THIS HEARING OF THE BUDGET
FISCAL REVIEW SUBCOMMITTEE
NUMBER THREE ON HEALTH AND HUMAN
SERVICES WELCOME EVERYONE.
AND.
SO BASICALLY I'M WE HAVE.
THREE PARTS.
FOR.
PRESENTATION TODAY PART A YEAR
AND INCLUDES ISSUES FOR
DISCUSSION COVERING SEVERAL
TRAILER BILLS FOR THE PART OF
SOCIAL SERVICES.
PART B. ARE SUSPICIOUS OF
DISCUSSIONS COVERING THAT PART
HEALTHCARE SERVICES FALL
STAKEHOLDER PROPOSAL NEEDS ARE
RELATED TO THE.
MAY REVISE PARK SEES ISSUES OF
DISCUSSION FOR FOR THE PART OF
DEVELOPMENTAL SERVICES.
THERE ARE THREE VOTE ONLY ITEMS
SO AND PART CECIL WE WILL
ACTUALLY TAKE THOSE UP FIRST THE
VOTE ONLY AND THEN WE WILL GO
THROUGH. EACH OF THOSE ITEMS.
FOR DISCUSSION.
AND AND AGAIN I.
.
I REMIND YOU THAT WE WILL I AM I
WILL SIR GROUP THE ITEMS FOR
PUBLIC COMMENT AND THEN.
WHEN PEOPLE GET PUBLIC COMIC
YOU KEEP REMARKS TO A MINUTE OR
LESS WOULD BE APPRECIATED.
ALTHOUGH AGAIN IF YOU'RE TALKING
OUT SEVERAL ITEMS WILL GIVE YOU
LOW LATITUDE TO BE SURE YOU CAN
HAVE ENOUGH TIME TO COVER ALL
YOUR COMMENTS ON ALL THE FOOD
ITEMS.
OKAY SO WITH THAT.
WE'RE GONNA GO AHEAD AND MOVE
TO PART SEE WE HAVE THREE.
ISSUES FOR VOTE ONLY RELATED
APARTMENT DEVELOPMENTS SERVICES.
MINISTER.
OKAY SO.
.
ISSUE NUMBER ONE ODDS WITH
PRIVATE DEVOTED TO SERVICES
SERVICES CENTRALIZE STATEWIDE
ACTIVITIES FOR DEVELOPMENTAL
SERVICES AND SAID THIS OUR
MOTION FOR APPROVAL.
IT'S BUDGETED.
IT'S BEEN MOVED BY CENTER STONE
ASATRU PLEASE CALL THE ROLL
SENATOR PAN AYE AYE UNDERMINING
AYE AYE SENATOR STONE.
A THAT IS OUT THREE ZERO ISSUE
NUMBER TWO CYCLICAL STAFFING FOR
A COMMUNITY HOMES OVERSIGHT OF
BUDGET CHANGE PROPOSAL AS YOUR
MOTION TO MOVE APPROVED SO. SPIN
MOVE AYE SIR MINING ETCETERA
PLEASE CALL THE ROLL SENATOR PAN
PIPES SENATOR MONNING SENATOR
STONE.
THAT'S OUT ZERO FINALLY.
THE INTERNAL AUDIT.
BUT A CHANGE PROPOSAL IS OUR
MOTION TO APPROVE.
IT'S BEEN MOVED BY CENTER STONE
ACETATE THESE CALL THE ROLL
SENATOR PAN PIPES UNDERMINING
SENATOR STONE.
THEY THAT'S OUT THREE ZERO
ALRIGHT EXCELLENT BUT WILL MOVE
BACK TO.
PART DAY AT THE FARM SOCIAL
SERVICES CHILD WELFARE SERVICES
HAVOC HAVE.
FOLKS FROM THE AGENCY LA OWN
FINANCE UP HERE.
COME.
AND WHAT WILL WHAT WE WILL DO IS
WE WILL TAKE UP.
ALL THREE ISSUES AND THEN TAKE.
PUBLIC COMMENTS.
AFTERWARDS.
PART A.
AND IF WE CAN.
DO THE ROUND ROBIN OF
INTRODUCTIONS FIRST FOR THE
RECORD.
FOR SOCIAL SERVICES.
MY NAME IS SARAH ROGERS WITH
DEPARTMENT OF SOCIAL SERVICES
AND BRANCH CHIEF OF THE
CONTINUUM OF CARE REFORM BRIDGE.
GREG ROSE DEPUTY DIRECTOR FOR
CHILDREN FAMILY SERVICES
DEPARTMENT OF SOCIAL SERVICES AQ
BELIAU.
BEN JOHNSON AND WALES FINANCE
THEY A MORE FINANCE. JUST THE
PRETTIEST FINANCE RIGHT
EXCELLENT ARTISTS WON'T GO BEGIN
WITH THE ISSUE NUMBER ONE WHICH
IS THE ACT CCR CARE GIVER
EMERGENCY ASSISTANCE PAYMENTS
AND GERALD BILL LANGUAGE FOR
LONG TERM FUNDING SOLUTION.
NO THAT IT ADMINISTRATION IS
PROPOSING TRAILER BILL LANGUAGE
THAT WOULD BUILD UPON THE
SOLUTION THE SHORT TERM SOLUTION
PROVIDED UNDER AB ONE TAN.
AND IN THIS TRAILER BILL WOULD
CONTINUE A MULTI YEAR LONG TERM
SOLUTION THAT WOULD REQUIRE. AND
COUNTIES TO PROVIDE A PAYMENT
EQUAL TO WHAT'S CALLED THE BASIC
A LEVEL OF CARE RATE TO ALL
EMERGENCY CARE GIVERS AS DEFINED
IN THAT IS CONSISTENT WITH WHAT.
WE HAD IN AB ONE TEN.
UNDER THIS PROPOSAL.
WE ARE. OF FUNNELING THE
PAYMENTS INSTEAD THROUGH. A
EMERGENCY ASSISTANCE TANF
PROGRAM INSTEAD OF BOTH THROUGH
THE EMERGENCY SYSTEMS AND THE
ART PROGRAM AND SO THAT'S A KEY
DIFFERENCE FROM WHAT THIS
PROPOSAL. WOULD PROVIDE FORM.
TIME AND TO BE ELIGIBLE FOR
PAYMENT. CONSISTENT WITH AB ONE
TEN CHILDREN WOULD BE RESIDENTS
OF CALIFORNIA AND CAREGIVERS
WOULD. AND HAVE TO COMPLETE A
RESOURCE FAMILY APPLICATION
ASSIGNED APPLICATION AND IN
ADDITION WE WOULD NEED.
AN EMERGENCY ASSISTANT I'M
APPLICATION ALSO SIGNED.
AND. THE OTHER A DIFFERENCE
BETWEEN THIS PROPOSAL AND WHAT
WAS PROVIDED FOR IN AB ONE TEN
IS THAT.
THIS.
EXTENDS THE ELIGIBILITY FOR THE
ASSISTANCE FROM THE NINETY DAYS
UP O ONE HUNDRED AND EIGHTY
DAYS UNDER EMERGENCY ASSISTANCE.
I'M IN THAT FISCAL YEAR EIGHTEEN
NINETEEN AND IN SUBSEQUENT YEARS
AT THE ASSISTANCE WOULD BE
PROVIDED FOR NINETY DAYS.
WE ARE CONTINUING TO WORK ON A
NUMBER OF ITEMS THAT I THINK YOU
HAVE IDENTIFIED IN THE ANALYSIS.
SUCH AS A WHAT WOULD HAPPEN
AFTER THE THAT ONE HUNDRED AND
EIGHTY DAYS.
AND WE ARE ALSO AWARE THAT
THERE IS A POPULATION OF THAT
MAY NOT BE ELIGIBLE FOR
EMERGENCY ASSISTANCE AND ARE
COMMITTED TO WORKING OUT
CONTINUE TO WORK ON ON THAT
PARTICULAR DETAIL. WE DO THINK
THAT THE EMERGENCY ASSISTANCE
PROGRAM IS THE RIGHT MECHANISM
TO PROVIDE FOR PAYMENT BECAUSE.
IMPLEMENTATION OF THE SHORT TERM
SOLUTION LED TO A VERY VERY
COMPLEX
A DECISION MAKING PROCESS THAT
HAD TO HAPPEN IN A SHORT TIME
FRAME BETWEEN WHETHER A CHILD
WOULD GO INTO ARC OR WHETHER
THEY WOULD GO INTO E. A SO. I
THIS PROPOSAL SIX TO LEARN FROM
WHAT NOT IMPLEMENTATION SHOWED
US IN THE IN THE SHORT TERM
SOLUTION.
THANK YOU COMES FROM EARLIER.
WE WELCOMING CONCEPT.
THE PROPOSED SOLUTION TO
PROVIDING FUNDING AT THE TIME OF
PLACEMENT FOR.
FOSTER CARE CHILDREN AND WE
HAVEN'T SEEN THE TRAILER BILL
AND SO WE'RE JUST GONNA CONTINUE
TO REVIEW OF THIS PROPOSAL WE DO
MAKE. WE DO HAVE SOME QUESTIONS
IN OUR IMMEDIATE ANALYSIS OF THE
PROPOSAL AND ARE TRYING TO
BETTER UNDERSTAND.
THE COUNTY SHERIFF COST INTO
THIS PROPOSAL AND HOW IT SORT OF
REFLECTS.
THEY'RE SORT OF HISTORICAL
CHAIR OF COSTS THAT WERE FUNDED
NINETEEN ARE TWO THOUSAND LEVIN
REALIGNMENT.
THANK YOU.
FINANCE.
WE JUST LIKE TO ECHO THE
DEPARTMENTS ARE COMMENTS ON THIS
EVENING AGREEMENT THAT THIS IS A
PROPOSAL ALONG WITH THE OTHER
PROPOSALS YOU HEARD YESTERDAY
FOR CCR WILL HELP ADDRESS A LOT
OF THE COULD.
IT'S ARE GOING ON
FOR COUNTIES.
RIGHT TACK ME MEMBERS QUESTIONS.
YES US THUNDERSTONE DIDN'T THINK
IT WAS RICHARD IS TO FOLLOW UP
THE LA SHOW.
PAY HISTORICALLY AS I
UNDERSTAND IT THE.
THE FEDERAL GOVERNMENT IS
RESPONSIBLE FOR SEVENTY PERCENT
OF THE FUND.
COUNTIES RESPONSIBLE FOR THIRTY
PERCENT AND.
I UNDERSTAND THAN THE PAST THAT
WAS A DISCRETIONARY.
PROGRAM FOR THE COUNTIES TO.
COME INTO UNDER THIS.
PROVISION WHICH I THINK IS VERY
IMPORTANT.
THIS REQUIRING THE COUNTIES TO
COME UP WITH A THIRTY PERCENT.
OFFICE POPULATION SO IS BUSINESS
NOT AND UNFUNDED MANDATE ON ON
COUNTY SWITCHER. MANY OF WHICH
INCLUDED MINOR ARE STRAPPED FOR
A LOT OF CASH THIS TIME.
I I WOULD ABSOLUTELY WELCOME
ANY COMMENTS FROM THE
DEPARTMENT.
HISTORICALLY I THOUGHT MY
UNDERSTANDING IS THAT COUNTIES
HAVE BEEN FUNDED ACTUALLY
THROUGH THE REALIGNMENT DOLLARS.
FOR ONCE THE ASSISTANCE IS.
IS ACTUALLY LIVE SO THAT NO
LONGER BE USING YEAH BUT THEY'D
BE USING.
A FDC FUNDING TITLE FOR A
FUNDING THROUGH THE FOSTER CARE
SYSTEM THAT WOULD NECESSARILY
THAT WAS NOT NECESSARILY FROM
DAY ONE ARE AS UNDERSTANDING WAS
MAYBE IN THE SECOND MONTH.
THAT FUNING WAS TURNED ON AND
SO THAT WAS A.
A FIFTY FIFTY SHARE BETWEEN THE
STEP BETWEEN THE COUNTIES IN THE
AND THE FEDERAL GOVERNMENT FOR
THAT SO IT'S JUST IT'S
CHALLENGING AT LEAST IN THE
STREET IN THE VERY SHORT TERM
DEBT TO FIGURE OUT EXACTLY HOW.
THE NEW THIRTY PERCENT SHARE.
AND THAT WHEN THE TIMING OF
THAT BEGINS COMPARES TO THE OLD
FIFTY PERCENT CHAIR ON COUNTIES
AND SO WE'RE JUST TRYING TO WORK
THAT OUT AND ARE WELCOMING IN
THE DATA INFORMATION FROM THE
DEPARTMENT ON THAT FRONT BUT I.
ALSO WELCOME ANY OTHER COMMENTS
THANK YOU CONSISTENT WITH ON THE
LA THOSE COMMENTS WE HAVE AN
ANALYSIS THAT LOOKS AT THE
DIFFERENCE BETWEEN WHAT COUNTIES
PREVIOUSLY WOULD HAVE BEEN
EXPANDING.
PRIOR TO OUR FAMILY MEDIATION
AND WHAT THEY WOULD UNDER THIS
PROPOSAL AND HAVE AN INITIAL
ANALYSIS THAT IT IS COST NEUTRAL
HOWEVER WE ARE COMMITTING. TO
CONTINUE TO WORK ON THAT
ANALYSIS WITH THE COUNTIES TO
ENSURE THAT THAT IS IN FACT THE
CASE AND. AND IF IT'S NOT WE
ACKNOWLEDGE THAT.
THAT THAT THIS IS SOMETHING
WE'RE INTENDING TO FUND.
APPRECIATE SO YOU'RE YOU'RE
WORKING WITH ISAM SEE SACK ON
THESE ISSUES.
TO BETTER UNDERSTAND THE
RESPONSIBILITIES OF A CONRAD IT
WOULD MEAN ESSENTIALLY WHEN
COUNT WHEN FAMILIES WHO HAD
PREVIOUSLY BEEN APPROVED MORE
QUICKLY. AND THE SHARE OF COSTS
FOR COUNTYRANGE BETWEEN A
HUNDRED PERCENT ACTUALLY FOR
SOME POPULATIONS.
TO FIFTY PERCENT AND THEN THERE
IS A NARROW SUBSET THE NON
FEDERAL RELATIVES WHO THEY WOULD
HAVE HAD NO SHARE THE
DISCRETIONARY MANDATORY SO THAT
IS MANDATORY ONCE THE FAMILIES
APPROVED.
AND SO THIS BECAUSE OF THE
DELAY IN THE APPROVAL TIME THE
LONGER THAT FAMILY STAY IN THIS
SIDE OF THE EQUATION AND THE
COUNTY ARE AND THEY ARE THAN
PAYING THE THIRTY PERCENT. WHERE
AND EVALUATING THE DIFFERENCE
AND THE TOTAL?
COST THAT AND AND AND BALANCING
OUT WHICH WHAT IS GREATER OKAY
APPRECIATE THAT THE ANALYSIS OF
HOPE VOTE WILL REPORT BACK TO US
A LIST OF THE IMPACTS
POTENTIALLY COULD BE ON THE.
THANK YOU.
OKAY.
NOW'S GOING TAKE PUBLIC COMMENT
THE AND BUT SINCE IS SO.
INTIMATELY AFFECTS THE COUNTIES
ACTUALLY I DO SEE THE COUNTY
WELFARE DIRECTORS HERE DO I COME
UP HERE AND GIVE ME YOUR
COMMENTS.
FIRST ABOUT.
SO I THINK THAT MIGHT HELP
INFORM OUR DISCUSSION A LITTLE.
THANK YOU MISTER CHAIR FRANK
BACK WITH THE COUNTY WELFARE
DIRECTORS ASSOCIATION WE
ABSOLUTELY SUPPORT FOLKS GETTING
PAID AT THE TIME OF PLACEMENT IS
NOT POLICY OBJECTION THERE.
ARMED WITH RESPECT TO MISTER
STONE'S QUESTION ABOUT COST
SHARING IT IS TRUE THAT FOR SOME
SUBSET OF THE POPULATION THE
COSTS WOULD HAVE BEEN OURS UNDER
FOSTER CARE THAT'S THAT'S THAT'S
FACTUALLY CORRECT.
BOMB PART CONCERNED WITH THE
PROPOSAL AS WE UNDERSTAND IT
BECAUSE WE'VE NOT SEEN LANGUAGE.
IS THAT THERE IS A PORTION OF
THE POPULATION THAT WAS NEVER
THE COUNTY RESPONSIBILITY THAT
WAS ACTUALLY FUNDED IN A
PROGRAM.
WHERE THERE WERE STATE GENERAL
FUND?
THAT DID THESE ARE NON FEDERALLY
ELIGIBLES A OUR RELATIVES WHO
ARE PAID THROUGH A PROGRAM
CALLED PARK.
IN AB ONE TEN PART CONTINUED AND
THE STATE GENERAL FUND CONTINUE
TO CONTRIBUTE TO THAT PORTION OF
THE POPULATION.
THE PROPOSAL AS WE UNDERSTAND IT
WE WOULD SAY. THERE'S NO MORE
ARE IN THOSE CASES WHERE THERE
WAS NEVER A COUNTY
RESPONSIBILITY BEFORE BECOME THE
COUNTY RESPONSIBILITY NOW.
THAT SORT OF ONE ISSUE THAT WE
BELIEVE IS THAT THE COST SHIFT.
ON TO THE EXTENT THAT THERE IS
AN ANALYSIS THAT WOULD SUGGEST
THAT THE OVERALL PROPOSAL WAS
COST NEUTRAL. BOMB THE AMOUNT OF
MONEY THAT. ARE IN THAT ANALYSIS
THAT THE COUNTIES WITH NET SAVE
IS ACTUALLY LESS THAN THE AMOUNT
THAT THE GENERAL FUND SAVES.
SO IN THE COURSE OF THE
ANALYSIS.
IN ELIMINATING PARK FOR THE
STATE GENERAL FUND THE STATE
ACTUALLY SAVES MORE. THAN THE
COUNTIES DO SO WE DON'T THINK
IT'S ACTUALLY APPROPRIATE FOR
THE STATE TO PULL THE GENERAL
FUND OUT. IN TERMS OF THE IN
TERMS OF THE LONG TERM SOLUTION.
THE SECOND THE SECOND CONCERN
FISCALLY. IS THAT THE FEDERAL
GOVERNMENT.
REIMBURSES US WITH THE MATCH
RATE IN THAT MATCH RATE DEPENDS
ON OUR FEDERAL ELIGIBILITY RATE.
INTO MANDATE THAT WE PAY
EMERGENCY ASSISTANCE FOR
FAMILIES FOR SOME PERIOD OF
TIME.
ACTUALLY THROUGH AN ARCANE
FEDERAL.
PROCESS DRIVES DOWN OUR FEDERAL
MATCHING RATE.
AND SO AND THAT FEDERAL MATCHING
RATE IS NOT JUST THE MATCH THAT
THEY PAY FOR TESE CASES IT'S
WHAT THEY PAY FOR EVERYBODY. AND
THAT'S WHAT THEY PAY ON THE
ADMIN SIDE AND SO WE THOUGHT WE
HAVE TALKED ABOUT THIS WITH THE
ADMINISTRATION AND SO.
WE DON'T KNOW EXACTLY HOW THAT
PENCILS OUT BUT WE NEED TO
FIGURE OUT. WHAT THIS SOLUTION
DOES TO THIS DISCOUNT RATE
QUESTION BECAUSE THAT'S NOT BEEN
FACTORED INTO THE ANALYSIS SO
FAR SO IT IS NOT AT ALL CLEAR TO
US THAT THIS REALLY IS SORT OF
REVENUE NEUTRAL?
TOM OVERALL AND JUST FROM THE
OTHER PEOPLE THAT WILL SPEAK TO
THE PROGRAMMATIC. ISSUE BUT WE
THINK IT'S A IT COULD BE A
SUBSTANTIAL NUMBER OF FAMILIES
THAT ARE LEFT OUT OF THE
SOLUTION WHO WOULD NOT BE E. A
ELIGIBLE.
AND SO AS WE UNDERSTAND THE
PROPOSAL. BEFORE YOU BOMB IF
YOU'RE NOT ELIGIBLE FOR THIS
EMERGENCY ASSISTANCE YOU ARE NOT
ELIGIBLE FOR PAYMENT AT THE TIME
OF PLACEMENT. AS THE AS THE
PROPOSAL LAYS IT OUT AND THAT
CREATES EQUITY CONCERNS THAT
DON'T SEEM APPROPRIATE TO.
OF SO. IN PERHAPS A DOUBTS COME.
RESPONSE FROM SOCIAL SERVICES
ABOUT.
THIS CONCERNS
SO WITH REGARD TO THE FEDERAL
MATCH IMPACTS AYE WE ARE AWARE
OF THE POTENTIAL IMPACT THEIR.
WE WOULD KNOW THAT. IS IS LONG
IS FAMILIES ARE APPROVED IN LESS
THAN FOUR MONTHS THAT THERE IS
NO IMPACT.
BECAUSE THAT THAT IS ACT
PURSUANT TO FEDERAL LAWS THAT
THAT WOULD NOT HAVE AN IMPACT ON
THE DISCOUNT RATE IN THAT
SITUATION. SO IT'S ONLY THE
CASES THAT GO BEYOND THE FOUR
MONTHS WHERE THERE COULD BE A
RESPONSE WOULD BE TO SEEK TO
WORK CLOSELY WITH THE COUNTIES
TO ENSURE THAT WE REALLY ARE.
APPROVING FAMILIES WITHIN THAT
ONE HUNDRED AND TWENTY DAY I'M
MARK AND SO THAT WOULD BE OUR
THE MATCH ME THE RECORD WAS SAID
IT'S.
THIS IS MEXICO IT'S ACROSS THE
BOARD FOR OTHER THINGS AS WELL I
MEAN THAT'S THE IF WE HAVE IF WE
HAVE SIGNIFICANT NUMBERS OF
CASES HER GET PAID UNDER THIS
PROPOSAL WHO THEN ALSO HAVE
APPROVAL TIMES THAT EXTEND
BEYOND FOUR MONTHS. THEN IT
IMPACTS
THE WAY THAT OUR MATCH IS
CALCULATED ESSENTIALLY AND SO
THE OBJECTIVE WOULD BE TO REALLY
MINIMIZE.
HOW MANY FAMILIES ARE TAKING
LONGER THAN ONE HUNDRED AND
TWENTY DAYS AND IF WE GET THEM
APPROVED IN LESS THAN ONE
HUNDRED TWENTY DAYS THEN THERE
WOULDN'T BE AN IMPACT?
OKAY I ASSUME THE FED'S THE DATA
SERVE SOME INCENTIVES TO GET
PEOPLE TO MOVE. IN A TIMELY
MANNER I THINK IS HOW THEY
DEFINE THAT IN A REASONABLE
AMOUNT OF TIME TO.
TO TO TO JUSTIFY THE PRE
APPROVAL KIND OF FRAMEWORK. OKAY
AND THEN ABOUT THE ISSUE ABOUT
ARE THE APPROVED FELT OF CARE
GIVER.
ISSUE.
SO AGREED THAT THAT THERE COULD
BE A ONE I THINK I DON'T KNOW
THAT.
IT WAS MEANT TO CONVEY THAT THE
ART PROGRAM OVER ALL IS GETTING
ELIMINATED RATHER THIS PROPOSAL
WOULD NO LONGER PUT THAT PRE
APPROVAL.
COHORT INTO ARC AND WE WOULD
MAINTAIN THOSE WHO PREVIOUSLY
WERE AN ARC UNDER THE SHORT TERM
SOLUTION THEY WOULD CONTINUE
THROUGH AT TO APPROVAL. IN NOT
PROGRAM BUT WE WOULD NO LONGER
BE PUTTING NEW FAMILIES.
PRE APPROVAL INTO OUR FOR THE
REASONS THAT I DESCRIBED ABOVE
AB PERFORM.
AND IT IS ALSO ACKNOWLEDGED
THAT THE THE SHARE IN THAT
SITUATION IS A HUNDRED PERCENT
STATE.
AND THIS IS THE ANALYSIS TAT I
WAS DESCRIBING BEFORE ABOUT
LOOKING AT IT GLOBALLY.
AS A HOLISTIC SOLUTION AND
THERE THERE ARE OTHER COHORTS OF
KIDS FOR WHOM THE COUNTIES WOULD
HAVE PAID A HUNDRED PERCENT
COUNTY ONLY THAT WE WOULD NOW
HAVE A SEVENTY PERCENT SHARE IN.
AND SO THAT'S THE ANALYSIS THAT
WE WOULD WANT TO DO WITH THE
COUNTIES AND ABSOLUTELY
ACKNOWLEDGE THAT IF IT IS NOT
THE CASE THAT IS COST NEUTRAL
THEN THEN WE WOULD NEED TO COME
BACK TOGETHER.
CLICK HERE TO COMMENT ON THAT IT
WOULD JUST UNDERSCORE THE FACT
THAT THOSE ARM PARK ELIGIBLE
CASES THAT WOULD NO LONGER BE AN
ARC UNDER THE SOLUTION. WOULD
NEVER HAVE BEEN A COUNTY
RESPONSIBILITY BEFORE.
AND I JUST WANTED TO MAKE SURE
THAT THAT POINT WAS CLEAR AND.
IF WE'RE TALKING ABOUT IT YOU
KNOW A FAIR COST SHARING GOING
FORWARD. BOMB.
IF THE ANALYSIS PENCILED OUT AND
SAYS THIS IS THIS IS A BREAK
EVEN.
IDEAL FOR THE COUNTY SO WE THINK
WILL IMPOSE ITS MANDATE ON THEM.
BUT THE GENERAL FUNDS ACTUALLY
SAVING A SUBSTANTIAL AMOUNT
THAT'S COOL WITH US THAT THAT
DOESN'T FEEL LIKE A GOOD LONG
TERM SOLUTION. FROM THE
STANDPOINT OF FAIR PARTNERSHIP
TO US.
ALRIGHT.
THANK YOU OF YES FINANCE.
I JUST WANT TO MAKE A
CLARIFICATION ON THE GENERAL
FUND TALK OF.
NO GENERAL FUND IMPACT ON THIS
TIME. THE EMERGENCY ASSISTANCE
HANNAH IS DOES HAVE ANY DIRECT
IMPACT ON GENERAL FUND IS OR
UTILIZE THOSE FUNDS TO BACKFILL
OTHER.
CHEN OF OBLIGATIONS SALUTE TO
THE EXTENT THAT WE'RE ADDING
ADDITIONAL TEN OF TO THIS
PROGRAM WE ARE INNOCENT SOUNDING
ADDITIONAL GENERAL FUND TO THE
PROGRAM.
AND THE QUESTIONS COMMITTEE
MEMBERS.
ALRIGHT INSENSITIVITY TO HAVE A
SELECT FEW. SINCE BE OUTLAWED
DISCUSSION ANY OTHER PUBLIC
COMMENT ON THIS ISSUE. ON SKILL
INVOLVES STOOD ON THIS ISSUE.
YES AND GET WITH THAT CALIFORNIA
STATE ASSOCIATION OF COUNTIES
I'M WE HAVE APPRECIATED IT AND
WERE SUPPORTIVE OF THAT SHORT
TERM SOLUTION AB ONE TEN AND.
IF THE KINDS OF ADDRESSING THIS
OVERALL ISSUE ENSURING THAT
FAMILIES ARE RECEIVING PAYMENTS
WHEN THE CARE FOR CHILDREN.
WE HAVE ALSO NOT SEEN THE
TRAILER BILL LANGUAGE BUT WE
SHARE SIMILAR CONCERNS ABOUT A
FIFTEEN OF COSTA COUNTY'S
ESPECIALLY IN THOSE. INSTANCES
WHERE THERE WASN'T COUNTY
RESPONSIBILITY BEFORE AND I'M
WITH THEM.
POTENTIAL IMPACTS ON THE FEDERAL
REIMBURSEMENT RATES SO WE'RE
DEFINITELY OPEN TO WORKING WITH
THE DEPARTMENT AND PROVIDING
WHATEVER HOUSE IS NEEDED TO
REFINE THIS PSALM. PROPOSAL TO
ENSURE THAT IT WORKS FOR
COUNTIES AS WELL THANK YOU.
WELCOME.
LINA PIRACY I YOU I WOULD LIKE
TO LINE MY COMMENTS WITH CWD AND
SEE SACK AND ALSO JUST I'M. AT
THAT ARE SOCIAL WORKERS ARE RFA
CASE CARRYING SOCIAL WORKERS
THEIR PROCESS IN ARE IFFY
APPLICATIONS AND THEY'RE
COMPLETELY SHORT STAFFED. THEIR
UNDERSTAFFED AND THEY WANT TO DO
THE WORK BUT WITHOUT ADEQUATE
RESOURCES TO DO THE WORK. THEY
CAN'T DO IT AND SO AM I WOULD
JUST LIKE TO TO ASK YOU TO
REALLY TAKE THAT IN THE
CONSIDERATION.
.
YOU KNOW WHEN YOU'RE DECIDING ON
THE BUDGET THINK OKAY THANK YOU.
WELCOME. INTO SHORT FOR THE
ALLIANCE FOR CHILDREN'S RIGHTS
AND REALLY APPRECIATE THE SHORT
TERM SOLUTION AND THE GOOD WELL
TO BUILD UPON THAT SHORT TERM
SOLUTION AND IN THAT THINK THAT
THE FOCUS HAS TO. REMAIN ON THE
FAMILIES THEMSELVES AND HOW THE
FAMILIES ARE GOING TO BE
IMPACTED BY THE LONG TERM
SOLUTION WE THINK AND WE HAVEN'T
SEEN THE TRAILER BILL WOULD VERY
MUCH LIKE TO SEE IT. BUT THERE
ARE SOME SIGNIFICANT DEPARTURES
FROM THE SHORT TERM SOLUTION
THAT WILL IMPACT OUR FAMILIES
AND ONE IS AROUND WHO'S ELIGIBLE
FOR E. A THERE ARE SIGNIFICANT
CHUNK OF CHILDREN WHO ARE NOT
ELIGIBLE FOR E. A WHO NEED TO BE
ACCOUNTED FOR IN THE LONG TERM
SOLUTION. IN THE SHORT TERM
SOLUTION WE'VE TIED FUNDING TO
AN APPLICATION IT SHOULDN'T BE
TIED TO THE APPLICATION WE ALL
KNOW THE DATE THAT A CHILD'S
PLACED INTO THE HOME AND THAT'S
THE DATE THAT FUNDING SHOULD
ACCRUE FROM FAMILIES DON'T HAVE
ANY CONTROL OVER HOW QUICKLY
COUNTIES PROCESS APPLICATIONS.
AND AND THE FUNDING HAS TO GO
FOR THE WHOLE TIME PENDING
APPROVAL IT CAN'T BE CUT OFF
AFTER SIX MONTHS THIS YEAR OR
AFTER NINETY DAYS NEXT YEAR
THERE NEEDS TO BE A LONG TERM
SOLUTION. THAT FULLY FUNDS
FAMILIES ALL THE WAY FROM
PLACEMENT ALL THE WAY TELL
APPROVAL WITH NO GAP NO CLIFF
NO.
CEASING OF THAT FUNDING THANK
YOU.
THANK YOU.
IT IS AN INDEFINITE CHILDREN NOW
SIMILAR CONCERN SO WHAT IT'S
BEEN SAID BEFORE WE HAVEN'T SEEN
THE TRAILER BILL BUT WE HAVE NOT
YET HEARD FROM THE STAY AT
COMMITMENT. TO ENSURING ACTUAL
FUNDING AT THE TIME THE
PLACEMENT RATHER THAN AN
ARBITRARY APPLICATION DATE WHICH
IS UNACCEPTABLE TO FAMILIES WE
ALSO NOT HEARD FROM THEM A
SOLUTION TO ENSURE THAT PASSED
THE SIX MONTHS. FAMILIES ARE
STILL FUNDED I'M CHILDREN DON'T
STOP HAVING NEEDS AT SIX MONTHS
WE NEED TO MAKE SURE THAT
THEY'RE SO SOLUTION THERE I'VE
HEARD A LOT ABOUT COST SHARING
IN BUDGET SHEETS TODAY. I JUST
WANT US TO REMEMBER THAT THESE
ARE ACTUAL CHILDREN IN FAMILIES
THAT HAVE REALLY REALLY
SIGNIFICANT NEEDS AT THIS MOMENT
IN THEIR LIFE NOTS OUR FOCUS
SHOULD BE NOT A FIGHT BETWEEN
STAYING COUNTIES.
OKAY THANK YOU.
A LARGE STACK KEEPERS QUESTION
ABOUT THIS PRODUCT ABOUT
PLACEMENT DATE PURSES
APPLICATION I MEAN THAT. BUT
THIS PLACE I MEAN THE THE FOSTER
PARENTS RESPONSIBLE SO CAN YOU
GRAVE ELABORATE ON ON THAT.
AND YOUR THOUGHTS ON THAT.
SO IN IN OUR NEGOTIATIONS WE DID
A ESTABLISH AN AGREEMENT THAT WE
FILE AN APPLICATION NEEDED TO
HAVE BEEN SIGNED TO AS A AS A.
BASIC.
POINT IN TIME FROM WHICH WE
FELT THAT THAT THE PAYMENT
SHOULD BEGIN AND THEY ARE
REQUIRED BY LAW IN IN PARFAIT A
REGULATIONS TO OCCUR NO LATER
THAN FIVE DAYS THE ACTUAL
APPLICATION HAS TO BE SUBMITTED
IN OUR REGULATIONS NO LATER THAN
FIVE DAYS. AND OUR LANGUAGE THAT
IN THE LONG TERM SOLUTION
PROVIDES THAT WHEN IT SIGNED NOT
WHEN IT BEGINS TO GET PROCESS TO
JUST HAS TO BE SIGNED AND THAT
CAN HAPPEN. ON THE DAY OUT
FRANKLY IT IS NOT A VERY LENGTHY
DOCUMENT.
AND IN ADDITION THE A
APPLICATION IS A VERY BASIC
MINIMAL REQUIREMENT FOR IT PER
OUR FEDERAL.
AGREEMENTS AND SAID THAT IS
ALSO ESSENTIAL TO HAVE SIGNED A
IN ORDER TO BE ABLE TO PROVIDE
PAYMENT. AND SO WE'RE YOU KNOW
WE WE HEAR THE CONCERN ABOUT
THE.
THE POLICEMEN TO BUT WE THINK
IT'S A MATTER OF DAYS.
THAT WOULD BE POTENTIALLY
DIFFERENT IF IT ETHANOL OKAY
WELL DAYS COST MONEY TO SELL.
BUT I MEAN IT'S IT CAN WE WOULD
WE BE ABLE TO GET TO A GOAL
WHERE BASICALLY I MEAN TO WHAT
THEY ALSO HEARD AS THEY SAID
THEY DON'T HAVE AS MUCH.
CONTROL IN TERMS OF SIGNING THE
APPLICATION IS THE APPLICATION
READY TO BE SIGNED ON THE DAY OF
PLACEMENT IS THAT SOMETHING THAT
CAN IS IT NORMAL PRACTICE IT'S
SUPPOSED TO HAVE BEEN PROVIDED.
AT THAT TIME AND IT'S REQUIRED
BY STATUTE TO BE SUBMITTED AND
AND AND PROCESS IN FIVE DAYS AND
SO. WE DO THINK THERE IS A
PATHWAY FOR IT TO BE SIGNED ON
THE DAY OF ENTICEMENT.
WHEN WE HAVE HEARD THAT THERE
ARE SITUATIONS WHERE THAT IS NOT
THAT IS POTENTIALLY NOT
OCCURRING AND. AND ARE HAPPY TO
CONTINUE THE CONVERSATION BUT
EDGES ON ME ASSURE THAT DOWN.
ONE THING IF THE FOSTER PARENT
ACTUALLY HAS CONTROL OVER THAT
THE LORD CIDADE SIDE NOT TO SIGN
IT ON THE DAYS. THAT I CAN SEE
BUT. IF IF IT'S NOT AVAILABLE
FROM THE SIGNS THEY ONE THEN
THAT'S NOT UNDER CONTROL SO
SOMEWHERE WE HAVE TO HAVE AN
OBLIGATION THEN IF YOU'RE GOING
TO DO THAT SAY THAT.
THAT HAS NO YOU KEEP.
YOU CAN REPLACE THAT SAME DAY
YOU NEED TO ANYONE EVERY SUMMIT
CENTER BUT THAT HAS TO BE THERE
FOR THE BOSS PARENT TO SIGN.
RIGHT.
AND WE CAN CONTINUE THOSE COVERS
AMERICANS WITH OUR COUNTY
PARTNERS AND OTHER STAKEHOLDERS
ABOUT HOW TO INSURE THAT THE
FAMILIES HAVE BEEN GIVEN AN
OPPORTUNITY TO SIGN THAT
APPLICATION.
ON THE DAY THAT THEY HAVE
RECEIVED PLACEMENT OKAY ALRIGHT
SO AMID THINKS BELTRAMI.
SO OBVIOUSLY YOUNG PEOPLE WELL
WAIT FOR THE TRAILER BILL
LANGUAGE.
WILL LOOK FOR TWO YEAR ON GOING
DISCUSSIONS APPRECIATE THE WORK
TRYING THEM TO MOVE THIS FORWARD
ITSELF.
OKAY. RIGHT HERE AREA SAYS
ANDERSON ARGUES FOLLOW UP A
LITTLE. HIGHER BUT CAN YOU JUST
ADDRESS THE.
THE CONTINUUM OF FUNDING THAT.
ONE OF THE SPEAKERS MENTION
THAT.
.
FUNDING COULD BE PULLED AFTER
SIXTY DAYS NINETY DAYS WHAT
WOULD NECESSITATE A SITUATION
LIKE THAT WHERE A FAMILY COULD
SEE THEIR FUNDING EVAPORATE
DURING THE TERM OF THEIR. I
THINK.
I THINK THAT THE COMMENT WAS
RELATED TO THE FACT THAT THIS
PROPOSAL PROVIDES FOR FUNDING
FOR ONE HUNDRED AND EIGHTY DAYS
AND IT DOESN'T ANSWER THE
QUESTION ABOUT WHAT WE DO IF
THAT APPLICATION IS STILL NOT
APPROVED. OR DENIED.
AT THAT BY THAT POINT IN TIME.
THEN THERE'S A NEED TO BE CLEAR
ABOUT WHAT WOULD HAPPEN IF THE
PAYMENT IS SEND DISCONTINUED IS
THAT THE ANOMALY WHERE WE DON'T
SEE APPLICATIONS THAT WOULD BE
APPROVED EACH SALE COMMUNITY ARE
CONFIDENT THAT WE WILL NOT HAVE
A SUBSTANTIAL NUMBER OF
APPLICATIONS PENDING OVER ONE
HUNDRED AND. EIGHTY DAYS GOING
FORWARD AT CURRENTLY YESTERDAY
WE HAVE RECEIVED A ADAM PLANS
FROM ALL COUNTIES PURSUANT AB
ONE TEN ABOUT ELIMINATING THE
BACKLOG. OF.
RSA APPLICATIONS AS DEFINED IS
PENDING OVER NINETY DAYS AND SO
WHAT THOSE PLANS PROVIDE IS UP
IS HOW THE COUNTIES WILL
ELIMINATE THAT BACKLOG BY
SEPTEMBER.
AND SO AGAIN THE BACKLOG DEFINED
IS PENDING OVER NINETY DAYS AND
SO GIVEN THAT THEY WILL HAVE
IMPLEMENTING THEIR IMPLEMENTING
PLANS TO ELIMINATE THE BACKLOG
AT NINETY DAYS WE THINK. THAT IT
IS
WE'RE CONFIDENT THAT WE CAN
ACHIEVE APPROVAL TIMES IN LESS
THAN ONE HUNDRED AND EIGHTY
DAYS.
BUT AGAIN WE ARE AWARE THAT WE
NEED TO CONTINUE THOSE
CONVERSATIONS ABOUT THE
CIRCUMSTANCES IF YOU IF THERE
ARE FAMILIES WHO ARE STILL
PENDING.
SO I GUESS MY FINAL COMMENTS
MISTER CHAIR IS THAT I'M
CONCERNED ABOUT THE.
.
THE RESPONSIBILITY OF THE
COUNTIES FOR THE ARK FUNDING FOR
NEW CLIENTS THAT ARE COMING ON.
I'M CONCERNED THAT THERE'S A
POSSIBILITY THAT THERE COULD BE
IMPACTS TO COUNTIES THAT ARE.
STRUGGLING TO PROVIDE SERVICES
TODAY SO I AS WE.
.
WE'RE GONNA SEE A LOT OF TRAILER
BILLS HAVE TO BE A LOT OF
DETAIL.
I WOULD LIKE WHEN WE HAVE OUR
OUR QUESTION WHETHER TO SUPPORT
OR NOT SUPPORT.
THIS PARTICULAR POSITION IN THE
TRAILER BILL.
I WOULD LIKE TO SEE THE THAT
THE NET EFFECT ON ON ON COUNTIES
THAT COULD BE.
CONFIRMED BY THE WELFARE
DIRECTORS.
I OR THE C. SACK THAT ON THERE
THE EMBRACE THAT.
THIS IS GOING TO BE A ANON HIT
IF YOU WILL TO THE COUNTIES
UNDER. IT WHERE THEY ARE
PARTNERS IN GETTING THESE PEOPLE
THE EMERGENCY SERVICES THAT THEY
NEED TO KNOW TO MAKE SURE THAT
THE COUNTIES ARE HELD HARMLESS.
AGREED AND WE WILL BE PROVIDING
BACK IN DALLAS.
OKAY SO AFTER MIDNIGHT WHEN YOU
SAID.
THAT SUBSTANTIAL THE NINE PEOPLE
AT ONE HUNDRED EIGHTY DAYS THAT
THAT MAKES ME A LITTLE NERVOUS
BECAUSE.
POTENTIALLY MEANS WHAT
PERCENTAGE BECAUSE IF YOU'RE THE
ONE PERCENT THE HALF PERCENT
THAT YOU KNOW AND USE THAT
FIGURE HOW MANY CASES YOU HAVE.
.
THAT STILL A LOT OF FAMILIES ARE
CAREGIVERS ARE LIKE WAIT A
MINUTE HUNDRED EIGHTY DAYS I UP
AND WHY AM I SUPPOSED TO DO SO
AYE EIGHTIES SO WHEN YOU SAY
SUBSTANTIALLY EVERYONE'S GONNA
GET FOUR HUNDRED EIGHTY DAYS.
HOW THE WHOLE AT SUBSTANTIALLY
WHAT PERCENTAGE WE TALK ABOUT
WHO AREN'T GONNA HIT THAT
GUIDELINE? AND WHAT WE'RE GONNA
DO FOR THEM.
WHEN THE COUNTIES SIX AGREED AND
AND I THINK THE REASON THAT I
HAVEA AT IT IS THAT THERE'S
ALWAYS. A POTENTIAL CASE WHERE
IT COULD YOU KNOW I'D NO ONE CAN
EVER SAY IT ABSOLUTELY COULDN'T
HELP BUT DID AT SUNSET SO I'M.
THAT SYRIA I REALLY SO WHAT
HAPPENS HERE OF COURSE IN MY
LEADS TO HAVE A WHO WE'RE
DEALING WITH A LOT NUMBERS AND
CAN GET YOU KNOW NINETY NINE
POINT NINE NINE NINE PERCENT BUT
I HAVE. A LOT OF DOCTOR AND THE
PHYSICIAN AND DO I HAVE IS I AM
A TASTE OF THEIR AND THEIR THAT
POINT THOUGH ONE PERSON THAT
DIDN'T WORK FOR. LIKE YOU KNOW
WHAT WE DO SO.
SELL I'M THAT APPRECIATE THAT
MEAN ON ONE LEVEL BUT I I I
THINK I SHARE THE CONCERNS OF
FOLKS THAT.
HOW MANY PEOPLE WE TALKED ABOUT
THE HECK WON'T HIT WHEN A NEED
IS A SMALL NUMBER? THERE NO REAL
JAM SO WE GOTTA FIGURE OUT WE
HAVE TO FIGURE OUT SOME WAITED
TO TO ADDRESS THAT SAW HERE
SUBSTANTIAL I'M GOING WHAT
SUBSTANTIALLY IN HOW MANY PEOPLE
ARE LEFT THAT WE'RE TALKING
ABOUT THAT GONNA HIT THE ONE
EIGHTY AND. GET STUCK YEAH SO
YEAH AND I AND WE WILL BE
CAREFULLY MONITORING THAT I MEAN
THAT'S THE OTHER THING I GUESS I
WOULD SAY IS THAT WE HAVE NOW A
VERY.
IN REAL TIME PROCESS FOR
TRACKING WHAT'S HAPPENING TO THE
NUMBERS PENDING PAST A CERTAIN
NUMBER OF DAYS AND SO. WHEN THEY
HIT ONE HUNDRED AND TWENTY DAYS
WE'LL START TO SEE AND AND BE
ABLE TO. THE BEYOND MONITORING
HOPEFULLY IS WHERE PEOPLE
ARE GETTING CLOSER THERE'LL BE
SOME STUDY THE AIR SOME PEOPLE
AT THE DEPARTMENT THE COUNTIES I
CAN SAY OKAY WE KNOW WE'RE
GETTING TO ONE EIGHTY AND.
AND WHAT ARE WE GONNA DO ABOUT
THIS CASE AND HOW WE HELP THEM.
RIGHT OKAY ZEALOTS CREEK TO
MONITOR AND GO OH YES. SOMETHING
BAD HAPPENED A WELL.
OKAY NOT OUR OBJECTIVE AND I
KNOW THIS OF THIS BRANCHES TO BE
ABLE TO RESPOND TO THOSE RIGHT
EXACT SITUATIONS OKAY WELL I'M
AND I KNOW YOU WORKED VERY HARD
ON THAT A PRIEST.
THANK YOU ALL RIGHT. NEARLY
QUESTIONS THEN.
OKAY LET'S MOVE ON THEN TO ISSUE
NUMBER TWO.
TRAILER BILL LANGUAGE FEDERAL
COMPLIANCE INDIAN CHILD WELFARE
ACT CHOSE TO SEE PROCEEDINGS
THANK YOU MISTER CHAIR MEMBERS
PROGRESS AGAIN FOR THE
DEPARTMENT.
RECENTLY THE FEDERAL GOVERNMENT
CHANGED THE THE FINAL.
RULE RELATED TO THE INDIAN
CHILD WELFARE ACT.
THOSE.
THOSE CAME THROUGH THE BUREAU
OF INDIAN AFFAIRS.
WE ARE LOCKED LARGELY BEING
ABLE TO CONFORM OUR CURRENT.
PRACTICE WITH THE UNDER UNDER
CURRENT STATUTE BY CHANGING OUR
REGULATIONS THIS THIS.
TRAILER BILL FOCUSES ON A ON A
SPECIFIC.
RELATIONSHIP BETWEEN STATE
COURTS AND TRIBAL COURTS WHERE
THERE'S SIXTY.
EXCLUSIVE JURISDICTION FOR.
.
FOR A TRIBAL COURTS AND SEWER
SIT WHERE THIS THIS PROVISION.
MCCREE IT'S EIGHTY PROCESS FOR.
FOR THE TRIBES EXCLUSIVE
JURISDICTION TO TO BE A
PARAMOUNT AND THAT THE EX AND A
PROCESS FOR THE STATE COURT TO
NOTE TO NOT BE INVOLVED.
BERRYHILL FINANCE
COMMITTEE MEMBERS.
OKAY THE THROUGH BOND ISSUE
NUMBER THREE TRAILER BILL
LANGUAGE.
TRIBAL STATE TITLE FOR E.
AGREEMENT STARTUP ALLOCATION
RIGHT THANK YOU GET A. THIS THIS
A TRAILER BILL SEEKS TO PROVIDE.
ACCESS TO FUNDS THAT HAVE BEEN
BUDGETED FOR SEVERAL YEARS NOW
FOR TRY FOR THE TO TRY TO HAVE
THE FORTY AGREEMENTS THAT YOUR
ROCK AND THAT. GROUP TRIBES.
AND.
WHAT WHAT THIS WHAT THIS DOES
IS A LITTLE?
ALLOWS THE HAVE TRIED TO
RECEIVE FUNDING TO.
HIRE STAFF MEMBERS TO TO TO
ACTUALLY SERVE THE YOUNG PEOPLE
IN THEIR TRIED. ITS VARIOUS
ANALOGOUS AND SIMILAR TO WHAT
HOW PRIDE A REALIGNMENT.
AND DID.
THE VERY SMALL COUNTIES WITH
AMENDMENT ALAKAL ALLOCATIONS FOR
THIS REEK CREATES A MINIMUM
ALLOCATION SO THAT.
AND THERE THEY ARE ABLE TO.
HAVE SUCH AS ENOUGH RESOURCES
TO HAVE PEOPLE ON BOARD TO DO
THE WORK THEY NEED TO DO EVEN
WITH A MINIMAL CASELOAD.
THOMAS MILLION FINANCE.
THE MEMBERS
OKAY. ALRIGHT UMMC BUT PUBLIC
COMMENT ON THE ISSUE TWO OR
THREE TWO IN OR THREE.
OKAY SEEING NONE I WE'RE GOING
TO HOLD.
ALL THESE ITEMS OPEN SO SHE ONE
TWO AND THREE. APART A THANK YOU
VERY MUCH OKAY. SO WE'RE GONNA
MOVE ON TO PART BE WE HAVE PART
OF HEALTH CARE SERVICES.
WELCOME.
RIGHT.
SO FOR THE RECORD WHICH HAVE
EVERYONE INTRODUCE THEMSELVES
FIRST BEFORE WE BEGIN.
GREAT AND JENNIFER CAN DIRECTOR
FOR THE DEPARTMENT OF HEALTH
CARE SERVICES.
LINDA HARRINGTON DEPUTY DIRECTOR
FOR HEALTHCARE FINANCING FROM
HEALTHCARE SERVICES IF YOU
FELLOW.
RIGHT MELENDEZ ONLY OF.
BROWN WILL ZELEA.
IT'S A MILLION AT FINANCE.
BUT IN HUMPHRIES DEPARTMENT OF
FINANCE.
WELCOME ADVOCATES DEPARTMENT OF
FINANCE QUE ELLIOT HAS YOU
OUTNUMBERED.
OKAY.
ALRIGHT SO WE'RE GONNA BEGIN
WITH ISSUE NUMBER ONE THE MEDI
CAL LOCAL SISSON ESTIMATE MAY
REVISION UPDATE.
GREAT SO.
.
AS YOU KNOW WHEN THE BUDGET WAS
RELEASED.
LAST FRIDAY.
ALONG WITH THAT CAME THE
MEDICAL ASSESSMENT I'M AS WE
HAVE BEEN SEEN.
SINCE THE START OF TWENTY
SIXTEEN CASELOAD IN A CERTAIN
NUMBER OF EIGHT CATEGORIES HAS
BEEN DROPPING.
SLIGHTLY AND SO ARE PROJECTED
OVERALL CASELOAD FOR MEDI CAL
HEADING INTO THE NEXT YEAR ON
IS.
PRETTY PREDICTED TO DROP TO
ABOUT THIRTEEN POINT THREE
MILLION INDIVIDUALS I THINK
NOTABLE I'M ARE THAT.
.
FAMILY.
EIGHT CATEGORIES IN WHICH YOU
CAN ALSO PROBABLY EXPECT THAT
THE YOU KNOW DUE TO THE ECONOMIC
AND.
DROP IN UNEMPLOYMENT CALIFORNIA
THAT CATEGORY IS BEEN KIND OF.
UNDERSTANDABLE THERE WERE SOME
SLIGHT AYE DECREASES AND.
INDIVIDUALS WITH DISABILITIES
AS OPPOSED TO OUR SENIORS
CATEGORY HAS BEEN STEADILY
INCREASING SO THERE ARE BOTH.
EBBS AND FLOWS IN THE VARIOUS
CASELOAD BUT OVERALL WE'RE
PREDICTING TO. BE RIGHT AROUND
THIRTEEN POINT THREE MILLION IN
CASELOAD.
AS WAS ALSO NOTED AND THE
ESTIMATE WE HAVE.
THE SHORTFALL OF APPROXIMATELY
EIGHT HUNDRED AND.
TWENTY NINE MILLION DOLLARS.
IN THE OVERALL I LOCAL
ASSISTANCE BUDGET ON THERE'S A
NUMBER OF FACTORS.
THAT CAN HELP.
EXPLAIN THIS I KNOW THAT WE
TRIED TO LAY IT OUT IN SOME OF
OUR BUDGET HIGHLIGHTS DOCUMENTS.
BUT IN LINDY CAN CERTAINLY HELP
CHIME IN ON SOME OF THE DETAILS
BUT I THINK THAT A LOT OF IT CAN
BE EXPLAINED AND THAT WE ARE. A
DEPARTMENT THAT WORKS ON A CASH
BASIS SO WE DON'T HAVE AN A
CRUEL AND SYSTEM SO IF WE ARE
BUDGETED FOR AN EXPENDITURE IN
THE BUDGET YEAR. AND NOT FOR
WHATEVER REASON IS EITHER
DELAYED OR SLIDES.
IT'S ON A CASH BASIS WE
AUTOMATICALLY START WITH A YOU
KNOW. A MISMATCH OF FUNDING AND
SO SOME OF THE BIG THINGS IN OUR
DEPARTMENT THAT DRIVE THE SWINGS
ARE ARE REBATES.
FOR THE PHARMACEUTICALS THAT WE.
PURCHASE AND REIMBURSE
PHARMACIES FOR I'M OBVIOUSLY OUR
MANAGED CARE CAPITATION THAT IS
A SIGNIFICANT.
COMPONENT AS A LOT AS THE.
FLUCTUATION IN OUR FUNDING.
THERE ARE A LOT OF SUPPLEMENTAL
PAYMENTS THESE HAVE INCREASED
OVER TIME BUT THE COMPLEXITY
THAT WE HAVE IN ADMINISTERING
SOME OF THE SUPPLEMENTAL
PAYMENTS WHICH MEANS. MULTIPLE
BILLIONS OF DOLLARS TO ON LIKE
NOTABLY TO THE HOSPITALS AND WE
COLLECTED MCO TAX THAT YOU ALL
AND ARE. WELL AWARE OF IT SO
SOME OF THAT BOTH FLAGS IN
COLLECTION OR LAGS AND FEDERAL
WILK OR PAYMENT CITING FROM A
JUNE FIFTEENTH EXPECTED TO GET
TO A JULY WILL UPDATE.
AUTOMATICALLY MAKE CHANGES AND
TO HOW THE OVERALL AND IT IS IS
HANDLED SO. WE TRIED TO KIND OF
LAY OUT SOME OF THOSE LARGE
SIGNIFICANT SWINGS THAT
CONTRIBUTED TO THE SHORTFALL.
IN THE CURRENT YEAR.
AND.
I WILL MAYBE STOP.
THERE AND HAPPY TO ANSWER
QUESTIONS BECAUSE THAT THERE'S
ALSO A NOTE ON YOUR AGENDA THAT
TALKS ABOUT SOME OF THE THINGS
THAT WE ARE TRYING TO DO.
PURSUANT TO SOME OF THE
SHORTFALLS TO TRY TO HELP BETTER
MANAGE BOTH ARE CASH IN THE
OVERALL BUDGETING PROCESS THAT
WE AS A DEPARTMENT HAVE BEEN
UNDERGOING SINCE LAST YEAR.
I EARLIER.
MISTER CHAIR RAMBLES THE WITH
THE LA THOUGH. M. OVERALL M. WE
HAVE SEVERAL COMMENTS ON ON THE
MAYOR VISION PROPOSAL BUT AND
THE FIRST OF WHICH WOULD BE
OVERALL THERE'S THERE'S A FEW
PLACES IN THE MAYOR VISION
WHERE.
ON THE ADMINISTRATION'S APPROACH
APPEARS TO BE A SOMEWHAT
CAUTIOUS
I AM ONE EXAMPLE WOULD BE.
WITH RESPECT TO AND THE PAYMENT
DEFERRALS THAT. AND.
ARE ARE TAKING PLACE.
WITHIN THE CURRENT YEAR AND THE
BUDGET YEAR THIS IS THAT A CASE
WHERE THE STATE HAS MADE CLAIMS
THE FEDERAL GOVERNMENT BUT THE
FEDERAL GOVERNMENT HAS
SUBSEQUENTLY. CONTESTED THOSE
CLAIMS AND.
REQUIRES THE STATE TO THEM
RETURN THOSE FUNDS WHILE AND
THEY'RE AND REVIEWED. AND THE
AMOUNT OF DEFERRED CLAIMS HAS
GONE UP RECENTLY.
AND THIS IS REFLECTED IN THE
MIRROR VISION AND IS A MAJOR
DRIVING FACTOR IN THE. INCREASED
COSTS IN THE CURRENT YEAR BUDGET
YEAR I'M WE BELIEVE THAT THE
STATE WILL ULTIMATELY BE ABLE TO
RECOVER A SIGNIFICANT PORTION.
OF THOSE DEFERRED CLAIMS AND THE
UNCERTAINTY IS AROUND THE
TIMING.
AND THE ADMINISTRATION HAS AS
NOT ASSUME THAT. I AM VERY MUCH
OR OR.
VERY MUCH OF THOSE CLAIMS WILL
BE RECOVERED WITHIN THE BUDGET
YEAR AND THAT'S CONTRIBUTING TO
THE INCREASE COST.
AND ON ANOTHER EXAMPLE WITH
RESPECT TO CASELOAD. AND THERE
HAS BEEN SOME RECENT DECLINES
WHICH THE DIRECTOR MENTIONED. A
PARTICULARLY IN THAT FAMILIES
AND CHILDREN CASELOAD. AND THE
MAYOR OF VISION ASSUMES THAT
THOSE WILL THAT THOSE DECLINES
WILL SLOW. THEM IN IN THE BUDGET
YEAR WE THINK THERE'S SOME
POSSIBILITY THAT. AND THE
DECLINES COULD BE SOMEWHAT MORE
RAPID AND IN THIS CASE IS WELL
IT IT COULD TURN OUT THAT THAT
PROGRAM ENDS UP COSTING LESS.
AND THEN IT SEEMED IN IN THE
MAYOR VISION.
HOWEVER AND THERE IS A LOT OF
UNCERTAINTY HERE WE WOULDN'T
RECOMMEND MAKING ANY ADJUSTMENTS
AT THIS TIME BUT WE THINK IT'S
APPROPRIATE FOR THE LEGISLATURE
TO SCRUTINIZE.
THESE ADJUSTMENTS AND THE
CASELOADS AND MAKE ITS OWN
DECISIONS ABOUT HOW TO WAY.
.
THE THE AMOUNT OF FUNDING THAT'S
PUT THE PROGRAM AGAINST THE RISK
THAT THERE COULD BE A
DEFICIENCY.
AND IN THE FUTURE YEAR. AND WE
HAVE ADDITIONAL COMMENTS ABOUT
OTHER ASPECTS OF THE THE MAYOR
VISION CLEAN PROP FIFTY SIX WE
CAN HOLD THOSE FOR NOW IF YOU'D
LIKE.
TO.
WAIT.
YEAH WELL THOSE YEAH.
OKAY.
FINANCE.
ONCE
EPIC REMEMBERS.
YES US OUR MONEY.
THANK YOU MISTER CHAIR JUST TO
COME BACK TO THE DEFERRED
CLAIMS.
SO.
PROJECTED POEM DEFICIENCY OF
EIGHT HUNDRED TWENTY NINE POINT
NINE MILLION.
DEFERRED CLAIM SIX HUNDRED
EIGHTY TWO POINT THREE MILLION
AND WE HEARD WE DON'T KNOW
EXACTLY.
WHAT PERCENTAGE OF THOSE
DEFERRED CLAIMS?
WILL BE ENTITLED TO. ANY OTHER
UNCERTAINTIES WHEN THEY ACTUALLY
COME.
IS THERE ANYWAY TO ESTIMATE FROM
PAST EXPERIENCE.
BUT SO LIKELY PERCENTAGE OF THAT
SIX HUNDRED EIGHTY TWO I MEAN IS
IT LIKELY TO BE.
MORE THAN FIFTY PERCENT LESS
THAN PRETTY PRICKLY WE HAVE BEEN
FAIRLY SUCCESSFUL WITH C. EN
MASSE AND PROVIDING ADDITIONAL
DOCUMENTATION AND AND COMING TO
RESOLUTION. I'M IN THE STATE'S
FAVOR.
HOWEVER WERE IN KIND OF A NEW
WORLD WITH WE SEE A MASS THEY
ARE THE WERE. SLOW TO TO DO THAT
THE FINAL RECONCILIATIONS AND
THEY'VE BEEN PLAYING CATCH UP SO
WE'VE SEEN MORE SIGNIFICANT
DOLLARS BUT THAT ALSO MEANS AS
WE'RE WORKING THROUGH THOSE THAT
TIE MEAN. IS TAKING LONGER WITH
CMS TO RESOLVE SOME OF THOSE
ISSUES SO. WE FEEL PRETTY
CONFIDENT THAT WE WILL
ULTIMATELY PREVAIL IT'S JUST
AGAIN WHEN YOU LOOK AT OUR CASH
BUDGET WE DON'T BELIEVE THAT
BECAUSE NOT ONLY ARE THE
RESOLUTION BUT THEN CMS ALSO
HAVE TO TAKE IT THERE
ADMINISTRATIVE ACTIONS ACTUALLY
RETURN THOSE DOLLARS AND THAT
CAN BE TIME CONSUMING AS. WELL.
AND SO THAT'S WHY WE'VE
INCLUDED THESE THINGS AND TO
SHOW IN AGAIN I'M.
SILICON CLARIFICATION ON THE.
TIME FRAME.
SO THE.
THERE'S DEFERRED CLAIMS
ARE THEY COUNTED IN ARE THE
BUDGET YEAR THAT WERE WITHIN.
AND ONCE THAT'S RECONCILED
WHATEVER.
STATES ENTITLED TO. IS THAT.
LIKELY TO BE IN THE COMING
BUDGET YEAR OF EIGHTEEN NINETEEN
OR COULD IT BE EVEN. LATER THAN
THEIR THERE COULD BE SOME THAT
IS RESOLVES AND AND PAID BACK IN
EIGHTEEN NINETEEN.
AND OTHER DOLLARS THAT WILL
EXTEND INTO NINETEEN TWENTY.
WE HAVE SOME CLAIMS THAT DATE
BACK.
THREE FOUR FIVE SIX YEARS WHERE
WE HAVE BEEN. ARGUING IN GOING
THROUGH VARIOUS APPEALS PROCESS
THESE AND SO. IT'S NOT ALWAYS
SO.
LANIER AND IT'S A GOOD ANALOGY
LEAH MEAN THEM BUT IT'S FAIR TO
SAY THAT EIGHT HUNDRED TWENTY
NINE MILLION.
DEFICIENCY.
IS ULTIMATELY OFFSET TO SOME
DEGREE BUT BUT WE NEED TO
ACCOUNT FOR THAT.
BECAUSE OF THE CASH ACCRUAL.
WITHIN THIS BUDGET HERE.
BUT IT'S MAYBE NOT.
QUITE AS SERIOUS AS IT MAY
APPEAR WITH THAT.
GROSS FIGURE.
TIMING.
THINKING.
SO I THEM CERTIFIED PONDERED FOR
CLAIMS NOW.
.
IF I UNDERSTAND WAS
FAIRLY RECENT SEEM S. ACTIONS
THAT LED TO US HAVING TO CENTURY
UP FRONT THE MY
CORRECT WHEN THE BUT THAT THAT
TAKE PLACE WHEN WAS THAT.
STIRRED REQUIRE.
SO CMOS PREVIOUSLY AND WORKING
WITH CALIFORNIA WHEN THEY
DEFERRED THE CLAIMS THEY WAITED
UNTIL DISALLOWANCE ACTUALLY TAKE
THE MONEY BACK.
AND SEE A MESSAGE DETERMINE THAT
THEY ARE THEY DON'T HAVE THE
AUTHORITY TO DO THAT AND THAT
THAT FEDERAL REGULATION REQUIRES
WITHIN US ARE WHEN THEY HAPPEN.
AND THEY STARTED THE THEY MADE
THAT CHANGE. AND WITHIN THE LAST
FISCAL YEAR THAT THEY THAT
THEY'VE STARTED DOING THAT SO
IT'S WITHIN THE FISCAL YEAR BUT
WE SAW EX
LARGE.
DEFERRALS COMING IN JUST WITHIN
THE LAST QUARTER SO SO JUST TO
CLARIFY THIS LARGE DEFERRED
CLAIMS
PEACE.
IT'S GONNA BE FOR THIS YEAR
PARTICULARLY LARGE BECAUSE WE
NOW HAVE THE UP FRONT EVERYTHING
BUT THE FUTURE SHOULD.
GIVEN THE FACT THAT WILL HAVE
THE FIRST CLAIMS OF THEN WILL
BEGIN MONEY BACK RIGHT SHOULD
SHRINK OKAY. AND I THINK I HOPE
THAT PERHAPS MAYBE IT'S HELPFUL.
AND MY COLLEAGUES SAID
AGREEABLY NOT BUT MAYBE WHAT WE
SHOULD HAVE FOR OUR BUT FOR OUR
DISCUSSION PURPOSE IN THE FUTURE
IS ACTUALLY GRID OR A SAY. IN
THIS YEAR RIGHT FOR THAT WE HAVE
THIS MAY DEFERRED CLAIMS AND
THEN HE SOMEHOW MUCH OF IT'S
BEEN PAID BACK OR HOW MUCH OF
IT'S BEEN RULED NOT SO THAT WE
CAN TRACK.
SO THAT WAY WE CAN SEE WHAT
WE'RE GETTING BACK SO YOU KNOW.
LEGISLATURE WE DECIDED BACK IN
AND SALES SEVEN.
EIGHTEEN NINETEEN WE'RE PUTTING
AWAY SIX HUNDRED EIGHTY TWO IN
DEFERRED CLAIMS AND TURNS OUT
IN.
THE NINETEEN WE GOT THIS MUCH
BACK NINETEEN TO AND I REALIZE
SOME MAYBE OUT MULTIPLE YEARS.
BUT I THINK THAT HELPS
GET.
HARM
PLUS A SENSE LEGISLATURE'S SENSE
OF LIKE WHERE WE ARE ON THOSE
HOW MUCH IS STILL OUTSTANDING
THAT WE MIGHT STILL GET BACK HOW
MUCH.
WE ARTS HOW MUCH WE HAVE.
HOW HOW THAT'S HUMILIATING OVER
TIME I THINK?
BECAUSE THAT IS MEDI CAL MONEY
AND SO WE NEED TO BE SURE MONEY
COMES BACK TO GOES BACK MEDI
CAL.
BECAUSE THAT SAYS SO I SAW I
THINK BEING ABLE TO DO THAT KIND
REPORT AND PERHAPS.
ON OF.
LOOKING AT THE FINANCE AND ELIO
THE BE SURE THAT THAT CAN
INFORMATION'S AVAILABLE FOR
FUTURE BUDGET HEARINGS OVERSIGHT
HEARINGS WE TALK ABOUT THESE
THINGS FOR. FOR TIME SO.
I THINK IF THAT'S THE WAY THAT
SEEM S. IS GONNA DO IT AND HOW
WE TRACK ON OUR SIDE WOULD LIKE
TO KNOW I THINK FOR THE BUDGET.
MY MIND FOR THE BUDGET COMMITTEE
TO BE ABLE TO TRACK TRACKS AS
WELL SO WE KNOW WHAT'S FLOATING
OUT THERE WHAT. WHAT'S NOT.
IN TERMS OF.
.
NOW OBVIOUSLY THERE SAY IT AND
YOU MENTIONED DIRECTOR CAN THAT
THERE'S A CERTAIN LEVEL
COMPLEXITY TO WEAR MCO TAX OR
YOU KNOW QUALITY ASSURANCE HE
AND SO FORTH.
.
I I DO FIND IT INTERESTING THAT
JUST YESTERDAY DOESN'T ITEM WE
TALKED ABOUT THAT WAS LITERALLY
I THINK ABOUT TO IT UNDER TWO
HUNDRED FIFTY THOUSAND AND NOW
WERE. THROWING AROUND HUNDREDS
OF MILLIONS I HEAR.
.
IT'S SO.
L. IT'S A BIT CHALLENGING BUT IS
IT IN TERMS OF.
NO TRAINS AND YOU MENTION THE
CASH A CRUEL.
I MEET CASH BASIS WERE NOT
DOING GREW SO I. AND.
YOU KNOW IN TERMS OF TRYING TO
FIGURE OUT LIKE I MEAN THESE ARE
OBVIOUSLY LARGE AMOUNTS OF
MONEY.
HILL AND I THINK LAST YEAR
MEMBER THE DRUG REBATE DOES A
VERY LARGE ABOUT I MEAN.
IS THERE A WAY WE'RE GONNA GET.
CLOSER TO I MEAN AND I REALIZE
YOU DON'T THIS IS A BIG BUDGET
TO SELL PERCENTAGE WISE HE'S OUR
NESTLE LARGE PERCENTAGES BUT I'M
JUST THE BUT THEY THEY HAVE TO
CAMP TREMENDOUS IMPACT ON.
ON ON YOU I PEOPLE COMING UP
ASKING FOR LIKE TEN MILLION TWO
MILLION WHATEVER AND WE'RE HERE
I'LL SUDDENLY BOOM HITLER OFF
BY.
FOUR HUNDRED TWENTY EIGHT
MILLION RIGHT.
THAT EXTRA LIVE STUFF.
SO I'M DESTROY THE CLICK IN
TERMS OF ESTIMATIONS IS THERE
SOMETHING WE CAN DO TO GET
CLOSER TO THE MARK.
YEAH.
I AND EIGHT RELY SOME IT'S
MAYBE TIGHTENING BUT MAYBE IT'S
A CASE OF SAYING OKAY WELL THIS
IS.
IN TERMS OF US BETTER
UNDERSTANDING SO ON THE STRICTLY
ON THE NUMBERS PART YOU KNOW
THERE'S A TINY PART WHEN THE
MONEY ACTUALLY COMES BACK BUT
ALSO SEEM LIKE THIS IS WHAT'S
FLOATING OUT THERE.
THAT WORD THAT SO OF ANY SOME
CERTAIN AGREE YOU DO
CALCULATIONS LIKE OKAY WELL THIS
IS WHAT KIND OF STILL FLOATING
OUT THERE AND THAT THAT WERE
EXPECTING IN THE LANDS THIS TIME
WILL BE THIS YEAR NEXT YEAR BY
MEANS.
IS THERE A WAY WE CAN TRY TO GET
OUR ARMS AROUND THAT.
FOR FOR OUR.
I DIDN'T LOW'S VISIT.
I FEEL LAKE AND MADE HIM LOOK AT
LA L. I I FEEL LIKE WE NEED TO
BE A BETTER UNDERSTAND THAT TO.
TO TO THINK ABOUT OUR BUDGETING
AND WE ARE DOING A BUDGETS FOR
NEXT YEAR BUT WE ALSO DO MULTI
YEAR I MEAN PROTECTIONS AND SO
FORTH AND HAVING A SENSE OF LIKE
WHAT'S FLOATING OUT THERE WHAT
WE HAVE TO. NELSON
DEAL WITH
I THINK IT'S GONNA BE IMPORTANT
AS WE TRY TO MAKE DECISIONS.
I MEAN I THINK.
BASED ON THE ISSUES THAT WERE
RAISED WITH THE ASSESSMENT AND
THE PROCESS LAST YEAR YOU KNOW
WE HAD AND SOME CONSULTANTS COME
IN AND WORK WITH US.
TO TRY TO PUT.
BETTER BOTH PROCESSES USED AND
AND SYSTEMS IN PLACE BOTH ON THE
FRONT END IN THE BACK AND RIGHT
SO PART OF IT IS ESTIMATING
WHICH CASELOAD. YOU KNOW IF THE
ECONOMY DROPS FOR ANYONE REASON
AS WAS NOTED OUR CASELOAD
PROJECTIONS GO COMPLETELY OUT
THE WINDOW AND THEN THE WHOLE DE
LA IF I GUESS I GUESS PART OF IT
IS. OF FOR EXAMPLE HOW MUCH OF
THIS IS BECAUSE OF SO THERE'S
THINGS OUT OF A QUOTE OUT OF A
CONTROLLING CASE LOAD RIGHT.
AND THEN THERE'S ALSO THINGS
THAT LIKE THE FEDERAL
GOVERNMENT'S ONLY SAYS THEY HAVE
A DIFFERENT INTERPRETATION AND
SO FORTH RIGHT.
SO YES HOW MUCH IS.
THE VARIANCES.
CAN BE EXPLAINED FOR EXAMPLE
LIKE WAS THAT HAS THERE BEEN
SIGNIFICANT DIFFERENCES
INTERPRETATION WITH THE FEDERAL
GOVERNMENT RELATION TO SOME OF
THESE ISSUES LIKE THE MC ATTACKS
QUALITY INSURANCE HE'S SO. RIGHT
SO I MEAN IN COLLECTIONS OF THE
TIMING QUESTION SO THERE WASN'T
SOME CHANGE THAT LED TO THIS
THING SO WE DID OUR BEST CASE
PRODUCTION WORSE AND THAT'S JUST
TIGHTENING UP ON OR EXPECTING.
SO IN THAT SENSE
WE MOVED SHOULD BE ELDERLY SAY
WHAT WE KNOW WERE WE JUST
HAVEN'T GOT THE MONEY YET BUT
IT'S OUT THERE SOMEWHERE. RIGHT
* FOR ON THE MCO A MAJORITY
OF IT WAS JUST TIE MEAN HAVE OF
WIND THAT THE PAYMENTS WERE MADE
THERE IS.
US ABOUT A HUNDRED MILLION
DOLLARS THAT THAT WE REDUCED AND
THAT OFFSET TO THE GENERAL FUND
THAT WAS ASSOCIATED WITH AND
THAT. THE EXPANSION POPULATION
AND THERE WAS AN ANIMAL ARE
ASSOCIATED WITH THAT WITH THE
FEDERAL GOVERNMENT FOR THE FIRST
THREE MONTHS THE DATA THAT WE
RECEIVED IN APRIL FROM THE
HEALTH PLANS. AND WE HAD
ORIGINALLY INCLUDED IN.
IN THE BUDGET THAT THERE BE
ABOUT FIVE HUNDRED MILLION THAT
WOULD BE RETURNED TO THE FEDERAL
GOVERNMENT. THAT DATA THAT WE
HAVE FROM THE HEALTH PLANS IS
IT'S IT'S UPWARDS OF TWO BILLION
DOLLARS AND THAT WAS DURING THE
TIME PERIOD THAT THE MCO TAX WAS
REVENUE BEAST. SO WE HAD TO
DECREASE THE AMOUNT OF REVENUE
THAT WOULD BE AVAILABLE BECAUSE
THOSE DOLLARS WILL HAVE TO GO
BACK TO THAT TO THE HEALTH PLANS
BUT AGAIN IT WAS LEAKED.
INFORMATION THAT WE DIDN'T HAVE
AVAILABLE TO US AND TELL. APRIL
TO MAKE THAT ADJUSTMENT.
IT'S A GREAT EXAMPLE OF THE
STUFF THAT APPEARANCE A LOT OF
JUST.
UNCERTAINTY IN AND BY THE TIME
THAT WAS YOUR MIND THAT THAT
THAT WOULD THAT THAT'S SOMETHING
THAT WAS RETURNED THAT. TELL THE
NEWSPAPER SWEATERS THAT SUPPOSE
THE MAN THE MEDI CAL MANAGED TO
COMPANIES ARE MAKING UP THE
BUDGET MONEY ACTUALLY HAD
RETURNED IT
THAT.
ONE REMIND PEOPLE. OKAY.
YES FINANCE ITEM.
WELL ERMAN BECAUSE DEPARTMENT
OF FINANCE OWN ADDITION TO WHAT
DIRECTOR CAN ALLUDED TO THE
DEPARTMENT'S DOING A LOT OF WORK
WE HAVE CONSULTANTS ONBOARD.
WHEN WE LOOKED AT.
THE DATA THAT WERE ACTUALLY
SEEN FOR EXAMPLE ON THE FEDERAL
I MEAN IN THEM. DRUG DRUG REBATE
PIECE WE DID OUR AT JUST OUR
BUDGET YOUR ESTIMATE TO ALIGN
MORE WITH WHAT WE'RE SEEING IN
THE CURRENT YEAR SO WE DO. AND
IN SOME CASES WE DO TAKE INTO
ACCOUNT.
DATA THAT WERE SEEN TO I JUST.
OUR BUDGET A METHODOLOGY IN THE
BUDGET YEAR SO THE DRUG REBATES
AS AN EXAMPLE OF WHERE SEEN.
LESS OFFSET TO THE GENERAL FUND
AND WE'RE PROJECTING THAT.
TO BETTER PREPARE IN THE BUDGET
YEAR.
THURMOND.
NOT ON THIS IMMEDIATE SUBJECT
BUT ON THESE ITEMS THIS OKAY TO
ASK ABOUT ANOTHER.
ENTRY ON THE HEPATITIS C..
YOU KNOW IT.
I THINK I'M GONNA ELLIOTT HAD
SOME MORE COMMENTS ON DETAILS
MORE COMES OUT SO MAYBE. WE'LL
GO AHEAD HAVE YOU SO WE HAVE THE
OVER US AND IT'S NO WE DID HAVE
SOME SPECIFIC THINGS WE ABOUT
THE PROP FIFTY SIX. SOUTHERNERS
THAT SHIP THE DRUG MACAU MANY
CALVET SO AND WITH THE ANY MORE
TO SAY ABOUT SOME OF THOSE ITEMS
THAT I WASN'T GONNA I WASN'T
PLANNING I WAS TALKING JUST
MOSTLY ABOUT THAT KIND OF STUFF
CASH IN BUDGETING OKAY WANTED
ALSO GOING TO SOME OF THE
PROGRAMMATIC CHANGES. IN A
CEMENT I'M HAPPY TO DO THAT BUT.
OKAY SO WHAT WE WANT TO GO AHEAD
AND THAT IS THERE'S NO THE
QUESTIONS ABOUT THE OVER US AND
THAT'S THE NAY WE CAN GO THAT
EXIT LA A HAS SOME COMMENTS IF
YOU. AT AND.
SO IF YOU WANT TO.
SOME HIGHLIGHTS AND THEN NOW AND
IT WILL TAKE A QUESTION ON THAT
SAY HAS ITS OF QUESTIONS ON
THOSE TWO. JUST SO YOU KNOW.
.
KIND OF CONSISTENT WITH HOW YOUR
AGENDA LAYS IT OUT I'M OBVIOUSLY
WE CHANGED.
FROM THE JANUARY BUDGET FOR THE
REAUTHORIZATION OF CHIP THAT
CAME.
LATE BEFORE WE COULD MAKE
ADJUSTMENTS FOR THE JAN TEN
RELEASE.
WE STILL CONTINUE TO IMPLEMENT
ON THE DRUG MEDI CAL WAIVER WE
HAVE CHANGED SOME OF THE.
COSTS IN THE IN THE BUDGET YEAR
ON DUE TO SOME. SLOWER THAN
EXPECTED COUNTY.
IMPLEMENTATION DATES ON ONE OF
THE THINGS THAT WILL ALSO BE
TALKING ABOUT LATER TODAY IS.
SPEAKING OF DEFERRALS WE'RE
GOING TO BE HAVING TO PAY BACK
THE FEDERAL GOVERNMENT FOR A
NOTE RECENT OIG AUDIT TO.
THE TUNE OF ABOUT A HUNDRED AND
EIGHTY MILLION DOLLARS FOR
CLAIMS THAT WERE MADE BY COUNTY
MENTAL HEALTH PLANS FOR SPECIAL
TO MENTAL HEALTH SERVICES. AND
SO WILL BE WORKING WITH THE
COUNTIES ON TO COME UP WITH THAT
REPAYMENT PLAN AND WE HAD NOTED
IN THE.
A PAGES THAT WE WILL BE.
SEEKING TO PROBABLY.
LINKS IN THE TIME PERIOD THAT
THE COUNTIES PAY THAT BACK OVER
THE NEXT FOUR YEARS ON OBVIOUSLY
UNDERSTANDING THAT TAKING A
HUNDRED EIGHTY MILLION OUT. FROM
A SINGLE YEAR WOULD HAVE A
PRETTY DRAMATIC IMPACT ANY AND
AND WE WOULDN'T WANNA.
HAVE THAT OCCUR. ON TO YOUR.
INTEREST SENATOR MONEY IN YOU
KNOW WE DID CHANGE OUR POLICY.
.
AND.
GUIDANCE TO HEALTH PLANS AND ON
A FEE FOR SERVICE SIDE FOR THE
COVERAGE. AND PROVISION AS.
PHARMACEUTICALS FOR INDIVIDUALS
WITH HABSI SO WE'RE NO LONGER.
REQUIRING LIKE A STAGE TO
INVOLVEMENT R. FIBROSIS AND SO
IT'S ESSENTIALLY. KEEPING WITH
THE GUIDANCE THAT HAS BEEN PUT
OUT NATIONALLY AND HAS BEEN
ADOPTED BY ON THE VA AND OTHERS
IN TERMS OF PROVIDING ON DRUGS
AT ANY STAGE OF A HAVE SEE
DIAGNOSIS. AND THEN THERE'S.
SMALL AND AMOUNT OF MONEY EYES
FOR A STATE ONLY PROGRAM THAT WE
HAVE BEEN WORKING IN CONJUNCTION
WITH THE DEPARTMENT OF
CORRECTIONS. AND REHABILITATION
ON FOR INDIVIDUALS THAT ARE
ENROLLED IN RE ENTRY FACILITIES.
WE ARE USING OUR AND.
STATE AUTHORITY TO.
CONTRACT WITH OUR EXISTING
MEDICAL MANAGED CARE PLANS IN
THESE IMPACTED COUNTIES ON THESE
RE ENTRY.
INDIVIDUALS WILL BE ENROLLED IN
THE MEDICAID MANAGED CARE PLAN
THOUGH BE RECEIVING ESSENTIALLY
ON THE SAME BENEFITS AS MEDICARE
BENEFICIARIES WITH A FEW
EXCEPTIONS. AND THEN.
WE HAVE AN INTER AGENCY
AGREEMENT THAT WE WILL HAVE IN
PLACE WITH CORRECTIONS SO THAT
WE WILL BE PAYING THE PLANS
CORRECTIONS WILL BE REIMBURSING
NASA THERE'S AN ACKNOWLEDGEMENT
OF THE AND OUR ESTIMATE.
AND SO WITH THAT AND I'M HAPPY
TO ANSWER QUESTIONS THANK YOU
POLIO.
SOME FOR THE COURT.
TELL
OKAY LICENSE ON THOSE SPECIFIC
ITEMS OKAY AT THAT YOU HAD SOME
COMMENTS ABOUT.
OKAY.
I JUST.
OKAY YES.
.
SO BOBBIN JOHNSON WITH THE ILIO.
SO WE WE REVIEWED THE
GOVERNOR'S PROPOSAL AND IT
MAINTAINS THE.
FULL EXPENDITURE OF THE ONE
POINT THREE FOUR SIX BILLION
DOLLARS ON.
SUPPLEMENTAL PAYMENTS OVER THE
TWO FISCAL YEARS.
AND THIS BUT LARGELY AGAIN
CONSISTENT WITH THE SEVENTEEN
EIGHTEEN AGREEMENT IT DOES
REDUCE THE ESTIMATE GENERAL FUND
OF CONTINUING THOSE SERVICES
THAT ARE CURRENTLY AUTHORIZED BY
ABOUT HUNDRED AND FIFTY MILLION
OVER THOSE TWO YEARS.
WHICH RESULTS IN ADDITIONAL
FUNDING BEING AVAILABLE.
TO PUT INTO SUPPLEMENTAL
PAYMENT PROGRAMS AS SOON AS
TWENTY EIGHTEEN NINETEEN THIS
THIS.
WE ESTIMATE THAT THIS INCREASES
THE TOTAL AMOUNT TO.
THAT IN WHICH WE COULD AUGMENT
UPPLEMENTAL PAYMENTS OR YOU
KNOW PUT TO OTHER PURPOSES
WITHIN THE MEDICARE PROGRAM.
INCREASES IT TO SOMEWHERE
BETWEEN SIX HUNDRED AND SEVEN
HUNDRED MILLION DOLLARS.
THE GOVERNOR'S BUDGET FINALLY
DOES PROPOSE A A FIFTY YEAR SO
MILLION DOLLAR INCREASE IN THE
AMOUNT THAT WOULD. OFFSET
GENERAL FUND IN THE PROGRAM AND
THIS PRIMARILY COMES FROM THE
REVENUES.
BEING UP RELATIVE TO THE
JANUARY BUDGET.
ALRIGHT THANK YOU FRANK OF
FINANCE.
OKAY THURMOND YOUR QUESTION BUT
THEY SEE.
HIS THINK YOU WILL FIRST TIME
JUST ENCOURAGED TO SEE THE.
ME VIEW REVISED INCLUDING THE
INCREASE ON THE HEPATITIS C..
TREATMENT EXPANDING THE ELIGIBLE
POPULATION. IT THE SAME INCREASE
OF SEVENTY POINT FOUR MILLION
THEN TWENTY POINT EIGHT MILLION
GENERAL FUND. IS IS THE
DIFFERENCE FEDERAL. THE FEDERAL
MONEY.
.
AND THEN ANY. LA OWNER
DEPARTMENT OR FINANCE.
ANY SENSE OF SAVINGS IN THE LONG
TERM BY EXPANDING THIS.
TREATMENT OPTIONS.
IS IT FAIR TO SAY.
IT WOULD SAVE.
MORE COMPLICATED MEDICAL.
TREATMENT DOWN THE ROAD FOR
PEOPLE THAT DON'T RECEIVE IT I
MEAN I THINK I'M SO CLINICALLY
THAT OBVIOUSLY WITH THE.
.
THE INCREASED NUMBER OF DRUGS
AVAILABLE IN THIS CATEGORY RIGHT
HAS CERTAINLY DROPPED THE PRICE
OVERALL NOT JUST FOR US AS A
PURCHASER BUT FOR ALL PURCHASERS
IN PAIRS.
SO I THINK THAT'S ONE
COMPLEMENT I THINK THAT TO THE
EXTENT THAT SOMEONE ON RECEIVED
THIS TREATMENT AND IS.
ESSENTIALLY CARED AS HEPATITIS
C. DOES EVERY IN FACT THEN YES
YOU CAN SAY ON LONG TERM TO THE
EXTENT THAT YOU AVOID A LOT OF
OTHER COMPLICATIONS OR THERAPIES
ARE POTENTIAL TRANSPLANT ISSUES.
THOSE ARE ALL POSITIVE BUT WE
DON'T NECESSARILY.
OUR ESTIMATE DOESN'T CAPTURE
CRITICAL SAVINGS LIKE THAT RIGHT
SO WERE MOSTLY TRACKING ON
EXPENDITURES BUT WE WOULD
CERTAINLY ACKNOWLEDGE THAT
RELATION AS.
AS A MEDICAL POPULATION BUT
LARGER SOCIETAL COSTS OBVIOUSLY
ARE. REDUCED FROM INDIVIDUALS
THAT ARE TREATED EARLIER AND
DON'T HAVE MORE SIGNIFICANT
COMPLICATIONS AROUND THAT
DISEASE THANK YOU AND THAT'S.
THAT'S ON THE ECONOMIC SIDE AND
THEN THE QUALITY OF LIFE SIDE
THIS IS DEFINITELY.
AND INVESTMENT HELPS SOME OF
THAT POPULATION AND IT DOES
INCLUDE PRISON INMATES WITH THE
DIAGNOSIS YES AND I SHOULD HAVE
NOTED THAT THAT CHANGE ON ON THE
MEDICAL SIDE IS ALSO GOING TO BE
CONSISTENT WITH.
CORRECTIONS AND STATE HOSPITAL
SERVICE TO THE EXTENT THAT THOSE
POSH.
POPULATIONS ALSO HAVE
INDIVIDUALS WITH PEPSI THE SAME
TREATMENT GUIDELINES HAVE BEEN
CHANGED TO DISASSEMBLY PROVIDE
TREATMENT AT THE TIME OF
DIAGNOSIS. THINKING.
NOW I I TO CREATE THAT WE DID
HERE ON THE STATE HOSPITALS I
THINK YESTERDAY AND SO. AND IF
WE CAN BASICALLY REDUCE THE
OVERALL DISEASE BURDEN OF
HEPATITIS C. AND ALSO.
IT'S NOT CAN BE QUITE EFFECTIVE
AS WE HAD A VACCINE BUT
HOPEFULLY REDUCE
TRANSMISSIBILITY AND.
THAT OF THAT WILL ALSO HELP TO
TO A DEEP.
CASELOAD AND OF SEE THE HUMAN
SUFFERING RELATED TO
TO THE DISEASE'S WELL CYPRESS
* THAT. I DO WANT TO STEM
TOUCH ON THE MENTAL HEALTH
SERVICES THE FEDERAL AUDIT
REPAYMENTS A SAID AND WERE.
.
NO SPREAD IT OUT FOR THE
COUNTIES BUT THE TERMS OF THE
ERRORS THAT WERE MADE THAT LED
TO THE. RULING FROM THAT FEDERAL
OUT IT I MEAN WHO DOES THINGS
THAT I IN TERMS OF.
WAS WHAT KIND GUIDANCE WAS
GIVEN THE COUNTIES PREVIOUSLY
THAT WE KNOW THAT THAT LETTER
THEY'LL OF THE COUNTIES JUST NOT
LISTENING TO THE DEPARTMENT
BECAUSE WHAT THEY'RE DOING THAT
WE NOT GIVE ENOUGH GUIDANCE WHY
IS IT THAT.
THAT THEY ENDED UP.
WE ENDED UP WITH SUCH A.
BIG GUY BY JUST. ABOUT COSTA THE
THIS IS THE AUDIT THAT HAS
ACTUALLY TAKEN PLACE OVER THE
COURSE OF SEVERAL YEARS WITH THE
OAG AND SO. WHEN WE RENEGOTIATED
OUR NINETEEN FIFTEEN WAIVER BACK
IN TWENTY.
FIFTEEN.
A LOT OF THE TERMS AND
CONDITIONS.
THAT WE AGREED TO WITH THE
FEDERAL GOVERNMENT WERE AROUND
INCREASED OVERSIGHT
ACCOUNTABILITY TRAINING
TECHNICAL CSUS
COUNTIES IN TERMS OF PRODUCTION.
OF DOCUMENTATION ERRORS ANOTHER
KIND OF CLEANING ERRORS AND SO
THIS IS SOMETHING THAT WE'VE
BEEN. I'M WORKING REALLY HARD
WITH A COUNTIES TO DO SO WE HAVE
A LOT OF GUIDANCE WE DO A LOT OF
TRAINING WE GO ON SITE TO
COUNTIES AT THEIR REQUEST TO
HELP THEM THROUGH. CLEANING THE
OIG CAME BACK TO KIND OF TEST
AND SAY ARE YOU BETTER THAN YOU
WERE WHEN WE WERE HERE LAST AND
SO. HOW THE AUDIT WAS CONDUCTED
AS THEY PULLED FIVE HUNDRED
RANDOM CLEAN LINES AND THEN THEY
WENT AND?
WE HAD YOU KNOW.
INFORMATION AND DOCUMENTATION
PROVIDED US BY THE COUNTIES FOR
THOSE SPECIFIC CLEAN LINES IF
YOU WENT TO A PATIENT FILE AND
SAID WAS THE TREATMENT. ON.
PLAN SIGNED BY THE CLIENT.
AND IF THERE WAS NO SIGNATURE
THAN DOT COUNTED AS A DISALLOWED
CLAIM. OR YOU KNOW TO THE EXTENT
THAT WE SHOWED THAT YOU BUILD
FOR THIS LEVEL OF SERVICE BUT
YOUR DOCUMENTATION IN YOUR
CHART.
DIDN'T DOCUMENT THAT THAT WAS A
DISALLOWED CLAIM SO IT REALLY.
DEPENDED AND SO WHEN WE FIRST
GOT THE REPORT AND THEY WERE
RECOMMENDING A REPAYMENT AS TWO
HUNDRED AND THIRTY MILLION
DOLLARS AND SO WE ASK THE
COUNTIES TO RE REVIEW. THE
CLAIMS THAT THEY KNEW THAT HAD
BEEN DISALLOWED.
THEY FELT THAT THERE WAS A
SMALLER SUBSET THAT THEY DIDN'T
AGREE WITH THAT YG'S DECISION TO
DISALLOW THEM SO WE ASK THAT YG
TO RE REVIEW. THAT SMALL SUBSET
OF CLAIMS THAT A SMALLER SUBSET
OF THAT CLAIMS WAS ACTUALLY
OVERTURNS AGREED WITH AND SO
THAT'S THE AMOUNT WAS DROPPED
FROM TWO HUNDRED THIRTY MILLION
TWO HUNDRED EIGHTY MILLION. SO.
I WOULD NECESSARILY SAY THEY
WERE.
ALL AIRS SOME OF THEM WERE ON
LACK OF DOCUMENTATION.
THERE'S PROBABLY I THINK WHEN
YOU LOOK AT EACH OF THESE
INDIVIDUAL PATIENTS THE.
COMPLEXITY.
OF THOSE PATIENTS IN TERMS OF
THE SERVICES THAT THEY WERE
RECEIVING ARE THEY AND PATIENT
WAS A. PSYCHIATRIC CONSULTATION
WAS AT A MEDICATION MANAGEMENT
PROVISION I THINK ONCE YOU
ACTUALLY OPEN UP THE CASE AND
START TO LOOK AT IT IT GETS
REALLY.
DIFFICULT TO KIND OF ASCERTAIN
ON WHERE THE DISALLOWED CLAIM
WAS BUT I THINK YOU KNOW THE
COUNTIES WORKED REALLY HARD TO
TRY TO MAKE THAT. ABOUT AS LOW
AS POSSIBLE AND SO I THINK IT
WAS A IT WAS A GOOD EFFORT ON WE
STILL OWE THEM THAT MONEY BACK
UNFORTUNATELY BUT I THINK ALSO
TRYING TO WORK VERY HARD WITH
THE COUNTIES TO KIND OF
SOFTENED.
THAT BLOW AND THEN WE WILL
OBVIOUSLY CONSISTENTLY.
BE PROVIDING ADDITIONAL
TECHNICAL ASSISTANCE AND WHAT
ONE OF THE THINGS THAT WAS MOST
SUCCESSFUL WITH OAG AS WE HAVE
COUNTY BY COUNTY. ON
DISALLOWANCE ERROR RATES ON THE
YEARS THAT WE GO OUT AUDIT THEM
AND WE WERE ABLE TO SHOW THEM
FROM THE YEARS SINCE WE STARTED
DOING THIS WORK. ON THE
DISALLOWANCE RATES ON THAT WE
HAVE FOUND IN OUR OWN INTERNAL
AUDITING HAVE DROPPED
SIGNIFICANTLY AND SO THAT WAS
ALSO SOMETHING THAT THE OIG WAS.
IN.
ACKNOWLEDGEMENT OF WHICH WAS
WHY WE I THINK WE'RE ABLE TO
WORK WITH THEM TO REDUCE THE
AMOUNT.
SO.
ARE IS THAT THE CMS PLANNING TO
COME YOU MAY NOT KNOW WHAT
THEY'RE ACTUALLY GOING TO DO IN
THE EVENT THAT A PLANE TO COME
BACK AND DO ANOTHER OUT IN THE
FUTURE AMINO WE GOT ME READY FOR
THAT. I WOULD NOT BE SURPRISED
IF THEY COME BACK AROUND ENOUGH
IN A FEW YEARS JUST TO KIND OF
CAC I KNOW THAT WE ALSO HAD
ANOTHER OIG AUDIT. AROUND ON
ELIGIBILITY ENROLLMENT IN TWENTY
FOURTEEN WITH THE COUNTIES
PERFORMING ELIGIBILITY AND WORK.
AND.
CSS SAID THAT THEY WILL MOST
LIKELY COME BACK AND CHECK TO
SEE HOW THAT HAS BECAUSE IT WHEN
THEY WERE LOOKING AT WAS IN
TWENTY FOURTEEN. SO WE HAVE BEEN
WARNED THAT THEY WOULD COME BACK
JUST TO SEE THAT OUR SYSTEMS
HAVE MATURED AND OUR PROCESSES
OF IMPROVED AND SO. I WOULDN'T
BE SURPRISED
OKAY SO.
WERE.
NOW IF WE WERE IN A POSITION
WHERE WE'RE NOT HAVING TO.
GIVEN BACK ANOTHER.
COUPLE HUNDRED MILLION.
ABOUT WOULD BE OUR GOAL YOU HAVE
THE GALL OKAY AND I KNOW THAT
STRIKING A BALANCE BECAUSE WHAT
WE DON'T WANT TO DO IS HAVE A
SITUATION WHERE BASICALLY WE'RE
SO CAUTIOUS ABOUT THIS THAT
WOULD DENY SERVICES TO.
PEOPLE. RIGHT AND SO.
SAMETIME.
A TRYING NOT TO.
TREAT THE SITUATIONS AS WELL
ITSELF OKAY AND I KNOW AND
UNDERSTAND THAT WE HAVE
WE'LL BE TALKING ABOUT BUDGET
PROPOSAL FOR SOME STAFF YEAH
RIGHT. LITTLE BUT OKAY.
ANY OTHER QUESTIONS OR YOUR
CENTER SOME.
THANK YOU MISS CAN FOR YOUR FOR
YOUR EXPLANATION THE DONE IS
COMING CURIOUS ABOUT THE PROCESS
SO IN THE. IN THE FEDERAL
GOVERNMENT COMES IN AND THEY AND
THEY MAKE AN AUDIT I ASSUME THAT
THEY'RE. THEY'RE LOOKING AT
MAYBE.
FIVE PERCENT OF THE CLAIMS AYE
AYE MATCH IN AND THEN THEY ARM
OR MORE OR LESS CALLER SMALLER
EVEN THAT I HAD TO CLEAN LINES
OKAY. SO YOU CORPORATE OR KARMA
MEANS CLAIMS RIGHT AND SO. THEY
COME OVER THEIR FINDINGS AND
EXTRAPOLATE TO UP TO A BIGGER
NUMBER RIGHT SO.
.
PEOPLE HAVE BECOME FROM A
COUNTY.
ENVIRONMENT.
THAT THE PAPERWORK
DOCUMENTATION FOR EVERYTHING YOU
DO IS IS IS PRETTY EXTENSIVE.
SO IT IT IS IT.
IS IT FAIR TO SAY THAT.
COUNTIES MIGHT NOT HAVE TAKEN
THE ARE REPORTING OF THIS IS
SERIOUSLY AS THEY PROBABLY COULD
HAVE IS A FEDERAL GOVERNMENT
BECOMING A LITTLE BIT MORE.
METICULOUS I SHOULD SAY AND.
AND HIS THIS.
PREPARATION IF YOU WILL IS
EXTRAPOLATION IS IS IT'S HUGE
THAT HOPEFULLY CON THE COUNTIES
ATTENTION WHERE THEY NEED TO PAY
MORE ATTENTION TO THE. THE
DETAIL OF THIS UNDERSTANDING THE
THE FISCAL RAMIFICATIONS FOR
ABBREVIATING A REPORT. AND NOT
GIVING OUT A DETAIL THAT THEY
CAN THEY MAY ACTUALLY HAVE THEY
JUST.
MAYBE HANNAH RUSHED TO REPORT
AND.
IT HAS BEEN MULTIPLICATION. A.
CONSEQUENCES BUT.
I'M CONCERNED ABOUT YEAH SO WHEN
WE DO AND COUNTY AUDITS.
FROM THE DEPARTMENT STANDPOINT
WHEN WE GO OUT AND LOOK AT THEIR
CLAIMS AND WILL DO YOU NO SMALL
PERCENTAGE IN POLAND SAY WE KNOW
WHERE THESE CLAIMS MADE
APPROPRIATELY.
WE WELL TO THE EXTENT THAT A
CLAIM WAS MADE AND APPROPRIATELY
WE WELL I'M RECOUP THAT DIRECT
AMOUNT WE DON'T EXTRAPOLATE THE
FEDERAL GOVERNMENT HAS OBVIOUSLY
A DIFFERENT POLICY ISSUE WOULD
NO. I'M SO OF THE FIVE HUNDRED
CLAIMS THAT THEY LOOKED AT I
THINK WE'RE DOWN TO EIGHTY NINE.
THAT ARE EXTRAPOLATED OUT TO
THAT HUNDRED AND.
EIGHTY MILLION DOLLARS ON THE
OTHER OAG ON IT THAT I JUST
REFERENCED AROUND ELIGIBILITY.
ON ITS THIRTY FIVE CASES THAT
THEY FOUND THAT WE WERE NOT.
CORRECT IN DETERMINING
ELIGIBILITY FOR AND EXTRAPOLATE
SUCH A BILLION DOLLARS SO.
CLOSER THOSE ARE REALLY BIG
INCONSEQUENTIAL FOR A VERY VERY
SMALL SUBSET OF THE.
OVERALL.
WORLD AND UNIVERSE THAT WE ARE
WORKING AND I THINK THAT.
WE WILL BE WORKING WITH THE
COUNTIES.
TO MAKE SURE THAT THEY AND I
THINK THEY'D ARTY DO BUT I KNOW
THAT THEY.
ARE CERTAINLY USING THIS AS AN
OPPORTUNITY TO WORK NOT JUST
WITH THEIR OWN COUNTY PROVIDERS
BUT THEY'RE CONTRACTING
PROVIDERS RIGHT BECAUSE SOME OF
THESE.
CASES AND CLAIMS THAT WE WERE
LOOKING AT ART ARE JUST.
FILES DOWN IN A PROVIDER'S
OFFICE AND YOU GO AND SAY DID
YOU JUST.
APPROPRIATELY DOCUMENT YOUR
THERAPY SESSION THAT DAY AND
THEY'RE LIKE OH YOU KNOW I WAS.
I WAS BUSY I DIDN'T GET IT OR
THE PERSON LEFT BEFORE THEY
COULD FIND THE CHARTER I MEAN.
THERE'S SOME THINGS THAT ARE
JUST AS SIMPLE AS THAT AND THE
INDIVIDUAL CLAIM LINES OF SOME
OF THESE THAT WERE DISPUTED OUR.
THIRTY DOLLARS RIGHT THAT THAT
WAS THE ENTIRE CLAIM IT WAS A
DISALLOWED CLAIM AND YOU KNOW I
GET STERN EXTRAPOLATED AMOUNT OF
A HUNDRED AND EIGHTY MILLION AND
SO.
YOU KNOW WE'RE NOT GOING TO SIT
HERE AND SAY WE'RE STRIVING FOR
A HUNDRED PERCENT BECAUSE I JUST
THINK IN THE VAST DELIVERY
SYSTEM THAT WE ARE. APART OF AN
OBVIOUSLY THE COUNTIES HAVE
THEIR.
PROVIDERS AND OTHER.
ORGANIZATIONS THAT THEY WORK
WITH I THINK WHAT WE'RE TRYING
TO DO IS MAKE SURE THAT WE ARE
AS. CONSISTENT NOT APPROACH AS
POSSIBLE WITH AS CLEAR
DOCUMENTATION GUIDELINES AS WE
CAN AND THEN OBVIOUSLY USING OUR
AUDITS AS A. KIND IF ON
TECHNICAL ASSISTANCE AND AND
TRAINING OPPORTUNITY WHEN WE GO
OUT TO COUNTIES TO SAY YOU KNOW
CAN YOU PLEASE. DO THIS A LITTLE
BIT EITHER BETTER OR THINK OF A
BETTER PROCESS HOW WE CAN
CAPTURE THAT JUST BECAUSE AGAIN
IF WE ARE. UNDER NO IG AUDIT
THAT EXTRAPOLATES IT'S A PRETTY.
POWERFUL.
ON PENALTY THAT THEY CAN ASSESS
UPON US BASED ON A VERY VERY
SMALL NUMBER OF CLAIMS OF THE
CANADA COUNTIES AWARE OF THIS
EXPOSURE IF THEY DON'T DO THE
APPROPRIATE DOCUMENTATION
DOTTING ALL THE I'S CROSSING ALL
THAT HE HAD BELIEVED THAT THIS
AUDIT HAS.
IMPRESSED UPON.
THE COUNTIES THE THE
SIGNIFICANCE WHEN WE SAY AUDIT
SIR ARE REALY IMPORTANT THIS
ONE IS CERTAINLY ONE OF THOSE BY
HOPE IS A WAY IN WHICH WE CAN.
FURTHER COMMUNICATIONS WITH
COUNTIES WITH THE CHECK BOXES TO
MAKE SURE THAT. CERTAIN THINGS
ARE DOCUMENTED THAT MAY BE TAKEN
FOR GRANTED THAT DD PUT DOWN ON
PAPER SO THAT WE CAN MAKE SURE
THAT WE DON'T. HAVE THESE YOU
KNOW THIRTY NINE CLAIMS OR FORTY
CLAIMS ACOSTA.
BUT ON THE STATE OF COURSE A
BILLION DOLLARS AND THEN WE GO
BACK TO COUNTIES AND ASSN FOR
REIMBURSEMENTS AND IS VERY
CHALLENGING TIMES.
THANK YOU.
OKAY. ALRIGHT THEN YEAH I MEAN
IT'S IT'S A GENERAL ISSUE WE
HAVE ALSO HAD AN ISSUE WITH
SCHOOLS IN.
COUNT THERE DAN NOW TEMA
STRICKLER BACK A WHOLE BUNCH OF
MONEY FROM SCHOOL DISTRICTS
ETCETERA SO I THINK THERE IS A
LOT OF COMMUNICATION AND NEEDS
TO BE DONE.
SO WELL.
SO WHAT WE'LL DO IS IT IS OUR
PUBLIC COMMENT ON THIS ITEM.
LOOKS LIKE A GEYSER CENTER SOUND
SORRY I'M SORRY I I DID HAVE
SOME OF THE FOLLOW UPS.
LET'S GO LET'S GET TO.
PROP FIFTY SIX
NOW IN A.
BEGAN.
I SHOW THAT.
.
WE HAVE FOUR HUNDRED THIRTY
POINT SIX MILLION IN PROFIT BE
SIX FUNDS HAD BEEN AN
UNALLOCATED IN TWO THOUSAND
EIGHTEEN IN TWO THOUSAND. AND
NINETEEN WHICH ARE LIKE YOU DID
YOU TALK ABOUT AND.
.
ALSO A AND AN OFFICE GERMANE TO
THIS CONVERSATION BUT.
.
THE.
KEPT THE.
.
WAS A HUGE AMOUNT TAX WE.
.
IT'S ABOUT TAX.
THE ANSWER. SO.
ONE THING THAT I'VE BEEN.
STRONGLY ADVOCATING FOUR FOR THE
PAST FOUR YEARS IS THE.
RESTORATION IF YOU WILL OF A
MEDIC HEALTHY. THAT'S PAID TO
DOCTORS YOU KNOW WE HAVE. THIRTY
FIVE PERCENT OF THE STATE THIS
ENROLLED IN THE MEDICAL PROGRAM.
UNDERSTANDING THAT.
MANY THEM EARN ROLLED IN.
MANAGED CARE PROGRAMS BUT.
YOU KNOW INTO IN MY DISTRICT
EASTERN COACHELLA VALLEY IT'S
IT'S VERY DIFFICULT.
TO FIND A DOCTOR THAT'S WILLING
TO TAKE THE MEDICAL FEE.
SO HERE WE HAVE.
PROP FIFTY SIX IT WAS SUPPOSED
TO STEER MONEY INTO AND TO MEDI
CAL.
AND WE HAVE THE MCO TAX IT
CERTAINLY RAISE SOME FUNDS.
AND YET.
WE DONE VERY LITTLE TO
INCREASES FEED TO REALLY MAKE.
ACCESSIBILITY A REALITY FOR A
LOT OF.
IMPOVERISHED PEOPLE THAT REALLY
NEED TO HEALTH CARE.
.
I KNOW THAT THERE'S BEEN SOME.
SHUFFLING OF MONEY.
FROM PROP FIFTY SIX SET OFF TO.
.
FREE UP MONEY AND IN THE GENERAL
FUND.
.
BUT I'M CONCERNED THAT HERE WE
ARE IN.
PROBABLY THE YEAR THAT HASSLE.
THE BIGGEST REVENUE STREAM IN
OUR HISTORY AS A STATE AND.
AND YET OUR OUR OUR MEDI CAL
FEES TOWARD PROVIDERS.
JUST DOESN'T SEEM TO BE A
PRIORITY WITH AS GOVERNOR MET
MAYBE YOU CAN CONVINCE ME
OTHERWISE BUT.
WHY AREN'T WE SEEING A?
INCREASED MEDICAL FEES TO THE
WE CAN GET OUR PARTNERS PEOPLE
THE APPROPRIATE CARE THAT THEY
NEED.
SURE SO I'M WE.
.
DIDN'T HAVE A LOT OF US
SPECIFICS THAT WE PROPOSE IN THE
MAY REVISION AROUND PROPOSITION
FIFTY SIX BUT WE HAD NOTED THAT
THE PHYSICIAN CLAIMS.
THAT AND WE HAD PROPOSED WE HAD
PROPOSED THIRTEEN SPECIFIC I'M
CPT CODES ON LAST YEAR WAS
SUPPLEMENTAL DOLLARS ATTACHED.
THOSE ARE CONSISTENT.
FOR ALL PHYSICIANS THAT BILL
THOSE CPT CODES BOTH IN FEE FOR
SERVICE IN MANAGED CARE.
THE CLAIMS SIMPLY DID NOT COME
IN AT THE RE AND LEVEL THAT WE
HAD EXPECTED WHEN WE HAD DONE
THAT CEMENT. AND SO WE HAVE ON
BOTH MONEY THAT WE HAVE LEFT
OVER IN THE CURRENT YEAR THAT WE
ARE PROPOSING TO. RE APPROPRIATE
AND USE ON BUT WE ARE ALSO
TAKING A LOOK AT THOSE EXISTING
CPT CODES AN INCREASE IN THE
AMOUNT OF THE SUPPLEMENTAL
PAYMENT. ON TO GET CLOSER TO A
MEDICARE.
PERCENTAGE AND THEN WE HAD
HEARD FROM A LOT OF STAKEHOLDERS
AROUND AND FROM HEALTH PLANS AS
WELL. THAT AND WE HAD NOT
INCLUDED A SUBSET OF ON CODES
AROUND PREVENTION.
PREVENTIVE WELL CHILD VISITS
AND THERE'S A CERTAIN LEVEL OF
CPT CODE THERE. AND SO WE HAVE.
AND I THINK WE WANT TO BE ABLE
TO SHARE SOME OF THE DETAILS ON
AS SOON AS WE KIND OF MIX OF THE
NUMBERS ARE. ARE GOOD WHAT WE
WOULD BE.
PROPOSING TO INCREASE THE
NUMBER OF CODE SO WE WOULD HAVE
THIS THIRTEEN ORIGINAL. WOULD BE
INCREASE IN THE SUPPLEMENTAL
PAYMENTS ON THOSE THIRTEEN WE
WOULD BE ADDING AN ADDITIONAL
TEN CODES FOR PREVENTIVE
SERVICES AND THOSE WOULD BE ALSO
COMING CLOSER TO A MEDICARE
EQUIVALENT. IN TERMS OF A
SUPPLEMENTAL PAYMENT WHICH I
THINK WOULD BE A PRETTY
SIGNIFICANT.
CHANGE IN TERMS OF WHAT.
PHYSICIANS WOULD BE RECEIVING
AND THEN FOR THAT ON EXPENDED
AMOUNTS.
IN THE CURRENT YEAR WE WOULD BE
PROPOSING TO RE APPROPRIATE BUT
ESSENTIALLY AND TAKE THAT AND
THE BULK OF THAT MONEY. AND MAKE
IT INTO A LOAN REPAYMENT.
PROGRAM FOR.
PHYSICIANS.
AND I THINK WE WANT TO THINK
THROUGH THE CRITERIA AROUND WHAT
THAT WOULD LOOK LIKE IN TERMS
OF.
YOU HAVE TO BE OBVIOUSLY A
MEDICAL PROVIDER.
WE NEED A CERTAIN NUMBER OF
YEARS OF COMMITMENT TO SERVING
IN THE MEDI CAL POPULATION IF
WE'RE GOING TO BE PAYING OFF
YOUR LOANS.
WHAT KIND OF PERCENTAGE OF YOUR
OVERALL PATIENT POPULATION IS
GOING TO BE MEDI CAL?
YOU KNOW SOME KINDS OF CRITERIA
LIKE THAT BUT I THINK THAT'S ON
CONSISTENT WITH WHERE OUR.
GENERAL THINKING IS RIGHT NOW ON
HOW WE WANT TO.
BOTH INCENTIVIZE PHYSICIANS TO
PARTICIPATE IN THE PROGRAM BUT
ALSO AND WE'VE BEEN.
LOOKING AT THAT CODES THAT.
MOST PHYSICIANS BILL SO WE'RE
TRYING NOT TO ALSO BE ON
SPECIFIC TO A NEWS.
THE KILLER SPECIALTY AND THERE
ARE THREE PSYCHIATRIC CODES THAT
WE INCLUDED LAST YEAR THAT WE
FELT REALLY STRONGLY ABOUT AND
WE'RE GOING TO CONTINUE TO.
HAVE THOSE JUST BECAUSE OF THE
NEED FOR BOTH PSYCHIATRIC AND
PROFESSIONALS AS WELL AS CHILD
PSYCHIATRIST SO. I THINK WE
WOULD BE WANTING TO SHARE
DETAILS AROUND THAT IN THE
COMING DAYS BUT THAT'S.
A LOT OF AND WHAT WE'RE THINKING
TO DO WITH WHAT IS A VERY
SIGNIFICANT AMOUNT OF MONEY AND
THAT'S JUST AND. ON THE ON THE
PROPOSITION FIFTY SIX SIDE SO
THERE ARE FEDERAL DOLLARS THAT
GET DRAWN DOWN AND MAKE THAT A
MUCH LARGER PROPOSITION FOR
PHYSICIANS IN TERMS OF RECEIVING
THOSE REIMBURSEMENTS.
AND AGAIN IT WOULD BE BOTH
MANAGED CARE AND FEE FOR
SERVICE.
WELL I AGREE WITH YOU THAT.
WE NEED THE APPROPRIATE
INCENTIVES TO GET OF PHYSICIANS
TO TAKE MEDI CAL AND I THINK
THAT THAT INCENTIVE IS DOLLARS
SO.
I BELIEVE THAT IF YOU IF YOU
JUST LOOK AT.
A GENERAL PRACTITIONER.
AB AVERAGE MEDICARE FEES LIKE
FORTY ONE DOLLARS FOR A VISIT I
THINK MEDI CAL IS BETWEEN
SIXTEEN AND EIGHTEEN DOLLARS A
VISIT.
WHAT CAN WE SAY IN THIS BUDGET?
?
THAT WE CAN ACCOMMODATE THAT
WOULD.
WE COME UP WITH A REAL NUMBER
AND SAY OKAY WE ARE GOING TO BE
MAKING SURE THAT YOU KNOW.
WE ARE RESTORING WE WE TOOK TEN
PERCENT AWAY FROM THE PHYSICIANS
CORRECT. THAT WE EVER RESTORED A
TEN PERCENT BACK WE HAVE NOT AND
HERE WE ARE IN THE BEST
FINANCIAL TIMES OF THE STATE OF
CALIFORNIA.
AND HEALTHCARE IS CERTAINLY I
KNOW IT'S A PRIORITY FOR THE
GOVERNOR I KNOW IT'S A PRIORITY
FOR THE CHAIR IS A PRIORITY FOR
ME.
WE NEED TO MAKE A STATEMENT I
THINK IS A STATE THAT.
WE VALUE THE SERVICES THAT
PEOPLE SHOULD HAVE A RIGHT TO
GET THE HEALTH CARE.
.
SERVICES SAID.
OUR IRRESPECTIVE OF THEIR THEIR
FINANCIAL CAPACITY TO PAY.
SO. WE NEED TO COME UP WITH
FIGURE. FOR MY VIEW THAT TAKES
US FROM THE VERY LOW SIXTEEN TO
EIGHTEEN DOLLARS AND AND MAYBE
GETS US UP TO TWENTY FIVE BUCKS
I MEAN. I TURN OFF THE LA HOPE
TO COME UP WITH WHAT THAT WOULD
MEAN A ENOUGH ENOUGH FISCAL
SENSE WE'RE TALKING ABOUT A
BILLION DOLLARS ARE WE TALKING
ABOUT TEN BILLION DOLLARS.
BUT.
IT WOULD BE NICE TO HAVE THAT
FIGURE. TO LEAD TO LEASE MAKE AT
LEAST RESTORE THE TEN PERCENT.
SO THAT YOU KNOW.
HEALTHCARE PROFESSIONALS CAN GET
PAID TO A REASONABLE AMOUNT TO
OVERSEE THE USE A VERY.
CHALLENGING POPULATIONS SO A HOW
CAN WE WORK TOGETHER TO.
COME UP WITH A A JOINT
RESOLUTION TO THIS PROBLEM I
THINK AND YOU KNOW ON THE
PROPOSAL WHEN WE.
KIND OF.
PUT PEN TO PAPER AND SHOW YOU
WHAT THE NUMBERS LOOK LIKE IN
TERMS OF WHAT THE CODES ARE THAT
WE'RE LOOKING AT AND WHAT THE
SUPPLEMENTAL PAYMENTS ARE I
THINK THE TOP LINE MESSAGE.
THAT WE COULD COLLECTIVELY SAY
IS THAT THESE.
RATES FOR THE SPECIFIC CODES
ARE X. PERSON OF MEDICARE AND I
BELIEVE IT'S GOING TO BE.
A PRETTY SIGNIFICANT PERCENTAGE
OF MEDICARE YOU KNOW EITHER.
YOU KNOW FATTER NEAR.
AND I THINK AGAIN WE'RE ALSO
LOOKING FOR THE PLACES THAT ARE
MOST MEANINGFUL TO THE NUMBER OF
PHYSICIANS THAT CAN BUILD THOSE
CODES AND SO. YOU KNOW I'M NOT
AND I'M NOT THAT A PHYSICIAN BUT
DOCTOR PAN KNOWS WHAT I'M
TALKING ABOUT WHEN I SAY CPT
CODES THERE ARE STANDARD ONES
THAT YOU JUST. YOU KNOW BILL FOR
AN EXAM BASED ON TIME ARE BASED
ON WHAT IT IS AND SO THOSE ARE
THE PLACES WHERE WE THINK HAVE
THE MOST.
IMPACT ACROSS
THE DIFFERENT PROVIDERS AND SO.
I DON'T KNOW THAT.
SCENE. YOU KNOW WE WANT TO JUST
ADDED DOLLAR AMOUNT BECAUSE I
DON'T THINK THAT ACTUALLY EACH
GUN IF YOU JUST SAID I'M GONNA
PAY. A HALF A YOU KNOW BILLION
DOLLARS AN INCREASE RATES I
DON'T THINK THAT ACTUALLY HAS AS
MUCH IMPACT IF YOU SAY I'M GOING
TO. INCREASE THESE RATES TAX
PERCENTAGE OF MEDICARE BECAUSE I
THINK PEOPLE KNOW. AND THE
PROVIDER COMMUNITY MORE CLOSELY
WHAT THAT MEANS.
BUT IF YOU DO SO THREAD ELEMENT
OUT IT ACTUALLY DOESN'T ALSO
SHOW THE FULL IMPACT BECAUSE IT.
NEGATES THE FEDERAL FUNDS
BECAUSE WERE NEVER QUITE EXACTLY
SURE WHAT THAT'S GOING TO LOOK
LIKE IN TERMS OF THE FEDERAL
DRAWDOWN DEPENDING ON WHO THAT
PATIENT AS ARE THEY. A FIFTY
FIFTY.
F. NOT PATIENT ARE THEY A CHIP
CHILD WITH AN EIGHTY EIGHT
TWELVE MATCHING RATIO WHERE
YOU'RE TWELVE CENTS DRAWS DOWN
EIGHTY EIGHT CENTS SO I THINK
YOU KNOW. I THINK WE'RE LOOKING
FOR SOME HIGHER LEVEL
MESSAGINGTO KIND OF. INCREASE
THE
PARTICIPATION IN THE PROGRAM WAS
THE MECHANICS OF THE TEN PERCENT
CUT DURING THE VERY CHALLENGING
TIMES IT WOULD JUST TAKE ALL
THESE CODES TO TALK ABOUT A
REDUCE MY TEN PERCENT WE DID A
TEN PERCENT ACROSS THE BOARD IN
PERCENT ACROSS THE BOARD SO IF
WE WERE. TO REAP SAY WE'RE GONNA
INCREASE ALL THOSE CODES BY TEN
PERCENT.
IS IT.
THE FIGURE THAT IS EASILY AFTER
ASCERTAINABLE.
TO SAY THAT WE RESTORED AT
LEAST.
TO.
IT'S IT'S RECESSION LEVELS BROWN
DISPOSITIONS IT'S IT'S PROBABLY
FOUR HUNDRED MILLION DOLLARS
OKAY.
SO FOUR HUNDRED MILLION DOLLARS
IN DAMAGES ARE BUDGET THIS YEAR
HUNDRED AND. EIGHTY BILLION OR
MORE.
WILL FOR THE MEDICAL BUDGET I'M
A.
SO HUNDRED AND SEVEN BILLION
TOTAL FUNDS WE GOT FOUR HUNDRED
THIRTY POINT SIX MILLION A
PROFIT TO SIX FUNDS IT ON
ALLOCATED IN TWO THOUSAND
EIGHTEEN NINETEEN BY JUST.
ANALYSTS YOU JUST CAN'T JUST
SHIP FUNDS LIKE UP BUT.
IT SHOWS ME THAT THERE'S.
THERE ARE SOME MEAT IN THE IN
THE BUDGET HERE THAT. WE CAN.
POTENTIALLY RESTORED.
BACK TO PRE RECESSION LEVELS
THEY AYE EXITS OUT. ACTUALLY
NAM.
I APPRECIATE CENTER SO YOUR
FOCUS ON THIS AND WE ALL WE
WANT.
ADDRESS ACCESS INTO LAST YEAR
WE HAD DISCUSSIONS ABOUT PROP
FIFTY SIX AND I APPRECIATE THE
GOVERNOR STICK
TO THE.
AGREEMENT ALTHOUGH I WOULD HAVE
TO SAY THAT MY DOES. MY DESIRE
WOULD HAVE STILL BEEN THAT.
GIVEN THE VOTERS WELL THAT WE
WERE VERY GOOD TELL THE MONEY
BUT. AGREED YOU KNOW WE HAD
AGREEMENT AND APPRECIATE THE
GOVERNOR STICKING TO THAT.
THE.
WHERE THINGS I THINK WE HAD ONE
THE CHALLENGES WE HAVE IN TERMS
OF TRYING TO QUOTE MOVE THE
MONEY
RIGHT AND IT IS IS THAT?
?
UNFORTUNATELY WITH MEDI CAL NOW
ONLY TO TEN PERCENT CUT THAT WE
MADE DURING THE RECESSION BUT
EVEN BEFORE.
THAT FIRST OF ALL EVEN BEFORE
TEN PERCENT CUT MEDI CAL IS ONE
THE LOWEST PAYING AND THERE'D
AND. AND THERE'D BEEN NO
INFLATION ADJUSTMENT OR ANYTHING
FOR YEARS THAT MEANS DECADES
PRACTICALLY ANYTHING DOES A
LITTLE ONE FOR.
BACKING GRAY DAVIS OR SOMETHING
CELINE SO WHAT HAPPENS IS A
CERTAIN PATTERN BEHAVIOR THAT'S.
THAT THAT'S HAPPENED IN THE
PHYSICIAN IN THE PROVIDER
COMMUNITY JUST POSITIONS BUT
BECAUSE OF.
THE NATURE OF HOW MANY CALLS
HAVE BEEN RUN. AND.
I THINK THAT.
.
GIVEN THE FACT THAT LAST YEAR
WAS THE FIRST YEAR AND WE DID
HAVE TO SPEND SOMETIME ACTUALLY
FIGURE OUT HOW WE'RE GOING TO DO
THIS WE DID HAVE AN AGREEMENT
THAT WE WERE GOING TO DO AN
ACROSS THE BOARD. BECAUSE WE
ACTUALLY FELT THAT WE COULD BE
BOTH FOCUS BECAUSE THE PURPOSE
WAS ACTION IMPROVE ACCESS RIGHT
SO IT'S NOT JUST BY INCREASING
THE RATES IT'S ABOUT PROVING
ACCESS FIGURE OUT SOME TARGETED
AREAS WHERE WE CAN MOVE THE
NEEDLE. AND ACTUALLY MAKE A SUBS
STEPS.
IT IT AN EGG INCREASE THAT JUST
A TEN PERCENT BECAUSE FRANKLY
ARE GOING FROM BURLY LOW TO SORT
OF SOLO. BUT ACTUALLY TRYING TO
BUMP IT UP AND I APPRECIATE THE
DIRECTOR TALKING ABOUT LET'S
FIGURE OUT SOME CODES WE CAN
ACTUALLY BRING IT CLOSER TO
MEDICARE RIGHT IN FACT WE
ACTUALLY HAVE A HEARING HERE
WHERE WE HAD SOME OF THE COUNTY
OR HIS EYES HEALTH SYSTEMS TALK
ABOUT HOW. THEY ACTUALLY DO PAY
MEDICARE RATES
FURTHER MEDI CAL PATIENTS WE DO
HAVE THIS DISPARITY CUTS ACROSS
IN A DIFFERENT.
YEAH ACROSS DIFFERENT COUNTIES
AND SO FORTH PAYING WHAT KIND
OF.
PAIN YOU KNOW MANAGED CARE
CONTRACT RATES OF WHAT THEY HAVE
WITH THE STATE.
BUT TAXIS. TRYING TO GET TO
THOSE RATES UP.
AT A LEVEL THAT BEN THAT
ATTRACTS THE ATTENTION OF THE.
OF THE PROVIDERS WHO WE NEED TO
STEP AND ADDRESS THE ACCESS
ISSUE SO I THINK THAT THAT'S
SOMETHING THAT WE WANT TO
CONTINUE TO TO TO TARGET SO
WHAT'S IT DOING AND WE COULD
TAKE THE MIND TO SAY WILL SPREAD
OUT EVENLY BUT I THINK YOU'RE
NOT GONNA HAVE. AS MUCH EMIL
HELPED.
BUT DOESN'T BUT WON'T HELP
ACTUALLY MOVE MOVE THE NEEDLE
AND.
.
SO I MEAN DE SILVA I GO THERE
SOME THE THINGS THAT ALSO I
THINK WE WANT TO LOOK AT IS.
THINKING ABOUT YOU HOW DO YOU
GET THE WORD OUT ALSO THE
BRIGHTLY IN MOST USED TO HAVING
ANY THE PROMISED PEOPLE DEVELOP
CERTAIN HABITS RATE AND TO GET
THEM TO GO HEY YOU KNOW I TAKE
ANOTHER LOOK AT MEDI CAL BECAUSE
WE'RE ACTUALLY GETTING INTEREST
RATES AND THAT'S GONNA. TAKE
SOME OUTREACH EFFORT AND SO
FORTH AYE GETTING THE WORD
FINALLY GETTING OUT.
IN FACT.
.
I THINK PART OF THE REASON THE
MONEY PERHAPS IT IS ALSO IT
WASN'T I MEAN.
APARTMENT HAD TAKE SOME TIME TO
FIGURE THIS OUT RIGHT SO WASN'T
LIKE AT THE BEGINNING OF THE
YEAR THEY SET OUT THERE'S AN
INTEREST RATE KNOWS TIME FOR THE
WORD TO GET OUT RIGHT. SO I MEAN
THAT THIS IS GOOD AND AND THEN
THE OTHER THING PEOPLE NEED TO
HAVE CONFIDENCE AND AND I IN I
KNOW WE.
IS THAT IN TERMS OF THAT IS THAT
THIS IS GOING TO KEEP GOING
ALRIGHT SO THERE ARE.
POSITIONS DON'T WANT TO DROP
THEIR PATIENTS RIGHT SO WHAT
HAPPENS IS THEY GET TAKEN A MEDI
CAL PATIENT BECAUSE OF A HIGHER
YOU KNOW THE HIGHER RATE MAKES
IT WORKABLE FOR THE PRACTICE
MAKES THEM YOU KNOW BILL THE.
BALANCE OUR BOOKS AND SO FORTH.
THEY DON'T HAVE TO WORRY THAT
THAT MONIES AND DISAPPEARED THE
NEXT YEAR DEAR AFTER BECAUSE
THEY DON'T DISCHARGED PATIENTS
AND THAT MOST PHYSICIANS WILL
THEN TO SWALLOW THE LOSS BUT
THEN THEY'RE LIKE OKAY
FINANCIALLY I DON'T KEEP DOING
THAT I CAN'T AFFORD TO KEEP
DOING THAT. OUR MEDICAL GROUPS
TO SUPPORT SO.
SO BE ABLE TO HAVE THAT
ASSURANCE THAT THIS IS GOING TO
BE SUSTAINED AND CONTINUED IS
GOING TO BE REALLY IMPORTANT SO
I THINK THAT'S GONNA AT THE AND.
THEY AGAIN FIRST YEAR PEOPLE ARE
ALWAYS LKE WELL HOW LONG THIS
IS GONNA KEEP GOING AND I THINK.
WE'VE HAD SOME CONVERSATIONS WE
NEED SELF CAN CONVERSATION ABOUT
HOW WE ARE ABLE TO SEND THAT
MESSAGE IN BE SURE THAT THAT'S
GOING TO HAPPEN.
I ACTUALLY THINK THAT THERE IS.
SOME OPPORTUNITIES PARTICULARLY
AROUND.
PEDIATRICS BECAUSE WE ALSO ARE
GOING TO GET ENHANCE
MATCH FOR THE KIDS WHO FALL IN
THIS OF THE CHIP RANGE RIGHT.
AND IN TERMS OF TRYING TO MAKE
UP DOLLARS GO FARTHER IN TERMS
OF COMMUNICATING WHERE TO TO THE
PROVIDER COMMUNITY ABOUT WHERE
THE OPPORTUNITIES ARE. YOU KNOW
YOU HAVE A.
THAT IT'S IT'S YOU YOU HAVE.
IT YOU HAVE A FAIRLY SIMPLE
MESSAGES SAY LOOK IF YOU'RE
TAKING CARE OF KIDS SAT ME ON
WHAT YOUR FAMILY PHYSICIAN
SPECIALISTS WHATEVER. IT TOOK TO
START MOVING THAT NEEDLE DEAL
THE SHOW THAT THOSE DOLLARS ARE
MAKING A DIFFERENCE IN TERMS OF
IMPROVING ACCESS SO. I AM I'M
HOPING WE'RE WE ARE WORKING ON
SOME STE
THAT THINGS HERE ALSO ON ON OUR
SIDE THAT IS IS SOMETHING THAT
SO THAT'S TARGETED THAT ALSO IS
GOING TO BE EASY TO COMMUNICATE.
BOTH THE DIVIDER COMMUNITY AND
THE PUBLIC AND ALSO TRY TO
SPEAKER DOLLARS WORK AS MUCH AS
POSSIBLE STRETCH AS MUCH AS
POSSIBLE IN TERMS OF.
TRYING TO DRAW DOWN THE FEDERAL
MATCH AND HOPEFULLY THAT WAY WE
CAN SHOW THE VOTERS THAT THEY
VOTED FOR THIS AND WERE ACTUALLY
MOVING THE NEEDLE ON THIS SO.
YOU KNOW THIS LAST YEAR GUILT
THE FIRST YEAR.
IT DON'T THINGS ARE GONNA WILL
SAY BUT LET'S START THINKING
ABOUT HOW WE DO THIS IN A WAY
AND IT'S NOT JUST ABOUT RAISING
THE RATES IT'S ALSO ABOUT. THE
COMMUNICATIONS PIECE AND THEN
GETTING PEOPLE WHO TAKE CARE OF
OUR MEDI CAL PATIENTS.
ARE ARE MAY NOT LOOK TAKING
CARE OF THE MEDI CAL PATIENTS
BUT WHO CAN. TO TAKE A LOOK AT
THE PROGRAM AND TRY TO EITHER
EXPAND THE NUMBER PATIENTS THEY
HAVE OR TO COME INTO THE PROGRAM
THEY HAVE IT.
AND BE ABLE TO GET THAT WORD OUT
AND AND AND GET PEOPLE TO IT.
AND MAKE THAT HAPPEN SO THAT'S
KIND OF WHAT.
I THINK WE NEED TO LOOK AT AND
NINE CENTER STONE YES I GOT
INTERRUPTED YOU IN THE MILIEU
CHO IT'S ALRIGHT AND AND I
APPRECIATE YOUR COMMENTS AND
CERTAINLY YOUR EXPERIENCE IS
VERY IMPORTANT.
AN APPRECIATE THAT THE
ADMINISTRATION IS GOING TO BE
AUGMENTING CERTAIN CODES TO
INCREASE ACCESSIBILITY.
BUT IF YOU WERE ABLE TO QUANTIFY
CLOSE INCREASES WITHIN THOSE.
MANY DIFFERENT CATEGORIES OF
CARE.
AND YOU ARE TO MONETIZE THEM
WOULD YOU SAY THAT.
WE ARE GOING TO BE INVESTING
BACK INTO MEDI CAL.
EQUAL OR MORE THAN WHAT WE TOOK
AWAY IN A TEN PERCENT CUT THAT
MANY YEARS AGO THAT WE ON THE
PATH TO.
TO GETTING MORE.
MONEY BACK INTO THE SYSTEM SO
THAT.
THE ACCESS CAN BE REALIZE AT I
THINK. IT WOULD BE NICE IF WE
ARE ABLE TO DO THAT IN SUCH A
WAY IF WE WERE TO QUANTIFY THAT
PERCENTAGE RELIGIOUS TEN PERCENT
MAYBE IS TWELVE PERCENT.
AND WE DO PRESS RELEASES THAT.
THOSE STATE LEGISLATURE IS.
WELL MAYBE BUT MEDI CAL
REIMBURSEMENT A PRIORITY IN THE
IN THE BEST INTERESTS OF
ACCESSIBILITY AND.
ARE WE GET THAT MESSAGE OUT.
EMILY I THINK THERE'S A COUPLE
DIFFERENT THINGS.
I THINK THE.
AMOUNT THAT WE ARE LOOKING AT
I'M FOR PHYSICIANS REMEMBER
WHERE THERE'S ALSO OTHER PROP
FIFTY SIX EXPENDITURES THAT WE
ARE ONLY TALKING ABOUT
PHYSICIANS US.
I THINK IT'S APPROXIMATELY FIVE
HUNDRED MILLION DOLLARS THAT WE
HAVE AND THAT WE ARE WORKING.
WITH FOR EIGHTEEN NINETEEN SO
FOR THE BUDGET YEAR AND SO THOSE
ARE THE CODES THAT WE HAVE BEEN
MODELING BOTH THE EXISTING I'M
CPT CODES AS WELL AS THE
ADDITION OF THE PREVENTIVE
CODES.
THAT'S
APPROXIMATELY HALF A BILLION
DOLLARS NOT MATCHED
SO WHEN YOU ADD MATCHING FUNDS
IF YOU WERE JUST DOING FIFTY
FIFTY IT'S A BILLION DOLLARS.
AND WHEN YOU THINK ABOUT CHIP
AND MEDICAL EXPANSION POPULATION
WHICH ARE MUCH HIGHER OF MAPS
THAT PROBABLY IS A ONE POINT TWO
ONE POINT THREE. BILLION DOLLAR
IMPACTS ON THE ON THE YEAR SO I
THINK THAT'S SIGNIFICANT.
I THINK THE ONLY THING I WOULD
CAUTION YOU IS THAT THESE ARE
UNSTRUCTURED A SUPPLEMENTAL
PAYMENTS SO WHAT WE ARE TRYING
VERY HARD TO DO WITH BOTH LAST
YEAR AND THIS YEAR. IS TO FOR OF
AND EASE OF FEDERAL APPROVAL IS
WE'RE TRYING TO KIND OF HONED.
TO WHAT WE GAVE THEM LAST YEAR
SO THAT WHEN WE HAVE TO GO BACK
BECAUSE THERE I'M STRUCTURED AS
ONE YEAR STATE PLAN AMENDMENT
SUPPLEMENTAL PAYMENTS.
WE'RE TRYING TO GIVE THEM
SOMETHING THAT THEY HAVE ALREADY
SEEN SO THAT THE FEDERAL
APPROVALS DON'T TAKE.
AS LONG AS WE STILL HAVE
OPERATIONAL CHALLENGES THAT WE
HAVE TO DO THAT I KNOW YOU KNOW
SAID DR PANTS POINT.
WE WE KNOW AND UNDERSTAND THAT
PHYSICIANS NEED TO SEE THESE
MONIES SHOW UP. SUCH THAT IT
DOES CHANGE THE BEHAVIOR ON THE
MAY CAPITATION PAYMENTS FOR THE
PLANS WE RECEIVED APPROVAL FROM
CMS IN APRIL. ON THE DIRECTED
PAYMENTS SO THE MANAGED CARE
PAYMENTS HAVE FLOWN TO THE PLANS
WHICH ARE NOW FLOWING TO THE
PROVIDERS AND SO THERE'S A LOT
OF DIFFERENT PIECES BUT I THINK
WHEN THOSE CHECKS SHOW UP.
IN A PROVIDERS ARE ALL OF A
SUDDEN GONNA SAY OKAY I GET IT
AND SO I THINK THAT YOU KNOW
THIS NEXT YEAR AGAIN STRUCTURED
AS A ONE YEAR. SUPPLEMENTAL
PAYMENT IT'S WORTH A YOU KNOW
IT'S OVER A BILLION DOLLARS ON
THE PHYSICIAN SIDE AND THEN THAT
SETTING ASIDE OBVIOUSLY THE
DENTAL SUCH A POWERFUL. AMOUNT
OF MONEY THAT I THINK WERE VERY.
YOU PROUD TO WORK WITH
STAKEHOLDERS IN THE PROVIDERS ON
AND OBVIOUSLY THE LEGISLATURE
SO.
BUT APPRECIATE THAT WE CAN.
FORMULATE SOME KIND OF A
POSITIVE MESSAGE FOR OUR
PHYSICIANS AT WHERE. I'M NOT A
PRESS PERSON I WILL DEFER KNOW
YOU KNOW THAT I'M SAYING WITH ME
WE WOULD HAVE TO SAY WHAT I'M
REFERRING TO THE STATE THAT WHAT
WE VALUE THE SERVICES THAT OUR
PHYSICIANS PROVIDE MANY. OF WHOM
PROVIDE HUMANITARIAN CARE
BECAUSE THEY'RE THEY'RE NOT IN
IT FOR THE MONEY BUT.
DO IT BECOMES A TIME WHEN WE
HAVE TO WE HAVE TO
REALISTICALLY.
MAKE THEIR FEES.
APPROPRIATE.
SO THEY COULD EXPAND THEIR
UNIVERSAL PEOPLE THE NEED THEIR
CAROUSEL WHILE I'M LOOK FOR TO
WORKING WITH THE CHAIR AND
SENATOR MONICA. EFFECTUATE.
ENHANCEMENTS TO.
TO ENSURE AGAIN THAT OUR
NEEDIEST OF THE NEEDY GET THE
HEALTHCARE THAT THEY NEED AND
DESERVE. AND THANK YOU TO HELP
THINKING.
THANK OF FINANCE LIKELY YOU'RE
CHOMPING AT THE BIT SEE
SOMETHING.
DIRECTOR CAN MENTION THE YOU
KNOW FIGHT APPROXIMATE FIVE
HUNDRED MILLION IMPROV FIFTY SIX
AND WHEN WE MATCH IT IT'S ABOUT
ONE POINT THREE ONE POINT FOUR
BILLION SO WAS JUST GONNA CHIME
IN ON THE ON THE RANGE. OKAY
EXCELLENT ALRIGHT.
PUBLIC COMMENTATOR GUYS CAME UP
FOR ALL RIGHT.
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY A WERE PLEASED
TO SEE THE DECLINE IN THE CASE
LOAD AT THE ECONOMY IMPROVES BUT
NOTE. OF THAT FOR MANY LOW
INCOME CALIFORNIA AND THESE
GAMES HAVE NOT MATERIALIZED AS
MANY OF THAT KATSAV.
I THAT WERE MADE IN TWO THOUSAND
NINE HAVE STILL NOT BEEN
RESTORED ALTHOUGH DO APPRECIATE
THAT THEFULL RESTORATION OF
ADULT DANTO. IN REGARDS TO PROP
FIFTY SIX I THE GOAL OF PROP
FIFTY SIX WAS TO IMPROVE ACCESS
FOR MEDI CAL BENEFICIARIES AND
SO WE WE DO. THINK THAT THAT I
FIFTY FIVE DOLLAR MILLION IN
EXCESS REVENUES IT SHOULD GO TO
THAT ONSUCH AS PROVIDER RATES
OR I'M BENEFITS INELIGIBILITY
SUCH AS HEALTH FOR ALL. WERE
RAISING THE MEDI CAL AGING
DISABLED INCOME ELIGIBILITY
LIMIT. ON. A WE APPRECIATE THE
DEPARTMENTS I PROPOSAL TO REVISE
THE HABSI TREATMENT THIS IS
SOMETHING WE'VE ASKED FORCE I
THINK THE POLICY OF INITIATING
TWO THOUSAND FIFTEEN. AND I
WOULD LOOK FORWARD TO WORKING
WITH THE DEPARTMENT ABOUT
MICKEY.
THANK YOU. UNIX CALIFORNIA'S
DISABILITY RIGHTS THANK YOU FOR
TRYING RESTORED CAN PERCENT.
WE CAN'T TELL YOU HOW MANY TIMES
THAT WE'VE HAD MEMBERS OF OUR
ORGANIZATION.
WHO ARE ENROLLED IN ANY KIND OF
MANAGE PLAN DOING FEE FOR
SERVICE? AND TRYING TO GET A
DOCTOR.
WITHOUT TO TEN PERCENT DATA SAID
WE CAN'T WE CAN'T HAVE MEDICAL
PATIENTS THE CONDOM OUT.
I FIFTEEN RULE AREAS WE HAVE
ABOUT STORIES ENOUGH. OF CHICO
UP IN THAT AREA ANY OF SMALL
RULE COUNTIES THEY CAN GET
DOCTORS TO STAY RATES ARE TOO
LOW ANYTHING THAT YOU GUYS CAN
TO TRIPLE STORED TEN PERCENT.
WE'RE FOR THAT THANK YOU VERY
MUCH.
THANK YOU.
WELCOME.
GOOD MORNING MISTER CHAIR AND
MEMBERS I'M FAIRLY DATING ON
BEHALF OF THE CALIFORNIA STATE
ASSOCIATION OF COUNTIES
REPRESENTING FIFTH CALIFORNIA'S
FIFTY EIGHT COUNTIES I WANTED TO
COMMENT QUICKLY ON THE OIG AUDIT
OF SPECIALTY MENTAL HEALTH
BILLING PRACTICES CONVERSATION.
AYE WE'RE SO PLEASED TO SEE THAT
NUMBER BE REDUCED IN THE DRAFT
AUDIT WE DO WANT TO NOTE THAT
THE AUDIT IS NOT YET COMPLETE.
AND ONCE IT IS FINALIZED IT
SUBMITTED TO CMS THE CENTERS FOR
MEDICAID AND MEDICARE SERVICES
AND OUT WE THINK THERE'S ROOM TO
STILL TALK WITH CMS ABOUT HOW WE
COULD POSTPONE. REDUCE OR
REINVEST THESE TYPES OF
RECRUITMENT SO WE LOOK FORWARD
TO WORKING WITH DH YES AND THE
BROWN ADMINISTRATION ON THAT
ISSUE THANK YOU. THANK YOU.
GOOD AFTERNOON THAT CERTAIN
MEMBERS MITCHELL BLOCK WITH THE
CALIFORNIA MEDICAL ASSOCIATION
WE'RE PLEASED TO SEE THAT THE.
GOVERNORS.
COMMIT A CONTINUED COMMITMENT
TO ADD TO PROP FIFTY SIX IN THE
MAY REVISE.
WE WOULD.
NO THE WE LOOK FORWARD TO
CONTINUING TO WORK WITH THE
ADMINISTRATION AND THE COMMITTEE
ON OF THAT THAT SUPPLEMENTAL
PAYMENT PROGRAM AND.
HOW THAT HOW IT SHOULD BE
STRUCTURED GOING FORWARD THANK
YOU?
THANK YOU.
WELCOME.
A GOOD AFTERNOON AND CHAIR
MEMBERS BRANTON SPONSOR WITH THE
CALIFORNIA DENTAL ASSOCIATION
WHICH IS ECHO THE RECENT
COMMENTS THAT WE ARE POSITIVE
THAT THE MAY REVISE DOES
CONTINUE THE COMMITMENT THAT THE
GOVERNOR MADE LAST YEAR. IN THE
PROPOSITION FIFTY SIX RATES FOR
DENNIS AND PHYSICIANS A WE WERE
A LITTLE CONCERNED IN THE
JANUARY BUDGET THAT THERE LOOKED
LIKE THERE WAS AN UNDERSTAND.
LOOKS LIKE THE ESTIMATES ARE
NOW THAT THEY WILL BE MAKING A
FULL COMMITMENT OVER THE TWO
YEARS WERE VERY PLEASED TO SEE
THAT. WE ARE LOOKING FORWARD TO
WORKING WITH THE DEPARTMENT ON
THE HOW TO SPEND THE NEW
ADDITIONAL SUPPLEMENTS WE'VE
CONTINUED TO HIGHLIGHT THE
PREVENTION. AND PERIODONTAL
TREATMENT WHICH IS GONE DISEASE
TREATMENT ARE AREAS OF GREAT
NEED ON THE ONLY OTHER PIECE
THAT I WOULD MENTION IS THAT AS
THESE ARE CONTINUALLY STRUCTURED
AS ONE YOUR SUPPLEMENTAL RATES.
THERE CONTINUES TO BE SOME
CONCERN I'M AS WELL AS A
POTENTIAL STOP START OF THOSE
PAYMENTS WHICH IS ESPECIALLY
DIFFICULT IN THE DINING HALL
PROGRAM WHICH IS MOSTLY FEE FOR
SERVICE SO. WILL CONTINUE TO
RAISE THAT LOOKING FORWARD I'M
HOPING THAT AT SOME POINT WE CAN
MAKE THIS I'M A LONG TERM
INVESTMENT OR AT LEAST A MULTI
YEAR THANK YOU. THANK YOU.
WELCOME.
AFTERNOON KRISTIN BARLOWE HALF
OF THE COUNTY BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION WANTED TO
ASSOCIATE OUR ORGANIZATION WITH
THE COMMENTS YOU JUST HEARD FROM
THE CALIFORNIA STATE ASSOCIATION
OF COUNTIES ON THE OIG AUDIT. AS
WELL AS TO RECOGNIZE PUBLICLY
THE HARD WORK THAT D. H. CS
STAFF.
ENDURED A WITH US I AM AS
PARTNERS IN TRYING TO BRING DOWN
THE DISALLOWED CLAIMS RATE BY RE
REVIEWING A NUMBER OF MATERIALS
AND THAT I AM VERY GLAD THAT
THAT WAS SUCCESSFUL. ALSO WANT
TO REITERATE AND THE POINTS THAT
DIRECTOR KENT MADE WHICH WAS
THAT THE COUNTIES AND THE STATE
HAVE BOTH WORKED PRETTY HARD ON
ADDITIONAL TRAINING AND CLEAR
INSTRUCTION AROUND WHAT IT TAKES
TO HAVE. A CLEAR AND ACCURATE IN
FULL.
CLAIM SO THAT WE DON'T WIND UP
IN THE SITUATION I'M IN THE
FUTURE WITH THE OIG OR WITH SEE.
AND OUT WE HAVEN'T SEEN WE HAVE
IN FACT SEEN DRASTIC
IMPROVEMENTS IN THE COUPLE OF
YEARS THAT HAVE OCCURRED SINCE
TWENTY FOURTEEN THANK YOU.
THANK YOU.
WELCOME THANK YOU MISTER CHAIR
NUMBERS CADDIES AND KNOWING THAT
THE COUNTY OFFER DIRECTORS
ASSOCIATION WE APPRECIATE THE
CONTINUED COMMITMENT.
PROVISION OF ADDITIONAL FUNDING
FOR ELIGIBILITY AS ALL THE
COMMITMENT FOR THAT TO CONTINUE
INTO THE FORESEEABLE FUTURE FROM
THE ADMINISTRATION WHO I HAD
MENTIONED WHEN THIS WAS HEARD
EARLIER IN THE YEAR THAT WERE
WORKING TO RESOLVE WHAT
ADMINISTRATIVE ISSUE RELATED TO
THE ELIGIBILITY. I DID WANT TO
LET YOU KNOW JUST UPDATE YOU WE
ARE CONTINUING TO HAVE THOSE
CONVERSATIONS THE ADMINISTRATION
IT RELATES TO HOW WE CUT TO
CLOSE OUT. THE URINE SPENDING WE
ARE CONTINUING TO MEET WITH
BOTH.
DHS DEPARTMENT OF FINANCE.
THIS IS AN ADMINISTRATIVE THINGS
AT THIS POINT WE'RE NOT ASKING
FOR ACTION BUT DID JUST WANT TO
KEEP YOU POSTED AND WILL
CONTINUE TO DO SO THANK YOU.
THANK YOU.
WELCOME GERMAN MEMBERS ALL OVER
A GREAT CALIFORNIA LIFE SCIENCES
ASSOCIATION HERE IN SUPPORT OF
THE DISH NO FUNDING FOR
HEPATITIS C. TREATMENT. EITHER
WAS INCLUDED IN THE
NEIGHBORHOODS IN THE BUDGET.
OKAY THANK YOU RIGHT ANY OTHER
QUESTIONS OKAY SO WE'RE GOING TO
HOLD THIS ITEM OPEN.
WE MOVE ON TO ITEM NUMBER OF
ISSUE NUMBER TWO THE FAMILY
HEALTH ESTIMATES MAY REVISION
UPDATES.
GREAT SO.
THIS IS A MUCH.
SMALLER EASIER ASSIGNMENTS.
IN OUR DEPARTMENT.
SO IT'S COMPOSED OF THE
CALIFORNIA CHILDREN'S SERVICES
I'M STATE ONLY COMPONENT OF THE
POPULATION THE CHILD HEALTH AND
DISABILITY.
PREVENTION PROGRAMS EACH CP.
BUT GENETICALLY HANDICAPPED
PERSONS PROGRAM.
AND EVERYONE COUNTS.
WHEN I SAY SMALL.
CCP HAS I BELIEVE.
WERE SHOWING THREE.
INDIVIDUALS AND.
SORRY NOT THREE THREE THOUSAND
DOLLARS BUT NINETEEN
INDIVIDUALS.
AND THEN.
FOR MATTER OF PERSPECTIVE
WITHIN THE GPP PROGRAM WE ONLY
HAVE.
A CASELOAD OF SEVEN HUNDRED AND
THREE BUT THAT BUDGET IS OVER A
HUNDRED MILLION DOLLARS SO.
STILL VERY SIGNIFICANT ON
POPULATIONS WITH EXTRAORDINARILY
COMPLEX MEDICAL ISSUES THE
CASELOAD ITSELF IS AND STABLE AS
ARE THE EXPENDITURES BUT AGAIN
SHOWING JUST HOW IMPORTANT SOME
OF THESE SERVICES ARE FOR SOME
VERY SMALL BUT. I'M SIGNIFICANT
UP POPULATIONS WE ARE TAKING
DOWN THE ACTUAL APPROPRIATIONS
FOR THE. FAMILY HEALTH ESTIMATE
BY APPROXIMATELY THIRTY SIX
MILLION OLLARS THEIR PROGRAMS
THAT WE'VE BEEN COVERING OR
CARRYING ON IN THE SYSTEM AND
THAT ARE NO LONGER OPERATIONAL
SO WE'D INHERITED THEM FROM
EITHER THE FORMER. MANAGED CARE
AND MEDICAL RISK MANAGED THE
MEDICAL MANAGED CARE MEDICAL
RISK INSURANCE BOARD UNLIKE MR
MET I WANNA DON'T WANNA USE
ACRONYMS.
AND THEN.
DEPARTMENT OF PUBLIC HEALTH ON
BREAST CANCER DETECTION PROGRAM
AND SO WE'RE NOT.
NECESSARILY LOSING ANY MONEY
WE'RE JUST TAKING THE
EXPENDITURE APPROPRIATION
AUTHORITY DOWN BY APPROXIMATELY
THIRTY SIX MILLION DOLLARS
ACROSS OF ON A NUMBER OF THOSE
PROGRAMS.
HAPPY TO ANSWER QUESTIONS
OKAY COMES FROM ELIO WE REVIEWED
THE ESTIMATE AND HAVE NO
CONCERNS.
FRANCE.
OKAY COMMITTEE MEMBERS
QUESTIONS. THIS ONE A COUPLE
MEMBERS CAN CHOOSE PUBLIC AT
ABOUT FIVE THOUSAND ACRONYMS IN
HER BRAIN ALL THE TIME ABOUT IT
BUT FRANKLY I DON'T KNOW HOW YOU
KEEP THEM ALL STRAIGHT. SO I DO
I WILL CONFESS THAT WHEN I WAS
APPOINTED YOU GET A TRANSITION
BINDER RATE WITH ALL THE CHARTS
AND BUDGETS AND ORG CHARTS.
AND THAT BY THE BACK OF THE
BINDER HAD EIGHTY SEVEN PAGES OF
ACRONYMS.
AND SO ON THE SCARY THING IS I
ACTUALLY KNEW MOST OF THOSE BUT
IT IS LIKE OF FOR AND IT IS LIKE
A FOREIGN LANGUAGE. I APPLAUD
YOU FOR
HERE THREE DOLLARS.
THAT I CERTAINLY AGREE WITH
THAT.
AS WE TRIED TO UNDERSTAND ALL
THE ACRONYMS TO HEAR.
OKAY.
SO ACTUALLY THE PUBLIC COMMENT
ON THIS ITEM.
ALRIGHT I DON'T SEEM PUBLIC
COMMENT ALRIGHT.
I I WOULD I GUESS I'LL JUST SAY
IS THAT.
AGAIN.
AND IN TERMS OF.
.
YOU KNOW WHAT I THINK ONE OF THE
THINGS THAT.
AND WHAT THESE PROGRAMS SPEAK
TO IS IS THAT AS YOU MNTIONED
THESE ARE SOME OUR MOST COMPLEX
PATIENTS.
WHEN YOU THINK ABOUT. THIS IS
THE WHOLE CCS BUDGET AND BUT.
BUT THEN WE STATE.
THAT CCP'S MORE FOCUSED ON WHAT
CHILD BUT LIKE THE JACK LEE
HANDICAPPED PERSONS PROGRAM.
I MEAN WE CREATED A CCS PROGRAM
DECADES AGO HERE IN CALIFORNIA
EXTRA RECOGNIZE THERE'S A GROUP
OF.
CHILDREN AT THAT TIME.
WHO YOU KNOW HAD THESE COMPLEX
NEEDS THAT DIDN'T HERE BECAUSE
THERE EXPENSE AND COMPLEXITY?
THEY WORK WELL HANDLED BY THE
YOU KNOW THAT BY THE I GUESS THE
HEALTHCARE SYSTEM ARE ARE BY THE
CURRENT FIGHT THE FINANCING
SYSTEM AND THAT WE NEED DO
SOMETHING FOR THEM AND. THANKS
TO.
DANCES MEDICAL SCIENCES SO
FOURTH WE HAVE FEEL THEY
ACTUALLY LIVING INTO ADULTHOOD
RIGHT. AND IN ADDITION OF COURSE
WE HAVE ADULTS WHO HAVE COMPLEX
CONDITIONS TO AND WERE ABLE TO
MANAGE THEM BUT OFTENTIMES
BECAUSE THEY'RE RARE CONDITIONS
ARE NOT FREQUENT.
WE WEREN'T YOU KNOW WE'RE NOT
ALWAYS IT WILL BE THEY PERHAPS
DO NEED SOME.
.
SPECIAL HELP.
AND THAT COORDINATION AND SO
FORTH AND WHILE CERTAINLY.
MANAGED CARE HEALTH PLANS CAN
DO THAT THEY.
OFTENTIMES AS THE NUMBERS ARE
SMALL IF THERE ISN'T
PARTICULARLY CLOSE OVERSIGHT.
BECAUSE IT EXPENSE.
IT'S.
OFTEN BAKER OFFERED FALL THROUGH
THE CRACKS SO. I APPRECIATE THAT
WE HAVE THESE PROGRAMS I THINK
WE JUST BUT I THINK IT IS ONE
THAT'S ISSUES WE NEED TO FIGURE
OUT TIME WHAT DO YOU DO ABOUT
PATIENTS WHO HAVE COMPLEX
CONDITIONS AND. HOW DO WE BEST
ENSURE THAT THEY GET THE CARE
THAT THEY NEED SO APPRECIATE
THESE PROGRAMS ARE HERE?
BUT NOW I THINK THAT'S AN
ONGOING ISSUE THAT WE HAVE TO
CONTINUE TO.
FIGURE OUT.
SO. WITH THAT I THINK WE'LL JUST
HOPE WOULD HOLD THIS ITEM OPEN.
PRESENTATION WILLIAM LET'S MOVE
ON THEN TO ISSUE NUMBER THREE
BUT HOMELESS MENTALLY ILL
OUTREACH.
GREAT SO AND.
CONSISTENT WITH THE FOCUS IN THE
GOVERNOR'S BUDGET THAT WAS
RELEASED ON FRIDAY THERE WAS A
SIGNIFICANT NUMBER OF BOTH
INITIATIVES AND PROPOSALS TO
ADDRESS THE.
HOMELESS AND OR.
MENTALLY ILL POPULATIONS IN
CALIFORNIA AND THEY WERE THEY
WERE STE THOSE INITIATIVES AND
PROPOSALS WERE SPREAD ACROSS
MULTIPLE DEPARTMENTS AND PARTS
OF THE ADMINISTRATION BUT.
A PIECE OF IT CAME TO OUR
DEPARTMENT. TO THE TUNE OF WERE
SEEKING. OF FIFTY MILLION
DOLLARS IN GENERAL FUND TO
PROVIDE TO COUNTIES AS KIND OF
A.
IMMEDIATE.
BOTH A RESPONSE AND OR BRIDGE
TO LONGER TERM FUNDING SOLUTIONS
AND PROPOSALS THAT ARE COMING SO
ON TO THE EXTENT THAT NO PLACE
LIKE HOME IS HAVING TO GO BACK
TO THE VOTERS AND THAT WILL
OBVIOUSLY BE A SIGNIFICANT
AMOUNT OF. FUNDING FOR A LONGER
TERM HOUSING STRATEGY IN
CALIFORNIA I THINK THE INTEREST
OF THIS PROPOSAL IN PARTICULAR
WAS TO TRY TO MEET COUNTIES
WITH.
MONEY THAT WAS READILY AND
QUICKLY ACCESSIBLE TO THEM TO
AND VERY MUCH TARGET ON THIS
POPULATION AND SO THE BUDGET
BILL LANGUAGE THAT WE ARE
SEEKING TO.
HAVE THE LEGISLATURE APPROVAL
LONG WITH THE APPROPRIATION IS
TO ESSENTIALLY SAY THAT WE
WOULD.
WORK WITH THE COUNTIES WE WOULD
DEVELOP A SCHEDULE TO ALLOCATE
THIS MONEY TO. COUNTIES.
AND HOW THAT SCHEDULE MADE
AVAILABLE BY JULY THIRTY FIRST
COUNTIES WOULD ESSENTIALLY SEND
US A LETTER SAYING THAT THEY
WERE INTERESTED IN USING THE
FUNDING. AND.
PROVIDE US WITH THE BOARD
RESOLUTION.
INDICATING THAT THEY WERE BOTH
NEEDING AND INTENDING TO USE
THOSE FUNDS FOR THE POPULATION
THAT WE ARE ASKING THEM TO DO.
AND THEN IT'S REALLY TO THE
COUNTIES.
LOCAL NEEDS THAT WOULD
DETERMINE HOW THAT FUNDING.
WOULD BE ALLOCATED SO I KNOW
THAT.
CERTAIN COUNTIES WOULD BE
INTERESTED IN USING IT FOR
THEIR.
FLEXIBLE HOUSING POOLS IF
THEY'RE CURRENTLY PARTICIPATING
IN THE WHOLE PERSON CARE PILOT
THROUGH OUR DEPARTMENT. OTHER
COUNTIES MAYBE.
BE INTERESTED IN USING IT TO
WORK WITH.
POPULATIONS THAT ARE BEING
RELEASED FROM JAIL OR AT RISK
AND WE KNOW OUR HAVE BEEN
RECENTLY INCARCERATED. THAT
COULD BE USING IT FOR EMERGENCY
SHELTERS THAT COULD BE USING IT
FOR TRANSITIONAL HOUSING SUPPORT
I DON'T THINK THAT WE HAD.
.
WE DON'T WANT THERE TO BE A LOT
OF STRUCTURE AROUND IT AND NOT
IT'S.
A FAIRLY LIMITED AMOUNT OF
MONEY ESPECIALLY WHEN YOU SPREAD
IT ACROSS FIFTY EIGHT COUNTIES
BUT ALSO WANTING TO MAKE SURE
THAT IT WAS.
OUT THE DOOR FAIRLY QUICKLY AND
SO THIS FIFTY MILLION AND IT
DOESN'T COME WITH A LOT OF
DETAIL OTHER THAN THE BUDGET
BILL THAT WE PRESENTED AND I'M
HAPPY TO. ANSWER ANY QUESTIONS
THAT YOU MAY HAVE.
IT COMES FROM ILLEGAL.
AFTERNOON MISTER SHARON CENTER.
THE LEGISLATURE MET WHEN I
CONSIDER THE APPROPRIATENESS OF
TRADE OFF THE PROVIDING SUCH
LIMITED TERM FUNDING FOR
SERVICES THAT TOO OFTEN REQUIRE
ONGOING SUPPORT.
AND HOW THIS ONE TIME FUNDING
WOULD FIT INTO THE LONGER TERM
STRATEGY FOR ADDRESSING BOTH
HOMELESSNESS AND. MENTAL HEALTH.
SOME OF THE CONSIDERATIONS
MIGHT BE WHETHER THIS US TO BE
STRUCTURED AS A PILOT PROGRAM OR
IF IT IS USED AS A BRIDGE. HOW
OF THIS PROGRAM MA WOULD
INTERACT OR WOULD NEED TO BE
COORDINATED WITH THOSE OTHER A
LONG TERM FUNDING PROJECTS SUCH
AS?
NO PLACE LIKE HOME OR AS
MENTIONED IN THE AGENDA THE US
DEPARTMENT OF A STATE HOSPITALS
COMMITTEE TREATMENT PROTOCOLS
WILL.
WE WILL ALSO A NOTE THAT GIVEN
THAT THE ADMINISTRATION.
DID STATE THAT.
THIS
PROGRAM IS INTENDED TO BE.
ALIGNED WITH THE PRINCIPLES OF
AB TWENTY THIRTY FOUR AND AB
THIRTY FOUR.
THAT THIS PROPOSED AUTHORIZED
LANGUAGE DOES. CRAPPIE
ADMINISTRATION WITH THE
SIGNIFICANT AMOUNT OF.
MORE DISCRETION WITH A CRACKED
THE USE OF THE FUNDS.
AND SO LITTLE AND LEGISLATURE
MIGHT WANT TO CONSIDER WHETHER
IT.
.
AS LANGUAGE AND MORE EXPLICITLY
INCORPORATE SOME OF HE
PRINCIPLES OF THOSE OF PREVIOUS
STATUTES.
SINCE.
I REGARDING SERVICE STANDARDS
FOR A GRANT RECIPIENT PROGRAMS
AND.
REPORTING AND PROGRAM
EVALUATION STANDARDS.
FINANCE.
ALINA HUMPHRIES OF THE
DEPARTMENT OF FINANCE.
JUST WANTED TO ECHO THE
STATEMENTS OF DIRECTOR KENT AT
THIS PRO BONO PROPOSALS LARGER
OF A PART OF A LARGER.
MAY REVISION FOCUS ON MENTAL
HEALTH AND HOMELESSNESS
AND ECHO THAT IT'S ALSO A BRIDGE
FUNDING SO ALL WHILE IT IS ONE
TIME IN NATURE IT SERVES TO.
BRIDGE TO LOTS OF OTHER
PROPOSALS INCLUDED AS PART OF
THAT PACKAGE.
THANK YOU A. CAUTIOUS CAMINO
AMBER'S.
OKAY SITE AND.
SO.
SO ON ONE LEVEL I UNDERSTAND.
THE PRESENTATION WHERE LIKE CO
WELL WE JUST HAVE THIS MONEY CAN
USE IT IN LOTS OF DIFFERENT WAYS
BUT I AM OUT I AM CONCERNED
ABOUT.
BE SURE THAT THE MONEY IS
ACTUALLY MAKING A DIFFERENCE.
AND THE ACCOUNTABILITY FOR THAT.
I ALSO KNOW THAT.
YOU KNOW WE HAVE.
.
AND AND I APPRECIATE THE
GOVERNOR PUTTING THE MONEY INTO
THIS I MEAN THE IT'S A VERY
IMPORTANT MUST SEE. FUNDS GO
INTO AND AND AND AND.
AND TO THIS FOCUS RIGHTS AT THE
TO REACH OUT TO OUR HOMELESS
MENTALLY ILL.
.
AND.
BUT ALSO WOULD NOTE THAT.
THAT WE ALSO ARE BECAUSE WE'RE
HEARING US ENUNCIATE HOSPITAL
SIDE NAY ON THE ICE TEA.
WHICH ARE ALSO AND SHELTER.
YOU KNOW I MEAN DERIDDER
HOMELESS PEOPLE WHO HAVE MENTAL
ILLNESS GARMENT OR MENTAL.
HEALTH ISSUES.
.
AS WELL AND SO THERE'S.
FUND THERE AND THEN WE ALSO HAD
I THINK.
WE PUT IN THE NOTES
HE SAID IN A HALF MILLION FOR
FACILITIES TO SHIP.
THING THE ASH OFFER. LAST YEAR.
.
AND.
INSIDE.
SEE THESE DIFFERENT POTS. AND
AND JUST
WHEN THINGS AM WEARING OF LIKE
HOW DO WE.
BE SURE THEY'RE COORDINATED OUT
WORKING DO NOT DUPLICATE OUR COP
FOR PURPOSES THAT. SO I
APPRECIATE THE GOVERNOR SAYING
WE NEED TO PUT MORE RESOURCES
THERE AND CERTAINLY AGREE WITH
THAT. THEN BUT DOUBTS DIVIDE TO
THESE DIFFERENT POTS AND WE'RE
NOT SURE HOW THOSE ARE SUPPOSED
TO INNER ACT WITH EACH OTHER AND
WHAT ACCOUNTABILITY AND MAYBE
DOES THAT HAPPENED AT THE.
COUNTY OF WHERE THEIR APPLYING
FOR THE MONEY IN THEY NEED TO
AND GETTING THE MONEY'S SHOW
LIKE HOW THIS RELATES WITH THE
MONEY THEY'RE GOING TO GET FROM
ANOTHER POT.
AND THAT'S ANOTHER POTS ARE HOW
ARE WE GOING TO BE SURE THAT
WHEN YOU DISPERSE THIS FIFTY
MILLION TOO AGAIN. OUT TO THE
DIFFERENT COUNTIES.
THAT THE MONEY IS EFFECTIVELY
BEING A BRIDGE I MEAN IS ONE
TIME THAT'S ALWAYS A CHALLENGE
BECAUSE THE MENTAL HEALTH ISSUES
YOU DON'T GO IN A YEAR.
AND THEN FIGURE TAKES SEVERAL
MONTHS JUST TO GET THE MONEY OUT
DILLARD START WERE ITSELF AND I
GOT SIX MONTHS. TO CURE THE
PROBLEM WHICH IS GOING TO HAPPEN
SO.
ZERO SO IN THE APPLICATION IS
THERE SOME EXPECTATION OF SAYING
THAT YOU HAVE TO SHOW HOW THIS
MONEY IS GONNA DO THE BRIDGE
HOUSE GONNA INTERLINK WITH THESE
OF YOUR PROPOSALS TO SPEND OTHER
MONEY. AS ARE GOING TO BE SOME.
REPORT BACK ON AND YOU KNOW.
REQUIREMENT FOR METRICS TO SHOW
THAT.
YET THE MONEYED MADE A
DIFFERENCE LIKE US AND GET THAT
REPORTED BACK TO WHETHER STEEDS
YES OR TO THE STATE OR IS THERE
SOME COMMON REPORTING AT ME I'D
LIKE TO MINIMIZE THE.
WELL IF WE HAVE SEVERAL POTS
MAYBE THERE'S A REPORT THAT
TALKS ABOUT OKAY YOU GET MONEY
FROM THIS VIDEO HOW MUCH WHEN
YOU GET FROM THIS ONE THIS ONE
THIS ONE HOW THEY ALL COME
TOGETHER WHAT YOUR OVERALL SO
THAT YOU'RE NOT REPORTING THREE
DIFFERENT PORTS THREE DIFFERENT
AGENCIES. PERHAPS VISITED SOME
THINKING ABOUT HOW THIS ALL FITS
TOGETHER SO I THEN ASKED AT THE
STATE HOSPITALS BUT I AT LAST A
LITTLE BIT HOW THIS COURT EIGHT
AM BY.
I'M JUST I THINK HOW THIS ALL
COMES TOGETHER BECAUSE YOU KNOW
CURIOUSLY.
NOW WE HAVE FIFTY MILLION HERE
FIFTY MILLION THERE CENTER HOW
TO BE SURE THAT THAT'S MAKING
THAT THAT THE DIFFERENCE THAT WE
WANT TO MAKE.
CHRIS COULD DEPARTMENT FINANCE
AND LET ME SEE IF I COULD
ADDRESS MANY OF THOSE QUESTIONS
THAT YOU JUST ASSN AND IF I MAY
ASK. THE DIRECTOR TO CHIME IN
NOW AND WE NEED IT BUT. IT WITH
REGARDS TO THE CROSS
COORDINATION OR OBVIOUSLY ALWAYS
HAVING CONVERSATIONS WITH OTHER
AGENCIES WHEN THEY REACH OFFERS
STATE HOSPITALS AND HOW THESE
PROGRAMS ARE INTERLINKED.
THE ADMINISTRATION VIEWS THIS
PROPOSAL FROM DCS AS A
COMPLEMENTARY FOR.
PROGRAM TO THE ONE BEING
ADMINISTERED BY STATE HOSPITALS
IN THAT THE STATE HOSPITALS
PROGRAM IS A FOCUS ON
INDIVIDUALS WHO ARE.
ES DE OPPOSE BOOKING AND
DIVERSION PROGRAM FOR
INDIVIDUALS WITH MENTAL
ILLNESSES AND.
WITH INTERACTIONS WITH THE
CRIMINAL JUSTICE SYSTEM WHERE IS
THIS ONE IS MORE BROADLY BASD
ON INDIVIDUALS.
PRIOR TO THEIR INTERACTION WITH
THE. CRIMINAL JUSTICE SYSTEM SO
THIS CAN REACH A MUCH MORE
LARGER NEED OF INDIVIDUALS IN
THE COMMUNITY. COM.
AND ALSO I WOULD JUST.
IT MAY HAVE MAIL USES LIKE THAT
BECAUSE WHAT WE WE JUST HEARD
FROM THE STATE HOSPITALS ANY
IT'S AN.
YES THERE THERE POPULATION THAT
THEY HAVE ARE THE PEOPLE BUT
ACTUALLY I THOUGHT THAT THERE
FUNDS ARE ALSO TO TRY TO
ACTUALLY DO PREVENTION BEFORE
THEY EVEN GOT TO I MEAN THAT'S
THAT WAS.
SO THAT'S WHY I'VE SEEN THE
OVERLAP RATE SO SOMEONE LEVEL OF
COURSE.
THEIR POP YOU KNOW THE
POPULATIONS OF THAT THAT THAT
DID WE SAY SEE HOUSE WAS THINK
OKAY THESE ARE PEOPLE AFTER
THEY'VE STILL BEEN PICKED UP BY
COLONEL JUSTICE NOW THEY HAVE
ETCETERA BUT.
FROM I UNDERSTAND THEIR MONEY
WAS ACTUALLY NOT JUST FOR PEOPLE
ONCE THEY GOT TO THAT POINT UT
ACTUALLY TRYING TO PREVENT
PEOPLE FROM GETTING TO THAT
POINT WHICH ALSO STARTS BECOMING
YOU KNOW.
THE SAME PEOPLE.
I'M IT'S BELIEVE ME I THINK WE
CAN SPEND MORE HUNDRED MILLIONS
ON THAT WORRIED ABOUT THE MONEY
NOT BE ABLE TO BE SPREAD EL THAT
TO COVER MORE PEOPLE BUT I'M
JUST CONCERNED ABOUT WE HAVE.
TWO DIFFERENT AGENCIES
ADMINISTERING THEIR OWN FIFTY
MILLION DOLLAR POT SWITCH THEN
ARE AT ODDS.
THE ALL DID NOT COORDINATED WE
CAN HAVE THEM YOU KNOW BASICALLY
IN THE PUT TOO LITTLE SMALLER
POTS OF MONEY EACH COUNTY THAT.
VERSES ONE LARGE EIGHT EIGHT
EIGHT YET I JUST WANNA SEE THAT
IN THE. THAT THE I GUESS THE.
COUNTY ISN'T BASED LIKELY
BECAUSE THAT THAT THEY'RE
ACTUALLY LOOKING AT THESE AND
SAY HOW THEY COME TOGETHER AND
THEY MAY DO SOMETHING SLIGHTLY
DIFFERENT WITH THE TO BUT. HOW
THEY SORT OF COME TOGETHER AND
THAT SHOULD BE PART OF THEIR
APPLICATION THAT TALK ABOUT THAT
UNDERSTOOD IN AND INTENT TO JUST
REITERATE THE EMPHASIS OF THE
STATE HOSPITALS PROGRAM IT NOT
TO GET TOO MUCH INTO THAT BUT
WAS AN EMPHASIS ON POST LOOKING
DIVERSION? FOR INDIVIDUALS WITH
INTERACTION WITH THE CRIMINAL
JUSTICE SYSTEM.
BOTH LANGUAGES OF FOR STATE
HOSPITALS ANDY HTS ALSO INCLUDES
A PLANTATION LANGUAGE SO IT'S
NOT TO DUPLICATE ORDER. YOU KNOW
PROCEED ANY EXISTING FUNDING FOR
ANY OTHER SERVICES SO THAT'S IN
THERE AND ALSO THE INCLUDED IN
THE BUDGET BILL LANGUAGE
SPECIFICALLY FOR THIS PROPOSAL.
THERE'S ALSO REPORTING
REQUIREMENTS THAT THE
DEPARTMENT.
COULD DEVELOP FOR COUNTIES TO.
FOR COUNTIES TO.
REPORT BACK ON THE SERVICES AND
THE OUTCOMES THAT ARE INCLUDED
ARE FOR THE SERVICES THAT ARE
BEING PROVIDED.
BECAUSE INDIVIDUALS RIGHT SO
WITHIN NINETY DAYS.
OF THE FINAL EXPENDITURE OF THE
FUNDS FOR THIS FIFTY MILLION
DOLLARS THAT COUNTIES WOULD HAVE
TO SEND US.
I'M ESSENTIALLY A REPORT SAYING
YOU KNOW HERE'S A NUMBER OF
INDIVIDUALS WHO SERVE THESE FOR
THE SERVICES WE PROVIDED.
.
I THINK.
ONE OF THE THINGS I WANT TO
STRESS ABOUT THIS MONEY I MEAN I
CAN APPRECIATE THAT CONCERN
AROUND.
MAYBE THE LACK OF OF DETAIL IS.
OFTENTIMES I THINK WE STRUGGLE
ON IN OUR EPARTMENT THAT WE
HAVE A PROGRAM THAT HAS A LOT OF
REQUIREMENTS YOU CAN'T USE THE
MONEY FOR THIS YOU CANNOT USE
THE MONEY FOR THAT. YOU HAVE TO
BE CAREFUL THAT THE MONEY IS
ONLY APPLICABLE IN THIS AREA AND
I THINK WHAT WE HAVE LEARNED
FROM OUR RECENT EXPERIENCE
AROUND. ON THE WHOLE PERSON CARE
PILOTS IN PARTICULAR IS
SOMETIMES THEY THE COUNTIES AND
THE LOCAL AGENCIES ACTUALLY NEED
A FLEXIBLE FUNDING SOURCE IN
ORDER TO PROVIDE THE THINGS THAT
MEDI CAL WILL NEVER BE ABLE TO
PAY FOR. ROOM AND BOARD OR RENT
OR FIRST AND LAST MONTH'S RENT
OR YOU KNOW CATCHING UP ON YOU
KNOW PARKING TICKETS IN ORDER TO
YOU KNOW. THERE ARE SOME
FLEXIBILITY IS THAT.
NO OTHER FUNDING SOURCE CAN.
HELP SOLVE SOME OF THESE
INDIVIDUAL VERY DIFFICULT CASES
AND SO I THINK IT WAS OUR
INTEREST IN MAKING THESE FUNDS
AS. COMFORTABLE AS POSSIBLE WITH
THE COUNTIES ON UNDERSTANDING
THAT WE WANT SOME LEVEL AS.
REPORT BACK IN TERMS OF WHAT
THEY USE THE FUNDING FOR BUT
THERE MAY BE A NEED THAT WE
CAN'T SEE AT THE STATE BUT THEY
VERY MUCH CAN SEE AND CASA
COUNTY OR SAN DIEGO OR IMPERIAL
ARE KERN. AND AGAIN IT'S NOT A
SIGNIFICANT AMOUNT OF MONEY WHEN
YOU TAKE FIFTY MILLION DOLLARS
ACROSS FIFTY EIGHT COUNTIES. SO
I THINK.
WE WERE TRYING TO PROVIDE THEM
WITH SOMETHING THAT HAD AS FEW
STRINGS AS POSSIBLE BUT SAYING
YOU NEED TO FOCUS IT ON THIS
POPULATION. KNOWING FULL WELL
THAT THERE ARE ALSO REQUIRED TO
PROVIDE IN A SPECIALTY MENTAL
HEALTH SERVICES AND YOU KNOW IF
THESE INDIVIDUALS ARE MEDICAID
ELIGIBLE THAN ALL THE RULES OF
MEDI CAL AND ALL THE COVERAGE.
A CRUISE TO THAT PERSON BUT THIS
IS MONEY THAT IS SUPPOSED TO SET
ON TOP OF AND HELP SUPPORT THE
COUNTY WORKING WITH THAT PERSON
TO FIND THE BEST SITUATION THAT
THEY CAN BE AND. ABSENT BEING ON
THE STREET.
WELL AS SOMEONE WHO'S. WHO'S
BEEN ACTIVE AND NOW PROVIDER
INACTIVE AND WORKED WITH
THOUGHTS ON NON PROFITS AND
SERVES ON NONPROFIT BOARDS I CAN
APPRECIATE CIVILITY.
AND OUT SO SO. THAT IS NOT.
BUT MY CONCERN I THINK THAT
THERE.
.
I'D I THINK THAT.
BUT SAME TIME I THINK THATIT'S
IMPORTANT SO IT'S NOT SO MUCH
LIKE WE NEED TO PUT RESTRICTIONS
ON.
SAYING THAT WE CAN ONLY SPEND
THE MONEY X. Y. Z. BUT I THINK
THEY ALSO NEED TO MAKE THEIR
CASE BEFORE THEY SPEND THE MONEY
GET THE MONEY AND SPEND THE
MONEY IS LIKE. OKAY THIS IS WHAT
WE'RE GONNA DO.
AND THIS IS WHAT WERE EX
THAT AND THE REASON WHY AND THIS
IS WHAT WE'RE EXPECTING THE
DIFFERENCE OUR PLANE THAT WE
EXPECT TO MAKE GIVEN THAT RIGHT
SO WE PUT IT INTO BOMB AND WE
TIE IT. CAN SAMPLE LIKE YOU KNOW
BRIGHT.
TRANSPORTATION LET'S SAY BECAUSE
PEOPLE LEARN A RURAL COUNTY
PEOPLE AND THERE'S NO MONEY TO.
MOVE PEOPLE AROUND AND THEY CAN
GET TO THE CARES. THEN OKAY HOW
MANY FEEL SO SO SO I I THINK
THAT NEEDS TO BE.
AND THEN OF COURSE THE REPORT
BACK NEEDS THE STATE WILL HOW
DID YOU MOVE THOSE METRICS THOSE
CITED CETERA. AND I DO THINK
THAT THERE'S A BIT OF BECAUSE WE
DO HAVE THESE OTHER POTS THAT
MAY HAVE MORE RESTRICTIONS HOW
DO THEY KNOW THAT I'M AND
REALIZE YEARS ANNOUNCE A
PLANTATION LANGUAGE BUT.
IT'S LESS ABOUT SOME PLANTATION
AS MUCH AS IT IS SAYING WELL HOW
YOU LEVERAGING YOU KNOW HOW ARE
YOU TAKING THIS FLEXIBLE MONEY
TO THEN MAXIMIZE THE IMPACT OF
THE LESS FLEXIBLE LEGS IT'S
USUALLY TO TRY AND DO LIKE OVER
CAN ONLY DO THIS.
NOW WE CAN GET A LOT MORE FEELS
WE HAVE MONEY FOR DOING THAT BUT
WE JUST CAN'T GET PEOPLE AND
BECAUSE THEY CAN GET THERE
WHATEVER YOU KNOW WHATEVER THE
ISSUE IS.
SO SIDE JUST LIKE TO SEE THAT
THE OTHER THING I WOULD PROBABLY
IT'S THE SPECIFIC DTS.
BUT SINCE SINCE THIS IS YOU KNOW
YOU HAVE MULTIPLE POTS AND TERMS
REPORTING BACK.
MAY BE THINKING ABOUT.
SAYING THAT.
.
YEAH YOU HAVE REPORT BACK DCS
FOR DID THEIR PATENT FOR STATE
HOUSE WAS FOR THEIR POD SO FORTH
MAY BE THINKING ABOUT A MORE
ACROSS THE BOARD SO IT'S NOT
LIKE MULTIPLE REPORTS.
THAT BAND COULD GO AND DON'T GO
TO RESPECT DEPARTMENTS BUT ALSO
JUSTICE A. LIKE HOW OVERALL WE
KNOW WE HAVE INITIATIVE WE HAVE
THIS THAT WEEKEND WE GAVE STATE.
HOSPITALS FOR THIS DTS ADMIT
CETERA HOW THIS ALL CAME
TOGETHER. RIGHT AND WHAT THE
RESULTS ARE FINALLY GOT HOUSE
THEY'LL PULL TOGETHER RIGHT IN
THE HEALTH LEADING.
ALSO MINIMIZE THE REPORTING
BURDEN BUT ACTUALLY GET A REPORT
THAT CAN TELL STORY BECAUSE
EVENTUALLY WE HAVE TO GO BACK
THIS IS TAXPAYER MONEY. WE NEED
TO SHOW THE TAXPAYERS THAT THE
MONEY THAT WAS PUT INTO THAT
MADE A DIFFERENCE I MEAN I THINK
THAT'S WHAT PEOPLE WANT TO SEE
THEM. SO.
SELBST SAW WHAT THROW THAT OUT
THERE TO THE THING ABOUT.
OKAY ANY OTHER.
OKAY PUBLIC COMMENT.
THANK YOU MISTER CARE FOR
ADVOCATING ON BEHALF OF THE
CALIFORNIA STATE ASSOCIATION OF
COUNTIES AGAIN I WANT TO THANK
YOU FOR YOUR ATTENTION TO THIS
ISSUE WE'RE VERY EXCITED ABOUT
THIS FUNDING AND THE POSSIBILITY
OF DEVELOPING THIS PROGRAM TO
TARGET. THE PEOPLE WHO NEED IT
MOST.
WE THINK THERE IS A LOT OF
FLEXIBILITY UP IN THE WITH THE
PROPOSAL HAS BEEN THOUGHT ABOUT
DOWN BUT THAT CLEARLY WE NEED TO
TIE UP A LOT OF THE DETAILS ON
HOW THIS WOULD WORK. OF COURSE
AS YOU POINTED OUT THE FUNDING
IS TEMPORARY AND THAT DOES MAKE
IT MORE DIFFICULT FOR SOME
COUNTIES TO UTILIZE IT. AYE BUT
OVERALL WE'RE EXCITED ABOUT THE
PROSPECT OF GETTING THIS PROGRAM
UP AND RUNNING WORKING WITH
UNITS YES.
TO MAKE SURE THAT'S WORKABLE
AND THAT THERE'S GOOD OVERSIGHT
AND GOOD.
OUTCOMES.
THANK YOU.
YOU WELCOME.
GOOD AFTERNOON AGAIN KRISTIN
BARLOWE AT THE COUNTY BEHAVIORAL
HEALTH DIRECTORS ASSOCIATION
WERE JOINING C. SACK IN SUPPORT
OF THIS CONCEPT AND ARE ALSO
VERY EXCITED TO SEE WHAT IS
REALLY.
HISTORICAL AND HAVING A
GOVERNOR OF OUR STATE MENTION
MENTAL HEALTH IS A BIG PART OF
THE AND THE STATE BUDGET PROCESS
AND WHAT THEY WOULD LIKE TO
REALLY FOCUS ON. AND SO THAT WAS
A REALLY GREAT SUCCESS DURING
MAY AS WELL HEALTH MONTH AND IN
ADDITION TO WANTING TO DIG INTO
SOME MORE OF THE DETAILS AND
ENSURE THAT THIS.
OPPORTUNITY REALLY HELPS US
FILL GAPS THAT ARE ALREADY BEING
MAD THINK ONE OF THE AREAS THAT
THE COUNTIES WILL BE DISCUSSING
AND THIS WEEK. I IS REALLY ABOUT
THE POPULATION TO FOCUS ON
BECAUSE WE DO HAVE A NUMBER OF
RESOURCES EITHER CURRENTLY BEING
PROVIDED OR IN THE WORKS IN THE
WAY OF NO PLACE LIKE HOME TO
FOCUS ON PEOPLE WITH SERIOUS
MENTAL ILLNESS WHO ARE HOMELESS.
HOWEVER AS YOU KNOW THE COUNTY
BEHAVIORAL HEALTH DIRECTORS HAVE
RESPONSIBILITY AS WELL FOR
INDIVIDUALS WITH DRUG AND
ALCOHOL NEEDS. I MEAN WE DO HERE
I'M QUITE A BIT FROM DIRECTORS
ABOUT WHO THEY SEE WHO THE ERC
WHO THEY ARE CONFRONTED WITH.
AS THEY DO OUTREACH FOR MENTAL
HEALTH PROGRAMS THEY OFTEN ARE
REALLY SEEING A LARGE POPULATION
WHO DON'T HAVE THE RESOURCES
THAT COME WITH PROP SIXTY THREE
TO FOCUS ON PEOPLE WITH
PRIMARILY A DRUG AND ALCOHOL
ISSUES WILL BE LOOKING AT THAT
ASPECT AS WELL. THANK YOU THANK
YOU.
WELCOME
KELLY BROKE SOME BEHALF OF THE
BOARD OF SUPERVISORS OF
RIVERSIDE SANTA CLARA SANTA CRUZ
AND.
.
SORRY.
EVER TRY AS WELL OF THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
WITH.
ALL OF THE COUNTIES IN OUR AND
THAT PARTICULAR ORGANIZATION ARE
IN SUPPORT OF THE GOVERNOR'S
BUDGET.
BE REVISED PROPOSAL WE'RE VERY
APPRECIATIVE THAT THE
ADMINISTRATION HAS RECOGNIZED
THAT FLEXIBILITY IS A KEY
INGREDIENT TOWARD THE KIND OF
INNOVATION THAT FOLKS WANT TO
SEE AND TRYING TO SERVE.
HOMELESS INDIVIDUALS AND
CHRONICALLY HOMELESS INDIVIDUALS
AND WE'RE VERY APPRECIATIVE OF
THE STEP THANK YOU. THANK YOU.
WELCOME MORNING MISTER CHAIR
MEMBERS ADRIN SOLD SOME OF THE
STEINBERG INSTITUTE ALSO IN
STRONG SUPPORT OF THIS I
PROPOSAL. BABY THIRTY FOUR AB
TWENTY THIRTY FOUR PROGRAMS THAT
ARE REFERENCE IN THE BUDGET BILL
SHOWED TREMENDOUS OUTCOMES IN
TERMS OF GETTING PEOPLE OFF THE
STREETS OUT OF JAILS ON OUT OF
HOSPITALS. AND REALLY LED TO THE
MODEL THAT WE SEE FUNDED ACROSS
THE STATE WITH A MENTAL HEALTH
SERVICES ACT THE FULL SERVICE
PARTNERSHIP PROGRAMMING. WE HAVE
OFFERED A AMENDMENT TO THE
COMMITTEE WHICH WE SHARED WITH
YOU.
WHICH WOULD.
ALLOW CITIES THAT.
HAVE RECEIVED A WHOLE PERSON
CARE GRANT TO BE ELIGIBLE FOR
THE FUNDING ASSOCIATED WITH THIS
PROGRAM. ON THE LANGUAGE IS
CURRENTLY WRITTEN WE BELIEVE
WOULD PROHIBIT THAT SO WE THANK
YOU FOR YOUR CONSIDERATION.
OKAY THANK YOU.
WELCOME.
HER CHILD DISABILITY RIGHTS
CALIFORNIA WE TOO ARE VERY
APPRECIATIVE OF THE GOVERNOR'S
RECOGNITION OF THE NEED AND AND
THE EFFORT TO DO SOME.
BRIDGE FUNDING RIGHT NOW WHILE
WE'RE LOOKING AT GETTING THE
ADDITIONAL.
DOLLARS OUT THE ONE CONCERN
THAT WE HAVE ON THE.
BUGET BILL LANGUAGE THAT WE'D
LIKE TO SEE AND WE APPRECIATE
THE FLEXIBILITY AND THE ABILITY
TO MOVE SOME DOLLARS PRETTY
QUICKLY.
LOCALLY BUT TO AND AND WE SHARE
THE CONCERNS I THINK YOU'RE
RAISING MISTER CHAIR ABOUT.
ABOUT.
THE ASSURANCES OF HOW THE
DOLLARS ARE BEING SPENT WE WOULD
PROPOSE THAT BE INCLUDED WITHIN
THE PROVISIONAL LANGUAGE THAT
THERE BE SOME AND IT DOESN'T
HAVE TO BE INTENSIVE BUT SOME
OPPORTUNITY FOR STAKEHOLDER
PARTICIPATION.
AT BOTH THE LOCAL LEVEL AND THE
STATE LEVEL TO ENSURE THAT
YOU'RE HEARING FROM PERSONS WITH
DISABILITIES AND OTHERS WHO ARE
HOMELESS THAT ARE IMPACTED DESK
SO THAT THERE IS AN OPPORTUNITY
FOR US ALL TO. SHARE.
THE DIRECTIONS ON WHERE WE
THINK THE DOLLARS COULD MOST
BENEFIT THANK YOU THANK YOU.
WELCOME.
LINDA AWAY WITH WESTERN CENTER
ON LAW AND POVERTY WE SUPPORT
THIS PROPOSAL AND I. SUPPORT ON
THE DRC'S.
UP.
AMENDMENT REQUEST FOR
STAKEHOLDER INVOLVEMENT.
THANK YOU.
OKAY NEXT UPSWINGS DISABILITY
RIGHTS WE AGREE THAT KURT THEIR.
BUT WE ALSO WANT TO SAY TO TWO
WORDS ON SAFE CLIENT THREE WORDS
CLIENT DIRECTED SERVICES.
EVERYTIME WIN TO COUNTIES GET
THE MONEY. THEY DON'T REALLY
EXACTLY TELL THE CLIENT SUCH AS
ME.
WHETHER THEY'RE GOING TO DO IT
THE MONEY HOW MUCH MONEY IS
THERE WHICH COUNTY GETS IT WHICH
WHEN DOESN'T SO THE STAKEHOLDER
PROCESS WOULD BE A REALLY GOOD
THING. AND SINCE ARE READY TO
BILLS RUN INTO THIS LEGISLATOR
RIGHT NOW.
I'M FORCED TREATMENT.
WE HAVE TO MAKE SURE THAT'S NOT
PART OF THE PACKAGE.
WE DON'T WANT TO SEE AN END
AROUND JUST BECAUSE THE BILL'S%
MY NOT PASS THAT THEY PUT IN THE
BUDGET.
AND THEN THEY'LL HAVE FOR STREET
ON THE HOMELESS AND WHOEVER ELSE
COMES ALONG.
SO THAT'S WHY I'M VERY I
UNDERSTAND WHAT YOU DOING AND I
UNDERSTAND SHOULD HAVE
FLEXIBILITY HAVE SOME WE PAY THE
RENT. AND GET AND GET HIM HOME
AND MAKE SURE THEY CAN EACH AND
WHATEVER ELSE THEY NEED BUT
SOMEHOW YOU AC IN AND AROUND RUN
AROUND. IN HERE THAT YOU'RE
TRYING TO DO TWO TRACKS HERE AND
I WANNA MAKE SURE IT'S NOT TWO
TRACKS.
BUSH TREATMENT CAN NOT BE PART
OF THIS PROPOSAL.
THANK YOU FIRST OF ALL MY
UNDERSTANDING IS IS NO LANGUAGE
ABOUT FORCE TREATMENT IN THIS.
FALLS OKAY. ALRIGHT SO OKAY AND
FOUND THE SECOND AYE I GUESS
SINCE I REPRESENT THE CITY
SACRAMENTO IT'S ONE THE CITIES
THAT HAS THE I WOULD ALSO
APPRECIATE. ALLOWING.
THE CITIES THAT ARE
PARTICIPATING.
TO BE ABLE TO AND IF THERE'S TO
DO THAT ITSELF.
SO SHE OF THE COUNTY HAS NOT
BEEN.
ALRIGHT APPRECIATE THAT
SUGGESTION.
OKAY.
.
SEEING NO OTHER SADDAM. LET'S
MOVE ON TO ISSUE NUMBER FOUR
NOW.
OKAY SO WHAT WE'RE GONNA DO.
STARTING FROM ISSUE FOR UNTIL
WE GET TO THE.
AND THAT THE CSU THROUGH ISSUE
ELEVEN BECAUSE HE'S I THINK A
MORE TECHNICAL PROPOSALS I'M
WE'RE GONNA HEAR ALL OF THEM AND
THAT TAKE PUBLIC COMMENTS ON ON
ALL THOSE TOGETHER SO. ABOUT ONE
PERCENT OF THE PREVIOUS ONES.
RIGHT UNLESS SOMEONE'S TELLING
ME THEY HAVE LOTS.
CONCERNS ABOUT EACH OF THE
INDIVIDUAL ONCE ALRIGHT SO LET'S
GO AND.
.
THE MENTAL HEALTH SERVICES OF
FISCAL OVERSIGHT BEHAVIORAL
HEALTH DATA MODERNIZATION.
PETERS.
GREAT SO I WANTED TO JUST
QUICKLY AND THERE'S LESS THERE'S
A SLIGHT NUMBER MEAN ISSUE IN
THE AGENDA AND THAT WE ARE
REQUESTING TWENTY EIGHT.
PERMANENT FULL TIME POSITIONS
AND THEN TWENTY TWO YEAR LIMITED
TERM OPPOSITIONS FOR OUR AND
MENTAL HEALTH I FISCAL DIVISION.
SO THERE ARE.
AND NUMBER AS.
AREAS IN WHICH WE'VE IDENTIFIED
RESOURCE NEEDS.
SPANNING FROM.
COMPUTER PROGRAMMING ON OUR
CLAIM SYSTEM.
WE HAVE A BACKLOG OF CHANGES
THAT NEED TO BE DONE AND SO WERE
SEEKING SOME RESOURCES THERE AND
THIS IS THE CLAIMS THE SENATE
THE COUNTIES USED TO. BOTH PULL
DOWN.
AND SUBMIT CLAIMS FOR BOTH I'M
SUBSTANCE USES WELL AS MENTAL
HEALTH. SERVICES THERE ARE.
AUDITING RESOURCES THAT WE ARE
SEEKING.
SUCH THAT WE CAN DO THAT COSTS
RECONCILIATORY LOW COST
RECONCILIATIONS WITH THE
COUNTIES ONCE THEY HAVE
SUBMITTED THEIR FINAL COST
REPORTS. AND THEN THERE'S.
OVERSIGHT WITHIN OUR FISCAL
DIVISION TO HELP OVERSEE THE
WORK AROUND MENTAL HEALTH
SERVICE ACT
REVERSION-CALCULATIONS AND.
AS WELL AS FINALIZING THE
INTERIM COST REPORTS THAT ARE
RECEIVED BY THE COUNTIES.
I THINK THIS OBVIOUSLY IS A
PRETTY SIGNIFICANT.
REQUEST FOR RESOURCES THAT WE
FEEL IS REALLY WARRANTED ON
GIVEN THAT AREAS THAT WE HAVE
HAD IDENTIFIED IN RECENT AUDITS
AROUND ON CLEANING. AND FISCAL
ISSUES.
AND SO WE WOULD.
ASK THE LEGISLATURE TO SUPPORT
THIS AND HAPPY TO ANSWER ANY
QUESTIONS.
OKAY LEU COMES.
WE HAVE NO COMMENTS ON THIS.
OKAY FINANCE.
ALRIGHT COMMITTEE MEMBER OF ITS
ME.
SO IT'S BEEN TERMS OF THE.
THE MODERNIZATION IS.
IT AND STATE YOUR STAGE TO
TERMS ALTERNATE ANALYSIS FOR.
THE. IT IT ARE YOU WORKING WITH
A SIGH ON THIS.
NO SO WE ITS IS AN INTERNAL AND
DEPARTMENT PROJECT BECAUSE THEY
ARE.
A NUMBER OF THOSE ARE KEEN.
OLD LEGACY SYSTEMS THAT WE
INHERITED FROM US ALCOHOL AND
DRUG AND AS WELL AS THE
DEPARTMENT OF MANATT FORMER
DEPARTMENT OF MENTAL HEALTH.
CITIES ARE ALL INTERNAL PROJECTS
BUT WE ARE GOING THROUGH AND
WORKING CLOSELY WITH CDT ON ALL
THE VARIOUS.
STAGE GATE.
PROCESS SEASON OBVIOUSLY
DEPARTMENT OF FINANCE HAS A
OVERSIGHT ROLE IN THESE
MODERNIZATION ON PROJECTS BUT
YES I THAT WAS MY OVERSIGHT I
SHOULD HAVE MENTIONED THE FACT
THAT WE ARE ALSO HAD A DATA
MODERNIZATION. AKAN PUT IT IN
THIS PARTICULAR REQUEST.
OKAY ALRIGHT DAD DESTROYED
BECAUSE
THE ROLE OF A SIGH IN THE THE
OVERALL DEPARTMENT BUT THESE IT
PROJECTS I REALIZE YOU HANDLE IT
SO HERE SO OSI USUALLY MANAGES
LARGE IT PROJECTS.
THAT ARE MULTI DEPARTMENTAL SO
OSI OVERSEAS CAL HERE'S WHICH IS
SHARED BETWEEN US UNCOVER
CALIFORNIA MEDS MODERNIZATION
WHICH IS US AND DEPARTMENT OF
SOCIAL SERVICES. THESE.
DATA SYSTEMS AND THIS IT.
UPGRADE IS REALLY ALL WITHIN
OUR OWN DEPARTMENT SO WE'RE
GONNA BE MANAGING IT OURSELVES
BUT DID YOU MENTION GEORGE WHAT
CDT WRITES
OKAY. PARA.
VERY GOOD. ALRIGHT ITS SCOPE.
SO MOVE ON THEN TO ISSUE NUMBER
FIVE. MEDICAID MANAGEMENT IF. OH
LTO BUT NO I PROTEST BECOME A
GREAT LIFT AYE DALY ITS
ATHLETES.
SO ALRIGHT WE'LL THE CAT
CALIFORNIA MAN MEDICAID MANAGED
INFORMATION LEGACY IN
MODERNIZATION RESOURCES.
GREAT SO AND.
AGAIN SPEAKING OF.
LARGE.
SCALE IT PROJECTS THIS IS A
PROJECT THAT IS BEING.
MANAGE WITHIN THE DEPARTMENTS.
THERE ARE APPROXIMATELY NINETY
TO NINETY ONE AND SMALLER
SUBSYSTEMS WITH AND THE CAMPUS
ENVIRONMENT.
WHEN YOU THINK ABOUT CAME A
SENATE'S BROADEST.
OVER A SHEEN PROCESS SEES IT
ADMINISTERS AND PAYS OUT TO THE
WEEKLY CHECK RIGHT SO PROCESSES
ALL THE FEE FOR SERVICE CLAIMS
THAT COMMAND. AND PUTS OUT
PROXIMALLY FOUR HUNDRED MILLION
DOLLARS A WEEK AND CHECK RIGHT.
WITH IN THAT.
ENVIRONMENT THERE ARE NUMEROUS
OTHER SYSTEMS THAT BOTH.
ARE RLIANT ON OR CONTRIBUTING
TO THE OVERALL.
MODERNIZATION PLAN AND SO THE
RESOURCES THAT WE ARE SEEKING
OUR SEVENTEEN PERMANENT
POSITIONS.
TEN OF WHICH WE WOULD
CATEGORIZE AS KIND OF KEY
INFRASTRUCTURE POSITIONS TO THE
OVERALL PROJECT AND THEN SEVEN.
INDIVIDUALS THAT WOULD BE.
HANDLING DIGITAL SERVICE TEAM
WORKS SO DIGITAL SERVICE SEEMED
WE ARE WORKING IN AN AGILE
APPROACH SO WE ARE DOING SMALLER
MODULES.
WE ARE TRYING TO DO MORE AND
NIMBLE AND DEVELOPMENT OF THE
SYSTEMS WHERE YOU GO AND YOU
BUILD A SMALL COMPLIMENT YOU
COME BACK TO THE PROGRAM YOU
TESTED. YOU'VE WORKED OUT THE
GLITCH IN AND YOU GO BACK AND
YOU DO ANOTHER SPRINT AND SO THE
SEVEN INDIVIDUALS WILL BE
WORKING AND THAT DIGITAL SERVICE
TEAM ENVIRONMENT.
.
IN THE CURRENT YEAR AND IN THE
BUDGET YEAR WE ARE CONTINUING
WORK ON THE.
FEDERAL DRAWDOWN.
SYSTEM IN FUNCTION WE CALL THAT
THE SCENE I SIXTY FOUR WHICH IS
THE REPORTING THAT WE USE TO.
CCOUNT FOR FEDERAL FUNDING AS
WELL AS AND AND.
A PRODUCTS THAT WE ARE WORKING
WITH OUR THIRD PARTY LIABILITY
PROGRAMS THAT THESE ARE THE
RECRUITMENT OF CERTAIN AND.
FUNDS THAT WE COLLECT FROM
EITHER INSURERS CURSE CON TO
OTHER TYPES OF AND ENTITIES AND
ORGANIZATIONS. IN THE BUDGET
YEAR WE ARE LOOKING FOR
RESOURCES AROUND CLAIMS
PROCESSING SO THIS IS REALLY
KIND OF A KEY.
PART THAT WE WILL BE WORKING TO
DEVELOP IN TERMS OF DISCOVERING
WHAT THAT CLAIMS PROCESSING UNIT
IS GOING TO LOOK LIKE BECAUSE
THAT'S ESSENTIALLY THE. KEY CORE
PART OF WHAT CHEMISTS AND IS ALL
ABOUT AND THEN WE WILL ALSO BE
SEEKING AND PROVISIONAL BUDGET
BILL ARE BUDGET LANGUAGE.
.
DUE TO THE FACT THAT ON THIS IS
KIND OF GOING TO BE AN ONGOING
PROJECTS SPANNING MULTIPLE YEARS
ON AND WE'RE LOOKING FOR SOME
REAPPROPRIATION LANGUAGE SUCH
THAT ONCE THE PROJECT BEGINS WE
WOULD OBVIOUSLY WANT TO BE
WORKING WITH FINANCE AND OTHERS
TO MAKE SURE THAT. WE'RE KEEPING
IN THE LEGISLATURE AND OVERSIGHT
AGENCIES A PRIZE BUT ALSO
LOOKING FOR SOME REAPPROPRIATION
AUTHORITY SUCH THAT THE FUNDING
WOULD CONTINUE TO ROLL AS THE
PROJECT MOVES FORWARD.
ELIOT.
I THINK MR SHARE.
BASED ON OUR.
INITIAL REVIEW OF THIS PROPOSAL
WE DO HAVE A FEW CONCERNS THE
FIRST IS THAT IN OUR VIEW.
ADMINISTER OF HIS PROPOSED
TIMELINE OF ABOUT TEN YEARS.
LACK SUFFICIENT DETAIL AT THIS
POINT.
SOME OF THE KEY QUESTIONS THAT
THAT WE THINK THE LEGISLATURE.
SHOULD ASK THE DEPARTMENT FOR
INCLUDE THINGS LIKE THE
ESTIMATED COMPLETION DATES FOR
THE CURRENTLY PROPOSED MODULES.
AND THE ESTIMATED COSTS
ASSOCIATED WITH INDIVIDUAL
MODULES.
AND OUR CONCERN IS ESSENTIALLY
THAT LIMITED INFORMATION WOULD
PREVENT THE LEGISLATURE FROM.
ADEQUATELY OVERSEEING AND THIS
PROJECT I'M SECOND WE ARE
CONCERNED THAT THE PROVISIONAL
LANGUAGE AND THAT WOULD ALLOW
THE ADMINISTRATION TO. I'M
AUGMENT FUNDING FOR THIS.
.
PROPOSAL IS ADAM PROVIDING A
LITTLE BIT TOO MUCH DISCRETION
AND SPECIFICALLY THE
APPROPRIATIONS FOR THE PROPOSAL
COULD. AND MORE THAN DOUBLE IF
APPROVED BY THE DEPARTMENT OF
FINANCE.
AND AND WE THINK THAT.
I'M SOME ADDITIONAL
JUSTIFICATION WOULD BE NEEDED
FOR THAT LEVEL OF FLEXIBILITY.
AND FINALLY THE.
THE LANGUAGE WOULD SHORTEN THE
TYPICAL. AND REVIEW PERIOD FOR
THE JOINT LEGISLATIVE BUDGET
COMMITTEE FROM THIRTY DAYS TO
TEN DAYS.
AND AND WE ARE CONCERNED THAT
THE SHORT TIME FRAME WOULD WOULD
INAPPROPRIATELY AND
APPROPRIATELY LIMITS
LEGISLATURE'S ABILITY TO REVIEW.
AND THESE THESE PROJECT CHANGES
SO IN ACCORDANCE WITH WITH THOSE
CONCERNS WE WOULD DAM RECOMMEND
REQUESTING CEMENT ADDITIONAL
INFORMATION ABOUT THE INDIVIDUAL
MODULES. AND AND THEN ASKING FOR
MORE JUSTIFICATION ON THAT THE
FLEXIBILITY IN THE AUGMENTATION
LANGUAGE.
AND AND THEN WE WOULD ALSO
RECOMMEND REVISING THE
PROVISIONAL LANGUAGE TO TO
REFLECT THE STANDARD THIRTY DAY
REVIEW.
THEY THINK YOU FINANCE.
GOOD MORNING MISTER CHAIR AND
MEMBERS KNOW JOHNSON DEPARTMENT
FINANCE JUST WANT TO. ASK YOU TO
ADDRESS A LANGUAGE SO WE'RE
CROSSING THAT PROVISIONAL
LANGUAGE BE ADDED TO YOUR ITEMS
FOR TWO SIXTY. ZERO ZERO ONE A
GENERAL FUND ITEM AND FOUR TO
SIX USERS ARE ONE FEDERAL FUND
ITEM ALLOW FOR AN AUGMENTATION
OF FIVE MILLION TWITTER NINETY
THOUSAND GENERAL FUND. FORTY
SEVEN MILLION SIX HUNDRED FOUR
THOUSAND FEDERAL FUNDING FOR
ACTIVITIES RELATED TO THE
ADDITIONAL.
MODULES FOR.
CHEMISTS MODERNIZATION EFFORTS.
THIS TO BE SUBJECT TO SAT
SATISFACTORY PROGRESS THAT
INCORPORATES LA LESSONS LEARNED
FROM THE AYE MODULES THAT WOULD
BE DEVELOPED ERA. DURING TWENTY
EIGHTEEN NINETEEN.
AND THE ONES THAT ARE THERE IN
PROGRESS IN THAT ARE FUNDED TO
THE CITY SO.
WOULD BE AT AN AUGMENTATION.
OKAY.
ALRIGHT WELL LET'S ARM I THINK
THAT.
YOU'LL CERTAINLY.
IDEA I THINK.
THEM CHAIRPERSON THE CONCERNS
ALEJO BUT ALSO THINK THAT WE
WILL WIN THE THINGS THAT WE I
THINK OF OUR CHALLENGES WE HAVE
IS THAT. AS WE'VE FIGURED OUT
HOW DO I. T. PROJECTS RIGHT THE
IT'S WERE MOVING AWAY FROM.
MICHAEL THE BIG BANG APPROACH
WHAT HAPPENS WE HIRE SOME BENDER
WHO WRITES THIS REALLY BIG
PROJECT WHICH WHEN IT AT THE END
TURNS OUT. AND THIS GUY REALLY
QUITE WORK SO WELL RIGHT BECAUSE
THINGS HAVE CHANGED DATED
ETCETERA AND AND AND DOING THIS
MORE MODULAR APPROACH WHICH I
THINK IS MUCH MORE SUCCESSFUL.
TO CREATE SOME INTERESTING
CHALLENGES IN TERMS OF OVERSIGHT
BUT I THINK.
SOME THE THINGS THOUGH I HOPE
WE SHOULD CAN TRY TO WORK OUT
ONE IS IS THAT. YOU KNOW SAID
TENURE PROJECT BUT.
SORT OF.
ONGOING BASIS I MEAN WE DO THIS
EVERY YEAR TO BUDGET RISE TO SAY
OKAY THESE OF THE MODULES WERE
WORKING ON RIGHT NOW THESE ARE
ONES WE ANTICIPATE WE'RE GOING
TO BE WORKING ON SO. THAT IN
TERMS OF SAID THE FIGHT HELPING
TO FIND OUT AND ACTUALLY WE HAVE
A ROADMAP.
TO SAVE OVER TEN YEARS BUT EVEN
JUST LIKE THESE ARE THE MODELS
WE ARE FUNCTIONALITIES THAT
WERE.
TRYING TO YOU KNOW INFORMED
PROVE UPGRADE OVER AND IN MANY
WAYS THOUGH I MEAN THESE
COMPUTER SYSTEMS AND THE AND.
IS THIS IT'S NOT THAT WE HAVE
YOU KNOW THAT. AT THE END OF TEN
YEARS WE HAVE A YOU KNOW WHAT WE
HAVE A COMPUTER A NEW COMPUTER
SYSTEM THAT ACTUALLY WHAT WE
WANT IS IS THAT WE'RE HAVING AN
EVER EVOLVING. RIGHT THERE'S NOT
REALLY AN END POINT RIGHT THAT'S
IT'S IT'S INVOLVING INVOLVING
INVOLVING INVOLVING. IT'S NOT
LIKE IT'S OF PROJECT WHERE IT
STARTS YEAR TO FINISH IS HERE
AND THEN WHAT HAPPENS IS WELL
TEN YEARS LATER IT'S OUT OF DATE
NOW WE START WE AND AGAIN IT'S
GOING TO BE AN ONGOING.
EVOLVING STRUCTURE THAT
CONTINUALLY A NIGHT AND SO.
SO UP TO FIGURE HOW WE DO
OVERSIGHT OVER THAT I THINK IT
IS GOING TO BE IMPORTANT THOUGH
THAT.
WE. DOWN THE FISCAL SIDE BEING
SURE THAT THE MONEY IS BEING
USED WISELY AND SO FORTH THAT.
THERE'S REPORTING IN TERMS LIKE
WHICH FUNCTIONALITIES ARE WE YOU
KNOW CONTRACTING OUT WITH THE DE
APPROVING IT CETERA WHAT FUNDS
ARE GOING TOWARD THAT WHICH ONES
WERE IN THE MIDST OF FRIGHT.
AND AND THEN.
A SO THAT WE SO WE HAVE A SENSE
OF YOU KNOW WHERE WHERE WE ARE
AND WHY THOSE FUNCTIONALITIES
ARE THE ONES WORKING ON NOW SO
THAT WE CAN WE CAN DO THAT
OVERSIGHT. I DO.
DEL AND I AM CONCERNED ABOUT A
TIME YOU SHORTEN THAT DEADLINE
ON ON THEY'VE ALSO GOT THE IDEA
THAT WHAT HAPPENS YOU WANNA BE
LIKE OH WELL GUESS WHAT WE'RE
NOT DOING THIS NOW WE'RE OUT OF
MONEY WELL WE HAVE TO PAUSE FOR
MONTHS UNTIL WE CAN GET SOME.
MORE THAT.
BUT I ALSO THINK THAT FRANKLY.
SOMEONE SHOULDBE WATCHING TO
TELL AND SAY HEY WOULD CONSIDER
LOW WE SHOULD BE GOING IN ASKING
FOR MORE IT'S IT'S AS A PAGE IN
A FEW MONTHS FORGET AT THAT
POINT. AND THEN THAT YOU DON'T
HAVE TO WAIT TILL THE END TILL
IS EMPTY TO COME TO THE
LEGISLATURE AND SAY. WE NEED
SOME THAT WE CAN SAY THAT BOOK
WERE NOW THIS IS WHERE WE ARE
DIESEL PROTECTING TO BE.
TWO MONTHS WE NEED WE MAY NEED
SOME MORE FUNDS YOU KNOW HERE
THIS IS OUR CASE FOR WHAT WE'RE
DOING THIS IS WHAT'S GOING ON
AND THEN WE CAN DO THAT. IN A
TIMELY MANNER SO YOU KNOW THAT
BEFORE WORD THE MONEY IS RUNNING
OUT SO I THINK WE NEED TO FIGURE
OUT THAT BALANCE.
IN TERMS OF THE OVERSIGHT AND
AND AND APPROVAL SO. I AM NOT
SURE JUST PUTTING ON AUTO PILOT
IS THAT'S ONLY GOOD THING EITHER
SO.
AND I THINK IT ACTUALLY HELPS
BOTH OF US BECAUSE LAST ANYONE
IS OF THE ON HOW TO PILOT
SOMETHING BLOWS UP SHOWS UP IN
THE NEWS AND THAT EVERYONE'S
GOING.
SO. RIGHT WE'VE ALL BEEN THERE
BEFORE.
SO.
SALUTES FIGURED FIGURE THAT
THOSE THOSE PIECES OUT BUT I
CERTAINLY APPRECIATE THAT.
YOU'RE TAKING THE APPROACH WE
SHOULD BE TAKING WHICH IS A
ONGOING IMPROVEMENTS
OF YOU KNOW THE COMPUTERS OF
SOME AND AND DOING IN A MODULAR
WAY.
THANK YOU.
ALRIGHT OKAY.
THEN MAYBE I ACTUALLY I KNOW
THIS IS A COUPLE TIMES I'M SURE
NOT ONLY IN THE SUB COMMITTEE
MAYBE WE SHOULD HAVE A THINK
ABOUT WITH ELLIE HELATHY
CONVERSATION THE OF THAT. AS
WE'RE MOVING INTO THIS WAY OF
DOING.
IT PROCUREMENT AND SO FORTH WHAT
IS THE RIGHT WAY TO DO THAT
OVERSIGHT BECAUSE I THINK WE
HAVE EFFORT.
WE HAVE HEARD THIS TENSION
BEFORE ABOUT LIKE HOW HOW WE DO
IT THINKING ABOUT HOW TO MAKE
IT.
WORK
YOU I THINK YOU STILL LOVE IT
STUCK IN THE OLD IDEA OF A WE'RE
GONNA GO OUT TO A BIG FIRM AND
THEY'RE GOING TO DO A BIG
PROJECT AND THEN THEY GET STUCK
KID ALRIGHT LIKE. SO I DON'T ANY
COMMENTS THERE. I WOULD JUST SAY
THAT THIS IS SOMETHING THAT OUR
OFFICE HAS LOOKED AT MORE CHURCH
BROADLY ACROSS THE STATE BUDGET
AND I THINK IT'S CORRECT THAT.
THERE IS A LITTLE BIT OF A SHIFT
IN EMPHASIS WITH THIS.
MORE MODULAR DEVELOPMENT
APPROACH BUT AT THE SAME TIME.
AND WE ALSO THINK IT'S IMPORTANT
FOR THE LEGISLATURE TO BE GIVEN.
THAT INFORMATION WITH THE
UNDERSTANDING THAT IT WILL
ADJUST AND EVOLVE BUT AM GOING
INTO THESE LARGE MULTI YEAR
PROJECTS WITHOUT. SOME KEY
INFORMATION WE THINK IT'S IS
IT'S PROBABLY NOT SUFFICIENT
INFORMATION.
BUT WE HAVE ANOTHER BREEZE
SITUATION WILL BUILD MY MUSCLES
WELL RIGHT AGAIN. SEPARATE.
THAT ALONE VOEPEL KEEFE I WON'T
KEEP PICKING ON THE PART OF
CONSUMERS. ALRIGHT.
.
OKAY MIX ISSUE IS ISSUE NUMBER
SIX SAID MEDI CAL GENERAL FUND
REAPPROPRIATION LOW THIRTY.
YES SO.
AS PART OF THE WORK THAT WE
REFERENCED EARLIER IN THE AGENDA
AROUND.
BRINGING SOME CONSULTANTS AND
TO HELP US I THINK THREE BOTH
THE FRONT AND ESTIMATION PROCESS
WITHIN THE DEPARTMENT BUT ALSO
LOOKING AT OUR. BROADER AND
BUDGETING AND I'M CASH
MANAGEMENT STRATEGIES.
WE AND AGAIN.
ALSO A REFLECTION ON THE
SHORTFALL DISCUSSION THAT WE HAD
ON THE GENERAL FUND THERE IS AN
EXISTING A LOAN AUTHORITY AMOUNT
WITHIN. THE ADMINISTRATION
WITHIN THE DEPARTMENT OF FINANCE
THAT WE HAVE AYE TRADITIONALLY
USE IT WAS CREATED.
BACK WHEN BUDGETS WERE NOT
USUALLY DONE BY JULY FIRST AND
SO IS A MEANT TO BE KIND OF A
TEMPORARY FUND SOURCE TO ALLOW
US TO CONTINUE TO PAY PROVIDERS
IN THE EVENT OF A LEAD BUDGET.
ON IT'S ABOUT IT IT'S NOT ABOUT
IT IS A BILLION DOLLARS IN
GENERAL FUND LOAN AUTHORITY AND
SO EVEN THOUGH.
OUR CASELOAD HAS ESSENTIALLY
DOUBLED SINCE THE TIME THAT THAT
FUND WAS CREATED AND OUR BUDGET
HAS MORE THAN DOUBLED THE AMOUNT
THAT HAS BEEN AVAILABLE TO US
FROM ALONE AUTHORITY ON
PERSPECTIVE HAS NOT AND SO. ON
THIS LANGUAGE IS SEEKING TO
INCREASE THAT FROM ONE BILLION
TO TWO BILLION DOLLARS THERE ARE
AND ALSO TECHNICAL.
REQUEST THAT WOULD ALLOW US TO
DO A SUPPLEMENTAL APPROPRIATION
EITHER IN THE YEAR IN WHICH THE
SHORTFALL OCCURRED OR IN THE
SUBSEQUENT FISCAL YEAR AND THEN
WERE ALSO SEEKING THE ABILITY TO
HOUSE ON FUNDING RE APPROPRIATED
SUCH THAT. AGAIN BASED ON THE
FACT THAT WE ARE A CASH
BASED ON DEPARTMENT IN WHICH WE
HAVE.
EXPENDITURE APPROVED IN ONE
YEAR AND THAT PAYMENT LAGGED IT
WOULDN'T AUTOMATICALLY SET US UP
FOR A DEFICIENCY IN ANOTHER YEAR
AND WOULD ALLOW US TO HAVE THAT
FUNDING RE APPROPRIATED. SO
WE'RE SEEKING A LITTLE BIT MORE
FLEXIBILITY.
WITH CONCURRENCE FROM THE
LEGISLATURE AND OBVIOUSLY
WORKING WITH THE DEPARTMENT OF
FINANCE AND OTHERS TO MAKE SURE
THAT WE ARE BOTH ON USING OUR
RESOURCES THAT HAVE BEEN
APPROPRIATED TO US BUT ALSO.
GIVEN THE KIND OF LARGE SWINGS
THAT WE HAVE AS A DEPARTMENT I'M
LOOKING TO HAVE SOME ADDITIONAL
FLEXIBILITY GRANTED TO US AND
HAPPY TO ANSWER ANY QUESTIONS.
OKAY FOR.
BELIAU ONCE.
WE'RE STILL THINKING THROUGH
SOME OF THE IMPLICATIONS OF
THESE CHANGES IT IS TRUE THAT
THE WITH THE CASH BUDGET AND
THAT THE TIMING OF PAYMENTS.
FREQUENTLY THAT IS PART OF A
BECAUSE OF SOME OF THE SWINGS IN
THE BUDGET THAT WERE SEEN AND WE
CAN SEE HOW THIS WOULD. WOULD
HELP WITH THAT BUT DOWN WHICH IS
STILL TRYING TO THINK THROUGH
THE IMPLICATIONS I'M O. M..
COMMUNICATE ANY COMMENTS WE HAVE
THE LEGISLATURE WE HAVE THEM
OKAY THANK YOU FINANCE.
OKAY. AND I'D MAKE NOTICES
ENTITLEMENT SO I MEAN THERE ARE
RESTRICTIONS ON WHAT YOU CAN
BORROW THE MONEY FOR ITS
MAN BRIGHT AND. ALTHOUGH I WOULD
MAKE NOTES AS HE SAID THIS
STARTED BECAUSE WE COULDN'T GET
BUDGETS
PASSED ON TIME THAT I THINK
SINCE I'VE BEEN ELECT A
LEGISLATURE WE'VE ALWAYS PASSED
THE BUDGET ON TIME.
THANK YOU.
SENATE.
ALRIGHT.
ISSUE NUMBER SEVEN COST BASED
REIMBURSEMENT CLINIC DIRECTOR
PAYMENT PROGRAM.
BUT SERVICE PROPOSAL.
PROVIDES TRAILER BILL AUTHORITY
IN WOULD GRANT THE DEPARTMENT
THE AUTHORITY TO CREATE A
DIRECTED PAYMENT PROPOSAL.
APPROVED BY THE FEDERAL
GOVERNMENT.
IN THE MANAGED CARE ARENA TO
ALLOW FOR REIMBURSEMENT OF THESE
COST BASED REIMBURSEMENT CLINICS
WHICH OPERATE VERY SIMILAR TO
AND ASK YOU ARE IN OUR EACH SEE.
AND TO BE REIMBURSED SIMILAR TO
HOW THEY'RE REIMBURSED ON ON THE
FEE FOR SERVICE SIDE WHERE WE
CAN PAY THEM UP TO THEIR THEIR
PPS RATE. AND THAT WHEN THESE
CLINICS.
.
WERE SHIFTED INTO MANAGED CARE
WHEN MOST OF THE POPULATION
SHIFTED INTO MANAGED CARE THEY
LOST THE ABILITY TO HAVE THAT
SAME KIND OF RECONCILIATION TO
PP ASKS.
AND WITH THE CHANGE IN THE
FEDERAL REGULATIONS TO ALLOW US
TO DO DIRECTED PAYMENTS AND IT
OPENS UP OUR ABILITY TO TO
CREATE A PROGRAM TO ALLOW THEM
TO BE REIMBURSED ON PAR WITH.
THAT PATTON FQHCS IN OUR
AGENCIES.
BELIAU COMES UP FINANCE.
ALRIGHT LET'S MOVE ON TO ISSUE
NUMBER EIGHT FEDERAL SUBSTANCE
ABUSE MENTAL HEALTH SERVICES
ADMINISTRATION GRANT AWARDS.
RIGHT SO WHERE.
SEEKING TO JUST INCREASE OUR
FEDERAL FUNDED THIRTY.
DUE TO SOME SMALL CHANGES THAT
WERE MADE AT THE FEDERAL LEVEL
AROUND SOME OF OUR BLOCK GRANTS.
BOTH THAT MENTAL HEALTH A BLOCK
GRANT AS WELL AS THE STAFF DO
YOU BLOCK GRANT AND THEN THERE'S
A REGULAR SERVICE PROGRAM CRISIS
COUNSELING PROGRAM A WORD. AND
SO THESE ARE JUST ON MORE
TECHNICAL ADJUSTMENTS TO REFLECT
THAT ADDITIONAL FEDERAL FUNDS
THAT HAVE BEEN APPROPRIATED TO
US.
RIGHT ILIO MOMENTS FINANCE.
CURRENT. OKAY LET'S MOVE ON THEN
TO ISSUE NMBER NINE TECHNICAL
ADJUSTMENTS REIMBURSEMENTS AND
DISTRIBUTED ADMINISTRATION.
RIGHT SO SOME OF THESE.
I MENTIONED EARLIER IN TERMS OF
SOME OF THE TECHNICAL
ADJUSTMENTS THAT WE'RE MAKING
EITHER IN THE FAMILY.
.
HEALTH ESTIMATE AS WELL AS IN
THESE THESE ARE LIKE ZERO COSTS
AND CHANGES BUT ARE PROBABLY
ALSO REFLECT DEAN SOME OF THAT
ADDITIONAL UPDATES THAT WE HAVE
BASED ON.
PROP THIRTY AND KIND OF MOVING
SOME OF THE APPROPRIATION
AUTHORITY BUT NOTHING MORE THAN
JUST TECHNICAL ADJUSTMENTS AT
THIS TIME.
OKAY FELLOW HUMANS FINANCE. ARE
EIGHT.
ISSUE NUMBER TEN LAWSUITS AND
CLAIM PAYMENT NOTIFICATIONS
PROVISION REQUIREMENTS.
YES SO.
AS YOU CAN IMAGINE WE HAVE A A
FAIRLY SIGNIFICANT NUMBER OF
LAWSUITS PENDING AT ANY ONE TIME
RANGING FROM REALLY.
LARGE TO VERY SMALL AND SO I
THINK. THIS LANGUAGE IS INTENDED
TO NOT ONLY HELP IDENTIFY WE
OFTEN.
NOTE ALL OF THE DIFFERENT
PIECES OF LITIGATION AND OUR
ESTIMATE AND SO WE'RE JUST
TRYING TO MAKE SURE THAT WE'RE
NOT ONLY PROVIDING THE RIGHT
APPROPRIATE AND APPROPRIATE
NOTICE THAT WE HAVE EITHER
SETTLED CERTAIN CASES UNDER
DOLLAR AMOUNTS BUT ALSO WANTING
TO MAKE SURE THAT. WE CONTINUE
TO HAVE FLEXIBILITY TO SETTLE
THOSE ACCOUNTS AND ARE NOT ARE
THOSE CASES ARE NOT WAITING FOR.
A BUDGETARY AUTHORITY
ESPECIALLY IF THEY'RE UNDER
CERTAIN DOLLAR AMOUNTS TO THIS
IS MORE OF A. TECHNICAL CHANGE
BUT STILL OBVIOUSLY WANTING TO
MAKE SURE THAT WE'RE NOTICING AS
APPROPRIATE.
OKAY BILLIONS.
S. FINANCE. ALRIGHT.
AND FINALLY INTERMEDIATE CARE
FACILITY DEVELOPMENTAL
DISABILITIES AND HEALTH HEALTH
TEAM.
AND SO THE THE ONLY CHANGE IN
THE IN THE MAY REVISED PROPOSAL
AS WE.
WE DID ADD.
A CATEGORY OF OUR ICF DUTIES TO.
THOUGHT OF CONTINUING NURSE
CONTINUOUS CARE NURSING
FACILITIES AND AND THESE
FACILITIES ARE UNDER A WAIVER
AUTHORITY AND NOT THE STATE PLAN
AUTHORITY SO WE HAVE NOT
INCLUDED THEN.
AND LAST YEAR AND AS WE LOOK TO
IT.
GOING FORWARD WITH THESE
PROPOSALS FOR.
EIGHTEEN NINETEEN WE ARE
LOOKING INTO IT TO ADD THESE
FACILITIES THERE'S ABOUT SEVEN
OF THEM STATEWIDE.
OKAY ILIO.
PLANS NOW OKAY. ALRIGHT SO.
WE'RE GONNA GO AHEAD TAKE PUBLIC
COMMENTS ON ISSUES.
.
YEAH. CITY.
FOR ISSUES FOR THROUGH ELEVEN.
SELF.
WELCOME.
GOOD AFTERNOON MAYOR THERE WITH
THE COUNTY BE EVER HOPE TRACTORS
AND ALSO COMMENTS ON BEHALF OF
THE CALIFORNIA STATE ASSOCIATION
OF COUNTIES WE WANTED TO EXPRESS
SUPPORT FOR THE DEPARTMENT
STAFFING OF SIX POINT SEVEN
MILLION DOLLARS TO INCREASE.
FISCAL OVERSIGHT OF BEHAVIORAL
HEALTH PROGRAMMING WE WOULD ALSO
SUPPORT ADDITIONAL AUGMENTATIONS
FROM THE MENTAL HEALTH SERVICES
ACT STATE ADMINISTRATION FUNDS
FOR A COMPREHENSIVE EVALUATION
OF. ISSUE THAT YOU HAVE
PREVIOUSLY CONSIDERED THANK YOU.
YOU.
WELCOME.
AND.
CHAIRMAN PANDA MEMBERS OF THE
COMMITTEES DISTINGUISH STAFF A
RICK ROLLINS.
REPS IN ARKANSAS SHE SHE
REGIONAL CENTER AGENCIES HERE
ARE TO SPEAK OUT IN SUPPORT OF
ITEM NUMBER ELEVEN THE ICF TD.
ó ITEM THANK YOU.
THANK YOU.
WELCOME.
THANK YOU GARBARINO BRODSKY
CALIFORNIA ASSOCIATION HEALTH
SERVICES AT HOME I JUST IN
SUPPORT OF ITEM ELEVEN HOMELESS
RATE INCREASE THANK YOU. OKAY
THANK YOU.
ALRIGHT.
WELCOME FELL POINTS DISABILITY
RIGHTS WE CONCUR WITH THE ARK
DISPOSAL.
ALRIGHT EXCELLENT.
OKAY. PRICE YOU KNOW THE PUBLIC
COMMENT.
DON'T THINK SO MUCH FOR
PRESENTATIONS WERE HOLD ITEM
HOLD OPEN ITEMS
FOUR FIVE SIX SEVEN EIGHT NINE
TEN ELEVEN.
THANK YOU.
ALRIGHT.
.
SO. WE HAVE A PROPOSAL FOR
INVESTMENT BY THINKER SPEAKER
WAS NOT SCHEDULED TO BE HERE YET
LESTER HERE YOU SEE DAVIS REJECT
OF HEALTH NOPE NOT HERE YET
OKAY.
SO WE'RE GONNA GO AHEAD AND MOVE
ON TO PART SEE THEN.
WITCHES DEPARTMENT DEVELOPMENTAL
SERVICES THREE ITEMS HERE.
JUST GIVE ME A HEADS UP LIKE YOU
KNOW WHERE WE'RE GOING DOWN SO
THEY CAN GET HERE. EARLIER THAT
BECAUSE.
OKAY.
THEY'RE NOT HERE YET.
MACINNES APARTMENT DEVELOPMENTAL
SERVICES HERE YET.
O. K. OKAY WELL WILL TAKE A THE.
Q. MINUTE STRETCH BREAK AND
MAYBE SILICON.
TEXT OR CALL THEM AND TELL THEM
CIVIC WE GET EVERY YEAR AS WELL
SO.
THE PEOPLE TRY TO.
IF FIVE IT STRETCH BREAK WHILE
WE NEED DEPARTMENT TO BE HERE TO
SELL OKAY. ALRIGHT.
SO ORTEGA A BRIEF PAUSE
ALRIGHT.
SO.
WHOA LIMITS GO AHEAD AND DO
THAT.
ALRIGHT WHICH COME UP HERE OKAY
SO WE HAVE.
.
I ASSUME NO ONE LEFT THE ROOM
BECAUSE THEY THOUGHT THEY HAD
THREE MINUTE BREAK THAT NEED TO
BE HERE FOR THIS. OKAY SO WE
HAVE A.
SO WE'RE GONNA RETURN TO PART
BE.
WE HAVE A PROPOSAL FOR
INVESTMENT IT'S A STAKEHOLDER
PROPOSAL JORDAN SYNDROME PPP TO
OUR FIVE D. RESEARCH GRANTS AND.
TUESDAY WE HAVE THE UC DAVIS.
INSTITUTE OF FUGITIVE CHURCH
HERE.
TO.
BRIEFLY PRESENT SO THE PROPOSAL
THANK YOU WELCOME.
HI. I AM A. I DIRECTED STEVE
REGION OF CURES ASSIST TELIA
ROBERTS WHO IS OUR A PROGRAM
MANAGER. AND HELPS WITH
EVERYTHING.
SO WE HAVE A VERY. INTERESTING
PIPELINE OF RESEARCH FROM THE
PATIENT TO THE BENCH TO THE
BEDSIDE.
WERE ABLE TO TAKE A LITTLE
SIMPLE OF THE. PATIENT'S SKIN
AND MAKE INDUCED PLURIPOTENT
STEM CELLS WHICH ARE LIKE
EMBRYONIC STEM CELLS BUT THEY
COME FROM THAT PATIENT THEY'RE
COMPLETELY GENETICALLY MATCHED.
TO THE PATIENT.
WITHIN.
DIFFERENTIATE THEM INTO NEURONS
BECAUSE OF COURSE YOU CAN GO IN
AND GET ANY NEURONS FROM THE
PATIENT. BUT THIS WAY IT JUST
THIS LITTLE SKIN BIOPSY CAN MAKE
IT A.
MANY DISHES OF AND NEURONS THAT
WE CAN THEN STUDY FOR JEAN
CORRECTION THROUGH GENE THERAPY
WE CAN USE THEM AS A DECISION A
DASH AND TESTS
DIFFERENT.
.
THERAPEUTIC AGENTS DIFFERENT OF
DRUGS.
TO SEE WHAT MIGHT.
HELP MAKE IT MAKE A DIFFERENCE
FOR THE SEIZURE DISORDERS THAT
CHILDREN HAVE TO HAVE THESE
NEURO DEGENERATIVE DISORDERS
NEURO DEVELOPMENTAL.
DELAYS.
NOT JUST JORDAN SYNDROME BUT
MANY DIFFERENT RARE DISEASES
IT'S VERY. INTERESTING TO BE
ABLE TO.
NOW.
SURVEY THE NEURONS IN SEE HOW
HOW CAN WE TREAT THOSE NEURONS
AND STOP THEM.
RAPID FIRING THAT THEY MIGHT
HAVE THE PHOSPHORYLATION
DEFECTS.
AND SO THIS WOULD BE TO.
ESTABLISH A CENTER WHERE WE
WOULD.
HAVE A REQUEST FOR PROPOSALS
AND FUND THE OTHER.
INVESTIGATORS WORKING ON THE
PARTS OF THE PUZZLE THAT WE NEED
TO GET TO THERAPIES FOR THE
CHILDREN.
I THINK YOU.
AND.
WELL HISA.
THOUGH COMES FROM FINANCE ALEJO
HERE.
SO.
IS REPUBLICAN IT.
THIS ITEM.
SHARE ALL OF IRAQ GRAY
CALIFORNIA LIFE SCIENCES
ASSOCIATION I INCREDIBLY STRONG%
SUPPORT FOR THIS PROPOSAL THIS
REALLY DEFINED BY A TECH AT ITS
CORE.
WE'VE BEEN WATCHING THIS
PROPOSAL FOR THE LAST TWO OR
THREE YEARS.
.
AS IS SOMEONE REPRESENTS LIFE
INDUSTRY IN THE STATE OF
CALIFORNIA THIS REALLY COULDN'T
BE A BETTER EXAMPLE OF A. PUBLIC
PRIVATE PARTNERSHIP IN THE
ABILITY REALLY TO DEVELOP A CURE
UP FOR A LOT OF DISEASES THAT SO
FAR HAVE MYSTIFIED.
A LOT OF PARENTS AND A LOT OF
PATIENTS SO.
VERY STRONG SUPPORT AND
ANYTHING WE CAN DO IN THE FUTURE
TO KEEP THIS MOVING PORT THANK
YOU BYE THANK YOU.
BUT CHAIRMAN NOTE RICK ROLLINS
I'M HERE TODAY AS A PARENT AND A
PARENT CO FOUNDER OF THE UC
DAVIS MIND INSTITUTE IT WAS
TWENTY YEARS AGO THAT WE CAME
FOR THE LEGISLATURE WAS
SUCCESSFUL IN CREATING THE MIND
INSTITUTE.
SINCE THAT TIME OF COURSE HE
INSTANCE OF AUTISM IS EXPLODED
WE'RE NOW ADDING IN OUR REGIONAL
CENTER SYSTEM ONE NEW CHILD WITH
AUTISM. EVERY FORTY TWO MINUTES
IT'S A IT'S AN EPIDEMIC THERE'S
NO DOUBT ABOUT IT.
THIS PROPOSAL WILL GO A LONG WAY
TO HELP A IN TRYING TO FIND
CAUSES AND DEVELOP EFFECTIVE
TREATMENTS FOR ALL SORTS OF A
POTENTIAL NEURO DEVELOPMENTAL.
DISORDERS AND AS A PARENT OF A
TWENTY SEVEN YEAR OLD SON WITH
AUTISM. AND ON BEHALF I THINK OF
THE ENTIRE DD COMMUNITY WOULD
SUPPORT THIS.
PROPOSAL
OKAY THANK YOU. SO THANK YOU SO
MUCH FOR COMING HERE TO PRESENT.
.
HE DIDN'T JUST WANT TO TOUCH ON.
THE FACT THAT.
.
YOU KNOW WE HAVE HERE IN THE
STATE TO APPRECIATE GOVERNOR'S
LEADERSHIP AND.
ACTUALLY PROVIDING FUNDING FOR
PRECISION MEDICINE.
I THINK.
LA AND AND THINKING ABOUT THAT
AS AN OPPORTUNITY FOR.
BOTH.
IMPROVING THE HEALTH OF THE
PEOPLE CALIFORNIA'S WELLS FOR
ECONOMIC DEVELOPMENT HERE IN IN
IN THE STATE NOW BUILDING ON
OUR.
SERVER EXPERTISE IN BOTH A
BIOTECH IN INFORMATION
TECHNOLOGY AND COMING TOGETHER.
.
I THINK IN TERMS OF THE SPECIFIC
PROJECT I I THINK THAT AGAIN
TRYING TO TAKE OUR STRENGTHS AND
AND.
GENETICS AND GIVEN THE
ADVANCING SCIENCE TECHNOLOGY THE
OPPORTUNITY TO POSE.
DO RESEARCH TO IDENTIFY THE
LINKS BETWEEN.
THIS PARTICULAR.
JEAN AND I UNDERSTAND THAT.
MAY HAVE POTENTIAL LINKS WITH
CONDITIONS LIKE AUTISM AND
ALZHEIMER'S AS WELL AS A CORD.
AS WELL AS THE UP TO TO.
TO POTENTIALLY DEVELOP.
TREATMENTS EVEN POTENTIALLY
CURES FOR PEOPLE JET CONDITIONS
LIKE A JORDAN SYNDROME MAY BE
KEY CAN YOU SPEAK BRIEFLY TO
THE.
POTENTIALITIES OF OF OF OF OF
THE TYPE OF WORK THAT WOULD BE
DONE WITH THIS KIND OF FUNDING.
CERTAINLY WHAT WE WEAKENED M.
MAKE THESE CELL LINES M..
FROM ANY PATIENT BASICALLY SO
AND NOT JUST ROOM BUT WE'RE
ALREADY GROWING SOME FROM THE IT
CHILDREN WITH THAT JORDAN
SYNDROME BUT. WE'RE ALSO
WORKING.
.
WITH SAMPLES FROM A JUVENILE
HUNTINGTON'S DISEASE ANGEL
MINTON'S.
DIFFERENT
DIFFERENT.
.
CHILDHOOD DISEASES AN ADULT AND
DISEASES.
IT'S VERY IMPORTANT TO BE ABLE
TO HAVE THESE CELLS THAT WILL
GROW ALMOST INDEFINITELY AND WE
HAVE AMAZING PEOPLE WHO CAN.
KEEP THESE ALIVE BY.
COMING EVERY SIX HOURS AND
GIVING THEM SOME DIFFERENT AND
FOOD THAT THE THAT THE CELL CAN
HIT. IT AND TO TEST THE
DIFFERENT DRUGS ON THESE AND
LAWNS OF PARENTS AT ALL IT
INTERACTING WITH EACH OTHER IN
THE DISH.
WE'VE OF PUBLISHED IN THE PAST
THAT WE CAN TAKE
NEURONS FROM PATIENTS WITH A
FRAGILE X. RELATED DISEASES AND
SHOW THAT THEY HAVE A SIGNALING
DEFICIT THEY STARTED THE SIGNAL
AND THEY CAN'T.
AND COME BACK DOWN THIS IS
SIMILAR TO A SEIZURE DISORDER IN
THE DISH. AND WE CAN TESTIFIED
AGENTS THEM.
BUT DIFFERENT DRUGS ON THEM TO
SEE IF WE CAN TAKE THAT DOWN TO
SENATORS WEAKENED.
CUT OUT DIFFERENT GENES WE CAN
ADD GENES BACK AND SO THE THE
OPPORTUNITY IS ADAM. GENERALLY
LIMITLESS WE WE CAN NOW SURVEY
THE NEURONS IN WHAT WE NEED TO
DO TO AFFECT THE NEURONS WHICH
IS THE EXCITEMENT ABOUT THIS AND
I GUESS THE OTHER THING ADDS ONE
IMAGE AND OBVIOUSLY UC DAVIS
AND.
THAT CALIFORNIA'S UP THE ONLY
PLACE THIS RESEARCH IS HAPPENING
BUT WITH THIS. PROPOSAL HELP FOR
IT.
YOU CALIFORNIA LEADERSHIP ROLE
IN THIS KIND OF RESEARCH AND AS
IT BEING A AND I HOPE THEY
UNDERSTAND THE PART OF THE
FUNDING WOULD ALLOW.
.
YOU SEE TO ACTUALLY BE THE
LEADER COORDINATOR OF OF THESE
RESEARCH EFFORTS THAT LEAD TO
DECIDE TO TREATMENTS.
YES ABSOLUTELY I DON'T KNOW
ANYWHERE ELSE WHERE SOMETHING
EXACTLY LIKE THIS IS GOING ON.
AND THANK YOU FOR YOUR
LEADERSHIP IN IN HEALTH CARE
AND.
REALLY I THINK CALIFORNIA SETS
THE BAR AND WE'RE NOT AFRAID TO
DO THESE VERY NOVEL THINGS AND
ALSO. OUR TEAM AT THE INSTITUTE
FOR IT REGION OF CURES RIVER
AREA I'M OPTIMISTIC THAT WE
REALLY LIKE TO. HELP OTHERS DO
THEIR RESEARCH AND SO WE THINK
THAT WE'RE WHERE WE WOULD BE
GOOD LEADERS IN STEWART'S OFFICE
THESE FUNDS ALRIGHT WELL
CERTAINLY A THAT YOU KNOW I
THINK. VOTE FOR ITS INTRINSIC
VALUE BUT ALSO.
.
I THINK THAT IT'S IMPORTANT
THAT.
WHEN WE TRY TO MOVE THIS FIELD
FORWARD AND DIES ONLY ONCE HE
CALIFORNIA AND.
UC AND UC DAVIS SAID BE IN THAT
ROLE AND WE WANT TO BE SURE
HOPEFULLY GET SOME RESOURCES
THAT ALLOW YOU TO DO THAT SO I
WANT TO EAT SO MUCH FOR YOUR
PRESENTATIONWE WILL OF COURSE
BE OF.
BE CONSIDERING THIS.
AND.
DECISION DESERVES BUDGETARY
THANK YOU THANK YOU SO MUCH
RIGHT. OF ANY ACTUALLY HOA AND
ANY OTHER QUESTIONS
ABOUT. THE OFFICERS DOWN THERE
SENATOR I THINK YOU I'M SORRY
MR.
SOME YOUR PRESENTATION BUT I'M.
BUT NAY TO.
HOPEFULLY DO SOME TRIALS.
YEAH AND OTHER AND ULTIMATELY
COME UP WITH.
DISEASES.
.
WHEN YOU PARTNER WITH THE DRUG
COMPANY.
ASSUMING WE FIND THE SILVER
BULLET ESERVER ANY TYPE OF A
MEMORANDUM OF UNDERSTANDING AS
FAR AS.
PARTNERSHIP IN PROFIT SHARING ON
A DRUG THAT COULD BE DEVELOPED.
AS A PART OF THIS ALLOCATION WE
WILL BE DEVELOPING THOSE.
.
MTA'S IN AN THAT.
CONTRACT THAT WILL BE PART OF IT
YEAH AYE PRETTY AMAZING IF WE
CAN FIND A DRUG THAT'S ALREADY
ON THE MARKET THAT WOULD REALLY
HELP WITH.
EACH DIFFERENT SIN TYPE OF
SYNDROME IN THE MOST IMPORTANT
THING IS WHO IS CERTAINLY
FINDING CURES BUT IF THE.
TAXPAYERS ARE GOING TO INVEST IN
RESEARCH AND DEVELOPMENT OF A
DRUG THEY SHOULD BE ENTITLED TO
BEEN THE BENEFICIARY OF THE
PROFITS OF SWEETLY AND THINK IT
NEEDS TO BE AFFORDABLE. DEL AND
I THINK IT'S IMPORTANT THAT THE
INTELLECTUAL PROPERTY BE
RETAINED NOT.
RIGHT OKAY.
OKAY.
RIGHT WELL AGAIN THANK YOU VERY
MUCH FOR HOLDING THIS ITEM OPEN
AND.
THANKS SO MUCH FOR YOUR
PRESENTATION
I THINK.
RIGHT.
AND WE'RE STILL WAITING FOR
DEVELOPMENTAL SERVICES OKAY.
SO BACK ON BREAK
ALL RIGHT.
WELCOME.
ALRIGHT.
SO WE'RE GONNA RESUME OUR
HEARING. AND WE'RE GOING NOW IN
PART C. HAD DEPARTMENT
DEVELOPMENTAL SERVICES WE HAVE.
.
THREE ITEMS.
THAT ARE MAINLY MAY REVISION
ADJUSTMENTS SO WELL DO IS WE'LL
HEAR EACH OF THESE ISSUES.
AND THAT AFTER WE FINISH.
THAT WILL TAKE PUBLIC COMMENT
AT THE END OF THE.
THE THREE ISSUES SO.
ACTUALLY FOR THE RECORD I WISH
EVERYONE INTRODUCE THEMSELVES.
SO THE PART WITH THEM UNTIL
SERVICES.
GOOD AFTERNOON NANCY BURGEONING
DIRECTOR DDS.
JOHN DOYLE DEVELOPMENT SERVICES
ELIA SONYA PADDICK ILIO FINANCE
RISK COOKED LEMON FINANCE.
JACOB Y. AND FINANCE OKAY ADS Y.
MAKE NOTE FINANCES WILLING TO
STEP UP THE FOLLOWING YOUR SWORD
IF YOU DIDN'T SHOW UP SO. YOU
THINK YOU OWE THEM SOMETHING
NOW.
WE ALWAYS OAKLAND.
A BIG THANK YOU OKAY SALUTES.
TO LET'S SAY MADE SO THE ISSUE
ONE DEVELOPMENT TO CENTERS MAY
REVISION ADJUSTMENTS.
YES THANK YOU.
MISTER CHAIR AND AND SENATOR
STONE.
TODAY WELL I'LL JUST GIVE YOU A
REALLY QUICK OVERVIEW OF.
.
THAT.
DEVELOPMENTAL SERVICES.
HIGHLIGHTS FOR MAY REVISE.
VERY QUICKLY JUST WANT TO.
HIGHLIGHT FOR DEVELOPMENTAL
CENTERS.
RIGHT NOW WHEN WE TAKE A LOOK
AT SEVENTEEN EIGHTEEN AS THE
UPDATE FOR MAY REVISION.
WE'RE PROJECTING AT THE END OF
JUNE THIRTIETH.
TWENTY EIGHTEEN FIVE HUNDRED
THIRTY FOUR INDIVIDUALS THIS IS
AN ADJUSTMENT.
OF LESS THAN ON THREE
INDIVIDUALS THAT WOULD BE LESS
THAN WHAT WE HAD PROJECTED.
GOING TO LOOK AT THE CHANGES
WITH AND THE.
THAT FISCAL SIDES THERE'S A
SALARY SAVINGS REFLECTED AS FAR%
AS THE UPDATE OF ELEVEN POINT
FOUR MILLION WHICH IS A
DECREASE.
AND TOTAL FUN. ON EIGHT POINT
FIVE MILLION GENERAL FUND
DECREASE FOR A CURRENT YEAR THIS
IS RELATED TO WOULDN'T IT
ADJUSTMENT ON STAFFING
PROJECTIONS.
SO THAT'S THAT UPDATE FROM WHAT
WE HAD PROJECTED. FOR.
FISCAL YEAR.
EIGHTEEN NINETEEN.
I'M WERE PROTECTING AND AND
DEEMED THE FISCAL YEAR JAN
THIRTY S. AT THREE HUNDRED
TWENTY THREE INDIVIDUALS. I'M AT
THE DEVELOPMENTAL CENTERS ON
THIS IS REFLECTING A DECREASE OF
THIRTY EIGHT.
INDIVIDUALS AND WHAT WE HAD
PROJECTED ON SO WE WOULD BE
ANTICIPATING THIRTY EIGHT
ADDITIONAL INDIVIDUALS MOVING TO
THE COMMUNITY.
SO IT UPDATE REGARDING THAT
PROJECTIONS WE HAVE ARE
ESTIMATING AN INCREASE OF EIGHT
POINT NINE MILLION AND TOTAL FUN
SEVEN POINT TWO MILLION OF THAT
IS IN GENERAL FUND. ON IN
SUMMARY THIS IS RELATED TO A
COUPLE OF ELEMENTS.
ONE IN THE.
OPERATIONS WERE PROJECTING NINE
POINT ONE MILLION A NET INCREASE
OF TOTAL FUND OF WHICH IS SEVEN
POINT SIX MILLION GENERAL FUND
INCREASE.
SO WE HAD PROJECTED AS WE ALL
KNOW THAT WILL HAVE THE LAST
PERSON MOVE OUT A CINEMA
DEVELOPMENTAL CENTER BY.
DECEMBER WHEN WE DID THE
ESTIMATE FOR GOVERNOR'S BUDGET
WE HAD ACTUALLY ONLY PROJECTED A
QUARTER FORCED A STAFFING.
IT WAS AN AIR IN OUR ESTIMATE
WE HAD.
TRY TO ACTUALLY DO THE ESTIMATE
BASED ON SIX MONTHS OF STAFFING
BUT WE ACTUALLY HAVE THE YEAR
TWICE SO WE ULTIMATELY ENDED UP
WITH THREE MONTHS SO THIS IS OUR
CORRECTION TO GET US TO. THE SIX
MONTHS WORTH OF STOCK IN THAT
WILL NEED TO CONTINUE TO SUPPORT
FOLKS.
AT CINEMA. AND IT JUST LANDED.
DEVELOPMENTAL CENTERS BUDGET
WHERE I'M PROJECTING.
AND PROPOSED SCENES SIXTY
MILLION DOLLARS GENERAL FUND. OF
FOR DEFERRED MAINTENANCE FOR
PORTERVILLE SECURE TREATMENT
PROGRAM.
ANY QUESTIONS ON THE
DEVELOPMENTAL CENTER BUDGET.
I TELL YOU.
AS SOON TYPICALLY OH WE'VE
REVIEWED THE DEPARTMENTS
POPULATION ESTIMATES AND THE
CORRESPONDING.
FISCAL ADJUSTMENTS AND DON'T
HAVE AND HAVE NO MAJOR CONCERNS.
REGARDING THE DEFERRED
MAINTENANCE.
OUR OFFICE DOES HAVE SOME OVER
ARCHING CONCERNS WHEN IT COMES
TO THE STATE'S OVERALL PLAN FOR.
DEFERRED MAINTENANCE AND SOME
RECOMMENDATIONS TO IMPROVE
TRANSPARENCY IN LEGISLATIVE
OVERSIGHT WHEN IT COMES TO.
DDS IS SPECIFIC.
PLANNED TO SPEND SIXTY MILLION
WERE STILL SORT OF WAITING TO
LEARN MORE ABOUT WHAT THOSE
SPECIFIC.
PROJECTS WOULD BE BUT WE DO
BELIEVE IT MAKES SENSE THAT IT
WOULD BE THE MONEY WILL BE SPENT
AT THE ONE FACILITY THAT STAYING
OPEN.
OKAY NIGHT FINANCE.
RIGHT
COMETA CENTER SOME.
THANK YOU FOR YOUR PRESENTATION
APPRECIATE THAT.
AND I KNOW THIS IS BENEFIT AREA.
HOW CHALLENGING TASK TO TAKE
SOMEBODY'S LE? PATIENTS OUT OF
OUR CINEMA UNFAIR FEELIN
RELOCATED THEM INTO THE
FACILITIES.
AND I APPRECIATE THAT.
THE WITH THE NUMBER OF PATIENTS
TO FIVE. RELOCATED HOPE WE
HAVEN'T SEEN. SIGNIFICANT CUT
SAVINGS YET BUT WE UNDERSTAND
WHY YOU GOT IT YOU GOT A FULLY
STAFFED PLACE RIGHT SO.
BUT I WANTED TO MAKE SURE THAT.
A ONE THING THAT WE WILL START
TALKING ABOUT THAT AT THE AT THE
CLOSURES SET.
.
THE SAVINGS THAT WOULD COME
ABOUT.
WE ALWAYS TALK ABOUT BEING KEPT
WITH THEM.
THE SYSTEM IF YOU WILL.
SO.
.
WE TALK ABOUT THESE GENERAL FUND
SAVINGS THAT WILL NOT HAVE TO BE
EXPENDED BECAUSE OR. FUNNY MORE
APPROPRIATE DUH.
COST EFFECTIVE WAYS OF CARING
FOR THESE PEOPLE ARE WE STILL
KEEP IN THE COMMITMENT TO KEEP
THE THE MONEY THAT SAVED INTO
THE DEVELOPMENTAL SERVICES
DEPARTMENTS.
SO AS PROJECTED IN THE.
BUDGET WHAT WEEK YOU DO WHEN WE
LOOK AT THE COMMUNITY SERVICES
WHICH I'LL GO OVER I'M IN THE
NEXT ISSUE. SO WHEN WE IDENTIFY
FOR EXAMPLE CASE SLOW GROWTH ANY
GROWTH THAT WE'RE HAVING WITH
AND THE.
SERVICE DELIVERY SYSTEM BECAUSE
WE ARE STILL EXPERIENCING ABOUT
AS A FOURTEEN TO FIFTEEN
THOUSAND ADDITIONAL CONSUMERS.
THAT WERE SEEN EACH YEAR RIGHT
NOW YEAR OVER YEAR.
THAT IN OUR PROPOSED BUDGETS
THAT.
HISTORICALLY WE'VE HAD THE
SUPPORT OF THE LEGISLATURE IN
THE ADMINISTRATION TO BE ABLE TO
CONTINUE TO SUPPORT. THE NEEDS
AND SO THE REQUESTS ARE COMING
AND BASED ON ON THE POLICY
DECISIONS THAT WE PUT FORWARD
AND THEN ALSO WITH THE NEEDS OF
THE SERVICES OF INCREASE
CASELOADS.
SO YOU'LL SEE THAT.
SEPARATE FROM THEN ON WHAT'S
PROJECT IN THE DEVELOPMENTAL
CENTER.
AND CAN YOU GIVE ME A LITTLE
MORE DETAIL ON THE SIXTY MILLION
DOLLARS GENERAL FUND.
ISSUE A PART OF BILL.
CORRECT WE HAVE.
PROJECTION AS FAR AS SOME OF
THE.
MAINTENANCE THAT WOULD BE AND
I'M MISTER DOYLE CAN PROVIDE YOU
A SUMMARY ON THAT.
COM CENTER WE DON'T KNOW WE
DON'T HAVE A FINALIZED LIST YET
THE INTENT IS TO INCLUDE.
EXTREMELY IN DOLLARS IN CONTROL
SECTION
POINT MONO.
WHICH IS PART OF THE BUDGET
BILL.
IT'S PART OF THE DEFERRED
MAINTENANCE AND WHERE WIND THE
ENTITIES THAT IT'S IDENTIFIED IN
THEIR.
.
IT HAS BEEN REPORTED BILL WAS
OPENED IN NINETEEN FIFTY THREE
SO THERE'S PLENTY OF DEFERRED
MAINTENANCE AND.
THE TWO HUNDRED ELEVEN BED
SECURE TREATMENT PROGRAM WILL
REMAIN IN OPERATION.
AND THE PROJECTS WILL BE
UNDERTAKEN TO SUPPORT THAT.
.
THE
OKAY AS I SAID WELL WE DON'T
HAVE A LIST WE'RE. LOOKING AT
GONE.
BY PUTTING OUR PROJECTS IN
CATEGORIES FIRST IS HEALTH AND
SAFETY FOR RESIDENTS
THE SECOND IS ENERGY
EFFICIENCIES AND THE THIRD IS
JUST ONGOING MAINTENANCE REZONE
IN THE PORTIONS APART A BILL
THAT WE'RE GOING TO BE BASICALLY
VACATING RIGHT. I GUESS THE
SIXTY MILLION DOLLARS IS IS NOT
GOING TO SOMETHING WE'RE GOING
ULTIMATELY CLOSING APPEARS RIGHT
THAT'S CORRECT THE MONEY THAT
THINK IT'S IMPORTANT TO NOTE
THAT THE PLANT THAT THE
FACILITIES ON A CENTRAL PLANT
SYSTEM SO THAT YES IF YOU
OPERATE THE BOILERS THEY'RE
GONNA SERVER.
THANK YOU FOR AS WE.
OKAY.
ALRIGHT. OF.
THANK YOU HUSTLED SKULL HEAD
MOVE ON TO ISSUE NUMBER TWO THE
COMMUNITY SERVICES ARE PROGRAM
ENVISIONED.
AS.
HE RECOVERED HIS AGENDA NOTES
THERE'S UPDATES.
AND IN YOUR AGENDA FOR THE
COMMUNITY SERVICES PROGRAMS. AND
THAT QUICKLY I'D LIKE TO
HIGHLIGHT A COUPLE OF THINGS FOR
CURRENT YEAR IN BUDGET YEAR.
SO MAY REVISE THIS PROJECT YOU
KNOW TOLD OK COMMITTEE CASE LOAD
OF THREE THOUSAND THREE HUNDRED
AND SEVENTEEN THOUSAND FIVE
HUNDRED NINETY SIX THIS
REFLECTS.
A SLIGHT DECREASE OF.
OVER GOVERNOR'S BUDGET AS FAR
AS OUR PROJECTION OF TWO HUNDRED
FORTY ONE INDIVIDUALS.
THE REFLEX AN UPDATE OF A NET
DECREASE I'M OF SIXTEEN POINT
SEVEN MILLION DOLLARS IN TOTAL
FUN.
WHICH ALSO REFLEX OF FORTY FOUR
MILLION GENERAL FUND DECREASE IN
A WALKING THROUGH A COUPLE OF
THOSE ITEMS.
SO WE UM AS WE HAVE BEEN IN PAST
PROJECTIONS WE TAKE A LOOK AT
OUR CASELOAD UTILIZATION AND
PROVIDE THOSE UPDATES.
WE ALSO HAVE IT FOR OPERATIONS
A DECREASE OF TWO POINT ONE
MILLION DOLLARS TOTAL FINE AND
THREE POINT SIX OF WHICH.
IS THE GENERAL FUND DECREASE ON
THE OPERATIONS IS PRIMARILY
RELATED TO UPDATED PROJECTIONS
FOR THE COST OF REGIONAL CENTER
RENTS.
ON PURCHASE OF SERVICE DECREASE
FOURTEEN POINT SIX MILLION
DOLLARS TOTAL FUN AND FORTY
MILLION POINT THREE MILLION. AND
FORTY POINT THREE MILLION IN
GENERAL FUND DECREASE.
PRIMARILY RELATED TO INCREASE
FEDERAL REIMBURSEMENTS THROUGH
THE.
WAIVER PROGRAMS THAT WE HAVE ON
FOR OUR SERVICES.
IN EIGHTEEN NINETEEN.
WERE PROJECTING THREE HUNDRED
THIRTY TWO THOUSAND.
SEVEN HUNDRED THIRTY EIGHT
INDIVIDUALS ARE RECEIVING
SERVICES I'M IN THEN THE NEXT
YEAR.
BASED ON OUR UPDATED.
PROJECTIONS THIS IS JUST A
SLIGHT A DECREASE OF TWO HUNDRED
EIGHTY SIX INDIVIDUALS.
ON THE ESTIMATE.
AS FAR AS THE TOTAL FUNDING. IS
SIX POINT NINE BILLION DOLLARS
TOTAL FUND FOUR POINT ONE
BILLION IS OF GENERAL FUND. ON
THIS REFLECTS THE NET.
INCREASE OF TWENTY ONE POINT
SIX MILLION IN TOTAL FUND. OF
WHICH IS TWO POINT SIX AND
GENERAL FUND DECREASE
AGAIN HYPED IS PROVIDING UPDATES
REGARDING OUR CASELOAD AS WORDS
AS WELL AS SOME OF THE
UTILIZATION.
PURCHASES SERVICE.
IS REFLECTING A DECREASE OF SIX
POINT ONE MILLION A NET DECREASE
AND THEN. ON RELATED IS EIGHTEEN
POINT SIX MILLION DECREASE FOR
GENERAL FUND AND AGAIN JUST A
COUPLE OF HIGHLIGHTS THAT I'D
LIKE TO POINT OUT.
IS IT DOES REFLECT AN UPDATE FOR
THAT B. H. T. TRANSITION ABOUT
VIGILS WHO DO NOT HAVE AUTISM WE
WERE PROJECTING THAT THE
TRANSITION OF THOSE INDIVIDUALS
WOULD BE EFFECTIVE JULY FIRST.
HOWARD THERE'S FOR COUNTIES THAT
HAVE ASKED TO HAVE A OF STATE
AND PERIOD SO WE'RE PROJECTING
THAT.
FOR FOR COUNTIES IT WOULD BE FOR
LOS ANGELES ORANGE RIVERSIDE AND
SAN BERNARDINO COUNTIES THAT
WILL BE OVER THE FIRST THREE
MONTHS OF THE QUARTER.
WOULD BE DELAYED THEREFORE WE
WOULD BE SEEN ON JUST THE NET
INCREASE OF ABOUT NINE HUNDRED
THOUSAND DOLLARS.
AND THAT WOULD BE TOTAL FUN AND
THEN FOR DEVELOPMENTAL SERVICES
AS I HAVE OR FOR THE
DEVELOPMENTAL CENTERS AS I
STATED.
IN ISSUE ONE. THAT WE ARE
SEEING THAT THERE'S THIRTY EIGHT
INDIVIDUALS THAT WE WOULD BE
ANTICIPATING MOVING TO THE
COMMUNITY I'M MORE THAN WE HAD
ANTICIPATED. I'M AS RELATED TO
THAT THEN WE NEED TO AND TAKE A
LOOK AT HOW WILL BE FUNNY THEIR
PLACEMENT THEREFORE THERE'S A
REQUEST FOR TWO POINT TWO
MILLION FOR TOTAL FUN. TO GO
INTO CPP FOR PLACEMENT AND
SUPPORTING THOSE TRANSITION OF
WHICH IS SIX HUNDRED THOUSAND
FOR GENERAL FUND.
ADDITIONALLY THE HOME HEALTH ON
RATE INCREASE.
SO THE CORRESPONDING MEDI CAL
RATE ADJUSTMENT SO WE HAVE
WITHIN OUR REGULATIONS FOR A
HOME HEALTH AGENCIES LICENSE
VOCATIONAL NURSES REGISTERED
NURSES. ON THAT THEY'RE
ASSOCIATED WITH SMA RATES AND SO
THEREFORE YOU SEE THE
CORRELATING REQUEST.
A TWENTY NINE POINT FIVE MILLION
TOTAL FUN.
INCREASE REQUEST OF WHICH IS
SEVENTEEN POINT ONE GENERAL
FUND.
AND THE MAY REVISE DOES CONTINUE
TO REFLECT THE RE.
INSTITUTING THE UNIFORM HOLIDAY
SCHEDULE HOWEVER TO CORRECT.
OUR ESTIMATE THAT WE HAD
PROJECTED IS PROVIDING AN UPDATE
ON ON THAT PROJECTION. AS FAR AS
THE.
.
ADDITIONAL ESTIMATED SAVINGS WE
HAD WHEN WE COMPLETED THE
ESTIMATE HAD USE THAT BASED
ABOUT TWO IN TWO THOUSAND NINE.
AND SO IN LOOKING AT THE.
ESTIMATE AND MAKING SURE THAT
WE ARE USING THE CORRECT I'M
CASELOAD IN UTILIZATION WE WERE.
ON UPDATED IT BASED ON THE TWO
THOUSAND FIFTEEN SIXTEEN.
EXPENDITURES
ANY.
ANY QUESTIONS REGARDING THE.
EARLIER COMMENTS.
WE'VE REVIEWED THE DEPARTMENT'S
ESTIMATES AND HAVE NO MAJOR
CONCERNS.
FINANCE.
RIGHT REMEMBERS.
THAT.
WHICH.
OKAY WOMAN MOVE ON THEN TO ISSUE
NUMBER THREE HEADQUARTERS NAY
REVISION ADJUSTMENTS.
YES THANK YOU THERE'S.
TO.
IN HEADQUARTERS.
FOR THERE'S NO CHANGE.
REFLECTED FOR SEVENTEEN
EIGHTEEN THERE'S TO BE SEE PEACE
THAT ARE ROJECTED FOR EIGHTEEN
NINETEEN. ON THE FIRST.
IS REGARDING THE ELECTRONIC
VISIT VERIFICATION CONSISTENT
WITH ON THE EFFORTS.
THAT IS.
WITHIN ACTUALLY IT'S THE BCP
WITH THE CALIFORNIA HEALTH HUMAN
SERVICES AGENCY IT'S FOR TWO
POSITIONS. TO ASSIST THE
DEPARTMENT TO.
SUPPORTS THE FEDERALLY MANDATED.
ELECTRONIC VISIT VERIFICATION
ON SO THIS WOULD BE FOR THE
PORTION OF OF DTS.
THE ADDITIONAL ONE IS FOR PERSON
CENTERED PLANNING.
BUT PERSON CENTERED PLANNING AS
I AM I REQUEST FOR FOUR HUNDRED
THOUSAND DOLLAR INCREASE.
FOR TOTAL FUND OF WHICH WOULD
BE THREE HUNDRED THOUSAND AND
GENERAL FUND AND IT'S TO SUPPORT
THE EFFORTS TO IMPLEMENT. ON THE
FRAMEWORK FOR PERSON CENTERED
PLANNING IT'S CONSISTENT WITH
THE HOMING COMMUNITY SERVICES
FEDERAL RULE SO THE FEDERAL RULE
REQUIRES PERSON CENTERED
THINKING AND PLANNING
CONSISTENT.
THAT WOULD BE OUTLINED WITHIN
THE INDIVIDUAL PROGRAM PLAN OR
TO HELP INFORM THE PROCESS.
SO WE LOOK FORWARD TO BEING ABLE
TO HAVE LIKE A CONSULTANT THAT
WILL. WORK ON.
.
THE WITH THE STAKEHOLDERS TO
DEVELOP THE TRAINING THAT'S
GOING TO BE ABLE TO HELP BUILD
THAT FRAMEWORK.
TO HELP FAMILIES REGIONAL
CENTERS AND THE CONSUMERS IN.
MOVING FORWARD WITH THAT PERSON
CENTERED THINKING AND THE
PHILOSOPHY THAT WILL BE ABLE TO
CARRY US FORWARD.
IF YOU.
ELIO WOMEN'S.
BUT JUST TO SAY THAT WE HAD
TAKEN A LOOK AT THE AGENCIES
OVERALL.
PROPOSAL FOR EVEY V. TO
IMPLEMENT E. VV AND.
ARE ONLY CONCERNS HAVE BEEN
REGARDING THE LACK OF
SPECIFICITY IN THE TRAILER BILL
THE PROPOSED TRAILER BILL AND
PROVISIONAL LANGUAGE AND IT
LOOKS LIKE THEY'VE.
ACTUALLY.
.
WITHDRAWN THE TRAILER BILL
LANGUAGE AND MADE SOME REVISIONS
TO THE PROVISIONAL LANGUAGE
THAT.
PUTS IT ON THE RIGHT TRACK.
OKAY.
ALRIGHT FINANCE.
OKAY.
ALRIGHT OKAY BECAUSE SO I MEAN I
THINK.
YEAH I THINK WE'RE STILL
WORKING ON THE TRAILER BILL THE
VV SO FORTH SO.
OKAY UP PUBLIC COMMENTS ON THE
THOSE THREE ITEMS.
ABOUT SERVICES.
AND WELCOME I THINK YOU A MISTER
CHAIR SENATOR STONE DISTINGUISH
STAFF UP RICK ROLLINS REPRESENT
HARK ASSOCIATION REGIONAL CENTER
AGENCIES WE WILL BE FOLLOWING UP
MY TESTIMONY WITH A WRITTEN
LETTER WITH ALL THE POSITIONS OF
FEAR. OF REVIEW. OF THE FIRST
ONE HAVING TO DO WITH THE
CASELOAD ADJUSTMENTS IN LIGHT OF
EXPENDITURE TRANSIT CASELOAD
UPDATES.
EXPENDITURES ARE LOWER DUE TO
INSUFFICIENT PROVIDERS IN SOME
CATEGORIES ARGUABLE LEAVES THAT.
THAT RESERVE POS OF FUND SHOULD
BE REALLOCATED FOR START UP OF
NEW PROGRAMS.
A IN THE NEXT ITEM HOME HEALTH
AND I SEE A FOR A RATE INCREASES
SARCOS SUPPORTS. THOSE SIR. OF
RATE INCREASES.
OF ON THE ICF A DDT A
SUPPLEMENTAL PAYMENT PROGRAM
ARCA SUPPORTS THAT.
RATE INCREASES WELL.
ON THE UNIFORM HOLIDAY SCHEDULE
ISSUE HA WE REFER TO IT AS THE
FURLOUGH. SCHEDULE ARM WE HATED
IT IN FEBRUARY WE HATED EVEN
MORE NOW A PROTECT THE SENSE OF
THE STATE TO HIS OVERFLOWING
WITH TAX DOLLARS. OF A HAND UP
BELIEVE THAT THIS.
RUSH SHOULD BE REJECTED BY THE
US SUBCOMMITTEE.
WE ALSO.
IN DEALING WITH THE ISSUE OF
THE VENDORS COSTS FOR
IMPLEMENTING THE.
HURTS COULD MEET THE.
F ELECTRONICA VISIT
VERIFICATION REQUIREMENTS WE
BELIEVE THAT VENDORS COSTS IN
IMPLEMENTING THE ELECTRONIC
VISIT VERIFICATION OF
REQUIREMENTS NEED TO BE BUDGETED
AND. FOR FUTURE YEARS AS THEY
CANNOT AFFORD ANOTHER UNFUNDED
MANDATE.
AND LASTLY.
ON THE ISSUE OF THE HA PERSON
CENTERED PLANNING ISSUE ARCA
SUPPORTS THE PROPOSAL DUE TO THE
IMPORTANCE. OF A PERSON CENTERED
PLANNING REGIONAL CENTERS WILL
NEED ADDITIONAL OPERATIONS FUNDS
AS WELL TO ENHANCE PERSONAL A
CENTER PLANNING AT THE LOCAL
LEVEL.
AND THANK YOU.
YOU.
WELCOME.
WELL SEVERAL TEACHERS EXPLORED
ON ISSUE NUMBER ONE ON THE SIXTY
MILLION DOLLARS. I REALLY HOPE
TO PUT IN A REALLY LARGE SOLAR
FARM THAT WILL GENERATE LOTS OF
LIKE TO SEE THAT THE STATE COULD
SELL AND FUND OUR LAND OUR MEN.
HOUSING PROJECT THAT THE LAND
COALITION IS PROPOSING OTHERWISE
IT'S TWO HUNDRED AND EIGHTY
THOUSAND DOLLARS PER PERSON
BEHIND THE FENCE.
IS WHAT THAT DEFERRED
MAINTENANCE WORKS OUT TO HERE
WHICH IS SIGNIFICANT DOLLARS
THAT COULD BE USED I DON'T GET
DEFERRED MAINTENANCE ON ALL OF
OUR. FIFTY YEAR OLD PROPERTIES
EITHER SO JUST HAVE THE SAME
ISSUE. AGAIN I AGREE WITH
RECALLS ON HIGH COST AREAS ARE
REALLY BEING IMPACTED BY THAT
RETURNING APPEAL WES BECAUSE
THERE'S NOT PROVIDERS AVAILABLE.
WE CAN ONLY HAVE A HUGE
WEIGHTLESS BECAUSE WE CAN'T
TRACK STAFF IS UNDER UTILIZATION
BECAUSE WE CAN'T HIRE PEOPLE
SOMETHING THAT'S A SIGNIFICANT
ISSUE. VERY SUPPORTIVE OF THE
PERSON CENTERED PLANNING THE
INITIATIVE AND IN ITEM THREE BUT
IT'S GOTTA GO FROM NOT JUST ETS
BUT ALL THE WAY THROUGH THE
REGIONAL CENTERS AND DOWN THE
PROVIDERS TO BE REALLY EFFECTIVE
ON THE GROUND IS WHAT NEEDS TO
HAPPEN. SO THANK YOU MAY THINK
YOU.
GOOD AFTERNOON EBURY JEDINI
CALIFORNIA DISABILITY SERVICES
ASSOCIATION ARE ON THE
DEVELOPMENTAL CENTER.
BUDGET UPDATE WE WE TO HAVE
CONCERNS ABOUT SIXTY MILLION
DOLLARS MAKING SURE IT'S GOING
TO ONLY FUND YOU KNOW ANY SORT
OF.
.
X. IS NEEDED ON THE BEHIND THE
FENCE POPULATION THAT'S GOING TO
CONTINUE TO EXIST KNOWN
THINKCENTRE STUMP YOUR COMMENTS
ON MAKING SURE THOSE SAVINGS
FROM THE DEVELOPMENTAL CENTERS.
DO ULTIMATELY END UP IN THE
BUDGET WE WE'RE REALLY CONCERNED
ABOUT THAT.
AS IT RELATES TO THE PARTS OF
THE SERVICE DECREASE I MEAN
CERTAINLY THERE MIGHT HAVE BEEN
IT THERE'S AN INCREASE IN THE
FEDERAL REIMBURSEMENTS BUT AS AS
THE PREVIOUS SPEAKERS HAVE
SPOKEN TO. I'M WE DO THINK THAT
THERE IS A LACK OF PURCHASE THE
SERVICES DUE TO A.
TO DO THAT INADEQUATE PROVIDER
RATE SAID THERE AREN'T ENOUGH
PROVIDERS PROVIDING NECESSARY
SERVICES FOR THE CONSUMERS THAT
WERE INTENDED TO SUPPORT. A WERE
ALSO EXTREMELY CONCERNED TO SEE
THE UNIFORM HOLIDAY SCHEDULE
PERSIST INTO THE MAY REVISED
BUDGET.
WE WENT OVER IT IN DETAIL IN
MARCH BUT WE ARE VERY CONCERNED
ABOUT THAT PROPOSAL AND THEN
FINALLY ON EVEN THE I JUST WANNA
ECHO MYSTERONS COMMENTS ABOUT
MAKING SURE THE PROVIDERS ARE
HELD HARMLESS FOR IMPLEMENTATION
OF THE V. AND IT'S NOT UNFUNDED
MANDATE. THANK YOU.
THANK YOU.
WELCOME AND CHECKS CALIFORNIA'S
THIS BILL THE RIGHTS.
HOLIDAY PAY SCHEDULED NOW THAT'S
NOT A GOOD IDEA SIXTY MILLION
DOLLARS YAZDANI MARTIN SIXTY
MILLION DOLLARS ANYTIME WHEN I
SEE THAT THERE'S GONNA BE
DECREASED MPO S. PURCHASE OF
SERVICE DDS.
THAT MEANS TAX CUT DOESN'T COME
BACK.
WE'VE SEEN THIS TIME AND TIME
AGAIN TO CUT TO SERVICE AND IT
DOESN'T COME BACK.
WE LOOK AT LIKE IT'S A SECURITY
OKAY ANTARCTICA SSI ASSIST P.
STATE CHAIR LOOK AT ANY OTHER
PROGRAMS ARE BEING CUT BACK. AND
OUT COME BACK AND I REALIZED.
I KNOW HOW FAR THEY'RE
PREDICTING DOWN FOR A CASELOAD
FOR DIAZ. ARM.
BUT IT ANY CUT THAT'S NOT GOOD
AND IT'S REALLY VERY THAT'S NOT
GOOD EITHER.
IT'S BAD ENOUGH THAT THEY'RE
GONNA TRY AGAIN BUT THE S..
BUT DVB HAS ITS OWN ISSUES AND I
DON'T THINK IT'S BEEN BETTER TO
ALL THE CLIENTS ABOUT HOW THIS
IS GOING TO WORK AND PLUS. THIS
PROPOSAL HERE THAT THEY'RE
TRYING TO DEAL WITH.
IT'S JUST TRYING TO IMPLEMENT
SOMETHING THAT IT MIGHT NOT EVEN
PASS THROUGH THIS. YEAR.
BOB I JUST WANNA LET YOU KNOW
THAT SENATOR MURKOWSKI OF
REPRESENT MURKOWSKI HAS
INTRODUCED A BILL IN THIS.
CONGRESS TO DELAY ETV FOR ONE
YEAR.
ONE YEAR SO WE'RE TRYING TO PLAY
FOR ONE YEAR.
MAYBE MAYBE WE SHOULD BE LOOKING
AT TO THAT AND REALLY START NOT
SPENDING SO MUCH MONEY ON IT.
AND SYSTEM OF UNITING IN HALF.
THANK YOU WELCOME.
THANK YOU MISTER CHAIRMAN
CENTERS CURRENT ORDINANCE THE
WITH THE ARC AND YOU CP OF FIRST
COMMENTS ON THE UNIFORM HOLIDAY
SCHEDULE LIKE TO ALIGN OURSELVES
WITH. OTHER RENAMING FROM OUR
BECAUSE UNIFORM FOR LOW SCHEDULE
THINK IT'S APPROPRIATE AND YOU
HER COMMENTS IN THE PRIOR
COMMITTEE HEARING WITH INCREASED
SURPLUSES THE FACT THERE'S STILL
A CUT ON THE AGENDA OF COURSE WE
STILL HOPE THAT THE LEGISLTURE
WILL JUST. FLAT OUT REJECT THIS
PROPOSAL.
IS SECONDLY.
WALL COMING QUICKLY IN EVEY V..
IF EVP MUST BE IMPLEMENTED WE DO
APPRECIATE THE PROCESS THE
DEPARTMENT SOCIAL SERVICES HAS
UNDERTAKEN REGARDING
IMPLEMENTATION VVV AND WE HAVE
REQUESTS THE TDS ROM CONDUCT A
SIMILAR STAKEHOLDER INPUT AND
PROCESS. IN ABSOLUTELY
DEFINITELY MANY PROVIDERS
ALREADY HAVE BEEN A IN EDB
SYSTEM THAT THEY HAVE SPEND LOTS
FOR THEIR OWN MONEY ON TO TRYING
TO IMPLEMENT TO TRY TO DO THE
RIGHT THING AND TRACK. IF THEY
MUST COMPLY WITH THE NEW VB
SYSTEM TO BE IMPLEMENTED THEY
MUST BE REIMBURSED FOR THE COST
OF THAT IMPLEMENTATION OF A NEW
SYSTEM THAT THE FEDERAL
GOVERNMENT'S NOW MANDATED ON US.
AND IT FINALLY JUST REALLY
APPRECIATE CENTER STONE CENTER
STONE'S COMMENTS REGARDING THE
CLOSURE OF THE OF THE
DEVELOPMENT CENTERS AND. WE
UNDERSTAND THE DEPARTMENT'S
COMMENTS REGARDING CASELOAD
INCREASE IN HOUSE SAVINGS MAY BE
GOING TOWARDS THEIR HOWEVER
THERE IS A PROPOSAL.
FROM LIMON COALITION AND YOU
HAVE HAD A ROBUST CONVERSATION
ABOUT THE NEED FOR HOUSING TODAY
FOR THE MENTAL HEALTH AND
HOMELESS POPULATION. AND WE DO
HOPE THAT THE DEVELOPER
DISABILITY POPULATION WILL NOT
BE LEFT OUT OF THOSE HOUSING
DISCUSSIONS.
AND THERE ARE CERTAIN THINGS
THAT THE.
THAT DTS IS NOT FUNDING AND
SEPTA RARE OCCASIONS IN HOUSING
IS ONE OF THOSE FOR THOSE IN THE
COMMUNITIES WE HOPE THAT WE CAN
LOOK AT SAVINGS AND REVENUE.
FOR HOUSING FOR THE COMMUNITY
THANK YOU THANK YOU.
WELCOME.
HI EVELYN NOVEL HAS IN THE CIVIL
RIGHTS CALIFORNIA I'M ON THAT
UNIFORM HOLIDAY SCHEDULES
ECHOING CONCERNS AROUND THE FACT
THAT IT'S ON THE BUDGET TO THE
EXTENT IT REMAINS A WE WANT TO
MAKE SURE THAT INDIVIDUALS THAT
AREN'T. INTEGRATED EMPLOYMENT AS
WE SAID IN MARCH.
ARE EXCLUDED FROM THE IN FROM
HOLIDAY SCHEDULE SO THEY CAN
CONTINUE TO WORK ON THE ISSUE OF
THE NURSING RIGHT FOR WERE
PLEASEDTO SEE THAT THERE IS AN
INCREASE IN NURSING RIGHTS HELPS
KEEPS CONSUMER THE HOME CHILDREN
HOME. AND THEN FINALLY ON THE
PERSON CENTERED PLANNING. WE
WANT TO ENSURE THAT CONSUMERS
AND FAMILY MEMBERS ARE INVOLVED
IN THE ONLINE TRAINING IN THE
DEVELOPMENT OF THAT AND IN THE
STAKEHOLDER PROCESS THAT.
THAT ALL UNDERTAKES
THANK YOU VERY MUCH THANK YOU.
GOOD AFTERNOON SHE BUNGIE
DRUG-GOES WITH THE W. OFFICE ME
LOCAL
THIRTY NINE THIRTY I JUST WANT
TO ECHO SOME OF THE COMMENTS
ALREADY MADE ON ETV WE ARE VERY
THANKFUL TO THE DEPARTMENT OF
SOCIAL SERVICES FOR THEIR.
COMMITMENT TO STAKEHOLDER
ENGAGEMENT AND.
.
ARE TRANSPARENCY IN GREAT WE
ESPECIALLY APPRECIATE THEIR
PLANNED APPROACH TO COMPLY WITH
IN THE THE REQUIREMENTS IN A WAY
THAT SEEMS MINIMALLY BURDENSOME
TO CONSUMERS AND PROVIDERS BUT I
WOULD LIKE TO SAY THAT WE ARE
SERIOUSLY CONCERNED. WITH THE
BROAD NATURE OF THE BUDGET BILL
LANGUAGE AND THE LACK OF
ACCOUNTABILITY MEASURES THAT
WOULD EXIST IF THE DEPARTMENT
SEEM EASY IMPLEMENTATION PROCESS
OF DEALING WHICH WERE TO BE
ADOPTED THANK YOU. THANK YOU.
WELCOME.
BUT.
I.
CAN'T COMMITTEE.
OF THE SENATE I SHOULD SAY I
HAVEN'T.
SPEAKING WITH YOU TODAY.
I JUST RETURNED FROM A VISIT TO
THE WORLD PEACE ROSE GARDEN.
A WEATHER BEAUTIFUL ROSES ARE AS
MESMERIZING AS THE. PUNCTURED BY
THE CHILDREN ONE OF THE POEMS
HAVE SOMETHING LIKE ONCE UPON A
TIME THERE WAS A PIECE.
A STAR THAT WAS A STAR CALLED
PEACE IT WASN'T ONLY STERN DARK
BLACK NIGHT THAT STAR BECAME NOT
ONCE TARGET.
OVERTIME HAVE OVERTURNED ALLY.
HOUSE AT A CERTAIN FROM A LONG
JOURNEY ACROSS THE COUNTRY. AND
I THINK WE ALL LEARN ON LONG
JOURNEYS THAT.
PARLANCE OF THE GOD BECOMES
EVEN MORE POSSIBLE ONLY LOAN
FORGIVEN ANOTHER.
I WENT TO MIAMI FLORIDA TO
BECOME AN ARTIST AND I'M I'M A
NOTICE ON THE SUCCESS OF AND
HOPED FOR BUT I DID. FIND A
PURPOSE TO SPEND EVERY DOLLAR I
DECIDED NECESSARY ON THE COME
FROM A FAMILY IN THE IMPROVEMENT
THE STATION IN LIFE.
I CSUS.
QUESTION ONE UP WHEN PLEDGES TO
BE HOME.
IN THE CITY IN THE STATE I GREW
UP IN HIS WITH SOMEBODY
SWEETNESS. AS THE REASON I CAN
HOMES BECAUSE SOME OF THE PAST
TWO THREE YEARS. I'VE
EXPERIENCED SOME GROUP HAS BEEN.
HARASSING MEAN STALKING ME AND
THREATEN TO TAKE MY LIFE.
AND THEY HIT ME WITHOUT POSTERS
OF ELECTROMAGNETIC RADIATION
FREQUENTLY I COULD SAY FAR MORE
I WOULD LKE TO SHARE I AM OF
SOUND MIND AND I AM ABLE TO TAKE
CARE OF MYSELF. AND AS A LAW
ABIDING CITIZEN OF THE UNITED
STATES OF AMERICA.
AND AS SUCH I WOULD HAD MYERS TO
BEGIN TO THE SAME LIBERTIES.
AND FREEDOM AS ANYONE ELSE HAS
BECAUSE THE PRIVACY GUARANTEE IN
THE CALIFORNIA CONSTITUTION THE
PRIVACY OF MY THOUGHTS INCLUDED.
A CABINET BUT GROUP IT IS SIR IN
IRAN WRAP UP YOUR OVERTIME SO.
DID YOU HAVE SOMETHING TO SAY
ABOUT RIVER THREE ITEMS ASKING
FOR AN ANSWER AND I SAID
FAMILIES FIRST BECAUSE THAT IS
WHERE LOVE. AND FORGIVENESS
BEGINS
AND I'M I'M ASKING FOR YOUR
HELP.
I STILL THINK THAT LIFE'S
CHALLENGES WERE TOO DIFFICULT
FOR US TO OVERCOME BUT NOW I SEE
THAT WITH LOVE AND FORGIVENESS
AND DISCUSSIONS DIALOGUES AND
SOLUTIONS THAT WORK FOR ALL OF
US. THE WORLD CAN BECOME BECOME
A BETTER PLACE FOR OUR FAMILIES
AND OUR COMMUNITIES. AND OUR
WORLD EXPRESS MY SINCERE
APPRECIATION AND I AND I REALLY
DON'T IN MY THANKS BUT I DO
THANK YOU.
I DON'T THINK YOU ARE RIGHT.
OKAY.
SO.
.
SO JUST MAKE NOTE WE STILL.
HAVE NOT TAKEN OUR ACTIONS AND
DIED CERTAINLY JUST BEGAN AND I
THINK THAT IN TERMS OF THE
HEALTH WE SO OFTEN CERN'S ABOUT
THOSE WHO HAVE CONCERNS ABOUT
THE HOLIDAY.
SCHEDULE SO. I KNOW THAT TO IS
BASICALLY THIS PRESENTATIONS
ABOUT JUSTIN'S AND DATA.
I WOULD ALSO NOTE THAT THE IN
TERMS OF E. V. V. NOW THAT IS
SOMETHING THAT.
THAT.
I. DID AND WE HEARD ON THE.
FARM SOCIAL SERVICES SIDE
EARLIER AND I UNDERSTAND THIS IS
BASICALLY FUNDING TO. SURE WE'RE
PREPARED FOR WHAT HAPPENS WHEN.
THE FEDERAL GOVERNMENT WHICH IS
CURRENTLY FEDERAL LAW I MEAN
UNTIL SOMEONE CHANGES THE LOVE
WE. HAD SO WE ARE SUBJECT TO
WHATEVER SEEMS TO SITES
ESTABLISHED AS THINGS BUT AND
WE'VE PREVIOUSLY HAD
DISCUSSIONS.
WOULDN'T WHEN SOCIAL SERVICES
HERE ABOUT SOME OF OUR CONCERNS
IN THE LEGISLATURE IN TERMS OF
BEING SURE THAT IN ITS
IMPLEMENTATION THAT.
THAT THAT WE MINIMIZE THE
BURDEN THAT WE HAVE STAKEHOLDERS
INVOLVED AND SO FORTH AND I
PRESUME WITH FOR YOUR PEACE OF
AT. THE SAME WITH.
APPLY THIS IS ACTUALLY PART OF A
LARGER PACKAGE THERE'S A PIECE
FOR.
THIS DEPARTMENT THEY'RE BLITZEN
LONELY SOCIAL SERVICE SIDE TO
LIFE REASSURE PEOPLE THAT.
WE ARE EXACTLY YOU KNOW GOTTA
KEEP A CLOSE EYE ON ETV AND AND
AND SO FORTH SO.
ALRIGHT. OKAY AT YES ANDERSON
THANK YOU MISTER CHAIRMAN.
.
IT'S A.
BIN LADEN CLEARLY SITTING IN MY
OFFICE THAT.
PROVIDER RATES CONTINUE TO BE
AN ISSUE THAT ARE REGIONAL
CENTERS IT'S.
.
WE'RE SEEING FUNDS BEING UNDER
UTILIZED BECAUSE PEOPLE ARE
EMBRACING CONTRACTS AT THE
CONTEMPORARY TO WE HAVE.
THAT MEANS THAT PEOPLE ARE
GETTING SERVICES.
SO.
I KNOW THAT WE'RE WE'RE DOING A
RATE STUDY THAT I THINK YOU'RE
SUPPOSED TO GET THE RESULTS BACK
IN MARCH OF NINETEEN I BELIEVE.
BUT.
YOU KNOW BASE ON THE SUPPORT OF
THE LAWS OF SUPPLY AND DEMAND IF
PEOPLE ARE CONTRACTING WITH YOU
THERE'S A REASON AND THAT'S
PROBABLY BECAUSE WERE.
NOT.
.
PAYING A CONTEMPORAR FEE FOR
PEOPLE TO REMAIN IN BUSINESS AND
DO BUSINESS ON THIS VERY
IMPORTANT AREA TAKING CARE OF
OUR DEVELOPMENT DISABLED SO.
.
IS THERE ANY.
ANY SUGGESTION THAT.
WE COULD PICK UP THE RATES.
MODESTLY AT LEAST SO WE CAN
START.
GETTING MORE SERVICES THAT ARE
IN OUR REGIONAL CENTERS.
.
THAT'S THE FIRST QUESTION I
HAVE.
AND THE SECOND ONE IS THAT.
.
YOU KNOW A LOT OF THESE.
.
DEDICATED PEOPLE AND.
BUT IN A BRACE THE UNIFORM ALL
DAY SCHEDULE BUT THEY TOOK IT
AND WE CALL IT ALL OF THESE WERE
REALLY WAS A FORCE FOR LOW.
PROGRAM.
THEY DID THEIR PART DURING THE
TIMES WHEN THINGS ARE VERY
CHALLENGING FOR THE STATE OF
CALIFORNIA AND HERE WE ARE.
WITHOUT A ROBUST.
REVENUE STREAM COMING IN AND.
ONE IS IN A TIGHT WHEN WHEN IS
THE TIME TO APPROPRIATELY.
REPORT ARE HARD WORKING
DEDICATED PEOPLE TO TAKE CARE OF
SOME OF THE.
MOST FRAGILE OF OF OUR
COMMUNITIES WITH.
RESTORING THEM TO THE SAME
HOLIDAY SCHEDULE THAT MOST.
I EMPLOYEES HAVE.
AND THEN THREE AND I DON'T MEAN
TO SOUND LIKE A BROKEN RECORD
BUT I SEE THIS YEAR AFTER YEAR.
AS I.
BROUGHT UP THE ISSUE.
IN MY FIRST YEAR IN THE
LEGISLATURE ABOUT. OF THE
CLOSURE OF US CINEMA IN
FAIRVIEW.
UNDERSTANDING THE SIGNIFICANT
AMOUNT OF MONEY VISITS BEING
SPENT ON A SMALL POPULATION A
VERY. A NEEDY PEOPLE AND
ENSURING THAT WE HAVE
APPROPRIATE TRANSITION TO OTHER.
A LESS EXPENSIVE COMMUNITY
BASED.
FACILITIES BUT I AGAIN I I AND
I WANT TO JUST MAKE SURE THAT
PEOPLE ARE HEARING AT LEAST ME
THAT I I WANT THE SAVINGS THAT
IS.
INCURRED BY THIS.
FINDING A MORE APPROPRIATE COST
EFFECTIVE WAY OF DELIVERING
SERVICES I WANTED TO BE
REINVESTED BACK INTO THE
DEVELOPMENT DISABLED
COMMUNITIES.
AND SO.
.
I I HOPE THAT YOU'RE HEARING IT
I HOPE THE GOVERNOR HERE IS
THAT.
I KNOW HE YOU KNOW WE. HE'S GOT
ABOUT A WHAT NINE MORE MONTHS
THAT YET.
TO REMAIN AS OUR GOVERNOR BUT.
THERE'S THERE'S A LOT OF PEOPLE
THAT. WOULD LOVE TO BE HERE
ADVOCATING AT THE MICROPHONE
THEY DON'T HAVE THE CAPABILITY
OF COMING HERE AND I AND I SEE
SOME OF THEM. IN MY DISTRICT
THAT WHAT WE DO ON THE STAIRS
HAS A DRAMATIC EFFECT ON THE
QUALITY OF LIFE AND I WANT TO DO
WHATEVER I CAN TO HELP THOSE WHO
DON'T HAVE THE RESOURCES OR.
DON'T HAVE THE PHYSICAL
CAPABILITIES OF GETTING HERE.
TO SHARE THEIR CONCERNS ABOUT
WHAT.
SOME OF THESE LACK OF SERVICES.
MEANS TO THEM SO. VERY WELCOME
YOUR YOUR YOUR ANSWERS.
THANK YOU SENATOR STONE YOU KNOW
IT THE OPPORTUNITY TO BE ABLE TO
HAVE THE IMPORTANT CONVERSATIONS
ABOUT HOW TO ADDRESS THE
IMPORTANT ISSUES IN OUR SYSTEM
IS SOMETHING THAT HAS TO BE AN
ONGOING DISCUSSION.
WE'RE VERY FORTUNATE THAT WE
HAVE SUCH A WONDERFUL AT
ADVOCACY WITHIN OUR COMMUNITY
ARE STAKEHOLDERS.
WE'VE BEEN ABLE TO WORK WITH
THEM ON ON PRIORITIZING ON
ISSUES YOU KNOW IN TIMES WHEN WE
HAVE TO TAKE A LOOK AT MULTIPLE
PRIORITIES. YOU KNOW IN
RECOGNIZING THAT SOMETIMES IT'S
NOT ALWAYS THE ANSWER THAT
EVERYBODY WANTS TO HEAR THAT
WE'VE BEEN ABLE TO PUT FORWARD
BUT TO THAT END I THINK TO YOUR
POINT TALKING ABOUT. THE RATE
STUDY AND AND RECOGNIZING THE
TIMING OF IT WE ARE NOW AT THE
VERY TELL AND. SO THE.
WE'VE BEEN WORKING WITH OUR
STAKEHOLDERS.
OUR CONSULTANT WITH BURNS AND
ASSOCIATE HAS BEEN ABLE TO MEET
WITH.
PROVIDERS AND GETTING THEIR
INPUT INTO THE PROCESS
OF THE ACTUAL SURVEY SO THE
SURVEY IS GOING TO BE RELEASED
FAIRLY SOON.
IT'S GOING TO BE REALLY
IMPORTANT FOR US AS A DEPARTMENT
TO WORK WITH OUR COMMUNITY AND
TO WORK WITH.
THE CONSULTANTS TO MAKE SURE
THAT WE HAVE A VERY INFORMED
PROCESS SO AS WE COME FORWARD
WITH IN MARCH OF TWO THOUSAND
NINETEEN THAT WE CAN REALLY TAKE
A LOOK AT A A MEANINGFUL. KIND
OF.
OUTCOME OF WHAT THAT STUDY
ISN'T SO WE CAN KIND OF PRESENT
THAT NOT ONLY TO THE COMMUNITY
BUT THEN TO THE LEGISLATURE'S TO
THE FINDINGS OF THAT.
THERE'S BEEN A NUMBER OF THINGS
THAT WE'VE OF WE'VE DONE TO LOOK
AT HOW WE CAN STREAMLINE SOME
EFFORTS.
ONE OF THE CONCERNS THAT WE'VE
HEARD FROM.
ADVOCATES IN THE COMMUNITY IS
THAT WITHIN THE THE AREAS WHERE
WE CAN DO ADJUSTMENTS ON IN
RATES UNDER A HEALTH AND SAFETY
AS AN EXAMPLE. MAKING SURE THAT
IN THE INSTANCES WHEN THERE'S AN
INDIVIDUAL THAT'S IN NEED OF
SOMETHING UNDER URGENT NEED.
BUT OUR PROCESS IT'S BEEN PRETTY
ONEROUS
SO OVER THE LAST SEVERAL MONTHS
WE'VE MET WITH.
ARE WITH ADVOCATES AND
STAKEHOLDERS TO SAY OKAY HOW DO
WE HELP.
STREAMLINE THIS PROCESS SO IN
THOSE INSTANCES WHEN THOSE
PRESSURES ARE IMPACTING THE
HEALTH AND SAFETY OF INDIVIDUALS
AGAIN PRIORITIZING TAKEN A LOOK
AT A PARTICULAR.
URGENT NEED.
ORGAN TO BE I'M RELEASING SOME
DIRECTIVES TO THE REGIONAL
CENTERS AND THAT'S GOING TO BE
AVAILABLE TO SAY OKAY HERE'S A
WAY TO STREAMLINE AND HAVE
ASSURANCE THAT WE'RE GONNA BE
ABLE TO. RESPOND QUICKER SO WE
CAN REALLY MAKE SURE THAT WE CAN
ADDRESS SOME OF THOSE ISSUES SO
AGAIN WHILE WE MAY NOT BE
ADDRESSING EVERYTHING YOU KNOW
AND AND.
THE PROPOSALS BUT WE ARE MAKING
SURE THAT WE CONTINUE TO HEAR
YOUR CONCERNS HERE THE
COMMUNITY'S CONCERNS ADVOCATES
CONCERNS.
AND.
WORK THROUGH IN THE AREAS WHERE
WE CAN AND AND LOOK FORWARD TO
THOSE CONVERSATIONS IN THE SHORT
MONTHS AHEAD AS WELL.
I APPRECIATE YOUR ANSWERS AT THE
CONCERN I HAVE IS THAT WE'RE
GOING TO GO GET ANOTHER YEAR. I
WOULD HIS NAME RATE SCHEDULES
WHICH MEANS THAT.
LESS SERVICES ARE GOING TO BE
pLEVEL. I I DON'T KNOW WHAT THE
SOLUTION WOULD BE A.
THE I DON'T KNOW IF WE.
WE CREATE A.
A TEMPER SEND BUFFER FUND YOU
KNOW AND.
AS A RESULT OF THAT STUDY COME
AND THAT WE ARE WE'VE GOT MONEY
SET ASIDE IMMEDIATELY TO PICK UP
THOSE RATES SO THAT WE CAN
BEGIN.
ENHANCING AND EXPANDING THE
SERVICES AND THEN IF YOU CAN NOW
ALSO ALLUDE TO THE THE UNIFORM
HOLIDAY SCHEDULE OBVIOUSLY ISN'T
SOMETHING STEVE IT ANYMORE. OF I
THINK PETE GIVEN ENOUGH I THINK
IT'S TIME TO RESTORE THEM TO
OUR.
CONTRITION HOLIDAY SCHEDULE IN
THE STATE WHY OF WHY WE CONTINUE
TO LEAN ON. ON THESE PEOPLE AND
AND WHAT I CONSIDER TO BE PRETTY
GOOD TIMES HERE IN THE STATE OF
CALIFORNIA.
YEAH THANK YOU SENATOR IT
ANSWERED A WE'VE WE'VE HEARD
FROM ADVOCATES IN WE'VE HEARD
FROM STAKEHOLDERS CERTAINLY
THROUGH THE COMMITTEES AND ALSO
IN A DIFFERENT MEETINGS THAT
WE'VE HAD.
THAT THIS IS IS IS A PROPOSAL
OR YOU DON'T REINSTITUTING
REINSTATING THE HOLIDAY SCHEDULE
WAS NOT.
A POPULAR DECISION YOU KNOW
WHILE WE HAVE MOVED FORWARD
WITHOUT BECAUSE IT IS IN STATUTE
WE'VE GONE AHEAD AND MOVE
FORWARD WITH IT. AGAIN
UNDERSTANDING THE AREAS
PRIORITIES WERE ROOM WERE HAVING
TO ADDRESS.
SO WE WEEK WE HEAR THE CONCERNS
WE'VE WE'VE HAD TO ALSO MAKE THE
DECISIONS THAT WE NEED TO TURN
TO MAKE YOU KNOW IN THE
PROPOSALS. WE RECOGNIZE THAT
BEFORE ON THE COMMITTEES IS IS
THAT QUESTION WE'VE WE'VE HEARD
THOSE CONCERNS AND AND WE
UNDERSTAND THAT IT'S IT'S ONE
OF.
OF MANY AREAS AND IT DOESN'T GO
UNDER IN DEAF EARS BUT.
YOU KNOW WHAT THE PROPOSAL THAT
WE'VE BEEN ABLE WE PUT FORWARD
DOES INCLUDE INSTITUTING THAT.
THE UNIFORMED HOLIDAY SCHEDULE.
IF IT DOES GO UNDER DEAF EARS OF
IS NOT MITIGATED AND SO MY
CONCERN IS IS NOT MEDICAID.
SO WHAT IS THE COST.
.
FOR THE UNIFORM HOLIDAYS OR WHAT
IS A SAVINGS TO THE STATE.
ON THE BACKS OF SOME OF OUR.
.
OUR PROVIDERS.
THAT WE CAN.
MISTER DOYLE HAS GONE STOOD AT
THE PROJECT AND SO WE COULD TAKE
A LOOK AT. SO WITH THE.
ADDITIONAL ON DAYS AND WHAT
THAT IMPACT IS WILL GO AHEAD
WALKING THROUGH THAT.
SO THE ARM.
TOTAL SAVINGS THAT WE'RE
PROJECTING ON THIS IS A.
THIRTY TWO POINT TWO MILLION AND
HAVE THAT NINETEEN POINT FIVE
MILLION IS GENERAL FUND.
.
AND WE'VE ALSO BROKEN IT DOWN
IN.
TO TO LOOK AT IT IN DIFFERENT
WAYS WE KNOW THAT. UPON.
YOU KNOW IT IT WOULD LOOK BETTER
ON A DAY BY DAY BASIS AND IF. WE
ESTIMATE THAT.
ONE DAY EQUATES TO ABOUT EIGHT
POINT ONE MILLION DOLLARS TOTAL
FUNDS.
AND FOUR POINT NINE MILLION
DOLLARS GENERAL FUND.
OKAY
SO.
NOT AN INSIGNIFICANT AMOUNT OF
MONEY BUT IN THE INC AND AND.
RELATIVITY TO OUR.
HUGE.
STATE BUDGET.
IT'S SMALL CHANGE.
AND SO.
.
MISTER CHAIR I DON'T KNOW HOW
YOU FEEL ABOUT IT BUT.
.
AS WE GO THROUGH OUR.
VOTES ONLY A PORTION OF.
ARE.
OBLIGATIONS HERE AND THE NEXT
DAY OR TWO IT WOULD BE NICE TO
HAVE.
UNTIE A LINE ITEM TO.
YOU SUPPORTER NOT SUPPORT THE
UNIFOM HOLIDAY.
I BELIEVE WE'LL BE DOING THAT
LARA FOR IT. CRUCIATE BENEFIT
PRITCHETT THE ANSWERS.
RIGHT WELL IN A THANK YOU SO
MUCH FOR YOUR PRESENTATION OF
MAYBE IT JUST.
AND LIVES ON THE COMMENTS YOU
JUST OR STEP BACK AND I'D STIR.
NOTE I THINK THAT IF WE HAVE
THE OPPORTUNITY IN FORTUNE.
THIS YOUR TO SAY THAT YOU HAVE
A GROWING ECONOMY CALIFORNIA IS.
.
I'VE BEEN VERY SUCCESSFUL OUR
CALVET ECONOMIES GOING FASTER
THAN MOST THE REST THE COUNTRY
EMPLOYMENT GOING UP.
WE ALSO HAVE A CHALLENGE IN OUR
STATE BUDGET WHICH WE ARE VERY
DEPENDENT ON THE ACTUALLY THE
HIGHEST EARNERS.
SO WE HAVE A PROGRESSIVE TAX
SYSTEM WHICH IS SOCIALLY JUST IN
MANY WAYS BUT ALSO MAKES US MUCH
MORE VULNERABLE TO THOSE SWINGS.
AND APPRECIATE THAT US WE'RE
LOOKING AT THE LARGER BUDGET
THAT.
IT WE NEED TO BE SURE WE ALSO
HAVE THE.
RESERVES IN PLACE SO THAT WE
DON'T.
DO WHAT WE HAD.
TO DO TO SO MANY PROVIDERS
INCLUDING IN THE DD COMMUNITY
DURING THE RECESSION THAT WE DO
WITH THE AND THERE WILL BE
ANOTHER RECESSION HOPEFULLY NOT
AS BAD AS THE ONE WE HAD
PREVIOUSLY.
SO WELL WE WANT TO BE WELL
POSITIONED TO NOT HAVE TO.
BUT SERVICES AT THE AT AT THAT
TIME I SO WANNA MAKE NOTE THAT.
APPRECIATE THE FACT THAT THE
VOTERS VOTED FOR PROPOSITION
FIFTY FIVE WHICH ARE PROVIDED IN
YOU KNOW INCREASE TAXES ON THE
HIGHEST EARNERS.
TO HELP FUND THE STATE SERVICE
INCLUDING EDUCATION.
PASSED PROP FIFTY SIX TO HELP
FUND HEALTHCARE.
AND MANY OF US ARE OUT THERE.
THEN.
TALKING YOU KNOW COMMUNICATING
WITH VOTERS ABOUT THE IMPORTANCE
PROVIDE THE SERVICES.
AND.
SO.
DON'T THAT'S THAT'S ANOTHER
PART OF IT TO IGNORES TO HAVE
THE RESOURCES TO BE ABLE TO
PROVIDE TO OUR. PEOPLE AND THEN
THINK ABOUT HOW DO WE STRIKE THE
RIGHT YOU KNOW BALANCE IN TERMS
OF BEING SURE WE HAVE THE
RESERVES TO. SUSTAIN US THROUGH
THE MAIL MORE DIFFICULT TIMES.
WELL WE HAVE TO REALLY GOOD
TIMES AS WELL IF WE SPEND IT ALL
NOW AND I THINK PEOPLE JUSTLY.
CRITICIZE THE THE LEGISLATURE
PASSED LEGISLATURE'S FOR DOING
THAT
SO.
BUT.
CERTAINLY WE WANNA TRY TO MAKE
THE INVESTMENTS THAT WE CAN TO
HELP THE. FAMILIES ARE MOST IN
NEED AND CERTAINLY.
THIS IS.
THE DE COMMITTEES A ONE THAT.
NEED SUPPORT AND WE APPRECIATE
THE WORK OF THE DEPARTMENTS AND
THE ADMINISTRATION BUT NOW WE
ALSO HAVE OUR OWN IDEAS TO AND.
.
WE'LL BE SHARING SOME OF THOSE
WITH YOU.
AT FOR NOW ONLY DURING A
PREVIOUS HEARINGS BUT TOMORROW
WE AS WE CRAFT OUR BUDGET FOR.
THE STATE SENATE SO THANK YOU
SO MUCH FOR YOUR PRESENTATION.
YOU KNOW I THINK WITH THAT WE'VE
COMPLETED OUR AGENDA FOR.
THIS HEARING SO.
Y. THANK ALL THE PARTICIPANTS
AND THANKS TO EVERYONE WHO CAME
HERE AND SO.
DOWN THE HEARING OF THE SENATE
BUDGET FISCAL REVIEWS OF
COMMUNITARIAN HEALTH AND HUMAN
SERVICES IS NOW ADJOURNED THANK
YOU