE OF FOR THE APPRECIATE
02:38:02.039 --> 02:38:04.542 region:rollup2
THAT DETEST DOING THAT VIA
02:38:04.275 --> 02:38:05.876 region:rollup2
DASHBOARD.
02:38:04.542 --> 02:38:07.244 region:rollup2
.
02:38:05.876 --> 02:38:09.480 region:rollup2
IT WAS OF MOST RECENT TO.
02:38:07.244 --> 02:38:10.881 region:rollup2
DATE IN WHICH CAPS SURVEYS WERE
02:38:09.480 --> 02:38:12.149 region:rollup2
DONE FOR THEM MEDI CAL MANAGED
02:38:10.881 --> 02:38:13.651 region:rollup2
CARE PLAN.
02:38:12.149 --> 02:38:14.752 region:rollup2
I IN TWO THOUSAND SIXTEEN WERE
02:38:13.651 --> 02:38:16.187 region:rollup2
GETTING READY TO CONDUCT ANOTHER
02:38:14.752 --> 02:38:18.089 region:rollup2
ONE AND TWO THOUSAND NINETEEN
02:38:16.187 --> 02:38:19.690 region:rollup2
OKAY ALL RIGHT SO IT'S A
02:38:18.089 --> 02:38:21.359 region:rollup2
STANDARDIZED MEASURE OF MATCH IT
02:38:19.690 --> 02:38:23.094 region:rollup2
AS YOU USED IN THE COMMERCIAL AS
02:38:21.359 --> 02:38:24.795 region:rollup2
WELL AS MEDICAL SPACE I KNOW
02:38:23.094 --> 02:38:25.262 region:rollup2
THAT THE PASSIVE AT SOME
02:38:24.795 --> 02:38:25.796 region:rollup2
CHALLENGES IN TERMS OF
02:38:25.262 --> 02:38:27.398 region:rollup2
PERFORMANCE.
02:38:25.796 --> 02:38:29.066 region:rollup2
IT IS A CONSUMER BASED SURVEY SO
02:38:27.398 --> 02:38:29.233 region:rollup2
IT'S NOT.
02:38:29.066 --> 02:38:31.035 region:rollup2
I.
02:38:29.233 --> 02:38:33.137 region:rollup2
SUITS WILL RECOGNIZE THAT.
02:38:31.035 --> 02:38:35.239 region:rollup2
DATA PLANS ALSO USE.
02:38:33.137 --> 02:38:36.374 region:rollup2
PETERSON INTO.
02:38:35.239 --> 02:38:38.376 region:rollup2
EVER.
02:38:36.374 --> 02:38:39.944 region:rollup2
PLANS BILL MEDICAL PLANS DO
02:38:38.376 --> 02:38:41.612 region:rollup2
FAIRLY WELL ON THE CUTEST
02:38:39.944 --> 02:38:42.747 region:rollup2
MEASURES.
02:38:41.612 --> 02:38:44.315 region:rollup2
WELL MORTALITY ON THE CAPS AND
02:38:42.747 --> 02:38:45.082 region:rollup2
I THINK THERE SOME ISSUES THAT
02:38:44.315 --> 02:38:45.883 region:rollup2
THAT INDICATES WE NEED TO
02:38:45.082 --> 02:38:48.519 region:rollup2
ADDRESS THEIR.
02:38:45.883 --> 02:38:49.286 region:rollup2
IN TERMS OF.
02:38:48.519 --> 02:38:51.489 region:rollup2
FOR DEBATE SEE.
02:38:49.286 --> 02:38:52.023 region:rollup2
.
02:38:51.489 --> 02:38:53.758 region:rollup2
YET WHEN THE QUESTIONS WAS
02:38:52.023 --> 02:38:54.792 region:rollup2
ABOUT.
02:38:53.758 --> 02:38:56.627 region:rollup2
YA IN THE PENTHOUSE
02:38:54.792 --> 02:38:58.429 region:rollup2
VERIFICATION WE HEARD FROM DCS
02:38:56.627 --> 02:38:59.930 region:rollup2
THAT ACTUALLY DO LIKE PHONE
02:38:58.429 --> 02:39:01.198 region:rollup2
CALLS TO FIND OUT FIGHT
02:38:59.930 --> 02:39:02.633 region:rollup2
AVAILABILITY MENTIONED GEO MATCH
02:39:01.198 --> 02:39:04.034 region:rollup2
BEING BUT YOU DIDN'T ADDRESS DO
02:39:02.633 --> 02:39:06.103 region:rollup2
YOU DO SECRET SHOPPER OR.
02:39:04.034 --> 02:39:08.406 region:rollup2
VERIFICATION PHONE CALLS
02:39:06.103 --> 02:39:09.940 region:rollup2
WITHOUT PATIENTS AWAY TO A CROSS
02:39:08.406 --> 02:39:12.042 region:rollup2
CHECK DATA. ON.
02:39:09.940 --> 02:39:13.577 region:rollup2
ON AXIS NOT AS A ROUTINE PART
02:39:12.042 --> 02:39:15.446 region:rollup2
OF OUR REGULATORY OVERSIGHT
02:39:13.577 --> 02:39:16.047 region:rollup2
THOUGH AS WE'VE THOUGHT ABOUT
02:39:15.446 --> 02:39:16.781 region:rollup2
TIMELY ACCESS WE'VE CONSIDERED
02:39:16.047 --> 02:39:18.949 region:rollup2
THAT.
02:39:16.781 --> 02:39:20.751 region:rollup2
BUT RIGHT NOW WE ARE RELYING ON
02:39:18.949 --> 02:39:22.353 region:rollup2
THE EXTERNAL VENDORS HIRED BY
02:39:20.751 --> 02:39:24.288 region:rollup2
THE PLANS TO DO THAT SURVEY.
02:39:22.353 --> 02:39:26.123 region:rollup2
WE HAVE IN DISCREET INSTANCES
02:39:24.288 --> 02:39:27.158 region:rollup2
WHERE WE HAVE EVIDENCE THAT
02:39:26.123 --> 02:39:29.026 region:rollup2
THERE IS A PROBLEM DONE WHAT WE
02:39:27.158 --> 02:39:30.628 region:rollup2
CALL A NON ROUTINES.
02:39:29.026 --> 02:39:32.630 region:rollup2
SO IT ISN'T ON ANNOUNCED AUDIT
02:39:30.628 --> 02:39:35.099 region:rollup2
OF HEALTH PLANS MOST NOTABLY IN
02:39:32.630 --> 02:39:36.600 region:rollup2
TWENTY FOURTEEN WHEN WE RECEIVED
02:39:35.099 --> 02:39:38.469 region:rollup2
WORD THAT BOTH BLUESHIELD AND
02:39:36.600 --> 02:39:39.570 region:rollup2
BLUE CROSS WHO WERE OPERATING IN
02:39:38.469 --> 02:39:40.971 region:rollup2
THE INDIVIDUAL MARKET THAN A
02:39:39.570 --> 02:39:42.173 region:rollup2
RELEASE THAT WERE NEWLY COVERED
02:39:40.971 --> 02:39:43.941 region:rollup2
UNDER THE NEW THEN COVERED
02:39:42.173 --> 02:39:45.509 region:rollup2
CALIFORNIA. WERE NOT ABLE TO
02:39:43.941 --> 02:39:47.745 region:rollup2
FIND PROVIDERS WHO WERE.
02:39:45.509 --> 02:39:49.447 region:rollup2
DE TAKING COVER CALIFORNIA'S
02:39:47.745 --> 02:39:51.549 region:rollup2
THEY WERE HEARING WE DID DO.
02:39:49.447 --> 02:39:52.917 region:rollup2
A SECRET SUCH SHOPPER SURVEY
02:39:51.549 --> 02:39:54.819 region:rollup2
THAT DID SHOWN ON COMPLIANCE
02:39:52.917 --> 02:39:56.887 region:rollup2
RATES OF TWENTY IVE PERCENT WE
02:39:54.819 --> 02:39:57.588 region:rollup2
THEN SANCTIONS OUR FIND THOSE
02:39:56.887 --> 02:39:59.323 region:rollup2
PLANS.
02:39:57.588 --> 02:40:00.491 region:rollup2
PUT THEM ON CORRECTIVE ACTION
02:39:59.323 --> 02:40:01.559 region:rollup2
THEY HAVE COMPLETED THOSE
02:40:00.491 --> 02:40:03.094 region:rollup2
CORRECTIVE ACTIONS THAT WE HAVE
02:40:01.559 --> 02:40:04.662 region:rollup2
DONE IT THAT ONLY WHEN THERE IS
02:40:03.094 --> 02:40:06.030 region:rollup2
EVIDENCE THAT WE ACTUALLY HAVE A
02:40:04.662 --> 02:40:06.964 region:rollup2
PROBLEM NOT AS A MATTER OF
02:40:06.030 --> 02:40:10.434 region:rollup2
ROUTINE COURSE.
02:40:06.964 --> 02:40:11.869 region:rollup2
OKAY SO WHAT WOULD TRIGGER.
02:40:10.434 --> 02:40:14.438 region:rollup2
SUCH A THING SO ASIDE FROM
02:40:11.869 --> 02:40:17.074 region:rollup2
COMPLAINTS.
02:40:14.438 --> 02:40:17.741 region:rollup2
OTHER OTHER ISSUES THAT WOULD
02:40:17.074 --> 02:40:19.243 region:rollup2
OTHER THINGS THAT WOULD TRIGGER
02:40:17.741 --> 02:40:19.643 region:rollup2
THAT AS A RESULT OF AN ON SITE
02:40:19.243 --> 02:40:21.045 region:rollup2
AUDIT.
02:40:19.643 --> 02:40:22.413 region:rollup2
SO WE DO THE ROUTINE AUDITS
02:40:21.045 --> 02:40:23.948 region:rollup2
EVERY THREE YEARS AND THEN WE
02:40:22.413 --> 02:40:26.817 region:rollup2
HAVE THIS NON ROUTINE.
02:40:23.948 --> 02:40:28.619 region:rollup2
OPPORTUNITIES SO IF WE FOUND UP
02:40:26.817 --> 02:40:30.554 region:rollup2
PATTERNS OF ISSUES IN THE PLANTS
02:40:28.619 --> 02:40:32.156 region:rollup2
DOCUMENTATION OR.
02:40:30.554 --> 02:40:33.724 region:rollup2
WHERE WE THOUGHT WE NEEDED TO DO
02:40:32.156 --> 02:40:35.226 region:rollup2
A LITTLE DEEPER WE COULD DO IT
02:40:33.724 --> 02:40:37.428 region:rollup2
THAT WAY AS WELL? PERHAPS DOING
02:40:35.226 --> 02:40:38.529 region:rollup2
A SURVEY THAT SHOWS THAT PEOPLE
02:40:37.428 --> 02:40:39.697 region:rollup2
CAN'T GET INTO THEIR DOCTORS
02:40:38.529 --> 02:40:41.332 region:rollup2
WOULD SEE SOMETHING A TRIGGER
02:40:39.697 --> 02:40:43.501 region:rollup2
SOMETHING IT COULD YES.
02:40:41.332 --> 02:40:47.338 region:rollup2
BECAUSE.
02:40:43.501 --> 02:40:49.640 region:rollup2
WHETHER IT WILL.
02:40:47.338 --> 02:40:50.274 region:rollup2
AT LIKE FIVE I I UNDERSTAND WHAT
02:40:49.640 --> 02:40:51.208 region:rollup2
YOU'RE SAYING IT WILL TAKE THAT
02:40:50.274 --> 02:40:52.042 region:rollup2
BACK.
02:40:51.208 --> 02:40:54.044 region:rollup2
OKAY.
02:40:52.042 --> 02:40:56.080 region:rollup2
SO IN TERMS OF ENFORCEMENT
02:40:54.044 --> 02:40:58.949 region:rollup2
ACTIONS I AM I KNOW THAT.
02:40:56.080 --> 02:41:01.585 region:rollup2
DETESTED TALK ABOUT THIS.
02:40:58.949 --> 02:41:03.487 region:rollup2
SOME OF THEIRS BUT AFFIDAVIT
02:41:01.585 --> 02:41:04.655 region:rollup2
SEE SO HOW MANY. HOW MANY
02:41:03.487 --> 02:41:05.156 region:rollup2
CORRECTIVE ACTION PLANS HAVE
02:41:04.655 --> 02:41:07.491 region:rollup2
BEEN?
02:41:05.156 --> 02:41:08.425 region:rollup2
ARE IMPLEMENTED ARE ACTUALLY
02:41:07.491 --> 02:41:09.360 region:rollup2
REQUIRED.
02:41:08.425 --> 02:41:11.629 region:rollup2
FOR.
02:41:09.360 --> 02:41:13.364 region:rollup2
ACCESS BECAUSE OF ACCESS
02:41:11.629 --> 02:41:15.065 region:rollup2
STANDARD ISSUES I DON'T OFF THE
02:41:13.364 --> 02:41:17.167 region:rollup2
TOP OF MY HEAD BUT IT'S NUMEROUS
02:41:15.065 --> 02:41:18.469 region:rollup2
BECAUSE WE IF WE DO HAVE ACCESS
02:41:17.167 --> 02:41:19.036 region:rollup2
RELATED DEFICIENT.
02:41:18.469 --> 02:41:20.738 region:rollup2
SURVEY REPORTS ALL OF THOSE
02:41:19.036 --> 02:41:22.640 region:rollup2
REQUIRED.
02:41:20.738 --> 02:41:23.574 region:rollup2
TIONS AND WE ARE DO IT WE HAVE A
02:41:22.640 --> 02:41:25.609 region:rollup2
HUNDRED AND TWENTY FOUR LICENSE
02:41:23.574 --> 02:41:27.511 region:rollup2
THOUGH YOU CAN USE AYE YOU YOU
02:41:25.609 --> 02:41:28.846 region:rollup2
CAN PROVIDE THAT TO MY. ABSOLUTE
02:41:27.511 --> 02:41:30.648 region:rollup2
I AND AND HOW MANY TIMES IN
02:41:28.846 --> 02:41:31.482 region:rollup2
TERMS OF ENFORCEMENT ACTIONS
02:41:30.648 --> 02:41:32.816 region:rollup2
I MEAN FOR SOME ACTIONS OF
02:41:31.482 --> 02:41:34.151 region:rollup2
TAKING PLACE YEAH WE WOULD HAVE
02:41:32.816 --> 02:41:35.386 region:rollup2
TO DO A DATA CALL OF OUR
02:41:34.151 --> 02:41:36.520 region:rollup2
ENFORCEMENT ACTIONS BUT THERE
02:41:35.386 --> 02:41:37.454 region:rollup2
ARE THERE MULTIPLE.
02:41:36.520 --> 02:41:37.821 region:rollup2
MANY OF WHICH ARE IN THE CASE
02:41:37.454 --> 02:41:40.057 region:rollup2
OF SPIN
02:41:37.821 --> 02:41:41.258 region:rollup2
I CAN RELEASE.
02:41:40.057 --> 02:41:42.927 region:rollup2
OKAY SO I WOULD LIKE THAT AS
02:41:41.258 --> 02:41:44.094 region:rollup2
WELL.
02:41:42.927 --> 02:41:45.729 region:rollup2
YOU ONE BE SURE STANDARDS ARE
02:41:44.094 --> 02:41:47.298 region:rollup2
ACTION FORCED.
02:41:45.729 --> 02:41:50.034 region:rollup2
OKAY.
02:41:47.298 --> 02:41:50.401 region:rollup2
I'M.
02:41:50.034 --> 02:41:56.373 region:rollup2
AND IN TERMS OF.
02:41:50.401 --> 02:41:58.909 region:rollup2
.
02:41:56.373 --> 02:42:00.444 region:rollup2
CURIOUS.
02:41:58.909 --> 02:42:01.779 region:rollup2
ALRIGHT SO IN TERMS OF.
02:42:00.444 --> 02:42:04.815 region:rollup2
.
02:42:01.779 --> 02:42:06.784 region:rollup2
.
02:42:04.815 --> 02:42:08.619 region:rollup2
SURE IN TERMS OF THE I KNOW THAT
02:42:06.784 --> 02:42:10.421 region:rollup2
THIS SOME OF THE KNOX KEEN
02:42:08.619 --> 02:42:11.989 region:rollup2
STANDARDS ARE DIFFERENT FROM THE
02:42:10.421 --> 02:42:12.323 region:rollup2
ONE CMS ARE IMPOSING.
02:42:11.989 --> 02:42:14.024 region:rollup2
AND.
02:42:12.323 --> 02:42:14.225 region:rollup2
AND THERE MAY BE INSTANCES
02:42:14.024 --> 02:42:15.960 region:rollup2
WHERE.
02:42:14.225 --> 02:42:19.830 region:rollup2
.
02:42:15.960 --> 02:42:21.031 region:rollup2
DOWN SAME PLANTS DOING BOTH O..
02:42:19.830 --> 02:42:22.233 region:rollup2
SO I KNOW YOU'RE TRYING TO
02:42:21.031 --> 02:42:24.602 region:rollup2
FIGURE OUT HOW TO COORDINATE SO
02:42:22.233 --> 02:42:26.036 region:rollup2
HOW YOU'RE HANDLING THOSE
02:42:24.602 --> 02:42:28.339 region:rollup2
DIFFERENCES OF THE JUST LIKE THE
02:42:26.036 --> 02:42:28.906 region:rollup2
EIGHT CS GOES AFTER I KNOW YOU
02:42:28.339 --> 02:42:30.541 region:rollup2
SAID THAT YOU ENFORCE KNOCKS
02:42:28.906 --> 02:42:33.510 region:rollup2
KEEN.
02:42:30.541 --> 02:42:34.945 region:rollup2
IT'S THE SAME ARE RELATED PLAN
02:42:33.510 --> 02:42:36.614 region:rollup2
HOW HOW HOW DOES THAT WORK
02:42:34.945 --> 02:42:38.248 region:rollup2
BETWEEN THE TWO AGENCIES.
02:42:36.614 --> 02:42:38.983 region:rollup2
BUT I THINK WE TRIED REALLY HARD
02:42:38.248 --> 02:42:40.551 region:rollup2
WHEN WE WERE.
02:42:38.983 --> 02:42:41.852 region:rollup2
SETTING OUT THE STANDARDS TO
02:42:40.551 --> 02:42:43.854 region:rollup2
MAKE SURE THAT WE USE KNOCKS
02:42:41.852 --> 02:42:45.589 region:rollup2
KEEN AS THE FLOOR AND THEN IF
02:42:43.854 --> 02:42:46.657 region:rollup2
THERE WERE ADDITIONAL CHANGES
02:42:45.589 --> 02:42:49.226 region:rollup2
THAT WERE REQUIRED BY THE
02:42:46.657 --> 02:42:49.393 region:rollup2
FEDERAL. MANAGED CARE RULE THAT
02:42:49.226 --> 02:42:50.261 region:rollup2
WE.
02:42:49.393 --> 02:42:51.328 region:rollup2
.
02:42:50.261 --> 02:42:52.830 region:rollup2
MADE THOSE ADJUSTMENTS BUT I
02:42:51.328 --> 02:42:55.532 region:rollup2
THINK YOU KNOW KNOCKS HIM WAS
02:42:52.830 --> 02:42:56.567 region:rollup2
KIND OF OUR. BOTTOM LINE IN
02:42:55.532 --> 02:42:57.668 region:rollup2
TERMS IF WE HAD TO MEET IT ON
02:42:56.567 --> 02:42:58.335 region:rollup2
OBVIOUSLY THAT HELPS WITH THE
02:42:57.668 --> 02:43:00.304 region:rollup2
CONSISTENCY ACROSS THE
02:42:58.335 --> 02:43:01.071 region:rollup2
DEPARTMENT OF ENFORCEMENT BUT I
02:43:00.304 --> 02:43:03.240 region:rollup2
KNOW THAT WE ALSO SHARED A LOT
02:43:01.071 --> 02:43:04.942 region:rollup2
OF OUR. DOCUMENTS IN METHODOLOGY
02:43:03.240 --> 02:43:06.410 region:rollup2
WITH DB SEE AND HAD THEM TAKE A
02:43:04.942 --> 02:43:08.545 region:rollup2
LOOK TO A KIND OF UNDERSTANDS.
02:43:06.410 --> 02:43:09.446 region:rollup2
WHAT IF WE WERE DIVERGING OR
02:43:08.545 --> 02:43:12.282 region:rollup2
DOING A MORE?
02:43:09.446 --> 02:43:13.584 region:rollup2
RESTRICTIVE TYPE OF REQUIREMENT
02:43:12.282 --> 02:43:15.185 region:rollup2
YOU KNOW HOW IT WAS UNDEVELOPED
02:43:13.584 --> 02:43:17.054 region:rollup2
IN SO THAT THEY'RE AWARE OF THAT
02:43:15.185 --> 02:43:18.022 region:rollup2
GOING FORWARD.
02:43:17.054 --> 02:43:19.790 region:rollup2
IN TERMS OF.
02:43:18.022 --> 02:43:22.393 region:rollup2
TURN OF ACCESS STANDARDS ANY
02:43:19.790 --> 02:43:22.726 region:rollup2
TALK A LITTLE ABOUT THAT FOR A
02:43:22.393 --> 02:43:24.995 region:rollup2
D. EX CS NAM.
02:43:22.726 --> 02:43:26.997 region:rollup2
.
02:43:24.995 --> 02:43:29.500 region:rollup2
BUDGET.
02:43:26.997 --> 02:43:29.667 region:rollup2
ARE YOU FINDING ISSUES RELATED
02:43:29.500 --> 02:43:30.901 region:rollup2
TO.
02:43:29.667 --> 02:43:32.903 region:rollup2
YOUNG.
02:43:30.901 --> 02:43:33.804 region:rollup2
THERE ARE PROVIDERS THERE BUT
02:43:32.903 --> 02:43:36.006 region:rollup2
THEY'RE JUST NOT GOING TO
02:43:33.804 --> 02:43:37.875 region:rollup2
CONTRACT WITH MEDI CAL AND TERMS
02:43:36.006 --> 02:43:39.209 region:rollup2
OF SIZE AMENDED DESIGNS PLANS
02:43:37.875 --> 02:43:40.310 region:rollup2
COME BACK AND SAY WE WANT
02:43:39.209 --> 02:43:42.680 region:rollup2
ALTERNATE ACCESS BECAUSE YOU
02:43:40.310 --> 02:43:43.280 region:rollup2
JUST GET ITS OLYMPIC CONTRACT
02:43:42.680 --> 02:43:44.715 region:rollup2
BUT YET YOU. KNOW THEIR PEOPLE
02:43:43.280 --> 02:43:46.784 region:rollup2
THERE.
02:43:44.715 --> 02:43:47.384 region:rollup2
BETTER FOR WRITERS THERE. YEAH I
02:43:46.784 --> 02:43:49.520 region:rollup2
WOULDN'T SAY.
02:43:47.384 --> 02:43:50.821 region:rollup2
THAT THAT'S THE MAIN REASON I
02:43:49.520 --> 02:43:52.122 region:rollup2
MEAN WE DO YOU SURVEYED THE
02:43:50.821 --> 02:43:53.290 region:rollup2
HEALTH PLANS AND AS.
02:43:52.122 --> 02:43:54.191 region:rollup2
MISS GREENE STATED WE ENSURE
02:43:53.290 --> 02:43:55.326 region:rollup2
THAT
02:43:54.191 --> 02:43:57.561 region:rollup2
THE HEALTH PLANS TO MAKE A GOOD
02:43:55.326 --> 02:43:59.229 region:rollup2
FAITH EFFORTS TO CONTRACT WITH
02:43:57.561 --> 02:44:00.698 region:rollup2
PROVIDERS THAT ARE AVAILABLE.
02:43:59.229 --> 02:44:01.932 region:rollup2
I'M WHEN WE'VE SURVEYED IN AND
02:44:00.698 --> 02:44:03.033 region:rollup2
GOTTEN INFORMATION FROM HEALTH
02:44:01.932 --> 02:44:04.401 region:rollup2
PLANS ARE FOR SEES ME FROM
02:44:03.033 --> 02:44:04.968 region:rollup2
PROVIDERS I THINK INDICATIONS
02:44:04.401 --> 02:44:06.070 region:rollup2
HAPPENED THEN GENERALLY THEY
02:44:04.968 --> 02:44:07.871 region:rollup2
DON'T WANT.
02:44:06.070 --> 02:44:09.940 region:rollup2
MANAGED CARE AND THAT'S BEEN THE
02:44:07.871 --> 02:44:10.741 region:rollup2
REASON THAT WE'VE IDENTIFIED
02:44:09.940 --> 02:44:11.875 region:rollup2
THAT THERE HASN'T BEEN A
02:44:10.741 --> 02:44:12.343 region:rollup2
CONTRACT IN A FEW DATA THAT WHEN
02:44:11.875 --> 02:44:14.611 region:rollup2
I THINK.
02:44:12.343 --> 02:44:16.847 region:rollup2
IN THE RURAL AREAS IN THERE
02:44:14.611 --> 02:44:19.216 region:rollup2
RELIEVED WORLD AREAS OF.
02:44:16.847 --> 02:44:20.551 region:rollup2
LIKE INLAND EMPIRE FOR EXAMPLE
02:44:19.216 --> 02:44:21.919 region:rollup2
THERE'S A COUPLE OF ZIP CODES
02:44:20.551 --> 02:44:23.520 region:rollup2
THAT WE'VE EXEMPTED FROM MANAGED
02:44:21.919 --> 02:44:23.987 region:rollup2
CARE ENROLLMENT ALTOGETHER RIGHT
02:44:23.520 --> 02:44:26.156 region:rollup2
BECAUSE.
02:44:23.987 --> 02:44:27.424 region:rollup2
AN INDIVIDUAL LIVES
02:44:26.156 --> 02:44:29.960 region:rollup2
TWO HUNDRED MILES FROM
02:44:27.424 --> 02:44:30.361 region:rollup2
EVERYTHING AND THE TOWNS THIRTY
02:44:29.960 --> 02:44:32.796 region:rollup2
PEOPLE.
02:44:30.361 --> 02:44:34.231 region:rollup2
SO IT'S AND IF YOU ARE PROVIDER
02:44:32.796 --> 02:44:36.066 region:rollup2
IN THAT AREA YOU COULDN'T AFFORD
02:44:34.231 --> 02:44:37.368 region:rollup2
TO NOT CONTRACTS BECAUSE THEN.
02:44:36.066 --> 02:44:38.902 region:rollup2
BUT I THINK THOSE ARE THE KINDS
02:44:37.368 --> 02:44:39.937 region:rollup2
OF INSTANCES THAT I THINK.
02:44:38.902 --> 02:44:42.005 region:rollup2
MISS GREENE WAS REALLY
02:44:39.937 --> 02:44:44.541 region:rollup2
REFERRING TO IS THEY ARE SO
02:44:42.005 --> 02:44:45.709 region:rollup2
REMOTE AND SO RURAL THAT ON THE
02:44:44.541 --> 02:44:46.710 region:rollup2
PLAN HAS TO COME AND SAY I NEED
02:44:45.709 --> 02:44:48.245 region:rollup2
AN ALTERNATIVE ACCESS BECAUSE
02:44:46.710 --> 02:44:49.413 region:rollup2
THERE'S LITERALLY NOTHING TO
02:44:48.245 --> 02:44:50.114 region:rollup2
CONTRACT WITH AS OPPOSED TO THEY
02:44:49.413 --> 02:44:52.216 region:rollup2
WON'T COME.
02:44:50.114 --> 02:44:54.718 region:rollup2
WITH ME I THINK YOU SEE MORE
02:44:52.216 --> 02:44:56.920 region:rollup2
RESISTANT PROVIDER PATTERNS IN.
02:44:54.718 --> 02:44:58.956 region:rollup2
YOU'RE MORE URBAN AREAS WHERE
02:44:56.920 --> 02:45:00.491 region:rollup2
THEY HAVE A CHOICE ON THEY HAVE
02:44:58.956 --> 02:45:02.059 region:rollup2
COMPETING LINES OF BUSINESS
02:45:00.491 --> 02:45:03.894 region:rollup2
THERE IT MAY BE EXCLUSIVELY
02:45:02.059 --> 02:45:04.395 region:rollup2
TAKING MEDICARE PATIENTS THEY
02:45:03.894 --> 02:45:05.562 region:rollup2
MAY ONLY WANT COMMERCIAL
02:45:04.395 --> 02:45:07.498 region:rollup2
PATIENT.
02:45:05.562 --> 02:45:08.632 region:rollup2
THEY MAY BE ABLE TO HAVE A YOUR
02:45:07.498 --> 02:45:09.800 region:rollup2
CONCIERGE PRACTICE WHERE THEY
02:45:08.632 --> 02:45:11.802 region:rollup2
DON'T NEED TO TAKE INSURANCE AT
02:45:09.800 --> 02:45:13.237 region:rollup2
ALL BUT THAT REQUIRES. ON ENOUGH
02:45:11.802 --> 02:45:14.905 region:rollup2
OF THE POPULATION IN ORDER TO
02:45:13.237 --> 02:45:16.640 region:rollup2
MAKE THIS BUSINESS DECISIONS AND
02:45:14.905 --> 02:45:18.809 region:rollup2
SO I THINK AS WE GET.
02:45:16.640 --> 02:45:20.377 region:rollup2
REQUEST FROM PLANS AROUND
02:45:18.809 --> 02:45:23.313 region:rollup2
ALTENATIVE ACCESS.
02:45:20.377 --> 02:45:25.048 region:rollup2
DISLIKE ID IMAGE SEE WE WILL
02:45:23.313 --> 02:45:27.117 region:rollup2
REQUIRE THAT THE PLANS PROVIDE
02:45:25.048 --> 02:45:28.152 region:rollup2
US DOCUMENTATION TO SHOW THAT
02:45:27.117 --> 02:45:29.520 region:rollup2
THEY MADE GOOD FAITH EFFORTS TO
02:45:28.152 --> 02:45:30.988 region:rollup2
CONTRACT.
02:45:29.520 --> 02:45:32.790 region:rollup2
IF THERE'S A CRITICAL PROVIDER
02:45:30.988 --> 02:45:35.392 region:rollup2
IN THAT AREA.
02:45:32.790 --> 02:45:36.593 region:rollup2
THAT IS SEEKING A YOU KNOW A
02:45:35.392 --> 02:45:38.095 region:rollup2
CERTAIN PERCENTAGE OF MEDICARE
02:45:36.593 --> 02:45:39.563 region:rollup2
RATES AND THE PLAN HAS GONE BACK
02:45:38.095 --> 02:45:41.165 region:rollup2
TIME AND TIME AGAIN TO SAY YOU
02:45:39.563 --> 02:45:42.699 region:rollup2
KNOW WHAT ABOUT THIS OR COULD WE
02:45:41.165 --> 02:45:43.901 region:rollup2
DO A DIFFERENTIAL. YOU KNOW.
02:45:42.699 --> 02:45:46.103 region:rollup2
ARRANGEMENT AND THE PREDATOR
02:45:43.901 --> 02:45:47.738 region:rollup2
SAYS NO WILL TAKE ALL THAT INTO
02:45:46.103 --> 02:45:49.173 region:rollup2
ACCOUNT BUT WE HAVEN'T HAD TO.
02:45:47.738 --> 02:45:49.873 region:rollup2
MAKE THOSE DECISIONS YET BUT I
02:45:49.173 --> 02:45:51.775 region:rollup2
THINK THAT'S.
02:45:49.873 --> 02:45:52.242 region:rollup2
YOU KNOW WHAT WE'RE PREPARED TO
02:45:51.775 --> 02:45:53.977 region:rollup2
DO AND I WOULD JUST.
02:45:52.242 --> 02:45:55.045 region:rollup2
.
02:45:53.977 --> 02:45:56.513 region:rollup2
I'D BE REMISS TO SAY THE
02:45:55.045 --> 02:45:58.015 region:rollup2
ALTERNATIVE ACCESS IN THE
02:45:56.513 --> 02:45:59.650 region:rollup2
NETWORK CERTIFICATIONS ARE NOT
02:45:58.015 --> 02:46:00.951 region:rollup2
ONLY OCCURRING.
02:45:59.650 --> 02:46:02.386 region:rollup2
IN THE MANAGED CARE.
02:46:00.951 --> 02:46:03.821 region:rollup2
ENVIRONMENT BUT WE ALSO HAVE TO
02:46:02.386 --> 02:46:05.022 region:rollup2
CERTIFY NETWORKS FOR DENTAL
02:46:03.821 --> 02:46:06.924 region:rollup2
MANAGED CARE COUNTY MENTAL
02:46:05.022 --> 02:46:08.992 region:rollup2
HEALTH PLANS AN STD SYSTEM AND
02:46:06.924 --> 02:46:10.160 region:rollup2
SO REPUBLICAN TO BE SENDING AND
02:46:08.992 --> 02:46:10.928 region:rollup2
VALIDATING.
02:46:10.160 --> 02:46:13.230 region:rollup2
OVER A HUNDRED NETWORK
02:46:10.928 --> 02:46:14.698 region:rollup2
CERTIFICATIONS ON BY JULY FIRST
02:46:13.230 --> 02:46:15.799 region:rollup2
AND ALL OF THOSE DIFFERENT AREAS
02:46:14.698 --> 02:46:16.967 region:rollup2
AND I WOULD THINK. ON IN THE
02:46:15.799 --> 02:46:18.001 region:rollup2
COUNTY MENTAL HEALTH PLANS THAT
02:46:16.967 --> 02:46:20.404 region:rollup2
WE MIGHT SEE MORE ALTERNATIVE
02:46:18.001 --> 02:46:21.839 region:rollup2
ACCESS REQUESTED THE INITIAL
02:46:20.404 --> 02:46:23.207 region:rollup2
OUTSIDE JUST BECAUSE THAT'S A
02:46:21.839 --> 02:46:24.675 region:rollup2
FAIRLY NEW PROCESS FOR THEM.
02:46:23.207 --> 02:46:25.776 region:rollup2
SO WHEN IT COMES TOACCESS
02:46:24.675 --> 02:46:27.344 region:rollup2
SOMEONE SAYS OKAY WELL I'M
02:46:25.776 --> 02:46:28.879 region:rollup2
HAVING TROUBLE GETTING SOMEONE
02:46:27.344 --> 02:46:30.547 region:rollup2
THE CONTRACT I MEAN DO YOU OFFER
02:46:28.879 --> 02:46:32.015 region:rollup2
TO.
02:46:30.547 --> 02:46:33.884 region:rollup2
MAKE ADJUSTMENTS THE RATES THEY
02:46:32.015 --> 02:46:37.087 region:rollup2
CAN PAY HIGHER RATES.
02:46:33.884 --> 02:46:39.089 region:rollup2
AND SO YOU SAY WHAT.
02:46:37.087 --> 02:46:40.524 region:rollup2
THE THIS IS WHY NAM WE CONTRACT
02:46:39.089 --> 02:46:42.860 region:rollup2
WITH THE PLANS RIGHT AND WE PAY
02:46:40.524 --> 02:46:44.995 region:rollup2
THEM A CAPITATED AMOUNT AND WE
02:46:42.860 --> 02:46:46.597 region:rollup2
CERTAINLY KNOW THAT THE RATE
02:46:44.995 --> 02:46:49.032 region:rollup2
THAT WE ARE PAN ACROSS ALL THOSE
02:46:46.597 --> 02:46:51.502 region:rollup2
DIFFERENT ELIGIBILITY CODES.
02:46:49.032 --> 02:46:53.504 region:rollup2
SHOULD ALLOW THEM WITHIN ACTUAR
02:46:51.502 --> 02:46:54.638 region:rollup2
EARLY APPROPRIATE.
02:46:53.504 --> 02:46:56.773 region:rollup2
MECHANISMS THAT THEY HAVE THE
02:46:54.638 --> 02:46:57.908 region:rollup2
EDITOR IF THEY'RE SITTING THERE
02:46:56.773 --> 02:47:00.010 region:rollup2
SAYING I WANT ME.
02:46:57.908 --> 02:47:01.912 region:rollup2
I CAN'T FIND SOMEONE.
02:47:00.010 --> 02:47:04.681 region:rollup2
THEY HAVE RESERVES AND THEY
02:47:01.912 --> 02:47:06.783 region:rollup2
HAVE RESOURCES AND SO WE LOOK TO
02:47:04.681 --> 02:47:08.385 region:rollup2
THEM FIRST I WOULD SAY. I AM IT
02:47:06.783 --> 02:47:10.020 region:rollup2
IS VERY RARE AND WE HAVEN'T HAD
02:47:08.385 --> 02:47:11.822 region:rollup2
TO DO IT FOR A WHILE WE HAVE
02:47:10.020 --> 02:47:13.323 region:rollup2
DONE MID YEAR RATE ADJUSTMENTS.
02:47:11.822 --> 02:47:15.626 region:rollup2
FOR CERTAIN PLANS.
02:47:13.323 --> 02:47:16.894 region:rollup2
THE LAST ONE WAS SEVERAL YEARS
02:47:15.626 --> 02:47:18.862 region:rollup2
AGO IN WHICH THERE WAS A
02:47:16.894 --> 02:47:20.197 region:rollup2
ONCOLOGISTS.
02:47:18.862 --> 02:47:22.032 region:rollup2
I'M WORRIED THAT WASN'T ACTUALLY
02:47:20.197 --> 02:47:24.067 region:rollup2
THAT IT WAS I TOO MUCH OF A
02:47:22.032 --> 02:47:25.435 region:rollup2
CONTRACTING GOOD THING RIGHT THE
02:47:24.067 --> 02:47:26.470 region:rollup2
ONCOLOGIST LOVE THAT PLAN.
02:47:25.435 --> 02:47:27.538 region:rollup2
NOT ALL OF THEIR PATIENTS TO
02:47:26.470 --> 02:47:29.139 region:rollup2
DISHONORABLY OTHER MANAGED CARE
02:47:27.538 --> 02:47:31.208 region:rollup2
PLANS
02:47:29.139 --> 02:47:33.076 region:rollup2
AND DROVE THERE AND ALL ARE UP
02:47:31.208 --> 02:47:35.379 region:rollup2
TO HUNDRED FIFTY PERCENT. AND
02:47:33.076 --> 02:47:37.314 region:rollup2
ONCOLOGY AND SO THAT PLAN WAS
02:47:35.379 --> 02:47:39.616 region:rollup2
CERTAINLY HAVING AN ISSUE BUT
02:47:37.314 --> 02:47:42.019 region:rollup2
I'M IN GENERAL WE DON'T WANT TO
02:47:39.616 --> 02:47:43.453 region:rollup2
BE PART OF A NEGOTIATION BETWEEN
02:47:42.019 --> 02:47:45.355 region:rollup2
PLANS AND PROVIDERS.
02:47:43.453 --> 02:47:46.757 region:rollup2
WE PAY THE PLANS AN APPROPRIATE
02:47:45.355 --> 02:47:48.492 region:rollup2
RATE IT'S THEIR JOB TO MANAGE
02:47:46.757 --> 02:47:49.893 region:rollup2
THE MONEY TO NEGOTIATE THE RATES
02:47:48.492 --> 02:47:51.828 region:rollup2
WITH THEIR PROVIDERS.
02:47:49.893 --> 02:47:53.997 region:rollup2
AND WE THINK IT WOULD SET A BAD
02:47:51.828 --> 02:47:54.731 region:rollup2
PRECEDENT IF YOU BASICALLY HAD
02:47:53.997 --> 02:47:56.533 region:rollup2
PROVIDER SAYING I'M JUST GONNA
02:47:54.731 --> 02:47:58.235 region:rollup2
HOLD OUT. AND THEN MAKE THE PLAN
02:47:56.533 --> 02:47:59.903 region:rollup2
GO BACK TO THE STATE TO GET MORE
02:47:58.235 --> 02:48:00.370 region:rollup2
MONEY AND THEN IT IT'S NOT
02:47:59.903 --> 02:48:02.172 region:rollup2
SOMETHING THAT WERE.
02:48:00.370 --> 02:48:03.707 region:rollup2
INTERESTED IN DOING.
02:48:02.172 --> 02:48:05.075 region:rollup2
OKAY WEALTH WITH THAT'S A
02:48:03.707 --> 02:48:06.243 region:rollup2
SOMEWHAT SEPARATE ISSUE BUT
02:48:05.075 --> 02:48:07.978 region:rollup2
WE'VE HAD AND WE WILL CONTINUE
02:48:06.243 --> 02:48:10.213 region:rollup2
TO HAVE HEARINGS AROUND THE RATE
02:48:07.978 --> 02:48:13.383 region:rollup2
SETTING PROCESS AND DATA.
02:48:10.213 --> 02:48:14.985 region:rollup2
ENSURING THAT THE RATES ARE.
02:48:13.383 --> 02:48:16.520 region:rollup2
IT WILL NOT BAKING AND ACCESS
02:48:14.985 --> 02:48:17.688 region:rollup2
PROBLEMS.
02:48:16.520 --> 02:48:18.889 region:rollup2
RIGHT THAT WE HAVE ACCESS
02:48:17.688 --> 02:48:21.558 region:rollup2
PROBLEM AND WE.
02:48:18.889 --> 02:48:22.826 region:rollup2
JUST KEEP EACH YEAR AFTER YEAR.
02:48:21.558 --> 02:48:24.461 region:rollup2
PICKING THAT AND AND.
02:48:22.826 --> 02:48:25.929 region:rollup2
BEING SURE THAT THAT THAT'S
02:48:24.461 --> 02:48:26.897 region:rollup2
ADDRESSED SO.
02:48:25.929 --> 02:48:28.398 region:rollup2
THAT WE'RE NOT JUST
02:48:26.897 --> 02:48:30.300 region:rollup2
PERPETUATING.
02:48:28.398 --> 02:48:32.002 region:rollup2
I'M GOING ACCESS PROBLEMS GIVEN
02:48:30.300 --> 02:48:34.171 region:rollup2
THE METHODOLOGY THAT WAS USED TO
02:48:32.002 --> 02:48:35.372 region:rollup2
DEVELOP WHATEVER RAIDEN. OUT SO
02:48:34.171 --> 02:48:37.140 region:rollup2
TO SPEAK WE MAKE NOTE THAT IN A
02:48:35.372 --> 02:48:39.843 region:rollup2
PREVIOUS HEARING THAT THE PLANS
02:48:37.140 --> 02:48:40.444 region:rollup2
THAT DIDN'T SEEM AN AXE FUNDS OR
02:48:39.843 --> 02:48:40.811 region:rollup2
PAYING MEDICARE RATES THAT SO
02:48:40.444 --> 02:48:42.112 region:rollup2
THEY TESTIFIED.
02:48:40.811 --> 02:48:43.513 region:rollup2
BECAUSE OF WHY NOW THAT DO THAT
02:48:42.112 --> 02:48:44.815 region:rollup2
UNIVERSALLY BUT WE SHALL BE FOR
02:48:43.513 --> 02:48:46.183 region:rollup2
ANOTHER HEARING.
02:48:44.815 --> 02:48:51.788 region:rollup2
THANK YOU. ALL RIGHT A PUBLIC
02:48:46.183 --> 02:48:52.756 region:rollup2
COMMENT.
02:48:51.788 --> 02:48:54.658 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
02:48:52.756 --> 02:48:56.326 region:rollup2
LAW AND POVERTY WE APPRECIATE A
02:48:54.658 --> 02:48:57.227 region:rollup2
LARGE UNDERTAKING THAT
02:48:56.326 --> 02:48:58.829 region:rollup2
DEPARTMENT OF HEALTH CARE
02:48:57.227 --> 02:49:00.297 region:rollup2
SERVICES IS UNDERTAKING. WITH
02:48:58.829 --> 02:49:02.866 region:rollup2
THE IMPLEMENTATION OF AB TWO
02:49:00.297 --> 02:49:04.201 region:rollup2
ZERO FIVE BUT AS THE CHAIR NOTED
02:49:02.866 --> 02:49:05.268 region:rollup2
THE TIMELY ACCESS REGULATIONS
02:49:04.201 --> 02:49:07.371 region:rollup2
HAVE BEEN IN PLACE SINCE TWO
02:49:05.268 --> 02:49:08.839 region:rollup2
THOUSAND TEN. AS WELL AS IN THAT
02:49:07.371 --> 02:49:09.706 region:rollup2
TEACH THE S. CONTRACTS OF HEALTH
02:49:08.839 --> 02:49:11.641 region:rollup2
PLANS.
02:49:09.706 --> 02:49:13.010 region:rollup2
WHILE BOTH DEPARTMENTS DETERMINE
02:49:11.641 --> 02:49:14.745 region:rollup2
THE APPROPRIATE TIMELY ACCESS
02:49:13.010 --> 02:49:16.613 region:rollup2
COMPLIANCE RATE THE ULTIMATE
02:49:14.745 --> 02:49:18.415 region:rollup2
RESPONSIBILITY TO PROVIDE TIMELY
02:49:16.613 --> 02:49:20.350 region:rollup2
ACCESS TO CARE FALLS WITH HEALTH
02:49:18.415 --> 02:49:22.052 region:rollup2
PLANS AND DEEDS CS AS THE
02:49:20.350 --> 02:49:23.787 region:rollup2
ADMINISTRATOR OF THE MEDI CAL
02:49:22.052 --> 02:49:26.223 region:rollup2
PROGRAM. NOT THE CONSUMER WE
02:49:23.787 --> 02:49:27.657 region:rollup2
URGE BOTH DEPARTMENTS TO INFORM
02:49:26.223 --> 02:49:29.393 region:rollup2
MEMBERS OF THE TIME THEIR TIMELY
02:49:27.657 --> 02:49:32.229 region:rollup2
ACCESS RIGHTS AND REQUIRE HEALTH
02:49:29.393 --> 02:49:32.729 region:rollup2
PLANS TO NOTIFY CONSUMERS OF
02:49:32.229 --> 02:49:33.563 region:rollup2
THEIR RIGHT TO GO OUT OF
02:49:32.729 --> 02:49:35.098 region:rollup2
NETWORK.
02:49:33.563 --> 02:49:36.433 region:rollup2
WHEN THERE'S NO AVAILABLE
02:49:35.098 --> 02:49:38.602 region:rollup2
PROVIDER WHO MEET THE TIMELY
02:49:36.433 --> 02:49:39.369 region:rollup2
ACCESS STANDARDS OR THE TIME AND
02:49:38.602 --> 02:49:40.737 region:rollup2
DISTANCE STANDARDS IF NO
02:49:39.369 --> 02:49:43.140 region:rollup2
ALTERNATIVE ACT.
02:49:40.737 --> 02:49:44.274 region:rollup2
STANDARDS HAVE BEEN APPROVED.
02:49:43.140 --> 02:49:45.976 region:rollup2
IN REGARDS TO A NETWORK
02:49:44.274 --> 02:49:47.744 region:rollup2
CERTIFICATION WE APPRECIATE THE
02:49:45.976 --> 02:49:49.212 region:rollup2
GUIDANCE DE HTF HAS RELEASED
02:49:47.744 --> 02:49:52.015 region:rollup2
I'M.
02:49:49.212 --> 02:49:54.584 region:rollup2
A.
02:49:52.015 --> 02:49:56.486 region:rollup2
BUT A BETTER GCF TO A CERTIFIED
02:49:54.584 --> 02:49:58.188 region:rollup2
DELEGATED NETWORKS BY JULY OF
02:49:56.486 --> 02:49:59.423 region:rollup2
NEXT YEAR AND WORK WITH THE
02:49:58.188 --> 02:50:00.991 region:rollup2
LEGISLATURE TO BUILD THE
02:49:59.423 --> 02:50:02.292 region:rollup2
CAPACITY TO DO THAT.
02:50:00.991 --> 02:50:04.494 region:rollup2
IN REGARDS TO MR MINING'S
02:50:02.292 --> 02:50:06.797 region:rollup2
QUESTION UP FOR AT LEAST THE
02:50:04.494 --> 02:50:09.232 region:rollup2
MEDI CAL PLANS UP MEMBERS WHO
02:50:06.797 --> 02:50:11.301 region:rollup2
RESIDE IN COAST COUNTY MONTEREY.
02:50:09.232 --> 02:50:14.071 region:rollup2
ASSEMBLY WAS A DISCO AND AYE
02:50:11.301 --> 02:50:17.240 region:rollup2
SANTA CRUZ AYE DEET D. M. H. C.
02:50:14.071 --> 02:50:17.674 region:rollup2
AS NOT. AN OPTION FOR THEM TO
02:50:17.240 --> 02:50:19.910 region:rollup2
TURN TO THANK YOU.
02:50:17.674 --> 02:50:21.344 region:rollup2
THANK YOU WELCOME.
02:50:19.910 --> 02:50:23.280 region:rollup2
MITCHELL BACK WITH THE
02:50:21.344 --> 02:50:24.748 region:rollup2
CALIFORNIA MEDICAL ASSOCIATION.
02:50:23.280 --> 02:50:26.750 region:rollup2
INTENT OF PREVIOUS ACT TIMELY
02:50:24.748 --> 02:50:28.585 region:rollup2
ACCESS LEGISLATION WAS TO ENSURE
02:50:26.750 --> 02:50:30.053 region:rollup2
THAT KNOCKS WHEN KNOX KEEN IT
02:50:28.585 --> 02:50:31.354 region:rollup2
REGULATED PLANS FOR PROVIDING AB
02:50:30.053 --> 02:50:33.957 region:rollup2
ADEQUATE ROBUST PROVIDER
02:50:31.354 --> 02:50:35.025 region:rollup2
NETWORKS. THAT PATIENTS WOULD
02:50:33.957 --> 02:50:36.493 region:rollup2
HAVE APPROPRIATE ACCESS TO CARE.
02:50:35.025 --> 02:50:37.360 region:rollup2
WE HAVE SIGNIFICANCE CONCERNED
02:50:36.493 --> 02:50:39.196 region:rollup2
WITH WHETHER THIS IS ACTUALLY
02:50:37.360 --> 02:50:40.330 region:rollup2
TAKING PLACE.
02:50:39.196 --> 02:50:41.631 region:rollup2
SOME PLANS OF NARROW THEIR
02:50:40.330 --> 02:50:43.467 region:rollup2
PROVIDER NETWORKS AND SOME WHO
02:50:41.631 --> 02:50:44.634 region:rollup2
ACTUALLY CLOSER PANELS TO NEW
02:50:43.467 --> 02:50:46.103 region:rollup2
POSITIONS.
02:50:44.634 --> 02:50:48.038 region:rollup2
AND FOR THE ACCESS EXACERBATING
02:50:46.103 --> 02:50:49.606 region:rollup2
THIS PROBLEM IF THE MHC ISSUES
02:50:48.038 --> 02:50:51.875 region:rollup2
AN ENFORCEMENT ACTION AGAINST
02:50:49.606 --> 02:50:53.243 region:rollup2
THE PLANS. AND WE HAVE CONCERNS
02:50:51.875 --> 02:50:55.245 region:rollup2
AS TO WHETHER THE PENALTIES ARE
02:50:53.243 --> 02:50:56.880 region:rollup2
ACTUALLY HAVING THE APPROPRIATE
02:50:55.245 --> 02:50:58.415 region:rollup2
DETERRENT EFFECT.
02:50:56.880 --> 02:51:00.250 region:rollup2
CLEARLY MORE WORK NEEDS TO BE
02:50:58.415 --> 02:51:01.118 region:rollup2
DONE IN THIS AREA TO ADDRESS THE
02:51:00.250 --> 02:51:02.486 region:rollup2
CONTINUE CHALLENGES
02:51:01.118 --> 02:51:04.855 region:rollup2
ACKNOWLEDGING THE WORK THAT THE
02:51:02.486 --> 02:51:06.756 region:rollup2
DEPARTMENT IS DOING. TO WORK
02:51:04.855 --> 02:51:08.959 region:rollup2
TOWARDS MEETING A STANDARD.
02:51:06.756 --> 02:51:10.694 region:rollup2
RELYING ON CONSUMER COMPLAINTS
02:51:08.959 --> 02:51:12.596 region:rollup2
AND ONLY REQUIREMENT PLANS
02:51:10.694 --> 02:51:13.964 region:rollup2
REPORT ACCURATELY AND NOT NEED A
02:51:12.596 --> 02:51:15.765 region:rollup2
STANDARD FOR COMPLIANCE IS NOT
02:51:13.964 --> 02:51:17.400 region:rollup2
GOING TO ENSURE THAT PATIENTS
02:51:15.765 --> 02:51:17.701 region:rollup2
HAVE APPROPRIATE ACCESS TO CARE
02:51:17.400 --> 02:51:19.269 region:rollup2
THANK YOU.
02:51:17.701 --> 02:51:21.338 region:rollup2
AND YOU.
02:51:19.269 --> 02:51:22.806 region:rollup2
WELCOME.
02:51:21.338 --> 02:51:24.608 region:rollup2
DO YOU AT MARYVALE THOSE WITH
02:51:22.806 --> 02:51:25.342 region:rollup2
HEALTH ACCESS AND WE'D LIKE TO
02:51:24.608 --> 02:51:26.810 region:rollup2
THINK THE COMMITTEE AND THE
02:51:25.342 --> 02:51:28.745 region:rollup2
ADMINISTRATION FOR THEIR
02:51:26.810 --> 02:51:30.981 region:rollup2
OVERVIEW OF TIME ACCESS CARE
02:51:28.745 --> 02:51:32.716 region:rollup2
ENFORCEMENT. AND WE WANNA ECHO
02:51:30.981 --> 02:51:34.384 region:rollup2
OTHER CONCERNS MORE PARTNERS
02:51:32.716 --> 02:51:35.819 region:rollup2
THAT WESTERN CENTER AND JUST
02:51:34.384 --> 02:51:36.486 region:rollup2
WANNA TOUCH IN A FEW I'M.
02:51:35.819 --> 02:51:38.688 region:rollup2
HIGHLIGHT A FEW OF THOSE ISSUES
02:51:36.486 --> 02:51:40.157 region:rollup2
AS WELL THERE ARE SEVERAL STEPS
02:51:38.688 --> 02:51:41.691 region:rollup2
THAT THE DEPARTMENT CAN TAKE TO
02:51:40.157 --> 02:51:44.194 region:rollup2
IMPROVE ENFORCEMENT OF BOTH
02:51:41.691 --> 02:51:45.529 region:rollup2
TIMELY ACCESS AND ALONG WITH IT
02:51:44.194 --> 02:51:48.064 region:rollup2
NETWORK ADEQUACY.
02:51:45.529 --> 02:51:49.299 region:rollup2
ULTIMATELY HEALTH PLANS ARE
02:51:48.064 --> 02:51:51.101 region:rollup2
RESPONSIBLE FOR ENSURING THAT
02:51:49.299 --> 02:51:53.470 region:rollup2
THEY HAVE ENOUGH TO PROVIDERS IN
02:51:51.101 --> 02:51:55.539 region:rollup2
THEIR NETWORKS SO CONSUMERS CAN
02:51:53.470 --> 02:51:56.873 region:rollup2
HAVE TIMELY ACCESS TO CARE. BOTH
02:51:55.539 --> 02:51:58.175 region:rollup2
DEPARTMENTS NEED TO MAKE SURE
02:51:56.873 --> 02:51:59.910 region:rollup2
THAT DELEGATED ENTITIES MEET
02:51:58.175 --> 02:52:01.845 region:rollup2
NETWORK ADEQUACY STANDARDS AS
02:51:59.910 --> 02:52:04.714 region:rollup2
WELL ESPECIALLY IF THE CONSUMER
02:52:01.845 --> 02:52:05.615 region:rollup2
IS LIMITED TO A MUCH SMALLER
02:52:04.714 --> 02:52:06.449 region:rollup2
NETWORK WITHIN A DELEGATED
02:52:05.615 --> 02:52:09.452 region:rollup2
ENTITY.
02:52:06.449 --> 02:52:11.021 region:rollup2
ALSO IF PLANS CANNOT SHOW THAT
02:52:09.452 --> 02:52:13.089 region:rollup2
THEY CAN PROVIDE TIMELY ACCESS
02:52:11.021 --> 02:52:14.825 region:rollup2
TO CARE WE MUST ASSUME THEY ARE
02:52:13.089 --> 02:52:15.592 region:rollup2
NOT PROVIDING TIMELY ACCESS TO
02:52:14.825 --> 02:52:17.260 region:rollup2
CARE.
02:52:15.592 --> 02:52:18.128 region:rollup2
THE STATE SHOULDN'T BE WAITING
02:52:17.260 --> 02:52:20.263 region:rollup2
FOR A CONSUMER TO FILE A
02:52:18.128 --> 02:52:20.597 region:rollup2
COMPLAINT IN ORDER TO ENSURE
02:52:20.263 --> 02:52:21.998 region:rollup2
TIMELY ACCESS
02:52:20.597 --> 02:52:23.967 region:rollup2
SO THE DEPARTMENT SHOULD ALSO
02:52:21.998 --> 02:52:25.702 region:rollup2
REQUIRE HEALTH PLANS. TO ARRANGE
02:52:23.967 --> 02:52:27.404 region:rollup2
FOR CONSUMERS TO GO OUT OF
02:52:25.702 --> 02:52:28.838 region:rollup2
NETWORK IF THAT'S WHAT'S NEEDED
02:52:27.404 --> 02:52:30.941 region:rollup2
TO ENSURE TIMELY ACCESS.
02:52:28.838 --> 02:52:32.742 region:rollup2
I'M FINALLY WE ALSO ASK THAT
02:52:30.941 --> 02:52:34.211 region:rollup2
BOTH DEPARTMENTS IN FORCE AT
02:52:32.742 --> 02:52:36.346 region:rollup2
LANGUAGE ACCESS RATES FOR OUR
02:52:34.211 --> 02:52:37.581 region:rollup2
COMMUNITIES. WHO SPEAK ENGLISH
02:52:36.346 --> 02:52:38.915 region:rollup2
AS A SECOND LANGUAGE OR ARE
02:52:37.581 --> 02:52:40.450 region:rollup2
LIMITED ENGLISH PROFICIENT
02:52:38.915 --> 02:52:42.219 region:rollup2
HEALTH PLANS MUST MAKE SURE THAT
02:52:40.450 --> 02:52:43.753 region:rollup2
INTERPRETER SERVICES ARE
02:52:42.219 --> 02:52:45.822 region:rollup2
AVAILABLE AT THE TIME OF THE
02:52:43.753 --> 02:52:47.858 region:rollup2
APPOINTMENT THANK YOU?
02:52:45.822 --> 02:52:49.426 region:rollup2
THANK YOU WELCOME.
02:52:47.858 --> 02:52:50.994 region:rollup2
I KAREN SAVAGE CALIFORNIA PAN
02:52:49.426 --> 02:52:52.963 region:rollup2
ETHNIC HEALTH NETWORK AT ECHO
02:52:50.994 --> 02:52:54.297 region:rollup2
THE COMMENTS OF OUR PARTNERS AT
02:52:52.963 --> 02:52:55.432 region:rollup2
WESTERN CENTER AND BUT ALSO WANT
02:52:54.297 --> 02:52:56.967 region:rollup2
TO TOUCH A LITTLE BIT MORE IN
02:52:55.432 --> 02:52:59.135 region:rollup2
THE LANGUAGE ACCESS AND I'M SURE
02:52:56.967 --> 02:52:59.903 region:rollup2
THAT YOU ON NO OVER ONE THIRD OF
02:52:59.135 --> 02:53:01.705 region:rollup2
OUR MEDI CAL ENROLLEES ARE
02:52:59.903 --> 02:53:02.305 region:rollup2
LIMITED ENGLISH PROFICIENT. AND
02:53:01.705 --> 02:53:03.907 region:rollup2
SO THIS IS A VERY SIGNIFICANT
02:53:02.305 --> 02:53:06.276 region:rollup2
ISSUE. WHEN WE THINK ABOUT.
02:53:03.907 --> 02:53:08.078 region:rollup2
TIMELY ACCESS NETWORK ADEQUACY
02:53:06.276 --> 02:53:11.281 region:rollup2
AND AND WE.
02:53:08.078 --> 02:53:12.582 region:rollup2
THE AS OUTSIDE THE SPEAKER FROM
02:53:11.281 --> 02:53:14.384 region:rollup2
HEALTHAXIS SAID I'M APPOINTMENTS
02:53:12.582 --> 02:53:15.585 region:rollup2
CAN'T CANNOT BE DELAYED BECAUSE
02:53:14.384 --> 02:53:17.387 region:rollup2
OF A NEED FOR INTERPRETER
02:53:15.585 --> 02:53:18.989 region:rollup2
SERVICES AND SAID SOMETHING THAT
02:53:17.387 --> 02:53:20.290 region:rollup2
WE WOULD STRONGLY RECOMMEND. A
02:53:18.989 --> 02:53:21.424 region:rollup2
BOTH DEPARTMENTS CAN TO FIGURE
02:53:20.290 --> 02:53:22.626 region:rollup2
OUT HOW TO MEASURE AND ENFORCE
02:53:21.424 --> 02:53:23.526 region:rollup2
AND WE DO APPRECIATE THE
02:53:22.626 --> 02:53:24.060 region:rollup2
CONVERSATIONS THAT WE'VE HAD
02:53:23.526 --> 02:53:25.228 region:rollup2
WITH YOU MIGHT SEE ON THIS
02:53:24.060 --> 02:53:27.764 region:rollup2
ISSUE.
02:53:25.228 --> 02:53:29.366 region:rollup2
BUT AGAIN I THIS IS A THIRD OF
02:53:27.764 --> 02:53:30.467 region:rollup2
OUR MEDICARE POPULATION AND SO
02:53:29.366 --> 02:53:32.135 region:rollup2
WE REALLY NEED TO MAKE SURE
02:53:30.467 --> 02:53:33.670 region:rollup2
THAT'S TAKEN INTO CONSIDERATION.
02:53:32.135 --> 02:53:35.272 region:rollup2
AND I WOULD ALSO NOTE SORT OF ON
02:53:33.670 --> 02:53:37.340 region:rollup2
THE COMPLAINTS ISSUE FROM THE
02:53:35.272 --> 02:53:37.874 region:rollup2
LITTLE BIT OF DATA WE HAVE ABOUT
02:53:37.340 --> 02:53:39.676 region:rollup2
BOTH CALL CENTERS.
02:53:37.874 --> 02:53:41.144 region:rollup2
THERE ARE VERY VERY FEW AND
02:53:39.676 --> 02:53:42.212 region:rollup2
LET'S HAVE A PEOPLE SPEAK A
02:53:41.144 --> 02:53:43.747 region:rollup2
LANGUAGE OTHER THAN ENGLISH
02:53:42.212 --> 02:53:44.814 region:rollup2
CONTACTING OUR CALL CENTERS SO
02:53:43.747 --> 02:53:46.449 region:rollup2
COMPLAINTS ARE REALLY NOT GIVING
02:53:44.814 --> 02:53:47.651 region:rollup2
US THE INFORMATION WE NEED ON
02:53:46.449 --> 02:53:49.653 region:rollup2
THIS POPULATION THANK YOU.
02:53:47.651 --> 02:53:50.887 region:rollup2
THANK YOU. WELCOME.
02:53:49.653 --> 02:53:51.621 region:rollup2
I AM I WAS ABUSED FOR THE
02:53:50.887 --> 02:53:52.856 region:rollup2
CHILDREN'S DEFENSE FUND A
02:53:51.621 --> 02:53:54.291 region:rollup2
CALIFORNIA AND.
02:53:52.856 --> 02:53:56.059 region:rollup2
WE WANTED TO REQUEST CONTINUED
02:53:54.291 --> 02:53:57.794 region:rollup2
MONITORING AND ENFORCEMENT OF
02:53:56.059 --> 02:53:59.429 region:rollup2
THE TEN DAY I TIMELY ACCESS
02:53:57.794 --> 02:54:01.398 region:rollup2
STANDARD FOR PEDIATRIC WELL
02:53:59.429 --> 02:54:02.732 region:rollup2
VISITS AND AND MEDI CAL WE KNOW
02:54:01.398 --> 02:54:04.267 region:rollup2
THAT CHILDREN AND. FAMILIES IN
02:54:02.732 --> 02:54:05.869 region:rollup2
SOME RURAL AREAS HAVE TO MAKE UP
02:54:04.267 --> 02:54:06.369 region:rollup2
TO SIX LONG CALLS TO GET
02:54:05.869 --> 02:54:07.370 region:rollup2
APPOINTMENTS WITHIN THE
02:54:06.369 --> 02:54:08.705 region:rollup2
STANDARD.
02:54:07.370 --> 02:54:10.206 region:rollup2
THERE SOMETIMES TOLD THAT IS
02:54:08.705 --> 02:54:11.841 region:rollup2
BACK TO SCHOOL TIME ARE THEY
02:54:10.206 --> 02:54:12.075 region:rollup2
HAVE LOTS OF SPORTS PHYSICALS
02:54:11.841 --> 02:54:13.677 region:rollup2
AND SO.
02:54:12.075 --> 02:54:15.312 region:rollup2
THOSE SHOULDN'T BE PROBLEMS FOR
02:54:13.677 --> 02:54:17.847 region:rollup2
THE FAMILIES TO FACE. WE ALSO
02:54:15.312 --> 02:54:19.783 region:rollup2
ASK THE DATA BE DISAGGREGATED BY
02:54:17.847 --> 02:54:21.117 region:rollup2
AGE SO THAT WE KNOW AND SO WE
02:54:19.783 --> 02:54:21.718 region:rollup2
CAN DETERMINE SPECIFICALLY HAVE
02:54:21.117 --> 02:54:23.787 region:rollup2
CHILDREN OR.
02:54:21.718 --> 02:54:26.589 region:rollup2
FAIRING AND WE ASK THAT THERE
02:54:23.787 --> 02:54:27.891 region:rollup2
IS SOME A CLEAR PLAN FOR HOW D.
02:54:26.589 --> 02:54:29.125 region:rollup2
H. YES WILL MONITOR.
02:54:27.891 --> 02:54:30.860 region:rollup2
CHILDREN'S SEPARATELY FROM
02:54:29.125 --> 02:54:31.928 region:rollup2
ADULTS BECAUSE MY UNDERSTANDING
02:54:30.860 --> 02:54:32.395 region:rollup2
IS AS OF NOW THEY'RE THEY'RE
02:54:31.928 --> 02:54:34.331 region:rollup2
THEY'RE.
02:54:32.395 --> 02:54:34.864 region:rollup2
INTENDING TO CONTINUE TO
02:54:34.331 --> 02:54:36.232 region:rollup2
AGGREGATE THEM.
02:54:34.864 --> 02:54:38.201 region:rollup2
THANK YOU.
02:54:36.232 --> 02:54:40.837 region:rollup2
WELCOME.
02:54:38.201 --> 02:54:42.172 region:rollup2
I AM I'M. CHRISTIAN DOES KRISTIN
02:54:40.837 --> 02:54:43.573 region:rollup2
GOLDEN TEST WITH THE CHILDREN'S
02:54:42.172 --> 02:54:44.941 region:rollup2
PARTNERSHIP AND I WANTED TO
02:54:43.573 --> 02:54:46.776 region:rollup2
ALIGN MYSELF WITH THE COMMENTS
02:54:44.941 --> 02:54:48.111 region:rollup2
MADE BY MY PARTNER AT THE.
02:54:46.776 --> 02:54:49.746 region:rollup2
CHILDREN'S DEFENSE FUND ON AND
02:54:48.111 --> 02:54:50.847 region:rollup2
ALSO NOTE WE REALLY APPRECIATE
02:54:49.746 --> 02:54:52.949 region:rollup2
THAT YOU'RE HAVING THIS HEARING
02:54:50.847 --> 02:54:55.685 region:rollup2
CONSTANT A CONVERSATION AROUND
02:54:52.949 --> 02:54:56.987 region:rollup2
THE MONITORING. AND WE ARE BUT
02:54:55.685 --> 02:54:58.488 region:rollup2
ENGAGE WITH DID SEE US IN THEIR
02:54:56.987 --> 02:55:00.990 region:rollup2
ADVISORY GROUP.
02:54:58.488 --> 02:55:02.659 region:rollup2
AROUND THE NEW MEDICAID MANAGED
02:55:00.990 --> 02:55:03.727 region:rollup2
CARE MONITORING RULES
02:55:02.659 --> 02:55:05.328 region:rollup2
PARTICULARLY AROUND TIMELY
02:55:03.727 --> 02:55:06.896 region:rollup2
ACCESS WE.
02:55:05.328 --> 02:55:07.664 region:rollup2
WITH OUR PARTNERS HAD DONE A
02:55:06.896 --> 02:55:09.999 region:rollup2
LITTLE MANY.
02:55:07.664 --> 02:55:11.067 region:rollup2
SECRET SHOPPER SURVEY I'M
02:55:09.999 --> 02:55:13.903 region:rollup2
FOCUSING ON.
02:55:11.067 --> 02:55:16.139 region:rollup2
ON PRIMARY CARE FOR PEDIATRICS
02:55:13.903 --> 02:55:18.141 region:rollup2
AND FOUND IT WAS EXTREMELY LOW.
02:55:16.139 --> 02:55:20.110 region:rollup2
AROUND LIKE TWENTY FOUR PERCENT
02:55:18.141 --> 02:55:21.044 region:rollup2
AGAIN IT WAS A VERY SMALL SAMPLE
02:55:20.110 --> 02:55:23.380 region:rollup2
BUT AND IT WAS.
02:55:21.044 --> 02:55:25.181 region:rollup2
OF FLAG FOR US THAT THERE WAS A
02:55:23.380 --> 02:55:28.251 region:rollup2
CONCERN IN MEDICAID PARTICULARLY
02:55:25.181 --> 02:55:29.519 region:rollup2
AROUND PEDIATRIC CARE SO AGAIN.
02:55:28.251 --> 02:55:32.155 region:rollup2
AS WERE SAYING TO D. H. CS ON
02:55:29.519 --> 02:55:34.257 region:rollup2
WE WOULD LIKE TO SEE THAT THE.
02:55:32.155 --> 02:55:35.959 region:rollup2
AS REQUIRED BY AND FEDERAL LAW
02:55:34.257 --> 02:55:38.428 region:rollup2
AND STATE STATUTE NOW THAT THAT
02:55:35.959 --> 02:55:40.330 region:rollup2
IS BROKEN OUT BY PEDIATRIC CARE
02:55:38.428 --> 02:55:43.233 region:rollup2
SO THAT WE DO SEE HOW CHILDREN
02:55:40.330 --> 02:55:43.666 region:rollup2
ARE FARING UNDER THOSE STANDARDS
02:55:43.233 --> 02:55:45.068 region:rollup2
AND TIMELY ACCESS.
02:55:43.666 --> 02:55:48.371 region:rollup2
THANK YOU.
02:55:45.068 --> 02:55:49.472 region:rollup2
WELCOME.
02:55:48.371 --> 02:55:50.340 region:rollup2
BELOW THIRTY ABOVE THAT'S WITH
02:55:49.472 --> 02:55:51.741 region:rollup2
MATERNAL AND CHILD HEALTH ACCESS
02:55:50.340 --> 02:55:53.309 region:rollup2
AND LOS ANGELES WE'D LIKE TO
02:55:51.741 --> 02:55:54.077 region:rollup2
SUPPORT THE COMMENTS MADE BY
02:55:53.309 --> 02:55:56.212 region:rollup2
WESTERN CENTER ON LAW AND
02:55:54.077 --> 02:55:58.481 region:rollup2
POVERTY. AND JUST EXPRESS THAT
02:55:56.212 --> 02:56:01.117 region:rollup2
ON THE RESPONSIBILITY OF TIMELY
02:55:58.481 --> 02:56:02.819 region:rollup2
ACCESS DOES FALL ON THE PLAN.
02:56:01.117 --> 02:56:04.954 region:rollup2
AND FOR AN ENTITY WHO WORKS A
02:56:02.819 --> 02:56:06.289 region:rollup2
LOT ON ENROLLMENT. WE SPEND OVER
02:56:04.954 --> 02:56:08.358 region:rollup2
NINETY PERCENT OF OUR TIME
02:56:06.289 --> 02:56:10.560 region:rollup2
ADVOCATING FOR ACCESS ON ACCESS
02:56:08.358 --> 02:56:10.927 region:rollup2
ISSUES FOR MEDI CAL
02:56:10.560 --> 02:56:11.261 region:rollup2
BENEFICIARIES.
02:56:10.927 --> 02:56:12.695 region:rollup2
AND.
02:56:11.261 --> 02:56:14.097 region:rollup2
I JUST LIKE TO STATE THAT
02:56:12.695 --> 02:56:15.365 region:rollup2
COVERAGE HEALTH COVERAGE MEANS
02:56:14.097 --> 02:56:15.965 region:rollup2
NOTHING IF YOU CANNOT ACCESS
02:56:15.365 --> 02:56:17.400 region:rollup2
SERVICES.
02:56:15.965 --> 02:56:22.472 region:rollup2
THANK YOU.
02:56:17.400 --> 02:56:23.373 region:rollup2
THANK YOU.
02:56:22.472 --> 02:56:24.874 region:rollup2
USSO COUPLE THINGS ARE BROUGHT
02:56:23.373 --> 02:56:26.543 region:rollup2
THE PUBLIC COMMENT I HAVE THE
02:56:24.874 --> 02:56:27.243 region:rollup2
CAN COMMENT ON TO ONE IS
02:56:26.543 --> 02:56:30.213 region:rollup2
LANGUAGE.
02:56:27.243 --> 02:56:31.614 region:rollup2
SO CERTAINLY IN MY COMMUNITY IS.
02:56:30.213 --> 02:56:33.049 region:rollup2
THE ASIAN PACIFIC ISLANDER
02:56:31.614 --> 02:56:34.517 region:rollup2
QUEEN WE'VE THERE'S MANY
02:56:33.049 --> 02:56:36.352 region:rollup2
DIFFERENT LANGUAGES COURSE.
02:56:34.517 --> 02:56:39.055 region:rollup2
EXPANSION LATINO COMMUNITY HAVE
02:56:36.352 --> 02:56:40.023 region:rollup2
A WHAT WE DOING TO.
02:56:39.055 --> 02:56:42.459 region:rollup2
LANGUAGE ACCESS AND WHEN YOU
02:56:40.023 --> 02:56:46.229 region:rollup2
LOOK AT ACCESS STANDARDS SO.
02:56:42.459 --> 02:56:48.298 region:rollup2
I DON'T WANNA.
02:56:46.229 --> 02:56:48.998 region:rollup2
FOR ANY MEDI CAL THEN STILL EVEN
02:56:48.298 --> 02:56:50.066 region:rollup2
VERY.
02:56:48.998 --> 02:56:50.967 region:rollup2
FROM THE DEPARTMENT HEALTH CARE
02:56:50.066 --> 02:56:51.334 region:rollup2
SERVICES I'M FIRST OF
02:56:50.967 --> 02:56:52.402 region:rollup2
UNDERSTANDING.
02:56:51.334 --> 02:56:52.702 region:rollup2
THERE ARE REQUIREMENTS AS YOU
02:56:52.402 --> 02:56:53.503 region:rollup2
KNOW THAT.
02:56:52.702 --> 02:56:55.338 region:rollup2
LANGUAGE ACCESS BE PROVIDED
02:56:53.503 --> 02:56:56.973 region:rollup2
TWENTY FOUR HOURS A DAY SEVEN
02:56:55.338 --> 02:56:58.475 region:rollup2
DAYS A WEEK BY OUR HEALTH PLANS
02:56:56.973 --> 02:56:59.509 region:rollup2
AND THAT DOES INCLUDE LANGUAGE
02:56:58.475 --> 02:57:01.578 region:rollup2
ASSISTANCE LINE.
02:56:59.509 --> 02:57:03.079 region:rollup2
I'M SO THAT IN THAT IS AVAILABLE
02:57:01.578 --> 02:57:04.247 region:rollup2
TO OUR BENEFICIARIES AND IN
02:57:03.079 --> 02:57:05.682 region:rollup2
ADDITION TO THAT THOUGH WE HAVE
02:57:04.247 --> 02:57:07.083 region:rollup2
WE DO THINK THAT IT IS IMPORTANT
02:57:05.682 --> 02:57:08.184 region:rollup2
TO COLLECT INFORMATION ON
02:57:07.083 --> 02:57:08.818 region:rollup2
LANGUAGE ACCESS AND IN OUR NEW
02:57:08.184 --> 02:57:10.553 region:rollup2
MONTHLY.
02:57:08.818 --> 02:57:11.521 region:rollup2
DATA PROVIDER FILE THAT OUR
02:57:10.553 --> 02:57:12.789 region:rollup2
HEALTH PLANS ARE SUBMITTING TO
02:57:11.521 --> 02:57:14.824 region:rollup2
US WE ARE COLLECTING THAT
02:57:12.789 --> 02:57:16.359 region:rollup2
INFORMATION WERE IN THE PROCESS
02:57:14.824 --> 02:57:17.260 region:rollup2
RIGHT NOW OF CLEANING THAT UP AS
02:57:16.359 --> 02:57:18.928 region:rollup2
I WOULD SAY TO MAKE SURE THAT WE
02:57:17.260 --> 02:57:20.396 region:rollup2
HAVE ACCURATE INFORMATION BUT WE
02:57:18.928 --> 02:57:21.698 region:rollup2
BELIEVE THAT THAT WILL. GIVE US
02:57:20.396 --> 02:57:22.932 region:rollup2
NEW DETAILS ABOUT.
02:57:21.698 --> 02:57:24.934 region:rollup2
WHAT IS AVAILABLE TO OUR
02:57:22.932 --> 02:57:27.470 region:rollup2
BENEFICIARIES AS WE MOVE FORWARD
02:57:24.934 --> 02:57:29.372 region:rollup2
INTO THE FUTURE?
02:57:27.470 --> 02:57:31.007 region:rollup2
CERTAINLY SO THERE'S TWO WAYS TO
02:57:29.372 --> 02:57:32.141 region:rollup2
MAIN WAYS IN WHICH WE LOOK AT A
02:57:31.007 --> 02:57:33.610 region:rollup2
LANGUAGE ACCESS ISSUES ONE IS
02:57:32.141 --> 02:57:35.245 region:rollup2
DURING OUR ARE FUNCTIONAL ON
02:57:33.610 --> 02:57:36.713 region:rollup2
SITE AUDITS WERE POLLING. DATA
02:57:35.245 --> 02:57:38.648 region:rollup2
FILES THAT RELATE TO.
02:57:36.713 --> 02:57:40.950 region:rollup2
CONSUMERS WITH DIFFERENT.
02:57:38.648 --> 02:57:42.719 region:rollup2
SLATE LANGUAGES SPOKEN AT HOME
02:57:40.950 --> 02:57:44.087 region:rollup2
THE OTHERS WE'VE BEEN RIPPED
02:57:42.719 --> 02:57:45.321 region:rollup2
MEETING REGULARLY WITH.
02:57:44.087 --> 02:57:46.956 region:rollup2
PAN ETHNIC
02:57:45.321 --> 02:57:48.925 region:rollup2
IF NETWORK AND OTHER OUT
02:57:46.956 --> 02:57:49.526 region:rollup2
SEE ORGANIZATIONS ON HOW WE'RE
02:57:48.925 --> 02:57:50.360 region:rollup2
GOING TO INCORPORATE LANGUAGE
02:57:49.526 --> 02:57:51.594 region:rollup2
ACCESS
02:57:50.360 --> 02:57:53.263 region:rollup2
ACTIONS IN THE TIMELY ACCESS
02:57:51.594 --> 02:57:54.030 region:rollup2
SURVEY METHODOLOGY AND THERE
02:57:53.263 --> 02:57:57.133 region:rollup2
WILL BE A QUESTION FOR THE
02:57:54.030 --> 02:57:57.934 region:rollup2
TWENTY EIGHTEEN METHODOLOGY.
02:57:57.133 --> 02:57:59.369 region:rollup2
AND TERMS OF SOMEONE ALSO
02:57:57.934 --> 02:58:02.105 region:rollup2
MENTIONED THE LANGUAGE ACCESS
02:57:59.369 --> 02:58:04.474 region:rollup2
FOR OUR RESPECTIVE COMPLAINT
02:58:02.105 --> 02:58:05.975 region:rollup2
LINES ARE REPORTING LINES AND
02:58:04.474 --> 02:58:07.844 region:rollup2
ALSO JUST THE CLERK ALSO DECLARE
02:58:05.975 --> 02:58:09.045 region:rollup2
FIND DISH INTO LANGUAGE THAT.
02:58:07.844 --> 02:58:10.747 region:rollup2
WHEN PEOPLE.
02:58:09.045 --> 02:58:12.215 region:rollup2
MAKE A CALL THEY'RE NOT TOLD
02:58:10.747 --> 02:58:14.250 region:rollup2
WELL TALK TO THE HEALTH PLAN
02:58:12.215 --> 02:58:15.685 region:rollup2
FIRST DON'T TELL ME ANYTHING
02:58:14.250 --> 02:58:17.220 region:rollup2
UNTIL YOU TALK TO THEM FIRST SO
02:58:15.685 --> 02:58:18.454 region:rollup2
IT'S LIKE YOU DRESS BOTH
02:58:17.220 --> 02:58:19.589 region:rollup2
LANGUAGE ACCESS.
02:58:18.454 --> 02:58:21.191 region:rollup2
YOU KNOW TRIES TO MAKE A PHONE
02:58:19.589 --> 02:58:22.492 region:rollup2
CALL.
02:58:21.191 --> 02:58:23.826 region:rollup2
YOU DON'T SPEAK THE LANGUAGE AND
02:58:22.492 --> 02:58:26.029 region:rollup2
HEALTH RAPIDLY CAN THEY GET
02:58:23.826 --> 02:58:28.898 region:rollup2
SOMEONE TO HELP THEM AND DOES.
02:58:26.029 --> 02:58:29.866 region:rollup2
NOT BEING SENT TO OTHER PLACES
02:58:28.898 --> 02:58:31.234 region:rollup2
WHERE SO ON THEM SOMEONE ELSE
02:58:29.866 --> 02:58:32.602 region:rollup2
MAY NOT HAVE LANGUAGE ACCESS. TO
02:58:31.234 --> 02:58:35.171 region:rollup2
COMMIT TO HAVE FRUSTRATING I CAN
02:58:32.602 --> 02:58:36.339 region:rollup2
BE FOR SOME FAMILIES SO PERHAPS
02:58:35.171 --> 02:58:37.140 region:rollup2
DOES THAT. IF OUR MEDI CAL
02:58:36.339 --> 02:58:39.008 region:rollup2
MANAGED CARE.
02:58:37.140 --> 02:58:40.677 region:rollup2
OMBUDSMAN LINE WE DO HAVE
02:58:39.008 --> 02:58:42.378 region:rollup2
LANGUAGE ACCESS I'M BOTH IN
02:58:40.677 --> 02:58:43.947 region:rollup2
TERMS OF A TICKLER UP FRONT WHEN
02:58:42.378 --> 02:58:45.215 region:rollup2
YOU CALL AND AN INDIVIDUAL CAN
02:58:43.947 --> 02:58:46.249 region:rollup2
INDICATE THAT THEY NEED
02:58:45.215 --> 02:58:46.950 region:rollup2
ASSISTANCE.
02:58:46.249 --> 02:58:48.651 region:rollup2
FOR SOMEBODY WHO MAKES IT
02:58:46.950 --> 02:58:49.852 region:rollup2
THROUGH WHO MIGHT NOT.
02:58:48.651 --> 02:58:51.321 region:rollup2
FOR EXAMPLE I UNDERSTAND THAT
02:58:49.852 --> 02:58:52.622 region:rollup2
THEY NEED TO PRESS ONE TO GET
02:58:51.321 --> 02:58:53.523 region:rollup2
THROUGH FOR LANGUAGE ASSISTANCE
02:58:52.622 --> 02:58:53.957 region:rollup2
THAN.
02:58:53.523 --> 02:58:55.191 region:rollup2
OUR.
02:58:53.957 --> 02:58:56.492 region:rollup2
STAFF ARE TRAINED TO
02:58:55.191 --> 02:58:57.560 region:rollup2
IMMEDIATELY CONTACT THE
02:58:56.492 --> 02:58:59.062 region:rollup2
LANGUAGES IT SINCE LINE AND PULL
02:58:57.560 --> 02:59:00.797 region:rollup2
SOMEBODY AND SO THAT THEY CAN
02:58:59.062 --> 02:59:01.931 region:rollup2
ASSIST THAT INDIVIDUAL.
02:59:00.797 --> 02:59:03.032 region:rollup2
SIMILARLY AT THE DEPARTMENT
02:59:01.931 --> 02:59:04.767 region:rollup2
MANAGE HEALTHCARE'S CALL CENTER
02:59:03.032 --> 02:59:06.469 region:rollup2
WE HAVE ACCESS TO A LANGUAGE
02:59:04.767 --> 02:59:08.004 region:rollup2
LINE WE'VE ALSO DONE A VERY.
02:59:06.469 --> 02:59:09.973 region:rollup2
INTENSIVE EFFORT TO RECRUIT.
02:59:08.004 --> 02:59:11.975 region:rollup2
SPEAKERS OF DIFFERENT LANGUAGES
02:59:09.973 --> 02:59:12.542 region:rollup2
SO WE HAVE THEM ON STAFF SEE
02:59:11.975 --> 02:59:14.077 region:rollup2
DON'T HAVE THE DELAY OF THE
02:59:12.542 --> 02:59:15.445 region:rollup2
LANGUAGE LINE.
02:59:14.077 --> 02:59:17.380 region:rollup2
WE HAVE NOT BEEN SUCCESSFUL IN
02:59:15.445 --> 02:59:19.515 region:rollup2
RECRUITING WE STILL DO RELY UPON
02:59:17.380 --> 02:59:20.116 region:rollup2
THE LANGUAGE LINE UP WE REQUIRE
02:59:19.515 --> 02:59:21.251 region:rollup2
THAT THE HEALTH PLAN SIMILARLY
02:59:20.116 --> 02:59:23.286 region:rollup2
HAD.
02:59:21.251 --> 02:59:24.787 region:rollup2
CAPABILITY AND LANGUAGE
02:59:23.286 --> 02:59:25.521 region:rollup2
ASSISTANCE WITH AND WHATEVER THE
02:59:24.787 --> 02:59:28.257 region:rollup2
THRESHOLD LANGUAGES FOR EACH OF
02:59:25.521 --> 02:59:29.092 region:rollup2
THEIR PLAN.
02:59:28.257 --> 02:59:30.660 region:rollup2
BUT I THINK ONE OF THE THINGS
02:59:29.092 --> 02:59:32.929 region:rollup2
THOUGH IS IS THAT I JUST HEARING
02:59:30.660 --> 02:59:34.631 region:rollup2
FOOT ADVOCATES ARE TESTIFYING
02:59:32.929 --> 02:59:36.299 region:rollup2
WITH MY MISERY.
02:59:34.631 --> 02:59:38.067 region:rollup2
MAYBE GET COLLECT SOME DATA ON
02:59:36.299 --> 02:59:39.636 region:rollup2
ACTUAL CUSTOMER EXPERIENCE SO
02:59:38.067 --> 02:59:41.704 region:rollup2
YOU THINK OF A MECHANISM PLACE
02:59:39.636 --> 02:59:43.539 region:rollup2
MAY NOT BE WORKING AS WELL AS
02:59:41.704 --> 02:59:46.109 region:rollup2
MAY BE PERCEIVED UP. TOYS
02:59:43.539 --> 02:59:46.976 region:rollup2
CHALLENGE RIGHT SOMEONE THEY
02:59:46.109 --> 02:59:48.578 region:rollup2
CALL. SOMEONE IN ENGLISH START
02:59:46.976 --> 02:59:50.346 region:rollup2
SAYING WELL IF YOU SPEAK ENGLISH
02:59:48.578 --> 02:59:51.681 region:rollup2
PRESS ONE LES ASPIN OPUS TO
02:59:50.346 --> 02:59:54.651 region:rollup2
GREAT AND EXACTLY HOW THAT
02:59:51.681 --> 02:59:55.752 region:rollup2
ACTUALLY OPERATIONALIZE IS FOR.
02:59:54.651 --> 02:59:56.052 region:rollup2
SOMEONE WHO'S ACTUALLY CALLING
02:59:55.752 --> 02:59:57.887 region:rollup2
SO.
02:59:56.052 --> 03:00:00.023 region:rollup2
SO HOPEFULLY YOU CAN THAT WORK
02:59:57.887 --> 03:00:01.791 region:rollup2
WITH FOLKS THAT AND THEN.
03:00:00.023 --> 03:00:03.126 region:rollup2
SURE YES YES A CEREMONY THANK
03:00:01.791 --> 03:00:05.228 region:rollup2
YOU MISTER CHAIR JUST ON THE
03:00:03.126 --> 03:00:06.663 region:rollup2
LANGUAGE ISSUE WE WORKED ON SOME
03:00:05.228 --> 03:00:09.098 region:rollup2
OF THIS WITH.
03:00:06.663 --> 03:00:12.001 region:rollup2
OFFICE OF PATIENT ADVOCATE AND.
03:00:09.098 --> 03:00:14.070 region:rollup2
I THINK AS YOU SUGGESTED.
03:00:12.001 --> 03:00:16.839 region:rollup2
MOST PEOPLE ACCESSING COMPLAINT
03:00:14.070 --> 03:00:19.409 region:rollup2
LINES ARE ENGLISH SPEAKING.
03:00:16.839 --> 03:00:20.643 region:rollup2
AND SO. YOU NEED TO TAKE A STEP
03:00:19.409 --> 03:00:22.111 region:rollup2
BACK FROM YOU MIGHT HAVE THE
03:00:20.643 --> 03:00:23.613 region:rollup2
CAPACITY.
03:00:22.111 --> 03:00:24.447 region:rollup2
TO PROVIDE INTERPRETATION.
03:00:23.613 --> 03:00:26.649 region:rollup2
BUT.
03:00:24.447 --> 03:00:28.985 region:rollup2
IT'S
03:00:26.649 --> 03:00:30.186 region:rollup2
IT'S REACHING THE COMMUNITY.
03:00:28.985 --> 03:00:32.088 region:rollup2
I'M WITH INFORMATION THAT.
03:00:30.186 --> 03:00:34.257 region:rollup2
THERE IS.
03:00:32.088 --> 03:00:35.925 region:rollup2
A MULTI LINGUAL SERVICE
03:00:34.257 --> 03:00:37.894 region:rollup2
AVAILABLE COULD YOU COMMENT AS
03:00:35.925 --> 03:00:39.429 region:rollup2
TO HOW. THAT INFORMATION GETS TO
03:00:37.894 --> 03:00:43.599 region:rollup2
A COVERED.
03:00:39.429 --> 03:00:45.635 region:rollup2
PATIENT SO THAT THEY KNOW THAT.
03:00:43.599 --> 03:00:47.036 region:rollup2
THERE'S LANGUAGE CAPACITY.
03:00:45.635 --> 03:00:48.571 region:rollup2
MANY NON ENGLISH SPEAKERS
03:00:47.036 --> 03:00:50.740 region:rollup2
RELYING ON.
03:00:48.571 --> 03:00:54.043 region:rollup2
COMMUNITY NAVIGATORS THROUGH
03:00:50.740 --> 03:00:55.745 region:rollup2
LEGAL SERVICES OR. A.
03:00:54.043 --> 03:00:58.047 region:rollup2
CAN I JUST AN INFORMAL.
03:00:55.745 --> 03:01:00.249 region:rollup2
PROMONTORY IN THE COMMUNITY BUT
03:00:58.047 --> 03:01:01.984 region:rollup2
HOW ARE YOU TRYING TO GET WORD
03:01:00.249 --> 03:01:04.220 region:rollup2
TO THE COVERED.
03:01:01.984 --> 03:01:06.322 region:rollup2
PATIENT COMMUNITIES IT.
03:01:04.220 --> 03:01:08.991 region:rollup2
THERE IS LANGUAGE A CAPACITY AT
03:01:06.322 --> 03:01:10.893 region:rollup2
THE OTHER END.
03:01:08.991 --> 03:01:12.295 region:rollup2
YOU ARE SO WE DO HAVE.
03:01:10.893 --> 03:01:13.563 region:rollup2
NEW FEDERAL REQUIREMENTS THAT
03:01:12.295 --> 03:01:15.565 region:rollup2
WERE PUT INTO PLACE THAT WE HAVE
03:01:13.563 --> 03:01:16.733 region:rollup2
IMPLEMENTED AND THAT DO REQUIRE
03:01:15.565 --> 03:01:20.903 region:rollup2
US TO INCLUDE I BELIEVE IT'S
03:01:16.733 --> 03:01:23.172 region:rollup2
SIXTEEN DIFFERENT TACK.
03:01:20.903 --> 03:01:23.806 region:rollup2
TO ARE BENEFICIARIES SO IF OF
03:01:23.172 --> 03:01:26.008 region:rollup2
FOR EXAMPLE.
03:01:23.806 --> 03:01:27.777 region:rollup2
AND LET A LETTERS MAILED IN
03:01:26.008 --> 03:01:29.812 region:rollup2
ENGLISH BUT THE INDIVIDUAL DOES
03:01:27.777 --> 03:01:31.180 region:rollup2
NOT SPEAK OR READ ENGLISH THAN
03:01:29.812 --> 03:01:32.715 region:rollup2
THAT INFORMATION. IS INCLUDED IN
03:01:31.180 --> 03:01:33.382 region:rollup2
THE TAG LINE THAT LETS THEM KNOW
03:01:32.715 --> 03:01:34.817 region:rollup2
WHO THEY NEED TO CALL
03:01:33.382 --> 03:01:36.052 region:rollup2
ACT AND HOW THEY CAN GET THAT
03:01:34.817 --> 03:01:38.755 region:rollup2
INFORMATION IN THEIR LANGUAGE
03:01:36.052 --> 03:01:39.789 region:rollup2
THAT THEY MAY READ OR SPEAK.
03:01:38.755 --> 03:01:41.591 region:rollup2
AND THAT WOULD ADD TO THAT.
03:01:39.789 --> 03:01:43.059 region:rollup2
WHEN YOU WERE TALKING ABOUT THE
03:01:41.591 --> 03:01:44.894 region:rollup2
BOOTS ON THE GROUND KIND OF THAT
03:01:43.059 --> 03:01:46.095 region:rollup2
LOCAL COMMUNITY WE DID IT WE DO
03:01:44.894 --> 03:01:48.297 region:rollup2
HAVE THE CONSUMER ASSISTANCE
03:01:46.095 --> 03:01:49.565 region:rollup2
PROGRAM THAT WE SUPPORT IT WAS.
03:01:48.297 --> 03:01:51.367 region:rollup2
A DISCUSSED EARLIER IN THE
03:01:49.565 --> 03:01:53.302 region:rollup2
CONSUMER PAPA PROPOSAL RELATED
03:01:51.367 --> 03:01:55.171 region:rollup2
TO OUR BUDGET WHERE WE HAVE
03:01:53.302 --> 03:01:56.272 region:rollup2
CONTRACTS WITH THAT IS THAT
03:01:55.171 --> 03:01:57.840 region:rollup2
CURRENTLY THE COMPETITIVELY BID
03:01:56.272 --> 03:01:58.741 region:rollup2
BUT THE CRIME.
03:01:57.840 --> 03:02:00.676 region:rollup2
BASICALLY THE LEGAL AID
03:01:58.741 --> 03:02:01.077 region:rollup2
ORGANIZATIONS ARE OUT HOW.
03:02:00.676 --> 03:02:02.779 region:rollup2
THROUGH.
03:02:01.077 --> 03:02:03.980 region:rollup2
DOES HEALTH CONSUMER ALLIANCE
03:02:02.779 --> 03:02:04.781 region:rollup2
TO DO OUTREACH IN THE LOCAL
03:02:03.980 --> 03:02:07.683 region:rollup2
COMMUNITY.
03:02:04.781 --> 03:02:08.718 region:rollup2
WE HAVE A HEAVY FOCUS ON A.
03:02:07.683 --> 03:02:09.452 region:rollup2
LANGUAGE BECAUSE OF THE LOW
03:02:08.718 --> 03:02:10.119 region:rollup2
CONTACT RATE OF THOSE THAT ARE
03:02:09.452 --> 03:02:12.255 region:rollup2
NOT PART.
03:02:10.119 --> 03:02:13.589 region:rollup2
SPEAKERS.
03:02:12.255 --> 03:02:16.025 region:rollup2
I KNOW THE OFFICE OF PATIENT
03:02:13.589 --> 03:02:17.727 region:rollup2
ADVOCATE IS ONE PORTAL.
03:02:16.025 --> 03:02:19.162 region:rollup2
I'M IN YOU ALSO RECEIVE BECAUSE
03:02:17.727 --> 03:02:23.733 region:rollup2
DIRECTLY.
03:02:19.162 --> 03:02:25.668 region:rollup2
A TEAR AGENCIES ON.
03:02:23.733 --> 03:02:27.270 region:rollup2
IS THERE AGGREGATED DATA THAT
03:02:25.668 --> 03:02:28.104 region:rollup2
YOU CAN SHARE WITH US THAT SHOW
03:02:27.270 --> 03:02:29.839 region:rollup2
THE NUMBER.
03:02:28.104 --> 03:02:30.406 region:rollup2
TOTAL NUMBER OF.
03:02:29.839 --> 03:02:32.608 region:rollup2
COMPLAINING COURSEWORK CAME
03:02:30.406 --> 03:02:35.211 region:rollup2
INTO.
03:02:32.608 --> 03:02:37.146 region:rollup2
OFFICE PATIENT ADVOCATE DIRECTLY
03:02:35.211 --> 03:02:39.015 region:rollup2
THE. DAMAGE SEEING I'M IN HAVE
03:02:37.146 --> 03:02:41.017 region:rollup2
YOU SHARE INFORMATION WITH EACH
03:02:39.015 --> 03:02:43.252 region:rollup2
OTHER PARTLY SO I WILL SAY THAT.
03:02:41.017 --> 03:02:45.154 region:rollup2
I'M NOT IS INTIMATELY FAMILIAR
03:02:43.252 --> 03:02:45.755 region:rollup2
WITH THE OFFICE THE PATIENT
03:02:45.154 --> 03:02:45.988 region:rollup2
ADVOCATE IS COLLECTING ALL OF
03:02:45.755 --> 03:02:48.958 region:rollup2
THE COME
03:02:45.988 --> 03:02:49.692 region:rollup2
DATA FROM.
03:02:48.958 --> 03:02:50.760 region:rollup2
THE TWO THAT ARE REPRESENTED
03:02:49.692 --> 03:02:52.128 region:rollup2
BEFORE YOU WAS WAS THAT
03:02:50.760 --> 03:02:53.696 region:rollup2
CALIFORNIA DEPARTMENT OF
03:02:52.128 --> 03:02:55.364 region:rollup2
INSURANCE AND COVER CALIFORNIA
03:02:53.696 --> 03:02:56.499 region:rollup2
AND AGGREGATING ALL OF THAT
03:02:55.364 --> 03:02:57.867 region:rollup2
INFORMATION INTO AN ANNUAL
03:02:56.499 --> 03:02:59.669 region:rollup2
REPORT IT DOES NOT GET TO THE
03:02:57.867 --> 03:03:01.304 region:rollup2
GROUND YOUR LEVEL OF LIKE. DID
03:02:59.669 --> 03:03:02.605 region:rollup2
THEY CALL THE DAMAGE THE FIRST
03:03:01.304 --> 03:03:03.539 region:rollup2
AND THEN WE REALIZED IT WAS A
03:03:02.605 --> 03:03:05.575 region:rollup2
COUNTY ORGANIZED HEALTH SYSTEM
03:03:03.539 --> 03:03:07.443 region:rollup2
PLAN SO WE WARM TRANSFERRED OVER
03:03:05.575 --> 03:03:09.145 region:rollup2
TO THAT IT DOESN'T IT DOESN'T
03:03:07.443 --> 03:03:10.847 region:rollup2
GET DOWN TO THAT GRANULARITY.
03:03:09.145 --> 03:03:11.914 region:rollup2
WE CAN CERTAINLY THE SEEN OUR
03:03:10.847 --> 03:03:13.783 region:rollup2
OWN DATA FOR THOSE THAT ARE
03:03:11.914 --> 03:03:15.051 region:rollup2
CONTACTING US.
03:03:13.783 --> 03:03:16.486 region:rollup2
DID THE CONTACT US DIRECTLY WAS
03:03:15.051 --> 03:03:18.821 region:rollup2
A WARM TRANSFER FROM SOMEWHERE
03:03:16.486 --> 03:03:19.956 region:rollup2
ELSE DID WE WARM TRANSFER IT TO
03:03:18.821 --> 03:03:21.190 region:rollup2
ANOTHER LOCATIONS WE NAY ASSUME
03:03:19.956 --> 03:03:24.961 region:rollup2
THAT.
03:03:21.190 --> 03:03:26.295 region:rollup2
DATA WOULD INCLUDE IF IT WAS A
03:03:24.961 --> 03:03:27.630 region:rollup2
LANGUAGE OTHER THAN ENGLISH WE
03:03:26.295 --> 03:03:28.497 region:rollup2
CAPTURE ON EVERY SINGLE PHONE
03:03:27.630 --> 03:03:29.899 region:rollup2
CALL IN EVERY SINGLE
03:03:28.497 --> 03:03:31.701 region:rollup2
COMMUNICATION THAT WE HAVE THE
03:03:29.899 --> 03:03:32.268 region:rollup2
PREFERRED LANGUAGE OF THE
03:03:31.701 --> 03:03:33.736 region:rollup2
INDIVIDUAL WERE INTERFACING
03:03:32.268 --> 03:03:35.037 region:rollup2
WITH.
03:03:33.736 --> 03:03:37.440 region:rollup2
WE SIMILARLY HAVE THE SAME
03:03:35.037 --> 03:03:39.275 region:rollup2
PROCESS IN PLACE.
03:03:37.440 --> 03:03:40.910 region:rollup2
THANK YOU BUT IT IS OH PA THAT'S
03:03:39.275 --> 03:03:41.344 region:rollup2
KIND OF PULLING THAT ALTOGETHER
03:03:40.910 --> 03:03:42.979 region:rollup2
FROM ALL THE. AGENTS
03:03:41.344 --> 03:03:59.128 region:rollup2
AGGREGATING.
03:03:42.979 --> 03:03:59.128 region:rollup2
THANK YOU
03:04:07.770 --> 03:04:09.438 region:rollup2
.
03:04:07.904 --> 03:04:10.940 region:rollup2
BOB SO THE OTHER THING CAME UP
03:04:09.438 --> 03:04:12.775 region:rollup2
PUBLIC COMMENT BEING A
03:04:10.940 --> 03:04:15.811 region:rollup2
PEDIATRICIAN I HAVE TO ASK. OF
03:04:12.775 --> 03:04:17.613 region:rollup2
KIDS SO THIS AGGREGATING BY AGE
03:04:15.811 --> 03:04:18.114 region:rollup2
SO THAT WE CAN THAT A FIRE
03:04:17.613 --> 03:04:19.682 region:rollup2
SPECIFICALLY ACCESS FOR
03:04:18.114 --> 03:04:21.284 region:rollup2
PEDIATRICS.
03:04:19.682 --> 03:04:23.019 region:rollup2
IT'S SO IT IS A REQUIREMENT IN
03:04:21.284 --> 03:04:24.220 region:rollup2
THE MANAGE CARE FINAL RULE AND
03:04:23.019 --> 03:04:25.755 region:rollup2
IN AB TWO OH FIVE THAT WE DO TO
03:04:24.220 --> 03:04:27.189 region:rollup2
SEGREGATE BY.
03:04:25.755 --> 03:04:28.791 region:rollup2
PEDIATRIC AND ADULT FOR
03:04:27.189 --> 03:04:29.659 region:rollup2
SPECIALTY CARE IN PRIMARY CARE
03:04:28.791 --> 03:04:30.893 region:rollup2
SO THAT IS SOMETHING THAT THE
03:04:29.659 --> 03:04:32.662 region:rollup2
DEPARTMENT HEALTHCARE SERVICES
03:04:30.893 --> 03:04:35.131 region:rollup2
WILL BE ENGAGING AND EFFECTIVE
03:04:32.662 --> 03:04:37.400 region:rollup2
JULY ONE.
03:04:35.131 --> 03:04:38.601 region:rollup2
BUT STILL I GUESS THIS JULY ONE
03:04:37.400 --> 03:04:39.835 region:rollup2
TWENTY EIGHTEEN CRACK THANK YOU.
03:04:38.601 --> 03:04:41.337 region:rollup2
I THINK IN IN OUR TIGHTLY ACCESS
03:04:39.835 --> 03:04:43.306 region:rollup2
SURVEY WE DO IDENTIFY CERTAIN
03:04:41.337 --> 03:04:44.507 region:rollup2
SPECIALTY TYPES THAT BOMB LIKE
03:04:43.306 --> 03:04:46.342 region:rollup2
PEDIATRICIAN THAT ARE
03:04:44.507 --> 03:04:48.878 region:rollup2
SPECIFICALLY TOWARDS KIDS FOR
03:04:46.342 --> 03:04:49.779 region:rollup2
PROVIDER TYPES THAT SERVED BOTH
03:04:48.878 --> 03:04:50.012 region:rollup2
IT'S MUCH MORE DIFFICULT FOR.
03:04:49.779 --> 03:04:51.547 region:rollup2
TWO ON.
03:04:50.012 --> 03:04:52.915 region:rollup2
NO
03:04:51.547 --> 03:04:54.183 region:rollup2
WHETHER NOT THERE'S A SPECIFIC
03:04:52.915 --> 03:04:55.351 region:rollup2
PEDIATRIC ISSUE BUT FOR THE
03:04:54.183 --> 03:04:57.353 region:rollup2
SPECIALTY TYPES WHERE THEY
03:04:55.351 --> 03:04:57.920 region:rollup2
SPECIFICALLY HAVE A PEDIATRIC
03:04:57.353 --> 03:04:58.988 region:rollup2
SUBSPECIALTY OF WHATEVER THE
03:04:57.920 --> 03:05:00.623 region:rollup2
SPECIAL
03:04:58.988 --> 03:05:01.857 region:rollup2
THE TYPE IS THEN WE CAN CAPTURE
03:05:00.623 --> 03:05:02.725 region:rollup2
THAT BUT IT'S HARDER WHEN WE'RE
03:05:01.857 --> 03:05:04.026 region:rollup2
DEALING WITH PROVIDERS THAT DEAL
03:05:02.725 --> 03:05:06.462 region:rollup2
WITH BOTH.
03:05:04.026 --> 03:05:08.230 region:rollup2
ADULTS AND JUVENILES WAS AN
03:05:06.462 --> 03:05:10.566 region:rollup2
EXPERT PEDIATRIC WORKFORCE I CAN
03:05:08.230 --> 03:05:13.169 region:rollup2
GIVE YOU SOME ADVICE THEY'RE I
03:05:10.566 --> 03:05:14.537 region:rollup2
WOULD LOVE IT. OKAY.
03:05:13.169 --> 03:05:16.439 region:rollup2
BECAUSE THE UNDER CERTAIN
03:05:14.537 --> 03:05:17.873 region:rollup2
CONDITIONS IT BY SOME THAT
03:05:16.439 --> 03:05:19.609 region:rollup2
ADULTS CAN TAKE CARE OF BUT
03:05:17.873 --> 03:05:20.376 region:rollup2
COSTS CERTAIN ONES YOU HAVE TO
03:05:19.609 --> 03:05:22.011 region:rollup2
HAVE A PEDIATRIC.
03:05:20.376 --> 03:05:22.812 region:rollup2
SPECIALIST.
03:05:22.011 --> 03:05:24.380 region:rollup2
AND WORKED ON.
03:05:22.812 --> 03:05:26.649 region:rollup2
OKAY.
03:05:24.380 --> 03:05:27.817 region:rollup2
ANYTHING ON.
03:05:26.649 --> 03:05:28.618 region:rollup2
OKAY SO I THINK.
03:05:27.817 --> 03:05:31.020 region:rollup2
THAT.
03:05:28.618 --> 03:05:32.888 region:rollup2
.
03:05:31.020 --> 03:05:34.323 region:rollup2
PEPCID. THIS.
03:05:32.888 --> 03:05:35.958 region:rollup2
I AM OVERSIGHT ITEM.
03:05:34.323 --> 03:05:36.459 region:rollup2
SO WHAT WE'RE GOING TO TO
03:05:35.958 --> 03:05:38.861 region:rollup2
ACTUALLY.
03:05:36.459 --> 03:05:40.930 region:rollup2
IS IS THAT SO I THINK WE'RE.
03:05:38.861 --> 03:05:42.164 region:rollup2
DOWN THE MEAT SEE WE HAVE SOME
03:05:40.930 --> 03:05:44.133 region:rollup2
STUFF WE NEED TO FOLLOW UP ON
03:05:42.164 --> 03:05:44.667 region:rollup2
AND US SO I LOOK FORWARD TO
03:05:44.133 --> 03:05:46.669 region:rollup2
GETTING THE INFORMATION.
03:05:44.667 --> 03:05:47.036 region:rollup2
.
03:05:46.669 --> 03:05:49.005 region:rollup2
AND.
03:05:47.036 --> 03:05:50.373 region:rollup2
I THINK. WHAT WE'RE GOING TO DO
03:05:49.005 --> 03:05:53.275 region:rollup2
IS SO WE'RE GOING TO ACTUALLY
03:05:50.373 --> 03:05:55.544 region:rollup2
SKIP TO DEMAND SEE ISSUE NUMBER
03:05:53.275 --> 03:05:56.412 region:rollup2
NINE BECAUSE AND BECAUSE IT
03:05:55.544 --> 03:05:57.880 region:rollup2
DEALS WITH MANAGED CARE SO
03:05:56.412 --> 03:05:59.215 region:rollup2
FIGURE JUST THAT WAY WE GET THAT
03:05:57.880 --> 03:06:01.584 region:rollup2
OUT THE WAY AND THEN WILL FLIP
03:05:59.215 --> 03:06:01.784 region:rollup2
OVER TO THE? OVER SEVENTY EIGHT
03:06:01.584 --> 03:06:05.921 region:rollup2
CSI.
03:06:01.784 --> 03:06:07.189 region:rollup2
SO.
03:06:05.921 --> 03:06:08.657 region:rollup2
NUMBER SEVEN OLYMPIC NUMBER
03:06:07.189 --> 03:06:08.858 region:rollup2
SEVEN START THAT HAS TO DO WITH
03:06:08.657 --> 03:06:11.160 region:rollup2
THE.
03:06:08.858 --> 03:06:11.827 region:rollup2
IMPLEMENTATION OF THEM FEDERAL
03:06:11.160 --> 03:06:13.929 region:rollup2
MANAGED CARE REGULATIONS.
03:06:11.827 --> 03:06:15.531 region:rollup2
.
03:06:13.929 --> 03:06:20.669 region:rollup2
SELL IT WILL GO BACK AND DO THE
03:06:15.531 --> 03:06:22.371 region:rollup2
OVERVIEW BECAUSE.
03:06:20.669 --> 03:06:23.906 region:rollup2
SUCH AS ALL SINCE THESE ALL HAVE
03:06:22.371 --> 03:06:26.208 region:rollup2
TO DEAL WITH TIMELY AT A GUESS
03:06:23.906 --> 03:06:28.344 region:rollup2
ACCESS STANDARDS.
03:06:26.208 --> 03:06:30.312 region:rollup2
ALRIGHT SO I KNOW WE HAVE A FEW
03:06:28.344 --> 03:06:31.947 region:rollup2
PEOPLE AROUND THE TABLE SOLD
03:06:30.312 --> 03:06:34.116 region:rollup2
JUST THAT QUICKLY DO THE
03:06:31.947 --> 03:06:37.086 region:rollup2
ROUNDABOUT INTRO AND THEN.
03:06:34.116 --> 03:06:39.021 region:rollup2
WILL GO INTO ISSUE NUMBER SEVEN
03:06:37.086 --> 03:06:39.488 region:rollup2
RELATED TO THIS APARTMENT OF.
03:06:39.021 --> 03:06:42.258 region:rollup2
HEALTH CARE SERVICES.
03:06:39.488 --> 03:06:44.794 region:rollup2
NOW.
03:06:42.258 --> 03:06:46.629 region:rollup2
THE AGENCY OUR.
03:06:44.794 --> 03:06:47.530 region:rollup2
H. AGENCY OF SORRY WE'RE JUST
03:06:46.629 --> 03:06:48.964 region:rollup2
GOING AROUND OUT IN INTRODUCTION
03:06:47.530 --> 03:06:49.899 region:rollup2
CN. THEN FOR KENT PARK AND
03:06:48.964 --> 03:06:52.001 region:rollup2
HEALTH CARE SERVICES IF YOU ARE
03:06:49.899 --> 03:06:53.302 region:rollup2
BROOKS DEPARTMENT OF HEALTH CARE
03:06:52.001 --> 03:06:55.137 region:rollup2
SERVICES ALEJO.
03:06:53.302 --> 03:06:55.838 region:rollup2
BRENT METZ CARRILLO.
03:06:55.137 --> 03:06:57.840 region:rollup2
BRIAN WAS THE LA ON.
03:06:55.838 --> 03:06:59.909 region:rollup2
FINANCE.
03:06:57.840 --> 03:07:01.077 region:rollup2
DISCUSSING HIS FINANCE.
03:06:59.909 --> 03:07:02.645 region:rollup2
WELL ABOVE MONDAY BECAUSE
03:07:01.077 --> 03:07:03.179 region:rollup2
FINANCE THANK YOU ALL RIGHT SO
03:07:02.645 --> 03:07:04.780 region:rollup2
WE PRESENT ON ISSUE NUMBER
03:07:03.179 --> 03:07:07.383 region:rollup2
SEVEN.
03:07:04.780 --> 03:07:07.883 region:rollup2
RANKS THE FEDERAL MATCH CARE
03:07:07.383 --> 03:07:09.185 region:rollup2
REGULATION OF PETITIONS
03:07:07.883 --> 03:07:09.719 region:rollup2
THINKING.
03:07:09.185 --> 03:07:11.887 region:rollup2
SURE SO.
03:07:09.719 --> 03:07:13.456 region:rollup2
THE PREVIOUS CONVERSATION LEADS
03:07:11.887 --> 03:07:15.157 region:rollup2
RIGHT INTO THIS AND THAT WE ARE
03:07:13.456 --> 03:07:15.858 region:rollup2
REQUESTING ONGOING EXTENSION FOR
03:07:15.157 --> 03:07:18.160 region:rollup2
NINE.
03:07:15.858 --> 03:07:19.462 region:rollup2
LIMITED FOR TERM POSITIONS WITH
03:07:18.160 --> 03:07:20.963 region:rollup2
AN EXPENDITURE AUTHORITY OF
03:07:19.462 --> 03:07:22.798 region:rollup2
APPROXIMATELY ONE AND A HALF
03:07:20.963 --> 03:07:24.533 region:rollup2
MILLION DOLLARS GENERAL FUND AND
03:07:22.798 --> 03:07:27.103 region:rollup2
MATCHING FEDERAL FUNDS.
03:07:24.533 --> 03:07:28.704 region:rollup2
THESE ARE POSITIONS THAT ARE.
03:07:27.103 --> 03:07:30.106 region:rollup2
GONNA CONTINUE TO HELP
03:07:28.704 --> 03:07:31.273 region:rollup2
IMPLEMENT SOME OF THE MANAGED
03:07:30.106 --> 03:07:33.342 region:rollup2
CARE RULES AND THEN WE HAVE
03:07:31.273 --> 03:07:36.178 region:rollup2
ADDITIONAL FUNDING REQUESTS FOR.
03:07:33.342 --> 03:07:38.514 region:rollup2
AN EXTERNAL QUALITY REVIEW FIVE
03:07:36.178 --> 03:07:39.482 region:rollup2
CONTRACT SO THAT WE CAN HAVE AND
03:07:38.514 --> 03:07:40.049 region:rollup2
SOME OF THOSE.
03:07:39.482 --> 03:07:46.722 region:rollup2
REQUIREMENTS BUT COMING FROM
03:07:40.049 --> 03:07:50.726 region:rollup2
ELIOT.
03:07:46.722 --> 03:07:51.827 region:rollup2
FINANCE.
03:07:50.726 --> 03:07:54.029 region:rollup2
DEPARTMENT FINANCE SUPPORTS THIS
03:07:51.827 --> 03:07:56.031 region:rollup2
PROPOSAL BELIEVE THESE RESOURCES
03:07:54.029 --> 03:07:57.600 region:rollup2
ARE APPROPRIATE FOR THE OUR WORK
03:07:56.031 --> 03:07:58.801 region:rollup2
FORCE NEEDED TO CONTINUE THE.
03:07:57.600 --> 03:08:00.669 region:rollup2
EFFECTIVE EFFICIENT
03:07:58.801 --> 03:08:01.771 region:rollup2
IMPLEMENTATION OF THE FEDERAL
03:08:00.669 --> 03:08:04.006 region:rollup2
MANAGED CARE REGULATION THANK
03:08:01.771 --> 03:08:08.144 region:rollup2
YOU. THANK YOU. ARE QUESTIONS
03:08:04.006 --> 03:08:12.114 region:rollup2
FROM COMMITTEE MEMBERS.
03:08:08.144 --> 03:08:13.449 region:rollup2
OUR PUBLIC COMMENT ON THIS ITEM.
03:08:12.114 --> 03:08:14.950 region:rollup2
SEEING NONE ALRIGHT SO.
03:08:13.449 --> 03:08:17.720 region:rollup2
.
03:08:14.950 --> 03:08:19.321 region:rollup2
SO WE WERE GOING TO.
03:08:17.720 --> 03:08:21.323 region:rollup2
HOLD THAT OPEN.
03:08:19.321 --> 03:08:23.058 region:rollup2
BUT THAT CERTAINLY AND WE WANT
03:08:21.323 --> 03:08:25.427 region:rollup2
TO BE SURE THAT. YOU KNOW THAT
03:08:23.058 --> 03:08:25.961 region:rollup2
THERE'S A STAFF NEEDED TO
03:08:25.427 --> 03:08:28.898 region:rollup2
COOPERATE THOSE CHANGES.
03:08:25.961 --> 03:08:30.332 region:rollup2
.
03:08:28.898 --> 03:08:32.568 region:rollup2
BUT I THINK CERTAINLY AS THE
03:08:30.332 --> 03:08:33.836 region:rollup2
VOTE SINCE MY DISTRICT IS A AT
03:08:32.568 --> 03:08:35.471 region:rollup2
WHAT ONE THE COUNTIES MIGHT.
03:08:33.836 --> 03:08:36.739 region:rollup2
IS A IG.
03:08:35.471 --> 03:08:37.807 region:rollup2
THE I I HOPE WE CAN HAVE A FOR
03:08:36.739 --> 03:08:39.575 region:rollup2
THE DIALOGUE ABOUT.
03:08:37.807 --> 03:08:41.143 region:rollup2
THE.
03:08:39.575 --> 03:08:43.212 region:rollup2
OBVIOUSLY THIS WILL IMPACT BUT
03:08:41.143 --> 03:08:44.180 region:rollup2
ALSO GIVEN THE STATE'S ROLE FOR
03:08:43.212 --> 03:08:45.514 region:rollup2
OUR GEOGRAPHIC WHICH WILL
03:08:44.180 --> 03:08:47.049 region:rollup2
DIFFERENT THAN SOME BECAUSE
03:08:45.514 --> 03:08:47.416 region:rollup2
COUNTIES AND SO FORTH.
03:08:47.049 --> 03:08:50.252 region:rollup2
AROUND.
03:08:47.416 --> 03:08:50.553 region:rollup2
WHO'D WHO'S RESPONSIBLE FOR
03:08:50.252 --> 03:08:52.087 region:rollup2
OVERSEEING.
03:08:50.553 --> 03:08:53.722 region:rollup2
.
03:08:52.087 --> 03:08:55.491 region:rollup2
MEDI CAL OVERALL AND IN
03:08:53.722 --> 03:08:57.092 region:rollup2
SACRAMENTO COUNTY AND WE HAVE
03:08:55.491 --> 03:08:58.527 region:rollup2
SEVEN PLANS AND SEVEN INDIVIDUAL
03:08:57.092 --> 03:09:01.997 region:rollup2
PLANS BUT.
03:08:58.527 --> 03:09:04.400 region:rollup2
WE NEED MORE COMPREHENSIVE.
03:09:01.997 --> 03:09:06.135 region:rollup2
YEAH. WE NEED TO HAVE SOME
03:09:04.400 --> 03:09:07.469 region:rollup2
DIRECTIONS THAT WE CAN ACTUALLY.
03:09:06.135 --> 03:09:09.972 region:rollup2
MAKE A MEDICAL SYSTEM WORK
03:09:07.469 --> 03:09:11.640 region:rollup2
BETTER NEBULOUS SO. THAT THAT'S
03:09:09.972 --> 03:09:13.342 region:rollup2
NOT TOTALLY RELATE TO THAT
03:09:11.640 --> 03:09:14.276 region:rollup2
FEDERAL BUT SOME OF THE SUBTLE
03:09:13.342 --> 03:09:16.779 region:rollup2
STUFF MAY IMPACT AS WELL.
03:09:14.276 --> 03:09:18.480 region:rollup2
SO APPRECIATE YOUR HELP THERE.
03:09:16.779 --> 03:09:20.049 region:rollup2
OKAY SO WITH THAT WE'RE GOING TO
03:09:18.480 --> 03:09:22.084 region:rollup2
HOLD THAT ITEM OPEN AND WE'RE
03:09:20.049 --> 03:09:22.651 region:rollup2
GOING TO GO BACK TO ITEM NUMBER
03:09:22.084 --> 03:09:26.088 region:rollup2
ONE THE OVERVIEW.
03:09:22.651 --> 03:09:27.489 region:rollup2
SELF.
03:09:26.088 --> 03:09:28.958 region:rollup2
RIGHT CONSIDERABLE SAME PEOPLE
03:09:27.489 --> 03:09:29.892 region:rollup2
AT THE TABLE WHAT'S GOING TO
03:09:28.958 --> 03:09:31.894 region:rollup2
BEGIN THE INTERVIEW.
03:09:29.892 --> 03:09:33.829 region:rollup2
SO AND THINK YOU VERY MUCH.
03:09:31.894 --> 03:09:35.798 region:rollup2
SO THE GOVERNOR'S BUDGET IS
03:09:33.829 --> 03:09:36.932 region:rollup2
PROPOSING FOR A TOTAL OF A
03:09:35.798 --> 03:09:38.734 region:rollup2
HUNDRED AND FOUR POINT FIVE
03:09:36.932 --> 03:09:39.902 region:rollup2
BILLION DOLLARS FOR THE SUPPORT
03:09:38.734 --> 03:09:41.704 region:rollup2
OF THE DEPARTMENT.
03:09:39.902 --> 03:09:42.972 region:rollup2
APPROXIMATELY TWENTY ONE POINT
03:09:41.704 --> 03:09:44.940 region:rollup2
NINE BILLION A STATE GENERAL
03:09:42.972 --> 03:09:46.308 region:rollup2
FUND SIXTY SEVEN POINT NINE
03:09:44.940 --> 03:09:47.910 region:rollup2
BILLION IS FEDERAL FUNDS AND
03:09:46.308 --> 03:09:49.378 region:rollup2
FOURTEEN POINT EIGHT BILLION IS
03:09:47.910 --> 03:09:50.946 region:rollup2
IN SPECIAL FUNDS.
03:09:49.378 --> 03:09:52.781 region:rollup2
OBVIOUSLY A SIGNIFICANT.
03:09:50.946 --> 03:09:54.250 region:rollup2
PORTION OF THAT IS RELATED
03:09:52.781 --> 03:09:54.817 region:rollup2
DIRECTLY TO THE MEDICAL PROGRAM
03:09:54.250 --> 03:09:56.385 region:rollup2
BUT THOSE.
03:09:54.817 --> 03:09:57.720 region:rollup2
NUMBERS IN WHICH I JUST
03:09:56.385 --> 03:09:59.588 region:rollup2
MENTIONED ALSO INCLUDE SOME OF
03:09:57.720 --> 03:10:02.324 region:rollup2
THE OTHER SMALLER PROGRAMS THAT
03:09:59.588 --> 03:10:04.593 region:rollup2
WE OFFER I'M IN CALIFORNIA SUCH
03:10:02.324 --> 03:10:05.761 region:rollup2
A CCS G. HPP. SOME OF THOSE.
03:10:04.593 --> 03:10:07.429 region:rollup2
.
03:10:05.761 --> 03:10:08.364 region:rollup2
NOTABLE CHANGES IN THE
03:10:07.429 --> 03:10:09.765 region:rollup2
GOVERNOR'S BUDGET OR.
03:10:08.364 --> 03:10:11.333 region:rollup2
INITIATIVES.
03:10:09.765 --> 03:10:12.368 region:rollup2
I WILL START FIRST WITH
03:10:11.333 --> 03:10:14.003 region:rollup2
CASELOAD FROM THE STANDPOINT
03:10:12.368 --> 03:10:16.238 region:rollup2
THAT WE'RE PROPOSING.
03:10:14.003 --> 03:10:17.740 region:rollup2
AND SEEN THAT WE EXPECT ABOUT
03:10:16.238 --> 03:10:20.009 region:rollup2
THIRTEEN AND A HALF MILLION I
03:10:17.740 --> 03:10:21.277 region:rollup2
CALIFORNIANS WILL BE ON THE
03:10:20.009 --> 03:10:22.378 region:rollup2
PROGRAM.
03:10:21.277 --> 03:10:22.912 region:rollup2
WHICH MEANS WERE ESSENTIALLY
03:10:22.378 --> 03:10:24.813 region:rollup2
KIND OF AT A FLAT
03:10:22.912 --> 03:10:26.849 region:rollup2
GROWTH AND THERE HAVE BEEN SOME
03:10:24.813 --> 03:10:29.318 region:rollup2
CHANGES IN INCREASES IN THE A CA
03:10:26.849 --> 03:10:30.085 region:rollup2
OPTIONAL EXPANSION POPULATION.
03:10:29.318 --> 03:10:31.553 region:rollup2
AS WELL AS AND SENIORS AND
03:10:30.085 --> 03:10:33.455 region:rollup2
PERSONS WITH DISABILITIES BUT WE
03:10:31.553 --> 03:10:34.056 region:rollup2
CONTINUE TO SEE DECREASES AND
03:10:33.455 --> 03:10:35.057 region:rollup2
THE FAMILY AND CHILDREN EIGHT
03:10:34.056 --> 03:10:37.059 region:rollup2
CODES.
03:10:35.057 --> 03:10:39.295 region:rollup2
I WOULD SAY YOU KNOW GIVEN THAT.
03:10:37.059 --> 03:10:39.962 region:rollup2
LOW UNEMPLOYMENT RATE IN
03:10:39.295 --> 03:10:43.465 region:rollup2
CALIFORNIA I THINK THAT'S
03:10:39.962 --> 03:10:44.733 region:rollup2
PROBABLY ONE OF THE KEY REASONS
03:10:43.465 --> 03:10:46.035 region:rollup2
BUT AND YOU KNOW WE'RE
03:10:44.733 --> 03:10:47.636 region:rollup2
CONTINUING TO TRACK THAT BUT SEE
03:10:46.035 --> 03:10:49.338 region:rollup2
NOTE MAJOR CHANGES IN CASELOAD.
03:10:47.636 --> 03:10:50.406 region:rollup2
HOLDING ALL OTHER ON THINGS.
03:10:49.338 --> 03:10:52.508 region:rollup2
STEADY.
03:10:50.406 --> 03:10:54.243 region:rollup2
A.
03:10:52.508 --> 03:10:56.178 region:rollup2
IN THE PROPOSITION FIFTY SIX.
03:10:54.243 --> 03:10:57.947 region:rollup2
ALLOCATION FOR THE GOVERNOR'S
03:10:56.178 --> 03:10:59.148 region:rollup2
BUDGET THERE'S A ADDITIONAL TWO
03:10:57.947 --> 03:11:00.816 region:rollup2
HUNDRED AND THIRTY TWO MILLION
03:10:59.148 --> 03:11:03.152 region:rollup2
DOLLARS PROPOSED.
03:11:00.816 --> 03:11:04.620 region:rollup2
TO BE AND PROVIDED IN BOTH
03:11:03.152 --> 03:11:06.588 region:rollup2
POSITION AND DENTAL RATES WILL
03:11:04.620 --> 03:11:08.457 region:rollup2
BE OBVIOUSLY WORKING AND COMING
03:11:06.588 --> 03:11:08.724 region:rollup2
FORWARD WITH A MORE REFINEMENT
03:11:08.457 --> 03:11:10.092 region:rollup2
AND THAT.
03:11:08.724 --> 03:11:11.360 region:rollup2
IN THE MADE GOVERNOR'S ME
03:11:10.092 --> 03:11:12.728 region:rollup2
REVISION.
03:11:11.360 --> 03:11:14.263 region:rollup2
WE'RE ALSO PROPOSING A FIFTY
03:11:12.728 --> 03:11:15.798 region:rollup2
PERCENT RATE INCREASE AND HOME
03:11:14.263 --> 03:11:16.899 region:rollup2
HEALTH AGENCY RATES USING
03:11:15.798 --> 03:11:19.034 region:rollup2
PROPOSITION FIFTY
03:11:16.899 --> 03:11:20.569 region:rollup2
IT'S MONEY. THAT'S ABOUT SIXTY
03:11:19.034 --> 03:11:22.938 region:rollup2
FOUR AND A HALF MILLION DOLLARS
03:11:20.569 --> 03:11:24.106 region:rollup2
TOTAL FUNDS OF WHICH THIRTY ONE
03:11:22.938 --> 03:11:25.407 region:rollup2
WOULD BE ON PROPOSITION FIFTY
03:11:24.106 --> 03:11:26.842 region:rollup2
SIX.
03:11:25.407 --> 03:11:27.609 region:rollup2
I WOULD LIKE TO JUST MAKE SURE
03:11:26.842 --> 03:11:29.244 region:rollup2
THAT THE COMMITTEE.
03:11:27.609 --> 03:11:30.546 region:rollup2
UNDERSTANDS THAT THESE RATE
03:11:29.244 --> 03:11:31.880 region:rollup2
INCREASES ARE ONLY IN THE FEE
03:11:30.546 --> 03:11:33.215 region:rollup2
FOR SERVICE AND IN THE WAIVER
03:11:31.880 --> 03:11:34.850 region:rollup2
PROGRAMS THAT WE OPERATE NOT IN
03:11:33.215 --> 03:11:36.885 region:rollup2
MANAGED CARE.
03:11:34.850 --> 03:11:39.088 region:rollup2
WE ARE.
03:11:36.885 --> 03:11:40.689 region:rollup2
AS I SAID COULD BE PROVIDING AS
03:11:39.088 --> 03:11:42.224 region:rollup2
MUCH DETAIL AS WE CAN.
03:11:40.689 --> 03:11:43.759 region:rollup2
AROUND THIS PROPOSITION FIFTY
03:11:42.224 --> 03:11:44.259 region:rollup2
SIX SUPPLEMENTAL PAYMENTS ON
03:11:43.759 --> 03:11:45.461 region:rollup2
WITH THE GOVERNOR'S MAY
03:11:44.259 --> 03:11:47.329 region:rollup2
REVISION.
03:11:45.461 --> 03:11:49.298 region:rollup2
SPECIFICALLY WERE LOOKING AT
03:11:47.329 --> 03:11:51.033 region:rollup2
HOW THAT DATA IS COMING AND IN
03:11:49.298 --> 03:11:52.935 region:rollup2
TERMS OF UTILIZATION AND.
03:11:51.033 --> 03:11:54.169 region:rollup2
HOW THE PAYMENTS HAVE GONE OUT
03:11:52.935 --> 03:11:55.371 region:rollup2
TO THAT PROVIDERS WHETHER IT'S
03:11:54.169 --> 03:11:55.771 region:rollup2
CHANGED ANY KIND OF UTILIZATION
03:11:55.371 --> 03:11:57.806 region:rollup2
OR ACCESS?
03:11:55.771 --> 03:11:59.475 region:rollup2
?
03:11:57.806 --> 03:12:01.543 region:rollup2
CHIP FUNDING OF THE GOVERNOR'S
03:11:59.475 --> 03:12:02.611 region:rollup2
BUDGET WAS DONE AT A POINT IN
03:12:01.543 --> 03:12:03.912 region:rollup2
WHICH CONGRESS HAD NOT YET
03:12:02.611 --> 03:12:05.047 region:rollup2
REAUTHORIZE THE CHILDREN'S
03:12:03.912 --> 03:12:07.049 region:rollup2
HEALTH INSURANCE PROGRAM SO THEY
03:12:05.047 --> 03:12:08.751 region:rollup2
WILL BE AN ADJUSTMENT. IN MAY
03:12:07.049 --> 03:12:10.152 region:rollup2
AND TO ACCOUNT FOR THE FACT THAT
03:12:08.751 --> 03:12:11.387 region:rollup2
IT WAS REAUTHORIZED BUT I'D AND
03:12:10.152 --> 03:12:12.988 region:rollup2
EIGHTY EIGHT PERCENT.
03:12:11.387 --> 03:12:14.390 region:rollup2
I FEDERAL LEVEL AS OPPOSED TO
03:12:12.988 --> 03:12:16.024 region:rollup2
THE LEVEL THAT'S CURRENTLY
03:12:14.390 --> 03:12:17.860 region:rollup2
REFLECTED IN THE BUDGET AT AT
03:12:16.024 --> 03:12:19.528 region:rollup2
SIXTY FIVE SO FROM A GOOD NEWS
03:12:17.860 --> 03:12:20.562 region:rollup2
PERSPECTIVE. THEY REAUTHORIZED
03:12:19.528 --> 03:12:22.031 region:rollup2
THEY BOTH REAUTHORIZE THE
03:12:20.562 --> 03:12:24.967 region:rollup2
PROGRAM BUT THEY REAUTHORIZED AT
03:12:22.031 --> 03:12:26.368 region:rollup2
A HIGHER MATCHING I RATE WILL BE
03:12:24.967 --> 03:12:27.369 region:rollup2
ACCOUNTING FOR THAT AND THE MAY.
03:12:26.368 --> 03:12:28.837 region:rollup2
PROPOSAL.
03:12:27.369 --> 03:12:30.172 region:rollup2
THERE ARE SOME.
03:12:28.837 --> 03:12:31.540 region:rollup2
CHANGES.
03:12:30.172 --> 03:12:31.974 region:rollup2
THAT WE WOULD NO AND I THINK
03:12:31.540 --> 03:12:34.243 region:rollup2
YOU'RE.
03:12:31.974 --> 03:12:36.645 region:rollup2
STOPS RIGHT AT DID A VERY NICE
03:12:34.243 --> 03:12:38.981 region:rollup2
JOB OF ST AND WE'RE GONNA. WERE
03:12:36.645 --> 03:12:40.516 region:rollup2
PROPOSING RIGHT NOW AND THERE'S
03:12:38.981 --> 03:12:41.116 region:rollup2
ABOUT A HALF A BILLION DOLLARS
03:12:40.516 --> 03:12:43.452 region:rollup2
AND.
03:12:41.116 --> 03:12:44.686 region:rollup2
INCREASES IN SPENDING THAT WERE
03:12:43.452 --> 03:12:45.821 region:rollup2
NOT OTHERWISE ACCOUNTED FOR IN
03:12:44.686 --> 03:12:48.323 region:rollup2
THE ESTIMATE.
03:12:45.821 --> 03:12:50.325 region:rollup2
SUMMER AROUND MANAGED CARE I'D
03:12:48.323 --> 03:12:50.959 region:rollup2
CHANGES OF WHICH IS ABOUT THREE
03:12:50.325 --> 03:12:52.928 region:rollup2
HUNDRED AND TWENTY EIGHT MILLION
03:12:50.959 --> 03:12:54.563 region:rollup2
DOLLARS. THE BULK OF WHICH THESE
03:12:52.928 --> 03:12:55.497 region:rollup2
ARE INDIVIDUALS.
03:12:54.563 --> 03:12:57.433 region:rollup2
.
03:12:55.497 --> 03:12:58.867 region:rollup2
THAT WORD TOOL ELIGIBLE THAT
03:12:57.433 --> 03:13:00.235 region:rollup2
WERE OTHERWISE PLACED INTO EIGHT
03:12:58.867 --> 03:13:02.805 region:rollup2
CATEGORIES THAT ARE AT HIGHER
03:13:00.235 --> 03:13:04.039 region:rollup2
MATCHING LEVELS SO WE HAD TO
03:13:02.805 --> 03:13:05.340 region:rollup2
WORK CLOSELY WITH THE COUNTIES
03:13:04.039 --> 03:13:06.909 region:rollup2
TO IDENTIFY WHO THOSE PEOPLE
03:13:05.340 --> 03:13:08.177 region:rollup2
WERE. PUT THEM INTO A DIFFERENT
03:13:06.909 --> 03:13:09.812 region:rollup2
EIGHT CODE AND NOW WE'RE HAVING
03:13:08.177 --> 03:13:11.547 region:rollup2
TO PUT THAT MONEY BACK TO THE
03:13:09.812 --> 03:13:12.948 region:rollup2
FEDS BECAUSE WE MASTER DATA. AT
03:13:11.547 --> 03:13:15.184 region:rollup2
A RATE THAT WAS NOT APPROPRIATE
03:13:12.948 --> 03:13:17.386 region:rollup2
ON SOME OF THE OTHER CHANGES IN
03:13:15.184 --> 03:13:17.653 region:rollup2
THE ESTIMATE THAT ARE OF NOTED
03:13:17.386 --> 03:13:20.322 region:rollup2
IN THAT.
03:13:17.653 --> 03:13:21.023 region:rollup2
AGENDA AROUND DRUG REBATES SAME
03:13:20.322 --> 03:13:23.459 region:rollup2
ISSUE.
03:13:21.023 --> 03:13:24.359 region:rollup2
WHEN WE RETURN AYE REBATES TO
03:13:23.459 --> 03:13:25.828 region:rollup2
THE FEDERAL GOVERNMENT WE
03:13:24.359 --> 03:13:28.096 region:rollup2
USUALLY DO IT ON A FIFTY PERCENT
03:13:25.828 --> 03:13:29.832 region:rollup2
MATCHING BASIS WHEN WE.
03:13:28.096 --> 03:13:31.266 region:rollup2
SORT OUT.
03:13:29.832 --> 03:13:32.901 region:rollup2
THAT ADULT.
03:13:31.266 --> 03:13:34.903 region:rollup2
EXPANSION EIGHT CODES WHICH ARE
03:13:32.901 --> 03:13:37.072 region:rollup2
MATCHED AT A MUCH HIGHER RATE AS
03:13:34.903 --> 03:13:38.707 region:rollup2
WELL AS IF THERE'S AND CHILDREN
03:13:37.072 --> 03:13:41.110 region:rollup2
IN THE CHIP PROGRAM ALL OF THOSE
03:13:38.707 --> 03:13:43.278 region:rollup2
FEDERAL AND MATCHING PERCENTAGES
03:13:41.110 --> 03:13:44.346 region:rollup2
CAN THROW OUR REBATES OFTEN SO
03:13:43.278 --> 03:13:46.815 region:rollup2
THERE CERTAINLY.
03:13:44.346 --> 03:13:47.649 region:rollup2
AN INDICATOR THAT WERE HAVING
03:13:46.815 --> 03:13:50.419 region:rollup2
TO PAY BACK.
03:13:47.649 --> 03:13:51.019 region:rollup2
SOME REBATES TO THE FEDERAL
03:13:50.419 --> 03:13:51.353 region:rollup2
GOVERNMENT THAT WE SHOULD HAVE
03:13:51.019 --> 03:13:52.054 region:rollup2
AND.
03:13:51.353 --> 03:13:52.688 region:rollup2
DONE LAST YEAR.
03:13:52.054 --> 03:13:54.656 region:rollup2
AND THEN.
03:13:52.688 --> 03:13:56.425 region:rollup2
SOME OF THE OTHER KIND OF KEY
03:13:54.656 --> 03:13:58.861 region:rollup2
CHANGES THAT I WANTED TO PUT A
03:13:56.425 --> 03:14:00.028 region:rollup2
HIGHLIGHT ON AND ARE AROUND.
03:13:58.861 --> 03:14:01.964 region:rollup2
THAT THREE FORTY BE PROPOSAL
03:14:00.028 --> 03:14:03.565 region:rollup2
WHICH WE WILL TALK ABOUT IN MORE
03:14:01.964 --> 03:14:05.601 region:rollup2
DETAIL LATER ON IN THE AGENDA.
03:14:03.565 --> 03:14:06.902 region:rollup2
AND THEN WANT TO MAKE SURE THAT
03:14:05.601 --> 03:14:08.904 region:rollup2
WE AND.
03:14:06.902 --> 03:14:11.440 region:rollup2
DON'T FAIL TO MENTION THE
03:14:08.904 --> 03:14:11.840 region:rollup2
ONGOING IMPLEMENTATION OF THE
03:14:11.440 --> 03:14:13.542 region:rollup2
DRUG.
03:14:11.840 --> 03:14:14.710 region:rollup2
MEDICAL ORGANIZED DELIVERY
03:14:13.542 --> 03:14:16.044 region:rollup2
SYSTEM.
03:14:14.710 --> 03:14:17.446 region:rollup2
INITIATIVE SAID THIS IS
03:14:16.044 --> 03:14:19.081 region:rollup2
CONSISTENT WITH OUR ELEVEN
03:14:17.446 --> 03:14:20.616 region:rollup2
FIFTEEN WAIVER AND THE.
03:14:19.081 --> 03:14:21.917 region:rollup2
GOVERNOR'S BUDGET NOTES THAT WE
03:14:20.616 --> 03:14:22.718 region:rollup2
EXPECT HAVE FORTY COUNTIES
03:14:21.917 --> 03:14:24.553 region:rollup2
PARTICIPATING.
03:14:22.718 --> 03:14:25.187 region:rollup2
BY THE END OF TWENTY EIGHTEEN
03:14:24.553 --> 03:14:27.189 region:rollup2
NINETEEN.
03:14:25.187 --> 03:14:27.890 region:rollup2
OF A SIGNIFICANT NUMBER OF
03:14:27.189 --> 03:14:30.058 region:rollup2
THOSE COUNTIES.
03:14:27.890 --> 03:14:30.726 region:rollup2
NINE I BELIEVE ARE EXPECTED TO
03:14:30.058 --> 03:14:32.961 region:rollup2
COME IN THREE PARTNERSHIP HEALTH
03:14:30.726 --> 03:14:34.163 region:rollup2
PLAN SO VERY RURAL COUNTIES THAT
03:14:32.961 --> 03:14:36.231 region:rollup2
WOULD OTHERWISE NOT BE ABLE T
03:14:34.163 --> 03:14:37.065 region:rollup2
REALLY KIND OF. CREATE THAT FALL
03:14:36.231 --> 03:14:39.301 region:rollup2
INTO AND.
03:14:37.065 --> 03:14:40.936 region:rollup2
SPECTRUM OF SERVICES AND SO
03:14:39.301 --> 03:14:41.904 region:rollup2
WE'RE VERY EXCITED TO BE WORKING
03:14:40.936 --> 03:14:42.638 region:rollup2
AND NOT.
03:14:41.904 --> 03:14:44.806 region:rollup2
PARTNERSHIP.
03:14:42.638 --> 03:14:46.675 region:rollup2
MODEL WHICH WILL BE CERTAINLY
03:14:44.806 --> 03:14:48.310 region:rollup2
KNEW FOR THE COUNTIES AS WELL
03:14:46.675 --> 03:14:50.379 region:rollup2
AND I'M HAPPY TO ANSWER
03:14:48.310 --> 03:14:52.247 region:rollup2
QUESTIONS ON THE OVERVIEW.
03:14:50.379 --> 03:14:53.815 region:rollup2
SO SOUNDS LIKE ACTUALLY BECAUSE
03:14:52.247 --> 03:14:55.117 region:rollup2
WE HAVE NUMBER TWO ITEM NUMBER
03:14:53.815 --> 03:14:56.518 region:rollup2
ISSUE NUMBER TWO WAS JUST THE
03:14:55.117 --> 03:14:58.554 region:rollup2
MEDICAL ESTIMATES ONLY COVERED
03:14:56.518 --> 03:14:59.888 region:rollup2
MOST OF THAT AS WELL SO YOU CAN
03:14:58.554 --> 03:15:01.957 region:rollup2
AND YOU GAVE ME AN OPPORTUNITY
03:14:59.888 --> 03:15:02.491 region:rollup2
AND I TO ERICA OKAY SO WHERE
03:15:01.957 --> 03:15:02.858 region:rollup2
WERE ACT SO WE'RE ACTUALLY
03:15:02.491 --> 03:15:05.727 region:rollup2
GOING.
03:15:02.858 --> 03:15:07.829 region:rollup2
TOGETHER.
03:15:05.727 --> 03:15:09.932 region:rollup2
AT IT ANY COMMENTS FROM LA OVER
03:15:07.829 --> 03:15:11.300 region:rollup2
AN ISSUE ONE AND TWO.
03:15:09.932 --> 03:15:12.301 region:rollup2
THANK YOU MISTER CHAIR OUT WE
03:15:11.300 --> 03:15:13.969 region:rollup2
REVIEWED.
03:15:12.301 --> 03:15:15.203 region:rollup2
THE BUDGET FOR THE DEPARTMENT
03:15:13.969 --> 03:15:17.072 region:rollup2
HEALTHCARE SERVICES AND THE
03:15:15.203 --> 03:15:19.775 region:rollup2
MEDICARE PROGRAM AND.
03:15:17.072 --> 03:15:21.710 region:rollup2
HAVE SEVERAL COMMENTS IN OUR
03:15:19.775 --> 03:15:23.045 region:rollup2
ANALYSIS OF THE HEALTH AND HUMAN
03:15:21.710 --> 03:15:24.413 region:rollup2
SERVICES BUDGET REPORT. WITH
03:15:23.045 --> 03:15:24.880 region:rollup2
RESPECT TO THE CASELOAD
03:15:24.413 --> 03:15:26.448 region:rollup2
ESTIMATES.
03:15:24.880 --> 03:15:27.983 region:rollup2
WE FEEL THAT THOSE ARE
03:15:26.448 --> 03:15:29.184 region:rollup2
REASONABLE AT THIS TIME IT WILL
03:15:27.983 --> 03:15:30.686 region:rollup2
BE REVISITING THEM.
03:15:29.184 --> 03:15:32.354 region:rollup2
WHEN UPDATED ESTIMATES ARE
03:15:30.686 --> 03:15:34.089 region:rollup2
PROVIDED THEM A REVISION WE HAVE
03:15:32.354 --> 03:15:35.290 region:rollup2
COMMENTS ON SEVERAL OTHER ISSUES
03:15:34.089 --> 03:15:36.959 region:rollup2
THAT WE UNDERSTAND WILL BE
03:15:35.290 --> 03:15:38.560 region:rollup2
ADDRESSED LATER TODAY OR A
03:15:36.959 --> 03:15:39.561 region:rollup2
DIFFERENT HEARING SINCE IT WILL
03:15:38.560 --> 03:15:40.829 region:rollup2
HOLD OUR COMMENTS.
03:15:39.561 --> 03:15:42.130 region:rollup2
ON THOSE UNTIL THAT TIME OKAY SO
03:15:40.829 --> 03:15:42.898 region:rollup2
NO OTHER ISSUES ON WHAT INTO
03:15:42.130 --> 03:15:45.500 region:rollup2
OKAY.
03:15:42.898 --> 03:15:48.870 region:rollup2
RIGHT FINANCE.
03:15:45.500 --> 03:15:50.839 region:rollup2
ALL RIGHT OF CENTER MONEY.
03:15:48.870 --> 03:15:53.775 region:rollup2
SEE YOU DRESSED AS THE SHIP
03:15:50.839 --> 03:15:55.344 region:rollup2
PROGRAM ADJUSTMENT. THAT WAS
03:15:53.775 --> 03:15:57.512 region:rollup2
GOOD NEWS ARM.
03:15:55.344 --> 03:16:00.082 region:rollup2
THE PROJECTED FEDERAL
03:15:57.512 --> 03:16:03.285 region:rollup2
CONTRIBUTION IS THERE.
03:16:00.082 --> 03:16:03.719 region:rollup2
ANY CONCERN ABOUT LACK OF.
03:16:03.285 --> 03:16:05.053 region:rollup2
FEDERAL GOVERNMENT.
03:16:03.719 --> 03:16:06.555 region:rollup2
.
03:16:05.053 --> 03:16:08.323 region:rollup2
SUPPORT FOR THESE ONGOING
03:16:06.555 --> 03:16:10.292 region:rollup2
PROGRAMS.
03:16:08.323 --> 03:16:12.127 region:rollup2
WELL AND CHIP WAS REAUTHORIZED
03:16:10.292 --> 03:16:13.295 region:rollup2
FOR TEN YEARS SO I THINK THAT
03:16:12.127 --> 03:16:14.997 region:rollup2
WAS CERTAINLY.
03:16:13.295 --> 03:16:16.264 region:rollup2
GOOD NEWS FROM THE STANDPOINT
03:16:14.997 --> 03:16:18.266 region:rollup2
THAT THAT'S A STABLE.
03:16:16.264 --> 03:16:19.668 region:rollup2
ACKNOWLEDGEMENT AND YOU KNOW
03:16:18.266 --> 03:16:21.937 region:rollup2
OBVIOUSLY SPEAKS TO THE
03:16:19.668 --> 03:16:22.938 region:rollup2
IMPORTANCE ON THAT BOTH YOU KNOW
03:16:21.937 --> 03:16:24.806 region:rollup2
STATES IN THE FEDERAL GOVERNMENT
03:16:22.938 --> 03:16:26.708 region:rollup2
PLACE NOT PROGRAM. I KNOW THAT
03:16:24.806 --> 03:16:27.843 region:rollup2
WE CONTINUE TO OBVIOUSLY MONITOR
03:16:26.708 --> 03:16:30.012 region:rollup2
FEDERAL.
03:16:27.843 --> 03:16:31.346 region:rollup2
ACTIVITY AROUND THE GLOBE ON
03:16:30.012 --> 03:16:33.115 region:rollup2
THE PRESIDENT'S BUDGET.
03:16:31.346 --> 03:16:34.116 region:rollup2
ANY POTENTIAL CHANGES TO THE
03:16:33.115 --> 03:16:36.051 region:rollup2
MEDICAID PROGRAM BUT AT THIS
03:16:34.116 --> 03:16:36.318 region:rollup2
POINT ON THE GOVERNOR'S BUDGET
03:16:36.051 --> 03:16:38.086 region:rollup2
IS.
03:16:36.318 --> 03:16:40.489 region:rollup2
REFLECTING WHAT IS EXISTING
03:16:38.086 --> 03:16:41.123 region:rollup2
FEDERAL AND STATE LINE AND SO
03:16:40.489 --> 03:16:41.623 region:rollup2
ALL OF OUR BUDGET IS PREDICATED
03:16:41.123 --> 03:16:44.226 region:rollup2
ON THE.
03:16:41.623 --> 03:16:45.794 region:rollup2
THANK YOU SO IT'S.
03:16:44.226 --> 03:16:48.497 region:rollup2
IF YOU SAY PREDICATED ON THE
03:16:45.794 --> 03:16:49.064 region:rollup2
STATUS QUO EN.
03:16:48.497 --> 03:16:50.165 region:rollup2
KEEPING OUR FINGERS CROSSED
03:16:49.064 --> 03:16:50.799 region:rollup2
THAT.
03:16:50.165 --> 03:16:52.134 region:rollup2
IT DOESN'T GET CHANGED
03:16:50.799 --> 03:16:57.939 region:rollup2
RIGHT.
03:16:52.134 --> 03:16:58.940 region:rollup2
THANK YOU.
03:16:57.939 --> 03:17:01.176 region:rollup2
THANK YOU SO MUCH FOR YOUR
03:16:58.940 --> 03:17:03.045 region:rollup2
PRESENTATION IN TERMS ACTUALLY.
03:17:01.176 --> 03:17:03.645 region:rollup2
BECOMES THE OVERVIEW I KNOW
03:17:03.045 --> 03:17:05.147 region:rollup2
THAT.
03:17:03.645 --> 03:17:05.314 region:rollup2
WE MAINLY TALK ABOUT MEDI CAL
03:17:05.147 --> 03:17:06.481 region:rollup2
AND.
03:17:05.314 --> 03:17:08.717 region:rollup2
THE.
03:17:06.481 --> 03:17:09.851 region:rollup2
SO OF THE GENERAL FUND PART BUT
03:17:08.717 --> 03:17:11.353 region:rollup2
THERE'S OF SEE SUBSTANTIVE.
03:17:09.851 --> 03:17:12.421 region:rollup2
AMOUNTS OF.
03:17:11.353 --> 03:17:13.822 region:rollup2
FUNDS.
03:17:12.421 --> 03:17:14.356 region:rollup2
GOING THROUGH THIS SPECIAL
03:17:13.822 --> 03:17:17.225 region:rollup2
FUNDS.
03:17:14.356 --> 03:17:18.126 region:rollup2
.
03:17:17.225 --> 03:17:19.895 region:rollup2
SO I JUST WANTED JUST CHECKING
03:17:18.126 --> 03:17:20.829 region:rollup2
ON US.
03:17:19.895 --> 03:17:23.665 region:rollup2
COUPLE HERE.
03:17:20.829 --> 03:17:25.133 region:rollup2
.
03:17:23.665 --> 03:17:26.535 region:rollup2
SO WHERE SHE ONE THEY JUST WANNA
03:17:25.133 --> 03:17:27.636 region:rollup2
MAKE NOTES UPS LAST YEAR IS A
03:17:26.535 --> 03:17:29.471 region:rollup2
PRESENTATION AROUND.
03:17:27.636 --> 03:17:30.739 region:rollup2
THE GENIE SPECIAL FUND FOR
03:17:29.471 --> 03:17:32.274 region:rollup2
PUBLIC HOSPITALS AS AN
03:17:30.739 --> 03:17:34.443 region:rollup2
OPPORTUNITY FOR A MATCH AND I
03:17:32.274 --> 03:17:36.278 region:rollup2
SEE THAT IT'S NOW IN THE BUDGETS
03:17:34.443 --> 03:17:36.912 region:rollup2
I ASSUME WE WERE SUCCESSFUL IN
03:17:36.278 --> 03:17:39.347 region:rollup2
DRAWING DOWN THIS FUN.
03:17:36.912 --> 03:17:39.981 region:rollup2
FOR THAT.
03:17:39.347 --> 03:17:41.416 region:rollup2
EITHER DOESN'T IT TOUGH PUBLIC
03:17:39.981 --> 03:17:43.485 region:rollup2
ALSO JIMMY SPECIAL FUND THAT
03:17:41.416 --> 03:17:44.486 region:rollup2
THINK WE ARE WORKING ON TO
03:17:43.485 --> 03:17:46.221 region:rollup2
SECURE FEDERAL APPROVAL OKAY I
03:17:44.486 --> 03:17:47.389 region:rollup2
DON'T ADDITIONAL FUNDS BUT I
03:17:46.221 --> 03:17:49.157 region:rollup2
THINK. WE WORSE KIND OF.
03:17:47.389 --> 03:17:50.492 region:rollup2
PUTTING IT IN THE BUDGET TO THE
03:17:49.157 --> 03:17:52.294 region:rollup2
EXTENT THAT IT'S APPROVED OUT
03:17:50.492 --> 03:17:53.628 region:rollup2
OKAY I EXISTS IDEA STATUS CHECK
03:17:52.294 --> 03:17:54.496 region:rollup2
SO IT'S STILL PENDING ALRIGHT
03:17:53.628 --> 03:17:56.298 region:rollup2
I'D VISIT THROUGH THE NUMBER
03:17:54.496 --> 03:17:58.233 region:rollup2
MEANT YOU GOT IT OR NOT SO OKAY
03:17:56.298 --> 03:17:59.000 region:rollup2
IT THAT'S PENDING ALRIGHT SO
03:17:58.233 --> 03:18:00.502 region:rollup2
THAT'S.
03:17:59.000 --> 03:18:01.903 region:rollup2
DOES Y. CLARIFY THAT.
03:18:00.502 --> 03:18:03.772 region:rollup2
AND THEN I.
03:18:01.903 --> 03:18:05.907 region:rollup2
THE CHILDREN'S HEALTH AND HUMAN
03:18:03.772 --> 03:18:07.542 region:rollup2
SERVICES FUND.
03:18:05.907 --> 03:18:08.710 region:rollup2
I UNDERSTAND IS ACTUALLY KIND
03:18:07.542 --> 03:18:11.813 region:rollup2
OF BEING TRANCE
03:18:08.710 --> 03:18:14.516 region:rollup2
FOR OVER TO ANOTHER FUND.
03:18:11.813 --> 03:18:16.184 region:rollup2
IS IT GOES FROM NO FOUR HUNDRED
03:18:14.516 --> 03:18:16.451 region:rollup2
SOME MILLIONS ZERO.
03:18:16.184 --> 03:18:18.920 region:rollup2
AND THEN.
03:18:16.451 --> 03:18:19.721 region:rollup2
.
03:18:18.920 --> 03:18:22.224 region:rollup2
SO.
03:18:19.721 --> 03:18:24.626 region:rollup2
KEYED TO SPEAK TO WHAT YEAH
03:18:22.224 --> 03:18:27.262 region:rollup2
FINANCE YEAH YEAH SO WELL AND
03:18:24.626 --> 03:18:28.330 region:rollup2
NOT GIVE A DEADLY DIRECTORS LIKE
03:18:27.262 --> 03:18:29.231 region:rollup2
RATINGS IN GODRICH SPECIAL FOR.
03:18:28.330 --> 03:18:30.599 region:rollup2
HER WELCOME INDICATES DEPARTMENT
03:18:29.231 --> 03:18:32.734 region:rollup2
OF FINANCE AND THE CHILDREN'S
03:18:30.599 --> 03:18:34.970 region:rollup2
HEALTH AND HUMAN SERVICES FUND
03:18:32.734 --> 03:18:37.406 region:rollup2
IS THE FUNDS FOR THE. PREVIOUS
03:18:34.970 --> 03:18:38.407 region:rollup2
MCO TAX AND RIGHT NOW WE HAVE A
03:18:37.406 --> 03:18:40.909 region:rollup2
NEW FUND.
03:18:38.407 --> 03:18:42.144 region:rollup2
WHICH IS AND I KNOW THE NUMBER
03:18:40.909 --> 03:18:44.312 region:rollup2
BUT THE FINE NAME IS A LITTLE
03:18:42.144 --> 03:18:45.647 region:rollup2
TRICKY SO. THREE THIRTY TWO
03:18:44.312 --> 03:18:47.682 region:rollup2
TWENTY THREE I BELIEVE BUT.
03:18:45.647 --> 03:18:49.584 region:rollup2
THE NEW MCO TAXES IS ANOTHER
03:18:47.682 --> 03:18:50.919 region:rollup2
FUND NOW SO WE'RE ASSUMING THAT
03:18:49.584 --> 03:18:53.221 region:rollup2
ALL OF OUR OBLIGATIONS FOR THE
03:18:50.919 --> 03:18:54.356 region:rollup2
PREVIOUS MCO TAX WILL BE TAKEN
03:18:53.221 --> 03:18:57.159 region:rollup2
CARE OF. IN.
03:18:54.356 --> 03:19:01.596 region:rollup2
SEVENTEEN EIGHTEEN OKAY BUT I
03:18:57.159 --> 03:19:02.497 region:rollup2
WOULD ALSO NOTE THAT THE.
03:19:01.596 --> 03:19:03.498 region:rollup2
THE GOES FROM FOUR HUNDRED
03:19:02.497 --> 03:19:05.167 region:rollup2
MILLION TO ZERO BUT THE INCREASE
03:19:03.498 --> 03:19:06.701 region:rollup2
IN THERE AND THIRTY TO NINETY
03:19:05.167 --> 03:19:08.537 region:rollup2
THREE WHICH I BELIEVE IS
03:19:06.701 --> 03:19:11.039 region:rollup2
TRANSFERRED ACTUALLY.
03:19:08.537 --> 03:19:12.407 region:rollup2
ONLY GOES UP BY ABOUT.
03:19:11.039 --> 03:19:14.743 region:rollup2
A ABOUT A HUNDRED FIFTY MILLION
03:19:12.407 --> 03:19:16.478 region:rollup2
SO SOUNDS LIKE IT'S LIKE THREE
03:19:14.743 --> 03:19:18.914 region:rollup2
HUNDRED MILLION ARE.
03:19:16.478 --> 03:19:20.315 region:rollup2
OKAY TUTOR FIFTY MILLION DOLLAR.
03:19:18.914 --> 03:19:22.117 region:rollup2
LOS OR SOMETHING THERE AND THAT
03:19:20.315 --> 03:19:24.052 region:rollup2
I MEAN I JUST WONDERING HOW IT'S
03:19:22.117 --> 03:19:25.453 region:rollup2
BECAUSE THAT'S WHAT MONEY.
03:19:24.052 --> 03:19:26.421 region:rollup2
SO WHAT HAPPENS IS THAT AT
03:19:25.453 --> 03:19:27.522 region:rollup2
THIRTY ONE FIVE THREE THE
03:19:26.421 --> 03:19:29.057 region:rollup2
CHILDREN'S HEALTH AND HUMAN
03:19:27.522 --> 03:19:29.624 region:rollup2
SERVICES FUND I UNDERSTAND GETS
03:19:29.057 --> 03:19:30.759 region:rollup2
TRANSFERRED OVER FROM THE MC
03:19:29.624 --> 03:19:32.194 region:rollup2
ATTACK.
03:19:30.759 --> 03:19:33.695 region:rollup2
IT'S CURRENTLY ANALYSTS FOUR
03:19:32.194 --> 03:19:35.063 region:rollup2
HUNDRED TWENTY EIGHT MILLION I'M
03:19:33.695 --> 03:19:37.032 region:rollup2
NOT GO THROUGH ALL THE DIGITS.
03:19:35.063 --> 03:19:37.999 region:rollup2
BUT AND THEN IT GOES AYE AND
03:19:37.032 --> 03:19:38.934 region:rollup2
STAND IN TWO THREE TWO NIGHTS
03:19:37.999 --> 03:19:40.735 region:rollup2
THREE IS HEALTH AND HUMAN
03:19:38.934 --> 03:19:42.204 region:rollup2
SERVICES SPECIAL FUND.
03:19:40.735 --> 03:19:44.940 region:rollup2
WHICH AT LEAST FOR.
03:19:42.204 --> 03:19:46.575 region:rollup2
THE UPDATED NUMBER FOR THIS
03:19:44.940 --> 03:19:48.410 region:rollup2
YEAR'S TWO POINT THREE SIX
03:19:46.575 --> 03:19:49.778 region:rollup2
SEVEN BILLION.
03:19:48.410 --> 03:19:52.747 region:rollup2
AND THEN THAT'S ONLY BUDGETED
03:19:49.778 --> 03:19:53.415 region:rollup2
FOR TWO POINT FIVE ONE NINE
03:19:52.747 --> 03:19:56.151 region:rollup2
BILLION.
03:19:53.415 --> 03:19:57.919 region:rollup2
SO THE INCREASE IS MUCH SMALLER
03:19:56.151 --> 03:19:59.187 region:rollup2
THAN THE DROP.
03:19:57.919 --> 03:20:00.322 region:rollup2
AND THESE CHILDREN WHAT
03:19:59.187 --> 03:20:02.190 region:rollup2
BASICALLY THE ABOUT THE
03:20:00.322 --> 03:20:02.891 region:rollup2
CHILDREN'S FUND WAS BEFORE SO I
03:20:02.190 --> 03:20:04.459 region:rollup2
WONDER IF YOU COULD SPEAK TO
03:20:02.891 --> 03:20:06.161 region:rollup2
THAT. DIFFERENCE THAT'S TWO
03:20:04.459 --> 03:20:08.630 region:rollup2
HUNDRED FIFTY MILLION. THAT
03:20:06.161 --> 03:20:09.164 region:rollup2
SEEMS LIKE IT THE.
03:20:08.630 --> 03:20:12.567 region:rollup2
SOME THAT WERE NOT GETTING
03:20:09.164 --> 03:20:13.902 region:rollup2
ANYMORE WILL ITSELF VIA.
03:20:12.567 --> 03:20:14.970 region:rollup2
THE ONLY THING I'LL AND WE CAN
03:20:13.902 --> 03:20:16.838 region:rollup2
THAT WE FOLLOW UP WITH YOUR
03:20:14.970 --> 03:20:19.641 region:rollup2
STAFF IS THAT THERE'S THE NEW
03:20:16.838 --> 03:20:22.043 region:rollup2
MCO TAXES ENROLLMENT BASE AND
03:20:19.641 --> 03:20:22.244 region:rollup2
OUR TIME PLEASE I PARK ME IF I'M
03:20:22.043 --> 03:20:22.677 region:rollup2
WRONG.
03:20:22.244 --> 03:20:24.913 region:rollup2
SO THERE'S
03:20:22.677 --> 03:20:26.548 region:rollup2
SORT OF A DIFFERENT STRUCTURE.
03:20:24.913 --> 03:20:28.516 region:rollup2
IN TERMS OF HOW WE BUDGET FOR
03:20:26.548 --> 03:20:29.551 region:rollup2
THE NEW MCO TAX BUT WE'RE HAPPY
03:20:28.516 --> 03:20:31.052 region:rollup2
TO FOLLOW UP WITH YOUR STAFF TO
03:20:29.551 --> 03:20:33.722 region:rollup2
GET YOU MORE AND SPECIFIC
03:20:31.052 --> 03:20:35.056 region:rollup2
INFORMATION OKAY. SERVICES.
03:20:33.722 --> 03:20:36.391 region:rollup2
LOOKING AT THESE PARTIALLY
03:20:35.056 --> 03:20:37.659 region:rollup2
BECAUSE OF THE FRANK WHAT
03:20:36.391 --> 03:20:38.994 region:rollup2
HAPPENS IS THAT PEOPLE COMING UP
03:20:37.659 --> 03:20:40.495 region:rollup2
HERE AND.
03:20:38.994 --> 03:20:41.963 region:rollup2
THEY ARE TWENTY FIVE MILLION
03:20:40.495 --> 03:20:43.665 region:rollup2
DOLLAR REQUEST A TWO MILLION
03:20:41.963 --> 03:20:45.033 region:rollup2
DOLLAR REQUEST AND NOT TWO
03:20:43.665 --> 03:20:46.701 region:rollup2
HUNDRED FIFTY MILLION I'M NOT
03:20:45.033 --> 03:20:48.703 region:rollup2
SURE WHAT HAPPENED TO.
03:20:46.701 --> 03:20:50.272 region:rollup2
ACT FUND A LOT OF REQUESTS YET
03:20:48.703 --> 03:20:53.241 region:rollup2
SO. I NEED I'M SURE DOES A GOOD
03:20:50.272 --> 03:20:54.075 region:rollup2
EXPLANATION BUT. YOU KNOW I JUST
03:20:53.241 --> 03:20:55.243 region:rollup2
DELTA OBVIOUSLY MEDI CAL IS A
03:20:54.075 --> 03:20:57.045 region:rollup2
PRETTY LARGE PROGRAM IN THESE
03:20:55.243 --> 03:20:59.281 region:rollup2
FUNDS AND SO.
03:20:57.045 --> 03:21:01.583 region:rollup2
BUT AND AS A MATTER OF SCALE.
03:20:59.281 --> 03:21:03.919 region:rollup2
I JUST THOUGH WE WILL I LOOK AT
03:21:01.583 --> 03:21:05.353 region:rollup2
WHERE WORTH WORTH THINGS ARE.
03:21:03.919 --> 03:21:06.254 region:rollup2
LATER THINGS ARE GOING SO.
03:21:05.353 --> 03:21:08.290 region:rollup2
.
03:21:06.254 --> 03:21:08.957 region:rollup2
DON'T WORRY I'M NOT ABOUT TO GO
03:21:08.290 --> 03:21:10.225 region:rollup2
THROUGH EACH ONE OF THESE.
03:21:08.957 --> 03:21:11.393 region:rollup2
BUT.
03:21:10.225 --> 03:21:12.627 region:rollup2
BUT I DO WANT TO BE SURE WE PAY
03:21:11.393 --> 03:21:13.728 region:rollup2
ATTENTION TO THEM I MEAN
03:21:12.627 --> 03:21:15.096 region:rollup2
I KNOW WE SPEND MOST OF THE TIME
03:21:13.728 --> 03:21:16.565 region:rollup2
TALK ABOUT THE GENERAL FUND BUT
03:21:15.096 --> 03:21:17.799 region:rollup2
WE ALSO AND FREQUENTLY THEIR
03:21:16.565 --> 03:21:18.633 region:rollup2
PROPOSALS THEY WILL NOT TAKE
03:21:17.799 --> 03:21:21.336 region:rollup2
SOME MONEY FROM THE SPECIAL
03:21:18.633 --> 03:21:22.971 region:rollup2
FUNDS AND MOVE IT OVER SO.
03:21:21.336 --> 03:21:24.940 region:rollup2
AND THAT YOU KNOW.
03:21:22.971 --> 03:21:25.774 region:rollup2
WHEN YOU ADD IT ALL UP. THAT'S
03:21:24.940 --> 03:21:27.442 region:rollup2
NO THERE'S A LOT THERE'S A LOT
03:21:25.774 --> 03:21:28.510 region:rollup2
STUFF GOING ON THERE NOW SPECIAL
03:21:27.442 --> 03:21:29.611 region:rollup2
FUNDS ARE DOZEN A FIRST
03:21:28.510 --> 03:21:31.079 region:rollup2
PARTICULAR PURPOSES SO WE HAVE
03:21:29.611 --> 03:21:32.948 region:rollup2
TO RESPECT THAT TO SELL NOT
03:21:31.079 --> 03:21:34.482 region:rollup2
SAYING. BUT I THINK IT'S
03:21:32.948 --> 03:21:36.217 region:rollup2
IMPORTANT UNDERSTAND BECAUSE.
03:21:34.482 --> 03:21:37.619 region:rollup2
THERE'S PURPOSES MAY NEED BACK
03:21:36.217 --> 03:21:39.054 region:rollup2
FILLING THEY MAY BE VERY ITS ERA
03:21:37.619 --> 03:21:40.889 region:rollup2
SO WE JUST.
03:21:39.054 --> 03:21:41.656 region:rollup2
MY FUNNY BE CAREFUL BE SURE THAT
03:21:40.889 --> 03:21:42.524 region:rollup2
THEY'RE MEETING THE NEEDS.
03:21:41.656 --> 03:21:45.594 region:rollup2
OKAY.
03:21:42.524 --> 03:21:48.730 region:rollup2
.
03:21:45.594 --> 03:21:49.631 region:rollup2
AND THEN.
03:21:48.730 --> 03:21:52.334 region:rollup2
IN TERMS OF.
03:21:49.631 --> 03:21:54.536 region:rollup2
OVERALL APPRECIATE THAT WILL
03:21:52.334 --> 03:21:56.504 region:rollup2
GET THE UPDATE ON THE CASE AND.
03:21:54.536 --> 03:21:57.772 region:rollup2
BARRING ANY RECESSION WHERE WILL
03:21:56.504 --> 03:21:59.507 region:rollup2
HAVE A BUMP UP IN CASELOAD
03:21:57.772 --> 03:22:01.142 region:rollup2
HOPEFULLY WE KEEP THE ECONOMY
03:21:59.507 --> 03:22:02.344 region:rollup2
GOING I'M SURE GOVERNOR BROWN
03:22:01.142 --> 03:22:03.278 region:rollup2
WORK HARD TO MAKE THAT HAPPEN.
03:22:02.344 --> 03:22:04.746 region:rollup2
I KNOW THAT WE'RE GONNA HEAR
03:22:03.278 --> 03:22:06.381 region:rollup2
SOME MORE ABOUT THE PROP FIFTY
03:22:04.746 --> 03:22:07.382 region:rollup2
SIX FUNDING THAT'S A VERY
03:22:06.381 --> 03:22:08.016 region:rollup2
IMPORTANT AND I THINK WE'LL
03:22:07.382 --> 03:22:08.216 region:rollup2
PRIDE DELVE INTO THAT MORE IN A
03:22:08.016 --> 03:22:08.717 region:rollup2
FEW.
03:22:08.216 --> 03:22:10.785 region:rollup2
HEARING.
03:22:08.717 --> 03:22:11.886 region:rollup2
.
03:22:10.785 --> 03:22:13.188 region:rollup2
THE OTHER THING I JUST WANT
03:22:11.886 --> 03:22:15.056 region:rollup2
TOUCH ON BECAUSE I DON'T THINK
03:22:13.188 --> 03:22:17.392 region:rollup2
WILL PRY TALK ABOUT IT VERY MUCH
03:22:15.056 --> 03:22:18.927 region:rollup2
AGAIN SO SCHOOL BASED MEDI CAL
03:22:17.392 --> 03:22:20.996 region:rollup2
THE MA AND ALLEY A AYE LOOKS
03:22:18.927 --> 03:22:22.731 region:rollup2
LIKE WORKERS THE STATE'S
03:22:20.996 --> 03:22:25.066 region:rollup2
STEPPING AND ESSENTIALLY.
03:22:22.731 --> 03:22:26.768 region:rollup2
KIND OF BACK ARE FILLING IN FOR
03:22:25.066 --> 03:22:28.737 region:rollup2
THE GAP BUT BASICALLY THIS FEDS
03:22:26.768 --> 03:22:30.038 region:rollup2
CAME DOWN AND SAID NO WE'RE NOT
03:22:28.737 --> 03:22:31.039 region:rollup2
COUNTING THIS AND SO WE'RE
03:22:30.038 --> 03:22:31.506 region:rollup2
STEPPING AND SO THAT WE DON'T
03:22:31.039 --> 03:22:32.340 region:rollup2
HAVE TO HIT OUR SCHOOL
03:22:31.506 --> 03:22:34.776 region:rollup2
DISTRICTS.
03:22:32.340 --> 03:22:37.779 region:rollup2
FOR SOME OF THESE THINGS RIGHT
03:22:34.776 --> 03:22:39.881 region:rollup2
ARE. I NOTICED THE.
03:22:37.779 --> 03:22:42.450 region:rollup2
US WE ARE YES AND NO I MEAN.
03:22:39.881 --> 03:22:44.019 region:rollup2
DCS THE SINGLE STATE AGENCY HAS
03:22:42.450 --> 03:22:46.655 region:rollup2
A RESPONSIBILITY TO.
03:22:44.019 --> 03:22:47.188 region:rollup2
MANAGE THAT THE FEDERAL FUNDS
03:22:46.655 --> 03:22:48.256 region:rollup2
WITH THE WITH THE FEDERAL
03:22:47.188 --> 03:22:48.890 region:rollup2
GOVERNMENT AND SO WHAT THE
03:22:48.256 --> 03:22:51.926 region:rollup2
BUDGET.
03:22:48.890 --> 03:22:54.262 region:rollup2
ASSUMES I'M WITH THE.
03:22:51.926 --> 03:22:56.598 region:rollup2
THE CLAIMS THAT WERE CONSIDERED
03:22:54.262 --> 03:22:58.600 region:rollup2
YOU KNOW NOT ALLOWABLE. IS THAT
03:22:56.598 --> 03:23:00.268 region:rollup2
DCS ADDED THEIR BUDGET WILL USE
03:22:58.600 --> 03:23:01.102 region:rollup2
GENERAL FUND TO REPAY THE
03:23:00.268 --> 03:23:03.038 region:rollup2
FEDERAL GOVERNMENT.
03:23:01.102 --> 03:23:05.173 region:rollup2
AND THEN THE OUT OF THE TRIP
03:23:03.038 --> 03:23:06.408 region:rollup2
DOLLARS OUT OF THE PROP NINETY A
03:23:05.173 --> 03:23:08.710 region:rollup2
CALCULATION.
03:23:06.408 --> 03:23:11.646 region:rollup2
THERE IS A POT OF FUNDS THAT
03:23:08.710 --> 03:23:13.281 region:rollup2
WILL BE USED FROM ELEAZAR WHERE
03:23:11.646 --> 03:23:14.949 region:rollup2
THEY OVER THE FEDS MONEY.
03:23:13.281 --> 03:23:16.785 region:rollup2
IT BASICALLY WILL WILL COME OUT
03:23:14.949 --> 03:23:18.987 region:rollup2
OF THAT POT AND SO THERE'S A NET
03:23:16.785 --> 03:23:20.955 region:rollup2
ZERO IMPACT ON THE GENERAL FUND.
03:23:18.987 --> 03:23:23.024 region:rollup2
AT THE END OF THE YEAR AS WELL
03:23:20.955 --> 03:23:24.793 region:rollup2
TO WANT THINGS THAT I JUST
03:23:23.024 --> 03:23:27.028 region:rollup2
WANTED TOUCH ON STICKLEY ROUTE
03:23:24.793 --> 03:23:29.030 region:rollup2
SO. I ALSO SERVE ON THE
03:23:27.028 --> 03:23:29.731 region:rollup2
EDUCATION COMMITTEE AND I KNOW
03:23:29.030 --> 03:23:30.298 region:rollup2
THAT MAY MY COLLEAGUES.
03:23:29.731 --> 03:23:31.700 region:rollup2
AS WE'RE LOOKING AT THE NEED
03:23:30.298 --> 03:23:33.435 region:rollup2
FOR.
03:23:31.700 --> 03:23:35.370 region:rollup2
.
03:23:33.435 --> 03:23:36.504 region:rollup2
MENTAL HEALTH SERVICES OTHER
03:23:35.370 --> 03:23:37.472 region:rollup2
HEALTH CARE SURVEY OF PEOPLE
03:23:36.504 --> 03:23:39.607 region:rollup2
ONLY A CHILDREN'S CHRONIC
03:23:37.472 --> 03:23:40.975 region:rollup2
CONDITIONS WE WANT THEM TO GET
03:23:39.607 --> 03:23:41.476 region:rollup2
EDUCATED TEND SCHOOL SO
03:23:40.975 --> 03:23:44.479 region:rollup2
SOMETIMES A HEALTH CARE
03:23:41.476 --> 03:23:45.180 region:rollup2
SERVICES.
03:23:44.479 --> 03:23:46.414 region:rollup2
HE'D BE TAKING CARE OF IN SCHOOL
03:23:45.180 --> 03:23:48.216 region:rollup2
SETTINGS AND SO FORTH.
03:23:46.414 --> 03:23:50.452 region:rollup2
THAT WE ACTUALLY TRY TO FIGURE
03:23:48.216 --> 03:23:52.153 region:rollup2
HOW WE MAXIMIZER OPPORTUNITIES
03:23:50.452 --> 03:23:54.189 region:rollup2
FOR FEDERAL AND.
03:23:52.153 --> 03:23:56.157 region:rollup2
FUNDS THAT THROUGH THE MEDICARE
03:23:54.189 --> 03:23:56.791 region:rollup2
PROGRAM FOR HEALTH SERVICES THAT
03:23:56.157 --> 03:23:57.392 region:rollup2
MAY BE DELIVERED THROUGH SCHOOL
03:23:56.791 --> 03:23:59.260 region:rollup2
SETTINGS.
03:23:57.392 --> 03:23:59.894 region:rollup2
I HOPE WE CAN.
03:23:59.260 --> 03:24:02.497 region:rollup2
THE L..
03:23:59.894 --> 03:24:02.931 region:rollup2
FEE MORE RIGOROUS ABOUT TRYING
03:24:02.497 --> 03:24:05.100 region:rollup2
TO FIGURE OUT THOSE
03:24:02.931 --> 03:24:06.634 region:rollup2
OPPORTUNITIES. WE.
03:24:05.100 --> 03:24:09.204 region:rollup2
DON'T DO SO WELL AS A STATE
03:24:06.634 --> 03:24:09.804 region:rollup2
COMPARED TO OTHER PLACES AND I
03:24:09.204 --> 03:24:10.839 region:rollup2
KNOW THAT WE JUST WENT THROUGH
03:24:09.804 --> 03:24:12.373 region:rollup2
THIS WHOLE.
03:24:10.839 --> 03:24:15.043 region:rollup2
AND IT WILL GO THROUGH IT HERE
03:24:12.373 --> 03:24:17.278 region:rollup2
ISSUE AND SO I THINK PEOPLE GET
03:24:15.043 --> 03:24:19.280 region:rollup2
A LITTLE GUN SHY ABOUT FIGURED
03:24:17.278 --> 03:24:20.715 region:rollup2
SAYING WELL. BUT I MEAN THIS IS
03:24:19.280 --> 03:24:21.282 region:rollup2
PAYING FOR SCHOOL NRSES
03:24:20.715 --> 03:24:23.118 region:rollup2
PSYCHOLOGISTS THERE'S A LOT.
03:24:21.282 --> 03:24:24.753 region:rollup2
AND.
03:24:23.118 --> 03:24:25.987 region:rollup2
THIS IS ALSO MORE IMPORTANTLY
03:24:24.753 --> 03:24:28.223 region:rollup2
ALLOWING CHILDREN GET AN
03:24:25.987 --> 03:24:28.790 region:rollup2
EDUCATION AND SO GETTING NOW BE
03:24:28.223 --> 03:24:30.692 region:rollup2
SURE THEY CAN DO THAT.
03:24:28.790 --> 03:24:31.326 region:rollup2
IN A WAY.
03:24:30.692 --> 03:24:33.128 region:rollup2
DESPITE.
03:24:31.326 --> 03:24:34.829 region:rollup2
OTHER ISSUE SO I HOPE THAT.
03:24:33.128 --> 03:24:36.865 region:rollup2
.
03:24:34.829 --> 03:24:37.098 region:rollup2
YOU KNOW WE CAN LOOK INTO MORE
03:24:36.865 --> 03:24:38.766 region:rollup2
CLOSELY.
03:24:37.098 --> 03:24:41.269 region:rollup2
.
03:24:38.766 --> 03:24:42.904 region:rollup2
HOW WE CAN BETTER DRAWDOWN
03:24:41.269 --> 03:24:46.307 region:rollup2
FEDERAL FUNDS FOR?
03:24:42.904 --> 03:24:47.675 region:rollup2
THROUGH LEN AND AN MA AND SO WE
03:24:46.307 --> 03:24:49.844 region:rollup2
HAD TO GET OVER SORTING OUT THIS
03:24:47.675 --> 03:24:50.445 region:rollup2
WHOLE THING WITH CMS ABOUT
03:24:49.844 --> 03:24:51.412 region:rollup2
BILLION HOW THEY WERE BILLING
03:24:50.445 --> 03:24:53.948 region:rollup2
AND.
03:24:51.412 --> 03:24:55.450 region:rollup2
AND I THINK THE IN.
03:24:53.948 --> 03:24:57.252 region:rollup2
THERE'S A PART OF ME THAT THINKS
03:24:55.450 --> 03:24:58.953 region:rollup2
THAT PERHAPS WE GO LIVE RYAN TO
03:24:57.252 --> 03:25:01.289 region:rollup2
DEAL FROM CMS IN THAT.
03:24:58.953 --> 03:25:03.691 region:rollup2
IN THAT ENDEAVOR YEAH AS WELL
03:25:01.289 --> 03:25:05.593 region:rollup2
BUT I HOPE WE CONTINUE TO PUSH
03:25:03.691 --> 03:25:07.328 region:rollup2
ON THE FED'S ABOUT TRYING TO GET
03:25:05.593 --> 03:25:08.763 region:rollup2
BETTER MATCH IT IN TERMS OF OF
03:25:07.328 --> 03:25:11.199 region:rollup2
BEING ABLE TO.
03:25:08.763 --> 03:25:13.668 region:rollup2
DRAW DOWN FOR FACE BASICALLY STE
03:25:11.199 --> 03:25:15.336 region:rollup2
YELL STATE EXPENDITURES HAVE FOR
03:25:13.668 --> 03:25:17.872 region:rollup2
HEALTH CARE SERVICES OF FOR.
03:25:15.336 --> 03:25:18.907 region:rollup2
KIDS WHO ARE ON MEDICARE. I MEAN
03:25:17.872 --> 03:25:19.507 region:rollup2
THAT'S WHAT WE SHOULD BE ABLE TO
03:25:18.907 --> 03:25:21.109 region:rollup2
DO SO WE SHOULD THE US I HOPE
03:25:19.507 --> 03:25:22.377 region:rollup2
WE.
03:25:21.109 --> 03:25:23.645 region:rollup2
HAVE SOME.
03:25:22.377 --> 03:25:25.647 region:rollup2
MAKE SOME EFFORT IN TRYING TO.
03:25:23.645 --> 03:25:27.448 region:rollup2
.
03:25:25.647 --> 03:25:28.483 region:rollup2
TO TO TO TO TO FIGURE THAT OUT.
03:25:27.448 --> 03:25:30.118 region:rollup2
I WOULD JUST SAY THAT I THINK.
03:25:28.483 --> 03:25:31.419 region:rollup2
YOU KNOW IT'S AN ENTITLEMENT
03:25:30.118 --> 03:25:32.887 region:rollup2
PROGRAM RIGHT SO IT'S NOT A
03:25:31.419 --> 03:25:34.422 region:rollup2
CAPPED ALLOCATION US THAT WE
03:25:32.887 --> 03:25:35.924 region:rollup2
HAVE BEEN COMMITTED TO WORKING
03:25:34.422 --> 03:25:38.693 region:rollup2
WITH THE SCHOOLS AND THE SCHOOL
03:25:35.924 --> 03:25:40.328 region:rollup2
DISTRICTS AND TO. IMPROVE THE
03:25:38.693 --> 03:25:41.729 region:rollup2
AUDIT STANDARDS TO MAKE IT CLEAR
03:25:40.328 --> 03:25:44.132 region:rollup2
THAT THERE ARE CERTAIN
03:25:41.729 --> 03:25:44.699 region:rollup2
REGULATIONS AND DOCUMENTATION
03:25:44.132 --> 03:25:46.968 region:rollup2
REQUIREMENTS OF THE FEDERAL
03:25:44.699 --> 03:25:48.836 region:rollup2
GOVERNMENT. REALLY HAS AND
03:25:46.968 --> 03:25:50.672 region:rollup2
TIGHTENED UP ON THEIR OVERSIGHT
03:25:48.836 --> 03:25:51.973 region:rollup2
AND SO WE HAVE BEEN WORKING YOU
03:25:50.672 --> 03:25:52.907 region:rollup2
KNOW IN A RELATIONAL AND
03:25:51.973 --> 03:25:53.875 region:rollup2
PERSPECTIVE TO WORK WITH THE
03:25:52.907 --> 03:25:56.144 region:rollup2
SCHOOLS TO MAKE SURE THEY
03:25:53.875 --> 03:25:58.012 region:rollup2
UNDERSTAND WHAT THOSE RULES ARE.
03:25:56.144 --> 03:25:59.047 region:rollup2
THE MONEY THAT IS AT ISSUE HERE
03:25:58.012 --> 03:26:00.815 region:rollup2
ON THOSE ARE JUST DISALLOWED
03:25:59.047 --> 03:26:02.050 region:rollup2
CLAIMS IN THE FEDERAL GOVERNMENT
03:26:00.815 --> 03:26:03.785 region:rollup2
HAS SAID WE ARE JUST NOT GOING
03:26:02.050 --> 03:26:05.386 region:rollup2
TO. YOU KNOW WHERE A WE'RE NOT
03:26:03.785 --> 03:26:06.888 region:rollup2
GOING TO GIVE YOU THE MONEY AND
03:26:05.386 --> 03:26:07.789 region:rollup2
IF YOU. IF WE INAPPROPRIATELY
03:26:06.888 --> 03:26:09.424 region:rollup2
GIVE YOU MANY WE HAVE TO GIVE IT
03:26:07.789 --> 03:26:10.992 region:rollup2
BACK AND SO I THINK ON A GOING
03:26:09.424 --> 03:26:11.659 region:rollup2
FORWARD BASIS WERE CERTAINLY
03:26:10.992 --> 03:26:12.727 region:rollup2
COMMITTED TO WORKING.
03:26:11.659 --> 03:26:14.896 region:rollup2
WITH ALL THE DIFFERENT ON
03:26:12.727 --> 03:26:16.130 region:rollup2
ENTITIES TO MAKE SURE THAT WE'VE
03:26:14.896 --> 03:26:17.165 region:rollup2
DONE OUR PART IN TERMS OF THE
03:26:16.130 --> 03:26:19.500 region:rollup2
TECHNICAL.
03:26:17.165 --> 03:26:21.269 region:rollup2
EXPERTISE AND AS MANY DIFFERENT
03:26:19.500 --> 03:26:22.470 region:rollup2
WAYS THAT WE CAN PROVIDE THAT TO
03:26:21.269 --> 03:26:23.838 region:rollup2
THE SCHOOLS TO MAKE SURE THAT
03:26:22.470 --> 03:26:24.005 region:rollup2
THEY UNDERSTAND THAT WHEN THEY
03:26:23.838 --> 03:26:25.206 region:rollup2
ARE.
03:26:24.005 --> 03:26:25.840 region:rollup2
.
03:26:25.206 --> 03:26:26.808 region:rollup2
EITHER BRINGING AND ARE
03:26:25.840 --> 03:26:28.042 region:rollup2
IMPLEMENTING SERVICES THAT
03:26:26.808 --> 03:26:29.077 region:rollup2
THEY'RE DOING IT THE RIGHT WAY
03:26:28.042 --> 03:26:31.079 region:rollup2
SO THAT IF WE HAVE TO GO IN AND
03:26:29.077 --> 03:26:32.347 region:rollup2
AUDIT. BUT THEN THEY PASSED
03:26:31.079 --> 03:26:34.182 region:rollup2
THOSE AUDIT STANDARDS BOWER IT
03:26:32.347 --> 03:26:35.516 region:rollup2
WELL I HOPE THAT AND. THEN
03:26:34.182 --> 03:26:37.452 region:rollup2
FRANKLY YOU KNOW MY PREVIOUS
03:26:35.516 --> 03:26:38.987 region:rollup2
EXPERIENCE. SPENT IS THERE'S
03:26:37.452 --> 03:26:41.089 region:rollup2
BEEN SOME RELUCTANCE TO HAVE A
03:26:38.987 --> 03:26:42.056 region:rollup2
BETWEEN.
03:26:41.089 --> 03:26:43.324 region:rollup2
FOLKS SAID.
03:26:42.056 --> 03:26:45.093 region:rollup2
DCS WHO WERE INVOLVED IN THIS
03:26:43.324 --> 03:26:46.694 region:rollup2
PROGRAM TO HAVE SERIOUS
03:26:45.093 --> 03:26:47.762 region:rollup2
CONVERSATIONS WITH.
03:26:46.694 --> 03:26:49.264 region:rollup2
SCHOOL DISTRICTS AND WHEN A
03:26:47.762 --> 03:26:50.598 region:rollup2
FAMILY START HAPPENED WAS PRETTY
03:26:49.264 --> 03:26:52.433 region:rollup2
MUCH AROUND.
03:26:50.598 --> 03:26:53.635 region:rollup2
THE ISSUES THAT WERE TAKEN CARE
03:26:52.433 --> 03:26:55.136 region:rollup2
OF HERE IN TERMS OF CO THE
03:26:53.635 --> 03:26:56.537 region:rollup2
DISALLOWED BUILDINGS AND SO
03:26:55.136 --> 03:26:57.805 region:rollup2
FORTH BUT HOPEFULLY NOW THAT.
03:26:56.537 --> 03:26:59.474 region:rollup2
HOPEFULLY THAT'S NOW UNDER
03:26:57.805 --> 03:27:01.309 region:rollup2
RESOLUTION.
03:26:59.474 --> 03:27:03.878 region:rollup2
AND VITAL HAVE TO YELL FOR THE
03:27:01.309 --> 03:27:05.380 region:rollup2
PAST ONES MOVING FOR WE CAN SEE
03:27:03.878 --> 03:27:06.447 region:rollup2
A MUCH CLOSER COLLABORATION
03:27:05.380 --> 03:27:08.216 region:rollup2
BETWEEN DE EIGHT CS AND EDUCATE.
03:27:06.447 --> 03:27:10.051 region:rollup2
TRY TO FIGURE.
03:27:08.216 --> 03:27:12.687 region:rollup2
STRIKE DOWN
03:27:10.051 --> 03:27:12.921 region:rollup2
THAT WAS THE PART OF IT IS NOW
03:27:12.687 --> 03:27:14.689 region:rollup2
HAVING.
03:27:12.921 --> 03:27:16.991 region:rollup2
DIETZ YES. WORK WITH THE
03:27:14.689 --> 03:27:17.625 region:rollup2
SCHOOLS TO NOT ONLY EDUCATE BUT
03:27:16.991 --> 03:27:18.626 region:rollup2
ALSO PARTNER WITH THEM TO FIGURE
03:27:17.625 --> 03:27:20.495 region:rollup2
OUT HOW.
03:27:18.626 --> 03:27:21.896 region:rollup2
ANYWAY THAT'S COMPLIANT WITH THE
03:27:20.495 --> 03:27:23.564 region:rollup2
BEYOND THE FEDERAL REGULATIONS
03:27:21.896 --> 03:27:26.234 region:rollup2
TO DRAW DOWN THOSE FUNDS.
03:27:23.564 --> 03:27:27.802 region:rollup2
AYE BY I THINK CREATED AND I
03:27:26.234 --> 03:27:29.337 region:rollup2
THINK. WE'VE HAD A CHALLENGE
03:27:27.802 --> 03:27:31.773 region:rollup2
WHERE THEY'RE IN TWO SEPARATE
03:27:29.337 --> 03:27:32.440 region:rollup2
WORLDS AND ONE WORLD'S OVER HERE
03:27:31.773 --> 03:27:33.408 region:rollup2
MINERALS AND YOU'RE NOT.
03:27:32.440 --> 03:27:34.542 region:rollup2
WORKING WITH EACH OTHER NOT
03:27:33.408 --> 03:27:35.510 region:rollup2
PARTNER WITH EACH OTHER THERE'S
03:27:34.542 --> 03:27:37.278 region:rollup2
MAYBE A LOS LIKE SOMEONE SENT A
03:27:35.510 --> 03:27:38.446 region:rollup2
MEMO OVER TO SOMEONE ELSE LIKE
03:27:37.278 --> 03:27:39.781 region:rollup2
DON'T DO THIS OR DO THIS AND SO
03:27:38.446 --> 03:27:40.581 region:rollup2
ON SAYS I CAN I DO NOW SO IT'S
03:27:39.781 --> 03:27:42.617 region:rollup2
JUST.
03:27:40.581 --> 03:27:43.217 region:rollup2
I'VE WE WE NEED TO WORK MORE
03:27:42.617 --> 03:27:43.418 region:rollup2
CLOSELY TOGETHER TO MAKE THAT
03:27:43.217 --> 03:27:44.719 region:rollup2
HAPPEN
03:27:43.418 --> 03:27:45.720 region:rollup2
I REALIZED THERE
03:27:44.719 --> 03:27:47.555 region:rollup2
SOMETIMES THEY SEEM LIKE TWO
03:27:45.720 --> 03:27:48.056 region:rollup2
VERY DIFFERENT SPHERES BUT IN
03:27:47.555 --> 03:27:48.923 region:rollup2
THIS PLACE WE GOTTA WORK
03:27:48.056 --> 03:27:52.026 region:rollup2
TOGETHER.
03:27:48.923 --> 03:27:53.728 region:rollup2
FIGURE OUT TO MAKE THAT HAPPEN.
03:27:52.026 --> 03:27:55.196 region:rollup2
AND THEN UP FINALLY WITH THE
03:27:53.728 --> 03:27:57.565 region:rollup2
CHIP AUTHORIZATION AGAIN GOOD
03:27:55.196 --> 03:27:58.466 region:rollup2
NEWS I AM. I I WOULD ALSO MAKE
03:27:57.565 --> 03:28:00.034 region:rollup2
NOTE THAT.
03:27:58.466 --> 03:28:01.002 region:rollup2
YOU KNOW WE HAVE CHALLENGES OF
03:28:00.034 --> 03:28:03.204 region:rollup2
THROUGH WE'VE TEKTRONIX
03:28:01.002 --> 03:28:04.372 region:rollup2
CHALLENGES RECRUITING P. EXCEPT
03:28:03.204 --> 03:28:05.907 region:rollup2
SPECIALISTS TO.
03:28:04.372 --> 03:28:08.743 region:rollup2
TO CALIFORNIA DESPITE OUR
03:28:05.907 --> 03:28:09.877 region:rollup2
WONDERFUL YOU KNOW STATE AND.
03:28:08.743 --> 03:28:12.747 region:rollup2
I HOPE THAT.
03:28:09.877 --> 03:28:14.582 region:rollup2
SIS'S. THIS IS MONEY FOR KIDS
03:28:12.747 --> 03:28:17.518 region:rollup2
THAT WE CAN DEVOTE SOME OF THAT
03:28:14.582 --> 03:28:17.719 region:rollup2
TOO IMPROVING. AND AND BUILDING
03:28:17.518 --> 03:28:19.087 region:rollup2
OUR.
03:28:17.719 --> 03:28:20.888 region:rollup2
PEDIATRIC.
03:28:19.087 --> 03:28:22.223 region:rollup2
TAXES THE SUBSPECIALTIES AND
03:28:20.888 --> 03:28:24.225 region:rollup2
AND BRIAN LARGER CONTEXT OF
03:28:22.223 --> 03:28:25.493 region:rollup2
LOOKING AT NOTRE CCS PROGRAM BUT
03:28:24.225 --> 03:28:27.795 region:rollup2
ENSURING THAT OUR PEOPLE YOU
03:28:25.493 --> 03:28:28.663 region:rollup2
KNOW GETS TO HAVE VERY
03:28:27.795 --> 03:28:29.497 region:rollup2
SPECIALIZED NEEDS WHO OFTEN.
03:28:28.663 --> 03:28:30.932 region:rollup2
HAVE FAIRLY BARE CONDITIONS SO
03:28:29.497 --> 03:28:32.467 region:rollup2
THERE.
03:28:30.932 --> 03:28:32.900 region:rollup2
AND YOU NEED VERY SPECIALIZED
03:28:32.467 --> 03:28:35.136 region:rollup2
CARE.
03:28:32.900 --> 03:28:36.104 region:rollup2
YOU NEED A LOT OF PEOPLE YOU
03:28:35.136 --> 03:28:37.238 region:rollup2
NEED A LARGE POPULATION BASE TO
03:28:36.104 --> 03:28:38.906 region:rollup2
SUPPORT ONE PEDIATRIC SUB
03:28:37.238 --> 03:28:39.874 region:rollup2
SPECIALIST IS FORTUNATE BECAUSE
03:28:38.906 --> 03:28:41.709 region:rollup2
SOME THE CONDITIONS ARE FAIRLY
03:28:39.874 --> 03:28:42.643 region:rollup2
RARE. THAT WE ENSURE THAT WE
03:28:41.709 --> 03:28:44.879 region:rollup2
HAVE ADEQUATE.
03:28:42.643 --> 03:28:47.148 region:rollup2
REIMBURSEMENT THAT'S MORE
03:28:44.879 --> 03:28:49.417 region:rollup2
REFLECTIVE OF WHAT IS NEEDED AND
03:28:47.148 --> 03:28:51.319 region:rollup2
WE'VE HAD THE PAST SO YOU KNOW I
03:28:49.417 --> 03:28:52.854 region:rollup2
MEAN MEDICARE'S NOT THE BEST
03:28:51.319 --> 03:28:54.589 region:rollup2
PLAYER IN THE WORLD BUT.
03:28:52.854 --> 03:28:55.690 region:rollup2
WE'RE STILL WAY BELOW EVEN THAT
03:28:54.589 --> 03:28:57.392 region:rollup2
ITSELF WE WE CAN THINK ABOUT%
03:28:55.690 --> 03:28:57.859 region:rollup2
THAT THIRTY CENSUS IS MONEY
03:28:57.392 --> 03:28:59.460 region:rollup2
WE'RE GETTING BACK FOR
03:28:57.859 --> 03:29:01.129 region:rollup2
CHILDREN'S HEALTH CARE.
03:28:59.460 --> 03:29:02.730 region:rollup2
NOW WILL TOUCH MORE ON THAT WE
03:29:01.129 --> 03:29:04.365 region:rollup2
FINALLY GET REIMBURSEMENT ISSUES
03:29:02.730 --> 03:29:06.067 region:rollup2
IN A FUTURE HEARING.
03:29:04.365 --> 03:29:08.169 region:rollup2
WELL. OKAY.
03:29:06.067 --> 03:29:09.670 region:rollup2
SO WITH THAT NOTED.
03:29:08.169 --> 03:29:11.506 region:rollup2
PICK PUBLIC COMMENT ON THIS
03:29:09.670 --> 03:29:12.707 region:rollup2
ISSUES NUMBER ONE AND TWO WHICH
03:29:11.506 --> 03:29:15.376 region:rollup2
IS THE OVERVIEW FOR DCS AND ALSO
03:29:12.707 --> 03:29:16.978 region:rollup2
THE.
03:29:15.376 --> 03:29:18.246 region:rollup2
THANK YOU WELCOME THANK YOU
03:29:16.978 --> 03:29:18.980 region:rollup2
MISTER CHAIRMAN MEMBERS AND
03:29:18.246 --> 03:29:20.982 region:rollup2
HEARING ABOUT THIS WITH HEALTH
03:29:18.980 --> 03:29:23.050 region:rollup2
ACCESS AND WE APPRECIATE THAT
03:29:20.982 --> 03:29:23.951 region:rollup2
WILL BE. A THING A LITTLE BIT
03:29:23.050 --> 03:29:25.153 region:rollup2
MORE ON PROP FIFTY SIX AT A
03:29:23.951 --> 03:29:26.888 region:rollup2
FUTURE HEARING.
03:29:25.153 --> 03:29:29.090 region:rollup2
BUT WE DO WANT TO HIGHLIGHT.
03:29:26.888 --> 03:29:30.425 region:rollup2
A COUPLE ISSUES HEALTH ACCESS
03:29:29.090 --> 03:29:31.859 region:rollup2
IS ONE OF THE ORGANIZATIONAL
03:29:30.425 --> 03:29:32.560 region:rollup2
SUPPORTERS OF PROPOSITION FIFTY
03:29:31.859 --> 03:29:33.694 region:rollup2
SIX
03:29:32.560 --> 03:29:35.463 region:rollup2
HELPED DRAFT THE INITIATIVE AND
03:29:33.694 --> 03:29:37.598 region:rollup2
ACTIVELY CAMPAIGNED FOR THE
03:29:35.463 --> 03:29:39.634 region:rollup2
MEASURE ADAM AS YOU ALL HAVE
03:29:37.598 --> 03:29:40.935 region:rollup2
SEEN ON THE LA O. ESTIMATES OF
03:29:39.634 --> 03:29:42.303 region:rollup2
THE GOVERNOR'S BUDGET MAKES FIVE
03:29:40.935 --> 03:29:44.272 region:rollup2
HUNDRED AND TWENTY THREE.
03:29:42.303 --> 03:29:45.506 region:rollup2
MILLION MORE AVAILABLE FOR RATE
03:29:44.272 --> 03:29:47.775 region:rollup2
INCREASES THAN LAST YEAR'S
03:29:45.506 --> 03:29:49.444 region:rollup2
BUDGET AND WE ASK THAT GOING
03:29:47.775 --> 03:29:50.812 region:rollup2
FORWARD THESE INVESTMENTS IN ANY
03:29:49.444 --> 03:29:52.847 region:rollup2
ADDITIONAL INCREASES IN PROVIDER
03:29:50.812 --> 03:29:55.683 region:rollup2
RATES. MUST BE DIRECTED TOWARD
03:29:52.847 --> 03:29:57.518 region:rollup2
SPECIFIC PROVIDERS SERVICES OR
03:29:55.683 --> 03:29:59.353 region:rollup2
GEOGRAPHIC REGIONS THAT WILL
03:29:57.518 --> 03:30:01.155 region:rollup2
RESULT IN SUBSTANTIVE MEASURABLE
03:29:59.353 --> 03:30:02.957 region:rollup2
GAINS AND PATIENTS ACCESS TO
03:30:01.155 --> 03:30:03.791 region:rollup2
CARE. AND IMPROVE THE QUALITY
03:30:02.957 --> 03:30:06.194 region:rollup2
PROVIDED TO MEDICARE
03:30:03.791 --> 03:30:07.195 region:rollup2
BENEFICIARIES SO WE ASK THAT THE
03:30:06.194 --> 03:30:09.130 region:rollup2
LEGISLATURE REQUIRE THE
03:30:07.195 --> 03:30:10.465 region:rollup2
ADMINISTRATION TO EVALUATE
03:30:09.130 --> 03:30:12.200 region:rollup2
WHETHER LAST YEAR'S RATE
03:30:10.465 --> 03:30:14.435 region:rollup2
INCREASES ARE THE BEST WAY TO
03:30:12.200 --> 03:30:16.404 region:rollup2
IMPROVE ACCESS TO CARE. AND IN
03:30:14.435 --> 03:30:17.939 region:rollup2
ADDITION. I'M YOU KNOW WE
03:30:16.404 --> 03:30:19.640 region:rollup2
REQUEST THAT THE LEGISLATURE
03:30:17.939 --> 03:30:21.242 region:rollup2
CONSIDER USING THESE FUNDS TO
03:30:19.640 --> 03:30:23.211 region:rollup2
AUGMENT AND IMPROVE THE MEDICAL
03:30:21.242 --> 03:30:24.545 region:rollup2
PROGRAM IN OTHER WAYS. SUCH AS
03:30:23.211 --> 03:30:26.848 region:rollup2
EXPANDING COVERAGE TO
03:30:24.545 --> 03:30:28.683 region:rollup2
UNDOCUMENTED ADULTS OR RESTORING
03:30:26.848 --> 03:30:28.983 region:rollup2
THE REMAINING OPTIONAL BENEFITS
03:30:28.683 --> 03:30:29.951 region:rollup2
THANK YOU.
03:30:28.983 --> 03:30:31.752 region:rollup2
THANK YOU.
03:30:29.951 --> 03:30:33.121 region:rollup2
WELCOME.
03:30:31.752 --> 03:30:35.022 region:rollup2
LINDA WAY WITH WESTERN CENTER ON
03:30:33.121 --> 03:30:36.390 region:rollup2
LAW AND POVERTY LINER COMMENTS
03:30:35.022 --> 03:30:38.159 region:rollup2
OF THE PREVIOUS SPEAKER BUT ALSO
03:30:36.390 --> 03:30:39.460 region:rollup2
WOULD LIKE TO MENTION IN REGARDS
03:30:38.159 --> 03:30:40.661 region:rollup2
TO PROP FIFTY SIX I'M
03:30:39.460 --> 03:30:42.263 region:rollup2
RECOGNIZING IT'LL BE HEARD IN
03:30:40.661 --> 03:30:44.866 region:rollup2
THE FUTURE.
03:30:42.263 --> 03:30:46.033 region:rollup2
HOW WE DO SUPPORT AUTHORED THE
03:30:44.866 --> 03:30:47.869 region:rollup2
INCREASE IN DENTAL RATES AS
03:30:46.033 --> 03:30:50.037 region:rollup2
WE'VE HEARD OF KNOWN ACCESS
03:30:47.869 --> 03:30:52.073 region:rollup2
ISSUES THERE AND WOULD ALSO URGE
03:30:50.037 --> 03:30:54.242 region:rollup2
OTHER DEPARTMENT TO LOOK AT A
03:30:52.073 --> 03:30:55.543 region:rollup2
INCLUDING PREVENTIVE? AND COME
03:30:54.242 --> 03:30:58.679 region:rollup2
TREATMENT IN AND.
03:30:55.543 --> 03:31:00.281 region:rollup2
IN SUPPLEMENTAL RATE INCREASES
03:30:58.679 --> 03:31:04.018 region:rollup2
AS WELL WE SUPPORT ON THE HEALTH
03:31:00.281 --> 03:31:05.586 region:rollup2
HOME RATE INCREASE AS OUR LEGAL
03:31:04.018 --> 03:31:07.054 region:rollup2
AID ADVOCATES HAVE NOTED ACCESS
03:31:05.586 --> 03:31:09.323 region:rollup2
CONCERNS THERE AS WELL BIG.
03:31:07.054 --> 03:31:10.124 region:rollup2
THANK YOU. WELCOME BRITAIN
03:31:09.323 --> 03:31:11.626 region:rollup2
PRETEND I HELD AARON READING
03:31:10.124 --> 03:31:12.860 region:rollup2
ASSOCIATES ON BEHALF OF THE
03:31:11.626 --> 03:31:15.530 region:rollup2
CALIFORNIA DENTAL HYGIENISTS
03:31:12.860 --> 03:31:17.131 region:rollup2
ASSOCIATION AND WE'VE GOTTEN CDJ
03:31:15.530 --> 03:31:19.033 region:rollup2
HAS A FEW CONCERNS THIS YEAR.
03:31:17.131 --> 03:31:20.234 region:rollup2
UNDER PROP FIFTY SIX THAT
03:31:19.033 --> 03:31:22.203 region:rollup2
TOBACCO TAX D. H. CS IS PAYING
03:31:20.234 --> 03:31:23.070 region:rollup2
FOR ABOUT A FORTY PERCENT
03:31:22.203 --> 03:31:24.372 region:rollup2
INCREASE
03:31:23.070 --> 03:31:26.507 region:rollup2
TENSE AND OF AYES MANY SERVICES
03:31:24.372 --> 03:31:28.242 region:rollup2
AS FOLKS HAVE MENTIONED EXCEPT
03:31:26.507 --> 03:31:30.211 region:rollup2
PREVENTION. SO WE HAVE A BIG
03:31:28.242 --> 03:31:31.579 region:rollup2
PROBLEM WITH THAT EXCLUDING COST
03:31:30.211 --> 03:31:33.314 region:rollup2
PREVENTION OR COST EFFECTIVE
03:31:31.579 --> 03:31:35.616 region:rollup2
PREVENTIVE CARE FROM PROP FIFTY
03:31:33.314 --> 03:31:37.351 region:rollup2
SIX FUNDING IS IS POOR POLICY
03:31:35.616 --> 03:31:39.353 region:rollup2
AND AND OR PREVENTIVE ORAL
03:31:37.351 --> 03:31:42.123 region:rollup2
HEALTH CARE IS FOUNDATIONAL. TO
03:31:39.353 --> 03:31:43.658 region:rollup2
OVERALL HEALTH SO THAT'S AN
03:31:42.123 --> 03:31:45.293 region:rollup2
ISSUE FOR US A BIT DEL
03:31:43.658 --> 03:31:46.627 region:rollup2
HYGIENISTS OR UP PROVIDERS THAT
03:31:45.293 --> 03:31:48.996 region:rollup2
ARE WILLING AND ABLE TO SEE MEDI
03:31:46.627 --> 03:31:50.765 region:rollup2
CAL PATIENTS. ARE BEING EXCLUDED
03:31:48.996 --> 03:31:52.266 region:rollup2
FROM THE CARRIES RISK ASSESSMENT
03:31:50.765 --> 03:31:53.868 region:rollup2
UNDER THE DTI THE DENTAL
03:31:52.266 --> 03:31:55.570 region:rollup2
TRANSFORMATION INITIATIVE.
03:31:53.868 --> 03:31:57.138 region:rollup2
ADDITIONALLY THE.
03:31:55.570 --> 03:31:58.940 region:rollup2
INDEPENDENT HYGIENISTS RTHK
03:31:57.138 --> 03:32:00.741 region:rollup2
PEAS ARE NOT RECEIVING
03:31:58.940 --> 03:32:01.943 region:rollup2
REIMBURSEMENT FOR PLACEMENT OF
03:32:00.741 --> 03:32:04.011 region:rollup2
INTERIM THERAPEUTIC A
03:32:01.943 --> 03:32:05.846 region:rollup2
RESTORATIONS HOWEVER UNDER
03:32:04.011 --> 03:32:08.182 region:rollup2
PRIVATE INSURANCE THEY ARE SO WE
03:32:05.846 --> 03:32:11.219 region:rollup2
WANT TO GET THAT FIXED AS WELL.
03:32:08.182 --> 03:32:11.786 region:rollup2
AND. IF THE STATE PLANS TO MOVE
03:32:11.219 --> 03:32:13.254 region:rollup2
TO NYC HELP PATIENTS TO A
03:32:11.786 --> 03:32:15.356 region:rollup2
MANAGED CRE STRUCTURE.
03:32:13.254 --> 03:32:16.791 region:rollup2
ADMINISTRATIVE AREAS BARRIERS TO
03:32:15.356 --> 03:32:18.125 region:rollup2
THE INDEPENDENT HIGH JANICE
03:32:16.791 --> 03:32:20.928 region:rollup2
BEING PROVIDERS.
03:32:18.125 --> 03:32:22.763 region:rollup2
WITHIN THE MANAGED CARE SYSTEM
03:32:20.928 --> 03:32:25.933 region:rollup2
NEED TO BE REMOVED AND WE'RE
03:32:22.763 --> 03:32:29.537 region:rollup2
WORKING ON MULTIPLE LEVELS TO DO
03:32:25.933 --> 03:32:32.440 region:rollup2
THAT. AT DH CS NOW REQUIRES RTA
03:32:29.537 --> 03:32:35.643 region:rollup2
JP'S TO OBTAIN APPROVAL FROM THE
03:32:32.440 --> 03:32:36.711 region:rollup2
DEPARTMENT BEFORE TREATING THE
03:32:35.643 --> 03:32:36.911 region:rollup2
ELDERLY AND DISABLED PAGE.
03:32:36.711 --> 03:32:38.446 region:rollup2
THEY.
03:32:36.911 --> 03:32:39.347 region:rollup2
THAT HAVE PERIODONTAL DISEASE
03:32:38.446 --> 03:32:40.514 region:rollup2
ANTI HTS ALSO THOSE CUT THE
03:32:39.347 --> 03:32:41.582 region:rollup2
REIMBURSEMENT RATE BY OVER HALF
03:32:40.514 --> 03:32:43.651 region:rollup2
FOR THIS DIRE GUM DISEASE
03:32:41.582 --> 03:32:44.318 region:rollup2
TREATMENT.
03:32:43.651 --> 03:32:45.653 region:rollup2
SO IN THE RATE WAS ALREADY COULD
03:32:44.318 --> 03:32:46.787 region:rollup2
SIGNIFICANTLY LOWER THAN THAN.
03:32:45.653 --> 03:32:47.688 region:rollup2
PRIVATE INSURANCE MOST OF THESE
03:32:46.787 --> 03:32:48.823 region:rollup2
PATIENTS F. YOU DON'T KNOW OUR
03:32:47.688 --> 03:32:50.891 region:rollup2
AND HAVE COGNITIVE AND PHYSICAL
03:32:48.823 --> 03:32:53.027 region:rollup2
DISABILITIES THAT PREVENT THEM
03:32:50.891 --> 03:32:55.129 region:rollup2
FROM GOING TO A DENTAL OFFICE.
03:32:53.027 --> 03:32:57.465 region:rollup2
SO AYE THEY RECEIVE CARE IN THE
03:32:55.129 --> 03:32:58.899 region:rollup2
NURSING HOME OR I AM AT THE
03:32:57.465 --> 03:32:59.533 region:rollup2
BEDSIDE IF THEY'RE HOMEBOUND.
03:32:58.899 --> 03:33:01.269 region:rollup2
SO.
03:32:59.533 --> 03:33:03.271 region:rollup2
AND THIS POLICY IS DIVIDING
03:33:01.269 --> 03:33:03.871 region:rollup2
THEIR DRIVING UP PROVIDERS FROM
03:33:03.271 --> 03:33:05.539 region:rollup2
THE.
03:33:03.871 --> 03:33:07.375 region:rollup2
SYSTEM SO WE LOOK FORWARD TO
03:33:05.539 --> 03:33:10.144 region:rollup2
WORKING WITH THE LEGISLATUE ON
03:33:07.375 --> 03:33:10.878 region:rollup2
THAT ISSUE TO RESOLVE ALL OF
03:33:10.144 --> 03:33:12.813 region:rollup2
THAT LIKE A FORMER THANK YOU.
03:33:10.878 --> 03:33:16.484 region:rollup2
THANK YOU WELCOME.
03:33:12.813 --> 03:33:17.618 region:rollup2
YEAH HELLO. I'M I'M DARLA DEL
03:33:16.484 --> 03:33:18.452 region:rollup2
I'M A DENTAL HYGIENIST IN THAT
03:33:17.618 --> 03:33:19.820 region:rollup2
DAMN I JUST ALTERNATE PRACTICE
03:33:18.452 --> 03:33:20.488 region:rollup2
UP IN HUMBOLDT COUNTY AND JUST
03:33:19.820 --> 03:33:21.622 region:rollup2
KIND OF WANTED TO SHARE WITH YOU
03:33:20.488 --> 03:33:23.958 region:rollup2
MY EXPERIENCE IN A VERY RURAL
03:33:21.622 --> 03:33:24.225 region:rollup2
COUNTY WITH VERY LIMITED ACCESS
03:33:23.958 --> 03:33:26.093 region:rollup2
TO CARE.
03:33:24.225 --> 03:33:26.827 region:rollup2
WE HAVE APPROXIMATELY FIFTY TWO
03:33:26.093 --> 03:33:28.029 region:rollup2
THOUSAND.
03:33:26.827 --> 03:33:30.564 region:rollup2
MEDICAID RECIPIENTS MCCARTY
03:33:28.029 --> 03:33:32.833 region:rollup2
SAID.
03:33:30.564 --> 03:33:33.934 region:rollup2
PEOPLE IN OUR AREA
03:33:32.833 --> 03:33:35.903 region:rollup2
SOME MUST HAVE OVER HALF OF OUR
03:33:33.934 --> 03:33:37.505 region:rollup2
AND POPULATION IS ON THE MEDICAL
03:33:35.903 --> 03:33:39.540 region:rollup2
SYSTEM.
03:33:37.505 --> 03:33:41.275 region:rollup2
SEVENTEEN THOUSAND OF THOSE ARE
03:33:39.540 --> 03:33:42.476 region:rollup2
CHILDREN AND ZERO TO TWENTY AND
03:33:41.275 --> 03:33:43.778 region:rollup2
SO THE OTHER THIRTY FOUR
03:33:42.476 --> 03:33:45.613 region:rollup2
THOUSAND ARE ADULTS.
03:33:43.778 --> 03:33:46.247 region:rollup2
AND THE PROBLEM IN OUR COMMUNITY
03:33:45.613 --> 03:33:48.549 region:rollup2
IS.
03:33:46.247 --> 03:33:49.917 region:rollup2
THE MONEY IT WE WERE HAPPY TO
03:33:48.549 --> 03:33:51.619 region:rollup2
SEE THE REINSTATEMENT OF THE
03:33:49.917 --> 03:33:53.020 region:rollup2
ADULT DENTAL BENEFIT AND WERE
03:33:51.619 --> 03:33:54.722 region:rollup2
HAPPY TO SEE THAT MONIES BEING
03:33:53.020 --> 03:33:56.090 region:rollup2
POURED.
03:33:54.722 --> 03:33:56.657 region:rollup2
INTO THE SEVEN MILLION DOLLARS
03:33:56.090 --> 03:33:58.059 region:rollup2
AND MAYBE BEING POURED INTO
03:33:56.657 --> 03:33:59.694 region:rollup2
THAT.
03:33:58.059 --> 03:34:01.462 region:rollup2
THE I'M A DEMOCRAT SYSTEM THE
03:33:59.694 --> 03:34:03.264 region:rollup2
PROBLEM IS THE PROVIDER WE JUST
03:34:01.462 --> 03:34:05.366 region:rollup2
DON'T HAVE THE PROVIDERS I'M THE
03:34:03.264 --> 03:34:06.300 region:rollup2
ONLY OTHER PROVIDER. DEDICATE
03:34:05.366 --> 03:34:07.768 region:rollup2
PROVIDER IN HUMBLE COUNTY
03:34:06.300 --> 03:34:09.203 region:rollup2
OUTSIDE OF OUR FEDERALLY
03:34:07.768 --> 03:34:11.972 region:rollup2
QUALIFIED HEALTH CENTER.
03:34:09.203 --> 03:34:12.640 region:rollup2
I SPOKE WITH THE DEMOCRATS ARE
03:34:11.972 --> 03:34:13.274 region:rollup2
FOR THE RECALL OF FIGHT HEALTH
03:34:12.640 --> 03:34:14.909 region:rollup2
CENTER AND HE EXPLAINED TO ME
03:34:13.274 --> 03:34:16.177 region:rollup2
THAT THERE ARE FOUR THOUSAND
03:34:14.909 --> 03:34:18.345 region:rollup2
PATIENTS HER DENTIST AT HIS
03:34:16.177 --> 03:34:19.914 region:rollup2
CLINIC. THERE'S NO WAY THEY CAN
03:34:18.345 --> 03:34:21.916 region:rollup2
MEET THE NEEDS THE SYSTEM IT'S
03:34:19.914 --> 03:34:23.317 region:rollup2
EXTREMELY BROKEN AND I FEEL THAT
03:34:21.916 --> 03:34:24.652 region:rollup2
A FORTY PERCENT INCREASE EVEN
03:34:23.317 --> 03:34:26.120 region:rollup2
THOUGH IT'S BETTER THAN NOTHING
03:34:24.652 --> 03:34:27.822 region:rollup2
THAT WE REALLY NEED TO TAKE A
03:34:26.120 --> 03:34:28.189 region:rollup2
LOOK AT THAT AND ALSO LOOK AT
03:34:27.822 --> 03:34:28.622 region:rollup2
THE ALTERNATIVE.
03:34:28.189 --> 03:34:30.825 region:rollup2
.
03:34:28.622 --> 03:34:33.427 region:rollup2
.
03:34:30.825 --> 03:34:35.596 region:rollup2
HI GENEST AS A WORKFORCE THAT
03:34:33.427 --> 03:34:36.864 region:rollup2
CAN HELP THIS PROBLEM THERE ARE
03:34:35.596 --> 03:34:38.032 region:rollup2
APPROXIMATELY TEN TO TWELVE
03:34:36.864 --> 03:34:39.266 region:rollup2
REGISTERED IN HIGH JUST
03:34:38.032 --> 03:34:41.168 region:rollup2
ALTERNATE PRACTICE IN MY AND
03:34:39.266 --> 03:34:43.237 region:rollup2
COMMUNITY. PARTNER HEALTHCARE
03:34:41.168 --> 03:34:45.005 region:rollup2
SERVICES DOES NOT RECOGNIZE US
03:34:43.237 --> 03:34:46.073 region:rollup2
AS PROVIDERS ON CERTAIN THINGS
03:34:45.005 --> 03:34:47.742 region:rollup2
ARE WITHIN OUR SCOPE OF PRACTICE
03:34:46.073 --> 03:34:48.843 region:rollup2
THEREFORE WE CANNOT BE PAID FOR
03:34:47.742 --> 03:34:50.644 region:rollup2
PREVENTIVE SERVICES THAT WE CAN
03:34:48.843 --> 03:34:51.278 region:rollup2
PROVIDE AND I WOULD LIKE IS TO
03:34:50.644 --> 03:34:52.847 region:rollup2
LOOK AT THAT A LITTLE BIT
03:34:51.278 --> 03:34:54.181 region:rollup2
FURTHER. THINK YOU THANK YOU I
03:34:52.847 --> 03:34:55.249 region:rollup2
WOULD MAKE NOTE THAT WE WILL
03:34:54.181 --> 03:34:57.184 region:rollup2
ACTUALLY BE HAVING HEARING ON
03:34:55.249 --> 03:34:59.954 region:rollup2
THAT TO CAL NOW LATER ON SO THIS
03:34:57.184 --> 03:35:01.288 region:rollup2
IS THE OVERVIEW THAT THANK YOU.
03:34:59.954 --> 03:35:02.590 region:rollup2
WELCOME THEY PUT UP A BRAVE
03:35:01.288 --> 03:35:03.591 region:rollup2
NEBRASKA GAP OF THE CALIFORNIA
03:35:02.590 --> 03:35:04.859 region:rollup2
ASSOCIATION FELL SERVICES AT
03:35:03.591 --> 03:35:06.127 region:rollup2
HOME. I JUST REAL QUICK WHEN A
03:35:04.859 --> 03:35:07.061 region:rollup2
SUPPORT THE HOME HEALTH RATE
03:35:06.127 --> 03:35:10.097 region:rollup2
INCREASE REALLY THINK OF.
03:35:07.061 --> 03:35:12.933 region:rollup2
HELP WITH ACCESS TO GET HOME
03:35:10.097 --> 03:35:12.933 region:rollup2
HEALTH THANK YOU.
03:35:13.000 --> 03:35:15.703 region:rollup2
ANY OTHER QUESTIONS.
03:35:14.301 --> 03:35:17.371 region:rollup2
OKAY SO WITH THAT.
03:35:15.703 --> 03:35:21.475 region:rollup2
WE'RE GONNA HOLD.
03:35:17.371 --> 03:35:22.143 region:rollup2
SHE WON AND I.
03:35:21.475 --> 03:35:23.277 region:rollup2
YEAH SO SHE WENT IS
03:35:22.143 --> 03:35:24.378 region:rollup2
INFORMATIONAL ISSUE TOO OF
03:35:23.277 --> 03:35:25.913 region:rollup2
COURSE IS THE MEDI CAL ESTIMATE
03:35:24.378 --> 03:35:27.948 region:rollup2
WATER WILL HOLD OPEN UNTIL WE
03:35:25.913 --> 03:35:28.549 region:rollup2
FIND OUT ARE UPDATED NUMBERS
03:35:27.948 --> 03:35:29.984 region:rollup2
FROM A REVISED.
03:35:28.549 --> 03:35:30.885 region:rollup2
SO NEXT ITEM IS ITEM NUMBER
03:35:29.984 --> 03:35:32.753 region:rollup2
THREE WEEK.
03:35:30.885 --> 03:35:35.256 region:rollup2
WITCHES.
03:35:32.753 --> 03:35:36.390 region:rollup2
MEDI CAL UNANTICIPATED COSTS
03:35:35.256 --> 03:35:40.127 region:rollup2
TWENTY SEVENTEEN EIGHTEEN
03:35:36.390 --> 03:35:41.929 region:rollup2
DEFICIENCY.
03:35:40.127 --> 03:35:44.265 region:rollup2
SURE BUDGET FOR KENT AGAIN.
03:35:41.929 --> 03:35:46.834 region:rollup2
AS A INDICATED IN SOME OF MY
03:35:44.265 --> 03:35:47.968 region:rollup2
EARLIER COMMENTS I WAS SO
03:35:46.834 --> 03:35:48.602 region:rollup2
EXCITED TO GET INTO THE ESTIMATE
03:35:47.968 --> 03:35:48.903 region:rollup2
ISSUES THAT I JUMPED THE GUN A
03:35:48.602 --> 03:35:50.771 region:rollup2
LITTLE BIT.
03:35:48.903 --> 03:35:52.306 region:rollup2
THERE'S THREE KIND OF MEAN
03:35:50.771 --> 03:35:53.908 region:rollup2
COMPLIMENTS AND.
03:35:52.306 --> 03:35:55.609 region:rollup2
THE DEFICIENCY THAT WE HAVE
03:35:53.908 --> 03:35:57.178 region:rollup2
NOTED IN THE GOVERNOR'S BUDGET
03:35:55.609 --> 03:36:00.314 region:rollup2
ONE IS AROUND.
03:35:57.178 --> 03:36:01.348 region:rollup2
THE FEDERAL AYE REPAYMENT OF
03:36:00.314 --> 03:36:02.650 region:rollup2
DRUG REBATES ONE IS AROUND.
03:36:01.348 --> 03:36:04.051 region:rollup2
SOME INDIVIDUALS THAT WORD THAT
03:36:02.650 --> 03:36:06.053 region:rollup2
ARE DUALLY ELIGIBLE THAT WERE
03:36:04.051 --> 03:36:08.088 region:rollup2
PUT INTO A CODE THAT I GENERATED
03:36:06.053 --> 03:36:08.789 region:rollup2
A DIFFERENT.
03:36:08.088 --> 03:36:09.723 region:rollup2
FEDERAL MATCHING PERCENTAGE
03:36:08.789 --> 03:36:12.259 region:rollup2
AND THEN THERE WAS.
03:36:09.723 --> 03:36:13.661 region:rollup2
SAM ACCOUNT TEEN AROUND THE
03:36:12.259 --> 03:36:15.563 region:rollup2
HOSPITAL QUALITY ASSURANCE FEE
03:36:13.661 --> 03:36:16.096 region:rollup2
THE CALCULATION OF THE UPPER
03:36:15.563 --> 03:36:18.265 region:rollup2
PAYMENT LIMIT.
03:36:16.096 --> 03:36:19.099 region:rollup2
SO JUST VERY BRIEFLY I WANT TO
03:36:18.265 --> 03:36:21.101 region:rollup2
TOUCH ON THE THREE AND THEN.
03:36:19.099 --> 03:36:22.670 region:rollup2
OBVIOUSLY CAN ANSWER QUESTIONS
03:36:21.101 --> 03:36:23.470 region:rollup2
AS AND.
03:36:22.670 --> 03:36:25.139 region:rollup2
AS YOU WANT.
03:36:23.470 --> 03:36:26.807 region:rollup2
THEIR REPAYMENTS FOR THE
03:36:25.139 --> 03:36:28.075 region:rollup2
FEDERAL DRUG REBATES I'M IN THIS
03:36:26.807 --> 03:36:29.343 region:rollup2
WILL CERTAINLY BE PART OF THE
03:36:28.075 --> 03:36:32.179 region:rollup2
DISCUSSION AROUND THREE FORTY BE
03:36:29.343 --> 03:36:35.015 region:rollup2
IS HOW. WE REIMBURSE FOR.
03:36:32.179 --> 03:36:36.450 region:rollup2
PHARMACY AND HOW WE CALCULATE
03:36:35.015 --> 03:36:38.085 region:rollup2
THE REBATES THAT ARE OWED TO US
03:36:36.450 --> 03:36:39.720 region:rollup2
BY THE MANUFACTURERS EITHER ON
03:36:38.085 --> 03:36:42.089 region:rollup2
THE FEDERAL.
03:36:39.720 --> 03:36:43.591 region:rollup2
AND STATE SIDE OR IN THE
03:36:42.089 --> 03:36:45.226 region:rollup2
SUPPLEMENTAL REBATE CATEGORY ON
03:36:43.591 --> 03:36:46.327 region:rollup2
DEPENDING ON THE INDIVIDUAL THAT
03:36:45.226 --> 03:36:48.028 region:rollup2
IS HAVING THAT.
03:36:46.327 --> 03:36:49.363 region:rollup2
PHARMACY PRESCRIPTION PROVIDED
03:36:48.028 --> 03:36:51.131 region:rollup2
TO THEM DEPENDING ON THEIR EIGHT
03:36:49.363 --> 03:36:52.600 region:rollup2
CODE THEY MAY OR MAY NOT BE AYE
03:36:51.131 --> 03:36:54.068 region:rollup2
RECEIVING FIFTY FIFTY STATE
03:36:52.600 --> 03:36:56.537 region:rollup2
GENERAL FUND FEDERAL FUNDS THEY
03:36:54.068 --> 03:36:57.271 region:rollup2
MAY BE A CHIP CHILD WHICH WOULD
03:36:56.537 --> 03:36:59.006 region:rollup2
BE EIGHTY EIGHT TWELVE.
03:36:57.271 --> 03:37:00.674 region:rollup2
THERE MAY BE OPTIONAL EXPANSION
03:36:59.006 --> 03:37:02.576 region:rollup2
POPULATIONS THAT ARE NINETY FIVE
03:37:00.674 --> 03:37:04.144 region:rollup2
FIVE AND SO WHEN WE PUT ALL
03:37:02.576 --> 03:37:05.179 region:rollup2
THESE CLAIMS TOGETHER AND WE
03:37:04.144 --> 03:37:06.380 region:rollup2
SUBMIT.
03:37:05.179 --> 03:37:07.948 region:rollup2
MONIES BACK TO THE FEDERAL
03:37:06.380 --> 03:37:08.949 region:rollup2
GOVERNMENT ARE WE DRAW FEDERAL
03:37:07.948 --> 03:37:10.651 region:rollup2
MONEY DOWN.
03:37:08.949 --> 03:37:12.586 region:rollup2
SOME OF THOSE GET FAIRLY
03:37:10.651 --> 03:37:13.521 region:rollup2
COMPLICATED OBVIOUSLY AND SO
03:37:12.586 --> 03:37:16.323 region:rollup2
THERE WAS.
03:37:13.521 --> 03:37:23.531 region:rollup2
I'D ADJUSTMENT ON DRUG REBATES
03:37:16.323 --> 03:37:24.698 region:rollup2
ON IN WHICH WE HAD PAID BACK
03:37:23.531 --> 03:37:25.633 region:rollup2
ASSUMING A FIFTY PERCENT MATCH
03:37:24.698 --> 03:37:26.100 region:rollup2
AND IN FACT THOSE INDIVIDUALS
03:37:25.633 --> 03:37:27.368 region:rollup2
HAD HIGHER.
03:37:26.100 --> 03:37:28.636 region:rollup2
PERCENTAGES IN TERMS OF THEIR
03:37:27.368 --> 03:37:30.237 region:rollup2
OPTIONAL EXPANSION CATEGORIES
03:37:28.636 --> 03:37:31.238 region:rollup2
AND SO THERE'S AN ADDITIONAL TWO
03:37:30.237 --> 03:37:31.939 region:rollup2
HUNDRED AND FIFTY SEVEN MILLION
03:37:31.238 --> 03:37:32.439 region:rollup2
DOLLARS THAT WE NEED TO.
03:37:31.939 --> 03:37:33.073 region:rollup2
PAYBACK TO THE FEDERAL
03:37:32.439 --> 03:37:34.675 region:rollup2
GOVERNMENT TO ACCOUNT FOR THOSE
03:37:33.073 --> 03:37:36.510 region:rollup2
REBATES.
03:37:34.675 --> 03:37:38.479 region:rollup2
AND THE SECOND ISSUE IS SOMEWHAT
03:37:36.510 --> 03:37:40.080 region:rollup2
SIMILAR IN COMPLEXITY AND THAT
03:37:38.479 --> 03:37:41.649 region:rollup2
WE HAD INDIVIDUALS THAT ARE
03:37:40.080 --> 03:37:43.851 region:rollup2
DUALLY ELIGIBLE THEY WERE PUT
03:37:41.649 --> 03:37:44.885 region:rollup2
INTO AID CODES IN WHICH WE WERE
03:37:43.851 --> 03:37:47.021 region:rollup2
CLAIMING.
03:37:44.885 --> 03:37:47.521 region:rollup2
ENHANCE FEDERAL FUNDS FOR THEM
03:37:47.021 --> 03:37:48.489 region:rollup2
EVEN THOUGH THEY ARE NOT
03:37:47.521 --> 03:37:50.658 region:rollup2
ELIGIBLE TO RECEIVE ENHANCE
03:37:48.489 --> 03:37:52.026 region:rollup2
FEDERAL FUNDS BECAUSE THEY ARE
03:37:50.658 --> 03:37:54.128 region:rollup2
FIFTY FIFTY INSTEAD OF NINETY.
03:37:52.026 --> 03:37:54.662 region:rollup2
FIVE HURT NINETY TEN AND SO WE
03:37:54.128 --> 03:37:56.096 region:rollup2
HAVE.
03:37:54.662 --> 03:37:58.065 region:rollup2
WORKED VERY CLOSELY WITH THE
03:37:56.096 --> 03:37:59.333 region:rollup2
COUNTIES TO QUICKLY ADJUST AND
03:37:58.065 --> 03:38:00.401 region:rollup2
MOVE THOSE PEOPLE INTO.
03:37:59.333 --> 03:38:01.835 region:rollup2
APPROPRIATE CODES BUT THE
03:38:00.401 --> 03:38:03.704 region:rollup2
RESULTING.
03:38:01.835 --> 03:38:05.506 region:rollup2
ISSUE IS THAT WE NEED TO PAY
03:38:03.704 --> 03:38:06.307 region:rollup2
BACK ABOUT TWO HUNDRED MILLION
03:38:05.506 --> 03:38:07.875 region:rollup2
DOLLARS TO THE FEDERAL
03:38:06.307 --> 03:38:10.377 region:rollup2
GOVERNMENT TO ADJUST FOR THOSE
03:38:07.875 --> 03:38:11.879 region:rollup2
AND EIGHT CODES.
03:38:10.377 --> 03:38:13.047 region:rollup2
AND THEN LASTLY UM THE HOSPITAL
03:38:11.879 --> 03:38:14.014 region:rollup2
QUALITY ASSURANCE HE THIS IS
03:38:13.047 --> 03:38:15.049 region:rollup2
SOMETHING THAT HAS BEEN IN PLACE
03:38:14.014 --> 03:38:17.685 region:rollup2
FOR SEVERAL YEARS IT'S A
03:38:15.049 --> 03:38:19.086 region:rollup2
CRITICAL. FUNDING SOURCE ON THAT
03:38:17.685 --> 03:38:20.020 region:rollup2
WE WORK ON IN PARTNERSHIP WITH
03:38:19.086 --> 03:38:21.755 region:rollup2
ALL OF THE HOSPITALS IN THE
03:38:20.020 --> 03:38:22.990 region:rollup2
STATE OF CALIFORNIA. THERE OUR
03:38:21.755 --> 03:38:24.558 region:rollup2
CALCULATIONS THAT WE HAVE TO
03:38:22.990 --> 03:38:26.327 region:rollup2
MAKE WITH THE FEDERAL GOVERNMENT
03:38:24.558 --> 03:38:27.995 region:rollup2
WHERE I'M WE DETERMINE WHAT THE
03:38:26.327 --> 03:38:30.030 region:rollup2
FEDERAL UPPER PAYMENT LIMIT IS.
03:38:27.995 --> 03:38:31.298 region:rollup2
THOSE AND THEN WE CAN'T PAY OVER
03:38:30.030 --> 03:38:32.566 region:rollup2
AND ABOVE THAT AND THERE WAS
03:38:31.298 --> 03:38:34.068 region:rollup2
SOME CHANGES TO THE WAY THAT THE
03:38:32.566 --> 03:38:36.737 region:rollup2
U. PL WAS CALCULATED.
03:38:34.068 --> 03:38:37.237 region:rollup2
IT WAS LOWERED WHICH MEANT THAT
03:38:36.737 --> 03:38:38.839 region:rollup2
WE HAD TO.
03:38:37.237 --> 03:38:39.473 region:rollup2
PROVIDE SOME FUNDING BACK TO
03:38:38.839 --> 03:38:41.408 region:rollup2
THE FEDERAL GOVERNMENT BECAUSE
03:38:39.473 --> 03:38:43.077 region:rollup2
WE HAD PAID MORE THAN WE SHOULD
03:38:41.408 --> 03:38:45.212 region:rollup2
HAVE SO. THOSE IN TOTAL.
03:38:43.077 --> 03:38:46.213 region:rollup2
ADD UP TO ABOUT FIVE HUNDRED
03:38:45.212 --> 03:38:47.448 region:rollup2
AND FORTY THREE MILLION DOLLARS
03:38:46.213 --> 03:38:49.650 region:rollup2
IN AND IN THE GENERAL FUND
03:38:47.448 --> 03:38:50.250 region:rollup2
EFFICIENCY THIS YEAR AND
03:38:49.650 --> 03:38:51.885 region:rollup2
OBVIOUSLY I AND WE WOULD BE
03:38:50.250 --> 03:38:54.922 region:rollup2
WORKING. WITH THE DEPARTMENT OF
03:38:51.885 --> 03:38:56.357 region:rollup2
FINANCE FOR REFINEMENT OF THOSE
03:38:54.922 --> 03:39:02.296 region:rollup2
NUMBERS IN MAY.
03:38:56.357 --> 03:39:03.230 region:rollup2
I THINK YOU ARE COMES BELIAU.
03:39:02.296 --> 03:39:03.964 region:rollup2
BRENT METZ GALLIO JUST
03:39:03.230 --> 03:39:05.199 region:rollup2
ACKNOWLEDGE AT THE THIS IS THE
03:39:03.964 --> 03:39:06.734 region:rollup2
NET EFFECT OF CHANGES IN PROGRAM
03:39:05.199 --> 03:39:07.501 region:rollup2
EXPENDITURES WITHIN MEDI CAL AND
03:39:06.734 --> 03:39:08.369 region:rollup2
ONE THAT WE DIDN'T SEE HERE BUT
03:39:07.501 --> 03:39:11.105 region:rollup2
THAT WAS PREVIOUSLY MENTIONED
03:39:08.369 --> 03:39:12.239 region:rollup2
WAS JUST THE FACT THAT. THERE
03:39:11.105 --> 03:39:13.674 region:rollup2
ARE ANTICIPATED REDUCE GENERAL
03:39:12.239 --> 03:39:14.742 region:rollup2
FUND EXPENDITURES DUE TO THE
03:39:13.674 --> 03:39:15.542 region:rollup2
REAUTHORIZATION OF CHAP OF
03:39:14.742 --> 03:39:17.077 region:rollup2
AROUND THREE HUNDRED MILLION
03:39:15.542 --> 03:39:17.478 region:rollup2
DOLLARS TO JUST ACKNOWLEDGE THAT
03:39:17.077 --> 03:39:19.980 region:rollup2
WITHIN THE CALL.
03:39:17.478 --> 03:39:22.983 region:rollup2
DISCUSSION.
03:39:19.980 --> 03:39:24.518 region:rollup2
THANK YOU AND FINANCE.
03:39:22.983 --> 03:39:26.420 region:rollup2
AND IT'SOKAY QUESTIONS FROM
03:39:24.518 --> 03:39:27.855 region:rollup2
COMMITTEE MEMBERS A YES ANDERSON
03:39:26.420 --> 03:39:29.356 region:rollup2
THANK YOU MISTER.
03:39:27.855 --> 03:39:33.260 region:rollup2
ELITE THESE AREAS ARE SMALL IN
03:39:29.356 --> 03:39:37.297 region:rollup2
COMPARISON TO THE OVERALL BUDGET
03:39:33.260 --> 03:39:38.332 region:rollup2
VISIT BUT HOW WE GONNA.
03:39:37.297 --> 03:39:41.802 region:rollup2
REALLY ZERO IN IN THIS COMING
03:39:38.332 --> 03:39:42.703 region:rollup2
YEAR TO MAKE SURE WE DON'T WE
03:39:41.802 --> 03:39:43.303 region:rollup2
HAVE PEOPLE THE PROPER
03:39:42.703 --> 03:39:43.804 region:rollup2
CATEGORIES AND HAVE THIS KIND
03:39:43.303 --> 03:39:46.073 region:rollup2
OF.
03:39:43.804 --> 03:39:46.340 region:rollup2
AIR IN THE FUTURE RIGHT AND
03:39:46.073 --> 03:39:47.675 region:rollup2
THIS IS.
03:39:46.340 --> 03:39:48.609 region:rollup2
IT'S ALMOST LIKE YOU JUST KIND
03:39:47.675 --> 03:39:48.976 region:rollup2
OF WALKING INTO THE AGENDA TO
03:39:48.609 --> 03:39:50.711 region:rollup2
THE NEXT ISSUE.
03:39:48.976 --> 03:39:51.745 region:rollup2
SO WE WORK REALLY CLOSELY WITH
03:39:50.711 --> 03:39:52.346 region:rollup2
THE COUNTIES ON BECAUSE THEY ARE
03:39:51.745 --> 03:39:52.980 region:rollup2
OBVIOUSLY ARE AGENTS AS THEY
03:39:52.346 --> 03:39:54.448 region:rollup2
DETERMINE ELIGIBILITY. WE HAVE
03:39:52.980 --> 03:39:55.883 region:rollup2
TWO HUNDRED AND EIGHTY THREE
03:39:54.448 --> 03:39:57.317 region:rollup2
EIGHT CATEGORIES ARE AID CODES
03:39:55.883 --> 03:39:59.286 region:rollup2
FOR INDIVIDUALS AND SO ON IT IS
03:39:57.317 --> 03:40:00.788 region:rollup2
A REALLY COMPLICATED BUSINESS IN
03:39:59.286 --> 03:40:03.824 region:rollup2
TERMS OF WHEN YOU MAKE SOMEONE'S
03:40:00.788 --> 03:40:04.425 region:rollup2
ELIGIBILITY DETERMINATION THAT
03:40:03.824 --> 03:40:05.459 region:rollup2
YOU PUT THEM IN THE RIGHT CODE
03:40:04.425 --> 03:40:07.795 region:rollup2
BECAUSE.
03:40:05.459 --> 03:40:08.262 region:rollup2
A HIGHLY AUTOMATED SYSTEM THAT
03:40:07.795 --> 03:40:09.897 region:rollup2
THEN IS.
03:40:08.262 --> 03:40:10.531 region:rollup2
RELIANCE ON OTHER TYPES OF
03:40:09.897 --> 03:40:12.399 region:rollup2
INNER INFORMATION THAT WE
03:40:10.531 --> 03:40:14.368 region:rollup2
GENERATE AND SO. IT'S BEEN A
03:40:12.399 --> 03:40:15.169 region:rollup2
VERY CLOSE.
03:40:14.368 --> 03:40:16.537 region:rollup2
PARTNERSHIP WITH THE COUNTIES
03:40:15.169 --> 03:40:18.505 region:rollup2
IN TERMS OF HOW WE HAVE MATURED
03:40:16.537 --> 03:40:20.908 region:rollup2
OUR IT SYSTEMS BOTH THE COUNTY
03:40:18.505 --> 03:40:22.543 region:rollup2
ELIGIBILITY SYSTEMS. AS WELL AS
03:40:20.908 --> 03:40:24.478 region:rollup2
THE STATEWIDE CAL HERE'S.
03:40:22.543 --> 03:40:26.513 region:rollup2
ELIGIBILITY SYSTEM AND THAT WE
03:40:24.478 --> 03:40:26.680 region:rollup2
SHARE WITH COVER CALIFORNIA AND
03:40:26.513 --> 03:40:27.781 region:rollup2
SO.
03:40:26.680 --> 03:40:29.016 region:rollup2
.
03:40:27.781 --> 03:40:30.551 region:rollup2
AT THE NEXT ISSUE WILL TALK
03:40:29.016 --> 03:40:32.820 region:rollup2
ABOUT THE COUNTY ADMIN IN THE
03:40:30.551 --> 03:40:32.986 region:rollup2
COST OF DOING BUSINESS AND HOW
03:40:32.820 --> 03:40:34.288 region:rollup2
WE.
03:40:32.986 --> 03:40:36.023 region:rollup2
WORK WITH THE COUNTIES ON.
03:40:34.288 --> 03:40:37.558 region:rollup2
ON PRIORITIZING SOME OF OUR
03:40:36.023 --> 03:40:39.193 region:rollup2
ELIGIBILITY CASE WORK BUT IN
03:40:37.558 --> 03:40:40.794 region:rollup2
THIS CASE THESE WERE INDIVIDUALS
03:40:39.193 --> 03:40:41.895 region:rollup2
THAT WERE. PUT INTO THE AID
03:40:40.794 --> 03:40:43.730 region:rollup2
CATEGORY.
03:40:41.895 --> 03:40:45.466 region:rollup2
IN SOME CASES THROUGH NO FAULT
03:40:43.730 --> 03:40:46.667 region:rollup2
OF THE COUNTY ELIGIBILITY WORKER
03:40:45.466 --> 03:40:48.569 region:rollup2
MAKING THAT DETERMINATION IT WAS
03:40:46.667 --> 03:40:50.137 region:rollup2
A SYSTEMS AARON SO WE HAD TO
03:40:48.569 --> 03:40:51.738 region:rollup2
KIND OF. WORK WITH THEM TO KIND
03:40:50.137 --> 03:40:52.840 region:rollup2
OF BACK THOSE INDIVIDUALS OUT
03:40:51.738 --> 03:40:53.674 region:rollup2
AND PUT THEM IN THE RIGHT
03:40:52.840 --> 03:40:55.776 region:rollup2
CATEGORY BUT.
03:40:53.674 --> 03:40:58.345 region:rollup2
AS THE SYSTEM CONTINUES TO
03:40:55.776 --> 03:41:01.849 region:rollup2
MATURE THIS IS THE.
03:40:58.345 --> 03:41:02.683 region:rollup2
THESE ARE THE NEW RULES THAT
03:41:01.849 --> 03:41:03.450 region:rollup2
WE'VE BEEN OPERATING ON SINCE
03:41:02.683 --> 03:41:04.251 region:rollup2
THE ACA WAS IMPLEMENTED IN
03:41:03.450 --> 03:41:04.885 region:rollup2
JANUARY TWENTY FOURTEEN.
03:41:04.251 --> 03:41:06.520 region:rollup2
OVERTIME THAT HAS GOTTEN MORE
03:41:04.885 --> 03:41:08.155 region:rollup2
AND MORE ACCURATE AND SO. IT'S A
03:41:06.520 --> 03:41:09.823 region:rollup2
BIG SYSTEM WITH A LOT OF PEOPLE
03:41:08.155 --> 03:41:11.625 region:rollup2
BUT I THINK OUR ERROR RATE HAS
03:41:09.823 --> 03:41:13.026 region:rollup2
CERTAINLY KIND OF CONTINUE TO GO
03:41:11.625 --> 03:41:15.429 region:rollup2
DOWN AS AS THE SYSTEM'S GOTTEN
03:41:13.026 --> 03:41:16.196 region:rollup2
BETTER SO YOU HAVE SOME FURTHER
03:41:15.429 --> 03:41:16.764 region:rollup2
REFINEMENTS FOR NEXT YEAR
03:41:16.196 --> 03:41:17.731 region:rollup2
HOPEFULLY TO THAT NUMBER.
03:41:16.764 --> 03:41:22.569 region:rollup2
THERE'S A WHOLE TWENTY FOUR
03:41:17.731 --> 03:41:22.936 region:rollup2
MONTHS ROAD MAP OF CHANGES THAT
03:41:22.569 --> 03:41:24.204 region:rollup2
WE AND TO
03:41:22.936 --> 03:41:24.772 region:rollup2
MAKING.
03:41:24.204 --> 03:41:25.606 region:rollup2
HERE'S IN THOSE.
03:41:24.772 --> 03:41:26.273 region:rollup2
I DON'T KNOW IF THEY COME UP IN
03:41:25.606 --> 03:41:26.673 region:rollup2
THIS BUDGET SUBCOMMITTEE HEARING
03:41:26.273 --> 03:41:29.977 region:rollup2
BUT THEY CERTAINLY
03:41:26.673 --> 03:41:30.778 region:rollup2
UNDER THE PURVIEW.
03:41:29.977 --> 03:41:31.578 region:rollup2
OF SYSTEMS OF IMMIGRATION WHICH
03:41:30.778 --> 03:41:32.279 region:rollup2
IS OUR PROJECT MANAGER FOR THE
03:41:31.578 --> 03:41:34.214 region:rollup2
CAL HERE SYSTEM AND SO THERE'S A
03:41:32.279 --> 03:41:36.083 region:rollup2
WHOLE SERIES OF IMPROVEMENTS
03:41:34.214 --> 03:41:36.984 region:rollup2
THAT WE CONTINUE TO MAKE IN THAT
03:41:36.083 --> 03:41:40.921 region:rollup2
ELIGIBILITY PROCESS OKAY THANK
03:41:36.984 --> 03:41:41.488 region:rollup2
YOU.
03:41:40.921 --> 03:41:44.558 region:rollup2
I BELIEVE WE WILL BE HEARING
03:41:41.488 --> 03:41:46.393 region:rollup2
WEEKLY LSI ALSO PRESENT SOME
03:41:44.558 --> 03:41:47.227 region:rollup2
EXCELLENT YES SO.
03:41:46.393 --> 03:41:48.595 region:rollup2
ALRIGHT OF PUBLIC COMMENT.
03:41:47.227 --> 03:41:50.664 region:rollup2
SADDAM
03:41:48.595 --> 03:41:53.233 region:rollup2
OKAY SEEN ON.
03:41:50.664 --> 03:41:54.368 region:rollup2
WELL. I THINK DON'T.
03:41:53.233 --> 03:41:57.638 region:rollup2
I THINK IT SPEAKS TO THE SCALE
03:41:54.368 --> 03:41:59.072 region:rollup2
OF THE OF THE MEDI CAL PROGRAM
03:41:57.638 --> 03:41:59.940 region:rollup2
RIGHT I MEAN AS A PERCENTAGE OF
03:41:59.072 --> 03:42:00.841 region:rollup2
THE VERY SMALL OBVIOUSLY VERY
03:41:59.940 --> 03:42:01.775 region:rollup2
LARGE NUMBER.
03:42:00.841 --> 03:42:04.244 region:rollup2
AND.
03:42:01.775 --> 03:42:04.444 region:rollup2
BUT AS A PERCENTAGE IT'S FAIRLY
03:42:04.244 --> 03:42:05.546 region:rollup2
SMALL.
03:42:04.444 --> 03:42:07.748 region:rollup2
SO.
03:42:05.546 --> 03:42:10.250 region:rollup2
BOTH WE DO THE BEST WE CAN AND
03:42:07.748 --> 03:42:12.920 region:rollup2
TRY TO. GUESS WHAT WE HAVE THE
03:42:10.250 --> 03:42:14.421 region:rollup2
LAND AND THEY ARE JUST AS WE
03:42:12.920 --> 03:42:14.988 region:rollup2
MOVE ALONG SO.
03:42:14.421 --> 03:42:17.191 region:rollup2
ALRIGHT.
03:42:14.988 --> 03:42:18.492 region:rollup2
SO WILL HOLD THIS ITEM OPEN.
03:42:17.191 --> 03:42:19.293 region:rollup2
LET'S MOVE ON TO ISSUE MEMBER
03:42:18.492 --> 03:42:20.494 region:rollup2
FOR COUNTY ADMINISTRATION
03:42:19.293 --> 03:42:23.130 region:rollup2
ESTIMATE BUDGET PROPOSALS.
03:42:20.494 --> 03:42:26.733 region:rollup2
ALRIGHT AND WE HAVE A. OKAY.
03:42:23.130 --> 03:42:28.602 region:rollup2
I KNOW WE GOT SWAPPING OUT SO
03:42:26.733 --> 03:42:31.838 region:rollup2
MAYBE JUST HAVE TO SWAP OUT
03:42:28.602 --> 03:42:32.906 region:rollup2
PERSON CAN INTRODUCE THEMSELVES
03:42:31.838 --> 03:42:35.142 region:rollup2
TO THE RECORD NINE OF PEOPLE
03:42:32.906 --> 03:42:36.476 region:rollup2
BEEN SWAPPING OUT BUT. THAT
03:42:35.142 --> 03:42:37.544 region:rollup2
SEEMS OF FAMILIAR FACES AND
03:42:36.476 --> 03:42:41.381 region:rollup2
TRAFFIC GO TO THE NEW ONES ARE
03:42:37.544 --> 03:42:42.249 region:rollup2
HER ALRIGHT. SO FINANCE.
03:42:41.381 --> 03:42:44.051 region:rollup2
OR IOWA DEPARTMENT OF FINANCE.
03:42:42.249 --> 03:42:44.885 region:rollup2
ALRIGHT.
03:42:44.051 --> 03:42:45.886 region:rollup2
THE ADMINISTRATION THE
03:42:44.885 --> 03:42:46.486 region:rollup2
GOVERNOR'S BUDGET PROPOSES AN
03:42:45.886 --> 03:42:47.020 region:rollup2
INCREASE OF FIFTY FOUR POINT
03:42:46.486 --> 03:42:47.588 region:rollup2
EIGHT MILLION TOTAL FUNDS
03:42:47.020 --> 03:42:49.890 region:rollup2
EIGHTEEN POINT FIVE MILLION
03:42:47.588 --> 03:42:50.824 region:rollup2
GENERAL FUND. IN TWENTY EIGHTEEN
03:42:49.890 --> 03:42:51.491 region:rollup2
AT THE MICROPHONE CLOSER TO YOU
03:42:50.824 --> 03:42:52.392 region:rollup2
SORRY IT'S. IN TWENTY EIGHTEEN
03:42:51.491 --> 03:42:53.594 region:rollup2
NINETEEN AND THE GOVERNOR'S
03:42:52.392 --> 03:42:54.494 region:rollup2
BUDGET PROPOSES IS INCREASED
03:42:53.594 --> 03:42:56.964 region:rollup2
IT'S BASED ON THE CALIFORNIA
03:42:54.494 --> 03:42:59.366 region:rollup2
CONSUMER PRICE INDEX PROJECTION
03:42:56.964 --> 03:43:02.669 region:rollup2
AT THE TIME OF THE DEVELOPMENT
03:42:59.366 --> 03:43:03.437 region:rollup2
THE GOVERNOR'S BUDGET.
03:43:02.669 --> 03:43:03.904 region:rollup2
A NEW LOCATION COMBINES THE
03:43:03.437 --> 03:43:05.138 region:rollup2
PREVIOUS.
03:43:03.904 --> 03:43:07.107 region:rollup2
BASS ALLOCATION AND THE ACA
03:43:05.138 --> 03:43:08.675 region:rollup2
AUGMENTATION AND THEN INCREASES
03:43:07.107 --> 03:43:11.612 region:rollup2
IT BY THE CPI PROJECTION. WITH
03:43:08.675 --> 03:43:13.380 region:rollup2
THIS INCREASE AS DR CAN MENTION
03:43:11.612 --> 03:43:14.281 region:rollup2
COUNTIES WILL WORK.
03:43:13.380 --> 03:43:15.382 region:rollup2
TO PLACE BENEFICIARIES INTO THE
03:43:14.281 --> 03:43:17.084 region:rollup2
CORRECT EIGHT CODES INCREASE THE
03:43:15.382 --> 03:43:18.252 region:rollup2
PERCENTAGE OF COMPLETED AN
03:43:17.084 --> 03:43:20.320 region:rollup2
ACCURATE ELIGIBILITY
03:43:18.252 --> 03:43:22.089 region:rollup2
DETERMINATIONS AND ANNUAL WE
03:43:20.320 --> 03:43:27.227 region:rollup2
DETERMINATIONS AND ALSO PROVIDE
03:43:22.089 --> 03:43:27.728 region:rollup2
TEN TIMELY. ENROLLMENT AND
03:43:27.227 --> 03:43:28.028 region:rollup2
ELIGIBILITY DATA TO THE
03:43:27.728 --> 03:43:28.629 region:rollup2
DEPARTMENT.
03:43:28.028 --> 03:43:31.565 region:rollup2
THE ADMINISTRATION'S CURRENT
03:43:28.629 --> 03:43:32.232 region:rollup2
PLAN GOING FORWARD IS TO
03:43:31.565 --> 03:43:33.367 region:rollup2
REASSESS THE ALLOCATION HAS
03:43:32.232 --> 03:43:34.935 region:rollup2
MOVED TO AN INTEGRATED COUNTY
03:43:33.367 --> 03:43:36.803 region:rollup2
ELIGIBILITY SYSTEM.
03:43:34.935 --> 03:43:38.605 region:rollup2
AND TO ADDRESS THE THIRD
03:43:36.803 --> 03:43:39.907 region:rollup2
QUESTION ON THE REALLOCATION OF
03:43:38.605 --> 03:43:41.375 region:rollup2
FUNDS BETWEEN COUNTIES. THAN
03:43:39.907 --> 03:43:42.909 region:rollup2
RESTRICTIONS RATIONALE FOR NOT
03:43:41.375 --> 03:43:44.077 region:rollup2
REALLOCATING UNSPENT FUNDS
03:43:42.909 --> 03:43:46.213 region:rollup2
BETWEEN COUNTIES AT THE TIME OF
03:43:44.077 --> 03:43:46.880 region:rollup2
RECONCILIATION.
03:43:46.213 --> 03:43:48.315 region:rollup2
IS THAT HE SAID IS PROJECTED TO
03:43:46.880 --> 03:43:50.150 region:rollup2
GROW LESS THAN ONE PERCENT AND
03:43:48.315 --> 03:43:51.518 region:rollup2
CAL HERE'S STABILITY HAS
03:43:50.150 --> 03:43:54.588 region:rollup2
IMPROVED SO COUNTIES ARE
03:43:51.518 --> 03:43:55.455 region:rollup2
EXPECTED TO SPEND WITHIN THEIR.
03:43:54.588 --> 03:43:57.124 region:rollup2
HOT COUNTY ALLOCATION.
03:43:55.455 --> 03:43:59.960 region:rollup2
BUT THE TWENTY EIGHTEEN NINETEEN
03:43:57.124 --> 03:44:00.927 region:rollup2
COUNTY ALLOCATIONS WILL. BE SAID
03:43:59.960 --> 03:44:02.829 region:rollup2
TAKING INTO CONSIDERATION
03:44:00.927 --> 03:44:04.665 region:rollup2
PREVIOUS ACTUAL EXPENDITURES AND
03:44:02.829 --> 03:44:05.899 region:rollup2
WILL BE DONE IN COLLABORATION
03:44:04.665 --> 03:44:07.768 region:rollup2
WITH THE COUNTY WELFARE
03:44:05.899 --> 03:44:09.469 region:rollup2
DIRECTORS ASSOCIATION.
03:44:07.768 --> 03:44:10.570 region:rollup2
AND I DEFERRED TO DIRECTOR KENT
03:44:09.469 --> 03:44:15.242 region:rollup2
TO ADDRESS THE OTHER TO
03:44:10.570 --> 03:44:17.411 region:rollup2
PROGRAMMATIC QUESTIONS.
03:44:15.242 --> 03:44:19.313 region:rollup2
I'M SO PART OF THE.
03:44:17.411 --> 03:44:19.880 region:rollup2
PROCESS THAT WE UNDERWENT IN
03:44:19.313 --> 03:44:21.581 region:rollup2
THIS WAS PURSUANT TO SOME OF
03:44:19.880 --> 03:44:25.218 region:rollup2
THE.
03:44:21.581 --> 03:44:27.821 region:rollup2
BUDGETS OF OF PREVIOUS YEARS.
03:44:25.218 --> 03:44:28.255 region:rollup2
WHEN WE WANTED TO UNDERSTANDS.
03:44:27.821 --> 03:44:32.225 region:rollup2
WHAT REALLY KIND OF
03:44:28.255 --> 03:44:33.393 region:rollup2
TO THE TIME?
03:44:32.225 --> 03:44:35.796 region:rollup2
DIGITAL DETERMINATION HOW
03:44:33.393 --> 03:44:37.364 region:rollup2
TAKE AND SO WE.
03:44:35.796 --> 03:44:39.232 region:rollup2
COLLECTIVELY WITH OUR COUNTY
03:44:37.364 --> 03:44:40.901 region:rollup2
PARTNERS REALIZE THAT WE. DIDN'T
03:44:39.232 --> 03:44:42.669 region:rollup2
QUITE KNOW ENOUGH AND WE DIDN'T.
03:44:40.901 --> 03:44:43.904 region:rollup2
WE WERE SURE THAT WE COULD DO
03:44:42.669 --> 03:44:44.905 region:rollup2
IT AND WE WANTED TO HAVE SOME AN
03:44:43.904 --> 03:44:46.306 region:rollup2
INDEPENDENT PARTY DO AND SO THAT
03:44:44.905 --> 03:44:47.407 region:rollup2
WAS AUTHORIZATION AND FUNDS
03:44:46.306 --> 03:44:49.376 region:rollup2
APPROPRIATED TO HIRE SOME.
03:44:47.407 --> 03:44:50.477 region:rollup2
TO COME OUT WORK WITH US AND THE
03:44:49.376 --> 03:44:53.580 region:rollup2
COUNTIES TO DEVELOP THIS NEW
03:44:50.477 --> 03:44:55.749 region:rollup2
METHODOLOGY WE RELEASE AN RFP.
03:44:53.580 --> 03:44:57.050 region:rollup2
AND WE RECEIVED I KNOW
03:44:55.749 --> 03:44:59.519 region:rollup2
ACCEPTABLE.
03:44:57.050 --> 03:45:00.821 region:rollup2
BIDS AND SO WE WENT BACK TO THE
03:44:59.519 --> 03:45:02.522 region:rollup2
COUNTIES IN THE FALL AND SAID
03:45:00.821 --> 03:45:05.025 region:rollup2
WE'RE NOT SURE THAT. ANYBODY
03:45:02.522 --> 03:45:06.560 region:rollup2
ELSE CAN HELP US ON ED COUNTY BY
03:45:05.025 --> 03:45:07.761 region:rollup2
COUNTY BASIS MAKING A BETTER
03:45:06.560 --> 03:45:09.296 region:rollup2
ASSESSMENT AND SO WE.
03:45:07.761 --> 03:45:10.430 region:rollup2
CERTAINLY THIS PROPOSAL IS
03:45:09.296 --> 03:45:11.765 region:rollup2
REFLECTIVE OF THOSE
03:45:10.430 --> 03:45:13.734 region:rollup2
CONVERSATIONS AND ONGOING
03:45:11.765 --> 03:45:14.668 region:rollup2
CONVERSATIONS AROUND. YOU KNOW
03:45:13.734 --> 03:45:16.169 region:rollup2
HOW DO WE BEST.
03:45:14.668 --> 03:45:17.938 region:rollup2
PAY THE COUNTIES TO DO THE WORK
03:45:16.169 --> 03:45:18.372 region:rollup2
ON OUR BEHALF ON BECAUSE IT IS
03:45:17.938 --> 03:45:19.873 region:rollup2
IMPORTANT WORK IT IS
03:45:18.372 --> 03:45:22.275 region:rollup2
SIGNIFICANT.
03:45:19.873 --> 03:45:22.776 region:rollup2
CASELOAD THAT THEY ARE CARRYING
03:45:22.275 --> 03:45:24.811 region:rollup2
SO YOU HAVE.
03:45:22.776 --> 03:45:25.412 region:rollup2
APPROXIMATELY THIRTEEN MILLION
03:45:24.811 --> 03:45:27.881 region:rollup2
INDIVIDUALS THAT ARE COMING
03:45:25.412 --> 03:45:29.116 region:rollup2
THROUGH.
03:45:27.881 --> 03:45:32.352 region:rollup2
AND THEY CAN BE EASY.
03:45:29.116 --> 03:45:33.053 region:rollup2
IN TERMS OF THEIR CIRCUMSTANCES
03:45:32.352 --> 03:45:34.454 region:rollup2
MAY NOT HAVE CHANGED OR ADDED TO
03:45:33.053 --> 03:45:35.122 region:rollup2
ADDRESS MAY NOT CHANGE THEIR
03:45:34.454 --> 03:45:35.689 region:rollup2
FAMILY SIZE MAY NOT HAVE CHANGED
03:45:35.122 --> 03:45:36.289 region:rollup2
AND SO THAT'S A FAIRLY EASY
03:45:35.689 --> 03:45:37.290 region:rollup2
CASE.
03:45:36.289 --> 03:45:38.892 region:rollup2
BUT THEN YOU HAVE OTHER
03:45:37.290 --> 03:45:40.894 region:rollup2
INDIVIDUALS THAT HAVE HAD
03:45:38.892 --> 03:45:41.495 region:rollup2
EVERYTHING CHANGE AND SO. HOW DO
03:45:40.894 --> 03:45:42.829 region:rollup2
YOU KIND OF PAY FOR THAT KIND
03:45:41.495 --> 03:45:45.365 region:rollup2
OF?
03:45:42.829 --> 03:45:48.001 region:rollup2
WORK WHEN YOU HAVE SUCH LARGE
03:45:45.365 --> 03:45:49.136 region:rollup2
SCALE OPERATIONS TO CONSIDER AND
03:45:48.001 --> 03:45:50.537 region:rollup2
OBVIOUSLY LABOR AND OTHER.
03:45:49.136 --> 03:45:52.039 region:rollup2
IT'S GENERATIONS.
03:45:50.537 --> 03:45:54.041 region:rollup2
THE PROPOSAL THAT YOU SEE.
03:45:52.039 --> 03:45:55.475 region:rollup2
AND THE REASON THAT YOU SEE IT
03:45:54.041 --> 03:45:57.511 region:rollup2
IS BECAUSE WE WERE UNABLE TO
03:45:55.475 --> 03:45:58.412 region:rollup2
REALLY KIND OF. MORE CLEARLY
03:45:57.511 --> 03:46:00.447 region:rollup2
DEFINED A DIFFERENT WAY OR A
03:45:58.412 --> 03:46:03.116 region:rollup2
DIFFERENT METHODOLOGY AND SO WE
03:46:00.447 --> 03:46:04.217 region:rollup2
BELIEVE THAT THIS I'M CERTAINLY
03:46:03.116 --> 03:46:06.019 region:rollup2
CONTINUES TO.
03:46:04.217 --> 03:46:08.121 region:rollup2
GET THE JOB DONE GET THE WORK
03:46:06.019 --> 03:46:09.890 region:rollup2
DONE AND OBVIOUSLY RESPECT THAT.
03:46:08.121 --> 03:46:10.991 region:rollup2
THE WAY IN WHICH EACH COUNTY
03:46:09.890 --> 03:46:13.093 region:rollup2
HAS KIND OF DECIDED HOW THEY
03:46:10.991 --> 03:46:14.428 region:rollup2
BEST CAN ADDRESS THAT WORKLOAD
03:46:13.093 --> 03:46:16.463 region:rollup2
BECAUSE CERTAIN COUNTIES HAVE.
03:46:14.428 --> 03:46:18.165 region:rollup2
.
03:46:16.463 --> 03:46:19.499 region:rollup2
THE DIFFERENT WAYS THAT THEY PAY
03:46:18.165 --> 03:46:20.567 region:rollup2
AND SO I THINK TO WHAT AND THE
03:46:19.499 --> 03:46:21.868 region:rollup2
DEPARTMENT OF FINANCE JUST
03:46:20.567 --> 03:46:23.470 region:rollup2
MENTION IN TERMS OF WANTING TO
03:46:21.868 --> 03:46:24.538 region:rollup2
MAKE SURE THAT THE ALLOCATIONS
03:46:23.470 --> 03:46:25.972 region:rollup2
ARE MORE APPROPRIATELY SET WITH
03:46:24.538 --> 03:46:28.842 region:rollup2
EACH OF THE COUNTIES. IS ALSO
03:46:25.972 --> 03:46:31.511 region:rollup2
INDICATIVE OF SOME COUNTIES AND
03:46:28.842 --> 03:46:32.813 region:rollup2
USE ON. YOU KNOW CROSS TRAINED
03:46:31.511 --> 03:46:34.981 region:rollup2
WORKERS SON USED YOU KNOW
03:46:32.813 --> 03:46:36.550 region:rollup2
SPECIFICALLY YOU KNOW IDENTIFIED
03:46:34.981 --> 03:46:38.718 region:rollup2
IT'S JUST IT'S A IT'S A VERY
03:46:36.550 --> 03:46:39.286 region:rollup2
DIFFERENT MAX AND SO WE'RE
03:46:38.718 --> 03:46:40.620 region:rollup2
COMMITTED TO KIND OF WORKING
03:46:39.286 --> 03:46:42.355 region:rollup2
WITH THEM ON AND.
03:46:40.620 --> 03:46:43.924 region:rollup2
AND THEN AS TO THE REALLOCATION
03:46:42.355 --> 03:46:46.126 region:rollup2
OF UNSPENT COUNTY ADMINISTRATION
03:46:43.924 --> 03:46:47.527 region:rollup2
FUNDS I THINK WE ARE MINDFUL OF
03:46:46.126 --> 03:46:48.862 region:rollup2
THE FACT THAT CERTAIN
03:46:47.527 --> 03:46:52.599 region:rollup2
CIRCUMSTANCES.
03:46:48.862 --> 03:46:53.233 region:rollup2
COUNTIES WITH HIGH LABOR COSTS
03:46:52.599 --> 03:46:54.334 region:rollup2
MEANING THEY HAVE HIGH HOUSING
03:46:53.233 --> 03:46:55.969 region:rollup2
COSTS IN FRANCISCO FOR EXAMPLE
03:46:54.334 --> 03:46:57.938 region:rollup2
ON A LOT OF THOSE EMPLOYEES THAT
03:46:55.969 --> 03:46:59.606 region:rollup2
WORK IN THE CITY BECAUSE THEY
03:46:57.938 --> 03:47:00.907 region:rollup2
CAN'T AFFORD IT. SO THEY HAVE
03:46:59.606 --> 03:47:02.642 region:rollup2
KIND OF HIGHER THAN AVERAGE.
03:47:00.907 --> 03:47:04.744 region:rollup2
COSTS BUT WE ALSO FELT THAT WE
03:47:02.642 --> 03:47:05.946 region:rollup2
HAD CONSISTENT ON BOTH OVER AND
03:47:04.744 --> 03:47:07.647 region:rollup2
UNDER SPENDERS AND WE REALLY
03:47:05.946 --> 03:47:09.516 region:rollup2
WANT TO GET THIS METHODOLOGY
03:47:07.647 --> 03:47:10.650 region:rollup2
MORE ACCURATELY KIND OF GIVING
03:47:09.516 --> 03:47:12.819 region:rollup2
COUNTIES THE ALLOCATION THAT
03:47:10.650 --> 03:47:15.388 region:rollup2
THEY. NEED TO DO THE JOB WITHOUT
03:47:12.819 --> 03:47:16.556 region:rollup2
HAVING THIS.
03:47:15.388 --> 03:47:17.924 region:rollup2
KIND OF CONSISTENT OVER UDER
03:47:16.556 --> 03:47:19.459 region:rollup2
SPENDER SO WE ACKNOWLEDGE THAT
03:47:17.924 --> 03:47:20.694 region:rollup2
WE NEED TO GET IT RIGHT.
03:47:19.459 --> 03:47:21.795 region:rollup2
THERE WERE CERTAINLY BE
03:47:20.694 --> 03:47:23.830 region:rollup2
CIRCUMSTANCES IN WHICH WE
03:47:21.795 --> 03:47:25.832 region:rollup2
WOULDN'T BE MINDFUL OR WILLING
03:47:23.830 --> 03:47:26.800 region:rollup2
TO HAVE A CONVERSATION BUT.
03:47:25.832 --> 03:47:28.201 region:rollup2
WE'RE TRYING TO KIND OF GET OUT
03:47:26.800 --> 03:47:30.003 region:rollup2
OF THE BASIS BY WHICH SOME
03:47:28.201 --> 03:47:30.770 region:rollup2
COUNTIES.
03:47:30.003 --> 03:47:31.938 region:rollup2
ALWAYS OVER SPEND THEIR
03:47:30.770 --> 03:47:33.707 region:rollup2
ALLOCATION AND SOME COUNTIES
03:47:31.938 --> 03:47:35.375 region:rollup2
ALWAYS UNDERSTAND THE ALLOCATION
03:47:33.707 --> 03:47:36.009 region:rollup2
AND THERE WAS A. KIND OF A TRUST
03:47:35.375 --> 03:47:38.044 region:rollup2
THAT THEY WOULD BE ABLE TO KIND
03:47:36.009 --> 03:47:39.079 region:rollup2
OF NET THOSE OUT AND THERE WERE
03:47:38.044 --> 03:47:40.380 region:rollup2
A COUPLE YEARS WHEN THAT DIDN'T
03:47:39.079 --> 03:47:41.715 region:rollup2
HAPPEN AND SO WE'RE TRYING TO BE
03:47:40.380 --> 03:47:42.949 region:rollup2
BOTH GOOD BUSINESS PARTNERS IN
03:47:41.715 --> 03:47:43.517 region:rollup2
TERMS OF THE CITY ALLOCATION
03:47:42.949 --> 03:47:44.751 region:rollup2
THIS IS THE BUDGET THAT YOU
03:47:43.517 --> 03:47:46.086 region:rollup2
HAVE.
03:47:44.751 --> 03:47:48.321 region:rollup2
AND OBVIOUSLY IF CIRCUMSTANCES
03:47:46.086 --> 03:47:49.823 region:rollup2
ARE SO EXTRAORDINARY.
03:47:48.321 --> 03:47:50.157 region:rollup2
WE WILL BE WILLING TO TALK
03:47:49.823 --> 03:47:54.461 region:rollup2
ABOUT IT BUT.
03:47:50.157 --> 03:47:54.694 region:rollup2
WORKED WERE TRYING TO GET A
03:47:54.461 --> 03:47:56.129 region:rollup2
BETTER.
03:47:54.694 --> 03:47:57.063 region:rollup2
.
03:47:56.129 --> 03:48:02.102 region:rollup2
THE MINIMIZATION I THINK BECAUSE
03:47:57.063 --> 03:48:03.637 region:rollup2
OF THE OVERALL SPEND.
03:48:02.102 --> 03:48:05.906 region:rollup2
OIL.
03:48:03.637 --> 03:48:08.175 region:rollup2
WE WOULD JUST NOTE THAT TIME.
03:48:05.906 --> 03:48:09.409 region:rollup2
COUNTIES THAT ADMINISTER THE
03:48:08.175 --> 03:48:10.243 region:rollup2
ELIGIBILITY DETERMINE THAT
03:48:09.409 --> 03:48:11.878 region:rollup2
TERMINATION FUNCTIONS FOR MEDI
03:48:10.243 --> 03:48:12.646 region:rollup2
CAL ALSO ADMINISTER ELIGIBILITY
03:48:11.878 --> 03:48:14.548 region:rollup2
FIVE
03:48:12.646 --> 03:48:15.415 region:rollup2
FOR. OTHER MAJOR HEALTH AND
03:48:14.548 --> 03:48:17.384 region:rollup2
HUMAN SERVICES PROGRAMS
03:48:15.415 --> 03:48:19.185 region:rollup2
INCLUDING EYEQ ASSESS CAO WORKS
03:48:17.384 --> 03:48:20.053 region:rollup2
AND CAL FRESH.
03:48:19.185 --> 03:48:21.755 region:rollup2
AND WE THINK THERE'S A COUPLE
03:48:20.053 --> 03:48:23.990 region:rollup2
IMPLICATIONS OF THAT.
03:48:21.755 --> 03:48:25.625 region:rollup2
NUMBER ONE THE FLEXIBILITY TO
03:48:23.990 --> 03:48:28.995 region:rollup2
REALLOCATE.
03:48:25.625 --> 03:48:31.398 region:rollup2
AMONG COUNTIES UNDERNEATH THE
03:48:28.995 --> 03:48:32.065 region:rollup2
OVERALL CAP. AND IS SOMETHING
03:48:31.398 --> 03:48:32.933 region:rollup2
THAT'S AVAILABLE AND OTHER
03:48:32.065 --> 03:48:35.101 region:rollup2
PROGRAMS AND UNDER THE
03:48:32.933 --> 03:48:36.136 region:rollup2
GOVERNOR'S PROPOSAL. AND THAT
03:48:35.101 --> 03:48:38.738 region:rollup2
WOULD NOT BE CHANGING.
03:48:36.136 --> 03:48:40.607 region:rollup2
SO WE THINK THERE'S IT'S WORTH
03:48:38.738 --> 03:48:41.474 region:rollup2
THINKING ABOUT AND WHY YOU WOULD
03:48:40.607 --> 03:48:42.876 region:rollup2
HAVE TO FROM POLICY CENTER FOR
03:48:41.474 --> 03:48:44.778 region:rollup2
PROGRAMS. AND BUT BEYOND THAT
03:48:42.876 --> 03:48:46.646 region:rollup2
AND THERE ARE EFFORTS UNDERWAY
03:48:44.778 --> 03:48:47.948 region:rollup2
TO REVISIT THE BUDGETING
03:48:46.646 --> 03:48:49.249 region:rollup2
METHODOLOGY FOR SOME OF THESE
03:48:47.948 --> 03:48:50.584 region:rollup2
OTHER MAJOR HEALTH AND HUMAN
03:48:49.249 --> 03:48:52.319 region:rollup2
SERVICES PROGRAMS.
03:48:50.584 --> 03:48:53.486 region:rollup2
AND THOSE EFFORTS ARE ONGOING IN
03:48:52.319 --> 03:48:55.422 region:rollup2
SOME CASES AND.
03:48:53.486 --> 03:48:56.456 region:rollup2
IT'S PROBABLY WORTH AND
03:48:55.422 --> 03:48:59.326 region:rollup2
THINKING ABOUT THE SNOW MORE
03:48:56.456 --> 03:49:00.560 region:rollup2
COORDINATED WAY AND ARE OFFICE
03:48:59.326 --> 03:49:01.161 region:rollup2
WILL BE CONTINUE TO LOOK AT THAT
03:49:00.560 --> 03:49:06.266 region:rollup2
AS HIS OTHER EFFORTS ARE GOING
03:49:01.161 --> 03:49:08.501 region:rollup2
FORWARD.
03:49:06.266 --> 03:49:08.702 region:rollup2
NO HUNTSMAN OKAY THURSTONE MISS
03:49:08.501 --> 03:49:10.203 region:rollup2
CAMP.
03:49:08.702 --> 03:49:11.671 region:rollup2
.
03:49:10.203 --> 03:49:13.039 region:rollup2
WE WILL NEVER BE ABLE TO HAVE A
03:49:11.671 --> 03:49:14.007 region:rollup2
CRYSTAL BALL AND KNOW EXACTLY
03:49:13.039 --> 03:49:14.641 region:rollup2
HOW MANY CASES OUR RESPECTIVE
03:49:14.007 --> 03:49:14.841 region:rollup2
COUNTIES GOING TO GET THE GROWTH
03:49:14.641 --> 03:49:16.243 region:rollup2
AND.
03:49:14.841 --> 03:49:18.278 region:rollup2
DEMAND FOR.
03:49:16.243 --> 03:49:20.714 region:rollup2
BECKI TELL ME.
03:49:18.278 --> 03:49:22.115 region:rollup2
I ASSUME WE'RE LOOKING AT THE.
03:49:20.714 --> 03:49:22.682 region:rollup2
THE PREVIOUS YEAR
03:49:22.115 --> 03:49:26.152 region:rollup2
PROJECTING FOR THE FOLLOWING
03:49:22.682 --> 03:49:27.287 region:rollup2
YEAR IS GOING TO BE.
03:49:26.152 --> 03:49:29.956 region:rollup2
IS DO ALL COUNTIES RECEIVE A
03:49:27.287 --> 03:49:30.790 region:rollup2
PROPORTIONAL AMOUNT OF THE
03:49:29.956 --> 03:49:31.524 region:rollup2
FUNDING IN OTHER WORDS DOES
03:49:30.790 --> 03:49:34.027 region:rollup2
RIVERSIDE COUNTY GET. THE SAME
03:49:31.524 --> 03:49:36.196 region:rollup2
SHARE PER. BENEFICIARY THAT SAN
03:49:34.027 --> 03:49:38.498 region:rollup2
FRANCISCO DOES OR IS THERE A A
03:49:36.196 --> 03:49:39.599 region:rollup2
DIFFERENT FORMULA BECAUSE OF THE
03:49:38.498 --> 03:49:41.368 region:rollup2
DIFFERENT GEOGRAPHICAL AREAS.
03:49:39.599 --> 03:49:42.068 region:rollup2
IT'S THERE'S A METHODOLOGY THAT
03:49:41.368 --> 03:49:42.836 region:rollup2
HAS BEEN IN PLACE.
03:49:42.068 --> 03:49:45.772 region:rollup2
THAT.
03:49:42.836 --> 03:49:48.842 region:rollup2
IT'S NOT THAT SPECIFIC SO IT.
03:49:45.772 --> 03:49:49.709 region:rollup2
YOU CAN AND. YOU CAN GRIND OUT.
03:49:48.842 --> 03:49:51.211 region:rollup2
A BUNCH OF DIFFERENT
03:49:49.709 --> 03:49:55.148 region:rollup2
CALCULATIONS BASED ON CASELOAD
03:49:51.211 --> 03:49:55.815 region:rollup2
BASED ON COST PER CASE BASED ON
03:49:55.148 --> 03:49:57.484 region:rollup2
NUMBER OF ELIGIBILITY WORKERS IN
03:49:55.815 --> 03:49:57.851 region:rollup2
A COUNTY DEPARTMENT BASED ON.
03:49:57.484 --> 03:49:58.485 region:rollup2
USE OF.
03:49:57.851 --> 03:50:01.755 region:rollup2
OVERTIME VERSES ADDITIONAL IMEAN
03:49:58.485 --> 03:50:04.190 region:rollup2
WE HAVE.
03:50:01.755 --> 03:50:05.792 region:rollup2
COLLECTIVELY LOOKED AT IT.
03:50:04.190 --> 03:50:07.961 region:rollup2
A BUNCH OF DIFFERENT WAYS.
03:50:05.792 --> 03:50:09.696 region:rollup2
WHAT WE DO IS ON A QUARTERLY
03:50:07.961 --> 03:50:10.997 region:rollup2
BASIS SO EACH COUNTY HAS AN
03:50:09.696 --> 03:50:12.866 region:rollup2
ALLOCATION IN THE COUNTY ADMIN
03:50:10.997 --> 03:50:13.133 region:rollup2
BUDGET IT'S A METHODOLGY THAT
03:50:12.866 --> 03:50:15.068 region:rollup2
WE HAVE?
03:50:13.133 --> 03:50:15.902 region:rollup2
HOUSTON WE HAVE STAFF THAT
03:50:15.068 --> 03:50:20.307 region:rollup2
WORKS CLOSELY WITH THE COUNTY
03:50:15.902 --> 03:50:23.343 region:rollup2
WELFARE DIRECTORS ASSOCIATION SO
03:50:20.307 --> 03:50:23.977 region:rollup2
EXAMPLE RIVERSIDE AND I'M MAKING
03:50:23.343 --> 03:50:24.310 region:rollup2
THE NUMBER UP BECAUSE THEY DON'T
03:50:23.977 --> 03:50:26.446 region:rollup2
OFFICE.
03:50:24.310 --> 03:50:27.147 region:rollup2
HAD BUT SAID.
03:50:26.446 --> 03:50:30.083 region:rollup2
IN THE YEAR IN QUARTERLY
03:50:27.147 --> 03:50:31.484 region:rollup2
ALLOCATIONS THEY ARE SUBMITTING
03:50:30.083 --> 03:50:32.085 region:rollup2
THEIR COST REPORTS AND THEY'RE
03:50:31.484 --> 03:50:33.353 region:rollup2
DRAWING THAT MONEY DOWN AND
03:50:32.085 --> 03:50:35.255 region:rollup2
WE'RE PAYING THEM THAT YOU KNOW
03:50:33.353 --> 03:50:36.523 region:rollup2
QUARTER. PERCENTAGE NUMBER
03:50:35.255 --> 03:50:37.190 region:rollup2
TREATED UP AND SO ON ANY GIVEN
03:50:36.523 --> 03:50:38.758 region:rollup2
QUARTER WHERE SHARING BACK WITH
03:50:37.190 --> 03:50:39.893 region:rollup2
THEM YOU ARE WITHIN NINETY FIVE
03:50:38.758 --> 03:50:41.594 region:rollup2
PERCENT OF YOUR ALLOCATION FOR
03:50:39.893 --> 03:50:43.329 region:rollup2
THE QUARTER YEAR HUNDRED AND TEN
03:50:41.594 --> 03:50:45.098 region:rollup2
PERCENT OVER SO THEY CAN KIND OF
03:50:43.329 --> 03:50:45.632 region:rollup2
HAVE SOME SENSE OF HOW CLOSE
03:50:45.098 --> 03:50:47.300 region:rollup2
THEY ARE GETTING TO THEIR
03:50:45.632 --> 03:50:50.403 region:rollup2
ALLOCATION. BUT IT'S NOT.
03:50:47.300 --> 03:50:52.172 region:rollup2
BUILT ON HER CASE OR YOU HAD
03:50:50.403 --> 03:50:53.773 region:rollup2
FIVE HUNDRED.
03:50:52.172 --> 03:50:55.442 region:rollup2
SENIORS AND PERSONS WITH
03:50:53.773 --> 03:50:56.643 region:rollup2
DISABILITIES THAT TOOK AN HOUR
03:50:55.442 --> 03:50:58.545 region:rollup2
TO PROCESS AND WE'RE GONNA PAY
03:50:56.643 --> 03:51:00.480 region:rollup2
YOU DIFFERENTLY. WE REALLY.
03:50:58.545 --> 03:51:01.881 region:rollup2
BELIEVES KIND OF A
03:51:00.480 --> 03:51:02.916 region:rollup2
PHILOSOPHICAL BASIS IT IS ALWAYS
03:51:01.881 --> 03:51:04.250 region:rollup2
DRIVEN THIS METHODOLOGY IS WE
03:51:02.916 --> 03:51:05.819 region:rollup2
GIVE YOU THE MONEY.
03:51:04.250 --> 03:51:07.520 region:rollup2
WE GIVE YOU THE EXPECTATIONS
03:51:05.819 --> 03:51:12.192 region:rollup2
AND THE I'M KIND OF REQUIREMENTS
03:51:07.520 --> 03:51:13.159 region:rollup2
THAT THE PROGRAM NEEDS BUT THEN
03:51:12.192 --> 03:51:13.793 region:rollup2
IT'S UP TO YOU AS A COUNTY TO
03:51:13.159 --> 03:51:16.996 region:rollup2
KIND OF BEST DETERMINE HOW YOU
03:51:13.793 --> 03:51:17.630 region:rollup2
GET THAT WORK DONE AND SO THE
03:51:16.996 --> 03:51:19.666 region:rollup2
ALLOCATION IS REALLY MEANT TO.
03:51:17.630 --> 03:51:20.734 region:rollup2
THEIR CAPABILITY OF DOING THAT
03:51:19.666 --> 03:51:22.635 region:rollup2
WITH THE RESOURCES AND THE WAY
03:51:20.734 --> 03:51:24.237 region:rollup2
IN WHICH THE COUNTY IS BEST
03:51:22.635 --> 03:51:24.804 region:rollup2
ORGANIZED BOMB HAPPY TO HEAR
03:51:24.237 --> 03:51:25.538 region:rollup2
THAT YOU'RE YOU'RE KIND OF
03:51:24.804 --> 03:51:26.506 region:rollup2
MONITORING THAT ON A QUARTERLY
03:51:25.538 --> 03:51:29.709 region:rollup2
BASIS BECAUSE.
03:51:26.506 --> 03:51:31.010 region:rollup2
RIVERSIDE COUNTIES.
03:51:29.709 --> 03:51:31.644 region:rollup2
THE FASTEST GROWING COUNTING THE
03:51:31.010 --> 03:51:32.846 region:rollup2
STATE OF CALIFORNIA RIGHT NOW I
03:51:31.644 --> 03:51:34.414 region:rollup2
THINK WE'VE TOOK ON THIRTY SEVEN
03:51:32.846 --> 03:51:35.482 region:rollup2
THOUSAND RESIDENTS LAST YEAR.
03:51:34.414 --> 03:51:37.450 region:rollup2
AND A CERTAIN PERCENTAGE WAS
03:51:35.482 --> 03:51:39.252 region:rollup2
PROBABLY THIRD OR REQUIRING
03:51:37.450 --> 03:51:39.886 region:rollup2
MEDICAL SERVICES SO I'M SURE
03:51:39.252 --> 03:51:42.789 region:rollup2
THAT YOU'RE SEEING THROUGH THESE
03:51:39.886 --> 03:51:44.424 region:rollup2
QUARTERLY.
03:51:42.789 --> 03:51:47.761 region:rollup2
A WORK REPORTS THAT THE THE BUT
03:51:44.424 --> 03:51:48.995 region:rollup2
THE DEMAND FOR SERVICES IS
03:51:47.761 --> 03:51:49.863 region:rollup2
INCREASING AND I'M HAPPY TO HEAR
03:51:48.995 --> 03:51:53.800 region:rollup2
THAT YOU'RE ABLE TO TO
03:51:49.863 --> 03:51:55.268 region:rollup2
ADJUSTMENT STREAM AND.
03:51:53.800 --> 03:51:56.035 region:rollup2
THE COUNTIES HOLE AS A QUALIFY
03:51:55.268 --> 03:51:57.837 region:rollup2
THESE PEOPLE FOR SERVICES.
03:51:56.035 --> 03:51:58.872 region:rollup2
UPS.
03:51:57.837 --> 03:51:59.506 region:rollup2
THANK YOU FOR YOUR PRESENTATION
03:51:58.872 --> 03:52:00.573 region:rollup2
IT'S JUST TO CLARIFY.
03:51:59.506 --> 03:52:02.575 region:rollup2
.
03:52:00.573 --> 03:52:04.010 region:rollup2
SO WHAT YOU'RE PROPOSING IS THIS
03:52:02.575 --> 03:52:05.578 region:rollup2
I MEAN THAT WAS HIS FIRST COMING
03:52:04.010 --> 03:52:07.814 region:rollup2
BUDGET YEAR BUT IN TERMS OF
03:52:05.578 --> 03:52:09.949 region:rollup2
METHODOLOGY OF.
03:52:07.814 --> 03:52:13.586 region:rollup2
YOU SET YOUR UNSUCCESSFULLY GET
03:52:09.949 --> 03:52:15.121 region:rollup2
A VENDOR THERE WASN'T ANYONE
03:52:13.586 --> 03:52:16.956 region:rollup2
ABOUT SO.
03:52:15.121 --> 03:52:17.924 region:rollup2
ESSENTIALLY SAYS THAT THE FAULTS
03:52:16.956 --> 03:52:18.792 region:rollup2
METHODOLOGY MOVING FORWARD IS
03:52:17.924 --> 03:52:20.126 region:rollup2
JUST FOR THIS YEAR'S ONGOING
03:52:18.792 --> 03:52:24.097 region:rollup2
CONVERSATIONS WHAT ARE WE DOING
03:52:20.126 --> 03:52:24.731 region:rollup2
IN TERMS OF ACTUALLY TRYING TO.
03:52:24.097 --> 03:52:26.232 region:rollup2
LOOKS LIKE WOULD ON THE VENDOR
03:52:24.731 --> 03:52:27.233 region:rollup2
CAN DO THE WORK BUT UP. WHAT WAS
03:52:26.232 --> 03:52:29.235 region:rollup2
THE PLAN MOVING FORWARD FOR
03:52:27.233 --> 03:52:33.373 region:rollup2
TRYING TO ESTABLISH AND THE
03:52:29.235 --> 03:52:34.274 region:rollup2
METHODOLOGY AT MINNESOTA?
03:52:33.373 --> 03:52:35.775 region:rollup2
I MEAN OBVIOUSLY A PROPOSAL FOR
03:52:34.274 --> 03:52:37.710 region:rollup2
THIS COMING YEARS THIS KIND OF
03:52:35.775 --> 03:52:38.812 region:rollup2
LIKE THAT THE FALL PROPOSAL FOR
03:52:37.710 --> 03:52:39.579 region:rollup2
NOT ONLY THIS YEAR BUT.
03:52:38.812 --> 03:52:42.215 region:rollup2
SUBSEQUENT YEARS AS WELL AS I
03:52:39.579 --> 03:52:43.450 region:rollup2
JUST.
03:52:42.215 --> 03:52:44.050 region:rollup2
THE VOTE WHAT WHERE DEBT WHERE
03:52:43.450 --> 03:52:45.218 region:rollup2
WE TRY TO DO TO TRY TO ADDRESS
03:52:44.050 --> 03:52:48.288 region:rollup2
THAT.
03:52:45.218 --> 03:52:49.255 region:rollup2
GLORIA DIFFERENT FANS AGAIN AT
03:52:48.288 --> 03:52:50.457 region:rollup2
THIS TIME THERE'S NO PLAN TO
03:52:49.255 --> 03:52:51.658 region:rollup2
REASSESS
03:52:50.457 --> 03:52:52.826 region:rollup2
AND THE METHODOLOGY OR CONDUCT
03:52:51.658 --> 03:52:54.427 region:rollup2
AT TIMES STUDY BUT THE CURRENT
03:52:52.826 --> 03:52:55.495 region:rollup2
PLAN AS WE MOVE FORWARD IS.
03:52:54.427 --> 03:52:57.463 region:rollup2
BECAUSE.
03:52:55.495 --> 03:52:59.299 region:rollup2
THERE'S A MOVE TOWARDS A SINGLE
03:52:57.463 --> 03:53:01.100 region:rollup2
SAW SYSTEM THE COMPLAINTS TO
03:52:59.299 --> 03:53:02.969 region:rollup2
REASSESS AS WE MOVE MOVE TOWARD
03:53:01.100 --> 03:53:04.070 region:rollup2
A SINGLE SOLVE THEIR IMPENDING
03:53:02.969 --> 03:53:05.905 region:rollup2
CHANGES ON THE HORIZON.
03:53:04.070 --> 03:53:08.074 region:rollup2
BUT AT THIS POINT HAVE DID
03:53:05.905 --> 03:53:11.010 region:rollup2
GOVERNOR'S BUDGET ASSUMES THE
03:53:08.074 --> 03:53:11.711 region:rollup2
CURRENT CPI PROJECTION AND A
03:53:11.010 --> 03:53:12.946 region:rollup2
SIMILAR INCREASE FOR AT LEAST AN
03:53:11.711 --> 03:53:14.747 region:rollup2
ADDITIONAL TWO YEARS BUT WILL
03:53:12.946 --> 03:53:15.215 region:rollup2
CONTINUE CONVERSATIONS AS NEEDED
03:53:14.747 --> 03:53:20.153 region:rollup2
WITH.
03:53:15.215 --> 03:53:21.387 region:rollup2
DEMONSTRATION AND SEE WTA.
03:53:20.153 --> 03:53:23.523 region:rollup2
I CERTAINLY APPRECIATE THAT YOU
03:53:21.387 --> 03:53:25.758 region:rollup2
PUT A CPI WE COULD DO THAT MORE
03:53:23.523 --> 03:53:28.795 region:rollup2
PARTS OF THE BUDGET TO THINK.
03:53:25.758 --> 03:53:30.730 region:rollup2
ELLIOTT ACOSTA FOR ELLIOTT
03:53:28.795 --> 03:53:31.965 region:rollup2
BECAUSE YOU MADE REFERENCE TO I
03:53:30.730 --> 03:53:33.666 region:rollup2
MEAN RIGHT NOW IT'S TALK ABOUT
03:53:31.965 --> 03:53:35.502 region:rollup2
MEDI CAL.
03:53:33.666 --> 03:53:37.370 region:rollup2
OF EASY TO SUBCOMMITTEE
03:53:35.502 --> 03:53:42.342 region:rollup2
OVERSEES OTHER THINGS I KNOW
03:53:37.370 --> 03:53:47.180 region:rollup2
PASSED THE TIME SOCIAL SERVICES
03:53:42.342 --> 03:53:48.314 region:rollup2
TO TRY TRUSTS YOU KNOW SINGLE
03:53:47.180 --> 03:53:49.716 region:rollup2
OCCASION FACTOR.
03:53:48.314 --> 03:53:50.683 region:rollup2
I THINK THAT WOULD DO ALL THESE
03:53:49.716 --> 03:53:52.118 region:rollup2
THINGS INTERSECT IS THAT
03:53:50.683 --> 03:53:53.586 region:rollup2
SOMETHING LA IS LOOK.
03:53:52.118 --> 03:53:54.487 region:rollup2
SOVIET DIFFERENT YOU MADE
03:53:53.586 --> 03:53:55.421 region:rollup2
MENTION OF THE SEA OF DIFFERENT
03:53:54.487 --> 03:53:57.891 region:rollup2
PROGRAMS.
03:53:55.421 --> 03:53:59.859 region:rollup2
YEAH YOU HAVE.
03:53:57.891 --> 03:54:01.361 region:rollup2
I WAS REALLY WORKERS WHO MAY BE
03:53:59.859 --> 03:54:04.364 region:rollup2
YOU KNOW DEPENDING ON THE COUNTY
03:54:01.361 --> 03:54:07.867 region:rollup2
TO DOING SOME A. DECIDE FOCUSED
03:54:04.364 --> 03:54:09.769 region:rollup2
ORDERS ON EACH PROGRAM SOME THE
03:54:07.867 --> 03:54:10.336 region:rollup2
CROSS ITS ADDRESS.
03:54:09.769 --> 03:54:12.472 region:rollup2
AND THEN COURSE WITH EACH.
03:54:10.336 --> 03:54:14.340 region:rollup2
PROGRAMS.
03:54:12.472 --> 03:54:15.008 region:rollup2
DON'T STATUS HAS SOME SORT OF IT
03:54:14.340 --> 03:54:17.310 region:rollup2
FORMULA TO FIGURE OUT HOW MUCH
03:54:15.008 --> 03:54:19.279 region:rollup2
THE ADMINISTRATION THE OVERHEAD.
03:54:17.310 --> 03:54:20.013 region:rollup2
IS FOR THAT IS SO. IS ONLY A
03:54:19.279 --> 03:54:21.714 region:rollup2
LOOK AT HOW THIS CUTS ACROSS
03:54:20.013 --> 03:54:23.983 region:rollup2
MULTIPLE PROGRAMS THAT BECAUSE
03:54:21.714 --> 03:54:26.219 region:rollup2
PROBABLY EITHER THE SAME OR
03:54:23.983 --> 03:54:28.555 region:rollup2
SIMILAR DEPARTMENTS.
03:54:26.219 --> 03:54:29.389 region:rollup2
LOOKING AT THEM SO PERHAPS YOU
03:54:28.555 --> 03:54:30.089 region:rollup2
COULD SPEAK TO THAT. WORK SO
03:54:29.389 --> 03:54:30.590 region:rollup2
THERE IS CERTAINLY SOME
03:54:30.089 --> 03:54:31.457 region:rollup2
INTERACTION AND IN MANY
03:54:30.590 --> 03:54:33.026 region:rollup2
COUNTIES.
03:54:31.457 --> 03:54:33.660 region:rollup2
THE SAME WORKERS ARE DOING
03:54:33.026 --> 03:54:35.461 region:rollup2
ELIGIBILITY DETERMINATIONS FOR
03:54:33.660 --> 03:54:36.029 region:rollup2
MULTIPLE PROGRAMS PARTICULARLY
03:54:35.461 --> 03:54:36.663 region:rollup2
COW FRESHENED MEDICARE HOW.
03:54:36.029 --> 03:54:38.498 region:rollup2
.
03:54:36.663 --> 03:54:39.799 region:rollup2
WE ARE REVIEWING SOME OF THE
03:54:38.498 --> 03:54:41.267 region:rollup2
EFFORTS THAT ARE GOING ON IN
03:54:39.799 --> 03:54:42.535 region:rollup2
OTHER DEPARTMENTS AND ONE OF THE
03:54:41.267 --> 03:54:45.338 region:rollup2
BIG ONES IS IN CAL WORKS AND
03:54:42.535 --> 03:54:46.506 region:rollup2
THAT THE COMMITTEE IS AWARE OF.
03:54:45.338 --> 03:54:48.007 region:rollup2
I AM IN TERMS OF.
03:54:46.506 --> 03:54:49.676 region:rollup2
HOW THEY COORDINATE AND AS OUR
03:54:48.007 --> 03:54:52.011 region:rollup2
ON GOING WE WE HOPE TO LOOK AT?
03:54:49.676 --> 03:54:53.479 region:rollup2
WHETHER THERE'S A WAY TO BE
03:54:52.011 --> 03:54:54.714 region:rollup2
MORE.
03:54:53.479 --> 03:54:55.682 region:rollup2
CONSISTENT IN THE APPROACH
03:54:54.714 --> 03:54:57.650 region:rollup2
ACROSS THESE PROGRAMS
03:54:55.682 --> 03:54:59.953 region:rollup2
AND SO YES THAT IS SOMETHING
03:54:57.650 --> 03:55:01.421 region:rollup2
THAT WE'RE LOOKING AT BUT AS I
03:54:59.953 --> 03:55:03.389 region:rollup2
MENTIONED THOSE THOSE EFFORTS
03:55:01.421 --> 03:55:08.795 region:rollup2
ARE ON GOING SO WELL.
03:55:03.389 --> 03:55:09.395 region:rollup2
FOLLOW UP WITH ANY ADDITIONAL
03:55:08.795 --> 03:55:18.104 region:rollup2
COMMENTS WE HAVE WHEN WHEN WE
03:55:09.395 --> 03:55:21.608 region:rollup2
HAVE THEM.
03:55:18.104 --> 03:55:23.743 region:rollup2
AB I THINK AND PARA FINANCE LOOK
03:55:21.608 --> 03:55:25.612 region:rollup2
AS TO THINK THINK ABOUT SO WE'RE
03:55:23.743 --> 03:55:27.780 region:rollup2
HEARING ABOUT EACH PROGRAM HERE
03:55:25.612 --> 03:55:28.781 region:rollup2
WE'RE TALKING ABOUT HOW TO. HOW
03:55:27.780 --> 03:55:30.550 region:rollup2
TO FIGURE OUT WHAT THE RATE
03:55:28.781 --> 03:55:34.454 region:rollup2
FUNDING STREAM IS TO SUPPORT THE
03:55:30.550 --> 03:55:40.360 region:rollup2
COUNTIES OF THE COUNTIES CAN DO
03:55:34.454 --> 03:55:47.934 region:rollup2
THEIR WORK AS WELL ON?
03:55:40.360 --> 03:55:48.501 region:rollup2
NOW EVER TALK ABOUT MEDI CAL
03:55:47.934 --> 03:55:54.707 region:rollup2
SAGA CHO WORKS TAKAKO BILLY
03:55:48.501 --> 03:55:57.043 region:rollup2
REQUIREMENTS AND SO WHILE
03:55:54.707 --> 03:55:58.578 region:rollup2
WE TO THINK ABOUT THESE AND
03:55:57.043 --> 03:56:00.279 region:rollup2
COORDINATION WE ALSO KEEP IN
03:55:58.578 --> 03:56:01.214 region:rollup2
MIND. AND THE DIFFERENCES IN THE
03:56:00.279 --> 03:56:03.649 region:rollup2
PROGRAMS AND.
03:56:01.214 --> 03:56:05.018 region:rollup2
YOU ARE VERY AWARE WELL AWARE
03:56:03.649 --> 03:56:06.519 region:rollup2
THAT MEDI CAL IS A VERY COMPLEX
03:56:05.018 --> 03:56:08.121 region:rollup2
PROGRAM AND SO ELIGIBILITY
03:56:06.519 --> 03:56:08.988 region:rollup2
WORKERS WHEN THINKING ABOUT THE
03:56:08.121 --> 03:56:12.091 region:rollup2
TRAINING.
03:56:08.988 --> 03:56:12.792 region:rollup2
AND SO WE'RE JUST NOT THOSE TWO
03:56:12.091 --> 03:56:14.394 region:rollup2
POINTS.
03:56:12.792 --> 03:56:16.763 region:rollup2
YEAH I THINK
03:56:14.394 --> 03:56:17.830 region:rollup2
CLEARLY I MEAN THE PROGRAMS ARE.
03:56:16.763 --> 03:56:18.264 region:rollup2
THEY HAVE THEIR OWN UNIQUE
03:56:17.830 --> 03:56:20.166 region:rollup2
CHARACTERISTICS AND
03:56:18.264 --> 03:56:20.733 region:rollup2
COMPLEXITIES.
03:56:20.166 --> 03:56:21.134 region:rollup2
AND JUST THINKING ABOUT THE
03:56:20.733 --> 03:56:23.469 region:rollup2
TERMS OF
03:56:21.134 --> 03:56:24.737 region:rollup2
HOW THAT COME.
03:56:23.469 --> 03:56:27.273 region:rollup2
SO WHAT HAPPENS IS WE LOOK AT
03:56:24.737 --> 03:56:28.541 region:rollup2
EACH PROGRAM HAS SILOS BUT THEN
03:56:27.273 --> 03:56:31.277 region:rollup2
AND WE'RE REALLY TALKING ABOUT
03:56:28.541 --> 03:56:33.279 region:rollup2
THE CITY OVERHEAD BY BECAUSE
03:56:31.277 --> 03:56:34.380 region:rollup2
THEY DON'T THINK THAT I'LL
03:56:33.279 --> 03:56:35.715 region:rollup2
PROBABLY.
03:56:34.380 --> 03:56:37.283 region:rollup2
RIGHT COUNTIES TO PROPRIOCEPTIVE
03:56:35.715 --> 03:56:38.484 region:rollup2
TO TO DO THE JOB THAT WE'RE
03:56:37.283 --> 03:56:39.685 region:rollup2
ASKING THEM TO DO RIGHT FOR EACH
03:56:38.484 --> 03:56:40.953 region:rollup2
OF THESE PROGRAMS. HOW THOSE
03:56:39.685 --> 03:56:42.088 region:rollup2
THINGS SORT OF INTERSECTED
03:56:40.953 --> 03:56:43.890 region:rollup2
NEITHER?
03:56:42.088 --> 03:56:46.025 region:rollup2
TO ENERGIZE OUR BUMP INTO EACH
03:56:43.890 --> 03:56:47.460 region:rollup2
OTHER I JUST NOW SIDE JUST WANT
03:56:46.025 --> 03:56:49.128 region:rollup2
TO BE SURE THAT WE ARE TAKING A
03:56:47.460 --> 03:56:50.730 region:rollup2
LOOK AT THAT SO PREACHY LA
03:56:49.128 --> 03:56:52.231 region:rollup2
LOOKING THAT AND SURE HELL AND
03:56:50.730 --> 03:56:54.100 region:rollup2
FINANCES WELL.
03:56:52.231 --> 03:56:55.368 region:rollup2
SO WORTHWHILE WHICH IS MAINLY
03:56:54.100 --> 03:56:57.470 region:rollup2
TALK.
03:56:55.368 --> 03:56:58.938 region:rollup2
HERE AND I AM SURE THE COUNTIES
03:56:57.470 --> 03:57:00.473 region:rollup2
MUST HAVE SOME. OPINIONS
03:56:58.938 --> 03:57:01.574 region:rollup2
THEMSELVES IS THERE LOOKING AT
03:57:00.473 --> 03:57:03.443 region:rollup2
HOW THE MONEY'S COMING AROUND
03:57:01.574 --> 03:57:05.478 region:rollup2
AND TELLING ME HOW THAT MAKE
03:57:03.443 --> 03:57:07.413 region:rollup2
THAT ALL CANCEL OUT SO.
03:57:05.478 --> 03:57:09.415 region:rollup2
SO OF PERHAPS FLYNN AND WILL GO
03:57:07.413 --> 03:57:11.150 region:rollup2
TO PUBLIC COMMENT MAYBE SOMEONE
03:57:09.415 --> 03:57:12.185 region:rollup2
FROM THE COUNTIES WILL HAVE
03:57:11.150 --> 03:57:13.252 region:rollup2
SOMETHING TO SAY.
03:57:12.185 --> 03:57:13.986 region:rollup2
KELLY BROOKS I'M HERE TODAY ON
03:57:13.252 --> 03:57:15.822 region:rollup2
BEHALF OF THE COUNTY WELFARE
03:57:13.986 --> 03:57:17.290 region:rollup2
DIRECTORS ASSOCIATION AND WE
03:57:15.822 --> 03:57:18.958 region:rollup2
SUPPORT THE PROPOSED FIFTY FOUR
03:57:17.290 --> 03:57:19.559 region:rollup2
BILLION DOLLAR AUGMENTATION AND
03:57:18.958 --> 03:57:20.660 region:rollup2
BASED ON THE CALIFORNIA PRICE
03:57:19.559 --> 03:57:22.128 region:rollup2
INDEX.
03:57:20.660 --> 03:57:23.463 region:rollup2
WE ALSO SUPPORT THE PROPOSED
03:57:22.128 --> 03:57:25.531 region:rollup2
PROPOSAL TO MOVE FORWARD WITH
03:57:23.463 --> 03:57:26.799 region:rollup2
ANNUAL COST ADJUSTMENTS AND WE
03:57:25.531 --> 03:57:28.468 region:rollup2
UNDERSTAND THE PROPOSAL IS TO BE
03:57:26.799 --> 03:57:30.369 region:rollup2
FOR THE FORESEEABLE FUTURE AND
03:57:28.468 --> 03:57:30.903 region:rollup2
TELL CHANGE BY A FUTURE
03:57:30.369 --> 03:57:31.771 region:rollup2
ADMINISTRATION OUR FUTURE
03:57:30.903 --> 03:57:33.372 region:rollup2
LEGISLATURE.
03:57:31.771 --> 03:57:35.208 region:rollup2
BUT NOT LIMIT TIME LIMITED TO
03:57:33.372 --> 03:57:36.109 region:rollup2
THE SAUCE CONVERSION AS WAS
03:57:35.208 --> 03:57:37.577 region:rollup2
NOTED IN THE EIGHT PAGES OF THE
03:57:36.109 --> 03:57:39.145 region:rollup2
JANUARY BUDGET. AND WILL BE
03:57:37.577 --> 03:57:40.613 region:rollup2
WORKING WITH THE ADMINISTRATION
03:57:39.145 --> 03:57:41.414 region:rollup2
TO CLARIFY THAT AS PART OF THE
03:57:40.613 --> 03:57:44.117 region:rollup2
ME REVISION.
03:57:41.414 --> 03:57:44.717 region:rollup2
AS DIRECTOR CAN'T NOTED AND WE
03:57:44.117 --> 03:57:45.952 region:rollup2
DO HAVE ONE ISSUE THAT WE'RE
03:57:44.717 --> 03:57:48.421 region:rollup2
WORKING WITH THE ADMINISTRATION
03:57:45.952 --> 03:57:50.823 region:rollup2
TO ADDRESS THAT IS NOTED IN YOUR
03:57:48.421 --> 03:57:51.591 region:rollup2
AGENDA. AND ISSUES RELATED TO
03:57:50.823 --> 03:57:52.391 region:rollup2
PROPOSED ELIMINATION OF THE
03:57:51.591 --> 03:57:53.826 region:rollup2
ANNUAL.
03:57:52.391 --> 03:57:55.361 region:rollup2
REALLOCATION OF FUNDS FROM
03:57:53.826 --> 03:57:56.562 region:rollup2
UNDER SPENDING COUNTIES
03:57:55.361 --> 03:57:57.597 region:rollup2
OVERSPENDING COUNTIES.
03:57:56.562 --> 03:57:58.231 region:rollup2
AND WE TRY OUR BEST ALLOCATE THE
03:57:57.597 --> 03:58:00.266 region:rollup2
FUNDS TO COUNTIES AS THEY ARE
03:57:58.231 --> 03:58:01.868 region:rollup2
NEEDED AND WE'VE GENERALLY BEEN
03:58:00.266 --> 03:58:03.169 region:rollup2
SPENDING BETWEEN NINETY FIVE AND
03:58:01.868 --> 03:58:04.504 region:rollup2
NINETY SEVEN PERCENT.
03:58:03.169 --> 03:58:06.005 region:rollup2
OF THE OTAL AMOUNT YOU
03:58:04.504 --> 03:58:07.373 region:rollup2
APPROPRIATE IN THE BUDGET ACT
03:58:06.005 --> 03:58:09.275 region:rollup2
HOWEVER WERE NEVER PERFECT IT'S
03:58:07.373 --> 03:58:10.943 region:rollup2
YOU KNOW BUDGETING IS A LITTLE
03:58:09.275 --> 03:58:11.511 region:rollup2
BIT ARE A LITTLE BIT SCIENCE BUT
03:58:10.943 --> 03:58:12.345 region:rollup2
WERE NEVER A HUNDRED PERCENT
03:58:11.511 --> 03:58:14.313 region:rollup2
CRACKED.
03:58:12.345 --> 03:58:15.848 region:rollup2
AND SO THE REALLOCATION IS
03:58:14.313 --> 03:58:17.049 region:rollup2
NEEDED TO MAXIMIZE THE ABILITY
03:58:15.848 --> 03:58:18.484 region:rollup2
OF COUNTIES TO PROPERLY
03:58:17.049 --> 03:58:19.785 region:rollup2
ADMINISTER THE PROGRAM ON THE
03:58:18.484 --> 03:58:21.754 region:rollup2
STATE'S PATH UP AS ELIOT NOTED
03:58:19.785 --> 03:58:23.322 region:rollup2
WE DO WE DO ARE ARE WE ARE ABLE
03:58:21.754 --> 03:58:25.825 region:rollup2
TO REALLOCATE FUNDING AND OTHER
03:58:23.322 --> 03:58:26.425 region:rollup2
I'M COUNTY ADMIN PROGRAMS AND SO
03:58:25.825 --> 03:58:27.426 region:rollup2
WHAT WE'RE NOT SURE WHY THIS.
03:58:26.425 --> 03:58:28.861 region:rollup2
WOULD BE TREATED DIFFERENT.
03:58:27.426 --> 03:58:30.463 region:rollup2
WE'RE HOPEFUL WE CAN WORK ON
03:58:28.861 --> 03:58:32.532 region:rollup2
AGREEMENT BY THE MAY REVISE.
03:58:30.463 --> 03:58:34.233 region:rollup2
BUT WILL KEEP YOU UP TO DATE ON
03:58:32.532 --> 03:58:36.135 region:rollup2
HOW THOSE CONVERSATIONS PROGRESS
03:58:34.233 --> 03:58:37.136 region:rollup2
AND AS YOUR QUESTION ABOUT
03:58:36.135 --> 03:58:39.071 region:rollup2
THREAT HOW SEARCH COUNTY
03:58:37.136 --> 03:58:41.741 region:rollup2
ADMINISTRATION ACROSS DIFFERENT
03:58:39.071 --> 03:58:42.875 region:rollup2
PROGRAMS. AND. WRITE IT THIS IT
03:58:41.741 --> 03:58:44.310 region:rollup2
IS AN INTERESTING WITH A POINT
03:58:42.875 --> 03:58:44.777 region:rollup2
THAT YOU BRING UP BECAUSE I
03:58:44.310 --> 03:58:46.612 region:rollup2
THINK.
03:58:44.777 --> 03:58:49.615 region:rollup2
OVER THE TIME OF THE RECESSION
03:58:46.612 --> 03:58:50.650 region:rollup2
AND THRIVE COMING OUT OF IT ON.
03:58:49.615 --> 03:58:52.151 region:rollup2
ADMINISTRATION PROBABLY WAS NOT
03:58:50.650 --> 03:58:54.487 region:rollup2
FUNDED AT A HUNDRED PERCENT OF
03:58:52.151 --> 03:58:55.521 region:rollup2
OUR COSTS AND SO ON THAT IS
03:58:54.487 --> 03:58:56.422 region:rollup2
CONVERSATION WE'RE GONNA BE
03:58:55.521 --> 03:58:57.990 region:rollup2
HAVING A COW WORKS IT'S
03:58:56.422 --> 03:58:59.392 region:rollup2
CONVERSATION OR HAVING A MEDI
03:58:57.990 --> 03:59:00.893 region:rollup2
CAL ACCOUNT CONVERSATION WE'RE
03:58:59.392 --> 03:59:02.161 region:rollup2
HAVING A NICE SIZE. AND AGAIN
03:59:00.893 --> 03:59:02.628 region:rollup2
THE BOOK JUST AS FINANCE NOTED
03:59:02.161 --> 03:59:03.596 region:rollup2
THE BUDGETS ARE BUILT
03:59:02.628 --> 03:59:04.330 region:rollup2
DIFFERENTLY AND SO THERE'S
03:59:03.596 --> 03:59:05.064 region:rollup2
DIFFERENT COMPONENTS AND
03:59:04.330 --> 03:59:06.699 region:rollup2
DIFFERENT COST DRIVERS
03:59:05.064 --> 03:59:07.133 region:rollup2
ASSOCIATED WITH EACH OF THEM BUT
03:59:06.699 --> 03:59:09.702 region:rollup2
WE'RE HAPPY TO AND.
03:59:07.133 --> 03:59:13.606 region:rollup2
THANKS.
03:59:09.702 --> 03:59:14.240 region:rollup2
THANK YOU WELCOME.
03:59:13.606 --> 03:59:15.474 region:rollup2
JUSTIN GET WITH THE CALIFORNIA
03:59:14.240 --> 03:59:17.076 region:rollup2
STATE ASSOCIATION OF COUNTIES SO
03:59:15.474 --> 03:59:18.177 region:rollup2
WE ARE SUPPORTIVE OF THE ONGOING
03:59:17.076 --> 03:59:19.445 region:rollup2
METHODOLOGY FOR MEDICAL
03:59:18.177 --> 03:59:20.947 region:rollup2
ADMINISTRATION AND APPRECIATE
03:59:19.445 --> 03:59:22.615 region:rollup2
THE INCREASE THAT IT PROVIDES
03:59:20.947 --> 03:59:23.983 region:rollup2
FOR TWENTY EIGHTEEN NINETEEN. ON
03:59:22.615 --> 03:59:25.318 region:rollup2
THE ISSUE A REALLOCATION OF
03:59:23.983 --> 03:59:27.486 region:rollup2
UNSPENT FUNDS ON THIS IS
03:59:25.318 --> 03:59:29.622 region:rollup2
IMPORTANT AFRIKAN IS TO MAINTAIN
03:59:27.486 --> 03:59:30.990 region:rollup2
THIS FLEXIBILITY. AND WE ARE
03:59:29.622 --> 03:59:32.258 region:rollup2
ALSO HOPEFUL FOR RESOLUTION ON
03:59:30.990 --> 03:59:33.492 region:rollup2
THIS ISSUE IN THE CONTINUING
03:59:32.258 --> 03:59:34.794 region:rollup2
CONVERSATIONS.
03:59:33.492 --> 03:59:37.663 region:rollup2
THANK YOU.
03:59:34.794 --> 03:59:38.998 region:rollup2
WELCOME.
03:59:37.663 --> 03:59:39.799 region:rollup2
MANY ABOUT OF HEALTH ACCESS THAT
03:59:38.998 --> 03:59:41.434 region:rollup2
WE SUPPORT THE COUNTIES HAVING
03:59:39.799 --> 03:59:42.835 region:rollup2
ENOUGH RESOURCES TO DO THE
03:59:41.434 --> 03:59:44.570 region:rollup2
IMPORTANT WORK OF DETERMINING
03:59:42.835 --> 03:59:46.806 region:rollup2
ELIGIBILITY AND ENROLLING PEOPLE
03:59:44.570 --> 03:59:48.207 region:rollup2
INTO MEDI CAL. WE ARE AWARE OF
03:59:46.806 --> 03:59:49.942 region:rollup2
THE DISCUSSIONS AND THE ART THAT
03:59:48.207 --> 03:59:50.476 region:rollup2
ARE TAKING PLACE AND I'M JUST
03:59:49.942 --> 03:59:53.412 region:rollup2
ONE TECH.
03:59:50.476 --> 03:59:53.946 region:rollup2
EMPHASIZE THAT WE HOPE THAT IT
03:59:53.412 --> 03:59:55.815 region:rollup2
GETS RESOLVED THANK YOU.
03:59:53.946 --> 03:59:58.784 region:rollup2
I THINK YOU.
03:59:55.815 --> 03:59:59.518 region:rollup2
NO QUESTIONS SAYING NONE OKAY SO
03:59:58.784 --> 04:00:00.620 region:rollup2
WE'RE GOING TO HOLD THIS ITEM
03:59:59.518 --> 04:00:01.754 region:rollup2
OPENED.
04:00:00.620 --> 04:00:03.990 region:rollup2
WE'RE GONNA MOVE FOR.
04:00:01.754 --> 04:00:04.757 region:rollup2
I SHOULD ISSUE NUMBER FIVE WE
04:00:03.990 --> 04:00:06.792 region:rollup2
HAVE.
04:00:04.757 --> 04:00:09.362 region:rollup2
SERVE RULES STAKEHOLDER
04:00:06.792 --> 04:00:12.765 region:rollup2
PROPOSALS.
04:00:09.362 --> 04:00:14.867 region:rollup2
IF FOR STAKEHOLDER PROPOSAL SO.
04:00:12.765 --> 04:00:15.301 region:rollup2
WE GO.
04:00:14.867 --> 04:00:17.637 region:rollup2
HAVE.
04:00:15.301 --> 04:00:20.306 region:rollup2
ACTUALLY BACKED CAN'T WHAT YOU
04:00:17.637 --> 04:00:23.009 region:rollup2
JUST REMOVE THE DECIDER UNLESS
04:00:20.306 --> 04:00:23.909 region:rollup2
IT'S ON HOUSING DEPARTMENT WANTS
04:00:23.009 --> 04:00:25.878 region:rollup2
TO BE HERE.
04:00:23.909 --> 04:00:28.547 region:rollup2
ALRIGHT LET'S
04:00:25.878 --> 04:00:29.949 region:rollup2
THAT WILL LEAVE THE.
04:00:28.547 --> 04:00:31.117 region:rollup2
AT A THREATEN THE I DON'T MIND
04:00:29.949 --> 04:00:32.551 region:rollup2
HAVING SOMEONE'S BACK TO ME VR
04:00:31.117 --> 04:00:34.720 region:rollup2
MOVE AROUND THE CORNERS AND WE
04:00:32.551 --> 04:00:36.322 region:rollup2
CAN HAVE.
04:00:34.720 --> 04:00:38.324 region:rollup2
OKAY LOOKS LIKE IT ENOUGH FOR WE
04:00:36.322 --> 04:00:38.724 region:rollup2
HAVE WE FOR TEARS UP HERE SO
04:00:38.324 --> 04:00:40.026 region:rollup2
LET'S SEE WE HAVE.
04:00:38.724 --> 04:00:40.760 region:rollup2
.
04:00:40.026 --> 04:00:41.794 region:rollup2
SO HERE'S THE FIRST ONE IS
04:00:40.760 --> 04:00:43.162 region:rollup2
HEALTH FOR ALL AND THEN.
04:00:41.794 --> 04:00:44.163 region:rollup2
SO.
04:00:43.162 --> 04:00:44.163 region:rollup2
RIGHT.
04:00:44.263 --> 04:00:48.234 region:rollup2
OKAY SO LET'S SEE HERE SUFFERS
04:00:45.998 --> 04:00:51.137 region:rollup2
OR WE HAVE HEALTH.
04:00:48.234 --> 04:00:54.273 region:rollup2
IT FELT FOR ALL SO WE HAVE. GOT
04:00:51.137 --> 04:00:55.274 region:rollup2
SO SCREWED OKAY.
04:00:54.273 --> 04:00:55.274 region:rollup2
OKAY CHRIS REGALIA ALRIGHT.
05:46:28.101 --> 05:46:41.214 region:rollup2
YEAH.
05:46:38.444 --> 05:46:44.350 region:rollup2
OKAY.
05:46:41.214 --> 05:46:45.785 region:rollup2
ALRIGHT WERNER HOMESTRETCH.
05:46:44.350 --> 05:46:47.453 region:rollup2
SO ALL OF THIS IS IN ANY
05:46:45.785 --> 05:46:49.455 region:rollup2
COMPENSATION FOR COMING LASTS
05:46:47.453 --> 05:46:51.124 region:rollup2
TODAY BUT I WILL JUST BEFORE HE
05:46:49.455 --> 05:46:52.325 region:rollup2
STARTED TO SAY THAT THE PART
05:46:51.124 --> 05:46:53.860 region:rollup2
PUBLIC HEALTH I LOVE ALL THE
05:46:52.325 --> 05:46:55.361 region:rollup2
DEPARTMENTS OVERSEE BUT I DO
05:46:53.860 --> 05:46:59.032 region:rollup2
HAVE SOME FAVORITES.
05:46:55.361 --> 05:47:01.000 region:rollup2
ONE OF THEM. SO SORRY TO START
05:46:59.032 --> 05:47:02.302 region:rollup2
OFF WITH THAT AND AGAIN WELCOME
05:47:01.000 --> 05:47:02.735 region:rollup2
AND SO WILL DO IS JUST THAT DID
05:47:02.302 --> 05:47:06.305 region:rollup2
A QUICK ROUND ROBIN
05:47:02.735 --> 05:47:08.941 region:rollup2
INTRODUCTIONS FOR THE RECORD AND
05:47:06.305 --> 05:47:09.976 region:rollup2
THEN. THE.
05:47:08.941 --> 05:47:11.244 region:rollup2
TRAKTOR BEGINS OF YOU CAN JUST
05:47:09.976 --> 05:47:12.111 region:rollup2
THAT QUICK INTRODUCTION.
05:47:11.244 --> 05:47:12.645 region:rollup2
KAREN SMITH DIRECTOR SORT
05:47:12.111 --> 05:47:14.080 region:rollup2
CALTRAIN DEPARTMENT PUBLIC
05:47:12.645 --> 05:47:14.647 region:rollup2
HEALTH.
05:47:14.080 --> 05:47:16.349 region:rollup2
RENDON NEWNESS CHIEF DEPUTY
05:47:14.647 --> 05:47:18.351 region:rollup2
DIRECTOR FOR OPERATIONS OF THE
05:47:16.349 --> 05:47:21.154 region:rollup2
DEPARTMENT OF PUBLIC HEALTH
05:47:18.351 --> 05:47:24.557 region:rollup2
HELLO. SONYA PEDICLE AO.
05:47:21.154 --> 05:47:25.792 region:rollup2
MANY GREAT LENA GRANT FINANCE.
05:47:24.557 --> 05:47:26.626 region:rollup2
BELOW PLANTS A THANK YOU.
05:47:25.792 --> 05:47:28.461 region:rollup2
ALRIGHT SO ITEM NUMBER ONE IS.
05:47:26.626 --> 05:47:29.295 region:rollup2
THE OVERVIEW AND I THINK
05:47:28.461 --> 05:47:30.763 region:rollup2
THEY'LL JUST NEED TO HIT THE
05:47:29.295 --> 05:47:31.831 region:rollup2
HIGHLIGHTS AND THAT THANK YOU
05:47:30.763 --> 05:47:32.432 region:rollup2
FOR BEING HERE.
05:47:31.831 --> 05:47:34.400 region:rollup2
THANK YOU.
05:47:32.432 --> 05:47:35.134 region:rollup2
CHAIR FOR THIS OPPORTUNITY I
05:47:34.400 --> 05:47:35.902 region:rollup2
THINK I KNOW YOU'RE VERY
05:47:35.134 --> 05:47:36.235 region:rollup2
FAMILIAR WITH THE DEPARTMENT I
05:47:35.902 --> 05:47:37.003 region:rollup2
MEAN HIT SOME.
05:47:36.235 --> 05:47:38.204 region:rollup2
.
05:47:37.003 --> 05:47:38.838 region:rollup2
THINGS THAT HAVE HAPPENED A SOME
05:47:38.204 --> 05:47:41.574 region:rollup2
ACTIVITIES FROM THE PAST YEAR
05:47:38.838 --> 05:47:43.376 region:rollup2
THAT WERE ABOVE THE USUAL ON
05:47:41.574 --> 05:47:44.877 region:rollup2
SUSPECTS IF YOU WILL OF THE WORK
05:47:43.376 --> 05:47:47.113 region:rollup2
THAT WE DO AS A DEPARTMENT. I'M
05:47:44.877 --> 05:47:48.514 region:rollup2
REALLY IT'S BEEN A BANNER YEAR
05:47:47.113 --> 05:47:50.817 region:rollup2
FOR INFECTIOUS DISEASE OUTBREAKS
05:47:48.514 --> 05:47:51.484 region:rollup2
AS I SURE.
05:47:50.817 --> 05:47:53.419 region:rollup2
I'M INFLUENCE OF BEING THE MOST
05:47:51.484 --> 05:47:55.621 region:rollup2
REAL RECENT IN ADDITION TO OUR
05:47:53.419 --> 05:47:56.689 region:rollup2
USUAL I'M SUPPORT FOR THE HEALTH
05:47:55.621 --> 05:47:58.057 region:rollup2
SYSTEM I THE LOCAL HEALTH
05:47:56.689 --> 05:47:59.792 region:rollup2
DEPARTMENTS WE ALSO.
05:47:58.057 --> 05:48:01.260 region:rollup2
DISTRIBUTED OVER TWO MILLION
05:47:59.792 --> 05:48:02.528 region:rollup2
DOSES OF INFLUENZA VACCINE
05:48:01.260 --> 05:48:05.598 region:rollup2
INCLUDING ONE POINT FIVE MILLION
05:48:02.528 --> 05:48:06.265 region:rollup2
DOSES OF PEDIATRIC VACCINE. ON
05:48:05.598 --> 05:48:07.767 region:rollup2
THE HEPATITIS A OUTBREAK WE HAVE
05:48:06.265 --> 05:48:09.235 region:rollup2
THE UNFORTUNATE DISTINCTION OF
05:48:07.767 --> 05:48:10.636 region:rollup2
THE LARGEST HEPATITIS A OUTBREAK
05:48:09.235 --> 05:48:13.039 region:rollup2
PERSON A PERSON IN THE UNITED
05:48:10.636 --> 05:48:14.807 region:rollup2
STATES. OVER THE PAST YEAR.
05:48:13.039 --> 05:48:16.476 region:rollup2
AND THERE AGAIN PROVIDING
05:48:14.807 --> 05:48:17.043 region:rollup2
SUPPORT BUT ALSO TO.
05:48:16.476 --> 05:48:18.845 region:rollup2
DISTRIBUTING OVER HUNDRED
05:48:17.043 --> 05:48:20.580 region:rollup2
TWENTY THREE THOUSAND VACCINES
05:48:18.845 --> 05:48:23.483 region:rollup2
INCLUDING THIRTY EIGHT THOUSAND
05:48:20.580 --> 05:48:24.584 region:rollup2
DOSES THAT WERE STATE FUNDED I'M
05:48:23.483 --> 05:48:26.552 region:rollup2
DUE TO THE EMERGENCY ORDER THAT.
05:48:24.584 --> 05:48:28.521 region:rollup2
THAT THE GOVERNOR AND PUT OUT
05:48:26.552 --> 05:48:31.891 region:rollup2
BUT WE ARE ALSO STILL MONITORING
05:48:28.521 --> 05:48:32.825 region:rollup2
FOR ZECA AND WE CONTINUE TO HAVE
05:48:31.891 --> 05:48:34.694 region:rollup2
SECRET KISSES AND.
05:48:32.825 --> 05:48:37.130 region:rollup2
WE'VE HAD TWELVE CONGENITAL
05:48:34.694 --> 05:48:39.632 region:rollup2
CASES UNFORTUNATELY AS WELL.
05:48:37.130 --> 05:48:41.300 region:rollup2
AND WE'RE CONTINUING TO WORK
05:48:39.632 --> 05:48:44.737 region:rollup2
WITH VECTOR CONTROL AGENCIES ON
05:48:41.300 --> 05:48:44.971 region:rollup2
AND HAVE A STATEWIDE PLAN THAT
05:48:44.737 --> 05:48:49.242 region:rollup2
TO YOU.
05:48:44.971 --> 05:48:49.776 region:rollup2
CONTROLS ECA AS WELL AS REALLY
05:48:49.242 --> 05:48:50.009 region:rollup2
AGGRESSIVE OUTREACH AT THE
05:48:49.776 --> 05:48:50.576 region:rollup2
BORDER.
05:48:50.009 --> 05:48:51.144 region:rollup2
AND THEN I JUST WANNA IN
05:48:50.576 --> 05:48:51.577 region:rollup2
ADDITION TO THE COMMUNICABLE
05:48:51.144 --> 05:48:52.645 region:rollup2
DISEASE OUTBREAKS.
05:48:51.577 --> 05:48:54.380 region:rollup2
HEPATITIS BUT ALSO TO.
05:48:52.645 --> 05:48:54.580 region:rollup2
FETAL AM BACTERIAL MENINGITIS.
05:48:54.380 --> 05:48:55.848 region:rollup2
OUR.
05:48:54.580 --> 05:48:57.250 region:rollup2
EMERGENCY OPERATIONS CENTER
05:48:55.848 --> 05:48:58.184 region:rollup2
THAT THE MEDICAL HEALTH
05:48:57.250 --> 05:48:59.552 region:rollup2
COORDINATION CENTER HAS BEEN
05:48:58.184 --> 05:49:00.620 region:rollup2
ACTIVATED EVERY SINGLE DAY THIS
05:48:59.552 --> 05:49:01.988 region:rollup2
YEAR PRETTY MUCH.
05:49:00.620 --> 05:49:02.889 region:rollup2
FOR A VARIETY OF OTHER
05:49:01.988 --> 05:49:05.091 region:rollup2
ACTIVITIES.
05:49:02.889 --> 05:49:07.260 region:rollup2
INCLUDING THE.
05:49:05.091 --> 05:49:08.528 region:rollup2
IT TO THE EVACUATION OF ELEVEN
05:49:07.260 --> 05:49:09.395 region:rollup2
FACILITIES IN FOUR HUNDRED
05:49:08.528 --> 05:49:10.930 region:rollup2
SEVENTY PATIENTS FOR THE OR BILL
05:49:09.395 --> 05:49:12.331 region:rollup2
DAM A RESPONSE.
05:49:10.930 --> 05:49:13.533 region:rollup2
OVER TWENTY EIGHT FACILITIES
05:49:12.331 --> 05:49:15.468 region:rollup2
AND A THOUSAND PATIENTS
05:49:13.533 --> 05:49:15.935 region:rollup2
EVACUATED DURING THE NORTHERN
05:49:15.468 --> 05:49:16.569 region:rollup2
CALIFORNIA FIRES
05:49:15.935 --> 05:49:18.137 region:rollup2
THE.
05:49:16.569 --> 05:49:19.238 region:rollup2
FIFTY FOUR FACILITIES SOME FIVE
05:49:18.137 --> 05:49:20.373 region:rollup2
HUNDRED NINETY FIVE PATIENTS
05:49:19.238 --> 05:49:22.208 region:rollup2
EVACUATED DURING THE SOUTHERN
05:49:20.373 --> 05:49:23.743 region:rollup2
CALIFORNIA FIRES. AND THEN IN
05:49:22.208 --> 05:49:24.844 region:rollup2
JANUARY THE MUD SLIDES WHICH
05:49:23.743 --> 05:49:26.312 region:rollup2
WE'RE AT NOW HAVE SEVERAL
05:49:24.844 --> 05:49:27.980 region:rollup2
FACILITIES THAT ARE ACTUALLY ON
05:49:26.312 --> 05:49:29.649 region:rollup2
THEIR FOURTH EVACUATION.
05:49:27.980 --> 05:49:31.684 region:rollup2
DOWN IN SANTA BARBARA COUNTY SO
05:49:29.649 --> 05:49:32.952 region:rollup2
WE REMAIN VERY ACTIVE IN ARMOR
05:49:31.684 --> 05:49:33.452 region:rollup2
RESPONSE TO EMERGENCIES
05:49:32.952 --> 05:49:35.321 region:rollup2
THROUGHOUT THE STATE OF
05:49:33.452 --> 05:49:36.389 region:rollup2
CALIFORNIA. THANK YOU ALSO
05:49:35.321 --> 05:49:37.990 region:rollup2
FAMILIAR WITH OUR WORK ON THE
05:49:36.389 --> 05:49:39.258 region:rollup2
OPIATE EPIDEMIC WE CONTINUE TO
05:49:37.990 --> 05:49:41.327 region:rollup2
HAVE A SEVERE PUBLIC HEALTH
05:49:39.258 --> 05:49:43.296 region:rollup2
PROBLEM WE ALSO HAVE ONE OF THE
05:49:41.327 --> 05:49:44.430 region:rollup2
MOST INNOVATIVE AND BROADS BROAD
05:49:43.296 --> 05:49:46.232 region:rollup2
APPROACHES TO.
05:49:44.430 --> 05:49:46.732 region:rollup2
THE OPIATE EPIDEMIC IN THE
05:49:46.232 --> 05:49:48.601 region:rollup2
UNITED STATES AND WE'RE
05:49:46.732 --> 05:49:49.268 region:rollup2
BEGINNING TO SEE. SOME I'M
05:49:48.601 --> 05:49:51.838 region:rollup2
ENCOURAGING.
05:49:49.268 --> 05:49:53.172 region:rollup2
THAT CHANGES IN PRESCRIBING
05:49:51.838 --> 05:49:54.607 region:rollup2
PATTERNS IN PARTICULAR AND WE'RE
05:49:53.172 --> 05:49:56.809 region:rollup2
CONTINUING TO WORK ON THAT.
05:49:54.607 --> 05:49:58.177 region:rollup2
ACTIVELY ALSO MANAGED TO VERY
05:49:56.809 --> 05:50:00.112 region:rollup2
SUCCESSFULLY I THINK.
05:49:58.177 --> 05:50:02.348 region:rollup2
LAUNCH BOTH A REGULATORY
05:50:00.112 --> 05:50:04.150 region:rollup2
STRUCTURE BUT ALSO LICENSING FOR
05:50:02.348 --> 05:50:05.418 region:rollup2
THE MANUFACTURE OF CANNABIS AND
05:50:04.150 --> 05:50:06.752 region:rollup2
TO DO SO THAT'S JUST A KIND OF.
05:50:05.418 --> 05:50:08.387 region:rollup2
HIGH LEVEL OVERVIEW OF SOME OF
05:50:06.752 --> 05:50:09.522 region:rollup2
THE THINGS BEYOND OUR NORMAL
05:50:08.387 --> 05:50:12.091 region:rollup2
WORK THAT WE'VE BEEN DOING THIS
05:50:09.522 --> 05:50:16.128 region:rollup2
PAST YEAR. FAQ AND.
05:50:12.091 --> 05:50:18.798 region:rollup2
BRAND IT'S GONNA GIVE YOU THE
05:50:16.128 --> 05:50:19.966 region:rollup2
F. FINANCIAL REVIEW JUST A QUICK
05:50:18.798 --> 05:50:21.801 region:rollup2
OVERVIEW ON OUR BUDGET OF COURSE
05:50:19.966 --> 05:50:24.170 region:rollup2
WE HAVE A BUDGET THREE POINT TWO
05:50:21.801 --> 05:50:27.139 region:rollup2
BILLION FOR SEVENTEEN EIGHTEEN.
05:50:24.170 --> 05:50:27.607 region:rollup2
GOING INTO EIGHTEEN NINETEEN
05:50:27.139 --> 05:50:27.840 region:rollup2
IT'S RELATIVELY FLAT.
05:50:27.607 --> 05:50:28.507 region:rollup2
CHANGES
05:50:27.840 --> 05:50:29.075 region:rollup2
ABOUT A ONE PERSON
05:50:28.507 --> 05:50:30.209 region:rollup2
A KLEIN FROM THE SEVENTEEN
05:50:29.075 --> 05:50:31.577 region:rollup2
EIGHTEEN BUDGET.
05:50:30.209 --> 05:50:31.744 region:rollup2
COURSE WE HAVE A BUDGET THAT HAS
05:50:31.577 --> 05:50:33.246 region:rollup2
A.
05:50:31.744 --> 05:50:34.180 region:rollup2
MIX OF GENERAL FUND VERY SMALL
05:50:33.246 --> 05:50:34.447 region:rollup2
PERCENTAGE AND OFTEN A FOUR
05:50:34.180 --> 05:50:35.314 region:rollup2
PERCENT.
05:50:34.447 --> 05:50:35.915 region:rollup2
LARGE PROPORTION OF OUR FUNDING
05:50:35.314 --> 05:50:36.549 region:rollup2
COMES FROM FEDERAL FUNDS OF
05:50:35.915 --> 05:50:37.216 region:rollup2
ABOUT HALF AND THEN WE HAVE A
05:50:36.549 --> 05:50:38.918 region:rollup2
LARGE NUMBER OF SPECIAL FUNDS IN
05:50:37.216 --> 05:50:40.620 region:rollup2
ABOUT FORTY SIX PERCENT OR ONE
05:50:38.918 --> 05:50:42.021 region:rollup2
AND A HALF BILLION COMES FROM
05:50:40.620 --> 05:50:43.890 region:rollup2
OUR SPECIAL FUNDS SOURCES.
05:50:42.021 --> 05:50:45.491 region:rollup2
YOU'LL BE HEARING TODAY FROM A
05:50:43.890 --> 05:50:47.026 region:rollup2
NUMBER OF OUR CENTERS.
05:50:45.491 --> 05:50:48.728 region:rollup2
THAT.
05:50:47.026 --> 05:50:50.363 region:rollup2
DID THE CHANGES RELATED TO OUR
05:50:48.728 --> 05:50:51.631 region:rollup2
BUDGET OBVIOUSLY DRIVEN BY NINE%
05:50:50.363 --> 05:50:53.566 region:rollup2
BCP'S THAT WE HAVE WE HAVE FOR
05:50:51.631 --> 05:50:54.500 region:rollup2
ESTIMATES WILL BE PRESENTING TO
05:50:53.566 --> 05:50:55.601 region:rollup2
YOU THIS YEAR FROM OUR WOMEN
05:50:54.500 --> 05:50:57.570 region:rollup2
INFANTS AND CHILDREN ARE GENETIC
05:50:55.601 --> 05:51:00.339 region:rollup2
DISEASE SCREENING. OUR LICENSING
05:50:57.570 --> 05:51:01.207 region:rollup2
AND CERTIFICATION AND ARE HIV
05:51:00.339 --> 05:51:02.708 region:rollup2
ASSISTANCE PROGRAM.
05:51:01.207 --> 05:51:04.377 region:rollup2
YOU'LL BE HEARING MOST OF THOSE
05:51:02.708 --> 05:51:05.912 region:rollup2
ADJUSTMENTS THIS YEAR AND HEARD
05:51:04.377 --> 05:51:07.113 region:rollup2
TODAY ACTUALLY AND THEN WE HAVE
05:51:05.912 --> 05:51:08.581 region:rollup2
ON THE SMALL GENERAL FUND
05:51:07.113 --> 05:51:08.948 region:rollup2
INCREASE THAT HIGHLIGHT THIS
05:51:08.581 --> 05:51:09.982 region:rollup2
YEAR.
05:51:08.948 --> 05:51:11.784 region:rollup2
WE HAVE THREE AND A HALF
05:51:09.982 --> 05:51:14.053 region:rollup2
MILLION THAT'S GOING TO BOTH OUR
05:51:11.784 --> 05:51:16.689 region:rollup2
AL'S HYMERS PROGRAM AND OUR MEAT
05:51:14.053 --> 05:51:17.290 region:rollup2
SAFETY MONITORING PROGRAM YOU'LL
05:51:16.689 --> 05:51:17.523 region:rollup2
HEAR ABOUT BOTH THOSE AS WELL
05:51:17.290 --> 05:51:19.392 region:rollup2
TODAY.
05:51:17.523 --> 05:51:19.992 region:rollup2
THANK YOU.
05:51:19.392 --> 05:51:22.228 region:rollup2
THANK YOU COMES FROM ALEJO.
05:51:19.992 --> 05:51:22.461 region:rollup2
FINANCE.
05:51:22.228 --> 05:51:24.931 region:rollup2
ALRIGHT.
05:51:22.461 --> 05:51:26.098 region:rollup2
.
05:51:24.931 --> 05:51:28.067 region:rollup2
JUST YOU KNOW I THINK EVERY
05:51:26.098 --> 05:51:30.269 region:rollup2
SHAPE THE OVERVIEW I THINK.
05:51:28.067 --> 05:51:31.470 region:rollup2
WENT QUESTIONS I HAVE IS IS
05:51:30.269 --> 05:51:32.338 region:rollup2
THAT GIVEN THE FACT THAT.
05:51:31.470 --> 05:51:34.573 region:rollup2
REALLY I MEAN THE THREE POINT
05:51:32.338 --> 05:51:36.075 region:rollup2
TWO BILLION DOLLAR BUDGET BUT
05:51:34.573 --> 05:51:37.543 region:rollup2
THE GENERAL FUND PORTION IS SUCH
05:51:36.075 --> 05:51:40.713 region:rollup2
A SMART PORTION MOST OF THIS IS
05:51:37.543 --> 05:51:41.781 region:rollup2
FEDERAL MONEY DO YOU SEE THREATS
05:51:40.713 --> 05:51:44.417 region:rollup2
IN THE FEDERAL BUDGET TO.
05:51:41.781 --> 05:51:47.453 region:rollup2
TO TO OUR DEPARTMENT AND.
05:51:44.417 --> 05:51:48.054 region:rollup2
ARE POTENTIAL PREPAREDNESS ARE
05:51:47.453 --> 05:51:48.287 region:rollup2
TO BE OUT THERE ARE CARRY OUT
05:51:48.054 --> 05:51:49.355 region:rollup2
THERE.
05:51:48.287 --> 05:51:50.923 region:rollup2
DEPARTMENT
05:51:49.355 --> 05:51:52.091 region:rollup2
AIMS OF.
05:51:50.923 --> 05:51:53.993 region:rollup2
IT'S SORT OF THE TALKS ABOUT.
05:51:52.091 --> 05:51:56.395 region:rollup2
THE LARGE CUTS TO A TO
05:51:53.993 --> 05:51:58.197 region:rollup2
PREVENTION FUND PROGRAM FUNDING
05:51:56.395 --> 05:51:59.365 region:rollup2
AND AT THE FEDERAL LEVEL. BUT AT
05:51:58.197 --> 05:52:00.766 region:rollup2
THE FROM WE HAVE SEEN SOME
05:51:59.365 --> 05:52:03.002 region:rollup2
DECREASES IN.
05:52:00.766 --> 05:52:03.836 region:rollup2
SOME OF OUR PROGRAMS THAT DUST
05:52:03.002 --> 05:52:05.671 region:rollup2
OR WE'VE BEEN ABLE TO ABSORB
05:52:03.836 --> 05:52:07.573 region:rollup2
PRETTY WELL AND GOOD NEWS FROM
05:52:05.671 --> 05:52:09.375 region:rollup2
THIS MORNING ASSUMING THAT THE
05:52:07.573 --> 05:52:10.843 region:rollup2
APPROPRIATIONS BILL PASSES THAT
05:52:09.375 --> 05:52:11.978 region:rollup2
WENT THROUGH THE SENATE. I'M IT
05:52:10.843 --> 05:52:13.145 region:rollup2
LOOKS LIKE WE'RE ACTUALLY NOT
05:52:11.978 --> 05:52:13.312 region:rollup2
GOING TO SEE MANY OF THE LARGEST
05:52:13.145 --> 05:52:16.048 region:rollup2
CUTS
05:52:13.312 --> 05:52:16.916 region:rollup2
SO.
05:52:16.048 --> 05:52:18.784 region:rollup2
ALRIGHT SO BE VERY SENSITIVE THE
05:52:16.916 --> 05:52:20.353 region:rollup2
FACT THAT ARE. PART OF A CULT
05:52:18.784 --> 05:52:22.288 region:rollup2
BUDGET IS.
05:52:20.353 --> 05:52:24.023 region:rollup2
AND NOW THE GENERAL FUND SIDE
05:52:22.288 --> 05:52:26.158 region:rollup2
NAY EVEN SMALLER PORTION WHAT.
05:52:24.023 --> 05:52:27.960 region:rollup2
KEYS MAYBE SPIEGEL WITHOUT SO
05:52:26.158 --> 05:52:28.694 region:rollup2
WE HAVE THIS THREE BILLION TO
05:52:27.960 --> 05:52:30.997 region:rollup2
WHAT WE SPEND THE GENERAL FUND.
05:52:28.694 --> 05:52:34.233 region:rollup2
SLEEP.
05:52:30.997 --> 05:52:36.435 region:rollup2
IN TERMS OF THE.
05:52:34.233 --> 05:52:37.403 region:rollup2
SO AND THIS PAST YEAR OVER THE
05:52:36.435 --> 05:52:39.205 region:rollup2
PAST COUPLE YEARS THERE'S BEEN
05:52:37.403 --> 05:52:41.007 region:rollup2
SOME AUGMENTATIONS THAT HAVE
05:52:39.205 --> 05:52:43.576 region:rollup2
COME FROM OUR GENERAL FUND.
05:52:41.007 --> 05:52:45.044 region:rollup2
WE HAD TO NAPA AND SIXTEEN
05:52:43.576 --> 05:52:45.645 region:rollup2
SEVENTEEN ALONE WE HAD SOMEONE
05:52:45.044 --> 05:52:47.446 region:rollup2
SIGN UP AUGMENTATIONS OF ABOUT
05:52:45.645 --> 05:52:49.048 region:rollup2
TWO.
05:52:47.446 --> 05:52:50.049 region:rollup2
DISEASE PROGRAM.
05:52:49.048 --> 05:52:52.051 region:rollup2
WE HAD.
05:52:50.049 --> 05:52:53.986 region:rollup2
THREE MILLION THAT CAME FROM.
05:52:52.051 --> 05:52:55.788 region:rollup2
DRUG OVERDOSE A DRUG OVERDOSE
05:52:53.986 --> 05:52:57.790 region:rollup2
PREVENTION PROGRAM.
05:52:55.788 --> 05:52:59.258 region:rollup2
THIS PAST YEAR WE RECEIVED AND
05:52:57.790 --> 05:53:00.559 region:rollup2
I WENT ASIAN OF ABOUT ONE POINT
05:52:59.258 --> 05:53:02.194 region:rollup2
SEVEN MILLION I'M FROM PARKER
05:53:00.559 --> 05:53:04.030 region:rollup2
FROM OUR PARKINSON'S REGISTRY A
05:53:02.194 --> 05:53:05.164 region:rollup2
LARGE PROPORTION ALSO GOES TO WE
05:53:04.030 --> 05:53:06.499 region:rollup2
HAVE THE RICHMOND
05:53:05.164 --> 05:53:08.067 region:rollup2
I HAVE BEEN SO. PART OF THE THAT
05:53:06.499 --> 05:53:09.602 region:rollup2
THE PROCESS OF REPAINTING BONDS
05:53:08.067 --> 05:53:12.304 region:rollup2
GOES TO THAT.
05:53:09.602 --> 05:53:13.973 region:rollup2
I WOULD SAY THAT. THAT'S A AND
05:53:12.304 --> 05:53:15.808 region:rollup2
THEN ANOTHER STAFF PERSONNEL
05:53:13.973 --> 05:53:17.543 region:rollup2
COSTS ON LARGE PORTION OF IT
05:53:15.808 --> 05:53:19.178 region:rollup2
ACTUALLY IS WITH OUR CENTER FOR
05:53:17.543 --> 05:53:20.713 region:rollup2
INFECTIOUS DISEASES BECAUSE A
05:53:19.178 --> 05:53:22.715 region:rollup2
LOT OF OUR LAB INFRASTRUCTURE IS
05:53:20.713 --> 05:53:25.618 region:rollup2
GENERAL FUND.
05:53:22.715 --> 05:53:27.086 region:rollup2
SO THAT'S WHERE MOST OF IT.
05:53:25.618 --> 05:53:28.020 region:rollup2
I APPRECIATE THAT AYE AYE AYE IT
05:53:27.086 --> 05:53:30.056 region:rollup2
BELIEVE THAT WE'RE ACTUALLY
05:53:28.020 --> 05:53:32.091 region:rollup2
GOING TO HAVE A. PANEL ON ARE
05:53:30.056 --> 05:53:33.726 region:rollup2
THE TEXAS DISEASE ARE CONTAGION
05:53:32.091 --> 05:53:36.028 region:rollup2
PREVENTION THAT A FUTURE HEARING
05:53:33.726 --> 05:53:37.596 region:rollup2
SO I APPRECIATE YOU CITING THOSE
05:53:36.028 --> 05:53:38.631 region:rollup2
THINGS BECAUSE BOB EVEN AS WE'RE
05:53:37.596 --> 05:53:40.666 region:rollup2
DEALING WITH WILD FIRES AND MUD
05:53:38.631 --> 05:53:41.834 region:rollup2
SLIDES AND WORRY ABOUT
05:53:40.666 --> 05:53:44.570 region:rollup2
EARTHQUAKES AND FLOODS.
05:53:41.834 --> 05:53:46.605 region:rollup2
IT DIED THE NEW NORMALS ALSO.
05:53:44.570 --> 05:53:48.107 region:rollup2
SEEMS LIKE EVERY YEAR THERE'S
05:53:46.605 --> 05:53:50.443 region:rollup2
ANOTHER. ACTIONS DISEASE
05:53:48.107 --> 05:53:52.812 region:rollup2
OUTBREAK CRICHTON DUH AND HOW WE
05:53:50.443 --> 05:53:54.080 region:rollup2
MITIGATE THAT RIGHT SO THAT THEY
05:53:52.812 --> 05:53:57.583 region:rollup2
SEEK A.
05:53:54.080 --> 05:53:59.151 region:rollup2
YELL STDS RIGHT HERE FOR YOU TO
05:53:57.583 --> 05:54:00.052 region:rollup2
CITIES AROUND AYE AND WE STILL
05:53:59.151 --> 05:54:00.619 region:rollup2
HAVE VALLEY
05:54:00.052 --> 05:54:02.188 region:rollup2
EVER PLUS NINE.
05:54:00.619 --> 05:54:03.689 region:rollup2
AROUND.
05:54:02.188 --> 05:54:04.690 region:rollup2
PURPOSELY NOT ANOTHER MEASLES A
05:54:03.689 --> 05:54:06.192 region:rollup2
THINK AWFULLY WE HAVE POLICIES
05:54:04.690 --> 05:54:07.793 region:rollup2
IN PLACE THAT MITIGATE THAT BUT.
05:54:06.192 --> 05:54:10.229 region:rollup2
SO.
05:54:07.793 --> 05:54:10.930 region:rollup2
BUT IT SEEMED LIKE EVERY YEAR
05:54:10.229 --> 05:54:13.365 region:rollup2
THERE'S ANOTHER ONE TO TALK
05:54:10.930 --> 05:54:16.669 region:rollup2
ABOUT SO. ALRIGHT. RATE OF ANY
05:54:13.365 --> 05:54:19.405 region:rollup2
PUBLIC COMMENT ON THE OVERVIEW.
05:54:16.669 --> 05:54:19.905 region:rollup2
ALRIGHT SEEING NONE I WILL START
05:54:19.405 --> 05:54:21.240 region:rollup2
GETTING INTO SOME OF THE
05:54:19.905 --> 05:54:21.974 region:rollup2
SPECIFIC.
05:54:21.240 --> 05:54:24.143 region:rollup2
CHIU SO THAT WAS JUST
05:54:21.974 --> 05:54:25.778 region:rollup2
INFORMATIONAL SO I ISSUE NUMBER
05:54:24.143 --> 05:54:34.820 region:rollup2
TUESDAY ALZHEIMER'S DISEASE
05:54:25.778 --> 05:54:37.756 region:rollup2
PROGRAM GRANT AWARDS.
05:54:34.820 --> 05:54:39.391 region:rollup2
WELCOME AND IF YOU CAN AND JUST.
05:54:37.756 --> 05:54:41.327 region:rollup2
INTRODUCE YOURSELF FIRST FOR
05:54:39.391 --> 05:54:42.728 region:rollup2
THE RECORD AND THEN. THEN AFTER
05:54:41.327 --> 05:54:44.730 region:rollup2
THAT WE CAN BEGIN THE
05:54:42.728 --> 05:54:45.431 region:rollup2
PRESENTATION GOOD AFTERNOON THIS
05:54:44.730 --> 05:54:46.999 region:rollup2
IS MONIQUE UMBRELLAS AND THE
05:54:45.431 --> 05:54:48.100 region:rollup2
DEPUTY DIRECTOR FOR THE CENTER
05:54:46.999 --> 05:54:51.270 region:rollup2
FOR CHRONIC DISEASE PREVENTION
05:54:48.100 --> 05:54:52.671 region:rollup2
AND HEALTH PROMOTION.
05:54:51.270 --> 05:54:54.140 region:rollup2
AFTERNOON MARK STAR W. DIRECTOR
05:54:52.671 --> 05:54:56.509 region:rollup2
FOR RONALD HEALTH.
05:54:54.140 --> 05:54:57.276 region:rollup2
OKAY EXCELLENT HERE TO ASSIST
05:54:56.509 --> 05:54:59.311 region:rollup2
WITH SOME QUESTIONS IF THEY MAY
05:54:57.276 --> 05:55:00.679 region:rollup2
PAPA. ALRIGHT EXCELLENT OKAY
05:54:59.311 --> 05:55:01.847 region:rollup2
WHICH GO THEN BEGIN.
05:55:00.679 --> 05:55:03.616 region:rollup2
SO ISSUE NUMBER TO THE
05:55:01.847 --> 05:55:06.318 region:rollup2
LZHEIMER'S DISEASE UP PROGRAM
05:55:03.616 --> 05:55:07.920 region:rollup2
FUNDED SO ON CP IT IS REQUESTING
05:55:06.318 --> 05:55:09.889 region:rollup2
A ONE TIME INCREASE IN BUDGET
05:55:07.920 --> 05:55:11.524 region:rollup2
AUTHORITY FOR FROM THE
05:55:09.889 --> 05:55:13.759 region:rollup2
ALZHEIMER'S SPECIAL FIND. UP TO
05:55:11.524 --> 05:55:14.360 region:rollup2
SPEND AN ADDITIONAL TWO HUNDRED
05:55:13.759 --> 05:55:14.593 region:rollup2
FORTY TWO THOUSAND DOLLARS IN
05:55:14.360 --> 05:55:17.229 region:rollup2
LOCAL.
05:55:14.593 --> 05:55:18.531 region:rollup2
IN EIGHTEEN AND NINE.
05:55:17.229 --> 05:55:20.399 region:rollup2
AND THIS IS TO HONOR THE TOTAL
05:55:18.531 --> 05:55:22.768 region:rollup2
RESEARCH GRANT AMOUNTS THAT THE
05:55:20.399 --> 05:55:24.870 region:rollup2
PROGRAM I'VE PUT IN PLACE.
05:55:22.768 --> 05:55:25.471 region:rollup2
AND THIS PAST YEAR UNFORTUNATELY
05:55:24.870 --> 05:55:28.307 region:rollup2
THE PROGRAM MISTAKENLY AWARDED
05:55:25.471 --> 05:55:31.076 region:rollup2
A.
05:55:28.307 --> 05:55:32.411 region:rollup2
IN EXCESS IN OUR RESEARCH.
05:55:31.076 --> 05:55:34.180 region:rollup2
GRANTS AND SO THIS IS WHAT WE'RE
05:55:32.411 --> 05:55:35.681 region:rollup2
MAKING TO AND THE FIRST TASK FOR
05:55:34.180 --> 05:55:38.384 region:rollup2
THIS BCP.
05:55:35.681 --> 05:55:39.852 region:rollup2
ON THE SECOND ASK IS IN OF.
05:55:38.384 --> 05:55:41.887 region:rollup2
ONGOING DECREASE IN OPERATION
05:55:39.852 --> 05:55:43.422 region:rollup2
EXPENDITURE AUTHORITY. FROM THE
05:55:41.887 --> 05:55:44.723 region:rollup2
ALZHEIMER'S RESEARCH ACCOUNT
05:55:43.422 --> 05:55:46.559 region:rollup2
CONSISTING OF A HUNDRED AND
05:55:44.723 --> 05:55:48.060 region:rollup2
THIRTY THOUSAND DOLLARS AND THIS
05:55:46.559 --> 05:55:49.728 region:rollup2
IS JUST FOR US TO BALANCE OUR
05:55:48.060 --> 05:55:50.462 region:rollup2
EXPENDITURE WITH A LOT
05:55:49.728 --> 05:55:52.598 region:rollup2
PROJECTIONS FOR READING.
05:55:50.462 --> 05:55:54.600 region:rollup2
FULLER.
05:55:52.598 --> 05:55:55.901 region:rollup2
FINALLY. OF WE REQUESTED AN
05:55:54.600 --> 05:55:57.770 region:rollup2
EXPENDITURE AUTHORITY INCREASE
05:55:55.901 --> 05:55:59.572 region:rollup2
OF THREE POINT ONE MILLION
05:55:57.770 --> 05:56:00.906 region:rollup2
DOLLARS FROM THE GENERAL FUND.
05:55:59.572 --> 05:56:03.475 region:rollup2
SO THESE CHANGES FOR ITS REALLY
05:56:00.906 --> 05:56:04.577 region:rollup2
ARE JUST TO CONTINUE THE WORK
05:56:03.475 --> 05:56:07.046 region:rollup2
THAT WE'RE DOING AROUND
05:56:04.577 --> 05:56:08.747 region:rollup2
SOMERS SUSIE'S IN.
05:56:07.046 --> 05:56:10.649 region:rollup2
THAT YOU SEE OUTLINED IN THE
05:56:08.747 --> 05:56:13.018 region:rollup2
AGENDA TODAY PROGRAM.
05:56:10.649 --> 05:56:14.787 region:rollup2
OKAY THANK YOU.
05:56:13.018 --> 05:56:16.689 region:rollup2
AND ANY COMING FROM ELIOT. NO
05:56:14.787 --> 05:56:17.723 region:rollup2
FINANCE.
05:56:16.689 --> 05:56:19.625 region:rollup2
LEANING GRANT DEPARTMENT OF
05:56:17.723 --> 05:56:21.260 region:rollup2
FINANCE AND.
05:56:19.625 --> 05:56:22.995 region:rollup2
ALONG WITH JUST THE.
05:56:21.260 --> 05:56:25.164 region:rollup2
FINANCE SUPPORTS A PROPOSAL TO
05:56:22.995 --> 05:56:27.800 region:rollup2
FUND ADDITIONAL AND. FROM THE
05:56:25.164 --> 05:56:30.069 region:rollup2
START WEST ALRIGHT AND A HOME
05:56:27.800 --> 05:56:32.171 region:rollup2
THE AIRED IT LED TO THE OVER THE
05:56:30.069 --> 05:56:34.006 region:rollup2
GRANTING OR EXPENDITURE TRAN IS
05:56:32.171 --> 05:56:35.674 region:rollup2
THAT WE IDENTIFIED THE ROOT
05:56:34.006 --> 05:56:36.575 region:rollup2
CAUSE OF THAT.
05:56:35.674 --> 05:56:38.611 region:rollup2
THE VALUE OF HAVING THE FUTURE
05:56:36.575 --> 05:56:40.646 region:rollup2
YES WE DID AND WE ACTUALLY HAVE
05:56:38.611 --> 05:56:42.414 region:rollup2
PUT ON STRONG SYSTEMS IN PLACE
05:56:40.646 --> 05:56:44.917 region:rollup2
OF ADDED DID DOUBLE.
05:56:42.414 --> 05:56:46.619 region:rollup2
IN A REVIEW BASICALLY OF WHAT
05:56:44.917 --> 05:56:47.219 region:rollup2
WE HAVE AN AUTHORITY VERSUS WHAT
05:56:46.619 --> 05:56:50.256 region:rollup2
WE ACTUALLY HAVE IN THE FINE.
05:56:47.219 --> 05:56:51.690 region:rollup2
OKAY TO.
05:56:50.256 --> 05:56:53.292 region:rollup2
APPRECIATE YOU COMING FORWARD
05:56:51.690 --> 05:56:55.160 region:rollup2
NOTING THAT THAT HAPPENED IN
05:56:53.292 --> 05:56:56.862 region:rollup2
WHICH I'M SURE IT.
05:56:55.160 --> 05:56:58.264 region:rollup2
TRY TO AVOID THOSE AND FUTURE
05:56:56.862 --> 05:57:01.033 region:rollup2
ABSOLUTELY OKAY ALRIGHT ANY
05:56:58.264 --> 05:57:04.970 region:rollup2
PUBLIC COMMENT.
05:57:01.033 --> 05:57:06.505 region:rollup2
WELCOME.
05:57:04.970 --> 05:57:08.374 region:rollup2
BLAMES JOSS WHEDON AND REPS IN
05:57:06.505 --> 05:57:09.808 region:rollup2
THE ALZHEIMER'S ASSOCIATION.
05:57:08.374 --> 05:57:11.677 region:rollup2
AND WE STRONGLY SUPPORT THIS
05:57:09.808 --> 05:57:13.245 region:rollup2
PROPOSAL INCREASED ARM AT THIS
05:57:11.677 --> 05:57:14.280 region:rollup2
TIME THERE'S NO WAY TO CURE
05:57:13.245 --> 05:57:16.081 region:rollup2
TREAT OR PREVENT ALZHEIMER'S
05:57:14.280 --> 05:57:17.983 region:rollup2
DISEASE AND ALZHEIMER'S DISEASE.
05:57:16.081 --> 05:57:19.251 region:rollup2
IT IS A FATAL DISEASE.
05:57:17.983 --> 05:57:21.053 region:rollup2
CURRENTLY AT THIS MOMENT EVERY
05:57:19.251 --> 05:57:22.288 region:rollup2
DOLLAR WE SPEND ON RESEARCH.
05:57:21.053 --> 05:57:24.690 region:rollup2
SPEND A HUNDRED DOLLARS ON CARE
05:57:22.288 --> 05:57:25.824 region:rollup2
AND SUPPORT RESULTING AND THE
05:57:24.690 --> 05:57:27.026 region:rollup2
AVERAGE LIFETIME COST OF
05:57:25.824 --> 05:57:28.928 region:rollup2
ALZHEIMER'S DISEASE TREATMENT
05:57:27.026 --> 05:57:29.561 region:rollup2
FOR BEING THREE HUNDRED FORTY
05:57:28.928 --> 05:57:30.529 region:rollup2
THOUSAND DOLLARS FOR EACH FAMILY
05:57:29.561 --> 05:57:32.164 region:rollup2
MEMBER.
05:57:30.529 --> 05:57:33.799 region:rollup2
SO IF WE'RE GOING TO HEAD OFF
05:57:32.164 --> 05:57:35.668 region:rollup2
THIS COSTS WERE SOCIETY.
05:57:33.799 --> 05:57:36.769 region:rollup2
AND PROVIDE CARE AND SUPPORT AND
05:57:35.668 --> 05:57:37.069 region:rollup2
CURE THIS DISEASE ME TO SPEND
05:57:36.769 --> 05:57:38.203 region:rollup2
ONE RESEARCH
05:57:37.069 --> 05:57:40.172 region:rollup2
THANK YOU.
05:57:38.203 --> 05:57:41.774 region:rollup2
I THINK YOU.
05:57:40.172 --> 05:57:44.743 region:rollup2
SINGLE OIL SUPPLY MICROPHONE.
05:57:41.774 --> 05:57:45.244 region:rollup2
BEHOLD THE SAME OPEN DATA
05:57:44.743 --> 05:57:46.812 region:rollup2
THANKS SO MUCH FOR YOUR
05:57:45.244 --> 05:57:47.012 region:rollup2
PRESENTATION.
05:57:46.812 --> 05:57:49.114 region:rollup2
OKAY.
05:57:47.012 --> 05:57:50.549 region:rollup2
NEXT ITEM.
05:57:49.114 --> 05:57:51.950 region:rollup2
IS ITEM NUMBER THREE IS EXPANDED
05:57:50.549 --> 05:57:55.154 region:rollup2
LET TESTING FOR CALIFORNIA'S
05:57:51.950 --> 05:57:56.322 region:rollup2
CHILDREN AB THIRTEEN SO.
05:57:55.154 --> 05:57:58.090 region:rollup2
AGAIN FOR THE RECORD MONIQUE
05:57:56.322 --> 05:57:58.624 region:rollup2
UMBRELLAS AND DEPUTY DIRECTOR
05:57:58.090 --> 05:58:01.460 region:rollup2
FOR THE CENTER FOR CHRONIC
05:57:58.624 --> 05:58:03.228 region:rollup2
DISEASE.
05:58:01.460 --> 05:58:05.731 region:rollup2
I'M SO THIS PC PETER CRESCENT
05:58:03.228 --> 05:58:07.566 region:rollup2
EXPENDITURE OF FORTY OF TO.
05:58:05.731 --> 05:58:09.568 region:rollup2
THOUSAND TWO HUNDRED AND
05:58:07.566 --> 05:58:12.137 region:rollup2
SEVENTY SIX THOUSAND IN STATE
05:58:09.568 --> 05:58:14.173 region:rollup2
OPERATIONS FROM THE LEAD.
05:58:12.137 --> 05:58:16.008 region:rollup2
THE TYPE OF LEAD POISONING.
05:58:14.173 --> 05:58:17.076 region:rollup2
TO CARRY AT THE NEW REGULATIONS
05:58:16.008 --> 05:58:18.744 region:rollup2
PERSON BILLY DALE THIRTEEN
05:58:17.076 --> 05:58:20.746 region:rollup2
SIXTEEN.
05:58:18.744 --> 05:58:22.614 region:rollup2
PACIFIC EARLY THIS FUNDS UP TO
05:58:20.746 --> 05:58:23.916 region:rollup2
STATE POSITIONS FOR US TO BUILD
05:58:22.614 --> 05:58:27.019 region:rollup2
OF THE CUT
05:58:23.916 --> 05:58:29.221 region:rollup2
CITY TO. FOLLOW UP ON THE NEW
05:58:27.019 --> 05:58:30.556 region:rollup2
REGULATIONS THE DATA ANALYSIS
05:58:29.221 --> 05:58:32.591 region:rollup2
THAT REPORTING THAT WILL TAKE
05:58:30.556 --> 05:58:35.427 region:rollup2
PLACE AND BECAUSE OF AB THIRTEEN
05:58:32.591 --> 05:58:37.529 region:rollup2
SIXTEEN.
05:58:35.427 --> 05:58:40.032 region:rollup2
CURRENT BELIAU.
05:58:37.529 --> 05:58:41.800 region:rollup2
FINANCE WENT. OF IT SAID ONE
05:58:40.032 --> 05:58:44.203 region:rollup2
QUESTION REGARDING THIS ISSUE.
05:58:41.800 --> 05:58:46.305 region:rollup2
AND OUR ANALYSIS IT.
05:58:44.203 --> 05:58:47.706 region:rollup2
THE TERMS OF REGULATORY PROCESS
05:58:46.305 --> 05:58:49.541 region:rollup2
IT SAID IT WAS.
05:58:47.706 --> 05:58:51.877 region:rollup2
GONNA TAKE A MINIMUM OF TWO
05:58:49.541 --> 05:58:54.780 region:rollup2
YEARS AND. LEAD THIS PRE WILL
05:58:51.877 --> 05:58:56.281 region:rollup2
RESEARCH SO MISS WONDERING AS TO
05:58:54.780 --> 05:58:57.850 region:rollup2
WHY WOULD TAKE SO LONG TO THE
05:58:56.281 --> 05:59:00.185 region:rollup2
ABOUT THE REGULATIONS.
05:58:57.850 --> 05:59:02.020 region:rollup2
THERE IS A PROTOCOL THAT WE HAVE
05:59:00.185 --> 05:59:03.822 region:rollup2
TO FOLLOW INCLUDING FOR EXAMPLE
05:59:02.020 --> 05:59:06.525 region:rollup2
OF FORTY FIVE DAY OF.
05:59:03.822 --> 05:59:07.593 region:rollup2
COMMENTS THE STANDARDS ALSO
05:59:06.525 --> 05:59:10.195 region:rollup2
WORKING WITH STAKEHOLDERS
05:59:07.593 --> 05:59:11.797 region:rollup2
BRINGING THEM TOGETHER. BAD AND
05:59:10.195 --> 05:59:13.532 region:rollup2
WE BELIEVE WILL TAKE AS AND THAT
05:59:11.797 --> 05:59:15.000 region:rollup2
PERIOD OF TIME THEY WERE
05:59:13.532 --> 05:59:16.902 region:rollup2
ACTUALLY CURRENTLY RIGHT NOW.
05:59:15.000 --> 05:59:18.804 region:rollup2
ACTIVE THE ALREADY A YOU KNOW IN
05:59:16.902 --> 05:59:21.440 region:rollup2
DESIGNING AND IMPLEMENTING AND.
05:59:18.804 --> 05:59:23.041 region:rollup2
WORKING WITH OUR TEAM TO KIND OF
05:59:21.440 --> 05:59:24.209 region:rollup2
MAKE SURE THAT WE TRY TO MEET
05:59:23.041 --> 05:59:24.777 region:rollup2
THAT DEADLINE.
05:59:24.209 --> 05:59:25.878 region:rollup2
WELL I MEAN CERTAINLY IT'S
05:59:24.777 --> 05:59:28.347 region:rollup2
IMPORTANT BRING TOGETHER
05:59:25.878 --> 05:59:29.715 region:rollup2
STAKEHOLDERS AND SO FORTH BUT
05:59:28.347 --> 05:59:31.950 region:rollup2
YOU KNOW FORTY FIVE DAYS SOME.
05:59:29.715 --> 05:59:33.552 region:rollup2
MONTH AND A HALF SO THAT. I DO I
05:59:31.950 --> 05:59:36.121 region:rollup2
HOPE THAT WE CAN LOOK AT AND SEE
05:59:33.552 --> 05:59:36.688 region:rollup2
WHAT CAN BE DONE TO SPEED THE
05:59:36.121 --> 05:59:40.025 region:rollup2
PROCESS.
05:59:36.688 --> 05:59:41.160 region:rollup2
NOW ALONG ITS.
05:59:40.025 --> 05:59:42.661 region:rollup2
ABSOLUTELY IT'S SPILLWAYS
05:59:41.160 --> 05:59:43.529 region:rollup2
CONCERNING THAT GIVEN ISSUE
05:59:42.661 --> 05:59:44.997 region:rollup2
OBVIOUSLY LEADS TO SERIOUS ISSUE
05:59:43.529 --> 05:59:48.100 region:rollup2
AND. TO HEAR THAT YOU TAKE TWO
05:59:44.997 --> 05:59:49.401 region:rollup2
YEARS DEVELOP REGULATIONS THEM
05:59:48.100 --> 05:59:50.736 region:rollup2
I'M NOT SURE THERE'S A BUNCH OF
05:59:49.401 --> 05:59:52.104 region:rollup2
PEOPLE WHO WANT IT'S THE
05:59:50.736 --> 05:59:53.806 region:rollup2
POISONED BY LEAD HIS LOBBY ON
05:59:52.104 --> 05:59:54.506 region:rollup2
THE OTHER SIDE BUT. YOU KNOW I
05:59:53.806 --> 05:59:56.675 region:rollup2
THINK THAT.
05:59:54.506 --> 05:59:58.177 region:rollup2
WERE HOPEFULLY THIS IS MORE
05:59:56.675 --> 06:00:01.246 region:rollup2
STRAIGHT FORWARD AND WE CAN WE
05:59:58.177 --> 06:00:03.048 region:rollup2
CAN GET WE CAN GET THERE FASTER
06:00:01.246 --> 06:00:03.816 region:rollup2
AND PERHAPS A.
06:00:03.048 --> 06:00:04.850 region:rollup2
AND IF YOU BECOME IT MAYBE YOU
06:00:03.816 --> 06:00:06.652 region:rollup2
NEED BABY OF A COMMENT THAT I
06:00:04.850 --> 06:00:07.786 region:rollup2
NEED TO CHANGE SOME LAWS OR
06:00:06.652 --> 06:00:10.089 region:rollup2
SOMETHING TO SPEED THE PROCESS
06:00:07.786 --> 06:00:11.890 region:rollup2
BUT I JUST SEEMS LIKE A LONG
06:00:10.089 --> 06:00:12.791 region:rollup2
TIME FOR FOR THIS SO. AND.
06:00:11.890 --> 06:00:15.561 region:rollup2
YEAH I COULD CHIME IN LITTLE BUT
06:00:12.791 --> 06:00:17.362 region:rollup2
MY CENTER FROM RUN HEALTH DOES.
06:00:15.561 --> 06:00:18.664 region:rollup2
A LOT OF REGULATIONS.
06:00:17.362 --> 06:00:20.532 region:rollup2
IN OTHER AREAS OF THE RHETORIC
06:00:18.664 --> 06:00:22.401 region:rollup2
PROCESS IS PRETTY WELL DEFINED
06:00:20.532 --> 06:00:23.769 region:rollup2
CALIFORNIAN AND THE SUPPLIED BY
06:00:22.401 --> 06:00:26.271 region:rollup2
ONLY ALLEN AND.
06:00:23.769 --> 06:00:28.073 region:rollup2
MINISTER RIGHT EXACT SO WE'RE.
06:00:26.271 --> 06:00:29.174 region:rollup2
WHAT OUR EXPENSES IT TYPICALLY
06:00:28.073 --> 06:00:30.709 region:rollup2
TAKES ABOUT THREE YEARS FOR
06:00:29.174 --> 06:00:32.778 region:rollup2
REGULATION PACKAGE TO BE
06:00:30.709 --> 06:00:33.545 region:rollup2
COMPLETED SO TOM WE CAN DO SOME
06:00:32.778 --> 06:00:34.913 region:rollup2
FASTER?
06:00:33.545 --> 06:00:36.815 region:rollup2
BUT AS A LOT OF IT'S PRESCRIBED
06:00:34.913 --> 06:00:38.584 region:rollup2
IN THOSE TIME LINES THAT ARE
06:00:36.815 --> 06:00:39.184 region:rollup2
NECESSARY NOT JUST THE FORTY
06:00:38.584 --> 06:00:40.419 region:rollup2
FIVE DAY COMMENT PERIOD THAT'S
06:00:39.184 --> 06:00:41.386 region:rollup2
ONE OF THEM.
06:00:40.419 --> 06:00:43.455 region:rollup2
NEITHER COME I MIGHT ADD IS THAT
06:00:41.386 --> 06:00:45.724 region:rollup2
WE ARE PROGRAM ALREADY DOES
06:00:43.455 --> 06:00:46.592 region:rollup2
ANTICIPATORY GUIDANCE FOR
06:00:45.724 --> 06:00:48.560 region:rollup2
PHYSICIANS HEALTH CARE PROVIDERS
06:00:46.592 --> 06:00:51.630 region:rollup2
ABOUT CHILDHOOD LEAD EXPOSURES
06:00:48.560 --> 06:00:52.798 region:rollup2
AND. ON MANY OF THE ITEMS THAT
06:00:51.630 --> 06:00:55.367 region:rollup2
ARE PART OF THE RISK ASSESSMENT.
06:00:52.798 --> 06:00:56.735 region:rollup2
WE ENCOURAGE PROVIDERS ARE TO
06:00:55.367 --> 06:00:58.770 region:rollup2
DO THAT AND ANY GUIDANCE.
06:00:56.735 --> 06:00:59.404 region:rollup2
THIS WILL REQUIRE REGULATIONS TO
06:00:58.770 --> 06:01:01.173 region:rollup2
HAVE SOME OF THE SAME
06:00:59.404 --> 06:01:02.441 region:rollup2
INFORMATION BUT. NOW WE'RE NOT
06:01:01.173 --> 06:01:03.775 region:rollup2
STANDING STILL RIGHT NOW LOWER
06:01:02.441 --> 06:01:06.311 region:rollup2
WHILE WE'RE WORKING ON THE RACE
06:01:03.775 --> 06:01:07.246 region:rollup2
AS WELL.
06:01:06.311 --> 06:01:08.647 region:rollup2
I APPRECIATE THAT AND I
06:01:07.246 --> 06:01:11.250 region:rollup2
PERSONALLY EXPERIENCE THAT AS
06:01:08.647 --> 06:01:15.988 region:rollup2
WELL AS SONOZAKI PRACTICING.
06:01:11.250 --> 06:01:16.555 region:rollup2
ANY PUBLIC COMMENT.
06:01:15.988 --> 06:01:18.624 region:rollup2
WELCOME GOOD AFTERNOON THANK
06:01:16.555 --> 06:01:19.858 region:rollup2
YOU.
06:01:18.624 --> 06:01:21.426 region:rollup2
MY NAME SUSAN LITTLE I'M WITH
06:01:19.858 --> 06:01:23.795 region:rollup2
THE ENVIRONMENTAL WORKING GROUP
06:01:21.426 --> 06:01:25.898 region:rollup2
AND I'M HERE ON BEHALF OF EWG AS
06:01:23.795 --> 06:01:27.533 region:rollup2
WELL AS THE CALIFORNIA COALITION
06:01:25.898 --> 06:01:29.368 region:rollup2
OF WELFARE RIGHTS ORGANIZATIONS.
06:01:27.533 --> 06:01:30.669 region:rollup2
EWG WAS A SPONSOR OF AB
06:01:29.368 --> 06:01:32.304 region:rollup2
THIRTEEN SIXTEEN LAST YEAR AND
06:01:30.669 --> 06:01:34.039 region:rollup2
I'M.
06:01:32.304 --> 06:01:35.641 region:rollup2
JUST INITIALLY IN IN RESPONSE TO
06:01:34.039 --> 06:01:36.208 region:rollup2
THE QUESTIONS ABOUT TIMING. NO
06:01:35.641 --> 06:01:37.976 region:rollup2
WE WOULD DEVON WELCOME ANDI
06:01:36.208 --> 06:01:39.778 region:rollup2
PAHS.
06:01:37.976 --> 06:01:41.346 region:rollup2
BRICK NAM.
06:01:39.778 --> 06:01:43.348 region:rollup2
INTEREST AND GETTING SOME EARLY
06:01:41.346 --> 06:01:45.017 region:rollup2
COMMENTS FROM OUR ORGANIZATION
06:01:43.348 --> 06:01:46.351 region:rollup2
OUR COALITION OF FOLKS.
06:01:45.017 --> 06:01:48.053 region:rollup2
BEFORE THINGS EVEN GET GOING IF
06:01:46.351 --> 06:01:49.955 region:rollup2
WE NEED TO. TALK ABOUT SPEEDING
06:01:48.053 --> 06:01:52.257 region:rollup2
UP THE PROCESS THAT WE BE HAPPY
06:01:49.955 --> 06:01:53.659 region:rollup2
TO DO THAT. ARM JUST WANT TO SAY
06:01:52.257 --> 06:01:54.793 region:rollup2
THAT WORST DEATHLY WERE VERY
06:01:53.659 --> 06:01:56.795 region:rollup2
MUCH IN SUPPORT OF THE
06:01:54.793 --> 06:01:58.197 region:rollup2
DEPARTMENT'S RECOMMENDATION THAT
06:01:56.795 --> 06:02:00.499 region:rollup2
THEY RECEIVE THIS FUNDING. A
06:01:58.197 --> 06:02:02.067 region:rollup2
MEMBER DEFTLY ASKED THE THE CAN
06:02:00.499 --> 06:02:03.168 region:rollup2
MEDI TO FULLY FUND THE
06:02:02.067 --> 06:02:05.270 region:rollup2
RECOMMENDATIONS SINCE THERE ARE
06:02:03.168 --> 06:02:07.139 region:rollup2
TEARS OF FUNDING OPTIONS.
06:02:05.270 --> 06:02:08.340 region:rollup2
YOU KNOW MOST WE HAVE WORKED
06:02:07.139 --> 06:02:09.675 region:rollup2
WITH ASSEMBLY MEMBER QUIRK AND
06:02:08.340 --> 06:02:11.677 region:rollup2
DATA.
06:02:09.675 --> 06:02:14.046 region:rollup2
THE STM COMMITTEE TO TAKE A LOOK
06:02:11.677 --> 06:02:16.381 region:rollup2
AT D. H. CS IS BILLING DATA FOR
06:02:14.046 --> 06:02:18.417 region:rollup2
MEDI CAL KIDS AND. AS PART OF
06:02:16.381 --> 06:02:19.885 region:rollup2
THAT WE FOUND OR D. H. CS IS
06:02:18.417 --> 06:02:21.553 region:rollup2
NUMBER ON THEIR HAND COUNT OF
06:02:19.885 --> 06:02:22.854 region:rollup2
THOSE NUMBERS.
06:02:21.553 --> 06:02:24.890 region:rollup2
FOUND THAT MOST LOW INCOME
06:02:22.854 --> 06:02:26.091 region:rollup2
CHILDREN WHO ARE SUPPOSED TO BE
06:02:24.890 --> 06:02:28.393 region:rollup2
GETTING LED TESTS ARE NOT
06:02:26.091 --> 06:02:30.128 region:rollup2
GETTING THOSE TESTS AND SO IN
06:02:28.393 --> 06:02:31.630 region:rollup2
THAT BACKS UP DATA FROM.
06:02:30.128 --> 06:02:33.232 region:rollup2
THE PUBLIC HEALTH INSTITUTE
06:02:31.630 --> 06:02:34.433 region:rollup2
WHICH INDICATES THAT WERE. AS
06:02:33.232 --> 06:02:35.734 region:rollup2
MANY AS SIXTY THREE PERCENT OF
06:02:34.433 --> 06:02:36.735 region:rollup2
KIDS
06:02:35.734 --> 06:02:38.437 region:rollup2
IN CALIFORNIA THERE LEAD
06:02:36.735 --> 06:02:40.973 region:rollup2
POISONED ARE NOT IDENTIFIED IN
06:02:38.437 --> 06:02:42.274 region:rollup2
SO. WE DO BELIEVE THIS IS A.
06:02:40.973 --> 06:02:43.675 region:rollup2
TOM AN ISSUE THAT NEEDS TO BE
06:02:42.274 --> 06:02:44.643 region:rollup2
ADDRESSED IN A TIMELY WAY IT'S
06:02:43.675 --> 06:02:46.111 region:rollup2
WERE TALKING ABOUT.
06:02:44.643 --> 06:02:48.013 region:rollup2
AND THAT THE LEAD TESTING
06:02:46.111 --> 06:02:48.647 region:rollup2
REGULATIONS NEED TO BE REVISED
06:02:48.013 --> 06:02:49.514 region:rollup2
AS QUICKLY AS POSSIBLE SO THANK
06:02:48.647 --> 06:02:51.483 region:rollup2
YOU.
06:02:49.514 --> 06:02:51.817 region:rollup2
THANK YOU.
06:02:51.483 --> 06:02:53.385 region:rollup2
ALRIGHT WELL.
06:02:51.817 --> 06:02:54.786 region:rollup2
.
06:02:53.385 --> 06:02:56.822 region:rollup2
GO TO HOLD THIS ITEM OPEN BUT
06:02:54.786 --> 06:02:58.523 region:rollup2
CERTAINLY WHAT THE SUPPORT
06:02:56.822 --> 06:02:59.791 region:rollup2
DEPARTMENT AND BE ABLE TO TO
06:02:58.523 --> 06:03:00.759 region:rollup2
ADDRESS THIS VERY IMPORTANT
06:02:59.791 --> 06:03:01.827 region:rollup2
ISSUE AND.
06:03:00.759 --> 06:03:03.862 region:rollup2
IMPLEMENT THAT THIS IMPORTANT
06:03:01.827 --> 06:03:05.397 region:rollup2
BILL THANK YOU.
06:03:03.862 --> 06:03:07.099 region:rollup2
ALRIGHT CIVILIAN MOVE ONTO ISSUE
06:03:05.397 --> 06:03:13.105 region:rollup2
NUMBER FOUR WHICH IS A PROGRAM
06:03:07.099 --> 06:03:16.408 region:rollup2
UPDATE THE RURAL HEALTH PROGRAM.
06:03:13.105 --> 06:03:18.443 region:rollup2
THAT'S WHERE.
06:03:16.408 --> 06:03:20.279 region:rollup2
YOU CAN INTRODUCE YOURSELF FOR
06:03:18.443 --> 06:03:21.580 region:rollup2
THE RECORD.
06:03:20.279 --> 06:03:25.417 region:rollup2
AND ACTUALLY GONNA HAVE US
06:03:21.580 --> 06:03:27.986 region:rollup2
STAKEHOLDER HOLES MOVES WELL SO
06:03:25.417 --> 06:03:29.488 region:rollup2
WE GOT ROOM THERE OKAY.
06:03:27.986 --> 06:03:31.023 region:rollup2
SO I SEE FEDERAL AND CAN
06:03:29.488 --> 06:03:32.224 region:rollup2
INTRODUCE THEMSELVES FOR THE
06:03:31.023 --> 06:03:34.259 region:rollup2
RECORD AND THEN.
06:03:32.224 --> 06:03:34.793 region:rollup2
WILL START WITH THE
06:03:34.259 --> 06:03:38.697 region:rollup2
PRESENTATION FROM THE PARK
06:03:34.793 --> 06:03:40.165 region:rollup2
PUBLIC OFFICE OF.
06:03:38.697 --> 06:03:41.266 region:rollup2
LARA. EXITED.
06:03:40.165 --> 06:03:43.335 region:rollup2
VERY GOOD DEL DIRECTOR.
06:03:41.266 --> 06:03:45.037 region:rollup2
WITH THE CALIFORNIA DEPARTMENT
06:03:43.335 --> 06:03:46.004 region:rollup2
PUBLIC HEALTH WELCOME.
06:03:45.037 --> 06:03:47.639 region:rollup2
MICHELLE GIBBONS AT THE COUNTY
06:03:46.004 --> 06:03:49.174 region:rollup2
HEALTH EXECUTIVES ASSOCIATION OF
06:03:47.639 --> 06:03:50.442 region:rollup2
CALIFORNIA.
06:03:49.174 --> 06:03:51.510 region:rollup2
BOB BREANNA PITTMAN SPENCER WITH
06:03:50.442 --> 06:03:53.145 region:rollup2
THE CALIFORNIA DENTAL
06:03:51.510 --> 06:03:54.780 region:rollup2
ASSOCIATION THANK YOU.
06:03:53.145 --> 06:03:56.415 region:rollup2
ALRIGHT SO THE DOCTOR YOU CAN
06:03:54.780 --> 06:03:57.749 region:rollup2
THEN BEGIN.
06:03:56.415 --> 06:03:58.350 region:rollup2
THANK YOU THANK YOU FOR THE
06:03:57.749 --> 06:04:00.519 region:rollup2
OPPORTUNITY.
06:03:58.350 --> 06:04:02.387 region:rollup2
THERE ARE THREE QUESTIONS THE
06:04:00.519 --> 06:04:04.856 region:rollup2
FIRST ONE IS ABOUT THE OR BRIEF
06:04:02.387 --> 06:04:05.891 region:rollup2
OVERVIEW OF THE ORAL HEALTH
06:04:04.856 --> 06:04:08.160 region:rollup2
PROGRAM SAID.
06:04:05.891 --> 06:04:09.561 region:rollup2
DEPARTMENT OF. PUBLIC HEALTH.
06:04:08.160 --> 06:04:11.163 region:rollup2
OAK OR TO HELP PROGRAM'S
06:04:09.561 --> 06:04:12.531 region:rollup2
MISSION IS TO PROMOTE OR HOW THE
06:04:11.163 --> 06:04:14.566 region:rollup2
NEWS ORDER TO SEE THIS THROUGH
06:04:12.531 --> 06:04:15.767 region:rollup2
PREVENTION EDUCATION AND
06:04:14.566 --> 06:04:17.336 region:rollup2
ORGANIZED COMMUNITY EFFORTS.
06:04:15.767 --> 06:04:19.237 region:rollup2
OUR PROGRAM IS FOCUSED ON
06:04:17.336 --> 06:04:20.572 region:rollup2
SITTING AT YOU BOTH POPULATION
06:04:19.237 --> 06:04:22.808 region:rollup2
HEALTH GOALS AND OUTCOME
06:04:20.572 --> 06:04:24.643 region:rollup2
MEASURES DEVELOPING SURVEILLANCE
06:04:22.808 --> 06:04:26.712 region:rollup2
SYSTEM TO TRACK PROGRESS.
06:04:24.643 --> 06:04:27.979 region:rollup2
ADVANCING POLICY SYSTEMS AND
06:04:26.712 --> 06:04:29.481 region:rollup2
ORGANIZATIONAL CHANGES TO
06:04:27.979 --> 06:04:30.582 region:rollup2
ACHIEVE IMPROVEMENTS.
06:04:29.481 --> 06:04:32.017 region:rollup2
ALIGNING OUR PROGRAMS WITH
06:04:30.582 --> 06:04:33.685 region:rollup2
ESTABLISHED EVIDENCE BASED
06:04:32.017 --> 06:04:35.387 region:rollup2
PRACTICES AND FINALLY LIVE
06:04:33.685 --> 06:04:37.155 region:rollup2
LEVERAGING STRATEGIC VALUE
06:04:35.387 --> 06:04:39.191 region:rollup2
PARTNERSHIPS AND COLLABORATION.
06:04:37.155 --> 06:04:42.594 region:rollup2
SO IN TWO THOUSAND SEVENTEEN BE.
06:04:39.191 --> 06:04:43.895 region:rollup2
PUBLISHED A BOOK STATUS OF ORAL
06:04:42.594 --> 06:04:45.330 region:rollup2
COUNTY IN CALIFORNIA.
06:04:43.895 --> 06:04:46.598 region:rollup2
NOW WATER DISEASE BURDEN AND
06:04:45.330 --> 06:04:48.500 region:rollup2
PREVENTION.
06:04:46.598 --> 06:04:49.401 region:rollup2
AND IN JANUARY THIS YEAR
06:04:48.500 --> 06:04:52.904 region:rollup2
REPUBLISHED BE.
06:04:49.401 --> 06:04:54.906 region:rollup2
CALIFORNIA OR OF HEALTH PLAN.
06:04:52.904 --> 06:04:56.742 region:rollup2
THIS IS A ROADMAP FOR OF WATER
06:04:54.906 --> 06:04:59.077 region:rollup2
HAD PRIORITIES FOR THE NEXT TEN
06:04:56.742 --> 06:05:01.213 region:rollup2
YEARS FOR THE STATE TO ADDRESS.
06:04:59.077 --> 06:05:03.381 region:rollup2
A WITH RESPECT TO OUR REGULATORY
06:05:01.213 --> 06:05:04.883 region:rollup2
RESPONSIBILITIES AND HEALTH AND
06:05:03.381 --> 06:05:06.418 region:rollup2
SAFETY CORD ESTABLISHES THE
06:05:04.883 --> 06:05:08.387 region:rollup2
OFFICE OF PUBLIC OFFICE OF OR
06:05:06.418 --> 06:05:10.889 region:rollup2
HOW. THERE ARE CERTAIN SECTIONS
06:05:08.387 --> 06:05:12.524 region:rollup2
IN THE CORD. THAT ESTABLISH OUR
06:05:10.889 --> 06:05:14.259 region:rollup2
AUTHORITY FOR SEPIA EDGE TO IT
06:05:12.524 --> 06:05:17.229 region:rollup2
MAINTAIN THE DENTAL PROGRAM THAT
06:05:14.259 --> 06:05:18.230 region:rollup2
INCLUDES. SEVERAL.
06:05:17.229 --> 06:05:20.298 region:rollup2
THE AREAS.
06:05:18.230 --> 06:05:22.300 region:rollup2
THE PROGRAM USFSA DEPARTMENTS
06:05:20.298 --> 06:05:23.735 region:rollup2
GENTLE A PARTY. OUT TO ISSUE
06:05:22.300 --> 06:05:25.904 region:rollup2
GUIDELINES AS FAR
06:05:23.735 --> 06:05:27.339 region:rollup2
ORGANIZATIONALLY BR INTO CENTER
06:05:25.904 --> 06:05:29.040 region:rollup2
FOR CHRONIC DISEASE PREVENTION
06:05:27.339 --> 06:05:30.008 region:rollup2
AND HEALTH PROMOTION BIAFRA
06:05:29.040 --> 06:05:31.576 region:rollup2
THREE DOING THAT.
06:05:30.008 --> 06:05:34.179 region:rollup2
ADMINISTRATION PROGRAM
06:05:31.576 --> 06:05:37.382 region:rollup2
INTERVENTIONS AND THEN FINALLY
06:05:34.179 --> 06:05:39.751 region:rollup2
SURVEILLANCE AND EVALUATION.
06:05:37.382 --> 06:05:41.753 region:rollup2
A OUR INITIATIVES INCLUDE AND
06:05:39.751 --> 06:05:44.556 region:rollup2
THE MANAGEMENT OF THE.
06:05:41.753 --> 06:05:45.190 region:rollup2
TOBACCO TAX OF TWO THOUSAND
06:05:44.556 --> 06:05:46.024 region:rollup2
SIXTEEN OR HOW OFTEN THEY SHOULD
06:05:45.190 --> 06:05:47.959 region:rollup2
DO.
06:05:46.024 --> 06:05:49.461 region:rollup2
THROUGH WHICH THE FUNDING IN
06:05:47.959 --> 06:05:51.363 region:rollup2
THE MIND THIRTY MILLION IS
06:05:49.461 --> 06:05:53.498 region:rollup2
AVAILABLE ANNUALLY TO IMPLEMENT
06:05:51.363 --> 06:05:55.934 region:rollup2
THE STATE OR ABOUT PLAN.
06:05:53.498 --> 06:05:57.569 region:rollup2
I THOUGHT I HAD THE PROGRAM IS
06:05:55.934 --> 06:06:01.740 region:rollup2
COMMUNITY WATER FLUORIDATION.
06:05:57.569 --> 06:06:03.875 region:rollup2
WE HAVE A FEDERAL HER SON GRANT.
06:06:01.740 --> 06:06:06.077 region:rollup2
HOW TO THE IT WITH RESPECT ORAL
06:06:03.875 --> 06:06:07.879 region:rollup2
HEALTH WORKFORCE EXPANSION IT'S
06:06:06.077 --> 06:06:09.314 region:rollup2
FOCUSED ON PILOT TESTING? TELLY
06:06:07.879 --> 06:06:11.950 region:rollup2
DENTISTRY PROJECT.
06:06:09.314 --> 06:06:13.552 region:rollup2
VIRTUAL DENTAL HOME.
06:06:11.950 --> 06:06:15.854 region:rollup2
WE ALSO HAVE ANOTHER GRAND FROM
06:06:13.552 --> 06:06:18.123 region:rollup2
HER SCENT AND IT IS SO FOCUSED
06:06:15.854 --> 06:06:20.125 region:rollup2
ON PREGNANT WOMEN AND YOUNG
06:06:18.123 --> 06:06:21.960 region:rollup2
CHILDREN SET QUALITY IMPROVEMENT
06:06:20.125 --> 06:06:24.663 region:rollup2
PROJECT IT'S A PILOT PROJECT IN
06:06:21.960 --> 06:06:26.465 region:rollup2
NASA NUMBER COUNTY.
06:06:24.663 --> 06:06:28.400 region:rollup2
THE SECOND QUESTION IS ABOUT THE
06:06:26.465 --> 06:06:30.168 region:rollup2
OR HOW THE OR HAD PROGRAM IS
06:06:28.400 --> 06:06:31.369 region:rollup2
MEETING DEFINED GOALS IDENTIFIED
06:06:30.168 --> 06:06:33.171 region:rollup2
IN THE CALIFORNIA OR OF HEALTH
06:06:31.369 --> 06:06:34.739 region:rollup2
PLAN.
06:06:33.171 --> 06:06:37.075 region:rollup2
IBM ESTABLISH TO GRANT THE GRANT
06:06:34.739 --> 06:06:38.009 region:rollup2
PROGRAM TO PROVIDE FUNDS TO ALL
06:06:37.075 --> 06:06:39.678 region:rollup2
SIXTY ONE LOCAL HIGH
06:06:38.009 --> 06:06:41.213 region:rollup2
JURISDICTIONS BUT PLANNING AND
06:06:39.678 --> 06:06:42.747 region:rollup2
IMPLEMENTING EVIDENCE BASED
06:06:41.213 --> 06:06:45.116 region:rollup2
PROGRAMS AND POLICIES.
06:06:42.747 --> 06:06:46.251 region:rollup2
SO IN PHASE ONE LOCAL HOW
06:06:45.116 --> 06:06:48.386 region:rollup2
JURISDICTIONS UP CONDUCTING
06:06:46.251 --> 06:06:48.987 region:rollup2
NEEDS ASSESSMENT AND DEVELOPING
06:06:48.386 --> 06:06:50.021 region:rollup2
A COMMUNITY HEALTH IMPROVEMENT
06:06:48.987 --> 06:06:51.957 region:rollup2
PLAN.
06:06:50.021 --> 06:06:53.658 region:rollup2
AND IN PHASE TWO FUNDS MAY BE
06:06:51.957 --> 06:06:54.893 region:rollup2
USED FOR SUCH ACTIVITIES AS
06:06:53.658 --> 06:06:56.528 region:rollup2
COORDINATION OF SCHOOL BASED
06:06:54.893 --> 06:06:58.129 region:rollup2
PROGRAMS.
06:06:56.528 --> 06:07:00.699 region:rollup2
PROMOTING KINDERGARTEN OR A
06:06:58.129 --> 06:07:02.033 region:rollup2
HOUSE ASSESSMENT REQUIREMENT AND
06:07:00.699 --> 06:07:03.802 region:rollup2
THEN USING THAT DATA FOR
06:07:02.033 --> 06:07:05.203 region:rollup2
PLANNING INTERVENTIONS.
06:07:03.802 --> 06:07:06.872 region:rollup2
ESTABLISHING A COORDINATE AND
06:07:05.203 --> 06:07:08.440 region:rollup2
BUT THIS COORDINATED SYSTEM FOR
06:07:06.872 --> 06:07:10.075 region:rollup2
SCREENING AND REFERRAL OF
06:07:08.440 --> 06:07:11.743 region:rollup2
CHILDREN AND PREGNANT WOMEN.
06:07:10.075 --> 06:07:13.378 region:rollup2
PROMOTING RETHINK YOUR DRINK
06:07:11.743 --> 06:07:15.113 region:rollup2
CAMPAIGN AND TOBACCO CESSATION
06:07:13.378 --> 06:07:16.982 region:rollup2
IN DENTAL SETTINGS.
06:07:15.113 --> 06:07:18.884 region:rollup2
AND ALSO LAUNCHING EDUCATION AND
06:07:16.982 --> 06:07:20.785 region:rollup2
HELP THE TO SEE CAMPAIGNS.
06:07:18.884 --> 06:07:22.087 region:rollup2
OTHER GRANTS AND CONTRACTS WILL
06:07:20.785 --> 06:07:24.723 region:rollup2
HELP COMMUNITIES TO PROMOTE.
06:07:22.087 --> 06:07:25.657 region:rollup2
EVIDENCE BASED INTERVENTIONS
06:07:24.723 --> 06:07:26.424 region:rollup2
LIKE COMMUNITY WATER
06:07:25.657 --> 06:07:28.260 region:rollup2
FLUORIDATION AND SCHOOL BASED
06:07:26.424 --> 06:07:29.661 region:rollup2
PROGRAMS.
06:07:28.260 --> 06:07:31.296 region:rollup2
WE HAVE ESTABLISHED THAT
06:07:29.661 --> 06:07:33.398 region:rollup2
CONTRACT WITH THE UC A STEP DOWN
06:07:31.296 --> 06:07:34.900 region:rollup2
SCHOOL TO PROVIDE TRAINING AND
06:07:33.398 --> 06:07:37.369 region:rollup2
TECHNICAL ASSISTANCE TO LOCAL
06:07:34.900 --> 06:07:39.237 region:rollup2
HOW JURISDICTIONS.
06:07:37.369 --> 06:07:40.372 region:rollup2
YEAH WE ARE.
06:07:39.237 --> 06:07:42.340 region:rollup2
WELL TO EXPLORING SEVERAL
06:07:40.372 --> 06:07:43.675 region:rollup2
CAMPAIGNS THAT WILL IMPROVE ORAL
06:07:42.340 --> 06:07:45.210 region:rollup2
HEALTH BUT TO SEE.
06:07:43.675 --> 06:07:46.611 region:rollup2
THE FIRST ONE IS TO ENHANCE
06:07:45.210 --> 06:07:48.346 region:rollup2
COMMUNICATION AND DENTAL
06:07:46.611 --> 06:07:49.581 region:rollup2
SETTINGS WE ARE UP PROPOSING TO
06:07:48.346 --> 06:07:51.449 region:rollup2
CREATE A TOOLKIT FOR DENTAL
06:07:49.581 --> 06:07:53.518 region:rollup2
OFFICES.
06:07:51.449 --> 06:07:55.520 region:rollup2
I IT'S BASED ON THE. AGENCY FOR
06:07:53.518 --> 06:07:57.222 region:rollup2
HEALTHCARE RESEARCH AND QUALITY
06:07:55.520 --> 06:07:58.657 region:rollup2
UNIVERSAL PRECAUTIONS KID. THIS
06:07:57.222 --> 06:08:00.425 region:rollup2
WAS HOW DENTAL OFFICES TO
06:07:58.657 --> 06:08:01.693 region:rollup2
CREATED A SPOT. RESPECTFUL
06:08:00.425 --> 06:08:03.461 region:rollup2
ENVIRONMENT.
06:08:01.693 --> 06:08:03.995 region:rollup2
COMMUNICATE USING PLAIN LANGUAGE
06:08:03.461 --> 06:08:06.531 region:rollup2
AND.
06:08:03.995 --> 06:08:08.767 region:rollup2
SIMPLE VISUALS AND ALSO USED TO
06:08:06.531 --> 06:08:09.568 region:rollup2
TEACH BACK METHOD.
06:08:08.767 --> 06:08:11.570 region:rollup2
A THE AMERICAN DENTAL
06:08:09.568 --> 06:08:14.005 region:rollup2
ASSOCIATION FOUNDATION HOUSE A
06:08:11.570 --> 06:08:15.507 region:rollup2
CAMPAIGN COURT TINY SMILES IT'S
06:08:14.005 --> 06:08:18.843 region:rollup2
DESIGNED TO ENGAGE THREE
06:08:15.507 --> 06:08:19.811 region:rollup2
INFLUENTIAL GROUPS EDUCATORS.
06:08:18.843 --> 06:08:21.513 region:rollup2
DENTAL PROFESSIONALS AND MEDICAL
06:08:19.811 --> 06:08:24.215 region:rollup2
PROFESSIONALS.
06:08:21.513 --> 06:08:26.184 region:rollup2
AND WE ARE. PLANNING TO LAUNCH
06:08:24.215 --> 06:08:28.186 region:rollup2
THIS CAMPAIGN AND SOME CAMINO
06:08:26.184 --> 06:08:29.721 region:rollup2
COUNTIES.
06:08:28.186 --> 06:08:30.622 region:rollup2
THERE IS NO THE CAMPAIGN YOU MAY
06:08:29.721 --> 06:08:32.424 region:rollup2
BE BUT A FAMILY OF Y. THE
06:08:30.622 --> 06:08:35.193 region:rollup2
AMERICAN ACADEMY OF PEDIATRICS.
06:08:32.424 --> 06:08:37.729 region:rollup2
CAMPAIGN CALLER BRAASCH BOOK IN
06:08:35.193 --> 06:08:39.564 region:rollup2
BED BEEN ALSO. INTERESTED IN
06:08:37.729 --> 06:08:40.699 region:rollup2
PROMOTING THAT CAMPAIGN IN SOME
06:08:39.564 --> 06:08:42.567 region:rollup2
COMMUNITIES.
06:08:40.699 --> 06:08:44.302 region:rollup2
WELL WE ARE ESTABLISHING A
06:08:42.567 --> 06:08:45.870 region:rollup2
SURVEILLANCE SYSTEM TED WILL BE
06:08:44.302 --> 06:08:47.505 region:rollup2
CONSISTENT WITH THE NATIONAL OR
06:08:45.870 --> 06:08:49.474 region:rollup2
A HOT SURVEILLANCE SYSTEM AND IT
06:08:47.505 --> 06:08:52.210 region:rollup2
INCLUDING QUESTIONS IN MANY OF
06:08:49.474 --> 06:08:53.611 region:rollup2
OUR STATE BASED SERVICE LACTIS
06:08:52.210 --> 06:08:56.081 region:rollup2
BEYOND A PROCESS SEND ME HA.
06:08:53.611 --> 06:08:57.882 region:rollup2
IN WHERE THERE ARE GAPS WILL BE
06:08:56.081 --> 06:08:59.284 region:rollup2
A AND WE ARE DESIGNING SPECIAL
06:08:57.882 --> 06:09:00.819 region:rollup2
SURVEYS TO GATHER DATA
06:08:59.284 --> 06:09:04.823 region:rollup2
ESPECIALLY ON THE.
06:09:00.819 --> 06:09:06.224 region:rollup2
OR A HOUSE OUTCOMES IN CHILDREN.
06:09:04.823 --> 06:09:07.492 region:rollup2
THE FINAL QUESTION IS ABOUT THE
06:09:06.224 --> 06:09:10.662 region:rollup2
STATUS OF CLIENTS.
06:09:07.492 --> 06:09:12.630 region:rollup2
WE HAVE PROCESS TO FIFTY SEVEN
06:09:10.662 --> 06:09:14.165 region:rollup2
APPLICATION SO FAR.
06:09:12.630 --> 06:09:15.033 region:rollup2
AND EXECUTED FORTY NINE
06:09:14.165 --> 06:09:17.469 region:rollup2
AGREEMENTS.
06:09:15.033 --> 06:09:19.104 region:rollup2
BE HAVE GRANTED EXTENSION BUT
06:09:17.469 --> 06:09:21.239 region:rollup2
THREE LOCAL HAS JURISDICTION.
06:09:19.104 --> 06:09:22.674 region:rollup2
A.
06:09:21.239 --> 06:09:24.242 region:rollup2
THE A LOCAL HOUSE JURISDICTIONS
06:09:22.674 --> 06:09:26.311 region:rollup2
ON IN THE PROCESS OF HIDING
06:09:24.242 --> 06:09:28.079 region:rollup2
STAFF AND CONSULTANTS AND ALSO
06:09:26.311 --> 06:09:29.247 region:rollup2
FINALIZING CONTRACTS AND
06:09:28.079 --> 06:09:31.750 region:rollup2
APPROACHES SAUNDERS.
06:09:29.247 --> 06:09:33.918 region:rollup2
MOST OF THESE CONTRACTS BECAME.
06:09:31.750 --> 06:09:35.687 region:rollup2
EFFECTIVE IN MARCH.
06:09:33.918 --> 06:09:37.622 region:rollup2
SO THIS IS A GRANT PROGRAM THAT
06:09:35.687 --> 06:09:39.457 region:rollup2
GIVES FLEXIBILITY TO LOCAL
06:09:37.622 --> 06:09:40.659 region:rollup2
HEALTH JURISDICTIONS TO DESIGN
06:09:39.457 --> 06:09:42.394 region:rollup2
THEIR OWN PROGRAMS BASED ON THAT
06:09:40.659 --> 06:09:43.962 region:rollup2
NEEDS.
06:09:42.394 --> 06:09:45.864 region:rollup2
IN GENERAL WE ARE ASKING THE
06:09:43.962 --> 06:09:47.699 region:rollup2
GRANT IS TO FOCUS ON REDUCING TO
06:09:45.864 --> 06:09:48.967 region:rollup2
DECAY PREVALENCE IN UNTREATED
06:09:47.699 --> 06:09:51.069 region:rollup2
DISEASE IN CHILDREN.
06:09:48.967 --> 06:09:52.570 region:rollup2
INCREASING DENTAL VISIT TRAITS
06:09:51.069 --> 06:09:54.873 region:rollup2
AND CHILDREN AND ADULTS
06:09:52.570 --> 06:09:56.207 region:rollup2
ESPECIALLY PREGNANT WOMEN PEOPLE
06:09:54.873 --> 06:09:57.909 region:rollup2
WITH DIABETES AND BORDER ON
06:09:56.207 --> 06:09:59.511 region:rollup2
THOSE.
06:09:57.909 --> 06:10:01.346 region:rollup2
I ALSO ADDRESSING COMMON RISK
06:09:59.511 --> 06:10:03.882 region:rollup2
FACTORS SUCH. BUDGET DIETARY
06:10:01.346 --> 06:10:06.885 region:rollup2
CHOICES AND PROMOTING TOBACCO
06:10:03.882 --> 06:10:08.453 region:rollup2
CESSATION IN DENTAL SETTINGS.
06:10:06.885 --> 06:10:10.388 region:rollup2
INTEGRATION OF ORAL HEALTH AND
06:10:08.453 --> 06:10:12.457 region:rollup2
PRIMARY CARE IS A HIGH PRIORITY
06:10:10.388 --> 06:10:14.759 region:rollup2
AT THE NATIONAL LEVEL.
06:10:12.457 --> 06:10:17.095 region:rollup2
THE ARE ENCOURAGING A LOCAL HOW
06:10:14.759 --> 06:10:17.629 region:rollup2
JURISDICTIONS TO FOCUS ON UNITED
06:10:17.095 --> 06:10:18.997 region:rollup2
STATES PREVENTIVE SERVICES
06:10:17.629 --> 06:10:20.965 region:rollup2
STUFF.
06:10:18.997 --> 06:10:22.934 region:rollup2
TAX FORCE RECOMMENDATIONS.
06:10:20.965 --> 06:10:23.935 region:rollup2
HOW FOR A?
06:10:22.934 --> 06:10:26.037 region:rollup2
AB AND OF WHICH RECOMMENDS THE
06:10:23.935 --> 06:10:27.839 region:rollup2
APPLICATION OF FLUORIDE VARNISH
06:10:26.037 --> 06:10:29.641 region:rollup2
AND PRIME TICKET OFFICES.
06:10:27.839 --> 06:10:30.942 region:rollup2
THERE'S A NATIONAL CONSENSUS
06:10:29.641 --> 06:10:32.577 region:rollup2
STATEMENT OVERLOOKED BY HER SON
06:10:30.942 --> 06:10:34.412 region:rollup2
THAT RECOMMENDS.
06:10:32.577 --> 06:10:36.181 region:rollup2
THAT ALL HEALTH PROFESSIONALS
06:10:34.412 --> 06:10:37.582 region:rollup2
PROVIDE PREGNANT WOMEN WITH
06:10:36.181 --> 06:10:39.150 region:rollup2
APPROPRIATE AND TIMELY ORAL
06:10:37.582 --> 06:10:41.319 region:rollup2
HEALTH CARE.
06:10:39.150 --> 06:10:43.822 region:rollup2
OF THEIR. ASKING ALL LOCAL HOW
06:10:41.319 --> 06:10:44.389 region:rollup2
JURISDICTIONS TO PROMOTE THIS
06:10:43.822 --> 06:10:47.025 region:rollup2
AND THEY'RE OUT COMMUNITIES
06:10:44.389 --> 06:10:48.626 region:rollup2
THANK YOU.
06:10:47.025 --> 06:10:50.862 region:rollup2
THANK YOU I REMEMBER SERVING ON
06:10:48.626 --> 06:10:51.362 region:rollup2
A CD A FOUNDATION TASK FORCE ON
06:10:50.862 --> 06:10:53.631 region:rollup2
ON THAT VERY ISSUE ABOUT
06:10:51.362 --> 06:10:55.300 region:rollup2
GETTING.
06:10:53.631 --> 06:10:57.702 region:rollup2
A TRAIN WOMEN ARE OF.
06:10:55.300 --> 06:10:58.870 region:rollup2
THE SERVICES. SURE THEY GOT
06:10:57.702 --> 06:11:01.439 region:rollup2
THERE WILL HEALTH CARE GREAT.
06:10:58.870 --> 06:11:03.174 region:rollup2
SO AND COMES FROM A LEO DEL
06:11:01.439 --> 06:11:05.110 region:rollup2
FINANCE.
06:11:03.174 --> 06:11:07.178 region:rollup2
RIGHT. AND I BELIEVE WE HAVE OUR
06:11:05.110 --> 06:11:10.448 region:rollup2
PANEL HAS A PROPOSAL REGARDING
06:11:07.178 --> 06:11:12.884 region:rollup2
FUNDING FLEXIBILITY SO.
06:11:10.448 --> 06:11:15.186 region:rollup2
WE CAN DO IT IN THREE MINUTES OR
06:11:12.884 --> 06:11:17.689 region:rollup2
LESS LESS WHEN. OKAY GREAT.
06:11:15.186 --> 06:11:18.289 region:rollup2
SO I HAVE ROPOSITION FIFTY SIX
06:11:17.689 --> 06:11:19.791 region:rollup2
INCLUDES THIRTY MILLION A YEAR
06:11:18.289 --> 06:11:21.760 region:rollup2
FOR THE OR.
06:11:19.791 --> 06:11:22.861 region:rollup2
OBSERVERS UP.
06:11:21.760 --> 06:11:24.562 region:rollup2
S. WE ARE VERY EXCITED THAT THE
06:11:22.861 --> 06:11:25.597 region:rollup2
OUT PIECES IN THERE AND WANT TO
06:11:24.562 --> 06:11:27.132 region:rollup2
MAKE SURE THAT THERE IS MAXIMUM
06:11:25.597 --> 06:11:28.600 region:rollup2
FLEXIBILITY TO GET THE MONEY OUT
06:11:27.132 --> 06:11:29.534 region:rollup2
THE DOOR WE REALLY SEE THIS THIS
06:11:28.600 --> 06:11:30.668 region:rollup2
IS A TOTAL GAME CHANGER FOR ORAL
06:11:29.534 --> 06:11:32.670 region:rollup2
HEALTH.
06:11:30.668 --> 06:11:34.072 region:rollup2
WE HAVE HAD SOME CONCERNS ABOUT
06:11:32.670 --> 06:11:35.874 region:rollup2
HOW WITH IMPLEMENTATION WAS
06:11:34.072 --> 06:11:37.108 region:rollup2
GONNA LOOK LIKE WE RAISE THOSE
06:11:35.874 --> 06:11:38.576 region:rollup2
WITH ON THE DEPARTMENT OF
06:11:37.108 --> 06:11:39.878 region:rollup2
FINANCE AND DPH AND WHERE
06:11:38.576 --> 06:11:41.446 region:rollup2
ESSENTIALLY STAR FILLED IN THE
06:11:39.878 --> 06:11:42.447 region:rollup2
STATUTE IS WHAT IT IS. MONIES
06:11:41.446 --> 06:11:44.616 region:rollup2
COMING EVERY YEAR.
06:11:42.447 --> 06:11:45.984 region:rollup2
WE HAVE THE SENSE THAT HEARD
06:11:44.616 --> 06:11:47.252 region:rollup2
SOME CONCERNS FROM THE LOCAL
06:11:45.984 --> 06:11:48.586 region:rollup2
AGENCIES WHICH I THINK MY
06:11:47.252 --> 06:11:49.888 region:rollup2
COLLEAGUE CAN SPEAK TO A LITTLE
06:11:48.586 --> 06:11:51.222 region:rollup2
BIT MORE CLEARLY. AND SO
06:11:49.888 --> 06:11:53.091 region:rollup2
COALITION CAME TOGETHER.
06:11:51.222 --> 06:11:54.659 region:rollup2
MODELED SOME LANGUAGE AFTER
06:11:53.091 --> 06:11:55.827 region:rollup2
OTHER PROGRAMS AND DPH THAT HAVE
06:11:54.659 --> 06:11:57.328 region:rollup2
A LITTLE BIT MORE FLEXIBILITY
06:11:55.827 --> 06:11:58.429 region:rollup2
SPECIFICALLY. THREE YEAR
06:11:57.328 --> 06:12:00.598 region:rollup2
SPENDING AUTHORITY IN THOSE
06:11:58.429 --> 06:12:01.900 region:rollup2
GRANTS JUST TO GIVE ENOUGH TIME
06:12:00.598 --> 06:12:03.268 region:rollup2
TO THE COUNTIES ACTUALLY GET OUT
06:12:01.900 --> 06:12:04.502 region:rollup2
THE DOOR SO WE KNOW IF IT'S A
06:12:03.268 --> 06:12:05.904 region:rollup2
IT'S A SYSTEM THAT'S BEEN USED
06:12:04.502 --> 06:12:07.305 region:rollup2
BEFORE AMENDED WE JUST WANNA
06:12:05.904 --> 06:12:08.473 region:rollup2
MAKE SURE THAT THERE ARE ANY.
06:12:07.305 --> 06:12:11.276 region:rollup2
ANY BARRY BARRIERS.
06:12:08.473 --> 06:12:11.843 region:rollup2
FOR FOLKS SPENDING THIS MONEY
06:12:11.276 --> 06:12:12.110 region:rollup2
BECAUSE WE ARE VERY EXCITED
06:12:11.843 --> 06:12:13.011 region:rollup2
ABOUT IT.
06:12:12.110 --> 06:12:14.212 region:rollup2
THANK YOU KNOW AND AND WE DO
06:12:13.011 --> 06:12:15.079 region:rollup2
APPRECIATE THE COLLABORATION
06:12:14.212 --> 06:12:16.114 region:rollup2
THAT'S BEEN HAPPENING WITH THE
06:12:15.079 --> 06:12:17.882 region:rollup2
CALIFORNIA DEPARTMENT PUBLIC
06:12:16.114 --> 06:12:19.918 region:rollup2
HEALTH AND PARTICULARLY WITH DR
06:12:17.882 --> 06:12:21.352 region:rollup2
KUMAR IN HIS TEAM. I THINK AND
06:12:19.918 --> 06:12:22.654 region:rollup2
JUST TO FURTHER ELABORATE ON
06:12:21.352 --> 06:12:23.855 region:rollup2
WHAT BEYOND A HIS SAID LOOK ALL
06:12:22.654 --> 06:12:24.856 region:rollup2
DEPARTMENTS ARE FACING
06:12:23.855 --> 06:12:25.890 region:rollup2
CHALLENGES AROUND EXPENDING THE
06:12:24.856 --> 06:12:27.358 region:rollup2
FUNDING PARTICULARLY IN THE
06:12:25.890 --> 06:12:28.560 region:rollup2
FIRST YEAR BUT WE COULD FOR SEE.
06:12:27.358 --> 06:12:30.228 region:rollup2
THIS BEING A NEED ON THE ONGOING
06:12:28.560 --> 06:12:30.962 region:rollup2
BASIS AND SO WHAT WE'RE ASKING
06:12:30.228 --> 06:12:32.964 region:rollup2
FOR IS THE ABILITY FOR THE
06:12:30.962 --> 06:12:33.531 region:rollup2
DEPARTMENT TO ROLL OVER THAT THE
06:12:32.964 --> 06:12:35.033 region:rollup2
FUNDING FROM ONE YEAR TO THE
06:12:33.531 --> 06:12:35.700 region:rollup2
NEXT.
06:12:35.033 --> 06:12:36.434 region:rollup2
TO MAKE SURE THAT A JURISDICTION
06:12:35.700 --> 06:12:38.503 region:rollup2
CAN CONTINUE TO SPEND THE FUNDS
06:12:36.434 --> 06:12:39.904 region:rollup2
IN THE FUTURE YEARS JUST TO GIVE
06:12:38.503 --> 06:12:40.972 region:rollup2
YOU HAVE IT A BIT OF AN EXAMPLE
06:12:39.904 --> 06:12:42.407 region:rollup2
AS DR KUMAR SAID THERE'S A
06:12:40.972 --> 06:12:43.041 region:rollup2
NUMBER OF CONTRACTS THAT HAVE
06:12:42.407 --> 06:12:43.841 region:rollup2
NOT BEEN IMPLEMENTED OR WERE NOT
06:12:43.041 --> 06:12:45.577 region:rollup2
AND THE.
06:12:43.841 --> 06:12:46.377 region:rollup2
UNTIL ON MARCH OF THIS YEAR
06:12:45.577 --> 06:12:48.112 region:rollup2
WHICH MEANS THAT THEY HAVE THREE
06:12:46.377 --> 06:12:49.147 region:rollup2
MONTHS TO ESSENTIALLY SPENT
06:12:48.112 --> 06:12:51.015 region:rollup2
COUPLE YEARS ALLOCATION OF
06:12:49.147 --> 06:12:52.417 region:rollup2
FUNDING. AND FUNDING WITHIN THE
06:12:51.015 --> 06:12:54.085 region:rollup2
GRANTS ARE PROVIDED TO LOCAL
06:12:52.417 --> 06:12:54.853 region:rollup2
HEALTH DEPARTMENTS AND THEY HAVE
06:12:54.085 --> 06:12:56.588 region:rollup2
AT THE SAME AMOUNT OF FUNDING
06:12:54.853 --> 06:12:58.156 region:rollup2
PER YEAR. AND SO WE HAVE A FULL
06:12:56.588 --> 06:12:59.624 region:rollup2
YEAR'S ALLOCATION SPEND IN THREE
06:12:58.156 --> 06:13:01.159 region:rollup2
MONTHS OR AT THE MAX IT WAS SIX
06:12:59.624 --> 06:13:02.160 region:rollup2
MONTHS AND SO THAT'S PRETTY
06:13:01.159 --> 06:13:03.561 region:rollup2
CHALLENGING AND DIFFICULT NAY
06:13:02.160 --> 06:13:04.729 region:rollup2
DON'T WANNA MAKE RASH DECISIONS
06:13:03.561 --> 06:13:05.597 region:rollup2
ON HOW THEY SPEND THE FUNDS THEY
06:13:04.729 --> 06:13:07.098 region:rollup2
WANT TO MAKE SURE THAT THEY ARE
06:13:05.597 --> 06:13:08.199 region:rollup2
DOING IT TO BUILD. AND A FIRST
06:13:07.098 --> 06:13:10.101 region:rollup2
IN THE EARLY PHASES TO BUILD
06:13:08.199 --> 06:13:10.869 region:rollup2
THAT CAPACITY AT THE LOOK AT THE
06:13:10.101 --> 06:13:11.970 region:rollup2
LOCAL LEVEL TO MAKE SURE THAT
06:13:10.869 --> 06:13:13.504 region:rollup2
THEY'RE DOIG THE NEEDS
06:13:11.970 --> 06:13:14.572 region:rollup2
ASSESSMENT AND DOING IT IN A WAY
06:13:13.504 --> 06:13:16.241 region:rollup2
THAT WILL PROVIDE MEANINGFUL
06:13:14.572 --> 06:13:17.542 region:rollup2
INFORMATION ABOUT HOW WE CAN
06:13:16.241 --> 06:13:18.309 region:rollup2
BEST MAKE THE INVESTMENTS INTO
06:13:17.542 --> 06:13:20.111 region:rollup2
OUR COMMUNITIES.
06:13:18.309 --> 06:13:21.646 region:rollup2
AND SEND AND THEN GOING FORWARD
06:13:20.111 --> 06:13:23.114 region:rollup2
AND ANY MONEY THAT'S ROLLED OVER
06:13:21.646 --> 06:13:24.549 region:rollup2
INTO FUTURE YEARS THAT ARE NOT
06:13:23.114 --> 06:13:26.084 region:rollup2
NEEDED FOR PLANNING WILL THEN GO
06:13:24.549 --> 06:13:27.518 region:rollup2
TOWARDS ADDITIONAL INVESTMENTS
06:13:26.084 --> 06:13:28.786 region:rollup2
THAT CAN HAPPEN. TO REALLY
06:13:27.518 --> 06:13:29.854 region:rollup2
FURTHER THE WORK OF THE THE ORAL
06:13:28.786 --> 06:13:31.322 region:rollup2
HEALTH GRANTS IN THE INTENDED
06:13:29.854 --> 06:13:32.991 region:rollup2
PURPOSE FOR IT SO YOU WE ARE
06:13:31.322 --> 06:13:34.392 region:rollup2
REALLY ASKING FOR WHAT WE
06:13:32.991 --> 06:13:36.594 region:rollup2
BELIEVE TO JUST BE A SIMPLE FIX
06:13:34.392 --> 06:13:39.097 region:rollup2
TO ALLOW FUNDING TO BE ALLOCATED
06:13:36.594 --> 06:13:40.965 region:rollup2
FROM YEAR TO YEAR.
06:13:39.097 --> 06:13:43.801 region:rollup2
ALRIGHT THANK YOU ANITA COMMENTS
06:13:40.965 --> 06:13:45.703 region:rollup2
FROM THE. APARTMENT ABOUT THE.
06:13:43.801 --> 06:13:46.971 region:rollup2
THIS REQUEST IT WE UNDERSTAND
06:13:45.703 --> 06:13:48.106 region:rollup2
THE CONCERNS AND WE HAVE BEEN
06:13:46.971 --> 06:13:50.241 region:rollup2
WORKING.
06:13:48.106 --> 06:13:51.309 region:rollup2
TO DISSOLVE THIS WHEN WE HAVE A
06:13:50.241 --> 06:13:53.578 region:rollup2
MECHANISM THROUGH THE STATE
06:13:51.309 --> 06:13:54.245 region:rollup2
ADMINISTRATIVE MANUAL TO ALLOW
06:13:53.578 --> 06:13:55.880 region:rollup2
THE FLEXIBILITY FOR LOCAL
06:13:54.245 --> 06:13:57.348 region:rollup2
JURISDICTIONS.
06:13:55.880 --> 06:13:58.750 region:rollup2
YEAH WE'LL BE PROVIDING
06:13:57.348 --> 06:14:00.385 region:rollup2
ADDITIONAL GUIDANCE I'M IN THE
06:13:58.750 --> 06:14:01.953 region:rollup2
COMING WEEKS
06:14:00.385 --> 06:14:03.922 region:rollup2
OKAY ILIO THE CUMMINS NOT
06:14:01.953 --> 06:14:04.689 region:rollup2
FINANCE.
06:14:03.922 --> 06:14:05.623 region:rollup2
NO ISSUES WITH THIS IDEA.
06:14:04.689 --> 06:14:10.094 region:rollup2
GOOD.
06:14:05.623 --> 06:14:10.662 region:rollup2
WELL.
06:14:10.094 --> 06:14:12.864 region:rollup2
AS DR KUMAR NOTED.
06:14:10.662 --> 06:14:14.198 region:rollup2
YOU KNOW THIS IS A NEW FUNDING
06:14:12.864 --> 06:14:15.433 region:rollup2
STREAM AND WE DO ACKNOWLEDGE
06:14:14.198 --> 06:14:17.168 region:rollup2
THAT THERE WILL BE BUMPS IN THE
06:14:15.433 --> 06:14:18.569 region:rollup2
ROAD AND WE'VE BEEN HAVING A LOT
06:14:17.168 --> 06:14:20.738 region:rollup2
OF CONVERSATIONS WITH THE.
06:14:18.569 --> 06:14:21.806 region:rollup2
STAND WHAT THE CONCERNS ARE AND
06:14:20.738 --> 06:14:23.174 region:rollup2
WE'VE BEEN WORKING WITH THEM AND
06:14:21.806 --> 06:14:24.175 region:rollup2
WE DO BELIEVE IT THERE'S AN
06:14:23.174 --> 06:14:26.110 region:rollup2
ADMINISTRATIVE MECHANISM TO DO
06:14:24.175 --> 06:14:28.813 region:rollup2
THIS. SO WE'RE STILL IRONING OUT
06:14:26.110 --> 06:14:29.380 region:rollup2
ALL DETAILS FOR THAT BUT HOPE TO
06:14:28.813 --> 06:14:31.683 region:rollup2
HAVE MORE INFORMATION FOR.
06:14:29.380 --> 06:14:33.384 region:rollup2
PROVOKES.
06:14:31.683 --> 06:14:34.652 region:rollup2
I LIKE THE IDEA ADMINISTRATIVE
06:14:33.384 --> 06:14:35.753 region:rollup2
OKAY HE HAS AND THAT'S REALLY
06:14:34.652 --> 06:14:36.454 region:rollup2
GOOD NEWS TO HEAR AND WE LOOK
06:14:35.753 --> 06:14:37.155 region:rollup2
FORWARD TO HAVING FORTHE
06:14:36.454 --> 06:14:38.756 region:rollup2
CONVERSATIONS WITH THE
06:14:37.155 --> 06:14:39.757 region:rollup2
ADMINISTRATION THE ONLY THING
06:14:38.756 --> 06:14:41.826 region:rollup2
THAT I WOULD NOTICE TO MAKING
06:14:39.757 --> 06:14:42.427 region:rollup2
SURE THAT WE'RE ABLE TO ROLL IT
06:14:41.826 --> 06:14:43.061 region:rollup2
OVER FOR A NUMBER OF YEARS AND
06:14:42.427 --> 06:14:45.663 region:rollup2
THAT. WE HAVE
06:14:43.061 --> 06:14:46.564 region:rollup2
THE ADVANCE NOTICE TO DO THAT SO
06:14:45.663 --> 06:14:47.632 region:rollup2
THE STATUTE THAT WE WERE LOOKING
06:14:46.564 --> 06:14:49.867 region:rollup2
A CHANGE WOULD ALLOW ROLL OVER
06:14:47.632 --> 06:14:51.035 region:rollup2
FOR A THREE YEAR PERIOD AFTER
06:14:49.867 --> 06:14:52.503 region:rollup2
AND THAT YOUR CLOSES AND WE
06:14:51.035 --> 06:14:54.505 region:rollup2
WANNA MAKE SURE THAT. LOCAL
06:14:52.503 --> 06:14:55.573 region:rollup2
JURISDICTIONS KNOW IN ADVANCE AT
06:14:54.505 --> 06:14:57.041 region:rollup2
THAT THEY WOULD BE ABLE TO DO
06:14:55.573 --> 06:14:58.910 region:rollup2
THAT ON AN ANNUAL BASIS VERSUS
06:14:57.041 --> 06:15:00.178 region:rollup2
HAVING IT BE SUBJECT ELEGANT
06:14:58.910 --> 06:15:01.312 region:rollup2
PROCREATION OR ANYTHING LIKE
06:15:00.178 --> 06:15:01.913 region:rollup2
THAT SO WE JUST.
06:15:01.312 --> 06:15:03.681 region:rollup2
I'M ASKED FOR THAT FLEXIBILITY
06:15:01.913 --> 06:15:05.249 region:rollup2
AS WELL.
06:15:03.681 --> 06:15:06.451 region:rollup2
OKAY WELL SKIES WORK IT OUT IF
06:15:05.249 --> 06:15:08.286 region:rollup2
TURNS OUT THERE'S SOME
06:15:06.451 --> 06:15:09.721 region:rollup2
LEGISLATIVE PEACEFUL FIGURE OUT
06:15:08.286 --> 06:15:12.423 region:rollup2
OUT TOO. ALRIGHT OF PUBLIC
06:15:09.721 --> 06:15:13.057 region:rollup2
COMMENT.
06:15:12.423 --> 06:15:14.559 region:rollup2
TIM GIVES THE AMERICAN CANCER
06:15:13.057 --> 06:15:16.494 region:rollup2
SOCIETY CANCER ACTION NETWORK
06:15:14.559 --> 06:15:19.097 region:rollup2
AND ALSO SPONSOR PROPOSITION
06:15:16.494 --> 06:15:20.231 region:rollup2
FIFTY SIX I WANTED TO ECHO THE.
06:15:19.097 --> 06:15:21.966 region:rollup2
QUESTION FLEXIBILITY ON HOW
06:15:20.231 --> 06:15:23.901 region:rollup2
THESE FUNDING THAT ABBAS THESE
06:15:21.966 --> 06:15:25.970 region:rollup2
FUNDS ARE SPENT SOME EXAMPLE
06:15:23.901 --> 06:15:26.471 region:rollup2
PROPOSITION NINETY NINE FUNDS
06:15:25.970 --> 06:15:27.739 region:rollup2
THAT CALIFORNIA TOBACCO
06:15:26.471 --> 06:15:28.973 region:rollup2
EDUCATION AND.
06:15:27.739 --> 06:15:30.708 region:rollup2
RESEARCH PROGRAMS THEY'VE THE
06:15:28.973 --> 06:15:32.210 region:rollup2
TWENTY FIVE YEAR HISTORY OF
06:15:30.708 --> 06:15:32.710 region:rollup2
MULTI YEAR SPENDING AUTHORITY
06:15:32.210 --> 06:15:33.544 region:rollup2
AND WITH THE PASSAGE OF
06:15:32.710 --> 06:15:35.146 region:rollup2
PROPOSITION FOR
06:15:33.544 --> 06:15:37.382 region:rollup2
THE SIX IT SEEMS AN EFFORT TO
06:15:35.146 --> 06:15:38.683 region:rollup2
CURTAIL THAT EFFORT WITHOUT.
06:15:37.382 --> 06:15:40.618 region:rollup2
ADEQUATE EXPLANATION WHY SO WE
06:15:38.683 --> 06:15:41.319 region:rollup2
JUST ENCOURAGE.
06:15:40.618 --> 06:15:43.454 region:rollup2
BOB CONTINUED.
06:15:41.319 --> 06:15:45.590 region:rollup2
.
06:15:43.454 --> 06:15:47.458 region:rollup2
CONVERSATION AND ENDS MAXIMUM
06:15:45.590 --> 06:15:48.092 region:rollup2
FLEXIBILITY SO WE CAN SPEND
06:15:47.458 --> 06:15:48.459 region:rollup2
THESE TOBACCO TAX FUNDS AS THEY
06:15:48.092 --> 06:15:49.394 region:rollup2
WERE INTENDED.
06:15:48.459 --> 06:15:52.330 region:rollup2
THANK YOU.
06:15:49.394 --> 06:15:52.964 region:rollup2
WELCOME.
06:15:52.330 --> 06:15:53.765 region:rollup2
RATHER THAN THE FATE IS A THE
06:15:52.964 --> 06:15:55.600 region:rollup2
AMERICAN LUNG ASSOCIATION IN
06:15:53.765 --> 06:15:56.968 region:rollup2
CALIFORNIA AND SUPPORTING THE
06:15:55.600 --> 06:15:58.669 region:rollup2
PROPOSAL ON AT GOING WHAT MY.
06:15:56.968 --> 06:16:00.471 region:rollup2
FRIEND FROM THE CANCER SOCIETY
06:15:58.669 --> 06:16:01.439 region:rollup2
SAID. I IT'S REALLY IMPORTANT
06:16:00.471 --> 06:16:02.940 region:rollup2
THAT THESE FUNDS HAVE THIS
06:16:01.439 --> 06:16:03.808 region:rollup2
FLEXIBILITY AT SOMETHING THAT
06:16:02.940 --> 06:16:05.309 region:rollup2
HAS BEEN BUILT INTO IT AND IN
06:16:03.808 --> 06:16:06.277 region:rollup2
FACT PROPOSITION FIFTY SIX
06:16:05.309 --> 06:16:07.512 region:rollup2
OUTLINED TO CONTINUE ITS
06:16:06.277 --> 06:16:09.280 region:rollup2
APPROPRIATION FOR THESE FUNDS
06:16:07.512 --> 06:16:10.982 region:rollup2
AND SO. I WE NEED TO MAKE SURE
06:16:09.280 --> 06:16:13.151 region:rollup2
THAT WE YOU KNOW BY BY THE WILL
06:16:10.982 --> 06:16:13.785 region:rollup2
OF THE VOTERS AND DO WHAT NEEDS
06:16:13.151 --> 06:16:14.585 region:rollup2
TO BE DONE SOMETHING CAL. THANK
06:16:13.785 --> 06:16:16.454 region:rollup2
YOU.
06:16:14.585 --> 06:16:17.288 region:rollup2
WELCOME. GOOD AFTERNOON COOL
06:16:16.454 --> 06:16:18.489 region:rollup2
CUTTING WITH THE AMERICAN HEART
06:16:17.288 --> 06:16:20.525 region:rollup2
ASSOCIATION AMERICAN STROKE
06:16:18.489 --> 06:16:21.626 region:rollup2
ASSOCIATION I'M ALSO WERE CO
06:16:20.525 --> 06:16:23.628 region:rollup2
SPONSORS OF PROPOSITION FIFTY
06:16:21.626 --> 06:16:24.962 region:rollup2
SIX A ECHO THE SENTIMENTS OF MY
06:16:23.628 --> 06:16:26.364 region:rollup2
COLLEAGUE FROM. CANCER CITING
06:16:24.962 --> 06:16:27.799 region:rollup2
AMONG WE SUPPORT THE STAKEHOLDER
06:16:26.364 --> 06:16:30.101 region:rollup2
PROPOSAL TO ALLOW FOR MAXIMUM
06:16:27.799 --> 06:16:30.735 region:rollup2
FLEXIBILITY IN HOW THESE FUNDS
06:16:30.101 --> 06:16:32.770 region:rollup2
ARE SPENT THANK YOU. THANK YOU.
06:16:30.735 --> 06:16:34.439 region:rollup2
WELCOME.
06:16:32.770 --> 06:16:34.839 region:rollup2
AFTERNOON KATIE ANDREW CHILDREN
06:16:34.439 --> 06:16:37.909 region:rollup2
NOW.
06:16:34.839 --> 06:16:39.177 region:rollup2
EYES ONE ECHO AS IS SENTIMENTS
06:16:37.909 --> 06:16:40.845 region:rollup2
OF THOSE WHO CAME BEFORE ME.
06:16:39.177 --> 06:16:42.346 region:rollup2
WE ARE ALSO IN STRONG SUPPORT
06:16:40.845 --> 06:16:44.482 region:rollup2
OF THIS PROPOSAL TO PROVIDE
06:16:42.346 --> 06:16:44.816 region:rollup2
LOCAL HEALTH JURISDICTIONS THE
06:16:44.482 --> 06:16:45.950 region:rollup2
FLEXIBILITY.
06:16:44.816 --> 06:16:48.019 region:rollup2
THANK YOU.
06:16:45.950 --> 06:16:49.020 region:rollup2
WELCOME.
06:16:48.019 --> 06:16:49.887 region:rollup2
AFTERNOON DOUG VICTOR CHRISTY
06:16:49.020 --> 06:16:51.322 region:rollup2
WITH CALIFORNIA HELPLESS
06:16:49.887 --> 06:16:52.857 region:rollup2
ADVOCATES REPRESENTING COMMUNITY
06:16:51.322 --> 06:16:54.258 region:rollup2
HEALTH CENTERS US SOMETIMES A
06:16:52.857 --> 06:16:56.360 region:rollup2
COMMITTEE HEALTH CENTERS ARE THE
06:16:54.258 --> 06:16:57.895 region:rollup2
ONLY PROVIDER IN TOWN. ALSO
06:16:56.360 --> 06:16:59.797 region:rollup2
HAVING THIS OF FLEXIBILITY WOULD
06:16:57.895 --> 06:17:00.965 region:rollup2
REALLY ALLOW US TO WORK WITH OUR
06:16:59.797 --> 06:17:02.867 region:rollup2
PROVIDERS TO I'M.
06:17:00.965 --> 06:17:04.635 region:rollup2
REALLY MEET THE NEEDS. OF THE
06:17:02.867 --> 06:17:06.304 region:rollup2
EVOLVING OUR.
06:17:04.635 --> 06:17:06.904 region:rollup2
MEET THE NEEDS OF PATIENTS IN
06:17:06.304 --> 06:17:07.772 region:rollup2
THE COMMUNITY SO THE GUITAR IN
06:17:06.904 --> 06:17:09.073 region:rollup2
SUPPORT.
06:17:07.772 --> 06:17:11.509 region:rollup2
OKAY THANK YOU.
06:17:09.073 --> 06:17:13.177 region:rollup2
RIGHT.
06:17:11.509 --> 06:17:15.480 region:rollup2
APPRECIATE THE PRESENTATION I DO
06:17:13.177 --> 06:17:15.980 region:rollup2
JUST BEFORE WE. MOVE ONTO THE
06:17:15.480 --> 06:17:17.715 region:rollup2
NEXT ITEM.
06:17:15.980 --> 06:17:18.449 region:rollup2
FROM YOUR WORLD DISEASE BURDEN
06:17:17.715 --> 06:17:20.485 region:rollup2
REPORT.
06:17:18.449 --> 06:17:22.253 region:rollup2
ONE THIRD OF CHILDREN HAVE
06:17:20.485 --> 06:17:23.387 region:rollup2
UNTREATED TOOTH DECAY.
06:17:22.253 --> 06:17:25.189 region:rollup2
FORTY FOUR PERCENT OF
06:17:23.387 --> 06:17:25.957 region:rollup2
BENEFICIARIES.
06:17:25.189 --> 06:17:27.258 region:rollup2
AND.
06:17:25.957 --> 06:17:28.693 region:rollup2
MEDIC CAO.
06:17:27.258 --> 06:17:30.127 region:rollup2
CABIN ROLE FOR LEASE NINETY
06:17:28.693 --> 06:17:30.628 region:rollup2
CONTINUOUS DAYS
06:17:30.127 --> 06:17:31.529 region:rollup2
ONLY FORTY FOUR PERCENT
06:17:30.628 --> 06:17:33.898 region:rollup2
RECEIVED.
06:17:31.529 --> 06:17:36.701 region:rollup2
AT LEAST ONE.
06:17:33.898 --> 06:17:38.936 region:rollup2
THAT SERVICE.
06:17:36.701 --> 06:17:41.139 region:rollup2
SO WE HAVE SOME WORK TO DO HERE.
06:17:38.936 --> 06:17:43.541 region:rollup2
THANK YOU. SO. WILL HOLD THIS
06:17:41.139 --> 06:17:44.575 region:rollup2
ITEM OPEN AND HOPEFULLY WE CAN
06:17:43.541 --> 06:17:47.211 region:rollup2
WORK SOMETHING OUT FOR.
06:17:44.575 --> 06:17:48.679 region:rollup2
ME REVISE.
06:17:47.211 --> 06:17:49.947 region:rollup2
SO THANKS SO MUCH PRESENTATION
06:17:48.679 --> 06:17:52.483 region:rollup2
OKAY.
06:17:49.947 --> 06:17:54.218 region:rollup2
I NEXT ISSUES ISSUE NUMBER FIVE.
06:17:52.483 --> 06:17:56.187 region:rollup2
PUBLIC BEACHES PUBLIC BEACH
06:17:54.218 --> 06:17:56.754 region:rollup2
INSPECTIONS FOR TEN MINUTES
06:17:56.187 --> 06:17:58.956 region:rollup2
INFLATION SP THIRTEEN NINETY
06:17:56.754 --> 06:18:01.492 region:rollup2
FIVE.
06:17:58.956 --> 06:18:03.194 region:rollup2
WELCOME BACK.
06:18:01.492 --> 06:18:03.828 region:rollup2
SO HAVE YOU INTRODUCE YOURSELF
06:18:03.194 --> 06:18:07.064 region:rollup2
FOR THE RECORD AGAIN IS FOR THE
06:18:03.828 --> 06:18:08.366 region:rollup2
SIDE.
06:18:07.064 --> 06:18:09.834 region:rollup2
THANK YOU VERY MUCH MR SHARE HIT
06:18:08.366 --> 06:18:11.235 region:rollup2
AFTERNOON MARK STAR W. DIRECTOR
06:18:09.834 --> 06:18:12.803 region:rollup2
FOR RONALD HEALTH IN THE FORM OF
06:18:11.235 --> 06:18:14.405 region:rollup2
PUBLIC HEALTH.
06:18:12.803 --> 06:18:15.473 region:rollup2
BUT THIS REQUEST IS TO ENABLE
06:18:14.405 --> 06:18:17.241 region:rollup2
THE DEPARTMENT OF PUBLIC HEALTH
06:18:15.473 --> 06:18:19.143 region:rollup2
A FINALIZED IMPLEMENTATION OF
06:18:17.241 --> 06:18:20.444 region:rollup2
MANDATED PER. PROVISIONS OF
06:18:19.143 --> 06:18:22.013 region:rollup2
SENATE BILL THIRTEEN NINETY FIVE
06:18:20.444 --> 06:18:23.447 region:rollup2
WHICH WAS CHAPTER IN TWENTY
06:18:22.013 --> 06:18:24.916 region:rollup2
FOURTEEN.
06:18:23.447 --> 06:18:26.784 region:rollup2
AND IT'S ABOUT THE APPROVAL OF
06:18:24.916 --> 06:18:28.686 region:rollup2
THE USE OF NEW RAPID TEST
06:18:26.784 --> 06:18:29.854 region:rollup2
METHODS FOR BEACH WATER TESTING.
06:18:28.686 --> 06:18:31.656 region:rollup2
YOUR AGENDA PACKET HAS NIXON
06:18:29.854 --> 06:18:33.391 region:rollup2
RIGHT OPPOSE PROPOSAL SOLVES
06:18:31.656 --> 06:18:35.293 region:rollup2
PROVIDE A VERY QUICK OVERVIEW.
06:18:33.391 --> 06:18:36.661 region:rollup2
THE CONTEXT HERE IS THAT LOCAL
06:18:35.293 --> 06:18:38.129 region:rollup2
DEPARTMENTS ARE RESPONSIBLE FOR
06:18:36.661 --> 06:18:39.497 region:rollup2
BEACH WATER SAFETY TESTING FOR
06:18:38.129 --> 06:18:41.299 region:rollup2
CONTAMINATION.
06:18:39.497 --> 06:18:42.733 region:rollup2
BACTERIAL CONTAMINATION FROM
06:18:41.299 --> 06:18:44.435 region:rollup2
OVER USE OR FROM NEARBY US
06:18:42.733 --> 06:18:45.503 region:rollup2
SOURCES.
06:18:44.435 --> 06:18:46.971 region:rollup2
AND THEY'RE ALSO RESPONSE FOR
06:18:45.503 --> 06:18:48.339 region:rollup2
POSTING OR CLOSING BEACHES AS
06:18:46.971 --> 06:18:49.840 region:rollup2
NECESSARY.
06:18:48.339 --> 06:18:50.775 region:rollup2
OUR ROLE THE STATE IS TO
06:18:49.840 --> 06:18:52.843 region:rollup2
DETERMINE THE TESTING METHODS
06:18:50.775 --> 06:18:53.945 region:rollup2
AND STANDARDS FOR THAT TESTING
06:18:52.843 --> 06:18:55.913 region:rollup2
AND THAT SPECIFIED IN
06:18:53.945 --> 06:18:57.648 region:rollup2
REGULATIONS.
06:18:55.913 --> 06:18:59.483 region:rollup2
THE CURRENT GOLD STANDARD IS
06:18:57.648 --> 06:19:00.952 region:rollup2
BACK TO LOGIC CULTURE.
06:18:59.483 --> 06:19:02.753 region:rollup2
REQUIRES ABOUT TWO DAYS OF TURN
06:19:00.952 --> 06:19:04.555 region:rollup2
AROUND TIME. AND THERE'S
06:19:02.753 --> 06:19:06.390 region:rollup2
POTENTIAL HEALTH OF IMPACTS OF
06:19:04.555 --> 06:19:06.991 region:rollup2
THAT BECAUSE YOU MAY HAVE A
06:19:06.390 --> 06:19:07.992 region:rollup2
BEACH IS CONTAMINATED BICU
06:19:06.991 --> 06:19:09.393 region:rollup2
DON'T ACTUALLY IDENTIFIED FOR
06:19:07.992 --> 06:19:11.195 region:rollup2
TWO DAYS.
06:19:09.393 --> 06:19:12.830 region:rollup2
THERE'S ALSO ECONOMIC IMPACTS IN
06:19:11.195 --> 06:19:14.465 region:rollup2
REOPENING BEACHES AND DELAYING
06:19:12.830 --> 06:19:15.800 region:rollup2
THAT ON THAT ARE IMPORTANT FOR
06:19:14.465 --> 06:19:18.402 region:rollup2
TOURISM.
06:19:15.800 --> 06:19:19.904 region:rollup2
SO THE NEW RAPID PCR TEST BECAME
06:19:18.402 --> 06:19:20.705 region:rollup2
AVAILABLE EARLIER THIS DECADE
06:19:19.904 --> 06:19:21.906 region:rollup2
AND.
06:19:20.705 --> 06:19:23.908 region:rollup2
THEY HAVE ABOUT A FOUR HOUR
06:19:21.906 --> 06:19:25.409 region:rollup2
TURNAROUND TIME.
06:19:23.908 --> 06:19:27.612 region:rollup2
YEAH SO S. B. THIRTEEN NINETY
06:19:25.409 --> 06:19:29.513 region:rollup2
FIVE CAME INTO PLAY AFTER THAT
06:19:27.612 --> 06:19:30.948 region:rollup2
WHICH REQUIRES US TO DEVELOP
06:19:29.513 --> 06:19:32.950 region:rollup2
INVALIDATE THE NEW TEST METHODS
06:19:30.948 --> 06:19:34.418 region:rollup2
AND THE COMPLEX PROCESS THEIR
06:19:32.950 --> 06:19:35.319 region:rollup2
SITE SPECIFIC.
06:19:34.418 --> 06:19:36.420 region:rollup2
TESTING THERE'S INTERFERING
06:19:35.319 --> 06:19:37.955 region:rollup2
SUBSTANCE IS A DIFFERENT
06:19:36.420 --> 06:19:38.456 region:rollup2
LOCATIONS THAT'S MUCH MORE
06:19:37.955 --> 06:19:39.757 region:rollup2
DIFFICULT EMPLOYMENT AND
06:19:38.456 --> 06:19:41.325 region:rollup2
CULTURE.
06:19:39.757 --> 06:19:41.993 region:rollup2
BUT TO DO SIDE BY SIDE
06:19:41.325 --> 06:19:43.728 region:rollup2
COMPARISON WITH THE CULTURE
06:19:41.993 --> 06:19:46.130 region:rollup2
TESTING. AND ULTIMATELY PREPARE
06:19:43.728 --> 06:19:47.665 region:rollup2
TESTING STANDARDS GUIDELINES DO
06:19:46.130 --> 06:19:50.301 region:rollup2
TRAININGS AND AND SO ON.
06:19:47.665 --> 06:19:51.836 region:rollup2
SO THE FIRST BUDGET PROPOSAL.
06:19:50.301 --> 06:19:53.838 region:rollup2
IN TWENTY FIFTEEN AND SIXTEEN
06:19:51.836 --> 06:19:55.873 region:rollup2
PROVIDED THREE YEARS RESOURCES
06:19:53.838 --> 06:19:58.342 region:rollup2
FOR ONLY THE INITIAL LAB WORK.
06:19:55.873 --> 06:19:59.910 region:rollup2
WHICH HAS OF BEEN US VERY
06:19:58.342 --> 06:20:01.612 region:rollup2
SUCCESSFUL AND THE PROGRESS IS
06:19:59.910 --> 06:20:02.513 region:rollup2
DESCRIBED IN YOUR AGENDA PACKET
06:20:01.612 --> 06:20:04.315 region:rollup2
INCLUDING OUR CLOSE
06:20:02.513 --> 06:20:05.349 region:rollup2
COLLABORATION WITH STAKEHOLDERS.
06:20:04.315 --> 06:20:07.685 region:rollup2
THIS PROPOSAL REQUEST THE
06:20:05.349 --> 06:20:09.020 region:rollup2
RESOURCES NEEDED TO COMPLETE THE
06:20:07.685 --> 06:20:10.688 region:rollup2
JOB BASICALLY THERE'S TWO TASKS
06:20:09.020 --> 06:20:12.189 region:rollup2
COMPLETE THE LAB WORK. AND IN
06:20:10.688 --> 06:20:14.058 region:rollup2
THE SECOND ONE IS TO THEN WRITE
06:20:12.189 --> 06:20:14.892 region:rollup2
THE REGULATIONS.
06:20:14.058 --> 06:20:17.228 region:rollup2
WE VERY TALK ABOUT REGULATIONS
06:20:14.892 --> 06:20:19.330 region:rollup2
ARE. A IN ORDER TO.
06:20:17.228 --> 06:20:21.265 region:rollup2
ALLOW LOCAL JURISDICTIONS TO BE
06:20:19.330 --> 06:20:22.733 region:rollup2
ABLE TO UTILIZE THIS TEST THIS
06:20:21.265 --> 06:20:23.734 region:rollup2
IS ALL NECESSARY BEFORE LOCAL
06:20:22.733 --> 06:20:25.870 region:rollup2
HEALTH DEPARTMENTS CAN USE THE
06:20:23.734 --> 06:20:29.674 region:rollup2
RAPID TESTS. FOR THEIR BEACH
06:20:25.870 --> 06:20:31.142 region:rollup2
MANAGEMENT DECISIONS.
06:20:29.674 --> 06:20:33.978 region:rollup2
THANK YOU SO WENDY ANTICIPATE
06:20:31.142 --> 06:20:35.579 region:rollup2
REGULATIONS BEING AVAILABLE FOR
06:20:33.978 --> 06:20:36.747 region:rollup2
OUR OUR BEACH COUNTIES TO BE
06:20:35.579 --> 06:20:38.115 region:rollup2
ABLE TO USE THIS.
06:20:36.747 --> 06:20:39.850 region:rollup2
THE ARE SCHEDULED FOR COMPLETION
06:20:38.115 --> 06:20:42.019 region:rollup2
IS FIVE YEARS.
06:20:39.850 --> 06:20:43.821 region:rollup2
FIVE MORE YEARS WE HAVE THROUGH
06:20:42.019 --> 06:20:45.256 region:rollup2
THROUGH THREE YEARS OF LAB OF
06:20:43.821 --> 06:20:47.024 region:rollup2
FINISHING LABOR AND THEN THERE'S
06:20:45.256 --> 06:20:48.392 region:rollup2
AN OVERLAP YEAR. THE THIRD YEAR
06:20:47.024 --> 06:20:49.794 region:rollup2
AND THEN AFTER THAT THERE'S TWO
06:20:48.392 --> 06:20:50.361 region:rollup2
MORE YEARS.
06:20:49.794 --> 06:20:52.096 region:rollup2
TO COMPLETE THE RATE VERY
06:20:50.361 --> 06:20:53.664 region:rollup2
PROCESS BUT ALSO THERE'S
06:20:52.096 --> 06:20:55.499 region:rollup2
GUIDELINES TECHNICAL ASSISTANCE
06:20:53.664 --> 06:20:57.201 region:rollup2
EDUCATIONAL WORKING TRAIN TO BE
06:20:55.499 --> 06:20:58.035 region:rollup2
PART OF THAT I'M KINDA JUST.
06:20:57.201 --> 06:20:59.704 region:rollup2
ARE TRYING TO SUMMARIZE THIS
06:20:58.035 --> 06:21:02.473 region:rollup2
QUICKLY FOR IT I APPRECIATE THAT
06:20:59.704 --> 06:21:03.908 region:rollup2
AND I DON'T I KNOW THIS CASE YOU
06:21:02.473 --> 06:21:05.609 region:rollup2
HAVE TO GATHER SOME DATA. YEAH
06:21:03.908 --> 06:21:07.845 region:rollup2
YOU'RE DOES FROM THE LAB WORK
06:21:05.609 --> 06:21:09.046 region:rollup2
AND SO FORTH.
06:21:07.845 --> 06:21:10.314 region:rollup2
JUST THINKING LIKE WE GOTTA FIND
06:21:09.046 --> 06:21:12.316 region:rollup2
A WAY TO MAKE WITH THESE THINGS
06:21:10.314 --> 06:21:13.884 region:rollup2
FASTER BUT ANYWAY. OKAY WELL
06:21:12.316 --> 06:21:15.553 region:rollup2
HOPEFULLY IN FIVE YEARS WE CAN
06:21:13.884 --> 06:21:16.721 region:rollup2
OPEN OUR BEACHES MORE QUICKLY
06:21:15.553 --> 06:21:19.156 region:rollup2
THAN ALRIGHT.
06:21:16.721 --> 06:21:20.958 region:rollup2
COMES FROM ELIO. NO FINANCE
06:21:19.156 --> 06:21:24.562 region:rollup2
BELT.
06:21:20.958 --> 06:21:25.996 region:rollup2
ANY BEACH COMMENTERS OUT THERE.
06:21:24.562 --> 06:21:27.865 region:rollup2
NO SO FOR THE NEXT FIVE YEARS
06:21:25.996 --> 06:21:29.934 region:rollup2
THESE CLOTHES FOR TWO DAYS YOU
06:21:27.865 --> 06:21:30.735 region:rollup2
KNOW WHY. IT'S WERE WAITING.
06:21:29.934 --> 06:21:32.837 region:rollup2
OKAY.
06:21:30.735 --> 06:21:34.171 region:rollup2
BOHO THIS ITEM OPEN THANKS MUCH
06:21:32.837 --> 06:21:37.408 region:rollup2
FOR YOUR PRESENTATION NOW IS THE
06:21:34.171 --> 06:21:39.110 region:rollup2
BY THIS. VERY PORTANT TRIES
06:21:37.408 --> 06:21:40.845 region:rollup2
DELUDE FOR ITSELF THANK YOU.
06:21:39.110 --> 06:21:43.547 region:rollup2
ALRIGHT ISSUE NUMBER SIX
06:21:40.845 --> 06:21:44.915 region:rollup2
OVERSIGHT. CALIFORNIA SAFE
06:21:43.547 --> 06:21:47.218 region:rollup2
COSMETICS FOR.
06:21:44.915 --> 06:21:49.253 region:rollup2
WE.
06:21:47.218 --> 06:21:51.655 region:rollup2
HAVE FUN A SOME STAKEHOLDERS TO
06:21:49.253 --> 06:21:53.090 region:rollup2
HAVE A PROPOSAL SO OKAY FEAR WE
06:21:51.655 --> 06:21:54.825 region:rollup2
CAN JUST MAKE LITTLE ROOM FOR
06:21:53.090 --> 06:21:57.228 region:rollup2
THEM ON THE SIDE THERE.
06:21:54.825 --> 06:21:59.363 region:rollup2
AT SEA.
06:21:57.228 --> 06:22:00.831 region:rollup2
SO WE HAVE.
06:21:59.363 --> 06:22:03.901 region:rollup2
TWO PRESENTERS I FLICK WITH TWO
06:22:00.831 --> 06:22:06.971 region:rollup2
CHAIRS OR GOOD THERE OKAY SO.
06:22:03.901 --> 06:22:07.838 region:rollup2
ALRIGHT. AND THE.
06:22:06.971 --> 06:22:11.142 region:rollup2
WE'LL DO IS WE'LL HAVE THAT PART
06:22:07.838 --> 06:22:12.443 region:rollup2
OF PRESENT AND AND IF THE UPDATE
06:22:11.142 --> 06:22:13.744 region:rollup2
AND THEN YOU CAN INTRODUCE
06:22:12.443 --> 06:22:15.446 region:rollup2
YOURSELVES AFTER WE.
06:22:13.744 --> 06:22:17.948 region:rollup2
IS THAT ALRIGHT SO.
06:22:15.446 --> 06:22:18.749 region:rollup2
I TRIED AGAIN.
06:22:17.948 --> 06:22:19.884 region:rollup2
GOOD AFTERNOON FOR THE RECORD
06:22:18.749 --> 06:22:21.018 region:rollup2
THIS IS MONEY COME AROUND THIS
06:22:19.884 --> 06:22:22.353 region:rollup2
DEPUTY DIRECTOR FOR THE CENTER
06:22:21.018 --> 06:22:23.754 region:rollup2
FOR CHRONIC DISEASE PREVENTION
06:22:22.353 --> 06:22:25.256 region:rollup2
AND HEALTH PROMOTION. THERE
06:22:23.754 --> 06:22:26.690 region:rollup2
SPECIFICALLY TO QUESTIONS FOR
06:22:25.256 --> 06:22:28.092 region:rollup2
ISSUE NUMBER SIX OF THE
06:22:26.690 --> 06:22:28.993 region:rollup2
DEPARTMENT WILL BE ANSWERING.
06:22:28.092 --> 06:22:30.561 region:rollup2
WILL START WITH THE FIRST ONE
06:22:28.993 --> 06:22:32.663 region:rollup2
WHICH IS REGARDING THE DATA
06:22:30.561 --> 06:22:33.264 region:rollup2
COLLECTION REPORTING ACTIVITIES
06:22:32.663 --> 06:22:34.832 region:rollup2
OF THE SIX COSMETICS PROGRAM.
06:22:33.264 --> 06:22:37.101 region:rollup2
ON.
06:22:34.832 --> 06:22:38.803 region:rollup2
OUR PROGRAM CURRENTLY MANAGES AN
06:22:37.101 --> 06:22:40.137 region:rollup2
ONLINE SYSTEMIC OR COMPANY
06:22:38.803 --> 06:22:41.539 region:rollup2
FREEPORT PRODUCTS CONTAINING
06:22:40.137 --> 06:22:44.442 region:rollup2
INGREDIENTS IDENTIFIED OR
06:22:41.539 --> 06:22:47.144 region:rollup2
SUSPECTED. OF HAVE COURT AND TO
06:22:44.442 --> 06:22:48.646 region:rollup2
BECOME A CARCINOGENS FOR FIVE
06:22:47.144 --> 06:22:50.614 region:rollup2
REPRODUCTIVE TOXINS.
06:22:48.646 --> 06:22:52.049 region:rollup2
IN ADDITION WE MANAGE A PUBLIC
06:22:50.614 --> 06:22:54.585 region:rollup2
DATABASE WHERE CUSTOMERS CAN
06:22:52.049 --> 06:22:55.085 region:rollup2
ACTUALLY LOOK UP THESE PRODUCTS
06:22:54.585 --> 06:22:56.754 region:rollup2
THAT THESE COMPANIES ARE
06:22:55.085 --> 06:22:58.889 region:rollup2
REPORTING. PART OF THE DATA
06:22:56.754 --> 06:23:00.658 region:rollup2
COLLECTION THAT WE DO AND TELLS.
06:22:58.889 --> 06:23:02.359 region:rollup2
YOU KNOW COLLECTING PRODUCT
06:23:00.658 --> 06:23:03.661 region:rollup2
NAME TYPE OF PRODUCT BRAND OR
06:23:02.359 --> 06:23:08.199 region:rollup2
COMPANY NAME.
06:23:03.661 --> 06:23:09.800 region:rollup2
AND REPORTABLE INGREDIENTS.
06:23:08.199 --> 06:23:11.969 region:rollup2
IN TERMS OF QUESTION NUMBER TO A
06:23:09.800 --> 06:23:13.938 region:rollup2
HOW WE VERIFY THAT THE COSMETIC
06:23:11.969 --> 06:23:16.440 region:rollup2
PRODUCTS OF THAT ARE BEING
06:23:13.938 --> 06:23:19.076 region:rollup2
REPORTED. CURRENTLY THE PROGRAM.
06:23:16.440 --> 06:23:21.145 region:rollup2
IT HAS A VERY DIFFICULT TIME
06:23:19.076 --> 06:23:22.713 region:rollup2
DETERMINE AT ANY POINT ATONE
06:23:21.145 --> 06:23:24.615 region:rollup2
NUMBER OF COMPANIES WHO HAVE TO
06:23:22.713 --> 06:23:26.817 region:rollup2
REPORT THE PRODUCTS.
06:23:24.615 --> 06:23:29.186 region:rollup2
IN WHO MEET THE CRITERIA PER.
06:23:26.817 --> 06:23:31.322 region:rollup2
SAFE COSMETICS ACT.
06:23:29.186 --> 06:23:33.157 region:rollup2
AND IT'S VERY DIFFICULT FOR US
06:23:31.322 --> 06:23:34.992 region:rollup2
BECAUSE IT IS ANY BALL BEING A
06:23:33.157 --> 06:23:36.460 region:rollup2
BUSINESS FORMULATIONS ARE
06:23:34.992 --> 06:23:38.329 region:rollup2
CONSTANT BEING DEVELOPED.
06:23:36.460 --> 06:23:40.030 region:rollup2
SO IT'S IT MAKES IT DIFFICULT
06:23:38.329 --> 06:23:41.665 region:rollup2
FOR US TO ACTUALLY KNOW AND
06:23:40.030 --> 06:23:43.100 region:rollup2
COMPANIES ARE WE DON'T HAVE ANY
06:23:41.665 --> 06:23:44.969 region:rollup2
EXISTING LIST OF ALL THE
06:23:43.100 --> 06:23:47.037 region:rollup2
COMPANY'S HAN. SINCE IT'S A
06:23:44.969 --> 06:23:47.872 region:rollup2
MOVING TARGET.
06:23:47.037 --> 06:23:50.808 region:rollup2
IN TERMS OF QUESTION NUMBER
06:23:47.872 --> 06:23:52.243 region:rollup2
THREE OF PRODUCTS THAT ARE NOT
06:23:50.808 --> 06:23:53.944 region:rollup2
BEING REPORTED TO THE PROGRAM
06:23:52.243 --> 06:23:54.778 region:rollup2
AND HOW WE GO ABOUT IT. I'M A
06:23:53.944 --> 06:23:56.447 region:rollup2
DIDN'T YOU KNOW THAT
06:23:54.778 --> 06:23:57.882 region:rollup2
CALIFORNIA'S OF COSMETICS ACT OF
06:23:56.447 --> 06:23:59.250 region:rollup2
TWO THOUSAND FIVE DID NOT
06:23:57.882 --> 06:24:00.918 region:rollup2
PROVIDE ANY SPECIFIC GUIDANCE ON
06:23:59.250 --> 06:24:03.053 region:rollup2
HOW THE.
06:24:00.918 --> 06:24:04.922 region:rollup2
WOULD IN FORCE REPORTING AND SO
06:24:03.053 --> 06:24:06.390 region:rollup2
THEREFORE WE HAVE YOU KNOWN
06:24:04.922 --> 06:24:09.126 region:rollup2
KNOWN FORSMAN CAPABILITIES.
06:24:06.390 --> 06:24:10.828 region:rollup2
HOWEVER I WHEN WE DO FIND OUT
06:24:09.126 --> 06:24:12.363 region:rollup2
THAT OF PRODUCT NEEDS TO BE
06:24:10.828 --> 06:24:14.198 region:rollup2
REPORTED WE DO FOLLOW UP WITH
06:24:12.363 --> 06:24:16.467 region:rollup2
THE COMPANY. AND WE SEND ALSO
06:24:14.198 --> 06:24:19.670 region:rollup2
LETTERS A ANNUALLY WE SING
06:24:16.467 --> 06:24:22.573 region:rollup2
MOUSE SOME.
06:24:19.670 --> 06:24:24.041 region:rollup2
OKAY THANK YOU UP COMES LA YOU.
06:24:22.573 --> 06:24:26.210 region:rollup2
KNOW FINANCE.
06:24:24.041 --> 06:24:28.546 region:rollup2
ALRIGHT.
06:24:26.210 --> 06:24:30.681 region:rollup2
OKAY SO ONE SANDERS A PROPOSAL
06:24:28.546 --> 06:24:31.916 region:rollup2
HERE SO HE CAN KEEP FOR TOGETHER
06:24:30.681 --> 06:24:34.985 region:rollup2
WITHIN THREE MINUTES.
06:24:31.916 --> 06:24:35.986 region:rollup2
APPRECIATED.
06:24:34.985 --> 06:24:37.254 region:rollup2
AND ACTUALLY POINT YOU'VE UP
06:24:35.986 --> 06:24:38.923 region:rollup2
BEFORE WE START THE CLOCK WANT
06:24:37.254 --> 06:24:40.357 region:rollup2
TO JUST INTRODUCE YOURSELVES
06:24:38.923 --> 06:24:41.992 region:rollup2
EACH FOR THE RECORD.
06:24:40.357 --> 06:24:43.093 region:rollup2
MY NAME IS DOCTOR JEAN CONNIE
06:24:41.992 --> 06:24:44.361 region:rollup2
AND I'M AN OBSTETRICIAN
06:24:43.093 --> 06:24:46.330 region:rollup2
GYNECOLOGIST FROM ROSA
06:24:44.361 --> 06:24:47.131 region:rollup2
CALIFORNIA HAS PRESIDENT OF THE
06:24:46.330 --> 06:24:47.531 region:rollup2
AMERICAN COLLEGE OF
06:24:47.131 --> 06:24:50.935 region:rollup2
OBSTETRICIANS. AND
06:24:47.531 --> 06:24:52.536 region:rollup2
GYNECOLOGISTS.
06:24:50.935 --> 06:24:53.504 region:rollup2
GOOD AFTERNOON MY NAME IS JANET
06:24:52.536 --> 06:24:55.739 region:rollup2
MIDDLEMAN I'M WITH A BREAST
06:24:53.504 --> 06:24:57.408 region:rollup2
CANCER PREVENTION PARTNERS AND
06:24:55.739 --> 06:24:59.910 region:rollup2
WE ARE ONE OF THE STAKEHOLDER. A
06:24:57.408 --> 06:25:01.445 region:rollup2
PROPOSAL PROPOSERS ALONG WITH
06:24:59.910 --> 06:25:03.347 region:rollup2
BLACK WOMAN FROM WELLNESS OKAY
06:25:01.445 --> 06:25:04.982 region:rollup2
NICE EVEN GO IN BEGIN THANK YOU
06:25:03.347 --> 06:25:06.483 region:rollup2
I SERVE ON THE EXECUTIVE BOARD
06:25:04.982 --> 06:25:07.418 region:rollup2
OF THE INTERNATIONAL FEDERATION
06:25:06.483 --> 06:25:08.852 region:rollup2
OF OBSTETRICIANS.
06:25:07.418 --> 06:25:10.821 region:rollup2
AND GYNECOLOGISTS AND LEAD A
06:25:08.852 --> 06:25:12.289 region:rollup2
GLOBAL TASK FORCE AND HOW THE
06:25:10.821 --> 06:25:14.758 region:rollup2
ENVIRONMENT IMPACTS ARE HOOKED.
06:25:12.289 --> 06:25:16.794 region:rollup2
SORRY. AND A CUT IS THE LEADING
06:25:14.758 --> 06:25:18.429 region:rollup2
I AM PROVIDER FOR WOMEN'S HEALTH
06:25:16.794 --> 06:25:19.964 region:rollup2
CARE AROUND THE UNITED STATES
06:25:18.429 --> 06:25:21.765 region:rollup2
WERE MEMBERSHIP ORGANIZATION
06:25:19.964 --> 06:25:23.334 region:rollup2
FIFTY EIGHT THOUSAND WOMEN A
06:25:21.765 --> 06:25:25.002 region:rollup2
FIFTY THOUSAND POSITIONS. AND
06:25:23.334 --> 06:25:27.404 region:rollup2
THE WOMEN WE SERVE ACROSS UNITED
06:25:25.002 --> 06:25:29.540 region:rollup2
STATES FIVE THOUSAND POSITIONS
06:25:27.404 --> 06:25:30.307 region:rollup2
HERE IN CALIFORNIA.
06:25:29.540 --> 06:25:32.009 region:rollup2
I'M GRATEFUL FOR THIS
06:25:30.307 --> 06:25:33.677 region:rollup2
OPPORTUNITY TO SPEAK TO THE
06:25:32.009 --> 06:25:35.212 region:rollup2
SUBCOMMITTEE. AND TO
06:25:33.677 --> 06:25:37.848 region:rollup2
CONGRATULATE OUR LEGISLATIVE
06:25:35.212 --> 06:25:39.483 region:rollup2
BODY AND A VERY SUCCESSFUL
06:25:37.848 --> 06:25:41.218 region:rollup2
EXISTING CALIFORNIA'S SAFE
06:25:39.483 --> 06:25:43.854 region:rollup2
COSMETICS PROGRAM.
06:25:41.218 --> 06:25:45.990 region:rollup2
WE ARE PROPOSING A FEE BASED.
06:25:43.854 --> 06:25:47.725 region:rollup2
FUNDING INCREASE TO SUPPORT THAT
06:25:45.990 --> 06:25:50.060 region:rollup2
EXISTING PROGRAM SO WE'RE NOT
06:25:47.725 --> 06:25:51.428 region:rollup2
QUESTIONING THE EXISTENCE WE DO
06:25:50.060 --> 06:25:52.730 region:rollup2
APPRECIATE HOW DIFFICULT IT IS.
06:25:51.428 --> 06:25:54.064 region:rollup2
ADAM WITH WHAT YOU'VE OUTLINED
06:25:52.730 --> 06:25:55.966 region:rollup2
TODAY.
06:25:54.064 --> 06:25:57.301 region:rollup2
FIVE YEARS AGO A COG AND
06:25:55.966 --> 06:25:58.636 region:rollup2
PRESENTED A MAJOR COMMITTEE
06:25:57.301 --> 06:26:00.304 region:rollup2
OPINION.
06:25:58.636 --> 06:26:03.240 region:rollup2
AND REAFFIRMED IT THIS YEAR THAT
06:26:00.304 --> 06:26:04.808 region:rollup2
THE ENVIRONMENTAL IMPACTS OF
06:26:03.240 --> 06:26:06.143 region:rollup2
TOXIC CHEMICALS CAN IMPACT OUR
06:26:04.808 --> 06:26:07.111 region:rollup2
HEALTH WHETHER WE'RE TALKING
06:26:06.143 --> 06:26:09.013 region:rollup2
ABOUT THE HEALTH OF WOMEN OR THE
06:26:07.111 --> 06:26:11.782 region:rollup2
FETUS.
06:26:09.013 --> 06:26:13.617 region:rollup2
AND THE GO IN THREE YEARS AGO
06:26:11.782 --> 06:26:15.019 region:rollup2
ISSUED A SIMILAR OPINION TO
06:26:13.617 --> 06:26:17.821 region:rollup2
SUMMARIZE SOME OF THE IMPORTANT
06:26:15.019 --> 06:26:19.456 region:rollup2
POINTS THEIR. NUMBER ONE. WE
06:26:17.821 --> 06:26:20.524 region:rollup2
RECOGNIZE THAT THE IMPORTANCE OF
06:26:19.456 --> 06:26:21.525 region:rollup2
REDUCING AND PREVENTING
06:26:20.524 --> 06:26:23.627 region:rollup2
EXPOSURES
06:26:21.525 --> 06:26:26.730 region:rollup2
TO TOXIC CHEMICALS IS A CRITICAL
06:26:23.627 --> 06:26:27.297 region:rollup2
AREA FOR PRACTICING CLINICIANS.
06:26:26.730 --> 06:26:28.499 region:rollup2
AND ALL THE PATIENTS THAT WE
06:26:27.297 --> 06:26:30.701 region:rollup2
SERVE.
06:26:28.499 --> 06:26:32.736 region:rollup2
NUMBER TWO PREGNANCIES A
06:26:30.701 --> 06:26:34.672 region:rollup2
PARTICULARLY VULNERABLE TIME.
06:26:32.736 --> 06:26:37.174 region:rollup2
FOR WOMEN BECAUSE THE CHEMICALS
06:26:34.672 --> 06:26:38.976 region:rollup2
THAT THEY ARE EXPOSED TO CAN BE
06:26:37.174 --> 06:26:41.445 region:rollup2
CUMULATIVE CAN BE ADDITIVE. AND
06:26:38.976 --> 06:26:43.147 region:rollup2
THE TIMING OF THE EXPOSURE CAN
06:26:41.445 --> 06:26:44.648 region:rollup2
IMPACT THE EFFECT ON THE FETUS.
06:26:43.147 --> 06:26:47.051 region:rollup2
THE PREGNANCY IS A PARTICULARLY
06:26:44.648 --> 06:26:49.153 region:rollup2
VULNERABLE PERIOD. AND THIRD
06:26:47.051 --> 06:26:51.588 region:rollup2
UNDERSERVED WOMEN ARE ESPECIALLY
06:26:49.153 --> 06:26:53.323 region:rollup2
VULNERABLE BECAUSE THEY HAVE AN
06:26:51.588 --> 06:26:56.060 region:rollup2
EXPOSURE TO HIGHER POTENTIAL
06:26:53.323 --> 06:26:58.228 region:rollup2
TOXICS SO THOSE ARE THREE
06:26:56.060 --> 06:27:00.030 region:rollup2
UNDERLYING AREAS OF CONCERN.
06:26:58.228 --> 06:27:01.698 region:rollup2
AS A PHYSICIAN I APPRECIATE THE
06:27:00.030 --> 06:27:03.534 region:rollup2
FORESIGHT OF OUR LEGISLATIVE
06:27:01.698 --> 06:27:04.768 region:rollup2
BODY THAT LED TO THE CALIFORNIA
06:27:03.534 --> 06:27:06.637 region:rollup2
SAFE COSMETICS
06:27:04.768 --> 06:27:08.338 region:rollup2
PROGRAM IT IS AN IMPORTANT TOOL
06:27:06.637 --> 06:27:10.107 region:rollup2
FOR PHYSICIANS.
06:27:08.338 --> 06:27:11.275 region:rollup2
CONSUMERS AND WORKERS.
06:27:10.107 --> 06:27:12.509 region:rollup2
WITH THE INFORMATION THAT THEY
06:27:11.275 --> 06:27:14.011 region:rollup2
NEED TO AVOID EXPOSURE TO
06:27:12.509 --> 06:27:16.146 region:rollup2
POTENTIAL CARCINOGENS
06:27:14.011 --> 06:27:17.314 region:rollup2
REPRODUCTIVE TOXIC.
06:27:16.146 --> 06:27:20.250 region:rollup2
WE ALSO REALIZE THE CONSUMERS
06:27:17.314 --> 06:27:21.852 region:rollup2
WORKERS HAVE A RIGHT TO KNOW.
06:27:20.250 --> 06:27:23.487 region:rollup2
POSITIONS HAVE A NEED TO KNOW.
06:27:21.852 --> 06:27:26.156 region:rollup2
IF WE'RE GOING TO PROVIDE THE
06:27:23.487 --> 06:27:27.825 region:rollup2
RIGHT GUIDANCE FOR OUR PATIENTS.
06:27:26.156 --> 06:27:29.293 region:rollup2
THIRTY SEVEN YEARS AGO I HAD MY
06:27:27.825 --> 06:27:31.195 region:rollup2
FIRST CHILD AND I REMEMBER
06:27:29.293 --> 06:27:32.730 region:rollup2
ASKING MY POSITION ABOUT A CREAM
06:27:31.195 --> 06:27:34.231 region:rollup2
THAT I USED AND HE SAID FOR
06:27:32.730 --> 06:27:35.365 region:rollup2
GOD'S SAKE YOU'RE NOT EATING UP
06:27:34.231 --> 06:27:36.533 region:rollup2
WHY ARE YOU WORRIED.
06:27:35.365 --> 06:27:38.035 region:rollup2
THAT'S NOT HOW WE SHOULD RESPOND
06:27:36.533 --> 06:27:39.770 region:rollup2
TODAY.
06:27:38.035 --> 06:27:41.071 region:rollup2
THIS IS A VERY SIMPLE PROPOSAL
06:27:39.770 --> 06:27:43.574 region:rollup2
THAT CREATES A FEE BASED
06:27:41.071 --> 06:27:45.342 region:rollup2
STRUCTURE TO PROVIDE ONGOING.
06:27:43.574 --> 06:27:47.144 region:rollup2
AND FUNDING FOR IMPORTANT
06:27:45.342 --> 06:27:48.946 region:rollup2
PROGRAM THAT HELPS GUIDE OUR
06:27:47.144 --> 06:27:53.016 region:rollup2
PATIENTS AND PHYSICIANS THANK
06:27:48.946 --> 06:27:54.251 region:rollup2
YOU.
06:27:53.016 --> 06:27:56.053 region:rollup2
I'M ACTUALLY HERE TODAY GOD JUST
06:27:54.251 --> 06:27:57.254 region:rollup2
TO TO RESPOND TO QUESTIONS THAT
06:27:56.053 --> 06:27:59.656 region:rollup2
YOU MIGHT HAVE I KNOW HOW LONG
06:27:57.254 --> 06:28:00.257 region:rollup2
THAT THEY HEARINGS GONE ALREADY
06:27:59.656 --> 06:28:02.392 region:rollup2
SO. I'LL.
06:28:00.257 --> 06:28:04.695 region:rollup2
SKIP ANY ADDITIONAL COMMENTS AT
06:28:02.392 --> 06:28:05.496 region:rollup2
THIS TIME. AND EXACTLY THREE
06:28:04.695 --> 06:28:06.797 region:rollup2
MINUTES MAKING.
06:28:05.496 --> 06:28:09.166 region:rollup2
PERFECT.
06:28:06.797 --> 06:28:10.901 region:rollup2
OF.
06:28:09.166 --> 06:28:12.803 region:rollup2
SO JUST TO CLARIFY THE. TO
06:28:10.901 --> 06:28:14.171 region:rollup2
YOU'RE. A FEE FOR EACH PRIDE HOW
06:28:12.803 --> 06:28:15.739 region:rollup2
MUCH
06:28:14.171 --> 06:28:17.641 region:rollup2
REVENUE EXPECTING TO RAISE WITH
06:28:15.739 --> 06:28:19.143 region:rollup2
THE CITY.
06:28:17.641 --> 06:28:20.744 region:rollup2
WELL IN THE LAST ROUND OF
06:28:19.143 --> 06:28:22.579 region:rollup2
REPORTING THAT WAS CONDUCTED BY
06:28:20.744 --> 06:28:24.047 region:rollup2
THE THE SAFE COSMETICS PROGRAM
06:28:22.579 --> 06:28:25.849 region:rollup2
SIXTY FIVE THOUSAND PRODUCTS
06:28:24.047 --> 06:28:26.917 region:rollup2
WERE REPORTED TO THE PROGRAM.
06:28:25.849 --> 06:28:28.652 region:rollup2
BETWEEN TWO THOUSAND AND NINE
06:28:26.917 --> 06:28:30.387 region:rollup2
AND TWO THOUSAND AND FIFTEEN SO
06:28:28.652 --> 06:28:30.554 region:rollup2
WE USE THAT NUMBER.
06:28:30.387 --> 06:28:31.655 region:rollup2
TO.
06:28:30.554 --> 06:28:32.956 region:rollup2
IT TO COME UP WITH A
06:28:31.655 --> 06:28:35.192 region:rollup2
RECOMMENDED FEE OF THIRTY
06:28:32.956 --> 06:28:36.426 region:rollup2
DOLLARS PER REPORTABLE PRODUCT
06:28:35.192 --> 06:28:37.995 region:rollup2
WHICH WOULD GENERATE ABOUT ONE
06:28:36.426 --> 06:28:40.097 region:rollup2
POINT FIVE MILLION DOLLARS AND
06:28:37.995 --> 06:28:42.132 region:rollup2
AN ADDITIONAL REVENUE.
06:28:40.097 --> 06:28:44.101 region:rollup2
AND DOES.
06:28:42.132 --> 06:28:46.670 region:rollup2
YOUR CONCERN IS THAT THERE ISN'T
06:28:44.101 --> 06:28:48.772 region:rollup2
SUFFICIENT STAFFING CURRENTLY TO
06:28:46.670 --> 06:28:50.607 region:rollup2
IMPLEMENT THE CURRENT LAW WILL
06:28:48.772 --> 06:28:52.743 region:rollup2
ARE OUR BIGGEST CONCERN I HAVE
06:28:50.607 --> 06:28:54.144 region:rollup2
IS THAT THE PROGRAM HAS BEEN
06:28:52.743 --> 06:28:55.746 region:rollup2
CHRONICALLY UNDERFUNDED.
06:28:54.144 --> 06:28:57.047 region:rollup2
AND THAT'S NO ONE'S FAULT THERE
06:28:55.746 --> 06:28:59.716 region:rollup2
ARE SO MANY COMPETING PRIORITIES
06:28:57.047 --> 06:29:01.051 region:rollup2
FACING THAT.
06:28:59.716 --> 06:29:02.686 region:rollup2
BUT SINCE ITS INCEPTION THE
06:29:01.051 --> 06:29:05.122 region:rollup2
PROGRAM HAS BEEN CUT TWENTY FIVE
06:29:02.686 --> 06:29:06.323 region:rollup2
PERCENT IN FUNDING IT NOW HAS A
06:29:05.122 --> 06:29:07.591 region:rollup2
BUDGET OF ABOUT THREE HUNDRED
06:29:06.323 --> 06:29:09.760 region:rollup2
SEVENTY THOUSAND DOLLARS IT'S
06:29:07.591 --> 06:29:11.695 region:rollup2
ONLY ABLE TO EMPLOYEE TO STAFF.
06:29:09.760 --> 06:29:12.896 region:rollup2
SO WITH ADDITIONAL FUNDING
06:29:11.695 --> 06:29:14.832 region:rollup2
THOUGH PROGRAM WOULD BE ABLE TO
06:29:12.896 --> 06:29:17.067 region:rollup2
HIRE ADDITIONAL STAFF AS WELL AS
06:29:14.832 --> 06:29:19.903 region:rollup2
FULLY COMPLY THE LAW BY HIRING
06:29:17.067 --> 06:29:20.470 region:rollup2
AN ENFORCEMENT OFFICER.
06:29:19.903 --> 06:29:23.073 region:rollup2
ANY COMMENTS FROM THE PUBLIC
06:29:20.470 --> 06:29:24.841 region:rollup2
BECAUSE.
06:29:23.073 --> 06:29:27.878 region:rollup2
NO NOT CURRENTLY THINKING OKAY
06:29:24.841 --> 06:29:29.146 region:rollup2
LA JOH DOESN'T FINANCE.
06:29:27.878 --> 06:29:30.314 region:rollup2
YES OTHER STAKEHOLDERS HAVE
06:29:29.146 --> 06:29:31.281 region:rollup2
REACHED OUT TO US IN AT THIS
06:29:30.314 --> 06:29:33.250 region:rollup2
TIME ARE STILL ASSESSING THE
06:29:31.281 --> 06:29:33.784 region:rollup2
PROPOSAL WE DON'T OF A POSITION
06:29:33.250 --> 06:29:34.051 region:rollup2
OR HAVE IT RIGHT TECHNICAL
06:29:33.784 --> 06:29:35.953 region:rollup2
SUPPORT.
06:29:34.051 --> 06:29:36.453 region:rollup2
OKAY.
06:29:35.953 --> 06:29:40.157 region:rollup2
AND I THINK WE'RE PUBLIC
06:29:36.453 --> 06:29:41.959 region:rollup2
COMMENT.
06:29:40.157 --> 06:29:43.093 region:rollup2
WELCOME.
06:29:41.959 --> 06:29:45.095 region:rollup2
GOOD AFTERNOON MISTER CHAIR
06:29:43.093 --> 06:29:46.396 region:rollup2
CORBULO SOME HALF OF BEST CANCER
06:29:45.095 --> 06:29:48.098 region:rollup2
PREVENTION PARTNERS.
06:29:46.396 --> 06:29:48.899 region:rollup2
S. CANCER ACTION IN.
06:29:48.098 --> 06:29:50.434 region:rollup2
AND KEEP ABREAST IN SUPPORT.
06:29:48.899 --> 06:29:51.768 region:rollup2
OKAY
06:29:50.434 --> 06:29:53.737 region:rollup2
THANK YOU WELCOME.
06:29:51.768 --> 06:29:55.472 region:rollup2
WELCOME.
06:29:53.737 --> 06:29:56.740 region:rollup2
WHEN SPENCER ON BEHALF OF THE
06:29:55.472 --> 06:29:57.574 region:rollup2
AMERICAN COLLEGE OBSTETRICIANS
06:29:56.740 --> 06:29:59.343 region:rollup2
AND GYNECOLOGISTS THE
06:29:57.574 --> 06:30:01.111 region:rollup2
ASSOCIATION SUPPORT THE STICKERS
06:29:59.343 --> 06:30:02.946 region:rollup2
PROPOSAL THANK YOU. THANK YOU.
06:30:01.111 --> 06:30:03.847 region:rollup2
WELCOME.
06:30:02.946 --> 06:30:04.848 region:rollup2
GOOD AFTERNOON MAYOR DALEY ON
06:30:03.847 --> 06:30:05.882 region:rollup2
BEHALF OF THAT PERSONAL CARE
06:30:04.848 --> 06:30:07.818 region:rollup2
PRODUCTS COUNCIL.
06:30:05.882 --> 06:30:09.753 region:rollup2
.
06:30:07.818 --> 06:30:11.221 region:rollup2
I WANNA WE OPPOSE THE THE THIS
06:30:09.753 --> 06:30:12.789 region:rollup2
BUDGET REQUESTS AND I WANNA SAY
06:30:11.221 --> 06:30:14.725 region:rollup2
AT THE OUTSET THAT.
06:30:12.789 --> 06:30:16.727 region:rollup2
ON BEHALF OF THE COSMETICS
06:30:14.725 --> 06:30:18.228 region:rollup2
INDUSTRY WE OBVIOUSLY CARE ABOUT
06:30:16.727 --> 06:30:19.696 region:rollup2
THE SAFETY OF CONSUMERS.
06:30:18.228 --> 06:30:21.164 region:rollup2
AND SAFETY IS A PRIORITY FOR
06:30:19.696 --> 06:30:22.132 region:rollup2
INDUSTRY OTHERWISE OUR BRANDS OF
06:30:21.164 --> 06:30:24.334 region:rollup2
BE EXTREMELY COMPROMISE.
06:30:22.132 --> 06:30:26.370 region:rollup2
I'M.
06:30:24.334 --> 06:30:28.405 region:rollup2
WE ARE OPPOSE WE WERE OPPOSED TO
06:30:26.370 --> 06:30:29.907 region:rollup2
SB FORTY FOUR THAN THAT CREATED
06:30:28.405 --> 06:30:32.209 region:rollup2
THIS DATABASE BACK THEN AND WE
06:30:29.907 --> 06:30:33.677 region:rollup2
ARE OPPOSED TO. THE EXPANSION OF
06:30:32.209 --> 06:30:35.078 region:rollup2
THE DATABASE TODAY.
06:30:33.677 --> 06:30:37.481 region:rollup2
BASED ON THIS FEE BASED
06:30:35.078 --> 06:30:38.649 region:rollup2
APPROACH TO FIND AND EXPAND THIS
06:30:37.481 --> 06:30:41.051 region:rollup2
PROGRAM.
06:30:38.649 --> 06:30:42.886 region:rollup2
IT'S RATHER BAFFLING THAT WE
06:30:41.051 --> 06:30:44.221 region:rollup2
HAVE A STATE FUNDED AND STATE
06:30:42.886 --> 06:30:45.455 region:rollup2
RUN PROGRAM THAT PROVIDES
06:30:44.221 --> 06:30:47.457 region:rollup2
INFORMATION THAT'S READILY
06:30:45.455 --> 06:30:49.459 region:rollup2
AVAILABLE ON THE PRODUCT LABEL.
06:30:47.457 --> 06:30:51.094 region:rollup2
IT WAS ASKED AT THE ASSEMBLY
06:30:49.459 --> 06:30:52.829 region:rollup2
HEARING WHETHER THERE WOULD BE
06:30:51.094 --> 06:30:54.031 region:rollup2
ANY DIFFERENT INFORMATION THAT
06:30:52.829 --> 06:30:55.832 region:rollup2
WOULD BE FOUND ON THIS DATABASE
06:30:54.031 --> 06:30:57.934 region:rollup2
THAT COULDN'T BE FOUND ON THE
06:30:55.832 --> 06:30:59.970 region:rollup2
PRODUCT LABEL AND THE ANSWER IS
06:30:57.934 --> 06:31:01.271 region:rollup2
NO NOTS THE REALITY.
06:30:59.970 --> 06:31:02.806 region:rollup2
WE ARE NOT HERE ASKING FOR THE
06:31:01.271 --> 06:31:04.908 region:rollup2
ELIMINATION OF THE PROGRAM BUT
06:31:02.806 --> 06:31:06.877 region:rollup2
WE ARE VERY MUCH OPPOSED TO THE
06:31:04.908 --> 06:31:08.545 region:rollup2
EXPANSION OF THIS PROGRAM ON THE
06:31:06.877 --> 06:31:09.880 region:rollup2
BACKS OF MANUFACTURES.
06:31:08.545 --> 06:31:11.148 region:rollup2
THE REALITY IS THAT THE INDUSTRY
06:31:09.880 --> 06:31:14.051 region:rollup2
IS COME A REALLY LONG WAY WE
06:31:11.148 --> 06:31:15.485 region:rollup2
HAVE EMBRACED TRANSPARENCY IN
06:31:14.051 --> 06:31:17.321 region:rollup2
MANY WAYS LIKE I SAID WE LIST
06:31:15.485 --> 06:31:18.956 region:rollup2
ARE INGREDIENTS HONOR LABELS
06:31:17.321 --> 06:31:20.457 region:rollup2
THOSE OF THE PRODUCTS THAT ARE
06:31:18.956 --> 06:31:21.925 region:rollup2
AVAILABLE DIRECTLY TO CONSUMERS.
06:31:20.457 --> 06:31:23.160 region:rollup2
AND LAST YEAR WE DID SOMETHING
06:31:21.925 --> 06:31:24.861 region:rollup2
THAT WAS RATHER UNPRECEDENTED
06:31:23.160 --> 06:31:26.863 region:rollup2
WHERE WE EMBRACED
06:31:24.861 --> 06:31:28.565 region:rollup2
A TRANSPARENCY MEASURE TO
06:31:26.863 --> 06:31:31.401 region:rollup2
PROVIDE INGREDIENT DISCLOSURE
06:31:28.565 --> 06:31:32.769 region:rollup2
FOR. PROFESSIONAL COSMETICS AND
06:31:31.401 --> 06:31:34.371 region:rollup2
WE UNDERSTAND THAT BACKING TWO
06:31:32.769 --> 06:31:36.707 region:rollup2
THOUSAND FIVE MINUTES BEFORE HE
06:31:34.371 --> 06:31:37.941 region:rollup2
FOUR WAS ENACTED. THE THE ONE OF
06:31:36.707 --> 06:31:40.143 region:rollup2
THE MAJOR COMPONENTS OF THE BILL
06:31:37.941 --> 06:31:42.412 region:rollup2
WAS TO PROVIDE SAFETY AND
06:31:40.143 --> 06:31:44.081 region:rollup2
INFORMATION TO SALON WORKERS AND
06:31:42.412 --> 06:31:46.083 region:rollup2
SO THERE WAS A BILL LAST YEAR A.
06:31:44.081 --> 06:31:47.651 region:rollup2
B. FIFTEEN SEVENTY FIVE KALRA.
06:31:46.083 --> 06:31:49.119 region:rollup2
THAT CALLED FOR IN GREETING
06:31:47.651 --> 06:31:51.154 region:rollup2
DISCLOSURE OF THOSE CATEGORIES
06:31:49.119 --> 06:31:53.023 region:rollup2
OF PRODUCTS WE CAME WE SUPPORTED
06:31:51.154 --> 06:31:54.358 region:rollup2
THAT BILL WE REMAIN COMMITTED TO
06:31:53.023 --> 06:31:55.592 region:rollup2
SUPPORTING AGAIN THIS YEAR.
06:31:54.358 --> 06:31:57.027 region:rollup2
THE STATE HAS ALSO COME A LONG
06:31:55.592 --> 06:31:58.462 region:rollup2
WAY WE'VE ENACTED A NUMBER OF
06:31:57.027 --> 06:32:00.063 region:rollup2
PROGRAMS TO REGULATE THESE
06:31:58.462 --> 06:32:01.398 region:rollup2
PRODUCTS.
06:32:00.063 --> 06:32:01.932 region:rollup2
AND I KNOW THIS IS BEEN A
06:32:01.398 --> 06:32:03.200 region:rollup2
REALLY LONG HEARING MISTER
06:32:01.932 --> 06:32:05.102 region:rollup2
CHAIR.
06:32:03.200 --> 06:32:06.470 region:rollup2
SO I WOULD JUST KEEP IT BRIEFLY
06:32:05.102 --> 06:32:08.038 region:rollup2
WE'VE ENACTED GREEN CHEMISTRY
06:32:06.470 --> 06:32:09.840 region:rollup2
BACK IN TWO THOUSAND EIGHTEEN
06:32:08.038 --> 06:32:11.174 region:rollup2
EXTENSIVE REGULATORY AUTHORITY
06:32:09.840 --> 06:32:11.708 region:rollup2
THEY'VE NAMED OUR PRODUCTS AS
06:32:11.174 --> 06:32:13.043 region:rollup2
PART OF THE TWO THOUSAND
06:32:11.708 --> 06:32:14.578 region:rollup2
EIGHTEEN TWO THOUSAND TWENTY
06:32:13.043 --> 06:32:16.380 region:rollup2
WORK PLANS THEY WILL BE LOOKING
06:32:14.578 --> 06:32:18.115 region:rollup2
AT. OUR PRODUCTS THEY WILL HAVE
06:32:16.380 --> 06:32:19.716 region:rollup2
REGULATORY AUTHORITY TO MANDATE
06:32:18.115 --> 06:32:22.586 region:rollup2
SAFER FORMULATIONS THAT AS A
06:32:19.716 --> 06:32:23.820 region:rollup2
MEANS TO AN END. NOT A DATABASE
06:32:22.586 --> 06:32:25.389 region:rollup2
THAT REPLICATES WHAT YOU CAN
06:32:23.820 --> 06:32:26.423 region:rollup2
ALREADY FIND ON PRODUCTS FOR
06:32:25.389 --> 06:32:27.557 region:rollup2
THOSE REASONS.
06:32:26.423 --> 06:32:29.092 region:rollup2
WE OPPOSE.
06:32:27.557 --> 06:32:30.727 region:rollup2
OKAY CAN I GIVE YOU SOME EXTRA
06:32:29.092 --> 06:32:32.262 region:rollup2
TIME AND FAIRNESS
06:32:30.727 --> 06:32:33.563 region:rollup2
THROUGH SINCE THE PRISONERS HAD
06:32:32.262 --> 06:32:35.232 region:rollup2
CHANCE TO GIVE A.
06:32:33.563 --> 06:32:36.733 region:rollup2
PRESENTATIONS SO BUT IF WE CAN
06:32:35.232 --> 06:32:37.801 region:rollup2
ASK EVERYONE ELSE TO KEEP TO A
06:32:36.733 --> 06:32:39.369 region:rollup2
MINUTE.
06:32:37.801 --> 06:32:40.704 region:rollup2
IF YOU MISTER SIERRA DAWN KEPT
06:32:39.369 --> 06:32:41.438 region:rollup2
HERE ON THE Q. CAPTAIN
06:32:40.704 --> 06:32:42.773 region:rollup2
ASSOCIATES ON BEHALF THE
06:32:41.438 --> 06:32:44.608 region:rollup2
CALIFORNIA MANUFACTURERS AND
06:32:42.773 --> 06:32:46.042 region:rollup2
TECHNOLOGY ASSOCIATION ALSO
06:32:44.608 --> 06:32:47.711 region:rollup2
REGRETTABLY OPPOSED
06:32:46.042 --> 06:32:49.646 region:rollup2
PUZZLE. ADEN WOULD ECHO THE
06:32:47.711 --> 06:32:51.214 region:rollup2
COMMENTS BY MISLEAD EYES WHILE
06:32:49.646 --> 06:32:52.616 region:rollup2
IT JUST INDICATES ON THAT
06:32:51.214 --> 06:32:55.252 region:rollup2
RELATED TO THE CHEMICALS
06:32:52.616 --> 06:32:57.020 region:rollup2
REQUIRED VIA. NOTIFIED ONTO
06:32:55.252 --> 06:32:57.921 region:rollup2
DEPARTMENT UNDER THIS PROGRAM
06:32:57.020 --> 06:32:59.589 region:rollup2
THOSE ARE CHEMICALS THAT ARE
06:32:57.921 --> 06:33:01.291 region:rollup2
ALSO COVERED UNDER PROP SIXTY
06:32:59.589 --> 06:33:03.427 region:rollup2
FIVE I MEAN ALTHOUGH PROP SIXTY
06:33:01.291 --> 06:33:05.128 region:rollup2
FIVE IS NOT UNNECESSARILY ON
06:33:03.427 --> 06:33:06.830 region:rollup2
SOMETHING YOU OFTEN DISCUSS AS
06:33:05.128 --> 06:33:08.398 region:rollup2
PART OF THIS SUBCOMMITTEE. I
06:33:06.830 --> 06:33:10.200 region:rollup2
CERTAINLY IDEAS RELEVANT
06:33:08.398 --> 06:33:11.334 region:rollup2
RELATIVE TO THE CARCINOGENS AND
06:33:10.200 --> 06:33:13.170 region:rollup2
REPRODUCTIVE TOXICANTS AT THE
06:33:11.334 --> 06:33:14.671 region:rollup2
PROGRAM COVERS UNDER THAT
06:33:13.170 --> 06:33:16.673 region:rollup2
PROGRAM AS YOU WELL KNOW OUR
06:33:14.671 --> 06:33:19.576 region:rollup2
REQUIREMENTS TO WARREN HI
06:33:16.673 --> 06:33:21.578 region:rollup2
RELATIVE TO. AYE EXPOSURES AND
06:33:19.576 --> 06:33:22.779 region:rollup2
WE THINK THAT AS FAR AS ON THAT
06:33:21.578 --> 06:33:24.514 region:rollup2
PROGRAM GOES THERE IS OVERLAP
06:33:22.779 --> 06:33:26.316 region:rollup2
AND POSSIBLY DUPLICATION WITH
06:33:24.514 --> 06:33:28.118 region:rollup2
THIS PARTICULAR PROGRAM FURTHER
06:33:26.316 --> 06:33:29.252 region:rollup2
THAT PROGRAM UNDER A NEW
06:33:28.118 --> 06:33:30.687 region:rollup2
APPROACHES THAT THEY'RE TAKING
06:33:29.252 --> 06:33:32.322 region:rollup2
BASED ON RECENTLY ADOPTED
06:33:30.687 --> 06:33:36.059 region:rollup2
REGULATIONS. ARE PROVIDING MORE
06:33:32.322 --> 06:33:36.960 region:rollup2
CONTEXT FOR THOSE CHEMICALS
06:33:36.059 --> 06:33:38.295 region:rollup2
RATHER THAN JUST A NAME
06:33:36.960 --> 06:33:40.130 region:rollup2
AND I KNOW FOR THE CONTEXT AS TO
06:33:38.295 --> 06:33:41.832 region:rollup2
WHAT THERE. ARE PARTICULAR
06:33:40.130 --> 06:33:43.433 region:rollup2
BENEFIT A REASON FOR A CHEMICAL
06:33:41.832 --> 06:33:44.334 region:rollup2
BEING INCLUDED SUCH AS A
06:33:43.433 --> 06:33:45.936 region:rollup2
SUNSCREEN PROTECTION MIGHT HOW
06:33:44.334 --> 06:33:47.838 region:rollup2
BILL AS A BELLOWS REASONS
06:33:45.936 --> 06:33:50.373 region:rollup2
ANOTHER SO WE APPRECIATE YOUR
06:33:47.838 --> 06:33:52.142 region:rollup2
TIME AND MUST OPPOSE. THANK YOU
06:33:50.373 --> 06:33:53.477 region:rollup2
THANK YOU WELCOME. IDENTICAL
06:33:52.142 --> 06:33:54.277 region:rollup2
KENYATTA'S ON BEHALF OF THE
06:33:53.477 --> 06:33:55.745 region:rollup2
HOUSEHOLD AND COMMERCIAL
06:33:54.277 --> 06:33:56.546 region:rollup2
PRODUCTS ASSOCIATION AND THE
06:33:55.745 --> 06:33:58.215 region:rollup2
INTERNATIONAL FRAGRANCE
06:33:56.546 --> 06:34:00.217 region:rollup2
ASSOCIATION OF NORTH AMERICA WE
06:33:58.215 --> 06:34:01.818 region:rollup2
ARE ALSO OPPOSE I JUST ONE MORE
06:34:00.217 --> 06:34:03.153 region:rollup2
POINT ONE I'D APPRECIATE THAT
06:34:01.818 --> 06:34:04.855 region:rollup2
THE PROPONENTS. HAVE.
06:34:03.153 --> 06:34:05.522 region:rollup2
OFFERED A THIRTY DOLLAR FEE
06:34:04.855 --> 06:34:07.824 region:rollup2
SORT OF.
06:34:05.522 --> 06:34:09.559 region:rollup2
AS PART OF PROPOSAL HOWEVER THE
06:34:07.824 --> 06:34:10.861 region:rollup2
LANGUAGE THAT'S BEEN OFFERED TO
06:34:09.559 --> 06:34:13.163 region:rollup2
THE COMMITTEE I AM IS MUCH MORE
06:34:10.861 --> 06:34:13.730 region:rollup2
BROAD AND SIMPLY STATES THAT THE
06:34:13.163 --> 06:34:15.765 region:rollup2
DEPARTMENT OF FINANCE COULD
06:34:13.730 --> 06:34:17.000 region:rollup2
ASSESS A FEE ANNUALLY OR WOULD
06:34:15.765 --> 06:34:19.970 region:rollup2
REQUIRE THEM TO SAYS AVI
06:34:17.000 --> 06:34:20.537 region:rollup2
ANNUALLY WITH NO CAP SO. I'M
06:34:19.970 --> 06:34:20.837 region:rollup2
SIMILAR COMMENT THANK YOU.
06:34:20.537 --> 06:34:22.205 region:rollup2
THANK YOU.
06:34:20.837 --> 06:34:24.307 region:rollup2
WELCOME.
06:34:22.205 --> 06:34:24.841 region:rollup2
I CARE BANKING ON THE FOUNDER OF
06:34:24.307 --> 06:34:25.909 region:rollup2
A JUICE BEAUTY IN ORGANIC
06:34:24.841 --> 06:34:27.611 region:rollup2
BEAUTY.
06:34:25.909 --> 06:34:28.812 region:rollup2
PRODUCTS COMPANY THANK YOU FOR
06:34:27.611 --> 06:34:31.081 region:rollup2
THE CALIFORNIA BALLOT PRODUCTS
06:34:28.812 --> 06:34:32.182 region:rollup2
ACT WOULD LOVE THAT. AND I'M
06:34:31.081 --> 06:34:33.683 region:rollup2
HERE IN SUPPORT OF.
06:34:32.182 --> 06:34:35.519 region:rollup2
THAT THE.
06:34:33.683 --> 06:34:37.154 region:rollup2
SAFE COSMETICS ACT IT IS
06:34:35.519 --> 06:34:39.422 region:rollup2
POSSIBLE TO.
06:34:37.154 --> 06:34:41.024 region:rollup2
FORMULATE IN A HEALTHIER WAY
06:34:39.422 --> 06:34:43.360 region:rollup2
WITHOUT ALL THE CHEMICALS THAT
06:34:41.024 --> 06:34:45.028 region:rollup2
ARE OUTLINED IN PROP SIXTY FIVE
06:34:43.360 --> 06:34:46.930 region:rollup2
SO WE USE THE DATABASE
06:34:45.028 --> 06:34:48.198 region:rollup2
EXTENSIVELY. OF BEAUTY COUNTER
06:34:46.930 --> 06:34:49.566 region:rollup2
WAS ALSO HERE FROM SOUTHERN
06:34:48.198 --> 06:34:50.033 region:rollup2
CALIFORNIA BUT THEY HAD TO LEAVE
06:34:49.566 --> 06:34:52.736 region:rollup2
SO.
06:34:50.033 --> 06:34:54.104 region:rollup2
THEY ARE ALSO IN SUPPORT OF THE.
06:34:52.736 --> 06:34:54.304 region:rollup2
ACT THANK YOU THANK YOU THANK
06:34:54.104 --> 06:34:56.406 region:rollup2
YOU.
06:34:54.304 --> 06:34:59.009 region:rollup2
WELCOME.
06:34:56.406 --> 06:35:00.577 region:rollup2
I DO WE SET THAN FLEET ON BEHALF
06:34:59.009 --> 06:35:01.978 region:rollup2
OF A NUMBER OF ORGANIZATIONS
06:35:00.577 --> 06:35:03.780 region:rollup2
HAVE ALREADY HAD TO LEAVE.
06:35:01.978 --> 06:35:05.081 region:rollup2
SO IN BRIEF.
06:35:03.780 --> 06:35:06.883 region:rollup2
NATURAL RESOURCES DEFENSE
06:35:05.081 --> 06:35:08.451 region:rollup2
COUNCIL CLEAN WATER ACTION
06:35:06.883 --> 06:35:10.253 region:rollup2
WOMEN'S VOICES FOR THE EARTH
06:35:08.451 --> 06:35:11.755 region:rollup2
TEENS TURNING GREEN. THE HEALTH
06:35:10.253 --> 06:35:13.490 region:rollup2
A NAIL SALON COLLABORATIVE WORK
06:35:11.755 --> 06:35:15.292 region:rollup2
SAFE POSITIONS FOR SOCIAL
06:35:13.490 --> 06:35:17.227 region:rollup2
RESPONSIBILITY SAN FRANCISCO BAY
06:35:15.292 --> 06:35:18.094 region:rollup2
AREA BLACK WOMEN FOR WELLNESS
06:35:17.227 --> 06:35:20.063 region:rollup2
AND THE CALIFORNIA LEAGUE OF
06:35:18.094 --> 06:35:21.631 region:rollup2
CONSERVATION VOTERS IN STRONG
06:35:20.063 --> 06:35:23.700 region:rollup2
SUPPORT OF THIS PROPOSAL.
06:35:21.631 --> 06:35:25.101 region:rollup2
AND JUST VERY QUICKLY FOR THOSE
06:35:23.700 --> 06:35:26.870 region:rollup2
PEOPLE SHOPPING ONLINE THE
06:35:25.101 --> 06:35:27.871 region:rollup2
PROPOSITION SIXTY FIVE WARNINGS
06:35:26.870 --> 06:35:29.439 region:rollup2
AND THE INGREDIENT LABELS ARE
06:35:27.871 --> 06:35:31.007 region:rollup2
NOT ALWAYS VISIBLE SO THIS
06:35:29.439 --> 06:35:32.309 region:rollup2
DATABASE IS EXTREMELY IMPORTANT
06:35:31.007 --> 06:35:33.910 region:rollup2
FOR THOSE DOING COMPARISON
06:35:32.309 --> 06:35:35.378 region:rollup2
SHOPPING AND RESEARCH. TO GET
06:35:33.910 --> 06:35:37.280 region:rollup2
INFORMATION
06:35:35.378 --> 06:35:39.149 region:rollup2
ABOUT TOXIC CHEMICALS IN THESE
06:35:37.280 --> 06:35:41.117 region:rollup2
PRODUCTS THANK YOU. THANK YOU.
06:35:39.149 --> 06:35:42.252 region:rollup2
WELCOME.
06:35:41.117 --> 06:35:43.587 region:rollup2
GIVE CATHARINE BATES
06:35:42.252 --> 06:35:44.354 region:rollup2
REPRESENTING INVESTOR
06:35:43.587 --> 06:35:45.088 region:rollup2
ENVIRONMENTAL HEALTH NETWORK IN
06:35:44.354 --> 06:35:47.624 region:rollup2
STRONG SUPPORT.
06:35:45.088 --> 06:35:49.259 region:rollup2
THANK YOU.
06:35:47.624 --> 06:35:50.227 region:rollup2
THANK YOU WELCOME. THOUGH SUSAN
06:35:49.259 --> 06:35:52.462 region:rollup2
LITTLE WITH THE ENVIRONMENTAL
06:35:50.227 --> 06:35:53.897 region:rollup2
WORKING GROUP ALSO HERE ON
06:35:52.462 --> 06:35:55.232 region:rollup2
BEHALF OF THE CAP ON COALITION.
06:35:53.897 --> 06:35:56.499 region:rollup2
TO MAKE HELP HEARD THE
06:35:55.232 --> 06:35:58.635 region:rollup2
CALIFORNIA PRODUCT STEWARDSHIP
06:35:56.499 --> 06:36:00.136 region:rollup2
COUNCIL. AND THE.
06:35:58.635 --> 06:36:01.137 region:rollup2
CENTER FOR ENVIRONMENTAL HEALTH
06:36:00.136 --> 06:36:06.576 region:rollup2
ALSO IN SUPPORT THINK.
06:36:01.137 --> 06:36:08.178 region:rollup2
THANK YOU.
06:36:06.576 --> 06:36:10.313 region:rollup2
SO I ACTUALLY JUST HAVE A GOOD
06:36:08.178 --> 06:36:11.848 region:rollup2
SELF OFTEN I'VE REALIZED
06:36:10.313 --> 06:36:13.416 region:rollup2
DEPARTMENT. DIDN'T REALLY HAVE A
06:36:11.848 --> 06:36:16.286 region:rollup2
COMMENT ON THE PROPOSAL BUT IN
06:36:13.416 --> 06:36:16.820 region:rollup2
TERMS OF THE CAPACITY OF THE
06:36:16.286 --> 06:36:17.988 region:rollup2
DEPARTMENT TO PERFORM THE
06:36:16.820 --> 06:36:20.123 region:rollup2
FUNCTION.
06:36:17.988 --> 06:36:20.423 region:rollup2
DOES REFERENCE SERVICE SAY HEY
06:36:20.123 --> 06:36:21.157 region:rollup2
BUDGET CUT.
06:36:20.423 --> 06:36:24.027 region:rollup2
.
06:36:21.157 --> 06:36:26.196 region:rollup2
.
06:36:24.027 --> 06:36:28.331 region:rollup2
YEAH THAT THERE WASN'T THE BCP
06:36:26.196 --> 06:36:31.268 region:rollup2
FROM THE DEPARTMENT ON THIS SO
06:36:28.331 --> 06:36:33.136 region:rollup2
WAS THAT CAN CAN PERHAPS COMMENT
06:36:31.268 --> 06:36:35.005 region:rollup2
ON ON THE CAPACITY OF THE
06:36:33.136 --> 06:36:36.506 region:rollup2
DEPARTMENT TO PERFORM THE
06:36:35.005 --> 06:36:38.208 region:rollup2
FUNCTION NOW. TERMS OF THE
06:36:36.506 --> 06:36:39.976 region:rollup2
STAFFING NECESSARY TO CARRY OUT
06:36:38.208 --> 06:36:42.279 region:rollup2
THE FUNCTIONS OF.
06:36:39.976 --> 06:36:43.346 region:rollup2
OF THE ACT OF THE ACT.
06:36:42.279 --> 06:36:44.848 region:rollup2
YES SIR AND FOR THE RECORD THIS
06:36:43.346 --> 06:36:46.983 region:rollup2
IS A MONEY COME AROUND AS YOU
06:36:44.848 --> 06:36:49.019 region:rollup2
KNOW WE HAVE TO STAFF THAT WORK
06:36:46.983 --> 06:36:51.087 region:rollup2
IN THIS PROGRAM AND AND YOU KNOW
06:36:49.019 --> 06:36:54.858 region:rollup2
THE WE ARE ACTIVELY JUST TRYING
06:36:51.087 --> 06:36:57.327 region:rollup2
TO MANAGE THE DATABASE. FOR THE
06:36:54.858 --> 06:36:58.528 region:rollup2
COMPANIES AND FOR THE CUSTOMERS
06:36:57.327 --> 06:37:00.430 region:rollup2
ON THAT ONE TO ACTUALLY GO
06:36:58.528 --> 06:37:03.633 region:rollup2
ONLINE AND SEARCH THE DATABASE
06:37:00.430 --> 06:37:04.401 region:rollup2
SO. AT THIS POINT WE YOU KNOW.
06:37:03.633 --> 06:37:06.202 region:rollup2
.
06:37:04.401 --> 06:37:07.937 region:rollup2
TRIED EXIST IT TROUBLESHOOT SOME
06:37:06.202 --> 06:37:09.472 region:rollup2
OF THE ISSUES THAT WE'RE FACING
06:37:07.937 --> 06:37:10.774 region:rollup2
WITH THE WEBSITE.
06:37:09.472 --> 06:37:13.109 region:rollup2
I'M IN REPORTING AND WORKING
06:37:10.774 --> 06:37:15.311 region:rollup2
WITH OUR IT TO ALSO TRY TO FIND
06:37:13.109 --> 06:37:17.047 region:rollup2
SOME OTHER ON SOLUTIONS TO
06:37:15.311 --> 06:37:17.947 region:rollup2
UPGRADE OUR CURRENT IT OF THE
06:37:17.047 --> 06:37:20.016 region:rollup2
SYSTEM SO.
06:37:17.947 --> 06:37:22.052 region:rollup2
I THINK YOU KNOW TOGETHER WITH
06:37:20.016 --> 06:37:22.652 region:rollup2
THE TO STAFF WE WERE TRYING OUR
06:37:22.052 --> 06:37:25.855 region:rollup2
HARDEST JUST KIND OF MEET THE
06:37:22.652 --> 06:37:27.157 region:rollup2
DEMAND.
06:37:25.855 --> 06:37:28.958 region:rollup2
BUT THAT WASN'T EXACTLY AN
06:37:27.157 --> 06:37:30.493 region:rollup2
ANSWER TO THE QUESTION.
06:37:28.958 --> 06:37:30.694 region:rollup2
BUT.
06:37:30.493 --> 06:37:32.962 region:rollup2
ARE A.
06:37:30.694 --> 06:37:33.697 region:rollup2
.
06:37:32.962 --> 06:37:35.532 region:rollup2
SO ONE OF THE COMMENTS WAS MADE
06:37:33.697 --> 06:37:36.266 region:rollup2
WAS THAT ESSENTIALLY LUIS IS THE
06:37:35.532 --> 06:37:36.966 region:rollup2
SAME AS YOU CAN FIND ON THE
06:37:36.266 --> 06:37:39.269 region:rollup2
BOTTLE.
06:37:36.966 --> 06:37:41.371 region:rollup2
ARE ON THE LABEL OR WHATEVER I
06:37:39.269 --> 06:37:43.840 region:rollup2
KNOW SOMEONE TESTIFIED TO SAYING
06:37:41.371 --> 06:37:45.542 region:rollup2
THAT WELL MAYBE HARD TO READ IT
06:37:43.840 --> 06:37:48.778 region:rollup2
BUT CAN YOU COMMENT ON THAT.
06:37:45.542 --> 06:37:50.480 region:rollup2
YEAH THAT'S A HOME AT THIS THIS
06:37:48.778 --> 06:37:53.016 region:rollup2
PROGRAM WAS CREATED SPECIFICALLY
06:37:50.480 --> 06:37:54.017 region:rollup2
TO PROVIDE CONSUMERS AND WORKERS
06:37:53.016 --> 06:37:55.518 region:rollup2
AND THE DEPARTMENT OF PUBLIC
06:37:54.017 --> 06:37:57.454 region:rollup2
HEALTH ANOTHER STATE AGENCIES
06:37:55.518 --> 06:37:58.655 region:rollup2
AND REGULATORS. WITH INFORMATION
06:37:57.454 --> 06:38:00.623 region:rollup2
ABOUT.
06:37:58.655 --> 06:38:02.258 region:rollup2
SIXTY FIVE CHEMICALS IN PRODUCTS
06:38:00.623 --> 06:38:04.260 region:rollup2
AND WELL THEY MIGHT APPEAR ON A
06:38:02.258 --> 06:38:06.129 region:rollup2
PRODUCT LABEL MOST OF US EVEN
06:38:04.260 --> 06:38:07.864 region:rollup2
THOSE OF US UNDER FORTY HAVE A
06:38:06.129 --> 06:38:09.666 region:rollup2
VERY HARD TIME FINDING. THOSE
06:38:07.864 --> 06:38:10.934 region:rollup2
INGREDIENTS ON THE PRODUCT LABEL
06:38:09.666 --> 06:38:12.602 region:rollup2
TO BEGIN WITH I MEAN THEY'RE
06:38:10.934 --> 06:38:14.037 region:rollup2
THEY'RE VERY SMALL IF YOU LOOK
06:38:12.602 --> 06:38:15.805 region:rollup2
AT SOME MAKE UP PRODUCTS.
06:38:14.037 --> 06:38:17.173 region:rollup2
YOU CAN BARELY EVEN SEE THE
06:38:15.805 --> 06:38:19.275 region:rollup2
PRODUCT LABELS YOU NEED A
06:38:17.173 --> 06:38:21.044 region:rollup2
MAGNIFYING GLASS TO DO SO.
06:38:19.275 --> 06:38:22.779 region:rollup2
PROFESSIONAL SALON PRODUCTS
06:38:21.044 --> 06:38:23.913 region:rollup2
AREN'T EVEN REQUIRED BY LAW TO
06:38:22.779 --> 06:38:24.781 region:rollup2
BEAR A DECLARATION OF THE
06:38:23.913 --> 06:38:26.182 region:rollup2
INGREDIENTS ON THEIR PRODUCT
06:38:24.781 --> 06:38:28.118 region:rollup2
LABELS.
06:38:26.182 --> 06:38:30.253 region:rollup2
THE PROP SIXTY FIVE CHEMICALS IN
06:38:28.118 --> 06:38:31.988 region:rollup2
THESE PRODUCTS ARE ALSO REPORTED
06:38:30.253 --> 06:38:33.523 region:rollup2
TO THE DATABASE WHICH WHICH
06:38:31.988 --> 06:38:34.557 region:rollup2
PROVIDES A REALLY IMPORTANT
06:38:33.523 --> 06:38:37.560 region:rollup2
RIGHT TO NO FUNCTION FOR THAT
06:38:34.557 --> 06:38:38.795 region:rollup2
COMMUNITY AS WELL.
06:38:37.560 --> 06:38:39.696 region:rollup2
THE OTHER THING I DO HAVE ONE
06:38:38.795 --> 06:38:41.464 region:rollup2
MORE THING.
06:38:39.696 --> 06:38:43.399 region:rollup2
ACTUALLY I'M SORRY AND THAT IS
06:38:41.464 --> 06:38:45.168 region:rollup2
THE A REALLY IMPORTANT FUNCTION
06:38:43.399 --> 06:38:45.702 region:rollup2
OF THE DATABASES TO AGGREGATE
06:38:45.168 --> 06:38:47.637 region:rollup2
ALL OF THIS INFORMATION SO
06:38:45.702 --> 06:38:49.072 region:rollup2
WHILE.
06:38:47.637 --> 06:38:50.774 region:rollup2
YOU AND I MIGHT IF WE HAVE THE
06:38:49.072 --> 06:38:52.175 region:rollup2
THE THE GOOD EYESIGHT TO DO SO
06:38:50.774 --> 06:38:53.643 region:rollup2
BE ABLE TO FIND THE INGREDIENT
06:38:52.175 --> 06:38:55.278 region:rollup2
ON THE PRODUCT LABEL. BUT THAT
06:38:53.643 --> 06:38:57.413 region:rollup2
THE DATABASE DOES IS IT IS IT
06:38:55.278 --> 06:38:59.849 region:rollup2
PRESENTS A SNAPSHOT OF THE
06:38:57.413 --> 06:39:01.751 region:rollup2
OVERALL. A USE OF THESE PROP
06:38:59.849 --> 06:39:02.952 region:rollup2
SIXTY FIVE CHEMICALS IN PRODUCTS
06:39:01.751 --> 06:39:04.487 region:rollup2
SOLD IN THE STATE AND THEN THE
06:39:02.952 --> 06:39:06.189 region:rollup2
NUMBER OF PROP.
06:39:04.487 --> 06:39:08.057 region:rollup2
USING PROPS SIXTY FIVE CHEMICAL
06:39:06.189 --> 06:39:10.026 region:rollup2
SOLD IN THE STATE AND THERE'S
06:39:08.057 --> 06:39:12.228 region:rollup2
TWO NUMBERS THAT JUST REALLY I
06:39:10.026 --> 06:39:13.396 region:rollup2
FIND MIND BOGGLING. ESPECIALLY
06:39:12.228 --> 06:39:15.265 region:rollup2
IN RESPONSE TO WHAT THE
06:39:13.396 --> 06:39:17.300 region:rollup2
OPPOSITION SIDE WHICH IS THAT
06:39:15.265 --> 06:39:18.601 region:rollup2
THERE IS NO PROBLEM REAL PROBLEM
06:39:17.300 --> 06:39:19.702 region:rollup2
THAT PROGRAM IS TRYING TO
06:39:18.601 --> 06:39:21.871 region:rollup2
ADDRESS AND THAT IS THE FACT
06:39:19.702 --> 06:39:23.106 region:rollup2
THAT. SIXTY FIVE THOUSAND
06:39:21.871 --> 06:39:25.275 region:rollup2
PRODUCTS WERE REPORTED TO THE
06:39:23.106 --> 06:39:26.643 region:rollup2
SAFE COSMETICS PROGRAM BETWEEN
06:39:25.275 --> 06:39:28.111 region:rollup2
TWO THOUSAND AND NINE AND TWO
06:39:26.643 --> 06:39:30.346 region:rollup2
THOUSAND AND FIFTEEN.
06:39:28.111 --> 06:39:32.549 region:rollup2
CONTAINING EDTA INDIVIDUAL
06:39:30.346 --> 06:39:34.083 region:rollup2
UNIQUE PROP SIXTY FIVE CHEMICALS
06:39:32.549 --> 06:39:34.784 region:rollup2
AND I HAVE THIS FACT SHEET WHICH
06:39:34.083 --> 06:39:36.753 region:rollup2
I COULD LEAVE WITH YOU.
06:39:34.784 --> 06:39:38.388 region:rollup2
IT SHOWS.
06:39:36.753 --> 06:39:40.356 region:rollup2
THERE'S ONE PRODUCT HERE THAT
06:39:38.388 --> 06:39:42.158 region:rollup2
CONTAINS TEN DIFFERENT PROP
06:39:40.356 --> 06:39:44.427 region:rollup2
SIXTY FIVE CHEMICALS.
06:39:42.158 --> 06:39:46.963 region:rollup2
IT THEY'RE END NUMEROUS
06:39:44.427 --> 06:39:48.498 region:rollup2
CHEMICALS MANY CONSUMERS DON'T
06:39:46.963 --> 06:39:49.899 region:rollup2
KNOW WHICH OF THE CHEMICALS THE
06:39:48.498 --> 06:39:51.000 region:rollup2
PROP SIXTY FIVE CHEMICALS THAT
06:39:49.899 --> 06:39:52.669 region:rollup2
THEY SHOULD BE CONCERNED ABOUT
06:39:51.000 --> 06:39:53.670 region:rollup2
SO IT SHINES A LIGHT ON THE
06:39:52.669 --> 06:39:56.139 region:rollup2
PRESENCE OF THESE.
06:39:53.670 --> 06:39:57.240 region:rollup2
PARTICULARLY TOXIC CHEMICALS.
06:39:56.139 --> 06:39:59.142 region:rollup2
AND I WOULD ECHO THAT I WOULD
06:39:57.240 --> 06:40:01.077 region:rollup2
SAY MOST PATIENTS ASSUME
06:39:59.142 --> 06:40:03.413 region:rollup2
EVERYTHING IS SAFE WE A CUT
06:40:01.077 --> 06:40:04.013 region:rollup2
BECAME INVOLVED WITH THIS WHEN
06:40:03.413 --> 06:40:06.149 region:rollup2
THE LEGISLATORS PHONE DOESN'T
06:40:04.013 --> 06:40:07.650 region:rollup2
SAID. WHAT'S A CUT POSITION
06:40:06.149 --> 06:40:09.519 region:rollup2
UNLEADED LIPSTICK AND OUR
06:40:07.650 --> 06:40:11.254 region:rollup2
RESPONSES WE HAD NO IDEA THERE
06:40:09.519 --> 06:40:12.922 region:rollup2
WAS LETTING LIPSTICK. THAT WAS
06:40:11.254 --> 06:40:15.191 region:rollup2
JUST THE TIP OF THE ICEBERG
06:40:12.922 --> 06:40:17.093 region:rollup2
PATIENTS DON'T READ A LABEL ON
06:40:15.191 --> 06:40:19.329 region:rollup2
LIPSTICK NOR DO THEY READ MOST
06:40:17.093 --> 06:40:20.296 region:rollup2
OF THE LABELS NOW YES WE CAN SAY
06:40:19.329 --> 06:40:22.298 region:rollup2
THAT'S THEIR PROBLEM THEY SHOULD
06:40:20.296 --> 06:40:23.399 region:rollup2
KNOW. THAT THERE ARE ALL THESE
06:40:22.298 --> 06:40:24.801 region:rollup2
CHEMICALS IN IT.
06:40:23.399 --> 06:40:26.569 region:rollup2
BUT IF WE HAVE A MEANS OF
06:40:24.801 --> 06:40:27.837 region:rollup2
LETTING THEM KNOW THAT THERE'S
06:40:26.569 --> 06:40:30.940 region:rollup2
THEY SHOULD BE AWARE THAT SOBRE
06:40:27.837 --> 06:40:32.275 region:rollup2
COMPLICATING.
06:40:30.940 --> 06:40:35.512 region:rollup2
IT IS ONE OF THE COMMON AS IT
06:40:32.275 --> 06:40:36.946 region:rollup2
MAKES AND I REALIZE IT.
06:40:35.512 --> 06:40:40.016 region:rollup2
THE OBVIOUS TEXAS EAST BASED ON
06:40:36.946 --> 06:40:41.584 region:rollup2
DOES RIGHT IT'S NOT JUST NEARLY
06:40:40.016 --> 06:40:42.986 region:rollup2
EASE THE EXISTENCE OR LACK IN
06:40:41.584 --> 06:40:44.787 region:rollup2
THEIR THINGS A VIOLENT OF IRON
06:40:42.986 --> 06:40:45.989 region:rollup2
ANDSO I'VE SIMILAR WE'RE
06:40:44.787 --> 06:40:47.223 region:rollup2
TALKING ABOUT IS.
06:40:45.989 --> 06:40:49.559 region:rollup2
THE ABSORPTION RATES ARE YOU
06:40:47.223 --> 06:40:50.460 region:rollup2
KNOW EXPOSURE AT AT DOSES THAT
06:40:49.559 --> 06:40:52.328 region:rollup2
THAT WOULD ACTUALLY BE
06:40:50.460 --> 06:40:53.763 region:rollup2
CONCERNING.
06:40:52.328 --> 06:40:55.398 region:rollup2
IN THE IN THE IN A CONCISE IS
06:40:53.763 --> 06:40:57.333 region:rollup2
PROBABLY THE MOST IN DEPTH
06:40:55.398 --> 06:40:58.868 region:rollup2
ANALYSIS OF THAT M. PUBLISHED
06:40:57.333 --> 06:40:59.502 region:rollup2
NOW TWICE WHEN THEY TALK ABOUT
06:40:58.868 --> 06:41:05.942 region:rollup2
AND IT CAN DISRUPTING. CHEMICALS
06:40:59.502 --> 06:41:06.876 region:rollup2
THAT WE SHOULD BE AWARE OF WHAT
06:41:05.942 --> 06:41:07.310 region:rollup2
THEY WERE TALKING ABOUT THE
06:41:06.876 --> 06:41:09.045 region:rollup2
LIBRARY DISEASE ADAM
06:41:07.310 --> 06:41:10.480 region:rollup2
INFERTILITY.
06:41:09.045 --> 06:41:13.383 region:rollup2
CHANGING IN SPERM COUNTS A
06:41:10.480 --> 06:41:14.984 region:rollup2
NUMBER OF DIFFERENT CONCERNS.
06:41:13.383 --> 06:41:17.387 region:rollup2
CAN YOU SHOW CAUSE AND EFFECT
06:41:14.984 --> 06:41:20.223 region:rollup2
THAT ONE PERSON USING THIS HAIR
06:41:17.387 --> 06:41:21.591 region:rollup2
PRODUCT WILL DEVELOP CANCER NO.
06:41:20.223 --> 06:41:23.426 region:rollup2
NO THAT'S NOT POSSIBLE BUT CAN
06:41:21.591 --> 06:41:24.794 region:rollup2
WE LOOKED IN AGGREGATE AND SAY
06:41:23.426 --> 06:41:27.196 region:rollup2
THAT WE'VE SEEN DISEASE
06:41:24.794 --> 06:41:28.731 region:rollup2
PROCESSES INCREASE OVER TWENTY
06:41:27.196 --> 06:41:30.066 region:rollup2
TO THIRTY YEAR TYPE BEARD WITH
06:41:28.731 --> 06:41:31.301 region:rollup2
THOSE CHEMICALS ARE BEING
06:41:30.066 --> 06:41:33.102 region:rollup2
PRODUCED WEEKEND.
06:41:31.301 --> 06:41:34.671 region:rollup2
AND WE ALSO DO KNOW THAT BUT
06:41:33.102 --> 06:41:35.738 region:rollup2
THERE IS A GROWING BODY OF
06:41:34.671 --> 06:41:37.774 region:rollup2
EVIDENCE THAT SHOWS THAT
06:41:35.738 --> 06:41:39.776 region:rollup2
CUMULATIVE EXPOSURES TO THESE
06:41:37.774 --> 06:41:40.810 region:rollup2
CHEMICALS ARE IN FACT GETTING UP
06:41:39.776 --> 06:41:42.178 region:rollup2
TO HARM.
06:41:40.810 --> 06:41:44.614 region:rollup2
AND NONE OF US LIVE IN A BUBBLE
06:41:42.178 --> 06:41:46.349 region:rollup2
SO AN INDIVIDUAL A BABY IS AND
06:41:44.614 --> 06:41:48.585 region:rollup2
EXPOSED TO FORMALDEHYDE JUSTIN
06:41:46.349 --> 06:41:50.386 region:rollup2
HER BUBBLE BATH SHE MIGHT BE
06:41:48.585 --> 06:41:52.822 region:rollup2
EXPOSED TO THE SAME CHEMICAL. IN
06:41:50.386 --> 06:41:54.991 region:rollup2
NAM IN A BODY WASH AND IN A
06:41:52.822 --> 06:41:56.993 region:rollup2
SHAMPOO AND ALSO IN THE CLEANING
06:41:54.991 --> 06:41:58.528 region:rollup2
PRODUCTS USED IN HER HOME. AND
06:41:56.993 --> 06:42:01.331 region:rollup2
IN THE THE FLOORING AND THE
06:41:58.528 --> 06:42:03.199 region:rollup2
BUILDING MATERIALS SO THE LIST
06:42:01.331 --> 06:42:05.635 region:rollup2
REALLY GOES ON AND ON WE'VE SEEN
06:42:03.199 --> 06:42:07.070 region:rollup2
NOT ONLY CUMULATIVE EXPOSURES
06:42:05.635 --> 06:42:08.071 region:rollup2
LINK TO HARM BUT ALSO THE TIMING
06:42:07.070 --> 06:42:10.573 region:rollup2
OF EXPOSURES.
06:42:08.071 --> 06:42:13.609 region:rollup2
A RESULTING IN AN INCREASED RISK
06:42:10.573 --> 06:42:15.044 region:rollup2
OF DISEASE LATER IN LIFE.
06:42:13.609 --> 06:42:15.845 region:rollup2
BUT OUT OF SOME BIG NOTE THAT
06:42:15.044 --> 06:42:16.746 region:rollup2
FOR EXAMPLE FORMALDEHYDE IS
06:42:15.845 --> 06:42:18.247 region:rollup2
ACTUALLY A NATURAL METABOLIC
06:42:16.746 --> 06:42:20.283 region:rollup2
PRODUCT OF THE BODY AS WELL I
06:42:18.247 --> 06:42:21.985 region:rollup2
MEAN IT DEPENDS ON THE DOES HOW
06:42:20.283 --> 06:42:22.552 region:rollup2
MUCH EXPOSURE YOU HAVE THEN IT
06:42:21.985 --> 06:42:24.020 region:rollup2
YES IT CAN BE CUMULATIVE TO
06:42:22.552 --> 06:42:25.622 region:rollup2
SELL.
06:42:24.020 --> 06:42:26.689 region:rollup2
SO I THINK WE HAVE TO GO BEYOND
06:42:25.622 --> 06:42:28.157 region:rollup2
JUST SIMPLY SAYING รณ LOOK
06:42:26.689 --> 06:42:28.891 region:rollup2
THERE'S SOMETHING WITH THE SCARY
06:42:28.157 --> 06:42:32.028 region:rollup2
NAME IN THE.
06:42:28.891 --> 06:42:33.029 region:rollup2
THEN AND WE HAVE TO THINK ABOUT
06:42:32.028 --> 06:42:36.099 region:rollup2
LEVEL EXPOSURE ON YOUR RIGHT TO
06:42:33.029 --> 06:42:36.699 region:rollup2
LIVE EXPOSURE IS SOMETHING WE
06:42:36.099 --> 06:42:37.867 region:rollup2
SHOULD THE.
06:42:36.699 --> 06:42:38.835 region:rollup2
THAT IS SOMETHING THAT. NEEDS
06:42:37.867 --> 06:42:39.636 region:rollup2
TO BE ADDRESSED AND I WOULD
06:42:38.835 --> 06:42:40.203 region:rollup2
ARGUE THAT THE THERE ARE I MEAN
06:42:39.636 --> 06:42:40.870 region:rollup2
WE DON'T HAVE THE RESEARCH
06:42:40.203 --> 06:42:41.938 region:rollup2
STUDIES THAT WE CAN WE CAN GIVE
06:42:40.870 --> 06:42:43.272 region:rollup2
THEM TO YOU. BUT THERE CERTAINLY
06:42:41.938 --> 06:42:44.841 region:rollup2
ARE A NUMBER OF STUDIES THAT
06:42:43.272 --> 06:42:46.776 region:rollup2
HAVE LOOKED AT NOT JUST
06:42:44.841 --> 06:42:48.344 region:rollup2
CUMULATIVE BUT THE IMPACTS ON
06:42:46.776 --> 06:42:49.812 region:rollup2
HEALTH NATIONAL INSTITUTE OF
06:42:48.344 --> 06:42:51.714 region:rollup2
ENVIRONMENTAL HEALTH SCIENCES.
06:42:49.812 --> 06:42:53.616 region:rollup2
IS BY THE MOST IMPORTANT
06:42:51.714 --> 06:42:55.852 region:rollup2
ORGANIZATION FOR PROVIDING SOME
06:42:53.616 --> 06:42:56.753 region:rollup2
OF THAT RESEARCH FOR US
06:42:55.852 --> 06:42:57.820 region:rollup2
ON CAREER DR CONNERY WAS
06:42:56.753 --> 06:42:59.489 region:rollup2
REFERRING TO SOME OF THE NEW
06:42:57.820 --> 06:43:01.257 region:rollup2
SCIENCE TALKING ABOUT LOW DOSE
06:42:59.489 --> 06:43:03.126 region:rollup2
EXPOSURES BECAUSE DOCTOR PAN
06:43:01.257 --> 06:43:05.161 region:rollup2
YOU'RE RIGHT. NOT EVERY EXPOSURE
06:43:03.126 --> 06:43:06.362 region:rollup2
IS GOING TO RESULT IN A IN A
06:43:05.161 --> 06:43:07.497 region:rollup2
DISEASE.
06:43:06.362 --> 06:43:09.565 region:rollup2
TO THAT THE HOUSE OR TRADE
06:43:07.497 --> 06:43:10.333 region:rollup2
ASSOCIATED WITH THAT CHEMICAL ON
06:43:09.565 --> 06:43:11.667 region:rollup2
THE OTHER SIDE.
06:43:10.333 --> 06:43:13.136 region:rollup2
BUT THE DOSE MAKES THE POISON
06:43:11.667 --> 06:43:14.704 region:rollup2
HAS REALLY BEEN TURNED ON ITS
06:43:13.136 --> 06:43:15.638 region:rollup2
HEAD WHEN IT COMES TO THESE
06:43:14.704 --> 06:43:17.473 region:rollup2
ENDOCRINE DISRUPTING COUNT
06:43:15.638 --> 06:43:19.208 region:rollup2
POUNDS. BETTER TOXIC AT
06:43:17.473 --> 06:43:21.644 region:rollup2
SOMETIMES AT PARTS PER BILLION
06:43:19.208 --> 06:43:22.912 region:rollup2
OR PARTS PER TRILLION. BPA FOR
06:43:21.644 --> 06:43:24.914 region:rollup2
EXAMPLE CAN CROSS.
06:43:22.912 --> 06:43:26.649 region:rollup2
THE PLACENTA AND IMPACT THE
06:43:24.914 --> 06:43:28.184 region:rollup2
MAMMARY GLANDS OF THE DEVELOPING
06:43:26.649 --> 06:43:29.819 region:rollup2
FETUS AT PARTS PER BILLION OR
06:43:28.184 --> 06:43:31.721 region:rollup2
PARTS PER TRILLION.
06:43:29.819 --> 06:43:33.256 region:rollup2
PREDISPOSING THAT THAT FETUS
06:43:31.721 --> 06:43:36.359 region:rollup2
THAT DEVELOPING FETUS TO AN
06:43:33.256 --> 06:43:37.560 region:rollup2
INCREASED RISK OF BREAST CANCER
06:43:36.359 --> 06:43:38.327 region:rollup2
OF LATER AND I WAS LIKE A
06:43:37.560 --> 06:43:40.129 region:rollup2
SENSUAL OILS HAVE JUST BEEN AND
06:43:38.327 --> 06:43:41.097 region:rollup2
THAT IDENTIFIED AS YOU KNOW
06:43:40.129 --> 06:43:43.466 region:rollup2
CAUSING KIND OF PANIC.
06:43:41.097 --> 06:43:46.035 region:rollup2
POTENTIALLY PERHAPS GANIC MASIUS
06:43:43.466 --> 06:43:46.636 region:rollup2
SELF WILL AND THAT'S A GOOD
06:43:46.035 --> 06:43:47.503 region:rollup2
POINT BECAUSE THE OTHER THING
06:43:46.636 --> 06:43:48.571 region:rollup2
THE SAFE BECAUSE.
06:43:47.503 --> 06:43:49.005 region:rollup2
AUTHORIZES IS FOR THE SAFE
06:43:48.571 --> 06:43:51.240 region:rollup2
COSMETICS PROGRAM TO
06:43:49.005 --> 06:43:52.975 region:rollup2
INVESTIGATE.
06:43:51.240 --> 06:43:54.177 region:rollup2
BOTH THE CHEMICALS AND THE
06:43:52.975 --> 06:43:56.145 region:rollup2
PRODUCTS AND THE EXPOSURE
06:43:54.177 --> 06:43:57.480 region:rollup2
POPULATIONS AND THEN MAKE
06:43:56.145 --> 06:43:58.548 region:rollup2
RECOMMENDATIONS TO OTHER STATE
06:43:57.480 --> 06:44:00.183 region:rollup2
AGENCIES AS TO HOW TO PROVIDE A
06:43:58.548 --> 06:44:03.052 region:rollup2
HARD.
06:44:00.183 --> 06:44:04.253 region:rollup2
WORKERS FOR EXAMPLE OR TO TO
06:44:03.052 --> 06:44:05.988 region:rollup2
YOUNG PEOPLE INFANTS PREGNANT
06:44:04.253 --> 06:44:07.056 region:rollup2
WOMEN EXCITE AURA.
06:44:05.988 --> 06:44:11.194 region:rollup2
I THINK WE JUST HAVE TO BE
06:44:07.056 --> 06:44:13.262 region:rollup2
CAREFUL ABOUT OUR LANGUAGE.
06:44:11.194 --> 06:44:14.564 region:rollup2
AND I I WOULD SAY THAT A COG IN
06:44:13.262 --> 06:44:15.898 region:rollup2
THE A CUT IN THE WORLD COLLEGE
06:44:14.564 --> 06:44:17.734 region:rollup2
CAME OUT WITH THEIR COMMITTEE
06:44:15.898 --> 06:44:19.168 region:rollup2
OPINION IN THE SAME YEAR. AND
06:44:17.734 --> 06:44:20.403 region:rollup2
BOTH OF US MET AND SAID. WE HAVE
06:44:19.168 --> 06:44:22.238 region:rollup2
TO.
06:44:20.403 --> 06:44:24.006 region:rollup2
INCREASED AWARENESS WITHOUT THE
06:44:22.238 --> 06:44:26.075 region:rollup2
ALARM AND AS OBSTETRICIANS WE
06:44:24.006 --> 06:44:28.411 region:rollup2
KNOW ANYTHING WE SAY CAN SCARE
06:44:26.075 --> 06:44:30.146 region:rollup2
PATIENTS THAT HAVE TO BE
06:44:28.411 --> 06:44:31.581 region:rollup2
CAUTIOUS AND HOW YOU SAY IT. BUT
06:44:30.146 --> 06:44:32.782 region:rollup2
I'LL TELL YOU THE QUESTION I GET
06:44:31.581 --> 06:44:33.416 region:rollup2
ASKED ALL THE TIME IS.
06:44:32.782 --> 06:44:34.851 region:rollup2
WHAT SHOULD I BE DOING WHILE I'M
06:44:33.416 --> 06:44:36.619 region:rollup2
PREGNANT?
06:44:34.851 --> 06:44:37.887 region:rollup2
WHAT CHEMICALS YOU KNOW WHAT
06:44:36.619 --> 06:44:40.857 region:rollup2
PRODUCTS WITH SAFE?
06:44:37.887 --> 06:44:42.391 region:rollup2
WELL.
06:44:40.857 --> 06:44:45.695 region:rollup2
THE PEDIATRICIAN IDEA THAT'S THE
06:44:42.391 --> 06:44:46.496 region:rollup2
ROCKETS TO SELL. THAT'S GREAT
06:44:45.695 --> 06:44:48.731 region:rollup2
AND THAT'S A REALLY NICE
06:44:46.496 --> 06:44:49.298 region:rollup2
CONCLUDING THOUGHT WHICH IS THE
06:44:48.731 --> 06:44:50.900 region:rollup2
SAFE COSMETICS PROGRAM ISN'T
06:44:49.298 --> 06:44:52.435 region:rollup2
USED.
06:44:50.900 --> 06:44:53.803 region:rollup2
FORNEY CONSUMERS AND.
06:44:52.435 --> 06:44:55.905 region:rollup2
IT'S IT'S SEEN AS A NATIONAL
06:44:53.803 --> 06:44:57.006 region:rollup2
TREASURE BY BY PEOPLE THROUGHOUT
06:44:55.905 --> 06:44:58.207 region:rollup2
THE COUNTRY THAT ARE REALLY
06:44:57.006 --> 06:45:00.042 region:rollup2
CONCERNED.
06:44:58.207 --> 06:45:01.644 region:rollup2
ABOUT INCREASING EXPOSURES TO
06:45:00.042 --> 06:45:02.712 region:rollup2
TOXIC CHEMICALS AND THE LINK
06:45:01.644 --> 06:45:04.881 region:rollup2
BETWEEN INCREASING RATES OF
06:45:02.712 --> 06:45:08.551 region:rollup2
DISEASE AND WANT TO DO SOMETHING
06:45:04.881 --> 06:45:09.986 region:rollup2
ABOUT THE PROBLEM.
06:45:08.551 --> 06:45:10.253 region:rollup2
OKAY WELL WE'RE GONNA HOLD ITEM
06:45:09.986 --> 06:45:12.221 region:rollup2
OPEN. AND.
06:45:10.253 --> 06:45:14.657 region:rollup2
.
06:45:12.221 --> 06:45:15.258 region:rollup2
GO AHEAD AND MOVE ONTO.
06:45:14.657 --> 06:45:18.194 region:rollup2
THANK YOU FOR YOUR TIME THANK
06:45:15.258 --> 06:45:21.864 region:rollup2
YOU AND GIVE.
06:45:18.194 --> 06:45:22.632 region:rollup2
ISSUE NUMBER SEVEN.
06:45:21.864 --> 06:45:38.881 region:rollup2
WHEN INFANTS CHILDREN LOOK
06:45:22.632 --> 06:45:38.881 region:rollup2
LISTEN ESTIMATE
06:45:42.251 --> 06:45:45.454 region:rollup2
.
06:45:42.385 --> 06:45:46.322 region:rollup2
ONE.
06:45:45.454 --> 06:45:48.658 region:rollup2
HELLO I'M CONNIE MITCHELL.
06:45:46.322 --> 06:45:50.226 region:rollup2
OKAY.
06:45:48.658 --> 06:45:51.661 region:rollup2
I'M THE DEPUTY DIRECTOR OF THE
06:45:50.226 --> 06:45:52.862 region:rollup2
CENTER FOR FAMILY HEALTHY AND
06:45:51.661 --> 06:45:54.197 region:rollup2
YOU'RE GOING TO BE HEARING TODAY
06:45:52.862 --> 06:45:55.031 region:rollup2
FROM NOW ON EACH OF OUR
06:45:54.197 --> 06:45:56.465 region:rollup2
DIVISIONS WE HAVE THREE
06:45:55.031 --> 06:45:57.466 region:rollup2
DIVISIONS OF THE CENTER FOR
06:45:56.465 --> 06:45:59.068 region:rollup2
FAMILY HELPED. BY THE WEAK
06:45:57.466 --> 06:46:00.703 region:rollup2
DIVISION WILL BE PRESENTING
06:45:59.068 --> 06:46:02.972 region:rollup2
THEIR ESTIMATE.
06:46:00.703 --> 06:46:05.274 region:rollup2
WICCAN AT SUB AT THAT SRONG
06:46:02.972 --> 06:46:06.676 region:rollup2
FOCUS ON PROVIDING ACCESS TO
06:46:05.274 --> 06:46:08.644 region:rollup2
HEALTHY FOODS HILL HERE FROM OUR
06:46:06.676 --> 06:46:10.213 region:rollup2
HOME VISITING PROGRAM WHICH IS
06:46:08.644 --> 06:46:12.615 region:rollup2
EARLY UPSTREAM INTERVENTION FROM
06:46:10.213 --> 06:46:15.084 region:rollup2
ALL THE ROLE WOMEN. AND FINALLY
06:46:12.615 --> 06:46:17.920 region:rollup2
OUR GENETIC THE SECURITY PROGRAM
06:46:15.084 --> 06:46:18.921 region:rollup2
TAX AMERICAN JUST DO
06:46:17.920 --> 06:46:20.022 region:rollup2
INTRODUCTIONS FIRST.
06:46:18.921 --> 06:46:22.191 region:rollup2
LESLIE CALLOUSLY CHIEF OF THE
06:46:20.022 --> 06:46:23.392 region:rollup2
NCA EACH DIVISION.
06:46:22.191 --> 06:46:24.193 region:rollup2
RICHARD ONLY CHIEF OF THE JOHNS
06:46:23.392 --> 06:46:25.194 region:rollup2
THE SCREENING PROGRAM.
06:46:24.193 --> 06:46:27.196 region:rollup2
CHRISTINA OLSEN CHIEF OF THE
06:46:25.194 --> 06:46:29.098 region:rollup2
WEAK DIVISION OF PUBLIC HEALTH.
06:46:27.196 --> 06:46:31.234 region:rollup2
THANK YOU AND WE CAN PROCEED
06:46:29.098 --> 06:46:31.734 region:rollup2
SHOULD NUMBER SEVEN ACCESS ISSUE
06:46:31.234 --> 06:46:32.568 region:rollup2
NUMBER SEVEN PLEASE ACT
06:46:31.734 --> 06:46:33.069 region:rollup2
THINKING.
06:46:32.568 --> 06:46:34.604 region:rollup2
SO YOU HAVE ASKED THREE
06:46:33.069 --> 06:46:35.404 region:rollup2
QUESTIONS ABOUT THE WITH PROGRAM
06:46:34.604 --> 06:46:36.706 region:rollup2
AND THEY WILL LEAD WHAT
06:46:35.404 --> 06:46:38.841 region:rollup2
PERFECTLY ONE INT THE OTHER
06:46:36.706 --> 06:46:39.642 region:rollup2
SELF ON DISK PRIME GIVE YOU A
06:46:38.841 --> 06:46:41.644 region:rollup2
QUICK UPDATE.
06:46:39.642 --> 06:46:42.612 region:rollup2
I'M THE WOULD PROGRAM WE OF
06:46:41.644 --> 06:46:44.046 region:rollup2
COURSE HIS YOU KNOW RECEIVES
06:46:42.612 --> 06:46:45.681 region:rollup2
FEDERAL DOLLARS FROM THE US
06:46:44.046 --> 06:46:46.782 region:rollup2
DEPARTMENT OF AGRICULTURE AND WE
06:46:45.681 --> 06:46:48.017 region:rollup2
HAVE SUFFICIENT FEDERAL FUNDING
06:46:46.782 --> 06:46:49.018 region:rollup2
TO CONTINUE TO OPERATE THE
06:46:48.017 --> 06:46:51.020 region:rollup2
PROGRAM WITH NO IN.
06:46:49.018 --> 06:46:52.788 region:rollup2
GENERAL FUND.
06:46:51.020 --> 06:46:54.156 region:rollup2
IN ADDITION TO FEDERAL DOLLARS
06:46:52.788 --> 06:46:55.625 region:rollup2
FROM USDA WE ALSO RECEIVE A
06:46:54.156 --> 06:46:57.560 region:rollup2
REBATE FUNDS FROM THE CONTRACTED
06:46:55.625 --> 06:46:58.694 region:rollup2
INFANT FORMULA MANUFACTURER AND
06:46:57.560 --> 06:47:00.630 region:rollup2
WE MUST SPEND THOSE REBATE
06:46:58.694 --> 06:47:02.098 region:rollup2
DOLLARS FIRST ON OUR FOOD BEFORE
06:47:00.630 --> 06:47:03.399 region:rollup2
WE CAN TAP INTO FEDERAL DOLLARS
06:47:02.098 --> 06:47:05.201 region:rollup2
FOR FOOD.
06:47:03.399 --> 06:47:06.235 region:rollup2
COST DRIVERS FOR THE PROGRAM FOR
06:47:05.201 --> 06:47:08.704 region:rollup2
FOOD COSTS ARE PROGRAM
06:47:06.235 --> 06:47:10.907 region:rollup2
PARTICIPATION AND INFLATION ON
06:47:08.704 --> 06:47:12.541 region:rollup2
FOOD COSTS.
06:47:10.907 --> 06:47:13.876 region:rollup2
AB FOR THE BUDGET YEAR SUE ME
06:47:12.541 --> 06:47:15.344 region:rollup2
FOR THE IN THE BUDGET ACT WE HAD
06:47:13.876 --> 06:47:16.846 region:rollup2
ESTIMATED THAT WE WOULD SPEND
06:47:15.344 --> 06:47:19.015 region:rollup2
EIGHT HUNDRED SEVENTY FOUR
06:47:16.846 --> 06:47:20.650 region:rollup2
MILLION DOLLARS ON FOOD. AND
06:47:19.015 --> 06:47:21.417 region:rollup2
THIS ESTIMATE REVISE IS THAT THE
06:47:20.650 --> 06:47:22.985 region:rollup2
CURRENT YEAR FIVE TO EIGHT
06:47:21.417 --> 06:47:25.154 region:rollup2
HUNDRED AND THIRTY TWO MILLION
06:47:22.985 --> 06:47:25.755 region:rollup2
FOR FOOD AND EIGHT HUNDRED AND
06:47:25.154 --> 06:47:26.389 region:rollup2
NINETEEN MILLION IN THE BUDGET
06:47:25.755 --> 06:47:27.957 region:rollup2
YEAR.
06:47:26.389 --> 06:47:29.225 region:rollup2
THE BUDGET YEAR THAT ESTIMATE
06:47:27.957 --> 06:47:30.459 region:rollup2
INCLUDES FIVE HUNDRED EIGHTY
06:47:29.225 --> 06:47:32.328 region:rollup2
EIGHT MILLION DOLLARS FROM THE
06:47:30.459 --> 06:47:33.496 region:rollup2
FEDERAL FUND AND TWO HUNDRED AND
06:47:32.328 --> 06:47:35.698 region:rollup2
THIRTY ONE DOLLARS FROM OUR
06:47:33.496 --> 06:47:37.266 region:rollup2
REBATE FUNDS.
06:47:35.698 --> 06:47:39.135 region:rollup2
THERE IS NO CHANGE YOUR ESTIMATE
06:47:37.266 --> 06:47:40.603 region:rollup2
FOR OUR A LOCAL SERVICES THAT
06:47:39.135 --> 06:47:42.705 region:rollup2
HAVE THREE HUNDRED ONE MILLION
06:47:40.603 --> 06:47:44.540 region:rollup2
DOLLARS AND A MINOR ADJUSTMENT
06:47:42.705 --> 06:47:46.008 region:rollup2
TO OUR STATE OPERATIONS.
06:47:44.540 --> 06:47:47.977 region:rollup2
CALIFORNIA WHICH SERVES JUST
06:47:46.008 --> 06:47:49.612 region:rollup2
OVER ONE MILLION PARTICIPATION
06:47:47.977 --> 06:47:51.514 region:rollup2
PARTICIPANTS EACH MONTH AND THAT
06:47:49.612 --> 06:47:53.916 region:rollup2
NUMBER HAS BEEN DECLINING SINCE
06:47:51.514 --> 06:47:55.051 region:rollup2
TWENTY TWELVE.
06:47:53.916 --> 06:47:57.186 region:rollup2
I'M EACH YEAR THE US DEPARTMENT
06:47:55.051 --> 06:47:58.354 region:rollup2
OF AGRICULTURE PREPARES A REPORT
06:47:57.186 --> 06:47:59.622 region:rollup2
ESTIMATING THE WITH ELIGIBLE
06:47:58.354 --> 06:48:00.690 region:rollup2
POPULATION AND COMPARES THAT
06:47:59.622 --> 06:48:02.558 region:rollup2
ACTUAL NUMBER OF PRETTY
06:48:00.690 --> 06:48:04.160 region:rollup2
DEPENDS SERVED.
06:48:02.558 --> 06:48:05.995 region:rollup2
AND THE RESULTING PERCENTAGES
06:48:04.160 --> 06:48:07.596 region:rollup2
CALLED THE PROGRAM REACH.
06:48:05.995 --> 06:48:11.400 region:rollup2
CALIFORNIA CONTINUES TO HAVE THE
06:48:07.596 --> 06:48:11.400 region:rollup2
HIGHEST PROGRAM REACH OF ALL
06:48:11.467 --> 06:48:15.004 region:rollup2
DECLINING IN THE PAST YEARS.
06:48:13.069 --> 06:48:16.339 region:rollup2
THE MOST RECENT REPORT FROM USDA
06:48:15.004 --> 06:48:18.441 region:rollup2
WAS JUST RELEASED AND OF
06:48:16.339 --> 06:48:20.009 region:rollup2
FEBRUARY AND IT'S LOOKING AT
06:48:18.441 --> 06:48:21.477 region:rollup2
TWENTY FIFTEEN DATA.
06:48:20.009 --> 06:48:23.012 region:rollup2
CALIFORNIA'S PROGRAM REACH WITH
06:48:21.477 --> 06:48:24.480 region:rollup2
SIXTY FIVE PERCENT OF THE
06:48:23.012 --> 06:48:25.681 region:rollup2
ELIGIBLE POPULATION WHILE THE
06:48:24.480 --> 06:48:27.383 region:rollup2
NATIONAL AVERAGE WAS FIFTY TWO
06:48:25.681 --> 06:48:29.418 region:rollup2
PERCENT.
06:48:27.383 --> 06:48:31.120 region:rollup2
AT LAST YEAR'S REPORT WE WERE AT
06:48:29.418 --> 06:48:32.855 region:rollup2
SEVENTY ONE PERCENT ARM PROGRAM
06:48:31.120 --> 06:48:34.156 region:rollup2
REACH SO NOT ONLY ARE NUMBERS
06:48:32.855 --> 06:48:36.392 region:rollup2
DECLINING BUT OUR PROGRAM
06:48:34.156 --> 06:48:38.594 region:rollup2
REACHES DECLINING WHICH. IS A
06:48:36.392 --> 06:48:40.863 region:rollup2
SIGNIFICANT ISSUE FOR US.
06:48:38.594 --> 06:48:42.398 region:rollup2
THE USDA REPORT AB PRODUCES THIS
06:48:40.863 --> 06:48:43.966 region:rollup2
REPORT JUST AT THE STATE LEVEL
06:48:42.398 --> 06:48:45.534 region:rollup2
AND WE WANTED TO DIG DOWN DEEPER
06:48:43.966 --> 06:48:47.002 region:rollup2
SO A FEW YEARS AGO WE PARTNER
06:48:45.534 --> 06:48:48.637 region:rollup2
WITH MATERNAL. CHILD AND
06:48:47.002 --> 06:48:50.306 region:rollup2
ADOLESCENT HEALTH THEY HAVE A
06:48:48.637 --> 06:48:52.141 region:rollup2
GREAT EPIDEMIOLOGISTS TEAM. AND
06:48:50.306 --> 06:48:54.944 region:rollup2
THEY'D PREPARED A METHODOLOGY TO
06:48:52.141 --> 06:48:56.278 region:rollup2
TAKE THAT USDA PROCESS AT THE
06:48:54.944 --> 06:48:58.314 region:rollup2
LOCAL LEVEL WITH IN CALIFORNIA
06:48:56.278 --> 06:49:00.116 region:rollup2
SO WE WERE ABLE TO. ESTIMATE THE
06:48:58.314 --> 06:49:01.017 region:rollup2
PROGRAM REACH MORE AT THE COUNTY
06:49:00.116 --> 06:49:02.184 region:rollup2
LEVEL.
06:49:01.017 --> 06:49:04.220 region:rollup2
THE LAST TIME THAT WE DID THAT
06:49:02.184 --> 06:49:05.955 region:rollup2
WAS LOOKING AT BELIEVE IT WAS
06:49:04.220 --> 06:49:07.823 region:rollup2
TWENTY ELEVEN DATA AND SO WERE
06:49:05.955 --> 06:49:09.225 region:rollup2
UPDATING IT THIS YEAR TO LOOK AT
06:49:07.823 --> 06:49:10.893 region:rollup2
MORE RECENT DAVIS WILL ALSO HAVE
06:49:09.225 --> 06:49:13.629 region:rollup2
TWENTY FIFTEEN DATA. TO BE ABLE
06:49:10.893 --> 06:49:15.564 region:rollup2
TO CONNECT WITH THE USDA REPORT.
06:49:13.629 --> 06:49:17.533 region:rollup2
AND ONE LAST THE LAST TIME THAT
06:49:15.564 --> 06:49:18.701 region:rollup2
WE SAW WE SAW QUITE A VARIATION
06:49:17.533 --> 06:49:20.069 region:rollup2
ACROSS THE COUNTIES. IN
06:49:18.701 --> 06:49:21.103 region:rollup2
CALIFORNIA SO IT'S REALLY
06:49:20.069 --> 06:49:22.772 region:rollup2
IMPORTANT FOR US AND HOW WE
06:49:21.103 --> 06:49:25.341 region:rollup2
TARGET OUR OUR EFFORTS TO
06:49:22.772 --> 06:49:27.610 region:rollup2
IMPROVE PARTICIPATION.
06:49:25.341 --> 06:49:28.444 region:rollup2
WE'D LOOK WHEN WE DO OUR WORK
06:49:27.610 --> 06:49:30.079 region:rollup2
TO INCREASE PROGRAM
06:49:28.444 --> 06:49:31.280 region:rollup2
PARTICIPATION WE LOOK AT THREE
06:49:30.079 --> 06:49:32.948 region:rollup2
DIFFERENT CATEGORIES OF
06:49:31.280 --> 06:49:33.749 region:rollup2
INDIVIDUALS.
06:49:32.948 --> 06:49:34.216 region:rollup2
THE FIRST IS RETAINING OUR
06:49:33.749 --> 06:49:36.452 region:rollup2
ACTIVE PART
06:49:34.216 --> 06:49:38.587 region:rollup2
OFFENSE.
06:49:36.452 --> 06:49:39.955 region:rollup2
SECOND IS RE ENGAGING FAMILIES
06:49:38.587 --> 06:49:41.957 region:rollup2
THAT ARE CURRENTLY CERTIFIED IN
06:49:39.955 --> 06:49:43.626 region:rollup2
WHAT PROGRAM BUT NOT COMING IN
06:49:41.957 --> 06:49:45.494 region:rollup2
ACTIVELY TO RECEIVE THEIR TAX.
06:49:43.626 --> 06:49:46.996 region:rollup2
SO WHAT THE USDA COUNTS AS A
06:49:45.494 --> 06:49:48.330 region:rollup2
PARTICIPANT IS SOMEBODY THAT IS
06:49:46.996 --> 06:49:48.798 region:rollup2
NOT JUST CERTIFY BUT ACTUALLY
06:49:48.330 --> 06:49:50.266 region:rollup2
COMING IN ON A BREAK.
06:49:48.798 --> 06:49:52.368 region:rollup2
IT'S TO THE
06:49:50.266 --> 06:49:54.070 region:rollup2
TO PICK UP THEIR CHECKS.
06:49:52.368 --> 06:49:55.805 region:rollup2
AND ALASKA A CATEGORY IS
06:49:54.070 --> 06:49:57.073 region:rollup2
RECRUITING ELIGIBLE FAMILIES AND
06:49:55.805 --> 06:49:59.375 region:rollup2
IT'S IMPORTANT TO NOTE THAT
06:49:57.073 --> 06:50:01.310 region:rollup2
THOSE FAMILIES THAT ARE ELIGIBLE
06:49:59.375 --> 06:50:02.878 region:rollup2
NOT CERTIFIED. THEY MAY BE
06:50:01.310 --> 06:50:03.946 region:rollup2
COMPLETELY NEW TO WORK OR THEY
06:50:02.878 --> 06:50:05.548 region:rollup2
MAY HAVE BEEN PREVIOUS WITH
06:50:03.946 --> 06:50:07.583 region:rollup2
PARTICIPANTS PERHAPS THE CHILD
06:50:05.548 --> 06:50:08.884 region:rollup2
IS NOW THREE OR FOUR YEARS OLD
06:50:07.583 --> 06:50:09.752 region:rollup2
AND THEY'VE DROPPED OUT OF THE
06:50:08.884 --> 06:50:11.620 region:rollup2
PROGRAM OR THEY'VE.
06:50:09.752 --> 06:50:13.322 region:rollup2
.
06:50:11.620 --> 06:50:13.956 region:rollup2
SO THAT'S IT IMPORTANT THING
06:50:13.322 --> 06:50:15.124 region:rollup2
WHEN WE TALK ABOUT OUR OUTREACH
06:50:13.956 --> 06:50:16.525 region:rollup2
MESSAGING.
06:50:15.124 --> 06:50:17.960 region:rollup2
ARE THREE KEY STRATEGIES.
06:50:16.525 --> 06:50:19.595 region:rollup2
THE FIRST AREA IS DATA AND
06:50:17.960 --> 06:50:21.530 region:rollup2
RESEARCH.
06:50:19.595 --> 06:50:22.898 region:rollup2
SECOND AS OUTREACH AND THIRD IS
06:50:21.530 --> 06:50:24.633 region:rollup2
REVIEWING THE PROGRAM TO IMPROVE
06:50:22.898 --> 06:50:28.370 region:rollup2
UPON.
06:50:24.633 --> 06:50:28.971 region:rollup2
HALF OF THE PROGRAM THAT.
06:50:28.370 --> 06:50:29.672 region:rollup2
SO LOOKING AT DATA THERE'S A
06:50:28.971 --> 06:50:30.172 region:rollup2
NUMBER OF THINGS THAT WE'VE BEEN
06:50:29.672 --> 06:50:31.740 region:rollup2
DOING ANALYZING TRENDS
06:50:30.172 --> 06:50:33.309 region:rollup2
CONDUCTING STUDIES TO UNDERSTAND
06:50:31.740 --> 06:50:35.878 region:rollup2
THE REASONS WHY PEOPLE DO NOT
06:50:33.309 --> 06:50:37.580 region:rollup2
COME. TO WAKE OR STAY IN WAKE
06:50:35.878 --> 06:50:39.381 region:rollup2
AND THERE'S ALSO A NUMBER OF. OF
06:50:37.580 --> 06:50:41.083 region:rollup2
OUR PARTNERS OF DIFFERENT ABBASI
06:50:39.381 --> 06:50:41.584 region:rollup2
GROUPS AND FEDERAL PARTNERS THAT
06:50:41.083 --> 06:50:43.052 region:rollup2
ARE LOOKING AT THE SAME
06:50:41.584 --> 06:50:44.620 region:rollup2
QUESTIONS.
06:50:43.052 --> 06:50:46.021 region:rollup2
WE'VE PROVIDED DATA AND GEO
06:50:44.620 --> 06:50:48.290 region:rollup2
MAPPING TOOLS TO OUR LOCAL
06:50:46.021 --> 06:50:50.359 region:rollup2
AGENCIES. WE'VE FUNDED LOCAL
06:50:48.290 --> 06:50:52.061 region:rollup2
AGENCY PROJECTS WHO CONDUCTS AND
06:50:50.359 --> 06:50:54.497 region:rollup2
EVALUATE INNOVATIVE PROJECTS AS
06:50:52.061 --> 06:50:56.198 region:rollup2
WELL SO A FEW YEARS AGO YOU STA
06:50:54.497 --> 06:50:57.099 region:rollup2
OFFERED A GRANT FOR THAT. WAS A
06:50:56.198 --> 06:50:59.702 region:rollup2
VERY SMALL.
06:50:57.099 --> 06:51:01.070 region:rollup2
LEVEL OF NUMBER OF OF GRANTS
06:50:59.702 --> 06:51:03.239 region:rollup2
THEY WOULD GIVE NATIONALLY IN A
06:51:01.070 --> 06:51:04.507 region:rollup2
VERY SMALL DOLLAR AMOUNT AND
06:51:03.239 --> 06:51:06.976 region:rollup2
WE'VE KIND OF TOOK THAT.
06:51:04.507 --> 06:51:08.944 region:rollup2
PROCESS AND REPLICATED IT TO BE
06:51:06.976 --> 06:51:10.079 region:rollup2
MUCH BROADER WITHIN CALIFORNIA.
06:51:08.944 --> 06:51:11.447 region:rollup2
WE'RE ALSO DOING A LOT OF WORK
06:51:10.079 --> 06:51:13.315 region:rollup2
IN OUTREACH TO CONTINUE TO
06:51:11.447 --> 06:51:14.917 region:rollup2
SUPPORT LOCAL LOCAL OUTREACH
06:51:13.315 --> 06:51:16.552 region:rollup2
EFFORTS AND EXPANDING OUR STATE
06:51:14.917 --> 06:51:17.920 region:rollup2
LEVEL OUTREACH EFFORTS.
06:51:16.552 --> 06:51:19.155 region:rollup2
WE'VE DEVELOPING NEW
06:51:17.920 --> 06:51:20.656 region:rollup2
PARTNERSHIPS AND MESSAGING
06:51:19.155 --> 06:51:21.757 region:rollup2
ENSURING THAT WE'RE RESPONSIVE
06:51:20.656 --> 06:51:24.126 region:rollup2
TO WHAT WE LEARN FROM THE
06:51:21.757 --> 06:51:25.027 region:rollup2
RESEARCH ABOUT REASONS WHY
06:51:24.126 --> 06:51:26.061 region:rollup2
PEOPLE DON'T COMMERCE STAY IN
06:51:25.027 --> 06:51:27.463 region:rollup2
THE WITH PROGRAM. AND WE'RE
06:51:26.061 --> 06:51:29.565 region:rollup2
CONTINUE TO PARTNER WITH THE COW
06:51:27.463 --> 06:51:31.967 region:rollup2
FRESH PROGRAM ON OUTREACH
06:51:29.565 --> 06:51:33.068 region:rollup2
STRATEGIES AS WELL.
06:51:31.967 --> 06:51:34.336 region:rollup2
LASTLY WE'VE BEEN MAKING THE OF
06:51:33.068 --> 06:51:35.437 region:rollup2
REVIEWING OUR PROGRAM AND MAKING
06:51:34.336 --> 06:51:37.740 region:rollup2
FOR IMPROVEMENTS TO REDUCE
06:51:35.437 --> 06:51:39.508 region:rollup2
BARRIERS. OR MAKING ENROLLMENT
06:51:37.740 --> 06:51:41.377 region:rollup2
PROCESS MORE EFFICIENT REVIEWING
06:51:39.508 --> 06:51:42.711 region:rollup2
STATE POLICIES AND PROCEDURES TO
06:51:41.377 --> 06:51:44.547 region:rollup2
REDUCE ACCESS TIME WHILE
06:51:42.711 --> 06:51:46.215 region:rollup2
MAINTAINING MAINTAIN PROGRAM
06:51:44.547 --> 06:51:49.418 region:rollup2
INTEGRITY. MODERNIZING
06:51:46.215 --> 06:51:51.253 region:rollup2
COMMUNICATION WITH FAMILIES M.
06:51:49.418 --> 06:51:52.855 region:rollup2
ACCRETING NEW OR UPDATING
06:51:51.253 --> 06:51:54.256 region:rollup2
NUTRITION EDUCATION CLASSES A
06:51:52.855 --> 06:51:55.891 region:rollup2
MATERIAL SO THAT ONE FAMILIES
06:51:54.256 --> 06:51:56.792 region:rollup2
COMING TO WAKE THEY'RE NOT
06:51:55.891 --> 06:51:59.128 region:rollup2
SAYING THE SAME COSTS THAT
06:51:56.792 --> 06:51:59.962 region:rollup2
PERHAPS THEY SAW A YEAR AGO OR
06:51:59.128 --> 06:52:02.431 region:rollup2
TWO YEARS AGO WITH THE PREVIOUS
06:51:59.962 --> 06:52:03.899 region:rollup2
TROUT. AND CONTINUE TO FOCUS ON
06:52:02.431 --> 06:52:05.367 region:rollup2
TRAINING ON THE LOCAL AGENCY
06:52:03.899 --> 06:52:05.968 region:rollup2
STAFF SO THAT THE CUSTOMER
06:52:05.367 --> 06:52:08.203 region:rollup2
SERVICE THAT CLIENTS RECEIVED
06:52:05.968 --> 06:52:11.574 region:rollup2
IS.
06:52:08.203 --> 06:52:12.074 region:rollup2
IS OF UTMOST QUALITY WHILE.
06:52:11.574 --> 06:52:15.077 region:rollup2
THANK YOU A INCOMES ILIO
06:52:12.074 --> 06:52:15.244 region:rollup2
FINANCE.
06:52:15.077 --> 06:52:15.911 region:rollup2
SO.
06:52:15.244 --> 06:52:17.713 region:rollup2
JUST
06:52:15.911 --> 06:52:19.348 region:rollup2
SO.
06:52:17.713 --> 06:52:20.416 region:rollup2
GIVEN THE DATA MAYBE I MISSED IT
06:52:19.348 --> 06:52:21.350 region:rollup2
WHEN HE SAID THAT WHAT IS THE
06:52:20.416 --> 06:52:23.686 region:rollup2
FORTY THINK IS THE BIGGEST
06:52:21.350 --> 06:52:26.789 region:rollup2
FACTOR IN THE DECLINE AND
06:52:23.686 --> 06:52:28.357 region:rollup2
PARTICULARLY THE UP PERCENTAGE.
06:52:26.789 --> 06:52:29.425 region:rollup2
YOUR REACH FACTOR AND. THERE'S
06:52:28.357 --> 06:52:32.261 region:rollup2
A NUMBER OF REASONS AND
06:52:29.425 --> 06:52:34.463 region:rollup2
UNFORTUNATELY IT'S NOT ONE.
06:52:32.261 --> 06:52:35.497 region:rollup2
REALLY CLEAR ANSWER THERE WASN'T
06:52:34.463 --> 06:52:36.832 region:rollup2
THERE HAS BEEN SOME STUDIES
06:52:35.497 --> 06:52:39.134 region:rollup2
ABOUT WHITE PEOPLE THAT WERE
06:52:36.832 --> 06:52:41.103 region:rollup2
ELIGIBLE FOR WAKE DID NOT IN
06:52:39.134 --> 06:52:43.205 region:rollup2
ROLL. THAT BATES TO QUESTIONS
06:52:41.103 --> 06:52:44.740 region:rollup2
THERE IS THE BIGGEST RESPONSE
06:52:43.205 --> 06:52:46.609 region:rollup2
THE MOST COMMON RESPONSES OR. I
06:52:44.740 --> 06:52:47.543 region:rollup2
DIDN'T THINK I WAS ELIGIBLE SO
06:52:46.609 --> 06:52:49.311 region:rollup2
ONE OF THE THINGS THAT WE WANT
06:52:47.543 --> 06:52:51.180 region:rollup2
TO FOCUS ON IS WORKING FAMILIES
06:52:49.311 --> 06:52:53.382 region:rollup2
MAKING SURE THAT THEY KNOW THAT
06:52:51.180 --> 06:52:54.049 region:rollup2
THEY MIGHT THEIR OWN SELF
06:52:53.382 --> 06:52:54.717 region:rollup2
PERCEPTION OF JAIL OUR OWN SELF.
06:52:54.049 --> 06:52:56.185 region:rollup2
AND THEN THE SECOND PIECE WHICH
06:52:54.717 --> 06:52:57.519 region:rollup2
IS REALLY INTERESTING IS THEY
06:52:56.185 --> 06:52:59.088 region:rollup2
DIDN'T FEEL THAT THEY NEED AT
06:52:57.519 --> 06:53:01.357 region:rollup2
THE PROGRAM OWE IT AND.
06:52:59.088 --> 06:53:03.359 region:rollup2
THE ME HA MATERNAL INFANT
06:53:01.357 --> 06:53:05.227 region:rollup2
HEALTH ASSESSMENT QUESTIONNAIRE
06:53:03.359 --> 06:53:07.429 region:rollup2
THAT ALSO MC H. CONDUCTS.
06:53:05.227 --> 06:53:08.597 region:rollup2
THEY ASKED THE QUESTION OF
06:53:07.429 --> 06:53:10.132 region:rollup2
PREGNANT WOMEN OR WOMEN THAT
06:53:08.597 --> 06:53:12.134 region:rollup2
HAVE GIVEN BIRTH.
06:53:10.132 --> 06:53:13.569 region:rollup2
THAT WERE WITH THEIR. DELIVERY
06:53:12.134 --> 06:53:15.771 region:rollup2
WAS COVERED BY MEDICARE SO WHY
06:53:13.569 --> 06:53:17.272 region:rollup2
DID YOU ENROLL IN WAKE WHEN YOU
06:53:15.771 --> 06:53:19.074 region:rollup2
WERE ELIGIBLE FOR WAKE.
06:53:17.272 --> 06:53:20.643 region:rollup2
AND THEY SOME OF THEM SAID THEY
06:53:19.074 --> 06:53:21.577 region:rollup2
DIDN'T NEED THE PROGRAM BUT THEY
06:53:20.643 --> 06:53:23.112 region:rollup2
ALSO MIGHT ANSWER ANOTHER
06:53:21.577 --> 06:53:24.780 region:rollup2
QUESTION THAT SAYS YES THEY DO
06:53:23.112 --> 06:53:27.883 region:rollup2
EXPERIENCE FOOD INSECURITY.
06:53:24.780 --> 06:53:28.984 region:rollup2
SO THAT'S VERY.
06:53:27.883 --> 06:53:30.953 region:rollup2
PROCESS VERY INTERESTING
06:53:28.984 --> 06:53:32.855 region:rollup2
RESPONSE THERE SO WE NEED TO
06:53:30.953 --> 06:53:34.623 region:rollup2
CONTINUE TO MESSAGE TO FAMILIES
06:53:32.855 --> 06:53:36.291 region:rollup2
THAT WORKING FAMILIES ARE.
06:53:34.623 --> 06:53:37.326 region:rollup2
ELIGIBLE FOR THE PROGRAM HOW DO
06:53:36.291 --> 06:53:38.560 region:rollup2
WE AND HOW DO WE CREATE.
06:53:37.326 --> 06:53:40.729 region:rollup2
.
06:53:38.560 --> 06:53:42.097 region:rollup2
RESOLVE THOSE MANY PEOPLE HAVE
06:53:40.729 --> 06:53:42.931 region:rollup2
TIME DATE I MEAN IS THAT AND
06:53:42.097 --> 06:53:45.267 region:rollup2
BECAUSE HE SAID IT'S DECLINING
06:53:42.931 --> 06:53:46.669 region:rollup2
SO IT'S THEIR SHIFTING ATTITUDE
06:53:45.267 --> 06:53:47.703 region:rollup2
THAT'S CHANGING OUR AYE OF ARE
06:53:46.669 --> 06:53:49.138 region:rollup2
YOU ONLY HAVE ONE POINT TIMES
06:53:47.703 --> 06:53:50.939 region:rollup2
THAT'S WHEN THAT INTERVIEW THAT
06:53:49.138 --> 06:53:53.742 region:rollup2
WAS A THAT WAS ONE PARTICULAR.
06:53:50.939 --> 06:53:54.943 region:rollup2
SURVEY ASKING OKAY PRIVATELY
06:53:53.742 --> 06:53:56.145 region:rollup2
OWNED Y. THEY DIDN'T ENROLL
06:53:54.943 --> 06:53:58.981 region:rollup2
ANOTHER PIECE THAT HAS BEEN
06:53:56.145 --> 06:54:00.149 region:rollup2
CHANGING AS THAT GAP OF.
06:53:58.981 --> 06:54:01.317 region:rollup2
FAMILIES THAT ARE CERTIFIED BUT
06:54:00.149 --> 06:54:02.418 region:rollup2
NOT COMING IN FOR THE CHECKS
06:54:01.317 --> 06:54:02.851 region:rollup2
THAT THAT GROUP IS GROWING AS
06:54:02.418 --> 06:54:06.455 region:rollup2
WELL.
06:54:02.851 --> 06:54:07.323 region:rollup2
OKAY.
06:54:06.455 --> 06:54:08.557 region:rollup2
ALRIGHT I DECIDED EMPATHIZES
06:54:07.323 --> 06:54:10.225 region:rollup2
WITH REDUCTION IS HAPPENING ALL
06:54:08.557 --> 06:54:11.827 region:rollup2
ACROSS THE COUNTRY SO ALL OTHER
06:54:10.225 --> 06:54:13.095 region:rollup2
STATE SAY HOW'RE YOU DOING SO
06:54:11.827 --> 06:54:14.963 region:rollup2
GOOD.
06:54:13.095 --> 06:54:16.031 region:rollup2
DON'T THINK THAT WE THINK
06:54:14.963 --> 06:54:17.666 region:rollup2
THERE'S A LOT OF ROOM FOR
06:54:16.031 --> 06:54:19.101 region:rollup2
IMPROVEMENT BUT THAT'S THE SAME
06:54:17.666 --> 06:54:20.369 region:rollup2
PHENOMENA ALL ACROSS THE COUNTRY
06:54:19.101 --> 06:54:22.971 region:rollup2
THERE'S A SOLELY IN SOME KIND OF
06:54:20.369 --> 06:54:24.840 region:rollup2
SECULAR TREND THAT'S GOING ON.
06:54:22.971 --> 06:54:25.908 region:rollup2
THAT'S OKAY THAT MAY BE
06:54:24.840 --> 06:54:26.842 region:rollup2
HAPPENING ACROSS THE COUNTRY IN.
06:54:25.908 --> 06:54:28.644 region:rollup2
BIRTH
06:54:26.842 --> 06:54:30.345 region:rollup2
SO ARE DECLINE SIMILAR TO THAT
06:54:28.644 --> 06:54:32.481 region:rollup2
OF OTHER STATES INTERNET RATE.
06:54:30.345 --> 06:54:33.148 region:rollup2
OKAY.
06:54:32.481 --> 06:54:35.684 region:rollup2
ALRIGHT WELL GET SOME WORK TO DO
06:54:33.148 --> 06:54:36.885 region:rollup2
THERE.
06:54:35.684 --> 06:54:38.020 region:rollup2
ALRIGHT.
06:54:36.885 --> 06:54:39.888 region:rollup2
AT ANY COMMENTS. OKAY PUBLIC
06:54:38.020 --> 06:54:41.090 region:rollup2
COMMENT.
06:54:39.888 --> 06:54:42.224 region:rollup2
BUT HEARING FARLEY WITH THE
06:54:41.090 --> 06:54:43.659 region:rollup2
CALIFORNIA WITH ASSOCIATION
06:54:42.224 --> 06:54:44.960 region:rollup2
ASSOCIATION FOR THE EIGHTY THREE
06:54:43.659 --> 06:54:45.994 region:rollup2
AGENCIES.
06:54:44.960 --> 06:54:47.329 region:rollup2
AND WE APPRECIATE THIS
06:54:45.994 --> 06:54:49.465 region:rollup2
DISCUSSION ON THE DECLINE IT'S
06:54:47.329 --> 06:54:50.999 region:rollup2
VERY CONCERNING AND SOMETHING
06:54:49.465 --> 06:54:51.467 region:rollup2
THAT WE HAVE TO REMEMBER IS WITH
06:54:50.999 --> 06:54:52.568 region:rollup2
ASSOCIATED WITH A VERY
06:54:51.467 --> 06:54:54.837 region:rollup2
IMPORTANT.
06:54:52.568 --> 06:54:55.637 region:rollup2
HEALTH OUTCOMES.
06:54:54.837 --> 06:54:56.739 region:rollup2
AND THESE ARE PROBABLY ALREADY
06:54:55.637 --> 06:54:58.340 region:rollup2
ERODING IF WE'VE HAD FIVE YEAR
06:54:56.739 --> 06:55:00.376 region:rollup2
DECLINE.
06:54:58.340 --> 06:55:02.878 region:rollup2
LOW BIRTH WEIGHTS PRETERM BIRTHS
06:55:00.376 --> 06:55:04.379 region:rollup2
ANEMIA. CHILDHOOD OBESITY THESE
06:55:02.878 --> 06:55:07.015 region:rollup2
ARE THINGS THAT WHAT REALLY
06:55:04.379 --> 06:55:08.283 region:rollup2
CREDITED WITH IT WITH IMPROVING.
06:55:07.015 --> 06:55:09.852 region:rollup2
VOTE RELEVANT TO YOUR COMMITTEE
06:55:08.283 --> 06:55:11.286 region:rollup2
WHAT I'D LIKE TO POINT OUT. IS A
06:55:09.852 --> 06:55:12.221 region:rollup2
LOCAL AGENCIES ARE VERY
06:55:11.286 --> 06:55:13.856 region:rollup2
CONCERNED ABOUT THE TYPE OF
06:55:12.221 --> 06:55:15.824 region:rollup2
CONTRACT THEY HAVE WITH THE
06:55:13.856 --> 06:55:16.892 region:rollup2
STATE DEPARTMENT OF PUBLIC
06:55:15.824 --> 06:55:18.494 region:rollup2
HEALTH IT'S QUITE RESTRICTIVE.
06:55:16.892 --> 06:55:19.461 region:rollup2
AND WITH DECLINING PARTICIPATION
06:55:18.494 --> 06:55:20.929 region:rollup2
WE HAVE TO BE REALLY AWARE THAT
06:55:19.461 --> 06:55:23.265 region:rollup2
WE'RE PROTECTING THOSE FEDERAL
06:55:20.929 --> 06:55:25.400 region:rollup2
DOLLARS IN THE LOCAL AGENCIES
06:55:23.265 --> 06:55:26.835 region:rollup2
CAN FULLY USE THOSE CONTRACTS
06:55:25.400 --> 06:55:27.970 region:rollup2
AND SPEND THEIR MONEY. WERE
06:55:26.835 --> 06:55:29.605 region:rollup2
AWARE.
06:55:27.970 --> 06:55:31.473 region:rollup2
THAT THE STATE USES SOME OTHER
06:55:29.605 --> 06:55:32.875 region:rollup2
CONTRACTS FOR OTHER PROGRAMS
06:55:31.473 --> 06:55:35.744 region:rollup2
THAT ARE PERHAPS MORE FLEXIBLE.
06:55:32.875 --> 06:55:37.479 region:rollup2
YOU WOULD ASK THAT SOME A
06:55:35.744 --> 06:55:39.248 region:rollup2
INVESTIGATION BE AYE.
06:55:37.479 --> 06:55:40.382 region:rollup2
HE PUT ON THIS TOPIC SO THAT.
06:55:39.248 --> 06:55:42.184 region:rollup2
THE LOCAL AGENCIES CAN BE
06:55:40.382 --> 06:55:43.552 region:rollup2
REASSURED THAT THEY CAN FULL USE
06:55:42.184 --> 06:55:45.220 region:rollup2
THEIR DOLLARS AND WE WOULD
06:55:43.552 --> 06:55:47.322 region:rollup2
RESPECTFULLY SUGGEST.
06:55:45.220 --> 06:55:49.024 region:rollup2
AN URGENCY TO THE US AND THAT
06:55:47.322 --> 06:55:50.159 region:rollup2
THE TRAILER BILL MIGHT BE A AN
06:55:49.024 --> 06:55:50.692 region:rollup2
AVENUE FOR ADDRESSING THIS
06:55:50.159 --> 06:55:53.462 region:rollup2
VEHICLE VERY SOON.
06:55:50.692 --> 06:55:54.863 region:rollup2
THANK YOU.
06:55:53.462 --> 06:55:57.533 region:rollup2
THANK YOU ANY COMMENTS FROM THE
06:55:54.863 --> 06:56:00.636 region:rollup2
DEPARTMENT ABOUT FLEXIBILITY AT
06:55:57.533 --> 06:56:01.804 region:rollup2
CHALLENGES THERE.
06:56:00.636 --> 06:56:03.405 region:rollup2
SO WE CERTAINLY HAVE HAD THIS
06:56:01.804 --> 06:56:05.107 region:rollup2
DISCUSSION FOR AWHILE WITH OUR
06:56:03.405 --> 06:56:07.910 region:rollup2
LOCAL AGENCIES AND.
06:56:05.107 --> 06:56:10.012 region:rollup2
ITEM WE FOLLOW AT THE CONTRACT
06:56:07.910 --> 06:56:12.881 region:rollup2
MODEL THAT IN A PUBLIC CONTRACT
06:56:10.012 --> 06:56:14.249 region:rollup2
CODE FOR CONTRACTS THAT ARE NOT.
06:56:12.881 --> 06:56:15.884 region:rollup2
ALLOCATED THROUGH COMPETITIVE
06:56:14.249 --> 06:56:18.020 region:rollup2
BID PROCESS AND MANY OF OUR
06:56:15.884 --> 06:56:19.087 region:rollup2
LOCAL AGENCIES ARE NOT COUNTY
06:56:18.020 --> 06:56:20.489 region:rollup2
HEALTH DEPARTMENTS AS WELL SO
06:56:19.087 --> 06:56:21.590 region:rollup2
THAT DOES.
06:56:20.489 --> 06:56:23.025 region:rollup2
CREATE AN ADDITIONAL CHALLENGE
06:56:21.590 --> 06:56:25.561 region:rollup2
WHERE THERE ARE SOME CONTRACT
06:56:23.025 --> 06:56:26.728 region:rollup2
MODELS THAT ARE ALLOWABLE IF ALL
06:56:25.561 --> 06:56:28.197 region:rollup2
THE AGENCIES ARE COUNTY HEALTH
06:56:26.728 --> 06:56:29.398 region:rollup2
DEPARTMENTS BUT WE ARE NOT ABLE
06:56:28.197 --> 06:56:31.400 region:rollup2
TO FOLLOW THOSE.
06:56:29.398 --> 06:56:32.167 region:rollup2
BECAUSE WE HAVE A LOT ABOUT HALF
06:56:31.400 --> 06:56:33.769 region:rollup2
OF OUR CONTRACTS ARE NOT WITH
06:56:32.167 --> 06:56:35.737 region:rollup2
COUNTY HEALTH DEPARTMENTS.
06:56:33.769 --> 06:56:36.405 region:rollup2
IN THIS MODEL OF CONTRACTING IS
06:56:35.737 --> 06:56:38.240 region:rollup2
THAT SOMETHING THAT'S RECENT
06:56:36.405 --> 06:56:39.274 region:rollup2
ARTS AND EVEN DOING THE SAME WAY
06:56:38.240 --> 06:56:41.076 region:rollup2
FOR EVER.
06:56:39.274 --> 06:56:42.978 region:rollup2
BETWEEN.
06:56:41.076 --> 06:56:45.447 region:rollup2
WE JEFF WE HAD TO CHANGE THAT
06:56:42.978 --> 06:56:47.082 region:rollup2
MODEL ABOUT FOUR YEARS AGO.
06:56:45.447 --> 06:56:47.850 region:rollup2
BEFORE YEARS OUT OF FOUR YEARS
06:56:47.082 --> 06:56:51.286 region:rollup2
AGO.
06:56:47.850 --> 06:56:53.088 region:rollup2
OKAY.
06:56:51.286 --> 06:56:54.857 region:rollup2
EN WELL AS IF THERE'S A SECULAR
06:56:53.088 --> 06:56:56.258 region:rollup2
TREND FOR DECLINE BUT THE THINK
06:56:54.857 --> 06:56:58.026 region:rollup2
IT HAS ANYTHING.
06:56:56.258 --> 06:56:59.228 region:rollup2
THE THINK THERE'S AN IMPACT OF
06:56:58.026 --> 06:57:00.429 region:rollup2
THAT TO CHECK ON WHAT THE
06:56:59.228 --> 06:57:02.431 region:rollup2
PREVIOUS MODELS BEFORE IS
06:57:00.429 --> 06:57:04.266 region:rollup2
CHANGED AND WHETHER IT WAS MORE
06:57:02.431 --> 06:57:05.234 region:rollup2
FLEXIBILITY HERE.
06:57:04.266 --> 06:57:06.768 region:rollup2
SO THE NEW I HAVE TO LOOK AT
06:57:05.234 --> 06:57:08.337 region:rollup2
THE NEW CONTRACT MODEL CAME
06:57:06.768 --> 06:57:09.538 region:rollup2
AFTER THE DECLINE HAD ALREADY
06:57:08.337 --> 06:57:10.806 region:rollup2
STARTED AND THE DECLINE AS
06:57:09.538 --> 06:57:11.773 region:rollup2
CONNIE HAD SAID THEY'D DECLINE
06:57:10.806 --> 06:57:12.507 region:rollup2
IS HAPPENING IN OTHER STATES AS
06:57:11.773 --> 06:57:14.343 region:rollup2
WELL.
06:57:12.507 --> 06:57:16.011 region:rollup2
WELL.
06:57:14.343 --> 06:57:17.446 region:rollup2
IT'S
06:57:16.011 --> 06:57:19.481 region:rollup2
DOES NOT THINK ABOUT WHETHER YOU
06:57:17.446 --> 06:57:20.482 region:rollup2
KNOW.
06:57:19.481 --> 06:57:21.450 region:rollup2
MAYBE IT DOESN'T THAT I MEAN I'M
06:57:20.482 --> 06:57:23.118 region:rollup2
NOT SAYING TO THE CLIENTS
06:57:21.450 --> 06:57:24.520 region:rollup2
BECAUSE JUST BY THIS BUT YOU
06:57:23.118 --> 06:57:26.388 region:rollup2
KNOW THIS EXACERBATED DOES IT
06:57:24.520 --> 06:57:28.190 region:rollup2
CAUSE ANY ISSUES ARE WHATEVER
06:57:26.388 --> 06:57:29.725 region:rollup2
ELSE.
06:57:28.190 --> 06:57:30.259 region:rollup2
PAGE GOT TO RECOGNIZE IS ALWAYS
06:57:29.725 --> 06:57:31.860 region:rollup2
CHALLENGES WHEN YOU PUBLIC
06:57:30.259 --> 06:57:33.328 region:rollup2
DOLLARS IN.
06:57:31.860 --> 06:57:34.796 region:rollup2
ACTUALLY HAVE I GUESS IS A SOLE
06:57:33.328 --> 06:57:35.464 region:rollup2
SOURCE CONTRACT OF SORTS RIGHT.
06:57:34.796 --> 06:57:37.099 region:rollup2
NOW THAT THERE ALWAYS PRESENTS
06:57:35.464 --> 06:57:38.066 region:rollup2
SOME CHALLENGES TO IN TERMS OF
06:57:37.099 --> 06:57:39.434 region:rollup2
ACCOUNTABILITY AND SO FORTH BUT.
06:57:38.066 --> 06:57:40.869 region:rollup2
.
06:57:39.434 --> 06:57:44.573 region:rollup2
AND ASSURING THE PUBLIC.
06:57:40.869 --> 06:57:46.675 region:rollup2
BUT VIA ALSO LOOKS MORE.
06:57:44.573 --> 06:57:48.543 region:rollup2
MY THINK SINCE THEY. THINK ABOUT
06:57:46.675 --> 06:57:49.544 region:rollup2
THAT STUFF ALRIGHT.
06:57:48.543 --> 06:57:51.280 region:rollup2
A DESPITE WANTED OUT OF AT THE
06:57:49.544 --> 06:57:53.649 region:rollup2
TIME. I THINK THAT WE REALLY
06:57:51.280 --> 06:57:54.883 region:rollup2
NEEDED TO LEARN WHAT MIGHT BE
06:57:53.649 --> 06:57:56.585 region:rollup2
CONTRIBUTING TO THE DECLINE AND
06:57:54.883 --> 06:57:58.820 region:rollup2
SELL THE IDEAS FIRST TO REALLY
06:57:56.585 --> 06:57:59.588 region:rollup2
UNDERSTAND WHO IS A FIVE MINUTE
06:57:58.820 --> 06:58:01.823 region:rollup2
POPULATION THAT WE NEED TO
06:57:59.588 --> 06:58:03.692 region:rollup2
ADDRESS. HOW DO WE BEST REACH
06:58:01.823 --> 06:58:03.892 region:rollup2
THEM ONE OF THE KEY MESSAGES AND
06:58:03.692 --> 06:58:05.627 region:rollup2
THEN?
06:58:03.892 --> 06:58:06.862 region:rollup2
HAVE A COORDINATED APPROACH
06:58:05.627 --> 06:58:08.397 region:rollup2
THROUGHOUT THE WHOLE STATE THERE
06:58:06.862 --> 06:58:10.032 region:rollup2
IS SOME CONCERN THAT GET PEOPLE
06:58:08.397 --> 06:58:11.300 region:rollup2
DOING KIND OF THEIR OWN THING
06:58:10.032 --> 06:58:12.401 region:rollup2
THAT YOU'RE NOT REALLY
06:58:11.300 --> 06:58:13.669 region:rollup2
ADDRESSING THE REAL PROBLEM.
06:58:12.401 --> 06:58:17.673 region:rollup2
THEM IN A COMMENT TO SINCE CAN
06:58:13.669 --> 06:58:18.874 region:rollup2
PARLAY THE CALIFORNIA
06:58:17.673 --> 06:58:21.009 region:rollup2
ASSOCIATION VERY STRONG PARTNER.
06:58:18.874 --> 06:58:22.644 region:rollup2
BY THEY REFERRED TO THE TBL THAT
06:58:21.009 --> 06:58:24.012 region:rollup2
CAME UP I'M PREVIOUS OF THE THE
06:58:22.644 --> 06:58:26.048 region:rollup2
OBSTACLE TO PROPOSAL.
06:58:24.012 --> 06:58:27.049 region:rollup2
WE ARE VERY MUCH IN FAVOR OF
06:58:26.048 --> 06:58:28.850 region:rollup2
TRYING TO FIND HUESO CROPPING
06:58:27.049 --> 06:58:30.319 region:rollup2
APPEASING CROSS ELIGIBILITY
06:58:28.850 --> 06:58:32.354 region:rollup2
BETWEEN MEDI CAL ON LIKE WE JUST
06:58:30.319 --> 06:58:34.656 region:rollup2
NOT HAVE HAD THE OPPORTUNITY TO
06:58:32.354 --> 06:58:36.224 region:rollup2
EVALUATE THE FISCAL IMPACT FOR
06:58:34.656 --> 06:58:37.392 region:rollup2
OUR PROGRAM IN IMPLEMENTING THAT
06:58:36.224 --> 06:58:39.394 region:rollup2
I WANT TO MAKE SURE THAT. WE
06:58:37.392 --> 06:58:40.529 region:rollup2
HAVE THAT ON THE RECORD OKAY
06:58:39.394 --> 06:58:42.030 region:rollup2
THANK YOU.
06:58:40.529 --> 06:58:44.232 region:rollup2
ALRIGHT OF CIVIL HOLD THAT ITEM
06:58:42.030 --> 06:58:46.134 region:rollup2
OPEN AND LET'S MOVE ON THE ISSUE
06:58:44.232 --> 06:58:47.202 region:rollup2
MEMORY EARLY IN AND. INFINITE
06:58:46.134 --> 06:58:48.670 region:rollup2
EARLY CHILDHOOD HOME VISITATION
06:58:47.202 --> 06:58:50.172 region:rollup2
PROGRAM.
06:58:48.670 --> 06:58:51.239 region:rollup2
THANK YOU SO MUCH THE MATERNAL
06:58:50.172 --> 06:58:52.808 region:rollup2
CHILD AND ADOLESCENT HEALTH
06:58:51.239 --> 06:58:54.509 region:rollup2
DIVISION REQUEST TO CONVERT
06:58:52.808 --> 06:58:55.811 region:rollup2
TWENTY SEVEN LAMENTED TERM
06:58:54.509 --> 06:58:56.812 region:rollup2
POSITIONS INTO PERMANENT
06:58:55.811 --> 06:58:58.947 region:rollup2
POSITIONS.
06:58:56.812 --> 06:59:00.749 region:rollup2
HE'S TWENTY SEVEN POSITIONS ARE
06:58:58.947 --> 06:59:03.151 region:rollup2
FUNDED BY FEDERAL FUNDS.
06:59:00.749 --> 06:59:05.253 region:rollup2
AND AS OF FEBRUARY NINTH PIECE
06:59:03.151 --> 06:59:06.321 region:rollup2
THE FEDERAL FUNDS THAT WE KNOW
06:59:05.253 --> 06:59:08.190 region:rollup2
THE FEDERAL GOVERNMENT PASSED IN
06:59:06.321 --> 06:59:09.558 region:rollup2
THEIR THEIR RESOLUTION MONEY TO
06:59:08.190 --> 06:59:12.194 region:rollup2
SUPPORT THESE HOME VISITING
06:59:09.558 --> 06:59:13.895 region:rollup2
PROGRAMS. FOR ANOTHER FIVE YEARS
06:59:12.194 --> 06:59:15.797 region:rollup2
SO WE KNOW THAT THAT THE FUNDING
06:59:13.895 --> 06:59:17.332 region:rollup2
IS SOLID FROM THE FEDS WE GET
06:59:15.797 --> 06:59:17.799 region:rollup2
ABOUT TWENTY TWO MILLION DOLLARS
06:59:17.332 --> 06:59:19.101 region:rollup2
FOR THESE TWENTY SEVEN
06:59:17.799 --> 06:59:20.869 region:rollup2
POSITIONS.
06:59:19.101 --> 06:59:22.571 region:rollup2
AND THAT A ENABLES US TO CARRY
06:59:20.869 --> 06:59:23.872 region:rollup2
OUT HOME VISITING PROGRAMS IN
06:59:22.571 --> 06:59:25.340 region:rollup2
TWENTY THREE COUNTIES ACROSS
06:59:23.872 --> 06:59:28.143 region:rollup2
CALIFORNIA.
06:59:25.340 --> 06:59:29.044 region:rollup2
WE HAVE TODAY'S MADE OVER ARE
06:59:28.143 --> 06:59:30.645 region:rollup2
CLOSE TO A HUNDRED AND FIFTY
06:59:29.044 --> 06:59:32.214 region:rollup2
THOUSAND HOME VISITS WE SERVED
06:59:30.645 --> 06:59:34.182 region:rollup2
NEARLY EIGHT THOUSAND FAMILIES
06:59:32.214 --> 06:59:37.185 region:rollup2
AND CURRENTLY WE CARRY CASELOAD
06:59:34.182 --> 06:59:38.654 region:rollup2
OF AROUND TWO THOUSAND.
06:59:37.185 --> 06:59:41.256 region:rollup2
THANK YOU ANY COMES FROM ALEJO.
06:59:38.654 --> 06:59:42.224 region:rollup2
FINANCE.
06:59:41.256 --> 06:59:43.558 region:rollup2
BUT IT'S JUST KNOWS THAT WE
06:59:42.224 --> 06:59:45.927 region:rollup2
SUPPORT THE PROPOSAL.
06:59:43.558 --> 06:59:47.396 region:rollup2
OKAY THANK YOU WELL I APPRECIATE
06:59:45.927 --> 06:59:48.997 region:rollup2
THE GOVERNORS THAT COMMITMENT TO
06:59:47.396 --> 06:59:50.499 region:rollup2
HOME VISITATION WE'D THERE'S ALL
06:59:48.997 --> 06:59:51.933 region:rollup2
THAT DATA AND THEY BILLS MODEL
06:59:50.499 --> 06:59:53.068 region:rollup2
ALL THAT.
06:59:51.933 --> 06:59:55.804 region:rollup2
MILLER THAT AND SO.
06:59:53.068 --> 06:59:57.739 region:rollup2
ANY PUBLIC COMMENT.
06:59:55.804 --> 07:00:01.710 region:rollup2
CASEY NO PUBLIC COMMENT.
06:59:57.739 --> 07:00:03.912 region:rollup2
WE WILL. ALSO PUT THAT.
07:00:01.710 --> 07:00:04.713 region:rollup2
I WASN'T ON HOLD A.
07:00:03.912 --> 07:00:06.882 region:rollup2
LEAVE IT OPEN.
07:00:04.713 --> 07:00:08.950 region:rollup2
BUT CERTAINLY WANTED SUPPORT
07:00:06.882 --> 07:00:10.919 region:rollup2
CONTINUING OUR CHILDHOOD SOME
07:00:08.950 --> 07:00:12.020 region:rollup2
VISITATION PROGRAMS.
07:00:10.919 --> 07:00:12.854 region:rollup2
AND I'VE ANY COMMITTEE MEMBERS
07:00:12.020 --> 07:00:14.289 region:rollup2
HERE OF A RUNNY THINKS THE
07:00:12.854 --> 07:00:16.425 region:rollup2
MOMENT BUT.
07:00:14.289 --> 07:00:17.859 region:rollup2
MAY REVISE WOLF OKAY AYE AYE
07:00:16.425 --> 07:00:19.027 region:rollup2
ISSUE NUMBER SIX GENETIC
07:00:17.859 --> 07:00:21.296 region:rollup2
SCREENING PROGRAM LOCAL
07:00:19.027 --> 07:00:25.067 region:rollup2
ASSISTANCE ESTIMATES.
07:00:21.296 --> 07:00:25.067 region:rollup2
I'M NOT NINE A CITY.
07:00:25.133 --> 07:00:28.270 region:rollup2
EIGHTEEN NINETEEN THE GDP SP
07:00:27.135 --> 07:00:29.638 region:rollup2
ESTIMATE IN THE GOVERNMENT'S
07:00:28.270 --> 07:00:31.406 region:rollup2
BUDGET LISTS A TOTAL OF JUST
07:00:29.638 --> 07:00:33.041 region:rollup2
UNDER HUNDRED AND THIRTY THREE
07:00:31.406 --> 07:00:34.176 region:rollup2
MILLION DOLLARS WHICH IS AS YOU
07:00:33.041 --> 07:00:34.443 region:rollup2
KNOW FEE SUPPORTED THROUGH THE
07:00:34.176 --> 07:00:36.478 region:rollup2
GENETIC.
07:00:34.443 --> 07:00:37.746 region:rollup2
STING FUN.
07:00:36.478 --> 07:00:39.147 region:rollup2
AND THIS REPRESENTS AN INCREASE
07:00:37.746 --> 07:00:41.183 region:rollup2
OF ABOUT A HALF MILLION OVER THE
07:00:39.147 --> 07:00:42.084 region:rollup2
SEVENTEEN EIGHTEEN ESTIMATE AND
07:00:41.183 --> 07:00:43.418 region:rollup2
ABOUT ONE AND A HALF MILLION
07:00:42.084 --> 07:00:45.253 region:rollup2
OVER THE SEVENTEEN EIGHTEEN
07:00:43.418 --> 07:00:47.389 region:rollup2
BUDGET ACT.
07:00:45.253 --> 07:00:48.924 region:rollup2
THEY'VE ONLY BEEN SLIGHTCHANGES
07:00:47.389 --> 07:00:50.425 region:rollup2
IN OUR SCREENING CASELOAD THIS
07:00:48.924 --> 07:00:52.094 region:rollup2
INCREASE IN OUR BUDGET FOR
07:00:50.425 --> 07:00:54.129 region:rollup2
EIGHTEEN NINETEEN IS LARGELY DUE
07:00:52.094 --> 07:00:55.697 region:rollup2
TO EXPENDITURES REQUIRED TO
07:00:54.129 --> 07:00:59.000 region:rollup2
COMPLY WITH THE NEWBORN
07:00:55.697 --> 07:01:00.035 region:rollup2
SCREENING EXPANSION. PREVENTS
07:00:59.000 --> 07:01:01.203 region:rollup2
ENACTED IN TWENTY SIXTEEN.
07:01:00.035 --> 07:01:03.338 region:rollup2
THROUGH LEGISLATION AND
07:01:01.203 --> 07:01:04.840 region:rollup2
INITIATED BY THE CHAIR.
07:01:03.338 --> 07:01:05.941 region:rollup2
WHICH WILL EFFECTIVELY A TWO
07:01:04.840 --> 07:01:07.809 region:rollup2
NEW NEW DISORDERS TO THE
07:01:05.941 --> 07:01:09.344 region:rollup2
CALIFORNIA NEWBORN SCREENING
07:01:07.809 --> 07:01:09.911 region:rollup2
PANEL IN TWENTY EIGHTEEN.
07:01:09.344 --> 07:01:12.314 region:rollup2
DUE TO THE RECENT ADDITION
07:01:09.911 --> 07:01:13.849 region:rollup2
THE FEDERAL BURKE.
07:01:12.314 --> 07:01:14.916 region:rollup2
SCREENING PAN ON THOSE DISORDERS
07:01:13.849 --> 07:01:16.785 region:rollup2
ARE POMPEII DISEASE AND IM PS
07:01:14.916 --> 07:01:18.453 region:rollup2
ONE.
07:01:16.785 --> 07:01:20.155 region:rollup2
THE INCREASE IN EXPENDITURES
07:01:18.453 --> 07:01:22.324 region:rollup2
WILL BE REQUIRED FOR EXPANSIONS
07:01:20.155 --> 07:01:24.226 region:rollup2
AND TESTINGS IN OUR LABORATORY
07:01:22.324 --> 07:01:25.994 region:rollup2
IN RICHMOND. OF FOR THE NEW
07:01:24.226 --> 07:01:28.597 region:rollup2
DISORDERS A WHICH IS REQUIRED TO
07:01:25.994 --> 07:01:29.931 region:rollup2
BEGIN BY AUGUST TWENTY EIGHTEEN.
07:01:28.597 --> 07:01:31.867 region:rollup2
THESE ADDITIONAL COSTS WILL
07:01:29.931 --> 07:01:34.069 region:rollup2
REQUIRE A NEWBORN SCREENING FEE
07:01:31.867 --> 07:01:36.605 region:rollup2
INCREASE OF TWELVE DOLLARS PER
07:01:34.069 --> 07:01:38.006 region:rollup2
SPECIMEN FOR THE NEW DISORDERS.
07:01:36.605 --> 07:01:39.341 region:rollup2
OF SO LITTLE GO FROM AROUND
07:01:38.006 --> 07:01:40.942 region:rollup2
HUNDRED THIRTY DOLLARS TWO
07:01:39.341 --> 07:01:42.844 region:rollup2
HUNDRED FORTY TWO DOLLARS AND
07:01:40.942 --> 07:01:44.646 region:rollup2
TWENTY FIVE CENTS EFFECTIVE IN
07:01:42.844 --> 07:01:45.714 region:rollup2
JULY THIS YEAR.
07:01:44.646 --> 07:01:47.716 region:rollup2
BY THE FEE INCREASE WILL
07:01:45.714 --> 07:01:49.684 region:rollup2
PRIMARILY COSTS BECAUSE OF.
07:01:47.716 --> 07:01:50.952 region:rollup2
COVER THE COSTS OF ROUTINE
07:01:49.684 --> 07:01:52.788 region:rollup2
TESTING WITH OUR LABORATORY
07:01:50.952 --> 07:01:54.189 region:rollup2
DEVELOPED TESTS.
07:01:52.788 --> 07:01:56.291 region:rollup2
AND EVENTUALLY THE COSTS OF
07:01:54.189 --> 07:01:59.161 region:rollup2
PROCESSES INVOLVED WITH ROLLOUT
07:01:56.291 --> 07:02:00.796 region:rollup2
OF FDA APPROVED TEST KITS.
07:01:59.161 --> 07:02:02.497 region:rollup2
THAT COULD BE USED IN OUR
07:02:00.796 --> 07:02:04.266 region:rollup2
REGIONAL LABORATORIES.
07:02:02.497 --> 07:02:05.967 region:rollup2
ARE APPROVALS BY THE FDA ARE
07:02:04.266 --> 07:02:08.036 region:rollup2
PROJECTED TO OCCUR LATER THIS
07:02:05.967 --> 07:02:09.404 region:rollup2
YEAR OR AND TWENTY NINETEEN THEN
07:02:08.036 --> 07:02:11.039 region:rollup2
WE WOULD PLAN TO IMPLEMENT
07:02:09.404 --> 07:02:13.875 region:rollup2
SCREENING OVER TWO OR THREE
07:02:11.039 --> 07:02:14.176 region:rollup2
YEARS AFTER THAT.
07:02:13.875 --> 07:02:16.077 region:rollup2
THANK YOU.
07:02:14.176 --> 07:02:18.547 region:rollup2
ALEJO SUMMITS FINANCE
07:02:16.077 --> 07:02:20.115 region:rollup2
I PUBLIC COMMENT.
07:02:18.547 --> 07:02:21.783 region:rollup2
OKAY THANK YOU FOR YOUR HARD
07:02:20.115 --> 07:02:23.318 region:rollup2
WORK ON THIS.
07:02:21.783 --> 07:02:25.020 region:rollup2
SAVING LIVES AND ACTUALLY WE'RE
07:02:23.318 --> 07:02:27.355 region:rollup2
SAVING I THINK WILL BE SAVING
07:02:25.020 --> 07:02:29.124 region:rollup2
MONEY TO BECAUSE WELL IT'S NOT
07:02:27.355 --> 07:02:30.825 region:rollup2
THE PUBLIC HEALTH SIDE. AMEND
07:02:29.124 --> 07:02:32.494 region:rollup2
HER COLLEAGUES IN MEDI CAL WILL
07:02:30.825 --> 07:02:35.297 region:rollup2
HOPEFULLY BE HAVING TO PAY FOR.
07:02:32.494 --> 07:02:35.931 region:rollup2
CARE DATA WAS BECAUSE MY CITIES
07:02:35.297 --> 07:02:37.032 region:rollup2
DISEASES WE CAN PREVENT THEM SO
07:02:35.931 --> 07:02:39.100 region:rollup2
THANK YOU.
07:02:37.032 --> 07:02:41.436 region:rollup2
YES OKAY ISSUE NUMBER TEN NEW
07:02:39.100 --> 07:02:43.305 region:rollup2
GENETIC DISORDERS SP TEN NINETY
07:02:41.436 --> 07:02:44.973 region:rollup2
FIVE AND SECOND YOUR TESTING.
07:02:43.305 --> 07:02:47.108 region:rollup2
BUT SO THIS IS ARE OF A NEWBORN
07:02:44.973 --> 07:02:48.543 region:rollup2
SCREENING BCP AND WE HAVE AROUND
07:02:47.108 --> 07:02:49.945 region:rollup2
TWO MILLION DOLLARS.
07:02:48.543 --> 07:02:52.113 region:rollup2
REQUESTED AN ONGOING
07:02:49.945 --> 07:02:53.782 region:rollup2
EXPENDITURE AUTHORITY FROM THE
07:02:52.113 --> 07:02:55.383 region:rollup2
GENETIC DISEASE TESTING FUN. OF
07:02:53.782 --> 07:02:56.918 region:rollup2
THIS IS WHAT WITH FIFTEEN NEW
07:02:55.383 --> 07:02:58.553 region:rollup2
POSITIONS FOR PERSONNEL WHO WERE
07:02:56.918 --> 07:03:00.889 region:rollup2
PERFORMED SCREENING FOR THE NEW
07:02:58.553 --> 07:03:02.157 region:rollup2
DISORDERS AND ARE A RICHMOND
07:03:00.889 --> 07:03:04.659 region:rollup2
LABORATORY.
07:03:02.157 --> 07:03:06.528 region:rollup2
WORD MEANING EXPECTED TIMELINE
07:03:04.659 --> 07:03:08.430 region:rollup2
SO THERE ARE NO CONCERNS ABOUT
07:03:06.528 --> 07:03:09.698 region:rollup2
THE EXPECTED LAUNCH OF THE NEW
07:03:08.430 --> 07:03:10.865 region:rollup2
DISORDER SCREENING IN OUR AND
07:03:09.698 --> 07:03:12.033 region:rollup2
AUGUST.
07:03:10.865 --> 07:03:13.969 region:rollup2
OTHER NEW PERSONNEL WILL BE
07:03:12.033 --> 07:03:15.670 region:rollup2
REQUIRED TO CARRY OUT CARRY OUT
07:03:13.969 --> 07:03:16.471 region:rollup2
THE ONGOING PROCESSES OF
07:03:15.670 --> 07:03:17.439 region:rollup2
SCREENING.
07:03:16.471 --> 07:03:18.907 region:rollup2
FOR THE NEW DISORDERS IN OUR
07:03:17.439 --> 07:03:20.942 region:rollup2
LAB.
07:03:18.907 --> 07:03:22.510 region:rollup2
AND ALSO IN THE BCP WE'VE LISTED
07:03:20.942 --> 07:03:25.180 region:rollup2
A FOUR HUNDRED SIXTY THOUSAND
07:03:22.510 --> 07:03:26.748 region:rollup2
DOLLARS AND A STATE OPERATIONS.
07:03:25.180 --> 07:03:28.917 region:rollup2
EXPENDITURE AUTHORITY AND THREE
07:03:26.748 --> 07:03:29.818 region:rollup2
POSITIONS FOR ONGOING SECOND
07:03:28.917 --> 07:03:31.152 region:rollup2
TIER TESTING.
07:03:29.818 --> 07:03:32.721 region:rollup2
SECOND YOUR TESTING IS
07:03:31.152 --> 07:03:34.055 region:rollup2
PERFORMING A SECOND SCREEN ON
07:03:32.721 --> 07:03:36.691 region:rollup2
THE SAME BLOOD SPOT THAT'S A
07:03:34.055 --> 07:03:39.861 region:rollup2
COLLECTED. ORIGINALLY TO REDUCE.
07:03:36.691 --> 07:03:41.296 region:rollup2
FALSE POSITIVE RESULTS.
07:03:39.861 --> 07:03:42.330 region:rollup2
BUT I'M WE ALREADY DO THIS A
07:03:41.296 --> 07:03:44.266 region:rollup2
LITTLE BIT OF SECOND TIER
07:03:42.330 --> 07:03:45.867 region:rollup2
TESTING FOR A CONDITION SUCH AS
07:03:44.266 --> 07:03:47.569 region:rollup2
ADRENAL CATASTROPHE.
07:03:45.867 --> 07:03:48.036 region:rollup2
AS DISPLAYED IN THE ESTIMATE
07:03:47.569 --> 07:03:49.838 region:rollup2
THIS.
07:03:48.036 --> 07:03:51.940 region:rollup2
FOUR HUNDRED SIXTY THOUSAND
07:03:49.838 --> 07:03:53.975 region:rollup2
DOLLAR INCREASE WILL BE OFFSET
07:03:51.940 --> 07:03:55.310 region:rollup2
BY A DECREASE ARE OF THE SAME
07:03:53.975 --> 07:03:56.745 region:rollup2
AMOUNT IN LOCAL ASSISTANCE
07:03:55.310 --> 07:03:58.146 region:rollup2
FUNDING.
07:03:56.745 --> 07:04:00.415 region:rollup2
AND THAT AND HAPPENS BY
07:03:58.146 --> 07:04:02.150 region:rollup2
DECREASING OUR COSTS FOR FOLLOW
07:04:00.415 --> 07:04:03.551 region:rollup2
UP OF FALSE POSITIVES SCREENS
07:04:02.150 --> 07:04:05.921 region:rollup2
AND FOR UNNECESSARY CONFIRMATORY
07:04:03.551 --> 07:04:10.025 region:rollup2
TESTING.
07:04:05.921 --> 07:04:11.092 region:rollup2
I THANK YOU COMES ALEJO FINANCE.
07:04:10.025 --> 07:04:12.494 region:rollup2
AND SUPPORTS A PROPOSAL OF
07:04:11.092 --> 07:04:14.262 region:rollup2
BECAUSE IT ACCOMMODATES AND THE
07:04:12.494 --> 07:04:16.031 region:rollup2
EW TESTING THAT IS REQUIRED BY
07:04:14.262 --> 07:04:17.098 region:rollup2
THE FEDERAL RUST.
07:04:16.031 --> 07:04:19.334 region:rollup2
THANK YOU BYE PUBLIC COMMENT.
07:04:17.098 --> 07:04:21.836 region:rollup2
SEEING NONE.
07:04:19.334 --> 07:04:24.439 region:rollup2
THANK YOU. AGAIN AND IT WILL
07:04:21.836 --> 07:04:25.440 region:rollup2
HOLD THIS ITEM OPEN.
07:04:24.439 --> 07:04:27.442 region:rollup2
THAT THE GUYS NEVER SAID THE
07:04:25.440 --> 07:04:29.377 region:rollup2
PREVIOUS ITEM AS WELL SO. LIVES
07:04:27.442 --> 07:04:30.312 region:rollup2
NINE INTERNAL HELD OPEN. RIGHT
07:04:29.377 --> 07:04:31.813 region:rollup2
THANK YOU SO NEXT THAT IS
07:04:30.312 --> 07:04:33.949 region:rollup2
FINALLY IS ISSUE NUMBER ELEVEN
07:04:31.813 --> 07:04:35.784 region:rollup2
WE HAVE TO.
07:04:33.949 --> 07:04:41.222 region:rollup2
PROPOSALS FOR INVESTMENT.
07:04:35.784 --> 07:04:42.223 region:rollup2
WHAT'S ONE.
07:04:41.222 --> 07:04:43.992 region:rollup2
DON'T ENOUGH GREAT OKAY SO I
07:04:42.223 --> 07:04:45.994 region:rollup2
GUESS RESERVE ONE TO HEAR TODAY
07:04:43.992 --> 07:04:47.095 region:rollup2
WITCHES.
07:04:45.994 --> 07:04:47.362 region:rollup2
FOR WAS A DIFFERENT OF THE CARE
07:04:47.095 --> 07:04:49.464 region:rollup2
FOR A LS.
07:04:47.362 --> 07:04:53.768 region:rollup2
WELCOME.
07:04:49.464 --> 07:04:56.037 region:rollup2
IT.
07:04:53.768 --> 07:04:58.640 region:rollup2
ACTUALLY SIR SOMEONE FROM THE
07:04:56.037 --> 07:05:00.642 region:rollup2
PART PUBLIC HEALTH WHO.
07:04:58.640 --> 07:05:01.743 region:rollup2
BIRD THIS WOULD FALL UNDER WANTS
07:05:00.642 --> 07:05:06.281 region:rollup2
TO BE A FABLE LAWLER.
07:05:01.743 --> 07:05:07.682 region:rollup2
THANK YOU.
07:05:06.281 --> 07:05:08.750 region:rollup2
WE ALSO GIVE THE DEPARTMENT
07:05:07.682 --> 07:05:11.019 region:rollup2
OPPORTUNITIES SAY SOMETHING THEY
07:05:08.750 --> 07:05:13.988 region:rollup2
HAVE A THING TO SAY ABOUT IT AND
07:05:11.019 --> 07:05:15.023 region:rollup2
IF YOU DON'T MOTHER WAS. LISTENS
07:05:13.988 --> 07:05:16.591 region:rollup2
WELL ALRIGHT THANK YOU.
07:05:15.023 --> 07:05:17.926 region:rollup2
OKAY US SO FOR THE RECORD OF YOU
07:05:16.591 --> 07:05:18.560 region:rollup2
TO PLEASE INTRODUCE YOURSELVES
07:05:17.926 --> 07:05:19.694 region:rollup2
AND THEN I'LL ASK IF YOU CAN TRY
07:05:18.560 --> 07:05:21.830 region:rollup2
TO.
07:05:19.694 --> 07:05:23.665 region:rollup2
I KEEP REMARKS TWO. TOTAL THREE
07:05:21.830 --> 07:05:24.632 region:rollup2
MINUTES I APPRECIATE ITSELF WAS
07:05:23.665 --> 07:05:26.134 region:rollup2
FIRST INTRODUCED INTRODUCTIONS
07:05:24.632 --> 07:05:27.002 region:rollup2
FIRST BUT THANK YOU MISTER
07:05:26.134 --> 07:05:28.203 region:rollup2
CHAIRMAN AND MEMBERS I'M FRED
07:05:27.002 --> 07:05:29.237 region:rollup2
NOWHERE IN OUR FROM REPRESENTS
07:05:28.203 --> 07:05:32.474 region:rollup2
THE ALICE'S.
07:05:29.237 --> 07:05:34.609 region:rollup2
THANK YOU.
07:05:32.474 --> 07:05:36.177 region:rollup2
SEC VOLUNTEER I WITH THE ELLIS
07:05:34.609 --> 07:05:38.446 region:rollup2
ASSOCIATION ALSO ON THE BOARD OF
07:05:36.177 --> 07:05:39.547 region:rollup2
THE GOLDEN WEST CHAPTER OF THE
07:05:38.446 --> 07:05:40.882 region:rollup2
ALS ASSOCIATION OF YOUR BUT YOUR
07:05:39.547 --> 07:05:42.884 region:rollup2
NAME AGAIN FOR THE RECORD LINDA
07:05:40.882 --> 07:05:44.185 region:rollup2
DELA. RIGHT OF BY FUNDS OFF WITH
07:05:42.884 --> 07:05:46.921 region:rollup2
A TIME PAMELA JACOBSEN I'M THE
07:05:44.185 --> 07:05:48.890 region:rollup2
VICE PRESIDENT OF CARE SERVICES
07:05:46.921 --> 07:05:50.425 region:rollup2
FOR THE ALS ASSOCIATION.
07:05:48.890 --> 07:05:51.760 region:rollup2
OKAY WELL WELCOME EVERYONE.
07:05:50.425 --> 07:05:52.994 region:rollup2
YOU WANT OF IT BEGIN.
07:05:51.760 --> 07:05:54.129 region:rollup2
THANK YOU MISTER CHAIR IT'S A
07:05:52.994 --> 07:05:55.330 region:rollup2
VERY NICE BEARD WE WOULD VERY
07:05:54.129 --> 07:05:56.698 region:rollup2
MUCH APPRECIATE THE OPPORTUNITY
07:05:55.330 --> 07:05:58.266 region:rollup2
PRESENTS PROPOSAL.
07:05:56.698 --> 07:06:00.168 region:rollup2
AND BEEN BRIEFED THE LS
07:05:58.266 --> 07:06:01.269 region:rollup2
ASSOCIATION IS REQUESTING THREE
07:06:00.168 --> 07:06:03.004 region:rollup2
MILLION DOLLARS.
07:06:01.269 --> 07:06:04.506 region:rollup2
TO SUPPORT THE ONGOING WORK.
07:06:03.004 --> 07:06:06.541 region:rollup2
OF ITS ACTIVITIES AND DIRECT
07:06:04.506 --> 07:06:07.108 region:rollup2
CARE FOR PATIENTS WHO HAVE BEEN
07:06:06.541 --> 07:06:08.243 region:rollup2
DIAGNOSED WITH LOU GEHRIG'S
07:06:07.108 --> 07:06:10.211 region:rollup2
DISEASE.
07:06:08.243 --> 07:06:11.946 region:rollup2
AND JUST A BIT OF BACKGROUND IN
07:06:10.211 --> 07:06:13.548 region:rollup2
TWO THOUSAND A THE ASSOCIATION
07:06:11.946 --> 07:06:15.083 region:rollup2
SPONSORED SENATE BILL FIFTY NO
07:06:13.548 --> 07:06:17.185 region:rollup2
THREE SIGNED BY THEN GOVERNOR
07:06:15.083 --> 07:06:19.054 region:rollup2
SCHWARZENEGGER THAT PUT INTO THE
07:06:17.185 --> 07:06:21.256 region:rollup2
IS HEALTH AND SAFETY CODE. THE
07:06:19.054 --> 07:06:23.091 region:rollup2
OPTIMAL MODEL OF CARE FOR ALS
07:06:21.256 --> 07:06:24.926 region:rollup2
PATIENTS NAMELY AND THE
07:06:23.091 --> 07:06:26.761 region:rollup2
SUBCOMMITTEE ANALYSIS DID A VERY
07:06:24.926 --> 07:06:27.962 region:rollup2
NICE JOB DESCRIBING IT. AND
07:06:26.761 --> 07:06:30.265 region:rollup2
EVIDENCE BASED MULTI
07:06:27.962 --> 07:06:32.467 region:rollup2
DISCIPLINARY WRAPAROUND SYSTEM
07:06:30.265 --> 07:06:33.535 region:rollup2
OF CARE THAT COMBINES MEDICAL
07:06:32.467 --> 07:06:34.903 region:rollup2
COMMUNITY AND HOME BASED
07:06:33.535 --> 07:06:36.905 region:rollup2
SERVICES.
07:06:34.903 --> 07:06:38.640 region:rollup2
THEY'LL ASSOCIATION CERTIFIES
07:06:36.905 --> 07:06:40.375 region:rollup2
THE SITES AROUND THE STATE KNOWN
07:06:38.640 --> 07:06:43.878 region:rollup2
AS CENTERS OF EXCELLENCE WHERE
07:06:40.375 --> 07:06:45.380 region:rollup2
ALS PATIENTS RECEIVED THIS CARE.
07:06:43.878 --> 07:06:48.450 region:rollup2
ALL OF THE MONEY THE ASSOCIATION
07:06:45.380 --> 07:06:50.418 region:rollup2
RAISES FOR ITS PROGRAMS COMES
07:06:48.450 --> 07:06:51.953 region:rollup2
FROM PHILANTHROPIC SOURCES AND
07:06:50.418 --> 07:06:54.322 region:rollup2
WE'RE HERE TODAY BECAUSE. THE
07:06:51.953 --> 07:06:56.558 region:rollup2
ASSOCIATION CANNOT KEEP PACE
07:06:54.322 --> 07:06:58.393 region:rollup2
WITH THE GROWING DEMAND FOR CARE
07:06:56.558 --> 07:06:59.561 region:rollup2
FOR THREE ESSENTIAL REASONS
07:06:58.393 --> 07:07:01.396 region:rollup2
NUMBER ONE.
07:06:59.561 --> 07:07:04.165 region:rollup2
MORE AND MORE PATIENTS WITH THE
07:07:01.396 --> 07:07:05.700 region:rollup2
DISEASE ARE AVAILING THEMSELVES
07:07:04.165 --> 07:07:06.968 region:rollup2
OF THE CARE IS AT THE CENTERS.
07:07:05.700 --> 07:07:08.903 region:rollup2
REFERRALS FROM GENERAL
07:07:06.968 --> 07:07:10.972 region:rollup2
NEUROLOGISTS TO THE CENTERS ARE
07:07:08.903 --> 07:07:12.607 region:rollup2
GROWING AND THE GOOD NEWS IS
07:07:10.972 --> 07:07:14.342 region:rollup2
MORE PATIENTS ARE COMING TO THE
07:07:12.607 --> 07:07:15.043 region:rollup2
CENTERS AT AN EARLIER STAGE IN
07:07:14.342 --> 07:07:16.911 region:rollup2
THEIR DIAGNOSIS.
07:07:15.043 --> 07:07:18.213 region:rollup2
NUMBER TWO.
07:07:16.911 --> 07:07:19.881 region:rollup2
CALIFORNIA HAS MORE PATIENCE
07:07:18.213 --> 07:07:21.649 region:rollup2
THAN ANY OTHER STATE DIAGNOSED
07:07:19.881 --> 07:07:23.017 region:rollup2
WITH LOU GEHRIG'S DISEASE. AND
07:07:21.649 --> 07:07:24.886 region:rollup2
WITH THE GROWING GENERAL
07:07:23.017 --> 07:07:26.721 region:rollup2
POPULATION IN THE STATE. THE
07:07:24.886 --> 07:07:28.123 region:rollup2
OVERALL CASELOAD AVAIL AS
07:07:26.721 --> 07:07:29.591 region:rollup2
PATIENTS IN CALIFORNIA IS ALSO
07:07:28.123 --> 07:07:30.959 region:rollup2
GROWING.
07:07:29.591 --> 07:07:32.293 region:rollup2
AND ONE OF OUR WITNESSES WILL
07:07:30.959 --> 07:07:34.162 region:rollup2
SPEAK TO THIS IN A MINUTE.
07:07:32.293 --> 07:07:36.231 region:rollup2
AND AND NUMBER THREE BECAUSE OF
07:07:34.162 --> 07:07:37.632 region:rollup2
THE QUALITY OF CARE RECEIVED AT
07:07:36.231 --> 07:07:39.534 region:rollup2
THE CENTERS AND AGAIN MORE
07:07:37.632 --> 07:07:40.768 region:rollup2
PEOPLE ARE AT THE CENTERS.
07:07:39.534 --> 07:07:41.836 region:rollup2
AND I AS WELL AS IN THE
07:07:40.768 --> 07:07:44.239 region:rollup2
COMMUNITY IN THE SERVICES THAT
07:07:41.836 --> 07:07:44.806 region:rollup2
THE ASSOCIATION PROVIDES PEOPLE
07:07:44.239 --> 07:07:46.007 region:rollup2
WITH THE DISEASE ARE LIVING
07:07:44.806 --> 07:07:47.175 region:rollup2
LONGER.
07:07:46.007 --> 07:07:48.810 region:rollup2
I THINK WAS VERY NOTABLE THAT
07:07:47.175 --> 07:07:50.812 region:rollup2
STEPHEN HAWKING PASSED AWAY BUT
07:07:48.810 --> 07:07:52.780 region:rollup2
TEN DAYS AGO HE HAD EXEMPLARY
07:07:50.812 --> 07:07:54.816 region:rollup2
CARE AND THERE'S NO DOUBT THE
07:07:52.780 --> 07:07:56.117 region:rollup2
EVIDENCE SHOWS. LIFE IS LONGER
07:07:54.816 --> 07:07:57.352 region:rollup2
WHEN YOU HAVE BETTER CARE.
07:07:56.117 --> 07:07:59.120 region:rollup2
WE HAD ONE EXPLORATORY MEETING
07:07:57.352 --> 07:08:00.688 region:rollup2
WITH THE DEPARTMENT OF PUBLIC
07:07:59.120 --> 07:08:02.524 region:rollup2
HEALTH AND WHAT FINANCE. AND WE
07:08:00.688 --> 07:08:03.791 region:rollup2
SIMPLY WANT TO THANK YOU AGAIN
07:08:02.524 --> 07:08:05.793 region:rollup2
FOR YOUR ATTENTION. TOWARD
07:08:03.791 --> 07:08:07.428 region:rollup2
REQUEST TO KEEP THEM HIS PROGRAM
07:08:05.793 --> 07:08:08.530 region:rollup2
GOING IN THE IN LIGHT OF THE
07:08:07.428 --> 07:08:10.732 region:rollup2
GROWTH OF THE NUMBERS.
07:08:08.530 --> 07:08:12.901 region:rollup2
THE CURRENT FINANCIAL STRUCTURES
07:08:10.732 --> 07:08:15.403 region:rollup2
UNSUSTAINABLE WE REALLY HAVE
07:08:12.901 --> 07:08:17.305 region:rollup2
NOWHERE ELSE TO GO SO THANK YOU.
07:08:15.403 --> 07:08:19.007 region:rollup2
ALRIGHT THANK YOU HOUSTON ALMOST
07:08:17.305 --> 07:08:20.275 region:rollup2
ALL THE TIME BUT. MEDICAID. AND
07:08:19.007 --> 07:08:22.210 region:rollup2
LINDA AND AYE LINDA DANO
07:08:20.275 --> 07:08:24.179 region:rollup2
REPRESENT PATIENTS AND FAMILIES
07:08:22.210 --> 07:08:26.080 region:rollup2
WITH A LS ON. AND I'M ALSO HERE
07:08:24.179 --> 07:08:27.282 region:rollup2
IN MEMORY OF MY HUSBAND WHO WAS
07:08:26.080 --> 07:08:28.783 region:rollup2
THE CHIEF CONSULTANT FOR THE
07:08:27.282 --> 07:08:30.218 region:rollup2
SENATE ENERGY. ENERGY COMMITTEE
07:08:28.783 --> 07:08:31.653 region:rollup2
FROM US TWENTY YEARS HE PASSED
07:08:30.218 --> 07:08:32.353 region:rollup2
AWAY IN TWO THOUSAND EIGHT WITH
07:08:31.653 --> 07:08:33.955 region:rollup2
A LS.
07:08:32.353 --> 07:08:35.790 region:rollup2
BUT A LOT OF PEOPLE DON'T KNOW
07:08:33.955 --> 07:08:37.659 region:rollup2
ABOUT ALS IS THAT IT'S SUCH A
07:08:35.790 --> 07:08:39.327 region:rollup2
COMPLICATED DISEASE THAT ANYONE
07:08:37.659 --> 07:08:41.629 region:rollup2
DOCTOR USUALLY DOESN'T KNOW WHAT
07:08:39.327 --> 07:08:42.864 region:rollup2
TO DO. AND EVEN IN THE MOST
07:08:41.629 --> 07:08:44.966 region:rollup2
NEUROLOGISTS I KNOW YOUR DOCTOR
07:08:42.864 --> 07:08:46.701 region:rollup2
MOST UROLOGISTS MAYBE ONLY SEE
07:08:44.966 --> 07:08:47.669 region:rollup2
ONE LS PATIENT IN THEIR ENTIRE
07:08:46.701 --> 07:08:49.704 region:rollup2
CAREER.
07:08:47.669 --> 07:08:51.573 region:rollup2
SO WE ARE VERY DEPENDENT UPON
07:08:49.704 --> 07:08:53.274 region:rollup2
THE CENTERS THAT ARE DEVELOPED
07:08:51.573 --> 07:08:55.243 region:rollup2
BY THE LS ASSOCIATION.
07:08:53.274 --> 07:08:56.911 region:rollup2
TO JUST SUSTAIN LIFE AND
07:08:55.243 --> 07:09:00.048 region:rollup2
EVERYBODY'S ELLIS IS DIFFERENT
07:08:56.911 --> 07:09:02.450 region:rollup2
SO THESE ARE LIFE SUSTAINING A.
07:09:00.048 --> 07:09:03.851 region:rollup2
CENTERS THAT NEED YOUR SUPPORT
07:09:02.450 --> 07:09:05.420 region:rollup2
AND I WOULD LIKE TO UNDERSCORE
07:09:03.851 --> 07:09:07.956 region:rollup2
THAT THANK YOU VERY MUCH FOR
07:09:05.420 --> 07:09:09.691 region:rollup2
YOUR FOR ANY SUPPORT AND YOU.
07:09:07.956 --> 07:09:11.492 region:rollup2
CORD OF THIS MODEL OF CARE OUR
07:09:09.691 --> 07:09:12.961 region:rollup2
CLINIC COORDINATORS CASE
07:09:11.492 --> 07:09:15.430 region:rollup2
CONFERENCING TO DEVELOP CARE
07:09:12.961 --> 07:09:17.332 region:rollup2
PLANS AND CARE MANAGEMENT TO
07:09:15.430 --> 07:09:19.100 region:rollup2
IMPLEMENT THESE CARE PLANS NONE
07:09:17.332 --> 07:09:20.168 region:rollup2
OF WHICH IS CURRENTLY FUNDED.
07:09:19.100 --> 07:09:21.102 region:rollup2
THEY'RE ALL TAKING CARE OF
07:09:20.168 --> 07:09:22.670 region:rollup2
THROUGH PHILANTHROPIC DOLLARS
07:09:21.102 --> 07:09:24.639 region:rollup2
WHICH WERE RAISED FROM THE LS
07:09:22.670 --> 07:09:26.207 region:rollup2
COMMUNITY. SO ALS THE ATLAS
07:09:24.639 --> 07:09:27.141 region:rollup2
COMMUNITIES FUNDING THEIR OWN
07:09:26.207 --> 07:09:28.243 region:rollup2
CARE.
07:09:27.141 --> 07:09:29.978 region:rollup2
THAT'S WHERE THE ELLIS
07:09:28.243 --> 07:09:31.646 region:rollup2
ASSOCIATION COMES AND. BAYLISS
07:09:29.978 --> 07:09:32.547 region:rollup2
ASSOCIATION OFFSETS THE COSTS OF
07:09:31.646 --> 07:09:34.549 region:rollup2
THESE CLINICS THROUGH
07:09:32.547 --> 07:09:36.084 region:rollup2
PHILANTHROPIC DOLLARS PROVIDES
07:09:34.549 --> 07:09:38.019 region:rollup2
CARE MANAGEMENT TO SERVE AS A
07:09:36.084 --> 07:09:39.587 region:rollup2
BRIDGE BETWEEN THE CLINIC THE
07:09:38.019 --> 07:09:42.490 region:rollup2
HOME AND THE COMMUNITY SETTINGS
07:09:39.587 --> 07:09:44.025 region:rollup2
TO IMPLEMENT CARE PLANS.
07:09:42.490 --> 07:09:45.660 region:rollup2
AND THIS IS A VERY EXPENSIVE
07:09:44.025 --> 07:09:46.894 region:rollup2
DISEASE THIS IS A DISEASE WHERE
07:09:45.660 --> 07:09:48.463 region:rollup2
PEOPLE CAN NO LONGER WORKING
07:09:46.894 --> 07:09:49.897 region:rollup2
OFTENTIMES THEIR SPOUSES NEED TO
07:09:48.463 --> 07:09:51.332 region:rollup2
QUIT WORK IN ORDER TO CARE FOR
07:09:49.897 --> 07:09:53.234 region:rollup2
THEIR LOVED ONE. THE FINANCIAL
07:09:51.332 --> 07:09:55.036 region:rollup2
IMPACT IS DEVASTATING ASKING THE
07:09:53.234 --> 07:09:57.005 region:rollup2
ANALYST COMMUNITY TO COMPETE
07:09:55.036 --> 07:09:59.207 region:rollup2
CONTINUE TO FIT THE UP FOR THE
07:09:57.005 --> 07:10:00.708 region:rollup2
BILL. IS DEVASTATING. MEANWHILE
07:09:59.207 --> 07:10:02.610 region:rollup2
THIS WRAPAROUND MODEL OF CARE IS
07:10:00.708 --> 07:10:04.245 region:rollup2
THE ONLY THING CURRENTLY PROVEN
07:10:02.610 --> 07:10:05.113 region:rollup2
TO HELP PEOPLE LIVE LONGER WITH
07:10:04.245 --> 07:10:06.414 region:rollup2
A LS
07:10:05.113 --> 07:10:07.248 region:rollup2
SO WE APPRECIATE YOUR TIME TODAY
07:10:06.414 --> 07:10:09.217 region:rollup2
IN HER OPEN DIDN'T QUESTIONS YOU
07:10:07.248 --> 07:10:11.552 region:rollup2
MAY HAVE.
07:10:09.217 --> 07:10:14.355 region:rollup2
I THINK YOU. ANY COMES FROM THE
07:10:11.552 --> 07:10:14.656 region:rollup2
TOP OF THE GULF.
07:10:14.355 --> 07:10:16.491 region:rollup2
NO WE DID.
07:10:14.656 --> 07:10:18.292 region:rollup2
HAVE AN OPPORTUNITY TO MEET
07:10:16.491 --> 07:10:19.527 region:rollup2
WITH THEY'LL ASSOCIATION AS WE
07:10:18.292 --> 07:10:21.362 region:rollup2
MENTIONED TO THEM WE DON'T
07:10:19.527 --> 07:10:22.463 region:rollup2
CURRENTLY HAVE AN ALICE PROGRAM.
07:10:21.362 --> 07:10:23.898 region:rollup2
AT THE DEPARTMENT OVER HERE TO
07:10:22.463 --> 07:10:25.800 region:rollup2
FIGHT TECHNICAL ASSISTANCE AS
07:10:23.898 --> 07:10:28.369 region:rollup2
NEEDED OKAY A ALEJO.
07:10:25.800 --> 07:10:31.739 region:rollup2
ONCE FINANCE.
07:10:28.369 --> 07:10:32.674 region:rollup2
DEPARTMENT BONE WE MET WITH THE
07:10:31.739 --> 07:10:34.976 region:rollup2
ADVOCATE SUMMER SAYS MR WERE
07:10:32.674 --> 07:10:35.610 region:rollup2
STILL ASSESSING THE PROPOSAL BUT
07:10:34.976 --> 07:10:36.944 region:rollup2
WE DON'T HAVE A POSITION AT THIS
07:10:35.610 --> 07:10:39.314 region:rollup2
TIME.
07:10:36.944 --> 07:10:40.381 region:rollup2
SO I GUESS FROM I UNDERSTAND THE
07:10:39.314 --> 07:10:41.649 region:rollup2
PROPOSAL I MEAN THE REQUESTS FOR
07:10:40.381 --> 07:10:42.216 region:rollup2
FUNDING TO SUPPORT THE CENTERS
07:10:41.649 --> 07:10:44.319 region:rollup2
ARE PROVIDING WELL CLINICAL
07:10:42.216 --> 07:10:45.520 region:rollup2
WELL.
07:10:44.319 --> 07:10:47.155 region:rollup2
CLINT CRITICAL SUPPORT
07:10:45.520 --> 07:10:49.624 region:rollup2
COORDINATION OF CARE EIGHT.
07:10:47.155 --> 07:10:51.793 region:rollup2
OF SO I GUESS.
07:10:49.624 --> 07:10:53.661 region:rollup2
CERTAIN IN ADDITION OUTSIDE FROM
07:10:51.793 --> 07:10:55.129 region:rollup2
THE OUT THE OUT OF THE NEED FOR
07:10:53.661 --> 07:10:58.199 region:rollup2
FOR THE SERVICES.
07:10:55.129 --> 07:10:59.100 region:rollup2
I GUESS ONE QUESTION IS THAT IT
07:10:58.199 --> 07:11:00.902 region:rollup2
IS WORTH HEARING INTO CONTEXT
07:10:59.100 --> 07:11:03.071 region:rollup2
THE PART OF PUBLIC HEALTH IS THE
07:11:00.902 --> 07:11:04.605 region:rollup2
PRIME PUBLIC HEALTH OPERATE ANY
07:11:03.071 --> 07:11:06.507 region:rollup2
SIMILAR TYPES CENTERS ARE
07:11:04.605 --> 07:11:08.609 region:rollup2
SERVICES FOR OTHER CHRONIC
07:11:06.507 --> 07:11:11.479 region:rollup2
DISEASE ENTITIES OURS IS.
07:11:08.609 --> 07:11:12.880 region:rollup2
BETTER ALONG IN A MORE CLINICAL
07:11:11.479 --> 07:11:14.282 region:rollup2
THE FIRELIGHT WELL AS IT COULD
07:11:12.880 --> 07:11:16.050 region:rollup2
BE LIKE PCS ACTUALLY FUNDS
07:11:14.282 --> 07:11:18.820 region:rollup2
CLINICAL CARE. ARE OR SOME OTHER
07:11:16.050 --> 07:11:20.288 region:rollup2
AGENCY AND FOR THE RECORD THIS
07:11:18.820 --> 07:11:21.289 region:rollup2
IS MONICA WELL AS UPS.
07:11:20.288 --> 07:11:22.490 region:rollup2
A SIMILAR PROGRAM OF THE YEAR
07:11:21.289 --> 07:11:23.491 region:rollup2
ALZHEIMER'S PROGRAM ACTION HONEY
07:11:22.490 --> 07:11:25.827 region:rollup2
WHERE WE FIND.
07:11:23.491 --> 07:11:29.097 region:rollup2
AND THE DEBTS AT GUN ALZHEIMER'S
07:11:25.827 --> 07:11:29.897 region:rollup2
CENTERS ACROSS THE STATE THERE'S
07:11:29.097 --> 07:11:32.367 region:rollup2
TEN OF THEM AS YOU REMEMBER
07:11:29.897 --> 07:11:34.135 region:rollup2
RIGHT YEAH YEAH. SAID THAT'S
07:11:32.367 --> 07:11:35.503 region:rollup2
SOMETHING SIMILAR THAT WE HAVE.
07:11:34.135 --> 07:11:36.270 region:rollup2
INVESTIGATOR THAT'S SOMETHING WE
07:11:35.503 --> 07:11:38.706 region:rollup2
LOOKED AT IN DEVELOPING A
07:11:36.270 --> 07:11:39.907 region:rollup2
PROPOSAL. UP I'M GONNA AND AGAIN
07:11:38.706 --> 07:11:41.109 region:rollup2
THERE'S THERE'S A CENTER OF
07:11:39.907 --> 07:11:43.544 region:rollup2
EXCELLENCE ELEMENT BUT THERE'S
07:11:41.109 --> 07:11:44.879 region:rollup2
ALSO THE COMMUNITY A OF WORK
07:11:43.544 --> 07:11:46.514 region:rollup2
THAT'S DONE AND HASN'T JUST AS A
07:11:44.879 --> 07:11:48.082 region:rollup2
QUICK EXAMPLE. PEOPLE WHO HAVE
07:11:46.514 --> 07:11:50.284 region:rollup2
FAILED US IS YOU KNOW ULTIMATELY
07:11:48.082 --> 07:11:50.752 region:rollup2
LOSE THEIR ABILITY TO USE THEIR
07:11:50.284 --> 07:11:53.087 region:rollup2
LAMBS.
07:11:50.752 --> 07:11:54.822 region:rollup2
RIGHT AND SO MANY PATIENTS HAVE
07:11:53.087 --> 07:11:57.625 region:rollup2
A HOIST IN THEIR BEDROOM TO TO
07:11:54.822 --> 07:11:58.259 region:rollup2
PUT THE PATIENT IN BED AT NIGHT.
07:11:57.625 --> 07:11:59.827 region:rollup2
QUESTION WHERE IS ALWAYS COME
07:11:58.259 --> 07:12:01.496 region:rollup2
FROM WHO MAINTAINS IT WHO
07:11:59.827 --> 07:12:03.030 region:rollup2
TEACHES THAT FAMILY MEMBERS HOW
07:12:01.496 --> 07:12:03.297 region:rollup2
TO USE IT THAT'S WHAT THESE
07:12:03.030 --> 07:12:04.365 region:rollup2
FOLKS DO.
07:12:03.297 --> 07:12:07.435 region:rollup2
SO
07:12:04.365 --> 07:12:09.036 region:rollup2
IT'S A GOOD EXAMPLE.
07:12:07.435 --> 07:12:11.105 region:rollup2
SO I MEAN I THINK A PART OF FINE
07:12:09.036 --> 07:12:12.440 region:rollup2
SIR MENTALLY THINKING ABOUT IS
07:12:11.105 --> 07:12:14.509 region:rollup2
THAT WE THINK ABOUT OUR SYSTEM
07:12:12.440 --> 07:12:15.810 region:rollup2
OF CARE. AND THEY KNOW YOU'RE
07:12:14.509 --> 07:12:17.512 region:rollup2
COMING FOR THIS PROPOSAL.
07:12:15.810 --> 07:12:19.847 region:rollup2
MIKE WHERE WHERE DID THE
07:12:17.512 --> 07:12:21.816 region:rollup2
DIFFERENT PARTS SAID RIGHT SO.
07:12:19.847 --> 07:12:23.785 region:rollup2
NO WEAR OUT AND THAT YOU KNOW
07:12:21.816 --> 07:12:25.353 region:rollup2
WELL.
07:12:23.785 --> 07:12:27.588 region:rollup2
THE UGLY FUND COORDINATION OF
07:12:25.353 --> 07:12:29.957 region:rollup2
CARE YOU KNOW WHO DO THAT THAT
07:12:27.588 --> 07:12:31.526 region:rollup2
THE OUT THE RANGER EDUCATION OR
07:12:29.957 --> 07:12:32.894 region:rollup2
ARE OUR OUR OUR TRAINING OF. THE
07:12:31.526 --> 07:12:35.196 region:rollup2
FAMILY MEMBERS OF THE CARE
07:12:32.894 --> 07:12:36.230 region:rollup2
GIVERS.
07:12:35.196 --> 07:12:36.864 region:rollup2
THEY'RE NOT SO YEAH.
07:12:36.230 --> 07:12:38.533 region:rollup2
YEAH GREAT POINT.
07:12:36.864 --> 07:12:39.634 region:rollup2
FOR THE RECORD I I SHOULD SAY
07:12:38.533 --> 07:12:41.235 region:rollup2
THAT WE FUND AL SUMMERS RESEARCH
07:12:39.634 --> 07:12:42.603 region:rollup2
THAT.
07:12:41.235 --> 07:12:43.204 region:rollup2
YEAH SO WE WERE NOT CURRENTLY
07:12:42.603 --> 07:12:45.306 region:rollup2
FINDING CARE COORDINATION AND
07:12:43.204 --> 07:12:47.542 region:rollup2
UP.
07:12:45.306 --> 07:12:50.044 region:rollup2
THROUGH THE ALZHEIMER'S FUNDING.
07:12:47.542 --> 07:12:52.246 region:rollup2
AND PROGRAM SO IT IS DIFFERENT
07:12:50.044 --> 07:12:53.381 region:rollup2
IN TERMS OF THE CLINICAL ANGLE
07:12:52.246 --> 07:12:54.048 region:rollup2
THAT THIS SPECIFIC PROPOSAL HAS.
07:12:53.381 --> 07:12:57.151 region:rollup2
ALRIGHT
07:12:54.048 --> 07:12:57.852 region:rollup2
OKAY.
07:12:57.151 --> 07:12:58.920 region:rollup2
OKAY AND ANY PUBLIC COMMENT.
07:12:57.852 --> 07:13:00.721 region:rollup2
YOU.
07:12:58.920 --> 07:13:03.124 region:rollup2
ALRIGHT.
07:13:00.721 --> 07:13:05.560 region:rollup2
SO A BIG CERTAINLY YEAH I.
07:13:03.124 --> 07:13:07.862 region:rollup2
THIS IS A A.
07:13:05.560 --> 07:13:09.564 region:rollup2
.
07:13:07.862 --> 07:13:11.365 region:rollup2
I MEAN THIS IS A VERY IMPORTANT.
07:13:09.564 --> 07:13:13.768 region:rollup2
ISSUE OF THOSE FOR.
07:13:11.365 --> 07:13:15.002 region:rollup2
.
07:13:13.768 --> 07:13:18.172 region:rollup2
YOUR COMMUNITY THIS.
07:13:15.002 --> 07:13:19.440 region:rollup2
PEOPLE OF THE DUTIES ALSO I
07:13:18.172 --> 07:13:20.675 region:rollup2
THINK WE DO HAVE SERVER.
07:13:19.440 --> 07:13:21.375 region:rollup2
LARGER QUESTION.
07:13:20.675 --> 07:13:23.845 region:rollup2
ABOUT.
07:13:21.375 --> 07:13:25.313 region:rollup2
.
07:13:23.845 --> 07:13:26.881 region:rollup2
THERE ARE NUMEROUS BACK CRANK
07:13:25.313 --> 07:13:28.282 region:rollup2
DISEASE ENTITIES THE GOOD NEWS
07:13:26.881 --> 07:13:30.284 region:rollup2
IS THAT THERE ARE MEDICAL CARE
07:13:28.282 --> 07:13:32.086 region:rollup2
IS GOTTEN BETTER BUT IT HASN'T
07:13:30.284 --> 07:13:34.055 region:rollup2
DEVELOPED THE CURIA AT.
07:13:32.086 --> 07:13:34.488 region:rollup2
SO WE HAVE PEOPLE WHO
07:13:34.055 --> 07:13:34.689 region:rollup2
FORTUNATELY OUR LIVE
07:13:34.488 --> 07:13:35.756 region:rollup2
UNDER
07:13:34.689 --> 07:13:37.158 region:rollup2
MORE PER
07:13:35.756 --> 07:13:38.693 region:rollup2
OF LIVES
07:13:37.158 --> 07:13:40.828 region:rollup2
BUT WHO NEED THESE VITAL
07:13:38.693 --> 07:13:43.731 region:rollup2
SERVICES AND. FIGURE OUT WHERE
07:13:40.828 --> 07:13:45.600 region:rollup2
THEY FIT IN GO EN AND THE
07:13:43.731 --> 07:13:46.968 region:rollup2
PROBLEM IS IS OUT TO OFTENTIMES
07:13:45.600 --> 07:13:47.902 region:rollup2
THE VERY SERVICE YOU TALK ABOUT
07:13:46.968 --> 07:13:49.837 region:rollup2
HALF ALL THE CRACKS IN LIKE
07:13:47.902 --> 07:13:51.172 region:rollup2
WELLS THAT REIMBURSED HERE IS
07:13:49.837 --> 07:13:51.739 region:rollup2
THAT COVER THAT PROGRAM SO PLACE
07:13:51.172 --> 07:13:53.808 region:rollup2
SO. WE DO NEED TO FIGURE OUT
07:13:51.739 --> 07:13:55.776 region:rollup2
THE.
07:13:53.808 --> 07:13:57.311 region:rollup2
BEST OF THE PLACE THE WHERE
07:13:55.776 --> 07:13:58.446 region:rollup2
WHERE IT LANDED AND DIVE
07:13:57.311 --> 07:13:59.046 region:rollup2
APPRECIATE THAT ACTUALLY THE
07:13:58.446 --> 07:14:02.216 region:rollup2
PART PUBLIC HEALTH IS LOOKING
07:13:59.046 --> 07:14:02.884 region:rollup2
AT.
07:14:02.216 --> 07:14:04.051 region:rollup2
POTENTIALLY BEING.
07:14:02.884 --> 07:14:05.653 region:rollup2
AT LEAST THAT A PLACE WHERE WE
07:14:04.051 --> 07:14:06.687 region:rollup2
CAN NOW PUT THIS JOB BUT I THINK
07:14:05.653 --> 07:14:07.788 region:rollup2
MOVE WE DO HAVE TO THINK A
07:14:06.687 --> 07:14:10.157 region:rollup2
LITTLE BIT ABOUT.
07:14:07.788 --> 07:14:11.926 region:rollup2
HOW WE CAN ALSO MAXIMIZE THE
07:14:10.157 --> 07:14:12.493 region:rollup2
RESOURCES AS WELL SO EVEN AS
07:14:11.926 --> 07:14:13.394 region:rollup2
YOU'RE LOOKING AT A GENERAL
07:14:12.493 --> 07:14:15.296 region:rollup2
FUND?
07:14:13.394 --> 07:14:17.298 region:rollup2
?
07:14:15.296 --> 07:14:19.100 region:rollup2
I REQUEST YOU KNOW WE SHOULD BE
07:14:17.298 --> 07:14:20.468 region:rollup2
LOOKING AT IS. WHO HAS THE
07:14:19.100 --> 07:14:22.103 region:rollup2
EXPERTISE TO SEE WHETHER WE CAN
07:14:20.468 --> 07:14:23.538 region:rollup2
USE THAT AS A CORE TO LEVERAGE
07:14:22.103 --> 07:14:24.572 region:rollup2
SOME OTHER FUNDS ARE RESOURCES
07:14:23.538 --> 07:14:27.575 region:rollup2
AS WELL?
07:14:24.572 --> 07:14:29.110 region:rollup2
TO TRY TO GET GET MORE SO SINCE.
07:14:27.575 --> 07:14:30.811 region:rollup2
SIGHTS Y. KEEP DOWN THE BACK OF
07:14:29.110 --> 07:14:32.280 region:rollup2
MY MIND AS WELL. AND THINKING
07:14:30.811 --> 07:14:33.848 region:rollup2
ABOUT IT THERE'S NO OF SOME OF
07:14:32.280 --> 07:14:35.049 region:rollup2
THE SERVICES THAT ARE THAT WOULD
07:14:33.848 --> 07:14:36.851 region:rollup2
BE DONE BY THE CENTERS ARE COULD
07:14:35.049 --> 07:14:37.485 region:rollup2
BE.
07:14:36.851 --> 07:14:38.586 region:rollup2
YOU KNOW COULD WE COULD FIND A
07:14:37.485 --> 07:14:40.121 region:rollup2
WAY TO LEVERAGE SOME FEDERAL
07:14:38.586 --> 07:14:42.556 region:rollup2
MONEY OR SOME OTHER TYPES OF
07:14:40.121 --> 07:14:45.426 region:rollup2
RESOURCES WHILE IN. HOW HOW WE
07:14:42.556 --> 07:14:47.128 region:rollup2
WOULD DO THAT? AS WELL THOUGH.
07:14:45.426 --> 07:14:48.629 region:rollup2
OKAY WELL I WANNA THANK YOU SO
07:14:47.128 --> 07:14:49.730 region:rollup2
MUCH FOR YOUR PRESENTATION NOW
07:14:48.629 --> 07:14:51.499 region:rollup2
WE'RE GONNA HOLD THAT THIS ITEM
07:14:49.730 --> 07:14:52.333 region:rollup2
OPENED. AND ON THE.
07:14:51.499 --> 07:14:54.735 region:rollup2
BUT.
07:14:52.333 --> 07:14:55.636 region:rollup2
APPRECIATE. THE PRESENTATION
07:14:54.735 --> 07:14:56.871 region:rollup2
AND ALSO.
07:14:55.636 --> 07:14:58.873 region:rollup2
TRYING TO HELP US FIGURE
07:14:56.871 --> 07:15:00.474 region:rollup2
FIGURES OUT THE NEED HERE ITSELF
07:14:58.873 --> 07:15:02.910 region:rollup2
WE CAN FIGURE SOMETHING OUT. A
07:15:00.474 --> 07:15:03.844 region:rollup2
REVISED. FIGURE THANK YOU THANK
07:15:02.910 --> 07:15:04.345 region:rollup2
YOU THANKS VERY MUCH.
07:15:03.844 --> 07:15:06.247 region:rollup2
OKAY.
07:15:04.345 --> 07:15:07.415 region:rollup2
WITH THAT I THINK WE'VE
07:15:06.247 --> 07:15:10.051 region:rollup2
CONCLUDED OUR AGENDA.
07:15:07.415 --> 07:15:11.419 region:rollup2
SELL.
07:15:10.051 --> 07:15:12.987 region:rollup2
I WAS PROUD FARM WHERE ONLY
07:15:11.419 --> 07:15:14.255 region:rollup2
DESPITE THIRTY FIVE.
07:15:12.987 --> 07:15:16.824 region:rollup2
THAT'S A PHYSICAL OR ANY.
07:15:14.255 --> 07:15:17.124 region:rollup2
SILENT AGAIN THANK EVERYONE FOR
07:15:16.824 --> 07:15:17.758 region:rollup2
BEING HERE.
07:15:17.124 --> 07:15:21.429 region:rollup2
.
07:15:17.758 --> 07:15:23.464 region:rollup2
AND THE.
07:15:21.429 --> 07:15:24.799 region:rollup2
SO WE WILL ADJOURN THIS HEARING
07:15:23.464 --> 07:15:26.233 region:rollup2
AT THE US SENATE BUDGET FISCAL
07:15:24.799 --> 07:15:27.468 region:rollup2
REVIEW COMMITTEE NUMBER THREE.
07:15:26.233 --> 07:15:43.618 region:rollup2
ON HEALTH AND HUMAN SERVICES
07:15:27.468 --> 07:15:43.618 region:rollup2
THANK YOU