FISCAL REVIEW.
SUBCOMMITTEE NUMBER THREE ON
HEALTH AND HUMAN SERVICES ARE
WELCOME.
EVERYONE FOR BEING HERE TODAY.
WE HAVE A VARIETY OF DIFFERENT
ITEMS THAT WE'RE GOING TO BE
HANDLING TODAY. AND.
.
SO FIRST OF ALL WERE THE FIRST
PART OF THE HEARING WILL BE
COVERING AND VARIOUS VOTE ONLY
ITEMS FROM THE CALIFORNIA HEALTH
AND HUMAN SERVICES AGENCY THE
OFFICE OF STATEWIDE HEALTH
PLANNING DEVELOPMENT DEPARTMENT
MANAGE HEALTH CARE AND THE PART
OF PUBLIC HEALTH.
SECOND PART.
COVERS DEPARTMENT PUBLIC HEALTH
DEPARTMENT DEVELOPMENT TO
SERVICE THE FIRE SOCIAL SERVICE
AND VARIOUS OTHER STAKEHOLDER
PROPOSALS.
WE'RE ACTUALLY AFTER WE DO THE
VOTE ONLY ITEMS FEES THREAT TO.
.
WE HAVE A SECTION ON BLACK
INFANT HEALTH AND THEN.
OVERSIGHT ON INFECTIOUS.
DISEASE UP PREPAREDNESS AND
THEN WE HAVE A VARIETY OF
STAKEHOLDER PROPOSALS.
GENERALLY WHAT WE WILL DO IS IS
THAT AFTER WE HAVE.
THE PRESENTATIONS WE WILL ALSO
HAVE ASK ILIO FOR COMMENT
FINANCE AND THEN.
PUBLIC TESTIMONY.
PUBLIC TELLS ME WE ASK THAT
PEOPLE TRY TO KEEP THE REMARKS
TWO MINUTE OR LESS AND IF THE.
LESS IS ALWAYS FINE AND IF
SOMEONE ELSE IS READY SAID
SOMETHING.
JUST
SAYING THAT YOU AGREE ALSO WORKS
AS WELL.
SO WITH THAT.
.
IT'S GO AHEAD AND MOVE TO THE
VOTE ONLY.
CALENDAR SO.
FIRST ITEM IS A CALIFORNIA
HEALTH AND HUMAN SERVICES AGENCY
ISSUE NUMBER ONE HIPAA
COMPLIANCE IT
CORD ASSISTANTS ARE THIS WAS
HURT ON APRIL NINETEENTH IS
THERE A MOTION.
RIVER IT'S BEEN MOVED BY CENTER
MINING SECTOR PLEASE CALL THE
ROLL.
PAN I'D.
MONNING AYE STONE.
OKAY SO THAT'S OUT OF THREE ZERO
NEXT ITEM IS YOU SHOULD NUMBER
TWOS WAKE MITS PROJECT
EXPENDITURE INCREASES THEIR
EMOTION.
IT'S BEEN MADE BY CENTER MINING.
SECRET PLEASE CALL THE ROLL AND
AYE. MONNING AYE STONE.
OKAY THAT IS ALSO OUT THREE ZERO
EXCITE HIM. ITEMS ARE FOR THE
OFFICE OF STATEWIDE HEALTH
PLANNING AND DEVELOPMENT ISSUE
NUMBER ONE PRESCRIPTION DRUG.
SPARE SEE IN.
PLAN.
IT'S BEEN MOVED BY CENTER MINING
OUT THE SECTOR PLEASE CALL THE
ROLL AND I'D. MONNING.
STONE.
OKAY SO THAT AS OUT TO ONE.
OUR NEXT ITEM IS THAT PART OF
MANAGED HEALTHCARE ISSUE.
FEDERAL MENTAL HEALTH PARITY
COMPLIANCE REVIEW RESOURCES
EXTENSION.
IT'S BEEN MOVE BY CENTER MINING
SECTOR PLEASE CALL THE ROLL AND
I'D MONNING. STONE.
OKAY THAT IS OUT THREE ZERO.
ISSUE NUMBER TWO PRESCRIPTION
DRUG COSTS TRANSPARENCY.
IT'S BEEN MOVED BY CEREMONY
SECTOR PLEASE CALL THE ROLL AND
I'D MONNING. STONE.
OKAY SO THAT IS OUT TO ONE. NEXT
ITEM IS THE PART OF PUBLIC
HEALTH YE FIRST ISSUES EXPANDED
LET TESTING OF CALIFORNIA
CHILDREN A. B. THIRTEEN SIXTEEN
IMPLEMENTATION.
IT'S BEEN BILL BY SENATOR
MINING ETCETERA PLEASE CALL THE
ROLL AND AYE AYE MONNING AYE
STONE.
IF THAT IS OUT THREE ZERO.
EXCITED. NEXT ISSUES INFINITE
EARLY CHILDHOOD HOME VISITATION
PROGRAM.
THIS THROUGH ITS BEEN MOVE BY
CENTER MINING SECTOR PLEASE CALL
THE ROLL AND I'D LIKE. STONE.
OKAY THAT IS OUT THREE ZERO.
NEXT ISSUES NEW GENETIC
DISORDERS S. B. TEN NINETY FIVE
AND SECOND TIER TESTING.
TO MOVE I CEREMONY SICK OF
PLEASE CALL THE ROLL AND AYE
MONNING.
STONE.
THAT IS OUT THREE ZERO OUR NEXT
ISSUES BIRTH CERTIFICATE
PROCESSING INCREASE FOR REAL ID
COMPLIANCE.
WHO BY CENTER MINING SECURITIES
CALL THE ROLL AND BY MONEY?
STONE.
THAT IS A THREE ZERO.
THANKS ISSUES AIDS DRUG
ASSISTANCE PROGRAM ELIGIBILITY
ENROLLMENT.
IT'S BEEN BY CENTER MONEY SECTOR
PLEASE CALL THE ROLL AND HIGH ON
A. STONE.
THAT IS OUT THREE ZERO ONYX'S
BABY BIG INFANT BOTULISM
TREATMENT PREVENTION. BUT CENTER
MINING SECURITIES CALL THE ROLL
AND AYE MONNING STONE.
IT HAS OUT THREE ZERO.
EMERGENCY RESPONSE NEXT TIMES
EMERGENCY RESPONSE PUBLIC HEALTH
CRISIS RESPONSE GRANT.
THE MOVIE CENTER MINING SECTOR
PLEASE CALL THE ROLL AND I
MONNING STONE.
IF THAT IS OUT THREE ZERO.
OKAY SO THAT COMPLETES THE VOTE
ONLY CALENDAR SO.
NEXT ITEM UP IS THE OVERSIGHT
ON THE BLACK INFANT HEALTH
PROGRAM.
AND.
WE SHOULD
WE HAVE.
OKAY SO WE HAVE FOR. PASSED THE
PART OF A PUBLIC HEALTH FIRST
COME UP AND WILL BE FOLLOWED UP
OF THE STAKEHOLDER PANEL.
AND WHEN COMING FROM C. P. H..
IT'S NOT HERE
OREGON OKAY PAR PUBLIC HEALTH IS
ON THEIR WAY.
SELLING FOR SKIN OVERVIEW FROM
THE PARA PUBLIC HEALTH AND I'M
GONNA BRING UP OUR STAKEHOLDERS
WHO'S GOING TO GIVE A
PRESENTATION AS WELL.
AND THE BEFORE WE BEGAN.
ALASKA.
EVERYONE GETS THE TABLE HERE.
WILL DO THE INTRODUCTIONS FOR
THE RECORD.
MENTAL.
AND THE PRESENTATION.
WELCOME.
CORRECT.OKAY IN OUR CENTER IS
MATERNAL
CHILD ADOLESCENT HEALTH FOR THE
P. H. PROGRAM HAS. BEEN
ADDITIONAL OTHER TWO DIVISIONS
ARE GENETIC DISEASE SCREENING AS
AUTHENTIC PROGRAM.
SO WE'RE HERE TODAY TO COMMENT
ABOUT THE A BA AGE PROGRAM AND
PROVIDE AN OVERVIEW BEGIN A
QUICKLY DO THE INTEREST IS ROUTE
FIRST TIMES OUT ABOUT IT AND
THEN YOU CAN E.
OF COURSE THANK YOU.
LESLIE KALISKA CHIEF OF THE
NCAA'S DIVISION.
GOOD MORNING SHIRLEY HELTON
HEALTH PROGRAM MANAGER FOR THE
BLACK OF AN HEALTH PROGRAM DAY
ELIA.
WHEN YOU PICK LA OHHH.
MARK NEWTON ALEJO FINANCE.
BELOW FINANCE I THINK YOU THESE
BEGIN IF SORRY BERMAN TO
SEATTLE.
I WANTED TO JUST GIVE KIND OF
AN OVERVIEW BECAUSE WE'RE VERY
COMMITTED IN THE MATERNAL CHILD
ADOLESCENT PROGRAM TO ADDRESSING
OUR HEALTH DISPARITIES.
AND WE ARE VERY MUCH FOCUSED ON
LOOKING AT WHAT WE CONSIDERED
TO%
BE THE MAJOR CONTRIBUTORS TO
EQUITY AND HEALTH OUTCOMES AND
SO WE FRAME THE B. H. PROGRAM IN
A BROADER PERSPECTIVE.
AND THAT BROADER PERSPECTIVE IS
THAT WE HAVE TO CONTINUE TO
PROVIDE ACCESS TO HIGH QUALITY
OBSTETRIC AND NEONATAL AND
POSTPARTUM MEDICAL CARE.
WE NEED TO ENSURE THAT THE
GENERAL HEALTH STATUS OF WOMEN
IS AS BEST AS POSSIBLE PRIOR TO
A BECOMING PREGNANT.
WE NEED TO ADDRESS SOCIAL
FACTORS THAT MAY BE KEY
DETERMINANTS OF HEALTH. ACROSS
THE ENTIRE LIFE COURSE OF A
WOMAN.
AND WE HAVE FOUND THAT UNDER
SOME OTHER FACTORS THAT MAY BE
PLAYING A ROLE IN PARTICULAR FOR
AFRICAN AMERICAN WOMEN. ALL THE
DATA IS INDICATING THAT HOSTER
ASKED MAY BE.
EVEN MORE ABOUT PROFOUND IMPACT
ON WOMEN WE HAVE BASED ON A
STATEWIDE SURVEY ARM MATERNAL
INFANT HEALTH ASSESSMENT THAT
ASKED ABOUT EXPERIENCES ON
DISCRIMINATION. AND WE FOUND
THAT BLACK WOMEN THE CALIFORNIA
REPORT THAT THEY FEEL VERY OR
SOMEWHAT WORRIED ABOUT BEING
TREATED UNFAIRLY BECAUSE OF
THEIR RACE. AND THEIR TWICE AS
LIKELY AS OTHER BLACK WOMEN TO
HAVE A BABY THAT WAS BORN
PRETERM SO THAT ASSOCIATION OF
EXPERIENCES OF DISCRIMINATION ON
THE CHRONIC STRESS ON THE
WEATHER READ WE TAKE VERY
SERIOUSLY. AND SO WE DESIGNED
OUR PROGRAMS ACCORDINGLY.
I'M WE KNOW THAT THERE ARE SOME.
WELL IDENTIFIED RISK FACTORS.
IN REGARDS TO.
OUTCOME.
WE KNOW THAT NUTRITION STATUS
BEFORE AND DURING PREGNANCY
SMOKING DURING PREGNANCY ALCOHOL
CONSUMPTION SHORTER INNER
PREGNANCY INTERVALS OLDER
MATERNAL AGE STRESSED THREE
PREGNANCY IN THE CHRONIC STRESS
PRIOR TO PREGNANCY.
AND WE ALSO ARE VERY FOCUSED ON
THE ENGAGEMENT OF THE COMMUNITY
TO HELP US ON COLLECTIVE IMPACT
SOMETHING THAT I CALL GETTING
ALL BOATS TO ROW IN THE SAME
DIRECTION. BECAUSE WE CAN'T DO
THIS ALONE.
SO WHAT I WANT TO EMPHASIZE IS
THAT WHEN WE THINK ABOUT
ADDRESSING THIS PROGRAM WE
UNDERSTAND THAT IT'S BEEN
ESTIMATED THAT ABOUT. WE THINK
ABOUT OUR OVERALL HEALTH FOR
EACH OF US IT'S ABOUT THIRTY
PERCENT IS ATTRIBUTED TO OUR
GENES ABOUT FORTY PERCENT TO
PERSONAL BEHAVIORS. TWENTY
PERCENT TO SOCIAL AND
ENVIRONMENTAL FACTORS IN ABOUT
TEN PERCENT TO MEDICAL CARE. SO
WHAT WE THINK ABOUT THAT WE HAVE
TO REALLY THINK HOW DO WE
ALLOCATE RESOURCES SO THAT WE
TRADING.
MAXIMIZE THE HEALTH OF EVERY
WOMAN AND AND BABY SO I JUST
WANTED TO GIVE THAT KIND A BROAD
OVERVIEW OF OUR PHILOSOPHY AS WE
APPROACH THIS ISSUE AND THEN I'M
GONNA TURN IT OVER TO PAUL
LESLIE.
I JUST WANNA GIVE YOU AN UPDATE
ON WHERE WE ARE WITH OUR INFANT
MORTALITY RATE AND WE'RE REALLY
PLEASED THAT.
pMORTALITY RATE HAS DROPPED TO
NINE POINT THREE THAT REPRESENTS
TWO HUNDRED AND TWENTY FOUR
BLACK INFANT DEATHS WE WERE AT A
HIGH IN INTRON TWO THOUSAND AND
FIVE OF TWELVE POINT SEVEN. SO
WE MADE SIX AND WE'VE MADE SOME
SIGNIFICANT PROGRESS IN REDUCING
OUR BLACK INFANT MORTALITY RATE.
AND WE HAVE DONE THAT THROUGH
LEADERSHIP AND THROUGH
PARTNERSHIPS WE ARE CURRENTLY
WORKING WITH THE CALIFORNIA
HEALTHCARE FOUNDATION ON A PILOT
PROJECT THERE AND THEY ARE AND
COLLABORATION WITH THE
CALIFORNIA MATERNAL QUALITY CARE
COLLABORATIVE. AND LOOKING OUT
WHAT CAN WE DO IN THE COMMUNITY
WITH HOSPITALS WITH PROVIDERS TO
REALLY REDUCE DISPARITIES SO
WE'RE EXCITED TO BE PART OF THAT
PARTNERSHIP. WILL WE ALSO KNOW
THAT YOU CASF HAS INVESTED OVER
FIFTY MILLION DOLLARS IN
REDUCING PRETERM BIRTH IN THREE
COUNTIES IN CALIFORNIA ALAMEDA
SAN FRANCISCO AND PARTICULARLY
OF INTEREST TO US IS FRESNO
BECAUSE OF THEIR HIGH. INFANT
MORTALITY AND HIGH AFRICAN
AMERICAN PRETERM BIRTH RATES. WE
ALSO ARE WORKING WITH OUR
REGIONAL PERINATAL PROGRAMS OF
CALIFORNIA WHICH WE FUND ON
ENSURING THAT OUR HOSPITALS ARE
EQUIPPED TO HANDLE AND MANAGE
THESE AFRICAN AMERICAN BURSTS
THAT ARE HAPPENING WITHIN THEIR
HOSPITAL TO ENSURE THAT WE HAVE
THE BEST OUTCOME POSSIBLE FOR
THESE MOMS. AND FOUR BABIES SO
WE ARE WE ARE DOUBLED DOUBLING
DOWN ON OUR EFFORTS AND WE HAVE
MANY PARTNERSHIPS BEYOND OUR
BLACK INFANT HEALTH PROGRAM THAT
WE ARE. WORKING TOWARD.
HI AGAIN MY COMMENTS ARE GOING
TO BE.
CENTERED IN THREE DIFFERENT
AREAS THE FIRST AREA WILL. FOCUS
ON AN OVERVIEW OF THE
BLACK AND HEALTH PROGRAM THE
SECOND AREA WILL PROVIDE A
LITTLE MORE SPECIFICS ON THE
SOCIAL.
AND THE THIRD AREA WILL FOCUS ON
PARTNERSHIPS THAT WE'VE
DEVELOPED A WITHIN THE BLACK AND
HEALTH PROGRAM.
SO THE FIRST AREA WITH REGARDS
TO AN OVERVIEW OF OUR BLACK EVEN
HEALTH PROGRAM.
WE.
STARTED TO IMPLEMENT SERVICES
TO ADDRESS THE.
BLACK WHITE DISPARITY RATE.
EARLY IN THE.
NINETEEN NINETIES AND THE
REASON WE STARTED TO.
FOCUS AND HELPED US FOCUS WAS
TO ADDRESS THE HIGH DISPARITY
RATE.
.
OUR FOCUS IS TO IMPROVE THE
HEALTH OF AFRICAN AMERICAN
MOTHERS AND BABIES THEREBY
REDUCING THE BLACK WHITE
DISPARITY GAP.
WHILE OUR FUNDING LEVEL HAVE.
VARIED FROM THE INITIAL AWARD
OF ONE POINT FOUR MILLION
DOLLARS A WITH THE REAL
RESTORATION OF THE STATE GENERAL
FUND IN FISCAL YEAR FOURTEEN
FIFTEEN.
WE ARE NOW ABLE T PROVIDE
SERVICES AND.
FIFTEEN LOCAL HEALTH
JURISDICTIONS WHICH INCLUDES
THIRTEEN COUNTIES AND TO CITY.
SERVICES ARE PROVIDED TO OUR
AFRICAN AMERICAN WOMEN WHO ARE
EIGHTEEN YEARS OF AGE AND UP TO.
THIRTY WEEKS GESTATION OR.
THEY'RE PREGNANT AT.
THIRTY WOO THE WEEKS AT THEIR
TIME OF ENROLLMENT.
FIND IN AGAIN AS ALLOCATED TO.
FIFTEEN LOCAL HELD
JURISDICTIONS FOR THE MAJORITY
OR NINETY PERCENT OF AFRICAN
AMERICAN BURSTS OCCUR.
SO THAT'S THE FIRST AERIAL IN
TERMS OF THE OVERVIEW OF THE
BLACK BUT HEALTH PROGRAM.
DO YOU HAVE ANY QUESTIONS
REGARDING ANY OF THAT CONTENT.
NO BUT IT IF WE CAN TRY TO JUST
HIT THE HIGHLIGHTS AND OKAY YOU
DO HAVE A STAKEHOLDER PANELS
BEFORE MOVING ON TO THE SECOND
BE SURLY I WANNA SAY JUST ONE
THING POWER UP THAT.
.
WH GROUP MODEL IS BASED ON THE
CENTER IN PREGNANCY AND I THINK
THAT'S IMPORTANT TO REINFORCE
HERE AND THAT ALSO THE COUNTIES
AND THE CITIES THAT WE FIND.
ACCOUNT FOR NINETY PERCENT OF
AFRICAN AMERICAN BURST.
THANK YOU.
OKAY. ARE IN TERMS OF THE BLACK
THE SOCIAL SUPPORT EMPOWERMENT
MODEL AGAIN IT WILL BE
IMPLEMENTED EVIDENCE INFORMED.
INTERVENTION.
THIS INTERVENTION IS AIM TO
INCREASE LIFE SKILLS.
OUR HELP WOMEN LEARN STRATEGIES
TO REDUCE THEIR STRESS.
AND BILL SOCIAL SUPPORT IN THE
CONTEXT OF A LIFE COURSE
PERSPECTIVE.
THE PROGRAM ALSO FOCUSES ON
HELPING WOMEN TO UNDERSTAND THE
LEVEL OF RACISM AND HOW TO
ADDRESS RACISM.
WE PROVIDE SERVICES AND TING AND
GROUP SESSIONS FOR PRENATAL
FOCUSED ON PRENATAL CARE AS WELL
AS POST PARTUM.
AND THE GROUP SESSIONS ARE AIMED
TO HELP WOMEN.
MANAGE STRESS.
ACHIEVED THEIR.
PERSONAL GOALS.
AND SOME OF THE SESSIONS THAT WE
HELP WOMEN.
ADDRESS IN THE SESSIONS INCLUDE.
THE NEED FOR PRENATAL CARE HALL
TO BE EMPOWERED. UNDERSTANDING.
AND HANDLING STRESS
INFANT FEEDING BREASTFEEDING.
PRE TERM LABOR. LABOR AND
DELIVERY.
INFANT SAFETY
SEARS
AND WE ALSO ADDRESS LIFE
PLANNING AND.
SOME OF THE.
ISSUES ARE ALSO ADDRESSED AGAIN
UNCOVERED AGAIN IN THE POST
PARTUM GROUP SESSIONS.
IN TERMS OF.
HOW WE ARE COORDINATE WITH
MEDICAL PROVIDERS?
BECAUSE IT'S IMPORTANT.
TO EMPHASIZE.
THE HIGH.
ARM PREVALENCE RATE OF INFANT
MORTALITY WE WORK HARD TO
INCREASE AWARENESS THROUGHOUT
THE STATE WERE ALL PROGRAMS ARE
IMPLEMENTED AND WE'VE WORKED
HARD TO CREATE OP. AND
RELATIONSHIPS WITH
CARE PROVIDERS.
AND IN DOING SO WE'VE
ESTABLISHED OUR REFERRAL
LINKAGES WITH ANTHEM WE'VE
ESTABLISHED RELATIONSHIPS WITH.
KAISER PERMANENT DAY AS WELL AS
THE WHAT'S.
HEALTHCARE FOUNDATION AND THE
REASON WE DO THAT IS SO THAT WE
CAN USE THAT ABOLITION NETWORK
WITH THOSE.
PROVIDERS TO KNOW WHO WE ARE AS
A BLACK EVEN HEALTH PROGRAM
WORKING HARD TO OUR ALLEVIATE
AND REDUCE IT FROM MORTALITY AND
WE IN TURN.
LET THEM KNOW THAT WE ARE
AVAILABLE TO MEET THE NEEDS OF
HIGH RISK WOMEN AND THEY CAN
REFER TO OUR PROGRAM.
THANK YOU. A ANY COMMENTS FROM
ALEJO FINANCE QUESTIONS WITH ANY
MEMBERS NINE.
OKAY WELL THANK YOU SO MUCH FOR
YOUR PRESENTATION.
WE ARE NOW GOING TO BE.
HE CALLED A PANEL ABOUT SEVEN
PEOPLE ON THAT SO WE NEED SOME
ROOM UP HERE.
THEY'VE WHO JUST MOVE AROUND
THE EDGES HERE. AND.
THROUGH WRITING A LOCAL
PERSPECTIVE SO WE HAVE.
DOCTOR DEBORAH ALLEN IS THAT
THE DIRECTOR OF HEALTH PROMOTION
FOR LA COUNTY DEPARTMENT OF
HEALTH.
.
MUCH REGARD.
COULD YOU MOVE OR OPEN INTERNET
PRONOUNCED DEAD TO INCORRECTLY
MATERNAL CHILD HEALTH DIRECTOR
MARCH OF DIMES GREATER LA.
SLIP A BARREN ALAMEDA COUNTY
REGIONAL MANAGER OF MEDICAL
OPERATIONS LIKE CLINICAL THE LA
RAZA CHICKS YOU IT CEO PRESIDENT
OF THE CENTER AT YOUR HEALTH
FOUNDATION.
STILL STERN. NODS SACRAMENTO
COUNTY SUPERVISOR.
MARIA YOUNG TAYLOR YOUNG
AFRICAN AMERICAN.
INSTANT DEATH PREVENTION PROGRAM
SACRAMENTO AND JOE TAYLOR DOCTOR
ALSO TAYLOR YOUNG AFTER
AMERICAN INTO DEATH PREVENTION
PROGRAM SACRAMENTO.
I'M BECAUSE THERE ARE SEVEN OF
YOU AND YOU ALSO TO SEVERAL OF
YOUR PRIDE INVOLVED AT THE SAME
PROGRAM AND ASK YOU KEEP YOUR
REMARKS TO TWO MINUTES OR LESS
AND.
YOUR COLLEAGUE FROM THE SAME
PROGRAM A SAID SOMETHING.
WE DON'T HAVE TO DUPLICATE THAT
SO.
WE'LL GO AHEAD AND START WITH
THAT DOCTOR ALAN.
THREE OF US ARE GOING TO BE
PRESENTING ON A RELATED
COMPLEMENTARY WOULD YOU PREFER
THAT THOSE WHO IS SPEAKING ABOUT
BLACK INFANT HEALTH SO FIRST
USUALLY JUST I'VE BEEN.
OKAY SO THAT THERE'S THREE OF
YOUR TALK ABOUT THE SAME PROGRAM
YES OKAY AT IT'S NOT BLACK
INFANT HEALTH IT'S A
COMPLIMENTARY PROGRAM IT YEAH
THAT'S WHAT WE HAVE YEAH I THINK
THAT'S OR HEAVY YEARS THAT WHEN
HE DIED YES GO AND DIE THEN SO.
THANKS SO MUCH I'M I'M DEBORAH
ALLEN AND I'M THE.
I NEED MY NOTES.
I'M I'M THE DEPUTY DIRECTOR FOR
HEALTH PROMOTION IT THE LOS
ANGELES COUNTY DEPARTMENT OF
PUBLIC HEALTH THANK YOU CHAIRMAN
PAN AND COMMITTEE MEMBERS FOR
HEARING.
THIS PROPOSAL THAT WE'RE GOING
TO PRESENT TO ADDRESS INEQUALITY
IN CALIFORNIA BIRTH OUTCOMES
WE'RE VERY PROUD AS THE LA
COUNTY AS LA COUNTY TO SPONSOR
THIS PROPOSAL. TO ESTABLISH THAT
CALIFORNIA PERI NATAL EQUITY
INITIATIVE AND GRATEFUL TO
SENATOR HOLLY MITCHELL FOR HER
LEADERSHIP IN THIS AREA THIS IS
A PROPOSAL FOR A FIFTEEN MILLION
DOLLAR EXPENDITURE IN STATE
GENERAL FUNDS. RESPONDING TO THE
PERSISTENT BLACK WHITE
INEQUALITY IN BIRTH OUTCOMES
THAT YOU HEARD ABOUT ON DESPITE
YEARS OF EFFORT IN LA COUNTY
BLACK INFANTS DIE STILL AT THREE
TIMES THE RATE OF WHITE.
COMMON PRESUMPTIONS THAT THAT
GAP MAY BE DUE TO DIFFERENCES IN
WOMEN'S EDUCATION WOMEN'S INCOME
OR WOMEN'S BEHAVIOR IS REALLY
DOWN STAND UP TO SCRUTINY FOR
EXAMPLE INFANTS A BLACK COLLEGE
GRADUATES IN LOS ANGELES. FARE
WORSE THAN INFANTS OF WHITE
WOMEN WHO HAVE ONLY GONE TO HIGH
SCHOOL. EMERGING SCIENCE AS OUR
COLLEAGUES POINTED OUT POINTS
INSTEAD TO DAILY STRESS
ASSOCIATED WITH POVERTY IN WITH
RACISM AS THE REAL EXPLANATION
FOR THE GAP.
SIXTY ON.
SORRY. I'M THE PROPOSAL WHERE
MAKING ADDRESSES STRESS IN THREE
WAYS
IT CALLS FOR IS FOR STATE
INVESTMENT IN A MODEL OF CARE
SHOWN TO REDUCE PRETERM BIRTH.
ON THE KEY CORRELATION OF INFANT
DEATH AND BLACK WOMEN GROUP CARE
LIKE THE CENTER IN PREGNANCY
MODEL ADDS WOMAN TO WOMAN
SUPPORT. TO THE TRADITIONAL
PRENATAL VISIT HELPING WOMEN
REDUCE STRESS BY ESTABLISHING A
SISTERHOOD THROUGHOUT PREGNANCY
IS PROPOSAL ADDRESSES FINANCIAL
BARRIERS TO IMPLEMENTING CENTER
ANY PRENATAL CARE SITES THROUGH
ENHANCED PAYMENT FOR GROUP
VISITS. EXPERIENCE ELSEWHERE
INDICATES THAT INVESTMENT IN
CENTER RING WOULD YIELD SAVINGS
VIA REDUCE MAKING CARE PAID FOR
BY MEDICAID AND PERMIT THE STATE
AT THE SAME TIME TO DRAW DOWN
FEDERAL MEDICAID MATH.
THE PROPOSAL CALLS FOR ALSO FOR
SCREENING OF REPRODUCTIVE AGE
WOMEN FOR PREGNANCY INTENT PRIOR
TO PREGNANCY IN CHECK UPS AND
OTHER MEDICAL VISITS RESEARCH ON
BLACK WHITE BIRTH OUTCOME
DIFFERENCES. INDICATE THAT ON
EQUAL OUTCOMES ARE PARTLY DUE TO
UNEQUAL WOMEN'S HEALTH GOING
INTO PREGNANCY. TO CHANGE
OUTCOMES WE MUST ASSURE THAT
WOMEN ARE HEALTHY BEFORE
PREGNANCY RATHER THAN PLAYING
CATCH UP AFTER. THIS VERY SIMPLE
APPROACH CALLED ONE KEY QUESTION
CALLS ON PROVIDERS TO ASK WOULD
YOU LIKE TO BECOME PREGNANT IN
THE NEXT YEAR AS STANDARD
PRACTICE WHEN THE ANSWER IS YES
THE DOCTOR AND PATIENT. KIND
PARTNERED TO ADDRESS RISKS THAT
MIGHT AFFECT BIRTH OUTCOMES
FINALLY THE PROPOSAL CALLS FOR
INVESTMENT IN FATHERHOOD
INITIATIVES WHILE MANY PUBLIC
HEALTH OUT STRATEGIES EMPHASIZED
SUPPORT FOR WOMEN THAT GENERALLY
DO THREE STE SO THREE
PROFESSIONAL INVOLVEMENT. RATHER
THAN LOOKING TO NATURAL SUPPORTS
THIS PROPOSAL CALLS FORFUNDING
OF INITIATIVES THAT TAKE ON
MYTHS AND STEREOTYPES THAT KEEP
BLACK FATHERS OUT OF THE PICTURE
WHILE OFFERING MEN THE SUPPORT
AND EDUCATION NEEDED TO
INTERVENE IT TO ENGAGE
EFFECTIVELY. IN CLOSING I WANT
TO HIGHLIGHT THREE FEATURES OF
THIS PROPOSAL BUT THAT THAT
EQUITY INITIATIVE FIRST IT
REFLECTS CURRENT SCIENCE ABOUT
STRESS AND BIRTH OUTCOMES.
SECOND THE PROPOSAL TARGETS
FUNDS TO FEDERALLY QUALIFIED
HEALTH CENTERS AND PLANNED
PARENTHOOD WHICH WE THINK ARE
IDEAL SITES TO SERVE AS MEDICAL
HOMES FOR WOMEN AND HUBS FOR NEW
AND EXISTING PROGRAMS AND
FINALLY. THE PROGRAM TARGETS
FUNDING NOT ONLY TO CLINICAL
SITES BUT TO STATE AND LOCAL
PUBLIC HEALTH ALLOWING A SYSTEM
OF CARE AND FRIENDS. I URGE THE
BUDGET SUBCOMMITTEE TO ADOPT
THIS PROPOSAL AND AM GLAD TO
ANSWER ANY QUESTIONS YOU MAY
HAVE THANK YOU AND WILL TAKE
THAT ON AT THE END OF.
USER WENT OVER A BAD BET SO I
ASK YOU PARTNERS TO TRY TO KEEP
IT BRIEF SO THANK YOU SORRY.
MISTER CHAIRMAN AND MEMBERS MY
NAME IS MY SHAKY COULD DEMO AND
I'M THE MATERNAL CHILD HEALTH
DIRECTOR OR MUCH AT TIMES LA
COUNTY. AT THE MARCH OF DIMES WE
BELIEVE THAT EVERY BABY DESERVES
A PASSED ARE A PARTIALLY NOT ALL
BABIES GOT MINE AND THE
CALIFORNIA IN PARTICULAR CITIES
LIKE LA WE KNOW THAT WE'RE NOT
IMMUNE FROM THE RACIAL
INEQUITIES IN DISPARITIES THAT.
EXIST WERE BLACK AND BACHMAN
TURNER WHAT AND PAN. TO MATERNAL
DOT.
SO AFTER YEARS OF DECLINE THE
PRETERM BIRTH RATE HAS GONE UP
IN CALIFORNIA FOR THE PAST TWO
YEARS WHEN A TWELVE BABIES IS
BORN PREMATURE WHICH RELATES TO
TWO POINT ONE BILLION DOLLARS.
AND SOCIETAL MEDICAL COSTS EVEN
MORE ALARMING BLACK WOMEN HAVE
OUR ADDRESS FOR HAVING A PRETERM
BIRTH FORTY SIX PERCENT HIGHER
THAN OTHER WOMEN SPORT SIX
PERCENT HIGHER.
AND WE MUST DECELERATE THE
PROVEN INTERVENTIONS IN ADDRESS
SOCIAL DETERMINANTS OF HEALTH TO
CHOOSE THE CHEAPER EQUITY AND
IMPROVE THE HEALTH OUTCOMES OF
OUR MOMS AND BABIES AND THE
PROPOSED ON CALIFORNIA. RETEK.
PERINATAL EQUITY INITIATIVE
ADDRESS SOME OF THESE.
APPROACHES ON THE MARCH OF DIMES
IS ACTIVELY ENGAGING IN
IMPLEMENTING TO OTHER
INTERVENTIONS DOT A PROPOSED.
AND THE PROPOSAL PER SPACE
SAYING AND PRECONCEPTION CARE AS
WELL AS GROUP NAIL CARE.
AS PART AS FAR AS HIS FUTURE
PLANNING CALIFORNIA ADDITIONAL
WE HAVE TWO OTHER EVIDENCE BASED
INTERVENTIONS THAT WE THINK BUT
BUT. NICELY AND TERMS OF THE
CENTERS OF EXCELLENCE DOT THAT
PROPOSAL IS PROPOSING BRACES
SEVENTEEN PEOPLE JUST RUN SHOP
FOR WOMEN WHO ARE. LESS REPEAT
TEMPER THE POD A PREVIOUS
PRETERM BIRTH. ONLY ABOUT ONE
THIRD OF BY MEN WHO.
ARE ELIGIBLE FOR SEVENTEEN P.
INTERACTION ACTUALLY GET.
AND WE KNOW THAT IT CAN REDUCE A
REOCCURRENCE OF.
PRETEND BURKE BY THIRTY THREE
PERCENT BUT ONLY A THIRD GET
THAT FOR VARIOUS REASONS.
THE OTHER ISSUE OUR INTERVENTION
IS. THE USE OF LOW DOSE ASPIRIN
PER PREECLAMPSIA AND LOW DOSE
ASPIRIN IS A LOW COST
INTERVENTION AFRICAN AMERICAN
WOMEN
COMING TO PREGNANCY AT HIGHER
RISK. FOR PREECLAMPSIA ICONIC.
HYPERTENSION AND SO WE. AT THE
MARCH OF DIMES WEEKLY WORK
CLOSELY WHAT I'M UP A LONG
HISTORY OF WORKING WITH THE
COUNTY AND STATE.
PUBLIC HEALTH AGENCIES THAT
BLACK INFANT HEALTH OUR
PERINATAL CARE PROVIDERS IN
ADDITION WE ALSO HAVE BY.
I'M PREMATURELY RESEARCH
CENTERS ACROSS THE NATION AND
THE ONE HERE. NEARBY AND STAFF
FOR THAT ARE LOOKING AT.
.
INTERACTION.
AND.
INSULT ALSO TOO.
WE KNOW ABOUT THE MARCH OF
DIMES SUPPORTS HIS OFFERS WE
URGE YOU TO SUPPORT.
SUPPORT OF PROGRAMS THAT
EMPOWER WOMEN AND FAMILIES THAT
IMPROVE ACCESS TO HEALTHCARE THE
QUALITY OF CARE AND INCREASE
SOCIAL SUPPORT FOR BLACK WOMEN
AND WE'RE HAPPY TO PROVIDE
TESTIMONY IN ANSWER.
I THINK YOU.
SPEAKER LUNACY OF SIMILAR SPEECH
PATTERN ON YOUR PROPOSAL OR
THAT'S OKAY I DO HAVE MISTER
CHAIR AND MEMBERS MY NAME IS
PHLIP A BARREN. I AM THE
ALAMEDA COUNTY REGIONAL MANAGER
OF MEDICAL OPERATIONS FOR LIKELY
ANY KIND A LOT OUTSIDE.
COMMUNITY HEALTH CENTER
FEDERALLY QUALIFIED HEALTH
CENTER PROVIDING CARE TO OVER
EIGHTY SIX THOUSAND PATIENTS
THROUGHOUT ALAMEDA CONTRA COSTA
AND SOLANO COUNTIES ARE HEALTH
CENTER IS A VERY PROUD MAN.
OF THE CALIFORNIA PRIMARY CARE
ASSOCIATION CPC A.
THANK YOU FOR THE OPPORTUNITY TO
SHARE THE HEALTH CENTER
PERSPECTIVE ON CENTRIC PREGNANCY
AND THE IMPORTANT ROLE IT PLAYS
IN SUPPORTING WOMEN AND
FAMILIES.
LIKELY BECAUSE SERVES OVER TWO
THOUSAND PRENATAL PATIENTS AND
FAMILIES EACH YEAR.
IN TWO THOUSAND EIGHT
RECOGNIZING OUR LOW INCOME
IMMIGRANT PATIENTS NEEDED
ADDITIONAL SUPPORT DURING THEIR
PRENATAL COURSE WE BEGAN
OFFERING CENTER IN PREGNANCY.
CENTERING PREGNANCY AS YOU KNOW
IS A GROUP PRENATAL CARE
BRINGING WOMEN DO AT ABOUT THE
SAME TIME OUT OF THE EXAM ROOMS
AND INTO A COMFORTABLE GROUP
SETTING. ALLOWING PROVIDERS TO
BETTER ADDRESS THE SOCIAL MENTAL
AND PHYSICAL NEEDS OF THE
MOTHERS TO BE.
WE STARTED WITH SOME OF OUR
HIGHEST RISK PATIENTS PREGNANT
TEENS AND YOUNG ADULTS
OUR CENTER IN PROGRAM HAS NOW
GROWN FROM ONE SITE TO FOR.
SERVING TWO HUNDRED SIXTY
PATIENTS ANNUALLY ACROSS TWO OF
OUR COUNTIES.
AS AS YOU HAVE ALSO HEARD
RESEARCH SHOWS BETTER OUTCOMES
FOR MOM AND BABY INCLUDING
LOWERING RISK OF LOW BIRTHWEIGHT
AND PRETERM. BIRTH CLINICAL
RESEARCH FOR MINORITY
COMMUNITIES IN PARTICULAR IS
KNOWS NOTEWORTHY MULTIPLE LARGE
WELL DESIGNED STUDIES FOUND A
RISK REDUCTION OF ABOUT THIRTY
THREE PERCENT FOR PRETERM BIRTH
SOME.
OVERALL CENTERING PARTICIPANTS
RECEIVE HIGH QUALITY PRENATAL
CARE ARE MORE INFORMED ABOUT
PRENATAL HEALTH LABOR AND
DELIVERY.
HAVE HIGHER RATES OF
BREASTFEEDING INITIATION AND
EXPRESS HIGHER SATISFACTION WITH
THE CARE THAT THEY RECEIVE.
CENTERING ALSO SHOWS IMPROVE
PSYCHOSOCIAL OUTCOMES FOR WOMEN
ALREADY EXPERIENCING HIGH STRESS
INCLUDING INCREASED SELF ESTEEM.
DECREASE STRESS AND CONFLICT AND
DECREASED DEPRESSION IN THE POST
PARTUM PERIOD.
OUR HEALTH CENTERS ARE MOVING
TOWARD OFFERING CENTRING
PREGNANCY AS THE STANDARD OF
CARE FOR ALL OUR PRENATAL
PATIENTS WERE NOT ALLOWED.
HEALTH CENTERS ACROSS THE STATE
ARE TURNING TO THIS MODEL NOT
ONLY FOR THE HEALTH IMPACTS
FOR INDIVIDUAL PATIENTS BUT ALSO
FOR THE COST SAVINGS TO THE
ENTIRE HOUSE SYSTEM.
STUDIES HAVE SHOWN THAT FOR
EVERY PREMATURE BIRTH PREVENTED
THERE'S NEARLY TWENTY THREE
THOUSAND DOLLARS IN SAVINGS.
TO BEST SUPPORT ADOPTION OF THE
MODEL GREATER INVESTMENTS ARE
NEEDED. AND IF ENACTED THIS
PROPOSAL WILL HAVE A DIRECT AND
IMMEDIATE IMPACT ON HEALTH
CENTERS AND IMPROVE BIRTH
OUTCOMES FOR LOW INCOME AND
VULNERABLE COMMUNITIES WE
RESPECTFULLY URGE YOU TO ADOPT
THIS PROPOSAL TO SUPPORT
INVESTMENTS IN CENTER
INDICTMENTS EH THANK YOU. THANK
YOU.
OKAY.
SPEAKER I THINK IS ACTUALLY A TO
HELP ALRIGHT BOTH SUPERVISOR
SRNA.
WE THINK IT IS RICHARD YOU TO.
TRY TO KEEP IT TWO MINUTES THAT
RESULTED.
I THINK I THINK MR CHAIRMAN WAS
THE SUBCOMMITTEE MY NAME IS PHIL
STERN AYE SERVICE MEMBER THE
SECOND A COUNTY BOARD OF
SUPERVISORS I ALSO CHAIR THE
SACRAMENTO FIRST FIVE
COMMISSION.
BUT SHOULD THE THE UP TEND TO
JOIN OTHER STAKEHOLDERS HERE TO
HOPEFULLY IMPRESS UPON.
SUBCOMMITTEE THE GREAT IMPORT
OF.
CONTINUED AND HOPEFULLY
ENHANCED INVESTMENT AND BLACK
INFANT HEALTH UP PROGRAMMING
HERE IN THE STATE OF CALIFORNIA.
I'VE BEEN ASKED TO.
SPECIFICALLY ADDRESS THE SKIN
IN THE GAME IF YOU WILL THAT
SEGMENT OF COUNTY HAS HAD A VERY
DELIBERATE EFFORT.
TO EDUCE AFTER AMERICAN.
CHILDHOOD DEATHS
DISPROPORTIONAL DEATHS IN OUR
COUNTY THAT HAVE.
PLAGUED US FOR.
Y. MUCH TOO LONG IN YOUR PACKET
OF MATERIAL I BELIEVE THERE IS A
SINGLE.
TABLE THAT I HAVE ACTUALLY
COMPILED FOR YOUR. FOR YOUR USE
THAT DEMONSTRATES THE INVESTMENT
ON A. YEARLY BASIS ANNA BASIS
BETWEEN TWO THOUSAND THIRTEEN
AND TWENTY TWENTY.
AND THIS IS A.
BUDGET SPREADSHEET THAT SHOWS
THE VARIOUS AGENCIES.
UNDER THE RUBRIC OF THE COUNT
OF COUNTY GOVERNMENTS INCLUDING
FOR THE FIRST FIVE COMMISSION
THAT. I HAD CONTINUES TO.
BE THOUGHTFUL ON ITS
INVESTMENTS TO ADDRESS THE FOUR
LEADING CAUSES OF.
DISPROPORTIONAL CHILD TO DEATH
IN THE AFRICAN OF POPULATION
INCLUDING.
THOSE ASSOCIATED WITH THE
HEALTH OF MOTHER AND FETUS SO.
AGAIN.
I'M VERY PLEASED TO BE. EASILY
BEAT TO BE HERE THIS.
THIS AFTERNOON THIS THIS
THINK.
IS CLEAR AND.
THE SHARES A SIMILAR CONCERN
ONE IMPRESS UPON THIS COMMITTEE.
TO.
CONTINUE THE INVESTMENT THAT IS
OBTAINED EVIDENCE YOU'RE GONNA
HEAR FROM MY A FRIEND COLLEAGUE
IN THIS EFFORT SAID HE WOULD.
IN A MOMENT ABOUT THE SOME OF
THE EARLY PROGRESS THAT THE
OTHER INVESTMENTS ARE MAKING.
ANOTHER PANEL SO THANK YOU.
THANK YOU.
IT'S TRUE IT.
CHAIRMAN MEMBERS OF THE
SUBCOMMITTEE OF. THE HAPPY TO BE
HERE IN SUPPORT OF INCREASE
INVESTMENT IN BLACK COME CHAU
MATERNAL HEALTH WE KNOW HOW
IMPORTANT IS IF YOU SEEN THE
RECENT NEW YORK TIMES ARTICLE.
SOME REALLY CHALLENGING
STATISTICS.
WE'RE A BLACK INFANT OF
MORTALITY RATES. BEAR TO WHITE
COUNTERPARTS.
EXCUSE ME IS WORSE THAN WASN'T
EIGHTEEN FIFTY.
THAT IS FIFTEEN YEARS BEFORE THE
END OF SLAVERY.
SO WE KNOW WE HAVE A LOT OF WORK
TO DO TO IMPROVE BY THAT
PARTICULAR DATA.
SACRAMENTO COUNTY HAVE OVER
TWENTY YEARS OF DATA SHOWING
THIS PICKLE DISPARITIES.
BUT AFTER AMERICAN CHILDREN DIED
TWO THREE TIMES THE RATE OF
WHITE CHILDREN. AT EIGHTY TWO
PERCENT THOSE DEATHS TAKE PLACE
IN SEVEN NEIGHBORHOODS.
AND SO WE KNOW EXACTLY WHERE
THIS IS HAPPENING AND WE KNOW
WHY IT IS HAPPENING.
LARGELY AROUND INFANT SLEEP
RELATED DEATHS IMPERIAL
CONDITIONS BEING THE TWO LARGEST
DRIVERS OF FROM WHAT THAT WE
MULTIPLE COMMUNITIES.
NOW EFFORT IS OUTLINED INTERVIEW
THAT WE'VE ACTUALLY SHOWED YOU
WAS DEVELOPMENT OF COMMUNITY
COLLABORATIVE AND NO STATEMENT
SEVEN NEIGHBORHOODS THAT ARE
REALLY BUILT AROUND THE SOCIAL
TRENDS OF HEALTH. IN DEALING
WITH SOME OF THE ECONOMIC AND
OTHER FACTORS THAT DRIVE WILL
HEALTH.
AND IN FACT OF POOR HEALTH
OUTCOMES AROUND CHILDREN. AS
WELL READING OF THESE PICKLE
MODELS.
HOLD GREAT PROMISE IN FACT
WE'VE SEEN A THIRTY THREE
PERCENT.
THE QUIET INFANT SLEEP RELATED
PASSED AND DESPITE UP TICKS
NATIONALLY LOW.
BIRTH.
AND PRETERM BIRTHS BUT
COMMERICAL WOMEN WERE ACTUALLY
SINGING A TURNING AFTER CLICKER
IN SOME DECLINES BEGINNING TO
HELP.
AS WELL SO WE'RE HERE TO SUPPORT
THIS NOTION OF INCREASED
INVESTMENT WE THINK IN THE STATE
OF CALIFORNIA TO BECOME THE
FIFTH LARGEST ECONOMY IN THE
WORLD BE OVER GREAT BRITAIN.
THAT WE SHOULD BE ABLE TO.
INVEST A PIPER RESOURCES THE
CHANGE OSCAR CONDITIONS AS A
DEMONSTRATION OF OUR COMMITMENT
TO EQUITY OF BY INVESTING IN
THINGS THAT WE KNOW WE HAVE THE
KNOWLEDGE AND THE CAPACITY TO
CHANGE.
I THINK YOU I THINK BECAUSE THIS
YOUNG.
IF.
I HAVE CLEAR IT'S NOT ON. I HAVE
LIVED AND WORKED IN THIS
COMMUNITY PART. OF THIRTY PLUS
YEARS AYE AND IN THOSE THIRTY
PLUS YEARS I'VE WORKED WITH THE
BLACK IMPRINT HELP PROGRAM.
I'VE.
I'M NOT GONNA REPEAT WHAT THE
PREVIOUS SPEAKER TALKED ABOUT
BUT I AGREE.
TYPICALLY I TRULY AGREE.
.
VOIGTS.
I HAVE A LOT LIKE I STATED ON A
BEEN A PART OF THIS COMMUNITY I
HAVE BEEN THE CLINIC DIRECTOR.
AHA I HAVE WORKED AYE IN THE
CLINIC I HAVE COLLABORATED WITH
MANY OF OUR WONDERFUL ARGUMENTS
A SENT. OUT BLACK INFANT HELD
THE BLANKET AND HELP THE PROGRAM
IS VERY DEAR TO MY HEART.
TIME WE STARTED A FILTERING
PROGRAM I'D LOVE CENTER AND A
LOT WE HAVE THE STATUE GUYS
STATED THAT STACKED SO I DON'T
HAVE TO I REPEAT IT. TO PROVE
THAT IT'S A VERY SUCCESSFUL OP
PROGRAM BUT WE WERE FORTUNATE
ENOUGH. TO FIND ANOTHER
COMPONENT BED EVEN AT THE TO THE
SCENE TO WIN PROGRAM AND THAT
WAS THAT VISITATION PROGRAM WE
INCLUDED HOME VISITORS WHICH
GAVE US THE OPPORTUNITY. TO HAVE
EACH ONE OF OUR WHERE I PATIENTS
TO HAVE A HOME VISITORS WHICH
BECAME MORE LIKE A FREE HAND I'D
THEY WOULD VISIT WITH THEM AT
LEAST ONE. WEEK SELBY LEARN TO
TRUST THEM I'D THEY WOULD TELL
THEM THINGS THAT SOMETIMES
WOULDN'T TELL THEIR DOCTORS. OUR
HOME VISITORS AREN'T THEY ARE
ADVOCATES BEAR OUT IN THE
COMMUNITY OUT WE COLLABORATE
WITH OTHER COMMUNITY ARE
PARTNERS.
THEN I HEARD ABOUT DOCTOR
TAYLOR'S. AYE AND HER GROUP AND
I WE WERE READING ABOUT THEIR
STATUS BECAUSE. THEY'RE AWESOME.
RATES ARE JUST GREAT I MEAN I
THOUGHT WHAT'S THE BEST IN
SACRAMENTO AND I LEARNED THAT IT
WAS OKAY I'M MIXED START. THAT
IT WAS MAYBE THE BEST IN THE
COUNTY AND DOCTOR TAYLOR WILL
TELL YOU MORE ABOUT IT. BUT I'M
JUST HOPING THAT I'M WE CAN
CONTINUE AND IMPROVE WHAT WE'RE
DOING PARK THE BIKE HEALTH
PROGRAM.
OKAY THANK YOU DOCTOR TAYLOR.
AND THEN I JUST REMIND YOU WILL
FIVE QUESTIONS AFTERWARDS HAVE
MORE TIME DELIVERY OKAY.
I'M MY NAME'S JO TAYLOR I'M A
LOCAL SACRAMENTO OBSTETRICIAN
THAT IN PRACTICE HERE FOR THIRTY
YEARS.
AND THE BIG FOCUS IN MY PRACTICE
WHICH GREW TO BE OVER TWENTY
EIGHT THOUSAND PATIENT VISITS.
A YEAR WAS DECREASING PRE
MATURITY AND BLACK INFANT AT.
AND.
.
I.
BEFORE WE GET INTO OUR ACTUAL
PROGRAM VISIT EVERYBODY WHO
NEEDS ONE HAVE A COPY OF OUR.
PLANS YOU HAVE THAT IS ON THE
RECORD IF ANYONE LIKE.
SO ANYWAY.
I JUST WANT TO POINT OUT INCOME
GO ON. WHAT YOU SAID ABOUT THE
PRE MATURITY AND IN OF THE MARCH
OF DIMES ON THE WEBSITE SAYS
THAT THE PRE MATURITY COST
TWENTY SIX?
PLUS BILLION A YEAR IN THE
UNITED STATES BUT THAT DOESN'T
INCLUDE THE COSTS OF PRE
MATURITY. AFTER PATIENTS
GOVERNOR SHOULD AND THERE'S A
HUGE COST BECAUSE FIFTY PERCENT
OF THE PREMATURE BABIES MAY HAVE
LEARNING DISABILITIES THAT WILL
COST THE STATE A LOT OF MONEY.
THEY HAVE INCREASE AUTISM
INCREASED AGGRESSIVE CHILDHOOD
CANCERS AND A WHOLE INCREASE OF
OTHER MEDICAL PROBLEMS THAT THE
STATE ENDS UP GETTING INVOLVED
IN HAVING TO PAY FOR THEIR VERY
VERY EXPENSIVE.
AND SO THE DISPARITY THAT IS
RIGHT NOW WITH.
DEPENDING ON WHAT YOU READ
BETWEEN THREE AND FOUR TIMES
GREATER CHANCE OF AFRICAN
AMERICAN. BABY BEING BORN AND
DYING FROM.
AND IT MORE THAN IF THREE FOUR
CHANCE THAT THEY'LL DIVE OR HAVE
COMPLICATIONS FROM PREMATURITY.
ONLY INCREASES AS THESE CHILDREN
AGE WITH THEIR MEDICAL PROBLEMS
WITH HAVING SO MANY MORE AFRICAN
AMERICAN PREMATURE BABIES. AND
MAKE IT WITH A SUCH A DISPARITY.
BUT ANYWAY I WANTED TO MUCH TIME
SO I WANT TO JUST QUICKLY GO
INTO OUR PROGRAM. OUR PROGRAM IS
UNIQUE IF DIFFERENT THAN
ANYTHING I'VE EVER SEEN BEFORE
AND IT ACTUALLY WORKS.
IT WORKS BEST IN FEDERAL
QUALIFY CLINIC.
AND.
THE FIRST KEY COMPONENT IS
QUICK AND EASY ACCESS FOR
AFRICAN AMERICAN WOMEN.
A LOT OF WOMEN WILL SPEND MONTHS
WAITING FOR A NEW WILL BE
APPOINTMENT AND OUR PLAN TRIED
TO GET PATIENTS IN AND WAS
SUCCESSFUL IN GETTING IN ONE TO
TWO. TO THREE DAYS.
THEY NEEDED TO HAVE QUICK
ACCESS IF THEY'RE HAVING A
PROBLEM AND OUR PLAN HAD A WAY
OF GETTING ACCESS TO A PROVIDER
QUICKLY OVER THE PHONE WE DON'T
HAVE LONG FROM TREES PEOPLE
WOULD CALL. FONG WILL BE
ANSWERED BY THE THIRD COLUMN IT
GET CARE.
THE ROOKIES ARE PLAN WITH
INTENSIVE INDIVIDUALIZED CASE
MANAGEMENT
AND WHAT WE DID IS WE USE THE
WONDERFUL CPS P. INTAKE FORMS TO
LOOK AT PEOPLE SOCIAL
SITUATIONS.
AND THEN WE IDENTIFIED FIFTY
SIX.
RISKS FOR PRETERM LABOR AND
RATHER THAN AMA FILLING OUT
SOMEBODY'S HISTORY WE HVE
ACTUAL PHYSICIAN OR NURSE
PRACTITIONER SIT DOWN AND GO
OVER ALL FIFTY SIX RISKS WITH
EACH AFRICAN AMERICAN WOMAN AND
IDENTIFY.
AND THEN WE HAVE A CASE MANAGER
PUT EVERYTHING TOGETHER WHO'S
ALSO A POSITION AND THEN EACH
PATIENT HAD THEIR OWN
INDIVIDUALIZED PLAN WHICH IS
DIFFERENT THAN ANYBODY ELSE'S.
BASED ON THEIR OWN RESPECTIVE.
AND ONCE WE HAD THE PLAN THEN WE
DID THREE THINGS THE FIRST THING
IS WE SET UP EDUCATIONAL
PROGRAM.
BECAUSE A LOT OF THE AFRICAN
WHEN AMERICA WHEN WE DID EVEN
THOUGH THEY WERE A HIGHER RISK
OF PREMATURE. AND SO WHAT WE DID
IS WE PICK THE SIX CLASSES WE
THOUGHT WOULD MAKE THE BIGGEST
IMPACT FOR THEM
THE CLASSES WERE ONE ON ONE
CLASSES. WITH A LABOR AND
DELIVERY.
TO WHICH TO LABOR AND DELIVERY
AFRICAN AMERICAN NURSES WE ALSO
HAD.
DIETITIANS SOCIAL WORKERS THAT
WOULD MEET AND DO THE ONE ON ONE
CLASSES.
OKAY AB BUT BE QUICK AND THEN.
AT THE END OF THE CLASS AND
FINISH THE GOT A CAR SEAT WHICH
IT CONTRIBUTED.
TO THE SAFETY
THE SECOND THING WE DID IS WE
WITH THE CASE MANAGERS WE
IMMEDIATELY HAD A HOME VISITORS
SIGN TO HIM. AND HOME USERS WERE
NOT JUST GENERIC HOME VISITORS
THEY WERE BASED THEY HAVE OUR
COMPETENCY IN THE ISSUES OF
PREMATURITY BLACK INFANT HEALTH
AND ALSO.
THE ISSUES OF EACH CHILD ABUSE.
DOMESTIC VIOLENCE AND NURTURING
PARENTING.
AND THEN WE COMBINED IT WITH OUR
CUTTING EDGE MEDICAL MODEL AND I
THINK SOMEBODY REFERRED TO THE
FACT THAT.
THE NATIONWIDE STUDY SHOWS THAT
ONLY TWENTY THREE PERCENT OF THE
PATIENTS THAT ARE. ABLE TO GET
PROJECTS SHARON DO IN OUR
PRACTICE HUNDRED PERCENT OF THE
PEOPLE AT RISK AUDIT IS ONLY
LISTENS WE GOTTA. AND THE SAME
WITH BABY ASPIRIN ONLY THREE
PERCENT OF YOU ARE GETTING AT
WHEN IN FACT THAT IMPACTS
PREMATURELY WIFE HUGE PERCENT.
AND SO WE DID CUTTING EDGE
THINGS AND RIGHT NOW WE'RE
DOING.
ULTRASOUND SCANNING FOR PEOPLE
THAT WERE PASSED AROUND.
TO CHECK THEIR CERVICAL LIFE.
AND. A. THE RESULTS WERE
PHENOMENAL SO GETS OF THE
RESULTS.
SO KEEP IN MIND YOU'RE ACTUALLY
YEAR WE GIVE AWAY OVER TIME
ALSO.
OKAY GUY JUST OVER THE RESULTS
WERE FAST
VERY QUICKLY OKAY THE MARCH OF
DIMES. ARM STATISTICS WE DO IT
DON'T FORGET WE DO HAVE REPORTS
WE HAVE RIGHT UP SO HE DID IT
NOW SO I THE DETAILS WEARY
BECAUSE YOU KNOW I'VE HAD A
CHANCE TO REVIEW AND READ EXCEL
SELF THAT IS MARCH OF DIMES GOAL
FOR PRE MATURITY IS EIGHT POINT
ONE. FOR ALL COMERS IN TWO
THOUSAND AND TWENTY.
AND OUR GIRLS SIGNIFICANTLY OF
C. EXCEEDS THAT.
AND AS FAR AS THE AFRICAN
AMERICAN PATIENTS WHICH THERE'S
A BIG CONSPIRACY ARE UP
PREMATURELY RATE FOR FOUR
HUNDRED FIFTY FOUR AFRICAN
AMERICAN BIRDS WHICH ONLY SIX
POINT SIX ONE PERCENT.
WHICH IS LESS THAN ANY.
OTHER PROGRAM THAT I KNOW OF AND
THAT EXCEEDS THE MARCH OF DIMES
AND THAT IF THAT WE WERE ABLE TO
CARRY THIS PROGRAM.
AND.
REPLICATE OTHER PLACES
THAT WOULD BE THE END OF THE
DISPARITY BECAUSE THAT'S WAY
LESS THAN WHAT WE HAVE WITH THE.
GROUP AS A WHOLE IN THE UNITED
STATES FEDERAL.
OKAY THANK YOU.
THANK YOU.
APOLOGIZE BUT AS A BUDGET
SUBCOMMITTEE AGENCY WE HAVE A
WHOLE ROOM OF PEOPLE WHO HAVE A
WHOLE BUNCH OF DIFFERENT ITEMS
THAT THEY WANT TO HEAR YOU HAVE.
A SENSE OF RIGHT UPS THAT WE
HAVE IN FRONT OF US WE ASK
PEOPLE TO PRESENT THE HIGHLIGHTS
AND SO ON MUSEUM. ALTHOUGH IT TO
BE FAIR TO OTHER PEOPLE WHO ARE
SOMETIMES AT THE WAGE SLAVES
SEVEN O'CLOCK PRESENT. SO.
THAT'S HAPPENED HERE FREQUENTLY
SO.
TO BE FAIR TO EVERYBODY I TRY TO
KEEP EVERYONE ON TRACK SIDE
EVERYTHING YOU SAY IS REALLY
IMPORTANT THAT. THEY ALSO THAT
PEOPLE SUBMITS OF AND WRITING IN
ADVANCE. OKAY.
COMMENTS FROM LA GO FROM
FINANCE ACTUALLY FAR PUBLIC
HEALTH I KNOW WE DON'T HAVE ALL
IF YOU CAN COME UP HERE ACT AT.
AND HAVE YOU HAD SOME COMMENTS
ABOUT THE PROPOSAL.
.
FOR US.
RIGHT BACK TO ZERO ISN'T IT NOT
SITTING IN THAT CHAIR ONE THAT
LUNCH GO AHEAD SIT THERE.
AGAIN I'LL REINTRODUCE MYSELF
CONNIE MITCHELL THE THAT THE
DOCTOR FAMILY HEALTH. AND.
.
I THINK OF THE HARSH REALITY IS
THAT NONE OF US YET KNOW THE
MOST EFFECTIVE STRATEGY FOR
REDUCING DISPARITIES A PREGNANCY
OUTCOMES THAT WE ARE ALL ENGAGED
IN. TRYING TO LEARN AND TO TRY
TO DISCOVER THE MOST EFFECTIVE
PATHWAYS. I'M I DON'T HAVE ANY
COMMENTS ABOUT THE PROPOSAL IN
GENERAL BUT JUST TO AND. DOES
THE FED THAT BOTH THE SENTRY
PREGNANCY IN THE ONE KEY
QUESTIONS SEEM TO BE FORMATTED
IN TERMS OF A HEALTH CARE
INTERVENTION.
I DON'T KNOW WHAT THEY'RE
TALKING ABOUT FINANCIAL
INCENTIVES AND THEN HOW TO HELP
INCENTIVIZE PROVIDERS TO THESE
THINGS AND SO I. WE RECOMMEND
THE HEALTH CARE SERVICES FUND BE
INVOLVED IN A STUFFY MOUNT.
WE DO KNOW THAT SEVEN REPRINTED
SEE HAS SOME EVIDENCE FOR
REDUCING PRETERM BIRTH RATES OF
AFRICAN AMERICAN WOMEN THE DATA.
IS A RELATION TO LOW RISK
MOTHERS IT THIS TIME. ONE QUICK
KEY QUESTION IS A VERY PROMISING
PRACTICE TO DATE HAS NO
PUBLISHED DATA ON EFFECTIVE
ENOUGH.
IN IMPACTING BIRTH OUTCOMES AND
IT'S A PROPRIETARY MODEL WE
DON'T KNOW THE COSTS FOR
INCORPORATING THAT.
SIDE I JUST THOUGHT I WOULD
MAKE THOSE COMMENTS I THINK MOST
OF ALL WHAT WE REALLY NEED IS AS
WE ALL TRY THESE THINGS THAT
LOOK PROMISING. THAT WE ALLOW
SUFFICIENT OUR RESOURCES FOR
EVALUATING THEM AND OVERSIGHT
AND ACCOUNTABILITY SO THAT WE
CAN LEARN AND GROW AND ADAPT. AS
WE GO FORWARD.
I THINK YOU.
COMMITTEE MEMBER COMMENTS ARE
CEREMONY.
THANK YOU MISTER CHAIRMAN I
THANK ALL THE PRESENTERS.
.
YOU CREATE. ALMOST SAKE OF BOTH
UNDERSCORING THE CHALLENGE BUT
ALSO SOME VERY ENCOURAGING. NAM.
INTERVENTIONS AND STRATEGIES
FROM. PUBLIC HEALTH COMMUNITY
HEALTH IN. A I THINK THE REPORT.
.
PROVIDED THE TAYLOR YOUNG
REPORT.
IF YOU COULD JUST COMMENT
BRIEFLY EITHER ONE OF YOU. IT
LOOKS FROM HERE GRAPHIC PAGE SIX
THAT.
THE HOME VISITS MAKE
A VERY IMMEASURABLE.
A.
POSITIVE IMPACT.
THAT'S ABSOLUTELY CORRECT IN THE
HOME VISITORS WHICH IS LOVE
THESE WOMEN TO DEATH AND MAKE
SURE THEY MADE ALL THEIR
APPOINTMENTS AND SOAP TRACKING
THAT REALLY HELPED.
AND THEY WOULD GO OUT EIGHTEEN
VISITS AND THEN ALSO GIVE THEM
LESSONS ON THINGS THAT THEY
NEEDED DEPENDING ON THEIR SOCIAL
SITUATION.
AND. I THINK I DO WANT TO POINT
OUT IS THAT CAN THE WHOLE
PROGRAM WE AT FOUR HUNDRED AND
FIFTY FOUR AFRICAN AMERICAN
PATIENTS WHICH IS ABOUT A
FOURTH.
OF A NUMBER IN SACRAMENTO
COUNTY.
BUT THE ONES THAT COMPLETED THE
HOME VISITOR PROGRAM WE ONLY HAD
SEVENTY BUT FOR THOSE SEVENTIES
IT WAS MORE OCULUS OUTCOME.
BEING IT WAS REALLY GOOD THEM
MAYBE FROM ITS YOUNG. BUT IT WAS
MENTIONED THAT THE. HOME
VISITORS HAVE BEEN AFRICAN
AMERICAN NURSE.
.
NURSES OR OR JUST COMMUNITY
HEALTH.
I DON'T KNOW POSSIBLY TRY AND.
THAT ARE THEY HAVE EXPERIENCE
WORKING WITH PREGNANT WOMEN AND
PARENTING WOMEN WHO.
AND DISLIKE CULTURAL.
IDENTIFICATION HELP IN TERMS OF
BUILDING TRUST AND.
ABSOLUTE EVIDENCE DEATH
ABSOLUTELY AYE WE'VE WAITED HERE
FROM THE CLIENTS THAT.
THEY FELT THAT THEY WERE NOT
BEING GIANTS AYE WHAT WE HEARD
MOST OFTEN IS AND.
I FILLED THIS I HAVE A NEW
FRIEND WHO ARE OBSESSED WITH OUR
MOTHERS SISTERS SO I THINK IT
WAS BECAUSE OF THE TRUST.
YOU KNOW THEY FEEL BAD BUT YOU
KNOW WE DON'T JUDGE WE WE
UNDERSTAND AND WE WERE THERE TO
EDUCATE. AND THEY PROVIDED A
QUICK LINK FOR MEDICAL CARE
EGGMAN PROBLEM LETTERS HE LEAN
FOR
RIGHT.
WELL THANK YOU AGAIN I WANT TO
THANK ALL THE PRESENTERS ON. THE
TIMING OF THIS I DID READ WITH
INTEREST IN NEW YORK TIMES
MAGAZINE. COVER STORY SPECIAL
AND.
IT'S CERTAINLY MULTI FACTORIAL
IN.
THE ORIGINS OF STRESS I THINK.
GO WAY BACK NAM.
AND TO TRY TO ADDRESS AND DEAL
WITH THAT IT GOES.
WAY BEYOND.
IMMEDIATE TREATMENT IN THE
MOMENT NAM SO.
WE HAVE OUR WORK CUT OUT FORCE
AS A SOCIETY BUT I APPLAUD THE
PIONEERING WORKS IT'S MAKING.
A MEASURABLE DIFFERENCE NOT TO
DATE SO THANK YOU THANK YOU
MISTER CHAIR.
THEIR SON.
I THINK IT DIDN'T THINK IT WAS
CHAIR ALSO WANT TO THANK ALL THE
WITNESSES FOR COMING FORWARD AND
MRS.
.
A SIGNIFICANT ISSUE THAT NEEDS
TO BE CONTINUALLY ADDRESSED AND
DOCTOR TAYLOR I'M VERY VERY
IMPRESSED THAT WITH THE PROGRAMS
THAT YOU FOR YOU YOU'VE
IMPLEMENTED.
.
YOU CERTAINLY UNDERSCORE THE
IMPORTANCE OF EARLY ACCESS AND
AND EDUCATION. AND TALKING ABOUT
THE FIRST THREE MONTHS OF JUST
STATION IN PARTICULAR WHICH IS
PROBABLY THE MOST CRITICAL IN
THE CHILD. DEVELOPMENT AND
AVOIDANCE OF ALCOHOL AVOIDANCE
OF DRUGS TO AVOID TERATOGENICITY
OR BIRTH DEFECTS AS A RESULT OF
A TAKING DRUGS.
.
YOU TALK ABOUT.
YOU TOO UTILIZATION OF
PROGESTERONE NINE A DRUG TO
PROTEST ON ASSUME THAT.
YOU MAKE THAT AVAILABLE TO OUR
PATIENTS OF THEIR RISK OF
PREMATURE RIGHT IN OUR DELIVERY
THOUGHT THAT WHEN THE FIRST
STUDY STARTED COMING OUT AGAINST
THE COMPOUND THE DEPARTMENT.
MICROPHONE IDC THROUGHOUT THE
RECORD YEAH GAVE AND AND NOW
WHAT WE DO IS IT IMMEDIATELY
THAT FIRST VISIT WE ORDERED THE
PROGESTERONE AND THEY COME IN
ONCE A WEEK FROM SIXTEEN WEEKS
UNTIL. TERM TO GET THEIR SHOTS
HUNDRED PERCENT COMPLIANCE
BECAUSE IT UP THERE HOME
VISITORS ON OUR ADVICE NURSE ALL
OVER AND TO COME IN FOR THE
SHOTS AND IS SO EFFECTIVE. IT IS
SO LET ME ASK YOU THIS.
HOW ARE YOU FINDING OF THE COST
OF THE INJECTABLE PROGESTERONE
TO BE A BARRIER TO YOU IT WAS A
HUGE BARRIER? AND THAT'S WHY WE
WERE REALLY UPSET THAT WE CAN NO
LONGER USE THE COMPOUNDING
PHARMACY HE WHICH COST US LESS
THAN THIRTY FIVE DOLLARS FOR THE
ENTIRE COURSE.
BUT MCKENNA IS THE ONLY SOURCE
WE CAN USE NOW AND IT'S
EXTREMELY COSTLY.
WELL THERE ARE.
.
FORMULATIONS OF HYDROXYBUTYRATE
STREWN.
THAT ARE NOT RELATED TO THE
FORMULATION THAT IS COMMERCIALLY
AVAILABLE IS A GENERIC
INGREDIENT AS YOU KNOW AND THEIR
DIFFERENT.
VEHICLES THAT CAN BE USED TO
ACCOMPLISH THE SAME GOAL
FOLLOWED ARGUE THAT.
YOU CANNOT USE COMPOUND HYDROXY
PURCHASED HER OWN AND IT WE CAN
CARRY THAT ON IN A DIFFERENT
CONVERSATION THAT WHICH WE DON'T
DO THAT ANYMORE MY I KNOW I
UNDERSTAND.
.
BUT LET'S TALK ABOUT.
STRESS.
STRESS SEEMS TO BE A VERY
IMPORTANT FACTOR IN THE
SCRIPTURE A DELIVERY SO.
THERE'S A FIFTEEN MILLION
DOLLAR REQUEST TODAY RIGHT SO
USER GREETING ANY KIND OF
MENTAL HEALTH SERVICES TO HELP
THOSE COPE WITH SOME OF THE
STRESSES.
THEY'RE THEY'RE HAILING WITH I
MEAN AND ONE OF THE CLASSES THAT
IS OUR MOST POPULAR CLASS AMONG
THE PATIENTS IS CLASSES ON HOW
DO YOU DEAL WITH STRESS. BEHOLD
VISITORS HAVE A SPECIAL CLASS OF
THE TEACHER
ALL THE PATIENTS WHEN THEY GO TO
THEIR HOUSE
STAYING IN A WHAT ARE YOUR
STRESSORS WHAT CAN WE DO TO
HELP.
HOW DO YOU DO IT AND WE HAVE A
SOCIAL WORKER AVAILABLE AT ALL
TIMES WE COULD BRING THEM IN TO
MEET WITH THEM BECAUSE WE HAVE
ALL THESE DIFFERENT MEDICAL
PROFESSOR? PROFESSIONALS WOULD
TAKE THESE PATIENTS AND BETWEEN
THAT COMP THOSE THAT
COMBINATION.
IT IT WAS VERY EFFECTIVE.
BECAUSE IT IT FIRST WHAT
EVERYBODY HAS STRESSED BUT I
THINK THE STRESS IS FOR THE
AFRICAN AMERICAN WOMEN ARE
UNIQUE
SIGNIFICANT ANY TO BE ADDRESSED.
IT IF I ME ADD UP I THINK PART
OF THE NOTION OF ONE KEY
QUESTION OF INTERVENING PRIOR TO
PREGNANCY IS THAT IF A WOMAN HAS
UNRESOLVED. MENTAL HEALTH ISSUES
THAT CAN BE PART OF THE
CONVERSATION IF SHE SAYS YES I
WOULD LIKE TO BECOME PREGNANT
THAT IS ONE OF THE RISK FACTORS.
IT WOULD ATTEMPT TO ADDRESS AND
CENTERING ALTHOUGH IT'S IT'S
OBVIOUSLY NOT THERAPY FOR WOMEN
WITH A UNDIAGNOSED MENTAL HEALTH
DISORDER A LOT OF WHAT GOES ON A
LOT OF WHAT WE'RE TALKING ABOUT
IN TERMS OF MENTAL HEALTH AND
STRESS. IS REALLY CIRCUMSTANTIAL
AND I THINK IF WE CAN REDUCE THE
THE BURDEN OF PROVIDING MENTAL
HEALTH SERVICES FOR WOMEN WHO
REALLY NEED SUPPORT. ON AND
PROBLEM SOLVING ASSISTANCE AND
THEN RESERVE PSYCHIATRY AND
PSYCHOLOGY THE EXPENSIVE
SERVICES FOR WOMEN WITH WITH
REAL.
YOU KNOW THE SERIOUS EMOTIONAL
DISORDERS OP I THINK WE CAN WE
CAN BENEFIT THE WHOLE SOCIETY ON
AND CENTERING REALLY FOCUSES ON
GROUP SUPPORT AS A WAY TO DEAL
WITH STRESS.
AND IT FINALLY WOULD WE DOING TO
ENCOURAGE FATHERS TO TAKE MORE
OF A ROLE IN THE.
OVERSIGHT AND CARE FOR THE
CHILDREN LIKE A NUMBER OF SITES
IN THE NIGHT I KNEW TO
CALIFORNIA AND ARE LIMITED TO LA
IN MY EXPERIENCE BUT THERE ARE
NUMBER OF SITES WITH SORT OF IN
HOUSE EFFORTS. BUT WITH NO
PARTICULAR STRUCTURE TO
FACILITATE THAT AND SO THEY THEY
DO WHAT THEY CAN DO ON I THINK
THIS IS AN ATTEMPT TO
SYSTEMATIZE THAT ALLOWING SITES
A LOT OF. AYE DISCRETION ABOUT
WHAT THE MODEL LOOKS LIKE BY
PROMOTING INVESTMENT IN NOW.
AND IN A LOT OF THESE CLINICS
THAT ARE SEEING THESE.
PREGNANT LADIES FOR THE FIRST
TIME ON. THE I WOULD IMAGINE
THERE ARE THE UP BY THE ALL LOS
ATTRITION SERVE THE GENERAL
PRACTITIONERS AND SEE THEM FIRST
WHEN THE WOMEN ARE PREGNANT
DURING ONE KEY QUESTION. WHEN
YOU'RE WHEN YOU'RE TALKING ABOUT
PRECONCEPTION ALI BABA.
POST CONCEPTION THAT COME IN I
NEED TO SEE A DOCTOR I'M
PREGNANT WHO THEY SAY AND I
THINK SOME PLACES IT'S A MIDWIFE
ON IT SOMEPLACE IT IT'S AN OBGYN
THOSE WITH BLUFF AND IT'S A
FAMILY PRACTITIONER MAYBE A
FAMILY PRESS SO.
IS IS THERE ANY NEED OR.
.
REQUIREMENT FOR.
FURTHER EDUCATION FOR OUR
PRIMARY CARE PHYSICIANS TO.
ADDRESS SOME OF THE ANOMALIES
AND CHALLENGES THAT WE HAVE WITH
AFRICAN AMERICAN PREGNANT WOMEN
ABSOLUTELY OKAY AND SO. WOULD BE
THESE RESOURCES HELP TO. PROVIDE
THAT ADDITIONAL TRAINING AND
EDUCATION TO THESE FOR THE SHOW
ABSOLUTELY IT WOULD ALSO HELP US
TO EXPAND THE CENTERING SERVICES
THAT WE ALREADY SEE ARE HELPFUL.
WONDERFUL THANK YOU.
BUT I COMMENT ON THE SOCIAL
SUPPORT QUESTION REAL QUICKLY
CHIP YES PLEASED TO PROVIDE SOME
TECHNICAL INFORMATION AROUND.
SOME TRIALS HAVE DEMONSTRATED
THAT LOS
SOCIAL SUPPORT DOESN'T DIRECTLY
IMPROVE BIRTH OUTCOMES IT IS
ASSOCIATED WITH IMPROVEMENTS AND
SEVERAL IMPORTANT INTERMEDIARY
FACTORS SUCH AS REDUCING
MATERNAL ANXIETY. ARE IMPROVING
THEIR KNOWLEDGE THEIR PERCEIVED
MASTERY AND IMPROVING THEIR
HEALTH RELATED BEHAVIORS.
OFFICE I I'D ALSO WANT TO THANK
ALL THE PRESENTERS AND I KNOW
THAT. I'M TRYING TO KEEP GOING
ON THERE STRICTER TIMELINE HERE
BUT.
APPRECIATE ESPECIALLY HERE
SACRAMENTO COUNT.
OF OUR SUPERVISORS STILL STERN
AND.
AND. AND ALL SUCH AS YOU WOULD
WITH THIS YEAR HEALTH FOUNDATION
AND THEN FOLKS AT THAT CAN
COUNTY AS WELL.
BRUTE REALLY APPRECIATE THAT
WORK AND.
WHAT?
AND ACTUALLY THE THE I THINK
REMARKABLE RESULTS AGREEABLE TO
TO
TO TO ACHIEVE UP BY PUTTING
THOSE RESOURCES AND THEIR.
.
IN SORT OF A FEW QUESTIONS BOTH
ENGLISH OPPOSING SOME COMMENTS
MADE BY PART PUBLIC HEALTH SO
FIRST OF ALL.
IS MADE MENTION THAT ONE KEY
QUESTIONS PROPRIETARY ZERO
THEREFORE IS THAT AT THEIR A
FEE.
PEOPLE HAVE TO PAY TO USE ANY
AND.
THAT THE DESCRIPTION IS YOU ASK
A QUESTION BUT I MEAN WHAT WHAT
EXACTLY IS. IT WHOSE WHO WHO'S
THE CUT I MEAN WHO'S THE
BENEFICIARY WHO IS THE OWNER OF
THIS
IS IT SOMETHING THAT WERE AS A
STATE CAN HAVE TO CEASE.
PAY FOR HER SUBSIDIZE OR
SOMETHING FOR PRACTITIONERS OF
ANY USE THAT PROGRAM.
ARE YOU ASKING ME WELL ACTUALLY
I'M GONNA ASK THE PROPOSERS
BECAUSE THAT'S PART OF THE
PROPOSAL'S TWENTY QUESTIONS
OTHERS TO TESTIFY DOES
PROPRIETARY SO WHO IS THE
BENEFICIARY OF THAT. THERE'S A
NATIONAL ORGANIZATION ON AYE AT
THAT IT HAD A.
I CAN GET YOU THE NAME BUT I ITS
FORMER. NATIONAL.
ASSOCIATION FOR THE PREVENTION
OF TEEN PREGNANCY THAT IS.
PARTISAN POLITICS ASIDE THANK
YOU ON THAT IS.
RESPONSIBLE FOR SORT OF
PROSELYTISING MEAN CENTERING IS
ALSO PROPRIETARY AND WHAT THAT
MEANS IS THAT THERE IS SOMEBODY
WHO DOES THE TRAINING AND YOU
PAY FOR THE TRAINING WHERE THE
TRAINING IS NEEDED IS THAT.
ONE KEY QUESTION HAS TO BE DONE
BY PEOPLE WHO ARE NOT OBGYN IS
IT HAS TO BE DONE EITHER BY
INTERNISTS OR FAMILY PRESS.
IT'S JUST SO JUST TO CLARIFY.
POINTS PROPRIETARY THEN WE HAVE
THE
THERE'S ONLY ONE SINGLE SOURCE
FOR THE TRAINING BUT THERE'S AND
DISCERN ONGOING ROYALTY THAT HAS
TO BE PAID FOR DOING THIS IN A
PRACTICE ARE. IT'S ONLY FOR THE
TRAIN.
THAT TRAINING. OKAYED AND THE
THE THE SITE GETS COACHED IN THE
DEVELOPMENT OF PROTOCOLS FOR
FOLLOW UP.
SO IN OTHER WORDS IF THE WOMAN
SAYS YES YOU THEN HAVE TO DECIDE
WHAT YOU'RE GOING TO DO SO ARE.
OKAY SO AYE EXISTS I GUESS FROM
A BUDGETARY STANDPOINT I'M
THINKING LIKE HOW MUCH MONEY IS
GOING TO THIS ORGANIZATION FOR.
OR FOR.
FOR THE S..
WE CAN FIND OUT EXACTLY I'M I'M
AFRAID I DON'T HAVE THAT NUMBER
NOW BUT BUT IT IS NOT A
CONTINUING COST IT'S AN UPFRONT
INVESTMENT IN THE TRAINING. MEAN
IS NOTHING THAT PREVENTS A
PROVIDER FROM SIMPLY ASKING THE
QUESTION BUT THAT DOESN'T
GUARANTEE THAT THEY KNOW WHAT TO
DO DEPENDING ON WHAT THE ANSWER.
OKAY BUT WE ALSO RECEIVE SOME
FUNDING FROM.
I BELIEVE IT WAS FROM YOUR
ORGANIZATION HAVE FROM MARCH OF
DIMES TO IMPLEMENT AND TO PAY
FOR TRAINING.
OKAY.
ANYTIME THERE'S A SINGLE SOURCE
WE HAVE NOW IS A PUBLIC ENTITY
WITH PUBLIC FUNDS WE HAVE TO BE
CAUTIOUS ABOUT ABOUT THAT AND I
DO MEAN.
IT IS THE.
SEE I.
STAND THAT SOMEONE SPENT THE
TIME AND EFFORT TO DEVELOP AND
VALIDATE AND. THAT DOESN'T COME
FOR FREE EITHER SO NOW THAT WE
DEVELOPED IT.
OFTENTIMES PEOPLE WANT AT LEAST
GET SOME RETURN FROM THAT THAT
WORK THAT INTELLECTUAL PROPERTY
BUT. WE ALSO HAVE TO SO I GUESS.
AND BILL IT SAME WITH CENTERING
PREGNANCY IS THAT ALSO FOR
TRAINING EARNERS THAT IS AT HER
DESK PROPRIETARY AS WELL
DRAINING.
TRAINING THERE THERE ARE.
YOU THINK YOU HAVE TO DO SOME
REORGANIZATION OF YOUR SITE TO
SHIFT FROM INDIVIDUAL VISITS
TO A GROUP VISITS AND SO THERE'S
SOME START UP COSTS THAT ARE
STRUCTURAL. AS WELL AS THE
TRAINING.
OKAY BUT THAT'S FOR THE PRACTICE
I'M TALKING ABOUT HAVING TO PAY
AN OUTSIDE ENTITY.
THAT GOES TO AN OUTSIDE THAT
CENTERING INSITUTE TO ACTUALLY
HEAR.
AND GOOD QUESTIONS BUT.
OKAY ALRIGHT SO JUST ONE OKAY IN
THE IT'S IN PART IN TERMS OF
INCREASES SOCIAL SUBPAR HAPPEN
I'M INCREASING ACCESS TO CARE
WOMEN'S EMPOWERMENT AROUND THEIR
CHARACTER DIFFERENT MODELS TO DO
THAT I'M. AND SO REALLY IN TERMS
OF LOOKING AT.
THE GROUP AND IT'LL PARA
BEING.
.
A POLICY IN THE PROGRAM THAT CAN
IMPROVE BRAG ABOUT
SO IT DOESN'T NECESSARILY HAVE
TO BE SENT TRAINING BUT OTHER
PROGRAMS.
THAT IN TERMS OF GROUP PRENATAL
CAPITA.
THE RESULTS YOU GOT HAVEN'T SAT
ZEPPELIN SACRAMENTO'S THAT USING
THOSE TWO PROGRAMS ARE SOME OF
THE. SOME OF THE PROVIDERS
ACTUALLY USING THOSE LINES ON
THE CLINICAL SIDE BUT A LOT OF
OUR WORK ALSO IS AROUND A KIND
OF COMMUNITY DEVELOPMENT
COMMUNITY SUPPORTS. THINGS THAT
TAKE PLACE OUTSIDE A CLINICAL
ENVIRONMENT WHO WE HAVE FOUND TO
BE VERY IMPORTANT.
UNKNOWN GENIE OUT COMPLETELY
THAT'S BEEN ABLE TO. MOVE TO
MAKE OKAY AND AND JUST TO
CLARIFY THE REQUESTS WHICH THE
FOR THE FIFTEEN MILLION HOW HOW.
WOULD YOU HOW HOT.
HOW DO YOU ANTICIPATE THAT BE
ADMINISTERED IS THAT THE PART
PUBLIC HEALTH AND GIVES GRANTS
OUT TO COUNTIES IS IT GOING TO
COUNTIES I I WASN'T SURE OF WHAT
YOU THERE ARE TWO MODELS THAT WE
SUGGESTED AS WILL TURN NEEDS ONE
IS CATEGORICAL GRANTS?
THREE AREA
AND THE ONE THE GRANT FOR
CENTERING COULD.
IT'S A PLAN
IF THERE WERE MEDI CAL
REIMBURSEMENT AND ENHANCED
MEDICARE REIMBURSEMENT ON ANY
EXPERIENCE IN SOUTH CAROLINA IS
THE GATHER IMMEDIATE RETURN ON
INVESTMENT FOR.
ON THIS SECOND MODEL IS TO GIVE
THAT THE DEPARTMENT OF PUBLIC
HEALTH AT THE STATE LEVEL TO
FIND COUNTIES TODEVELOP CENTERS
OF EXCELLENCE AT THE FQHC SO
WHICH A NON CATEGORICAL. AND
THEY WOULD HAVE TO CHOOSE WHICH
OF THOSE ARE NEW INTERVENTIONS
THEY WOULD WANT TO IMPLEMENT. SO
IT'S TO ALTERNATIVE MODELS THAT
WE'VE WRITTEN UP AND AND AND HOW
HANFORD AND.
AS INLAND THAT ALICE'S ABOUT FOR
FIFTEEN MILLION WHICH.
NO RIGHT NOW ARE PUTTING IN WHAT
ABOUT LITTLE OVER EIGHT MILLION
BETWEEN MC AGE FUNDS AND.
STATE FUNDS FOR THE BLACK
INFANT HEALTH PROGRAM ITSELF
OBVIOUSLY THIS IS AND THEN AND
ENHANCEMENT THAT HOPEFULLY WILL
LEAD TO SOME KIND OF OUTCOMES
IT'S BEEN PRESENTED.
.
HOW MANY BIRDS ARE WE GOING TO
BE ABLE TO COVER WHAT THE
FIFTEEN MILLION NUYS?
AND FIGURE IT'S NOT GOING TO THE
OLD STATE RIGHT BUT. AT THIS IN
TERMS OF FILM BLACKENED AND
HELPS THE BIRDS ARE OUT AND SOME
OF ITS PRENATAL EVEN.
BEFORE BUT. IT I'M I'M I I DON'T
HAVE THE NUMBER WITH ME WE DID
DO AN ESTIMATE FOR CENTERING
PREGNANCY OF HOW MANY WOULD BE
INVOLVED IN AND I COULD I COULD
PROVIDE THAT TO THE COMMITTEE
IT'S BASED ON.
SEVERIAN IN ANOTHER STATE THAT
DIDN'T HAVE.
FUNDING AND I BELIEVE IT WAS
TWENTY PERCENT OF THAT CALIBER
OF MEDICAID IN THAT STATE BIRDS.
NOW AND I KNOW THAT THE PART OF
PUBLIC HEALTH NAY COMMENT ABOUT.
COLLECTING THE EVIDENCE IN
EVALUATION.
SO IS IS THERE SOME OF THAT
GOING HAVE HOW HOW.
IN TERMS OF EVALUATION RESULTS
WE WE. I ENDED. UP AND
UNDERSTAND THIS PROPOSAL
CLARIFIES FIFTEEN MILLION ON
GOING RIGHT BUSINESS OKAY. A GET
FIVE MILLION OF WHICH IS
TARGETED TO ENHANCED
REIMBURSEMENT FOR CENTER A.
DEALT WITH IN THE MEDICAID
MEDICAL BUDGET ME THAT'S IT
ASIDE STANDALONE QUESTION.
OKAY PHANTOMS OF EVALUATION IS
THERE EVALUATION COMPONENT
FUNDED AND AND THIS PROPOSAL
THERE IS NOT SPECIFICALLY ON
THERE'S A LITTLE BIT OF MONEY IN
ONE OF THE VERSIONS FOR THE
STATE TO DO SOME BUT OUR OUR
FEELING IS I MEAN. THERE ARE
EVALUATION STUDIES GOING ON IN
ACADEMIC CENTERS ARE FEELING IS
THAT IT WOULD BE.
VERY VERY QUIET MEAN AND AND.
SEE EN MASSE AT THE FEDERAL
LEVEL HAS INVESTED A LOT OF
MONEY THROUGH THAT STRONG START
PROGRAM INVESTMENT OF MA AND
MODELS OF PREGNANCY CARE AND OUR
FEELING IS THAT THESE ARE BOTH.
THESE ARE ALL THREE SORT OF
COMMON SENSE AREN'T SUFFICIENTLY
EVIDENCE BASED I MEAN LIKE ONE
pKEY QUESTION THERE ISN'T AN
EVIDENCE BASE BUT THE LOGIC OF
IT AND IT'S HA. SEEMS IT YOU
KNOW AYE WORTHY OF INVESTMENT
AND I THINK IT'S OUT OF IT I
HEAR A LOT OF PROPOSALS THAT ARE
WORTHY OF INVESTMENTS FRIGHTENED
EVALUATION TURNED OUT NOT TO
TURNOUT AS WELL SETS A FREE
THROWS SO THAT'S WHY OF THE
DON'T ASK ABOUT VALUATION.
I MEAN THE ULTIMATE EVALUATION
HERE THE VITAL STATISTICS
SYSTEMS I MEAN WE WERE LOOKING
FOR IMPROVED OUTCOMES AND THAT'S
REALLY THE MEASURE OF OUR
SUCCESS AND THAT OF COURSE WE
ALREADY HAVE YOU CAN YOU CAN DO.
SAME QUALITY IMPROVEMENT AT THE
SIGHTS ALONG THE WAY AND THAT
WOULD BE MORE OUR EXPECTATION
YEAR. RATHER THAN A SEPARATE
INVESTMENT IN A LARGE SCALE AND
A LARGE ENOUGH SCALE EVALUATION.
ON TO REALLY GET STATISTICALLY
MEANINGFUL FINDINGS ABOUT ARE
THAT THAT THE SECOND DETAILS OF
THE IMPLEMENTATION.
I WAS JUST GONNA ADD THAT THE
FQHCS ALL REPORT.
YOU A UNIVERSAL DATA SAID EACH
YEAR AND UP PREMATURE BIRTHS ARE
PART OF THAT DATA SET SO WE
CERTAINLY COULD EASILY TRACK IT
THAT WAY. THROUGH WORK THAT WERE
ALREADY DOING OF ANY I THINK
IT'S IMPORTANT HAVE EVALUATION
TO KNOW WHAT WE'RE GETTING FOR.
TURN.
ALSO.
AYE I THINK OF THAT.
.
THE ASSUME THE FIFTEEN MILLION
DOESN'T COVER THE WHOLE STATE
DOESN'T COVER EVERY. PACKET
RIGHT SO IF YOU'RE LOOKING TO.
EXPAND THE PROGRAM YOU NEED BILL
SHOW WORKS OR NOT RIGHT SO NOW
WE SPEND MONEY WE DON'T KNOW
WHETHER IT WORKS OR NOT.
BECAUSE NO ONE DID EVALUATION
THE AND I APPRECIATE THE FACT
THAT NO SECOND COUNTY READY HAS
SEEN WE HAVE SOME DATA HERE.
BUT.
ACTION MAYBE THE PART OF THE
PUBLIC HEALTH SPEED ANY BECAUSE
YOU MADE THE REMARK THAT SOME OF
THESE THINGS ARE. MADE BY GOOD
IDEAS BUT.
DEVON SPACES SOMEWHAT MISSING
THE WANNA COMMENT ON THAT.
THE EVIDENCE IS LIMITED BUT.
EXPERIENCE A STRONG AND SO I
DON'T WANT TO DENY WHAT EOPLE
HAVE BEEN TRYING TO TAILOR THEIR
EXPERIENCE A PARTICIPATING THAT
WERE ALL. UMBER ALL INVESTED IN
LEARNING AS WE GO BUT.
WE DO NOT HAVE A REALLY. BY
GREAT MODELS
BY THAT WE CAN IMMEDIATELY
IMPLEMENT EVEN OUR OWN BE AYE
ACHES MODEL IS EVIDENCE INFORMED
AND WE HAVE A VERY STRONG
EVALUATION COMPONENT AND WORK.
ON MAKING ADAPT CASES AS WE GO
ALONG AND ENSURING FIDELITY OF
IMPLEMENTATION REQUIRES
OVERSIGHT SO.
BUT I I JUST WANTED YOU TO POINT
OUT THAT THERE'S NO MAGIC.
ARE REMEDY HERE AND THAT WE'RE
ALL ENGAGED IN THIS TO TRY TO DO
SOMETHING BETTER OKAY. ALRIGHT
BUT THESE PARTICULAR MODELS YOU
KNOW ARE NOT IF THEY'RE NOT THE
PANACEA OKAY.
AND.
.
THE OTHER QUESTION I HAVE.
.
BECAUSE THAT AGAIN LOOKING AT
WHAT.
TECHNICALITIES BE ABLE DO THOSE
REDUCTIONS IN PRETERM AND LOW
BIRTH WEIGHT.
THAT HAD THAT POTENTIALLY A
SIGNIFICANT FISCAL IMPLICATIONS
FOR.
FOR OUR.
MEDI CAL PROGRAM.
CAN JUST THEIR WAY TO DO A.
AN ANALYSIS AS TO WHAT THE.
FINANCIAL RETURN WOULD BE.
ON THIS IS A PART OF WHY I WAS
ASKING WHAT HOW MANY BIRTHS
WOULD ACTUALLY BE EFFECTIVELY
DISINVESTMENT SO.
BY LOOKING AT WHAT THE.
IF YOU HAVE YOU HAVE AVOIDABLE
LOW BIRTH WEIGHT.
I BURKE SAID MATTER AND PRETERM
BIRTH SO IS THIS.
AS SOMEONE DONE THAT ANALYSIS
YET I HAD A STUDY IT THAT THERE
WAS A SAVINGS OF TWENTY THREE
THOUSAND DOLLARS FOR EVERY
PREMATURE BIRTHS PREVENTED.
IT IT IS ABSOLUTELY DOABLE AND
OUT CAROLINA HAS DONE THAT IN
FOUNDER AT PERHAPS IF THERE IS
IF IF THAT RESEARCH RAISES SOME
CAN SHARE THAT WITH THE LA JOH.
NA AND.
.
WE SHOULD ALSO LOOK AT HER
EXPERIENCE HERE AND IF THERE'S
DATA THAT'S ANYONE'S ANALYSIS
AND WHAT WE'VE DONE SACRAMENTO
COUNTY AS WELL SINCE WE HAVE.
THESE RESULTS THAT BUT IT'S
ALSO.
HOPEFULS WELL SO.
AB SO UC DAVIS CAN RUN SOME
NUMBERS.
THAT NIGHT FINALLY WE CAN GET A
TO YEAH. BURIAL THAT DATA WITH
OKAY THAT THAT THAT BE VERY
HELPFUL.
.
WE'D LIKE WE'D LIKE TO SHOW THAT
TO THE GOVERNOR'S ON.
BABY FINANCE AT THE CLICK AS
WELL.
AND THEN I THINK THE OTHER.
.
I GUESS THE OTHER THING I ALSO
WANT TO JUST.
.
THINK ABOUT IS.
.
SO LIKE IT.
A.
SO YOU MAY HAVE A PROPOSAL FOR
FOR SEXUALLY FIFTEEN MILLION YOU
SAID THERE'S A FEW DIFFERENT
WAYS THAT HAS HAS HAVE YOU HAD.
THERE BEEN A SOME ONGOING
CONVERSATIONS WITH.
.
MY GUESS AND THOSE WITH THE PART
THAT STUDENTS. ARE YOU ARE YOU
TALKING OF OUR PUBLIC HEALTH AND
IT SWITCHES.
AS IT WOULD BE AS HAVING
CONVERSATIONS ABOUT THIS
PROPOSAL WITH THE FARM PUBLIC
HEALTH BACK AND IT CAN HELP
PROGRAM ON MY COMMENTS ARE
REALLY LIMITED.
OKAY.
ALRIGHT AND HAVE YOU BEEN
TALKING TO ANY OTHER AGENCIES
THE PROPOSERS.
WE WE HAVE MADE AND I MEAN THIS
IS A VERY RECENTLY DEVELOPED
HOSE OFF OKAY AND AND WE DIDN'T
OUT OF REACH OUT TO THE
DEPARTMENT OF PUBLIC HEALTH. AND
I'M SORRY IF. THAT HASN'T GOTTEN
COMMUNICATED WELL AND WE REALLY
HAVE TRIED TO DO THAT BUT BUT.
.
BUT NOT TO OTHER STATE AGENCIES
AND OUT OKAY ALRIGHT TO STRIVE
AND.
SO IS IT'S NOT JUST ABOUT.
BRIDGING SOME MONEY AND YOU KNOW
IN A BUDGET THAT ALSO HOUSE CAN
BE IMPLEMENTED AND THEN THE
AGENCIES AND SO FORTH SO.
AND ACTUALLY ó THE OTHER
QUESTION I HAD SO AND TO
SACRAMENTO COUNTY I GUESS MOST
ST
LEE.
WELL EIGHTEEN NINETEEN LOOKS
LIKE.
.
BETWEEN.
THE VARIOUS.
COUNTY AGENTS AND NOW PROBATION
FIRST FIVE.
PROTECTIVE SERVICES PUBLIC
HEALTH.
IT'S LIKE. THAT PUT IN ABOUT
THREE POINT SEVEN MILLION FOR
TWENTY EIGHTEEN NINETEEN
WRECKED.
RIGHT.
.
THESE SEE SOME.
.
WE'RE ABLE TO PASS THIS TYPE OF
FUNDING THAT WE'RE ABLE TO.
THIS AT THE DC. ADDING ONTO THAT
DC I AM ADDRESS I SEE IT.
CENTER IS INVESTING COMPLEMENT
TO THE.
THE COMPREHENSIVE EFFORT THAT WE
HAVE.
KNOWN AS THE BLACK CHAU LEGACY
CAMPAIGN AND.
FORMALLY THAT REDUCE NAFTA
AMERICAN CHILD DEATHS.
EFFORT
AND SAID THAT'S THE ONLY REASON
THAT THE BUDGET BREAKDOWN HERE
ONLY GOES TO THE.
TO TWENTY TWENTY IS THAT THAT'S
THE FIRST MILESTONE. HERE AND I
YOU YOU WERE.
YOU HAD SOME COMMENTS EARLIER
ABOUT ACCOUNTABILITY WHICH ARE
SPOT ON I WOULD AGREE WITH THAT
ENTIRELY.
WE'RE LOOKING TO REDUCE.
AFTER AMERICAN CHAO DECIMALS
FOR LEADING CAUSES AYE INSECT
WHEN A COUNTY TEN TO TWENTY
PERCENT BY TWENTY TWENTY THAT'S
ALL YOU KNOW. ARGUABLY THE
ULTIMATE METRIC RIGHT ROLE
INTEREST HERE.
IN BUT I WOULD ALSO. ENCOURAGE
YOU TO UNDERSTAND THAT THIS IS
AN EFFORT THAT NOT ONLY LOOKS AT
PUBLIC HEALTH BUT ALSO PUBLIC
SAFETY BECAUSE WE HAVE. SOME OF
OUR LEADING.
CAUSES ARE SO SAID WITH A CHILD
ABUSE NEGLECT HOMICIDE THIRD
THIRD PARTY HOMICIDE.
BUT WE DO HAVE OTHER LEADING
CAUSES THAT ARE DIRECTLY.
ASSOCIATED WITH PUBLIC HEALTH.
ALRIGHT.
AND I THINK IT'S YOU MENTIONED
ALREADY FOR I MEAN SOUNDS LIKE
ONE COMPONENT WOULD BE IF THERE
IS A WAY TO CORPORATE INTO MEDI
CAL WE CAN GET MATCHING FEDERAL
FUNDS.
IN THAT REGARD. OKAY.
ALRIGHT OKAY Y. ONE THANK YOU
FOR YOUR PRESENTATION.
ACTUALLY IS A PUBLIC COMMENT ON
THIS ITEM.
IF I COME UP TO THE MICROPHONE.
PLEASE GO THERE'S A MICROPHONE
OVER HERE.
COME UP THE MICROPHONE.
AND AGAIN I WOULD ASK IF YOU CAN
TRY TO KEEP YOUR COMMENTS TO
UNDER A MINUTE CREATED.
WELCOME.
BY MY NAME'S LINDA HEROIN I HAVE
BEEN A NURSE FOR FORTY TWO YEARS
ALL THOSE TIMES.
IN WOMEN'S HEALTH.
I WAS A LABOR AND DELIVERY NURSE
AND A MANAGER OF A LARGE LABOR
UNIT.
I PERSONALLY WATCHED
THE AFFECT FINANCIALLY AND
EMOTIONALLY ON PATIENTS WHO HAD
PRETERM DATE BABIES.
IT BECAME MODERATE
SO STRONG SONG AND I FOUND.
A CLINIC WHERE I WAS ALLOWED TO
DEVELOP AND GIVE SEVENTEEN PART
HYDROXY PROGESTERONE.
.
AND WE MADE A BIG DIFFERENCE I
HAD THE JOY OF BEING ON THE
STARTING FLOOR WITH MISS YOUNG
AND DOCTOR TAYLOR. I WAS THE
ADVICE NURSE EVERY SINGLE HOME
HEALTH NURSE HAD MY PRIVATE CELL
SO IF THEY WERE NOT PATIENTS
HOUSE I DON'T CARE WHAT TIME ARE
MY DAY OFF. AND NOT PATIENT HAD
A MEDICAL PROBLEM YES WHAT THEY
HAD A NURSE WITH FORTY TWO YEARS
OF EXPERIENCE. TO ASK.
AND WE MADE A DIFFERENCE.
IN THOSE FORTY TWO YEARS I'VE
BEEN A PART OF A LOT OF PROGRAMS
AS YOU KNOW SIR.
HAPPENS ALL THE TIME.
BUT THIS ONE MADE A DIFFERENCE
BECAUSE EACH OF THOSE PATIENTS
HAD A ONE ON ONE PERSON WHO
LOVED AND CARED ABOUT THEM.
NURTURED THEM.
WHO UNDERSTOOD WHAT IT WAS LIKE
TO BE BLACK
AND TO FACE ALL THE PUT OTHER
STUFF THAT'S NOT MEDICAL?
AND THAT'S WHY IT WORKS
SO PLEASE LOOK AT THAT IT WOULD
BE GREAT IN LOS ANGELES AND
EVERY OTHER PLACE THINKING BACK
YOU.
WELCOME.
HI MY NAME IS DEBORAH COMES I AM
COFOUNDER OF COMMITTEE MOTHER'S
A NINE FIVE EIGHT THREE EIGHT
AND I AM ALSO WHAT YOU CALL A
COACH A BROKER.
I MY NAME IS MARCO SANTANA NOW
MY ACTIVE CULTURE BROKE FOR DE
PAL SO I IN NORTH THAT CAN ALSO.
NORTH HIGHLANDS EMPORIO FORM ARE
WORKING IN A BLACK CHAU LED YOU
SEE CAMPAIGN AND. MY FIRST CASE
WAS A UNDER CBS WAS A MOTHER WHO
WAS SIDE PREGNANT.
I SUBSTANCE ABUSE PROBLEM BUT
WHAT WE DID WAS.
FIRST YOU HAVE TO MAKE A
RELATIONSHIP.
THE PEOPLE YOU HAVE TO MAKE A
RELATIONSHIP AND MAKING THEIR
RELATIONSHIP WITH THEIR FAMILY
HAS BEEN A CULTURE BROKER WE
NAVIGATED HAND IN HAND. WITH THE
FAMILY AS FAR AS TAKING HIM TO
APPOINTMENTS. ENCOURAGING THEM
AND ALSO EDUCATING THEM ABOUT
HOW IMPORTANT IT IS TO EXCEED
MEDICAL TREATMENT AND YOUR FIRST
TRIMESTER OF PREGNANCY.
OB THE THREAT YOU KNOW WE DO
HAVE A BABY THAT WAS BORN
NONTOXIC DUE TO THE FACT THAT WE
FOLLOWED THAT FAMILY. FOOT BY
FOOT HIM BY HEN.
SO I JUST WANNA SAY THANK YOU TO
BUT CHAO REGISTRY FOR THE
OPPORTUNITY TO BRING IN CULTURE
BROKERS INTO.
THE COMMUNITY OF ABOUT SO HIGH.
THANK YOU.
WELCOME I BLAMES NAKED A US I'M
A REGISTERED NURSE I'M A WOMEN'S
HEALTH NURSE IN EAST PALO ALTO
CALIFORNIA.
.
WE HAVE IMPLEMENTED THE SENTRY
PREGNANCY PROGRAM THERE.
I ONE THING I JUST WANTED TO
TOUCH ON WAS ACCOUNTABILITY. AND
I PATIENTS HOLD EACH OTHER
ACCOUNTABLE WHERE WERE YOU LAST
TIME HOW DID HOW COME YOU DIDN'T
SHOW UP.
AND THAT BRINGS COMPLIANCE TO
THEIR MEDICAL APPOINTMENT WHICH
CENTERING IS THEIR MEDICAL
APPOINTMENT AND THE OTHER THING
WE DO IS WE TEACH THEM HOW TO
TAKE THEIR BLOOD PRESSURE WHAT
IS A NORMAL BLOOD PRESSURE.
TAKE THEIR WEIGHT HEIGHT THEY
CAN SEE THEIR BMI'S AND I THINK
WE ALL KNOW WHEN WE.
EDUCATE WOMEN ON EALTH CARE
THEY BRING THAT TO THEIR
FAMILIES THEY BRING THAT TO
THEIR CHILDREN.
THANK YOU.
WELCOME
GOOD AFTERNOON I'M CATHY CASPER
I AM THE COORDINATOR FOR A.
BUT THE PREGNANCY THAT. AFFORD.
AT.
AT HIGHLAND HOSPITAL IN OAKLAND.
AND WE'D DO.
WE SERVE ABOUT TWO HUNDRED
WOMEN AND WE HAVE HAD GREAT
SUCCESS WITH OUR PROGRAM WE'VE
BEEN DOING IT FOR THE LAST FEW
YEARS CENTERING. AND OUR RATES
HAVE BEEN BELOW FIVE PERCENT AND
OF. THE TERM BIRTHS AND THAT
INCLUDES SOME HIGH RISK WOMEN IN
THERE AS WELL.
I JUST WANT TO TALK ABOUT HOW
MUCH FUN IT IS TO DO SENTRY
PREGNANCY I AM ONE OF THE CO
FACILITATORS AND WE MEET
TOGETHER TEN TIMES TWO HOURS
EACH TIME SO THEY HAD THE SAME
MIDWIFE EACH TIME. THE SAME
MEDICAL ASSISTANT AND I'M THERE
AS WELL SO BY THE TIME THEY'VE
HAD THOSE TWENTY HOURS TOGETHER.
IT REALLY DEVELOPED A NICE
COMMUNITY AND.
I THINK THAT CARRIES THROUGH A
LOT OF THE GROUPS WILL STAY
TOGETHER EVEN AFTER THEY
FINISHED HAVING THEIR BABIES SO
IT'S REALLY A WONDERFUL
EXPERIENCE.
I THINK YOU.
WELCOME.
GOOD AFTERNOON MY NAME IS
SHANNON READ I'M THE EXECUTIVE
DIRECTOR WITH HER HEALTH FIRST
FORMERLY CENTER FOR COMMUNITY
HEALTH AND WELL BEING. WE ARE
FUNDED PARTNER WITH FIRST FIVE
SACRAMENTO AS WELL AS THE BLACK
CHILD LIKE IT'S THE CAMPAIGN.
I'M OUR PROGRAM OF THE PACIFIC
LEE IS ADDRESSING IT THE
DISPROPORTIONATE RATE OF AFRICAN
AMERICAN INFANT MORTALITY IS THE
BLACK MOTHERS UNITED PROGRAM.
AND WE'RE USING AN EVIDENCE
BASED CULTURALLY COMPETENT I'M
SORRY CULTURAL BROKER MODEL THAT
PROVIDE SERVICES TO PREGNANT
AFRICAN AMERICAN WOMEN AND THEIR
INFANTS BRIDGING THE GAPS
BETWEEN ACCESS TO HEALTHCARE AND
CULTURAL DISPARITIES. I'M WE'VE
POSITIONED OURSELVES AS A
CULTURAL A COMMUNITY BASED
AGENCY AND IT'S REALLY ENABLED
US TO. CULTIVATE LONG STANDING
TRUSTED REPUTATIONS WITHIN OUR
COMMUNITY WE ALSO ARE PARTNERS
WITH WHILE SPACE HEALTH WHERE
WE'RE ABLE TO ADD IN A.
.
A MEDICAL COMPONENT WHERE WE ARE
ABLE TO ADDRESS SERVIC CERVICAL
INSUFFICIENCIES TO REALLY CREATE
A.
COMPREHENSIVE MODEL THAT IS
PRODUCING GREAT OUTCOMES RIGHT
NOW WE HAVE PRELIMINARY DATA
FROM TWO THOUSAND SEVENTEEN TO
TWO THOUSAND EIGHTEEN WHERE
WE'RE SHOWING NINETY TWO PERCENT
OF THE WOMEN PARTICIPATING IN
OUR PROGRAM. HAVING BABIES BORN
AT HEALTHY BIRTH WEIGHTS AND
EIGHTY FIVE PERCENT BORN AT FULL
TERM SIR THANK YOU FOR YOUR
COMMITMENT TO ADDRESSING THAT
ISSUE.
THANK YOU.
WELCOME.
I MEAN IT WAS CAN AFFECT BBM THE
PROGRAM DIRECTOR AT HER HEALTH
FIRST FORMALLY KNOWN AS CENTER
FOR COMMUNITY HEALTH AND WELL
BEING. AND I AM.
.
AB.
REALLY MANAGING THE CAR CULTURE
BROKER PROGRAM WHICH IS CALLED
BLACK MOTHERS UNITED. AND I'VE
BEEN WORKING IN THIS FIELD FOR
OVER NINETEEN YEARS AND ONE OF
THE THINGS THAT I SEE.
AND WHAT WE'VE BEEN CHARGED
WITH IS CAPTURING THOSE WOMEN
THAT FALLING BETWEEN THE CRACKS.
A LOT OF WOMEN WILL GO INTO
CARE.
SEEKING THEIR PREGNANCY TESTING
KNOW LATE SOMETHING'S DIFFERENT
SOMETHING'S WRONG OR SOMETHING
IS GOING ON WITH THEIR BODIES
FIGURE. IT ESTABLISHED THAT THEY
ARE PREGNANT.
AND THEN THE NEXT STEP IS ONE
OF MY HAVING A BOY OR A GIRL
RIGHT AND SO THEN THEY KINDA
DON'T REALLY. UNDERSTAND OR SEE
THE SEVERITY AND AND THE
CHALLENGES THAT CAN COME ALONG
IF THEY'RE NOT CONSISTENTLY IN
CARE SO WE CAPTURE THOSE WOMEN
SOME OF THOSE WOMEN SHOW UP TO
US AT THIRTY TWO THIRTY SIX
WEEKS. BUT WE DON'T TURN AWAY WE
CONTINUE PROVIDING CARE CONNECT
WITH ENOUGH THEIR RESOURCES AND
JUST MAKING SURE THAT THEY ARE
BIRTH MAKE IT TO TERM AND THAT'S
OUR GOAL.
THANK YOU.
WELCOME.
HELLO MY NAME IS BRANDI SMITH
AND I JUST WANT TO STATE THAT I
AM A GRADUATE OF THE BLACK
INFANT HEALTH PROGRAM. AND.
WHEN I.
BEGAN THIS PROGRAM YOU KNOW I
HAD NO EDUCATION. ON ANYTHING.
SHE'S MY FIRST DAUGHTER.
SHOES ABOUT A YEAR AND A HALF
WHEN I STARTED IN THE PROGRAM.
AND.
NOW MIND YOU I.
YEAH KNOW I'VE BEEN RAISED IN
GROUP HOMES AND FOSTER HOME SO.
COME IN AND AFTER THAT I WENT TO
PRISON SO WHEN I GOT OUT OF
PRISON. I ENDED UP HAVING MY
DAUGHTER AND I HAD ABSOLUTELY NO
EXPERIENCE SO WHAT I WANT TO
TELL YOU GUYS THE IMPORTANCE OF
THIS PROGRAM.
IS THAT IT ACTUALLY HELPED ME.
IT IT HELPED ME FOCUS.
AND AFTER I LOST MY SON I HAD A
SON AND I AYE HE PAST DUE TO
SEE.
A BEFORE THIS HAPPENED.
I DIDN'T HAVE ANY EDUCATION ON
SEEDS AND WHAT IT WAS. YOU KNOW
NOW I'M AWARE BECAUSE OF THIS
PROGRAM I WAS ABLE TO GET
THROUGH BECAUSE THIS PROGRAM I
HAVE A LIFE LONG FRIEND. MY HOME
VISITOR.
SHE IS MY LIFELONG FRIEND NOW.
BECAUSE OF THIS PROGRAM SO I
JUST WANT YOU GUYS TO KNOW THAT
IS VERY IMPORTANT. I'M IN
COLLEGE NOW I'M I'M I HAVE
ANOTHER DAUGHTER SHE'S GOING TO
BE TWO YEARS OLD IN SEPTEMBER.
AND LOOK AT ME NOW.
BUT THE WHERE VAN WITH WHAT THEY
HELPED ME THROUGH.
ELLA CRIME AT NOW YEAH. I WANT
TO THANK YOU GUYS FOR GIVING ME
THE OPPORTUNITY SPEAK.
AND I WOULD LIKE FOR YOU TO JUST
CONSIDER.
HE'S OPPORTUNE.
THANK YOU VERY MUCH THANK YOU
THAT IS OUR CLIENT.
ULTIMATELY DON'T KNOW
DEMONSTRATIONS HERE BUT YOU CAN
DO THIS NETWORKS.
OKAY THAT'S ARTICLE.
BUT.
I'M LYNETTE LEETON I'M A FAMILY
PHYSICIAN.
AS A DIRECTOR OF WOMEN'S HEALTH
FOR A LARGE FEDERALLY QUALIFIED
HEALTH CENTER. I HELPED
IMPLEMENT ONE KEY QUESTION THERE
AND ALSO AT AN INSTITUTION AT
UCSF.
AND SAN FRANCISCO.
ARM.
I HAVE BEEN ABLE TO SEE THIS
FIRST HAND EVERY SINGLE DAY
CHANGE PEOPLE'S LIVES SO I KNOW
THAT YOU DON'T HAVE A LOT OF
DATA YET.
ON THE ONE KEY QUESTION BUT I
KNOW THAT IT'S THE RIGHT THING
TO DO.
FOR EVERY WOMAN THAT WE SEE SO
IN PRIMARY CARE AYE WOMEN CAN
COME TO ME WITH AN INGROWN
TOENAIL.
AND I SEE THAT MY MEDICAL
ASSISTANT TALK TO THEM AND THEY
SAID YOU KNOW I REALLY WOULD
LIKE TO BE PREGNANT THIS YEAR.
SO WELL AND REMOVING THEIR TONE
NOW I CAN TALK TO THEM ABOUT
THEIR PLANS I CAN ASK THEM ABOUT
THEIR SMOKING HOW'S THAT GOING
WHICH LIKE ME TO HELP YOU STOP.
AND THEY CAN LEAVE WITH AN
APPOINTMENT FOR SMOKING
CESSATION OR MEDICATIONS TO HELP
HIM STOP.
AND THEY CAN.
GET MENTAL HEALTH APPOINTMENTS
THAT THEY MAY NEED I CAN HELP
THEM GET FOLIC ACID.
I'M I'VE SEEN HUGE CHANGE IN
PEOPLE'S LIVES JUST FROM THIS
ONE QUESTION EVERYDAY.
THANK YOU.
WELCOME THANK YOU BUT AFTER
NUMEROUS SYSTEMS AND I WORKED IN
CORPORATE AMERICA LEFT CORPORATE
AMERICA TO COME WORK WITH.
MISS MARIE MS YOUNG AND DOCTOR
TAYLOR AND THE REASON I DID SO
WAS BECAUSE OF THE.
THE THE UNDER GARCIA THAT THEY
PUT BEHIND THE PROGRAM I LIKED
EVERY MODEL THAT THEY HAD I
STARTED OFF AS A HOME VISITOR
WHICH ALLOWED ME TO BE IN THE
HOME. WITH AFRICAN AMERICAN
PREGNANT PATIENT TO BE ABLE TO
SEE IF THERE WERE ANY SOCIAL OR
ANY ECONOMIC NEEDS THAT SHE MAY
HAVE AT THE TIME. AND THE
PROGRAM ALLOW ME JUST TO SPEND A
ONE ON ONE TIME ON A WEEKLY
BASIS GETTING TO KNOW THEM HAD
IMMEDIATE ACCESS TO ADVICE NORTH
AS LINDA ALLUDED TO. AND END UP
GOING TO CPS P. TO BE ABLE TO
TAKE SOME OF THE EDUCATION
IMPORTANT EXPRESSIVE FOR AFRICAN
AMERICAN WOMEN. MY GRANDMOTHER
USED TO SAY WHEN YOU KNOW BETTER
YOU DO BETTER AND BECAUSE OF
THESE WOMEN I KNEW BETTER THAT
WAS ABLE TO TEACH THAT TO MY
PATIENTS THANK YOU. THANK YOU
DON'T KILL.
WELCOME.
UNFOLLOW AND THAT AND.
LONG TERM IT WAS EGGMAN UNBORN
ARACEAE HAVE A PARTICULAR
INVESTMENT IS COMMUNITY I AM
THAT OBGYN PHYSICIAN. AND HAD
THE PRIVILEGE TO WORK WITH THIS
PROGRAM AND SEE IT AND BEING
IMPLEMENTED IN AND SEE THE
OUTCOMES IT'S.
TREMENDOUS SEGMENT SOME OF THE
BIGGEST STRENGTHS AND.
IT COMPARED TO THE CENTER IN
WHICH I THINK HAS HAS SOME GOOD
RESULTS AS WELL THE HOME
VISITOR.
WITH CENTER INVEST PATIENTS
STILL GOTTA GET THE CLINIC AND
THE HOME VISITOR I HAVE WILL
HELP THE PATIENTS GET TO THEIR
APPOINTMENTS THEY ALSO ELECTIONS
THAT CAN IDENTIFY THE PROBLEMS
IN THE HOME.
BUT YOU ARE GOING TO SEE
OTHERWISE.
AND THAT IS BY DOING THINGS WITH
THEIR.
FOR THE PROVIDER IT FOR ME I
KNOW THINGS ARE GETTING FOLLOW
THROUGH THEY'RE GONNA GET. WHAT
I KNOW WILL HELP TO PREVENT THE
PROBLEMS ARE IDENTIFIED THE
PROBLEMS EARLIER BUT THIS
ACTUALLY CAN MAKE THE FOLLOW
THROUGH?
AND BRIDGES NOTHING THAT I'VE
EVER SEEN BEFORE.
AND IT'S GONNA EDUCATE AND
PROVIDE. EMPOWER THESE PATIENTS
AND WHICH IS GONNA ENABLE THEM
TO HAVE HEALTHIER BABIES. AND
WITH OUR PROGRAMS WHICH IS GONNA
IMPACT THE COMMUNITY DECREASE
COSTS AND THAT YOU COSTS
LIFELONG. EDUCATION FOR THESE
PATIENTS THEIR FAMILIES WITCHES
SOCIAL PSYCHOLOGICAL.
ALL BE A BAD.
IF THAT'S IT THANK YOU BE HAPPY
DANCE A LOT ANY QUESTIONS AND I.
DON'T THINK IT.
WELCOME.
I AM INJURIES DEL WITH CENTERING
HEALTH CARE INSTITUTE IN FIRST
WHY ONE TO CONGRATULATE YOU GUYS
FOR. MAKING TIME TO ADDRESS THIS
ISSUE AND OF SEVERAL REFERENCES
TO NEW YORK TIMES MAGAZINE
ARTICLE. AND I THINK FOR A LOT
OF US THE BLACK WHITE HEALTH.
OUTCOME DISPARITY AROUND BIRTH
HAS BEEN AN UNSPOKEN SECRET FOR
A VERY LONG TIME.
IS JUST STARTING TO GET TO THE.
PUBLIC HEALTH OUTCRY THAT IT
DESERVES.
I'M THERE'S SOMETHING REALLY
UNIQUE ABOUT THIS PROPOSAL TODAY
I MEAN I I'VE I'VE HEARD THE
LEGISLATIVE POSES AN OHIO NEW
YORK SOUTH CAROLINA. ABOUT OF
STATE FUNDED INITIATIVES AROUND
CENTER AND PREGNANCY.
AND WHAT'S REALLY UNIQUE ABOUT
WHY IT LA COUNTY HAS PUT FORTH
TODAY. IS THIS CONTINUUM
APPROACH THIS LAYERING OF
INTERVENTIONS HOME VISITATION.
BLACK AND FROM HEALTH
INITIATIVES OF FATHERHOOD
INITIATIVES ALL THIS TOGETHER IS
WHAT IT'S GOING TO TAKE THE FLAT
MEANS DISPARITIES. AND SO YOU'RE
GONNA START GIVING THE EVIDENCE
BASE ABOUT CENTERING THEM AND
THEIR ROI THAT HAVE BEEN
HAPPENING IN OTHER STATES. AND
IT'S REALLY COMPELLING AND
YOU'RE GOING TO GET THE EVIDENCE
BASE THESE OTHER INITIATIVES AS
WELL.
PLEASE DON'T TRYTO PIT THEM
AGAINST EACH OTHER AS YOU'RE
COMING UP WITH THE FUNDING FOR
THIS OF FOR YOUR ACTIVITY IN
THIS AREA. THESE PROGRAMS WILL
WORK BEST TOGETHER AND LAYERED
BECAUSE IT'S SUCH A DIFFICULT
ISSUE TO TACKLE.
SO GOOD LUCK IN THIS WORK.
THANK YOU THANK YOU.
RIGHT BUT I WANT TO THANK ALL
AND WHEN YOU GIVE PUBLIC COMMENT
I WANT THINKER PRISONERS AS
WELL.
YOU KNOW THIS IS. A LONG
STANDING.
PERSISTENT. ISSUE IT'S NOT JUST
AN ISSUE IT'S AN INJUSTICE
INEQUITY.
I'LL TELL YOU THAT WHEN I WAS
DOING MY TRAINING AS A
PEDIATRIC.
ACTUALLY.
WHAT IS IN MY LEADERSHIP ROLE
AT THE AMERICAN CAT PEDIATRICS
IN CHARGE READ THE SECTION WE
ACTUALLY?
LOOKED AT THIS ISSUE AND SAID.
WE NEED TO DO SOMETHING ABOUT
THAT NOW TWENTY YEARS AGO.
AND YOU SAW WHAT YOU SAW WAS IS
THAT YOU SAW. IF YOU LOOK THAT
INFANT MORTALITY YOU SAW THIS
LINEUP WENT DOWN DOWN WE'D BE
DEVELOP MORE INVENTIONS BUT THEN
YOU SAW THIS PARA PARALLEL LINE
AND.
IT WAS PARALLEL IT DID NOT EVER.
LIKE GO THE STEEPER CURVE SO WE
WERE NOT. EVEN AS WE WERE
IMPROVING OUR ABILITY TO SAVE
PREMATURE BABIES AND DO OTHER
TYPES OF THINGS. AND WE WERE
LOWERING INFANT MORTALITY BLACK
INFANT MORTALITY DID NOT CLOSE
THE GAP NEVER CLOSED.
GAP JUST DIDN'T CLOSE.
AND
YOU KNOW AND SO.
TO ME WE NEED TO KNOW THAT IF
WE HAVE AN OPPORTUNITY TO
ACTUALLY CLOSE THAT GAP.
I THINK YOU KNOW WE NEED TO LIKE
THAT SO THAT'S WHY I'M VERY.
HEARTENED BY THE RESULTS THAT I
SEE IN MY OWN COUNTY HERE IN
SACRAMENTO.
OBVIOUSLY FIFTEEN MILLION IS
ACTUALLY.
.
IN MY MIND A SMALL AMOUNT TO. TO
TRY TO TRY TO BEND THE CURVE ICY
THINK WHEN WE LOOK AT THE
NUMBERS.
IS.
AT A GIVEN THE RESULTS WE HAVE
YET WEEKS AND I DO BELIEVE WE
NEED TO DO SOME EVALUATION NOT
BECAUSE I DON'T THINK IT'S GONNA
WORK BY THING WE HAVE TO THEIR
QUANTIFIED THE ACTUAL IMPACT.
BUT.
YOU KNOW THAT IF YOU THINK LOOK
AT OUR MEDI CAL DATA BUCKLEY
AMISS EXPENSIVE
HOSPITALIZATIONS.
THE MOST EXPENSIVE.
IF YOU LOOK AT THAT BUSINESSMAN
OFTEN ABOUT THIRD TO HALF OUR
PRESSURE PREMATURE BABIES.
NICKY THAT CHARGED AT THE KEY
EXPENSE OF THEM BEING IN THE
NEXT YOU I MEAN THAT YOU SEE
WHAT LIKE THE TEN MOST EXPENSIVE
THINGS FOR THE LAST YEAR.
USUALLY SOMEWHERE ABOUT YOU KNOW
A THIRD TO HALF FOR ALL THESE
ADDED NICK YOU ADMISSIONS FOR
FOR BABIES WHO HAVE COME.
CHARLIE.
AND.
AND THEN YOU START THINKING
THAT'S JUST TEN AND YOU START
LOOKING MORE BROADLY WHERE WHERE
WHERE'S OUR MONEY GO
TO DO SO.
I ACTUALLY THINK. THE SITE FROM
THE.
.
RACIAL JUSTICE HUMANITARIAN AND
ALL THOSE OTHER REALLY GOOD
REASONS EVEN ON A FISCAL PLATE
FOR ALL OF US BECAUSE IS A
BUDGET COMMITTEE RIGHT EVEN FOR
THE GREEN EYE SHADE PEOPLE THIS.
SHOULD MAKE SENSE AS WELL SO I
THINK IT'S IMPORTANT WE GO OUT
TO TRY TO QUANTIFY THAT AS WELL
SO I WANT THANK YOU SO MUCH FOR
FOR BEING HERE.
I THINK YOU KNOW IT IS
IMPORTANT WE MAKE SOME
INVESTMENT NEED IT IF WE CAN
MAKE INVESTMENTS TO HELP US
CLOSE THAT WINE.
THAT I THINK IT'S DEFINITELY
WORTH IT SO AGAIN THANK YOU SO
MUCH FOR YOUR PRESENTATION.
IF YOU.
SO NEXT UP TO I WOULD ALSO DOING
IT OVERSIGHT ARE STATEWIDE
INFECTIOUS DISEASE RESPONSE SO
WE'RE GONNA HAVE THE.
HAVE A PANEL RIGHT.
WE.
I MEAN TO THE PART OF PUBLIC
HEALTH WE ALSO HAVE FAR.
INFECTIOUS DISEASE RESPONSE
PANEL.
WITH.
DOCTOR LEFT THE HEALTH OFFICER
SANTA CRUZ COUNTY. AND JILL
VITNER AGILE MANAGER THE PLASTER
MOSQUITO VECTOR CONTROL
DISTRICT.
THIS WELL SO WE CAN HAVE FOLKS
COME UP HERE.
AND.
AND THEN FOLLOWING THIS WE DO
HAVE TO STAKEHOLDER STAKEHOLDER
PROPOSALS BUT I THINK HONEST
FIRST JUST DO AN OVERVIEW AND
OVERSIGHT OVER OUR INFECTIOUS
DISEASE RESPONSE.
AND JUST JUST OF
IT'S THE FRAME BEFORE WE STARTED
DISCUSSION AND REALLY APPRECIATE
EVERYONE BEING HERE.
.
YOU'RE ON THE SAME WAY THAT THE
GOVERNOR SPOKE ABOUT THE
WILDFIRES WHICH IS DEAD SEATS SO
MUCH OF CALIFORNIA. AS BEING
TALK ABOUT THE QUOTE NEW NORMAL
RIGHT NOW WE HAVE A YEAR ROUND
FIRE SEASON AND SO FORTH AND THE
IMPACT CLIMATE CHANGE MAY HAVE.
ON ON THAT.
.
I I THINK.
WE ALSO NEED TO THINK ABOT OUR
PREPAREDNESS FOR INFECTIOUS
DISEASES AS.
WELL THERE'S A NEW NORMAL OR
SAKSHI IN OLD NORMAL THAT WE
NEED TO RECOGNIZE IS AN ON GOING
THING SO SOMETIMES WE LOOK AT
EACH INDIVIDUAL OUTBREAK AS WELL
LOOK LIKE IT'S SOME SORT OF
CRISIS OR SOMETHING HAPPENED
BUT.
AT AN EARLIER AGE EVERY EVERY
YEAR I'VE BEEN THE LEGISLATURE
JUST ALWAYS BEEN ANOTHER
OUTBREAK OF SOMETHING.
RIGHT I NEEDED IT ISN'T IT
SHOULD NOT BE UNEXPECTEDLY
SHOULD NOT BE ON PLAN FOR WE WE
KNOW WE WILL HAVE AT LEAST.
ONE AND TWO OR THREE OUTBREAKS
EVERY YEAR OF SOMETHING.
AND AND I THINK.
THIS YEAR WE CAN TALK ABOUT
HEPATITIS A.
ACTUALLY THE FLU SEASON THIS
YEAR AS WELL. AND THEN WE HAVE
SERVE OUR ON GOING ISSUES AS
WELL SO.
IN TERMS OF.
IT WEST NILE.
AND AND THE FACT THAT WITH.
SO I GUESS THERE'S A NEW.
THAT THE SEASON FOR US NOW THAT
WE HAVE THE OTHER EVAN AND CALL
EMERGING BUT.
VALLEY FEVER IS SOMETHING THAT
IS IT IS IT IS IT IS. A DEATHLY
SOMETHING THAT'S UNDERSTUDIED
AND AND AND AND AND I'M GOING
AND EXPANDING AS WELL. AND.
YOU KNOW WE DON'T NEED TO TALK
TO HIM OF THE TED ZECA RIGHT
WITH THE THAT AGAIN WITH THE
MOSQUITO BORNE OUT. DUYVIL KNOW
IS ALL VERY EXCITED BALBOA EVEN
THAT WE ACTUALLY DID HAVE A
SINGLE CASE THAT ACTUALLY
HAPPENED HERE BUT ALSO SHOWS A
VULNERABILITY TO THE REST OF THE
WORLD AS WELL THE FACT I WAS ON
THE AIRPLANE RIGHT AWAY.
AND.
SO AT AND WE CAN JUST KEEP
GOING BACK NOW THE STRAIN OF FLU
REALLY WEASELS OUTBREAK ACTUALLY
HAD. SET TO TUNE LA WEARY HEAD
OF ANOTHER MANY MEASLES
OUTBREAK.
THANK GOD IT WAS ACTUALLY
CONTAINED AT THIS YEAR BECAUSE
WE ENOUGH IMMUNIZE PEOPLE TO
KEEP
SPREADING BUT IT GOT AROUND THE
SIX PEOPLE THAN.
RECENTLY I THINK WE ARE THE
PERSONAL MEASLES DOWNTURN COUNTY
HAD TRAVELER CAME DOWN SO.
SO THOSE THINGS AROUND AND.
.
AND SO I APPRECIATE YOU BEING
HERE BECAUSE I BECAUSE I THINK
IT DURING A RECESSION DO AND WE
DID CUT BACK ON LOVE FROM OUR
PUBLIC HEALTH PREPAREDNESS FOR
FACTIONS DISEASE.
THAT AND RECESSION AND DOES SO
REALLY ONE EXTRA TOUCH ON WHAT
ARE WE DOING NOW WHAT WE NEED TO
BE SO WE CAN BE PREPARED AND
THAT WE HAVE.
BOTH THE.
CAPACITY TO MANAGE THESE EVENTS
AND ALSO HELP PROTECT THE PEOPLE
OF CALIFORNIA SO I THINK WITH
THAT MANY WOULD START WITH THE.
ACTUAL HAVE THEIR OWN INTRODUCED
THEMSELVES THAT AND THEN I WILL
GO AHEAD AND START WITH THE TIME
PUBLIC HEALTH. WELCOME I'M.
DOCTOR ARNOLD LEFT FILE I'M
REPRESENTING THE HEALTH
OFFICER'S ASSOCIATION OF
CALIFORNIA. I'M THE SANTA CRUZ
COUNTY HEALTH OFFICER AND
DIRECTOR OF ENVIRONMENTAL
HEALTH.
THANK YOU.
THANK YOU VERY MUCH MY NAME IS
JAMES WHAT I'M A PHYSICIAN I'M
THE CHIEF OF THE. DIVISION OF
COMMUNICABLE DISEASE CONTROL THE
CALIFORNIA APARTMENT PUBLIC
HEALTH.
GOOD AFTERNOON A DOCTOR DEAL
CHáVEZ TIME TO DEPUTY DIRECTOR
FOR INFECTIONS THE SUCCESS OF
THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH I'M ALSO
CALIFORNIA'S STATE
EPIDEMIOLOGIST IN IN THE ROLE. I
SERVE AS THE.
COMMANDER IN CHIEF YOU WELL FOR
ANY.
MAJOR INCIDENT TOP PARTICULARLY
OUTBREAKS PROTESTANT.
AND I'M TOLD THAT ARE IN THE
GENERAL MANAGER POSTURE MOSQUITO
AND VECTOR CONTROL DISTRICT IN A
MEMBER OF THE MOSQUITO INFECTED
FULL ASSOCIATION OF CALIFORNIA.
BANKING AT ANY PARTICULAR SHOW.
AND MARKET IN ITALY.
FINANCE MAKE YOU ALRIGHT SO I
GUESS THE PUBLIC HEALTH WILL
BEGIN YES THANK YOU ARE SO MEAN
I FIRST WANT TO SAY.
OF OUR ABILITY TO PREPARE AND
RESPOND.
I PARTICULARLY TO HELP US
IDENTIFY AND REMOVE RISKS AND
BARRIERS FOR US TO BE ABLE TO
THE FARM WORK.
HOUSE YOU SAID ON YOU KNOW
CALIFORNIA FINDS ITSELF ON SOME
OF THE CROSSROADS OF TRAVELING
COMMERCE.
SOMETHING WE HAVE A LOT OF
EXPOSURE TO THREATS FROM AROUND
THE WORLD.
AND WE BELIEVE THAT.
WE'VE WE MUST BE HYPER VIGILANT
IN TERMS OF CONTRADICTING
THREATS VERY EARLY ON.
AS YOU INDICATED WE FEEL THAT WE
ARE PART.
FIREFIGHTERS HOW WE SEE
OURSELVES AS.
FORTRESS.
BUT IN A SUCH WE FEEL THAT WE
NEED TO BE PREPARED. WE NEED TO
HAVE GOOD INTELLIGENCE ARE AND
WE NEED TO BE ABLE TO BE
DEPLOYED TO RESPOND TO ABOUT
THREAT.
AND WE DO THAT NO BY OURSELVES
WE HAVE GREAT PARTNERSHIPS IN
THE COMMUNITY WITH THE LOCAL.
BERMAN SLOCUM
IT TOOK CONTROL DISTRICT.
I AD THE HEALTHCARE COMMUNITY
THAT SUPER IMPORTANT FOR US TO
WILL BE ON THE SAME PAGE.
BUT TODAY I'M GONNA ASK OF TO
WHAT'S TO PROVIDE A VERY BRIEF
OVERVIEW OF HOW WE PREPARE HOW
WOULD RESPOND IF HE. BUYS A
MANAGER IN CHARGE OF OUR
OUTBREAK RESPONSE TEAM SO I
THOUGHT TO BE GREAT FOR HIM TO
GET TO MEET YOU AND TO TELL YOU
ABOUT WHAT THEY DO.
WELL I THINK SECTOR CHáVEZ.
AND I STARTED IN MY ROLE ABOUT
EIGHT YEARS AGO AND THAT THE
LITANY OF THINGS THAT YOU JUST
DESCRIBED HAVE CHARACTERIZED. BY
TE WORK THAT WE HAVE. DONE OVER
THE LAST TWO YEARS AND IT'S
REALLY BEEN VERY MUCH ONE.
OUTBREAK AFTER ANOTHER I'M IN
THE WORK THAT WE DO.
AT THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH.
ALL BREAK IT DOWN FOR YOU IN
TERMS OF MONITORING PLANNING IN
RESPONSE.
WITH RESPECT TO MONITORING IT'S
VERY IMPORTANT TO IDENTIFY THESE
THINGS AS QUICKLY AS POSSIBLE SO
THAT WE CAN TRY TO GET HEAD OF
THE MOST QUICKLY AS POSSIBLE.
AND THE MOST IMPORTANT.
PARTNERSHIP IN TERMS OF
MONITORING IS WITH LOCAL HEALTH
DEPARTMENTS LOCAL HEALTH
DEPARTMENTS ARE LOOKING AT
WHAT'S HAPPENING IN THEIR
COMMUNITIES HEARING REPORTS FROM
HEALTHCARE PROVIDERS AND OTHER
SOURCES INVESTIGATING.
CASES TO LOOK FOR OUTBREAKS AND
THEN THEY WOULD NOTIFY US THAT'S
REALLY THE KEY CORNERSTONE.
WHO DO A COUPLE OF OTHER THINGS
OUR OWN EPIDEMIOLOGISTS IN THE
DEPARTMENT? ARE USING THE CAL
READY SYSTEM ARE STATEWIDE WEB
BASED DISEASE MONITORING SYSTEM.
AND WE'RE NOW RECEIVING
ESSENTIALLY IN REAL TIME
AUTOMATED REPORTING FOR MORE
THAN THREE HUNDRED FIFTY
LABORATORIES AROUND THE STATE.
AND THAT ENABLES US TO REALLY.
DO DALY SCANNING OF CRITICAL
DISEASES THAT ARE PRONE TO
OUTBREAKS AND SO WE HAVE
IMPLEMENTED THOSE SYSTEMS
WHENEVER WE SEE SOME KIND OF
SIGNAL. THEN WE REACH BACK TO
OUR PARTNERS AND LOCAL HEALTH
DEPARTMENTS TO SAY HEY. THIS IS
WHAT WE'RE SEEING WHAT ARE YOU
SEEING LET'S TRY TO FIGURE OUT
WHAT'S GOING ON.
AND THEN THIRDLY OUR
LABORATORIES ARE CRITICAL AND
THIS IS ESPECIALLY IMPORTANT.
I'M FOR FOOD BORNE DISEASES WERE
SOMETIMES OUTBREAKS ARE HARD TO
FIND BECAUSE OF THE NOISE. WE
HAVE BACKGROUND LEVELS OF
DISEASE A DISEASE LIKE WE CALL
LIFE FOR EXAMPLE.
AND THEN THERE MAY BE AN
OUTBREAK EMBEDDED IN THAT IN THE
WAY THAT WE FIND OUT HIS BY
TESTING FOR SPECIFIC STRAINS IN
THE LABORATORY. AMEND THAT'S
VERY MUCH WHAT'S BEEN HAPPENING.
WITH THE RECENT OUTBREAK
ASSOCIATED WITH ROMAINE LETTUCE
AROUND THE COUNTRY. ON THIS
NATIONAL SYSTEM CALL PAUL SNACK.
CONSTANTLY LOOKING FOR UNUSUAL
STRAINS AND WE FIND ONE AND WE
CAN LOOK INTO THAT ANTS TRY TO
FIGURE OUT. WHAT'S THE SOURCE OF
THIS OUTBREAK HOW CAN WE
CONTROL.
SUCH IN TERMS OF MONITORING.
WITH RESPECT TO PLANNING WE HAVE
A NUMBER OF VERY DETAILED PLANS
FOR I'M OUTBREAK RESPONSE WE
HAVE SPECIFIC PLANS IN PLACE FOR
THE. MOST IMPORTANT MOST LIKELY.
.
DISEASES HAVE WE HAVE A PANDEMIC
INFLUENZA RESPONSE PLAN WE HAVE
FIVE TEARS IN RESPONSE PLAN
FEEDBACK AFFECTED BORNE DISEASE
RESPONSE PLAN.
.
BUT ONE OF THE CHALLENGES IS
SOMETIMES THINGS COME THAT WE
DIDN'T EXPECT AND WHEN THAT
HAPPENS WE ADAPT PLANS THAT WE
HAVE WE ALSO WORK WITH PARTNERS.
BOMB SO WITH ZEKE OF FOR EXAMPLE
WE RELIED HEAVILY ON A.
PLANNING TEMPLATE THAT CDC
PROVIDED WE QUICKLY TOOK THAT
AND ADAPTED THAT TO CALIFORNIA.
WITH HEPATITIS A THAT OUR
COLLEAGUES IN SAN DIEGO WERE.
ALREADY PRETTY FAR DOWN THE ROAD
AND SO WE TOOK THEIR PLAN AND
ADAPTED THAT FIRST FOR THE
STATEWIDE RESPONSE.
SO WE HAD TO.
PLANNING IS VERY IMPORTANT WE
USE TOOLS AND TEMPLATES THAT WE
ALREADY HAVE IN PLACE AND.
ON.
AND THEN IN TERMS OF RESPONSE
OUR EFFORTS ARE VERY MUCH. FIRST
AND FOREMOST I'M IN SUPPORT OF
LOCAL AFTER
IT'S REALLY THE LOCAL HEALTH
DEPARTMENTS WHO ARE ON THE FRONT
LINES.
DOING THOSE DIRECT DISEASE
INTERVENTIONS AND WE SUPPORT
THEM HOWEVER WE CAN WHETHER
THAT'S INTO.
PROVIDING SURGE CAPACITY
LABORATORY TESTING.
.
GUIDANCE GUIDELINES THINGS LIKE
THAT.
WHEN THERE ARE LARGER OUTBREAKS
AND WE.
PART THAT EXPAND MULTIPLE
JURISDICTIONS THEN WE BECOME
MORE INVOLVED TAKE MORE OF A
LEADERSHIP ROLE. AND DO A LOT OF
WORK TIME.
TO COORDINATE AND ENSURE THAT
THERE'S A CONSISTENT STATEWIDE
APPROACH IN THAT WE HAVE THE
RESOURCES NECESSARY. HARM TO
RESPOND FOR EXAMPLE WITH THE
TYPES A OUTBREAK WE LEARNED
QUICKLY THAT THERE WERE BY
TALKING TO OUR LOCAL PARTNERS IF
THEY'RE GONNA BE NEEDS FOR
VACCINE THAT.
MIGHT NOT BE ABLE TO BE MET AND
SO WE WORKED WITH THE GOVERNOR
TO IDENTIFY RESOURCES. TO MAKE A
VACCINE PURCHASE TO ENSURE THAT
THAT CRITICAL INTERVENTION.
COULD BE AVAILABLE TALLER LOCAL
PARTNERS TO CONTROL THE
OPERATOR.
.
MISTER CHAIRMAN MEMBERS
SUBCOMMITTEE. AS MOST OF YOU
KNOW SANTA CRUZ EXPERIENCED.
I HEPATITIS A OUTBREAK COME.
APPROXIMATELY A YEAR AGO EIGHTY
PERCENT OF WHICH WERE IN THE
VULNERABLE POPULATION OF
HOMELESS AND SUBSTANCE USERS.
IT IS ALSO WORTHY TO NOTE THAT
TWENTY PERCENT WERE NOT. THEY
WERE ACTUALLY AFFECTED AS A
RESULT.
OF THIS VULNERABLE POPULATION OF
GETTING HEPATITIS A.
FROM THE SEROTYPES.
WITH THE SHAME AS THE SAN DIEGO
OUTBREAK WHICH PRECEDED US.
BUT WHAT IS IMPORTANT IS AFTER
TWO THOUSAND VACCINATIONS.
AND THE THOUSAND VISITS TO
BUSINESSES IN THE DOWNTOWN
COMMUNITY FOR EDUCATION
PURPOSES.
A WE WERE ABLE A TO STOP THIS
OUTBREAK.
IS ALSO POOR IMPORTANT TO NOTE.
THAT IF IT WEREN'T NOT FOR OUR
NEEDLE EXCHANGE PROGRAM.
WHICH ALLOWED US TO ACTION ASH.
A TRUSTED GROUP OF PEOPLE THAT
WERE SPECIALLY VULNERABLE.
WITHOUT THAT WE WOULD PROBABLY
STILL BE IN THE MIDST OF THIS
OUTBREAK.
WHICH SAN DIEGO CURRENTLY.
IS STILL.
.
WE CAN THANK COME.
LEARN THE STATE FOR HELPING US
OUT IN A NUMBER OF WAYS.
BUT THEY WERE ASSEMBLY ISSUES
IN THE BIGGEST ISSUE IS THAT IT
TOOK FIFTY PERCENT.
OF OUR ENTIRE PUBLIC HEALTH
STAFF.
SIX MONTHS
TO STOP THIS OUTBREAK.
AND THE REAL PROBLEM WAS THAT WE
DID NOT HAVE SIGNIFICANT SURGE
CAPABILITY. A TO DO IT.
AND I WOULD. STRONGLY RECOMMEND
THAT THE STATE IN FACT DEVELOP A
BETTER SEARCH CAPABILITIES THAT
EVEN THOUGH THEY SENT SOME STAFF
TO US. A ON A COUPLE OF
OCCASIONS OF WE COULD HAVE USED
A LOT MORE.
SHOULDN'T THESE KINDS OF
OUTBREAKS HAVING THE STATE
SUPPORT SURGE CAPACITY WOULD BE
EXTREMELY USEFUL.
AND I WOULD ALSO A SUGGEST THAT
THE STATE CONSIDER MANDATING
SYRINGE EXCHANGE PROGRAMS. WHICH
ARE OF REALLY A NEXUS
OF FOR INFECTION.
AND ALSO I NEXUS FOR STOPPING OF
THOSE OUTBREAKS.
THE OTHER THING I WOULDN'T OF
ALSO MENTION IS THAT WE RECENTLY
HAD A CASE. OF HAND OF IRISH
PULMONARY SYNDROME.
OF WHICH IS SECONDARY TO RODENT
DROPPINGS AND HAVE BEEN I
BELIEVE THREE. OF RECENTLY AND
THIS IS A INFECTION IT'S EIGHTY
PERCENT OF FATAL.
AND.
WIDESPREAD.
OTHER THROUGHOUT THE STATE IS
POSSIBLE BECAUSE THE DEER
AMOUNTS AND OTHER A MAMMALS
ACTUALLY CONTAIN THE VIRUS A TO
A GREAT EXTENT.
AGAIN OF THE ISSUES OF A GETTING
A HANDLE ON PER TOUCHES. OF
GETTING A HANDLE ON INCREASED.
SEXUALLY TRANSMITTED DISEASES
WHICH WE'RE SEEING NOW A MORE
SHIFTLESS AND WE'VE HAD A COUPLE
OF CONGENITAL SYPHILIS CASES.
IN SANTA CRUZ WHICH I THOUGHT WE
WOULD NOT SHOULD HE.
BUT NEVERTHELESS SET THE
RESURGENCE OF STDS A NEEDS TO BE
ATTENTION TO THANK YOU.
SACRAMENTO THANK YOU VERY MUCH
I'M AS A FRONTLINE PRACTITIONER
VECTOR CONTROL AYE AYE AGO LOT
OF WHAT'S BEEN SPOKEN THEM ABOUT
ALREADY.
WE'VE BEEN.
BATTLING WEST NILE VIRUS AND
DOWN PREPARING FOR IN IN REDDING
OURSELVES OR OTHER AT THE SAME
MERGING FEES IMPAIR EMERGING
THREATS LIKE SEE.
ACTUALLY ONE OF THE HARD TO
CASES WAS IN PLASTIC COUNTY SO
WE'RE VERY AWARE OF THAT AS
WELL.
ON THE FRONT LINES TIME WE WORK
VERY WELL IN DEPEND ON GUIDANCE
AND SUPPORT OVERSIGHT FRM THE
DEPARTMENT OF PUBLIC HEALTH A
MOST OUR PARTNERSHIPS WITH THE
UNIVERSITY OF CALIFORNIA.
THE BIGGEST THING THAT WE THAT
WE NEED IN TERMS OF SUPPORT FROM
THE STATE IS.
ADDITIONAL SUPPORT TO KEEP OUR
DATA SYSTEMS.
STABLE AND ACCURATE AND WELL
STAFFED.
IN IN THE HEELS OF AYE WHAT THE
WEST NILE VIRUS.
COMING INTO CALIFORNIA THERE
WAS DEVELOPED A.
A DATABASE THAT HIS BAND NOW
PRIMARILY USED FOR RESEARCH IN
VERY RECENTLY HAS SIDE BECOME A
VERY IMPORTANT OPERATIONAL
RESOURCE FOR. A LOCAL VECTOR
CONTROL AGENCIES MARK MY
DISTRICT IN PARTICULAR I USES ON
A DAILY BASIS TO HELP TRY TO.
.
PREDICT IN AND PREVENT THESE
SORTS OF OUTBREAKS BEFORE THEY.
BEFORE THEY EVEN HIT THE HUMAN
POPULATION SO I THEIR KITS
CONTAINING.
VERY IMPORTANT INFORMATION ON
MOSQUITO SURVEILLANCE ABUNDANCE
DISEASE AND I INCIDENTS.
MARCH TREATMENT.
EFFICACY.
IT'S ACTORS.
INSECTICIDE RESISTANCE NAM
THINGS OF THOSE SORT.
AND CURRENTLY AND IT IS IT IS
IT STAFFED AB THREE YOU SEE CAL
FROWNED SORRY UNIVERSITY
CALIFORNIA.
AND.
ADDITIONAL SUPPORT TO MAKE THAT.
SOMETHING THAT'S NOT GOING TO GO
AWAY THAT STABLE AND ROBUST THAT
WE CAN DEPEND ON WOULD BE
EXTREMELY HELPFUL.
Q. AND COMES FROM LA OVER RIGHT
FINANCE I QUESTIONS REMEMBER
CENTER MONEY.
THANK YOU MISTER CHAIRMAN I
THINK ALL OF YOU IN. SPECIAL
WELCOME TO DOCTOR LEFT AM THANKS
FOR YOURLEADERSHIP WITH OUR
SERIOUS HEPATITIS A OUTBREAK IN
SANTA CRUZ.
HE'S EXPRESS OUR THANKS TO ALL
OF YOUR TEAM.
FOR HEROIC RESPONSE BUT TAKING
INTO ACCOUNT.
THIS RECOMMENDATION OF THE.
IMPORTANCE OF AS YOU DESCRIBE
SURGERIES SPAHN'S.
.
A LITTLE OFF SUBJECT THAT YOU'VE
RAISED WITH KIND OF INFECTIOUS
DISEASE OUTBREAKS IN CONTROL.
ANY THOUGHT SIR UPDATES ON CHILD
IMMUNIZATION IN OUR SCHOOLS IN
LIGHT OF. OUR RECENT.
BLOG ARE WE CLOSING THE GAP OF
A.
NON VACCINATED YOU HAVE WHERE
COMMUNITIES WHO WE ARE CLEARLY
CLOSING THE GAP.
OF THE ONE PIECE THAT WE HAVE
BEEN CLOSED.
IS THE ABILITY TO INVESTIGATE.
UNFORTUNATELY OF SOME FRAUDULENT
OF PHYSICIANS.
WHO?
FOR FINANCIAL GAIN.
AND PHILOSOPHY OR WRITING A
MEDICAL EXCEPTIONS
INAPPROPRIATELY. AND WE DO NOT
HAVE THE AUTHORITY TO
INVESTIGATE. OF THOSE ISSUES I
DID TURN ONE PHYSICIAN. INTO
AMERICA THE MEDICAL BOARD BUT
EVEN THEY HAD QUITE A
LIMITATIONS ON WHAT THEY COULD
DO TO DEAL WITH THIS.
ISSUE.
A IN SPIDER THAT WE ARE BRINGING
UP OUR VACCINATION RATE EVEN IN
THOSE SCHOOLS WHERE. THEY HAVE
BEEN SOME PHILOSOPHICAL
DIFFICULTIES IN GETTING THE
VACCINATIONS UP.
BUT THE. BUT THAT'S THE BIG
LEUPOLD THAT STILL EXISTS THANK
YOU AND THEN IS IS THAT
REFLECTIVE OF STATEWIDE YES ON
ANAHIT WHY DO WE SEE A VERY
SIMILAR PATTERN WE'RE VERY
PLEASED ABOUT THE LAST YEAR WE
SAW A SIGNIFICANT IMPROVEMENT ON
THE NUMBER OF. CHILDREN
THAT ARE IMMUNIZED AND A
REDUCTION IN THE NUMBER OF
FAMILIES THAT WERE EXERCISING
PERSONAL BE DEPICTS A.
A SIGNIFICANT REDUCTION IN THE
CONDITIONAL ON MISSIONS TO
CHOOL. WE ARE ARE PREPARING THE
DATA FOR THE SHARED A SHOULD BE
OUT VERY SOON. THING YOU WILL
ALL BE UP PLEASE WITHOUT THE
CONTINUING TREND WITH
IMPROVEMENTS IN THOSE AREAS.
BUT THE PUBLIC IS CORRECT THAT
AS WE'VE SEEN PROVE MINTS IN
THOSE AREAS WE'RE BEGINNING TO
SEE SOME ENCROACHMENT ON THE
NUMBER OF.
MEDICAL AYE EXCEPTIONS OF THAT
WE NOW REPEATING ON FREQUENTLY
DON'T HAVE ENOUGH MERIT SO
THAT'S SOMETHING THAT WE'RE
WATCHING VERY CLOSELY. THANK YOU
AND I THINK IN ANOTHER TIME I
WANT TO THANK THE CHAIR FOR HIS
LEADERSHIP AND I KNOW THAT
WE'VE.
CREATED SAFER COMMUNITIES AND
CLASSROOMS PARTICULARLY FOR
FAMILIES. HAVE A MEAN
COMPROMISED CHILDREN WHO ALSO
HAVE A RIGHT TO ATTEND OUR
PUBLIC SCHOOL SO THANK YOU FOR
YOUR. EFFORTS ON THAT AND THEN.
NOT SURE WHO'S THE APPROPRIATE
PERSON ON THIS SPENT WITH THE.
BOMB.
CDCS RECENTLY.
IDENTIFIED.
.
MOSQUITO BORNE NAM.
INFECTION IS AS CDCS NOT
TYPICALLY ALARMIST BUT THEY SEEM
TO BE SOUNDING THE ALARM THE
SEASON. OF.
ANY OF YOU LIKE TO COMMENT
FURTHER ON. HOW IS CALIFORNIA?
SITUATED IN HARRIS CLIMATE
CHANGE ON CONTRIBUTED TO THIS
CHALLENGE.
SO I CAN COME IN FIRST AND THEN
HERE WELL MY COMMENT MY
COLLEAGUES HAVE TO SAY YOU KNOW
WE ARMY CALIFORNIA. BELIEVE THAT
WE ARE. A LITTLE BETTER PREPARED
THAN THE REST OF THE COUNTRY
WHEN IT COMES TO DEALING WITH
VECTOR BORNE DISEASES.
HOWEVER AS YOU SAID HOME IT'S
VERY EVIDENT THAT CLIMATE THAT'S
IMPACT ON BECAUSE THIS MOSQUITO
BORNE.
AND.
WE SEE IT YEAR AFTER YEAR THAT
THERE'S CLEAR SYSTEM NOW IN THE
US THE WEATHER WARMS UP.
AND HAVING AN EARLIER STUDY OF
SOME OF THIS SEASON'S WHERE WE
DEAL WITH SOME OF THESE
DISEASES.
ONE.
NOTHING OF THE UNIQUE THINGS IN
CALIFORNIA IS THAT WE HAVE A
VERY OF FROM. A NETWORK OF LOCAL
VICTOR.
STRICT AND WE HAVE VERY GOOD
PARTNER
IT'S WITH THEM.
I THINK THAT REALLY HELPS ENOUGH
PREPAREDNESS AND.
IN EXERCISING SOME WHAT DOCTOR
WHAT WAS REFERRING TO IN TERMS
OF MONITORING. I'M BEING READY.
OF HAVING SAID THAT I KNOW THAT.
PICKED UP UNTIL DRESSED
DISTRICTS LARGELY A ARE FUNDED
WITHOUT. LOCAL FEES ARE AND THEY
HAVE CHALLENGES TO MAINTAIN THE
LEVEL OF OF SUPPORT THAT IS
NEEDED LOCALLY.
SO THAT I THINK IS ONE OF THE
LIABILITIES THAT WE'LL HOP THAT
WE NEED TO HAVE. THE MOST ROBUST
VICTOR CONTROLLED SYSTEM
AVAILABLE SO THAT WE CAN HAVE
THE BEST RESPONSE. AND WHAT
ABOUT PUBLIC EDUCATION FOR. ON
THERE'S FACTOR CONTROLLING IN
BROAD PUBLIC HEALTH SOME
APPLICATION BUT.
STANDING WATER IN RESIDENTIAL
AREAS ARE YOU DOING ANYTHING
PARTICULAR TO DO BROADER
EDUCATION IN LIGHT OF THE
CURRENT.
OUTBREAK ABSOLUTELY NO WEEK WE
ACTUALLY WE'RE VERY FORTUNATE TO
RECEIVE OUR.
NEW FICTIONAL FEDERAL FUNDING
FOR THAT SEEK OUT ON A
HYPODERMIC. OFTEN THROUGH THAT
WE WERE ABLE TO DEVELOP A VERY
ROBUST SET OF FOOTAGE OCCASIONAL
MATERIALS AND AIRPORTS TO REALLY
GET THE WORD OUT THERE.
ABOUT THE IMPORTANCE THAT PEOPLE
WE ALL PLAY IN HELPING CONTROL
SOME OF THESE FACTORS.
YOU KNOW ONE OF THE CHALLENGE
WITH SOME OF THE NEW BECKER SEES
THAT THEY BEHAVE VERY
DIFFERENTLY THAN SOMEONE YOUR
TRADITIONAL MOSQUITOES.
I MEAN THAT THEY COULD BE VERY
ORGANIZED THEY CAN GROWING VERY
SMALL. AREAS WITH VERY LITTLE
WATER. I IS FOR THE ROLE THAT WE
ALL PLAY IN OUR HOUSEHOLD SEEM
LIMITING THOSE SOURCES OF WATER
FROM ASKING US TO GROW A SUPER
IMPORTANT.
SO WE I THINK ARE IN IN IN A
MUCH BETTER POSITION NOW TO
REALLY CONTINUE TO EDUCATE THE
PUBLIC ON THE WRONG DAY
PLAY.
SOME LIVES WE CAN HAVE THEM
CONTRIBUTE TO WHAT WE DO IS
GONNA BE VERY CHALLENGING
THINKING THEN MIGHT HAVE ON A
LOCAL ON THE LOCAL LEVEL WE ARE.
INVOLVED GO DIRECTLY WITH
EDUCATION AROUND. OF THE
MOSQUITO POPULATION AND IS FAR
JE I HAVE TO COMMENT ON THE
CLIMATE CHANGE ISSUE. WE ARE
SEEING MOSQUITOES IN NORTHERN
CALIFORNIA THAT WE WOULD HAVE
NEVER SEEN BEFORE BECAUSE OF
THOSE CHANGE AT A WITH BECAUSE
F THE CLIMATE CHANGE. AND THOSE
MOSQUITOES OF THE KIND OF
MOSQUITOES WE DON'T WANT TO SEE
IN CALIFORNIA. THE ENOUGH
FOOLISH MOSQUITO FOUR ONE. AND
SO IF CLIMATE CHANGE ISSUES ARE
A HUGE.
THE RELATIONSHIP TO OF THE
WHOLE ISSUE OF INFECTIOUS
DISEASE OF THAT ARE CARRIED BY
MOSQUITOES THANK YOU DOCTOR LEFT
FOR SHARING THAT I THINK. AS WE
SEE WITH FIRE HAZARDS FLOOD WERE
FACING THESE NEW NORMALS THAT
REQUIRE.
DIFFERENT APPROACHES EXPANDED
APPROACH ISN'T NECESSARILY MORE
RESOURCES SO THANK YOU MY FINAL
QUESTION FIVE MIGHT MISTER
CHAIR.
THE OAK HE COLLECTING DOCTOR
ONE MENTIONED. A THE OUTBREAK
MOST RECENTLY IDENTIFIED AND
ROMAINE LETTUCE I THINK FROM
YUMA.
.
BUT ONE OF THE CHALLENGES IS
WITH THESE E. COLI OUTBREAKS WE
OFTEN HEAR CERTAIN.
FOOD SOURCE.
BUT.
IT DOESN'T BAITED AND THEN IT
TENDS TO STIGMATIZE.
ALL ROMAINE LETTUCE IN THE
STATE.
VIA.
OTHERS PRODUCED IN SALINAS FOUR
YUMA BOND HOW CAN WE DO A BETTER
JOB OF WHAT'S BEING DONE.
FOR A BETTER POINT SOURCE
IDENTIFICATION.
SO AND AND THEN EDUCATING
CONSUMERS I THINK WE WE GET WE.
THEY EDUCATION IS GOOD WHEN
THEY'RE SIMILAR.
IT'S THE ROMAINE LETTUCE.
BUT WE NEED TO BE BETTER I THINK
AND NARROWING IT DOWN SO OTHER
PRODUCERS.
AREN'T BEING IF IMPACTED
ECONOMICALLY IN.
IN IN THE CONSUMERS CAN BE MORE
FOCUSED IN. MAKING.
THE THE CORRECT CHOICES.
YEAH NOW THAT'S A VERY GOOD
POINT IN ONE OF THE THE KEY
ASPECTS OF OF OUTBREAK RESPONSE
IS REALLY.
HONING IN AS MUCH AS WE POSSIBLY
CAN ON ON THE SOURCE AND AND AND
THAT'S A. BIG PART OF WHAT WE DO
AT THE DEPARTMENT OF PUBLIC
HEALTH. DOING TRACE BACKS TO TRY
TO FIGURE OUT AND LOCALIZES.
QUICKLY AS WE POSSIBLY CAN ARM
AND THEN PROVIDE INFORMATION TO
THE PUBLIC THAT. THAT THEY CAN
USE BY OUR PRODUCTS
APPROPRIATELY.
LABELED SO.
YOU CAN TRACE BACK ARE DO THEY
CARRY IDENTIFIERS WHEN.
THE COMMAND OF FIELD AND NOT
FEEL BE.
YEAH A GREAT QUESTION I THINK IT
DEPENDS A LOT ON THE PARTICULAR
PRODUCT AND THAT'S BEEN A BIG
CHALLENGE IN THIS OPERATE
BECAUSE WITH PRODUCE ITEM SOME
OF THE LABELING. IS SO I'M
LIMITED.
AND I KNOW OF.
FOR THE PRODUCE INDUSTRY IT'S A
TRADE OFF BECAUSE THERE'S A COST
TWO DOING THAT LABELING BY THE
SAME TOKEN. WHEN WE CAN'T NARROW
WIN IT AFFECTS POTENTIALLY AN
ENTIRE INDUSTRY.
NAM SO I THINK IT'S I THINK YOU
ALL AGAIN FOR YOUR WORK I THINK
YOU'RE OFTEN THE.
UNSUNG HEROES AND PROTECTING OUR
PUBLIC HEALTH SALMON THANK YOU
ALL FOR THE WORK YOU DO THANK
YOU.
THANK YOU.
.
YEAH WELL IT IS JUST TO FOLLOW
UP IT'S THEIR MONEY ON THAT
POINT ANY.
OFTENTIMES WE THINK ABOUT HOW
BREAKS AND OBVIOUSLY THE FIRST
THING WE SHOULD BE THINKING
ABOUT IS THE RISK TO THE HEALTH
OF PEOPLE.
BUT.
OFTENTIMES PEOPLE DON'T TALK
ABOUT THE TREMENDOUS ECONOMIC
COSTS OF VARIOUS TYPES OF
OUTBREAKS.
THE EIGHTEEN TO NINETEEN
EIGHTEEN ANDEMIC FLU PANDEMIC
COULD LEAD THE MAIN ISSUE IS
THAT MORE PEOPLE DIED IN THE FLU
PANDEMIC THAT ACTUALLY DIED ALL
OF WORLD WAR ONE ON BOTH SIDES.
IN TERMS OF THE SOLDIERS SAILORS
AIRMEN.
AND.
SO PEOPLE SAY FLEW WHAT'S THE
BIG DEAL WELL THAT'S WHAT
HAPPENED BUT ALSO ACTUALLY LOOK
AT READ THE HISTORIES OF WHAT
HAPPENED THE FLU PANDEMIC THE
NUMBER OF BANKRUPTCIES TO HAPPEN
THE BUSINESSES IN THE UNITED
STATES.
ALRIGHT.
THEY HAD A TREMENDOUS.
NEGATIVE ECONOMIC IMPACT SO
OBVIOUSLY THE DEATHS SHOULD BE
THE THING WE THINK ABOUT FIRST
BUT. SOME PEOPLE TALK ABOUT
ECONOMICS NAM POLIO ACTUALLY HAD
TREMENDOUS IMPACT ON BUSINESSES.
SO NOW
OF COURSE WHEN
KIDS RUN PARENTS AFRAID TO HAVE
THE KIDS GO SWIMMING POOLS ALSO
COMMERCE WENT DOWN. AS WELL AND
THAT WHEN YOU HAVE TO QUARANTINE
PEOPLE.
AND AND. AND THAT HAS A
TREMENDOUS IMPACT ON AND STORES
WHO HAD TO SHUT DOWN OUR
PUT SIGNS UP THAT THERE WAS AN
OUTBREAK THAT WAS WHEN WE AND
TWENTY FIFTEEN AND PEOPLE THAN.
THEY ALSO CLEARLY THE FIRST
PRIORITY IS IN THE HEALTH AND
PEOPLE GET EXPOSED BUT ALSO
THERE'S AN ECONOMIC IMPACT AS
WELL TO TO BUSINESSES AND. AND
SO FORTH.
AS WELL AND I THINK.
TRYING TO DEVELOP FOR PUBLIC
HEALTH INFRASTRUCTURE SHOULD OF
COURSE PRIMARILY BE FOCUSED ON
IMPROVING HEALTH IT WOULDN'T
ALSO NEEDS TO RECOGNIZE. THAT
HAS AN ECONOMIC IMPACT WE'RE NOT
READY PUBLIC HEALTH WISE AS WELL
WHEN PEOPLE SAY WELL HOW MUCH
MONEY SHOULD PUT INTO BEING
READY.
THEY SHOULD OF COURSE WE'RE
TRYING TO DO THAT STATE PEOPLE'S
HEALTH BUT WE SHOULD ALSO
RECOGNIZE THAT THERE'S ACTUALLY
ECONOMIC IMPACT OF NOT BEING
READY IS.
CELEBRATE.
.
OKAY SO ONE THING I ACTUALLY UP
I DO A FOLLOW UP ON THE
TESTIMONY ABOUT SURGE CAPACITY
BECAUSE I AM STRUCK.
DOCTOR LEFT THAT YOU SAID FIFTY
PERCENT FIFTY PERCENT OF YOUR
COUNTY STAFF.
FOR THE HEPATITIS A I I KNOW
THAT IN SACRAMENTO COUNTY.
WHEN WE HAD.
THE LAWS OF THE I THINK WAS
EACH ONE AND ONE FLEW ARE
SEVERAL YEARS AGO.
OUR PUBLIC HEALTH OFFICER TEND
TO STRANGERS RESERVES ACTION
ACTUALLY WAS WITH AS.
THE COUNTY HAD ACTUALLY BECAUSE
THEY HAD TO MAKE CUTS OF MANY OF
THE STAFF THAT SHE USED TO.
THAT SHE TOLD ME THAT TO TRACK
THAT OUTBREAK IN SCHOOLS WERE
ACTUALLY PEOPLE RATE HAD PINK
SLIPS WERE ON THEIR WAY OUT SAID
IF THIS BUT I'LL BREAK IT
HAPPENED JUST TOLD YOU KNOW
COUPLE MONTHS LATER SHE WOULD
HAVE HAD THE STAFF TO DO THAT.
SO.
CAN YOU.
TO TOUCH IT TOUCH ON WILL
EXCEED THE QUESTION IS IS THAT.
UP AS WE HEARD THAT THE PALM
PUBLIC HEALTH BUDGET ACTUALLY
MOST OF IT'S COMING FROM LIKE
FEDERAL GRANTS AND SO FORTH BUT
THE IN.
PORTION HOW MUCH OF THAT HOUSE
IS FUNDED BY.
LOCAL COUNTY DOLLARS STATE
GENERAL FUND DOLLARS PURSES
OTHER FUNDS THAT WE GET FROM
OUTSIDE SO THAT'S EVERYTHING
FROM YOU OUTBREAKS STDS SO FORTH
THIS DESERVE. A CONTAGIOUS
DISEASE
PART NO BACK TO CONTROL YOU HAVE
YOUR OWN WE TALK TO EACH LOW THE
THAT THAT REVENUE FOR YOUR
DISTRICTS BUT HOW THE SO WHERE
DOES RESOURCES COMING FROM WENT
TO IT IN TERMS OF SEARCH
CAPACITY READING THIS IS SO FOR
THAT SOMETHING ARE JOHN.
FUND AND COUNTY FUNDS ARE SO
SUPPORTING OR IS THAT SOMETHING
WE CAN GET OUTSIDE MONEY FOR HIM
THERE THERE'S NOT A LOT OF
OUTSIDE MONEY FOR THE. DAY TO
DAY OPERATIONS OF OUR
COMMUNICABLE DISEASE SECTION. OF
ITS VIRTUALLY ALL FUNDED BY NEXT
COUNTY COST AND OVER THE LAST
TEN YEARS WE'VE LOST.
OF. EIGHT MILLION DOLLARS IN A
COUNTY COST THAT WAS NOT.
REPLACED BY ANYTHING AND TO THIS
DAY HAS NOT BEEN REPLACED.
A SHOW OF THERE IS A SIGNIFICANT
PROBLEM IN HAVING.
GETTING BACK IF YOU WILL. TO
WHERE WE WERE BEFORE THE
RECESSION.
OCCURRED.
I WOULD ALSO MENTION THAT PART
OF OUR SHIRTS CAPACITY. WAS
MAKING SURE THAT OUR MEDICAL
RESERVE CORPS WISH A CAPABLE
AND.
IT TURNED OUT THEY WERE
MODERATELY CAPABLE BUT WE USED
EVERYONE WE COULD WE ALSO
DEVELOPED A CONTRACT OF WITH ONE
OF THE NURSING SERVICES. TO HELP
US WITH VACCINATIONS ARE ALL AT
SOME SIGNIFICANT COST.
I'M SURE THE ISSUE FOR US TO
WHICH SEEM TO BE. THAT ALTHOUGH
WE REALLY.
OF WERE VERY HAPPY THAT THE
STATE'S SANTA STAFF ON A COUPLE
OF OCCASIONS WHO WERE ABLE TO
STAY FOR A WEEK OR TWO. OF THEM
YOU KNOW IT WOULD SEEM TO ME
THAT ESPECIALLY SINCE WE'RE
FACING. WHAT IS CLEARLY GOING TO
BE A PROBLEM OVER THE NEXT
SEVERAL YEARS THAT THE STATE
HEALTH DEPARTMENT? REALLY NEEDS
TO DEVELOP A CADRE OF A STRIKE
TEAM IF YOU WILL. OF THAT CAN
RESPOND TO LOCAL OUTBREAKS
UP AND STAY AROUND A TO HELP THE
CAPACITY OF THE LOCAL
GOVERNMENTS TO DEAL WITH THOSE
APPARATUS.
SO YOU KNOW WHAT.
WE ACTUALLY DO HAVE PEOPLE THAT
WE CAN DEPLOY WE HAVE TEAMS OF
PEOPLE THAT CAN BE DEPLOYED FROM
ONE OF THE THINGS THAT WE ARE
FACING THOSE AS YOU SAID.
TALK TO PASS.
THERE'S A NEW NORMAL AND WOOD
USED TO BE ONE ALL BREAK OUT OF
TIME. NOW HAS BECOME MULTIPLE
TOPICS ARE ONE TIME SO EVEN
HEPATITIS A OUTBREAK IT WASN'T
REALLY ONE OUTBREAK. YOU KNOW WE
HAD SOME ACROSS THE SUPPORT WE
HAD SAN DIEGO TO SUPPORT. A
SUBSEQUENTLY LA WAS CLEARING UP
IN SO WE WERE SO AFRAID THAT HE
WOULD MEAN JUMPING EARLY ON LA
WOULD HAVE A HUGE PROBLEM SO.
NOT SO YOU HAVE NOT THREE
DIFFERENT OUTBREAKS OF THE VERY
SAME TIME WHAT WE'RE DEALING
WITH ALL THEIR SMALLER CASES AND
OUTBREAKS BEHIND THE SCENES SO.
I THINK FROM MY PERSPECTIVE
CAPACITY SO HUGE PROBLEM AND I
THINK THE LOSS OF CAPACITY AT
THE LOCAL LEVEL.
HAS BEEN INCREDIBLY DIFFICULT
FOR LOCAL HEALTH DEPARTMENTS TO
DEAL WITH IN RESPONDING. AYE WE
DO THE BEST WE CAN TO SEND
STRIKE TEAMS HAVE PEOPLE BUT
WHEN YOU HAVE. THAT MANY ARE
BRICKS GOING ON AT ONE TIME
THERE'S JUST SO MANY RESOURCES
THAT WE HAVE TO SUPPORT
EVERYBODY.
AND.
SO THAT THAT'S JUST A DROP
CENTRAL PANEL ON THOUGH THERE TO
THAT THE RIGHT ONE TO DRAW YOU
KNOW. WHEN WE'RE DEALING OF WILD
FIRES A MUTUAL AID SYSTEM.
SO I JUST BECAUSE A QUESTION TO
OUR COUNTY HEALTH OFFICER.
THE FACT THAT YOU WOULD USE
FIFTY PERCENT OF YOUR PUBLIC
HEALTH STEPHAN AND I ASSUME THAT
THAT FIFTY PERCENT ACTUALLY HAD
OTHER THINGS TO DO IF SIDE THERE
WASN'T HAVE TIES A OPERATE.
WE BRING IN.
TO DO SO THEY PRY WE'RE DOING
THOSE THINGS.
DO COUNTY HEALTH OFFICERS EVEN
HAVE ANY CAPACITY THEY CAN SHARE
FROM MUTUAL AID OR IS THIS
SOMETHING THAT WERE JUST
COMPLETELY SHORT ON WELL IF IT'S
AN INTERESTING PROBLEM AND I
WOULD WERE OF RECOMMEND AT THIS
STAGE. DUH LOOK AT FISK BUT.
THE PROBLEM IS IS THAT THE THE.
COOPERATION OF RESOURCES ACROSS
COUNTY LINES IS NOT EASILY A CAT
M. ACCOMPLISHED.
YOU KNOW YOU NEED MEMORANDA OF
UNDERSTANDING IN THE BOARD OF
SUPERVISORS
WHO AGREE. TO.
ALLOW THAT TO HAPPEN IN SO IT
WOULD SEEM TO ME THAT ONE OF THE
THINGS.
OF THAT WE SHOULD BE ABLE TO DO.
IS THINK OF THE COUNTY HEALTH.
HEALTH ORGANIZATIONS. AS HARD
IMPARTIAL OF THE LARGER SHIP
EIGHT.
AND MAKE IT EASY.
FOR THEM TO DO.
WORK IN OTHER COUNTIES I CAN
EVEN GET.
OF WORK SHOW THAT WHEN I'M NOT
AROUND I CAN GET THE COUNTY
HEALTH OFFICER MODERATOR. TECH
CALL FOR ME.
A SIMPLE KIND OF PROBLEM AND
WE'RE WORKING IT OUT IN YOU KNOW
WE HAVE TEN THE COUNCIL'S
TALKING TO EACH OTHER. IT
SHOULDN'T BE A PROBLEM WHAT
SHOULD BE YOU SEE IT IS THAT IF
NAPA CAN MEAN NEEDS HELP THERE
OUGHT TO BE ABLE TO GET HELP. ON
DAY ONE JUST LIKE COULD GET HELP
FROM THE FIERY AGENCIES THEY
OUGHT TO BE ABLE TO GET HELP. AS
EASILY FROM THE OTHER COUNTY
HEALTH AGENCIES.
AND NOW OPPOSE THE QUESTIONS OF
THE STATE THAT IF ARAFAT LOCALES
HAVE AS ANYONE START MAYBE
LOOKING AT THAT SO AT THIS ISSUE
IS THERE. A WAY TO START.
TO LEAD AN EFFORT TO.
PERHAPS WITH THE.
TO CREATE A I GUESS A. MUTUAL
AID TYPE SYSTEM WHERE PEOPLE
KNOW THAT IF YOU CAN HAVE
STANDING YEAH IT'S HARD TO GET
THEM A YOU RIGHT AWAY RIGHT
GIVEN OUTBREAK NOW TO ASK FOR
ONE BUT. IN THE SAME WAY THE
FIRE DEPARTMENTS MAYBE AT THE
END OF THAT'S RIGHT EXAMPLE IS
THERE SOME DUTY THINK THAT'S
SOMETHING THAT.
.
CAN BE DONE.
ARTS AND DOES THAT AND
APPROPRIATE ANSWER THIRD THERE
IS ACTUALLY A MUTUAL AID SYSTEM
IN PLACE ALREADY WHEN WE ARE
CALLING OCCUPATIONAL
INFREQUENTLY WE DO SO THAT
PRECISELY FOR THAT REASON WE
ACTIVATE OUR EMERGENCY RESPONSE
SYSTEM AND THROUGH.
THERE ARE.
PLACE.
I THINK WHAT DOESN'T EXIST FOR A
ROUTINE BASIS WITHOUT HAVING TO
GO THROUGH THE CREATION OF AN
EMERGENCY EVERY TIME. THAT YOU
CAN BE EASILY SHARE RESOURCES
ACROSS COUNTY LINES.
BOB.
BUT AT THE SAME TIME YOU KNOW WE
HAVE TO RECOGNIZE THAT MANY OF
OUR LOCAL HEALTH DEPARTMENTS
JUST DON'T HAVE ENOUGH CAPACITY
TO SHARE. SO EVEN IF THEY MAKE
ANY SOMETIME PLACE THEY ARE VERY
VERY CHALLENGED. I MEAN I'VE
SAID IT.
BEFORE IN DIFFERENT HEARINGS
ABOUT. ARE YOU KNOW THE PROBLEM
SO OFFICE TV AND MANY OTHERS ARE
WE FACING ARE NOT GOING TO GO
AWAY. UNTIL LOCAL HEALTH
DEPARTMENTS HAVE MORE CAPACITY
TO BE ABLE TO HAVE STAFF DEAL
WITH WITH WHAT TYSON LET ME POSE
THIS QUESTION THEN. HAS SAID
THAT PART OF PUBLIC HEALTH.
IN PERHAPS CORPORATION WITH THE
COUNTY HEALTH DEPARTMENT DONE A
STUDY OUR EPORT LOOKING AT BIG
CAPACITY IN THE GAPS IN CAPACITY
THAT EXIST.
IN THE STATE OF CALIFORNIA WHAT
COMES INFECTIOUS DISEASE
PREPAREDNESS ARE THAT SOME.
IF YOU HAVEN'T DONE THAT'S
SOMETHING YOU'RE WILLING TO DO.
SURE WE WE COULD DO AND WE
HAVEN'T ENOUGH FORMAL ASSESSMENT
IF YOU WILL AND WE KNOW THAT.
YOU KNOW WE HAVE RESOURCES
AVAILABLE BUT WE HAVEN'T SEEN.
IN ON US OF A LARGE SCALE YOU
KNOW WHAT MIGHT BE THAT US
AVAILABLE TO EVERYBODY FUNDING
IN A SINGLE POINT TIME. I CAN
TELL YOU THAT.
THE FIRE VERSION AND.
THE NORTH BAY THAT OCCURRED
ACTUALLY BURNED OUT AT LEAST
ONE HEALTH OFFICER IF NOT. A
MORE THAN ONE.
AND THAT THERE WERE SOME
DIFFICULTIES IN GETTING HELP TO
THEM ON A RAPID BASIS ALTHOUGH
IT DID OCCUR. BUT AGAIN I
㾡ASURES THAT WE NEED TO USE I'M
EVEN THE INTERACTION WITH PUBLIC
HEALTH IN THE PUBLIC. AND IT'S
ALL VERY DIFFERENT SO I IN
PLASTER COUNTY WE'RE ACTUALLY
WORKING ON DEVELOPING TWO
SEPARATE PROGRAMS WITH THE SAME
AMOUNT OF RESOURCES SO ANYTHING
THAT HELPS BEAM MUST BE MORE
EFFECTIVE AND MORE EFFICIENT.
AND REDUCES SOME OF THAT OVERLAP
ON LIKE THIS.
CAPTURE SYSTEM IS EXTREMELY.
APPRECIATED IN NECESSARY SO WE
CAN
KEEP DOING THE WORK WE'RE DOING.
OKAY THANK YOU BY ANY COMMENTS
FROM THE LEO. FINANCE
NO.
RIGHT THING JUST TO HIGHLIGHT
BECAUSE IT OR QUESTIONS ABOUT
CLIMATE CHANGE AND.
YA JUST YESTERDAY RELEASED A
REPORT ON CLIMATE CHANGE
INDICATORS WHICH INCLUDES VECTOR
BORNE DISEASES AND COVER SOME OF
THE.
ALRIGHT QUESTIONS FROM COMMITTEE
MEMBERS NOW UP ONE QUICK
QUESTION TERMS OF.
DE KALB SERVE SYSTEM IS IS
SOMETHING THAT.
SHOULD DISCUSS STATE UC DAVIS
IS THERE ANY PLANS I MEAN THIS
IS NOW THE CENTRAL SYSTEM SHOULD
BE BROUGHT IN HOUSE TO THE PARK
PUBLIC HEALTH EVENTUALLY AND
OTHERS ANY DISCUSSION OR
THOUGHTS ABOUT THAT.
SO WHAT WE HAVE VISUALIZED IN
THIS IS MAINTAINING IT AT UC
DAVIS AND HAVING THE PAST THREE
RUN THROUGH CDP H. THEY HAVE
BEEN THE ADMINISTRATOR OF A
NUMBER OF THE GRANTS THAT WE'VE
GOTTEN THE FOREIGN IT'S WORKED
OUT QUITE WELL.
OKAY AND SEE A DEBTS.
I THINK THAT.
ONE OF THE THINGS WHEN WE'RE
TALKING ABOUT VECTOR BORNE
DISEASES IS THAT.
THAT THE COLLABORATION A
PARTNERSHIP IS REALLY CRITICAL
WE HAVE SO MANY DIFFERENT
AGENCIES FROM VECTOR CONTROL
AGENCIES LOCAL PUBLIC HEALTH
HAVING ACADEMIC PARTNERS IS
CRITICAL. AND I THINK WE'VE GOT
ARE ACTUALLY VERY SUCCESSFUL
SYSTEM
THAT.
.
I I THINK.
.
IS WORKING WELL OKAY RIGHT TO
SPOTIFY WITHERED THIS NOW THAT'S
BECOMING GOING FROM A RESEARCH
THING TO NOW THIS IS WHAT WE'RE
ALL DEPENDING ON.
SO ALL RIGHT VERY GOOD OKAY
THANK YOU SO MUCH PRESENTATION.
AND THEN WE ALSO HAVE A
PRESENTATION ON VALLEY FEVER.
CENTER FULLER WELCOME.
RIGHT.
OR GET STRETCHED AS THE MEN THAT
HAD. IT WILL TAKE A ACTUALLY WE
WILL TAKE A STRETCH BREAK A
VICIOUS THE SECTIONS PARA.
I MISTER CHAIR MEMBERS THANK YOU
FOR THE OPPORTUNITY TO PRESENT
TIME GOING TO SKIP OVER ALL OF
THE. NORMAL THINGS I WOULD TELL
YOU BECAUSE YOU CAN ASK ME THOSE
QUESTIONS AND TRY TO GET TO THE
NITTY GRITTY. ó WE WOULD LIKE
TO REQUEST.
YOU TO INCLUDE THREE MILLION
DOLLARS IN THE STATE BUDGET FOR
RESEARCH GRANT AT THE DEPARTMENT
OF PUBLIC HEALTH.
TO FUND THE VALLEY FEVER
TREATMENT RESEARCH AND OUTREACH
AT THE VALLEY FEVER INSTITUTE AT
CURRENT MEDICAL CENTER.
AS YOU KNOW VALLEY FEVER IS A
FUNGAL INFECTION.
AND IT THE TAX THE RESPIRATORY
SYSTEM HAS NO CURE AND CAN
RESULT IN A PAINFUL LINGERING
DEATH I'M NOT GONNA GO THROUGH
THE REST OF HAS I KNOW YOU'RE
PRETTY WELL VERSED WITH IT.
.
TWO MEMBERS OF MY FAMILY HAVE
DIED AND ARE DYING FROM THIS
DISEASE SO. I AM I HAVE BECOME
INTIMATELY AWARE SINCE I STARTED
THIS SEARCH TEN YEARS AGO WHEN.
I JUST DID IT BECAUSE THERE WERE
SO MANY PEOPLE IN KERN COUNTY
AFFECTED BY IT AND THE
SURROUNDING COUNTIES THAT I
LIVED IN KINGS COUNTY IN OTHERS.
BUT IT BASICALLY CAN LEAD TO
GOES FROM FLU LIKE TO SWELLING
OF THE MEMBRANES ARUND THE
BRAIN OR SPINAL CORD. LEADING TO
MENINGITIS.
THE NUMBER OF REPORTED VALUE THE
CASES CNTINUES TO RISE AND ON
EVEN THOUGH IT IS HUGELY AND A
REPORTED.
THERE'S STILL MORE FIVE
THOUSAND OVER FIVE THOUSAND
CASES OF VALLEY FEVER ACROSS THE
STATE.
THE COUNTIES WITH THE HIGHEST
RATES OF INFECTION INCLUDE ST
LOUIS WHERE THE TWO OF MY
RELATIVES ACTUALLY CAME FROM.
MERCED 옹SNO
TULARE.
THE THING THAT WE'D LIKE TO ASK
FOR IS.
BUT THERE'S NO OTHER MEDICAL
FACILITY PRIMARILY DEDICATED TO
THE RESEARCH NO OTHER
SIGNIFICANT MEDICAL FACILITY
PRIMARILY DEDICATED TO RESEARCH
AND TREATMENT OF PATIENTS FOR
VALLEY FEVER.
AND WE WOULD HAVE ADDITIONAL
RESOURCES ALLOCATED TO THE KERN
MEDICAL CENTER WHICH WOULD ALLOW
THE INSTITUTE TO.
EXPAND AND RENOVATE THE CURRENT
CLINICAL SPACE TO TREAT THE
INFLOW PATIENTS FROM ALL OVER
CALIFORNIA.
DID DID YOU YAMAGATA HEADED UP
TO THE REST OF THE BENEFITS.
YEAH OKAY.
BRIEFLY I INCREASE AWARENESS
AND EDUCATE THE STATE WIDE
PUBLIC ABOUT VALLEY FEVER.
TO INCREASE THE AWARENESS AND
EDUCATE PHYSICIANS AND PROVIDERS
ABOUT HOW TO PROPERLY DIAGNOSE
AND TREAT VALLEY FEVER WHICH
WE'VE ALREADY STARTED TO DO SO
AND SEMINARS.
EXPAND RESEARCH EFFORTS
INCLUDING DIAGNOSTIC AND
EPIDEMIOLOGICAL STUDIES.
BUILDING A REPOSITORY AND
STORING WHITE BLOOD CELLS
SARAM AND TISSUE SPECIMENS FROM
INDIVIDUALS WITH VALLEY FEVER
WITH ALL LEVELS OF SEVERITY.
WHICH WOULD ALLOW NEW IDEAS TO
BE TESTED IN A RAPID FASHION.
AND SINCE THERE IS CURRENTLY NO
OTHER. REPOSITORY IN THE STATE
RESEARCHERS FROM THROUGHOUT THE
STATE WOULD BE ABLE TO ACCESS
THE LABORATORY.
FOR OVER SEVENTY YEARS KERN
MEDICALS HAS BEEN FOCUSSED ON
VALLEY FEVER RESEARCH AND
PATIENT TREATMENT RECENTLY IN
RECOGNITION OF THEIR EXPERTISE.
CURRENT MEDICAL WAS CHOSEN BY
THE NATIONAL INSTITUTE OF HEALTH
TO BE INCLUDED IN THE VALLEY
FEVER CLINICAL TRIALS AND HAVE
BEEN DOING THOSE.
SO EXPANDING THE INSTITUTE WILL
DECREASE THE BURDEN AND EXPENSE
OF THIS DISEASE.
HUB TO RESIDENTS OF THE STATE
AND SPENCER CENTRAL VALLEY. WITH
ME TODAY TOREAD A STATEMENT OF
SUPPORT ANSWER ANY TECHNICAL
QUESTIONS.
BUT YOU MIGHT HAVE IS THE CEO OF
THE KERN MEDICAL CENTER AND A
LEADER IN THE FIGHT AGAINST
VALLEY FEVER MISTER RUSSELL
JOHN.
THANK YOU WELCOME.
THANK YOU.
SHE IS ME SHE SAID MY NAME IS
RUSSELL JET I'M THE CHIEF
EXECUTIVE OFFICER KERN MEDICAL.
I KERN MEDICAL IS THE ONLY A
SAFETY NET AND ACADEMIC.
IN TERTIARY CENTER IN THE
SOUTHERN CENTRAL VALLEY.
THAT WE ARE AT THE EPICENTER OF
THE TREATMENT OF VALLEY FEVER AS
IT CONTINUES NOW TO EXPAND. A
MUCH FURTHER THAN JUST OF
TRADITIONAL BOUNDARIES OF THE
SOUTHERN CENTRAL VALLEY. OF THEM
TO SHARE ONE VERY BRIEF STORY OF
ACTUALLY.
ASHLEY WAS THREE MONTHS PREGNANT
AND DEVELOPED A VERY HIGH FEVER
ACT IN EXCESS OF A HUNDRED THREE
DEGREES. OUT FOR THREE MONTHS
SHE RECEIVED TREATMENT AT SOME
OF THE LOCAL PROVIDERS IN THE
COMMUNITY.
DIAGNOSED WITH THE UT I AND
THEN LIMON UNIT IN VARIOUS
INFECTIONS SENT HOME WITH
ANTIBIOTICS.
NO UNFORTUNATELY.
SHE HAD VALLEY FEVER THAT HAD
BEEN MISDIAGNOSED IT QUICKLY
DISSEMINATED TO THE BRAIN.
UPON HER PRESENTING AT KERN
MEDICAL WE HAD TO IMMEDIATELY.
AND DELIVER THE BABY A VERY
PREMATURELY TO SAY BOTH THE
MOTHER AND THE BABIES.
A LIFE.
A.
ACTUALLY I NOW BEGAN VERY
LIFELONG TREATMENT OF VALLEY
FEVER THAT HAS NOW I
DISSEMINATE.
I'M HAPPY TO REPORT THAT THE
BABY IN HER ARE DOING WELL. AYE
SHE SO FAR AS WE CAN DETERMINE
IN THE COUNTRY OF THE ONLY
INDIVIDUAL THOUGH WHO HAS HAD A
TO RECEIVE.
SHOT AND I TO DRAIN ALTHOUGH
THE SWELLING THAT COMES FROM THE
VALLEY FEVER AS A WELL AS A. A
INTRATHECAL TREATMENT.
THAT SHE RECEIVES ON A MONTHLY
BASIS WITH DIRECT INJECTIONS
INTO THE BRAIN.
ON THE BALLOT FEVER AT HAPPENS
AT THIS LEVEL A BECAUSE A LACK
OF AWARENESS IN THE PUBLIC. EYE
AS WELL AS THE PHYSICIANS IN
PROVIDER EDUCATION.
PATIENT CARE PREVENTION AND
RESEARCH OF THOSE ARE THE
ELEMENTS OF THE VALLEY FEVER
INSTITUTE.
WE ARE ASKING FOR THIS A ONE
TIME DONATION AS THIS IS THE
SEED MONEY I TELL ALLOW THIS
VALLEY FEVER INSTITUTE A TO GROW
THE SPECIFIC. USE WILL BE TO
EXPAND RESEARCH BY ESTABLISHING.
SARIN BANK OF THAT CURRENTLY
DOES NOT EXIST IN THE STATE OF
CALIFORNIA. OFFER RESEARCH.
I AM AS WELL AS TO BEGIN A
STATEWIDE A FOCUS ON EDUCATION
AYE AND.
PUBLIC AS WELL AS THE
PHYSICIANS WE.
DID WANT TO DEVELOP A
COMPREHENSIVE CURRICULUM FOR
PHYSICIANS ACROSS THE STATE
THAT WOULD BE SANTATHROUGH THE
PUBLIC HEALTH DEPARTMENT IN THE
STATE OUT TO CALIFORNIA PRIMARY
CARE ASSOCIATION AMERICAN
COLLEGE OF PHYSICIANS ANY OTHER
ORGANIZATIONS.
BUT WE WANT TO DEVELOP A PUBLIC
AWARENESS CAMPAIGN.
CLEARLY IN.
GREAT NORTH OF CALIFORNIA IT MAY
NOT BE ADEQUATELY USE BUT THOSE
AYE IN THE CENTRAL VALLEY IN THE
COASTAL AND IN LOS ANGELES.
AT THE INFORMATION AVAILABLE TO
THOSE PUBLIC HEALTH DEPARTMENTS
SO THEY CAN DISSEMINATE
INFORMATION ABOUT VALLEY FEVER.
BUT WE DO NEED SOME FUNDS TO
EXPAND OUR CURRENT CLINICAL
SPACE.
WE ARE RECEIVING A MULTIPLE
REFERRALS ARE CURRENT NEXT
AVAILABLE APPOINTMENT A IS
APPROXIMATELY THREE MONTHS OUT
OF FOR A NEWLYDIAGNOSED AT
VALLEY FEVER PATIENTS.
NOW AS WELL AS TO BEGIN THE
PROCESS OF STARTING AN
INFECTIOUS DISEASE FELLOWSHIP A
WITH AN EMPHASIS ON BALLOT FEVER
THERE ARE NO OTHER INFECTIOUS
DISEASE FELLOWSHIPS IN THE
COUNTRY. A FOCUSING ON VALLEY
FEVER SO I THINK YOU FOR YOUR.
HEARING AND I'M GLAD ANSWERING
QUESTIONS.
THANK YOU.
ANY COMMENTS FROM THE PUBLIC
HEALTH ON THIS REQUEST.
OKAY ILIO.
FINANCE
OKAY AS CENTER MONEY.
THANK YOU MISTER CHAIR.
I SPONSORED BY THINKING SENATOR
FULLER FOR YOUR LEADERSHIP IN
THIS AREA AND I'M.
SORRY IT'S
PROMPTED IN PART BY LOSSES IN
YOUR FAMILY. HOME AS YOU POINTED
OUT WHAT'S.
BEEN CENTRALIZED IN THE CENTRAL
VALLEY SOUTHERN CENTRAL VALLEY
IS.
APPEARING IN OTHER PARTS OF THE
STATE MY DISTRICT SAN LUIS
OBISPO COUNTY. ALSO MONTEREY
COUNTY WHICH I THINK WASN'T ON
YOUR LIST BUT.
I THINK ONE OF THE PROBLEMS WITH
THE SPREAD OF VALLEY FEVER IS
THAT MY THINK WAS POINTED OUT
THE NEED FOR EDUCATION NOT JUST
TO THE PUBLIC BUT OF THE MEDICAL
COMMUNITY. SOMETIMES A DIAGNOSIS
IS MISSED IF IF IT'S A
PHYSICIAN.
PHYSICIAN ASSISTANT OR NURSE
WHO'S ON. DOING AN INTAKE ON A
PATIENT AND THEY'RE NOT. IN.
KERN COUNTY UMP BUT THEY'RE IN.
SALINAS SIR SANTA CRUZ AND.
SOMEOF IT I THINK HISTORICALLY
SPEND.
THE TRANSIT OF WORK FORCE WHICH
I THINK IS STILL A FACTOR.
BUT NOW ALSO THE THE SOIL.
.
SOURCE OF OF. OF THE DISEASE SO
I KNOWING EASTERN SAN LUIS
OBISPO COUNTY THE CURRY SO
PLAIN.
IT WAS A HUGE ISSUE IN THE
INSTALLATION OF MASSIVE SOLAR
FIELDS.
EMPLOYED A LOT OF WORKERS BUT
THEY PART OF THE MITIGATION THAT
WAS REQUIRED OF.
OF THE BUILDERS WAS CONSTANT
WATERING DOWN OF THE SOIL
TESTING SOIL IT'S ATRASO.
I'M NOT REALLY A QUESTION JUST
ASSUME THAT EXPRESSION OF
APPRECIATION TO THE CENTERS FOR
YOUR LEADERSHIP AND. APPRECIATE
YOU BEING HERE TODAY AS WELL
FROM KERN COUNTY THINKING.
THANK YOU MISTER CHAIR OF THE AG
CENTER VOTE THANK YOU FOR
BRINGING THIS TO OUR ATTENTION
SARVA LOSSES YOU SUSTAIN YOUR
FAMILY.
UNDERSTANDABLE BUT
UNDERSTANDING OF THE ETIOLOGY OF
THE.
WHY THE CENTRAL VALLEY IS LOW IS
HER?
WISER MORE FUNGUS SPORES AND IN
THE SOIL THERE AND WE SEE IT NOW
EMANATING INTO OTHER AREAS.
HA.
YEAH I'M I'M NOT A PHYSICIAN HOW
MAY DO MY BEST TO HER HIM THIS
QUESTION IF MY UNDERSTANDING IS
I EXPLAINED IT BASICALLY WE GET
ENOUGH RAINFALL. FOR THE SPORTS
TO. GROW AND THEN THE RAIN FELL
STOPS.
EN SO IT'S THAT THE RAIN HAS A
LOT TO DO WITH IT THE AMOUNT THE
NEXT BIGGEST AREA I IN THE
COUNTRY COURSES IN SOUTHERN
ARIZONA. WHICH HAS THAT SIMILAR
AYE TYPOGRAPHY AYE THERE'S ALSO
I IN THE COMMUNITY IT'S YOU HAVE
TO MOVE THE DUST OF THE STORE
THE SPORTS GROW.
AND THEN.
ONCE SAID DESK IT KICKED UP.
THAT'S WHEN IT SPREADS WE HAVE
TO MOVE THE SPORTS ALL FARMING
OUR AGRICULTURE KICKS IT IN THE
AIR IN THE SPORT HAVE A LONG
LIFE SO THREE.
HE BREATHED IN THE SPORT
RECEIVED. A UNCERTAINLY AS I
AGREE WITH US CENTER BONDING
THAT OF THE APPROPRIATE ACTION.
CAN ALLEVIATE SOME OF THE
CENTRAL NERVOUS SYSTEM.
THE QUALITY OF THE DISEASE.
ARE YOU TALK ABOUT.
.
TREATING OF THE ADVANCED STAGES
OF VALLEY FEVER WITH.
AND RECYCLING SO I ASSUME THAT
FLUCONAZOLE THE USING OF AND
USING THAT TO AN END DRAWING
PUMP.
THE PLACEMENT OF US JUST KNOW
IT'S A SINGLE INJECTION THE
SHANTIES PLACED IN THE COMING
FOR TALKING ON A REGULAR BASIS
AND RECEIVE A DIRECT INJECTION.
OKAY.
YOU KNOW THE CA ACCOMPANIMENT
TRONIC MAKES A INDWELLING PUMP
THE DELIVERS INTO THE
CEREBROSPINAL FLUID HAVE BEEN
AWFULLY FOR USE BUT IT'S
SOMETHING THAT.
MY GUESS ACOSTA THE OTHER MANY
PATIENTS ARE RECEIVE THESE
INTRATHECAL INJECTIONS THINK WE
AVERAGE CARING AT ANY ONE TIME
ABOUT TWENTY FIVE.
TWENTY FIVE THOSE HAVE TO BE
GIVEN ONCE A MONTH ONCE EVERY
THREE MONTHS HENCE I I KNOW A
PATIENT TO RECEIVE IT THREE
TIMES A WEEK AND THEN AS THEY
CAN GET IT UNDER CONTROL IT.
AND AND DECREASES.
DOWN TO A COUPLE TIMES A YEAR.
BUT ONCE THEY STARTED AT THIS
POINT.
IT DO THEY HAVE TO CONTINUE.
THEIR MINIMAL TON ABLE TO STOP
THAT TREATMENT WITH THE SYSTEM
OF EUROPEAN DOES A SIGNIFICANTLY
REDUCED
HOLIDAYS.
WHAT ABOUT?
IT'S GREAT WHILE IT CONTINUED.
WHICH IT IS AN AREA OFF LABEL
USE UP WELL BUT IT WORKS SO.
VERY HAPPY DO OTHER SUPPORT VIA
THE RECOMMENDATION AND
APPRECIATE YOUR BRAIN FOR.
THANK YOU AND AND AGAIN I'D LIKE
TO I THINK YOU CENTER FULLER FOR
FOR BRINGS PROPOSAL FORWARD AND
AGAIN ALSO.
.
A SURVEY ABOUT HERE ABOUT THE.
THE FAMILY MEMBERS HAVE BEEN
AFFECTED BY THIS TERRIBLE
DISEASE.
AND. SO ONE OF THINGS THAT I
ACTUALLY I WANT TO.
I THINK THAT WE NEED TO SEIZE IT
I KNOW THE LEADERSHIP OF.
OF A CURRENT.
TURNED MEDICAL AND.
RESEARCH AND DOING THIS AND
THAT AND EIGHT RECOGNITION.
AND UNDERSTAND THIS IS A ONE
TIME REQUEST BEEN TERMS OF
BEYONCE'S STAIN THE TISSUE BANK
AND FUTURE YEARS GONNA BE
SUSTAINED BY THE MEDICAL CENTER
OR IS THIS SOMETHING I'M BECAUSE
I THINK THAT'S GONNA BE
EXTREMELY VALUABLE RESEARCH.
RESOURCE FOR FOR FURTHER
RESEARCH AND DEVELOP FEVER SO IN
TERMS OF THE TISSUE BANK ARE YOU
JUST LOOKING FOR A ONE TIME AND
THEN YOU'RE GONNA FIND YOURSELF
FOR HOW HOW. WHAT'S YOUR VISION
FOR THIS TISSUE BANKHAD THE ONE
TYPE THING IS TO GET OPERATIONAL
PURCHASE ALL THE EQUIPMENT.
USERS GET THE HOOD TO GET
EVERYTHING IN PLACE.
THE ON GOING MANAGEMENT OF IT
THAT BALLOTS UBER INSTITUTE IS
SUPPORTED BY THE KERN MEDICAL
FOUNDATION WHICH IS A
FUNDRAISING ARM. A WE ARE
SECURING OTHER FEDERAL GRANTS A
WE THINK THERE'S SOME OTHER
OPPORTUNITIES AFTER SOME
RESEARCH DOLLARS.
AS WELL AS ITS OPERATION WE
WILL BE SUSTAINED AS WE GENERATE
THE REVENUE FROM PATIENT CARE
AND TREATING VALLEY FEVER
PATIENTS THAT BECOME SHOULD
HOSPITAL AND AND ACTUALLY.
I SHOULD KNOW THE ANSWERS
QUESTION ABOUT THIS ASK SOME
ASSURE IT VALLEY FEVER IS THAT A
REPORT WILL.
OKAY. AND WHAT'S THE
COLLABORATION AND HAVE THERE
BEEN THIS GUY'S ABOUT
COLLABORATION WITH CTP H. FOR
EXAMPLE YOU KNOW HOW. WE GOT
ESSENTIAL ALTERNATIVE VALLEY
FEVER IF YOU RESERVE ALREADY ARE
MANY AYS BUT YOU KNOW CENTER
FOR CALIFORNIA. WHAT'S THE
COLLABORATION BETWEEN THEM THAT.
KERN MEDICAL IN CTP H. AND
AND NOW KERN COUNTY PUBLIC
HEALTH DEPARTMENT IN TERMS OF.
IT WE WE WANT MAKE THIS
AVAILABLE OF COURSE CERTAINLY I
KNOW THAT SOME THOUGH LEADING
RESEARCHERS WILL BE A KERN
MEDICAL ITSELF BUT AVAILABLE TO
OTHER.
JURORS IT CETERA AND ALL SOARED
PARTICLE THE CULT SO IT'S EVEN
DISCUSSIONS ABOUT HOW THAT
COLLABORATION A RELATIONSHIP'S
GOING TO WORK.
BUT WE'VE HAD MULTIPLE
DISCUSSIONS OF COURSE AT THE
LOCAL HEALTH DEPARTMENT THEY ARE
FULLY INTEGRATE IN THIS WE HAVE
NOT HAD BUT LOOK FORWARD. OKAY
AND WHITE DISCUSSIONS OKAY AND I
KNOW IT'S ARTS FROM PART OF THE
CULT'S COMMUNALISM TERMS OF THE
OPPORTUNITIES THAT MAY AVAIL
ITSELF WE'RE ABLE TO FUND THIS.
NUMBER. ONE THOUGHT IS THAT.
.
I THINK THE ISSUE OF AWARENESS
IS VERY IMPORTANT ON ONE OF THE
CHALLENGES THAT WE FACE WITH
VALLEY FEVER IS THAT WE DON'T
HAVE A LOT OF GREAT. CONTROL
STRATEGIES AND AND SO ONE OF THE
THINGS THAT WE'VE BEEN WORKING
ON I'M WITH OUR LOCAL PUBLIC
HEALTH PARTNERS IS TO TRY AND.
INCREASE AWARENESS BUT I DO
THINK THERE IS AN AWARENESS GAP.
THE TO IT BOTH WITH THE PUBLIC
IN TERMS OF HOW THEY CAN.
.
AVOID EXPOSURE TO VALLEY FEVER
AND WITH HEALTH CARE PROVIDERS
ABOUT HOW THEY CAN RECOGNIZE
VALLEY FEVER EARLY AND PROVIDE
AFFECT TREAT.
OKAY SOMEBODY'S ASSESS YOUR
QUESTION THEN.
DO YOU NEED ADDITIONAL
RESOURCES FOR THAT PERHAPS IN
COLLABORATION WITH THAT WOULD
THAT BE HELPFUL.
THE FORM OF PUBLIC HEALTH.
I MEAN DID.
BUT I THINK THIS IS AN AREA
THAT WITH WHAT WE HAVE
AVAILABLE.
OKAY YES SIMON OUR INTENTION IS
WE WE RECOGNIZE THAT YOU KNOW
THE GAP THAT'S OUT THERE BUT WE
ARE PLANNED YOU WITH THESE FUNDS
IS TO DEVELOP. THAT INFORMATION
A DEVELOP SOME.
POSITION AS WELL AS PATIENT
EDUCATION AND THEN USE THAT AS
THE CORE AS THE EXPERTS TODAY
AND. PASS IT AND DISTRIBUTE IT
IN TAKE EVERY AVENUE WE CAN'T
TODAY AND DISTRIBUTED THROUGHOUT
THE STATE SO I GUESS WHAT I
GUESS THEY'LL BE A LITTLE MORE
EXPLICIT AB. THINGS I'M THINKING
IS THAT
ISSUE YOU OF THE EXPERTS YOU CAN
DEVELOP SOME TRICK LA MAYBE SOME
MATERIALS.
AND AS WE'RE TRYING TO GET THE
WORD OUT TO PEOPLE ACROSS THE
STATE OF CALIFORNIA SO YOU COULD
TRY DO IT DIRECTLY BUT ALSO IN
PARTNERSHIP WITH THE FARM PUBLIC
HEALTH AND COUNTY HEALTH
OFFICERS.
MAYBE WE SHOULD PROVIDE SOME
ADDITIONAL FUNDING TO CDP H. TO
DISSEMINATE THE MATERIALS THAT
YOU'RE DEVELOPING IN THAT
THERE'S A CROWD THERE'S A
COLLABORATION IN
IN BOTH THE DEVELOPMENT.
AND THE DISTRIBUTION OF
TO REAL SO WE CAN BE SURE REACH
MORE FOLKS IS THAT SOMETHING
THAT.
DID YOU THINK YOU MIGHT BE
INTERESTED IN.
ABSOLUTELY FOR US.
THE D. H..
I KNOW YOU CAN'T SPEAK FOR THE
WHOLE DEPARTMENT TO NECESSARILY
BUT.
YOU KNOW WE OBVIOUSLY CAN ONLY
SAY THAT.
THERE ARE GAPS IN VALLEY FEVER
THE NEED TO BE ADDRESSED RIGHT
ABOUT ON ANY EFFORT OF WILL WILL
HELPING ALL ALONG.
AND YOUR SORT OF THE HOUSE
OFFICES THAT THEY HEALTH
OFFICERS ASSOCIATION WE HAVE
COMMENTS.
WELL I THINK YOUR PERSPECTIVE
AROUND TRYING TO BUILD UP
COMMUNICABLE.
CAPABILITY OF LOCAL HEALTH
DEPARTMENTS WILL HELP TO DEAL
WITH THE DISSEMINATION WE SEE
VALLEY FEVER. AND WE NEED TO.
.
COMMUNICATE WITH ARE OF
PHYSICIANS CLINICIANS NURSES
ETCETERA ON A LOCAL LEVEL AND A
FULL THE LOCAL HEALTH
DEPARTMENTS HAD THE RESOURCES TO
BE ABLE TO DO THAT. I THINK WE
WOULD BE ABLE TO MAKE A MORE
SIGNIFICANT IMPACT ON THIS OF
THE DISEASE.
AND JUST TRY TO FIGURE A WAY TO
ACTUALLY BETTER LEVERAGE SO WHAT
YOU WANT.
OH OKAY ALRIGHT WELL I HOPE
PERHAPS WE CAN HAVE SOME.
DISCUSSIONS ABOUT THAT
BECAUSE I THINK WAS WERE TRYING
TO MAKE THESE
S. MINTS AND I PREACHED
LEADERSHIP THAT.
THAT'S HAPPENING WE WANT TO BE
SURE WE MAKE THAT MAX ONLY
AVAILABLE TO THE WHOLE STATE AND
ALSO THE YOU KNOW THE PRODUCTS
OF YOUR. THE WORK THAT HOPEFULLY
YOU'LL BE ABLE TO ACHIEVE WITH
THIS KIND INVESTMENT TO THEN BE
ABLE THAT BEST DISSEMINATE THAT
THROUGHOUT. NOT JUST LEAVE THE
BURDEN SOLELY ON TURN MEDICAL
BUT THROUGH COLLABORATION GET IT
OUT TO. THE ROAD TO THE BROADER
COMMUNITY AND THAT'S AND AND AND
AND CALIFORNIA I BELIEVE SO.
ALRIGHT. OKAY.
SOUNDS GOOD ALRIGHT ANY OTHER
COMMENTS THAT NO ALRIGHT SO BOB
THANK YOU VERY MUCH YOU THEY'D
SUMMIT SERVILITY. ARE IT WILL
TAKE FOR EVERYONE FOR ALL THEIR
HELP WITH THIS.
BEEN A TEAM EFFORT VIDEO
EXCELLENT THANK YOU ALRIGHT
WE'LL TAKE PUBLIC COMMENTS ON
BOTH OF THE STAKEHOLDER
PROPOSALS AND THE OVERALL
OVERVIEW ON.
Z. THIS WELCOME.
IT AFTERNOON SHOW GIVEN IS WITH
THE COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA WE
REPRESENT LOCAL HEALTH
DEPARTMENTS THROUGHOUT OUR STATE
AND JUST WANTED TO EXPRESS OUR
APPRECIATION FOR THE OVERSIGHT
DISCUSSION THAT WAS HAPPENING
TODAY. I'M EIGHT ONE UNDERSCORE
SOME OF THE COMMENTS THAT YOU'VE
MENTIONED ALREADY AROUND KIND OF
THAT INFRASTRUCTURE THAT HOT
THAT WE HAVE AT THE LOCAL HEALTH
DEPARTMENT LEVEL. TO REALLY
RESPOND TO SOME OF THESE
EMERGING ISSUES THAT CONTINUE TO
HAPPEN AND I THINK ONE OF THE
THINGS THAT ARE MEMBERS STRUGGLE
WITH IS IS.
TESTING OUT WHAT THAT CAPACITY
IS AND I THINK THE ONLY WAY THAT
IT HAPPENS IS WHEN THE NEXT BIG
ISSUE ARISES. AND SO WE REALLY
WANT TO BE CONSCIOUS AND HOW
THAT CONVERSATION AHEAD OF TIME
ABOUT WHAT IS AN APPROPRIATE
LEVEL OF FUNDING I THINK YOU'VE
HIT THE NAIL ON THE HEAD WHEN
YOU TALK TO A LITTLE BIT ABOUT
SOME OF THE POLICY CHANGES THAT
HAVE HAPPENED OVER THE COURSE.
OF THE PAST COUPLE YEARS THAT'S
KIND OF RELEASED STABILIZE OUR
FUNDING IN THE ABILITY TO GROW
AT HAS KIND OF THE NEEDED FOR A
NUMBER OF YEARS. IN ADDITION TO
KIND OF THE DECLINE IN GENERAL
FUND INVESTMENTS PUBLIC HEALTH
AND SO ALL OF THOSE FACTORS
CONSIDERED IN THE CHANGING%
FEDERAL LANDSCAPE AT ALL TIMES.
REALLY DOES IMPACT WHAT OUR
OPERATIONS COULD LOOK LIKE SO WE
JUST APPRECIATE THE CONTINUED
CONVERSATION ON THE OTHER PIECE
THAT I WOULD TALK ABOUT THAT'S.
A LITTLE OUTSIDE OF THE BUDGET
ISSUE BUT I WOULD JUST MENTION
THAT YOU KNOW I THINK. IN
GENERAL PUBLIC HEALTH IS THIS
INVISIBLE THING THAT KEEPS KIND
OF THE COMMUNITY HEALTHY AND
SAFE AND STRONG AND SO WE'VE
SEEN SOME POLICY CHANGES ARE
ABOUT POLICY PROPOSALS I WOULD
SAY THAT WHAT KIND OF A ROAD
THAT INFRASTRUCTURE A BIT. AND
SO WE JUST WANT IT TO REMIND
FOLKS THAT YOU KNOW THERE'S
THERE'S POLICIES IN PLACE AND
THAT THE FISCAL HAS TO REALLY
STAND BEHIND THE LOCAL HEALTH
DEPARTMENTS TO MAKE SURE THAT WE
CAN CONTINUE TO OPERATE SO THANK
YOU.
OKAY SING NO THE PUBLIC COME
AGAIN THANK EVERYONE FOR YOUR
WRITER PRESENTATION YOUR WORK
AND.
WE LOOK FORWARD TO. EFFORT
CONVERSATIONS. THANK YOU SO
ACTUALLY A DECISION FORMALLY SAY
WE'RE GOING TO HOLD THE.
TO.
SICKLE REQUESTS THAT OPEN AND
ADDITION.
AND.
IT'S.
DISCUSSION WE HAVE BACK
HEALTH THEY ALSO.
BECAUSE.
PROPOSAL OPEN AS WELL.
ALRIGHT.
SO WE'RE GONNA GO AHEAD AND TAKE
A TWO MINUTE STRETCH AND THEN WE
ACTUALLY HAVE SEVERAL
STAKEHOLDER PROPOSALS ARE
COMING.
I'D ASK FOR EACH STAKEHOLDER
POSING KEEP YOUR PRESENTATION
THREE MINUTES TOTAL.
AND WE HAVE HEARD THAT DETAILED
PRESENT.
TESTIMONY ON THAT TO OVERALL
PROGRAM SELLING REALIZE HE'S
INVESTMENTS AND.
THAT THAT ARGUMENT MANY OF
THESE THINGS AND THEN.
AND THAT OF COURSE WILL TAKE
PUBLIC COMMENT SO I THINK YOU.
TWO MINUTES
OKAY IF THEY COULDN'T GO AHEAD
GET STARTED AGAIN.
ALRIGHT SO.
WISTOW DEPARTMENT DEVELOPMENTAL
SERVICES TO WE HAVE FOR
STAKEHOLDER PROPOSALS.
SO WE START WITH THE
RESTORATION OF SOCIAL RECREATION
A CAMP SERVICES AND I THINK WE
HAVE SHIRLEY LIU.
APPARENTLY UNTIL LATER.
AND OF THE RECTOR OF CAMPING THE
ARC OF SAN DIEGO AND ANY
WESTLING IS A YOU DIRECTOR OF
SUCH A REGIONAL CENTER AGENCIES
YOU HAVE A TOTAL OF THREE MINUTE
SO THERE'S THREE OF USE SO THAT
MEANS A MINUTE OF PEACE IF THE
FIRST PERSON RUNS ON.
THE OTHER PEOPLE WON'T HAVE TIME
SO.
WE HAVE SO APPRECIATE YOU BEING
HERE.
ACTUALLY.
THEN WE HAVE OUR FINANCE OLEO
FOLKS HERE SO I SEE NOT BE ABLE
DO QUICK INTRO ON THE FLY SO I
GUESS YOU COMING DE ACESSO ELLIE
ó YOU INTRODUCE YOURSELVES
FIRST HEPATIC ELIO.
MARK NEWTON OIL. FINANCE.
JACOB I'M DEPARTMENT FINANCE
OKAY SO WHAT YOU INTRODUCE
YOURSELVES DON'T COUNT THAT
AGAINST YOUR TIME BUT THEN THE
THREE MINUTE CERTAINLY START
YOUR TESTIMONY SO YOU INTRODUCE
YOURSELVES REAL QUICK.
THANK YOU.
RCK ROLLINS HERE ON BEHALF OF
THE ASSOCIATION REGIONAL CENTER
AGENCIES I'M HERE IN LIEU OF FUN
AB WEST PLANO. NIGHT RIGHT HERE
OF ARE KEPT A HOLD ON IT GETS
NEXT.
LYNN TAYLOR THE ARC OF SAN DIEGO
DIRECTOR OF CAMPING IT WELCOME
MISTER JORDAN'S EXECUTIVE
DIRECTOR OF THE ARCTIC
CALIFORNIA VERY POOR SUBSTITUTE
FOR. SHIRLEY LIU GREAT MOTHER
AND BITCHY TO TAKE HER DAUGHTER
TO AN APPOINTMENT.
SKIMMER TESTIMONY OCCUPIED
SUMMING UP IN ABOUT TWENTY
SECONDS IF OKAY WELL WILL YOU
GUYS FEEL WHICH ORDER YOU WANT
TO GO INTO SAGA VERY QUICK AND
THEN A WE CAN JUMPED ON THE
LINE.
I SURELY LOU AND HER DAUGHTER IT
HERE IN SACRAMENTO IN THE U..
I TO WALK WITH
STERN THERAPY
AND HER DAUGHTER HAS.
REALLY SEEN SOME GREAT STRIDES
USING THAT THERAPY STRENGTH OF
THE COR.
SOCIALIZATION EXCITER HOWEVER
IN TWO THOUSAND NINE WHEN SOCIAL
RECREATION WAS NO LONGER FUNDED
BY REGIONAL CENTERS.
SHE IN A LOT OF OTHER PARENTS
BECAME MUCH MORE DIFFICULT.
MANY PARENTS WERE NOT ABLE TO
AFFORD EVEN IF THEY COULD AFFORD
LAWS PROGRAM SHUT DOWN BECAUSE
THEY WERE NO LONGER REGIONAL
CENTER FUNDED.
AND.
AND THAT'S GREAT MOTHER WOULD
JUST ASK THAT YOU PLEASE RESTORE
SOCIAL RECREATION UP FOR HER
DAUGHTER AND MANY OTHER.
CHILDREN LIKE HER DAUGHTER.
THANK YOU.
OF FOR CAMPING SERVICES AGAIN BE
IMPACTS TO OUR PROGRAMS.
SEVERAL HAVE SHUT SHUT DOWN
ALREADY WE ARE STILL UP AND
RUNNING CAMP LAWTON CAPITAL.
BEFORE TWO THOUSAND TEN WE WERE
SERVING TWO HUNDRED FIFTY.
THE PEOPLE OF SUMMER.
.
SIXTY PERCENT OF THOSE
INDIVIDUALS WERE FUNDED THROUGH
REGIONAL CENTER WE'RE NOW DOWN
TO TWO SESSIONS FIVE DAYS EACH
AND WE SERVE MAYBE A HUNDRED
PEOPLE.
BUT NONE OF THEM WERE FUNDED TO
REGIONAL CENTER.
RESTORATION OF CAMPING SERVICES.
WOULD ALLOW NOT ONLY FOR THE
PEOPLE USING OUR SERVICES TO
HAVE ABREAK IN A VACATION IN A
PLACE THAT WILL SUPPORT THEM.
AND THEIR NEEDS
BUT ALSO GIVE THE FAMILIES A
BREAK FROM THE SEVEN TWENTY
FOUR.
YOU KNOW THAT THEY NEED TO IN
ORDER TO PROVIDE THE CARE FOR
THEIR CHILDREN.
IT RESTORATION OF SERVICES
WOULD ALSO ALLOW US TO TAKE THE
FUNDS THAT WERE NOW USING FOR.
.
SCHOLARSHIPS AND APPLY THOSE TO
PEOPLE THAT DON'T AND AREN'T
ELIGIBLE FOR REGIONAL CENTER
FUNDING.
AND THEN ALSO IT WOULD ALLOW
THE FOLKS THAT ONCE THE CUTS
WERE MADE. COULD NOT AFFORD TO
GO TO CAMP IT WOULD BRING THEM
BACK TO CAMPING AND CAMPING
CHANGES LIVES.
MISTER CHAIR ARMS I KNOW YOU'RE
FAMILIAR WITH THIS ISSUE LAST
YEAR UNDER A SUBCOMMITTEE
APPROVED HER. ACTION TO RESTORE
HOW THE RESPITE.
THE IN AND THE REST TO CAPITA
REMOVAL.
WE'RE BACK THIS YEAR'S NUMBER
ONE PRIORITY AT OUR CA TO.
STORE.
CAMP AND SOCIAL RACK WE FIND
THAT FAMILIES. ARE ASKING ALL
THE TIME FOR THE SERVICES
IT'S
POURTANT
FAMILIES FAMILY SERVICE A WE
HAVE A WEBSITE AND I WON'T GO
INTO ALL THE STORIES THAT WE
HAVE HAVE DOZENS ON OUR WEBSITE
TO RESTORE. MY SERVICES DOT NET
OVER YOU CAN SEE HOW MANY OF THE
PERSONAL STORIES OF OUR CLIENTS
TO. A REALLY A SUPPORT THIS SON
THIS EFFORT TOM SUGGESTS THAT
THIS WAS A DEEP CUT THAT WAS
MADE DURING THE GREAT.
RECESSION HAND IT'S TIME FOR US
TO RESTORE HOA LISA IMPORTANT
PROGRAMS.
THANK YOU.
I THINK YOU COMES FROM BELIAU.
FINANCE NOW ALRIGHT QUESTIONS
COMMITTEE MEMBERS. ALRIGHT THANK
YOU.
WILL TAKE PUBLIC COMMENT TO
FINISH ALL FOR STAKEHOLDER
PROPOSALS RELATED.
SERVICES.
.
SO NEXT ISSUES THE BRIDGE
FUNDING FOR SERVICE PROVIDERS.
I THINK WE HAVE STEVE MILLER
SUSAN COMMISSIONER LA COUNTY
COMMISSION ON DISABILITIES.
WELCOME.
AND THANKS SO MUCH REPRESENTING.
WELCOME DEPUTY CHAIRMAN PANTS
CENTER MONEY STAFF.
BUT MY NAME IS STEVE MILLER OF
RECENTLY RETIRED FROM FORTY
YEARS IN SERVICE TO CALIFORNIANS
WITH DEVELOPMENTAL DISABILITIES.
I'M I HAVE TO SAY THAT NEARLY
ALL OF THOSE YEARS I'VE BEEN
DIRECTLY INVOLVED IN THE
STRUGGLE TO BUILD. AND DEPLOY A
COMMUNITY WORKFORCE TO SERVE
PEOPLE.
AND I'M.
I'M I'M HERE BECAUSE SENATORS
BUSTER ASKED ME TO TESTIFY IN
SUPPORT OF HIS BRIDGE FUNDING
REQUEST.
SO. EVERY TIME YOU SAID BY I
NOTICE YOU ENCOURAGING PEOPLE TO
SPEED UP. I CUT ANOTHER
PARAGRAPH OUT OF MY WRITTEN
THING SO I'VE. I WILL REALLY
DEAL WITH THAT.
BECAUSE IT'S OBVIOUS TO YOU
THAT TIME THERE'S A COLLISION OF
ECONOMIC FACTORS IN CALIFORNIA
RIGHT NOW.
I'M WE HAVE SOME OF THE HIGHEST
COST OF LIVING REGION'S IN THE
NATION.
AND CALIFORNIA HAS A CURRENT
UNEMPLOYMENT RATE OF FOUR POINT
THREE PERCENT WHICH IS ACTUALLY
LOWER THAN WHAT THE FED
CONSIDERS FULL EMPLOYMENT.
SO IN THE HIGH COST OF LIVING
REGION'S IN CALIFORNIA.
THERE IS AN ENORMOUS COMPETITION
FOR EMPLOYEES
EVERY AYE EMPLOYER PRIVATE
SECTOR PUBLIC SECTOR AND
NONPROFIT SECTOR. ARE COMPETING
IN THIS HYPER DOT PRESSURE
CHAMBER OF.
SUPPLY AND DEMAND.
COMPOUNDED BY THESE HIGH COST
OF LIVING PRESSURES.
IT A COURSE PEOPLE WITH
DEVELOPMENTAL DISABILITIES LIVE
EVERYWHERE IN THE STATE OF
CALIFORNIA INCLUDING AND.
SAN JOSE ARE THE BAY AREA OF
ORANGE ORANGE COUNTY SAN DIEGO
AND SARTRE.
IN ORDER FOR SERVICES TO BE
AVAILABLE TO PEOPLE LIVING IN
CALIFORNIA'S POPULATION CENTERS
THERE SIMPLY MUST BE PERSONNEL
TO DELIVER THOSE DIRECT
SERVICES.
ORGANIZATION SERVING PEOPLE WITH
DEVELOPMENTAL DISABILITIES ARE
IN DIRECT COMPETITION WITH
WALMART'S IN THE MCDONALD'S
WHICH ARE NOW OFFERING HIGHER
WAGES AND BETTER BENEFITS THAN
UP IN LOCAL ORGANIZATIONS ARE
ABLE TO PAY.
AND SO WE'RE NOT REALLY IN
COMPETITION WHERE IN FACT
LOSING.
.
BOB WE WORKED WITH A
ASSEMBLYMEMBER HOLDEN'S STAFF TO
DEVELOP A LITTLE BIT OF A SURVEY
STATEWIDE TO DETERMINE WHAT THE
IMPACTS WERE. AND WE HAVE FOUND%
TURN OVER THIRTY FIFTY PERCENT
WE FOUND A NUMBER OF PROGRAMS
CLOSING.
I PROVIDED THE STATE A TO STAFF
A AND AND OUT.
PEACE OUT I WON'T GO INTO THE
DETAIL THAT.
BUT WHAT WE FOUND AS PROGRAMS
ARE CLOSING BECAUSE THEY CAN'T
GET THE STAFF BUT MORE IMPORTANT
THAN THE ONCE THEY'RE CLOSING.
ARE THE CONCERNS THAT BUT THE.
AGENCIES THAT REMAIN OPEN ARE
SHARING ABOUT THE COMPROMISES
THEY'RE FORCED TO MAKE IN ORDER
TO KEEP THEIR DOORS OPEN AND
SERVE PEOPLE.
WE NOW HAVE.
SOME OF THE MOST VULNERABLE.
PEOPLE LIVING IN CALIFORNIA.
BEING SERVED BY GOOD PEOPLE WITH
GOOD HEARTS BUT PEOPLE THAT
CLEARLY BLACK THE WORK
EXPERIENCE AND QUALIFICATIONS TO
PROVIDE EFFECTIVE SERVICES FOR
VERY VULNERABLE PEOPLE.
AND EVEN WHEN WE COMPETE IN THE
BOTTOM END OF THE LABOR MARKETS.
WE CAN'T HIRE ENOUGH PEOPLE TO
MEET THE CORE STAFFING
REQUIREMENTS
SO WE FIND SUPERVISORS AND
PROGRAM MANAGERS RACING AROUND
COVERING FOR VACANCIES.
AND TRYING TO DO IT.
IN A NUTSHELL IS CALPERS
CALIFORNIA DOESN'T HAVE A WORK
FORCE TO SERVER OUR MOST FROM
POOR PEOPLE. TEND THE LANHAM ACT
IS A HOLLOW PROMISE WE HAVE TO
HAVE A HUMAN WORKFORCE TO SERVE
PEOPLE THANK YOU VERY MUCH.
THANK YOU A COMES FROM MILLION.
I WE WOULD JUST NOTE THAT WE
HAVE BEEN ASKED BY
ASSEMBLYMEMBER HOLDEN'S OFFICE
TO PROVIDE TECHNICAL ASSISTANCE.
ON TRAILER BILL LANGUAGE SO IF
THE LEGISLATURE AND GOVERNOR
WERE TO PROVE THIS PROPOSAL
THAT.
IT COULD BE IMPLEMENTED
EFFECTIVELY AND EFFICIENTLY.
OKAY THANK YOU FINANCE.
WE'VE BEEN WORKING WITH THE
AUTHORS OFFICE AND THE LA A ON
THE TECHNICAL ASSISTANCE WE JUST
LIKE TO NOTE THAT DEPENDING ON
THE MANNER IN WHICH THIS
PROPOSALS IMPLEMENTED WE MAY
HAVE TO SEEK A WAIVER AMENDMENT
AMENDMENT TO RECEIVE. FEDERAL
MATCHING FUNDS. WOULD ALSO LIKE
TO NOTE THAT THE LATEST PROPOSAL
WE SAW IS REQUESTING PLAY FIVE
MILLION GENERAL FUND IN EIGHTEEN
NINETEEN AN ADDITIONAL TWENTY
FIVE MILLION GENERAL FUND. IN
NINETEEN TWENTY.
BUT I WOULD ALSO JUST REQUEST
THAT IN CONSIDERING THIS
PROPOSAL DEPARTMENT
ADMINISTRATIVE RESOURCE NEEDS
ARE CONSIDERED. THANK YOU
OKAY.
BUDGET COMMITTEE MEMBERS.
YEAH ACTUALLY WHO ARE AND WHAT
IS THE MAYES FINANCE WHAT'S THIS
STATUS OF THE RATE SURVEY.
YOU KNOW.
I THINK WE ALL HAVE SOME
THOUGHTS ABOUT THAT YEAH.
BUT ALL OF THE SURVEY IS
CURRENTLY BEING DEVELOPED BY THE
CONSULTANTS HIRED BY THE
DEPARTMENT. OF. THE SURVEY
SUPPOSED TO BE RELEASED MARCH
TWENTY NINETEEN.
NOT AT THIS TIME I DON'T HAVE
ANY FURTHER UPDATES I CAN
PROVIDE AND I WOULD DEFER TO.
THE DEPARTMENT FOR ANY MORE
TECHNICAL QUESTIONS YOU MAY
HAVE.
OKAY.
SO.
.
ALRIGHT.
MAY I JUST ADD YES I THINK THE
COMMUNITY THAT NOT NLY WELCOMES
BUT BUT EARNESTLY IS WAITING FOR
THIS PURPOSE WE WE DON'T WANT
THERE IS NO. POSSIBLE.
UNIVERSE IN WHICH BARE MINIMUM
WAGE.
LEVELS WOULD NOT BE AT WEEK MET
IF NOT EXCEEDED IN WHATEVER THE
NEW RATE SETTING METHODOLOGY IS
CURRENTLY WERE UPSIDE DOWN.
EVEN COMPETING AT MINIMUM WAGE
SO WE WE WERE SURE THAT THESE
THREE WILL DOVETAIL ONCE
PROPOSALS ARE NOT ONLY PUT
SUBMITTED. BUT APPROVED AND
SIGNED INTO LAW WERE ALL LOOKING
FORWARD TO THAT.
OKAY IS THAT THE TERMS OF THE
THE REQUEST IS FOR TWO YEARS
TWENTY FIVE MILLION OR YES
ALRIGHT BECAUSE ONE OF THE RATE
SURVEY FOR.
IS THE EIGHTEEN NINETEEN BUDGET
IS PRESUMABLY YOU'D HAVE THE
RATE SURVEY TO HELP INFORM ANY
DECISIONS MADE FOR THE ARE
NINETY ONE POINT LEGIT.
RIGHT OKAY WHICH WE HOPED WOULD
ACTUALLY PROBABLY SHOW THEY NEED
MORE RIGHT.
I DON'T KNOW YET BECAUSE THERE
IS A DOUBLE THE NIGHT ISN'T
ANTICIPATE RIGHT NOW MY THIRD.
I GO AROUND WITH A STATE
DEVELOPING. PERPETRATE REFERRED
LA MODELS SO WE'RE SURE THIS ONE
WILL BEAR FRUIT BUT WE'RE NOT
CONFIDENT THAT NEW RATES WILL BE
IN EFFECT BY.
JULY ONE OF TWENTY NINETEEN
THAT'S WHY WE. ASK FOR THE
SECOND YEAR.
OKAY ALRIGHT OKAY.
RIGHT THANK YOU IMAGE ALRIGHT
THANK YOU VERY MUCH FOR YOUR
TIME THANK YOU.
OKAY NEXT ISSUES EMIGRATE TO ME
LIVING FUND.
WE HAVE JORDAN LINDSAY FROM THE
ARK. CALIFORNIA WELCOME BACK.
THANK YOU MISTER CHAIR. CENTER
MINING STAFF.
.
THAT JORDAN'S EXECUTIVE DIRECTOR
OF THE UC CALIFORNIA AS WELL
SPEAKING AS A CHAIR OF THE
LAMBING COALITION TODAY. AND
WHEN WE CONVENE THE WHOLE%
COALITION THE SUMMERTIME OR
DECIDE WHAT IS REALLY GOING TO
BE OUR PRIORITY THIS COMING
YEAR.
WE DECIDED WHOM THAT THE
CLOSURE OF THE DEVELOPMENTAL
CENTERS PROVIDES A VERY TIMELY
OPPORTUNITY FOR THE STATE OF
CALIFORNIA ONE THAT WE CAN.
AMISS AND.
WITH THE CLOSURE OF THE
DEVELOPMENT CENTERS DOLLARS IN
ASSETS USED TODAY TO SUPPORT
PEOPLE WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES IN
THE DC SHOULD BE USED TOMORROW.
SUPPORT PEOPLE WITH ID DE IN THE
COMMUNITY FOR MORE THAN TWO
HUNDRED YEARS COMBINED THESE
ASSETS HAVE BEEN PART OF THE DD
SYSTEM AND REVENUES AT THE STATE
WILL RECEIVE FROM THESE ASSETS.
SHOULDN'T JUST BE LOST TO THE
GENERAL FUND.
ADDITIONALLY THE COALITION
IDENTIFIED ANOTHER PRIORITY
WHICH IS THE DIRE IN CRITICAL
NEED FOR AFFORDABLE HOUSING FOR
PEOPLE WITH IDT THROUGHOUT THE
STATE WHO WERE AS A RESULT OF
EXTRAORDINARILY HIGH INCIDENCE
OF DISCRIMINATION LACK OF
ACCESSIBILITY AND LACK OF
AFFORDABILITY. HAVE BEEN NEARLY
IMPOSSIBLE CHANCE OF FINDING A
PLACE TO LIVE WITH AN INCOME
CONSISTING SOLELY OF US ASINUS
SP. WHICH IS THE VAST MAJORITY
OF OUR COMMUNITY.
AND EXCEPT IN RARE CASES
REGIONAL CENTERS AREN'T
AUTHORIZED TO PAY FOR COMMUNITY
HOUSING.
SO OUR SOLUTION IS SIMPLE.
TO USE REVENUES IF WHEN THE
REVENUES ARE RECEIVED BY THE
STATE AS A RESULT OF THE LEASE
OR SALE. OF THE PROPERTIES.
TO CONTINUE TO FUND AFFORDABLE
HOUSING IN THE COMMUNITY.
WE PROPOSED TO FUND THE
DEVELOPMENT OF A NEW INTEGRATED.
TO FUND THE DEVELOPMENT OF NEW
INTEGRATED HOUSING UNITS
THROUGHOUT THE CITY
BY THE CREATION OF A FUND THE
DDS IN MANAGED THROUGH AN INTER
AGENCY AGREEMENT WITH THE
HOUSING DEPARTMENT HOUSING AND
COMMUNITY DEVELOPMENT.
EIGHT CITY WOULD ADMINISTER THE
FUND THE SAME WEIGHT AS MANY
OTHER FUNDS BY SEEKING PROPOALS
FROM DEVELOPERS IN NONPROFIT A
HOUSING ORGANIZATIONS. TO CREATE
NEW UNITS THAT ARE SET ASIDE
SPECIFICALLY FOR REGIONAL CENTER
CLIENTS.
AT ARE ALSO MEANS THAT WOULD
LEVERAGE ADDITIONAL UNITS NOT
JUST FOR JUST OUR CLIENTS THAT A
BUTTON BUILT IN THE SAME.
PROJECTS
A PORTION OF THE MONIES IN THIS
FUN BUT ALSO BE MADE AVAILABLE
FOR RENTAL SUBSIDIES MAKING IT
POSSIBLE FOR PEOPLE WITH
INTELLECTUAL DEMANDS ASSEMBLY.
SAFE
STABLE INTEGRATED COMMUNITY
HOUSING AT AN AFFORDABLE PRICE
BASED ON SSI ASSIST BE INCOME.
USING THE REVENUES FROM THE
DISPUTED DISPOSITION OF THE
PROPERTIES TO CREATE UNIT NEW
UNITS WILL HELP THE CRISIS.
BUT WE WANT TO KNOW THAT THE
REALITY IS THAT. WE ARE STILL A
FEW YEARS AWAY WE WOULD STILL BE
A FEW YEARS AWAY IF THIS IS
PROOF FROM HIM UNITS COMING
ONLINE DUE TO BRISTOL A YEARS.
AWAY FROM THE SEIZE BEEN SHUT
DOWN AND THEN THE FUNDS COMING
IN AND THEN THE UNIONS BEING
DEVELOPED.
BUT AS WE KNOW THROUGHOUT THE
STATE THE AFFORDABLE HOUSING
CRISIS IS IS IMMEDIATE AND NOW.
SO WE ALSO URGE THE LEGISLATURE
TO CONSIDER IN IMMEDIATE ONE
TIME APPROPRIATION TO JUMP START
THIS HOUSING FUND.
CALIFORNIA IS NOT UNIQUE IN THIS
SITUATION MANY OTHER STATES HAVE
ALSO HAD TO DEAL WITH THE
QUESTION OF WHAT TO DO WITH
THESE LARGE AND IN LARGE
INSTITUTIONS ONCE THEY'VE BEEN
SHUT DOWN WHAT TO DO WITH THE
PROPERTIES THEMSELVES. AND OTHER
STATES HAVE CHOSEN TO DO TO DO
EXACTLY WHAT WE'RE PROPOSING TO
DO TODAY.
IN CLOSING I'D LIKE TO ADD A
COUPLE COMMENTS WE NOTE.
CURRENTLY THERE ARE PROPOSAL
DOES NOT INCLUDE CINEMA
DEVELOPMENTAL CENTER AS WE ARE
WORKING WITH SENATOR ACQUIRES
OFFICE TO ADDRESS CONCERNS BUT
WE'RE CONFIDENT. AND OPTIMISTIC
THAT WE'LL BE ABLE TO ADDRESS
THOSE CONCERNS SOON.
AND WHAT THIS PROPOSAL IS NOT.
IT'S NOT THE PROPOSAL JUST FOR
THE RESIDENTS OUT OF
DEVELOPMENTAL CENTERS THIS IS A
PROPOSAL THAT WE AIM TO BENEFIT
A. NUMBER JUST OUR CLIENTS
THROUGHOUT THE STATE AND ALSO
IT'S NOT A PROPOSAL TO JUST
BUILD.
I KNEW UNITS ON THE PROPERTIES
THEMSELVES INCIDENT WOULD BE
THROUGHOUT.
ANY SUPPORTS THIS ONCE
AND THEN IT'S GONE OPPORTUNITY
CALIFORNIANS WITH INTELLECTUAL
AND DEVELOPMENTAL DISABILITIES.
THANK YOU THANK YOU COME IT'S
MILLION.
YES WE.
WHICH WE DO NOT WANNA COMMENT
TODAY ON THE MERITS OF THE
PROPOSAL WE'RE STILL REVIEWING.
THIS PROPOSAL FROM THE LANTERN
IN COALITION.
WE WOULD NOTE HOWEVER THAT THIS
DOES EUROPE REPRESENT A
SIGNIFICANT POLICY SHIFT IN HOW
THE STATE AND THE DEPARTMENT OF
DEVELOPMENTAL SERVICES HANDLES
HOUSING.
FOR DTS CONSUMERS.
AND BECAUSE OF THAT WE WOULD
RECOMMEND THAT.
THIS PROPOSAL GOES THROUGH FULL
DELIBERATION IN THE POLICY
PROCESS THROUGH THE POLICY
COMMITTEE.
SO THAT THERE'S MORE TIME TO TO
DISCUSS IT AND. MARK COMPREHEND
COMPREHENSIVELY.
THANK YOU FINANCE.
WE'VE BEEN WORKING WITH THE
COALITION TO PROVIDE SOME
TECHNICAL ASSISTANCE ON THIS
PROPOSAL WE JUST LIKE TO NOTE
THAT YOU WRITE NECESSARILY NEED
TO SET UP A SPECIAL FUND FOR
THIS ONE TIME APPROPRIATION IT
COULD BE THE GENERAL FUND
APPROPRIATION.
BUT ALSO AGAIN ASKED THAT ANY
CONSIDERATION OF THIS PROPOSAL
ALSO INCLUDE A CONSIDERATION OF.
DIFFERENT ENVELOP MENTAL CENTERS
HEADQUARTERS ADMINISTRATIVE
COSTS.
THANK YOU.
QUESTION COMMITTEE MEMBERS KNOW
ALRIGHT. OKAY THANK YOU SO MUCH
FOR YOUR PRESENTATION.
YOU OKAY AND.
FINALLY HAVE THE. BEST BUDDIES
SO WE HAVE CAITLIN QUINN TERO
AREA DIRECTOR KNOW THE
CALIFORNIA BEST BUDDIES AND SHE
AND.
G. YA KNOW. PUT TOGETHER STATE
PRONOUNCED PRIVATE GOT THAT
WRONG.
BESTER FOR BEST BUDDIES
.
THEY HAVE A PEOPLE WE TESTIFY
NICE IF YOU PEOPLE.
TWO TWO OKAY AND BETWEEN THE TWO
OF YOU THREE MINUTES SO KEEP
THAT IN MIND. RIGHT.
I THINK MISTER SHIRLEY BRIEFLY
MAYBE LAY OUT WITH CLIMATE
VISORS ON BEHALF OF BEST BUDDIES
GOING TO DEFERRED INVEST MY TIME
TO CAITLYN INTO JI ON HERE TO
ANSWER QUESTIONS.
OKAY.
I'M AN AREA DIRECTOR FOR BEST
BUDDIES WE ARE A FIVE ONE C.
THREE NONPROFIT AND OUR MISSION
IS TO. PROVIDE ONE TO ONE
FRIENDSHIPS AND AGREED
EMPLOYMENT AND LEADERSHIP
DEVELOPMENT FOR PEOPLE WITH
INTELLECTUAL AND DEVELOPMENTAL
DISABILITIES.
OUR PARTNERSHIP WITH THE STATE
HELPS BEST BUDDIES LIVER THIS
UNIQUE MIX OF SERVICES TO SEVEN
THOUSAND AND FORTY ONE
CALIFORNIANS.
BE HAVE A HUNDRED AND THIRTY
SEVEN BEST BUDDIES CHAPTERS IN
COLLEGES AN ELEMENTARY MIDDLE
AND HIGH SCHOOLS STATEWIDE. A
THIRY SEVEN PERCENT INCREASE
OVER LAST YEAR.
THESE UNIQUE SCHOOL CHAPTERS
GREAT ONE TO ONE MENTORING
FRIENDSHIPS BETWEEN STUDENTS
WITH DISABILITIES AND THEIR
TYPICAL PEERS.
AND EVALUATION ABOUT BODIES
CONCLUDED THAT PARTICIPANTS WITH
DISABILITIES IN THESE
FRIENDSHIPS SHOWED LOWER
FREQUENCIES APPEAR VICTIMIZATION
BETTER ADAPTIVE BEHAVIOR HIGHER
LEVELS OF SELF ESTEEM AND FEWER
PSYCHOLOGICAL SYMPTOMS.
BUT HE'S ALSO PLACES ADULTS WITH
DISABILITIES IN JOBS IN THE
COMMUNITY. OUR PARTICIPANTS ARE
AN AVERAGE OF THIRTEEN SEVENTY
FIVE AN HOUR SIGNIFICANTLY ABOVE
THE AVERAGE WAGE FOR PEOPLE WITH
DISABILITIES THE FEDERAL MINIMUM
WAGE AND CALIFORNIA'S MINIMUM
WAGE.
THE PRODUCTIVE WORKING
RELATIONSHIP WE HAVE WITH THE
LEGISLATOR THE ADMINISTRATION
AND THE DEPARTMENT OF
DEVELOPMENTAL SERVICES. RESULTS
IN THE DELIVERY OF MUCH NEEDED
SERVICES TO CALIFORNIANS WITH
DISABILITIES.
BUT COMMITTEE AND ITS MEMBERS
HAVE BEEN DILIGENT AND
UNDERSTANDING AND SPEARHEADING
THING CLUES IN WITH THOSE OF BUT
DISABILITIES WITHIN SOCIETY AND
FOR THAT WE ARE VERY GRATEFUL.
WE RESPECTFULLY REQUEST ONE
POINT SIX MILLION DOLLARS FOR
FISCAL YEAR NINETEEN SUPPORT
EIGHT THOUSAND PARTICIPANTS AT A
HUNDRED AND THIRTY SEVEN BUT
SPACE CHAPTERS INCLUDING OVER A
HUNDRED FIFTY ADULT DISABILITIES
AND COMPETITIVE AND GREAT
EMPLOYMENT. IMMORTAL WORK PLACES
AROUND THE STATE. THINK YEAH I
AM PLEASE NO INTRODUCED YOU GM
PARTS AS BEST BUDDIES
AMBASSADOR.
I MY NAME IS JOHN FOR YOUR
GUESTS HAVE MEMBERS BUT
AMBASSADOR.
.
I'M DOING A SPEECH.
I'M.
PEOPLE WITH DISABILITIES ARE
VOTED JUST FOR BEING DIFFERENT
WE ARE MADE.
WE ARE MADE FUN OF AND LAUGHED
AT THEM IT IN COLOR RETARDED.
SOME AS SOON PEOPLE WITH
DISABILITIES ARE STUPID.
AND I GREW UP IN THE PHILIPPINES
I CAME TO AMERICA ONE NOSTRIL
RESTORED. EVEN WITH A DISABILITY
I WAS ABLE TO LEARN ENGLISH AND
PASSED TO BECOME AMERICAN
CITIZENS.
I WAS ABILITY WHEN OUR FRESHMAN
IN HIGH SCHOOL.
FOR GUYS ATTACK ME WHEN I WAS
CHANGING IN THE LOCKER ROOM.
ASTUTE WHOSE HARD ABOUT IT.
DAYS DESAAD.
DAY GOT SUSPENDED I GOT
TRANSFERRED TO LOWER HER SCHOOL.
I WAS SAD AND LONELY I HAVE BEEN
DEFEATED DE MICKEY IT'S HARD FOR
ME TO MAKE FRIENDS.
I HAD.
I THOUGHT I HAD NEVER HARD WILL
FOR AND. BY THEN I HAVE FOUND
THE BEST BUDDIES. DURING THE
BEST BUDDIES CHANGE MY LIFE IT
HELPED ME IT DIDN'T MADE YOUR
LOVING RESPECTFUL AND CARING
FRIEND. AND THEN TREAT ME JUST
LIKE ANYONE ELSE BECOME. BETTER
BUT IT ALSO DOES A LOT TO STOCK
BOOTING. IT. TEACHES PEOPLE TO
ACCEPT ENCOURAGED A LOT OF
PEOPLE WHO ARE DIFFERENT.
OTHER THE ASSEMBLY. MY BEST
BUDDY CHAPTER LOVE PEOPLE AND
KNOW HOW HER FOR BOOTING CAN BE.
AND CHAU DAMN Y. YEARS THE WORD
RETARDED.
I WAS AN OFFICER FROM MY HIGH
SCHOOL CHAPTER.
FOR ABOUT TWO YEARS I HAVE GONE
THROUGH A BEST BUDDY SPEECH
TRAINING TODAY.
I AM DE UNIT THE UNIVERSITY OF
SAN FRANCISCO BEST BUDDY CHAPTER
AND I AM BEST BUDDY AMBASSADOR I
GIVE SPEECHES ABOUT FOR ABOUT
BEST BUDDIES IN MANY DIFFERENT
PLACES.
BECAUSE.
BEST BUDDY I AM STANDING HERE
IN FRONT OF YOUR STRONG AND
CONFIDENT AND WITH MANY FRIENDS.
PLEASE APPROVED BEST BUDDY
REQUESTS FOR. MORE CALIFORNIA
CAN BE BENEFIT LIKE I HAVE
BANKIA Y. WONDERFUL DAY.
THANK YOU THINK SO MUCH AND
THANK YOU.
A.
COMES FROM LEO.
FINANCE.
RIGHT QUESTIONS REMEMBER
CEREMONY.
I JUST WANT THINK THE AMBASSADOR
FOR BEING HERE TODAY AND FOR
YOUR EXCELLENT TESTIMONY THANK
YOU.
OKAY WIDENED TO I THINK I YOU
FOR THE PRESENTATION THANK YOU
JOHN FOR BEING HERE TODAY THANK
YOU. EXCELLENT OUT. ALRIGHT.
SO WE WILL.
TAKE PUBLIC COMMENT NOW ON THE
PROPOSED BALLOT THANK YOU SO
MUCH FOR BEING HERE IN
PRESENTING AT SOMETHING THAT WE
FOR SUPPORT IN THE PAST SO THANK
YOU.
OKAY SO WE'RE GONNA TAKE PUBLIC
COMMENTS ON THE FOR STAKEHOLDER
PROPOSALS.
RELATED TO BALANCE THE.
DEPARTMENT VOTE SERVICES TO US
SO WE ASK PEOPLE CONTRARY KEEP
THEIR COMMENTS TO UNDER A MINUTE
IF SOMEONE'S ALREADY SAID.
BUT YOU SAID BEFORE IT'S FINE TO
SAY I AGREE WITH THAT PERSON.
SO WELCOME I AM LACKEY AND THE
FIRST PERSON SPEAKING SO NOBODY
I DON'T HAVE TO REPEAT MY NAME
IS CONNIE LATE AND I'M THE
REALITY FACTOR AND THE MOTHER OF
A FIFTY YEAR OLD SON. WITH
SEVERE AUTISM AND I ALSO ON THE
BOARD OF DID IT DISABILITY
VOICES UNITED.
I'M KIND OF YOUR REALITY CHECK
SO WHEN MY SON WAS DIAGNOSED IN
NINETEEN SEVENTY THERE WAS NO
TECHNOLOGY NO HOPE AND NO
EXPECTATION PEOPLE LIKE MY SON
TODAY ADULTS.
I'M COST A LOT OF MONEY IT COSTS
MORE MONEY THEY HAVE SEVERE
CHALLENGES THAT IS NOT RELATED
TO THEIR DISABILITIES BUT OF
RELATED TO LACK OF OPPORTUNITY
AND RESOURCES THAT THEY NEED.
TWO THOUSAND EIGHTEEN WE KNOW
WHAT WORKS AND SOCIAL RACK DOES
WORK AND.
WE ARE HOPING NGUYEN IN TWO
THOUSAND NINE WHEN WE HAD THE
TERRIBLE RECESSION I WAS ON THAT
WORK GROUP. AND WE CUT IT DOWN I
DIDN'T. EXACTLY CUT IT BUT IT
WAS CUT NOT BECAUSE IT WASN'T
GOOD BUT WE HAD CUT. EVEN THOUGH
IT PROMOTED EXCELLENCE AND IT IT
EVEN PEOPLE OF UNDERSERVED
COMMUNITIES AND DIVERSE
COMMUNITIES REALLY LOOK TO USE
THAT SO THE FAMOUS.
GIANT JOHN WOULDN'T THE
BASKETBALL COACH SAID IF YOU
DON'T DO IT RIGHT THE FIRST TIME
WHEN YOU HAVE TIME TO DO IT OVER
WELL MAYBE TOO LATE FOR MY SON
AND ADULTS BUT IT'S NOT TOO LATE
FOR THE PEOPLE THAT ARE HERE
NOW.
PLEASE RESTORE SOCIAL RECKON IN
TERMS OF HOUSING.
IT COULD HAVE A PLACE TO LIVE WE
TRIED TO CAPTURE DC I'M A
COMMUNITY PARENT BUT IT DC
RESOURCES WE HAD. BIPARTISAN
SUPPORT TROOPS IT SAVING THAT
MONEY SO I BEG YOU TO APPROVE
THAT AND FINALLY STAFF.
YOU CAN MAYBE BE LUCKY TO HAVE A
HOUSE BUT IF NO ONE WALKS IN THE
DOOR WE DON'T VALUE OUR STAFF
AND WE DON'T MAKE IT A CAREER
PATH SO PLEASE SUPPORT THE
BRIDGE FUNDING THANK YOU. THANK
YOU.
OKAY THANK YOU.
WE CAN DO THIS OR THAT ORDERED.
THAT THE REAL TO ACTUALLY CENTER
MONEY WHICH IS WHAT'S MAKE A
VERY BRIEF COMMENT YEAH I JUST
WANT TO THANK EVERYBODY WHO'S
HERE TODAY. TESTIFYING IN
SUPPORT OF THESE PROPOSALS.
I HAVE TO EXCUSE MYSELF I'LL BE
HEARING MUCH OF YOUR TESTIMONY
ON THE MONITOR IN MY OFFICE
I DO HAVE IT DISTRICT OBLIGATION
BUT. I APPRECIATE YOUR PRESENCE
IN WE WILL BE MONITORING CLOSELY
ALL OF YOUR STATEMENT SIR THANK
YOU MISTER CHAIR. THANK YOU
THANK YOU ON.
WELCOME GOOD AFTERNOON MY NAME
IS CHRIS OTERO I WORK FOR AN
ORGANIZATION IN LOS ANGELES AREA
CALLED ABILITY FIRST. OF FORWARD
SINCE NINETEEN TWENTY SIX WE'VE
BEEN PROVIDING SERVICES.
TO CHILDREN AND ADULTS WITH
DEVELOPMENTAL.
DISABILITIES OVER TWO THOUSAND
PER YEAR.
I CAN PRETTY MUCH AY I AGREE
WITH EVERYTHING THAT CONNIE SAID
WE HAVE A CAP.
WHICH WE'VE HAD SINCE NINETEEN
FORTY SIX AND WHEN THOSE
SERVICES WERE FOR IT WERE CUT.
FROM THE REGIONAL CENTER IT
AFFECTED COULDN'T GIVE ME THOSE
INDIVIDUALS IN A THE LOWER
SOCIOECONOMIC AREAS THE
DISENFRANCHISED THEY DON'T HAVE
PLACES TO GO SO. THE CAMP IS
VERY VERY IMPORTANT TO RESTORE
THAT FUNDING AYE AND THE BRIDGE
FUNDING OF COURSE OUT WE HAVE
SITES IN OUR NUMEROUS OTHER
AREAS LOS ANGELES LOS ANGELES
COUNTY. LONG BEACH.
PASADENA ALL AREAS WHICH ARE
RAISING THE MINIMUM WAGE
A AT AN ACCELERATED RATE
COMPARED TO THE TO THE STATE AYE
AND. THIS JULY WHEN THE NEXT.
.
INCREASED HIM FROM THOSE
MUNICIPALITIES IT WILL COST US
CLOSE TO HALF A MILLION DOLLARS
AND YOU KNOW WE DON'T SELL A
PRODUCT WE CAN'T RAISE OUR
PRICES. IT DEFINITELY HURTS OUR
BUDGET THANK YOU. THANK YOU.
WELCOME.
AS CHAIRMAN MEMBERS SICK CARL
LUNDEN HERE DAY.
HALF OF THE LINE SUPPORTING
PEOPLE WITH INTELLECTUAL
DEVELOPMENTAL DISABILITIES.
ALSO JUST NOTE THAT I'M A.
PARENT OF A YOUNG MAN TWENTY ONE
YEAR OLD MAN WITH THE
INTELLECTUAL DEVELOPMENT
DISABILITIES AND AS WELL A.
BOARD MEMBER ON A SACRAMENTO
BASED A LOCAL AGENCY THAT
SERVES.
AS POPULATIONS OF A VARIETY OF
PERSPECTIVES.
BOB HAVE THAT LINE CITY WHEN
INDICATE SUPPORT FOR THE THREE
PROPOSALS THAT WERE A SPOKEN
ABOUT THANK YOU FOR. HEARING
THOSE TODAY.
I DO WANT TO MAKE A COMMENT THAT
IT SEEMS THAT OVER THE PAST TEN
YEARS ALL OF THE PROPOSALS THAT
WE'VE LOOKED AT. ARE AN
OUTGROWTH OF A LACK OF FUNDING
FOR THIS.
COMMUNITY OVERALL AND THAT'S
BEEN GOING ON FOR A LONG TIME
YOU KNOW OVER THE LAST WENTY
YEARS. THIS PARTICULAR SECTOR
HAS RECEIVED TWO RATE INCREASES
ONE THAT WAS TAKEN AWAY VERY
QUICKLY DURING A RECESSION.
AND.
IT RESTORE YOUR HEARING RELATED
THESE PROGRAMS IS AN OUTGROWTH
OF THE NEED RESULTING FROM A
LACK OF FUNDING ACROSS THE BOARD
FOR PROGRAMS.
SO WE URGE YOU TO CONTINUE TO
PROVIDE LEADERSHIP. A ACROSS THE
BOARD IN TERMS YOU LOOK WE WANT
YOU TO PROVIDE LEADERSHIP ON THE
CLOSURE THE DEVELOPMENTAL
CENTERS.
AND ALSO NOT JUST THOSE ASSETS
BUT THE OPERATIONS DOLLARS THAT
GO ALONG WITH OPERATING THOSE
WHERE THOSE END UP AS WELL WE
WANNA. SEE THOSE STAY IN THE
SYSTEM SERVING OUR POPULATION.
ARE ON THE LAST ITEM I DO WANNA
COMPLEMENT THE YOUNG MAN.
FOR PRESENTING AS HE DID. I DO
WANT TO NOTE.
CONCERNED WITHOUT HOWEVER THERE
AN AWFUL LOT OF AGENCIES AROUND
THE STATE TO PROVIDE SIMILAR
SERVICES WE ALL NEED MONEY IT'S
A GREAT PROGRAM BUT WE'RE ON
THAT SAME BOAT SO. I LOOKING A
SPECIAL FUNDS LIKE THAT WE THINK
IS A OBJECTIONABLE AT THIS TIME
THANK YOU.
HELLO EVERYONE THANK YOU FOR THE
OPPORTUNITY TO SPEAK.
MY NAME IS WILLIAM PICKLE I'M
THE EXECUTIVE DIRECTOR OF PRINT
CORNERS WERE A FIVE OH ONE C.
THREE NONPROFIT WITH PRIMARY
OFFICES IN SAN FRANCISCO AND LOS
ANGELES WE PROVIDE SERVICES.
ON A STATEWIDE BASIS.%
THAT WE ARE SUPPORTIVE HOUSING
PROVIDER AND THAT MEANS THAT
WE'RE BRIDGING THE WORLD OF
SUPPORTIVE SERVICES AND
AFFORDABLE HOUSING.
WE STRONGLY URGE YOU TO SUPPORT.
THE PROPOSED INTEGRATED
COMMUNITY LIVING FINE WHICH IS
AN OPPORTUNITY TO LEVERAGE THE
TREMENDOUS RESOURCES OF THE
DEVELOPMENTAL SERVICES SECTOR.
WHICH KNOWS HOW TO POP UP FUND
AND OVERSEAS CUPPED SUPPORTIVE
SERVICES IN A VARIETY OF MODELS
AND
I CASE MAN
IT SERVICES AN ASSESSMENT
SERVICES. UP BUT USE THOSE
RESOURCES INCLUDING THE ENTIRE A
SUPPORTIVE SERVICE VENDOR
COMMUNITY I AND THE MEMBERS OF
THE LANTERN AND HOUSING ALLIANCE
WHICH FOCUS SPECIFICALLY ON
HOUSING SERVICES. ARE USE ALL
THOSE RESOURCES TO LEVERAGE
ANOTHER EXISTING PUBLIC AND
PRIVATE SECTOR IN CALIFORNIA THE
AFFORDABLE HOUSING SECTOR. OF
THIS IS REALLY A ONE TIME
HISTORIC OPPORTUNITY TO PAY A
BIT FROM THE ERA OF
INSTITUTIONAL SERVICES INCLUDING
A HOUSING BUT IT'S RIGHT NOT
REALLY HOUSING. UP TO.
AND.
AND MEET THE PENT UP DEMAND FOR
AFFORDABLE AND SUPPORTIVE
HOUSING UP FOR PEOPLE WITH
DEVELOPMENTAL DISABILITIES IN
CALIFORNIA. BOB SO WITH THAT I
WOULD SAY.
I URGE YOU TO.
PAY CLOSE ATTENTION TO AND
SUPPORT THIS IS RECOMMENDATION
THANK YOU.
GOOD AFTERNOON CINDY SMITH OF
THE STATE COUNCIL ON
DEVELOPMENTAL DISABILITIES THE
STATE COUNCIL IS MADE UP OF
SIXTY PERCENT OF INDIVIDUALS.
WITH DEVELOPMENTAL DISABILITIES
IN THAT FAMILY MEMBERS ONE OF
THE MOST IMPORTANT ISSUES WE
CARE ABOUT IS WE NEED SAFE
ACCESSIBLE AFFORDABLE HOW.
WE ABSOLUTE SUPPORT THE PROPOSAL
IS COMPLICATED BUT WE NEED TO
MAKE SURE THE MONEY COMING OUT
OF THE CLOSURE OF THE
DEVELOPMENTAL CENTERS GOES INTO
INTEGRATED AFFORDABLE HOUSING IN
THE COMMUNITY FOR INDIVIDUALS.
SECONDLY WE ALSO HEAR ALL THE
TIME ABOUT THE FACT THAT PEOPLE
WANT SOCIAL RECREATION AND CAMP
RESTORED THOSE PROGRAMS PRIDE
CRITICAL OPPORTUNITIES FOR
CHILDREN AND ADULTS TO BE ABLE
TO BE OUT IN THE COMMUNITY AND
SOCIALIZE WITH THEIR PEERS.
THANK YOU. THANK YOU.
THANK YOU AND CAL AND I WILL NOT
DISPLAY RIGHTS CALIFORNIA WAS
STRONG SUPPORT FOR THE
RESTORATION OF SUCH RIGHT
CAMPING PROGRAMS ONE OF OUR TOP
PRIORITIES FOR THE LAST FEW
YEARS. I'M ON THE ISSUE OF THE
DC LANDS WE KNOW IT'S A
COMPLICATED ONE WE DO AGREE THAT
AFFORDABLE HOUSING IS A COMPLEX.
I'M IS NEEDED IN OUR COMMUNITY
AND THAT THE DC LANDS ISSUES THE
COMPLEX ONE WE LOOK FORWARD TO
CONTINUING TO WORK TO. ON THAT
ISSUE AS AS WE ADDRESS THE ISSUE
WITH WHAT YOU KNOW AROUND THAT
ISSUE WITH LOCAL STAKEHOLDERS.
ARE IN TERMS OF THE BRIDGE
FUNDING WE JUST WANNA AND SHORE
WE KNOW IT'S NEEDED WE WANT TO
MAKE SURE THAT IT GOES TO DIRECT
CARE STAFF THAT ACTUALLY WORK
WITH PEOPLE WITH DISABILITIES IN
ON TOP AND STAY IN THE COMMUNITY
AND HAVE FULLY INTEGRATED LIVES.
ONE PICTURE THAT FUNDING IS
DISTRIBUTED EQUITABLY ACROSS
PROGRAMS IN THE CROP ACROSS
CATEGORIES.
I THINK TREATMENT THANK YOU.
SHAKIRA RICK ROLLINS.
WITH ASSOCIATION REGIONAL
CENTER AGENCIES WANT TO LEND OUR
OF VOICES SUPPORT TO THE.
TWO REMAINING ITEMS THAT WE
HAVE INTO TESTIFIED ON YET.
OF THE US.
HOLDEN STERN I REQUEST FOR THE
TWENTY FIVE MILLION DOLLAR
PREACH FUNDING APSLEY CRITICAL
TO OUR. SYSTEM AND OF COURSE THE
HOUSING PROPOSAL THAT.
COMMUTE FROM THE LANDING
COALITION WHICH ARC OF COURSES
MEMBER OF THANK YOU.
THANK YOU.
WELCOME.
MY NAME IS A KILLER CONNERY I M.
THAT FOUNDER OF AN ORGANIZATION
CALLED THE KELSEY FOCUSED ON
BUILDING INCLUSIVE COMMUNITIES.
AND I'M HERE TO SPEAK IN SUPPORT
OF THE INTEGRATED COMMUNITY
LIVING FUND AND I JUST WANNA
MENTION NUMBER WHICH IS TWENTY
POINT FOUR AND THAT'S THE
AVERAGE INCOME OF A PERSON WITH
DISABILITIES LIVING IS SSI RELY
IN CALIFORNIA. AT THAT IS ALMOST
TWELVE PERCENT IN SOME REGIONS
OF OUR STATE BETWEEN THAT THESE
INDIVIDUALS ARE PRICED OUT OF.
EVERY SINGLE MARKET RATE HOUSING
THEY CAN FIND IN MOST AFFORDABLE
HOUSING AND THEIR CRITICALLY
LAUGHED OUT EVEN OF EXTREMELY
LOW INCOME HOUSING THAT OFTEN
ARE SPECIFICALLY DESIGNATED TO
CHRONICALLY HOMELESS
INDIVIDUALS.
WHICH ARE VERY DESERVING AS WELL
BUT NOT SUPPORTING OUR
POPULATION ALL THE TIME WE NEED
A FUND FOR HOUSING WE HAVE BOTH
MARKET RATE AND AFFORDABLE
DEVELOPERS. WERE WILLING TO
INCLUDE HOUSING FOR OUR
POPULATION BECAUSE THEY COME
WITH SUPPORTIVE SERVICES BECAUSE
THE AD TO THE DIVERSITY AND
RICHNESS OF OUR COMMUNITY.
WITHOUT A PERMANENT FUNDING
SOURCE THAT KIND OF HOUSING IS
NOT POSSIBLE THIS HUMAN RIGHTS
ISSUE BASED ON THE OLMSTEAD ACT
IS TITLE TO THE AMERICANS WITH
DISABILITIES ACT. AND OUR OWN
STATE LAND GERMAN ACT LIKE A
STRONGLY ENCOURAGE YOU TO LOOK
AT THIS FIND WHETHER OR NOT IT'S
GOING TO THE DC CLOSURE THIS IS
A FUN THAT'S NEEDED FOR THIS
POPULATION TO LIVE IN THE
COMMUNITY. AND NOT RISK
INSTITUTIONALIZATION.
THANK YOU.
WELCOME.
MOON WARM.
I'M BARBARA ON.
I'M DOING WRONG.
AND THE HOW TO TALK BORROW.
.
BARBARA NINE MY NAME IS LIVES
CHáVEZ WHERE YOU'RE FROM
GENOMIC COMMUNITY SERVICE SAYS
WE ARE JUST HERE TO ASK FOR YOUR
HEALTH.
I AGREE WITH ALL THE WITNESSES.
AND THE NEED OF THE SUPPORT AND
THE FUNDING IT'S OBVIOUS THAT
THE TWO MAJOR ISSUES WE HAVE.
SEEING ARE ALSO I'M BUDGET NOT
BEING ABLE TO. MATCH THAT
MINIMUM WAGE INCREASES THAT WERE
HITTING IN ORDER TO KEEP THE
PEOPLE THAT WE SUPPORT AND THEIR
HOMES AND WITH THE APPROPRIATE
OF SUPPORT STAFF. A WE NEED YOUR
HELP WE NEED YOUR HELP WAIT WITH
THIS CRISIS I'M NOT ONLY AS A
PROFESSIONAL THAT SUPPORTS
INDIVIDUALS FOR OVER A DECADE
BUT ALSO. A FAMILY MEMBER WHO
HAS AN INDIVIDUAL WITH SPECIAL
NEEDS I'M JUST HERE TO HUMBLY
ASK FOR YOUR ASSISTANCE FOR YOUR
HELP. AND.
BUT WE LIMON SERVER INDIVIDUALS
WHAT FAMILIES BUT MOST OF OUR
FOLKS DON'T HAVE ANYONE AND IF
WE'RE NOT HERE TO ADVOCATE AND
SUPPORT THEM THEN WHO IS RIGHT
SO. I I REALLY HOPE THAT YOU CAN
YOU GUYS CAN HELP IN AND PUSH
EVERYTHING THROUGH TO HELP US
OUT.
THANK YOU.
HELLO MY NAME IS AARON GETS MAY
NEVER GET.
COMMINGLED BILL ESPERANZA
SERVICES WE OPERATE IN BOTH
ENTER AND LOS ANGELES COUNTIES
ANIMOSITYPARENT OF A TEN YEAR
OLD WITH AUTISM. A MY SUPPORT
ALL OF THE ISSUES HERE.
WITH REGARD TO SOCIAL.
AND WRECK IN CAMP.
I JUST LIKE TO MAKE SURE THAT
YOU'RE AWARE THAT YOU CONSIDER
THAT IF THIS IS APPROVED IT'S
NOT THE SAME AS RESPITE AND SO
WE HAD TO SEE RESPECT CAUGHT AS
A WAY TO. A FUND THAT SERVICE SO
DOVE I'M.
BUT REALLY HERE SPEAK ABOUT
HOLDEN BILL AND SENATORS TURNS
BILL.
.
WE. OPERATE IN PASADENA
CALIFORNIA.
THERE THAT CITY IS INCREASING
THE MINIMUM WAGE FASTER THAN THE
STATE THE DEPARTMENT HAS NO WAY
TO HELP US PAY FOR THAT. AT
VILLA ESPERANZA THAT WILL COST
US APPROXIMATELY EIGHT HUNDRED
THOUSAND DOLLARS. BUT DOES NOT
INCLUDE THE COMPRESSION ISSUES
THAT WE HAVE IS INCLUDING PAYING
EXEMPTS STOPPED TWICE MINIMUM
WAGE CAMPAIGNER MORE EXPERIENCED
STAFF A WAGE THAT THEY DESERVE
RIGHT YOU CAN HAVE SOME A BRAND
NEW OFF THE STREET. BREAKING
CEREMONY MONEY OR SOMEBODY'S
BEEN WITH THE TEN YEARS.
WE ARE LOSING STAFF WE HAVE HAD
TO CLOSE A PROGRAM FOR THAT
REASON AND WE ARE ACTIVELY IN
MEETINGS TO CLOSE ADDITIONAL
PROGRAMS AS NEEDED. WHEN I
STARTED A VILLA ESPERANZA
SERVICES WERE NONPROFIT WE
RAISED THREE HUNDRED THOUSAND
DOLLARS A YEAR THAT WAS NINE
YEARS AGO.
NOW WE HAVE TO RAISE ONE POINT
THREE MILLION WHICH MEANS WE
WILL HAVE TO RAISE TWO MILLION.
THAT'S NOT GONNA HAPPEN.
IS OUR HEARTS CALIFORNIA'S MOST
VULNERABLE CITIZENS PLEASE
SUPPORT THEM ENVIRONMENT ACT.
THANK YOU THANK YOU.
GOOD AFTERNOON MY NAME IS RON A
LOG IN THE EXECUTIVE DIRECTOR
FOR CROW COMMUNITY RESOURCES FOR
INDEPENDENT LIVING AND ALSO THE
VICE PRESIDENT FOR THE ALAMEDA
COUNTY DD COUNCIL. I AM VERY
MUCH IN SUPPORT OF REINSTATING
THAT THE SOCIAL RECREATION
CAMPING IT WAS BALLIA BOWL BACK
THEN AND IT'S NEEDED NOW MORE
THAN EVER.
WERE ALSO LOOKING AT THE THE
BRIDGE FUNDING.
THE BRIDGE FUNDING I LOVE THAT
YOU'RE DOING IT FOR TWO YEARS IF
WE CAN DO FOR TWO YEARS THAT'S
GREAT. I AM CONCERNED ABOUT HOW
THE RATE STUDY IS GOING.
IT'S LIKE WHY LIKE TO ME
HER THAT IT'S GONNA BE A
COMPREHENSIVE LOOK AT WHAT
YOU'RE ACTUALLY LOOKING FOR AND
NOT JUST FUNDS THAT ARE GOING
THROUGH NOW. BECAUSE IN TWO
YEARS TIME I CAN TELL YOU IT'S
OING TO BE DIFFERENT IT'S LIKE
WE'RE GONNA BE MORE MONEY WE
DON'T NEED TO BE IN THE SAME
PLACE AS WE WERE BEFORE. AND
IT'S.
BUT AS FAR AS THE INTEGRATED
COMMUNITY LIVING OF HOUSING WERE
AT A MINIMUM WE NEED MORE CALM
AND WE NEED IT FOR ACCESSIBLE
AFFORDABLE SUBSIDIZED COUNTING
HOUSING SO.
I SUPPORT THOSE THREE BUT FOR
MUCH THANK YOU.
HI SANDY SOLIDLY ALAMEDA COUNTY
PUBLIC HEALTH ALAMEDA COUNTY
DEVELOPMENTAL DISABILITIES
COUNCIL ON BEHALF OF MY BOARD
AND THE COUNCIL WE FULLY SUPPORT
THE RESTORATION OF. A SOCIAL
RACK AND CAMPING TO ESSENTIAL
ELEMENTS TO FULL INCLUSION. AND
INTEGRATION WE ALSO FULLY
SUPPORT THE TWENTY FIVE MILLION
DOLLAR BRIDGE FUNDING WHEN I
TALK TO LEGISLATORS ABOUT THE
DEVELOPMENTAL DISABILITY SYSTEM
I OFTEN REFERENCE THE TWENTY
FIFTEEN ARCA REPORT. ON THE
BRINK OF COLLAPSE OUR SYSTEM IS
IMPOVERISH
DO YOU KNOW THAT NATIONALLY
FIFTY PERCENT OF DIRECT SERVICE
PROFESSIONALS.
RECEIVE PUBLIC BENEFIT
HOUSEHOLDS RECEIVE PUBLIC
BENEFIT AND TWENTY FIVE PERCENT.
LIVE BELOW THE POVERTY LINE MY
CLERK CLINIC COUNTY CLERKS
SALARY MAKES MORE MONEY THAN HIS
JOB COACH.
IN CONTRAST MY DOG WORKERS MAKE
TWENTY SEVEN.
DOLLARS FOR A HALF AN HOUR WE
ALSO FULLY SUPPORT THE COMMUNITY
INTEGRATED LIVING FUND TO HELP
US WITH HOUSING IN THE BAY AREA
WE ARE ABSOLUTELY PRICED OUT OF
HOUSING. THANK YOU FOR THE
CONSIDERATION
THANK YOU.
WELCOME.
HELLO.
MY NAME'S JANE SLOW HEAT AND I
AM A PARENT OF AN INTELLECTUALLY
DEVELOPING A DEVELOPMENTALLY
DISABLED TWENTY FIVE YEAR OLD
SON.
AND HE HAS A PARTIAL COMPLEX
SEIZURE DISORDER AND I HE WAS
DIAGNOSED WITH THIS WHEN USED TO
AND THROUGHOUT HIS LIFE. I WAS
ENCOURAGED BY PROFESSIONALS AND
TEACHERS TO STRUCTURAL LIFE FOR
HIM. THAT WOULD HELP HIM LEARN
TO BE AS INDEPENDENT AS
POSSIBLE.
HIS FIRST CHANCE TO LEARN ABOUT
INDEPENDENCE WAS WHEN HE WENT TO
CAMP CRAM. IN THE SANTA CRUZ
MOUNTAINS WHEN HE WAS A BOY
WHILE IT CAN'T BE HAD THE
OPPORTUNITY TO BE WITH HIS OWN
ETHNICALLY DIVERSE. DISABLED
COMMUNITY DOING FUN AND
INTERESTING THINGS AND A RELAXED
SUPERVISED SETTING.
IT IS MEALS IN A MESS HALL
SAYING AROUND A CAMPFIRE
PARTICIPATED IN PLACE SWAM WENT
FOR HIKES AND SLIPPED IN A CABIN
WITH ROOMMATES.
IT WAS HIS FIRST TIME HE HAD A
CHANCE TO EXPLORE WHAT IT WAS
LIKE TO BE AWAY FROM HIS MOM AND
DAD. PER WEEK AND GAVE UP HIS
PARENTS A WELL DESERVED REST.
THE FIRST TIME HE WENT TO CAMP
ALL PARTIES INVOLVED WERE
NERVOUS ESPECIALLY ME. BUT AFTER
GETTING THROUGH THE FIRSTCAMP
EXPERIENCE AND TAKING HIM BACK
TO CAMP THE FOLLOWING YEAR WAS
SOMETHING MY HUSBAND MYSELF AND
MY SON LOOK FORWARD TO.
ONE YEAR MY SON WAS GIVEN A
SPECIAL WORD CAMP THAT HE STILL
HAS TODAY THIS AWARD WAS A
SOCIAL BUTTERFLY AWARD. WHENEVER
HE SEES THAT HE.%
IS HAPPY ABOUT THAT.
BY GOING TO CAMP IS A VERY
SPECIAL EXPERIENCE FOR THE
DEVELOPMENTALLY DISABLED
POPULATION THE ENTIRE CAMP
PROVIDES A CHANCE TO EXPLORE
INDEPENDENCE WHILE PARTICIPATING
IN FINE.
CAMP ACTIVITIES PLEASE RESTORE
SOCIAL RECREATION CAMPUS
REGIONAL CENTER FUNDED SERVICES
THANK YOU THANK YOU.
WELCOME.
GOOD AFTERNOON MISTER CHAIR
BARRY JUTTING FROM THE
CALIFORNIA DISABILITY SERVICES
ASSOCIATION WE REPRESENT MORE
THAN EIGHTY PROVIDER MEMBER
SERVICING INDIVIDUALS.
AND WE ALSO MEMBERS LED ME
COALITION SUCH AS ONE EXPRESS
OUR SUPPORT FOR THE INTEGRATED
COMMUNITY LIVING PROGRAM WANNA
MAKE SURE THAT WE'RE KEEPING THE
ASSETS THE VALUE OF THE ASSETS.
AS AS HOUSING OPPORTUNITIES FOR
THE INDIVIDUALS THAT THEY WERE
INTENDED TO ORIGINALLY SERVE.
ALSO ONE AS A EXPRESS OUR STRONG
SUPPORT FOR THE BRIDGE FUNDING
PROPOSAL.
I THINK SOME OF THE DATA'S BEEN
SHARED WITH YOU ABOUT PROGRAM
CLOSURES AND DIFFERENT THINGS
BUT I THINK WE'RE REALLY GOING
TO BE FACING AT EPIC CRISIS IF
WE DON'T DO SOMETHING TO ADDRESS
ON THE LOCAL COST PRESSURES
FACING THESE PROVIDERS.
THERE IT EXISTING MECHANISMS DO
NOT WORK FOR FOR THESE LARGE
SCALE PROBLEMS AND I THINK WE
REALLY NEED TO TAKE SOME ACTION
TO DO SOMETHING ON THAT. AND
FINALLY I THINK WAS MENTIONED
EARLIER BUT ON THE BEST BUDDIES
PROPOSAL.
CERTAINLY COMMEND THE YOUNG MEN
WHO WHO SPOKE TODAY BUT WE DO
HAVE SOME QUESTIONS I THINK IT'S
WORTH CONSIDERING WHETHER OR NOT
WE WANT TO GIVE PREFERENTIAL
TREATMENT THROUGH THE BUDGET
PROCESS TO ONE PROVIDER. WE HAVE
SOME MEMBERS WHO PROVIDE SAID
ADD SUBSTANTIVELY SIMILAR
SERVICES AND GO THROUGH THE
REGULAR VENDORS PROCESS THANK
YOU THANK YOU.
WELCOME AFTERNOON MY NAME IS
SARAH VERITY I'M HERE
REPRESENTING GET PASS THE
NONPROFIT IN SAN MATEO COUNTY
LOOKING FOR TORRENT NINETY
EIGHTH ANNIVERSARY NEXT MONTH. I
WOULD ASK YOU TO SUPPORT THREE
OF THE FOUR REQUEST YOU HEARD
TODAY THAT WOULD BE THE
RESTORATION OF SOCIAL
RECREATIONAL PROGRAMS. BEING
FUNDED BY REGIONAL CENTERS THE
BRIDGE FUNDING AND THE.
EXCUSE ME AND V. I AM.
AT THE AFFORDABLE HOUSING FOR
THE IT DD POPULATION COMING FROM
THE DEVELOPMENT CENTERS I'D FOR
SURE ONE PERSONAL STORY TIBET WE
ARE CELEBRATING NINETY EIGHT
YEARS NEXT MONTH WE HAVE ONE
GENTLEMAN WHO JOINED US IN
NINETEEN.
A FIVE
IT'S BEEN WITH US FOR FORTY
THREE YEARS JUST FOUND OUT THAT
HE LOST HIS HOUSING HE WILL BE
UPROOTED FROM HIS COMMUNITY HIS
FRIENDS HIS GIRLFRIEND. THE ONLY
FAMILY HE KNOWS BECAUSE THERE IS
NOT AN AFFORDABLE PLACE FOR HIM
TO LIVE TWO OF THOSE REQUESTS
WOULD HELP SOLVE THAT PROBLEM.
THANK YOU.
WELCOME.
THAT AFTERNOON. MY NAME IS BONNY
GALE AND I AM HERE ON BEHALF OF
BOTH EDUCATE ADVOCATE AND
EMPOWER FAMILY CALIFORNIA.
WE SUPPORT THE PROPOSAL TO
RESTORE AND SOCIAL IN.
AND RECREATION CAMP SERVICES IN
TWO THOUSAND EIGHT TO THREE
THOUSAND NINE DURING THE
RECESSION. MANY SERVICES AND
SUPPORTS FOR REGIONAL CENTERS
WERE CUT.
WITH THE PROMISE THAT WHEN OUR
STATE WAS NO LONGER IN RECESSION
THAT THESE. PROGRAMS WOULD BE
RESTORED SOME OF THE SERVICES
HAVE BEEN RESTORED BUT THEIR
REMAINING SERVICES THAT ARE
CRITICAL TO FAMILIES WE SERVE
THAT HAVE NOT BEEN RESTORED
CAMPING IS IMPORTANT RESOURCE.
TO RESTORE BACK TO FAMILIES AS
THOSE WITH DEVELOPMENTAL
DISABILITIES REQUIRE MUCH MORE
CARE AND SUPPORT IN ORDER TO ACT
S. CAMPING PROGRAMS.
SOCIAL RECREATION CAN INCLUDE
SPECIALIZED SOCIAL SKILLS
BUILDING WITH PEERS
SWIMMING KARATE YOGA SPORTS ART
DANCE EQUESTRIAN THERAPY AND
MARK.
I'M ALSO HERE REPRESENTING
ANOTHER FAMILY FROM TEHACHAPI
THEIR SON DOMINIC WAS OUR
PARTICIPATE IN A PARTICIPANT IN
A WORKSHOP CALLED EXCEPTIONAL
MINDS. THEIR SON IS A REGION FOR
CENTER CLIENTS
FOR THE LAST SEVEN YEARS HE'S
RECEIVED HE HASN'T BEEN ABLE TO
UTILIZE ANY OF THE REGIONAL
CENTER SERVICES AND TELL HE.
CAME UPON EXCEPTIONAL MINDS.
IT EL IT CAN THIS
HE HAS BENEFITED GREATLY FROM IT
AND THEY CAN HELPS HIM SET HIM
UP WITH A PROFESSIONAL JOB TO BE
SELF SUFFICIENT AND INDEPENDENT.
INSTEAD OF NEEDING LIFELONG ES
ASSISTANCE PLEASE RESTORE AND
CONTINUE TO SUPPORT THESE
PROGRAMS. I'LL STRONGLY AND.
I ENCOURAGE YOU TO. IT I SUPPORT
THE INTEGRATED COMMUNITY LIVING
FUN WITH DS IT IS ESSENTIAL WITH
THE BURGEONING INCREASE SAID IN
A TO OWNS TRANSITIONING TO
ADULTHOOD THANK YOU BECKY.
WELCOME.
GOOD AFTERNOON DANIEL HOGAN
EXECUTIVE DIRECTOR OF LOS
TRUMPETS IN LAFAYETTE LAFAYETTE
CALIFORNIA IN THE EAST BAY WHERE
THE MOST COSTLY AREAS. TO
OPERATE IN THE ENTIRE STATE.
THE THE HOUSING.
YES
I HOPEFULLY THAT THERE WILL BE
PRIORITIZATION FOR AREAS IN THE
STATE THAT ARE MOST IT MOST
IMPACTED AND WHERE INDIVIDUALS
ARE. AYE HAVING MOST DIFFICULTY
I ACHIEVING THEIR.
DREAMS OF A HOME OF THEIR OWN.
I'M WE HAVE HAD TO CLOSE TO PER
A TWO ADULT RESIDENTIAL TYPE
PROGRAMS OVER THE LAST FIVE TO
YEARS WE'VE ALL SO HAPPY
CAPACITY OF SEVENTY ENERGA ADULT
DAY PROGRAM. BUT WE CAN'T MEET
THE CAPACITY BECAUSE WE JUST
DON'T HAVE THIS.
IN LAFAYETTE YES OUR MINIMUM
WAGE IS ONLY ELEVEN DOLLARS AN
HOUR HOWEVER WERE COMPETING WITH
OAKLAND WHICH HAS A MUCH HIGHER
MINIMUM WAGE WE'RE COMPETING
WITH EVERYBODY AROUND US. WHERE
THE MINIMUM WAGE IS GOING UP AND
WE HAVE A STAFF SHORTAGE AND OUR
DAY PROGRAM JUST OUT OF THE
PEOPLE THAT WE SERVE RIGHT NOW?
WE ARE AT THIRTY PERCENT DOWN
AYE ON OUR STAFF NEEDS TO BE
ADDRESSED AND TAKEN CARE OF
IMMEDIATELY TWENTY FIVE MILLION
DOLLARS IS NOT ENOUGH.
OKAY THANK YOU.
DOCTOR RICHARD PAN THIS IS.
YOUR FORMER CONSTITUENT AND
VIRTUAL MEDICAL PATIENT. FOR
THOSE OF YOU THAT WHO DON'T KNOW
ME THOUGH MY NAME IS RICK
HODGKIN'S I'M SPEAKING JUST ON
BEHALF OF MYSELF NOT ONLY AS A
CLIENT OF ALL TO CALIFORNIA
REGIONAL CENTER.
BUT ALSO AS A DISABILITY RIGHTS
ADVOCATE DISABILITY RIGHTS
ADVOCATES.
ACTIVIST AND DISABILITY RIGHTS
EXTREMIST I'M ALSO MEMBER AND
SECRETARY OF CAPITAL PEOPLE
FIRST
I'M ALSO THE PROUD MEMBER OF
VOTE THE LETTERMAN COALITION AND
I'M THAT REGION THREE
REPRESENTATIVE ON THE STATE
DEPARTMENT OF DEVELOPMENTAL
SERVICES. CONSUMER ADVISORY
COMMITTEE SERVING ALL TEN
COUNTIES THAT ALL TO CALIFORNIA
REGIONAL CENTER.
COVERS AND SERVES.
DITTO TO THE BEST BUDDIES
PROPOSAL I WISH I HAD THAT
GROWING UP MYSELF.
IN TERMS OF BRIDGE FUNDING
DIRECT SUPPORT STAFF WHETHER
IT'S GOING TO BE I'D I'LL LESS
INSTRUCTOR AND OR A JOB COACH
THEY NEED MONEY THEY NEED A WAGE
THAT IS. IDENTICAL TO THAT OF A
NEW ALBUM A LICENSED VOCATIONAL
NURSE.
AND OR REGISTERED NURSE.
AND THEN IN TERMS OF THE
HOUSING PROPOSAL. NOT ONLY DO
PEOPLE WAS JUST MENTAL HEALTH
AND SUBSTANCE ABUSE DISORDERS
NEED SUPPORTIVE HOUSING OUR
POPULATION NEEDS OF AS WELL AND
FINALLY. WHEN IT COMES TO SOCIAL
RECREATION I'M TRYING TO HURRY
UP HERE BECAUSE I FEEL PRESSURE
TO STOP.
THE.
AS YOU ARE AWARE THAT THE
LETTERMAN DEVELOPMENTAL
DISABILITY SERVICES ACT.
ABOVE MANDATES REQUIRES THAT
ADULTS AND CHILDREN WITH
DEVELOPMENTAL DISABILITIES BE
ALLOWED.
TO WORK LIVE WORK AND PLAY IN
THE LEAST RESTRICTIVE
ENVIRONMENT.
INSTEAD OF USING SOCIAL WRECK
I'VE HAD TO GO THROUGH
SACRAMENTO COUNTY'S THERAPEUTIC
RECREATION SERVICES THAT WHICH
BY THE WAY MANDATES AND REQUIRES
AT CLIENTS BE IN A RESTRICTED
ENVIRONMENT THE MOST RESTRICTED
AND.
WHICH IS
ONE STAFF MEMBER FOR EVERY SIX
CLIENTS RATIO.
I KNOW THAT DOES THE GOVERNOR
WANTS US TO CONTINUE LIVING IN
ANYTHING THAT I'M TRYING TO WRAP
UP.
WHO CARES WHAT?
I'M WHO CARES WHAT THE GOVERNOR
SAYS HE'S NOT GOING TO BE AROUND
HIM NEXT YEAR SO LET'S GET THIS
DONE THANK YOU.
RIGHT THANK YOU AFRICAN PEOPLE
PLEASE TRY TO KEEP YOUR REMARKS
WITHIN A MINUTE OF AND I KNOW A
LOT IT'S BEEN SAID SOME VERY
SAID IT TO SAY I AGREE AND.
BECAUSE WE HAVE OTHER PEOPLE
WAITING TO PRESENT THEIR ISSUES
AS WELL HERE SELF THANK YOU.
HELLO MY NAME IS JOE CASH ON
THEIR DIRECTOR RESIDENTIAL
SERVICES FOR LAS TROPAS AT
EASTBAY.
I JUST WANTED TO COME UP IN.
.
LET YOU KNOW THAT I DO SUPPORT
THE BRIDGE FUNDING GAP I DO
THINK THAT IT IS A KIND OF A
MINIMAL THING THAT WE CAN DO AT
THIS POINT.
A LOT OF LEGISLATION THAT'S
BEEN PUT THROUGH TO TO HELP US
OUT HIS REALLY ONLY JUST KICK
THE CAN DOWN THE ROAD AND I
THINK.
WE NEED TO EVEN DO MORE THAN
THIS.
SO.
AT LEAST LET'S START THERE AND
WE'LL GO FROM THERE I GUESS
THANK YOU THANK YOU.
THANK YOU.
WELCOME.
OKAY MY NAME IS KIMBERLY TERRELL
I AM.
SUPPORTED BIAS BORDER LIVING
PROGRAM.
IN ALLIANCE I AM ALSO A MEMBER
OF CAPITAL PEOPLE FIRST.
AND AYE ALL OKAY YOU SAY NOT
TALK ABOUT A LOT OF THAT'S
ALREADY BEEN TALKED ABOUT.
BUT.
THINK ABOUT THE FACT THAT ALL
THESE PEOPLE WHO RECEIVE THE
SERVICES. IT'S NOT JUST ABOUT.
WHAT THEY CAN DO THEY ARE PEOPLE
IT?
BEING ALLOWED TO DO THAT
ACTIVITIES.
AS FAR AS LIKE HIM FOR EXAMPLE.
THINK ABOUT IT THE AVERAGE
PERSON CAN GO OUT AND SAY WELL
OVER ONE TO GO HIKING I CAN DO
EXPLAINS THE.
WELL I WANT TO GO RIGHT OUT WHAT
HORRORS OR DO YOU ARE TO REALLY
FELT LIKE THAT.
IT TAKES A LOT BASICALLY BOARD
DISABLED PERSON TO DO THOSE
THINGS AND IT TAKES DEDICATED
PEOPLE TEND TO HELP THEM
JEWELERS THINGS WE CAN'T TAKE
THINGS LIKE. HIM.
AS LIT EVERYDAY LIVING. FOR
GRANTED.
JUST REMEMBER THAT WHEN YOU DO
WHEN YOU'RE THINKING ABOUT THE
FUNDING.
LET'S REMEMBER THAT. PEOPLE WITH
DISABILITIES ARE PEOPLE. TOO AND
THEY REACHED THEY MOVED.
THEY DESERVE DIGNITY AND RESPECT
AND THINK ABOUT YOU NOT WASTED
MONEY THE MONEY GOES TO SUPPORT.
PEOPLE WHO REALLY NEED IT.
THANK THANK YOU THANK YOU
.
RUMOR. MOON
ROOM.
MY OF.
THE GOAL BOSS HOG.
I'M.
EARNED.
ROOM.
MOON.
AND I LOST MY APARTMENT.
WHO?
SPENT A YEAR WITHOUT WHAT.
I'M SORRY.
.
WE ARE HERE TO FIND A NEW ONE.
WHO? WHO?
WHO?
ONE.
BOON WHO MY APARTMENT I HADN.
IS NOT A GOOD ONE ANNNND.
AND THE AREA IS NOT SAFE.
WHO?
BUT I HAVE TO LIVE THERE ANYWAY.
MOON.
WHO?
I'M.
.
AND THE SERVICES I RECEIVE AM.
FOREIGN TO ME.
AND MY FRIENDS.
WHO WHO?
MMHM.
WE.
THANK YOU FOR THE OPPORTUNITIES
TEAM EFFORT. RIGHT WELL THANK
YOU.
THANK YOU.
IT ONE.
OTHER THURMOND DONAVAN NO CORDS
THING.
I HAVE EVER ARE OFFENDED HAVE
TO.
.
RESOURCE ARE ON BRING IN NEW
HOUSING.
AND THEN MEAN HOUSING DO THEIR
ON THEIR OWN.
EDU ARE GOING ON THE.
THANK YOU.
WELCOME.
MR PARA GUY HOUSTON WITH A
MISSION HOPE DAY PROGRAM AND A
MEMBER OF THE DD COUNCIL ALAMEDA
COUNTY. ALSO A FORMER MEMBER IN
THE LOWER HOUSE OVER ACROSS THE
HALL.
APPRECIATE THE OPPORTUNITY
RESPECTING YOUR TIME.
IN THE LAST SIXTEEN YEARS
YOU'VE HAD TO INCREASES.
INSISTS FOURTEEN YEARS WERE YOU
KNOW GOOSE EGGS HAVE BEEN FOR
THE DD COMMUNITY.
.
IF THAT SITUATION OCCURRED WITH.
POLICE.
OR FIRE OR CORRECTIONAL GUARDS
THERE BE RIOTS.
AND YET THIS COMMUNITY HAS BEEN
VERY PATIENT AND AT THE AT THE
SAME TIME IT'S KIND OF A DEATH
SPIRAL TO WAS A PLAN. THAT.
THAT WE'RE GOING TO GET RID OF
THIS.
IN THE LONG TERM YOU KNOW THE
PLAN IS WORKING.
THEIR CLOSURES THEY'RE
HAPPENING EVERY MONTH.
UNFORTUNATELY AND WE CAN'T HIRE
THE STAFF TO.
TAKE CARE OF OUR FOLKS BECAUSE
WE'RE COMPETING NOT ONLY WITH
OTHER MINIMUM WAGE COMMUNITIES.
BUT ALSO STARBUCKS AND IN OUT
BURGER.
AND SOURCES TO REALITY ONE
LASTED CYSTIC IS IN THE BAY AREA
WHERE MY COMPANIES FROM. IS YOU
pPERCENT INCREASE IN THE COST OF
LIVING AS REFLECTED BY THE CP I
IN THAT SIXTEEN YEAR PERIOD. AND
YET WE RECEIVE SEVEN PERCENT
INCREASES OVER THAT SAME TIME SO
LOOK FOR YOUR HELP IN THE BUDGET
GOING FORWARD APPRECIATED TIME
THANK YOU.
WELCOME.
GOOD AFTERNOON MY NAME STACY
SASAN I AM A PROGRAM DIRECTOR AT
STRATEGIES TO EMPOWER PEOPLE
WHERE LOCAL SUPPORTED LIVING
AGENCY WE SUPPORT ABOUT THREE
HUNDRED INDIVIDUALS WITH
NTELLECTUAL DEVELOPMENTAL
DISABILITIES FROM. SANTA ROSA
ALL THE WAY TO YUBA CITY.
I'M HERE TODAY WITH DEBBIE AND
MARGIE AND ROSA AND WE'RE HERE
IN SUPPORT OF THE WOMEN
COALITIONS PROPOSAL AND IN
SUPPORT OF THE BRIDGE FUNDING
AND WE WANT TO TELL YU WHY.
FIRST IN TERMS OF HOUSING OF
THESE TWO LEADERS ARE VERY LUCKY
THEY HAVE HOUSING BUT WE NEVER
KNOW HOW LONG THAT'S GOING TO
LAST LITERALLY WHILE I WAS
SITTING HERE TODAY I GOT AN
EMAIL FROM A. LANDLORD.
WHERE GENTLEMANLY SUPPORTERS
BEEN LIVING FOR ABOUT TEN YEARS
AND YOU TOLD US THAT HE CAN NO
LONGER AFFORD TO RENT AT THAT
RATE AND SO HE'S DECIDED TO SELL
WE HAVE SIXTY DAYS? ARM TO FIND
HIM YOU HOUSING SO YOUR PRAYERS
AND GOOD WISHES AND THAT WOULD
BE GREATLY APPRECIATED AND.
I WE ALSO CAN'T TAKE REFERRALS
BECAUSE WE JUST CAN'T FIND
AFFORDABLE HOUSING OR STAFFING
AND SO NOW ON TO STAFFING.
THIS IS MARGIE MARGIE IS NOT A.
CARE PROVIDER SHE IS NOT A
PERSONAL ATTENDANT SHE'S A
DIRECT SUPPORT PROFESSIONAL.
SHE IS CPR AND FIRST AID CERT
SHE IS PROUD CERTIFIED TO
PROVIDE ENHANCED BEHAVIORAL
SUPPORT SHE IS CERTIFIED AND
PERSON SENATE ACTIVE SUPPORT AND
CERTIFIED TO INSTRUCT AND TRAIN
ON PERSONS INTERACTIVE SUPPORTS.
SHE IS CERTIFIED TO.
RIGHT AND.
IMPLEMENT.
AN INDIVIDUALIZED HEALTH CARE
PLAN FOR DEBBIE SHE WAS THE WORK
WITH DEBBIE FOR NINE YEARS AND
JUST HAVE CONTINUING EDUCATION
TO UPHOLD ALL OF THESE
CERTIFICATIONS AND MAINTAIN
THEM.
SHE DESERVES MORE THAN SOMEBODY
WHO PREPARED A BURGER TODAY FOR
LUNCH TIME ANSWERED ALL OF THE
OTHER EXPERT PROFESSIONALS.
AND I'M MARK THAT DEBBIE WOULD
LIKE TO TELL YOU THAT SHE HAS A
GREAT LIFE AND HAS HAD A GREAT
THE LAST NINE YEARS BECAUSE OF
MARGIN. SO.
RIGHT.
THANK YOU HALF.
I'VE BEEN THE LEAD SAY.
I'M BY KEEP MONTHS BAD.
I LOVE MIGHT STAB. MERTZ.
YEAH IN THE. WORLD TRIP THROUGH.
AND LUNCH WE HAD TO.
PLEASE.
BACK HERE. THANK YOU. THE WORD
IS ASKING FOR YOUR SUPPORT
BECAUSE I AM WE ARE THE SAFETY
NET AND WITHOUT THE SAFETY NOT
WITHOUT HOUSING WITHOUT STAFFING
THAT SAFETY NET DISINTEGRATES
AND SORT OF THE WOMEN ACT AND
IT'S YOUR DUTY AND OBLIGATION TO
UPHOLD WHEN.
FROM THANK YOU.
I KNOW WE'RE OUT OF TIME THERE
WERE A LOT OF OTHER PEOPLE HERE
EARLIER LOVINGLY PARA TRANSIT
WAITS FOR NO ONE SO WE TOOK
THEIR TIME OKAY.
WELL IF THEY DESIRE TO BE
CONSCIOUS WE HAVE OTHER PEOPLE
OF THINGS PRESENT WE'VE HEARD
THE YOU KNOW A LOT OF ISSUES
RELATED TO THIS AND PREVIOUS
HEARINGS AS WELL SO I MEAN BUT
GLORIA IS WORSE OR. GLOW WHEN I
GO AND COMFORT STUDENT
CONFERENCES THE STUDENTS THAT
ME.
THANK YOU FOR.
WHAT HE'S SAYING IS SHAPED LIKE
A REGIONAL FUNDING?
THE REGIONAL CENTERS TO START
FINING AGAIN SO SHE IS ALLOWED
TO GO TO THESE CONFERENCES WITH
DISABLED PEOPLE. AND SHE ALSO
NEED STAFF WHEN SHE GOES AND THE
STAFF NEEDS FUNDING TO BE ABLE
TO GO TO SUPPORT HER. THINK
ILLNESS I THANK YOU UNTIL
DRIVERS THINK YOU.
URGENT WITH UNITED CEREBRAL
PALSY KERN SACRAMENTO GOOD
AFTERNOON AND ONE DID. COME IN
SUPPORT FOR THE TWO PROPOSALS WE
HAVE A SOCIAL RACK AND THE
BRIDGE.
UNFORTUNATELY SINCE THE LAST
HEARING WE HAD DENOUNCED
CLOSURES OF TWO PROGRAMS SERVING
SIXTY SIX FOLKS.
SIXTY SIX PERCENT OF THOSE HAVE.
ARE NOT AMATORY.
SIXTEEN OF THOSE ARE KEY SEE
CLIENTS WITH WERE JUST WERE NOT
ABLE TO TAKE ADVANTAGE PREVIOUS
OPPORTUNITIES TO FUND THOSE
PROGRAMS WE'VE TO OPPORTUNITIES
TODAY.
REGARDING SOCIAL RACK WE
PREVIOUSLY FUNDED THREE PROGRAMS
AN AFTER SCHOOL PROGRAM
THERAPEUTIC HORSEBACK RIDING
PROGRAM.
AND I CAN'T PROGRAM FOR KIDS
WITH AUTISM ONE IS PROGRAMS HAD
TO SHUT DOWN.
BIG BECAUSE OF THAT THE OTHER
ONE SERVES A THIRD THE AFTER
SCHOOL PRIMARY KIDS WITHOUT
INSTANCE
SERVER THIRD OF THE KIDS THAT
THEY USE TO. ARM AND WE'VE BEEN
ABLE TO KEEP SOME CAMP SERVICE A
LOT BUT WE HAVE BEEN ABLE
EXPENSES AT THE FUND RATES FOR
ALL OF IT SO. THE FIFTY THREE
OPPORTUNITIES ARE HERE TODAY TO
FIND TO MAYBE MAKE A DIFFERENCE
AS A WAY FOR THE RATE STUDY
THANK YOU THANK YOU.
WITH AFTERNOONS CHAIRMAN AIMS
AND TONI AROUND IT AMBER
RESIDENTIAL CARE PROVIDERS
SERVICES HERE IN SACRAMENTO
COUNTY ALSO REPRESENTING SOME OF
THE BILL BILL BLIP IN A
COMMUNITY PROVIDERS. OF WE'RE
REALLY IMPACTED BY THE HELP OF.
A WAGE STILL COMPRESSION ISSUE
HERE ESPECIALLY WITH THE UC BE
CLOSING DOWN TO PROGRAMS AND NOW
ARE JUST A HAIR DEBT THERE'S NOT
A PROGRAM BEING CLOSED DOWN AT.
A RANCHO CORDOVA.
SO DESERTED THINKS THAT A REALLY
IMPACTING OUR SERVICES INCLUDING
MY STAFF ALSO NOT HAVING ALL
THOSE. OF YOU KNOW SERVICES THAT
YOU DON'T OWE WE WE'D WE DO NEED
SERVICE RATES COMPRESSION
MEASURES REALLY IMPACTING OUR
SERVICES THE HOPE YOU I URGE TO
THIS COMMITTEE TO PLEASE SUPPORT
THIS THANK YOU THANK YOU.
THANK YOU.
WELCOME.
MY NAME IS INTERNET RAN IT
ANTONIO EN IS MY FATHER I WOULD
JUST LIKE TO PIGGYBACK OFF WHAT
HE SAID AND EMPHASIZE THAT I
HAVE SEEN THE. BENEFITS THAT ALL
OF THE SERVICES HAVE PROVIDED
NOT ONLY FOR THE CLIENTS BUT
ALSO FOR THEIR CARE GIVERS AND I
HOPE YOU TAKE THAT INTO
CONSIDERATION. THANK YOU.
WELCOME HELLO I'M CAKE
IT'S-MILLER AND I HAVE A SON
THAT IS
TWENTY EIGHT YEARS OLD HE HAS
AUTISM HERE HAS SEIZURE
DISORDER.
AND HE'S COMPLICATED HE.
TALKS WITH A COMMUNICATION
DEVICE
BUT BEING AUTISTIC HE DOESN'T
REALLY CARE TO TELL YOU HOW HE
FEELS.
BUT HE WILL ASK TO GO TO
STARBUCKS LOVE STARBUCKS.
YOU NEED CARE GIVERS THAT.
DEVELOPER RELATIONSHIP GET A
REPORTER.
HE NEEDS HELP WITH.
SEIZURES IF HE HAS SEIZURES HE
NEEDS HELP WITH HIS
COMMUNICATION DEVICE.
HE'S ALSO TENDS TO BE
AGGRESSIVE SO HE NEEDS TO HAVE
SOMEBODY THAT HOUSE TRAINING
WITHOUT THAT HAS THE PASSION AND
THAT AND THAT. THE.
.
THE PATIENCE THE PATIENCE TO DO
THAT ELEVEN DOLLARS AN HOUR FOR
CARETAKERS DOES NOT DO IT AND
HE'S BEEN IN SUPPORTED LIVING
FOR ABOUT A YEAR AND A HALF NOW
WE'VE HAD AN OVERTURN OF OF CARE
GIVERS.
BECAUSE OF THAT ISSUE SO YOU GET
A GOOD ONE AND THEY MOVE ON.
SO THANK YOU VERY MUCH FOR
LISTENING. THANK YOU.
A LOCAL.
MY NAME'S REBECCA LABORIEL IN
WITH CREATIVE LIVING OPTIONS AS
WELL AS THE CALIFORNIA SUPPORTED
LIVING NETWORK AND TWO THOUSAND
NINE I REMEMBER.
THE STATE TELLING US TO TAKE
OUT SOCIAL RACK OUT OF
EVERYONE'S AYE PP AND I S. P.
PROGRAM SO. NO ONE WAS GOING TO
THE MOVIES THEN AND WE ALL KNOW
THAT PEOPLE LOVE TO GO TO THE
MOVIES WE LOVE TO GO TO THE
MOVIES AND WE KNOW THAT SOCIAL
RACK. IS IMPORTANT FOR ALL OF US
IN ALL OF OUR MENTAL HEALTH AS
WELL AS HOUSING WE ALL HAVE
HOUSING ISSUES. AND WE NEED IT
NEEDS TO BE FUNDED THANK YOU
THANK YOU.
WELCOME.
CURLING HOLDEN WITH EASTER
SEALS.
ARE OR IN SUPPORT OF THE
LETTERMAN A PROPOSAL WE BELIEVE
THAT HOUSING IS A MAJOR ISSUE.
AND THAT WE HAVE NOT NECESSARILY
ALWAYS BEEN ABLE TO ACCESS TO
REGULAR HOUSING. SUBSIDIES THAT
ARE AVAILABLE.
WE THINK LEVERAGING MISSING
GETTING US BETTER CONNECTED TO
THAT MAKES A IS A PROPOSAL MAKE
SENSE OR IN SUPPORT OF THAT. ARE
CLEARLY.
STAFFING IS BECOMING A MAJOR
ISSUE FOR EVERYBODY BOTH FOR
TURN OVER AS WELL AS FOR
ATTRACTING PEOPLE TO COME AND TO
BE ABLE TO BE PROVIDE SERVICE
AND NOT HAVE WAITING LISTS.
ALSO.
EASTER SEAL IN THE IN NORTHERN
CALIFORNIA HAS CAMP PARMON IN
SOUTHERN CALIFORNIA WE ALSO
OPERATE SERVICES.
AND WE END UP WITH A VOLUNTEER
FOR EVERYONE WHO COMES SO I
THINK WHEN WE'RE TALKING ABOUT
IT IS SOCIAL WRECK WE THINK OF
WELL.
ALL OVER A ALL OF US WILL PAY
FOR OUR SOCIAL AND RECREATIONAL
ACTIVITIES.
BUT WHAT ACTUALLY CALL COMES IN
THERE IS THE FACT THAT WE HAVE.
ADDITIONAL SUPPORT THAT'S NEEDED
YOU BENEFIT OF THE PEOPLE WHO
GET REFERRED TO SOCIAL CAMP.
RECREATION AND CAMP ARE NEED A
LOT OF ADDITIONAL ASSISTANCE
BECAUSE OF MEDICAL NEEDS A.
SURE PHARMACEUTICAL.
NURSE XTERRA SO THANK YOU. THANK
YOU.
HELLO MISTER CHAIRMAN IS BACK
BIRD I'M THE PRESIDENT OF THE
AUTISM SOCIETY OF CALIFORNIA THE
AUTISM SOCIETY INLAND EMPIRE AM
A PROUD AUTISM MOM. AND WE ALSO
ONE AS EXPRESS THEIR SUPPORT FOR
THE FIRST THREE PROPOSALS ON
SOCIAL RACK WE DID A SURVEY IN
DECEMBER SEVENTY PERCENT OF OUR
FAMILIES THAT'S THEIR NUMBER ONE
NEED MORE THAN EDUCATION AND
RESOURCES THEY WANT SOCIAL RACK.
AS YOU PROBABLY KNOW OUR
POPULATION HAS A HIGHER
INCIDENCE OF ANXIETY DEPRESSION
AND BOWLING SO SOCIAL RACK WOULD
HELP ALLEVIATE A LOT OF THOSE.
AT MARTY AMATO FROM CD CAN ALSO
WANTED TO EXPRESS HIS SUPPORT
FOR THIS ISSUE ON THE OTHER TWO
ISSUES I JUST WANTED TO REMIND
YOU THE CDC RELEASED ONE IN
FIFTY NINE CHILDREN HAVE AUTISM
NOW. ONE IN FORTY TWO ONE EVERY
FORTY TWO MINUTES A ARE NOW
ENTERING OUR REGIONAL CENTER
SYSTEM SO WE NEED FUNDING FOR
ADULT SERVICES BECAUSE WE'VE GOT
A WHOLE NOTHER WAVE COMING THANK
YOU.
THANK YOU.
WELCOME AFTERNOON I WOULDN'T
EVEN SAY ANYTHING EXCEPT I DROVE
ALL THE WAY UP HERE FROM THE BAY
AREA I JUST WANT TO SUPPORT ALL
THREE MY NAME IS MARGARET
FIREMEN I MADE. A C. E. O. OF
UNITED CEREBRAL PALSY THE NORTH
BAY AND I SIT ON THE POLICY
STRATEGY COMMITTEE.
WE NEED YOUR HELP
THEN I THANK YOU THANK YOU FOR
COMING HERE.
GOOD AFTERNOON LYNN DEPLORED
WITH BABY VARYING AND.
NAPA SOLANO CINEMA AND LAKE
COUNTIES.
I ECHO THE WORDS OF THOSE WHO
SPOKE OF CAMP AND SOCIAL AND THE
HOME SOCIAL RECREATIONAL
ACTIVITIES. BUT AS A PROVIDER OF
SUPPORTIVE LIVING SERVICES I
NEED TO SPEAK OUT ON THE BRIDGE
FUNDING. OF IT'S CRITICAL IT'S
ABSOLUTELY CRITICAL IDEA I LOSE
SLEEP EVERY NIGHT.
.
ESPECIALLY WHEN IT COMES TO
PAYROLL TIME WHETHER I CAN
MANAGE MY PAYROLL FOR MY
EMPLOYEES WHO CARE. OF A TWENTY
FOUR SEVEN FOR THE PEOPLE THAT
WE SUPPORT ARE ABSOLUTELY
CRITICAL. WERE FACED WITH A LOT
OF CHALLENGES.
GIVEN THAT THE UNEMPLOYMENT RATE
A SOLO WE IT IS IS A CHALLENGE
TO FIND STOP WHO'LL WORK FOR
SUCH A LOW RATE. AND THEN ADD TO
THAT THAT THE FLSA.
CHANGE THE OVERTIME RULES SO
ONCE WE HAD A FORTY HOUR MARKER.
GIVEN THAT WOULD JOINT EMPLOYERS
OF I JUST US IT'S REALLY REALLY.
A CHALLENGE FOR US TO TO PAY
THAT OVER TIME THAT BECOMES THE
AGENCY'S RESPONSIBILITY NOT AYE
HSS.
AND BEYOND THAT.
WOULD HAVE FUNDED FOR THAT OVER
IS CRITICAL AND SECONDLY. OF
JUST THE HOUSING VERY QUICKLY
CALIFORNIA'S AN AMAZING STATE TO
LIVE IN.
GIVEN THE POLITICAL CLIMATE THAT
WE'RE FACED WITH ACROSS THE
COUNTRY. I WANT TO LIVE IN
CALIFORNIA CALIFORNIA HAS TO DO
BETTER WHEN IT COMES TO HOUSING
FOR PEOPLE WITH INTELLECTUAL AND
DEVELOPMENTAL DISABILITIES THANK
YOU. THANK YOU.
I MY NAME'S MICHELLE HI ITEMS
SERVICE PROVIDER FROM THE LAST.
AND THE SERVICES THROUGH
INTERCONNECTED AS A CRITICAL
SERVICE FOR INDIVIDUALS
DEVELOPMENT DISABILITIES THANK
YOU. THANK YOU.
WELCOME
REBECCA LINE HIRED FROM THE LOS
ANGELES COUNTY AREA TERRIBLE
SOUL FOUNDATION SERVES OVER
SEVEN HUNDRED INDIVIDUALS ON A
DAILY BASIS ACROSS THE NORTHERN
PART OF LOS ANGELES COUNTY WHICH
OF COURSE HAS ACCELERATED
INCREASE IN MINIMUM WAGE.
LAST YEAR WE HIRED A HUNDRED AND
TEN NEW PEOPLE INTO OUR
ORGANIZATION. WE HAVE A STAFF OF
ABOUT THREE HUNDRED AND FIFTY
AND EIGHTY NINE OF THOSE
INDIVIDUALS LEFT ON DUE TO
WANTING TO HAVE A JOB FOR HIGHER
WAGES.
I CURRENTLY HAVE NINETEEN PEOPLE
WHO REQUIRE ONE TO ONE SERVICES.
IN INCLUSIVE SETTINGS JUST
WAITING FOR US TO HIRE THEIR
STAFF BILL APPROACH PROVIDE THEM
SERVICES ARE CURRENTLY SITTING
AT HOME.
WITH NOTHING LEFT TO DO SO I
URGE US TO THINK ABOUT AND
CONSIDER THE THE BRIDGE FUNDING
FOR US.
THANK YOU.
WELCOME GOOD AFTERNOON I'M CINDY
MCCAULEY EXECUTIVE. THERAPEUTIC
LIVING CENTERS FOR THE BLIND WE
PROVIDE SERVICES DAY IN
RESIDENTIAL SERVICES FOR PEOPLE
WHO ARE. INTELLECTUALLY AND
DEVELOPMENTALLY DISABLED AS WELL
AS VISUALLY IMPAIRED.
I'M IN SUPPORT OF THE TWENTY
FIVE MILLION DOLLAR BRIDGE
FUNDING I APPRECIATE YOUR TIME.
THANK YOU.
WHATEVER WITH FEATURES EXPLORED
APPEAR TO TALK ABOUT THE THREE
ISSUES WHICH IS LIVE WORK PLAY
WE NEED WORKERS IN ORDER TO
PROVIDE THE SUPPORT FOR FUEL TO
LIVE AND WORK AND PLAY IN THEIR
COMMUNITY.
THREE THESE THINGS REALLY
ADDRESS THAT OF THE LAST ONE WHO
TALKS ABOUT A GREAT AGENCY BUT
THERE ARE LOTS OF GREAT AGENCIES
BUT DUE TO LACK OF FUNDING THERE
ARE FEWER AND FEWER AND FEWER.
SO ONE AGES GETTING SPECIFIC A
SPECIFIC AMOUNT SET ASIDE REALLY
DOESN'T HELP ALL THOSE OTHER
GREAT AGENCIES THE OTHER THREE
HUNDRED AND EIGHTEEN THOUSAND
PEOPLE NEED SUPPORT THANK YOU.
THANK YOU.
HOW THE?
BUT I'M MARY NAVARRO ON THAT
PARENT OF THE YOUNG MAN IT'S
BEEN IN SUPPORTED LIVING FOR
TWELVE YEARS.
WHEN HE FIRST STARTED SUPPORTIVE
LIVING HE HAD.
YOU KNOW LOUDEST STAFF IT WAS
THERE WASN'T SO MANY NEW PEOPLE
COMING INTO THE SYSTEM DOESN'T
AUTISM. OF.
SYNONYME COMING.
OTHER ADULTS AND SO ALL OF THESE
PEOPLE ARE GOING TO NEED
SERVICES.
AND I WE HAVE BEEN LOOKING FOR
STAFF.
HE IS TO HAVE NINE IN ROTATION.
HE WOULD BE IN A DEVELOPMENTAL
CENTER. IF THIS SUPPORTED LIVING
HAD A. AGENCY HADN'T TAKEN OVER
HIS CARE.
AND SO NOW WE'RE DOWN TO JUST
FOR.
AND THESE GUYS ARE GETTING WORN
OUT.
AND.
WE'VE BEEN TRYING TO HIRE
SOMEBODY FOR OVER A YEAR.
WE GET PEOPLE AND THEY'RE NOT
QUALIFIED.
AND IT'S NOT ACTUALLY A
DANGEROUS SITUATION WATERWAYS.
BECAUSE YOU NEED THEY HAVE
SEIZURES A HAVE MEDICAL ISSUES.
AND IT'S A VERY SCARY.
AND ON THE HOUSING AND.
WE HAD MANY OPPORTUNITIES FOR
APARTMENTS AND HOMES.
AND NOW THIS THE RENTS HAVE JUST
SKYROCKETED.
AND THERE'S VERY VERY FEW ARE
PART OF IT IS THE. RECOVERY.
THE RECOVERY AND ALL THE PEOPLE
THAT BY INVESTORS CAME IN AND
BOUGHT UP ALL THEIR PROPERTY.
SO. THE RENTS ARE RIDICULOUS.
I THINK ANYWHERE APPRECIATE YOUR
TIME THANK YOU THANK YOU THANK
YOU.
COMPARE ROBERT HARRIS ON BEHALF
OF SERVICE EMPLOYEES
INTERNATIONAL UNION SPEAKING
ABOUT THREE ISSUES. ALWAYS
SUPPORT THE SOCIAL WRECKED
RESTORATION THAT'S VERY
IMPORTANT.
THE BRIDGE FUNDING ISSUE IS
CRITICAL OF ONE NEW WANTS TO
THAT AND PEOPLE OUT OF ALLUDED
TO IT. IS THAT.
SOMEONE WHO'S PAYING EVERYONE
MINIMUM WAGE AND THE MINIMUM
WAGE GOES UP.
THEY GET IT WE WANT TO MAKE SURE
THAT PEOPLE WHO ARE PAYING ABOVE
MINIMUM WAGE FOR DOING THE RIGHT
THING BY THE WORKERS AND
RETAINING STAFF.
PROVIDE MORE SKILLED CARE. THAT
THEY ALSO GET IT SO THAT THEY
DON'T GET.
YOU TALK ABOUT WAGE COMPRESSION
WHEN SOMEONE'S DOING THE RIGHT
THING AND RAISE A LOT OF MONEY.
AND PROVIDING GOOD CARE AND THEN
EVERYONE ELSE GETS A BOOST.
BECAUSE BAY MORE PAN MEANT MORE
THAN MINIMUM WAGE THAT'S UNFAIR
SO WE'D LIKE TO SEE THAT.
THEY TO TAKEN INTO ACCOUNT
THE THIRD THING IS. THE THE
COALITION'S PROPOSAL.
IS IMPORTANT ONE WAY.
THE ES.
JORDAN SAT THESE FACILITIES WERE
CREATED NOT JUST FOR LIVING. BUT
FOR ALSO TO PROVIDE SERVICES FOR
PEOPLE AND THEY WERE LONG TERM
INVESTMENTS THOSE INVESTMENTS.
CAN'T BE TAKEN AWAY AND BUT THE
ALL MONEY SHOULDN'T BE LOCKED IN
PERPETUITY FOR HOUSING THAT'S A
CRISIS NOW. BUT A BIGGER THINGS
HAPPEN LATER WE'D LIKE TO.
MAKE SURE THAT THOSE COULD TAKE
CARE OKAY THANK YOU.
I DON'T THINK EVERYONE WHO GAVE
PUBLIC TESTIMONY.
WE ARE GOING TO HOLD THE EACH
OF THE ITEMS OPEN BECAUSE WE'RE
STILL WAITING FOR MAY REVISE MY
CHERRY.
SUPERIOR HERBS CAN BE TOMORROW.
SO WE LOOK FORWARD TO SEEING.
WHAT THE GOVERNOR'S PRIORITIES
ARE BUT ALSO WE WILL BE DECIDING
OUR OWN PRIORITIES AS WELL?
SO AGAIN THANK YOU.
RIGHT SO WE'LL MOVE ON TO.
DEPARTMENT SOCIAL SERVICES WE
HAVE A STAKE HOLDER PROPOSAL FOR
STATE APPROPRIATION FOR
HOLOCAUST SURVIVORS.
SO.
SEAFOODS PRESENTING.
SHE IS PRESENTING THIS ONE.
OKAY THAT OFFERED FOR OKAY
WELCOME.
AND IF YOU CAN KEEP YOUR MARKS
THE. THREE MINUTES OR LESS LESS
WORKS TO.
APPRECIATED WELCOME.
I I WROTE THIS ESSAY GOOD
MORNING BY I THINK IT'S REALLY
GOOD AFTERNOON IS GOOD AFTERNOON
IT'S MID AFTERNOON.
I HAVE YET TO OPERATE AND I'M
HERE ON BEHALF OF THE JEWISH
FAMILY SERVICE AGENCIES FROM
ACROSS THE STATE BUT THAT JUST
GOT OUT. I'M AND WE'RE HERE
TODAY TO REQUEST YOUR SUPPORT
FOR THE CALIFORNIA HOLOCAUST
SURVIVOR ASSISTANCE PROGRAM.
AS MANY OF YOU PROBABLY SAW LAST
MONTH AT THE ANNUAL HOLOCAUST
SURVIVOR. A REMEMBRANCE
CEREMONY.
FEWER AND FEWER SURVIVORS ARE
ABLE TO MAKE THE TRIP HERE DO
THEIR AGING FRAILTY.
AND THIS IS THE REALITY THAT%
WE'RE SEEING EVERY DAY AS HALL
BECAUSE SERVICE PROVIDERS.
WE ARE SEEING THE LONG TERM
CONSEQUENCES OF A LIFE FORTUNE
TRAUMA. AND THE WILL TO SURVIVE
ON IMAGINABLE FOR. THE CHILDREN
AND TEENAGERS WHO SURVIVED ARE
NOW IN THEIR EIGHTIES AND
NINETIES
PEOPLE WHO WORK CARE GIVERS ARE
NOW TURNING US NEEDING FOR CARE.
THE STATE TREASURER'S OFFICE
ESTIMATES THAT ARE FIFTEEN TO
TWENTY THOUSAND HOLOCAUST
SURVIVORS CURRENTLY LIVING IN
CALIFORNIA.
IT THE CURRENT STATE FEDERAL AND
PRIVATE FUNDING.
STILL LEAVE MORE THAN ONE THIRD
OF THE HOLOCAUST SURVIVORS
LIVING IN CALIFORNIA LIVING AT.
THE POVERTY LEVEL OR BELOW.
EVEN LEVERAGING EXISTING
PROGRAMS THAT THERE ARE WAIT
LISTS AND UNMET NEEDS.
THIS APPROPRIATION WILL ENSURE
THAT HOLOCAUST SURVIVORS ARE
ABLE TO LIVE IN DIGNITY IN THEIR
COMMUNITIES.
IN A WAY THAT IS RESPONSIVE TO
THE TRAUMAS THEY EXPERIENCED.
I JUST WANNA TELL YOU ABOUT ONE.
ONE JFS CLIENT.
ROSES NINETY.
AND IN NINETEEN FORTY.
WHEN SHE WAS TWELVE YEARS OLD.
SHE AND HER FAMILY WERE KICKED
OUT OF THEIR HOME IN AUSTRIA.
HER PARENTS.
OR SHORTLY THEREAFTER MURDERED.
TODAY.
SHE'S A WIDOW.
SHE STILL MISSES HER HUSBAND.
SHE HAS MYELOMA WHICH
NECESSITATES ONGOING MEDICAL
CARE.
AND HER SON AND DAUGHTER LOW ARE
ABLE TO PROVIDE EMOTIONAL
SUPPORT BUT SHE NEEDS ONGOING
CARE.
AND SHE CAN'T AFFORD EVEN
GROCERS.
SHE'S ON THAT ALL SHE HAS IHS
ASKS.
BUT SHE'S ON LOW FIXED INCOME.
THANKS TO HER JAFFA SOCIAL
WORKER SHE IS RECEIVING EVERY
BIT OF HELP THAT WE CAN PROVIDE.
BUT IT ISN'T ENOUGH.
AND SHE'S JUST ONE OF ABOUT
THIRTY THREE HUNDRED SURVIVORS
THAT ARE SERVED BY JEWISH FAMILY
SERVICE AGENCIES ACROSS THE
STATE RIGHT NOW.
UNFORTUNATELY MANY OF OUR
PROGRAMS STILL HAVE WAIT LISTS.
THROUGH THIS ONETIME
APPROPRIATION YOU CAN MAKE SURE
THAT ROSA AND SURVIVORS LIKE HER
CAN LIVE OUT THE REST OF THEIR
LIVES WITH DIGNITY AND IN THE
COMMUNITY.
TOGETHER WE CAN HELP PREVENT THE
VERY ISSUES THAT HOLOCAUST
SURVIVOR SHOULD NEVER EVER HAVE
TO FACE AGAIN. POVERTY
HOMELESSNESS EVICTION HUNGER
LACK OF MEDICAL TREATMENT.
WE HAVE A MORAL AND PROFESSIONAL
OBLIGATION TO CARE FOR HOLOCAUST
SURVIVORS IN A WAY THAT ALLOWS
THEM TO LIVE OUT THE REMAINDER
OF THEIR LIVES WITH DIGNITY.
GRACE AND RESPECT THANK YOU.
THANK YOU.
COMMENCEMENT LEóN. FINANCE.
ALRIGHT TO UPLOAD COMMENT.
BRUCE PALMER.
JEWISH COMMUNITY RELATIONS
COUNCIL OF SACRAMENTO IN STRONG
SUPPORT OF THIS PROPOSAL. ALSO
STANDING IN FOR CLIFF BERG SHAPE
PACKED JEWISH PUBLIC AFFAIRS
COMMITTEE.
THANK YOU.
WELCOME.
HELLO MY NAME IS G. O'DONNELL
OUR CATS AND I'M HERE
REPRESENTING JEWISH FAMILY AND
CHILDREN'S SERVICES OF THE SAN
FRANCISCO BAY AREA.
WE SERVE OVER EIGHTY THOUSAND
INDIVIDUALS A YEAR FROM THE FIVE
COUNTY REGION OF SAN FRANCISCO.
AND SAN MATEO SANTA CLARA MARIN
AND. SONOMA COUNTIES AND ABOUT A
THOUSAND OF THOSE CLIENTS ARE
HOLOCAUST SURVIVORS.
TWENTY THAT THAT THAT RECEIVE A
RANGE OF SERVICES TWENTY TO
THIRTY PERCENT OF THAT NUMBER
STILL HAVE SIGNIFICANT UNMET
NEEDS.
AND THIS APPROPRIATION WOULD
HELP AGENCIES LIKE OURS WHO HAVE
EXPERTISE IN SERVING THIS
POPULATION TO MEET THE NEEDS.
THE UNMET NEEDS OF MANY OF THOSE
INDIVIDUALS AS WELL AS EXPAND
OUR SERVICES.
I DON'T NEED TO REMIND ALL OF
YOU BUT I WELL. VATS.
YEAR AFTER YEAR WE HAVE SEEN
CUTS OR FLAT FUNDING FOR THE
PROGRAMS.
STATE AND FEDERAL PROGRAMS THAT
SERVE FRAIL AND LOW INCOME NEEDY
SENIORS.
AND THE WINDOW IS CLOSING FOR US
TO REALLY MAKE A DIFFERENCE IN
THIS SET OF INDIVIDUALS LIVES
AND SO IN THIS YEAR WHEN THERE
ARE MORE RESOURCES AVAILABLE. WE
ARE HOPING THAT YOU WILL SEE
THAT THIS IS THE TIME TO HELP
THIS GROUP OF INDIVIDUALS THINK.
BOB. MISTER CLINTON MEMBERS TO
TONY GONZALEZ ON HERE HERE ON
BEHALF OF THE HOME CARE
ASSOCIATION OF AMERICA AND
STRONG SUPPORTER THE PROPOSAL.
BUT ALSO SPEAKING UP PERSONALLY
AS SOMEONE WHO HAS WORKED WITH
HOLOCAUST SURVIVORS.
I WAS VERY HAPPY TO LEARN THIS
PROPOSAL IN STRONGLY DORSET
THANK YOU.
I'VE QUESTION ABOUT THE
PROPOSAL'S THIS ASSEMBLY MENTION
PEOPLE POVERTY IS THIS CAN BE
FOCUSED ON.
SURVIVORS WHO ARE IN POVERTY
ARE IS.
AND THAT WAS A CLEAR INSISTS
THAT.
EDITORS THIS TARGETED TO OURS IT
JUST IT IT'S TARGETED TO THOSE
SURVIVORS STORY OF HIGHEST NEED
EACH OF OUR AGENCIES SERVICE POP
SERVES.
THOSE A HOW HOW THIS SUBJECT WE
HAD SO DUE TO SOME OF MY HUESO
HOUSES MOST MOST OF THESE ARE
AYE I WOULD SAY.
ARM THE VAST MAJORITY OF THE
SURVIVORS THAT WERE SERVING ARE
LIVING IN ABJECT POVERTY SO THIS
PROPOSAL DOESN'T DEFINE IT
EXCEPT FOR THE FACT THAT BY
DEFINITION THE PEOPLE WERE
SERVING ARE THOSE WHO ARE LIVING
IN POVERTY. THEY ARE AT.
.
THE NEEDS AND SAN DIEGO THERE
LOOK THEY DON'T HAVE ENOUGH.
ROOM IN THE HOME DLIVERED MEALS
THAT'S A THAT'S AN INCOME BASED.
POPULATION I'M OKAY SAYS SO THIS
WOULD BE TARGETED TOWARD. THE
BASICALLY DID IN ORDER TO.
PRESENT WAS A CLEAR THE
PROPOSAL THAT SO BASICALLY.
IT IS TARGETED TO THOSE OF
HIGHEST NEED IN THOSE AT HIGHEST
NEED ARE THOSE AT THE LOWEST
INCOMES OKAY SO. BUT IN THE
REQUEST IS IS THAT THESE WOULD
BE FOR SURVIVORS WHO ARE BELOW
POVERTY.
IT WOULD BE FOR ANY SURVIVORS TO
HAVE UNMET NEEDS AND THOSE NEEDS
ARE HIGHEST OKAY AS YOU HAVE A
LOWEST INCOME BUT WE WOULDN'T BE
EXCLUDING SOMEONE INHERENTLY
ABOVE THE. POVERTY LEVEL BECAUSE
WE KNOW THAT BY DEFINITION ARE
GAPS IN SERVICE. AND ELIGIBILITY
FOR PEOPLE WHO ARE AT THE
POVERTY LEVEL BUT UNDER THE
SUPPLEMENTAL POVERTY LEVEL FOR
EXAMPLE THEY WON'T QUALIFY FOR
SERVICES.
OKAY AND SO THIS IS A WAY TO
ADDRESS THOSE KINDS OF GAPS.
ALRIGHT OKAY THANK YOU CHUCK
ALRIGHT.
OKAY WELL THANKS VERY MUCH WILL
HOLD THIS ITEM OPEN AND OKAY
ENTITY.
OKAY. WE NOW HAVE.
.
I GUESS CALL MISCELLANEOUS BUT.
THEY SERVE ACROSS DIFFERENT
DEPARTMENTS.
VARIOUS DEPARTMENTS. SO.
FIRST WILL HAVE SICKLE CELL
DISEASE FOUNDATION CENTER FROM
HERE BLOOD DISORDERS THE SICKLE
CELL REGIONAL COLLABORATIVE HAS
PROPOSAL FOR THE CALIFORNIA
SICKLE CELL ACTION PLAN.
ALRIGHT.
DIGITAL ATTEMPTS I CAN'T REPLY.
PLEASE HAVE YOUR PHONE TIME
THING.
OKAY.
I THINK.
CHARGES.
OKAY SO.
HOW MEAT IS SO?
THREE MINUTES FOR THE TOTAL
PRESENTATIONS SIR HOW MANY
PEOPLE PRESENTING HERE REMAIN AS
FOR THE TOTAL WERE ON. OKAY ALL
RIGHT SO THE ACHES REMIND PEOPLE
BECAUSE.
YOU'VE GOT TO.
HER. OKAY SO EXACTLY WHAT YOU
FIRST INTRODUCE YOURSELVES THAT
DOESN'T COUNT AGAINST YOUR TIME
AND THEN WE WILL THAT A GUY AND
THEN.
WELL I STORY PRESENTATION SO.
FOR THE RECORD.
I'M TO A MUTUAL I MADE.
PEDIATRIC A POSITION TAKEN CARE
OF ADULTS AND CHILDREN WITH
SICKLE CELL FOR THIRTY YEARS
THANK YOU.
JERRY BROWN PRESIDENT CEO SICKLE
CELL DISEASE FOUNDATION OF
CALIFORNIA.
THINKING AND I'M LAST JONES HOW
A PERSON WITH SICKLE CELL ANEMIA
AS WELL AS MENTOR.
FOR THE TEENS TRANSITIONAL
GROUP FOR THAT FOUNDATION.
OKAY A WHICH COULD BEGIN OVER
SIR.
THANK YOU DOCTOR PAN AND AND
MEMBERS OF THE COMMITTEE.
KUMASI WAS THIRTY SEVEN CHAU
LORIAN TWENTY. AND MIA
SEVENTEEN.
ALL CALIFORNIANS.
WHO DIED FROM COMPLICATIONS
ASSOCIATED WITH SICKLE CELL
DISEASE IN THE LAST TWO YEARS?
WAYNE MY BROTHER ALLOWS FIFTY
EIGHT. JUST THREE OF THE MANY
PEOPLE LIVE NOW.
HAMAS IS SHINWARI AND LIVED IN
LOS ANGELES. WE OTHER DECEMBER
DINO. AND MY BROTHER IN LAW
LIVED IN ATLANTA.
I'M NOT SURE HE WOULD HAVE
SURVIVED TO BE FIFTY EIGHT YEARS
OLD IF HE LIVED HERE IN THE
STATE OF CALIFORNIA.
DUE TO THE LACK OF RESOURCES AND
ACCESS TO CARE.
ARM BOB IT WITH THE PACIFIC
SICKLE CELL REGIONAL
COLLABORATIVE. GIVES SKILLS AND
PARTNERSHIPS AND EXPERTISE.
TO HOPE TO ALLEVIATE A PROBLEM
THAT'S LARGE IN THE STATE OF
CALIFORNIA.
TRANSFORMING HEALTH CARE IS NO
EASY TASK WE KNOW THAT. IT WILL
TAKE DECADES WE KNOW THAT AS
WELL. BUT WE ARE HERE TODAY. IN
THE HOPE THAT WE CAN EXPAND LIFE
TO SAVE LIFE INTO MORE QUALITY.
FOR PEOPLE WHO HAVE SICKLE CELL
DISEASE.
PATRONAGE.
THANKS AYE I'LL GET RIGHT TO THE
POINT.
I'VE REPRESENT THEIR PACIFIC
SICKLE CELL FOUNDATION AND AND
MANY STAKEHOLDERS AND I'M HERE
TODAY BECAUSE THE LIFE
EXPECTANCY FOR SICKLE CELL HAS
NOW IN CALIFORNIA. IS NOW THE
LOWEST IN THE COUNTRY IT'S
DROPPED BELOW FORTY YEARS AND
THAT'S IN STARK COMPARISON TO
THE MID FORTIES ALLAH IN OTHER
PARTS OF THE COUNTRY AND SEVENTY
NOW IN THE UK.
OF THE GAP IS NOT IN PEDIATRIC
CARE THAT'S GREAT IT'S WHEN OUR
PATIENTS TRANSITION. TO ADULT
CARE AND SO WE REALLY NEED TO
OPEN UP FIVE KEY ADULT CENTERS
IN AREAS OF GREATEST NEED.
THAT WILL PREVENT PATIENTS FROM
GOING TO EMERGENCY ROOMS WHERE
THEY DON'T GET CONTINUITY OF
CARE WHERE THEY DON'T HAVE THEIR
DISEASES ADDRESSED. SO WERE AT
RESPECTFULLY HOPING THAT WE'LL
GET SOME FUNDING TO DO THAT IN
IN PARTNERSHIP WITH THE STATE
WILL MAKE THEM SUSTAINABLE. AND
GO ON THE HOPE AND FUTURE OF OUR
YOUNG PATIENTS LIKE THE ONE
YOU'RE ABOUT TO HEAR FROM DEPEND
ON IT THANK YOU.
SO MY NAME IS LAST SHOWN THEM A
PERSON WITH A SEVENTEEN YEAR I
HAVE BEEN WORKING ALONG WITH THE
FOUNDATION FOR. THE PAST DECADE
NOW.
BASICALLY I'M JUST NOT BE FRANK
SICKLE CELL DESTROY CHABAD.
LOOKING ON THE SURFACE ON THE
U. WHEN I GUESS IT BUT I HAVE
SPENT EVERY SINGLE YEAR OF MY
LIFE IN THE HOSPITAL. I'M GOING
ON THIRTY IN TWO MONTHS.
THE LIFE EXPECTANCY IN SOUTHERN
CALIFORNIA IS THIRTY FIVE YEARS
OLD.
EVEN STILL WITH MY
COMPLICATIONS ARE PAST SEVEN
SURGERIES.
I HAVE TO SCHEDULED.
HIP REPLACEMENTS COMING UP.
AND I AM STILL PROUD TO BE A
GRADUATE OF PSYCHOLOGY IN THE
NEXT SEMESTER I AM ALSO A MUSIC
ARTISTS DIED IN FIFTY PLUS
COUNTRIES IN EVERY. MUSICAL
PLATFORM.
AND THAT'S JUST A TRIUMPHANT
STORY ABOUT AMBITION.
THERE ARE MANY OF MY FRIENDS
WHO HAVE LOST.
WHO HAVE NOT HAD THE THE
RESOURCES THAT I'VE HAD? AND IS
DUE TO THE FOUNDATION MERRY
BROWN AND WHY WE'RE DOING
MEDICALLY NOW FOR I DON'T CARE
THAT WE NEED YOUR ASSISTANCE.
YOU.
COMES FROM ALEJO.
OKAY FINANCE.
THE PUBLIC COMMENT.
OKAY. NO PUBLIC.
EVER THANK YOU SO MUCH FOR
PRESENTING AT A THINK OF WHAT'S
MOST TELLING IS THE DISPARITY IN
THE.
OUTCOMES INCLUDING THE LIFE
EXPECTANCY WE HAPPENED
CALIFORNIA BEING SO MUCH LOWER.
AND.
EACH SURE THAT'S NOT SOMETHING
YOU WANT TO HEAR HAS A SUFFERS A
SICKLE SO WE NEED TO DO BETTER
HERE CITY CALIFORNIA.
SO POPPING THAT.
WE CAN TAKE A LITTLE THEY'LL
TAKE A TAKE A LOOK AT THIS
PROPOSAL. AND WE NEED TO BETTER
MANAGE CHRONIC DISEASE OVERALL.
SICKLE CELL PARTICULAR. AND.
AND AND TREAT THE CENTERS OF
EXCELLENCE FOR WE CAN PROVIDE
BEST PRACTICES AND THEN AND GET.
PEOPLE LIKE YOU DID CARRIED CARE
YOU NEED SO I APPRECIATE THE
PRESENTATION.
THANK YOU ALL RIGHT WILL HOLD
THIS ITEM OPEN.
OKAY.
OKAY SO THAT'S NEXT WOMEN'S OKAY
SO WE HAVE THE LEAD
CERTIFICATION APPLICATION
PROCESSING SIR AND CALIFORNIA
COUNCIL SEAT OF LABOR'S HERE.
WELCOME.
KEEP YOUR PRESENTATION THE THREE
MINUTES OR LESS.
GOOD AFTERNOON MISTER CHAIR AND
HUMANITY HERE WAY THAT I CAN
MOSTRADO JEAN ADVOCACY ON BEHALF
OF THE CALIFORNIA STATE.
COUNCIL OF LABORERS BY OUR
PROPOSAL DOES TWO THINGS FIRST
WE SEEK TO RAISE THE LEAD
CERTIFICATION APPLICATION FEE
pFIVE DOLLARS. AND THAT HE HAS
NOT BEEN CHANGED FOR TWENTY FIVE
YEARS OUR MEMBERS TYPICALLY PAY
THIS FEE I AND AND. WE ARE.
FACING SOME DELAYS WITH THE
PROCESSING OF THE APPLICATIONS
AND SO WE ARE WILLING TO WORK
WITH DEPARTMENT.
TO IDENTIFY WHAT WOULD BE AN
APPROPRIATE INCREASE WE WERE
THINKING AROUND TEN TO TWELVE
DOLLARS.
BUT WE THINK THAT INCREASE
COULD HELP SUPPORT AN ADDITIONAL
STAFF PERSON TO REVIEW THE
APPLICATIONS.
WE ARE EXPERIENCING A SURGE OF.
OUR MEMBERS THAT ARE SEEKING.
CERTIFICATION IN THE SPACE FOR
A LEAD ABATEMENT ESPECIALLY
ADMITS THE WILDFIRE.
CRISIS THAT THE STATE HAS
EXPERIENCED TIME AND FURTHERMORE
AT THIS PROPOSAL WILL NARROW
DOWN THE APPLICATION TIMELINE
FROM A HUNDRED TWENTY DAYS TO
SIXTY DAYS AS WELL WHICH WE
THINK.
YOU KNOW WOULD HELP GET OUR
MEMBERS I'M CERTIFIED FOR IT LET
CONSTRUCTION SERVICES.
THANK YOU COMING FROM ELIOT.
I'M THE ONLY THING ERR WE WOULD
SAY IS THAT THIS THIS ISSUE OF
PROCESSING TIMES AT THE
DEPARTMENT OF PUBLIC HEALTH HAS
COME UP A NUMBER OF TIMES OVER
THE COURSE OF HEARINGS THIS
SPRING AND. ON THERE'S NOT A LOT
OF TRANSPARENCY INTO WHAT THOSE
PROCESSING TIMES ARE SO LIKE
SOME OTHER PROPOSALS IT ME AND
IF THE LEGISLATURE WERE TO ADOPT
THIS HAVE ME.
THE A GOOD IDEA TO INCLUDE SOME
KIND OF.
METRICS ALONG WITH IT TO SEE IF
IT'S ACTUALLY IMPROVED THE
PROCESSING TIMES.
DOT OF AN EXCELLENT POINT
Q. FINANCE.
OKAY WELL ABOVE.
THANK YOU FOR THE PROPOSAL ANY
I'D MAKE NOTE THAT WE'RE TRYING
TO DO IS MEAN THINGS WAS A
HUNDRED TWENTY SIXTY DAYS I MEAN
IT'S FOUR MONTHS.
TO DOUBT AND FUNDS ON S. WAIT
FOR MONTHS TO GET CERTIFIED THAT
MEANS THAT PERSON AVAILABLE TO
DO THE WORK. AND SO AND WE HAVE
A LOT OF PEOPLE WAITING AND.
THE AND OF COURSE WANT TO BE
ABLE TO DO THE LATE LEAD
ABATEMENT.
TO KEEP.
THAT CREATES SAFE ENVIRONMENT
FOR. I THINK WAY THINK ABOUT
KIDS I THINK FOUR MONTHS IS A
LONG TIME THE LIFE OF A CHILD.
AND IF THAT MEANS THERE'S A
DELAY IN PEOPLE BE ABLE TO GET
THE CERTIFICATION BILL DO THE
WORK THAT THERE'S A MAN FOR.
THERE'S A WAY WE CAN SHORTEN
THAT NAY AGREED WITH ELLIOTT TO
WE NEED TO FIND OUT WHAT THE
ROOT OF THAT I APPRECIATE YOU'RE
WILLING TO PUT UP AN INCREASE
FEES SO WE GET MORE MONEY IN
THEIR SOME AS WE HOPE BY PUTTING
MORE MONEY IN THERE. BUT WE ALSO
NEED BE SURE THAT AND VIRTUALLY
SEE.
SEE FEATURES AND HERE TO TALK
ABOUT THE MANAGEMENT PROGRAM BUT
WHAT WE CAN TRY TO DO TO TO TO
MAKE THAT WORK FASTER SO.
MAYBE YOU CAN ASK QUESTIONS.
DEPARTMENT HIS FOLLOW UP AS WELL
OKAY THANK YOU SO MUCH
APPRECIATE THAT THINKING YOU ARE
RIGHT.
NEXT TO A PROPOSALS HOUSE BILL
DETOXIFICATION SERVICES IN THE
DRUG MEDI CAL ORGANIZED DELIVERY
SYSTEM.
ALRIGHT AND WE.
HAVE THE TELFER ASSOCIATION
ALCOHOL DRUG PROGRAM EXECUTIVES
OKAY WELCOME.
SAMETIME REMARKS I MADE FOR.
BUT MISTER CHAIRMAN HOLDING
MEASURE MAY HAVE THE CALIFORNIA
ASSOCIATION OF ALCOHOL AND DRUG
PROGRAM EXECUTIVES OF. THIS IS A
PROPOSAL FOR TWENTY FIVE MILLION
DOLLARS FOR HOSPITAL DE TAX
UNDER THE.
ORGANIZED A DELIVERY SYSTEM OF
THE NEW WAIVER PROGRAM UNDER
MEDICARE OUT.
A THE A ANALYSIS.
IS ABSOLUTELY CORRECT IN.
EXPLAINING THE ISSUE. ARE AND
DOWN UP WE CAN ONLY SAY THAT
THIS IS AN INVESTMENT. UP THAT
THE STATE SHOULD UP SERIOUSLY
THINK ABOUT.
THE OF FEDERAL OF FINANCIAL
PARTICIPATION IS AT NINE DOLLARS
TO ONE.
I SO IF.
YOU WERE GIVING ME.
.
IF I WERE TO GIVE YOU IF YOU
WERE TO GIVE ME A DOLLAR AND I
GIVE YOU BACK NINE. I IT WOULD
BE QUITE A BARGAIN SO OF THE
FEDERAL PARTICIPATION ON THE FFP
AND THIS YEAR'S AND NINE TWO
ONE.
OF BECAUSE IT IS PART OF THE
WAIVER AND IT IS PART OF THE
DEMONSTRATION PROJECT.
IN ADDITION THE OTHER PART OF
THE INVESTMENT IS THAT. ONCE
DETOX SERVICES ARE PROVIDED AT
THAT ARE.
IT IS THE GATEWAY FOR PEOPLE TO.
ENTER INTO RECOVERY AND THEN.
THE.
IS THERE A BENEFIT TO THE STATE
IS A RETURN ON SEVEN TWO ONE FOR
THOSE DOLLARS.
SO I'M WE THINK THERE IS A AND
INVESTMENT IN TERMS OF MONEY WE
ALSO THINK IT'S AN INVESTMENT IN
TERMS OF PEOPLE BECAUSE
SUBSTANCE USE TREATMENT DOES
SAVE LIVES IN THIS IS THIS IS
THE PLACE THAT THE RUBBER HITS
THE ROAD IN TERMS OF SAVING
LIVES.
THANK YOU.
CUCUMBERS FAMILIAR.
FINANCE
OKAY PUBLIC COMMENT.
OKAY WELL A SO YOU'RE TELLING ME
IT'S SEE ONE TO NINE MATCH FOR
FEDERAL MONEY AND THEN THE ONE
THE SEVEN AND IMPROVE IT SO
THAT'S LIKE A. ONE DOLLAR TAX
SIXTY THREE.
I GET THAT RIGHT NOW.
I DON'T KNOW.
SEVEN TEN TONIGHT IF IF IF IT'S
THAT SHOULD NINE TWO ONE WOULD
BE TWO HUNDRED TWENTY FIVE
MILLION ON A TWENTY FIVE DOLLARS
THAT IS A IS LIKE RIGHT WE PUT
IN ONE DOLLAR AGAIN NINE TO ONE
MAN.
EACH ON THE FEDERAL SIDE GREAT
BUT THE SAVINGS WE GET FOR TO
SERVICES YOU TOLD ME WAS ONE AND
SO EVERY DOLLAR WE FIT IN WE GET
SEVEN DOLLARS IN TERMS OF THE
AYE SO.
SO BUT YOU'RE STILL A BUT IN
ORDER TO PROVIDE THE SERVICES
YOU'RE YOU'RE YOU'RE ONLY. IT'S
ONLY GOING TO COST YOU ONE
DOLLAR INSTEAD OF GREAT INSTEAD
OF RIGHT SENATE'S THAT'S BECAUSE
IS SAYING SOUNDS LIKE A BARGAIN.
ARROGANT SAYING ALRIGHT THANK
YOU. THINKING SUCH RIGHT WILL
HOLD THAT ITEM OPEN.
OKAY.
EXTENSION CLARIFICATION MEDICAL
INTERPRETERS PILOTS
S. MEANS THE BARREN ALISON.
THANK YOU ALL FOR YOUR PATIENCE
NOTES.
WE WE AND SOLVE THIS THING
ALREADY.
BUT WE USED TO HAVE LIKE A
MEDICAL TRIP FOR SINGLE AND
READY LATE WORKING ON IT OKAY
ALRIGHT WE'LL WELCOME.
THANK YOU DOCTOR PAN.
TAKES THE MEMBERS OF THE
COMMITTEE WASN'T ARE HERE TO.
RIGHT NOW BUT.
WE KNOW THAT THIS IS.
TWO POINT BEEN A VERY IMPORTANT
ISSUE FOR A NUMBER OF YEARS NOW.
FIRST WANT TO SAY THANK YU TO
YOU.
FOR THE WORK THAT YOU'VE DONE
IN THE PAST ON REALLY PUSHING
THIS ISSUE FOR.
.
THE PRO TEM.
FOR HIGHLIGHTING DIRT BY I'M
PORTENTS OF THIS ISUE OVER THE
YEARS AS WELL AS API AND LATINO
CAUCUS IS MAKING THESE POLICY
PRIORITIES FOR THEM. OVER THE
PAST COUPLE YEARS AS WELL.
.
BACK IN TWO THOUSAND TEN
SIXTEEN.
WE GOT THE ENACTMENT AND THEY
BE.
SIX THIRTY FIVE SABAH.
.
DODD TO REQUIRE THE DEPARTMENT
HEALTHCARE SERVICES TO IMPLEMENT
A PILOT PROJECT.
TO DO A STUDY ON THE USE OF
MEDICAL INTERPRETERS IN PERSON.
MEDICAL INTERPRETATION SERVICES.
.
AT A TIME WE'RE HAVING KEY TO
BASE IN THE LEGISLATURE ABOUT
THE EXPANSION THE GREAT WORK
THAT'S BEEN DONE IN TERMS OF
PROVIDING A GREATER HEALTH CARE
COVERAGE OVER THE PAST EIGHT
YEARS RIGHT NOW. IS VERY
IMPORTANT TO ASK ME IN THIS
PARTNERS TO EVERY CALIFORNIA
SEEKING ACCESS.
TO QUALITY AFFORDABLE BY CARE
HAVE A IS SUFFICIENT MECHANISM
IN PLACE TO COMMUNICATE WITH
THEIR PROVIDERS TO ENSURE.
THAT THE SYSTEM DELIVERS THE
BEST POSSIBLE HEALTH OUTCOMES
REGARDLESS OF A PATIENT'S A
LANGUAGE IN ETHNICITY AND THAT
WAS THE. GENESIS WITHOUT BEHIND
A. B. US SIX THIRTY FIVE AND
SIXTEEN.
UNFORTUNATELY THE.
THE THE THE PROCESS HOW TO
CONDUCT THE STUDY.
AND.
TO BEGIN THE PROCESS OF
CONDUCTING THE STUDY AND
IMPLEMENT THE PILOT PROJECTS HAS
BEEN A BIT DELAYED.
I'M DIED AND WE ARE HOPING TO
JUST MAKE A FEW TECHNICAL
CHANGES.
THAT WOULD.
MAKE CLEAR THAT THE PILOT
PROJECTS START ON JANUARY ONE OF
A TWO THOUSAND NINETEEN.
AND THE PILOT PROJECTS
INCORPORATE WHATEVER RIESEL LA
RESULTS ARE AVAILABLE AYE IN THE
STUDY BY THEN.
AND SIMULTANEOUSLY.
THE STUDY ARE WOULD ANALYZE THE
PUBLIC PROJECTS AS WELL AS LOOK
AT THE VALUE AND THE QUALITY OF
INTERPRETATION SERVICES AND
THAT'S A CLARIFICATION.
TO ENSURE THAT.
THE. PILOT PROJECTS AND THE
STUDY CAN BEGIN AT THE SAME TIME
AND THEN FINALLY JUSTIN AND
EFFORT TO ENSURE THAT WE.
HAVE THE TIME NECESSARY TO DO A
ROBUST ARE BOTH STUDY AND PILOT
PROJECT.
EXTEND THE SUNSET DATE PA OF
THE PROGRAM FOR TWO YEARS
BECAUSE OF THE SLOW START SO
THAT WOULD IN EFFECT.
BY SUNSET THE PROGRAM IN TWO
THOUSAND AND TWENTY TWO AS
OPPOSED TO TWO THOUSAND.
SO WE'RE RESPECTFULLY REQUESTING
THAT THE COMMITTEE AND THAT THE.
AND THAT THIS THIS OUR HOUSE
WHEN IT IS APPROPRIATE TAKE
ACTION TO APPROVE THIS REQUEST.
BELIEVES MINOR TECHNICAL CHANGE
TO HELP EFFECTUATE.
DOT THE PROGRAM THIS WALL OF
ALREADY PUT IN PLACE.
THANK YOU THANK YOU ELLIOT
COMING.
FINANCE.
OKAY NO THE PUBLIC COMMENT.
RIGHT. I THINK USE THAT MUCH I
THINK MANY OF US WERE
DISAPPOINTED ABOUT THE SLOW
START TO THE PILOT WE WERE
HOPING THAT WOULD ACTUALLY BE IN
THE PILOT PHASE ARE READY NOT TO
STONE THE STUDY PHASE.
SO OBVIOUSLY I THINK THIS IS
IMPORTANT TO. BE SURE WE KEEP
THE PROGRAM.
.
YOU KNOW ON TRACK THAT WE DON'T
HAVE THE DEADLINES THAT WE PUT
TOGETHER PREVIOUSLY WAS BECAUSE
WE ASSUME THAT THINGS WOULD
HAPPEN FASTER.
AND.
OF CERTAINLY RECOGNIZE THAT WE
HAVE A LOT OF PATIENTS WE MADE A
STRONG COMMITMENT TO EXPANDING
MEDICAID ALL TO GETTING MORE
PEOPLE COVERED BUT IF THEY CAN'T
TALK TO THEIR PROVIDER
DEPOSITION OTHER PROVIDERS.
YOU CAN'T IT'S VERY DIFFICULT TO
GET CARE SO APPRECIATE. YOU
PUTTING THIS FORWARD AND
HOPEFULLY WE CAN KEEP THE
DEPARTMENTS ON TRACK AND GET.
GET THE HELP EARLIER SO THANK
YOU YOU MUCH. RIGHT WELL THAT
I'M OPEN.
THINKS WE HAVE THE MEDI CAL.
OUTLIERS REIMBURSEMENT AND
MEDICARE LOW FI EFFORT TO THIS
HOSPITAL A HERE.
WELCOME.
OKAY YET TWO PRESENTERS ON
PRISONER TO.
ONE MINUTE OKAY OF WEALTH
BETWEEN THE TWO OF YOU THREE
MINUTES SO SO LET'S TAKE OF ALL
THE TIME. THE FIRST. WELCOME.
THAT IT DEVELOPER THAT ARE NOT
THAT A LARA CORY SENIOR VICE%
PRESIDENT CHIEF STRATEGY OFFICER
FOR CHILDREN'S HOSPITAL LOS
ANGELES ALBUM.
I WAS GONNA SAY GOOD MORNING BUT
GOOD AFTERNOON THANKS FOR HAVING
US.
AS SO JUST VERY QUICKLY
CHILDRENS HOSPITAL LOS ANGELES
IS A CHILDREN'S HOSPITAL THAT
REALLY ACTS AS A SAFETY NET.
FOR.
THE REGION'S MOST VULNERABLE
CHILDRENAND YOUTH ABOUT SEVENTY
FOUR PERCENT OF THE CHILDREN IN
USE THAT WE TAKE CARE OF OUR
MEDI CAL BENEFICIARIES.
I'M WE HAVE BEEN AND THE
COMMUNITY SAFETY NET.
ASSURING ACCESS TO ALL KIDS WHO
NEED OUR CARE WE SEE MORE THAN
HALF A MILLION PATIENT VISITS A
YEAR AND A HALF FOR KIDS COMING
NOT JUST FROM LA AND OUR LOCAL
REGION BUT FROM ACROSS THE
STATE.
AND WE ARE A A CHILDREN'S
HOSPITAL COMMITTED TO FAMILY
CENTERED CARE WE BRING
EXPERTISE.
AND PROFICIENCY THROUGH OUR
PHYSICIANS NURSES AND THE
TECHNOLOGIES THAT WE USE THAT
ARE REALLY DESIGNED SPECIFICALLY
TO MEET THE NEEDS FOR AND NEEDS
OF CHILDREN WE BELIEVE IN
PEDIATRIC EXPERTS TAKING CARE OF
CHILDREN.
WE TAKE CARE OF A LOT OF REALLY
SICK KIDS AND FROM ACROSS THE
STATE AND WE CAN RECOGNIZED AS
ONE OF THE. TOP CHILDREN'S
HOSPITALS CHILDREN'S HOSPITALS
IN THE COUNTRY.
RECENTLY AFTER AT THE
DEPARTMENT OF HEALTH CARE
SERVICES CHANGED ITS MEDI CAL
PAYMENT METHODOLOGY FOR AS
FISCAL YEAR TWENTY SEVENTEEN
TWENTY EIGHTEEN EFFECTIVE IN
JULY. AND WE SAW A REDUCTION IN
REIMBURSEMENTRATES.
THAT AFFECTED
DISPROPORTIONATELY CHILDREN WITH
A COMPLEX CONDITIONS WHO OFTEN
I'M TRIGGER OUT LIAR PAYMENTS
I'M JUST BRIEFLY OUT WHERE
PAYMENTS ARE MADE WHEN AT A
HOSPITAL HAS IT PARTICULARLY
LARGE LOSS BECAUSE OF PATIENTS
PARTICULARLY AT A COMPLEX. HAS A
AT A PARTICULARLY LONG LENGTH OF
STAY AND EXPENSES ARE OUT OF THE
NORM.
DE ORGIES DIAGNOSIS RELATED
GROUP OF REIMBURSEMENT MODELS
HATE BASED ON THE COMPLEXITY OF
THE PATIENT'S CONDITION I'M FOR
CHILDREN SO IT'S FOR HOSPITAL
LIKE CA CHILE WE PROVIDE A LOT
OF TERTIARY QUATERNARY CARE. SO
WE DISPROPORTIONATELY I'M
EXPERIENCED.
OF THIS REDUCTION I REALLY TO
TOUT LIAR PAYMENTS.
AND WE KNEW WHEN THE POLICY WAS
PUT INTO PLACE THAT.
WE WOULD EXPERIENCE A REDUCTION
IN OUR REIMBURSEMENT AND
APPRECIATED THAT WE NEED TO TED.
OUT WHETHER STORM SO WE MADE
PLANS TO ACCOMMODATE THAT
SUBSTANTIAL FINANCIAL LOSS
HOWEVER AFTER IT WAS IMPLEMENTED
WE ACTUALLY EXPERIENCED I'M AN
UNEXPECTED ADDITIONAL LOSS OF
SEVENTEEN MILLION DOLLARS US SO
FAR THIS YEAR.
AND.
WE'VE HAD PARTED ACCOMMODATE
ACCORDINGLY. A HALF OF THE
CHILDREN THAT WE SERVE HAVE HIGH
SEVERITY LEVEL.
ILLNESSES AND THAT'S WHY WE'VE.
BEEN DISPROPORTIONATE IN THE
EXPERIENCE THAT WE'VE HAD AND WE
DID APPROACH TEACH CS ALUM AND
THEY AGREE AND UNDERSTAND THAT
THE LOSS OF FUNDING WAS
UNINTENDED AND UNEXPECTED. I'M
AND SO WE HAVE BEEN WORKING WITH
THEM TO RESOLVE THIS ON A GOING
FORWARD BASIS
THAT SAID TEACH CS HAS SAID
THEY'RE NOT ABLE TO RESOLVE.
AND PROVIDE A REMEDY FOR THE
CURRENT LOSSES THAT WERE
INCURRING.
WE ARE. THAT WE ARE UNIQUELY
SITUATED IN THAT WE ARE A
CALIFORNIA DISH HOSPITAL THAT'S.
EXPERIENCING SUCH A SUBSTANTIAL
LOSS ON A GIVEN OUR PAYER MIX IT
IS THAT IT'S IT'S NOT POSSIBLE
FOR US TO MAKE IT UP OTHERWISE.
AND WE APPROACH SENATOR KEVIN DE
LEóN WITH THE HOPE THAT HE CAN
ASSIST US AND AND.
SENATOR BUDGET SENATE BUDGET
CHAIR HOLLY MITCHELL WHEELS ALSO
BRIEFED ON THIS ISSUE SO WE ARE
RESPECTFULLY REQUESTING ONETIME
AN APPROPRIATION FROM THE STATE
GENERAL FUND. TO COMEDY AT THIS
UNEXPECTED GET.
WHICH TOOK UP ALL THE TIME DID
RIGHT VERY UP JUST EMPATHIZE
THAT I EVEN THOUGH WE'RE
REGIONAL SAFETY NET. THAT WOULD
DO TREAT CHILDREN FROM ALL OVER
THE STATE UP AND DOWN ALL OVER
THE NATION AS WELL OKAY.
THANK YOU ARE COMMON ELIA.
MOMENTS FINANCE
WELL ALRIGHT PUBLIC COMMENT.
ASIDE SHORT ON BEHALF OF PEACH
THE PRIVATE ESSENTIAL ACCESS
COMMUNITY HOSPITALS WE HAVE SOME
CONCERNS WITH THE PROPOSAL I'M
INCLUDING THE FACT THAT PART OF
THE PROPOSAL IS WRITTEN IS
PRETTY.
THERE'S A LACK OF SPECIFICITY
IN THE PROPOSAL.
.
EXCUSE ME.
THE FUNDING MECHANISM IF THE
CONCERN WOULD BE IF ANY OF THE
FUNDING FROM THE CURRENT DRG
PROGRAM HOSPITALS. GETS
REDIRECTED TO PROVIDE THIS
ADDITIONAL FUNDING FOR CH LA
THAT ME ALL THE OTHER HOSPITALS
WOULD GET CUT INCLUDING THE DISH
HOSPITALS AND THAT REALLY CAN'T
AFFORD TO LOSE ANY ADDITIONAL
RESOURCES. AND THE OTHER ISSUE I
THINK IS IS PART OF A DRG
PROGRAM IN SYSTEM OR HOSPITALS.
COLLECTIVELY SIT DOWN AND TALK
WITH THE DEPARTMENT TO COME UP
WITH THE FORMULA KIND OF ONE OFF
HOSPITAL SOLUTIONS I THINK
REQUIRE A LITTLE BIT MORE
SCRUTINY SO GLAD ITEMS BEING
HELD OPEN WE LOOK FOR TO WORKING
WITH YOU AND YOUR STAFF IN AND
WITH CH LA.
OKAY THANK YOU.
ALRIGHT AND.
IDIOTS I MEAN.
WE DON'T HAVE THE EIGHT CS HERE
BUT IN DISCUSSIONS OF DEEDS YES
SIR WE WERE NOT WILL.
THE CONCERN IS IS THAT WE'RE
GONNA TAKE FUNDS FROM.
SORT OF.
TWELVE LITTLE BIT FROM EVERYBODY
TO CREATE A NEW FOR BUT THE
EVERYONE ELSE IS GETTING A
LITTLE CUT SO IS THAT IS THAT.
SO WE BEEN CONVERSATION ABOUT
THE LAST A FEW MONTHS WITH.
DE CHS AND.
AS LARA MENTIONED WE ARE
LOOKING AND WERE WERE FIGURE OUT
A WAY TO FIX THIS MOVING FORWARD
SOMETIMES A METHODOLOGY AND THE
PAYMENT METHOD ON.
AND TERMS OF TAKING FROM OUR
HOSPITALS.
IN TERMS OF WHAT'S ARE NOW THAT
IS NOT.
WORK WHAT'S BEING PROPOSED HERE
IS THAT THIS WOULD BE A ONE
TIME.
FIX FIRST FOR THE FISCAL YEAR
SEVENTEEN EIGHTEEN.
AND IS BEING PROPOSED FROM THE
STATE GENERAL FUND AS OPPOSED TO
FROM ANY MONEY THAT'S CLEARLY
BEEN APPROPRIATE TO THE DC CHESS
PROCESS AND THIS IS THE ONLY
SPECIFIC TO THE ONE HOSPITAL
WITH THIS IS THAT IT'S NOT
BECAUSE THERE MIGHT BE OTHER
HOSPITALS HAVE.
SO SITUATIONS STAFF LA BECAUSE
OF OUR UNIQUE POSITION ARE IN
THE HIGHEST SEVERITY OF PATIENTS
IN OUR STATE. ARE THE ONLY ONES
FROM WILL FOR WE UNDERSTAND THAT
WERE IMPACTED THIS SEVERELY A BY
THE NAME OF PRIME IN METHODOLOGY
CHANGE. FIRST SEVENTY HUNTING
FISCAL YEAR OKAY ALRIGHT OKAY
AND JUST TO CLARIFY M. WHAT
WE'RE REQUESTING IN THIS ONE
TIME.
SUPPORT OF THE GENERAL FUND
DOES NOT MAKE US WHOLE AGAINST
THE LOSS THAT WE INCURRED IT
SIMPLY SEEKS TED AND TED
MODERATE. A SUBSTANTIAL
UNEXPECTED IMPACT
OKAY ALRIGHT OKAY THANK YOU. ALL
RIGHT THANKS SO MUCH WILL HOLD
THIS ITEM OPEN.
OKAY AND THEN WE.
LAST BUT CERTAINLY NOT LEAST.
WE HAVE SUICIDE HOTLINE CD
HIRSCH MENTAL HEALTH SERVICES.
THANK YOU FOR YOUR PATIENCE.
Z. FRY SAID AND IF YOU SET YOUR
FOR THE ENTIRE TIME YOU CAN SEE
WE HAVE A LOT OF VERY. IMPORTANT
AND PASSIONATE PEOPLE WHO AT
PRESENT AND FOR TO YOUR CLASS
ITEM ON THE AGENDA SNOW.
SO THANK YOU FOR YOUR PATIENCE.
I AM A MONIES LEAST TEN WAY HIGH
SENATOR OUT.
PAN AND COMMITTEE MEMBERS AND
I'M NOT FROM DIDI HIRSCH AND
MANY OF THE SERVICES BUT I'M
COMING REPRESENTING BOTH DIDI
HIRSCH MENTAL HEALTH SERVICES.
AND THE OTHER ELEVEN CRISIS
CENTERS.
HERE IN CALIFORNIA THAT RESPOND
TO THE NATIONAL SUICIDE
PREVENTION LIFELINE CALLS.
I'M I'M A DIRECTOR OF WELL SPACE
HOUSE THEM IN A OVERSEE THE
SUICIDE PREVENTION PROGRAM.
THERE IN WE RESPOND TO HOW I CAN
THINK OF THREE MINUTES WE
RESPOND TO. I'M CALLS THROUGHOUT
NORTHERN AND CENTRAL CALIFORNIA
WE ALSO SERVE AS A BACKUP. M.
CENTER TO HELP SUPPORT OTHER
COUNTIES WHO CAN'T RESPOND ALL
OF THEIR CALLS AS TO STEVIE
HIRSCH IS A MAJOR BACKUP CENTER
FOR ALL OF ALL OF CALIFORNIA.
M. WERE COMING TO REQUEST THAT
THE COMMITTEE INCLUDE AND I'M
GOING ALLOCATION OF FOUR POINT
EIGHT MILLION DOLLARS. IN THE
BUDGET FOR FISCAL YEAR EIGHTEEN
NINETEEN AND FUTURE YEARS.
TO FUND CALIFORNIA'S ELEVEN
SUICIDE PREVENTION LIFELINE
NETWORK MEMBERS SO IT'S A
NETWORK.
NATIONWIDE OF CRISIS CENTER
SOMETHING HUNDRED SIXTY FIVE.
I'M IN CALIFORNIA THEIR ELEVEN
THAT ARE CREDITED THEM GO
THROUGH STRINGENT STANDARDS AND
PRACTICES AND POLICIES AND
PROCEDURES.
AND THIS REQUEST REPRESENTS FIVE
HUNDRED THOUSAND INCREASE OVER
THE FISCAL YEAR SEVENTEEN
EIGHTEEN ALLOCATION.
THAT WAS FOUR POINT TWO MILLION.
I'M AND IT'S NEEDED TO COVER A
RAPID INCREASING CALLS TO THE
LINE CALIFORNIA LIFELINE MEMBERS
ANSWERED MORE THAN A HUNDRED AND
FIFTY FIVE THOUSAND CALLS.
IN THE YEAR TWO THOUSAND
SEVENTEEN INCREASE OF TWENTY
SEVEN PERCENT OVER THE PREVIOUS
YEAR.
WE DON'T WANT TO HAVE TO PUT
PEOPLE ON HOLDER TRIAGE CALLS
YOU KNOW WE WANT TO BE ABLE TO
RESPOND I CAN SAY I'M I'M MILES
SURVIVOR OF SUICIDE LOS I LOST
MY BROTHER SEVERAL YEARS AGO.
AND YOU KNOW IF WE CAN PICK UP
EVERY SINGLE CALL THAT'S ARE YOU
KNOW GOAL WE DON'T WE WANT TO
SAVE AS MANY LIVES AS POSSIBLE.
AND WE ALSO REQUEST THAT THE
COMMITTEE TIME WE'VE WE'VE
SPOKEN WITH I THE ASSEMBLY JUST
EARLIER THIS WEEK ON MONDAY. OR
LOOK AT BEHIND WITH.
YOUR GROUP AND WE JUST HEARD
THIS WEEK THAT WE SHOULD
BETWEEN THIS PARALLEL. I'M BUT
WE ALSO ON REQUEST THAT THE
COMMITTEE CONSIDER TRANSFERRING
THE OVERSIGHT OF THIS.
HOME.
PROGRAM THAT WE'RE PROPOSING TO
ADD THE MH METAL HAY IFMENTAL
HEALTH OVERSIGHT ACCOUNTABILITY
COMMITTEE CANCER GRACIE.
.
ANY TYPE IF YOU THINK ABOUT IT
ANY TIME.
IF YOU HAD A FRIEND OR FAMILY
MEMBER WHO NEED HELP. OF ME WAS
IN SUICIDAL CRISIS THAT YOU
MIGHT WEAR WHICH COULD HELP
GOOGLE IT AND YOU CAN LOOK AT
YOU CAN LOOK IT UP I HELPED
DEVELOP THIS YOU CAN. LOOK IT UP
ON SERIES IF SOMEBODY HAS SAID
SOMETHING I DON'T KNOW WHY THEY
WOULD DO THAT.
IF THE TALK TO SYRIA ABOUT
SUICIDE OR WHAT IT YOU KNOW MY
FRIEND A SUICIDAL. IT IT GIVES
THEM THE NATIONAL LIFELINE
NUMBER JOINT COMMISSION REQUIRES
THE HOTLINE NUMBER THE NATIONAL
LIFELINE BE GIVEN TO EVERYONE OF
THEIR SUICIDAL PATIENTS.
IN ALL ACCREDITED YOU JOINT
CREDIT FACILITIES.
I AM GOOGLE FACEBOOK CALLED THE
SOCIAL MEDIA BUT YET THE LIFE
FINALLY GETS A SMALL. FIFTEEN
HUNDRED DOLLARS IT'S OVER TWO
MILLION CALLS
NATIONWIDE.
IN THE LAST YEAR. SO WE NEED TO
HELP.
IN SUSTAIN IT IS SUSTAINING
THIS AND AND STRENGTHENING OUR
CALIFORNIA NETWORK OF CRISIS
CENTERS AND THAT'S WHAT WE'RE
HOPING TO DO.
THROUGH AT THIS PURPOSE I THINK
HAVE SOME LITERATURE AND
LETTERS.
GIVING YOU MORE INFORMATION.
OKAY THANK YOU GUY COMES FROM
BELIAU.
BUT FINANCE.
CHRIS GO TO PUBLIC FINANCE SO. I
WOULD JUST NOTE THAT.
THE SUICIDE A HOTLINE FUNDING
HAS BEEN APPROVED ON A ONE TIME
BASIS TO PASS.
A FEW YEARS.
AS NOTED IT WAS I BELIEVE FOUR
MILLION AND SIXTEEN SEVENTEEN
AND FOUR POINT THREE AND
SEVENTEEN EIGHTEEN. AND THOSE IT
DOES HAVE BEEN FUNDED USING.
MENTAL HEALTH SERVICE ACT FUNDS
MIDDLE SERVICE FUNDS
JUST A AND.
.
THOSE FUNDS TYPICALLY WHEN
APPROVED WERE USUALLY SUBJECT TO
THE AVAILABILITY OF FUNDS AND
THE HEAD ADMINISTRATOR CAP. AND
TYPICALLY WANT RELEASED UNTIL
MARCH OF THE PREVIOUS YEAR SO
JUST WANT TO KNOW FOR THE
COMMITTEE THAT. IT WAS DONE ON A
ONE TIME BASIS AND GIVEN TO THE
DEPARTMENT HEALTHCARE SERVICES.
AND BUT YOU SAID THAT IT.
ONE TIME BASIS SEVERAL TIMES.
BRECHT OKAY SO BEEN DOING IT
KIND OF EVERY YEAR A ONE TIME
BASES HER YEAH FROM MY
UNDERSTANDING PREVIOUS TO THAT
AND PASS YEARS THERE WAS A.
OFFICE OF.
SUICIDE ARE PREVENTION THAT WAS
HOUSED IN THE AND HEALTH CARE
SERVICES MANY YEARS AGO AND.
IT PROBLEM FROM MY
UNDERSTANDING IT.
WAS DONE AWAY WITH MANY YEARS
AGO.
AND I'D BE HAPPY TO.
PROVIDE SOME ME A BACKGROUND
HISTORY I I DON'T HAVE IT HERE
BUT HE CERTAINLY CAN GET IT TO
YOU. CLUB SENATOR PAN ABOUT.
.
THE FINANCIALS AND HISTORY OF
THIS BUT I'M WE STILL HAVE YET
TO RECEIVE ANY FUNDS. AND THAT'S
WHY WERE WE PART OF THIS.
IS WERE REQUESTING TO CHANGE IT
FROM THE H. CS.
TO OAC I'M WITH THEIR SUPPORT
THAT BEEN REALLY RECEPTIVE ABOUT
THAT.
I'M WE'VE BEEN TALKING WITH HIM
FOR OVER TWO YEARS SOME WITH AND
EVEN TODAY WE ARE SUPPOSED TO
HAVE A CONTRACT AFTER TWO YEARS.
FROM THE INITIAL REQUEST AND
STILL HAVEN'T RECEIVED IT SO. I
AM WE BROUGHT THAT UP THEM ON
THE ASSEMBLY SIDE. HOME AND AND
SO THAT'S WHY THE ASK ABOUT
HAVING OAC YOU KNOW HELP TO
FACILITATE THAT.
BUT TO CLARIFY ALSO THAT WE
HAVE YET TO RECEIVE ANY FUNDS
BUT BUT THEY HAVE BEEN APPROVED.
OKAY SO FUNDS OF APPROVED BUT
NOT.
ALLOCATED AT NO ACT OF THE FUNDS
HAVE BEEN APPROVED THE FUNDS
WERE RELEASED OF MARCH OF LAST
YEAR. AND AND FROM MY
UNDERSTANDING AND I IN THE
INTERIM TIME THE DEPARTMENT HAS
BEEN IN NEGOTIATIONS WITH THE
CONTRACTOR.
ONCE THEY WERE ABORTED.
ALRIGHT SUB SO THEN THEY HAVE
NOT BEEN.
WE OBTAIN GETTING SO THEY HAVE
BEEN RELEASED BUT THEY HAVEN'T
BEEN.
YES HE'S CORRECT BUT IT'S MY
UNDERSTANDING DEPARTMENT HAS
BEEN IN NEGOTIATIONS WITH THE
CONTRACTOR AND THAT WAS FEW
STICKING POINTS ON SOME AND I GO
SHE ASIANS. AND DE I AM I. THE
LAST I HAD HEARD AND CRACKED ME
IF I'M WRONG.
THAT THOSE NEGOTIATIONS HAVE
HAVE PICKED UP AND WE HAD COME
TO.
.
A POSITION WHERE WE AGREED WITH
THE THE THE CONTRACTOR HAS
APARTMENT.
SO AS OF EXACTLY HOW IF IF IT'S
BEEN THE MONEY'S BEEN RELEASED
I CAN'T SAY FOR SURE BUT IT'S MY
UNDERSTANDING THAT THOSE
CONTRACT.
CONVERSATIONS HAVE PICKED UP IN
THE RESOLUTIONS TO ME.
OKAY.
SO OFTEN AND CLIFF WILL KNOW
BECAUSE TODAY WAS. FUTURE CS HAD
SAID IT WOULD BE I THINK WAS
TWELVE DAYS AND OBVIOUSLY IT
WOULD BE TODAY OR TOMORROW WOULD
HAVE BEEN THE DEADLINE SO OKAY
SOCIALLY HEARING TO CLARIFY THAT
BUT I'M. HERE JUST. TO LET YOU
KNOW THAT YOU KNOW IT THERE HAS
BEEN ON APPROVAL OF THE INITIAL
REQUEST.
THAT WE'RE LOOKING FOR AN ON
GOING REQUEST A LITTLE BIT MORE
BECAUSE THE INCREASE OF CALLS.
AND NO WE HAVEN'T ARE AT THE
CHECKOUT OKAY.
ALRIGHT OF PUBLIC COMMENT SEES
WOMEN.
I AYE MISTER CHAIRMAN COMMITTEE
MEMBERS.
MY NAME IS JAKE HOW CAN YOU I'M
I'M TESTIFYING ON BEHALF OF THE
CALIFORNIA COUNCIL OF COMMUNITY
PAYROLL HOPE AGENCIES.
DE HIRSCH IS A MEMBER AGENCY OF
OUR ORGANIZATION AND WE DO FULLY
SUPPORT THEIR CONTINUED WORK AS
LEADERS AND SUICIDE PREVENTION.
AND THEY PROVIDE A CRITICAL
SERVICE TO THE COMMUNITIES THEY
SERVE AND WE STAND BEHIND THEIR
EFFORTS TO RECOVER STATE FUNDING
FOR THE SERVICES THAT THEY DO
PROVIDE.
THANK YOU THANK YOU ALRIGHT.
OKAY. SO FIRST OF THE US
CERTAINLY ONE OF THE GET THE
MONEY WE'VE ALLOCATED BEFORE AND
I SEE AND IT SOUNDS.
SEEMS TO ME THAT SINCE WE'VE
BEEN DOING COULD EVERY I KNOW
IT'S ONE.
I MEAN THREE. THEM AS YOU SAID
LOT PEOPLE DEPENDING ON YOU TO
BEING THERE SO WE GOT FIGURE OUT
FINANCING MECHANISM AN ON GOING
BASIS SO.
ALRIGHT OKAY THANK YOU VERY MUCH
FOR YOUR PRESENTATION.
WILL HOLD THIS ITEM OPEN AS
WELL.
AS A SAID WILL BE WAITING FOR
ME REVISED PHILIP THAT.
HOPING THAT SHOWS IT TOMORROW
SO WE WILL NOW. ADJOURN THIS
HEARING OF THE. SENATE BUDGET
FISCAL REVIEW SUBCOMMITTEE ON
HEALTH AND HUMAN SERVICES AND
LOOKING FOR TO RECONVENING NEXT
WEEK IT'S AN HOUR AFTER WE GET
MAY REVISE.
THANK YOU VERY MUCH