ON HEALTH A WELCOME EVERYONE
HERE --
BEFORE WE BEGIN I FIRST OF ALL I
JUST WANT TO ACKNOWLEDGE AND
THANK --
CENTER HERNANDEZ WHO HAS SHARED
THIS COMMITTEE --
FOR QUITE A BILLIONS BEEN A TRUE
LEADER AND HEALTHCARE FOR
CALIFORNIA FOR THE LAST TWO
YEARS AND WHAT THANK HIM SO MUCH
FOR HIS SERVICE --
AS CHAIR AND I KNOW HE'S GOING
TO BE CONTINUING AS A MEMBER OF
THIS COMMITTEE AS WELL AND I
EXPRESSED CERTAINLY MY OWN
PERSONAL GRATITUDE TO HIM.
AND HIM I THANK HIM FOR HIS
LEADERSHIP VALLEY THIS COMMITTEE
BUT HIS --
ADVOCACY FOR FOR THE PEOPLE
CALIFORNIA'S THE CHAIR OF THE
HEALTH COMMITTEE --
SO TODAY TODAY'S HEARING WE HAVE
AYE EIGHTEEN ITEMS ON OUR AGENDA --
ITEM NUMBER ONE EIGHTY FIVE
NINETY FIVE HAS BEEN PUT OVER
UNTIL THE NEXT HEARING ON JUNE
TWENTIETH TWENTY EIGHTEEN WE
ALSO HAVE FOUR ITEMS ON CONSENT
THOSE ARE ITEMS NUMBER TWO AB.
SEVENTEEN SIXTY SIX ITEM NUMBER
SIX AB TWENTY EIGHTY EIGHT ITEM
NUMBER SEVEN AB TWENTY NINE NINE
ITEM NUMBER FIFTEEN AB.
TWENTY SEVEN FIFTY SO --
WITH THAT --
WE'RE OF COURSE GOING TO
CONTINUE OUR CURRENT COMMITTEE
RULES IN GENERAL --
WE WILL POINT HERE --
SUPPORTING AND OPPOSING
TESTIMONY WEASK IF YOU TRY TO
KEEP THE COLLECTIVE TESTIMONY TO
SIX MINUTES PER SIDE OF BE
APPRECIATED WE CERTAINLY.
DO WANT TO HAVE A FULL
DISCUSSION BUT JUST TO KEEP IN
MIND -- OF
OUR TIME CONSTRAINTS AS WELL SO
WITH THAT I FIRST WANT TO CALL
UP THE ASSEMBLY MEMBER SALAS
WHO'S -- WHO
HAD A LEVY OF THREE BILLS
PRESENT AND I LOVE TO PLAY TO
TAKE THEM IN ORDER IS THERE AND
FILE?
OKAY ALRIGHT SO WE'LL START OFF
WITH ITEM NUMBER THREE AB
SEVENTEEN EIGHTY SEVEN WELCOME.
THANK YOU AND CONGRATULATIONS
AND THANK YOUS YOU SHARE
APPRECIATE --
WORKING WITH YOU OFFER.
NOW HOW MANY YEARS SPEND NOW.
BUT LIBBY PRESENTS ON ASSEMBLY
BILL SEVENTEEN EIGHTY SEVEN
WOULD HELP IMPROVE ACCURACY IN
VALLEY FEVER DATA.
BY SETTING ANNUAL DEADLINE FOR
CITY PH TO AGGREGATE CASES A
VALLEY FEVER REQUIRE CITY PH TO
NOTIFY LOCAL HEALTH DEPARTMENTS.
ABOUT THE REMOVAL OF DISCREPANT
DATA AND REQUIRE CASES REPORTED
AFTER THE DEADLINE TO BE COUNTED
IN ATTRIBUTED TO THE YEAR IN
WHICH THEY WERE DIAGNOSED --
VALLEY FEVER CASES OF REACHED
IT'LL HAVE REACHED RECORD TOTALS.
I MEAN WE'VE SEEN A HUGE SPIKE
IN CALIFORNIA SINCE.
TWENTY SIXTEEN A PRELIMINARY
DATA FOR TWENTY SEVENTEEN
INDICATES THAT THE CASE TOTAL
WILL BE EVEN HIGHER.
MOREOVER THE CENTER. FOR FOR
DISEASE.
FOR CENTERS FOR DISEASE FOR
CONTROL PREVENTION CDC REPORTS A
HUNDRED AND FIFTY THOUSAND CASES
OF VALLEY FEVER GO UNREPORTED
EVERY SINGLE YEAR. HUNDRED AND
FIFTY THOUSAND CASES GO
UNREPORTED EVERY SINGLE YEAR AND
FAXES THERE'S REPORTS OF EVEN
INDICATE THAT 6% OF THE PEOPLE
HAVE VALLEY FEVER.
DON'T EVEN KNOW THAT THEY EVEN
HAVE IT AND SO WERE TRYING TO DO
IS WE'RE MAKING SURE THAT WE CAN
DO SOMETHING AND STATUTES TO
CORRECT THIS INEQUITY IN THE
NUMBERS IT'S ACTUALLY BEING --
PORTRAYED SO WITH THAT RESPECT
WE HAVE SOME WITNESSES THAT CAN.
THAT THE CONTEST FIVE PER THE
PURVIEW OF THE CHECK.
WELL THANK YOU OUT WITH IS A
SUPPORT.
THANK YOU MY NAME IS ROB PURDY I
AM A KERN COUNTY LIFELONG
RESIDENT.
AND I AM SURVIVING CURRENTLY THE
MENINGITIS FORM OF VALLEY FEVER.
I WAS DIAGNOSED ABOUT SIX YEARS
AGO -- WENT
INTO HOSPITAL PRESENTING WAS
SIMPLY A HEADACHE --
AFTER A COUPLE TRIPS TO THE
DOCTOR A COUPLE INCORRECT
DIAGNOSES.
I RECEIVED A CRACK DIAGNOSIS
SPENT SIX WEEKS IN THE HOSPITAL.
RECOVERING --
SPENT SIX MONTHS AT HOME
RECOVERING SPENT ANOTHER WEEK IN
THE HOSPITAL BECAUSE THE DRUGS
WERE WORKING.
AND I WENT ON THAT ROLLER
COASTER FOR A COUPLE YEARS I AM
I AM VERY HAPPY TO SAY NOW THAT
[inaudible]
I'M MY CONDITIONS VERY WELL
CONTROLLED AND I WAS VERY
BLESSED TO BE.
TREATED BY SOME OF THE BEST
DOCTORS IN THE WORLD --
TWO SINCE I BECAME WELL ENOUGH
I'VE BEEN ACTIVELY WORKING
INCREASE AWARENESS RESOURCES FOR
VALLEY FEVER. EIGHTEEN MONTHS
AGO I JOIN THE BOARD DEVELOP
REMARKS FOUNDATION I CURRENTLY
SERVE AS VICE PRESIDENT AL GORE --
WE ARE AN ALL VOLUNTEER
FOUNDATION THAT EVOLVED OUT OF
ROTARY INTERNATIONAL AND THEIR
VALLEY FEVER VACCINE PROJECT.
AB SEVENTEEN EIGHTY SEVEN
PROVIDES A STRAIGHT FOR
CLARIFICATION OF A SHORTCOMING
IN THE CURRENT SYSTEM.
CURRENTLY THE STATE TAKES A CUT
OFF DATE FOR VALLEY FEW
REPORTING EACH YEAR.
TODAY CAN AND HAS CHANGED BASED
ON MANY VARIABLES.
ANY CASES CONFIRMED OR AFTER
THAT DATE DO NOT COUNT FOR THE
PREVIOUS YEAR
THIS THING HIGHLIGHTS A LARGER
PROBLEM WHICH IS WHEN DO THEY
GET COUNTED.
THE SHORTER ANSWERS THEY DON'T.
THE COUNTIES MAKE COUNT THEM BUT
IF THEY DO NOT MEET THE STATE
CRITERIA THE CANNOT BE REPORTED.
THIS ALSO THAT INCREASES THE
DISCREPANCY BETWEEN THE STATE
AND COUNTY NUMBERS.
WHICH THEN REDUCES THE PERCEIVED
VALUE OF THESE NUMBERS AB
SEVENTEEN EIGHTY SEVEN ALSO
IMPROVE THE FLOW OF INFORMATION
BETWEEN THE STATE AND THE
COUNTIES.
BY REQUIRING THE CHANGES MADE TO
THE NUMBERS REPORTED BY THE
COUNTIES.
BE COMMUNICATED BACK TO THE
COUNTIES.
THE GREATER THE VARIANCE BETWEEN
STATE AND COUNTY NUMBER CELESTE
WAIT ATTENTION THEY WILL BE
GIVEN.
WHEN THIS BODY OR ANY ENTITY
REVIEWS ACCURATE NUMBERS BEGIN
WITH CLEAR GUIDELINES AND THAT
IS WHAT AB SEVENTEEN EIGHTY
SEVEN STRIVE TO CREATE?
THAT IS WHY I AND THE VALUE
REMARKS FOUNDATION ARE ASKING
THE COMMITTEE FOR AN AYE VOTE ON
THIS BILL [inaudible]
THANK YOU.
BUT THE NEXT WITNESS.
OKAY ALRIGHT --
OTHER WITNESSES AT THE
MICROPHONE.
IF MISSION SUPPORT CHAIRMAN OF
THE MARITAL YOUR SHUTTER IT'S
REALLY HAVE THE KERN COUNTY
BOARDS TO RISE VERY GRAVELY
SETTLEMENT FOR THIS THESE BILLS
AND ALSO THE WORK IN THE BUDGET.
UP TO ADDRESS THIS ISSUE THANK
YOU URGENT AYE VOTE.
THANK YOU.
NOT SEEN OWN ELSE IN SUPPORT AND
THE WITNESSES OPPOSITION
[inaudible]
ALRIGHT
.
I'M IS A CHAIR MEMBERS OUT MY
NAME IS BRANDON ROBERTSON
SPEAKING ON BEHALF OF THE HEALTH
OFFICER'S ASSOCIATION OF
CALIFORNIA WHICH REPRESENTS THE
POSITION HELP OFFICERS OF
CALIFORNIA SIXTY ONE SITTING
COUNTY LOCAL HEALTH DEPARTMENTS.
THE HELP OFFICERS WORK EVERYDAY
TO PREVENT TREAT AND TRACK
VALLEY FEVER --
WE SHARE THE AUTHOR'S CONCERN
ABOUT THIS DANGEROUS DISEASE BUT
WE WAS MUCH RESPECTFULLY OPPOSE
AB --
SEVENTEEN EIGHTY SEVEN THE BILL
WOULD NEEDLESSLY DISTINGUISH
VALLEY FEVER FROM REPORTABLE
DISEASES IN STATUTE --
AB SEVENTEEN EIGHTY SEVEN IS
UNNECESSARY BECAUSE CDP'S
ALREADY HAS THE AUTHORITY TO
MODIFY SURVEILLANCE REQUIREMENTS
THROUGH REGULATION.
HELP OFFICERS CAUTION AGAINST
ADMITTING PUBLIC EALTH
RESPONSES TO REPORTABLE DISEASES
IN STATUTE.
EVEN IF THE PRESCRIBED ACTION
YEARS CURRENT PRACTICE --
EMERGING SITUATIONS AND
ADVANCEMENTS IN SCIENCE TO
REQUIRE CHANGES TO DISEASE
REPORTING PROTOCOLS.
STATUTES ARE NOT NIMBLE TOOLS.
ARE ACCOMMODATING NEW
DEVELOPMENTS.
UNDER CURRENT LAW CLINICIANS ARE
REQUIRED TO REPORT CASES VALLEY
FEVER ALONG WITH CLOSE TO NINETY
OTHER DISEASES TO THE LOCAL
HEALTH OFFICER.
A LOCAL HELP OFFICERS NOTIFY CDP
AGE OF ALL VALLEY FEVER CASES AT
LEAST WEEKLY.
DISEASE REPORTING IS ONGOING.
SCDP H. REGULARLY MAKES UP THE
ACCOUNTS AVAILABLE FOR SUSPECT
PROBABLE AND CONFIRMED VALLEY
FEVER CASES.
A TO CLOSE MASSIVELY THIS BILL
IS PREMATURE IN COLLABORATION
WITH LOCAL HEALTH DEPARTMENTS
GDP JUST CONVENE TO WORK GROUP --
TO DEVELOP RECOMMENDATIONS TO
IMPROVE VALLEY FEVER
SURVEILLANCE.
IF THE WORK GROUP RECOMMENDS --
YOU HAS RECOMMENDATIONS TO
IMPROVE ALEX YOU FOR
SURVEILLANCE OF THE WORKGROUP
CAN RECOMMEND SCDP H. RESPONDED
THE PROPER REGULATORY ACTION.
AND WE WOULD BE IN SUPPORT OF
THEIR EXPERT RECOMMENDATIONS BUT
TELLING HOW ACT RESPECTFULLY I'M
MAINTAINS A POST POSITION THANK
YOU.
OKAY THANK YOU ANY OTHER
WITNESSES IN OPPOSITION.
SAY NOT QUESTIONS FROM COMMITTEE
MEMBERS --
OKAY CENTER MONNING THAT'S
GENERAL EVA [inaudible]
THURMOND.
THANK YOU MISTER CHAIR I WANT TO
THANK THE AUTHOR. FOR BRINGING
THIS FORWARD AND OR IN HERE
SEVERAL BILLS RELATED TO VALLEY
FEVER -- I
JUST WANNA BE ON RECORD.
SOUTHERN MONTEREY COUNTY IS SAN
LUIS OBISPO COUNTY IN MY
DISTRICT --
OBVIOUSLY TESTS BORN.
SPORES SIR.
BELIEVE TO BE THE PRIMARY SOURCE.
FOR EXPOSURE IN ONE OF THE
PROBLEMS AND TREATMENT IN.
MONTEREY COUNTY --
IT HAS BEEN NOT PHONE.
HEALTH CARE PROVIDERS HAVE BEEN
EDUCATED IN RECOGNITION AND
MAKING AN ACCURATE EARLY
DIAGNOSIS SO.
ANYTHING WE CAN DO TO RAISE
AWARENESS 
VALLEY BUT OTHER.
PARTS OF THE STATE WOULD BE
IMPORTANT.
ON I ALSO APPRECIATE THE
CONCERNS OF THE HEALTH OFFICERS
BUT IT WOULD SEEM IF THERE'S%
ALREADY REPORTING --
THAT'S BEING DONE I DON'T SEE
HOW THIS BILL WOULD ADD.
ANY GREATER BURDEN AND MAY BE
DUPLICATIVE OF REPORTING THAT
YOU ASSERT IS ALREADY HAPPENING.
ON BUT HELP ME UNDERSTAND WHY.
JUST HAVING A THE DEADLINE FOR
LOCAL HEALTH OFFICERS TO REPORT
ALL CASES IF THEY'RE ALREADY
DOING IT.
DOESN'T SEEM LIKE IT WOULD
CREATE A GREATER BURDEN FOR ME.
THROUGH THE CHAIR.
CERTAINLY SINCE THE THE
REPORTING DEADLINE FOR LOCAL
HEALTH OFFICERS IS IS NO LONGER
SPECIFIC IN THE BILL BUT WE ARE
CONCERNED ABOUT JUST THE
DISRUPTION TO THE DISEASE
REPORTING PROCESS.
SO WE'RE AIMING TO STANDARDIZE
DISEASE REPORTING DISTINGUISHING
ONE DISEASE FROM OTHERS --
IS IS KIND OF COUNTER.
TO I I APPRECIATE THAT I DO
THINK MAYBE THE COUNTERVAILING
ARGUMENT AND NOT TO PRIORITIZE
DIFFERENT [inaudible]
NONE [inaudible]
DISEASES BUT THIS.
ONE IS OF PARTICULAR CONCERN IN
THE REGION --
REGIONS THAT WE REPRESENT AND
PUTTING A SPOTLIGHT ON IT
DOESN'T PREVENT US FROM DOING
THAT ON OTHER OUTBREAKS OF
INFECTIOUS DISEASE.
SHOULD THEY OCCUR BUT THANK YOU
ALL BE SUPPORTING THE BILL IF I
CAN COMMENT OF MISTER TERAFLOPS
OKAY AS WELL FEES I WOULD LIKE
TO AREAS.
YOU'RE THE AUTHOR SURROUNDINGS --
STATEMENTS I APPRECIATE YOUR
STATEMENTS MISTER MONNING YOU
KNOW LIKE WE SAID CDC ESTIMATES
OF UNDER FIFTY THOUSAND CASES GO
UNREPORTED EVERY YEAR.
OF THE FEW THAT ARE REPORTED AYE
WE RAN THE ANALYSIS AND THAT
GOING.
TO SEEN CASES IN MONTEREY COUNTY
IT'S ACTUALLY THERE'S REPORTED
CASES AND FIFTY OUT OF THE FIFTY
EIGHT COUNTIES SO IT'S NOT JUST
THE VALLEY.
MISS IS A CALIFORNIA PROBLEM
THAT GOES UP AND DOWN THE ENTIRE
STATE YOU MIGHT HAVE EVEN SEEN
THE ARTICLES EVEN AFTER THE
THOMAS FIRE.
IN VENTURA COUNTY HOW THEY SAW
SPIKE IN VALLEY FEVER CASES
BECAUSE OF THE FIRES IN THE SOME
THAT'S PREVALENT THROUGHOUT THE
ENTIRE STATE AND WE'RE TRYING TO
DO IS.
LET'S TRY TO GET SOME ACCURATE
NUMBERS BECAUSE WE KNOW THE NET
NUMBERS ARE INACCURATE WERE
HOPING SEVENTEEN EIGHTY SEVEN
WILL HELP US GET THOSE.
I'M ACCURATE NUMBERS YOU'VE ALSO
HEARD [inaudible]
AS FOR WE CAN BE INCLUDED AND
OTHER THINGS BUT WHEN YOU LOOK
AT THE CODE.
YOU KNOW WE DO SINGLE OUT EVERY
OTHER THINGS THINGS LIKE RABIES.
YOU KNOW THINGS LIKE HEPATITIS
C..
THINGS LIKE TUBERCULOSIS THINGS
LIKE EJB THINGS SUCH AS
PARKINSON'S AND WERE SAYING IS
BECAUSE IT AFFECTS SO MANY
PEOPLE AND THERE'S NO CURE.
NO VACCINE FOR VALLEY FEVER AS
IT EXISTS TODAY WHO WANT TO MAKE
SURE WE PROTECT THOSE
CALIFORNIANS AS AS MUCH AS WE
CAN AND THAT'S WHY WE HAVE THIS
PACKAGE TAILORED.
ARM A APPRECIATE YOUR SUPPORT
THANK YOU THAT SOUNDS LIKE A
GREAT CLOSE I'D LIKE TO MOVE THE
BILL AT THE APPROPRIATE TIME
CASTRILLO GOT FIRST ALLOW CENTER
LEYVA WHO HAD A QUESTION TO ASK
A QUESTION FIRST.
THANK YOU OUGHT TO TALK OPINION
BUT I HAVE A QUESTION IS ONE OF
THANK YOU FOR BRINGING THIS
FORWARD THIS AND THE OTHER TWO
BILLS AS WELL.
I WAS NOT AWARE OF VALLEY FEVER
AND HOW --
HOW SIGNIFICANTLY IMPACT FULL IS
TO SOMEONE WHO HASN'T UNTIL
SENATOR HERNANDEZ EYES TO CHAIR
OF HEALTH TICKETS TO BAKERSFIELD
AND WE HAD SOME --
WOMAN TESTIFIED ABOUT HER
HUSBAND AND I I THINK WHAT
PEOPLE DON'T UNDERSTAND NOT ONLY
IS IT DEVASTATING TO YOUR HEALTH
BUT YOUR WHOLE WAY OF BEING
BECAUSE YOU CAN'T WORK TO YOUR
FAMILY.
SO THE MORE AWARENESS WE CAN
BRING THE MORE THAT WE CAN DO WE
NEED TO SO THANK YOU VERY MUCH
HAVE SUPPORT ALL THREE OF BILLS
[inaudible]
WELCOME [inaudible]
OKAY.
ANY OTHER QUESTIONS FROM
COMMITTEE MEMBERS --
I WOULD JUST ALSO SAY THAT --
I'M YOU WANT TO THANK YOU --
FOR RAISING THE ISSUE ON VALLEY
FEVER I KNOW THAT --
WE'VE WORKED NOT ONLY OF COURSE
HERE UP BICU PRISON THIS BILL
WILL BE HERE IN TWO OTHER BILLS
BUT ALSO IN TERMS TRYING GETS
MORE RESOURCES AS WELL --
AYE APPRECIATE THE CONCERN THE
HEALTH OFFICERS --
BUT I DO THINK THAT YOU KNOW
PART OF THE ROLE OF THE
LEGISLATURE AND WE'RE HEARING
FROM CONSTITUENTS AND THE PEOPLE
SAYING THAT.
WE NEED TO WHO THEY WANT TO SEE --
YOU KNOW --
MORE EMPHASIS GIVEN --
BY WHAT WE'RE DOING SO CLEARLY
IF THERE ARE SOME ISSUES IN THE
FUTURE IN WHICH THE CODE MAY
NEED TO BE ADJUSTED.
THAT'S WHY WE'RE HERE --
YOU KNOW --
DEBTS WE WANNA BE SURE WE BUT I
THINK THAT IT'S ALSO IMPORTANT
THAT -- THAT
WE ACT --
AND AND AND AND SEND A SIGNAL --
WITH THIS BILL TO SAY TO
EMPHASIZE THAT.
NOW THIS ONE IS IT IS IT IS
IMPORTANT TO US SO I APPRECIATE
THAT SO WITH THAT.
UNFORTUNATELY DO NOT HAVE A
QUORUM YET SO UNTIL WE GET A
QUORUM --
WILL THEN WILL BRING UP THE ROLE --
SO WHEN WE GO AHEAD AND HAVE YOU
NOW PRESENT --
ITEM NUMBER.
MISTER CHAIR IF WE COULD MOVE --
TO ASSEMBLY BILL SEVENTEEN
NINETY BECAUSE I LOOK AT IT WILL
GO AHEAD OKAY SO WE'LL MOVE --
YET SO LET'S GO AHEAD WITH ITEM
NUMBER FIVE THEN AB.
SEVENTEEN NINETY THANK YOU*
SHARON THANK YOU FOR THE
INDULGENCE UNDER [inaudible]
BUT THE RIGHT TO SHELVE.
BURT'S ASSEMBLY BILL SEVENTEEN
NINETY WOULD REQUIRE THE
DEPARTMENT.
SEARCH TO MAKE AVAILABLE
PROTOCOLS AND GUIDELINES BASED
ON MOST RECENT SCIENTIFIC
MEDICAL EDUCATION ON VALLEY
FEVER NETSCAPE POSITIONS.
AND OTHER HEALTHCARE PROVIDERS
ON THE CAUSES OF THE DISEASE
TRANSMISSIONS DIAGNOSIS
SURVEILLANCE ATTRIBUTE Y. THINGS
THAT WERE.
THAT WERE OUT THAT WE'RE FINDING
IS.
PEOPLE ARE BEING CORRECTLY
DIAGNOSED WE'LL WANT TO DO IS WE
WANT TO MAKE SURE THAT DOCTORS
UNDERSTAND --
WHAT VALLEY FEVER IS UNDERSTAND
HOW TO DIAGNOSE IT SO THAT FOLKS
ARE GOING THROUGH?
NEEDLESS ROUNDS OF ANTIBIOTICS
ARE NOT EFFECTIVE AND SOMEONE IT
IS WE WE TRY TO CRAFT SOMETHING
VERY NARROWLY. TO TO EDUCATE
HEALTHCARE PROFESSIONALS AND
DOCTORS SO WE CAN DIAGNOSE
PEOPLE CORRECTLY AS I MOVE
FORWARD AND I KNOW MY I JOIN
AUTHOR HAS.
A VERY PERSONAL A CONNECTION TO
THE US.
IF THROUGH THE CHAIR.
MISTER CHAIR THANK YOU VERY MUCH
AND ALSO TO MEMBERS OF THE
COMMITTEE SENATORS --
I AM HERE TO SHOW SUPPORT --
WITH MY COLLEAGUE AB --
SEVENTEEN NINETY SIMPLY BECAUSE
IT WAS A FEW DECADES AGO THAT I
I SUFFERED FROM VALLEY FEVER.
AND WAS IN THE WONDERFUL TIME TO
BAKERSFIELD IS MY AFFECT.
A BUT I DID SUFFER FROM IT AND
THE THE BOTHERING THING WAS.
AND HELP I WAS MISDIAGNOSED.
AND OTHER TREATMENT THAT I
RECEIVED WAS ACTUALLY NOT
EFFECTIVE TOWARD IT AND IT
WASN'T UNTIL A NURSE --
HAD LOOKED AT ME AND OBSERVED
AND INSTANTLY FOR WHATEVER
REASON SHE KNEW.
SHE JUST CALLED IT RIGHT OUT
SAID YOU HAVE BALLOT FEVER AND
ONCE THAT WAS DIAGNOSED
CORRECTLY THAN THEY WERE ABLE TO
PUT ME ON THE RIGHT TRACK TO
REGAINING HEALTH AS QUICKLY AS I
COULD SO I'M JUST HERE TO
EXPRESS MY SUPPORT.
WITHOUT [inaudible]
IF YOU.
OKAY SO.
THEY'RE COMPLETELY.
ALRIGHT BOTH TO HEAR WHAT IF YOU
CAN FOR YOUR TEST Y. THEM
WITNESSES FORT YES THANK YOU.
MY NAME IS ANDREW BLACKSHEAR AND
IN TWO THOUSAND SIXTEEN I
STARTED HAVING CHEST PAINS AND
TROUBLE BREATHING --
COLLAPSE THAT WORK AND SO I WENT
TO AN URGENT CARE AND WAS
MISDIAGNOSIS THOUGHT I HAVE
ASTHMA.
AND WE DIDN'T BOTHER TO TAKE SSX
VERY --
NOTHING WAS TALKED ABOUT ABOUT
VALLEY FEVER AT ALL --
SO WHAT ENDED UP HAPPENING IS I
GOT TO OPEN HEART SURGERIES OVER
THE COURSE OF THE NEXT YEAR --
TRYING TO FIGURE OUT WHAT WAS
GOING ON I WAS JUST BEING
TREATED AS A HEART PATIENT THEY
HAD NO IDEA ABOUT ANY FUNGAL
INFECTION AT AL THROUGHOUT MY
WHOLE TREATMENT SO.
A YEAR AND A HALF LATER AFTER I
RECEIVE A FULL PARA CARDIAC TO
ME WHICH A REMOVAL OF MY
PERICARDIUM --
IN THAT HOSPITAL THEY FOUND
ANTIBODIES IN MY BLOOD.
SO LUCKILY MY IMMUNE SYSTEM YOU
KNOW TOOK CARE OF IT BUT AT THE
SAME TIME IT WAS NOT DIAGNOSED
AND THAT'S A PROBLEM.
AND I THINK THAT --
THIS BILL.
KATE IT JUST BEING AWARE OF THE
OF THESE THINGS IN THESE REGIONS
IS IS A GREAT THING AND I
SUPPORT THAT.
THANK YOU OTHER WITNESSES IN
SUPPORT.
GOOD AFTERNOON.
THAT AFTERNOON MISTER CHAIRMAN
MEMBERS COUNTY DELGADO WITH A
CALIFORNIA HOSPITAL ASSOCIATION
PLEASED TO BE HERE IN SUPPORT.
WELL GOOD EVENING MY NAME IS
BRIAN I'M A LOCAL YOUTH GROUP IN
THE LAND CALIFORNIA AND WE HAD
SUPPORT.
BRENDA ROBERTS OF HEALTH
OFFICERS ASSOCIATION OF
CALIFORNIA WE WERE IN OPPOSITION
TO THE BILL BUT AFTER TODAY'S
AMENDMENTS WE'D LIKE.
TO THANK THE COMMITTEE FOR THE
WORK THINK THE AUTHOR AGAIN FOR
THEIR WORK AS WELL AND WOULD
LIKE TO MOVE OPPOSITION THANK
YOU.
AND AND JUST TO CLARIFY OUNCES
UNITS IN YOUR STATEMENT YOU ARE
ACCEPTING THE AMENDMENTS
COMMITTEE.
YES I THINK WE WORKED OUT THE
POT AS LONG AS A POLICY STILL
STAYS IN WHICH WERE TRYING TO DO
I THINK THAT JUST THAT WORKED
OUT FOR EQUITY.
YEAH SOME OKAY SO YOU'RE
ACCEPTING THEM THAT'S COMING UP.
PRETTY GOOD SMUGGLER OKAY ABOUT
ANY WITNESSES IN OPPOSITION AND
PACING ON QUESTION FOR COMMITTEE
MEMBERS.
ALRIGHT SAY NINE AGAIN I WILL
THANK YOU SO MUCH FOR WORKING
WITH THEIR COMMITTEE AND AND AND
TAKING THEM AND MANSON AGAIN.
I APPRECIATE YOUR YOUR
CHAMPIONING AND I THINK YOU
SWELLED --
FOR AS IMMIGRATION FOR BEING
HERE TESTIFYING AS WELL OKAY SO
LET'S AGAIN WE STILL HAVE A
QUORUM YET SO WE GET A QUORUM WE
WILL THEN.
FEEL THE CALL THE ROLL PASSED SO
LET'S MOVE ON TO ITEM NUMBER
FOUR AB.
SEVENTEEN EIGHTY EIGHT THE IT
WAS SHARON --
BELIEVE THIS MEASURE ALSO HAS
AMENDMENTS THAT WILL BE
ACCEPTING.
THANK YOU FOR AB SEVENTEEN IT
WOULD ALLOW THE CALIFORNIA FARM
REPUBLIC HEALTH CONFIRMED CASES
VALLEY FEVER USING A POSITIVE
LAB TEST WITH.
OR WITHOUT THE CLINICAL CRITERIA
WE'VE SEEN OTHER STATES MOVE TO
THIS MODEL AND PARTICULARLY THE
STATE OF ARIZONA WHICH HAS A
HIGH LOOK AMOUNT OF VALLEY FEVER
CASES WHILE I'VE MOVED TO THIS --
MODEL WHERE THEY COUNT VALLEY
FEVER CASES A SOON AS I GET A
POSITIVE LAB TEST.
AND IN THE STATE OF ARIZONA WHAT
WE'VE SEEN IS A 97% ACCURACY
MOVING TO THIS ACTUAL MODEL.
SO WANT TO DO IS WE WANT TO MAKE
SURE ONCE AGAIN TRYING TO GET AT
CASES UNDER UNDER REPORTED.
AND TRY TO SHOW THAT WE NEED TO
DEDICATE WE CALIFORNIA THIS IS A
THAT TEMPT. TO MOVE IN THAT
DIRECTION AND RESPECTFULLY ASK
FOR LIBEL FOR AB.
SEVENTEEN EIGHTY EIGHT THANK YOU
WITNESSES SUPPORT.
AGAIN MY NAME IS ROB PRETTY WITH
DEVELOP YOUR AMERICA'S
FOUNDATION I'M HERE TODAY IN
SUPPORT OF AB.
SEVENTEEN EIGHTY EIGHT WHICH
WOULD REMOVE THE CLINICAL
CONFIRMATION REQUIREMENT FOR
ACCOUNTABLE DIAGNOSIS OF VALLEY
FEVER.
CURRENTLY THE STATE REQUIRES ALL
OF TO REPORT POSITIVE VALLEY
FEVER TESTS BUT ONLY COUNSEL'S
CASES THAT HAVE A CLINICAL
CONFIRMATION WITH THE TESTS.
REMOVING THE CLERK WHO
CONFIRMATION WILL ACTUALLY
INCREASE THE ACCURACY OF THE
CASE COUNT VALLEY FEVER.
IN TWO THOUSAND SIXTEEN OVER 99%
OF REPORTED CASES OF VALLEY
FEVER REPORTED BY LABORATORIES.
IN THE COUNTIES MOST AFFECTED BY
VALLEY FEVER THE AMOUNT OF
FOLLOW UP NECESSARY TO CLINICAL
KEY CLINICALLY CONFIRM EVERY
VALLEY FEWER CASES
INSURMOUNTABLE.
I BELIEVE KERN COUNTY PUBLIC
HEALTH RUNS ABOUT TWENTY
THOUSAND VALLEY FEVER TESSIER.
IN THE COUNTY'S MOST AFFECTED BY
FELLOW IF YOU REALLY.
THE CLERK CONFIRMATION REQUIRES
HOURS UPON HOURS OF STAFF TIME.
IN THE COUNTIES LEAST IMPACTED
BY VALLEY FEVER THE PROBLEMS
ENTIRELY DIFFERENT.
EITHER CONVERSATION IN JANUARY
OF THIS YEAR WITH.
A FRIEND ABOUT A A COUNTY THAT
WAS REPORTING ONE CASE OF VALLEY
FEVER NORTHERN CALIFORNIA.
WHERE HE PERSONALLY WAS AWARE OF
A HALF DOZEN CASES WITHIN THAT
COUNTY?
SO CALIFORNIA HAS REQUIRED LABS
REPORT VALLEY FEVER SINCE TWO
THOUSAND TEN AND THEY DON'T
REALLY GOOD JOB OF IT.
REMOVING THE IMPEDIMENT OF
CLINICAL CONFIRMATION WILL
ACTUALLY INCREASE THE ACCURACY
AND ALLOW MORE ACCURATE COUNT OF
THOSE OF US SUFFERING WITH THIS
DISEASE. FOR THAT REASON I'M
ASKING FOR THE ARE PURE AYE VOTE.
THANK YOU OTHER WITNESSES IN
SUPPORT.
MR MEMBERS POLIO AGAIN I'LL BE
HAVE THE CURRENT COUNTY BOARD OF
SUPERVISORS IN SUPPORT OF THIS
BECAUSE WELL [inaudible]
THANK.
OTHER WITNESSES SUPPORT.
CISAR AGAIN MY NAME IS BRIAN
WHEN IN THE LOCAL YOUTH GROUP
AND TO IN CALIFORNIA WHEN
SUPPORT [inaudible]
THANK YOU.
OKAY SEEN OTHER WITH THE SPORT
WITNESSES OPPOSITION.
I MISS CHAIR MEMBERS AGAIN
BRENNAN ROBERTS AS SPEAKING
ABOUT THE HELD OFF.
WHEN YOU REPRESENT A POSITION
HEALTH OFFICERS A CALIFORNIA
SIXTY ONE SITTING COUNTY LOCAL
HEALTH DEPARTMENTS?
IN OPPOSITION AB SEVENTEEN
EIGHTY EIGHT FOR SIMILAR REASONS
STATED --
HEALTH OFFICER SHOULD SHARE
CONCERNED ABOUT.
VALLEY FEVER --
BUT THIS BILL WILL NOT PREVENT
ANY NEW CASE. EIGHTY SEVENTIETH
ICTP TO ADOPT A MODIFIED CASE
DEFINITION WHICH IS AN AUTHORITY
DEPARTMENT ALREADY HAS.
ON CD PEACH CAN MODIFY
SURVEILLANCE REQUIREMENTS
THROUGH REGULATION.
HEALTH OFFICERS ARE CONCERNED BY
NEEDLESSLY DISTINGUISHING VALLEY
FEVER FROM OTHER DISEASES
STATUTE --
FURTHER AND I IN COLLABORATION
WITH LOCAL PHARMACY PEACHES
CONVENE A WORK GROUP TO DEVELOP
RECOMMENDATIONS TO IMPROVE
VALLEY FEVER SURVEILLANCE.
IF THE WORKGROUP RECOMMEND
RECOMMENDED CDP'S CADOTTE A
MODIFIED CASE TO THAT DEFINITION
WILL SUPPORT THE RECOMMENDATION.
ON BUT WE DO NOT SUPPORT THE
CHANGES STATUTES AND ESPECIALLY
PRIOR TO EXPERT GUIDANCE THAT WE
RESPECTFULLY ASK YOU KNOW ABOUT
THANK YOU.
OKAY THANK YOU OTHER WITNESSES
IN OPPOSITION.
SEEN QUESTIONS FOR COMMITTEE
MEMBERS.
I SING NONE I JUST --
I UNDERSTAND DO YOU TAKING
AMENDMENT WHICH ACTUALLY PUTS A
FIVE YEAR SUNSET SO IT TURNS OUT
THERE ARE SOME MODIFICATIONS OF
SOME FORCE ARE.
THERE STILL THE FLEXIBILITY OF
COURSE FOR DEPARTMENT TO MAKE
ADJUSTMENTS TO THE AYE CASE
DEFINITION --
SO -- WITH
THAT -- CAN --
STILL AWAITING A QUORUM --
I WILL JUST MAKE A GENERAL
ANNOUNCEMENT --
FOR THAT TO WE ONLY HAVE ONE
MORE MEMBER NEEDS TO SHOW UP TO
GET THAT QUORUM SO WE CAN START
TO A CALLING VOTES AND WE HAVE
ARM MEMBERS ARE EAGERLY WAITING
TO HAVE THOSE INITIAL VOTES CAST.
SO I HOPEFULLY.
ONE SOMEONE CAN COME OVER HERE
HELP US DO THAT THEY'LL BE VERY
HELPFUL --
SO WITH THAT --
WE WILL TAKE UP YOUR BILLS WHEN
NOW WE HAVE A QUORUM.
I THINK IT WAS CHAIR AND CREATE
A CHU A NEAR STEPS WERE CALM ON
EACH OF THE MEASURES I THANK YOU
THANKS VERY MUCH.
THANK YOU SO MUCH SALAS.
OKAY SO NEXT MOVIE EGGMAN.
NO NOT YET.
OKAY I THINK THE NEXT ONE ON THE
FILE WHOSE HERE'S SOME MEMBER
EGGMAN.
WELCOME SO THAT'S ITEM NUMBER
NINE AB TWENTY THREE ONCE.
TWENTY THREE SIXTEEN GOOD
WELCOME NEW MEMBERS --
ELECT SOUGHT BY ACCEPTING THE
AMENDMENTS HAVE FOR THE
COMMITTEE AALYSIS FOR AB.
TWENTY THREE SIXTEEN AMBITION
RIGHTS ADVOCATES ENSURE THAT THE
CIVIL RIGHTS OF PEOPLE
EXPERIENCING MENTAL.
HEALTH ISSUES ARE PROTECTED.
BY THE REPRESENT FOLKS IN
FACILITIES AND IN THE COURT --
BUT THERE'S EEN SOME
DISCREPANCY ESPECIALLY THOSE
THAT HAVE BEEN MORE RULE AREAS
ON THE AMOUNT OF TRAINING THEY
GET AND WHAT KIND OF TRAINING
THEY GET.
US TO THIS VERY SIMPLY SETS IT
UP ABOUT TRAINING ONLINE THAT IS
AVAILABLE TO EVERYBODY SO THAT
THEY'LL BE ABLE TO HAVE THE
PROPER TRAINING THAT THEY NEED
TO BE ABLE TO ADVOCATE. FOR
THOSE MOST VULNERABLE AMONG.
ME IN SUPPORT [inaudible]
OKAY.
THANK YOU CHAIR AND OTHER
MEMBERS OF THE SENATE HEALTH
COMMITTEE FOR ALLOWING ME TO
SPEAK IN SUPPORT OF AB --
TWENTY THREE SIXTEEN INDICATOR
ASSEMBLY MEMBER EGGMAN FOR
AUTHORING THIS BILL --
MY NAME IS CA MILL JAN AND I'M
WITH THE A A CAN I ASK YOU JUST
TO HOLD SINCE YOU JUST STARTED
I'D LIKE TO ESTABLISH A QUORUM
FIRST.
IF YOU ACEKARD PLEASE CALL THE
ROLL REQUIRE AND HERE AND HERE
WHEN [inaudible]
HERNANDEZ LEYVA [inaudible]
MITCHELL.
MITCHELL HERE MONNING HERE
MONNING HERE NEWMAN.
NIELSEN.
NIELSEN HERE PROFS.
ROTH HERE.
OKAY WE NOW HAVE A QUORUM SORRY
TO INTERRUPT YOU DATA PLEASE
PLEASE CONTINUE.
I THINK YOU --
MY YOU SEE MIL JANET I'M WITH A
CALIFORNIA ASSOCIATION OF MENTAL
HEALTH PATIENTS RIGHTS ADVOCATES
WE ARE THE ASSOCIATION
REPRESENTING THAT PROFESSIONALS
WHO WOULD BE IMPACTED BY THIS
BILL.
AND WE ARE CO SPONSORS OF AB
TWENTY THREES STEEN.
A LITTLE BIT ABOUT OUR
PROFESSION STATE LAW REQUIRES
THAT EVERY COUNTY HAVE A
DESIGNATED PATIENTS RIGHTS
OFFICE AND OUR ROLE IS INTEGRAL
TO THE MENTAL HEALTH SYSTEM.
WE REPRESENT PATIENTS HELD
INVOLUNTARILY IN LEGAL
PROCEEDINGS WE RECEIVE AND
INVESTIGATE COMPLAINTS OF
ALLEGED RIGHTS VIOLATIONS.
WE PROVIDE TRAININGS FOR MENTAL
HEALTH PROVIDERS ON HOW TO SEE
COMPLAIN WITH REGULATIONS AND WE
ADVISE PATIENTS IN LOCKED
PSYCHIATRIC FACILITIES OF THEIR
LEGAL RIGHTS.
THE JOB OF A PATIENTS RIGHTS
ADVOCATE IS TO PROTECT THE CIVIL
RIGHTS OF MENTAL HEALTH
CONSUMERS.
GOAL OF OUR WORK IS TO ENSURE TO
PROCESS PRESERVE PATIENT DIGNITY
AND ULTIMATELY IMPROVE QUALITY
OF CARE.
AB TWENTY THREE SIXTEEN WOULD
IMPROVE OUR WORK BY MANDATING
TRAINING REQUIREMENTS FOR OUR
PROFESSION.
CURRENTLY THERE ARE NO MANDATED
TRAINING REQUIREMENTS FOR OUR
PROFESSION IN ADVOCATES COME
FROM A WIDE VARIETY OF
EMPLOYMENT BACKGROUNDS.
IN A RECENT SURVEY 23% OF
ADVOCATES STATED THAT THEY HAD
RECEIVED NO TRAINING AT ALL. 96%
OF ADVOCATES WITH THREE YEARS OR
LESS OF EXPERIENCE STATED THEY
DID SUPPORT MANDATED TRAINING
REQUIREMENTS.
AB TWENTY THREE SIXTEEN WOULD
INSURE ADVOCATES HAVE A BASELINE
LEVEL OF COMPETENCY TO CONDUCT
OUR IMPORTANT WORK THANK YOU.
AS A SUPPORT.
YES A GOOD AFTERNOON THANK YOU
MISTER CHAIRMAN AND MEMBERS OF
THE COMMITTEE FOR ALLOWING ME TO
SPEAK ON EXCUSING AB.
TWENTY THREE STONE MY NAME IS
STEPHANIE SHAUN I'M A MEMBER OF
THE CALIFORNIA BEHAVIORAL HEALTH
PLANNING COUNCIL AND IN THE
CHAIRPERSON OF THE PATIENT
RIGHTS COMMITTEE.
THE COUNCIL IS ALSO A CO SPONSOR
OF AB.
TWENTY THREE SIXTEEN THE PATIENT
RIGHTS COMMITTEE OF THE COUNCIL
IS MANDATED BY STATUTE AND IS TO
ADVISE ON THE POLICIES AND
PRACTICES.
THAT INFO AFFECT PATIENTS RIGHTS.
LAST YEAR ARE COMMITTEE
CONDUCTED A SURVEY OF COUNTY
PATIENT RIGHTS ADVOCATE PROGRAMS
AND WE RECEIVED A RESPONSE OF
OVER 50%.
THE SURVEY SHOWED THE PAGE
RIGHTS ADVOCATES HAVE THAT WIDE
VARIETY OF DUTIES THAT SAMI HAS
REFERRED.
TO INCLUDING LEGAL
REPRESENTATION ADMINISTRATIVE
HEARINGS FACILITY MONITORING A
COMPLAINT EFFECTS INVESTIGATION.
THE ABACUS WILL ALSO WORK IN A
VARIETY OF SETTINGS INCLUDING
RESIDENTIAL FACILITIES LOCKED
INPATIENT UNITS.
SKILLED NURSING AND CORRECTIONAL
FACILITIES.
DESPITE THIS WIDE RANGE OF
COMPLEX DUTIES IN A VARIETY OF
SETTINGS THERE ARE NO SPECIFIC
REQUIREMENTS FOR TRAINING. FOR
COUNTY MENTAL HEALTH OUTFITTED
COUNTY PATIENT RIGHTS ADVOCATES.
AND THE EMPLOYMENT BACKGROUND OF
PATIENT RIGHTS ADVOCATES IS ALSO
HIGHLY VARIED.
A ASISTIR TRAINING AT THE
ADVOCATES ARE RECEIVING MANY
COUNTY OFFICES TRAIN THEIR OWN
STAFF AND SOME OF THEM DO NOT
HAVE THE MATERIALS NECESSARY TO
DO SO.
THE CALIFORNIA OFFICE OF PATIENT
RIGHTS IS REQUIRED TO PROVIDE
TRAINING FOR COUNTY PATIENT
RIGHTS ADVOCATES HOWEVER THERE
IS NO REQUIREMENT THAT COUNTIES
ENSURE THAT THE ADVOCATES
RECEIVED THIS TRAINING.
AB TWENTY THREE SIXTEEN WOULD
FILL THIS GAP BY CREATING A
TRAINING MANDATE FOR COUNTIES
AND ADVOCATES THANK YOU.
THANK YOU OTHER WITNESSES
SUPPORT AND BACKPACK.
MISTER CHAIR PER CHILD
DISABILITY RIGHTS CALIFORNIA OUR
OFFICE OF PATIENTS RIGHTS ARE
ACTUALLY THE ORGANIZATION THAT
HAS A CONTRACT TO PROVIDE THE
TRAINING SERVICES AND WE'RE
SUPPORT.
IN SUPPORT OF THIS BILL AND JUST
LIKE TO REEMPHASIZE THAT THIS IS
NOT INTENDED TO ACTUALLY BE A
REPLACEMENT OF THE ANNUAL --
TRAINING REQUIREMENTS THAT ARE
OTHERWISE SUCCESS THANK YOU.
I THINK YOU.
OTHER WITNESSES IN SUPPORT.
NO ALL RIGHT NOW WITNESSES IN
OPPOSITION.
WELL OKAY SAYING THAT NOT SAYING
THAT I DIDN'T KNOW THAT WAS
OPPOSITION GUY QUESTIONS FOR
COMMITTEE MEMBERS.
SEEING NONE EYES SPIN BILL'S
BEEN MOVED BY SENATOR ROTH THE
MOTION WILL BE. TO PASS WITH THE
AMENDMENTS SEARCH APPROPRIATIONS
AND I THINK HE'S AS MUCH AS
ASSEMBLY RECOMMEND FOR WORKING
TO TAKE THOSE AMENDMENTS AND
APPRECIATE YOU FOR BRINGING THIS
BILL FORWARD.
US.
OF WHICH I LIKE TO CLOSE
INSPECTED JUST THINK YOU VERY
MUCH FOR THE CITRUSY FULL
BIPARTISAN SUPPORT SO FAR AND
LOOK FOR THAT CONTINUING.
AND ALSO TO POINT OUT THAT WHEN
MY WITNESSES IS ALSO
CONSTITUENTS AND WE THINK OF FOR
A LONG TIME WORKING ADVOCATING
FOR PEOPLE WITH MENTAL HEALTH
ISSUES [inaudible]
EXCELLENT WELL THANK YOU BY US
SECRETARY PLEASE CALL THE ROLL.
PAN AYE AND I WIN [inaudible]
HERNANDEZ LEYVA [inaudible]
MITCHELL [inaudible]
MITCHELL I MONNING MONNING AYE
NEWMAN.
NIELSEN.
I AYE NIELSEN AYE ROTH
[inaudible]
ROTH I OKAY SO THAT THOUGH
CURRENTLY HAS FIVE VOTES SO WILL
PUT A BILL ON CALL FOR THE OTHER
MEMBERS AS WELL [inaudible]
THANK YOU.
OKAY -- SO
WHAT WE'RE GONNA DO --
ACTUALLY --
SEVEN MATHIS.
HERE ALRIGHT SO WANT YOU COME UP
I'M GONNA OPEN THE RULES FOR THE
SALAS BILLS BUT NOW YOU'RE.
AT THE PODIUM SO EVEN SOMEONE
GETS AHEAD OF YOU YOUR NEXT SELF
ALRIGHT SO LET'S GO AHEAD AND GO
BACK --
BEFORE WE MOVE ON TO ITEM NUMBER
THIRTEEN LET'S GO AHEAD AND OPEN
THE ROLE FOR OKAY FOR ITEM
NUMBER THREE AB SEVENTEEN EIGHTY
SEVEN SALAS REPORTING VALLEY
FEVER IS OUR MOTION.
TO BUT THE BEEN MOVED BY CENTER
MINING --
SIX SECRETARY PLEASE CALL THE
ROLL.
SO ITEM NUMBER.
THREE SEVENTEEN EIGHTY SEVEN AS
A THE MOTIONS TO PASS
APPROPRIATIONS PAN AYE AYE AND I
WHEN.
HERNANDEZ LEYVA.
BUT THIS IS VALLEY FEVER BUT HE
REPLIED.
LEYVA AYE.
MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NEWMAN.
NIELSEN.
AYE AYE NIELSEN AYE ROTH.
ROTH AYE OKAY.
SO THAT BILL CURRENTLY HAS SIX
SIX ZERO WILL PUT THE BILL ON
CALL X. ITEM IS ITEM NUMBER FOUR
AB SEVENTEEN EIGHTY EIGHT BY
SALAS PUBLIC HEALTH VALLEY FEVER.
IT'S BEEN MOVED BY SENATOR ROTH
AT SECRETARY PLEASE CALL THE
ROLL THE MOTION WILL BE TO PASS
IS IMMENSE APPROPRIATIONS SECTOR
PLEASE CALL THE ROLL.
PAN AYE AYE AYE NGUYEN
[inaudible]
HERNANDEZ.
LEYVA LEYVA AYE MITCHELL.
MITCHELL AYE MONNING MONNING AYE
NEWMAN NIELSEN.
NIELSEN NO CROSS.
O..
WE'RE SWITCHING ONTO AN AYE. FOR
NIELSEN ROTH [inaudible]
ROTH I SELECT OAKLEY HAS SIX
ZERO I WILL PUT THAT THE ON CALL
AND FINALLY WE HAVE ITEM NUMBER
FIVE AB SEVENTEEN NINETY SALAS
FELL HE FOR EDUCATION EARLY
DIAGNOSIS AND TREATMENT ACT.
THE MOTION WILL BE --
TO PASS WITH THE MEN'S
APPROPRIATIONS IS OUR MOTION.
OKAY IT'S BEEN MOVED BY SENATOR
ROTH.
US SECRETARY PLEASE CALL THE
ROLL.
CAN I CAN I WIN.
HERNANDEZ LEYVA LEYVA AYE
MITCHELL AYE MITCHELL AYE
MONNING MONNING AYE NEWMAN.
NIELSEN.
NIELSEN AYE ROSS AYE BROTH AYE
THAT BILL HAS OF THOSE SIX ZERO
PUT THAT THOUGH ON BECAUSE WELL.
OKAY SO NEXT ITEM WILL MOVE ON
TO THIS ITEM NUMBER --
THIRTEEN AB TWENTY FIVE THIRTY
NINE DIED SOMEWHERE MATHIS
WELCOME. TO YOU MISTER CHAIRMAN
SENATORS --
FIRST MISTER CHAIR
CONGRATULATIONS GREAT WORKING
WITH YOU ARM ON MY BILL.
HERE BEFORE YOU TODAY --
TODAY WE ARE PRISON TEEN.
AB TWENTY FIVE THIRTY NINE A
BILL DESIGNED TO BETTER INCREASE
ACCESS.
YOU QUALITY HEALTHCARE WITHIN
OUR STATES RURAL REGIONS.
SOME OF YOU MAY REMEMBER AB ONE
FORTY EIGHT FROM LAST YEAR THIS
MEASURE EXPANDED.
UPON WITHOUT BILL --
WHICH GOT HELD UP UNFORTUNATELY
IN SENATE APPROPRIATIONS AB
TWENTY FIVE THIRTY NINE SEEKS TO
EXPAND THE NUMBER OF APPLICANTS
WHO QUALIFY FOR THE STEVEN M.
THOMPSON.
PHYSICIAN CORPSE LOAN REPAYMENT
PROGRAM.
I'D LIKE TO TAKE A MOMENT AND
ACKNOWLEDGE THERE ARE CURRENTLY
MORE APPLICANTS THAN FUNDING
AVAILABLE FOR THIS FINAL PROGRAM --
WITH HAT BEING SAID --
I'D ALSO.
WE DON'T REALLY LIKE TO ADDRESS
THAT FUNNY STORAGE IN IN FUTURE
LEGISLATION AND ANY HELP FROM
ANY MEMBER ON THIS COMMITTEE TO
DO SIDE REALLY APPRECIATE --
RETURNING TO THIS BILL CURRENT
LAW STATES THAT.
AND UNDERSERVED AREA MUST
CONSIST OF 50% MEDI CAL
BENEFICIARIES IN ORDER TO
QUALIFY FOR PLACEMENT WITHIN THE
STEVEN M. THOMPSON PROGRAM.
THIS DEFINITION HAS PREVENTED.
INVOLVEMENT OF AND PLACEMENT
WITH RURAL REGIONS WHICH OFTEN
FALL SHORT.
OF THIS THRESHOLD.
YOU ARE SUBJECT TO SEVERE HEALTH
ACCESS SHORTAGES.
THIS BILL RE.
WILL REDUCE THE MEDI CAL
THRESHOLD OUTLINED WITHIN THE
OFFICE OF STATE.
WIDE HEALTH PLANNING.
AND DEVELOPMENT OR OFSHE BED
230% FOR RURAL AREAS.
ULTIMATELY THIS BILL IS DESIGNED
TO ADDRESS A SEVERE SHORTAGE OF
PHYSICIANS AND SURGEONS WITH AND
RURAL PARTS OF OUR STATE.
CURRENTLY THERE ARE SEVERAL
COUNTIES URBAN AND RURAL.
WHICH FALL FAR BELOW THE FEDERAL
GUIDELINES FOR POPULATION TO
PRIMARY CARE PHYSICIANS PCP
RATIO.
THIS IS UNACCEPTABLE BECAUSE
THAT PUTS PEOPLE AND COMMUNITIES
AT RISK THIS PROBLEM IS
EXAGGERATED WITHIN OUR ROLE
REGION'S WHICH REGULARLY HAVE
PCP RATIOS AVERAGING.
OVER. TWO THOUSAND ONE FOR
EXAMPLE 400-030-0512 ONE AND
YUBA COUNTY 400-050-0922 ONE AND
IMPERIAL COUNTY. 200-020-0572
ONE INTO LARRY COUNTY.
AND IT CONTINUES TO GROW.
CALIFORNIA'S MADE HEALTHCARE
ACCESS A TOP PRIORITY.
YET I FELT TO ADDRESS THESE
PROBLEMS ON A ROLL REGION'S.
THIS BILL IS A VERY SIMPLE WAY
TO ALLOW THESE DISADVANTAGED
RURAL REGIONS STRUGGLING WITH
HIGH PCP RATIOS TO INCENTIVIZE
QUALITY SURGEONS AND PHYSICIANS
TO TAKE UP PRACTICE. TO BE CLEAR
AB TWENTY FIVE THIRTY NINE DOES
NOT MANDATE THAT FUNDS BE
ALLOCATED TO THESE REGIONS
RATHER IT SIMPLY ALLOWS OUR NEW
CANDIDATES THE ABILITY TO CHOOSE
THE AREA THEY WOULD LIKE TO
PRACTICE AND THIS BILL DOES NOT
CHANGE THE WAY THE BOARD
DETERMINES.
WHICH CANDIDATES ARE SELECTED
NOR DOES IT PRIORITIZE ANY
SPECIFIC REGION.
AGAIN THIS BILL BROADENS THE
OPTIONS FOR OUR DOCTORAL
CANDIDATES.
AS SUCH IN CALIFORNIA WANTS TO
PROVIDE ACCESS TO ALL THE
RESIDENTS IN THIS BILL IS
CRUCIAL.
IT PROVIDES THE NECESSARY
OPPORTUNITY TO INCREASE ACCESS
FOR ALL.
TURNING A BLIND EYE TO OUR ROLE
PEOPLE.
SIMPLY BECAUSE OF THEIR LOCATION.
AND A GREAT STATE OF CALIFORNIA
IS UNACCEPTABLE.
MANY OF THESE PEOPLE MY PEOPLE
CURRENTLY LIVE IN THIRD WORLD
CONDITIONS THE CALIFORNIA
REGULAR IN.
SITES THAT WE RANK IS THE FIFTH
LARGEST ECONOMY IN THE WORLD.
THIS IS NOT OKAY.
SENATORS I RESPECTFULLY ASK FOR
LIFE.
OKAY THANK YOU CELTIC THE
MOTIONS APPROPRIATE TIME IS
THERE ANY --
WITNESSES SUPPORT [inaudible]
ALRIGHT [inaudible]
NOPE [inaudible]
THANK.
AFTERNOON --
TRACY RYAN ROEKIAH RIBS AS A
CALIFORNIA A WE BELIEVE THIS
WILL INCREASE ACCESS TO
POSITIONS IN OUR WORLD COUNTIES
AND WE APPRECIATE THE AUTHOR
BRINGING THIS FORWARD AND WE ASK
YOUR ABOUT [inaudible]
THANK YOU.
KELLY BROKE SOME BEHALF OF THE
ASSOCIATION CALIFORNIA
HEALTHCARE DISTRICTS HERE IN
SUPPORT WHICH IS NOT FOR THE
COMMITTEE THAT OVER AND OVER 50%
OF POSITIONS A CALIFORNIA ARE
OVER THE AGE.
SIXTY AND WE EXPECT --
MUCH OF THE WORK FORCE HER
RETIRE AND THANK YOU
[inaudible]
ALRIGHT.
OKAY SEEN OTHER WITNESSES SPORT
WITNESSES OPPOSITION.
SEEING NONE QUESTIONS FOR
COMMITTEE MEMBERS.
OKAY SAYING NINE I JUST WANT
THANK YOU A CENTER THAT'S FOR
YOUR YOUR CHAMP ANYTIME TO
EXPAND ACCESS AND AND PHYSICIAN
SUPPLY AND RURAL COMMUNITIES AND
WE'VE HAD A CONVERSATION ABOUT
IT -- WE
UNDERSTAND THE LIMITATIONS THAT
MORE FUNNY FIRST THOMPSON THE
SCENE DOUBTS PROGRAM AND OTHER
PROGRAMS LIKE THAT TO GET MORE
PEOPLE THE RURAL COMMUNITIES BUT
CERTAINLY HEALTHY DIS Y. LEAST.
POTENTIALLY EXPAND THE POTENTIAL
PULL --
OPPORTUNITIES FOR PEOPLE WHO ARE
SEEKING RULE POSITIONS WITH THE
LOAN REPAYMENT PROGRAM --
WOULD --
WHICH LIKE THE CLOTHES ARE.
ABSOLUTELY CHAIRMAN --
AGAIN I'D LOVE TO WORK WITH YOU
NEXT YEAR --
TO CHAMPION GETS GETS MORE
FUNDING IN THE BUDGET --
ESPECIALLY WITH.
ALL THE OVERFLOWING CREEKS
INCREASES WE HAVE MAY WHEN WORK
ON A TRAILER BILL THIS YEAR --
BUT WITHOUT MEMBERS ASK YOU
AGAIN FOR YOUR IVA THANK YOU
OKAY THANK YOU ALL RIGHT SO THE
MOTION IS TO PASS APPROPRIATIONS
FROM MOVE BY SENATOR ROTH AYE
SECRETARY PLEASE CALL THE ROLL.
AND I AND I WHEN.
HERNANDEZ HERNANDEZ AYE LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING MONNING AYE
NEWMAN [inaudible]
NIELSEN.
NIELSEN AYE ROSS ROTH AYE.
OKAY THIS THAT THIS BILL HAS A
SEVEN VOTES THAT WILL HOLD THE
ROLL.
CALL FOR ABSENT MEMBERS I THINK
YOU THINK YOU.
OKAY SO I THINK THE NEXT PERSON
UP IS ACTUALLY ASSEMBLY MEMBER
ARAMBULA.
EUROPE AND FILE ORDER SO WILLS --
A NICE IF YOU WANT TO ENSURE WE
TAKE IT UP IN THE FOLLOWING HER
THEN OKAY SO THE NEXT SE YOUR
ITEM NUMBER ELEVEN AB TWENTY
FOUR THIRTY SEE OF TWO BILLS.
THANK YOU MISTER CHAIR THANK YOU
AB TWENTY FOUR THIRTY AIMS TO
RAISE THE INCOME LEVEL OF THE
AGED AND DISABLED MEDICAL
PROGRAM CALLED THE END THE
PROGRAM. TO A HUNDRED AND 38% OF
POVERTY LEVEL.
CREATING PARITY BETWEEN THE
SENIORS AND DISABLED MEDICARE
ALL BENEFICIARIES AND OTHER MEDI
CAL BENEFICIARIES.
SINCE THE PASSAGE OF THE ACA
MOST ADULTS CAN NOW QUALIFY FOR
MEDI CAL WHEN THEY HAVE AN
INCOME BELOW A HUNDRED AND 38%
OF THE FEDERAL POVERTY LEVEL.
ROUGHLY SEVENTEEN THOUSAND
DOLLARS PER YEAR.
THE ACA HOWEVER DID NOT CHANGE
THE INCOME LEVEL FOR THE MEDI
CAL AGED AND DISABLED PROGRAM.
WHICH IS EQUIVALENT TO A HUNDRED
AND 23% OF FPL.
THIS ALSO MEANS THAT A SIXTY
FOUR YEAR OLD.
WHO RIGHT NOW WITH FREE MEDICAL
CAN LOSE IT THAT THAT THE DAY
THAT THEY TURN?
SIXTY FIVE A SENIOR WITH AN
INCOME OF ONE DOLLAR OVER A
HUNDRED AND 23% OF FPL THRESHOLD
IS ONLY ELIGIBLE FOR MEDICAL
WITH AN EXPENSIVE SHARE OF COST.
THE ONLY WAY FOR SENIORS WITH
INCOMES ABOVE A HUNDRED AND 23%
OF THE FPL TO ACCESS MEDICAL
BENEFITS IS TO PAY HUNDREDS OF
DOLLARS IN A MONTHLY MEDI CAL
SHARE OF COST.
OF OVER HALF THEIR INCOME OF
OVER SIX HUNDRED AND FIFTY
DOLLARS.
THIS CREATES A SIGNIFICANT
BARRIER TO HEALTH CARE FOR
SENIORS TO ACCESS AFFORDABLE
HEALTH CARE BECAUSE THEY ARE
FORCED TO CHOOSE BETWEEN PAYING
FOR FOOD.
AND RENT OR OTHER THEIR MEDI CAL
SHARE OF COST.
THIS FORCES MANY SENIORS TO
FOREGO NEEDED MEDICAL SERVICES
COMPELLING THEM TO MOVE INTO
SKILLED NURSING FACILITIES AND
HIGHER COSTS TO THE STATE AN
EVEN HIGHER PERSONAL COST. TO
THEIR OWN INDEPENDENCE AND WELL
BEING.
RAISING THE A INDEED LIMIT
INCOME LIMITS TWO HUNDRED AND
38% OF FPL IS THE SIMPLEST MOST
COST EFFECTIVE WAY TO ENSURE LOW
INCOME SENIORS HAVE EQUITABLE
ACCESS TO AFFORDABLE HEALTHCARE.
AB TWENTY FOUR TO THIRTY WOULD
ENSURE THAT THE VULNERABLE
POPULATIONS OF LOW INCOME
SENIORS ARE TREATED FAIRLY AND
CAN HAVE ACCESS TO AFFORDABLE
HEALTHCARE.
HERE TO TESTIFY IN SUPPORT IS
LINDA WAY WITH THE WESTERN
CENTER FOR LONG POVERTY AND KIRK
CHILD WITH DISABILITY RIGHTS OF
CALIFORNIA.
OKAY THANK YOU WELCOME WITNESSES
SUPPORT.
LINDA WAY WITH WESTERN CENTER ON
LAW AND POVERTY PROUD SPONSORS
OF THIS IMPORTANT MEASURE.
UNDER THE AFFORDABLE CARE ACT A
MOST ADULTS WITH INCOMES OF
210038% OF THE FEDERAL POVERTY
LINE ARE NOW ELIGIBLE.
FOR FREE MEDI CAL THAT IS EXCEPT
FOR SENIORS AND CERTAIN PEOPLE'S
WITH DISABILITIES.
BY VIRTUE OF THEIR AGE OR THEIR
DISABILITY STATUS SINCE THESE
INDIVIDUALS ARE SUBJECT TO A
LOWER INCOME ELIGIBILITY
THRESHOLD OF ABOUT A 123% A
DIFFERENCE OF ABOUT.
A HUNDRED AND FIFTY DOLLARS.
BUT IF THE IF THESE INDIVIDUALS
HAVE INCOMES EVEN A DOLLAR ABOVE
TWELVE FORTY TWO A MONTH THEY'RE
SUBJECT TO A SHARE OF COSTS IN
THIS IS BASED ON THE ANTIQUATED
IDEA.
THAT PEOPLE CAN LIVE OFF OF SIX
HUNDRED DOLLARS A MONTH --
SO ODDLY.
WITH THIS IS AN IMPORTANT
MEASURE I'M FORCED BETWEEN
CHOOSING.
BETWEEN THEIR HEALTHCARE HOUSING
COSTS ADEN.
BRENT AND SO FORTH AYE MANY OF
SENIORS AND BECAUSE OF PEOPLE
WITH DISABILITIES FOREGO NEEDED
MEDICAL SERVICES.
WE URGE YOUR AYE VOTE ON THIS
IMPORTANT MEASURE THAT HAS NO.
OPPOSITION AND BIPARTISAN
SUPPORT THANK YOU.
MISTER CHAIR MEMBERS PER CHILD
DISABILITY RIGHTS CALIFORNIA WE
TO STRONG SUPPORT OF THIS --
LEGISLATION ARE VERY PLEASED TO
SPONSOR --
THAT AND I JUST WANT TO READ ONE
POINT THAT --
IS WAY MADE AND THAT IS THE FACT
THAT THIS PUTS INDIVIDUALS AGED
DISABLED PERSONS IN THE POSITION
OF NEEDING --
TO WITH THEIR SHARE OF COSTS
THEN FORGO WHAT MIGHT BE OTHER
HOUSING COSTS FOOD CHAOS.
AND DATA AND OTHER BASIC
NECESSITIES TO BE ABLE TO MEET
THEIR MEDICAL NEEDS AND SO FOR
THAT REASO WE URGE.
YOUR SUPPORT OF THE BILL.
THANK YOU OTHER WITNESSES IN
SUPPORT.
CAN REALLY TELL THE CALIFORNIA
PAN ETHNIC HEALTH NETWORK IN
SUPPORT.
ZACHARY CORBEAU WITH THE
CALIFORNIA DOWN ASSOCIATION ALSO
IN SUPPORT.
PAUL YOU'RE SITTING COUNTY SAN
FRANCISCO SUPPORT.
BARREL CHISHOLM A A RP WE STRONG
SUPPORT JUST MEASURE THANK YOU.
NOTHING AND TOWN PERHAPS THE
NATIONAL MULTIPLE SCLEROSIS
SOCIETY IN SUPPORT.
KELLY BROKE SOME BEHALF OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION THAT CAN HELP
EXECUTIVES ASSOCIATION OF
CALIFORNIA AND THE ASSOCIATION
CALIFORNIA HEALTHCARE DISTRICTS
HERE IN SUPPORT.
THERESA START WITH KAISER
PERMANENTE IN SUPPORT.
ANGELIQUE YORK WITH NATIONAL
ASSOCIATION OF SOCIAL WORKERS IN
SUPPORT.
FELIX WHO WITH BLUE SHIELD OF
CALIFORNIA IN SUPPORT.
JENNIFER ALI WITH CALIFORNIA
ASSOCIATION HEALTH PLANS IN
SUPPORT.
TRUTH ANDERSON WITH OUR
COMMUNITY CAN SUPPORT.
CUT THE MUSTARD LOCAL HEALTH
PLANS CALIFORNIANS SUPPORT.
PROJECT FOR IS ON BEHALF OF
HEALTHAXIS COFFIN IN SUPPORT.
FRED MAIN ON BEHALF OF CAL PACE
THE PROGRAM FOR ALL INCLUSIVE
CARE FOR THE ELDERLY IN SUPPORT.
THANK YOU MISTER CHAIRMAN
THERE'S MY CONSUMERS ON BEHALF
OF CALIFORNIA HEALTH PLUS
ADVOCATES IN SUPPORT.
OKAY -- DO
WITNESSES OPPOSITION.
SEEING NONE I QUESTIONS FROM
COMMITTEE MEMBERS.
SEEING NONE --
IS SO I THINK SO MUCH FOR
BRINGING THIS BILL FORWARD --
HAPPY ENTERTAIN A MOTION THAT'S
BEEN MOVED BY SENATOR ROTH OF
THE MOTION WILL BE --
TO PASS TO APPROPRIATIONS.
WE ASK FOR NOT.
A THANK YOU SO THEY WERE
ARAMBULA SECRETARY PLEASE CALL
THE ROLL.
AND I AND I WIN.
HERNANDEZ HERNANDEZ AYE LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
NEWMAN.
NIELSEN AYE NIELSEN AYE ROTH
[inaudible]
ROTH I OKAY SO THAT BILL HAS SIX
VOTES THAT WILL PUT THE BILL ON
CALL. FOR OTHER APPS MEMBERS --
NEXT TIME AS I AND NUMBER TWELVE
IT'S AB.
TWENTY FOUR NINETY NINE THANK
YOUMISTER CHAIR.
FIRST I WOULD LIKE TO ACCEPT THE
COMMITTEE AMENDMENTS AS AUTHORS
AMENDMENTS.
AB TWENTY FOUR NINETY NINE
CODIFIES OUR STATE EXISTING
MEDICAL LOSS RATIO STANDARDS AND
PRESERVES HELD THESE RATIOS ARE
CALCULATED.
WHICH GUARANTEES A HIGHER
PERCENTAGE OF THE PREMIUM DOLLAR
IS SPNT ON CARE.
CURRENTLY THE ACA PROVIDED
MILLIONS OF CALIFORNIANS WITH
HEALTH COVERAGE FOR THE FIRST
TIME IN THEIR LIVES THROUGH
MEDICAL EXPANSION AND BY MAKING
PRIVATE INDIVIDUAL COVERAGE MORE
AFFORDABLE.
MILLIONS OF CALIFORNIANS
BENEFITING FROM BENEFIT FROM
STRONG ACA CONSUMER PROTECTIONS
THAT MAKE SURE THAT HEALTH PLANS
SPEND A MINIMUM PORTION OF THE
PREMIUMS ON CARE.
COVER ESSENTIAL HEALTH BENEFITS
HAVE NO ANNUAL OR LIFETIME
LIMITS ON BENEFITS CAP ANNUAL
OUT OF POCKET COSTS AND OFFER
COVERAGE ON A GUARANTEED ISSUE
BASIS REGARDLESS OF PRE EXISTING
CONDITIONS AND MANY OTHERS.
RISING HEALTHCARE COSTS
ESPECIALLY HEALTH INSURANCE
PREMIUMS CONTINUE TO BE A
CONCERN FOR CONSUMERS.
AB TWENTY FOUR NINETY NINE IS
ANOTHER WAY OUR STATE CAN
PRESERVE IMPORTANT ACA
PROTECTIONS FOR CONSUMERS.
THE M. ALL OUR STANDARDS HAVE
HELPED TO CURB EXCESSIVE HEALTH
INSURER PROFITS.
AND ADMINISTRATIVE COSTS BY
CAPPING THESE EXPENSES WHILE AT
THE SAME TIME GUARANTEEING THAT
AT LEAST 8285% OF PREMIUMS.
GO TOWARDS ACTUAL MEDICAL CARE
AND QUALITY IMPROVEMENT
ACTIVITIES.
AT THE SAME TIME WE CONTINUE TO
SEE HEALTH PLANS AND INSURERS
MAKE BILLIONS OF PROFITS EVEN
WITH THE STANDARDS.
WE ALSO HAVE DATA SHOWING THAT
MOST HEALTH PLANS AND INSURERS
MEET AND WILL EXCEED THE CURRENT
AND ALL OUR STANDARDS.
RECENT TRUMP ADMINISTRATION
ACTIONS ARE CHANGING HOW AMIL
OURS ARE CALCULATED WHICH WILL
BE DETRIMENTAL TO CALIFORNIA
CONSUMERS BECAUSE IT CHANGES
WHAT COUNTS TOWARDS MEDICAL CARE
AND QUALITY IMPROVEMENTS.
CALIFORNIA SHOULD PRESERVE HOW
THE ANIMAL OURS ARE CALCULATED
SO THAT MORE OF OUR PREMIUM
MONEY IS SPENT ON ACTUAL CARE
AND LESS ON INSURANCE COMPANY
PROFITS AND OVERHEAD.
AB TWENTY FOUR NINETY NINE WILL
CODIFY OBAMA ERA REGULATIONS
THAT WILL MAINTAIN HOW ARE M.
ALL OURS ARE CALCULATED AND WILL
KEEP THE EXISTING M. ALL OURS
THE SAME.
AS A PHYSICIAN AND A LEGISLATURE
I AM COMMITTED TO ENSURING THAT
MOST OF OUR PREMIUM DOLLARS GO
TOWARDS MEDICAL CARE AND NOT ON
ADMINISTRATIVE OVERHEAD OR
INSURANCE COMPANY PROFITS.
I ASK FOR THE SENATE COMMITTEES
SUPPORT ENSURING THIS AS WELL.
ANYTHING KEY WITNESSES SUPPORT.
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS MY NAME IS MARY JUNE
FLORES AND ON BEHALF OF HEALTH
ACCESS CALIFORNIA THE STATE WIDE
HEALTH CARE CONSUMER ADVOCACY
COALITION.
WE ARE PATTERSON SPONSOR AND
SUPPORT AB TWENTY FOR NINETY
NINE WHICH WOULD CODIFY OBAMA
AIR REGULATIONS ON HOW AND THE
LAWYERS ARE CALCULATED.
AND HOW MUCH OF THE PREMIUM
DOLLAR GO TOWARDS ACTUAL MEDICAL
CARE.
THE BILL ASSURES THAT CONSUMERS
AT LEAST.
GET EIGHTY CENTS OUT OF EVERY
PREMIUM DOLLAR SPENT ON MEDICAL
CARE NONPROFITS AND OVERHEAD.
THE OBAMA ERA REGULATIONS WERE
DEVELOPED IN A LONG LABORIOUS
PROCESS AT THE NATIONAL
ASSOCIATION OF INSURANCE
COMMISSIONERS A PROCESS IN WHICH
HELP ACCESS PARTICIPATED AS THE
CONSUMER REPRESENTATIVE.
BECAUSE THE EXISTING CALIFORNIA
LAW PREDATED THAT PROCESS IT
SIMPLY REFERS TO AND IS
CONTINGENT ON THE FEDERAL
REGULATIONS.
IF THE FEDERAL REGULATIONS
CHANGED AND THE CALIFORNIA
REQUIREMENTS MAY CHANGE AS WELL.
AB TWENTY FOUR NINETY NINE
PREVENTS THAT LOCKING IN PLACE
TO OBAMA AIR REGULATIONS.
THIS PAST APRIL THE TRUMP
ADMINISTRATION PUBLISHED A FINAL
RULE THAT CHANGE WHAT ELEMENTS
WERE CONSIDERED IN THE MLR.
AND ALSO PERMITTED STATES TO
LOWER TO AND MILLAR'S THIS
MATTERS BECAUSE IT MEANS LESS OF
THE PREMIUMS THAT CONSUMERS PAY
GO TOWARDS ACTUAL MEDICAL CARE.
ERODING THE VALUE OF COVERAGE TO
CONSUMER AB TWENTY FOUR NINE
EIGHT I WOULD CLARIFY THESE
IMPORTANT OBAMACARE REGULATIONS
ON CALCULATIONS.
IT ALSO PROTECTS PATIENTS AND
PRESERVES EXISTING STANDARDS TO
ENSURE THAT THE EVER RISING
HEALTHCARE PREMIUMS ARE ACTUALLY
GOING TO PATIENT CARE.
I RESPECTFULLY ASK FOR RIVAL.
GOOD AFTERNOON CHEN FLOOR ITS
WESTERN CENTER ON LAW AND
POVERTY IN THE HEALTH CONSUMER
ALLIANCE WHICH IS A STATEWIDE
COALITION ANSWERS CALIFORNIANS
CONSUMERS WHO NEED HEALTHCARE --
TO PUT SOME HARD NUMBERS ON WHAT
A LOT OF OUR FAMILIES ARE
ACTUALLY FACING --
FOR EXAMPLE ONE OF OUR PARTNERS
IN THE INLAND EMPIRE HAD
SOMEBODY CALL WHO HAD WAS
EXCITED THAT HE BEEN OFFERED
EMPLOYER COVERAGE --
AND FOR HIM IT WOULD COST A
HUNDRED FOR A MONTH BEFORE HIS
WIFE IT WOULD COST FIVE HUNDRED
SIXTY FOUR DOLLARS.
AND THE FAMILIES TOTAL INCOME
WAS LISTEN TWENTY FIVE HUNDRED
DOLLARS.
SO BECAUSE HER HUSBAND'S PREMIUM
WAS CONSIDERED AFFORDABLE THERE
IS NOTHING THAT WE COULD DO FOR
HER ON COVERED CALIFORNIA SO THE
ONLY OTHER OPTION WOULD REALLY
BE TO BUY AN INDIVIDUAL PRODUCT
WITH LESS COVERAGE AND A HIGH
DEDUCTIBLE.
THAT WOULD STILL LEAVE THE
FAMILY WITH LESS THAN TWO
THOUSAND A MONTH --
TO PAY FOR ALL THE OTHER
EXPENSES SUCH AS RENT
TRANSPORTATION UTILITIES FOOD
AND THEY'D STILL BE EXPOSED TO
HIGH MEDICAL EXPENSES AND MANY
OF OUR FAMILIES CAN AND DO
BUYING INSURANCE THIS WAY AND
THEY MAKE THE SACRIFICES AND
THEY CAN'T ALWAYS BY THE OTHER
NECESSITIES OF LIFE.
SO SHOULD THE MEDICAL LOSS RATIO
STANDARDS BE LOWERED OR NOT
ENFORCED BY THE FEDERAL
GOVERNMENT AS WE FEAR.
THESE CALIFORNIANS WILL BE
COMPLETELY BLOCKED OUT OF THE
MARKET CALIFORNIANS WHO HAVE TO
PAY FOR THEIR PREMIUMS WHETHER
THROUGH EMPLOYER COVERAGE OR ON
THEIR OWN ARE EXTREMELY
SENSITIVE TO ANY INCREASE IN
INSURANCE PREMIUMS.
FROM 200-011-22000 SEVENTEEN
HEALTH PLAN PREMIUMS INCREASE ON
AVERAGE 9% PER YEAR YET WE JUST
DID NOT INCREASE BY THE SAME
AMOUNT.
WHILE OTHER COST CONTAINMENT
MEASURES ARE STILL NEEDED IN
CALIFORNIA AT THE MEDICAL LOSS
RATIO REQUIREMENTS ARE AN
IMPORTANT PIECE IN KEEPING
PREMIUMS DOWN HEALTH PLANS
ACCOUNTABLE AND HEALTH COVERAGE
WITHIN REACH. FOR THIS WE
RESPECTFULLY REQUEST YOUR AYE
VOTE.
A FEW OTHER WITNESSES IN SUPPORT.
CAN REALLY COUNT THE CALIFORNIA
PAN ETHNIC HEALTH THAT WORK IN
SUPPORT.
ZACHARY CORBEAU WITH THE
CALIFORNIA DOWN ASSOCIATION
WHERE IN SUPPORT.
MIXING AND TOWN HAVE THE
NATIONAL MULTIPLE SCLEROSIS
SOCIETY IN SUPPORT.
ANA MOUNTAINS WITH WITH THE
AMERICAN CANCER SOCIETY CANCER
ACTION NETWORK ALSO SUPPORT.
SARAH FLOCKS CALIFORNIA LABOR
FEDERATION IN SUPPORT.
NOTING SHANNON SMITH GROWLING
CALIFORNIA CHRONIC CARE
COALITION SUPPORT [inaudible]
OKAY.
THANK YOU WITNESSES IN
OPPOSITION.
ACTUALLY MAKE ROOM FOR THEM AT
THE TABLE HERE VOTE ACT HEALTH
ACTUALLY MISTER CHAIR MEMBERS
NICK LOUISE US WITH THE
CALIFORNIA ASSOCIATION HEALTH
PLANS WE WANT TO THANK THE
AUTHOR HIS STAFF AND THE SPONSOR.
A WE'VE DISCUSSED AMENDMENTS
WHICH ARE PART BEING TAKEN TODAY
WANTS TO BILLS AND PRINT YOU
KNOW WILL VERIFY THOSE AND WILL
BE REMOVING OUR OPPOSITION
[inaudible]
THANK YOU.
SYDNEY WATKINS ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA HEALTH
AND LIFE INSURANCE COMPANIES WE
TO VERY APPRECIATE ALL THE HARD
WORK THAT THE STAFF AND OTHER
PUT INTO THIS BILL A MONTH IS
AMENDMENTS IN.
PRINT WE OP LOSS OF BE REMOVING
OPPOSITION.
GOOD AFTERNOON SHERRY MCKEE
REPRESENT THE CALIFORNIA CHAMBER
OF COMMERCE AND WE TWO WILL
REMOVE IN OPPOSITION THANK YOU.
JOHN WINGER ON BEHALF AMERICA'S
HEALTH INSURANCE PLANS ALSO OVER
MOVING OFFICES.
OKAY ANY OTHER OPPOSITION.
WELL EXECUTED CARE THAT.
GOOD.
ALRIGHT A CAUTIOUS OF COMMITTEE
MEMBERS.
OKAY TH BILLS MOVED SAY NO THE
QUESTIONS QUEEN MEMBERS SO I
THANK YOU SO MUCH FOR FOR BRINGS
FORWARD CERTAINLY THE MATH CLASS
TRY TO HELP KEEP OUR PLANS
AFFORDABLE.
OF WHICH LIKE CLOSE.
BUT FOR ASPIRIN AYE VOTE OKAY
EXCELLENT SO --
TO MOTION IS TO PASS WITH
AMENDMENTS --
TO APPROPRIATIONS BEEN MOVED BY
CENTER ROTH SECRETARY PLEASE
CALL THE ROLL.
PAN IKE AND I WIN.
HERNANDEZ HERNANDEZ AYE LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING
[inaudible]
NEWMAN [inaudible]
NIELSEN.
A ROTH AYE BROTH AYE.
THAT BOOK THAT.
THE BILL HAS SET FIVE VOTES WILL
PUT THE BILL ON CALL THANK YOU.
ALL RIGHT CELEBRATED.
CONCEALMENT HIS FIRST ACTUALLY I
THINK TREATMENTS HERE.
NOBODY ELSE HAS ONE UP HERE.
AND THE ASHES.
SO ACTUALLY SENATOR FRIEDMAN IS
AHEAD OF YOU IN THE FILE ORDER
SO SENATOR FRIEDMAN WELCOME I
THINK YOU HAVE TO BILLS AND NICE
PRISON YOU'LL BE TAKE A YOU CAN
TAKE THEM AND FOLLOW ORDERS
NUMBER OKAY SALUTE TO START WITH
ITEM NUMBER FOURTEEN AB TWENTY
SEVEN EIGHTEEN MEDIC CAO.
CAO WORKS ELIGIBILITY.
THANK YOU MISTER CHAIRMAN
SENATORS A EVEN AS FAMILIES
TRANSITION OUT OF CAL WORKS AS
THEIR INCOME GROSSMAN PLOY MET
ACCESSING IN RETAINING
MEANINGFUL HEALTHCARE COVERAGE
IS A CONSERVATIVE.
CONSIDERABLE CHALLENGE.
THE CHEAPEST COVERED CALIFORNIA
PLAN.
AS AN INDIVIDUAL DEDUCTIBLE OF
SIXTY THREE HUNDRED DOLLARS AND
A FAMILY DEDUCTIBLE OF TWELVE
THOUSAND SIX HUNDRED DOLLARS THE
MAXIMUM CASH ASSISTANCE FOR A
FAMILY UNDER CAO WORKS.
IT'S JUST SEVEN HUNDRED AND
FOURTEEN DOLLARS A MONTH AND
PROGRAM RESTRICTIONS MEAN THAT A
FAMILY CANNOT.
WITHIN --
TWENTY TWO A TWO THOUSAND TWO
HUNDRED FIFTY DOLLARS IN A BANK
ACCOUNT EVEN WITH THE TAX
SUBSIDIES AND COST SHARING%
REDUCTIONS AVAILABLE TO HELP TO
COVER CALIFORNIA.
THE MATH JUST DOESN'T WORK.
AB TWENTY SEVEN EIGHTEEN ALIGNS
CALIFORNIA POLICY WITH WHAT'S
ALLOWABLE UNDER FEDERAL LAW.
INSTEAD OF THE EXISTING SIX
MONTH WINDOW FOR TRANSITIONAL
MEDICAL COVERAGE AND AN OPTION
FOR A SIX MONTH EXTENSION IF THE
FAMILY MEETS INCOME REQUIREMENTS
FAMILIES LIVING HOW WORKS WOULD
HAVE TWELVE MONTHS OF
TRANSITIONAL MEDICAL COVERAGE.
AS THIS COMMITTEE KNOWS ALL TOO
WELL KEEPING CALIFORNIANS
HEALTHY DEPENDS UPON ACCESS TO
AFFORDABLE QUALITY HEALTHCARE
FOR FAMILIES STRUGGLING TO MAKE
ENDS MEET AFTER LEAVING CAO
WORKS MEDI CAL PROVIDES A SAFETY
NET OF HEALTHCARE COVERAGE.
I RESPECTFULLY ASK FOR AN AYE
VOTE THANK YOU.
GOOD AFTERNOON CHEN FLOOR ON
BEHALF OF WESTERN CENTER ON LAW
AND POVERTY --
FIRST OF ALL I'D YOU KNOW I
WANTED KNOWLEDGE THAT THIS BODY
MOVES IT WITH THE BUDGET TO MAKE
CERTAIN BIG INVESTMENTS IN OUR
CAO WORKS PROGRAM INTO ANDY
POVERTY.
AND SO THAT'S A BIG FIRST STEP
BUT TRYING TO DO IS MAKING SURE
THAT WHEN FAMILIES TO LEAVE CAO
WORKS THAT THEY FIND A BIGGER
SAFETY NET WE KNOW THAT YOU KNOW
IF YOU'RE LIVING ON JUST OVER
40% OF THE FEDERAL POVERTY LEVEL
YOU PROBABLY HAVE CONSIDERABLE
UNMET NEEDS.
FAMILIES GET BY BORROWING FROM
FRIENDS FAMILY MEMBERS OR PAYDAY
LENDERS OR THEY SIMPLY GO
WITHOUT REPLACING BROKEN
APPLIANCES ARE BEING ABLE TO BUY
THEIR CHILDREN APPROPRIATE SHOES
CLOTHING OR SCHOOL SURPRISE
SUPPLIES.
AND HAVE RENT AND OTHER BILLS
THAT ARE OVERDUE WHAT THIS BILL
DOES IS IT JUST GIVES FAMILIES
AN EXTRA SIX MONTHS WITHOUT
HAVING TO COMPLY WITH PAPERWORK
REQUIREMENTS.
ARE JUSTIFY THEIR EXISTENCE TO
EXPAND TO STABILIZE THE FAMILY
FINANCES AND TO GET BACK ON
TRACK HOPEFULLY SO THAT THEY ARE
ABLE TO CONTINUE WITHOUT GOING
BACK ON TO CAO WORKS. TO MANY OF
THE FAMILIES THAT WE WORK WITH
YOU KNOW THEY MAY BE ABLE TO GET-A JOB FOR A SHORT PERIOD OF TIME
BUT BECAUSE OF OTHER BARRIERS
WHETHER BE CHILDCARE.
OR WHETHER IT BE A SICK FAMILY
MEMBER THEY END UP GOING BACK
AND FORTH ON GOVERNMENT BENEFITS
PROGRAMS AND WHAT --
AB TWENTY SEVEN EIGHTEEN IS
TRYING TO DO IS REALLY JUST
ENSURE WE HAVE A LONGER
TRANSITION PERIOD SO THAT
FAMILIES ARE ABLE TO STABILIZE.
WE RESPECTFULLY REQUEST YOUR
AUTO.
IF YOU OF OTHER WITNESSES IN
SUPPORT.
MARY JANE FORCE ON BEHALF OF
HEALTH ACCESS CALIFORNIA IN
SUPPORT.
KELLY BUCKS ON BEHALF OF THE
COUNTY WELFARE DIRECTORS
ASSOCIATION HERE IN SUPPORT.
RIGHT --
SEEN OTHER WHAT THE SPORT
WITNESSES IN OPPOSITION.
SAME ALRIGHT DIZER QUESTIONS
FROM COMMITTEE MEMBERS.
SEEING NONE --
THAT'S BEEN MOVED BY A SENATOR
ROTH.
WOULD YOU LIKE THE DETECTS
ANYTHING CLOSING.
THAT'S IT ALRIGHT OKAY SO THE
MOTION IS TO PASSED
APPROPRIATIONS --
IT'S BEEN BUT CENTER OUT THAT'S
A GROUP PLEASE CALL THE ROLL
[inaudible]
AND HERNANDEZ HERNANDEZ AYE
LEYVA.
LEYVA AYE MITCHELL AYE MITCHELL
AYE MONNING [inaudible]
NEWMAN NIELSEN.
NIELSEN AYE ROTH.
ROTH AYE.
THE SIX THAT BILL HAS SIX VOTES
WILL PUT THE BILL ON CALL.
YOU VERY MUCH OKAY SO LET'S MOVE
ON TO ITEM NUMBER EIGHTEEN AB.
THIRTY ONE SIXTY TWO THANK YOU --
MISTER CHAIR COMMITTEE MEMBERS
I'D LIKE TO FIRST OF ALL EXCEPT
AMENDMENT TO REMOVE THE
REQUIREMENT FOR PRIOR
NOTIFICATION OF AN APPLICATION
TO ADDRESS THE CONCERNS RAISED
BY THE CHAIR.
A. B. THIRTY ONE SIXTY TWO IS A
TECHNICAL CLEAN UP BILL TO HELP
THE DEPARTMENT OF HEALTH CARE
SERVICES MORE EFFECTIVELY
ADMINISTER.
AND MANAGER OF THE STATE
ISSUANCE OF LICENSES FOR
RESIDENTIAL ALCOHOL AND DRUG
ABUSE ABUSE TREATMENT FACILITIES
WITH CPACITY OF SIX OR LESS
INDIVIDUALS.
IS THIS A LAW FOR SMALL
RESIDENTIAL ALCOHOL AND DRUG
ABUSE TREATMENT FACILITY
LICENSES WAS DRAFTED DECADES AGO
AND HAS THE FOLLOWING FOR
DEFICIENCIES.
CURRENT LAW DOES NOT REQUIRE
THAT SERVICES ALLOWED UNDER
RESIDENTIAL LICENSE BE PROVIDED
SOLELY AT THE LOCATION FOR THE
STATE LICENSES ISSUED.
SOME OPERATORS HAVE EXPLOITED
THIS LOOPHOLE DEVELOPING MULTI
STRUCTURE CAMPUS STYLE
FACILITIES THAT OVERWHELM SINGLE
FAMILY NEIGHBORHOODS AND REALLY
OPERATE IS DE FACTO HOSPITALS IN
THE MIDDLE OF NEIGHBORHOODS WERE
REALLY THE INTENTION WAS TO HAVE
PEOPLE IN SINGLE FAMILY HOMES.
SO THAT THEY BLEND IN WITH THE
NEIGHBORHOOD INCOME RETURN TO
HEALTH A NORMAL RESIDENTIAL
SETTING.
I'M A SECOND UNLIKE MOST MODERN
STATE LICENSING PROGRAMS CURRENT
RESIDENTIAL LICENSEE LAW DOES
NOT YET INCLUDE PROVISIONAL ONE
YEAR PROBATIONARY PERIOD.
MOST OF THE OPERATORS OF THESE
FACILITIES ARE TERRIFIC SOME OF
THEM ARE NOT AND IT'S NOT GOOD
FOR THE NEIGHBORHOODS AND IT'S
CERTAINLY NOT GOOD FOR THE
CLIENTS AND WE NEED TO MAKE SURE
THAT EVERYONE THAT OPERATES.
HAS THE CAPACITY TO DO SO IN A
GOOD WAY.
I'M A THIRD LASTLY EXISTING.
UPDATED AND WAY TOO LOW FOR
THOSE THAT OPERATORS WE
REQUESTED AND RECEIVED TECHNICAL
ASSISTANCE FOR THE DEPARTMENT OF
HEALTH CARE SERVICES AND THE
DEPARTMENT PROVIDED THE LANGUAGE
FOR A. B..
THIRTY ONE SIXTY TWO WHICH
PROVIDES THE NEED OF LEGISLATIVE
AUTHORITY TO NUMBER ONE ENSURE
THAT SERVICES UNDER RESIDENTIAL
LICENSE ARE PROVIDED SOLELYAT
THE LOCATION WITH THE STATE
LICENSES ISSUED.
AND TO INCLUDE A PROVISIONAL ONE
YEAR INITIAL PROBATIONARY PERIOD
AND THREE UPDATE FINES TO ENSURE
COMPLIANCE.
WITH ME TODAY TO TESTIFY IN
SUPPORT OF AB THIRTY ONE SIXTY
TWO IS FORMER PRESIDENT OF
CONTRACT CITIES AND COUNCIL
MEMBER LEWIS MANTE FROM THE CITY
OF MALIBU.
AND HELEN MEASURE WITH THE
CALIFORNIA ASSOCIATION OF
ALCOHOL AND DRUG PROGRAM
EXECUTIVES.
THANK THANK YOU BY THE SUPPORT.
HOFFMAN IS OF THE MIND I AM A
COUNCIL MEMBER THE CITY OF
MALIBU AND FORMER PRESIDENT
CALIFORNIA CONTRACT CITIES
ASSOCIATION.
WHICH REPRESENTS ABOUT EIGHTY
CITIES IN SOUTHERN CALIFORNIA.
THAT ALONG WITH OF ALMOST FIVE
HUNDRED CITIES IN LEAGUE OF
CALIFORNIA CITIES ARE PART OF
THE STRONG STATEWIDE SUPPORT FOR
THIS BILL.
I COULD NOT BE MORE ELOQUENT
THAN ASSEMBLYMEMBER FRIEDMAN.
GALLAGHER TELL USED HIS BILL IS
THE RIGHT THING TO DO FOR ALL
THE COMMUNITIES THAT WE ALL
REPRESENT KEPT THINKING.
MISTER CHAIRMAN MEMBERS HAULING
MEASURE BEHALF OF THE CALIFORNIA
ASSOCIATION OF ALCOHOL AND DRUG
PROGRAM EXECUTIVES WERE THE
STATEWIDE ASSOCIATION OF
COMMUNITY BASED.
NONPROFIT DRUG TREATMENT ALCOHOL
RECOVERY PROGRAMS.
ARE ALL OF OUR MEMBERS ARE
LICENSED AND CERTIFIED PROGRAMS
FROM THE STATE OF CALIFORNIA AND
ARE SUBJECT TO ALL OF THE
OVERSIGHT OF THE DEPARTMENT.
WE SUPPORT OF AB THIRTY ONE
SIXTY TWO AND I TWO COULD NOT DO
ANY BETTER.
THAN ALCUIN SO ASSEMBLY WOMAN OF
FRIEDMAN IN --
EXPRESSING BOTH THE NEED.
THOSE SOLUTIONS THAT ARE
PRESENTED IN THIRTY ONE SIXTY
TWO FOR OUT OF A PROBLEM THAT'S
BEEN THERE FOR A LONG TIME.
SO WE SUPPORT THE BILL OKAY
THANK YOU OTHER WITNESSES
SUPPORT MISTER CHAIRMAN MEMBERS
DAVID JONES BEHALF THE CITIES OF
MARIN HAVE WE'VE A CAMPUS STYLE
PROBLEMS THAT THAT'S DESCRIBED
BY THE PARTIES ASSEMBLY MEMBER.
AND ALSO CITY SAN MARCOS IN
STRONG SUPPORT OF THE BILL THANK
YOU.
SHERRY DAVIS CALIFORNIA
CONSORTIUM OF ADDICTION PROGRAMS
AND PROFESSIONALS WITH THE
REMOVAL OF THE INTENT TO LICENSE
NOTICE WORDS MICKEY.
THANK YOU OKAY --
WITNESSES IN OPPOSITION.
OKAY SEEING NONE I QUESTIONS CAN
BE MEMBERS.
SEE NO QUESTIONS COMMITTEE
MEMBERS --
LIKE THANKS SO MUCH FOR BRINGING
THIS BILL FORWARD OVER TO LIKE
CLOSE.
THIS OF THIS IS BEEN OUT WE WORK
FOR QUITE A LONG TIME WITH THESE
ASSOCIATIONS WITH THE FACILITIES
AND WITH THE COMMUNITIES AND WE
THINK THIS IS THE RIGHT SOLUTION.
THANK YOU ARE OUT INTENT OF
OCEAN --
MOVED BY SENATOR LEYVA AT THE
MOTION IS TO PASS WITH
AMENDMENTS TO APPROPRIATIONS A
SECULAR PLEASE CALL THE ROLL.
PAN AYE AYE WHEN.
HERNANDEZ HERNANDEZ AYE LEYVA
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING
[inaudible]
NEWMAN.
NIELSEN.
NIELSEN AYE ROTH [inaudible]
THE BILL.
LET'S FIVE VOTES SEVERAL PUT THE
BILL ON CALL PRIMITIVE.
OKAY I SEE ASSEMBLYMEMBER COOLEY
SO SOME IN THIS AREA.
APPRECIATE YOUR PATIENCE BUT
THAT HE IS FIRST ON THE FOLLOW
ORDER SO.
OKAY JUNGLE FIRST OKAY VERY GOOD
VERY.
KIND OF YOU ALRIGHT SO SELDOM
ZAIRIAN SO THIS IS GONNA BE ITEM
NUMBER SIXTEEN AB.
TWENTY EIGHT SIXTY THREE THEY
ARE CONCERT FAIR.
AND MEMBERS OF I'LL MAKE IT
SHORT I CAN MAKE IT SHORT AND
JUST SAY THANK YOU VERY MUCH FOR
THAT --
AMENDMENTS A WONDERFUL WORKING
WITH YOU ACCEPT THEM ALL IT'S A
GREAT BILL WOULD LOVE TO HAVE
YOUR SUPPORT.
AND THE OUT WITH ME IS A NOT
FELIZ HELMS --
WHO OF PRESIDENT BUT WITH THE
CALIFORNIA CHRONIC CARE BECAUSE
COALITION?
OKAY WITNESSES AFFORD A HUMAN
SMITH CROWING ABOUT THE
CALIFORNIA CLINIC CARE COALITION --
WE SPONSORED THIS BILL BECAUSE
MANY OF OF THE PATIENTS
REPRESENTED OUR GROUPS RAW FROM
MULTIPLE MEDICATIONS AND SO YOU
CAN SEE.
IT WOULD COMPOUND QUICKLY IF YOU
HAVE A THIRTY DOLLAR COPAY FOR
EACH MEDICATION EACH MONTH AND
IT TURNS OUT THERE MAY BE SOME
WHERE THE CASH CRISIS FIVE
DOLLARS.
THAT TWENTY FIVE DOLLARS PER
PRESCRIPTION SAVINGS IS REALLY
CRUCIAL --
SO WE WE FROM.
AND I'M HAPPY TO MAKE A
PRESENTATION IF YOU SO DESIRE.
I THINK WE'LL SUPPORT SUPPORT WE
HAVE SUPPORT ON BOTH SIDES SO
LET'S GO AHEAD LET --
OTHER WITNESSES SUPPORT IF YOU
IF YOU WANT TO ADD SOMETHING
YOU'RE CLOSE TO YOU BY OTHER
WITNESSES SUPPORT --
JOHN WINGER ON BEHALF AMERICA'S
HEALTH INSURANCE PLANS ANTHEM
BLUE CROSS AND EXPRESS SCRIPTS
IN SPORTS.
MIXING ANTENNA HALF THE NATIONAL
MULTIPLE SCLEROSIS SOCIETY IN
SUPPORT.
ALTAMONTE IN SMITH WITH THE
AMERICAN CANCER SOCIETY CANCER
ACTION NETWORK ALSO OWNS.
I STEVEN SCHULTZ WITH ARTHRITIS
FOUNDATION IN SUPPORT.
LEE ABOUT SOME HAVE CALIFORNIA
LIFE SCIENCES ASSOCIATION IN
SUPPORT. SEVENTY WATKINS ON
BEHALF OF THE ASSOCIATION
CALIFORNIA LIFE AND HEALTH
INSURANCE COMPANIES ALSO IN
SUPPORT.
TAKE A ANY WITNESSES IN
OPPOSITION.
SEEING NONE QUESTIONS FROM
COMMITTEE MEMBERS.
OKAY SAHIR MOTION NO QUESTION SO --
HAS RISEN IN OUR THANK YOU SO
MUCH FOR BRINGING THIS BILL
FORWARD TO ADDRESS THIS ISSUE
ABOUT PEOPLE BILL WE GET THEIR
MEDICATIONS DE WAS CLOSE.
I RESPECTFULLY ASK FOR A VOTE
VERY EXCELLENT ALRIGHT SO THE
MOTION IS TO PASS WITH THE
AMENDMENTS TO APPROPRIATIONS
THANK YOU FOR TAKING THOSE
AMENDMENTS AT SPIN MOVE BY.
A SINNER LEYVA AYE CITIES CALL
THE ROLL.
AND FIGHT AND I WIN.
HERNANDEZ.
HERNANDEZ AYE LEYVA.
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING AYE MONNING
AYE.
NEWMAN.
NIELSEN NIELSEN AYE RAW.
EXCELLENT A STELLAR COOLEY.
WELCOME.
SO WE'RE GOING TO TAKE UP
[inaudible]
GOOD CALL [inaudible]
I FELT.
GREAT COLUMN WORKS WITH YOUR
WORK [inaudible]
YEAH [inaudible]
YEAH -- GOOD.
MISTER CHAIRMAN MEMBERS IT'S AN
HONOR TO BE HERE --
TO JOIN MY COLLEAGUE FROM
SACRILEGE COUNTY BUT I FEEL SORT
OF OLD HOME WEEK.
EVERY WORK OVER THE LAST DECADE
BOTH MISTER BANE.
AND MR CON AGAIN --
WE WE WORK TOGETHER OVER THE
LAST DECADE SO I'M JUST FEELS
OLD HOME WEEK WE IN THIS
COMMITTEE.
THING MOM KILLED.
I KNOW YES THAT'S RIGHT.
THE FOURTH GRADE TO THE FOURTH
GRADE.
NOW.
GOVERNMENTS CHAIRMAN RESERVE
HERE TODAY PRESENT AB TWENTY ONE
EIGHTEEN RELATING TO MEDI CAL
REIMBURSEMENT AND EMERGENCY
MEDICAL TRANSPORT.
I DEAFENED WANT TO BEGIN BY
THANKING MISTER BEING COMMITTEE
STAFF FOR THEIR ENGAGEMENT ON
THIS BILL THEIR SUPPORT --
IN RESPONSE TO COMMENT TEN IN
THE ANALYSIS THERE'S A
RECOMMENDATION FOR SOME
AMENDMENTS --
REGARDING TO ADDRESS A
REDUNDANCY.
AND I WANT TO TAKE THE QUIZ
RECOMMENDS REMOVING SECTIONS
THREE FOUR AND FIVE FROM THE
BILL.
AND AGAIN THANK YOU FOR THAT
WORK ON YOUR SPIRE STAFF.
AS I'M SURE YOU KNOW THE STATE
MEDICAL REIMBURSEMENT RATE FOR
PROVIDING A MERCY TRANSFERRED IS
WELL BELOW THE ACTUAL COST OF
PROVIDING THAT A TRANSPORT --
IN RESPONSE TO THAT LAST YEAR.
A NUMBER PRIVATE AIMS FOR RAIMES
WORK WITH THE LEGISLATURE.
A TO IMPOSE A QUALITY ASSURANCE
VAQ A HALF.
ON THIS TRANSPORT PROVIDED BY
EMERGENCY MEDICAL TRANSFER
PROVIDER.
THE REVENUE WAS USED TO PROVIDE
AUGMENTATIONS MEDICAL FEE FOR
SERVICE REIMBURSEMENT RATE.
OF THAT WILL TAKE EFFECT ON JULY
FIRST.
UNFORTUNATELY AS THE DEPARTMENT
HEALTH CARE SERVICEMAN MODELING
THIS IMPACT.
THE IMPACT THAT FEE.
KIM A PARENT DEL PUBLIC FIRE
DEPARTMENTS AND TRANSPORTERS
ACTUALLY HAVE AN ADVERSE
FINANCIAL AFFECT --
A LOSS OF REVENUE IN THE THIRTY
OF FIFTY THOUSAND DOLLAR RANGE.
I AB TWENTY ONE EIGHTEEN ALLOWS
PUBLIC MERCY TRANSFER WRITERS TO
BE CARVED OUT OF THE EXISTING Q.
A. F..
BOB PROGRAM WITHOUT HARMING THE
PRIVATE AMBULANCE INDUSTRY.
A TO ADDRESS A CONTINUED NEED
FOR AUGMENTATION OF THE CURRENT
MEDI CAL REIMBURSE RIGHT.
THIS BILL PROVIDES FOR THE
DEVELOPMENT OF A NEW RATE FOR
MERCY TRANSPORT.
WITH AN ANNEX TO AN
INTERGOVERNMENTAL TRANSFER
PROGRAM FOR PUBLIC WRITERS.
I HAVE WITH ME MIKE MCLAUGHLIN
FIRE CHIEF OF KASEM'S RIVER PART
APARTMENT AND THE LOS HAVE
DIRECTOR FOR THE CALIFORNIA FIRE
CHIEFS.
SO SHE SHOW --
CHEAPER CLUB FROM A FEW WOULD
JUST ADDRESS MARKS THE COMMITTEE
BRIEFLY.
OKAY THANK YOU WOULDN'T SUPPORT.
GET ANY MISTER ADMINISTERED SO
CONGRATULATIONS AGAIN ON YOUR
BLAME IT A PERSONAL ELECTED I
THINK ASSEMBLY MEMBER COOLEY AND
A COMMITTEE STAFF FOR THE WORK
THAT YOU'VE DONE ON THIS TO HELP
US PRESENT THIS OPPORTUNITY TO
THE COMMITTEE TODAY --
IS ASSEMBLY MEMBER POINTED OUT
TO TO WE'VE BEEN WORKING MANY
YEARS TO TRY TO ADDRESS THE THE
GAP BETWEEN THE ACTUAL COST OF
SERVICE AND COST RECOVERY FROM
MEDICAID OR MEDICAL PROGRAM FOR
A BILL AS TRANSPORTATION.
I'M DIFFERENT PROGRAMS EXIST FOR
THE PUBLIC AND PRIVATE SECTOR
AND WE'VE BEEN TRYING TO
NAVIGATE THIS FIELD.
UP FOR QUITE SOMETIME OVER THE
PAST TWO YEARS WE'VE BEEN
WORKING WITH OUR PRIVATE COMPANY
COUNTERPARTS ARE WORKING ON
QUALITY ASSURANCE FEE PROGRAMS.
LAST YEAR WITH S. B. FIVE TWENTY
THREE WAS ALSO MILLIE PASSED BY
THE LEGISLATURE AND SIGNED BY
THE GOVERNOR WE REMAINED A
NEUTRAL POSITION.
AND IT WAS A VERY DIFFICULT SPOT
WE KNEW IT WAS GOING.
TO BOB SAID SOME OF THE STIFF IT
SAYS BUT WE ALSO KNEW THAT AS
PART OF A COFFEE KEY TO IT IS A
MUST BE WINNERS AND THERE MUST
BE LOSERS.
BUT WITHOUT HAVING DATA WHO IS
UNABLE TO MA TO MODEL WHAT THOSE
ACTUAL IMPACTS WERE WE EVEN
SECURED UPON THE SERVICES OF OF
INDIVIDUALS WHO ARE INVOLVED IN
THE MODELING IN THE PRIVATE
HOSPITAL QUALITY ASSURANCE.
FEE PROGRAM AND THEY WERE UNABLE
TO GIVE US A CLEAR PICTURE IT
WASN'T HALF UNTIL AFTER THE BILL
WAS ULTIMATELY APPROVED IN
ADOPTED ENDED THEIR DE EIGHT CS
DEPARTMENT OF HEALTH CARE
SERVICES WAS ABLE TO MANDATE AND
REQUIRE.
THE SUBMITTAL OF DATA WERE WE
ABLE TO PULL TOGETHER
INFORMATION TO FIND OUT HOW
SIGNIFICANT MANY OF THESE
IMPACTS WOULD BE.
AND AS WE'RE FINDING OUT THAT IN
EXCESS OF 6265% OF PUBLIC FIRE
DEPARTMENTS IN THE STATE OF
CALIFORNIA WHO WERE INVOLVED
AIMS AMBULANCE TRANSPORTATION
WOULD ULTIMATELY LOSE MONEY INTO
THE SYSTEM AS EVERYONE WOULD BE
REQUIRED TO PAY THE TAX.
BUT BASED ON THE PAIR MIX WITH
THEIR COMMUNITY WOULD STRUGGLE
TO BE ABLE TO GET THAT MONEY
BACK.
SO THIS BILL WILL ADDRESS THAT
AND WE APPRECIATE THE GUIDANCE
WORK WITH STAFF ON THAT.
FINE TUNING OF IT.
OKAY THANK YOU OTHER WITH THIS
IS A SUPPORT.
WHAT THIS IS IN OPPOSITION?
SEEING NONE QUESTIONS FROM
COMMITTEE MEMBERS.
SEEING NONE --
THERE IS A MOTION FROM CENTER
LEYVA --
GENNETT THAT APPRECIATE THAT YOU
WORKING ON THIS I HAVE SOMETHING
I WORKED ON BACK IN THE ASSEMBLY
WE NEED TO MAKE THIS --
WORKOUT WHICH LIKE CLOSE.
I REQUEST AYE VOTE THANK YOU
VERY MUCH FOR YOUR TIME THIS
HAVE.
EXCELLENT SO THE MOTION IS TO
PASS WITH AMENDMENTS
APPROPRIATIONS AGAIN THANK YOU
FOR TAKING THOSE AMENDMENTS.
A SECRETARY.
PLEASE CALL THE ROLL PAN AYE PAN
AYE NGUYEN.
HERNANDEZ HERNANDEZ EYEING LABOR
LEYVA AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NEWMAN.
NIELSEN NIELSEN AYE RAW.
SO THAT BILL HAS SIX VOTES THAT
WILL PUT THE BILL ON CALL BUT IT
SHOULD SHOULD BE A RIGHT THANKS
MUCH PAY SOMEONE BERMAN.
WELCOME.
SO WE HAVE ITEM NUMBER SEVENTEEN
AB.
VERY MUCH --
MISTER CHAIRMAN SENATORS ELECTED
BEGIN BY THANKING THE COMMITTEE
FOR THEIR WORK.
ON THIS BILL AND I WILL BE
ACCEPTING THE COMMITTEE
SUGGESTED AMENDMENT DESCRIBED IN
THE ANALYSIS WHICH WOULD ENSURE
CLARITY IN IMPLEMENTATION.
LAST YEAR GOVERNOR BROWN
PROCLAIM STATES OF EMERGENCY
THROUGHOUT CALIFORNIA DUE TO
POTENTIAL SIGNIFICANT FLOODING
BELOW OROVILLE DAM WILDFIRES IN
NORTHERN CALIFORNIA AND
WILDFIRES IN SOUTHERN CALIFORNIA.
AS RESULT OF THE STATE'S
EMERGENCY LIVES WERE LOST
CRITICAL INFRASTRUCTURE WAS
DAMAGED THOUSANDS OF HOMES WERE
THREATENED AND RESIDENTS WERE
EVACUATED.
IT IS ESSENTIAL THAT PATIENTS
WHO HAVE BEEN AFFECTED BY STATE
OF EMERGENCY HAVE CONTINUED
ACCESS TO MEDICALLY NECESSARY
HEALTH CARE.
SERVICES.
AB TWENTY NINE FORTY ONE AS A
COMMONSENSE MEASURE THAT WOULD
PRESERVE HEALTH CARE COVERAGE
FOR CALIFORNIANS WHO ARE
IMPACTED BY STATE OF EMERGENCY.
THE DEPARTMENT OF MANAGED
HEALTHCARE HAS AN EXISTING
PRACTICE TO ENSURE ACCESS TO
MEDICALLY NECESSARY HEALTH CARE
SERVICES WHEN THERE IS A
GOVERNOR DECLARED STATE OF
EMERGENCY.
HOWEVER THE CALIFORNIA
DEPARTMENT OF INSURANCE DOES NOT
HAVE THE SAME AUTHORITY IS THE
DEPARTMENT.
OF MANAGED HEALTHCARE AB TWENTY
NINE FORTY ONE WOULD CODIFY THE
DEPARTMENT OF MANAGED HEALTHCARE
IS EXISTING PRACTICE AND WOULD
ALSO BRING PARITY TO THE
INSURANCE CODE. TO ENSURE THAT
ALL PATIENTS MAINTAIN ACCESS TO
MEDICALLY NECESSARY HEALTH CARE
SERVICES IN THE LIMITED
CIRCUMSTANCES.
OF A STATE OF EMERGENCY.
REGARDLESS OF IT'S COVERAGE ALL
CALIFORNIANS SHOULD THE SAME
ACCESS TO HEALTH CARE SERVICES
AND I RESPECTFULLY ASK FOR AN
AYE VOTE IN WITH ME TO TESTIFY
OUR MARRIAGE IN FLORIDA'S FROM
HEALTHAXIS CALIFORNIA.
ENTRY SEE RYAN FROM THE ROLE
COUNTY REPRESENTATIVES OF
CALIFORNIA.
OKAY THANK YOU WITNESSES SUPPORT.
GOOD AFTERNOON MR CHEN MEMBERS
MANAGING FORESTS ON BEHALF OF
HEALTHAXIS CALIFORNIA THE
STATEWIDE HEALTHCARE CONSUMER
ADVOCACY COALITION WE ARE HERE
IN SUPPORT OF AB.
TWENTY NINE FORTY ONE WHICH
WOULD ENSURE THAT CONSUMERS WHO
ARE DISPLACED BY A STATE OF
EMERGENCY CONTINUE TO RECEIVE
COVERED HEALTH CARE SERVICES.
CONSUMERS WHO ARE DISPLAYS
BECAUSE OF DIFFERENT STATES OF
EMERGENCIES LIKE FIRES FLOODS.
EARTHQUAKES OR NATURAL DISASTERS
NEED TO BE ABLE TO GET ACCESS TO
THE HEALTHCARE THEY NEED.
ESPECIALLY DURING THIS CRITICAL
TIME AB TWENTY NINE FORTY ONE
REQUIRES HEALTH PLANS AND
INSURERS TO TEMPORARILY RELAX
RULES AROUND.
PRIOR AUTHORIZATION GETTING OUT
OF NETWORK SERVICES REFILLING
PRESCRIPTION DRUGS REPLACING
MEDICAL EQUIPMENT AND SUPPLIES
AND ANY OTHER ACTIONS THAT THE
IMAGE CNC DE I DETERMINE TO BE
NECESSARY.
THIS BILL GUARANTEE THAT ALL
CONSUMERS REGARDLESS OF WHETHER
THEY ARE UNDER TO TEAMMATES SEE
OR CD I ENJOYED THE SAME
CONSUMER PROTECTIONS WHEN I WHEN
THEY ARE DISPLACED DURING A
STATE OF EMERGENCY.
WE RESPECTFULLY ASK FOR YOUR AYE
VOTE THINKING.
GOOD AFTERNOON CHAIR MEMBERS
TRACY RYAN RAKANNYA REPRESENTS
OF CALIFORNIA.
OF WE REPRESENT THIRTY FIVE
RURAL COUNTIES MOST SOME
DIRECTLY IMPACTED BY NUMBER THAT
NATURAL DISASTERS THAT WE
EXPERIENCED LAST YEAR --
AS YOU KNOW RURAL AREAS STRUGGLE
WITH ACCESS TO HIGH QUALITY
HEALTHCARE SERVICES.
ON THIS IS ONLY EXACERBATED WHEN
WE HAVE A NATURAL DISASTER OR A
STATE OF EMERGENCY WHERE
RESIDENTS WILL WILL BE EVACUATED
TO SURROUNDING AREAS WHICH ARE
USUALLY RURAL AREAS --
PRINCES LAST YEAR WHEN BUTTE
CIDER AND YUBA COUNTIES HAD A
STATE OF EMERGENCY DUE TO OR OF
ALL DAM POTENTIALLY FLOODING.
A HUNDRED AND FIFTY THOUSAND
RESIDENTS WERE EVACUATED THOSE
RESIDENTS CONTINUE TO HAVE
MEDICAL NEEDS.
AB TWENTY NINE FORTY ONE ONE
SURE THAT WHEN RESIDENTS ARE
DISPLACED THAT THEY WILL
CONTINUE TO HAVE ACCESS. TO
HEALTHCARE SERVICES --
THAT THEY NEED WE BELIEVE THIS
BILL IS REASONABLE THEN IT'S
ANOTHER TOOL TO HELP IMPACTED
RESIDENTS OF NATIONAL DISASTERS
HERE IN CALIFORNIA AND WE ASK.
FOR YOU OTHER WITNESSES AS
SUPPORT.
SACROILIAC OUT FOR THE DALLAS
ASSOCIATION WHERE IN SUPPORT.
MEGAN SUPERS ON BEHALF OF
CALIFORNIA HEALTH PLUS ADVOCATES
IN SUPPORT.
GEN FLOOR IN BEHALF OF WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT.
OKAY THANK YOU WITNESSES IN
OPPOSITION.
IT'S GOT TO THE TABLE.
WITHOUT THE LAST.
SIDNEY Y. KINGDOM BEHALF OF THE
ASSOCIATION A CALIFORNIA LIFE
AND HEALTH INSURANCE COMPANIES
FIRST AND FOREMOST HE WOULD LIKE
TO THANK THE AUTHOR ERNEST STAFF
FOR AND REACHING OUT TO US EARLY
IN THE OPEN DIALOGUE WE'VE HAD
ON THE BILL UNFORTUNATELY WE ARE
HERE TODAY WITH AN OPPOSING MUST.
AMENDED WE ARE TRYING TO WORK
WITH BOTH THE AUTHOR IN THE
DEPARTMENT ON A WAY.
TO CLARIFY THAT THE LANGUAGE AND
DOES NOT REQUIRE US IN EVERY
INSTANCE TO FILE SOMETHING WITH
THE DEPARTMENT BUT IN THOSE
INSTANCES FOR WHICH THERE IS A
DIALOGUE BETWEEN THE DEPARTMENT.
AND THE INSURER TO MAKE SURE
THAT WE ARE PROVIDING THEM THE
MOST UP TODAY AND EFFECTIVE
INFORMATION ABOUT HOW WE'RE
SERVING OUR ENROLLEES IN
INSURANCE.
THE THING THAT THERE'S A
FUNDAMENTAL RIGHT RESPONSIBILITY
THAT WE ENSURE ESPECIALLY DURING
A CRISIS MOMENT.
THAT PEOPLE THE ACCESS TO
IMPORTANT HEALTH CARE SERVICES.
WE JUST WANT TO CLARIFY THAT
THOSE INSTANCES WE AREN'T DOING.
SOME BUSY WORK WHEN WE REALLY
SHOULD BE REACHING OUT MAKING
SURE ENROLLEES AND INSURANCE
HAVE ACCESS TO HEALTH CARE.
AND SO WE ARE HOPEFUL THAT AS
THERE'S A LONG STAY THAT WE CAN
CONTINUE THOSE CONVERSATIONS AND
FIND KIND OF A HAPPY MEDIUM IN
THAT LANGUAGE.
I'M JENNIFER ALLEY WITH
CALIFORNIA ASSOCIATION HEALTH
PLANS AND I TOO WOULD LIKE TO
THANK THE AUTHOR IN THEIR STAFF
FOR BEING VERY OPEN HAVE AN OPEN
DOOR POLICIES WE CONTINUE TO
DISCUSS --
POTENTIAL AMENDMENTS FOR THIS
BILL ARM AND I WOULD LIKE TO
LINE MY COMMENTS WITH MS WATKINS
THANK YOU.
ARE A ANY OTHER WITNESS
OPPOSITION ALL RIGHT A QUESTIONS
FROM COMMITTEE MEMBERS --
I KNOW CENTER NIELSEN.
ASSEMBLYMAN DE BERMAN THIS --
MIGHT BE FAR TOO BROAD A
QUESTION.
BUT IF YOU'RE HAVING DISCUSSIONS
WITH MS WATKINS I'D LIKE TO HAVE.
SORT A PARTICIPATE NOT THOUGH
FUND HER POINT NECESSARILY.
IT WOULD BE RELATED TO WHAT KIND
OF EMERGENCY WE'RE TALKING ABOUT.
HAVING REPRESENTED NINETEEN
COUNTIES OVER THE YEARS I'VE
BEEN INVOLVED IN ABOUT A KIND OF
AN EMERGENCY THAT YOU CAN
IMAGINE [inaudible]
INCLUDING OROVILLE.
THAT'S NOT THE KIND OF EMERGENCY
THAT IS OF CONCERN TO ME.
BUT FIVE YEARS AGO.
THE GOVERNOR WAS ACCORDED
AUTHORITY FOR DECLARING A
DROUGHT EMERGENCY [inaudible]
AND I'M RELUCTANT.
TO EXPAND. TO THIS AREA OF A
GOVERNOR'S DECLARATION OF A
DROUGHT.
WHAT YOU'RE TRYING TO ACCOMPLISH
HERE?
THIS WOULD BE THE NORMAL.
EMERGENCY FORCES MAJEURE.
BREAKING OF THE SPILLWAYS AND
ORVILLE.
THOSE ARE CLEAR.
BUT UNDER THAT LEGISLATION FOR
THE DROUGHT EMERGENCY THE
GOVERNOR'S POWERS ARE ALMOST
UNLIMITED.
AND THERE IS NO [inaudible]
AND BUT ONE THAT.
WOULD HAPPEN WINDOW WHENEVER
THAT THERE'S THERE'S NO
REQUIREMENT THE GOVERNOR
DECLARED THAT THE EMERGENCY IS
OVER.
AN EXTRAORDINARY POWERS ARE
ACCORDED TO THE AGENCIES OF
GOVERNMENT.
UNDER SUCH EMERGENCY.
SO I I'M GONNA LAY OFF ON THE
VOTE RIGHT NOW BUT I'D LIKE TO
HAVE US ENGAGE IN JUST TO TRY TO
CLARIFY THAT PARTICULAR POINT IF
THAT.
VERY PARTICULAR DROUGHT
EMERGENCY.
WOULD QUALIFY OR NOT.
THANK YOU BEAT THANK YOU CENTER
AND AND COMPLETELY UNDERSTAND
YOUR POINT IT'S A GOOD --
ONE AND WILL HAPPILY WORK WITH
YOUR OFFICE OF THE BILL GETS OUT
TODAY -- TO
MAKE SURE THAT WE PROBABLY
DEFINE WHAT TYPES OF EMERGENCIES
WOULD WOULD APPLY HERE THANK YOU.
SO ACTUALLY I JUST WANT TO
FOLLOW UP ON THAT QUESTION WAS
FROM IT AND I DON'T KNOW MAYBE
WE CAN ALSO HAVE THE PORTER'S OF
THE BILL BACK UP HERE --
TO SO IF I UNDERSTAND THE BILL I
SEATS THIS ONLY APPLIES TO
PEOPLE WHO ACTUALLY DISPLACED BY
THE EMERGENCY ITSELF IS THAT
CORRECT.
SO MODES ITS JUST IT ISN'T
NEARLY THE EXISTENCE OF THE
EMERGENCY.
THAT WOULD THAT'S WHAT WE'RE
TRYING THAT THAT IS THE JOB HAVE
TO BE DEBTS DISPLACED OR HAS
IMMEDIATE POTENTIAL TO DISPLACE
RELEASED SAID EMERGENCY.
SO YES I JUST WANTED COULD SO
IT'S NOT IN TERMS OF STEP BREATH
OF THE BUT WHERE DOES APPLY TO
IT'S NOT JUST MERELY DECLARATION
EMERGENCY AT WOULD BE PEOPLE WHO.
ARE BEING.
DISPLACED ARE POTENTIALLY GOING
TO BE DISPLACED BECAUSE OF
EMERGENCY ITSELF I GUESS SO.
PRESS OKAY ARE SO CLARIFY THAT
OKAY.
ALRIGHT ALTHOUGH THE QUESTIONS
FROM COMMITTEE MEMBERS.
RIGHT.
OKAY SO PERHAPS --
MAYBE THERE ARE.
BOUNDARIES THAT WE CAN WORK OUT
WITH CENTER NIELSEN BUT I THINK
BUTTON THAT IT IS A NARROWER
THAN MIGHT HAVE BEEN RECEIVED SO
OKAY.
OF OTHER QUESTIONS FROM
COMMITTEE MEMBERS --
SEEN NONE --
WHICH I LIKE TO CLOSE
RESPECTFULLY ASK FOR A VOTE THAT
YOU THINK YOU ARE RIGHT.
AZAR MOTION.
OKAY IT'S BEEN MOVED BY SENATOR
LEYVA -- THE
MOTION IS TO PASS WITH
AMENDMENTS TO APPROPRIATIONS --
SECRETIVE PLEASE CALL THE ROLL.
PAN I AM I WHEN.
HERNANDEZ HERNANDEZ AYE.
MITCHELL AYE MONNING.
MONNING AYE NEWMAN.
NIELSEN.
ROSS.
ROTH AYE.
OKAY SET BILL HAS SIX VOTES WILL
PUT IT ON CALL BUT YOU COULDN'T
GET OUT THANK YOU.
OKAY SO WE'RE WAITING FOR OUR
LAST AUTHOR WHICH IS ASSEMBLY
MEMBER.
YEAH I THINK THE ANSWER FOR US
SO WE CAN HAVE --
ASSEMBLY MEMBER --
GONZALEZ FLETCHER SO HER STAFF
IS LISTENING THEY CAN
[inaudible]
PLEASE.
WE THINK FORD SINGER AT SO LET'S
GO AHEAD AND MOVE WE DO HAVE
FOUR ITEMS ON CONSENT --
SO IS THERE A MOTION FOR THE
CONSENT CALENDAR.
IT'S BEEN MOVED BY SARAH LEYVA
SO THOSE FOUR ITEMS IS A NOW TO
THE BEGINNING WERE ITEM NUMBER
TWO AB.
TWENTY AB SEVENTEEN SIXTY SIX
ITEM NUMBER SIX AB TWENTY EIGHTY
EIGHT I AM NUMBER SEVEN AB.
TWENTY NINETY NINE AND ITEM
NUMBER FIFTEEN AB --
TWENTY SEVEN FIFTY SURGERY
PLEASE CALL THE ROLL OF EXTENT
CALENDAR PAN IP AND I WENT.
HERNANDEZ HERNANDEZ AYE LEYVA.
LABOR AYE MITCHELL.
MITCHELL AYE MONNING.
MONNING AYE NEWMAN.
NIELSEN NIELSEN AYE ROTH
[inaudible]
ROTH I OKAY.
OKAY SO THAT DICK SECULAR HAS
SEVEN VOTES AND WE'LL PUT THAT
ON THE CONSENT CALENDAR ON CALL.
IT SHOULD HELP THE PEOPLE OF THE
GIVE IT ONE LAST.
THE POINT OPEN THE ROLES ARE
GOING TO THE ELEMENTS.
OKAY SO WE'LL GO AHEAD WHAT SO
WHILE WE'RE WAITING FOR SOME
EVER EXALTS FLETCHER --
LET'S GO AHEAD AND REOPEN THE
ROLE FOR ABSENT MEMBERS ON PRIOR
ITEMS SO WE'LL GET AND START
WITH ITEM NUMBER THREE THAT'S AB
SEVENTEEN EIGHTY SEVEN BY.
SOME RIVERS.
HOW ONE WAS WITHDRAWN SO THERE'S
NO ITEM?
ONE SO ITEM ONCE WITHDRAWN TO
WAS ON CONSENT SO LET'S MOVE TO
ITEM NUMBER THREE AB.
SEVENTEEN EIGHTY SEVEN ACEKARD
PLEASE CALL THE ROLL OF ABSENT
MEMBERS HERNANDEZ AYE NEWMAN.
OKAY SO THAT CURRENT BILL
CURRENTLY HAS --
SEVEN THEM PUT THAT BILL BACK ON
CALL ITEM NUMBER FOUR AB
SEVENTEEN EIGHTY EIGHT BY SOME
MEMBERS SALAS A SICK TREE PLEASE
CALL THE ROLL THAT'S MEMBERS
WHEN.
HERNANDEZ HERNANDEZ AYE.
NEWMAN.
A LOT OF POSITIVE HYPE.
BUT IF IT SELLS ISN'T YEAH OKAY.
SO WE'RE RECORDING WHEN AS AN
EYE ON AB [inaudible]
SEVENTEEN EIGHTY EIGHT OKAY.
SO THAT BILL IS OUT A TWO ZERO
ACTUALLY.
THE NEED A MOMENT.
OKAY CAN WE GO BACK TO THAT
ABSOLUTELY.
LET'S GO LET'S GO BACK WELL
BEFORE OKAY VERY AN AFFECT OKAY
I'M ALMOST THERE OKAY SO LET'S
AYE NEXT ITEM IS ITEM NUMBER
FIVE AB SEVENTEEN NINETY BY
SOMEONE HER SALAS THAT SPELL HE
FOR EDUCATION EARLY DIAGNOSIS
TREATMENT ACT --
SIX A PLEASE CALL THE ROLL THE
ABSENT MEMBERS NGUYEN.
WHEN I HERNANDEZ HERNANDEZ AYE
NEWMAN?
OKAY SO THAT BILLS OUT.
EIGHT ZERO OKAY NEXT ITEM IS
ITEM NUMBER EIGHT AB TWENTY ONE
EIGHTEEN BY SUMMER COOLEY
SECRETARIES CALL THE ROLL THAT'S
A MEMBERS NGUYEN [inaudible]
NEWMAN ROTH [inaudible]
ROTH I OKAY.
IT'S A BEAUTIFULLY OFTEN THAT
ONE OKAY SO THAT'S ARE OUT.
OF BUT I AND NUMBER EIGHT OKAY
SO THAT'S THIS SO THAT'S OUT.
SEVEN ZERO OKAY I NEXT ITEM IS
ITEM NUMBER NINE AB TWENTY THREE
SIXTEEN BY SOME MEMBER EGGMAN
SURGERY PLEASE CALL THE ROLL
THAT'S IN NUMBERS WHEN.
WIN AYE HERNANDEZ HERNANDEZ AYE
LEYVA [inaudible]
LEYVA AYE [inaudible]
NEWMAN.
OKAY SO THAT BILLS OUT EIGHT
ZERO I SEE A SUMMARY GONZALEZ
FLETCHER HERE WELCOME MUCH GO
AHEAD AND COME UP --
SO WE'LL GO AHEAD AND HAVE US
THIS NOVEMBER WOMAN PRESENTS AND
THEN WE'LL GO BACK AND HEINOUS
ROLE.
IF YOU.
GOOD AFTERNOON I'M CHAIR MEMBERS
AT EIGHT THAT.
WHATEVER MY BILL IS AB TWENTY
FOUR TO TWENTY A SITE NUMBER TEN
AB.
TWENTY FOUR LARRY SORRY.
LIVE MAKING IT EASIER MOVING.
THANK YOU.
GOOD EASY CLARIFYING
STREAMLINING --
THE BILLING PROCESS FOR HEALTH
CENTERS THAT OPERATE UNDER A
CONSOLIDATED LICENSE THIS BILL
THE CLEAN UP --
OF AB.
TWENTY FIFTY THREE FOR COMMUNITY
HEALTH CENTERS ABSTAINED
CORPORATE ADDITIONAL FACILITIES
LOCATED WITHIN A RADIUS OF THEIR
EXISTING FACILITIES UNDER SINGLE
CONSOLIDATED LICENSE --
DURING THE IMPLEMENTATION IS
FOUND THAT THESE HEALTH CENTERS
WERE NOT ABLE TO INCLUDE THESE
FACILITIES UNDER EXISTING
FACILITIES PROSPECTIVE PAYMENT
SYSTEM RATE.
UNDER THE CURRENT SYSTEM HOUSE
AND I WOULD NEED TO UNDERGO
LENGTHY MULTI YEAR PROCESS TO
THE DEPARTMENT OF HEALTH CARE
SERVICES DETERMINED SET UP A PSS
RATE FOR NEW FACILITY.
THIS INHIBITS THE CENTER'S
ABILITY TO MEET LEGAL SERVICES
IN BUT POSE A SERIOUS THREAT TO
FISCAL VIABILITY OF ANY NEW SITE
THIS JUST IS A CLEAN UP BILL IN
ITS A COMMON SENSE SOLUTION I
RESPECTFULLY ASK FOR AN ITEM.
THAT YOU WITNESSES IN SUPPORT.
MISTER CHAIR MEMBERS MY NAME IS
BETH ON OWSKI WITH DEBBIE
DIRECTOR OF PUBLIC AFFAIRS
CALIFORNIA HELPLESS ADVOCATES
WHO REPRESENTS THE INTERESTS OF
CALIFORNIA'S I THIRTEEN HUNDRED
ME HEALTH CENTERS IN THE SIX
POINT FIVE MILLION CALIFORNIANS.
THE PROVIDE CARE TO EACH YEAR
WERE PROUD SPONSORS OF AB --
TWENTY FOUR TWENTY EIGHT AS
STATED IN TWENTY SIXTEEN AB
TWENTY FIFTY THREE WHICH IS ALSO
AUTHORED BY SEN WOMAN THE
DOLLARS FLETCHER.
TIME OF THE GOVERNOR CREATED THE
COMPLY LICENSE PROCESS.
I'M AS NOTED UPON IMPLEMENTATION
WE DID RECOGNIZE SOME CHALLENGES
AND ARE GLAD TO BE IN FRONT OF
YOU TODAY TO ADDRESS SOME OF THE
CHALLENGES FOR THE HEALTH
CENTERS IN THE STATE.
I'M AS STATED MAKING SURE THAT
HEALTH CENTERS CAN DETERMINE
THEIR HEALTH CENTERS RATE AND BE
ABLE TO MEET LEE BILL WITH THAT
RATES ON IS INCREDIBLY IMPORTANT
FOR THE PHYSICAL ABILITY OF
THOSE HEALTH CENTERS.
AND WHY WE SO NEED AB TWENTY
FOUR TWENTY EIGHT HOPES TO AVOID
A LENGTHY OF MULTI YEAR PROCESS --
AND GIVES HEALTH CENTERS WITH
THE OPTION TO IT ESTABLISHMENT
VIGIL RATE FOR THAT NEWLY
CONSOLIDATES SITE OR USE THE
RATES HAT ALREADY EXIST THERE
LICENSE FACILITY --
AS STATED AGAIN IT DOES BUILD ON
PRIOR LEGISLATION AND BY
AMENDING THE BUFFER INSTITUTION
CHO IT --
AND BY DOING SO REALLY HELP
INCREASE ACCESS TO SERVICES FOR
COMMUNITIES IN GREATEST NEED.
AFTER THIS REASONS WE URGE YOUR
AYE VOTE TODAY.
THANK YOU MISTER CHAIRMAN BURST
MY CONSUMERS ON BEHALF OF
CALIFORNIA HEALTH PLUS ADVOCATES
TO STEER FOR ANY QUESTIONS.
THIS IS A SUPPORT.
GOOD AFTERNOON CHAIR MEMBERS
TERESA CUTLER BEHALF ABREGO
HEALTH AND STRONG SUPPORT THANK
YOU.
AFTERNOON ANJUMAN ANY WITH
PLANNED PARENTHOOD IN SUPPORT.
EDU OKAY ANY WITNESSES IN
OPPOSITION.
SAME NINE X. Y. CLARIFIED THERE
WERE SOME AMENDMENTS SKETCHES BY
COMMITTEE ARE YOU SETTING AS
AMENDMENTS FORCES YEAH THANK YOU
ALRIGHT.
OF THE QUESTIONS YOU COMMITTEE
MEMBERS.
OKAY AND I HEAR A MOTION FROM
CENTER LEYVA --
STILL GOING.
REALLY I WOULD KNOW WE JUST
FOUND OUT WHICH I DON'T THINK
YOU ARE.
OKAY AYE AYE AYE MATHIS ARE
MOSTLY TIMES I CAN GET REPAIRED
AND MOST WE GOT WE GOT TO OKAY
WE HAVE DEAL MOTIONS.
WE'VE DO EMOTIONS.
SUMMARY GONZALEZ FLETCHER WOULD
YOU LIKE TO CLOSE THAT'S WHEN I
MET OKAY EXCELLENT SO THE MOTION
IS TO PASS FOR THE MEN'S TO
APPROPRIATIONS WITH TWO SECONDS.
THE SECTOR PLEASE CALL THE ROLL
PAN AYE AYE.
AYE WHEN.
WHEN I HERNANDEZ HERNANDEZ AYE
LEYVA?
LEYVA AYE MITCHELL AYE MITCHELL
AYE MONNING.
MONNING AYE AYE NEWMAN NIELSEN.
NIELSEN AYE ROSS ROTH AYE.
OKAY THAT BILLS OUT EIGHT ZERO
THANK YOU ALL RIGHT SO WE'RE
GOING.
BUT IT OUT SO LET'S MOVE ON TO
ITEM NUMBER ELEVEN THAT'S AB
TWENTY FOUR THIRTY BY ASSEMBLY
MEMBER ARAMBULA --
SECRETARY PLEASE CALL THE ROLL
OF ABSENT MEMBERS WHEN.
WHEN I MONNING?
MONNING AYE NEWMAN.
SPACE THAT BILLS OUT EIGHT ZERO
FIX ITEMS ITEM NUMBER TWELVE AB
TWENTY FOUR NINETY NINE BY
SOMEONE ARAMBULA SURGERY PLEASE
CALL THE ROLL OF ABSENT.
WHEN?
WHEN I MONNING?
MONNING AYE NEWMAN [inaudible]
DOES.
OKAY THAT BILLS OUT SEVEN ZERO
NEXT ITEM IS ITEM NUMBER
THIRTEEN AB TWENTY FIVE THIRTY
NINE BY SOME MEMBER MATHIS.
SECRETARIES CALL THE ROLL ABSENT
MEMBERS WIN.
WIN AYE NEWMAN.
THAT BILLS OUT EIGHT ZERO NEXT
ITEM IS ITEM NUMBER FOURTEEN AB
TWENTY SEVEN EIGHTEEN BY SOME
MEMBER FRIEDMAN SECTOR PLEASE
CALL THE ROLL ABSENT MEMBERS.
WHEN WHEN I MINING?
MINING AYE NEWMAN.
OKAY THAT BILLS OUT --
EIGHT ZERO NEXT ITEM IS ITEM
NUMBER SIXTEEN FIFTEEN WAS ON
CONSENT AYE NUMBER SIXTEEN AB
TWENTY EIGHT SIXTY THREE BY SOME
EARNS AREA SECTOR PLEASE CALL
THE ROLL ABSENT MEMBERS WHEN.
WHEN I NEWMAN?
THAT BILLS OUT EIGHT ZERO X.
ITEMS I'M NUMBER --
SEVENTEEN FOR AB TWENTY NINE
FORTY ONE BY SOMEONE BERMAN SICK
FIFTIES CALL THE ROLL.
I'M SORRY I DIDN'T.
OKAY ABSURD AT OKAY SO THAT I
CLOSED TWENTY SIXTY THREE OKAY
SO ITEM NUMBER SIXTEEN AB --
TWENTY EIGHT SIX THREE THE VOTE
IS [inaudible]
EIGHT ZERO PROCESS RIGHT.
OKAY SO LIVE I THINK THE BUT IS
EIGHT ZERO THAT THOSE OUT EIGHT
ZERO OKAY THANK YOU.
ITEM NUMBER SEVENTEEN AB TWENTY
NINE FORTY ONE THIS BY SOME
THEIR BERMAN SECURITIES CALL THE
ROLL ABSENT MEMBERS WHEN.
WHEN I NEWMAN [inaudible]
NIELSEN.
PERFECT THAT THOSE OUT SEVEN
ZERO NEXT ITEMS ITEM NUMBER
EIGHTEEN AB THIRTY ONE SIXTY TWO
BY SOME OTHER FRIEDMAN SECTOR
PLEASE CALL THE ROLL ABSENT.
WHEN?
WHEN I [inaudible]
MONNING.
MONNING AYE NEWMAN.
BROUGHT [inaudible]
ROTH I AT BILL IS OUT --
EIGHT ZERO LET'S NOW LET'S TAKE
UP THE CONSENT CALENDAR --
THAT'S THREE FOUR ITEMS ON THE
CONSENT CALENDAR --
SECRETARY PLEASE CALL THE ROLL
ABSENT MEMBERS WHEN.
WHEN I?
CONSENT KILLERS OUT EIGHT ZERO
WE ONE MY I THINK --
AND THEN WE HAVE ITEM NUMBER
THREE AB SEVENTEEN EIGHTY SEVEN
BY SOME MEMBER SALAS
.
I DON'T WANT.
IT'S THIS.
ONE THAT'S THIS.
ONE THAT'S RIGHT.
OKAY SO LET'S CALL THE ROLL
ABSENT MEMBERS.
SO THAT AGAIN ITEM NUMBER THREE
AB SEVENTEEN EIGHTY SEVEN
ASSEMBLY WERE SALAS PLEASE CALL
THE ROLL ABSENT MEMBERS WIN.
WHEN I?
THAT BILLS OUT.
EIGHT ZERO I BELIEVE THAT
COMPLETES THE ROLE OF OKAY ITEM
NUMBER.
SO THAT OUR CONSENT CALENDAR YES
YES.
ITEMS NUMBER TWO SIX SEVEN AND
FIFTEEN OR ALL CONSENT.
OKAY SO CLOSE ON ANYTHING OKAY
SO THAT COMPLETES THE AGENDA FOR
THIS HEARING OF THE SENATE
COMMITTEE ON HEALTH.
WE ARE NOW ADJOURNED THANK YOU