WEBVTT
00:00:09.943 --> 00:00:12.045
THIS ORDER CALL TO ORDER THIS
00:00:12.112 --> 00:00:13.747
HEARING OF THE BUT SENATE
00:00:13.813 --> 00:00:16.015
BUDGET FISCAL REVIEW COMMITTEE
00:00:16.082 --> 00:00:18.718
SUBCOMMITTEE NO. HEALTH AND
00:00:18.785 --> 00:00:19.953
HUMAN SERVICES WELCOME
00:00:20.019 --> 00:00:25.258
EVERYONE. NAY OB I HEARING
00:00:25.325 --> 00:00:26.693
ITEMS FOR DISCUSSION AND ITEMS
00:00:26.760 --> 00:00:27.927
REGARDING HEALTH HEALTH IN
00:00:27.994 --> 00:00:32.632
HUMAN. HE THE EMERGENCY MEDICAL
00:00:32.699 --> 00:00:34.000
IS A THIRD PARTY THE OFFICE OF
00:00:34.067 --> 00:00:35.535
STATEWIDE HEALTH PLAN DEVELOPED.
00:00:35.602 --> 00:00:36.536
DEPARTMENTS HEALTH IN THE PARK
00:00:36.603 --> 00:00:39.606
HEALTH WAS ONCE A PRESENT ON
00:00:39.672 --> 00:00:42.275
THE STATE OF PUBLIC HEALTH-
00:00:42.342 --> 00:00:45.011
HEARING AID WHICH IS EXTREMELY
00:00:45.078 --> 00:00:47.180
TIME OF NINE IN THE- THAT.
00:00:47.247 --> 00:00:48.782
BACKROOM BUYERS I WOULD ALSO
00:00:48.848 --> 00:00:51.584
NOTE THAT THE GOVERNOR DID OUT
00:00:51.651 --> 00:00:57.791
YOU I THINK IS A LEE ESTIMATOR
00:00:57.857 --> 00:01:00.593
IN THE MORNING RE. NOW BRINGS
00:01:00.660 --> 00:01:03.196
WE ARE STILL OF COURSE CAN HERE
00:01:03.263 --> 00:01:06.966
DO THE PEOPLE ARE BUT OUR
00:01:07.033 --> 00:01:11.137
MENTION THAT US WHY CURRY BUT
00:01:11.204 --> 00:01:22.816
ALSO DISTANCE. DEFYING IN- ARE
00:01:22.882 --> 00:01:25.018
IS NOT IMMEDIATE AND YOU WANT
00:01:25.084 --> 00:01:25.885
TO GO UPSTAIRS OR JUST SPREAD
00:01:25.952 --> 00:01:27.687
OUT THAT'S THAT GOOD. WITH
00:01:27.754 --> 00:01:30.056
SMALL PEOPLE THE BASE ABOUT
00:01:30.123 --> 00:01:33.660
HAVING PEOPLE WASH THEIR HANDS
00:01:33.726 --> 00:01:35.295
AND WE TO THEIR FACES ANYONE
00:01:35.361 --> 00:01:37.096
FEELING ALL THAT WE WOULD ASK
00:01:37.163 --> 00:01:40.800
THAT YOU DID NOT. PHYSICALLY
00:01:40.867 --> 00:01:44.037
PRESENT. WELL EVERYONE ODDS
00:01:44.103 --> 00:01:48.041
KEEP EVERYONE THIS WE ARE
00:01:48.107 --> 00:01:50.743
PLAYED SO. THE TESTIFIED DO YOU
00:01:50.810 --> 00:01:56.883
HAVE HAN SET. HE ADDED. SO I'M
00:01:56.950 --> 00:01:59.185
IN IT SHE IS ARE LIKE THAT THEY
00:01:59.252 --> 00:02:00.753
CAN'T SIZER CLEAN YOUR- BEFORE
00:02:00.820 --> 00:02:02.655
YOU TOUCH YOUR- SO. BE SURE
00:02:02.722 --> 00:02:03.356
IT'S REALLY VERY YES HAVE TO
00:02:03.423 --> 00:02:05.825
ISSUES OF AT THE- AT RIGHT AT
00:02:05.892 --> 00:02:07.460
THE TABLE BUT ALSO ENOUGH ASK
00:02:07.527 --> 00:02:10.930
HER. SO WE'RE TRYING TO. I'M IN
00:02:10.997 --> 00:02:13.933
A STATE HERE I WOULD MAKE NOTE
00:02:14.000 --> 00:02:17.070
THOSE SO THAT THAT ALSO THIS
00:02:17.136 --> 00:02:19.739
CONDITION IS IT IS AT THE MOST
00:02:19.806 --> 00:02:26.946
SOME PEOPLE SEE THEIR SET KLAY.
00:02:27.013 --> 00:02:27.514
ABOVE DATE I'VE ARE WHOEVER
00:02:27.580 --> 00:02:28.781
PLEASE CONDITION BOB PARTY
00:02:28.848 --> 00:02:33.486
LINES ARE YOU IN AS A THE RISK
00:02:33.553 --> 00:02:35.488
TO FOLKS RELATIVE LOW IT'S MORE
00:02:35.555 --> 00:02:40.093
TRYING THIS. HOUSE AND OF. DO I
00:02:40.159 --> 00:02:42.962
REACH PEOPLE THE TO. THE
00:02:43.029 --> 00:02:45.031
INTERNET. SECTION IT'S ARE IF
00:02:45.098 --> 00:02:47.967
YOU'RE NOT HIGH RISK AT IT'S
00:02:48.034 --> 00:02:49.536
MORE ABOUT TO SLOW SPREAD TO
00:02:49.602 --> 00:02:52.772
AND ACTUAL HARM TO. DO WELL
00:02:52.839 --> 00:02:57.010
SELF. SO I THAT'S THE- SO IT'S
00:02:57.076 --> 00:02:58.244
WANNA LAY THAT OUT FOR A NOW
00:02:58.311 --> 00:03:01.047
AND WE WILL BE AGAIN LATER FROM
00:03:01.114 --> 00:03:04.150
THE PART PUBLIC AS WELL IN
00:03:04.217 --> 00:03:09.022
TERMS ARE I. AS OF THE TWO ARE
00:03:09.088 --> 00:03:10.657
NOT SET. THIS SUBCOMMITTEE BAY
00:03:10.723 --> 00:03:13.326
SCHOOL HERE IN ITEM AND THEN.
00:03:13.393 --> 00:03:14.761
FOR HIGHER FROM THE LA- AND THE
00:03:14.827 --> 00:03:15.562
DEPARTMENT FINANCE- AFTER WE
00:03:15.628 --> 00:03:19.065
FINISH ALL THE ISSUES IN EACH
00:03:19.132 --> 00:03:21.134
CATEGORY FOR EACH AGENCY WILL
00:03:21.200 --> 00:03:23.636
THEN TAKE PUBLIC COMMENT I AM
00:03:23.703 --> 00:03:28.241
THAT IN TERMS OF A PUBLIC
00:03:28.308 --> 00:03:31.010
COMMENT TO TRY TO KEEP YOUR
00:03:31.077 --> 00:03:34.547
CAR. A MINUTE I HAVE BEEN
00:03:34.614 --> 00:03:36.683
WRITTEN. THEY WILL GIVE IT TO
00:03:36.749 --> 00:03:38.418
OUR COMMITTEE ARE RECOGNIZING
00:03:38.484 --> 00:03:40.653
THAT MINUTES NOT BUT YOU CAN
00:03:40.720 --> 00:03:43.656
HIT THE LIGHTS AND THEN-
00:03:43.723 --> 00:03:46.893
PROVIDE YOUR DOCUMENTS- TO THE
00:03:46.960 --> 00:03:49.095
COMMITTEE ON THOSE BEEF- FULLY
00:03:49.162 --> 00:03:51.864
CONSIDERED. SO THE DESERVED THE
00:03:51.931 --> 00:03:54.267
ITEMS WE ARE NOT TAKING ANY
00:03:54.334 --> 00:03:57.337
VOTES TODAY SO WE HAVE NO ITEMS
00:03:57.403 --> 00:03:59.572
RECORD AND FOR ACTION IN THIS
00:03:59.639 --> 00:04:01.441
HEARING WE ARE BE. FULL WHICH
00:04:01.507 --> 00:04:05.111
ITEM. BUT HEARING TODAY AND-
00:04:05.178 --> 00:04:07.413
AND OF COURSE TAKING IT BACK UP
00:04:07.480 --> 00:04:09.315
REVIEWING IT- AT PRICE AFTER
00:04:09.382 --> 00:04:12.118
MAYBE REPRISES THE MOST LIKELY
00:04:12.185 --> 00:04:16.089
TIME SO WITH THAT I WOULD FIRST
00:04:16.155 --> 00:04:20.326
LIKE AT THREE PLEASE CALL THE
00:04:20.393 --> 00:04:21.928
ROLL TO STOP. EVEN THOUGH NOT
00:04:21.995 --> 00:04:26.766
VOTE. THESE CALL. THERE OKAY
00:04:26.833 --> 00:04:28.234
ALL RIGHT SO WE'RE GONNA GO
00:04:28.301 --> 00:04:29.902
AHEAD FIRST ITEM IS THE
00:04:29.969 --> 00:04:31.671
CALIFORNIA HEALTH AND HUMAN
00:04:31.738 --> 00:04:37.310
SERVICES AGENCY AND SO AT THAT-
00:04:37.377 --> 00:04:41.581
AGE PLEASE COME UP THE TRAIL IN
00:04:41.648 --> 00:04:44.484
FINANCE TWENTY YEARS WE ARE
00:04:44.550 --> 00:04:54.227
SPREAD OUT. RIGHT WELCOME AND
00:04:54.293 --> 00:04:55.028
FOR THE RECORD WHICH SAYS GIVEN
00:04:55.094 --> 00:04:57.363
FIRST IT JUST INTRODUCE
00:04:57.430 --> 00:04:58.631
YOURSELF YOUR NAME YOUR TITLE
00:04:58.698 --> 00:05:03.603
SO START WITH AGENCY. ANASTASIA
00:05:03.670 --> 00:05:05.538
DOZEN DEPARTMENT OF HEALTH CARE
00:05:05.605 --> 00:05:07.807
SERVICES IF. CYNTHIA TUCKER
00:05:07.874 --> 00:05:11.511
OFFICES IN A GREAT. MARRIAGE IS
00:05:11.577 --> 00:05:13.012
THE DEPARTMENT OF SERVICES
00:05:13.079 --> 00:05:16.149
THANK YOU AND ALEJO. THE KALLIO
00:05:16.215 --> 00:05:18.851
FINANCE. CARLOS SECULAR OF
00:05:18.918 --> 00:05:21.788
FINANCE TYLER WOULD FINANCE
00:05:21.854 --> 00:05:23.623
OKAY THANK YOU WELCOME ALL
00:05:23.690 --> 00:05:25.458
RIGHT SO THE FIRST ITEM IS ARE
00:05:25.525 --> 00:05:28.061
ELECTRONIC VISIT PHASE TO PLAY
00:05:28.127 --> 00:05:30.296
WITH HER FACE ONE PRIOR HEARING
00:05:30.363 --> 00:05:35.301
THE WELCOME. THANK YOU VERY.
00:05:35.368 --> 00:05:38.337
THE RIGHT UP HIS A IS WELL
00:05:38.404 --> 00:05:40.840
FOUNDED IT SUMMARIZES VERY WELL
00:05:40.907 --> 00:05:43.710
WE'VE BEEN TO. AND SO THEY WERE
00:05:43.776 --> 00:05:47.346
QUESTIONS SO FOR AS A HIGH LOW
00:05:47.413 --> 00:05:53.052
LET CATION. THE FACE TO. IS THE
00:05:53.119 --> 00:05:55.288
TO ME BOB PROGRAMMATIC FOR THE
00:05:55.354 --> 00:05:58.057
FIRST CURES ACT FOR MORE FOR
00:05:58.124 --> 00:06:01.694
MULTI OF PRO ARE FIVE PROGRAM
00:06:01.761 --> 00:06:06.032
DEPARTMENTS. A HAD A COUPLE
00:06:06.099 --> 00:06:09.836
QUESTIONS SINGLE RIGHT THOSE SO
00:06:09.902 --> 00:06:11.504
PROVIDED A BRIEF OF THIS
00:06:11.571 --> 00:06:13.639
PROPOSED. WAS WERE TWO POINT
00:06:13.706 --> 00:06:15.374
NINE DOLLARS TO HER NINETY
00:06:15.441 --> 00:06:17.076
THREE OF IT IS FOR GENERAL FUND
00:06:17.143 --> 00:06:18.244
AND IMPROPER AS NINE POSITIONS
00:06:18.311 --> 00:06:21.614
ACROSS MULTI DEPARTMENTS AS
00:06:21.681 --> 00:06:29.455
WELL AS- PROJECT. I CONSULT TAX
00:06:29.522 --> 00:06:35.261
THESE. WITH THEIR DON'T VERSION
00:06:35.328 --> 00:06:37.630
QUESTIONS REGARDS TO THE DOLLAR.
00:06:37.697 --> 00:06:38.564
I WANT MY YOU JUST GO AND
00:06:38.631 --> 00:06:41.701
ANSWER ALL THREE CREDIT. THEN
00:06:41.768 --> 00:06:44.604
WILL TAKE COMMENTS FROM THE ON
00:06:44.670 --> 00:06:47.140
FINE AND THEN IS THIS NUMBER
00:06:47.206 --> 00:06:50.243
SEC. WHAT IS THE CURRENT EXPECT
00:06:50.309 --> 00:06:54.280
TIMELINE SO AS A PART OF A TWO
00:06:54.347 --> 00:06:57.450
WE BOTH PER CARES. ARE AS WELL
00:06:57.517 --> 00:06:58.985
AS HELP HER HHC. THE PERSONAL
00:06:59.051 --> 00:06:59.585
SERVICE THAT ASSOCIATED WITH
00:06:59.652 --> 00:07:03.656
FACE TO IS CURRENTLY. FOR AND-
00:07:03.723 --> 00:07:07.393
UP. AND THEN FOR ITEMS I'M
00:07:07.460 --> 00:07:12.465
GONNA. UP MY PROGRAM COLLEAGUES.
00:07:12.532 --> 00:07:14.233
GOOD MORNING SO FOR OF THE
00:07:14.300 --> 00:07:16.836
PLANNING FOR PHASE WE HAVE ALL
00:07:16.903 --> 00:07:18.504
IN CORE THE FEDERAL. OVER A LOT
00:07:18.571 --> 00:07:20.907
FAIR FOR OF STAR AND TIME AND
00:07:20.973 --> 00:07:22.942
LOCATION SO THERE'S NO CHANGES
00:07:23.009 --> 00:07:27.747
NEEDED TO FACE TO AS FAR AS THE
00:07:27.814 --> 00:07:33.119
OFFICE IS FROM C. OKAY THANK
00:07:33.186 --> 00:07:35.655
YOU COMES MILLION. SENATE
00:07:35.721 --> 00:07:37.223
PARTICULARLY- WE WHICH IS NOT
00:07:37.290 --> 00:07:39.292
THAT SOME OF THE REQUESTED
00:07:39.358 --> 00:07:40.993
RESOURCE IS WOULD POTENTIALLY
00:07:41.060 --> 00:07:43.896
BE USED TO FOR THE DEVELOPMENT
00:07:43.963 --> 00:07:45.364
AND IMPLEMENTATION OF THE
00:07:45.431 --> 00:07:47.767
PROJECT STAGE FOR PROJECT
00:07:47.834 --> 00:07:54.707
PRIVILEGED ALL PROCESS IS SOME
00:07:54.774 --> 00:07:56.375
TO LAST YEAR TO DO THAT THE
00:07:56.442 --> 00:07:58.511
LEGISLATURE HAS A COMPLETE
00:07:58.578 --> 00:08:02.148
PROJECT PLAN BEFORE. THE
00:08:02.215 --> 00:08:04.784
SCHEDULE. WE READ PROVISIONAL
00:08:04.851 --> 00:08:05.418
BUDGET LANGUAGE THAT WOULD MAKE
00:08:05.484 --> 00:08:07.687
ANY APPROVED BY THE LEGISLATURE
00:08:07.753 --> 00:08:08.654
FOR DEVELOPMENT AND
00:08:08.721 --> 00:08:10.022
IMPLEMENTATION CONTINGENT ON
00:08:10.089 --> 00:08:14.560
THE PROJECT- BE THROUGH STAGE
00:08:14.627 --> 00:08:15.361
FOR. I'LL PROCESS AND WRITTEN
00:08:15.428 --> 00:08:18.497
NOTICE AND- WHAT. IT'S ARE
00:08:18.564 --> 00:08:19.932
UNDER FROM THE STREET THAT IT
00:08:19.999 --> 00:08:23.703
NOW USING KHAN SO WITH THE TYPE
00:08:23.769 --> 00:08:27.607
LANGUAGE FOR PER. IT PRESS X. A
00:08:27.673 --> 00:08:31.777
AN WERE CONCEPT TO BE APPROVED
00:08:31.844 --> 00:08:34.614
BY LEGISLATURE WERE WE'D BE
00:08:34.680 --> 00:08:36.082
HAPPY TO WORK WITH THE ADMIN.
00:08:36.148 --> 00:08:42.822
ON THE FINAL DATE THE LANGUAGE.
00:08:42.889 --> 00:08:44.123
OUR OF OUR OVERSIGHT THANK YOU
00:08:44.190 --> 00:08:49.362
FINANCE. OKAY NOTHING TO ADD
00:08:49.428 --> 00:08:51.831
OKAY ALL RIGHT THANK YOU I
00:08:51.898 --> 00:08:54.934
QUESTIONS COMMITTEE MEMBERS. SO
00:08:55.001 --> 00:08:57.570
JUST AB SO TERMS OF THE FEDERAL
00:08:57.637 --> 00:09:00.606
GUIDANCE SO YOU INDICATED THAT
00:09:00.673 --> 00:09:03.075
SAYS THE- FEDERAL GOOD IT'S
00:09:03.142 --> 00:09:05.978
ACTUALLY FINAL- ARE STILL
00:09:06.045 --> 00:09:10.349
WAITING FOR ANYTHING. IN TERMS.
00:09:10.416 --> 00:09:12.451
ENTER THE REQUIREMENTS TO
00:09:12.518 --> 00:09:13.653
COMPLETE A PROJECT THAT I
00:09:13.719 --> 00:09:16.022
THOUGHT THERE WAS SOME. THERE
00:09:16.088 --> 00:09:17.657
ARE STILL SOME THINGS THAT THEY
00:09:17.723 --> 00:09:19.558
HAVEN'T CLARIFIED YET OR IS IT
00:09:19.625 --> 00:09:21.093
ARE WE KNOW EXACTLY WHAT THEY
00:09:21.160 --> 00:09:22.862
WANT NOW BECAUSE FOR EXAMPLE I
00:09:22.929 --> 00:09:27.233
KNOW THAT THE STATE ANDERS STEP
00:09:27.300 --> 00:09:28.534
BACK AND FORTH WITH. WITH
00:09:28.601 --> 00:09:32.772
CHEATING THE WITH. CERTIFIED
00:09:32.838 --> 00:09:35.074
CERTAIN IN. THAT WOULD THE
00:09:35.141 --> 00:09:37.576
SYSTEM THAT WE Vì USE BECAUSE
00:09:37.643 --> 00:09:39.545
IT WOULD DEPEND ON LIKE WHAT
00:09:39.612 --> 00:09:40.112
SORT OF THINGS PEOPLE AFTER
00:09:40.179 --> 00:09:41.213
WHAT DATA ENTRY DO WOULD HAVE
00:09:41.280 --> 00:09:43.516
TO DO AND SO FORTH SO CAN YOU
00:09:43.582 --> 00:09:46.552
CLARIFY THAT I WASN'T. YEAH YES
00:09:46.619 --> 00:09:50.256
IS FOR FIFTY WE HAVE. ALL ALONG
00:09:50.323 --> 00:09:52.858
BEEN PLANNING TO- TAKEN
00:09:52.925 --> 00:09:55.661
APPROACH THAT IS CONSISTENT
00:09:55.728 --> 00:09:57.296
WITH THE FEDERAL GUIDANCE. SO
00:09:57.363 --> 00:09:58.998
THAT WOULD BE AN ELECTRONIC
00:09:59.065 --> 00:10:03.135
METHOD TO VERIFY. IN PERSON.
00:10:03.202 --> 00:10:05.671
THAT THE PROVIDE PERSON AT.
00:10:05.738 --> 00:10:09.141
HOME AT THE START AND STOP TIME
00:10:09.208 --> 00:10:10.843
USING A LET LET ME WHETHER
00:10:10.910 --> 00:10:15.414
THAT'S A LAND LINE OF. OR A APP
00:10:15.481 --> 00:10:18.317
UNDER TAP. THAT HAS BEEN- PART
00:10:18.384 --> 00:10:21.454
OF OUR PLANNING ALONG FOR EVEY
00:10:21.520 --> 00:10:23.789
PHASE ONE- I'D WOULD WOULD
00:10:23.856 --> 00:10:25.925
RATHER DEFER TO DEPARTMENT OF
00:10:25.992 --> 00:10:27.626
SOCIAL SERVICES THAT THEY WERE
00:10:27.693 --> 00:10:32.198
FOR- FOR THE- THAT THERE IS. A
00:10:32.264 --> 00:10:36.369
CMS. DURING SO I ACTUALLY AND
00:10:36.435 --> 00:10:38.871
WE DID HEAR THEM LAST YEAR SO
00:10:38.938 --> 00:10:41.540
I'M JUST TRYING TO BE AS I
00:10:41.607 --> 00:10:45.711
UNDERSTAND THAT THE- IS STILL
00:10:45.778 --> 00:10:48.414
SOME NEGOTIATE GOING ON BRING
00:10:48.481 --> 00:10:52.685
PAIN IS ONCE THIS MOVE THEY
00:10:52.752 --> 00:10:55.788
ALSO OFFER. ED THEN FACED. YEAH
00:10:55.855 --> 00:10:59.058
BUT THERE IS. SHE SHE DOES THE
00:10:59.125 --> 00:11:00.359
GOVERNMENT ROLE THAT EARLY
00:11:00.426 --> 00:11:01.794
VISUAL SAID OUR IN QUITE
00:11:01.861 --> 00:11:02.695
COMPILED A THE THINGS WANTED
00:11:02.762 --> 00:11:05.398
AND OTHERS ABOUT AND FORTH
00:11:05.464 --> 00:11:09.168
BURKE CLEARLY WHAT THAT IS
00:11:09.235 --> 00:11:12.538
RIGHT SO THIS FACT THERE IS SO
00:11:12.605 --> 00:11:15.241
I UNDERSTAND GOING TO GO SHE
00:11:15.307 --> 00:11:18.878
XIN RIGHT NOW THAT IF FATE. BUT
00:11:18.944 --> 00:11:21.380
ANYWAY. PLEASE WHAT NOT AFFECT.
00:11:21.447 --> 00:11:26.018
YOU SO FOR AND FOR PHASE ONE- I
00:11:26.085 --> 00:11:27.686
WOULD SAY WE HAVE GOTTEN
00:11:27.753 --> 00:11:31.690
GUIDANCE FROM CMS AND WERE THE
00:11:31.757 --> 00:11:32.224
DEPARTMENT SOCIAL SERVICES
00:11:32.291 --> 00:11:33.959
OFFICE OF SYSTEMS INTEGRATION
00:11:34.026 --> 00:11:35.961
AGENCY ARE CONSIDERING NEXT
00:11:36.028 --> 00:11:38.798
STEPS ON THAT BIDEN'S SO WEAK
00:11:38.864 --> 00:11:41.734
BUT FOR FACE TO WE HAVE ALL
00:11:41.801 --> 00:11:43.002
ALONG AND ARE PUT IN PROCESS
00:11:43.069 --> 00:11:45.237
PRETTY THAT WE WOULD YOU SOME
00:11:45.304 --> 00:11:47.373
KIND OF ELECTRIC PROCESS FIVE.
00:11:47.440 --> 00:11:49.341
AT THE PROVIDE. HOME USING THIS
00:11:49.408 --> 00:11:52.411
MEANS. OKAY SO I MEAN I'D AIDS
00:11:52.478 --> 00:11:55.915
AT. I JUST WANNA ALSO BILLS I
00:11:55.981 --> 00:11:57.450
RECOGNIZE THE ISSUES TWO OTHER
00:11:57.516 --> 00:12:00.319
ON DIFFERENT TRACKS AND- END OF
00:12:00.386 --> 00:12:03.089
PHASE TWO IS THUS FAR. YOU HAVE
00:12:03.155 --> 00:12:04.857
MORE TIME TO MAKE IT JUST.
00:12:04.924 --> 00:12:10.096
POURS NO THAT. YOUR TO ASSIST.
00:12:10.162 --> 00:12:13.099
THAT YOU KNOW BASICALLY YOU
00:12:13.165 --> 00:12:14.400
HAVE YOU HAVE ALL THE GUIDANCE
00:12:14.467 --> 00:12:17.169
YOU NEED FROM CMS IN ORDER TO
00:12:17.236 --> 00:12:19.338
DEVELOP THERE'S KNOWS LIKE WISH
00:12:19.405 --> 00:12:22.808
IS. THAT REGARD OKAY AND THE
00:12:22.875 --> 00:12:24.243
OTHER PART I DO I MAKE NO PART
00:12:24.310 --> 00:12:31.217
OF THE REASON WE DID HAVE
00:12:31.283 --> 00:12:32.785
THERE WE PROTECT IT PRIVATE THE
00:12:32.852 --> 00:12:34.887
CLIENTS AND THE PRICE OF. SO I
00:12:34.954 --> 00:12:36.355
AM WHY THEY WANTED CERTAIN
00:12:36.422 --> 00:12:38.324
THINGS BUT ALSO RECOGNIZING
00:12:38.390 --> 00:12:40.459
THAT YOU A OF A FOB THAT
00:12:40.526 --> 00:12:42.561
BASICALLY TELLS TWITTER THAT
00:12:42.628 --> 00:12:46.198
FIGHTER. JET IN OKAY INS AND SO
00:12:46.265 --> 00:12:49.101
FORTH. GRADE PRIVACY ISSUE THE
00:12:49.168 --> 00:12:54.573
CARD FROM OR THE CLIENT. SURE
00:12:54.640 --> 00:13:00.045
SIR. WELL HOW ARE SO I SAW AS
00:13:00.112 --> 00:13:01.680
THE LEADER SIMPLY SAY SAM S.
00:13:01.747 --> 00:13:03.782
OKAY WILL DO WHATEVER YOU EVEN
00:13:03.849 --> 00:13:06.252
THOUGH IT SOME MAY COST ISSUES
00:13:06.318 --> 00:13:11.924
I ON WITH OUR OWN. BOB GRAHAM.
00:13:11.991 --> 00:13:13.692
PROGRAM THAT ON WITHOUT SO I
00:13:13.759 --> 00:13:15.628
JUST WANTED TO SEE CHECK IN TO
00:13:15.694 --> 00:13:17.696
BE SURE WERE WHERE WE ARE NOT
00:13:17.763 --> 00:13:20.132
SPACE YES WE WELL AS FAR AS
00:13:20.199 --> 00:13:22.768
FACE TO REWRITE. SO WHAT IT IS
00:13:22.835 --> 00:13:23.903
WHAT OTHER STATES DOING DOES
00:13:23.969 --> 00:13:25.638
THE AUDITOR GUIDANCE SAY YES WE
00:13:25.704 --> 00:13:29.942
DO NOT SEE VERY. BESIDES
00:13:30.009 --> 00:13:31.343
COMPLYING WITH THEIR GUIDANCE
00:13:31.410 --> 00:13:32.978
WOULD MEAN- WE UNDERSTAND THE
00:13:33.045 --> 00:13:34.847
PRIVACY CONCERNS TAKE THEM VERY
00:13:34.914 --> 00:13:38.017
SERIOUSLY AND SO AS FAR AS
00:13:38.083 --> 00:13:40.119
TRYING TO VERIFICATION IT'S NOT
00:13:40.186 --> 00:13:43.155
CONSTANT IT'S JUST ONLY START
00:13:43.222 --> 00:13:45.724
TIME. RIVES AT THE CONSUMER.
00:13:45.791 --> 00:13:46.659
AND IT WHEN THE PROVIDER
00:13:46.725 --> 00:13:49.695
LEAVES- WE IN IN DESIGNING THE
00:13:49.762 --> 00:13:52.565
SYSTEM WE DO WANT TO TRY TO
00:13:52.631 --> 00:13:54.466
PROTECT PRIVACY AS MUCH AS
00:13:54.533 --> 00:13:56.702
POSSIBLE. UT WE TO BE MY OF
00:13:56.769 --> 00:13:59.572
WHAT IS. AND AVOIDING THE
00:13:59.638 --> 00:14:02.575
VACANT PENALTIES. ABOUT A YEAR
00:14:02.641 --> 00:14:04.043
WE WANT FEDERAL MONEY TO
00:14:04.109 --> 00:14:06.478
FEDERAL GUIDANCE BUT SOMETIMES
00:14:06.545 --> 00:14:08.480
THERE'S ALSO SOME BACK AND
00:14:08.547 --> 00:14:09.682
FORTH ABOUT. YEAH EVEN ADDS
00:14:09.748 --> 00:14:11.650
ABOUT WHAT DID A REAL BY WHAT
00:14:11.717 --> 00:14:14.787
SO OKAY ALL RIGHT WELL I JUST-
00:14:14.853 --> 00:14:17.289
JUST WANT TO SEE WHERE WE WERE
00:14:17.356 --> 00:14:22.494
WITH THAT AND- I HAD HEARD THAT
00:14:22.561 --> 00:14:23.996
NAVY DIVERS SO YOU. STILL HAVE
00:14:24.063 --> 00:14:24.563
SOMETHING THAT'S OUTSTANDING
00:14:24.630 --> 00:14:28.033
AND- SO OKAY PLEASE SAY NO
00:14:28.100 --> 00:14:30.102
WE'RE WE'RE ALL SET THAT ON ON
00:14:30.169 --> 00:14:32.471
FACE TO FACE TO THAT EXACTLY
00:14:32.538 --> 00:14:34.006
FACE TO IDEA WE ARE HEARING A
00:14:34.073 --> 00:14:36.375
PLACE TO I'M JUST TAKING YOU
00:14:36.442 --> 00:14:38.244
KNOW ABOUT PHASE ONE SAYING HEY
00:14:38.310 --> 00:14:41.480
SAME PROP. TO THEY KNOW. AND
00:14:41.547 --> 00:14:43.582
FEES WE A COLD OR WET ARE MARCH
00:14:43.649 --> 00:14:45.417
THIRD I WAIT TALKED WITH STATE
00:14:45.484 --> 00:14:49.288
OF WHAT WE WILL NEED TO DO AND
00:14:49.355 --> 00:14:50.589
WE'RE HAPPY TO HAVE FOR THEIR
00:14:50.656 --> 00:14:52.291
STAKEHOLDER ENGAGEMENT ON THAT
00:14:52.358 --> 00:14:55.561
OKAY. AGAIN OKAY QUESTION.
00:14:55.628 --> 00:14:57.930
THANK YOU SO MUCH BURGER MOVE
00:14:57.997 --> 00:14:58.931
ON TO ISSUE NUMBER TWO TWO
00:14:58.998 --> 00:15:22.955
OFFICE OF THE SURGEON. WELCOME.
00:15:23.022 --> 00:15:25.124
SO I THINK WE ARE WE DO HAVE-
00:15:25.190 --> 00:15:26.392
SINCE WE HAVE NEW PEOPLE AROUND
00:15:26.458 --> 00:15:28.394
THE TABLE TO SOME INTRODUCTIONS
00:15:28.460 --> 00:15:31.630
HERE WE DO HAVE THE YOU KNOW WE
00:15:31.697 --> 00:15:33.666
HAVE THE QUESTION SO WE JUST
00:15:33.732 --> 00:15:35.467
GET YOU PRESENT TO ALL THE
00:15:35.534 --> 00:15:37.870
STATE WILL GET AND THEN WILL
00:15:37.936 --> 00:15:41.840
QUESTION. RIGHT REMEMBER MY
00:15:41.907 --> 00:15:42.975
NAME IS MATT CHILLER HIME THE
00:15:43.042 --> 00:15:45.044
CHIEF OF STAFF FOR THE OFFICE
00:15:45.110 --> 00:15:47.246
OF THE CALIFORNIA SURGEON
00:15:47.313 --> 00:15:49.114
GENERAL. THANK YOU WELCOME.
00:15:49.181 --> 00:15:50.916
GOOD MORNING I'M AN EIGHTEEN
00:15:50.983 --> 00:15:52.651
FOR CHARIZARD IN GENERAL FOR
00:15:52.718 --> 00:15:54.853
THE STATE CALIFORNIA THANK YOU.
00:15:54.920 --> 00:15:56.989
SENATE FAILS FINANCE GOOD
00:15:57.056 --> 00:15:59.058
MORNING NINA HENNINGER THE
00:15:59.124 --> 00:16:00.459
DEPARTMENT OF FINANCE. TIGER
00:16:00.526 --> 00:16:01.927
WOODS FINANCE THANK YOU ALL
00:16:01.994 --> 00:16:04.963
RIGHT WELCOME. THESE BEGIN
00:16:05.030 --> 00:16:09.601
THANK YOU- A. AS AS A AS YOU
00:16:09.668 --> 00:16:11.904
KNOW- ADVERSE AND ADVERSE
00:16:11.970 --> 00:16:13.172
CHILDHOOD EXPERIENCES AND TOXIC
00:16:13.238 --> 00:16:17.242
STRESS PRESENT A PUBLIC HEALTH
00:16:17.309 --> 00:16:18.977
CRISIS HIT IN PLANES SIGHT. WE
00:16:19.044 --> 00:16:20.879
FROM THE C. HAD AND THERE
00:16:20.946 --> 00:16:22.548
DOCUMENTED STRIKING FINDINGS
00:16:22.614 --> 00:16:24.583
ONE. ADVERSE CHILDHOOD
00:16:24.650 --> 00:16:26.185
EXPERIENCES ARE INCREDIBLY
00:16:26.251 --> 00:16:30.122
COMMON 62% OF CALIFORNIANS HAVE
00:16:30.189 --> 00:16:33.258
AT LEAST ONE SEVENTEEN POINT 6%
00:16:33.325 --> 00:16:36.061
OF CALIFORNIA. BY CITY LEADERS
00:16:36.128 --> 00:16:37.796
IT HOW FOUR OR MORE ADVERSE
00:16:37.863 --> 00:16:39.098
CHILDHOOD EXPERIENCE
00:16:39.164 --> 00:16:41.166
EXPERIENCE. AND OUR SECOND
00:16:41.233 --> 00:16:42.634
STRIKING FINDING IS THAT THERE
00:16:42.701 --> 00:16:45.437
IS A DO RESPONSE RELATIONSHIP
00:16:45.504 --> 00:16:47.039
BETWEEN ADVERSE CHILDHOOD
00:16:47.106 --> 00:16:49.441
EXPERIENCES AND THE LEADING-
00:16:49.508 --> 00:16:54.313
CAUSES OF DISEASE- AS WELL AS
00:16:54.380 --> 00:16:56.382
MENTAL ILL HEALTH AND NEGATIVE
00:16:56.448 --> 00:16:59.184
SOCIAL OUTCOMES INCLUDING HEART
00:16:59.251 --> 00:17:02.521
DISEASE STROKE. LONG IS. THE
00:17:02.588 --> 00:17:03.789
PART SUICIDALITY SUBSTANCE
00:17:03.856 --> 00:17:06.091
DEPENDENCE AND HOME. TO DATE
00:17:06.158 --> 00:17:08.494
THERE HAS BEEN NO COORDINATED
00:17:08.560 --> 00:17:10.162
EVIDENCE BASED PUBLIC HEALTH
00:17:10.229 --> 00:17:11.897
RESPONSE TO ADDRESS ADVERSE
00:17:11.964 --> 00:17:13.665
CHILDHOOD EXPERIENCES AND TOXIC
00:17:13.732 --> 00:17:16.435
STRESS AS A MAJOR DRIVER OF
00:17:16.502 --> 00:17:18.871
CHRONIC DISEASE AS YOU KNOW
00:17:18.937 --> 00:17:20.906
WITH. THE GOVERNOR CREATED THE
00:17:20.973 --> 00:17:23.609
ROLE OF THE- CALIFORNIA SURGEON
00:17:23.675 --> 00:17:27.246
GENERAL- AS SPECIFICALLY TO
00:17:27.312 --> 00:17:29.515
ADDRESS THE- SOCIAL
00:17:29.581 --> 00:17:30.949
DETERMINANTS OF HEALTH ARE THE
00:17:31.016 --> 00:17:33.352
DRIVERS SOME OF OUR MOST
00:17:33.419 --> 00:17:36.388
SERIOUS AND CHALLENGING- PUBLIC
00:17:36.455 --> 00:17:38.257
HEALTH CHILD AS- THE PAST YEAR
00:17:38.323 --> 00:17:48.233
MY OFFICE HAS BEEN WORKING TO.
00:17:48.300 --> 00:17:50.903
TO PULL IT TO BE ABLE TO DEPLOY.
00:17:50.969 --> 00:17:52.438
FIRST IN THE NATION EFFORT TO
00:17:52.504 --> 00:17:53.539
TRAIN OUR PRIMARY CARE
00:17:53.605 --> 00:17:56.875
PROVIDERS ON HOW TO SCREEN FOR
00:17:56.942 --> 00:17:58.143
ADVERSE CHILDHOOD EXPERIENCES
00:17:58.210 --> 00:17:59.645
HOW DO EIGHT FIVE EIGHT SO
00:17:59.711 --> 00:18:01.213
SEATED POSITION. HOW TO RESPOND
00:18:01.280 --> 00:18:03.849
WITH TRAUMA INFORMED CARE. AND
00:18:03.916 --> 00:18:05.484
WHILE IT'S IMPERATIVE THAT OUR
00:18:05.551 --> 00:18:07.219
HEALTHCARE WORKFORCE RECOGNIZED
00:18:07.286 --> 00:18:10.088
BONTA EIGHT IS WE KNOW THAT THE
00:18:10.155 --> 00:18:12.057
NAME AND- HEALTH CARE IS DOES
00:18:12.124 --> 00:18:14.526
NOT OFF A TRUE PUBLIC HEALTH
00:18:14.593 --> 00:18:19.131
RESPONSE INCLUDE PREVENT. AND
00:18:19.198 --> 00:18:23.569
FRENCH BUYERS OKAY ASIAN CROSS
00:18:23.635 --> 00:18:28.740
TRAIN. BE TO A FIVE IF. THE WHO
00:18:28.807 --> 00:18:30.876
ARE IN IRAQ. WITH THE RE SAYS
00:18:30.943 --> 00:18:32.044
AND TOOLS BE ABLE TO PREVENT
00:18:32.110 --> 00:18:33.745
RECOGNIZE AND RESPOND TO
00:18:33.812 --> 00:18:35.547
ADVERSE CHILDHOOD EXPERIENCES
00:18:35.614 --> 00:18:39.618
AND TOXIC STREP AND THAT IS THE
00:18:39.685 --> 00:18:44.790
WORK OUT WE- IN THE CURRENT ASK
00:18:44.857 --> 00:18:46.892
WITH. IN DOLLAR. IT OVER TO YOU
00:18:46.959 --> 00:18:49.995
ON PUBLIC AT ACROSS. RIGHTS TO
00:18:50.062 --> 00:18:51.363
THE PROPOSED LOVE AND MILLION
00:18:51.430 --> 00:18:54.199
ENCOMPASSES EIGHT MILLION FOR
00:18:54.266 --> 00:18:55.067
THAT PUBLIC A TOOK AWARENESS
00:18:55.133 --> 00:18:59.037
CAMPAIGN. TO RAISE AWARENESS
00:18:59.104 --> 00:18:59.605
ENDING ABOUT ACES AND TOXIC
00:18:59.671 --> 00:19:02.541
STREP ND THEN TWO BILLION
00:19:02.608 --> 00:19:03.075
DOLLARS PER ACRE TRAINING
00:19:03.141 --> 00:19:07.212
EFFORT WHICH WILL CONSIST OF.
00:19:07.279 --> 00:19:08.480
IN FOR ONE PERSON FOR CATEGORY
00:19:08.547 --> 00:19:11.116
THIS EARLY CHILDHOOD EDUCATION
00:19:11.183 --> 00:19:12.718
ONE SPENT AND THEN GENERALLY
00:19:12.784 --> 00:19:16.388
GOVERNMENT WORKERS. IF THERE
00:19:16.455 --> 00:19:18.390
ARE ANY OTHER QUESTIONS I CAN
00:19:18.457 --> 00:19:19.558
COVER THE QUESTIONS IN THE
00:19:19.625 --> 00:19:21.527
AGENDA ABOUT THE PROPOSAL SO
00:19:21.593 --> 00:19:23.161
THE FIRST QUESTION ABOUT HOW
00:19:23.228 --> 00:19:24.563
WOULD WE IMPLEMENT PUBLIC
00:19:24.630 --> 00:19:26.565
AWARENESS CAMPAIGN AND WITH THE
00:19:26.632 --> 00:19:29.034
PLEASE BE AND- IT IS EXPECT. WE
00:19:29.101 --> 00:19:32.271
WOULD UTILIZE- OUTSIDE OF
00:19:32.337 --> 00:19:34.439
SERVICES IN ORDER TO BE ABLE
00:19:34.506 --> 00:19:36.508
TO- IMPLEMENT AND DELIVER THE
00:19:36.575 --> 00:19:39.077
AWARENESS CAMPAIGN- THERE IS
00:19:39.144 --> 00:19:44.349
THE POTENTIAL FOR OF A VARIETY
00:19:44.416 --> 00:19:46.018
OF ENTITIES TO INVOLVE. NOT
00:19:46.084 --> 00:19:47.886
PROFIT PROFIT. TENCHI BOTH
00:19:47.953 --> 00:19:50.923
PUBLIC AND PRIVATE SO- BUT WE
00:19:50.989 --> 00:19:54.993
DO INTEND ON USING- INTO IT
00:19:55.060 --> 00:19:57.996
HAVE EXPERTISE I IN THAT IT AND
00:19:58.063 --> 00:20:01.533
THEN WILL BE MANAGED BY THE
00:20:01.600 --> 00:20:05.537
PACIFIC IN GENERAL SO. A MAN.
00:20:05.604 --> 00:20:06.872
TAKES A TRACK OF THOSE TYPE.
00:20:06.939 --> 00:20:09.541
MANAGE BY THE OFFICE. ANYTHING
00:20:09.608 --> 00:20:11.109
OKAY AND THEN THE NEXT QUESTION
00:20:11.176 --> 00:20:12.344
WITH THE EFFORT BILL UPON
00:20:12.411 --> 00:20:13.745
EXISTING MEDIA CAMPAIGN
00:20:13.812 --> 00:20:15.314
RESOURCES SUCH AS THE
00:20:15.380 --> 00:20:16.915
DEPARTMENT OF PUBLIC. I WE HAVE
00:20:16.982 --> 00:20:19.017
BEEN IN. NATION WITH THE
00:20:19.084 --> 00:20:21.119
DEPARTMENT OF PUBLIC HEALTH-
00:20:21.186 --> 00:20:22.454
IT'S REALLY MORE ABOUT
00:20:22.521 --> 00:20:24.423
UTILIZING THE BEST PRACTICES
00:20:24.489 --> 00:20:28.193
AND LESSONS LEARNED FROM PUBLIC
00:20:28.260 --> 00:20:31.163
IN THIS CAMPAIGN SUCH AS BACK-
00:20:31.229 --> 00:20:35.667
IN. THOSE ANTI CAMP IN AND WE
00:20:35.734 --> 00:20:38.604
ALSO WANT TO LOOK TO OTHER
00:20:38.670 --> 00:20:42.107
TYPES OF WHAT AWARENESS ANZOR.
00:20:42.174 --> 00:20:44.042
BY THIS TO JUST COVER CAL IS.
00:20:44.109 --> 00:20:47.145
PEOPLE AWARE CAMPAIGN SO THE
00:20:47.212 --> 00:20:49.848
IDEA IS TO USE THOSE TYPES OF
00:20:49.915 --> 00:20:52.250
THINGS TO INFORM OUR CAMPAIGN.
00:20:52.317 --> 00:20:53.685
AND THE ONE WITH RESPECT TO WHO
00:20:53.752 --> 00:20:55.454
WERE TO CROSS SECTOR TRAINING
00:20:55.520 --> 00:20:56.355
MATERIALS AND HOW THOSE
00:20:56.421 --> 00:20:58.590
TRAININGS BE CONDUCTED. I WE
00:20:58.657 --> 00:21:01.827
ALREADY HAVE HAD A VARIETY OF
00:21:01.893 --> 00:21:03.295
THE DEPARTMENTS SUCH AS A
00:21:03.362 --> 00:21:05.998
DEPARTMENT OF CORRECTIONS. THE
00:21:06.064 --> 00:21:10.268
STATE DEPARTMENT OF EDUCATION I
00:21:10.335 --> 00:21:12.771
REACH OUT TO IT ALREADY- WITH
00:21:12.838 --> 00:21:16.742
INTEREST IN A TEAM. I THE
00:21:16.808 --> 00:21:20.145
MATERIAL PAN BOTTOM ASSIST WHAT
00:21:20.212 --> 00:21:22.814
DOES DEPARTMENTSWOULD BE BUT
00:21:22.881 --> 00:21:25.183
THEN ALSO- IN TERMS OF THE
00:21:25.250 --> 00:21:27.686
DELIVERY OF THOSE TRAININGS THE
00:21:27.753 --> 00:21:29.655
IDEA IS TO THE EXTENT POSSIBLE
00:21:29.721 --> 00:21:32.224
TO BE ABLE TO LEVERAGE TRIP IT
00:21:32.290 --> 00:21:33.525
IS ALREADY OCCURRING WITHIN
00:21:33.592 --> 00:21:35.260
THOSE ENTITIES AND REALLY TAKE
00:21:35.327 --> 00:21:38.397
A TRAIN THE TRAINER. WHICH WITH
00:21:38.463 --> 00:21:41.266
THE- FACT. GETTING MATERIAL
00:21:41.333 --> 00:21:46.038
AROUND ACES AND TOXIC STRESS.
00:21:46.104 --> 00:21:50.409
HELLO SONYA PETTITTE KALLIO WE
00:21:50.475 --> 00:21:52.611
HAVE A HOPEFULLY MINOR ISSUE
00:21:52.678 --> 00:21:55.414
RELATED TO QUESTION ONE- OR
00:21:55.480 --> 00:21:57.215
OTHER QUESTION TWO IN THE
00:21:57.282 --> 00:21:58.850
AGENDA AND IT'S SOMETHING THAT
00:21:58.917 --> 00:21:59.918
WE'VE ALREADY DISCUSSED WITH C.
00:21:59.985 --> 00:22:02.788
ADMINISTRATION IN THAT. THE
00:22:02.854 --> 00:22:04.022
VISUAL BUDGET BILL LANGUAGE
00:22:04.089 --> 00:22:06.525
ASSOCIATED WITH THIS PROPOSAL
00:22:06.591 --> 00:22:08.927
WOULD EXEMPTS- THE OFFICE
00:22:08.994 --> 00:22:10.796
CONTRACTS RELATED TO THIS
00:22:10.862 --> 00:22:12.030
PROPOSAL FROM THE PUBLIC
00:22:12.097 --> 00:22:14.633
CONTRACT CODE- SOME OF THIS
00:22:14.700 --> 00:22:16.168
MIGHT BE JUSTIFIED IN THE SENSE
00:22:16.234 --> 00:22:17.703
THAT SOME OF THE PARTNERSHIPS
00:22:17.769 --> 00:22:19.805
ARE HOPING TO LEVERAGE- NOT
00:22:19.871 --> 00:22:21.239
SORT OF THE TRADITIONAL TYPE
00:22:21.306 --> 00:22:24.643
OF- CONSULTING CONTRACTS THAT
00:22:24.710 --> 00:22:29.948
MIGHT BE PUT OUT FOR BID BUT
00:22:30.015 --> 00:22:30.515
SOME OF THE CALL. MAY BE. OR
00:22:30.582 --> 00:22:33.285
BRAVE LIKE CAMPAIGN SO GIVE.
00:22:33.351 --> 00:22:35.320
BILL SO FAR ON THESE CONTRACTS
00:22:35.387 --> 00:22:36.321
IN THE IMPORTANCE OF THE PUBLIC
00:22:36.388 --> 00:22:38.056
CONTRACT CODE WHICH IS TO
00:22:38.123 --> 00:22:40.192
ENSURE PROPER USE OF PUBLIC
00:22:40.258 --> 00:22:42.027
FUNDS WE SUGGEST A SLIGHT
00:22:42.094 --> 00:22:43.895
REVISIONS ABOUT LANGUAGE TO
00:22:43.962 --> 00:22:46.231
SORT OF DIFFERENTIATE BETWEEN
00:22:46.298 --> 00:22:47.833
THE TWO TYPES OF CONTRACTS
00:22:47.899 --> 00:22:49.735
EXIST REQUIRE THEM TO FOLLOW
00:22:49.801 --> 00:22:51.737
THE TRACK CODE FOR THE MORE
00:22:51.803 --> 00:22:55.173
TRADITIONAL ONES. OKAY WHICH IS
00:22:55.240 --> 00:22:56.742
NOT I WAS GONNA SAY I WOULD
00:22:56.808 --> 00:22:58.710
JUST A THAT WE- THAT SENTIMENT
00:22:58.777 --> 00:23:00.812
AND WE ARE WORKING ON A REVISED
00:23:00.879 --> 00:23:04.783
LANGUAGE. FINANCE TED AT THE
00:23:04.850 --> 00:23:07.018
THAT OKAY NOW QUESTIONS
00:23:07.085 --> 00:23:10.422
COMMITTEE MEMBERS. TURTLE THANK
00:23:10.489 --> 00:23:11.957
YOU FOR YOUR PRESENTATION OUT
00:23:12.023 --> 00:23:13.091
JUST WONDERING IN TERMS OF THE
00:23:13.158 --> 00:23:15.260
CAMPAIGN DO YOU HAVE ANY DATA
00:23:15.327 --> 00:23:16.361
THAT YOU'LL BE USING TO JUST
00:23:16.428 --> 00:23:19.364
KIND OF HELP IF. WHAT THE ****
00:23:19.431 --> 00:23:22.834
TO IMPLEMENT THIS PAIN. I AM A
00:23:22.901 --> 00:23:25.470
WIN YOU MEAN I MEAN- BASELINE
00:23:25.537 --> 00:23:28.874
AND FOLLOW UP DATA AROUND- THE
00:23:28.940 --> 00:23:31.643
EFFICACY OF THE CAMPAIGN. ENTER
00:23:31.710 --> 00:23:34.980
NEED. IN IN YOU KNOW ACROSS
00:23:35.046 --> 00:23:37.115
CALIFORNIA THE PETITIONS JUST
00:23:37.182 --> 00:23:40.585
ALL IS IT JUST- A CROSS FOR
00:23:40.652 --> 00:23:42.654
EXAMPLE WILL BE WILL WE BE
00:23:42.721 --> 00:23:48.760
TARGETING- SO WE KNOW- CITY AND
00:23:48.827 --> 00:23:52.397
PARTNER WITH A YOU SEE. THE
00:23:52.464 --> 00:23:54.900
ANALYSIS I AT COUNTY LEVEL AND
00:23:54.966 --> 00:23:55.700
I BELIEVE NOW CITY THE AROUND
00:23:55.767 --> 00:23:57.936
THE PREVALENCE OF ADVERSE
00:23:58.003 --> 00:23:59.905
CHILDHOOD EXPERIENCES IS THAT
00:23:59.971 --> 00:24:00.672
WHAT YOU'RE TALKING ABOUT ARE
00:24:00.739 --> 00:24:03.275
WE GOING TO USE I'M- THE-
00:24:03.341 --> 00:24:05.744
AROUND. WANTS TO TARGET WHERE
00:24:05.811 --> 00:24:07.679
WE'RE WE TALK ACT YES
00:24:07.746 --> 00:24:12.150
ABSOLUTELY. Q. THAT FEW
00:24:12.217 --> 00:24:14.352
QUESTIONS I APPRECIATE THE LA
00:24:14.419 --> 00:24:16.888
IS COMMENT ABOUT- THE- CONTRACT
00:24:16.955 --> 00:24:19.024
CODE YOU KNOW WE- DEFINITELY
00:24:19.090 --> 00:24:20.392
WANT TO TRY TO PAID
00:24:20.458 --> 00:24:22.661
CIRCUMSTANCE IN WHICH IT SEEMS
00:24:22.727 --> 00:24:24.129
LIKE WE'RE GOING AROUND. THE
00:24:24.196 --> 00:24:26.364
REGULAR COMES TO BACK
00:24:26.431 --> 00:24:30.702
CONTRACTING AND OF. SO IN TERMS
00:24:30.769 --> 00:24:34.005
OF THE- WELL FIRST OF ALL THE A
00:24:34.072 --> 00:24:37.275
PUBLIC AWARENESS CAMPAIGN- SAYS
00:24:37.342 --> 00:24:39.344
EIGHT MILLION I CAN. BUT CAN
00:24:39.411 --> 00:24:42.347
YOU TO. ARE YOU TO PARTNER WITH
00:24:42.414 --> 00:24:43.715
OTHER ENTITIES LIKE FIRST FIVE
00:24:43.782 --> 00:24:45.817
COMMISSIONS OR OTHER AND TRY TO
00:24:45.884 --> 00:24:48.320
EXPAND THE I MEAN EIGHT MILLION
00:24:48.386 --> 00:24:50.222
FOR THE STATE CALIFORNIA'S NOT
00:24:50.288 --> 00:24:52.524
A LOW DOWN IT'S A WHOLE LOT
00:24:52.591 --> 00:24:54.459
WELL I MEAN WE'RE WE'RE RIGHT
00:24:54.526 --> 00:24:56.595
WE GOT BY THE WAY THE SENSE
00:24:56.661 --> 00:25:05.770
THAT FORMS. SPEAK TO HOW HOW IS
00:25:05.837 --> 00:25:07.205
THE EIGHT MILLION GOING TO
00:25:07.272 --> 00:25:10.575
REACH. HOW MANY PEOPLE DO YOU
00:25:10.642 --> 00:25:11.676
EXPECT REALLY REACH WITH YOUR
00:25:11.743 --> 00:25:13.511
EIGHT MILLION AND HOW DO YOU
00:25:13.578 --> 00:25:15.213
PLAN TO THE ARE YOU LOOKING TO
00:25:15.280 --> 00:25:17.048
LEVERAGE SOME OF THAT. WHAT
00:25:17.115 --> 00:25:18.083
WILL WE THIRD CERTAINLY.
00:25:18.149 --> 00:25:19.684
LOOKING TO LEVERAGE CAPACITY
00:25:19.751 --> 00:25:21.753
WHETHER IT'S- IN EXISTING-
00:25:21.820 --> 00:25:24.623
PUBLIC AWARENESS CAMPAIGN FOR.
00:25:24.689 --> 00:25:26.424
YOU KNOW POTENTIALLY. ENTITIES
00:25:26.491 --> 00:25:28.293
THAT HAVE PASSED CITY TO
00:25:28.360 --> 00:25:29.361
DISTRIBUTE. A YOU KNOW THE
00:25:29.427 --> 00:25:33.365
MASS. AROUND ASUS. SO THE IDEA
00:25:33.431 --> 00:25:37.335
IS THAT WE WOULD DO THAT TO THE
00:25:37.402 --> 00:25:39.070
LARGEST EXTENT POSSIBLE. BUT TO
00:25:39.137 --> 00:25:40.639
THE EXTENT THAT THERE MAY NOT
00:25:40.705 --> 00:25:46.211
BE. PAINS IN. FRANCE ONE THING
00:25:46.278 --> 00:25:47.812
IT BE IN OUR IS YOU KNOW THE
00:25:47.879 --> 00:25:51.483
RESOURCE. CAPACITY SO TO THE
00:25:51.549 --> 00:25:52.083
EXTENT THAT THE REESE ARE THE
00:25:52.150 --> 00:25:53.285
WOULD HAVE TO BE A NEW EFFORT
00:25:53.351 --> 00:25:54.986
BUT AGAIN WOULD BE. ALL THE OF
00:25:55.053 --> 00:26:00.091
A- TIED UP AT IN TWO MORE OF
00:26:00.158 --> 00:26:03.428
DELIVER OUR CAMPAIGN. AND PART
00:26:03.495 --> 00:26:04.162
OF THAT PLAN THAT STILL NEEDS
00:26:04.229 --> 00:26:05.330
TO DONE AROUND THE PUBLIC
00:26:05.397 --> 00:26:08.133
AWARENESS IS REALLY- WHAT
00:26:08.199 --> 00:26:09.634
DOCTOR BURKE AMEND. IS THAT WE
00:26:09.701 --> 00:26:11.536
NEED TO LOOK TO SEE YOU KNOW
00:26:11.603 --> 00:26:14.439
WHAT TYPES OF GEOGRAPHIC AREAS
00:26:14.506 --> 00:26:18.843
MIGHT BE YOU KNOW MOST SUITABLE
00:26:18.910 --> 00:26:20.278
TO ADD IN THE PAIN. RELEASED TO
00:26:20.345 --> 00:26:26.318
LEARN A HOW WE- EIGHT EIGHT
00:26:26.384 --> 00:26:30.922
WHAT IT CAMPAIGN MORE. I WOULD
00:26:30.989 --> 00:26:35.827
JUST I'M- THAT. THE WHY WE DO
00:26:35.894 --> 00:26:38.596
INCLUDE LANGUAGE ABOUT ABOUT
00:26:38.663 --> 00:26:42.233
THE THAT CON IT'S BEST BE WE DO
00:26:42.300 --> 00:26:44.002
HAVE PHILANTHROPIC IN OTHER WHO
00:26:44.069 --> 00:26:46.237
ARE INTERESTED IN PARTNERING ON.
00:26:46.304 --> 00:26:50.041
AND SO WHAT WE INTO TO. OUR
00:26:50.108 --> 00:26:51.076
GOAL TO BE ABLE TO PARTNER
00:26:51.142 --> 00:26:54.913
ADVANCE X. THE REACH HEY END OF
00:26:54.980 --> 00:26:57.215
WHO IS THAT TARGET AUDIENCE FOR
00:26:57.282 --> 00:26:59.918
YOUR PUBLIC AWARENESS CAMPAIGN
00:26:59.985 --> 00:27:01.820
IT'S IS PUBLIC BUT IS IT. FOR
00:27:01.886 --> 00:27:05.657
THERE IS IT SAM. WHO IT GIVEN
00:27:05.724 --> 00:27:10.261
THE LIMITED. I MEAN IT IS IT
00:27:10.328 --> 00:27:11.796
YOU'RE TRYING TO GET RID
00:27:11.863 --> 00:27:15.800
AWARENESS MONTH YEAH TYPICALLY
00:27:15.867 --> 00:27:20.071
SO. WE'VE BEEN A I SAID TO THE
00:27:20.138 --> 00:27:22.874
X. THAT WE DIRECT OUR- SOME OF
00:27:22.941 --> 00:27:26.111
THE EIGHT. EIGHT AT OF THE
00:27:26.177 --> 00:27:28.346
PUBLIC AT CAMPAIGN TO MEDICAID
00:27:28.413 --> 00:27:30.682
RISK. TO AND THE TO TALK TO
00:27:30.749 --> 00:27:32.517
THEIR HEALTH CARE PROVIDERS AND
00:27:32.584 --> 00:27:38.823
BOB PULLED OFF OF THE- AT THE
00:27:38.890 --> 00:27:39.457
EXISTING EFFORT THAT WE TURN TO
00:27:39.524 --> 00:27:45.230
AN OUT PROVIDERS THAT BAD. AT
00:27:45.296 --> 00:27:49.634
ON THE DOLLARS TO WE DEPLOY THE
00:27:49.701 --> 00:27:50.568
AND THEN BUT WE RECOGNIZE THAT
00:27:50.635 --> 00:27:54.139
A DON'T JUST MEDIC COME. SO
00:27:54.205 --> 00:27:56.541
WHAT WE AND TO. IS A BALANCE.
00:27:56.608 --> 00:28:00.578
BETWEEN BETWEEN A DIRECTED AT
00:28:00.645 --> 00:28:03.048
THE GENERAL PUBLIC AND WE'RE
00:28:03.114 --> 00:28:09.621
TALKING ABOUT- YOUNG PEOPLE. I
00:28:09.687 --> 00:28:14.459
THE WORD THE SIXTY TWO OKAY
00:28:14.526 --> 00:28:16.061
WHO'VE X. IN THE ONE A AND THE
00:28:16.127 --> 00:28:18.096
P. WHO LOVE THEM SO A 100% OF
00:28:18.163 --> 00:28:22.634
CAL. SO I APPRECIATE THAT AND
00:28:22.700 --> 00:28:23.268
EIGHT EIGHT ONE THINGS THAT THE
00:28:23.334 --> 00:28:26.738
HELP. THE END JUST RECOGNIZING
00:28:26.805 --> 00:28:29.474
WHAT RESOURCES YOU'RE ASKED FOR
00:28:29.541 --> 00:28:30.842
YOU'RE USING ABOUT LIKE OKAY BY
00:28:30.909 --> 00:28:33.111
AT THE BY THE SOCIAL AND WHAT
00:28:33.178 --> 00:28:37.982
PRINT OUT DID JUST BY ITS NOT
00:28:38.049 --> 00:28:43.021
GONNA SEE IT. YES BUT FIT SO. I
00:28:43.088 --> 00:28:44.956
THINK OF THE HELP TO YOU KNOW
00:28:45.023 --> 00:28:51.329
WHEN ONE. THING COME BACK.
00:28:51.396 --> 00:28:53.398
NUMBER SPACE. ABOUT THE- IT'S
00:28:53.465 --> 00:28:56.234
STAR GO YEAH I ALL OF US USE UP
00:28:56.301 --> 00:28:59.104
HERE TO RUN TO WE HAVE A
00:28:59.170 --> 00:29:00.004
FEELING YOU OKAY YOU KNOW WHO
00:29:00.071 --> 00:29:03.274
WE A SIX RESOURCE TO COME
00:29:03.341 --> 00:29:08.613
ACTUALLY TALK TO THAT GOING TO.
00:29:08.680 --> 00:29:10.348
TERMS OF THE CROSS SECTOR THAT
00:29:10.415 --> 00:29:12.050
COMMON FORM TRAINING NOW IS
00:29:12.117 --> 00:29:15.153
THIS. SO WHAT DEGREE WE- TEST
00:29:15.220 --> 00:29:17.856
OF LAMBS AND WAIT WE RAISED OR
00:29:17.922 --> 00:29:20.525
NOW RAISING AWARENESS OF EXES.
00:29:20.592 --> 00:29:23.394
AND WE'RE- YOU KNOW WE FEEL USE
00:29:23.461 --> 00:29:25.463
THE STATISTICS AND THEN I MEAN
00:29:25.530 --> 00:29:26.598
YOUR FUTURE SHOULD OF PETER'S
00:29:26.664 --> 00:29:29.934
LIKE WHAT WE DO NOW RIGHT SO
00:29:30.001 --> 00:29:31.136
ARE WE ARE WE TEACHING PEOPLE
00:29:31.202 --> 00:29:34.572
MEDI XIN ARE WHAT THAT SO THE
00:29:34.639 --> 00:29:37.242
SECTOR BEING TRANSFERRED. IT'S
00:29:37.308 --> 00:29:39.444
ONLY TO ME **** WITH THAT AND
00:29:39.511 --> 00:29:42.614
WHAT IS THAT WE CAN BE TO TIE
00:29:42.680 --> 00:29:43.615
TEACHING PEOPLE ABOUT THINGS
00:29:43.681 --> 00:29:46.184
THEY CAN DO TO MITIGATE. ALSO
00:29:46.251 --> 00:29:47.619
BUT IN TERMS OF PEOPLE HAVE A
00:29:47.685 --> 00:29:50.955
ASUS SCORES. WHAT WHAT HAVE
00:29:51.022 --> 00:29:52.524
HARRY DRESSING THAT YES SO MUCH
00:29:52.590 --> 00:29:54.325
OF THE ORIGIN FOR THAT CROSS
00:29:54.392 --> 00:29:56.227
SECTOR TRAINING INITIATIVE IS
00:29:56.294 --> 00:29:59.164
ACTUALLY- NOT ONLY FROM WITHIN
00:29:59.230 --> 00:30:00.331
THE OFFICE OF THE SURGEON
00:30:00.398 --> 00:30:02.534
GENERAL BUT FROM OUR IT
00:30:02.600 --> 00:30:03.234
DEPARTMENT HAVE BEEN REACHING
00:30:03.301 --> 00:30:04.936
OUT OFFICE OF THE SURGEON
00:30:05.003 --> 00:30:08.206
GENERAL. OUR HELP SHAPE AT
00:30:08.273 --> 00:30:08.940
THREE. ON THEIR TRAINING
00:30:09.007 --> 00:30:13.611
PROGRAMS FOR EXAMPLE- CDC ARE-
00:30:13.678 --> 00:30:16.447
AT IT'S REACHED OUT- GTD P. HAS
00:30:16.514 --> 00:30:18.149
REACHED OUT- THE SUPER IN A
00:30:18.216 --> 00:30:21.786
PUBLIC EDUCATION HAS SAID HEY
00:30:21.853 --> 00:30:25.456
YOU KNOW WE WILL BE OUR- AT.
00:30:25.523 --> 00:30:28.026
BEING AT COMMUNITIES WHERE
00:30:28.092 --> 00:30:28.493
LOOKING AT A NUMBER OF
00:30:28.560 --> 00:30:31.362
INITIATIVES TO I JUST SUPPORT
00:30:31.429 --> 00:30:34.132
THE MENTAL HEALTH AND WELL
00:30:34.199 --> 00:30:36.367
BEING OF YOUNG PEOPLE IN THE
00:30:36.434 --> 00:30:38.836
EDUCATIONAL PROCESS BUT WE
00:30:38.903 --> 00:30:40.638
WOULD. AND FOR THAT WE'RE USING
00:30:40.705 --> 00:30:42.106
THE OTHER BASED. AS WE ARE TO
00:30:42.173 --> 00:30:45.176
PUT. IN THE THAT WE'RE DOING TO
00:30:45.243 --> 00:30:46.010
THE BUDGET THAT'S- AT THAT WE
00:30:46.077 --> 00:30:48.313
ASKED FOR IS REALLY THE
00:30:48.379 --> 00:30:50.048
RESOURCE THAT TO ALLOW THE
00:30:50.114 --> 00:30:52.550
OFFICE OF THE SURGEON GENERAL
00:30:52.617 --> 00:30:54.619
TO A MAP THE TEAM AND THE
00:30:54.686 --> 00:30:56.921
RESOURCES BE ABLE TO ENGAGE AND
00:30:56.988 --> 00:31:00.325
PROVIDE THAT EXPERTISE- AND
00:31:00.391 --> 00:31:02.527
MATERIALS TO FOLKS WHO ARE
00:31:02.594 --> 00:31:06.264
LOOKING TO INCORPORATE IN THEIR
00:31:06.331 --> 00:31:07.131
EXISTING TRAINING. OKAY SO. WE
00:31:07.198 --> 00:31:09.534
HAVE A SENSE GIVEN THE IN HOW
00:31:09.601 --> 00:31:11.536
MANY PEOPLE ARE HOW HOW ARE YOU
00:31:11.603 --> 00:31:13.771
GOING TO BE ABLE TO. CONNECT
00:31:13.838 --> 00:31:15.340
HOW MANY DEPARTMENTS THIS
00:31:15.406 --> 00:31:18.376
INCORPORATES FOR THIS FOR THESE
00:31:18.443 --> 00:31:23.181
RESOURCES BAIL WE CAN WE CAN
00:31:23.248 --> 00:31:26.517
DEVELOP A MORE- PRECISE-
00:31:26.584 --> 00:31:28.753
ESTIMATE OF HOW MANY
00:31:28.820 --> 00:31:30.622
DEPARTMENTS THAT WE'RE-
00:31:30.688 --> 00:31:33.191
PLANNING TO REACH WITH THIS AT.
00:31:33.258 --> 00:31:34.692
ALL PATIENTS OKAY THAT DEL
00:31:34.759 --> 00:31:38.363
HELPFUL SO I DON'T TO HAVE MORE
00:31:38.429 --> 00:31:41.866
SPECIFICITY GIVEN IF YOU GIVE
00:31:41.933 --> 00:31:43.501
US TWO MILLION THIS IS WHAT. DO
00:31:43.568 --> 00:31:47.538
IT RIGHT. BUDGET PROCESS SELF.
00:31:47.605 --> 00:31:50.475
TO A- MULTIPLE. I COUNTY CHILD
00:31:50.541 --> 00:31:53.845
SUPPORT- WORKERS AND- SPECIALS
00:31:53.911 --> 00:31:55.513
AND- SO THEY WERE VERY
00:31:55.580 --> 00:31:57.615
INTERESTED- SO I DON'T KNOW TO
00:31:57.682 --> 00:31:59.450
WHAT DEGREE ALSO YOU'RE HAVING
00:31:59.517 --> 00:32:01.419
STATIONS WITH I MEAN THAT HE
00:32:01.486 --> 00:32:06.491
SAID TOWN AND FEW WORK. CHILD
00:32:06.557 --> 00:32:08.626
SUPPORT CAL SO WE WERE. THIRD
00:32:08.693 --> 00:32:10.061
LINES ACTUALLY THE ONES WHO ARE
00:32:10.128 --> 00:32:11.963
GATEWAY TO THE RESOURCES THAT
00:32:12.030 --> 00:32:14.632
MAY OF THAT STATE PROVIDES.
00:32:14.699 --> 00:32:16.301
INCLUDING YOU KNOW. AB CALL FOR
00:32:16.367 --> 00:32:17.468
ACTION ARE THE TYPES OF
00:32:17.535 --> 00:32:19.070
PROGRAMS THAT MAY ACTUALLY BE
00:32:19.137 --> 00:32:20.872
INVOLVED AND- HELPING- ADDRESS
00:32:20.938 --> 00:32:23.074
SOME OF THE YOU KNOW THE
00:32:23.141 --> 00:32:25.209
MITIGATION ISSUES SO I'M HOPING
00:32:25.276 --> 00:32:28.646
THAT THERE'S SOME BUT ABOUT HOW
00:32:28.713 --> 00:32:32.383
HE- WITH. THOSE I'M SURE YOU
00:32:32.450 --> 00:32:34.018
TALK RATE TO THE PHARMACY THE
00:32:34.085 --> 00:32:35.019
SERVICE AND THE SERVE SO FOR
00:32:35.086 --> 00:32:37.155
BUT HOW YOU REACH AN WHERE THE
00:32:37.221 --> 00:32:40.391
FRONTLINE WORKER ARE AND IT
00:32:40.458 --> 00:32:41.659
BECAUSE I CENTER THANK THEIR
00:32:41.726 --> 00:32:45.663
INTEREST. AND SO THAT THAT MAY
00:32:45.730 --> 00:32:48.299
ALSO BOB RESOURCES WELLS SO
00:32:48.366 --> 00:32:50.501
THAT MIGHT HELPFUL KNOWS WHAT
00:32:50.568 --> 00:32:51.569
IS THE SCOPE OF WHAT YOU'RE
00:32:51.636 --> 00:32:55.273
LOOKING FOR THE TWO MILLION AND
00:32:55.340 --> 00:32:58.443
WEBER DEATH RIGHT NOW. THANK
00:32:58.509 --> 00:33:02.080
YOU. THANK YOU ANY OTHER. ELSE
00:33:02.146 --> 00:33:02.947
ANY OTHER COMMENTS OKAY WELL
00:33:03.014 --> 00:33:03.948
THANK VERY MUCH THANK YOU FOR
00:33:04.015 --> 00:33:05.616
YOUR PRESENT THANK YOU FOR
00:33:05.683 --> 00:33:07.285
DEATH GETTING MORE INFORMATION
00:33:07.352 --> 00:33:14.559
FOR ME REVISED THANK YOU. OKAY
00:33:14.625 --> 00:33:16.427
NEXT UP WE HAVE- WEALTHY
00:33:16.494 --> 00:33:19.230
PROPOSED. CENTER FOR DATA
00:33:19.297 --> 00:33:29.173
INSIGHTS AND INNOVATION.
00:33:29.240 --> 00:33:35.346
WELCOME. SINCE LIKE. PLEASE
00:33:35.413 --> 00:33:37.415
INTRODUCE YOURSELVES LOOKS LIKE
00:33:37.482 --> 00:33:39.083
LA ON FINANCES THE SAME PEOPLE
00:33:39.150 --> 00:33:40.184
THAT WE CAN OF THE AGENCY FOLKS
00:33:40.251 --> 00:33:44.555
INTRODUCED THEMSELVES. WELCOME
00:33:44.622 --> 00:33:45.356
GOOD MORNING MY NAME'S ELAINE
00:33:45.423 --> 00:33:46.824
SPARTACUS I'M THE ASSISTANT
00:33:46.891 --> 00:33:48.426
DIRECTOR WITH THE OFFICE OF
00:33:48.493 --> 00:33:49.627
HEALTH INFORMATION INTEGRITY.
00:33:49.694 --> 00:33:51.195
THANK YOU GOOD MORNING MY NAME
00:33:51.262 --> 00:33:52.463
IS JENNIFER SCHWARTZ ON THE
00:33:52.530 --> 00:33:55.133
CHIEF COUNSEL OF THE OFFICE OF
00:33:55.199 --> 00:33:55.967
HEALTH INFORMATION INTEGRITY.
00:33:56.033 --> 00:34:00.171
YOU HI I'M- SO- I'LL PROVIDE A
00:34:00.238 --> 00:34:01.606
BRIEF OVERVIEW OF THE PROPOSED
00:34:01.672 --> 00:34:03.374
TRAILER BILL LANGUAGE AND THEN
00:34:03.441 --> 00:34:04.275
WE'LL HAVE TO GO THROUGH YOUR
00:34:04.342 --> 00:34:06.177
QUESTIONS- AND THEN OF COURSE
00:34:06.244 --> 00:34:07.979
ANSWER ANY FOLLOW UP QUESTIONS
00:34:08.045 --> 00:34:11.315
THE WHAT YOU TO WANT TO GO
00:34:11.382 --> 00:34:11.949
AHEAD PRESENTED THEN GO THROUGH
00:34:12.016 --> 00:34:13.718
A QUESTION AND THEN WILL HELP.
00:34:13.785 --> 00:34:18.556
THEM WHAT. SO THE- PROPOSES.
00:34:18.623 --> 00:34:20.658
BILL LANGUAGE TO ESTABLISH THE
00:34:20.725 --> 00:34:21.225
CENTER FOR DATA INSIGHTS AND
00:34:21.292 --> 00:34:23.294
INNOVATION. WITHIN THE HEALTH
00:34:23.361 --> 00:34:25.730
AND HUMAN SERVICES AGENCY- THE
00:34:25.797 --> 00:34:27.799
PROPOSAL LANGUAGE WOULD MERGE
00:34:27.865 --> 00:34:28.800
THE CURRENT OFFICE OF HEALTH
00:34:28.866 --> 00:34:30.968
INFORMATION INTEGRITY THE
00:34:31.035 --> 00:34:32.837
OFFICE OF THE PAY. ADVOCATE AND
00:34:32.904 --> 00:34:33.971
THE CALIFORNIA COMMITTEE FOR
00:34:34.038 --> 00:34:34.806
THE PROTECTION OF HUMAN
00:34:34.872 --> 00:34:37.875
SUBJECTS. A AND INTO THE NEW
00:34:37.942 --> 00:34:40.211
CENTER- IT WILL COMBINE THE
00:34:40.278 --> 00:34:42.547
FONG. THESE ENTITIES. ARE DOING
00:34:42.613 --> 00:34:44.215
WHAT INCLUDE ANY REPORTING ON
00:34:44.282 --> 00:34:46.117
QUALITY CARE. AND PATIENT
00:34:46.184 --> 00:34:48.486
EXPERIENCE A PUBLIC HEALTH
00:34:48.553 --> 00:34:48.986
COVERAGE PROGRAMS. WILL
00:34:49.053 --> 00:34:51.055
CONTINUE GUIDANCE ON. DATA
00:34:51.122 --> 00:34:53.024
SHARING. AND COMPLIANCE WITH
00:34:53.090 --> 00:34:54.392
HEALTH INFORMATION. THE LOS
00:34:54.459 --> 00:34:56.093
CLOTHES HAMPER. AND REVIEW
00:34:56.160 --> 00:34:58.496
RESEARCH PROPOSALS THE- DATA
00:34:58.563 --> 00:35:02.900
ASKS. THIS THE CENTER ISLE OF
00:35:02.967 --> 00:35:04.669
MAN A RESEARCH DATA HOW BEEN
00:35:04.735 --> 00:35:05.803
BEEN DATA PORTAL. ENGAGE AND
00:35:05.870 --> 00:35:06.904
COORDINATE WITH OTHER
00:35:06.971 --> 00:35:08.072
DEPARTMENTS TO ADDRESS SOCIAL
00:35:08.139 --> 00:35:10.575
DETERMINANTS OF HEALTH EXPAND
00:35:10.641 --> 00:35:11.843
HEALTH DATA SHARING HEALTH
00:35:11.909 --> 00:35:15.012
INFORMATION PRIVACY CLIENTS GUY
00:35:15.079 --> 00:35:18.382
AMONG STATE ENTITIES IMPROVE
00:35:18.449 --> 00:35:20.184
DATA PROCESS AND NOT MANAGEMENT.
00:35:20.251 --> 00:35:21.385
PARCHMENTS AND FINALLY DEVELOP
00:35:21.452 --> 00:35:23.554
ENERGY FUTURE DATED SHOULD HAVE
00:35:23.621 --> 00:35:25.656
THEN THE AGENCY UNLESS PROPOSAL
00:35:25.723 --> 00:35:29.260
IS A COST NEUTRAL PROPOSAL.
00:35:29.327 --> 00:35:32.697
I'VE OUR ONE OF THE QUESTIONS
00:35:32.763 --> 00:35:34.398
WAS WHY DOES THE PROPOSAL WOMEN
00:35:34.465 --> 00:35:35.900
AT THE OFFICE OF THE PATIENT
00:35:35.967 --> 00:35:37.635
ADVOCATE COMPLAINT DATA REPORT
00:35:37.702 --> 00:35:40.071
AND HOW DOES THE
00:35:40.137 --> 00:35:40.838
ADMINISTRATION- AND TEND TO
00:35:40.905 --> 00:35:42.206
TRACK THE PERFORMANCE OF CALL
00:35:42.273 --> 00:35:43.508
CENTERS OF THE FOUR REPORTING
00:35:43.574 --> 00:35:45.576
TO PART OF THOSE REPORTS
00:35:45.643 --> 00:35:47.612
PERMITTED APARTMENTS HEALTH
00:35:47.678 --> 00:35:49.480
CARE SERVICES COVER CALIFORNIA
00:35:49.547 --> 00:35:52.950
REVENGE. WHAT DO I. THE GOAL OF
00:35:53.017 --> 00:35:54.785
POOR WHICH IS TO COLLECT AND
00:35:54.852 --> 00:35:55.586
ANALYZE THIS COMPLAINT CALL
00:35:55.653 --> 00:35:57.855
DATA- AND THE RELATED CONSUMER
00:35:57.922 --> 00:36:00.057
ASSISTANCE INFORMATION TO
00:36:00.124 --> 00:36:00.892
IDENTIFY TRENDS AND MAKE
00:36:00.958 --> 00:36:02.960
RECOMMENDATIONS- TO IMPROVE.
00:36:03.027 --> 00:36:05.129
IMMERSES ARTICLES WITHIN THESE
00:36:05.196 --> 00:36:07.164
FOUR ENTITIES- THE TRAILER BILL
00:36:07.231 --> 00:36:08.299
LANGUAGE STILL ALLOWS THE
00:36:08.366 --> 00:36:09.867
CENTERS TO COLLECT THE STATE SO
00:36:09.934 --> 00:36:13.471
THAT'S NOT STOPPING- WHAT WITH
00:36:13.538 --> 00:36:15.072
TO SEE THOSE THIS IS AN
00:36:15.139 --> 00:36:16.807
OPPORTUNITY NOW TO EVALUATE
00:36:16.874 --> 00:36:19.944
THE- PLAYING. FORTY AN
00:36:20.011 --> 00:36:21.445
ABUNDANCE OF INFORMATION AND
00:36:21.512 --> 00:36:24.348
THAT INFORMATION- BUT WE DO IT
00:36:24.415 --> 00:36:26.250
DOES POSE A FEW QUESTIONS LIKE
00:36:26.317 --> 00:36:28.319
FOR EXAMPLE- IN THE MOST
00:36:28.386 --> 00:36:30.721
CURRENT REPORT IT STATES IN ONE
00:36:30.788 --> 00:36:32.123
PART THAT THE DATA PRESENTED
00:36:32.189 --> 00:36:33.457
MAY PROVIDE IN PERFECT
00:36:33.524 --> 00:36:35.860
COMPARISONS- BETWEEN YEARS AND
00:36:35.927 --> 00:36:37.128
REPORTING ENTITIES COVERAGE
00:36:37.194 --> 00:36:38.763
TYPES AND SOMEWHAT CATEGORY SO
00:36:38.829 --> 00:36:41.432
WE THINK THAT'S WITH A PAUSE
00:36:41.499 --> 00:36:43.100
AND TAKE A LOOK AND SEE. WHAT
00:36:43.167 --> 00:36:45.369
WE CAN DO IT BETTER. I'M NOT I
00:36:45.436 --> 00:36:46.837
WOULD LIKE TO POP. BETTER WOULD
00:36:46.904 --> 00:36:48.806
LIKE TAKE A CLOSER LOOK ALSO
00:36:48.873 --> 00:36:50.074
THE REPORT BASED ON SOME
00:36:50.141 --> 00:36:51.542
STAKEHOLDER FEEDBACK AND FIND
00:36:51.609 --> 00:36:53.177
OUT WHAT'S FEASIBLE FOR THE
00:36:53.244 --> 00:36:54.612
WHAT'S MORE USABLE WHAT'S OF
00:36:54.679 --> 00:36:56.147
MORE VALUE ARE WE PUTTING THE
00:36:56.213 --> 00:36:57.381
RIGHT INFORMATION OUT TERE SO
00:36:57.448 --> 00:36:59.417
IT'S AN OPPORTUNITY FOR US TO
00:36:59.483 --> 00:37:02.019
DO THAT AS WELL- AND THAT'LL
00:37:02.086 --> 00:37:04.755
BENEFIT OBVIOUSLY THE
00:37:04.822 --> 00:37:06.223
DEPARTMENTS AND ULTIMATELY THE
00:37:06.290 --> 00:37:09.093
CONSUMER SHOULD THE PATIENT
00:37:09.160 --> 00:37:11.596
THINK. ONLY ON THE DATA THAT WE
00:37:11.662 --> 00:37:12.530
WERE GOING TO CAN TO. ANALYSIS
00:37:12.597 --> 00:37:14.498
FROM THAT WOULD LIKE TO EMPLOY
00:37:14.565 --> 00:37:16.667
THE AGENCY'S OFFICE OF
00:37:16.734 --> 00:37:18.135
INNOVATION TO HELP GO THE NEXT
00:37:18.202 --> 00:37:22.139
STEP. AND HELP THESE ENTITIES.
00:37:22.206 --> 00:37:23.808
CMOS WERE NEEDED TO DO BETTER
00:37:23.874 --> 00:37:27.745
AND REDUCE THE COMPLAINTS. SO
00:37:27.812 --> 00:37:29.814
THAT'S THE FIRST QUESTION WOULD
00:37:29.880 --> 00:37:31.449
YOU GO THROUGH ALL THE
00:37:31.515 --> 00:37:32.083
QUESTIONS THAT AND NOW WE WILL
00:37:32.149 --> 00:37:34.652
THEN THEN WILL COMMENT SO. THE
00:37:34.719 --> 00:37:36.053
REGARDING THE THIRD QUESTION
00:37:36.120 --> 00:37:39.123
WHICH IS ESSENTIALLY. HOW HELLO
00:37:39.190 --> 00:37:41.392
HI THE MANDATE FOR COMPLIANCE
00:37:41.459 --> 00:37:42.760
WITH HIP BUT PROTECTION OF
00:37:42.827 --> 00:37:43.794
PATIENT INFORMATION WILL BE
00:37:43.861 --> 00:37:45.262
CONTINUED THERE IS NO
00:37:45.329 --> 00:37:47.665
DISTINCTION OR DIFFERENCE IN
00:37:47.732 --> 00:37:50.635
THE AUTHORITY IN CALLOW HIGHEST
00:37:50.701 --> 00:37:52.203
TUBES AND THIS NEW LANGUAGE
00:37:52.269 --> 00:37:55.039
INSTEAD SOME. TION OF THAT LINK.
00:37:55.106 --> 00:37:56.874
BECAUSE YOU ARE YOU CAN'T DO
00:37:56.941 --> 00:37:58.442
YOU SORT OF HAVE A COMPLIANCE
00:37:58.509 --> 00:38:00.277
WITHOUT ALSO CONSIDERING OTHER
00:38:00.344 --> 00:38:02.246
FEDERAL AND STATE HELP PRIVACY
00:38:02.313 --> 00:38:04.682
LAWS AND SORT OF BRIDGING THE
00:38:04.749 --> 00:38:07.952
GAP PERFORMS THE MORE COVERAGE
00:38:08.019 --> 00:38:10.121
OF WHAT THOSE REQUIREMENTS ARE.
00:38:10.187 --> 00:38:11.589
WE'VE ALL BE DONE NOT AND SOME
00:38:11.656 --> 00:38:12.189
OF THE SOME OF THE IN PATIENT
00:38:12.256 --> 00:38:13.290
POLICY MANUAL FOR STATE
00:38:13.357 --> 00:38:15.126
DEPARTMENT AND WHAT LANGUAGE
00:38:15.192 --> 00:38:17.461
DOES TO SIMPLY ACKNOWLEDGE THAT
00:38:17.528 --> 00:38:20.765
IT'S REALLY HEALTH PRIVACY LAWS
00:38:20.831 --> 00:38:23.968
THAT WE'RE TALKING ABOUT BUDGET.
00:38:24.035 --> 00:38:26.871
THE AUTHORITY. THE IN
00:38:26.937 --> 00:38:27.805
COMPLAINTS ARE TO BE IN LARGE
00:38:27.872 --> 00:38:29.306
PART WILL NOT CHANGE SO COME
00:38:29.373 --> 00:38:30.875
LET ME KIND OF BREAK DOWN WHAT
00:38:30.941 --> 00:38:33.611
THAT MEANS A LITTLE BIT MORE-
00:38:33.678 --> 00:38:36.580
SO THE CENTER WILL STILL BE
00:38:36.647 --> 00:38:37.815
RESPONSIBLE TO DO YOU OVERSIGHT
00:38:37.882 --> 00:38:39.050
OVER STATE DEPARTMENT'S
00:38:39.116 --> 00:38:40.418
COMPLIANCE WITH THOSE HEALTH
00:38:40.484 --> 00:38:41.652
INFORMATION IT WAS THE LAWS
00:38:41.719 --> 00:38:44.488
THROUGHOUT TIRES SO THAT PEACE
00:38:44.555 --> 00:38:47.158
SAME WILL STILL CONTINUE TO
00:38:47.224 --> 00:38:50.661
PUBLISH MEDI POLICIES WILL
00:38:50.728 --> 00:38:52.763
CONTINUE TO DO TO. VIEWS AFTER
00:38:52.830 --> 00:38:54.965
THE BREACH UP THEM THAT HAVE
00:38:55.032 --> 00:38:57.735
THAT WOULD A REVIEW- BUT WE'RE
00:38:57.802 --> 00:39:00.538
MERGING THE TASKS THIRD OPPOSE
00:39:00.604 --> 00:39:02.640
BAND REQUIRED SINCE TWO
00:39:02.707 --> 00:39:03.374
THOUSAND THREE SO THERE'S BEEN
00:39:03.441 --> 00:39:04.809
A LITTLE BIT OF ACKNOWLEDGEMENT
00:39:04.875 --> 00:39:06.744
HERE THAT WE'VE HAD A LONG TIME
00:39:06.811 --> 00:39:08.412
TO COMPLETE I REALLY DOES MORE
00:39:08.479 --> 00:39:10.514
ABOUT FULL COMPLY OTHER THAN
00:39:10.581 --> 00:39:12.616
IMPLEMENTATION. SO WHAT WE DO
00:39:12.683 --> 00:39:14.318
IS WE THE FLEXIBILITY OF MOVING
00:39:14.385 --> 00:39:17.021
THOSE PROGRAMS IN CONSISTENT
00:39:17.088 --> 00:39:19.924
FORM WITH TYPE OF LEVEL OF
00:39:19.990 --> 00:39:22.159
COMPLIANCE THE STATE AND HIS
00:39:22.226 --> 00:39:26.130
HOUSE SO. YOUR PHONE ON. THE
00:39:26.197 --> 00:39:27.631
MANAGEMENT SORT OF STANDARD XIN
00:39:27.698 --> 00:39:29.667
OF THAT PIECE OF LOOKING AT
00:39:29.734 --> 00:39:31.335
TOOLS AND METHODOLOGIES THAT
00:39:31.402 --> 00:39:32.403
ARE HELPFUL FOR STATE
00:39:32.470 --> 00:39:34.171
DEPARTMENTS TO CONTINUE THEIR
00:39:34.238 --> 00:39:35.239
RESPONSIBILITIES THAT THEY
00:39:35.306 --> 00:39:37.708
ALREADY HAVE IN COMPLIANCE-
00:39:37.775 --> 00:39:40.745
FOCUSING ON WHAT VALUE WE CAN
00:39:40.811 --> 00:39:43.114
OUT THERE PROVIDING EDUCATION
00:39:43.180 --> 00:39:45.416
SO. THINGS IS MORE FRIENDS OF A
00:39:45.483 --> 00:39:46.784
RECOGNITION OF THE LEVEL OF
00:39:46.851 --> 00:39:48.919
COMPLAINTS AND MOVEMENT TOWARDS
00:39:48.986 --> 00:39:52.957
UP TRANSITION OF THAT. SO WITH
00:39:53.023 --> 00:39:54.792
RESPECT TO NUMBER FOUR-
00:39:54.859 --> 00:39:56.694
DESCRIBED WHAT BARRIERS OF
00:39:56.761 --> 00:39:58.362
SHARING OF THAT TO THE
00:39:58.429 --> 00:40:00.164
ADMINISTRATION IS IDENTIFIED
00:40:00.231 --> 00:40:01.298
THAT THE CENTER WOULD HELP
00:40:01.365 --> 00:40:04.535
MITIGATE SO- THERE'S BEEN A
00:40:04.602 --> 00:40:06.170
COUPLE OF STUDIES BY MEN THAT
00:40:06.237 --> 00:40:08.305
AS WELL AS THE NATIONAL
00:40:08.372 --> 00:40:09.173
COORDINATOR FOR HEALTH
00:40:09.240 --> 00:40:09.707
INFORMATION TECHNOLOGY THE
00:40:09.774 --> 00:40:11.609
FEDERAL SIDE NOT STUDY WAS ON
00:40:11.675 --> 00:40:14.078
CALIFORNIA THAT- REALLY ABOUT
00:40:14.145 --> 00:40:16.380
WHY ARE PEOPLE DOING
00:40:16.447 --> 00:40:18.082
INFORMATION BLOCKING IS THAT
00:40:18.149 --> 00:40:20.251
WHAT THE BARRIERS TODAY TO
00:40:20.317 --> 00:40:22.720
SHARE. AND TO PIECES FROM LOS
00:40:22.787 --> 00:40:25.356
DOWN FIVE AT ONE THERE'S CAN UP
00:40:25.422 --> 00:40:28.159
LAWS WHEN THEY UP WITH THE MEAN
00:40:28.225 --> 00:40:34.431
AND TO THERE IS A RISK CATION
00:40:34.498 --> 00:40:36.500
HAPPENING BECAUSE THERE'S A
00:40:36.567 --> 00:40:39.670
FEAR OF POTENTIAL LIGHT. WE DID
00:40:39.737 --> 00:40:41.438
A LOT OF THE ENGAGE. AT HELLO
00:40:41.505 --> 00:40:42.907
HI WHEN WE PUBLISH SOMETHING
00:40:42.973 --> 00:40:43.607
CALLED THE STATE HEALTH
00:40:43.674 --> 00:40:45.743
INFORMATION MANUAL FOR THE
00:40:45.810 --> 00:40:46.844
PRIVATE SECTOR AND COUNTIES.
00:40:46.911 --> 00:40:49.079
AND SO E HEARD A LOT OF
00:40:49.146 --> 00:40:50.447
STAKEHOLDERS THAT CLARIFICATION
00:40:50.514 --> 00:40:52.650
OF HOW CALIFORNIA LAW AND HOW
00:40:52.716 --> 00:40:55.085
FEDERAL LAW WORK TOGETHER. AND
00:40:55.152 --> 00:40:57.588
WHEN THEY APPLIED AND LOOKS
00:40:57.655 --> 00:40:59.757
LIKE TO ALSO BRING THOSE SORT
00:40:59.824 --> 00:41:02.159
OF STATE TO RECITE ENTITIES SO
00:41:02.226 --> 00:41:03.961
WE CAN STANDARDIZE LOOKS LIKE
00:41:04.028 --> 00:41:07.198
INTO. FIRST WE A TEST IN DOING
00:41:07.264 --> 00:41:09.300
HARPER CONCURRENT IN CARE. LET
00:41:09.366 --> 00:41:10.568
ME KIND OF GIVE YOU AN EXAMPLE
00:41:10.634 --> 00:41:13.170
OF WHAT I MEAN BY THE- ONE.
00:41:13.237 --> 00:41:15.039
THAT DOES PRESENTATION OF MORE
00:41:15.105 --> 00:41:16.407
OF PART. CHALLENGE WOULD BE
00:41:16.473 --> 00:41:19.043
SOMEONE WHO WOULD HAVE YOU KNOW
00:41:19.109 --> 00:41:21.745
NO HEALTHCARE COVER. COVERED BY
00:41:21.812 --> 00:41:23.848
THE CONFIDENTIALITY OF MEDICAL
00:41:23.914 --> 00:41:26.517
INFORMATION OCT FOR CALIFORNIA.
00:41:26.584 --> 00:41:30.554
IF THEY HAVE A MENTAL ILLNESS
00:41:30.621 --> 00:41:35.092
THEY'VE. ACT IF THEY HAVE SOME
00:41:35.159 --> 00:41:36.227
DEVELOPMENTAL DISABILITY
00:41:36.293 --> 00:41:37.962
SERVICES HISTORY THEN THEY'RE
00:41:38.028 --> 00:41:39.463
ALSO GOING TO BE COVERED BY THE
00:41:39.530 --> 00:41:40.664
LACK TO MEND DEVELOPMENTAL
00:41:40.731 --> 00:41:42.366
DISABILITY SERVICES ACT. IF
00:41:42.433 --> 00:41:44.668
THEY HAVE- SOME SUBSTANCE USE
00:41:44.735 --> 00:41:46.637
DISORDER HISTORY THAT THEY'RE
00:41:46.704 --> 00:41:48.272
ALSO VERY LIKELY GOING TO BE
00:41:48.339 --> 00:41:50.174
COVERED BY THE FEDERAL FORTY
00:41:50.241 --> 00:41:51.909
TWO CFR TWO PM THE STATE'S
00:41:51.976 --> 00:41:53.410
HEALTH AND SAFETY. SO THAT
00:41:53.477 --> 00:41:55.179
GIVES YOU A SUGGESTION OF LIKE
00:41:55.246 --> 00:41:56.614
HOW COMPLICATED THIS MIGHT BE.
00:41:56.680 --> 00:41:58.782
THE PERPETRATORS. PLANS AND A
00:41:58.849 --> 00:42:00.985
LOT INDUSTRY SERVICE PROVIDERS
00:42:01.051 --> 00:42:02.586
HAVE ASKED HEY COULD YOU PLEASE
00:42:02.653 --> 00:42:04.221
PROVIDE SOME CLARIFICATION OF
00:42:04.288 --> 00:42:05.990
HOW THESE AND TO RELATE HOW CAN
00:42:06.056 --> 00:42:07.224
I DO THIS WITHOUT VIOLATING THE
00:42:07.291 --> 00:42:09.493
LAW. IN THE PRO AND A YOU KNOW
00:42:09.560 --> 00:42:11.362
VALUABLE WAY FOR THE PATIENT.
00:42:11.428 --> 00:42:13.697
SO WE SEE THAT OUR VALUE TO
00:42:13.764 --> 00:42:16.800
BRING ON THIS WOULD BE TO
00:42:16.867 --> 00:42:17.902
IDENTIFY THOSE AREAS WHERE. OUR
00:42:17.968 --> 00:42:20.170
CONFUSION AND- NEEDING
00:42:20.237 --> 00:42:21.572
CLARIFICATION ON WHEN YOU CAN
00:42:21.639 --> 00:42:23.574
SHARE APPROPRIATELY UNLAWFULLY
00:42:23.641 --> 00:42:24.608
AND THE TO HELP PROVIDE THAT
00:42:24.675 --> 00:42:26.143
EDUCATION. TO CONTINUE
00:42:26.210 --> 00:42:28.212
PUBLISHING AND EXPANDING OUR
00:42:28.279 --> 00:42:29.280
GUIDANCE ON THAT FROM THE
00:42:29.346 --> 00:42:31.649
STATE'S PERSPECTIVE. AS WELL AS
00:42:31.715 --> 00:42:32.683
GO OUT AND PERFORM MORE
00:42:32.750 --> 00:42:34.952
ENGAGEMENT AND MORE EDUCATION
00:42:35.019 --> 00:42:35.853
WITH COUNTIES WITH LOCAL
00:42:35.920 --> 00:42:37.621
ENTITIES. AND WITH A PRIVATE
00:42:37.688 --> 00:42:41.091
SECTOR. AND NONPROFITS. OKAY
00:42:41.158 --> 00:42:43.661
THANK YOU HELLO COMMENTS. HELLO
00:42:43.727 --> 00:42:45.996
SONYA PETTITTE KALLIO- I WOULD
00:42:46.063 --> 00:42:47.998
NOTE THAT OUR OFFICE- TOOK A
00:42:48.065 --> 00:42:48.933
LOOK AT YOU KNOW THERE'S A
00:42:48.999 --> 00:42:50.534
NUMBER OF PROPOSALS ACROSS THE
00:42:50.601 --> 00:42:51.969
GOVERNOR'S BUDGET THAT WOULD
00:42:52.036 --> 00:42:53.771
EITHER REORGANIZED DEPARTMENTS
00:42:53.837 --> 00:42:57.274
ARE CONSOLIDATE PERMANENCE AND-
00:42:57.341 --> 00:43:00.878
THAT ANALYSIS- PROPOSED THAT
00:43:00.945 --> 00:43:03.080
THE QUESTIONS. THAT YOU WANT TO
00:43:03.147 --> 00:43:04.682
ASK WHEN THESE TYPE OF THINGS
00:43:04.748 --> 00:43:05.883
ARE PREPOSTEROUS YEAH THE
00:43:05.950 --> 00:43:06.884
PATIENTS BENEFIT IT'S DOES THIS
00:43:06.951 --> 00:43:09.353
AND A POLICY GOAL. REFLECT JUST
00:43:09.420 --> 00:43:12.823
LATER. AND WE WOULD NOTE THAT
00:43:12.890 --> 00:43:14.992
RELATIVE TO SOME OF THE OTHER
00:43:15.059 --> 00:43:20.297
PROPOSALS AND WINNERS BUDGET-
00:43:20.364 --> 00:43:22.666
THIS ONE. THE IN A FIT THANK
00:43:22.733 --> 00:43:23.434
PROBABLY OUTWEIGH THE I MEAN
00:43:23.500 --> 00:43:24.335
FOR OF ALL IT'S JUST IN DOLLAR
00:43:24.401 --> 00:43:27.838
IT'S COST NEUTRAL- THERE IS THE
00:43:27.905 --> 00:43:29.173
POTENTIAL ISSUE WITH THE
00:43:29.239 --> 00:43:31.108
REPORTING ON COMPLETE DATA BUT
00:43:31.175 --> 00:43:32.843
OTHERWISE I'M SOME OF THE
00:43:32.910 --> 00:43:34.845
POTENTIAL BENEFITS- WE ALSO
00:43:34.912 --> 00:43:36.780
THINK- REFLECTS LEGISLATIVE
00:43:36.847 --> 00:43:39.049
PRIORITIES IN TERMS OF BETTER
00:43:39.116 --> 00:43:41.151
COLLABORATE ACROSS THE
00:43:41.218 --> 00:43:43.787
DEPARTMENTS- AND OFFICES WITHIN
00:43:43.854 --> 00:43:45.990
HEALTH AND HUMAN. AGENCIES
00:43:46.056 --> 00:43:47.992
AGENCY. AND HOPING A BETTER
00:43:48.058 --> 00:43:50.094
UNDERSTANDING OF JUST HOW SOME
00:43:50.160 --> 00:43:52.963
OF THOSE- PROGRAMS NEED YOU
00:43:53.030 --> 00:43:54.331
KNOW WORK TOGETHER AND GETTING
00:43:54.398 --> 00:43:56.200
A BETTER SO. ABILITY TO
00:43:56.266 --> 00:43:58.102
LEVERAGE THE DATA ACROSS THOSE
00:43:58.168 --> 00:44:03.073
DEPARTMENTS. THANK YOU FINANCE
00:44:03.140 --> 00:44:05.909
THING TO AT THE END OKAY ALL
00:44:05.976 --> 00:44:10.114
RIGHT- I'VE READ SO- APPRECIATE
00:44:10.180 --> 00:44:13.884
THE LOOKING AT THIS IN YOUR
00:44:13.951 --> 00:44:15.586
OPINION ACTUALLY QUESTION
00:44:15.652 --> 00:44:18.022
ANOTHER QUESTION SO GIVEN THE
00:44:18.088 --> 00:44:18.455
NATURE OF THE STATE
00:44:18.522 --> 00:44:21.091
DEPARTMENT'S THOSE READING THIS
00:44:21.158 --> 00:44:24.061
IS A MERGER THE STREET THAT'S
00:44:24.128 --> 00:44:27.231
APARTMENT. I THE TITLE. CENTER
00:44:27.297 --> 00:44:28.065
FOR DATA INSIGHTS AND
00:44:28.132 --> 00:44:32.136
INNOVATION. YOU WANT BECAUSE IT
00:44:32.202 --> 00:44:35.372
DOESN'T SEEM TO FIT. ANY OF THE
00:44:35.439 --> 00:44:37.241
TASKS OF THE THREE AGENCIES
00:44:37.307 --> 00:44:38.742
THAT ARE BEING COMBINED TO FORM
00:44:38.809 --> 00:44:40.844
THIS IN FACT THE MAIN THRUST OF
00:44:40.911 --> 00:44:43.147
EACH OF THE AGENCIES IS NOT
00:44:43.213 --> 00:44:45.549
INSIDE INNOVATION I MEAN WITH
00:44:45.616 --> 00:44:46.817
LIKE INSIGHTS AND INNOVATION-
00:44:46.884 --> 00:44:49.186
BUT IT REALLY ISN'T OUT.
00:44:49.253 --> 00:44:53.624
PRIVACY AND PROTECTION AND
00:44:53.690 --> 00:44:56.026
ASSURING THAT PEOPLE YOU KNOW
00:44:56.093 --> 00:44:57.728
THAT THAT THAT'S NO PATIENT
00:44:57.795 --> 00:45:00.064
PROTECTION I MEAN THOSE TYPES
00:45:00.130 --> 00:45:01.965
OF THINGS YET THAT AND I DON'T
00:45:02.032 --> 00:45:04.701
AYE ENTITLES DO YOU KNOW IF
00:45:04.768 --> 00:45:06.403
YOUR WORK AND AGENCIES IN THE
00:45:06.470 --> 00:45:07.771
TITLE OF YOUR AGENCIES ACCESS
00:45:07.838 --> 00:45:10.474
THAT. THE FIGHT HELP CERTAINLY
00:45:10.541 --> 00:45:11.909
ONE ELEMENT TO HELP TO FIND THE
00:45:11.975 --> 00:45:15.212
CULTURE AND SEE. SO I MEAN I
00:45:15.279 --> 00:45:18.382
SEE CERTAIN BODY BEING A CENTER
00:45:18.449 --> 00:45:19.683
FOR DATE INSIGHTS INNOVATION IF
00:45:19.750 --> 00:45:21.518
YOU'RE SUPPOSED TO CRUNCH THESE
00:45:21.585 --> 00:45:23.520
AND FIND OUT CERTAIN PATTERNS
00:45:23.587 --> 00:45:25.589
AND SO FORTH. BUT I WOULD THINK
00:45:25.656 --> 00:45:27.825
THIS. ENTER KEY GIVEN THE
00:45:27.891 --> 00:45:29.359
AGENCIES THAT WE COMBINE TO
00:45:29.426 --> 00:45:31.061
FORM THIS SHOULD BE TALKING
00:45:31.128 --> 00:45:34.198
ABOUT. INTEGRITY AND PRIVACY
00:45:34.264 --> 00:45:36.567
AND SECURITY NOT INNOVATION AND
00:45:36.633 --> 00:45:37.901
INSIGHTS I MEAN NOT SEEN THAT
00:45:37.968 --> 00:45:40.537
THEY SHOULDN'T DO THAT BUT BUT
00:45:40.604 --> 00:45:43.607
THAT THAT SHOULD BE THERE IN
00:45:43.674 --> 00:45:44.241
THAT SHOULD. RIGHT THAT SHOULD
00:45:44.308 --> 00:45:45.142
BE THEIR MAIN THE PEOPLE GO TO
00:45:45.209 --> 00:45:47.144
WORK THERE'S- A STICKY PEOPLE
00:45:47.211 --> 00:45:48.946
PROTECTOR DATA RIGHT BE SURE
00:45:49.012 --> 00:45:50.581
THAT THEIR PRIVACY IS PROTECTED
00:45:50.647 --> 00:45:52.449
BECAUSE WE HAVE DIFFERENT ALL
00:45:52.516 --> 00:45:54.852
THE MULTIPLE LAWS RAIDS YOU
00:45:54.918 --> 00:45:55.552
MENTIONED RIGHT. THAT FOR OUR
00:45:55.619 --> 00:45:57.354
JOB IS TO BE FOR PATIENTS WHAT
00:45:57.421 --> 00:45:59.590
THEY HAVE COMPLIANCE- LEVERED
00:45:59.656 --> 00:46:01.758
AT- WE'RE WE'RE WE'RE LOOKING
00:46:01.825 --> 00:46:03.694
AT THE PATTERNS O BE SURE THAT
00:46:03.760 --> 00:46:04.328
THE AND THAT THAT WERE DRESSING
00:46:04.394 --> 00:46:06.330
THE ISSUES THAT PATIENTS ARE
00:46:06.396 --> 00:46:07.297
RAPING WITH. PLAN ARE TYPES OF
00:46:07.364 --> 00:46:13.237
THINGS RIGHT. STATION THAT. FOR
00:46:13.303 --> 00:46:14.304
WELL IT OLD OFFICE HELD IN.
00:46:14.371 --> 00:46:16.507
INTEGRITY RIGHT. SO AGAIN I
00:46:16.573 --> 00:46:18.075
SORT OF FEEL LIKE WE'VE LOST
00:46:18.142 --> 00:46:19.776
THE PURPOSES OF THE THREE
00:46:19.843 --> 00:46:21.111
AGENCIES THAT WE PUT TOGETHER
00:46:21.178 --> 00:46:22.946
EVEN IN THE TITLE SO CAN YOU.
00:46:23.013 --> 00:46:25.215
TALK TO ME ABOUT THAT ONE
00:46:25.282 --> 00:46:28.752
ABSOLUTELY. SO BE THERE'S SORT
00:46:28.819 --> 00:46:30.154
OF A SHORT TERM. NEED FOR
00:46:30.220 --> 00:46:33.023
EVOLUTION AND- SOME BUILDING
00:46:33.090 --> 00:46:34.525
AND THEN A LONG TERM VISION FOR
00:46:34.591 --> 00:46:36.026
WHERE WE WANT TO GO AND THE
00:46:36.093 --> 00:46:37.694
TITLE REALLY REFLECTS MORE OF A
00:46:37.761 --> 00:46:39.229
LONG TERM VISION OF WHERE WE
00:46:39.296 --> 00:46:40.697
WANT TO GO. BEFORE YOU CAN
00:46:40.764 --> 00:46:42.166
REALLY START DOING SOME OF THE
00:46:42.232 --> 00:46:43.267
THINGS THAT YOU MENTIONED AS
00:46:43.333 --> 00:46:45.669
WHAT YOU WOULD EXPECT WITH THAT
00:46:45.736 --> 00:46:47.905
TITLE. RELEASE START WITH THE
00:46:47.971 --> 00:46:49.039
MEN AND WOMEN'S AND SORT OF
00:46:49.106 --> 00:46:50.674
STANDARDIZED THAT THROUGHOUT
00:46:50.741 --> 00:46:51.808
THE ENTIRE HEALTH AND HUMAN
00:46:51.875 --> 00:46:53.544
SERVICES AGENCY. THEN ONCE WE
00:46:53.610 --> 00:46:56.547
SET. RULES AROUND WHAT
00:46:56.613 --> 00:46:58.081
COLLECTION LOOKS LIKE DATA
00:46:58.148 --> 00:47:00.918
DICTIONARY- ALL THOSE PIECES.
00:47:00.984 --> 00:47:02.753
ONCE WE UNDERSTAND EACH OTHER'S
00:47:02.819 --> 00:47:04.121
DATA WHAT IT MEANS WILL HAVE A
00:47:04.188 --> 00:47:05.923
BETTER OPPORTUNITY OF. TAKING
00:47:05.989 --> 00:47:08.158
USE CASES AND COMPARING APPLES
00:47:08.225 --> 00:47:09.760
TO APPLES INSTEAD OF APPLES TO
00:47:09.826 --> 00:47:11.628
ORANGES. AND THEY'D BE ABLE TO
00:47:11.695 --> 00:47:13.030
LOOK THROUGH THAT. AND DO THAT
00:47:13.096 --> 00:47:15.032
KIND OF ANALYTICAL WORK. SO
00:47:15.098 --> 00:47:17.734
THERE. WE ARE LOOKING TO SEE
00:47:17.801 --> 00:47:19.269
WHAT WE CAN DO WITH RESPECT TO
00:47:19.336 --> 00:47:21.438
YOU. HOW WE CAN BETTER USE OUR
00:47:21.505 --> 00:47:23.507
DATA AND BETTER INFORMED THE
00:47:23.574 --> 00:47:24.575
DEPARTMENTS THAT ARE USING
00:47:24.641 --> 00:47:26.176
THEIR DATA ON HOW TO MAKE THEIR
00:47:26.243 --> 00:47:27.477
PROGRAMS MORE EFFECTIVE AND
00:47:27.544 --> 00:47:29.580
IMPROVE SERVICES. SO ONE OF THE
00:47:29.646 --> 00:47:32.816
VISION THAT WE HAVE ISSUE. TO
00:47:32.883 --> 00:47:34.351
MOVE THIS TOWARDS. PULLING THAT
00:47:34.418 --> 00:47:35.719
INFORMATION FROM AN AGENCY
00:47:35.786 --> 00:47:37.654
PERSPECTIVE SO FOR EXAMPLE.
00:47:37.721 --> 00:47:39.189
DEPARTMENTS ARE AWARE OF WHO AT
00:47:39.256 --> 00:47:40.657
WHO'S AT HIGHER RISK WITHIN
00:47:40.724 --> 00:47:42.759
THEIR OWN DEPARTMENT. BUT AS AN
00:47:42.826 --> 00:47:44.361
AGENCY WE'RE NOT ENTIRELY SURE
00:47:44.428 --> 00:47:46.096
WHO'S AT HIGHER RISK WITHIN. AS
00:47:46.163 --> 00:47:50.067
IN. E. PERSPECTIVE OVER THE
00:47:50.133 --> 00:47:52.970
SCOPE OF ALL OF OUR PROGRAM.
00:47:53.036 --> 00:47:54.938
AND SO. A BETTER UNDERSTANDING
00:47:55.005 --> 00:47:56.640
AND WILL PROBABLY HAVE IT BASED
00:47:56.707 --> 00:47:59.509
ON SOME USE CASES. WHO IS AT
00:47:59.576 --> 00:48:00.811
RISK THROUGHOUT ALL OF THE
00:48:00.877 --> 00:48:02.045
PROGRAMS IN A MORE HOLISTIC
00:48:02.112 --> 00:48:04.281
RISK RESPONSE. SO THAT WE CAN
00:48:04.348 --> 00:48:05.349
REPORT BACK TO THOSE
00:48:05.415 --> 00:48:06.450
DEPARTMENTS AND PROVIDE BETTER
00:48:06.516 --> 00:48:08.352
SERVICES LOOK TO SEE WHICH
00:48:08.418 --> 00:48:10.287
POPULATIONS ARE UNDERSERVED
00:48:10.354 --> 00:48:11.788
WHICH RESOURCES NEED TO BE
00:48:11.855 --> 00:48:13.790
ADDED TO CERTAIN. PROGRAMS TO
00:48:13.857 --> 00:48:15.659
HELP SERVE THOSE FOLKS ADD TO
00:48:15.726 --> 00:48:16.660
BETTER YOU KNOW PROVIDE
00:48:16.727 --> 00:48:18.328
EFFICACY AND EFFICIENCY
00:48:18.395 --> 00:48:20.097
THROUGHOUT. AND ALSO AS
00:48:20.163 --> 00:48:21.098
JENNIFER MENTIONED HEALTH AND
00:48:21.164 --> 00:48:22.466
HUMAN SERVICES DATED THAT'S
00:48:22.532 --> 00:48:24.268
DATA RICH WHEN WE HAVE A LOT OF
00:48:24.334 --> 00:48:25.002
DATA ACROSS ALL THE
00:48:25.068 --> 00:48:26.169
DEPARTMENTS. AND ONE OF THE
00:48:26.236 --> 00:48:28.672
VISION THAT IN THE FUTURE AN
00:48:28.739 --> 00:48:29.706
ANALYST IN ONE OF THE
00:48:29.773 --> 00:48:31.608
DEPARTMENTS CAN TAP INTO OUR
00:48:31.675 --> 00:48:33.143
DATA AND SOME TYPE OF THE
00:48:33.210 --> 00:48:37.414
PORTAL OR SEARCH DATA. AND MAKE
00:48:37.481 --> 00:48:42.119
IT INTO ASSISTANCE IT THAT'S
00:48:42.185 --> 00:48:43.954
ONE TERM. WELL WE TAKE OUR
00:48:44.021 --> 00:48:44.521
HOUSE AND TAKE CARE OF THE
00:48:44.588 --> 00:48:45.722
POLICY ISSUES OF THE WORK. WE
00:48:45.789 --> 00:48:49.826
DO. DOING WELL BUT EXT AND- SO
00:48:49.893 --> 00:48:50.761
IT'S A LOT TERM VISION WHICH
00:48:50.827 --> 00:48:52.062
WOULD LEAD TO THE NEED. THE NEW
00:48:52.129 --> 00:48:57.334
NAME A NEW BRANDING OKAY SO.
00:48:57.401 --> 00:48:58.902
BUT I'M GONNA BECAUSE THIS COST.
00:48:58.969 --> 00:49:00.937
OKAY SO OF THE GUY. RIGHT
00:49:01.004 --> 00:49:01.705
NINETEEN NINETY HEALTH SERVICES.
00:49:01.772 --> 00:49:03.874
FOR FACT CD. I ALSO EVEN IN
00:49:03.940 --> 00:49:05.375
LEGISLATURE I AUTHOR BUILD OPEN
00:49:05.442 --> 00:49:08.545
DATA RIGHT SO I AM A BIG
00:49:08.612 --> 00:49:10.747
BELIEVER IN THE POWER OF DATA I
00:49:10.814 --> 00:49:13.583
ALSO- THE QUESTION I HAVE IS
00:49:13.650 --> 00:49:17.020
THAT- LEAST CERTAINLY. NEED AND
00:49:17.087 --> 00:49:18.288
CAN USE FOR BASED ON YOUR
00:49:18.355 --> 00:49:19.956
EXPLANATION I AGREE THAT WE
00:49:20.023 --> 00:49:21.992
COULD USE AND A CENTER FOR DATA
00:49:22.059 --> 00:49:23.193
INSIGHTS AND INNOVATION DATE
00:49:23.260 --> 00:49:24.695
THAT I POINTED OUT THAT'S NOT
00:49:24.761 --> 00:49:26.863
THAT'S NOT IN QUESTION THAT WE
00:49:26.930 --> 00:49:27.864
SHOULD NOT WE HAVE A LOT OF
00:49:27.931 --> 00:49:29.599
DATA. WE SHOULD MAKE IT
00:49:29.666 --> 00:49:31.201
AVAILABLE WE ARE ANALYTICAL
00:49:31.268 --> 00:49:33.136
CAPACITY TO ANALYZE THE DATA
00:49:33.203 --> 00:49:35.205
WITHIN THE STATE IS PROBABLY IT
00:49:35.272 --> 00:49:36.540
DOWN GIVEN THE AMOUNT OF DATA
00:49:36.606 --> 00:49:39.109
WE HAVE IS. IT YOU KNOW COULD
00:49:39.176 --> 00:49:39.843
BE EXPANDED I THINK THERE'S
00:49:39.910 --> 00:49:43.146
ALSO- AND WHAT IS THAT AGAIN
00:49:43.213 --> 00:49:49.753
PROTECT PRIVACY FOR THEM SURE
00:49:49.820 --> 00:49:53.123
ALSO THEIR SECTORS. OKAY ALSO
00:49:53.190 --> 00:49:55.959
THE- BENEFIT. MARKS IN A WAY
00:49:56.026 --> 00:49:57.394
THAT IS SO THAT IT'S NOT ONLY
00:49:57.461 --> 00:49:59.730
THE STATE BUT OTHERS CAN CAN
00:49:59.796 --> 00:50:01.998
CAN- IT CAN YOU APPLY IT TO
00:50:02.065 --> 00:50:03.934
HELP BENEFIT YOU KNOW- THE
00:50:04.000 --> 00:50:05.902
PEOPLE CALIFORNIA AND
00:50:05.969 --> 00:50:08.505
INDIVIDUALS AND SO FORTH. MY
00:50:08.572 --> 00:50:10.574
QUESTION IS THAT THE AGENCIES
00:50:10.640 --> 00:50:11.708
THAT WE PUT TOGETHER AND
00:50:11.775 --> 00:50:13.110
CERTAINLY YOU KNOW THEY HAVE
00:50:13.176 --> 00:50:15.645
HALF TO THEY HAVE SOME-
00:50:15.712 --> 00:50:17.647
INSIGHTS IN THIS BUT THEY THESE
00:50:17.714 --> 00:50:20.016
FUNCTIONS. HE IS ALMOST THE
00:50:20.083 --> 00:50:22.219
COUNTER BALANCE OKAY SO YES WE
00:50:22.285 --> 00:50:23.720
HAVE ONE AGENCY THAT'S FIGURE
00:50:23.787 --> 00:50:25.555
HOW HE PUSHED IT OUT BUT I ALSO
00:50:25.622 --> 00:50:27.791
WANT AN AGENCY THAT'S AS- YOU
00:50:27.858 --> 00:50:29.760
KNOW IT BECAUSE- BUT TIMES LIKE
00:50:29.826 --> 00:50:31.595
A BIG DATA WE CAN LOOK AT ALL
00:50:31.661 --> 00:50:32.262
THE WONDERFUL THINGS WE CAN
00:50:32.329 --> 00:50:33.964
USE. BUT WE NEED TO ASSIST. YOU
00:50:34.030 --> 00:50:36.032
HAVE GREAT YOU WANT TO DO THIS
00:50:36.099 --> 00:50:39.236
BUT FIRST STEP IS THAT. IN
00:50:39.302 --> 00:50:40.437
ORDER TO RETAIN THE PUBLIC
00:50:40.504 --> 00:50:43.573
TRUST. INCOMPETENCE WE ALSO
00:50:43.640 --> 00:50:45.375
NEED PEOPLE WHOSE PRIMARY JOB
00:50:45.442 --> 00:50:46.676
IS SAY YOU KNOW WHAT BUT WE
00:50:46.743 --> 00:50:51.181
CAN'T DO IN A WAY THAT. THAT
00:50:51.248 --> 00:50:52.516
BASICALLY PEOPLE FEEL LIKE TO
00:50:52.582 --> 00:50:54.551
PRIVACY IS BEEN EXPOSED ANOTHER
00:50:54.618 --> 00:50:55.585
THING SO YOU TALK ABOUT SOMEONE
00:50:55.652 --> 00:50:57.187
WHO HAS MULTIPLE THE RATE AND
00:50:57.254 --> 00:50:59.689
THEIR INTERFACING ETCETERA AND
00:50:59.756 --> 00:51:00.991
YES THEY NEED HELP AND WE NEED
00:51:01.057 --> 00:51:02.325
TO FIGURE OUT HOW TO BETTER
00:51:02.392 --> 00:51:04.027
DELIVER CARE TO LIMóN PART IS
00:51:04.094 --> 00:51:05.429
TRYING TO PUT ALL THESE PIECES
00:51:05.495 --> 00:51:06.596
TOGETHER BUT WE NEED SOMEONE
00:51:06.663 --> 00:51:08.932
SAYS. BUT IT'S- GREAT WE'RE DO
00:51:08.999 --> 00:51:10.267
THIS AND EVEN LIKE HERE'S HOW
00:51:10.333 --> 00:51:11.601
THE LAWS SAY BUT THE REASON WE
00:51:11.668 --> 00:51:13.603
SAY HERE'S WHILE THE LHASA IT.
00:51:13.670 --> 00:51:14.938
THEY'LL LET YOU DO THIS OR WHAT
00:51:15.005 --> 00:51:17.073
X. Y. OR Z. IS ALSO THERE PART
00:51:17.140 --> 00:51:18.475
OF THEIR JOB TO SAY. YOU REALLY
00:51:18.542 --> 00:51:19.943
OUGHT TO THINK TWICE ABOUT
00:51:20.010 --> 00:51:21.678
WHETHER YOU REALLY WANT EVEN DO
00:51:21.745 --> 00:51:24.247
SOMETHING BECAUSE- THAT IF IT.
00:51:24.314 --> 00:51:25.682
THAT MAY LEAD TO A DATA BREACH
00:51:25.749 --> 00:51:27.250
ARE WRITTEN REVELATION OF
00:51:27.317 --> 00:51:28.618
CERTAIN THINGS RIGHT SO EVEN.
00:51:28.685 --> 00:51:32.989
IN WHAT WE CALL. THE INDEMNIFY
00:51:33.056 --> 00:51:33.490
DATA. IF YOU HAVE ENOUGH
00:51:33.557 --> 00:51:34.825
ELEMENTS YOU CAN GO BACK AND
00:51:34.891 --> 00:51:37.794
RECONSTRUCT. STRAIGHT AND SO IN
00:51:37.861 --> 00:51:39.863
THE A THROUGH Z. AS IN TO TRY
00:51:39.930 --> 00:51:41.298
TO YOU KNOW AND IT AND IT AND
00:51:41.364 --> 00:51:43.433
TRY TO PUT THE DATA TOGETHER TO
00:51:43.500 --> 00:51:44.201
DO THE INSIGHTS TO HELP PEOPLE.
00:51:44.267 --> 00:51:46.536
SOMETIMES THOUGH OLD MAY ALSO
00:51:46.603 --> 00:51:50.574
NOT BE IS SENSITIVE TO. BE WELL
00:51:50.640 --> 00:51:52.509
IT IS TO DO SOMETHING GOOD BUT
00:51:52.576 --> 00:51:55.145
ALSO PUT CERTAIN THINGS AT RISK
00:51:55.212 --> 00:51:57.647
IN TERMS OF PRIVACY AND OTHER
00:51:57.714 --> 00:52:00.383
TYPES OF THINGS. AND AS- ABOUT
00:52:00.450 --> 00:52:01.518
PUTTING EVERYBODY IN THE SAME
00:52:01.585 --> 00:52:05.055
HOUSE. EIGHT BECAUSE IT HAPPENS
00:52:05.121 --> 00:52:06.356
IS THAT IF YOUR MAIN MISSION OF
00:52:06.423 --> 00:52:08.191
THIS AGENCY IS TO DO INSIGHTS
00:52:08.258 --> 00:52:10.327
AND INNOVATION. AND YOU PUT THE
00:52:10.393 --> 00:52:12.095
PEOPLE WHO HAVE TO SAY WE WORRY
00:52:12.162 --> 00:52:14.364
ABOUT THE STUFF. UNDER NEED
00:52:14.431 --> 00:52:16.233
THEM AND THE ONLY PEOPLE THEY
00:52:16.299 --> 00:52:17.667
CAN TELL IS THE PERSON THE
00:52:17.734 --> 00:52:19.302
PERSON SAYS I NOR YOUR VICE
00:52:19.369 --> 00:52:20.036
BECAUSE I'M MORE ENTHUSIASTIC
00:52:20.103 --> 00:52:22.105
ABOUT ACTS. AND THEY DON'T HAVE
00:52:22.172 --> 00:52:23.874
A SEPARATE YOU KNOW THAT THE
00:52:23.940 --> 00:52:25.175
EIGHTY EIGHT IFS ARE PROTECTED
00:52:25.242 --> 00:52:26.810
OR SEPARATE ROLE THAN WE COULD
00:52:26.877 --> 00:52:27.878
PROBLEMS CAN AND THEN OF COURSE
00:52:27.944 --> 00:52:30.647
ONCE. ONCE UP LIKE THAT HAPPENS
00:52:30.714 --> 00:52:32.749
AND YOU LOSE THE PUBLIC TRUST.
00:52:32.816 --> 00:52:35.318
DELETED THIS GO AWAY RIGHT
00:52:35.385 --> 00:52:36.086
WE'RE GONNA BE HERE TALKING
00:52:36.152 --> 00:52:37.087
ABOUT LOSS TO TELL YOU THE NO
00:52:37.153 --> 00:52:39.322
NO NO STOP STOP STOP EIGHT AND
00:52:39.389 --> 00:52:40.957
PEOPLE ARE NERVOUS BECAUSE READ
00:52:41.024 --> 00:52:43.827
STORIES ABOUT- YOU KNOW. THESE
00:52:43.894 --> 00:52:45.662
TECH COMPANY THEY WANT TO GET
00:52:45.729 --> 00:52:46.663
ACCESS TO MEDICAL RECORDS OF
00:52:46.730 --> 00:52:48.798
HOSPITAL A MASK THESE LARGE.
00:52:48.865 --> 00:52:51.001
RECORD IS THE WORK MISSING BUT
00:52:51.067 --> 00:52:54.538
TO MOUNT RECORDS IS THAT ARE IN
00:52:54.604 --> 00:52:59.309
AS. WELL AND YOU KNOW THERE. SO
00:52:59.376 --> 00:53:00.544
THERE'S TYSON HAD THE- MONEY TO
00:53:00.610 --> 00:53:05.081
BE THERE TO. AND SO. YES THE
00:53:05.148 --> 00:53:05.715
QUESTION I HAVE IS THE AGE WITH
00:53:05.782 --> 00:53:08.985
THE I DO WONDER WHETHER THEY
00:53:09.052 --> 00:53:11.588
SHOULD HAVE SOME SEPARATION
00:53:11.655 --> 00:53:13.623
FROM THE PEOPLE WHO ARE DOING
00:53:13.690 --> 00:53:15.025
THE INSIGHTS AND INNOVATION AND
00:53:15.091 --> 00:53:15.992
OFF OF THAT THEY CAN PLAY THEIR
00:53:16.059 --> 00:53:17.761
OVERSIGHT ROLE IN ADVISING ON
00:53:17.827 --> 00:53:19.529
THE NEED TO ADVISE DANY IN BUT
00:53:19.596 --> 00:53:21.464
THEY ALSO NEED TO KNOW THAT.
00:53:21.531 --> 00:53:24.568
THEY ARE NOT SUBJECT TO. I IS
00:53:24.634 --> 00:53:26.469
DIRECTOR OF THIS AGENCY IS
00:53:26.536 --> 00:53:27.637
GONNA SAY WELL YOU KNOW WHAT MY
00:53:27.704 --> 00:53:29.439
JOB IS INNOVATION AND INSIGHTS.
00:53:29.506 --> 00:53:31.341
AND SO YOU GUYS ARE CAN YOU
00:53:31.408 --> 00:53:33.076
STOP INTERFERING YOU KNOW
00:53:33.143 --> 00:53:35.011
TELLING US DON'T DO STUFF.
00:53:35.078 --> 00:53:36.179
EIGHTY GET WITH ANY DENTIST I
00:53:36.246 --> 00:53:37.380
ITEM NO THAT'S NOT YOUR
00:53:37.447 --> 00:53:39.916
INTENTION. I JUST ALSO WANT TO
00:53:39.983 --> 00:53:40.717
BE CAUTIOUS BECAUSE THESE THAT
00:53:40.784 --> 00:53:43.019
WE CREATE THAT WAS AROUND WE
00:53:43.086 --> 00:53:44.387
TREAT. THE PATIENT ADVOCATE
00:53:44.454 --> 00:53:46.423
RATE IN THE IT WAS CENTER. ME
00:53:46.489 --> 00:53:48.892
THAT RIGHT AND HAD TO DEAL WITH
00:53:48.959 --> 00:53:51.127
THE SOME OF THE S. AND IN SOME
00:53:51.194 --> 00:53:53.897
OF THESE PRIZE ISSUE AND I WILL
00:53:53.964 --> 00:53:55.532
BE SURE THOSE FUNCTIONS ARE
00:53:55.599 --> 00:53:59.402
DONE. WAY AT. THANKS FOR IT
00:53:59.469 --> 00:54:01.137
ALSO THE PEOPLE WHO DO THAT
00:54:01.204 --> 00:54:01.738
HAVE A VERY CLEAR IDEA THEIR
00:54:01.805 --> 00:54:03.006
JOB IS NOT TO IN A THAT THEIR
00:54:03.073 --> 00:54:05.141
JOB IS TO BE SURE YOUR FIRST
00:54:05.208 --> 00:54:08.878
PRIORITY IS TO BE SURE TO GIVE
00:54:08.945 --> 00:54:09.546
GOOD ADVICE TO PROTECT PEOPLE'S
00:54:09.613 --> 00:54:11.414
PRIVACY BECAUSE ONCE WE STORY
00:54:11.481 --> 00:54:13.883
AGAIN. I'VE CI INTENT BECAUSE
00:54:13.950 --> 00:54:16.519
WE SOME BIG THEY'RE SAYING.
00:54:16.586 --> 00:54:17.153
WHICH OBVIOUSLY WAS THE FOR THE
00:54:17.220 --> 00:54:18.455
RIGHT REASONS AND RATING. AND
00:54:18.521 --> 00:54:20.190
ASSUME THAT. BUT YET BECAUSE
00:54:20.256 --> 00:54:23.159
THE PROBLEM. THEN WE HAVE A
00:54:23.226 --> 00:54:23.960
THEN WE HAVE A BIGGER PROBLEM
00:54:24.027 --> 00:54:25.895
OUR HANDS RATE AND SO I WOULD
00:54:25.962 --> 00:54:28.999
BE CAUTIOUS WE STRUCTURE OUR-
00:54:29.065 --> 00:54:29.733
THE BUREAUCRACY BAR
00:54:29.799 --> 00:54:31.468
ORGANIZATIONS IN A WAY THAT WE
00:54:31.534 --> 00:54:33.303
HAVE THE RIGHT BALANCE. THERE
00:54:33.370 --> 00:54:35.505
SO THAT TO THE RIGHT DECISIONS
00:54:35.572 --> 00:54:36.573
ARE MADE BY THE PEOPLE WHO
00:54:36.640 --> 00:54:38.608
FINALLY MAKE POLICY DECISIONS.
00:54:38.675 --> 00:54:40.410
SO TO KIND OF SPEAK A LITTLE
00:54:40.477 --> 00:54:41.711
BIT TO THAT AND I'M HOPING THAT
00:54:41.778 --> 00:54:43.213
THIS WILL HELP. PROVIDE A
00:54:43.279 --> 00:54:46.950
LITTLE BIT MORE- RETURNS- OF
00:54:47.017 --> 00:54:48.918
SOME OF THE FIRST. SET MAYBE
00:54:48.985 --> 00:54:49.719
TACKLING ARE EXACTLY THAT
00:54:49.786 --> 00:54:54.157
GOVERNMENT PEACE. OF SO. CENTER
00:54:54.224 --> 00:54:56.126
OF IS. NOT JUST SORT OF DOING
00:54:56.192 --> 00:54:56.960
THE MANAGED PORTION BUT ALSO
00:54:57.027 --> 00:54:58.695
SETTING THE RULES AROUND IT.
00:54:58.762 --> 00:55:00.830
AND TO BE VERY VERY CLEAR THERE
00:55:00.897 --> 00:55:03.266
IS NO INTENTION HERE OF
00:55:03.333 --> 00:55:06.102
VIOLATING ANY. GREAT YEAH I
00:55:06.169 --> 00:55:07.137
YEAH. BUT EVERY DAY THERE'S NO
00:55:07.203 --> 00:55:09.506
IMPLICATION THAT THAT DESIRE
00:55:09.572 --> 00:55:11.441
BACK YOU TRY THE IN THIS
00:55:11.508 --> 00:55:13.009
ACCIDENT. SO IT'S SORT OF OPEN
00:55:13.076 --> 00:55:14.310
THE FLOODGATES IN A LOT OF
00:55:14.377 --> 00:55:16.346
PROGRAMS UP HAVE A LOT OF
00:55:16.413 --> 00:55:18.214
SPECIAL RULES AROUND WHEN YOU
00:55:18.281 --> 00:55:19.949
CAN COMBINE THAT INFORMATION
00:55:20.016 --> 00:55:21.918
WITH OTHERS SO THERE ARE TIMES
00:55:21.985 --> 00:55:22.919
WHEN A PROGRAM WILL HELP. DO
00:55:22.986 --> 00:55:24.454
YOU ACTUAL ANALYSIS BECAUSE
00:55:24.521 --> 00:55:25.722
THEY CANNOT RELEASE THAT
00:55:25.789 --> 00:55:29.325
INFORMATION TO ANY OTHER
00:55:29.392 --> 00:55:29.926
ORGANIZATION BUT SENT ME CAN'T
00:55:29.993 --> 00:55:32.062
PROVIDE I'M WAS DAY. THEY DO
00:55:32.128 --> 00:55:35.598
THE EN EL SEND THAT AND- WHAT
00:55:35.665 --> 00:55:36.266
THAT LOOKS LIKE THAT WE LOOK TO
00:55:36.332 --> 00:55:37.901
FOR EFFICIENT. AND YOU KNOW AND
00:55:37.967 --> 00:55:39.369
PROVIDE BETTER SERVICES AND
00:55:39.436 --> 00:55:42.372
IMPROVE THAT- BUT I WANTED TO
00:55:42.439 --> 00:55:44.908
LET YOU KNOW THAT WERE. MORE
00:55:44.974 --> 00:55:46.109
NOT DOING THIS WITHOUT RULES
00:55:46.176 --> 00:55:48.678
AROUND HOW THAT LOOKS. AROUND
00:55:48.745 --> 00:55:51.448
SHARING PORTION OF IT THEY HAVE
00:55:51.514 --> 00:55:53.583
TO BE VERY CAREFUL A WELL
00:55:53.650 --> 00:55:55.218
THOUGHT OUT UP. WITH THEY CALL
00:55:55.285 --> 00:55:56.986
ME THROW OVER TO PART NOT SURE
00:55:57.053 --> 00:55:59.289
THE CENTER ON ITS OWN BECAUSE
00:55:59.355 --> 00:56:00.256
THOSE. THOSE DEPARTMENTS HAVE
00:56:00.323 --> 00:56:03.760
A- SPECIFIC LAW. APPLIED TO
00:56:03.827 --> 00:56:06.696
VARIOUS PROGRAMS ALONG WITH
00:56:06.763 --> 00:56:10.300
REGULATIONS AND WE NEED TO BE
00:56:10.366 --> 00:56:14.204
PRESENT THOSE TO RECEIVE. THOSE
00:56:14.270 --> 00:56:21.778
SO THAT IT CALLED. IS TO ENSURE
00:56:21.845 --> 00:56:23.813
THAT THAT THEY WERE DOING THIS
00:56:23.880 --> 00:56:25.782
IN AN APPROPRIATE FASHION AND
00:56:25.849 --> 00:56:27.417
WE ABSOLUTELY WANT TO DO THIS
00:56:27.484 --> 00:56:29.085
IN AN APPROPRIATE FASHION WE DO
00:56:29.152 --> 00:56:31.121
NOT WANT TO LOSE THE PUBLIC
00:56:31.187 --> 00:56:32.922
TRUST EITHER YEAH AND I KNOW
00:56:32.989 --> 00:56:36.126
THAT AND SO I GUESS. THE ONE OF
00:56:36.192 --> 00:56:39.062
THE MY COST IS THAT SIR OFF TO
00:56:39.129 --> 00:56:43.500
COME THE TITLE IS IT STRIPS SO
00:56:43.566 --> 00:56:47.303
IS WHAT. THE CULTURE WILL.
00:56:47.370 --> 00:56:50.039
RIGHT AT THAT I KNOW ALL YOUR-
00:56:50.106 --> 00:56:53.777
ARE RIGHT. IN THE STATE BUT
00:56:53.843 --> 00:56:55.345
THIS THAT THE FIRST STAB AT
00:56:55.411 --> 00:56:57.147
CULTURE IS THE TO RIGHT OF THE
00:56:57.213 --> 00:56:58.281
GIVING THE STATE IN YOUR
00:56:58.348 --> 00:57:00.617
PUTTING. IN SO FORTH AND SO I
00:57:00.683 --> 00:57:02.218
SAYS CAUTION RIGHT AND HOPEFUL
00:57:02.285 --> 00:57:03.319
WE SHOULD THINK THIS THROUGH
00:57:03.386 --> 00:57:07.290
BIT ABOUT DOCTOR STATE'S JUST
00:57:07.357 --> 00:57:11.828
DOWN TO. IN HELPING KASHA BUT
00:57:11.895 --> 00:57:15.098
CANCER OF THE REAL ISSUE BE.
00:57:15.165 --> 00:57:16.466
NOW THESE EIGHT THREE AGENCIES
00:57:16.533 --> 00:57:17.801
THAT WERE MERGING INTO THISHOW
00:57:17.867 --> 00:57:19.402
HOW THEY WILL THEN SIT IN THE
00:57:19.469 --> 00:57:20.804
OFFICE WHICH WILL BE MORE TO
00:57:20.870 --> 00:57:27.744
THOSE THREE AS- IT. A POOR ONE
00:57:27.811 --> 00:57:31.314
THAT IS AT THE- TERM GEN. SO WE
00:57:31.381 --> 00:57:34.984
KIND OF. SURE WERE SET THEIR
00:57:35.051 --> 00:57:37.120
OBVIOUS THAT CULTURE. AND BY
00:57:37.187 --> 00:57:38.888
THE FEW DIRECTOR AND PEOPLE WHO
00:57:38.955 --> 00:57:41.991
SERVE IN THAT SAID BUT YEAH
00:57:42.058 --> 00:57:42.859
WE'RE SORT OF TOOK THE FOR STAB
00:57:42.926 --> 00:57:45.161
BY A THIRTEEN THE TITLE I WANT.
00:57:45.228 --> 00:57:46.462
OF ABOUT TITLE BY REALLY IS
00:57:46.529 --> 00:57:47.831
LIKE AND THEN THE ROLE OF THE
00:57:47.897 --> 00:57:49.732
P. WHO DO. BECAUSE ARE THE
00:57:49.799 --> 00:57:51.568
FIRST PEOPLE ARE THEIR YEAH ON
00:57:51.634 --> 00:57:53.670
TUESDAY HAS BEEN AN WILL NEED
00:57:53.736 --> 00:57:56.539
TO BE BUT OF THAT THEY'RE VERY
00:57:56.606 --> 00:58:00.310
CLOSE THEY STAND THEIR JOB IS
00:58:00.376 --> 00:58:03.880
NOT THE NO BUT IS MUCH IS THIS
00:58:03.947 --> 00:58:05.615
TO BE THE PEOPLE WHO NOT ONLY
00:58:05.682 --> 00:58:09.719
AT LAWS AND- IS WHAT LETTER LOS.
00:58:09.786 --> 00:58:17.460
BUT ALSO. YOUR IT BECAUSE
00:58:17.527 --> 00:58:18.895
THAT'S WHAT THE PEOPLE YOU KNOW
00:58:18.962 --> 00:58:20.597
IN THE END THAT'S WHAT PEOPLE
00:58:20.663 --> 00:58:21.698
WANT TO KNOW IS THAT WE'RE
00:58:21.764 --> 00:58:23.233
BEING WE HAVE PEOPLE IN THE
00:58:23.299 --> 00:58:25.001
STATE THAT ARE PROTECTING US
00:58:25.068 --> 00:58:27.604
GREATER THINGS. IT SAYS THAT-
00:58:27.670 --> 00:58:28.905
AND SO WITH THAT WHAT IS TODAY
00:58:28.972 --> 00:58:30.139
INTEGRITY AND THEN THERE IS THE
00:58:30.206 --> 00:58:31.541
PEACE I MEAN I JUST WANTED TO
00:58:31.608 --> 00:58:33.743
EMPHASIZE BECAUSE I KNOW YOU
00:58:33.810 --> 00:58:35.879
SAID THAT WELL WE TAKE A PAUSE
00:58:35.945 --> 00:58:37.680
AND LOOKING AT. ABOUT IT SINCE
00:58:37.747 --> 00:58:40.250
FORCED AND IT AB YES MAYBE WE
00:58:40.316 --> 00:58:41.684
HAVEN'T GOT THAT DATA ENTIRELY
00:58:41.751 --> 00:58:43.353
RIGHT BUT I UP CONCERNED THAT
00:58:43.419 --> 00:58:45.355
WE TAKE OUT THE LANGUAGE THAT
00:58:45.421 --> 00:58:46.489
SAYS THAT THAT'S WHAT YOU'RE
00:58:46.556 --> 00:58:47.557
SUPPOSED TO DO THAT WILL
00:58:47.624 --> 00:58:49.425
EVENTUALLY GET LOST SO WE WILL
00:58:49.492 --> 00:58:51.361
NOT. THE CLEANUP A BETTER BUT
00:58:51.427 --> 00:58:55.365
ALSO. TO THAT IS BEING WHAT THE
00:58:55.431 --> 00:58:56.532
FUNCTION. BASICALLY MEANS NEED
00:58:56.599 --> 00:58:57.100
TO. BECAUSE NOW THERE'S NO
00:58:57.166 --> 00:58:59.602
LEGAL REQUIREMENT TO DO THAT-
00:58:59.669 --> 00:59:01.271
AND SO I THINK I WILL BE A
00:59:01.337 --> 00:59:02.572
LITTLE CAUTIOUS ABOUT THAT AS
00:59:02.639 --> 00:59:04.307
WELL. OKAY YEAH AND- YOU KNOW
00:59:04.374 --> 00:59:06.042
ABOUT YOUR CAUTION WE
00:59:06.109 --> 00:59:07.644
ABSOLUTELY AGREE AND WE
00:59:07.710 --> 00:59:09.412
RECOGNIZE GO. FORWARD THAT WE
00:59:09.479 --> 00:59:10.713
NEED A VERY STRUCTURED
00:59:10.780 --> 00:59:13.149
FRAMEWORK AROUND GOVERNANCE AND
00:59:13.216 --> 00:59:14.918
GETTING THE INFORMATION OUT.
00:59:14.984 --> 00:59:17.487
ONE HIP. STARTED PEOPLE YOU
00:59:17.553 --> 00:59:19.155
SAID AS A REASON TO NOT SHARE
00:59:19.222 --> 00:59:21.357
PERMISSION. SO THAT. QUESTION
00:59:21.424 --> 00:59:24.694
WAS. WHAT SO. MOVING FORWARD
00:59:24.761 --> 00:59:25.361
WITH THIS OFF AS EXPLAINING HOW
00:59:25.428 --> 00:59:26.996
TO GET YES TO APPROPRIATELY
00:59:27.063 --> 00:59:28.798
SHARING THAT INFORMATION WITH
00:59:28.865 --> 00:59:32.001
THIS- FOUNDATION AND FRAMEWORK
00:59:32.068 --> 00:59:34.103
OF GOVERNANCE AROUND IT SO WE
00:59:34.170 --> 00:59:34.704
ABSOLUTELY KNOWLEDGE QUESTION
00:59:34.771 --> 00:59:38.341
ON THAT. SORT OF CULTURE IT'S
00:59:38.408 --> 00:59:39.575
WE SEE IT AS HAVING A DUAL
00:59:39.642 --> 00:59:41.878
CULTURE ON ONE HAND IT'S THE
00:59:41.945 --> 00:59:44.080
OVERSIGHT. OVER PRIVATE THE
00:59:44.147 --> 00:59:46.249
HEALTH AND THAT AND THE OTHER
00:59:46.316 --> 00:59:48.051
PIECE AND ESSENTIALLY THE
00:59:48.117 --> 00:59:50.186
OVERSIGHT OVER DATA MANAGEMENT
00:59:50.253 --> 00:59:53.122
AND GOVERNMENT'S PEACE BUT ALSO
00:59:53.189 --> 00:59:55.858
THAN THIS PIECE WHERE HOW DO WE
00:59:55.925 --> 00:59:58.795
USE IN A WHAT WE UNDERSTAND TO
00:59:58.861 --> 01:00:01.264
DO SOMETHING BETTER. WITH IN
01:00:01.331 --> 01:00:03.666
THAT FRAMEWORK. YOU KNOW
01:00:03.733 --> 01:00:06.703
GOVERNMENT'S SOAK UP THAT UP
01:00:06.769 --> 01:00:08.171
WILL BE AN INTERESTING WAY OF
01:00:08.237 --> 01:00:11.074
DOING IT- BUT BUT YES WE DO
01:00:11.140 --> 01:00:13.042
RECOGNIZE THAT THERE THERE
01:00:13.109 --> 01:00:16.045
MIGHT BE THE SUGGESTION OF A
01:00:16.112 --> 01:00:18.081
IT'S FREE FOR ALL BUT THAT'S
01:00:18.147 --> 01:00:19.816
NOT ALL OUR- YEAH THE CULTURE
01:00:19.882 --> 01:00:21.718
WILL. CULTURE OVERSIGHT AS WELL
01:00:21.784 --> 01:00:24.187
AS SORT OF A FIFTEEN PROVIDING
01:00:24.253 --> 01:00:26.289
SERVICES THAT WILL HELP IMPROVE
01:00:26.356 --> 01:00:28.825
SERVICES OKAY. SHE DEBT- BUT
01:00:28.891 --> 01:00:30.793
WHEN YOU DO YOU'LL MULTIPLE
01:00:30.860 --> 01:00:32.028
CULTURES IN THE QUESTIONS WHEN
01:00:32.095 --> 01:00:35.398
THEY'RE IN CONFLICT WHICH
01:00:35.465 --> 01:00:39.202
WHAT'S FOR ALL THAT. AND THAT.
01:00:39.268 --> 01:00:40.203
WE'VE TALKED ABOUT THAT SO
01:00:40.269 --> 01:00:41.604
ANYWAY LET'S THINK ABOUT THAT
01:00:41.671 --> 01:00:43.206
I'M SURE WILL I'M SURE YOU HAVE
01:00:43.272 --> 01:00:44.340
SOME THOUGHT ADDITIONAL
01:00:44.407 --> 01:00:45.675
THOUGHTS AND REFLECTIONS AND
01:00:45.742 --> 01:00:48.845
REVISIONS WHEN WE- IN THE NEXT
01:00:48.911 --> 01:00:49.979
SEVERAL MONTHS SO. SHE TO
01:00:50.046 --> 01:00:52.015
PRESENTATIONS THANK YOU THE-
01:00:52.081 --> 01:00:54.951
OKAY RIGHT BURN NEXT CAN TAKE
01:00:55.018 --> 01:00:56.452
UP ISSUE NUMBER FOR THE OFFICE
01:00:56.519 --> 01:00:59.155
OF HEALTH CARE AFFORDABILITY- I
01:00:59.222 --> 01:01:00.823
WOULD MAKE NOTE WHEN WE GIVE
01:01:00.890 --> 01:01:02.658
TRAILER BILL LANGUAGE. YEAH WE
01:01:02.725 --> 01:01:03.292
JUST GOT THE TRAILER BILL
01:01:03.359 --> 01:01:06.029
LANGUAGE EARLIER THIS WEEK SO
01:01:06.095 --> 01:01:08.431
WE'RE GOING TO DO AN INITIAL-
01:01:08.498 --> 01:01:09.832
WE'RE GONNA INITIALLY HERE THIS
01:01:09.899 --> 01:01:11.501
ISSUE BUT MY IT'S ALSO MY
01:01:11.567 --> 01:01:13.369
INTENTION- THAT BECAUSE I KNOW
01:01:13.436 --> 01:01:15.171
THERE PEOPLE. COME TO HEAR
01:01:15.238 --> 01:01:17.140
ABOUT THAT- BUT I ALSO THINK
01:01:17.206 --> 01:01:20.076
THAT WILL I ALSO HEAR IT AGAIN
01:01:20.143 --> 01:01:23.146
BEFORE MAY REVISE- TO. DO A
01:01:23.212 --> 01:01:24.847
MORE THOROUGH THE- THAT THE
01:01:24.914 --> 01:01:26.749
PROPOSAL'S AND THERE MIGHT EVEN
01:01:26.816 --> 01:01:27.984
TO THOSE WHO MAY BE SOME
01:01:28.051 --> 01:01:29.719
REVISIONS ADDITION. BETWEEN NOW
01:01:29.786 --> 01:01:31.954
AND THEN TOO I WON'T THE
01:01:32.021 --> 01:01:33.122
RESTORATION CAN TELL ME WHAT A
01:01:33.189 --> 01:01:35.158
PLAN TO DO WHETHER THERE'S ANY.
01:01:35.224 --> 01:01:35.925
BUT THE PROBABILITY THAT IS BUT
01:01:35.992 --> 01:01:37.093
I CERTAINLY THINK YOU CAN WITH
01:01:37.160 --> 01:01:38.628
ALL. THAT WE HAVE BEFORE US.
01:01:38.694 --> 01:01:40.530
THE SERVER DESERVE FIRST CUT
01:01:40.596 --> 01:01:44.333
OVERVIEW AND GET AND- AND-
01:01:44.400 --> 01:01:45.935
EXPECT WE WILL HAVE YOU COME
01:01:46.002 --> 01:01:48.304
BACK AND- MORE DEEPLY INTO THE
01:01:48.371 --> 01:01:50.907
PROPOSAL BECAUSE I KNOW IT'S A-
01:01:50.973 --> 01:01:53.743
ALSO WITH. THE US THAT. OKAY SO
01:01:53.810 --> 01:01:54.877
ACTIVISTS TWO INTRODUCTIONS
01:01:54.944 --> 01:01:58.514
FIRST. THANK YOU AGENCY. I AM
01:01:58.581 --> 01:02:00.850
DR ALICE CHEN I SERVICE DEPUTY
01:02:00.917 --> 01:02:02.151
SECRETARY FOR POLICY AND
01:02:02.218 --> 01:02:02.952
PLANNING AND DIRECTOR OF
01:02:03.019 --> 01:02:04.554
CLINICAL AFFAIRS AT THE AGENCY
01:02:04.620 --> 01:02:06.789
I THANK YOU L. L. BEN JOHNSON
01:02:06.856 --> 01:02:09.892
ALEJO YOU FINANCE RAMOS FINANCE
01:02:09.959 --> 01:02:13.296
THANK YOU ALL RIGHT WHICH GO IN
01:02:13.362 --> 01:02:15.465
FOR THAT YOU SO MUCH FOR GIVING
01:02:15.531 --> 01:02:18.734
US A SEPARATE NEED AT. PRESENT
01:02:18.801 --> 01:02:20.269
I. AND THEN BACKGROUND
01:02:20.336 --> 01:02:22.138
MATERIALS TO AGENDA ITEM
01:02:22.205 --> 01:02:24.040
THERE'S A CITATION OF A C. H.
01:02:24.107 --> 01:02:25.608
C. F. AND KAISER FAMILY
01:02:25.675 --> 01:02:27.677
FOUNDATION POLL FROM TWENTY
01:02:27.743 --> 01:02:30.079
EIGHTEEN THAT FOUND THAT- THINK
01:02:30.146 --> 01:02:31.914
MORE THAN TWO OUT OF FIVE
01:02:31.981 --> 01:02:35.118
CALIFORNIANS REPORTED DELAYING
01:02:35.184 --> 01:02:36.152
OUR FOR GOING CARE BECAUSE OF
01:02:36.219 --> 01:02:37.220
COST CALIFORNIA HEALTHCARE
01:02:37.286 --> 01:02:39.122
FOUNDATION IS A FIVE OH UP
01:02:39.188 --> 01:02:41.090
SURVEY JUST EARLIER THIS YEAR
01:02:41.157 --> 01:02:43.192
LAST MONTH WHICH SHOWS THAT NOW
01:02:43.259 --> 01:02:45.795
MORE THAN 50% OF CALIFORNIANS.
01:02:45.862 --> 01:02:47.563
MONTHS FOR GOING. ARE TELLING
01:02:47.630 --> 01:02:50.299
CARE SO- THIS IS A PRESSING
01:02:50.366 --> 01:02:51.534
ISSUE FOR CALIFORNIANS THE
01:02:51.601 --> 01:02:54.170
GROWING ISSUE ADDRESSING IT IS
01:02:54.237 --> 01:02:54.937
ONE OF THE GOVERNOR'S TOP
01:02:55.004 --> 01:02:56.706
PRIORITIES AND OFFICES ONE OF
01:02:56.772 --> 01:02:58.508
IT HIT SIGNATURE OF PROPOSAL
01:02:58.574 --> 01:03:01.477
SO- I'M WALK TO THE PROPOSAL
01:03:01.544 --> 01:03:02.011
AND HOPEFULLY ADDRESS THE
01:03:02.078 --> 01:03:04.547
QUESTIONS AS I GO ALONG BUT IF
01:03:04.614 --> 01:03:07.383
I DON'T BRING THEM UP. PLEASE
01:03:07.450 --> 01:03:09.619
PROMISE. PROMISED FOR A GUIDING
01:03:09.685 --> 01:03:11.821
IS- THAT WE HAVE TO SET A
01:03:11.888 --> 01:03:14.157
TARGET- IF WE DON'T KNOW WHERE
01:03:14.223 --> 01:03:15.892
WE'RE HEADED IT'LL BE HARD TO
01:03:15.958 --> 01:03:17.126
GET THERE. SO SENDING A
01:03:17.193 --> 01:03:18.127
STATEWIDE PER CAPITA COST
01:03:18.194 --> 01:03:19.695
TARGET FOR YEAR OVER YEAR
01:03:19.762 --> 01:03:21.864
CHANGIN IN HEALTHCARE COSTS THE
01:03:21.931 --> 01:03:24.734
SECOND IS- THEY WERE ALL IN ALL
01:03:24.800 --> 01:03:26.402
PARTS OF THE HEALTHCARE SECTOR.
01:03:26.469 --> 01:03:27.203
I HAVE A ROLE AND
01:03:27.270 --> 01:03:28.905
RESPONSIBILITY TO PLAY IN
01:03:28.971 --> 01:03:30.439
MEANING THAT TARGET. THE THIRD
01:03:30.506 --> 01:03:32.642
IS ACCOUNTABLE- WHEN YOU TALK
01:03:32.708 --> 01:03:34.377
TO OTHER STATES THAT WERE- KIND
01:03:34.443 --> 01:03:35.645
OF NICELY OUTLINED IN THE
01:03:35.711 --> 01:03:38.481
BACKGROUND MATERIALS- THE HOPE-
01:03:38.548 --> 01:03:41.184
AND EXPECTATION IS THAT AS YOU
01:03:41.250 --> 01:03:43.119
SET A GOAL PEOPLE'S BEHAVIORS
01:03:43.186 --> 01:03:44.554
WILL START ALIGNING TO THAT
01:03:44.620 --> 01:03:47.190
GOAL- END. IF THAT DOESN'T
01:03:47.256 --> 01:03:48.691
HAPPEN WE HAVE A WHOLE SERIES
01:03:48.758 --> 01:03:49.959
OF PROGRESSIVE ENFORCEMENT
01:03:50.026 --> 01:03:51.627
ACTIONS THAT I'LL GO THROUGH IN
01:03:51.694 --> 01:03:53.529
MORE DETAIL AS I WALKED THROUGH
01:03:53.596 --> 01:03:55.665
THE OFFICES RESPONSIBILITIES
01:03:55.731 --> 01:03:57.433
AND LAST. I'M REAL IN PART WE
01:03:57.500 --> 01:03:59.168
WANT TO FIGURE OUT HOW TO
01:03:59.235 --> 01:04:00.169
ENSURE THE SAVINGS ACCRUE BACK
01:04:00.236 --> 01:04:01.604
TO CONSUMERS SO THOSE ARE THE
01:04:01.671 --> 01:04:04.273
POOR GUY. FALLS I'LL GO AHEAD
01:04:04.340 --> 01:04:06.909
AND REVIEW THE KEY COMPONENTS-
01:04:06.976 --> 01:04:10.613
IN TERMS OF THE ORGANIST OF
01:04:10.680 --> 01:04:14.951
OFFICE AND THEN REPORT THIS IS
01:04:15.017 --> 01:04:15.585
AGAIN A HIGH PRIORITY. FOR NINE
01:04:15.651 --> 01:04:16.919
IT WILL BE CALLS DOESN'T OFFICE
01:04:16.986 --> 01:04:19.322
WITH THE AGENCY. WITH THE DRY
01:04:19.388 --> 01:04:23.259
APPOINT. AN IN A LETTER NUMBER.
01:04:23.326 --> 01:04:25.628
THE BILL. UP THAT IS INTENDED
01:04:25.695 --> 01:04:26.229
TO HAVE BROUGHT EXPERTISE RIP
01:04:26.295 --> 01:04:27.964
OF THE DIVERSE OF CALIFORNIA
01:04:28.030 --> 01:04:29.565
THE BOARD ADVISES THE DIRECTOR
01:04:29.632 --> 01:04:31.067
IN ALL KEY ASPECTS OF THE
01:04:31.133 --> 01:04:33.970
OFFICES WORK- AND THERE IS A
01:04:34.036 --> 01:04:34.904
ROBUST PUBLIC STAKEHOLDER
01:04:34.971 --> 01:04:36.872
PROCESS EMBEDDED A AND ALL
01:04:36.939 --> 01:04:40.042
PROCESSES- IN TERMS OF THE
01:04:40.109 --> 01:04:42.912
HEALTH CARE COST TARGET. AT THE
01:04:42.979 --> 01:04:46.782
ADVISORY BOARD WILL- CONFORT
01:04:46.849 --> 01:04:49.151
LOOK IT- ESTABLISHED ECONOMIC
01:04:49.218 --> 01:04:50.553
INDICATOR SO DIFFERENT STATES
01:04:50.620 --> 01:04:52.221
OF LOOKED AT PERSPECTIVE STATE
01:04:52.288 --> 01:04:54.457
JUDY PDD PEOPLE'S MINDS URBAN
01:04:54.523 --> 01:04:57.893
CPI THEIR NUMBER OF ESTABLISHED
01:04:57.960 --> 01:04:59.095
ECONOMIC INDICATORS THE POINT
01:04:59.161 --> 01:05:01.397
IS NOT MADE UP THIS ACT BASED
01:05:01.464 --> 01:05:04.934
ON- ON. THE ACCEPTED A MEASURE-
01:05:05.001 --> 01:05:08.404
THEY'LL SET A STATEWIDE TARGET
01:05:08.471 --> 01:05:10.273
ON THE FORTY TO SAYS SECTOR
01:05:10.339 --> 01:05:13.542
SPECIFIC TARGETS AS WELL AS-
01:05:13.609 --> 01:05:16.345
HERE. HELLO THIS IS A AND SO
01:05:16.412 --> 01:05:18.281
THE STATE WIDE TARGET IS- THE
01:05:18.347 --> 01:05:20.483
FIRST ORDER OF BUSINESS AND
01:05:20.549 --> 01:05:21.684
DEPENDING ON THE DATA THAT
01:05:21.751 --> 01:05:24.553
COMES IN AND ANALYSIS- THE
01:05:24.620 --> 01:05:26.989
BOARD MAY THEN ADVISE GOING TO
01:05:27.056 --> 01:05:28.824
DIFFERENT SECTORS HOSPITAL
01:05:28.891 --> 01:05:32.028
PHYSICIAN'S PHARMA- OR STE
01:05:32.094 --> 01:05:33.496
FOCUS ON SPECIFIC GEOGRAPHIC
01:05:33.562 --> 01:05:36.132
REGION THERE IS A PUBLIC PROP.
01:05:36.198 --> 01:05:37.466
OF THE ADVISORY BOARD
01:05:37.533 --> 01:05:39.502
RECOMMENDS THE TARGET THE
01:05:39.568 --> 01:05:41.003
DIRECTOR THAN HOLDS AND THIS IS
01:05:41.070 --> 01:05:43.306
AGAIN BAGLEY KEENE MEETINGS-
01:05:43.372 --> 01:05:45.474
DIRECTOR HOLDS PUBLIC. A PUBLIC
01:05:45.541 --> 01:05:46.609
MEETING FOR PUBLIC COMMENT
01:05:46.676 --> 01:05:48.778
DISCUSSION AND THEN THE TARGET
01:05:48.844 --> 01:05:51.547
IS ACTUALLY ADOPTED AT A
01:05:51.614 --> 01:05:52.348
SUBSEQUENT MEETING SO THREE
01:05:52.415 --> 01:05:53.749
FORMS FOR COMMENT. THERE WAS
01:05:53.816 --> 01:05:55.885
ALSO C<c.cyan> THE COPS TURN IT</c>
01:05:55.951 --> 01:05:57.219
INCLUDING GROUP THAN OUT OF
01:05:57.286 --> 01:05:59.989
POCKET COSTS FOR HEALTH CARE
01:06:00.056 --> 01:06:02.258
CONSUMERS. LOOKING AT
01:06:02.325 --> 01:06:05.861
AFFORDABILITY IS A KEY FOCUS OF
01:06:05.928 --> 01:06:09.131
THE OFFICE. AND IT'S
01:06:09.198 --> 01:06:10.833
COMPLICATED SO THEY WILL
01:06:10.900 --> 01:06:13.002
DEFINITELY BE TRACKING-
01:06:13.069 --> 01:06:14.904
AFFORDABILITY IN TERMS OF TOTAL
01:06:14.970 --> 01:06:16.439
OUT OF POCKET COSTS AGAIN THIS
01:06:16.505 --> 01:06:18.174
IS NOT FOR INSURED FOLKS BUT
01:06:18.240 --> 01:06:19.542
FOR PEOPLE WHO HAVE BEEN HAVE
01:06:19.608 --> 01:06:21.677
COVERAGE ALL OUT OF POCKET
01:06:21.744 --> 01:06:22.678
COSTS PLUS EMPLOYEE
01:06:22.745 --> 01:06:24.980
CONTRIBUTION TO PREMIUM. WILL
01:06:25.047 --> 01:06:27.650
BE COLLATED AS A MEASURE OF
01:06:27.717 --> 01:06:30.486
AFFORD ANY AND THAT POINT TO-
01:06:30.553 --> 01:06:32.488
THE STEP SIZES TO REALLY
01:06:32.555 --> 01:06:35.124
MEASURE TRACK ANALYZE DOT. IT'S
01:06:35.191 --> 01:06:36.559
REALLY DIFFICULT TO TARGET
01:06:36.625 --> 01:06:37.460
BECAUSE YOU START A BENEFIT
01:06:37.526 --> 01:06:39.895
DESIGNED. AROUND THEM PLEASE
01:06:39.962 --> 01:06:42.798
SURE FREEMIUM. AND WE CAN TALK
01:06:42.865 --> 01:06:43.499
A LITTLE BIT MORE ABOUT THAT
01:06:43.566 --> 01:06:45.968
IF- IF YOU'RE INTERESTED IN
01:06:46.035 --> 01:06:49.038
TERMS OF DATA COLLECTION. THE
01:06:49.105 --> 01:06:50.773
COST DATA STARTS WITH DATA
01:06:50.840 --> 01:06:51.841
SUBMISSION FROM PAYERS
01:06:51.907 --> 01:06:55.945
INCLUDING A RECIPIENTS- THIS AT
01:06:56.011 --> 01:06:56.912
THE OFFICE WILL ALSO HAVE THE
01:06:56.979 --> 01:06:58.414
FORTY. TO COLLECT DATA
01:06:58.481 --> 01:07:00.483
PROVIDERS IS NEEDED AND I JUST
01:07:00.549 --> 01:07:02.351
WANT TO CALL OUT THAT WE DIDN'T
01:07:02.418 --> 01:07:03.919
WANT TO START OUT OF THE GATE-
01:07:03.986 --> 01:07:06.222
WAS COLLECTING DATA FOR THIS
01:07:06.288 --> 01:07:08.157
BEFORE REALLY UNDERSTAND WHERE
01:07:08.224 --> 01:07:10.593
THE GAPS WERE- AFTER ANALYZING
01:07:10.659 --> 01:07:12.228
THE DATA FROM PAYING BECAUSE
01:07:12.294 --> 01:07:14.163
THE SPEC. CATIONS WILL LIKELY
01:07:14.230 --> 01:07:16.665
CHANGE YEAR TO YEAR. THESE
01:07:16.732 --> 01:07:17.800
EXPECTS WILL BE ADOPTED BY
01:07:17.867 --> 01:07:20.002
EMERGENCY REGULATIONS AND AGAIN
01:07:20.069 --> 01:07:21.404
THERE WILL BE ROBUST
01:07:21.470 --> 01:07:21.971
STAKEHOLDER ENGAGEMENT AND
01:07:22.037 --> 01:07:24.540
PUBLIC MEETING- PRIOR TO
01:07:24.607 --> 01:07:28.144
ADOPTING THE REGULATION. THE
01:07:28.210 --> 01:07:31.080
OFFICE IS ALSO CHARGED WITH
01:07:31.147 --> 01:07:32.481
ANALYZING AND REPORTING ON THE
01:07:32.548 --> 01:07:34.250
DATA IT COLLECTS- BOTH THROUGH
01:07:34.316 --> 01:07:35.985
PUBLISHING AN ANNUAL REPORT AND
01:07:36.051 --> 01:07:38.254
HOLDING A PUBLIC MEETING- THE
01:07:38.320 --> 01:07:40.289
CONTENT OF THE ANNUAL PORT IS
01:07:40.356 --> 01:07:42.024
DELINEATED IN THE TRAILER BILL
01:07:42.091 --> 01:07:44.727
LANGUAGE. STRANDS TO EVERS.
01:07:44.794 --> 01:07:46.629
KING THERE ON TOWARD IMPACTS ON
01:07:46.695 --> 01:07:49.198
IT SAYS EQUITY QUALITY- ANY
01:07:49.265 --> 01:07:50.666
CORRECTIVE ACTION PLANS WHICH
01:07:50.733 --> 01:07:52.568
WILL GET TO IN A SECOND BEST
01:07:52.635 --> 01:07:54.503
PRACTICES IMPACT ON WORK FORCE.
01:07:54.570 --> 01:07:55.738
AND AGAIN THERE'S A PUBLIC
01:07:55.805 --> 01:07:59.041
PROCESS EMBEDDED IN THIS WHERE-
01:07:59.108 --> 01:08:00.042
THERE WILL BE A PUBLIC MEETING
01:08:00.109 --> 01:08:01.644
TO PRESENT THE ANNUAL PORT OF
01:08:01.710 --> 01:08:03.078
THE ADDRESS FORDHAM BROADER
01:08:03.145 --> 01:08:06.649
PUBLIC. BARBER FOR EMPLOYMENT
01:08:06.715 --> 01:08:09.051
IN. BODIES AND THE REPORTING
01:08:09.118 --> 01:08:12.621
NICE TO JUST MEETING. YOUR
01:08:12.688 --> 01:08:14.290
QUESTION MILLION FORSMAN SO THE
01:08:14.356 --> 01:08:16.192
PRINCIPLE OF ENFORCEMENT IS
01:08:16.258 --> 01:08:19.228
THAT OF PROGRESSIVE-
01:08:19.295 --> 01:08:23.032
ENFORCEMENT. THERE WILL BE A
01:08:23.098 --> 01:08:24.667
FULL REGULATORY PROCESS HERE
01:08:24.733 --> 01:08:25.901
AND TO DEVELOP AND FOR SOME
01:08:25.968 --> 01:08:28.037
PROVISIONS. INCLUDING THE
01:08:28.103 --> 01:08:30.339
METHODOLOGY TIMELINE WARRANTED
01:08:30.406 --> 01:08:31.373
AND WARRANTED FACTORS TO
01:08:31.440 --> 01:08:32.708
PROCESS AN APPEALS BUT IT
01:08:32.775 --> 01:08:34.510
REALLY IT STARTS WITH TECHNICAL
01:08:34.577 --> 01:08:36.912
ASSISTANCE OF THE YEARS- THE
01:08:36.979 --> 01:08:37.713
DATA GETS COLLECTED IT GETS
01:08:37.780 --> 01:08:39.982
ANALYZE IF SOMEONE IS EXITING
01:08:40.049 --> 01:08:42.685
THE COST TARGET YOU SIT DOWN
01:08:42.751 --> 01:08:44.019
PROVIDE TECHNICAL ASSISTANCE
01:08:44.086 --> 01:08:45.421
REALLY TRADED. DOWN TO SEE WHAT
01:08:45.488 --> 01:08:48.057
IT THE DRIVERS- IF. THAT
01:08:48.123 --> 01:08:50.493
DOESN'T- MODIFYING THE
01:08:50.559 --> 01:08:53.295
TRAJECTORY- THERE ARE PUBLIC
01:08:53.362 --> 01:08:55.498
HEARINGS ON BY THE OPTION OF
01:08:55.564 --> 01:09:00.002
REQUIRE CORRECTIVE ACTION AND-
01:09:00.069 --> 01:09:00.669
IF THAT DOESN'T WORK THEN THERE.
01:09:00.736 --> 01:09:02.771
A CIVIL AND CIVIL PENALTIES
01:09:02.838 --> 01:09:05.007
TEST SO START WITH TECHNICAL
01:09:05.074 --> 01:09:06.709
ASSISTANCE PUBLIC HEARINGS
01:09:06.775 --> 01:09:09.078
CORRECT. PLANS CIVIL PENALTIES
01:09:09.144 --> 01:09:10.045
AND THEN ESCALATING CIVIL
01:09:10.112 --> 01:09:15.518
PENALTIES. AGAIN THE IDEA
01:09:15.584 --> 01:09:17.019
BEHIND THE PENALTIES IS THAT IT
01:09:17.086 --> 01:09:20.556
IS MEANT TO BENEFIT CONSUMERS-
01:09:20.623 --> 01:09:22.358
BY TRACKING FOR BUILDING A
01:09:22.424 --> 01:09:25.928
TRACKING PREMIUMS- TALKED ABOUT
01:09:25.995 --> 01:09:29.598
THE POSSIBILITY OF USING. THE
01:09:29.665 --> 01:09:32.568
MLR REBATE PROCESS- TO- MAKE
01:09:32.635 --> 01:09:34.970
SURE THAT THE ANY SAVINGS
01:09:35.037 --> 01:09:36.772
ACTUALLY TANGIBLY ACCRUE BACKED
01:09:36.839 --> 01:09:39.642
CONSUMERS BUT WE ARE- HAS A TEN
01:09:39.708 --> 01:09:41.610
ABOUT SENDING OUT A BUNCH OF
01:09:41.677 --> 01:09:44.013
FIVE DOLLAR CHECKS DEPENDING ON
01:09:44.079 --> 01:09:48.250
THE AMOUNT. OTHER PARTS OF THE
01:09:48.317 --> 01:09:51.654
OFFICE- INCLUDE AGAIN FOCUSING
01:09:51.720 --> 01:09:53.322
ON WHAT WE THINK OF AS BALANCED
01:09:53.389 --> 01:09:55.491
SCORECARD MEASURES AS YOU FOCUS
01:09:55.558 --> 01:09:58.193
ON COST YOU DON'T WANT TO HAVE
01:09:58.260 --> 01:09:58.827
AN INTENT CONSEQUENCES ON YOUR
01:09:58.894 --> 01:10:01.830
WORK FOR STILL. SIAN IT'S-
01:10:01.897 --> 01:10:04.466
LOOKING ACCESS QUALITY EQUITY
01:10:04.533 --> 01:10:05.935
IMPORTANTLY THERE'S A GOLDEN
01:10:06.001 --> 01:10:07.570
MINISTRY OF SIMPLIFICATION IT'S
01:10:07.636 --> 01:10:09.038
NOT ABOUT CREATING A BUNCH OF
01:10:09.104 --> 01:10:11.340
NEW MEASURES CREATING BUNCH OF
01:10:11.407 --> 01:10:12.908
NEW MANDATES ARE REALLY TRYING
01:10:12.975 --> 01:10:15.277
TO IDENTIFY PARDEE CORPSMAN IS
01:10:15.344 --> 01:10:18.247
THAT CAN BE USED- THERE'S A
01:10:18.314 --> 01:10:20.382
PROVISION ARE AT ALTERNATIVE
01:10:20.449 --> 01:10:21.817
PAYMENT FALLS REALLY ONE AND
01:10:21.884 --> 01:10:26.455
WANTING TO OUR SYSTEM FROM
01:10:26.522 --> 01:10:27.723
FIFTY BUSINESS. STATION TO THE
01:10:27.790 --> 01:10:30.359
THEM AT IN THAT ROLE CAUGHT.
01:10:30.426 --> 01:10:31.727
STANDARDS AND CRITERIA FOR A
01:10:31.794 --> 01:10:34.129
PM- AND IN PARTICULAR FOCUSING
01:10:34.196 --> 01:10:35.297
ON PRIMARY CARE BEHAVIORAL
01:10:35.364 --> 01:10:38.033
HEALTH INVESTMENT- SHIRTS
01:10:38.100 --> 01:10:39.902
SAVINGS MODELS POPULATION BASE
01:10:39.969 --> 01:10:42.671
PAYMENTS. THE OTHER UNINTENDED
01:10:42.738 --> 01:10:44.173
CONSEQUENCES- TRACKING IS
01:10:44.239 --> 01:10:45.641
AROUND HIGH QUALITY JOBS AND
01:10:45.708 --> 01:10:47.509
HEALTH CARE WORK FOR STABILITY
01:10:47.576 --> 01:10:49.311
WE WANT TO MAKE SURE THAT THERE
01:10:49.378 --> 01:10:50.312
AREN'T UNINTENDED CONSEQUENCES
01:10:50.379 --> 01:10:52.381
IN TERMS OF LOWERING STANDARDS
01:10:52.448 --> 01:10:54.984
ARE ENCOURAGING LAYOFFS. AND
01:10:55.050 --> 01:10:56.452
WITH THE GOAL OF ENCOURAGING
01:10:56.518 --> 01:10:58.487
HIGH QUALITY JOBS AND AGAIN WE
01:10:58.554 --> 01:11:02.191
KNOW THAT AS WE LOOK AT BEST
01:11:02.257 --> 01:11:03.792
AND EFFICIENCY THE HEALTHCARE
01:11:03.859 --> 01:11:05.227
SYSTEM WILL. AND WE WANT TO
01:11:05.294 --> 01:11:06.362
MAKE SURE THERE'S A GLIDE PATH
01:11:06.428 --> 01:11:07.196
PEOPLE ENTER TRAINING AT THE
01:11:07.262 --> 01:11:09.765
TRAINING AND MAKING SURE THAT
01:11:09.832 --> 01:11:11.000
THE WORK FORCE AS A QUICK FOR
01:11:11.066 --> 01:11:12.868
THAT NEW AYE LANDSCAPE. AND
01:11:12.935 --> 01:11:17.006
THEN FOR ME OFFICE HAS CHART OF
01:11:17.072 --> 01:11:20.209
IN COSTA MARKET VIEWS. IT
01:11:20.275 --> 01:11:21.744
THERE'S A LOT OF CAN. ACROSS
01:11:21.810 --> 01:11:23.479
MULTIPLE SECTORS IN THE
01:11:23.545 --> 01:11:24.113
INDUSTRY THE INTENT IS TO HAVE
01:11:24.179 --> 01:11:25.814
A MORE PROACTIVE VIEW RATHER
01:11:25.881 --> 01:11:27.549
THAN CHASING THINGS AFTER THE
01:11:27.616 --> 01:11:29.952
HORSES LEFT. THE BARN AND IT
01:11:30.019 --> 01:11:31.153
HAS A VERY BROAD SCOPE LOOKING
01:11:31.220 --> 01:11:34.223
AT HORIZONTAL OR VERTICAL CROSS
01:11:34.289 --> 01:11:37.192
INDUSTRY MERGERS AND MEAN AND-
01:11:37.259 --> 01:11:38.761
AND JUST A FILL IN THE GAPS SO
01:11:38.827 --> 01:11:40.262
IF THERE IS A REGULATORY AGENCY
01:11:40.329 --> 01:11:41.764
ARE READY THAT HAS THAT PER
01:11:41.830 --> 01:11:44.500
VIEW- THE OFFICE WILL NOT
01:11:44.566 --> 01:11:46.402
DUPLICATE THAT. WORK BUT WILL
01:11:46.468 --> 01:11:47.436
COORDINATE WITH THE- AGENT AND
01:11:47.503 --> 01:11:49.304
IF THERE IS A FINDING ONLY OR
01:11:49.371 --> 01:11:53.509
FOR. AG IN TERMS OF FINDING
01:11:53.575 --> 01:11:57.546
THERE'S A B. C. P. FORTHCOMING.
01:11:57.613 --> 01:12:01.083
THANK YOU AVAIL. GIVEN THE
01:12:01.150 --> 01:12:02.618
TIMING OF THE RELEASE WE DON'T
01:12:02.685 --> 01:12:04.086
HAVE AN ANALYSIS OF THIS
01:12:04.153 --> 01:12:05.421
TRAILER BILL AT THIS TIME WE
01:12:05.487 --> 01:12:07.089
WILL BE ANALYZING THE ISSUE
01:12:07.156 --> 01:12:09.291
OVER THE NEXT MONTH OR SO AND
01:12:09.358 --> 01:12:10.225
WE'LL BE SURE TO COMMUNICATE
01:12:10.292 --> 01:12:11.326
THAT ANALYSIS- TO THE
01:12:11.393 --> 01:12:14.263
LEGISLATURE JUST A NOTE- AS
01:12:14.329 --> 01:12:16.665
WELL THERE IS A POLICY BILL
01:12:16.732 --> 01:12:18.133
THAT IS MOVING THROUGH THE
01:12:18.200 --> 01:12:20.703
PROCESS. THE TWO EIGHT TWENTY
01:12:20.769 --> 01:12:23.238
THAT WOULD STEP OFF THE AND
01:12:23.305 --> 01:12:25.274
CONCEPTUALLY IS QUITE SIMILAR
01:12:25.340 --> 01:12:26.709
TO TRAILER BILL BUT WITH THE A
01:12:26.775 --> 01:12:28.944
COUPLE KEY DIFFERENCES SOME BUT
01:12:29.011 --> 01:12:30.946
ULTIMATELY WE WILL PROVIDE AN
01:12:31.013 --> 01:12:34.049
ANALYST AT A LATER TIME I THANK
01:12:34.116 --> 01:12:36.552
YOU AND I SAID I THINK WE WILL.
01:12:36.618 --> 01:12:40.189
HAVE A JOB. AND SO WE-
01:12:40.255 --> 01:12:41.790
CERTAINLY- WHETHER IT'S THROUGH
01:12:41.857 --> 01:12:43.559
THE BUDGET ARE THROUGH THE BILL
01:12:43.625 --> 01:12:44.960
I GUESS I WILL BE HEARING IT
01:12:45.027 --> 01:12:46.862
SOMEWHERE WHEN FORMER ANOTHER
01:12:46.929 --> 01:12:50.265
OKAY- A FINANCE. AND WE LOOK
01:12:50.332 --> 01:12:51.033
FORWARD TO WORKING WITH THE
01:12:51.100 --> 01:12:52.434
LEGISLATURE AND STAKEHOLDERS ON
01:12:52.501 --> 01:12:54.136
THE PROPOSED LANGUAGE OKAY
01:12:54.203 --> 01:12:57.406
THANK YOU- HAVE A FEW QUESTIONS
01:12:57.473 --> 01:12:59.908
AGAIN I THINK WE GOT DELVE MORE
01:12:59.975 --> 01:13:01.710
DEEPLY INTO THIS. AT A FUTURE
01:13:01.777 --> 01:13:03.479
HEARING SO WE CAN GET ALL THE
01:13:03.545 --> 01:13:05.380
DETAILS BUT- SO WHEN YOU TALK
01:13:05.447 --> 01:13:08.751
ABOUT DIRECTION PLANS IN. CIVIL
01:13:08.817 --> 01:13:11.053
PENALTIES AND SO FORTH WHICH
01:13:11.120 --> 01:13:13.522
ENTITIES AS THE SUPPLY TO BE
01:13:13.589 --> 01:13:15.958
SORT OF. REFER TO IMPLIED
01:13:16.024 --> 01:13:18.160
HEALTH PLANS BUT I MEAN I READ
01:13:18.227 --> 01:13:21.263
IT- SO YOU SET THE COST TARGET
01:13:21.330 --> 01:13:24.466
SO WHO WHO WHICH ENTITIES ARE
01:13:24.533 --> 01:13:26.034
SUBJECT TO. THESE CORRECTIVE
01:13:26.101 --> 01:13:28.137
ACTION PLANS CIVIL PENALTIES
01:13:28.203 --> 01:13:29.505
OTHER TYPES OF THINGS THAT YOU
01:13:29.571 --> 01:13:31.306
TALKED ABOUT FOR I GUESS I
01:13:31.373 --> 01:13:33.442
ASSUME FOR NOT MEETING OR
01:13:33.509 --> 01:13:36.912
EXCEEDING ACOSTA IT'S-A LOT OF
01:13:36.979 --> 01:13:38.680
THE DETAIL WILL BE WORKED OUT
01:13:38.747 --> 01:13:40.449
BY THE ADVISORY BOARD IN THE
01:13:40.516 --> 01:13:46.855
OFFICE- THE- CAN CONCEPT. IS
01:13:46.922 --> 01:13:47.689
THAT AS YOU LOOK AT THE PAIR
01:13:47.756 --> 01:13:49.725
LEVEL DAY AND IF THERE IS IF X.
01:13:49.792 --> 01:13:52.060
YOU. DRILL DOWN TO STATE IS IT
01:13:52.127 --> 01:13:55.864
DRIVEN BY. HOSPITAL COSTS BY
01:13:55.931 --> 01:13:58.634
FORMER BECAUSE BY. A WARRANTED
01:13:58.700 --> 01:14:01.170
COSTS CORONAVIRUS COSTS- AND
01:14:01.236 --> 01:14:02.938
FIGURE OUT- WHAT THE WARRANTED
01:14:03.005 --> 01:14:04.873
IN AN WARRANTED FACTORS ARE YOU
01:14:04.940 --> 01:14:06.909
BRING THOSE PEOPLE TO THE TABLE
01:14:06.975 --> 01:14:10.579
AND HAVE A CONVERSATION ABOUT-
01:14:10.646 --> 01:14:12.181
ADJUSTMENTS THAT CAN OCCUR IN
01:14:12.247 --> 01:14:14.216
ORDER TO. BEND THAT COST
01:14:14.283 --> 01:14:16.485
TARGET- AND THEN HAVE THE
01:14:16.552 --> 01:14:17.920
ENTITY THAT ACTUALLY IS
01:14:17.986 --> 01:14:19.922
IDENTIFIED AS A DRIVER TO
01:14:19.988 --> 01:14:21.456
ACTUALLY COME UP WITH A
01:14:21.523 --> 01:14:22.925
CORRECTIVE ACTION PLAN. THAT'S
01:14:22.991 --> 01:14:25.260
THE GENERAL CONCEPT- WE DON'T
01:14:25.327 --> 01:14:26.962
HAVE A LOT OF DETAILS BECAUSE
01:14:27.029 --> 01:14:28.096
THAT'S GOING TO BE THE WORK IN
01:14:28.163 --> 01:14:31.533
THE OFFICE OKAY. I THINK THAT
01:14:31.600 --> 01:14:34.036
NEEDS TO BE BETTER DEFINED
01:14:34.102 --> 01:14:35.804
SIMPLY BE KEY TO THIS BECAUSE
01:14:35.871 --> 01:14:40.242
WE'RE- ABOUT IT THEY CAN GO
01:14:40.309 --> 01:14:42.845
AROUND THEY GET ANYBODY IN THE-
01:14:42.911 --> 01:14:46.248
GOING AND PUT. YOUR FALL. EIGHT
01:14:46.315 --> 01:14:47.916
SO I THINK IT AT YOU FROM. FIND
01:14:47.983 --> 01:14:49.551
A BRING PEOPLE IN IN THE PEOPLE
01:14:49.618 --> 01:14:51.987
A START FINING PEOPLE I MEAN
01:14:52.054 --> 01:14:53.422
THAT TIME IS SOMEWHAT JAILING
01:14:53.488 --> 01:14:55.190
ANYONE DURING A FINE PEOPLE WE
01:14:55.257 --> 01:14:57.759
DEALT THE NEEDS AND- EXACTLY
01:14:57.826 --> 01:14:58.360
YOU KNOW WHAT THEIR
01:14:58.427 --> 01:15:02.130
RESPONSIBILITY A TRADE AND SO-
01:15:02.197 --> 01:15:04.933
I THINK IT. I THINK THAT WOULD
01:15:05.000 --> 01:15:08.303
BE FINE AND SIMPLE TO DO YOU
01:15:08.370 --> 01:15:09.104
SIT THERE ARE AND HUNTER AND
01:15:09.171 --> 01:15:11.473
SAVE BY THE WAY WE NOW THIS YOU
01:15:11.540 --> 01:15:19.815
NOW OPPOSE ON YOU PAIN RIGHT OF.
01:15:19.882 --> 01:15:21.016
QUESTION OTHER WAYS BUT IF THEY
01:15:21.083 --> 01:15:22.718
WERE NOT DOING YOU KNOW
01:15:22.784 --> 01:15:23.318
PROVIDING HONEST LABOR ON THE
01:15:23.385 --> 01:15:26.555
SERVICES- TO THEN TURN AROUND
01:15:26.622 --> 01:15:29.391
AND FIND THEM. BECAUSE NOW
01:15:29.458 --> 01:15:30.392
THEY'RE THE ONES ARE BEING
01:15:30.459 --> 01:15:32.494
BLAMED FOR SO I MEAN THAT SO I
01:15:32.561 --> 01:15:34.596
THINK WE NEED TO FLESH THAT OUT
01:15:34.663 --> 01:15:37.065
A LOT MORE THAN SIMPLY A- YELL
01:15:37.132 --> 01:15:38.567
WILL HAVE AN END TO FIGURE IT
01:15:38.634 --> 01:15:40.335
OUT RIGHT. THAT A AND THEN I'M
01:15:40.402 --> 01:15:41.837
I'M A LAWYER BUT I DON'T WHEN
01:15:41.904 --> 01:15:42.871
WE WERE TALKING ABOUT THINGS
01:15:42.938 --> 01:15:44.907
LIKE CIVIL FINES. THE PROBABLY
01:15:44.973 --> 01:15:47.142
NEEDS TO BE YEAH I'M I'M NOT
01:15:47.209 --> 01:15:49.578
SURE IN TERMS OF WHAT. YOU KNOW
01:15:49.645 --> 01:15:51.847
IN THE- THIRD PERSON THE FIGHT.
01:15:51.914 --> 01:15:52.981
IS RIGHTS AND PROTECTIONS TO
01:15:53.048 --> 01:15:54.616
RIGHT. RIGHT I WOULD SAY THREE
01:15:54.683 --> 01:15:56.184
THINGS WERE ON A SERVICES RIGHT
01:15:56.251 --> 01:15:58.220
YEAH YEAH I THINK THREE THINGS
01:15:58.287 --> 01:16:00.188
ONE IS THAT THAT'S WHY THERE IS
01:16:00.255 --> 01:16:02.190
A FULL REGULATORY PROCESSES
01:16:02.257 --> 01:16:03.759
COULD. BE IN PLACE. TO FILL UP
01:16:03.825 --> 01:16:05.994
ANY OF THESE BILLS- WHICH WILL
01:16:06.061 --> 01:16:08.163
TAKE UP ONLY AT LEAST A YEAR
01:16:08.230 --> 01:16:10.532
WITH. CLEARLY AMPLE OPPORTUNITY
01:16:10.599 --> 01:16:13.535
FOR INPUT AND- COMMENTS. AND GO
01:16:13.602 --> 01:16:14.269
THROUGH THE WHOLE LEGAL PROCESS
01:16:14.336 --> 01:16:16.505
INCLUDING THE APPEAL. AND IN
01:16:16.571 --> 01:16:18.140
THOSE PROVISIONS THAT PROTECT
01:16:18.206 --> 01:16:20.609
THE- PERSON UNDERSCORE. ARE THE
01:16:20.676 --> 01:16:23.045
AT INDUSTRY.TO IS. I MAY HAVE
01:16:23.111 --> 01:16:25.647
FIT THE END- EMPHASIZING THE
01:16:25.714 --> 01:16:28.016
PROGRESSIVE NATURE OF THIS. THE
01:16:28.083 --> 01:16:31.286
INTENT IS I MEAN. I KNOW
01:16:31.353 --> 01:16:34.723
RELIGION TENDS NOT TO SAY OH
01:16:34.790 --> 01:16:36.024
YOU DID THIS WE GO STRAIGHT.
01:16:36.091 --> 01:16:39.761
FIVE BUT IN. THE HOPE WE- THEN
01:16:39.828 --> 01:16:42.764
TEND TO. FIFTY CREDIT AND PLAN
01:16:42.831 --> 01:16:44.066
NOT EVEN TALK ABOUT FOR THAT RE
01:16:44.132 --> 01:16:45.000
HAVING THE DAY BY TRAINS MY
01:16:45.067 --> 01:16:46.868
HAVING CA. THE PEOPLE ARE ABLE
01:16:46.935 --> 01:16:48.036
TO LINE TO THAT GOAL AND THE
01:16:48.103 --> 01:16:49.638
REASON WE HAVE THAT HOPE
01:16:49.705 --> 01:16:50.806
ALTHOUGH MANY PEOPLE REMIND ME
01:16:50.872 --> 01:16:52.107
THAT CALIFORNIA RADICALLY
01:16:52.174 --> 01:16:53.675
DIFFERENT FROM MASSACHUSETTS IS
01:16:53.742 --> 01:16:55.377
THERE THE GROUP THIS HAD THE
01:16:55.444 --> 01:16:57.379
MOST EXPERIENCE AND FRANKLY
01:16:57.446 --> 01:16:59.948
THEY'VE NEVER EVEN GOTTEN TO A
01:17:00.015 --> 01:17:01.049
CORRECTIVE ACTION PLAN SO AGAIN
01:17:01.116 --> 01:17:02.784
DON'T WATER EXPERT IN
01:17:02.851 --> 01:17:05.053
CALIFORNIA WE ARE. LARGER MORE
01:17:05.120 --> 01:17:07.089
DIVERSE IN COMP. EIGHT AND
01:17:07.155 --> 01:17:08.423
THERE SOME HELP FROM OTHER
01:17:08.490 --> 01:17:10.559
PLACES IN THE COUNTRY THAT BY
01:17:10.625 --> 01:17:11.159
HAVING THIS TARGET BY HAVING
01:17:11.226 --> 01:17:12.627
THE DATA BY HAVING THE
01:17:12.694 --> 01:17:13.862
CONVERSATIONS. YOU'RE NOT
01:17:13.929 --> 01:17:16.298
RUSHING TO PENALTIES OKAY WELL
01:17:16.365 --> 01:17:18.500
I THINK IF WE IF WE ARE GIVING
01:17:18.567 --> 01:17:20.569
SOMEONE THE AUTHORITY TO IMPOSE
01:17:20.635 --> 01:17:22.170
PENALTIES. FENDER SPEAK CLEARLY
01:17:22.237 --> 01:17:24.773
WAS ON HOW AND TO WHOM THOSE
01:17:24.840 --> 01:17:26.708
PENALTIES GET APPLIED AND UNDER
01:17:26.775 --> 01:17:29.344
WHAT CIRCUMSTANCES SO PEOPLE
01:17:29.411 --> 01:17:29.978
ARE VERY CLEAR AS TO WHEN. THEY
01:17:30.045 --> 01:17:32.414
ARE IN PENALTY YOU KNOW THAT.
01:17:32.481 --> 01:17:33.715
THEY MAY BE SUBJECT TO A
01:17:33.782 --> 01:17:36.651
PENALTY- SO AS I UNDERSTAND THE
01:17:36.718 --> 01:17:38.120
PROGRESSIVE NATURE BUT AT SOME
01:17:38.186 --> 01:17:39.988
POINT ONCE YOU KNOW VI<c.cyan></c>
01:17:40.055 --> 01:17:40.655
YOU'RE SAYING ONE OF THE THINGS
01:17:40.722 --> 01:17:45.060
WE COULD DO IS NOW BANNED- THE
01:17:45.127 --> 01:17:46.395
AND THIRD THEIR NEED. PEOPLE
01:17:46.461 --> 01:17:48.096
NEED TO KNOW THEY CAN'T JUST
01:17:48.163 --> 01:17:50.265
LIKE FALL INTO IT GREAT SO
01:17:50.332 --> 01:17:51.533
THAT'S I THINK THAT'S
01:17:51.600 --> 01:17:54.603
IMPORTANT- THE OTHER. THE YOU
01:17:54.669 --> 01:17:55.837
DID MENTION THAT THIS ALSO
01:17:55.904 --> 01:17:57.572
INCLUDES PRINCIPALLY ENDS THREE
01:17:57.639 --> 01:17:58.740
OF THE THIRTY TO INCLUDE RISA
01:17:58.807 --> 01:18:00.642
PLANS AGAIN THIS IS WHERE WE'RE
01:18:00.709 --> 01:18:02.844
AT SEEING AROUND IT SO IT
01:18:02.911 --> 01:18:05.747
REDUCES HIGH LEVEL PAYER DATA
01:18:05.814 --> 01:18:09.684
AND IN TALKING TO. THE STATES
01:18:09.751 --> 01:18:10.485
THAT ARE DOING THIS WHICH
01:18:10.552 --> 01:18:13.822
ACTUALLY INCLUDE- MASSACHUSETTS
01:18:13.889 --> 01:18:16.591
RHODE ISLAND DELAWARE AND-
01:18:16.658 --> 01:18:17.859
ORGAN ARE THE ONES THAT
01:18:17.926 --> 01:18:18.827
ACTUALLY HAVE THIS TYPE OF
01:18:18.894 --> 01:18:21.363
STATEWIDE COST TARGET- THERE
01:18:21.430 --> 01:18:24.266
HAS NOT YET BEEN ANY ISSUE.
01:18:24.332 --> 01:18:25.567
WITH REQUIRING AGAIN HIGH LEVEL
01:18:25.634 --> 01:18:26.902
DO WHEN WE'RE NOT TALKING AN H.
01:18:26.968 --> 01:18:28.804
P. THAT IS A TOLD THAT'S
01:18:28.870 --> 01:18:29.771
CLEARLY DELINEATED. PLANS ARE
01:18:29.838 --> 01:18:32.074
EXEMPT FROM A P. CITIES- THIS
01:18:32.140 --> 01:18:34.276
IS HIGH LIVER LEVEL DATA THAT
01:18:34.342 --> 01:18:35.577
AND HAS BEEN SUBMITTED AND
01:18:35.644 --> 01:18:37.546
WE'RE HOPING WILL BE SUBMITTED
01:18:37.612 --> 01:18:41.850
FOR US AS WELL. OKAY AND-
01:18:41.917 --> 01:18:43.051
ACTUALLY INTERESTING DETAIL
01:18:43.118 --> 01:18:46.421
TALK ABOUT WORKFORCE- BECAUSE-
01:18:46.488 --> 01:18:50.158
SO. WHEN THE DRIVERS OF HEALTH
01:18:50.225 --> 01:18:51.526
CARE COSTS AND THEY THINK
01:18:51.593 --> 01:18:53.829
MEDICARE'S IDENTIFIED THIS IS
01:18:53.895 --> 01:18:54.763
THAT THE MORNING DEPEND
01:18:54.830 --> 01:18:57.232
PRACTITIONERS YOU HAVE THE MORE
01:18:57.299 --> 01:19:01.136
UTILIZATION YOU HAVE. THE MORE
01:19:01.203 --> 01:19:02.704
UTILIZATION YOU HAVE TO PRESS
01:19:02.771 --> 01:19:04.072
YES THE MORE INDEPENDENT
01:19:04.139 --> 01:19:05.440
ENTITIES YOU HAVE GOING AROUND
01:19:05.507 --> 01:19:06.842
DOING THINGS THE MORE
01:19:06.908 --> 01:19:08.243
UTILIZATION WE HAVE SO THAT.
01:19:08.310 --> 01:19:09.711
NOW IF YOU'RE IN AN UNDERSERVED
01:19:09.778 --> 01:19:12.247
AREA IT'S PROBABLY IS NEEDED
01:19:12.314 --> 01:19:13.949
UTILIZATION RATE SO THAT THEIR
01:19:14.015 --> 01:19:15.417
DUE TO AN ABSENCE ARE AT AN
01:19:15.484 --> 01:19:18.620
UNMET MEDICAL NEEDS- WE ALSO
01:19:18.687 --> 01:19:21.456
KNOW THAT CERTAIN AREAS BUT
01:19:21.523 --> 01:19:24.126
ALSO IF THAT'S- IF YOU'RE- DAD-
01:19:24.192 --> 01:19:27.262
IT IS. FIND PLAN I TWO OR FOUR
01:19:27.329 --> 01:19:29.097
THREE INCH BUT THAT'S- A SO ARE
01:19:29.164 --> 01:19:29.764
WE LOOKING AT SOME OF THE
01:19:29.831 --> 01:19:31.233
THINGS RELATE TO WORKFORCE AS
01:19:31.299 --> 01:19:33.768
WELL. I THINK THAT'S TO BE
01:19:33.835 --> 01:19:35.036
DETERMINED BY THE OFFICE I WILL
01:19:35.103 --> 01:19:36.972
NOTE QUE YOU LOOK IT AND COST
01:19:37.038 --> 01:19:39.074
TRENDS THE MOST OF IT IS NOT
01:19:39.141 --> 01:19:41.009
DRIVEN BY UTILIZATION. ACTUALLY
01:19:41.076 --> 01:19:43.245
WHEN YOU LOOK AT THE- FACT THAT
01:19:43.311 --> 01:19:44.146
HEALTH CARE COSTS HAVE
01:19:44.212 --> 01:19:46.114
INCREASED AT A HIGHER RATE THAN
01:19:46.181 --> 01:19:47.415
JEAN PIERRE WAGES OR ANY OTHER
01:19:47.482 --> 01:19:49.584
MEASURE MOST OF IT IS AROUND
01:19:49.651 --> 01:19:50.819
THE PRICES RATHER THAN
01:19:50.886 --> 01:19:54.623
UTILIZATION. OR DEMOGRAPHIC
01:19:54.689 --> 01:19:55.657
MAPS OR NOT SO WE HAVE IT'S
01:19:55.724 --> 01:19:56.691
WHAT'S THE MARGARET THE RIGHT
01:19:56.758 --> 01:19:59.961
AND- AS WE TRIED TO TOSS TRACK
01:20:00.028 --> 01:20:01.997
DID YOU MENTION THE GP BUT YOU
01:20:02.063 --> 01:20:04.132
GUESTS FOR. AGING BUT I DON'T
01:20:04.199 --> 01:20:06.635
KNOW THE LONG TERM PART OF.
01:20:06.701 --> 01:20:09.838
WHAT THAT. IS TO BE DETERMINED.
01:20:09.905 --> 01:20:13.208
AS AN ENTRY. SO IT'S- RATE IT'S-
01:20:13.275 --> 01:20:14.910
IT ALSO DEMOGRAPHICS IT'S
01:20:14.976 --> 01:20:16.344
STICKING. NO SIR BROADLY
01:20:16.411 --> 01:20:18.980
DEFINED RATE SO WE GO FROM. X.
01:20:19.047 --> 01:20:22.784
RAYS A CT MRI IS RIGHT FOR- OR
01:20:22.851 --> 01:20:23.919
WE GO FROM YOU KNOW-
01:20:23.985 --> 01:20:25.720
IMMUNOGLOBULIN TO CIVIL THE
01:20:25.787 --> 01:20:27.756
IRATE. SO FORTHRIGHT SO YOU
01:20:27.822 --> 01:20:29.124
HAVE YOU OF IT DANCES IN
01:20:29.191 --> 01:20:32.327
TECHNOLOGY. AND YOU HAVE THE
01:20:32.394 --> 01:20:34.229
ACTUAL INDIVIDUAL BEHAVIORS OF
01:20:34.296 --> 01:20:38.633
THE PEOPLE ARE. OF THE SYSTEM
01:20:38.700 --> 01:20:40.669
RIGHT TERMS OF OKAY. SO IT I
01:20:40.735 --> 01:20:45.173
THINK IN THAT SO- THAT'S WHERE
01:20:45.240 --> 01:20:48.643
I MEAN IN IN HEALTH ECONOMICS I
01:20:48.710 --> 01:20:50.545
UNDERSTAND THAT THEY TALK ABOUT
01:20:50.612 --> 01:20:52.214
HOW PROVIDERS CAN GENERATOR AND-
01:20:52.280 --> 01:20:53.715
SO I AM IN THE MANNER. PRESS
01:20:53.782 --> 01:20:55.684
FIGHTER CANCER THAT GOES BACK
01:20:55.750 --> 01:20:56.551
TO THE NUMBER OF INDEPENDENT
01:20:56.618 --> 01:20:57.919
ACTIVISION HERBS AND HOW MANY
01:20:57.986 --> 01:20:59.788
WE HAVE AND WHAT ARE THEY DOING
01:20:59.854 --> 01:21:01.022
TO DRIVE THEIR ON DEMAND WHAT
01:21:01.089 --> 01:21:03.024
DEGREES THAT DEMAND. OF
01:21:03.091 --> 01:21:05.860
INVERSES NEEDED RIGHT NOW IT'S
01:21:05.927 --> 01:21:09.130
HARD TO DISTINGUISH BETWEEN THE
01:21:09.197 --> 01:21:12.767
TWO RIGHT SO TRY TO. THAT PIECE
01:21:12.834 --> 01:21:15.270
AS WELL. THE TRYING FIGURE OUT
01:21:15.337 --> 01:21:15.870
HOW WE PUT ALL THOSE DIFFERENT
01:21:15.937 --> 01:21:17.105
PIECE. THERE IN TERMS OF FIGURE
01:21:17.172 --> 01:21:18.940
OUT LIKE QUICKLY STRATEGICALLY
01:21:19.007 --> 01:21:20.675
PUT OUR RESOURCES HOW DO WE
01:21:20.742 --> 01:21:24.579
DIRECT THEM- AND YOU KNOW GOES.
01:21:24.646 --> 01:21:27.249
TO HOW DID AN APPROPRIATE GETS
01:21:27.315 --> 01:21:29.851
RIGHT YOU ARE YOU SEE ALSO THAT
01:21:29.918 --> 01:21:30.518
pWE'RE TALKING UP FRONT VIRUS
01:21:30.585 --> 01:21:32.287
DISTANTLY. BEFORE PANEL FOR THE
01:21:32.354 --> 01:21:35.323
THAT WE MIGHT HAVE. FIVE OR
01:21:35.390 --> 01:21:36.424
EIGHT. I DON'T KNOW WHAT DEGREE
01:21:36.491 --> 01:21:42.564
DO WE TELL PEOPLE IT'S OUR A
01:21:42.631 --> 01:21:45.400
TRUCK THAT HE- WHEN YOU. I WAS
01:21:45.467 --> 01:21:46.534
READ AN ARTICLE ABOUT HOW LOCAL
01:21:46.601 --> 01:21:47.702
HAAS HAD YEAR BECAUSE PEOPLE
01:21:47.769 --> 01:21:49.704
GOT THEMSELVES IMMUNE OR FOOD
01:21:49.771 --> 01:21:52.707
FLU CASES EXPECTED THAT YEAR.
01:21:52.774 --> 01:21:54.109
RIGHT THAT'S ACTUALLY GOOD
01:21:54.175 --> 01:21:55.343
OUTCOME BUT WASN'T GOOD FOR THE
01:21:55.410 --> 01:21:57.245
HOSPITAL'S CELL BECAUSE THAT
01:21:57.312 --> 01:21:58.980
YOUR ADMISSIONS RIGHT AND SO
01:21:59.047 --> 01:22:01.583
HOW THOSE KIND OF DYNAMICS WORK
01:22:01.650 --> 01:22:03.818
RIGHT IN TERMS OF. I'M FOR COP
01:22:03.885 --> 01:22:06.354
THING THEY'LL- JACQUELINE. NEXT
01:22:06.421 --> 01:22:07.322
THAT IS WHAT WE WANT BECAUSE IT
01:22:07.389 --> 01:22:08.123
MEANS YOU PEOPLE BUILDING TWO
01:22:08.189 --> 01:22:11.026
BARS. SO HOW'S THAT SO LOOK AT
01:22:11.092 --> 01:22:12.861
WELL THERE'S A LOT OF THINGS TO
01:22:12.927 --> 01:22:15.497
DELVE INTO HIM LOOKING FORWARD
01:22:15.563 --> 01:22:18.366
TO HEARING AT THE- MORE DETAIL
01:22:18.433 --> 01:22:20.468
A LOT. OF LIKE TO WORK OUT WE
01:22:20.535 --> 01:22:22.871
GOT THE TRUCK THE ONE ON MY
01:22:22.937 --> 01:22:24.172
CELL AND THEY'LL- NEED TO DO TO
01:22:24.239 --> 01:22:29.511
NOT ASSIST. PROBLEM IN. TELLING
01:22:29.577 --> 01:22:30.779
I DON'T KNOW IS TO SELL. THAT
01:22:30.845 --> 01:22:32.080
YOU CAN'T AND I DON'T KNOW. SO
01:22:32.147 --> 01:22:34.916
I. WANT TO DEL INTO. TO THAT
01:22:34.983 --> 01:22:38.887
AND I YOU. RIGHT FOR OF THE OFF
01:22:38.953 --> 01:22:40.689
ARE YOU KNOW WHAT YOU SEEN OUT
01:22:40.755 --> 01:22:41.723
BUT A LOT OF THE MATH THAT
01:22:41.790 --> 01:22:43.291
METHODOLOGIES FOR. I MEAN ARE
01:22:43.358 --> 01:22:44.259
GOING TO RELY ON THE X.OF THE
01:22:44.326 --> 01:22:46.728
PEOPLE STAFF THE OFFICE AND
01:22:46.795 --> 01:22:48.196
ADVISORY BOARD AND I THINK
01:22:48.263 --> 01:22:51.599
ANOTHER IS TO CALL OUT H. P.
01:22:51.666 --> 01:22:54.269
IT'S GONNA BE A- RESOURCE. THE
01:22:54.336 --> 01:22:55.603
THINGS YOU TO ABOUT IS IT OUR
01:22:55.670 --> 01:22:58.340
DURING BY NATION OR BY ARE BY
01:22:58.406 --> 01:22:59.808
SO BODY EUROPE YOU KNOW CURRENT
01:22:59.874 --> 01:23:02.010
OF OURS I THINKALL OF THAT
01:23:02.077 --> 01:23:04.913
WILL BE- OR A PARENT BY HAVE A
01:23:04.979 --> 01:23:07.282
GRANULAR DATE IN THE H. B. D.
01:23:07.349 --> 01:23:08.783
OKAY. SO I GUESS THE ONE OTHER
01:23:08.850 --> 01:23:11.820
THOUGH CASH FOR IT IS- ME SO I
01:23:11.886 --> 01:23:14.489
UNDERSTAND THERE'S- THERE WAS A
01:23:14.556 --> 01:23:17.092
LOT OF COMPLICATED THINGS. SOME
01:23:17.158 --> 01:23:19.728
OF IT YOU KNOW YOU MIGHT DO
01:23:19.794 --> 01:23:21.229
PLACE AND BUT I THINK ALSO SO I
01:23:21.296 --> 01:23:22.864
SECTION WE'RE STARTING TALKING
01:23:22.931 --> 01:23:27.168
ABOUT LIKE SOME TOWN. AND BUT I
01:23:27.235 --> 01:23:28.670
THINK THE LED TO SO WANTS TO BE
01:23:28.737 --> 01:23:32.374
SURE WE ALL IN. NINE BUT THINGS.
01:23:32.440 --> 01:23:35.043
ALL THE- TURNED OUT REGULAR IN
01:23:35.110 --> 01:23:37.011
THAT WE ACTUALLY SLATE. IS TO.
01:23:37.078 --> 01:23:39.647
THE KEEP QUESTIONS THAT WOULD
01:23:39.714 --> 01:23:45.487
IN THE CODE. CLOSE SURE WE- TO
01:23:45.553 --> 01:23:50.825
VIEW IS AND ALSO TO AT TWO TWO
01:23:50.892 --> 01:23:52.193
ALSO GIVE TO WHAT WE YOU PLANE
01:23:52.260 --> 01:23:53.061
TO DO AND TO GIVE ALSO THE
01:23:53.128 --> 01:23:55.130
THAT'S WHAT THAT A CODE HAS
01:23:55.196 --> 01:23:58.133
THAT THIS IS. YOU MIGHT HAVE IN
01:23:58.199 --> 01:24:00.268
THE IN A REGULATIONS SO I THINK
01:24:00.335 --> 01:24:03.471
CAN WE DON'T BUY DISABLED AND
01:24:03.538 --> 01:24:04.205
FOR ALL THAT TO THE REGULATORY
01:24:04.272 --> 01:24:06.941
PROCESS I THINK WE WANT TO THE
01:24:07.008 --> 01:24:09.377
VET THAT. THROUGH THE
01:24:09.444 --> 01:24:10.578
LEGISLATURE AND THROUGH OUR THE-
01:24:10.645 --> 01:24:13.348
SEAT AT THREE BILL ARE ARE TO
01:24:13.415 --> 01:24:15.483
THIS PROCESS THE WORKING AT ALL
01:24:15.550 --> 01:24:17.285
RIGHT THANK YOU. SO MUCH OKAY
01:24:17.352 --> 01:24:20.355
ANY OTHER QUESTIONS. OKAY ALL
01:24:20.422 --> 01:24:22.157
RIGHT IN FACT. WE HAVE SEVERAL
01:24:22.223 --> 01:24:24.659
PROPOSALS FOR INVESTMENTS HERE
01:24:24.726 --> 01:24:29.164
AND THEN WE'LL- THE WHOLE CD
01:24:29.230 --> 01:24:30.298
THINGS WE HEARD RELATED TO.
01:24:30.365 --> 01:24:34.068
HELP HIM SERVICES. BUT SO START
01:24:34.135 --> 01:24:35.136
OFF WE HAVE THE CALIFORNIA
01:24:35.203 --> 01:24:39.441
COUNTY FAMILY PHYSICIAN. NEVER
01:24:39.507 --> 01:24:41.943
PROPOSAL HERE. ACTUALLY I'M NOT
01:24:42.010 --> 01:24:45.513
SURE. USUALLY ASK LIKE ELIA
01:24:45.580 --> 01:24:46.848
FINANCE WITHIN THE PINION ABOUT
01:24:46.915 --> 01:24:48.883
NOT SURE WHO HE SAID SITTING UP
01:24:48.950 --> 01:24:50.919
THERE RELATED TO THAT IN A
01:24:50.985 --> 01:24:52.253
REALIZE YOU'VE OFTENTIMES YOU
01:24:52.320 --> 01:24:53.421
SAY I DON'T HAVE IT IF YOU KNOW
01:24:53.488 --> 01:24:56.791
WE HAVEN'T LOOKED AT IT YET BUT
01:24:56.858 --> 01:25:00.061
EASY DO YOU SELL EITHER WHO
01:25:00.128 --> 01:25:01.930
COULD HAVE FROM FINANCE UP HERE.
01:25:01.996 --> 01:25:05.300
IF YOU'RE- AFTER ALL YOU HAVE
01:25:05.366 --> 01:25:07.168
AN OPINION WILL ON HERE IT SAYS
01:25:07.235 --> 01:25:11.406
OKAY. HOPEFULLY GOOD I DO IT WE
01:25:11.473 --> 01:25:11.906
DO UNDERSTAND THAT THE
01:25:11.973 --> 01:25:13.007
GOVERNOR'S BUDGET IS THE
01:25:13.074 --> 01:25:14.709
GOVERNOR'S PROPOSAL SO ANYTHING
01:25:14.776 --> 01:25:16.811
IN ADDITION TO THAT IS NOT THE
01:25:16.878 --> 01:25:17.812
GOVERNOR'S PROPOSAL I GOT THAT.
01:25:17.879 --> 01:25:20.181
BUT THEIR OPINION. SO OKAY
01:25:20.248 --> 01:25:22.150
LET'S GO AHEAD AND START MULTI
01:25:22.217 --> 01:25:23.284
PAYER PESTS PATIENT CENTERED
01:25:23.351 --> 01:25:25.119
MEDICAL HOME WORKING GROUP I
01:25:25.186 --> 01:25:27.055
ASK OF YOU CAN TRY PLEASE KEEP
01:25:27.121 --> 01:25:27.856
YOUR PRESENTATION TO THREE
01:25:27.922 --> 01:25:29.591
MINUTES OR LESS. AND WE HAVE
01:25:29.657 --> 01:25:30.959
MORE TIME FOR QUESTIONS OKAY
01:25:31.025 --> 01:25:32.927
THANKS TO PLEASE INTRODUCE
01:25:32.994 --> 01:25:33.595
YOURSELF FOR THE RECORD- I'M
01:25:33.661 --> 01:25:35.396
ADAM FRANCE IN THE- OF
01:25:35.463 --> 01:25:36.197
GOVERNMENT RELATIONS FOR THE
01:25:36.264 --> 01:25:38.533
CALIFORNIA ACADEMY OF FAMILY
01:25:38.600 --> 01:25:41.202
PHYSICIANS ALL RIGHT. PLEASE
01:25:41.269 --> 01:25:43.505
BEGIN. CAN YOU SEE TODAY ABOUT
01:25:43.571 --> 01:25:44.138
OUR MODEST PROPOSAL. WILL HELP
01:25:44.205 --> 01:25:45.940
BEEN COST CURVE. AND THEY
01:25:46.007 --> 01:25:48.776
CLOSER TO VALUE BASED PAYMENT-
01:25:48.843 --> 01:25:50.144
YOU'LL BE VERY FAMILIAR WITH
01:25:50.211 --> 01:25:50.645
THIS SINCE YOU AUTHORED
01:25:50.712 --> 01:25:52.413
LEGISLATION SOME YEARS AGO AT.
01:25:52.480 --> 01:25:53.648
THIS TIME LEGISLATION ON THIS
01:25:53.715 --> 01:25:57.452
ISSUE- WE'RE LOOKING TO- TAP.
01:25:57.519 --> 01:25:59.053
TO JUST FOR TERRY WITH
01:25:59.120 --> 01:26:01.289
CONVENIENT WORKING GROUP
01:26:01.356 --> 01:26:03.825
CONSISTING OF PAYERS PROVIDE.
01:26:03.892 --> 01:26:06.728
AND INSTEAD OF. EMPLOYMENT MORE.
01:26:06.794 --> 01:26:07.462
GRAMS AIMED AT CREATING A LINE
01:26:07.529 --> 01:26:08.630
FOR DEFENSE PRIMARY CARE. AND
01:26:08.696 --> 01:26:10.698
VALUE BASED PAYMENT. IS THIS
01:26:10.765 --> 01:26:11.799
TYPE OF ADVANCE TO LIMA
01:26:11.866 --> 01:26:13.434
REQUIRES VERY NARROW ANTITRUST
01:26:13.501 --> 01:26:15.303
LIABILITY WAIVERS THE STATE
01:26:15.370 --> 01:26:17.572
MUST BE INVOLVED. READING MULTI
01:26:17.639 --> 01:26:19.474
PLAYER PILOTS HELPPRIMARY CARE
01:26:19.541 --> 01:26:20.875
PRACTICES TRANSFORM TO ADVANCE
01:26:20.942 --> 01:26:21.976
PRIMARY CARE PRACTICES ALSO
01:26:22.043 --> 01:26:23.211
KNOWN AS PATIENTS AND OUR
01:26:23.278 --> 01:26:26.314
MEDICAL HOMES HAS BEEN PROVEN
01:26:26.381 --> 01:26:26.881
TO REDUCE COSTS AND IMPROVE
01:26:26.948 --> 01:26:28.216
OUTCOMES. AS IN OTHER STATES
01:26:28.283 --> 01:26:30.752
LIKE NORTH AND COLORADO HAVE
01:26:30.818 --> 01:26:32.186
BEEN VERY SUCCESSFUL THIS. CAL
01:26:32.253 --> 01:26:34.722
AYMAN UP ROSE OFFICE OF-
01:26:34.789 --> 01:26:36.758
HEALTHCARE AFFORDABILITY- WILL
01:26:36.824 --> 01:26:39.227
GET US THERE IN SEVERAL YEARS
01:26:39.294 --> 01:26:40.595
AND WE THINK THIS PROPOSAL CAN
01:26:40.662 --> 01:26:41.996
HELP BUILD THE FOUNDATION FOR
01:26:42.063 --> 01:26:47.035
THOSE FOR THE ACTIVITY AND HELP
01:26:47.101 --> 01:26:47.735
DISSEMINATE BEST PRACTICES. CO
01:26:47.802 --> 01:26:49.604
IS LIKELY TO PLACE A CODE
01:26:49.671 --> 01:26:50.371
NINETY IS LIKELY TO PLAY A
01:26:50.438 --> 01:26:52.974
SIGNIFICANT- BUDGET IMPACT ON
01:26:53.041 --> 01:26:54.509
OUR STATE AND ON FRONTLINE
01:26:54.576 --> 01:26:57.045
PRIMARY CARE PHYSICIANS THE WE
01:26:57.111 --> 01:27:00.214
NEED A CRUCIAL SUPPORT AND WE
01:27:00.281 --> 01:27:01.549
BELIEVE THAT THIS FOR OVER. THE
01:27:01.616 --> 01:27:03.418
WILL HELP SAVE MONEY ON TRAINED
01:27:03.484 --> 01:27:04.552
PHYSICIANS THIS IS NECESSARY TO
01:27:04.619 --> 01:27:06.421
MANAGE THING FROM CURRENT
01:27:06.487 --> 01:27:08.423
DISEASES TO ADDRESSES. THIS
01:27:08.489 --> 01:27:10.258
MULTI STATE. TASK FORCE HAS THE
01:27:10.325 --> 01:27:11.092
POTENTIAL MAKE SIGNIFICANT
01:27:11.159 --> 01:27:12.560
PROGRESS IN OUR STATES EFFORT
01:27:12.627 --> 01:27:14.128
TO SUPPORT PRIMARY CARE IMPROVE
01:27:14.195 --> 01:27:15.496
OUTCOMES AND BEND THE COST
01:27:15.563 --> 01:27:16.965
CURVE. AND WE LOOK FORWARD TO
01:27:17.031 --> 01:27:18.800
YOUR HOPEFULLY FUTURES. AND
01:27:18.866 --> 01:27:21.269
HAPPY TO TAKE ANY QUESTIONS
01:27:21.336 --> 01:27:22.604
OKAY THANK YOU ANY COMMENTS
01:27:22.670 --> 01:27:27.275
FROM ALEJO. IT'S NOT ALL RIGHT-
01:27:27.342 --> 01:27:29.978
SO BASICALLY YOU'RE ASKING FOR
01:27:30.044 --> 01:27:32.847
ESSENTIALLY A- WELL WORKFORCE A
01:27:32.914 --> 01:27:34.082
CONVENER BECAUSE YOU KID
01:27:34.148 --> 01:27:35.650
FRIENDLY TRUST REASONS WE CAN'T
01:27:35.717 --> 01:27:37.752
THE ONLY STATE CAN PULL PEOPLE
01:27:37.819 --> 01:27:40.755
THE FROM THIS CORRECT IS SO
01:27:40.822 --> 01:27:43.024
FORTY. YOU SOME YEARS AGO DID
01:27:43.091 --> 01:27:45.426
OUR PCMH PROGRAM FRESNO RIGHT
01:27:45.493 --> 01:27:47.028
WHICH WAS WITH- ONE'S SELF
01:27:47.095 --> 01:27:49.263
INSURED PAYER AND SO THAT
01:27:49.330 --> 01:27:51.566
PRACTICE COULDN'T THEN GO TO
01:27:51.633 --> 01:27:53.201
ALL THE OTHER PAIRS ARE PART OF
01:27:53.267 --> 01:27:54.469
THAT MEDICAL PRACTICE AND SAY.
01:27:54.535 --> 01:27:57.372
LET'S WITH SOMETHING RIGHT. YOU
01:27:57.438 --> 01:27:57.972
NEED THE STATE TO OVERSEE THAT
01:27:58.039 --> 01:28:00.041
OF THAT TYPE OF ACTIVITY IT'S
01:28:00.108 --> 01:28:02.477
VERY NARROW IN TERMS OF THE
01:28:02.543 --> 01:28:04.345
ANTITRUST LIABILITY BUT YOU
01:28:04.412 --> 01:28:05.747
STILL NEED THE STATE TO APPLY
01:28:05.813 --> 01:28:08.016
AND CONVENER THOSE GROUPS.
01:28:08.082 --> 01:28:11.119
AGAIN WE JUST HEARD FROM THE A
01:28:11.185 --> 01:28:12.987
PROPOSAL FROM THE OFFICE OF
01:28:13.054 --> 01:28:14.422
HEALTH CARE AFFORDABILITY I
01:28:14.489 --> 01:28:15.990
THINK ONE OF THE ELEMENTS WAS
01:28:16.057 --> 01:28:17.725
ACTUALLY LOOKING AT DIFFERENT
01:28:17.792 --> 01:28:20.428
PAYMENT MODELS- YEAH I HAD THE
01:28:20.495 --> 01:28:22.864
OPPORTUNITY TOWARD THE FRESNO-
01:28:22.930 --> 01:28:25.066
PROGRAM. IT WAS ONE THAT- YOU
01:28:25.133 --> 01:28:26.134
KNOW THEY WERE ON THE CURVE TO
01:28:26.200 --> 01:28:27.468
BASICALLY BETTER MANAGE CHRONIC
01:28:27.535 --> 01:28:29.103
DISEASE BUT ALSO SAVE MONEY- SO
01:28:29.170 --> 01:28:31.673
IT'S ALSO A YOU KNOW IT'S BASED
01:28:31.739 --> 01:28:37.445
APPROACH- TO CARE. CAPS SOME
01:28:37.512 --> 01:28:38.479
THAT YOU'RE ASKING HERE IN THIS
01:28:38.546 --> 01:28:40.948
PROPOSAL PERHAPS- BEING
01:28:41.015 --> 01:28:44.152
INCORPORATED ARE INTO- WORK
01:28:44.218 --> 01:28:46.754
WITH THE- THIS OFFICE SAYS THAT
01:28:46.821 --> 01:28:49.223
AS A WAY TO HELP- CONVENE
01:28:49.290 --> 01:28:51.526
PEOPLE TO TRY STEPS THE
01:28:51.592 --> 01:28:55.163
STANDARDS ACROSS PAYERS. WITHIN
01:28:55.229 --> 01:28:56.931
THE TO BEST AND AFFORDABILITY
01:28:56.998 --> 01:28:58.099
ABSOLUTELY ABSOLUTELY I THINK
01:28:58.166 --> 01:29:00.501
THERE'S- THIS THIS TASK FORCE
01:29:00.568 --> 01:29:02.303
COULD HAVE A LOT OF- BENEFIT
01:29:02.370 --> 01:29:04.205
ACROSS TO PROGRAMS-
01:29:04.272 --> 01:29:06.874
PARTICULARLY THE OFFICE OF
01:29:06.941 --> 01:29:07.475
HEALTH CARE AFFORDABILITY AND
01:29:07.542 --> 01:29:10.044
POSSIBLY CAL AIMED. I THINK
01:29:10.111 --> 01:29:11.546
EIGHT WAY TO TAKE THE FIRST
01:29:11.612 --> 01:29:12.847
STEP INTO THAT I THINK-
01:29:12.914 --> 01:29:15.316
CERTAINLY IT'S A VERY BIG
01:29:15.383 --> 01:29:17.385
PROJECT THAT THE STATE- IS
01:29:17.452 --> 01:29:18.986
PROPOSING AN AND ONE THAT WE
01:29:19.053 --> 01:29:20.688
SUPPORT CERTAINLY IN
01:29:20.755 --> 01:29:22.657
CONTROLLING COST AND BELIEVE
01:29:22.724 --> 01:29:23.891
THIS IS A SMALL STEP THAT CAN
01:29:23.958 --> 01:29:26.327
HELP GET THEIR- IN FRESNO. SIDE
01:29:26.394 --> 01:29:27.228
WE HAD MORE THAN TWO MILLION
01:29:27.295 --> 01:29:28.930
DOLLARS IN SAVINGS AND HEALTH
01:29:28.996 --> 01:29:30.798
OUTCOMES IMPROVE SIGNIFICANTLY
01:29:30.865 --> 01:29:33.701
AND SO I'VE I THINK AS WE CAN
01:29:33.768 --> 01:29:35.403
FILL THE EVIDENCE FOR THAT.
01:29:35.470 --> 01:29:36.370
IT'S REALLY IMPORTANT BEEN TO
01:29:36.437 --> 01:29:38.840
DO ADDRESSING COSTS OKAY. SHEET
01:29:38.906 --> 01:29:41.008
THAT I KNOW THAT- WAY BACK WHEN
01:29:41.075 --> 01:29:43.377
I WAS- ASSEMBLY HEALTH CARE AND
01:29:43.444 --> 01:29:45.780
I WAS BACK IN TWENTY TWELVE- WE
01:29:45.847 --> 01:29:47.582
ACTUALLY HAD A HEARING AROUND-
01:29:47.648 --> 01:29:49.584
PATIENT CENTERED MEDICAL HOME
01:29:49.650 --> 01:29:50.451
AND THE BAD BETTER MAGIC
01:29:50.518 --> 01:29:52.754
CHRONIC CONDITIONS. I NOTED
01:29:52.820 --> 01:29:55.456
THAT WE PRESENTED A REPORT THAT
01:29:55.523 --> 01:29:57.592
HAD SEVERAL PAGES OF PILOTS
01:29:57.658 --> 01:30:00.228
EACH FILE FILE CARD THE ONLY
01:30:00.294 --> 01:30:03.598
TWO LINES OF PRIDE LIKE. THE
01:30:03.664 --> 01:30:05.767
THIRTY SOME LET'S SHOULD. YEAH
01:30:05.833 --> 01:30:07.268
BURKE LOWER COST SO FOR THE
01:30:07.335 --> 01:30:08.503
MIKE WAS WHY ARE TAKE TAKING
01:30:08.569 --> 01:30:09.370
THESE SCALE WHY IT'S EVERY A
01:30:09.437 --> 01:30:11.139
PILOT WITH DOING AFTER PILOTS A
01:30:11.205 --> 01:30:12.840
PILOT THAT ALL SHOWS THE SAME
01:30:12.907 --> 01:30:13.508
THING WE'RE GETTING REALLY GOOD
01:30:13.574 --> 01:30:15.543
RESULTS YET IT DOESN'T GO TO
01:30:15.610 --> 01:30:18.045
HELP PEOPLE TAKING IT SCALE.
01:30:18.112 --> 01:30:20.348
FUNNY IT SCALES SO WE THINK
01:30:20.414 --> 01:30:23.084
ABOUT CAN WE ACCOMPLISH THAT IF
01:30:23.151 --> 01:30:25.920
YOU HAVE A CONVERSATION STILL
01:30:25.987 --> 01:30:28.055
SHE STILL HERE THEY OP
01:30:28.122 --> 01:30:28.589
AFFORDABILITY AT DIFFERENT
01:30:28.656 --> 01:30:32.026
CLUBS BUT IT SET AT THAT VALUE
01:30:32.093 --> 01:30:32.827
BASED PURCHASING WHICH THEIR
01:30:32.894 --> 01:30:37.431
PER IS A IS A IS A IS AN
01:30:37.498 --> 01:30:39.200
IMPORTANT ELEMENT- I MEAN I
01:30:39.267 --> 01:30:46.340
THINK THE- WE DO. YEAH TO A-
01:30:46.407 --> 01:30:47.441
TWO. THERE WERE NOT FILING A
01:30:47.508 --> 01:30:48.910
TRY BUT ALSO BE ISSUE RECORD I
01:30:48.976 --> 01:30:49.977
MEAN THINK THAT'S OF AT LEAST
01:30:50.044 --> 01:30:51.479
AS HEARD OFFICE OF FOR LIKE
01:30:51.546 --> 01:30:53.848
THIS IS LIKE HOW DO WE EVERY
01:30:53.915 --> 01:30:55.516
TOGETHER TO THINK OF HOW WE NOW
01:30:55.583 --> 01:30:58.619
HE SETS ARE BUT AND THE COST
01:30:58.686 --> 01:31:02.757
CURVE. PEOPLE ARE YOU WILL HAVE
01:31:02.824 --> 01:31:04.325
TO TELL BUT LIKE WHAT IS WE CAN
01:31:04.392 --> 01:31:05.493
TRY TO DO PROVIDE TO DO THAT
01:31:05.560 --> 01:31:06.294
HOPEFULLY WE CAN YOU CAN HAVE
01:31:06.360 --> 01:31:09.864
SOME KIND OF A YEAH WE CAN
01:31:09.931 --> 01:31:10.932
LEAVE THAT MAKE THIS SOMETHING
01:31:10.998 --> 01:31:13.000
LIKE THIS HAPPENED AND YEAH OUR
01:31:13.067 --> 01:31:14.335
HOPE IS THAT BY INCLUDE THE
01:31:14.402 --> 01:31:16.337
STATE ALL STAKEHOLDERS IN ONE
01:31:16.404 --> 01:31:18.306
WORKING GROUP YOU CAN REALY
01:31:18.372 --> 01:31:21.809
BUILD THE TRUST AND MOVE TOWARD
01:31:21.876 --> 01:31:26.848
SKATE INSTEAD OF JUST. ONE IN
01:31:26.914 --> 01:31:27.949
OTHER OTHER PEOPLE IN THE IN IT
01:31:28.015 --> 01:31:28.816
PATIENT SELF WE CAN FIGURE OUT
01:31:28.883 --> 01:31:30.051
HOW THIS IS SO WE CAN MAKE THIS
01:31:30.117 --> 01:31:32.587
PART OF AN INTEGRATED INTO A-
01:31:32.653 --> 01:31:34.488
INTO- INTO SOME OF THE OTHER
01:31:34.555 --> 01:31:36.290
ACT. I'M GOING OUT PRIORITIES
01:31:36.357 --> 01:31:38.793
OF THE GOVERNOR CELL. RIGHT
01:31:38.860 --> 01:31:40.661
OKAY MY EXTRA MUCH THANK YOU
01:31:40.728 --> 01:31:43.064
ALL RIGHT. OKAY NEXT UP WAS.
01:31:43.130 --> 01:31:44.632
CALIFORNIA CHILDREN'S HOSPICES
01:31:44.699 --> 01:31:46.801
SITUATION- REQUESTS FOR
01:31:46.868 --> 01:31:48.135
CHILDREN'S MENTAL HEALTH ACCESS
01:31:48.202 --> 01:31:51.072
NETWORK OKAY AND- SEE SOME OF
01:31:51.138 --> 01:31:53.908
THE REGULATORY WELCOME. WE ARE
01:31:53.975 --> 01:31:55.309
HONORED BY YOUR PRESENCE I
01:31:55.376 --> 01:31:58.512
WOULD LIKE TO JUST APOLOGIZE
01:31:58.579 --> 01:31:59.080
FOR MY DRESS TODAY I'M ON MY
01:31:59.146 --> 01:32:01.515
WAY OUT. SO LITTLE CASUAL THAT
01:32:01.582 --> 01:32:02.884
SOME WHAT WHAT WHAT WHAT WE'LL
01:32:02.950 --> 01:32:05.219
GET TO THAT HERE I KNOW. A GOOD
01:32:05.286 --> 01:32:07.388
MORNING SENATOR PAN AND MEMBERS
01:32:07.455 --> 01:32:09.657
I'M HERE TODAY WITH MERA MORTON
01:32:09.724 --> 01:32:11.092
FROM THE CHILDREN'S HOSPITAL SO
01:32:11.158 --> 01:32:13.227
AS- TO PRESENT AN IMPORTANT
01:32:13.294 --> 01:32:14.729
PROPOSAL TO EXPAND ACCESS TO
01:32:14.795 --> 01:32:17.164
MIDDLE CARE. ALL TO BRING IN
01:32:17.231 --> 01:32:18.332
OUR DATA SHE CAN ARE YOU JUST
01:32:18.399 --> 01:32:20.001
WANT TO EAT I JUST CAN WE
01:32:20.067 --> 01:32:22.737
INTRODUCE EVERYONE IS TO GET
01:32:22.803 --> 01:32:24.739
YOU. AND HE'S- HERE MORTON THAT.
01:32:24.805 --> 01:32:25.306
YOU'RE WORKING WITH THE CAL
01:32:25.373 --> 01:32:26.774
TALK. TO SEIZE OKAY FOR THE
01:32:26.841 --> 01:32:28.075
RECORD OKAY THANK YOU SORRY TO
01:32:28.142 --> 01:32:29.610
INTERRUPT THAT'S FINE. GIVEN
01:32:29.677 --> 01:32:30.811
THE CALIFORNIA IS SUFFERING
01:32:30.878 --> 01:32:32.947
FROM A SEVERE LACK OF ACCESS TO
01:32:33.014 --> 01:32:35.182
SPECIALIZED MENTAL HEALTH%
01:32:35.249 --> 01:32:38.319
PROFESSIONAL. ESPECIALLY CHILD
01:32:38.386 --> 01:32:42.556
AND ADOLESCENT PSYCHIATRIST.
01:32:42.623 --> 01:32:43.591
CAN TAKE. THE TEACHER COOLEY
01:32:43.658 --> 01:32:45.359
USING TELEHEALTH AND TELL
01:32:45.426 --> 01:32:47.929
CONSULTS TO ADDRESS THE UNMET
01:32:47.995 --> 01:32:49.830
NEEDS ARE UNMET NEED FOR
01:32:49.897 --> 01:32:52.333
PEDIATRIC MENTAL HEALTH CARE.
01:32:52.400 --> 01:32:54.402
QUEST FOR A HUNDRED AND THIRTY
01:32:54.468 --> 01:32:56.304
EIGHT POINT FIVE MILLION OVER
01:32:56.370 --> 01:32:57.705
FIVE YEARS TO INSTITUTE A
01:32:57.772 --> 01:33:00.107
CHILDREN'S MENTAL HEALTH
01:33:00.174 --> 01:33:01.509
PROVIDER NETWORK. OTHER STATES
01:33:01.575 --> 01:33:03.177
HAVE SUCCESSFULLY IMPLEMENTED
01:33:03.244 --> 01:33:04.912
PROGRAMS USING THIS HUB AND
01:33:04.979 --> 01:33:07.281
SPOKE MODEL. I COULD GO FURTHER
01:33:07.348 --> 01:33:08.516
IN DETAIL BUT I KNOW YOU HAVE A
01:33:08.582 --> 01:33:10.785
FULL AGENDA AND I APPRECIATE
01:33:10.851 --> 01:33:11.319
YOU GIVING ME THE TIME TO
01:33:11.385 --> 01:33:13.387
PRESENT TODAY I'M I WILL NOT
01:33:13.454 --> 01:33:17.925
AND IT TO ME. AND I TO THANK
01:33:17.992 --> 01:33:20.428
YOU FOR LETTING ME SEE. WHICH I.
01:33:20.494 --> 01:33:25.199
IN HANDS. YES MEMBER. YOU
01:33:25.266 --> 01:33:26.100
MISTER CHAIR AND MEMBERS I
01:33:26.167 --> 01:33:27.601
DON'T MYSELF SO YOU KNOW THE
01:33:27.668 --> 01:33:28.402
CHILDREN'S MENTAL HEALTH SYSTEM
01:33:28.469 --> 01:33:29.603
THE WHOLE MENTAL HEALTH SYSTEM
01:33:29.670 --> 01:33:30.571
BUT ESPECIALLY THE CHILDREN'S
01:33:30.638 --> 01:33:32.873
BUT ALL SYSTEM AND IT REALLY
01:33:32.940 --> 01:33:35.676
ISN'T NEEDED MEN UNDER. OFTEN
01:33:35.743 --> 01:33:38.045
UNDER WHEN STATES IN. I WILL
01:33:38.112 --> 01:33:39.547
HELP IMPROVE COUNTY MENTAL
01:33:39.613 --> 01:33:41.349
HEALTH SERVICES- AND BETTER
01:33:41.415 --> 01:33:42.783
ENFORCEMENT OF MENTAL HEALTH
01:33:42.850 --> 01:33:43.651
PARITY FOR COMMERCIAL HEALTH
01:33:43.718 --> 01:33:45.753
PLANS AND ALSO A HOST OF
01:33:45.820 --> 01:33:47.755
WORKFORCE PROPOSALS TO INCREASE
01:33:47.822 --> 01:33:49.824
ACCESS TO SPECIALTY MENTAL
01:33:49.890 --> 01:33:51.325
HEALTH PROVIDERS. ARE PROPOSAL
01:33:51.392 --> 01:33:54.729
SIX. AND THE GAP WHICH- THE-
01:33:54.795 --> 01:33:55.563
YOU KNOW THE LACK OF KNOWLEDGE
01:33:55.629 --> 01:33:57.064
UNDERSTOOD IN TRAINING AT. HER
01:33:57.131 --> 01:33:58.399
WORK FOR TO CHILDREN HOW NEEDS
01:33:58.466 --> 01:34:00.468
WHEN THEY FIRST ENTER IN
01:34:00.534 --> 01:34:02.703
HEALTHCARE SYSTEM AND HOLD THE
01:34:02.770 --> 01:34:04.772
KIDS WHO HAVE MENTAL HEALTH SEC
01:34:04.839 --> 01:34:07.141
ADDRESSED IN THE PRIMARY. AND
01:34:07.208 --> 01:34:09.243
ARE YOU DO THIS YOU. IMAGINE
01:34:09.310 --> 01:34:11.479
MANY OTHER STATES AS THE PATH
01:34:11.545 --> 01:34:12.480
THAT WE ARE ASSEMBLYMEMBER
01:34:12.546 --> 01:34:15.216
AGUIAR-CURRY MENTIONED- BY
01:34:15.282 --> 01:34:15.916
ESTABLISHING A COMPETITIVE
01:34:15.983 --> 01:34:18.786
GRANT PROGRAM TO ESTABLISH UP
01:34:18.853 --> 01:34:20.321
TO TEN OF ACROSS THE STATE OF
01:34:20.388 --> 01:34:21.922
CALIFORNIA IT WOULD BE POSSIBLE
01:34:21.989 --> 01:34:24.892
FOR ASIAN THEY WOULD. TAKE THE
01:34:24.959 --> 01:34:26.594
BODY FOR ALL OF THE PROVIDE
01:34:26.660 --> 01:34:29.630
CHILDREN UNLESS. AN TO PROVIDE
01:34:29.697 --> 01:34:31.132
TELEPHONE SOLD TRAINING TEN
01:34:31.198 --> 01:34:33.601
EWING EDUCATION- PROJECT ECHO
01:34:33.667 --> 01:34:35.603
STYLE WEBINARS TO REALLY HELP
01:34:35.669 --> 01:34:37.438
THEM BECOME FLUENT IN WHAT ARE
01:34:37.505 --> 01:34:39.206
THE PROBLEMS THAT CHILDREN FACE
01:34:39.273 --> 01:34:40.074
SOME MENTAL HEALTH EMERGENT
01:34:40.141 --> 01:34:41.842
MENTAL HEALTH ISSUES. AND THEN
01:34:41.909 --> 01:34:44.345
WHEN THE THIRTY WHEN A CHILD
01:34:44.412 --> 01:34:45.813
REALLY DOESN'T HAVE ACT TO A
01:34:45.880 --> 01:34:48.516
SPECIALTY METAL. ANGELA CAN
01:34:48.582 --> 01:34:49.984
ACTUALLY PROVIDE SERVICES USE
01:34:50.051 --> 01:34:53.687
WELCOME SO ANSWERING BUT YOU
01:34:53.754 --> 01:34:55.456
VERY MUCH FOR YOUR TIME. I
01:34:55.523 --> 01:34:57.058
THANK YOU INCOME MILLION.
01:34:57.124 --> 01:35:00.194
FINANCE RIGHT WHAT YOU SO MUCH
01:35:00.261 --> 01:35:01.762
FOR YOUR PRESENTATION I DID
01:35:01.829 --> 01:35:03.531
COUPLE QUESTIONS AND EIGHT SO
01:35:03.597 --> 01:35:05.366
WHEN I WAS TRAINING I WAS
01:35:05.433 --> 01:35:07.301
FAMILIAR WITH THE MODEL WHERE
01:35:07.368 --> 01:35:09.036
THEY DID- PROVIDE ESSENTIALLY
01:35:09.103 --> 01:35:11.705
PUT DOES. TELL A MENTAL HEALTH
01:35:11.772 --> 01:35:14.308
THE- ACCESS TO PRIMARY CARE
01:35:14.375 --> 01:35:16.577
DOCTORS SO IF YOU AS A TEACHER
01:35:16.644 --> 01:35:19.013
XIN YOU'RE SEEING A PATIENT TO
01:35:19.080 --> 01:35:20.214
A MENTAL HEALTH ISSUE AND SURE
01:35:20.281 --> 01:35:21.849
WHAT TO DO WE COULD ACTUALLY.
01:35:21.916 --> 01:35:25.419
MEET LEE CONTACT THE- THE CHILD
01:35:25.486 --> 01:35:27.888
PSYCHIATRISTS AND THAT THEY
01:35:27.955 --> 01:35:30.458
WOULD FOR APPS THE INITIAL
01:35:30.524 --> 01:35:32.426
INTERVENTION AND- THE NATION'S
01:35:32.493 --> 01:35:35.529
THIRD I NEED YOUR NOT BE SENT
01:35:35.596 --> 01:35:38.499
FOLLOW AT CENTER. THE THAT SIR
01:35:38.566 --> 01:35:39.767
KIND OF WHAT YOU'RE THINKING
01:35:39.834 --> 01:35:41.335
ABOUT YEAH THAT THE BASIC MODEL
01:35:41.402 --> 01:35:45.339
IT BUT DOING A STATE Y. AND
01:35:45.406 --> 01:35:47.942
MAKING IT MORE UNITS ACROSS THE
01:35:48.008 --> 01:35:51.378
STATE. AND THE OTHER. IS UP.
01:35:51.445 --> 01:35:52.279
THIS BECAUSE YOU'RE ASKING FOR
01:35:52.346 --> 01:35:54.215
GRANT FOR YEARS HOW WOULD THIS
01:35:54.281 --> 01:35:56.784
PROGRAM INTO WITH A MAY HEALTH
01:35:56.851 --> 01:35:58.385
SYSTEM SO YOU KNOW HALF OF ALL
01:35:58.452 --> 01:36:01.088
CHILDREN MEDI CAL. THIS CAN
01:36:01.155 --> 01:36:03.924
WITH A HEALTH NET NETWORK ARE
01:36:03.991 --> 01:36:06.127
ARE ARE MEDI CAL PROGRAM AND
01:36:06.193 --> 01:36:07.728
THEN OF COURSE WE HAVE THE
01:36:07.795 --> 01:36:09.697
VARIOUS MHSAA PROGRAMS
01:36:09.763 --> 01:36:12.600
DIFFERENT COUNTIES HAVE SO-
01:36:12.666 --> 01:36:14.335
SOME PEOPLE SAY WELL LOOK YOU
01:36:14.401 --> 01:36:14.969
KNOW WE'VE IN ITS DAY MONEY UP
01:36:15.035 --> 01:36:18.506
THERE WE HAVE. HAVE MEDI CAL
01:36:18.572 --> 01:36:22.710
AND SHE BE ABLE. IN CENTER AND
01:36:22.776 --> 01:36:24.178
SHE DATE PAYING FOR THIS WHY
01:36:24.245 --> 01:36:25.179
ARE WE GIVING MY SEPARATE FROM
01:36:25.246 --> 01:36:27.381
AND SO HOW HOW HOW THESE HOW
01:36:27.448 --> 01:36:30.050
HOW THIS PROGRAM INTERFACE.
01:36:30.117 --> 01:36:32.153
WITH THE THAT ACTUALLY REALLY
01:36:32.219 --> 01:36:33.654
GOOD COMPLEMENT PLEASE SYSTEM
01:36:33.721 --> 01:36:35.756
AND MEAN BASICALLY RIGHT NOW
01:36:35.823 --> 01:36:37.758
YOU HAVE. YOU KNOW MANAGED CARE
01:36:37.825 --> 01:36:39.493
PLANS AND COUNTY WHO ARE HOPING
01:36:39.560 --> 01:36:40.895
THAT PRIMARY CARE PROVIDERS ARE
01:36:40.961 --> 01:36:42.530
SCREENING CHILDREN AS THEY
01:36:42.596 --> 01:36:44.298
SHOULD BE AND PROVIDING BASIC.
01:36:44.365 --> 01:36:46.233
EARLY INTERVENTIONS AND THEN IF
01:36:46.300 --> 01:36:47.935
THEY PREFERRED INTO THE
01:36:48.002 --> 01:36:50.037
SPECIALLY MENTAL SYSTEMS AND
01:36:50.104 --> 01:36:52.006
HELP MANAGE CARE PLAN IF IT'S A
01:36:52.072 --> 01:36:54.341
KID. FOR COVERAGE OF THE WAR
01:36:54.408 --> 01:36:56.443
EVEN IN A MEDICAL ME. COURTNEY
01:36:56.510 --> 01:36:59.113
CARE BUT MINISTER I PRIVATE
01:36:59.180 --> 01:37:00.214
PSYCHIATRIST OR WHETHER IT'S BY
01:37:00.281 --> 01:37:01.649
CAN PROVIDER SO THAT SYSTEM ALL
01:37:01.715 --> 01:37:06.387
REMAINS IN PLACE WITH THIS IS A-
01:37:06.453 --> 01:37:11.158
GETTING RAINING. AND RESOURCE
01:37:11.225 --> 01:37:11.859
TO THE PRIME. THERE BEFORE
01:37:11.926 --> 01:37:14.361
INTEREST. THE ROBOT AND THAT
01:37:14.428 --> 01:37:14.995
FEWER KIDS ARE BEING IN A PROBE
01:37:15.062 --> 01:37:15.629
REFER OUT WHO REALLY CLICK BE
01:37:15.696 --> 01:37:17.131
MANAGE IN A PRIME CARE SO AND
01:37:17.198 --> 01:37:19.400
THEN POTENTIALLY ALSO HELPING
01:37:19.466 --> 01:37:21.635
TO CONNECT THE KID TO THAT
01:37:21.702 --> 01:37:22.436
SYSTEM SO THE PRIMARY CARE
01:37:22.503 --> 01:37:24.038
PROVIDER AND HAVE TO USE A
01:37:24.104 --> 01:37:26.040
VALUABLE TIME MAKE THAT
01:37:26.106 --> 01:37:27.641
CONNECTION FOR THE CHILD SO
01:37:27.708 --> 01:37:30.444
IT'S TAKING SOME OF THE
01:37:30.511 --> 01:37:32.112
WORKLOAD OFF OF THAT THAT
01:37:32.179 --> 01:37:36.750
THEY'RE ALSO FIGHTING AND- TO
01:37:36.817 --> 01:37:41.288
BE ABLE TO. THANKS PEOPLE OR
01:37:41.355 --> 01:37:43.557
THAT- SO WE SHOULD BE LOOKING
01:37:43.624 --> 01:37:46.493
AT ANY AGE SO YOU HAVE THIS AS
01:37:46.560 --> 01:37:47.761
A SEPARATE GRANT PROPOSALS TO
01:37:47.828 --> 01:37:49.663
THINK ABOUT IS THERE A WAY WE
01:37:49.730 --> 01:37:51.232
CAN LEVERAGE OUR EXISTING
01:37:51.298 --> 01:37:53.334
MENTAL HEALTH FUNDS THAT. THE
01:37:53.400 --> 01:37:56.670
MAN. THAT AND SO NOW IT SO YOU
01:37:56.737 --> 01:37:58.739
SAID NO WE'RE NOT TOUCHING THAT
01:37:58.806 --> 01:38:00.074
BUT WE'RE BUILDING A SYSTEM ON
01:38:00.140 --> 01:38:02.810
TOP OF THAT GREAT AND SO THE
01:38:02.876 --> 01:38:06.447
QUESTION IS THAT- BILL WHAT WE
01:38:06.513 --> 01:38:09.149
WILL MORE FRAGMENTATION- AND-
01:38:09.216 --> 01:38:13.020
SO WE- THINK ABOUT HOW HOW THIS
01:38:13.087 --> 01:38:14.755
INTERFACES AND THEN ALSO. THE
01:38:14.822 --> 01:38:17.291
OF YOUR FOR YEAR WHAT HAPPENS
01:38:17.358 --> 01:38:18.926
AFTER THE END OF THE FIVE YEARS
01:38:18.993 --> 01:38:21.328
RIGHT SO WE SHOULD BE STARTING
01:38:21.395 --> 01:38:22.429
TO THINK ABOUT IT YOU KNOW IT
01:38:22.496 --> 01:38:25.432
AS A SUSTAINABLE PLANTER IT'S
01:38:25.499 --> 01:38:27.101
LIKE HOW DOES THIS EVENTUALLY
01:38:27.167 --> 01:38:29.436
THEN GET. FULL ARE INTEGRATED
01:38:29.503 --> 01:38:31.572
TWO WAY WE- OR SO GET THE
01:38:31.639 --> 01:38:32.239
FEDERAL MATCHING TYPES OF
01:38:32.306 --> 01:38:35.909
THINGS TO. THE MENTAL HEALTH IN
01:38:35.976 --> 01:38:37.678
PROVIDING THIS SERVICE ONGOING
01:38:37.745 --> 01:38:40.247
BASIS RIGHT WHAT A COUPLE
01:38:40.314 --> 01:38:41.482
DIFFERENT POINTS COUPLE
01:38:41.548 --> 01:38:42.316
DIFFERENT QUESTIONS THERE SO
01:38:42.383 --> 01:38:44.285
FIRST I WOULD SAY WE'RE NOT
01:38:44.351 --> 01:38:46.253
CLOSED OFF TO I THINK THAT
01:38:46.320 --> 01:38:47.655
THERE MAY BE A PATCHWORK OF
01:38:47.721 --> 01:38:48.656
FUNDING THE COULD BE PULLED
01:38:48.722 --> 01:38:49.957
TOGETHER TO FUND AS WE DID
01:38:50.024 --> 01:38:52.426
GENERAL FUND BECAUSE WE IS
01:38:52.493 --> 01:38:54.762
ALREADY CONVERSATION GOING ON
01:38:54.828 --> 01:38:57.064
AROUND THE HELL AND MAKE SHOULD
01:38:57.131 --> 01:38:59.800
BE DISCOUNT. ARE THE- WE HAVE
01:38:59.867 --> 01:39:02.269
JACKSON. WE DID BURKE COUNTY
01:39:02.336 --> 01:39:04.204
MAY BE OCT TO A PRO AND HAVE
01:39:04.271 --> 01:39:04.872
FIFTH EIGHT DIFFERENT WAYS THAT
01:39:04.938 --> 01:39:06.774
THIS LIKE THAT'S ONE OF THE
01:39:06.840 --> 01:39:09.176
THINGS WE WANT HAVING HAPPENED
01:39:09.243 --> 01:39:10.444
SO CREATING A STATEWIDE ON THIS
01:39:10.511 --> 01:39:14.181
IS CALIFORNIA WE- WELL THE
01:39:14.248 --> 01:39:16.483
LOCAL CONTROL RIGHT. OKAY
01:39:16.550 --> 01:39:17.351
SOMETIMES WE WANT A LITTLE
01:39:17.418 --> 01:39:18.686
LITTLE BIT OF GUIDANCE SO
01:39:18.752 --> 01:39:21.055
PUTTING UNDER THE OFFICE OF AND
01:39:21.121 --> 01:39:22.089
THE AGENCY OF HEALTH AND HUMAN
01:39:22.156 --> 01:39:24.058
SERVICES ALL OF THEM TO KIND OF
01:39:24.124 --> 01:39:25.559
STANDARDIZED CREATE ONE
01:39:25.626 --> 01:39:27.528
WEBSITE. IS TO THE UPS AND MAKE
01:39:27.594 --> 01:39:28.462
SURE THAT WHATEVER GUIDANCE
01:39:28.529 --> 01:39:30.698
WHEN THE PRIMARY KERR WRITERS
01:39:30.764 --> 01:39:32.232
IS UNIFORM RATHER THAN HAVING
01:39:32.299 --> 01:39:34.902
IT HAPPEN FIFTY EIGHT WAY AND
01:39:34.968 --> 01:39:36.136
WE FUND THAT. WE CAN OFTEN
01:39:36.203 --> 01:39:37.104
BECAUSE WE DIDN'T TO PULL FROM
01:39:37.171 --> 01:39:38.272
PEOPLE WHO WE THINK ALREADY
01:39:38.339 --> 01:39:39.340
HAVE SCARCE RESOURCES BUT
01:39:39.406 --> 01:39:41.342
OBVIOUSLY I THINK THERE'S A LOT
01:39:41.408 --> 01:39:42.609
OF WAYS TO PULL THE FUNDING
01:39:42.676 --> 01:39:44.211
TOGETHER. THE REASON WE
01:39:44.278 --> 01:39:46.213
PROPOSED YEARS IS TO GIVE THE-
01:39:46.280 --> 01:39:49.583
ON. FOR STATUS. I AM SO TRUST.
01:39:49.650 --> 01:39:51.885
OF PRIMARY CARE PROVIDERS AND
01:39:51.952 --> 01:39:52.820
GET THEM INTO THE PROGRAM THAT
01:39:52.886 --> 01:39:54.121
DOESN'T HAPPEN OVERNIGHT AND
01:39:54.188 --> 01:39:55.089
THEY DON'T. JUST BECAUSE YOU
01:39:55.155 --> 01:39:57.057
OFFER THEM A LINE OR YOU OFFER
01:39:57.124 --> 01:39:58.058
THEM A PROJECT ECHO.
01:39:58.125 --> 01:39:59.960
OPPORTUNITY AND SO. MAKE SURE
01:40:00.027 --> 01:40:01.095
THAT THERE'S TIME FOR THAT TO
01:40:01.161 --> 01:40:05.065
HAPPEN WE ALSO KNOW UTILIZATION
01:40:05.132 --> 01:40:05.699
IS HIGHER IN THE BEGINNING. THE
01:40:05.766 --> 01:40:09.203
CALL A LOT I FOR. THE PROGRAM
01:40:09.269 --> 01:40:10.871
AND AS THEIR KNOWLEDGE. THE
01:40:10.938 --> 01:40:13.340
LAST. MAN THE CARD WILL GO. AND
01:40:13.407 --> 01:40:15.409
I THINK OUR STATE HAVE A WAYS
01:40:15.476 --> 01:40:16.844
SUSTAIN THE ON CON AND SO WE
01:40:16.910 --> 01:40:18.946
HAVE A FOR THAT WOULD BE HAPPY
01:40:19.012 --> 01:40:20.581
TO DISCUSS WITH YOU BUT IT
01:40:20.647 --> 01:40:21.715
SHOULD BE LESS EXPENSIVE AFTER
01:40:21.782 --> 01:40:23.384
THOSE FIRST FIVE YEARS. ALRIGHT
01:40:23.450 --> 01:40:24.451
WELL THANKS SO MUCH FOR YOUR
01:40:24.518 --> 01:40:26.220
PRESENTATION THANK YOU OKAY
01:40:26.286 --> 01:40:29.022
TWENTY. ALL RIGHT- THEN WE HAVE
01:40:29.089 --> 01:40:30.624
A PEDIATRIC TRAUMA FOR MEDICAL
01:40:30.691 --> 01:40:33.160
HOME MODEL PILOT FROM LOMA
01:40:33.227 --> 01:40:35.562
LINDA CHILDREN'S HOSPITAL.
01:40:35.629 --> 01:40:38.866
WELCOME SEE IF YOU COULD PLEASE
01:40:38.932 --> 01:40:40.000
INTRODUCE YOURSELVES FOR THE
01:40:40.067 --> 01:40:47.474
RECORD. FIRST. THANK YOU ASIDE
01:40:47.541 --> 01:40:49.243
SHORT REPRESENTING LOMA LINDA
01:40:49.309 --> 01:40:50.711
UNIVERSITY HEALTH ISSUE TO
01:40:50.778 --> 01:40:52.179
THANK THE STAFF FOR A REALLY
01:40:52.246 --> 01:40:53.747
GREAT CONVERSATION ABOUT OUR
01:40:53.814 --> 01:40:55.015
PROPOSAL AND LOTS OF OTHER
01:40:55.082 --> 01:40:59.052
THINGS- AND TO INTRODUCE A
01:40:59.119 --> 01:41:01.722
DOCTOR IN YOUNGER CHILD ABUSE
01:41:01.789 --> 01:41:03.724
PEDIATRIC AND FROM LEVEL CITY.
01:41:03.791 --> 01:41:05.659
GOOD MORNING ALL. THIS FREE FOR
01:41:05.726 --> 01:41:06.527
MY NAME IS DOCTOR ANY YOUNG
01:41:06.593 --> 01:41:07.594
I'VE BEEN A CHILD ABUSE
01:41:07.661 --> 01:41:08.562
PHYSICIAN AT LOCAL IN THE
01:41:08.629 --> 01:41:10.330
UNIVERSITY CHILDREN'S HOSPITAL
01:41:10.397 --> 01:41:12.299
FOR OVER FIFTEEN YEARS. AND
01:41:12.366 --> 01:41:13.667
I'VE TREATED MORE THAN TEN
01:41:13.734 --> 01:41:15.035
THOUSAND VICTIMS OF CHILD ABUSE
01:41:15.102 --> 01:41:16.670
AND NEGLECT IN THAT TIME. I'M
01:41:16.737 --> 01:41:18.705
HERE TO PROPOSE A PILOT PROGRAM
01:41:18.772 --> 01:41:21.074
TO FROM INFORMED MEDICAL HOME
01:41:21.141 --> 01:41:22.743
MODEL FOR ABUSED AND NEGLECTED
01:41:22.810 --> 01:41:24.511
CHILDREN IN THE INLAND EMPIRE.
01:41:24.578 --> 01:41:25.879
THIS PROPOSAL COMES GREAT PART
01:41:25.946 --> 01:41:27.581
DUE TO MY PERSONAL EXPERIENCES
01:41:27.648 --> 01:41:29.249
IN THE FIELD. NOT LONG AGO I
01:41:29.316 --> 01:41:30.717
WAS CALLED TO THE BEDSIDE OF A
01:41:30.784 --> 01:41:32.553
CRITICALLY INJURED CHILD THE
01:41:32.619 --> 01:41:34.087
INFANT HAD NUMEROUS UNEXPLAINED
01:41:34.154 --> 01:41:35.856
TRAUMATIC INJURIES THAT WERE
01:41:35.923 --> 01:41:37.491
SUSPICIOUS FOR CHILD ABUSE. I
01:41:37.558 --> 01:41:38.892
MET WITH THE FATHER TO TAKE
01:41:38.959 --> 01:41:40.694
HISTORY I USUALLY DO DURING THE
01:41:40.761 --> 01:41:42.696
HISTORY TAKING ALL TALKING
01:41:42.763 --> 01:41:45.132
ABOUT HIS BABY INJURY IS BABIES
01:41:45.199 --> 01:41:46.934
ENTRIES FATHER ENDED UP TELLING
01:41:47.000 --> 01:41:48.402
ME THAT AS A CHILD HIMSELF. HAD
01:41:48.469 --> 01:41:50.003
BEEN IN MORE FOSTER HOMES AND
01:41:50.070 --> 01:41:52.339
HE MEMBER HE SAID TO BE IN
01:41:52.406 --> 01:41:55.108
FOSTER CARE. AND THROUGHOUT
01:41:55.175 --> 01:41:57.010
HELD THAT HE SAW. AND
01:41:57.077 --> 01:41:58.946
CONSISTENTLY. AND HAD MANY- ON
01:41:59.012 --> 01:42:01.248
MATT MATT NEEDS TWENTY TERMS.
01:42:01.315 --> 01:42:02.850
THIRTY BEING AND STRUCK. SYSTEM
01:42:02.916 --> 01:42:05.519
BECAME HOMELESS AND BECAME A
01:42:05.586 --> 01:42:09.656
FATHER. WHEN I SIT. THERE WAS
01:42:09.723 --> 01:42:12.092
VERY FOR. ABOUT I'M TO. VENTURE
01:42:12.159 --> 01:42:13.360
ON ME ABOUT THAT BROKEN STANCES
01:42:13.427 --> 01:42:14.862
THAT IN THE- AND THE FIRST
01:42:14.928 --> 01:42:17.197
PLACE. MOMENT THAT REALLY
01:42:17.264 --> 01:42:18.699
CHANGED MY LIFE MY CAREER HE-
01:42:18.765 --> 01:42:19.800
CARS. AND FOR USE AND THAT'S
01:42:19.867 --> 01:42:20.801
WHEN I RE. HIM HE WAS FAMILIAR
01:42:20.868 --> 01:42:21.768
I WAS THE PHYSICIAN WHO HAD
01:42:21.835 --> 01:42:23.604
MADE THE DIAGNOSIS OF ABUSE
01:42:23.670 --> 01:42:25.239
WHEN HE WAS YOUNG. AND DESPITE
01:42:25.305 --> 01:42:26.840
TAKING EVERY ACTION THAT I KNEW
01:42:26.907 --> 01:42:27.941
TO HELP THEM TO BREAK THE
01:42:28.008 --> 01:42:29.943
CYCLES OF ABUSE. I WAS NO NOW
01:42:30.010 --> 01:42:31.144
THERE TO WATCH AS HE WAS
01:42:31.211 --> 01:42:33.413
ARRESTED FOR FATAL INJURIES TO
01:42:33.480 --> 01:42:34.915
HIS CHILD. THE STORY ABOUT ANY
01:42:34.982 --> 01:42:36.283
TROUBLE OR RARE CHILD THIS IS A
01:42:36.350 --> 01:42:37.718
PERVASIVE PREVALENT DISEASE
01:42:37.784 --> 01:42:39.653
PROCESS. THAT IS AFFECTING OUR
01:42:39.720 --> 01:42:41.655
CHILDREN. I'VE BEEN WORKING IN
01:42:41.722 --> 01:42:43.123
THE TRENCHES FOR QUITE SOME
01:42:43.190 --> 01:42:43.957
TIME WITH A VERY LARGE
01:42:44.024 --> 01:42:45.859
POPULATION. CHILDREN IN THE
01:42:45.926 --> 01:42:46.793
INLAND. WHO HAVE THE HIGHEST OF
01:42:46.860 --> 01:42:49.296
A SCORES. DO AGREE THAT ACES
01:42:49.363 --> 01:42:51.398
ARE. THE GREATEST UNADDRESSED
01:42:51.465 --> 01:42:52.499
PUBLIC HEALTH THREAT THERE'S
01:42:52.566 --> 01:42:54.067
FACING OUR NATION TODAY AND I'M
01:42:54.134 --> 01:42:55.469
THANKFUL THAT LEADERS OF THE
01:42:55.536 --> 01:42:58.005
STATE NOW HAVE PHYSICIANS
01:42:58.071 --> 01:42:59.206
TALKING ABOUT ACES MORE THAN
01:42:59.273 --> 01:43:00.841
THEY HAVE IN THE PAST. AND
01:43:00.908 --> 01:43:02.009
LEARNING HOW TO ACT FOR CALL
01:43:02.075 --> 01:43:03.443
TENS NOT HISTORIC BEEN TAUGHT
01:43:03.510 --> 01:43:05.612
THIS TRAINING. SYSTEMS IN PLACE
01:43:05.679 --> 01:43:07.548
NOW OR NOT ENOUGH THEY DO NOT A
01:43:07.614 --> 01:43:09.283
SUPPORT SUPPORT THE TIME AND
01:43:09.349 --> 01:43:10.918
RELATIONSHIP BUILDING THAT'S
01:43:10.984 --> 01:43:12.219
REQUIRED TO DELIVER TRAUMA
01:43:12.286 --> 01:43:13.854
INFORMED MEDICAL CARE. OR
01:43:13.921 --> 01:43:15.989
TREATMENT TEAMS NEEDED THE
01:43:16.056 --> 01:43:17.791
VICTIM SPECIAL IS ALDERMAN
01:43:17.858 --> 01:43:18.959
INTEREST THE WHOLE THIRTY MIN
01:43:19.026 --> 01:43:21.828
LEE. MEDICAL CARE MENTAL HEALTH
01:43:21.895 --> 01:43:24.498
SYSTEM STILL WORK IN SILOS.
01:43:24.565 --> 01:43:27.234
OVER TWENTY YEARS AGO WE
01:43:27.301 --> 01:43:28.835
PARTNERED WITH LAW ENFORCEMENT
01:43:28.902 --> 01:43:31.705
CHILD WELFARE FOR BY. HELP
01:43:31.772 --> 01:43:33.273
DISTRICT ATTORNEY. THE
01:43:33.340 --> 01:43:34.174
DEPARTMENT OF HEALTH BARBIE
01:43:34.241 --> 01:43:35.409
HEALTH TO CREATE AN ADVOCACY
01:43:35.475 --> 01:43:36.977
CENTER FOR CHILD ABUSE VICTIMS
01:43:37.044 --> 01:43:39.413
IN SAN BERNARDINO COUNTY THE
01:43:39.479 --> 01:43:40.447
LARGEST GEOGRAPHIC COUNTY IN
01:43:40.514 --> 01:43:41.481
THE NATION THIS MULTI
01:43:41.548 --> 01:43:42.683
DISCIPLINARY TREATMENT TEAM
01:43:42.749 --> 01:43:44.217
PROVIDES COORDINATED FRIENDS OF
01:43:44.284 --> 01:43:45.652
MEDICAL CARE FORENSIC
01:43:45.719 --> 01:43:47.721
INTERVIEWINGA MENTAL HEALTH
01:43:47.788 --> 01:43:49.456
SERVICES HOWEVER THIS IS SHORT
01:43:49.523 --> 01:43:51.825
TERM IS ONLY AVAILABLE TO CASES
01:43:51.892 --> 01:43:53.994
WERE AN INVESTIGATIVE AGENCY.
01:43:54.061 --> 01:43:55.362
BILL ON THE SUCCESS OF THE
01:43:55.429 --> 01:43:57.431
CENTER AND ARE COUNTY BY COUNTY
01:43:57.497 --> 01:43:59.132
PARTNERSHIPS WE'RE PROPOSING AN
01:43:59.199 --> 01:44:01.335
EXPANDED PROGRAM THAT WILL
01:44:01.401 --> 01:44:02.469
PROVIDE RESILIENCY INFORMED
01:44:02.536 --> 01:44:04.605
ONGOING MEDICAL CARE TARGETING
01:44:04.671 --> 01:44:05.939
SECOND LARGEST POPULATION OF
01:44:06.006 --> 01:44:07.708
FOSTER YOUTH AND STATE THE
01:44:07.774 --> 01:44:10.344
CLERK GAUGE CARE GIVERS AND
01:44:10.410 --> 01:44:11.878
PROVIDE HOLISTIC CARE
01:44:11.945 --> 01:44:14.247
CONSISTING OF COLIN MENTAL
01:44:14.314 --> 01:44:17.017
HEALTH DEVELOPMENTS READINESS
01:44:17.084 --> 01:44:19.286
SCHOLARSHIPS- COULD TAKE THE
01:44:19.353 --> 01:44:23.857
STORY AND DO ARE AND THAT'S
01:44:23.924 --> 01:44:25.692
REALLY. TO BE. THANK YOU YOU
01:44:25.759 --> 01:44:28.161
MAY VERY MUCH A MILLION. IN
01:44:28.228 --> 01:44:29.896
MINISTER RIGHT THEY WILL
01:44:29.963 --> 01:44:31.965
APPRECIATE YOUR PRESENT OF THE
01:44:32.032 --> 01:44:32.866
THAT WHAT YOU'RE ASKING FOR
01:44:32.933 --> 01:44:36.403
STATE FUNDS HOW WHAT'S THE
01:44:36.470 --> 01:44:38.639
SCOPE OF THIS PROGRAM MEANS.
01:44:38.705 --> 01:44:40.340
THAT'S WHY I RATED THIS IS FOR
01:44:40.407 --> 01:44:42.275
THE INLAND EMPIRE YEAH YEAH
01:44:42.342 --> 01:44:44.077
SORRY OKAY ALL RIGHT THAT'S A
01:44:44.144 --> 01:44:45.746
HELPFUL NOW OKAY. ALL RIGHT
01:44:45.812 --> 01:44:46.580
WELL THANK YOU SO MUCH THANK
01:44:46.647 --> 01:44:47.648
YOU SO MUCH FOR YOUR
01:44:47.714 --> 01:44:48.615
PRESENTATION APPRECIATE THANK
01:44:48.682 --> 01:44:51.018
YOU FOR YOUR WORK THANK YOU
01:44:51.084 --> 01:44:51.885
THAT SAID I KNOW IT'S A HOW.
01:44:51.952 --> 01:44:53.654
CAN BE CALLED AREA TO PRACTICE
01:44:53.720 --> 01:44:55.822
AND WE NEED TO LIKE IT. THANK
01:44:55.889 --> 01:44:57.190
YOU VERY MUCH THANK YOU RIGHT
01:44:57.257 --> 01:45:00.227
THANK YOU ALL RIGHT- SO WE'LL
01:45:00.293 --> 01:45:01.028
WE'RE GONNA TAKE PUBLIC
01:45:01.094 --> 01:45:03.230
COMMENTS I REALIZE THAT THERE
01:45:03.296 --> 01:45:06.533
ARE FIVE VERY DIFFERENT ISSUES-
01:45:06.600 --> 01:45:08.835
AND ASK PEOPLE TO TRY TO KEEP
01:45:08.902 --> 01:45:10.971
THEIR COMMENTS TO WITHIN ONE
01:45:11.038 --> 01:45:13.306
MINUTE IF YOU'RE TRYING TO COME
01:45:13.373 --> 01:45:17.110
FROM. ONCE YOU FEEL WILL ACT
01:45:17.177 --> 01:45:22.315
FOR A LOT OF THE. THAT'S IT.
01:45:22.382 --> 01:45:23.684
YOU SEE I JUST THEM IN YOUR-
01:45:23.750 --> 01:45:25.352
SIGN UP CUT YOU OFF. AND IF YOU
01:45:25.419 --> 01:45:27.988
MAY OVER. SOUTH OKAY SO I KNOW
01:45:28.055 --> 01:45:29.556
WE HAVE FIVE DIFFERENT THINGS.
01:45:29.623 --> 01:45:30.190
ONE SIXTY THREE DIFFERENT THING
01:45:30.257 --> 01:45:31.358
SO WITH THE- A NEW. DURING THE
01:45:31.425 --> 01:45:32.626
DAY. AND ME WHAT YOU THINK
01:45:32.693 --> 01:45:33.760
THANK YOU WELCOME. ON BEHALF OF
01:45:33.827 --> 01:45:35.829
CALIFORNIA MEDICAL ASSOCIATION
01:45:35.896 --> 01:45:37.864
I'M ITEM NUMBER THREE. SEE
01:45:37.931 --> 01:45:39.299
MAYES PORTS GOVERNOR PROPOSAL
01:45:39.366 --> 01:45:41.868
TO ESTABLISH THE CENTER FOR
01:45:41.935 --> 01:45:44.638
DATA IN. NATION BUT WITH THE
01:45:44.705 --> 01:45:46.339
CABBIE OUT. YOU MAY RECENTLY
01:45:46.406 --> 01:45:48.341
RELEASED THEIR FIVE. FOR IN OUR-
01:45:48.408 --> 01:45:49.376
BUT WE BELIEVE THE STATE IN
01:45:49.443 --> 01:45:50.310
THIS NEW CENTER ARE WELL
01:45:50.377 --> 01:45:52.379
POSITIONED TO FILL IN THE GAPS
01:45:52.446 --> 01:45:53.380
AND STRENGTHEN THE FEDERAL
01:45:53.447 --> 01:45:54.715
GUIDANCE MANY OF THE FEDERAL
01:45:54.781 --> 01:45:55.949
STILL LEAVE IT UP STATES TO
01:45:56.016 --> 01:45:56.883
IMPLEMENT MOST OF THE
01:45:56.950 --> 01:45:58.518
REQUIREMENTS ARE ONLY SPECIFIC
01:45:58.585 --> 01:46:01.388
TO SEE REALLY. ARE A PAIR WILL
01:46:01.455 --> 01:46:02.856
BE PUBLIC COMMITTEE WITH MORE
01:46:02.923 --> 01:46:04.324
SPIN BUT GESTIONES ONCE WE
01:46:04.391 --> 01:46:05.625
DIGEST THE HUNDREDS OF PAGES IN
01:46:05.692 --> 01:46:06.960
THE NEW FEDERAL THANK YOU.
01:46:07.027 --> 01:46:09.830
THANK YOU WELCOME. GOOD MORNING
01:46:09.896 --> 01:46:11.565
MISTER CHAIR AND MEMBERS VINYL
01:46:11.631 --> 01:46:12.566
COMING HERE BEHALF OF HEALTH
01:46:12.632 --> 01:46:14.735
ACCESS CALIFORNIA WE ARE HERE
01:46:14.801 --> 01:46:15.702
IN SUPPORT OF THE GOVERNOR'S
01:46:15.769 --> 01:46:16.603
PROPOSAL ON THE OFFICE OF
01:46:16.670 --> 01:46:17.871
HEALTH CARE AFFORDABILITY.
01:46:17.938 --> 01:46:19.473
HELLO UNIONS ARE STRUGGLING TO
01:46:19.539 --> 01:46:20.874
KEEP UP WITH A HIGH. OF HEALTH
01:46:20.941 --> 01:46:21.775
CARE WOULD CONTINUE TO OUTPACE
01:46:21.842 --> 01:46:23.744
WAGE GROWTH INFLATION. PEOPLE
01:46:23.810 --> 01:46:26.713
ARE GOING CARE OR- DEEPER INTO
01:46:26.780 --> 01:46:29.249
AT SIMPLY BECAUSE THEY CAN'T
01:46:29.316 --> 01:46:31.918
KEEP UP THIS PROPOSAL THIS WILL
01:46:31.985 --> 01:46:33.687
TAKE THE- ALL. AND THE DEAL
01:46:33.754 --> 01:46:34.488
WITH ISSUES LIKE ALL HEALTH
01:46:34.554 --> 01:46:35.889
SECTORS WE ARE PLEASED THAT THE
01:46:35.956 --> 01:46:36.923
PROPOSED OFFICES SPECIFICALLY
01:46:36.990 --> 01:46:38.525
TASKED WITH TRACKING
01:46:38.592 --> 01:46:40.660
AFFORDABILITY BUT ALSO THAT
01:46:40.727 --> 01:46:42.763
BILLY IS DEFINED AS PREMIUMS
01:46:42.829 --> 01:46:44.798
AND COST SHARING INCLUDING
01:46:44.865 --> 01:46:47.033
COPAYS AND DEDUCTIBLES WE
01:46:47.100 --> 01:46:48.635
SUPPORT MUCH OF WHAT'S IN THE
01:46:48.702 --> 01:46:50.437
TRAILER BILL THAT WAS RELEASED
01:46:50.504 --> 01:46:51.338
EARLIER THIS WEEK AND LOOK FOR
01:46:51.404 --> 01:46:52.739
WORKING WITH THE LEGISLATURE IN
01:46:52.806 --> 01:46:55.642
THE MINUTE ON. ISSUE NUMBER. WE
01:46:55.709 --> 01:46:56.176
CONTINUING TO LOOK AT THE
01:46:56.243 --> 01:46:58.578
PROPOSED ON THE DATA ONE- THE
01:46:58.645 --> 01:47:00.647
CENTER FOR DATA INSIGHTS AND
01:47:00.714 --> 01:47:03.083
INNOVATION. LIKE DOCTOR PAN WE
01:47:03.150 --> 01:47:03.984
DO BELIEVE AND THAT THE STRONG
01:47:04.050 --> 01:47:05.685
VALUE OF DATA WE DO NOT THINK
01:47:05.752 --> 01:47:08.121
THAT THE OFFICE OF PATIENTS.
01:47:08.188 --> 01:47:09.956
KßT REPORT. THAT IT SHOULD BE
01:47:10.023 --> 01:47:11.625
A LITTLE DATED WE DO WANT TO
01:47:11.691 --> 01:47:13.593
SURE THEY WERE ABLE TO GET THE
01:47:13.660 --> 01:47:15.295
INFO. WE NEED TO HELP HEALTH
01:47:15.362 --> 01:47:18.398
CARE OURS. HELP TAX. CLOSE BY.
01:47:18.465 --> 01:47:20.066
BEING INTO TO MINING A- FOR
01:47:20.133 --> 01:47:21.001
THOSE REASONS WE REALLY DO WANT
01:47:21.067 --> 01:47:21.768
TO WORK WITH THE ADMINISTRATION
01:47:21.835 --> 01:47:22.869
AND HOPE WE ARE CONSULTED AS
01:47:22.936 --> 01:47:24.504
PART OF THE STAKEHOLDER PROCESS
01:47:24.571 --> 01:47:26.940
THANK YOU. THANK YOU. WELCOME I
01:47:27.007 --> 01:47:29.376
GET AFTERNOON OR IS IT STILL
01:47:29.442 --> 01:47:30.277
MOURNING IT IT'S ALMOST
01:47:30.343 --> 01:47:31.611
AFTERNOON GET ALL THIS AND
01:47:31.678 --> 01:47:33.313
MORE. THE OR ON BEHALF OF THE
01:47:33.380 --> 01:47:34.047
SERVICE EMPLOYEES INTERNATIONAL
01:47:34.114 --> 01:47:36.383
UNION AND WE'RE EXCITED TO.
01:47:36.449 --> 01:47:37.317
THROW CONVERSATION ABOUT ITEM
01:47:37.384 --> 01:47:38.351
NUMBER FOUR THIS IS ABOUT THE
01:47:38.418 --> 01:47:39.719
OFFICE OF HEALTH CARE
01:47:39.786 --> 01:47:40.854
AFFORDABILITY I THINK YOU'VE
01:47:40.921 --> 01:47:42.322
HEARD FROM OUR MEMBERS I KNOW.
01:47:42.389 --> 01:47:44.658
WE HEAR IT EVERY DAY THE PORTS
01:47:44.724 --> 01:47:46.860
OF ENTRY TING. HEALTH CHECK.
01:47:46.927 --> 01:47:47.928
IT'S IMPORTANT IN OUR
01:47:47.994 --> 01:47:51.631
CONVERSATION. FOR THE BILL THE
01:47:51.698 --> 01:47:54.768
AT LARGE THE WORK SITE. BROKE
01:47:54.835 --> 01:47:56.469
MR ABOUT IT. DARK BUT THINGS
01:47:56.536 --> 01:47:57.904
LIKE TO. YOUR CHEN MENTION ALL
01:47:57.971 --> 01:47:58.705
IN APPROACH THAT IS A FULL COME
01:47:58.772 --> 01:48:00.540
THAT'S A WE HOPE THAT THAT THE
01:48:00.607 --> 01:48:02.108
CHIEF DONE REAL TARGET SETTING
01:48:02.175 --> 01:48:04.277
ENFORCEMENT IS KEY RIGHT DOCTOR
01:48:04.344 --> 01:48:05.979
BENEFIT FORSMAN DOESN'T HAPPEN
01:48:06.046 --> 01:48:07.180
YOU'RE NOT GONNA CURVE THE BAD
01:48:07.247 --> 01:48:08.682
BEHAVIOR THAT WE SEE WE ALL
01:48:08.748 --> 01:48:10.150
MAKE SURE ANY GOES BACK TO
01:48:10.217 --> 01:48:11.785
CONSUMERS ARE THE ONES THAT ARE
01:48:11.852 --> 01:48:12.752
FILLING THE BURDEN OF HEALTH
01:48:12.819 --> 01:48:16.623
CARE COSTS. AND MADE IT TO
01:48:16.690 --> 01:48:19.960
FIGURING THAT OUT MYSTERY AND-
01:48:20.026 --> 01:48:21.094
THE ONE OF. LABOR PROTECTIONS.
01:48:21.161 --> 01:48:22.662
SERVICE EMPLOYEES THAT WORKERS
01:48:22.729 --> 01:48:24.030
STATE DEPARTMENT DESERVED TO
01:48:24.097 --> 01:48:25.232
RUN THIS OFFICE AND WE DO A
01:48:25.298 --> 01:48:26.333
GOOD JOB AND HAVE
01:48:26.399 --> 01:48:27.367
ACCOUNTABILITY IN THAT PRACTICE
01:48:27.434 --> 01:48:29.369
WE WANT TO MAKE SURE THAT THAT
01:48:29.436 --> 01:48:30.971
HAPPENS. LAST AND FINAL THING
01:48:31.037 --> 01:48:32.072
THAT I MENTION IS. TO SEE A
01:48:32.138 --> 01:48:33.707
PUBLIC ACCESS TO THIS
01:48:33.773 --> 01:48:35.709
INFORMATION IS THE- FOR THE
01:48:35.775 --> 01:48:37.611
POINTS THAT YOU MADE BEEN
01:48:37.677 --> 01:48:38.211
DOCTOR PANDA. SURE THAT THERE
01:48:38.278 --> 01:48:40.580
GAMING. THEM SURE WE'RE
01:48:40.647 --> 01:48:41.548
ACTUALLY LOOKING AT THE- SAID.
01:48:41.615 --> 01:48:43.083
WE HAVE. FOR THE PUBLIC HAS
01:48:43.149 --> 01:48:43.884
ACCESS. THE INFORMATION WE'VE
01:48:43.950 --> 01:48:45.552
SEEN. GOVERNOR'S OFFICE SO FAR.
01:48:45.619 --> 01:48:47.854
OF THAT WE WANT TO CONTINUE TO
01:48:47.921 --> 01:48:50.423
WORK TO MAKE SURE THAT THAT IN
01:48:50.490 --> 01:48:51.958
THERE. THANK YOU. WELCOME GOOD
01:48:52.025 --> 01:48:54.327
AFTERNOON MR TIP MEMBERS ENTER
01:48:54.394 --> 01:48:55.462
KEEPER WITH BLUE SHIELD OF
01:48:55.528 --> 01:48:56.963
CALIFORNIA- WE'RE HERE IN
01:48:57.030 --> 01:48:59.399
SUPPORT OF BOTH ITEM NUMBER TWO
01:48:59.466 --> 01:49:01.301
AS WELL AS ITEM NUMBER FOUR
01:49:01.368 --> 01:49:02.502
NUMBER TWO JUST LIKE THE AND
01:49:02.569 --> 01:49:04.704
DOCTOR IN OTHER NEWS
01:49:04.771 --> 01:49:07.941
MINISTRATION ON- ON THE WORK
01:49:08.008 --> 01:49:10.977
AROUND ADVERSE CHILDHOOD- INTO
01:49:11.044 --> 01:49:12.846
THAT WE AS A COME WATCH THIS
01:49:12.913 --> 01:49:15.882
PERNICIOUS I WOULD LOOK FOR TO
01:49:15.949 --> 01:49:19.319
OPERATING. COMMITTEE IS TAKE A
01:49:19.386 --> 01:49:21.087
TO OFFICE TO AFFECT PROPOSED
01:49:21.154 --> 01:49:21.688
WITHIN THE GREAT I. ON EITHER%
01:49:21.755 --> 01:49:23.823
NUMBER FOUR I I'LL SUBMIT THE
01:49:23.890 --> 01:49:24.457
COMMENT TO IN RIGHT AS WELL TO
01:49:24.524 --> 01:49:27.294
THE TO THE COMMITTEE BUT WE-
01:49:27.360 --> 01:49:28.228
ARE HEARTENED BY THE EFFORT BY
01:49:28.295 --> 01:49:30.363
THE GOVERNOR'S OFFICE- IN THE
01:49:30.430 --> 01:49:31.631
LEGISLATURE TO REALLY TAKE ON
01:49:31.698 --> 01:49:33.233
HEALTH CARE COST WE'VE HEARD.
01:49:33.300 --> 01:49:35.402
FROM DOCTOR CHAN AND OTHERS-
01:49:35.468 --> 01:49:36.403
THE REASONS TO DO SO ARE
01:49:36.469 --> 01:49:39.339
PROFOUNDLY OBVIOUS- WE ARE
01:49:39.406 --> 01:49:40.740
ERODING WAGE GROWTH. AND WE
01:49:40.807 --> 01:49:42.175
ARE- EXACERBATING THE
01:49:42.242 --> 01:49:44.311
AFFORDABILITY CRISIS IN THE
01:49:44.377 --> 01:49:45.779
STATE BY NOT TAKING ON HEALTH
01:49:45.845 --> 01:49:47.080
CARE HAD ARE THIS PROPOSAL DOES
01:49:47.147 --> 01:49:50.050
THAT. I WORK TO WORK DO YOU AND
01:49:50.116 --> 01:49:50.750
THE NEWS MINISTRATION TO WORK
01:49:50.817 --> 01:49:53.620
OUT SOME FINAL SALES HI BUT WE
01:49:53.687 --> 01:49:56.289
THINK THIS IS A AND A
01:49:56.356 --> 01:49:58.158
PROFOUNDLY IMPORTANT STEP AT
01:49:58.224 --> 01:50:01.061
THE RIGHT. TIME TO HANDLE YOUR
01:50:01.127 --> 01:50:04.764
CALL. YOU TIP ON THE- GOOD
01:50:04.831 --> 01:50:06.199
AFTERNOON. AND HE CHURCH. JEFF
01:50:06.266 --> 01:50:10.003
WE ARE TO HERE. I TO AND- I'M A
01:50:10.070 --> 01:50:10.537
ITEM NUMBER TWO WE ARE IN
01:50:10.603 --> 01:50:11.137
SUPPORT WE APPLAUD EFFORT TO
01:50:11.204 --> 01:50:12.372
STRENGTHEN AND THE ONE OF CAL
01:50:12.439 --> 01:50:14.641
FAMILIES SCREEN CHILDREN FOR
01:50:14.708 --> 01:50:15.575
EARLY EXPOSURE TO EASE HIS
01:50:15.642 --> 01:50:17.978
HEALTH PRACTITIONERS IDENTIFIED
01:50:18.044 --> 01:50:19.946
WHO ARE AT RISK- ON THE OFFICE
01:50:20.013 --> 01:50:20.981
OF HEALTHCARE PORTABILITY WE
01:50:21.047 --> 01:50:22.582
ARE PART OF THE CONCEPT WE LOOK
01:50:22.649 --> 01:50:24.351
FORWARD TO WORKING DISPATCHER
01:50:24.417 --> 01:50:27.253
WITH ALL ISSUES THANK YOU.
01:50:27.320 --> 01:50:28.688
THANK YOU. COULD I. PLAY WITH
01:50:28.755 --> 01:50:30.924
WEST. ALREADY REGARDING ISSUE
01:50:30.991 --> 01:50:32.859
ONE OF IN REGARDS TO THE CENTER
01:50:32.926 --> 01:50:34.327
FOR DATA INSIGHT WE DO SUPPORT
01:50:34.394 --> 01:50:36.830
CENTRALIZED DATA AS ONE OF THE
01:50:36.896 --> 01:50:38.398
CO SPONSORS OF THE ENABLING
01:50:38.465 --> 01:50:40.133
LANGUAGE FOR THE OFFICE OF
01:50:40.200 --> 01:50:41.634
PATIENT ADVOCATES WE WOULD WANT
01:50:41.701 --> 01:50:43.737
TO CONTINUE TO SEE THAT DATA
01:50:43.803 --> 01:50:45.705
COLLECTED BY WEATHER THAT HE-
01:50:45.772 --> 01:50:48.174
WITH THIS- OR SOMEONE ELSE
01:50:48.241 --> 01:50:49.209
THAT. IS IMPORTANT AND SO WITH
01:50:49.275 --> 01:50:52.579
WANT TO SEE IF I CAN FIND ISSUE
01:50:52.645 --> 01:50:53.446
FOR RELATED TO THE OFFICE OF
01:50:53.513 --> 01:50:56.816
AFFORDABILITY WE SUPPORT TO
01:50:56.883 --> 01:50:59.352
HONOR AND CAN AWESOME THE BILL
01:50:59.419 --> 01:51:01.121
EIGHTY REMAINS TO BE A BIG
01:51:01.187 --> 01:51:03.790
ISSUE FOR OUR- WHERE'S AS WELL.
01:51:03.857 --> 01:51:06.059
AS NO THAT RIGHT HEALTHCARE
01:51:06.126 --> 01:51:07.861
COSTS. WORKER WAGES
01:51:07.927 --> 01:51:09.262
PARTICULARLY IMPACTING LOW
01:51:09.329 --> 01:51:11.631
INCOME WORKERS THANK YOU. THANK
01:51:11.698 --> 01:51:14.534
YOU WELCOME. A GOOD AFTERNOON
01:51:14.601 --> 01:51:16.202
DOCTOR BAND MEMBERS ATTEMPT
01:51:16.269 --> 01:51:18.204
COMMITTEE A JET HAMPTON WITH
01:51:18.271 --> 01:51:19.105
THE CALIFORNIA ASSOCIATION
01:51:19.172 --> 01:51:20.673
HEALTH PLANS I HEAR TO ADD TO
01:51:20.740 --> 01:51:24.010
THIS WELCOME ITEMS OR- JUST TO
01:51:24.077 --> 01:51:24.878
SHOW THE COVER HEALTH PLANS
01:51:24.944 --> 01:51:27.047
ARE. A SUPPORTER OF THE
01:51:27.113 --> 01:51:30.283
CONCEPTS TO ADD TO INCREASE
01:51:30.350 --> 01:51:31.618
ACCESSIBILITY AND AFFORDABILITY
01:51:31.684 --> 01:51:33.353
FOR ALL CALIFORNIANS- WE ARE
01:51:33.420 --> 01:51:34.320
PLEASED TO SEE THAT THE
01:51:34.387 --> 01:51:35.722
GOVERNOR IS CONTINUING TO
01:51:35.789 --> 01:51:41.094
PRIORITIZE AFFORDABILITY WE ARE
01:51:41.161 --> 01:51:41.661
STILL REVIEWING THE TRAILING
01:51:41.728 --> 01:51:42.395
TROUBLING WHICH CURRENT. WE DO
01:51:42.462 --> 01:51:43.329
LOOK FOR TO BE A PART OF THE
01:51:43.396 --> 01:51:46.132
DISCUSSION THANK YOU. WELCOME
01:51:46.199 --> 01:51:47.300
THE CHAIR OF ASKING ON BEHALF
01:51:47.367 --> 01:51:48.535
THE CALIFORNIA ACADEMY OF
01:51:48.601 --> 01:51:50.303
FAMILY PHYSICIANS HERE SUPPORT
01:51:50.370 --> 01:51:52.105
OF THE CONCEPT OF THE OFFICE OF
01:51:52.172 --> 01:51:53.473
HEALTH CARE AFFORDABILITY THE
01:51:53.540 --> 01:51:54.441
GOVERNOR'S LANGUAGE AND THEN
01:51:54.507 --> 01:51:55.575
POTENTIALLY LEGISLATING
01:51:55.642 --> 01:51:57.544
LEGISLATING WHICH TO GO ALONG
01:51:57.610 --> 01:51:59.412
WITH THAT AS YOU HEARD EARLIER
01:51:59.479 --> 01:52:01.481
IN OUR PROPOSAL DAY REGARDING
01:52:01.548 --> 01:52:02.515
CONSENT TO CALL HOME LEAVE THE
01:52:02.582 --> 01:52:05.819
FAMILY AFTER IS AS THE CARE
01:52:05.885 --> 01:52:08.088
PROVIDER CAN BE THE THREE AND
01:52:08.154 --> 01:52:12.492
FOR THE CARE FOR THE- BUS STOP.
01:52:12.559 --> 01:52:14.294
IN FOR ONE OR STAFF DECISION
01:52:14.360 --> 01:52:15.428
BETWEEN FOOD RENT TREATMENT SO
01:52:15.495 --> 01:52:16.629
FOR HAT. BE WOULD LIKE TO BE.
01:52:16.696 --> 01:52:17.831
THE CON. AND THANK YOU FOR YOUR
01:52:17.897 --> 01:52:21.267
TIME. THANK YOU WELCOME. HELLO
01:52:21.334 --> 01:52:24.270
MY NAME IS JOYCE GEORGE AND
01:52:24.337 --> 01:52:26.506
NINE. S. CI YOU HEALTH CARE
01:52:26.573 --> 01:52:29.709
JUSTICE LEADER COMMUNITY LEADER
01:52:29.776 --> 01:52:34.414
AND I AM. A SUPPORT AND- THE
01:52:34.481 --> 01:52:40.420
WATER LEVEL CALIFORNIA- AND. I
01:52:40.487 --> 01:52:43.123
LIKED IT THE SUPPORT THAT THANK
01:52:43.189 --> 01:52:45.358
YOU THANK YOU. HE SAID WELCOME
01:52:45.425 --> 01:52:47.260
HI MY NAME IS SERRA PEARSON I'M
01:52:47.327 --> 01:52:49.362
A BARTENDER A CASH BECAUSE THE
01:52:49.429 --> 01:52:50.964
NUMBERS ARE AND A VERY PROUD
01:52:51.030 --> 01:52:52.632
MEMBER OF YOU LOOK PRETTY NINE
01:52:52.699 --> 01:52:53.766
AND I SUPPORT THE GOVERNOR'S
01:52:53.833 --> 01:52:54.334
OFFICE OF HEALTH CARE
01:52:54.400 --> 01:52:56.169
AFFORDABILITY WITH STRICT COST
01:52:56.236 --> 01:52:58.938
TARGETS. THANK YOU WELCOME HI
01:52:59.005 --> 01:53:00.473
MY NAME IS MAY WILL AND THAT
01:53:00.540 --> 01:53:01.741
MADE THEM WORK AT THE HILTON
01:53:01.808 --> 01:53:04.911
HOTEL IN SAN FRANCISCO- I MY
01:53:04.978 --> 01:53:07.413
MEMBER OF THE LOCAL TO AND I
01:53:07.480 --> 01:53:10.216
WANT TO LET YOU KNOW THAT. SO
01:53:10.283 --> 01:53:12.285
POOR THAT ME NIXON. SO A
01:53:12.352 --> 01:53:17.190
PROPOSAL ABOUT THE- HEALTHCARE-
01:53:17.257 --> 01:53:19.092
AFFORDABILITY THANK YOU SO MUCH
01:53:19.159 --> 01:53:21.594
THANK YOU. WELCOME WITH THE
01:53:21.661 --> 01:53:22.829
SEVEN OWN MY NAVY I'M AT THE
01:53:22.896 --> 01:53:24.430
NSA WHAT YOU'RE FOR THE FED MY
01:53:24.497 --> 01:53:26.900
HOTEL. IN SAN FRANCISCO I
01:53:26.966 --> 01:53:29.836
BELONG TO LOCAL TOOL. YEAH I
01:53:29.903 --> 01:53:33.373
FOR MISS TAYLOR. AVENUE SOUL
01:53:33.439 --> 01:53:35.141
HAVE REPORTS OF. OKAY BASIS
01:53:35.208 --> 01:53:39.779
THANK YOU. THANK YOU I AM BILL
01:53:39.846 --> 01:53:42.615
MOST OF MY YOUR- I WILL GET
01:53:42.682 --> 01:53:44.884
THAT HE THOUGHT THEY LOSE I'M
01:53:44.951 --> 01:53:47.320
LOCAL TO AYE SUPPORT TOOL
01:53:47.387 --> 01:53:50.089
MISTER NEWS HOLE PROPOSAL THANK
01:53:50.156 --> 01:53:52.959
YOU THANK YOU. WELCOME GOOD
01:53:53.026 --> 01:53:54.861
MORNING EVERYBODY MIGHT AS WELL
01:53:54.928 --> 01:53:56.529
THAT'LL BE CHáVEZ A I WORK IN
01:53:56.596 --> 01:53:59.199
THE SAN FRANCISCO HILLS DAHLE
01:53:59.265 --> 01:54:00.200
FOR THIRTY EIGHT YEARS AGING
01:54:00.266 --> 01:54:02.035
ARE RIGHT NOW I AM HERE
01:54:02.101 --> 01:54:04.837
BECAUSE- WE WANT TO- FOOTBALL.
01:54:04.904 --> 01:54:07.840
THE STATE NEWS SO PROPOSAL
01:54:07.907 --> 01:54:09.309
BECAUSE WE NEED WITHIN THIS IS
01:54:09.375 --> 01:54:11.110
A VERY IMPORTANT THAT IS VERY
01:54:11.177 --> 01:54:13.413
IMPORTANT FOR US WE POSSIBLY
01:54:13.479 --> 01:54:15.582
TOO MANY STRUGGLES TO LIKE THEM
01:54:15.648 --> 01:54:17.917
FOR- FOR WE HAVE A MISTRIAL
01:54:17.984 --> 01:54:22.088
O'CONNELL IN THAT IT NOT USED
01:54:22.155 --> 01:54:25.291
TO. SEE WHAT'S RAINY USED CAR.
01:54:25.358 --> 01:54:28.127
IS WORKING WITH. IS BETTING FOR
01:54:28.194 --> 01:54:28.828
A BI WE ON WE HAVE TO DO THE
01:54:28.895 --> 01:54:31.698
BECAUSE YOU BETTY FOR OUR IT'S
01:54:31.764 --> 01:54:34.067
WHEN WE HAVE A PERSON WITH A
01:54:34.133 --> 01:54:35.635
PROFIT IN YOUR LAW AND THEY
01:54:35.702 --> 01:54:36.569
NEED THEY NEED SOMEBODY STOP
01:54:36.636 --> 01:54:38.805
THIS COMPANY BECAUSE THEY MAY
01:54:38.871 --> 01:54:41.241
WE OPT TO BE BIG DIRTY AND THEN
01:54:41.307 --> 01:54:43.176
A COUPLE AND THEN WE DID IT
01:54:43.243 --> 01:54:45.578
MONEY COMING FOR UP FOR POCKET
01:54:45.645 --> 01:54:52.318
BUT NOT BIG LEGAL TOOL. IS
01:54:52.385 --> 01:54:53.886
EIGHT WHICH- IS. THE MONIES OR
01:54:53.953 --> 01:54:55.688
BY WE NEED MONEY FOR OUR TO.
01:54:55.755 --> 01:54:57.523
FOUR FIVE ME. AND THEY IS STOP
01:54:57.590 --> 01:54:59.292
SOME TO. FOR THE BY THE
01:54:59.359 --> 01:55:01.728
COMPANIES MAKE YOU MONEY PAYING
01:55:01.794 --> 01:55:03.596
YEAH. I WE HAVE TO MOVE FROM
01:55:03.663 --> 01:55:05.898
THE CITY WE GO WE CAN OPERATE.
01:55:05.965 --> 01:55:06.966
A NOT WE DON'T HAVE ENOUGH
01:55:07.033 --> 01:55:09.435
MONEY TO BUY. ABA RENTS AND
01:55:09.502 --> 01:55:11.204
THEY WE STILL GOT MORE. USEFUL
01:55:11.271 --> 01:55:12.905
THANK YOU VERY MUCH THANK YOU
01:55:12.972 --> 01:55:17.110
THANK ALL RIGHT WE. THE WHITE
01:55:17.176 --> 01:55:19.012
HOUSE. WELCOME ONE OF HIS
01:55:19.078 --> 01:55:21.047
ROBBER FAT ACTUALLY SORRY THE
01:55:21.114 --> 01:55:23.349
RULES THE RULES HERE DO NOT DO
01:55:23.416 --> 01:55:27.954
ANY AUDIBLE BUT YOU CAN DO THIS
01:55:28.021 --> 01:55:30.089
YOU LIKE THAT WAVING HANDS ALL
01:55:30.156 --> 01:55:31.457
RIGHT THERE WE GO ALL RIGHT
01:55:31.524 --> 01:55:33.059
SOUNDS GOOD WELCOME. WELCOME IS
01:55:33.126 --> 01:55:34.360
MORE OF A FLAT I MAY A MEMBER
01:55:34.427 --> 01:55:35.895
OF UNITE HERE LOCAL FORTY NINE
01:55:35.962 --> 01:55:37.363
WE HAVE FOUR THOUSAND MEMBERS
01:55:37.430 --> 01:55:38.665
ACROSS THE REGION HERE IN
01:55:38.731 --> 01:55:40.767
SACRAMENTO- WERE THE
01:55:40.833 --> 01:55:43.503
HOSPITALITY INDUSTRY. OR IN
01:55:43.569 --> 01:55:48.207
SUPPORT OF THE ALL OF HER FOR.
01:55:48.274 --> 01:55:49.475
THANK YOU SIR. WHAT GOOD
01:55:49.542 --> 01:55:51.444
AFTERNOON THAT ANY OF OUR DEBT
01:55:51.511 --> 01:55:52.612
UNDER VALLEY FOR FIVE YEARS A
01:55:52.679 --> 01:55:56.049
UNITE HERE- LOCAL FORTY NINE-
01:55:56.115 --> 01:55:57.917
IN SUPPORT OF DOG GOVERNOR'S
01:55:57.984 --> 01:56:00.219
ALMA THE GOVERNOR'S OFFICE OF
01:56:00.286 --> 01:56:01.788
HEALTH CARE AFFORDABILITY THANK
01:56:01.854 --> 01:56:05.191
YOU. THANK YOU. WELCOME HELLO
01:56:05.258 --> 01:56:07.427
MY NAME IS MARIA VASQUEZ I WORK
01:56:07.493 --> 01:56:08.828
I GREATER SARCOSINE NOW I'M
01:56:08.895 --> 01:56:10.363
ALSO WITH LOOK OR FORTY NINE
01:56:10.430 --> 01:56:12.398
AND I'M HERE TO SUPPORT THE
01:56:12.465 --> 01:56:13.633
AFFORDABLE HEALTH CARE. THANK
01:56:13.700 --> 01:56:16.936
YOU WELCOME HELLO MY NAME'S
01:56:17.003 --> 01:56:17.737
MERRY WITH UNITE HERE LOCAL
01:56:17.804 --> 01:56:19.906
FORTY NINE- WHIRL SO HERE TO
01:56:19.972 --> 01:56:21.107
SUPPORT THE GOVERNOR'S OFFICE
01:56:21.174 --> 01:56:22.909
OF HEALTH CARE AFFORDABILITY
01:56:22.975 --> 01:56:25.478
THANK YOU WELCOME- MY NAME IS
01:56:25.545 --> 01:56:26.312
STRUCK SENATE THE BILL WOULD
01:56:26.379 --> 01:56:27.980
DENY HERE LOCAL FORTY NINE I'VE
01:56:28.047 --> 01:56:29.649
BEEN A MEMBER FOR TEN YEARS
01:56:29.716 --> 01:56:31.184
NUMBER HERE TO SUPPORT THE
01:56:31.250 --> 01:56:34.721
GOVERNOR IS KERR OF REALITY
01:56:34.787 --> 01:56:35.755
THANK YOU. THANK YOU. WELCOME
01:56:35.822 --> 01:56:37.657
HELLO I'M RHONDA VILNA WAIVER
01:56:37.724 --> 01:56:39.992
OUR RETIRED SEIU MEMBER WORK
01:56:40.059 --> 01:56:41.227
FOR THE PRIME CONSUMER AFFAIRS
01:56:41.294 --> 01:56:43.196
NOW I'M A- RETIRED VOLUNTEER
01:56:43.262 --> 01:56:45.998
FOR WORKING YOU H. W. I'M HERE
01:56:46.065 --> 01:56:46.766
TO SUPPORT THE FOR THE LADY
01:56:46.833 --> 01:56:48.134
COUNT ABILITY AND TRANSPARENCY
01:56:48.201 --> 01:56:50.002
ACT. DUE TO MANY FACTORS I
01:56:50.069 --> 01:56:51.704
THINK IT WAS A BIG STORY. I
01:56:51.771 --> 01:56:53.573
BECAME HOMELESS AND THANK GOD
01:56:53.639 --> 01:56:56.476
FOR STEINBERG AND- SMU IN KEVIN
01:56:56.542 --> 01:56:59.011
MCCARTY I AM NOW HOUSED IN A
01:56:59.078 --> 01:57:01.080
BEAUTIFUL ONE BEDROOM SENIOR
01:57:01.147 --> 01:57:03.282
CITIZEN PAID. EIGHT I WAS MOVED
01:57:03.349 --> 01:57:06.052
OUT FROM MIDTOWN HERE SQUEEZED
01:57:06.119 --> 01:57:09.389
OUT BECAUSE MY- KIDS DON'T GET.
01:57:09.455 --> 01:57:11.324
RICH AND NOT OR I CALLED QUOTE
01:57:11.391 --> 01:57:14.160
MODERATE. I'M GOOD SQUISHED. SO
01:57:14.227 --> 01:57:17.263
THEY CAME TO MY HELP AND I AM
01:57:17.330 --> 01:57:18.865
NOW BLESSED TO HAVE A LITTLE
01:57:18.931 --> 01:57:21.901
PART MEANT BUT- DUE TO I AM
01:57:21.968 --> 01:57:22.802
CHRONICALLY ILL EXISTING.
01:57:22.869 --> 01:57:26.072
CONDITION EIGHT COPAYS AS
01:57:26.139 --> 01:57:27.907
ADVANTAGE CARE BECAUSE AGAIN I
01:57:27.974 --> 01:57:30.676
DON'T MEET THE- QUOTE PORK
01:57:30.743 --> 01:57:33.913
STATUS NOT RICH STATUS SO I GET
01:57:33.980 --> 01:57:35.348
SQUEEZED OUT OF EVERYTHING AND
01:57:35.415 --> 01:57:38.584
NOW I ACTUALLY HAD TO PICK
01:57:38.651 --> 01:57:40.153
HEALTHCARE OR WHOLE HOUSING AND
01:57:40.219 --> 01:57:42.021
THAT'S WHEN. MY TO A STEINBERG
01:57:42.088 --> 01:57:44.157
ANISTON. KEVIN MCCARTY TO
01:57:44.223 --> 01:57:46.192
ASSIST ME IN THIS AND THE SAD
01:57:46.259 --> 01:57:47.393
JOURNEY I'VE BEEN THROUGH AND I
01:57:47.460 --> 01:57:50.129
SUPPORTED PLEASE CAUSE BABY
01:57:50.196 --> 01:57:52.031
BOOMERS ARE GONNA NEED JOHN
01:57:52.098 --> 01:57:54.734
THANK YOU. THANK YOU. WELCOME
01:57:54.801 --> 01:57:56.235
HELLO MY NAME IS SHARON BROOKS
01:57:56.302 --> 01:57:58.204
BOYD RETIRED AND- A AND HOME
01:57:58.271 --> 01:58:00.540
SUPPORT SERVICE WORKER AND S.
01:58:00.606 --> 01:58:02.041
CI YOU YOU H. W. HEALTH COULD
01:58:02.108 --> 01:58:04.911
JUST MEMBER AND I AM IN SUPPORT
01:58:04.977 --> 01:58:06.245
OF THE- GOVERNOR ON.
01:58:06.312 --> 01:58:08.014
PORTABILITY OFFICE THANK YOU SO
01:58:08.080 --> 01:58:10.583
MUCH THANK YOU. WELCOME MESSAGE
01:58:10.650 --> 01:58:11.751
MEMBERS THEIR FLOCKS IN THE
01:58:11.818 --> 01:58:13.920
CALIFORNIA LABOR FEDERATION I'M
01:58:13.986 --> 01:58:16.122
HERE TO SPEAK ABOUT ITEM NUMBER
01:58:16.189 --> 01:58:17.423
FOUR WE'VE WORKED ON THE ISSUE
01:58:17.490 --> 01:58:19.659
OF HEALTH CARE COST CONTAINMENT
01:58:19.725 --> 01:58:21.661
AFFORDABILITY FOR MANY. YEARS
01:58:21.727 --> 01:58:25.331
AT ALL WE- APPROACH OF WHAT MY
01:58:25.398 --> 01:58:27.333
BOSS IS NIBBLING AROUND THE
01:58:27.400 --> 01:58:30.102
EDGES TAKING ON PART VERY. I AM
01:58:30.169 --> 01:58:32.104
AND- THAT THE GOVERNOR IS AN
01:58:32.171 --> 01:58:34.574
OFFICE THAT TACKLES THE WHOLE
01:58:34.640 --> 01:58:37.777
INDUSTRY- AND LOOKS AT GETTING
01:58:37.844 --> 01:58:40.646
AFFORDABILITY AND MONEY BACK TO
01:58:40.713 --> 01:58:41.647
CONSUMERS AND PUT BACK IN
01:58:41.714 --> 01:58:44.083
WORKERS POCKETS SO WE ARE VERY
01:58:44.150 --> 01:58:47.253
EXCITED ABOUT THAT WE DO WANT
01:58:47.320 --> 01:58:48.921
TO FLAG THE ISSUE WITH THAT
01:58:48.988 --> 01:58:51.357
DATE IS PAUL HAVE A- OFFICE
01:58:51.424 --> 01:58:53.159
HAVE ACCESS TO DATE. ALSO THAT
01:58:53.226 --> 01:58:55.428
PUBLIC I CAN MAKE STAKEHOLDERS
01:58:55.495 --> 01:58:57.497
ARE ABLE TO USE THIS DATA AND
01:58:57.563 --> 01:59:00.600
HAVE REAL- ACCOUNTABILITY FOR
01:59:00.666 --> 01:59:01.934
THE OFFICE WE LOOK FORWARD TO
01:59:02.001 --> 01:59:03.202
WORKING WITH THE WITH THE
01:59:03.269 --> 01:59:04.937
SENATE THE GOVERNOR AND THE
01:59:05.004 --> 01:59:07.306
SET. THANK YOU WELCOME. YOUR
01:59:07.373 --> 01:59:08.841
CHAIR MAP BROUGHT HERE FOR THE
01:59:08.908 --> 01:59:10.276
TEAMSTERS YOU HEAR MACHINISTS
01:59:10.343 --> 01:59:12.411
AMALGAMATED TRANSIT UNION AND-
01:59:12.478 --> 01:59:13.446
ENGINEERS AND SCIENTISTS THE
01:59:13.513 --> 01:59:14.881
CALIFORNIA UTILITY WORKERS
01:59:14.947 --> 01:59:17.049
UNION AMERICA I WOULD JUST TO
01:59:17.116 --> 01:59:18.818
LINE MY COMMENTS WITH- MY
01:59:18.885 --> 01:59:19.986
MEMBERS THAT ARE HERE FROM
01:59:20.052 --> 01:59:23.122
UNITE HERE- YOU SEE HEALTH CARE
01:59:23.189 --> 01:59:24.257
AFFORDABILITY IS A HUGE. FOR
01:59:24.323 --> 01:59:26.559
MEDI THANK YOU THANK YOU.
01:59:26.626 --> 01:59:29.328
WELCOME HELLO MY NAME'S TIM
01:59:29.395 --> 01:59:30.997
DURAN I'M A BARTENDER AT
01:59:31.063 --> 01:59:32.765
THUNDER VALLEY CASINO RESORT
01:59:32.832 --> 01:59:34.567
I'VE BEEN THERE FIFTEEN YEARS
01:59:34.634 --> 01:59:36.302
VERY PROUD OF MY UNION AND
01:59:36.369 --> 01:59:38.170
LOCAL FORTY NINE. AND I'M NOT
01:59:38.237 --> 01:59:39.539
OBVIOUSLY HERE TO SUPPORT BY
01:59:39.605 --> 01:59:42.341
NUMBER FOUR WE NEED TO KEEP AND
01:59:42.408 --> 01:59:43.543
PUT AND CHECK THOSE HEALTH
01:59:43.609 --> 01:59:47.179
CARE. PROVIDERS SO THANK YOU
01:59:47.246 --> 01:59:48.981
THANK YOU. WELCOME I THINK IT'S
01:59:49.048 --> 01:59:50.316
GOOD AFTERNOON NOW KATHERINE'S
01:59:50.383 --> 01:59:51.584
GOT WITH CALIFORNIA HOSPITAL
01:59:51.651 --> 01:59:53.352
ASSOCIATION WE TOO ARE IN
01:59:53.419 --> 01:59:55.388
SUPPORT OF THE OFFICE OF HEALTH
01:59:55.454 --> 01:59:56.055
CARE FOR THE BILL IN THE
01:59:56.122 --> 01:59:57.590
EFFORTS MADE BY. BOTH THE
01:59:57.657 --> 01:59:59.892
GOVERNOR AND THE LEGISLATURE-
01:59:59.959 --> 02:00:02.061
TO ADDRESS AND SET A BENCHMARK-
02:00:02.128 --> 02:00:03.496
I THINK A COUPLE OF THINGS FOR
02:00:03.563 --> 02:00:05.932
US AS WE WORK THROUGH THIS IS
02:00:05.998 --> 02:00:08.601
YOU KNOW BLANK PAGES FRESH BUT-
02:00:08.668 --> 02:00:10.436
THINGS AS WE ARE. PART OF THE-
02:00:10.503 --> 02:00:12.772
PRO TO APPRECIATE HEARING THOSE.
02:00:12.838 --> 02:00:15.508
I'M US. ALL THERE AND HE'S- AN
02:00:15.575 --> 02:00:17.176
EQUAL. IN MEET NOT BENCH. I'M
02:00:17.243 --> 02:00:19.245
TO SLOW WE WANT TO ENSURE THE
02:00:19.312 --> 02:00:21.981
DATA IS RIGHT. WE AGREE THAT
02:00:22.048 --> 02:00:24.050
THE DATA- HAS TO BE
02:00:24.116 --> 02:00:26.319
APPROPRIATE- AND HAS TO BE.
02:00:26.385 --> 02:00:27.753
AVAILABLE BECAUSE WE ARE
02:00:27.820 --> 02:00:29.488
WORKING ON SOME OF THESE DATA
02:00:29.555 --> 02:00:30.990
SETS HAS TO BE AVAILABLE SO
02:00:31.057 --> 02:00:31.624
THAT WHEN WE LOOK AT THE
02:00:31.691 --> 02:00:34.560
BENCHMARK. AND HOLDER PROVIDERS
02:00:34.627 --> 02:00:35.695
ACCOUNTABLE TO THAT BENCHMARK
02:00:35.761 --> 02:00:38.097
THAT. TO REFLECTS WHAT REALLY
02:00:38.164 --> 02:00:40.399
GOING ON WE HAVE SOME CONCERNS
02:00:40.466 --> 02:00:42.068
THAT WERE KIND OF. IN THIS
02:00:42.134 --> 02:00:43.502
PROCESS OF COLLECTING DATA. I'M
02:00:43.569 --> 02:00:45.404
IN THAT AS WE- APPROACH THE
02:00:45.471 --> 02:00:47.039
BENCH MARKS. BENCHMARKS IN
02:00:47.106 --> 02:00:49.575
MANAGING A PENALTY PORTION- AND
02:00:49.642 --> 02:00:50.643
WE APPRECIATE THE PROGRESSIVE
02:00:50.710 --> 02:00:52.178
PENALTY PORTION THAT YOU'RE
02:00:52.244 --> 02:00:53.813
LOOKING AT THE RIGHT THINGS
02:00:53.879 --> 02:00:55.715
THAT WE'RE LOOKING AT WHAT WE
02:00:55.781 --> 02:00:56.415
NEED TO BE LOOKING OUT SO FOR
02:00:56.482 --> 02:00:58.017
US. I'M AS WE ESTABLISH
02:00:58.084 --> 02:01:00.186
BENCHMARKING HELP LEVEL TO WHAT
02:01:00.252 --> 02:01:00.686
THE DATE IS GOING TO BE
02:01:00.753 --> 02:01:02.321
CRITICAL. ABOUT RELIEF TO THE
02:01:02.388 --> 02:01:04.590
TIMELINE. THIS IS WHAT. WE LOOK
02:01:04.657 --> 02:01:06.592
FORWARD TO WORKING WITH YOU AND
02:01:06.659 --> 02:01:07.994
THE ADMINISTRATION AS WE GO
02:01:08.060 --> 02:01:09.128
FORWARD FOR ALSO SUPPORT OF
02:01:09.195 --> 02:01:10.796
SORRY THANK YOU WE'RE ALSO
02:01:10.863 --> 02:01:12.698
SUPPORT OF THE CHILDREN'S
02:01:12.765 --> 02:01:13.432
MENTAL HEALTH ACCESS NETWORK.
02:01:13.499 --> 02:01:14.900
IN THE PEDIATRIC TRAUMA
02:01:14.967 --> 02:01:16.702
INFORMED LOCAL HEALTH PILOT I
02:01:16.769 --> 02:01:20.740
APOLOGIZE. THANK YOU. WELCOME
02:01:20.806 --> 02:01:22.041
THANK YOU MAYOR MARTIN HERE ON
02:01:22.108 --> 02:01:22.675
BEHALF OF CALIFORNIA CHILDREN'S
02:01:22.742 --> 02:01:24.076
HOSPITAL SEASON ASSIST. WOULD
02:01:24.143 --> 02:01:25.411
ECHO THE COMMENTS OF MY- C. H.
02:01:25.478 --> 02:01:27.913
A- R. WE ARE SUPPORTIVE BUT NOT
02:01:27.980 --> 02:01:30.850
WITHOUT CONCERNS. NOT ALL
02:01:30.916 --> 02:01:31.350
HOSTAGE THERE EQUAL AND
02:01:31.417 --> 02:01:33.185
TERTIARY HOSPITAL. PRINCIPLES
02:01:33.252 --> 02:01:34.854
ACADEMIC MEDICAL CENTERS WE
02:01:34.920 --> 02:01:36.555
TREAT A DISPROPORTIONATE SHARE
02:01:36.622 --> 02:01:38.691
OF KIDS WITH HIGH ACUITY CASES
02:01:38.758 --> 02:01:40.026
AND UNPREDICTABLE COSTS AND WE
02:01:40.092 --> 02:01:41.827
DON'T WANT TO CREATE A SYSTEM.
02:01:41.894 --> 02:01:44.563
THAT MOVES THOSE THOSE FENCE
02:01:44.630 --> 02:01:46.599
ALL TO CERTAIN FACILITIES WHO
02:01:46.666 --> 02:01:47.500
THEN CANNOT CONTAINER COSTS
02:01:47.566 --> 02:01:49.535
BECAUSE THEY HAVE THE TYPES OF
02:01:49.602 --> 02:01:50.469
PATIENTS WHOSE COSTS ARE
02:01:50.536 --> 02:01:52.872
PREDICTABLE WE WANT TO MAKE
02:01:52.938 --> 02:01:54.907
SURE WE DON'T CREATE A SYSTEM
02:01:54.974 --> 02:01:57.576
WHERE WE- CERTAINLY. DISK COST.
02:01:57.643 --> 02:01:59.679
FROM X. BEING CARE SERVICE
02:01:59.745 --> 02:02:00.546
CENTER HAVE GROWING NEEDS LIKE
02:02:00.613 --> 02:02:01.614
BEHAVIOR HOW SO WE JUST WANNA
02:02:01.681 --> 02:02:02.648
BE MINDFUL OF THOSE TYPES OF
02:02:02.715 --> 02:02:03.849
THINGS AS WE MOVE FORWARD.
02:02:03.916 --> 02:02:06.118
THANK YOU THANK YOU TIME. THANK
02:02:06.185 --> 02:02:09.922
YOU. WELCOME NUMBER ONE I LOOK
02:02:09.989 --> 02:02:11.457
BACK AND SAY THE FLANNEL FOR
02:02:11.524 --> 02:02:13.259
THE LOCAL FEW HER LEFT A LITTLE
02:02:13.325 --> 02:02:14.560
YOU FOR YOUR POINT ON THE LOWER
02:02:14.627 --> 02:02:15.761
LOWER BUT A GOOD THING I DON'T
02:02:15.828 --> 02:02:18.097
KNOW IF YOU'RE NOT IF YOU HAVE
02:02:18.164 --> 02:02:20.966
A LESS A LITTLE. ROUGH YES.
02:02:21.033 --> 02:02:24.837
CLASSES WELCOME. HI MY NAME IS
02:02:24.904 --> 02:02:26.439
NICOLE ONE I'M A MEMBER OF
02:02:26.505 --> 02:02:28.140
LOCAL TO I'M LOOKING AT THE
02:02:28.207 --> 02:02:29.909
HOTEL QUESTION SERVICES AS A
02:02:29.975 --> 02:02:31.777
MRS CALL FOR TWO YEARS TODAY
02:02:31.844 --> 02:02:35.381
I'M HERE I SUPPOSE TO KNOW
02:02:35.448 --> 02:02:36.015
SINCE. PROPOSAL THANK YOU THANK
02:02:36.082 --> 02:02:39.552
YOU. WELCOME HI MY NAME IS THE
02:02:39.618 --> 02:02:42.955
YOLANDA AND I'M LOCAL TO MEMBER
02:02:43.022 --> 02:02:45.558
ALL WAFFLE HUGHTON UNION SQUARE
02:02:45.624 --> 02:02:48.928
A FULL FOUR YEAR AND I SUPPORT
02:02:48.994 --> 02:02:51.697
MR NEWSOME PROPOSAL THANK YOU.
02:02:51.764 --> 02:02:56.469
THANK YOU. THANK YOU WELCOME.
02:02:56.535 --> 02:02:59.271
HELLO MY NAME IS BILL FOR MOVIE
02:02:59.338 --> 02:03:02.875
MY- NEED AND IF THE VEHICLE MAY
02:03:02.942 --> 02:03:05.578
HELP THEM WE CERTAIN THE TO
02:03:05.644 --> 02:03:09.982
PHOTO I SUPPORT NIELSEN THE
02:03:10.049 --> 02:03:12.918
NIELSEN PROPOSAL. THE TOUGHEST
02:03:12.985 --> 02:03:16.856
BOTTOM NEESON A MY PROPOSAL
02:03:16.922 --> 02:03:19.058
BUFFALO I THANK YOU THANK YOU
02:03:19.125 --> 02:03:20.760
THANK YOU THANKS SO MUCH BRING
02:03:20.826 --> 02:03:22.661
HERE THANK YOU HI MY NAME IS A
02:03:22.728 --> 02:03:26.031
YEAR IN OUR LOCAL TO. OKAY
02:03:26.098 --> 02:03:28.901
GOURMET CAN YES I SUPPORT FOR
02:03:28.968 --> 02:03:31.971
NEW XIN PROPOSAL. THANK YOU
02:03:32.037 --> 02:03:35.141
THANK YOU. HELLO MY PICKING ON
02:03:35.207 --> 02:03:38.878
JUNE FROM TYLER AND I HAD I HAD
02:03:38.944 --> 02:03:43.249
BEEN THE AND CALIFORNIA- FULL
02:03:43.315 --> 02:03:45.718
FIFTEEN YES. I'M THE MEMBER OF
02:03:45.785 --> 02:03:49.588
THE UNION LOCAL TOOL ICE THE I.
02:03:49.655 --> 02:03:54.160
BUT I BUT PART OF MY UNIT I
02:03:54.226 --> 02:03:56.362
SUPPORT THE- YEAH. NUISANCE
02:03:56.428 --> 02:03:58.330
WILL. THANK YOU THANK YOU
02:03:58.397 --> 02:04:00.566
WELCOME. HI MY NAME IS ON PER
02:04:00.633 --> 02:04:02.134
SIDE I'M A MEMBER OF UNIT HERE
02:04:02.201 --> 02:04:03.502
LOCAL FOR YOU KNOW FOR SEVEN
02:04:03.569 --> 02:04:05.905
YEARS I'M HERE IN SUPPORT OF
02:04:05.971 --> 02:04:09.341
ITEM NUMBER FOR. ME WELCOME ON
02:04:09.408 --> 02:04:11.043
ME NUMBER IS MILLION A BY THE
02:04:11.110 --> 02:04:12.778
YEAH II S YOU'RE ONLY THE
02:04:12.845 --> 02:04:14.814
LOCALS DISASSOCIATE LIMB FRESNO
02:04:14.880 --> 02:04:16.215
YES BUT YEAH KEEP UP FOR YET
02:04:16.282 --> 02:04:17.416
AND WILL THAT ANOTHER. BUT I
02:04:17.483 --> 02:04:18.951
CAN THINK OF ONE OFF WE SEE IN
02:04:19.018 --> 02:04:21.320
THAT. ACCESS TO SEE RELATED THE
02:04:21.387 --> 02:04:22.655
ON THE POINT OF WHAT ASKED
02:04:22.721 --> 02:04:26.926
ABOUT HOW THE CLASSICS. CLASSES
02:04:26.992 --> 02:04:29.161
WELCOME. BUT THAT IS THE SENATE
02:04:29.228 --> 02:04:30.729
HAVE. THE SITE MEMBER THAT I
02:04:30.796 --> 02:04:34.967
WHOSE THE CI. THIS THE FOR NOT.
02:04:35.034 --> 02:04:36.268
IS THE IRAQI A BOY AND A-
02:04:36.335 --> 02:04:37.403
TOMORROW. APPROACH WITH THAT
02:04:37.469 --> 02:04:39.438
THE OFFICE NOW MY FOR. SEE
02:04:39.505 --> 02:04:41.941
BLOOD. BUT MUSCLE TO. BEEN
02:04:42.007 --> 02:04:47.112
DESCENDS BUT A. CRISIS WELCOME
02:04:47.179 --> 02:04:47.646
WHEN IS THAT THE NUMBER A
02:04:47.713 --> 02:04:50.983
HAIRLIKE. EVEN UP. UP IN THE
02:04:51.050 --> 02:04:54.053
LIST LOVE BETTER THAN. BRING UP
02:04:54.119 --> 02:04:55.688
WITH A LIST OF ON OF IS ENOUGH.
02:04:55.754 --> 02:04:56.856
BUT OUR LITTLE BIT LEVEL BUT I
02:04:56.922 --> 02:04:57.957
CAN ALSO YOU THEY'RE LIKE
02:04:58.023 --> 02:05:00.726
HONESTLY CAN A BY MOST OF
02:05:00.793 --> 02:05:03.863
THOSE- IMPACT. BELOW THE LEVEL
02:05:03.929 --> 02:05:06.065
OF THE LAST A LITTLE BIT ABOUT
02:05:06.131 --> 02:05:07.499
THAT. FORGET THE BUS ON THE
02:05:07.566 --> 02:05:08.500
PORTAL A STILL THE CASE.
02:05:08.567 --> 02:05:09.835
METHODICAL ON THE WILL GET THE
02:05:09.902 --> 02:05:11.937
LEVELS THE LOSSES GROUND
02:05:12.004 --> 02:05:14.073
SERVICE HE ALREADY TO THE OWNER
02:05:14.139 --> 02:05:15.207
AND THEY WILL BE A PART. MISS
02:05:15.274 --> 02:05:17.309
WE ARE MORE CHOI LESS ALSO ALSO
02:05:17.376 --> 02:05:19.078
SEE IN A COUPLE MINUTES OF YOU
02:05:19.144 --> 02:05:19.812
SEEN A PART TIME BUT I CAN.
02:05:19.879 --> 02:05:24.183
TELL YOU THAT BILLS. THAT THIS.
02:05:24.250 --> 02:05:26.151
WELCOME TO START WITH ME I WE
02:05:26.218 --> 02:05:27.286
THOUGHT A LETTER SO HE THEIR
02:05:27.353 --> 02:05:29.655
LEADER THE DIGITAL CL ETHIOPIAN
02:05:29.722 --> 02:05:31.624
THE WITH A LITTLE AT THE NEW A
02:05:31.690 --> 02:05:34.760
PEOPLE OF THAT I THINK CRISIS
02:05:34.827 --> 02:05:35.828
WELCOME BUT AFTERNOON MY NAME
02:05:35.895 --> 02:05:38.197
IS ELIZABETH MARTINEZ I AM A
02:05:38.264 --> 02:05:38.931
LEADER OF THE HEALTH CARE
02:05:38.998 --> 02:05:41.667
SYSTEM I STRONGLY SUPPORT THE
02:05:41.734 --> 02:05:46.705
IDEA OF THE OFFICIAL. OF THE
02:05:46.772 --> 02:05:47.706
OFFICE OF HEALTH CARE. OF THANK
02:05:47.773 --> 02:05:50.776
YOU WELCOME GOOD AFTERNOON MY
02:05:50.843 --> 02:05:52.978
NAME JIM GOMEZ FROM SACRAMENTO
02:05:53.045 --> 02:05:56.248
AND FROM OKAY JUSTICE AND I
02:05:56.315 --> 02:05:58.817
STRONG SUPPORTER NEWS ON THE-
02:05:58.884 --> 02:05:59.852
HEALTH CARE FOR THE OFFICE
02:05:59.919 --> 02:06:03.956
THANK YOU. WELCOME COMMON
02:06:04.023 --> 02:06:06.892
SERVICE I'M A NUMBER IS
02:06:06.959 --> 02:06:08.093
AVAILABLE LIMóN BANG ON IN A
02:06:08.160 --> 02:06:09.695
FEW OF THE OAKLAND IS FOR THE
02:06:09.762 --> 02:06:12.698
UP WE ON THE LAPTOP WITHOUT AND
02:06:12.765 --> 02:06:16.602
ALONE BUT I. BUT AT THE NEW.
02:06:16.669 --> 02:06:18.170
THE SCENERY IS ALEXIS WHO LED
02:06:18.237 --> 02:06:20.639
BY THE LEVELS YOU NEED A LOT OF
02:06:20.706 --> 02:06:24.376
CLASSES IN IT. THIS BASIS. GOD
02:06:24.443 --> 02:06:27.379
BLESS WELCOME. WELL GOOD
02:06:27.446 --> 02:06:29.782
AFTERNOON DOCTOR PAN ON TO SELL
02:06:29.848 --> 02:06:32.484
MARANDA FROM OAKLAND CALIFORNIA
02:06:32.551 --> 02:06:34.253
HEALTHCARE JOBS AS A VOLUNTEER.
02:06:34.320 --> 02:06:36.989
I AM IN SUPPORT AND WE ARE ALL
02:06:37.056 --> 02:06:37.556
IN SUPPORT OF THE GOVERNOR'S
02:06:37.623 --> 02:06:40.359
PROPOSAL. THANK YOU THANK YOU.
02:06:40.426 --> 02:06:42.194
WELCOME HI MY NAME IS GINNY
02:06:42.261 --> 02:06:43.862
RETIREE I AM MY HEALTHCARE
02:06:43.929 --> 02:06:46.699
JUSTICE FROM IS SEE- YOU I AM
02:06:46.765 --> 02:06:48.500
RETIRED FROM P. MY GARDEN IN
02:06:48.567 --> 02:06:51.503
NURSING BUT THIRTY YEARS I AM
02:06:51.570 --> 02:06:53.205
SUPPORTING. GOVERNOR NUISANCE
02:06:53.272 --> 02:06:55.374
ALL THIS. HEALTHCARE
02:06:55.441 --> 02:06:57.743
PORTABILITY THANK YOU AND GOD
02:06:57.810 --> 02:07:01.580
BLESS YOU THANK YOU. WELCOME
02:07:01.647 --> 02:07:02.281
HELLO MY NAME IS NORMA
02:07:02.348 --> 02:07:05.351
ARMSTRONG I'M A VOLUNTEER FOR
02:07:05.417 --> 02:07:06.618
YOU AND HEALTH CARE ALSO
02:07:06.685 --> 02:07:09.121
RETIRED SOCIAL WORKER. AM IN
02:07:09.188 --> 02:07:10.723
SUPPORT OF GOVERNOR KEVIN AND
02:07:10.789 --> 02:07:13.359
SOME OF THE HEALTH CARE
02:07:13.425 --> 02:07:16.996
AFFORDABILITY. THANK YOU. HI MY
02:07:17.062 --> 02:07:20.099
NAME IS SEVEN I WAS AT THE- I
02:07:20.165 --> 02:07:22.067
AM WITH THE HEALTH CARE JUST IS
02:07:22.134 --> 02:07:23.502
ONE OF THE LEADER I'M HERE TO
02:07:23.569 --> 02:07:25.604
SUPPORT AFFORDABLE HEALTH CARE
02:07:25.671 --> 02:07:27.806
BECAUSE IT AFFECTS ME DIRECTLY
02:07:27.873 --> 02:07:29.508
AND NOT EMOTIONALLY PHYSICALLY
02:07:29.575 --> 02:07:32.778
BUT FINANCIALLY TO. THANK YOU
02:07:32.845 --> 02:07:35.381
THANK YOU THANK YOU WELCOME.
02:07:35.447 --> 02:07:37.049
GOOD AFTERNOON MISTER CHAIR AND
02:07:37.116 --> 02:07:37.983
MEMBERS PAMELA GIVES
02:07:38.050 --> 02:07:39.685
REPRESENTING THE LOS ANGELES
02:07:39.752 --> 02:07:41.954
COUNTY OFFICE OF EDUCATION- I'M
02:07:42.021 --> 02:07:44.690
SPEAKING TO ITEM NUMBER TWO-
02:07:44.757 --> 02:07:46.325
RELATED TO TRAUMA INFORMED
02:07:46.392 --> 02:07:48.293
TRAINING AND PUBLIC AWARENESS-
02:07:48.360 --> 02:07:50.829
AS YOU MAY KNOW THE LOS ANGELES
02:07:50.896 --> 02:07:52.297
COUNTY OFFICE OF EDUCATION HAS
02:07:52.364 --> 02:07:54.833
IN. A TREMENDOUS ON SCHOOL TO
02:07:54.900 --> 02:07:56.468
THAT THROUGHOUT THE AND ARE ARE
02:07:56.535 --> 02:07:57.836
GREATLY COURAGE BY THE
02:07:57.903 --> 02:07:59.004
GOVERNOR'S EFFORTS IN FIGHTING
02:07:59.071 --> 02:08:01.974
FUNDING NOT ONLY IN THIS.
02:08:02.041 --> 02:08:03.542
BUDGET BUT ALSO LAST YEAR'S
02:08:03.609 --> 02:08:07.179
BUDGET TO ADDRESS ASUS FUNDING
02:08:07.246 --> 02:08:08.347
AND SCREENINGS SO WE LOOK FOR
02:08:08.414 --> 02:08:10.449
TO CONTINUING TO WORK WITH THE
02:08:10.516 --> 02:08:12.117
GOVERNOR'S OFFICE. WITH THE
02:08:12.184 --> 02:08:12.718
OFFICE OF THE SURGEON GENERAL
02:08:12.785 --> 02:08:13.685
ON THE LEGISLATURE AND WE
02:08:13.752 --> 02:08:15.320
APPRECIATE YOUR EFFORTS THANK
02:08:15.387 --> 02:08:17.523
YOU THANK YOU. BUDGET COMING
02:08:17.589 --> 02:08:18.724
BACK AGAIN YES KELLY BEING ON
02:08:18.791 --> 02:08:19.391
BEHALF OF THE CALIFORNIA
02:08:19.458 --> 02:08:21.293
MEDICAL ASSOCIATION JUST WANNA
02:08:21.360 --> 02:08:22.428
MAKE SURE TO BOOK AND ALL THE
02:08:22.494 --> 02:08:23.295
PUBLIC COMMENT AND WE'RE
02:08:23.362 --> 02:08:24.229
DEFINITELY SUPPORTED. THE
02:08:24.296 --> 02:08:25.464
GOVERNOR'S PROPOSAL TO INCREASE
02:08:25.531 --> 02:08:26.698
AFFORDABILITY FOR HELP
02:08:26.765 --> 02:08:28.233
CONSUMERS AND WE APPRECIATE THE
02:08:28.300 --> 02:08:29.201
CONTINUE DISCUSSIONS WITH
02:08:29.268 --> 02:08:31.136
COMMITTEE. AFTER ENTERING THANK
02:08:31.203 --> 02:08:33.572
YOU GIVE ME A LECTURE TEN SAY
02:08:33.639 --> 02:08:35.507
THAT ALL RIGHT. OKAY SO I'LL BE
02:08:35.574 --> 02:08:36.575
FAIR YOU KNOW BECAUSE OF THIS
02:08:36.642 --> 02:08:39.445
WEEK- ALRIGHT BUT THAT- WANTED
02:08:39.511 --> 02:08:41.713
THANK EVERYONE TO- PRESENTED-
02:08:41.780 --> 02:08:44.716
IT IS TWELVE. TWENTY SO I THINK
02:08:44.783 --> 02:08:47.486
WE'LL DO IS WE'LL TAKE A FIVE
02:08:47.553 --> 02:08:48.387
TO TEN MINUTES STRETCHED BREAK.
02:08:48.454 --> 02:08:51.056
AND THEN WILL RESUME WITH THE-
02:08:51.123 --> 02:08:53.425
EMERGENCY MEDICAL SERVICES OR
02:08:53.492 --> 02:08:55.861
THE CELL BUT- SUCH AS A WE CAN
02:08:55.928 --> 02:08:57.062
STRETCH A LITTLE OKAY THANK YOU
02:08:57.129 --> 02:09:02.134
I. THAT ARE YOU BACK TWELVE
02:09:02.201 --> 02:09:20.986
THIRTY.
02:23:17.689 --> 02:23:19.223
OKAY LET'S RECONVENE
02:23:19.290 --> 02:23:22.961
HERE AND- WELCOME EVERYONE BACK
02:23:23.027 --> 02:23:24.329
ALL RIGHT SO WE'RE GOING TO
02:23:24.395 --> 02:23:26.698
MOVE ON TO- THE MERCY MEDICAL
02:23:26.764 --> 02:23:28.499
SERVICE STORY THANK YOU SO MUCH
02:23:28.566 --> 02:23:30.601
FOR BEING HERE ALL RIGHT SO
02:23:30.668 --> 02:23:31.703
WHAT WE FIRST DO INTRODUCTIONS
02:23:31.769 --> 02:23:33.338
AROUND THE TABLE SO START WITH
02:23:33.404 --> 02:23:37.909
THE AGENCY. THANK YOU ACTING
02:23:37.976 --> 02:23:40.278
CHIEF DEPUTY DIRECTOR AND
02:23:40.345 --> 02:23:41.579
DEPUTY DIRECTOR OF LEGISLATIVE
02:23:41.646 --> 02:23:43.581
REGULATORY AN EXTERNAL AFFAIRS
02:23:43.648 --> 02:23:45.116
I AM PRESENTING ON BEHALF OF
02:23:45.183 --> 02:23:46.517
DOCTOR DAVID DUNCAN AN
02:23:46.584 --> 02:23:47.885
EMERGENCY PHYSICIAN AND
02:23:47.952 --> 02:23:51.122
DIRECTOR OF THE EMS AUTHORITY.
02:23:51.189 --> 02:23:52.056
MY NAME IS RICK ROSS ON THE
02:23:52.123 --> 02:23:53.558
CHIEF OF THE ADMINISTRATION FOR
02:23:53.625 --> 02:23:55.393
THE EMERGENCY MEDICAL SERVICES
02:23:55.460 --> 02:23:57.061
FORTY THANK YOU. GOOD AFTERNOON
02:23:57.128 --> 02:23:58.496
MY NAME SEAN TRASK I AM THE
02:23:58.563 --> 02:23:59.831
CHIEF OF THE IMMENSE PERSONNEL
02:23:59.897 --> 02:24:01.966
DIVISION IT IN MY STORY THANK
02:24:02.033 --> 02:24:04.235
YOU HELLO SONYA PETA KALLIO
02:24:04.302 --> 02:24:07.972
FINANCE IN THE ARRIVALS FINANCE
02:24:08.039 --> 02:24:10.208
FROM OFTEN TELL. THANK YOU
02:24:10.274 --> 02:24:11.275
WELCOME ALL RIGHT SO WANT TO GO
02:24:11.342 --> 02:24:12.243
AHEAD AND BEGIN WITH THE-
02:24:12.310 --> 02:24:14.012
REVIEW AND DISCOVER ALL THE
02:24:14.078 --> 02:24:16.581
QUESTIONS IN THE BETTER- AND
02:24:16.647 --> 02:24:18.983
THEN WE'LL GO AROUND TO OKAY
02:24:19.050 --> 02:24:20.685
GREAT THANK SACRAMENTO- DOCTOR
02:24:20.752 --> 02:24:21.986
DUNCAN WOULD LIKE TO EXPRESS
02:24:22.053 --> 02:24:23.621
HIS POLOGIES FOR NOT BEING
02:24:23.688 --> 02:24:25.656
ABLE TO BE HERE HE IS ELSEWHERE
02:24:25.723 --> 02:24:27.759
ENGAGED WITH A CO IN NINETEEN
02:24:27.825 --> 02:24:29.527
ACTIVITIES. ARMORS THE MEDICAL
02:24:29.594 --> 02:24:30.695
SYSTEM IN CALIFORNIA WAS
02:24:30.762 --> 02:24:33.031
CREATED IN NINETEEN EIGHTY ONE
02:24:33.097 --> 02:24:34.699
BY HEALTH AND SAFETY. CODE TWO
02:24:34.766 --> 02:24:36.100
POINT FIVE WITH THE INTENT OF
02:24:36.167 --> 02:24:38.002
CREATING A STATEWIDE SYSTEM
02:24:38.069 --> 02:24:39.470
WITH THEM SO RESPONSIBLE FOR
02:24:39.537 --> 02:24:40.605
THE COORDINATION AND
02:24:40.671 --> 02:24:42.473
INTEGRATION OF ALL STATE
02:24:42.540 --> 02:24:44.375
ACTIVITIES. CONCERNING
02:24:44.442 --> 02:24:45.643
EMERGENCY MEDICAL SERVICES TO
02:24:45.710 --> 02:24:47.311
ENSURE THE PROVISION OF A AND
02:24:47.378 --> 02:24:49.047
EFFECTIVE AND EFFICIENT-
02:24:49.113 --> 02:24:51.282
EMERGENCY MEDICAL CARE. AND
02:24:51.349 --> 02:24:53.017
THAT IS A VERY SMALL DEPARTMENT
02:24:53.084 --> 02:24:54.018
BUT WITH SIGNIFICANT
02:24:54.085 --> 02:24:56.654
RESPONSIBILITIES THAT FALL INTO
02:24:56.721 --> 02:24:57.722
THREE MAJOR CATEGORIES.
02:24:57.789 --> 02:24:59.690
HOSPITAL EMERGENCY SERVICES IN
02:24:59.757 --> 02:25:02.593
CALIFORNIA THERE ARE OVER SIXTY
02:25:02.660 --> 02:25:04.195
FOUR THOUSAND CERTIFIED EMTS
02:25:04.262 --> 02:25:05.630
AND NEARLY TWENTY FOUR THOUSAND
02:25:05.696 --> 02:25:07.598
LICENSE PARAMEDICS THAT RESPOND
02:25:07.665 --> 02:25:09.967
TO ABOUT. FIVE POINT FOUR
02:25:10.034 --> 02:25:11.669
MILLION NINE ONE ONE CALLS.
02:25:11.736 --> 02:25:14.272
EMERGENCY SERVICES ANNUALLY AND
02:25:14.338 --> 02:25:17.575
WITH FORTY TWO. HUNDRED GROUND
02:25:17.642 --> 02:25:20.445
AMBULANCES AND A HUNDRED AND
02:25:20.511 --> 02:25:22.847
THIRTY SEVEN AIR AMBULANCES.
02:25:22.914 --> 02:25:23.681
SPECIFICALLY MS IT WAS
02:25:23.748 --> 02:25:25.716
RESPONSIBLE FOR THE LICENSING
02:25:25.783 --> 02:25:27.051
OF PARAMEDICS AND DISCIPLINING
02:25:27.118 --> 02:25:29.087
THOSE LICENSES WHEN NECESSARY
02:25:29.153 --> 02:25:30.655
AND ENTERTAINING THE SCOPE OF
02:25:30.721 --> 02:25:32.557
PRACTICE TRAINING STANDARDS AND
02:25:32.623 --> 02:25:36.260
REGULATIONS FOR ALL EMS LEVELS
02:25:36.327 --> 02:25:36.828
INCLUDING PUBLIC SAFETY FOR
02:25:36.894 --> 02:25:40.198
STATE. CALIFORNIA EMS IS A TWO
02:25:40.264 --> 02:25:42.400
TIERED SYSTEM BETWEEN STATE AND
02:25:42.467 --> 02:25:45.103
LOCAL AGENCIES AM SAID DEVELOPS
02:25:45.169 --> 02:25:46.737
GUIDELINES AND APPROVES PLANS
02:25:46.804 --> 02:25:48.706
FOR EMERGENCY MEDICAL SYSTEMS
02:25:48.773 --> 02:25:49.740
THAT ARE IMPLEMENTED AND
02:25:49.807 --> 02:25:51.742
OPERATED BY THIRTY THREE LOCAL
02:25:51.809 --> 02:25:54.278
EMS AGENCIES ACROSS THE STATE.
02:25:54.345 --> 02:25:55.947
I AM SO ALSO DEVELOPS
02:25:56.013 --> 02:25:57.782
REGULATIONS FOR THE DESIGN AND
02:25:57.849 --> 02:25:59.250
CALL QUALITY OF SPECIALTY CARE
02:25:59.317 --> 02:26:01.652
SYSTEMS A TRAUMA SYSTEM
02:26:01.719 --> 02:26:02.887
PEDIATRIC EMERGENCY CARE
02:26:02.954 --> 02:26:05.890
CENTERS A STROKE SYSTEM CARDIAC
02:26:05.957 --> 02:26:08.392
SYSTEMS AND A CITY WIDE POISON
02:26:08.459 --> 02:26:10.528
CONTROL SYSTEM. THE THIRD MAJOR
02:26:10.595 --> 02:26:13.097
AREA OF RESPONSIBILITY IS THE
02:26:13.164 --> 02:26:15.066
DISASTER MEDICAL SERVICES. WE
02:26:15.133 --> 02:26:16.267
PARTNER WITH THE DEPARTMENT OF
02:26:16.334 --> 02:26:18.269
PUBLIC HEALTH TO BUILD A PUBLIC
02:26:18.336 --> 02:26:19.904
HEALTH AND MEDICAL RESPONSE
02:26:19.971 --> 02:26:21.305
EMERGENCY FUNCTION WITH THE
02:26:21.372 --> 02:26:22.673
FEDERAL STATE AND LOCAL
02:26:22.740 --> 02:26:24.709
STAKEHOLDERS TO PLAN FOR THE
02:26:24.775 --> 02:26:26.878
MEDICAL IMPACT OF ANY TYPE OF
02:26:26.944 --> 02:26:30.014
DISASTER OR HEALTH EMERGENCY.
02:26:30.081 --> 02:26:32.350
RECALL GO AHEAD AND GO INTO THE
02:26:32.416 --> 02:26:34.519
BUDGET AND BCP'S IF THAT'S OKAY
02:26:34.585 --> 02:26:36.721
THE GOVERNOR'S PROPOSED BUDGET
02:26:36.787 --> 02:26:37.321
FOR TWENTY TWENTY ONE RELEASED
02:26:37.388 --> 02:26:38.623
IN JANUARY INCLUDES EXPENSE
02:26:38.689 --> 02:26:40.391
REPORTING AMOUNT OF THIRTY FIVE
02:26:40.458 --> 02:26:41.959
POINT NINE MILLION. IN SEVENTY
02:26:42.026 --> 02:26:43.828
POINT A PERMANENTPOSITIONS OF
02:26:43.895 --> 02:26:45.263
THIS AMOUNT SIXTEEN POINT SIX
02:26:45.329 --> 02:26:47.532
MILLION OR FORTY SIX PERSONS
02:26:47.598 --> 02:26:49.133
DELEGATED FOR STATE OPERATIONS
02:26:49.200 --> 02:26:51.102
IN NINETEEN POINT THREE MILLION
02:26:51.169 --> 02:26:54.105
OR 56% FOR LOCAL ASSISTANCE.
02:26:54.172 --> 02:26:54.939
BUT WE HAVE PROPOSALS ARE
02:26:55.006 --> 02:26:57.508
CURRENTLY UNDER DURATION FOR.
02:26:57.575 --> 02:26:58.876
HIS FOR A CUSTOMER HEALTH
02:26:58.943 --> 02:27:01.779
RESPONSE LOCAL SO WE'RE GONNA-
02:27:01.846 --> 02:27:03.080
SINCE IS PARTY OF REVIEW WHEN
02:27:03.147 --> 02:27:06.050
WE GET TO THOSE TWO AREAS WILL
02:27:06.117 --> 02:27:08.519
DELVE INTO THAT OFF. OKAY
02:27:08.586 --> 02:27:12.523
ANYTHING. YOU AND I THINK WE
02:27:12.590 --> 02:27:13.057
DID HAVE A QUESTION ABOUT
02:27:13.124 --> 02:27:14.058
SUSPECT. IN THE STATE SCORED A
02:27:14.125 --> 02:27:15.860
RESPONSE WITH OF IN NINETEEN AS
02:27:15.927 --> 02:27:17.028
YOU CAN DRESS THAT I KNOW THAT
02:27:17.094 --> 02:27:19.197
THE DIRECTORS BUSY DOING THAT
02:27:19.263 --> 02:27:21.499
RIGHT NOW IF I DO I JUST
02:27:21.566 --> 02:27:23.501
BRIEFLY TOUCH ON THAT. SIR I'M
02:27:23.568 --> 02:27:26.204
STILL AS FAR AS AN FULLER SPOTS
02:27:26.270 --> 02:27:27.505
ABILITIES. EIGHT INFECTIOUS
02:27:27.572 --> 02:27:29.774
DISEASE PACKED MA WE ARE
02:27:29.840 --> 02:27:31.609
CERTAINLYINTEGRATED WITH THE
02:27:31.676 --> 02:27:34.412
EMERGENCY SUPPORT FUNCTION
02:27:34.478 --> 02:27:35.746
EIGHT MEDICAL HEALTH A MEDICAL.
02:27:35.813 --> 02:27:37.348
OR THE STATE EMERGENCY PLAN.
02:27:37.415 --> 02:27:40.151
MORE WORK CAN CURRENTLY WITH
02:27:40.218 --> 02:27:41.319
THE LOCAL RENT. AND STATE AND
02:27:41.385 --> 02:27:43.721
FEDERAL PART OR STRIPPING THE-
02:27:43.788 --> 02:27:46.057
PLAN MANY RISKS NUMBER. SO WE
02:27:46.123 --> 02:27:49.427
HAVE A MAJOR AREAS FOR WORKING
02:27:49.493 --> 02:27:52.697
ON PREPAREDNESS AND COMMUNITY
02:27:52.763 --> 02:28:02.640
XIN SERVER ONCE AND DETECT.
02:28:02.707 --> 02:28:04.375
ACTIVITIES INCLUDE STAFFING AND
02:28:04.442 --> 02:28:07.278
ALL STATE OPERATIONAL CENTERS
02:28:07.345 --> 02:28:08.679
THE STATE OPERATIONS CENTER THE
02:28:08.746 --> 02:28:10.281
MEDICAL AND HEALTH COORDINATION
02:28:10.348 --> 02:28:12.283
CENTER. OUR DEPARTMENT.
02:28:12.350 --> 02:28:14.652
OPERATIONS CENTER AND ALSO THE
02:28:14.719 --> 02:28:16.554
EMERGENCY OPERATIONS CENTER
02:28:16.621 --> 02:28:18.723
LOCATED IN SAN MATEO COUNTY. WE
02:28:18.789 --> 02:28:20.191
ARE COORDINATING A TO POINT
02:28:20.258 --> 02:28:21.492
AMBULANCE STRIKE TEAMS
02:28:21.559 --> 02:28:23.294
ROSTERING AND COORDINATING THE
02:28:23.361 --> 02:28:25.263
CALIFORNIA MEDICAL ASSISTANCE
02:28:25.329 --> 02:28:28.099
TEAM. MEMBERS FOR TO PLAY IN IN
02:28:28.165 --> 02:28:29.700
ENSURING MEDICAL SHELTERS ARE
02:28:29.767 --> 02:28:31.569
PRESSED TO BE DID FLOYD.
02:28:31.636 --> 02:28:33.537
COOPERATING PATIENT TRANSFERS
02:28:33.604 --> 02:28:35.172
TO QUARANTINE CENTERS OR
02:28:35.239 --> 02:28:37.875
HOSPITALS AND WORKING WITH OUR
02:28:37.942 --> 02:28:40.678
PARTNERS. TO UP EIGHT AND MANY
02:28:40.745 --> 02:28:42.246
THE POLICY NECESSARY TO OFFER
02:28:42.313 --> 02:28:45.449
SONOMA THE NURSERY. AND SEE THE
02:28:45.516 --> 02:28:46.984
MISSION. M. SET HAS ALSO
02:28:47.051 --> 02:28:49.186
DEPLOYED STAFF INCOME EQUIPMENT
02:28:49.253 --> 02:28:50.888
TO OAKLAND TO SUPPORT THE GRAND
02:28:50.955 --> 02:28:52.723
PRINCESS CRUISE SHIP MISSION
02:28:52.790 --> 02:28:55.226
CURRENTLY MS IS INTEGRATED WITH
02:28:55.293 --> 02:28:58.162
THAT HEALTH AND HUMAN SAFETY.
02:28:58.229 --> 02:28:59.463
INCIDENT MANAGEMENT TEAM
02:28:59.530 --> 02:29:00.865
OVERSEEING THIS MISSION
02:29:00.931 --> 02:29:02.700
ADDITIONALLY ABSENT HAS
02:29:02.767 --> 02:29:04.969
ESTABLISHED ONSITE EMS COMMAND
02:29:05.036 --> 02:29:07.371
AT THE OAKLAND AIRPORT OUT
02:29:07.438 --> 02:29:09.407
COMPORT SORRY TO COORDINATE THE
02:29:09.473 --> 02:29:10.574
MOVEMENT OF PERSONS
02:29:10.641 --> 02:29:11.976
DISEMBARKING FROM THE CRUISE
02:29:12.043 --> 02:29:13.577
SHIP REQUIRING MEDICAL CARE TO
02:29:13.644 --> 02:29:15.880
HOSPITALS AND IS ENTERED INTO A
02:29:15.946 --> 02:29:17.281
CONTRACT WITH AMERICAN MEDICAL
02:29:17.348 --> 02:29:19.183
RESPONSE. TO EXECUTE THOSE
02:29:19.250 --> 02:29:22.086
TRANSPORTS USING MULTIPLE
02:29:22.153 --> 02:29:24.155
AMBULANCE STRIKE TEAMS. AS YOU
02:29:24.221 --> 02:29:25.423
KNOW THE AMPLE INSTRUCTING
02:29:25.489 --> 02:29:28.059
PROGRAM IS A GROUP OF FIVE
02:29:28.125 --> 02:29:29.760
AMBULANCES OF THE SAME TYPE
02:29:29.827 --> 02:29:31.195
WITH EITHER ADVANCED LIFE
02:29:31.262 --> 02:29:33.497
SUPPORT OR BASIC LIFE SUPPORT
02:29:33.564 --> 02:29:34.131
WITH COMMON COMMUNICATION AND A
02:29:34.198 --> 02:29:36.467
LEADER IN A SEPARATE CALL. THEM
02:29:36.534 --> 02:29:38.369
SAYS ALSO DEPLOYED SEVERAL
02:29:38.436 --> 02:29:40.037
MEMBERS OF THE CAL MATT TO
02:29:40.104 --> 02:29:42.640
ATTEND TO GUESS AT DESIGNATED
02:29:42.707 --> 02:29:44.975
QUARANTINE CENTERS. AND PHILLIP
02:29:45.042 --> 02:29:46.744
AND SAYS IMPLEMENTING POLICIES
02:29:46.811 --> 02:29:48.312
AND PROCEDURES ALLOWING LOCAL
02:29:48.379 --> 02:29:50.047
EMS AGENCIES TO UTILIZE
02:29:50.114 --> 02:29:51.916
PARAMEDICS TO TRANSPORT
02:29:51.982 --> 02:29:53.984
PATIENTS TO MEDICAL FACILITIES
02:29:54.051 --> 02:29:55.853
OTHER THAN GENERAL ACUTE CARE
02:29:55.920 --> 02:29:57.521
HOSPITALS AND ALLOWING FOR THE
02:29:57.588 --> 02:29:59.357
USE OF OUT OF STATE MEDICAL
02:29:59.423 --> 02:30:01.992
BOARDS NOW. AS DEFINED IN THE
02:30:02.059 --> 02:30:04.695
EMERGENCY PROCLAMATION. THANK
02:30:04.762 --> 02:30:06.864
YOU LU COMMENTS. SENATE
02:30:06.931 --> 02:30:10.134
PARTICULARLY- JUST ONE ISSUE-
02:30:10.201 --> 02:30:12.303
THAT WE WOULD RAISE IS THAT
02:30:12.370 --> 02:30:14.772
THE- BACK BECAUSE I DON'T KNOW
02:30:14.839 --> 02:30:18.075
IF IT'LL COME UP ANYWHERE ELSE.
02:30:18.142 --> 02:30:20.010
AND SO HAS THE EMERGENCY
02:30:20.077 --> 02:30:22.546
SHELTERS FOR USE IN TIMES LIKE
02:30:22.613 --> 02:30:24.749
THIS AND THE GOVERNOR'S BUDGET-
02:30:24.815 --> 02:30:25.783
PROPOSAL TO ADDRESS
02:30:25.850 --> 02:30:27.852
HOMELESSNESS ALSO WANTED TO
02:30:27.918 --> 02:30:29.720
DEPLOY A SOME OF THOSE SHELTERS
02:30:29.787 --> 02:30:31.255
TO HANDLE HOMELESSNESS AND SOME
02:30:31.322 --> 02:30:32.590
OF THE IT'S MY UNDERSTANDING.
02:30:32.656 --> 02:30:33.691
SOME OF THOSE SHELTERS ARE
02:30:33.758 --> 02:30:36.427
CURRENTLY BEING USED IN OAKLAND
02:30:36.494 --> 02:30:40.731
AND SO I GUESS THE QUESTION IN-
02:30:40.798 --> 02:30:41.332
THAT WOULD COME UP IS WHETHER
02:30:41.399 --> 02:30:43.801
OR NOT ENOUGH FOR THE SHELTERS
02:30:43.868 --> 02:30:45.936
ARE AVAILABLE FOR USE IN
02:30:46.003 --> 02:30:47.838
RESPONSE TO COPE WITH NINETEEN.
02:30:47.905 --> 02:30:50.608
ALL RIGHT THANKS A FINANCE AND
02:30:50.674 --> 02:30:52.176
GOVERNMENT ALL RIGHT WELL MAYBE
02:30:52.243 --> 02:30:53.978
IF THEY CAN ARE YOU ABLE TO
02:30:54.044 --> 02:30:56.947
ADDRESS THAT ISSUE SO. AS A
02:30:57.014 --> 02:30:58.816
HOMELESSNESS IS A CRISIS ALL
02:30:58.883 --> 02:31:00.851
RIGHT AND- WE ALSO HAVE THE
02:31:00.918 --> 02:31:02.553
CIRCUMSTANCE MY UNDERSTANDING
02:31:02.620 --> 02:31:04.588
AT LEAST AT THIS POINT JUST
02:31:04.655 --> 02:31:06.257
READING THE NEWS AND I DON'T
02:31:06.323 --> 02:31:08.058
KNOW THE ANSWER THIS IS THAT OF
02:31:08.125 --> 02:31:09.093
COURSE ARE FINDING ALTERNATIVE.
02:31:09.160 --> 02:31:11.095
FACILITIES TO HELP PEOPLE WHO
02:31:11.162 --> 02:31:12.763
ARE EITHER CONTACTS ARE WHO
02:31:12.830 --> 02:31:14.331
HAVE CORONAVIRUS AND DON'T
02:31:14.398 --> 02:31:17.001
REQUIRE HOSPITALIZATION BUT- DO
02:31:17.067 --> 02:31:18.702
YOU SEE A NEED FOR. THAT WERE
02:31:18.769 --> 02:31:20.504
USING THE SHELTERS ARE READY
02:31:20.571 --> 02:31:22.106
THEY'RE NOT AVAILABLE SO THE
02:31:22.173 --> 02:31:25.709
EMERGENCY SHELTERS. THAT SAYS A
02:31:25.776 --> 02:31:26.844
RAINY CONVERSATION AND SAID
02:31:26.911 --> 02:31:28.746
ABOUT THE THESE AMER SHELTER
02:31:28.813 --> 02:31:30.981
THAT- THAT I GUESS ARE UNDER
02:31:31.048 --> 02:31:34.919
YOUR SECTION. SURE IS. IN THE
02:31:34.985 --> 02:31:36.687
MOBILE SHELTER. AS YOU KNOW WAS
02:31:36.754 --> 02:31:38.222
BORN OUT OF THE MOBILE FIELD
02:31:38.289 --> 02:31:40.458
HOSPITAL PROGRAM AND WE HAD
02:31:40.524 --> 02:31:42.226
THREE SETS OF TWO HUNDRED AT
02:31:42.293 --> 02:31:44.829
BED HOSPITALS COMPLETE EACH.
02:31:44.895 --> 02:31:46.263
AND WE BROKE THOSE DOWN SOME OF
02:31:46.330 --> 02:31:47.364
THOSE DOWN WEEK WE ARE
02:31:47.431 --> 02:31:49.500
RETAINING ONE FULL TWO HUNDRED
02:31:49.567 --> 02:31:52.136
BED AT OUR STATION AND THEN WE
02:31:52.203 --> 02:31:53.704
HAVE ONE FOR THE CALIFORNIA
02:31:53.771 --> 02:31:54.805
MILITARY DEPARTMENT FOR THEIR
02:31:54.872 --> 02:31:56.707
USE. AND THEN WE'VE GOT THE
02:31:56.774 --> 02:31:59.443
REMAINING HOLE. OF TWO HUNDRED
02:31:59.510 --> 02:32:00.744
INTO SIX MODULE THAT WE'VE
02:32:00.811 --> 02:32:02.279
PLACED STRATEGICALLY THROUGHOUT
02:32:02.346 --> 02:32:05.883
THE STATE. FOR LOCALS TO USE-
02:32:05.950 --> 02:32:09.253
CURRENTLY WITH THE- HOMELESS UP
02:32:09.320 --> 02:32:11.689
PROGRAM WE ONLY A FEW THAT ARE
02:32:11.755 --> 02:32:14.258
LOAN TO THAT ENDEAVOR AT THIS
02:32:14.325 --> 02:32:16.760
MOMENT- AND WE ARE CURRENTLY
02:32:16.827 --> 02:32:20.998
SET. AT THE- IS IT NEEDED
02:32:21.065 --> 02:32:24.235
QUARANTINE SITE USING THEIR-
02:32:24.301 --> 02:32:25.102
EIGHT PROPER CENTER SO I
02:32:25.169 --> 02:32:27.204
BELIEVE IF WE- EIGHT. ALTER OUR
02:32:27.271 --> 02:32:29.206
RED DID THE ONE AT THE READY IF
02:32:29.273 --> 02:32:32.176
NEED TO WE HAVE USED THESE
02:32:32.243 --> 02:32:39.283
SHELTER IN THE- FOR. PARKS PLAY.
02:32:39.350 --> 02:32:43.220
WE DOES ISOLA TEN. STATE AREA
02:32:43.287 --> 02:32:48.926
THE COURTNEY. USE JUST. SO WE
02:32:48.993 --> 02:32:49.560
HAVE THOSE. RIGHT NOW AS FAR AS
02:32:49.627 --> 02:32:52.196
THE SINGLE AND AS DEPENDENCY ON
02:32:52.263 --> 02:32:53.998
THOSE. I CAN SAY RIGHT NOW BUT
02:32:54.064 --> 02:32:55.332
IT CHANGE AT THEM. EVERY YOU
02:32:55.399 --> 02:32:59.003
KNOW OUR IS DIFFERENT SO- THERE
02:32:59.069 --> 02:33:01.472
MAY BE AS- THE STRESS ON THOSE
02:33:01.539 --> 02:33:02.806
RESOURCES BUT FOR RIGHT NOW I
02:33:02.873 --> 02:33:05.442
BELIEVE WE HAVE ENOUGH TO COVER
02:33:05.509 --> 02:33:07.378
WHAT WE'VE BEEN OBLIGATED TO SO
02:33:07.444 --> 02:33:10.114
FAR. AND CERTAINLY LET ME ONE
02:33:10.180 --> 02:33:11.715
THE ISSUES THAT PEOPLE ARE
02:33:11.782 --> 02:33:12.750
CONCERNED ABOUT PROJECTED
02:33:12.816 --> 02:33:13.951
FUTURE AS FAR AS I KNOW THE
02:33:14.018 --> 02:33:16.086
ISSUE RIGHT NOW BUT SCENES
02:33:16.153 --> 02:33:17.655
REJECTED IT'S HAPPENED IN.
02:33:17.721 --> 02:33:21.058
OTHER COUNTRIES- SUES THE
02:33:21.125 --> 02:33:23.727
SAMPLE THE MOBILE HOSPITAL- IT
02:33:23.794 --> 02:33:26.196
IS EQUIPPED SO THE NECESSARY TO
02:33:26.263 --> 02:33:28.666
BE USED TO AS SIR CASSIDY OF WE
02:33:28.732 --> 02:33:30.768
HAVE AN AREA THAT'S HARD HIT BY
02:33:30.834 --> 02:33:32.403
A CODE NINETEEN AND
02:33:32.469 --> 02:33:34.972
UNFORTUNATELY A FEW UNPAYABLE.
02:33:35.039 --> 02:33:37.575
YOU KNOW HOW IT OF SENIORS IN
02:33:37.641 --> 02:33:38.909
THE HOSPITAL LOCAL HOSPITALS-
02:33:38.976 --> 02:33:41.579
BASICALLY PASS THESE OVER OVER
02:33:41.645 --> 02:33:44.148
RUN- IS THAT DESERVE. AS IS A
02:33:44.214 --> 02:33:46.483
RENTS OF THOUGHT ABOUT A
02:33:46.550 --> 02:33:47.685
WHETHER THAT'S AN ASSET THAT'S
02:33:47.751 --> 02:33:49.620
GONNA BE USABLE FOR THAT
02:33:49.687 --> 02:33:52.089
FUNCTION AT THE MOMENT THE- SH.
02:33:52.156 --> 02:33:55.025
ARE WHAT WE ARE ABLE TO EAT THE
02:33:55.092 --> 02:33:56.560
DURABLE MEDICAL EQUIPMENT AND
02:33:56.627 --> 02:34:01.732
FILTERS IT. WE WAS BUILT
02:34:01.799 --> 02:34:05.135
AWESOME WE HAD A MET. I QUICK
02:34:05.202 --> 02:34:07.838
IN A SERVICE IN MAINTENANCE
02:34:07.905 --> 02:34:16.046
THAT. MADE IT TO. IT NEEDS.
02:34:16.113 --> 02:34:17.047
STATIC SENSE SO IT'S JUST
02:34:17.114 --> 02:34:17.848
DURABLE EQUIPMENT AND
02:34:17.915 --> 02:34:20.584
THEMSELVES OKAY IS THIS IS ANY
02:34:20.651 --> 02:34:21.919
AT THIS MOMENT WITH THIS PURELY
02:34:21.986 --> 02:34:23.020
NEED AT THIS MOMENT WE DON'T
02:34:23.087 --> 02:34:24.388
KNOW IN THE FUTURE IS THERE
02:34:24.455 --> 02:34:26.957
SOME DISCUSSION I THOUGHT ABOUT.
02:34:27.024 --> 02:34:29.526
I TEND TO USE. THE QUICK TO IF
02:34:29.593 --> 02:34:31.061
WE NEED SEARCH TO PAY. I MEAN
02:34:31.128 --> 02:34:32.363
IS THAT IT MAY NOT BE READY FOR
02:34:32.429 --> 02:34:33.897
THAT RIGHT NOW BUT ANY
02:34:33.964 --> 02:34:35.199
CONVERSATIONS ABOUT THAT EVEN
02:34:35.265 --> 02:34:36.667
THE EVEN NOTHING ELSE IT'S THE
02:34:36.734 --> 02:34:38.235
PRESSURING THE HOSPITAL FEEL
02:34:38.302 --> 02:34:40.437
WITH BABY LESS BILL CASES OR
02:34:40.504 --> 02:34:41.538
SOMETHING LIKE THAT BUT STILL
02:34:41.605 --> 02:34:43.073
NEED HOSPITALIZATION SO I
02:34:43.140 --> 02:34:44.441
WASN'T SURE WHETHER DOES. SOME
02:34:44.508 --> 02:34:46.410
PREPARATION WORKERS AN
02:34:46.477 --> 02:34:49.079
EXAMINATION OF THE ASSETS. AT
02:34:49.146 --> 02:34:51.015
UMASS ASSETS THAT MIGHT BE
02:34:51.081 --> 02:34:53.250
NECESSARY TO ADDRESS THE- THE
02:34:53.317 --> 02:34:55.352
OUT BREAK. OUT WE HAVE ALWAYS
02:34:55.419 --> 02:34:57.454
BEEN LOOKING AT WHAT WOULD IT
02:34:57.521 --> 02:35:00.324
TAKE TO- REVITALIZED THAT
02:35:00.391 --> 02:35:01.992
PROGRAM SO IT IS CERTAINLY HAS
02:35:02.059 --> 02:35:04.361
BEEN ON. THE TOP OF OUR MINDS
02:35:04.428 --> 02:35:05.763
OKAY SO THERE'S WORK BEING DONE
02:35:05.829 --> 02:35:07.731
TO EXAMINE YOUR EXISTS CURRENT
02:35:07.798 --> 02:35:09.900
ASSETS AND THINK ABOUT WHERE
02:35:09.967 --> 02:35:10.668
THIS THING. ARE ACTIVELY
02:35:10.734 --> 02:35:12.036
LOOKING AT WHAT RESOURCES WE
02:35:12.102 --> 02:35:13.270
HAVE AVAILABLE OUT FOR
02:35:13.337 --> 02:35:15.072
OURSELVES AS WELL AS A FEDERAL
02:35:15.139 --> 02:35:17.708
INNER AND LOCAL PARTNERS OKAY
02:35:17.775 --> 02:35:19.943
ALL RIGHT WELL. I MEAN I THINK.
02:35:20.010 --> 02:35:23.414
JUST TO. EIGHT RIGHT BEING
02:35:23.480 --> 02:35:24.815
BEING AND HOPEFULLY THAT
02:35:24.882 --> 02:35:27.985
DOESN'T COME TO THAT BUT- IT IS
02:35:28.052 --> 02:35:29.687
THE PEOPLE ARE CONCERNED THAT-
02:35:29.753 --> 02:35:30.921
IF THERE'S A SUDDEN INCREASE
02:35:30.988 --> 02:35:32.723
AND- WE'LL WERE SOMEWHAT
02:35:32.790 --> 02:35:33.891
CONSTRAINED BY A LACK OF
02:35:33.957 --> 02:35:35.859
AVAILABLE TESTING- YOU KNOW
02:35:35.926 --> 02:35:36.694
THERE'S BEEN DELAYS AT THE
02:35:36.760 --> 02:35:38.228
FEDERAL GOVERNMENT LEVEL WITH.
02:35:38.295 --> 02:35:39.430
TESTING AND SO FORTH AND WE
02:35:39.496 --> 02:35:40.964
HAVE COMMITTEESPREAD RIGHT NOW
02:35:41.031 --> 02:35:42.433
WE'RE HOPING THAT IF EVERYONE
02:35:42.499 --> 02:35:45.969
DOES THEIR JOB AND WE DO SOCIAL
02:35:46.036 --> 02:35:46.570
THAT SINGS OF WHAT WE CAN SLOW
02:35:46.637 --> 02:35:47.871
THE- SPREAD OF THE OUTBREAK
02:35:47.938 --> 02:35:49.506
SUFFICIENT. WE DON'T OVER TAX
02:35:49.573 --> 02:35:53.210
OUR- I SEE OF OUR HEALTHCARE
02:35:53.277 --> 02:35:53.811
INSTITUTIONS HOSPITALS AND SO
02:35:53.877 --> 02:35:55.345
FORTH BUT IT'S ALWAYS POSSIBLE
02:35:55.412 --> 02:35:57.414
THAT- WE MAY USE THAT THAT THAT
02:35:57.481 --> 02:36:00.584
MIGHT HAPPEN- AND THAT- SO
02:36:00.651 --> 02:36:01.618
PEOPLE WILL BE LOOKING FOR WHAT
02:36:01.685 --> 02:36:03.487
OTHER ASSETS WE HAVE TO TRY TO
02:36:03.554 --> 02:36:05.589
TAKE CARE OF PEOPLE IN THAT IN
02:36:05.656 --> 02:36:08.092
THOSE CIRCUMSTANCES ALL. RIGHT
02:36:08.158 --> 02:36:11.128
OKAY- AND THEN OKAY AND THEN
02:36:11.195 --> 02:36:12.096
THE OTHER QUESTION I HAVE IS
02:36:12.162 --> 02:36:13.731
THAT- AGAIN I KNOW YOU'RE THE
02:36:13.797 --> 02:36:17.000
OVERSIGHT BUT- IS- CONCERNS IN
02:36:17.067 --> 02:36:17.901
TERMS OF IT. OF SO WE'VE HEARD
02:36:17.968 --> 02:36:20.037
FROM HEALTH PROFESSIONALS IN
02:36:20.104 --> 02:36:21.739
SOME OF THE INSTITUTIONS ABOUT
02:36:21.805 --> 02:36:23.574
THE- LACQUER OF SUB PROTECT.
02:36:23.640 --> 02:36:26.110
QUIT MEN'S- SO FIRST TECH TO
02:36:26.176 --> 02:36:27.845
ACQUIT MEANT. IS THAT SOMETHING
02:36:27.911 --> 02:36:30.481
WERE HEARING FROM- FOLKS IN THE
02:36:30.547 --> 02:36:32.583
FIELD IT IS CONCERNS ABOUT
02:36:32.649 --> 02:36:33.884
HAVING SUFFICIENT PROTECTIVE
02:36:33.951 --> 02:36:35.953
EQUIPMENT FOR OUR EMTS AND
02:36:36.019 --> 02:36:37.354
PARAMEDICS OUT IN THE FIELD
02:36:37.421 --> 02:36:38.388
THAT THEY HAVE TO GO IN AN AREA
02:36:38.455 --> 02:36:40.691
DEL THE FACILITY WHERE
02:36:40.758 --> 02:36:42.159
SOMEONE'S BEEN TESTED POSITIVE
02:36:42.226 --> 02:36:45.763
FOR. A FOR CODE- NINETEEN. IT
02:36:45.829 --> 02:36:49.166
TO. TELL YOU HEARING FROM THE
02:36:49.233 --> 02:36:50.734
FOLKS ABOUT THE AVAILABILITY OF
02:36:50.801 --> 02:36:51.635
PROTECTIVE. THE OPPOSITION PUT
02:36:51.702 --> 02:36:53.370
MEANT PROTECTIVE EQUIPMENT TO
02:36:53.437 --> 02:36:55.906
PROTECT THE- PEOPLE WONDER. OUT
02:36:55.973 --> 02:36:57.674
IN THE FIELD IF YOU NEED TO
02:36:57.741 --> 02:36:59.810
AGAIN PROVIDE. CARE TRANSPORT
02:36:59.877 --> 02:37:04.715
SOMEONE WHO HAS- COVER NINETEEN
02:37:04.782 --> 02:37:05.282
OR MAY POTENTIALLY HABIT. WE
02:37:05.349 --> 02:37:07.117
KNOW THAT DOCTOR DUNCAN HAS-
02:37:07.184 --> 02:37:08.819
BEEN IN REGULAR COMMUNICATION
02:37:08.886 --> 02:37:10.487
WITH THEM LOCAL EMS
02:37:10.554 --> 02:37:14.057
ADMINISTRATORS WHO ARE THEN-
02:37:14.124 --> 02:37:15.359
HAVE CONNECTION AN OVERSIGHT
02:37:15.425 --> 02:37:17.161
OVER HIM AND PROVIDE IN THEIR
02:37:17.227 --> 02:37:19.229
AREAS. AND SO I KNOW THOSE.
02:37:19.296 --> 02:37:21.298
THINGS ARE FLOWING BOTH WAYS- I
02:37:21.365 --> 02:37:23.500
HAVE NOT HEARD OF A REQUEST AT
02:37:23.567 --> 02:37:26.170
THIS POINT IN TIME- THAT THERE
02:37:26.236 --> 02:37:29.706
IS A DECLINE. OF JOHN- JOHN
02:37:29.773 --> 02:37:32.309
TRASK HERE- DO YOU WANT TO.
02:37:32.376 --> 02:37:34.244
TALK A LITTLE BIT ABOUT THAT-
02:37:34.311 --> 02:37:36.947
YES- WE HAVEN'T HEARD ANYTHING
02:37:37.014 --> 02:37:39.416
FROM THE LOCALS COMING UP TO
02:37:39.483 --> 02:37:40.818
THE STATE AND THERE'S A
02:37:40.884 --> 02:37:43.954
SHORTAGE OF MANY PERSONAL
02:37:44.021 --> 02:37:45.155
PROTECTIVE EQUIPMENT I. STONE
02:37:45.222 --> 02:37:47.524
THERE IS. MMA ALL RIGHT. OKAY
02:37:47.591 --> 02:37:49.193
WELL JUST- YET DIVS THINKING
02:37:49.259 --> 02:37:50.394
ABOUT ALL THE PEOPLE OUT THERE
02:37:50.460 --> 02:37:52.529
AND- WE'VE HEARD KNOWS WE'VE WE
02:37:52.596 --> 02:37:55.132
KNOW SOME. THAT THE LEAST- SOME
02:37:55.199 --> 02:37:57.467
HOSPITAL STAFF- IT'S ZERO
02:37:57.534 --> 02:37:58.735
FOURTH HAVE INDICATED THEY HAD
02:37:58.802 --> 02:38:00.304
CONCERNS ABOUT THAT WE KNOW
02:38:00.370 --> 02:38:01.738
THAT UNFORTUNATELY FOR EXAMPLE
02:38:01.805 --> 02:38:03.173
LIKE MASKS HAVE BEEN SHORT
02:38:03.240 --> 02:38:05.609
SUPPLY BECAUSE OF AN BY THEM
02:38:05.676 --> 02:38:09.379
UP. AND SO- WHEN OUR ABOUT THE
02:38:09.446 --> 02:38:10.347
TOILET PAPER PART OF THINGS
02:38:10.414 --> 02:38:12.883
FROM THE HEALTH CARE AND BUT-
02:38:12.950 --> 02:38:15.819
BUT- WE DO SEE THE SHORTAGES OF
02:38:15.886 --> 02:38:17.454
DIFFERENT TYPES OF THINGS AND-
02:38:17.521 --> 02:38:18.555
AND OBVIOUSLY. WITH THIS
02:38:18.622 --> 02:38:19.790
PURPOSE DISEASE NOT ONLY OF
02:38:19.857 --> 02:38:21.892
COURSE HERE IN CALIFORNIA BUT
02:38:21.959 --> 02:38:23.560
IN THE US AND AROUND THE WORLD
02:38:23.627 --> 02:38:26.129
DESTRUCTION SUPPLY CHAINS. YOU
02:38:26.196 --> 02:38:28.699
KNOW I'D- WELL I KNOW THAT WORD.
02:38:28.765 --> 02:38:30.434
THE NEED FOR THIS KIND OF COULD
02:38:30.500 --> 02:38:31.602
END OF COURSE HAVING PERHAPS
02:38:31.668 --> 02:38:33.503
HAVING TO TRIAGE SUPPLIES BUGS
02:38:33.570 --> 02:38:35.672
THE MANY DIFFERENT. BILL
02:38:35.739 --> 02:38:37.207
PROFESSIONALS WHO MIGHT
02:38:37.274 --> 02:38:38.208
DEMANDED BUT CLEARLY WE WANT TO
02:38:38.275 --> 02:38:40.210
PROTECT OUR FRONTLINE FIRST
02:38:40.277 --> 02:38:42.079
RESPONDERS WHO MAY BE ASKED TO
02:38:42.145 --> 02:38:44.581
GO AND- PROVIDE CARE TRANSPORT
02:38:44.648 --> 02:38:48.085
FOR PATIENTS. WELL THE PLEASE
02:38:48.151 --> 02:38:49.820
KEEP US SURPRISED IF THAT AS
02:38:49.887 --> 02:38:51.154
THE DAY GOES ON AND I KNOW THAT
02:38:51.221 --> 02:38:52.189
THERE'S A LOT OF CONVERSATION
02:38:52.256 --> 02:38:54.591
SO. RIGHT THANK YOU ALL RIGHT
02:38:54.658 --> 02:38:57.194
BULLETS. I JUST MOVE ON THEN
02:38:57.261 --> 02:38:58.729
ISSUE TOO SO THAT WE GOT THE
02:38:58.795 --> 02:38:59.997
REGIONAL DISASTER MEDICAL
02:39:00.063 --> 02:39:01.198
HEALTH RESPONSE LOCAL SYSTEM
02:39:01.265 --> 02:39:04.935
PROPOSALS. EMERGENCY MEDICAL AT.
02:39:05.002 --> 02:39:06.303
EMERGENCY MEDICAL SERVICES
02:39:06.370 --> 02:39:07.704
AUTHORITIES REQUESTING THREE
02:39:07.771 --> 02:39:09.840
AND SIXTY FIVE THOUSAND DOLLARS
02:39:09.907 --> 02:39:11.408
LOCAL ASSISTANCE GENERAL FUND
02:39:11.475 --> 02:39:12.776
TO IMPROVE REGIONAL SHASTA
02:39:12.843 --> 02:39:15.045
MEDICAL AND HEALTH MITIGATION
02:39:15.112 --> 02:39:15.746
PREPAREDNESS RESPONSE AND
02:39:15.812 --> 02:39:18.015
RECOVERY. BY FUNDING THREE
02:39:18.081 --> 02:39:20.851
ADDITIONAL RT MHS IS TO SERVICE
02:39:20.918 --> 02:39:23.020
SHARED RESOURCES WITHIN THE SIX
02:39:23.086 --> 02:39:24.888
CALLOW YES MUTUALLY REGIONS.
02:39:24.955 --> 02:39:27.090
THE THREE RD MHS POSITIONS
02:39:27.157 --> 02:39:28.492
WOULD BE LOCATED IN THE THREE
02:39:28.558 --> 02:39:29.993
OH YES STREET REGION'S WHICH
02:39:30.060 --> 02:39:33.397
CONSIST OF THE COASTAL REGION
02:39:33.463 --> 02:39:33.897
THE INLAND REGION IN THE
02:39:33.964 --> 02:39:34.865
SOUTHERN REGION. THIS INCREASE
02:39:34.932 --> 02:39:36.333
IN STAFFING WOULD ALLOW FOR
02:39:36.400 --> 02:39:37.501
AROUND THE CLOCK EMERGENCY
02:39:37.567 --> 02:39:39.036
DISASTER SUPPORT ENHANCED
02:39:39.102 --> 02:39:41.138
BACKUP DURING BEFORE AND AFTER
02:39:41.204 --> 02:39:43.240
DISASTER RESPONSES IMPROVE
02:39:43.307 --> 02:39:44.074
DEVELOPMENT OF THE REGIONAL
02:39:44.141 --> 02:39:45.509
COUNTY MEDICAL AND HEALTH
02:39:45.575 --> 02:39:47.444
DISASTER RESPONSE SYSTEM. AND
02:39:47.511 --> 02:39:49.479
RT MHS IS ARE CRITICAL TO BOTH
02:39:49.546 --> 02:39:51.248
THIS DISASTER PREPAREDNESS AND
02:39:51.315 --> 02:39:52.916
RESPONSE. THE PURPOSE OF THE
02:39:52.983 --> 02:39:54.718
PROGRAMS TO ENSURE ALL FORTY IS
02:39:54.785 --> 02:39:55.886
PREPARED TO PROVIDE FOR MEDICAL
02:39:55.953 --> 02:39:57.020
AND HEALTH NEEDS DURING
02:39:57.087 --> 02:39:59.623
DISASTERS IN TO COORDINATE
02:39:59.690 --> 02:40:00.724
THESE NEEDS DURING A DISASTER
02:40:00.791 --> 02:40:02.726
RESPONSE. THIS PROGRAM WAS
02:40:02.793 --> 02:40:04.394
ORIGINALLY ESTABLISHED ASSIST
02:40:04.461 --> 02:40:05.696
THE STATE REGIONS AND COUNTIES
02:40:05.762 --> 02:40:08.665
OPERATE AREAS IN THE DEVOID OF
02:40:08.732 --> 02:40:09.633
MUTUAL ASSISTANCE PAYMENT.
02:40:09.700 --> 02:40:10.901
CENTER THIS PLAN CAPTION
02:40:10.968 --> 02:40:13.437
EFFORTS REACHED MEDICAL HEALTH
02:40:13.503 --> 02:40:14.738
RESPONSE PLANS IN REGIONAL
02:40:14.805 --> 02:40:16.373
RECOVERY PLANS. XIN ALREADY
02:40:16.440 --> 02:40:18.709
MADE JUST PERSONAL ARE TASKED
02:40:18.775 --> 02:40:19.843
WITH WORKING WITH LOCAL AND
02:40:19.910 --> 02:40:22.045
REGIONAL TRAINING EXERCISING
02:40:22.112 --> 02:40:24.648
APPROPRIATE FOR HIS SERVICE.
02:40:24.715 --> 02:40:27.718
FOR THE RT THIS IS. BUT
02:40:27.784 --> 02:40:28.652
REGIONAL NATION OF MEDICAL AND
02:40:28.719 --> 02:40:29.486
HEALTH THREE. DURING
02:40:29.553 --> 02:40:31.788
EMERGENCIES AND DISASTERS. I
02:40:31.855 --> 02:40:35.425
THANK YOU LA COMES WE REVIEWED
02:40:35.492 --> 02:40:38.328
THIS PROPOSAL AND- DON'T HAVE
02:40:38.395 --> 02:40:39.796
ANY CONCERNS WITH AND WOULD
02:40:39.863 --> 02:40:41.832
RECOMMEND APPROVAL THANK YOU
02:40:41.898 --> 02:40:44.968
FINANCE ALL RIGHT OKAY- PROCEED
02:40:45.035 --> 02:40:47.004
THE PRESENTATION WE'RE GONNA
02:40:47.070 --> 02:40:49.039
HOLD THIS ONE OPEN BUT- LIKE
02:40:49.106 --> 02:40:50.640
WE'RE DOING EVERYTHING ELSE-
02:40:50.707 --> 02:40:53.777
BUT- IT'S THE SYRUPY SHEET-
02:40:53.844 --> 02:40:56.213
WHAT YOU'RE PROPOSING SO THANK
02:40:56.279 --> 02:41:02.219
YOU THAT'S- NEXT POST EMERGENCY
02:41:02.285 --> 02:41:03.220
MEDICAL DECEMBER TO MEDICAL
02:41:03.286 --> 02:41:05.722
DISPATCH YES- THE EMERGENCY
02:41:05.789 --> 02:41:06.423
MEDICAL SERVICE SUPPORT IS
02:41:06.490 --> 02:41:07.424
REQUESTING ONE PERMANENT
02:41:07.491 --> 02:41:09.393
POSITION AND THREE ON FOR JUST
02:41:09.459 --> 02:41:10.994
THOUSAND GENERAL FUND TWENTY
02:41:11.061 --> 02:41:14.297
TWENTY ONE. THREE FORTY TWO AND
02:41:14.364 --> 02:41:15.699
TWENTY ONE TWENTY TWO. THE
02:41:15.766 --> 02:41:17.234
ANNUALLY THEREAFTER TO
02:41:17.300 --> 02:41:18.635
IMPLEMENT A MEET THE ONGOING
02:41:18.702 --> 02:41:20.904
WORKLOAD ASSOCIATED WITH THE
02:41:20.971 --> 02:41:21.938
PASSAGE OF SENATE BILL FOUR
02:41:22.005 --> 02:41:23.974
THREE EIGHT SP FOUR THREE
02:41:24.041 --> 02:41:25.275
PROHIBITS A PUBLIC AGENCY FROM
02:41:25.342 --> 02:41:26.810
DELEGATING ASSIGNING OR
02:41:26.877 --> 02:41:29.046
ENTERING INTO A CONTRACT FOR
02:41:29.112 --> 02:41:29.913
NINE ONE ONE CALL PROCESSING
02:41:29.980 --> 02:41:31.381
SERVICES. REGARDING THE
02:41:31.448 --> 02:41:33.050
DISPATCH OF EMERGENCY RESPONSE
02:41:33.116 --> 02:41:35.285
RESOURCES IN LESS THE
02:41:35.352 --> 02:41:37.054
DELEGATION OR SIMON'S TO OR THE
02:41:37.120 --> 02:41:38.722
CONTRACT IS WITH ANOTHER PUBLIC
02:41:38.789 --> 02:41:40.624
AGENCY. WITH THE PASSAGE OF
02:41:40.690 --> 02:41:41.892
REST BEFORE THREE ENDS A WILL
02:41:41.958 --> 02:41:43.427
BE REQUIRED AMONG OTHER THINGS
02:41:43.493 --> 02:41:44.628
TO PROVIDE UNANTICIPATED
02:41:44.694 --> 02:41:46.563
WORKLOAD IN STAFF TIME FOR
02:41:46.630 --> 02:41:48.632
ADDITIONAL REVIEW OF EMS PLANS
02:41:48.698 --> 02:41:49.833
ESTABLISHED REGULATIONS FOR EMS
02:41:49.900 --> 02:41:52.002
DISPATCHERS. AND NINE ONE ONE
02:41:52.069 --> 02:41:54.004
CALL PROCESSING OPERATIONS AND
02:41:54.071 --> 02:41:55.038
ALSO PROVIDE TECHNICAL
02:41:55.105 --> 02:41:56.139
ASSISTANCE TO LOCAL EMS
02:41:56.206 --> 02:41:58.175
AGENCIES AND FIGHTERS ON SYSTEM
02:41:58.241 --> 02:42:01.344
IMPACTS. OF SB FOUR THREE EIGHT.
02:42:01.411 --> 02:42:03.947
IN THE WILL REQUIRE ONE- HEPA
02:42:04.014 --> 02:42:05.282
POSITION TO SERVICE THE
02:42:05.348 --> 02:42:06.316
EMERGENCY MEDICAL DISPATCH
02:42:06.383 --> 02:42:08.285
COMMUNICATIONS COORDINATOR WITH
02:42:08.351 --> 02:42:09.286
THE ANSWER. TO PROVIDE
02:42:09.352 --> 02:42:11.855
OVERSIGHT AND MAKE OPERATIONAL
02:42:11.922 --> 02:42:14.157
REQUIREMENTS OF SP FOURTH.
02:42:14.224 --> 02:42:15.959
TEMPORARY FUNDING IS ALSO BEING
02:42:16.026 --> 02:42:17.127
REQUESTED DURING FISCAL YEARS
02:42:17.194 --> 02:42:20.297
TWENTY ONE. TWENTY TWENTY ONE
02:42:20.363 --> 02:42:20.797
TWENTY ONE TWENTY TWO TO
02:42:20.864 --> 02:42:21.565
FACILITATE THE WORKING GROUP
02:42:21.631 --> 02:42:23.467
WHICH WILL CREATE AND DRAFT THE
02:42:23.533 --> 02:42:25.302
REGULATIONS COMPLETE THE RULE
02:42:25.368 --> 02:42:26.803
MAKING PROCESS FOR TO EMERGENCY
02:42:26.870 --> 02:42:28.405
RIGHT PACKAGES AND BEGIN THE
02:42:28.472 --> 02:42:29.906
REGULAR RULE MAKING PROCESS
02:42:29.973 --> 02:42:31.942
WITHIN SIX MONTHS OF ENACTMENT.
02:42:32.008 --> 02:42:33.844
OF THE EMERGENCY REGULATIONS
02:42:33.910 --> 02:42:35.612
THE PROMULGATION REGULATIONS
02:42:35.679 --> 02:42:36.580
WILL STAB STANDARDIZE
02:42:36.646 --> 02:42:38.081
REQUIREMENTS FOR LENSES
02:42:38.148 --> 02:42:39.416
DEVELOPMENT AND IMPLEMENTATION
02:42:39.483 --> 02:42:42.419
OF EM ELSE PROGRAM REVIEW
02:42:42.486 --> 02:42:43.353
APPROVAL AND DENIAL
02:42:43.420 --> 02:42:44.955
DETERMINATION AND APPEAL
02:42:45.021 --> 02:42:46.756
CRITERION PROCESSES THAT SHOW
02:42:46.823 --> 02:42:48.325
IN SIR CORD. PLEAD AND
02:42:48.391 --> 02:42:50.060
EFFECTIVE VM CMS SYSTEM
02:42:50.127 --> 02:42:52.429
PRACTICES THAT ADVANCE THE
02:42:52.496 --> 02:42:53.563
QUALITY SAFETY AND SATISFACTION
02:42:53.630 --> 02:42:56.666
HEALTH CARE THROUGHOUT
02:42:56.733 --> 02:42:59.169
CALIFORNIA. Q. LU. FIND ALL
02:42:59.236 --> 02:43:00.770
RIGHT. OKAY THAT THAT MAKES
02:43:00.837 --> 02:43:02.572
SENSE WE AND THE LAWS THAT WE
02:43:02.639 --> 02:43:04.374
PASSED ALL RIGHT OKAY WITH
02:43:04.441 --> 02:43:06.409
THAT- THAT- THERE'S A PUBLIC
02:43:06.476 --> 02:43:11.348
COMMENT ON- EMS. WELCOME THANK
02:43:11.414 --> 02:43:13.283
YOU MISTER CHAIRMAN A CHRISTIE
02:43:13.350 --> 02:43:14.751
VELMA ON THE OF THE CALIFORNIA
02:43:14.818 --> 02:43:16.720
PROFESSIONAL FIREFIGHTERS
02:43:16.786 --> 02:43:18.021
THINKS THE UP TO SPEAK I JUST
02:43:18.088 --> 02:43:19.956
WANT TO THANK THE DEPARTMENT
02:43:20.023 --> 02:43:21.491
FOR THEIR WORK AND ALSO THANK
02:43:21.558 --> 02:43:23.493
DOCTOR DUNCAN WHO'S BEEN FIXED
02:43:23.560 --> 02:43:25.095
EXTREMELY ACCESSIBLE TO OUR
02:43:25.162 --> 02:43:26.963
ORGANIZATION IS OUR FOR
02:43:27.030 --> 02:43:28.532
FIREFIGHTERS IN THE FIELD AS
02:43:28.598 --> 02:43:29.933
THE CHAIRMAN MENTIONED ARE
02:43:30.000 --> 02:43:31.468
EXPERIENCING LOTS OF
02:43:31.535 --> 02:43:33.170
INTERACTIONS WITH PATIENTS
02:43:33.236 --> 02:43:35.405
VULNERABLE AND OTHERWISE AND-
02:43:35.472 --> 02:43:38.375
I'D LIKE TO THANK THE CHAIR FOR
02:43:38.441 --> 02:43:39.676
A BILL HE AUTHORED AND HAD AN
02:43:39.743 --> 02:43:42.812
ACTIVE. FORCE TO SOME YEARS AGO
02:43:42.879 --> 02:43:44.581
TRY TO TIGHTEN THE TIME FRAME
02:43:44.648 --> 02:43:46.416
UNDER ONE OF THE FIREFIGHTERS
02:43:46.483 --> 02:43:48.752
NOTIFIED OF CLOSE TO A COUPLE
02:43:48.818 --> 02:43:50.587
DISEASE AND I THINK WE HAVE
02:43:50.654 --> 02:43:51.788
MORE WORK TO DO IN THAT AREA
02:43:51.855 --> 02:43:53.323
WHAT A FIREFIGHTER EXPOSED
02:43:53.390 --> 02:43:55.892
RECENTLY- KEPT WORKING FOR FIVE
02:43:55.959 --> 02:43:57.260
DAYS FIVE DAYS WAS THE
02:43:57.327 --> 02:43:58.795
IMMEDIATE NOTIFICATION THE FIRE
02:43:58.862 --> 02:44:01.298
RECEIVE THAT. HE WAS EXPOSED TO
02:44:01.364 --> 02:44:02.499
A CO IN NINETEEN POSITIVE
02:44:02.566 --> 02:44:04.134
PATIENT AND RIGHT AROUND THAT
02:44:04.201 --> 02:44:04.935
SAME TIME HE BECAME
02:44:05.001 --> 02:44:08.305
SYMPTOMATIC- AND SO THAT YOU
02:44:08.371 --> 02:44:09.739
KNOW AND HEADED EFFORT TO
02:44:09.806 --> 02:44:12.075
CONTAIN A NOT SPUR I THINK THAT
02:44:12.142 --> 02:44:19.549
WE ARE LOT TO DO WE APPRECIATE.
02:44:19.616 --> 02:44:20.650
THE SUPPORT OF THE- THIRTY. TWO
02:44:20.717 --> 02:44:22.452
THERE MEDICAL THIS PROGRAM
02:44:22.519 --> 02:44:23.086
BUSTIN I THINK THE COME BETWEEN
02:44:23.153 --> 02:44:25.255
THE EM THE WHICH STARTED ON
02:44:25.322 --> 02:44:26.223
CONSIDER A GREAT JOB HIM FOR
02:44:26.289 --> 02:44:28.191
AND LOOK PUBLIC IS STILL I
02:44:28.258 --> 02:44:30.026
THINK THE ROOM FROM A BIT FOR
02:44:30.093 --> 02:44:31.461
APPROVED MEANT FOR THE SAFETY
02:44:31.528 --> 02:44:33.129
OF CALIFORNIANS I'M AND THEN ON
02:44:33.196 --> 02:44:34.664
AS BEFORE THIRTY EIGHT- WE
02:44:34.731 --> 02:44:36.633
RESPONSES THAT BILLS WE DO
02:44:36.700 --> 02:44:38.201
APPRECIATE. AND SINCE FOCUS ON
02:44:38.268 --> 02:44:41.037
GETTING THIS. HI THIS BILL
02:44:41.104 --> 02:44:43.440
IMPLEMENTED WE APPRECIATE THE
02:44:43.506 --> 02:44:44.608
KNOWLEDGE MEANT THAT MAYBE SOME
02:44:44.674 --> 02:44:48.144
MORE CLARITY ON HE M. D. RULES
02:44:48.211 --> 02:44:50.547
AND ALSO LA A LESS AGREEMENTS
02:44:50.614 --> 02:44:51.982
WE'VE SEEN A LOT OF INDEPENDENT
02:44:52.048 --> 02:44:55.151
ASSESSMENTS BY LOOK BMS
02:44:55.218 --> 02:44:58.822
AGENCIES ABOUT WHAT THAT MEANS
02:44:58.888 --> 02:45:00.023
OR DOESN'T MEAN SO SOME CLARITY
02:45:00.090 --> 02:45:01.291
IN THAT AREA. TO THE- APARTMENT.
02:45:01.358 --> 02:45:03.627
CAN IT THIS PROGRAM OKAY WITH
02:45:03.693 --> 02:45:05.328
WHAT'S EXPECTED BY THE STATE AS
02:45:05.395 --> 02:45:07.197
WELL AS HAVING ADEQUATE
02:45:07.264 --> 02:45:09.933
FUNCTIONING EMD I'M SORRY AT
02:45:10.000 --> 02:45:12.369
BUT CERTAINLY WE ARE VERY CLEAR
02:45:12.435 --> 02:45:13.870
ABOUT WHAT NINE ONE ONE CALL
02:45:13.937 --> 02:45:14.771
PROCESSING IS I'M NOT SURE HOW
02:45:14.838 --> 02:45:16.439
MUCH ACTIVITY TO TAKE US PLACE
02:45:16.506 --> 02:45:18.541
IN THAT AREA THANK YOU SO MUCH
02:45:18.608 --> 02:45:19.743
RIGHT THANK YOU ALL RIGHT SEEN
02:45:19.809 --> 02:45:23.280
NO OTHER MONEY- NO QUESTION SO
02:45:23.346 --> 02:45:24.681
THANKS VERY MUCH FOR YOUR
02:45:24.748 --> 02:45:26.349
PRESENTATION APPRECIATE IT
02:45:26.416 --> 02:45:27.584
THANK YOU AND PLEASE KEEP US
02:45:27.651 --> 02:45:31.955
RISE ON. HOW THE IT'S A FUNNY
02:45:32.022 --> 02:45:35.358
THANK RIGHT. OKAY LET'S MOVE ON
02:45:35.425 --> 02:45:37.360
TO THE OFFICE OF STATEWIDE
02:45:37.427 --> 02:45:41.197
HEALTH PLANNING AND DEVELOPMENT.
02:45:41.264 --> 02:45:45.168
ACTUALLY WHAT HAPPENED HERE. SO
02:45:45.235 --> 02:45:51.174
WHAT THE THAT'S THE WAY. OKAY
02:45:51.241 --> 02:46:02.986
WELCOME. ON ONE YEAR. OKAY
02:46:03.053 --> 02:46:04.621
ALRIGHT SO- WILL FIRST HAVE
02:46:04.688 --> 02:46:05.922
EVERYONE INTRODUCE THEMSELVES
02:46:05.989 --> 02:46:07.590
FOR THE RECORD FOR THIS GOOD
02:46:07.657 --> 02:46:08.491
AFTERNOON MISTER CHAIR WILL
02:46:08.558 --> 02:46:10.794
INTRODUCE OURSELVES I AMERICA'S
02:46:10.860 --> 02:46:11.561
LIKE I AM THE ACTING CHIEF
02:46:11.628 --> 02:46:13.029
DEPUTY DIRECTOR FOR THE OFFICE
02:46:13.096 --> 02:46:14.297
OF STATEWIDE HEALTH PLANNING
02:46:14.364 --> 02:46:16.266
ELEMENT THE CLANCY JARED AND
02:46:16.333 --> 02:46:17.500
THE DEPUTY DIRECTOR OF THE
02:46:17.567 --> 02:46:18.134
HEALTH CARE WORKFORCE
02:46:18.201 --> 02:46:19.703
DEVELOPMENT DIVISION AT ASPEN
02:46:19.769 --> 02:46:21.705
THANK YOU HI MICHAEL VALLEY
02:46:21.771 --> 02:46:23.239
ACTING DEPUTY DIRECTOR FOR
02:46:23.306 --> 02:46:25.508
INFORMATIONS DODGE BUT THANK
02:46:25.575 --> 02:46:27.177
YOU TYPE CHRISTIAN CINEMA AUDIT
02:46:27.243 --> 02:46:27.977
MANAGER FOR THE INFAMOUS
02:46:28.044 --> 02:46:29.346
SEARCHES THE DIVISION AT
02:46:29.412 --> 02:46:31.981
OSBORNE. OKAY BEN JOHNSON ALEJO
02:46:32.048 --> 02:46:34.718
WE ARE ALMOST FINANCE THANK YOU
02:46:34.784 --> 02:46:36.386
I HEAR A LOT OF ACTING SO I
02:46:36.453 --> 02:46:40.457
GUESS WE'RE STILL ON THAT. WHAT
02:46:40.523 --> 02:46:43.426
AID. BEING YOUR JOHN SO FOR GO
02:46:43.493 --> 02:46:44.928
AHEAD AND WITH THE- VERY GOOD
02:46:44.994 --> 02:46:46.396
THANK YOU SIR SO HARSH.
02:46:46.463 --> 02:46:48.231
ADVANCES CAL ACCESS TO SAFE
02:46:48.298 --> 02:46:49.699
QUALITY HEALTHCARE ENVIRONMENTS
02:46:49.766 --> 02:46:51.668
BY FOCUSING ON THREE PRIMARY
02:46:51.735 --> 02:46:53.503
AREAS. HEALTHCARE WORKFORCE
02:46:53.570 --> 02:46:55.071
DEVELOPMENT. HEALTHCARE DATA
02:46:55.138 --> 02:46:57.607
COLLECTION AND REPORTING. AND
02:46:57.674 --> 02:46:58.375
HEALTH CARE CONSTRUCTION AND
02:46:58.441 --> 02:47:00.844
FINANCING. SO I GOT A NOT TO
02:47:00.910 --> 02:47:02.679
SORRY TO INTERRUPT- SO WE HAVE
02:47:02.746 --> 02:47:03.780
A PRETTY GOOD RIGHT ABOUT THE
02:47:03.847 --> 02:47:06.116
AGENCY HAVE. PRETTY GOOD
02:47:06.182 --> 02:47:07.684
FAMILIARITY WITH THE AGENCY SO
02:47:07.751 --> 02:47:09.052
I THINK WE CAN FOCUSED REMARKS
02:47:09.119 --> 02:47:10.420
MORE ON LIKE WHAT'S HAPPENED
02:47:10.487 --> 02:47:12.756
THE PAST YEAR ONE. LOOKING FOR
02:47:12.822 --> 02:47:15.592
IN THE COMING YEAR THIS BUDGET
02:47:15.658 --> 02:47:17.394
CELL. OKAY CURRENT YES I MEAN
02:47:17.460 --> 02:47:18.995
IF WE OF THE WRITE UPS EXAMPLE
02:47:19.062 --> 02:47:20.563
DO YOU WE COULD GO RIGHT TO OUR
02:47:20.630 --> 02:47:22.899
BCP'S THAT THAT'S THE TOP OKAY
02:47:22.966 --> 02:47:24.667
WELL I MAY HAVE SOME QUESTIONS-
02:47:24.734 --> 02:47:26.970
OF THEY DID HAVE A FEW
02:47:27.036 --> 02:47:27.737
QUESTIONS JUST REGARDING A
02:47:27.804 --> 02:47:31.307
REVIEW SO DID YOU WANT JUST A
02:47:31.374 --> 02:47:33.777
THING THAT YOU SEE PLANNING TO.
02:47:33.843 --> 02:47:36.246
IN TERMS OF THE YEARS. THAT YOU
02:47:36.312 --> 02:47:37.714
CAN BE DOING THIS COMING YEAR
02:47:37.781 --> 02:47:40.383
THAT'S DIFFERENT WELL YEAH WE
02:47:40.450 --> 02:47:41.217
ARE IMPLEMENTING SOME NEW
02:47:41.284 --> 02:47:43.386
PROGRAM SO I COULD JUST TOUCH
02:47:43.453 --> 02:47:45.054
ON THE ALLEGED ATTACK THAT'S A
02:47:45.121 --> 02:47:46.256
GOOD IDEA SURE SEPARATE FROM
02:47:46.322 --> 02:47:47.957
THE VCP JUST ARE LIKE FOR ALL
02:47:48.024 --> 02:47:49.125
LIKE ONE OF THE THINGS THAT
02:47:49.192 --> 02:47:49.959
THAT. SO SAID A WHOLE BREAK
02:47:50.026 --> 02:47:53.396
THIS WHERE DOES A USER TO THESE
02:47:53.463 --> 02:47:54.197
THINGS WERE WORKING ON RIGHT
02:47:54.264 --> 02:47:55.865
NOW DOES HE HOOKED UP TO GREAT
02:47:55.932 --> 02:47:57.934
SIR AB. PERSON TO WORK FORCE
02:47:58.001 --> 02:47:59.702
JUST BUT THE TURN KNOW THAT WE
02:47:59.769 --> 02:48:03.072
ARE- TAKING KIND OF A BROAD
02:48:03.139 --> 02:48:08.278
LOOK AT. THE CROSS. IN AND ARE
02:48:08.344 --> 02:48:10.980
A C. ADD OR WORKFORCE PROGRAMS.
02:48:11.047 --> 02:48:13.149
TERM THE ACTUAL IMPACT OF THOSE
02:48:13.216 --> 02:48:14.818
PROGRAMS AND SPECIFICALLY TO
02:48:14.884 --> 02:48:16.119
BETTER UNDERSTAND OUR PROGRAMS
02:48:16.186 --> 02:48:17.654
INCENTIVIZE BEHAVIOR SO WE'RE
02:48:17.720 --> 02:48:19.422
DOING A LOT OF THINKING AND
02:48:19.489 --> 02:48:20.557
LISTENING IN THAT AREA RIGHT
02:48:20.623 --> 02:48:23.026
NOW- MOVING ON TO- DATA
02:48:23.092 --> 02:48:24.928
COLLECTION REPORTING SO WE-
02:48:24.994 --> 02:48:27.564
SINCE JANUARY OF TWO THOUSAND
02:48:27.630 --> 02:48:29.065
EIGHTEEN- PHARMACEUTICAL
02:48:29.132 --> 02:48:30.767
COMPANIES HAVE PROVIDED SIXTY
02:48:30.834 --> 02:48:32.669
DAY NOTIFICATIONS DIRECTLY TO
02:48:32.735 --> 02:48:34.170
SPECIFIED REGISTER PURCHASERS
02:48:34.237 --> 02:48:36.206
AS PART OF OUR SB SEVENTEEN
02:48:36.272 --> 02:48:40.076
PROGRAM- DRUG UP. PRICES COSTS
02:48:40.143 --> 02:48:43.980
TRANSPARENCY PROGRAM- IN TWO
02:48:44.047 --> 02:48:44.581
THOUSAND NINETEEN ALL SHOULD
02:48:44.647 --> 02:48:45.482
BEGIN PROVIDING QUARTERLY
02:48:45.548 --> 02:48:47.417
REPORTS THE FRACTURES THAT
02:48:47.484 --> 02:48:49.919
INCLUDED INFORMATION THANK IS
02:48:49.986 --> 02:48:52.021
TO DISTINCT MODES THE SUBJECT
02:48:52.088 --> 02:48:53.022
OF VACATION REQUIREMENT TO
02:48:53.089 --> 02:48:55.892
PURCHASERS. AND ALSO IN TWO
02:48:55.959 --> 02:48:56.793
THOUSAND NINETEEN BEGAN
02:48:56.860 --> 02:48:58.761
PROVIDING QUARTERLY REPORTS OF
02:48:58.828 --> 02:49:00.964
FROM MANY FROM IDENTIFYING NEW
02:49:01.030 --> 02:49:01.865
DRUGS THAT WERE INTRODUCED A
02:49:01.931 --> 02:49:03.032
MARK OF A CERTAIN COST HAVE ALL
02:49:03.099 --> 02:49:05.268
BEEN POSTING THE- LARGER MORE
02:49:05.335 --> 02:49:07.136
COMPLETE WHOLESALE ACQUISITION
02:49:07.203 --> 02:49:09.105
COSTS REPORTS. WHICH CONTAIN
02:49:09.172 --> 02:49:10.573
INFORMATION THAT GIVES THE
02:49:10.640 --> 02:49:12.475
RATIONALE FOR THOSE INCREASES
02:49:12.542 --> 02:49:14.244
AND I THINK WE JUST POSTED
02:49:14.310 --> 02:49:17.580
CORNER THREE OF TWO THOUSAND
02:49:17.647 --> 02:49:19.249
NINETEEN TODAY. WE'VE ALSO BEEN
02:49:19.315 --> 02:49:20.717
ABLE MOVING TO OUR OTHER CLOSE
02:49:20.783 --> 02:49:21.718
FRIENDS BURNS YOU PROGRAM THE
02:49:21.784 --> 02:49:23.186
HEALTH CARE PAYMENTS DATA
02:49:23.253 --> 02:49:26.289
PROGRAM PER STATUE THE DATABASE
02:49:26.356 --> 02:49:28.024
WILL BE SUBSTANTIALLY COMPLETE
02:49:28.091 --> 02:49:30.360
JULY OF TWENTY TWENTY THREE-
02:49:30.426 --> 02:49:31.227
THE SYSTEM WILL SUPPORT
02:49:31.294 --> 02:49:33.329
ADMINISTRATION INITIATIVE AIMED
02:49:33.396 --> 02:49:34.497
AT ADDRESSING COSTS AND
02:49:34.564 --> 02:49:36.299
IMPROVING SYSTEM PERFORMANCE.
02:49:36.366 --> 02:49:37.367
COULD IN THE OFFICE OF HEALTH
02:49:37.433 --> 02:49:38.735
CARE AFFORDABILITY AS WAS
02:49:38.801 --> 02:49:40.770
MARKED ON EARLIER THE CENTER
02:49:40.837 --> 02:49:42.105
FOR THE INSIGHTS AND INNOVATION
02:49:42.171 --> 02:49:43.406
AND INITIATIVES TO.
02:49:43.473 --> 02:49:45.942
PHARMACEUTICAL COSTS ARCHES
02:49:46.009 --> 02:49:46.776
RESPONSIBLE FOR COMMUTING
02:49:46.843 --> 02:49:48.778
REVIEW COMMITTEE TO ADVISE US
02:49:48.845 --> 02:49:50.113
ON THE ESTABLISHMENT
02:49:50.179 --> 02:49:51.014
IMPLEMENTATION ONGOING
02:49:51.080 --> 02:49:52.482
ADMINISTRATION OF THE STATE
02:49:52.549 --> 02:49:54.050
WIDE. HEALTH CARE PAYMENTS
02:49:54.117 --> 02:49:55.652
DATABASE- OF THE REVIEW COULD
02:49:55.718 --> 02:49:57.987
BE FIRST CONVENE IN MARCH. AND
02:49:58.054 --> 02:49:58.821
THEY HAVE THEIR LAST MEETING IN
02:49:58.888 --> 02:50:01.624
FEBRUARY FEBRUARY TWO ANY I AM
02:50:01.691 --> 02:50:02.792
VERY PLEASED TO REPORT THAT THE
02:50:02.859 --> 02:50:04.627
REVIEW COMMITTEE MADE THIRTY
02:50:04.694 --> 02:50:10.333
SIX UNANIMOUS. TO WASH BED AND
02:50:10.400 --> 02:50:17.173
SUNDAY. ARE REALLY REPORTER
02:50:17.240 --> 02:50:20.977
FLETCHER. MAYES SHINS. DATABASE
02:50:21.044 --> 02:50:24.914
OR WAS DO YOU. ONE WE WILL TO
02:50:24.981 --> 02:50:25.782
HELP FROM SOME IN AND ABOUT
02:50:25.848 --> 02:50:26.816
THESE DISK IN AND MISTER PROP
02:50:26.883 --> 02:50:29.686
NEAR OF A FOUR TO AND QUALITY.
02:50:29.752 --> 02:50:30.486
HEALTH CARE CONSTRUCTION
02:50:30.553 --> 02:50:33.122
FINANCE SO- THE MAIN UPDATES
02:50:33.189 --> 02:50:35.992
THERE THE GOOD NEWS IS THAT-
02:50:36.059 --> 02:50:37.560
95% OF THE HOSPITALS OF THE Q.
02:50:37.627 --> 02:50:40.463
KERR BUILDINGS CALIFORNIA NO ME
02:50:40.530 --> 02:50:41.798
TO TWENTY TWENTY STANDARDS. ARE
02:50:41.864 --> 02:50:44.701
FULLY. THE ACUTE CARE BUILDINGS
02:50:44.767 --> 02:50:46.869
IN CALIFORNIA MEET THE TWENTY
02:50:46.936 --> 02:50:49.973
THIRTY STANDARD- BUT STILL MUCH
02:50:50.039 --> 02:50:53.109
WORK TO DO THERE. ABOUT THE
02:50:53.176 --> 02:50:55.244
MAIN I THINK JUST OF THINGS
02:50:55.311 --> 02:50:57.413
GOING ON AUSTIN I'M HAPPY TO.
02:50:57.480 --> 02:50:59.282
ANSWER SOME QUESTIONS. THANK
02:50:59.349 --> 02:51:01.551
YOU THE LA- ANYTHING ON THE
02:51:01.618 --> 02:51:03.453
ROOF THE ONLY THING AND THAT IS
02:51:03.519 --> 02:51:05.722
THE CHANGE IN GENERAL FUND
02:51:05.788 --> 02:51:09.125
FUNDING IN PARTICULAR FROM
02:51:09.192 --> 02:51:09.726
TWENTY NINETEEN TO TWENTY ONE
02:51:09.792 --> 02:51:10.893
IS REALLY DUE TO THE EXPRESSION
02:51:10.960 --> 02:51:12.128
A ONE TIME FUND THAT REALLY
02:51:12.195 --> 02:51:14.197
CARE IS OVER AS IT HAS MULTI
02:51:14.263 --> 02:51:15.999
YEARS PARTY. OKAY THANK YOU
02:51:16.065 --> 02:51:19.035
FINANCE NOW OKAY SO YEAH AFTER
02:51:19.102 --> 02:51:20.536
I MADE NOTE THAT WE HAVE THIS
02:51:20.603 --> 02:51:24.040
VERY LARGE INCREASE FOR ONE
02:51:24.107 --> 02:51:29.979
YEAR BUT THIS IS REALLY MONEY.
02:51:30.046 --> 02:51:33.616
PROMOTE YOUR- YES. DOES IS GIVE.
02:51:33.683 --> 02:51:35.818
WHAT HAPPENED THERE- IN TERMS
02:51:35.885 --> 02:51:42.925
OF. SO ACTUALLY IN TERMS OF THE.
02:51:42.992 --> 02:51:44.794
PARTIALLY TO TALKING ABOUT THE-
02:51:44.861 --> 02:51:47.230
THE WHAT PROGRAM CAN DISCUSS
02:51:47.296 --> 02:51:51.901
AND GO THROUGH. TWENTY TWENTY
02:51:51.968 --> 02:51:52.835
FIVE. ARE WE GOING TO BE TRY SO
02:51:52.902 --> 02:51:54.537
YOU KNOW WE'RE TRYING TO BUILD
02:51:54.604 --> 02:51:55.271
THEIR MENTAL WORK FORCE ONE
02:51:55.338 --> 02:51:56.606
THINGS I'VE ALWAYS SAID THAT
02:51:56.673 --> 02:51:58.741
OFTEN TALK WERE WORKFORCE WE
02:51:58.808 --> 02:52:00.510
TALK ABOUT THE PIPELINE AND HOW
02:52:00.576 --> 02:52:02.912
WE CHANNEL PEOPLE AND BUT ALSO
02:52:02.979 --> 02:52:05.348
WE LOOK AT THE LATEST ECONOMICS
02:52:05.415 --> 02:52:08.017
WHICH IS. THAT NOW YOU TRIP ON
02:52:08.084 --> 02:52:11.654
THE- IN THE CAR. JOHN AT NO
02:52:11.721 --> 02:52:12.855
WORK. YEAH ARE THEY GOING TO.
02:52:12.922 --> 02:52:14.824
BE ON THE- SECTOR THE PRICE
02:52:14.891 --> 02:52:15.391
SECTOR DâN OF THE SOMETHING
02:52:15.458 --> 02:52:17.293
ELSE. ARE WE ARE WE LOOKING AT
02:52:17.360 --> 02:52:19.929
TRACKING LIKE WHAT HAPPENS TO
02:52:19.996 --> 02:52:21.698
THE GRADUATE SERVER WHAT
02:52:21.764 --> 02:52:23.366
TRAINING. AND SO FORTH THAT ARE
02:52:23.433 --> 02:52:25.068
THEY- THIS. PART OF IT IS TO.
02:52:25.134 --> 02:52:27.470
BUILDER WORK FORCE THAT WE-
02:52:27.537 --> 02:52:29.939
TYPICALLY IN OUR PUBLIC. ARE
02:52:30.006 --> 02:52:32.108
NOT ALWAYS PUBLIC SECTOR BUT-
02:52:32.175 --> 02:52:36.546
IN OUR- AREA SO. TRACKING THE
02:52:36.612 --> 02:52:38.715
SERVER WAS AND ARE LEAVING RAM
02:52:38.781 --> 02:52:40.183
IN TERMS WHERE HOW SUCCESSFULLY
02:52:40.249 --> 02:52:41.617
PLACING AYE GETTING PEOPLE WHO
02:52:41.684 --> 02:52:44.120
IN THE PLACE WE THEY- AS ALL
02:52:44.187 --> 02:52:48.124
THE- EXTRA SO ONE OF THINGS WE
02:52:48.191 --> 02:52:50.593
ARE WORKING WITH THEM ASIAN OF
02:52:50.660 --> 02:52:54.163
THE NEW AT IS. RIGHT THE PUBLIC
02:52:54.230 --> 02:52:56.265
MENTAL. I WAS JUST THE TOP.
02:52:56.332 --> 02:52:57.867
EVEN WITH PUBLIC MENTAL HOUSE
02:52:57.934 --> 02:52:59.202
SOME OF THE CITY THAT WE HAVE
02:52:59.268 --> 02:53:01.204
IN THAT WE PUT PLAN TO DO MORE
02:53:01.270 --> 02:53:05.975
LONGER FOLLOW UP ON- HAVE SHOWN
02:53:06.042 --> 02:53:06.542
SUCCESS WITH OUR LOW PAYMENT
02:53:06.609 --> 02:53:09.245
PROGRAM AT. RIGHT COURSE NOT.
02:53:09.312 --> 02:53:11.147
OF THEIR- A SERVICE CLINTON BUT
02:53:11.214 --> 02:53:13.182
THEN ALSO KNOWING NOTING THAT.
02:53:13.249 --> 02:53:15.852
MORE THAN 70% OF THEM- HAVE
02:53:15.918 --> 02:53:18.421
STAYED HAVE SINCE WE'VE BEEN
02:53:18.488 --> 02:53:21.090
ABLE TO START DOING THE FOLLOW
02:53:21.157 --> 02:53:21.691
UP AND WE'LL WE'LL KEEP DOING
02:53:21.758 --> 02:53:23.059
THAT AND BEING ABLE TO. MORE
02:53:23.126 --> 02:53:25.995
LAW TO REMOTE ON THAT. OKAY
02:53:26.062 --> 02:53:27.830
YEAH I IS IMPORTANT SO BECAUSE
02:53:27.897 --> 02:53:30.199
SO. THIS WAS WAY MEAN. TO COME
02:53:30.266 --> 02:53:31.234
BACK TO A FOR MORE MONEY I
02:53:31.300 --> 02:53:32.835
THINK YOU KNOW WHAT SUPPORT
02:53:32.902 --> 02:53:34.837
THAT- BUT WHAT THE WHAT THE
02:53:34.904 --> 02:53:37.373
OUTCOMES ARE REYES ON ANY IT'S
02:53:37.440 --> 02:53:38.007
A LITTLE BIT ON FAITH AND THEN.
02:53:38.074 --> 02:53:43.646
EXPLODED EXPERIENCE WILL O. L.-HOW IS- AND THEN I GUESS. THE
02:53:43.713 --> 02:53:44.580
APPRECIATE WE AT THE WHOLE
02:53:44.647 --> 02:53:47.483
TABLE OF- ALL THE RESIDENCY
02:53:47.550 --> 02:53:49.685
PROGRAMS OR FUNDING WITH PRIME
02:53:49.752 --> 02:53:52.522
CARE THAT NOW. ONLY A RESIDENCY
02:53:52.588 --> 02:53:56.993
DOES TEND SO WE I HAVE AS FOR
02:53:57.059 --> 02:53:58.294
INSTITUTION A HOBBY RESIDENCES
02:53:58.361 --> 02:54:07.603
AXE. AND I GET SEIZE THE REST.
02:54:07.670 --> 02:54:09.472
AND LIKE S
02:54:09.539 --> 02:54:10.706
THESE OTHER PROGRAMS SO
02:54:10.773 --> 02:54:13.376
RIGHT SO WE THE WAY THAT THAT
02:54:13.442 --> 02:54:14.477
MOST SO THERE'S FOUR DIFFERENT
02:54:14.544 --> 02:54:15.478
CATEGORIES OF FUNDING AND A
02:54:15.545 --> 02:54:18.414
FOCUS THE COMMENT ACTUALLY TO
02:54:18.481 --> 02:54:22.118
THE PRIMARY CARE AS PROGRAMS
02:54:22.185 --> 02:54:22.618
BECAUSE WE ALL ON FAMILY
02:54:22.685 --> 02:54:27.423
PRACTICE AND SAY. FUNDS
02:54:27.490 --> 02:54:28.925
DEDICATED TO FIND EXISTENCE
02:54:28.991 --> 02:54:32.895
LOTS- AND THAT FUNDS- A PORTION
02:54:32.962 --> 02:54:34.764
OF AN EXISTING SLOT SO WE WOULD
02:54:34.831 --> 02:54:36.632
AWARD A HUNDRED TWENTY FIVE
02:54:36.699 --> 02:54:37.166
THOUSAND DOLLARS OVER THE
02:54:37.233 --> 02:54:39.135
COURSE OF THREE YEARS. NO AT
02:54:39.202 --> 02:54:40.369
IT'S ABOUT A COP. IN A RIP IN
02:54:40.436 --> 02:54:42.205
IS THAT A RESIDENT. MUCH MORE
02:54:42.271 --> 02:54:45.541
THAN A HUNDRED AND TWENTY FIVE.
02:54:45.608 --> 02:54:47.710
THIRTY HUNDRED TWENTY DOLLARS A-
02:54:47.777 --> 02:54:49.745
EIGHT YEARS AGO I WE FUND
02:54:49.812 --> 02:54:50.313
PORTION OF A SLIGHT WHEN WE
02:54:50.379 --> 02:54:51.447
TALK EXISTING FINE AND WE CAN
02:54:51.514 --> 02:54:53.416
GET NUMBERS OF HOW MANY SLOTS
02:54:53.482 --> 02:54:55.685
THAT SUPPORTS FOR THE- EXIST.
02:54:55.751 --> 02:54:57.553
FOR THE- FUNDING THAT IS
02:54:57.620 --> 02:54:59.155
ACTUALLY WHERE THE RESIDENCY
02:54:59.222 --> 02:55:01.858
PROGRAM. THERE'S EXPAND AND YOU
02:55:01.924 --> 02:55:03.192
PLAN AND SO THE SPEECH
02:55:03.259 --> 02:55:05.394
EXPANSION AS FOR AN EXISTING
02:55:05.461 --> 02:55:08.331
PROGRAM EXPANDS THEIR ACGME.
02:55:08.397 --> 02:55:10.132
ACCREDITED NUMBER THIS IS WE
02:55:10.199 --> 02:55:11.601
ARE ACTUALLY PAYING FOR MARGE.
02:55:11.667 --> 02:55:13.603
CREASE UP BETWEEN WHAT AND
02:55:13.669 --> 02:55:15.004
THREE DEPENDENT HOW COMPETITIVE
02:55:15.071 --> 02:55:18.074
THE APPLICANT WHILE AT THE
02:55:18.140 --> 02:55:21.410
COMMITTEE. IT FUNDS TO THAT
02:55:21.477 --> 02:55:25.781
PROGRAM. RIGHT GOOD. I JUST
02:55:25.848 --> 02:55:28.117
MADE I THINK WE HAD A HEARING
02:55:28.184 --> 02:55:29.752
AND SEISMIC AND WHERE WE ARE
02:55:29.819 --> 02:55:32.021
ALSO DAD AS WERE TO MOVE YOU
02:55:32.088 --> 02:55:33.689
THAT AN EX PHASE. GOING HAVE A
02:55:33.756 --> 02:55:34.290
HEARING ON THE OMMITTEE AROUND
02:55:34.357 --> 02:55:37.393
THE DATA COLLECTION ON THE
02:55:37.460 --> 02:55:39.328
PHARMACEUTICAL COSTS SO AS WELL
02:55:39.395 --> 02:55:41.797
SO I GUESS WE'LL DELVE INTO
02:55:41.864 --> 02:55:43.733
THAT THE LORD IS VERY ON GOING
02:55:43.799 --> 02:55:45.167
BACK TO WHAT WE WHERE YOU FOUND
02:55:45.234 --> 02:55:48.104
THAT FROM FROM THOSE ACTIVITIES.
02:55:48.170 --> 02:55:49.238
OKAY SO I'LL GO AHEAD MOVE.
02:55:49.305 --> 02:55:51.607
ISSUE TO WHICH IS KIND SIR
02:55:51.674 --> 02:55:52.742
PRONE THE PROGRAM LOW REPAYMENT
02:55:52.808 --> 02:55:56.045
DISCUSSION. SO OFTEN- REQUEST
02:55:56.112 --> 02:55:56.879
THREE YEAR REIMBURSEMENT
02:55:56.946 --> 02:55:58.114
AUTHORITY TO REFLECT A SERVICE
02:55:58.180 --> 02:56:00.549
AGREEMENT EXTENSION WITH THE
02:56:00.616 --> 02:56:01.550
COUNTY MEDICAL SERVICES PROGRAM
02:56:01.617 --> 02:56:02.551
GOVERNING BOARD TO ADMINISTER
02:56:02.618 --> 02:56:04.420
THE PC. I AM PROGRAM THROUGH
02:56:04.487 --> 02:56:07.056
FISCAL YEAR TWENTY TWO TWENTY
02:56:07.123 --> 02:56:07.690
THREE THE EXPANSION INCLUDES AN
02:56:07.757 --> 02:56:09.358
ADDITIONAL ONE MILLION DOLLARS
02:56:09.425 --> 02:56:11.127
TOTAL TO NINE DOLLARS AN AWARD.
02:56:11.193 --> 02:56:12.862
AND FISCAL YEAR TWENTY. TWENTY
02:56:12.929 --> 02:56:16.232
ONE. AND FOUR HUNDRED EIGHTY
02:56:16.299 --> 02:56:17.033
THOUSAND DOLLARS IN SUPPORT
02:56:17.099 --> 02:56:21.971
COSTS FROM. TWENTY TWENTY ONE
02:56:22.038 --> 02:56:22.571
THREE TWENTY TWO TWENTY THREE.
02:56:22.638 --> 02:56:23.839
OKAY BUT- WANT. YOU REVIEWED
02:56:23.906 --> 02:56:25.508
THE T. P. AS WELL AS THE OTHERS
02:56:25.574 --> 02:56:26.676
THAT ARE CHEN NICE TODAY AND
02:56:26.742 --> 02:56:28.878
HAVE NO CONCERNS WITH ANY OF
02:56:28.945 --> 02:56:30.246
THEM. THANK YOU FINANCE THE
02:56:30.313 --> 02:56:32.648
COMMISSION OKAY. ALL RIGHT-
02:56:32.715 --> 02:56:36.385
OKAY SOUNDS. UP TO KEEP THE
02:56:36.452 --> 02:56:37.920
LOAN PAYMENT GOV PROGRAM GOING
02:56:37.987 --> 02:56:41.457
SO- RIGHT GREAT EXCELLENT SO I
02:56:41.524 --> 02:56:43.059
MOVE ON THEN TO ISSUE NUMBER
02:56:43.125 --> 02:56:44.527
THREE HEALTHCARE DATA
02:56:44.593 --> 02:56:46.095
DISCLOSURE SB THREE FORTY
02:56:46.162 --> 02:56:48.497
THREE. OF CARE DISCLOSURE SB
02:56:48.564 --> 02:56:49.098
THREE FOUR THREE REQUIRES US.
02:56:49.165 --> 02:56:51.033
NEW DINNER POURING REPORTING
02:56:51.100 --> 02:56:52.168
REQUIREMENTS FOR HOSPITALS
02:56:52.234 --> 02:56:53.936
LICENSE HOSPITALS ARE CURRENTLY
02:56:54.003 --> 02:56:55.438
REQUIRED TO SUBMIT FINANCIALS
02:56:55.504 --> 02:56:58.107
COACH STOSCH. PERFORMS AUDITS
02:56:58.174 --> 02:56:59.241
TO ENSURE COMPLIANCE MAKES
02:56:59.308 --> 02:57:01.444
THOSE OF TO THE PUBLIC. FORTY
02:57:01.510 --> 02:57:03.112
THREE REMOVE CERTAIN STATURE
02:57:03.179 --> 02:57:04.447
ALTERNATIVE REPORT PHARMACIES
02:57:04.513 --> 02:57:06.749
BY KAISER BLOUSE REPORT THEM
02:57:06.816 --> 02:57:09.986
WELL THIS LOS WIDER REPORT.
02:57:10.052 --> 02:57:12.188
LEVEL AND BETTER COMPATIBILITY
02:57:12.254 --> 02:57:14.290
ACROSS POSH WAS REQUESTING
02:57:14.357 --> 02:57:19.428
PERSONAL RESOURCE TO DOT AT THE
02:57:19.495 --> 02:57:22.665
ADDITIONAL VOLUME OF REPORTS
02:57:22.732 --> 02:57:26.102
THAT. HELLO CLEAR. THERE ARE A
02:57:26.168 --> 02:57:29.338
LOT TURNS. I CAN IN THE- BCP'S
02:57:29.405 --> 02:57:30.506
BY OUR BED NOT NECESSARILY
02:57:30.573 --> 02:57:33.042
AFFECTED BY OKAY NO I FOR THAT
02:57:33.109 --> 02:57:36.045
OKAY THANK YOU. YES THE ALSO
02:57:36.112 --> 02:57:36.579
ASK YOU ARE YOU THINKING
02:57:36.645 --> 02:57:39.248
ALRIGHT FINANCE NO ALL RIGHT
02:57:39.315 --> 02:57:39.849
APPRECIATE YOU HAVE SOME BILL
02:57:39.915 --> 02:57:43.119
AFTER. RIGHT ISSUE THEM FOUR
02:57:43.185 --> 02:57:45.554
ASK COMMITTEE PLAY REPORTING
02:57:45.621 --> 02:57:46.188
EIGHTY TWO OH FOR IF YOU TO FOR
02:57:46.255 --> 02:57:47.023
QUITE US TO DO NEW COMMUNITY
02:57:47.089 --> 02:57:47.923
BETTER PLAN FOR GARMENTS
02:57:47.990 --> 02:57:49.025
HOSPITAL NOT HOSPITAL ARE
02:57:49.091 --> 02:57:51.293
CURRENTLY REQUIRED COMMUNITY
02:57:51.360 --> 02:57:54.497
BENEFIT PLAN STOCKS BID. BE TO
02:57:54.563 --> 02:57:57.767
REQUIRES. A STANDARDIZED FORMAT
02:57:57.833 --> 02:57:59.301
ALLOW FOR BETTER COMPATIBILITY
02:57:59.368 --> 02:58:01.203
ACROSS HOSPITALS- AND WITH THE
02:58:01.270 --> 02:58:02.471
FINANCIAL SCHOOLS REPORTS
02:58:02.538 --> 02:58:04.006
ALREADY SUBMITTED TO DODGE BUT
02:58:04.073 --> 02:58:06.108
IS AUTHORIZED ISSUE PENALTIES
02:58:06.175 --> 02:58:07.710
FOR NON COMPLIANCE- AND IS
02:58:07.777 --> 02:58:09.145
REQUESTING PERSONAL RESPONSES
02:58:09.211 --> 02:58:10.713
COMPLIANCE THE PROGRAM AUDIT
02:58:10.780 --> 02:58:13.749
REPORTS EMISSIONS AJ BUT IS
02:58:13.816 --> 02:58:14.617
ALSO REQUESTING ONE TIME AYE
02:58:14.683 --> 02:58:17.553
CONSULTING FORCES TO CAPACITY
02:58:17.620 --> 02:58:23.959
OF BUT I. SELECT OKAY RIGHT
02:58:24.026 --> 02:58:26.395
NOTHING FINANCE OKAY CAN JUST
02:58:26.462 --> 02:58:29.865
SO THE SAID THE USES OF THE
02:58:29.932 --> 02:58:31.000
TWENTY TWENTY ONE YEARS LARGER
02:58:31.067 --> 02:58:32.368
THAN THE FUZZ OF THAT'S FOR THE
02:58:32.435 --> 02:58:34.203
CONSULTING AND SETS DIE T. SET
02:58:34.270 --> 02:58:36.172
UP CORRECT ALL RIGHT EXCELLENT
02:58:36.238 --> 02:58:39.642
OKAY RIGHT- ISSUE NUMBER FIVE
02:58:39.708 --> 02:58:40.776
THIS HOSPITAL PROCUREMENT
02:58:40.843 --> 02:58:43.245
CONTRACTS REPORTING AB NINE IS
02:58:43.312 --> 02:58:45.514
THAT IN SIXTY RECORD DR NEW A
02:58:45.581 --> 02:58:48.250
NEW REPORTING PROSPERO'S FOR
02:58:48.317 --> 02:58:49.185
SUPPLIER DIVERSITY INTEREST AS
02:58:49.251 --> 02:58:53.956
FAR COMMISSION OF RESTORED BUYS
02:58:54.023 --> 02:58:55.858
THE- POSSIBLE THROUGH THIS. BUT
02:58:55.925 --> 02:58:56.992
EXPENSE OR REQUIRED SMITH
02:58:57.059 --> 02:58:57.960
REPORTS DETAIL THE OUR
02:58:58.027 --> 02:58:59.895
DIVERSITY SPEND TOP. OSPREY
02:58:59.962 --> 02:59:00.529
THAT I WILL BE AUTHORIZED ISSUE
02:59:00.596 --> 02:59:02.832
FAMILIES FOR NOT CLIENTS OSCARS
02:59:02.898 --> 02:59:05.067
REQUESTING RESOURCES TO MANAGE
02:59:05.134 --> 02:59:07.169
ITS EMISSIONS AND COMPLIANCE
02:59:07.236 --> 02:59:10.039
AND TO STAFF THE- AFTER.
02:59:10.106 --> 02:59:11.740
REQUEST MY TO CONSULT RESORT TO
02:59:11.807 --> 02:59:13.375
BUILD A PASSED THE- NINETIES
02:59:13.442 --> 02:59:14.543
EVEREST TO COLLECT AND TRACK
02:59:14.610 --> 02:59:17.847
REPORTS MISSIONS. OKAY HELLO
02:59:17.913 --> 02:59:21.750
FINANCE TWO OKAY THANK YOU SO
02:59:21.817 --> 02:59:25.354
JUST TO CLARIFY BECAUSE THERE'S
02:59:25.421 --> 02:59:25.955
FIVE HUNDRED THOUSAND MORE IN
02:59:26.021 --> 02:59:27.456
THE FIRST YEAR I ASSUME THE TWO
02:59:27.523 --> 02:59:29.325
POSITIONS TWO HUNDRED NINE THE
02:59:29.391 --> 02:59:30.860
RIGHT THOUSAND THAT FIVE YOU.
02:59:30.926 --> 02:59:32.761
AND YOUR REMEMBER BEING
02:59:32.828 --> 02:59:35.030
COMMISSION MEMBERS FIFTY
02:59:35.097 --> 02:59:38.834
THOUSAND. SEVEN TO SERVE ON THE
02:59:38.901 --> 02:59:40.169
COMMITTEE AND JUST TRYING TO
02:59:40.236 --> 02:59:41.704
THAT SEEMS LIKE A LOT OF MONEY
02:59:41.770 --> 02:59:42.705
BUT I MEAN OBVIOUSLY THIS IS
02:59:42.771 --> 02:59:44.573
NOT WORK SO I TRY TO CLARIFY
02:59:44.640 --> 02:59:46.142
THAT FOR THE FIRST YEAR IS A
02:59:46.208 --> 02:59:47.977
LITTLE ON THE SECOND THAT'S
02:59:48.043 --> 02:59:50.546
BECAUSE IT INCLUDES FIVE
02:59:50.613 --> 02:59:51.580
HUNDRED THOUSAND RIGHT UP WITH
02:59:51.647 --> 02:59:53.582
THE GAP IS MORE THAN A LITTLE
02:59:53.649 --> 02:59:57.853
BIGGER SIZES IDEA EXCEPT FIVE
02:59:57.920 --> 03:00:03.759
HUNDRED. IS TO. TWO OF. ALRIGHT
03:00:03.826 --> 03:00:06.996
SO FOR THE FIFTY THOUSAND FOR
03:00:07.062 --> 03:00:07.863
COMMISSION MEMBER REIMBURSEMENT
03:00:07.930 --> 03:00:09.999
BUT THE REST OF THE FIVE
03:00:10.065 --> 03:00:11.066
HUNDRED THOUSAND AND IS OKAY.
03:00:11.133 --> 03:00:13.269
IT'S I SAID THIS IS ALL ABOUT
03:00:13.335 --> 03:00:15.204
TRYING TO UPGRADE YOUR DATA
03:00:15.271 --> 03:00:17.139
COLLECTION THE FIRST YEAR AND
03:00:17.206 --> 03:00:18.741
THAT THAT WOULD BE IT IS A SIN
03:00:18.807 --> 03:00:20.176
YOU'RE GONNA BE CONTRACTING
03:00:20.242 --> 03:00:22.344
DECKED OUT TO SOMEONE- THAT ARE
03:00:22.411 --> 03:00:24.613
NOT TAXATION WEEK NOT BACKED
03:00:24.680 --> 03:00:26.315
OUT. OF THEIR CONTRACT IT WE'RE
03:00:26.382 --> 03:00:28.617
ASSUMING ITS CONTRACTORS WITH
03:00:28.684 --> 03:00:30.686
OKAY ALL RIGHT FOR SYSTEM
03:00:30.753 --> 03:00:31.987
TECHNOLOGIES THAT ARE OKAY.
03:00:32.054 --> 03:00:32.955
RIGHT BUT WITH THE BACKING
03:00:33.022 --> 03:00:36.525
CAUCUS DONE THE ONE YEAR RATE.
03:00:36.592 --> 03:00:39.595
YES CENTER OKAY ALL RIGHT OKAY
03:00:39.662 --> 03:00:41.730
TO START HIS. ACTIONS A SORRY
03:00:41.797 --> 03:00:42.865
AT THAT'S MY JOB TO ASK
03:00:42.932 --> 03:00:44.700
QUESTIONS I SEE THINGS. OKAY
03:00:44.767 --> 03:00:47.236
VERY GOOD. ALL RIGHT. THANK YOU
03:00:47.303 --> 03:00:50.773
AND THEN- WE HAVE- PROPOSALS
03:00:50.839 --> 03:00:52.975
FOR INVESTMENTS SO. SEVERAL OF
03:00:53.042 --> 03:00:56.345
THEM. OKAY SO WE HAVE SEVERAL
03:00:56.412 --> 03:00:58.881
PROPOSALS FOR INVESTMENTS SO I
03:00:58.948 --> 03:01:00.115
GUESS THANK YOU VERY MUCH- I
03:01:00.182 --> 03:01:01.450
SHE'S JUST HAVE PEOPLE MOVE
03:01:01.517 --> 03:01:04.019
AROUND THE SIDES HERE. THAT WAY
03:01:04.086 --> 03:01:06.355
WE CAN. IF THE SAME COMMENT
03:01:06.422 --> 03:01:13.095
FROM. THE AGENCY. NOT BUT-
03:01:13.162 --> 03:01:15.864
OFTENTIMES YOU CAN BIDEN
03:01:15.931 --> 03:01:18.167
INSIGHTS CELL ALL RIGHT SO WE
03:01:18.234 --> 03:01:20.936
HAVE ONE TWO THREE FOUR FIVE SO
03:01:21.003 --> 03:01:22.738
WE HAVE FIVE PROPOSALS FOR
03:01:22.805 --> 03:01:26.141
INVESTMENT AND- AS HE TRACED
03:01:26.208 --> 03:01:27.509
YOUR PRESENTATION TO THREE
03:01:27.576 --> 03:01:30.746
MINUTES OR LES- AND SO OKAY WE
03:01:30.813 --> 03:01:33.916
USED TO PLEASE INTRODUCE SO FOR
03:01:33.983 --> 03:01:34.850
THE RECORD. BOB GLAZER WITH THE
03:01:34.917 --> 03:01:38.187
CALIFORNIA HAAS. CJ'S REQUEST
03:01:38.254 --> 03:01:41.223
IS FOR TWENTY TWO MILLION
03:01:41.290 --> 03:01:42.291
GENERAL FUND ONE TIME FOR THE
03:01:42.358 --> 03:01:44.727
OFFICE THE WHITE. PSYCHIATRIC
03:01:44.793 --> 03:01:47.763
RESIDENCY PROGRAM IN THIS IS TO
03:01:47.830 --> 03:01:49.398
SUPPORT ADDITIONAL AN EXISTING
03:01:49.465 --> 03:01:52.434
RESIDENCY SLOTS THIS IS A NEW
03:01:52.501 --> 03:01:53.769
GRANT PROGRAM THAT WAS FUNDED
03:01:53.836 --> 03:01:55.571
IN LAST YEAR'S BUDGET AS PART
03:01:55.638 --> 03:01:58.741
OF THE M. HSA WORKFORCE
03:01:58.807 --> 03:01:59.808
EDUCATION AND TRAINING PROGRAM.
03:01:59.875 --> 03:02:01.410
CALIFORNIA'S BEHAVIORAL HEALTH
03:02:01.477 --> 03:02:02.645
THIS HAS PUSHED OUR HEALTHCARE
03:02:02.711 --> 03:02:04.380
SYSTEM TO THE BREAKING POINT AN
03:02:04.446 --> 03:02:06.015
ESTIMATED SEVEN POINT FIVE
03:02:06.081 --> 03:02:07.616
MILLION PEOPLE IN THE STATE
03:02:07.683 --> 03:02:09.985
EXPERIENCE A MENTAL HEALTH
03:02:10.052 --> 03:02:11.587
DISORDER IN ANY GIVEN YEAR IT
03:02:11.654 --> 03:02:13.789
ONLY. THE DAHLE TO. ANALYSTS
03:02:13.856 --> 03:02:16.325
ARE MEANT THE RULES UNDERSTAND
03:02:16.392 --> 03:02:17.259
WELL THE IMPORTANCE OF
03:02:17.326 --> 03:02:19.061
EXPANDING ACCESS TO BEHAVIORAL
03:02:19.128 --> 03:02:20.496
HEALTH CARE EVERY DAY ARE
03:02:20.562 --> 03:02:21.964
NURSES THERAPISTS SOCIAL
03:02:22.031 --> 03:02:22.998
WORKERS AND OTHERS SEE
03:02:23.065 --> 03:02:24.733
FIRSTHAND THE CHALLENGES THE
03:02:24.800 --> 03:02:26.135
PEOPLE WITH BEHAVIORAL HEALTH
03:02:26.201 --> 03:02:27.903
CONDITIONS FACE IN GETTING THE
03:02:27.970 --> 03:02:30.439
TREATMENT THEY DESERVE. PART OF
03:02:30.506 --> 03:02:32.107
THE LOCAL TO USE THIS IS NOT
03:02:32.174 --> 03:02:33.242
HAVE ENOUGH PSYCHIATRIST ANY
03:02:33.309 --> 03:02:36.245
CURRENT OR FUTURE DEMAND IN A
03:02:36.312 --> 03:02:37.112
LARGE PORTION OF THOSE
03:02:37.179 --> 03:02:38.847
CURRENTLY PRACTICING OR NEARING
03:02:38.914 --> 03:02:41.250
RETIREMENT. THAT ACT FINE WITH
03:02:41.317 --> 03:02:42.051
THE GROWING POPULATION MEANS
03:02:42.117 --> 03:02:44.053
PEOPLE WHO NEED PSYCHIATRIC
03:02:44.119 --> 03:02:45.387
THIS HAVE INCREDIBLY HARD TIME
03:02:45.454 --> 03:02:46.588
FINDING THE RIGHT PROFESSIONAL
03:02:46.655 --> 03:02:49.558
TO CARE FOR THEM. IN NINETEEN
03:02:49.625 --> 03:02:51.260
THE CALIFORNIA'S FUTURE HELP
03:02:51.327 --> 03:02:51.994
FOR THE COMMISSION RECOMMENDED
03:02:52.061 --> 03:02:54.663
THE STATE K. TWENTY TWO POINT
03:02:54.730 --> 03:02:58.167
9% HI RESIDENTS GRAHAM. AT
03:02:58.233 --> 03:03:01.236
WHERE THE LOOKUP. THIS SPECIAL
03:03:01.303 --> 03:03:03.172
POURTANT. DATA THAT THE LOWER
03:03:03.238 --> 03:03:03.972
WHERE A PSYCH. RECEIVES
03:03:04.039 --> 03:03:05.774
TRAINING IS MOST LIKELY WHERE
03:03:05.841 --> 03:03:07.743
THEY SETTLE INTO PERMANENT
03:03:07.810 --> 03:03:09.044
PRACTICE. WE THINK THAT
03:03:09.111 --> 03:03:10.913
ALLOCATION WILL GO AWAY TO
03:03:10.979 --> 03:03:12.414
SIMPLY INCREASING THE NUMBER OF
03:03:12.481 --> 03:03:14.516
PSYCHIATRISTS WE HAVE HERE IN
03:03:14.583 --> 03:03:17.453
THE STATE. OKAY THANK YOU. ANY
03:03:17.519 --> 03:03:19.421
THOUGHTS FROM MARCH BOND.
03:03:19.488 --> 03:03:22.991
PROPOSAL NO OKAY LA. FINANCE NO
03:03:23.058 --> 03:03:26.662
ALL RIGHT OKAY I DID HAVE A
03:03:26.729 --> 03:03:28.063
ACTUALLY QUESTION AND IT'S TO
03:03:28.130 --> 03:03:30.366
RELATED TO A SOMETHING A
03:03:30.432 --> 03:03:31.433
PROPOSAL WE'RE GONNA HERE
03:03:31.500 --> 03:03:33.369
SHORTLY BUT SINCE YOUR BALL
03:03:33.435 --> 03:03:36.538
THEM BOTH I THINK- HOSPICE SO
03:03:36.605 --> 03:03:39.074
YOU HAVE THIS PROPOSAL FOR
03:03:39.141 --> 03:03:41.410
SCHEMATIC RESIDENCIES AND THEN
03:03:41.477 --> 03:03:44.480
THERE'S GONNA BE LATER REQUESTS
03:03:44.546 --> 03:03:51.453
BUT YOU'RE DOING WITH. FINGER
03:03:51.520 --> 03:03:53.288
IN SOME WAYS BUT I MEAN THEY
03:03:53.355 --> 03:03:54.790
ARE OVERLAP OKAY SALUTE LEAD
03:03:54.857 --> 03:03:57.393
THIS IS REALLY IDENTICAL TO ONE
03:03:57.459 --> 03:03:59.828
HALF OF THAT PROPOSAL OKAY WE
03:03:59.895 --> 03:04:01.330
WERE BOTH WORKING IN THIS YOU
03:04:01.397 --> 03:04:04.266
IN. WE DIDN'T GET CORN OKAY
03:04:04.333 --> 03:04:05.701
TIME ALL RIGHT BUT WE'RE
03:04:05.768 --> 03:04:07.569
WORKING TOGETHER OKAY NICE
03:04:07.636 --> 03:04:10.272
RIGHT OKAY THAT THAT'S HELPFUL
03:04:10.339 --> 03:04:13.742
TO KNOW OKAY AND- IN TERMS OF
03:04:13.809 --> 03:04:17.312
THE- OF. GIVEN THE ENDING SO
03:04:17.379 --> 03:04:18.013
HOW MAY BE SHOWS LIKE I TO.
03:04:18.080 --> 03:04:20.382
WITH FROM THIS PROGRAM WITH A
03:04:20.449 --> 03:04:23.252
FREE SO FUNDED- BY ONE HAS TO
03:04:23.318 --> 03:04:25.721
MINCE IT'S AROUND A HUNDRED AND
03:04:25.788 --> 03:04:29.124
FIFTY IS WHAT WE THINK- AS WAS.
03:04:29.191 --> 03:04:30.759
EARLIER THIS THESE GRANTS WOULD
03:04:30.826 --> 03:04:33.295
FUND HA PART OF A RESIDENCIES-
03:04:33.362 --> 03:04:34.897
PSYCHIATRY RESIDENCIES ARE A
03:04:34.963 --> 03:04:36.632
LITTLE BIT LONGER AND THEREFORE
03:04:36.698 --> 03:04:38.033
MORE EXPENSIVE THAN PRIMARY
03:04:38.100 --> 03:04:39.868
CARE. BUT WE THINK THAT THIS
03:04:39.935 --> 03:04:42.671
AMOUNT COULD. FIND ABOUT THAT
03:04:42.738 --> 03:04:44.807
MANY BUT IT DEPENDS ON OUT WHAT
03:04:44.873 --> 03:04:46.241
LITTLE. THE GREAT SPORT
03:04:46.308 --> 03:04:48.110
PROVIDED. THE OTHER THING THAT
03:04:48.177 --> 03:04:51.146
WE- HOPE TO ACCOMPLISH YOUR-
03:04:51.213 --> 03:04:53.015
FIRST WE HOPE TO INCREASE THE
03:04:53.081 --> 03:04:53.715
NUMBER OF PSYCHIATRISTS BUT
03:04:53.782 --> 03:04:56.418
ALSO ENCOURAGES SOME HOSPITALS
03:04:56.485 --> 03:04:58.387
IN TEACHING HEALTH CENTERS TO
03:04:58.454 --> 03:05:02.024
MAYBE START NEW PROGRAMS IF
03:05:02.090 --> 03:05:02.891
THAT THE CASE. THE NAME MIGHT
03:05:02.958 --> 03:05:05.027
BE YOU'RE FREE THOSE HELP IS
03:05:05.093 --> 03:05:06.228
STILL TO HELP THEM GET A NEW
03:05:06.295 --> 03:05:09.064
PROGRAM OFF THE GROUND. THE TO
03:05:09.131 --> 03:05:10.799
THE TWENTY TWO POINT TWO IS
03:05:10.866 --> 03:05:13.302
THAT A- FOR YEARS THAT A ONE
03:05:13.368 --> 03:05:14.803
TIME AND WE'RE ASKING FOR A ONE
03:05:14.870 --> 03:05:17.573
TIME WENT OKAY. SO THIS IS MY
03:05:17.639 --> 03:05:18.874
RESIDENCY PROGRAM DIRECTOR HAD
03:05:18.941 --> 03:05:23.278
ON SO- SO YOU EVER PSYCHIATRY
03:05:23.345 --> 03:05:26.782
RESIDENCIES FOR YEARS. IS IT'S
03:05:26.849 --> 03:05:29.451
ONE HI HE BOWS HIS WAY. THEN
03:05:29.518 --> 03:05:31.887
YOU'RE TALKING ABOUT ADDING
03:05:31.954 --> 03:05:33.522
SOME ADDITIONAL PEOPLE TO THAT
03:05:33.589 --> 03:05:36.225
ONE THAT CLASS FOR ONE YEAR.
03:05:36.291 --> 03:05:38.827
WHICH IS A PROGRAM RIGHT YEAH
03:05:38.894 --> 03:05:41.330
SO AND THAT IS GONNA APPLY TO
03:05:41.396 --> 03:05:44.800
ALL ACTUALLY. SINCE PROPOSALS.
03:05:44.867 --> 03:05:47.803
YOU GET. READ THE REVIEW TO
03:05:47.870 --> 03:05:50.105
EXPAND. HAVE ALL YOU DEMOS IS
03:05:50.172 --> 03:05:50.873
THE SHOW HAVE ENOUGH TRAINING
03:05:50.939 --> 03:05:51.573
SITES FOR THE PRO AND YOU'RE
03:05:51.640 --> 03:05:53.742
DOING THAT OFFER A- YEAR RIGHT
03:05:53.809 --> 03:05:55.978
NAY SAYING THE NEXT YEAR MY
03:05:56.044 --> 03:05:57.179
RESIDENTS ONLY HAVE THE CLASS
03:05:57.246 --> 03:05:59.314
OF WEBER TWO THOUSAND AND THE
03:05:59.381 --> 03:06:00.816
SOMETHING IS GOING TO BE.
03:06:00.883 --> 03:06:02.184
PEOPLE SAID OF THREE PEOPLE
03:06:02.251 --> 03:06:07.656
FROM. THREE FIVE TO THREE THREE
03:06:07.723 --> 03:06:09.324
SO. WELL I IS SO. REALIZE THAT
03:06:09.391 --> 03:06:10.292
YOUR SOFT DEALING YOU I WAS IN
03:06:10.359 --> 03:06:12.194
THE PROCESS ONE TIME. BUT
03:06:12.261 --> 03:06:13.128
THINKING OF WILLIAM EFFECTIVE
03:06:13.195 --> 03:06:16.532
USE OF A FUNDS WE GIVE. AND
03:06:16.598 --> 03:06:18.467
THERE IS THAT TRYING TO THINK
03:06:18.534 --> 03:06:22.204
ABOUT HOW WE USE IT IN A WAY
03:06:22.271 --> 03:06:24.039
BECAUSE IN A WAY. IT'S HARD TO
03:06:24.106 --> 03:06:27.876
REALLY EXPECT TRAP RESIDENCY
03:06:27.943 --> 03:06:31.947
PRO RIGHT AS THE THAT.
03:06:32.014 --> 03:06:33.682
TRAININGS AT. YOU YOU NEED
03:06:33.749 --> 03:06:34.616
ACTION MAKE MORE OF US IN THE-
03:06:34.683 --> 03:06:35.551
GRADE BECAUSE YOU THIS REALLY.
03:06:35.617 --> 03:06:38.053
YOU HI IT'S A- OF THE CLINICAL
03:06:38.120 --> 03:06:39.388
VOLUME THE VARIETY DIFFERENT
03:06:39.454 --> 03:06:41.790
CASE BECAUSE WHEN THEY COME OUT
03:06:41.857 --> 03:06:43.492
THEY HAVE TO HAVE HAD THAT
03:06:43.559 --> 03:06:46.428
EXPERIENCE SO- SO YEAH. ALL
03:06:46.495 --> 03:06:48.697
THESE INSURANCE IN ORDER TO.
03:06:48.764 --> 03:06:50.065
BUILD YOUR CITY AND TO DO THAT
03:06:50.132 --> 03:06:53.268
JUST FOR ONE. CLASS EIGHT. THIS
03:06:53.335 --> 03:06:55.203
IS A LOT WORK. AND I'M AND I'M
03:06:55.270 --> 03:06:56.805
A CONCERNED AT THE RED THE
03:06:56.872 --> 03:06:58.140
WHIMS OF CELLS AND GO. IS THAT
03:06:58.206 --> 03:07:00.909
IT'S NOT GONNA BE WORKS THAT.
03:07:00.976 --> 03:07:01.510
PUT ALL THAT THEY CAN BE A HOW
03:07:01.577 --> 03:07:02.644
FAST THE MOVE THE CAN I PUT ALL
03:07:02.711 --> 03:07:05.347
THAT TOGETHER A QUICK. RIGHT I
03:07:05.414 --> 03:07:07.182
CAN'T MATCH. ADDITION RESIDENTS
03:07:07.249 --> 03:07:08.850
UNLESS UNTIL I HAVE APPROVAL TO
03:07:08.917 --> 03:07:12.054
DO THAT SO. YEAH AND WE ARE
03:07:12.120 --> 03:07:13.555
HOPEFUL THAT SHOULD SHOULD WE
03:07:13.622 --> 03:07:16.024
BE ABLE TO GET THIS ONE TIME
03:07:16.091 --> 03:07:17.926
FUNDING THAT WE CAN. BUILD ON
03:07:17.993 --> 03:07:21.296
WHAT THE WHAT. GRANT WILL FUND.
03:07:21.363 --> 03:07:24.566
AT LEAST BUILDING AND THAT. ON
03:07:24.633 --> 03:07:26.501
THAT I YOU I MEAN WE MAY BE
03:07:26.568 --> 03:07:27.603
COMING BACK. TO THE LEGISLATURE
03:07:27.669 --> 03:07:29.371
AND ASKING FOR MORE BUT BUT
03:07:29.438 --> 03:07:31.840
YOU'RE RIGHT IT'S DIFFICULT.
03:07:31.907 --> 03:07:33.475
PARTICULARLY THE HOSPITAL OR
03:07:33.542 --> 03:07:35.143
HEALTH FACILITIES LOOKING AT
03:07:35.210 --> 03:07:36.845
STARTING A NEW PROGRAM. THEY
03:07:36.912 --> 03:07:38.614
NEED TO KNOW THEY'VE GOT SO
03:07:38.680 --> 03:07:41.016
PREDICTABLE YEAH LOUIS ESTARá
03:07:41.083 --> 03:07:42.551
HOLE IN THE START A WHOLE
03:07:42.618 --> 03:07:43.552
PROGRAM FOR FUNDING WITH ONLY
03:07:43.619 --> 03:07:46.822
ONE CLASS AND A HALF SO WE DO
03:07:46.888 --> 03:07:47.789
SO I THINK WE- WHICH IS A REAL.
03:07:47.856 --> 03:07:49.091
IN OUR PROCESS IT'S EASIER TO
03:07:49.157 --> 03:07:51.226
ASK FOR A- I AM. GONNA MAKE
03:07:51.293 --> 03:07:53.195
EFFECTIVE THE MONEY REALLY EVEN
03:07:53.261 --> 03:07:54.062
IF IT'S LIKE ONE TIME THAT
03:07:54.129 --> 03:07:56.164
STRETCHED OUT OVER MULTIPLE
03:07:56.231 --> 03:07:58.333
YEARS OF. THOSE SB SEARCH OVER
03:07:58.400 --> 03:07:59.935
ONE CLASS FOR YEARS READY
03:08:00.002 --> 03:08:01.703
MULTIPLE CLASSES THEN YOU'RE
03:08:01.770 --> 03:08:04.072
TALKING ABOUT FIVE SIX SEVEN.
03:08:04.139 --> 03:08:07.342
CENTER THAT OKAY THANK YOU. NOW
03:08:07.409 --> 03:08:10.612
SEE BY UP HERE LATER OKAY NEXT
03:08:10.679 --> 03:08:12.414
TO PROPOSAL IS AFTER THE
03:08:12.481 --> 03:08:14.116
CALIFORNIA PRIMARY CARE SO
03:08:14.182 --> 03:08:15.651
ISSHIN REGARDING IF THIS
03:08:15.717 --> 03:08:17.285
PRACTICE CLINICIAN CAN IN
03:08:17.352 --> 03:08:19.221
TRAINING TO IMPROVE ACCESS AND
03:08:19.287 --> 03:08:20.155
UNDERSERVED COMMUNITIES RIGHT.
03:08:20.222 --> 03:08:23.291
WELCOME IF THE INTRODUCE
03:08:23.358 --> 03:08:24.626
YOURSELF WHERE THANK YOU FOR
03:08:24.693 --> 03:08:26.261
THE OPTION IS BECAUSE YOU TODAY
03:08:26.328 --> 03:08:27.596
MY NAME IS BETH NON OWSKI
03:08:27.663 --> 03:08:29.264
DIRECTOR OF GOT CALIFORNIA FOR
03:08:29.331 --> 03:08:31.500
MAKING PROCESS. I HERE TODAY ON
03:08:31.566 --> 03:08:33.368
BEHALF OF THE MORE THAN
03:08:33.435 --> 03:08:34.102
THIRTEEN HUNDRED ME HEALTH
03:08:34.169 --> 03:08:34.936
CENTERS THE PROVIDE COMFORT TO
03:08:35.003 --> 03:08:37.739
QUALITY CARE TO SIT TWO MILLION
03:08:37.806 --> 03:08:39.174
COPIES ONE IN SIX CONFERENCE IN
03:08:39.241 --> 03:08:42.010
FACT- I'M PLEASED TO PRESENT TO
03:08:42.077 --> 03:08:45.280
PRESENT THREE PROPOSALS WHICH
03:08:45.347 --> 03:08:47.182
ARE ALL COURT PONENS THAT MAKE
03:08:47.249 --> 03:08:50.085
ABOUT FREE HEALTH CARE WORK
03:08:50.152 --> 03:08:53.488
FIRST AND OURS DIGITAL. THIRTY
03:08:53.555 --> 03:08:54.856
TWO IT ABSOLUTE. SO START WITH
03:08:54.923 --> 03:08:55.957
THAT FIRST ONE. THE FIRST THING
03:08:56.024 --> 03:08:56.958
REQUEST FOR NEW FUNDING FOR
03:08:57.025 --> 03:08:58.493
ADVANCED PRACTICE CLINICIANS
03:08:58.560 --> 03:09:00.996
EDUCATION AND TRAINING. AS YOU
03:09:01.063 --> 03:09:02.597
MAY BE WHERE CALIFORNIA CENTERS
03:09:02.664 --> 03:09:04.366
ARE COMMITTED TO USING A CARE
03:09:04.433 --> 03:09:06.868
TEAM APPROACH TO GUARANTEE TIME
03:09:06.935 --> 03:09:09.304
ACCESS TO CARE. CALL CENTERS.
03:09:09.371 --> 03:09:10.138
THE VALUE BENCH PRESSES
03:09:10.205 --> 03:09:11.540
CONDITIONS IN PARTICULAR NURSE
03:09:11.606 --> 03:09:12.974
PRACTITIONERS AND PHYSICIAN
03:09:13.041 --> 03:09:14.810
ASSISTED AS PART OF THAT CARE
03:09:14.876 --> 03:09:17.713
TEAM. AND AS PART OF THE
03:09:17.779 --> 03:09:19.247
RECOMMENDATIONS OF THE
03:09:19.314 --> 03:09:20.115
CALIFORNIA FUTURE HEALTH
03:09:20.182 --> 03:09:21.817
WORKFORCE COMMISSION AS WE KNOW
03:09:21.883 --> 03:09:23.018
YOU'RE A PART OF THAT
03:09:23.085 --> 03:09:26.621
COMMISSION EFFORT- WAS TO
03:09:26.688 --> 03:09:29.257
REALLY INCREASE THE TRAINING OF
03:09:29.324 --> 03:09:30.525
THE- PRACTICE. FINANCIAL
03:09:30.592 --> 03:09:33.495
SUPPORT OF CSU AND UC CAMPUSES
03:09:33.562 --> 03:09:34.830
TO BOTH EXPAND ESTABLISHED
03:09:34.896 --> 03:09:36.098
NURSE PRACTITIONER EDUCATION
03:09:36.164 --> 03:09:38.734
PROGRAMS COMMITTED TO PRIMARY
03:09:38.800 --> 03:09:39.167
CARE AND UNDERSERVED
03:09:39.234 --> 03:09:41.470
COMMUNITIES- WE ARE REQUEST
03:09:41.536 --> 03:09:43.905
TODAY THIRTY SEVEN POINT EIGHT
03:09:43.972 --> 03:09:45.273
MILLION. TWENTY ONE MIN FOR
03:09:45.340 --> 03:09:47.542
EXPANSION AND SIXTEEN MILLION
03:09:47.609 --> 03:09:51.346
ESTABLISHMENT TO BE COMMITTED
03:09:51.413 --> 03:09:53.448
TO THE SONG BROWN HEALTH CARE
03:09:53.515 --> 03:09:54.950
WORK FOR TRAINING PROGRAM. THEN
03:09:55.016 --> 03:09:56.685
TO YOU. INFRASTRUCTURE IN
03:09:56.752 --> 03:09:58.019
PROCESS TO BURST TO ELIGIBLE US
03:09:58.086 --> 03:10:00.722
YOU SEE AND CSU. I WILL
03:10:00.789 --> 03:10:01.923
ACKNOWLEDGE THIS PROPOSAL DOES
03:10:01.990 --> 03:10:03.225
GO OE STEP FURTHER THAN THE
03:10:03.291 --> 03:10:05.961
COMMISSION RECOMMENDATIONS A BY
03:10:06.027 --> 03:10:07.763
SUGGESTING THAT POST GRADUATE
03:10:07.829 --> 03:10:11.399
FELLOWSHIP OPPORTUNITY. FOR
03:10:11.466 --> 03:10:12.567
BOTH NURSES AND PHYSICIANS AND-
03:10:12.634 --> 03:10:14.536
ALSO BE FUNDED BY THE STATE TO
03:10:14.603 --> 03:10:15.771
SUPPORT THE STATE ABILITY AND
03:10:15.837 --> 03:10:19.007
GROWTH OF PROGRAMS. IN THE
03:10:19.074 --> 03:10:21.009
FELLOWSHIP FACE A CURRENTLY
03:10:21.076 --> 03:10:22.611
THERE ARE NO STATE IN IN POST
03:10:22.677 --> 03:10:24.746
GRADUATE FELLOWSHIPS I WILL NOT
03:10:24.813 --> 03:10:26.281
THESE POST'S GOT TO FILL START
03:10:26.348 --> 03:10:29.284
OPTIONAL PROGRAM. OUR RESIDENCY
03:10:29.351 --> 03:10:33.321
LIKE GRAMS WROTE POPPY THE CAN
03:10:33.388 --> 03:10:35.657
BE AND ACROSS STATE TO THERE
03:10:35.724 --> 03:10:39.227
ARE TWENTY. I DO POSTSCRIPT
03:10:39.294 --> 03:10:41.062
TRAINING THIS PRACTICE PERSON
03:10:41.129 --> 03:10:42.430
POSITION. I WILL SOME PROGRAM
03:10:42.497 --> 03:10:44.032
HAVE LAW PERSON. AGAIN I'VE
03:10:44.099 --> 03:10:45.000
KNOWN THERE ARE NO FUNDS AT
03:10:45.066 --> 03:10:46.468
THIS TIME TO HELP ESTABLISH
03:10:46.535 --> 03:10:48.503
EXPAND THESE PROGRAMS AND FOR
03:10:48.570 --> 03:10:51.173
THIS REASON IN ADDITION TO THE
03:10:51.239 --> 03:10:52.574
THIRTY SEVEN SORRY THIS IS A
03:10:52.641 --> 03:10:55.644
SEVEN POINT EIGHT. FOR THE UC
03:10:55.710 --> 03:10:57.078
AND CSU PROCESS ALL DRESSED
03:10:57.145 --> 03:10:59.347
ELEVEN POINT NINE MILLION
03:10:59.414 --> 03:11:01.116
PEOPLE SIDE IN PARTICULAR FOR
03:11:01.183 --> 03:11:04.119
THESE OPPORTUNITY. FOR IS FIRST
03:11:04.186 --> 03:11:05.387
THE SITE BROWN. TRAINING%
03:11:05.453 --> 03:11:08.023
PROGRAM SO I'LL PAUSE HERE SO
03:11:08.089 --> 03:11:09.357
WE CAN TAKE SOME COME TO
03:11:09.424 --> 03:11:11.159
FEEDBACK FROM YOU OKAY THE
03:11:11.226 --> 03:11:15.363
ASPEN ANY OPINIONS RIGHT LA-
03:11:15.430 --> 03:11:19.634
FINANCE OKAY AND THE- AND THE
03:11:19.701 --> 03:11:22.504
SO IT'S- IT'S- ONE TIME. BUT
03:11:22.571 --> 03:11:27.709
WE'RE STARTING NEW PROGRAMS SO
03:11:27.776 --> 03:11:29.611
ANYWAY I GUESS FIRST QUESTIONS
03:11:29.678 --> 03:11:32.280
HOW AG BUT THIS INVESTMENT HOW
03:11:32.347 --> 03:11:34.182
HOW MANY NEW PROGRAMS AND HOW
03:11:34.249 --> 03:11:37.219
MANY- HOW MANY. ADDITIONAL
03:11:37.285 --> 03:11:39.554
PROFESSIONALS ARE WE TALKING
03:11:39.621 --> 03:11:41.990
ABOUT TRAINING AND- BECAUSE OF
03:11:42.057 --> 03:11:42.958
THIS OUR PER YEAR SURE
03:11:43.024 --> 03:11:45.093
ABSOLUTELY NOT APPRECIATE THE
03:11:45.160 --> 03:11:46.261
QUESTION YOU'RE ASKING HERE IN
03:11:46.328 --> 03:11:48.230
THE QUESTION- THAT US ELASTIC
03:11:48.296 --> 03:11:49.998
CORD AS WELL AND BLOOD
03:11:50.065 --> 03:11:52.234
KNOWLEDGE THAT SIMILAR TO THE
03:11:52.300 --> 03:11:54.536
PHYSICIAN PRESENT THE SPACE AND
03:11:54.603 --> 03:11:56.905
THE COMMITMENT ISN'T TO BE
03:11:56.972 --> 03:11:57.472
MAKING. YOUR ABSOLUTE RIGHT
03:11:57.539 --> 03:11:59.875
THAT HAVE LONG TERM FUNDING
03:11:59.941 --> 03:12:03.478
OKAY ABILITY FOR THE GRAHAM IS
03:12:03.545 --> 03:12:04.512
THE PRINCE OF AND CERTAIN LATE
03:12:04.579 --> 03:12:05.847
JUST REFLECTING ON THE CA
03:12:05.914 --> 03:12:09.818
EFFORT. THEY LATER OF AND IF TO
03:12:09.885 --> 03:12:14.189
YEAR OF MAINTENANCE TO A WIDE
03:12:14.256 --> 03:12:17.659
ACTION FIRST AND- MONDAY IS
03:12:17.726 --> 03:12:20.629
OVER. FOR THE PROGRAMS. FIRST
03:12:20.695 --> 03:12:22.764
ARE TODAY. I WILL PLEDGE THESE
03:12:22.831 --> 03:12:27.636
ARE YOUR RECOMMEND. BANDS OF
03:12:27.702 --> 03:12:30.739
THE- NEED. BUT IF. TWO OF. THIS
03:12:30.805 --> 03:12:33.008
TRIP CERTAIN. HAVING A
03:12:33.074 --> 03:12:33.608
CONVERSATION ABOUT WHAT A LAW
03:12:33.675 --> 03:12:35.043
TERM. YOU COULD LOW LIKE
03:12:35.110 --> 03:12:35.944
SPECIFICALLY IT RELATES TO YOU
03:12:36.011 --> 03:12:37.913
QUESTION WITH REGARDS TO MANY.
03:12:37.979 --> 03:12:39.915
OUR SLOTS COULD SEE AT THE UC
03:12:39.981 --> 03:12:41.750
OR CSU CAMPUSES FOR TO
03:12:41.816 --> 03:12:44.452
INFRASTRUCTURE- I WILL HAVE TO
03:12:44.519 --> 03:12:46.421
KNOWLEDGE A PATH TO GET BACK TO
03:12:46.488 --> 03:12:47.255
YOU ON THAT IT WAS SOME
03:12:47.322 --> 03:12:49.157
QUESTIONS WE HAVE TO CONSIDER
03:12:49.224 --> 03:12:50.425
WHEN THINKING ABOUT THAT. IS OF
03:12:50.492 --> 03:12:54.362
COURSE TO DO CAUGHT BETWEEN THE
03:12:54.429 --> 03:12:56.398
IN THE CSU SYSTEM PRO. THEY'RE
03:12:56.464 --> 03:12:59.234
NOT CHOOSE IT IS SIMPLY BUILD
03:12:59.301 --> 03:13:00.635
PROGRAM THEY HAVE TODAY. IS
03:13:00.702 --> 03:13:01.970
WHETHER NOT THEY ARE
03:13:02.037 --> 03:13:02.437
CONSIDERING BUILDING A
03:13:02.504 --> 03:13:03.905
COMPLETELY NEW PROGRAM FROM
03:13:03.972 --> 03:13:05.674
SCRATCH ON CAMPUS IS NOT HAVE
03:13:05.740 --> 03:13:06.775
ONE TODAY. TO ONE OF KNOWLEDGE
03:13:06.841 --> 03:13:08.376
THAT WELCOME SPEAKING WITH THE
03:13:08.443 --> 03:13:09.644
COMMITTEE AND WITH OUR PARTNERS
03:13:09.711 --> 03:13:13.214
AND I SPENT L. ELLIE ON DO YOU
03:13:13.281 --> 03:13:14.449
HAVE TO TALK MORE ABOUT HOW
03:13:14.516 --> 03:13:20.188
THAT COULD LOOK. AND WELL I'M
03:13:20.255 --> 03:13:22.390
P. FOR SAID. YOU SHOULD WAIT
03:13:22.457 --> 03:13:24.492
BUT AS WELL AS THE- BE A BIT
03:13:24.559 --> 03:13:27.329
FORCED. I'M FROM THE MEN OF
03:13:27.395 --> 03:13:28.730
ABOUT A HUNDRED THOUSAND
03:13:28.797 --> 03:13:30.765
DOLLARS OF HER NURSE
03:13:30.832 --> 03:13:32.701
PRACTITIONER OR PER PHYSICIAN
03:13:32.767 --> 03:13:36.004
ASSISTANT FELLOWSHIP SPOT TO DO
03:13:36.071 --> 03:13:36.871
ONE OF KNOWLEDGE THAT THAT'S A
03:13:36.938 --> 03:13:38.740
SPECIFICALLY IN THE CASE OF A
03:13:38.807 --> 03:13:39.874
PROGRAM THAT EXIST HEY IS
03:13:39.941 --> 03:13:42.243
LOOKING TO EXPAND THE NUMBER OF
03:13:42.310 --> 03:13:44.813
SLOT THE TOP ROUGH ESTIMATE
03:13:44.879 --> 03:13:46.314
FROM LOOKING OUR MEMBERSHIP.
03:13:46.381 --> 03:13:48.183
FIGURE IT BUT HOW. IF YOU'RE-
03:13:48.249 --> 03:13:49.784
AT A UNDER THAT MIGHT BE
03:13:49.851 --> 03:13:50.852
LOOKING TO START AN AND PIERRE
03:13:50.919 --> 03:13:53.488
P. A POSTGRADUATE FELLOWSHIP
03:13:53.555 --> 03:13:54.823
FOR THE FIRST TIME. THE DOLLAR
03:13:54.889 --> 03:13:56.324
FIGURES ARE CLOSER TO A HUNDRED
03:13:56.391 --> 03:13:58.093
THOUSAND PER SLOT- ALSO PAGE
03:13:58.159 --> 03:13:59.928
OUT SURVEYING DOES NOT. OPERATE
03:13:59.995 --> 03:14:01.629
OR TAKE TO COUNT OTHER
03:14:01.696 --> 03:14:04.265
INSTITUTIONS THAT MIGHT CHOOSE
03:14:04.332 --> 03:14:06.368
TO STOP TO FELLOWSHIP ON WILL
03:14:06.434 --> 03:14:08.136
RECOGNIZE WE KNOW OF. CASES THE
03:14:08.203 --> 03:14:11.039
STATE BE A HAVE A STAFF. CAPS
03:14:11.106 --> 03:14:14.009
AND OF COURSE BE ANOTHER COMES
03:14:14.075 --> 03:14:18.613
IN IN THIS IS A NOT. WOULD LOOK
03:14:18.680 --> 03:14:23.318
FOR THEM. SO I THINK IT'S- OVER.
03:14:23.385 --> 03:14:24.853
ANY OTHER AMOUNT. HOW HOW MANY
03:14:24.919 --> 03:14:26.721
WITH A ARE THAT WE'RE GONNA GET
03:14:26.788 --> 03:14:28.990
ESPECIALLY IN IF IN E.
03:14:29.057 --> 03:14:30.692
POSTGRADUATE FELLOWSHIP
03:14:30.759 --> 03:14:34.596
PROGRAM- IS THE PHYSICIAN
03:14:34.662 --> 03:14:36.264
ASSISTANT OR NURSE PRACTITIONER
03:14:36.331 --> 03:14:39.134
ALLOW ALLOW- BILL THROUGH THE
03:14:39.200 --> 03:14:44.139
SUPERVISING- CLINICIAN WELL- SO
03:14:44.205 --> 03:14:46.207
SPACE HERE TO THIS POST BUT IT
03:14:46.274 --> 03:14:48.476
FELT IT WAS OF WHAT IN SOME
03:14:48.543 --> 03:14:52.280
WAYS MAKES IT TO. INDIVIDUAL
03:14:52.347 --> 03:14:56.151
ALL I'M SAYING. AND OF BABE. IN
03:14:56.217 --> 03:14:58.753
THEIR INSTITUTIONS- BUT
03:14:58.820 --> 03:15:00.321
ACCORDING TO THE LICENSING AND
03:15:00.388 --> 03:15:02.357
RULES OF PRACTICE THAT EXIST
03:15:02.424 --> 03:15:05.226
TODAY WHAT WE'RE SIMPLY DOING
03:15:05.293 --> 03:15:05.827
WITH THESE HEALTH CENTER
03:15:05.894 --> 03:15:08.696
PROGRESSIVE BUT THE OF THE
03:15:08.763 --> 03:15:11.199
CLASS AND IT WILL BE THAT THE
03:15:11.266 --> 03:15:15.670
ARE BILL THAT. US TECH WIDE
03:15:15.737 --> 03:15:17.338
MORE THAN. FOUR OF HIS
03:15:17.405 --> 03:15:18.306
RESIDENCY AREN'T BECAUSE THESE
03:15:18.373 --> 03:15:19.374
ARE DOLLARS TO HELL THE
03:15:19.441 --> 03:15:20.708
INFRASTRUCTURE TO CREATE THE
03:15:20.775 --> 03:15:22.110
PROGRAMMING SUPPORT AROUND
03:15:22.177 --> 03:15:24.679
THESE COHORTS OF N. B. A.'S.
03:15:24.746 --> 03:15:26.414
RACKED UP ONCE THEY'RE THOSE
03:15:26.481 --> 03:15:28.049
DAY ONE CAN BE BILLING FOR THE
03:15:28.116 --> 03:15:29.284
SERVICES THAT THEY PROVIDE TO
03:15:29.350 --> 03:15:31.219
PATIENTS ALL RIGHT. SO JUST
03:15:31.286 --> 03:15:33.021
MAKE NOTE THAT. THE US ON
03:15:33.088 --> 03:15:34.689
COURSE THE DIFFERENCE A LEVEL
03:15:34.756 --> 03:15:36.424
OF TRAINING BETWEEN POSITIONS
03:15:36.491 --> 03:15:38.560
AND- THESE OTHER TEACHERS TO
03:15:38.626 --> 03:15:41.096
CORRECT. YES THAT THAT WE DON'T
03:15:41.162 --> 03:15:43.198
EVEN ALLOW. EVEN THOUGH THEY'VE
03:15:43.264 --> 03:15:45.400
GONE THROUGH MEDICAL SCHOOL
03:15:45.467 --> 03:15:46.968
WHICH IS MORE THAN THE OTHER
03:15:47.035 --> 03:15:49.037
FOLKS A GUN TRAINING WE STILL
03:15:49.104 --> 03:15:51.706
DEMANDING TRAINING BEFORE WE
03:15:51.773 --> 03:15:52.273
ALLOW THEM TO INDEPENDENTLY
03:15:52.340 --> 03:15:56.744
PRACTICE. OKAY THANK ALL RIGHT-
03:15:56.811 --> 03:15:58.346
OKAY SO WHEN WE MOVE ON TO YOUR
03:15:58.413 --> 03:16:00.415
NEXT TO PROPOSAL WHICH DEBT
03:16:00.482 --> 03:16:02.016
RELIEF FOR PRIMARY CARE
03:16:02.083 --> 03:16:03.318
BEHAVIORAL HEALTH PROVIDERS I
03:16:03.384 --> 03:16:07.455
TINK WE ALSO HAVE. AND OF.
03:16:07.522 --> 03:16:09.224
HAPPY TO GET STARTED OKAY
03:16:09.290 --> 03:16:13.228
ACTUALLY. GREAT SO- IN TERMS OF
03:16:13.294 --> 03:16:15.697
ART SECOND PROPOSAL THIS IS
03:16:15.763 --> 03:16:18.099
AROUND THE LOAN FORGIVENESS THE
03:16:18.166 --> 03:16:20.835
SPACE- HAS NOTED ALSO BUILDS ON
03:16:20.902 --> 03:16:22.804
THE OF THE CALIFORNIA FUTURE
03:16:22.871 --> 03:16:25.406
HEALTH WORK FIRST GEN WE LOOK
03:16:25.473 --> 03:16:27.041
HERE IN FACT TO REFLECT TO
03:16:27.108 --> 03:16:28.643
INTEREST LIKE HIM COMMISSION
03:16:28.710 --> 03:16:33.014
WERE BOTH THE- IN THIS. LINE
03:16:33.081 --> 03:16:33.781
CREATION OF A MERGING
03:16:33.848 --> 03:16:35.183
CALIFORNIA HEALTH LEADER
03:16:35.250 --> 03:16:37.318
SCHOLARSHIP PROGRAM THERE'S A
03:16:37.385 --> 03:16:39.854
BRAND NEW PROGRAM THAT WOULD BE
03:16:39.921 --> 03:16:41.289
ESTABLISHED. THE REQUEST IN
03:16:41.356 --> 03:16:43.124
TOTAL IS FOR SEVENTY SEVEN
03:16:43.191 --> 03:16:44.926
MILLION DOLLARS BOTH TO
03:16:44.993 --> 03:16:47.195
ESTABLISH THIS NEW PROGRAM AS
03:16:47.262 --> 03:16:49.230
WELL AS TO BUILD ON THE CURRENT
03:16:49.297 --> 03:16:50.965
LOAN FORGIVENESS
03:16:51.032 --> 03:16:53.301
INFRASTRUCTURE. SO THE FOLKS
03:16:53.368 --> 03:16:55.503
WOULD LIKE A WALK. AT THE
03:16:55.570 --> 03:16:56.704
DIFFERENT ELEMENTS OF HAVE
03:16:56.771 --> 03:16:58.873
SEVEN MILLION WILL GET BROKE
03:16:58.940 --> 03:17:00.608
DOWN. SO HER OF THOSE
03:17:00.675 --> 03:17:03.178
INTERESTED ONE TIME FUNDING
03:17:03.244 --> 03:17:04.045
REQUEST IN THE DEBT REDUCTION
03:17:04.112 --> 03:17:06.181
SPACE. AGAIN WE'RE LOOKING TO
03:17:06.247 --> 03:17:07.749
USE ABOUT FORTY MILLION OF
03:17:07.815 --> 03:17:10.852
THESE DOLLARS TO ESTABLISH THE
03:17:10.919 --> 03:17:12.120
CALIFORNIA HEALTH LEADER
03:17:12.187 --> 03:17:14.656
SCHOLARSHIP PROGRAM TO ENABLE
03:17:14.722 --> 03:17:15.423
MORE CALIFORNIANS PURSUE
03:17:15.490 --> 03:17:16.691
DEGREES AND HEALTH PROFESSIONS
03:17:16.758 --> 03:17:18.693
AND PRACTICE. COMMUNITY IS.
03:17:18.760 --> 03:17:21.863
DEFINITELY WERE SOLICITING.
03:17:21.930 --> 03:17:25.433
ROUGHLY THIRTY MILLION BE PUT
03:17:25.500 --> 03:17:26.868
TOWARDS ME INVESTMENTS TO
03:17:26.935 --> 03:17:30.071
GUARANTEE THE HIGHER END OF
03:17:30.138 --> 03:17:33.241
ELIGIBLE APPLICANTS TO PROGRAMS
03:17:33.308 --> 03:17:37.111
CURRENTLY THIS. AT AN AGE ALL
03:17:37.178 --> 03:17:39.847
ABLE TO BE FUNDED OUR TEAM
03:17:39.914 --> 03:17:41.749
USING TO WE RECEIVE FROM OUR
03:17:41.816 --> 03:17:43.484
PARTNERS OFSHE THAT AND HEALTH
03:17:43.551 --> 03:17:45.787
PROFESSION EDUCATION
03:17:45.853 --> 03:17:46.354
FOUNDATION. DENTAL FIGHT AT
03:17:46.421 --> 03:17:48.556
THEIR QUITE A FEW LAW REPAIR
03:17:48.623 --> 03:17:53.628
PROGRAMS TODAY. AND HAVE ARE.
03:17:53.695 --> 03:17:56.064
ELIGIBLE OKAY. THEY DO HAVE A-
03:17:56.130 --> 03:17:59.367
BALLARD. AND FOR IT OF INTEREST
03:17:59.434 --> 03:18:00.335
TO US MOVE WE CALL OUR AND
03:18:00.401 --> 03:18:01.336
MATERIALS THAT WERE FOR YOU BY
03:18:01.402 --> 03:18:03.271
THE COMMITTEE STAFF IS THE
03:18:03.338 --> 03:18:04.672
INTEREST IN SEEING ADDITIONAL
03:18:04.739 --> 03:18:06.341
DOLLARS PUT TOWARDS THE STEPHEN
03:18:06.407 --> 03:18:07.875
THOMPSON POSITION CORNER
03:18:07.942 --> 03:18:09.344
PAYMENT PROGRAM. THE LICENSED
03:18:09.410 --> 03:18:11.379
VOCATIONAL NURSE WHEN A PAIR
03:18:11.446 --> 03:18:13.514
PROGRAM THE ADVANCED PRACTICE
03:18:13.581 --> 03:18:14.048
HEALTH CARE A LOT OF OUR
03:18:14.115 --> 03:18:16.684
PROGRAM AND LASTLY THE LICENSE.
03:18:16.751 --> 03:18:18.319
HEALTH SERVICE PROVIDER
03:18:18.386 --> 03:18:19.621
EDUCATION LITTLE PAYMENT
03:18:19.687 --> 03:18:21.522
PROGRAM YOU CAN SEE HERE AND
03:18:21.589 --> 03:18:23.391
JUST REALLY LOOKING ACROSS THE
03:18:23.458 --> 03:18:24.959
FULL SPECTRUM OF HEALTH
03:18:25.026 --> 03:18:26.094
PROVIDERS PRIMARY CARE
03:18:26.160 --> 03:18:28.096
BEHAVIORAL HEALTH. A DAY I WILL
03:18:28.162 --> 03:18:29.864
NOT INCLUDED IN THE PROPOSAL
03:18:29.931 --> 03:18:31.165
THE FUNDING FOR THE STATE LOAN
03:18:31.232 --> 03:18:33.968
REPAYMENT PROGRAM. WHICH SERVES
03:18:34.035 --> 03:18:36.471
A WIDE VARIETY OF PROFESSIONALS
03:18:36.537 --> 03:18:38.006
THAT ARE WORKING TODAY IT
03:18:38.072 --> 03:18:39.374
DOESN'T IT HEALTH PROFESSIONAL
03:18:39.440 --> 03:18:42.810
SHORTAGE AREA. LAPSLEY ALL THAT
03:18:42.877 --> 03:18:45.780
THE IS A DOLLAR FOR YOU ALSO
03:18:45.847 --> 03:18:51.152
INCLUDES. ANSWER FRICTION WITH
03:18:51.219 --> 03:18:53.888
HEALTH CARE- THAT ADDITION IS
03:18:53.955 --> 03:18:54.389
IN PARTNERSHIP WITH OUR
03:18:54.455 --> 03:18:56.891
PARTNERS AT THE BOB BACK UP
03:18:56.958 --> 03:18:58.793
PLANNED PARENTHOOD FLEETS OF
03:18:58.860 --> 03:19:02.196
CALIFORNIA. SO ALL THERE AND
03:19:02.263 --> 03:19:02.797
TAKE ANY QUESTIONS OR COMMENTS
03:19:02.864 --> 03:19:10.705
VIEW. TOO EARLY OKAY. HE COMES
03:19:10.772 --> 03:19:14.442
FROM A SHOT TERRY HELLO FINANCE
03:19:14.509 --> 03:19:20.615
ALL RIGHT OKAY. AND EGGS SO
03:19:20.682 --> 03:19:26.287
WELL- SO IN TERMS OF THE- SO
03:19:26.354 --> 03:19:27.522
THE IN TERMS OF THE INITIAL
03:19:27.588 --> 03:19:31.059
COHORTS- FOR THE EMERGING SO
03:19:31.125 --> 03:19:31.592
THERE'S A LOT OF DIFFERENT
03:19:31.659 --> 03:19:35.296
PIECES HERE- TO ASSIST COVER
03:19:35.363 --> 03:19:36.864
TUITION 410% LOSSES ARE DOING
03:19:36.931 --> 03:19:40.301
NOW. I MEAN. WHAT THREE KNOW
03:19:40.368 --> 03:19:41.836
THIS TELLS LATER SCHOLARSHIP
03:19:41.903 --> 03:19:43.371
PROGRAM HOW MANY PEOPLE WERE
03:19:43.438 --> 03:19:44.906
TALKING ABOUT. BECAUSE HE GETS
03:19:44.972 --> 03:19:46.207
OUT A LITTLE BIT AND AGAIN
03:19:46.274 --> 03:19:48.609
WELCOME AFTER TALK ABOUT DESIGN
03:19:48.676 --> 03:19:53.648
FURTHER WITH BOTH COMMITTEE-
03:19:53.715 --> 03:19:54.849
AND OUR PARTNERS AT AJ BED. OUT
03:19:54.916 --> 03:19:57.852
WILL ACKNOWLEDGE THAT HEY THAT
03:19:57.919 --> 03:19:58.953
THE COMMITTEE. THIS IS THEIR
03:19:59.020 --> 03:20:02.924
LOOK AT A VERY WIDE SPECTRUM.
03:20:02.990 --> 03:20:04.225
PROFESSIONS AND SO LATE THIS
03:20:04.292 --> 03:20:06.694
BREAD OF THE OF. STUDENTS YOU
03:20:06.761 --> 03:20:08.563
SEE INTERESTED IN THIS QUESTION
03:20:08.629 --> 03:20:11.132
OPPORTUNITY WILL LIKELY IMPACT
03:20:11.199 --> 03:20:13.768
AND HOW MUCH IT ENDS COULD
03:20:13.835 --> 03:20:19.273
RECEIVE. UP AND THAT. SIMPLY
03:20:19.340 --> 03:20:21.275
FACT WE- DIFFERENT. PROGRAMS
03:20:21.342 --> 03:20:22.377
BALK SIGNIFICANTLY AMOUNTS OF
03:20:22.443 --> 03:20:24.278
MONEY DEPENDING ON THE FIELD
03:20:24.345 --> 03:20:26.047
AND SO I THINK THIS IS
03:20:26.114 --> 03:20:26.681
SOMETHING THAT WE WOULD WANT OF
03:20:26.748 --> 03:20:29.083
COURSE WORK THE DETAILS WITH.
03:20:29.150 --> 03:20:31.185
ALLEGE WITH OTHER THURSDAY AND
03:20:31.252 --> 03:20:33.287
WITH ADMINISTRATION AND
03:20:33.354 --> 03:20:34.389
THINKING THROUGH AS WE THINK
03:20:34.455 --> 03:20:35.790
ABOUT WATCHING THIS BUT THEY IS
03:20:35.857 --> 03:20:37.425
THERE OUGHT CERTAIN SET OF
03:20:37.492 --> 03:20:41.162
HEALTH CENTER ONE OF TARGET
03:20:41.229 --> 03:20:44.399
INITIALLY AND WITH THAT WASN'T.
03:20:44.465 --> 03:20:46.534
GETTING OUR THINKING OUR NAY
03:20:46.601 --> 03:20:49.404
SCOTT WOULD BE. AGAIN I THINK.
03:20:49.470 --> 03:20:52.240
THE DIFFERENCE. ON THE- OKAY SO
03:20:52.306 --> 03:20:53.908
YOU IT'S ALWAYS HELPFUL TO.
03:20:53.975 --> 03:20:55.343
QUALITY A LITTLE BETTER WHAT SO
03:20:55.410 --> 03:20:56.577
WE HAVE A DOLLAR AND BUT
03:20:56.644 --> 03:20:57.879
EXACTLY WHAT WE GET OUT OF THAT
03:20:57.945 --> 03:20:59.881
DOLLAR AMOUNT SO OKAY AGAIN THE
03:20:59.947 --> 03:21:01.582
10% VISION I WILL NOT JUST OVER
03:21:01.649 --> 03:21:03.851
TEN YEARS OF INVEST. THE VISION
03:21:03.918 --> 03:21:07.054
OKAY INDIAN THEM. TO GET A ONE
03:21:07.121 --> 03:21:09.056
TIME. ALL RIGHT. SO WITH ALL
03:21:09.123 --> 03:21:10.458
CHALLENGES THAT COMES FOR
03:21:10.525 --> 03:21:12.693
ESPECIALLY HEALTH PROFESSIONS
03:21:12.760 --> 03:21:13.327
TRAINING WHICH IS EXTENDED OVER
03:21:13.394 --> 03:21:15.596
TIME. OKAY ALL RIGHT WE GO
03:21:15.663 --> 03:21:16.697
AHEAD AND MOVE ON TO THE
03:21:16.764 --> 03:21:18.699
PRIMARY CAREGIVER HEALTH
03:21:18.766 --> 03:21:20.835
RESIDENTS INVESTMENT. GREAT
03:21:20.902 --> 03:21:23.805
THANK YOU. SO AGAIN I'LL SPEAK
03:21:23.871 --> 03:21:25.573
TO MY FINAL PROPOSAL TODAY
03:21:25.640 --> 03:21:27.108
WHICH THAT SPEAK TO THE PRIMARY
03:21:27.175 --> 03:21:28.876
CARE AND PSYCHIATRY RESIDENCY
03:21:28.943 --> 03:21:31.612
PROGRAM SPACE- AS YOU ARE WELL
03:21:31.679 --> 03:21:35.483
AWARE- THE COMMISSION DID SPEAK
03:21:35.550 --> 03:21:37.685
AS WELL TO NOT ONLY A MINUTE
03:21:37.752 --> 03:21:38.686
INVESTMENTS THAT HAPPENED TO
03:21:38.753 --> 03:21:40.421
DATE AND SAFER GEN THAT EVEN
03:21:40.488 --> 03:21:42.123
MORE INVESTMENT OR NEED IT AS
03:21:42.190 --> 03:21:44.258
YOU HEARD FROM MICHAEL PARTNER
03:21:44.325 --> 03:21:46.027
AT THE COFFEEHOUSE ASSOCIATION
03:21:46.093 --> 03:21:48.796
EARLIER WE- NEEDED BOTH THE
03:21:48.863 --> 03:21:51.966
PRIME MAKE. RED SPACE. EARLIER
03:21:52.033 --> 03:21:53.701
TWENTY TWO POINT TWO MILLION
03:21:53.768 --> 03:21:55.937
FOR PSYCHIATRY RESIDENCY THOSE
03:21:56.003 --> 03:21:57.438
FUNDS TO BE ADMINISTERED BY THE
03:21:57.505 --> 03:21:58.773
PSYCHIATRY RESIDENCY GRANT
03:21:58.840 --> 03:22:01.476
PROGRAMS REFERENCED EARLIER AN
03:22:01.542 --> 03:22:02.577
ADDITIONAL EIGHT CHANNEL TWENTY
03:22:02.643 --> 03:22:04.278
POINT FOUR MILLION DOLLAR
03:22:04.345 --> 03:22:08.115
INVEST TO MOVE TOWARD TOUCH PAD
03:22:08.182 --> 03:22:11.385
FOR NEW PRIME RESIDENCY FOR
03:22:11.452 --> 03:22:13.621
MEN'S UP. ON HEALTH CARE
03:22:13.688 --> 03:22:15.990
WORKFORCE TRAINING PROGRAM AND
03:22:16.057 --> 03:22:17.325
I WANT TO MAYBE JUST A
03:22:17.391 --> 03:22:19.060
KNOWLEDGE AND TACKLE SOME WAYS
03:22:19.126 --> 03:22:20.895
THE COMMENT YOU MADE EARLIER IN
03:22:20.962 --> 03:22:22.930
TERMS OF THINKING ABOUT- JUST
03:22:22.997 --> 03:22:27.001
THE DOLLAR- THAT GO TOWARDS-
03:22:27.068 --> 03:22:28.936
THE PRESENCE HE PROGRAMS- AS
03:22:29.003 --> 03:22:30.638
NOTED IN THE COMMENTS EARLIER.
03:22:30.705 --> 03:22:33.174
THANKS IT HAS DIRECTLY. TWENTY
03:22:33.241 --> 03:22:34.575
FIVE THOUSAND PER SLOT I WILL
03:22:34.642 --> 03:22:36.511
ACKNOWLEDGE AS- SONG BROWN IS
03:22:36.577 --> 03:22:37.812
INVOLVED IN RECENT YEARS WITH
03:22:37.879 --> 03:22:39.547
THE THIRTY THREE MILLION DOLLAR
03:22:39.614 --> 03:22:41.516
INVESTMENT WE HAVE SEEN IN
03:22:41.582 --> 03:22:42.483
DIFFERENT DOLLAR FIGURES GOING
03:22:42.550 --> 03:22:44.886
TOWARDS. BOTH EXPANDED SLOT
03:22:44.952 --> 03:22:46.254
EXISTING PROGRAM VERSUS BRED
03:22:46.320 --> 03:22:47.655
PROGRAMS AGAIN RCOGNIZE THE
03:22:47.722 --> 03:22:50.157
FINANCIAL- INVESTORS EITHER BY
03:22:50.224 --> 03:22:52.560
THE TO SAN AND CERTAINLY
03:22:52.627 --> 03:22:54.829
WELCOME THE CONVERSATIONS ALL
03:22:54.896 --> 03:22:56.097
OF YOU IN TERMS OF. WHAT THEY
03:22:56.163 --> 03:23:00.268
DON'T WANT TO GET. A FIX UP ALL
03:23:00.334 --> 03:23:03.070
THIS IS BAD BUT- CERTAINLY I
03:23:03.137 --> 03:23:09.076
JUST EXPANSION. WE DON'T HAVE A
03:23:09.143 --> 03:23:10.011
STRONG. PLAYING WE ARE AWARE OF
03:23:10.077 --> 03:23:11.913
INTEREST FOR NEW PROGRAMS THE
03:23:11.979 --> 03:23:13.247
TEACHING HEALTH CENTER SPACE
03:23:13.314 --> 03:23:14.815
WHERE AGAIN WE SEE COULD YOU TO
03:23:14.882 --> 03:23:16.617
STRUGGLE IN FEDERAL FUNDING-
03:23:16.684 --> 03:23:19.153
AND ALSO IN THE BROADER JUST A
03:23:19.220 --> 03:23:20.388
WHOLE SYSTEM SPACE WHERE HEALTH
03:23:20.454 --> 03:23:22.290
CENTERS ONE OF THE PARTNERS. TO
03:23:22.356 --> 03:23:24.392
HOSPITALS AND OTHER PLAYERS
03:23:24.458 --> 03:23:25.459
INSTANT WHEN THE START
03:23:25.526 --> 03:23:27.962
RESIDENCY PROGRAMS BUT DON'T
03:23:28.029 --> 03:23:29.564
HAVE THE FINANCIAL STABILITY
03:23:29.630 --> 03:23:32.366
THEY KNOW THEY NEED. TO THAT
03:23:32.433 --> 03:23:34.368
INITIATIVE. PLEASE READ THE
03:23:34.435 --> 03:23:36.003
CALIFORNIA HOSPITAL ASSOCIATION
03:23:36.070 --> 03:23:37.772
HERE TODAY IN SUPPORT OF THIS
03:23:37.838 --> 03:23:40.841
PROPOSAL AS WELL AND THE ONLY
03:23:40.908 --> 03:23:42.109
THING I WOULD LIKE TO ADD- TO
03:23:42.176 --> 03:23:45.313
MY EARLIER COMMENTS FOR. HAVING
03:23:45.379 --> 03:23:47.081
SPECIFIC. I CRIED THREE FIRST
03:23:47.148 --> 03:23:49.016
OF ALL WOULD BE- THAT IS THAT
03:23:49.083 --> 03:23:51.719
WOULD BE NEW- AND I THINK IT
03:23:51.786 --> 03:23:54.555
WOULD WOULD- NOT NECESSARILY.
03:23:54.622 --> 03:23:57.124
LAST JUST ONE YEAR THERE ARE
03:23:57.191 --> 03:23:59.260
ABOUT TWENTY TWO HOSPITALS
03:23:59.327 --> 03:24:00.361
SOMEONE TEACHING HEALTH CENTER
03:24:00.428 --> 03:24:02.063
THAT TRAIN PSYCHIATRIC
03:24:02.129 --> 03:24:04.231
RESIDENTS IF THEY KNEW. THE
03:24:04.298 --> 03:24:06.701
SPECIAL FUND FORWARD GEN
03:24:06.767 --> 03:24:09.003
PSYCHIATRY GME I THINK THEY
03:24:09.070 --> 03:24:10.871
MIGHT BE ENCOURAGED TO. FUND
03:24:10.938 --> 03:24:12.807
ONE OR TWO ADDITIONAL AND THEN
03:24:12.873 --> 03:24:15.176
A YEAR LATER ON OR TWO A DAY
03:24:15.242 --> 03:24:17.812
AND ALL EIGHT GRANTED ONLY DO
03:24:17.878 --> 03:24:20.848
THIS FOR A FEW YEARS WITH.
03:24:20.915 --> 03:24:23.651
TWENTY MILLION BUT THANK YOU IT
03:24:23.718 --> 03:24:36.998
WOULD BE YOU. ALL RIGHT.
03:24:37.064 --> 03:24:38.733
ACTUALLY GET THERE AGAIN THE
03:24:38.799 --> 03:24:39.600
ESSENTIALS WITH SO WE HAVE
03:24:39.667 --> 03:24:41.135
SEVERAL PROPOSALS REGARDING
03:24:41.202 --> 03:24:42.236
RESIDENCY TRAINING POST
03:24:42.303 --> 03:24:44.171
GRADUATE FELLOWSHIP TRAININGS
03:24:44.238 --> 03:24:46.774
THAT CENTER- I MEAN YOU HAVE
03:24:46.841 --> 03:24:47.375
EXPERIENCE WITH THESE THROUGH
03:24:47.441 --> 03:24:49.110
SONG BROWN AND THE THOMSON AND
03:24:49.176 --> 03:24:51.846
OTHER TYPE PROGRAMS- THING ONE
03:24:51.912 --> 03:24:56.183
TIME. BECAUSE I KNOW YOU'RE IN
03:24:56.250 --> 03:24:56.784
DECISIONS UP A THE GOVERNOR'S
03:24:56.851 --> 03:24:58.819
REQUEST BY MEANS IS IN TERMS
03:24:58.886 --> 03:24:59.654
FOR THE TECH A ASSISTANCE POINT
03:24:59.720 --> 03:25:04.792
OF VIEW. WE DO DECIDE TO SAY
03:25:04.859 --> 03:25:05.660
DOES DECIDE WE CAN AGREEMENT TO
03:25:05.726 --> 03:25:07.294
DEFY IN THE THINGS I MEAN HOW
03:25:07.361 --> 03:25:09.730
YOU SEE. LUCIFER THE WAVE
03:25:09.797 --> 03:25:11.499
STRUCK THE FUNDING FROM YOUR-
03:25:11.565 --> 03:25:14.468
WITH WITH HAVING SUPPORTED BUSY
03:25:14.535 --> 03:25:18.139
TRAINING PROGRAMS. COMMENT ON
03:25:18.205 --> 03:25:23.444
THAT. I SAID WITH THE PSYCH
03:25:23.511 --> 03:25:24.512
RESIDENCY PROGRAM THAT WE'RE
03:25:24.578 --> 03:25:25.913
TRYING TO STAND UP WE HAVE
03:25:25.980 --> 03:25:28.549
HEARD CONCERNS FROM THE-
03:25:28.616 --> 03:25:31.085
TRAINING AND COMMUNITY IS A
03:25:31.152 --> 03:25:32.286
REPUBLIC IN ONE TIME FUNDING
03:25:32.353 --> 03:25:33.788
THAT WE EVEN HAVE FOR WHAT-
03:25:33.854 --> 03:25:35.056
THAT SAID THE PROGRAMS HAVE
03:25:35.122 --> 03:25:36.390
ALSO INDICATED THAT THEY
03:25:36.457 --> 03:25:38.325
CERTAINLY WOULD BE INTERESTED
03:25:38.392 --> 03:25:41.462
IN TYING OUT DOWN GIVE ONE
03:25:41.529 --> 03:25:45.599
TIME FUND. AT THIS POINT HARD
03:25:45.666 --> 03:25:49.837
FOR TO THE EARLY THE JURY A
03:25:49.904 --> 03:25:53.574
SUCH ACROSS THE BORDER. IF YOU.
03:25:53.641 --> 03:25:56.610
WERE TO TAKE AN- SOUTH OF
03:25:56.677 --> 03:25:57.578
EXACTLY HOW THEY'LL FIT
03:25:57.645 --> 03:26:01.115
TOGETHER BY I HADN'T. THIS
03:26:01.182 --> 03:26:04.385
PRESENT HANS. FOR RIGHT OKAY TO
03:26:04.452 --> 03:26:10.558
STIR OF YOUR HELLO. WE DID THE
03:26:10.624 --> 03:26:12.359
RELEASE OF A NOW LAW YEAR WORK
03:26:12.426 --> 03:26:15.796
FOR PRO CHEN WE DID THAT THE
03:26:15.863 --> 03:26:17.431
THAT FUNNY PROVIDED BY A LIMóN
03:26:17.498 --> 03:26:19.467
ON A PROVIDE A LIMITED TERM
03:26:19.533 --> 03:26:21.635
BASE TO ALLOW ALLEGES TO RE OF
03:26:21.702 --> 03:26:23.304
WORK FORCES AND SO FORTH NOT
03:26:23.370 --> 03:26:26.073
MISS AS A YEAR BUT TO ME FLEX
03:26:26.140 --> 03:26:28.709
IN IN YOU KNOW ASSESSING HOW
03:26:28.776 --> 03:26:30.778
WITH THE WORK FORCES WHEN WIN
03:26:30.845 --> 03:26:34.081
FOR ME IN THIS IN THIS. AND
03:26:34.148 --> 03:26:35.282
THEN WE DID ALSO NO THAT
03:26:35.349 --> 03:26:36.584
SPECIALLY IN SO FAR AS THIS
03:26:36.650 --> 03:26:38.385
THIS FUNDING WOULD BE USED TO
03:26:38.452 --> 03:26:40.454
STEP NEW PROGRAMS THAT THAT
03:26:40.521 --> 03:26:43.491
MEDICARE TAKE UP SO OF THE ON
03:26:43.557 --> 03:26:45.226
GOING LOSS OF. BEING THOSE
03:26:45.292 --> 03:26:46.293
OPERATIONS GOING ON ON AN
03:26:46.360 --> 03:26:49.563
ONGOING BASIS S RICH SIR IT'S
03:26:49.630 --> 03:26:53.067
AND IF I BAND COULD GET UP
03:26:53.134 --> 03:26:58.205
BROWN. THANK YOU I THINK THE
03:26:58.272 --> 03:26:59.240
MOTHER THE BALANCE BUDGET ACT
03:26:59.306 --> 03:27:01.342
OF FORGOT WHICH- IS THE ONE.
03:27:01.408 --> 03:27:02.510
AND IT MAKES CHALLENGE FOR
03:27:02.576 --> 03:27:04.411
MEDICARE TO PAY IT UP IF CAP
03:27:04.478 --> 03:27:06.313
THE NUMBER OF VISITS SO YEAH
03:27:06.380 --> 03:27:08.282
EXTINCTION. YEAH EXCEPT FOR AT
03:27:08.349 --> 03:27:09.950
THE NEW THE NEW RIGHT THAT
03:27:10.017 --> 03:27:11.252
DON'T HAVE. THAT'S WHY WE THINK
03:27:11.318 --> 03:27:12.586
WANT FUNDING BE USED FOR THIS.
03:27:12.653 --> 03:27:16.824
PURPOSE YEAH I SO THE TV A
03:27:16.891 --> 03:27:18.726
BASICALLY A OTHER PROGRAMS
03:27:18.793 --> 03:27:21.562
BECAUSE- AND SOME STE QUOTE GET
03:27:21.629 --> 03:27:23.564
AVAILABLE SO YOU PROGRAM IT
03:27:23.631 --> 03:27:25.399
MIGHT BE A TO BUT- THAT BUT THE-
03:27:25.466 --> 03:27:29.069
THAT. NOT TERRIBLY CALM FOR.
03:27:29.136 --> 03:27:31.305
THAT DID YOU THIS IS IN NINE
03:27:31.372 --> 03:27:34.675
NINETY. YEAH I THINK EIGHT OR
03:27:34.742 --> 03:27:37.478
NINETY. IT'S LATE AT. SO YEAH
03:27:37.545 --> 03:27:39.079
HOUSE MAKE ANOTHER DISTINCT
03:27:39.146 --> 03:27:40.714
WHICH IS AND RELEASED THE
03:27:40.781 --> 03:27:44.385
TEACHING CENTER FOR AND FOR.
03:27:44.451 --> 03:27:45.186
THE RECOGNIZING THEIR HOUSE ON
03:27:45.252 --> 03:27:47.721
ARE SERVING UP. MEDI CAL AND
03:27:47.788 --> 03:27:52.893
INJURED. WELCOME THAT
03:27:52.960 --> 03:27:54.295
DISCUSSION YEAH WE CAN AT THE
03:27:54.361 --> 03:27:55.696
WILL LEAVE WE CAN HAVE THAT
03:27:55.763 --> 03:27:58.165
CONVERSATION TO. ALL RIGHT SO
03:27:58.232 --> 03:28:00.668
ALL RIGHT OKAY. THANKS VERY
03:28:00.734 --> 03:28:02.970
MUCH OKAY WE FINALLY HAVE THE-
03:28:03.037 --> 03:28:04.405
SUBSTANCE USE DISORDER
03:28:04.471 --> 03:28:06.106
WORKFORCE EXPANSION AND WE
03:28:06.173 --> 03:28:07.474
HAVE. THE CALIFORNIA COUNCIL
03:28:07.541 --> 03:28:09.009
COMMUNITY BEHAVIOR HEALTH
03:28:09.076 --> 03:28:17.852
AGENCIES HERE THE. WELCOME. SO
03:28:17.918 --> 03:28:18.452
I DON'T KNOW HOW MANY PEOPLE
03:28:18.519 --> 03:28:20.588
ACTUALLY TESTIFYING YET THREE
03:28:20.654 --> 03:28:23.123
MINUTES TOTAL OKAY THE FIGURE
03:28:23.190 --> 03:28:27.027
THAT OUT. OF SAYS- DONATED
03:28:27.094 --> 03:28:30.030
BECAUSE WERE POPULAR COULD GO.
03:28:30.097 --> 03:28:31.065
WE WANT TO RESPECT YOUR TIME
03:28:31.131 --> 03:28:33.167
LIMIT SO- I WILL PROVIDE THE
03:28:33.234 --> 03:28:34.168
TESTIMONY AND THEN I HAVE FOLKS
03:28:34.235 --> 03:28:35.603
FROM THE CO SPONSORING
03:28:35.669 --> 03:28:37.104
ORGANIZATIONS HERE FOR- ANY
03:28:37.171 --> 03:28:37.972
QUESTIONS OR TECHNICAL
03:28:38.038 --> 03:28:39.607
ASSISTANCE ALL RIGHT THANK YOU.
03:28:39.673 --> 03:28:41.709
SEC AFTERNOON AT GERMANTOWN AND
03:28:41.775 --> 03:28:44.511
US SENATORS- I'M WE UNDER THE
03:28:44.578 --> 03:28:45.946
CAR BE THE DIRECTOR OF POLICY
03:28:46.013 --> 03:28:47.781
AND LEGISLATIVE AFFAIRS AT THE
03:28:47.848 --> 03:28:49.550
CALIFORNIA COUNT LOOKING AB HOW
03:28:49.617 --> 03:28:54.355
THEY- AHA. PERCENT A ACROSS
03:28:54.421 --> 03:28:55.189
WHICH PROVIDE HEALTH SUBSTANCE
03:28:55.256 --> 03:28:57.358
DISORDERS WE HAVE SUBMITTED A
03:28:57.424 --> 03:28:59.026
LETTER IN SUPPORT OF OUR
03:28:59.093 --> 03:29:00.694
REQUEST TO EXPAND THE SUBSTANCE
03:29:00.761 --> 03:29:02.029
USE DISORDER WORKFORCE BY
03:29:02.096 --> 03:29:03.264
ALLOCATING FOUR POINT SEVEN IN
03:29:03.330 --> 03:29:05.866
GENERAL FUND DOLLARS TO THE
03:29:05.933 --> 03:29:07.001
ADMINISTRATOR TO BE
03:29:07.067 --> 03:29:11.205
ADMINISTERED BY OFSHE BUT
03:29:11.272 --> 03:29:11.839
TWENTY SIX TENS OF SIGNED ON IN
03:29:11.906 --> 03:29:12.439
SOME. AN IMPORTANT FOCUS TODAY
03:29:12.506 --> 03:29:14.875
AND I. THE FOCUS ON THE
03:29:14.942 --> 03:29:16.410
PHYSICIAN SHORTAGE THERE'S ALSO
03:29:16.477 --> 03:29:18.913
A GROWING CRISIS AS IT PERTAINS
03:29:18.979 --> 03:29:19.780
TO THE BEHAVIORAL HEALTH WORK
03:29:19.847 --> 03:29:21.715
FOURTH THOUGH 8% OF
03:29:21.782 --> 03:29:23.550
CALIFORNIANS MET THE CRITERIA
03:29:23.617 --> 03:29:24.952
FOR SUBSTANCE USE DISORDER IN
03:29:25.019 --> 03:29:27.221
THE PAST YEAR ONLY ONE IN TEN.
03:29:27.288 --> 03:29:29.890
TREATMENT THEN SEVEN HUNDRED OF
03:29:29.957 --> 03:29:31.558
NEARLY A HUNDRED AND FORTY
03:29:31.625 --> 03:29:33.294
THOUSAND PHYSICIANS WHO HOLD A
03:29:33.360 --> 03:29:34.628
CALIFORNIA LICENSE MAINTAIN AN
03:29:34.695 --> 03:29:35.229
ADDICTION SPECIALTY
03:29:35.296 --> 03:29:37.364
CERTIFICATION. THE TWENTY
03:29:37.431 --> 03:29:38.532
TWENTY NATIONAL CONTROL DRUG
03:29:38.599 --> 03:29:39.800
STRATEGY REPORT INDICATES THAT
03:29:39.867 --> 03:29:41.201
QUOTE BUILDING THE ADDICTION
03:29:41.268 --> 03:29:42.970
TREATMENT WORKFORCE IS ONE OF
03:29:43.037 --> 03:29:45.105
THE MOST IMPORTANT WAYS TO
03:29:45.172 --> 03:29:46.907
ADDRESS GAPS AND TREATMENT. SO
03:29:46.974 --> 03:29:50.110
THIS PROPOSAL THANKS TO A COMP.
03:29:50.177 --> 03:29:50.644
THREE ONE ONE I PROVIDING
03:29:50.711 --> 03:29:51.812
TUITION REIMBURSEMENT AND TEST
03:29:51.879 --> 03:29:53.881
WAIVERS. FUNDING THE LANGUAGE
03:29:53.948 --> 03:29:55.649
TRANSLATION OF EXAMINATIONS IN
03:29:55.716 --> 03:29:56.617
ORDER TO SUPPORTER
03:29:56.684 --> 03:29:57.651
LINGUISTICALLY DIVERSE
03:29:57.718 --> 03:29:59.920
APPLICANT POPULATION AND THREE
03:29:59.987 --> 03:30:01.221
CREATING A SIDE WORK FORCE
03:30:01.288 --> 03:30:03.457
NEEDS ASSESSMENT TO EXAMINE THE
03:30:03.524 --> 03:30:05.793
BREATH OF THE WORK FOR SHORTAGE
03:30:05.859 --> 03:30:08.329
AND IDENTIFY BARRIERS FOR ENTRY.
03:30:08.395 --> 03:30:10.064
SO WE WERE OFF YOU THE ADMIN IN
03:30:10.130 --> 03:30:10.998
A THOUGHT WE'RE COMMITTED TO
03:30:11.065 --> 03:30:12.433
WERE WITH ANY OTHER ELEMENT.
03:30:12.499 --> 03:30:14.635
DOORS AS A PROPOSAL MOVES TO
03:30:14.702 --> 03:30:17.004
THE SPOT THANK YOU. THE YOU.
03:30:17.071 --> 03:30:20.274
BEGIN THE CALIFORNIA CONSORTIUM
03:30:20.341 --> 03:30:21.008
OF ADDICTION PROGRAMS AND
03:30:21.075 --> 03:30:22.543
PROFESSIONALS I JUST WANT TO
03:30:22.609 --> 03:30:24.011
PAINT A PICTURE OF THE UNMET
03:30:24.078 --> 03:30:26.814
DEMAND TO- SHOW THE URGENCY OF
03:30:26.880 --> 03:30:29.583
THIS ISSUE ALTHOUGH WE ARE
03:30:29.650 --> 03:30:31.251
DEALING WITH THE COPA DO A TO
03:30:31.318 --> 03:30:32.252
MAKE WE ARE ALSO IN THE MIDST
03:30:32.319 --> 03:30:34.054
OF. BUT AMERICAN INCREASE. I
03:30:34.121 --> 03:30:36.457
WANT. TO MAKE ON THE HORIZON WE
03:30:36.523 --> 03:30:37.858
HAVE AN INCREASE SOCIETAL
03:30:37.925 --> 03:30:39.460
ACCEPTANCE OF TRIMMING WHICH IS
03:30:39.526 --> 03:30:40.627
DRIVING MORE PEOPLE TO GO INTO
03:30:40.694 --> 03:30:42.363
TREATMENT. WE HAVE PROP SIXTY
03:30:42.429 --> 03:30:44.465
FOUR FUNDING COMING AT UPWARDS
03:30:44.531 --> 03:30:45.632
OF A EIGHT HUNDRED MILLION
03:30:45.699 --> 03:30:46.567
DOLLARS EVENTUALLY WHICH IS
03:30:46.633 --> 03:30:48.435
DEDICATED TO. TREATMENT OF
03:30:48.502 --> 03:30:50.137
YOUTH WE HAVE TREATMENT
03:30:50.204 --> 03:30:53.440
EXPANSION IN JAILS AND- BOB.
03:30:53.507 --> 03:30:54.608
FOR FURTHER TO AND FOR MENTAL
03:30:54.675 --> 03:30:56.076
HEALTH SUBSTANCE USE DISORDER
03:30:56.143 --> 03:30:58.579
IN SCHOOLS. WE HAVE THE CAL AIM
03:30:58.645 --> 03:31:00.981
INTEGRATION PROGRAM WHICH CALLS
03:31:01.048 --> 03:31:02.216
FOR MORE SUBSISTENCE. DISORDER
03:31:02.282 --> 03:31:04.151
PROVIDE ME SPREAD THROUGH A-
03:31:04.218 --> 03:31:06.253
MENTAL HEALTH CLINICS. WE HAVE
03:31:06.320 --> 03:31:08.789
A- THE GOVERNOR'S PLANS TO
03:31:08.856 --> 03:31:10.724
ADDRESS HOMELESSNESS WE HAVE
03:31:10.791 --> 03:31:12.659
THE MEASURE YOU PASSED LAST
03:31:12.726 --> 03:31:14.728
YEAR TO PUT A SUBSTANCE USE
03:31:14.795 --> 03:31:16.497
DISORDER CANCER IN EVERY. ROOM
03:31:16.563 --> 03:31:19.166
AND THE STATE WHICH DON'T HAVE.
03:31:19.233 --> 03:31:21.602
AND UNFORTUNATELY WHERE MOST
03:31:21.668 --> 03:31:22.169
INDUSTRIES DURING THE NIGHT
03:31:22.236 --> 03:31:23.170
COMING DOWN TERM WAS CHAU
03:31:23.237 --> 03:31:25.406
UPLOAD A NEED FOR EMPLOYEES.
03:31:25.472 --> 03:31:27.174
IT'S OPPOSITE ADDICTION
03:31:27.241 --> 03:31:28.475
TREATMENT AS THE ME IS ON THE
03:31:28.542 --> 03:31:30.544
VERGE OF SLOW. OUR NUMBERS ARE
03:31:30.611 --> 03:31:31.979
GO MUCH HIGHER PEOPLE'S UNMET
03:31:32.046 --> 03:31:35.015
NEEDS MEANT SHOW UP WHEN
03:31:35.082 --> 03:31:38.419
THEY'RE UNEMPLOYED SO WITH ALL
03:31:38.485 --> 03:31:39.820
OF THE THINGS IN MARIN AND KEEP.
03:31:39.887 --> 03:31:48.128
WE TO SEEDOLLARS. CATEGORY.
03:31:48.195 --> 03:31:52.166
DID YOU. GET HI WORKFORCE THAT
03:31:52.232 --> 03:31:54.268
MANY FOR CAT MA E. L. L. A PRO
03:31:54.334 --> 03:31:56.837
AND ANGELES COUNTY SO THE ONLY
03:31:56.904 --> 03:31:57.771
THING I REALLY WOULD LIKE TO
03:31:57.838 --> 03:31:59.540
SAY IS THAT THERE'S AN EXTREME
03:31:59.606 --> 03:32:01.442
WORKFORCE PROBLEM IN LOS
03:32:01.508 --> 03:32:04.645
ANGELES AND THERE ARE NO FUNDS
03:32:04.711 --> 03:32:05.946
FOR CALIFORNIA ANYWHERE FOR
03:32:06.013 --> 03:32:08.582
WORK FOR SHORTAGE FOR.
03:32:08.649 --> 03:32:10.217
COUNSELORS WE MAY OF THE
03:32:10.284 --> 03:32:11.652
CALIFORNIA OF ALCOHOL AND DRUG
03:32:11.718 --> 03:32:13.620
PROGRAM EXECUTIVES WE ARE ONE
03:32:13.687 --> 03:32:14.988
OF THE CO SPONSORS OF THIS
03:32:15.055 --> 03:32:17.424
PROPOSAL AND JURORS APPROACH
03:32:17.491 --> 03:32:19.126
FULLER. THANK YOU THANK YOU. US
03:32:19.193 --> 03:32:21.428
VIED ANY DOCTOR OPINIONS ARE
03:32:21.495 --> 03:32:25.299
EIGHT. AVAIL FINANCE BILL OKAY.
03:32:25.365 --> 03:32:27.835
RIGHT THAT CERTAINLY. HILL
03:32:27.901 --> 03:32:30.904
KINDS OF THE- LACK OF FUNDING
03:32:30.971 --> 03:32:32.806
FOR TRAINING IN AND SHORTAGES
03:32:32.873 --> 03:32:33.373
IN THE AREA SO I APPRECIATE
03:32:33.440 --> 03:32:37.578
YOUR- YOUR PRESENTATIONS- AND-
03:32:37.644 --> 03:32:40.114
NO SMALL- HOLDING ALL THE ITEMS
03:32:40.180 --> 03:32:42.116
OPENS UP. THANK YOU VERY MUCH
03:32:42.182 --> 03:32:45.018
THANK YOU. ARE WITH THAT THE
03:32:45.085 --> 03:32:46.353
PUBLIC COMMENT ON ANY OF THE
03:32:46.420 --> 03:32:50.257
ISSUES REDUCE IT TO- THAT.
03:32:50.324 --> 03:32:51.325
PLEASE COME TO THE MIKE.
03:32:51.391 --> 03:32:52.759
INTRODUCE YOURSELF I GET
03:32:52.826 --> 03:32:54.695
AFTERNOON DOCTOR PAN AM JDS
03:32:54.761 --> 03:32:56.163
HERE ON BEHALF OF SCA YOU
03:32:56.230 --> 03:32:58.132
CALIFORNIA WOULD LIKE TO
03:32:58.198 --> 03:33:00.634
COMMENT ON TWO THINGS FIRST ON
03:33:00.701 --> 03:33:02.469
THE PRESENTATION OF AWESOME
03:33:02.536 --> 03:33:03.103
HEAD WITH REGARDS TO THE HEALTH
03:33:03.170 --> 03:33:05.305
CARE. PAYMENTS DATABASE AS THE
03:33:05.372 --> 03:33:06.607
IDEA IT HAS BEEN AN ACTIVE
03:33:06.673 --> 03:33:08.542
MEMBER OF THE REVIEW COMMITTEE.
03:33:08.609 --> 03:33:09.710
WE DO SUPPORT ALL OF THE
03:33:09.776 --> 03:33:11.278
RECOMMENDED TENS THAT HAVE BEEN
03:33:11.345 --> 03:33:13.013
PUT FORWARD BY THE COMMITTEE
03:33:13.080 --> 03:33:15.048
ALTHOUGH WE DO UNDERSTAND THAT
03:33:15.115 --> 03:33:16.150
YOU KNOW DOUBLES ARE IN THE
03:33:16.216 --> 03:33:20.888
DETAILS AND WE LOOK VERY MUCH
03:33:20.954 --> 03:33:22.356
FOR TO. ONLY THE BUDGET CUTS
03:33:22.422 --> 03:33:24.391
STATE AS WELL AS THE SHINS
03:33:24.458 --> 03:33:28.495
AROUND. NG IT FINALLY. STATE
03:33:28.562 --> 03:33:31.131
I'D YOU MEANT TO BE ARE THE
03:33:31.198 --> 03:33:31.765
SECOND THING I LIKE TO READ SO
03:33:31.832 --> 03:33:34.668
ON IS THE BCP PAPA FOR SB TO
03:33:34.735 --> 03:33:35.636
FORTY TWO WE WERE THE COAST OF
03:33:35.702 --> 03:33:37.838
THE BILL AND WE APPRECIATE YOUR
03:33:37.905 --> 03:33:39.806
THEIR SHIP ON ISSUE THANK YOU
03:33:39.873 --> 03:33:42.042
THANK YOU. WELCOME HI ADDRESS
03:33:42.109 --> 03:33:43.110
MIGUEL ON A PLANE HERE IN
03:33:43.177 --> 03:33:45.312
PHILLY TO CALIFORNIA- JUST WANT
03:33:45.379 --> 03:33:46.713
TO MENTION DURING THE PUBLIC
03:33:46.780 --> 03:33:48.448
COMMENT OPPORTUNITY THAT WE'RE
03:33:48.515 --> 03:33:49.383
REALLY EXCITED TO BE WORKING
03:33:49.449 --> 03:33:49.983
WITH THEPRIMARY CARE
03:33:50.050 --> 03:33:52.319
ASSOCIATION ON WORKFORCE.
03:33:52.386 --> 03:33:53.086
PLEASE THAT PERTAINS TO THE
03:33:53.153 --> 03:33:55.889
ADVANCED PRACTICE CLINICIANS-
03:33:55.956 --> 03:33:58.725
AND THEIR DEBT IF AS YOU KNOW
03:33:58.792 --> 03:33:59.760
THE PLAN HER HEALTH CENTERS AND
03:33:59.826 --> 03:34:00.894
OTHER COMMUNITY CENTERS ARE A
03:34:00.961 --> 03:34:03.330
CRITICAL PART OF THE SAFETY NET
03:34:03.397 --> 03:34:05.599
WE HAVE. MORE THAN 86% OF ALL
03:34:05.666 --> 03:34:07.367
PATIENTS AND THEIR- FUNDED BY
03:34:07.434 --> 03:34:12.239
PUBLIC ROOMS. GIVE MY- AND- TAX
03:34:12.306 --> 03:34:14.041
AND EVERY WOMAN. AND SO. YOU
03:34:14.107 --> 03:34:15.776
KNOW. WITH THAT WE ALSO HEAR
03:34:15.842 --> 03:34:16.743
FROM THE AFFILIATES THAT THEY
03:34:16.810 --> 03:34:18.612
HAVE PROBLEMS AND RULE URBAN
03:34:18.679 --> 03:34:20.247
SUBURBAN ENVIRONMENTS A LAKE
03:34:20.314 --> 03:34:22.049
WITH RECRUITMENT AND RETENTION
03:34:22.115 --> 03:34:24.651
DUE TO THE TIGHT JOB MARKET-
03:34:24.718 --> 03:34:27.120
AND SOME OTHER FACTORS OF. THE
03:34:27.187 --> 03:34:30.157
SAFETY NETWORK PLACES SO- WE'RE
03:34:30.224 --> 03:34:31.658
YOU KNOW WE'RE REALLY HOPING
03:34:31.725 --> 03:34:33.427
THAT THERE COULD BE SOME- SOME
03:34:33.493 --> 03:34:35.295
SHORT TERM FUNDING ON ON THIS
03:34:35.362 --> 03:34:37.097
TO HELP MAKE SURE THAT THERE'S-
03:34:37.164 --> 03:34:38.999
YOU KNOW ADEQUATE STAFFING OF
03:34:39.066 --> 03:34:40.734
THESE- IMPORTANT CLINICIANS
03:34:40.801 --> 03:34:42.803
WITHIN THE SAFETY NOT. AT ALL A
03:34:42.869 --> 03:34:44.571
KEY HEALTH CENTERS THANK YOU
03:34:44.638 --> 03:34:47.341
THANK YOU. THANKS WELCOME. AND
03:34:47.407 --> 03:34:48.408
ASKING ON BEHALF OF THE
03:34:48.475 --> 03:34:49.576
CALIFORNIA ACADEMY OF FAMILY
03:34:49.643 --> 03:34:51.378
PHYSICIANS HERE TO SUPPORT
03:34:51.445 --> 03:34:53.113
VOICE SUPPORT FOR CONTINUED
03:34:53.180 --> 03:34:54.815
SUPPORT OF THE SONG BROWN
03:34:54.881 --> 03:34:56.116
PROGRAM THE ONLY WORKFORCE
03:34:56.183 --> 03:34:58.018
TRAINING PROGRAM THAT PROVIDE
03:34:58.085 --> 03:35:00.220
FUNDING AND SUPPORT FOR PRIMARY
03:35:00.287 --> 03:35:01.488
CARE FAMILY PHYSICIAN LOOKS
03:35:01.555 --> 03:35:04.858
LIKE ONE US LOT OF SONG BROWN
03:35:04.925 --> 03:35:06.793
CREATE SIX HUNDRED ADDITIONAL
03:35:06.860 --> 03:35:08.528
PATIENT VISITS PER YEAR JUST IN
03:35:08.595 --> 03:35:10.631
THE TRAINING TIME SO IT SEEMS
03:35:10.697 --> 03:35:13.033
THAT THIS IS AN APPROPRIATE
03:35:13.100 --> 03:35:14.434
TIME TO BE HAVING PER SE ABOUT
03:35:14.501 --> 03:35:17.137
GETTING. A TIME WITH RIGHT. CAN
03:35:17.204 --> 03:35:18.205
YOU COMPETITIONS ON THIS THANK
03:35:18.272 --> 03:35:21.041
YOU THANK YOU WELCOME KELLY
03:35:21.108 --> 03:35:21.708
BEING OVER HALF OF THE
03:35:21.775 --> 03:35:23.510
CALIFORNIA MEDICAL ASSOCIATION
03:35:23.577 --> 03:35:24.945
I APPRECIATE THE TEARS
03:35:25.012 --> 03:35:26.313
THOUGHTFUL COMMENTS ABOUT
03:35:26.380 --> 03:35:27.314
ACCOUNTABILITY FOR THE EXISTING
03:35:27.381 --> 03:35:29.283
JAMIE RIGHT AND SEES LOTS AND
03:35:29.349 --> 03:35:31.051
ALSO LOOK PAYMENT WE WOULD
03:35:31.118 --> 03:35:33.654
ENCOURAGE ANY NEW- BEING. BE A
03:35:33.720 --> 03:35:36.089
SERVICE DEPARTMENT LIKE OTHER
03:35:36.156 --> 03:35:37.157
LOAN REPAYMENT SERVICE-
03:35:37.224 --> 03:35:40.260
REQUIREMENTS AT SO I WOULD SAY
03:35:40.327 --> 03:35:42.896
THAT ON THE DMB RESIN BUT G.
03:35:42.963 --> 03:35:47.534
CLOAK. I CAN MENTION TECH THAT
03:35:47.601 --> 03:35:49.436
WILL. OF I'M WE APPRECIATE ALL
03:35:49.503 --> 03:35:51.071
THE COME THINK YOU. THANK YOU
03:35:51.138 --> 03:35:53.106
WELCOME. LINDA WAY WITH WESTERN
03:35:53.173 --> 03:35:54.374
CENTER LAW AND- WE TO SUPPORT
03:35:54.441 --> 03:35:56.910
THE ALL PAYER CLAIMED. AS WELL
03:35:56.977 --> 03:35:58.578
AS ISSUE THREE WE SUPPORTED THE
03:35:58.645 --> 03:36:00.514
LEGISLATION SB THREE FOUR THREE
03:36:00.580 --> 03:36:01.848
IN SUPPORT THE BEAST THANKS
03:36:01.915 --> 03:36:03.583
THANK YOU. WELCOME GOOD
03:36:03.650 --> 03:36:04.618
AFTERNOON RENTAL COMING HERE
03:36:04.685 --> 03:36:06.553
BEHALF OF HEALTH ACCESS WE
03:36:06.620 --> 03:36:07.487
SUPPORT ISSUE NUMBER THREE ON
03:36:07.554 --> 03:36:11.425
HEALTHCARE DATA DISCLOSURE THE-
03:36:11.491 --> 03:36:12.592
THREE FORTY THREE AND ALSO
03:36:12.659 --> 03:36:13.727
ISSUE FOR ON HOW. CAN YOU BE
03:36:13.794 --> 03:36:16.463
BETTER. REPORTING FOR EIGHTY
03:36:16.530 --> 03:36:16.963
FOR ADDITIONALLY WE ALSO
03:36:17.030 --> 03:36:17.898
SUPPORT THE COMMENTS FROM
03:36:17.964 --> 03:36:19.866
MOSCOW ON THE H. B. D.
03:36:19.933 --> 03:36:22.469
CERTAINLY HELP ACCESS HAD BEEN
03:36:22.536 --> 03:36:23.937
A PART OF THE HEALTHCARE.
03:36:24.004 --> 03:36:27.374
PAYMENT IN DATA. THIS ABOUT
03:36:27.441 --> 03:36:28.675
THREE PER THAT JUST CAME OUT
03:36:28.742 --> 03:36:29.276
EXCITED TO GET TO WORK ON THE
03:36:29.343 --> 03:36:31.411
AS- AN IMPLEMENT THE DATA. IT'S
03:36:31.478 --> 03:36:32.879
SOMETHING THAT WE CRUCIALLY
03:36:32.946 --> 03:36:35.182
NEED THAT WILL ALSO. OUT OF THE
03:36:35.248 --> 03:36:35.849
OFFICE OF HEALTH CARE
03:36:35.916 --> 03:36:37.451
AFFORDABILITY WILL FUNCTION
03:36:37.517 --> 03:36:41.021
THANK YOU. ALL RIGHT- SO WITH.
03:36:41.088 --> 03:36:43.023
OTHER PUBLIC COMMENT ACTUALLY-
03:36:43.090 --> 03:36:43.990
THEY DID MENTION SOMETHING I
03:36:44.057 --> 03:36:45.359
DON'T THINK OF WE SIR DIDN'T
03:36:45.425 --> 03:36:47.894
REALLY TOUCH ON ON THE OVERVIEW
03:36:47.961 --> 03:36:48.929
BUT I THINK IS VERY IMPORTANT
03:36:48.995 --> 03:36:50.297
IS THE OPERATOR. CLAIMS
03:36:50.364 --> 03:36:51.932
DATABASE. I THINK THAT THE
03:36:51.998 --> 03:36:53.767
THINGS WE CRITICAL FOR US IS WE
03:36:53.834 --> 03:36:54.968
ONLY HEARD FROM AFFORDABILITY
03:36:55.035 --> 03:36:56.303
WILLIAM HEARING FROM OTHER
03:36:56.370 --> 03:36:59.139
FOLKS AS WELL BUT- THAT. THE
03:36:59.206 --> 03:37:01.141
AVAILABLE COLLECTING AND MAKING
03:37:01.208 --> 03:37:02.542
THAT DATA AVAILABLE IS GONNA BE
03:37:02.609 --> 03:37:07.247
REALLY IMPORTANT FOR US TO DO
03:37:07.314 --> 03:37:07.748
THE KIND OF WORK THAT WE
03:37:07.814 --> 03:37:10.050
WANTED. TO THE FOR. USE THE
03:37:10.117 --> 03:37:13.420
DRESS YEAH. YOU KNOW I. TO USE
03:37:13.487 --> 03:37:17.157
THE- AND COPS ITSELF SO. ONE
03:37:17.224 --> 03:37:18.725
SURE THAT WE OF LOST THAT OVER
03:37:18.792 --> 03:37:20.360
LIKE YOU DOING KIND OF THING
03:37:20.427 --> 03:37:22.329
BUT IT IS A I THINK IT'S
03:37:22.396 --> 03:37:23.363
SOMETHING IT'S A HARD WITH HER
03:37:23.430 --> 03:37:25.265
FROM THAT'S THE STAKEHOLDERS
03:37:25.332 --> 03:37:27.401
BUT- FOR ME PERSONALLY AS WELL
03:37:27.467 --> 03:37:29.002
AND BE SURE OF WE POINT THAT
03:37:29.069 --> 03:37:31.505
OUT AND APPRECIATE YOUR WORK ON
03:37:31.571 --> 03:37:34.541
THAT WAS AT THE- OF. THE
03:37:34.608 --> 03:37:36.676
LIMITED. AS QUICKLY. AS
03:37:36.743 --> 03:37:39.012
POSSIBLE AND FULLY IS. WE
03:37:39.079 --> 03:37:40.614
SHOULD THAT OKAY WELL WITH THE
03:37:40.680 --> 03:37:42.182
I THINK THE SO MUCH BEING HERE
03:37:42.249 --> 03:37:44.017
WE'RE GONNA MOVE ON NOW TO THE
03:37:44.084 --> 03:37:46.787
DEMAND IS THE DEPARTMENT OF
03:37:46.853 --> 03:38:06.907
MANAGED HEALTH. CARE YOU.
03:38:09.209 --> 03:38:11.011
WELCOME OFFERS DO INTRODUCTIONS
03:38:11.077 --> 03:38:12.979
AROUND THE TABLE FOR EVERYONE.
03:38:13.046 --> 03:38:14.381
I GET AFTERNOON MERRY WATANABE
03:38:14.448 --> 03:38:15.882
ANOTHER ACTING CHIEF DEPUTY
03:38:15.949 --> 03:38:16.583
DIRECTOR DEPARTMENT MANAGED
03:38:16.650 --> 03:38:18.819
HEALTHCARE HE JENNY PHILLIPS
03:38:18.885 --> 03:38:20.086
DEPUTY DIRECTOR FOR LEGISLATIVE
03:38:20.153 --> 03:38:21.688
AFFAIRS FOR THE DEPARTMENT OF
03:38:21.755 --> 03:38:23.089
MANAGED HEALTHCARE THANK YOU
03:38:23.156 --> 03:38:24.891
PRIME WILL CELIO BUT IN THE END
03:38:24.958 --> 03:38:27.360
ARE ALMOST FINANCE ARE
03:38:27.427 --> 03:38:28.528
EXCELLENT ALL RIGHT SO GO AHEAD
03:38:28.595 --> 03:38:30.430
AND BEGIN- WITH THE OVERVIEW
03:38:30.497 --> 03:38:34.601
AND SAID JUST MAKE NOTE THAT-
03:38:34.668 --> 03:38:37.170
SAYS. THE THAT DON'T SERVE HIT
03:38:37.237 --> 03:38:37.737
THE HIGHLIGHTS OF THE THINGS
03:38:37.804 --> 03:38:39.739
THE STATE EVEN DONE ARE THINGS
03:38:39.806 --> 03:38:41.007
THAT USED TO STATING THAT
03:38:41.074 --> 03:38:43.143
YOU'LL BE DETAINED X. HERE ARE-
03:38:43.210 --> 03:38:44.711
THE MOST IMPORTANT THINGS YOU
03:38:44.778 --> 03:38:47.714
CAN DO ANY EXERCISE. TRY TO
03:38:47.781 --> 03:38:48.915
KEEP THIS THAT WERE UNDER.
03:38:48.982 --> 03:38:50.984
ABOUT OUR REPORTS ARE BE PEAS
03:38:51.051 --> 03:38:52.452
SO I'M TO JUST PROVIDE A QUICK
03:38:52.519 --> 03:38:53.220
OVERVIEW OF OUR DEPARTMENT'S
03:38:53.286 --> 03:38:55.689
MISSION IN OUR BUDGET- OUR
03:38:55.755 --> 03:38:56.590
MISSION IS TO PROTECT CONSUMERS
03:38:56.656 --> 03:38:57.991
HEALTHCARE RIGHTS INSURANCE
03:38:58.058 --> 03:38:59.593
ABLE HEALTHCARE DELIVERY SYSTEM
03:38:59.659 --> 03:39:00.927
WE LICENSE AND REGULATE
03:39:00.994 --> 03:39:02.729
APPROXIMATELY A HUNDRED AND
03:39:02.796 --> 03:39:03.663
TWENTY SEVEN HEALTH PLANS. THAT
03:39:03.730 --> 03:39:05.365
PROVIDE HEALTH COVERAGE TO MORE
03:39:05.432 --> 03:39:07.000
THAN TWENTY SIX MILLION
03:39:07.067 --> 03:39:09.302
CONSUMERS WE REGULATE MORE NINE
03:39:09.369 --> 03:39:10.270
SIX FOR THE COMMERCIALAND
03:39:10.337 --> 03:39:11.738
GOVERNMENT HEALTH PLAN
03:39:11.805 --> 03:39:13.540
ENROLLMENT IN THE STATE- OF THE
03:39:13.607 --> 03:39:16.676
DEBATE. TOTAL PER. SCHOOL YEAR
03:39:16.743 --> 03:39:17.711
TWENTY TWENTY BUDGET IS NINETY
03:39:17.777 --> 03:39:21.047
THREE POINTS. IN AND OF. AND
03:39:21.114 --> 03:39:22.849
THE OPERATOR POSITION. THAT IT
03:39:22.916 --> 03:39:23.984
FOODS ARE FOR BE. WHICH OUT
03:39:24.050 --> 03:39:25.418
ABOUT THREE SIX MILLION AND
03:39:25.485 --> 03:39:26.953
EIGHT AND A HALF POSITIONS. BUT
03:39:27.020 --> 03:39:29.556
APARTMENT ESPECIALLY FUNDED BY
03:39:29.623 --> 03:39:30.490
ASSESSMENTS ON HEALTH PLANS AND
03:39:30.557 --> 03:39:33.627
RECEIVES NO GENERAL FUND ME- IN
03:39:33.693 --> 03:39:34.828
TERMS OF NEW PROJECTS WE REALLY
03:39:34.895 --> 03:39:36.329
DON'T HAVE ANY NEW PROGRAMS ARE
03:39:36.396 --> 03:39:37.364
PROJECTS UP I KNOW THE- NUMBER
03:39:37.430 --> 03:39:38.832
OF HIGH PRIORITY PROJECTS WILL
03:39:38.899 --> 03:39:41.801
BE ON GOING FOR TH DEPARTMENT-
03:39:41.868 --> 03:39:43.136
I'D BE HAPPY TO GO THROUGH EACH
03:39:43.203 --> 03:39:45.972
OF OUR PROGRAM AREAS BUT I
03:39:46.039 --> 03:39:48.542
THINK YOU HAVE A SUMMARY ALL.
03:39:48.608 --> 03:39:49.142
I'D LIKE A GOOD. RECORD ABOUT
03:39:49.209 --> 03:39:51.511
OUR- PARTS. OKAY YES WHAT GO
03:39:51.578 --> 03:39:53.480
AND DO THAT OKAY SO TART
03:39:53.547 --> 03:39:55.015
STARTING WITH OUR TIMELY ACCESS
03:39:55.081 --> 03:39:56.750
REPORT FOR MEASUREMENT YEAR
03:39:56.816 --> 03:39:57.984
TWENTY EIGHTEEN- I'D LIKE TO
03:39:58.051 --> 03:40:00.020
JUST NOTE THAT THE DEPARTMENT
03:40:00.086 --> 03:40:01.221
TAKES TIMELY ACCESS TO CARE
03:40:01.288 --> 03:40:03.089
VERY SERIOUSLY WORK BETTER TO
03:40:03.156 --> 03:40:04.190
HOLDING HEALTH PLANS
03:40:04.257 --> 03:40:04.824
ACCOUNTABLE TO THE TIMELY
03:40:04.891 --> 03:40:06.426
ACCESS TO POINT WAIT TIME AND
03:40:06.493 --> 03:40:07.627
NETWORK ADEQUACY STANDARDS
03:40:07.694 --> 03:40:09.729
CONTAINED IN THE KNOX KEEN ACT.
03:40:09.796 --> 03:40:11.131
IN JANUARY OF THIS YEAR WE
03:40:11.197 --> 03:40:12.432
RELEASED OUR TIMLY ACCESS
03:40:12.499 --> 03:40:14.067
REPORT FOR MEASURE YOUR TWENTY
03:40:14.134 --> 03:40:16.236
EIGHTEEN- HIGHLIGHT SOME OF THE
03:40:16.303 --> 03:40:17.504
KEY FINDINGS FROM THE REPORT
03:40:17.571 --> 03:40:18.605
WHICH INCLUDED THE PERCENTAGE
03:40:18.672 --> 03:40:20.674
OF ALL SURVEYED PROVIDERS WHAT
03:40:20.740 --> 03:40:21.675
APPOINTMENTS AVAILABLE WITHIN
03:40:21.741 --> 03:40:24.110
WAIT TIMES STANDARD FOR BOTH OF
03:40:24.177 --> 03:40:27.013
AN HONOR TO APPOINTMENTS FROM
03:40:27.080 --> 03:40:30.684
89% 260% FOR LARGER POINT THE
03:40:30.750 --> 03:40:31.351
PERSON PAUL SURVEYED HAD
03:40:31.418 --> 03:40:32.085
APPOINTMENTS AVAILABLE WITHIN
03:40:32.152 --> 03:40:35.655
THE STANDARDS RANGED FROM 94%
03:40:35.722 --> 03:40:37.691
271% AND FOR URGENT
03:40:37.757 --> 03:40:38.625
APPOINTMENTS THAT PERSONS OF
03:40:38.692 --> 03:40:40.126
ALL SURVEYED PROVIDERS TO HAVE
03:40:40.193 --> 03:40:40.860
APPOINTMENTS AVAILABLE IN THE
03:40:40.927 --> 03:40:46.566
STANDARDS RANGE FROM 83% 257%
03:40:46.633 --> 03:40:47.167
IN REGARD. TO OUR BUT HEALTH
03:40:47.233 --> 03:40:49.035
PLAN THE PERCENTAGE OF ALL THE
03:40:49.102 --> 03:40:50.203
PROVIDERS WHO HAVE APPOINTMENTS
03:40:50.270 --> 03:40:51.504
AVAILABLE WITHIN THE WAIT TIME
03:40:51.571 --> 03:40:52.973
STANDARDS FOR BOTH URGENT AND
03:40:53.039 --> 03:40:55.742
NON URGENT RANGED FROM 80% TO
03:40:55.809 --> 03:40:57.177
SEVENTY THREE PERCENT. FOR NON
03:40:57.243 --> 03:40:58.144
URGENT APPOINTMENTS THE
03:40:58.211 --> 03:40:59.446
PERCENTAGE OF PROVIDERS THAT
03:40:59.512 --> 03:41:01.047
MET THE STANDARD WORK OP RANGE
03:41:01.114 --> 03:41:03.650
FROM 90% TO EIGHTY TWO PERCENT.
03:41:03.717 --> 03:41:06.519
AND THEN FOR URGENT BEHAVIORAL
03:41:06.586 --> 03:41:06.987
HEALTH DEPARTMENTS THE
03:41:07.053 --> 03:41:07.520
PERCENTAGE OF ALL SERVICE
03:41:07.587 --> 03:41:09.456
PROVIDERS THAT APPOINTMENTS OF
03:41:09.522 --> 03:41:11.691
IT WITHIN WAIT. UNDER RANGE
03:41:11.758 --> 03:41:14.995
470% TO SIXTY 4% AND LATER THIS
03:41:15.061 --> 03:41:16.363
YEAR PROBABLY THE NEXT MONTH OR
03:41:16.429 --> 03:41:17.664
TWO WE WILL BE PROMULGATING A
03:41:17.731 --> 03:41:19.866
REGULATION TO ESTABLISH A RATE
03:41:19.933 --> 03:41:21.001
OF COMPLIANCE WITH THE TIMELY
03:41:21.067 --> 03:41:22.602
ACCESS STANDARDS. THAT ALL
03:41:22.669 --> 03:41:24.904
HEALTH PLANS MUST MEET ONCE THE
03:41:24.971 --> 03:41:26.606
REGULATIONS ADOPTED THE D. MHC
03:41:26.673 --> 03:41:28.441
WILL HAVE A STANDARD TO WHICH
03:41:28.508 --> 03:41:29.142
HEALTH PLANS WILL BE HELD
03:41:29.209 --> 03:41:31.678
ACCOUNTABLE. IN SUBSEQUENT
03:41:31.745 --> 03:41:32.979
YEARS WE WERE ABLE TO COMPARE
03:41:33.046 --> 03:41:34.180
HEALTH PLAN PERFORMED ACROSS
03:41:34.247 --> 03:41:35.715
THE PLAN AS WELL AS INDIVIDUAL
03:41:35.782 --> 03:41:37.017
HEALTH PLAN PERFORMANCE YEAR
03:41:37.083 --> 03:41:39.986
OVER YEAR. THE FOLLOWING SURVEY
03:41:40.053 --> 03:41:41.187
BUT THE METHODOLOGY
03:41:41.254 --> 03:41:43.189
IMPROVEMENTS WERE INCLUDED IN
03:41:43.256 --> 03:41:46.793
OUR REGULATE. I JUST OF THE
03:41:46.860 --> 03:41:48.995
COUPONS. UP TO REDUCE PER BURKE
03:41:49.062 --> 03:41:51.231
HEALTH PLAN USE SINGLE. EIGHT
03:41:51.297 --> 03:41:52.632
PROVIDER SURVEYS ON BEHALF OF.
03:41:52.699 --> 03:41:56.102
MANY OF ON SO WE CAN REDUCE.
03:41:56.169 --> 03:41:56.736
ALSO WERE IN CURBING HEALTH TO
03:41:56.803 --> 03:41:57.837
USE A DE MATH OTHER THAN PHONE
03:41:57.904 --> 03:41:59.806
CALLS TO OBTAIN APPOINTMENT
03:41:59.873 --> 03:42:01.608
AVAILABILITY INFORMATION. AGAIN
03:42:01.675 --> 03:42:03.276
TRYING TO REDUCE THE BURDEN ON
03:42:03.343 --> 03:42:04.344
PROVIDERS ARE ANSWERED A LOT OF
03:42:04.411 --> 03:42:06.846
QUESTIONS- WE'RE ALSO
03:42:06.913 --> 03:42:08.048
ENCOURAGING COORDINATION
03:42:08.114 --> 03:42:09.616
EFFORTS BY HEALTH PLANS TO
03:42:09.683 --> 03:42:11.985
ADVISE PROVIDERS REGARDING THE
03:42:12.052 --> 03:42:13.253
IMPORTANCE OF RESPONDING TO
03:42:13.319 --> 03:42:14.754
THESE SURVEYS WE NEED TO GET A
03:42:14.821 --> 03:42:16.589
GOOD RESPONSE TO ASSESS
03:42:16.656 --> 03:42:19.092
AVAILABILITY ALL. ALLOW FOR
03:42:19.159 --> 03:42:21.528
SURE SOME VISIT. RIGHT PRIVATE
03:42:21.594 --> 03:42:24.597
CARE PROVIDER SAM AND AGAIN-
03:42:24.664 --> 03:42:26.132
THE PROPOSED REGULATION WILL
03:42:26.199 --> 03:42:26.900
ALSO INCLUDE A RATE OF
03:42:26.966 --> 03:42:28.968
COMPLAINTS STANDARD THAT WILL
03:42:29.035 --> 03:42:29.502
BE APPLIED TO EACH HEALTH
03:42:29.569 --> 03:42:31.404
PLAN'S NETWORK- THIS IS A
03:42:31.471 --> 03:42:32.405
DISTINCTION FROM HOW WE
03:42:32.472 --> 03:42:34.107
CURRENTLY REPORTS THE DATA
03:42:34.174 --> 03:42:35.975
WE'RE REPORTING NOT AFTER
03:42:36.042 --> 03:42:37.944
AGGREGATE LEVEL. SO MEASURE IN
03:42:38.011 --> 03:42:39.145
THE RATE OF COMPLAINTS AT THE
03:42:39.212 --> 03:42:42.115
NETWORK LEVEL WILL ALLOW US TO-
03:42:42.182 --> 03:42:43.750
REALLY MEASURE ENROLLEES ACCESS
03:42:43.817 --> 03:42:44.684
TO THE HEALTH CARE SERVICES
03:42:44.751 --> 03:42:46.219
BASED ON THE PROVIDERS THAT ARE
03:42:46.286 --> 03:42:47.721
ACTUALLY AVAILABLE TO THEM. AND
03:42:47.787 --> 03:42:49.122
THEY DON'T HAVE ACCESS TO ALL
03:42:49.189 --> 03:42:50.690
AVAILABLE SO THAT ALL NETWORKS
03:42:50.757 --> 03:42:52.792
MOST HEALTH PLANS ALREADY
03:42:52.859 --> 03:42:55.729
SUBMITTED THIS WAY. AND FOR
03:42:55.795 --> 03:42:58.264
SYSTEM SEE THIS WILL ALLOW US
03:42:58.331 --> 03:42:58.832
TO LOOK AT HOW WE CURRENTLY
03:42:58.898 --> 03:43:00.867
COLLECT AT FOUR I KNOW NETWORK
03:43:00.934 --> 03:43:02.602
IN THAT PROCESS WE EVALUATE THE
03:43:02.669 --> 03:43:05.505
NUMBERS TYPES AND LOCATIONS OF
03:43:05.572 --> 03:43:06.005
PROVIDERS IN A SPECIFIC
03:43:06.072 --> 03:43:08.074
NETWORK- THIS WILL ALSO ALLOW
03:43:08.141 --> 03:43:11.244
US. SPECIFIC FEED TO THE HEALTH
03:43:11.311 --> 03:43:13.346
PLANS WERE WHICH PROVIDER TYPE
03:43:13.413 --> 03:43:15.715
THEN A NAP IN WHICH SIR. AS NOT
03:43:15.782 --> 03:43:18.218
THE TIMELY ARE STANDARDS AND IT
03:43:18.284 --> 03:43:19.886
WILL ALLOW US TO TAKE
03:43:19.953 --> 03:43:23.223
ENFORCEMENT ACTION WHEN PLANTS
03:43:23.289 --> 03:43:25.258
ARE NOT MEETING THE RATE
03:43:25.325 --> 03:43:26.593
FINANCING. REQUIRE DIVAC SPLIT
03:43:26.659 --> 03:43:31.498
IN. AND TESTING SHOP PLEASE.
03:43:31.564 --> 03:43:32.532
OVER THE PAST BUT FEW YEARS
03:43:32.599 --> 03:43:34.868
WE'VE WORKED WITH INCLUDING OUT
03:43:34.934 --> 03:43:36.436
THE HEALTH PLAN AND PRO. TO DO
03:43:36.503 --> 03:43:38.138
US METHODOLOGY AND RATE OF CA.
03:43:38.204 --> 03:43:39.139
THE DEBATE SEE WHAT MOVIE FORM
03:43:39.205 --> 03:43:40.707
REGULATION PROCESS IN THE
03:43:40.774 --> 03:43:42.175
SPRING AND STAKEHOLDERS WILL
03:43:42.242 --> 03:43:43.343
HAVE ANOTHER OPPORTUNITY TO
03:43:43.409 --> 03:43:44.911
COMMENT ON THE PROPOSED RIGHT
03:43:44.978 --> 03:43:48.581
AND THAT CONCLUDES MY OVERVIEW
03:43:48.648 --> 03:43:50.784
OF THE LATEST REPORT AND
03:43:50.850 --> 03:43:52.919
ACTIONS CAN MOVE B SIX REPORT
03:43:52.986 --> 03:43:54.954
IS SEVENTEEN TO GO FINISH
03:43:55.021 --> 03:43:56.389
EVERYTHING IN WE'LL ASK SOUNDS
03:43:56.456 --> 03:43:59.926
GOOD OKAY. OF SO SB SEVENTEEN-
03:43:59.993 --> 03:44:01.628
IN TWENTY SEVENTEEN GOV BROWN
03:44:01.694 --> 03:44:06.065
I'M SIGNED S. SEVENTY LAW WITH
03:44:06.132 --> 03:44:08.434
THE GOOD INCREASING TRAIN THE
03:44:08.501 --> 03:44:10.170
PROVIDING THE PUBLIC
03:44:10.236 --> 03:44:11.504
INFORMATION ABOUT HOW SCRIPT
03:44:11.571 --> 03:44:15.909
AND RIGHT OR IMPACT THE OKAY.
03:44:15.975 --> 03:44:18.011
AS SEVENTY REQUIRES HELP BY
03:44:18.077 --> 03:44:21.047
RATED XIN WITH THE DIEM TO A
03:44:21.114 --> 03:44:21.681
REPORT SPECIFIC DATA RELATED TO
03:44:21.748 --> 03:44:22.849
COST COVERED. DRUGS THE BILL
03:44:22.916 --> 03:44:23.416
ALL REQUIRES A DAMAGE TO
03:44:23.483 --> 03:44:25.385
PREPARE AN ANNUAL. I'M RIGHT
03:44:25.451 --> 03:44:26.386
DATA AT THE IMPACT PER DRUG
03:44:26.452 --> 03:44:28.388
COSTS AND HEALTHCARE PREMIUMS.
03:44:28.454 --> 03:44:29.756
ANNUALLY COMMERCIAL HEALTH
03:44:29.823 --> 03:44:32.158
PLANS MUST REPORT THE TWENTY
03:44:32.225 --> 03:44:33.126
FIVE MOST FREQUENTLY PRESCRIBED
03:44:33.193 --> 03:44:35.094
DRUGS THE TWENTY FIVE MOST
03:44:35.161 --> 03:44:36.930
COSTLY DRUGS BY TOTAL ANNUAL
03:44:36.996 --> 03:44:39.532
SPENDING AND THE TWENTY FIVE
03:44:39.599 --> 03:44:41.534
DRUGS WITH THE HIGHEST. IN YEAR
03:44:41.601 --> 03:44:44.537
IN TOTAL IN. THEN BY CHORUS
03:44:44.604 --> 03:44:47.574
GENERIC BRAND SPECIALTY DROPS.
03:44:47.640 --> 03:44:51.945
HEALTH PLAN ALSO REPORTED IT.
03:44:52.011 --> 03:44:52.779
ROTH AFTER COSTS AND HELP
03:44:52.846 --> 03:44:54.380
PREMIUMS. TO DATE THE DAY THE
03:44:54.447 --> 03:44:55.582
RELEASED RE THAT SOME.
03:44:55.648 --> 03:44:56.349
INFORMATION WITH THEM RECENT
03:44:56.416 --> 03:44:58.318
BEING RELEASED IN JANUARY AGAIN
03:44:58.384 --> 03:44:59.886
OF THE SHARE. THE DMA SEES
03:44:59.953 --> 03:45:01.955
REPORT FOR THE TWENTY EIGHTEEN
03:45:02.021 --> 03:45:04.023
REPORTING YOU PUT INFORMATION
03:45:04.090 --> 03:45:04.924
FOR TWENTY SIX HEALTH PLANS.
03:45:04.991 --> 03:45:06.759
THEY COVER APPROXIMATELY TWELVE
03:45:06.826 --> 03:45:09.095
POINT THREE MILLION CALIFORNIA.
03:45:09.162 --> 03:45:10.330
IN DEVELOPING THE REPORT THE
03:45:10.396 --> 03:45:11.865
DMA TO CONSIDER THE TOTAL
03:45:11.931 --> 03:45:13.833
VOLUME OF PRESCRIPTION DRUGS
03:45:13.900 --> 03:45:15.935
PRESCRIBED AND THE TOTAL COST
03:45:16.002 --> 03:45:17.604
BY HEALTH PLANS THESE DRUGS. ON
03:45:17.670 --> 03:45:20.440
BOTH AN APT SPENING LEVEL PER
03:45:20.506 --> 03:45:24.043
MEMBER PER MY- THEY SAID. I'M
03:45:24.110 --> 03:45:26.145
ALL. BUT THE IN THIS REPORT
03:45:26.212 --> 03:45:27.847
NODDING COSTS FOR PRESS DRUG
03:45:27.914 --> 03:45:29.382
ADMINISTERED IN A HOSPITAL OR A
03:45:29.449 --> 03:45:30.817
DOCTOR'S OFFICE OR OTHERWISE
03:45:30.884 --> 03:45:32.385
PAID FOR THROUGH A CAPITATED
03:45:32.452 --> 03:45:34.454
ARRANGEMENT. SO THIS ONLY
03:45:34.520 --> 03:45:35.688
INCLUDES COSTS FOR PRESCRIPTION
03:45:35.755 --> 03:45:37.991
DRUGS DISPENSED AT A RETAIL OR
03:45:38.057 --> 03:45:40.293
MAIL PHARMACY. THE INFORMATION
03:45:40.360 --> 03:45:41.694
WE'VE COLLECTED SO FAR SHOWS
03:45:41.761 --> 03:45:43.596
THE IMPACT OF PRESCRIPTION DRUG
03:45:43.663 --> 03:45:44.631
COSTS AND PREMIUMS IS
03:45:44.697 --> 03:45:46.666
SIGNIFICANT. IN THE DEER MEAT
03:45:46.733 --> 03:45:48.067
SEES MOST RECENT REPORT HEALTH
03:45:48.134 --> 03:45:50.069
PLANS REPORTED PAY NEARLY NINE
03:45:50.136 --> 03:45:51.871
POINT ONE BILLION DOLLARS FOR
03:45:51.938 --> 03:45:53.139
PRESCRIPTION DRUGS AND TWENTY
03:45:53.206 --> 03:45:54.974
EIGHTEEN. THIS REPRESENTED AN
03:45:55.041 --> 03:45:56.342
INCREASE OF FOUR HUNDRED
03:45:56.409 --> 03:45:58.344
MILLION FROM TWENTY SEVENTEEN.
03:45:58.411 --> 03:45:59.946
WHILE THE PERCENTAGE OF HEALTH
03:46:00.013 --> 03:46:00.947
PLAN PREMIUM THAT WENT TOWARDS
03:46:01.014 --> 03:46:03.416
PRESCRIPTION DRUGS WENT DOWN
03:46:03.483 --> 03:46:04.550
SLIGHTLY FROM TWELVE POINT 9%
03:46:04.617 --> 03:46:07.754
AND TWENTY. TWELVE POINT 77%
03:46:07.820 --> 03:46:09.455
TWENTY EIGHTEEN. LANCE XIN
03:46:09.522 --> 03:46:11.624
BROKAW INCREASED BY FOUR POINT
03:46:11.691 --> 03:46:13.860
7% AND TWENTY EIGHTEEN- IN
03:46:13.927 --> 03:46:15.728
COMPARISON MEDICAL EXPENSES
03:46:15.795 --> 03:46:18.064
ONLY INCREASE BY TWO POINT 7%
03:46:18.131 --> 03:46:19.332
TO TWENTY EIGHTEEN. OVERALL
03:46:19.399 --> 03:46:20.800
TOTAL HEALTH PLAN PREMIUMS
03:46:20.867 --> 03:46:24.203
INCREASED SIX POINT 2% FROM
03:46:24.270 --> 03:46:24.737
TWENTY SEVENTEEN TO TWENTY
03:46:24.804 --> 03:46:26.639
EIGHTEEN. WHILE SPECIALTY DRUGS
03:46:26.706 --> 03:46:28.508
ACCOUNT FOR LESS THAN 2% OF ALL
03:46:28.574 --> 03:46:29.709
PRESCRIPTION DRUGS DISPENSED
03:46:29.776 --> 03:46:31.344
THEY COUNT FOR OVER HALF OF
03:46:31.411 --> 03:46:32.645
TOTAL ANNUAL SPENDING ON
03:46:32.712 --> 03:46:34.380
PRESCRIPTION DRUGS. AT THE SAME
03:46:34.447 --> 03:46:37.016
TIME GENERIC DRUGS ACCOUNTED
03:46:37.083 --> 03:46:38.885
487% OF ALL PRESCRIBED DRUGS.
03:46:38.952 --> 03:46:40.553
AND ALL THE PRESIDENT A LITTLE
03:46:40.620 --> 03:46:42.755
OVER 22% OF TOTAL IN SPENDING
03:46:42.822 --> 03:46:47.060
NUMBER XIN DRUGS. AND BRICK
03:46:47.126 --> 03:46:48.928
NAMES PARKS WHICH ACCOUNTED FOR
03:46:48.995 --> 03:46:50.163
ELEVEN POINT FOUR. NO
03:46:50.229 --> 03:46:51.931
PRESCRIPTION DRUGS. A COUPLE OF
03:46:51.998 --> 03:46:53.166
JUST KEY FINDINGS FROM THE
03:46:53.232 --> 03:46:54.834
REPORT THAT ALL ADD- REBATES
03:46:54.901 --> 03:46:56.402
FROM DRUG DRUG MANUFACTURERS
03:46:56.469 --> 03:46:58.271
TOTALED OVERAL A LITTLE OVER
03:46:58.338 --> 03:47:00.139
ONE BILLION DOLLARS. UP FROM
03:47:00.206 --> 03:47:01.407
ABOUT NINE HUNDRED AND TWENTY
03:47:01.474 --> 03:47:02.709
TWO MILLION IN TWENTY
03:47:02.775 --> 03:47:04.677
SEVENTEEN- THIS IS ABOUT ELEVEN
03:47:04.744 --> 03:47:07.080
POINT 7% OF THE NINE POINT ONE
03:47:07.146 --> 03:47:07.981
BILLION SPENT ON PRESCRIPTION
03:47:08.047 --> 03:47:10.683
DRUGS. FOR THE TWENTY FIVE MOST
03:47:10.750 --> 03:47:12.285
FREQUENTLY PRESCRIBED DRUGS
03:47:12.352 --> 03:47:13.720
ENROLLEES PAID THREE PER THREE
03:47:13.786 --> 03:47:15.688
POINT 1% OF THE COST OF
03:47:15.755 --> 03:47:17.724
SPECIALTY DRUGS. TWELVE POINT
03:47:17.790 --> 03:47:19.292
8% OF THE COST TO BRAND NAME
03:47:19.359 --> 03:47:21.127
DRUGS AND FIFTY FIVE POINT 7%
03:47:21.194 --> 03:47:22.795
OF THE COST OF GENERICS. THE
03:47:22.862 --> 03:47:25.565
HEALTH PLANS PAID THE REST. THE
03:47:25.631 --> 03:47:26.132
TWENTY FIVE MOST FREQUENTLY
03:47:26.199 --> 03:47:28.267
PRESCRIBED DRUGS REPRESENTED
03:47:28.334 --> 03:47:29.235
FORTY EIGHT POINT 2% OF ALL
03:47:29.302 --> 03:47:31.437
DRUG. DRUGS PRESCRIBED AND
03:47:31.504 --> 03:47:33.873
APPROXIMATELY FORTY THREE POINT
03:47:33.940 --> 03:47:36.409
2% OF TOTAL AND SPENT IN.
03:47:36.476 --> 03:47:39.479
ANOTHER BOTH SEVEN PER TOTAL.
03:47:39.545 --> 03:47:41.714
IN THE SPENT ON FOR. DRUGS THE
03:47:41.781 --> 03:47:43.383
FIVE MOST COST DRUGS ACCOUNTED
03:47:43.449 --> 03:47:46.519
FOR SIX POINT PER. I WOULD NOTE
03:47:46.586 --> 03:47:47.286
THAT SB SEVEN. IMPOSE SEPARATE
03:47:47.353 --> 03:47:48.621
REQUIREMENTS ON HEALTH PLANS
03:47:48.688 --> 03:47:49.655
THAT FALL RATES IN THE LARGE
03:47:49.722 --> 03:47:51.090
GROUP MARKET INCLUDING
03:47:51.157 --> 03:47:52.025
REQUIREMENTS TO FILE
03:47:52.091 --> 03:47:53.726
INFORMATIONAL PRESCRIPTION DRUG
03:47:53.793 --> 03:47:56.562
COSTS- IT'S NOT IN OUR SB
03:47:56.629 --> 03:47:57.797
SEVENTEEN REPORT BUT WE DID
03:47:57.864 --> 03:47:59.065
INCLUDE INFORMATION OUR PUBLIC
03:47:59.132 --> 03:48:00.666
MEETING. THAT WE HAD IT ON
03:48:00.733 --> 03:48:02.869
LARGE GROUP RATES AND WE JUST
03:48:02.935 --> 03:48:03.469
HAD THAT MEETING LAST WEEK IN
03:48:03.536 --> 03:48:05.905
SAN FRANCISCO- AND THAT
03:48:05.972 --> 03:48:06.539
INFORMATION IS AVAILABLE ON OUR
03:48:06.606 --> 03:48:08.408
WEBSITE. SO THAT CONCLUDES MY
03:48:08.474 --> 03:48:09.842
OVERVIEW BEST BE SEVEN TO
03:48:09.909 --> 03:48:10.743
REPORT I BE HAPPY TO ANSWER
03:48:10.810 --> 03:48:11.711
QUESTIONS OR MOVE ON TO THE B.
03:48:11.778 --> 03:48:15.481
C. PEAS. OKAY WELL IT'S- SO
03:48:15.548 --> 03:48:18.384
COMES MILLION. REVIEW AND RIGHT
03:48:18.451 --> 03:48:20.219
FINANCE RIGHT. SO I DID HAVE A
03:48:20.286 --> 03:48:23.756
FEW QUESTIONS ABOUT- REPORTS OF
03:48:23.823 --> 03:48:24.891
FIRST OF ALL ON THE TIMELY
03:48:24.957 --> 03:48:27.460
ACCESS STANDARDS- I KNOW THIS
03:48:27.527 --> 03:48:29.996
IS. STUDIES BEEN ONE THAT'S
03:48:30.063 --> 03:48:31.731
BEEN FRAUGHT WITH CHALLENGES.
03:48:31.798 --> 03:48:33.499
BECAUSE I FIRST HEARD THIS OF
03:48:33.566 --> 03:48:34.934
BASICALLY. THE SAID WELL WE
03:48:35.001 --> 03:48:36.335
DON'T ACTUALLY HAVE ANY DATA.
03:48:36.402 --> 03:48:38.204
RIGHT AND SO AND THEN THERE'S
03:48:38.271 --> 03:48:39.972
ALWAYS THIS YEAR OLD BY WELL
03:48:40.039 --> 03:48:42.308
COUPLE YEAR LAG ALL RIGHT- SO
03:48:42.375 --> 03:48:47.313
IN REGARDS TO FIRST OF ALL THE
03:48:47.380 --> 03:48:51.484
DATA COLLECTION- AND THE- AND
03:48:51.551 --> 03:48:55.721
THE VALIDITY OF THE DATA- SO
03:48:55.788 --> 03:48:57.256
CLEARLY WE YOU KNOW THE TRUST
03:48:57.323 --> 03:48:59.659
MANY OF THOSE ISSUES AND YOU
03:48:59.725 --> 03:49:00.927
TALKED ABOUT ACTUALLYTRY TO
03:49:00.993 --> 03:49:02.895
EXPAND THE WAYS OF COLLECTING
03:49:02.962 --> 03:49:09.469
IT TO TRY TO MINIMIZE- BY. YOUR
03:49:09.535 --> 03:49:11.270
RESPONSE BRITAIN HAS WE GET
03:49:11.337 --> 03:49:16.042
MORE. AFTER I PRACTICE AND THEY
03:49:16.109 --> 03:49:17.910
ASK YOU THESE QUESTIONS YOU
03:49:17.977 --> 03:49:20.113
LOOK AT A GO I DON'T KNOW. TEAR
03:49:20.179 --> 03:49:21.080
GAS UP OF PRACTICE MANAGER
03:49:21.147 --> 03:49:22.949
BECAUSE YOU'RE WHAT IT TAKES
03:49:23.015 --> 03:49:24.851
ALL THE PHONE CALLS I'M JUST
03:49:24.917 --> 03:49:26.786
TOO BUSY SEEING PATIENTS. KEEP
03:49:26.853 --> 03:49:28.821
TRACK OF THAT. SO IN TERMS OF
03:49:28.888 --> 03:49:34.160
THE. YEAH I UNDERSTAND THAT THE
03:49:34.227 --> 03:49:35.995
DATA REPORTED SEVENTEEN
03:49:36.062 --> 03:49:37.396
EIGHTEEN THERE WERE SOME
03:49:37.463 --> 03:49:39.432
CONCERNS ABOUT SOME INDIVIDUAL
03:49:39.499 --> 03:49:41.701
CARRIES IT IT HAVE AN ACCURACY-
03:49:41.767 --> 03:49:43.402
BUT OBVIOUSLY IT PROVES BILLION
03:49:43.469 --> 03:49:46.272
TERMS OF LIKE DATA COLLECTION
03:49:46.339 --> 03:49:47.940
MOVING FORWARD FOR. WHAT ARE WE
03:49:48.007 --> 03:49:50.543
DOING TO SO YOU TO TALK ABOUT
03:49:50.610 --> 03:49:51.077
DIFFERENT WAYS TRYING TO
03:49:51.144 --> 03:49:53.312
COLLECT THE DATA THE DAY TIGER
03:49:53.379 --> 03:50:00.453
DE DO YOU FEEL LIKE- WHERE WE
03:50:00.520 --> 03:50:00.987
WAS TRYING TO IMPROVE THE
03:50:01.053 --> 03:50:02.755
QUALITY THAT THEY THAT WORK
03:50:02.822 --> 03:50:04.957
LIKE DATING SO YOU DO MENTION
03:50:05.024 --> 03:50:12.265
SOME OF THE THINGS AND GET. THE
03:50:12.331 --> 03:50:14.233
WORKING. THIS IS A AREA THAT I
03:50:14.300 --> 03:50:16.102
THINK WE A LOT OF FOCUS ON OFF
03:50:16.169 --> 03:50:18.571
OF THE DAY THAT WAS REAP INTO
03:50:18.638 --> 03:50:20.273
FIFTEEN WE COULD EVEN CREATE
03:50:20.339 --> 03:50:22.808
PORTRAY WE SEE A GOOD AMOUNT OF
03:50:22.875 --> 03:50:25.845
TIME HANDS ON THAT I WHAT KEY
03:50:25.912 --> 03:50:28.014
FACTORS THAT WE APPLY.
03:50:28.080 --> 03:50:32.051
VALIDATION THIS IS PART NEXT.
03:50:32.118 --> 03:50:32.652
VALIDATION VENDOR THE REVIEWS
03:50:32.718 --> 03:50:33.219
THAT THERE. WITH THE MATH AT
03:50:33.286 --> 03:50:34.754
ALL AND RE. THAT BUT THEY'VE
03:50:34.820 --> 03:50:36.322
SUBMITTED WE'VE ALSO PUT IN
03:50:36.389 --> 03:50:39.025
SOME. KIND OF- FILTERS ON OUR
03:50:39.091 --> 03:50:40.226
SUBMISSION PROCESS THAT WILL
03:50:40.293 --> 03:50:41.894
PICK UP SOME OF THE CHALLENGES
03:50:41.961 --> 03:50:43.696
THE PLANTS CAN TRY TO SEARCH
03:50:43.763 --> 03:50:46.699
THEIR DATA TEST THAT TO SO THE
03:50:46.766 --> 03:50:49.302
NUMBER THINGS. ON THE RUN AND
03:50:49.368 --> 03:50:51.938
OUR TO. THE DAY THAT WE GET IT.
03:50:52.004 --> 03:50:53.873
IS CORRECT I THINK PROVIDER
03:50:53.940 --> 03:50:54.607
FOR. AND PROVIDE BURDEN
03:50:54.674 --> 03:50:56.909
CONTINUES TO A BIGOT. WE SEE
03:50:56.976 --> 03:50:58.244
MORE CONSOLIDATION IN TERMS OF
03:50:58.311 --> 03:51:01.581
THE NUMBER OF CARS THAT ARE
03:51:01.647 --> 03:51:05.351
DOING THESE CALLS FOR THE PLANS.
03:51:05.418 --> 03:51:07.053
THANK YOU WE'VE GOT DIRECTORIES
03:51:07.119 --> 03:51:09.088
TIMELY OX A NUMBER OF OTHER
03:51:09.155 --> 03:51:11.290
THINGS AND SO- I THINK WERE
03:51:11.357 --> 03:51:13.826
PROVIDED TO CAN BE CONFUSING
03:51:13.893 --> 03:51:14.360
THEY MAY THINK WELL I JUST
03:51:14.427 --> 03:51:16.429
ANSWER THE SURVEY BUT YOU MAY
03:51:16.495 --> 03:51:19.665
PRINT VENDOR A- CALL. OKAY
03:51:19.732 --> 03:51:22.635
THERE'S- REALLY. MAYES BANNERS
03:51:22.702 --> 03:51:23.736
IS THERE ANYTHING ABOUT RYING
03:51:23.803 --> 03:51:25.938
TO CONSOLIDATE SOME OF THAT SO
03:51:26.005 --> 03:51:27.406
THAT INSTEAD OF WRITER BEING
03:51:27.473 --> 03:51:28.708
CALLED BY THREE DIFFERENT
03:51:28.774 --> 03:51:31.377
VENDORS STAY BY THE DATA AND
03:51:31.444 --> 03:51:34.380
NOW ALL THE ALL THE DEATHROW
03:51:34.447 --> 03:51:36.415
THEY'RE NOT DO YOU DO NOT SAID
03:51:36.482 --> 03:51:43.222
THAT- WELL WHOOSH I'LL SEE.
03:51:43.289 --> 03:51:44.557
IT'S NOT A FUNCTION THE
03:51:44.624 --> 03:51:45.324
DEPARTMENT WOULD TAKE ON WE
03:51:45.391 --> 03:51:46.626
HAVE ENCOURAGE THE INDUSTRY TO
03:51:46.692 --> 03:51:48.828
ABOUT A CONSOLIDATED APPROACH-
03:51:48.894 --> 03:51:51.430
THIS ONE OF THE CHALLENGES WE
03:51:51.497 --> 03:51:52.932
HAD IN TWENTY. AS WE ARE THAT
03:51:52.999 --> 03:51:55.401
APPROACH THE- GIVE US AT THE-
03:51:55.468 --> 03:51:57.336
NEED THE APPROPRIATE OVERSIGHT.
03:51:57.403 --> 03:51:58.938
FOR THE DAY TO THE CO SEND AND
03:51:59.005 --> 03:52:00.573
COMES OUT IN THE MIDDLE
03:52:00.640 --> 03:52:02.742
DEPARTMENT AS THEIR DATA THAT
03:52:02.808 --> 03:52:05.711
IT'S ACCURATE- BUT I DO. AN
03:52:05.778 --> 03:52:08.547
AREA. BUT WE'VE ALL FLEXIBILITY
03:52:08.614 --> 03:52:10.182
TO DO THINGS LIKE SEND AN
03:52:10.249 --> 03:52:13.586
EMAIL- HAVE A PORTAL- ONE OF
03:52:13.653 --> 03:52:15.488
THE CHALLENGES THAT WE'VE HAD
03:52:15.554 --> 03:52:16.622
IS THE PRACTICE MANAGEMENT
03:52:16.689 --> 03:52:19.058
SYSTEMS ARE NOT. LEVEL
03:52:19.125 --> 03:52:21.627
SOPHISTICATION BERRIES- BUT
03:52:21.694 --> 03:52:22.495
WE'VE ALLOWED SOME FLEXIBILITY
03:52:22.561 --> 03:52:24.697
THAT AT THAT ADVANCES IN THE
03:52:24.764 --> 03:52:26.365
TECH ADVANCES AND WE HAVE MORE
03:52:26.432 --> 03:52:28.167
DATA AVAILABLE THAT COULD BE
03:52:28.234 --> 03:52:30.770
LEVERAGED TO COMPLETE JUST
03:52:30.836 --> 03:52:31.404
MAKING PHONE CALLS. SO THIS IS
03:52:31.470 --> 03:52:35.207
REPORTED. DATE WE JUST FINISHED
03:52:35.274 --> 03:52:37.243
TWENTY NINETEEN. IS THE TWENTY
03:52:37.310 --> 03:52:39.045
THREE THINK THE DATA TWENTY
03:52:39.111 --> 03:52:41.013
NINETEEN IS BETTER DATA WE GOT
03:52:41.080 --> 03:52:42.848
TWENTY EIGHTEEN I HOPE SO MARCH
03:52:42.915 --> 03:52:43.749
THIRTY FIRST AS A SUBMISSION
03:52:43.816 --> 03:52:45.418
DEADLINE AS LONG AS IT'S ON A
03:52:45.484 --> 03:52:48.387
SUNDAY- I THINK ONE OF THE
03:52:48.454 --> 03:52:50.323
THINGS THAT WE HAVE SEEN IN
03:52:50.389 --> 03:52:57.463
YEARS IS INSIST GOT- WE MADE.
03:52:57.530 --> 03:53:00.266
BUT ALL DONE. THE PLAN
03:53:00.333 --> 03:53:02.668
HIGHLIGHTED WHERE THE THIS ARMS
03:53:02.735 --> 03:53:03.903
AGAIN I OUR HOPE AND EXPECT IS
03:53:03.969 --> 03:53:06.138
THE DATA WILL TO BETTER OKAY.
03:53:06.205 --> 03:53:08.107
AND THEN. SO YOU MENTIONED
03:53:08.174 --> 03:53:10.910
DOING RIG SON THE ACTUAL RATE
03:53:10.976 --> 03:53:14.747
OF COMPLIANCE- IF YOU PUT OUT
03:53:14.814 --> 03:53:17.383
ANY PRELIMINARY RATE OR
03:53:17.450 --> 03:53:19.251
SOMETHING I MEAN WHAT RATES ARE
03:53:19.318 --> 03:53:21.520
WE LOOKING AT. SURE TO DRAFT-
03:53:21.587 --> 03:53:22.922
AND THAT WE SHOULD- IS A RED
03:53:22.988 --> 03:53:25.991
COMPLAINTS A 70% FOR URGENT AN
03:53:26.058 --> 03:53:30.930
HONOR GENTE THAT IS NOT IS NOT.
03:53:30.996 --> 03:53:32.698
THE RIGHT IT'S COMING THE
03:53:32.765 --> 03:53:33.299
PERCENT OF THE NUMBER THAT'S
03:53:33.366 --> 03:53:37.470
BEEN. OKAY ALL RIGHT AS IT 70%
03:53:37.536 --> 03:53:40.473
IS A HIGH. IT IS A MIA'S IS
03:53:40.539 --> 03:53:42.308
ABLE I MEAN I GUESS WE WE'VE
03:53:42.375 --> 03:53:44.677
MAY HAVE PEOPLE HERE WHO WERE
03:53:44.744 --> 03:53:46.946
INVOLVED IN THE BILL'S THAT
03:53:47.012 --> 03:53:49.615
WERE PASSED WHEN. PUSH THE
03:53:49.682 --> 03:53:51.650
EIGHT. I THINK THE WORST OF
03:53:51.717 --> 03:53:52.151
THAT STANDARD IS BEING
03:53:52.218 --> 03:53:54.019
SOMETHING ASPIRATIONAL I THINK
03:53:54.086 --> 03:53:55.254
THE OTHER THING YOU KNOW THAT
03:53:55.321 --> 03:53:55.955
AS A MINIMUM PERFORMANCE
03:53:56.021 --> 03:53:59.325
STANDARD AND NOW WE'RE SAYING.
03:53:59.392 --> 03:54:00.192
THE TIME YOU HAVE TO MEET THE
03:54:00.259 --> 03:54:01.761
MINIMUM FORM INSTEAD I REALIZE
03:54:01.827 --> 03:54:04.363
THIS. SPEC BY KILL THE TOP IS
03:54:04.430 --> 03:54:09.034
THE FIRST. 9% IN THE BOTTOM 67%
03:54:09.101 --> 03:54:12.071
AND SO RIGHT NOW THEORETICALLY
03:54:12.138 --> 03:54:13.873
AT LEAST ACCORDING TO THE GRAPH
03:54:13.939 --> 03:54:17.143
I HAVE TO GIVE YOU SAID 70% IS
03:54:17.209 --> 03:54:18.577
ONLY THREE PLANS BELOW THAT-
03:54:18.644 --> 03:54:22.515
BUT USE DO YOU THINK ABOUT IT
03:54:22.581 --> 03:54:24.950
SAID OF ALL 70% OF TOP OF THE-
03:54:25.017 --> 03:54:29.955
THAT. AT QUITE THREE IT'S
03:54:30.022 --> 03:54:32.992
THAT'S A LOT THAT'S SO IN THE
03:54:33.058 --> 03:54:34.894
AT THE SAME TIME WE TURN AROUND
03:54:34.960 --> 03:54:36.695
AND I MEAN I I'VE BEEN ON THE
03:54:36.762 --> 03:54:39.432
FLOOR NAY SAID ALL WE HAVE
03:54:39.498 --> 03:54:41.767
TIMELY STANDARD SO WE'RE NOT
03:54:41.834 --> 03:54:43.803
WE'RE NETWORK ADEQUACY. EXCEPT
03:54:43.869 --> 03:54:47.640
ME TO SET ASIDE. SO I'VE MET IT
03:54:47.706 --> 03:54:49.642
DOES BEG THE QUESTION A LITTLE
03:54:49.708 --> 03:54:50.242
BIT TO ME I MEAN I APPRECIATE
03:54:50.309 --> 03:54:52.144
YOU SEE WITH ME AND THOSE
03:54:52.211 --> 03:54:54.713
DISCUSSIONS ARE HAPPENING BUT
03:54:54.780 --> 03:54:56.015
IT. AND I GUESS I CAN ASK THE
03:54:56.081 --> 03:54:58.751
FOLKS TO SPOT WHO SPONSORED THE
03:54:58.818 --> 03:54:59.852
BILL THAT CENTER HERNANDEZ
03:54:59.919 --> 03:55:01.720
PASSIVELY THINKING THAT THAT
03:55:01.787 --> 03:55:02.922
WAS SUPPOSED TO BE A STRETCH
03:55:02.988 --> 03:55:05.257
GOAL WHEN THEY PUT THOSE
03:55:05.324 --> 03:55:07.326
NUMBERS IN OUR THAT THE MINIMUM
03:55:07.393 --> 03:55:08.894
PERFORMANCE THEY WERE HOPING.
03:55:08.961 --> 03:55:10.896
WE NOW A LITTLE BIT ACOSTA NEXT
03:55:10.963 --> 03:55:11.530
I THINK A COUPLE OF THINGS THE
03:55:11.597 --> 03:55:13.699
TIMELY ACCESS DINNERS.
03:55:13.766 --> 03:55:14.834
GUARANTEE THAT YOU WILL GET AN
03:55:14.900 --> 03:55:16.435
APPOINTMENT WITH PROJECT.
03:55:16.502 --> 03:55:18.437
WRITER SO EAGER TO REPEAT A
03:55:18.504 --> 03:55:20.706
TRUSTED AND THE YOU KNOW WORLD
03:55:20.773 --> 03:55:24.310
RENOWNED CARDIOLOGIST- IT'S-
03:55:24.376 --> 03:55:24.844
THAT WORK HAS TO HAVE THE
03:55:24.910 --> 03:55:26.479
COUPON. TO MEET FAMILY ACCESS
03:55:26.545 --> 03:55:29.014
RIGHT. ONE OF THE CRITICAL
03:55:29.081 --> 03:55:32.485
PIECES OF THIS THIS IS REALLY
03:55:32.551 --> 03:55:33.986
ABOUT STE STICKS MANY. AS WE
03:55:34.053 --> 03:55:36.222
TRYING. BASED THE REAL ALL
03:55:36.288 --> 03:55:39.859
APPROACH. TO PULL AMPLE OF THE
03:55:39.925 --> 03:55:44.663
NETWORK. TO PUT TO. THE TO THE
03:55:44.730 --> 03:55:46.265
ACT THE STATE. BOB SO OF THE
03:55:46.332 --> 03:55:49.368
CITY IS. BEST UP. WERE SOME
03:55:49.435 --> 03:55:51.537
SAMPLE TO DO ABILITY OF THE
03:55:51.604 --> 03:55:53.973
SAYS ONE. OF AN INTERESTED
03:55:54.039 --> 03:55:55.107
APPROACH IF YOU WERE TO REPEAT
03:55:55.174 --> 03:55:56.509
THAT IN THREE ATTEMPTS YOU
03:55:56.575 --> 03:55:59.478
WOULD MEET THE STANDARD SO
03:55:59.545 --> 03:56:02.181
AGAIN I THINK THERE'S THIS
03:56:02.248 --> 03:56:03.582
UNDERSTANDING FOR ITS THREE
03:56:03.649 --> 03:56:08.387
HUNDRED PER TO HAVE WRITERS AT.
03:56:08.454 --> 03:56:11.390
THE ONE FROM THE VACATION THERE
03:56:11.457 --> 03:56:15.694
IN PART TIME THE WHAT SAYS OF.
03:56:15.761 --> 03:56:17.229
AVAILABILITY ON THAT AT THE
03:56:17.296 --> 03:56:18.163
TIME TO MEET THE ARE STANDARDS
03:56:18.230 --> 03:56:20.199
SO FROM A STATISTICAL APPROACH
03:56:20.266 --> 03:56:23.569
70% SEEMS TO BE KIND OF THE
03:56:23.636 --> 03:56:24.136
APPROACH FOR IF YOU WERE TO
03:56:24.203 --> 03:56:26.639
MAKE KIND OF REAP. PROCESS BUT
03:56:26.705 --> 03:56:29.975
OR TO. STAND OF THE OTHER PIECE
03:56:30.042 --> 03:56:31.076
I WANT TO POINT OUT IS THE
03:56:31.143 --> 03:56:33.012
NUMBERS IS A CLEARLY HE SAID SO
03:56:33.078 --> 03:56:34.213
YOU'RE SAYING AS SEVENTY
03:56:34.280 --> 03:56:37.149
PERCENT- YOUR THEN YOU'RE
03:56:37.216 --> 03:56:40.319
SAYING THAT. BASICALLY IF YOU
03:56:40.386 --> 03:56:42.888
MADE THREE ATTEMPTS YOU WOULD
03:56:42.955 --> 03:56:45.090
GET SOMEONE WITHIN THE- THREE
03:56:45.157 --> 03:56:47.326
TAPS SO YOU HAVE TO GO THIS
03:56:47.393 --> 03:56:50.329
PROVIDER CAN GET ME AND FIND
03:56:50.396 --> 03:56:53.899
THAT PROVIDER THAN WORK AND
03:56:53.966 --> 03:56:55.334
AFTER SECURE YET ME AT. BY THE
03:56:55.401 --> 03:56:55.834
TIME WE GET TO THE THIRD
03:56:55.901 --> 03:56:56.669
PROVIDER ASKED THE THIRD.
03:56:56.735 --> 03:56:59.672
AROUND AND BILL WILL YOU GET ME
03:56:59.738 --> 03:57:01.907
AND THIS IS THE RIGHT TIME
03:57:01.974 --> 03:57:04.043
THAT. PLEASE BASICALLY YOU ARE
03:57:04.109 --> 03:57:06.412
COUNTING ON A CHAIN OF THREE
03:57:06.478 --> 03:57:08.547
EFFORTS. TO GET YOU IN NO TIME
03:57:08.614 --> 03:57:12.885
FRAME OF THE OF THE OF. THE I
03:57:12.952 --> 03:57:14.386
GUESS OF THE STATE GREAT THE
03:57:14.453 --> 03:57:16.989
**** SPEAKING YES HOWEVER IN
03:57:17.056 --> 03:57:18.524
PRACTICE WHAT WE KNOW IS FOR
03:57:18.591 --> 03:57:21.393
EXAMPLE YOU MAY CALL AND SAY I
03:57:21.460 --> 03:57:22.194
WANT TO MAKE IT A POINT WITH
03:57:22.261 --> 03:57:24.830
DOCTOR OWNS AND THEY WILL SAY
03:57:24.897 --> 03:57:26.966
WELL DOESN'T APPOINT. WEEKS
03:57:27.032 --> 03:57:27.900
FOR. SO WHAT. DO YOU TODAY CAN
03:57:27.967 --> 03:57:30.369
SEE YOU IN A WEEK. AND SO I
03:57:30.436 --> 03:57:31.170
THINK FROM THE CONSUMER
03:57:31.236 --> 03:57:33.138
EXPERIENCE DEEPER AND- DOES IT
03:57:33.205 --> 03:57:34.673
A LITTLE BIT DIFFERENT THEY
03:57:34.740 --> 03:57:36.075
WOULD MAY BE ABLE TO CONNECT
03:57:36.141 --> 03:57:38.143
YOU WITH SOMEONE SO IT DOESN'T
03:57:38.210 --> 03:57:39.878
ALWAYS MEAN THAT YOU. ARE
03:57:39.945 --> 03:57:40.980
MAKING THE DISH TIMES. THE
03:57:41.046 --> 03:57:42.815
OTHER SIDE JUST WANNA HIGH.
03:57:42.881 --> 03:57:44.049
TALK TO THE NUMBERS THAT ARE IN
03:57:44.116 --> 03:57:45.417
THE REPORT. SO WHAT'S IN THE
03:57:45.484 --> 03:57:46.919
REPORT IS CURRENTLY AT THE
03:57:46.986 --> 03:57:50.522
AGGREGATE LEVEL AND AGAIN WE
03:57:50.589 --> 03:57:51.123
ARE MOVING TO A NETWORK LEVEL.
03:57:51.190 --> 03:57:53.158
AND AGAIN WE WANT TO BE ABLE TO
03:57:53.225 --> 03:57:56.095
ASSESS. AN INDIVIDUAL HONORABLY
03:57:56.161 --> 03:57:57.863
YOU DON'T HAVE ACCESS TO STATE.
03:57:57.930 --> 03:58:00.065
THAT WERE OR- THE HMO THE P.
03:58:00.132 --> 03:58:02.101
NOT WORK AND SO WHERE WE WILL
03:58:02.167 --> 03:58:07.239
BE UP I IN THIS RATE OF A CUP.
03:58:07.306 --> 03:58:08.574
SO THAT THE WORK. OF LET US. IN
03:58:08.641 --> 03:58:11.310
ON. WHERE GAP ARE WHERE THE- SO
03:58:11.377 --> 03:58:12.411
I JUST WANT TO CAUTION A LITTLE
03:58:12.478 --> 03:58:14.380
BIT THAT WHILE 70% IS THE RATE
03:58:14.446 --> 03:58:15.547
OF COMPLIANCE THAT WE ARE
03:58:15.614 --> 03:58:18.717
PROPOSING. IT'S A LITTLE. IN
03:58:18.784 --> 03:58:19.618
ORDER IS COMPARISON TO WHAT'S
03:58:19.685 --> 03:58:20.853
IN HERE AND SO I THINK WE MAY
03:58:20.919 --> 03:58:23.055
SEE MORE VARIATION WHEN WE
03:58:23.122 --> 03:58:25.290
APPLIED AT THE NETWORK LEVEL.
03:58:25.357 --> 03:58:28.627
OKAY ALL RIGHT WELL- BUT THEY
03:58:28.694 --> 03:58:30.262
STILL HAVE SOME CONCERNS
03:58:30.329 --> 03:58:32.064
ESPECIALLY THE CHANCE THREE SO
03:58:32.131 --> 03:58:33.599
I CAN IMAGINE THAT YOU KNOW HOW
03:58:33.666 --> 03:58:35.734
YOU COUNTING THIS LIKE. A I
03:58:35.801 --> 03:58:38.704
CALL PRACTICE OF NORMAL GROUPS.
03:58:38.771 --> 03:58:40.339
WELL THERE SPECIALTY INTERNET.
03:58:40.406 --> 03:58:42.141
THEY SAID WELL DOCTOR SO AND SO
03:58:42.207 --> 03:58:43.876
ISN'T IN BUTWE HAVE THIS OTHER
03:58:43.942 --> 03:58:45.978
DOCTOR WHO HAS AN APPOINTMENT.%
03:58:46.045 --> 03:58:47.613
AND I THINK MOST PEOPLE WOULD
03:58:47.680 --> 03:58:49.048
UNDERSTAND LIKE YOU KNOW I GET
03:58:49.114 --> 03:58:50.683
THAT SOMEONE CAPTION NEVER
03:58:50.749 --> 03:58:53.318
CENTER AND SO WE GOT SOMEONE IN
03:58:53.385 --> 03:58:56.355
THAT'S CHAIN OF TO. DO GOING.
03:58:56.422 --> 03:58:58.424
MEANS PRACTICE WELL WE DON'T
03:58:58.490 --> 03:59:00.125
HAVE ANY KIDS IN TIME NOW GO
03:59:00.192 --> 03:59:02.561
CALL SOMEONE ELSE. BECAUSE YEAH
03:59:02.628 --> 03:59:04.430
MAYBE THREE TWO I KEPT AS A
03:59:04.496 --> 03:59:08.267
CHAIN OF DO WELL THE PERSON BUT
03:59:08.333 --> 03:59:11.770
IS THERE BUT- HAVE SOMEONE ELSE.
03:59:11.837 --> 03:59:13.772
YEAH THEN OKAY YOU KNOW I DID
03:59:13.839 --> 03:59:15.107
GET MY PERSON BUT AT LEAST I'M
03:59:15.174 --> 03:59:16.308
GETTING TAKE CARE OF THE CHAIN
03:59:16.375 --> 03:59:18.877
OF THREE IS A LITTLE BIT MORE I
03:59:18.944 --> 03:59:19.678
MEAN THERE'S A BIG THERE'S A
03:59:19.745 --> 03:59:20.846
LITTLE BIT A THRESHOLD OF ANY
03:59:20.913 --> 03:59:25.184
LOOK AT FROM THE THIRD OF AND-
03:59:25.250 --> 03:59:25.951
IN BECAUSE- PLEASE THAT'S THE
03:59:26.018 --> 03:59:26.752
ONE CALL. ALL RIGHT. THE
03:59:26.819 --> 03:59:28.654
DOCUMENT. YOU CHANGING PROVIDER.
03:59:28.721 --> 03:59:30.456
THAT SECOND IS THE SECOND CALL
03:59:30.522 --> 03:59:32.491
OKAY NAGA FINE NOT JUST THAT
03:59:32.558 --> 03:59:34.326
PRACTICE I GOT FIND SOME OTHER
03:59:34.393 --> 03:59:36.628
PRACTICE. COULD NOT WHATEVER.
03:59:36.695 --> 03:59:39.164
THEIR PARENTS TENNESSEE. THAT'S
03:59:39.231 --> 03:59:41.133
NOW SO. THAT MY USUAL GROUP. WE
03:59:41.200 --> 03:59:44.470
HAVE A GROUPS HERE SO. I HATED.
03:59:44.536 --> 03:59:48.474
STILL LOW WARY ABOUT THE 70% IN
03:59:48.540 --> 03:59:49.541
THE RIGHT STANDARD BUT I'M SURE
03:59:49.608 --> 03:59:52.077
YOU'LL GET YOUR STAKEHOLDER
03:59:52.144 --> 03:59:55.047
PROCESS TO MOVE TO SEE WHAT HOW
03:59:55.114 --> 04:00:02.154
THIS PLAYS OUT ALSO. HI. KATE I
04:00:02.221 --> 04:00:02.855
DON'T EVEN MENTION BY NO MEAN
04:00:02.921 --> 04:00:04.256
PROBABILITY SO AGAIN WE'RE
04:00:04.323 --> 04:00:05.891
TALKING A LOT OF A STATISTICAL
04:00:05.958 --> 04:00:07.726
APPROACHES WE- WE NEED A SOUND
04:00:07.793 --> 04:00:10.095
SUGGESTS A **** APPROACH TO BE
04:00:10.162 --> 04:00:12.030
ABLE TAKE ENFORCEMENT. AND I
04:00:12.097 --> 04:00:14.433
WOULD JUST READ. THIS IS ONE
04:00:14.500 --> 04:00:16.301
METRIC THEIR USED TO OBSESS AT
04:00:16.368 --> 04:00:17.636
ADEQUACY OF THE NETWORK WE HAVE
04:00:17.703 --> 04:00:20.906
OUR- ADEQUACY WE HAVE OUR- THE
04:00:20.973 --> 04:00:24.576
SAME PROCESS AGAIN. THE PERSON.
04:00:24.643 --> 04:00:26.111
THE THRESHOLD. WE WILL PLEASE
04:00:26.178 --> 04:00:30.349
FOR THE IS QUICK. ULTIMATELY IS
04:00:30.415 --> 04:00:31.150
TO HAVE A CAR ACTION PLAN TO
04:00:31.216 --> 04:00:32.317
CORRECT THE- IN THE NETWORK
04:00:32.384 --> 04:00:34.820
QUICKLY WE DON'T HAVE TO WAIT
04:00:34.887 --> 04:00:38.290
TWO YEARS FOR THE- RIVER. GET A
04:00:38.357 --> 04:00:40.993
WOULD A LOT. HOLD IT WHAT DO
04:00:41.059 --> 04:00:43.028
YOU AREAS AS SO WHICH NOW ARE
04:00:43.095 --> 04:00:45.531
AND SO AGAIN WE WILL HAVE A
04:00:45.597 --> 04:00:47.666
VERY ROBUST STAKEHOLDER PROCESS
04:00:47.733 --> 04:00:48.333
IS YOU KNOW TERRIBLE MAKING IN.
04:00:48.400 --> 04:00:49.468
I'M JUST. SOME OF OUR
04:00:49.535 --> 04:00:50.836
STAKEHOLDERS LOOK FORWARD TO
04:00:50.903 --> 04:00:52.304
CONTINUING OUR DISCUSSION WITH
04:00:52.371 --> 04:00:54.206
YOU OKAY SO WE ARE FIGURE OUT
04:00:54.273 --> 04:00:56.341
THAT HOW THIS THIS A PHYSICAL
04:00:56.408 --> 04:00:59.044
AND HELP TRAINS TO WHAT THE
04:00:59.111 --> 04:01:01.079
TRANSLATE INTO REAL LIFE
04:01:01.146 --> 04:01:01.980
EXPERIENCE FOR. SEEKING TO GET
04:01:02.047 --> 04:01:03.549
IT WHAT DOES THAT REALLY RISEN
04:01:03.615 --> 04:01:06.251
INTO SO I GET THE STATISTICAL.
04:01:06.318 --> 04:01:09.321
I WOULD ALSO MAKE NOTE- THAT
04:01:09.388 --> 04:01:12.291
THE- WALLS ON TIMELY ACCESS
04:01:12.357 --> 04:01:13.992
BEEN PASSED MANY MANY MANY
04:01:14.059 --> 04:01:18.864
YEARS AGO- SO IT'S NOT THIS IS
04:01:18.931 --> 04:01:21.633
SOMETHING IS BRAND NEW. I KNOW
04:01:21.700 --> 04:01:25.003
I KNOW. TALK AFTER YEAR WELL I
04:01:25.070 --> 04:01:26.605
THINK I THINK THERE IS A DESIRE
04:01:26.672 --> 04:01:28.273
TO TRY TO FIGURE OUT HOW WE CAN
04:01:28.340 --> 04:01:29.374
DO THIS LAW AND YEAH YEAH I
04:01:29.441 --> 04:01:31.510
KNOW YOU WORKING TO DO THAT
04:01:31.577 --> 04:01:34.346
WITHOUT SOME DATA ISSUES THAT.
04:01:34.413 --> 04:01:35.948
ALSO I ALSO THINK NEED TO BE.
04:01:36.014 --> 04:01:38.083
IS THEN IN HOW WE PRESENT THEY
04:01:38.150 --> 04:01:39.818
ALSOHAVE THIS PEOPLE OF USE
04:01:39.885 --> 04:01:42.321
THIS LAW IN THIS AND THE
04:01:42.387 --> 04:01:44.022
STANDARD WHICH BY DOESN'T EXIST
04:01:44.089 --> 04:01:45.324
YET YOU'RE STILL GOING THROUGH
04:01:45.390 --> 04:01:47.659
THE PROCESS THAT THEY THAT
04:01:47.726 --> 04:01:48.827
THEREFORE WE DON'T HAVE. A
04:01:48.894 --> 04:01:50.329
PROBLEM IS IN THE- AIR RIGHT
04:01:50.395 --> 04:01:53.966
AND SO WE ARE WE- AT THE- IT.
04:01:54.032 --> 04:01:54.666
NETWORK TRAFFIC. DO MORE
04:01:54.733 --> 04:01:56.268
ALREADY. AND I'M NOT SURE TO
04:01:56.335 --> 04:01:58.237
THAT'S TRUE. RIGHT AND SO I
04:01:58.303 --> 04:01:59.571
HOPE THAT YOU KNOW WE NEED TO
04:01:59.638 --> 04:02:01.506
BE REALLY CLEAR WITH PEOPLE
04:02:01.573 --> 04:02:03.442
THAT HE SAID THIS IS NOT THE
04:02:03.508 --> 04:02:06.578
END ALL BE ALL- BUT ALSO IS.
04:02:06.645 --> 04:02:08.313
ASIANS AT THE ON THE CLAIM THAT
04:02:08.380 --> 04:02:10.315
YOU'VE- DOING SOMETHING I'M NOT
04:02:10.382 --> 04:02:11.650
SAYING AND A LOT OF WORK TO DO
04:02:11.717 --> 04:02:15.754
THIS. BUT DON'T WE- THAT THAT
04:02:15.821 --> 04:02:18.056
DOESN'T MEAN THAT. DEAL WEAVE
04:02:18.123 --> 04:02:20.058
SO OFTEN THAT WE HAVE THE
04:02:20.125 --> 04:02:21.326
BACKSTOPS TO THE NETWORK
04:02:21.393 --> 04:02:22.527
ACTUALLY BECAUSE WE HAVE A LOT
04:02:22.594 --> 04:02:23.896
CONVERSATIONS ABOUT OUT OF
04:02:23.962 --> 04:02:26.665
NETWORK STATIONS SUPER. CALL AS
04:02:26.732 --> 04:02:27.199
MEDICAL BILLS WILL EARLY
04:02:27.266 --> 04:02:29.468
SURPRISE BECAUSE THERE'S FOR
04:02:29.534 --> 04:02:31.136
THE PATIENT. THE PLAN MAY NOT
04:02:31.203 --> 04:02:32.504
BE SO SURPRISING THEY DON'T
04:02:32.571 --> 04:02:34.239
HAVE THE CONTRACT RIGHT THE
04:02:34.306 --> 04:02:35.741
DOCTORS ARE HOSTILE MAY NOT BE
04:02:35.807 --> 04:02:36.842
SURPRISED HE NEVER GOT A
04:02:36.909 --> 04:02:40.879
CONTRACT ANOTHER OUT OF NETWORK
04:02:40.946 --> 04:02:41.413
OUT OF CONTRACT. FACILITY
04:02:41.480 --> 04:02:46.285
PROVIDER BUT- DE. NETWORK MAY
04:02:46.351 --> 04:02:47.552
NOT BEEN DESIGN A NO THAT'S
04:02:47.619 --> 04:02:48.987
PARTLY TRYING TO GET AT ME NOW
04:02:49.054 --> 04:02:50.856
BEEN THIS MAY HAVE BEEN
04:02:50.923 --> 04:02:51.823
DESIGNED IN A WAY THAT CAUSED
04:02:51.890 --> 04:02:55.294
THAT TO HAPPEN EIGHT AND SO YOU
04:02:55.360 --> 04:02:57.996
ALSO WE HAVE THE STANDARD SO
04:02:58.063 --> 04:03:00.499
AFTER WELL MAYBE NOT WE LOOK AT
04:03:00.565 --> 04:03:05.537
THAT SO RIGHT. OKAY PARTS OF
04:03:05.604 --> 04:03:07.739
THE- ON THE PRESCRIPTION
04:03:07.806 --> 04:03:09.308
APPRECIATE THAT NOW- YOU
04:03:09.374 --> 04:03:12.477
MENTIONED THAT YOU'VE HAD THE
04:03:12.544 --> 04:03:15.147
TERMS OF THE- DRUG REBATES OF
04:03:15.213 --> 04:03:15.981
PRODUCTS AND ONE POINT ONE
04:03:16.048 --> 04:03:19.151
BILLION- SAYS HERE JUST SINCE
04:03:19.217 --> 04:03:20.819
ELEVEN POINT SEVEN THE NINE
04:03:20.886 --> 04:03:23.422
POINT ONE BILLION SO THAT SO
04:03:23.488 --> 04:03:24.923
IT'S A REAL DEBATE THAT THAT
04:03:24.990 --> 04:03:28.527
TIME IS A DRUG. TEST BECAUSE
04:03:28.593 --> 04:03:30.262
DEBATE. YOU FOR. SOMETHING
04:03:30.329 --> 04:03:31.997
RIGHT NOW Z. THE POCKETING IT
04:03:32.064 --> 04:03:34.032
ARE SPENDING ON SOMETHING ELSE
04:03:34.099 --> 04:03:35.801
SO SOME JUST READ RECONCILE IS
04:03:35.867 --> 04:03:38.537
IT NINE POINT ONE MINUS THE ONE
04:03:38.603 --> 04:03:39.705
POINT ONE THAT WOULD ACTUALLY
04:03:39.771 --> 04:03:41.740
SPENDING ON DRUGS OR IS IT SHE
04:03:41.807 --> 04:03:42.541
WAS VERY NINE POINT BILLION ON
04:03:42.607 --> 04:03:45.811
DRUGS BECAUSE THE REBATE ITSELF.
04:03:45.877 --> 04:03:47.112
IT'S NOT I MEAN IT'S REBATES I
04:03:47.179 --> 04:03:48.547
MEAN THAT THAT'S NOT THE DRUGS
04:03:48.613 --> 04:03:50.048
COSTS THERE SPEND RATE IT'S
04:03:50.115 --> 04:03:50.916
ACTUALLY GOING TO SOMETHING
04:03:50.983 --> 04:03:52.918
ELSE I'M JUST TRYING TO FIGURE
04:03:52.985 --> 04:03:54.987
OUT INTERPRET THAT. RIGHT YEAH
04:03:55.053 --> 04:03:57.122
SO ACTUALLY HAD THE SAME
04:03:57.189 --> 04:03:59.157
QUESTION- BEFORE I CAME HERE
04:03:59.224 --> 04:04:02.761
AND SO. YES IT IS THAT IT WILL
04:04:02.828 --> 04:04:05.230
THE ONE MILLION WOULD BE
04:04:05.297 --> 04:04:08.166
SUBTRACTED FROM THAT NINE.
04:04:08.233 --> 04:04:11.069
START THE NOT. TO KNOW NINE
04:04:11.136 --> 04:04:11.603
HUNDRED AND TWENTY BILLION
04:04:11.670 --> 04:04:13.405
WOULD BE SUBTRACTED FROM NOT.
04:04:13.472 --> 04:04:15.240
ONLY DO IT IN THAT WAY TOO THE
04:04:15.307 --> 04:04:16.108
IN THEM BECAUSE HE BATES ARE
04:04:16.174 --> 04:04:19.978
OUT. I AM. OVER YOU KNOW
04:04:20.045 --> 04:04:21.646
DIFFERENT PERIODS OF TIME AND
04:04:21.713 --> 04:04:25.517
THERE AND MAYBE NOT OR IN THE-
04:04:25.584 --> 04:04:29.021
NEAR AS THE SO EIGHT EIGHT.
04:04:29.087 --> 04:04:34.159
TOLL. THAT WAY. YES YOUR RIGHT
04:04:34.226 --> 04:04:37.095
BE THOUGHT TO FROM THE TOTAL OF
04:04:37.162 --> 04:04:38.196
BUT BECAUSE THE COST THERE'S
04:04:38.263 --> 04:04:41.366
OUT WE DO KNOW IT THE YEAR THAT
04:04:41.433 --> 04:04:43.101
THEY'RE SPREAD WE REPORTED OUT
04:04:43.168 --> 04:04:44.936
THAT WAY OKAY SO I THINK I
04:04:45.003 --> 04:04:46.905
THINK WE HAVE A FULL THEN IN
04:04:46.972 --> 04:04:50.108
TURN- WE ALWAYS SAY BECAUSE
04:04:50.175 --> 04:04:54.613
THAT'S- THAT'S LIKE 10% RIGHT.
04:04:54.679 --> 04:04:56.148
ELEVEN POINT SEVENTY OLYMPIC 7%
04:04:56.214 --> 04:04:57.783
SO THAT MEANS THE ACTUAL SPEND
04:04:57.849 --> 04:05:00.552
THE PRESCRIPTION DRUGS ISN'T IS
04:05:00.619 --> 04:05:02.120
SHOULD BE ELEVEN POINT 7% LESS
04:05:02.187 --> 04:05:03.655
BECAUSE I MEANYEAH YOU'RE
04:05:03.722 --> 04:05:04.556
RIGHT THERE IT'S COMING
04:05:04.623 --> 04:05:06.224
DIFFERENT YEAR ETCETERA BUT THE
04:05:06.291 --> 04:05:09.861
BUT THE SO THE NODES DATE THE
04:05:09.928 --> 04:05:11.830
GIVEN THE WAY WERE DESCRIBING
04:05:11.897 --> 04:05:14.232
IT WERE CUT OVER REPORTING THE
04:05:14.299 --> 04:05:16.568
PMR SPENDING ON PRESCRIPTION.
04:05:16.635 --> 04:05:18.970
THE YES NUMBER SEVEN HE'S
04:05:19.037 --> 04:05:20.138
REBATE WHICH DOESN ACTUALLY GO
04:05:20.205 --> 04:05:21.540
TO PAY FOR DRUGS IS GOING FOR
04:05:21.606 --> 04:05:22.808
SOMETHING ELSE I MEAN WHETHER
04:05:22.874 --> 04:05:24.676
IT'S POCKET SOMEONE'S. BEING
04:05:24.743 --> 04:05:27.813
GREEN BAY SOME OTHER THING.
04:05:27.879 --> 04:05:28.814
IT'S NOT BEING SPENT SEVEN DID
04:05:28.880 --> 04:05:30.348
AT A REALIZE IT'S COMING OFF A
04:05:30.415 --> 04:05:31.750
DIFFERENT TIMES IT'S AT AROUND
04:05:31.817 --> 04:05:34.619
BUT I MEAN JUST AGAIN FOR.
04:05:34.686 --> 04:05:37.622
ACTORS IN TRANSPARENCY I THINK
04:05:37.689 --> 04:05:40.759
WE ARE. A REBATE IS NOT THE
04:05:40.826 --> 04:05:42.294
SPEND ON PRESCRIPTION DRUGS
04:05:42.360 --> 04:05:43.929
THAT ARE ARE ON MEDICATION I
04:05:43.995 --> 04:05:45.630
ASSUME THIS PRESCRIPTION RIGHT
04:05:45.697 --> 04:05:47.666
RECOGNIZE THAT WE WILL TAKE
04:05:47.732 --> 04:05:49.234
THAT BACK FOR FUTURE REPORT
04:05:49.301 --> 04:05:54.806
OKAY YOU RIGHT YEAH SO. OKAY SO
04:05:54.873 --> 04:05:57.542
I MEAN THERE. AND THEN US SO
04:05:57.609 --> 04:05:59.211
ANYWAY WHAT WE WILL BE HEADING
04:05:59.277 --> 04:06:01.046
DELVING MORE INTO THIS SAID AT
04:06:01.113 --> 04:06:03.315
AT A POLICY HEARING SO IF THAT
04:06:03.381 --> 04:06:05.517
BY APPRECIATE THE WORK THAT
04:06:05.584 --> 04:06:08.253
INSIGHTS THIS PROVIDES US. WERE
04:06:08.320 --> 04:06:12.324
LOOKING INTO. SING THAT. NOT
04:06:12.390 --> 04:06:16.828
FIND IT REALLY INTERESTING THAT.
04:06:16.895 --> 04:06:18.063
THAT OF THE TWENTY FIVE MOST
04:06:18.130 --> 04:06:23.668
RECENTLY PAID THE PRESCRIBED.
04:06:23.735 --> 04:06:24.302
DRUGS THEY ACTUALLY REPRESENT.
04:06:24.369 --> 04:06:27.105
THEM SO. WELL UNDER HALF 43% OF
04:06:27.172 --> 04:06:30.609
THE TOTAL SPEND SO. YEAH SO
04:06:30.675 --> 04:06:32.611
IT'S- BE INTERESTING BREAK THAT
04:06:32.677 --> 04:06:34.713
DOWN EXACT BECAUSE BECAUSE THEY
04:06:34.779 --> 04:06:35.847
ALSO NOTE THAT MOST OF THE
04:06:35.914 --> 04:06:37.549
SPEND DISCOURSES ON. A SPECIAL
04:06:37.616 --> 04:06:39.384
BRAG HOW ME THERE'S A SPECIAL
04:06:39.451 --> 04:06:40.485
IS THE GENERIC DRUGS WHICH
04:06:40.552 --> 04:06:42.420
ACTUALLY WERE MOST PEOPLE TAKE
04:06:42.487 --> 04:06:44.122
THE MEDICATION BUT THE FOR A
04:06:44.189 --> 04:06:45.957
FAIRLY SMALL PERCENTAGE OF THE
04:06:46.024 --> 04:06:49.895
ACTUAL. SO COSTELLO BUT MOSTLY
04:06:49.961 --> 04:06:51.830
IT IT'S NOT THE OVERALL SPEND
04:06:51.897 --> 04:06:53.765
ON FUTURE DOES THAT PATIENTS
04:06:53.832 --> 04:06:54.833
ARE LOOKING AT THE LOOK IN
04:06:54.900 --> 04:06:57.636
THEIR PARTICULAR MEDICATION SO-
04:06:57.702 --> 04:06:59.771
ALL RIGHT RANGE THINK OF THANK
04:06:59.838 --> 04:07:01.339
YOU RIGHT NOW THE COUNCIL'S
04:07:01.406 --> 04:07:02.607
MOVE ON TO THE PIN NUMBER TO
04:07:02.674 --> 04:07:07.345
INFORMATION RESOURCES ALRIGHT-
04:07:07.412 --> 04:07:09.114
SO OUR FIRST STATUS
04:07:09.181 --> 04:07:11.483
ADMINISTRATIVE MAY OUT AT EACH
04:07:11.550 --> 04:07:16.755
STATE AND ARE FOR STAB. THE
04:07:16.821 --> 04:07:20.125
THEM TO FIVE. TECH OF
04:07:20.192 --> 04:07:21.726
INFORMATION AT. ILLEGAL ATTEMPT
04:07:21.793 --> 04:07:23.495
THIS FRAUD AND ABUSE THE DAMAGE
04:07:23.562 --> 04:07:24.996
TECH IN AND OF SIR MISSION SO
04:07:25.063 --> 04:07:26.831
CAN SOME DATA IT OVER FOR
04:07:26.898 --> 04:07:28.533
HUNDRED DEVICES INFORMATION
04:07:28.600 --> 04:07:30.602
CYBERSECURITY THREATS OF
04:07:30.669 --> 04:07:31.736
INCREASED EXPONENTIALLY IN
04:07:31.803 --> 04:07:33.205
FREQUENCY AND SOPHISTICATION.
04:07:33.271 --> 04:07:35.507
THE D. C. HAS RECENTLY GONE
04:07:35.574 --> 04:07:36.374
THROUGH INDEPENDENT ACCUSE
04:07:36.441 --> 04:07:37.742
SECURITY ASSESSMENTS IN
04:07:37.809 --> 04:07:40.345
SEPTEMBER TWENTY EIGHTEEN. MY
04:07:40.412 --> 04:07:41.546
CONTACT WITH BUSINESS ADVANTAGE
04:07:41.613 --> 04:07:43.848
SALTINE THE SECURITY ASSESSMENT
04:07:43.915 --> 04:07:45.116
CONCLUDED THAT THE TEAM MIGHT
04:07:45.183 --> 04:07:47.819
SEE HAD NO SABER SI TECHNOLOGY
04:07:47.886 --> 04:07:52.357
IN PLACE 40% OF CATEGORIES AS-
04:07:52.424 --> 04:07:55.694
AND 12% OF EXISTING TECH. THE
04:07:55.760 --> 04:07:56.628
FALL OF TWENTY EIGHTEEN DMX
04:07:56.695 --> 04:07:58.263
SUPPORT CREATED NATIONAL EVER
04:07:58.330 --> 04:07:59.764
SECURE REVIEW OFF BY THE CENTER
04:07:59.831 --> 04:08:01.800
FOR IN. SECURITY THE DAMAGE THE
04:08:01.866 --> 04:08:03.268
SCORED BELOW THE RECOMMENDED
04:08:03.335 --> 04:08:04.703
MINIMUM MATURITY LEVEL AND
04:08:04.769 --> 04:08:06.538
BELOW AVERAGE IN COMPARISON TO
04:08:06.605 --> 04:08:07.239
OTHER STATE AND FEDERAL
04:08:07.305 --> 04:08:09.474
DEPARTMENTS AND THEN AND LAST
04:08:09.541 --> 04:08:11.943
YEAR THE CALIFORNIA MILITARY%
04:08:12.010 --> 04:08:13.111
DEPARTMENT CYBER NOT DEFENSE.
04:08:13.178 --> 04:08:15.213
TO THE BOULDER POLICE. IN A
04:08:15.280 --> 04:08:16.948
FIGHT WHY VULNERABILITY IN SOFT
04:08:17.015 --> 04:08:18.316
TECHNICAL CONFIGURATIONS IN THE
04:08:18.383 --> 04:08:20.719
MAINTENANCE OF MAINTENANCE OF
04:08:20.785 --> 04:08:23.722
OUR TECHNICAL SYSTEMS. MS THIS
04:08:23.788 --> 04:08:25.190
PROPOSAL AIMS PRESS THE
04:08:25.257 --> 04:08:27.158
ASSESSMENT MEANS LEGISLATIVE
04:08:27.225 --> 04:08:30.328
BERMAN STATE. WERE REQUESTING
04:08:30.395 --> 04:08:32.664
TO PERMANENT AS AN EXPONENT
04:08:32.731 --> 04:08:34.065
TORTILLA OUT OF THREE HUNDRED
04:08:34.132 --> 04:08:36.468
EIGHTY FOURTH PURPOSE TWENTY
04:08:36.534 --> 04:08:39.504
TWENTY ONE. STATE OR TWENTY
04:08:39.571 --> 04:08:40.138
TWENTY TWO ONE TWO TWENTY THREE
04:08:40.205 --> 04:08:41.439
AND THREE HUNDRED TO A THOUSAND
04:08:41.506 --> 04:08:42.974
FOR FISCAL YEAR TWENTY THREE
04:08:43.041 --> 04:08:44.009
TWENTY FOUR AND ON GOING FROM
04:08:44.075 --> 04:08:46.211
THE MANAGED CARE FUND. OKAY
04:08:46.278 --> 04:08:47.212
HAPPY IT'S A QUESTION I TELL
04:08:47.279 --> 04:08:50.181
YOU LET'S FINANCE. RIGHT I
04:08:50.248 --> 04:08:52.951
ESTIMATE- THAT. LITTLE SCARY TO
04:08:53.018 --> 04:08:55.153
THINK THAT THE INMATES SEE
04:08:55.220 --> 04:08:56.154
GIVEN THE KIND OF DATA YOU HAVE
04:08:56.221 --> 04:08:57.789
TO. LET THEM KNOW WE'RE DEALING
04:08:57.856 --> 04:08:58.923
WITH THESE OLDER LEASES. AT
04:08:58.990 --> 04:09:03.395
THEM. SO WE HOPE TO DO MORE ALL
04:09:03.461 --> 04:09:06.865
RIGHT. OKAY LET'S ISSUE THIRTY
04:09:06.931 --> 04:09:08.800
THREE. IF YOU. THIRTY ONE. THE
04:09:08.867 --> 04:09:10.735
LAW TO HELP. ENSURE OUR A PULL
04:09:10.802 --> 04:09:12.470
IN THE INTO AND SMALL GROUP
04:09:12.537 --> 04:09:13.238
MARKETS TO SUBMIT RATE
04:09:13.305 --> 04:09:15.006
INFORMATION TO THE DAMAGE SEE
04:09:15.073 --> 04:09:16.875
PRIOR TO ANY RATE CHANGE. THERE
04:09:16.941 --> 04:09:19.844
ARE NO PROVISIONS IN CURRENT
04:09:19.911 --> 04:09:21.379
LAW REQUIRES HEALTH PLANS TO
04:09:21.446 --> 04:09:24.049
SUBMIT LARGE RUBRIC KILEY. SUIT
04:09:24.115 --> 04:09:25.717
IN ORDER TO DETERMINE WHAT THE
04:09:25.784 --> 04:09:29.821
RATE IN THIS IS AND RESTORE
04:09:29.888 --> 04:09:31.423
JUSTICE. BEGINNING IN JULY. HE
04:09:31.489 --> 04:09:32.824
SAID ON REQUIRED THE HELP OFF A
04:09:32.891 --> 04:09:34.259
CON PAUL IN THE LAW GROUP
04:09:34.326 --> 04:09:35.527
MARKET TO FILE RATE INFORMATION
04:09:35.593 --> 04:09:36.661
WITH THE DAMAGE THE ANNUALLY
04:09:36.728 --> 04:09:38.430
AND AT LEAST A HUNDRED TWENTY
04:09:38.496 --> 04:09:39.831
DAYS BEFORE IMPLEMENTING A RATE
04:09:39.898 --> 04:09:42.534
CHANGE UNLIKE OUR REVIEW AND
04:09:42.600 --> 04:09:44.202
VIGILANT SMALL GROUP MARKET AB
04:09:44.269 --> 04:09:47.505
SO THIRTY ONE DOES NOT REQUIRE
04:09:47.572 --> 04:09:49.140
US TO REVIEW EVERY SPECIFIC
04:09:49.207 --> 04:09:51.910
CAUGHT. OLDER EIGHT LARGE GROUP
04:09:51.976 --> 04:09:53.978
MARKET STATE THE BILL PRICES US
04:09:54.045 --> 04:09:55.180
TO DETERMINE WHETHER THE
04:09:55.246 --> 04:09:57.849
METHODOLOGY BACK SHINS YOU THE
04:09:57.916 --> 04:10:00.552
BILL GREAT DOUBLE OR JUSTIFIED
04:10:00.618 --> 04:10:03.722
IN ADDITIONS JULY THIS YEAR
04:10:03.788 --> 04:10:06.257
HEALTH PLANS FOR TO SPEAK IN
04:10:06.324 --> 04:10:11.896
THE RITUALS A GROUP LARA MARKET
04:10:11.963 --> 04:10:12.464
WILL BE REQUIRED TO SUBMIT.
04:10:12.530 --> 04:10:16.401
TRAFFIC IN FOR IT. IT'S THE-
04:10:16.468 --> 04:10:17.235
AND THAT STARTING JULY OF NEXT
04:10:17.302 --> 04:10:18.703
PACIFIC CONTRACT HOLDERS MEET
04:10:18.770 --> 04:10:20.405
CERTAIN CRITERIA CAN SEEK MH SO
04:10:20.472 --> 04:10:21.172
REVIEW OF A HEALTH PLANS FOR
04:10:21.239 --> 04:10:22.440
RAY BEFORE HEALTH PLAN CAN MOVE
04:10:22.507 --> 04:10:24.576
FORWARD INCREASED TO THAT'S FOR
04:10:24.642 --> 04:10:26.945
THEIR INDIVIDUAL CONTRACT. IT
04:10:27.011 --> 04:10:27.445
MADE SEIZE REQUEST I'VE
04:10:27.512 --> 04:10:30.849
POSITIONS AND MILLION SEVEN
04:10:30.915 --> 04:10:31.416
HUNDRED FORTY SEVEN THOUSAND
04:10:31.483 --> 04:10:32.517
AND FISCAL YEAR TWENTY TWENTY
04:10:32.584 --> 04:10:35.053
ONE. TWO MILLION SIX HUNDRED
04:10:35.120 --> 04:10:36.488
SEVENTEEN THOUSAND FISCAL YEAR
04:10:36.554 --> 04:10:37.021
TWENTY ONE TWENTY TWO AND
04:10:37.088 --> 04:10:38.590
ANNUALLY THAT THEY'RE AFTER
04:10:38.656 --> 04:10:40.325
FROM THE MANAGED CARE FUND.
04:10:40.392 --> 04:10:45.230
HELLO. FINANCE ALL RIGHT OKAY
04:10:45.296 --> 04:10:47.031
THANK YOU THAT'S- MOVE ON ISSUE
04:10:47.098 --> 04:10:49.033
NUMBER FOR HEALTH CARE COVERAGE
04:10:49.100 --> 04:10:51.669
SO HEALTH AB SOME FORTY FOUR AB
04:10:51.736 --> 04:10:52.570
SEVEN FORTY FOUR EXPANDS THE U.
04:10:52.637 --> 04:10:55.206
TELEHEALTH BY ESTABLISHING
04:10:55.273 --> 04:10:56.174
PAYMENT PARITY BETWEEN
04:10:56.241 --> 04:10:57.108
TELEHEALTH AN IN PERSON CARE
04:10:57.175 --> 04:10:59.511
SERVICES AB SPEND FORTY FOUR
04:10:59.577 --> 04:11:01.613
RECOGNIZES THE PRACTICE OF TEL
04:11:01.679 --> 04:11:03.481
HELP AS A LEGITIMATE MEANS BY
04:11:03.548 --> 04:11:05.784
WHICH THE ROLE IN THE HEALTH
04:11:05.850 --> 04:11:09.254
CARE HIS PAPER. IN CONTACT WITH
04:11:09.320 --> 04:11:11.189
THE PER AB SEVEN FORTY FOUR
04:11:11.256 --> 04:11:12.791
BARS DEBATE TO REVIEW THE- IN
04:11:12.857 --> 04:11:14.426
IN. REQUIRES REQUIRE AND HEALTH
04:11:14.492 --> 04:11:15.760
CARE SERVICE PLAN CONTRACTS AND
04:11:15.827 --> 04:11:18.296
DOCUMENTS REVIEW PLAN RECORDS
04:11:18.363 --> 04:11:19.597
REGARDING PAYMENTS FOR
04:11:19.664 --> 04:11:21.433
TELEHEALTH SERVICES. AND TO
04:11:21.499 --> 04:11:22.801
REVIEW A SAMPLE TELL HEALTH
04:11:22.867 --> 04:11:24.035
CLAIMS DURING OUR FINANCIAL
04:11:24.102 --> 04:11:26.337
EXAMINATION PROCESS WE'RE
04:11:26.404 --> 04:11:27.272
REQUESTING ONE AND A HALF
04:11:27.338 --> 04:11:30.041
POSITIONS THREE THIRTY ONE
04:11:30.108 --> 04:11:32.143
THOUSAND FISCAL YEAR TWENTY
04:11:32.210 --> 04:11:33.244
TWENTY ONE. THREE PERRANCE THE
04:11:33.311 --> 04:11:35.046
NINETY. FARE TWENTY TWENTY ONE
04:11:35.113 --> 04:11:37.215
TWENTY TWO AN ON GOING FROM THE
04:11:37.282 --> 04:11:40.318
MANAGED CARE FUND. HELLO ONCE.
04:11:40.385 --> 04:11:41.619
RIGHT MOVE ON THEN TO ISSUE
04:11:41.686 --> 04:11:42.854
NUMBER FIVE HEALTH PLANS AND
04:11:42.921 --> 04:11:44.055
HEALTH INSURANCE THIRD PARTY
04:11:44.122 --> 04:11:46.591
PAYMENTS EIGHTY TO NINETY AB
04:11:46.658 --> 04:11:47.625
TWO NINETY ESTABLISHES VARIOUS
04:11:47.692 --> 04:11:48.860
REQUIREMENTS FOR THIRD PARTY
04:11:48.927 --> 04:11:50.562
ENTITIES THAT PAY HEALTH
04:11:50.628 --> 04:11:51.629
COVERAGE PREMIUMS ON BEHALF OF
04:11:51.696 --> 04:11:52.897
AN ENROLLEE PUT AN END TO DO
04:11:52.964 --> 04:11:54.933
YOU HAVE A FINANCIAL INTEREST
04:11:54.999 --> 04:11:56.501
AT STAKE FOR THE THIRD PARTY OR
04:11:56.568 --> 04:11:58.536
DISSOCIATED PROVIDER THIS BILL
04:11:58.603 --> 04:12:00.405
ALSO REMOVES FINANCIAL
04:12:00.472 --> 04:12:03.074
INCENTIVES FOR THIRD PARTIES TO
04:12:03.141 --> 04:12:03.608
PROVIDE PREMIUM ASSISTANCE
04:12:03.675 --> 04:12:08.613
UNRELATED ALL MAKING EVERY AT
04:12:08.680 --> 04:12:10.582
HER TO ALLOW ONE TO CAN RECEIPT.
04:12:10.648 --> 04:12:12.116
THIRTY PARTY ASSISTANCE OR FIND
04:12:12.183 --> 04:12:14.752
A WHAT COVERAGE. NOT JUST
04:12:14.819 --> 04:12:17.355
RESOLUTION. BY OCTOBER FIRST OF
04:12:17.422 --> 04:12:18.456
TWENTY TWENTY ONE. THROUGH
04:12:18.523 --> 04:12:19.691
WHICH PROVIDERS AND HEALTH
04:12:19.757 --> 04:12:20.892
PLANS CAN SEEK EVERY BURKE
04:12:20.959 --> 04:12:22.327
REIMBURSEMENT RATE OTHER THAN
04:12:22.393 --> 04:12:23.261
THE DEFAULT RATE WHICH IS THE
04:12:23.328 --> 04:12:25.263
MEDICARE RATE. IN ADDITION THIS
04:12:25.330 --> 04:12:26.731
PROPOSAL REQUEST RESOURCES TO
04:12:26.798 --> 04:12:28.166
PROMULGATE RATE REGULATIONS
04:12:28.233 --> 04:12:29.567
RECEIVE PLAN DATA REGARDING
04:12:29.634 --> 04:12:31.870
COST SAVINGS AND REVIEW. HEALTH
04:12:31.936 --> 04:12:33.071
PLAN EVIDENCE OF COVERAGE
04:12:33.137 --> 04:12:34.639
DOCUMENT THE POLICIES AND
04:12:34.706 --> 04:12:36.007
PROCEDURES TO VERIFY PLAN
04:12:36.074 --> 04:12:37.909
COMPLIANCE WITH THE BILL'S
04:12:37.976 --> 04:12:39.244
PROVISIONS. THE DAY MAKES IS
04:12:39.310 --> 04:12:41.012
REQUESTING TO YOUR THE TERM
04:12:41.079 --> 04:12:42.213
EXPONENTIAL AUTHORITY OF ONE
04:12:42.280 --> 04:12:45.116
MILLION ONE HUNDRED AND SIXTY
04:12:45.183 --> 04:12:46.784
THREE THOUSAND AND FISCAL YEAR
04:12:46.851 --> 04:12:48.453
TWENTY TWENTY ONE. AND SEVEN
04:12:48.520 --> 04:12:50.688
SEVENTY FIVE. MAY TWENTY ONE
04:12:50.755 --> 04:12:51.856
TWENTY FUND TO JUST ADDRESS THE
04:12:51.923 --> 04:13:04.802
ADDITIONAL WORKLOAD. OKAY LU.
04:13:04.869 --> 04:13:08.373
HI YES SO ON THIS ITEM WE DON'T
04:13:08.439 --> 04:13:09.207
HAVE ANY CONCERNS WITH THE
04:13:09.274 --> 04:13:10.909
PROPOSAL BUT WE WOULD JUST FLAG
04:13:10.975 --> 04:13:13.211
FOR THE COMMITTEE THAT AB TWO
04:13:13.278 --> 04:13:13.645
NINETY WAS ENJOYING
04:13:13.711 --> 04:13:15.179
PRELIMINARILY- AND CAN BE
04:13:15.246 --> 04:13:17.749
IMPLEMENTED AND- THAT INJECTION
04:13:17.815 --> 04:13:19.083
IS LIFTED- SO THERE'S A
04:13:19.150 --> 04:13:20.752
POSSIBILITY THAT. YOU MAY NOT
04:13:20.818 --> 04:13:21.953
NEED ALL THESE FUNDS BUT WE
04:13:22.020 --> 04:13:23.521
ALSO UNDERSTAND IN ORDER TO
04:13:23.588 --> 04:13:25.256
IMPLEMENT THE BILL AT A POINT
04:13:25.323 --> 04:13:27.058
WHEN IT IS LIFTED ON THEIR
04:13:27.125 --> 04:13:28.293
STEPS THAT WE NEED TO TAKE NOW-
04:13:28.359 --> 04:13:30.795
THE PROPOSAL IS LIMITED TERM SO
04:13:30.862 --> 04:13:33.097
AND THAT IS ONE WAY TO ADDRESS
04:13:33.164 --> 04:13:34.432
THE UNCERTAINTY AROUND THAT
04:13:34.499 --> 04:13:37.135
JUST ONE OF LIKE THAT THANK YOU
04:13:37.201 --> 04:13:39.137
FINANCE. YEAH THE
04:13:39.203 --> 04:13:40.271
ADMINISTRATION WANTS TO MAKE
04:13:40.338 --> 04:13:42.073
SURE THAT THE LOSS OF BLOOD
04:13:42.140 --> 04:13:44.242
LEGISLATURE EMPLOYMENTS- ARE
04:13:44.309 --> 04:13:45.710
CARRIED THROUGH THE WHEN I MAKE
04:13:45.777 --> 04:13:47.111
SURE THEY WERE PREPARED- WE DID
04:13:47.178 --> 04:13:49.881
DO IT TIME LIMITED THAT WE CAN
04:13:49.948 --> 04:13:52.717
RE US US. OKAY THE YOU. KNOW
04:13:52.784 --> 04:13:54.552
VERY QUESTION WHICH IS THAT-
04:13:54.619 --> 04:13:55.987
THAT THEY THINK WE'RE STILL
04:13:56.054 --> 04:13:58.556
STUCK IN COURT BUT THEN AGAIN-
04:13:58.623 --> 04:13:59.424
I THINK ONCE IT GETS OUT OF
04:13:59.490 --> 04:14:01.092
COURT ONE BE SURE WE HAVE THE
04:14:01.159 --> 04:14:01.960
RESOURCES TO IMPLEMENT IS. IS
04:14:02.026 --> 04:14:03.528
THERE SOMETHING IN THE ENGLISH
04:14:03.595 --> 04:14:09.467
THAT REFLECTS THAT ARE. ON THE.
04:14:09.534 --> 04:14:10.468
THERE IS NOT ANY PROVISIONAL
04:14:10.535 --> 04:14:11.469
LANGUAGE ASSOCIATED WITH THIS
04:14:11.536 --> 04:14:13.104
PROPOSAL BUT THAT IS SOMETHING
04:14:13.171 --> 04:14:14.105
THAT THE LEGISLATURE COULD
04:14:14.172 --> 04:14:15.773
CONSIDER DOING IS CRAFTING SOME
04:14:15.840 --> 04:14:18.009
SORT OF- REPORTING REQUIREMENT
04:14:18.076 --> 04:14:20.144
OR MAKING- CERTAIN COMPONENTS
04:14:20.211 --> 04:14:23.548
OF THE OF THE FUNDING- CONTENT
04:14:23.615 --> 04:14:24.148
ON CERTAIN EVENTS TAKING PLACE
04:14:24.215 --> 04:14:27.452
BUT- THE ADMINISTRATION HAS
04:14:27.518 --> 04:14:29.454
INDICATED THAT THERE ARE STEPS
04:14:29.520 --> 04:14:30.021
THAT THEY WOULD LIKE TO TAKE
04:14:30.088 --> 04:14:35.827
YOU FOR WE COME THAT I'M IN
04:14:35.893 --> 04:14:36.894
ORDER TO PREPARE ITS THAT
04:14:36.961 --> 04:14:38.162
SOMETHING LET'S. THE NEXT
04:14:38.229 --> 04:14:39.697
HEARING DATES ON THIS WILL BE
04:14:39.764 --> 04:14:40.331
SOMETIME THIS SUMMER SO WE'LL
04:14:40.398 --> 04:14:42.400
HAVE BETTER PICTURE- FOR US
04:14:42.467 --> 04:14:44.068
THERE IS EXISTING WORKLOAD WE
04:14:44.135 --> 04:14:45.169
NEED TO MOVE QUICKLY TO GET
04:14:45.236 --> 04:14:46.537
SOME OF THESE TEMPLATE SET UP
04:14:46.604 --> 04:14:47.305
GETTING CONSULTING PLACE TO
04:14:47.372 --> 04:14:49.641
ADVISE US- AND- THE- CRITICAL
04:14:49.707 --> 04:14:51.109
PIECES. ESTABLISHED IN THE
04:14:51.175 --> 04:14:52.477
INDEPENDENT DISPUTE RESOLUTION
04:14:52.543 --> 04:14:53.978
PROCESS AND SO THERE ARE SOME
04:14:54.045 --> 04:14:55.647
ACTIVITIES THAT WE WOULD NEED
04:14:55.713 --> 04:14:57.615
TO CONTINUE TO DO BUT WILL HAVE
04:14:57.682 --> 04:14:59.417
SOME SOME CLARITY THIS SUMMER.
04:14:59.484 --> 04:15:00.885
SO WE CAN DO Và RATIO WORK
04:15:00.952 --> 04:15:02.887
BEFORE AND OKAY AND IT OKAY.
04:15:02.954 --> 04:15:04.822
ALL RIGHT WELL I'M I'M GONNA
04:15:04.889 --> 04:15:06.658
WILL PREVAIL CORD WE SHOULD DO
04:15:06.724 --> 04:15:16.634
THAT I'D- SO. BUT OKAY. ALL
04:15:16.701 --> 04:15:19.370
RIGHT VERY GOOD. OKAY THAT'S-
04:15:19.437 --> 04:15:20.738
THERE NO STAKEHOLDER PROPOSALS.
04:15:20.805 --> 04:15:21.806
WE'LL TAKE PUBLIC COMMENT ON
04:15:21.873 --> 04:15:23.741
ITEMS AROUND THE APARTMENT H.
04:15:23.808 --> 04:15:26.177
HEALTHCARE WELCOME. HI HI GOOD
04:15:26.244 --> 04:15:27.512
AFTERNOON AND GDS HERE ON
04:15:27.578 --> 04:15:29.480
BEHALF OF SCA YOU CALIFORNIA.
04:15:29.547 --> 04:15:31.449
JUST WANNA SHARE OUR SUPPORT
04:15:31.516 --> 04:15:34.118
FOR THE VCP PROPOSALS UNDER.
04:15:34.185 --> 04:15:37.155
ISSUE THREE FOUR A. B. SEVEN
04:15:37.221 --> 04:15:39.524
THIRTY ONE AND ALSO IF FIVE
04:15:39.590 --> 04:15:41.592
FOUR BEAT NINETY THANK YOU.
04:15:41.659 --> 04:15:43.628
THANK YOU WELCOME. GOOD
04:15:43.695 --> 04:15:45.963
AFTERNOON WENT AWAY WITH STERN
04:15:46.030 --> 04:15:47.965
SAID ON ONE PA REGARDING ACCESS
04:15:48.032 --> 04:15:49.233
WE DO A THAT THE DATA IS
04:15:49.300 --> 04:15:50.768
GETTING BETTER AS ARE THE
04:15:50.835 --> 04:15:54.072
REPORTS OF WOULD NOTE THAT THE
04:15:54.138 --> 04:15:56.507
HEALTH PLAN OF SAD JOAQUIN AS
04:15:56.574 --> 04:15:59.010
WELL AS THE CURRENT SYSTEM AT
04:15:59.077 --> 04:16:01.946
THE TOP OF THE- WHERE OUR
04:16:02.013 --> 04:16:04.949
LEAGUE THE KIDS. DOT ISSUES
04:16:05.016 --> 04:16:06.517
INTER OF EATING THOSE TYPE
04:16:06.584 --> 04:16:09.387
ACCESS STANDARD I WHEN WORKING
04:16:09.454 --> 04:16:12.490
WITH THAT IN CAN I ADDITION AND
04:16:12.557 --> 04:16:19.664
I PARTS TO THE. ON AT
04:16:19.731 --> 04:16:21.499
COMPLIANCE RAY WE DO APPRECIATE
04:16:21.566 --> 04:16:22.033
THAT THAT THERE WILL BE A
04:16:22.100 --> 04:16:24.102
SEPARATE COMPLY RATE FOR BOTH
04:16:24.168 --> 04:16:26.537
URGENT AND NON URGENT BUT
04:16:26.604 --> 04:16:27.772
SIMILAR TO THE CHAIRED. SEVENTY
04:16:27.839 --> 04:16:31.743
PER TO. AND WOULD RECOMMEND.
04:16:31.809 --> 04:16:37.648
81% OF AND FINALLY IN WITH TO
04:16:37.715 --> 04:16:40.084
THE COMPLAIN BEING BY. IT'S
04:16:40.151 --> 04:16:43.020
UNCLEAR AS TO WHETHER THAT. BY
04:16:43.087 --> 04:16:47.225
GREW PROVIDER GROUP OUR- LEGAL
04:16:47.291 --> 04:16:52.597
AID I. HAVE X. CONCERN WITH.
04:16:52.663 --> 04:16:56.200
ALLEN WROTE HAVING CHALLENGE. I
04:16:56.267 --> 04:16:58.970
ACCESS SEE. PROVIDE IN THEIR
04:16:59.036 --> 04:17:00.538
HEALTH BUT IN A DIFFERENT GROUP
04:17:00.605 --> 04:17:02.073
THAN THE AND SO WE WENT
04:17:02.140 --> 04:17:06.778
pTHREE. I WON'T BE IF BY NETWORK
04:17:06.844 --> 04:17:10.982
MEAN THAT GROUPS THANK YOU.
04:17:11.048 --> 04:17:13.317
THANK YOU AND ON ISSUE THREE
04:17:13.384 --> 04:17:16.487
SUPPORT THE I LEGISLATION SAW
04:17:16.554 --> 04:17:19.190
SUPPORT THE CITY'S OKAY THANK
04:17:19.257 --> 04:17:21.392
YOU FOR. GOOD AFTERNOON RUN
04:17:21.459 --> 04:17:23.761
HERE BEHALF OF HOW ACCESS QUE
04:17:23.828 --> 04:17:24.862
WE CERTAINLY ISSUE THREE OH
04:17:24.929 --> 04:17:26.230
LARGE GROUP MARKET RATE RIVER
04:17:26.297 --> 04:17:28.733
AND ALL IF YOU KNOW FIVE ON A
04:17:28.800 --> 04:17:29.500
TWO NINE. ALSO VERY MUCH
04:17:29.567 --> 04:17:31.869
APPRECIATE THE CONVERSE ON AS
04:17:31.936 --> 04:17:32.703
SEVEN IN THE FORWARD TO BRING A
04:17:32.770 --> 04:17:34.839
WEEK THE INTO BECAUSE- WHAT
04:17:34.906 --> 04:17:37.108
MORE WE CAN DO DESCRIPTION DRUG
04:17:37.175 --> 04:17:39.343
POLICY. IT SHOULD ONLY BE UP
04:17:39.410 --> 04:17:42.747
COMMERCE UNTIMELY I IT'S BEEN A-
04:17:42.814 --> 04:17:52.223
COMING. THIS HEALTHCARE THANK
04:17:52.290 --> 04:17:53.157
YOU VERY MUCH ALL RIGHT THANK
04:17:53.224 --> 04:17:55.593
YOU. RIGHT AT THAT MOMENT THANK
04:17:55.660 --> 04:17:57.061
EVERYONE FOR BEING HERE AND
04:17:57.128 --> 04:17:57.795
THANK YOU FOR YOUR
04:17:57.862 --> 04:18:01.265
PRESENTATIONS. IT OKAY- SO NEXT
04:18:01.332 --> 04:18:02.500
UP IS GOING TO BE THE PART OF
04:18:02.567 --> 04:18:06.003
PUBLIC HEALTH- I EIGHT. GOING
04:18:06.070 --> 04:18:07.972
TO ASK FOR A TWO MINUTE BREAK
04:18:08.039 --> 04:18:09.907
AND I KNOW THAT C. PH ALSO HAS
04:18:09.974 --> 04:18:11.108
SOMETHING COMING UP SHORTLY AS
04:18:11.175 --> 04:18:12.643
WELL SO WE WANT TO GET YOU GUYS
04:18:12.710 --> 04:18:14.645
GOING SO IF YOU WANT TO COME UP
04:18:14.712 --> 04:18:16.747
SIT DOWN OR WHATEVER WILL. WILL
04:18:16.814 --> 04:18:19.383
BE DOING ACTUALLY AND- FIVE
04:18:19.450 --> 04:18:44.075
MINUTES OR SO. OKAY THIS.
04:21:13.124 --> 04:21:14.025
OKAY
04:21:14.091 --> 04:21:15.593
LET'S GET STARTED AGAIN I THINK
04:21:15.659 --> 04:21:18.729
WE ALL ARE BEING TIED UP WITH
04:21:18.796 --> 04:21:20.364
THE SAME THING ALL RIGHT- SO
04:21:20.431 --> 04:21:22.700
WELCOME AND FOR THE RECORD TO-
04:21:22.767 --> 04:21:24.368
FIRST OF ALL LET'S HAVE A ONE
04:21:24.435 --> 04:21:27.271
INTRODUCED THE CELLS- AROUND
04:21:27.338 --> 04:21:32.510
THE- SO. I'M JAMES WHAT WITH
04:21:32.576 --> 04:21:33.077
THE CALIFORNIA DEPARTMENT OF
04:21:33.144 --> 04:21:34.712
PUBLIC HEALTH THANK YOU. SONNY
04:21:34.779 --> 04:21:37.281
ANGEL CALIFORNIA DEPARTMENT OF
04:21:37.348 --> 04:21:39.517
PUBLIC HEALTH YOU. CALIFORNIA
04:21:39.583 --> 04:21:40.351
DEPARTMENT OF PUBLIC SORRY TO
04:21:40.418 --> 04:21:44.422
OF. SEASON FINALE DEPARTMENT OF
04:21:44.488 --> 04:21:45.523
PUBLIC HEALTH YES BRENDA
04:21:45.589 --> 04:21:46.624
NEWNESS OF THE DEPARTMENT OF
04:21:46.690 --> 04:21:48.826
PUBLIC HEALTH OKAY L. L. SONYA
04:21:48.893 --> 04:21:50.261
PARTICULARLY- FINANCE CHECKS
04:21:50.327 --> 04:21:53.864
WILL FINANCE OKAY THANK YOU SO
04:21:53.931 --> 04:21:56.367
WHAT WE START WITH THE CLOVER
04:21:56.434 --> 04:21:59.470
YOU IN SO I GUESS SAID THESE OF
04:21:59.537 --> 04:22:01.372
THE STATE'S PUBLIC HEALTH TELL
04:22:01.439 --> 04:22:04.642
THE ACTING. NO IT ALL
04:22:04.708 --> 04:22:06.010
PARTICULARLY DURING THESE YES
04:22:06.077 --> 04:22:06.911
SO GOOD AFTERNOON SHE AND
04:22:06.977 --> 04:22:08.646
MEMBERS I'M DOCTOR SONYA ANGEL
04:22:08.712 --> 04:22:09.814
DIRECTOR OF THE CALIFORNIA
04:22:09.880 --> 04:22:11.148
STATE DEPARTMENT OF PUBLIC
04:22:11.215 --> 04:22:13.517
HEALTH. AND PUBLIC HEALTH SIR-
04:22:13.584 --> 04:22:14.852
IT'S CERTAINLY AN HONOR TO BE
04:22:14.919 --> 04:22:17.054
HERE TODAY TO PRESENT ON THE
04:22:17.121 --> 04:22:18.756
STATE OF CALIFORNIA'S PUBLIC
04:22:18.823 --> 04:22:20.524
HEALTH. THE CALIFORNIA
04:22:20.591 --> 04:22:22.193
DEPARTMENT OF HEALTH MISSION IS
04:22:22.259 --> 04:22:23.794
TO EQUITABLY ADVANCE THE HEALTH
04:22:23.861 --> 04:22:25.529
AND WELL BEING OF CALIFORNIA'S
04:22:25.596 --> 04:22:28.099
DIVERSE. COMMUNITIES AND WHEN
04:22:28.165 --> 04:22:29.567
WE SPEAK OF HEALTH IT'S NOT
04:22:29.633 --> 04:22:31.035
JUST THE ABSENCE OF DISEASE AN
04:22:31.102 --> 04:22:33.370
INJURED HEALTH IS ALSO AN
04:22:33.437 --> 04:22:34.705
OVERALL STATE OF PHYSICAL.
04:22:34.772 --> 04:22:37.875
MENTAL SOCIAL WELL BEING. AS
04:22:37.942 --> 04:22:39.009
SUCH THE ATTAINMENT OF THE
04:22:39.076 --> 04:22:40.845
POPULATIONS OPTIMAL HEALTH IS
04:22:40.911 --> 04:22:43.114
AN ACHIEVEMENT THAT ESTABLISHES
04:22:43.180 --> 04:22:43.814
A SOCIETY'S COULD PASS FOR
04:22:43.881 --> 04:22:46.117
SUCCESS. BUT BEFORE ENGINE TO
04:22:46.183 --> 04:22:47.251
THE OVERALL HEALTH OF OUR STATE
04:22:47.318 --> 04:22:49.086
LET ME FIRST ADDRESS THE ISSUE
04:22:49.153 --> 04:22:49.753
THAT I KNOW HAS BEEN ON THE
04:22:49.820 --> 04:22:52.423
PHONE FOR FRONT OF ALL OF OUR
04:22:52.490 --> 04:22:53.824
MINDS AND IN PARTICULAR IN THE
04:22:53.891 --> 04:22:56.961
FOREFRONT OF OUR ACTIONS AT THE
04:22:57.027 --> 04:22:58.462
STATE HEALTH. DEPARTMENT NOVEL
04:22:58.529 --> 04:23:00.731
FROM ABOUT ALSO KNOWN AS- THE
04:23:00.798 --> 04:23:01.866
FORMULA ALONG WITH THE OTHER
04:23:01.932 --> 04:23:03.834
STATES IN THE NATION HAD IS NOW
04:23:03.901 --> 04:23:05.236
ENTERING A PERIOD OF COMMUNITY
04:23:05.302 --> 04:23:07.037
TRANSMISSION OF THE DISEASE.
04:23:07.104 --> 04:23:08.906
COMMUNITY AND MISSION OCCURS
04:23:08.973 --> 04:23:10.774
WHEN THERE ARE CASES CONFIRMED-
04:23:10.841 --> 04:23:12.843
OF COKE NINETEEN THAT ARE NOT
04:23:12.910 --> 04:23:15.613
TRACEABLE TO A TRAVEL HISTORY
04:23:15.679 --> 04:23:17.281
TO IMPACT IS FROM AN IMPACTED
04:23:17.348 --> 04:23:19.550
REGION AND IT'S NOT TRACEABLE
04:23:19.617 --> 04:23:21.519
TO KNOWN CASES. COMMUNITY
04:23:21.585 --> 04:23:23.587
TRANSMISSION IS NOT UNEXPECTED
04:23:23.654 --> 04:23:25.623
AND WE'VE BEEN PREPARED FOR
04:23:25.689 --> 04:23:27.091
THIS TO COME FOR SOMETIME. ON
04:23:27.158 --> 04:23:29.460
JANUARY TWENTY FIRST FIRST CASE
04:23:29.527 --> 04:23:31.362
IN CALIFORNIA WAS IDENTIFIED IN
04:23:31.428 --> 04:23:34.265
ORANGE COUNTY. I IT IT WERE
04:23:34.331 --> 04:23:35.799
IDENTIFIED IN CASES WERE
04:23:35.866 --> 04:23:37.134
IDENTIFIED IN ORANGE AND LOS
04:23:37.201 --> 04:23:38.369
ANGELES COUNTIES THE FIRST
04:23:38.435 --> 04:23:39.703
COMMUNITY ACQUIRED CASE WAS
04:23:39.770 --> 04:23:41.438
IDENTIFIED ONE MONTH LATER
04:23:41.505 --> 04:23:43.040
FEBRUARY TWENTY THIRD AND
04:23:43.107 --> 04:23:44.642
SOLANO COUNTY. CURRENTLY
04:23:44.708 --> 04:23:46.744
CALIPHS HAS ONE HUNDRED AND
04:23:46.810 --> 04:23:52.550
EIGHTY EIGHT CONFIRM TO CODE
04:23:52.616 --> 04:23:56.120
SEVENTY FOUR IS OUR- ON. XIN
04:23:56.187 --> 04:23:58.455
WELL HAD HOPES THE KELL COULD
04:23:58.522 --> 04:23:59.990
BE SPARED THERE HAS ALSO BEEN
04:24:00.057 --> 04:24:01.158
THREE DEATHS IN CALIFORNIA FOR
04:24:01.225 --> 04:24:03.194
COVERT NINETEEN FOR DEATH
04:24:03.260 --> 04:24:05.496
EXCUSE ME JUST AS WITH
04:24:05.563 --> 04:24:07.198
INFECTIOUS DISEASE DOES NOT ALL
04:24:07.264 --> 04:24:09.066
AREAS COMMUNITIES ARE PEOPLE
04:24:09.133 --> 04:24:10.734
ARE FULLY AFFECTED STAY AND
04:24:10.801 --> 04:24:13.737
COUNTY. OKAY HE WAS ASSESSING
04:24:13.804 --> 04:24:14.672
THIS. AND WE'RE PROVIDING
04:24:14.738 --> 04:24:17.041
INFORMATION TO THE COMMUNITIES
04:24:17.107 --> 04:24:19.276
AS THE SITUATION CHANGES. WE'VE
04:24:19.343 --> 04:24:21.078
ACTIVATED THE MEDICAL HEALTH
04:24:21.145 --> 04:24:23.347
AND COORDINATION MEDICAL AND
04:24:23.414 --> 04:24:25.316
HEALTH COORDINATION CENTER AND
04:24:25.382 --> 04:24:27.851
THE STATE'S OPERATIONS CENTER
04:24:27.918 --> 04:24:29.420
IS ACTIVATED AT A LEVEL ONE. WE
04:24:29.486 --> 04:24:31.021
ARE BRINGING A WHOLE GOVERNMENT
04:24:31.088 --> 04:24:32.523
RESPONSE TO THIS COORDINATING
04:24:32.590 --> 04:24:33.724
RESPONSE EFFORTS ACROSS THE
04:24:33.791 --> 04:24:35.526
STATE WE'RE WORKING CLOSELY TO
04:24:35.593 --> 04:24:36.660
SUPPORT LOCAL HEALTH
04:24:36.727 --> 04:24:37.428
DEPARTMENTS HEALTHCARE
04:24:37.494 --> 04:24:39.463
PROVIDERS AND THE CARE DELIVERY
04:24:39.530 --> 04:24:40.631
SYSTEM THAT SUPPORTS OUR
04:24:40.698 --> 04:24:41.765
COMMUNITIES THROUGHOUT AS WELL
04:24:41.832 --> 04:24:43.567
AS THE- BY PROVIDING AT
04:24:43.634 --> 04:24:45.603
INFORMATION. GUIDANCE DOCUMENTS
04:24:45.669 --> 04:24:48.038
AND TECHNICAL SUPPORT. JUST
04:24:48.105 --> 04:24:49.039
TODAY WE'VE ANNOUNCED A
04:24:49.106 --> 04:24:50.374
GATHERING SHOULD BE POSTPONED
04:24:50.441 --> 04:24:51.942
OR CANCELED ACROSS THE STATE
04:24:52.009 --> 04:24:52.910
FOR AT LEAST THE REMAINDER OF
04:24:52.977 --> 04:24:54.211
THE MONTH TO PROTECT PUBLIC
04:24:54.278 --> 04:24:56.313
HEALTH AND SLOW THE RATE OF
04:24:56.380 --> 04:24:58.949
TRANSMISSION OF COVERED
04:24:59.016 --> 04:24:59.516
NINETEEN NINETEEN. AND THEIR
04:24:59.583 --> 04:25:00.484
SPECIFICS ON THE TYPES OF
04:25:00.551 --> 04:25:04.255
GATHERING SO SHOULD BE CLOSED.
04:25:04.321 --> 04:25:04.822
BASED ON WHERE WE ARE IN THE
04:25:04.888 --> 04:25:06.490
PRO OF THE SEVEN MAKE IT'S
04:25:06.557 --> 04:25:07.858
ESSENTIAL THAT WE IMPLEMENT
04:25:07.925 --> 04:25:11.428
SOCIAL THING THIS TO. A IS
04:25:11.495 --> 04:25:12.930
SEVEN POURTANT. PENSION TO SLOW
04:25:12.997 --> 04:25:15.566
THE SPREAD OF DISEASE. I'D NOW
04:25:15.633 --> 04:25:17.268
LIKE TO GO INTO SPEAKING MORE
04:25:17.334 --> 04:25:18.869
GENERALLY ABOUT THE STATE OF
04:25:18.936 --> 04:25:21.372
PUBLIC HEALTH- OVER THE PAST
04:25:21.438 --> 04:25:22.973
ONE HUNDRED YEARS PUBLIC HEALTH
04:25:23.040 --> 04:25:25.709
ACTION HAS CONTRIBUTED REDUCING
04:25:25.776 --> 04:25:26.977
BY MORE THAN HALF THE RATE OF
04:25:27.044 --> 04:25:29.713
THAT'S ALL GROUPS IN CALIFORNIA
04:25:29.780 --> 04:25:31.215
LIFE EXPECTANCY IS NOW AT ITS
04:25:31.282 --> 04:25:33.517
HIGHEST LEVEL IT IS EVER BEEN
04:25:33.584 --> 04:25:34.985
SEVENTY NINE POINT FIVE YEARS
04:25:35.052 --> 04:25:36.453
FROM THEN. FOUR POINT FOUR FOR
04:25:36.520 --> 04:25:38.656
WOMEN COMMUNICABLE DISEASES
04:25:38.722 --> 04:25:40.224
WERE ONCE THE LEADING CAUSE OF
04:25:40.291 --> 04:25:41.925
DEATH BUT CHRONIC CONDITIONS
04:25:41.992 --> 04:25:44.595
ARE NOW RESPONSIBLE FOR NINE IN
04:25:44.662 --> 04:25:46.997
TEN DEATHS IN CALIFORNIA OVER
04:25:47.064 --> 04:25:49.266
ALL CHRONIC DISEASES AS WELL
04:25:49.333 --> 04:25:51.302
INTENTIONAL AND UNINTENTIONAL
04:25:51.368 --> 04:25:52.436
INJURIES ARE ALSO THE LEADING
04:25:52.503 --> 04:25:54.505
CAUSES OF BENDABLE DESK DEBT
04:25:54.571 --> 04:25:56.874
BEFORE AGE SIXTY FIVE. BOTH
04:25:56.940 --> 04:25:58.575
RATES OF MERRY HEART DISEASE
04:25:58.642 --> 04:26:00.878
AND LUNG CANCER HAS DECLINED
04:26:00.944 --> 04:26:02.146
STEADILY AND SUBSTANTIALLY
04:26:02.212 --> 04:26:06.317
OVERLAP A RECENT DECADES BUT
04:26:06.383 --> 04:26:11.588
GOOD HEALTH IS A BIG IN FOR OUR-
04:26:11.655 --> 04:26:13.023
CONTINUE TAKES. THIS HIGH EARLY
04:26:13.090 --> 04:26:14.325
DEATH DUE TO CAN. MANY
04:26:14.391 --> 04:26:15.859
DISPARITIES IN INEQUITIES IN
04:26:15.926 --> 04:26:16.860
HEALTH OUTCOMES EXISTING
04:26:16.927 --> 04:26:19.530
CALIFORNIA FOR EXAMPLE HEALTH
04:26:19.596 --> 04:26:20.764
CONDITIONS OCCUR MORE
04:26:20.831 --> 04:26:22.466
FREQUENTLY IN EARLIER AND WITH
04:26:22.533 --> 04:26:24.601
GREATER SEVERITY AMONG
04:26:24.668 --> 04:26:25.302
POPULATIONS OF COLOR AND THOSE
04:26:25.369 --> 04:26:27.004
EXPERIENCING LOWER
04:26:27.071 --> 04:26:29.006
SOCIOECONOMIC STATUS. BLACKS
04:26:29.073 --> 04:26:30.240
ARE TWO TIMES MORE LIKELY TO
04:26:30.307 --> 04:26:32.776
DIE EARLY FROM CORONARY HEART
04:26:32.843 --> 04:26:35.179
DISEASE THAN WHITES. OTHER
04:26:35.245 --> 04:26:36.113
STRIKING EXAMPLE SEEN WHAT
04:26:36.180 --> 04:26:38.849
HEARING HEALTH OUTCOMES AMONG
04:26:38.916 --> 04:26:40.751
BLACK AND WHITE. IN CALIFORNIA.
04:26:40.818 --> 04:26:43.020
AT THE AGE ADJUSTED ALL BECAUSE
04:26:43.087 --> 04:26:45.556
DEATH DEATH RATE IN THIRTY IS
04:26:45.622 --> 04:26:47.124
30% HIGHER FOR BLACKS AND
04:26:47.191 --> 04:26:48.258
WHITES. THESE DIFFERENCES
04:26:48.325 --> 04:26:50.260
BECOME EVEN MORE PRONOUNCED
04:26:50.327 --> 04:26:54.998
YOUNGEST AGE GROUPS. DEATH
04:26:55.065 --> 04:26:55.933
RATES FOR CHILDREN AGES FIVE TO
04:26:55.999 --> 04:26:57.034
FOUR OR TO TIMES I AMONG AND
04:26:57.101 --> 04:26:59.336
FOR CHILDREN AGE ZERO FOR THEIR
04:26:59.403 --> 04:27:00.637
TWO POINT SIX TIMES HIGHER.
04:27:00.704 --> 04:27:01.972
ADDRESSING HEALTH INEQUITIES
04:27:02.039 --> 04:27:03.474
SUCH AS THESE IS NOT ONLY
04:27:03.540 --> 04:27:04.808
CENTRAL TO IMPROVING
04:27:04.875 --> 04:27:08.045
POPULATION. IT'S A SENSUAL.
04:27:08.112 --> 04:27:10.047
WHAT IT TELLS ME IS UNIQUE AND
04:27:10.114 --> 04:27:11.582
CORE FUNCTIONS AS POPULATION
04:27:11.648 --> 04:27:13.283
SURVEILLANCE THE CALIFORNIA
04:27:13.350 --> 04:27:14.551
DEPARTMENT OF PUBLIC HEALTH
04:27:14.618 --> 04:27:15.986
USES OUR TECHNICAL EXPERTISE
04:27:16.053 --> 04:27:18.555
AND DATA ANALYSIS. LABORATORY
04:27:18.622 --> 04:27:20.457
TESTING AND SCIENTIFIC PRACTICE
04:27:20.524 --> 04:27:22.192
TO IDENTIFY AND MONITOR ISSUES
04:27:22.259 --> 04:27:24.128
THAT AFFECT HEALTH. PUBLIC
04:27:24.194 --> 04:27:25.996
HEALTH PRACTITIONERS ARE
04:27:26.063 --> 04:27:28.098
IDENTIFYING ARE EXPERTS AT
04:27:28.165 --> 04:27:29.366
IDENTIFYING ROOT CAUSES AND
04:27:29.433 --> 04:27:30.734
UNDERSTANDING INTERSECTIONS
04:27:30.801 --> 04:27:32.169
ACROSS ISSUES WERE INFORMED BY
04:27:32.236 --> 04:27:34.538
DATA COMMUNITY EXPERIENCE
04:27:34.605 --> 04:27:36.907
EVIDENCE AND EVALUATION MOST
04:27:36.974 --> 04:27:38.742
IMPORTANTLY PUBLIC HEALTH IS AT
04:27:38.809 --> 04:27:41.011
ITS TO SELL UP AND FIRST. TO
04:27:41.078 --> 04:27:43.647
STRATEGIES. KING WHAT ARE MANY
04:27:43.714 --> 04:27:45.783
THERE ISN'T HELP PART TO ACT
04:27:45.849 --> 04:27:50.187
AND IMPROVE THE OF ALL. HOW THE
04:27:50.254 --> 04:27:52.089
PRODUCT ONCE Q. X. WHEN
04:27:52.156 --> 04:27:53.023
IMPORTANT INTERSECTION IS
04:27:53.090 --> 04:27:55.392
PHYSICAL AND MENTAL HEALTH IN
04:27:55.459 --> 04:27:56.794
THE END IT'S NOT JUST ABOUT
04:27:56.860 --> 04:27:58.429
LIVING LONGER IT'S ABOUT LIVING
04:27:58.495 --> 04:28:00.364
WELL. THROUGH SURVEILLANCE AND
04:28:00.431 --> 04:28:01.465
MAPPING WE CAN BE THE SOCIO
04:28:01.532 --> 04:28:02.966
ECONOMIC OPPORTUNITY AND
04:28:03.033 --> 04:28:04.067
COMMUNITY ASSETS INFLUENCE
04:28:04.134 --> 04:28:06.103
HEALTH AND THAT HEALTH OUTCOMES
04:28:06.170 --> 04:28:07.905
OF VERY BY GEOGRAPHY. AS A
04:28:07.971 --> 04:28:09.873
PHYSICIAN I KNOW THAT WHEN I
04:28:09.940 --> 04:28:11.175
TELL MY PAY WHEN I TELL MY
04:28:11.241 --> 04:28:12.376
PATIENTS TO EAT MORE FRUITS AND
04:28:12.443 --> 04:28:14.077
VEGETABLES. IN MANY
04:28:14.144 --> 04:28:15.446
NEIGHBORHOODS THERE MAY NOT BE
04:28:15.512 --> 04:28:17.881
ENOUGH GROCERY STORES CLOSE BY
04:28:17.948 --> 04:28:19.516
OR FRUITS AND VEGETABLES MAY BE
04:28:19.583 --> 04:28:22.352
EXPENSIVE. FOR THOSE ON A
04:28:22.419 --> 04:28:23.520
LIMITED BUDGET CAN THE CHOICE
04:28:23.587 --> 04:28:25.756
EAT MORE THAN. MIGHT IN
04:28:25.823 --> 04:28:31.195
CHOOSING NOT TO BUY MEDICATIONS.
04:28:31.261 --> 04:28:32.830
BUT HOW IT IS TO MAKEHEALTHY
04:28:32.896 --> 04:28:34.097
CHOICES. BUT YOU CAN'T MAKE
04:28:34.164 --> 04:28:35.699
HEALTHY CHOICES IF. OF HEALTHY
04:28:35.766 --> 04:28:37.668
CHOICES HEALTH IS ORPHALI
04:28:37.734 --> 04:28:39.503
SHAPED BY OUR COMMUNITIES
04:28:39.570 --> 04:28:42.139
CONDITIONS. TEAMING UP PUBLIC
04:28:42.206 --> 04:28:43.841
IN MEDICAL SYSTEM RESOURCES CAN
04:28:43.907 --> 04:28:45.175
BE A SYNERGISTIC WAITED MAKE
04:28:45.242 --> 04:28:46.743
OUR ASSETS GO FURTHER THE
04:28:46.810 --> 04:28:48.178
MEDICAL SYSTEM IS DESIGNED TO
04:28:48.245 --> 04:28:50.180
SUPPORT INDIVIDUAL HEALTH AND
04:28:50.247 --> 04:28:51.982
PUBLIC HEALTH STRATEGIES CAN
04:28:52.049 --> 04:28:54.184
EXTEND THESE BENEFITS BROADLY
04:28:54.251 --> 04:28:56.053
ACROSS ELATION. IN CALIFORNIA
04:28:56.119 --> 04:28:58.021
DECREASES IN PART DISEASE AND
04:28:58.088 --> 04:28:59.256
LUNG CANCER AS WELL AS OTHER
04:28:59.323 --> 04:29:01.024
NOTEWORTHY TO REDUCTIONS IN IN
04:29:01.091 --> 04:29:03.026
CONDITIONS SUCH AS CHRONIC OF.
04:29:03.093 --> 04:29:06.363
PULMONARY DISEASE HEPATITIS C.
04:29:06.430 --> 04:29:08.599
HEPATITIS B. AND H. I. V. HAVE
04:29:08.665 --> 04:29:09.967
BEEN INFLUENCED BY PUBLIC
04:29:10.033 --> 04:29:11.935
HEALTH THINK NICKEL STEMS
04:29:12.002 --> 04:29:14.771
WORKING TOGETHER. KNOWN AS THE
04:29:14.838 --> 04:29:16.807
CROSS THE LIFESPAN VERY DEATHS
04:29:16.874 --> 04:29:19.576
UNDER PERSONS ARE DOMINATED BY
04:29:19.643 --> 04:29:21.512
HIGHLY BY PREVENTABLE IN THE
04:29:21.578 --> 04:29:23.180
RELATED CONDITIONSSUCH AS DRUG
04:29:23.247 --> 04:29:25.649
ASSOCIATED DEATHS ROAD INJURIES
04:29:25.716 --> 04:29:29.653
SUICIDE AND ASIDE. DOZEN AGING
04:29:29.720 --> 04:29:31.188
POPULATIONS ARE DOMINATED BY
04:29:31.255 --> 04:29:32.489
CHRONIC DISEASES INCLUDING
04:29:32.556 --> 04:29:33.924
CARDIOVASCULAR DISEASE
04:29:33.991 --> 04:29:36.727
ALZHEIMER'S DISEASE AND CANCER
04:29:36.793 --> 04:29:38.629
THERE IS MUCH WE CAN DO TO
04:29:38.695 --> 04:29:40.063
SUPPORT HEALTHY AGING NOW AND
04:29:40.130 --> 04:29:42.299
EVERYONE BUT OUR BEST
04:29:42.366 --> 04:29:45.135
OPPORTUNITY TO ASSURE HEALTHY
04:29:45.202 --> 04:29:46.336
AGING EVERYONE IS TO START WHEN
04:29:46.403 --> 04:29:49.306
PETE ARE YOUNG. IMPACT OF CHILD
04:29:49.373 --> 04:29:51.241
AND COMMUNITY ADVERSITY TOXIC
04:29:51.308 --> 04:29:53.143
STRESS AND CUMULATIVE TRAUMA IS
04:29:53.210 --> 04:29:54.411
A ROOT CAUSE OF SOME OF THE
04:29:54.478 --> 04:29:56.213
MOST SIGNIFICANT HEALTH
04:29:56.280 --> 04:29:58.982
CHALLENGES FACING CALIFORNIA.
04:29:59.049 --> 04:30:00.384
ADVERSE COULD EXPERIENCE
04:30:00.450 --> 04:30:03.287
OTHERWISE ACES CAN HAVE A
04:30:03.353 --> 04:30:04.488
NEGATIVE EFFECT ON PEOPLE'S
04:30:04.555 --> 04:30:07.624
LIVES THROUGH ALTERED AND ALL
04:30:07.691 --> 04:30:11.261
PEOPLE MORE PHONE TO AND-
04:30:11.328 --> 04:30:14.298
HERE'S THE CAN FOR HELP OUT.
04:30:14.364 --> 04:30:16.433
EXT THREE FIVE. HERE DAHLE
04:30:16.500 --> 04:30:17.801
REPORTED A ONE OR MORE IT IS
04:30:17.868 --> 04:30:19.469
THE DEPARTMENT OF PUBLIC HEALTH
04:30:19.536 --> 04:30:21.138
IS A STRONG PARTNERSHIP WITH
04:30:21.204 --> 04:30:22.606
PARTNER WITH THE LEADERSHIP OF
04:30:22.673 --> 04:30:25.208
DR NADINE KERIS CALIFORNIA'S
04:30:25.275 --> 04:30:26.510
FOR SURGEON GENERAL IN
04:30:26.577 --> 04:30:28.278
ADDRESSING EARLY CHILDHOOD WELL
04:30:28.345 --> 04:30:31.081
BEING AS A KEEPRITE RT. PUBLIC
04:30:31.148 --> 04:30:32.649
HEALTH SUPPORT BY WORKING DRAFT
04:30:32.716 --> 04:30:34.184
PREVENT COMMUNITY TRAUMA AND
04:30:34.251 --> 04:30:35.986
FOSTER RESILIENCE TO STRENGTHEN
04:30:36.053 --> 04:30:37.621
THE HELP THE COMMUNITIES AND TO
04:30:37.688 --> 04:30:39.723
PREVENT ACES FROM HAPPENING IN
04:30:39.790 --> 04:30:40.757
THE FIRST PLACE. WE CONSIDER
04:30:40.824 --> 04:30:42.793
THE LANDSCAPE ISSUES FACING
04:30:42.859 --> 04:30:44.361
PUBLIC HEALTH IN CALIFORNIA WE
04:30:44.428 --> 04:30:46.296
WILL CONTINUE TO STRENGTHEN
04:30:46.363 --> 04:30:47.564
CORE PUBLIC HEALTH CAPACITY
04:30:47.631 --> 04:30:49.666
THIS INCLUDES CONTINUING WORK
04:30:49.733 --> 04:30:51.401
TO ADDRESS LEADING RISK FACTORS
04:30:51.468 --> 04:30:53.070
FOR PREVENTABLE DEATH LIKE
04:30:53.136 --> 04:30:54.671
TOBACCO AND HYPERTENSION.
04:30:54.738 --> 04:30:56.673
STOPPING VAPING IN USE AND
04:30:56.740 --> 04:30:57.941
REINFORCING INFECTIOUS DISEASE
04:30:58.008 --> 04:30:59.476
CONTROL THROUGH VACCINATION
04:30:59.543 --> 04:31:01.712
EDUCATION AND OUTREACH WE KNOW
04:31:01.778 --> 04:31:04.314
THESE ARE WINNABLE. WE WILL
04:31:04.381 --> 04:31:06.183
ALSO MAINTAIN OUR IN IS TO
04:31:06.249 --> 04:31:07.417
MOBILIZE AND RESPOND TO POP UP
04:31:07.484 --> 04:31:12.122
EMERGING HE'S AROUND. TO BUYERS
04:31:12.189 --> 04:31:14.658
SEVERAL KEY CHALLENGES THAT KEY
04:31:14.725 --> 04:31:16.026
ISSUES CHALLENGING CALIFORNIA
04:31:16.093 --> 04:31:17.394
WHERE PUBLIC HEALTH CANNOT
04:31:17.461 --> 04:31:19.596
STAND ASIDE BECAUSE WE HAVE TOO
04:31:19.663 --> 04:31:22.833
MUCH TO LOSE BY DOING SO AND SO
04:31:22.899 --> 04:31:24.534
MUCH TO GAIN BY LEANING IN.
04:31:24.601 --> 04:31:26.570
THIS INCLUDES ADDRESS CLIMATE
04:31:26.637 --> 04:31:27.404
CHANGE AND SUPPORT IN THE
04:31:27.471 --> 04:31:28.739
HEALTH OF INDIVIDUALS WITH A
04:31:28.805 --> 04:31:30.240
HISTORY ON MET HEALTH MENTAL
04:31:30.307 --> 04:31:34.177
HEALTH IT'S HOMELESSNESS. STOPS
04:31:34.244 --> 04:31:36.279
USE CRIMINAL JUSTICE INVOLVED I
04:31:36.346 --> 04:31:38.181
LOOK FORWARD TO JOIN YOU IN THE
04:31:38.248 --> 04:31:39.950
FUTURE TO DISCUSS TODAY DETAILS
04:31:40.017 --> 04:31:42.552
OF THESE THE IMPLANTS. FOR ALL
04:31:42.619 --> 04:31:43.487
OF THESE AREAS AND MORE BE
04:31:43.553 --> 04:31:44.354
EXPLORING WAYS TO. OUR
04:31:44.421 --> 04:31:46.490
SURVEILLANCE SYSTEMS TO ENSURE
04:31:46.556 --> 04:31:47.658
THAT THEY'RE NOT LEAVING ANYONE
04:31:47.724 --> 04:31:49.893
BEHIND. BECAUSE IT WHILE WHAT
04:31:49.960 --> 04:31:51.862
WE MEASURE MATTERS WHAT WE
04:31:51.928 --> 04:31:54.264
DON'T MEASURE ALSO MATTERS
04:31:54.331 --> 04:31:56.199
THERE ARE KEY POPULATIONS WHICH
04:31:56.266 --> 04:31:57.934
OUR CURRENT STANDARD POPULATION
04:31:58.001 --> 04:32:01.138
SURVEYS AND DATA SYSTEMS DOT
04:32:01.204 --> 04:32:02.773
CAPTOR WELL. SOMETIMES BECAUSE
04:32:02.839 --> 04:32:05.208
WE ARE ASKING KEY QUESTIONS BUT
04:32:05.275 --> 04:32:06.743
SOMETIMES IT'S BECAUSE SERVICE
04:32:06.810 --> 04:32:09.279
AND DATA TOOLS THEMSELVES ARE
04:32:09.346 --> 04:32:11.648
DESIGNED IN A WAY THAT WERE.
04:32:11.715 --> 04:32:13.583
ADDRESSED ENGAGE OUR RELATIONS
04:32:13.650 --> 04:32:16.319
TO FULLY. UNDER IN THE RURAL.
04:32:16.386 --> 04:32:19.322
LGBT PERSONS JUSTICE INVOLVED
04:32:19.389 --> 04:32:20.891
POPULATIONS AND PEOPLE
04:32:20.957 --> 04:32:22.092
EXPERIENCING HOMELESSNESS ARE
04:32:22.159 --> 04:32:24.695
JUST A FEW KEY EXAMPLES WELL WE
04:32:24.761 --> 04:32:26.063
ARE TAKING STEPS TO ADDRESS
04:32:26.129 --> 04:32:27.564
THOSE GAPS IMPROVING OUR DATA
04:32:27.631 --> 04:32:29.533
SYSTEMS TO REFLECT ALL POP. IS
04:32:29.599 --> 04:32:31.068
A PRIORITY WITHOUT THAT
04:32:31.134 --> 04:32:32.636
UNDERSTANDING THE DESIGN AND
04:32:32.703 --> 04:32:34.304
REFINEMENT OF OUR INTERVENTIONS
04:32:34.371 --> 04:32:36.773
TO MAXIMIZE IMPACT CANNOT BE
04:32:36.840 --> 04:32:38.642
FULLY REALIZED. THEY HAVE
04:32:38.709 --> 04:32:40.477
PROVIDED A BROAD OVERVIEW OF
04:32:40.544 --> 04:32:42.179
WHAT OUR DATA IS TELLING US
04:32:42.245 --> 04:32:43.647
WE'RE LIVING LONGER AND MAKING
04:32:43.714 --> 04:32:44.815
GREAT PROGRESS STILL
04:32:44.881 --> 04:32:46.416
UNACCEPTABLE AND ON JUST
04:32:46.483 --> 04:32:48.919
INEQUITIES EXIST FOR MOST OF
04:32:48.985 --> 04:32:50.353
THE CAUSES OF POOR HEALTH AND
04:32:50.420 --> 04:32:52.889
EARLY DEATH WE KNOW WHAT TO DO.
04:32:52.956 --> 04:32:55.726
A SOLUTIONS EXIST OUR EXPERTISE
04:32:55.792 --> 04:32:56.993
IN SURVEILLANCE GIVES US THE
04:32:57.060 --> 04:32:59.062
ABILITY TO IDENTIFY THE
04:32:59.129 --> 04:33:00.497
POPULATIONS UNDERSTAND WHICH
04:33:00.564 --> 04:33:02.132
POPULATIONS ARE MOST EFFECTIVE
04:33:02.199 --> 04:33:04.701
MEASURE. IN IMPLEMENTING XIN I
04:33:04.768 --> 04:33:06.369
LOOK FORWARD TO DISCUSSING
04:33:06.436 --> 04:33:09.239
SPECIFIC PROGRAMS IN THE FUTURE.
04:33:09.306 --> 04:33:11.541
REST OF WHICH WILL BE ON FUN.
04:33:11.608 --> 04:33:12.576
SOME OF THOSE INTERVENTIONS CAN
04:33:12.642 --> 04:33:14.644
CHANGE THE TRAJECTORY OF THE
04:33:14.711 --> 04:33:16.012
STATE'S HEALTH. I'LL CLOSE BY
04:33:16.079 --> 04:33:17.147
ACKNOWLEDGING THAT WHILE WE
04:33:17.214 --> 04:33:18.915
COMBINE DATA AND DESCRIBE
04:33:18.982 --> 04:33:19.783
DISEASE ND HEALTH IN
04:33:19.850 --> 04:33:21.918
AGGREGATE. EVERY DATA POINT
04:33:21.985 --> 04:33:24.354
REPRESENTS A PERSON. A MOTHER A
04:33:24.421 --> 04:33:26.990
FATHER A CHILD OR A NEIGHBOR
04:33:27.057 --> 04:33:28.225
AND MAYBE EVEN ONE OF YOU. ARE
04:33:28.291 --> 04:33:30.293
CHARGING PUBLIC TO LIFT UP THE
04:33:30.360 --> 04:33:32.295
HEALTH AND WELL BEING OF ALL OF
04:33:32.362 --> 04:33:33.897
THOSE PEOPLE THE TOTALITY OF
04:33:33.964 --> 04:33:36.767
OUR COMMUNITIES. IT'S AN HONOR
04:33:36.833 --> 04:33:38.201
FOR ALLOF US TO BE A PART OF
04:33:38.268 --> 04:33:39.102
THAT MISSION THANK YOU VERY
04:33:39.169 --> 04:33:40.237
MUCH FOR YOUR TIME AND LOOK
04:33:40.303 --> 04:33:41.371
FORWARD TO WORKING WITH YOU TO
04:33:41.438 --> 04:33:43.440
ADDRESS THESE PLAQUES PUBLIC.
04:33:43.507 --> 04:33:47.911
ISSUES THANK YOU- ANY COMMENTS
04:33:47.978 --> 04:33:51.081
ON THE FARM OVERALL FROM. OHIO
04:33:51.148 --> 04:33:52.849
FINANCE OKAY ADDED AT ANY
04:33:52.916 --> 04:33:54.084
ADDITIONAL PRESENTATIONS IN
04:33:54.151 --> 04:33:56.019
TERMS THE OVERVIEW. SIDE FROM
04:33:56.086 --> 04:33:58.555
THE- ART. SO FIRST OF ALL THANK
04:33:58.622 --> 04:33:59.856
YOU SO MUCH DOCTOR ANGEL FOR-
04:33:59.923 --> 04:34:01.958
PRESENTING THE- STATUS IT'S
04:34:02.025 --> 04:34:04.327
PUBLIC HEALTH. I THINK IT'S A
04:34:04.394 --> 04:34:06.329
GOOD REMINDERS EVEN AS WE ARE
04:34:06.396 --> 04:34:07.831
DEALING WITH THIS CURRENT
04:34:07.898 --> 04:34:09.199
CRISIS A CORONA VIRUS. THREE
04:34:09.266 --> 04:34:13.837
SHOULD. ONE OF. TO ACTUALLY
04:34:13.904 --> 04:34:14.971
MUCH OF THE REAL WORK IS AN ON
04:34:15.038 --> 04:34:17.007
GOING TO WORK IT'S NOT A CRISIS
04:34:17.073 --> 04:34:19.242
TYPE SITUATION- WE HAVE TO BE
04:34:19.309 --> 04:34:20.744
PREPARED FOR THEM I WOULD ALSO
04:34:20.811 --> 04:34:21.745
POINT OUT THIS I'VE HAD
04:34:21.812 --> 04:34:24.014
PREVIOUS HEARINGS IS. WE CAN
04:34:24.080 --> 04:34:25.749
ALMOST ON ON EVERY YEAR HAVING
04:34:25.816 --> 04:34:27.450
AN OUTBREAK OF SOMETHING. RIGHT
04:34:27.517 --> 04:34:29.753
SO ON THE CONTAGIOUS DISEASE
04:34:29.820 --> 04:34:31.822
SIDE THAT THAT SHOULD NOT BE A
04:34:31.888 --> 04:34:32.756
SURPRISE OBVIOUSLY DIFFERENT
04:34:32.823 --> 04:34:35.192
SCALES. LAST YEAR WAS MEASLES-
04:34:35.258 --> 04:34:37.994
AROUND THE COUNTRY AND WE HAD
04:34:38.061 --> 04:34:40.197
CERTAINLY- SOME OF CASES WE
04:34:40.263 --> 04:34:41.198
DON'T HAVE THE SAME OUTBREAK WE
04:34:41.264 --> 04:34:42.933
HAD TWENTY FIFTEEN WHEN PEOPLE
04:34:42.999 --> 04:34:44.401
SHOWED UP- YOU KNOW WE'VE HAD
04:34:44.467 --> 04:34:46.102
TO DEAL WITH. THE VIRUS EACH
04:34:46.169 --> 04:34:49.873
ONE AND. ONE YEAH ON THE NIGHT
04:34:49.940 --> 04:34:52.209
WE- AND BUT BAD SU YEARS AT
04:34:52.275 --> 04:34:54.578
CETERA- BUT WE CAN ALWAYS YOU
04:34:54.644 --> 04:34:55.946
KNOW THE BILL AND EVER REALLY
04:34:56.012 --> 04:34:57.080
MADE IT HERE BUT WE GOT PRETTY
04:34:57.147 --> 04:34:59.850
EXCITED ABOUT IT. THE SO WE
04:34:59.916 --> 04:35:01.051
THERE'S ALWAYS STUFF GOING ON
04:35:01.117 --> 04:35:03.286
BUT THEN. ALSO IN ADDITION WE
04:35:03.353 --> 04:35:05.989
HAVE THE OUR ON GOING CONTRACTS
04:35:06.056 --> 04:35:08.525
THESE LIKE STDS WE SELL BY A
04:35:08.592 --> 04:35:10.193
CITY RATES. THE **** REAL HE
04:35:10.260 --> 04:35:15.131
ACTUALLY. BE I'LL PUT HIM.
04:35:15.198 --> 04:35:18.101
PEOPLE PEOPLE IN. RULES OF THE
04:35:18.168 --> 04:35:20.203
CRACK RIGHT THE A RATE TODAY
04:35:20.270 --> 04:35:22.339
AND HEART DISEASE AND OTHER
04:35:22.405 --> 04:35:24.207
OTHER TYPES OF CONDITIONS AS
04:35:24.274 --> 04:35:27.777
WELL AND OF COURSE- SAFETY
04:35:27.844 --> 04:35:28.812
ISSUES RIGHT HOW DO WE SURE
04:35:28.879 --> 04:35:31.548
ROSE SAY AND ARE COMMITTEES ARE
04:35:31.615 --> 04:35:35.418
SAFE. GUN BY AND SUIT AND HOW
04:35:35.485 --> 04:35:38.088
TIED RIGHT THE WENT TO THE OF A
04:35:38.154 --> 04:35:39.623
MENTAL HEALTH AND THE BILL TO
04:35:39.689 --> 04:35:41.558
WE'VE TREATED AND PORT SO THESE
04:35:41.625 --> 04:35:46.596
ARE ALL VERY PIECES. THE
04:35:46.663 --> 04:35:49.399
QUESTION IS NO SO. ONE SO RIGHT
04:35:49.466 --> 04:35:51.334
NOW KERN AND ANA YOU GONNA HAVE
04:35:51.401 --> 04:35:52.769
TO RUN OFF TO SPEAKERS ABOUT
04:35:52.836 --> 04:35:54.671
CRISIS. SO WHAT TO WHAT THE-
04:35:54.738 --> 04:35:56.206
ARE P. BEING. FROM THE ON WORK
04:35:56.273 --> 04:35:57.207
IN TRYING DISEASE AND OTHER
04:35:57.274 --> 04:36:00.443
THINGS TO ADDRESS CORONA VIRUS-
04:36:00.510 --> 04:36:03.513
AT AT THE STATE LEVEL. SELVES
04:36:03.580 --> 04:36:06.149
ATTENDS RESERVE SCRAMBLING AND
04:36:06.216 --> 04:36:08.184
DINO YOU YOURSELF AS THE
04:36:08.251 --> 04:36:13.857
DIRECTORS HAVE. SPENT ABOUT TOP.
04:36:13.924 --> 04:36:15.258
BOB CAPACITY OF OUR DEPARTMENT
04:36:15.325 --> 04:36:17.661
AND IN ALL. MAY MAKE SUCH A
04:36:17.727 --> 04:36:19.529
LITTLE BIT TO OF A COUNTY THE
04:36:19.596 --> 04:36:20.463
BECAUSE ARE FROM LINES AND IN
04:36:20.530 --> 04:36:24.134
THIS THING IS WHY A DUTY I'M
04:36:24.200 --> 04:36:25.335
LIKE I SAID WE HAVE THE
04:36:25.402 --> 04:36:28.405
CAPACITY FOR CORONAVIRUS BUT IS
04:36:28.471 --> 04:36:30.073
THAT DO WE HAVE HOUSE SEARCH
04:36:30.140 --> 04:36:34.878
PASS THE- AND- ALSO. WHEN THESE
04:36:34.945 --> 04:36:35.512
THINGS ARE WE ALWAYS POINT AWAY
04:36:35.578 --> 04:36:37.213
FROM THE STATE. THE THINGS
04:36:37.280 --> 04:36:38.081
THEY'RE DOING THAT ARE ALSO BE
04:36:38.148 --> 04:36:39.649
LESS BUT YOU IMPORTANT. YEAH
04:36:39.716 --> 04:36:40.951
THANK THAT'S A VERY IN QUESTION
04:36:41.017 --> 04:36:44.154
A IT'S THREE IT SPEAKS TO THE
04:36:44.220 --> 04:36:46.623
CORE OF PREPAREDNESS IN ITS-
04:36:46.690 --> 04:36:49.793
ALL OF ITS SPEC. SO WHILE. WE
04:36:49.859 --> 04:36:51.628
CERTAINLY DIDN'T KNOW THE
04:36:51.695 --> 04:36:53.096
TIMING OF SOMETHING LIKE A
04:36:53.163 --> 04:36:55.298
COVERT NINETEEN WE HAVE BEEN
04:36:55.365 --> 04:36:56.666
PLANNING FOR SOMETHING LIKE
04:36:56.733 --> 04:36:58.935
THIS FOR OVER A DECADE- WE HAVE
04:36:59.002 --> 04:37:00.637
PREPAREDNESS PLAN. FOR PANDEMIC
04:37:00.704 --> 04:37:03.239
BUT WE ARE PREPARED IS PLANS
04:37:03.306 --> 04:37:04.174
FOR ALMOST THE SITUATION THAT
04:37:04.240 --> 04:37:05.508
THAT WHAT ANTICIPATE OUT
04:37:05.575 --> 04:37:07.510
HAPPENING IN HERE IN CALIFORNIA
04:37:07.577 --> 04:37:09.879
THAT INCLUDES ALSO CONSIDER HOW
04:37:09.946 --> 04:37:13.249
WE SHOULD. USE EXISTING STAFF
04:37:13.316 --> 04:37:15.685
THAT ARE BE DESIGNATED TO WORK
04:37:15.752 --> 04:37:16.720
ON THIS. BUT THINK ABOUT HELP
04:37:16.786 --> 04:37:18.154
OTHERS. THROUGHOUT OUR
04:37:18.221 --> 04:37:19.289
DEPARTMENT. WITH THEIR REALLY
04:37:19.356 --> 04:37:21.191
KEY KNOWLEDGE THAT'S VITAL AND
04:37:21.257 --> 04:37:25.695
DETECT TO RESPOND EFFECTIVELY
04:37:25.762 --> 04:37:28.164
TO BE SPECIFIC. TYPE OF
04:37:28.231 --> 04:37:30.633
EMERGING. SO WE ARE ACTIVATED
04:37:30.700 --> 04:37:36.606
IT LEVEL. IS IN ALL OF. ONE IT
04:37:36.673 --> 04:37:39.442
ONE. THIS PAST WEEK NEW NEWSOME
04:37:39.509 --> 04:37:41.544
HAD I TOP OF ALL OF THE TOP OF
04:37:41.611 --> 04:37:44.814
AGENCY OUR AGENTS HAS A IT TO
04:37:44.881 --> 04:37:46.716
THINK VERY ABOUT HOW ALL OF OUR-
04:37:46.783 --> 04:37:47.917
THE ARE NEEDED COULD BE TO
04:37:47.984 --> 04:37:50.754
PROPERLY TO RESPOND TO THIS
04:37:50.820 --> 04:37:53.056
STAFFING AS WE THINK ABOUT WE
04:37:53.123 --> 04:37:54.991
NOTHING WE SHOULD MOVE INTO
04:37:55.058 --> 04:37:57.293
RESPOND AS WELL. AS ME. JUST AS
04:37:57.360 --> 04:37:59.362
A AND THEN ZERO AS YOU MAY TO
04:37:59.429 --> 04:38:00.430
MAKE SURE THE THOSE OR ACTIVITY
04:38:00.497 --> 04:38:02.699
CONTINUE TO GO FORWARD SO AT
04:38:02.766 --> 04:38:04.834
THIS TIME I DON'T HAVE AN EXACT
04:38:04.901 --> 04:38:06.269
NUMBER FOR YOU CERTAINLY WE ARE
04:38:06.336 --> 04:38:07.871
WE KEEPING VERY CLOSE I
04:38:07.937 --> 04:38:09.973
COMMENCE OF THAT. AND IS ALSO
04:38:10.040 --> 04:38:12.442
IN ALL THE CHANGING YOUR LOOK
04:38:12.509 --> 04:38:14.010
UP AND SO WE HAVE STAFF THAT
04:38:14.077 --> 04:38:14.778
ARE BALANCING BOTH THE- OTHER
04:38:14.844 --> 04:38:15.745
THE EMERGED. BONDS BUT ALSO
04:38:15.812 --> 04:38:17.580
MAKING SURE THAT EL CORE
04:38:17.647 --> 04:38:19.883
ACTIVITIES CONTINUES THAT
04:38:19.949 --> 04:38:20.917
CALIFORNIA CAN REMAIN SAFE AND
04:38:20.984 --> 04:38:23.920
PROTECTED. SO I HOPE I CAN TRY
04:38:23.987 --> 04:38:25.155
TO DO I REALIZE IT'S ALWAYS
04:38:25.221 --> 04:38:27.023
DIFFICULT THE MISS OF A CRISIS
04:38:27.090 --> 04:38:28.892
AND I HAD ASKED YOU SOME YOU
04:38:28.958 --> 04:38:29.993
PREDECESSORS ON CRISIS HAPPEN
04:38:30.060 --> 04:38:31.494
BEFORE. TRYING TO FIGURE OUT
04:38:31.561 --> 04:38:33.930
HOW TO QUALITY EIGHT. THE TIME
04:38:33.997 --> 04:38:37.500
AND COST- NOW. IT'S CHALLENGING
04:38:37.567 --> 04:38:39.436
BECAUSE YOU'RE TO CRISIS REASON
04:38:39.502 --> 04:38:40.670
YOU GOT PEOPLE PULLED AWAY IS
04:38:40.737 --> 04:38:41.337
BECAUSE YOU HAVE SOMETHING
04:38:41.404 --> 04:38:43.373
URGENT TO DO AND NOW YOU'RE
04:38:43.440 --> 04:38:43.940
TELLING THEM ALL BY THE WAY
04:38:44.007 --> 04:38:45.842
NEED TO LOG STUFF. BUT WE DO
04:38:45.909 --> 04:38:46.509
YOU KNOW DOES THE BUDGET
04:38:46.576 --> 04:38:48.211
SUBCOMMITTEE WE DO NEED TO. TRY
04:38:48.278 --> 04:38:50.780
TO CAPTURE THAT IN SOME WAY AND
04:38:50.847 --> 04:38:53.249
SO IT'S HARDENING THIS TO THE
04:38:53.316 --> 04:38:55.151
CRISIS WE SHOULD BE PLANNING
04:38:55.218 --> 04:38:56.319
FOR THAT. AND IF YOU TALK ABOUT
04:38:56.386 --> 04:38:58.755
DATA SO I WAS AT THE TIME OF
04:38:58.822 --> 04:39:01.458
THE- PUBLIC HEALTH STANDPOINT
04:39:01.524 --> 04:39:04.794
BUT THIS IS JUST A MEATY. SO I
04:39:04.861 --> 04:39:09.032
OWES THAT BECAUSE YOU TO BE
04:39:09.099 --> 04:39:10.867
ABLE TO SEE. THE BUT OR IN YOUR
04:39:10.934 --> 04:39:13.870
RESEARCH. OWN BASIS PEOPLE GET
04:39:13.937 --> 04:39:20.310
ALL THE WAY. YEAH THIS IS. SO
04:39:20.376 --> 04:39:24.814
WE CAN BE. THE WHAT TO DO ALSO
04:39:24.881 --> 04:39:27.150
COMMUNICATE FAIRS YOUR FIGHTING
04:39:27.217 --> 04:39:28.451
THE MONEY LIKE THIS WHY WE'RE
04:39:28.518 --> 04:39:29.419
VALLEY THE MONEY WAY WE ARE
04:39:29.486 --> 04:39:30.320
BECAUSE WHEN THE COME IN YOUR
04:39:30.386 --> 04:39:32.088
CALLING US AND SAYING I DO YOU
04:39:32.155 --> 04:39:32.722
KNOW WHAT ARE YOU DOING KEEP US
04:39:32.789 --> 04:39:34.757
pWHAT WE'RE DOING IN THIS IS
04:39:34.824 --> 04:39:35.358
MUCH THIS IS WHAT IT TOOK FOR
04:39:35.425 --> 04:39:36.259
US TO IT FOR PEOPLE TO
04:39:36.326 --> 04:39:37.026
UNDERSTAND THAT. YEAH AND I'LL
04:39:37.093 --> 04:39:38.161
TURN. IN JUST A MOMENT BUT I
04:39:38.228 --> 04:39:39.329
JUST REALLY WANT TO ASK WHAT IN
04:39:39.395 --> 04:39:43.166
IMPORTANT. IT HAS THE BILL. THE
04:39:43.233 --> 04:39:45.168
CRACKS IS. THE SUM BEING A PRO
04:39:45.235 --> 04:39:46.436
FIND. SO WE DON'T SEE IT AS
04:39:46.503 --> 04:39:47.704
SOMETHING YOU JUST LOOK BACK AT
04:39:47.770 --> 04:39:49.272
AFTER IT'S ALL SAID AND DONE WE
04:39:49.339 --> 04:39:51.207
SEE IT AS PART OF A CORK
04:39:51.274 --> 04:39:54.577
REGULAR ACTIVITY OF ANY
04:39:54.644 --> 04:39:58.314
RESPONSE TO. SEE THINGS. DATE
04:39:58.381 --> 04:39:59.716
TERMS OF RECALL IN. WE DON'T
04:39:59.782 --> 04:40:01.050
SEE THAT. EXTRACT WE SEE THAT
04:40:01.117 --> 04:40:02.318
IT IS A KEY RESPONSE. TO KEEP
04:40:02.385 --> 04:40:04.420
OUR A. R. ARE. SOLVENT WHEN IT
04:40:04.487 --> 04:40:06.222
COMES TO EMERGENCIES TO BE
04:40:06.289 --> 04:40:07.824
ACCOUNTABLE TO THE PUBLIC AND
04:40:07.891 --> 04:40:08.925
TO MAKE SURE THAT OUR RESOURCES
04:40:08.992 --> 04:40:09.893
ARE BEING USE RESPONSIBLE.
04:40:09.959 --> 04:40:11.794
ALTERNATE SUSAN TO DISAGREE
04:40:11.861 --> 04:40:13.096
ABOUT HOW OF SOME OF THOSE
04:40:13.163 --> 04:40:15.031
DETAILS ARE RECORDED. USE MAKE
04:40:15.098 --> 04:40:16.166
ONE QUICK OF BECAUSE I KNOW
04:40:16.232 --> 04:40:17.000
YOU'RE GONNA HAVE TO RUN SO
04:40:17.066 --> 04:40:18.735
JUST. BECAUSE I OF COURSE THE
04:40:18.801 --> 04:40:19.169
MEN IN THIS TO YOUR
04:40:19.235 --> 04:40:21.738
PREDECESSORS BEFORE. BUT I WILL
04:40:21.804 --> 04:40:25.808
pTHIS VERY MOMENT BUT I'VE
04:40:25.875 --> 04:40:27.710
ALWAYS. THE SOMEONE IS AN
04:40:27.777 --> 04:40:28.478
ADVOCATE FOR PUBLIC HEALTH.
04:40:28.545 --> 04:40:30.713
THAT SOMETIMES AFTER HIS BUDGET
04:40:30.780 --> 04:40:33.816
SUB CHAIR. I THINK WHAT DO YOU
04:40:33.883 --> 04:40:36.186
NEED FROM US. TO PREPARE I GET
04:40:36.252 --> 04:40:37.187
IT YOU KNOW THIS IS THE
04:40:37.253 --> 04:40:38.288
GOVERNOR'S PROPOSAL YOU ALL
04:40:38.354 --> 04:40:39.689
HAVE THE INTERNAL PROCESS BUT I
04:40:39.756 --> 04:40:41.357
MEAN REALLY WHAT IS THE
04:40:41.424 --> 04:40:43.493
CAPACITY WE NEED WORKING WITH
04:40:43.560 --> 04:40:44.027
THE HEALTH THEY'LL COUNTY
04:40:44.093 --> 04:40:46.095
HEALTH OFFICERS. WHAT WE NEED
04:40:46.162 --> 04:40:48.665
TO BE ABLE TO BE READY I KNOW
04:40:48.731 --> 04:40:49.799
THERE WAS SOME REPORT THAT WAS
04:40:49.866 --> 04:40:51.935
DONE QUITE AWHILE AGO IT'S
04:40:52.001 --> 04:40:56.139
GETTING. OLD NOW. I WOULD
04:40:56.206 --> 04:40:58.908
REALLY LIKE. ME BEING. AND
04:40:58.975 --> 04:41:00.743
COMING UP WITH OF ABOUT WHAT
04:41:00.810 --> 04:41:01.844
THE RESOURCE REALLY NEED TO BE
04:41:01.911 --> 04:41:03.213
CONTINUOUSLY READY FOR
04:41:03.279 --> 04:41:05.748
OUTBREAKS BUT ALSO WHILE STILL
04:41:05.815 --> 04:41:07.784
DOING THE ON GOING WORK SO I'M
04:41:07.850 --> 04:41:10.787
GONNA TO EIGHT SESAME PROCESSES
04:41:10.853 --> 04:41:12.055
TO INPUT THIS AND THIS IS YOUR
04:41:12.121 --> 04:41:13.189
FIRST YEAR AS A DIRECTOR OF
04:41:13.256 --> 04:41:14.591
THAT THAT CHALLENGE BEFORE YOU
04:41:14.657 --> 04:41:16.059
TO WITH THE PUBLIC AS A LEADER
04:41:16.125 --> 04:41:17.894
TO OUR PUBLIC HEALTH COMMUNITY
04:41:17.961 --> 04:41:19.262
TO DO THAT SO YOU CAN HELP ME
04:41:19.329 --> 04:41:21.030
AND MY COLLEAGUES IN THE
04:41:21.097 --> 04:41:23.233
LEGISLATURE AND THE EMAIL I
04:41:23.299 --> 04:41:26.202
THINK THOSE OF COURSE INFORMS
04:41:26.269 --> 04:41:27.770
HIS OFFICE I MEAN WHAT WHAT WE
04:41:27.837 --> 04:41:31.040
NEED REAL DO. BEST TEAM
04:41:31.107 --> 04:41:32.942
POSSIBLE AT TO FORD THE OTHER
04:41:33.009 --> 04:41:34.410
THING OUT ALSO JUST MAKE NOTE
04:41:34.477 --> 04:41:35.778
IS THAT IT'S ALWAYS COMMENTED
04:41:35.845 --> 04:41:37.580
THAT WHEN WE LOOK AT THE
04:41:37.647 --> 04:41:38.314
DEPARTMENT PUBLIC HEALTH
04:41:38.381 --> 04:41:40.049
BUDGET. THAT THIS IS THE
04:41:40.116 --> 04:41:43.186
GENERAL FUND THIS IS FROM THE
04:41:43.253 --> 04:41:46.322
FEDERAL GOVERNMENT AND SO- YOU
04:41:46.389 --> 04:41:47.657
KNOW THIS IS A REMINDER THAT
04:41:47.724 --> 04:41:49.559
MOST OF OUR THE PAR PUBLIC
04:41:49.626 --> 04:41:52.128
HEALTH IS FUNDED THROUGH EITHER
04:41:52.195 --> 04:41:54.030
SPECIAL FUNDS OR- THE- FEDERAL
04:41:54.097 --> 04:41:54.998
GOVERNMENT. AND UNFORTUNATELY
04:41:55.064 --> 04:41:58.468
HE- WILL. THE CONGRESS HAS
04:41:58.534 --> 04:41:59.235
TRIED SUSTAIN FUNDING AND
04:41:59.302 --> 04:42:00.803
AGENCIES LIKE THE CD. THEY
04:42:00.870 --> 04:42:03.206
HAVE. CUT BACK. AND FUNDS THAT
04:42:03.273 --> 04:42:05.808
ACTUALLY THEN GET ALLOCATED TO
04:42:05.875 --> 04:42:06.276
STATE AND LOCAL HEALTH
04:42:06.342 --> 04:42:07.510
DEPARTMENTS FOR PREPARED AS WE
04:42:07.577 --> 04:42:14.684
NEED TO CHANGE THAT. YEAH I
04:42:14.751 --> 04:42:17.253
THINK IN WE- BROUGHT UP. HELLO
04:42:17.320 --> 04:42:18.988
COULD I USE MORE SORE. I WILL
04:42:19.055 --> 04:42:21.357
TO- REASSURE YOU THAT WE ARE
04:42:21.424 --> 04:42:23.459
DOING VERY WELL AND WITH
04:42:23.526 --> 04:42:26.095
RESPECT TO THIS RESPONSE- WE
04:42:26.162 --> 04:42:27.664
ARE DOING EVERYTHING TO PROTECT
04:42:27.730 --> 04:42:30.033
THE PUBLIC AND WE AE THE THAT
04:42:30.099 --> 04:42:32.869
WE ARE REASSURED THAT RESOURCES
04:42:32.935 --> 04:42:34.637
ARE NOT THE ISSUE HERE I THINK
04:42:34.704 --> 04:42:35.938
CALIFORNIA SHOULD FEEL
04:42:36.005 --> 04:42:37.040
REASSURED THAT. WE'RE NOT
04:42:37.106 --> 04:42:38.875
HOLDING BACK ON ACTION WE
04:42:38.941 --> 04:42:40.243
SHOULD BE DOING BECAUSE OF SOME
04:42:40.310 --> 04:42:42.245
QUITE KIND OF RESOURCE
04:42:42.312 --> 04:42:44.514
CONSTRAINED THAT IS SIMPLY NOT
04:42:44.580 --> 04:42:45.548
THE CASE WE BILL. IN RESPONSE
04:42:45.615 --> 04:42:48.951
AT THE WELL IT IS GOVERNOR HAS.
04:42:49.018 --> 04:42:51.254
HAS THAT MANY TO TODAY ONE
04:42:51.321 --> 04:42:53.323
AGAIN IN HIS PRESS CONFERENCE
04:42:53.389 --> 04:42:54.557
AS WELL AS THE MOST IMPORTANT
04:42:54.624 --> 04:42:58.061
IS ABOUT OF THE- RECENT. NEEDS
04:42:58.127 --> 04:42:59.629
TO BE. IN PARTICULAR THAT RIGHT
04:42:59.696 --> 04:43:02.765
TO A COURT NOVEL ISN'T COVERED
04:43:02.832 --> 04:43:03.399
EIGHTEEN RIGHT. I'M AT BUT ALL
04:43:03.466 --> 04:43:05.802
GET. YOUR INDICATION THAT IT ON
04:43:05.868 --> 04:43:07.236
BOARD AND LOOK FOR THE FUTURE
04:43:07.303 --> 04:43:08.604
DISCUSS AROUND THE TH OKAY AND
04:43:08.671 --> 04:43:09.539
I DO TO ACKNOWLEDGE THE
04:43:09.605 --> 04:43:13.309
GOVERNOR'S LEADERSHIP IN LAST
04:43:13.376 --> 04:43:13.843
YEAR'S BUDGET WE CERTAINLY
04:43:13.910 --> 04:43:14.444
DIDN'T KNOW AND I HAVE WOULD
04:43:14.510 --> 04:43:17.547
NINE. COMING FOR THE TIME AND-
04:43:17.613 --> 04:43:23.720
THE MANY YEARS STOP. WE'VE THE
04:43:23.786 --> 04:43:27.290
STATE PROVIDED SOME ADDITIONAL.
04:43:27.357 --> 04:43:29.726
LOW GOVERNMENT. C. BUT THERE'S
04:43:29.792 --> 04:43:32.662
BUT THIS INOW IS THE GOV
04:43:32.729 --> 04:43:33.629
NEWSOME'S LEADERSHIP THERE AND
04:43:33.696 --> 04:43:34.797
I KNOW YOU SORRY I THOUGHT
04:43:34.864 --> 04:43:38.267
OFFER ME ANSWER THE YOU ANSWER
04:43:38.334 --> 04:43:39.168
YOU THERE ARE OVER JUST GOING
04:43:39.235 --> 04:43:40.336
TO ADD THAT WE HAVE BEEN READ
04:43:40.403 --> 04:43:42.605
TO STYLE AND YOUR THAT'S THINGS
04:43:42.672 --> 04:43:43.806
ARE GETTING DONE BECAUSE WE
04:43:43.873 --> 04:43:46.309
REALLY READ TING UP STAFF WE
04:43:46.376 --> 04:43:49.579
ALSO GOT A BRING BACK STEP CALL
04:43:49.645 --> 04:43:52.949
FOR SOME. AND THEN. I'M GET AN-
04:43:53.015 --> 04:43:55.018
ACCESS TO. STAY IN. STAFF AND
04:43:55.084 --> 04:43:56.285
SO. THINGS LIKE POP INFORMATION
04:43:56.352 --> 04:43:57.387
AND THROUGH CALLAWAY ASSETS.
04:43:57.453 --> 04:43:58.254
BEEN A ALL HANDS ON DECK FOR
04:43:58.321 --> 04:43:59.288
SPOT. OF THE WHOLE MINISTER.
04:43:59.355 --> 04:44:00.857
HAS ASKED WHAT WE NEED AND
04:44:00.923 --> 04:44:03.025
THEY'RE HELPING US WITH ANY.
04:44:03.092 --> 04:44:03.626
ANY OF THOSE RESOURCE NEEDS.
04:44:03.693 --> 04:44:05.962
AND JUST SO YOU KNOW DE DC JUST
04:44:06.028 --> 04:44:08.030
CAME OUT. OF MENTAL FUNDS IN
04:44:08.097 --> 04:44:08.865
THE AMOUNT OF NINE HUNDRED.
04:44:08.931 --> 04:44:11.567
MILLION THE APRIL DOLLAR PART.
04:44:11.634 --> 04:44:14.537
OF THE STATE OF. WILL RECEIVE
04:44:14.604 --> 04:44:15.138
FORTY ONE POINT NINE MILLION.
04:44:15.204 --> 04:44:16.239
AND LAW ANGELES WILL DIRECTLY
04:44:16.305 --> 04:44:19.175
RECEIVE THE POINT TWO MILLION-
04:44:19.242 --> 04:44:20.476
THESE FUNDS CAN BE USED FOR A
04:44:20.543 --> 04:44:25.214
LOT. OF IT OF ACTIVE. I'M
04:44:25.281 --> 04:44:27.583
BUDGET TESTING AND SORT. SOME
04:44:27.650 --> 04:44:29.719
CASE CATION OUR MOM DATA MANAGE
04:44:29.786 --> 04:44:31.120
AND ALL OTHER PIECES THAT GO
04:44:31.187 --> 04:44:33.322
WITH US AND I THINK AS THIS
04:44:33.389 --> 04:44:35.858
CONTINUES WE CERTAINLY MAY
04:44:35.925 --> 04:44:36.692
AFFECT HAVE BIGGER NEEDS MORE
04:44:36.759 --> 04:44:38.461
STAFF AND MORE RESOURCES AND
04:44:38.528 --> 04:44:40.797
THAT'S THE UP AT THE LOCAL AS
04:44:40.863 --> 04:44:42.598
WELL BECAUSE I THINK YOU'RE
04:44:42.665 --> 04:44:44.934
RIGHT I'M FIRST- HER HUSBAND UP
04:44:45.001 --> 04:44:47.036
TIME EVEN WITH YOU AND FIVE.
04:44:47.103 --> 04:44:48.671
IT'S HARD TO KEEP THE STAFF AND
04:44:48.738 --> 04:44:50.106
THIS IS A STAFF AND TENS OF
04:44:50.173 --> 04:44:52.875
RESPONSE OKAY ON ALL STOP THEIR
04:44:52.942 --> 04:44:55.578
UNLESS THERE'S QUESTION. AND
04:44:55.645 --> 04:44:56.412
ARE TRACKING THE CALL OF US AND
04:44:56.479 --> 04:44:58.147
WILLBE ABLE TO CATCH HIM ALL
04:44:58.214 --> 04:44:59.649
RIGHT WHEN CRISIS IS OVER WE
04:44:59.715 --> 04:45:01.484
CAN ANALYZE THE DATA. BUT ME
04:45:01.551 --> 04:45:04.687
NO. OKAY ALL RIGHT. OKAY FOR
04:45:04.754 --> 04:45:06.055
WHEN WE GO AHEAD AND MOVE ON
04:45:06.122 --> 04:45:08.524
AND THE DOCTOR YOU PRY NEED TO
04:45:08.591 --> 04:45:10.927
RUN. TO IT IS A PAID. EITHER
04:45:10.993 --> 04:45:12.128
MEDIA PRESS COVERAGE OR
04:45:12.195 --> 04:45:14.497
SOMETHING WITH YES. THANK YOU
04:45:14.564 --> 04:45:15.531
SO MUCH FOR THE OPPORTUNITY TO
04:45:15.598 --> 04:45:16.966
BE HERE FOR YOU OKAY THANK I
04:45:17.033 --> 04:45:19.001
WILL I WILL GO ALL RIGHT TO
04:45:19.068 --> 04:45:20.136
CARRY ON AND COVERED NINETEEN
04:45:20.203 --> 04:45:23.406
OKAY VERY GOOD. OKAY SO- WE'RE
04:45:23.473 --> 04:45:25.441
NOW GOING TO DRESS SAID WE CAN
04:45:25.508 --> 04:45:27.977
GET UPDATE ON CORONA VIRUS
04:45:28.044 --> 04:45:30.913
UPDATE FROM FROM- WE HAVE A
04:45:30.980 --> 04:45:33.616
PANEL- SO THAT IF THE REST OF
04:45:33.683 --> 04:45:35.384
THE PHARMACY WAS PARTICIPATE
04:45:35.451 --> 04:45:40.223
SHE MOVED TO THE SIDES HERE-
04:45:40.289 --> 04:45:41.924
AND WE DID HEAR FROM THE
04:45:41.991 --> 04:45:43.226
DIRECTOR ABOUT- FROM THE-
04:45:43.292 --> 04:45:44.827
APARTMENT. ABOUT IN HER REMARKS
04:45:44.894 --> 04:45:47.497
SO WELL WE HAVE HERE- AND TERMS
04:45:47.563 --> 04:45:48.464
OF PREVENTION RESPONSE
04:45:48.531 --> 04:45:50.166
ACTIVITIES- WE HAVE KEPT THE
04:45:50.233 --> 04:45:53.436
BURKE FROM THE HEALTH OFFICER'S
04:45:53.503 --> 04:45:54.871
ASSOCIATION OF CALIFORNIA.
04:45:54.937 --> 04:45:57.507
AMANDA WILLARD- FROM THE
04:45:57.573 --> 04:45:59.408
PRIMARY CARE CALIFORNIA CARE
04:45:59.475 --> 04:46:01.544
ASSOCIATION KAMALA COIL
04:46:01.611 --> 04:46:02.945
PRESENCIA WITH CALIFORNIA
04:46:03.012 --> 04:46:06.015
HOSPITALIZATION JACKIE BENDER-
04:46:06.082 --> 04:46:07.550
VICE VERSA POLICY FROM
04:46:07.617 --> 04:46:08.251
CALIFORNIA SAYS HE PUBLIC
04:46:08.317 --> 04:46:09.785
HEALTH AND HEALTH SYSTEMS AND
04:46:09.852 --> 04:46:12.488
EIGHTY BLOOM BURKE- AND- JASON
04:46:12.555 --> 04:46:14.123
BUT THEN FROM THE CALIFORNIA
04:46:14.190 --> 04:46:14.790
ASSOCIATION OF HEALTH
04:46:14.857 --> 04:46:19.629
FACILITIES. WELCOME AND SO- SHE
04:46:19.695 --> 04:46:21.831
SHE USED- PRESENTING TO US
04:46:21.898 --> 04:46:23.733
ABOUT- SOME OF THE YEAR
04:46:23.799 --> 04:46:25.635
PREVENTION RESEARCH ACTIVITIES
04:46:25.701 --> 04:46:28.471
AND- AND CERTAINLY ANY THE
04:46:28.538 --> 04:46:29.805
CHALLENGES YOU'RE FACING AS
04:46:29.872 --> 04:46:31.807
WELL AS WERE REALLY IN THE
04:46:31.874 --> 04:46:33.843
MISTS OF THIS CRISIS RIGHT NOW
04:46:33.910 --> 04:46:37.413
AND MOVE FORWARD SO- ASK IF YOU
04:46:37.480 --> 04:46:39.515
CAN TRY TO KEEP YOUR REMARKS TO
04:46:39.582 --> 04:46:41.317
THREE MINUTE OR LESS- AND THEN
04:46:41.384 --> 04:46:42.952
WILL. ONLY HAVE A OF DISCUSSION
04:46:43.019 --> 04:46:44.887
AFTERWARDS SO WE GO AHEAD START
04:46:44.954 --> 04:46:46.956
WITH THE CAT TO BERGEN DEAR
04:46:47.023 --> 04:46:48.758
MEMBERS ARE IN THE VERY FRONT
04:46:48.824 --> 04:46:50.259
LINES SO THANK YOU DOCTOR PAN
04:46:50.326 --> 04:46:51.594
CATCH VERY WITH THE HEALTH
04:46:51.661 --> 04:46:53.095
OFFICER'S ASSOCIATION OF
04:46:53.162 --> 04:46:55.431
CALIFORNIA REPRESENTING THE
04:46:55.498 --> 04:46:55.965
SIXTY ONE PHYSICIAN HEALTH
04:46:56.032 --> 04:46:57.533
OFFICERS. IN CALIFORNIA FIFTY
04:46:57.600 --> 04:46:59.001
EIGHT TONY'S THE CITIES OF
04:46:59.068 --> 04:47:00.970
BERKELEY LONG BEACH IN PASADENA
04:47:01.037 --> 04:47:02.204
WHO HAVE THEIR OWN HEALTH
04:47:02.271 --> 04:47:04.340
DEPARTMENTS- YOU ASKED HOW WE
04:47:04.407 --> 04:47:06.776
ARE WORKING CITY PH AND THE
04:47:06.842 --> 04:47:08.411
ANSWER IS WE ARE WORKING
04:47:08.477 --> 04:47:10.746
TOGETHER WITH THEM AND WE- IN
04:47:10.813 --> 04:47:12.682
PHONE. EARLY IN THE MORNING ON
04:47:12.748 --> 04:47:14.050
THE WAY TO TALK ABOUT THE
04:47:14.116 --> 04:47:15.885
GUIDANCE THAT THERE IS DOING
04:47:15.952 --> 04:47:16.552
AND THEY'RE DOING A GOOD JOB OF
04:47:16.619 --> 04:47:17.920
KEEPING US INFORMED OF THEIR
04:47:17.987 --> 04:47:19.889
ACTIVITIES IN THE LATEST-
04:47:19.956 --> 04:47:22.291
SCIENTIFIC ADVANCES. AND THEN
04:47:22.358 --> 04:47:24.193
YOU ALSO ASKED WHAT DO WE NEED
04:47:24.260 --> 04:47:26.629
AND I HAVE A LIST FOR YOU I
04:47:26.696 --> 04:47:28.798
HAVE A LIST OF IMMEDIATE NEEDS
04:47:28.864 --> 04:47:32.034
LONG TERM THE MOST THEM.
04:47:32.101 --> 04:47:33.703
IMMEDIATE ARE. RELATED TO
04:47:33.769 --> 04:47:35.605
TESTING THE BIGGEST TIME
04:47:35.671 --> 04:47:36.973
CONSUMPTION WE HAVE A LOCAL
04:47:37.039 --> 04:47:38.407
HEALTH DEPARTMENTS RIGHT NOW IS
04:47:38.474 --> 04:47:39.775
PEOPLE CALLING WANTING TO BE
04:47:39.842 --> 04:47:41.110
TESTED. BECAUSE THE LOCAL
04:47:41.177 --> 04:47:42.812
HEALTH DEPARTMENT NEEDS TO
04:47:42.878 --> 04:47:45.748
APPROVE ALL TEST BECAUSE THIS
04:47:45.815 --> 04:47:48.050
THE- CAN. A PUBLIC HEALTH LABS
04:47:48.117 --> 04:47:50.086
IS VERY LIMITED. AT THE PUBLIC
04:47:50.152 --> 04:47:52.121
HEALTH LABS AND THEN PRIVATE
04:47:52.188 --> 04:47:53.389
LABS ARE COMING ON BOARD BUT
04:47:53.456 --> 04:47:55.758
THAT STILL LIMITED AND SO ALL
04:47:55.825 --> 04:47:58.361
TEST NEED TO BE APPROVED BY THE
04:47:58.427 --> 04:47:58.894
LOCAL DEPARTMENT. WE NEED
04:47:58.961 --> 04:48:02.198
MESSAGING FROM. HER IN A PUBLIC
04:48:02.264 --> 04:48:02.632
HEALTH TO OUTPATIENT
04:48:02.698 --> 04:48:05.201
FACILITIES. GIVING TELLING THEM
04:48:05.268 --> 04:48:07.570
WHO IS THE PRIORITY FOR TESTING
04:48:07.637 --> 04:48:08.204
SO THAT THEY'RE NOT CALLING THE
04:48:08.270 --> 04:48:09.805
LOCAL HEALTH DEPARTMENT EVERY.
04:48:09.872 --> 04:48:11.774
I AM AND WE ALSO IN THE LONG
04:48:11.841 --> 04:48:13.209
RUN IN THE SHORT RUN NEED MORE
04:48:13.275 --> 04:48:15.444
TESTING CAPACITY MORE LABS
04:48:15.511 --> 04:48:18.514
BETTER EQUIPMENT MORE TASK. AND
04:48:18.581 --> 04:48:20.549
IF ALTERNATE CARE SITES ARE SET
04:48:20.616 --> 04:48:23.352
UP AS YOU DISCUSSED EARLIER- CD
04:48:23.419 --> 04:48:26.822
PAGE NEEDS TO STOP THOSE LOCAL
04:48:26.889 --> 04:48:27.423
HEALTH DEPARTMENTS CAN'T STAFF
04:48:27.490 --> 04:48:29.258
THOSE- WE DESK WE NEED A STATE
04:48:29.325 --> 04:48:31.127
WHAT ALL CENTER. THERE ARE SO
04:48:31.193 --> 04:48:32.461
MANY CALLS TO LOCAL HEALTH
04:48:32.528 --> 04:48:33.829
DEPARTMENTS THAT IT'S REALLY
04:48:33.896 --> 04:48:36.098
HARD TO FILTER OUT WHO NEEDS
04:48:36.165 --> 04:48:38.034
GENUINE LOCAL GUIDANCE ABOUT A
04:48:38.100 --> 04:48:41.404
LOCAL EVENT VERSES JUST CALLING
04:48:41.470 --> 04:48:42.471
ABOUT GENERAL HEALTH ADVICE WHO
04:48:42.538 --> 04:48:44.373
IS A MEMBER OF THE PUBLIC HAS
04:48:44.440 --> 04:48:47.610
EXACT. ABOUT KOFI. I'M AND
04:48:47.677 --> 04:48:48.744
FINALLY A STAFFING
04:48:48.811 --> 04:48:50.680
JURISDICTIONS STILL IN THE
04:48:50.746 --> 04:48:52.381
CONTAINMENT PHASE NEED MORE
04:48:52.448 --> 04:48:54.850
STAFF FOR CONTACT TRACING FOR
04:48:54.917 --> 04:48:55.718
FOLLOWING THROUGH WITH
04:48:55.785 --> 04:48:56.719
ISOLATION AND QUARANTINE
04:48:56.786 --> 04:48:58.287
ORDERS. AND WE JUST DISCOVERED
04:48:58.354 --> 04:48:59.422
THIS MORNING THAT LOCAL HEALTH
04:48:59.488 --> 04:49:00.289
DEPARTMENTS ARE GOING TO BE
04:49:00.356 --> 04:49:03.225
TASKED WITH- QUARANTINING. OR
04:49:03.292 --> 04:49:06.429
FOLLOWING UP ON SELF QUARANTINE
04:49:06.495 --> 04:49:06.996
FOR THE TRAVELERS RETURNING
04:49:07.063 --> 04:49:09.298
FROM EUROPE AND THAT'S IN. HUGE
04:49:09.365 --> 04:49:12.468
AMOUNT OF PEOPLE- THAT LOCAL
04:49:12.535 --> 04:49:15.538
DIFFERENT CAST CONTACTING. AND
04:49:15.604 --> 04:49:16.505
ARE NAY AND STAFFING THE NEEDS
04:49:16.572 --> 04:49:18.174
ARE FACILITIES ISOLATE IN
04:49:18.240 --> 04:49:19.608
QUARANTINE OF PEOPLE WITHOUT
04:49:19.675 --> 04:49:21.577
HOUSING- WHETHER THEY'RE
04:49:21.644 --> 04:49:22.311
INDIVIDUALS EXPERIENCING
04:49:22.378 --> 04:49:25.614
HOMELESSNESS OR PEOPLE WHO ARE
04:49:25.681 --> 04:49:27.116
RESTRICTED FROM TRAVELING HOME.
04:49:27.183 --> 04:49:29.085
M. WE NEED CITY. YOU ISSUING
04:49:29.151 --> 04:49:30.186
GUIDANCE TO CONTINUE WORKING
04:49:30.252 --> 04:49:31.721
WITH PUNISHING GUIDANCE AND WE
04:49:31.787 --> 04:49:33.723
SPECIFICALLY RIGHT NOW NEED
04:49:33.789 --> 04:49:36.092
GUIDANCE ON JAILS AND CASINOS.
04:49:36.158 --> 04:49:37.526
AND WE NEED PERSONAL PROTECTIVE
04:49:37.593 --> 04:49:39.028
EQUIPMENT I HEARD EARLIER THAT
04:49:39.095 --> 04:49:41.230
AND SAID THEY HAD RECEIVED NO
04:49:41.297 --> 04:49:43.165
REQUESTS FROM LOCALS BUT WE
04:49:43.232 --> 04:49:46.001
NEED. THAT ARE ONGOING AT JUST
04:49:46.068 --> 04:49:48.404
GENERAL MEANS- WE NEED
04:49:48.471 --> 04:49:49.638
CONTINUING FUNDING FOR
04:49:49.705 --> 04:49:50.306
COMMUNICABLE DISEASE
04:49:50.372 --> 04:49:52.541
INFRASTRUCTURE AS YOU KNOW LAST
04:49:52.608 --> 04:49:53.342
YEAR WE REQUESTED. LANE DOLLARS
04:49:53.409 --> 04:49:54.810
AN ON GOING FUNDING FOR EXACTLY
04:49:54.877 --> 04:49:56.312
THAT PURPOSE ABOUT FORTY
04:49:56.378 --> 04:49:59.081
MILLION DOLLARS IN ONE TIME
04:49:59.148 --> 04:50:01.083
FUNDING. AND WE CAN'T HIRE
04:50:01.150 --> 04:50:04.120
STAFF WITH ONE TIME THE AND IS
04:50:04.186 --> 04:50:05.988
OUR GREATEST. WE WORK FOR BEING
04:50:06.055 --> 04:50:08.023
AND- HAS THIS FOR TO. PEOPLE
04:50:08.090 --> 04:50:09.091
THOSE PEOPLE NEED TRAIN. AND WE
04:50:09.158 --> 04:50:10.326
NEED UP HIGH. FOR FUTURE HEALTH
04:50:10.393 --> 04:50:11.527
WORKERS INCLUDING LOAN
04:50:11.594 --> 04:50:14.029
FORGIVENESS AND LOWER
04:50:14.096 --> 04:50:14.930
CERTIFICATION FEES FOR PUBLIC
04:50:14.997 --> 04:50:17.366
HEALTH NURSES INCENTIVES FOR
04:50:17.433 --> 04:50:20.169
ALL. OF PUBLIC HEALTH AND- WE
04:50:20.236 --> 04:50:23.038
NEED FOR PUBLIC LABORATORIES IN
04:50:23.105 --> 04:50:24.807
THE PAST FIFTEEN YEARS ELEVEN
04:50:24.874 --> 04:50:27.409
LOCAL PUBLIC CATHOLIC HEALTH
04:50:27.476 --> 04:50:28.844
LABS OF CLIPS IN THIS. AND THAT
04:50:28.911 --> 04:50:31.981
MAKES SENSE. ASSISTANCE SAVE-
04:50:32.047 --> 04:50:34.550
INFECTED TO SAVE RESOURCES BUT
04:50:34.617 --> 04:50:35.518
AT A TIME LIKE THIS YOU CAN
04:50:35.584 --> 04:50:36.986
REALLY SEE THAT WE COULD TWO
04:50:37.052 --> 04:50:38.988
HUNDRED AS FOR ME IF WE HAD
04:50:39.054 --> 04:50:40.456
MORE LET. SO THANK YOU VERY
04:50:40.523 --> 04:50:42.024
MUCH AND HAVE IT ANSWERED
04:50:42.091 --> 04:50:43.259
QUESTIONS WHEN THE TIME COMES.
04:50:43.325 --> 04:50:46.962
THANK YOU BUT SWELLED THANK YOU
04:50:47.029 --> 04:50:47.563
FOR THE OPPORTUNITY TO SHARE
04:50:47.630 --> 04:50:49.231
THE WHOLE CENTER RESPONSE-
04:50:49.298 --> 04:50:51.400
EXPERIENCE TO DATE MY NAME IS
04:50:51.467 --> 04:50:53.068
AMANDA AND I'M THE SENIOR
04:50:53.135 --> 04:50:54.003
PROGRAM COORDINATOR AT THE
04:50:54.069 --> 04:50:56.438
PRIMARY CARE ASSOCIATION AND-
04:50:56.505 --> 04:50:57.940
HER NET. PARTS I'M HERE TODAY
04:50:58.007 --> 04:50:59.742
ON BEHALF MORE THAN THIRTEEN
04:50:59.809 --> 04:51:00.709
HUNDRED AND SEVENTY COMMUNITY
04:51:00.776 --> 04:51:01.911
HEALTH CENTERS THAT WE WRITE
04:51:01.977 --> 04:51:04.280
COMPREHENSIVE HIGH QUALITY CARE
04:51:04.346 --> 04:51:05.614
TO SEVEN POINT TWO. MILLION
04:51:05.681 --> 04:51:07.716
PEOPLE THAT'S SIX CALIFORNIA.
04:51:07.783 --> 04:51:09.385
AT THIS TIME I WILL TAKE A FEW
04:51:09.451 --> 04:51:10.886
MINUTES TO PROVIDE GREATER. ON
04:51:10.953 --> 04:51:12.087
HOW HEALTH CENTERS IN IMPACT
04:51:12.154 --> 04:51:14.323
CODE NINETEEN OUTBREAK IN THE
04:51:14.390 --> 04:51:16.592
KEY ROLE THEY PLAY DURING A
04:51:16.659 --> 04:51:17.126
PUBLIC HEALTH. AGENCY HOW
04:51:17.193 --> 04:51:18.427
CENTERS ON THE FRONT LINES
04:51:18.494 --> 04:51:21.096
DURING PUBLIC AGENCIES LIKE THE
04:51:21.163 --> 04:51:23.098
KOBE NINETEEN OUTBREAK. MINUTE
04:51:23.165 --> 04:51:24.333
TO CARING FOR THEIR PATIENTS
04:51:24.400 --> 04:51:25.968
AND BEING A RESOURCE TO THEIR
04:51:26.035 --> 04:51:27.169
COMMUNITIES WHILE ALSO
04:51:27.236 --> 04:51:29.805
MAINTAINING THE HEALTH AND WELL
04:51:29.872 --> 04:51:31.841
BEING OF THEIR STAFF. DURING A
04:51:31.907 --> 04:51:33.475
PUBLIC EMERGENCIES. BY TRIAGE
04:51:33.542 --> 04:51:35.611
TREATMENT FOR OLD AND WORK IN
04:51:35.678 --> 04:51:37.213
PARTNERSHIP WITH THEIR LOCAL
04:51:37.279 --> 04:51:38.080
HEALTH DEPARTMENTS. WELL
04:51:38.147 --> 04:51:39.381
CENTERS ARE COMMITTED TO FULLY
04:51:39.448 --> 04:51:41.517
PARTICIPATING IN THE COPA
04:51:41.584 --> 04:51:42.952
NINETEEN RESPONSE THEY ARE IN
04:51:43.018 --> 04:51:44.720
NEED OF ADDITIONAL RESPONSES TO
04:51:44.787 --> 04:51:47.323
INCREASE. OUR CAPACITY. THE
04:51:47.389 --> 04:51:48.023
MATCH STARTED SO PROTECTIVE
04:51:48.090 --> 04:51:50.626
EQUIPMENT FOR HEALTH. LIMIT
04:51:50.693 --> 04:51:51.961
THEIR ABILITY TO SAFELY TRIAGE
04:51:52.027 --> 04:51:52.862
PATIENTS SUSPECTED OF KOBE
04:51:52.928 --> 04:51:56.065
NINETEEN- OTHER CHALLENGE
04:51:56.131 --> 04:51:57.466
HEALTH CENTERS ARE FACING IS
04:51:57.533 --> 04:51:58.500
THE ABILITY TO UTILIZE
04:51:58.567 --> 04:52:00.536
ALTERNATIVE QUE. MODEL JUST
04:52:00.603 --> 04:52:02.605
VISIT WHICH ARE KEY TO
04:52:02.671 --> 04:52:03.639
MITIGATING KOBE NINETEEN
04:52:03.706 --> 04:52:08.077
EXPOSURE AS IT LIMITS THE SPOT
04:52:08.143 --> 04:52:10.112
OTHER THAN OUR PATIENTS STAFF
04:52:10.179 --> 04:52:12.882
THE JUDGE IN UNITY. EIGHT
04:52:12.948 --> 04:52:16.752
GUARANTEES. AND IT IS ANY TEST
04:52:16.819 --> 04:52:18.988
IT. UNLIKE OTHER PROVIDERS AND
04:52:19.054 --> 04:52:19.989
THE COMMERCIALLY AND HEALTH
04:52:20.055 --> 04:52:21.323
CENTERS KERN BILL FOR TELEPHONE
04:52:21.390 --> 04:52:22.391
VISITS. SINCE THE FIRST
04:52:22.458 --> 04:52:24.426
COMMUNITY CASE OF EIGHTEEN WAS
04:52:24.493 --> 04:52:26.629
IDENTIFIED HEALTH CENTERS BEGAN
04:52:26.695 --> 04:52:29.131
MORE TELEPHONIC TREE URGING
04:52:29.198 --> 04:52:29.932
HEARING FROM PAGE FEARFUL OF
04:52:29.999 --> 04:52:30.866
DISEASE EXPOSURE HEALTH
04:52:30.933 --> 04:52:32.635
CENTERS. HEALTH CENTERS ARE
04:52:32.701 --> 04:52:35.070
MEETING THIS NEED WHEN POSSIBLE
04:52:35.137 --> 04:52:35.537
BUT THEY'RE DOING SO I
04:52:35.604 --> 04:52:38.440
FINANCIAL RISK INSTITUTION.
04:52:38.507 --> 04:52:41.210
INTERESTING JUST. IN RESPONSE
04:52:41.277 --> 04:52:43.646
TO A VERY DIFFERENT DISASTER AB
04:52:43.712 --> 04:52:44.146
FOURTEEN NINETY FOUR WAS
04:52:44.213 --> 04:52:47.116
INTRODUCED AND CHAMPION BY
04:52:47.182 --> 04:52:47.683
ASSEMBLYMEMBER AGUIAR-CURRY.
04:52:47.750 --> 04:52:50.119
THIS BILL WANTED ALLOWS HEALTH
04:52:50.185 --> 04:52:51.787
RISKS TO BILL FOR TELEPHONIC
04:52:51.854 --> 04:52:53.322
VISITS DURING AN EMERGENCY
04:52:53.389 --> 04:52:54.790
DISASTER. WELL THE BILL SIGNED
04:52:54.857 --> 04:52:56.191
INTO LAW THE DEPARTMENT OF
04:52:56.258 --> 04:52:57.927
HEALTH CARE SERVICES STATES
04:52:57.993 --> 04:52:59.428
THAT LACK OF PRESIDENTIAL
04:52:59.495 --> 04:53:01.330
ACTIONS TO DECLARE AN EMERGENCY
04:53:01.397 --> 04:53:03.065
IMPEDES THEIR ABILITY TO
04:53:03.132 --> 04:53:05.834
IMPLEMENT. OUR STATION IS NOW
04:53:05.901 --> 04:53:07.069
MOBILE USING MEMBERS OF THE
04:53:07.136 --> 04:53:08.938
CALIFORNIA'S CAN. LOCATION TO
04:53:09.004 --> 04:53:11.774
TAKE ACTION TO. EXPLORATION FOR
04:53:11.840 --> 04:53:12.942
THESE REASONS WE ARE
04:53:13.008 --> 04:53:15.611
RESPECTFULLY REQUEST THAT YOU
04:53:15.678 --> 04:53:17.279
DO EVERYTHING YOU CAN SUPPORT
04:53:17.346 --> 04:53:21.650
DH CS. ASIAN COMMENTING
04:53:21.717 --> 04:53:22.084
FOURTEEN NINETY FOUR
04:53:22.151 --> 04:53:23.118
ADDITIONALLY WE CALL ON YOU TO
04:53:23.185 --> 04:53:25.220
CONSIDER ANY ADDITIONAL
04:53:25.287 --> 04:53:25.921
LEGISLATIVE ACTIONS LIKE TAKE
04:53:25.988 --> 04:53:27.790
TO GUARANTEED HEALTH CENTERS
04:53:27.856 --> 04:53:29.591
ARE FINANCIALLY SUPPORTED IN
04:53:29.658 --> 04:53:31.660
THEIR DECISION TO USE HELP TELL
04:53:31.727 --> 04:53:34.129
UP DURING A PUBLIC HEALTH
04:53:34.196 --> 04:53:36.699
EMERGENCY- SAID. TODAY THANK
04:53:36.765 --> 04:53:39.702
YOU. WHAT KAMALA COIL ESERVER
04:53:39.768 --> 04:53:45.240
THE. THANK YOU CARMEL COYLY
04:53:45.307 --> 04:53:46.408
SERVES THE PRESIDENT CEO OF THE
04:53:46.475 --> 04:53:47.009
CALIFORNIA HOSPITAL
04:53:47.076 --> 04:53:50.512
ASSOCIATION- I AM NOT OFTEN
04:53:50.579 --> 04:53:52.247
HERE WHICH IS WHY I DON'T KNOW
04:53:52.314 --> 04:53:53.182
HOW TO USE THE BUTTON AND
04:53:53.248 --> 04:53:55.617
THAT'S HOW IN. THE STATE IS TO.
04:53:55.684 --> 04:53:57.186
AT HEARING ON COMMEND THE WORK
04:53:57.252 --> 04:54:01.557
THE- WELL THEY HAVE BEEN JUST
04:54:01.623 --> 04:54:05.060
TERRIFIC AND WE ARE BY NO MEANS
04:54:05.127 --> 04:54:07.663
ANY. IT'S HERE ARE NOW MORE
04:54:07.730 --> 04:54:10.833
THAN EVER ANY THAT THEY AND THE
04:54:10.899 --> 04:54:12.801
DOCTOR SONYA AGE HAS JUST UP SO
04:54:12.868 --> 04:54:14.503
OF PARTNER A VERY DIFFICULT
04:54:14.570 --> 04:54:18.240
TIME. CODE VIRUS OF COURSE YES
04:54:18.307 --> 04:54:20.542
IT'S A- AND CREATING CHALLENGE.
04:54:20.609 --> 04:54:21.076
THROUGHOUT THE HEALTH CARE
04:54:21.143 --> 04:54:22.277
SYSTEM WITH HOSPITALS VERY MUCH
04:54:22.344 --> 04:54:23.812
AT THE POINTY END OF THAT.
04:54:23.879 --> 04:54:26.281
NURSES DOCTORS HOSPITALS DEEPLY
04:54:26.348 --> 04:54:28.484
DEEPLY ENGAGED IN THIS IT'S
04:54:28.550 --> 04:54:30.886
DIFFICULT TO DESCRIBE THE LEVEL
04:54:30.953 --> 04:54:33.355
OF ON GOING CONVERSATION
04:54:33.422 --> 04:54:34.590
COMMUNICATION AND- BY MINUTE
04:54:34.656 --> 04:54:37.693
HOUR BY OUR DAY TO DAY JUST TWO
04:54:37.760 --> 04:54:39.661
THINGS. IF WE REALLY NEED NOW
04:54:39.728 --> 04:54:42.064
THE FIRST IMPORTANT DECISIONS
04:54:42.131 --> 04:54:45.067
TO BE MADE BY THE STATE AND WE
04:54:45.134 --> 04:54:47.269
MAKE THOSE DECISIONS RIGHT HEY.
04:54:47.336 --> 04:54:49.104
AND WE NEED TO CHANGE. CHANGE
04:54:49.171 --> 04:54:51.073
WE'VE GOT TO WORK EVEN QUICKLY.
04:54:51.140 --> 04:54:54.309
EVERYONE IS FLAT OUT- BUT WE
04:54:54.376 --> 04:54:56.445
THERE IS A SENSE OF URGENCY
04:54:56.512 --> 04:54:59.348
THAT IF WE DON'T ACT QUICKLY-
04:54:59.415 --> 04:55:01.350
THIS FOR. WELCOME THE HELP
04:55:01.417 --> 04:55:03.585
SYSTEM- QUICKLY. AND GOAL AND
04:55:03.652 --> 04:55:07.256
THAT IS IN PATIENTS AND WORK IF.
04:55:07.322 --> 04:55:08.991
POURTANT CHANGES THAT HAVE
04:55:09.058 --> 04:55:11.794
HAPPENED MOST RECENTLY OF THE
04:55:11.860 --> 04:55:14.963
FIRST QUARTER HELLO. THERE IS
04:55:15.030 --> 04:55:15.731
NOT BE ACQUIRED WITHIN THE
04:55:15.798 --> 04:55:16.865
COMMUNITY. AS A DANGER FOR HOW
04:55:16.932 --> 04:55:19.635
WE ADDRESS BECAUSE WE NEED TO.
04:55:19.701 --> 04:55:20.469
VERY AND HE CHALLENGE VERY
04:55:20.536 --> 04:55:21.937
CLOSE. FOR A CONTAINMENT
04:55:22.004 --> 04:55:24.206
STRATEGY. REALLY TO STOP THIS
04:55:24.273 --> 04:55:26.442
THE VIRUS MEDICATIONS AND THAT
04:55:26.508 --> 04:55:31.046
IS TO LIMIT IMPACT OF THE VICE
04:55:31.113 --> 04:55:35.217
AND ARE. BECAUSE WE HAVE
04:55:35.284 --> 04:55:37.553
FEDERAL. BIDEN SAID OKAY. GOT
04:55:37.619 --> 04:55:39.288
IN. ON TOP OF THAT. DECISIONS
04:55:39.354 --> 04:55:40.956
THAT NEED TO BE MADE NOW FIRST
04:55:41.023 --> 04:55:43.025
OF ALL WE NEED TO MOVE FROM
04:55:43.092 --> 04:55:44.393
AIRBORNE TWO DROPLETS
04:55:44.460 --> 04:55:46.028
PRECAUTIONS I CAN'T UNDERSCORE
04:55:46.095 --> 04:55:48.864
HOW IMPORTANT THAT IS WE'VE GOT
04:55:48.931 --> 04:55:52.101
A FOLLOW THE SCIENCE WE'VE GOT
04:55:52.167 --> 04:55:53.469
TO FOLLOW THE FACT. CENTERS
04:55:53.535 --> 04:55:56.472
THESE CONTROL OF IT'S CLEAR. TO
04:55:56.538 --> 04:55:57.840
BE IN THEIR GUIDANCE WE SHOULD
04:55:57.906 --> 04:55:59.007
I BE FALL XING TEN STATE IN
04:55:59.074 --> 04:56:00.742
THEIR MOVE TO ADOPT HEALTH
04:56:00.809 --> 04:56:02.911
ORGANIZATION GUIDANCE ON THIS
04:56:02.978 --> 04:56:05.314
MATTER IT WILL ALLOW US TO
04:56:05.380 --> 04:56:07.449
ALLOCATE PERSONAL PROTECTIVE
04:56:07.516 --> 04:56:10.486
EQUIPMENT WHERE IT NEEDS TO BE
04:56:10.552 --> 04:56:12.321
IN THAT. OCCURS FOR AT RISK AND
04:56:12.387 --> 04:56:14.723
WITH IT WE WILL. LICENSE
04:56:14.790 --> 04:56:16.592
STRETCH ARE LIMITED PERSONAL
04:56:16.658 --> 04:56:19.928
PROTECTIVE EQUIPMENT SECOND HE
04:56:19.995 --> 04:56:21.130
TO ALLOW HEALTHCARE WORKERS WHO
04:56:21.196 --> 04:56:22.898
HAVE BEEN EXPOSED TO THE COVE
04:56:22.965 --> 04:56:24.867
IT VIRUS ARE CALLED THE
04:56:24.933 --> 04:56:27.302
POSITIVE PATIENT WHO ARE NOT
04:56:27.369 --> 04:56:29.705
SICK. CAN YOU WORK THIS
04:56:29.771 --> 04:56:30.672
CRITICALLY IN. A ONE
04:56:30.739 --> 04:56:31.773
ORGANIZATION AS YOU KNOW HAS
04:56:31.840 --> 04:56:34.009
HAD TO FURLOUGH HUNDRED AND
04:56:34.076 --> 04:56:35.944
TWENTY FOUR WORKERS FOR ONE
04:56:36.011 --> 04:56:37.813
PATIENT GOOD NEWS IS THEY'RE
04:56:37.880 --> 04:56:40.616
ALL BACK HEALTHY. HAVE FOR
04:56:40.682 --> 04:56:43.152
ALLOWING BETWEEN IN A HUNDRED
04:56:43.218 --> 04:56:43.952
WORKERS ARE PAID. WE'VE GOT A
04:56:44.019 --> 04:56:47.456
CHANGE THAT OR WE WILL HAVE THE
04:56:47.523 --> 04:56:50.058
HEALTH CARE. WE NEED ONLY TO
04:56:50.125 --> 04:56:52.561
THE CODE BY. THE CAP. IN
04:56:52.628 --> 04:56:55.831
HOSPITAL IS THAT SOME NEED ON
04:56:55.898 --> 04:56:57.065
IMMEDIATELY THIRD WE NEED TO
04:56:57.132 --> 04:56:59.301
SHIFT LEAVE EIGHT ROB RATHER
04:56:59.368 --> 04:57:00.736
THAN A COUNTY BY COUNTY
04:57:00.802 --> 04:57:02.604
STRATEGY THE COUNTIES HAVE BEEN
04:57:02.671 --> 04:57:05.107
DOING A GREAT JOB I'LL BUT THEY
04:57:05.174 --> 04:57:07.609
ARE DIFFERENT WE HAVE HOSPITAL
04:57:07.676 --> 04:57:09.778
ORGANIZATIONS THAT'S ALL TO. WE
04:57:09.845 --> 04:57:11.446
FRIENDS OF ROUTE WE- DO UNIFIED
04:57:11.513 --> 04:57:14.116
THAT. FINALLY TIME TO INTO THE
04:57:14.183 --> 04:57:16.585
STRATEGIC NATIONAL STOCKPILE WE
04:57:16.652 --> 04:57:19.154
ARE ON THE EDGE OF A
04:57:19.221 --> 04:57:22.090
AVAILABILITY OF WHAT WE NEED
04:57:22.157 --> 04:57:23.525
AND WHILE MOST PEOPLE ARE
04:57:23.592 --> 04:57:25.227
FOCUSED RIGHT NOW ON MAC THAT
04:57:25.294 --> 04:57:28.530
IS REAL. THEY SHE ARE WE ARE
04:57:28.597 --> 04:57:31.133
REALLY REAL WAY AT THE END
04:57:31.200 --> 04:57:32.467
EIGHT ASKING ORGANIZATIONS AND
04:57:32.534 --> 04:57:33.969
ARE CARE WORKERS AND THEIR
04:57:34.036 --> 04:57:38.040
SAFETY TO LIVE ON THE EDGE IS
04:57:38.106 --> 04:57:38.640
NOT WHERE WE WANT TO BE RIGHT
04:57:38.707 --> 04:57:40.442
NOW SO- THAT'S THE IMPORTANT
04:57:40.509 --> 04:57:45.347
CHANGE. SHOULD WORK MORE QUICK.
04:57:45.414 --> 04:57:45.948
UPWARD AS I MENTIONED WE WILL
04:57:46.014 --> 04:57:47.049
OVER WELL THE- SO WE THANK YOU
04:57:47.115 --> 04:57:48.850
FOR THIS OPPORTUNITY. TO ENTER
04:57:48.917 --> 04:57:50.485
INTO CONVERSATION IN A FEW
04:57:50.552 --> 04:57:51.954
MINUTES THANK YOU. REGULAR
04:57:52.020 --> 04:57:56.625
SPENDER. THANK YOU SENATOR PAN
04:57:56.692 --> 04:57:57.659
FOR THE OPPORTUNITY TO SHARE
04:57:57.726 --> 04:57:59.861
WITH YOU THE ROLE THAT PUBLIC
04:57:59.928 --> 04:58:01.597
HEALTH CARE SYSTEMS ARE PLAYING
04:58:01.663 --> 04:58:04.733
IT IS IMPORTANT RESPONSE TO THE
04:58:04.800 --> 04:58:06.034
CORONAVIRUS. JACKIE BEEN. ON
04:58:06.101 --> 04:58:06.935
INSTITUTIONAL PUBLIC HOSPITALS
04:58:07.002 --> 04:58:09.037
AND HEALTH SYSTEMS REPRESENTING
04:58:09.104 --> 04:58:10.472
THE TWENTY ONE COUNTY
04:58:10.539 --> 04:58:12.074
AFFILIATED SYSTEMS AND THE
04:58:12.140 --> 04:58:13.408
UNIVERSITY OF CALIFORNIA
04:58:13.475 --> 04:58:15.911
ACADEMIC HEALTH CENTERS WE ARE
04:58:15.978 --> 04:58:18.947
LOCATED IN FIFTEEN COUNTIES
04:58:19.014 --> 04:58:21.016
THROUGHOUT THE STATE
04:58:21.083 --> 04:58:22.851
REPRESENTING OUR EIGHTY PER. ST
04:58:22.918 --> 04:58:24.052
LUCIAN AND WHICH TO ALL WHO
04:58:24.119 --> 04:58:27.990
NEED. AVERAGE ROUGHLY HALF OF
04:58:28.056 --> 04:58:28.824
OUR PATIENTS EITHER HAVE MEDI
04:58:28.890 --> 04:58:31.159
CAL OR HAVE NO INSURANCE. WE
04:58:31.226 --> 04:58:32.728
ALSO OPERATE SEVERAL OF PUBLIC
04:58:32.794 --> 04:58:35.163
RESOURCES WE ARE OVER HALF OF
04:58:35.230 --> 04:58:37.566
THE LEVEL ONE TRAUMA CENTERS
04:58:37.633 --> 04:58:39.368
AND BURN CENTERS IN THE STATE
04:58:39.434 --> 04:58:40.969
AND WE TRADE OVER HALF OF THE
04:58:41.036 --> 04:58:41.570
NEW DOCTORS IN THE STATE. BOB
04:58:41.637 --> 04:58:44.139
BY THE SPECIAL. CHERRY CARE
04:58:44.206 --> 04:58:45.540
BUILDING HI SPECIALIZED
04:58:45.607 --> 04:58:47.142
CAPACITOR TREAT INFECTIOUS
04:58:47.209 --> 04:58:51.146
DISEASE. SO BOLD AS PUBLIC
04:58:51.213 --> 04:58:53.582
ENTITIES AND AS HOSPITALS I
04:58:53.649 --> 04:58:55.150
WANT TO ECHO MY COLLEAGUES
04:58:55.217 --> 04:58:57.719
COMMENTS AND- TOUCH ON THREE
04:58:57.786 --> 04:58:59.187
KEY UNIQUELY PUBLIC ROLES THAT
04:58:59.254 --> 04:59:01.123
WE PLAY- AND OUR MEMBERS ARE
04:59:01.189 --> 04:59:02.124
PLAYING AND RESPOND TO THE
04:59:02.190 --> 04:59:04.059
VIRUS SO FIRST. I WE REALLY ARE
04:59:04.126 --> 04:59:05.961
ON THE LINE THIS CALL IN WITH
04:59:06.028 --> 04:59:08.096
OUR LOCAL STATE AND FEDERAL
04:59:08.163 --> 04:59:10.932
PARTNERS AND WE OF THE VERY
04:59:10.999 --> 04:59:12.668
FIRST HOSPITALS TO RECEIVE
04:59:12.734 --> 04:59:13.669
PATIENTS EITHER THROUGH AIRPORT
04:59:13.735 --> 04:59:16.905
REFER. THREE FLIGHTS. COULD
04:59:16.972 --> 04:59:17.873
SUPPORTING SLIDE THAT LANDED IN
04:59:17.939 --> 04:59:20.409
RIVER. I WE RECEIVE SOME OF THE
04:59:20.475 --> 04:59:21.710
CASE BECAUSE OF OUR CAPACITY TO
04:59:21.777 --> 04:59:23.178
TREAT HIGH RISK INFECTIOUS
04:59:23.245 --> 04:59:26.715
DISEASE AND BECAUSE OF OUR LONG
04:59:26.782 --> 04:59:27.683
HISTORY OF PUBLIC INSTITUTIONS-
04:59:27.749 --> 04:59:30.585
WE WORK WITH AND WERE SOMETIMES.
04:59:30.652 --> 04:59:31.086
INTO LOCAL PUBLIC HEALTH
04:59:31.153 --> 04:59:34.056
DEPARTMENTS. SECOND A MANY
04:59:34.122 --> 04:59:35.290
PUBLIC HEALTHCARE SYSTEMS ARE
04:59:35.357 --> 04:59:35.791
ON THE CUTTING EDGE OF
04:59:35.857 --> 04:59:37.259
INNOVATION AND WE'RE HOPING
04:59:37.326 --> 04:59:39.127
STATE RAPIDLY EXPAND CAPACITY
04:59:39.194 --> 04:59:41.663
FOR TESTING- AND PREPARING FOR
04:59:41.730 --> 04:59:44.433
THE SHARP UP TAKE A POTENTIAL
04:59:44.499 --> 04:59:46.401
WE'RE EXPECTING A CASES. HE
04:59:46.468 --> 04:59:48.737
ALSO- IT WORKING RUN
04:59:48.804 --> 04:59:50.772
DIAGNOSTICS IN HOUSE. AND THIS
04:59:50.839 --> 04:59:51.573
MEANS THAT THERE WOULD THEY
04:59:51.640 --> 04:59:52.741
WILL BE ABLE OR ARE ALREADY
04:59:52.808 --> 04:59:54.676
PROCESSING TEST IN LESS THAN
04:59:54.743 --> 04:59:56.411
TWENTY FOUR HOURS. AND THAT
04:59:56.478 --> 04:59:57.512
THEY ARE ALSO IN FREE UP
04:59:57.579 --> 05:00:00.349
CAPACITY ANOTHER LAPSE UCSF
05:00:00.415 --> 05:00:03.285
UCLA AND UC SAN DIEGO ARE
05:00:03.352 --> 05:00:06.254
ALREADY ON LINE AND WE EXPECT
05:00:06.321 --> 05:00:08.757
UC DAVIS AND UC IRVINE. RUNNING
05:00:08.824 --> 05:00:10.525
THE THERE'S ALSO A THE SITE
05:00:10.592 --> 05:00:13.295
WHERE ONCE OF THE OF WORDS WERE
05:00:13.362 --> 05:00:14.129
READY TO A VACCINE AND CLINICAL
05:00:14.196 --> 05:00:15.931
TRIALS THAT THOSE COULD BE THE
05:00:15.997 --> 05:00:17.332
SITES TO RUN SOME OF THOSE
05:00:17.399 --> 05:00:18.867
CLINICAL TRIAL TESTS. AND
05:00:18.934 --> 05:00:20.502
LASTLY WE ARE CORPS PROVIDERS
05:00:20.569 --> 05:00:22.704
OF SOME. OF CARE TO SOME OF OUR
05:00:22.771 --> 05:00:24.106
MOST VULNERABLE POPULATIONS
05:00:24.172 --> 05:00:24.706
INCLUDING INDIVIDUALS
05:00:24.773 --> 05:00:26.708
EXPERIENCING HOMELESSNESS. OUR
05:00:26.775 --> 05:00:27.676
MEMBERS ARE REACHING OUT TO
05:00:27.743 --> 05:00:29.211
LISTEN CANNONS- THEY'RE
05:00:29.277 --> 05:00:30.512
EDUCATING ABOUT APPROPRIATE
05:00:30.579 --> 05:00:33.014
PRECAUTIONS HAND WASHING-
05:00:33.081 --> 05:00:35.016
TRYING TO IDENTIFY NICELY
05:00:35.083 --> 05:00:35.851
INDIVIDUALS ARE EXPERIENCING
05:00:35.917 --> 05:00:38.653
SYMPTOMS. TO ILLUSTRATE HOW ALL
05:00:38.720 --> 05:00:39.388
IS MY TIE TOGETHER JUST AN
05:00:39.454 --> 05:00:41.156
EXAMPLE IN ONE COUNTY OF HOW
05:00:41.223 --> 05:00:43.658
THE STRUCTURE WORKS- THE COUNTY
05:00:43.725 --> 05:00:44.760
HEALTH CARE SYSTEM ITSELF IS
05:00:44.826 --> 05:00:46.128
SERVING AS THE FIRST PLACE OF
05:00:46.194 --> 05:00:47.696
TREATMENT FOR ANYONE WHO'S
05:00:47.763 --> 05:00:49.464
IDENTIFIED- AND IS UNDER
05:00:49.531 --> 05:00:50.799
INVESTIGATION FOR CAR BUYERS
05:00:50.866 --> 05:00:52.768
SYMPTOMS. AND THEY'RE SUPPORTED
05:00:52.834 --> 05:00:53.402
BY THEIR COUNTY PUBLIC HEALTH
05:00:53.468 --> 05:00:56.371
LABS FOR TESTING. THAT SAME
05:00:56.438 --> 05:00:58.940
SYSTEM THERE ARE STAFF- BEGAN
05:00:59.007 --> 05:00:59.975
QUICKLY WORKING WITH THE
05:01:00.041 --> 05:01:01.676
MEDICAL- HEALTH JOINT
05:01:01.743 --> 05:01:03.245
OPERATIONS CENTER. SO
05:01:03.311 --> 05:01:06.081
ORGANIZING ALL OF THE EMERGENCY
05:01:06.148 --> 05:01:06.615
RESPONSE WITHIN THE HEALTH
05:01:06.681 --> 05:01:07.215
DEPARTMENT. AND THAT'S
05:01:07.282 --> 05:01:08.917
ACTIVATED WHEN THERE'S A BE A
05:01:08.984 --> 05:01:10.385
NEED FOR INCREASED STAFFING AND
05:01:10.452 --> 05:01:12.487
RESPONSE AND THEN THEY ARE ALSO
05:01:12.554 --> 05:01:13.855
WORKING HAND IN HAND WITH THE
05:01:13.922 --> 05:01:15.857
PUBLIC HEALTH SIDE OF THE HOUSE
05:01:15.924 --> 05:01:17.526
TO DO A REACHED HOME A POPULAR
05:01:17.592 --> 05:01:19.561
ONES. AND ALL OF THIS IS REALLY
05:01:19.628 --> 05:01:21.196
JUST WROTE OUR LONG HISTORY AND
05:01:21.263 --> 05:01:23.432
OUR COMMITMENT TO PUBLIC
05:01:23.498 --> 05:01:25.967
WELLNESS AND I THINK ONE OF THE
05:01:26.034 --> 05:01:27.736
BIGGEST LESSONS WE CAN WAY THUS
05:01:27.803 --> 05:01:38.980
FAR IS THAT. I LIKE MY
05:01:39.047 --> 05:01:40.182
COLLEAGUES HAVE NOT USE THIS
05:01:40.248 --> 05:01:42.684
BUTTON FOR SALE BOB NAME IS
05:01:42.751 --> 05:01:45.187
JASON BELL TO I AM NOW AMY
05:01:45.253 --> 05:01:46.354
BLOOMBERG THAT LED. TO OF THE
05:01:46.421 --> 05:01:48.089
CALIFORNIA. OF HOUSE FACILITY.
05:01:48.156 --> 05:01:51.526
I AM THE TO OF RUMORED. LESSEN
05:01:51.593 --> 05:01:55.263
RISK FOR. A CALF. ARE WE READY
05:01:55.330 --> 05:01:56.398
ABOUT TWELVE FIFTY LONG TERM
05:01:56.465 --> 05:01:58.500
FOR. AND SCHOOL SKILLED FOR. OR
05:01:58.567 --> 05:02:00.101
MEDIA CARE FOR STILL FOR THE
05:02:00.168 --> 05:02:01.736
DEVELOPMENTALLY DISABLED AND
05:02:01.803 --> 05:02:04.139
PEDIATRICS ACUTE FACILITIES. WE
05:02:04.206 --> 05:02:07.943
CARRY. LONG TERM CARE FACILITY.
05:02:08.009 --> 05:02:09.044
A HUNDRED FORTY THOUSAND PEOPLE
05:02:09.110 --> 05:02:11.413
AND PAY. IT SUCCEEDED POINT TWO
05:02:11.480 --> 05:02:14.516
BILLION. I JUST WANTED TO A
05:02:14.583 --> 05:02:21.289
STEP. TO YOUR FROM BRITAIN FIVE
05:02:21.356 --> 05:02:24.459
RESPONSE ECHO WE FULLY SO. THE
05:02:24.526 --> 05:02:27.128
HOSPITAL SO SUGGEST AS IT
05:02:27.195 --> 05:02:29.931
RELATES TO AND HAVING A
05:02:29.998 --> 05:02:33.568
STATEWIDE. SEPT MESSAGE WE TO
05:02:33.635 --> 05:02:35.370
HAVE MULTIPLE RIVER PROVIDER
05:02:35.437 --> 05:02:38.306
WITH. FACILITIES THROUGHOUT THE
05:02:38.373 --> 05:02:39.674
STATE DIFFERENT INDICATIONS
05:02:39.741 --> 05:02:41.109
EVEN FROM COME THE HAVE THE
05:02:41.176 --> 05:02:42.577
SAME RATE. AND SO IT MAKES
05:02:42.644 --> 05:02:43.912
CONFUSE FOR THEM UNDER WHICH
05:02:43.979 --> 05:02:47.282
ONE THE MOST. WE HAVE WORKED
05:02:47.349 --> 05:02:49.784
FANTASTICALLY WITH PUBLIC CAL
05:02:49.851 --> 05:02:50.285
AS WELL AS HEALTH AND HE
05:02:50.352 --> 05:02:51.953
SERVICES THE BEEN EXTRA RICH OF
05:02:52.020 --> 05:02:54.723
THE SET UP FOR CALL THAT WE- ON
05:02:54.789 --> 05:02:56.858
A DAY BASIS. I'M A WILL
05:02:56.925 --> 05:02:58.693
CONTINUE TO DO UNTIL THE CRISIS
05:02:58.760 --> 05:03:03.798
OVER WITH SEC CALF IN RESPONSE
05:03:03.865 --> 05:03:05.166
THIS IS CREATED A WEB WHERE WE
05:03:05.233 --> 05:03:07.636
COLLATE THE MOST PER PARTNER
05:03:07.702 --> 05:03:10.005
INFORMATION SO. WE REVIEW THEM
05:03:10.071 --> 05:03:11.139
FOR FROM TWENTY PUBLIC
05:03:11.206 --> 05:03:12.140
PARCHMENTS IN TRY TO KEEP
05:03:12.207 --> 05:03:16.244
PRESENT I CAN TO OUR MEMBERS WE
05:03:16.311 --> 05:03:17.579
THINK IT'S APPROPRIATE. THAT WE
05:03:17.646 --> 05:03:21.983
ARE THE MOST BUT APPROACH WE DO.
05:03:22.050 --> 05:03:30.091
WE. THE PUBLIC PARMENTER CAL'S
05:03:30.158 --> 05:03:33.695
ADOPTION IS THIS REQUIRE FOR.
05:03:33.762 --> 05:03:37.065
OUR VISIT OR A HOME WITH JUST
05:03:37.132 --> 05:03:37.566
SOMETHING A LITTLE MORE
05:03:37.632 --> 05:03:38.900
CONSERVATIVE THAT WOULD BE OUR
05:03:38.967 --> 05:03:42.404
SUGGEST. AS WE AT. HOW WE ARE
05:03:42.470 --> 05:03:44.706
PRETTY THE FOLKS IN A BUILDING
05:03:44.773 --> 05:03:45.740
THESE SOME THE THINGS THAT WERE
05:03:45.807 --> 05:03:47.409
ASK FOLKS TO DO I. WANT TO
05:03:47.475 --> 05:03:49.711
FOLLOW THE GUIDANCE FROM C.
05:03:49.778 --> 05:03:52.147
WHERE WE DIFFER WERE. FOLKS
05:03:52.213 --> 05:03:54.282
GREEN STAFF. OF FIRST SENTENCE
05:03:54.349 --> 05:03:56.785
SHIP AND WERE REQUIRING. WERE
05:03:56.851 --> 05:03:59.588
SICK STAY THAT WAS LESS. A
05:03:59.654 --> 05:04:01.489
LITTLE UNCLEAR IN THE C. GUIDE
05:04:01.556 --> 05:04:03.224
ONE OF THE THINGS IN THIS GOT
05:04:03.291 --> 05:04:05.527
THAT WE ALSO NOT CLEAR. WHAT WE
05:04:05.594 --> 05:04:07.862
SHOULD DO ABOUT AND HELLO.
05:04:07.929 --> 05:04:11.766
INTER SO SHOULD WE BE LOW.
05:04:11.833 --> 05:04:15.003
INTERNALWHAT IN THE BUILDING
05:04:15.070 --> 05:04:20.942
THAT. OUR SUGGESTION IS WE
05:04:21.009 --> 05:04:24.346
SHOULD CUT OUT AS- WE ARE WE'VE
05:04:24.412 --> 05:04:27.382
LEARNED THAT THERE'S A BENEFIT
05:04:27.449 --> 05:04:30.819
TO BRING A STATE RIGHT WRIST
05:04:30.885 --> 05:04:32.087
FOR THESE FOLKS BECAUSE OUT
05:04:32.153 --> 05:04:35.156
DEVELOPS PLAN FOM ONE. OFFICE
05:04:35.223 --> 05:04:38.360
TO ANOTHER DâN CAN I MY THIS
05:04:38.426 --> 05:04:41.029
STAFF BEEN A TO COPE AND CAN I
05:04:41.096 --> 05:04:43.565
SEND THEM TO AND BUILDING THIS
05:04:43.632 --> 05:04:48.570
AREA. IN THIS CASE. SAN UPS. AS
05:04:48.637 --> 05:04:49.871
IT RELATES STAFFING AND MAKES
05:04:49.938 --> 05:04:51.006
YOU DO. FOR US TO ACCOUNT THAT
05:04:51.072 --> 05:04:52.374
IN ONE OF THE MAIN THINGS THIS
05:04:52.440 --> 05:04:53.475
IS HIGH. IS NOT JUST SKILLED
05:04:53.541 --> 05:04:56.678
NURSING BUT MOST OF KERR'S JUST
05:04:56.745 --> 05:04:58.847
IN TIME ORDER NO PP. HAS MADE
05:04:58.913 --> 05:05:00.048
IT VERY DIFFICULT FOR US TO
05:05:00.115 --> 05:05:01.116
RESPOND THIS THE MESSAGE THAT
05:05:01.182 --> 05:05:04.219
ARE MEMBERS ARE. IS THAT UNLESS
05:05:04.285 --> 05:05:07.055
YOU HAVE A CO FLU OUTBREAK YOU
05:05:07.122 --> 05:05:09.557
WON'T GET. A YOU DON'T HAVE IT
05:05:09.624 --> 05:05:16.965
YOU. UNLESS THAT CHANGES. WE'VE
05:05:17.032 --> 05:05:18.933
GOT FOLKS AT RISK IN OUR
05:05:19.000 --> 05:05:20.568
BUILDING. THE OTHER THING IS
05:05:20.635 --> 05:05:23.672
WHAT DO WE DO. IN TWO WEEKS
05:05:23.738 --> 05:05:26.975
WHEN THIS EXPERIENCE- OR ANIMAL
05:05:27.042 --> 05:05:27.776
WHEN THIS EXPERIENCE ARE WE
05:05:27.842 --> 05:05:31.312
LOOKING AT YOU. SPACE AND
05:05:31.379 --> 05:05:34.783
SKILLED. FACILITIES TO TAKE. UP
05:05:34.849 --> 05:05:38.653
POSSIBLY. A POSSIBLE PATIENTS
05:05:38.720 --> 05:05:43.224
THAT. NON THE MATTER MORE BUT
05:05:43.291 --> 05:05:48.096
STILL SHOW. ALL STATIONS WITH A
05:05:48.163 --> 05:05:50.265
HEALTH ABOUT THE ONLY WOULD
05:05:50.331 --> 05:05:53.001
WOULD I WANT TO BE THE LAST
05:05:53.068 --> 05:05:55.070
RESORT WE WALK. TO THINK A AN
05:05:55.136 --> 05:05:56.905
ALTERNATE CARE SITES WERE SOME
05:05:56.971 --> 05:05:58.406
AT THE- THAN RATHER THAN
05:05:58.473 --> 05:06:02.610
PUTTING HIM IN THE PLACE WHERE
05:06:02.677 --> 05:06:04.746
IT WOULD CAUSE THE MOST HARM
05:06:04.813 --> 05:06:06.881
AND SO WE KNOW. THE MORTALITY
05:06:06.948 --> 05:06:12.987
RATE IN THE CITY'S HIM. ARE AT
05:06:13.054 --> 05:06:17.092
IN WASHINGTON WAS BOB OF A
05:06:17.158 --> 05:06:19.494
NINETY IT'S PAST WAIT THAT TEST
05:06:19.561 --> 05:06:21.629
POSITIVE SO THAT'S NOT A OUR
05:06:21.696 --> 05:06:22.397
FOR THE FOLKS IN SKILLED
05:06:22.464 --> 05:06:24.365
NURSING THESE ARE FOLKS OVER
05:06:24.432 --> 05:06:25.467
EIGHTY YEARS OLD A MULTI HOW
05:06:25.533 --> 05:06:31.773
CAN SECOND TO A OUTCOME SO. ARE
05:06:31.840 --> 05:06:34.008
OUR SUGGESTION ARE AT AS WE GO
05:06:34.075 --> 05:06:42.283
FOR JUST. IF DO I COME UP HERE.
05:06:42.350 --> 05:06:45.086
SO WE HEARD A LIST OF DIFFERENT
05:06:45.153 --> 05:06:47.622
THINGS- SO WE CAN COMMENT ON A
05:06:47.689 --> 05:06:48.857
LOT OF THE THINGS THAT WERE
05:06:48.923 --> 05:06:49.657
BROUGHT UP OF WHAT WE'RE
05:06:49.724 --> 05:06:52.093
CURRENTLY DOING- SO MESSAGE ON
05:06:52.160 --> 05:06:55.764
TESTING PRIORITIES WE ARE RIGHT
05:06:55.830 --> 05:06:59.968
NOW WITH A NUMBER OF PROVIDERS
05:07:00.034 --> 05:07:03.304
HELD. UP WE ALL UNDERSTAND THE
05:07:03.371 --> 05:07:04.672
NEED FOR MORE LABORATORY
05:07:04.739 --> 05:07:06.207
TESTING AND SO WE ARE
05:07:06.274 --> 05:07:08.977
PARTNERING WITH COST LABS TAKE
05:07:09.043 --> 05:07:10.378
OUR BACKLOG FROM PUBLIC HEALTH.
05:07:10.445 --> 05:07:12.247
NOW I HAVE A BACKLOG BUT MORE
05:07:12.313 --> 05:07:14.182
OF DEMANDING TESTING WE WOULD
05:07:14.249 --> 05:07:16.584
MEAN- ANTICIPATE ADDITIONAL
05:07:16.651 --> 05:07:18.486
TESTING NEEDS WE ARE LOOKING
05:07:18.553 --> 05:07:20.388
AT. I'M ALTERNATE CARE SITES
05:07:20.455 --> 05:07:21.990
AND EXPANSION OF HOSPITAL
05:07:22.056 --> 05:07:24.559
CAPACITY. OF CALF. ELOQUENTLY
05:07:24.626 --> 05:07:27.028
STATED WE DO NOT WANT TO PUT
05:07:27.095 --> 05:07:28.630
THESE PEOPLE ANYBODY WHO
05:07:28.696 --> 05:07:31.132
COULDN'T BE IN A HOSPITAL INTO
05:07:31.199 --> 05:07:35.203
HELP CARE FOR THE THANK. AT
05:07:35.270 --> 05:07:37.438
THIS RISK FOR OR DOES IT IS.
05:07:37.505 --> 05:07:39.808
FOR THE REST WE ARE. I CALL FOR
05:07:39.874 --> 05:07:41.442
AND WE DO THAT AS NEED ME ARE
05:07:41.509 --> 05:07:42.010
PREPARING THE SCRIPT WE ARE
05:07:42.076 --> 05:07:44.345
LOOK AT THE CAPACITY BECAUSE WE
05:07:44.412 --> 05:07:46.214
WANT TO MAKE SURE THAT WE HAVE
05:07:46.281 --> 05:07:48.783
ENOUGH CAPACITY TO GO STATE
05:07:48.850 --> 05:07:51.753
WILL. NOT HAVE NOT BUT AGAIN
05:07:51.820 --> 05:07:52.854
SYSTEM I. SERVER THE NEED TO
05:07:52.921 --> 05:07:55.223
MOVE CONTAIN TO MEDICAID AND I
05:07:55.290 --> 05:07:56.825
THINK THAT GUIDANCE WE DID LAST
05:07:56.891 --> 05:07:59.294
NIGHT ON MASS GATHERING AS A
05:07:59.360 --> 05:08:02.730
FIRST STEP IN THAT DIRECTION
05:08:02.797 --> 05:08:04.165
AND WILL. BE PUT. ON OUR
05:08:04.232 --> 05:08:04.833
WEBSITE. HE IS AN ONGOING
05:08:04.899 --> 05:08:06.501
CHALLENGE YOU GOT PERMISSION TO
05:08:06.568 --> 05:08:08.603
USE EXPIRED AND NINETY FIVE
05:08:08.670 --> 05:08:10.071
RESPIRATORS THAT'S TWENTY ONE
05:08:10.138 --> 05:08:12.674
MILLION- WE'RE SENDING THOSE
05:08:12.740 --> 05:08:14.442
OUT WE- NINETY RESOURCE
05:08:14.509 --> 05:08:15.844
REQUESTS AND WE FILLED THE
05:08:15.910 --> 05:08:18.279
FIRST FIFTY FIVE OR- THE-
05:08:18.346 --> 05:08:20.548
WILLING. TO VOTE SEVEN CARE TO
05:08:20.615 --> 05:08:23.284
CONTINUING TO. BE OUR WE HAVE
05:08:23.351 --> 05:08:26.221
CRAFT ARE REQUEST FOR THE
05:08:26.287 --> 05:08:30.592
STREET NATIONAL STOCKPILE.
05:08:30.658 --> 05:08:34.028
ABOUT A MONTH. COUPLE DAYS.
05:08:34.095 --> 05:08:36.698
TODAY BUT THERE ARE THIS IS
05:08:36.764 --> 05:08:37.332
THAT WE NEED TO MAKE IN THE WAY
05:08:37.398 --> 05:08:39.834
HELLO I'M TO DROP A PRECAUTION
05:08:39.901 --> 05:08:40.835
WE ARE LOOKING AT THAT
05:08:40.902 --> 05:08:42.570
CERTAINLY MORE AWAY REQUIRING
05:08:42.637 --> 05:08:45.139
NEVER NEGATIVE PRESS ICE COMES
05:08:45.206 --> 05:08:47.942
EVERYTHING BUT I'M NOT AIR
05:08:48.009 --> 05:08:49.611
HOUSING. THERE'S GOING CARE
05:08:49.677 --> 05:08:50.979
WERE I KNOW WASHING HAS MOVED
05:08:51.045 --> 05:08:52.680
AWAY. LOOKING UP AS WELL TO
05:08:52.747 --> 05:08:54.816
TAKE PEOPLE OFF OF CORN AND DO
05:08:54.883 --> 05:08:58.620
BOTH A SYMPTOM TAX IN FAVOR TAX
05:08:58.686 --> 05:09:02.123
OKAY AS SOON AS YOU CAN PUT
05:09:02.190 --> 05:09:02.757
THAT IN PLACE. SEE SEE ME ABOUT
05:09:02.824 --> 05:09:04.359
WHAT. YOU'RE FOR TO MOVE THAT
05:09:04.425 --> 05:09:07.795
WAY. TIONS SIXTEEN TO STATEWIDE
05:09:07.862 --> 05:09:10.899
STRATEGIES- WE DO RECOGNIZE
05:09:10.965 --> 05:09:12.066
THAT NOT EVERYBODY'S IN THE
05:09:12.133 --> 05:09:13.468
SAME PLACE IN A STATE WHERE
05:09:13.534 --> 05:09:16.237
SOME PEOPLE DON'T HAVE ANY KIND
05:09:16.304 --> 05:09:18.172
IT SAYS MAYBE A COLLECTION OF
05:09:18.239 --> 05:09:19.207
NOT TESTING BUT WE KNOW THAT WE
05:09:19.274 --> 05:09:22.677
WILL SEE YOU ON CAN'T. TOWARDS
05:09:22.744 --> 05:09:25.113
ALLOW THE ALLOW LOCAL FLAG.
05:09:25.179 --> 05:09:26.915
UNDERSTANDING THAT PEOPLE WANT
05:09:26.981 --> 05:09:29.050
TO STATEWIDE APPROACH A MORE
05:09:29.117 --> 05:09:29.817
THE MORE WE CAN MOVE THAT
05:09:29.884 --> 05:09:32.353
DIRECT. I'M POLITICS. WE'VE
05:09:32.420 --> 05:09:34.155
BEEN PLANNING FOR PAN THAT FOR
05:09:34.222 --> 05:09:35.490
A LONG TIME WE KNOW THAT IF
05:09:35.556 --> 05:09:37.759
THIS COP REALLY BAD WE WOULD
05:09:37.825 --> 05:09:38.960
NEED SOMETHING EYOND WHAT WE
05:09:39.027 --> 05:09:43.831
CAN DO IN OUR OUR SYSTEM AND SO
05:09:43.898 --> 05:09:46.501
BEEN PLANNING FOR- DIFFERENT
05:09:46.567 --> 05:09:48.436
TYPES OF CARE APPLE BUT
05:09:48.503 --> 05:09:50.738
PLANNING FOR THE WORST BUT- WE
05:09:50.805 --> 05:09:52.840
WILL CONTINUE TO OUR RELATIONS
05:09:52.907 --> 05:09:53.908
WITH HARPER HEALTH CARE
05:09:53.975 --> 05:09:56.277
PROVIDERS RIDER ASSOCIATION.
05:09:56.344 --> 05:09:58.279
BECAUSE THOSE ORDINARY NOW TO
05:09:58.346 --> 05:10:02.850
KEEP PLANNING THINGS THAT. WE
05:10:02.917 --> 05:10:07.221
ARE. PLAY COMES FROM. FINANCE
05:10:07.288 --> 05:10:11.326
YES PLEASE. SENATE
05:10:11.392 --> 05:10:14.295
PARTICULARLY- M. WE DID HAVE
05:10:14.362 --> 05:10:18.333
ONE QUESTION- IS WHETHER THE
05:10:18.399 --> 05:10:21.269
EMERGENCY FUNDING AT THE STATE
05:10:21.336 --> 05:10:24.205
LEVEL- WHAT HOW THAT BEING. THE
05:10:24.272 --> 05:10:25.673
TWENTY THE TWENTY MILLION YEAH
05:10:25.740 --> 05:10:28.242
THAT'S ACTUALLY THE UP THERE'S
05:10:28.309 --> 05:10:29.444
A TWENTY MILLION REQUESTED
05:10:29.510 --> 05:10:30.645
WASN'T VERY MUCH SPECIFICITY
05:10:30.712 --> 05:10:33.448
ABOUT WHAT THE- WHAT THE
05:10:33.514 --> 05:10:36.250
GOVERNOR'S PROPOSING USED FOR.
05:10:36.317 --> 05:10:37.852
DON'T QUESTION THE- FACT MAYBE
05:10:37.919 --> 05:10:39.387
MORE LATER WE ARE CONTINUING TO
05:10:39.454 --> 05:10:40.521
LOOK AT THAT AND I THINK PART
05:10:40.588 --> 05:10:43.658
OF IT IS UNDERSTANDING WHAT WE
05:10:43.725 --> 05:10:45.727
CAN DO WITH THE FEDERAL DOLLARS
05:10:45.793 --> 05:10:47.395
ON THEM LOOKING WHERE THE CAPS
05:10:47.462 --> 05:10:51.366
ARE. THEY HAVE A FEW QUESTIONS
05:10:51.432 --> 05:10:54.902
UP SO. THE SITUATION WITH THE
05:10:54.969 --> 05:10:58.306
TESTING RIGHT- ON THE ALSO
05:10:58.373 --> 05:10:59.741
SURVEYS THAT WE DO HERE A
05:10:59.807 --> 05:11:01.442
LITTLE BIT MIXED MESSAGES IN
05:11:01.509 --> 05:11:03.311
TERMS AVAILABILITY OF TESTS
05:11:03.378 --> 05:11:06.481
RIGHT SO I UNDERSTAND THAT CC
05:11:06.547 --> 05:11:07.715
SENDS OUT THESE KIDS BUT THE
05:11:07.782 --> 05:11:11.019
KIDS ARE VERY. I SAY NOT
05:11:11.085 --> 05:11:12.887
COMPLETE THEY DON'T ALLOW OU
05:11:12.954 --> 05:11:14.822
TO DO THE ENTIRE TEST THAT THE
05:11:14.889 --> 05:11:16.224
KIDS COME TEN CERTAIN
05:11:16.290 --> 05:11:17.692
COMPONENTS IN THIS RESEARCH THE
05:11:17.759 --> 05:11:19.360
LAB RESULTS FINALLY THE OTHER
05:11:19.427 --> 05:11:20.395
COMPONENTS AND SOME OF THOSE
05:11:20.461 --> 05:11:21.763
OTHER COMPONENTS MAY BE
05:11:21.829 --> 05:11:23.798
AVAILABLE TO THAT LAB OR
05:11:23.865 --> 05:11:25.199
SOMETHING SO. THAT'S AND
05:11:25.266 --> 05:11:27.235
HITTING. AND THEN THERE'S I
05:11:27.301 --> 05:11:28.936
HEARD SOMETHING IS ALONG THE
05:11:29.003 --> 05:11:30.605
LINES OF WELL WE CAN'T DO THE
05:11:30.671 --> 05:11:32.440
TEST BECAUSE WE DON'T HAVE
05:11:32.507 --> 05:11:33.541
PERMISSION EXIT OFF BEAT
05:11:33.608 --> 05:11:35.076
CERTAIN CRITERIA. OF THE
05:11:35.143 --> 05:11:36.911
PRESIDENT'S SAYING ANYBODY WHO
05:11:36.978 --> 05:11:38.880
WANTS ORDER A TEST TO THE
05:11:38.946 --> 05:11:42.884
DOCTOR ONCE OR TESTICULAR TEST.
05:11:42.950 --> 05:11:44.419
AND THEN WE ARE LIKE- WELL
05:11:44.485 --> 05:11:45.753
THERE'S NO QUOTE THERE'S NO
05:11:45.820 --> 05:11:48.022
BACKLOG BUT THE SAME TIME WE
05:11:48.089 --> 05:11:49.123
KNOW PEOPLE ARE OUT THERE SO
05:11:49.190 --> 05:11:50.191
WE'LL JUST HEAR MY OWN
05:11:50.258 --> 05:11:52.393
DISTRICT. WE HAVE A SYSTEM
05:11:52.460 --> 05:11:53.661
FACILITY THERE'S A LOT OF
05:11:53.728 --> 05:11:55.963
PEOPLE THERE WE HAVE ONE WOMAN
05:11:56.030 --> 05:11:57.932
WHO PASSED AWAY AND I'M IN
05:11:57.999 --> 05:11:59.934
PASSED AWAY. AND TO LIKE WELL
05:12:00.001 --> 05:12:01.402
HOW THE PEOPLE YOU TESTING
05:12:01.469 --> 05:12:03.337
THEY'RE GOING AND SO. THERE
05:12:03.404 --> 05:12:05.807
ISN'T A BACKLOG BUT YET WE'RE
05:12:05.873 --> 05:12:07.175
NOT TESTING PEOPLE AND PEOPLE
05:12:07.241 --> 05:12:09.410
THEY WERE SHOULD TO. AND IT'S
05:12:09.477 --> 05:12:14.015
THE- A BACK. HAVE ENOUGH SO
05:12:14.082 --> 05:12:15.316
THERE FOR THEY DON'T. ORDER
05:12:15.383 --> 05:12:16.751
THEM. SO THERE'S A LOT OF.
05:12:16.818 --> 05:12:18.753
AROUND TEST AVAIL. IS THAT
05:12:18.820 --> 05:12:21.122
CENTER- I THINK MOST PEOPLE.
05:12:21.189 --> 05:12:22.623
ANY TELL ME ONE WRONG MOST
05:12:22.690 --> 05:12:23.691
PEOPLE SAYING WELL WE JUST
05:12:23.758 --> 05:12:25.159
DON'T HAVE ENOUGH TEST PERIOD.
05:12:25.226 --> 05:12:26.994
THAT PROVIDE A PROBLEM BUT IS
05:12:27.061 --> 05:12:27.995
THAT ALSO THEREFORE CAUSING
05:12:28.062 --> 05:12:29.397
PEOPLE TO BEHAVE IN CERTAIN
05:12:29.464 --> 05:12:32.033
WAYS THAT. IT IS REFLECTING THE
05:12:32.100 --> 05:12:33.668
REAL DEMAND THAT WE SHOULD BE
05:12:33.734 --> 05:12:35.670
HAVING FOR TESTING. WHAT THE
05:12:35.736 --> 05:12:38.739
HELL YOU THINK ABOUT SOUTH. IN
05:12:38.806 --> 05:12:39.440
TERMS OF BEILINSON SO.
05:12:39.507 --> 05:12:42.543
COUNTRIES THERE TURN THE CURVE.
05:12:42.610 --> 05:12:44.645
EIGHT COMPARED TO SO WE STE
05:12:44.712 --> 05:12:47.615
WE'RE FLYING BLIND BECAUSE THE
05:12:47.682 --> 05:12:49.016
NUMBER TOTAL NUMBER OF TESTS
05:12:49.083 --> 05:12:50.384
THAT WERE A BIT THAT WE'VE BEEN
05:12:50.451 --> 05:12:52.854
ABLE TO DO. NOT JUST IN
05:12:52.920 --> 05:12:54.622
CALIFORNIA ACROSS THE COUNTRY.
05:12:54.689 --> 05:12:56.190
TRY DOESN'T REFLECT WHAT'S
05:12:56.257 --> 05:12:58.226
REALLY GOING ON OUT THERE IS
05:12:58.292 --> 05:13:00.628
THE MY RATE. NO I THINK YOU'RE
05:13:00.695 --> 05:13:01.395
RIGHT IN TERMS OF THE
05:13:01.462 --> 05:13:03.331
SURVEILLANCE TESTING I THINK IN
05:13:03.397 --> 05:13:07.368
TERMS OF TREATMENT DOESN'T
05:13:07.435 --> 05:13:10.404
CHANGE THAT MUCH WE ARE
05:13:10.471 --> 05:13:13.274
PREPARED TO GET TOUGH. CLOUT
05:13:13.341 --> 05:13:14.909
I'M JUST CAME ONLINE THIS WEEK
05:13:14.976 --> 05:13:15.676
AND WE'VE BEEN WORKING WITH
05:13:15.743 --> 05:13:17.678
CA BOBCORE AND THEIR
05:13:17.745 --> 05:13:20.748
RAMPING UP THEIR CAPACITY I
05:13:20.815 --> 05:13:21.916
THINK WE STILL WANT TO WEAR
05:13:21.983 --> 05:13:23.851
TIES. BE TESTED AND THEN MOVED
05:13:23.918 --> 05:13:29.924
TO THE. WE ACTUALLY HAVE OUT
05:13:29.991 --> 05:13:32.860
THERE. BECAUSE WE DON'T. IN
05:13:32.927 --> 05:13:33.861
WEEK WHAT YOU TELL WHEN YOU
05:13:33.928 --> 05:13:36.130
TEST MORE YOU WILL FIND MORE.
05:13:36.197 --> 05:13:38.966
SO FOR EXAMPLE I'M- BECAUSE I
05:13:39.033 --> 05:13:40.868
CERTAINLY KNOW MY OWN I'D SAY
05:13:40.935 --> 05:13:43.538
OKAY. SAYS THE ONLY DO THE TEST
05:13:43.604 --> 05:13:47.975
TODAY. WHAT'S GOING ON THERE.
05:13:48.042 --> 05:13:49.877
DO YOU HAVE. TO DO MORE THAN
05:13:49.944 --> 05:13:51.879
THAT I THINK IT IS A BECAUSE
05:13:51.946 --> 05:13:53.848
THE TYPE OF TASK BUT ON A
05:13:53.915 --> 05:13:55.816
HEALTH LAB IS MY MORE ME STAFF
05:13:55.883 --> 05:13:59.353
AND SEVEN VERY DE THAN A LAB DO
05:13:59.420 --> 05:14:03.491
RIGHT I HEARD IT'S THAT
05:14:03.558 --> 05:14:05.193
OBVIOUSLY TO TERM LIMITS
05:14:05.259 --> 05:14:09.430
STAFFING WISE BUT- BUT HERE'S-
05:14:09.497 --> 05:14:13.000
I HEARD. TO DO WITH. BUT THE
05:14:13.067 --> 05:14:14.835
COMPONENTS THE OUT OF WILL ALSO
05:14:14.902 --> 05:14:16.938
THE ARE THEY HAVE TO THE KIDS
05:14:17.004 --> 05:14:20.641
ON THE LOUNGE DO CERTAIN THE
05:14:20.708 --> 05:14:22.810
WRITERS SAYING AS OF WEEK THEY
05:14:22.877 --> 05:14:25.046
HAVE CAPACITY TO RUN MORE TESTS
05:14:25.112 --> 05:14:27.215
AND BUT THEY RIGHT THERE WERE
05:14:27.281 --> 05:14:29.150
MISSED SOME OF THE PIECES LAST
05:14:29.217 --> 05:14:30.685
WEEK. RIGHT AND SO ARE WE
05:14:30.751 --> 05:14:32.887
HELPING FOR SO IT'S UP TO THE
05:14:32.954 --> 05:14:35.890
FLOORS ARE READ LIVE STEP HE
05:14:35.957 --> 05:14:47.068
DID FROM LABS BUT THAT. WHAT DO
05:14:47.134 --> 05:14:48.836
YOU NEED AND WHY ARE WE LIKE
05:14:48.903 --> 05:14:50.871
BREAKING THROUGH ON ON THAT DAY
05:14:50.938 --> 05:14:53.107
A SIR FEEL LIKE. PEOPLE WELL
05:14:53.174 --> 05:14:55.042
WE'RE NOT ALLOWED TO OR WE
05:14:55.109 --> 05:14:56.143
DON'T HAVE CERTAIN COMPONENTS
05:14:56.210 --> 05:14:57.712
OR SOMETHING THAT WHERE WE
05:14:57.778 --> 05:14:59.847
TRULY DOWN AND GETTING PAST
05:14:59.914 --> 05:15:03.017
THAT ARE WE ARE JUST READ THIS
05:15:03.084 --> 05:15:03.551
WEEK OF ALL OF OUR PUBLIC
05:15:03.618 --> 05:15:06.020
HEALTH. TO FIND OUT. THIS IS
05:15:06.087 --> 05:15:09.290
MISSING WHAT. I'M MANY OF THEM
05:15:09.357 --> 05:15:10.992
HAVE DONE COMMON AND SO NOT A
05:15:11.058 --> 05:15:12.159
OF THEY'VE BEEN BACK YOU KNOW
05:15:12.226 --> 05:15:14.495
LIKE THEY THEY AND MANY OF MARK
05:15:14.562 --> 05:15:16.230
TO HAVE JUST BEEN TESTING FOR
05:15:16.297 --> 05:15:19.533
THE WEAKER THERE SPEED ADDING
05:15:19.600 --> 05:15:21.936
OTHER REACHED EVER. ABLE TO
05:15:22.003 --> 05:15:22.670
TEST AND BROUGHT NUMBER. THAT
05:15:22.737 --> 05:15:25.439
WE THINK. BE HELPFUL. OKAY A AT.
05:15:25.506 --> 05:15:29.110
GET A- SELECT IS AS THEY'RE
05:15:29.176 --> 05:15:31.145
ABLE TO DO AND AGAIN WE'RE
05:15:31.212 --> 05:15:32.146
TRYING TO BUILD CAPACITY IN THE
05:15:32.213 --> 05:15:33.481
PRIVATE LABS YOU KNOW YOU SEE
05:15:33.547 --> 05:15:36.284
DEVELOP THE WAY AND OTHER WHAT
05:15:36.350 --> 05:15:38.953
THE LOW RATE A STEP FOR SEE B.
05:15:39.020 --> 05:15:40.755
ON THE RUN THE TEST. IT
05:15:40.821 --> 05:15:42.056
INTERESTING THAT THREE SEIZE
05:15:42.123 --> 05:15:45.159
RIGHT WE DO THEIR RAM UP AT
05:15:45.226 --> 05:15:46.694
WAITING FOR APPROVALS WHAT'S
05:15:46.761 --> 05:15:51.365
HOLDING IT UP LIKE LIKE DO IT
05:15:51.432 --> 05:15:51.966
TODAY I MEAN IT DOES WE CAN DO
05:15:52.033 --> 05:15:54.402
IT WHY CAN'T. YOU DO IT WHY IS
05:15:54.468 --> 05:15:55.936
IT LIKE THANK YOU FOR DAYS FOR
05:15:56.003 --> 05:16:02.510
THE THAT. IT'S GOING. I CAN
05:16:02.576 --> 05:16:03.377
SPEAK TO ONE OF THE LOCAL
05:16:03.444 --> 05:16:05.246
PUBLIC OKAY WE IS EQUIPMENT
05:16:05.313 --> 05:16:06.213
VERY QUICK IS OUT DAY WE
05:16:06.280 --> 05:16:07.748
HAVEN'T KEEPING AN UP THERE IS
05:16:07.815 --> 05:16:09.684
A ONE HUNDRED THOUSAND DOLLAR
05:16:09.750 --> 05:16:10.885
PIECE OF A THAT CAN EAT THE
05:16:10.951 --> 05:16:12.687
DOUBLE FAULT THE AMOUNT OF
05:16:12.753 --> 05:16:14.822
TESTING YOU PER DAY CALLED IN
05:16:14.889 --> 05:16:19.060
ROBOT NINE US SEVEN TWO IF WE
05:16:19.126 --> 05:16:20.094
FOUND THE FINE WE BY THEM AND
05:16:20.161 --> 05:16:22.396
YOU CAN BUY THEM BECAUSE THERE
05:16:22.463 --> 05:16:27.001
NOW YOU. RIGHT BUT WOULD BE
05:16:27.068 --> 05:16:28.636
EXACTLY RIGHT AS A PREPARATION
05:16:28.703 --> 05:16:31.305
OKAY. AND I ADD ANOTHER
05:16:31.372 --> 05:16:33.708
LIMITING TO THAT WE HAVE. YEAH
05:16:33.774 --> 05:16:34.542
FOCUS THE TECH. IN ORDER TO
05:16:34.608 --> 05:16:35.710
ATTAIN THE SPACE. RIGHT YOU
05:16:35.776 --> 05:16:38.679
WERE FULL. SO WE'RE LOOKING AT
05:16:38.746 --> 05:16:40.948
MORE TEST KITS THAT'S NOT GOING
05:16:41.015 --> 05:16:42.717
TO SOLVE THE PROBLEM IF WE HAVE
05:16:42.783 --> 05:16:43.617
LIMITED PERSONAL PROTECTIVE
05:16:43.684 --> 05:16:45.486
EQUIPMENT. SO WE'RE ALREADY
05:16:45.553 --> 05:16:47.822
SHORT WE NEED TO MOVE TO DROP
05:16:47.888 --> 05:16:49.256
WHAT PRODUCTION SO WE CAN USE
05:16:49.323 --> 05:16:50.791
THAT AS EFFICIENTLY AS
05:16:50.858 --> 05:16:52.126
POSSIBLE. BUT THAT WILL.
05:16:52.193 --> 05:16:53.094
QUICKLY BECOME A RATE LIMITING
05:16:53.160 --> 05:16:55.062
FACTOR CONCERNED. DOES THE
05:16:55.129 --> 05:16:56.731
TESTING THE RESULT WILL END UP
05:16:56.797 --> 05:16:59.033
BACK IN HOSPITALS AND WE WILL
05:16:59.100 --> 05:17:01.836
AGAIN BE- BACKLOGGED AS A
05:17:01.902 --> 05:17:04.338
RESULT. OKAY SO I KNOW THAT
05:17:04.405 --> 05:17:05.639
WE'RE TRYING TO TAP INTO THESE
05:17:05.706 --> 05:17:09.310
VARIOUS RESERVES FOR HE QUIT
05:17:09.377 --> 05:17:11.011
AND THREE NO I MEAN IS THERE
05:17:11.078 --> 05:17:13.180
SUFFICIENT IN THE RISEN IN
05:17:13.247 --> 05:17:14.181
THOSE RESERVES THAT IT IS HAVE
05:17:14.248 --> 05:17:15.716
A BROADER QUESTION AND SOME OF
05:17:15.783 --> 05:17:17.385
THE INTERNET RESERVES ARE. WE
05:17:17.451 --> 05:17:20.020
FINDING WAYS. PLEASE REALIZE
05:17:20.087 --> 05:17:21.689
OUR SUPPLY CHAIN IS ALSO BEEN
05:17:21.756 --> 05:17:25.025
DISRUPTED. OUR THAT WE ARE
05:17:25.092 --> 05:17:26.394
FILLING SO FAR WE HAVE BEEN
05:17:26.460 --> 05:17:27.795
ABLE TO FILL A RESOURCE FOR
05:17:27.862 --> 05:17:29.430
THAT WE'VE GOTTEN AND WE'RE
05:17:29.497 --> 05:17:31.098
FEELING THE REST OF THEM AND WE
05:17:31.165 --> 05:17:32.933
WILL MAKE A STRATEGIC NATIONAL.
05:17:33.000 --> 05:17:37.872
REQUEST ON THIS ALSO APPLIES.
05:17:37.938 --> 05:17:39.373
HEY REALIZES TRIED NOT SO MUCH
05:17:39.440 --> 05:17:40.474
THE QUESTION. ALTHOUGH PRETTY
05:17:40.541 --> 05:17:43.144
BIG STAY I MEAN A- IT IS THE-
05:17:43.210 --> 05:17:45.579
IS THE- SUPPLY CHAIN FOR
05:17:45.646 --> 05:17:47.214
PRODUCING EVEN MORE I MEAN I'M
05:17:47.281 --> 05:17:48.449
JUST THINKING LIKE EVERY PART
05:17:48.516 --> 05:17:49.283
OF THE COUNTRY'S GONNA BE THE
05:17:49.350 --> 05:17:50.885
MAN THE THESE. CINDER BY TEN
05:17:50.951 --> 05:17:53.154
THE PARCEL OF THEM OUT WHERE'S
05:17:53.220 --> 05:17:54.955
THE FIRST ADDITIONAL ONES GONNA
05:17:55.022 --> 05:17:56.657
COME FOR. PART OF THE
05:17:56.724 --> 05:17:58.859
CHALLENGES ME THESE THINGS ARE.
05:17:58.926 --> 05:18:01.061
IN CHINA AND SPOTS BEEN A RATE
05:18:01.128 --> 05:18:03.130
LIMITING STEP IN TERMS OF THE
05:18:03.197 --> 05:18:06.567
FIVE THEIR SUPPLIES. OKAY SO
05:18:06.634 --> 05:18:08.169
YES SO WHAT ARE YOU ONE OF THE
05:18:08.235 --> 05:18:10.404
FOR FUTURE IS TO LOOK AT OUR
05:18:10.471 --> 05:18:13.874
SUPPLY CHAIN FOR. RATE I MEAN
05:18:13.941 --> 05:18:14.508
WE DON'T KNOW WHERE THINGS WILL
05:18:14.575 --> 05:18:15.509
CALM THE NEXT ONE'S PROBABLY
05:18:15.576 --> 05:18:18.279
NOT GOING. WILL I KNOW COME
05:18:18.345 --> 05:18:20.915
FROM SOMEWHERE ELSE BUT- MADE
05:18:20.981 --> 05:18:22.716
THE CITY HAD A- I REALIZE. IN
05:18:22.783 --> 05:18:24.885
OUR EFFORT. BE MORE EFFICIENT
05:18:24.952 --> 05:18:26.420
THE MORE COST EFFECTIVE RIGHT
05:18:26.487 --> 05:18:28.622
JUST IN TIME I MEAN THAT I GOT
05:18:28.689 --> 05:18:31.025
IT I STUDIED ALL THAT STUFF AS
05:18:31.091 --> 05:18:32.092
WELL AND YOU KNOW AND SO FORTH
05:18:32.159 --> 05:18:35.830
BUT SO IN IN SPECIALLY FOR
05:18:35.896 --> 05:18:38.065
THINGS ARE NEEDED A CRISIS IT
05:18:38.132 --> 05:18:39.066
AS SOON AS YOU LIKE RELEASING
05:18:39.133 --> 05:18:41.001
MONEY BECAUSE OF PILING UP
05:18:41.068 --> 05:18:42.770
STUFF- WE'RE- HAVING STORE
05:18:42.837 --> 05:18:44.805
STUFF. ETCETERA BUT DID NOT AND
05:18:44.872 --> 05:18:46.507
THIS IS THE TIME WE PAY THE
05:18:46.574 --> 05:18:49.210
PRICE FOR THAT. SO WITH THAT I
05:18:49.276 --> 05:18:50.878
REALIZE THAT I'M GOING TO MIL
05:18:50.945 --> 05:18:52.546
DESCRIBE SO THE WE CAN'T MIND
05:18:52.613 --> 05:18:54.982
CLOCK BACKS NO USED SPENDING A
05:18:55.049 --> 05:18:57.017
WHOLE LOT OF TIME TALKING ABOUT
05:18:57.084 --> 05:18:59.019
WHAT WE SHOULD DO THAT. WEEKS
05:18:59.086 --> 05:19:03.524
AGO WE NEED. FOR BUT ONE THE
05:19:03.591 --> 05:19:05.659
BOARD. IS WHAT WE GET MORE.
05:19:05.726 --> 05:19:08.462
SOME TELL QUIT RATE DOUBT. FROM
05:19:08.529 --> 05:19:09.697
THE FACE THEY'RE SICK THAT THAT
05:19:09.763 --> 05:19:11.232
WILL IN THE EIGHT TIME PERIOD
05:19:11.298 --> 05:19:12.399
THE ISSUE ME THE AND I FIVE
05:19:12.466 --> 05:19:14.835
REST. OF THE COUNTY ISSUE OTHER
05:19:14.902 --> 05:19:16.971
WAS ALSO A RECALL FROM CARDINAL
05:19:17.037 --> 05:19:19.039
OF SURGICAL GOWNS THAT WAS THE
05:19:19.106 --> 05:19:19.874
YOU KNOW IT'S LIKE HOLES IN THE
05:19:19.940 --> 05:19:22.443
SWISS CHEESE JUST LINED UP- AND
05:19:22.510 --> 05:19:26.814
WE JUST CAN'T FORGET THAT THE
05:19:26.881 --> 05:19:27.448
FACE SHIELDS ARE CRITICAL PIECE
05:19:27.515 --> 05:19:31.619
OF ALL OF THIS TO. ALL RIGHT.
05:19:31.685 --> 05:19:32.887
TWELVE TO TALK TO DC ABOUT
05:19:32.953 --> 05:19:35.723
TELEPHONIC VISITS AND OBVIOUSLY
05:19:35.789 --> 05:19:37.224
I KNOW WE HAVE THE MAIN REQUIRE
05:19:37.291 --> 05:19:39.660
FEDERAL ACTION TO BUT OKAY YES
05:19:39.727 --> 05:19:40.694
THAT THAT WOULD BE VERY VERY
05:19:40.761 --> 05:19:42.363
VERY HELPFUL AND HEALTH CENTERS
05:19:42.429 --> 05:19:44.365
ARE REALLY WANTING TO TRIAGE
05:19:44.431 --> 05:19:45.299
THEIR PATIENTS OVER THE PHONE
05:19:45.366 --> 05:19:47.535
ITS GUIDANCE THE CDC HAS
05:19:47.601 --> 05:19:49.537
RECOMMENDED- AND THEY'RE REALLY
05:19:49.603 --> 05:19:52.506
YOU'RE OUT THERE THAT TOOK INTO
05:19:52.573 --> 05:19:53.774
THE HEALTH CENTER IF THEY ARE
05:19:53.841 --> 05:19:56.844
PRETENDING SIX SO. I THE
05:19:56.911 --> 05:19:59.346
SERVICE OVER THE PHONE. SB IT
05:19:59.413 --> 05:20:01.382
WOULD UP ALLOW MORE SPACE IN
05:20:01.448 --> 05:20:02.850
THE HEALTH CENTER AS WELL AND
05:20:02.917 --> 05:20:03.984
THEY WOULD HAVE MORE ABILITY
05:20:04.051 --> 05:20:05.719
FOR SEARCH CAPACITY FOR WHEN
05:20:05.786 --> 05:20:10.858
AND IF AND WHEN YOU KNOW.
05:20:10.925 --> 05:20:11.425
HOSPITALS NEED TO SEND THEIR
05:20:11.492 --> 05:20:12.493
NON PATIENTS TO US THAT WE BE
05:20:12.560 --> 05:20:13.661
GREAT OKAY. THEN I GUESS IN
05:20:13.727 --> 05:20:16.030
TERMS OF. OWNERS HOMES I MEAN
05:20:16.096 --> 05:20:17.164
THE STATE'S THE PLACE GIVEN THE
05:20:17.231 --> 05:20:18.265
NATURE OF THIS PARTICULAR
05:20:18.332 --> 05:20:19.667
AFFECTION MOST TERRIFYING
05:20:19.733 --> 05:20:22.069
BECAUSE WE'RE SAID THE- I MEAN
05:20:22.136 --> 05:20:24.471
TWENTY PERCENT. MORTALITY RATE
05:20:24.538 --> 05:20:28.542
IN PEOPLE OVER SEVENTY- SO. AND
05:20:28.609 --> 05:20:29.777
WE SAW THAT IN THAT NURSING
05:20:29.843 --> 05:20:30.978
HOMES AND SO EVERY TIME I HEAR
05:20:31.045 --> 05:20:32.279
ABOUT TWELVE THERE SO. IN
05:20:32.346 --> 05:20:33.714
NURSING AS IT HOW MANY PEOPLE
05:20:33.781 --> 05:20:36.317
BEEN EXPOSED SO I GUESS. YOU
05:20:36.383 --> 05:20:37.451
TALKED ABOUT NOT PUTTING OF
05:20:37.518 --> 05:20:39.553
COURSE. HOUSING PEOPLE BUT ALSO
05:20:39.620 --> 05:20:41.655
I MEAN I DON'T. THREE TURNER
05:20:41.722 --> 05:20:42.890
NURSING HOMES IN THE FORCE LIKE
05:20:42.957 --> 05:20:43.924
EVERYONE STAY AWAY AND
05:20:43.991 --> 05:20:45.960
OBVIOUSLY YOU SCREAM THE PEOPLE
05:20:46.026 --> 05:20:47.861
TAKING CARE OF THEM AND SO
05:20:47.928 --> 05:20:50.998
FORTH PEOPLE ACTUALLY DO HAVE
05:20:51.065 --> 05:20:52.066
TO COME INTO WORK. THANK YOU
05:20:52.132 --> 05:20:53.567
FOR WE AS SOON AS- AND-
05:20:53.634 --> 05:20:55.402
INDUSTRY FEEL VERY STRONGLY
05:20:55.469 --> 05:20:57.938
THAT. SINCE THE RISK IS
05:20:58.005 --> 05:20:59.573
GREATEST TO OUR FOLKS DEREK WE
05:20:59.640 --> 05:21:01.208
TAKE THE MOST. PREVENTIVE
05:21:01.275 --> 05:21:03.410
MEDICATION STEPS TO PROTECT
05:21:03.477 --> 05:21:05.946
THEM. AB WE'VE NOT BEEN TOLD
05:21:06.013 --> 05:21:07.681
THAT THIS FOR HER WRISTS WITH.
05:21:07.748 --> 05:21:09.283
THE DIRECTIONS WE'VE BEEN GIVEN
05:21:09.350 --> 05:21:11.685
IS THAT- THIS POTENTIALLY COULD
05:21:11.752 --> 05:21:15.389
BE- AB. CONTAGIOUS EVEN WITHOUT
05:21:15.456 --> 05:21:18.192
SHOWING SYMPTOMS RIGHT WE- TO
05:21:18.258 --> 05:21:19.460
WHAT EXTENT WE CAN PROTECT THE
05:21:19.526 --> 05:21:20.494
PEOPLE AND THAT'S A
05:21:20.561 --> 05:21:22.830
CONSERVATIVE STEP WE HAVE TO
05:21:22.896 --> 05:21:23.731
TAKE THE STEPS WE CAN'T
05:21:23.797 --> 05:21:25.766
GUARANTEE THE EVERYTHING BUT
05:21:25.833 --> 05:21:26.500
THAT'S THE BEST CHANCE WE- GIVE
05:21:26.567 --> 05:21:27.935
THE- CITY TO DO THAT. SO THAT
05:21:28.002 --> 05:21:29.837
SOUNDS A BIT MORE TESTS MORE
05:21:29.903 --> 05:21:31.672
SURVEILLANCE AT LEAST OF THIS.
05:21:31.739 --> 05:21:32.973
OF THE STAFF WHO WORKED THERE
05:21:33.040 --> 05:21:36.243
FOR SO YOU TRY TO CATCH PEOPLE
05:21:36.310 --> 05:21:37.811
WHO MIGHT BE THERE MILDLY A
05:21:37.878 --> 05:21:39.513
SYMPTOMATIC. REALLY COME IN THE
05:21:39.580 --> 05:21:41.548
WORK. I DON'T KNOW IS THAT IS
05:21:41.615 --> 05:21:43.217
THERE'S AS VINCENT STRATEGY
05:21:43.283 --> 05:21:44.852
ABOUT NURSING HOMES AND
05:21:44.918 --> 05:21:45.919
PARTICULARLY THE FACT THE OF
05:21:45.986 --> 05:21:47.688
STAFF WE HAVE TO GO ON YOU KNOW
05:21:47.755 --> 05:21:50.391
COME IN AND OUT I GUESS WE CAN
05:21:50.457 --> 05:21:52.326
BAN NONESSENTIAL PERSONNEL TELL
05:21:52.393 --> 05:21:53.427
THEM THAT THEY SHOULD MAKE
05:21:53.494 --> 05:21:55.796
PHONE CALLS ARE LEFT UNSAID OF
05:21:55.863 --> 05:21:57.698
COMING IN WHAT ABOUT THE PEOPLE
05:21:57.765 --> 05:21:58.932
ACCESS TO WORK THERE. EVERY
05:21:58.999 --> 05:22:01.602
THOUGHT OF. BUT ABOUT. WHAT
05:22:01.669 --> 05:22:03.537
WHAT. WHAT'S THE PLAN IS. YEAH
05:22:03.604 --> 05:22:05.572
WE WANT. OUR STUDENTS. SO WE
05:22:05.639 --> 05:22:07.007
PUT OUT OF ACTION CONTROL
05:22:07.074 --> 05:22:08.942
GUIDANCE AS- OF THINGS THAT
05:22:09.009 --> 05:22:10.644
THEY CAN DO WITHIN THE FACILITY
05:22:10.711 --> 05:22:11.845
AND WE CERTAINLY ARE LOOKING
05:22:11.912 --> 05:22:15.215
OUT PROGRAM FLEXES. IN TERMS OF
05:22:15.282 --> 05:22:17.685
SYMPTOM TAX ON THAT SON. I'M
05:22:17.751 --> 05:22:19.053
AND EVEN RESTRICTIONS ON
05:22:19.119 --> 05:22:22.456
VETERANS AND STAFF. I'M AND-
05:22:22.523 --> 05:22:24.658
THE ANYBODY THAT'S EXPOSED TO
05:22:24.725 --> 05:22:28.195
ABOUT. CO IT. PATIENT HAS BEEN
05:22:28.262 --> 05:22:30.130
QUARANTINE THE REASON ROLES MAY
05:22:30.197 --> 05:22:31.732
BE NO TOWARD SYMPTOMS P. VERTEX
05:22:31.799 --> 05:22:34.234
OF THAT WERE NOT RISKING. THEM
05:22:34.301 --> 05:22:36.203
PASSING ON THIS TRANSMITTING
05:22:36.270 --> 05:22:38.439
THIS VIRUS THAT CAN I JUST POSE
05:22:38.505 --> 05:22:39.640
THIS QUESTION BECAUSE I KNOW
05:22:39.707 --> 05:22:41.175
TESTING IS NOT THE SILVER BALL
05:22:41.241 --> 05:22:43.343
DOESN'T SOLVE EVERYTHING BUT-
05:22:43.410 --> 05:22:44.378
IN LIKE IN THE ABSENT TESTING
05:22:44.445 --> 05:22:46.680
WHAT WE DO IS WE- COUNTY PEOPLE
05:22:46.747 --> 05:22:48.115
FOURTEEN DAYS. WITH TESTING WE
05:22:48.182 --> 05:22:50.184
ACTUALLY KNOW A REPOSITORY NOT
05:22:50.250 --> 05:22:51.351
WE DON'T NEED FOURTEEN DAYS
05:22:51.418 --> 05:22:53.087
RIGHT WE GET AN ANSWER ON THIS
05:22:53.153 --> 05:22:54.788
YOU MIGHT BE NEGATIVE ONE DAY
05:22:54.855 --> 05:22:56.490
AND TWO DAYS LATER RIGHT. AS I
05:22:56.557 --> 05:22:57.891
HAVE SAID EVEN IF YOU'RE
05:22:57.958 --> 05:23:00.027
SYMPTOMATIC ON ONE DAY AND THEN
05:23:00.094 --> 05:23:01.995
THREE DAYS LATER YOU'RE STILL
05:23:02.062 --> 05:23:02.996
SYMPTOMATIC AND WE TEST YOU
05:23:03.063 --> 05:23:04.565
AGAIN SO WE'RE A LITTLE. OUT OF
05:23:04.631 --> 05:23:08.635
ALL SUNSET THIRTY FROM THAT AND
05:23:08.702 --> 05:23:09.770
SO WE DO THINK WE'RE TAKING. AN
05:23:09.837 --> 05:23:14.141
AX IN TERMS OF. I PEOPLE. CLOSE
05:23:14.208 --> 05:23:16.310
I SWEAR PEOPLE BETTER. SECOND
05:23:16.376 --> 05:23:17.044
COME WHY THEY'RE BEING TASK OR
05:23:17.111 --> 05:23:18.612
WITH KIND. AND QUARANTINE
05:23:18.679 --> 05:23:20.314
PEOPLE THAT ARE CLOSE CONTACT
05:23:20.380 --> 05:23:21.615
UNTIL WE KNOW FOR SURE ABOUT
05:23:21.682 --> 05:23:23.684
THEIR- BABY THEY'RE SERVED UP A
05:23:23.751 --> 05:23:25.352
QUARANTINE PERIOD OR IF THEY'RE
05:23:25.419 --> 05:23:27.788
VERY CLOSE CONTACT WITH TEST
05:23:27.855 --> 05:23:31.425
BOB. AND THREE THE TESTS ARE
05:23:31.492 --> 05:23:32.593
ANALYST'S SENSITIVITY
05:23:32.659 --> 05:23:34.862
SPECIFICITY TODAY I MEAN TO PCR
05:23:34.928 --> 05:23:37.431
RIGHT SO THEY WANT TO TALK TO A
05:23:37.498 --> 05:23:39.199
JAIL TERMS A FALSE POSITIVE
05:23:39.266 --> 05:23:41.268
FALSE NEGATIVE RATES. AND I
05:23:41.335 --> 05:23:42.402
GUESS WE'RE NOT DOING ENOUGH
05:23:42.469 --> 05:23:44.271
TESTING WERE WERE SO WORRIED
05:23:44.338 --> 05:23:46.273
BUT LET'S START DOING A LARGE
05:23:46.340 --> 05:23:47.608
LARGE NUMBER TESTING ANY OF THE
05:23:47.674 --> 05:23:50.043
THING WAS A FALSE POSITIVE WHAT
05:23:50.110 --> 05:23:50.978
MAKE FALSE NEGATIVE RATES RIGHT.
05:23:51.044 --> 05:23:52.679
IT IS OUR PEACE HERE TESTS AT.
05:23:52.746 --> 05:23:54.114
THE PERFORMANCE HAS BEEN REALLY
05:23:54.181 --> 05:23:56.717
GOOD- THE LIMIT OF DETECTION IS
05:23:56.784 --> 05:23:59.386
TEN. COPIES SO THAT'S A VERY
05:23:59.453 --> 05:24:01.822
LOW LIMITED OKAY SO WE THINK
05:24:01.889 --> 05:24:03.223
THE SENSITIVITY IS VERY HIGH
05:24:03.290 --> 05:24:05.159
ALREADY HAVE NOT SEEN ISSUE
05:24:05.225 --> 05:24:07.427
WITH- WITH FALSE POSITIVE OKAY.
05:24:07.494 --> 05:24:08.662
ALL RIGHT THAT'S HELPFUL- ALL
05:24:08.729 --> 05:24:14.601
RIGHT. OKAY. ALL RIGHT WELL- I
05:24:14.668 --> 05:24:17.104
GUESS WILL BE A LOT OF THINGS
05:24:17.171 --> 05:24:19.239
TO DO AND- FIGURE OUT AND THEN
05:24:19.306 --> 05:24:20.841
HOPEFULLY WE'RE LEARNING THINGS
05:24:20.908 --> 05:24:23.410
THAT WILL SINCE THIS IS A
05:24:23.477 --> 05:24:26.880
BUDGET HEARING AND WE'RE
05:24:26.947 --> 05:24:27.414
TALKING ABOUT NEXT YEAR'S
05:24:27.481 --> 05:24:28.649
BUDGET AND- WHO NEEDS FOR WILL
05:24:28.715 --> 05:24:29.917
BE IN. JUNE KNOW ONE CAN ARGUE.
05:24:29.983 --> 05:24:32.186
BERNIE ITSELF. THE OVER THE
05:24:32.252 --> 05:24:34.087
NEXT MONTH OR TWO BUT I DON'T
05:24:34.154 --> 05:24:36.390
KNOW- WOULD ACTUALLY TRY TO
05:24:36.456 --> 05:24:38.158
STRETCH IT OUT. EIGHT TWO ONE
05:24:38.225 --> 05:24:39.026
TO STRETCH IT OUT BECAUSE WE
05:24:39.092 --> 05:24:40.761
DON'T WANT OUR HOSPITALS GET
05:24:40.828 --> 05:24:43.597
OVERWHELMED AT ONE TIME- BUT
05:24:43.664 --> 05:24:45.532
ALSO HOPEFULLY- WE WILL NOT
05:24:45.599 --> 05:24:48.202
FORGET WHAT WERE FACING A IN.
05:24:48.268 --> 05:24:50.137
THE AND THINK ABOUT ALLOCATING
05:24:50.204 --> 05:24:51.872
SOME RESOURCES TO BEING BETTER
05:24:51.939 --> 05:24:54.441
PREPARED NOT THEM GEN I'D SAY
05:24:54.508 --> 05:24:57.311
THAT WE TOOK SOME STEPS NOT
05:24:57.377 --> 05:24:59.446
THAT WE HUNDRED THIRD I MEAN
05:24:59.513 --> 05:25:01.348
WE- PLAN WE- EXECUTING THAT
05:25:01.415 --> 05:25:03.350
PLAN WILL PUT ADDITIONAL
05:25:03.417 --> 05:25:06.954
SOURCES BUT I THINK WE- NOTE
05:25:07.020 --> 05:25:08.455
BEHIND. NO THE GREAT RECESSION
05:25:08.522 --> 05:25:10.357
HIT IT CETERA. HE THINK ABOUT
05:25:10.424 --> 05:25:12.492
SOME INVESTMENTS WE WANT TO
05:25:12.559 --> 05:25:14.628
MAKE TO BE SURE A RIP THIS IS
05:25:14.695 --> 05:25:17.264
EVEN BETTER THE NEXT TIME
05:25:17.331 --> 05:25:19.766
AROUND SO OKAY BUT FOR RIGHT
05:25:19.833 --> 05:25:20.868
NOW WE GOT TAKE CARE OF IT WE
05:25:20.934 --> 05:25:22.569
HAVE A FRONT OF A SO OKAY THANK
05:25:22.636 --> 05:25:35.482
YOU- ANYTHING. MUCH. SURE SO.
05:25:35.549 --> 05:25:39.853
TESTING PROTECT. OKAY LET'S
05:25:39.920 --> 05:25:41.088
MOVE TO ISSUE NUMBER THREE
05:25:41.154 --> 05:25:42.456
MASTER DATA MANAGEMENT
05:25:42.522 --> 05:25:44.491
SUSTAINABILITY WE HEARD FROM
05:25:44.558 --> 05:25:47.427
OUR PUBLIC HEALTH DIRECTOR DATA
05:25:47.494 --> 05:25:49.529
IS AT THE CORE OF PUBLIC HEALTH.
05:25:49.596 --> 05:26:00.007
HAVING A DATA. HEY WELCOME. SO
05:26:00.073 --> 05:26:01.575
I GUESS SAID WITH A FEW NEW
05:26:01.642 --> 05:26:03.410
PEOPLE AROUND THE TABLE SO WE
05:26:03.477 --> 05:26:03.977
SHOULD DO SOME INTRODUCTIONS
05:26:04.044 --> 05:26:10.350
FIRST. SO RIGHT. YES LEBRON
05:26:10.417 --> 05:26:12.653
THAT'S GOOD ON OKAY GOOD
05:26:12.719 --> 05:26:14.922
AFTERNOON CHAIR AND MEMBERS- I
05:26:14.988 --> 05:26:16.556
AM DAY ANYMORE I AM THE ACTING
05:26:16.623 --> 05:26:18.058
ASSISTANT DEPUTY DEPUTY
05:26:18.125 --> 05:26:19.993
DIRECTOR FOR THE CENTER FOR
05:26:20.060 --> 05:26:21.161
HEALTH STATISTICS AND
05:26:21.228 --> 05:26:22.562
INFORMATICS THANK YOU FOR THE
05:26:22.629 --> 05:26:23.864
OPPORTUNITY TO PRESENT THAT
05:26:23.931 --> 05:26:24.765
RIGHT NOW I THINK WOMEN DO
05:26:24.831 --> 05:26:28.936
PERSONS BEING HERE FOR FINANCE
05:26:29.002 --> 05:26:29.469
INTRODUCE YOURSELF FOR THE
05:26:29.536 --> 05:26:30.671
RECORD. AND PERSON DEPARTMENT.
05:26:30.737 --> 05:26:33.473
OKAY ALL RIGHT AGAINST. THANK
05:26:33.540 --> 05:26:35.642
YOU. A CD PH REQUESTS TEN
05:26:35.709 --> 05:26:37.644
POSITIONS AND ONE POINT FIVE
05:26:37.711 --> 05:26:39.179
MILLION DOLLARS FROM THE HEALTH
05:26:39.246 --> 05:26:41.048
STATISTICS SPECIAL FUNDS. IN
05:26:41.114 --> 05:26:42.983
FISCAL YEARS TWENTY TWENTY ONE
05:26:43.050 --> 05:26:44.818
AND ON GOING. TO INCREASE
05:26:44.885 --> 05:26:45.953
DEPARTMENT WIDE ADVANCED
05:26:46.019 --> 05:26:47.087
ANALYTICS AND PREDICTIVE
05:26:47.154 --> 05:26:48.588
ANALYTICS FOR PUBLIC HEALTH
05:26:48.655 --> 05:26:50.223
DECISION MAKING. TO CONTINUE
05:26:50.290 --> 05:26:52.359
IMPLEMENTING MASTER DID MANAGE
05:26:52.426 --> 05:26:54.594
PRODIGIES. FOR IMPROVED HEALTH
05:26:54.661 --> 05:26:55.595
INFORMATION MANAGEMENT AND
05:26:55.662 --> 05:26:56.997
IMPLEMENTATION OF DATA DRIVEN
05:26:57.064 --> 05:26:59.066
CAN BE INTERVENTIONS. THE
05:26:59.132 --> 05:27:00.968
REQUESTED POSITIONS ARE
05:27:01.034 --> 05:27:02.836
EXISTING POSITION IS BETTER
05:27:02.903 --> 05:27:03.737
FUNDED WITH LIMITED TERM.
05:27:03.804 --> 05:27:06.673
PROGRAM FUNDING THAT IS SENDING
05:27:06.740 --> 05:27:08.108
THIS REQUEST IS TO CONTINUE
05:27:08.175 --> 05:27:09.009
FUNDING THE POSITION. STATE
05:27:09.076 --> 05:27:13.280
SPECIAL FUNDS THANK YOU. HELLO
05:27:13.347 --> 05:27:15.816
FINANCE COMMENTS OKAY AND I
05:27:15.882 --> 05:27:20.153
UNDERSTAND THAT- IS PART OF THE
05:27:20.220 --> 05:27:21.822
IT IS IN THE DEPARTMENTS BEEN
05:27:21.888 --> 05:27:23.323
REALLY TRYING TO FIGURE OUT HOW
05:27:23.390 --> 05:27:26.226
TO RAMP UP ITS DATA CAPACITY-
05:27:26.293 --> 05:27:27.794
GIVEN THE FACT THAT DATA IS AT
05:27:27.861 --> 05:27:29.129
THE CORE OF PUBLIC HEALTH WE
05:27:29.196 --> 05:27:31.198
DEAL LOT OF DATA- SO IS THIS
05:27:31.264 --> 05:27:33.633
THIS IS PART TIME GOING EFFORT.
05:27:33.700 --> 05:27:37.137
YES THIS OKAY. WE WOULD LIKE TO
05:27:37.204 --> 05:27:39.373
SEE THAT HAPPEN OKAY VERY GOOD
05:27:39.439 --> 05:27:40.774
AND IN THE STATE THE SOURCE OF
05:27:40.841 --> 05:27:44.077
THE FUNDS IS FROM. DAN IS LIKE.
05:27:44.144 --> 05:27:45.479
VIEW FROM FIVE OF. OTHER TYPES
05:27:45.545 --> 05:27:46.546
OF THING THAT IS CORRECT THE
05:27:46.613 --> 05:27:47.514
HEALTH STATISTICS PARTIAL FUND
05:27:47.581 --> 05:27:51.118
OKAY AND- THE VOLUME OF. MONEY
05:27:51.184 --> 05:27:52.986
THAT COMES THROUGH THE FUND IS
05:27:53.053 --> 05:27:54.855
SUFFICIENT TO SUSTAIN THIS. AT
05:27:54.921 --> 05:27:56.556
THIS TIME YES OKAY AT THIS TIME
05:27:56.623 --> 05:27:58.425
YES OKAY. JUST KEEP HAVING
05:27:58.492 --> 05:28:00.027
BABIES I GUESS RIGHT NOW. OR
05:28:00.093 --> 05:28:02.529
PERHAPS. ALL RIGHT OKAY WELL
05:28:02.596 --> 05:28:03.130
THERE'S A WHOLE NOTHER
05:28:03.196 --> 05:28:05.032
DEMOGRAPHIC ISSUE WE WILL GET
05:28:05.098 --> 05:28:06.633
INTO ABOUT THAT ALL RIGHT VERY
05:28:06.700 --> 05:28:09.836
GOOD. AND THEN TO ISSUE NUMBER
05:28:09.903 --> 05:28:11.605
FOUR WHICH IS THE- A DEATH
05:28:11.671 --> 05:28:14.107
PROGRAM AIDS DRUG ASSISTANCE
05:28:14.174 --> 05:28:29.956
PROGRAM. WELCOME. RIGHT. IT
05:28:30.023 --> 05:28:31.725
WOULD HAVE EVERYONE THE NEW
05:28:31.792 --> 05:28:33.827
PEOPLE INTRODUCE THEMSELVES
05:28:33.894 --> 05:28:35.028
FIRST FOR THE RECORD AND ALL.
05:28:35.095 --> 05:28:35.996
GOOD AFTERNOON MAJOR NUMBER
05:28:36.063 --> 05:28:37.497
ALSO THE ASSISTANT DIVISION
05:28:37.564 --> 05:28:39.199
CHIEF OF THE OFFICE OF AIDS
05:28:39.266 --> 05:28:40.734
THANK YOU THE NUMBER TELL
05:28:40.801 --> 05:28:42.402
DEPARTMENT OF FINANCE. GOOD ALL
05:28:42.469 --> 05:28:43.970
RIGHT WEN YOU GO IN BEGIN.
05:28:44.037 --> 05:28:45.672
OKAY PERFECTS ALL PROVIDE A
05:28:45.739 --> 05:28:47.074
BRIEF OVERVIEW OF OUR EIGHT OUT
05:28:47.140 --> 05:28:48.842
NOVEMBER ESTIMATE AND THEN I AM
05:28:48.909 --> 05:28:51.078
I. ANY QUESTIONS YOU MAY HAVE.
05:28:51.144 --> 05:28:52.379
A SO THE TWENTY NINETEEN BUDGET
05:28:52.446 --> 05:28:54.314
THAT. INCLUDED EIGHT UP LOCAL
05:28:54.381 --> 05:28:56.817
SYSTEMS FUNDING OF. FOUR
05:28:56.883 --> 05:28:58.085
HUNDRED AND FORTY NINE POINT
05:28:58.151 --> 05:29:00.287
FIVE MILLION. WITH NO- STATE
05:29:00.353 --> 05:29:02.522
GENERAL FUND APPROPRIATION. TO
05:29:02.589 --> 05:29:05.258
REVISE CURRENT NEAR. TWENTY
05:29:05.325 --> 05:29:08.261
NINETEEN BUDGET. IS FOUR
05:29:08.328 --> 05:29:08.829
HUNDRED AND THIRTY ONE POINT
05:29:08.895 --> 05:29:11.164
THREE MILLION. THIRTY FOUR
05:29:11.231 --> 05:29:12.766
EIGHTEEN POINT TWO MILLION.
05:29:12.833 --> 05:29:22.709
HE'S BEEN. PORT ONCE. 4% WHEN
05:29:22.776 --> 05:29:23.710
COMPARED TO THE TWENTY NINETEEN
05:29:23.777 --> 05:29:25.579
BUDGET ACTS THE NET DECREASE IS
05:29:25.645 --> 05:29:27.681
PRIMARILY DUE TO A DECREASE IN
05:29:27.747 --> 05:29:28.682
PROJECTED MEDICATION
05:29:28.748 --> 05:29:30.517
EXPENDITURES PARTIALLY OFFSET
05:29:30.584 --> 05:29:32.819
BY PROJECTED TO INCREASE A
05:29:32.886 --> 05:29:34.387
PRIVATE INSURANCE MEDICAL OUT
05:29:34.454 --> 05:29:36.189
OF POCKET EXPENDITURES AND
05:29:36.256 --> 05:29:39.960
CHANGES IN ITS BUDGET OR DO YOU
05:29:40.026 --> 05:29:42.028
COMPARE TO TWENTY NINETEEN BUT
05:29:42.095 --> 05:29:43.330
THAT WITH A- PIECE OF EIGHT.
05:29:43.396 --> 05:29:44.698
SIX NINE DOLLARS IN FEDERAL
05:29:44.764 --> 05:29:48.635
FUNDS. AND AN INCREASE OF FOUR
05:29:48.702 --> 05:29:49.169
HUNDRED THOUSAND AND EIGHT
05:29:49.236 --> 05:29:50.370
EVERYBODY FUNDS. OPPOSE EIGHT
05:29:50.437 --> 05:29:52.072
APPLE LOCAL SYSTEM FUNDING FOR
05:29:52.139 --> 05:29:54.841
BUDGET YEAR IS FOUR HUNDRED
05:29:54.908 --> 05:29:56.109
SIXTY SEVEN POINT FIVE MILLION.
05:29:56.176 --> 05:29:58.078
AN INCREASE OF EIGHTEEN MILLION
05:29:58.145 --> 05:30:01.047
OR 4% WHEN COMPARED TO THE NEXT
05:30:01.114 --> 05:30:05.452
TWENTY NINETEEN BUDGET AX. THE
05:30:05.519 --> 05:30:06.753
AND THE INCREASE IS PRIMARILY
05:30:06.820 --> 05:30:08.722
DUE TO A D. INCREASES AND
05:30:08.788 --> 05:30:10.724
PROJECTED INSURANCE PREMIUM AND
05:30:10.790 --> 05:30:12.759
MEDICAL OUT OF EXPENDITURES
05:30:12.826 --> 05:30:14.694
PARTIALLY OFFSET BY PROJECTED
05:30:14.761 --> 05:30:15.829
DECREASE IN MEDICATION
05:30:15.896 --> 05:30:18.665
EXPENDITURES CHANGES IN A
05:30:18.732 --> 05:30:19.533
DOUBTS BUDGET FORTY ONE
05:30:19.599 --> 05:30:21.067
COMPARED TWENTY EIGHTEEN BUDGET
05:30:21.134 --> 05:30:24.571
ACT TO DECREASE OF TWENTY ONE
05:30:24.638 --> 05:30:26.139
POINT NINE MILLION IN FEDERAL
05:30:26.206 --> 05:30:29.075
FUNDS AN INCREASE THIRTY NINE
05:30:29.142 --> 05:30:31.077
POINT NINE. IN A FIVE. WITHOUT
05:30:31.144 --> 05:30:31.678
ON HOW TO ANSWER ANY QUESTIONS
05:30:31.745 --> 05:30:35.649
ABOUT THANK YOU LA ONCE BY ITS-
05:30:35.715 --> 05:30:37.617
QUESTION BUT- EVERYTHING'S
05:30:37.684 --> 05:30:39.085
PRETTY WELL COVERED SO
05:30:39.152 --> 05:30:39.786
OBVIOUSLY VERY IMPORTANT
05:30:39.853 --> 05:30:41.955
PROGRAM- SO WHEN WE GO AHEAD
05:30:42.022 --> 05:30:44.457
AND MOVE ON TO THE- ISSUE
05:30:44.524 --> 05:30:47.427
NUMBER FIVE WHICH IS THE- EIGHT
05:30:47.494 --> 05:30:48.895
AT A FIVE. JUST A GROSS INCOME
05:30:48.962 --> 05:30:52.399
INFORMATION. PERFECT SO THAT A
05:30:52.465 --> 05:30:53.767
CALIFORNIA DEPARTMENT OF PUBLIC
05:30:53.833 --> 05:30:55.268
HEALTH PROPOSES AMENDMENTS TO
05:30:55.335 --> 05:30:57.103
ALLOW FOR THE ELECTRONIC
05:30:57.170 --> 05:30:59.172
RETRIEVAL OF IT OUT CLIENTS
05:30:59.239 --> 05:31:00.974
MODIFIED ADJUSTED GROSS INCOME
05:31:01.041 --> 05:31:02.642
A DATA FROM THE CALIFORNIA
05:31:02.709 --> 05:31:04.511
FRANCHISE TAX BOARD. CURRENT
05:31:04.578 --> 05:31:06.580
LAW REQUIRES EIGHT UP USE
05:31:06.646 --> 05:31:08.215
APPLICANTS MATCH I FOR PROGRAM
05:31:08.281 --> 05:31:10.984
ELIGIBILITY AND CURRENT ALL THE
05:31:11.051 --> 05:31:14.120
ALL THE ALLOW IT TO BE PROVIDED
05:31:14.187 --> 05:31:15.488
JUST A GROSS INCOME DOES NOT
05:31:15.555 --> 05:31:18.258
INCLUDE SOLD IN TO CALCULATE
05:31:18.325 --> 05:31:21.394
FIND ADDRESS ACROSS. WELL AFTER
05:31:21.461 --> 05:31:23.930
B. IMATION NECESSARY TO A
05:31:23.997 --> 05:31:26.399
PROVIDE BY ADDRESS GROSS INCOME
05:31:26.466 --> 05:31:29.035
AT THE BE CENTS TAX DATA ONLY
05:31:29.102 --> 05:31:30.337
FOR THE EIGHT HOUR APPLICANT
05:31:30.403 --> 05:31:32.105
THESE PROPOSED CHANGES WOULD
05:31:32.172 --> 05:31:34.407
STREAMLINED DATA COLLECTION
05:31:34.474 --> 05:31:35.408
ELIMINATE ST OF BIRTH. AND
05:31:35.475 --> 05:31:37.077
ELIMINATE CONFLICTS IN CURRENT
05:31:37.143 --> 05:31:41.414
LAW. THANK YOU WILLIAM FINANCE
05:31:41.481 --> 05:31:42.282
OKAY ALL THIS ONLY GOOD THINGS
05:31:42.349 --> 05:31:44.217
TO DO. ALRIGHT LET'S MOVE ON
05:31:44.284 --> 05:31:46.953
THEN TO ISSUE NUMBER SIX THE
05:31:47.020 --> 05:31:49.322
PROCTER ASSISTANCE PROGRAM. SO
05:31:49.389 --> 05:31:49.956
THIS IS OUR SECOND TRAILER BILL
05:31:50.023 --> 05:31:52.692
PROPOSAL. A PUBLIC HEALTH IS
05:31:52.759 --> 05:31:53.727
PROPOSING AN AMENDMENT TO
05:31:53.793 --> 05:31:55.595
HEALTH AND SAFETY CODE TO ALLOW
05:31:55.662 --> 05:31:57.163
THE PROPER SYSTEMS PROGRAM TO
05:31:57.230 --> 05:31:58.765
PAY FOR AN INITIAL THIRTY DAY
05:31:58.832 --> 05:32:00.233
SUPPLY OF PROP AND PET
05:32:00.300 --> 05:32:02.469
MEDICATION. CURRENT STATUTE
05:32:02.535 --> 05:32:05.639
LIMITS CALL PRESCRIPTIONS. FOR
05:32:05.705 --> 05:32:08.275
PROP APP THAT FOR PREVENT TO
05:32:08.341 --> 05:32:09.743
FURNISH UP TO FOURTEEN DAYS A
05:32:09.809 --> 05:32:10.944
PREP AND PET MEDICATION FOR AN
05:32:11.011 --> 05:32:13.713
INITIAL DISPENSE. AND ALSO UP
05:32:13.780 --> 05:32:14.714
TO TWENTY EIGHT DAYS A PATH FOR
05:32:14.781 --> 05:32:17.417
MEDICATION OR MEDICATIONS FOR
05:32:17.484 --> 05:32:18.785
VICTIMS OF SEXUAL ASSAULT.
05:32:18.852 --> 05:32:20.153
UNTIL RECENTLY PROVIDED WAS THE
05:32:20.220 --> 05:32:22.222
ONLY FDA APPROVED MEDICATION
05:32:22.289 --> 05:32:23.757
FOR PROP AND IT'S A COMPONENT
05:32:23.823 --> 05:32:26.459
AND THE FIRST LINE- RECOMMENDED
05:32:26.526 --> 05:32:29.329
TAP REGIMENS. GILEAD SCIENCES
05:32:29.396 --> 05:32:29.796
IS CURRENTLY THE ONLY
05:32:29.863 --> 05:32:31.498
MANUFACTURER PROVIDED AND ONLY
05:32:31.564 --> 05:32:34.601
PACKAGES FOR BONTA IN BOTTLES
05:32:34.668 --> 05:32:35.235
CONTAINING THIRTY TABLETS. THE
05:32:35.302 --> 05:32:37.937
FDA'S EXPECTATIONS IS THAT
05:32:38.004 --> 05:32:39.339
DRUGS ARE REPACKAGING
05:32:39.406 --> 05:32:41.474
ACCORDANCE WITH THE- HANDLING
05:32:41.541 --> 05:32:42.575
AND STORAGE INSTRUCTIONS
05:32:42.642 --> 05:32:44.911
PROVIDED AN FDA APPROVED
05:32:44.978 --> 05:32:46.379
LABELING. THE PACKAGE INSERT
05:32:46.446 --> 05:32:48.381
FOR TREVAN I DID BY THE DRUG
05:32:48.448 --> 05:32:49.449
MANUFACTURER SPECIFICALLY
05:32:49.516 --> 05:32:51.751
INSTRUCTS DISPENSABLE IN THE
05:32:51.818 --> 05:32:55.355
ORIGINAL CONTAINER. BUT ONLY
05:32:55.422 --> 05:32:56.289
MEANT TO MANY HAS BEEN REACHING
05:32:56.356 --> 05:32:57.691
OUT AND SENDING LETTERS TO RE
05:32:57.757 --> 05:32:59.125
PACKAGERS EXPLICITLY
05:32:59.192 --> 05:33:01.328
INSTRUCTING THEM- TO STOP-
05:33:01.394 --> 05:33:02.796
REPACKAGING BOTTLES OF
05:33:02.862 --> 05:33:05.799
TOMATOES. AND TO THAT AND RE
05:33:05.865 --> 05:33:07.400
PACKAGERS ARE RESISTANT TO
05:33:07.467 --> 05:33:09.035
VIOLATING THESE INSTRUCTIONS IN
05:33:09.102 --> 05:33:11.604
MOST OF SEIZE REPACKAGING OF
05:33:11.671 --> 05:33:12.872
THE MEDICATION. PLEASE BARRIERS
05:33:12.939 --> 05:33:13.840
TO PROP UP AS AN ABLE TO
05:33:13.907 --> 05:33:15.508
IMPLEMENT PROVISION AS
05:33:15.575 --> 05:33:16.710
PERMITTED BY LAW. THE PROGRAM
05:33:16.776 --> 05:33:18.611
HAS BEEN UNABLE TO- PREPPING
05:33:18.678 --> 05:33:20.246
PART FOURTEEN DAY PRE PACKAGED
05:33:20.313 --> 05:33:23.149
DOSES IT DOSAGES AND IS UNABLE
05:33:23.216 --> 05:33:25.285
TO CONTRACT THE PHARMACIES TO
05:33:25.352 --> 05:33:27.187
BREAK UP EXISTING BOTTLES.
05:33:27.253 --> 05:33:33.426
HELLO FINANCE SO. SO BASICALLY
05:33:33.493 --> 05:33:36.763
THIS IS GOING TO COST FEE
05:33:36.830 --> 05:33:38.598
REBATE FUND BETWEEN EIGHTEEN
05:33:38.665 --> 05:33:39.799
AND THIRTY THOUSAND ONE POINT
05:33:39.866 --> 05:33:42.836
SEVEN MILLION. BECAUSE THE
05:33:42.902 --> 05:33:45.972
MANUFACTURER OF THE DRUGS IS
05:33:46.039 --> 05:33:48.341
UNWILLING TO PACKAGE IT IN A
05:33:48.408 --> 05:33:49.876
WILL PAY THAT I MEAN I COULD I
05:33:49.943 --> 05:33:50.543
COULD YOU KNOW I MEAN IS THERE
05:33:50.610 --> 05:33:53.146
SOME PLACE WE CAN. BUT FIRST OF
05:33:53.213 --> 05:33:56.082
ALL THE QUESTION IS THIS RIGHT-
05:33:56.149 --> 05:33:58.818
WE PUT THOSE LIMITS. SO FROM A
05:33:58.885 --> 05:34:00.253
TREATMENT POINTED VIEWED AS
05:34:00.320 --> 05:34:04.591
APPROPRIATE ARE. OR IS IT THERE
05:34:04.657 --> 05:34:06.092
IS PROVIDING EVERY THIRTY DAYS
05:34:06.159 --> 05:34:10.096
STILL THE BETTER THING TO DO I
05:34:10.163 --> 05:34:10.663
MEAN I GUESS SO THAT'S ASIDE
05:34:10.730 --> 05:34:11.431
FROM WHETHER DATE IT OR NOT
05:34:11.498 --> 05:34:13.333
WHAT SHOULD WE BE DOING.
05:34:13.400 --> 05:34:14.300
FOURTEEN DAY THIS IS OPTIMAL
05:34:14.367 --> 05:34:16.503
WAY TO GO ONE OF THE PROVISIONS
05:34:16.569 --> 05:34:17.337
OF HEALTH AND SAFETY CODE IS
05:34:17.404 --> 05:34:18.972
THAT WERE ABLE TO PROVIDE THIS
05:34:19.038 --> 05:34:20.440
THE NATIONAL DISPENSED. YOUR
05:34:20.507 --> 05:34:20.974
REGARDLESS OF WHETHER THE
05:34:21.040 --> 05:34:22.308
CLIENT'S ELIGIBLE FOR THAT PROP
05:34:22.375 --> 05:34:25.078
OUT ASSISTANCE PROGRAM. AND SO.
05:34:25.145 --> 05:34:26.613
BY PROVIDING THIRTY DAYS WE
05:34:26.679 --> 05:34:28.448
ALSO GET THE ADDED BENEFIT OF.
05:34:28.515 --> 05:34:30.350
BEING ABLE TO NOW. THE CLIENT
05:34:30.417 --> 05:34:32.685
TO OTHER RESOURCES FOR ARGO
05:34:32.752 --> 05:34:34.654
PLANE- PROVISION FOR A-
05:34:34.721 --> 05:34:38.324
MEDICATION. AND SO FOR PAP.
05:34:38.391 --> 05:34:39.125
ALLOW YOU THIRTY DAYS ACTUALLY
05:34:39.192 --> 05:34:40.760
ALLOWS THEM TO HAVE TO YOU KNOW
05:34:40.827 --> 05:34:42.028
INITIATE THAT ENTIRE REGIMENT
05:34:42.095 --> 05:34:43.630
ON THE FRONT END AND THEY DON'T
05:34:43.696 --> 05:34:46.032
HAVE TO. SCRAMBLE AND FIND
05:34:46.099 --> 05:34:47.100
ANOTHER PAIR RESOURCES COMPLETE.
05:34:47.167 --> 05:34:50.770
OKAY AND THEN. THAT ON PATH
05:34:50.837 --> 05:34:51.771
RIGHT I'M TUCKER I TRAINED IN A
05:34:51.838 --> 05:34:53.940
PRESS. YOU SAID THIS ALLOWS
05:34:54.007 --> 05:34:55.909
IT'S TIME TO NAVIGATE THEM TO
05:34:55.975 --> 05:34:57.010
OTHER PAY RESOURCES FOR THEIR
05:34:57.076 --> 05:34:58.845
THERE'S NOT A GAP IN THEIR
05:34:58.912 --> 05:35:02.582
RIGHT. SENATE REGS THOSE AS I
05:35:02.649 --> 05:35:04.551
MEAN I GUESS. I'M DOING IT IF
05:35:04.617 --> 05:35:05.618
THE MAIN REASON IS ACTUALLY
05:35:05.685 --> 05:35:07.287
WE'RE TO PROVIDE YOU KNOW WE
05:35:07.353 --> 05:35:08.087
GOTTA GET BETTER OUTCOMES
05:35:08.154 --> 05:35:11.825
RIGHT- I HATE TO SAY THAT WE
05:35:11.891 --> 05:35:13.193
ARE HAVING TO SPEND MORE MONEY
05:35:13.259 --> 05:35:15.595
BECAUSE I MEAN FACTURE IS
05:35:15.662 --> 05:35:17.430
CITED. I'M GOING. KEYGEN THE
05:35:17.497 --> 05:35:19.532
STERN WAY FORCE YOU TO BUY MORE
05:35:19.599 --> 05:35:22.335
THE MEDICATIONS. RIGHT I MEAN
05:35:22.402 --> 05:35:22.836
THERE SHOULD BE SOME
05:35:22.902 --> 05:35:25.972
CONVERSATION THEN WITH THAN AND
05:35:26.039 --> 05:35:28.341
IN IT AND IS THAT- THAT'S THE
05:35:28.408 --> 05:35:29.576
ONLY CAR WITH SOMEONE ELSE
05:35:29.642 --> 05:35:32.912
COMING ON LINE WITH THE ARE NOT.
05:35:32.979 --> 05:35:34.714
GENERIC SHIMADA IS- SCHEDULED
05:35:34.781 --> 05:35:35.482
TO HIT THE MARKET I BELIEVE
05:35:35.548 --> 05:35:38.651
SEPTEMBER OF TWENTY TWENTY- AND
05:35:38.718 --> 05:35:39.018
I BELIEVE HAVE A
05:35:39.085 --> 05:35:42.589
PHARMACEUTICALS IS GONNA
05:35:42.655 --> 05:35:43.590
EXCLUSIVITY RIGHTS AND- AS THE
05:35:43.656 --> 05:35:46.125
SOLE MANY FACTORS. FOR ABOUT A
05:35:46.192 --> 05:35:49.762
YEAR OKAY SO I GUESS I GUESS
05:35:49.829 --> 05:35:52.298
THE THING IS THIS RIGHT I MEAN.
05:35:52.365 --> 05:35:53.867
THREE DAYS IS KELLY TO THEIR
05:35:53.933 --> 05:35:56.503
OUTCOMES GOT THAT. NOTES GUNS
05:35:56.569 --> 05:35:57.470
COST A LITTLE MORE MAY WE GET
05:35:57.537 --> 05:36:00.139
BETTER OUTCOMES AND BUT TO SAY
05:36:00.206 --> 05:36:01.674
THAT WE'RE GOING TO BE SPENDING
05:36:01.741 --> 05:36:03.109
MORE MONEY PRIMARILY FOR THE
05:36:03.176 --> 05:36:06.346
PURPOSE OF WELL BECAUSE THE
05:36:06.412 --> 05:36:09.048
MANUFACTURERS USES TO AND THEN
05:36:09.115 --> 05:36:11.084
YEAH. TO GET GO **** MAYBE
05:36:11.150 --> 05:36:12.318
EIGHTEEN AND THIRTY. THIRTY
05:36:12.385 --> 05:36:14.621
PROVIDE. BASIC FORCED TO. GIVE
05:36:14.687 --> 05:36:15.421
YOU KNOW SPEND MORE JUST
05:36:15.488 --> 05:36:16.956
BECAUSE THE MANUFACTURER ONLY
05:36:17.023 --> 05:36:18.424
WANTS TO BE A FIXTURES IN
05:36:18.491 --> 05:36:20.493
CERTAIN PACKAGE AND I GET YOU
05:36:20.560 --> 05:36:21.060
KNOW I GET THE RATE. IS WHY
05:36:21.127 --> 05:36:22.328
THEY DON'T PEOPLE CAN OPEN AND
05:36:22.395 --> 05:36:25.031
LIKE THAT NO TERMS OF. BUT THAT
05:36:25.098 --> 05:36:28.601
THAT'S THE TO ME WOULD BE IS.
05:36:28.668 --> 05:36:30.870
FRUSTRATING AND THAT WE SHOULD
05:36:30.937 --> 05:36:31.504
FIGURE OUT HOUSES IN CALIFORNIA
05:36:31.571 --> 05:36:33.940
OPENING STATEMENT TO MAKE
05:36:34.007 --> 05:36:38.945
ACTOR. ABOUT THIS IS THAT. IF
05:36:39.012 --> 05:36:39.879
YOU JUST SPENDING MONEY BECAUSE
05:36:39.946 --> 05:36:42.181
OF THE WAY THEY- TAKE IT.
05:36:42.248 --> 05:36:46.419
NUMBER MAGIC THE THIRTY. THANKS
05:36:46.486 --> 05:36:48.254
FOR IS A IS A- NARAL OF TINA
05:36:48.321 --> 05:36:49.722
FEY MIGHT BE WHAT PIC A THE
05:36:49.789 --> 05:36:50.657
OKAY FOR EIGHT THIRTY RELEASE
05:36:50.723 --> 05:36:52.492
SO JUST PICK. BUT IT ADDS THAT
05:36:52.559 --> 05:36:54.160
MAKES IT MAKES PERFECT SENSE
05:36:54.227 --> 05:36:55.895
AND WE'RE IN TOTAL AGREEMENT WE
05:36:55.962 --> 05:36:57.897
DID INITIATE THE MANUFACTURER
05:36:57.964 --> 05:36:59.666
IN DISCUSSIONS EARLY ON DURING
05:36:59.732 --> 05:37:01.534
OUR DISCOVERY PHASE. AND FOR WE
05:37:01.601 --> 05:37:02.468
WERE TOLD THAT DID NOT HAVE ANY
05:37:02.535 --> 05:37:05.171
IMMEDIATE PLANS TO CHANGE
05:37:05.238 --> 05:37:07.540
THEIR- THEIR APPLE DISPENSING.
05:37:07.607 --> 05:37:15.515
OKAY OUR EIGHT. OKAY. YES MOVE
05:37:15.582 --> 05:37:17.550
ON FOR THAT OKAY WELL YOU IT'S
05:37:17.617 --> 05:37:20.153
FEDERAL OF THE WORLD MAYBE WE
05:37:20.219 --> 05:37:21.988
CAN KEEP HAVING DISCUSSIONS.
05:37:22.055 --> 05:37:24.724
ALL RIGHT. ISSUE SEVEN EIGHT
05:37:24.791 --> 05:37:26.059
APP AND ROMAN SYSTEM
05:37:26.125 --> 05:37:26.593
MAINTENANCE AND OPERATIONS
05:37:26.659 --> 05:37:30.129
SUPPORT. SO THE EIGHT UP IN
05:37:30.196 --> 05:37:31.664
ROMAN SYSTEM MAINTENANCE AND
05:37:31.731 --> 05:37:33.433
OPERATIONS AND SUPPORT BCP
05:37:33.499 --> 05:37:35.368
REQUEST NINE POSITIONS AND FOUR
05:37:35.435 --> 05:37:37.003
POINT SEVEN FIVE MILLION FROM
05:37:37.070 --> 05:37:38.404
THE EIGHT I APPRECIATE FINE
05:37:38.471 --> 05:37:40.573
STARTING IN FISCAL YEAR TWENTY
05:37:40.640 --> 05:37:41.207
TWENTY ONE AND ANNUALLY
05:37:41.274 --> 05:37:42.241
THEREAFTER TO PROVIDE FOR THE
05:37:42.308 --> 05:37:44.444
ONGOING MAINTENANCE AND SUPPORT
05:37:44.510 --> 05:37:45.712
OPERATIONS. THAT HAPPEN ROMAN
05:37:45.778 --> 05:37:50.016
SYSTEM THE A. S. WAS INITIALLY-DEVELOPED AS AN INTERIM
05:37:50.083 --> 05:37:51.317
SOLUTION TO SUPPORT A DOCTORAL
05:37:51.384 --> 05:37:53.920
BENEFITS MANAGEMENT IN MARCH OF
05:37:53.987 --> 05:37:55.955
TWENTY SEVENTEEN. DUE TO THE
05:37:56.022 --> 05:37:57.557
EMERGENCY NATURE OF IT XIN
05:37:57.624 --> 05:38:00.893
TURKEY I WENT LIVE AS A MINIMAL
05:38:00.960 --> 05:38:06.633
SOLUTION BILL ALL THE WITH FOR
05:38:06.699 --> 05:38:07.300
ALL THE NECESSARY TO MAN. LG
05:38:07.367 --> 05:38:11.137
THE INFORMATION OVER TIME. BUT
05:38:11.204 --> 05:38:13.072
SHOULD NOMINAL. AND STATE
05:38:13.139 --> 05:38:14.907
OPERATIONS IN JULY TWENTY
05:38:14.974 --> 05:38:15.541
EIGHTEEN THE CALIFORNIA
05:38:15.608 --> 05:38:16.609
DEPARTMENT OF TECHNOLOGY
05:38:16.676 --> 05:38:18.111
APPROVED A SERIES OF A US
05:38:18.177 --> 05:38:19.879
ENHANCEMENTS THAT WOULD ALLOW
05:38:19.946 --> 05:38:23.016
C. PH TO USE A US AS EIGHT UPS
05:38:23.082 --> 05:38:24.484
LONG TERM SOLUTION FOR A DOCTOR
05:38:24.550 --> 05:38:26.653
RAMAN BENEFITS MANAGEMENT THE
05:38:26.719 --> 05:38:28.955
POWER PROCESS TO CONCLUDE IN
05:38:29.022 --> 05:38:30.757
OCTOBER TWENTY NIGHT. SINCE THE
05:38:30.823 --> 05:38:31.624
EIGHTY S. INITIAL
05:38:31.691 --> 05:38:33.026
IMPLEMENTATION PUBLIC HEALTH
05:38:33.092 --> 05:38:34.861
WAS ABLE TO USE A SYSTEM TO
05:38:34.927 --> 05:38:35.928
IMPLEMENT SOME OF THE NEW
05:38:35.995 --> 05:38:38.097
PROGRAMS. AND EXPANDED EIGHT UP
05:38:38.164 --> 05:38:40.066
SERVICES APPROVED PREVIOUSLY BY
05:38:40.133 --> 05:38:40.900
THE CALIFORNIA STATE
05:38:40.967 --> 05:38:42.735
LEGISLATURE. THESE ENHANCEMENTS
05:38:42.802 --> 05:38:44.037
HAVE DRASTICALLY INCREASE
05:38:44.103 --> 05:38:45.405
REQUIREMENTS OF BOTH PUBLIC
05:38:45.471 --> 05:38:47.874
HEALTH STAFF AND VENDORS. THE
05:38:47.940 --> 05:38:49.909
RESOURCES PROVIDED UNDER THIS
05:38:49.976 --> 05:38:51.444
BCP WILL BE USED TO ENSURE
05:38:51.511 --> 05:38:52.845
SYSTEM FEATURES WORK AS
05:38:52.912 --> 05:38:54.814
EXPECTED AND MAINTAIN THE LEVEL
05:38:54.881 --> 05:38:58.685
DATA INTEGRITY JERRY TO
05:38:58.751 --> 05:38:59.185
CONTINUE TO SERVE IT OUT
05:38:59.252 --> 05:39:03.656
CLIENTS. HELLO IT'S ALL RIGHT
05:39:03.723 --> 05:39:06.492
SO SIDE IT EXCEPT YOUR IS
05:39:06.559 --> 05:39:08.594
ACTUALLY SO OF COURSE NOW-
05:39:08.661 --> 05:39:10.029
STATES ESSENTIALLY PERFORMING
05:39:10.096 --> 05:39:11.297
THIS FUNCTION PREVIOUS YOU
05:39:11.364 --> 05:39:13.132
TRIED CONTRACTING IT OUT RIGHT
05:39:13.199 --> 05:39:15.201
AND FORTY THAT WAS NOT VERY
05:39:15.268 --> 05:39:18.071
SUCCESSFUL THE VENDOR DID NOT
05:39:18.137 --> 05:39:21.708
FROM. THE IS NECESSARY- OF THE
05:39:21.774 --> 05:39:24.010
M. CURIOUS IS TOO SO GIVEN HOW
05:39:24.077 --> 05:39:25.044
MUCH WE WERE PLAYING TO GIVE
05:39:25.111 --> 05:39:26.179
THE VENDOR WHO UNFORTUNATELY
05:39:26.245 --> 05:39:28.414
DIDN'T WAS NOT ABLE TO PERFORM
05:39:28.481 --> 05:39:30.516
THE STANDARD. AND HOW MUCH FOR
05:39:30.583 --> 05:39:32.518
ASKING ARE WE- WE ACTUALLY
05:39:32.585 --> 05:39:35.054
SPENDING THE SIMILAR AMOUNT OF
05:39:35.121 --> 05:39:40.193
MONEY OR- OURS SO I MEAN WE
05:39:40.259 --> 05:39:40.760
HAVE THIS REQUEST HERE AND I
05:39:40.827 --> 05:39:43.062
THINK YOU WE DO IT. SO I KNOW
05:39:43.129 --> 05:39:44.097
HOW MUCH THE RIVER ENTERED BACK
05:39:44.163 --> 05:39:48.901
TO US FOR. BUT I WE NEED TO GO
05:39:48.968 --> 05:39:50.169
BACK AND ACTUALLY DO THAT
05:39:50.236 --> 05:39:50.937
COMPARISON I THINK IT'S A
05:39:51.003 --> 05:39:51.904
LITTLE BIT LIKE COMPARING
05:39:51.971 --> 05:39:53.673
APPLES AND ORANGES BECAUSE THE
05:39:53.740 --> 05:39:55.241
VENDOR THE PREVIOUS VENDOR NOT
05:39:55.308 --> 05:39:57.243
ONLY THAT THEY- MAINTAIN AN
05:39:57.310 --> 05:39:58.845
ONLINE PORTAL BUT THEY ALSO
05:39:58.911 --> 05:40:00.012
SERVED AS A CALL CENTER IN
05:40:00.079 --> 05:40:02.048
PROVIDING CUSTOMER SERVICE TO
05:40:02.115 --> 05:40:03.015
OUR CLIENTS OKAY. SO THE
05:40:03.082 --> 05:40:04.117
CUSTOMERS AND THEIR CALL CENTER
05:40:04.183 --> 05:40:06.319
COMPONENT WE BROUGHT IN HOUSE
05:40:06.385 --> 05:40:07.553
AND WERE HANDLE IN THAT WOULD
05:40:07.620 --> 05:40:10.790
STATE STAFF. AND OF. A. S.
05:40:10.857 --> 05:40:13.159
DEVELOPMENT AND- MAINTENANCE
05:40:13.226 --> 05:40:14.160
AND OPERATIONS IS CONTRACTED
05:40:14.227 --> 05:40:16.262
OUT TO ANOTHER VENDOR. OKAY ALL
05:40:16.329 --> 05:40:18.197
RIGHT WELL I THINK IT SPEAKS
05:40:18.264 --> 05:40:19.966
TO. US OF THINGS YOU'LL SAID
05:40:20.032 --> 05:40:21.267
WISHES CONTRACT THINGS OUT
05:40:21.334 --> 05:40:23.936
MAYBE WE CAN DO IT AN EQUALLY
05:40:24.003 --> 05:40:26.372
GOOD JOB FOR. THAT THANK YOU
05:40:26.439 --> 05:40:27.707
VERY COMPETITIVE PRICE AND
05:40:27.774 --> 05:40:31.344
HOUSE AND BABY MORE LIVELY CELL
05:40:31.410 --> 05:40:33.045
JUSTICE AND OBSERVATION I DON'T
05:40:33.112 --> 05:40:34.413
KNOW IF IT'S AN ACCURATE ONE OR
05:40:34.480 --> 05:40:35.782
NOT FOR IN THIS PARTICULAR
05:40:35.848 --> 05:40:38.951
CASE. WAS JUST CARRY. THAT THAT
05:40:39.018 --> 05:40:41.754
WE'RE DOING IT. WITH THE OF
05:40:41.821 --> 05:40:42.755
THAT EVEN THOUGH I WAS JUST
05:40:42.822 --> 05:40:44.223
GONNA SAY THAT I'M IN COMPLETE
05:40:44.290 --> 05:40:46.092
AGREEMENT THAT I THINK THAT BY
05:40:46.159 --> 05:40:47.927
BRINGING IN THEY CALL THE CALL
05:40:47.994 --> 05:40:49.128
CENTER AND MAINTAINING THAT IT.
05:40:49.195 --> 05:40:50.329
WERE ABLE TO COME. BY THIS
05:40:50.396 --> 05:40:52.131
INFORMATION RIGHT CONTROL
05:40:52.198 --> 05:40:54.066
INFORMATION THAT GOES OUT AND
05:40:54.133 --> 05:40:55.134
WERE ABLE TO MAINTAIN
05:40:55.201 --> 05:40:56.669
INSTITUTIONAL KNOWLEDGE OF THE
05:40:56.736 --> 05:40:59.839
INFORMATION. ON IT THANK YOU
05:40:59.906 --> 05:41:01.874
GOOD TO KNOW THAT. ALL RIGHT.
05:41:01.941 --> 05:41:05.478
OKAY THANK FOR REMOVING THANK
05:41:05.545 --> 05:41:06.979
YOU FOR DECADES MAROON ON TO
05:41:07.046 --> 05:41:08.748
ISSUE NUMBER EIGHT MUSICIAN
05:41:08.815 --> 05:41:22.762
MEDICAL EXEMPTION PROGRAMS. HI
05:41:22.829 --> 05:41:26.833
WELCOME GOOD AFTERNOON I'M MY
05:41:26.899 --> 05:41:28.367
NAME IS IN CALCUTTA DAY I AM
05:41:28.434 --> 05:41:30.436
THE ASSISTANT DIVISION CHIEF
05:41:30.503 --> 05:41:30.870
FOR THE DIVISION OF
05:41:30.937 --> 05:41:32.071
COMMUNICABLE DISEASE CONTROL.
05:41:32.138 --> 05:41:35.875
AND SO I HAVE- UNDER SB TWO
05:41:35.942 --> 05:41:36.876
SEVENTY SIX AND SEVEN ONE FOUR-
05:41:36.943 --> 05:41:39.979
CITY PH IS REQUIRED TO BY
05:41:40.046 --> 05:41:40.847
TWENTY TWENTY ONE. TO HAVE
05:41:40.913 --> 05:41:42.048
DEVELOPED A STANDARDIZED
05:41:42.114 --> 05:41:44.250
MEDICAL EXEMPTION FORM IN THE
05:41:44.317 --> 05:41:45.651
CALIFORNIA IMMUNIZATION
05:41:45.718 --> 05:41:47.587
REGISTRY CARE. TO BE IS
05:41:47.653 --> 05:41:48.688
STATEWIDE BY PHYSICIANS AND
05:41:48.754 --> 05:41:50.723
SURGEONS FOR A CHILD WHOM A
05:41:50.790 --> 05:41:52.458
PHYSICIAN DOES NOT RECOMMEND
05:41:52.525 --> 05:41:54.627
IMMUNIZATION WERE REQUIRED TO
05:41:54.694 --> 05:41:56.529
READ MEDICAL EXEMPTIONS FOR ANY
05:41:56.596 --> 05:41:57.563
SCHOOLS OR INSTITUTIONS WITH
05:41:57.630 --> 05:42:01.033
RATES LESS THAN 9595% OR WHO DO
05:42:01.100 --> 05:42:02.835
NOT REPORT. OR A PHYSICIAN TO
05:42:02.902 --> 05:42:04.537
HAVE SUBMITTED FIVE OUR MEDICAL
05:42:04.604 --> 05:42:06.172
EXEMPTIONS IN A CALENDAR YEAR.
05:42:06.239 --> 05:42:08.641
THE DEPARTMENT THE AUTHORITY TO
05:42:08.708 --> 05:42:10.509
REVIEW ANY EXEMPTION. I AM VERY
05:42:10.576 --> 05:42:12.111
TO REPORT POSITIONS THAT MEET
05:42:12.178 --> 05:42:13.746
CERTAIN CRITERIA TO THE MEDICAL
05:42:13.813 --> 05:42:15.514
LICENSING BOARDS OF CALIFORNIA.
05:42:15.581 --> 05:42:16.816
OUR PARENTS ARE PERMITTED TO
05:42:16.883 --> 05:42:18.818
PEEL AN EXEMPTION REVOCATION TO
05:42:18.885 --> 05:42:21.520
THE SET TO THE SECRETARY OF THE
05:42:21.587 --> 05:42:22.088
CALIFORNIA HEALTH AND HUMAN
05:42:22.154 --> 05:42:24.023
SERVICES AGENCY. THE STATUTE
05:42:24.090 --> 05:42:25.057
OUTLINES A FRAMEWORK FOR THIS
05:42:25.124 --> 05:42:26.792
APPEAL PROCESS AND PUBLIC
05:42:26.859 --> 05:42:27.994
HEALTH AGENCY WILL DEVELOP THE
05:42:28.060 --> 05:42:29.328
SPECIFIC PROCEDURES FOR THE
05:42:29.395 --> 05:42:31.097
APPEALS. TO IMPLEMENT THESE NEW
05:42:31.163 --> 05:42:32.465
LAWS PUBLIC HEALTH REQUEST
05:42:32.531 --> 05:42:33.699
EXPENDITURE AUTHORITY OF THREE
05:42:33.766 --> 05:42:35.101
POINT FOUR MILLION IN FISCAL
05:42:35.167 --> 05:42:37.403
YEAR TWENTY TWENTY ONE. THREE
05:42:37.470 --> 05:42:38.537
POINT ONE MILLION IN FISCAL
05:42:38.604 --> 05:42:41.374
YEAR TWENTY. TWENTY ONE TWENTY
05:42:41.440 --> 05:42:43.042
TWO AND ANNUALLY THEREAFTER.
05:42:43.109 --> 05:42:44.543
ADDITIONALLY PUBLIC HEALTH IS
05:42:44.610 --> 05:42:45.978
REQUESTING THE AUTHORITY FOR
05:42:46.045 --> 05:42:47.914
FIFTEEN PERMANENT POSITIONS.
05:42:47.980 --> 05:42:49.348
THESE FUNDS ARE NECESSARY TO
05:42:49.415 --> 05:42:50.149
MEET THE MANDATED WORKLOAD
05:42:50.216 --> 05:42:51.550
RELATED TO STANDARDIZING THE
05:42:51.617 --> 05:42:52.852
PROCESS FOR SUBMITTING AND
05:42:52.919 --> 05:42:54.553
REVIEWING MEDICAL EXEMPTIONS
05:42:54.620 --> 05:42:56.622
FROM IMMUNIZATIONS. REQUIRED
05:42:56.689 --> 05:42:57.924
FOR ADMISSION TO SCHOOL TO
05:42:57.990 --> 05:43:00.660
CHILD CARE OR SCHOOL. SB TWO
05:43:00.726 --> 05:43:03.696
SEVENTY SIX AN SB SEVEN ONE
05:43:03.763 --> 05:43:04.297
FOUR WILL REQUIRE BUILDING NEW
05:43:04.363 --> 05:43:06.599
CAPACITY INTO INTO THE EXISTING
05:43:06.666 --> 05:43:09.235
DATABASE. IMPLEMENT NEW PROGRAM
05:43:09.302 --> 05:43:12.872
I JANUARY. ONE TWENTY TWENTY
05:43:12.939 --> 05:43:15.541
ONE. THANK YOU- LA. FINANCE
05:43:15.608 --> 05:43:20.513
OKAY- THANK YOU I APPRECIATE-
05:43:20.579 --> 05:43:21.781
THE IMPLEMENTATION OF THE
05:43:21.847 --> 05:43:24.517
LEGISLATION I AUTHORED- AND- I
05:43:24.583 --> 05:43:25.818
HOPE THAT IN THIS PROCESS WE
05:43:25.885 --> 05:43:28.087
CAN ALSO STRENGTHENED THE- THE
05:43:28.154 --> 05:43:31.257
MUSICIAN REGISTRY AS WELL- I
05:43:31.324 --> 05:43:33.893
WOULD MAKE NOTE THAT- HAVE YOU
05:43:33.960 --> 05:43:35.695
SEE WE'RE ONLY HAVING HIGHER
05:43:35.761 --> 05:43:37.763
ONE LAWYER. THE BILL'S GOING
05:43:37.830 --> 05:43:38.998
THROUGH THEIR PROPOSALS FOR
05:43:39.065 --> 05:43:40.633
LIKE THIRTY LAWYERS IN THE LIKE
05:43:40.700 --> 05:43:41.968
WHY DO WE NEED THAT MANY I
05:43:42.034 --> 05:43:42.868
GUESS I DO HAVE ONE QUESTION
05:43:42.935 --> 05:43:44.704
FOR YOU THOUGH IS THAT-
05:43:44.770 --> 05:43:46.272
CERTAINLY. I THINK THIS IS
05:43:46.339 --> 05:43:48.341
BASED ON THE ON DISSIPATE
05:43:48.407 --> 05:43:50.443
CASELOAD BUT LOOKING AT SOME
05:43:50.509 --> 05:43:53.145
OTHER STATES TO LIKE THE STATE
05:43:53.212 --> 05:43:54.814
OF WEST VIRGINIA THEY ACTUALLY.
05:43:54.880 --> 05:43:57.149
HAVE VERY FEW MEDICAL EXEMPTION
05:43:57.216 --> 05:43:58.651
REQUESTS SO OBVIOUSLY WE HAVE A
05:43:58.718 --> 05:44:01.520
LARGE NUMBER NOW WE MAY HAVE.
05:44:01.587 --> 05:44:04.290
SAID IS THERE SO AND THAT IS A
05:44:04.357 --> 05:44:06.892
PERMANENT POSITIONS IS THERE
05:44:06.959 --> 05:44:08.461
ANY THOUGHT THAT ACTUALLY ONCE
05:44:08.527 --> 05:44:10.796
WE ARE FULLY IMPLEMENTED THERE
05:44:10.863 --> 05:44:13.933
MIGHT ACTUALLY BE A DROP IN
05:44:14.000 --> 05:44:19.071
THAT AND MEDICAL SHOULD RIGHT.
05:44:19.138 --> 05:44:23.909
IT'S. WE DO FEEL LIKE WE MADE
05:44:23.976 --> 05:44:25.811
ESTIMATES THAT WERE ON THE LOOK
05:44:25.878 --> 05:44:28.114
FOR AND TO YOU AND AT ANY TIME
05:44:28.180 --> 05:44:30.216
MOVED TO RE EVALUATE- BASED ON
05:44:30.282 --> 05:44:31.784
IMPLEMENTATION BUT BECAUSE THIS
05:44:31.851 --> 05:44:33.619
IS A NEW ACTIVITY. AND WE JUST
05:44:33.686 --> 05:44:36.589
HAD TO WITH WET- WHAT DATA WE
05:44:36.655 --> 05:44:39.091
HAD TO MAKE OUR DECISIONS. ALL
05:44:39.158 --> 05:44:42.661
RIGHT SO WE'LL SEE WE'LL SEE- I
05:44:42.728 --> 05:44:45.698
THINK THAT THAT MIGHT BE THE
05:44:45.765 --> 05:44:48.601
EXPERIENCE. WE BUT IT'S- THAT
05:44:48.667 --> 05:44:50.136
SEE THE- WAY WILL CAN TO COME
05:44:50.202 --> 05:44:52.171
SOMETHING WOULD PEOPLE REALIZE-
05:44:52.238 --> 05:44:54.707
THEN THERE MAY BE A- DECREASE
05:44:54.774 --> 05:44:57.743
IN ACTIVITY SINCE- THE- PEOPLE
05:44:57.810 --> 05:44:59.245
GET TIRED OF PAYING FOR THE
05:44:59.311 --> 05:45:02.214
ONES THAT. DON'T RESULT IN ANY
05:45:02.281 --> 05:45:03.983
CHANGE IN THE STATUS SO. OKAY
05:45:04.050 --> 05:45:06.185
THANK YOU OKAY THANK YOU MUCH
05:45:06.252 --> 05:45:08.254
ALL RIGHT. SO WHAT. SENATE
05:45:08.320 --> 05:45:11.323
SCHOOL TAKE. SEVERAL PROPOSAL
05:45:11.390 --> 05:45:19.899
FOR AN NOW. SO WE ACTUALLY KIND
05:45:19.965 --> 05:45:24.904
OF HAVE WELL WE HAVE A- SO WE
05:45:24.970 --> 05:45:25.971
HAVE THE IN THE EPIDEMICS
05:45:26.038 --> 05:45:28.307
COALITION AND I KNOW YOU HAVE
05:45:28.374 --> 05:45:31.544
SEVERAL ONE TWO THREE FOUR FIVE
05:45:31.610 --> 05:45:38.884
SIX SEVEN- WHERE LAST. OKAY SO
05:45:38.951 --> 05:45:40.853
I JUST TRY TO THINK ABOUT THAT-
05:45:40.920 --> 05:45:44.557
DO YOU TELL THEM IS ALL IS.
05:45:44.623 --> 05:45:45.891
THREE TOWN EACH IS A SEPARATE
05:45:45.958 --> 05:45:47.560
PROPOSAL OR SHOULD WE JUST CLUB
05:45:47.626 --> 05:45:48.527
THEM ALL TOGETHER AND HAVE YOU
05:45:48.594 --> 05:45:50.563
GO ONE AFTER ANOTHER JUST ROLL
05:45:50.629 --> 05:45:52.765
THROUGH THEM BEFORE YOU GET
05:45:52.832 --> 05:45:54.500
COMMON THE OTHER PROBABLY MAKES
05:45:54.567 --> 05:45:56.235
SENSE OKAY ALL RIGHT SO BECAUSE
05:45:56.302 --> 05:46:01.040
TOTALING SINCE PLACE. OKAY AND-
05:46:01.107 --> 05:46:03.442
SO. A USE IT THREE MINUTES- BUT
05:46:03.509 --> 05:46:05.077
HOPEFULLY CAN DO LESS FOR
05:46:05.144 --> 05:46:06.846
AGAINST BECAUSE WE ADAM ALL OF
05:46:06.912 --> 05:46:08.514
THAT GETS TO BE KIND OF A LONG
05:46:08.581 --> 05:46:10.282
PRESENTATION CELL ALL RIGHT.
05:46:10.349 --> 05:46:13.452
OKAY SO GO HEAD BEGIN. SORRY SO
05:46:13.519 --> 05:46:14.286
WHAT WE GO HEAD START WITH THE
05:46:14.353 --> 05:46:16.288
END OF THE EPIDEMICS COALITION
05:46:16.355 --> 05:46:18.290
PROPOSALS. THANK YOU CREEK
05:46:18.357 --> 05:46:19.458
PULLS FOR ASSOCIATE DIRECTOR OF
05:46:19.525 --> 05:46:21.127
GOVERNMENT AFFAIRS A PELE
05:46:21.193 --> 05:46:21.760
HEALTH- MY COLLEAGUES NAY HER
05:46:21.827 --> 05:46:23.462
HERE TODAY ON BEHALF OF THE AND
05:46:23.529 --> 05:46:25.264
THE EPIDEMICS COALITION. OR A
05:46:25.331 --> 05:46:27.366
STATEWIDE COALITION OF CBS AND
05:46:27.433 --> 05:46:28.400
HEALTH DEPARTMENTS DEDICATED TO
05:46:28.467 --> 05:46:31.470
ENDING THE HIV HEPATITIS C. OR
05:46:31.537 --> 05:46:33.405
EACH TV AN S. T. A. M. X. IN
05:46:33.472 --> 05:46:35.207
CALIFORNIA. SO THE FIRST
05:46:35.274 --> 05:46:36.041
PROPOSAL WOULD REQUIRE THE
05:46:36.108 --> 05:46:37.343
STATE TO DEVELOP A CROSS
05:46:37.409 --> 05:46:39.612
DEPARTMENTAL STRATEGY OR MASTER
05:46:39.678 --> 05:46:42.014
PLAN TO AND THE CHEVY AIDS AND
05:46:42.081 --> 05:46:44.183
STDS IN CALIFORNIA. AS YOU WELL
05:46:44.250 --> 05:46:45.417
KNOW STATES AND CITIES ACROSS
05:46:45.484 --> 05:46:47.019
THE COUNTRY ARE DEALING UP
05:46:47.086 --> 05:46:48.020
EFFORTS TO REDUCE NEW
05:46:48.087 --> 05:46:49.088
INFECTIONS IN AND THESE
05:46:49.155 --> 05:46:51.123
EPIDEMICS- MOST NOTABLY IN
05:46:51.190 --> 05:46:52.691
TWENTY FOURTEEN. GOVERNOR CUOMO
05:46:52.758 --> 05:46:54.093
LUNCH A STATEWIDE INITIATIVE
05:46:54.160 --> 05:46:55.895
AND DATES IN NEW YORK- THE
05:46:55.961 --> 05:46:57.229
STRATEGY HAS BEEN REMARKABLY
05:46:57.296 --> 05:46:59.632
SUCCESSFUL- MAKES THE NEW HIV
05:46:59.698 --> 05:47:02.268
CASES DROPPED 30% SINCE TWENTY
05:47:02.334 --> 05:47:03.969
FOURTEEN- LAST YEAR THE STATE
05:47:04.036 --> 05:47:06.672
REPORTED. THAT ON TRACT TO AND
05:47:06.739 --> 05:47:09.008
AIDS IS AN EPIDEMIC BY THE END
05:47:09.074 --> 05:47:11.710
OF THIS YEAR. I SENT TO. LEARN
05:47:11.777 --> 05:47:13.913
A- THE FIFTEEN AND ALL OF HIS
05:47:13.979 --> 05:47:17.650
REMARKABLE SUCCESS. IN THE ON.
05:47:17.716 --> 05:47:18.717
CAN THE- IN THE COUNTRY TO GET
05:47:18.784 --> 05:47:20.119
TO ZERO NEW. OF A- THE
05:47:20.186 --> 05:47:21.754
OVERWHELMING SUCCESS OF THESE
05:47:21.820 --> 05:47:23.622
INITIATIVES PROVIDE EVIDENCE
05:47:23.689 --> 05:47:25.224
THAT A COMPREHENSIVE STRATEGIC
05:47:25.291 --> 05:47:27.092
PLAN. COUPLED WITH POLITICAL
05:47:27.159 --> 05:47:29.195
WILL AN ADEQUATE RESOURCES CAN
05:47:29.261 --> 05:47:31.597
DRIVE SIGNIFICANT PROGRESS IN
05:47:31.664 --> 05:47:32.164
STEMMING THE TIDE OF THESE
05:47:32.231 --> 05:47:34.166
EPIDEMICS. YEAH CALIFORNIA
05:47:34.233 --> 05:47:35.801
REMARKABLY HAS YET TO LAUNCH A
05:47:35.868 --> 05:47:37.670
SIMILAR INITIATIVE AND THESE
05:47:37.736 --> 05:47:39.805
EPIDEMICS CONTINUE TO RAGE OUT
05:47:39.872 --> 05:47:40.906
OF CONTROL. IT'S TIME FOR
05:47:40.973 --> 05:47:42.508
CALIFORNIA TO RESUME ITS
05:47:42.575 --> 05:47:44.009
LEADERSHIP ROLE IN DEVELOPING
05:47:44.076 --> 05:47:46.011
AGGRESSIVE STRATEGY TO ADDRESS
05:47:46.078 --> 05:47:49.348
HIV HCV AND STDS. THIS PROPOSED
05:47:49.415 --> 05:47:51.483
PROPOSAL PROVIDE HHS AND THE
05:47:51.550 --> 05:47:52.351
OFFICE OF AIDS WITH THE
05:47:52.418 --> 05:47:54.186
RESOURCES THEY NEED. TO BRING
05:47:54.253 --> 05:47:55.421
TOGETHER COMMUNITY STAKE
05:47:55.487 --> 05:47:57.122
HOLDERS AND RELEVANT STATE
05:47:57.189 --> 05:47:58.390
DEPARTMENTS TO DEVELOP AN
05:47:58.457 --> 05:48:00.492
EFFECTIVE STATEWIDE STRATEGY.
05:48:00.559 --> 05:48:01.994
THIS CANNOT JUST BE INITIATIVE
05:48:02.061 --> 05:48:03.963
WITHIN CITY PH OR THE OFFICE OF
05:48:04.029 --> 05:48:05.698
AIDS AND EFFECTIVE MASTER PLAN
05:48:05.764 --> 05:48:06.665
WILL WORK STRATEGIC
05:48:06.732 --> 05:48:09.201
COORDINATION. ACROSS ALL STATE
05:48:09.268 --> 05:48:10.069
DEPARTMENTS THE SERVE PEOPLE
05:48:10.135 --> 05:48:12.037
LIVING WITH AND AT RISK FOR
05:48:12.104 --> 05:48:14.139
THESE CONDITIONS. MOST NOTABLY
05:48:14.206 --> 05:48:16.709
C. PH T. H. C. S. C. C. R.
05:48:16.775 --> 05:48:18.811
AMONG OTHERS- GREATER
05:48:18.877 --> 05:48:19.945
COORDINATION ACROSS STATE
05:48:20.012 --> 05:48:21.580
DEPARTMENTS WILL PROVIDE. A
05:48:21.647 --> 05:48:22.948
GREATER POOL OF AVAILABLE
05:48:23.015 --> 05:48:25.651
FUNDING AND ENABLE PUBLIC
05:48:25.718 --> 05:48:27.152
HEALTH SERVICES TO REACH
05:48:27.219 --> 05:48:32.224
PATIENTS THE OTHERWISE MASS.
05:48:32.291 --> 05:48:33.158
THIS CAN PROPOSAL IS TO
05:48:33.225 --> 05:48:35.861
INCREASE ELDER. AND THE PROP
05:48:35.928 --> 05:48:38.530
ASSISTANCE PROGRAM FROM 5100%
05:48:38.597 --> 05:48:40.499
TEST 6100% OF THE FEDERAL
05:48:40.566 --> 05:48:42.468
POVERTY LEVEL- OVER THE LAST
05:48:42.534 --> 05:48:43.936
SEVERAL YEARS THANKFULLY
05:48:44.003 --> 05:48:45.537
CALIFORNIA HAS USED REBATE
05:48:45.604 --> 05:48:47.539
DOLLARS TO MAKE SEVERAL CLING
05:48:47.606 --> 05:48:50.476
KRUGMAN'S TO EIGHT áP AND THE
05:48:50.542 --> 05:48:51.343
PERSISTENCE PROGRAM. EIGHT
05:48:51.410 --> 05:48:55.781
APPLE EXPAND CLUED AVERAGE
05:48:55.848 --> 05:48:56.849
BASED HEALTH INSURANCE AND A
05:48:56.915 --> 05:48:59.318
GAP POLICY. HAS BEEN EXPANDED
05:48:59.385 --> 05:49:00.886
TO PROVIDE COVERAGE FOR YOUTH
05:49:00.953 --> 05:49:02.488
AND INSURED INDIVIDUALS WITH
05:49:02.554 --> 05:49:04.023
CONFIDENTIALITY CONCERNS AMONG
05:49:04.089 --> 05:49:06.292
OTHER CHANGES AND THAT NOTABLY
05:49:06.358 --> 05:49:08.394
IN TWENTY FIFTEEN THEY IT UP
05:49:08.460 --> 05:49:09.662
INCOME ELIGIBILITY LEVEL WAS
05:49:09.728 --> 05:49:12.197
INCREASED FROM A FLAT CAP OF
05:49:12.264 --> 05:49:15.134
FIFTY THOUSAND DOLLARS. 7100%
05:49:15.200 --> 05:49:17.102
OF THE FEDERAL POVERTY LEVEL.
05:49:17.169 --> 05:49:18.437
SINCE THAT TIME HOWEVER THE
05:49:18.504 --> 05:49:20.039
COST OF LIVING IN CALIFORNIA
05:49:20.105 --> 05:49:21.840
HAS CONTINUE TO RISE AND
05:49:21.907 --> 05:49:23.375
MILLIONS OF OUR STATE RESIDENTS
05:49:23.442 --> 05:49:25.511
STRUGGLE TO MAKE ENDS MEET. AS
05:49:25.577 --> 05:49:27.046
YOU WELL LAST LAST YEAR STATE
05:49:27.112 --> 05:49:30.616
BUDGET INCLUDED- SOME IMPORTANT
05:49:30.683 --> 05:49:34.620
NEW SUBSIDIES AND CALIFORNIA
05:49:34.687 --> 05:49:37.356
AND COVER CALIFORNIA. UP TO SIX
05:49:37.423 --> 05:49:39.792
SENATE PL- WE ARE URGING THE
05:49:39.858 --> 05:49:41.627
LEGISLATURE TO INCREASE AID
05:49:41.694 --> 05:49:44.863
APPAN PROP UP ELIGIBILITY FROM
05:49:44.930 --> 05:49:48.133
5100% 26100% F. P. L. TO ALIGN
05:49:48.200 --> 05:49:49.301
WITH THESE NEW STATE SUBSIDIES
05:49:49.368 --> 05:49:51.270
ENCOURAGE CALIFORNIA. US IN THE
05:49:51.337 --> 05:49:54.173
RIGHT I SEE AN INCREASE COST OF
05:49:54.239 --> 05:49:56.308
LIVING IN CALIFORNIA SO. WE'LL
05:49:56.375 --> 05:49:59.278
HAVE A RACE A NUMBER OF IT BUT
05:49:59.345 --> 05:50:02.181
INDIVIDUAL GRAMS BUT FOR THOSE
05:50:02.247 --> 05:50:03.716
LIMITED NUMBER OF FOLKS WILL
05:50:03.782 --> 05:50:05.684
PROVIDE ASSISTANCE NECESSARY TO
05:50:05.751 --> 05:50:08.587
ACCESS LIFESAVING MEDICATION
05:50:08.654 --> 05:50:13.292
AND PREVENTION SERVICES. OKAY
05:50:13.359 --> 05:50:14.893
AND I'LL COVER STDS CUT THE
05:50:14.960 --> 05:50:16.061
MUSTARD WITH THE CENTRAL ACCESS
05:50:16.128 --> 05:50:18.997
HEALTH ARE STD PREVENTION FROM
05:50:19.064 --> 05:50:20.966
CENTER WORKS CLOSELY WITH STATE
05:50:21.033 --> 05:50:22.301
STD PREVENTION OUR LOCAL-
05:50:22.368 --> 05:50:24.703
COUNTY PARTNERS WELL. IT WAS
05:50:24.770 --> 05:50:27.272
AND WHAT WE'RE ASKING FOR HERE
05:50:27.339 --> 05:50:29.842
A COUPLE OF COMPONENTS ONE OF
05:50:29.908 --> 05:50:31.110
THEM IS TO TAKE CURRENT.
05:50:31.176 --> 05:50:33.979
CALIFORNIA FOR PACK GRAHAM X.
05:50:34.046 --> 05:50:35.381
TO LOCK TO SERVE THOSE NOT A
05:50:35.447 --> 05:50:37.883
RISK. MISSY OR NEED A OF CUT.
05:50:37.950 --> 05:50:39.718
NOW BECAUSE THE WAY THE PROGRAM
05:50:39.785 --> 05:50:41.186
IS STRUCTURED WE WOULD NEED TO
05:50:41.253 --> 05:50:43.689
USE DEBT GENERAL ONLY BUT THAT
05:50:43.756 --> 05:50:45.357
WE DO KNOW THAT WE HAVE COMING
05:50:45.424 --> 05:50:49.094
IN THAT IF. BRAND THE PROGRAM
05:50:49.161 --> 05:50:51.029
ACTUALLY ARE THE MET LGBT
05:50:51.096 --> 05:50:52.765
COMMUNITY ARE NON COMMENTING
05:50:52.831 --> 05:50:56.635
THIS THE THIS PRO TO GET S. T.
05:50:56.702 --> 05:51:01.340
TERVIS. NOT WE KNOW WHEN WE'VE-
05:51:01.407 --> 05:51:03.509
THE CHECK. CERTAIN MEMBERS OF
05:51:03.575 --> 05:51:04.443
THE MANY LUSHLY TWENTY MINUTES
05:51:04.510 --> 05:51:06.044
FROM MONEY IN TO US THESE AND
05:51:06.111 --> 05:51:07.780
THIS BY YOU KNOW SORT OF PICK
05:51:07.846 --> 05:51:09.715
UP AND DOLLARS LAW YEAR WE KNOW
05:51:09.782 --> 05:51:11.517
THAT ARREST D.'S INCREASE
05:51:11.583 --> 05:51:13.285
EXPONENTIALLY YOUR LOOK AT A
05:51:13.352 --> 05:51:17.423
STE THIRTY YEAR HIGH WITH MORE
05:51:17.489 --> 05:51:19.958
THAN THREE HUNDRED THOUSAND
05:51:20.025 --> 05:51:22.661
PIECES REPORTED CENTS TO
05:51:22.728 --> 05:51:23.862
EIGHTEEN. WHICH IT. ALL OVER
05:51:23.929 --> 05:51:24.763
THE COUNTRY I MEAN I'M SORRY
05:51:24.830 --> 05:51:26.498
ALL OF. WHAT WE'D LIKE TO DO
05:51:26.565 --> 05:51:28.734
LEVERAGE YOUR CURRENT PROGRAM.
05:51:28.801 --> 05:51:30.602
LIES THAT PROGRAM WHICH GENERAL
05:51:30.669 --> 05:51:32.004
FUND DOLLARS TO SIR FOLKS IN
05:51:32.070 --> 05:51:34.940
THAT PROGRAM WE'RE ASKING FOR
05:51:35.007 --> 05:51:36.208
ME IN THE FIRST TO INCREASE
05:51:36.275 --> 05:51:38.811
GENERAL FUND- PUT CAN OFTEN BE
05:51:38.877 --> 05:51:39.411
INTO THE FAMILY. DO YOU THAT
05:51:39.478 --> 05:51:40.446
PRO. PEACE ACCESS TO STD
05:51:40.512 --> 05:51:43.248
TREATMENT. ON THE OTHER ES DE
05:51:43.315 --> 05:51:44.983
PROPOSAL IS A PLAY OFF OF LAST
05:51:45.050 --> 05:51:47.085
YEAR'S WE HAVE SEVEN MILLION
05:51:47.152 --> 05:51:49.421
CURRENTLY IN THE BUDGET FOR S.
05:51:49.488 --> 05:51:53.125
T. D. UM TESTE TREATMENT USE
05:51:53.192 --> 05:51:55.427
BOOKS COUNTY ARE COUNTY
05:51:55.494 --> 05:51:56.495
PARTNERS AS WELL AS THE WITH
05:51:56.562 --> 05:52:01.200
THOSE DAHLE. DOLLAR JUST THREE.
05:52:01.266 --> 05:52:03.101
ENTRY TO SEE TO BE ABLE TO
05:52:03.168 --> 05:52:05.270
ASSEMBLE AS- WILL HAVE AS GO
05:52:05.337 --> 05:52:06.338
OUT BUT WE DO KNOW WHAT TO
05:52:06.405 --> 05:52:09.141
DEFERRED FOR PARTNER IN C. B.
05:52:09.208 --> 05:52:10.909
IS TO USE THOSE DOLLAR. BECAUSE
05:52:10.976 --> 05:52:17.716
THIS POINT THE DO ARE THE SET.
05:52:17.783 --> 05:52:19.952
MAY BE ON GOING AS IT ALLOWS
05:52:20.018 --> 05:52:20.986
FOR THOSE COUNTY PARTNERS NAY
05:52:21.053 --> 05:52:23.856
SECURED. HEARD ALL TODAY FOR
05:52:23.922 --> 05:52:25.324
PUBLIC HEALTH SPENDING IT'S
05:52:25.390 --> 05:52:26.692
MUCH EASIER TO HAVE ON GOING
05:52:26.758 --> 05:52:29.194
DOLLARS TO BE UP IN STRUCTURE.
05:52:29.261 --> 05:52:31.930
AND PRODUCE PERSONNEL TO DO.
05:52:31.997 --> 05:52:33.165
TESTING AND TREATMENT. WELL SO
05:52:33.232 --> 05:52:36.835
IN THIS CASE YOU'RE ASKING FOR
05:52:36.902 --> 05:52:39.638
CHRIS OF THREE MILLION DOLLARS
05:52:39.705 --> 05:52:43.208
WE KNOW THAT THE ES D. ISSUE IN
05:52:43.275 --> 05:52:45.277
CALIFORNIA ENTER COUNTRY BOOKED.
05:52:45.344 --> 05:52:47.713
FOR HIS PERJURY AND THE DISK
05:52:47.779 --> 05:52:49.882
EATER THAN TEN BUT WHAT. DO TEN
05:52:49.948 --> 05:52:51.183
MILLION DOLLARS IN THIS IN THIS
05:52:51.250 --> 05:52:53.585
PART OF ME TO DO TO. MAKE AT
05:52:53.652 --> 05:52:56.555
THE WERE CAN GET THAT. A C.
05:52:56.622 --> 05:52:59.091
WILL HAVE TO COME JUST WHAT THE
05:52:59.157 --> 05:53:04.129
ARE BUT THINK THIS IS A PLACE
05:53:04.196 --> 05:53:11.603
WE CAN SOMEONE. THE TEN. HOPES
05:53:11.670 --> 05:53:12.170
PERCENT OF THE SAN FRANCISCO
05:53:12.237 --> 05:53:13.338
AIDS FUND ALSO THE CALIFORNIA
05:53:13.405 --> 05:53:14.806
ALLIANCE WITH THE AND THE
05:53:14.873 --> 05:53:17.843
EPIDEMICS COALITION FOR THAT I
05:53:17.910 --> 05:53:20.646
HAVE A DATE HE ASKED I'M GONNA
05:53:20.712 --> 05:53:22.447
PRESENT ON BEHALF OF SOMEONE
05:53:22.514 --> 05:53:26.618
WHO CAN BE HERE SO- YOU FOR.
05:53:26.685 --> 05:53:29.288
CASE FIVE H. C. PREVENT. SAYS
05:53:29.354 --> 05:53:31.890
PRECIADO IT THAT FUNDING-
05:53:31.957 --> 05:53:33.725
ALTHOUGH IT IS TIME LIMITED WE
05:53:33.792 --> 05:53:36.428
APPRECIATE THE EXTENSION TO
05:53:36.495 --> 05:53:37.396
TWENTY TWENTY THREE FROM TO
05:53:37.462 --> 05:53:39.064
ANYONE IN THE GOVERNOR'S JANET
05:53:39.131 --> 05:53:41.767
JET. I'M WE WOULD LIKE TO STILL
05:53:41.833 --> 05:53:44.970
REQUESTED SPENDING IT ON GOING.
05:53:45.037 --> 05:53:47.506
AT WHERE NOW. IN FOR IT JUST
05:53:47.573 --> 05:53:48.240
FIFTEEN MILLION SYLVESTER WE
05:53:48.307 --> 05:53:50.509
CAME A TWENTY MILLION DOLLARS
05:53:50.576 --> 05:53:52.544
AND WE'RE BACK AGAIN. THE SAME
05:53:52.611 --> 05:53:54.246
BE THAT REALLY IS WHAT THE NEED
05:53:54.313 --> 05:53:57.749
IS BASED ON TO START SO THIS
05:53:57.816 --> 05:53:59.318
WOULD INCLUDE HEALTH NAVIGATION
05:53:59.384 --> 05:54:01.687
LINKAGE SIR AND LINK SERVICES
05:54:01.753 --> 05:54:02.988
WITH A FOCUS ON PEOPLE WHO ARE
05:54:03.055 --> 05:54:05.857
USING DRUGS. I'M THANK THERE'S
05:54:05.924 --> 05:54:07.960
AN AT FOUR HUNDRED THOUSAND
05:54:08.026 --> 05:54:08.927
CALIFORNIANS LIVING WITH
05:54:08.994 --> 05:54:11.530
APPETITE ESTY AND OVER MORE
05:54:11.597 --> 05:54:13.465
THAN HALF OF THEM ARE UNAWARE
05:54:13.532 --> 05:54:16.501
OF THEIR STATUS LEAVE THEM BOTH.
05:54:16.568 --> 05:54:19.004
ANSWER COMPLICATIONS EVEN DEATH
05:54:19.071 --> 05:54:20.706
AS WELL AS THE REST FOR
05:54:20.772 --> 05:54:22.674
TRANSMITTING TO OTHERS THE RATE
05:54:22.741 --> 05:54:24.409
OF HCV INFECTION AMONG YOUNG
05:54:24.476 --> 05:54:28.714
PEOPLE- WHICH IS THOSE UNDER
05:54:28.780 --> 05:54:29.214
THIRTY IS GROWING AT AN
05:54:29.281 --> 05:54:31.550
ALARMING DRIVEN. BY THE DEBIT
05:54:31.617 --> 05:54:33.952
IN OUR WHEN AND OTHER DRUG USE
05:54:34.019 --> 05:54:35.687
BETWEEN TWENTY FOURTEEN AND
05:54:35.754 --> 05:54:37.222
TWENTY SIXTEEN A TOTAL OF
05:54:37.289 --> 05:54:40.158
THIRTEEN AND SIX HUNDRED THREE
05:54:40.225 --> 05:54:43.662
EIGHT CV KEEP. REPORT ADD ON
05:54:43.729 --> 05:54:49.201
PEOPLE IF TEAMS. ATTRACT I'M A
05:54:49.267 --> 05:54:51.503
SIXTEEN ARE THIRTY THOUSAND.
05:54:51.570 --> 05:54:52.838
NEARLY FORTY K. CV WHICH RANKS
05:54:52.904 --> 05:54:54.272
CALIFORNIA AS THE FIRST AMONG
05:54:54.339 --> 05:54:55.774
ALL STATES TO PUBLISH THEIR
05:54:55.841 --> 05:54:58.143
SURVEILLANCE DATA SO WHILE
05:54:58.210 --> 05:55:00.278
CALIFORNIA HAS INVESTED IN
05:55:00.345 --> 05:55:02.214
COVERING HEPATITIS C. TREATMENT
05:55:02.280 --> 05:55:03.081
WHICH WE APPRECIATE THROUGH
05:55:03.148 --> 05:55:06.218
MEDICARE OUR PRISONS. AND THAT
05:55:06.284 --> 05:55:08.220
DOES ARE PRESENT AT THIS POINT
05:55:08.286 --> 05:55:12.024
FOR OVER 95% OF PEOPLE- IT'S WE
05:55:12.090 --> 05:55:12.624
REALLY HAVE UNDER INVESTED IT
05:55:12.691 --> 05:55:15.927
LIKE HEALTH- PREVENTION I'M
05:55:15.994 --> 05:55:18.997
INFRASTRUCTURE THE LAST YEAR
05:55:19.064 --> 05:55:19.598
FIVE MILLION DOLLAR ALLOCATION
05:55:19.665 --> 05:55:20.699
WAS THE FIRST EIGHT THE
05:55:20.766 --> 05:55:24.469
PREVENTION FUNDING. SIXTEEN AND
05:55:24.536 --> 05:55:26.338
NOT FUND IT IS NOT FOR THE
05:55:26.405 --> 05:55:30.442
LEVEL OF PREVENT NAVIGATION AND
05:55:30.509 --> 05:55:39.117
LOOK ITIS UNNECESSARY YEAH. AT
05:55:39.184 --> 05:55:40.552
UNIVERSAL HEPATITIS C.
05:55:40.619 --> 05:55:42.721
SCREENING- SO WE ARE HOPEFUL
05:55:42.788 --> 05:55:45.290
THAT WE'LL SEE MORE- SCREENING
05:55:45.357 --> 05:55:47.492
IN PRIMARY CARE SETTINGS BUT WE
05:55:47.559 --> 05:55:50.696
KNOW THAT'S NOT GONNA BE ENOUGH
05:55:50.762 --> 05:55:52.030
ESPECIALLY TO REACH DRUG POP
05:55:52.097 --> 05:55:55.367
WE'RE CURRENTLY A MUCH LESS. I
05:55:55.434 --> 05:55:58.470
AM. RESEARCH FROM THE AMERICAN
05:55:58.537 --> 05:56:00.105
STUDY FOR ASSOCIATION FOR THE
05:56:00.172 --> 05:56:02.808
STUDY OF LIVER DISEASE- STATES
05:56:02.874 --> 05:56:03.942
THAT ADDRESSING GAPS IN
05:56:04.009 --> 05:56:05.577
PREVENTION AND CARE AMONG USE
05:56:05.644 --> 05:56:07.612
WILL BE ESSENTIAL TO TREAT-
05:56:07.679 --> 05:56:10.415
ENDING THE ATV EPIDEMIC SO I
05:56:10.482 --> 05:56:12.117
BELIEVE THAT THIS IS REALLY AN
05:56:12.184 --> 05:56:13.452
AND PRESS AN OPPORTUNITY TO AND
05:56:13.518 --> 05:56:16.688
STEVE MAC OR TO AB FOR YEARS
05:56:16.755 --> 05:56:19.758
THE FACT THAT WE HAVE A CURE IN
05:56:19.825 --> 05:56:23.862
HCV IS SO CALM. EXCITE LINK TO
05:56:23.929 --> 05:56:26.798
THAT. M. TRUST. I'M SPOKE WERE
05:56:26.865 --> 05:56:28.266
COMING BACK WITH THE FIFTEEN
05:56:28.333 --> 05:56:31.036
MILLION DOLLAR- REQUEST FOR
05:56:31.103 --> 05:56:32.471
ONGOING FUNDING FOR AIDS
05:56:32.537 --> 05:56:35.240
HEPATITIS C. I'M AND THEN I'M
05:56:35.307 --> 05:56:39.077
BACK COVER ASK ON- HJV SO THAT
05:56:39.144 --> 05:56:41.346
AND THE OTHER. ELECTION AGAIN
05:56:41.413 --> 05:56:43.115
THANKS THE LEGISLATURE AND THE
05:56:43.181 --> 05:56:44.416
GOVERNOR ARE INVESTING FIVE
05:56:44.483 --> 05:56:45.650
MILLION DOLLARS IN HIV
05:56:45.717 --> 05:56:48.420
PREVENTION LAST YEAR- WE WOULD
05:56:48.487 --> 05:56:49.988
LIKE TO SEE THOSE DOLLARS ME TO
05:56:50.055 --> 05:56:51.323
I'M GOING FUNDING AND AGAIN
05:56:51.389 --> 05:56:52.958
WE'RE BACK WITH THE REST OF OUR
05:56:53.024 --> 05:56:54.426
REQUEST WHICH IS FIFTEEN
05:56:54.493 --> 05:56:55.660
MILLION DOLLARS FOR GENERAL
05:56:55.727 --> 05:56:58.096
FUND. WHICH WOULD BE ON GOING
05:56:58.163 --> 05:57:00.031
FOR ADDRESSING AM HIV HEALTH
05:57:00.098 --> 05:57:03.802
AND TWENTY PARTICULARLY AMONG
05:57:03.869 --> 05:57:04.269
COMMUNITIES OF COLOR.
05:57:04.336 --> 05:57:06.271
CALIFORNIA COMMITMENT TO
05:57:06.338 --> 05:57:07.172
REINVESTING IN ITS PREVENTION
05:57:07.239 --> 05:57:08.507
OVER THE LAST SEVERAL YEARS AND
05:57:08.573 --> 05:57:10.008
WE'RE VERYAPPRECIATIVE OF
05:57:10.075 --> 05:57:13.578
THAT- AND- WE HAVE STARTED TO
05:57:13.645 --> 05:57:16.515
SEE HIV CASES DECLINING AS A
05:57:16.581 --> 05:57:17.949
RESULT OF THAT INCREASED
05:57:18.016 --> 05:57:20.385
PREVENTION FUNDING SO- ALL THE
05:57:20.452 --> 05:57:22.487
WORDS WERE MUCH- BEHIND NEW
05:57:22.554 --> 05:57:25.390
YORK CORRECT PRESENTED EARLIER
05:57:25.457 --> 05:57:28.827
WE HAVE A REST NINE CENT IN OUR
05:57:28.894 --> 05:57:34.065
IN IN FACT TENS. ONLY THAT NOT
05:57:34.132 --> 05:57:36.902
ALL OF US DIFFERENT. SO WHILE
05:57:36.968 --> 05:57:38.904
CASES HAVE TO AMONG WHITES BY
05:57:38.970 --> 05:57:41.339
OVER 20% IN THAT TIME PERIOD
05:57:41.406 --> 05:57:43.642
THEY'VE DECREASED ONLY 4% AMONG
05:57:43.708 --> 05:57:44.943
A LOT NEXT COMMUNITY AND
05:57:45.010 --> 05:57:46.111
THEY'VE ACTUALLY INCREASED BY
05:57:46.178 --> 05:57:49.414
2% AMONG AFRICAN AMERICANS- SO
05:57:49.481 --> 05:57:51.149
THE INCREASED AND EQUITIES
05:57:51.216 --> 05:57:53.518
REALLY UNDERSCORE HOW URGENT
05:57:53.585 --> 05:57:54.920
THE NEED IS FOR THE IMPROVED
05:57:54.986 --> 05:57:56.688
FOR AND ANY ENTITY TAKE
05:57:56.755 --> 05:57:58.557
PREVENTION EFFORTS AND REALLY
05:57:58.623 --> 05:58:00.559
THAT DATE THOSE EFFORTS TO
05:58:00.625 --> 05:58:03.895
TARGET THE COMMUNITY. AND SO
05:58:03.962 --> 05:58:04.963
WE'RE PROPOSING FUNDING. TO
05:58:05.030 --> 05:58:06.965
LOCAL SECTION AND-
05:58:07.032 --> 05:58:08.600
ORGANIZATIONS TO SUPPORT
05:58:08.667 --> 05:58:10.335
IMPLEMENTATION OF PLANS BASED
05:58:10.402 --> 05:58:13.438
AND STRENGTH BASED STRATEGIES
05:58:13.505 --> 05:58:13.939
THAT INCLUDE BIOMEDICAL
05:58:14.005 --> 05:58:15.941
PREVENTION STRUCTURAL SHINS
05:58:16.007 --> 05:58:17.142
TEN. NEEDS OF THE STATE'S MOST
05:58:17.209 --> 05:58:21.780
UNDERSERVED RESIDENTS THANK YOU.
05:58:21.847 --> 05:58:23.181
A GOOD AFTERNOON MY NAME IS
05:58:23.248 --> 05:58:24.950
JENNA HE WOULD I WORK WITH THE
05:58:25.016 --> 05:58:25.784
NATIONAL HARM REDUCTION
05:58:25.851 --> 05:58:28.086
COALITION AND I'M ALSO A MEMBER
05:58:28.153 --> 05:58:29.988
OF THE AND THE EPIDEMICS
05:58:30.055 --> 05:58:31.122
ADVOCACY COALITION. AND I'M
05:58:31.189 --> 05:58:33.091
SPENDING ON OUR REQUEST FIVE
05:58:33.158 --> 05:58:35.460
MILLION I'M GOING TO SUPPORT
05:58:35.527 --> 05:58:37.362
THE SUPPLY CLEARING HOUSE
05:58:37.429 --> 05:58:40.465
MANAGED BY THE OFFICE OF AIDS-
05:58:40.532 --> 05:58:41.733
ON THE SUPPLY CLEARING HOUSE
05:58:41.800 --> 05:58:44.069
REMAIN UP. COM THE BOND START
05:58:44.135 --> 05:58:45.837
IN TWENTY FIFTEEN THAT
05:58:45.904 --> 05:58:47.439
FURNISHES HARM REDUCTION
05:58:47.505 --> 05:58:50.775
SUPPLIES TO RUN SERVICES AM.
05:58:50.842 --> 05:58:52.444
PUTTING SERENA'S IS A LOCK
05:58:52.510 --> 05:58:55.714
SOUND AND ALL TEST STRIPS AND
05:58:55.780 --> 05:58:58.250
OTHER SUPPLIES FOR JACK AND
05:58:58.316 --> 05:59:00.685
SAFE. THESE THINGS. AND THIS
05:59:00.752 --> 05:59:02.654
THE- USED TO PROVIDE TRANS
05:59:02.721 --> 05:59:04.589
TRANSMISSION OF HIV HEPATITIS
05:59:04.656 --> 05:59:06.791
C. SKIN AND SOFT TISSUE
05:59:06.858 --> 05:59:08.760
INFECTIONS AND FOR OVERDOSE
05:59:08.827 --> 05:59:10.729
PREVENTION. SINCE TWENTY
05:59:10.795 --> 05:59:11.863
FIFTEEN WHEN THE CLEARING HOUSE
05:59:11.930 --> 05:59:13.098
FUND WAS DEVELOPED THERE HAVE
05:59:13.164 --> 05:59:14.799
BEEN THIRTEEN NEW SYRINGE
05:59:14.866 --> 05:59:16.434
SERVICES PROGRAM STARTED AND
05:59:16.501 --> 05:59:18.503
TEN COUNTIES IN CALIFORNIA THIS
05:59:18.570 --> 05:59:20.438
YEAR WE EXPECT AN ADDITIONAL
05:59:20.505 --> 05:59:24.509
SIX PROGRAMS WITH MORE GROWTH-
05:59:24.576 --> 05:59:25.510
EXPECTED EACH YEAR. SO A DISH
05:59:25.577 --> 05:59:26.811
OVER THE PAST FEW YEARS
05:59:26.878 --> 05:59:29.047
EXISTING SERVICES PROGRAM SEEN
05:59:29.114 --> 05:59:30.148
AN INCREASE IN DEMAND FOR
05:59:30.215 --> 05:59:32.851
SUPPLIES BY OVER 50% THE GROWTH
05:59:32.918 --> 05:59:35.553
IN NEW PROGRAMS PAIRED WITH THE
05:59:35.620 --> 05:59:36.988
INCREASE IN DEMAND FOR SUPPLIES
05:59:37.055 --> 05:59:39.557
IN EXISTING PROGRAMS. ME THE
05:59:39.624 --> 05:59:42.661
CURRENT BUDGET THREE PER IS A
05:59:42.727 --> 05:59:44.162
QUICK PROGRAM TO BETWEEN ORDER
05:59:44.229 --> 05:59:46.031
AND THE LOCKS ON OR ORDER
05:59:46.097 --> 05:59:46.965
ENOUGH STEROLS OF SEARCHES FOR
05:59:47.032 --> 05:59:49.567
THE PARTICIPANTS. THERE
05:59:49.634 --> 05:59:50.635
SURRENDERS REPRESENT THE NUMBER
05:59:50.702 --> 05:59:52.404
ONE MOST COST EFFECTIVE H. A.
05:59:52.470 --> 05:59:55.240
B. N. H. C. B. PREVENTION TOOL
05:59:55.307 --> 05:59:56.074
BUT MORE IMPORTANTLY HARM
05:59:56.141 --> 05:59:57.776
REDUCTION PROGRAMS PROVIDE LOW
05:59:57.842 --> 05:59:59.144
BARRIER RESOURCES TO PEOPLE
05:59:59.210 --> 06:00:00.712
OFTEN REFERRED TO IT'S HARD TO
06:00:00.779 --> 06:00:02.380
REACH. MONEY INVESTED IN THESE
06:00:02.447 --> 06:00:04.215
PROGRAMS MEANS MILLIONS OF
06:00:04.282 --> 06:00:06.318
DOLLARS SAVED AND AVERTED HIV
06:00:06.384 --> 06:00:09.054
EIGHT CB AND S. T. I. CASE. AND
06:00:09.120 --> 06:00:10.355
MOST IMPORTANTLY FEWER
06:00:10.422 --> 06:00:12.590
OVERDOSED A DEATH. WANT TO
06:00:12.657 --> 06:00:15.060
THANK THE LEGISLATURE AND
06:00:15.126 --> 06:00:16.194
ADMINISTRATION FOR THE
06:00:16.261 --> 06:00:18.863
INVESTMENT OF FIFTY MILLION AND
06:00:18.930 --> 06:00:20.832
LAST BUT TO SUPPORT AFTER BEING
06:00:20.899 --> 06:00:25.270
AT. THIS IS GRANT BUT THIS.
06:00:25.337 --> 06:00:30.308
CITY HARM REDUCTION FROM FIRST.
06:00:30.375 --> 06:00:33.178
BE ABLE TO REACH MORE
06:00:33.244 --> 06:00:34.412
CALIFORNIA. BY CLEARING HOUSE.
06:00:34.479 --> 06:00:35.413
SEE THE BOWL FULL OF BENEFITS
06:00:35.480 --> 06:00:39.184
OF ALL RIGHT THANK YOU COMMENTS
06:00:39.250 --> 06:00:42.287
FROM OHIO FINANCE ALL RIGHT OF
06:00:42.354 --> 06:00:44.222
FREE SHEET THE PRESENTATION NAY
06:00:44.289 --> 06:00:47.125
THINKER TRY COVER LOTS OF BASES.
06:00:47.192 --> 06:00:50.061
SAMETIME OBVIOUSLY YOU KNOW THE
06:00:50.128 --> 06:00:53.765
GOAL OF TRYINGTO ELIMINATE-
06:00:53.832 --> 06:00:59.104
STDS SEE HIV SO VERY WELL THE
06:00:59.170 --> 06:01:02.040
ONE AND SOMETHING WE SHOULD TRY
06:01:02.107 --> 06:01:04.542
TO STRIVE FOR. THIS WILL
06:01:04.609 --> 06:01:05.977
APPRECIATE PRESS. THERE ARE
06:01:06.044 --> 06:01:07.245
ALSO TRYING TO FIGURE OUT HOW
06:01:07.312 --> 06:01:08.646
WE INTEGRATE THAT WITH OUR
06:01:08.713 --> 06:01:11.516
OTHER EFFORTS SIZZLE AND- AND
06:01:11.583 --> 06:01:14.486
WE CAN TRY TO DO TO- TO ELEVATE
06:01:14.552 --> 06:01:18.189
THE DISC THE THIS BILL
06:01:18.256 --> 06:01:21.760
CONTINUING BURDEN ON OUR SUS
06:01:21.826 --> 06:01:23.395
YOU KNOW IT'S THE FRONT. NONE
06:01:23.461 --> 06:01:24.696
OF US RIGHT NOW BUT THE S. BUT-
06:01:24.763 --> 06:01:26.831
THERE AND SO WE ONLY NEED TO
06:01:26.898 --> 06:01:28.333
TAKE CARE OF THAT SO OKAY THANK
06:01:28.400 --> 06:01:31.269
YOU THESE MUCH. HERE RIGHT-
06:01:31.336 --> 06:01:32.404
THAT COUNTY HEALTH EXECUTIVE
06:01:32.470 --> 06:01:35.306
ASSOCIATION HERE WITH THE
06:01:35.373 --> 06:01:38.676
REQUEST ON THE- BURNING A CD
06:01:38.743 --> 06:01:40.278
NAVIGATORS FOR THE WHOLE
06:01:40.345 --> 06:01:50.522
DEPARTMENTS WELCOME. AFTERNOON
06:01:50.588 --> 06:01:51.689
AFTERNOON SENATE MITCHELL
06:01:51.756 --> 06:01:52.524
GIVENS I'M THE EXECUTIVE
06:01:52.590 --> 06:01:53.625
DIRECTOR OF THE COUNTY HEALTH
06:01:53.691 --> 06:01:55.727
EXECUTIVES ASSOCIATION AS YOU
06:01:55.794 --> 06:01:56.995
KNOW WE REPRESENT LOCAL HEALTH
06:01:57.062 --> 06:01:57.629
DEPARTMENTS THROUGHOUT OUR
06:01:57.695 --> 06:01:58.963
STATE- AND WE HAVE A JOINT
06:01:59.030 --> 06:02:00.198
REQUESTED TO PRESENT TO YOU
06:02:00.265 --> 06:02:01.066
TODAY AND IT'S FOR TWENTY
06:02:01.132 --> 06:02:03.568
MILLION DOLLARS HAVE THE OTHER
06:02:03.635 --> 06:02:06.004
INTRODUCTION. I LIBBY SANCHEZ
06:02:06.071 --> 06:02:07.605
ON THE OF CALIFORNIA CO
06:02:07.672 --> 06:02:12.243
REQUESTING. THE SKILLS ARE IS
06:02:12.310 --> 06:02:13.278
FOR TWENTY MILLION DOLLARS FOR
06:02:13.344 --> 06:02:15.146
S. T. D. NAVIGATION SIR FOR
06:02:15.213 --> 06:02:19.084
CENTER EXT TING READ THE
06:02:19.150 --> 06:02:20.418
COMPLEX OF STDS I WOULD
06:02:20.485 --> 06:02:23.088
CONTINUE GET FACT THAT YOU'RE
06:02:23.154 --> 06:02:26.424
ABLE WE CAN YOU KNOW THAT. HEAD
06:02:26.491 --> 06:02:33.665
OF IT IS CONTENT GROW AND WE.
06:02:33.731 --> 06:02:40.805
EFFORTS TO ADDRESS. MISSION
06:02:40.872 --> 06:02:42.373
POTENTIALLY THE EXCHANGE OF SEX
06:02:42.440 --> 06:02:43.308
FOR MONEY OR HOUSING AND SO
06:02:43.374 --> 06:02:46.077
FORTH AND SO REALLY TO FROM OUR
06:02:46.144 --> 06:02:46.644
STANDPOINT AS LOCAL HEALTH
06:02:46.711 --> 06:02:48.713
DEPARTMENTS WE NEEDED.
06:02:48.780 --> 06:02:49.981
ADDITIONAL SHOULD STRATEGY TO
06:02:50.048 --> 06:02:51.416
ADDRESS THE THAT PROVIDES THAT
06:02:51.483 --> 06:02:53.885
INTO CORD. OUR REACH TO THE
06:02:53.952 --> 06:02:55.553
INTO. AND HELPS TO PER LINKAGE
06:02:55.620 --> 06:02:58.756
TO THE NET SERVICES OUR LOCAL.
06:02:58.823 --> 06:03:01.559
SINCE STAFF WILL TO THIS WE
06:03:01.626 --> 06:03:02.527
DELIVER CRITICAL FOR TO FACE
06:03:02.594 --> 06:03:04.963
NOW. PER NATION SERVICE ALREADY
06:03:05.029 --> 06:03:07.098
PHONE OR ON HARD REACH POP THE-
06:03:07.165 --> 06:03:10.702
WHO HAVE STDS. AND IT ONE WE'VE
06:03:10.768 --> 06:03:14.839
WE'VE OF OUR OUR LOCAL OUT ARE
06:03:14.906 --> 06:03:18.042
REALLY UNDER. AT JUST AS A- DID
06:03:18.109 --> 06:03:19.878
AN EXAM INCOME IN NINETEEN
06:03:19.944 --> 06:03:23.481
GOING OR- TO BE DEBT. TO SO WE
06:03:23.548 --> 06:03:25.683
WERE NEED TO BOLSTER THE READ
06:03:25.750 --> 06:03:28.086
THE- BEST AND IS AT THE LOCAL
06:03:28.153 --> 06:03:29.454
LEVEL. TO CONTINUE TO ADDRESS%
06:03:29.521 --> 06:03:36.227
THE ISSUE WELL ALL THAT THAT WE.
06:03:36.294 --> 06:03:38.897
NEEDS TO ADDRESS. SAYS THE HAVE
06:03:38.963 --> 06:03:41.332
BEEN SOCIAL TO THE CLIENT
06:03:41.399 --> 06:03:43.968
IDENTIFY THE FACT IN YEARS IN
06:03:44.035 --> 06:03:46.204
OFFICE TO CARE AT IT WOULD
06:03:46.271 --> 06:03:47.605
ALLOW US TO ESTABLISH A ALL TO
06:03:47.672 --> 06:03:49.507
PAY CARE TO BE HERE A WHOLESOME
06:03:49.574 --> 06:03:51.109
AND THINGS OF THAT NATURE AND
06:03:51.176 --> 06:03:52.677
SO WE REALLY DO THAT THIS IS A
06:03:52.744 --> 06:03:55.647
HELPFUL SO THAT WOULD ALLOW US
06:03:55.713 --> 06:03:58.583
TO RE. ADD HELP TO ADDRESS THE
06:03:58.650 --> 06:04:01.686
REASON. AND JUST. BY WAY I
06:04:01.753 --> 06:04:02.420
WOULD JUST MENTION TO IN TERMS
06:04:02.487 --> 06:04:07.492
OF COMPLEX. IS. BECAUSE THE
06:04:07.559 --> 06:04:09.194
RISK OF CONGENITAL SYPHILIS IS
06:04:09.260 --> 06:04:11.262
REALLY BAD SO. THIS IS JUST ONE
06:04:11.329 --> 06:04:12.430
EXAMPLE OF HOW WE CAN PROVIDE
06:04:12.497 --> 06:04:15.967
THAT INTENSIVE TOUCH. THANK YOU.
06:04:16.034 --> 06:04:18.369
WE ARE NUMBER TWO IN THE NATION
06:04:18.436 --> 06:04:19.904
FOR SEVERAL LESS AND FOR
06:04:19.971 --> 06:04:21.306
CONGENITAL SYPHILIS THAT WHICH
06:04:21.372 --> 06:04:22.974
IS NOT SOMETHING OF WHICH WE
06:04:23.041 --> 06:04:24.842
SHOULD BE INCREDIBLY PROUD. AND
06:04:24.909 --> 06:04:26.444
IT REALLY IS DIRECTLY RELATED
06:04:26.511 --> 06:04:28.313
TO BEING FUNDED UNDER RESOURCE
06:04:28.379 --> 06:04:30.648
UNDERSTAFFED- AS SHE MENTIONED
06:04:30.715 --> 06:04:33.251
THESE ARE COMPLEX CASES WITH- A
06:04:33.318 --> 06:04:34.719
POPULATION THAT OFTEN HAS
06:04:34.786 --> 06:04:37.121
CONCURRING ISSUES- THAT
06:04:37.188 --> 06:04:39.724
COMPLETE LEAD TO. BE INSTEAD OF
06:04:39.791 --> 06:04:41.459
SOME AND THEN THE REAR OF
06:04:41.526 --> 06:04:44.495
SYPHILIS SO WE ARE HOPEFULLY
06:04:44.562 --> 06:04:46.030
OPTIMISTIC BUT BUT LOOK AT
06:04:46.097 --> 06:04:46.864
ADDITIONAL FUNDING TO
06:04:46.931 --> 06:04:49.234
PRIORITIZE THE HIRING OF PUBLIC
06:04:49.300 --> 06:04:52.403
HEALTH NURSES TO BE ABLE TO
06:04:52.470 --> 06:04:54.839
ADDRESS. ON IT IS THANK YOU ONE
06:04:54.906 --> 06:04:56.374
NIGHT THANK YOU LA COMMON. ALL
06:04:56.441 --> 06:04:57.875
RIGHT I APPRECIATE YOU BRING
06:04:57.942 --> 06:05:00.845
THE FULL FOR OF I THINK YOU
06:05:00.912 --> 06:05:03.281
FIVE LEE- SCENE THAT I AM FIFTH
06:05:03.348 --> 06:05:04.515
ALWAYS CONCERNED ABOUT THE
06:05:04.582 --> 06:05:05.850
CAPACITY OF OUR LOCAL HEALTH
06:05:05.917 --> 06:05:06.985
DEPARTMENTS AND CERTAINLY THE
06:05:07.051 --> 06:05:09.420
STD OPERATE SOMETHING. IT'S NOT
06:05:09.487 --> 06:05:11.055
AN OUTBREAK IT'S AN IT'S JUST A
06:05:11.122 --> 06:05:12.590
STREAMLINED OPERATE AND THE
06:05:12.657 --> 06:05:14.292
IDEA THAT WE HAVE CHILDREN BORN
06:05:14.359 --> 06:05:17.161
GENERAL SURPLUS- PEOPLE THINK
06:05:17.228 --> 06:05:18.296
THAT ONE AWAY WITH LIKE.
06:05:18.363 --> 06:05:20.231
DICKENS NOVELS AND BUILD
06:05:20.298 --> 06:05:22.200
VICTORIAN ERA AND IT'S RIGHT
06:05:22.267 --> 06:05:24.369
HERE AND SO WE DEFINITELY NEED
06:05:24.435 --> 06:05:26.137
TO TAKE CARE OF THIS WELLS.
06:05:26.204 --> 06:05:29.207
OTHER ESTY IS AND OTHER
06:05:29.274 --> 06:05:29.807
INFECTIONS ARE RELATED TO THAT
06:05:29.874 --> 06:05:31.442
SO THANKS SO MUCH FOR YOUR
06:05:31.509 --> 06:05:33.811
PROPOSAL THANK YOU ALL RIGHT
06:05:33.878 --> 06:05:36.681
AND TAKE FULL COM. PART OF THE-
06:05:36.748 --> 06:05:39.517
FAR PUBLIC. THANK YOU CAT
06:05:39.584 --> 06:05:40.551
DEEPER WITH THE HEALTH OFFICER
06:05:40.618 --> 06:05:41.986
ASSIST CAL AND STRONG SO OF THE
06:05:42.053 --> 06:05:43.388
YOU JUST HEARD BY OUR COLLEAGUE
06:05:43.454 --> 06:05:44.188
THAT SHE EXPRESSED YOU
06:05:44.255 --> 06:05:45.823
NAVIGATION YOU'RE RIGHT THAT
06:05:45.890 --> 06:05:47.358
EVERY SINGLE CASE OF CONGENITAL
06:05:47.425 --> 06:05:48.559
SYPHILIS CAN AND SHOULD BE
06:05:48.626 --> 06:05:49.861
PREVENTED. AND ALSO SEPARATE
06:05:49.927 --> 06:05:52.797
HAVE A AND FOR THE BOARD OF-DIRECTORS FOR THE CALIFORNIA
06:05:52.864 --> 06:05:54.098
IMMUNIZATION COALITION WE WANT
06:05:54.165 --> 06:05:55.633
TO REGISTER SUPPORT FOR ISSUE
06:05:55.700 --> 06:05:58.603
EIGHT WHICH IS THE-
06:05:58.670 --> 06:06:01.205
IMMUNIZATION EXEMPTION PROGRAM
06:06:01.272 --> 06:06:03.408
IMPLEMENTATION THINK IT THANK
06:06:03.474 --> 06:06:04.642
YOU WELCOME KATHY MUST FOR
06:06:04.709 --> 06:06:08.246
WANTED OF I'M SORRY SUCH AS
06:06:08.313 --> 06:06:10.948
HEALTH COME BACK AGAIN. IT OUT
06:06:11.015 --> 06:06:12.550
SUPPORT SUPPORT FOR THE NAVIN
06:06:12.617 --> 06:06:13.818
PROGRAM WITH. TALES NICE ON
06:06:13.885 --> 06:06:15.486
CERTAINLY CALIFORNIA'S DOING TO
06:06:15.553 --> 06:06:16.788
DO TESTING AND TREATMENT BUT
06:06:16.854 --> 06:06:18.723
THERE'S OBVIOUSLY AS BEEN
06:06:18.790 --> 06:06:20.491
DESCRIBED HERE ONE WE SHOULD
06:06:20.558 --> 06:06:21.592
NOT HAVE A CASE OF CONTENT THAT
06:06:21.659 --> 06:06:23.227
FLOWS IN CALIFORNIA. AND THESE
06:06:23.294 --> 06:06:24.462
ARE THESE ARE SITUATIONS THAT
06:06:24.529 --> 06:06:26.230
UNIQUE CASE MANAGEMENT SO WE
06:06:26.297 --> 06:06:27.699
SUPPORT THIS THANK YOU THANK
06:06:27.765 --> 06:06:29.534
YOU. WELCOME A CREEK FOR A
06:06:29.600 --> 06:06:30.968
PILATES HEALTH ALSO VERY MUCH
06:06:31.035 --> 06:06:32.737
IN SUPPORT THE PROPOSAL FROM
06:06:32.804 --> 06:06:34.238
CHI TECH AND IN SUPPORT OF THE
06:06:34.305 --> 06:06:35.473
PROPOSALS FROM THE OFFICE OF
06:06:35.540 --> 06:06:38.910
AIDS AS WELL. THANK YOU. COME
06:06:38.976 --> 06:06:40.345
WHAT FROM CHAU HARBORED A
06:06:40.411 --> 06:06:41.245
COALITION IN SUPPORT OF THE
06:06:41.312 --> 06:06:44.248
PROPOSED. FROM CHECK AND FROM.
06:06:44.315 --> 06:06:47.952
END UP. PREPPED ASSISTANCE FUND
06:06:48.019 --> 06:06:49.687
THANK YOU THANK YOU WELCOME.
06:06:49.754 --> 06:06:50.788
COURTNEY AMONG HER PEERS AND
06:06:50.855 --> 06:06:51.956
SAN FRANCISCO AIDS FOUNDATION
06:06:52.023 --> 06:06:54.392
IN SUPPORT OF THE TEA ACT ASK-
06:06:54.459 --> 06:06:56.294
AS OTHERS HAVE SAID AND THEN
06:06:56.361 --> 06:06:58.062
ALSO VERY THANKFUL FOR OUR
06:06:58.129 --> 06:06:59.163
DEPARTMENT OF PUBLIC HEALTH AND
06:06:59.230 --> 06:07:00.665
THE STATE OFFICE OF AIDS IN THE
06:07:00.732 --> 06:07:02.367
FAIRLY THOUGHTFUL PROPOSALS
06:07:02.433 --> 06:07:04.102
THEY PUT FORWARD AROUND- PREP
06:07:04.168 --> 06:07:06.270
APPAN EIGHT APT IN SUPPORT OF
06:07:06.337 --> 06:07:08.773
THOSE ASKS AND JUST. SHARE YOUR-
06:07:08.840 --> 06:07:10.942
CENTER. THE DATE. PRIOR IT
06:07:11.008 --> 06:07:12.143
THINK IT'S A WORTHWHILE
06:07:12.210 --> 06:07:13.578
INVESTMENT- I KNOW OTHER
06:07:13.644 --> 06:07:14.946
JURISDICTIONS IN STATES HAVE
06:07:15.012 --> 06:07:15.980
TRIED TO APPROACH THE
06:07:16.047 --> 06:07:17.582
MANUFACTURE ON THAT. AND HAVE
06:07:17.648 --> 06:07:19.217
NOT BEEN SUCCESSFUL EITHER SO I
06:07:19.283 --> 06:07:21.619
THINK WE'RE IN GOOD COMPANY
06:07:21.686 --> 06:07:23.221
EVEN IF THAT'S NOT THE ANSWER
06:07:23.287 --> 06:07:25.156
WE HAWKINS. THANK YOU. THANK
06:07:25.223 --> 06:07:27.392
YOU WELCOME SHALL GIVEN THE
06:07:27.458 --> 06:07:29.293
CHECK HERE TO SUPPORT ALL OF
06:07:29.360 --> 06:07:30.695
THE AND THE EPIDEMICS. DECEIT
06:07:30.762 --> 06:07:32.730
THE PART OF THE COMPREHENSIVE
06:07:32.797 --> 06:07:34.766
STRAP. THANK WELCOME. KELLY
06:07:34.832 --> 06:07:38.302
BROOKS HERE TODAY ON BEHALF OF
06:07:38.369 --> 06:07:38.936
THE LOS ANGELES COUNTY BOARD OF
06:07:39.003 --> 06:07:39.537
SUPERVISOR ON THE SERRA SANTA
06:07:39.604 --> 06:07:40.405
CLARA COUNTY BOARD OF
06:07:40.471 --> 06:07:41.806
SUPERVISORS A LOS ANGELES
06:07:41.873 --> 06:07:44.108
COUNTY SUPPORT ALL OF THE-
06:07:44.175 --> 06:07:45.276
STAKEHOLDER PROPOSALS THAT
06:07:45.343 --> 06:07:46.244
YOU'VE JUST HEARD IN THE
06:07:46.310 --> 06:07:48.446
EPIDEMICS AND ON THAT- CHECK
06:07:48.513 --> 06:07:53.951
STD ALLIGATOR THEY'VE 100%
06:07:54.018 --> 06:07:57.622
INCREASE IN THAT THEIR CONDUCT
06:07:57.688 --> 06:07:59.724
CASES. PARTS THE STD NAVIGATION
06:07:59.791 --> 06:08:01.392
PROPOSAL THEY'VE HAD A FIVE
06:08:01.459 --> 06:08:03.194
FOLD INCREASE OVER THE LAST TEN
06:08:03.261 --> 06:08:03.761
YEARS AND THEIR CONGENITAL
06:08:03.828 --> 06:08:06.697
SYPHILIS CASES SEEMS TO BE A
06:08:06.764 --> 06:08:08.599
TIME WE NEED TO BE INVESTING IN
06:08:08.666 --> 06:08:10.067
THESE ISSUES THANK YOU. THANK
06:08:10.134 --> 06:08:11.803
YOU WELCOME. JOINT NOT SEND
06:08:11.869 --> 06:08:13.538
TOLD ME TO. THE LARGEST WRITER
06:08:13.604 --> 06:08:14.939
SERVICES TO THE LGBT COMMUNITY
06:08:15.006 --> 06:08:16.474
IN THE WORLD IN THE TEST AND
06:08:16.541 --> 06:08:18.643
TREAT ABOUT 20% OF ALL OF THIS
06:08:18.709 --> 06:08:21.379
POSITIVE SYPHILIS CASES IN LA
06:08:21.446 --> 06:08:23.147
COUNTY AND WE- STRONG SUPPORT.
06:08:23.214 --> 06:08:25.082
ISSUES FOR THE SEVEN AND ALL.
06:08:25.149 --> 06:08:26.784
PROPOSED IN ISSUE NUMBER NINE
06:08:26.851 --> 06:08:30.421
IF YOU THANK YOU. WELCOME JERRY
06:08:30.488 --> 06:08:31.155
NUMBER HAVE THE IS HEALTHCARE
06:08:31.222 --> 06:08:32.890
FOUNDATION I. IT'S OF ALL THE
06:08:32.957 --> 06:08:34.959
IN THE EPIDEMIC ON COALITION
06:08:35.026 --> 06:08:36.828
PROPOSALS AS WELL AS THE CHECK
06:08:36.894 --> 06:08:39.597
PROPOSAL THANK YOU. THANK YOU
06:08:39.664 --> 06:08:41.999
WELCOME THE SANCHEZ AS HE YOU
06:08:42.066 --> 06:08:44.502
CALIFORNIA ONE THANK YOU FOR
06:08:44.569 --> 06:08:47.238
HAVING THE STATION REGARDING OF
06:08:47.305 --> 06:08:49.540
IT. RIGHT NOW. I HAVE A VERY
06:08:49.607 --> 06:08:50.808
LONG. OF ITEMS THAT MIGHT
06:08:50.875 --> 06:08:52.143
HEALTH NURSES ARE IN DESPERATE
06:08:52.210 --> 06:08:54.812
NEED OF FIRST AND FOREMOST
06:08:54.879 --> 06:08:56.013
BEING ADDITIONAL PUBLIC HEALTH
06:08:56.080 --> 06:08:58.282
NURSES I WILL SHARE THAT WITH
06:08:58.349 --> 06:09:00.818
YOUR STUFF THANK THANK YOU AND
06:09:00.885 --> 06:09:03.020
I COULD USE MORE PUBLIC THIS IS
06:09:03.087 --> 06:09:05.156
ALL. I JUST RECOUP FELL RIGHT
06:09:05.223 --> 06:09:07.325
SEA KNOWING ELSE AT A F. PUBLIC
06:09:07.391 --> 06:09:09.494
COMMENT THAT THIS CONCLUDES
06:09:09.560 --> 06:09:12.363
SORRY THE THIS YEAR THE SUB
06:09:12.430 --> 06:09:15.233
FISCAL OF NUMBER ON AND HUMAN
06:09:15.299 --> 06:09:37.421
SERVICES BUT THAT WOULD. THANK.