MORNING I REALLY APPRECIATE YOUR
ATTENDANCE AND THE WELCOME TO
THE HEARING OF THE SENATE
COMMITTEE ON BUSINESS
PROFESSIONS AND ECONOMIC
DEVELOPMENT.
SEXUAL MISCONDUCT REPORTING IN
THE MEDICAL PROFESSION.
MISSED OPPORTUNITIES TO PROTECT
PATIENTS THAT'S THE TITLE OF OUR
HEARING TODAY AND A WERE LOOKING
TO SEE WHAT WE CAN FIND IF THERE
ARE GAPS IN THE SYSTEM CURRENTLY
IF THERE ARE PROBLEMS IN TERMS
OF REPORTING.
SO THAT WE CAN GET TO THE HEART
OF IT TO MAKE SURE THAT WE
IMPROVE THE SIGISMUND EFFORT IF
THE SYSTEM IS FAILING US TODAY.
I LIKE TO KNOWLEDGE OUR
PANELISTS WHO HAVE TRAVELED TO
SACRAMENTO TO TESTIFY ON THIS
VERY IMPORTANT ISSUE THANK YOU
FOR BEING HERE AND THANK YOU TO
THOSE ADDRESSING THE COMMITTEE
DURING THE PUBLIC.
COMMENT PORTION OF TODAY'S
HEARING.
THIS COMMITTEE HAS A SIGNIFICANT
HISTORY.
OF INTEREST AND FOCUS ON
STATUTORY REPORTING REQUIREMENTS
DESIGNED TO INFORM HEALTH
PRACTITIONER LICENSING BOARDS
ABOUT POSSIBLE MATTERS OF
INVESTIGATION.
GIVEN THE INDISPENSABLE NATURE
OF HEALTH CARE HIGH QUALITY
PATIENT CARE IS VITAL.
PATIENTS EXPECT THEIR TREATING
PHYSICIANS AND OTHER MEDICAL
PROFESSIONALS TO BE COMPETENT
AND QUALIFIED IN THE COMMITTEE
HAS LONG HELD THAT HEALTH
PRACTITIONERS WHO FAIL. TO MEET
ESTABLISHED PROFESSIONAL
STANDARDS MUST BE DISCOVERED.
REVIEWED AND DISCIPLINED AT IF
NECESSARY IN A VERY TIMELY
MANNER.
EVERYTIME A BOARD THAT IS
SUPPOSED TO RECEIVE MANDATORY.
REPORTS COMES BEFORE US DURING
ROUTINE SUNSET REVIEW OVERSIGHT
WE HEAR TROUBLING STATISTICS
ABOUT THE ACTUAL INSTANCES.
IN WHICH BOARDS ARE BEING
INFORMED.
THESE BOARDS TASKED WITH PATIENT
AND PUBLIC PROTECTION.
OR HINDERED IN DOING THEIR JOB.
IF THEY ARE NOT ALERTED TO THESE
CASES AT THE APPROPRIATE TIME.
DOES THE LAW NEED TO BE
CLARIFIED.
OUR REPORTING REQUIREMENTS TOO
EASY TO IGNORE.
HOW CAN WE ENSURE THAT ACTION IS
TAKEN SWIFTLY IN ORDER TO
PROTECT PATIENTS?
I LOOK FORWARD TO TODAY'S
DISCUSSION IN WHICH WE EXAMINE
WILL BE EXAMINING WHAT HOSPITALS
AND OTHER HEALTHCARE FACILITIES
ARE REQUIRED TO DO.
AND WHAT IS ACTUALLY DONE.
WHEN THEY RECEIVE COMPLAINTS OF
MISCONDUCT AND OTHER SERIOUS
WRONGDOING BY MEDICAL
PROFESSIONALS --
SO IT TO ACHIEVE AT THIS POINT
WE HAVE NO OTHER LEGISLATORS
WITH US THIS MORNING.
MONDAY MORNINGS ARE ALWAYS A
DIFFICULT TIME IN SACRAMENTO TO
GET PEOPLE --
HERE FROM ALL OVER THE STATE --
BUT Y. WONDER AGAIN THANK THEM
BUT WE WILL SEE SOME MEMBERS I'M
SURE AS WE THE HEARING MOVES ON
I FIRST LIKE TO INVITE OUR FIRST
PANELIST --
FOR SPEAKER ROLE BROWN PARTNER.
FOX L. L. P. WHO WILL PROVIDE US
A HIGH LEVEL OVERVIEW OF HEALTH.
ABSOLUTELY DISCIPLINE IN THE
REQUIRED MANDATORY REPORTING TO
LICENSING ENTITIES SO MISTER
BROWN WELCOME AND THANK YOU FOR
YOUR WILLINGNESS.
TO SHARE WAS UP WITH US THIS
MORNING SOME OF YOUR INSIGHT I
THINK A IT WILL HELP US A FREE A
FOUNDATION OF WHAT THE HEALTH
CARE REQUIRED REPORTING SHOULD
BE IN THESE CASES SO THANK YOU.
THANK YOU CHAIRMAN HELLO AND
GOOD MORNING I'M PLEASED TO BE
HERE TODAY AS YOU SAID MY NAME'S
LOWELL BROWN I'M A PARTNER WITH
A LOT FROM IT ARENT FOX.
AND I'VE BEEN PRACTICING IN THE
MEDICAL STAFF PEER REVIEW AREA
FOR THE LAST THIRTY SOME YEARS.
HAPPY TO BE HERE WITH US WITH
YOU ALL TODAY.
AND AS YOU SAID OUTSIDE TO
PROVIDE AN OVERVIEW OF A
DISCIPLINE THAT THE MEDICAL
BOARD HOW THE BOARD INTERACTS
WITH THAT.
HOSPITAL MEDICAL STAFF AND OTHER
PEER REVIEW BODIES.
SO WILL COVER GENERALLY HOW
HEALTH PRACTITIONERS HAD --
DISCIPLINE IS HANDLED IN THE
STATE BY.
BOTH THE STATE LEVEL AND AT THE
LOCAL -- IN
INDIVIDUAL FACILITY LEVEL.
WHAT MEDICAL STAFF TO REVIEW
MEANS?
WHAT IT MEANS TO BE A PEER
REVIEW BODY AND IMPORTANT TERM
AND THE REPORTING SCHEME?
ALAS WELL WATER THE DECISIONS --
BY PEER REVIEW BUT IS IT HAVE TO
BE REPORTED.
AND AS YOU SAID THIS WILL BE AN
OVERVIEW ON ATLANTIC GOING TO
STATUTES THAT OR ANYTHING LIKE
THAT DESCRIBE WHAT.
WHAT I SEE AS A PRACTITIONER AND
WHAT?
BEGIN WITH THIS QUESTION AS SORT
OF OUR SOMETHING TO SET THE
STAGE WHEN I AM SITTING WITH A
MEDICAL EXECUTIVE COMMITTEE AT A
HOSPITAL.
AND THERE SAID IN WHAT ACTION TO
TAKE ABOUT A PARTICULAR
PHYSICIAN.
THE QUESTION IS ALWAYS ASKED
WILL THIS BE REPORTABLE.
A COME BACK IN AWHILE TO TALK
ABOUT WHY THAT'S SUCH AN
IMPORTANT QUESTION THAT COMES UP
EVERY SINGLE TIME I'M NOT
EXAGGERATING WHEN I SAY THAT.
SO THE THE SYSTEM --
IS SO FAR AS THE LICENSING
BOARDS AND AND LOCAL PEER REVIEW
BUDDIES IS CONCERNED.
LOOKS LIKE THIS A MEDICAL BOARD.
THERE'S AN OSTEOPATHIC BOARD TO
PUT AFTERWARD ALSO A DENTAL
BOARD.
AND THE OVERSEE THE LICENSURE OF
OF LICENSES THROUGHOUT THE STATE.
PERIOD YOU BODIES OR SOMETHING
DIFFERENT.
AND SO ON EXPLAINED LITTLE
BALBOA WHAT THAT IS.
AS A STATUTORY DEFINITION OF
APPEAR THE BODY AND IT MEANS --
USUALLY A HOSPITAL MEDICAL STAFF
IS THE CLASSIC PEER REVIEW BODY
EVERY HOSPITAL HAS A MEDICAL
STAFF BY LAW.
AND THEY ALL DO PEER REVIEW THAT
REVIEW EACH OTHER'S CARE BY LAW --
OUTSIDE OF THAT SITTING --
APPEAR BICU BODY IS ALSO A
COMMITTEE.
OF A PRIVATE ENTITY.
THAT CONSISTS OF OR EMPLOYEES
TWENTY FIVE OR MORE LICENSE IT'S
AT THE SAME CLASS MATTER.
MUCH DISCUSSED SENTENCE THAT I
JUST QUOTED TO YOU AND THAT --
PEOPLE ASK THEMSELVES WHAT IS IT
MEAN TO CONSIST OF WE KNOW WHAT
IT MEANS TO EMPLOY SO THAT MEANS
IF HAVE TWENTY FIVE POSITIONS
TWENTY FIVE BUT I ACTRESS TWENTY
FIVE DENTISTS [inaudible]
AND THEY ARE LOOKING AT THE CARE
THAT EACH OTHER TO ONE ANOTHER
PROVIDES.
THEN THAT IS A PEER REVIEW BY.
THERE'S SOME AMBIGUITY IN THE
STATUTE --
AND THERE'S SOME STRUGGLING THAT
GOES ON WITH NONTRADITIONAL.
PROVIDERS --
MEDICAL GROUPS CLINICS AND SO
FORTH ARE WE APPEAR EVERYBODY OR
NOT HOSPITALS MEDICAL STAFF
ALWAYS KNOW THAT THERE APPEARED
YOU BUDDY.
SOME HEALTH PLAN SOME INSURERS
AND SOME PROFESSIONAL SOCIETIES
ARE ALREADY ALSO HERE YOU BODIES
BUT BUT THE MAIN ENTITIES WERE
TALKED ABOUT A HOSPITAL MEDICAL
STAFFS AND LARGE MEDICAL GROUP.
PEER REVIEW WHAT DOES PEER
REVIEW REALLY EAN I LIKE TO
PARAPHRASE WINSTON CHURCHILL ON
THIS.
AND SAY THAT THE IN A NEVER HAVE
SO MANY UNKNOWNS SO LITTLE ABOUT
SOMETHING SO IMPORTANT THAT THE
PRINCESS I'M NOT CRITICIZING
ANYONE I'M JUST SAYING THAT IT'S
A SOMEWHAT ARCANE SUBJECT TO
MOST OF THE PUBLIC.
MOST PEOPLE HAVE NO IDEA WHAT
GOES ON INSIDE OF HOSPITALS AND
OTHER PEER REVIEW BODIES.
THE REVIEW CARE THAT'S PROVIDED
THERE.
SO WHAT THAT WHAT IT MEANS
ACCORDING TO THE STATUTE IS IS.
TO REVIEW --
THE QUALIFICATIONS A OUTCOMES
AND AND THE CONDUCT
PROFESSIONALLY OF PRACTITIONERS.
WITH TWO GOALS FIRST IS TO
DECIDE WHETHER THEY CAN PRACTICE
WITHIN THAT HOSPITAL THAT
MEDICAL GROUP WHATEVER
ORGANIZATION IT IS IF IT'S A
PEER REVIEW BODY.
AND ALSO TO IMPROVE THE QUALITY
OF CARE WAS PRETTY SIMPLE
DEFINITION.
NOW THIS IS HOW WHO THE
LICENSING BOARDS IMPURITY
BUDDIES INTERACT DO OVERALL.
OVERARCHING GOAL OF ALL OF THIS
IS TO PROTECT THE PUBLIC.
A IN THE SENSE OF IN IN IN THE
SET AND THE SETTING OF THEM OF
THE LICENSING BOARDS THEY
PROTECT THE PUBLIC GENERALLY.
UP HERE THE BODIES PROTECT
PATIENTS THAT ARE SEEN WITHIN
THEM.
SO LA A LICENSING BOARD MEDICAL
BOARD FOR EXAMPLE DECIDES
WHETHER OR NOT DOCTOR BROWN MAY
EVEN HAVE A MEDICAL LICENSE AND
UNDER WHAT CIRCUMSTANCES.
AT THE HOSPITAL LEVEL THEY
DECIDE WHETHER DOCTOR BROWN CAN
SEE PATIENTS AND TO WHAT EXTENT
WHAT PRIVILEGES CAN HE CRACK ANY --
PRACTICES SO FORTH SO IT'S A
MORE LOCAL DEFINITION.
WITH A DIFFERENT STANDARD --
THE LICENSING BOARDS RECEIVED
REPORTS THAT CALLED EIGHT OH
FIVE REPORTS --
FROM PEER REVIEW BODIES WHEN
CERTAIN ACTIONS TAKEN.
AND THE FEAR OF GOD IS FILE
REPORTS SO THERE'S THAT SORT OF
FAT.
SYMBIOTIC INTERCONNECTION
BETWEEN THE TWO OF THEM.
WHAT IS REQUIRED TO REPORT?
AND THERE'S A FIFTEEN DAY
DEADLINE AND AND THAT STARTS TO
RUN.
ON THE EFFECTIVE DATE OF CERTAIN
ACTIONS ARE TAKEN BY PEER REVIEW
BY.
I WANT TO SAY A DENIAL OF AN
APPLICATION --
ANOTHER IS A TERMINATION
REVOCATION OF EXISTING
MEMBERSHIP OR PRIVILEGES.
CERTAIN TYPES OF RESTRICTIONS IF
THEY LAST LONG ENOUGH FOR LET'S
SAY THEY TELL DOCTOR BROWN.
WE KNOW YOU'RE OFF GOING
OBSTETRICIAN THAT YOU CAN DO.
A CAESAREAN SECTIONS.
UNTIL IT PURSUE INFANTIL FURTHER
NOTICE IN THE MEANTIME AT THAT
SOMEBODY PRESENT WITH YOU WHILE
YOU DO THEM.
THAT WOULD BE AYE RESTRICTIONS.
AND THEY'LL ALL OF THESE THINGS
ARE A LOT OF THESE RESTRICTIONS
ARE JUST DESCRIBED THAT WOULD
NOT BE REPORTABLE THAT IF
THEY'RE DONE.
FOR PATIENT SAFETY REASON
STATUTORILY THE WORDS ARE.
AT AND MEDICAL DISCIPLINARY
CAUSE OR REASON BUT MEANS AYE
AYE CONCERN ABOUT PATIENT SAFETY
SO THOSE TYPES OF ACTIONS WHEN
THEY'RE TAKEN PER PATIENT SAFETY
REASONS [inaudible]
ARE REPORTABLE.
OTHER AFFORDABLE ACTIONS WOULD
BE -- I CALL
THE FIRST TO THE GET OUT OF TOWN
WHILE THE GETTING IS GOOD A RULE --
WHEN SOMEONE RESIGNS OR TAKES A
LEAVE OF ABSENCE WHEN THEY KNOW
CRITICISM IS COMING THEIR WAY
THAT'S REPORTABLE THE MEDICAL
BOARD WANTS TO KNOW ABOUT THOSE
THINGS THEY DON'T WANT PEOPLE TO
AVOID?
DISCIPLINE OR BEING REPORTED TO
THE BOARD BY SIMPLY GOING AWAY.
SIMILARLY IF SOMEONE HAS APPLIED --
TO BE A MEMBER OF THE MEDICAL
STAFF OR TO BE RENEWED.
AND THEY WITHDRAW THAT
APPLICATION AND GO AWAY AFTER
BEING TOLD THAT ACTION MIGHT BE
COMING THEIR WAY THAT'S ALSO
REPORTED LESS LOOPHOLES CLOSE
SOME YEARS AGO TO TRY TO CATCH.
THAT TYPE OF AVOIDANCE OF THE
REPORTING SYSTEM.
AND OTHERS DIFFERENT TYPE OF
ACTION IS A SUMMARY SUSPENSION
IT'S THE MOST SEVERE ACTION THAT
APPEAR ABOUT IMPROVING BY CAN
TAKE.
THEY SAY THE DOCTOR AROUND YOU
MAY NOT PRACTICE HERE AT ALL
UNTIL THE FURTHER UNTIL FURTHER
NOTICE --
YOU CONSUMER TO SPEND ALL OF MY
PRIVILEGES OR SOME OF THEM BUT
THAT'S AT A SEVERE ACTION AND
MUST BE REPORTED WITHIN FIFTEEN
DAYS AFTER IT'S TAKEN.
SO THE BOARD KNOWS ABOUT THOSE
THINGS.
WHAT HAPPENS IF A PEER REVIEW
BODY FAILS TO REPORT THE
CONSEQUENCES STATUTORILY ARE
QUITE SERIOUS?
THEY'RE TWO CUPS OF RIPOFF
FAILURES A WILLFUL FAILURE IN A
NEGLIGENT OR NON WILLFUL FAILURE --
WILLFUL MEANS WHAT YOU THINK IT
MIGHT MEAN --
KNOWING THAT YOU SHOULD PROUD
REPORT BUT NOT FINDING ONE WING
ANYWAY.
IT'S AT ONE HUNDRED THOUSAND
DOLLAR FINE PER VIOLATION --
AND ALSO FOR A POSITION SUCH AS
THE CHIEF OF STAFF WHO SHOULD
HAVE BEEN RESPONSIBLE FOR
HELPING FILE A REPORT --
DOT PERSON IS SUBJECT LICENSURE
ACTION BY THE MEDICAL BOARD
SORTED.
PRETTY STRINGENT A PENALTY.
AND NEGLIGENT FAILURE REPORT
BRINGS A FIFTY THOUSAND DOLLAR
FINE.
AND WITH SIMILAR PROVISIONS AS
WELL AS A A WILLFUL FINE.
OUT OF THE CALCULATE THE FINES
IF YOU IF YOU ACCIDENTALLY OR
NEGLIGENTLY FAILED TO FGCU A
FIRE COURTS KIND OF INSTRUCTIVE
[inaudible]
SEE.
THE WAY THE BOARD --
AND THE ATTORNEY GENERAL ASKED
TO LOOK AT THESE THINGS --
THE FINEST TO BE PROPORTIONAL TO
THE SEVERITY OF THE FAILURE TO
REPORT THAT'S WHAT THE STATUTE
SAYS.
FACTORS ARE LOOKED AT ARE THE
THINGS YOU MIGHT IMAGINE DID DID
THE FAILURE TO REPORT CAUSE HARM
TO A PATIENT.
I DID A CREATOR RISK PATIENT
SAFETY --
WE'RE THE PEOPLE WHO WORSE WHO
SHOULD HAVE BEEN FILING THEIR
REPORT --
DILIGENT IN THE WAY THEY
APPROACHED IT.
THE DUE DILIGENCE STANDARD --
SHOULD THEY HAVE GOOD DID THEY
KNOW OR SHOULD HAVE KNOWN THAT
REPORT WOULDN'T BE FILE.
A AND THEY HAVE A HISTORY OF NOT
REPORTING.
AND THAT ALSO FOR SMALL OR RURAL
HOSPITALS THERE IS A LITTLE BIT
MORE LEEWAY GIVEN IN TERMS OF
DETERMINING NOT WHETHER NOT
SOMEONE SHOULD BE FINED WHAT THE
SIZE OF THE FINES.
IN A BACK THAT OFTEN ASKED
QUESTION WILL THIS BE REPORTABLE --
WIND THEORY BICU BODIES ARE
DECIDING WHAT TO DO ABOUT DOCTOR
BROWN I KEEP USING MY OWN NAME
JUST.
BECAUSE I'M NOT A DOCTOR AND
NOBODY WILL BE OFFENDED IF I USE
IT --
QUESTIONS OKAY WE'RE GOING TO DO
THAT ACTS TO DOCTOR BROWN.
IS THAT GONNA BE REPORTABLE --
WHAT IT ASKED THAT QUESTION THE
OTHER DAY DO THAT BECAUSE
THEY'VE GOT A CHOICE TO MAKE
BETWEEN?
TWO PASS ONE IS THEY CAN TAKE
ACTION.
THAT MEANS I NEED TO FILE A
REPORT WITH THE MEDICAL BOARD
MEANS THE MEDICAL BOARD WILL
COME TO THEM SHORTLY WITH A
SUBPOENA.
ASKING FOR ALL THE INFORMATION
THEY HAVE A DOCUMENTARY AND
OTHERWISE IT'S NOT PRIVILEGED IN
SOME WAY --
TO INVESTIGATE WHETHER NOT
CONNECTICUT WHERE ALSO SHOULD
TAKE ACTION AGAINST THE
POSITIONS LICENSE.
BECAUSE REMEMBER THE HOSPITAL OR
MEDICAL STAFF.
BOOKS IS ON THAT POSITIONS
PRIVILEGES IN THAT BODY AND THAT
AT ENTITY.
THE MEDICAL WARD IS MORE
CONCERNED ABOUT WHETHER THE
POSITION CAN PRACTICE AT ALL AND
HAD WILL HAVE A LICENSE TO
PRACTICE AT ALL [inaudible]
A THEY ALSO ARE A BECAUSE OF THE
INTERACTION BETWEEN SECTION
EIGHT A FIVE MINUTE ON NINE AND
IF I REPORT FIGURES ARE AND
HEARING.
AND THOSE HEARINGS HAVE BECOME
LAW.
EXPENSIVE ARDUOUS --
PAINFUL ACRIMONIOUS --
AND AND THE NOT THE POSITIONS
HAVE NOTHING MORE THE LITIGATION.
AND THE IDEA ARE GOING TO ONE OF
THOSE HEARINGS WHICH OFTEN COME
LAST YEAR BEFORE IT'S OVER.
IS VERY UNAPPEALING --
TO THEM.
ALSO THEY WILL FACE A LAWSUIT
FROM THE PHYSICIAN.
THAT THEY TAKE ACTION AND THERE
IS A LOT OF LAW DEVELOPING IN
THAT AREA RIGHT NOW SO.
IT WAS NOT AN ATTRACTIVE AVENUE
TO GO DOWN DOES MEAN THEY
SHOULDN'T GO DOWN THAT AVENUE
BUT THAT'S AN ATTRACTIVE.
IF THEY DON'T REPORT OR THEY SAY
THEY'VE THEY PUSH THEMSELVES
INTO A PRETZEL TO FIND A WAY NOT
TO REPORT A PARTICULAR ACTION
[inaudible]
THEN.
THEY'RE GONNA FACE A FINE FROM
THE MEDICAL BOARD --
THEY'RE GONNA FACE ALSO
LIABILITY THE PATIENTS WHO WERE
HARMED AS A RESULT OF THEIR
INFECT COVERING UP WHAT HAS
HAPPENED WITH THAT POSITION.
UNLESS AND THAT HAPPENS OFTEN
THAT THAT IS THAT IS WHAT
HAPPENS OR WHAT CAN HAPPEN WHEN
THAT PATH IS CHOSEN.
WE THINK HAVE.
IN OUR FIRM AND I THINK MOST IF
NOT ALL OF THE LAWYERS WHO
PRACTICE IN THE SAME AREA --
THAT I DO --
THAT IT'S IMPORTANT FOR PEER
REVIEWERS NOT TO LIVE REPORT
ABILITY DRIVE THEIR DECISION.
WE NEED TO DECIDE WHAT.
IS BST FOR PATIENTS WITH THE
BEST WAY TO PROTECT PATIENT
SAFETY.
AND THEN DECIDE THAT AND THAT
DIRECTION ANOTHER WORDS WHEN
THERE IS A WHEN THERE IS DOUBT
RESOLVE THAT DOUBT IN FAVOR OF
REPORTING.
BECAUSE FRANKLY IT'S MUCH EASIER
TO EXPLAIN.
WHY YOU REPORTED IN WHY YOU
DIDN'T REPORT --
IF.
FOR IF YOU DIDN'T REPORT YOU'VE
GOT HAVE TO EXPLAIN EVENTUALLY
TO THE MEDICAL BOARD IF THEY
THAT THEY LEARN OF THE NON
REPORT.
NOT AN EASY EXPLANATION
SOMETIMES TO MAKE --
WHEN YOU TALK ABOUT PATIENT CARE?
THE NUMBER ONE GOAL AND AND AND
OF PEER REVIEW IS TO PROTECT
PATIENTS.
THE STATUTORY SCHEME IN
CALIFORNIA PROVIDES A NUMBER OF
IMMUNITIES AND PROTECTIONS FOR
PEER REVIEWERS ES SO THAT IF YOU
MAKE THAT DECISION AND ERR ON
THE SIDE OF REPORTING OR TAKING
ACTION THAT IS A PORTABLE.
YOU'RE GONNA BE PROTECTED FOR
DOING THAT UNLESS IT WAS
MALICIOUS [inaudible]
A IF YOU DON'T REPORT WE ALWAYS
PREACHED TO OUR CLIENTS THAT THE
MORALE OF YOUR MEDICAL STAFF AS
WELL AS OUR NURSING AND OTHER
STAFF IS GOING TO SUFFER IF IF
THERE'S ANYTHING THAT EVEN LOOKS
LIKE A COVER UP OR GOING EASIER.
ON SOMEONE AND YOU SHOULD.
AND ALSO YOU'VE GOT INCREASED
LIABILITY EXPOSURE WITH YOU NOT
TAKE ACTION THEN.
LAWYERS ALWAYS ADVISE OUR
CLIENTS TO AVOID THAT.
SO.
IF THE SYSTEM WORKS --
PEOPLE HAVE TO MAKE IT WORK
THERE'S SOME AMBIGUITY IN WHAT
CONSTITUTES A PEER REVIEW BODY --
CAN LEAD TO SOME.
QUESTIONABLE DECISIONS OR OR OR
ITS DECISIONS ARE AT LEAST LOOK
QUESTIONABLE.
AND THEN THERE IS THE PROBLEM OF
THE DISINCENTIVES I WOULD CALL
THEM TO REPORTING I'M NOT SURE
WHAT THE SOLUTION IS TO THAT IS
THE SUBJECT OF MANY A DEBATE
OVER THE YEARS.
ANYWAY I'M HAPPY TO ANSWER
QUESTIONS IF THERE ARE ANY THANK
YOU VERY MUCH WITH RATHER
APPRECIATE THAT.
THE TESTIMONY IT WAS --
YOU MENTIONED PRIVILEGED
INFORMATION THAT A LICENSING
BOARD LIKE THE MEDICAL BOARD MAY
NOT HAVE ACCESS TO EVEN UNDER
SUBPOENA.
WHAT IS AN EXAMPLE OF --
THAT TYPE OF INFORMATION.
PROBABLY THE ONLY ONE IS AN
ATTORNEY CLIENT PRIVILEGED
COMMUNICATION.
THEY ARE ENTITLED UNDER.
SALINE AND DECISION BY THE STATE
SUPREME COURT IN NINETEEN NINETY
EIGHT TO HAVE JUST ABOUT
EVERYTHING THAT THEY WANT TO SEE.
AND FOR THEIR EXAMPLES OF THE
TYPES OF FACILITIES THAT DO NOT
REPORT ACTIONS RELATIONS IMPORT.
WELL THE MEDICAL GROUP OF SAY
TWELVE FIFTEEN POSITIONS --
PROBABLY IS REALLY DOING PEER
REVIEW INTERNALLY THEY MIGHT BE
THAT'LL FOLLOW UNDER THE
STATUTORY DEFINITION IN THE PEER
REVIEW BY FOR EXAMPLE --
ANY LARGE ORGANIZATION AND I'M
SORT OF SPECULATE I DON'T KNOW
OF ANY ORGANIZATION LIKE THIS
BUT IF YOU HAD AN ORGANIZATION
THAT CONSISTED OF TWENTY FIVE OR
MORE PHYSICIANS AND THEY WEREN'T
DOING PEER REVIEW.
AND THEY WOULD NOT BE A PEER
REVIEW BODY.
THEY WOULD BE FOOLISH BUT IT
WOULDN'T HAVE HURT ANYBODY.
AND AND CLINICS WOULD FIT INTO
THAT SAME CLINIC WOULD YES WILL
BE REPORTABLE IF FUNDS ARE
TWENTY FIVE OR MORE IN AND ARE
DOING HERE IF YOU WHICH THEY
OUGHT TO BE DOING.
IF YOU WANT TO WELCOME SENATOR
RICHARD PAN TO THE TO THE
HEARING THANK YOU VERY MUCH OF
JAPAN.
PLEASURE --
PM IT SEEMS TO BE SOME ANG
AMBIGUITY UNDER CURRENT LAW
PERHAPS THAN DID YOU SEE ANY
EASY.
PLACES THAT NEED TO BE.
TIGHTENED A LITTLE BIT OR MADE
CLEARER THAT COULD BE THAT WERE
MISSING PERHAPS IN WHICH OF THAT
REPORTING I KNOW AND IN.
OTHER CASES WE HAVEN'T AS AN
EDUCATIONAL ESTABLISHMENT THAT
TEACHING.
FACILITY AND THEN YOU HAVE
CLINICS AS WELL AS WELL IS THERE
ANY.
ANYTHING THAT USE.
SEE WHERE WERE WERE NOT COVERING
THE IMPORTANT AREAS OR OR WHERE
YOU GO INTO THAT [inaudible]
LORETTA.
PEER REVIEW HEARING IN THAT
QUESTION COMES UP ABOUT --
REPORTER BLUR NON REPORTABLE
ANTI BOY WERE FORTUNATE BECAUSE
WE'RE HERE WE DON'T HAVE TO
REPORT THIS [inaudible]
BECAUSE IT'S THIS DIRECTION BUT
OTHER THAN THAT DIRECTION.
WELL I THINK.
A CLEAR THAT HOSPITAL MEDICAL
STAFF HER PURITY BODIES THAN
THEY ALWAYS HAVE BEEN AND THEY
MUST VALUE NO REPORT.
THE THE GREATER AREA IS THE
OTHER TYPE OF ORGANIZATION AND
IT'S DEFINED AS A COMMITTEE OF
AN ENTITY THAT CONSISTS OF OUR
EMPLOYEES TWENTY FIVE OR MORE.
LICENSE HITS OF THE SAME CLASS.
AND SO CONSISTING OF IS.
NOT A TERRIBLY CLEAR TERM --
EMPLOYEES MORE IS CLEARER.
IT'S WHY I THINK THAT THAT'S
SOMETHING I'M I'M NOT HERE TO
PROVIDE ANSWERS REALLY BUT I
THINK IT WOULD BE A A USEFUL
SUBJECT FOR THE LEGISLATURE THE
SENATE TO EXAMINE --
COULD SOMETHING BE DONE TO MAKE
IT CLEAR. TO THOSE TYPES OF
NONTRADITIONAL NON HISTORICALLY
TRADITIONAL.
PEER REVIEW BODIES WHAT WHAT
THEIR OBLIGATIONS ARE.
BECAUSE EVERY ESTABLISHMENT WITH
TWENTY FIVE OR MORE HAS A PEER
REVIEW.
AS WE'RE TALKING ABOUT THEY
SHOULD THEY SHOULD I MEAN IT'S
IT'S A IT'S THE WISEST THING TO
DO IF YOU HAVE THAT MANY
POSITIONS PRACTICING TOGETHER
YOU OUGHT TO BE LOOKING AT THE
CARE THEY'RE PROVIDING AND MAKE
SURE THAT IT'S UP TO STANDARD.
SO THEY GOT HIT DEFINITIVE HE
WEAR THAT SIZE AND WE'RE NOT
DOING PERIOD YOU THEY WOULDN'T
FALL UNDER THAT DEFINITION.
IN THAT COULD BE A PROBLEM I
HAVE YES I HAVE NO IDEA HOW MANY.
IF THERE ARE ANY SUCH ENTITIES
IN EXISTENCE LET BUT THERE MAYBE.
I KNOW THAT A DIFFERENT TYPES OF
ORGANIZATIONS STRUGGLE WITH THIS --
HOSPITALS.
OFTEN HAVE A FOUNDATION THIS
COMPLEX OR ARRANGEMENT FOR THEM.
CONTRACTS WITH THE MEDICAL GROUP.
THE MEDICAL GROUP CONSISTS OF
PHYSICIANS WHO ARE ALSO ON THE
HOSPITAL'S MEDICAL STAFF.
AND THE QUESTION OF WHAT KIND OF
PEER REVIEW IS DONE WITHIN THAT
GROUP WHICH IS A SEPARATE ENTITY
LEGALLY --
HIS IS AN MP ISN'T AN
INTERESTING ONE THAT PEOPLE ARE
STILL STRUGGLING WITH IT MIGHT
BE WORTH AND LEGISLATIVE INQUIRY
USUALLY ANY OF THAT.
DONE INTENTIONALLY TO AVOID ANY
PEER REVIEW A REPORTING.
I DON'T THINK LUXURY
ESTABLISHMENT.
A GOOD QUESTION I I SUPPOSE I
HAVEN'T SEEN THAT BUT
THEORETICALLY SOMEBODY MIGHT SAY
WELL THAT STRUCTURE OURSELVES
THIS WAY SO WE CAN AWARD.
AVOID HAVING TO FILE REPORTS
SAYING AND GIVE HEARINGS IS THE
HEARINGS ARE UNPLEASANT
EXPENSIVE.
THAT MIGHT BE THAT MIGHT HAPPEN --
I KNOW THAT PEOPLE --
TRY TO DO ALL THEY CAN TO LEAST
BE EFFICIENT IN THE WAY HEARINGS
ARE PROVIDED SO FOR EXAMPLE.
THE SITUATION I JUST DESCRIBED
WHERE THERE'S A MEDICAL GROUP AS
PART OF A HOSPITAL ORGANIZATION
SEPARATE FROM THE MEDICAL STAFF.
IF THE SAME PHYSICIAN IS
DISCIPLINE BY BOTH.
AND IF THERE.
I MAY BE GETTING TOO FAR INTO
THE WEEDS HERE BACK BUT IF
THEY'RE IF THEY'RE CLEVER AND
AND SMART THEY SHOULD HAVE SOME
WAY TO HAVE A JOINT HEARING FOR
THE POSITION AND BOTH ORGANIZED.
THE DEVELOPING AREA OF THE LAW
BECAUSE OF THE CORPORATE
PRACTICE OF MEDICINE ISSUE
HOSPITALS ORGANIZE THEMSELVES IN
WAYS.
TO WORK AROUND THAT AND THAT
CREATES THOSE SITUATIONS WHERE
PROVIDERS ARE NOT.
SOMETIMES COMPLEX SLIP THE
CRACKS UNTIED SLIP THROUGH THE
CRACKS IN AND ONE WAY OR ANOTHER.
BUT PEOPLE ARE TRYING TO FIGURE
IT OUT I CAN TELL YOU THAT.
FIGURED OUT TO SOLVE OR TO AVOID
WELL I THINK TO TO MAKE SURE
THAT THEY THEM MY EXPERIENCE TO
THEY DO COMPLY AND THEY DO THEIR
IS PART OF A UNIQUE SITUATION I
WANT ME.
THAT I GIVE TO EXPENSIVE
HEARINGS WHEN ONE WILL DO RIGHT
OF COURSE THAT MAKES GOOD SENSE.
DO WANT TO WELCOME SENATOR BEN
ALLEN.
THE AREA OF SANTA MONICA
[inaudible]
BEVERLY HILLS.
I FOR FROM YOU SEE [inaudible]
THAT'S TRUE --
THERE ARE THE ARE THERE CERTAIN
TYPES OF COMPLAINTS IN PEER
REVIEW INVESTIGATIONS THAT ARE
TREATED DIFFERENTLY --
FOR EXAMPLE SEXUAL MISCONDUCT
ALLEGATIONS EVEN THOUGH --
THOSE THAT MAY NOT BE DIRECTLY
RELATED TO A COMPLAINT FROM A
PATIENT.
I'M IS THAT'S A VERY GOOD
QUESTION SENATOR A STEP BACK AND
SAY THAT --
THE ALL ALL PEER REVIEW AT MUST
BE FOCUSED ON PATIENT SAFETY AND
SO. FOR EXAMPLE LET'S SAY YOU
HAVE A PHYSICIAN WHO'S
CONSIDERED DISRUPTIVE BUT
DIFFICULT PERSON DIFFICULT TO
WORK WITH.
THAT'S NOT A GROUND FOR TAKING
ACTION AGAINST HIM OR HER --
YOU HAVE TO TO HIDE THE BEHAVIOR
TO PATIENT SAFETY SO A SURGEON
WHO YELLS AT NURSES ALL TIME
THROWS INSTRUMENTS THOSE KINDS
OF THINGS WE SEE IN MOVIES.
WOULD BE --
AFFECTING THE INTEGRITY OF THE
PATIENT CARE TEAM THE ABILITY OF
THE NURSES AND OTHERS TO TALK TO
HIM OR HER AND SO FORTH SO THAT
WOULD BE.
BEHAVIOR THAT'S TIED TO PATIENT
SAFETY.
SEXUAL HARASSMENT --
SAME PROBLEM IS A DIFFERENT TYPE
OF DISRUPTIVE BEHAVIOR.
IT -- IN THE
CURRENT ERA WELL I'M I HAVE SEEN
IN THE LAST SIX MONTHS OR SO THE
WAY MORE ATTENTION HAS BEEN PAID
TO THAT.
THERE ARE MANY MORE I'M FRANKLY
MAX HAVE TIME SEEING WHO ARE
PAYING MORE ATTENTION TO TAKING
ACTION IN THOSE CASES THAN IN
THE PAST --
IT'S FASCINATING TO WATCH YOU
AND WHEN THAT DOES NOT APPLY TO
PATIENT HARM A PATIENT SAFETY
WELL IN THE HOUSE A IT'S ALMOST.
NET INCOME WAS NEVER FIND A
SITUATION WHERE IT DOESN'T
AFFECT.
THE ABILITY OF THAT HEALTH CARE
TEAM TO WORK TOGETHER POSITIONS
HARASSING.
A STAFF MEMBERS FOR EXAMPLE OR
EVEN PATIENTS WHICH IT SEEMS.
A HARD TO THINK OF A SITUATION
WHERE WILL HARASSMENT OR ABUSE
IS GOING ON THAT DOESN'T.
GIVE IS GROUNDS FOR FOR PEER
REVIEW ACTION CORRECTO
CORRECTIVE REPORTABLE ACTION.
ISLAND YOU SEE THE SAME THINGS
HAPPENING IN MEDICAL EXECUTIVE
COMMITTEE SEE IN SOCIETY PEOPLE
ARE WONDERING WHERE.
WHETHER BEHAVIOR BY FRANKLY A
MALE PHYSICIAN THAT MIGHT HAVE
BEEN.
OVERLOOKED TWENTY THIRTY YEARS
AGO IS NOT BEING OR WITHIN.
MAKE IT A QUESTION THERE
[inaudible]
BUT NO.
THANK YOU --
GUY I GUESS --
SOMEONE WHO'S ACTUALLY BEEN PART
OF PROCESS AND WAS ON MEDICAL
STAFF --
CERTAINLY I HAVE NEVER AGAIN THE
ACT TOTAL NOT SAID THAT FORMAL
STUDY KNOWN THAT PEOPLE NEVER
STRUCTURED THEIR MEDICAL GROUP
OR MEDICALIZATION IN A WAY TO
TRY TO AVOID.
PEER REVIEW OR TO AVOID --
WELL LOOK AT PATIENT SAFETY OR
QUALITY SO [inaudible]
SO.
AT THOUGH CONCERNED IF THERE'S
ANY IMPLICATION THAT THAT THIS
HAPPENING ANYWAY.
ADDED MEAN.
TO MAYBE IT WAS NOT CLEAR ON
THAT BECAUSE I MEAN TO SAY THAT
WAS HAPPENING I I DO THINK THAT.
THAT -- AS
AS PROVIDER ORGANIZATIONS
INVOLVED --
AND THEIR STRUCTURES.
THERE IS AN EFFORT TO TRY TO SET
THEM UP IN A WAY THAT YOU CAN.
COMPLY WITH THE LAW.
EFFICIENTLY I SUPPOSE --
BUT NOBODY I I'VE NEVER SEEN
ANYBODY TRY TO STRUCTURE
THEMSELVES SO THEY DON'T HAVE.
TO REPORT DON'T HAVE TO DO
PERIOD BECAUSE THAT'S ALL BUT I
GUESS SOMEONE COULD DO THAT BUT
THEY WOULD BE EXPOSING
THEMSELVES A LOT OF RISK TO
PATIENTS AND TO THE MEDICAL
BOARD AND OTHERS.
I AYE WOODS I WOULD SAY THAT
ACTUALLY MADE A NEW STRUCTURES.
HELLO PAUL ACTUALLY DUE TO THE
CHANGING FINANCIAL CIRCUMSTANCES.
OF THE HEALTHCARE MARKETPLACE
INCLUDING --
YA MOVING TOWARD MORE SHARERS --
TOWARD CAPITATION AND IT'S
BETTER I MEAN THOSE ARE USUALLY
IN RESPONSE [inaudible] TO THOSE
TYPES OF PRESSURES ARE SAME WITH
HOSPITALS ETCETERA COMPETITIVE
PRESSURES.
AND IN THE PROCESS OF DOING THAT
PERHAPS NOW YOU HAVE NEW
STRUCTURES OR ENTITIES.
THAT THEN ALSO SAY OH IN
ADDITION.
TO OUR NEED TO EXIST YOU KNOW AS
MEDICAL GROUPS OR OTHER TYPES OF
TYPES OF STRUCTURES.
AND NOW --
HOW DOES THAT FIT INTO A MORE
TRADITIONAL [inaudible]
MODEL OF OF PEER REVIEW AND AND
AND AND AND AND AND QUALITY
OVERSIGHT BRIGHTENS AND THAT'S
RIGHT HOUSE AND IT I THINK I
THINK THAT'S I THINK THAT'S
PROBABLY MORE OF THE ISSUE WHERE
THE EVOLUTION OF THE STRUCTURES
ARE SPOTS TO THE HEALTH CARE
MARKETPLACE AND VARIOUS OTHER
PRESSURES --
COMPETITIVE OR OTHER TYPES OF
PRESSURES AND THEN.
PEOPLE GO OUT WE HAVE THESE NEW
STRUCTURES.
DO THEY YELL WHAT ROLE DO THEY
HAVE AND THE QUALITY SPACE.
AND AND AND THEN WHAT KIND OF
ENTITIES ARE OR COMMITTEES OR
WHATEVER ELSE DO WE PUT IN PLACE --
TO TO EXAMINE THOSE AND THAT'S
RIGHT I THINK IT'S FAIR TO SAY
THAT ALL OF THE CHALLENGES I'M
DESCRIBING DESCRIBING --
IN THE PEER REVIEW WORLD ARE BY
PRODUCTS OF THE WAY MEDICAL
ECONOMICS IS CHANGING.
SO UPGRADE THAT QUESTION CAMETO
MIND.
WE'VE TALKED ABOUT THOSE TWENTY
FIVE OR OVER WHAT HAPPENS IN
THOSE INSTITUTIONS WHETHER
TWENTY FIVE OR THEIR LESS THAN --
TWENTY FIVE AND IN A PERCENTAGE
OF IN YOUR OPINION OFTEN ASK
THAT.
THE MEDICAL BOARD THIS IS WHAT
IT IN YOUR OPINION.
HOW MANY DID THAT UP DOES THAT
APPLY -- TO
WOULD YOU THINK AND WHAT HAPPENS
TODAY FOR THOSE UNDER.
TWENTY I'M SENATOR I DON'T
REALLY KNOW HOW MANY --
SMALL MEDICAL GROUPS STILL
EXISTED THAT USED TO BE A
STANDARD THAT HAVE FIVE
ORTHOPEDIST AND THEY WOULD FORM
THEIR OWN GROUP.
AS CENTER PANELISTS IN ECONOMICS
AT IT'S VERY VERY RARE.
IT'S MOST POSITIONS ARE
ORGANIZED INTO A LARGER ENTITY.
WHICH I THINK IN MOST CASES
WOULD CONSIST OF OR EMPLOYED
TWENTY FIVE OR MORE BUT I WILL
BE AN INTERESTING THING TO KNOW --
BECAUSE THERE MAY BE ENTITIES
THAT ARE SMALLER THAN TWENTY
FIVE WHO ARE NOT DOING PERIOD
YOU AND AND THAT'S NOT REPORTING --
AND IF THAT'S SOMETHING THE
LEGISLATURES INTERESTED AND I
THINK THAT THAT WOULD BE SO
IMPORTANT TO TO RESEARCH.
SO WE'RE GOOD THANK YOU
[inaudible]
SENATOR ALAN.
VERY GOOD THANK YOU --
YES A VERY DIFFERENT YEAH I KNOW
I APPRECIATE THAT QUESTION
ACTUALLY THIS IS SOMETHING THE
MEDICAL PROFESSION'S BEEN
LOOKING AT AS SOMEONE WHO'S BEEN
INVOLVED THAT.
AND VARIOUS MEDICAL ASSOCIATIONS --
LOOKING AT EXACTLY THIS ISSUE
SOMETHING CERTAINLY MEDICAL
FACTIONS ALREADY BEEN.
LOOKING AT AND AND AND AND
FIGURE OUT HOW TO ADDRESS.
SO -- BEYOND
THE LICENSING REALM BUT I MEAN
JUST LOOK AT HOW ARE YOU ADDRESS
THE FACT THAT YOU DO HAVE.
I DO HAVE ALWAYS HAD BY THE WAY
YOU HAVE WITH THEIR SMALL GROUPS
OR INDIVIDUAL PRACTITIONERS WHO
ARE NOT ATTACHED TO A HOSPITAL
ARE NOT ATTACHED TO A LARGER
ENTITY.
I WAS PARTICULARLY AND A RURAL
COMMUNITIES ACTUALLY WHERE YOU
HAVE FEWER PRACTITIONERS.
SO -- IN
ANYWAYS ACTUALLY BECAUSE PEOPLE
FORM LARGER MEDICAL GROUPS.
PERHAPS FEWER PEOPLE ARE IN THAT
SITUATION THAN THEIR BEEN AND
PASSED THE WHAT DO YOU DO ABOUT
BASICALLY PRACTITIONERS WHO ARE
NOT ATTACHED [inaudible]
TO LARGER [inaudible]
ORGANIZATIONAL ENTITIES OTHER
MORE MORE PHYSICIANS NOW AS YOU
KNOW SENATOR I'M SURE.
WHO ARE PRACTICING IN THEIR
OFFICES THEY DON'T SEE PATIENTS
IN THE HOSPITAL IN MORE SO THEY
DON'T REALLY BELONG TO ANY PEER
REVIEW BY THIS WATCHING WHAT
THEY DO?
AS OPPOSED AND HIS COURAGE MORAL
TESTIFY ABOUT THIS BUT PATIENTS
ALSO MACOMB ANYBODY MAY COMPLAIN
TO THE MEDICAL BOARD ABOUT POOR
CARE SO THAT'S IT'S NOT A
SYSTEMATIC IS THE PEER REVIEW
THAT WE'RE TALKING ABOUT THAT'S
THAT'S PROBABLY THE ONLY WAY
THAT THOSE TYPES OF THE PROMISE
FOR THOSE.
THAT'S A POSITION WOULD EVER BE
REPORTED TO THE BOARD.
YEAH AND AND I WOULD ALSO STATE
THAT PROBABLY --
COMPARED TO OTHER HEALTH
PROFESSIONALS.
BY A BIGGER ISSUE AND SOME OF
THE OTHER HEALTH PROFESSIONS
[inaudible]
COULD BE.
WELL IF YOU LOOK AT OTHER HEALTH
PROFESSIONALS WHO ARE --
OTHER MORE INDEPENDENT HEALTH
PROFESSIONALS SO NO WE LICENSE
NOW ONLY POSITIONS AND DENNIS WE
ALSO LICENSE CHIROPRACTORS
NATURAL PATHS.
DOCTORS ETCETERA --
POSITIONS AND THEY'RE PROBABLY
MORE.
AND LARGER ENTITIES THAN MANY OF
THESE OTHER TYPES OF
PRACTITIONERS.
WE'RE GOOD THANK YOU THAT YOU
CAN.
AND ALSO I WANT TO WELCOME
SENATOR ALAN TO OUR COMMITTEE
THE BUSINESS AND PROFESSIONS TO
ME THIS IS HIS FIRST APPEARANCE
IN JEWISH FESTA.
A SIGN THAT HELL OF AN AGENDA
YOU HAVE A WONDERFUL ROLE
OFFENSE YOU USE IT WILL GO ALL
DAY TODAY --
THANK YOU MISTER BROWN THANK YOU
VERY MUCH WELCOME ANY FINAL
THOUGHTS COME TO MIND NO IT'S
BEEN AN HONOR AND WISH YOU ALL
LUCK IN HAPPY TO HELP IN ANY WAY
WE CAN ONLY IF YOU HAVE THIS IS
VERY HELPFUL INFORMATION SO
THANK YOU.
VERY MUCH.
IN OUR LIKE TO INVITE UP --
KIMBERLY KIRK MAIER THE
EXECUTIVE OFFICER OF THE MEDICAL
BOARD OF CALIFORNIA.
AND I THINK SCOTT THE VONAGE YOU
SESSION ASSISTANT DEPUTY
DIRECTOR CENTER FOR HEALTH CARE
QUALITY FOR THE CALIFORNIA
DEPARTMENT OF PUBLIC
[inaudible]
HEALTH.
AS WELL AS OTHER SHOULD THANK
YOU VERY MUCH.
WELL GOOD MORNING GOOD MORNING
I'M CHAIRMAN HELEN MEMBERS OF
THE COMMITTEE MY NAME IS
KIMBERLY KIRK MAYER HAS COME
SENATOR HILL STATED AND I AM THE
EXECUTIVE DIRECTOR OF THE
MEDICAL BOARD OF CALIFORNIA.
WITH ME HERE TODAY IS CARRY WEB
STAFF COUNCIL AT THE MEDICAL
BOARD AND JANE TAX SIMON
SUPERVISING DEPUTY ATTORNEY
GENERAL FROM THE ATTORNEY
GENERAL'S OFFICE.
AND THEY'RE BOTH HERE TO ASSIST
WITH ANY QUESTIONS THE MEMBERS
MAY HAVE AFTER MY PRESENTATION
IN AND AFTER THE PANEL.
SO AGAIN THANK YOU FOR ASKING
THE MEDICAL BOARD TO ATTEND
TODAY'S MEETING AND ALLOWING US
TO PROVIDE THE COMMITTEE WITH
BACKGROUND INFORMATION ON THE
REPORTING REQUIRED UNDER
BUSINESS AND PROFESSIONS CODE.
SECTIONS BOTH EIGHT OH FIVE AND
EIGHT OH FIVE POINT.
ONE OVER THE LAST TEN YEARS THE
NUMBER OF EIGHT OH FIVE REPORTS
FILED PURSUANT TO THIS SECTION
HAS ACTUALLY FLUCTUATED FROM AS
HIGH AS A HUNDRED AND THIRTY
EIGHT IN FISCAL YEARS
200-072-0008. TO THE LOWEST THAT
NINETY ONE WHICH IS. EIGHT OH
FIVE POINT OH ONE REPORTS BEGAN
TO BE REQUIRED IN JANUARY.
TWO THOUSAND ELEVEN AND THEN IN
FISCAL YEAR TWO THOUSAND ELEVEN
TWELVE WE RECEIVED SIXTEEN
REPORTS.
THESE REPORTS AGAIN HAVE ALSO
FLUCTUATED OVER THE PAST SEVERAL
YEARS AND IN THE LAST FISCAL
YEAR I'M ONLY EIGHT REPORTS WERE
RECEIVED.
BASED UPON THE LOW NUMBER OF ITO
FIVE REPORTS RECEIVED IN ITS TWO
THOUSAND SIXTEEN I'M SUNSET
REPORT THE BOARD REQUEST THAT
THE LEGISLATURE CONSIDER ADDING
PENALTIES FOR FAILURE TO FILE A
NATO FIVE POINT ONE REPORT.
AND SENATE I'M JUST GONNA GIVE
ME I THOUGHT IT WOULD BE MAYBE
PART OF MISTER BROWN'S ON
PRESENTATION BUT IT A FIVE POINT
OH ONE REPORTS REPORTS THAT
ACTUALLY COME IN AFTER AN
INFORMAL INVESTIGATION HAS BEEN
COMPLETED.
BUT PRIOR TO THE ENTITY ACTUALLY
TAKING ANY OF THE ACTION.
AND IT'S ONLY ON CERTAIN --
ELEMENTS THAT ARE REQUIRED IN SO
IT WOULD BE --
IF THERE WAS GROSS NEGLIGENCE
RANK CONFIDENCE --
OR REPEATED DEVIATION FROM THE
STANDARD OF CARE WITH THEM DEATH
OR SERIOUS BODILY INJURY AND THE
USE OF PRESCRIBING OR
ADMINISTERING CONTROLLED
SUBSTANCES SO BASICALLY I'M
IMPAIRMENT OF THE PHYSICIAN.
REPEATED ACTS OF CLEARLY
EXCESSIVE PRESCRIBING AND THEN
ALSO SEXUAL MISCONDUCT SO FOR
THOSE FOR INTO THE FOR THE FOR
THOSE POOR VIOLATIONS.
IF THERE IS FOUND THAT THEY'RE
GOING TO BE TAKING ACTION THEN
ACTUALLY HAVE TO REPORT BEFORE
THE EIGHT OH FIVE COMES IN SO
IT'S A PRE EIGHT OH FIVE REPORT
THAT WE RECEIVED SO I JUST WANT
TO CLARIFY THAT SINCE THAT
WASN'T COULD DO.
WHEN IN?
SORRY FOR INTERRUPTING WOULD YOU
FIND IN THE FLUCTUATIONS BETWEEN
THE TWO FIVE EIGHT FIVE POINT --
ONE ZERO IS THE THRESHOLD TO
REPORTING TO HIGH.
I'M.
I DON'T I DON'T BELIEVE SO I
THINK THAT RIGHT NOW I DON'T
THINK THAT WE'RE GETTING ALL OF
THE EIGHT TO FIVE POINT OH ONE
REPORTS.
BECAUSE IF YOU LOOK AT THE EIGHT
OH FIVE REAP.
I OF THE ADA FIVE POINT OH ONE
REPORT SHOULD I LET REPORT WE
SHOULD BE GETTING THOSE REPORTS
AND SO THAT'S ONE THING THAT
WE'RE LOOKING AT RIGHT NOW AND
I'LL TALK A LITTLE BIT ABOUT.
A BIT LATER ON I'M THESE REPORTS
I JUST HAVE TO FIGURE OUT WHERE
WAS NOW.
I'M SO THAT ACTUALLY BASED ON
THE LOW REPORTING A MEAL FIVE
REPORTS AND WE DECIDED THAT
THERE SHOULD BE PENALTIES FOR
FAILING TO FILE IN A TO FIVE
POINT OH ONE REPORT.
AND THE LEGISLATURE LAST YEAR
WAS ACTUALLY PART OF OUR SENSE
THAT REVIEW REPORT THAT WE
REQUESTED PENALTIES FOR THAT.
AND THE LEGISLATURE PASSED SUCH
A BILL AND IT BECAME EFFECTIVE
IN JANUARY OF THIS YEAR I'M
ALLOWING THE BOARD TO NOW ISSUE
MONETARY PENALTIES ALSO FOR
FAILING TO FILE THAT A TO FIVE
POINT OWN REPORT SO IT'S THE
SAME PENALTIES THAT MISTER BROWN
SPOKE ABOUT EARLIER.
UNFORTUNATELY THE BOARD HAS NO
WAY OF KNOWING HOW MANY IT'LL
FIVE OR EIGHT OH FIVE POINT OH
ONE REPORT SHOULD BE SUBMITTED
TO THE BOARD. TO ASSIST IN
DETERMINING OF ALL REPORTS ARE
RECEIVED TO THE BOARD HERE LEE
COMPARES INFORMATION FROM THE
NATIONAL PRACTITIONER STATE A
BANK.
WHO ALSO RECEIVE PEER REVIEW
ACTION WITHOUT THE BOARD WITH
THE BOARD STATED TO DETERMINE IF
THE DATA BANK RECEIVED ANY PEER
REVIEW ACTIONS THAT THE BOARD
DID NOT RECEIVE?
SO FAR THE BOARD HAS NOT
IDENTIFIED ANY SIGNIFICANT
DIFFERENCES AND WHEN IT DOES IT
INVESTIGATES Y. THE FACILITY DID
NOT REPORT. TO THE BOARD THOUGH
THIS ASSIST THE BOARD THE DATA
BANK ALSO DOES NOT KNOW IF THEY
DID NOT RECEIVE A REPORT.
IN ADDITION AND BOTH ITS TWO
THOUSAND TWELVE IN TWO THOUSAND
SIXTEEN SUNSET REVIEW REPORT.
REPORTS THE BOARD ALSO SUGGESTED
THAT THE LEGISLATURE CONSIDER
REQUIRING THE DEPARTMENT OF
PUBLIC HEALTH AND CALIFORNIA
HOSPITAL ACCREDITING AGENCIES TO
SEND REPORT A BOOK REVIEW
INCIDENTS.
FOUND DURING AN INSPECTION OF
THE FACILITY TO THE BOARD.
ONLY THE CDP AGENT OTHER
HOSPITAL ACCREDITING AGENCIES
HAVE THE AUTHORITY TO INSPECT
HOSPITALS AND REVIEW THOSE
HOSPITAL RECORDS.
IF THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH HOW TO SEND
INFORMATION TO THE BOARD WHEN IT
FOUND A HOSPITAL TOOK ACTION
AGAINST A POSITION OR SHOULD
HAVE TAKEN ACTION.
IT WOULD ALLOW THE BOARD TO
REVIEW THE INFORMATION AND
DETERMINE IF IN EIGHT OH FIVE OR
EIGHT TO FIVE POINT OH ONE
REPORT WAS RECEIVED FROM THE
FACILITY.
IF THE BOARD DID NOT RECEIVE THE
APPROPRIATE REPORTING THE BOARD
WOULD ISSUE US BUYING TO THE
ENTITY AND THEN BUT ALSO BE ABLE
TO INVESTIGATE THE ACTIONS OF
THE PHYSICIAN.
THAT'S IMPROVING CONSUMER
PROTECTION TO DATE THERE HAS NOT
BEEN ANY BILL PASSED TO INCLUDE
THIS REQUIREMENT.
THE ONLY OTHER WAY THE BOARD CAN
ACTUALLY IDENTIFY IF AN ENTITY
DID NOT REPORT AS REQUIRED.
IS IF IT IS DETERMINED DURING AN
INVESTIGATION OF A PHYSICIAN AT
THAT AN ENTITY TOOK ACTION
AGAINST A POSITION ON THE BOARD
WAS NOT NOTIFIED AND THAT WILL
HAPPEN FROM TIME TO TIME AS WERE
INVESTIGATING.
LOOKING INTO POSITIONS ACTION
MAY BE RECEIVED A PUBLIC --
PICK PATIENT COMPLAIN WHAT WE'RE
LOOKING AT BUT ALSO WHERE THERE.
WORKING A PRACTICE.
IN TWO THOUSAND SEVENTEEN THE
BOARD WORKING WITH THE ATTORNEY
GENERAL'S OFFICE IN SAN
FRANCISCO BEGAN TAKING AN
AGGRESSIVE APPROACH TO LOOKING
AT FACILITIES THAT MAY NOT HAVE
REPORTED TO THE BOARD.
ALL THE HEALTH QUALITY
INVESTIGATION UNIT OFFICES KNOW
THAT IF THEY DETERMINED DURING
THEIR INVESTIGATION THAT AN
ENTITY DIDN'T REPORT.
THEY LET THE BOARD KNOW WHEN A
CASE IS OPEN AGAINST THAT
FACILITY.
IN ADDITION THE BOARD REVIEWS
EACH EIGHT OH FIVE NATO FIVE
POINT OH ONE REPORT THAT IS
RECEIVED TO DETERMINE IF THE
ENTITY PROVIDED THE INFORMATION
TIMELY.
AS REQUIRED IN LA AND ALSO IF
THE REQUIRED IN FOR ALL OF THE
INFORMATION WAS RECEIVED.
THE BARD ALSO LOOKS AT ALL
EIGHT OH FIVE REPORTS TO
DETERMINE IF IN EIGHT OH FIVE
REPORT OAK POINT NO ONE REPORT
SHOULD HAVE BEEN RECEIVED.
THE BOARD HAS BEGUN SENDING
WARNING LETTERS TO FACILITIES
WHO MAY NOT HAVE PROVIDED ALL OF
THE INFORMATION AND THEN ALSO
I'M REFERRING IN SOME OF THESE
CASES TO THE ATTORNEY GENERAL'S
OFFICE FOR REVIEW AND ACTION
WHEN THAT IS APPROPRIATE.
THE ADDITION OF BUSINESS AND
PROFESSIONS CODE SECTION EIGHT A
FIVE POINT OAKLAND WAS INTENDED
TO PROVIDE THE BOARD WITH
INFORMATION ABOUT A PHYSICIAN
WHO MAYBE A DANGER TO THE PUBLIC
AT AN EARLIER STAGE.
THE EIGHT OH FIVE POINT ONE
REPORT IS ONLY REQUIRED AS I
STATED FOR CERTAIN AND TO
CERTAIN VIOLATION TYPES.
BUT IT DOES NEED TO BE REPORTED
PRIOR TO THE ACTION BEING TAKEN.
THE REPORTING UNDER SECTION
EIGHT OH FIVE OCCURS AFTER THE
ACTION IS TAKEN AND IN SOME
INSTANCES AS MR BROWN STATED
AFTER A LENGTHY HEARING.
HOWEVER EIGHT OH FIVE POINT OH
ONE IS NOT BEING UTILIZED AM IF
IT IS NOT BEING UTILIZED THE
BOARD IS STILL UNAWARE OF THE
PHYSICIANS ACTION.
THE BOARD WORKED WITH THE
CALIFORNIA DEPARTMENT OF HEALTH
PUBLIC HEALTH TO SEND OUT AN ALL
FACILITIES LETTER TO THOSE
ENTITIES LICENSE WITH CTP. EIGHT
TO INFORM THEM OF THE NEW
PENALTIES SO EFFECTIVE IN
JANUARY OF THIS YEAR AND THE
NEED TO REPORT.
THE BOARD WILL DETERMINE AS
STATUS COLLECTED FOR FISCAL YEAR
SEVENTEEN EIGHTEEN IF THIS
INCREASED ATTENTION TO REPORTING
HAS MADE A DIFFERENCE.
THE BOARD IS AWARE THAT
SOMETIMES ENTITIES DO NOT WANT
TO REPORT ACTIONS TO THE MEDICAL
BOARD.
THE BOARD BELIEVES THAT SOME OF
THE REASONS ENTITIES DO NOT
REPORT STEMS FROM THE DEFINITION
OF THE MEDICAL DISCIPLINARY
CAUSE OR REASON. FOUR EIGHT OH
FIVE REPORTING THAT ACTION MUST
BE TAKEN FOR MEDICAL
DISCIPLINARY BECAUSE A REASON.
AND IT HAS TO BE REPORTED TO THE
BOARD ALTHOUGH THAT PHRASE IS
DEFINED IN LAW IT IS STILL UP TO
THE ENTITY AND ITS LEGAL COUNSEL
REVIEW TO DETERMINE WHETHER THE
ACTION IS REPORTABLE. ONE OTHER
ISSUE THAT HAS COME TO THE
BOARD'S ATTENTION IS THAT
FACILITIES MAY NOT BELIEVE THEY
HAVE TO REPORT BECAUSE THE
ACTION ACTUALLY OCCURS OUTSIDE
OF THE MEDICAL EVALUATION
COMMITTEE.
OR OUTSIDE OF THE CLASSIC PEER
REVIEW FUNCTION. FOR EXAMPLE A
PHYSICIAN WITH AN IMPAIRMENT
ISSUE IS REFERRED TO THE
FACILITIES WHILE BEING COMMITTEE
WHO RECOMMENDS A POSITION GOING
TO TREATMENT.
IN THESE INSTANCES FACILITIES
FREQUENTLY TAKE THE POSITION
THAT WROTE NO REPORT IS REQUIRED
AND THE BOARD IS NOT MADE AWARE
OF A SUBSTANCE ABUSING LICENSEE.
IN ADDITION IF OPPOSITION TAKES
A MEDICAL OR PRACTICE RELATED
LEAVE OF ABSENCE BUT HAS NOT
BEEN PUT ON NOTICE OF AN
INVESTIGATION OR INQUIRY.
MANY FACILITIES TAKE THE
POSITION THAT THIS IS NOT
REPORTABLE.
ALL OF THESE AREAS ARE GRAY
AREAS WHERE A FACILITY MAY NOT
REPORT TO THE BOARD.
ALTHOUGH THE BOARD MAY
INVESTIGATE THESE FAILURES TO
REPORT THE BOARD MUST BE ABLE TO
ESTABLISH A REPORT WAS REQUIRED
AND THEN NOT FILED IN ORDER TO
FOR US TO TAKE ACTION.
THE BOARD IS HAPPY TO DISCUSS
ANY RECOMMENDED CHANGES TO
REPORTING REQUIREMENTS WITH THE
LEGISLATURE.
WE THAT COMMITTEE SHOULD ALSO
CONSIDER IMPOSING NEW REPORTING
REQUIREMENTS ON ALL HEALING ARTS
PROFESSIONALS NOT JUST POSITIONS
INSURGENTS.
AGAIN THANK YOU FOR HAVING THE
BOARD PROVIDE TESTIMONY TODAY
AND WE LOOK FORWARD TO ANSWERING
ANY QUESTIONS THAT YOU.
THANK YOU ALL IS ALWAYS FOR YOUR
THOUGHTFULNESS AND THOROUGHNESS.
ALWAYS THERE APPRECIATE.
SOMEONE ELSE OF LIKE TO TESTIFY
ON ISSUED YET THINK WE'RE JUST
HERE TO ANSWER QUESTIONS.
MR LIM IS UNDER THE S. B. SEVEN
NINETY EIGHT LAST YEAR.
IN THE LAST ENHANCE THE
PENALTIES --
SOUNDS LIKE.
THE OUT REACH IS BEING DONE TO
COMMUNICATE TO MAKE SURE PEOPLE
ARE AWARE THAT THE QUIET OF
REPORTING --
HOW DO WE ENSURE THAT YOU GET
THE INFORMATION IN A TIMELY
MANNER HOW HOW DO WE MAKE SURE
OF THAT OBVIOUSLY WE DON'T KNOW
WHAT WE DON'T KNOW?
BUT AND YOU DON'T KNOW WHAT YOU
DON'T KNOW BUT HOW IT IS THERE A
THE WAY TO ESTABLISHING CHECKS
IN THIS SOMEHOW.
TO SOME MARKERS THAT THE THE
ONLY THING THAT AND WEEK BECAUSE
YOU'RE RIGHT THAT'S ELTON THE
ROOM RIGHT HOW DO WE KNOW WHAT
WE DON'T KNOW.
I'M THE ONLY WAY THAT WE COULD
SEE IS POSSIBLY THROUGH THE HOME
INSPECTIONS THAT ARE PERFORMED
BY THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH.
IF THEY GO OUT AND THEY'RE
LOOKING AT THE MEDICAL RECORDS
AND THEY DETERMINED THAT AN
ENTITY ACTUALLY TOOK ACTION
AGAINST A POSITION.
AND THEY COULD REAP THEN SEND
OUT TO THE MEDICAL BOARD THEY
LOOK AT IT AND THEN THEY COULD
REPORT THAT TO THE MEDICAL BOARD
AND WE CAN IDENTIFY.
WHETHER --
YOU KNOW THEY SHOULD HAVE
REPORTED IN THEY DIDN'T AND THEN
ALSO IF THAT IS SOMETHING THAT
THE MEDICAL BOARD SHOULD LOOK
INTO FOR THE VIOLATIONS THAT
THAT POSITION --
THAT OCCURRED.
IF I MIGHT ADD I THINK THAT IS
ONE OF THE OBJECTIVES OF THE
PROJECT THAT.
IS KURT MEYER REFERENCE WHERE WE
ARE ESSENTIALLY WAVES.
CREATED AND IT A SEPARATE
VERTICAL ENFORCEMENT UNIT WITHIN
OUR OFFICE AND THE BOARD TO LOOK
AT KATO FIVE REPORTS WHEN THEY
COME IN.
TRY TO IDENTIFY FROM THOSE
RECOUNTS WHETHER THERE.
WERE REPORTS THAT PERHAPS SHOULD
HAVE BEEN FILED SOONER.
ADDITIONAL REPORTS WERE A REPORT
ALSO UNDER EIGHT OH FIVE POINT
OH ONE AND WITHIN THAT PROJECT
WE ARE ALSO --
RAPPING IN CASES THAT WE COME
ACROSS --
INCIDENTAL TO OTHER
INVESTIGATIONS WHERE WE MIGHT
TAKE A LOOK AT IT AND DECIDE IT
LOOKS TO US LIKE THERE MAY HAVE
BEEN AN INSTITUTIONAL ISSUE.
THAT MAY HAVE REQUIRED TO REPORT
HIM WE ARE --
TRYING REALLY FAST ONE OF THE
THINGS THAT WE HAVE BEEN DOING.
FOR BEEN.
OVER A YEAR NOW SINCE WE'VE BEEN
WORKING ON THIS PROJECT AND IT
SEEMS TO BE STARTING TO BEAR
SOME FRUIT.
IT'S GOOD TO HEAR THAT THE
QUESTION WAS RAISED ABOUT THE
TWELVE UNDER TWENTY FIVE ISSUE
AND YOU KNOW HOW MANY HOW IS
THAT.
THE POPULATION AND THE AS THEY
CAN ABOUT YEAH THAT QUESTION AND
AND SO FOR THE MEDICAL BOARD WE
DON'T KEEP TRACK OF WHERE A
PHYSICIAN IS EMPLOYED.
THEY HAVE TO PROVIDE US AN
ADDRESS OF RECORD IT IS WHERE
THEIR EMPLOYMENT AS AND I DON'T
KNOW I I WOULD PROBABLY AGREE
WITH MISTER BROWN THAT I THINK A
LOT OF THE LARGE ENTITIES ARE
ARE COVERED AND THEY HAVE PEER
REVIEW.
BUT WE DO HAVE I'M AS YOU
PROBABLY KNOW THAT FICTITIOUS
NAME PERMIT THAT WE RECEIVE AND
SO WE DO HAVE ENTITIES THAT WE
KNOW OF THAT ARE MADE UP OF YOU
KNOW FIVE TEN PHYSICIANS.
I'M SO WE KNOW THAT THERE ARE
SOME OF THOSE SMALLER ENTITIES
BUT I THINK THE ISSUE WOULD BE
THAT IS ARE THEY EVEN DOING PEER
REVIEW THOUGH.
BECAUSE I I'D I DON'T KNOW THIS
I WOULD SAY ANECDOTALLY THAT
THOSE ENTITIES ARE NOT DOING
PEER REVIEW ON EACH OTHER IN
THOSE FIVE TEN FACILITIES WHO IN
THEIR FACILITIES.
THEN YOU WOULD BE RELYING ON AND
WE WOULD BE RELYING ON PATIENT
BONTA PATIENTS COMPLAINS THAT
WOULD COME TO YOU OR OTHER
ENTITIES THAT MAY YOU KNOW AND
IT'S NEWSLETTER SHE IT IN A
DIFFERENT SETTING RIGHT IN ON
AND THEN YOU KNOW.
IT'S ALWAYS BEEN THE ISSUE OF
YOU KNOW MAKING SURE THE PATIENT
KNOWS THAT OUTSIDE OF
MALPRACTICE THEY ALSO HAVE THE
ABILITY TO REPORT TO THE MEDICAL
BOARD I MEAN WE SEE THIS IN.
AN ALL ASPECTS YOU KNOW WHAT'S
IMPORTANT FOR PATIENTS TO KNOW
THAT THEY CAN COME TO THE
MEDICAL BOARD TO MAKE A
COMPLAINT NOT JUST.
YOU KNOW THROUGH THAT EITHER THE
MALPRACTICE VENUE OR THROUGH IN
THE GOING TO THE FACILITY THAT
THEY ALSO NEED TO MAKE THAT
COMPLAINT TO THE MEDICAL BOARD.
YOU SEE --
YOU NOTICE IT OR KNOWING THE
DIFFERENT TYPES OF STRUCTURES
THAT WE HAVEN'T REACHED THIS
QUESTION TO MISTER BROWN THAT.
THE ISSUE OF WHEN YOU HAVE AN
EDUCATIONAL INSTITUTION.
YOU HAVE FACULTY THAN YOU HAVE
CLINICS HAVE A HOSPITAL.
THERE ARE A LOT OF DIFFERENT.
POCKETS THAT PEOPLE FIT INTO IN
THEIR ROLES THAT IS.
IS THERE A CIRCUMSTANCE WHERE
[inaudible]
SOMEONE WOULD.
FALL THROUGH THE CRACKS PERHAPS
OR WHERE THERE WOULD BE NO.
REPORTING REQUIREMENT IN ONE
PARTICULAR POCKET THAT THEY MAY
FIT INTO [inaudible]
THAT --
COULD --
COULD BE PRESIDENT IN THE SYSTEM
TODAY.
I DO THINK THAT HAPPENS AN
ENGINE CREW PROBABLY ACTUALLY
ANSWER THAT EVEN BETTER BUT I
THINK YOU KNOW IT DEPENDS ON
WHO'S THE EMPLOYER OF THAT
PHYSICIAN WHO IS THE ACTUAL
ENTITY WHOSE RESPONSIBLE FOR
THEM.
WHERE DO THEN WHERE DOES AND NOT
ENTITY FIT WITHIN ON THE
STRUCTURE AND SO I I BELIEVE
THAT THERE COULD BE LOOP HOLES I
MEAN YOU HAVE A LOCUM TENENS AND
PHYSICIANS THAT COMEY AND AND?
WHO ACTUALLY IS THAT PHYSICIAN
IMPLODE WITHIN WHO'S DOING PEER
REVIEW ON THAT?
POSITION SO THERE THERE COULD BE
HOLE LOOPHOLES IN AREAS WHERE
IT'S IT'S GREAT FOR THE ENTITY
WHETHER THEY ACTUALLY HAVE TO
REPAIR NOT.
IN.
CERTAINLY TRUE THERE ARE A
NUMBER OF LOOPHOLES AND I THINK
ONE OF THE THINGS THAT WE HAVE
TO KEEP IN MIND.
IS THE SECTION EIGHT OH FIVE AND
MY DAD AYE QUITE RAPID ALSO IT A
FIVE POINT.
OH ONE WE'RE TALKING ABOUT A
LIMITED UNIVERSE OF SITUATIONS
AND THAT'S WHERE THERE HAS BEEN
PEER REVIEW CONDUCTED BY THE
MEDICAL STAFF.
AND IN THE IN THE INSTITUTIONAL
OR UNIVERSITY TYPESETTING A LOT
OF THE ACTIONS THAT MIGHT BE
TAKEN AGAINSTAN INDIVIDUAL ARE
NOT ACTIONS THAT ARE CONDUCTED
AS A RESULT OF PEER REVIEW.
AND THEREFORE THEY WOULD QUITE
LIKELY OFTENTIMES FALL OUTSIDE
OF THE REPORTING REQUIREMENTS.
INTERESTING OTHERS YOU HAVE AND
DOCTOR PAN.
REFERRED TO SOME OF THE
DIFFERENT TYPES OF PRACTICE
STRUCTURES I KNOW.
OVER THE PAST TWENTY FIVE YEARS
SINCE I'VE BEEN LOOKING AT EIGHT
OH FIVE WE'VE SEEN A LOT OF
CHANGES WE'VE SEEN HOSPITALS ARE
STAFFED NOW BY EMERGENCY ROOM.
PHYSICIAN STAFFING AGENCIES OR
COMPANIES THAT PROVIDE EMERGENCY
ROOM COVERAGE OR ANESTHESIA
COVERAGE.
AND THERE HAVE BEEN QUESTIONS
AND SOME AMBIGUITY WHICH WE'VE
TRIED TO RESOLVE.
ON A CASE BY CASE BASIS AND
FIGURED OUT AS WE GO BUT YES
THINGS THERE ARE A LOT OF
SITUATIONS THAT ARE.
NOT AT ALL CLEAR CUT.
OTHER SUGGESTIONS.
TO WHAT SPECIFICALLY COULD BE
DONE TO CLOSE THOSE.
BOTH BILL THOSE LOOPHOLES OTHER
I THINK REALLY YET AVAILABLE TO
MEET WITH YOU AND AND DISCUSS
THOSE OPPORTUNITIES AND OF
COURSE FROM OUR PERSPECTIVE WE
YOU KNOW WANNA DISCUSS THOSE
WITH OUR BOARD AS WELL TO PUT
GOES FORWARD.
FOR APPROVAL [inaudible]
IT ALONE --
SOMETHING ELSE. TWO IT IN SOME
CASES YOU GET [inaudible]
A COMPLAINT.
THAT MAY BE SUBMITTED TO A
HEALTH FACILITY AND I DON'T KNOW
I MEAN I'M DEFINING THAT IS
ALMOST ANYTHING YOU COULD WISH
SOMEONE GOES FOR HEALTHCARE --
AND IT.
ZIFF TODAY THERE ARE SOME OF
THOSE WHERE THAT WOULD NOT GO
AUTOMATICALLY TO YOU
[inaudible]
FOR REVIEW [inaudible]
AND DO YOU THINK THAT WOULD BE
HELPFUL IF THERE WERE
CIRCUMSTANCES WERE EVERY
COMPLAINT THAT WOULD GO TO MAKE
SIMILAR TO A PATIENT GOING TO A
HEALTH CLINIC IN COMPLAINING.
TO ADMINISTRATOR OR MANAGEMENT
OF THE HEALTH CLINIC AND AND OR
FACILITY [inaudible]
AND THEN.
THAT PERSON COULD EASILY SAY.
WELL IF THEY DON'T HAVE BEEN
ABLE FIVE REPORTING REQUIREMENT
[inaudible]
THAT.
WELL HE WILL TAKE CARE OF IT AND
THANKS FOR SHARING.
OF INTIMATE DECLINE THAT
ANYONE'S DOING THAT BUT IT IT IT
COULD CERTAINLY HAPPEN.
AND THEN NOTHING HAS HAPPENED TO
THAT THE PATIENT FEELS THAT
THEY'VE DONE THEIR DUE DILIGENCE
BY REPORTING THIS AND YET IT
STOPS AND DICE THERE.
IS THAT SOMETHING THAT IS.
COULD BE IN IT MAY BE A
OCCURRING TODAY.
WE BELIEVE YES AS THE MEDICAL
BOARD WE BELIEVE THE ANY
INDIVIDUAL HAS A COMPLAINT
AGAINST A PHYSICIAN NOT COMPLETE
SHOULD COME TO THE BOARD SO WE
CAN LOOK INTO IT --
AS YOU KNOW YOU KNOW THERE'S THE
REQUIREMENT TO POST ON THE SIGN
THAT PHYSICIANS ARE RIGHT ON
THAT SIGN IN THE OFFICE OR IN
CERTAIN DISCHARGE PAPERS.
ON THE DEFICIT THAT POSITION IS
REGULATED BY THE MEDICAL BOARD
OF CALIFORNIA WERE ACTUALLY
WORKING ON REGULATIONS RIGHT NOW
BECAUSE WE GOT THAT.
IN YOUR BILL LAST YEAR THANK YOU
VERY MUCH TO LET US PUT MORE
INFORMATION INTO THAT SIGN.
ON BUT I DO BELIEVE A LOT OF
INDIVIDUALS BELIEVE THAT BY
MAKING IT TO THE FACILITY IT'S
GOING TO GET TO THE APPROPRIATE
ENTITY AND THAT MAY NOT BE THE
CASE BECAUSE OF THAT FACILITY
DOESN'T TAKE ACTION AGAINST THE
DOCTOR.
I'M THEY DON'T REPORT NOW THEY
DON'T SUBMIT THAT TO THE MEN IN
THEIR SOME CASES WHERE THERE IS
NO REQUIREMENT TO TAKE ACTION
RIGHT IF THEY DON'T HAVE A PEER
REVIEWED AND THEN IT JUST.
COULD END WITHIN YOU KNOW
HOWEVER.
AND I AND I DO WANT TO MAKE IT
QUICK BECAUSE IT YET I THINK
THERE'S A TENDENCY IN IN OUR
CONVERSATION TODAY TO IMPLY.
THAT THIS IS A IMAGE CERTAINLY
IS A PROBLEM BUT THERE ARE A
HUNDRED AND FORTY THOUSAND
LICENSE PHYSICIANS IN CALIFORNIA
AND WE'RE TALKING ABOUT A VERY.
VERY SMALL PERCENTAGE OF THOSE
PHYSICIANS AT A HANDFUL --
IT ANYONE TIME PROBABLY AT MOST --
BUT NOT THAT MANY AND SO I JUST
WANTED CLEAR THAT WE HAVE A
WONDERFUL.
AND HEALTHY AND VIBRANT.
AND PROFESSIONAL MEDICAL OF
PROFESSION CALIFORNIA AND AND WE
WE JUST WANNA MAKE SURE THAT WE
GET THOSE THAT ARE THE PROBLEM
ONCE.
THANK YOU I'M UP FOR THE
QUESTIONS ARE THANK YOU VERY
MUCH.
ULTRA YES I'M SORRY.
I WILL FOR GOT EVERYBODY'S GOT
MY APOLOGIES GOOD MORNING HI I'M
SCOTT EVER I'M THE ASSISTANT TO
THE DIRECTOR FOR THE CENTER FOR
HEALTH CARE QUALITY FOR SOONER
OUT.
FOR COMPANIES UPON PUBLIC HEALTH.
PART OF MY OF CENTER IN THIS
ELECTION SEEMS REPETITION
PROGRAM AND THEY DON'T SEE
PROGRAM IS RESPONSIBLE FOR
OVERSIGHT OF A LICENSED.
HEALTH APPROVED FIVE CLINICS AND
ENTITIES FACILITIES IN
CALIFORNIA --
WE CERTIFY AND LICENSE OVER TEN
THOUSAND HEALTH FACILITIES IN
CALIFORNIA AND THAT COMPRISES
ROUGHLY THIRTY DIFFERENT
FACILITY TYPES --
FOR EXAMPLE HOSPITALS NURSING
HOMES PRIMARY CARE CLINICS OTHER
SPECIALTY CLINICS HOME HEALTH
AGENCY SO THOSE WERE THE MOVE OF
ENTITIES THAT WE HAVE OVERSIGHT.
AUTHORITY OVER --
AND WE FILL OUR MISSION OF
PROTECTION OF OF A CLIENT'S
PATIENTS --
RESIDENTS BY DOING PERIODIC
INSPECTIONS AND INSPECTIONS BOTH
FROM A FEDERAL STANDPOINT AS
BOTH THE STATE LICENSING
STANDPOINT.
AND ALSO DOING COMPLAIN THAT
INVESTIGATIONS.
SO DURING OUR NORMAL WE SERVE
OCCASION AND A RELICENSING
SURVEY CROSSES WE HAVE A VERY --
PRESCRIPTIVE PROCESS BY WHICH WE
FOLLOW -- WE
WE FOLLOW.
THE FEDERAL.
IF I FACILITIES AND WE WHEN WE
LOOK COLOR LICENSING HAVE
REGULATIONS WE HAVE A VERY.
GOOD TO PROCESS THAT WE WOULD
FOLLOW FOR IDENTIFICATION OF
PROBLEMS --
WHERE THE FLEA MAY NOT BE AND
ALIGNMENT OR ABRIDGING OF
REGULATION?
A IT IS.
DIFFICULT PROBABLY TO SAY THAT
DURING THOSE REGULAR SERVIC
SUFFOCATION LESS THEME OF SERIES
THAT WE WOULD IDENTIFY
MISCONDUCT OF THIS NATURE WE DO
LOOK AT RECORD REVIEWS.
BUT HOW IT.
IS IN THE COURSE OF THIS PROCESS
THAT WE HAVE BUILT ON THAT THEME
AS A SNIFFER MEDICARE MEDICAID
SERVICES HAS GIVEN US FOR HOW WE
WOULD FALL --
THE PROTOCOLS.
WHERE WE WOULD MORE LIKELY FIND
PROBLEMS OF THE NATURE OF THIS
COMMITTEES --
HEARING TODAY IS DURING COMPLAIN
INVESTIGATIONS OR REPORTS FROM
THAT THE SLEAZE THEMSELVES OF OF
ISSUES THAT THEY WANT TO BRING
YOUR ATTENTION.
ALL OVER A LICENSED ENTITIES
THERE IS A PROVISION AND THE
RELEVANT --
CALTRAIN TO REGULATIONS THAT
REQUIRE FACILITIES TO REPORT
UNUSUAL OCCURRENCES AND THAT'S
KINDA LOOSELY DEFINED IN A
REGULATIONS THE CERTAINLY --
ISSUES OF INVOLVING SEXUAL
MISCONDUCT WOULD SOON FALL INTO
AT AN UNUSUAL OCCURRENCE REPORTS
WE MAKE IT REPORTS DIRECTLY FROM.
CECILY'S OF THAT BECOME AWARE
SOMETHING.
UP I ALSO WANT TO POINT OUT THAT
A MOOSE LICENSE PROFESSIONALLY
CALIFORNIA OF HAVE A MANDATORY A
PROTOCOL FOR FOR REPORTING ABUSE
SO THEY'RE ALL OF THEIR ALL
MANDATORY REPORTERS THEY SHOULD
BE REPORTING TO SOMEBODY.
A EITHER US LOCAL LAW
ENFORCEMENT SO WE ALSO IF A IN
THE FULLY STAFF IN A FLEA IS
AWARE OF MISCONDUCT OF OF OF OF
ABUSE NATURE.
THEY ARE OBLIGATED TO REPORT
THAT TO SOMEBODY.
AND IN A FISCALLY REPORTS THOSE
ARE MORE TARGETED INVESTIGATION
SO WE ALSO HAVE AN ALLEGATION
EITHER BE REPORT BY A
COMPLAINANT OR BY THE FLEA OF
SOMETHING.
AND SO ARE IN DISCUSSIONS MUCH
MORE FOCUS AND WHICH PORTRAYAL
DOT SO THROUGH PORKY MEN OF THEM --
SORT OF A AN ISSUE WITH THE
PROVIDER THE CARE BE RECEIVED BY
BY THE PROVIDER OF THE FACILITY
FOR THAT RESIDENT OR CLIENT OR
PATIENT.
THEN THAT WILL BE THE FOCUS OF
OUR INVESTIGATIONS AND SO WE
TALKED TO ABOUT THE THE
COMPLAINER WHO TALKED STAFF WE
LOOK IRAQ REVIEWS WOULD DROP
OBSERVATIONS OF THAT'S OUR
TYPICAL PROTOCOL FOR HOW WE
WOULD INVESTIGATE ANY.
OF OUR ON COMPLAIN AS CHRISTIANS.
IF WE SUBSTANTIATE VIOLATIONS OF
OF WHERE THE FLEA FAILED TO DO
SOMETHING AGAINST RELATIONS AND
WE WOULD OFFICES FIGHT THE
FACILITY.
NOW ON THE INDIVIDUAL SIDE OF
THE EQUATION.
IF WE IF PART OF THE
SUBSTANTIATION A PART OF OUR
SOLUTIONS THAT WE CAN DETERMINE.
HAD SOME ROBUST THE LICENSED
PROFESSIONALS A LICENSE.
THEN WE WOULD MAKE THE PROPER
BOARD REFERRALS TO THE PROGRAM
OF ENTITIES SO FOR EXAMPLE IF WE
HAVE A REPORT OF A PHYSICIAN WHO
WAS DOING SOMETHING THAT WE FELT.
OUT OF BRITISH THEIR
PROFESSIONAL LICENSE WE MAKE
REFERRAL TO MEDICAL BOARD FOR
THEIR FOLLOW UP INVESTIGATIONS
AND WE WILL WORK IN THE MEDICAL
BOARD STAFF.
IT IF THEY DECIDE THAT THEY ALSO
OUR NOSE AVAILABLE ON OUR
SERVERS AVAIL TO CAUSE YOU.
TO COMMUNICATE WITH THE MEDICAL
BOARD AS HE WOULD DO THEIR OWN
INVESTIGATION.
WE SIMPLY DO INVESTIGATION OR
REFERRALS TO LICENSE OF A
CRUCIAL NURSES BOARDS ARE
EMPLOYERS --
SO AGAIN THAT'S THE CHECKS AND
BALANCE.
IF WE ALSO FOUND THAT THE
VIOLATION OR ALLEGATION WAS OF A
SEVERE NATURE OF RAPE OR SEXUAL
ASSAULT OF OF THAT NATURE.
WE MAY ALSO MAKE OF A REFERRAL
TO LOCAL LAW ENFORCEMENT AS WELL
AS A FORMER JUSTICE --
SLIPPED OUT THE AG'S OFFICE ALSO
AS A UNIT THAT THEY WOULD
INVESTIGATE OUT TO DETERMINE IF
THERE'S SOME SORT OF A CRIMINAL
ACTION OF THAT THEY WOULD WANT
IT.
SO IN THAT REGARD YOU KNOW
THAT'S HOW WE WOULD CONDUCT OUR
BUSINESS IS WORKING OF MORE OF A
TO DETERMINE THE FACILITIES
FAILURE.
AND AND THAT'S WE UNCOVER
INFORMATION THAT MIGHT LEAD US
TO BELIEVE THAT --
A NURSE OR SOMEBODY ELSE --
WAS VIOLATING SOME PART OF THEIR
PROFESSIONAL STANDARDS WE MAKE
THOSE POOR REFERRALS.
VERY GOOD THANK YOU THAT'S VERY
HELPFUL.
VERY COVERAGE OF WHEN YOU DO A
SURVEY WHEN YOU DO A A
INVESTIGATION OR OR BUT WHEN
YOU'D CERTIFICATION HOW MUCH
TIME DO YOU SPEND AT THE
FACILITY.
A IT OBSCENE PINS ON HOW BIG
SLEEVES THAT IS FOCUSED SURVEY
WE'RE TALKING ABOUT A
RECIPROCATION SURVEY COULD DAY
COULD TAKE DAYS MAYBE A WEEK.
A A COMPLETE INVESTIGATION COULD
TAKE YOUR TWELVE TO FIFTEEN
HOURS DEPENDING ON YOUR IN THE
WOODEN NESTLE BE CONTINUOUS
HOURS A. B. I'M THERE.
I'M INTERVIEWING FOR THE STAFF
THAN THE DEBUT SO THERE THERE
MAY BE OTHER OPPORTUNISM
MORTLOCK TRACES OBSERVE THE CARE
AS I'M WALKING THROUGH THE
HALLWAYS TO GET TO WHO WHERE I
NEED TO BUT TYPICALLY ARE
COMPLAIN S. KITCHENS ARE OUT THE
OTHER TWELVE HOURS WORTH OF TIME.
A TO COME TO OUR INVESTIGATIONS
SOMETIMES ARE MORE BECAUSE OF
THE WE WOULD NEED TO GO
DIFFERENT FACILITIES AND AND AND
DO MORE EXTENSIVE INTERVIEWS.
YOU'D IMAGINE THEIR E. CASES
WHERE YOU WILL FIND A PROBLEM
YOU DO AND TURN IT TO THE
MEDICAL BOARD AND IF THERE IS A
VIOLATION.
OF CRIMINAL ACTIVITY YOU TURN IT
OVER TO LAW ENFORCEMENT CRASH --
OTHER CASES.
I MEAN IS THERE A LINE THAT YOU
HAVE WHERE.
HE YOU KNOW HOW I GUESS OF
TRYING TO FIND OTHER CASES ARE
AREAS WE DO NOT REPORT IT TO THE
MEDICAL BOARD OR IF IT'S YOU
KNOW WHERE WHERE WOULD.
THAT OR ARE THERE AREAS WHERE
THAT.
ALSO I THINK I THINK THE ANSWER
IS NO THERE THERE IS NO LINE I
MEAN I'VE SEEN OUR STAFF WHICH
IS WE HAVE OVER SEVEN HUNDRED
SURVEYOR SO GETTING THEM TO BE
CONSISTENT AND THE THE
EDIFICATION AND THE REFERRALS IS
IS PART OF WHAT WE CASA WORK ON
IS.
IS CONSISTENCY OF APPLICATION OF
WHEN TO MAKE THIS REFERRALS.
THOUGH IT AGAIN IF WE IN MOSTAR --
PFAFF SERVING STAFF ARE NURSES
AND AND AND POSITIONS AND SOME
OF PHARMACISTS WE HAVE A LOT OF
CLINICAL STAFF ON ON ON ON STEPH.
THEY KINDA KNOW THE LINES THAT
WOULD WOULD TENDS TO WHERE WE
WOULD NEED TO MAKE A POOR
REFERRAL SO OUR PRACTICES THAT
IF ANYTHING AND BRIDGES.
OF THE PROFESSIONAL STANDARDS OF
LICENSED PROFESSIONAL THEN WE
WOULD MAKE THOSE REFERRALS.
OKAY IN IT THANK YOU AND AND IT.
VERY GOOD QUESTION CAME TO MIND
AND REQUIRE ACT THAT REMINDED ME
OF OF THE THE PREVIOUS
DISCUSSION AND THAT'S AND THE
ISSUE OF AND WE'VE SEEN IT IN IN
THE CONTRACTING LAW RELATED TO
DISCLOSURE OF INFORMATION AND
SETTLEMENTS AND I KNOW.
IN LOOKING AT THE THE GREAT
BACKGROUND PAPER THAT WE WERE
LOOKING AT THAT THERE ARE
REQUIREMENTS FOR SETTLEMENTS.
OVER CERTAIN DOLLAR AMOUNT --
VICTOR FOR PHYSICIANS AND AND
PODIATRIC MEDICINE THOSE LICENSE
IN THAT BOARD --
OR ARBITRATION AWARDS ARE CIVIL
JUDGMENTS OF ANY AMOUNT.
A E. THE QUESTION COMES TO MIND
IF THERE ARE.
SETTLEMENTS IN A OF I THINK THIS
IS AN IMPORTANT QUESTION FOR
EVERYONE OTHER.
CERTAIN.
YOU KNOW NON DISCLOSURE
AGREEMENTS THAT THE THE MEDICAL
BOARD.
OF THAT IF WE ARE THERE THAT MAY
BE PART OF THOSE SETTLEMENTS
THAT PREVENT THINGS TO COME FROM
COMING TO YOU OR THAT WOULD.
GONNA OBSTACLE NOT IN THAT ARENA
BECAUSE ACTUALLY WE HAVE A
SECTION OF LA AND I CAN'T COOLEY
THE SECTION RIGHT OFF THE TOP OF
MY HEAD SENATOR BUT ON THERE'S A
LOT OF THE IT'S THE THE GAG
CLAUSE THERE CANNOT DO THAT HOME
IT WOULD BE ILLEGAL AND DURING.
SETTLEMENT TO HAVE A PATIENTS
COMETA [inaudible]
LA.
COMPLETE TO THE MENTALLY
REMEMBER THAT LAW THAT YEAH THAT
LONG AGO.
THAT'S BUSINESS AND CODE SECTION
TWO TWO TWO ZERO POINT.
SEVEN EVERYONE ALWAYS NEEDS AN
ATTORNEY RIGHT NOW.
GOAT THANK YOU LETTER --
SO THAT THOSE WHO CAN'T BE A GAG
CLAUSE OR OF NON DISCLOSURE PART
OF ANY OF THOSE SETTLEMENTS THAT
ARE SOMEHOW.
HOW WOULD THAT FIT IN THEM?
IF IT WERE A PHYSICIAN WHO.
I HAPPENED TO BE TERMINATED OR
SETTLED UNEMPLOYMENT
[inaudible]
CASE.
SO IF THEY WERE TERMINATED IN
THEY HAD PEER REVIEW IT WOULD
FALL INTO THE EIGHT OH FIVE
REPORTING.
NOT INTO THE EIGHT A ONE POINT
OH ONE SECTION OF MALPRACTICE
MOVIES A FIVE SETTLEMENTS
JUDGMENTS ARBITRATION HICH YEAH.
THAT WOULD BE IN EIGHT OH FIVE
REPORT LET'S SAY THERE WAS A
SETTLEMENT IN THEY THEY LEFT
WITHOUT ADMITTING ANYTHING.
SO THAT WOULD BE UP TO THE PEER
REVIEW ENTITY TO DETERMINE DOES
IT FIT INTO THE EIGHT A FIVE
REPORTING REQUIREMENT BECAUSE
THAT WOULD BE THEY RESIGNED.
THEN THEY HAVE TO GO BACK AND
LOOK AT I MEAN OBVIOUSLY NOT
PLEASE REALLY ACTION ARE NOT
MISTER BROWN DESPITE.
YES THEN THAT WOULD BE WITH
SOMEONE YOU FALL INTO FOUR WHERE
YOU HAVE THE EIGHT A ONE POINT
OH ONE THAT WOULD COME IN FOR
THE SETTLEMENT AND IT'S OVER
THIRTY THOUSAND DOLLARS THIRTY
THOUSAND OR MORE --
OR IF IT WAS A JUDGMENT
ARBITRATION WORK IT WOULD COME
IN UNDER THAT AND THEN OF THE
FACILITY P. ALSO RESIGNED
BECAUSE THEY WERE INVESTIGATING
THAT ISSUE --
THAN THEY WOULD HAVE TO REPORT
AS LONG AS THEY MET YOU KNOW FIT
INTO ALL OF THE FEET EIGHT OH
FIVE REPORTING REQUIREMENT.
OKAY IN THAT WOULD THAT WOULD
ELIMINATE THAT.
THE GAG CLAUSE IN THE NON
DISCLOSURE ORDER.
AND WE HAVE ACTUALLY TAKEN
ACTION AGAINST A PHYSICIAN --
FOR BUT DOING A GAG CLAUSE EVEN
COME INTO A FACT SO IT'S
SOMETHING WE LOOK AT YOU KNOW
AGAIN THERE.
WE MIGHT NOT KNOW THOUGH YOU
KNOW BECAUSE IF THEY TELL THE
PATIENT THAT AND THEN WE NEVER
FIND OUT ABOUT IT.
I MEAN WE WOULDN'T KNOW THE GOOD
THING IS IS THAT IF WE GET THE
THE THE SETTLEMENT AND WE CAN
LOOK INTO IT.
NOW WE GET JUST SO YOU KNOW WE
GET ABOUT SIX HUNDRED ANYWHERE
BETWEEN SIX HUNDRED AND SEVEN
HUNDRED MALPRACTICE --
SETTLEMENT ARBITRATION AND
JUDGEMENTAL BOARDS THAT WEEK.
WE'RE GOOD THANK YOU VERY MUCH
THANK YOU VERY MUCH FOR TO VOTE
VERY [inaudible]
GREAT INFORMATION. FOR COMMENTS --
SO.
NOW I'D LIKE TO INVITE THE
ACTUAL FORMER STATE ENATOR
MARTHA IS GOOD YEAH VICE
PRESIDENT OF GOVERNMENT
RELATIONS AT THE UNIVERSITY OF
SOUTHERN CALIFORNIA PLEASE.
COME FORWARD MADAME SENATOR
PLEASURE TO SEE YOU.
THANK YOU MISTER CHAIRMAN IT'S
BEEN AWHILE.
IT HAS BEEN THAT I'VE BEEN HERE
IN THIS BUILDING BUT ACTUALLY
SOME OF AMAZING YEARS OF MY LIFE.
GOOD MORNING MISTER CHAIRMAN
MONEY OF MY NAME IS MIKE THIS
GOOD YET VICE PRESIDENT FOR
GOVERNMENT RELATIONS AT THE
UNIVERSITY OF SOUTHERN
CALIFORNIA.
AND I'M BEHALF OF U. S. B..
I WOULD LIKE TO THANK YOU FOR
THE OPPORTUNITY TO TESTIFY TODAY.
LIKE TO THANK YOU FOR THE TIME
THAT YOU'VE GIVEN US AS WELL AS
YOU STAFF IN TRYING TO MAKE THIS
A A POSITIVE HEARING.
ESPECIALLY WHEN IT COMES TO
IDENTIFYING POTENTIAL POLICY
CHANGES THAT WILL BENEFIT ALL
CALIFORNIA SO WE THANK YOU SO
MUCH. FOR YOUR GREAT EFFORT IN
THAT.
OBVIOUSLY THE UNIVERSITIES
EXTREMELY SORRY.
THAT OUR CURRENT AND FORMER
STUDENTS HAD TO INDOOR.
THIS IT THIS EXPERIENCE FROM
DOCTOR KENDALL.
WE HAVE MADE SIGNIFICANT CHANGES
IN LEADERSHIP.
POLICIES AND PROCEDURES.
AT THE STUDENT HEALTH CENTER.
AND WE ARE CONFIDENT THAT THIS
WILL NEVER HAPPEN AGAIN.
MISTER CHAIRMAN WE ARE COMMITTED
TO MAKINGOUR STUDENT HEALTH
FACILITY THE GOLD STANDARD FOR
OTHER UNIVERSITIES TO FOLLOW.
AND TO ENSURE THE SAFETY AND THE
WELL BEING OF EVERYONE IN OUR
COMMUNITY.
NOW I HAVE HERE WITH ME --
OUR OF COUNCIL UP MISTER KEITH
CARLSON WHO IS A PARTNER FOR
HELP LAW FIRM.
OF CARLSON AND GIANT WHO MARK.
HE IS US HE'S OUTSIDE COUNSEL.
AND HE WILL TESTIFY AS TO THE
STRUCTURE THAT'S VERY UNIQUE TO
U. S. THE IN THE SENSE THAT IT
IS LIKE YOU WITH THE ACADEMIC
MEDICAL CENTER.
HE WILL TESTIFY ALSO BUT I
STUDENT HEALTH CENTER AND THE
REPORTING REQUIREMENTS TO THE
MEDICAL BOARD [inaudible]
WILSON.
WELCOME MR GARCIA THANK YOU
THANK YOU AREN'T MISTER CHAIRMAN
THANK YOU FOR HAVING THE
OPPORTUNITY TO SPEAK OUT TO THIS
COMMITTEE.
WE THOUGHT IT MIGHT BE
INSTRUCTIVE TO BEGIN BY LOOKING --
AT THE STRUCTURE OF HEALTH CARE
AT USC IT'S AN ACADEMIC MEDICAL
CENTER AS SENATORS COULD YOU
EXPLAIN IT STRUCTURE ALLOWS IT
TO DIRECTLY EMPLOY THE DOCTORS
AND NURSES WORKING AT THE
STUDENT HEALTH CENTER.
AND AT THE HEALTH SYSTEM.
A EMPLOYED PHYSICIANS ARE
SUBJECT TO HUMAN RESOURCES
POLICIES LIKE ALL OTHER
EMPLOYEES OF THE UNIVERSITY.
I HOWEVER THE FACULTY PHYSICIANS
AT THE USC HEALTH SYSTEM ARE
ALSO MEMBERS OF AN INDEPENDENT
MEDICAL STAFF AND ARE SUBJECT TO
PEER REVIEW.
UNTIL TWO THOUSAND SEVENTEEN
THOUGH THE STUDENT HEALTH CENTER
STAFF WAS NOT PART OF THE
OVERALL HEALTH SYSTEM.
AT THE TIME OF THE U. S. SEES
TWO THOUSAND SIXTEEN
INVESTIGATION INVOLVING GEORGE
TYNDALL.
HE HE WAS HANDLED SOLELY THROUGH
U. S. SEES HR PROCESS AND
TREATED LIKE ANY OTHER EMPLOYEES.
SUBJECT TO PEER REVIEW.
IN THAT WAY IN TWO THOUSAND
SIXTEEN USC'S STUDENT HEALTH
CENTER WAS LIKE MOST OTHER
STUDENT HEALTH CENTERS SCOTT
THROUGHOUT THE STATE OF
CALIFORNIA.
NOW UNCONNECTED TO THE SITUATION
AROUND DOCTOR TENDO IN TWO
THOUSAND SIXTEEN ALSO.
THE UNIVERSITY SENIOR
ADMINISTRATION BEGAN STUDYING
WHETHER IT COULD FULL THE
STUDENT HEALTH CENTER INTO THE
LARGER HEALTH SYSTEM TO PROVIDE
AN ALIGNMENT OF ALL EMPLOYEE
DOCTORS.
AND PROVIDE ADDITIONAL POSITION
OVERSIGHT OF THE STUDENT HEALTH
CENTER THIS REORGANIZATION WAS
LAUNCHED THEN --
WHEN IT WAS COMPLETED IN?
TWO THOUSAND SEVENTY DON'T KNOW
HEALTHCARE ENTITIES HR PROCESS
IS SUBJECT TO THE BUSINESS AND
PROFESSIONS CODE EIGHT OH FIVE
OR EIGHT OR NINE STATUTES THAT
WE'VE BEEN DISCUSSING THIS
MORNING.
HR PROFESSIONALS ARE NOT DOCTORS
OPINING ON THE QUALITY OF CARE
SO THEY'RE NOT REQUIRED TO GIVE
THE EMPLOYEE DOCTOR THE DUE
PROCESS RIGHTS THAT ARE AFFORDED
UNDER EIGHT OR NINE WHICH
APPLIES TO ALL THE PEER REVIEW
BODIES.
HR PROFESSIONALS IN THEIR BY IN
THE CORPORATE EMPLOYERS ARE NOT
PEERS OF THE DOCTORS AND THUS
THERE IS NO BASIS TO REPORT ANY
TERMINATION. TO THE MEDICAL
BOARD UNDER EIGHT OH FIVE VIA
THE HR ROUTE.
THE FACT THAT WE ARE REQUIRED TO
SEND OUR DOCTORS THROUGH PEER
REVIEW MEANS.
THAT WE CAN TAKE MUCH FASTER
ACTION FROM AN EMPLOYMENT
STANDPOINT.
AND AS YOU'LL RECALL FROM THE
LEGISLATURE'S --
LOW MATTRESS STUDY FROM --
TWO THOUSAND EIGHT THAT STUDIES
SHOW THAT IT GENERALLY TAKES TWO
TO FIVE YEARS FOR PHYSICIANS WHO
ARE SENT THROUGH PEER REVIEW --
TO BE REMOVED AND REPORTED TO
THE MEDICAL BOARD.
ABOUT ADDING TO THAT DELAY
SECTION EIGHT OR NINE ALSO MAKES
EXPLICIT THAT THE INTENT OF THE
LEGISLATURE THAT PEER REVIEW
HAVE AN EMPHASIS ON EARLY
DETECTION.
AND RESOLUTIONS THROUGH INFORMAL
EDUCATIONAL INTERVENTIONS.
THEREFORE.
IT CAN BE YEARS OF EDUCATIONAL
ATTEMPTS TO REMEDY A POTENTIAL
PROBLEM PHYSICIAN BEFORE A
QUALITY OR BEHAVIORAL ISSUE
RISES TO THE LEVEL OF A
TERMINATION.
SO GIVEN THOSE PERCENT UP
POTENTIAL DELAYS IN THE PROCESS
WHICH ARE REQUIRED BY STATUTE --
THE PEER REVIEW PROCESS IS NOT
OFTEN THE QUICKEST WAY TO REMOVE
A DOCTOR FROM EMPLOYMENT.
THE DOCTOR DOESN'T THE
ENVIRONMENT WE EXPECT FOR OUR
STUDENTS.
SO FAR MORE EFFICIENT WAY TO
TERMINATE DOCTORS WHO CREATE A
HOSTILE ENVIRONMENT REGARDLESS
OF THEIR QUALITY OF CARE.
IS VIA HUMAN RESOURCES --
BECAUSE USC IS AS I MENTIONED
ACADEMIC MEDICAL CENTER USC'S HR
CAN AND DID INVESTIGATE
COMPLAINTS OF TYNDALE'S VERBAL
COMMENTS AND MADE A DISCIPLINARY
DECISION WITHOUT THE EIGHT OH
NINE DUE PROCESS PROCEDURES.
USC'S PROCESS WORKED EFFICIENTLY --
NGUYEN HR LEARNED OF THE
POTENTIAL HARASSMENT COMPLAINT.
WHICH WAS MADE BY A NURSE ABOUT
DOCTOR TYNDALE'S VERBAL COMMENTS
TO A PATIENT AND MADE TO AN HR --
OFFICIAL THE DOCTOR WAS
SUSPENDED AND REMOVED --
FROM THE PATIENT SETTING UP
PENDING THE INVESTIGATION.
SO IN FACT FROM THE TIME IN JUNE
OF TWO THOUSAND SIXTEEN ON WERE
DOCTOR TOTAL NEVER SAW ANOTHER
USC STUDENT.
AT THE END OF THE TWO THOUSAND
SIXTEEN INVESTIGATION OF DOCTOR
TENDO USC HAD NO REPORTS FROM
PATIENTS OF ACTUAL SEXUAL
MISCONDUCT.
DOCTOR TO THE VEHEMENTLY DENIED
HE HAD DONE ANYTHING IMPROPER
AND CLAIMED HE WAS ACTUALLY THE
SUBJECT OF RETALIATION FOR BEING
A WHISTLEBLOWER.
IF YOU DIDN'T FILED THE
WHISTLEBLOWER LAWSUIT U. S. C.
COULD BE FACING THE CHANCE THAT
A COURT COULD ORDER HIS
REINSTATEMENT.
TO THE HEALTH CENTER AND THAT
WAS UNACCEPTABLE TO U. S. C. SO
WE CHOSE TO ENTER INTO A
SETTLEMENT AGREEMENT. TO
ELIMINATE THE POSSIBILITY OF HIM
EVER BEING REINSTATED BY A COURT.
AT THAT TIME DOCTOR TYNDALL LED
U. S. C. TO BELIEVE HE WOULD BE
RETIRING AS HE WAS SEVEN YEARS
OLD.
SO AS THE COMMITTEE NOW TURNS TO
CONSIDER HOW THE EIGHT OH FIVE
STATUTE AND REPORTING TO THE
MEDICAL BOARD MIGHT BE IMPROVED
USC WOULD CERTAINLY WELCOME THE
OPPORTUNITY.
PARTICIPATE IN THAT DISCUSSION
AND BE OF ASSISTANCE IN ANY WAY
WE CAN.
AT PRESENT EIGHT OH FIVE AS YOU
YOU HAVE NOTED IN YOUR QUESTIONS
AND COMMENTS IT'S NOT A CATCH
ALL.
STATUE THAT WILL ALERT THE
MEDICAL BOARD. TO EVERY
POTENTIAL PROBLEM WITH EVERY
PHYSICIAN IN CALIFORNIA.
SPECIFICALLY WE BELIEVE THAT
THERE ARE OPPORTUNITIES TO
IMPROVE THE SYSTEM WITH RESPECT
TO THE TIME REQUIRED.
OF FOR NATO FIVE REPORT TO BE
FILED TIME LIMITS COULD BE
IMPOSED ON THE EIGHT OH NINE
PROCESS VIA AMENDMENTS TO THE
STATUTES.
AND THE SUPER ALSO PROVIDE
CLARITY TO EVERYONE INVOLVED AND
LIKELY EXPEDITE THE PROCESS.
YOU MIGHT ALSO CONSIDER
EXPEDITED REVIEW REPORTING FOR
REPEATED COMPLAINTS OF THE SAME
NATURE.
WHAT EIGHT OR NINE EXPLICITLY
DIRECTS THE USE OF EDUCATION AS
A REMEDY?
IT MAY BE WISE TO CONSIDER A
LIMIT TO THE NUMBER OF
EDUCATIONAL REMEDIES BEFORE A
REPORT MUST BE FILED --
SOME OF THE DEAD THE LAY OF THE
LIEU MATTRESS STUDY FOUND LIKELY
STEMS FROM THE FACT THAT A
DOCTOR COULD BE GIVEN AN
EDUCATIONAL.
REMEDY OR REMEDIES PLURAL WHICH
DOESN'T NECESSARILY REPORT AND
AND EIGHT OH FIVE REPORT.
AS THE PRIOR WITNESSES OF
EXPLAINED.
ANOTHER IMPROVEMENT A COULD BE
IN PROVIDING A CLEAR DEFINITION
OF THE MISCONDUCT REQUIRING A
REPORT.
SO I PRESENT THERE'S AN
EXPLORATORY AS YOU'VE ALREADY
HEARD THIS MORNING FOR SEXUAL
MISCONDUCT UNDER EIGHT OH FIVE
POINT.
ZERO ONE BUT THAT PHRASE ISN'T
SPECIFICALLY DEFINED --
AND MANY TIMES THAT'S GONNA BE
UNDERSTOOD AS PHYSICAL
MISCONDUCT AS OPPOSED TO SEXUAL
HARASSMENT --
THE CLEAR CUT EXAMPLE OF THEIR
SEXUAL MISCONDUCT WOULD BE
HAVING SEX WITH A PATIENT.
SOMETHING OF THAT EFFECT BUT NOT
NECESSARILY VERBAL STATEMENTS OF
THE CAUSE OFFENSE.
VERBAL SEXUAL HARASSMENT IS NOT
NECESSARILY OR EXPLAIN OR
DEFINED IN THE STATUTE AS SEXUAL
MISCONDUCT.
AND VERBAL CONDUCT IS INTENDED
BY THE LEGISLATURE THEN IT COULD
CERTAINLY BETTER DEFINE WHAT IS
REQUIRED UNDER EIGHT OH FIVE
POINT.
ZERO ONE NOW OBVIOUSLY IN IN OUR
CASE WE'RE DEALING WITH A
GYNECOLOGIST SO AN ISSUE OF
DISCUSSING ANYTHING OF A SEXUAL
NATURE CAN'T NECESSARILY BE THE
STANDARD.
OF SEXUAL MISCONDUCT SEXUAL
MISCONDUCT REPORT BECAUSE
PHYSICIANS ARE STILL GONNA NEED
TO DISCUSS SEXUAL ISSUES WITH
PATIENTS GOING FORWARD.
CLUB BUT THEY HAVE TO DO SO IN A
PROFESSIONAL MANNER WHERE THE
DISTINCTION MIGHT BE FOUND.
FINALLY --
USC WOULD VERY MUCH WELCOME
PROTECTIONS FOR STUDENTS
REPORTING POSITION MISCONDUCT
ESPECIALLY IF THEY BELIEVE IT TO
BE OF A SEXUAL NATURE.
STUDENT HEALTH CENTERS IN
CALIFORNIA WILL GENERALLY NOT
HAVE A PEER REVIEW BODY --
BUT IT MIGHT BE BETTER FOR
STUDENTS IS SUCH IF SUCH CENTERS
ARE INCLUDED IN THE REPORTING
REQUIREMENTS.
AS I MENTIONED USC HAS ALREADY
REORGANIZE SO THAT IT'S STUDENT
HEALTH PROVIDERS ARE NOW PART OF
THE MEDICAL STAFF.
BUT I BELIEVE MOST CENTERS IN
CALIFORNIA GIVEN HOW SMALL THEY
WOULD BE IN A IN.
SMALL COLLEGE SETTINGS PUMP
WON'T HAVE THE REPORTING
REQUIREMENTS UNDER.
EIGHT OH FIVE SO YOU MIGHT
CONSIDER A SPECIAL CATEGORY
UNDER THE CONSUMER COMPLAINT
FORM OR OTHER SPECIALIZED FORM
FOR STUDENTS --
THERE IS SPECIAL TO STUDENT
HEALTH CENTER REQUIREMENTS TO
OFFER ENHANCED PROTECTIONS FOR
STUDENTS IN THIS AREA.
OUR AND WITHOUT I'D LIKE TO
THANK YOU FOR THE TIME AND THE
OPPORTUNITY --
TO PRESENT THIS MORNING AND WE
WOULD APPRECIATE THE OPPORTUNITY
TO WORK WITH YOU TO BETTER
PROTECT STUDENTS AND WELCOME ANY.
QUESTIONS YOU MIGHT THANK YOU
VERY MUCH RICHARD CARLSON IN THE
AND SENATOR THANK YOU. FOR FOR
BEING HERE AND AND I SAID IN THE
STAGE FORCES MOVEMENT IN THE
INTRODUCTION AND THE ANSWER THE
CONCERNS THAT WE ALL FEEL AND
UNDERSTAND FROM USC IN THIS IN
THIS CASE IN THE SITUATION THAT
THEY WE FIND OURSELVES IN OF IT
IT SEEMS THAT.
BECAUSE OF I GUESS THE STUDENT
HEALTH CENTER.
ASPECT OF IT THAT CAME IN BEFORE.
THE THEN THE CHANGE OF STRUCTURE
WAS AFTER DOCTOR TO THE WAS NO
LONGER.
WORKING THAT ARE PARTICIPATING
IN THE CENTER THAT THE PROCESS
ELAINE STUDENT COMING INTO LAST
SEASON --
THE PROCESS OF CONSIDERING THE
NEW STRUCTURE BEGAN BEFORE THE
INVESTIGATION OF HIM DID SO IT
BUT IT WAS COINCIDENTAL TO THE
COMPLAINT THAT WAS RECEIVED BY
H. R..
IT'S A IT'S A LARGER DISCUSSION
OF REORGANIZING THE ENTIRE
STUDENT HEALTH CENTER NOT
RELATED TO ANY OF THIS ISSUE
CORRECT.
THEN IT THEN AND I LOOK AT WHERE
DID WHERE DO YOU SEE THE SYSTEM
BREAKING DOWN AND I APPRECIATE
YOUR CANDOR TODAY ON ON THE
ISSUES AND AND AND EVERYTHING
BECAUSE WOULD WE'RE TRYING TO
LEARN TO SEE HOW WE CAN.
BETTER THE RIGHT TO ASIAN TO
WHERE THE DO YOU THINK IT WAS.
YOU KNOW YOU YOU MENTIONED THE
ISSUE CERTAINLY OF EMPLOYMENT
LAW AND I AND OR BEAN THE INDIAN
THAT'S SUBJECT TO THE EIGHT OH
FIVE OR ANY REPORTING --
HE IS IS THAT WHERE THAT IS I
MEAN AND HERE I DON'T WORDS IN
YOUR MOUTH THAT NOBODY SEE IT
BUT I THINK OBVIOUSLY BROKE DOWN
SOMEWHERE I THINK IN IN ITS.
WHERE THAT THAT HAPPENED BUT I
THINK YOU'RE ON THE RIGHT TRACK
AND THAT'S WHERE THERE'S THIS
UNUSUAL SITUATION AND IT IN AN
ACADEMIC?
MEDICAL ENVIRONMENT WHERE YOU DO
HAVE DIRECT --
EMPLOYMENT OF PHYSICIANS SO YOU
DO HAVE AN HR ROUTE WILL HR
PROFESSIONALS ARE NOT PEERS
THEY'RE NOT CONDUCTING A PEER
REVIEW THAT WOULDN'T BE.
SO WHEN YOU LISTEN TO MR BROWN'S
TESTIMONY BEFORE YOU'RE YOU'RE
THINKING IN THE CHST TRADITIONAL
SETTING OF A HOSPITAL WITH A
PEER REVIEW BODY BUT EMPLOYERS
IN THE STATE OF CALIFORNIA WHO
MAY BECAUSE OF AN EXCEPTION IN
THE CORPORATE PRACTICE BAND.
HAVE DOCTORS AS EMPLOYEES.
CAN TERMINATE SOMEONE FOR OUR
OVER IDEA OF ISSUES NOT
NECESSARILY THAT HEALTH
[inaudible]
A CONDUCT OF THAT THE
PRACTITIONERS CONDUCT WITH
RESPECT TO PROVIDING HEALTH
SERVICES.
SO IF THE HR PROFESSIONAL.
IT COMES TO THE CONCLUSION OF
TERMINATION THERE NEVER EVEN IN
THE EIGHT OH FIVE CATEGORIES SO
WE ASK WHERE BREAKS DOWN IS IN
THESE SITUATIONS WHERE YOU HAVE
DUAL TRACK YOU HAVE EMPLOYMENT
AND YOU HAVE PEER REVIEW.
IF ACTION IS TAKEN UNDER
EMPLOYMENT CONTEXT --
IT WOULD REQUIRE A CHANGE TO THE
STATUTE BUT THAT MAYBE YOU COULD
HAVE A SITUATION WHERE.
ANY EMPLOYER IN CALIFORNIA WHO
EMPLOYEES A PHYSICIAN AND
TERMINATES THE POSITION FOR ANY
REASON WITHIN FILE A REPORT NOW
THAT WOULDN'T BE IN EIGHT OH
FIVE REPORT.
BUT BUT YOU COULD DO THAT
HEADING.
IN THAT COULD RESULT IN A IN A
LOT OF REPORTS --
GOING TO THE MEDICAL BOARD KNOWS
WHO THE ISSUE THIS IS YOU
INDICATED THE STUDENT HEALTH
CENTERS THAT ARE NOT.
OVER TODAY YOU MAY NOT BE YEAH I
AND I DON'T HAVE STATISTICS ON
IT BUT JUST KNOWING THE SIZE OF
MOST COLLEGES KIT YOU KNOW AT
AND EDUCATIONAL FACILITIES WHERE
YOU CAN HAVE A VERY SMALL
STUDENT HEALTH --
CLINIC WITH A NURSE OR SOMETHING
QUITE SMALL THOSE AREN'T GONNA
BE UNDER ANY DEFINITION OF THE
PAIR OF YOU BODY THAT THAT
MISTER HILL WAS EXPLAINING
EARLIER IS NOT CAN BE TWENTY
FIVE IT'S NOT THREE PART OF A
HOSPITAL.
SO BUT YOU DO HAVE A VULNERABLE
PATIENT POPULATION.
AND SO IF YOU HAD IT BEEN X.
SPECIAL COMPLAINT FORM FOR
STUDENTS OR MORE INFORMATION.
GIVEN TO THE STUDENTS ABOUT WHAT
THEIR RIGHTS WERE OR WHERE THEY
SHOULD GO IF THERE WAS A PROBLEM
THAT COULD BE OF ASSISTANCE TO
PROTECTING STUDENTS.
AND I COULD SEE THAT WOULD COULD
BE VERY HELPFUL IN TERMS OF
TRYING TO IDENTIFY THOSE.
PROBLEMS --
THE FIVE I I DID GET A COPY OF
LOS [inaudible]
THERE WERE.
CORD THAT WISH.
IF IT WAS A REPORT THAT WAS
CONDUCTED BY --
THE METRIC.
YEAH --
FLIGHT SIM IN V. REVIEW LOW
RIGHT THE AD THAT THAT SO.
IN THAT WAS DONE IN CONJUNCTION
WITH THAT AND FOR THE EMPLOYMENT
ASPECT RIGHT SO WHAT HAPPENS
THERE IS THAT IN WHEN YOU'RE
DEALING AS AN HR PERSON IS NOT A
DOCTOR AND THERE ARE.
BRINGING INVESTIGATING A
DOCTOR'S BEHAVIOR.
THE DOCTOR COULD THEN SAY WELL
EVERYTHING I DID WAS.
WRONG WITHIN MY PERSONAL
PROFESSIONAL SCOPING.
WELL THESE ARE NOT DOCTORS THERE
INVESTIGATING IT SO WHAT YOU DO
THEN IS YOU REFER IT OUT TO AN
INDEPENDENT UP POSITION.
A GROUP THE ONE YOU'RE REFERRING
TO TO SAY GIVE US YOUR OPINION
ON THE PROFESSIONAL ISSUES THAT
HE'S RAISING.
BECAUSE WHAT IT COME TO HR WAS A
MORE IN THE NATURE OF A SEXUAL
HARASSMENT CLAIM AND THAT'S
WHERE THE INVESTIGATION WENT BUT
THEN WHEN HE COUNTERS THAT WITH --
I WAS DOING THINGS ARE
PROFESSIONALLY REQUIRED AND
NECESSARY THEY'RE NOT IN A
POSITION TO NO SO THEY HAVE TO
ASK POSITION SO THEY ASKED
INDEPENDENT PHYSICIANS THAT'S
THAT'S WHERE THAT REPORT MAKES
FROM.
WHICH IS THIS REPORT ADAM IN THE
CONCLUSION OF IT I GUESS.
WILK OF THE LANGUAGE I OR THE
THE RACIALLY INAPPROPRIATE
COMMENTS --
AND THE PAIN WAS THERE ANYTHING
IN THIS REPORT THAT YOU FELT OR
THAT THE UNIVERSITY FELT WOULD
BE.
APPROPRIATE TO SEND TO THE
MEDICAL BOARD.
HAVE FAITH WITH THIS AT UNION
FIRMS OF THEM EMPLOYMENT OR
LOOKING AT IT.
MAYBE.
I THINK I THINK IN THE REPORT IS
INSTRUCTIVE IN A COUPLE OF WAYS
ONE IS WHICH IT DOESN'T
[inaudible]
SAY.
THAT THE UNIVERSITY MUST FIRE
THIS EMPLOYEE HEY IT LOOKS AT
THE ISSUES AND COME TO THE
CONCLUSION --
THAT YOU KNOW AGAIN LIKE EIGHT
OR NINE PRESCRIBED.
EDUCATION COULD BE AN ISSUE OR
CAN BE TERMINATION BUT
DETERMINATION IN THAT SETTING
WOULD NOT BE TERMINATION AS A
RESULT OF THE ACTION OF A PEER
REVIEW BODY.
WHERE THE DOCTOR HAD NOTICE AND
SO FORTH IT WOULD BE?
THE H. R. SIDE OF THINGS SAYING
WE BELIEVE AS YOU POINTED OUT
THERE IS A A RACIALLY
INSENSITIVE REMARK GIVEN --
WHICH WOULD VIOLATE THE
UNIVERSITY'S POLICIES THAT
DOESN'T HAVE ANYTHING TO DO
NECESSARILY WITH THE PROTECTION
OF PATIENTS VIA THE PHYSICIAN'S
CARE IT HAS MORE TO DO WITH OUR
ANTI.
HARASSMENT AND DISCRIMINATION
POLICIES AND THAT ISN'T THE SORT
OF POLICY VIOLATION THAT THE
MEDICAL BOARD REQUIRES REPORT
FOR SO THEN.
IN WHAT VENUE WOULD THE EMPLOYER
PROVIDE THE MEDICAL BOARD WITH
THAT REPORT IT DOESN'T FIT UNDER --
EIGHT OH FIVE SO THEORETICALLY
YOU COULD EITHER JUST SEND THEM
A LETTER --
UNDER KNOW STATUTE OR YOU COULD
UTILIZE THE CONSUMER COMPLAINT
FORM.
EVEN THOUGH THE EMPLOYER NOT
REALLY THE CONSUMER.
DO YOU FELT IT THERE WAS NO.
AFTER LOOKING AT THE REPORT
THERE WAS REALLY NOTHING THERE
THAT REQUIRED REPORTING CORRECT
BECAUSE YOU NOT A REPORT
REQUIRED REPORTER.
THAT'S ORDER IN THAT THAT'S
RIGHT BM IN I THINK THE YOU
MENTIONED THAT YOU LOOKED AT
THIS REPORT AND THEN SOMEONE
MADE THAT DETERMINATION NOT TO
RIP IT THAT THERE WAS NO --
OBLIGATION RESPONSIBILITIES
RIGHT RESPONSIBILITY TO REPORT
WELL ULTIMATELY IT IT NEEDS.
IT'S THAT THE WHOLE PROCESS
START TO FINISH WAS RUN.
THROUGH HUMAN RESOURCES AND SO
THAT ISSUE OF REPORTING ISN'T.
SOMETHING HUMAN RESOURCES DOES
IT SOMETHING MEDICAL STAFF DOES
AS YOU HEARD FROM THE EARLIER
WITNESSES.
SO IT NEVER WAS IN THE MEDICAL
STAFF TRACKED WITH RESPECT TO
THIS TWO THOUSAND SIXTEEN
INVESTIGATION AND THE REPORT
THAT YOU REFERENCED SO.
THERE WOULDN'T BE A PROCESS
WHERE AN HR INDIVIDUAL WOULD SAY.
WELL NOW SHOULD WE REPORT OR NOT
REPORT ITS.
HR HAS TO MAKE THE DECISION
SHOULD WE EMPLOYEE OR NOT EMPLOY
OR SHOULD WE YOU KNOW GIVE SOME
SORT OF OTHER EMPLOYMENT BASED
REPRIMAND BUT IT WOULDN'T BE A
PEER REVIEW BODY --
SORT OF DISCIPLINE IT WOULD BE
AN EMPLOYMENT DIMINISH PERSONAGE
ACTUALLY IN THERE WAS NOTHING IN
THAT REPORT THAT WOULD REQUIRE
ANYTHING CRIMINALLY.
THAT WOULD ANY REPORTING.
THE LAW ENFORCEMENT OR BOB NO IT
IT USED THEIR LOOKING AT
STANDARDS OF CARE --
AT AND ISSUES OF HYGIENE AND THE
SORT OF POSITION BEHAVIOR ISSUES.
AND WHETHER OR NOT HIS
EXPLANATIONS GIVEN TO HR WERE
SOMETHING THAT.
THE HR COULD [inaudible]
USES EXPLANATION OR OR NOT FOR
HIS BEHAVIOR.
IN THROUGH THERE WAS NOTHING IN
THAT.
CONCLUSIONS OF THAT REPORT THAT
SOMEONE AT A RED FLAG GETTING OF
THIS MAY BE CRIMINAL BEHAVIOR
SOMEWHERE ALONG THE LINE I BIG
BASED ON THAT INCLUSIONS OR
TRUCK NO I I DON'T I DON'T
BELIEVE SO I THINK THIS IS AN
AREA WHERE.
IT WAS REPORTED AS A HARASSMENT
ISSUE.
AND IT'S IT INVESTIGATED IN THE
NOTION OF HARASSMENT WHICH AGAIN
BACK TO MY QUESTION ON OR MY MY
COMMENT ON THE MISCONDUCT YOU
KNOW IF YOU'RE DEALING WITH A OF
PHYSICAL.
SEXUAL MISCONDUCT THEN YOU'RE IN
THE REALM OF ASSAULT WHICH DOES
REQUIRE REPORT OF COURSE THE
HOSPITAL HAS POLICIES OF
REPORTING.
ANY CLAIM OF SEXUAL ASSAULT --
BUT WHEN YOU'RE DEALING WITH
HARASSMENT THAT'S TYPICALLY A
CIVIL LITIGATION ACTION --
AND IN FACT AT ONE POINT I THINK
YOU MIGHT STILL BE THERE THE
MEDICAL BOARD HAS ON ITS WEBSITE.
THIS EXPLANATION A ARTICLE
TALKING ABOUT THE DISTINCTION
BETWEEN SEXUAL MISCONDUCT ON THE
ONE HAND WHICH THEY DO WANT TO
KNOW ABOUT AND SEXUAL HARASSMENT
WHICH IS AN ISSUE.
AS THEIR ARTICLE SAYS FOR CIVIL
LITIGATION SO THIS IS IN THIS
CIVIL LITIGATION SIDE YOU MIGHT
SAY IT'S PRE LITIGATIONOF
COURSE BUT IN THE SEXUAL
HARASSMENT CONDUCT NOT.
OKAY AND THEN YOU YOU HEARD MY
QUESTION --
TO MISS KIRK MAIER RELATED --
TO NONDISCLOSURE AGREEMENTS IN
AND THE ISSUE OF HOW AND I SEE
HOW IT APPLIES NOW BASED ON THE
LAWN EVER REMEMBER PASSIONATELY
COUPLE YEARS AGO.
WHEN WE DID THAT --
IT EMPLOYMENT LAW THAN THAT
WOULD NOT APPLY [inaudible]
THE NONDISCLOSURE.
PART OF A SETTLEMENT RIGHT IT IS
DID DID THIS PARTICULAR CASE
HAVING ON DISCLOSURE.
SETTLEMENT ARE PART OF IT TOO IT
INTO AND I GUESS THERE'S A
TYPICALLY SETTLEMENT AGREEMENTS
WITH EMPLOYEES DO --
AS TO THE SPECIFICS ON THIS ONE
I I COULDN'T I COULDN'T TESTIFY
WITH PERSONAL KNOWLEDGE THERE
BUT THE BUT GOING BACK TO THE
EARLIER KIND OF CONUNDRUM THAT
YOU'VE IDENTIFIED IS.
IF IT IS NOT DONE AS THE RESULT
OF A MEDICAL BOARD PROCESS.
IT IS OUTSIDE OF THE NATO FIVE
OR THE ANTI GAG RULE AMERICA
WERE REGULATION BECAUSE THIS
ISN'T BEING DONE.
IN THAT IN THAT CONTINENTAL I
WOULD AGREE CERTAINLY WITH A
MISCARRIAGE MY ON THE POINT OF
WE HAVE.
A RULE WHERE YOU CAN ME FOR A
VIOLATION THAT THAT WOULD BE AT
A NOT APPROPRIATE BUT IN TERMS
OF THE A STATEMENT TO THE EFFECT
OF WHAT OTHERWISE SHOULD BE
REPORTABLE TO THE MEDICAL BOARD
UNDER EIGHT OH FIVE YOU WON'T
REPORT.
THAT WOULDN'T EXIST BECAUSE THAT
THAT WOULD COME UP IN THE
EMPLOYMENT CONTEXT THEY WOULDN'T
KNOW WHAT.
THE EIGHT OH FIVE REPORT WOULD
BE THAT WE COME UP IN THE PEER
REVIEW CUT [inaudible]
THIS WEEK IN A DISTRICT FOR AND
OF SEAFOOD TRANSPARENCY WITHIN
THE SYSTEM IN YOU.
WHEN YOU'RE NOT AWARE OF THAT
NONDISCLOSURE PART BUT I GUESS?
IT I'D READ THAT THERE'S
SOMETHING.
THAT WE SEEM A NON DISPARAGEMENT
AGREEMENT OR SOMETHING THEY
COULD BE IN A CONTRACT SOMEWHERE
AS WELL AND I'M NOT.
SINCE YOU HAVE NO KNOWLEDGE OF
THE OTHER YOU WOULD HAVE NO
KNOWLEDGE OF THIS BUT AYE I
GUESS WHAT I'M LOOKING TO OF TO
TRY TO FIND SO WE CAN GET AS
MUCH INFORMATION VITAL FORWARD.
THAT IN PERHAPS.
IF WE LOOK AT THOSE WHO THE
LABOR LAW AND SEE ABOUT.
MAKING SOME CHANGES FOR POSITION
INCLUSION THERE FOR NON --
DISCLOSURE OF A OF OF AGREEMENTS
AND CONFIDENTIALLY
CONFIDENTIALITY AGREEMENTS OR
OTHER THINGS THAT MAY IMPEDE
THAT.
THIS THE HONESTY IN THERE THE
THE TRANSPARENCY OF OF SOME OF
THESE AGREEMENTS RIGHT AND SO
THIS IS --
IN THIS GETS TO BE.
BOTH COMP.
ON THIS FRONT WHERE THE
EMPLOYMENT LAW IS INTERSECTING
WITH THE MEDICAL STAFF LAW.
BECAUSE IF THE PHYSICIAN WAS
TERMINATED FOR REASONS THAT HAD
NOTHING TO DO WITH PATIENT CARE
YOU GO BACK TO THE FUNDAMENTAL
PURPOSE OF THE MEDICAL BOARD IS
PROTECTING THE PUBLIC VIEW AND
WE'RE TALKING ABOUT PATIENT CARE.
BUT IF IT WAS FOR SOMETHING SAY.
WASN'T TURNING THE STUDENTS EXAM
GRADES IN ON TIME BECAUSE MUCH
THE FACULTY A PROFESSOR.
AND HE WAS TERMINATED FOR THAT --
IF THERE WAS A LAW SAYING YOU
CAN'T HAVE A NON DISK CLOSURE OR
NON DISPARAGEMENT IN THERE AND
ANY TIME ANYBODY SAY OPPOSITE
WHAT WE'D SAY DOCTOR PROFESSOR
SOUND SO.
IS A TERRIBLE TEACHER HAS
NOTHING TO DO WITH PATIENT CARE
RIGHT IS ADMINISTRATION IS NOT
GOOD.
THEN YOU GET INTO A SITUATION
WHERE IT BECOMES EXCEEDINGLY
DIFFICULT TO TERMINATE JUST A
REGULAR EMPLOYEE BECAUSE IN PLAY
DOESN'T WANT THEIR REPUTATION.
TARNISHED AND AGAIN WE'RE IN THE
CONTEXT OF THIS HAS NOTHING TO
DO WITH HEALTH CARE EVEN.
WHEN YOU HAVE THIS DUAL --
SYSTEM AS ACADEMIC CENTERS DO SO
THEN YOU WOULD LOOK AT IT AND
HAVING TO DEFINE SPECIFICALLY
WHAT YOU COULD OR COULD NOT.
S. CLOTHES ARE NOT DISCLOSE AND
BUT I WOULD SAY DOING A LOT OF
EMPLOYMENT LAW --
MOST PARTIES BOTH ON THE
PLAINTIFF AND ON THE DEFENSE
SIDE FEEL IT'S BEST --
TO HAVE THOSE SORTS OF AGREEMENT
SO THAT AFTER THE LITIGATION IS
RESOLVED EACH SIDE ISN'T TRYING
TO HARM THE OTHER.
LET'S DESERVES THE QUESTIONS I
HAVE FOR THEM THAT I REALLY
APPRECIATE YOU BEING HERE MISTER
CARLSON THINK INSTEAD I GIVE
THANK YOU THANK YOU MUCH FOR MEN
I THINK WE'VE LEARNED A LOT SO
FAR TODAY AND THAT.
THIS KIND OF CREATES I BELIEVE A
PATH TO TO SEE HOW WE CAN WORK
TO PLUG SHOW THOSE HOLES OBESITY
AGAIN THANK YOU VERY MUCH FOR
YOUR SIDE.
APPRECIATED VERY MUCH --
NOW I'D LIKE TO GET OPEN.
PUBLIC COMMENT.
TO THOSE WHO'D LIKE.
TO SHARE THEIR THOUGHTS OF WITH
THE COMMITTEE AND THE ISSUE OF
SEXUAL MISCONDUCT REPORTING IN
THE MEDICAL PROFESSION MISSED
OPPORTUNITIES TO PROTECT
PATIENTS SO.
ANYONE WOULD LIKE TO COME
FORWARD
.
I THOUGHT IT WOULD BE THANK YOU.
FOR FOR FOR CITY --
I WAS GOING TO MAKE SURE THAT --
EVERYONE DID HAVE AN OPPORTUNITY
TO TO SIT TODAY AND EVERY ANYONE
WHO.
HAS A PUBLIC COMMENT THAT AFTER
A IT WOULD BE MORE THAN WELCOME
TO DO THAT [inaudible]
PLEASE.
YEAH JOHN MANLEY --
MISTER CHAIRMAN I REPRESENT THE
OVER A HUNDRED WOMEN ABUSE BY
GEORGE KENDALL AT USC.
I ALSO WAS THE LEAD ATTORNEY.
IN THE MICHIGAN STATE CASE
AGAINST LARRY NASSER.
Y. REPRESENTED A HUNDRED EIGHTY
OF THE THREE HUNDRED AND THIRTY
THREE WOMEN.
ON I ACTUALLY WASN'T GONNA SPEAK
TODAY BUT ON THE STATEMENTS --
UP PERSONALLY APPEARANCE OF MISS
ESCUCHA.
A I FIND.
BUT REMARKABLY HYPOCRITICAL.
I'M MARTHA ESCUCHA --
WAS A AN ATTORNEY FOR THE
VICTIMS OF THE MARIJUANA TAKE
CASE [inaudible]
AND CALLED ON YOU LA U. S. D. TO
DO AN INDEPENDENT INVESTIGATION
A VARIETY OF OTHER THINGS.
THE FACT SHE WOULD APPEAR HERE.
IN THIS CONTEXT THREE YEARS
LATER I FIND REMARKABLY
HYPOCRITICAL.
BUT I GUESS THAT'S UP TO HER
[inaudible]
ON I WANTED TO TALK ABOUT SOME
OF THE STATEMENTS THAT.
A MISTER CARLSON MADE HEAT HE
REFERRED TO THE TWO THOUSAND
SIXTEEN INVESTIGATION
[inaudible]
AS EFFICIENT.
I WOULD.
SUGGEST TO THIS COMMITTEE AND TO
YOU MISTER CHAIRMAN.
THAT I IT WAS EFFICIENT IN
HIDING.
SYSTEMIC MOLESTATION ABUSE OF
WOMEN.
IT WAS NOT EFFICIENT AND HELPING
MY CLIENTS.
WERE THE VICTIMS.
OUR I WOULD ALSO SUGGEST TO YOU
THAT.
THE JUSTIFICATION THAT JUST
OCCURRED DEBT --
THEY DIDN'T HAVE ANY OBLIGATION
TO REPORT RACIST OR SEXUAL
STATEMENTS [inaudible]
ON I I JUST FIND STUNNING.
THAT THAT THAT WOULD THAT WOULD
THAT STATE WOULD BE MADE HEREBY
UNIVERSITY REPRESENTATIVE MISTER
MAN WHO WERE TRYING TO DO HERE
IS TO TO LEARN WHAT WE CAN --
WE'RE NOT HERE --
TO THEY SHOULD NOT A TWO YARD HE
SAID SHE SAID OR WHAT THE
CIRCUMSTANCES ARE AND I
APPRECIATE YOUR COMMENTS BUT
WITH ALL THE FAMILIES THE GOAL
IS TO TO LEARN FROM SOME OF
THOSE KEY.
SO THRESHOLD POINT IN THE THE
TESTIMONY WITHOUT GETTING YOU
KNOW IT'S NOT FOR THIS HEARING
OF THIS.
BODY TO ALTERMAN WHETHER
SOMETHING IS --
FACTUAL IN THAT SENSE WE'RE
LOOKING MORE AT THE THE BROADER
PICTURE OF REPORTING AND IF THEY
WERE MISSED OPPORTUNITIES HERE
THAT SHOULD BE I UNDERSTAND BUT
WHAT THE COMMITTEE DIDN'T HERE
AND I'M NOT GONNA.
SIT HERE IS A POTTED PLANT AND
PRETEND LIKE IT DIDN'T HAPPEN.
IS THE REPORTS DATING BACK.
TO NINETEEN EIGHTY THERE WAS NOT
THIS WAS NOT THE FIRST REPORT IN.
TWO THOUSAND SIXTEEN AND THERE'S
HUNDREDS.
OF WOMEN IF NOT THOUSANDS WHO
WERE ABUSED AFTER THAT DATE.
SO I'M I'M VERY DISTURBED THAT --
THAT.
THE COMMITTEE GOT WHAT I THINK
IS A FALSE REPORT.
FROM USC'S COUNCIL AND THE
FORMER NUMBER THE STATE SENATE
I'M GONNA LET MY CLIENTS.
THEY GOT SPEAK FOR THEMSELVES.
MY NAME IS LUCY SHE I WAS A
STUDENT AT USC FROM TWO THOUSAND
AND TWELVE TWO THOUSAND AND
FOURTEEN WHERE I STUDIED A
PUBLIC POLICY AND HEALTH
ADMINISTRATION.
AND I WAS.
ABUSED BY GEORGE HANDLE
[inaudible]
HOW?
SO IS BROUGHT TO THIS COUNTRY TO
ESCAPE TREATMENT AS A SECOND
CLASS CITIZEN.
MY FATHER LEFT MY MOTHER AFTER
SHE BECAME PREGNANT WITH ME.
AND WHEN MY FATHER'S FAMILY
FOUND OUT ABOUT ME.
THEY REPEATEDLY THREATENED TO
TAKE BACK THEIR PROPERTY ME.
MY MOTHER BROUGHT ME TO
COMMEMORATE AMERICA TO KEEP YOU
SAFE.
IN AMERICA I BECAME A TRANSLATOR
FOR MY MOTHER.
WHEN I TOLD HER THAT DR GEORGE
TENET U. S. C. MOLESTED ME?
HE LOCKED THE WORDS.
TO SPEAK TO ME OR ANYONE.
ABOUT WHAT HAPPENED EVEN IN OUR
OWN NATIVE LANGUAGE.
MANY OF THE INTERNATIONAL
STUDENTS AT USC.
COME FROM SIMILAR BACKGROUNDS.
GEORGE TYNDALL EXPLOITED THE
CONSERVATIVE ASIAN CULTURE.
KNOWING THAT MANY OF THE WOMEN
HE ABUSED.
OR UNABLE TO SPEAK OUT LOUD.
WORDS DESCRIBE THEIR OWN BODIES.
MUCH LESS WHAT HAPPENED IN THAT
EXAM.
I HOPE BY SPEAKING HERE TODAY I
CAN BE A VOICE FOR ALL THOSE WHO
WERE UNABLE TO SPEAK ABOUT THEIR
EXPERIENCE AT USC.
SO MY EXPERIENCE WITH DOCTOR
KENDALL WAS IN THE FALL OF TWO
THOUSAND TWELVE I HAD ATTENDED
ONE YEAR OF MEDICAL SCHOOL.
AND JUST BEGAN MY GRADUATE
STUDIES AT USC STUDYING HEALTH
POLICY.
I TRIED TO BOOK AN APPOINTMENT
TO SEE A FEMALE GYNECOLOGIST.
BUT I WAS TOLD THAT THE WAIT
TIME WOULD BE AT LEAST A MONTH.
SO I OPTED TO SEE THE ONLY FULL
TIME GYNECOLOGIST AT USC
[inaudible]
GEORGE TENET.
BEFORE THE EXAM BEGAN GEORGE
KENDALL TOLD ME.
THAT THE CHAPERONE THAT WAS
SUPPOSED TO BE IN THE EXAM ROOM.
WITH HIM [inaudible]
THAT LEFT.
AND SHE WOULD BE BACK FOR AT
LEAST HALF AN HOUR [inaudible]
ONE MORE.
AND ASKED ME IF I WANT TO WAIT
FOR TO COME BACK.
SO I AGREED TO SEE HIM ALONE.
ABOUT THREE MINUTES INTO THE
EXAM THE CHAPERONE KNOCKED ON
THE DOOR AND ASKED TO COMMENT.
GEORGE TYNDALL RESPONDED BY
TELLING HER THAT I GAVE HIM
PERMISSION TO SEE ME ALONE AND
LOCKED THE DOOR.
DURING TYNDALE'S TWENTY PLUS
YEARS AT USC HE PERFECTED HIS
CRAFT AS A SEXUAL PREDATOR.
WHEN TENDO DISCOVERED I TEND TO
YEAR OF MEDICAL SCHOOL?
HE SCREEN ME BY ASKING IF I'D
LEARNED THE PUBLIC AND BREAST
EXAMS.
WHICH I HAVE NOT.
WELL I WAS ON THE EXAM TABLE.
HE TOLD ME THAT I WAS BEAUTIFUL.
COMPLIMENTED MY*.
TOLD ME THEM AWAY FROM MUST
ENJOY HAVING SEX WITH ME.
HE DIGITALLY PENETRATED ME.
BROKE MY PRESS.
ALL WHILE CLAIMING THERE WAS A
MEDICAL REASON. FOR EVERYTHING
HE WAS DOING.
IN MEDICAL SCHOOL WERE TAUGHT
THAT EVERY PHYSICIAN HAS THEIR
OWN STYLE.
I THOUGHT I WAS MERELY
UNCOMFORTABLE WITH DOCTOR TEMPLE
STYLE.
I TRUSTED HIS EXPERTISE AS A
POSITION.
AND IN USC'S JUDGMENT.
IN HIRING AND RETAINING THIS MAN
FOR OVER TWENTY YEARS.
IT WASN'T UNTIL THE NEWS BROKE.
THE I REALIZE THOSE THINGS HE
DID TO ME WERE NOT HIS STYLE OF
PRACTICING MEDICINE.
HE WAS A SEXUAL PREDATOR.
HE MOLESTED ME.
ALONG WITH TENS OF THOUSANDS OF
OTHER WOMEN AT USC.
AND TWO THOUSAND AND SIXTEEN U.
S. C. CONDUCTED THEIR OWN
INTERNAL INVESTIGATION.
AND AS YOU HEARD.
FOUND THAT TYNDALE'S ACTIONS
WERE NOT CRIMINAL.
BUT BY U. S. EAST OWN ADMISSION
THEY RECEIVE FROM COMPLAINTS
FROM TEN THOSE PATIENTS AS EARLY
AS THE YEAR.
TWO THOUSAND ON NBC'S TODAY SHOW
TO ALUMNI FROM USC SPOKE ABOUT
FILING COMPLAINTS.
Q. U. S. C. ABOUT TYNDALL AS
EARLY AS THE NINETIES.
AND THERE IS [inaudible]
A LAWSUIT.
WHERE THE PLAINTIFF [inaudible]
DISCUSSED FILING.
A WRITTEN COMPLAINT TO U. S. C..
USING THE WORD --
MOLEST.
OR MOLESTATION TO DESCRIBE THE
WAY GEORGE TYNDALL TREATED HIS
PATIENTS IN.
NINETEEN EIGHTY EIGHT THIS WAS
BEFORE GEORGE HANDEL WAS HIRED
AT USC.
WHILE HE WAS A RESIDENT.
WORKING ON A RESEARCH STUDY
[inaudible]
AT USC.
BEFORE HE WAS EVEN CERTIFIED AS
A PHYSICIAN.
AND USC HIRED HIM.
WHILE US IS REPORTING
REQUIREMENTS UNDER PPC.
EIGHT OH FIVE THIS UNDER DEBATE.
CALIFORNIA PENAL CODE SECTION.
ONE ONE ONE SIXTY CLEAR.
IT REQUIRES ANYONE WORKING IN A
MEDICAL FACILITY. TO REPORT
KNOWLEDGE OR SUSPICION A SEXUAL
ASSAULT TO LAW ENFORCEMENT.
BY FAILING TO NOTIFY POLICE IN.
NINETEEN EIGHTY EIGHT IN THE
EARLY NINETIES.
IN THE TWO THOUSANDS.
USC WITH COMPOSITE AND PUTTING
TENS OF THOUSANDS OF WOMEN IN
DANGER OF SEXUAL ABUSE BY GEORGE
KENDALL.
BY ALLOWING HIM TO CONTINUE
PRACTICING MEDICINE.
IF USC HAD FOLLOW THE LAW.
I WOULD HAVE NEVER SEEN THIS MAN.
I WOULD LIKE TO ADDRESS.
SOME THINGS ARE BROUGHT UP BY MR
CARLSON.
A NUMBER OF QUESTIONS THAT.
I HOPE WILL EVENTUALLY BE ASKED
TO BE ANSWERED.
EVERY INTENT OF BYPASSING PEER
REVIEW BY U. S. C..
WAS TO HAVE.
MORE EFFICIENT TERMINATION.
WHAT WAS THE INTENT OF NOT
REPORTING TYNDALE'S ACTIONS TO
THE LAPD?
AND TO THE MEDICAL BOARD.
IF GEORGE HANDLE CLAIMED.
AT THE TIME OF HIS RESIGNATION
FORCED RESIGNATION.
THAT HE WAS GOING.
TO HIS INTENT WAS TO RETIRE.
WHAT AUTHORITY DID YOU S. C.
HAVE?
IN DECIDING THAT THAT WAS ENOUGH.
AND THAT HE DID NOT NEED TO BE
REPORTED.
USC.
AND MISTER CARLSON CLAIM THAT
VERBAL SEXUAL HARASSMENT.
DOES NOT CAUSE PATIENT HARM.
I WONDER ABOUT THE EXTENT OF
HARM CAUSED BY EMOTIONAL
PSYCHOLOGICAL DAMAGE.
AND I WONDER ALSO BY THE HARM
CAUSED BY PATIENTS AVOIDING
FUTURE POSITION VISITS.
USC IN MISTER BECAUSE AND ALSO
CLAIMS THEIR INDEPENDENT
INVESTIGATION RESULTED IN NO
REPORTS OF SEXUAL ASSAULT.
I WONDER WHAT QUESTIONS THEY
WERE ASKING WHO THEY WERE ASKING
[inaudible]
IF.
FEW WEEKS NOT EVEN A MONTH AFTER
THE LA TIMES.
I INVESTIGATION BROKE.
OVER FOUR HUNDRED STUDENTS
[inaudible]
TESTIFIED.
ABOUT INSTANCES OF SEXUAL
MISCONDUCT.
I WAS BROUGHT TO THIS COUNTRY
BECAUSE MY MOTHER THOUGHT I
WOULD BE SAFE HERE.
AMERICA'S SAFE WINNERS TUITIONS
FOLLOW THE LAWS.
WHEN THESE INSTITUTIONS LIKE USC?
THE SIDE THAT WE ARE ABOVE THE
LAW.
WE'RE ALL IN DANGER.
GOOD MORNING AND I LIKE TO THINK
SENATOR HILL AND THE MEMBERS OF
THE COMMITTEE. FOR HOLDING THIS
HEARING AND FOR ALLOWING ME TO
SHARE MY TESTIMONY TODAY.
THE MONEY WAS SHARE NAY HUGHES
AND I'M A RECENT GRADUATE OF USC
FROM THE CLASS.
TWENTY EIGHTEEN I'M VERY PROUD
TO SAY THAT BECAUSE AS THE
GRANDDAUGHTER OF A SHARECROPPER
AND THE DOMESTIC SERVING.
NEITHER MY GRANDPARENTS NAM MY
PARENTS WERE AFFORDED THE
OPPORTUNITY TO RECEIVE A COLLEGE
EDUCATION.
GROWING UP UNDER THIS LEGACY OF
STRENGTH AND RESILIENCE I
UNDERSTAND THE EDUCATION IS
POWER.
THIS IS WHY I WAS ELATED TO BE
THE FIRST MY FAMILY TO ATTEND
COLLEGE AND MORE OVER TO STUDY
AT THE PROCEDURES UNIVERSITY OF
SOUTHERN CALIFORNIA.
A UNIVERSITY THAT PROMISE A
COMMITMENT BOTH TO DIVERSE DANCE
ALL IT STOOD.
UNFORTUNATELY HOWEVER ONE OF MY
EARLIEST EXPERIENCES AT U. S. C.
WAS WITH DOCTOR TYNDALL.
AND TWENTY FIFTEEN MY FRESHMAN
YEAR.
AB JUST EIGHTEEN YEARS OLD AND
THE FIRST TIME AWAY FROM MY
PARENTS PROTECTION I SCHEDULE A
CONSULTATION. FOR BIRTH CONTROL.
PRETTY IMMEDIATELY DOCTOR
TYNDALL INTIMIDATED ME WITH
RACIALLY CHARGED SEXIST COMMENTS
ABOUT BLACKMUN'S FERTILITY
SEXUALITY AND PHYSICALITY. FOR
EXAMPLE AFTER HE INQUIRED ABOUT.
WHAT I STUDIED IN MY CAREER
ASPIRATIONS?
I SHARED THAT I WAS INTERESTED
IN OPENING BUSINESSES AND LOW
INCOME BLACK COMMUNITIES.
DOCTOR TYNDALL RESPONDED AND I
QUOTE.
YOU SHOULD OPEN UP MORE CLINICS
SO THEY CAN STOP HAVING SO MANY
BABIES.
HAVING BEEN A STUDENT OF AFRICAN
AMERICAN STUDIES I KNEW WHERE
THIS TWISTED LOGIC.
ULTIMATELY STEMS FROM.
I WAS TAKEN ABACK BY HIS
EUGENICIST COMMENTS BECAUSE I
BELIEVE THAT HE WAS A REPUTABLE
DOCTOR.
AT A UNIVERSITY THAT I TRUSTED.
ADDITIONALLY DOCTOR TENDO WAS
OVERLY CONCERNED THAT I MAY BE
PREGNANT.
IMPRESSIONABLE TO GO TO PLANNED
PARENTHOOD FOR AN EMERGENCY
CONTRACEPTION PILL.
PLAN BEING DESPITE MY STATEMENTS
THAT IT WAS NOT A CONCERN.
DOCTOR TEND ALSO RECOMMENDED
THAT I CONSIDER AND I YOU DE FOR
WOMEN WHO HAD PREVIOUSLY BEEN
PREGNANT.
INSISTING THAT IT WAS THE BEST
OPTION FOR ME WITHOUT EXPLAINING
RISKS SIDE EFFECTS OR RATIONALE.
GIVEN THAT I WAS NOT AND HAD
NEVER BEEN PREGNANT.
FURTHERMORE HE INSISTED I NEEDED
A PHYSICAL EXAMINATION.
AND ALTHOUGH I SIGNED UP FOR
BIRTH CONTROL CONSULTATION.
MY FIRST ENCOUNTER WAS A RACIST
AND SEXIST PRECURSOR FOR THE
ABUSE THAT I WOULD ULTIMATELY
EXPERIENCE AT MY NEXT VISIT.
NOT ONLY DID HE MAKE OFFENSIVE
REMARKS AS THE US C. COUNTS ARE
THE U. S. C. COUNCIL DISCUSSED.
BUT HE ALSO PHYSICALLY ABUSED
HIS POWER.
THE DETAILS OF WHICH HAVE BEEN
DOCUMENTED MORE EXPLICITLY IN
THE LA TIMES ARTICLE WHICH I
WILL NOT REPEAT HERE.
IT IS UNFORTUNATE THAT I'VE HAD
TO EXPERIENCE THESE EFFECTS AS A
STUDENT.
AT A UNIVERSITY THAT I'VE CALLED
HOME.
I SHOULD NEVER MET THIS MAN.
GIVEN THE COUNTLESS COMPLAINTS
THE UNIVERSITY HAD AGAINST HIM
OVER A COURSE OF DECADES.
IT IS INEXCUSABLE THAT THE
UNIVERSITY PAID DOCTOR TYNDALL
TO QUIETLY RESIGNED WITHOUT
REPORTING IT TO THE MEDICAL
BOARD.
THE POLICE OR EVEN STUDENTS LIKE
MYSELF.
MADE A COMPLAINT TO THE HELP
CENTER IN TWO THOUSAND SIXTEEN
AND I HEARD NOTHING FROM THE
UNIVERSITY UNTIL THEY'VE
RELEASED A STATEMENT ALL
STUDENTS.
THE DAY BEFORE THE LA TIMES
ARTICLE DRAW.
THERE'S NO EXCUSE.
I CANNOT UNDERSTAND HOW A RACIST
POSITION IS NOT IN DANGER
PATIENTS.
OR PRESENT AN ISSUE FOR THE
STANDARD OF CARE.
HE'S ABLE TO GIVE STUDENTS WHEN
HE IS EXPLICITLY TARGETING
TARGETING.
ETHNIC MINORITIES AND WOMEN OF
COLOR.
USA SAYS THAT THEY KNEW HE WAS
RACES BUT DIDN'T NECESSARILY
FEEL THE NEED TO REPORT TO THE
BOARD BECAUSE IT WAS A CIVIL
ISSUE BUT TARGETING WOMEN OF
COLOR FOR SEXUAL ABUSE IS BOTH
RACIAL.
AND SEXUAL.
AND IT DIRECTLY AFFECTED MY
PIECE HERE.
MOVING FORWARD SURVIVORS LIKE
MYSELF AND CLOSE FRIENDS OF MINE.
DESERVE COMPLETE TRANSPARENCY
FROM THE UNIVERSITY.
ABOUT WHY COMPLAINTS SUCH AS
OURS WERE NEVER RESOLVED AND HOW
HE WAS ABLE TO PRACTICE FOR
NEARLY. THIRTY YEARS.
U. S. C. SHOULD ASO SERIOUSLY
ADDRESS THE CULTURAL PROBLEMS.
THAT PROMOTE RACISM AND SEXISM
MATH INSTITUTION.
INDIVIDUAL ACTORS ARE ALLOWED TO
ABUSE AND DISCRIMINATE AGAINST
WOMEN AND PEOPLE OF COLOR
BECAUSE OF CULTURAL DEVALUATIONS
OF CERTAIN GROUPS [inaudible]
FINALLY.
USC'S SETTLED VIABLE FOR
COLLEGES AND UNIVERSITIES ACROSS
THE COUNTRY BY COMPLETELY
DISTANCING THEMSELVES FROM
DOCTOR TANDEM HOLDING ALL
INVOLVED PARTIES ACCOUNTABLE FOR
THEIR ACTIONS.
IT'S TIME FOR YOU S. C. TO STAND
WITH THEIR STUDENTS.
ALL OF THEIR STUDENTS.
MAILING PAIN DOCTOR TINDALL TO
QUIETLY RESIGNED SILENCE IS MY
VOICE IN THE VOICES OF ALL
OTHERS WHO BRAVELY SPOKE OUT FOR
YEARS.
AGAINST HIS MISCONDUCT
[inaudible]
THINKING.
THANK YOU VERY MUCH. TO BE IN
HERE [inaudible]
YES MA'AM.
THINK THERE IS RETURN MEMBERS
MAKE IT ALRIGHT ON BEHALF OF THE
CALIFORNIA MEDICAL ASSOCIATION.
AND THE EMMY THINKS THE FOR
GIVING THE OPPORTUNITY TO
COMMENT ON THIS IMPORTANT TOPIC
AS WE HAVE.
MAYOR I'VE SEEN RECENTLY THERE
CAN BE GRAVE CONSEQUENCES WHEN
THE MEDICAL LICENSING AND
REPORTING SYSTEM.
FAILS TO STOP SEXUAL PREDATORS
WHO ABUSE THE TRUST OF PATIENTS
WE NEED OUR REPORTING AND
DISCIPLINE SYSTEM THAT IS
EFFECTIVE AND EFFICIENT IN
WEEDING OUT POSITIONS WHO
THREATEN PATIENT CARE.
OR WORSE THREATEN PATIENTS
THEMSELVES.
BUT ASSISTANT RUSHES TO JUDGMENT
TO QUICKLY WITHOUT ATTENTION TO
FACTS AND UNDERSTANDING OF
CONTEXT.
NOT TO MENTION A SYSTEM THAT
RELIES TOO HEAVILY ON BROAD
STROKES OF DRACONIAN PUNISHMENT
CAN TO SERVE THE PUBLIC AND
UNDERMINE OUR ACCESS TO QUALITY
MEDICAL CARE.
LAWLER SYSTEM IS NOT PERFECT IS
BEEN CAREFULLY HONED OVER THE
YEARS BY THE COURTS STATE
AGENCIES AND THE LEGISLATURE. TO
CREATE AN INTERTWINED IMBALANCED
COMPLEX OF REPORTING OBLIGATIONS
COMPLAINT SYSTEMS AND
INVESTIGATORY DISCIPLINARY
PROCESSES.
WHICH NOT SO EASILY FORGOTTEN OR
OVERLOOKED THIS BODIES OFFICIAL
DECLARATION OF STATE POLICY
REGARDING PEER REVIEW.
OUR CORE SYSTEM FOR IDENTIFYING
INVESTIGATING AND DISCIPLINING
POSITIONS [inaudible]
A QUOTE.
BNP SECTION EIGHT OR NINE PEER
REVEAL FAIRLY CON CONDUCTED IS
ESSENTIAL TO PRESERVING THE
HIGHEST STANDARDS OF MEDICAL
PRACTICE.
YOUR VIEW THAT IS NOT CONDUCTED
FAIRLY RESULTS IN HARM TO BOTH
PATIENTS AND HEALING ARTS
PRACTITIONERS BY LIMITING ACCESS
TO CARE.
PEER REVIEW FAIRLY CONDUCTED
WILL AID THE APPROPRIATE STATE
LICENSING BOARDS IN THEIR
RESPONSIBILITY TO REGULATE AND
DISCIPLINE AARON HEALING ARTS
PRACTITIONERS.
AND IT IS THE INTENT OF THE
LEGISLATURE THAT PEER REVIEW OF
PROFESSIONAL HEALTH CARE
SERVICES BE DONE EFFICIENTLY ON
AN ONGOING BASIS AND WITH AN
EMPHASIS ON EARLY DETECTION OF
POTENTIAL QUALITY PROBLEMS.
AND RESOLUTIONS THEIR INFORMAL
EDUCATIONAL INTERVENTIONS.
WE BELIEVE THAT RECENT
CONTROVERSIES AT USC MEDICAL
SCHOOL AND HOSPITAL SHOULD BE
VIEWED LESS IS AN INDICTMENT ON
ANY FEELINGS OF OUR SYSTEM.
AND MORE PERHAPS AS FEELINGS OF
INDIVIDUALS AND INSTITUTIONS WE
URGE THE MEDICAL BOARD AND OTHER
STATE AGENCIES TO PROBE DEEPLY
TO UNCOVER ALL VIOLATIONS.
AND VIOLATORS OF REPORTING
OBLIGATIONS AND TO TAKE SWIFT
ACTION USING THE VAST POWERS
THAT CURRENTLY BEST.
THANK YOU VERY MUCH IS THERE
ANYONE ELSE HERE WHO WOULD LIKE
TO SPEAK UNDER PUBLIC COMMENT IF
THERE IS PLEASE COME FORWARD.
SCENE NO --
ONE AGAIN THANK YOU.
EVERYONE TO THOSE WHO ARE
PRESENTING ON THE PANELS AND FOR
THE PEOPLE SPEAKING UNDER PUBLIC
COMMENT -- I
CAN'T BEGIN TO TELL YOU HOW.
DIFFICULT IT MUST BE. TO TELL
THOSE STORIES --
AND HOW MUCH WE APPRECIATE THE
INFORMATION AND THAT WILL HELP
US I THINK WE LEARNED A LOT
TODAY IN TERMS OF WHICH PASSED
TAKEN WHERE THERE MAY BE SOME.
SOME OF THE HOLES IN THE SYSTEM
THAT --
ALLOWED THIS TO GO ON NOTICED BY
THE MEDICAL BOARD AND THAT THE
PROFESSIONALS WHO MAKE THOSE
DECISIONS THANK YOU VERY MUCH
FOR BEING HERE.
THANK YOU FOR UP FOR THIS
HEARING THIS.
PART OF OUR THE SPECIAL HEARING
IS THE IS CONCLUDED THANK YOU
.
WELL GOOD AFTERNOON --
GOOD AFTERNOON EVERYONE AND
WELCOME TO THE SENATE COMMITTEE
ON BUSINESS PROFESSIONS AND
ECONOMIC DEVELOPMENT THAT FOR
OUR HEARING TODAY.
JUNE OF TWO JUNE EIGHTEENTH
TWENTY EIGHTEEN WE HAVE A TWENTY
EIGHT BILLS ON FILE TODAY
HOWEVER FILE ITEM THIRTEEN HAS
BEEN REMOVED FROM THE AGENDA.
AND FILE ITEM TWENTY FIVE HAS
BEEN PULLED BY THE AUTHOR.
WE HAVE TWO ITEMS PROPOSED FOR
CONSENT FILE ITEM TEN AB.
TWENTY EIGHTY SIX AND FILE ITEM
FIFTEEN AB TWENTY TWO NINETY SIX
WE WILL BEGIN AS A SUBCOMMITTEE
SINCE WE DO NOT HAVE.
A QUORUM ESTABLISHED AT THIS
POINT I SEE ASSEMBLY MEMBER
QUIRK IS HERE PLEASE
[inaudible]
PERFECT TIMING.
AND WE ARE MOVING THIS WILL BE
ITEM NUMBER TWENTY ONE AB TWENTY
FOUR FIFTY PLEASE PROCEED
SEVERED OFF THANK YOU SENATORS
HILLS DOTTED AND GALGIANI.
BOB I WANT TO THANK THE
COMMITTEE FOR WORKING CLOSELY
WITH MY STAFF AB TWENTY FOUR
FIFTY WOULD MAKE CHANGES TO
CALIFORNIA'S EXISTING.
METALLIC DOT FILLED BALLOONS
WHICH WOULD INCREASE CONSUMER
KNOWLEDGE ABOUT THE RISKS THAT
THEY REPRESENT.
CURRENTLY BALLOONS THAT ARE SOLD
IN THE STATE MUST HAVE FIXED
WARNINGS WHICH DETAIL THE
HAZARDS OF THE BILL BLOOM COMES
INTO CONTACT WITH POWER LINES.
UNDER AB TWENTY FOUR FIFTY THAT
WARNING WOULD BE CURRENTLY
PRINTED IN A READABLE SIZE AND
LOCATION.
AND A BALLOON THAT THE SOLDIER
MANUFACTURED IN THE STATE MUST
TAP THE ENHANCED WARNING --
RIVER OUR THE ARM EXPERT HASN'T
ARRIVED BUT FTA.
I'M I'M SURE THAT.
WE WILL DO OUR BEST TO ANSWER
ANY QUESTIONS YOU HAVE THANK YOU
YOU THINK USURY AND AND I WAS
AMAZED.
AT THE NUMBERS OF POWER OUTAGES
CAUSED BY THOSE MYLAR BALLOONS
IT WAS LIKE FIVE HUNDRED IN THE
PGT SERVICE AREA. THOUSAND OR SO
IN -- AND
OTHERS I IT'S IT'S AMAZING THAT.
THE DESTRUCTIVE POWER IN THAT
THE INCONVENIENCE TO SO MANY
PEOPLE SO THAT OBSERVE AMAZING.
I LIKE THE BILL SORT OF WILL
OPEN THIS TO A TESTIMONY TO ALL
THOSE IN SUPPORT OF ASSEMBLY
MEMBER QUIRK SCIFIL PLEASE COME
FORWARD.
MISTER CHAIRMAN WAS
TRANSMITTABLE HEALTHY CALIFORNIA
MUNICIPAL UTILITIES ASSOCIATION
AND SUPPORT WE THINK LITTLE
CONSUMER EDUCATION IS WARRANTED
BASED ON OF THE POWER OUTAGE
ISSUE THAT YOU BROUGHT FORTH
THANK YOU.
THANK YOU VERY MUCH FRED PLEASE
CHAIR MEMBERS POWERS AS GIVE
BEHALF OF THE SANDWICHES COPIA
REPRESENTS A DISTRICT IN SUPPORT
THANK.
GOOD MORNING MISTER CHAIR
MEMBERS ROD BREWER WITH SOUTHERN
CALIFORNIA EDISON WE'RE HERE IN
SUPPORT OF THE BILL AND COMMAND
THE SEVEN MEMBER QUIRK FIRST
LEADERSHIP ON THIS ISSUE VERY
GOOD THANK YOU VERY MUCH FOR
THAT OTHERS IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION.
SCENE THEN BRING IT BACK FOR
QUESTIONS OR COMMENTS FEEL NOT
AT THE WOULD YOU LIKE TO CLOSE
ASSEMBLY MEMBER QUIRK.
VERY GOOD WE WILL --
SOON AS WE ESTABLISH A QUORUM WE
WILL TAKE THIS MATTER UP AND
HAVE VOTE AT HE SANK VERY MUCH
GREAT BILL.
THE ASSEMBLY MEMBER HIS ARYAN.
WELCOME ITEM NUMBER ONE AB.
TWELVE FORTY SEVEN AND I JUST
WANTED TO MAKE AN ANNOUNCEMENT
BEFORE THE HEARING BEGINS AT
THIS WEEK AND NEXT WEEK BECAUSE
OF THE NUMBER OF BILLS THAT WE
WILL BE HAVING TO WITNESSES --
TWO MINUTES EACH FOR THOSE THAT
SUPPORT AND OPPOSED AND OTHERS
WILL BE ABLE TO MAKE THEIR
COMMENTS KNOWN A AT THE
MICROPHONE TO REALLY MEAN
TESTIMONY TO TWO MINUTES --
IN SUPPORT IN OPPOSITION OF WITH.
TO THE OPRY FOR TWO PEOPLE TO
SPEAK OF EACH ITEM [inaudible]
THE SAME IF YOU.
MISTER CHAIRMAN MEMBERS I'M
PRESENTING AB TWELVE FORTY SEVEN
FIRST I'D LIKE TO THANK THE
COMMITTEE STAFF FOR WORKING WITH
MY OFFICE.
AND WE WILL BE ACCEPTING THE
RECOMMENDED COMMITTEE AMENDMENTS
THIS BILL.
AS THIS BILL MOVES US THROUGH
THE PROCESS I LOOK FORWARD.
TO OF WORKING WITH THE COMMITTEE
STAFF TO ENSURE THIS BILL
ARRIVES AT THE GOVERNOR'S DESK
AND ITS BEST POSSIBLE FORM.
AT THIS BILL WOULD REQUIRE
PROFESSIONAL FIDUCIARY HE'S
RECEIVED CULTURAL COMPETENCY
TRAINING FOR SERVING PATIENTS IN
THE LGBTQ COMMUNITY.
PROFESSIONAL FIDUCIARY IS
PROVIDE CRITICAL SERVICES TO
SENIORS AND PERSONS WITH
DISABILITIES THEY MANAGE MATTERS
FOR CLIENTS INCLUDING DAILY CARE
HOUSING AND MEDICAL NEEDS.
UNFORTUNATELY LGBTQ SENIORS FACE
UNIQUE CHALLENGES AS THEY AGE
AND ARE AMONG THE MOST
VULNERABLE POPULATION IN OUR
SOCIETY.
THESE CHALLENGES INCLUDE
BARRIERS TO RECEIVING FORMAL
HEALTH CARE AND SOCIAL SUPPORT
THAT HETEROSEXUAL SEX GENDER
ADULTS DO NOT ENCOUNTER.
SEVERAL STUDIES REPORT LGBTQ
SENIORS AVOID OR DELAY HEALTH
CARE OR CONCEAL THEIR SEXUAL AND
GENDER IDENTITY FROM HEALTH
PROVIDERS.
AND SOCIAL SERVICE PROPORTIONAL
SO FOR FEAR OF DISCRIMINATION.
IN ADDITION COMPARED TO
HETEROSEXUAL CIS GENDERED ADULTS
LGBTQ OLDER ADULTS TYPICALLY%
HAVE FEWER OPTIONS. FOR INFORMAL
CARE AND ARE LESS LIKELY TO HAVE
FAMILY TO TURN TO FOR CARE.
THIS BILL IS INTENDED TO ENSURE
THAT LGBTQ SENIORS GET COMPETENT
AND RESPECTFUL CARE.
A BY PROFESSIONAL FIDUCIARY BY
REQUIRING LGBTQ CULTURAL
COMPETENCY AND SENSITIVITY
TRAINING.
DURING THE EDUCATION AND
LICENSING PROCESS.
WITH ME AND I HAVE ALYSA KESSLER
WITH EQUALITY CALIFORNIA.
GOOD THANK YOU VERY MUCH PLEASE
PROCEED THANK YOU MISTER CHAIR
CENTER GALGIANI ALICE KESSLER
HERE REPRESENTING EQUALITY
CALIFORNIA WE WOULD LIKE TO
THINK ASSEMBLY MEMBER IN THIS
AREA FOR BRINGING THIS BILL
FORWARD --
IT'S VERY GOOD POLICY TO ENSURE
THAT THAT THESE INDIVIDUALS THAT
HAVE SUCH AN IMPORTANT ROLE TO
PLAY. FOR VULNERABLE POPULATIONS
TO HAVE THE TRAINING THAT THEY
NEED TO WORK WITH THESE
COMMUNITIES AND MISTER NAZARIAN
EXPLAINED I THINK VERY WELL THE
NEED FOR THE BILL.
I WOULD JUST SAY THAT YOU KNOW
FOR MANY FOLKS IN THIS
POPULATION THEY CAME OF AGE AT A
TIME WHEN DISCRIMINATION WAS
STILL PERMISSIBLE UNDER THE LAW
AND WE'VE TAKEN GREAT STRIDES
FORWARD SINCE THAT TIME BUT FOR
MANY OF THEM THEY STILL BEAR THE
SCARS OF OF GROWING UP.
IN A TIME WHEN IT WAS NOT A Q.
WHEN THEIR FAMILIES MAY HAVE
REJECTED THEM WHEN THEY MAY HAVE
FACED OPEN DISCRIMINATION AND
HOUSING OR EMPLOYMENT.
MILITARY SERVICE AND SO ON THE
VESTIGES OF THAT DISCRIMINATION
PERSIST AND WE NEED TO ENSURE
THAT.
OF THESE VULNERABLE INDIVIDUALS
DO YOU HAVE --
PROFESSIONALS IN THEIR LIVES
WILL LOOK OUT FOR THEIR BEST
INTERESTS THAT WE WOULD URGE THE
COMMITTEE TO SUPPORT THE BILL
VERY GOOD THANK YOU VERY MUCH
OTHERS IN SUPPORT PLEASE COME
FORWARD.
THE CHILD --
AMERICAN CIVIL LIBERTIES UNION
OF CALIFORNIA IN SUPPORT THANK
YOU VERY MUCH WITH CHILD AND YET
OTHERS IN SUPPORT.
IS THERE ANYONE IN OPPOSITION.
IF YOU'D LIKE TO SIT DOWN THAT'S
ONLY IF THEY CAN DO THAT.
ARE NOT IN OPPOSITION BUT
DEVELOPING A POSITION IF THAT'S
OKAY SENATOR AND A COMMITTEE
MEMBERS AND MEMBER JERRY DOES
MIDDLE PATH OF THE PROFESSIONAL
FULLY SHERRY ASSOCIATION OF
CALIFORNIA P. FACT. ONE OF THE
CO SPONSORS OF THE ORIGINAL ACT
A DECADE AGO A TO PROTECT OF THE
CONSUMERS BUY LICENSURE
FIDUCIARY SINCE STANDARDS OF
TRAINING IN OUR ASSOCIATION HAS
EMBARKED UPON A DIVERSITY.
OF MISSION AS AN ASSOCIATION FOR
ITS MEMBERS AND TAKING CARE OF
THE THE SENSITIVE AFFORDABLE
POPULATIONS.
WE JUST SAW THE BILL LAST WEEK
BECAUSE IT WAS PUT INTO PRINT WE
HAVE DISCUSSIONS WITH THE AUTHOR
OF THE PROPONENTS WE HAVE SOME
THOUGHTS ON TAKING CARE OT ONLY
TO THIS COMMUNITY BUT ALL UNDER
REPRESENTED IN MARGINALIZED
COMMUNITIES.
IN AN HOUR OF TRAINING BUT PRE
LICENSURE INSULIN CONCEPT WE
APPRECIATE THE ENDEAVOR AND
WORKING HAVE DISCUSSIONS AS THE
BILL MOVES FOR VERY GOOD THANK
YOU VERY MUCH FOR THAT I USED.
THEN YOU SUPPORT IN OPPOSITION
OR MAYBE IN OPPOSITION.
YOU KNOW ONE BRING IT BACK TO
THE COMMITTEE QUESTIONS OR
COMMENTS.
NOW WE HAVE TO WILL HAVE TO WAIT
TWO WEEKS ESTABLISH A QUORUM
THANK YOU WITH THE APPROPRIATE
TIME THAT WOULD BE IN ORDER.
SYRIAN WOULD YOU LIKE CLOSE I
RESPECTFULLY ASK FOR A VOTE WHEN.
WHEN THE COMMITTEE IS --
AND QUORUM THANK YOU VERY GOOD
THANK YOU THANK YOU FOR TAKING
THE AMENDMENTS THAT THE BILL AS
WELL OF COURSE IT THAT'S WHEN WE
ESTABLISH A QUORUM WE WILL TAKE
THAT MOTION.
THANK YOU.
BUT NOT ITEM NUMBER [inaudible]
TWO ASSEMBLYMEMBER LEVINE.
AND HOW ARE YOU WELCOME.
MRS I REMEMBER TO AB FOURTEEN
THIRTY SIX ASSEMBLY MEMBER LIVE.
AND GOOD MORNING THINK YOU'RE
INTERESTED CHARITY NUMBERS
OUTSTANDING CONSTITUENTS PRETTY
FANTASTIC IS ANY.
HE IS MY SON.
THANK YOU AGAIN I'D LIKE TO
START BY ACCEPTING THE KITTY
COMMITTEES AMENDMENTS AND THANK
THE COMMITTEE FOR WORKING ON
THIS --
LEGISLATION AB FOURTEEN THIRTY
SIX REQUIRES MARRIAGE AND FAMILY
THERAPISTS EDUCATIONAL
PSYCHOLOGISTS CLINICAL SOCIAL
WORKERS AND PROFESSIONAL
CLINICAL COUNSELORS TO RECEIVE.
SUICIDE PREVENTION TRAINING FOR
ASSESSMENT TREATMENT AND
MANAGEMENT JUST COUPLE WEEKS AGO
CDC.
SHOWED IN A REPORT THAT SUICIDE
RATES IN CALIFORNIA ARE UP
FOURTEEN POINT 8% SINCE NINETEEN
NINETY NINE AND SUICIDE IS THE
SECOND LEADING CAUSE OF DEATH
FOR PEOPLE.
TWENTY FOUR AND YOUNGER.
AND DIED RESEARCH SHOWS THAT
PEOPLE WHO HAVE SEEN A MENTAL
HEALTH PROFESSIONAL NAM HAVE
TAKEN THEIR LIVES SINCE THEN
THIS TRAINING WILL HELP THEM.
PERHAPS IDENTIFY AND TREAT IT
LAST YEAR THE GOVERNOR BROWN
SIGNED MY BILL THAT HAS THIS
REQUIREMENT FOR PSYCHOLOGISTS
WOULD LIKE TO EXTEND THIS BILL
AS WELL.
VERY GOOD THANK YOU.
A WITNESSES IN SUPPORT.
SO FOR THE RECORD I'M VICO
JACQUI AND I'M GONNA LEAVE YOU
WITH.
SOME DIFFERENT THINGS BECAUSE I
WANT AMONG THE RECORD.
I GUESS THE COMPLEMENT THE CDC'S
REPORT I RAN A LIST OF DEATHS
SUICIDE DEATHS IN CALIFORNIA
SINCE. TWO THOUSAND TO TWO
THOUSAND AND SIXTEEN WHAT YOU'LL
SEE.
IS THAT THAT THE NUMBERS ARE
RISING --
INCLUDING WERE UP OVER WORD
FORTY TWO HUNDRED ALMOST FORTY
THREE HUNDRED DEATHS.
I'M LOOKING AT AYE FOR YOUNG
PEOPLE SEVEN TO EIGHTEEN YEARS
OLD.
WHAT YOU'LL SEE IS THAT THE
AVERAGEOVER THAT SAME PERIOD OF
TIME IS A HUNDRED TWENTY TWO
DEATHS?
THAT THE MOST RECENT YEARS THE
LAST FOUR OF THEM ALL EXCEED
THAT NUMBER INCLUDING THE MOST
RECENT YEAR TWENTY SIXTEEN
HUNDRED FIFTY NINE YOUNG PEOPLE
HAVE TAKEN THEIR LIVES IN
CALIFORNIA.
ON THIS WORK HAS BEEN BASED ON
THIS WORK GOES ON NATIONALLY
IT'S BEEN BASED ON A STUDY THAT
WAS COMMISSION.
AND AS A RESULT OF THIS WE HAVE
AT LEAST FIVE OTHER STATES HAVE
PASSED LEGISLATION AROUND HAVING
MANDATORY TRAINING FOR
CLINICIANS.
IN REGARDS TO SUICIDE ASSESSMENT
AND INTERVENTION.
AND FOR MOST PEOPLE WHO MIGHT
QUESTION WHETHER THERE'S
TRAINING FROM A LEAVE A LIST.
A POSSIBLE TRAININGS AND I WILL
TELL YOU THIS AYE PROPHESIZED
AYE GAS.
LAST YEAR THAT THERE WOULD BE
MORE AND MAYBE EVEN BETTER
TRAININGS WE KNOW THAT
[inaudible]
IN.
AND THE SENATORS DISTRICT
POWELTON UNIVERSITY HAS
DEVELOPED A TRAINING.
I'M SINCE THE BEGINNING OF THE
YEAR AHEAD FOUR DIFFERENT
ENTITIES CONTACT ME TALKING
ABOUT TRAINING. ONE THAT WANTS
TO PUT A WHOLE PROGRAM TOGETHER
AT THEIR UNIVERSITY.
SEWED SHOWS THE VALUE OF THIS
WORK BESIDES THE SUPPORT THAT
YOU HAVE IN THE STAFF REPORT.
WE GOT A LETTER FROM DIDI HIRSCH
THE MAIN.
CRISIS AND SUICIDE CALL CENTER
IN CALIFORNIA.
IN SUPPORT.
AND FROM THE PASAY FROM QUE
WARREN WHO'S ONE OF THE CO
FOUNDERS OF THE A LARGE --
EVANGELICAL MEGACHURCH
SADDLEBACK CHURCH.
SENDING A LETTER SUPPORT.
SO I PROBABLY AM WITH JUSTICE
QUICK COMMENT SINCE THE
BEGINNING OF THE YEAR AND I
ALMOST STARTED THIS WAY I'VE HAD
AT LEAST.
IT'S FAMILIES CONTACT ME FALL
WITH.
CHILDREN THE THEY ARE YOUNG
ADULTS THAT HAVE TAKEN THEIR
LIVES IN RECENT TIMES.
AND I TOLD THEM FRANKLY WE WOULD
DO SOMETHING ABOUT THAT.
THAT IF YOU LOOK AT THE DATA
THERE'S FAR MORE THAN NEEDS TO
BE DONE SO THIS THIS BILL IS A
PIECE AN APOSTLE.
AND AND WE HOPE THAT YOU
SUPPORTED.
THANK YOU VERY MUCH MISTER
JENKINS.
I HATE THAT THE BEING HERE TODAY.
PLEASE THE AFTERNOON ARMY
GENERALS WITH A STEINBERG
INSTITUTE AND WE ARE PROUD
SPONSORS OF AB FOURTEEN THIRTY
NINE AND PROUD TUESDAY A PARTNER
AGAIN WITH ASSEMBLYMEMBER LEVINE
TO ENSURE THAT CALIFORNIA'S
MENTAL HEALTH PROFESSIONALS.
THE FRONTLINE AMITABHA
PROFESSIONALS RECEIVE BASIC A
AND AND VERY --
IMPARTING TRAINING IN --
SUICIDE RISK ASSESSMENT AND
AGAIN THANK YOU --
FOR FOR YOUR SUPPORT BIGGER
THANK YOU --
OTHERS HERE IN SUPPORT PLEASE
COME.
FOR THE BOARD OF BEHAVIORAL
SCIENCES OF THE PARTISANS.
YOU THINK YOU.
ACCORDING DOWDY THE AMERICAN
FOUNDATION FOR SUICIDE
PREVENTION IN SUPPORT AND I'D
ALSO LIKE TO COMPLIMENT THE
BORDER BEHAVIORAL SCIENCES AND
SPECIALLY THEIR EXECUTIVE
OFFICER --
FURTHER SUPPORTED THE WORK ON
THIS BILL THANK YOU THANK YOU
OTHERS IN SUPPORT.
IS THERE ANYONE IN OPPOSITION
PLEASE COME FORWARD.
THE NO ONE BRING IT BACK TO THE
COMMITTEE [inaudible]
AND THE A WOULD YOU LIKE TO
CLOSE ASSEMBLYMEMBER LEVINE WE
WILL KEEP THE ROLE OF I MEAN WE
WILL.
OBVIOUSLY ENTERTAIN A MOTION AT
THE APPROPRIATE TIME YET I
REALLY I REALLY APPRECIATE THAT
ALSO AN ECHO --
ACCOMPLICE THE BORDER BEHAVIORAL
HEALTH THIS IS BEEN AN AMAZING
JOURNEY.
THAT WE'VE BEEN ON YOU KNOW THIS
IS -- OF
MULTIPLE BILL EFFORT I THAT WAS
IT WAS IT THREE YEARS AGO OR
TWENTY FOUR TWENTY FOURTEEN
WHERE WE FIRST MEET OUR OUR
EFFORT WHERE.
THE BOARDS AT ACTUALLY OPPOSED
OUR LEGISLATION IT MADE IT. TO
THE FINISH FINALLY BE VETOED AND
DOT NOW DIED THE BOARDS ARE
FOLLOWING THE GOVERNOR'S
DIRECTION ABOUT REVIEWING THEIR
OWN PRACTICES AND I'VE COME BACK
IN IT'S ACTUALLY.
COME TO US I WISH I REALLY
RESPECTED IT TO SAY LET'S GET
THIS ACROSS THE FINISH LINE ONE
MORE TIME.
AND I I HAVE A LOT OF RESPECT
FOR THE BOARDS FOR DOING THAT
WITH US IN A LOT OF GRATITUDE
FOR MISTER JENKINS AND I AND THE
OTHER ADVOCATES WHO HAVE HELPED
US PUSH THIS ALONG SO THANK YOU
TO THE COMMITTEE.
AS WELL FOR YOUR CONTINUED
SUPPORT FOR THE US OVER THE
YEARS.
IN THANK YOU AND AND I WOULD.
TO CO AUTHOR I'D BE GRATEFUL FOR
THAT THANK YOU VERY MUCH AND I
APPRECIATE YOUR YOUR CONTINUED
LEADERSHIP IN THE SUBJECT MATTER
THE STATISTICS ARE [inaudible]
DEVASTATING. TO SAY THE LEAST
THANK YOU THANK YOU.
I SEE ASSEMBLYMEMBER LOW.
THE CHAIR OF THE BUSINESS
IMPROVE THE GREAT BUSINESS AND
PROFESSIONS CODE OF THE ASSEMBLY
IS HERE.
YOU HAVE A NUMBER OF BILLS BILLS
TODAY IS MISTER CHAIR.
HOW ARE YOU THIS YEAR GOOD
ISSUES WELL THANK YOU ASSEMBLY
MEMBER LOW WE HAVE --
WE'VE THREE BILLS --
FOR BILLS AND THE SO WE WILL
START I GUESS WOULD WOULD
REGISTER WITH THAT GOING ORDER
JUST PLEASE IF I TO ASSEMBLY
BILL SEVENTEEN FIFTY WORKER THAT
I RIVER DOING.
VERY GOOD THANK YOU PERFECT --
THANK YOU VERY MUCH MISTER CHAIR
AND MEMBERS OF THIS IS WITH OUR
LAST STATE'S PRESCRIPTION DRUG
MONEY PROGRAM KNOWN AS HERE'S IN.
ENSURING THAT WE HAVE INTEREST A
PRESCRIPTION DATA SHARING IT TO
ENSURE THAT WE CAN PREVENT AS
MUCH DOCTOR SHOPPING AS POSSIBLE
AND WORKING WITH OTHER STATES TO
GET THE DATA INFORMATION.
AS NECESSARY SO I RESPECTFULLY
ASK RIVAL TO HAVE OTHER
WITNESSES TO TESTIFY IN SUPPORT
GOOD THANK YOU.
TO VERY TIMELY PIECE OF
LEGISLATION.
WITNESSES IN SUPPORT.
OF MERRYMAKING WITH CALIFORNIA
DENTAL ASSOCIATION REPRESENTING
OVER TWENTY SOUTH STE THE TWENTY
SEVEN THOUSAND ON US ACROSS THE
STATE.
AYE WE'RE HERE IN SUPPORT OF THE
BILL SIMPLY BECAUSE WE HAVE MANY
PRESCRIBERS.
A NEAR STATE LINES AND WE FEEL
THAT THE INFORMATION THAT WOULD
BE PROVIDED WITHIN THIS BILL
WOULD REALLY HELP OUR
PRESCRIBERS BE MORE EDUCATED --
IN TERMS OF CURBING SUCH.
I AM SO THAT THEY CAN GET THE
FULL MEDICAL FILE TO MAKE SURE
THAT WHATEVER THEY DO TO
PRESCRIBE TO THEIR PATIENTS.
IS APPROPRIATE FOR THEM SO THANK
YOU INTRUSION I HADN'T THOUGHT
ABOUT THAT RIGHT ON THE BORDER
IT WOULD BE YOU COULD DO A LOT
OF DOCTOR SHOPPING AND THAT TOO
MUCH DIFFICULT.
THANK YOU FOR THE TESTIMONY.
BY JOHN LEVEL ON BEHALF OF THE
ASSOCIATION OF DEPUTY DISTRICT
ATTORNEYS CALIFORNIA ASSOCIATION
CODE ENFORCEMENT OFFICERS.
CALIFORNIA COLLEGE AND
UNIVERSITY POLICE CHIEFS
ASSOCIATION CALIFORNIA NARCOTICS
OFFICERS ASSOCIATION IN THE LA
COUNTY PROFESSIONAL PEACE
OFFICERS ASSOCIATION.
WE ARE ALL STRONGLY IN SUPPORT
OF THIS BILL THIS IS.
VERY TIMELY AND THE BORDER
COMMENTS THAT THE CHAIR JUST
MADE OPPORTUNITY HERE.
BOMBS THIS IS EXTREMELY
IMPORTANT IN DEALING WITH.
AN EPIDEMIC THAT HAS GOTTEN OUT
OF CONTROL.
DAVID THANK YOU VERY MUCH WHICH
LEVEL YES OTHERS IN SUPPORT
PLEASE ADAMS CHAIRMAN MEMBERS
MIKE MADDUX ACCOUNTS OF A
CONSUMER WATCHDOG AND ALSO HERE
ON BEHALF OF OUR COLLEAGUES AT
THE CONSUMER ATTORNEYS A
CALIFORNIA.
STRONGLY SUPPORTING THIS BILL
THANK YOU.
THANK YOU CHAIRMAN OF THE
COMMITTEE DAVID GONZALEZ ON
BEHALF OF AMERICA'S POSITION
GROUPS HAPPY TO BE HERE IN
SUPPORT A THANK YOU VERY MUCH.
CARE MEMBERS MAUREEN HIGGINS ON
BEHALF OF VIACOM SUPPORT THANK
YOU VERY MUCH.
FOR GOOD AFTERNOON MISTER
CHAIRMAN MEMBERS BUT THE ARMS
FROM ON BEHALF OF THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
REPRESENTING LOCAL HEALTH
DEPARTMENTS AND SUPPORT THANK
YOU.
REVENUE MISTER CHAIRMAN OF
COURSE ALSO ON BEHALF OF THE
CALIFORNIA STATE SHERIFFS
ASSOCIATION SUPPORT THANK YOU.
GOOD MORNING.
SORRY GOOD AFTERNOON MARRIED
THERE THE COUNTY BEHAVIORAL
HEALTH DIRECTORS ASSOCIATION IN
SUPPORT VERY GOOD THANK YOU.
THE APPARENT ON BEHALF OF
CALIFORNIA LIFE SCIENCES
ASSOCIATION IN SUPPORT THANK YOU
VERY MUCH.
TIFFANY MATTHEWS I'M HAVE THE
CALIFORNIA DISTRICT ATTORNEYS
ASSOCIATION EXPORT.
WELCOME TO A FEW.
BRYCE DOT GRAHAM HAPPILY
CALIFORNIA SOCIETY OF
ANESTHESIOLOGISTS AND SUPPORT
THANK YOU VERY MUCH.
VIRGINIA HURLED ON BEHALF OF THE
CALIFORNIA STATE BOARD OF
PHARMACY ALSO IN SUPPORT.
THANK YOU.
FOR JENNIFER SUMMERS OF THE
MEDICAL BOARD CALIFORNIANS
SUPPORT.
THANK YOU OTHERS IN SUPPORT.
GOD I WISH I COULD HAVE THAT
MUCH SUPPORT FOR MY BILLS.
THIS NEVER HAPPENS THAT WAY --
IS THERE ANYONE HERE IN
OPPOSITION PLEASE COME FORWARD
[inaudible]
HAVE YOU.
PLEASE MAKE YOURSELF COMFORTABLE.
BECCA CAME OUT OR ON BEHALF OF
THE ACLU OF CALIFORNIA WE HAVE
AN OPPOSE UNLESS AMENDED
POSITION TO ADDRESS.
I'M SERIOUS PRIVACY CONCERNS
WITH THE BELL AND MANY PATIENTS
WOULD ASSUME THAT THEIR
PRESCRIPTION RECORDS ARE MEDICAL
INFORMATION.
THAT WOULD BE KEPT PRIVATE AND
CONFIDENTIAL UNFORTUNATELY
CURIOS DATABASE IS NOT COVERED
BY CMA OR HAVE BASS AND ARE
THEREFORE NOT SUBJECT TO MEDICAL
PRIVACY REGULATIONS --
INSULAR SERIOUS PROBLEMS WITH
I'M ALLOWING.
ESTATE AGENCIES TO HAVE
UNFETTERED ACCESS WITHOUT A
WARRANT REQUIREMENT SO WE WOULD
ENCOURAGE THE ASSEMBLY MEMBER TO
INCLUDE A WARRANT REQUIREMENT.
FOR ACCESS WHO CARES ON WE DO
HAVE SOME ADDITIONAL AMENDMENTS
THAT WE COULD CONSIDERIN ADAM
INSTEAD OF THAT IF THE ASSEMBLY
MEMBER I AM AS A JACKSON I AM
ONE WOULD BE.
RECOGNIZING THAT THE PRIMARY
NEED -- FOR
SHARING TEARS CAN IDENTIFY
PATIENTS WHO ARE DOCTOR SHOPPING
LIMITING THE BELT SUGGEST
ALLOWING OUT OF STATE DOCTORS TO
ACCESS CARE IS INFORMATION.
RATHER THAN OUT OF STATE MON
FORSMAN AND OTHER GOVERNMENT
ENTITIES --
ADDITIONALLY WE WOULD CONSIDER
AND POTENTIALLY REMOVING
OPPOSITION A IF I AM.
THE BILL WAS AMENDED IT SO THAT.
I LAW ENFORCEMENT COULD ONLY
RECEIVE ANONYMIZED INFORMATION
OF PATIENTS WITHOUT A WARRANT
AND TO GET FULL PATIENT NAMES
WITH A WARRANT [inaudible]
I'M.
UNDERSTANDING OF CURRENT
PRACTICE IS THAT.
CURRENTLY THE DOJ REQUIRES A
WARRANT FOR MY UNFORTUNATE
SEEKING PATIENT RECORDS BUT NOT
FOR PROVIDER RECORDS.
BUT PROVIDER RECORDS ALSO
INCLUDE ALL OF THE PRESCRIPTION
INFORMATION FROM MY PROVIDER FOR
EACH PATIENT INCLUDING PATIENT
NAMES.
I'M OUR UNDERSTANDING IS THAT
THERE'S CURRENTLY ANALYTICAL
SOFTWARE AVAILABLE THAT WILL
CONNECT PATIENTS SO THAT JATO
CAN BE IDENTIFIED AS THE SAME AS
JANE DOE. FR EXAMPLE AND SO
ANONYMIZING THE PATIENT NAMES
WOULD NOT DIMINISH LAW
ENFORCEMENT ABILITY TO RECOGNIZE
THAT IT IS THE SAME PATIENT
RECEIVING MANY PRESCRIPTIONS.
AND THE REASON THAT THIS
INFORMATION IS SO IMPORTANT IS
THAT THE INFORMATION CONTAINED
IN CARRIERS IF HIGHLY.
HIGHLY ICONS AT PRIVATE
INFORMATION AND CAN REVEAL A LOT
ABOUT A PERSON. FOR EXAMPLE I'M
A LOT OF AT A TESTOSTERONE COULD
IS A IS INCLUDED IN THE SCHEDULE
OUT DRUGS OF DRUGS THAT ARE IN
KERRY'S.
ARM CAN OUT SOMEONE IS
TRANSGENDER HIV AIDS MEDICATION
IS ALSO INCLUDED IN VALUE
MEDICAID MEDICATION --
SO JUST THE FACT OF HI.
OFTENTIMES WHAT THE POTENTIAL
AND DIAGNOSIS IS I'M REVEALING
VERY VERY SENSITIVE INFORMATION
ABOUT CALIFORNIANS THAT THEY
WOULD ASSUME IS PRIVATE.
BUT UNDER CARES UNFORTUNATELY IS
NOT COVERED UNDER OUR MEDICAL
PRIVACY LISTS THAT WE
RESPECTFULLY ASK FOR SOME
AMENDMENTS BUT UNTIL THEN REMAIN
OPPOSED UNTIL MONDAY THANK YOU
VERY MUCH.
GOOD AFTERNOON TO GET AFTERNOON
HAVE MISTER CHAIR MEMBERS MAKE
IT ALRIGHT ON BEHALF OF THE
CALIFORNIA MEDICAL ASSOCIATION.
ALSO POSED WAS AMENDED FOR THE
SAME PRIVACY CONCERNS ITEM THE
MICHAELI FROM THE ACLU STATED WE
DO BELIEVE THAT THIS WOULD BE A
GREAT TOOL FOR PROVIDERS TO USE
TO BE ABLE TO IDENTIFY.
OUT WHAT THEIR PATIENTS MAY BE
RECEIVING I'VE FROM DIRECTLY
ACROSS STATE LINES ESPECIALLY IN
THOSE ADAM BORDER CITIES ARE
AREAS WHERE PATIENTS ARE
FREQUENTLY MAKING TRIPS ACROSS.
OUT WE THINK THAT IT COULD BE
INCREDIBLY HELPFL IF GIVEN THE
SAME PRIVACY.
THAT DID SOME OF THE OTHER
STATES ALSO HAVE ON THEIR
RECORDS AS ANYBODY WHO ACCESSES
CALIFORNIA PATIENT RECORDS.
FROM ANOTHER STATE OR THROUGH
THE CURIOUS DATABASE
[inaudible]
AT THE OTHER STATES WOULD HAVE
TO APPLY BY CALIFORNIA LAWS
WHICH AS WE'VE HEARD ARE REALLY.
LACKS I AM WHEREAS ANYBODY FROM
CALIFORNIA SEEKING CURES DATA
FROM THE OTHER STATES WOULD BE
HAVE TO APPLY BY THEIR STE MORE
STRINGENT LAWS.
THAT WE'VE JUST LIKE CALIFORNIA
TO BE ON PAR WITH THAT BUT
OTHERWISE THINK THAT.
IT COULD BE REALLY HELPFUL AS
LONG AS WE PROTECT PATIENT
INFORMATION.
AND SO WITH THAT WE ARE ALSO
RESPECTFULLY OPPOSE LUIS AMENDED.
GOOD THANK YOU OTHERS IN
OPPOSITION PLEASE COME FORWARD.
RESIDENTS ABOUT THE COMPANY CAN
MEET THEM WE POSITIONS WE ARE
ALSO OPPOSE LESS AMENDED FOR THE
REASONS PREVIOUSLY STATED THANK
YOU.
GOOD AFTERNOON CHAIR AND MEMBERS
DANIELLE CANDLE KAISER ON BEHALF
OF THE ELECTRONIC FRONTIER
FOUNDATION WE WOULD ALIGN OUR
COMMENTS WITH THE ACLU CMA AS
WELL OPPOSE UNLESS AMENDED THANK
YOU VERY MUCH.
OTHERS IN OPPOSITION.
YOU KNOW ONE GREEN BACK TO THE
COMMITTEE IN THE COMMENTS OR
ANSWERS YES.
SENATOR OKAY.
LA SO I SIMILAR --
CERTAINLY UNDERSTAND THE NEED TO
TRY TO FIGURE OUT HOW DO WE HELP
PEOPLE LIVE ACROSS THE BORDER
HAVE WE GET AFFIRMATION BUT YOU
KNOW WE'VE HEARD FROM THE
OPPOSITION ABOUT CONCERNS ABOUT
PRIVACY --
WERE MAKING THE DATA MORE
ACCESSIBLE TO MORE PEOPLE --
SO IS A CHALLENGE CAN YOU DRIVE
HE PLEASE ADDRESS THE UP PRIVACY
ISSUES IN TERMS HOW TO ENSURE
THAT.
PEOPLE OF CALIFORNIA.
NOW THAT YOU MAKE LET'S SAY ALSO
IN NEVADA.
START LOOKING STUFF UP BECAUSE
THEY HAVE ACCESS TO A CALIFORNIA
BASED ON OTHER STATE --
SO -- HOW DO
WE ENSURE WE PROTECT THE PRIVACY
OF PATIENTS IN CALIFORNIA?
THE BILL SURE AS AS YOU HEARD --
THAT THERE FOR SOME OF THE
EXAMPLES GIVEN AS CHAIR OF THE
OF THAT HE LIKES THAT CAUCUS
WOULD BY NO MEANS I HAVE BEEN
TEN NOR THE DESIRE TO HAVE SUCH
INFORMATION.
HELPING PUT OUT THERE AT THE
SAME TIME WE ALSO THIS BILL
REQUIRES.
OF THE STATE OF CALIFORNIA WITH
THESE OTHER STATES TO COMPLY
WITH THE SAME TYPE OF PRIVACY
LAWS.
OF THROUGH THE STATE OF
CALIFORNIA SO A WITH THOSE
PROTECTIONS IN PLACE I'M
CONFIDENT --
PRIVACY CONCERNS AT PLACE --
AS YOU MAY KNOW THIS IS ALSO
HEADED TO SEND A PUBLIC SAFETY
COMMITTEE AND HAPPY TO HAVE
ADDITIONAL CONVERSATIONS THERE
BUT I'M PRETTY CONFIDENT IN
TERMS OF THE ADHERENCE TO THE
SAME TYPE OF PRIVACY REGULATIONS
AND LAWS FOR THE STATE OF
CALIFORNIA THAT THE OTHER STATES
WOULD ALSO HAVE. TO BUY BY.
SO JUST TO CLARIFY.
UNDER DISPEL ANY AGREEMENT WE
HAVE WITH AND OTHER STATE
REQUIRE THAT.
THAT STAGE ANY PERSONNEL THAT
STATE TO ACCESS IS NOW THIS I
GUESS JOINT DATABASE
[inaudible]
A POTENTIALLY.
WOULD ACTUALLY --
HAVE TO ADHERE TO CALIFORNIA LAW
AND ALSO BE SUBJECT TO PENALTIES
IF THEY VIOLATE THOSE LAWS
[inaudible]
YES.
OKAY VERY GOOD THANK YOU OTHER
QUESTIONS OR COMMENTS.
YOU SEEM TO BE A HESITATION.
AM I M. BECAUSE THAT SOUNDS
FABULOUS BUT CALIFORNIA'S
MEDICAL PRIVACY LAWS DON'T APPLY
TO CURES AND THEREFORE THEY
STILL WOULD NOT APPLY TO THESE
OTHER STATES ACCESSING CARES
INFORMATION THROUGH THESE.
SO IF ASSEMBLY MEMBER WAS OPEN
TO AN AMENDMENT THAT WOULD APPLY
CMI A TWO CURATORS THAT WOULD BE
FANTASTIC ABOUT --
AND NOT WOULD ALLEVIATE A LOT OF
OUR CONCERN BUT UNFORTUNATELY
CMA DOES NOT APPLY TO CARES.
WE THANK YOU FOR CLARIFICATION.
OKAY CLARIFY EXACTLY WHAT YOU'VE
AT LEAST THAT OTHERS PEOPLE IN
OTHER STATES NOW ACCESSING
[inaudible]
CALIFORNIA PATIENT DATA EVEN FOR
SOMEONE POTENTIALLY HAS NEVER
LEFT THE STATE.
I MEAN WOULD SEEM A FLY TO THAT
DATA ME SUMMONED OF A TACTICAL
THREE SOME OF THE LAN PORTS FROM
THE TESTIMONY IF I MIGHT THROUGH
TO CHERISH.
CENTER IN THE SIMULATION.
THE ATTORNEY GENERAL IN
CALIFORNIA HAS PROVIDED THAT.
LONG.
THAT DAHLE LAW ENFORCEMENT --
CANNOT ACCESS PATIENT
INFORMATION.
WITHOUT A WARRANT.
AND THOSE RESTRICTIONS WOULD
APPLY TO ANYONE.
WHO IS OUTSIDE OF CALIFORNIA AS
WELL UNDER THE TERMS OF THIS
BILL?
THAT'S CERTAINLY THE FROST.
OF WHAT WHAT THE BILL --
WOULD DO GREAT THANK YOU AND
THERE'S CASE LAW.
THAT HAS DISCUSSED THE WHOLE
BALANCING ISSUE.
BETWEEN PRIVACY IN THIS AREA.
AND THE OPIOID CRISIS.
THAT IS IN FRONT OF US IN IT'S A
BALANCING TEST THAT HAS BEEN
DONE BUT TE ATTORNEY GENERAL.
HAS BEEN VERY CLEAR.
IN THE BALANCE THAT THEY HAVE
SAID THAT LAW ENFORCEMENT CANNOT
ACCESS.
PATIENT INFORMATION WITHOUT A
WARRANT AND THAT WOULD BE
APPLICABLE TO LAW ENFORCEMENT IN
CALIFORNIA.
OR LAW ENFORCEMENT IN NEVADA OR
LAW ENFORCEMENT.
IN ANY OTHER CITY.
MR PART OF THIS THANK YOU
[inaudible]
AFTER --
BRIEFLY RESPOND.
IF.
THAT WOULD BE CORPORATE OKAY
EARLY BUT MAKE SURE THE ALL THAT
WE HAVE.
THE INFORMATION I JUST WANTED TO
CLARIFY WHAT THE ATTORNEY
GENERAL HAS SAID AND IS NOT
ACTUALLY IN REGULATION OR IN
STATUTE BUT IN A POLICY THAT WE
BELIEVE THAT [inaudible]
BUT IT'S NOT ANYWHERE WRITTEN
THAT HAS TO BE DONE.
AYE THAT ONLY PATIENT DATA
REQUIRES A WARRANT THE PROBLEM
WITH THIS IS THAT PATIENT AND
PRESCRIBER DATA.
IS NO DIFFERENT SO IT'S ALL IN
ONE REPORT YOU CAN'T GET ONE
WITHOUT THE OTHER SO YOU.
CURRENTLY CAN'T SEE IF YOU PULL
PATIENT DATA YOU WOULD SEE WHAT
THE PRESCRIBER WHICH PRESCRIBER
WROTE IT WROTE THE PRESCRIPTION
FOR THEM.
YOU KNOW ALL THE INFORMATION
ABOUT A POSITION.
SIMILARLY IF YOU PULL PHYSICIAN
DATA YOU SEE ALL OF THE
PRESCRIPTIONS THAT THEY'VE
WRITTEN AND TO WHOM AND SO YOU
HAVE ACCESS ACROSS THE LINES.
AND THERE IS NO DISTINCTION
BETWEEN.
PULLING UP POSITION PULLING
POSITION DATA AND SUBSEQUENTLY
GETTING ALL OF THAT PATIENT
INFORMATION THAT WE BELIEVE
WOULD NEED A WARRANT.
I AND SO THAT IS THE THE PROBLEM
OF THE ENFORCEMENT OF JUST THE
PATIENT DATA WARRANT REQUIREMENT
[inaudible]
AND REQUIREMENT A USELESSLY
BECAUSE AGAIN IT IS NOT STATED
UNSTRUCTURED GROUPS.
WELL JUST ONE WORD FOR FINAL
FINAL FINAL WORD ON THAT UM OF
FIRST OF ALL PATIENTS DO HAVE AN
EXPECTATION OF PRIVACY.
PROFESSIONALS LICENSED BY THE
STATE OF CALIFORNIA.
DO NOT HAVE THAT SAME
EXPECTATION OF PRIVACY AND IN
TERMS OF THE COMMENTS ABOUT WELL
PATIENT DATA IS AVAILABLE --
THAT'S A SIMPLE MATTER OF
REDACTING THE NAMES OF THE
PATIENTS I MEXICO.
ELECTRONIC SLASH MECHANICAL OF
THING BUT WHAT YOU'RE TRYING TO
BE TALKED INTO TODAY.
IS THE PROVIDER SAYING ó WE
WANT PRIVACY TO AND THERE IS NO
SUCH EXPLICIT EXPECTATION OF
PRIVACY.
WE'RE GOOD THANK YOU OTHER
QUESTIONS.
HOWEVER TO CLARIFY IF SOMEONE
PULLS A REPORT [inaudible]
HERE'S FOR PROVIDER YOU'RE STILL
GONNA GET ALL THE PEOPLE THEY'RE
GONNA GET PATIENT DATA TO GET
WHO THEY PRESCRIBE.
TO SO THAT'S PATIENT DATA THAT'S
THAT BURNS I MEAN THAT IT DOES
US THOSE LETTERS AT PATIENTS
THOSE PATIENTS HAVE AN
EXPECTATION OF PRIVACY RIGHT
EVEN IF THERE.
PROVIDER SOMEHOW MAYBE INVOLVED
BE INVESTIGATED Y. RAILS THERE.
DOESN'T NEED [inaudible]
NOW WE DON'T WANT SOMEONE WHO
THEN THEY WENT AFTER PROVIDER
WHO THEY SUSPECT OF SOMETHING
NOW SAYING ó WELL GEE.
THIS LIKE THIS PATIENT WHATEVER.
THE IDIOT THAT YOU SEE THAT IT'S
AYE AYE IT'S GONNA BE VERY.
SO I HEAR WHAT YOU'RE SAYING
ABOUT.
DESCRIBERS IMPATIENCE BUT THE
THING IS UNLESS UNLESS THE
REPORT THAT THE PULLOUT FROM THE
COMPUTER IS PRE REDACTED I MEAN
EIGHT THAT THEY CAN'T SEE THE
PATIENT.
THE INFORMATION BUT RIGHT NOW IF
YOU HAVE SOMEONE USE THAT SAME
ESPECIALLY IF YOU'RE CUT ACROSS
SOMEONE.
ELSE SOME LAW ENFORCEMENT PERSON
IN NEVADA PULLS UP A REPORT WERE
TRUST LINES NOW GETS A WHOLE
LIST OF PATIENTS AND SEES A
PATIENT WHO LIVES IN NEVADA AND
GOES O..
THEY DO THAT PATIENTS UP TO
SOMETHING.
THAT'S WHAT GIVES SOLITAIRE AND
I IN.
OUR RESPONSIBILITY MONEY
CALIFORNIA ACTUALLY NEVER WENT
IN AND OUT AND SAYS WELL GEE OUR
OUR OUR RESPONSE TO BE THAT
WHERE YOU ARE [inaudible]
PULLING ESCRIBIR INFORMATION.
THAT IT IS.
ELECTRONICALLY FEASIBLE TO
SIMPLY REDACT.
THE NAMES OF THE PATIENTS
BECAUSE UNDER THE ATTORNEY
GENERAL'S GUIDELINES --
SAYS I JUST CLASS REGULARLY
BECAUSE THIS BILL COURSES ABOUT
CROSSING STATE LINES RIGHT IS IS
THERE.
FOR IS THEREFORE AN INQUIRY FROM
SOMEONE OCCURRED OUTSIDE OF
CALIFORNIA BECAUSE OBVIOUSLY WE
HAVE A SYSTEM FOR IN CALIFORNIA
OUTSIDE OF CALIFORNIA IF.
A LAW ENFORCEMENT OFFICIAL
OUTSIDE OF CALIFORNIA.
DECIDES TO THEN ACCESS THIS NOW
JOINT DATABASE BECAUSE NOW THEY
CAN GET INTO CURES.
WELL IT AUTOMATICALLY REDACT THE
NAMES OF ALL THE PATIENTS.
THEY PULL UP THAT REPORTS OF
THERE'S A PRESCRIBER.
AND IN CALIFORNIA WHO THEY
SUSPECT MAY BE ROVER PRESCRIBING
TO PEOPLE CRY IN ON THE VERDICTS
ARE CROSSING THE BORDER NOW THEY
PULL THAT PERSON'S STUFF.
UP HOLD THE CALIFORNIA PATIENTS
AT LEAST --
WHO MAY NEVER BEEN DID ABOUT A
GET THEIR NAMES AYE MAK REDACTED
THEY DON'T GET PULLED UP WITH
THAT REPORT THAT IS NOT THE CASE
CURRENTLY AND THAT IS ONE OF THE
AMENDMENTS THAT THE ACLU AT
LEAST I'M HAS SUGGESTED AS A?
POSSIBILITY FOR US.
IS THAT SOMETHING OF THE AUTHOR.
LOOKING AS IF IN TWO YEARS IS AS
I MENTIONED WE'RE HEADED TO
PUBLIC SAFETY COMMITTEE AND THEY
HAVE BEEN ENGAGED WITH
STAKEHOLDER CONVERSATIONS AND OF
WILL CONTINUE TO DO SO BUT AT
BUT WE HAVE IT BILL AT HAND IS
THAT WE'RE NOT CHANGING ANYTHING.
PRICES IT AS A SEPARATE ISSUE --
SLATE AND HAVE FOR THEIR
CONVERSATIONS BUT I WE'RE
TALKING ABOUT HERE IS VERY
SPECIFIC AND SO I THINK THESE
ARE A SORT OF EXOTIC
EXHILARATING.
ISSUES BUT HAPPY TO ADDRESS THEM
SADLY AS IT MOVES FORWARD ONLY
DIVISION LIEGE'S BRIEFLY SAY I
HOPE I'VE LOOKED. FORTY WORKING
THESE ISSUES OUT I THINK
PROTECTING THE PRIVACY OF
CALIFORNIA PATIENTS IS REALLY
IMPORTANT AND FROM A LAW
ENFORCEMENT PERSPECTIVE THAT'S
NOT A NATION WITHOUT A RIGHT AND
SO I'M GONNA LAY OFF THE BILL
TODAY HOPE.
THAT WHEN YOU'LL WORK THIS ALL
OUT BY PUBLIC SAFETY AND I CAN
VOTE FOR ON THE FLOOR BUT I I AM
VERY CONCERNED.
BUT ONE HEARING RIGHT NOW.
THIS IS THE MEDIAN THE ANALYSIS
TO TALK ABOUT THAT WISHES
PRIVACY PROTECTIONS IS CURRENT
LAW --
PROTECTION FOR PATIENT DATA
SPECIFIES THE OPERATION OF CURES
SHALL COMPLY WITH ALL APPLICABLE
FEDERAL AND STATE PRIVACY AND
SECURITY LAWS AND REGULATIONS
CURRENTLY.
IS THE WAITED BY H. AS SHE
SECTION ONE ONE ONE RIGHT EXCEPT
THAT CALIFORNIA'S PRIVACY LAWS
AS WELL AS HAVE BUT AREN'T
APPLICABLE TO CARES.
AND THEREFORE SAYING THAT WE'RE
GOING TO COMPLY THAT THIS WILL
COMPLY WITH PRIVACY LAWS IT'S
FABULOUS IF THEY APPLY.
BUT GIVEN THAT THEY DON'T APPLY
BECAUSE THE DEPARTMENT OF
JUSTICE IS NOT A COVERED ENTITY
UNDER EITHER OF THOSE TWO
STATUTES --
THOSE PROTECTIONS THE DONOR
ACTUALLY HEARD THAT BECAUSE
DOESN'T ACTUALLY PROVIDE MUCH
PROTECTION [inaudible]
IT WOULD.
BUT THANK YOU VERY MUCH FOR THE
COMMENTS AND FOR THE SUPPORT WE
WOULD LIKE TO CLOSE THE SHARE
LOW AND THE WE WILL CERTAINLY
ENTERTAIN A MOTION AT THE PROPER
TIME THANK YOU VERY MUCH I
RESPECT THAT'S RIGHT.
I THANK YOU SO MUCH FOR THE TEST
WE WILL NOW MOVE TO ITEM NUMBER.
FOUR AB SEVENTEEN FIFTY TWO BY
ASSEMBLYMEMBER LOW.
THANK YOU VERY MUCH AGAIN MISTER
CHAIR MEMBERS --
AGAIN WITH RESPECT THAT YOUR
DATABASE --
ADDING SCHEDULE FIVE A DRUGS TO
THE DATABASE AND ALSO REQUIRING
A FROM SEVEN DAYS REPORTING --
TO TWENTY FOUR HOURS TO ENSURE
THAT WE HAVE --
INFORMATION IN REAL TIME AND
RESPECT YOU VERY MUCH OF
WITNESSES IN SUPPORT.
MARY CAN WITH THE CALIFORNIA
DENTAL ASSOCIATION AGAIN A WE
ALSO STAND IN SUPPORT OF THE
SPELL OUT AGAIN.
LIKE MANY OF THE BILLS --
TRYING TO COMBAT THE OPIOID
CAUGHT CRISIS THIS YEAR --
CDA STANCE IN SUPPORT OF BILLS
THAT REALLY PROVIDE PROVIDERS
WITH MORE EDUCATION SO THEY CAN
MAKE THE BEST POSSIBLE DECISION
PRESCRIBER DECISION FOR THEIR
PATIENTS AND WE BELIEVE THAT
THIS IS ONE OF THE BILLS THAT
HOPE --
SUCCEED THAT GOAL* AGAIN
THANK YOU OTHERS IN SUPPORT.
THANK YOU MISTER CHAIRMAN BURTON
AGAIN ARE TO ME AFTER THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT OF AB.
SEVENTEEN FIFTY TWO WHICH IS ON
I THINK THE AUTHOR FOR THIS ONE
I THINK THAT IT MAKES ARE REALLY
NECESSARY CHANGE WITH THE FIVE
ONE BUSINESS DAY ARE THE TWENTY
FOUR HOUR REPORTING.
I A CLOSES CAN HAVE.
AND LOOPHOLE IN PRESCRIPTIONS
GETTING THAT ISSUED WITHIN RIGHT
NOW UP TO A WEEK AND NOT HITTING
THE DATABASE AND SO.
IT REALLY WILL ENSURE THAT
PRESCRIBERS HAVE REAL TIME
INFORMATION AND UPDATES AS TO
WHAT THEIR PATIENTS HAVE BEEN
RECEIVING.
AND WE THINK THAT IT MAKES A
GREAT CHANGE IN SUPPORT THAT I'M
VERY GOOD THANK YOU VERY MUCH
FOR THE SUPPORT OTHERS IN
SUPPORT OF AND JOHN ARE EIGHT OF
US ARE YA.
JOHN LEVEL ASSOCIATION OF DEPUTY
DISTRICT ATTORNEYS CALIFORNIA
ASSOCIATION CODE ENFORCEMENT
OFFICERS CALIFORNIA COLLEGE AND
UNIVERSITY POLICE CHIEFS.
CALIFORNIA NARCOTICS OFFICERS
AND THE LOS ANGELES COUNTY
PROFESSIONAL POLICE OFFICERS ALL
IN SUPPORT IN ALPHABETICAL ORDER.
AS ALWAYS THANK YOU.
OTHERS IN SUPPORT GOOD AFTERNOON
VIRGINIA HEROLD HELPING STATE
BOARD OF PHARMACY OFTEN VERY
STRONG SUPPORT THANK YOU.
SCHIRMER SCORES ALSO ON BEHALF
OF CALIFORNIA STATE SHERIFFS
ASSOCIATION SUPPORT THANK YOU.
TERMINAL MEMBERS MIKE MATTER
COME BEHALF OF CONSUMER WATCHDOG
AND CONSUMER ATTORNEYS A
CALIFORNIA STRONGLY SUPPORT THIS
BILL.
THANK YOU.
OUR PRICE DOUGHERTY AGAIN ON
BEHALF OF THE CALIFORNIA SOCIETY
OF ANESTHESIOLOGISTS AND SUPPORT
THANK YOU VERY MUCH.
TIFFANY MATTHEW SOME AFTER THE
CALIFORNIA DISTRICT ATTORNEYS
ASSOCIATION AND SUPPORT PRETTY
GOOD THANK YOU.
JENNIFER SUMMERS OF THE MEDICAL
BOARD OF CALIFORNIA AND SUPPORT
THANK YOU JENNIFER.
I SEE ONE MORE SUPPORT COMING.
GOOD AFTERNOON MARRIED THERE
WITH COUNTY BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION IN SUPPORT
WONDERFUL AND OTHERS IN SUPPORT.
IS ANYONE HERE IN OPPOSITION
PLEASE COME FORWARD.
GOOD AFTERNOON AGAIN.
THAT OFTEN IN AGAIN BECCA KRAMER
MATTER SO ON BEHALF OF A SILLY
OF CALIFORNIA ALSO AND AND
OPPOSE A MONTH AMENDED POSITION
FOR THAT SPELL.
AND I WON'T REPEAT OLIVER
REASONS FOR THINKING THAT
PRIVACY PROTECTIONS NEED TO BE
EXTENDED TO CARRIERS I'LL JUST
SAY THAT AS IT RELATES TO THE
SPELL.
AND WE THINK THAT THERE SHOULD
NOT BE ADDITIONAL PRESCRIPTIONS
GOING INTO CARE IS WITHOUT
PRIVACY PROTECTIONS.
TIPPER ATTACKED ON A
CALIFORNIANS AND WHEN SEARCHES
ARE DONE WITHIN THE STATE I'M
JUST AS WE THINK THAT PRIVACY
PROTECTION SHOULD BE EXTENDED
FOR NGUYEN.
MON FORSMAN AND STATE AGENCIES
ARE OUTSIDE OF CALIFORNIA'S
THIRTEEN THE DATABASE WE THINK
THAT THEY SHOULD ALSO BE
EXTENDED TO CALIFORNIA THE
ENTITIES.
THOUGH WHERE SHARON OPPOSE
UNLESS AMENDED UNTIL PET ISSUES
A DRASTIC YOU DON'T YOU.
OTHERS IN OPPOSITION.
IT AFTERNOON AGAIN CHAIR AND
MEMBERS DANIEL CANDOR KAISER ON
BEHALF OF THE ELECTRONIC
FRONTIER FOUNDATION.
I IN KEEPING WITH THE IS STILL
USE STATEMENTS WE ARE ALSO
OPPOSED LESSEN THANK YOU VERY
THANK YOU.
ANYWHERE ELSE IN OPPOSITION SEEN
NO ONE BRING IT BACK TO THE
CLINIC FOR US AND YOUR COMMENTS.
AND WE ARE STILL SHORT A QUORUM
SO OF WOULD YOU LIKE TO CLOSE IN
THIS --
CHAIR LOW THANK YOU VERY MUCH
AND I RESPECTFULLY ASK.
YOU VERY MUCH WE WILL ENTERTAIN
A MOTION AT THE APPROPRIATE TIME
WE'LL MOVE NOW.
TO ITEM NUMBER FIVE AB SEVENTEEN
FIFTY FIFTY THREE CARILLO THANK
YOU VERY MUCH MR CHAIRMAN
MEMBERS THIS IS WITH RESPECT TO
PRESCRIPTION PAD CONTROLS TO
ENSURE THAT.
WE HAVE THE TOOLS NECESSARY TO
TRACK DOWN MANY OF THESE
PRESCRIPTIONS HAS THAT MAY GET
INTO THE WRONG HANDS AND THEIR
SPECT ASK FOR A VOTE WE'RE GOOD
THANK YOU WITNESSES IN SUPPORT.
JOHN LEVEL CALIFORNIA NARCOTICS
OFFICERS ASSOCIATION AS WELL AS
THE OTHER LAW ENFORCEMENT GROUPS
AND IMMIGRATED.
ALL IN SUPPORT.
THANK YOU CAME AFTER SOME HALF
THE CALIFORNIA DISTRICT
ATTORNEYS ASSOCIATION AND
SUPPORT WONDERFUL THANK.
THEY MIGHT MATTER COME TO HAVE A
CONSUMER WATCHDOG CONSUMER
ATTORNEYS CALIFORNIA FINISHING
UP THE STRIFE ACT OF SUPPORT
THANK YOU.
AND DEVON THOUSAND AMERICA'S
PHYSICIAN GROUPS IN SUPPORT
THANK YOU.
BRENT SPENCER MAP ó CHIN AND
SPORT THANK YOU VERY MUCH.
FOR THE ABOUT ON BEHALF
CALIFORNIA LIFE SCIENCES
ASSOCIATION IN SUPPORT THANK YOU.
MARY THERE ON BEHALF OF THE
COUNTY BEHAVIORAL HEALTH
DIRECTORS ASSOCIATION IN SUPPORT
GOOD OTHERS IN SUPPORT.
IS THERE ANYONE IN OPPOSITION.
YOU KNOW ONE FOR HIS BACK THAT
YES LEFT PAN --
THANK YOU AND I APPRECIATE SOME
THE CHALLENGES IN TERMS OF THESE
PAPER PRESCRIPTIONS SECURE
PRESCRIPTIONS AND JUST THE ONE
THING I WANT TO BE SURE IS THAT
WE DON'T CREATE A SITUATION
WHERE.
ESSENTIALLY WE HAVE A GROUP OF
VENDORS WHO HAVE A LOCK ON THE
SITUATION AND THEN JACK UP
PRICES.
FOR DESCRIPTION PARENTS --
EVEN THOUGH WE DO HAVE A
BUILDING USED ELECTRONIC
PRESCRIPTION LATER ON WE HOPE WE
CAN MOVE INTO AS WELL --
SO CAN YOU JUST ADDRESS I MEAN
THIS ISN'T GOING TO CAP THE
NUMBER OF PEOPLE WHO CAN
[inaudible]
BE -- THEY
CAN ENTER NERVES WHEN I CREATE
ANY WE DO HAVE TO MEET STANDARDS
BUT THERE'S AYE AYE CAPTAIN
NUMBER PRINTERS THAT CAN
ACTUALLY --
BE --
PARTICIPATING IF SOMEWHAT ENTER
THE MARKET LOWER THE PRICE AS
WELL AS YES DISCREDITED AND HIS
PARTNER JUST OF A NOT IN THE IT
WILL BE ALLOWED TO REDUCE THE
AMOUNT OF PROGRESS SHOULD IT
IMPACT THAT THAT THAT.
THE DEMANDS A SO VERY.
COGNIZANT AND AWARE OF THE ISSUE
THAT YOU'VE ADDRESSED.
SO QUESTION CREEK MARATHON IT
LIMITS THE NUMBER OF VENDORS
ISN'T IT.
NUMBER OF VENDORS.
TO THREE THERE WAS CHANGES THAT
WERE MADE IN THE IN THE ASSEMBLY.
OF THAT OF OF ALLOWS FOR THE
DEPARTMENT OF JUSTICE TO COME UP
WITH THE TWO A JACKET ME BECAUSE
I AND THAT'S WHAT HAVE BEEN THE
SAME JOURNEY BUT WHEN I WAS
READING OF THOSE VENDORS
ASSEMBLY OF LESS VENDORS AND YOU
COULD GET A MONOPOLY AND COULD.
PRICE SO THAT'S WHY I'M JUST.
YES THANK YOU VERY SECOND
AMENDMENT SAID NO LONGER HAVE
THE CAFFEINE IN PLACE TO ADDRESS
MANY OF THE OUTSTANDING CONCERNS
AND RESPECTFULLY ASK PRIVATE.
A A ROSE ON ITEM NUMBER FOUR AB
SEVENTEEN FIFTY TWO IT WILL YOU
YOU ACCEPT HIM AND YES VERY
CARING THANK YOU VERY MUCH
APPRECIATE THAT.
WILL MOVE NOW TO ITEM NINETEEN
AB TWENTY FOUR OF CHIU.
PLEASE PROCEED TO THAT YOU VERY
MUCH MISTER CHAIR MEMBERS THIS
IS OF OF TO ALLOW FOR PRIVACY
PROTECTIONS FOR ADULT USE
CANNABIS AND TO ENSURE THAT.
AND INDIVIDUALS WHO ARE
CONSUMERS DO NOT HAVE THEIR
INFORMATION BEING SENT OUT OF
WITHOUT THE PERMISSION
RESPECTFULLY ASK PRIVATE FIGURE
THANK YOU WITNESSES IN SUPPORT.
PLEASE COME FORWARD.
ITEM NUMBER.
YEAH YOU MISTER CHAIR CHASING
RIGHT OF HAVE TO CALIFORNIA
GROWERS ASSOCIATION WE ARE IN
SUPPORT OF BILL AND WE'RE GOOD
THANK YOU.
MR MEMBERS RAND MARTIN ON BEHALF
OF CMG KHALIFA ONE OF THE
LARGEST PROVIDERS OF CANNABIS IN
THE STATE I'M IN SUPPORT THANK
YOU THANK YOU.
EMILY CHILD ON BEHALF OF ACLU OF
CALIFORNIA AND SUPPORT GOOD
THANK YOU VERY MUCH OTHERS IN
SUPPORT.
FISHER PARTLY I'M BEHALF OF MY
COLLEAGUE AMY JENKINS ON BEHALF
OF THE I TELL.
THE CIA ALSO IN SUPPORT WHERE
YOU THINK YOU IS THERE ANYONE
HERE IN OPPOSITION.
YOU KNOW ONE BACK TO THE
COMMITTEE.
ASSEMBLYMEMBER LOVE THINK YOU'RE
MY SISTER AND I ALSO WANT TO
INDICATE THAT THERE ARE TEXTUAL
MEN'S AUTHOR MEN'S AS WELL
BEFORE YOU SETTLE WITH RESPECT
IF YOU HAVE THE OPPORTUNITY
EXPECT TO ASK FOR A VOTE.
THANK YOU VERY MUCH WE WILL DO
THAT AT THE APPROPRIATE TIME I
SEE NO QUESTIONS OR COMMENTS
FROM THE COMMITTEE OF WOULD YOU
LIKE TO COMPOSE I THINK YOU GOOD
AND WE WILL.
DO THAT AND IT'S A PLEASURE
THANK YOU FOR BEING HERE
ASSEMBLY MEMBER.
THANK YOU VERY MUCH CHAIR HEALTH
CARE I DON'T NOT SURE IF WE HAVE
BEFORE YOU ASSEMBLY BILL.
TWENTY ONE THIRTY EIGHT OF
PRESENTED BY DO THEM AGAIN.
AND MIGHT WE HAS UP TO JUST TAKE
VERY GOOD AROUND HIM REMEMBER TO
YOU -- WERE
NEXT ON OUR LIST UNITY THAT
THANK YOU.
THANK YOU MISTER CHAIRMAN ALSO
THANK HER JOINT AUTHORED WHO
WILL -- ADD
A FEW WORDS --
AFTER MY INITIAL COMMENTS BUT
FIRST VERY MUCH APPRECIATE YOUR
CONSIDERATION OF THIS BILL TO
REDUCE BARRIERS TO OCCUPATIONAL
LICENSING.
LET ME FIRST START BY THANKING
YOUR COMMITTEE STAFF FOR THEIR
TIRELESS WORK IN THIS BILL AS
WELL AS TO CHEER FOR YOUR
DISCUSSIONS ON THIS AND SAY AT
THE OUTSET.
WE ACCEPT ALL OF THE SUGGESTED
AMENDMENTS LISTED IN THE
ANALYSIS.
IN CALIFORNIA THERE ALMOST EIGHT
MILLION PEOPLE CLOSE TO ONE IN
THREE ADULTS WHO HAVE AN ARREST
FOR CONVICTION RECORD.
OUR STATE HAS ONE OF THE HIGHEST
RECIDIVISM RATES IN THE COUNTRY
AND WE ALL KNOW THAT ONE OF THE
ROOT CAUSES OF RECIDIVISM IS THE
INABILITY OF EX OFFENDERS TO GET
A JOB UPON REENTRY.
AT THE SAME TIME ALMOST 30% OF
ALL JOBS REQUIRE A LICENSE A
CERTIFICATE BOARD APPROVAL BY
OVERSIGHT BOARD OR AGENCY FOR
ALMOST EIGHTEEN HUNDRED
DIFFERENT.
UP OCCUPATIONS WHAT THIS MEANS
IS EIGHT MILLION CALIFORNIANS
FACE SIGNIFICANT BARRIERS WHEN
SEEKING A LICENSE TO WORK AND
30% OF ALL JOBS.
EVEN WHEN THE ARREST HER
CONVICTION IS OLD IS UNRELATED
TO THE JOB WERE DISMISSED BY A
JUDGE.
THIS BILL PROPOSES TO ESTABLISH
A TRANSPARENCY LICENSING PROCESS
TO GIVE THESE CALIFORNIANS A
FAIR CHANCE AS IS THE CASE IN A
NUMBER OF OTHER STATES BY
PROHIBITING THE DENIAL OF THE
LICENSE ON THE BASIS OF A
NONVIOLENT.
WERE NON SERIOUS CONVICTION
OLDER THAN SEVEN YEARS UNLESS IT
IS SUBSTANTIALLY RELATED TO THE
DUTIES OF THE PROFESSION FOR
WHICH THE APPLICATION IS MADE.
FOR LICENSES UNDER THE
DEPARTMENT OF CONSUMER AFFAIRS
WHICH REGULATES OVER FORTY MAJOR
PROFESSIONS ARE BILL ALSO
REQUIRES BOARDS TO COLLECT
DEMOGRAPHIC DATA ABOUT WHO HAS
BEEN DENIED LICENSES.
ARE IN ORDER TO UNDERSTAND --
EXACTLY WHAT IS GOING ON I'D
LIKE TO NOTE THAT OUR BILL WITH
COMMITTEE AMENDMENTS NOW
REFERENCES FORTY THREE CRIMES
THAT ARE CONSIDERED SERIOUS
UNDER STATE LAW.
AND WOULD BE CONSIDERED OUR
COULD BE CONSIDERED BY LICENSING
BOARD AT ANY TIME.
WE KNOW THE INTENT OF OUR SYSTEM
IS REHABILITATION WE HAVE TO
WALK THE WALK IT'S IMPORTANT ARE
THAT IF WE ARE SAYING THAT WE
WANT TO REFILL TAPE PEOPLE.
AND THEN BLOCKING THEM FROM
ACCESSING JOBS THAT DOES MAKE
SENSE IN WITH THAT WANT TO TURN
IT OVER TO OUR JOINT AUTHORED
[inaudible]
VERY GOOD.
IT'S VERY MUCH MISTER CHAIRMAN
THANK YOU VERY MUCH --
TO SUMMER ISSUE AS WELL OF THIS
SIMPLY DOES TWO THINGS HAVE
REDUCING --
THE REGULATORY FRAMEWORK AND
ADDRESSING THE RECIDIVISM ISSUES
AS WELL SO HAVING ITS MULTI
PRONGED APPROACH IN RESPECTFULLY
ASK RIGHT VOTE GOOD THANK YOU
WITNESSES IN SUPPORT.
YES BUT MY NAME IS JAIL MYRICK
THANK YOU MISTER CHAIR IN --
COMMITTEE MEMBERS ON WHAT THAT
YOU SPEAK ME LAW CENTER AND WE
WERE ONE OF THE CO SPONSORS OF
THIS BILL BECAUSE OF A LOT OF
WHAT WE'RE SEEING WITH OUR
CLIENTS --
WHO WERE GETTING HIRED FOR JOBS
BEING A?
QUALIFIED FOR JOBS WITH BEING
DENIED ON THE LICENSURE --
PORTION OF AND I WANT TO
INTRODUCE LA ONE OF OUR CLIENTS
ON TO TELL HIS STORY REVIEW
THANK YOU MISTER HARVEY WELCOME.
THANK YOU ON CHERRY HILL ARM AND
COMMITTEE MEMBERS FROM IRAQI
SHARED MY STORY WITH YOU AND WHY
I THINK IT'S VERY IMPORTANT --
THIS A. B. BILL TWENTY ONE
THIRTY EIGHT TO ME AS WELL AS A
LOT OF OTHER PEOPLE OUT THERE.
IN NINETEEN NINETY EIGHT I
PASSED MY REAL ESTATE EGGS OUT.
AND NINETEEN NINETY NINE I WORK
FOR ONE OF THE LARGEST REALIST
COMMERCIAL STATE COMPANIES AND
THE SPACE --
Y. WAS WORKING FOR THAT ARM.
COMMERCIAL REAL ESTATE COMPANY
ELECTED PLAY OUT A FEW
ACHIEVEMENTS THAT I'VE EARNED --
I RECEIVE THE FASTEST ON REWARD.
FOR CLOSING THE FASTEST DEAL IN
THE COMPANY'S HISTORY WITHIN
THREE WEEKS I FINALLY SEE COSTA
DEL.
BETWEEN.
NINETEEN NINETY NINE TO TWO
THOUSAND FOUR I TRY EARNED
SEVERAL TOPPLED ON FULLER OF THE
MONTH AWARDS AND WE HAD ABOUT A
HUNDRED AND HUNDRED TWO HUNDRED
FIFTEEN SEASON BROKERS AT THAT
POINT.
I NEGOTIATED A DEAL IN
200-043-0000 SQUARE FOOT. THIRTY
YEAR DEAL THAT THE COMPANY SAW
THERE WAS IMPORTANT OFTEN THEY
ADVERTISE IT IN THE ON THE SPADE
BUSINESS TYPES.
SO.
A SINGLE MOMENT IN TWO THOUSAND
SIX I WAS CONVICTED FOR MISTER
BANNER DUE TO AN EXTREME
PERSONAL CIRCUMSTANCES.
I WAS ABLE TO TERMINATE THAT
PROBATION EARLY AND IT WAS AND
DOVE DISMISSED THE CONVICTION --
BECAUSE OF THE CONVICTION MY
LICENSE WAS IMPACTED.
IN MY CAREER OPPORTUNITIES IN
COMMERCIAL REAL ESTATE WAS
BASICALLY --
I HAD NO WORK OPPORTUNITY
COMMERCIAL REAL ESTATE.
SO SINCE THEN I'VE BEEN I'VE
BEEN TRYING [inaudible]
TO FROM.
GET BACK INTO THE REAL ESTATE
INDUSTRY BECAUSE THE PASSION OF
MINE.
DRIVE.
IT TWO THOUSAND NINE I ENDED UP
GOING BACK TO SCHOOL SO THICK I
COULD BECOME MORE MARKETABLE.
I ENDED UP GOING.
TO A GIVEN MY ASSOCIATE DEGREE.
AND AYE TRANSFERRED TO SEVEN
SCHOOL STATE UNIVERSITY WHERE I
GOT MY BACHELOR'S DEGREE IN
BUSINESS [inaudible]
AND SO WITH OVER FIVE YEARS OF
POLICING.
AND SALES IN ADDITION.
TO YEARS OF HIGHER EDUCATION.
THE DOOR TO MY SIDE WITH THAT
ONE MOMENT IN TIME.
THAT ONE MOMENT FIFTH
OVERSHADOWS EVERYTHING THAT I'VE
DONE AND ALL THE ACHIEVEMENTS
THAT I'VE BECAUSE I'M DONE.
AND JUST RECENTLY I TWO THOUSAND
EIGHTEEN I APPLIED FOR STUDY AND
PASS MY INSURANCE A LICENSE.
BUT NO RESTRICTIONS AND SO.
I JUST WANTED TO ARMED.
THANK YOU GUYS REALLY FOR ALLOW
ME TO DO THIS BECAUSE THIS IS
IMPORTANT TO ME A LOT OF OTHER
PEOPLE AND DISCOURAGE YOU GUYS
TO VOTE FOR THIS ALIEN MCCARTY
THANK YOU FOR BEING HERE AND
SHARING YOUR STORY THAT'S VERY
IMPACTFUL [inaudible]
THANKS.
OTHERS IN SUPPORT PLEASE COME
FORWARD.
AND I A CHILD ACLU OF CALIFORNIA
IN SUPPORT [inaudible]
THANK YOU.
THE GOOD MISTER CHAIR MEMBERS
MITCH SNIDER WITH CALIFORNIA
LABOR FEDERATION ALSO IT'S WORTH
THANK YOU.
MARIA GARCIA BEHALF OF THE
LANDSCAPE CONTRACTORS
ASSOCIATION IN SUPPORT MAKE YOU
VERY MUCH.
GOOD MORNING MY NAME IS SABINA
CRUSADING ON HERE ON BEHALF OF
LEGAL SERVICES REPRESENTS THE
CHILDREN ALL OF US ARE NINE
INSTITUTE.
THANK YOU.
ERICA KANE QUAN ON BEHALF OF
POLICY LINK IN THE ALLIANCE FOR
BOYS AND MEN OF COLOR IN SUPPORT
THINK YOU VERY MUCH.
REBECCA GONZALEZ NATIONAL
ASSOCIATION OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT.
THANK YOU.
MELISSA AND MO WITH SHAW USER
AND THREE ON BEHALF OF THE CITY
AND COUNTY OF SAN FRANCISCO IN
SUPPORT YOU THANK YOU VERY MUCH
OTHERS IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION PLEASE COME FORWARD.
I THINK --
GENTLEMAN ON THE SIDE IF YOU IF.
YOU COULD LISA.
IT WILL OF THEM TO SIT DOWN
THANK YOU.
THANK YOU AWAY.
WE'VE.
GOT AFTERNOON CARE HEALTH I'M
KIM MANSON I'M THE EXECUTIVE
OFFICER OF THE BOARD OF
BEHAVIORAL SCIENCES.
AND WE LICENSED PROFESSIONAL
CLINICAL COUNSELORS MARRIAGE AND
FAMILY THERE.
THERAPISTS AND CLINICAL SOCIAL
WORKERS AND EDUCATIONAL
PSYCHOLOGIST --
OUR BOARD I'M HAS ADOPTED AND
OPPOSE UNLESS AMENDED POSITION
ON THIS BILL.
WE RECOGNIZE THE IMPORTANCE OF
PROVIDING CAREER OPPORTUNITIES
TO PREVIOUSLY INCARCERATED
INDIVIDUALS.
YET THE PRACTICE OF
PSYCHOTHERAPY ONE ON ONE BEHIND
CLOSED DOORS WITH BOTH ROPES
CLIENTS REQUIRES A HIGHER LEVEL
OF SCRUTINY IN ORDER TO INSURE
OUR LEGISLATIVE MANDATE. TO
PROTECT CONSUMERS.
IF AB TWENTY ONE THIRTY EIGHT
WERE -- TO
SUCCEED AND BECOME LAW --
LOOKING AT OUR STATISTICS FROM
FISCAL YEAR SIXTEEN SEVENTEEN WE
RECEIVED OVER SEVEN THOUSAND
APPLICATIONS. FOR REGISTRATION
AND LICENSURE OUT OF THAT NUMBER
SIXTEEN WERE DENIED AND APPEALED
OUT OF THAT NUMBER FIFTEEN
INDIVIDUALS FOR PLACED ON
PROBATIN WITH SPECIFIC TERMS
AND CONDITIONS. ONE INDIVIDUAL
WHAT THE DENIAL WAS UPHELD.
UNDER AB TWENTY ONE THIRTY EIGHT
WE WOULD HAVE ONLY HAD THE
ABILITY TO DENY THREE OF THOSE.
APPLICANT THOSE INDIVIDUALS AND
SOME OF THE CONVICTIONS THAT --
WE WERE REVIEWING WHICH IS
CONCERNING THIS FORGERY
INSURANCE FRAUD --
ONE INDIVIDUAL HAD A FIFTY ONE
FIFTY HOLD RECOMMENDATION
ASSAULT WITH A DEADLY WEAPON
BURGLARY GRAND THEFT
EMBEZZLEMENT.
A AND INDECENT EXPOSURE AND
MULTIPLE PATTERNS OF DO YOU AYE
AND SUBSTANCE ABUSE --
AND THE SAME PATTERN WOULD
CONTINUE IF WE WERE TO LOOK AT
OUR SEVENTEEN EIGHTEEN STATS.
THE BOARD HAS RESPECTFULLY ASK
THAT WE BE REMOVED FROM THE BILL
TO THE NATURE OF OUR PROFESSION.
AND WE WOULD.
WE'RE VERY MUCH SUPPORT THE DATA
COLLECTION PROVISION OF THISBILL.
I'M SO THAT WE CAN EXAMINE OUR
TRENDS AND PERHAPS IMPROVE OUR
PROCESS.
AND SO ON I'M HERE TO ANSWER ANY
QUESTIONS YOU HAVE ANY
APPRECIATE THAT THE OTHERS IN
OPPOSITION.
WE GOOD AFTERNOON CHAIRPERSON
HELENA STEAM SENATORS --
THANK YOU FOR THE OPPORTUNITY TO
TESTIFY ON AB TWENTY ONE THIRTY
TODAY MY NAME IS DOMINIC FRIENDS
ALLAH AND I'M THE CHIEF OF
ENFORCEMENT FOR THE CALIFORNIA
BOARD OF ACCOUNTANCY.
WHO LICENSE SURVIVE PUBLIC
ACCOUNTANTS AND DOES SOME OF THE
LARGEST ACCOUNTING FIRMS?
ARE IN THE COUNTRY POLICY VIS A
BELIEVES THE AUTHORS AND THE
SPONSORS GOALS OF ENSURING
INDIVIDUALS WITH CERTAIN PRIOR
BAD ACTS.
ARE NOT IN SOME WAY PERMANENTLY
IMPEDED FROM OBTAINING LICENSURE
IS A VERY LAUDABLE GOAL AS LONG
AS ITS BALANCE WITH CONSUMER
PROTECTION.
OF THE AMENDMENTS OFFERED BY
THIS COMMITTEE STAFF GO A LONG
WAY TO ADDRESSING MANY OF THE
CONCERNS THE BOARD OF
ACCOUNTANCY HAD.
AND WE WOULD LIKE TO THANK
COMMITTEE STAFFER TAKING UP.
YET EVEN WITH THESE PROPOSED
COMMITTEE STAFF AMENDMENTS THERE
ARE SEVERAL KEY AREAS OF THE CBA
WOULD CONTINUE TO HAVE CONCERN
WITH.
OF WHICH I'LL JUST HIGHLIGHT ARE
A COUPLE --
THE PROPOSED AMENDMENT --
IT TENDS TO EXPAND THE TYPES OF
SERIOUS FELLER FELONIES TO
SERIOUS FELONIES ARM.
THERE'S REALLY NO DEFINITION AS
TO WHAT THAT IS AS IT WAS WITHIN
THE ORIGINAL --
BILL AND FOR THE BOARD OF
ACCOUNTANCY MANY OF THESE WOULD
BE LIKE FINANCIAL BASED CRIMES
WHICH WE WOULD HAVE SOME SERIOUS
CONCERN WITH THAT WOULD WANT TO
SEE BE INCLUDED IN THE BILL IN
SOME WAY.
OUR THE BILL ONTINUES TO
ELIMINATE A A BOARD'S ABILITY TO
DENY LICENSURE FOR ACTS OF
DISHONESTY FRAUD DECEIT OR OTHER
TYPES OF DENIAL --
WHICH SHOULD BE OUT WHICH ARE
CURRENTLY OFFER TO THE BOARD --
THERE'S FOR THE WATER COUNTY
COULD BE SUCH AS THE SECURITIES
EXCHANGE COMMISSION.
DENYING REVOKING INDIVIDUALS
ABILITY TO PRACTICE BEFORE THEM
YET BEEN ABLE TO APPLY FOR
LICENSURE AND I'LL BE OFFERED A
LICENSE HERE IN CALIFORNIA --
THE BILL WOULD ALSO PROHIBIT THE
BOARD FROM REQUIRING THE
LICENSEE TO SELF REPORT
CONVICTIONS AND RELY SOLELY ON
THE DEPARTMENT OF JUSTICE OUR
CRIMINAL OFFENDER RECORD
INFORMATION WHICH IS NOT ALWAYS.
ARE COMPLETE ALUM AND LASTLY THE
CBO BELIEVES SOME TYPE OF
DELAYED IMPLEMENTATION MAY BE
PRUDENT TO ENSURE THAT WE CAN
ADOPT ANY --
APPROPRIATE REGULATIONS OR AT A
MINIMUM --
MAKING SURE THAT ANY ARM
REGULATORY PROMULGATION OF ANY
REGULATIONS --
CAN BE CONSIDERED EMERGENCY
REGULATION IF NECESSARY.
BECAUSE OF THE CBA LOOKS FORWARD
TO WORKING WITH THE AUTHORS IN
THE SPONSORS ON THIS BILL BY
WITH A BALANCING OF THE GOALS.
THEY'VE STATED AS WELL AS
CONSUMER PROTECTION AND THANK
YOU VERY GOOD THANK YOU VERY
MUCH IN BEFORE WE GO ON TO THE
NEXT WITNESS THAT I COULD
ESTABLISH A QUORUM SINCE WE DO
HAVE WITH THE ASSISTANCE PLEASE
CALL THE ROLL.
WELL HERE BILL HERE FULLER
[inaudible]
ALAN [inaudible]
DODD.
I HEAR ALGIANI GALGIANI HERE
GLAZER HERNANDEZ FERNANDES HERE
PAN HERE CAN HEAR WELL.
VERY GOOD WITH ESTABLISHED A
QUORUM NOW PLEASE SAID OTHERS IN
OPPOSITION. FOR MORE WITH THEIR
BOARD PROFESSIONAL ENGINEERS
ANSWERS AND SHALL JUST WE
APPRECIATE THEIR AUTHORS OFFICE
AND STAFF REACHING OUT SEEKING
INPUT AND FEEDBACK ON THIS
PROPOSALS.
THE BOARD VOTED AND A FRAUD OR
BOARD MEETING TO OPPOSE THIS
BILL DUH MAY RIVER AMENDMENTS
AND THE MOST RECENT CONCEPTUAL
AMENDMENTS.
DO IT FROM THE COMMITTEE
ANALYSIS DO ADDRESS SOME OF THE
BOARDS CONCERNS.
HOWEVER THERE ARE SOME THEY'RE
RELATED TO THE GROUNDS WHICH
BOARD COULD USE THAT DENIAL
LICENSE.
SPECIFICALLY OUR FELONIES THAT
ARE RELATED TO PROFESSIONS
ABOARD REGULATES OUR FOR
CONSIDERATION SUCH AS FALSE
REPORTS DOCUMENTS THE PUBLIC
AGENCY FRAUD EMBEZZLEMENT AND
DIVERSION OF PUBLIC FUNDS.
WE WOULD --
WE'D BE OPEN TO CONTINUE WORK
WITH THE AUTHORS OFFICE TO WORK
ON ADDING THOSE THEM AND THINK
THAT'S HELPFUL IN TERMS OF THE
PUBLIC'S IT BEST INTERESTS THANK
YOU VERY GOOD THANK YOU VERY
MUCH.
JENNIFER SUMMERS OF THE MEDICAL
BOARD OF CALIFORNIA THE BOARD
AND IS CURRENTLY OPPOSED BUT WE
WANT TO THANK THE AND COMMITTEE
STAFF IN THE AUTHORS FIRST AND
TAKING THE MOMENTS LATER TODAY.
THE ADDRESS MANY OF THE BOARD'S
CONCERNS AND SO WE'RE GOING TO
BE TAKING THIS BILL BACK TOWARD
BORING JULY BUT WE DO THINK
THERE COULD STEP IN THE RIGHT
DIRECTION NUCLEAR GOOD THANK YOU.
JASON CLASSICAL WITH THE
CALIFORNIA BORDER PSYCHOLOGY ARE
WE CURRENTLY HAVE LESS THAN 1%
OF DENIAL RATE AND WE REMAIN IN
OPPOSITION TO THE VERY THANK YOU.
STACY BERMAN BOARD OF REGISTERED
NURSING A PORTRAIT OF HOUSE IN
LOS AMENDED POSITION ON THIS
BELT BUT WE DO APPRECIATE THE
AMENDMENTS HAVE IT MADE.
IN THE BILL AND WE LOOK FORWARD
TO WORKING WITH AT THE AUTHORS
OFFICE TO MAKE ADDITIONAL
CHANGES THANK YOU.
MISTER CHAIRMANRICHARD
MARCUSSEN ON BEHALF OF THE
WESTERN ELECTRICAL CONTRACTORS
ASSOCIATION OF PLUMBING HEATING
COOLING CONTRACTORS OF
CALIFORNIA.
CENTRAL CALIFORNIA SOUTHERN
CALIFORNIA.
ASSOCIATE BUILDERS AND
CONTRACTORS WERE OPPOSED TO THE
BILL WE THINK THE DEPARTMENT OF
CONSUMER AFFAIRS IS DOING A GOOD
JOB AT A PARTICULAR THE
CONTRACTORS STATE LICENSE BOARD
WILL LOOK AT THE AMENDMENTS
THANK YOU SIR.
THANK YOU VERY MUCH OTHERS IN
OPPOSITION.
SEEING NO ONE THING ABOUT THE
CAN QUESTIONS OR COMMENTS.
BOORDA WOULD LIKE TO RESPOND THE
ASSEMBLY VOTE SURE HAPPY TO WIN
AND AND LET ME START PREACHING
ACCEPTING ALL OF THEM AND
ABSOLUTELY AND I APPRECIATE YOUR
CONVERSATION --
LATE FRIDAY AND I KNOW THAT
AMENDMENTS --
WERE REALLY --
DISSEMINATED OVER THE LAST
TWENTY FOUR HOURS SO I THINK MY
COMMENTS ARE REALLY --
ADDRESSING THE STATE OF THE BILL
OF OF WHERE IT IS TODAY AND I
KNOW THAT --
WE'VE MET EXTENSIVELY WITH
OPPOSITION TO TRY TO ADDRESS IT
AND I THINK THAT THE MEMBERS OF
THE COMMITTEE ASKED FOR REALLY
GO LONG WAY OF DOING THAT.
LET ME JUST MAKE A COUPLE POINTS
ON THAT NOT INITIALLY THE THE
BILL THAT PASSED FROM THE
ASSEMBLY EXEMPTED VIOLENT
FELONIES WE'VE EXPANDED THE LIST
OF CRIMES. TO INCLUDE ANY CAMPUS
SERIOUS FELONIES.
THAT IS ACTUALLY DEFINED IN THE
CALIFORNIA PENAL CODE FELONIES
WOULD CHOIR AND I HEARD FROM
SOME OF THE INITIAL --
TESTIMONY FROM THE OPPOSITION --
THERE WERE A NUMBER OF CRIMES OF
VIOLENCE THAT WOULD ACTUALLY BE
CAPTURED UNDER THAT FROM ASSAULT
WITH A DEADLY WEAPON.
BURGLARY ECCENTRIC GO THROUGH
THE LONG LIST WE CAN PROVIDE
THAT -- TO
TO THE COMMITTEE IF THAT IS SO
DESIRED THE BILL THOUGH ALSO
SAYS THAT NOT ONLY --
IT NOT ONLY ARE CAN THOSE BILLS
BEACON CAN THOSE CRIMES BE
CONSIDERED A BUT ANY CRIME THAT
IS SUBSTANTIALLY RELATED TO THE
PROFESSION THE LICENSING BOARD
OF WHAT WE'RE TALKING ABOUT CAN
ALSO BE CONSIDERED.
THE BILL AS IT WAS PASSED BY THE
ASSEMBLY REQUIRED THAT THAT
NEXUS BE DIRECTLY UNIVERSITY
RELATED --
YOUR CHAIRMAN HAS ASKED US --
TO TO TO DRAW THAT CENTER DOWN
TO SUBSTANTIALLY RELATED I
BELIEVE THAT CRIMES ARE LIKE
FRAUD OR OR OTHER RELATED TO
YOUR PROFESSION.
UP WOULD BE ONE SET YOUR
PROFESSION COULD CONSIDER OUR
AND USE AS A BASIS TO DENY AND
THAT WAS ABSOLUTELY PART OF WHAT
WE'RE TALKING ABOUT.
I WOULD ALSO JUST MENTION THAT --
THE BILL IS PASSED BY THE
ASSEMBLY SAID THAT ALL
CONVICTIONS ARE THAT WERE FIVE
YEARS AND OLDER --
WOULD NOT BE CONSIDERED AGAIN
THIS COMMITTEE WOULD BE AMENDED
IT TO BE SEVEN YEARS SO SO --
WE'VE WE'VE MADE A NUMBER OF I
THINK VERY SIGNIFICANT
CONCESSIONS IN THE DIRECTION OF
WHAT WE'RE TALKING ABOUT.
ON THERE'S ALSO SUGGESTION I
THINK FROM SOME OF THE
COMMISSIONS THAT THIS DOES NOT
HAPPEN OFTEN AND PART OF WHAT
THIS BILL DOES IS IT REQUIRES
DATA FOR US TO UNDERSTAND THAT.
BECAUSE THERE ARE NO CLEAR
STANDARDS IN THE LAW WE KNOW
THERE MANY INDIVIDUALS OFTEN
DON'T EVEN APPLY FOR LICENSES
BECAUSE THEY BELIEVE THAT
THEY'RE GOING TO BE DENIED AND I
THINK PART OF THE POINT OF THIS
LOSS TO SAY.
THERE ARE CERTAIN CATEGORIES OF
NONVIOLENT NON SERIOUS OFFENSES
THAT ARE OLDER THAN SEVEN YEARS
ARE THAT ARE NOT SUBSTANTIALLY
RELATED TO THE JOB THAT
SOMEONE'S APPLYING.
FOR THAT SHOULD BE CONSIDERED
AND WE BELIEVE AGAIN THAT
ADDRESSES ARE JOB OF MAKING SURE
THATWE'RE PUTTING FOLKS TO WORK
ARE HOPEFULLY HELPING THEM GET A
LICENSE AND ADDRESSING CRIME AT
THE SAME TIME SO WITH THAT AGAIN
VERY MUCH APPRECIATE YOUR
CONSIDERATION.
AN ASTEROID OR GOOD THANK YOU
ASSEMBLY AND SENATE BILL THAT WE
HAVE A MOTION FROM SENATOR DODD --
PLEASE CALL THE ROLL.
SHE HAS TO PASS THE SENATE
PUBLIC SAFETY COMMITTEE HILL AYE
HILL AYE FULLER.
ALAN DOT AYE DODD AYE GALGIANI
[inaudible]
LASER [inaudible]
HERNANDEZ AND WELL.
THE BILL HAS TO VOTE TO END OF
WILL HOLD THE RULE OPEN FOR
ABSENT MEMBERS THINKING
PERSONALLY VERY MUCH WITH THE
TESTIMONY ASSEMBLY MEMBER LACKEY
ITEM NUMBER.
FOURTEEN AB TWENTY TWO FIFTY
FIVE WELCOME.
THANK YOU FOR YOUR PATIENCE.
THANK YOU MISTER CHAIR MEMBERS
FOR THE OPPORTUNITY PRESENT AB.
TWENTY TWO FIFTY FIVE WHICH IS A
BILL THAT IS AIMED AT PROVIDING
LAW ENFORCEMENT OFFICERS WHAT
THE GUIDANCE WHEN THEY COUNTER
CANNABIS DISTRIBUTOR.
OR DELIVERY DRIVER.
GOAL OF THIS BILL IS TO
AUTHORIZE AN OFFICER TO ISSUE A
FINE.
ON BEHALF OF THE BUREAU IF THE
DISTRIBUTOR DOES NOT HAVE A
PHYSICAL MANIFEST WITH THEM.
OR IF THEY FAILED TO SUBMIT THE
REQUIRED INFORMATION TO TRACK
AND TRACE.
THE BILL ALSO AUTHORIZES THE
FIND OF THE LICENSEE DOES NOT
HAVE THEIR DELIVERY REQUEST.
UNDER CURRENT LAW LICENSEES ARE
REQUIRED TO HAVE THESE ITEMS
WOULD TRANSPORTING CANNABIS.
THESE REQUIREMENTS ARE CLEAR
DISTINCTION THAT DIFFERENTIATES
BETWEEN ILLEGAL OPERATOR AND
THOSE BREAKING THE LAW.
WE WANT OFFICERS TO BE CHECKING
FOR THESE ITEMS.
SO THEY CAN EASILY MAKE THE
DISTINCTION.
OF THOSE WHO HAVE A LICENSE FROM
THE ILLICIT ACTOR.
WE ALSO WANT TO BE SURE THE
LICENSEES KNOW HOW IMPORTANT IS
TO FOLLOW THE REQUIREMENTS.
THAT IS WAY BE TWENTY TWO FIFTY
FIVE ALSO CRIMINALIZES
COUNTERFEITING A SHIPPING
MANIFEST.
AB TWENTY TO FIFTY FIVE ALSO
PROVIDES DIRECTION FOR HOW
OFFICER SHOULD RESPOND IN
SITUATIONS WHERE HERE SHE MAY
DISCOVER.
THE DIVERSION OF A PRODUCT UNDER
THE GUISE OF A LEGAL DISTRIBUTOR
LICENSE.
FIGURING OUT THE RIGHT POLICY
FOR THESE SITUATIONS IS A
CHALLENGE.
AND HAVE CONTINUED TO HAVE
DISCUSSIONS WITH THE INDUSTRY A
LAW ENFORCEMENT ABOUT HOW BEST
TO ADDRESS THE SITUATIONS.
I NOW TURN TO REPRESENTATIVE OF
ROOM CANNABIS DISTRIBUTORS
ASSOCIATION.
GOOD AFTERNOON MISTER CHAIRMAN
MEMBERS AARON OR WHAT A BEHALF
OF THE CANADA SITUATION
ASSOCIATION.
OF FIRST ONE I THINK THE AUTHOR
AND IS STAFF FOR ALL OF THEIR
WORK ON THIS IMPORTANT BILL IN
THIS I'M IMPORTANT ISSUE.
HOW WE FEEL THE PROVISIONS OF
THIS BILL WILL HELP ENSURE
LEGITIMATE LICENSE OPERATORS ARE
ACTING WITHIN THE LAW?
AND THEN ALSO SERVE AS A
DETERRENT FOR THOSE HIGH AND
LOOKING TO AVOID THEM.
AND AND FOR THOSE REASONS ARE IN
SUPPORT OF THE BILL VERY GOOD
THANK YOU NORWOOD OTHERS IN
SUPPORT.
WE COME FORWARD.
GOOD AFTERNOON DIDN'T GIVE ME
GOOD AFTERNOON MR TEAR MEMBERS
TRACY STEVENS ON BEHALF OF SOME
YUBA.
AND ALSO ON BEHALF OF THESE
SOLUTIONS AND STRONG SUPPORT
THANK YOU VERY GOOD THANK YOU
OTHERS IN SUPPORT.
IS THERE ANYONE IN OPPOSITION.
PLEASE COME FORWARD [inaudible]
MARTIN.
SHARE MEMBERS RAND MARTIN ON
BEHALF OF BLACKBIRD LOGISTICS ON
BLACKBIRD IS THE LARGEST
DISTRIBUTOR IN THE STATE OF
NEVADA AND IS A GROWING
DISTRIBUTOR HERE IN THE STATE.
OF CALIFORNIA WOULD MAKE TO OVER
ARCHING POINTS --
ONE IS RELATIVE TO HOW
ENFORCEMENT IS GOING TO BE
HANDLED UNDER --
UNDER STATE LAW AND THE BUREAU
CANNABIS CONTROL HAS CREATED A
WHOLE PANOPLY OF DISCIPLINARY
GUIDELINES INCLUDING --
FAILURE --
TO TO MAINTAIN YOUR SHIP
SHIPPING MANIFEST I'M AND OTHER
THINGS RELATED TO THAT.
AND WE THINK THAT THAT'S THE
APPROPRIATE MECHANISM --
INSTEAD OF CREATING AN OVERLAY
AS AB TWENTY TWO FIFTY FIVE DOES
WHICH IS YOUR ANALYSIS RIGHTLY
POINTS OUT IS ACTUALLY LESS THAN
WHAT THE ON BUREAU COULD IMPOSE
ON IT IN ITS A DISCIPLINARY
GUIDELINES.
ON WE THINK IT'S APPROPRIATE FOR
THE BUREAU TO BE MAKING
JUDGMENTS.
ACROSS A LARGE NUMBER OF
ACTIVITIES BY A LICENSEE --
RATHER THAN HAVING IT CASE BY
CASE.
AT FIVE HUNDRED DOLLARS A POP
WHICH FRANKLY FIVE DOLLARS
DOESN'T SOUND LIKE MUCH UNTIL
YOU'RE TALKING ABOUT A
DISTRIBUTOR THAT IS DOING.
THOUSANDS AND THOUSANDS OF OF
TRANSACTIONS A YEAR THAT ENDS UP
BEING I'M COULD END UP BEING A A
SIZEABLE A SIZEABLE PROBLEM.
ON WHICH WAS ACTUALLY THE SECOND
ABOUT A SECOND POINT ON THAT I
WANTED TO MAKE.
I'M SO WE WOULD ENCOURAGE YOU TO
DEFER TO THE BUREAU THE BUREAU
HAS IT IT'S IT'S EARLY IN TERMS
OF ITS ENFORCEMENT ACTIVITIES ON
WE DON'T KNOW THAT THERE'S A
PROBLEM YET I'M WE THINK WE
SHOULD WAIT AND SEE IF THERE'S A
PROBLEM WITH THE WAY THE BUREAU
DOES.
IT ON BEFORE WE BEGIN IMPOSING
ALSO LIKE TO MAKE IT CLOSE WITH
ONE FINAL POINT THERE'S A
HUNDRED AND TWENTY FIVE PAGES OF
REGULATIONS JUST FOR THE BUREAU.
THAT WERE FINALIZED AND RELEASED
LAST WEEK ON THIS IS THE ONLY
ONE THAT I'M AWARE OF IN WHICH
THERE IS A DISCRETE.
A BILL THAT'S INTENDED TO CREATE
A NEW PENALTY ON TOP OF WHAT THE
BUREAU CAN ALREADY DO ON FOR ONE
REGULATION IN THOSE HUNDRED
TWENTY FIVE PAGES.
WE DO NOT WANT TO SEE THIS BEGIN
A LAND RUSH.
ON NEW PENALTIES IMPOSED ON ANY
OF THOSE OTHER REGULATIONS AND
HUNDRED TWENTY FIVE PAGES THANK
YOU THANK YOU MISTER MARTIN
OTHERS IN.
OPPOSITION.
YOU KNOW AND BRING IT BACK FOR
QUESTIONS OR COMMENTS.
WHICH WRITE TO CLOSE ASSEMBLY
MEMBER YEAH CERTAINLY.
PRIOR TO JANUARY ONE WOULD
PROPOSITION SIXTY FOUR WENT INTO
EFFECT.
INTERACTIONS BETWEEN
DISTRIBUTORS A LAW ENFORCEABLE
CHALLENGING TO DEAL WITH.
BECAUSE IT'S NOT ALWAYS EASY TO
TELL IF THE ACTIVITY WAS LEGAL
OR NOT.
WITH THE STATE LICENSURE WE'RE
TRANSITIONING INTO A NEW ERA OF
ENFORCEMENT AND OFFICERS WILL
NOW NEED TO LEARN THE NEW RULES.
THIS BILL AIMS TO GIVE GUIDANCE
TO LAW ENFORCEMENT AND ALLOW
THEM TO DO THEIR JOBS WITHOUT
CAUSING UNDUE BURDEN TO LICENSE
DISTRIBUTORS ARE DELIVERY
DRIVERS.
LIKE ALL BILLS THIS WILL
CONTINUE TO NEED FURTHER
REFINEMENT WHICH IS WHY WORKING
WITH THE BUREAU LEGISLATIVE
COUNSEL AND STAKEHOLDERS TO
DETERMINE THE APPROPRIATE
LANGUAGE FOR THE BILL'S INTENT
AND LAST YEAR I VOTE THANK YOU
VERY MUCH MISTER LACKEY --
IN A MOTION.
WE'RE GOOD THANK YOU SENATOR
ALLEN FOR FOR THE MOTION WE HAVE
A MOTION TO PASS [inaudible]
TO PUBLIC SAFETY.
VERY GOOD CONTROLLABLE MOTION IS
TO PASS THE SENATE PUBLIC SAFETY
COMMITTEE HILL BY HILL AYE
FULLER.
ALAN.
ALLEN I DON I'D DODD AYE
GALGIANI GLAZER HERNANDEZ AND
WILL.
IF THREE VOTES IT WILL HOLD
RULED IN FOR THE HAVE YOU SIR
THANK YOU VERY MUCH.
ASSEMBLY MEMBER IRWIN I SEE YOU
HERE --
YOU'D.
PORTION REMEMBER COOLEY IS AT
THE END OF THE AGENDA TODAY
[inaudible]
HIS PATIENT.
INCLUDING FOR TO THE END.
WHO IT DESCRIPTIVE SIMMER
COVERED AREAS CAME IN SO YOU
GETTING FURTHER TO THE END?
THE THOUGHT POLICE RECEIVER NO
MOVE TO ITEM NUMBER SEVEN A. B.
NINETEEN ZERO SIX WHEW THANK YOU
VERY MUCH --
TODAY AFTER SIGNING A NINETEEN
OH SIX THE INTERNET OF THINGS
BOTTOM THAT PREVENTION ACT.
THIS BILL IS THE PRODUCT OF
EXTENSIVE COLLABORATION BY MY
OFFICE IN THE TECH INDUSTRY TO
ADDRESS A CRITICAL CYBERSECURITY
PROBLEM. ONE THAT IS ONLY
FORECASTED TO GET WORSE.
THIS BILL REQUIRES MANUFACTURERS
TO EQUIP CONNECTED DEVICES WITH
REASONABLE SECURITY FEATURES
THAT ARE APPROPRIATE TO THE
NATURE AND FUNCTION OF THE
DEVICE. TO PREVENT UNAUTHORIZED
REMOTE ACCESS OR USE.
BEFORE THIS HEARING I TOOK
AMENDMENTS CHANGING THE
DEFINITION OF MANUFACTURER TO
BETTER REFLECT MY INTENTOF
COVERING ALL CONNECTED DEVICES
SOLD IN CALIFORNIA.
BUT REQUIRING ACTION ONLY FROM
THOSE WHO ARE PART OF THE
MANUFACTURING PROCESS EITHER
THROUGH CONTRACT.
OR ACTUAL ASSEMBLY.
WHILE THIS ADDRESSES TO AN
EXTENT SOME OF THE OPPOSITION'S
CONCERNS THERE REMAINING
CONCERNS ASK FOR CHANGES THAT
MISCONSTRUE PROVISIONS OF THE
BILL AS A SAFE HARBOR.
THEIR COMPLAINTS OF REGARDING
THE WIDELY IS REASONABLE
REQUIREMENT AS UNWORKABLE ARE
MISPLACED AND WOULD LEAD TO BAD
PUBLIC POLICY BY INSERTING
INDUSTRY STANDARDS INTO THE BILL.
AND ELEVATING THEM MORE THAN
JUST PERSUASIVE EVIDENCE
ENFORCEMENT OF THE PROVISIONS OF
THIS BILL WILL END UP INCLUDING
THE JUDICIAL REVIEW OF INDUSTRY
STANDARDS TO INFORM.
OUTSIDE THEIR REASONABLENESS
UNDERSTANDING ADDING ANY
LANGUAGE REGARDING STANDARDS I
FEAR WILL HAVE UNINTENDED
CONSEQUENCES.
AND TIE THE HANDS OF OUR JUDGES
TO SUPPORT.
INNOVATION THIS MEASURE WHEN
ENACTED WILL SECURE ARE SMART
HOMES AND SMART CITIES FROM
BEING LEVERAGED AGAINST US AND I
RESPECTFULLY ASK FOR YOUR EYES.
VERY GOOD THANK YOU OTHER
WITNESSES IN SUPPORT.
WITNESSES IN OPPOSITION PLEASE
COME FORWARD UP VERY GOOD THANK
YOU NOT VERY GOOD [inaudible]
YOU HEAR [inaudible]
GOOD AFTERNOON [inaudible]
IT'S PRETTY.
THANK YOU I'M KEVIN MESSNER AND
WITH THE ASSOCIATION OF HOME
APPLIANCE MANUFACTURERS --
WE OPPOSE THIS BILL APPRECIATE
THE CHANGES ASSEMBLY WOMAN HAS
MADE ON THE DEFINITION OF
MANUFACTURING THAT IS HELPFUL
AND WE HOPE.
TO KEEP TALKING ABOUT THIS BILL
WHAT'S THINK IMPORTANT NOW
EMPHASIZE HERE'S GREW E
SUPPORTIVE JACKED IS OF THIS
BILL.
AND INDUSTRY WANT TO MAKE SURE
THAT THERE'S NO WEAK LINKS.
THE ISSUE WE HAVE I THINK MAYBE
A FUNDAMENTAL ISSUE AS WE DON'T
THINK THAT.
OLD SLOW MOVING THE LAW IS THE
BEST WAY TO KEEP AFTR
CYBERSECURITY.
THIS LAW MIGHT GO TOO FAR MIGHT
NOT GO FAR ENOUGH.
AND HAVING THIS DONE IN JUDGES
AND JURIES BY PATCHWORK OF
COURTROOMS WILL NOT.
REALLY KEEP ONE STEP AHEAD OF
CYBERSECURITY.
WHAT WE THINK THE BETTER WAY TO
GO IS TRUE NATIONAL CONSENSUS
STANDARDS?
WE THINK THAT'S A GOOD WAY
THAT'S WHERE THE TECHNICAL
EXPERTISE LIES TO BE.
FAST IN THIS AREA [inaudible]
WE'VE.
TALKED ABOUT THIS BEFORE --
WE'RE NOT QUITE THERE YET WE'VE
HAD SOME GOOD DISCUSSIONS WITH
SENATOR JACKSON ON THIS.
AND SO WE'RE HOPEFUL THINGS WILL
END UP LIKE THAT.
AS THINGS PROCEED.
THANK IT WHEN TO OTHERS IN
OPPOSITION.
I THINK TO THE CHAIR THE
COMMITTEE THAT TO THE AUTHOR FOR
HER WORK ON THE BILL SO FAR
AMAME STROKE COOK I AM WITH THE
CALIFORNIA MANUFACTURERS AND
TECHNOLOGY ASSOCIATION.
WE ARE OPPOSED TO THE BILL MUST
IT IS AMENDED WE HAVE TWO MAIN
AREAS OF CONCERN FIRST IS THE
DEFINITION OF MANUFACTURE.
OUT WHILE WE APPRECIATE THE WORK
THAT THE AUTHORS ON THE
DEFINITIONS THAT'S FAR WE STILL
HAVE A A A SERIOUS ISSUE WITH
THE WHOLE THAT THE BILL CREATES --
FOR THOSE WHO IMPORT AYE
INSECURE DEVICES AND OFFER THEM
FOR RESALE IN CALIFORNIA BUT
THIS IS A SERIOUS ISSUE AND
ACTUALLY THE SCORES OF THE
PROBLEM THAT THE BILL IS
INTENDED TO ADDRESS THE MORE I
THOUGHT IT WAS CAUSED.
BY DEVICES THAT WERE IN PORTED
FROM CHINA FROM SOUTHEAST ASIA I
AM FROM SOUTH AMERICA --
ALSO HE REFERENCE YOUR YOUR
COMMITTEE NOW. FOR THE COMMITTEE
ANNOUNCES REFERENCES AT THE
TRAIN THAT --
WEBCAMS THOUGH THEMSELVES ARE
WORK DEVICES THAT WERE IMPORTED --
BY A RETAILER AND RESOLD IN
CALIFORNIA SO WITHOUT INCLUDING
IN THE DEFINITION OF
MANUFACTURER --
THOSE THAT IMPORT DEVICES THAT
THE SOURCE FROM ELSEWHERE AND
RESELL THEM WE ACTUALLY ARTS
SOLVING THE CYBERSECURITY
PROBLEMS ALL THAT WE'RE DOING IS
CREATING AND PUTTING OUR
COMPETITIVE DISADVANTAGE THERE.
FOR OUR DOMESTIC MANUFACTURERS
WHO ARE GOING TO COMPLY WITH
THIS AND SPEND THE MONEY TO
SECURE THE DEVICES.
OUR OUR SECOND ISSUE IS THAT
WE'RE LOOKING FOR A PATH TO
COMPLIANCE AND WE ARE LOOKING --
FOR SOME SECURITY THAT WHEN WE
SPEND MILLIONS TO SECURE THESE
DEVICES AND WE ARE DESIGNING TO
FIT A IN INDUSTRY STANDARD A
NATIONAL CONSENSUS STANDARD OR
OTHER PUBLIC GUIDANCE.
THAT WE HAVE SOME SECURITY THAT
WE WON'T BE LIABLE --
TEN YEARS DOWN THE LINE THIS IS
VERY SIMILAR TO A STANDARD THAT
WE SEE AT THE FEDERAL LEVEL --
THAT IMPLEMENTED BY THE FTC AND
SO WERE ASKING FOR HERE WE
SUGGESTED A GOOD FAITH DEFENSE
THAT THAT IF WE DO COMPLY WITH
THE STANDARDS THAT EXIST.
WE WILL BE LIABLE UNDER THE BILL --
IF THERE ISN'T SUCH A STANDARD
THAT WE DO REFER BACK TO THE
REASON MOST MISSTEP IT IS
ALREADY IN THE BILL WE DON'T
HAVE AN ISSUE WITH THAT WE'RE
LOOKING FOR IS A A PATH THAT WE
CAN SAY THAT.
WE'VE MET SOMETHING AHEAD OF
TIME.
SO FOR THOSE REASONS WERE WERE
ASKING FOR IT'LL TEAM THANK YOU
THANK YOU OTHER OPPOSITION.
BETTER INFORM BEHALF OF THE
ALLIANCE OF AUTOMOBILE
MANUFACTURERS WE'VE HAD
PRODUCTIVE CONVERSATIONS WITH
THE AUTHORS OFFICE BUT REMAIN
CONCERNED ABOUT APPLICATION
MOTOR VEHICLES.
UNIT THERE ALREADY IS AND IT'S A
GUIDANCE ON CYBERSECURITY WE
THANK YOU OTHERS IN OPPOSITION.
YOU KNOW ONE GREEN BACK TO THE
TRUTH IT EVER AGAIN YOU DID
ACCEPT THE LIMITS THAT ARE
OUTLINED IN THE LAST ANALYSIS
THANK YOU --
IN ONE OF THE ARGUMENTS AS TO
WHO'S BEEN MATE IS THE ISSUE OF
COMPETITIVENESS IN.
BUT IN CALIFORNIA IS YOU KNOW
OUR ALLOWING A FOREIGN ENTITY TO
OR MANUFACTURER TO DO SOMETHING
THAT WE WOULD NOT BE ALLOWED TO
DO AND THEN AND WE ADDRESS THAT
WITH WE THINK THAT WE ADDRESS
THAT WITH THE AMENDMENTS BECAUSE
THERE IS NO INTENTION AT ALL.
TO DISADVANTAGED CALIFORNIA
MANUFACTURERS AND WE BELIEVE
THAT WE ADDRESS THAT.
I WOULD LIKE --
TO ALSO SAY THAT NO BUT WE
STARTED ALL.
I WITH THE TECH COMPANIES AND
SAID THIS HAS ISN'T IT ISSUE
THAT DEFINITELY NEEDS TO BE
ADDRESSED IF IF IF YOU LOOK AT
ALL THE ATTACKS THAT ARE GOING
ON THE ATTACKS OF THESE AYE OR
TWO DEVICES.
SO WE WORKED VERY HARD TO MAKE
SURE WE ATTACK THAT SUPPORT.
AND GROUPS THAT WERE INITIALLY
IN OPPOSITION THE CHAMBER --
NATIONAL ADVERTISERS THE
CALIFORNIA RETAILERS COMP HERE
AND CTIA [inaudible]
UGH.
I THINK THAT ON MY GLASSES ON
STUDIES ALL GROUPS THAT WE HAVE
WORKED WITH WE'VE HAD MANY MANY
DIFFERENT --
CHANGES TO THE BILL TO MAKE SURE
THAT WE ARE ADDRESSING --
THE ISSUE IF THEIR ISSUES AND WE
THINK THIS IS A VERY GOOD
COLLABORATIVE.
AT ISSUE.
WE DID NOT DO A SAFE HARBOR
BECAUSE I THINK IT'S VERY
IMPORTANT THAT WE ALLOW
INNOVATION AND IT IT WILL WOULD
BE IF THIS IF CASES COME TO
COURT IT'S UP TO THE JUDGE TO
LOOK AT WHAT THE CURRENT
STANDARDS ARE.
AND TO MAKE A DECISION ABOUT --
SAFE --
REASONABLENESS OF THE OTHER
THING WITH THE AUTO
MANUFACTURERS AND PEOPLE LIKE --
MEDICAL DEVICE MANUFACTURERS IF
THERE ARE FEDERAL STANDARDS THAN
THIS BILL DOES NOT APPLY TO THEM
SO NOT.
IF THERE WERE FEDERAL STANDARDS --
FOR THE SPECIFIC DEVICES THEY'RE
TALKING ABOUT IT THEY'RE VERY
INTERESTED IN THE NEW STANDARDS
THEN -- THEN
THAT THOSE THOSE REGULATIONS WAY
AND TAKE PLACE OF OF THIS BILL.
VERY GOOD I'LL TAKE THAT ISSUE
CLOSER WONDERFUL THANK YOU VERY
MUCH YOU.
HAVE BE HAPPY TO ENTERTAIN A
MOTION.
A MOVE THANK YOU VERY MUCH WE
HAVE A MOTION FROM SENATOR DODD
PLEASE HOLD.
MOTION IS TO PASSED THE SENATE
JUDICIARY COMMITTEE HEALTH I
FEEL I'VE FULLER ALAN.
ALLEN AYE DODD AYE DODD AYE
GALGIANI GLAZER HERNANDEZ AND
WILK.
WITH THREE VOTE TO UPHOLD THE
RULE OPEN FOR ABSENT MEMBERS
THANK YOU VERY MUCH FOR YOUR
TESTIMONY TODAY CAN REALLY
APPRECIATE THAT THANK YOU.
ASSEMBLYMEMBER CUT IT OFF.
WE DO ITEM NUMBER.
TWELVE AB TWENTY ONE FORTY THREE
WELCOME.
THANK YOU VERY MUCH.
PLEASE PERSONALLY.
LOOK YOU.
THANK YOU VERY MUCH MISTER
CHAIRMAN AND SENATORS I AM
PLEASED TO PRESENT A BE TWENTY
ONE FORTY THREE WHICH WOULD
INCREASE ACCESS TO PSYCHIATRIC
SERVICES.
PARTICULARLY IN RURAL CALIFORNIA
BY PROVIDING AN INCENTIVE FOR
CURRENTLY LICENSED MENTAL HEALTH
PROFESSIONALS THE GAME MENTAL
TRAITS.
MEDICAL TRAINING USING EXISTING
TRAINING PROGRAMS.
AS YOU KNOW CALIFORNIA'S FACING
A SHORTAGE OF MENTAL HEALTH
PROFESSIONALS WHO CAN PROVIDE
ACCESS TO PSYCHIATRIC SERVICES.
THERE SIMPLY AREN'T ENOUGH
GRADUATING PSYCHIATRISTS TO MEET
THE CURRENT DEMAND. ONE IN FOUR
PSYCHIATRIST POSITION IN COUNTY
MENTAL HEALTH PROGRAM STATEWIDE
ARE VACANT.
SOME ESTIMATES INDICATE THAT
DURING ANY ONE YEAR 2225% OF THE
POPULATION WILL BENEFIT FROM
MENTAL HEALTH SERVICES.
AND 50% OF THE POPULATION OVER
THEIR LIFETIME WILL REQUIRE THE
SERVICES.
IT IS CRITICAL THAT WE ADDRESS
THE CURRENT AND FUTURE NEEDS OF
OUR CITIZENS PARTICULARLY IN
UNDERSERVED AREAS.
THIS BILL AMENDS STATUTES FOR
EXISTING STATE PROGRAMS SUCH AS
THE MENTAL HEALTH LOAN
ASSUMPTION PROGRAM. TO ALLOW
DUAL STATUS TRAINEES MADE
MEETING CERTAIN CRITERIA TO BE
ELIGIBLE FOR STUDENT LOAN
REPAYMENT IF THEY ARE WILLING TO
WORK AND UNDERSERVED RURAL
COMMUNITIES.
THESE INCENTIVES WILL HELP FIND
AN ATTRACT DULY LICENSED.
PHYSICIAN'S ASSISTANTS AND
PSYCHIATRIC MENTAL HEALTH NURSE
PRACTITIONERS TO UNDERSERVED
COMMUNITIES.
CURRENT LOAN REPAYMENT PROGRAMS
THESE PROFESSIONALS QUALIFY FOR
HAVE NO EMPHASIS ON WORKING IN
PUBLIC MENTAL HEALTH FACILITIES.
TO ALLOW PHYSICIAN ASSISTANTS
AND PSYCHIATRIC MENTAL HEALTH
NURSE PRACTITIONERS TO BE
ELIGIBLE. FOR THE MENTAL HEALTH
LOAN ASSUMPTION PROGRAM IS
CRITICAL TO EXPANDING
PSYCHIATRIC SERVICES TO THOSE
WITH MEANT MENTAL ILLNESS WHICH
WILL LEAD TO REDUCE WAIT TIMES
FOR APPOINTMENTS AND MOST
IMPORTANTLY.
EARLIER EVALUATION AND TREATMENT.
WE ALL KNOW THAT THEIR FAMILIES
STRUGGLING TO FIND MENTAL HEALTH
SERVICES FOR THEIR CHILDREN'S
CHILDREN ADOLESCENTS PARENTS AND
ELDERLY.
THIS BILL IS A MODEST ATTEMPT TO
CLOSE.
IN MENTAL HEALTH SERVICES AND I
ASK FOR YOUR AYE IN SUPPORT OF
THIS BILL GOOD THANK YOU WILL
GIVE --
WITNESSES IN SUPPORT MISTER
CHAIRMAN RENTAL HAGER FOR THE
CALIFORNIA PSYCHIATRIC
ASSOCIATION WE ARE THE SPONSORS
OF THIS BILL.
AND I THINK THERE'S NO DOUBT
THAT MOST PEOPLE UNDERSTAND THAT
THIS ACCESS TO PSYCHIATRISTS IS
VERY DIFFICULT AND PARTICULARLY
AND UNDERSERVED AREAS --
AT HAND ALSO AS IT AND COUNTY
DEPARTMENT OF MENTAL HEALTH --
EVEN IN SOME OF THE MORE URBAN
AREAS.
WE HAVE --
SUCH A PSYCHIATRIC POPULATION
THAT IS GRAIN 60% OF
PSYCHIATRISTS WILL BE SIXTY FIVE
OR OLDER WITHIN THE NEXT TEN
YEARS.
WE KNOW WE HAVE TO SEEK
SOLUTIONS RIPPLE THE OBVIOUS
SOLUTION IS TO EXPAND RESIDENCY
PROGRAMS.
AND WE GOT A LITTLE BIT OF MONEY
IN THE BUDGET I'LL HOPEFULLY THE
GOVERNOR WILL SEE FIT TO SIGN.
THE BILL THAT DOES PROVIDE FOR
SOME MORE GRADUATE MEDICAL
EDUCATION BUT WE HAVE TO SEEK A
RAY AN ARRAY OF OF SOLUTIONS AND
THIS IS --
ONE LOAN REPAYMENT PROGRAMS ARE
TESTED --
THE NURSING --
PRACTICE PROGRAMS ARE.
WELL ESTABLISHED AS IT RPA
PROGRAMS WE'RE TRYING TO JUST
CREATE A LITTLE BIT EXTRA
INCENTIVE HERE FOR PEOPLE WHO
ARE ALREADY LICENSE.
AS MENTAL HEALTH TRAINEES --
IN THE PSYCHOTHERAPY POSSESS
PROFESSIONS TO ENCOURAGE THEM TO
GO ON IN GAME MEDICAL SKILLS --
THEN THEY WOULD HAVE THE
ADVANTAGE OF BEING A SETTINGS.
THAT --
DESPERATELY NEED THEM.
SO I THINK IT'S A IT'S AN
INNOVATIVE --
CONCEPT TO TRY TO DO IT THIS WAY --
WE ARE VERY COMMITTED TO
INCREASING ACCESS TO PSYCHIATRIC
SERVICES IN THIS BILL.
AYE DOES JUST THAT THANK YOU FOR
YOUR TIME AND THANK YOU FOR YOUR
QUESTION FOR YOU EFFECTIVELY
COULD -- IF
YOU LOOK TO THE ANALYSIS AND SAW
THERE WERE QUESTIONS WHETHER.
THIS COULD NOT ALREADY BE DONE.
YES ARM OF THE IT WAS A SURPRISE
TO US AFTER WE'VE INTRODUCED A
BILL TO FIND OUT THAT LEDGE
COUNCIL HAD THE SAME.
HOWEVER --
IN ART DOING OUR SURVEY OF OF OF
THE EFFECTIVE PROFESSIONS --
OF THE LICENSING BOARDS --
OF MANY OF THE COUNTIES NOBODY
SEEMED TO BE AWARE OF THIS
PROVISION.
SO OUR BILL IS BY WAY OF
CLARIFICATION IT DOES KIND OF
UNDERLYING IT UNDERSCORED AT
THIS CAN BE A PRACTICE.
AND WE'RE JUST HOPING TO GET THE
MESSAGE OUT THERE MAKE IT VERY
CLEAR I MEAN HARSH BUT ALREADY
UNDERSTAND THAT THEY CAN DO THIS --
AND YOU KNOW I THINK THAT WOULD
BE HELPFUL GRIP IT JUST VERY
GREATLY HELPFUL.
THANK YOU VERY MUCH CREATED THE
RESPONSE.
OF OTHER WITNESSES IN SUPPORT
PLEDGE MISTER CHAIR TOM RENT
FREE WITH THE COUNTY BEHAVIORAL
HEALTH DIRECTORS ASSOCIATION IN
SUPPORT THANK YOU.
MR MEMBERS TO MADDEN RIBS IN THE
CALIFORNIA CHAPTER OF AMERICAN
BECAUSE EMERGENCY VISIONS IN
SUPPORT THANK YOU MATT.
KELLY BRICKS ON BEHALF OF THE
ROLE COUNTY REPRESENTATIVES OF
CALIFORNIA AND THE ASSOCIATION
CALIFORNIA HEALTHCARE DISTRICTS
HERE IN SUPPORT THANK YOU.
WITH HIM WE ARE GO WITH THE SAME
BEGIN STUDENT SUPPORT THANK YOU.
BLESS EM ON BEHALF OF THE
CALIFORNIA ACADEMY OF CHILD AND
ADOLESCENT PSYCHIATRY IN SUPPORT
THANK YOU VERY MUCH --
A IS THERE ANYONE HERE IN
OPPOSITION.
ROSEANNE HOMES REPRESENTING THE
BOARD OF BEHAVIORAL SCIENCES THE
BOARD IS TAKEN AND OPPOSE A LOS
AMENDED POSITION ON THIS BILL --
BASICALLY THE BOARD A SUPPORTIVE
OF THE CONCEPT OF NURSE
PRACTITIONERS IN POSITIONS
ASSISTANCE TO PRACTICE MENTAL
HEALTH.
BEING ALLOWED TO PARTICIPATE IN
THE GRANT PROGRAM --
AS LONG AS THE FUNDING SOURCE --
IS PAID IN BY THOSE LICENSE.
THE BOARDS LICENSE TYPES PAYS A
FEE INTO THE FUND AND THAT THEY
ARE CORRESPONDINGLY ELIGIBLE FOR
THOSE FUNDS PAID BY EACH OF
THEIR LICENSE TYPES --
BUT THE THE NEED FOR THE BILL'S
LITTLE PUZZLING ON THE WAY THE
LAW READS IF A NURSE
PRACTITIONER OR PHYSICIAN'S
ASSISTANTS WAS DULY LICENSED BY
OUR BOARD OF THE MARRIAGE AND
THEIR FAMILY THEIR FOSTER OF
CLINICAL COUNTS.
ALREADY ON THEY WOULD ALREADY BE
ELIGIBLE --
FOR FURTHER THE PROGRAM IF THEY
WORKED IN A QUALIFYING SETTING --
SO DESPITE HOW BY FACT OF HAVING
ONE OF OUR LICENSE TYPES WHICH
THE BOARD WHAT'S THE BILL
SPECIFIES REQUIRED TO QUALIFY
HERE THEY WOULD ALREADY BE
ELIGIBLE FOR THE PROGRAM --
AND THE BOARD ALSO RESPECTFULLY
REQUESTS IN A PREVIOUS VERSION --
OF THE BILL IF THE BILL WERE TO
MOVE FORWARD THAT --
THE BOARDS LICENSED EDUCATIONAL
PSYCHOLOGISTS WERE PREVIOUSLY
INCLUDED IN THE PULSE WE WOULD
RESPECTFULLY REQUEST THEY BE
INCLUDED AGAIN AS WELL
[inaudible]
IF YOU.
THERE'S IN OPPOSITION. THREE
DIFFERENT BOARD OF PSYCHOLOGY
AND WHERE I MOSTLY CONCERNED
THAT IT PROVIDES --
ACCESSED IS ALREADY SMALL FUNDS
WE JUST GOT AN INCREASE IN THE
FUND LAST YEAR ON THE PSYCHOLOGY --
PSYCHOLOGISTS HAVE A SMALLER
MOUNTAIN ARE FUN AS WELL I'M SO
ADDITIONAL.
DIVERSION OF THOSE FUNDS THAT'S
MOSTLY WHAT ARE CONCERNED ABOUT.
IS ABOUT BUT WE DO --
RECOGNIZE THAT RIGHT NOW EVEN
WITH THE IT'S PROBABLY.
NO WAY IF YOUR DUAL LICENSE YOU
WOULD BE ABLE TO ACCESS THE
FUNDS SO OUR PRIMARY CONCERN WAS
THE FORMERLY LICENSED BY.
THANK YOU FOR THE FOR THE
TESTIMONY THERE IS IN FOR MEMBER
THERE WAS OF FEE.
REQUIRING THE FUNDS THAT ARE NOW
GOING IN ONE DIRECTION THAT
WOULD APPLY TO THE OTHER
PROFESSIONS AS WELL IN THE GRANT
PROGRAM NOT JUST SPECIFICALLY
FOR THOSE WHO ARE CURRENTLY.
UP BENEFITING FROM IT IS THAT.
IS THAT DEVELOPER CREATED.
PROP TWO EIGHTEEN TRAINED WHERE
YOU'RE TAKING MONEY FROM ONE
PARTICULAR PROFESSION AND NOT
REQUIRING.
OTHER PROFESSIONS TO BENEFIT
FROM THAT.
AND I DON'T KNOW AN ANSWER MY
ANSWER TO THAT IS THAT THESE ARE
CURRENT LICENSEES AND OTHER
RESTRICTED TO THE FUNDS PADIAN
BY THAT CATEGORY OF LICENSEES.
SO -- WE
ANTICIPATE THAT THOSE
INDIVIDUALS WOULD MAINTAIN THEIR
LICENSE HERE EVEN THOUGH THEY
NOW ON AT A FUTURE DATE WILL BE --
TRAINED AND THEN LICENSE AS AS
ANOTHER KIND OF PRACTITIONER IN
ON THE MEDICAL SIDE.
SO I'M NOT SURE THAT I SEE THAT
THERE'S A DIFFICULTY HERE BUT I
COULD BE WRONG.
IT AND AND I MAY BE AS WELL SO
IT WOULD BE INTERESTING TO SEE
IT WHEN THIS THE PLACE OUT WHERE
IT WHERE THAT WOULD GO WITH
OTHERS IN OPPOSITION.
THE KNOW ONE THING IT BACK TO
OUR COMMITTEE.
FOR WE HAVE A MOTION WOULD YOU
LIKE TO CLOSE I'M SORRY.
WHEN IS THAT HER OWN CAN SIMPLY
HOW THESE NEGOTIATIONS HAVE GONE?
CREATING THESE FOLKS THE BILL.
YEAH I'M SORRY I DIDN'T
UNDERSTAND THE QUESTION.
THEY SO YOU'RE WORRIED ABOUT THE
BILL NOT BEING [inaudible]
INCLUSIVE ENOUGH.
THE RIGHT ONE OF THE EARLIER
PROVISIONS HAVE THE BOARDS
LICENSE EDUCATIONAL
PSYCHOLOGISTS --
INCLUDED IN THE PROGRAM THERE OF
WHAT THE BOARD HAS FOR LICENSE
TYPES EDUCATIONAL PSYCHOLOGISTS
ARE NOT IN CURRENTLY INCLUDED IN
THIS PROGRAM THAT KIND OF OUR
SMALLEST LICENSE TYPE --
AND THE BOARD WAS SUPPORTIVE OF
THAT OF HAVING THEM IN THE BILL
AS LONG AS THEY WERE PAYING
FUNDS AND LIKE OTHER LICENSE
TYPES.
WERE SO WE ONE OF OUR OUR
REQUESTS WOULD BE TO INCLUDE
EDUCATIONAL PSYCHOLOGISTS AGAIN
AS WELL I'M HAVING THEM PAY INTO
THE FEET.
AND BEING ELIGIBLE FOR THE
PROGRAM WE THINK THAT WOULD HELP
ENCOURAGE THEM TO WORK IN
UNDERSERVED AREAS AS WELL.
SO I WANTED TO JUST GET A SENSE
OF WHERE.
THAT CONVERSATIONS GOING THE
REST OF THIS.
I'M I'M I'M NOT SURE ONE POINT
THAT WE HAD IN THE BAY HAD
INDICATED THAT THEY ARE
CONSIDERING PUTTING THEM BACK
AND WE HAVEN'T SEEN THAT
AMENDMENT.
YEAH BUT I DON'T KNOW IF IT'S ON
THE TABLE STILL ARE NOT.
IF MISTER CHAIR WILL ALLOW ME OF
COURSE --
AYE AYE WE WE WERE CONSIDERING --
THIS AND WE HAVE BEEN FOR SOME
TIME -- IT
IT WASN'T AS CLEAR TO US AS THE
OTHER PROFESSIONS OF LICENSE
EDUCATIONAL PSYCHOLOGISTS HAVE A
NEXUS WITH THINGS LIKE FOR
INSTANCE COUNTY BEHAVIORAL
HEALTH DEPARTMENTS.
WHICH IS ONE OF THE TARGETS IF
YOU WILL OF PEOPLE THAT WE WOULD
LIKE TO SEE --
GOING INTO THE PROGRAM BUT WE'RE
CERTAINLY OPEN TO THAT I THINK
THERE IS NO BARRIER IF IF WE CAN
BE SATISFIED THAT THEY WOULD AND
IN FACT --
BE ABLE TO BE AND UNDERSERVED
AREAS -- IS
JUST IT IT IT JUST IS DIFFERENT
A DIFFERENT CATEGORY.
OF OF A LICENSEE THAN THE OTHERS --
WHO COULD GO WORK AND YOU BERNIE --
OR OUT IN SANDRA NEEDED DINO
COUNTY OR OR FOR COUNTY MENTAL
HEALTH DEPARTMENT SO --
WHEN WE NEED TO DISCUSS THAT
[inaudible]
BOARD BELIEVE.
BUT THEY DO HAVE AN APPROPRIATE
SCOPE AND I'D BE HAPPY TO GET --
PROVIDE YOU WITH WITH SOME
INFORMATION ON DESCRIBING NOT
FURTHER.
THERE QUESTIONS OR COMMENTS WE
DO HAVE A MOTION NOW BY SENATOR
GLAZER --
PLEASE CALL THE ROLL WOULD LIKE
TO CLOSE ASSEMBLY MEMBER OF THE
HOUSE.
RESPECTFULLY ASK YOUR AYE VOTE
THANK YOU.
MISSION IS TO PASS THE SENATE
HEALTH COMMITTEE HILL AYE HILL
AYE FULLER.
TALENT.
ALLEN I DON GALGIANI GLAZER.
GLAZER AYE HERNANDEZ PAN AYE AN
AYE WILK. FOR VOTE TO UPHOLD THE
RULE OVER FOR AFTER MEMBERS
THANK YOU VERY MUCH APPRECIATED.
THANK YOU ASSEMBLYMEMBER
MAIENSCHEIN [inaudible]
GOOD AFTERNOON.
THANK YOU FOR YOUR CALL I READ
IT HERE.
HAPPY FATHER'S DAY.
FUTURE [inaudible]
VERY GLAD.
THANK YOU VERY MUCH OFF MISTER
CHAIR AND MEMBERS.
AB TWENTY THREE HUNDRED WHAT
AUTHORIZED VETERINARIANS TO
FULFILL PART OF THEIR SELF STUDY
CONTINUING EDUCATION COURSE WORK
ASSOCIATE WITH PRO BONO SPAN
NEUTER SERVICES.
VOLUNTARY SPAY NEUTER FOR CATS
AND DOGS HAS CONSISTENTLY BEEN
PROVEN AS AN EFFECTIVE METHOD IN
REDUCING SHELTER INTAKE AND
EUTHANASIA RATES.
SOME CALIFORNIA JURISDICTIONS
HAVE ADOPTED LAWS THAT REQUIRE
MANDATORY ALTERATION OF DOGS AND
CATS.
BUT UNFORTUNATELY COST AS A
PRIMARY BARRIER TO SPAY AND
NEUTER SURGERY IN MANY
COMMUNITIES LOWER INCOME PET
OWNERS MOST COMMONLY SITE HIGH
COSTS AS THE REASON FOR NOT
ALTERING THEIR CATS.
OR OR AYE DOGS THE UNINTENDED
CONSEQUENCE OF THESE LAWS FOR
MANY LOWER INCOME HOUSEHOLDS IS
OF THE RELINQUISHMENT OF A
BELOVED FAMILY PET TO A LOCAL
SHELTER GET THE HIGH COSTS --
OF ALTERATION WHICH CAN EASILY
GOING TO THE HUNDREDS OF DOLLARS
RESEARCH INDICATES THAT
RELINQUISHMENT OF PETS TO
SHELTERS OUR GREATEST FROM AREAS
WHERE POVERTY LEVELS ARE HIGH.
BY ALLOWING VETS TICKET OBTAINED
CONTINUING EDUCATION CREDIT BY
PERFORMING QUALIFIED SPAN NEUTER
SURGERIES.
IS LIKELY TO INCREASE THE NUMBER
OF THAT'S WILLING TO PROVIDE
SUCH SERVICES BOTH NEW YORK AND
NEW JERSEY HAVE SUCCESSFULLY
IMPLEMENTED PROGRAMS
INCENTIVIZING VETS.
DIFFERENT CONTINUING EDUCATION
CREDITS WHICH HELP THEM GAIN
MULTIPLE EDUCATION BENEFITS.
EXISTING LAW REQUIRES ALL ACTIVE
VETS TO COMPLETE THIRTY SIX
HOURS OF CONTINUING EDUCATION
EVERY TWO YEARS TO MAINTAIN
THEIR LICENSE.
AB TWENTY THREE HUNDRED WOULD
ALLOW THESE VATS TO COMPLETE
THEIR MANDATORY FOR HOURS OF
SELF STUDY COURSE WORK BY
VOLUNTEERING WITHIN LOWER INCOME
COMMUNITIES.
AND POVIDING CRUCIAL SPAY
NEUTER SURGERY SEVERAL ASSIST
FOR SHELTER OVERCROWDING WITH ME
TO TESTIFY ON BEHALF OF AB
TWENTY THREE HUNDRED IS SUSAN
RAGS SENIOR EXECUTIVE DIRECTOR
FOR A S. PCI.
GOOD AFTERNOON* WHO'S IN
RAGS --
THOUGHT THAT THE CONCEPT OF THIS
BILL IS REALLY DRAWN FROM OUR ON
THE GROUNDWORK IN THE COUNTY OF
LA WHERE WE'RE SEEING HIGH RATES
OF RELINQUISHMENT LOW INCOME
COMMUNITY SPECIFICALLY
INVOLVEMENT PARK.
AND DOWNEY WHICH ARE BOTH LOW
AND CALM A COMMUNITIES WHERE ARE
OUT THERE ARE MANDATORY SPAY
NEUTER LAWS AND AS THAT EMMA
CONTROL OFFICERS ARE GOING OUT
TO THE COMMUNITY AND ON ITS WAY
VIOLATIONS WERE SEEING THE
RESULT OF THAT BEING THAT.
THAT THE AND RATHER THAN I'M
GOING THROUGH TO GET THE SPAY
AND NEUTER SURGERIES THAT UNFAIR
YOUR STEPDAD REALLY ARE CAUSING
RELINQUISHMENT --
THAT THE LACK OF THAT NAY
SERVICES THESE COMMUNITIES
ACOSTA TAKEN DAY OFF WORK AND
YOU'RE TRANSPORTING A PAT TO GET
THE SURGERY DONE THE COST OF
THAT THE SURGERY AND SO THERE'S
MULTIPLE BARRIERS.
TO THESE COMMUNITY SO WE WERE
HOPING THAT THE ON THE BILL WILL
REALLY DRIVE SOME NEW INTEREST
IN AND I'M BRINGING THOSE
SERVICES BACK TO LOW INCOME
COMMUNITIES SO THAT WE CAN AVOID
THAT CIRCUMSTANCE --
BEYOND THAT YOU KNOW WE REALLY
LOOK AT THAT AS BEING
COMPLIMENTARY TO THE WHOLE
PACKAGE OF CONTINUING EDUCATION
FOR VETERINARIANS WHICH IS VERY
ON HOLISTIC.
ON THERE ARE OBVIOUSLY THE
TRADITIONAL ASPECTS THAT HAVE TO
DO WITH THE TECHNICAL SKILLS
THAT THAT I'M REALLY KEEP --
YOUR THE MEDICAL ASPECTS OF
CONTINUED EDUCATION AND FRESH
BUT IN ADDITION AND YOUR THAT
MARIANNE'S IN THEIR PACKAGE --
VOLUNTARY --
ACTIVITIES AND THE CONTINUING
EDUCATION CAN ALSO DO THINGS
LIKE STRESS MANAGEMENT THEY CAN
DO --
PROCTOR IN FOR VETERINARY EXAMS
THEY CAN DO YOU --
YOUR BUSINESS MANAGEMENT COURSES
A WHOLE WIDE VARIETY OF
ACTIVITIES IN ADDITION TO THE
TRADITIONAL ACTIVITIES AND SO
THIS WE SEE THIS IS
COMPLEMENTARY IS SOMETHING THAT
REALLY.
ENGAGES THE VETERINARIANS IN
COMMUNITIES THAT MET THEY MAY
NOT HAVE --
A LOT OF EXPERIENCE WITH AS WELL
AS JUST YOUR BUILDING GOOD WELL
GENERALLY FOR THE FACTORY
COMMUNITY.
VERY GOOD THANK YOU OTHER
WITNESSES IN SUPPORT.
VOIGTS AFTERNOON MISTER CHAIRMAN
MEMBERS JENNIFER FEARING ON
BEHALF OF THE BEST FRIENDS
ANIMAL SOCIETY THE SAN DIEGO
HUMANE SOCIETY AND THE SAN
FRANCISCO SPCA IN STRONG SUPPORT
YOU KNOW WE WILL BE PART OF WHAT
VETERINARIANS EDUCATION IS
WHAT'S GOING ON IN OUR
COMMUNITIES WHAT'S AFFECTING.
ANIMALS AND THEIR OWNERS AND I
THINK THIS GOESA LONG WAY TO
HELPING AND POTENTIALLY DRIVE
MORE THAN ARYANS TO DEEPEN.
THEIR KNOWLEDGE AND EDUCATION OF
OF PROBLEMS THAT I'M WE'RE
DEALING WITH AN ANIMAL WELFARE
SO WE URGE YOUR SUPPORT THANK
YOU VERY MUCH FOR SURE AND
OTHERS IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION.
YOU KNOW ONE THING YOU BACK TO
THE COMMITTEE FOR CONSIDERATION
AS SENATOR PAT.
THANK YOU AND AYE I THINK YOUR
SUMMER MAIENSCHEIN FOR YOUR
EFFORTS TO TRY TO ADDRESS --
THIS ISSUE ABOUT --
BEING SURE PEOPLE ACCESS TO
SPACE KNOW SPAIN NEUTERING
SERVICES AND CERTAINLY.
I ACTUALLY DID A BILL TO TRY TO
ADDRESS SOME ASPECTS OF THAT.
PREVIOUS ONE THOUSAND ASSEMBLY
AS WELL.
SO CERTAINLY I HAVE NO ACTUALLY
FOR SO NO PROBLEM ACTUALLY
STRONGLY SUPPORT WHAT YOUR GOALS
ARE FOR THE BILL.
I GUESS MY KALENJIN AND THOSE ON
CONSENT MADE DID THOUGHT IS IS
THAT -- IN
TERMS OF CONTINUING USING
CONTINUING EDUCATION CREDITS AS
AN INCENTIVE FOR SOMEONE TO A
PROFESSIONAL --
TO TO ENGAGE AND SUCH A
PREVENTIVE SERVICES AND BECAUSE
MY MIND NOW CONTINUING EDUCATION
THE REASON WE HAVE CONTINUE
EDUCATION STANDARDS IS TO ALLOW
PEOPLE -- TO
KEEP UP THEIR EXPERTISE IN THE
PROFESSION THAT'S THAT'S THE
REASON WE HAVE THOSE
REQUIREMENTS.
THEY'LL LOOK TO SCIENCE KEEPS
MOVING THERE'S A FEW THINGS THEY
DISCOVER IT CETERA.
AND SO WHILE CERTAINLY THERE ARE
SOME OF TO ENSURE EDUCATIONAL
ASPECTS --
THAT THOSE WERE WERE RELATE TO
IN THE TESTIMONY I AM CONCERNED
ABOUT --
SETTING A PRECEDENT AND I KNOW
THAT THIS WAS DONE IN SOME OTHER
STATES IN TERMS OF VETERINARY
BUT WHERE WE BASICALLY SAY FOR
CONTINUING EDUCATION --
YOU CAN DO SOME SERVICE THAT
DOESN'T HAVE A VERY EXPLICIT
EDUCATIONAL ASPECT AFTERALL I'M
FIRST A DISSERVICE LEARNING.
UP PROGRAMS I BELIEVE SERVICE
CAN BE EDUCATIONAL BUT IT HAS TO
BE VERY NEEDS TO BE EXPLICIT FOR
IT TO GET CONTINUE. TO ME TO TO
TO SURFACED THE MODE OF ITS
CONTINUING EDUCATION.
AND Y. CERTAINLY ALSO UNDERSTAND
THAT. FOR VETERINARIANS THE
CONTINUE EDUCATION --
PORTION THAT WERE TALKING ABOUT
SUBSTITUTING IS SERVE THE SELF
STUDY THERE'D BEEN SOME
QUESTIONS ABOUT.
HOW EFFECTIVE IT IS OR HOW MUCH
PEOPLE ACTUALLY DO --
IF TRULY IT'S INEFFECTIVE THAT
PERHAPS WE NEED TO THINK ABOUT
IS THAT BODY DO WE STILL
CONTINUE REQUIRE IT IF IT'S NOT
REALLY ME.
ACTION OR RAISING THE STANDARDS
BUT SIMPLY.
OF LIMON SELF SO THAT'S MY ISSUE
WITH IT PERSONALLY --
I I'D.
I'D DON'T REALLY HAVE A PROBLEM
WITH THE BILL MOVING FORWARD BUT
I UNFORTUNATE DO NOT FEEL LIKE I
CAN SUPPORT AT THE TIME YOU I'M
NOT SURE.
THAT'S THE APPROPRIATE TRADE OFF
I THINK THAT THE WE SHOULD THINK
ABOUT INCENTIVES FOR DOING
EXACTLY WHAT YOU'RE PROPOSING.
I THINK --
YOU KNOW WHETHER IT'S A
REDUCTION IN FEES OR SOME OTHER
KIND OF RECOGNITION.
I AM CONCERNED THOUGH THAT WE
SERVE CONFLATING [inaudible]
TWO SEPARATE ISSUES.
IN TERMS OF SAYING THAT WELL YOU
CAN DO THIS FOR CONTINUING
EDUCATION.
BUT THEN WAS THAT SAYING ABOUT
THE CONTINUING EDUCATION
REQUIREMENT FOR VETERINARIANS
AND THEN ALSO MORE AT LARGE IS
SOMEONE WHO HAS BEEN --
THIS IT'S CHAIR KNOWS THAT
THEY'RE TRYING TO PUSH ON THE
STANDARD SIXTEEN EDUCATION WE'RE
GOING TO REQUIRE IT AND WE THINK
IT'S SOMETHING THAT'S IMPORTANT
FOR PEOPLE TO DO THAT.
SHOULD BE SURE IT'S OF HIGH
QUALITY THERE'S NO CONFLICT
INTERESTS OTHER TYPES OF THINGS --
OTHERWISE WARILY REQUIRING DOING
EDUCATION BUT FRANKLY I DO THINK
YOU'LL THINGS DO CHANGE IN
PROFESSIONALS NEED TO STAY ON
TOP OF IT SO I'M JUST CONCERNED
THAT.
WELL CERTAINLY THE CALL THIS
BILL WAS SOMETHING I STRONGLY
SUPPORT I APPRECIATE YOU BRING
FORWARD CONCERNED ABOUT USING
CONTINUE EDUCATION CREDITS AS A
AS THE INCENTIVE BECAUSE I THINK
THEN THERE'S ON THE CONTINUE
EDUCATION SIDE.
WERE SORT OF DEVALUING.
ARE SAYING THAT THE CONTINUING
EDUCATION PORTION.
THE NEED TO KEEP ON TOP THERE'S
LESS IT IS SOMETHING THAT THEY
DON'T NEED TO SPEND AS MUCH TIME
ON SO.
SO WHAT THAT I APPRECIATE YOU
BRING THE BILL FORWARD I
CERTAINLY --
YELLED DO NOT URGING MY FELLOW
COMMITTEE MEMBERS NOT TO VOTE
FOR THE BILL BUT I JUST
PERSONALLY ABSENCE CHALLENGES.
IT'S IS TO OF COURSE YEAH I AM
AND I'M GONNA PAN YOU KNOW THANK
YOU AND THANK YOU FOR THE
CONVERSATIONS WE'VE HAD ON THIS.
IKE AND I UNDERSTAND YOUR POINTS
I THINK THEY'RE A AND I THINK IT
WILL TAKE AND I TH.
WHAT I WOULD SAY IS AN AND I AND
I LOOK AT IT WITH SUPERSPEEDWAYS
HOUSE AS A LAWYER WHO IT HAS TO
WHO AS A PRACTICING LAWYER ADDED
YOU CONTINUING EDUCATION CRIME?
SOME OF THEM THAT THE THIS.
IT IT THEY ARE KIND OF
CONSIDERED AS A CLASS YOU COULD
COME TO CONSIDER THEM AS A CLASS
OR CATEGORIES RIGHT.
EN AND I TEND TO SORT OF AGREE
WITH YOU WHAT WHAT YOU'RE SAYING
IS THERE'S PROBABLY AT A
SOMEWHAT HIGHER VALUE ON THE
ONES THAT ARE.
MAY BE TEACHING A NEW TREND IN
THE LOCKER NEW TREND IN MEDICINE
NUTRITION TREND IN GUNNERY
PRACTICE THAT WHAT WOULD.
PROBABLY YOU COULD CLASSIFY AS A
TRADITIONAL THEN THERE'S THE
OTHER CATEGORIES WHETHER IT'S
SELF STUDY OR IT MAY BE LIKES
FOR EXAMPLE AND LAW IN MAY BE.
WORK AT HOMELESS CORKER DRUG
COURT DO SOMETHING LIKE THAT
WHERE YOU'RE HELPING YOUR
VETERANS COURTS YOU MAYBE.
IT IT'S NOT SO MUCH NOT
NECESSARILY PRIMARILY EDUCATION
BUT I MAY TEACH YOU BETTER
INTERACTIONS WITH MORE.
IF DIFFICULT OR CLIENTS IF YOU
WILL OKAY. FOR LACK OF A MAYBE A
BETTER PHRASE BUT AS IT STANDS
NOW THESE BOARDS HAVE PUT SOME
VALUE ON THAT.
RIGHT IN ITS IT'S PROBABLY
DEBATABLE WHERE THEY HAVE FIT
NECESSARILY TOGETHER I THINK
SOMEBODY AND AS SOMEBODY WHO
THEN IS HOW MOST MATURE HELPED
RUN THE HOMELESS COURT I DO
THOUGHT I WOULD SAY THAT.
YOU KNOW SON OF SAY TRADITIONAL
METHOD THERE PROBABLY IS A
REALLY GOOD VALUE TO THAT
BECAUSE THEY'RE GETTING.
THESE ATTORNEYS ARE GETTING A
PRACTICE IN AN AREA THEY NEVER
WOULD OF PRACTICE THERE SORT OF
GETTING MORE CLIENT INTERACTION
THAT PROBABLY A LOT OF IT GOT.
SO I THINK THAT AS IT STANDS NOW
IT'S BEEN.
IT'S BELIEVED AT LEAST IN THE
VETERINARY VETERINARY FEEL THAT
THERE IS A THERE IS A CERTAIN
VALUE ON THE CELL ON ON THE SELF
STUDY COMPONENT.
THERE'S SOME WEAKNESSES THERE
TOO BECAUSE YOU ARE YOU THERE
ARE SOME SELF REPORTING.
HOW MANY OF THEM ARE?
YOU KNOW LINE ABOUT IT PROBABLY
NOT MANY BUT THE PRIMERICA UP
ALRIGHT I I I AGREE THAT THEY'VE
SORT OF STARTED SAYING THAT.
THAT THAT SO THERE IS THE
ABILITY TO SAY THAT THIS MAY NOT
BE.
THIS MAY NOT BE A 100% FOR PROOF
IN EVERY WAY BUT THERE IS
PROBABLY A VALUE AND
EFFECTIVENESS THERE AND I WOULD
LOOK AT THIS AS AS KIND OF
FALLING IN THAT CATEGORY AS IT'S
DIFFERENT.
THEN MAYBE STUDYING OR LISTENING
TO A LECTURE OF SOMETHING THAT'S
SORT OF A NEW TREND BUT I DO SO
I STILL I I STILL WOULD I STILL
BELIEVE.
AT THE END OF THE DAY THERE IS A
VALUE TO THE S. THAT THAT
ALTERNATELY HELPS THE
VETERINARIAN AND I KNOW YOU FOR
YOU BECAUSE I AND I MEAN I SAT
ON HEALTH WITH YOU AND I
REMEMBER GOING THROUGH THIS WENT
WHEN I WAS VICE CHAIR OF HEALTH
WITH.
YOU YOU KNOW WE DID TALK A LOT
ABOUT ABOUT THIS AND YOU YOU
FEEL VERY PASSIONATE ABOUT IT AS
YOU SHOULD AND YOU'VE DONE A LOT
OF GOOD WORK.
TO TEMPT MAKE THAT MAKE A
CONTINUE EDUCATION BETTER I
WOULD SAY THAT THOUGH AS IT
STANDS NOW AT KIND OF THE
CURRENT.
BELIEVE AT LEAST IN THE
VETERINARY FIELD BUT I'D SAY
IT'S PROBABLY ALSO MEDICAL FIELD
AND LEGAL PHYLLIS WELL THERE IS
A VALUE TO THIS AND I THINK THIS
FITS IN WELL WITH THAT VALUE.
IN A DIFFERENT LIGHT AND JEFF
GRAHAM I I WOULD SAY YOU POINTS
FOR AND WELL TAKEN AS AS SOMEONE
WHO BELIEVES IN SERVICE LEARNING.
I THINK YEAH DOING SERVICE HAS
EDUCATIONAL ASPECTS [inaudible]
SURE THAT I THINK THAT.
THANK YOU VERY MUCH SENATOR PENN
IT THANKS FOR THE RESPONSE ON
THAT AND AND OTHER COMMENTS OR
THE I DO HAVE AS WE TALKED AND
AND THE CONCERN THAT.
IT ENDED ITS OUTLINED IN THE IN
THE ANALYSIS AND AS A POLICY
CONCERN AN ISSUE WHICH RELATED
TO THE DEFINITION ARE HAVING
THIS BEING SPECIFICALLY LOW
INCOME COMMUNITIES.
AND THE PROBLEM THAT THAT THAT I
HAVE BEEN IN THAT YOU MAY SAY
YOU KNOW I'D REPRESENTS SILICON
VALLEY AND OVER THE WHAT
WEALTHIEST AREA IN THE STATE WE
DON'T HAVE LOW INCOME
COMMUNITIES.
BUT WE HAVE OVER 20% POVERTY
RATE -- OF
INDIVIDUALS WHO ARE STRUGGLING
BUT THEY'RE NOT.
IN ONE AREA THEY ARE JUST
FILTERED WITHIN COMMUNITIES AND
AND EVERYPLACE SO I I DON'T KNOW
HOW THAT CAN BE DEFINED I'D LIKE
SOMETHING IN SO WHAT HAPPENS IS
THOSE PEOPLE WOULD NOT.
BE ELIGIBLE TO PARTICIPATE IN
THIS WEATHER BUT IF IT WERE AT A
HUMANE SOCIETY WHICH DOES.
HE KNOWS AREAS OR TIME OF OF
SPAY NEUTER CLINICS WHERE THEY
PROVIDE THAT SERVICE I DON'T
KNOW HOW BEST AND MAYBE WE CAN
WORK TOGETHER WHEN HE GOES TO
APPROPRIATIONS TO SEE.
HOW THEY CAN BETTER BE DEFINED
TO INCLUDE?
THOSE WHO NEED THE SERVICE FOR
THEIR PETS BUT THAT ARE NOT
NECESSARILY CONFINED TO US.
BUT WOULD BE CONSIDERED A LITTLE
LOW INCOME AREA.
SO THAT WORKS ALRIGHT OF SALINAS
ARE CAPITA TO SUPPORT DEVON
ISLAND AND MOVE FORWARD THANK
YOU THANK YOU --
WOULD ENTERTAIN A MOTION.
THANK YOU VERY MUCH SENATOR
GLAZER WE DO HAVE A MOTION RIGHT
BECAUSE I THANK YOU VERY MUCH
MISTER CHAIR AND MEMBERS AND
WOULD RESPECT THE REQUEST AND I
THANK YOU VERY MUCH MOTION BY
SENATOR GLAZER PLEASE CALL THE
ROLL.
MOTION IS TO PASS THE SENATE
APPROPRIATIONS COMMITTEE HILL
AYE HILL AYE FULLER.
ALAN.
ALLEN AYE DODD.
DODD AYE GALGIANI LASER.
GLAZER AYE HERNANDEZ
[inaudible]
AND WELL.
THIS FOR VOTE WILL HOLD RULED
HIM FOR THE ABSENT MEMBERS AND
THANK YOU MISTER CHAIRMAN THANK
YOU VERY MUCH APPRECIATED.
AND REMEMBER CHAU I SEE YOU DOWN
THERE FRANK HOW ARE YOU.
WELCOME THIS AFTERNOON MOVING TO
ITEM.
TWENTY TWO AB.
TWENTY FIVE FORTY SIX THANK YOU
VERY MUCH OF MR OUT CHAIRMAN AND
THE MEMBERS SAW.
AB TWENTY FIVE FORTY SIX WILL
ENSURE AND THE SANDERS SO FALSE
AND DECEPTIVE.
SPAM EMAILS ARE HELD LIABLE FOR
THEIR UNLAWFUL CONDUCT.
EXPAND WHAT CONSTITUTES A FALSE
AND DECEPTIVE EMAIL CONTENT AND
ENABLE THE COURTS TO ORDER
INJUNCTIONS AGAINST SPAMMERS.
IT IS COMMON FOR ADVERTISERS TO
SEND UNSOLICITED COMMERCIAL
EMAILS TO CONSUMERS.
OFTEN THEY WILL CONTRACT WITH
SPAM NETWORKS TO DISTRIBUTE.
EMAILS TO CONSUMERS ARE THOSE
SPAM NETWORKS AND TURN ALL
CONTRACT WITH THIRD PARTIES WHO
ACTUALLY SENT.
OUT THOSE EMAILS OFTEN THE
SENDER'S WILL USE METHODS
DESIGNED TO CIRCUMVENT OF SPAM
FILTERS OR MISLEAD CONSUMERS.
AMONG OTHERS THESE METHODS
INCLUDE SENDING EMAILS FROM
MULTIPLE DOMAIN NAMES ALTERING
THE FORM FROM LYING TO MISLEAD
THE RECIPIENT ABOUT THE IDENTITY
OF THE SENDER.
COPYING HEADERS FROM LEGITIMATE
BUSINESSES AND PLACING THEM INTO
THE EMAIL OR SIMPLY PROVIDING
UNTRUTHFUL CONTENT TO MISLEAD
THE CONSUMER.
UNDER EXISTING LAW ADVERTISERS A
STRICTLY LIABLE FOR FALSE AND
DECEPTIVE SPAM HOWEVER THE
ACTUAL SENDERS OF THE EMAILS ARE
NOT LIABLE FOR SENDING THE
UNLAWFUL SPAMS.
THIS BILL AB TWENTY FIVE FORTY
SIX WAS STRENGTHENED
CALIFORNIA'S SIR PROHIBITIONS ON
FALSE AND DECEPTIVE SPAM EMAILS
IN SEVERAL WAYS AS FOLLOWS. ONE
HOLDING SPAM NETWORKS AND THE
ACTUAL SANDERS LIABLE FOR FALSE
AND DECEPTIVE US SPAMMING.
NUMBER TWO APPLYING THE LAW TO
FALSEHOODS OR MISREPRESENTATIONS
IN THE BODY OF THE EMAIL NOT
JUST THE HEADERS.
NUMBER THREE ESTABLISHING THAT
TRUTHFUL CONTENT IN ONE PART OF
THIS MAN.
DOES NOT FEWER FALSE THE IN
ANOTHER PART FOR PROHIBITING
SPANNING FROM MULTIPLE DOMAIN
NAMES FOR THE SOLE PURPOSE.
OF UP BYPASSING SPAM FILTERS
FIVE BOOK READING PROHIBITING
FROM NAMES STEP MISREPRESENT.
WHO THE SPAM EMAILS ARE ACTUALLY
FROM SIX AUTHORIZING THE COURTS
TO IMPOSE INJUNCTIONS TO STOP
UNLAWFUL SPAMMING AND FINALLY
ALLOWING DISTRICT ATTORNEY TO
THE CITY ATTORNEY'S TO BRING
ACTIONS AGAINST UNLAWFUL
SPAMMERS --
WITH THAT I RESPECT ABOUT
RESPECTFULLY ASK FOR WITNESSES
TO INTRODUCE THEMSELVES WE'RE
GOOD THANK YOU AND MY NAME IS
DAN BALSAM I'M ATTORNEY IN
CALIFORNIA WITH THE MARKING
BACKGROUND.
AND I SUPPORT THIS BILL FOR THE
REASONS ASSEMBLY MEMBER CHAO
ADDRESSED AND I'M ONE THING IN
PARTICULAR I WOULD REALLY LIKE
TO STRESS.
IS THAT UNDER CURRENT LAW FALSE
AND DECEPTIVE SPAM IS ALREADY
LEGAL AND THE CURRENT LAW HAS
NOT KILLED E. COMMERCE OR
TECHNOLOGY BUSINESS IN
CALIFORNIA.
ALL THIS AMENDMENT DOES IS FOR
THE MOST PART IT CLARIFIES
EXISTING LAW BY PROVIDING
EXAMPLES OF FALSITY DECEPTION
THEREBY PROVIDING GUIDELINES TO
MARKETERS.
WHAT WE WERE TELLING THEM IN
THIS BILL HERE'S WHAT YOU HAVE
TO DO TO NOT GET SUED --
ACCORDINGLY I AT THIS THE
STATUTE ALSO HAS --
IT AUTHORIZES THE 90% REDUCTION
IN THE LIQUIDATED DAMAGES THIS
IS PART OF THE CURRENT STATUTE.
BUT IT'S A LITTLE VAGUE WHAT
THIS BILL DOES IS TELL THE
MARKETERS WE HERE'S WHAT YOU
HAVE TO DO TO GET THAT 90%
REDUCTION THIS IS A BENEFIT TO
THE MARKETERS BY REDUCING
VAGUENESS PROVIDING CLARITY
[inaudible]
I'M.
THE MOST OF THIS BILL IS IS --
CLARIFICATIONS THE COUPLE
SUBSTANTIVE ADDITIONS THAT
SUMMER CHAO MENTIONED.
AYE ALLOWING STANDING FOR
DISTRICT ATTORNEYS AND CITY
ATTORNEYS HOLDING THE ACTUAL
SANDERS LIABLE BECAUSE UNDER
CURRENT LAW THEY'RE NOT AYE THE
ACTUAL ADVERTISER STRICTLY
LIABLE.
BUT THE PERSON THE ENTITY HAD
ACTUALLY IF YOU KNOW ADDRESSES
ON THE DARK WEB THAT ACTUALLY
FOR TO THE HEADERS UNDER CURRENT
LAW THAT PERSON IS NOT LIABLE.
ON I BELIEVE IT'S N OMISSION IN
THE CURRENT STATUTE THAT SHOULD
BE FIXED --
AND SINCE THE CURRENT LAW
ADDRESSES FALSELY DECEPTION THE
HEADERS THERE'S NO REASON WHY IT
SHOULDN'T ADDRESS FALL SCHEME
DECEPTION THE BODY OF THE EMAILS
AS WELL.
I'M SO REALLY THIS THAT'S THE
BEST WHAT THIS BILL IS
ATTEMPTING TO DO WHICH TO
TIGHTEN UP SOME OF THE GAPS IN
THE CURRENT LAW.
VERY GOOD THANK YOU FOR THE
TESTIMONY NEXT WITNESS IN
SUPPORT.
GOOD AFTERNOON CHAIR MEMBERS
DANIELLE COUNTER BECAUSE ARE ON
BEHALF OF COMMON SENSE KIDS
ACTION AND I WOULD ALIGN OUR
SUPPORT STATEMENT WITH MY
COLLEAGUE.
AND THE AUTHOR SPECIFICALLY --
THE CLARIFICATION THAT THE BILL
OF PROVIDES AS WELL AS AYE
RECIPROCITY FOR CONSUMERS WE
RICHER ABOUT THINKING THANK YOU
OTHERS IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION PLEASE COME FORWARD
[inaudible]
AND HIS BIGGEST [inaudible]
PLEASE COME.
GO OF IT IN THE IF YOU
SUPERVISOR.
THERE YOU GO.
PLEASE CLICK HERE AND I'VE ABOUT
TWO MINUTES EACH WROTE VERY
QUICK --
MORNING AND AFTER MONEY HISPANIC
KELLY OF INTERNET LAW CENTER IN
SANTA MONICA.
I AM ALSO PUT CHAIR OF THE
CALIFORNIA LAWYERS ASSOCIATION
TECHNOLOGY INTERNET FROM PRIVACY
SUBCOMMITTEE OF THE INTELLECTUAL
PROPERTY COMMITTEE I'M SPEAKING
HER SILLY MY PERSONAL CAPACITY.
ARM I'D LIKE TO CLARIFY THAT
THIS BILL.
UNKNOWN LIKE SPAM IN THIS BILL
IS ABOUT SPAM THOUGHT REGULATING
DECEPTION IN COMMERCIAL EMAIL
AND APPLIES TO SPAM AND NON SPAM
LIKE -- WHAT
IS DECEPTIVE AS A FAVOR FOR THE
CLARIFICATION?
IT IS A COMPLETE REWRITE OF
EXISTING LAW PRIMARILY TO
REVERSE TO CORDIS'S. TWO COURT
DECISIONS THAT WENT AGAINST THE
PLAINTIFFS BAR.
AND CHOI SO IT'S TRYING TO WIN
IN COURT BUT WITH WIN HERE WITH
A CLEAR WHEN COURT INCLUDING
REVERSING.
A UNANIMOUS SUPREME COURT
DECISION THAT HELD MANY
PROVISIONS IN THIS BILL WHEN
DOCTORS WERE NOT DECEPTIVE.
SO THAT'S THE FIRST THING THE
TRYING TO REVERSE UNANIMOUS
DECISION IN THE CLEFT IN CASE.
SO THIS LAW.
WILL ONLY BENEFIT OF SMALL GROUP
A PLAINTIFFS LAWYERS.
OF THIS FOCUS ON EMAIL CASES AND
I HAVE NO CONSUMER BENEFIT
BECAUSE THE SUPREME COURT IT'S
ALWAYS SAID THIS IS NOT THE SEPT
OF AND BUT THIS AND THERE'S NO
HARM. TO THE CONSUMER BUT THE BE
HARM TO BUSINESSES BECAUSE IT
GREATLY EXPANDS THE RISK TO THEM
FOR LITIGATION.
IN THEIR MOUTH OF EXPOSURE THEY
WILL HAVE UNDER THIS VERSE IS IF
EXISTING LAW IS EXPONENTIAL I'VE
TALKED TO MY CLIENTS.
AND A ONE CLIENT A VERY
SUCCESSFUL AND BY THE BOOK EMAIL
WHO MARKETS HIS ARM.
UP E. COMMERCE OPERATIONS HE
ANTICIPATES HE'LL HAVE TO SHUT
DOWN 80% OF HIS BUSINESS BECAUSE
HE WENT ALONG A BILL TO SOLICIT
BY.
BUYING COMMERCIAL EMAIL AND HE
DOESN'T USE SPAM HE USES OFTEN
ENOUGH.
AND SO ON I WOULD SUGGEST THREE
POINTS OF CLARIFICATION OR
AMENDMENTS. ONE IS THE BILL
ALLOWS YOU IT HAS A LANGUAGE I
CLARIFIED THAT --
IT APPLIES.
TO ENCOURAGE COMMERCIAL MAIL A
CLASS TO ANY OTHER SOLICITATION
AND THAT COULD BE INTERPRETED TO
INCLUDE NON PROFITS OR EVEN
POLITICAL --
SOLICITATIONS HAT WOULD STRIKE
THAT THE SECOND IS.
THE LANGUAGE OF THE AND THEY
TALKED ABOUT INCLUDING ARE
ADDING FALSITY TO THE BODY THE
EMAIL.
BUT THAT WOULD DO WOULD BE
COMPLETELY REWRITE EXISTING
FALSE ADVERTISING LAW CURRENTLY
FALSE ADVERTISING LAW --
REQUIRES SOME ELEMENT OF IN IN
ADDITION UNDER PROP SEVENTY
EIGHT ARMED REQUIRES THAT.
THE PERSON TO SUSE HAVE STANDING
HAPPEN OR SOME FORM OF PERSONAL
INJURY FROM.
THE ALLEGATION ARMY OF THAT AND
THAT WAS PASSED BECAUSE OF
WIDESPREAD ABUSE WHAT THIS BILL
DOES.
IS CIRCUMVENTS THAT WITHOUT ANY
INTENT ELEMENT AND IS A STRICT
LIABILITY NO NO REQUIREMENT OF
HARM -- THE
LAST THING I WOULD ASK INS AND
TO NOT REVERSE.
SUPREME COURT DECISIONS AND
CLAPPED AND A LOT OF THOSE
PROVISIONS IN THIS BILL.
DEAL WITH THE EMAIL FILTERS
DON'T REVERSE IN THE SEVEN OAKS
SUPREME COURT DECISION IS THE
RIGHT DECISION DON'T FIRST.
THINK YOU YES SIR.
WELCOME HELLO MY NAME IS CHAIR
GORDON AND I AM THE CO VICE
CHAIR OF THE INTERNET AND
PRIVACY LAW SUBCOMMITTEE OF THE
CALIFORNIA LAWYERS ASSOCIATION
BUSINESS SECTION BUT AM HERE.
ALSO IN MY PERSONAL CAPACITY NOT
MY CAPACITY AS OF THE CHO VICE
CHAIR.
NOW.
I'D LIKE TO IDENTIFY FOR YOU OF
WHAT I THINK IS REALLY CENTRAL
TO THIS BILL WHICH IS THAT IT IS
NOT.
MERELY A SMALL TECHNICAL CHANGE
CLARIFYING WITH EXAMPLES WHAT
EXISTING LAW SAYS IN FACT WHAT
IT DOES IS SUBSTANTIALLY.
EXPAND THE NUMBER APART RIGHT OF
ACTION CLAIMS AVAILABLE UNDER
BUSINESS PROFESSION SOMETHING
FIVE TO NINE POINT.
FIVE SO --
ALTHOUGH THEY'RE MORE THAN JUST
A LIST I'M ABOUT TO GIVE YOU --
ALL HIGHLIGHT JUST THESE BECAUSE
I THINK THAT ALL OF THEM HAVE.
MANY DIFFERENT POTENTIAL
EXAMPLES THAT DO NOT.
A REPRESENT EVEN FALSE AND
MISLEADING POTENTIAL USES LITTLE
MATERIALLY POSSUMS MISLEADING --
USES WHICH IS WHAT'S REQUIRED
UNDER FEDERAL LAW.
SO HOW DO YOU SEE MOBILE DOMAIN
NAMES AND MAILING THIS IS A
COMMON PRACTICE IT'S USED BY
VIRTUALLY EVERY BUSINESS.
WITH A SUBSTANTIAL AMOUNT OF
EMAIL THAT IT SENDS --
BETWEEN BY NONPROFITS AND
POLITICAL ACTORS.
ALRIGHT IF YOU TALK TO WHOEVER
DOES YOUR CAMPAIGN MAILING THEY
PROBABLY DO.
MULTIPLE DOMAIN NAMES AS WELL AS
JUST ENTER PRACTICE I IT'S NOT.
REALLY I'M THERE'S ACTUALLY KISS
ON THAT SAYS IT'S NOT A FALSE
AND SEE AND YOU KNOW THAT THAT'S
ONE OF THE THINGS THAT THERE'S A
PART RIGHT OF ACTION GRANTED FOR
THIS BILL.
GENERIC TAX IN THE FROM LINE.
SO IDENTIFYING --
SOMEONE AS A STELLAR OF CARS AS
OPPOSED TO THE SPECIFIC BUSINESS
NAME.
IS SOMETHING THAT'S GIVEN AS A
PURPORTED EXAMPLE BUT REALLY
THERE'S A PART RIGHT OF ACTION
CREATED.
IF THERE'S A GENERIC TAX DEAD A
DOES NOT ACTUALLY DESCRIBE
BUSINESS A RELATED BUT I THINK
DISTINCT --
PRIDE RIGHT OF ACTION ITS
CREATED IN THE EVENT THAT
SOMEONE USES A FICTITIOUS
BUSINESS NAME.
AS PART OF THAT FROM THAT NOW
THE FICTITIOUS BUSINESS NAME IS
SOMETHING THAT CALIFORNIA
ALREADY PROVIDES.
FOR GERMANY BESIDES ARE ALLOWED
TO USE IT FOR VIRTUALLY ANY.
I USE THAT THEY MIGHT USE FOR
THEIR NAME BUT AS I READ THIS
BILL.
AYE POTENTIALLY WOULD MAKE THE
USE OF A FICTITIOUS BUSINESS
NAME IN THE FROM LINE AN
ACTIONABLE.
CLAIM UNDER SEVENTEEN FIVE TWO
FIVE TO NINE POINT FIVE AS
AMENDED --
FURTHER IT ALSO PROHIBITS
NONSENSICAL TEXT SO SOMETIMES I
EMAIL IS WILL ADD TEXT. TWO
BILLS AT OUR AND OUR NIGHT START
TO AYE EMAILS.
AND SOMETIMES I THOUGHT TEXTURES
USED TO MAKE IT MORE DIFFICULT
TO FILTER THOSE EMAILS BY
AUTOMATED FILTERING SYSTEMS.
BUT SOMETIMES A FILTERING
SYSTEMS ARE WRONG AND THEY
SIMPLY MIS IDENTIFY.
WHAT MIGHT ACTUALLY BE A QUOTE
THAT GOES ALONG WITH SOMEONE
SIGNATURE?
A COULD BE FOR EXAMPLE THE TEXAS
EMAIL IF SOMEONE TRULY BELIEVES
IN FREE SPEECH ALL OF THOSE
MIGHT IN THE CONTEXT OF A
COMMERCIAL EMAIL.
THEME NONSENSICAL BUT IN FACT
THEY AREN'T.
AND HIDE THIS BILL POTENTIALLY
RISKS.
OUR OUR LAW A NEGATIVE IMPOSING
SANCTIONS ON PEOPLE WHO ARE
INCLUDING THE TEXT OF THE FIRST
AMENDMENT INCLUDING BIBLICAL
TEXTS AND THEIR EMAILS.
ANYTHING ELSE THAT MIGHT IN THE
CONTEXT OF THE OVERALL BODY OF
THE EMAIL SEEM NONSENSICAL AND I
THINK THAT'S AN UNACCEPTABLE
COMMENDED FOR SWIMMING.
FINALLY IT --
POTENTIALLY COULD SUPPLY WRITER
OF ACTION FOR THE USE OF OUR E.
COLIN.
IN THE SUBJECT LINE AND AS A
LAWYER I WILL SIMPLY TELL YOU
THAT.
MY BILLS OFTEN USE THE WORD A
DIFFERENCE HARI COLIN.
AND IT SIMPLY MEANS IN REGARDS
TO AND WHILE IT IS OFTEN USE
AUTOMATICALLY EMAIL AS A REPLY
MESSAGE --
IT ALSO CAN MEAN IN REGARDS TO
AND MANY PEOPLE USE IT FOR THAT
PURPOSE --
THIS THEREFORE CONTENT BASED
RESTRICTION AND PUTS A
SIGNIFICANT PROBLEMS ON FIRST
AMENDMENT LEVEL AND FRANKLY JUST
DOES NOT REALLY RELATE TO A
MATURELY FALSE OR DECEIVING
SECULAR DEPRECIATE OTHERS IN
OPPOSITION TO PLEASE COME
FORWARD AND THE TRUE NAME.
STARS DAVIS FOR THE INTERNET
BUSINESS COALITION IN OPPOSITION
THAT YOU THINK YOU.
PROSPECT OF THE PERSONAL
INSURANCE FEDERATION POST.
STEVE CARLSON TO THE DATA IN
MARKETING ASSOCIATION THE
ASSOCIATION OF NATIONAL
ADVERTISERS IN OPPOSITION WE
THANK YOU OTHERS IN OPPOSITION.
YOU KNOW WHEN BRING IT BACK TO
LEARN FROM ANYTHING ELSE SENATOR
DODD.
YOU HAVE SOME OF OUR CHILD.
AYE I'LL AYE LIKE WHAT YOU'RE
DOING HERE I DO HAVE CONCERNS
ABOUT PRIVATE RIGHT OF ACTION --
THAT'S NO CLEAR FOR ME THE OTHER
ONE IS WHERE THERE ARE NO DAMAGE
DIVERT.
YEAH -- A A
BILL.
I TOTALLY SIMILAR BAY.
CLOSER.
YET ISSUES THAT I'M WORKING ON
YOUR TWO AS WELL AS MAKING SURE
THAT THERE ARE.
SAFE HARBORS ARE MAKING SURE
THAT PEOPLE THAT ARE DAMAGED ARE
THE ONES THAT CAN.
NO NOT JUST NOT JUST ANYBODY AND
SO I'M KINDA EXITED YOUR
THOUGHTS BE.
BEHIND THE COMMENTS OF THE
PEOPLE THERE.
CONCERNED ABOUT YOUR BILL HERO
THANK YOU FOR YOUR QUESTION
SENATOR LOONY ADDRESS OUT THE
PRIVATE RIGHT OF ACTION ISSUE AS
WELL AS ONE OTHER.
ISSUE THAT WAS RAISED IN THAT
ALTERNATE OVER TO MY NGUYEN IS
FOR THE REST OF THE ISSUES
THAT'S BEEN RAISED.
A WITH RESPECT TO THE PRIVATE
RIGHT OF ACTION NOT DISPELLED
CREATE A NEW PRIVATE RIGHT OF
ACTION.
IN FACT CURRENT LAW ALREADY
PROVIDES FOR THAT AND THIS --
THAT SERBIAN P. SECTION ONE
SEVEN FIVE TWO NINE POINT FIVE
DOT CO SECTION CLEARLY PROVIDES
FOR THE RIGHT OF A PRIVATE EYE
OF ACTION ONLY DOING NOW AND
THAT IS BILL IS TO BE SEXUALLY.
OF ALLOW STANDING TO BE GRANTED
TO THE DISTRICT ATTORNEY AND
ALSO THE CITY ATTORNEY TO BRING
ACTIONS SO THAT'S EXACTLY WHAT
WE'RE DOING WE'RE NOT ADDING A
NEW PRIVATE RIGHT OF ACTION.
OUGHT TO THE BILL NOW WITH
RESPECT TO THE I THINK THERE
WERE A MANY ALSO ADDRESSED THE
ISSUE THOUGH THE OTHER ISSUE
THAT WAS OUT REGARDING
CHARITABLE AND UP THE POLITICAL
ORGANIZATIONS.
ON THERE IS NO INTENT TO INCLUDE
THOSE ARE ALL OPPORTUNITIES INTO
THE BILL.
AND ARE WILLING TO OUR MODIFY
WHERE AMEND THE BILL TO ACTUALLY
PROVIDE EXCEPTIONS FOR THOSE
ORGANIZATIONS AS WELL.
SO ON THAT COULD BE FIXED SO
VERY EASILY AND IN FACT WE
HAVEN'T SEEN ANY ON ON TERM OR
NON.
PROFIT ORGANIZATIONS HAVING --
TO REPORT THIS KIND OF INCIDENTS
NOW.
LET ME TURN IT OVER TO MY
WITNESS TO ADJUST THE THE OTHER
ISSUE THAT'S BEEN RAISED THERE.
AND DEL RIG REGARDING THE COURT
DECISION THE BODY OF THE EMAIL
AND ALSO MULTIPLE DOMAINS.
THAT'S OKAY WITH IF IT PLEASES
THE COURT IDEA CHAIR.
NOW THAT WOULD.
IF YOU COULD BE AS BRIEF S
POSSIBLE IN THAT WE'RE RUNNING
INTO A TIME PROBLEM SIR --
FIRST OF ALL.
THIS THIS BILL DOES NOT APPLY.
TO GENERAL IT ONLY APPLIES TO
FALSE AND DECEPTIVE SPAM THE
WHOLE POINT OF THIS CHAPTER THIS
BILL.
AND IN THE CURRENT LAW IS ABOUT
UNSOLICITED COMMERCIAL EMAIL FOR
THE STARTING POINT IS THAT IT'S
SPAM AND POINT FIVE IS THAT IT'S
FALSE AND DECEPTIVE FOR THIS
BILL IN NO WAY NOR DOES THE
EXISTING STATUTE ADDRESS.
WOULD ADDRESS ADVERTISING OTHER
THAN SPAM UNSOLICITED COMMERCIAL
EMAIL.
I'M SECOND BUT THE THE BILL DOES
EXPAND THE SCOPE OF THE STATUTE
A LITTLE BIT AYE IT'S NOT OF NEW
PRIVATE RIGHT OF ACTION.
BUT IT DOES BECAUSE THERE'S
ALREADY A PRIVATE RIGHT OF
ACTION FOR RECIPIENTS OF SPAM
BUT IT DOES ADDRESS FALSITY IN
THE BODY THAT'S CORRECT BECAUSE
IF WE'RE GONNA ADDRESS FALSITY
IN THE HEADERS WHY SHOULD WE
ADDRESS FALSITY IN THE BODY
FALSELY SHOULD BE ADDRESSED
WHERE EVER IT IS --
AS FAR AS MULTIPLE DOMAIN NAMES
THAT WAS THE OTHER BIG ISSUE
THAT WAS RAISED.
BUT THE STATUTE DOES NOT
CATEGORICALLY MAKE MULTIPLE
DOMAIN NAMES UNLAWFUL.
WHAT MAKES IT UNLAWFUL WHEN THE
ONLY PURPOSE FOR DOING SO IS TO
AVOID SPAM FILTERS SO --
AN EXAMPLE THAT I'D LIKE TO USE
ON THIS POINT IS DOUBLE DISNEY
COMPANY THEY HAVE THOUSANDS OF
BRANDS AND PRODUCTS IN NOBODY'S
SAYING DISNEY SHOULD NOT BE ABLE
TO USE THE LYING KING DOT COM
ESPN DOT COM AND THE LITTLE
MERMAID DOT COM AND WHATEVER
ELSE THEY HAVE.
THERE'S A VALID REASON TO DO SO
BECAUSE THEY ARE REAL BRANDS
BEHIND IT.
WHAT THIS BILL IS TRYING TO
ADDRESS IS A SPAMMER WHO SITS
ALONE IN HIS GARAGE GENERATING A
HUNDRED NONSENSICAL DOMAIN NAMES
THAT HAVE NO INHERENT CNNECTION
TO THE PRODUCTS BEING ADVERTISED?
AND USES ALL OF THOSE DOMAIN
NAMES TO ADVERTISE ONE PRODUCT
THIS HAPPENS ALL THE TIME AND
ONLY REASON TO DO THIS IS TO
AVOID SPAM FILTERS BECAUSE%
FILTERS LEARN.
FILTERS ACT AS OUR AGENTS TO
RECOGNIZE AND BLOCK SPAM WHETHER
WE USE OURSELVES WITH SOFTWARE
PLUGINS OR WHETHER IT'S AT THE
YAHOO LEVEL OR THE COMCAST LEVEL
THEIR FILTERS THAT ACT TO
PROTECT US.
AND USING MULTIPLE DOMAIN NAMES
IS AN ATTEMPT TO EVADE THAT.
ON THE SUPREME COURT DID RULE ON
THIS QUESTION BOB BUT THE CASE
NEVER ROSE UP THROUGH THE
CALIFORNIA COURTS NO JURY EVER
WEIGHED IN ON WHETHER THIS WAS
DECEPTIVE.
THERE WERE NO FOR THERE WERE NO
FINDINGS OF CONSUMER AYE INPUT
IN ANY MANNER WHATSOEVER THE
QUESTION WAS REFERRED TO THE
CALIFORNIA SUPREME COURT BY THE
NINTH CIRCUIT. FOR THE
CALIFORNIA SUPREME COURT DID SAY
THAT AND THIS BILL IS ATTEMPTING
TO NOT TRY TO HIDE IT IS
ATTEMPTING TO REVERSE THAT
DECISION TO THE EXTENT THAT IT
APPLIES.
TO NONSENSICAL AUTHOR ILLOGICAL
USE OF MULTIPLE DOMAIN NAMES IF
THERE'S A VALID REASON TO USE
MULTIPLE DOMAIN NAMES GREAT.
PROCTER GAMBLE HAS A THOUSAND
pTYPE DOT COM DOWNEY DOT COM
CREST TOOTHPASTE DOT COMWHATEVER THEIR PRODUCTS ARE.
NO PROBLEM THERE'S REAL BRANDS
BEHIND IT WHEN CONSUMER GETS AN
EMAIL FROM HIGH DOT COM THEY
KNOW WHO IT'S FROM THE ISSUE IS
HUNDREDS OF NONSENSICAL DOMAIN
NAMES.
MEANT FOR NO PURPOSE OTHER THAN
TO AVOID FILTERS WITH THANK YOU.
SENATOR GLACIER.
YEAH THANK YOU ARE.
I THINK WE'RE ALL SICK OF SPAM
AND THAT IS NO DOUBT THAT THE
GOALS THAT YOU'RE TRYING TO
ACCOMPLISH IN THIS BILL OR
SOMETHING THAT I CERTAINLY.
I AM SUPPORTIVE OF AND SURE MY
CONSTITUENTS ARE AS WELL.
AND I DO FIND THIS TO BE --
FAIRLY COMPLEX AREA I KNOW THE
BILL WAS JUST REFERRED TO US
THIS PAST WEEKEND.
HASN'T GIVEN US A LOT OF TIME TO
I THINK ANY DELVE INTO A LOT OF
THAT ISSUES THAT ARE BEING
RAISED.
BUT THERE ARE A COUPLE THAT DO
TROUBLED ME HERE IN THIS BILL
AND I WANT TO ASK ABOUT THIS ONE
OF THEM.
AND THE AND THAT'S THE ISSUE OF
BURDEN OF PROOF.
YOU TO BE PUTTING THE BURDEN OF
PROOF.
ON TO THE BUSINESS AND BEFORE
YOU ANSWER THAT LET ME JUST ADD
ONE MORE THING WHICH IS THAT.
A LOT OF THE CHALLENGES THAT WE
FACE IN THESE TYPES OF BOB IT
FORSMAN ACTIONS IS THAT YOU MAY
HAVE A COUPLE BAD APPLES BUT WE
DON'T WANNA.
HAVE THAT AFFECT EVERYBODY ELSE
OUT THERE RIGHT THAT'S DOING A
REASONABLE THINGS UNDER THE LAW.
YOU MAY NOT LIKE WHAT THEY'RE
DOING EMAIL LIKE LIKE WHAT
THEY'RE SAYING HOW THEY'RE DOING
IT BUT THEIR WORK THEIR
REASONABLE.
UNDER THE LAW AND WE HAVE TO
MAKE SURE THAT WE DON'T WHEN
TRYING TO CATCH THE BAD APPLES --
ENCOMPASS.
THOSE WHO ARE ENGAGED IN
LEGITIMATE BUSINESS PRACTICES.
BUT YOU DO CREATE A STANDARD OF
PROOF.
IT DOESN'T THAT THIS SEEMS LIKE
IT'S DISCOUNT REVERSING THINGS
HERE AND WANTED TO HAVE YOU
ADDRESS THAT.
I'M I'M ARE YOU REFERRING TO
MODEL DOMAIN NAMES OR A OUT.
OF IT -- THE
IF THE LAW WERE ENACTED IN THE
WAY THAT IS CURRENTLY APPEARS IN
THE BILL.
THEN MY BELIEF IS THAT NO
ATTORNEY WOULD BRING A LAWSUIT
AGAINST USING THE DISNEY EXAMPLE.
WHERE THAT WERE THE ONLY
VIOLATION MEAN IF IT DIDN'T HAVE
FALL SUBJECT LINES THAT'S A
DIFFERENT ISSUE AS FAR AS MULTI
DOMAIN NAMES IS CONCERNED?
IF THE STATUTE READ AS IT.
IS IT APPEARS IN THE BILL WHERE
I THINK ATTORNEY THAT BROUGHT A
CASE UNDER THOSE GROUNDS WOULD
BE SUBJECT TO SANCTIONS FOR
FRIVOLOUS LAWSUITS I THINK
THERE'S A DETERRENT ON THAT SIDE.
BOMB BECAUSE I DON'T ANYONE HERE
ARE THE ANY REASON A PERSON
WOULD CLAIM THAT DISNEY
SHOULDN'T BE ABLE TO USE
MULTIPLE DOMAIN NAME.
IF A LAWSUIT WERE FILED THEN THE
DEFENDANT AS YOU SAID WOULD HAVE
A BURDEN OF PROOF TO PROVE THAT
THERE'S A VALID REASON BUT THAT
SORT OF BURDEN BUT A DEFENDANT
HAS THE BURDEN OF PROOF IN A
LAWSUIT ANYWAY THAT'S THE NATURE
OF BEING A DEFENDANT
[inaudible]
SO I'M.
WELL IT WOULD SEEM THAT THAT
UNDER THE WAY THE BILL'S RICH
[inaudible]
THAT.
WHAT WHY SHOULD SETTLE FOR SO I
FIND IT FASCINATING THAT YOU'RE
USING AN EXAMPLE OF THAT?
ONLY IN EXTREME ATTORNEY.
NO WOULD IT WOULD TAKE THIS IS A
CAUSE OF ACTION AND THAT MAY BE
GUILTY OF MALPRACTICE IF THEY
CONDUCTED THEMSELVES AND YET
THAT'S THE SAME THING YOU'RE
TRYING.
TO ENCOMPASS IN THE BILL YOU'RE
DOING IS TO GO AFTER THESE BAD
APPLES AND IF YOU CREATE THE
STANDARD ANYBODY CAN USE IT ANY
WAY THEY WANT TO USE IT RIGHT.
AND SO YOU'RE CREATING A
STANDARD HERE THAT SAYS THAT.
DEFENDANT HAS TO HAVE THE BURDEN
OF PROOF TO SHOW THAT THEY WERE
ENGAGED IN LEGITIMATE BEAT
BUSINESS REASONS BUT THAT
LAWSUIT COULD SAY WELL THE LAW
SAYS YOU HAVE TO THAT'S THE
BURDEN.
PROVE IT THAT THAT YOU WERE
TRYING TO EXPAND PEOPLE PROVE IT.
WELL SPAM IS ALREADY AND WHETHER
OR NOT IT'S SPAM IS SORT OF A
SEPARATE QUESTION ON WHETHER OR
NOT THERE REALLY IS DIRECTION
SANTA NEVER IN THE FIELDS WITH
SPAM BUT SPECIFICALLY FOR THE
MULTIPLE DOMAIN NAME ISSUE.
I'M YOU'RE YOU'RE RIGHT THAT A
PLAINTIFF THAT ALLEGED MULTIPLE
DOMAIN NAMES FOR THE SOLE
PURPOSE OF BYPASSING FILTERS
YOU'RE RIGHT A DEFENDANT WOULD
HAVE THE BURDEN OF SAYING NO ITS
DAY I HAVE A VALID BUSINESS
REASON AND HERE'S WHY --
BUT BUT AGAIN I THINK THE
PLAINTIFF WOULD --
IN IN THAT SCENARIO WOULD HAVE --
FOR THE PLAINTIFF ATTORNEY WOULD
HAVE A SEAT.
OKAY I I APPRECIATE THAT THAT
FEEDBACK.
THE DAMAGES SEEM VERY HIGH FOR
WHAT YOU'RE ASKING --
FOR BUT THE DAMAGE IS A PART OF
THE EXISTING STATUTE THOUGH MY
OWN TIME.
AND I AM TROUBLED I HAVE NO
PROBLEMS WITH THE EXPANSION OF
THE ENFORCEMENT SIDE TO CITY
ATTORNEYS AND AND THE DA'S
EFFECT THAT I THINK THAT'S THE
BETTER COURSE OF ACTION FOR A
LOT OF PLACES IN OUR LAW AND I
DON'T LIKE THE PRIVATE.
RIGHT OF ACTION BECAUSE IF YOU
HAVE A VIOLATED THE PUBLIC'S
TRUST IT SHOULD BE AN
INDIFFERENT VIGILANT GAZE THAT
SHOULD BE OUR LAW ENFORCEMENT
AGENCIES.
AND OUR LAW ENFORCEMENT OFFICERS
WHO ARE THERE TO PROTECT OUR
INTERESTS SO.
LISTEN IF THEY'RE NOT THE MAIN
STATUE CAME BACK.
UP WITH A PRIVATE RIGHT OF
ACTION I PRY WOULDN'T SUPPORT
TODAY SO IT'S HARD FOR ME TO
THINK ABOUT ANY KIND OF
EXPANSION.
THAT ONLY CAN CREATE MORE
JEOPARDY OUT OF THIS AND BUT I
GET I I AGREE WITH WHAT YOU'RE
TRYING TO DO WITH THE BILL ON IT
LIKE TO FIND SOME WAY.
TO FIND THAT COMMON GROUND AS
WELL AS WE GO FORWARD.
IT'S SENATOR ALAN WADE THROUGH.
I'M TWENTY CLARIFY HERE BECAUSE
WE HAVE ONE SIDE SAYING IT THIS
IS BASICALLY GONNA CREATE A
STRICT LIABILITY PRIVATE RIGHT
OF ACTION.
IT'S GONNA BENEFIT IS THAT GROUP
OF PLAINTIFFS' LAWYERS YOU'RE
YOU'RE ARGUING THAT'S NOT THE
CASE.
AND CAN ARAGON MORE CLARITY AS
TO WELL BROTHER AND THERE IS
STRICT LIABILITY UNDER THE
CURRENT STATUTE.
ARM THE LEGISLATURE IMPOSE
STRICT LIABILITY IN COURTS HAVE
UPHELD IT BECAUSE OFTEN IT IS
HARD TO TRACK DOWN THE ACTUAL
SPAMMERS.
SO STRICT LIABILITY IS ALREADY
THERE -- THE
PRIVATE RIGHT OF ACTION IS
ALREADY THERE --
AGAIN THE THE I BELIEVE THAT'S
IN PART BECAUSE THE LEGISLATURE
RECOGNIZED AS PART OF THE
CURRENT STATUTE THAT RECIPIENTS
ARE IN FACT HARMED AND WHILE IT
WOULD BE GREAT IF THE ATTORNEY
GENERAL IN THE FEDERAL TRADE
COMMISSION DID MORE.
THEY HAVE LOTS OF THINGS TO DO
US IT'S MY BELIEF THAT IF YOU
WANT.
TO THAT IT THAT THE PEOPLE WHO
ARE HARM SHOULD HAVE THE RIGHT
TO STAND UP AND DO SOMETHING
ABOUT IT.
WHICH SURELY DOES NOT PRECLUDE
THE FTC OR THE ATTORNEY
GENERAL'S OR ANYONE ELSE FROM
DOING ANYTHING ABOUT IT AS WELL
[inaudible]
OKAY SO.
THE CALATHEA REPRESENTING TO OUR
STAFF THAT IT WAS IT WAS
CREATING THIS BUT I GUESS.
YOU THAT'S ALREADY IN LAW.
WELL IT MEANS THERE ARE WHAT IS
HE DOING THIS BILL HAS BEEN
PRESENTED AS A CLARIFICATION OF
EXISTING LAW AN EXISTING LAW
ENUMERATES THREE MAJOR
CATEGORIES IN WHICH YOU CAN SUE.
IF THERE'S FALSITY AND WHAT THIS
DOES IS ADD ABOUT THREE TO FOUR
TO FIVE MORE.
AND IN AREAS WHERE COURTS HAVE
ALREADY SAID THIS ISN'T
DECEPTIVE THE AREAS WHERE COURTS
OF ANY FOUNDERS NO HARM.
THESE THINGS ARE BEING ADDED ON
TO BENEFIT YOU MISTER BALSAM AND
OTHER LAWYERS LIKE HIM IS ONLY A
HANDFUL OF THEM.
AND THEN AND CREATING EIGHTY TO
YOUR QUESTION ABOUT A
PRESUMPTION.
IT CRANK RESUMPTION THAT YOU USE
MULTIPLE DOMAINS THAT SOMEHOW
EUROPEAN YOUR TO FILING YOUR
DECEPTIVE.
AND SO THEN YOU HAVE THE BURNING
YOUNG GET GET I GET A LETTER
FROM THEM SAYING YOU KNOW PROVE
IT O. OR SETTLING MEEKS I THINK
I HAVE A CLAIM.
AND YOU KNOW I DON'T THINK THAT
THE CALIFORNIA LEGISLATURE
MUSCLED CALLING ON THE KINDNESS
OF PLAINTIFFS LAWYERS HERE.
BUT LET ME TELL YOU WHO USES
MULTIPLE DOMAIN NAMES THE
CALIFORNIA LAWYERS ASSOCIATION
USES MULTIPLE TO NAME NAMES THE
CLINTON FOUNDATION USES MULTIPLE
NAMES.
YOU GO THROUGH YOUR YOUR SPAM
FOLDER YOU'RE IN LOOK AT ALL THE
EMAILS ARE FILLED THEM LIVE ON
THE A ONE THE NOT SPAM THE EMAIL
SHE CONSENTED.
TO A LOT OF THEM USE MULTIPLE
DOMAIN IS FOR OF JUST FOR GOOD
BASED ON THE SET OF THE NOT
BASED ON POLICY THERE'S BASED ON
A LOT OF THINGS AND AND NONE OF
THEM WHICH HAVING TO DO WITH
DECEPTION.
IN HERE WE JUST TALK ABOUT THIS
OPTION.
HOW CAN WE CLARIFY SO?
WELL YOU KNOW WE USE MAILCHIMP
CONSEQUENT THAT WERE MISSING
LOTS OF DIFFERENT AND EMAIL.
DOMAIN NAMES FOR DIFFERENT
SEGMENTED LISTS MAILCHIMP OFTEN
USES MULTIPLE THE MADNESS REALLY
THAT'S NOT WHAT YOU'RE TRYING TO
GET OUT HERE [inaudible]
WORK.
NO NO WE'RE NOT TRYING TO GET AT
DEL MAR MULTIPLE DOMAIN ISSUES
YOU KNOW AT LARGE BUT A WHICH IS
TO LOOKING AT FOLKS WHO USE
MULTIPLE DOMAINS TO BASICALLY.
THE SEAT TO SYSTEM OR BASICALLY
TO BASICALLY ALL BYPASS THE SPAM
FILTERS AND THAT'S THAT'S THE
YOU KNOW THE JUST OF THE BILL
ENEMY JUST THE ALSO JUST TO YOU
KNOW JUST HAVE.
TO LIVE THERE IS THERE WERE
QUESTIONS ABOUT THE THE NEW
QUARTER CORNING CALLED PRIVATE
RIGHT OF ACTION.
IT WOULD NOT CREATING ANY.
NEW PRIVATE RIGHT OF ACTION FOR
ANY INDIVIDUALS WE ARE JUST
SIMPLY ALLOWING THE DISTRICT
ATTORNEY AND THE CITY ATTORNEY
TO BE ABLE TO BRING LAWSUITS ON
BEHALF OF THE PUBLIC.
BUT THE ONLY THING THAT WE
ADDING IS D. ARE YOU KNOW THAT
THE BUT THE BODY ARE AND ALSO
THE THE HEADER SITUATION THAT WE
TALKED ABOUT SO WE NOT CREATING
ANY BRAND NEW PRIVATE RIGHT OF
ACTION BEFORE WAS A LIST OF THE
FALSE AND DECEPTIVE PARDONS.
IF THERE EXAMPLES OF DURING SEEM
TO STEP IN THE CURRENT STATUTE
HAS REMAINED AT THE CURRENT
STATUTE WAS WRITTEN IN.
TWO THOUSAND THREE THERE'S BEEN
A LOT OF LEARNING SINCE THAT
WHAT'S THERE RIGHT NOW IT'S IT'S
GOOD -- IT'S
IT'S A LITTLE VAGUE IT DOESN'T
REALLY THAT'S THE PURPOSE OF
THIS -- BOTH
FOR THE EXAMPLES OF THE FALSITY
AND ALSO TO GET THE REDUCTION IN
DAMAGES THIS STATUTE BY
PROVIDING EXAMPLES HELPS FILL IN
THE GAPS OF THE CURRENT LAW IT
TELLS MARKETERS.
HERE'S WHAT YOU NEED TO DO TO
NOT GET IN TROUBLE NOT
ADDRESSING VAGUENESS YOUR YOU
TRY TO REVERSE COURT DECISIONS
THAT EXPLICITLY SAID WHAT YOU
WHAT YOU CLAIM IS WRONG IT IS
NOT DECEPTIVE.
WHAT YOU'RE TRYING TO MAKE MONEY
WHERE COURT SAID THERE'S NO HARM
[inaudible]
OKAY.
THE WAY TO THE QUESTION SENATOR
ALLEN [inaudible]
WELL I'M.
BUT I MEAN IT IT'S AYE RELIGIOUS
PUNS COMMITTEE A DAY AGO AND I'M
GLAD THAT EXCUSE GOING OVER THAT
THAT DOES NOT OVERALL GENERAL
[inaudible]
YEAH.
WITH THAT EXCUSE [inaudible]
THAT -- BUT
IT IS IT IS A I I I REALLY WITH
THINK I MEAN I AYE AYES AYE I
GET THE SENSE OF WHAT YOU'RE
TRYING TO GET OUT HERE --
MISTER CHAU AND I AM VERY
SYMPATHETIC TO IT IS SOMEONE WHO
RECEIVES A LOT OF SPAM EMAIL.
ARE BUT AND I I DO THINK THAT
YOU.
YOU KNOW THAT DID IT DID IT
WOULD SEEM TO ME THAT YOU WANT
TO CLARIFY A BIT RELATING.
TO I'D DIFFERENT DOMAIN NAMES.
AS A RESULT AS IT RELATES TO
LEGITIMATE --
YOU KNOW.
CONTACT AYE I GUESS.
YOU KNOW JUST AS THE DEVIL'S IN
THE DETAILS IN TERMS OF HOW YOU
DIFFERENTIATE BUT ON IT IT IT IT
SEEMS FROM THE DISCUSSION AND
WHAT I'VE SEEN.
IN THE NOW SUSPENDED SETTLE TOO
VAGUE I WAS WANTING NESBITT THE
COMMITTEE WORK ON THIS AT ALL
AND OFFER ANY AMENDMENTS ON THAT.
LIST WITH HIS EYES THIS IS A
DOUBLE REFER TO JUDICIARY NEXT
WEEK IT WAS WHERE WE'LL BE GOING
SO WE DON'T HAVE AN OPPORTUNITY
TO ADD AMENDMENTS TO IT NOW WE
CAN CERTAINLY --
PITCH AMENDMENT FROM THE AUTHOR
ON CERTAIN AMENDMENTS AND IF
THEY'RE NOT WE CAN CERTAINLY
BRING IT BACK TO THIS COMMITTEE.
FOR REVIEW AND AT ANY PARTICULAR
TIME THAT'S AN AGREEMENT THAT WE
CAN WORK WITH THIS.
SHE HOW WE CAN DO THAT AND I'M
FAIRLY WILLING AND HAPPY TO DO
THAT FOR THE AUTHOR.
I'M DEFINITELY ARE.
WILLING TO COMMITTEE I MEDICALLY
WHAT CLARITY HERE AND ADOPTED IT
THINK THAT'S ISSUES AND CLARITY
AND AND IN SOME REFINEMENT OR
HOW THAT THAT APPLIES USES AN
IMPORTANT ISSUE.
RELATED TO THAT.
EXTENSIVE --
HAVE SELLING.
IN YOU COULD WORK WITH OUR
COMMITTEE.
STAFF TO TRIED IT.
WORKED I KNOW JIM DIGI JUDICIARY
COMMITTEE WILL BE WORKING THAT
IS WELL WITH YOU BUT WILL IT WE
WANT TO MAKE SURE THAT WE'VE
COVERED THOSE ISSUES THAT HAVE
BEEN RAISED BY MEMBERS HERE
TODAY.
SO SO WE HAVE BEEN WORKING WITH
JUDICIARY AND AND THEY HAVE
AMENDMENTS THAT THEY'VE BEEN
WORKING HARD TO SHOW.
WE'LL WORK TOGETHER WITH THEM TO
SEE THAT WE CAN CRAFT SOMETHING
THAT WILL WORK FOR THE MEMBERS
OF THIS COMMITTEE HAVE OF A
GREAT.
YOU HAVE THAT COMMITMENT FROM
AMEND NO THEY WERE YOU YOU HAD A
LOT OF OPPOSITION FOR FROM
CHAMBER AND OTHERS AND YOU CAN
WORK TO GET THAT OPPOSITION OFF
OVER TIME AND AND THEY'RE PRETTY
SENSITIVE TO THAT.
BY LEWIS LAWSUIT CEO PLAYED ITS
PART WITH THE LATEST SET OF
AMENDMENTS ARE THAT CALTRAIN
BRAIN ALSO CANTIERE PLUS A
COUPLE OTHER --
ONES ALSO REMOVE THEIR
OPPOSITION CORRECT.
VERY VERY GOOD A YOU KNOW FOR
THE QUESTIONS OR COMMENTS WOULD
YOU LIKE TO CLUB RESPECTFULLY
ASK HER I'VE HAD EVEN THOUGHT
CONTINUE TO WORK WITH AND WE
HAVE A COMMITMENT TO TO WORK
WITH THE COMMITTEE CONSULTANT
THE STAFF TO KIND OF REFINE THAT
THAT ISSUE IN THE JUDICIARY.
COMMITTEE OBSOLETE.
VERY GOOD SO IF I COULD
ENTERTAIN A MOTION.
SO WE HAVE A MOTION FROM SENATOR
DODD PLEASE CALL THE ROLL.
AND IS TO PASS THE SENATE
JUDICIARY COMMITTEE HEALTH AYE
HILL AYE FULLER.
ALAN.
ALLEN I THOUGHT I THOUGHT I
GALGIANI.
GALGIANI AYE GLAZER.
I TO KNOW [inaudible]
GLAZER.
LATER NOW HERNANDEZ [inaudible]
PAN.
WELL NO LOOK NOW. THREE VOTES
WILL HOLD THE RULE OPEN FOR
ABSENT MEMBERS OF THE YEAR.
THANK YOU VERY MUCH.
THANK YOU THANK YOU [inaudible]
YOU HAVE
.
MY APOLOGIES BUT SINCE OUR
SESSION STARTED AND WE DON'T
HAVE THE LUXURY OF ADDING ON TO
ITEMS AND BILLS IN THE SENATE AS
YOU DO IN THE ASSEMBLY WE'RE
GOING TO HAVE.
TO RECESS UNTIL OUR SESSION
CONCLUDES AND THEN RECONVENE
HERE AFTER THAT MY APOLOGIES. TO
TO ALL OF YOU ORINDA.
THANK YOU KNOW.
WE'RE IN RECESS UNTIL THE END OF
OUR SESSION AND LET IN THE
LEGISLATURE [inaudible]
BUT I SESSIONS OVER [inaudible]
VIENEN THE SENATE BUSINESS
AND PROFESSIONS COMMITTEE FOR
THIS AFTERNOON ARE HEARING.
AND GO DO SOME HOUSEKEEPING AND
GO BACK TO SOME OF THE BILLS
THAT WE HAVE TAKEN UP BUT HAVE
NOT VOTED ON AND DO NOT HAVE
MOTIONS ON WILL START AT THE TOP.
AB TWELVE FORTY SEVEN AM BILL.
WE HAVE A MOVE MOTION FROM
SENATOR DR PLEASE CALL THE ROLL.
QUESTION IS DO PASSED
[inaudible]
I WAIT.
ITEM NUMBER ONE AB TWELVE FORTY
SEVEN MOTION IS TO PASS AS
AMENDED TO SENATE JUDICIARY
COMMITTEE.
HILL I FELL AYE FULLER.
ALLEN.
ALLEN I DOT.
DOT AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN.
BUT I CAN'T AYE WILK. SEVEN
VOTES WILL HOLD THE ROLE OPEN
FOR ABSENT MEMBERS ITEM NUMBER
TWO AB FOURTEEN THIRTY SIX IS
THERE A MOTION [inaudible]
JOSE.
SO MOVED BY SENATOR GLAZIER
THANK YOU VERY MUCH.
OF PLEASE CALL THE ROLL MOTION
AS DO PASS AS AMENDED TO SENATE
APPROPRIATIONS COMMITTEE HILL
AYE HILL AYE FULLER.
ALLEN.
ALLEN I DOT.
DOT AYE GALGIANI.
GALGIANI AYE GLAZER GLAZER AYE
HERNANDEZ.
HERNANDEZ AYE PAN.
AND I WILK.
THE BILL HAS SEVEN VOTES WILL
HOLD THE ROLE OPEN FOR ABSENT
MEMBERS WILL MOVE TO ITEM THREE
AB SEVENTEEN FIFTY ONE ASSEMBLY
MEMBER LOW IS THERE A MOTION.
SO MOVE SENATOR GLAZIER.
A PLEASE CALL THE ROLL QUESTION
IS DO PASSED THE PUBLIC SAFETY
COMMITTEE HELP AYE HILL AYE
FULLER.
ALLEN.
ALLEN AYE DODD DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ AYE PAN [inaudible]
WILK [inaudible]
FIXED THE BILL HAS SIX VOTES
WILL HOLD THE ROLE OPEN DOOR
ABSENT MEMBERS ITEM NUMBER FOUR
AB SEVENTEEN FIFTY TWO BY
ASSEMBLYMEMBER LOW WE HAVE A
MOTION FROM SENATOR DODD.
PLEASE CALL THE ROLL.
BUT SHOULD DO PASS THE SENATE
PUBLIC SAFETY COMMITTEE HILL AYE.
HILL AYE FULLER ALAN.
HELEN I'D DODD.
DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
PRETEND IT'S AYE PAN.
I AND I WILK [inaudible]
AND THE BILL HAD SEVEN VOTES
WILL HOLD THE ROLE OPEN FOR
ABSENT MEMBERS I REMEMBER FIVE
ASSEMBLY BILL. SEVENTEEN FIFTY
THREE BY ASSEMBLYMEMBER LOW
PLEASE CALLED UP IS OUR MOTION.
ON ITEM NUMBER.
FIVE SENATOR DODD THANK YOU VERY
MUCH THAT WE HAVE A MOTION
PLEASE CALL THE ROLL.
MOTION IS TO PASS THE SENATE
PUBLIC SAFETY COMMITTEE HILL AYE.
HILL AYE FULLER [inaudible]
ALLEN.
ALLEN I DONT.
DODD AYE GALGIANI [inaudible]
YEAH.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN.
BUT I CAN I WILL. SEVEN SEVEN
ZERO SO FAR WILL HOLD THE RULE
OF THUMB FOR ABSENT MEMBERS
MOVING.
TO ITEM NUMBER SEVEN AB NINETEEN
OH SIX BY ASSEMBLYMEMBER.
IS OUR MOTION I'M SURE WE DO
HAVE THEIR OF MOTION ALREADY IS
SPECIFICALLY AFTER MEMBERS
MOTION HAS TO PASS THE SENATE
JUDICIARY COMMITTEE [inaudible]
THREE ZERO FULLER [inaudible]
GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ AYE PAN AYE I CAN I
WILL. SEVEN IMAGE SEVEN BUT WILL
HOLD THE RULING PREFER ABSENT
MEMBERS THERE AS WELL WITHOUT
THE CONSENT CALENDAR.
WHICH IS ITEM NUMBER TEN AND
ITEM NUMBER FIFTEEN IT'S AB
TWENTY FIVE EIGHTY SIX AND AB
TWENTY TWO NINETY SIX IS THERE A
MOTION ON THE CONSENT COUNTY
SENATOR GLAZER.
WELL MOTION THANK YOU.
PLEASE CALL THE MEMBERS RURAL
HILL AYE HILL AYE FULLER
[inaudible]
ALAN.
ALLEN AYE DODD AYE DODD AYE
GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ AYE
HERNANDEZ AYE PAN.
AND AYE WILK AYE AYE WILK AYE.
FULLER AYE FULLER AYE. EIGHT OR
NINE NINE NINE TWO ZERO THE
CONSENT CALENDAR IS OUT.
MOVING TO ITEM NUMBER
[inaudible]
A ELEVEN AB.
TWENTY ONE THIRTY EIGHT BY
ASSEMBLYMEMBER CHIU.
PLEASE CALL THE ABSENT MEMBERS.
YES AS AMENDED.
THAT MOTION IS DUE PASSED THE
SENATE PUBLIC SAFETY COMMITTEE.
TRENT VOTES.
TWO ZERO FULLER.
FULLER NOW ALLEN.
ALLEN AYE GALGIANI.
GALGIANI NOW.
LASER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN.
AND I WILL.
NO WILK NOW.
RE IN THAT IT WOULD.
THE BILL HAVE SIX VOTE AGAINST
IT IS OUT --
WE WILL NOW TAKE UP.
FOR ITEM NUMBER NINE AB TWENTY
EIGHTY FOUR BY ASSEMBLYMEMBER
CALLER [inaudible]
NUMBER.
NINE AB TWENTY EIGHTY FOUR
HUNDRED OR SO.
GOOD AFTERNOON OR EVENING
PLEASED PICKING.
BUT DON'T THINK WESTERN SENATORS --
BILL.
A TWENTY EIGHTY FOUR INQUIRES
ENTITY PROVIDING A COURT
REPORTING SERVICES TO REGISTER
WITH A CORE BORDERS BORDERS
COURT REPORTER AND PUTTING
PROVIDERS AND UP --
AS COURT REPORTING PROVIDERS IN
ORDER REQUIRE.
TAKE FAIR AND NEUTRAL COURT
REPORTING.
COR BOARDING'S INTEGRAL
COMPONENT OF OUR JUDICIAL SYSTEM
IS THE ROLE OF THE COURT
REPORTERS BOARD. TO PROTECT ITS
INTEGRITY BY MAKING SURE ALL
ENTITIES ARE PLAYING BY THE SAME
RULES.
THIS ENSURES CONSUMERS ARE
PROTECTED FROM ACTIONS THAT GIVE
ONE SIDE UNFAIR ADVANTAGE OR
PRACTICE THAT COMPROMISE THE
NEUTRAL CARE.
OF THE COURT REPORTER'S
TRANSCRIPT.
THEY'VE BEEN REPORTED ABUSES
MODESTY CORPORATIONS TO PROVIDE
COURT REPORTING FOR DEPOSITIONS
OF THE BOARD OF SUPPORTERS CAN
ATTEST -- TO
THESE ENTITIES USE A LICENSE
COURT REPORTERS BUT IN THE
COURSE OF THEIR BUSINESS HAVE
DIRECT HANDLING OF THE
TRANSCRIPT IN A MANNER.
THAT BREAKS COURT REPORTING LAWS
AND REGULATIONS. ONE OF THE MOST
EGREGIOUS VIOLATIONS INVOLVES
TRANSFER DELIVERY IT WAS
AFFIRMED BY THE TRANSIT THEIR
CLIENT BEFORE.
OPPOSING COUNSEL GIVING US
SIGNIFICANT LITIGATION VANISHED
OUR CLIENT CONTRARY TO EXISTING
LAW.
THAT HOLDING ALL ENTITIES THE
SAME LAWS REGULATIONS DECREASE
INEQUITIES IN THEM WITHIN THE
PROVISION.
OF COURT REPORTING SERVICES IT
CAN UNDERMINE THE INTEGRITY OF
THE JUDICIAL SYSTEM.
AS A PERFORMER W. PUBLIC
DEFENDER FOR ELEVEN YEARS CAN
CERTAINLY ATTEST INTO A ATTEST
TO THE VALUE OF THE INTEGRITY OF
TRANCE SPOTS FOR THE COURT
REPORTERS BOARD AND SUPPORTED BY
THE CALIFORNIA.
CORPORATE CESSATION AND THE
DEPOSITION REPORTERS ASSOCIATION
WITHIN REVISED PORTING
TESTIMONIES HE BONVENTRE OF THE
COURT WONDERS BOARDS OCCURRED
GIVING HER ISSUE.
THE CHAIR OF THE CORPORATE SPORT
[inaudible]
VERY GOOD.
THANK YOU VERY MUCH ASSEMBLY OR
GOOD AFTERNOON GOOD AFTERNOON
IT'S GOOD TO SEE YOU HERE YOU --
TO THANK YOU SOMEONE MEMBER
KALRA FOR THE INTRODUCTION.
AND THANK YOU CHAIR HILL --
AND COMMITMENT COMMITTEE MEMBERS
FOR THE OPPORTUNITY TO SPEAK TO
YOU ABOUT AN UNCOMPLICATED WELL
THAT ED FISCALLY SMART SOLUTION.
AND MAYBE TWENTY EIGHTY FOUR
FEDERAL ENSURE ALL CONSUMERS OF
COURT REPORTING SERVICES IN
CALIFORNIA ARE PROTECTED.
WHETHER THEY SECURE THEIR
SERVICES THROUGH A LICENSEE
OWNED FIRM WORN OUT OF STATE
CORPORATION.
THE COURT REPORTER'S TRANSCRIPT
IS AN IMPORTANT DOCUMENT BEFORE
DURING AND AFTER THE DEPOSITION
OR TRIAL.
CALIFORNIA LEGISLATORS
PAINSTAKINGLY WROTE INTO NOT
JUST ONE AREA OF THE CODE BUT
NUMEROUS PLACES AND LAW.
NEUTRALITY.
CARE OF THE RECORD THE ACCURATE
MAKING OF THE OFFICIAL RECORD
AND PROPER FORMATTING OF THE
TRANSCRIPT.
THESE LAWS WERE CRAFTED TO
INCLUDE DETAILS AND SPECIFICITY.
ON EXACTLY HOW THE RECORD SHOULD
BE HANDLED IN ORDER TO UPHOLD
THE INTEGRITY OF COURT REPORTING
AND THE JUDICIAL SYSTEM.
WE ARE HERE BEFORE YOU BECAUSE A
SEE OUR PEACE MISSION TO SERVE
AND PROTECT THE CALIFORNIA
CONSUMERS HAVE BEEN NEGATIVELY
IMPACTED.
BY GROWING DISREGARD FOR THE
EXISTING LAWS BY OUT OF STATE
NON LICENSEE DEPOSITION SERVICES
COMPANIES.
COLLECTIVELY REPRESENTED BY
CALIFORNIA ADVOCATES INC.
UNLIKE THE MAJORITY OF COURT
REPORTING FORMS WHO ARE
FOLLOWING COURT REPORTING LAWS
AND ETHICS A COLLECTION OF OUT
OF STATE FIRMS HAVE TRIED TO
IGNORE THE LOS.
AND ASSERT THAT THEY ARE SOMEHOW
EXEMPT.
FROM EXISTING LAWS WE CAN NOT
MISTAKE THAT THERE IS A
CONCERTED ATTEMPT.
BY OUT OF STATE CORPORATIONS TO
DO ALL THEY CAN TO REFER AB
RETAIN AN UNFAIR COMPETITIVE
ADVANTAGE AT THE EXPENSE OF
CONSUMERS.
WHICH THEY RECEIVED AND NO OTHER
STATE.
THE BOARD CONTINUES TO EXHAUST
THE VARIOUS OPTIONS FOR
COMPLIANCE TO CALIFORNIA'S
EXISTING LAWS.
THE BOARD FINDS AT THE MOST COST
EFFECTIVE AND COMPREHENSIVE BEAR
SOLUTION IS TO UPDATE.
COURT REPORTING LAWS ESTABLISHED
IN.
NINETEEN FIFTY ONE AND
PARTICULAR THE COURT PUTTING
LAWS.
IN THE NINETEEN FIFTIES WERE
DESIGNED TO PROTECT CALIFORNIA
CONSUMERS BUT DID NOT TAKE INTO
CONSIDERATION THAT FIRMS COULD
BE OWNED BY NON LICENSE
INDIVIDUALS.
IT WAS ALWAYS BELIEF THAT OWNERS
WOULD BE LICENSEES.
AND LOSS OF LICENSE WOULD SERVE
AS A DETERRENT FROM CROSSING THE
LINE OF VIOLATING LAWS
APPLICABLE TO COURT.
FORTY WELL OUT OF STATE.
FOR DOING BUSINESS IN CALIFORNIA
ARE NOT DETERRED.
IT IS NOW TIME TO MAKE A SMALL.
ONE WOULD SAY INNOCUOUS
LEGISLATIVE CHANGE. TO MEET THIS
EVOLVING INDUSTRY AND THIS WILL
BE ACHIEVED IN AB TWENTY BEFORE.
IT'S IMPORTANT NOTE THAT
SOMEWHERE IN HISTORY.
THE BOARD EVOLVE SLIGHTLY WITH
CHANGING STANDARDS.
AND WIDEN THE DOOR EVEN FURTHER
TO PROMOTE INNOVATIVE BUSINESSES --
THINK YOU HAVE.
A LITTLE HOT OUT THERE IN THE
SACRAMENTO WHETHER THROUGH WARM
AND IF I COULD HAVE GOT IT TOO
TO TIGHTEN AND YET WE'VE HAD O
AND TO HOLD.
WITNESSES TO TWO MINUTES I FOR
FAILED TO MENTION THAT EARLY
SORRY I DID EARLIER WHEN WE
STARTED TWO MINUTES OF FOR
SUPPORT AND OPPOSITION.
TO THE MOVING ALONG.
THROUGH IT IF I COULD THEN JUST
QUICKLY SAY. FOR YOU THEIR SPEND --
COMPLAINTS RECEIVE ABOUT
TRANSPARENT MISCONDUCT ALLOWING
ONE SIDE TO HAVE ACCESS TO
TRANSCRIPTS BEFORE THE OTHER AND
PREPARING FOR LITIGATION --
WHICH ISN'T ILLEGAL ADVANTAGE
NOT A BUSINESS AND MANAGEMENT
ILLEGAL ADVANTAGE THAT'S BEEN
CODIFIED IN THE CIVIL CODE OF
CIVIL PROCEDURE --
WHICH ENSURES GOODS AND SERVICES
ARE HANDLED FAIRLY AND AVAILABLE
TO ALL SITES AT THE SAME TIME.
THERE BEEN GIFT GIVING
VIOLATIONS THERE HAS BEEN
REFORMATTING TO INCREASE THE
NUMBER OF PAGES AND THAT'S THE
AMOUNT OF LITIGATION --
THAT ONE IS BUILT --
FOR IF I MOVE ALONG.
I WOULD.
PROBABLY SAY THAT.
WE HAVE MET WITH THEM STATE
FIRMS WHO ARE IN OPPOSITION.
AND HAD VERY PRODUCTIVE
CONVERSATIONS --
WHERE THE MADE SUBORDINATE A
CRYSTAL CLEAR THAT WE WELCOME
COURT REPORTING FORMS FROM IN
STATE OR OUT OF STATE AS LONG AS
IT FOLLOW THE LAW?
AND THAT'S WHAT THIS PLEASE IT'S
ACTUALLY THANK YOU VERY HOW MUCH
OTHERS IN SUPPORT.
I'M YOU FUND FEDERAL FISCAL
COURT REPORTERS BOARD STAFF JUST
HERE TO ANSWER LAWFUL THANK YOU
VERY MUCH I APPRECIATE YOUR
PRESENCE HERE TODAY JIM GROSS
ABOUT THE DEPOSITION REPORTERS
ASSOCIATION IN STRONG SUPPORT
THANK YOU VERY MUCH WHICH TO
GROW.
ANNOUNCER HERNANDEZ ON HAVE THE
CALIFORNIA COURT REPORTERS
ASSOCIATION STRONG SUPPORT THANK
YOU TO HERNANDEZ OTHERS IN
SUPPORT.
SEEN IT NO ONE OF THOSE IN
OPPOSITION PLEASE COME FORWARD
[inaudible] TO VOTE.
WELCOME THANK YOU MISTER CHAIR
AND MEMBERS MICHAEL LOW ON
BEHALF OF THE COALITION OF
DEPOSITION SERVICES FIRMS
INCLUDING VARITEK'S U. S. LEGAL
IN ESQUIRE.
THIS IS AN IDENTICAL BILL TO A
BILL THAT WAS VETOED A IN
SEPTEMBER BY GOVERNOR BROWN
VIRTUALLY NO WORK HAS CHANGED AT
ALL.
THE GOVERNOR EXPLAINED THAT
PENDING LITIGATION THAT IMPACTS
THE ISSUES RAISED BY THE BILL
AND HE WOULD PREFER TO SEE THAT
THOSE ISSUES RESOLVED IN THE
LITIGATION BEFORE PROCEEDING.
IT HAS BEEN SUGGESTED THAT A A
BILL IS NECESSARY HOWEVER THAT
LITIGATION COMES OUT BUT IT'S
MORE COMPLICATED THAN THAT.
IN FACT DEPENDING ON HOW THE
LITIGATION COMES OUT.
ARE.
FIRMS COULD BE INELIGIBLE TO DO
WHAT THEY DO IN CALIFORNIA AND
THIS BILL DOESN'T FIX IT.
SO THERE IS A BIG PROBLEM WITH
THE LITIGATION PENDING IN THE
APPELLATE COURT.
BEYOND THAT THAT JUST FOR A
MOMENT -- IT
I'VE REPRESENTED THE CIVIL
DEFENSE BAR FOR TWENTY YEARS IN
CALIFORNIA IN.
NINETEEN NINETY EIGHT AND NOT
ONCE HAS A LAWYER AND CIVIL
DEFENSE LAWYER EVER SUGGESTED TO
ME.
THAT THERE'S A PROBLEM IN COURT
REPORTING.
AS A MATTER FACT THOSE ARE THE
CUSTOMERS.
OF DEPOSITION SERVICES FIRMS
THEY ORDERED THE DEPOSITIONS AND
THEY PAY FOR THEM AND I'VE NEVER
HEARD THAT THERE'S A PROBLEM.
NOW MISTER KALRA WAS KIND ENOUGH
TO PUT THE BILL OVER FOR A WEEK
TO FACILITATE A DISCUSSION
BETWEEN US.
AND THE BOARD AND MIS HEARD THAT.
ACCURATELY DESCRIBED THE MEETING.
BUT HERE'S WHAT I ASKED AT THE
MEETING.
HOW MANY COMPLAINTS DO YOU GET
AND WHAT ARE THE NATURE OF THOSE
COMPLAINTS BECAUSE FOR SOME
REASON FOR TWENTY YEARS I'VE
NEVER HEARD OF THE PROBLEM?
AND I WAS TOLD THAT THAT
INFORMATION IS CONFIDENTIAL.
THIS IS THE FIRST TIME IN MY
TIME IN SACRAMENTO WHEN I'VE
BEEN TOLD THAT THE NUMBER OR
NATURE OF COMPLAINTS IS
CONFIDENTIAL.
BUT IT WASN'T ASKING TO SEE THE
COMPLAINTS ARE WHO WROTE THEM OR
FIND OUT ANY DETAILS JUST TELL
ME HOW OFTEN IT HAPPENS IS IT
[inaudible]
TWICE. TWENTY A TWO HUNDRED WHAT
ARE WE TALKING ABOUT HERE AND I
WAS TOLD THAT THAT INFORMATION
IS CONFIDENTIAL SO IT SUGGESTS
TO US THAT MAYBE THERE AREN'T
VERY MANY COMPLAINTS.
WHEN YOU ADD THE FACT THAT I
HAVE NEVER HEARD OF A PROBLEM
FROM A LAWYER?
SO UNTIL WE SEE THE EVIDENCE OF
A PROBLEM.
UNTIL WE SEE A BILL THAT
ACCURATELY AND SUFFICIENTLY
ADDRESSES THAT PENDING COURT
CASE WHICH CAUSED THE VETO THE
BILL IN SEPTEMBER.
WE WOULD ASK THAT THE BILL BE
HELD TILL THAT COURT CASE IS
RESOLVED THAT COURT CASE MATTERS
TO THIS BILL AND IT MATTERS TO
OUR COMPANIES.
AND DEPENDING ON HOW IT COMES
OUT WE WOULD BE WORKING WITH THE
BOARD WITH YOU MISTER KALRA AND
OTHERS TO FIGURE OUT HOW TO
SOLVE THE VERY FUNDAMENTAL
QUESTION.
ABOUT WHETHER OUR COMPANIES ARE
IN FACT ENGAGED IN THE COURT
REPORTING BUSINESS.
AS DEFINED IN THE BNP CODE OR
NOT WE THINK NOT.
BUT IF THE COURT DOES THE OTHER
WAY THERE HAS TO BE LEGISLATION
TO ADDRESS IT AND THIS BILL
DOESN'T FIX THE PROBLEM. FOR
THAT WE ASK FOR NOVA A HUGE TO
LOAD OTHERS IN OPPOSITION.
YOU KNOW ONE BRING IT BACK TO
THE WAY WOULD YOU LIKE TO
RESPOND TO THAT OF MR THOUGH
WHAT YEAH A COUPLE THINGS FIRST
OF ALL YES THE DAYS FAME BILL --
THAT THIS COMMITTEE GRAVELY
VOTED THROUGH LAST YEAR.
EYES BEING BUT AGAIN OTHER WAS A
VETO UP GROUP AT THE END OF THE
OF THE LEGISLATIVE PROCESS LAST
YEAR.
THAT THIS WAS A MARK COPIED BY
SURPRISE WELL YOU HAVE THE
OPPORTUNITY.
TO HAVE CONVERSATIONS WITH THE
GOVERNOR'S OFFICE THE REALITY IS
THAT MATTER WHAT THE OUTCOME OF
THE LITIGATION IS.
OF THIS LEGISLATION IS STILL
NEEDED THAT AND SO OF NOT NOT
HAVING THE OPTION TO HAVE THOSE
CONVERSATIONS.
PRIOR --
INTO THE VETO --
AGAIN REQUIRED US TO BRING THE
BILL BACK AGAIN AND I WOULD JUST
SAY UP.
IN TERMS OF WHY THE BILL AS YOU
LOOK OTHER STATES TREAT.
OUR COMPANY IS IN A IN A LIKE
MANNER AND THE REALITY AND THE
REASON WHY IS.
JUST FAIRNESS AND EQUITY IN
TREATING EVERYONE THE SAME AND
TREATING THE TRANSCRIPTS MOST
SIGNIFICANTLY THE SAME IS SO
CRITICAL.
AND WHETHER YOU HAVE IT UP
AGREEMENT AS TO WHAT THE SCOPE
OF THE PROBLEM OR NOT.
EVERYONE SHOULD BE PLAYED WITH A
LOT OF US WHO PLAN TO THE SAME
RULES AND THAT'S REALLY WHAT
THIS IS ABOUT AND IT'S IS HAVING
THE SAME RULES IF THERE'S NOT A
GREAT.
ISSUE A GREAT PROBLEM THAT WAS
THE PROBABLY BY THE SAME RULES
IT THERE IS DEMONSTRATE ISSUE
THAN AND WATCH PLAY THE SAME
RULES.
AND SO REALLY NOW THAT WE GOT
THE OPPORTUNITY TO HAVE
SUBSEQUENT CONVERSATIONS WITH
THE GOVERNOR'S OFFICE HOW WE
FEEL VERY CONFIDENT THAT THIS
BILL GOING FOR WILL BE SIGNED BY
THE GOVERNOR.
IN ITS MUNCHKIN IS WELL THANK.
QUESTIONS OR COMMENTS FROM
[inaudible]
COMMITTEE MEMBERS.
SEEING NONE NO WOULD YOU LIKE TO
CLOSE UP RESPECTFULLY ASK
RELIABLE THANK YOU MISTER THANK
YOU VERY MUCH IS OUR MOTION.
THANK YOU WE HAVE A MOTION FROM --
SENATOR PAN THANK YOU VERY MUCH
PLEASE CALL THE ROLL.
MISSION IS TO PASS THE SENATE
APPROPRIATIONS COMMITTEE HEALTH
I HILL AYE FULLER.
FULLER NOW ALLEN.
ALAN AYE DODD.
NOT BY GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ I PAN.
AND I WILL NEVER BROKE NOW
[inaudible] SEVEN ZERO DIDN'T
YOU I'M SORRY SEVENTY TWO THE
BILL IS OUT.
THANK YOU VERY MUCH TO BE NICE.
TO MMHM SHE SAID THE OTHER
[inaudible]
WELCOME.
I THINK SCHEDULED TO MY LIST I
APOLOGIZE FOR THAT I LOOK UP
BEFORE THAT.
SO MISTER.
O'DONNELL OVER THERE TO KNOW
WHO'S COMING FIRST OF WELCOME
AGAIN I APOLOGIZE FOR YOUR YOUR
PATIENCE IN.
YOUR NEED FOR PATIENTS EARLIER
THIS IS ITEM NUMBER EIGHTEEN AB.
TWENTY THREE NINETY TWO WITH
BILL PREPPY.
APPRECIATE REFER EVERY DAY WE
HAVE SOME.
MAKE IT SIMPLE.
AB TWENTY THREE NINE TWO WOULD
MAKE A NUMBER CLARIFICATIONS AND
CHANGES THE RIPPLE IN
CALIFORNIA'S TOWING AND ENERGY
VEHICLE LAW TO REDUCE ABUSIVE
PRACTICES AND OF INFLATING
STORAGE FEES THANK YOU.
YOU THANK YOU VERY MUCH --
WITNESSES IN SUPPORT.
OF BROOKS ALISON HALF OF THE
CALIFORNIA TOW TRUCK ASSOCIATION
HERE IN SUPPORT WE'RE GOOD THANK
YOU MISTER ELLISON OTHERS IN
SUPPORT.
COMPANY BUT AMERICAN INSURANCE
ASSOCIATION ONE OF THE SPONSORS
WE WORK CLOSELY WITH ALL
STAKEHOLDERS TRYING TO TIGHTEN A
LOT PROTECT CONSUMERS.
AND THINK THIS IS A GOOD FIELD
SO ISSUES.
IF YOU THINK IT WAS BETTER THAN
THANK YOU VERY MUCH RELIGION
PLEASE OTHERS IN SUPPORT.
MISTER CHAIR MICRO WITH WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT YOU.
CHAIRMAN OTHER MEMBERS MICHAEL
GETTING PERSONAL INSURANCE
FEDERATION ALSO HERE IN SUPPORT
THANK YOU.
JERRY MEMBERS NAMELY PETRONE.
I WITH ME Q. CAPTAIN ASSOCIATES
ON BEHALF OF THE PACIFIC
ASSOCIATION OF DOMESTIC
INSURANCE COMPANY TRANSPLANT
PRETTY THANK YOU.
MISTER CHAIR MEMBERS CHECK OF
MOSS ABOUT PROPERTY CASH
TEACHERS AND SUPPORT
[inaudible]
THANK YOU.
GOOD AFTERNOON KIM STONE STONE
ADVOCACY ON BEHALF OF ALL STATE
INSURANCE IN SUPPORT HE WAS DOWN.
OF WEST SAM'S WITH UNITED WAYS
OF CALIFORNIA HERE IN STRONG
SUPPORT IT THANK YOU.
LARRY ERNST YOUNG BEHALF THE
STATE PART INSURANCE IN SUPPORT
[inaudible]
YOU.
AND MY CHILD ON BEHALF OF A SEAL
YOUR CALIFORNIA IN SUPPORT THANK
YOU VERY MUCH.
GERMAN MEMBERS POLLED LEAD
FILLED THE A BEHALF TRAVELERS IN
SUPPORT WONDERFUL THANK YOU
OTHERS IN SUPPORT.
SEEING NONE IS THERE ANYONE HERE
IN OPPOSITION PLEASE COME
FORWARD.
SEEING NO ONE BRINGING IT BACK
TO THE COMMITTEE AND YOU THERE
ARE SOME TECHNICAL AMENDMENTS IN.
ARE YOU ACCEPTING THE UNLESS YOU
ARE VERY GOOD THANK YOU VERY
MUCH ASSEMBLY EMBER --
ANY CONVERSATIONS RUSSIAN NOW WE
DO HAVE A MOTION FROM SENATOR
WILK --
PROJECTS CLOSE.
NO OPPOSITION DE CALIFORNIA
STATE SHERIFFS ASSOCIATION
PREVIOUSLY OPPOSED A WE WORKED
WITH THEM AND THEY'RE NO LONGER
IN OPPOSITION I RESPECTFULLY ASK
FOR MY VOTE.
BEFORE THANK YOU VERY MUCH WHICH
WILL THE ROLE.
MISSION IS TO PASS AS AMENDED
HIS SENATE JUDICIARY COMMITTEE
HEALTH I KNOW I FULLER.
FULLER AYE ALLEN.
ALLEN I DONT.
AND I GALGIANI GALGIANI AYE
GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ AYE PAN.
AND I WILL AYE LITTLE GUY. NINE
ZERO THE VILLAGE OUT
CONGRATULATIONS THANK YOU
[inaudible]
ASSEMBLYMEMBER CARRILLO
[inaudible]
GOOD AFTERNOON.
REMOVED ITEM NUMBER SEVENTEEN AB.
TWENTY THREE SEVENTY ONE ITEM
SEVENTEEN GOOD AFTERNOON.
I DON'T EVER.
GOOD AFTERNOON MISTER CHAIR AND
COMMITTEE MEMBERS [inaudible]
LONG DAY.
I'M HERE TO PRESENT AB TWENTY
THREE SEVENTY ONE A BILL THAT
TAKES COMMON SENSE STEPS. TO
SAVE WATER BY WORKING TO IMPROVE
LANDSCAPE DESIGN IRRIGATION
SYSTEMS AND URBAN WATER USE
PRACTICE.
I WOULD LIKE TO BEGIN BY
ACCEPTING THE COMMITTEES
AMENDMENTS MENTIONED AND THE
ANALYSIS.
AND THANKING THEM FOR WORKING
WITH MY STAFF AND THE SPONSORS
TO ENHANCE THIS BILL.
WHEN I'M ALSO RESPECT NO THANK
YOU PREVIEW?
I'M ALSO COMMITTED TO ADJUSTING
THE WORKING GROUP ON MY BILL TO
BE CONVENED BY THE DEPARTMENT OF
WATER RESOURCES AND I WILL
CONTINUE WORKING WITH THE
AGRICULTURAL COMMUNITY. TO
ADDRESS OUR CONCERNS BY REMOVING
THE PLANT LABELING REQUIREMENT
OF THIS BILL.
REDUCING WATER USE ON URBAN
LANDSCAPE STATEWIDE HAS THE
POTENTIAL TO SAVE THE EQUIVALENT
OF ABOUT FOUR TIMES THE AMOUNT
OF WATER.
USED BY THE ENTIRE CITY OF LOS
ANGELES IN ONE YEAR.
WATER EFFICIENT LANDSCAPES CAN
ALSO RESULT IN LESS INSTABILITY
IN URBAN WATER DEMAND AND
IMPROVE THE FINANCIAL HEALTH AND
SAVINGS OF OUR WATER UTILITIES
AND CUSTOMERS.
AB TWENTY THREE SEVENTY ONE
ADVANCES SEVERAL RECOMMENDATIONS
BASED ON THE REPORT OF AN
INDEPENDENT.
TECHNICAL PANEL CONVENED BY THE
DEPARTMENT OF WATER RESOURCES OR
THE D. W. ARE. TO PROVIDE
INFORMATION A RECOMMENDATION.
TO WATER USE MORE SUSTAINABLE IN
OUR STATE.
BY IMPROVING URBAN LANDSCAPE
WATER EFFICIENCY AND REDUCING
WASTE WE CAN SAVE ENERGY.
LOWER WATER AND WASTEWATER
TREATMENT COST ELIMINATE THE
NEED FOR COSTLY NEW
INFRASTRUCTURE.
AND HELP CALIFORNIA MEET OUR
SHORT AND LONG TERM WATER
CHALLENGES.
WATER IS ESSENTIAL TO ALL OF US
AND AB TWENTY THREE SEVENTY ONE
AIMS TO PROTECT THIS PRECIOUS
RESOURCE. FOR ALL OF OUR
COMMUNITIES WITH ME HERE TO
TESTIFY IS GLENN FURROW OF THE
SAN DIEGO COUNTY WATER AUTHORITY
AND THE KEY TO KARATE OF THE
NATURAL RESOURCES DEFENSE CAO.
VERY GOOD THANK YOU.
RECEIVED A GOOD AFTERNOON THAT
MISTER CHAIR SANDERS GLEN FOR
ALL SAN DIEGO COUNTY WATER
AUTHORITY --
JUST A FEW WEEKS AGO UNIT
COLLEAGUES PASSED A VERY
COMPREHENSIVE LANDMARK
LEGISLATION IN THE AREA OF FILE
WATER CONSERVATION MAKING.
WATER CONSERVATION A WAY OF LIFE
IN CALIFORNIA --
THERE SEVERAL IMPORTANT
COMPONENTS TO THOSE MEASURES ARE
TO IMPROVE URBAN WATER USE
EFFICIENCY INCLUDING THE
ESTABLISHMENT OF INDOOR WATER
USE STANDARDS WHICH WERE SET.
IN THE STATUTES --
ADDRESSING WATER LEAKS SYSTEM
WATER LOSSES AND THEN ALSO
ADDRESSING AYE OUTDOOR --
WATER YOU STANDARDS --
UNDER THE REGULATORY AGENCIES
AND IN THE STATE.
THIS WAS A NEW LONG TERM ON THE
SUFFICIENCY LAWS BEGINS TO GIVE
EMPLOYMENT EMPLOYMENT IN THE
COMING YEARS.
AND IS THE STATE REGULATORY
AGENCIES ESTABLISH THOSE OUTDOOR
WATER CONSERVATION STANDARDS
IT'S REALLY IMPORTANT FOR WATER
MANAGERS THROUGHOUT THE STATE TO
HAVE ACCESS.
TO TOOLS THAT WILL HELP THEM --
MEET THE MORE STRINGENT AFTER
WATER USE EFFICIENCY STANDARDS
AND THAT'S REALLY WHAT AB TWENTY
THREE SOMEONE'S ABOUT IT'S
IMPORTANT AND HELP YOU MORE
MANAGERS IN AND THE WATER
CONSUMERS THROUGHOUT THE STATE.
MOVE TOWARD MEETING THOSE NEW
AUTHORITIES STANDARDS THAT WILL
EVENTUALLY BE IMPOSE SUPPORT
THAT WE PROVIDE SOME COMMONSENSE
TOOLS.
AND THAT EVERYONE CAN'T YOU CAN
USE.
AND INDEED MAKE WATER
CONSERVATION WAY LIFE CALIFORNIA
WORD STRONG'S GOOD THANK YOU
VERY MUCH.
KATHLEEN CHEN MEMBERS NIKITA
CRIED WITH A NOT RESOURCES
DEFENSE COUNCIL I'LL BE BRIEF
AND RTC SERVED ON THE I TP THAT
WAS TASKED WITH DEVELOPING WATER
MANAGEMENT AND DEMAND MANAGEMENT
STRATEGIES INCLUDING THE ONES
THAT ARE INCLUDED IN THE SPELL --
AS YOU'VE HEARD ENORMOUS AMOUNT
OF WATER IS USED OUTDOORS IN
CALIFORNIA ITIES AND TOWNS
ACCOUNTING FOR ALMOST HALF OF
THE STATE'S TOTAL URBAN WATER
USE.
AND WITH RECURRING DROUGHTS AND
DRY CONDITIONS GRIPPING MUCH OF
THE STATE IT'S CRITICAL THAT WE
TAKE THESE FAIRLY MODEST AND
COMMON SENSE STEPS. TO INCREASE
EFFICIENCY IMPROVE LANDSCAPE
DESIGN INTERROGATION PRACTICES
AND DEMAND MANAGEMENT MEASURES
I'M AT TWENTY THREE SEVENTY ONE
PARTICULARLY WITH THE AMENDMENTS
IN THE ANALYSIS TODAY DOES JUST
THAT AND STRIKES THE RIGHT
BALANCE AND WE ASK YOU FOR YOUR
SUPPORT THANK YOU THANK YOU.
OTHERS IN SUPPORT PLEASE COME
FORWARD.
IS THERE ANYONE HERE.
HERE IN OPPOSITION [inaudible]
MAKE YOURSELF.
LIKE THIS EVENT [inaudible]
I A BACK ON BEHALF OF THE
CALIFORNIA ASSOCIATION OF
REALTORS.
I'M IN ITS CURRENT FORM WE HAVE
AN OPPOSING LESS AMENDED
POSITION ON THIS BILL BUT THE
OTHERS AMENDMENTS TODAY ARM DO
ADDRESS OUR CONCERNS AND WE'LL
BE HAPPY TO REMOVE THAT
OPPOSITION.
WITH THOSE AMENDMENTS THANK YOU
VERY MUCH APPRECIATED.
CHAIR JERRY DESMOND UP HALF THE
CALIFORNIA REAL ESTATE
INSPECTION ASSOCIATION AGAIN
APPRECIATE THE OPPORTUNITY WORK
WITH THIS SEMI MEMBER IN THE
PROPONENTS.
OF WITH THE AMENDMENTS BEING
TAKEN THE COMMITTEE TODAY WERE
NEUTRAL WITH THE BILL FINE WITH
THE BILL AND WE EVEN GIVE A
SERMON ADDITIONAL LANGUAGE ON
SOME OF MORT A MEAT THAT WE
COULD BE ADDED TO THE INSPECTION
PROVISIONS OF THE BILL.
AS IT MOVES FORWARD THANK YOU
MISTER DESMOND APPRECIATE.
OTHERS IN OPPOSITION.
THANK YOU UPDATING BERKELEY
CALIFORNIA FARM BUREAU --
WE'VE BEEN ON RECORD AS BEING
OPPOSED LESS AMENDED --
SOLVE AMENDMENTS TODAY WILL BE
LOOKING AT THOSE IN EVALUATING
OUR POSITION THANK THANK YOU
VERY MUCH.
GOOD AFTERNOON MISTER CHAIRMAN
RESERVE THAT COMMITTEE LARA KNOW
AND HE JUST ON BEHALF OF THE
CALIFORNIA ASSOCIATION OF
NURSERY GARDEN CENTERS WE ALSO
HAVE AN OPPOSING MUST AMENDED
POSITION --
BUT APPRECIATE THE AUTHOR'S WORK
AND LOOK FORWARD TO LOOKING AT
THOSE AMENDMENTS AS WE THINK
THEY WILL ADDRESS OUR CONCERNS --
BUT AS OF NOW WILL KEEP PURPOSES
INCLUDED THANK YOU OTHERS IN
OPPOSITION SCENE NO ONE BRING IT
BACK TO THE COMMITTEE FOR
CONSIDERATION IS SENATOR GLAZERS.
THANK THANK YOU MISTER CHAIR I
WANT TO DO I THINK THE ASSEMBLY
WOMAN FOR YOUR WORK IN THIS AREA
YOUR LEADERSHIP IN THIS
IMPORTANT SUBJECT.
THERE'S BEEN A LOT OF WORK OVER
THE LAST FEW YEARS IN THIS AREA
AND CERTAINLY I APPRECIATED THE
LEGISLATURE SUPPORT OF MY
LEGISLATION EARLIER THIS YEAR TO
PROVIDE.
I WATER RECYCLING OPPORTUNITIES
WITHOUT PAYING HIGHER TAXES FOR
RESIDENCY IT ENDED UP ON THE
BALLOT AS PROPOSITION.
SEVENTY TWO AND RECEIVE THE
HIGHEST VOTE TOTAL IN THIS LAST
ELECTION PENDING BICU HAD TO
REMIND US OF THAT NO GOOD THIS
IS A LOT ABOUT WHAT.
THAT I I JUST WANTED LONG
CONCERNED YOU WANT TO DO THAT.
I JUST HAVE TO CLOSE AYE.
I JUST WANT TO SAY THAT IF THERE
IS AN OPTION.
IF YOU DECIDE TO THANK YOU.
LETTER ON THE RECORD SENATOR
DODD THAT OKAY --
ASSEMBLY WOMAN IF YOU DECIDE TO
TAKE AUTHORS DOWN THE ROAD IT
VIA.
A PRIVILEGE TO BE ON THERE AS A
CO AUTHOR WITH USE OF THANK YOU
FOR YOUR GOOD WORK AND HAPPY TO
MOVE TO THE A FEW SENATE
REGULARLY LETTER LOT AGREES OF
OF THE FOOD FURTHER COMMENTS OR
QUESTIONS.
OF EMOTION FROM SENATOR GLAZERS
YES I'M SORRY QUICK COMMENT I
I'M LA OFF THE BILL TODAY BASED
UPON -- WHAT
SOME PEOPLE SAID BAD LOOKING FOR
I'M LOOKING FOR TO HOPEFULLY
VOTING FOR ON THE FLOOR BECAUSE
IT SEEMS LIKE YOU GUYS ARE VERY
CLOSE?
I APPRECIATE ALL OUR EFFORTS.
WE THANK YOU WE DO HAVE A MOTION
NOW FROM SENATOR GLAZER WHICH
LIKE CLOTHES AND WITH NO REAL.
THANK YOU WELL THANKS FOR THE
OPPORTUNITY TO PRESENT --
FAIRLY NEW MEMBER.
THIS IS MY ONE OF MY FIRST --
PRESENTATIONS ON THE SENATE
THOSE LITTLE NERVOUS BUT THANK
YOU FOR MAKING AND A COMMON
EXPERIENCE UNLIKE PREVIOUS ONES.
THAT I HAD FOR HER EDUCATION.
WE NOTE THAT WHAT IS.
BUT WE'VE BEEN WORKING WE'VE
BEEN WORKING REALLY HARD --
WITH THE SPONSORS AS WELL AS
THOSE THAT HAVE EXPRESSED
OPPOSITION AND REALLY WANT TO
COME TO A PLACE WHERE WE AGREE
WHERE -- WE
REALLY JUST WANT TO HELP ENSURE
THAT WE ARE RECEIVING WATER AND
HELPING PEOPLE ACROSS CALIFORNIA.
AND I RESPECTFULLY ASK FOR AND I
BOTH VERY GOOD THANK YOU FOR
WORKING.
TO THAT NIGHT SPOT THAT YOU'RE
AT THAT THANK YOU VERY MUCH WE
DO HAVE THE MOTION PLEASE CALL
THE ROLL.
RUSSIA'S DO PASS AS AMENDED TO
SENATE NATURAL RESOURCES
COMMITTEE.
HILL BY HILL AYE FULLER.
FULLER KNOW ALLEN.
ALLEN AYE DODD.
I THOUGHT I GALGIANI
[inaudible]
GLAZER [inaudible]
GLAZER I HERNANDEZ HERNANDEZ AYE
PAN AYE PAN AYE WILK. SIX TO ONE
WILL BE THE ROLE OPEN FOR THE
ABSENT MEMBERS THANK YOU VERY
MUCH [inaudible]
ASSEMBLYMEMBER O'DONNELL.
IT'S MOVING TO ITEM NUMBER
TWENTY AB TWENTY FOUR FORTY FIVE
WELCOME.
IT AFTERNOON THAT GOOD AFTERNOON
MISTER CHAIR AND MEMBERS I AM
PLEASED RESENT AB.
TWENTY FOUR FORTY FIVE WHICH IS
A FOLLOW A MEASURE TO LAST
YEAR'S AB FORTY FIVE WHICH
BEGINNING IN TWENTY NINETEEN
REQUIRES PET STORE SELLING DOGS
CATS AND RABBITS TO SOURCE THESE
ANIMALS.
FROM SHELTERS OR NON PROFIT
RESCUE ORGANIZATIONS.
AB FORTY FIVE EXEMPTED PET
STORES FROM A NUMBER OF WARRANTY
LOS.
A PROMISE TO WORK CLOSELY WITH
THE STAKEHOLDERS AND RECAST THE
PROVISIONS THE FOLLOWING YEAR
THIS YEAR.
AB TWENTY FOUR FORTY FIVE AS A
RESULT OF THIS PROMISE AND
SIMPLY INSURES.
THAT PET STORES ARE STILL
REQUIRED WORD TO PROVIDE CERTAIN
INFORMATION TO CONSUMERS
PURCHASING ANIMALS UNDER THE FOR
THE EIGHTY FOUR EIGHTY FIVE
SALES MODEL.
AND WITH THAT I I HAVE WOULD
MAKE YOU VERY MUCH WITNESSES IN
SUPPORT WHOLLY FOR MEANING WITH
THE WHITE HOUSE PUBLIC AFFAIRS
ON BEHALF OF SOCIAL
COMPASSIONATE LEGISLATION THE
SPONSOR OF MEASURE OF THIS IS
JUST SIMPLE CLEAN APPETIZERS
BILL WE RESPECTFULLY îUEST
YOUR ABOUT.
GOOD THANK YOU OTHERS IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION.
NO ONE BUT HIM BACK TO THE
COMMITTEE.
GREAT BILL SENATOR GLAZER MOVED
WOULD LIKE TO CLOSE.
LAST FOREVER VERY GOOD THANK YOU
VERY MUCH PLEASE CALL THE ROLL.
IT HAS TO PASS THE SENATE FLOOR
HELD AYE [inaudible]
I'VE FULLER [inaudible]
AYE ALLEN.
ALLEN I DONT BY DODD AYE
GALGIANI.
GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN AYE I CAN AYE WILK AYE
BOOK AYE. EIGHT ZERO IN WE WILL
HOLD THE RULER PROTRUDE ABSENT
MEMBERS HERE THANK YOU VERY MUCH
HIM OR NOT [inaudible]
GREAT -- WE
WILL MOVE NOW TO ASSEMBLY MEMBER
STONE I SAW JUST WALK IN.
GOOD AFTERNOON OR EVENING IT'S
ITEM NUMBER TWENTY THREE MOVED
AB [inaudible]
TWENTY SIX OH EIGHT WELCOME.
THANK YOU MISTER CHAIR AND
SENATORS AB TWENTY SIX THE
LATEST TO SUPPORT FORMER FOSTER
YOU.
THERE'S AN EXISTING PROGRAM THAT
IS AN ADDITIONAL FEE ON LICENSES
FOR SOCIAL WORKERS AND WHAT
WE'RE DOING IS EXPANDING THAT
PROGRAM. TO GIVE FORMER FOSTER
YOUTH GRANTS TO BE ABLE TO GO TO
GRADUATE SCHOOL A NUMBER OF
FORMER FROST YOUTH WANT TO GO
INTO SOCIAL WORK BECAUSE OF THE
EXPERIENCES THEY'VE HAD.
THEY ARE VALUABLE ADDITIONS.
THAT IS A RESOURCE AND WE HELP
THEM THROUGH COLLEGE BUT WE
DON'T ALWAYS HELP THEM THROUGH
GRADUATE SCHOOL THIS IS THIS
BILL WOULD EXPAND THAT PROGRAM
TO LET FORMER FOSTER YOUTH
WHO'VE HAD A A TOUGH GO OF IT.
AND DIFFICULT LIFE BE ABLE TO
TURN THAT AROUND NOT ONLY GET AN
EDUCATION BUT GO TO GRAD SCHOOL
AND BECOME SCIAL WORKER SO THIS
IS A BILL THAT'S JUST.
EXPANDING TO SOME EXTENT THAT
EXISTING PROGRAM AND I ASK FOR
YOUR AYE THOSE.
THANK YOU VERY MUCH IN THERE
WERE OF AMENDMENTS THERE ARE
AMENDMENTS YES AND FACT ON THE
ASSEMBLY FLOOR GREED TO CUT THE
FEE IN HALF TO TWO DOLLARS AND
FIFTY CENTS ANNUALLY.
WHICH WE'RE DOING.
AND TO STRIKE THE PROVISION THAT
PRIORITIZE FORMER FOSTER YOUTH
SPECIFICALLY SO IT'S OPEN.
FOR MORE KIDS AT RISK BUT THE
FOCUS IS ON FOSTER YOU SO THAT
DOES PLAY INTO IT AND THEN I'M
HAPPY TO ACCEPT YOUR AMENDMENTS.
TO GET RID OF THE TONY THE
TWENTY THOUSAND DOLLAR CAP
BECAUSE WE DON'T WHAT WE DON'T
WANT TO DO.
IS INSISTENT TOO SO I SOMETHING
THAT PUTS AN ARTIFICIAL
RESTRAINT ON THE AMOUNT OF MONEY
THAT A FORMER FAST YOU CAN GET
IF THEY WANT TO TAKE ADVANTAGE
OF THESE OR OTHER.
PROGRAMS CRITICS WHO LIKE TO DO
THAT THANK YOU OF WITNESSES IN
SUPPORT IT IS A GOOD SOLUTION IT
IS AGO.
MY NAME IS DOCTOR MIKE SEGURA --
I THINK THE I ALWAYS FOR FORMER
FOSSEY'S IN GRAD SCHOOL --
WE RARELY DO.
I AM A FORMER FOSTER YOUTH
WITHOUT FOR PLACEMENTS I WAS
INTERMITTENTLY HOMELESS ON SIX
OR EIGHT OCCASIONS ORDER
FOURTEEN SCHOOLS FROM K. THROUGH.
TWELVE FROM THAT AYE CLIMBED OUT
OF IT AND GOT MY PHD THE HARD
WAY -- NOT
THAT THERE IS AN EASY WAY I
DON'T KNOW HOW YOU FEEL ABOUT
THAT.
BUT WHAT ALL SHARES THIS IS
ABOUT.
FORMER CLIENTS WHO HAVE BECOME
CAUGHT COLLEAGUES.
THEY'VE ALREADY GRADUATED FROM
THERE MR BICU PROGRAMS THEY'VE
ALREADY BEEN.
EDUCATED TRAINED VETTED
CERTIFIED GIVEN ONLY 3% OF
FORMER FAUCET EVEN GET
BACCALAUREATE DEGREES.
THIS IS --
MINORITY OF A MINORITY OF A
MINORITY.
AND THEY'RE WALKING IN WITH
THEIR EYES OPEN.
THE SOCIAL WELFARE FIELD HAS
TREMENDOUS AMOUNT OF TURNOVER
IT'S A HIGH BURNOUT JOB IN HERE
WE HAVE DEDICATED TRAINED PEOPLE
THAT LITERALLY GREW UP IN THE
SYSTEM.
AND ARE ENTERING IT TO GIVE BACK.
AND THIS IS A VERY SMALL MEASURE
THAT COULD HELP YOU KNOW.
IT COULD HELP THEM.
HAVE SOMETHING WAITING FOR THEM
WHEN THEY MAKE IT ACROSS THE
FINISH LINE.
I GUESS I'LL SHARE THIS ONE
ANECDOTE.
EVERY ONCE IN AWHILE THERE SOME --
VIDEOS THAT SOAP CIRCULATE ON
ONLINE.
AND THEY HAVE US AMONG.
DRAGGING THEMSELVES ACROSS THE
FINISH LINE.
AND PEOPLE CHEER PEOPLE APPLAUD
THEM AND THEY'RE THEY'RE THEY
THEY CLAP SOMETIMES OR THEY HAVE
A STRUCTURE WAITING FOR THEM.
NO ONE EVER ASKS HOW LONG IT
TAKES BEFORE THAT PERSON CAN RUN
AGAIN.
THAT'S WHAT IT'S LIKE FOR FORMER
BOSS USED TO GET THROUGH GRAD
SCHOOL.
PLEASE PASS THIS.
GOOD THANK YOU VERY MUCH.
APPRECIATE YOUR BEING HERE TODAY
THANK YOU OTHERS IN SUPPORT.
IS YOUR ANYONE HERE IN
OPPOSITION.
REYES AND HELMS REPRESENTING THE
BOARD OF BEHAVIORAL SCIENCES ON
AND FIRST OF THE BOARD WOULD
LIKE TO THANK THE AUTHOR AND THE
SPONSORS FOR TAKING SOME OF OUR
TECHNICAL AMENDMENTS AND WORKING
WITH.
WITH US I'M NOT ESPECIALLY THE
DELAYED IMPLEMENTATION DATE SO
THAT OUR BOARD COULD UP ACTIVELY
IMPLEMENT THE PROGRAM WERE TO BE
SIGNED.
ON THE BOARD IS FULLY SUPPORTIVE
OF FOSTER YOUTH AND THAT THEIR
EFFORTS TO FUND FURTHER THEIR
EDUCATION AND CAREERS HOWEVER IT
HAS CONCERNS ABOUT THE PRESIDENT.
OF THIS BILL SETS BY ALLOWING
ONE PARTICULAR GROUP A SEPARATE
GRANT FUND --
WHILE THEIR OTHER EXISTING
GROUPS OUT THERE THAT ARE ALSO
EQUALLY DISADVANTAGE WITH
LIMITED OPPORTUNITIES --
JUST LAST YEAR A BILL WAS SIGNED
BY THE GOVERNOR THAT --
DOUBLED THE FEES THE BOARD
LICENSEES PAY INTO THIS SAME
GRANT PROGRAM --
FROM TEN DOLLARS --
BIENNIALLY AT RENEWAL TO TWENTY
DOLLARS EFFECTIVE JULY ONE
TWENTY EIGHTEEN AND THAT'S GOING
TO HAVE AN EFFECT DOUBLE THE
NUMBER OF LOAN P. PAYMENT
REPAYMENT GRANTS AVAILABLE
ALREADY --
AND THAT BECOMES EFFECTIVE LIKE
THAT JUNE --
AND SO.
BENEDICTION I'M WE HAVE THE
TWENTY DOLLAR FEE INCREASE LAST
YEAR ON THE TIMINGOF THIS
ADDING ANOTHER PHAM A FEE ON TO
BOARD LICENSEES OR BOARD IS ALSO
UNDERTAKING --
WILL BEGIN THIS AUGUST I'M
HOPING TO FINISH UP THE NEW ON
THAT BY THE NEW YEAR A FEE AUDIT --
AND IT WILL LIKELY REQUIRE THE
BOARD TO INCREASE ITS LICENSING
FEES --
SOMETHING THAT WE HAVE NOT DONE
SINCE EITHER THE LATE NINETIES
EARLY TWO THOUSANDS WERE NOT
SURE OF THE EXACT DATE.
COM SO WHAT WE'RE SUGGESTING IS
IN LIEU OF THIS ADDITIONAL FEE
AND FUND THE BOARD RESPECTFULLY
SUGGEST THAT THE BILL BE AMENDED
TO INSTEAD REQUIRE THAT AN
APPLICANT'S HISTORY AS A FOSTER
YOUTH.
MAY BE CONSIDERED AS A FACTOR
WHEN AWARDING THESE LOAN
REPAYMENT GRANT SINCE THE MONEY
HAS ALREADY JUST BEEN DOUBLE
THAT'S THE LAST YEAR --
POSH PUT IT WHICH IN ADINISTERS
THIS PROGRAM HAS COME HOUSE
REGULATIONS OF THAT SPECIFY THE
CRITERIA FOR THE LOAN
APPLICATION PROCESS --
AND SOME OF THOSE THINGS SOME
THAT ARE ACCOUNTED FOR IN CAN
INCLUDE COMMITTEE BACKGROUND AND
INVOLVEMENT CAREER GOALS --
CULTURAL AND LINGUISTIC COP
CONFIDENCE OF FOSTER USE --
MIGHT DEFINITELY --
ALREADY BE WELL QUALIFIED FOR
THEIR LOAN REPAYMENT GRANT
PROGRAM SO.
THAT IS OUR SUGGESTION THANK YOU
THANK YOU VERY MUCH FOR THAT
[inaudible]
OTHER OPPOSITION.
WE'RE CONCERNED HERE GINA AND
BRING IT BACK TO THE COMMITTEE
AS SENATOR PENN.
THANK YOU --
I GUESS I YOU KNOW --
BUT APPRECIATE WHAT YOU'RE
TRYING TO DO WITH THE BILL AND
CERTAINLY WE WANT TO TRY TO
SUPPORT OUR OUR FOSTER USED --
TO WHO.
SAID BUT NO ACTUALLY MA'AM THAT
PERSONAL EXPERIENCE WITH THAT
WORK WITH THAT HE'S
PROFESSIONALS [inaudible]
ARE.
I ADMIT I DO HAVE SOME CONCERNS --
THAT THIS THAT'S BEEN EXPRESSED
BY THE BOARD THAT WE RELY ON
ESSENTIALLY.
ADDING FEES THE LICENSEES TO
FUND THESE TYPES OF THINGS --
AND BECAUSE OF THERE'S A YOU
KNOW AS A LICENSEE ARE.
MADE BY THINK THE LICENSING FEE
SHOULD PRIMARILY BE USED TO
ADMINISTER.
LICENSE AND BE SURE THERE'S
QUALITY AND SO FORTH SO --
AND THE US WHILE WE YOU KNOW
HAVES -- AND
AS WAS MENTIONED THERE NOW THEY
ARE LOOKING AT THE VERY HAD FEE
INCREASES ALLEGIANCE ADDITIONAL
FEE [inaudible]
THERE'S PERHAPS THE I DID THE
BOARD HAS SUGGESTED AN
ALTERNATIVE WAY TO TRY TO TARGET
THE MONEY PERHAPS MORE TOWARD
THE YOU KNOW.
FORMER FOSTER USE THE WHAT
ADDRESS SO.
THE THE BOARD'S SUGGESTION IN
LIEU OF US ACTUAL ANOTHER FEE
INCREASE.
AT THAT THAT.
ON TOP OF WHAT THREE BEEN DONE.
YES I'M I'M HAPPY TO AND IS IS
FORCED FINDING A WAY TO ENSURE
THAT WE'RE GETTING FORMER
PROSECUTOR TAKE ADVANTAGE OF IT
AND AND I I DO UNDERSTAND THAT
THERE ARE A NUMBER OF DIFFERENT
COMMUNITIES.
OF INDIVIDUALS WHO ARE VERY
WORTHY OF THIS KIND OF HELP IF
YOU KNOW MY HISTORY LEGISLATURE
AND EVEN BEFORE THAT.
I AM EXPRESSLY TRY TO HELP
FORMER FOSTER.
SO CREATING A SUB FUND TO TAX
AND MAKE SOME SENSE BUT IF THERE
ARE OTHER WAYS TO DO THAT I'M
ABSOLUTELY OPEN TO IT AND
CONTINUE THE CONVERSATION.
AS TO THE FEES IN THIS IS BEEN A
BIT OF A WORK THROUGH THIS
BECAUSE WE WE ARE ADDING A FEE.
AND THAT WOULD NOT BE MY
PREFERENCE IF WE CAN GET AROUND
THAT AND FOR TO WE DON'T HAVE
ALWAYS HAVE A LOT OF TOOLS.
AND IN TALKING WITH THE SPONSORS
IN TALKING WITH THE DIFFERENT
STAKEHOLDERS AND THERE'S SOME
ACTUALLY O. ALSO EXPLORING.
OTHER WAYS INSTEAD OF A FEE THAT
WE CAN PUT MONEY INTO THIS
PROGRAM OUT OF THE GENERAL FUND
OR OUT OF SOME OTHER PROCESS.
THAT WOULD ALSO GIVE US THE
ABILITY TO EXPAND THE REACH OF
THE PROGRAM.
EVEN MORE KIDS WHO WANT TO GET
INTO OR MORE INDIVIDUALS LIKE.
GET THAT MAKE UP THE YOUNG FOLKS
GOING THROUGH THIS PROCESS BUT
THEY'RE NOT ALWAYS KIDS.
BUT MORE WHO ARE WORTHY AND NEED
THE HELP WE COULD EXPAND THE
PROGRAM EVEN MORE SO AS WE MOVE
THIS BILL.
LOOKING FOR OTHER ALTERNATIVES
TO FIND WAYS TO FUND THIS RATHER
THAN IMPOSING A FEE AT THIS
POINT THE FEE IS TWO DOLLARS AND
FIFTY CENTS A YEAR.
IT'S A LOT IT'S A BIG INCREASE
GIVEN THE INCREASE THAT WAS
THERE.
IN EXISTENCE BUT SINCE WE ARE
TRYING TO TARGET FOR PRESIDENT
OF FIND A WAY TO GET THESE
GRANTS TO THOSE INDIVIDUALS.
THAT'S THE PURPOSE OF THE IT'S
AN ADDITIONAL FIVE DOLLARS ON
THE TWO FIFTY IT'S NO IT'S
ADDITIONAL FIVE DOLLARS BY
ANNUALLY SO IT'S TO TWO FIFTY
BECAUSE THEY GRAY BIGELOW FOR
THE LICENSE EVERY TWO YEARS
THREE YEARS I SEE.
MY DOC GOODEN.
COULDN'T JUSTIFY THAT IN THE IN
THE END IT WOULD BE MY
PREFERENCE TO NOT INCREASE THE
LICENSE FEE WE I'M NOT SURE THAT
WE HAVE MUCH OTHER FLEXIBILITY
AND BUT IF WE CAN COME UP WITH
ANOTHER FUNDING.
SOURCE FOR THIS WHICH WE'RE
GOING TO CONTINUE TO WORK ON
OVER THE NEXT MONTH OR SO TO SEE
IF WE CAN DO A BETTER JOB.
WITH FINDING SOME MONEY OR
COMING UP WITH A STRATEGY TO DO
THAT THAN ABSOLUTELY.
WE WERE KIND OF WORKING ON THIS
THROUGHOUT MOST OF THIS YEAR
[inaudible]
APPRECIATE ANY.
WE WERE JUST ON THE FLORA AND
NOW YOU HAVE BEEN AS WELL THAT
HE ON THE BUDGET.
AND WE HAVE TO MAKE PRIORITIES --
I'M JUST CONCERNED THAT WERE.
SICKLY TURNING THE LICENSEES THE
FUND --
THESE ISSUES I MEAN TO US AND WE
JUST RECENTLY REYES DOUBLE
PORTION THE FEE ACTUALLY AT HOME
WITH THE CURRENT FEE RIGHT NOW.
THE CURRENT FEE FOR THE FUND
THIS PARTICULAR GRANT PROGRAM
THE CURRENT TOTAL VITAL FEET
LATER LICENSE A YEAR TOTAL
LICENSE IT DEPENDS ON WHICH
LICENSE TYPE IT IS [inaudible]
TERM [inaudible]
SO.
CURRENTLY WELL I'M ALL GIVE YOU
THE AS OF JULY ONE TWENTY
EIGHTEEN NEXT MONTH ON FOR
ELEMENT HE'S ITS ONE FIFTY BY
ENDING ONLY --
LCSW IS ONE TWENTY BY ANNUALLY
AND LPC SEES A HUNDRED NINETY
FIVE BY ANNUALLY [inaudible]
SO [inaudible]
THANK YOU.
THANK YOU VERY MUCH OF THE OTHER
COMMENTS OR QUESTIONS.
I MEAN AND WHICH I IN I THINK
THIS IS THE OF IT YOU KNOW THERE
MAY BE OTHER SOURCES AVAILABLE
THAT WE SHOULD LOOK AT AND AND
AND ATTACHING IN UTILIZED BUT I
I THINK THERE'S THE SIGNIFICANCE
OF THIS FOR THIS POPULATION IS.
IS CRUCIAL AND THAT WE WE SO
QUICKLY FORGET THAT --
WHEN MOST OF US ARE? 99% OF US
TURN.
EIGHTEEN WE HAVE SUCH A SUPPORT
SYSTEM WITH US THE CONTINUES AND
THESE.
INDIVIDUALS HAVE NOT AND SO.
WHATEVER WE CAN DO AND I THINK
THIS IS A A SMALL PART THAT WE
CAN ADD TO THAT TO WHICH I TO
CLOSE ASSEMBLY MEMBER THANK YOU
CENTER ALL TAKE THAT IS MICHAEL.
GOOD THANK YOU VERY MUCH --
IS.
HAPPY TO A MOTION BY SENATOR
DODD PLEASE.
PLEASE CALL THE ROLL.
MACINNES DO PASS AS AMENDED
YOU I'M FULLER.
ALAN.
ALLEN I DONT.
DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ AYE PAN [inaudible]
WILK [inaudible] SIX SIX VOTES
WILL HOLD THE ROPE.
MEMBERS THANK YOU VERY MUCH YOU.
ASSEMBLYMEMBER RODRIGUEZ I SEE
YOU'VE SITTING OVER THER THANK
YOU. FOR YOUR PATIENCE ALL DAY.
WE'RE MOVING OUT ITEM NUMBER
EIGHT AB.
NINETEEN NINETY EIGHT GOOD
EFFORT GOOD EVENING.
THEY MISTER CHAIRMAN BURST OUT
WITH THAT I WANT TO BEGIN BY
ACCEPTING AMENDMENTS AS DETAILED
ANALYSIS.
AND THANK COMMITTEE STAFF
INSTEAD OF STAKEHOLDERS FOR THE
WORK ON THE BILL.
AND TWENTY SIXTEEN CALIFORNIA
SAW OVER TWO THOUSAND OPIOID
OVERDOSE DEATHS AND NEARLY.
FOUR THOUSAND EMERGENCY ROOM
VISITS FOR OPEN ORG OVERDOSES.
ALARMINGLY IN THE STATE OF FORTY
MILLION PEOPLE THERE WERE TWENTY
FOUR MILLION OPEN YOUR
PRESCRIPTIONS AND TWENTY SIXTEEN
TO ADDRESS THIS A. B. NINETEEN
NINETY EIGHT WILL REQUIRE EVERY
HEALTH CARE PRACTITIONER.
AUTHORIZED TO PRESCRIBE OPIATES
ADOPT A SAFE PRESCRIBING POLICY.
WHAT THE GOAL OF REDUCING
UNNECESSARY UP YOUR
PRESCRIPTIONS?
PROTOCOLS WERE ADDRESSED
RECOMMENDED DOSE AND DURATION
FOR PATIENTS EXPERT EXPERIENCE
IN ACUTE PAIN.
ALTERNATIVE TREATMENTS REFERRAL
GUIDELINES BETWEEN PRIMARY AND
SPECIALTY CARE.
AND PATIENT EDUCATION ON THE
RISK OF OPIOIDS.
THE CITY.
PRESCRIBING POLICIES WERE NOT
APPLIED TO PATIENTS WITH CHRONIC
PAIN CANCER SICKLE CELL DISEASE
OR NEED OF SUBSTANCE ABUSE
TREATMENT.
HOSPICE PUBLIC OF CARE OR END OF
LIFE CARE.
I'VE WORKED HARD WITH THE
PROVIDE ACCURATE AND OPPOSITION
GROUPS THE FIGHT IN APPROACH
THAT DOES NOT PLACE AN UNDUE
BURDEN.
ON PROVIDERS WHILE ALSO
ENCOURAGE THEM REFLECT ON THE
PRESCRIBING PRACTICES.
STARTING IN TWENTY TEN CARDS A
TOOK ON A SIMILAR APPROACH AND
SAW SIGNIFICANT CHANGES.
AND REDUCTIONS IN THE WAY THEY
PRESCRIBE OPIOID.
AB NINETEEN NINETY EIGHT IS
INSPIRED BY THAT EFFORT WITH ME
TODAY IN SUPPORT SHERRY DELI
FROM THE CALIFORNIA CONSORTIUM.
OF ADDICTION PROGRAMS AND
PROFESSIONALS AS WELL AS DAVID
GONZALEZ WHO REPRESENTS
AMERICA'S POSITION GROUPS
[inaudible]
IT [inaudible]
PLEASE ARE WILL TEAR MEMBERSHIP
IDEA WAS CALIFORNIA CONSORTIUM
OF ADDICTION PROGRAMS AND
PROFESSIONALS WE REPRESENT OVER
TWENTY THOUSAND DICTION FOCUSED
PROFESSIONALS.
AND FIVE HUNDRED I TREATMENT
CENTERS AND OF STABILITY
THROUGHOUT THE STATE.
TYPICALLY WHAT OUR ORGANIZATION
DOESN'T BECOME INVOLVED IN WHAT
WE CALL SUPPLY SIDE UP POLICY
REGARDING AND DRUG ADDICTION.
BUT IN THIS CASE UNDER THE
LEADERSHIP OF A SOMEONE
RODRIGUEZ WE FOR THEIR VERY
STRONG PREVENTION MEASURES BUILT
INTO THE BILL --
WE ARE SEEING MORE AND MORE
PATIENTS WHO --
COME TO US WHO HAVE FROM THE
POSSIBILITY THAT THEY MAY HAVE
THE CHRONIC BRAIN DISORDER OF
DICTION.
BY NOT --
USING SUBSTANCES THAT THEY KNOW
ARE ADDICTIVE SUCH AS ALCOHOL OR
TOBACCO AND IT SEEMS SOMEWHAT
SURPRISED WHEN THEY BECOME
ADDICTED --
TO MEDICINES THAT THEY GET FROM
THEIR DOCTORS.
SO THAT THE PARTS OF THE BILL
THAT ASKS THAT PATIENTS BE
INFORMED ABOUT THE POSSIBILITY
OF OVERDOSE.
AND THE RISKS FOR ADDICTION ARE
TERRIFIC THERE IS ALSO A A
POLICY THAT REQUIRES THAT AT
RISK FACTORS BE EVALUATED FOR
ADDICTION.
AND JUST LET ME LEAVE YOU WITH
SOME URGENCY TO THIS --
THESE ARE JUST MEDICINES THAT
THAT REMAIN IN YOUR CABINET AND
MIGHT BE GOOD FOR SPRING ANKLE
SOMETIME THEIR DEADLY AND LETHAL
FOR COMMUNITIES.
ODD.
AN EXAMPLE WOULD BE THE SAVAGE
FAMILY MY CAN BECKY FOR
WONDERFUL HEALTHY YOUNG --
BOYS AND THEIR FAMILY OF HOCKEY
PLAYERS ARE GOOD STUDENTS --
THREE YEARS AGO ON FRIDAY THEIR
TWO OLDEST NECK AND JACK WENT TO
A CELEBRATION OF GRADUATION.
CAME HOME CHECKED IN WITH MAMA
TWELVE THIRTY WENT TO BED THE
NEXT MORNING MOM DURING THE
RITUAL THAT MANY OF US DO WENT
UPSTAIRS TO GET THE LAUNDRY
TOGETHER.
SON WAS UNRESPONSIVE CALLS EMTS
THEY FRANTICALLY TRIED TO RESCUE
HER SON JACK HALF OF THEM LEAVE
TO GO DOWNSTAIRS THE BASEMENT OR
SON NICK HAS ALSO BECOME
UNRESPONSIVE.
THE TWO OF THEM DIED FROM A
COMBINATION OF ALCOHOL AND MARCO.
WE CAN DO SOMETHING ABOUT THIS
WE CAN LIMIT HOW MUCH OF THIS
MEDICATION IS OUT THERE.
pTHINK THIS AMONG FIRST
LEADERSHIP IN THIS AREA THANK
YOU VERY MUCH OTHER WITNESSES IN
SUPPORT RECEIVED DEATH THANK YOU
MISTER MEMBERS OF THE COMMITTEE
DAVID GONZALEZ ON BEHALF OF A
PGA AMERICA'S POSITION GROUPS.
ARE PROVIDERS OPERATE IN SOME
THREE HUNDRED MEDICAL COUNTRY OF
FORTY FOUR STATES DISTRICT
COLUMBIA AS WELL AS PART OF RICO.
OUR HAPPY TO BE HERE IN SUPPORT
OF THIS BEEN A GOOD JOURNEY FOR
US WE ACTUALLY HAD OPPOSE
POSITION ON THE FIRST THE
INTEGRATION OF THE BILL.
WHEN I THINK THE AUTHOR IN A
STAFF WORKING WITH OUR PROVIDER
COMMUNITY HAS COME TO A
DIFFERENT DIRECTION THE IN THE
POLICY THAT WE THINK WE CAN
SUPPORT?
RAPID BEYOND SUPPORT FOR IN
ADDRESSING THIS IMPORTANT PUBLIC
HEALTH ISSUE --
AS THE AS THE AUTHOR KNOWS WHICH
AS ON THE PROVIDERS HAVE
RETURNED TO STRIKE THIS THIS
DELICATE BALANCE OF LATRINES
PATIENT POPULATION THAT USUALLY
HAS SOME.
COMORBIDITIES VERY Q. PAIN THAT
WE'RE TRYING TO ADDRESS AND
SAMETIME WE DON'T PUT THEM ON A
PATH TOWARDS BUT LEFT LIFELONG
ADDICTION AS WELL.
SO WE THINK ASIDE THIS APPROACH
IS IS THAT STRIKES THAT BALLOTS
WERE HAPPY SUPPORTIVE UNHAPPY
CONTINUE WORK WITH THE AUTHOR
DON'T THANK YOU FOR IS HIS WORK
IN THIS AREA.
THANK YOU VERY MUCH OTHERS IN
SUPPORT PLEASE COME FORWARD.
YOU KNOW WHEN IS THERE ANYONE
HERE IN OPPOSITION [inaudible]
PLEASE [inaudible]
IT'S PRETTY.
THANK YOU MISTER CHAIR AND
MEMBERS MAKE IT ALRIGHT ON
BEHALF OF THE CALIFORNIA MEDICAL
ASSOCIATION WHILE OUR COUNCIL
HAS NOT OFFICIALLY VOTED ON A
POSITION CHANGE IT HAS BEEN
STAFF RECOMMENDED THAT THEY
REMOVE OPPOSITION TO THE BILL
THANKS TO ALL OF THE WORK.
THAT THE ASSEMBLY MEMBER OF
STAFF AND STAKEHOLDERS HAVE DONE
ON THIS BILL.
LATIN WE'VE BEEN WORKING SINCE
THE VERY FIRST POLICY COMMITTEE
TO GET TOGETHER SOMETHING WHERE
OUR PHYSICIANS COULD.
COMPLY AND STILL BE ABLE TO
PROVIDE THE BEST TREATMENT
POSSIBLE.
AND ALSO BE.
I FEEL SAFE IN THEIR PRESCRIBING
AND THAT THEY KNOW THAT THERE IS
NOT JUST AN OPEN ENDED LIABILITY
WE THINK THAT THE AUTHOR HAS
DONE.
I'M A LOT AND MOVED A LOT ON
THIS BILL.
WE LOOK FOR TO CONTINUE WORKING
IF THERE'S ANYTHING STILL TO
WORK OUT BUT APPRECIATE ALL
THAT'S BEEN DONE AND WILL
[inaudible]
I'M.
PUBLIC WOULD BE REMOVING
OPPOSITION SHORTLY VERY MUCH IF
YOU.
MISTER CHAIRMAN MARSTON MATTING
REPRESENT CALIFORNIA CHAPTER OF
THE AMERICAN COLLEGE OF
EMERGENCY PHYSICIANS AND THAT
WE'RE RESPECTFULLY STILL OPPOSE
THE BILL.
WE WOULD ALSO LIKE TO THANK
MISTER RODRIGUEZ AND PARTICULAR
IS A STAFF FOR ALL THE TIME THEY
FORBID US AND TALKING TO OUR
CONCERNS.
ON NEED IT AND TALKING WITH
THEIR OWN MEMBERSHIP THIS --
A LEAD TO SOME VERY ROBUST
CONVERSATIONS IN TERMS OF HOW DO
WE WRESTLE WITH THE OPIOID
EPIDEMIC THAT'S IN FRONT OF US.
IN ANY KIND OF WHAT I TOOK FROM
LISTENING TO EMERGENCY
PHYSICIANS THAT POINTS TO THE
CHALLENGE IN TERMS OF TRYING TO
LEGISLATE THE PRACTICE OF
MEDICINE.
AND PARTICULARLY IN MARIN SEE
DEPARTMENT IN WHEN WE LOOK AT
WHAT THE PARAMETERS WOULD BE FOR
A POLICY IN TERMS OF WHAT'S
REQUIRED TO BE APART OF IT.
ON IN PARTICULAR ONE REQUIREMENT
IS TO HAVE A SPECIFIC DOSE AND
DURATION FOR TREATING ACUTE PAIN.
NOW DURATION IS SOMETHING THAT
THAT IS ADDRESSED IN A NUMBER
DIFFERENT POLICIES AND
GUIDELINES THAT ARE OUT THERE
BIG DOSES.
NINE AND HOW WE APPROACH --
ASSIGNING IT DOES FOR A PATIENT
THAT MIGHT BE TWENTY FIVE YEARS
OLD IN PERFECTLY GOOD HEALTH IS
VERY DIFFERENT.
THAN A PATIENT WHO MIGHT BE
SEVENTIES --
TO AND HAVE A NUMBER OF OTHER CO
MORBIDITIES SO HOW DO WE CREATE
A GUIDELINE THAT PROPERLY
ADDRESSES THE DOES FOR EACH OF
THOSE SITUATIONS HAS ONE OF THE
CHALLENGES.
WANTS TO THING OUTSIDE OF THE
POLICY THAT THEY CAN DO THAT AND
THE COLONEL LEADS TO OUR SECOND
POINT WHICH WAS REYES LAST WEEK
WHEN DISCUSSING AB.
TWENTY SEVEN FORTY ONE THE
LANGUAGE IN THE BILL SAYS THAT
IS LONG AS A PRACTITIONER
PROVIDES ADEQUATE DOCUMENTATION
THEY CAN PRESCRIBE OUTSIDE OF
WHAT THE POLICY THE STYLISH.
BUT IT COMES BACK TO DOCTOR PAN
RAISE A QUESTION LAST WEEK OF
WHAT IS ADEQUATE DOCUMENTATION
HOW DO WE KNOW FOR SURE WHAT
WE'RE PUTTING IN THERE IS
SOMETHING THAT WHEN THE MEDICAL
BOARD LOOKSAT IT THEY ARE GOING
TO COME AFTER US OUR FOLKS GET
REALLY NERVOUS.
WHEN WE SEE THERE IS SOME
PATHWAY FOR A POSITION TO BE
SUBJECT TO SANCTIONS BY THE
MEDICAL BOARD WITHOUT A A
DEFINITION OF WHAT ADEQUATE
DOCUMENTATION IS?
I'M A LITTLE MORE DETAILS ON THE
THE AMENDMENTS THAT JUST TAR IN
THE MOCK UP AS RELATES TO US
WERE IN HERE.
THEIR REQUIREMENT ON FOR MINOR
CITY FROM HOSTILE ASSOCIATIONS
AMENDMENTS IS THAT A HOSPITAL
PHARMACY AND THERAPEUTICS
COMMITTEE WOULD DEVELOP OUR
GUIDELINES.
IN JUST THE QUICK FEEDBACK WE'VE
GOTTEN FROM THAT IS THAT.
WE'RE WORRIED THAT IT MIGHT BE A
LITTLE BIT TOO BROAD OF A
COMMITTEE TO BE ABLE TO DEVELOP
POLICIES SPECIFICALLY FOR THE
MERCY DEPARTMENT.
SUCH SUGGESTION CAME FROM OUR
SIDE WAS IS THAT THERE IS A WAY
TO DEVELOP.
PACIFIC POLICIES FOR THE
DEPARTMENT HOW YOU TREAT A
PATIENT IN THE MERCY DEPARTMENT
WILL BE DIFFERENT HOW YOU TREAT
THEM AND THE ICY YOU SEE SEE YOU.
AND DIFFERENT DEPARTMENTS WITHIN
THE HOSPITAL SO I JUST WANT OF
ENFORCEMENT PROVIDE YOU THE
PERSPECTIVE AS WE'RE TALKING
COMMITTEE --
IN THE AND LASTLY AT THE END IS
MORE OF A TECHNICAL NOTE AS IT
RELATES TO THE PENALTIES IN THE
BILL THAT IT STILL REFLECTS
PUTTING PENALTIES ON HEALTHCARE
PRACTITIONER.
BUT TO THE EXTENT THAT EMERGENCY
PHYSICIAN DOESN'T DEVELOP THEIR
OWN POLICY THEY'RE SUBJECT TO
THE HOSPITAL PHARMACY AND
THERAPEUTICS POLICY.
ARM IT'S NOT CLEAR HOW OR IF
THOSE PENALTIES SHOULD BE
EXTENDED TO THE HOSPITAL
[inaudible]
SO I THOSE ARE WERE RAT ON THE
BILL WE WE WOULD LIKE TO
CONTINUE TALKING WITH THE AUTHOR
THINK WE'VE AS WE CONVERSATIONS.
BUT IN FORCING THIS PERSONAL
POST RIDICULOUS MET OTHERS IT'S
IN OPPOSITION.
I MEAN NO ONE BACK TO THE
COMMITTEE.
FOR QUESTION YES DOCTOR DR GRANT.
I THANK YOU --
AND SEVERAL YEARS APPRECIATE ALL
YOU WORK ON ON THE BILL --
IT IN TERMS OF THE THE POLICY --
TO SOMEONE WHO'S WORKED ON
CLINICAL PRACTICE GUIDELINES YOU
KNOW HOW --
CHALLENGING --
CAN BE TO PUT TOGETHER
GUIDELINES AND ACTUALLY I WOULD
SAY THAT THE BIGGEST CHALLENGES
IS THAT --
IT'S ACTUALLY CALLED EXCEPTIONS.
RIGHT IT'S THE GOOD BECAUSE WHAT
HAPPENS IS THAT YOU KNOW PRIDE
CAN YOU MIGHT FEEL IF IT 90% OF
PEOPLE INTO THE STANDARD BOX.
THE EXCEPTIONS RIGHT THAT THE
PEOPLE DON'T QUITE FIT IN.
AND MAKE SURE THAT THEY GET THE
CARE THAT THEY NEED SO AND AND
IN TERMS OF THE POLICY AND I
THINK TO SOME REFERENCE WAS MADE
BY THE MERCY POSITIONS ABOUT.
HOW HOW SPECIFIC [inaudible]
THIS THIS.
POLICY HAVE TO BE IN TERMS OF I
MEAN SO DOSING OBVIOUSLY FOR A
FEATURE XIN DEPENDS ON THE KIDS
WAY RIGHT --
DEPENDS ON THE CONDITION
OBVIOUSLY SEVERITY THAT.
ETCETERA.
AND SO I JUST.
MY CLEAR FIVE WHEN YOU SAFE AND
ACCEPTABLE POLICY UNDER YOUR
BILL THAT BECOMES LAW.
HOUSE SPECIFIC ARE GENERAL CAN
IT BE TO TO BASICALLY WHILE --
YOU KNOW THE POSITION TO
EXERCISE THE PROPER PROFESSIONAL
JUDGMENT WITHOUT BEING SENSUALLY.
STRAIGHT JACKETED INTO
[inaudible]
A YEAH I THINK INTO A SET OF
DECISIONS THAT DON'T MAKE SENSE
FOR THE PATIENT THAT'S ALWAYS A
CHALLENGE.
PRACTICE GUIDELINES RIGHT ITS
WAY THEY HAVE VERY WELL DEFINED
THE POPULATION THEY APPLY.
TO WHAT WOULD THAT SITS UNDER
YOUR EVERY PATIENTS DIFFERENT
WHETHER YOU'RE THE CHILD OR THE
DOUGH.
AND EVERYBODY ARE RESPONSIVE
PAYING DIFFERENTLY TO WRITE SO
THIS BILL I'M GOING TO GIVE THEM
THE FLEXIBILITY SEE WORKING WORK
WITH.
BUT THE BIG GOALS ULTIMATELY
REDUCING OUR THE PRESCRPTION
BUT REALLY IT'S NOT REALLY A
WHOM I DID TELL THE DOCTOR WHAT
THEY SHOULD DO RIGHT.
THAT'S WHY THIS BILL ARE A
REALLY CHANGE A LOT TO HEAR GET
A LOT OF THE IMPORTANT FEEDBACK.
NOW WILL CONTINUE STILL WORK
WITH THE OTHER FOLKS IN
OPPOSITION TO SEE HOW DO WE COME
WITH THE AWAY WORKING COME UP.
WHAT THE ULTIMATE IS TO REDUCE
THE THE POOR PRESCRIPTIONS BUT
YET THAT'S MAKE SURE THAT THE
PUPATION THE REALLY NEED A FOR
THE RIGHT REASONS?
GET A FOR THE RIGHT REASON BUT
THEY DON'T STAY ON IT FOREVER
UNLESS IT'S FOR THE CANCERS OR
THE SUPERCELLS AND OTHER
DISEASES AS WELL.
I GUESS WHAT I AND I UNDERSTAND
SOME OF THE HEALTH COMMITTEE SO
I THINK WE'LL BE TALKING WE CAN
WORK WE BUT IT.
SO I I JUST IN TERMS OF WHAT
BILLS ALSO BECOMES LAW AFFECTED
LIKE WHERE IS THE THROUGH THE
EXACTLY WHAT'S AN ACCEPTABLE
POLICY.
RIGHT FOR ENFORCEMENT PURPOSES
THAT'S GOING TO BE ONE ISSUE --
AND THEN HOW.
HOW DETAILED OR STRAINED AS THE
POLICY HAVE TO BE TO MEET WHAT
WHERE THE MINIMUM Y. TO
STANDARDS REQUIRED? FOR FOR
FURTHER AS POLICY SO --
CERTAINLY --
HEALTH.
MOVED THE OUTPUT TO MOVE THE
BALL FORWARD BY LOOK FOR TO
WORKING OUT THOSE THIS THAT WITH
YOU WAS WE TRY TO MOVE FORWARD
FIGURE HOW WE STRIKE THAT RIGHT
BALANCE NOT.
THE OVERLY PRESCRIPTIVE --
IN TERMS OF WHAT'S REQUIRED IN
THE POLICY SO THAT YOU DON'T
HAVE A SITUATION WHERE SOMEONE
LIKE OKAY WELL.
YOU KNOW I'M GOING HAVE TO KEEP
DOCUMENTS OPTIONS --
ARES IT GOING TO BE CAUSING
PROBLEMS BUT STILL ACHIEVING THE
AND THAT YOU'RE AIMING.
FOR VIRGIN AND THAT'S WHAT IT'S
ALL ABOUT IT THIS CONTINUE TO
WORK ON THESE ISSUES AND REALLY
HER FROM THE PROFESSIONALS UP
FROM MEDICAL COMMITTEE.
ON HOW BEST IS CONFERRED FOR
EVERYBODY AND THAT THEY DON'T
FEEL CONSTRICTED LIKE.
BUT AND OF COURSE WE'RE TRYING
GET THE OF GOD CORRECTS ITSELF
THAT'S OKAY THANK YOU.
YOU DON'T DEPEND ON THE OTHER
DISCUSSION A COMMON SEEN NONE OF
WOULD YOU LIKE TO CLOSE HODGES
RESPECT AFTER I LEARNED VERY
GOOD THANK YOU VERY MUCH IS
THERE A MOTION.
MOTION FROM SENATOR DODD PLEASE
CALL THE ROLL.
QUESTION IS DO PASSED THE SENATE
HEALTH COMMITTEE HELD A AYE HILL
AYE FULLER.
FULLER AYE ALLEN.
ALLEN MY DOG IF AYE DODD AYE
GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN.
AYE WILK AYE WILK AYE. NINE ZERO
THE BILL IS OUT INVASIONS THANK
YOU VERY MUCH ASSEMBLY MEMBER
CALDERON [inaudible]
YOU OVER.
IN THE CORNER PLEASE WERE MOVING
TO ITEM NUMBER [inaudible]
SIX EIGHTEEN EIGHTEEN FIFTY
EIGHT WELCOME.
THANK YOU SENATOR HILL AND
SENATORS I APPRECIATE YOUR TIME.
FIRST I'D LIKE TO ACCEPT
COMMITTEE AMENDMENTS B. THROUGH
E. OF THINK THE COMMITTEE AND
CHAIR FOR COMING TO AN AGREEMENT
ON A MODIFIED VERSION OF A
MADMAN A CURRENTLY THE FEDERAL
GOVERNMENT MANDATES ALL HIGHER
EDUCATION INSTITUTIONS USE THAT
THE US DEPARTMENT OF EDUCATION'S
FINANCIALLY SHOPPING STREET.
WHEN COMMUNICATING FINANCIALLY
TO VETERANS SHOPPING SHE DOES
THE CONSUMER TOOL DESIGNED TO
NOTIFY STUDENTS ABOUT THEIR
ESTIMATED FINANCIAL AID PACKAGE
AS WELL AS INFORMATION ABOUT A
UNIVERSITIES GRADUATION RATES?
LOAN DEFAULT RATES AND MEDIAN
THE STUDENT BORROWING THIS BILL
SIMPLY EXTENDS THIS MANDATE BY
REQUIRING COLLEGES AND
UNIVERSITIES IN CALIFORNIA TO
PROVIDE THE SHOPPING SHEET.
WHEN COMMUNICATING FINANCIALLY
PACKAGES TO ALL STUDENTS
STUDENTS NEED A UNIFORMED
FINANCIALLY LETTER TO ENSURE
THEIR DECISION TO ATTEND COLLEGE
IS BASED ON?
EASILY COMPARE OF ALL
TRANSPARENT AND ACCURATE
INFORMATION THIS BILL HAS
RECEIVED BIPARTISAN SUPPORT AND
HASN'T RECEIVED ANY NO VOTES
THUS FAR.
PRESS REX WE ASK FOR AN AYE VOTE
ON AB EIGHTEEN FIFTY EIGHT WITH
ME HERE TODAY TO TESTIFY IN
SUPPORT IS BRANDON.
BY KURT FROM V. CALIFORNIA'S TO
NAY COMMISSION THROUGH THANK YOU.
IT'S VERY MEMBERS FOR THE
OPPORTUNITY TO BE HERE I'M WITH
THE CALIFORNIA STUDENT AID
COMMISSION AND DUE TO THE HOUR I
WILL BE VERY BRIEF.
HOWEVER I DO WANT TO SAY THAT
THIS UNIQUE COMMISSION SUPPORTS
THIS BILL BECAUSE THAT'S
HUNDREDS OF THOUSANDS OF FUTURE
STUDENTS EMBARK UPON WHAT IS
LIKELY TO BE THE MOST EXPENSIVE
AND SIGNIFICANT.
CHOICE OF THEIR YOUNG LIVES THEY
DESERVE TO RECEIVE CLEAR CONCISE
AND CONSISTENT INFORMATION
REGARDING THE COST OF ATTENDANCE
AND THE FINANCIAL AID AVAILABLE
TO THEM --
THIS BILL DOES THAT AND
THEREFORE THE CALIFORNIA'S TO
NAY COMMISSION SUPPORTS IT
ENCOURAGES YOU TO DO THE SAME
THANK YOU VERY MUCH ALLEY HAVING
ANSWERING QUESTIONS I APPRECIATE
THAT THANK YOU VERY MUCH OTHERS
IN SUPPORT.
IS THERE ANYONE HERE IN
OPPOSITION.
MISTER CHAIR MEMBER SCOTT
GOVERNOR BEHALF THE UNIVERSITY
OF PHOENIX PERSONALLY LIKE TO
THANK MISS MASON FOR HER
THOROUGH ANALYSIS.
AND ALL OF THE AMENDMENTS
CONTAINED IN IT WOULD ALSO LIKE
TO THANK THE AUTHOR FOR AGREEING.
TO MOST OF THEM --
HAD THE ALBUM EXCEPT THROUGH
REFER MOVE PROPOSITION BUT AS WE
UNDERSTAND THE REVISED A WHILE
CERTAINLY BETTER AND ADDRESSING
A NUMBER OF OUR QUESTIONS --
THERE IS STILL A FUNDAMENTAL
PROBLEM WITH THE BILL.
THE STUDENT AID COMMISSION
ACTUALLY HA NO PURVIEW OVER
MOST PRIVATE POST SECONDARY
SCHOOLS IN THE STATE.
WHAT THE AMENDMENTS DO IS SAY
THE STUDENT AID COMMISSION SHALL
DRAFT DISCLOSURE WHICH WE WHO
THEY HAVE NO AUTHORITY OVER ARE
OBLIGATED TO PROVIDE STUDENTS
AND IF WE DON'T?
WITHIN SANCTIONED BY OUR
REGULATOR.
THE STUDENT A COMMISSION HAS
HISTORICALLY BEEN VERY HOSTILE
TOWARDS OUR SECTOR WE TAKE
LITTLE SOLACE IN THEIR CRAFTING
A REGULATIONS.
AND GIVEN THAT --
THIS COMMITTEE VARIOUS BOARDS
IMAGINE ONE BOARD CRAFTING
DISCLOSURES FOR THOSE AUTHORIZED
BY ANOTHER BOARD UP WHEN THEY
DON'T NECESSARILY GO ALONG.
THAT IS VERY TROUBLING FOR US I
THINK IT COULD EASILY BE
RESOLVED PERHAPS AGAIN WITHOUT
SEEING THE ACTUAL LANGUAGE.
IF OF THOSE --
THE SHOPPING SHEET WERE DONE IN
CONJUNCTION WITH OUR REGULATOR
THE BUREAU FOR PRIVATE
POSTSECONDARY EDUCATION AT LEAST
THEN WE HAVE SOME SAY IN THE
DRAFTING PROCESS AS IT STANDS
NOW.
MERCY SECTOR DRAFT THIS NEW
SHOPPING SHE WOULD HAVE NO WAY
OF KNOWING ABOUT IT SINCE WE ARE
REGULATED BY THEM.
ARM AND THAT IS PROBLEMATIC AND
I THINK THAT'S RESOLVED BUT WE
HAVE TO HAVE SOME.
SAY IN THE PROCESS --
TO ENSURE THAT WHAT COMES OUT IS
BALANCED AND REASONABLE. FOR
THOSE REASONS WE ARE OPPOSED
THANK YOU GOVERNOR OTHERS IN
OPPOSITION.
SEEING NO ONE FOR YOU TO THE
COMMISSION FOR I MEAN TO THE
COMMITTEE.
THE COMMISSION ON MY MIND.
OF ANY THOUGHTS COMMENTS OR
QUESTIONS MEETING.
OF THE NINE WOULD YOU LIKE TO
CLOSE.
I APPRECIATE THAT.
TIME OF THE COMMITTEE AND I
RESPECTFULLY ASK FOR AN AYE VOTE
TONIGHT I WILL STAY COMMITTED AS
I HAVE TO CONTINUE TO WORK WITH
THE OPPOSITE.
IT A NEWER AND AND I APPRECIATE
THE AMENDMENTS THAT YOU TOOK
THAT I THINK MADE INTO A LOT OF
PERHAPS.
THERE MAY BE SOME IN IT I THINK
THIS GOES TO EDUCATION AFTER
THIS.
AND THERE MAY BE SOME
OPPORTUNITIES FOR THIRTY TWO
THANK YOU THANK YOU VERY MUCH
FOR TAKING.
OF IS OUR MOTION.
MOTION BY A SENATOR FERNANDES A
PLEASE CALL THE ROLL.
SENATE TO PASS THE SENATE
EDUCATION COMMITTEE HEALTH AYE
HILL AYE FULLER [inaudible]
ALAN.
WHEN I DODD?
DODD AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ.
HERNANDEZ AYE PAN.
I'D AN AYE WILK AYE BOOK AYE.
EIGHT EIGHT ZERO IN THAT BILL IS
OUT.
THANK YOU VERY MUCH [inaudible]
ASSEMBLYMEMBER CHEN.
THANK YOU FOR YOUR PATIENCE
TONIGHT. FOR TIME SORRY.
NECESSARY.
HELLO TO BILLS.
OVER MOVING.
TO ITEM NUMBER TWENTY FOUR AB
TWENTY SIX FIFTY SIX VEHICLE
TOWING AND STORAGE.
MR MEMBERS AT THANK YOU FOR TIME
AB TWENTY SIX FIFTY SIX WOULD
ADD DEBIT CARDS AS A METHOD OF
PAYMENT.
THAT VEHICLE STORAGE FACILITIES
MUST ACCEPT WHAT PAYMENT OF THE
STORAGE OF THE VEHICLE.
THERE MANY CAGES WHEN
INDIVIDUALS ONLY HAVE A DEBIT
CARD BUT THE STORAGE FACILITY
REFUSES TO ACCEPT THIS METHOD OF
PAYMENT.
AB TWENTY SIX FIFTY SIX WOULD
PROVIDE A PROCESS TO FAIRLY AND
REASONABLY EXPECT RECOVERY OF
VEHICLES.
HERE TO TESTIFY R. JR DOES
MINUTE JOE COLLINS OF THE
CALIFORNIA ASSOCIATION OF
LICENSE REPOSSESS OURS
[inaudible]
THE COMMISSION [inaudible]
BERRYHILL.
WE HAVE A MOTION FROM SENATOR
RHOADS DIED AND I THINK WE CAN
PROBABLY LEAVE IT AT THAT.
THANK YOU VERY MUCH OF ANY
QUESTIONS OR COMMENTS IN NONE
MOTION PRESENTED I WOULD LIKE TO
CLOSE.
REFERENCE AFTER I'VE THANK YOU
VERY MUCH WE CALL THE ROLL.
AND AS YOU PASS THE SENATE
APPROPRIATIONS COMMITTEE HELD BY
AYE FULLER.
FULLER AYE ALLEN.
ALLEN AYE DODD I THOUGHT I
GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN AYE PAN AYE WILK.
BOOK I ZERO NINE ZERO THE BILLS
OUT.
CONGRATULATIONS.
THE FACT THAT YOU WERE HERE MADE
A BIG THAT DECISION ASSEMBLY
MEMBER WOULD.
WELCOME.
NOW WE'RE GRATEFUL THAT I THE
WILL MOVE TO ITEM NUMBER TWENTY
SIX AB.
TWENTY SEVEN SIXTY VERY MUCH
SEVENTY MISTER CHAIRMAN SENATORS.
AB TWENTY SEVEN SIXTY IS A BILL
DESIGNED TO DO ONE SIMPLE THING
SAVE LIVES NALOXONE
HYDROCHLORIDE IS AN OPIOID
ANTAGONISTIC TO ACT IMMEDIATELY
TO REVERSE THE EFFECTS OF
OVERDOSE.
AB TWENTY SEVEN SIXTY HAS
PROPOSED WOULD REQUIRE
HEALTHCARE PRESCRIBERS WHEN
ISSUING OPIATE PRESCRIPTION TO
TALK TO AT RISK PATIENTS. TO ADD
TO AT RISK PATIENTS TO ALSO
OFFER A NALOXONE OR OTHER OPIOID
ANTAGONISE PERFECT PRESCRIPTION
ROSS REQUIRES A* PRESCRIBED
TO EDUCATE THE PATIENT OTHER
INDIVIDUALS DESIGNATED BY THE
PATIENT ON ITS PURPOSE AND HOW
TO USE IT.
ISSUING A WATSON CHO
PRESCRIPTIONS FOR AT LEAST FOR
AT RISK THAT PATIENCE IS NOT
CONTROVERSY AT LEAST TWELVE
NATIONAL HEALTH.
OR MEDICAL ORGANIZATIONS
INCLUDING THE CDC AND MAY AND
THE AMERICAN SOCIETY OF
ADDICTION MEDICINE RECOMMEND A
NOT NALOXONE CHO PRESCRIPTION
FOR AT RISK PATIENTS.
CO PRESCRIBING THE LOCKS ON
SHOULD AT LEAST IT SHOULD SHOULD
BE AT AS A BEST PRACTICE.
HOWEVER RECENT RESEARCH HAS
SHOWN THE GUIDELINES AND
RECOMMENDATIONS ARE NOT HAVING
THE DESIRED RESULT LITTLE OR NO
CHANGE IN THE INCIDENCE OF CO
PRESCRIBING.
IT IN THOSE STATES WERE COAST
PRESCRIBE IS ALREADY MANDATED
THE INCIDENCE OF CO PRESCRIPTION
HAS RISEN DRAMATICALLY.
VIRGINIA WITH A FULL MANDATE TO
PRESCRIBE WENT FROM ONE KNOCKED
THE LOCKS ON PRESCRIPTION TO FOR
THIRTEEN HUNDRED OPIOID
PRESCRIPTIONS TO ONE PER FORTY
FOUR BEFORE FINALLY LIVING UP
LEVELING OFF AT ONE FOR TWENTY
ONE TWENTY FIVE STILL FOUR TIMES
THE NATIONAL AVERAGE.
IN APRIL THE US SURGEON GENERAL
JEROME ADAMS WEIGHED IN ON THIS
ISSUE AND IN THE FIRST NATIONAL
ADVISER ISSUED BY A SURGEON
GENERAL SINCE TWO THOUSAND AND
FIVE EMPHASIZE THE IMPORTANCE OF
THE OVERDOSE RICHTER REVERSING
DRUG NALOXONE.
HE STATED THAT KNOWING HOW TO
USE THE LOCKS ON KEEPING IT
WITHIN REACH AND SAVE A LIFE
PARTICULARLY FOR PATIENTS AT
HIGH RISK.
HERE TODAY TO SPEAK MORE
ELOQUENTLY THAN I ON THE
BENEFITS THE LOCKS ON THE
IMPORTANCE OF ITS AVAILABILITY
AS AMY DUNKLE.
THE FOUNDER OF THE SALAS
FOUNDATION OF ORANGE COUNTY
[inaudible]
GOOD [inaudible]
WELCOME. FIVE YEARS AGO I LOST
MY TWENTY YEAR OLD SON TO AN
ACCIDENTAL OVERDOSE THEN WAS
FIRST DESCRIBED OPIATES AT THE
AGE OF THIRTEEN FOLLOWING A
MINOR FRACTURE TO ISLAM.
FURTHER INCREASE FOLLOWED AND
MORE PRESCRIPTIONS FOR OPIOIDS.
BY THE AGE OF NINETEEN BEN WAS
PHYSICALLY DEPENDS NAM OPIOIDS
WHEN HE COULD NO LONGER GET
PRESCRIPTIONS FOR PAIN PILLS THE
SWITCH TO HEROIN.
INITIAL SHORT LIFESPAN WAS
PRESCRIBED NUMEROUS MEDICATIONS
FOR MENTAL HEALTH ISSUES BUT
DESPITE SEVERAL OVERDOSES NEVER
ONCE WAS THE ONE MEDICATION THE
COULD OF SAVED HIS LIFE NALOXONE
EVER DISCUSSED OR PRESCRIBED FOR
HIM.
BEN WAS SUFFERING FROM A CHRONIC
RECURRENT DISORDER OF BRAIN
STRUCTURE AND FUNCTION HE WAS
DESPERATELY ILL.
IN OCTOBER TWO THOUSAND AND
TWELVE FOLLOWING FIFTY FOUR DAYS
IN A TREATMENT FACILITY BEN
RELAPSED AND OVERDOSED.
HIS WITH THREE INDIVIDUALS AT
THE TIME OF HIS OVERDOSE BEND
SUSTAINED A CATASTROPHIC BRAIN
INJURY WAS PLACED ON LIFE
SUPPORT.
HE WAS IN A COMA UNABLE TO
BREATHE TO SEEK TO TALK TO MOVE
BUT HE COULD STILL HEAR AND
TEARS WOULD ROLL DOWN THE SIDE
OF HIS FACE WHEN WE SPOKE TO HIM.
ON OCTOBER THE EIGHTEEN TWO
THOUSAND AND TWELVE AND WAS
TAKEN OFF LIFE SUPPORT.
HIS SEVENTEEN YEAR OLD BROTHER
LAY NEXT TO HIM AND HELD HIM FOR
THE SIX HOURS IT TOOK THE BAND
TO TAKE HIS FINAL BREATH.
HIS DEATH WAS ENTIRELY
PREVENTABLE.
BUT JUST ONE OF THE THREE PEOPLE
WHO WITH BEN CARRIED NALOXONE HE
WOULD HAVE LIVED.
IN JUNE TWO THOUSAND AND FIFTEEN
AS A TRIBUTE TO OUR SON I
FOUNDED THE SOLIS FOUNDATION
UNLOCKS AND DISTRIBUTION PROGRAM.
TO DATE WE'VE RECORDED ONE
THOUSAND SEVEN HUNDRED OVERDOSE
REVERSALS IN ORANGE COUNTY USING
THE LOCK SO WE DISTRIBUTED.
IN THREE YEARS WE'VE COLLECTED
SOME TRULY REMARKABLE STORIES OF
LIVES SAVED WITHIN LAKSA.
THEY INCLUDE STORIES FROM
MOTHERS FATHERS BROTHERS AND
SISTERS FAMILY SET FAMILY SAFE
FROM THE HEARTBREAK THAT BRINGS
ME BEFORE YOU TODAY.
FROM FIRST HAND EXPERIENCE I CAN
SHARE WITH YOU JUST HOW EASY IT
IS TO SAVE A LIFE.
IT'S WEEKS AGO A TWENTY FOUR
YEAR OLD MALE CLAPS JUST YARDS
FROM ME I RUN STRAIGHT TO HIM.
HIS FACE WAS BLUE HIS EYES
ROLLED IN THE BACK OF HIS HEAD
AND HIS UPPER BODY AND TIDY
STEPH.
THE STIFFNESS OF HIS UPPER BODY
IS UNKNOWN MANIFESTATION OF
FENTANYL TOXICITY AND MADE
RESCUE BREATHING ABSOLUTELY
IMPOSSIBLE.
HE WAS DYING.
I'D MINISTER NALOXONE AND WHICH
WE WATCH THIS YOUNG MAN COME
BACK TO LIFE.
WITHOUT THIS TIME THE
ADMINISTRATION OF LIFESAVING
MEDICATION LOCKS AND HE HAD NO
CHANCE OF SURVIVAL HE LIVED
BECAUSE OF NALOXONE. FOR THESE
REASONS I STAND BEFORE YOU TODAY
IN FULL SUPPORT OF ASSEMBLY BILL.
TWENTY SEVEN SIXTY THIS BILL
WITH WILL WITHOUT DOUBT SAVE
LIVES AND PREVENT OTHER FAMILIES
FROM SUFFERING SUCH UNIMAGINABLE
LOSS THANK YOU.
THANK YOU VERY MUCH.
LINDA AWAY WITH WESTERN CENTER
ON LAW AND POVERTY IN SUPPORT OF
INCREASING ACCESS TO THIS
LIFESAVING DRUGS [inaudible]
THANK YOU.
BETSEY ARMSTRONG WITH THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
NURTURES.
JENNIFER SUMMERS OF THE MEDICAL
BOARD OF CALIFORNIANS SUPPORT
[inaudible]
YOU.
CHAIR MEMBERS OF THE COMMITTEE
MARK A PRAYER ON BEHALF OF
MCKESSON WE WANT TO THANK THE
AUTHOR FOR HIS LEADERSHIP AND
ROGER AYE VOTE.
IT AFTERNOON MACHAR REBUS WITH
CALIFORNIA PHARMACISTS
ASSOCIATION AND STRONG SUPPORT
THEY CAN'T.
AND WE ARE SORRY FOR YOUR LOSS
THANK YOU SO MUCH.
OTHERS IN SUPPORT.
THOSE IN OPPOSITION PLEASE COME
FORWARD.
MISTER CHAIR MEMBERS JUST
BRIEFLY.
AT MAKING ALREADY BE OF THE
CALIFORNIA MEDICAL ASSOCIATION
WE APPRECIATE THE AMENDMENTS
THAT ARE OUT.
SPECIFIED IN THE MOCK UP.
PACIFIC TO I'M ENSURING THAT DAY
EDUCATION PER PORTION OF THIS
BILL IS CONSISTENT WITH THE
EXISTING STANDARD OF CARE FOR
PHYSICIANS WHEN AND WHEN
PRESCRIBING.
A NEW MEDICATION AND THEIR
COURSE OF TREATMENT TO A PATIENT.
I'M AND ALSO WORKING ON THE
ENFORCEMENT ADAM AND PENALTY
LANGUAGE.
I WE HAVE RECOMMENDED A REMOVAL
OF OPPOSITION TO OUR COUNSEL AND
WE'LL GET BACK TO THE AUTHORED
COMMITTEE AS SOON AS WE HEAR.
BACK FROM THEM.
THANK YOU VERY MUCH NGO.
LET MR MEMBERS TO MADDEN
REPRESENTING THE GET CALTRAIN
CHAPTER THE MARK CALLED MERCY
PHYSICIANS WE RESPECTFULLY
OPPOSED.
ON SUMMER TO MISTER RODRIGUEZ'S
BILL LARGELY WHAT I HEAR IS THAT --
FROM A PHILOSOPHICAL STANDPOINT
WE WE STRUGGLE WITH --
LEGISLATING THE PRACTICE OF
MEDICINE --
WE TALK ABOUT THIS WANTED LENGTH
AS WELL AND WE DO HAVE
PHYSICIANS WHO CO PRESCRIBE
RIGHT NOW --
BUT UNFORTUNATELY ORGANIZATION
WEEK WE FEEL --
WE MUST POSES.
THANK YOU OTHERS IN OPPOSITION.
SHE YOU KNOW ONE BRING IT BACK
TO THE COMMITTEE FOR CONCERT AND
US ASSEMBLY MEMBER WOULD YOU YOU
ARE TAKING THE AMENDMENTS IS I
THINK [inaudible]
SENATE EVENT.
I'M ACTUALLY CAN HAVE THE
REPRESENT HE MAY APPEAR
[inaudible]
YEAH [inaudible]
SO -- SO
THAT PROPONENTS JUST TESTIFIED
YOU KNOW WE KNOW THAT THE
SURGEON GENERAL DRUM ADAMS.
AS SPOKEN OUT ABOUT THE
IMPORTANCE MARK STONE.
THE AMA OTHERS LISTEN A YEAR AGO
AS PUT OUT.
WHAT IS?
THE MEDICAL COMMITTEES CMA MAY
PERHAPS SPECIFICALLY DOING OURS
PLANE TO DO --
TO ASIDE FROM LEGISLATION
ACTUALLY EDUCATE PHYSICIANS
ABOUT MARK STONE OF PRESCRIBING.
IT'S THAT SEAT SINCE.
SEEMS TO BE THAT.
LEAST THAT'S WHERE THE
GUIDELINES WERE GOING.
AT THIS POINT THEN I DON'T KNOW
WHETHER DIVERSE PHYSICIANS
IMMEDIACY ABOUT THAT AS WELL
[inaudible]
SO [inaudible]
SO.
RIGHT SPECIFIC TO WHAT AMA AND
OTHERS WERE DOING.
I AM I KNOW THAT WE'VE BEEN
WORKING WITH OUR MEMBERS AND WE
ARE WORKING TO EDUCATE.
SPECIFIC TO THESE TYPES OF
PROPOSALS AND LETTING THEM KNOW
WHEN WE'D DISCUSS LEGISLATION
WITH OUR COUNSEL AND SIMILARLY
THAT IS LEGISLATION I'M TALKING
ABOUT YEAH RATE AND SIT AND
THESE THINGS HAVE COME UP IS
JUST THE IMPORTANCE OF I'M
MAKING SURE THAT THESE THINGS
ARE AVAILABLE AND MAKING SURE
THAT.
THEY ARE UP TO SPEED ON ALL
THAT'S HAPPENING NATIONWIDE AND
IN THE STATE SO THAT.
THEY AREN'T SHOCKED WHEN.
WHEN WE DISCUSS THESE THINGS
WITH THEM AND WHAT THE
LEGISLATURE AND OTHERS ARE?
NOW PUSHING BECAUSE OF THE
REACTIONS TO SOME OF THE
PRESCRIBING WE'VE DONE A AT THE
RATE JOB I'D SAY --
IN REDUCING THE OPIOIDS THAT
HAVE BEEN PRESCRIBED THINK IT
WAS UP TO NINE PER.
PERCENT ALMOST 10% IN THE LAST
YEAR.
AT AND SO THEY'VE BEEN MAKING
GREAT STRIDES IN REALLY
UNDERSTANDING.
OF WHAT'S BEHIND ALL OF THIS IN
THE RESEARCH AND THE NEED TO
REALLY TAKE A LOOK AT THEIR OWN
PRESCRIBING PRACTICES AND
SIMILARLY.
ITEM WE HAVE BEEN YOU KNOW
DISSEMINATING ALL THE
INFORMATION AND WILL CONTINUE.
TO TO GIVE THEM INFORMATION
ABOUT THE LOCKS AND THE
AVAILABILITY OF THIS AS WELL
NO I APPRECIATE HAVE REALIZED
THAT THERE'S PROBABLY BECOME
RELATIONS AFTER YOU MIGHT NOT BE
THE BEST PERSON TO ASK WITHIN
THE ORGANIZATION BUT CERTAINLY
IS A POSITION MEMBER.
I KNOW THAT EXAMPLE --
SURGEON GENERAL SPOKE AT THE AMA
MEETING ABOUT THIS --
USE -- TO
ALL.
REPRESENT SOCIALIZATION CROSS
COUNTRY I KNOW IT'S BEEN BEING
COMMUNICATED THROUGH VARIETY OF
DIFFERENT PROFESSIONAL
ORGANIZATIONS.
SO -- THIS
IS.
GETTING PUSHED OUT THE AND IN
THE PROFESSION --
I APPRECIATE --
THE AUTHORS OF PASSION FOR THE
ISSUE AND WE HAD --
GOOD DISCUSSION ABOUT IT I ALSO
APPRECIATE THE AMENDMENTS AND I
THINK MY MAIN CONCERNED --
WHICH WAS --
AT THIS IS BEING ADDRESSED WHICH
IS ABOUT MANDATED PRESCRIPTION
BUT I'D CERTAINLY WE WANT.
TO GET THE WORD OUT WE ALSO WANT
YOU [inaudible]
PEOPLE.
IT'S INTERESTING THAT IT WASN'T
THAT LONG AGO AN KNOW WAS NOW
THAT I'VE THOSE AROUND THAT WAS
IN THE LEGISLATURE WHEN THEY'RE
TELLING US.
TELLING POSITIONS AND WE WERE
MANDATED TAKE CME TO TELL US
THAT WHEN YOU DESCRIBE MORE
OPIOIDS --
MAYBE NOW WE SHOULD BE TALKING
ABOUT PRESCRIBING FUROR WHEN
OUTSIDE EUROPE IN PRESCRIBING
MORE THE LOCKS ON SO --
ARE AN ADDED DO NOTES ALSO OVER
THE COUNTERS WELL BUT GETTING
PEOPLE ACCESS.
MORE NALOXONE SO I APPRECIATE --
ESTIMATE WOODS.
AND AFTERWARDS AS WELL AYE YOUR
EAR.
AB EXCUSES ISSUE THANK YOU
[inaudible]
THANK YOU.
AND UPGRADE TO THE BILL AFTER IT
IS.
THE MOTION FROM A SENATOR PAN --
WOULD YOU LIKE TO CLOSE.
JUST LIKE TO THANK MISTER UNCLE
FOR HER COMPELLING STORY AND
REQUEST RESPECTFULLY ASK.
VERY MUCH MOTIONED.
PLEASE CALL THE ROLL.
MISSION IS TO BE PASSED AS
AMENDED TO SENATE APPROPRIATIONS
COMMITTEE HILL AYE HILL AYE
FULLER [inaudible]
ALAN.
ALLEN AYE DODD AYE DODD AYE
GALGIANI GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN AYE PAN AYE WILK YEAH.
BOOK AYE.
FATE.
IT VOTE THEY OF BILL IS OUT
THANK YOU VERY MUCH LOOKING AT
ITEM NUMBER. TWENTY SEVEN AB
TWENTY SEVEN EIGHTY NINE
ASSEMBLY MEMBER WOULD PLEASE
AGAIN MISTER CHAIRMAN MEMBERS --
AB TWENTY SEVEN EIGHTY NINE
REQUIRES A BY.
TWENTY TWENTY TWO ELECTRONIC
CURRENTLY PRESCRIBING SHOULD BE
REQUIRED FOR ALL PRESCRIPTIONS
THE RATIONALE FOR THIS BILL IS
TWO FOLD.
PERSON BE PRESCRIBING IS AN
IMPORTANT TOOL TO ADDRESS YOUR
GOOD CRISIS BY ENHANCE TRACKING
OF UP YOUR PRESCRIPTIONS.
AND BY REDUCING THE AVAILABILITY
OF OPIOIDS PERTAIN TO FRAUDULENT
MEANS.
SECONDLY PRESCRIBING
REDUCES PRESCRIPTION ERRORS
IMPROVES THE QUALITY OF PATIENT
CARE BY REDUCING THOSE THERE'S
MORE THAN ONE POINT THREE
MILLION PEOPLE.
AREAS ANNUALLY IN THE U. S. AND
MOST OF THESE THE STAKES ARE
PREVENTABLE.
I AM NOT THE BEST HAND WRITER
AND I CAN.
CANNOT TELL YOU HOW MANY TIMES I
HAD A PHARMACIST CALLED ME TO
ASK ME FOR CLARIFICATION ON A
WRITTEN PRESCRIPTION OVER THE
YEARS -- AND
I BELIEVE THIS WOULD HAVE HELPED
ACCORDING ACCORDING TO A STUDY
CONDUCTED AT JOHN HOPKINS
MEDICATION OUTPATIENT PHARMACY
89% OF HAND WRITTEN
PRESCRIPTIONS FAILED TO MEET
BEST PRACTICE GUIDELINES. FOR
WERE MISSING INFORMATION IN
COMPARISON NOT A SINGLE
PRESCRIPTION ISSUED
ELECTRONICALLY IN THAT STUDY
COMPLAIN ANY TYPES ANY OF THESE
ERRORS.
CURRENTLY NINE STATES INCLUDING
STATES WITH LARGE POPULATIONS
LIKE NEW YORK AND SMALLER MORE
RURAL STATES LIKE MAINE AND
RHODE ISLAND.
HAVE PASSED THE PRESCRIBING LAWS
SEVENTEEN OTHER STATES HAVE LAWS
UNDER WAY IN THE IN THE HOUSE
AND THE HOUSE OF REPRESENTATIVES
AND SENATORS.
AND THIS AND U. S. SENATE HAVE
BILLS PENDING THAT REQUIRE THE
PERSON [inaudible] FOR MEDICARE.
DESCRIBING IS NEITHER A NEW
CONCEPT NO OR NOR OUT OF REACH
ADVANCED TECHNOLOGY.
ELECTRONIC HEALTH RECORD TO
SOFTWARE DEVELOPMENT HAVE MADE
ADOPTION OF THE PRESCRIPTIONS --
THE NORM WE WORK WITH
STAKEHOLDERS TO EASE ANY BURDEN
THAT MISS BILL BENNETT MADE REP
MAY PRESENT WITH EXTENDED THE
TIMELINE FOR IMPLEMENTATION FOR
THOSE CONSIDERING RETIREMENT
PROVIDED EXEMPTIONS --
TO TO ADDRESS IMPLEMENTATION
CONCERNS AB TWENTY SEVEN EIGHTY
NINE ALLOWS UP TO THREE YEARS OF
FOR INDIVIDUAL PRESCRIBERS
HOSPITALS.
GROUP PRACTICES IN EMERGENCY
ROOMS TO FIGURE OUT THE
TECHNOLOGY AND PROCEDURAL
REQUIREMENTS THAT SPECIFIC TO
THEIR NEEDS AND ALLOWS TIME --
TO PLAN FOR THE FINANCIAL
IMPLICATIONS OF THIS REQUIREMENT.
IT ISN'T HAPPENING TODAY OR
TOMORROW.
BUT HOPEFULLY THREE YEARS FROM
NOW.
UP SORRY WITH ME TODAY TESTIFIED
IS A VIRGINIA HEROLD EXECUTIVE
OFFICER THE CALIFORNIA BOARD OF
PHARMACY IS PROVIDED SIGNIFICANT
ASSISTANCE IN HELPING SHAPE THIS
BILL.
YOUR TAKE IN THE HOUSE HAVE BEEN
IMAGE THANK YOUS THINKS.
UP THANK YOU VERY MUCH I AM
VIRTUALLY HURLING WITH THE BOARD
OF PHARMACY ON THE BOARD
BELIEVES VERY STRONGLY FOR THE
REASON.
THAT DOCTOR WOULD JUST LISTED ON
WHYY PRESCRIBING IS THE WAY TO
GO AS AS THE NEXT STEP IN
ADDRESSING COMPONENTS OF THE
OPIOID CRISIS THAT WE FIND
OURSELVES THEN. FOR AMONG OTHER
THINGS THAT POINT THAT HE DIDN'T
MENTION YOU HAVE A CLOSE SYSTEM
ESSENTIALLY WITH THE PRESCRIBING
BECAUSE THE PRESCRIBER IS
SENDING IT TO A PHARMACY AND
THERE IS NO.
IT'S NOT HEADED TO THE PATIENT
WHO CAN MANIPULATE PRESCRIPTION
ALTER THE NUMBERS ARE CHANGE
THINGS AT THINGS THAN EVEN OUR
SECURITY FORMS IN CALIFORNIA ARE
FLAWED FOR A NUMBER OF REASONS.
WE ALSO BELIEVE THAT PHARMACY
SHOULD BE SPENDING THEIR TIME
EVALUATING THE DRUG THERAPY A
PHARMACY OF THE PATIENT AND NOT
CHECKING OFF TO MAKE SURE ALL
FOURTEEN FEATURES ARE ON THAT
FORM.
SO TO ENHANCE PATIENT CARE TO
IMPROVE ON PATIENT SAFETY AND TO
HELP ENSURE THAT WHAT THE
PATIENT GETS IS WHAT THE
ESCRIBIR PRESCRIBED.
WE URGE YOUR SUPPORT FOR THE
THROUGH GOOD THANK YOU OTHERS IN
SUPPORT.
THANK YOU MISTER MEMBERS OF THE
COMMITTEE DAVID GONZALEZ ON HALF
OF AMERICA'S VISION GROUPS ON
OUR PROVIDERS ARE PRACTICES ON
THREE HUNDRED MEDICAL GROUPS
ACROSS THE COUNTRY.
HAPPY TO BE HERE IN SUPPORT OF
THE COMMITTEE ANALYSIS IS A
REALLY GOOD JOB OF MAKING THE
CASE THREE PRESCRIBING IS LOTS
OF CO BENEFITS FOR NOT JUST IN
TERMS OF REDUCING.
ABUSE OF PRESCRIPTION BUT ALSO
IN TERMS OF THE PATIENT
EXPERIENCE WHICH IS WHERE OUR
PROVIDERS FOCUSED ON THEY THINK
THAT MOVING TOWARD THE
PRESCRIBING WILL HELP PATIENTS
IN TERMS OF SEE WHAT TYPES OF
PRESCRIPTIONS THEY'RE CURRENTLY
ON AS COMMUNICATION BETWEEN THE
PROVIDER IN THE ESCRIBIR SO.
WE THINK IT'S A GOOD COULD STEP
IN THE DIRECTION OF BUT THERE'S
ALSO SOME OTHER BENEFITS FOR THE
HEALTHCARE SYSTEM IN TERMS OF A
SCALLOPED COLLECTING DATA ON
OUTCOME MEASURES FOR PATIENTS.
HOUSING WHERE MONEY IS BEING
SPENT SO THE MORE WE'RE GOING
TOWARD ELECTRONIC WELFARE QUEENS
DATABASES I THINK IS ON THE
HORIZON FOR THE STATE OF
CALIFORNIA SO THIS TYPE OF
MOVING POLICY WILL HELP GATHER
THAT INFORMATION HEALTH FOOD
PATIENTS SO.
I WANT TO THANK YOU OFFER
INCREASING THE BILL AND MOVING
OUR PROVISOS THE TWENTY
TWENTIETH CENTURY CARE.
AUXILIA BEHIND IN CALIFORNIA.
IN A NUMBER OF THINGS THAT I'M
SURE THOUGHT OTHERS IN SUPPORT.
MISTER CHAIR MEMBERS OF THE
COMMITTEE MARK A PRAYER ON
BEHALF OF MCKESSON AGAIN WE WANT
TO THANK THE AUTHOR FOR BRINGING
THIS MEASURE FORWARD.
LAST YEAR MCKESSON DEVELOPED A
WHITE PAPER ON OPIOID ABUSE HAVE
WE IDENTIFIED THE PRESCRIBING AS
ONE OF THE MOST IMPORTANT.
I HAVE THINGS THAT WE CAN DO --
TO ADDRESS OPIOID ABUSE WE A
RICHER AYE VOTE.
THANK YOU VERY MUCH.
AMERICA CANNOT THE CALIFORNIA
DENTAL ASSOCIATION WE JUST
WANTED TO LET THE COMMITTEE KNOW
THAT WITH THE PROPOSED
AMENDMENTS ARE MOVING OUR
POSITION FOR SOME FROM
SUPPORTIVE AMENDED TO SUPPORT
SPECIFICALLY AROUND THE
AMENDMENTS ON THE IMPLEMENTATION
DATE.
SO THEY COULD AUTHORS OFFICE
THANK YOU VERY MUCH.
AND JENNIFER SUMMERS OF THE
MEDICAL BOARD OF CALIFORNIA WE
HAVE A SUPPORT IF AMENDED
POSITION AND THE BOARD DOES
SUPPORT MOVING TOWARDS E.
PRESCRIBING --
HOWEVER WE DO HAVE SOME CONCERNS
AT PRESCRIBERS AND RURAL AREAS
MAY NOT HAVE ACCESS TO THE
TECHNOLOGY NEEDED BUT WE ARE
WORKING WITH THE AUTHORS OFFICE
TO ME RESPECTFULLY QUESTION I
THINK YOU THINK YOU CAN.
CHAU REVERSE WITH CALIFORNIA
PHARMACISTS ASSOCIATES ONE THE
THINK THE ASSEMBLY MEMBER FOR
BRINGING THIS ISSUE FORWARD WE
DID CHECK IN WITH OUR PHARMACIST
BOTH AN INDEPENDENT SANDY INS
AND MORE RURAL SETTINGS I'M.
MAKING SURE THAT THEY WOULD BE
ABLE TO COMPLY WE DIDN'T FIND
ANY KID ISSUES ANYWHERE AGAIN
THIS PURSUE WITH OUR ROLE FOLKS
SENT THEM THEY'RE NOT CONCERNED
THAT THEY WILL BOTH.
BE ABLE TO COMPLY WITH THIS NEW
BELL THEY KILL THANK YOU VERY
MUCH --
ANYONE IN OPPOSITION.
PLEASE COME FORWARD [inaudible]
MAD.
MR MEMBERS TO MADDEN REPRESENT
THE CALIFORNIA CHAPTER OF
AMERICAN COLLEGE OF EMERGENCY
PHYSICIANS --
WE HAVE AN OPPOSING LISTA MANY
POSITION ON AB 2079% WE'D REALLY
LIKE TO THINK DOCTOR WOULD IN
PARTICULAR IS A STAFF FOR THE
MANY TIMES THAT HE SPENT WITH US
AND LISTEN TO OUR CONCERNS.
OUR AND LOOKING AT THE MOCK UP I
THERE ARE A NUMBER OF THINGS
INCLUDING THEIR THAT ADDRESS A
NUMBER OF OUR CONCERNS AND FOR
SHE WERE STILL IN OPPOSING THE
SENATE POSITION --
ONE OF THE THINGS IS THAT WE
HAVE TALKED TO DOCTOR WOULD
ABOUT WAS THE NOTION OF TRYING
TO ALLOW US IN EMERGENCY
DEPARTMENT TO WHAT WE WOULD
DESCRIBE AS EAST E. PRESCRIBED.
BUT NOT TRANSMIT TO THE PHARMACY
SO FOR US WHAT WE WOULD DO AS WE
GO INTO AND TODAY WE'RE GOING
TOWARD OR EACH OUR SYSTEMS.
ENOUGH I'M IN THERE THEY SAY
OKAY TIM'S GOING TO GET THESE
THESE DRUGS THEY PRINTED OUT ON
TO A SECURE DOCUMENT AND THEY
HANDED TO THE PATIENT.
AND THE PATIENT CAN GO TO
WHATEVER FARMS THEY WANT BASED
ON WHERE THEY LIVE WHEN THE
FARMS YOU MIGHT BE OPEN AND PART
OF THAT IS INCLUDED IN THE
MARKUPS SO THAT IS SOMETHING THE
DOCTOR WOULD.
ON HEALTH ADDRESS FOREST'S.
I'M BUT IN PARTICULAR SITUATIONS
AND THE REASON I ASK FOR THAT IS
ONE OF THE CHALLENGES THAT WE'RE
FINDING WITH THE PRESCRIBING IS
THAT ESSENTIALLY ONE WAY
COMMUNICATION NOT DISSIMILAR TO
FAXING.
WHEN DEFENSE SENT A FAX TO
SOMEONE THEY GET IT AND THAT'S
IT?
THE CHALLENGE WE RUN INTO WHEN
OUR FOLKS WHO HAVE BE PRESCRIBED
IS THEY SEND IT TO THE PHARMACY.
AND SOMETHING COMES UP THE
PATIENT MAY WANT TO GO TO A
DIFFERENT PHARMACY ARM THERE MAY
BE A PROBLEM WITH THE INITIAL
PRESCRIPTION IN TERMS OF A
SITUATION WHERE.
A PATIENT --
AFTER WE HAD PRESCRIBED FIGURES
OUT THAT THEY WERE ALLERGIC TO
THE PRESCRIPTION KEEP IN MIND
THESE ARE PATIENTS WHO HAVE GONE
TO AN EMERGENCY.
THEY'RE NOT REALLY IN THE BEST
SHAPE THEY MAY HAVE JUST
FORGOTTEN OUR ABILITY TO GO INTO
CANCEL AT THE PRESCRIPTION IS --
SOMETHING OUR FOLKS ARE SAYING
IS NOT THERE TODAY.
I'M IN ADDITION WHEN IT COMES TO
TRANSFERRING THE PRESCRIPTION I
MISS SOMETHING THAT WE GET
PATIENTS WILL CALL BACK AND ASK
US TO CHANGE IT CAN YOU MOVE IT
TO A DIFFERENT PHARMACY.
SO THESE ARE SOME OF THE BURDENS
THAT WE'VE COME ACROSS AND
RESPECT WE WE SEE IN THIS BILL
THAT THAT'S PARTLY ADDRESSED.
SO I THINK WHAT WE'RE ASKING FOR
IS TO NOT ONLY INSURER THAT.
PHYSICIANS CAN SEND THE
PRESCRIPTION TO THE PHARMACY BUT
THEN THE PHARMACY CAN MANAGE OUR
PRESCRIPTION SO WE'RE TRYING --
TO ENCOURAGES SYSTEM THAT'S MORE
COLLABORATIVE IN TERMS OF
ENSURING THAT THE PATIENT IS
ABLE TO ARM HAD THE FLEXIBILITY
TO GO TO THE FARCE OF THEY MAY
WANT.
ON THERE'S FLEXIBILITY FOR THE
PATIENT TO CANCEL PRESCRIPTIONS
IF A MISTAKE IS BEEN MADE.
ON BUT AND I THINK IN TALKING TO
DOCTOR WOULD THAT WERE GOING IN
THE RIGHT DIRECTION FIVE THAT'S
WHAT I'M HEARING FROM DOCTOR
WOULD -- BUT
I SEE HE CAN CLARIFY IT DOESN'T
GET -- BUT
NONETHELESS THAT'S WERE I THINK
RAMMING SOME PRODUCTIVE
CONVERSATIONS WITH HIM IN THE
STAFF.
ON PROPORTION THIS TIME RESULT
PROPOSAL LISTEN AND THANK YOU
THANK YOU VERY MUCH FOR
COMMITTEE.
IT'S VERY MEMBERS MAKE IT
ALRIGHT OF BEHALF OF THE
CALIFORNIA MEDICAL ASSOCIATION.
I ALSO OPPOSE MOST AMENDED
POSITION JUST WANNA ECHO A LOT
OF THE COMMENTS OF MY COLLEAGUE.
SPECIFIC TO IRAQ CONTROLLED
SUBSTANCES I THINK ARE A BIGGER
CONCERN IN THE E. PRESCRIBING
WORLD BECAUSE THERE ARE A LOT
MORE REGULATIONS AROUND THEM.
I REGULATIONS THAT WE ARE
WORKING THAT AT THE TOP LEVEL
SPECIFICALLY WITH THE DA
[inaudible]
I TO ADDRESS AND THROUGH THE
FEDERAL LEGISLATION THAT'S ALSO
MOVING THEIR CONCURRENTLY
[inaudible]
SO I WE HAVE BROUGHT UP SOME OF
THESE CONCERNS TO THE OTHERS
OFFICE OF THE AS WELL AS A FEW
OTHER IMPLEMENTATION ISSUES.
AND WE'RE LOOKING FOR TO
CONTINUE TO WORKING ON THOSE
ADAM AS THE SALT MOVING THERE.
BUT UNFORTUNATE THE TIMER SO OF
THOSE MUST AMENDED.
GOOD THANK YOU.
OTHERS IN OPPOSITION.
YOU KNOW.
ONE WE HAVE TO THE COMMITTEE FOR
COMMENTS.
SENATOR VOWED TO DRIVE SOME GOOD
MOVE THE BILL I THINK WE HAVE A
QUESTION FROM SENATOR GRAMM.
HEALTH AND HANKS VERY MUCH AND
I APPRECIATE THAT WE'VE TRYING --
TO SUMMER WOULD SAID.
SOMEONE WHO IS A WHOSE STONE ACT
PRACTICE AND ACTUALLY USES E.
PRESCRIBING --
IN MY CLINIC --
I KNOW THAT YOU ACTUALLY WONDER
QUOTE STRENGTH OF THE PRESCRIBED
IS ALSO ON THE CHALLENGES THE
CLOSED LOOP.
BECAUSE THE CLOSED LOOP MEANS
THAT.
I HAVE TO SEND A PRESCRIPTION TO
VERY SPECIFIC PHARMACY WHICH IS
GREAT IF THE PATIENT KNOWS
EXACTLY WHERE HE WANTED TO GO.
THE PATIENCE NOT SURE --
AND AGAIN YELL AT THIS IS THAT
IT'S NOT.
THE EXCEPTION IS THE CHALLENGE
RIGHT SO YOU HAVE SOMEONE WHO'S
NEWLY MOVES TO THE AREA SOMEONE
WHO'S IN THE MIDDLE OF MOVING
FROM ONE PLACE TO ANOTHER GOT
AND YOU JOB WHERE EVERS THE
CONVENIENT PLACE AND ESPECIALLY
THE LOWER THE INCOME THE PERSON
USUALLY THE CHALLENGE.
YEAH LIKE THAT'S WE TAKE CARE OF
MEDI CAL PATIENTS --
TRANSPORTATION ISSUES THINGS
LIKE THAT.
AND AND THEN [inaudible]
YEAH.
IT'S NOT JUST I MEAN.
IT'S NOT ALWAYS THAT SIMPLE FOR
THEM TO GO AND SAY WELL ACTUALLY
WHERE YOU SET THE PRESCRIPTION
HERE.
AND NOW I'VE CALLED THEM THIS
CHANGED PERCEPTION OVER THERE
AND I THINK IT'S A CONTROLLED
FEDERAL REGULATIONS ARE ABOUT.
SWITCHING FROM ONE TO THE OTHER --
ONE PHARMACY TOGETHER SO --
SO I AGREE THAT WE WANT TO TRY
TO MOVE TOWARD THE PRESCRIBING
ACTUALLY I WOULD SAY IS A PER AS
AS A PHYSICIAN WHO DOES
PRESCRIPTIONS I PREFER YOU
PRESCRIBING WHEN I CAN ACTION
INTERESTING ENOUGH OUR CLINIC AT
LEAST SO FAR AS I'M AWARE OF
DOESN'T.
QUALIFY FOR DOING.
IN TERMS OF TRYING TO BE DEALT
FEDERAL REQUIREMENTS SO WE DON'T
DO OF CONTROLLED SUBSTANCES AT
THE MOMENT.
AYE SO I'M ACTUALLY IF WE COULD
DO IT YOU PRESCRIBING THAT'S HOW
WE'D LIKE TO DO IT BECAUSE FOR
LOTS OF REASONS --
THE CHALLENGES THAT WHAT HAPPENS
WHEN.
YOU'RE TRYING TO DO YOU
PRESCRIBING BUT THE PATIENTS.
AS BARRIERS TO THAT IT'S
ACTUALLY I'M CONCERNED ABOUT
PATIENTS AND PATIENT ACCESS.
DOES THAT IT'S THE EXCEPTION NOT
THE RULE THAT THE CHALLENGE AND
YOUNG PEOPLE HAVE ALL SORTS OF
INTERESTING LIFE CIRCUMSTANCES
THAT MAKE IT MORE CHALLENGING
AND THEY WANT.
SOMETIMES THEY MAY WANT TO HAVE
A PRESCRIPTION AND THAT THEY CAN
THEN.
BECAUSE DURING THE PROCESS OF
SAYING Y. CAN THEN TAKE IT TO
PARTICULAR TO PHARMACIES THAT
DECIDED LATER ON BASED ON
CERTAIN CONVENIENCES
[inaudible]
IT CETERA [inaudible]
GREATER LIFE INSTEAD OF ME
SENATE TO PARTICULAR PHARMACY IN
TERMS OF THE CAN'T GET THERE YET
THING I'D POINT OUT TRIMS ITS
TRACING.
IS THAT WE DO WE BECAUSE OF
CURES WEEK AFTER FILE EVERYTHING
AND REGISTER WITH YOUR SO THERE
IN TERMS OF ENFORCEMENT YOU
CANCEL TRACK IT SURE OF COURSE
IDEALLY PRESCRIBING IS THE
BEST WAY I THINK THAT'S WHAT
PROVIDERS WILL DO --
IF THAT THEY HAVE A CHOICE I
THINK THE CROWD THE CHALLENGES
IS THAT PERCENTAGE OF PATIENTS --
TO MAY HAVE SOME DIFFICULTY OF
GIVEN.
CERTAIN CIRCUMSTANCES IN LIFE
FOR OTHER TYPES OF THINGS AND I
HOPE THAT AND I KNOW YOU TOOK A
LOT AMENDMENTS I APPRECIATE THAT.
I THINK I I HOPE THAT WE CAN
CONSIDER THAT IF A PATIENT IS
NOT ABLE.
TO YOU KNOW --
BUT CONFIDENCE IDENTIFY THE
PRIMARY PHARMACY [inaudible]
THAT -- THAT
YOU KNOW THAT'S A PATIENT THAT'S
NOT.
THAT'S NOT ME THE PRESCRIBER
SAYING THAT THAT WE HAVE SOME
FLEXIBILITY TO BE ABLE TO MEET
OUR PATIENTS --
WOULD YOU LIKE TO RESPOND TO
THAT DOCTOR WHO I AM WHAT FIVE
HOMELESSNESS HERE OF THAT TOO
RESPONSE.
TO PART OF IT I THINK COVERS AS
WE HAD WAS EARLIER TODAY THAT'S
A REALLY SMALL PERCENTAGE OF
PATIENTS.
AND IT MAY AND I AGREE THAT IT
MAY ESTIMATES ACCOUNT WE TOOK
NUMEROUS --
EXEMPTIONS TO THIS QUITE FRANKLY
WE ACTUALLY CONSULTED WITH THE A
PAST PRESIDENT OF THE UNIT AND
IN NEW YORK A MERIT A COLLEGE OF
EMERGENCY PHYSICIANS.
THAT HAS THIS IN PLACE NOW AND
THEY THEY SAID THAT YOU KNOW
THEY THEY DID HAVE STRUGGLES
THERE'S NO QUESTION ABOUT IT BUT
WE READ THEM THE LIST OF
AMENDMENTS THAT WE'RE TAKING
HERE.
THE EXCEPTIONS HERE AND THEY
SAID WELL IF WE'D HAD THAT.
OUR LIFE WOULD BE A LOT EASIER
HERE AND YOU REGARDS.
TO THIS WEEK WE'VE DELAYED THE
IMPLEMENTATION THIS TO THREE
YEARS TO GIVE PEOPLE A CHANCE TO
WORK THROUGH A LOT OF THESE
ISSUES I THINK THAT THAT IS
THAT'S HELPFUL.
WITH REGARDS TO PHARMACIES --
THE PATIENT IF THEY GO TO A
PHARMACY.
THAT IS OTHER THAN WHAT WAS
ELECTRONICALLY PRESCRIBED THEY
CAN ASK THE PHARMACIST TO
TRANSMIT FROM THAT OTHER
PHARMACY THAT IS PART OF THE
BILL.
THERE IS A TRANSMISSION PART OF
THIS THAT AND IT IS IT IS IN
THERE AND AND I SO I DON'T THINK
IT IS AS ONEROUS AS AND YOU
YOU'RE SHAKING YOUR HEAD THAT IS
PART OF OUR AMENDMENTS --
ONCE AGAIN AND I RECOGNIZE THAT
WE ARE WE ARE --
WE ARE WORKING THROUGH THE
CONTROLLED SUBSTANCES PART OF
THIS BUT I I'M CONFIDENT THAT IN
THE THREE YEAR PERIOD THAT WE'RE
GOING TO BE ABLE TO DO THAT I
KNOW THAT CHANGE IS AN EASY.
WENT OVER LIKE TO DO THINGS THE
WAY WE'VE ALWAYS DONE THEM BUT
YOU KNOW I THINK.
I THINK THAT THERE WE HAVE
WORKED REALLY EXTENSIVELY ON
THIS AND ONE OF THE ADVANTAGES
WE HAVE WERE NOT LEADING.
THE CHARGE HERE WE ARE CUTTING
HALF WAY THROUGH THE PACK.
SO WE CAN LEARN FROM THE OTHER
EX THAT DIFFERENCES OF THE OTHER
STATES AS THEY IMPLEMENTED IN
NEW YORK ONE OF THE THINGS I
FOUND.
THEY'VE BEEN THEY'VE HAD TO DO
IT PRESCRIBED SINCE TWO THOUSAND
SIXTEEN SO THEY WERE WAY IN
FRONT OF IT WHICHWILL BE SIX
YEARS BEFORE OUR REQUIREMENTS
KICKIN. ONE OF THE THINGS THAT
THEY GOT IT'S A BENEFIT WITH
DOCTOR SHOPPING DROPPED
DRAMATICALLY I THINK IT'S LIKE
7990%.
ON WITHIN A YEAR TO OF DOING
THIS WHICH IS A BENEFIT FOR THE
OPIOID CRISIS --
AND WITH RESPECT TO YOUR CONCERN
ABOUT ON HOW YOU CAN CANCEL
PRESCRIPTION THIRD ONE OF THE
LARGEST SOFTWARE VENDORS US THE
SWITCHING COMPANY THAT ACTUALLY
DOES MOST OF THIS.
ACTUALLY HAS A SYSTEM THAT
ALLOWS THAT THAT.
PRESCRIPTION BE CANCELED OR IT
ALLOWS IT TO BE TRANSFERRED AND
WITH RESPONSE TO THE D. E. A. IN
THEIR PENDING RAGS WHO KNOWS
WHERE THEY'RE GOING TO GO.
WE LEARNED IN THE NINETEEN
NINETIES I'VE BEEN WITH THE
PORTS ALONG IN NINETEEN NINETY
FIVE WE HEARD THE D. E. A. WITH.
DOING RAGS TO PERMIT THE
PRESCRIBED EIGHTEEN YEARS TO
DEVELOP THOSE RIGHTS MEANWHILE
WE PASSED A STATUTE WE ARE
CERTAIN ON THE SIDELINES WAITING.
FOR THE DA IS WORKING ON THEM
ONE OF THE POINTS THAT I ALSO
RAISED WITH THE MANAGER OF THE
UNIT OVERSEEING THAT THE
REGULATIONS WAS IN FACT WHAT DO
YOU DO WHEN THE PATIENT NEEDS TO
TRANSFER THE PRESCRIPTION.
BECAUSE RIGHT NOW UNDER CURRENT
REQUIREMENTS FOR THE D. E. A.
THEY DON'T WANT YOU TRANSFER A
PRESCRIPTION NEVER FAILED AND
HERE WE'RE TALKING PRETTY MUCH
ABOUT A SEAT.
TO SO SO FOR US WE SEE ALL THE
BENEFITS COMING AND WITH SIX
YEARS TO IMPLEMENT I THINK BUT
CALIFORNIA GOOD SPOT OR WELL FOR
YEARS NOW.
TEND TO BE WELL POSITIONED TO DO
THIS BECAUSE THE TECHNOLOGY'S
GOING TO CONTINUE TO CHANGE AND
EVOLVE.
AND WE WILL BE BETTER POSITIONED
IN ORDER TO DO IT BUT THERE ARE
VENDORS OUT THERE WORKING ON IT
AND THROUGH THE EXPERIENCE OF
NEW YORK WOULD BE SIMILAR TO
OURS IN SOME WAYS WE CAN LEARN
FROM THEIR MISTAKES.
BUT THEY'VE ALREADY GONE THROUGH
IT.
LIKE THAT BY THE FINAL THING I'D
LIKE TO ADD IS THAT --
OF OPPOSITION ALSO BROUGHT UP A
WILL WOULD JUST PRINT OUT THE
THAT THE PRESCRIPTION GIVEN TO
THE PATIENT TO ME THAT'S STILL
AN ARE THAT'S ON OPPORTUNITY FOR
FRAUD ME WE SIMPLY CLEVER PEOPLE
OUT THERE THAT WITH.
WITH AND SIMPLE TECHNOLOGY TO
THEY COULD OVERRIDE THAT AND SO.
PURPOSE FOR THE ELECTRONIC
TRANSMISSION IS TO TAKE IT OUT
OF THE HANDS OF THE PATIENT
PATIENT TWO TO REDUCE THE THE
ABUSE REDUCE THE FRAUD.
AND AND THE AMBIGUITY THAT GOES
ALONG WITH EVEN IF EVEN IF
POTENTIALLY PRINTED PRESCRIPTION.
THAT IF YOU HAD A RESPONSE
[inaudible]
THAT.
SWITCHING FROM UP OR THE
TRANSFERRING OF PHARMACIES AYE
IT'S CONTROLLED SUBSTANCES
SPECIFICALLY I THINK THIS GETS.
TO I HAD THE EMERGENCY
PHYSICIANS POINT IS THAT
CONTROLLED SUBSTANCES ONCE ARE
SENT TO A PHARMACY CAN'T BE
TRANSFERRED BETWEEN PHARMACIES
THAT HOUSE YOU HAVE TO ACTUALLY
GO BACK TO YOUR DOCTOR AND CALL
AND HAVE THEM RESEND.
YOUR PRESCRIPTION TO A NEW
PHARMACY [inaudible]
UP.
BECAUSE OF THE DEAR OLD AROUND
THE CONTROLLED SUBSTANCES AND SO
I THINK TO THE PHYSICIAN
EMERGENCY PHYSICIANS POINT IS IN
THE MIDDLE OF THE NIGHT IF THEY
ARE SENDING SOMETHING TO A
PHARMACY.
UP AND TUCKED TO DOCTOR PANTS
POINT IF SOMEONE DOESN'T AYE YOU
KNOW IDENTIFIES ONE AND MAYBE
THAT ISN'T THE ONE THAT THEY
HAVE TRANSPORTATION TO GET TO
YOU OR ONCE THEY GET THERE THEY
FIND THAT THAT PHARMACY DOESN'T
HAVE.
THEIR MEDICATION AND STOCK ABOUT.
TO THEIR PHYSICIAN WHETHER IT'S
IN THE ARE WHEREVER IT IS AND
GET A HOLD OF THEM TO HAVE THEM
SENT THAT PRESCRIPTION TO A NEW
PHARMACY.BECAUSE OF THE FEDERAL RULES
THAT DON'T ALLOW THEM TO
TRANSFER.
BETWEEN PHARMACIES.
CURRENTLY WITH THE PAPER
PRESCRIPTION IF YOU HAVE THAT IN
HAND HAT THEY CAN GIVE IT BACK
TO YOU AND YOU CAN TAKE THAT
ORIGINAL PRESCRIPTION. TO A NEW
PHARMACY.
AND THEY WILL PHILIP THERE
BECAUSE YOU HAVE THE ORIGINAL
BUT WITH E. PRESCRIBING THERE'S
NO WAY TO DO THAT YOU JUST HAVE
TO GET BACK TO YOUR POSITION TO
GET A NEW ONE AND I THINK THAT'S
THE CHALLENGE IN THOSE
CIRCUMSTANCES WHERE.
THE PHARMACY DOESN'T HAVE IN
STOCK OR WHERE THEY'RE NOT OPEN --
OR MAYBE IT'S THROUGH THE
EMERGENCY DEPARTMENT I KNOW THAT
SOMETIMES IT SO IT'S AVAILABLE
TO GET BACK TO YOUR PHYSICIAN
HAVE THEM CHANGE IT EASILY.
BUT IT'S THE CONTROLLED
SUBSTANCES SPECIFICALLY THE
PRESENT CAN OF THE HURDLES.
POINT [inaudible]
I I SEE YOU I DID LOOK IN THE SO
IN THE IN A LEGISLATION THAT THE
U. DID ALLOW.
FOR A PHARMACY THAT RECEIVES
ELECTRONIC DATA TREACHERY
TRANSCRIPTION WANTED SENT BUT
THAT DOES NOT APPLY THEM. TO TO
THE SCHEDULED DRUG BECAUSE OF
THE FEDERAL REGULATIONS THAT
WHAT I'M HEARING.
THE MORE RESTRICTIVE SKIT WITH
THE MORE RESTRICTIVE REQUIREMENT
WILL GENERALLY TAKE PRECEDENCE
IN THAT CASE BUT AGAIN THE DA
ARE WORKING IS WORKING TO MODIFY
ITS IN LIGHT OF THE CRISIS
BECAUSE OF THE EAP DESCRIBING.
IS VIEWED AS ONE OF THE PRIMARY
MEANS BY WHICH WE CAN ADDRESS.
THANK YOU BYE FEARFUL.
A I JUST WANNA SAY THAT I I
THINK THE INTENT OF THIS IS IS
REALLY GOOD.
BUT I THINK.
AND RUB LARGER RULE AREA MY
DISTRICT GOES FROM BY CELLULAR
TO NEEDLES.
AND SO.
I'VE BEEN HERE FOR MY DISTRICT
THAT THERE ARE VARIOUS
CHALLENGES FOR THE RULE AREAS AT
THIS TIME GIVEN THE STATE OF THE
SOFTWARE.
AND I I KNOW MYSELF THAT I HAVE
GONE.
FULL OF TIMES TO A COUPLE OF
DIFFERENT OF PHARMACIES BECAUSE
THEY DON'T HAVE IT AT THAT
MOMENT OR THEY DIDN'T CARRY
BECAUSE WERE RULED THEY JUST
DON'T.
IS DON'T HAVE EVERYTHING AND AND
MY DOCTOR IS A GREAT DOCTOR BUT
HE'S REALLY REALLY STRUGGLING A
WONDERING WHY CAME TO
BAKERSFIELD.
AT THIS POINT AND WE'RE LOSING
POSITIONS --
AND I DON'T I DON'T.
I DON'T FEEL THAT MY RURAL AREAS
ARE REALLY READY FOR THIS YET.
A IN MANY WAYS BUT I I THINK
THAT IF WE COULD MAKE
TECHNOLOGICAL BREAKTHROUGHS.
AND WE COULD FIGURE OUT A WAY TO
HELP THEM VERY RULE AREAS THEN I
WOULD BE SUPPORTIVE AND MAYBE
THERE'S SOME WAY. TO WORK WITH
SOME OF THE OTHERS TO COME UP
WITH.
SOMETHING THAT COULD HELP WITH
THAT AND I'D BE WILLING TO
CHANGE MY VOTE LATER ON THE
FLOOR.
GRETA CLOSING JUST WITHOUT AND A
COUPLE OF COMMENTS FIRST OF ALL.
OF YOUR YOUR YOUR YOUR
OPPOSITION YOUR COMMENTS THERE
ACTUALLY WERE NOT REFLECTED IN
THE EXTENSIVE CONVERSATION WE
HAD LAST WEEK SO THAT IS.
BELOW SURPRISED THAT THE
DISCONNECT THERE THAT WAS NOT
THAT THAT WAS NOT A BASIS OF
YOUR OPPOSITION TO TO THE BILL.
AND WITH --
SENT SENATOR FULLER I APPRECIATE
THAT.
LARGEST CITY IN MY DISTRICT HOW
I REALLY REPRESENT HALF OF ITS
BY EIGHTY THOUSAND PEOPLE AFTER
THAT IT DROPPED OFF.
TO TWENTY SEVEN THOUSAND SO I
UNDERSTAND RURAL CHALLENGES IT
AS AS AS TO YOU.
BUT WE BELIEVE BASED ON OUR OUR
WORK WITH THE OF THE PHARMACY --
PHARMACISTS IN OUR AREA THAT
THAT THE TECHNOLOGY DOES EXIST
TO MAKE THIS HAPPEN.
AND AND IT'S NOT IT'S NOT SPACE
AGE AT THIS POINT --
THERE WOULD THERE STILL MAY BE
CHALLENGES WITH SUPPLIES AND
WHICH IS ALWAYS A CHALLENGE BUT
THAT IS NOT A TECHNOLOGICAL
ISSUE AND AND THAT'S REALLY WHAT
WE'RE THROUGH REALLY WHAT WE'RE
FOCUSING ON ABOUT IT.
PRETTY CRITICAL CENTER GREATER.
STATE THAT DOES THIS GO TO HELP
MAX AT WHERE IS THIS SO.
WHERE IS IS IN THE PROCESS
APPROPRIATIONS?
BECAUSE YOU APPROPRIATIONS USES
HURTING HEALTH.
WE'RE GOOD OUTTAKE THAT IS YOUR
CLOSER DOCTOR WOULD AND WE HAVE
A MOTION FROM SENATOR DODD.
OF PLEASE CALL THE ROLL.
SHE HAS TO PASS AS AMENDED TO
SENATE APPROPRIATIONS.
HEALTH AYE HILL AYE FULLER
[inaudible]
FULLER NOW [inaudible]
ALLEN.
ALLEN AYE DODD.
I THOUGHT I GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ AYE
HERNANDEZ AYE PAN.
LOOK THERE WILL I THE BILL HAS
SEVEN VOTES TO ONE AND IT IS OUT
THANK YOU VERY MUCH.
CREATED TO WHAT YOU.
ARE FINAL BILL OF THE DAY
ASSEMBLYMEMBER COOLEY ITEM
NUMBER TWENTY EIGHT AB
[inaudible] TWENTY NINE
FOURTEEN YEAH.
THERE IS A PATIENT MAN.
I WILL WE WILL HOPE THAT --
THE HARSH WOULD LEAST RECEIVED A
Q. HEAD.
ALI SAKE YOU VERY MUCH IT'S BEEN
A PLEASURE TO ENJOY YOUR
COMMITTEE A WORK TODAY ACTUALLY --
I'M HERE TDAY TO PRESENT AB
TWENTY NINE FOURTEEN RELATING TO
ALCOHOL AND CANNABIS
[inaudible]
ON STUDIES HAVE ESTABLISHED THAT
ANY AMOUNT.
WHAT WOULD YOU GO TO A CERTAIN
POINT OF ALL CALLED YOUR SYSTEM
IT GREATLY AMPLIFIES THE IMPACT
OF CANNABIS?
TEACH YOU ON THE SYSTEM THAT.
THE TWO SUBSTANCES ANORAK TO
AMPLIFY THE IMPACT OF T. HC AND
WAYS WE DON'T FULLY UNDERSTAND.
AS A CONSEQUENCE THAT MEANS HE'S
TWO THINGS HAVE TOGETHER PRESENT
A DIFFERENT TYPE OF PUBLIC
SAFETY.
AND PUBLIC HEALTH RISK THAN
THESE TWO STANDING ALONE.
I RECOGNIZED SINISTER PART OF
PUBLIC HEALTH HAS PUT
RESTRICTIONS.
IN THEIR REGULATIONS.
A ON HOW.
INFUSION OF ALCOHOL WITH --
CANNABIS I CAN PROCEED BECAUSE
THE ERECTION.
BETWEEN THESE TWO THINGS.
THIS BILL SIMPLY TAKES THE WORK
ON THE PART OF PUBLIC HEALTH IN
THIS AREA DEALING WITH THESE.
A TWO SUBSYSTEM GATHER AND
CODIFIES IT.
PRETTY STRAIGHTFORWARD BILL
ADDRESSES THIS [inaudible]
ISSUE OF THE CONCURRENT AFFECT
IS AMPLIFIED IN A PUTS IT IN
STATUTE WHERE WE CAN KEEP AN EYE
ON IT.
I WILL BE TAKEN AMENDMENTS --
THIS GOES NEXT TO GEO.
IN THE GEO COMMITTEE I DO
ANTICIPATE TAKING AMENDMENTS
[inaudible]
ARMED TO CLARIFY [inaudible]
THAT.
IS TO PREVENT THE SALE OF
CANNABIS AND CANVAS PRODUCTS ON
ALCOHOL LICENSEES PURPOSES.
CONSIST WITH THE STRUCTURE OF
CURRENT LAW AND REGULATION.
SO THAT'S THE BILL ITS A
CODIFICATION RAKES IT ADDRESSES
THIS CONCURRENT OF FACT.
OUR QUESTION I VOTE I THINK YOU
FOR YOUR A DELICIOUS ACROSS YOUR
AGENDA TODAY.
THANK YOU VERY MUCH IS IN
REMEMBER COOLEY QUESTION SENATOR
ALLEN MY MAIN QUESTION FOR YOU
AND HAS LESS TO DO WITH THE
MIXING OF PRODUCTS. TO THE IT
THAT IT DOES HAVE TO DO WITH THE
ISSUE OF THE LICENSE.
AND NO I'M I'M KIND OF TORN
ABOUT IT AND I UNDERSTAND I
THINK I UNDERSTAND YOUR YOUR
GOAL BUT THAT OF THE OTHER THING
I'M THINKING ABOUT HOWEVER IS
THAT.
YOU KNOW THE FOLKS WHO HAVE BEEN
IN THE BUSINESS OF SELLING
ALCOHOL FOR A LONG TIME ARE
ACTUALLY PROBABLY THE BEST
PREPARED. TO HANDLE FOLKS WHO
MAY HAVE ABUSED CHALLENGES AND
BY NOT BY BY PROHIBITING THEM
FROM BEING IN THIS BUSINESS AND
LEAVING.
EXCLUSIVELY OPEN TO BRAND NEW
ACTORS.
AND WE KNOW SOME OF THEM WILDCAT
FOLKS ARE JUMPING INTO THE
CANNABIS INDUSTRY I'D I JUST I'M
STRUGGLING WITHOUT PARTY YOUR
BILL AND I I LOVE TO HEAR
THOUGHTS ON IT AND BUT I THOUGHT
MY CHALLENGE OF YOUR BILL.
I GUESS I WOULD ADDRESS SET TO
SAY THAT --
THE BASIC FRAMEWORK OF THE
CURRENT LAW DOES THIS BILL TAKES
WE SET UP AN AGENCY TO REGULATE.
WE HAVE SUPPORT AND AGENCIES FOR
EXAMPLE PUBLIC HEALTH HAS
SPECIAL EXPERTISE [inaudible]
ARM.
I WOULD SAY THE A GENERAL
CONSENSUS EMERGED WITH THE
IMPLEMENTATION BOTH OF THEM
MEDICAL MARIJUANA BILL. TWENTY
FIFTEEN THEN WITH THE CANNABIS.
PROP [inaudible] SIXTY FOUR TO
KEEP THE TWO SEPARATED.
I THINK INITIALLY SENATOR ALLEN
IT RELATES [inaudible]
TO REGULATORY OVERSIGHT --
AS IT IS THE AGENCIES CHARGED
WITH THE IMPLEMENTATION OF THIS.
HAVE A VERY BROAD FIELD TO TRY
TO RE WRITE THE RULES
[inaudible]
FOR SEOUL.
I GUESS I FEEL THAT IN KEEPING
THE TO CLASSES OF LICENSEES
APART.
THAT KEEPS THE JOB OF
IMPLEMENTING PROP SIXTY FOUR FOR
THE REGULATORY AGENCIES
[inaudible]
MANAGEABLE [inaudible]
YEAH.
I'M I HEAR YOU AYE AMOUNT
CHOMPER CIGARETTES BUT I KNOW
THAT YOU'RE IN IT'S NOT BECAUSE
I DON'T.
GENERALLY SHARE YOUR YOUR
CONCERN ABOUT ABOUT ZERO IF I
COULD ADD ONE THING IF YOU TO
THIS IS WORTH IT THAT THE
AMENDMENTS THAT YOU WILL
[inaudible]
TAKE.
YOU ACCEPT TODAY BUT THEY WILL
BE ADDED AN NGO.
DOES ALLOW FOR SOMEONE TO HOLD A
CANNABIS LICENSE AND AN ALCOHOL
LICENSE.
THEY JUST CAN'T SERVE THEM IN
THE SAME PREMISES.
THEY COULD BE SIDE BY SIDE.
BUT THEY CAN'T BE WITHIN THE
SAME [inaudible]
FACILITY.
SO JUST FOR CLARIFICATION WE
WILL NOT HAVE WOULD DECISION
SUPPORT.
MISTER CHAIR AND MEMBERS BETSEY
ARMSTRONG ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION REPRESENTING
CALIFORNIA'S LOCAL HEALTH
DEPARTMENT SEARCHERS.
YOU VERY MUCH OTHERS IN SUPPORT.
ANYONE HERE IN OPPOSITION.
YOU KNOW.
ONE VETERANS COMMISSARY LATER
TOGETHER ALL AND I'M HAPPY TO
MOVE THE BILL BUT TO SAY.
I THINK THE FRUSTRATION FOR ME
IS THAT THAT YOU KNOW WE HAVE TO
RESPECT THE WILL OF THE VOTERS
HERE -- TWO
WHY DID.
IT'LL ON THE WHOLE CANNABIS
ARRAY BUT THIS IS THE ONE PLACE
WE HAVE THE ABILITY TO HAVE SOME
SORT OF PROTECTIONS.
THAT WE CAN BUILD AND AND
REGULATION THAT WE THINKER.
HI SOBRE AND APPROPRIATE AND I
AND I THINK I APPRECIATE WHAT
THE AUTHOR IS DOING HERE ON THIS
AND WELL I RECOGNIZE THAT THE
SENATOR FROM SANTA MONICA'S --
CONCERN [inaudible]
HEY.
IT DOESN'T MEAN THAT WE SHOULD
ALL A LOWER THAT THAT THE PUBLIC
SAFETY REQUIREMENTS WHEREVER IT
IS SOLD.
BUT THAT'S O. ITS UP TO US TO
TRY TO CREATE THE STANDARDS AND
I APPRECIATE WHILE THAT THE
LICENSING.
IN SOME WAYS PER PER PROVIDE
SOME STEP AHEAD --
IN AND I IN THE REGULATION AND
IN THE TO THE DISTRIBUTION.
BUT I I I THINK THAT THIS IS THE
RIGHT CONSERVATIVE COURSE TO
TAKE AND I HAVE SUPPORTED.
HAPPY TO MOVE AT THE APPROPRIATE
TIME REVIEW THANK YOU WOULD LIKE
TO CLOSE ASSEMBLYMEMBER COOLEY
IVKOV THANK YOU VERY VERY GOOD
THANK YOU VERY MUCH IN THAT WE
DO HAVE A MOTION NOW AT THE
COMMENTS OR QUESTIONS MOTION BY.
SENATOR GLAZER OF PLEASE CALL
THE ROLL.
QUESTION IS TF PASSED THE SENATE
GOVERNMENTAL ORGANIZATION HILL
AYE HILL AYE FULLER.
AYE ALLEN.
DODD I DON AYE GALGIANI.
GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN AYE AYE AND I WILL I
WILL DIE. EIGHT ZERO THE BILL IS
OUT THANK YOU VERY MUCH
ASSEMBLYMEMBER COOLEY WE WILL
NOW GO BACK.
TO THE BEGINNING IF WE COULD TO
COVER ALL OF OUR BILLS --
FOR THE ABSENT MEMBERS ITEM
NUMBER ONE A BEEF TWELVE FORTY
SEVEN BY ASSEMBLYMEMBER HIS AREA.
PLEASE CALL THE ABSENT MEMBERS
SHE HAS TO PASS AS AMENDED TO
SENATE JUDICIARY COMMITTEE
FULLER.
BUT I REMEMBER ONE AB.
TWELVE FORTY SEVEN THE ABSENT
MEMBERS [inaudible]
FULLER WELL.
WE'LL GET THERE. SEVEN ZERO THE
BILL IS OUT.
I REMEMBER TO AB FOURTEEN THIRTY
SIX BY ASSEMBLYMEMBER LEVINE
PLEASE CALL THE ABSENT MEMBERS.
HAS TO PASS AS AMENDED TO SENATE
APPROPRIATIONS COMMITTEE FULLER.
FULLER AYE WILK AYE WILK AYE.
NINE ZERO THAT BILL IS OUT.
ITEM NUMBER THREE AB SEVENTEEN
FIFTY ONE ASSEMBLY MEMBER LOW
PLEASE CALL THE ABSENT MEMBERS
FLESH AS THE PAST PARK FIFTY
COMMITTEE FROM AT SIX THREE ZERO
FULLER.
FULLER AYE PAN [inaudible]
WELL [inaudible]
I FORGOT. EIGHT ZERO THAT BILL
IS OUT ITEM NUMBER FOUR AB
SEVENTEEN FIFTY TWO ASSEMBLY
MEMBER LOW PLEASE CALL THE
ABSENT MEMBERS.
BUSH HAS TO PASS THE SENATE
PUBLIC SAFETY COMMITTEE CURRENT
VOTE SEVEN ZERO FULLER.
FULLER AYE WILK AYE AYE LOCI.
NINE ZERO THAT BILL IS OUT.
A BEEF SEVENTEEN FIFTY THREE
ASSEMBLY MEMBER LOW PLEASE CALL-THE ABSENT MEMBERS RUSSIA'S
STATE HAS A SENATE PUBLIC SAFETY
COMMITTEE.
BUT SEVEN ZERO FULLER.
WHERE I WILL [inaudible]
LOOK I NINE ZERO THE BILL IS OUT
THANK YOU.
ITEM NUMBER. SEVEN AB NINETEEN
OH SIX BY ASSEMBLYMEMBER IRWIN
PLEASE CALL THE ABSENT MEMBERS
LECTIONIS DE PASSED THE SENATE
JUDICIARY COMMITTEE CURRENT VOTE
SEVEN ZERO FULLER [inaudible]
FULLER NO.
WELL MY LOOK I EIGHT TWO ONE
THAT BILL IS OUT.
ITEM NUMBER.
TWELVE AB --
TWENTY ONE FORTY THREE PLEASE
CALL THE AFTER MEMBERS MOTION
HAS TO PASS THE SENATE HEALTH
COMMITTEE KERN VOTES FOR THE
ZERO FULLER AYE.
FULLER AYE DODD.
GOD I GALGIANI.
GALGIANI AYE HERNANDEZ.
I'VE BEEN IN THIS AYE WILK
[inaudible]
I THE BILL HAS NINE VOTES THAT
IS OUT.
I REMEMBER FOURTEEN ASSEMBLY --
AB TWENTY TWO FIFTY FIVE
ASSEMBLY MEMBER LACKEY PLEASE
CALL THE ABSENT MEMBERS.
IT MOTION IS TO PASS THE SENATE
PUBLIC SAFETY COMMITTEE CURRENT
VOTES THREE TO ZERO FULLER.
FULLER I'VE GALGIANI GALGIANI
AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
I'VE PAN BY AND I WILL
[inaudible]
BY. NINE ZERO THAT BILL IS OUT.
MOVING NOW TO ITEM NUMBER
SEVENTEEN THEM SHORT NUMBER.
SIXTEEN AB.
TWENTY THREE HUNDRED PLEASE CALL
THE AFTER MEMBERS MACHINIST YOU
PASS THE SENATE APPROPRIATIONS
COMMITTEE FULLER.
FULLER AYE GALGIANI.
GALGIANI AYE HERNANDEZ.
AND AS I PAN [inaudible]
WILK ALRIGHT WILL GUY. EIGHT
ZERO THAT BILL IS OUT.
ITEM NUMBER SEVENTEEN A. B.
TWENTY THREE SEVENTY WON PLEASE
CALL THE ABSENT MEMBERS NASH HAS
TO PASS AS AMENDED TO SENATE
NATURAL RESOURCE COMMITTEE
CURRENT VOTES [inaudible]
SIX TWO ONE GALGIANI
[inaudible]
GALGIANI I AND WILK.
AND ONE SEVEN ONE THAT BILL IS
OUT.
A ITEM NUMBER NINETEEN AB TWENTY
FOUR ZERO TWO WILL NEED A MOTION
ON THAT.
SO MOVED BY SENATOR GLAZER
PLEASE CALL THE ABSENT MEMBERS
PLEASE CALL THE ROLL.
QUESTION IS DO PASS AS AMENDED
HEALTH ARE HILL AYE FULLER.
FULLER NOW ALAN [inaudible]
DODD [inaudible]
DODD AYE [inaudible]
GALGIANI.
GALGIANI AYE GLAZER.
LASER AYE HERNANDEZ HERNANDEZ
AYE PAN FIGHT AND I WILL WRITE A
BOOK I IT OPENS.
LEAVE THE ROLE OPENED UP FOR THE
ABSENT MEMBERS OF MOVING ON TO
ITEM NUMBER TWENTY AB.
TWENTY FOUR FORTY FIVE
ASSEMBLYMEMBER O'DONNELL USUALLY
ABSENT MEMBERS.
XIN AS DO PASSED THE SENATE THE
SENATE FLOOR CURRENT VOTES EIGHT
ZERO GALGIANI.
GALGIANI AYE NINE ZERO THAT BILL
IS OUT.
MOVING ON TO ITEM NUMBER TWELVE
A TWENTY ONE ASSEMBLY MEMBER
QUIRK AB.
TWENTY FOUR FIFTY A IS THERE A
MOTION.
MOTION BY --
SENATOR PAN --
PLEASE CALL THE ROLL.
MISSION IS TO PASS THE SENATE
FLOOR HELD BY.
HILL AYE FULLER.
FULLER NO ALLEN [inaudible]
DODD.
I DON'T I GALGIANI.
AYE GALGIANI AYE GLAZER.
GLAZER AYE HERNANDEZ HERNANDEZ
AYE PAN AYE PAN AYE WILK NO.
WILK NOW.
SHE REJECTED TO UPHOLD THE RULE
OPEN FOR ABSENT MEMBERS.
ARE NOW MOVING TO TWENTY TWO AB
TWENTY FIVE FORTY SIX ASSEMBLY
MEMBER CHAU.
MEMBERS I'D LIKE TO CLARIFY SOME
OF THE DISCUSSIONS THAT ARE
TAKING PLACE MAYBE.
TWO TWENTY FIVE FORTY SIX SINCE
THE DISCUSSION CONCLUDED
ASSEMBLY MEMBER CHAU HAS
PROPOSED AMENDMENTS AIMED AT
ADDRESSING OPPOSITIONS CONCERNED.
THE AMENDMENTS WOULD REMOVE.
FOR OF THE CIRCUMSTANCES IN
WHICH A PERSON OR ENTITY IS
PROHIBITED FROM INITIATING OR
ADVERTISING IN A COMMERCIAL
EMAIL ADVERTISEMENT.
THAT WOULD BE SUBJECT TO PRIVATE
RIGHT OF ACTION INCLUDING.
PLACING THE BURDEN OF PROOF ON
THE DEFENDANT. TO DEMONSTRATE
LEGITIMATE BUSINESSES PRACTICE
IN USING MULTIPLE THE DOMAIN
NAMES.
THAT IS WHERE WE ARE.
AND WE DO IT WOULD TAKE THOSE OF
IT WILL.
BUT IT WILL BE TAKEN ENTITIES
COMMITTED COMMITTED TO THESE
AMENDMENTS AND THEY WILL BE
TAKEN.
THEY WERE TAKEN IN JUDICIARY
[inaudible]
OR WITH THE OTHER THREE ARE NOT
RELATED. TO FOR THAT.
ONE OKAY ALL FOUR IS REMOVING
ALL FOR THE OF THE BRIGHT RED OF
ACTIONS THAT'S THE ONE RETURN
FOR THAT.
THAT'S REGARDING THE PROOF
BURDEN OF PROOF ISSUE THAT WAS
RAISED.
HERE SO IT FOR A PRIVATE RIGHT
OF ACTION BUT DOES THAT MEAN
THAT.
AS WE EXPAND THE AYE AYE THE
ENFORCEMENT POWER TO THE
DISTRICT ATTORNEY IN THE CITY
ATTORNEY THEY WOULD STILL.
BE ABLE TO TAKE ACTION UNDER
THIS -- HE
JUST SAID WOULD EXCLUDE THE
PRIVATE RIGHT OF ACTION IDEA
THAT.
THE DIGITAL ACTIONABLE.
AS FOR PROVISIONS WOULD BE
COMPLETELY REMOVED FROM THE BILL.
COMPLETELY REMOVED CAN
IRRESPECTIVE OF THE PRIVATE
RIGHT OF ACTION YEAH.
FROM ANYONE FROM BRINGING SUIT
WITH IT INCLUDING THE CITY
ATTORNEY THE DISTRICT ATTORNEY
THE ATTORNEY GENERAL'S.
SO THOSE TO THE DISTRICT
ATTORNEY IN THE CITY ATTORNEY
WOULD STILL BE IN THIS BILLS
THAT WOULD REMOVE THAT FROM THIS
YOU JUST REMOVE THOSE FOUR
CIRCUMSTANCES FROM THE BILL
ENTIRELY SO NO ONE CAN BRING
SUIT NO WITNESS FOR OUR VALUES
ARE HEALTH RATHER RIGHT AT WE
THANK YOU. FOR JOURNALISM
BECAUSE I'M IS CHANGE MY VOTE
BUT I WON LEASE ON THE RECORD
INDICATE I APPRECIATE THE WORK
OF THE AUTHOR IN THE COMMITTEE.
TO MAKE THIS BILL BETTER HOPE
THAT THEY'LL CONTINUE TO DO THAT
TO WORK WITH THE OPPONENTS ON IT.
SO IT'S A CONSTRUCTIVE BILL
THAT'S REALLY NOT MEANT.
TO IT'S REALLY MEANT TO CATCH
THE BAD GUYS OUT THERE AND AND
DOZEN RAP BAND ALL THE
LEGITIMATE.
BUSINESSES THAT ARE UNDERTAKING
THIS TYPE OF COMMUNICATIONS THAT
WE DON'T ALTHOUGH LIKE SPAM WE
WANTED.
PROTECT THE CONSUMER BUT WE JUST
HAVE TO MAKE SURE WE'RE DOING IT
IN AN APPROPRIATE WAY AND
APPRECIATE THAT THE COURSE THE
BILL IS TAKING AND FOR THAT
REASON I'LL CHANGE MY VOTE GOOD
THANK YOU VERY MUCH.
SENATOR GREATER WE WILL --
CALL THE ROLL OF CALL THE ROLL
OF ABSENT MEMBERS IN IN ANY
CHANGES THAT COULD BE MADE IN
THAT.
ON AB TWENTY FIVE FORTY SIX
PLEASE CALL THE ABSENT MEMBERS
QUESTION IS DEEPAK.
SENATE JUDICIARY COMMITTEE
CURRENT VOTES [inaudible] THREE
THREE FULLER [inaudible]
BULLARD NO.
HERNANDEZ.
CANNELLA AYE PAN AYE
[inaudible]
AND I GLAZER GLAZER FROM NODA.
GLAZER FROM NOTE I SIX TO THREE
LEAD BILL IS OUT.
ITEM NUMBER TWENTY THREE AB.
TWENTY SIX ZERO EIGHT PLEASE
CALL THE ABSENT MEMBERS.
QUESTION IF YOU PASS OF THE
MINUTE SENATE HEALTH COMMITTEE
FOR ABOUT SIX TWO ZERO FULLER
[inaudible]
AND WELL. SIX ZERO THAT BILL IS
OUT.
ITEM NUMBER.
GOING BACK TO ITEM NUMBER.
NINETEEN AB TWENTY FOUR ZERO TWO
ASSEMBLY MEMBER LOW.
PLEASE CALL THE ABSENT MEMBERS
[inaudible]
ALLEN [inaudible]
ALLEN I A TWO ONE THAT BILL IS
OUT.
A I REMEMBER TWENTY ONE AB.
TWENTY FOUR FIFTY A PRESCHOOL
YOU HAVE TO MEMBERS ALAN.
ALLEN AYE.
SEVENTY TWO THAT BILL IS OUT
TECH INCLUDES A BUSINESS OF THE
BUSINESS IMPRESSIONS COMMITTEE
FOR TODAY THIS COMMITTEE HEARING
IS ADJOURNED