THIS
HEARING OF THE SENATE COMMITTEE
ON HEALTH WILL COME TO ORDER
GOOD AFTERNOON AS WE CONTINUE TO
TAKE SOME PRECAUTIONS TO MANAGE
ONGOING ONGOING COVID 19 RISKS.
THE SENATE CONTINUES TO WELCOME
THE PUBLIC HAS PROVIDED ACCESS
TO BOTH IN PERSON AND
TELECONFERENCE PARTICIPATION FOR
PUBLIC COMMENT. FOR INDIVIDUALS
WISHING TO PROVIDE PUBLIC
COMMENT VIA TELECONFERENCE
SERVICE PARTICIPANT TOLL FREE
NUMBER AND ACCESS CODE JUST
POSTED ON OUR COMMITTEE WEBSITE
AND WILL BE DISPLAYED ON THE
SCREEN AS WELL AND I'M GOING TO
ANNOUNCE IT NOW. TODAY'S
PARTICIPANT NUMBER IS 8442916.
AND THE ACCESS CODE IS 133. 7443
I WILL MAINTAIN DECORUM DURING
THE HEARING. IS THIS CUSTOMARY
AND ANY INDIVIDUAL WHO IS
DISRUPTIVE MAY BE REMOVED FROM
THE REMOTE MEETING SERVICE OR
HAVE THEIR CONNECTIONS MUTED. WE
ARE HOLDING OUR COMMITTEE
HEARINGS HERE IN THE STREET
BUILDING AND I ASK THAT ALL
MEMBERS OF THE COMMITTEE PLEASE
BE PRESENT ROOM 1200 SO WE CAN
CAPTURE QUORUM AND BEGINNER
HEARING. WE HAVE 29 ITEMS ON
TODAY'S AGENDA. I WOULD MAKE
NOTE THAT WE HAVE A SPECIAL FOUL
ORDERS. WE ARE GOING TO HEAR. AH
FIRST A B 21 34 THAN A B 17 97
BY SOME MEMBER ACHILLE WEBER
APPRECIATE HER BEING HERE IN A
TIMELY MANNER. I ALSO LIKE TO
ANNOUNCE THAT WE ARE ALSO
ESTABLISHING TIME LIMITS AS
WELL. UM WE SHALL GET TO WE ARE
NOT HEARING FOUL ITEM NUMBER 16
2080 BY SOME MEMBER WOULD ALSO
HAVE 11 ITEMS UNDER PROPOSED
CONSENT CALENDAR. AND THEY ARE
ITEM NUMBER SEVEN A B 16 84 BY
ASSEMBLYMEMBER'S VOEPEL ITEM
NUMBER 10 A B 18 70 BY SM MEMBER
STONE ITEM NUMBER 12 A B 2032 BY
SOME MEMBER EDUARDO GARCIA. ITEM
NUMBER 13 82. 2034 BY SENATORBRO DONALD. ITEM NUMBER 17 18 22
75 BY SOMERVILLE WOULD ITEM
NUMBER 18 21 17 BY SUMMER BY
GIBSON NUMBER 21 22 98 AS
AMENDED BY A SIM MEMBER MAZE. I
AM NUMBER 24 25 22 AS AMENDED BY
SOME MEMBER GRAY ITEM NUMBER 25
25 29 BY SOME MEMBER DAVIES ITEM
NUMBER 27 MAYBE 26 48 BY SUMMER,
BRAH WILSON. 10 ITEM NUMBER 28
80 26 66 BY SOME MEMBER SALAS.
RIGHT NOW, UM. SO LET'S CHAIR WE
WILL ESTABLISH TIME LIMITS ON
OUR TESTIMONY BECAUSE OF THE
LENGTH OF THE HEARINGS AND
TECHNOLOGY CONSIDERATIONS. DO
THOSE CONSTRAINTS AS COMMITTEE
CHAIR ESTIMATE INSTITUTE THE
FOLLOWING TIME LIMITS ON
TESTIMONY, EACH SIDE WILL BE
PERMITTED EQUAL AMOUNT OF TIME
TO BE TERMINATED CHAIR. AND THAT
IS WE ALLOW TWO MINUTES PER
WITNESS FOR TWO WITNESSES UP TO
FOUR MINUTES ON EACH SIDE. SO UM
, SO BASICALLY FOUR MINUTES OF
AND SUPPORT FOR MINUTES IN
OPPOSITION. ALL OTHERS WISHING
TO TESTIFY MUST LIMIT THEIR
COMMENTS TO NAME AFFILIATION
POSITION ON THE MEASURE. IN
ADDITION, WE ARE ALSO
INSTITUTING LIMITS ON ADDITIONAL
TESTIMONY FOR PEOPLE CALLING ON
THE TELECONFERENCE LYING TO A
MAXIMUM OF 15 MINUTES ON EACH
SIDE. IF PEOPLE IF PEOPLE ARE
UNABLE TO TESTIFY. GET THEIR
TESTIMONY IN YOU, OF COURSE.
ALWAYS FREE TO EMAIL OR SEND
HERE TO WRITTEN TESTIMONY TO THE
SENATE COMMITTEE ON HEALTH AND
INCLUDE THAT ALSO INCLUDES
PEOPLE WHO, IF YOU'RE AN IF YOU
WISH TO AH, ELABORATE ON YOUR
TESTIMONY OR PROVIDE MORE
INFORMATION THAN THE ME TOO.
PLEASE. AGAIN FOR THE RECORD,
PLEASE SEND YOUR WRITTEN
TESTIMONY TO THE SENATE
COMMITTEE ON HEALTH. AND WITH
THAT PORTED GOING TO BEGIN AS A
SUBCOMMITTEE BECAUSE WE DO NOT
HAVE A QUORUM YET, AND WE'RE
GOING TO HEAR FROM OUR FIRST
AUTHOR. SO AGAIN, WE'RE TAKING
SPECIAL BEGIN WITH ITEM NUMBER
TWO A B 21 34 DECEMBER AKILA
WEBER, WHO WELCOME DR WEBBER.
GOOD AFTERNOON CHAIR AND MEMBERS
. I'M HERE TO PRESENT A B 21 34
, CALIFORNIA ABORTION AND
REPRODUCTIVE EQUITY, ALSO KNOWN
AS CARE ACT. THE BILL TO ENSURE
ABORTION AND CONTRACEPTIVE
SERVICES ARE AFFORDABLE AND
ACCESSIBLE TO ALL PATIENTS AND
TO PROVIDE FINANCIAL SUPPORT FOR
SAFETY. NET PROVIDERS OF THESE
SERVICES CALIFORNIA HAS BEEN A
LONG LEADER IN PROTECTING AN
INDIVIDUAL'S RIGHT TO ACCESS
ABORTION. AND WHILE THESE
EFFORTS HAVE HELPED TO MAINTAIN
THIS RIGHT FOR DECADES, THERE
ARE STILL NUMEROUS REMAINING
BARRIERS TO ACCESSING CARE.
INCLUDING THE COST. TO ADDRESS
THESE BARRIERS REPRODUCTIVE
HEALTH PROVIDERS IN CALIFORNIA
OFFER UNCOMPENSATED CARE TO
PATIENTS WHO ARE UNABLE TO
AFFORD THE COST OF THESE
SERVICES. PATIENTS MAY BE IN A
SITUATION BECAUSE OF INCOME AND
PROGRAM ELIGIBILITY REQUIREMENTS
OR BECAUSE THEY LACK COVERAGE
FOR ABORTION AND ABORTION
RELATED REPRODUCTIVE HEALTHCARE.
THIS INCLUDE THOSE WHO ARE
UNINSURED OR UNDERINSURED DID
THE GAPS IN THEIR PERSONAL
COVERAGE DUE TO RELIGIOUS
EXEMPTION OR SELF INSURED
EMPLOYERS INSURANCE REGULATED BY
FEDERAL LAW. IN ADDITION TO THE
COST BARRIERS THIS YEAR, THERE
HAVE BEEN OVER 500 ABORTION
RESTRICTIONS PROPOSED IN OVER 40
STATES AND, ACCORDING TO THE
GUTTMACHER INSTITUTE IN 2017.
THERE WERE ALMOST 1500
FACILITIES PROVIDING ABORTIONS
IN THE U. S, REPRESENTING A 5%
DECREASE FROM 2014. THIS HAS
FORCED PEOPLE TO TRAVEL OUT OF
THEIR HOME STATE FOR ABORTION.
CALIFORNIA PROVIDERS ARE ALREADY
SERVING PATIENTS FROMTHE STATES
AND EXPECT TO SEE MANY MORE
PEOPLE WHO WOULD FIND THEIR
NEAREST ABORTION PROVIDER IN
CALIFORNIA, AS ADDITIONAL STATES
ENACT THEIR HOSTILE LAWS. AND
THE SUPREME COURT RULES ON THE
CASE, WHICH IS LIKELY TO
OVERTURN ROE VERSUS WADE. AS A
REPRODUCTIVE FREEDOM STATE. WE
MUST URGENTLY ADDRESS AND
SUPPORT THE NEEDS OF THE
PROVIDERS. WHO OFFERED THIS CARE
TO ENSURE THEY CAN CONTINUE TO
SERVE PATIENTS WHO ARE RELYING
ON THEM FOR THIS CRITICAL
SERVICE. MAYBE 21 34 ESTABLISHES
THE CALIFORNIA REPRODUCTIVE
HEALTH EQUITY PROGRAM WITHIN THE
DEPARTMENT OF HEALTH CARE,
ACCESS AND INFORMATION TO
PROVIDE GRANT FUNDING TO
CALIFORNIA'S SAFETY NET
PROVIDERS OF ABORTION AND
CONTRACEPTIVE SERVICES. MEDICAL
PROVIDERS WOULD BE AUTHORIZED TO
APPLY FOR A GRANT AND
CONTINUATION AWARD AFTER THE
INITIAL GRANT IF THEY AGREED TO
PROVIDE ABORTION AND
CONTRACEPTIVE SERVICES FOLLOWING
CERTAIN CONDITIONS. I'M VERY
PROUD TO SAY THAT 40 MILLION HAS
BEEN ALLOCATED FOR THIS PROGRAM,
AND THE GOVERNORS MAY REVISE
SPECIFICALLY TO ESTABLISH AND
ADMINISTER AND UNCOMPENSATED
CARE FUND FOR ABORTION SERVICES
FOR INDIVIDUALS BELOW 400% OF
THE FEDERAL POVERTY LINE. TO
ADDRESS CONCERNS RAISED WILL BE
TAKING AMENDMENTS IN THE SENATE
JUDICIARY COMMITTEE TO REMOVE
NOTIFICATION REQUIREMENT ON
EMPLOYERS THAT DO NOT PROVIDE
HEALTH COVERAGE FOR BOTH
ABORTION AND CONTRACEPTION.
THOSE EMPLOYERS WILL NOT HAVE TO
NOTIFY THEIR EMPLOYEES OF THE
LACK OF COVERAGE OR PROVIDE
NOTIFICATION OF THE SERVICES
AVAILABLE UNDER THIS PROGRAM.
WITH ME TODAY TO SPEAK IN
SUPPORT OF A B 21 34 IS MOLLY
ROBSON, LEGISLATIVE DIRECTOR FOR
PLANNED PARENTHOOD AFFILIATES OF
CALIFORNIA. THANK YOU. THANK YOU
SO MUCH, DOCTOR WEBER AND AGAIN.
THANK YOU SO MUCH FOR TAKING THE
AMENDMENTS, WHICH I KNOW YOU'LL
BE TAKING UP WITH THE NEXT
COMMITTEE. SO LET'S GO ON TO
WITNESSES AND SUPPORT BEGAN WITH
MOLLY ROBISON FROM PLANNED
PARENTHOOD. WELCOME TWO MINUTES.
THANK YOU. GOOD AFTERNOON CHAIR
AND MEMBERS. I WANT TO START BY
THINKING THE COMMITTEE FOR THEIR
ANALYSIS AND THEIR FEEDBACK ON
THIS BILL. WE REALLY APPRECIATE
WORKING WITH ALL OF YOU. I'M
MOLLY ROBSON, PLANT LEGISLATIVE
DIRECTOR WITH PLANNED PARENTHOOD
AFFILIATES OF CALIFORNIA. WE
REPRESENT THE SEVEN AFFILIATES
IN THE STATE WHO OPERATE OVER
100 HEALTH CENTERS IN CALIFORNIA
AND SERVE PATIENTS FROM EVERY
COUNTY. PEAPACK ALONGSIDE
REPRODUCTIVE FREEDOM LEADERS AND
ORGANIZATIONS FORMED THE FUTURE
OF ABORTION COUNCIL IN THE FALL
TO COME UP WITH RECOMMENDATIONS
TO IMPROVE ACCESS TO ABORTION
AND DECREASED BARRIERS TO CARE.
THIS BILL IS ONE OF THE
RECOMMENDATIONS THAT CAME OUT OF
THAT COUNCIL. WALL CALIFORNIA
HASN'T BEEN SUCCESSFUL IN
REDUCING COST BARRIERS FOR CARE
FOR ABORTION. THERE IS MORE WE
CAN DO TO REDUCE BARRIERS AND
BECAUSE ABORTION IS A TIME
SENSITIVE, ESSENTIAL HEALTHCARE
SERVICE, UM THE BARRIERS THAT
ARE CAUSED BY THE COST BARRIERS
CAN PUSH PEOPLE INTO A LATER
GESTATIONAL AGE OR PRESSURE
PEOPLE TO HAVE AN UNWANTED
PREGNANCY CARRIED TO TERM. TO
ADDRESS THESE BARRIERS. SAFETY
NET PROVIDERS AS REMEMBER, WEBER
MENTIONED OF LIKE PLANNED
PARENTHOOD OFFER UNCOMPENSATED
CARE TO PATIENTS WHO CANNOT
AFFORD TO PAY. ON AVERAGE. OUR
AFFILIATES OFFER NEARLY $15
MILLION WORTH OF UNCOMPENSATED
CARE TO PATIENTS ANNUALLY, AND
THAT'S JUST OUR AFFILIATES AND
ALSO AS PREVIOUSLY MENTIONED,
JUST THIS YEAR, THERE'S BEEN
HUNDREDS OF ABORTION
RESTRICTIONS INTRODUCED IN OTHER
STATES. 11 HAVE BEEN ENACTED IN
STATES ACROSS THE US, AND IT'S
ESTIMATED THAT WHEN ROE IS
OVERTURNED, WHICH WE'RE
EXPECTING TO SEE ANY DAY NOW,
1.4 MILLION PEOPLE WILL FIND
THEIR CLOSEST ABORTION PROVIDER
IN CALIFORNIA. STINTS AS IT WENT
INTO EFFECT IN TEXAS. PLANNED
PARENTHOOD HEALTH CENTERS IN
CALIFORNIA HAVE BEEN SEEING ON
AVERAGE 1500 PATIENTS FROM
ACROSS ARE FROM STATES OUT OF
OUT OF STATE SORRY FROM OTHER
STATES EACH MONTH AS WE PREPARE
TO SEE MORE PATIENTS SEEKING
ABORTION IN CALIFORNIA, WE'RE
LOOKING FOR WAYS TO ADDRESS
THESE BARRIERS. MAYBE 21 34 WILL
CREATE A GRANT PROGRAM FOR
ABORTION PROVIDERS WHO OFFER
UNCOMPENSATED CARE TO PATIENTS
IN CALIFORNIA. ENSURING THE
PROVIDERS LIKE PLANNED
PARENTHOOD CAN CONTINUE TO MEET
THE NEEDS OF THEIR COMMUNITIES
AND PROVIDE CARE TO ANYONE WHO
WALKS IN THE DOOR. PLANNED
PARENTHOOD'S MOTTO IS CARE NO
MATTER WHAT IN THIS BILL WILL
ALLOW OUR PROVIDERS TO SUPPORT
PATIENTS EQUITABLY, REGARDLESS
OF THEIR ABILITY TO PAY FOR
THOSE REASONS. WE RESPECTFULLY
ASK FOR YOUR VOTE TODAY. THANK
YOU. THANK YOU. I DO HAVE LIST
IS THE SECOND WITNESS SARAH
WOODROFFE. ALSO FROM PLAYING
PAINTED HOOD. YOU TESTIFYING
OKAY. GOOD AFTERNOON CHAIR AND
MEMBERS. STACEY WOULD OUR
FACILITY GENERAL COUNSEL FOR
PLANNED PARENTHOOD AFFILIATES OF
CALIFORNIA. I'M JUST HERE IN THE
EVENT. THE MEMBERS HAVE
TECHNICAL QUESTIONS ON THE BILL.
OKAY THANK YOU. ALL RIGHT NOW
WE'LL MOVE ON TO ADDITIONAL
WITNESSES AND SUPPORT OF ITEM
NUMBER TO A V 21 34 BEGINNING
HERE IN ROOM. 1200 PLEASE COME
TO THE MICROPHONE, ITS NAME
ORGANIZATION POSITION. MY NAME
IS WENDY BLOOM, A REGISTERED
NURSE AND I SUPPORT A B 21 34.
THANK YOU. NEXT WITNESS. HI MY
NAME IS SANDY. I'M A 17 YEAR OLD
STUDENT FROM SAN JOSE. AND I
SUPPORT A B 21 34. THANK YOU.
WELCOME. HI MY NAME IS KATIE.
I'M ALSO A 17 YEAR OLD STUDENT
FROM THE BAY AREA. I AM IN
SUPPORT OF A B 21 34. THANK YOU.
WELCOME. CHAIR AND MEMBERS KATHY
MOSSBERG ON BEHALF OF ESSENTIAL
ACCESS, HEALTH AND SUPPORT.
OKAY, THANK YOU. SEEING NO ONE
ELSE APPROACHING THE MICROPHONE
WILL NOW MOVE ON TO WITNESSES ON
A TELECONFERENCE LINE MODERATOR
, PLEASE OPEN THE LINES FOR
WITNESSES WHO WISH TO TESTIFY IN
SUPPORT OF A B 21 34 NAME
ORGANIZATION POSITION ONLY.
OPENNESS IS LINES ARE OPEN. I
BELIEVE YOU HAVE TO CALL THE
LINE NUMBERS. OH I'M SORRY. I
THOUGHT YOU SAID WITNESSES. I'M
SORRY LINE TO 44. PLEASE GO
AHEAD. BRENT SPENCER ON BEHALF
OF THE AMERICAN COLLEGE OF
OBSTETRICIANS AND GYNECOLOGISTS
. THEY ARE CO SPONSORS ON THIS
MEASURE IN SUPPORT. THANK YOU.
THANK YOU NEXT WITNESS. LINE TO
59. PLEASE GO AHEAD. REMEMBER
THIS IS AARON EVANS ON BEHALF OF
NARAL PRO CHOICE, CALIFORNIA, CO
SPONSOR OF THE BILL, AS WELL AS
THE CALIFORNIA NURSES MIDWIVES
ASSOCIATION BOTH IN SUPPORT.
THANK YOU. THANK YOU NEXT
WITNESS. 9 TO 66. PLEASE GO
AHEAD. TO 66. YOUR LINE IS OPEN.
NO RESPONSE LINE TO 57. PLEASE
GO AHEAD. THINK IT'S YOUR PAN
SOCIOPATHY ELLA ON BEHALF OF
ACCESS, REPRODUCTIVE JUSTICE AND
FULL SUPPORT. THANK YOU. THANK
YOU NEXT LONELINESS. THANK YOU
LINE TO 45. PLEASE GO AHEAD. I
AM A CRAIG FROM FULL LIFE. SAN
FRANCISCO STRONGLY URGING A NO
VOTE. THANK YOU. OKAY. THANK
YOU. NEXT WITNESS SUPPORT. THINK
IT'LL BE ONE MOMENT FOR THE NEXT
WITNESS. ONE MOMENT, PLEASE.
THEN WE HAVE LAIN TO 62. PLEASE
GO AHEAD. REBECA GONZALEZ.
NATIONALIST SOC ATION OF SOCIAL
WORKERS CALIFORNIA CHAPTER IN
SUPPORT. THANK YOU. WITNESS.
BUYING 2 22 TO PLEASE GO AHEAD.
I HAD. THIS IS HECTOR JIMENEZ
DELGADO WITH NATIONAL HEALTHCARE
PROGRAM. WE ARE IN SUPPORT.
THANK YOU. NEXT WITNESS. YES OR
NO OTHER LINES IN THE CUBE.
THANK YOU. THANKS VERY MUCH.
WE'LL NOW MOVE ON TO WITNESSES
IN OPPOSITION TO A B 21 34.
LET'S SEE. WE HAVE TO LEAD
WITNESSES AND OPPOSITION. I
BELIEVE ONES IN THE ROOM HERE.
BOTH ARE IN THE ROOM. OKAY
WELCOME. ALRIGHT SO WE'LL BEGIN
WITH MOLLY SHEEHAN FROM WHO'S
WITH LIFE AND FAMILY ADVOCACY.
YOU HAVE TWO MINUTES AND THEN
IT'S FOLLOWED BY SUSAN ARNOLD
WITH THE RIGHT TO LIFE LEAGUE
WELCOME. THANK YOU. CHAIR PAN
AND MEMBERS OF THE HEALTH
COMMITTEE. MY NAME IS MOLLY
SHANE HERE ON BEHALF OF THE
CALIFORNIA CATHOLIC CONFERENCE.
THE CATHOLIC CHURCH IS THE
LARGEST PROVIDER OF PRIVATE,
NONPROFIT SOCIAL SERVICES IN
CALIFORNIA AND IN THE WORLD AND
EVERYDAY CATHOLIC MEN AND WOMEN
, PRIESTS AND SISTERS SERVE THE
POOREST OF THE POOR. IN EVERY
NEIGHBORHOOD IN CALIFORNIA, WE
PROVIDE HOUSING TO THOSE WHO
LIVE ON THE STREETS, THOSE WITH
MENTAL ILLNESS AND THOSE WHO
SUFFER FROM ADDICTION. WE
WELCOME IMMIGRANTS AND REFUGEES
. WITHOUT QUESTION. WE PROVIDE
MEDICAL CARE AND SOCIAL SERVICES
TO THOSE IN OUTLYING AREAS AND
INNER CITIES. WE WALK WITH
WOMEN, CHILDREN AND FAMILIES
STRUGGLING IN OUR STATE TO
AFFORD SAFE AND AFFORDABLE
HOUSING. BUT THIS BILL IS FIRST
AND EGREGIOUS ASSAULT ON THE
FIRST AMENDMENT RIGHTS OF
EMPLOYERS TO PRACTICE THEIR
FAITH. PEOPLE OF CONSCIENCE HAVE
A MORAL OBLIGATION TO OBJECT TO
ANYTHING THAT HARMS HUMAN LIFE
THAT ENDS THE LIFE OF ANOTHER
HUMAN BEING SUCH AS ABORTION.
THAT'S WHY IT'S UNCONSCIONABLE
TO FORCE EMPLOYERS TO ADVERTISE
OR DIRECTLY PAY FOR THE VERY
THING THE MOST OBJECTED TO 21 34
COMPELLED SPEECH FROM RELIGIOUS
AND NON RELIGIOUS EMPLOYERS. ARE
CATHOLIC EMPLOYERS AND
MINISTRIES WILL BE FORCED TO
ADVERTISE AND PAY FOR ABORTIONS
TO OUR EMPLOYEES EVERY YEAR.
THIS BILL WILL FORCE RELIGIOUS
MINISTRIES TO SHUTTER THEIR
DOORS. ABORTION HAS BEEN THE
MOST CONTROVERSIAL TOPIC IN
AMERICAN POLITICAL LIFE FOR THE
LAST 50 YEARS. POLLING SHOWS THE
VAST MAJORITY OF AMERICANS DO
NOT WANT THEIR TEXT DOLLARS USED
FOR ABORTION AND AMERICANS ARE
DIVIDED ON ABORTION'S LEGALITY.
SO THIS BILL DOES NOT REFLECT
THE WILL OF CALIFORNIANS AND
SECOND, THIS BILL DOES NOT
PROVIDE TRUE REPRODUCTIVE
JUSTICE. WHEN OUR COMMUNITY
ORGANIZERS GO INTO THE HOMES OF
OUR MOST VULNERABLE COMMUNITIES
FAMILIES IN POVERTY, THE FAMILY
STATE WE CANNT SURVIVE A LIVING
IN CALIFORNIA AND FOR WOMEN WHO
CHOOSE TO PARENT THE COST OF
PRENATAL CARE OF DOULAS,
MIDWIFERY, COPAYS DEDUCTIBLES,
BIRTH PARENTING CLASSES MUST ALL
BE PAID OUT OF POCKET WELL,
ABORTION WOULD BE COMPLETELY
COVERED. OFFERING ABORTION IS
THE ONLY SOLUTION WITHOUT
ADDRESSING THE REAL NEEDS IS
TANTAMOUNT TO COERCION. MOST LOW
INCOME WOMEN SELF IDENTIFY AS
PRO LIFE ACCORDING TO GALLUP,
AND THEY DO NOT WANT MORE
ABORTION. MOST OF THE WOMEN THAT
WE WORK WITH WON'T HELP TO BE
PARENTS, BUT THERE'S NO
COORDINATION OF CARE AND
SERVICES FOR PARENTS AND THE
FUNDING THIS BILL WOULD NOT
APPLY TO THEM. SO AGAIN, THIS
BILL PREJUDICES THE CHOICE OF
ABORTION AND LEAVES THOSE WHO
CHOOSE TO PARENT TO FEND FOR
THEMSELVES. IT IS NOT EQUITY AND
IT IS NOT REPRODUCTIVE JUSTICE
ON BEHALF OF CALIFORNIA, WOMEN,
FAMILIES AND THOSE WHO WANT THE
RIGHT TO LIVE AND SAFE AND
SUSTAINABLE COMMUNITIES AND TO
BE SUPPORTED WHEN THEY CHOOSE TO
BE. PARENTS ALREADY KNOW. VOTE
ON A B 21 34. THANK YOU. THANK
YOU WILL NOW MOVE ON TO SUSAN
ARNOLD, AND I THINK SHE LEFT YOU
A MINUTE. 40 SECONDS. THANK YOU
. MY NAME IS SUSAN ARNOLD. I'M
AT CALIFORNIA ATTORNEY AND VICE
PRESIDENT OF LEGAL AFFAIRS AT
THE RIGHT TO LIFE LEAGUE,
ORGANIZATION. AS MOLLY WAS
SAYING A B 21 34 VIOLATE OUR
STATE CONSTITUTION. IT CREATES
STATE AND PRIVATE FUNDING
FAVORING ABORTION OVER
CHILDBIRTH THAT IS A
CONDITIONING OF PUBLIC BENEFITS
FRAMEWORK IN VIOLATION OF THE
CALIFORNIA CONSTITUTION.
PURSUANT TO OUR STATE SUPREME
COURT CASE. COMMITTEE TO DEFEND
REPRODUCTIVE RIGHTS VERSUS MEYER
THAT WAS BACK IN 1981, THE
CALIFORNIA THAT BACK THEN THE
CALIFORNIA CONSTITUTION STILL
APPLIED AND THE LEGISLATURE WAS
TRYING TO FINANCIALLY FAVORED
CHILDBIRTH OR OF OR ABORTION.
THE COURT SAID NO THERE IS NO
GREATER POWER THAN THE POWER OF
THE PURSE IF THE GOVERNMENT CAN
USE IT TO NULLIFY CONSTITUTIONAL
RIGHTS BY CONDITIONING BENEFITS
ONLY UPON THE SACRIFICE OF SUCH
RIGHTS, THE BILL OF RIGHTS COULD
EVENTUALLY BECOME A YELLOWING
SCRAP OF PAPER. I'M VERY
ENCOURAGED TO HEAR THAT THE
SENATOR IS CONSIDERING THE
AMENDMENTS THAT WOULD POSSIBLY
CURE THE COMPELLED SPEECH TO
FORCE PRIVATE EMPLOYERS TO
ADVERTISE ABORTION SERVICES IN
VIOLATION OF THE FLA VERSUS
BASARA. I'M ENCOURAGED THAT SHE
IS PREPARED TO AMEND THAT, BUT
FUNDAMENTALLY, THIS BILL IS
FLAWED AND UNCONSTITUTIONAL
BECAUSE IT FAVORS ONE METHOD OF
REPRODUCTIVE CHOICE ABORTION
OVER ANOTHER, WHICH IS
CHILDBIRTH. IT MUST BE EQUALLY
BALANCED AND FINANCIALLY FAIR TO
BOTH SIDES. THANK YOU VERY MUCH.
THANK YOU. WE'LL NOW MOVE ON TO
ADDITIONAL WITNESSES AND
OPPOSITION TO A B 21 34 NAME
ORGANIZATION POSITION ONLY.
PLEASE COME UP TO MICROPHONE.
WELCOME THANK YOU. JENNIFER CLUB
CO. RIVERSIDE COUNTY, A MEMBER
OF THE STATEWIDE COALITION OF
LIFE, FAITH AND FAMILY, AND WE
STRONGLY OPPOSED THIS, BILL.
THANK YOU. WELCOME. HELLO THANK
YOU. MY NAME IS SARAH
ABDURRAHMAN 19 YEAR OLD STUDENT.
I STRONGLY OPPOSE THIS BILL.
THANK YOU. WELCOME. HELLO MY
NAME IS ABBY ABDO'S FROM THE
PRESIDENT OF A TURNING POINT USA
CHAPTER AND RENTAL CUCAMONGA AND
I STRONGLY OPPOSE THIS BILL.
THANK YOU. WELCOME. HELLO GREG
ABDO'S FROM THE FOUNDER OF NOW
IN SOUTHERN CALIFORNIA. AND I
STRONGLY OPPOSE THIS BILL. THANK
YOU. WELCOME. HELLO CHARLENE.
FOLKS FROM VACAVILLE,
CALIFORNIA. I OPPOSE THIS BILL.
THANK YOU. WELCOME. QUÊ HELLO,
JUDY MECHANIC FROM ALAMEDA
COUNTY. AS A PRIVATE CITIZEN, I
POST THIS BILL. THANK YOU.
WELCOME MIGRANTS, JENNIFER
DESIPIO, ALSO FROM ALAMEDA
COUNTY, AND TO OPPOSE THE BILL.
THANK YOU WELCOME. THERESA
BRENNAN, PRESIDENT AND EXECUTIVE
DIRECTOR OF THE RIGHT TO LIFE
LEAGUE. WE STRONGLY OPPOSED THIS
BILL. THANK YOU. WELCOME. I'M
CHRISTINE CAMPBELL. JUST A
MOTHER FROM YUBA COUNTY WHEN ISTRONGLY OPPOSE THIS, BILL,
THANK YOU. WELCOME. BRANDON
CAMPBELL, PASTOR WITH CALIFORNIA
CAPITAL CONNECTION. NORTHERN
CALIFORNIA OGANIZER CONNECTING
BAPTIST CHURCHES TO THEIR
LEGISLATORS, AND WE STRONGLY
OPPOSE THIS BILL. THANK YOU.
WELCOME. MY NAME IS BRAD
CAMPBELL FROM THE LIGHTHOUSE
BAPTIST CHURCH IN SANTA MARIA,
CALIFORNIA I'M THE DIRECTOR OF
OUR ABORTION ABOLITION MINISTRY.
AND I OPPOSE THIS BILL. THANK
YOU. WELCOME. MY NAME IS EMILY
CAMPBELL. I'M FROM SANTA MARIA.
AND I'M A MOM AND I STRONGLY
OPPOSE THIS BILL. THANK YOU.
WELCOME ETHAN CAMPBELL. I AM A
STUDENT IN CALIFORNIA AND I
STRONGLY OPPOSE THIS BILL. THANK
YOU. WELCOME. FROM KELSEY
CAMPBELL FROM LIGHTHOUSE BAPTIST
CHURCH IN SANTA MARIA. AND I
STRONGLY OPPOSE THIS, BILL.
THANK YOU. WELCOME. ANYTHING
GREGORY AND I STRONGLY OPPOSE
THIS, BILL. THANK YOU. WELCOME.
I'M KELLY CAMPBELL FROM THE
FAITH BAPTIST CHURCH IN
WHEATLAND, CALIFORNIA AND I
STRONGLY OPPOSE THIS BILL. THANK
YOU. WELCOME. GRACE GREGORY FOR
ME WITH COUNTY AND I STRONGLY
OPPOSE THIS, BILL. THANK YOU.
WELCOME. LLOYD CAMPBELL FROM THE
FAITH BAPTIST CHURCH IN
WHEATLAND, CALIFORNIA OPPOSE THE
BILL. THANK YOU. WELCOME. I AM
SHARING CAMPBELL AND I STRONGLY
OPPOSE THIS BILL. THANK YOU.
WELCOME. C JOELLE KELCH,
RUNNING SPRINGS, CALIFORNIA AND
I STRONGLY OPPOSE THIS BILL.
THANK YOU. CASEY NO, AND
APPROACHING THE MICROPHONE WILL
GO ON TO THE TELECONFERENCE
LINE. MODERATOR PLEASE OPEN THE
LINES FOR WITNESSES TO TESTIFY
IN OPPOSITION TO A B 21 34 NAME
ORGANIZATION POSITION ONLY.
MODERATOR. CAN YOU HEAR ME? YES,
I CAN HEAR YOU NOW. THANK YOU IF
YOU WISH TO SPEAK IN OPPOSITION
TO A B 21 34, PLEASE PRESS 10 AT
THIS TIME LINE 2 80, PLEASE GO
AHEAD. LINE 280. FULLER. YES,
PLEASE, PLEASE, PLEASE GO AHEAD
ORGANIZATION POSITION. AND MY
NAME IS VANESSA SANTO AND I
OPPOSED MAYBE 2134. THANK YOU.
NEXT WITNESS. THANK YOU, RYAN TO
49. UM HI. CAN YOU HEAR ME? YES.
PLEASE, PLEASE GO AHEAD. GOOD
AFTERNOON. CASHEL WILLIAMS, A
MAN, AN IMMIGRANT CITIZEN OF
THIS COUNTRY, AND I ASKED FOR A
LAWYER OR ABSTAIN VOTE. THANK
YOU. THANK YOU. NEXT WITNESS.
THANK YOU. LINE TO 81. PLEASE GO
AHEAD. HI JIMMY GRIEF ON BEHALF
OF TICKETS STAND STANISLAS AND
STRONG OPPOSITION. THANK YOU.
THANK YOU. NEXT WITNESS. MINE TO
79. HI MY NAME IS MELISSA CLOVER
AND PRO LIFE. SAN FRANCISCO. I
OPPOSE THIS BILL. THANK YOU.
NEXT WITNESS. THANK YOU, RYAN.
TWO. OH, EIGHT. HI I'M FABULOUS
ADDRESS ON BEHALF OF GOD AND
EVERY PRESENTING THE UNBORN BY A
POST IS STILL THANK YOU. NEXT
WITNESS. BUY INTO 72. MY NAME IS
COURTNEY PETERS TO TAKE A STAND
STRONGLY OPPOSED THIS BILL.
THANK YOU. NEXT WITNESS. BLIND
TO 86. STEPHANIE DEGREE. I'M
CALLING AS A REPRESENTATIVE OF
TAKE A STANCE. STANISLAUS SAN
JOAQUIN COUNTY LIBERTY COALITION
AND NURSES FOR MEDICAL FREEDOM.
AND WE STRONGLY OPPOSE THIS
BILL. THANK YOU. THANK YOU. NEXT
WITNESS. FIND 2 28. PLANE 2 TO
8. HI MY NAME IS ALISON AS OUR
I'M A REGISTERED NURSE FROM
COUNTY AND I STRONGLY OPPOSE
STILL. THANK YOU. THANK YOU.
NEXT WITNESS. BLIND TO 89. YES,
PENNY HARRINGTON FROM SAN DIEGO
COUNTY STRONGLY OPPOSED. THANK
YOU NEXT WITNESS. BLIND TO
NINETIES. SORRY WE'RE GOING TO
THE LINE TO 45. TO 45. YOU HAVE
NO FURTHER COMMENT. THANK YOU.
OKAY. ANY OTHER WITNESSES? NO
MORE. MODERATOR. I HAVE NO
FURTHER COMMENTS IN Q. ALL
RIGHT. THANK YOU. ALL RIGHT.
WELL, THEN WE'LL BRING THIS BACK
TO THE COMMITTEE MEMBERS,
QUESTIONS OR COMMENTS FROM
COMMITTEE MEMBERS. CENTER GROVE.
THANK YOU VERY MUCH. I DO
APOLOGIZE ASSEMBLY MOMENT. I
HAVE TWO COMMITTEES THAT I
BOUNCED BACK AND FORTH TO, SO I
APOLOGIZE FOR MS SENIOR
PRESENTATION. I DO HAVE A COUPLE
OF QUESTIONS. YOU KNOW, ONE OF
THE QUESTIONS I HAVE IS THAT
THERE ARE A LOT OF EMPLOYERS OUT
THERE THAT ONE ACTUALLY IN A
SUPREME COURT DECISION THAT THEY
DON'T HAVE TO PROVIDE ABORTION
CARE SERVICES FOR FAITH AND
RELIGIOUS REASONS, AND I NOTICED
THEY JUST GAVE ME THESE
AMENDMENTS. I HAVEN'T HAD A
CHANCE TO READ HIM OR GO OVER
AND I JUST HAD HIM HANDED TO ME
LESS THAN A MINUTE AGO. CAN YOU
TELL ME IF THOSE AMENDMENTS WERE
TAKEN? THAT AMENDMENT WAS TAKEN
OUT SO THAT THESE EMPLOYERS THAT
ARE FAITH BASED EMPLOYERS WOULD
NOT HAVE TO PROVIDE ABORTION
SERVICES AT THEIR COST IN THEIR
HEALTH CARE PROGRAMS. THIS
EXAMPLE. THIS IS ALWAYS EXEMPTED
RELIGIOUS BASED EMPLOYERS. EVEN
PRIVATE SECTOR BUSINESS
EMPLOYERS. YES, YES, OKAY. MM. I
APOLOGIZE AGAIN. I APOLOGIZE AND
MR CHAIR IF WE COULD START WITH
SOMEBODY ELSE ON THE DIET,
BECAUSE I JUST GOT HERE. I
APOLOGIZE. ARE THERE OTHER
QUESTIONS AND COMMENTS? YES
CEREMONY. LUNDE'S. THANK YOU SO
MUCH SO. THE FIRST THING I WOULD
LIKE TO DO IS JUST THANK ALL OF
THE PEOPLE WHO CAME TO TESTIFY.
IN SUPPORT OR OPPOSITION OF THIS
BILL. SPECIFICALLY THOUGH, THE
PASTORS AND THE STUDENTS IN
THOSE FROM TURNING POINT AND THE
AVERAGE CITIZENS I THINK IT'S
VERY IMPORTANT THAT YOUR VOICE
IS HEARD TO THANK YOU FOR COMING
TODAY AND MAKING THE TIME TO
SHARE YOUR VIEWS ON THIS BILL,
ASSEMBLYWOMAN THAT YOU SAID. DID
YOU SAY $40 MILLION WAS BEING
SET ASIDE FOR THIS? DID I HEAR
THAT NUMBER CORRECTLY? YES 40
MILLION. OKAY, I JUST WANT TO
MAKE SURE SO $40 MILLION REVISE
, REVISE. OKAY, SO WE'VE HAD. I
DON'T KNOW HOW MANY BILLS NOW
COME THROUGH THIS COMMITTEE
RELATED TO THIS ISSUE, AND THERE
HAVE BEEN MORE FUNDS SET UP TO
PROVIDE ABORTION SERVICES. THEN
I CAN COUNT. I MEAN, IT'S ONE
AFTER THE OTHER. EVERYBODY WANTS
TO CREATE THIS SLUSH FUND OF
MONEY SO THAT PEOPLE CAN USE IT
FOR ABORTION SERVICES. YOUR BILL
YOU KNOW YOU SPEAK TO THE FACT
AND HERE THAT THE ROW V. WADE
DECISION IS PENDING. IN FACT,
THAT WILL SHOULD BE COMING OUT.
TOMORROW IS THE LAST DAY THEY
WILL BE ISSUING THEIR OPINIONS.
UM AND THAT WOMEN ACROSS THE
COUNTRY WILL BE DENIED ACCESS TO
ABORTION OR HAVE LIMITED ACCESS
TO ABORTION. AND SO IT IS THE
GOVERNOR'S POSITION IN THAT OF
YOUR PARTY THAT WE BECOME A
SANCTUARY. FOR THOSE SEEKING
ABORTION. SO WHAT I WOULD LIKE
TO KNOW IS WE HAVE. A SHORTAGE
OF RESOURCES IN CALIFORNIA
ANYWAYS FOR HIS MEDICAL
PERSONNEL, SO NOW WE'RE GOING TO
BE COMPOUNDING THAT PROBLEM AND
ADDING MORE PEOPLE INTO THE
SYSTEM FROM OUT OF STATE AND
WHAT YOU ARE ASKING IS THAT THE
STATE OF CALIFORNIA AND ITS
CITIZENS, THOSE WHO PAY THE
BILLS PAY FOR THE ABORTIONS OF
WOMEN FROM OTHER STATES. AND I
DON'T I'M TRYING TO UNDERSTAND
GIVEN GIVEN THE. THE DIRE NEED
THAT WE ARE IN IN THIS STATE
JUST FROM A MEDICAL PROFESSIONAL
PERSPECTIVE, NOT JUST, YOU KNOW
, HEALTHCARE AND ABORTION
RELATED SERVICES. BUT WE ARE IN
DIRE NEED, AND NOW WE ARE ADDING
TO THIS PROBLEM, AND I JUST
WONDER IF YOU COULD COMMENT ON
THAT. YEAH. THANK YOU SO MUCH
FOR THAT QUESTION. AS A
PHYSICIAN, BECAUSE I AM A
PHYSICIAN AND I AM AN O B G Y N
, UM YOU KNOW, WE TAKE AN OATH
TO TAKE CARE OF PATIENTS THAT
COME TO SEE US, REGARDLESS OF IF
THEY'RE CALIFORNIANS, OR IF
THEY'RE FROM TEXAS, OR IF
THEY'RE FROM UM, OREGON. AND SO
THIS PARTICULAR GRANT IS. TO
BASICALLY PAY THOSE PROVIDERS
THAT ARE PROVIDING SERVICES FOR
WHICH THEY MAY NOT GET PAID FOR.
AND I THINK WHERE WE ARE HERE IN
CALIFORNIA AND OUR ECONOMY. WE
WANT TO MAKE SURE THAT OUR
RESIDENTS ARE PAID AND ARE ABLE
TO SURVIVE HERE. SOMEONE ONE OF
THE I BELIEVE ONE OF THE
WITNESSES WHO CAME TALKED ABOUT
HOW EXPENSIVE. IT IS TO LIVE
HERE IN CALIFORNIA, RIGHT? AND
SO THIS FUND IS TO PAY FOR
CALIFORNIA PROVIDERS WHO ARE
PROVIDING A SERVICE. TO PATIENTS
WHO COME TO THEM FOR THEIR CARE.
THAT I WOULDN'T NECESSARILY SAY
THAT WE'RE PAYING FOR PEOPLE WHO
ARE COMING FROM OUT OF STATE
BECAUSE THIS WILL COVER THOSE
WHO ARE IN STATE TO. AS I SAID,
IN MY OPENING WHO MAY BE
UNINSURED, UNDERINSURED. UM BUT
IT IS MAKING SURE THAT OUR
RESIDENTS THAT ARE PROVIDERS
HERE ARE COMPENSATED, ARE ABLE
TO STAY HERE TO PROVIDE MEDICAL
CARE FOR CALIFORNIA RESIDENTS.
AND SO THAT WE DON'T HAVE A
CONTINUOUS, UM PEOPLE LEAVING
OUR STATE, INCLUDING OUR MEDICAL
PROVIDERS. OKAY, SO, UM. I THINK
YOU KNOW THAT THE SUPREME COURT
ROE V. WADE DECISION THAT'S
PENDING. IS NOT GOING TO CHANGE
ANYTHING IN CALIFORNIA. I MEAN,
I THINK WE CAN ALL BE HONEST
WITH OURSELVES AND RECOGNIZE
THAT NOTHING IS GOING TO CHANGE
IN CALIFORNIA THE RESPECT TO
ACCESS TO ABORTION. WHAT I SEE
HAPPENING NOW IS WE'RE TRYING TO
INCREASE ACCESS NOT ONLY FOR
CALIFORNIA RESIDENTS BUT TO
INVITE PEOPLE FROM ACROSS THE
COUNTRY TO COME HERE FOR THOSE
SERVICES THAT IS ENTIRELY
DIFFERENT. AND WHEN YOU'RE
TALKING ABOUT $40 MILLION THAT
WE COULD PUT INTO OTHER AREAS OF
OUR ECONOMY RELATED TO HEALTH
CARE SERVICES FOR THOSE WHO WERE
MENTAL HEALTH NEEDS AND HAVE A
WHOLE VARIETY OF THINGS. THAT'S
$40 MILLION THAT COULD BE SPENT
ON OUR VETERANS ON A MULTITUDE
OF THINGS. AND YET WE'RE GOING
TO TAKE $40 MILLION IN SPEND IT
IN A WAY THAT MAY NOT
NECESSARILY EVEN BE SPENT ON OUR
OWN CITIZENS, IRRESPECTIVE OF MY
DISAGREEMENT WITH YOU ON THE
POLICY ISSUE OF ABORTION BECAUSE
WE'RE NOT DEBATING THAT TODAY.
WE'RE TALKING ABOUT THIS
PARTICULAR BILL IN THE HEALTH
ASPECTS OF IT, SO I WOULD
DISAGREE. IT IS GOING TO BE
SPENT ON OUR OWN CITIZENS
BECAUSE IT GOES TO OUR PROVIDERS
WHO ARE RESIDENTS OF CALIFORNIA
. THAT IS TRUE. THAT IS TRUE. IT
WILL BE PAYING THE MEDICAL
PERSONNEL WHO PROVIDE THE
SERVICES. HOWEVER, THE SERVICES
THAT ARE PROVIDED WE DON'T KNOW
WHO IS GOING TO BE, YOU KNOW,
RETRIEVING THOSE SERVICES
WHETHER THEY'RE FROM OUT OF
STATE OR IN STATE, RIGHT? AND
THAT'S A PROVIDER. WE DON'T
NECESSARILY DO HAVE DELIVERED
MANY BABIES FROM PEOPLE WHO
AREN'T FROM CALIFORNIA WHO
HAPPENED TO MAYBE JUST VISITING
HERE, SO WE DON'T NECESSARILY
THERE'S ENGLISH. THERE'S A
DIFFERENCE BETWEEN GOING INTO
LABOR WHILE YOU'RE ON VACATION
INACTIVITY. SEARCHING OUT A WAY
TO COME TO CALIFORNIA AND HAVE
AN ABORTION. THAT IS COMPLETELY
DIFFERENT. PLEASE DON'T
INTERRUPT ME. OK SO, UM, I'M
JUST GOING TO END IT THERE
BECAUSE WE'RE NOT GONNA AGREE ON
THIS ISSUE, AND THAT'S OKAY. BUT
I CANNOT SUPPORT THIS BILL. JUST
UM, NUMBER ONE, BECAUSE I JUST I
DON'T AGREE WITH YOU ON THE
POLICY, AND I ALSO DON'T AGREE
WITH SPENDING TAXPAYER DOLLARS
ON THIS, PARTICULARLY WHEN IT'S
YOU KNOW, INVITING. OTHER PEOPLE
FROM OTHER STATES IN THE INDOOR
STATE TO TAKE CARE OF THIS ISSUE
WHEN YOU KNOW THOSE STATES NEED
TO HANDLE THEIR OWN BUSINESS,
BUT THANK YOU FOR YOUR THANK YOU
VERY MUCH. SENATOR MELINDA'S AND
I WANT TO JUST CLARIFY THIS BILL
DOES NOT INVITE OTHER PEOPLE TO
COME. IT IS JUST COMPENSATING OR
PROVIDERS WHO ARE PROVIDING CARE
. THANK YOU, THOUGH. THANK YOU
BEFORE WE MOVE ON. ACTUALLY I
WITNESSED A QUORUM. SO I'M GOING
TO ASK HER SECRETARY THE CALL
THE ROLE FOR QUORUM. PAN PEN
HERE. MELINDA'S MELINDA'S HERE,
EGGMAN. GONZALES GROVE GROVE
HERE POTATO FLAVOR. LABOR HERE.
LIMÓN LIMÓN HERE, ROTH RUBIO
WIENER. WIENER HERE. WE HAVE
ESTABLISHED A QUORUM. SO NEXT,
OKAY, SENATOR GROVE. DO YOU WANT
TO GO NEXT? OKAY I DO APOLOGIZE
AGAIN, BOUNCING BACK AND FORTH
IN THEIR TEXTING ME NOW AND I
HAVE TO GO BACK TO RULES. SO I
DO APOLOGIZE FOR BEING IN AND
OUT AND I WANT TO FOLLOW UP ON
THE $40 MILLION IS SET A BUS
SIDE BY THIS HEALTH EQUITY FUND,
AND I UNDERSTAND WHAT YOU'RE
SAYING ABOUT MAKING SURE THAT
PROVIDERS ARE COVERED, BUT, UH
AND LIKE MY COLLEAGUE SAID,
THERE'S YOU KNOW, HUNDREDS OF
BILLS THAT HAVE COME THROUGH
SEVERAL BILLS THAT HAVE COME
THROUGH THIS COMMITTEE REGARDING
THIS PARTICULAR SUBJECT MATTER
TO DISAGREE ON THE POLICY, BUT I
KNOW THAT MY CONSTITUENTS AND
I'M ASSUMING YOURS TO AT LEAST
SOME OF THEM. I DON'T WANT TO
USE TAXPAYER DOLLARS TO FUND $40
MILLION WORTH OF ABORTION
SERVICES TO ADD A STATE, NON
CALIFORNIA INDIVIDUALS. UM. AT
LEAST WHEN I AM IN MY DISTRICT,
AND WHEN I TALKED TO
INDIVIDUALS, THEY'RE CONCERNED
ABOUT THE ECONOMY. INFLATION $7
GALLON GAS. UM YOU KNOW, FOOD
PRICES GOING UP 20% AND THAT'S
JUST NOT IN MY DISTRICT THAT'S
IN ALL OF OUR DISTRICTS AND SO
TO USE TAXPAYER DOLLARS FROM
THOSE INDIVIDUALS TO PAY FOR A
SERVICE FOR OTHER INDIVIDUALS
FROM DIFFERENT STATES. I DON'T
THINK IS THE NUMBER ONE GOOD
POLICY AND IT'S OBVIOUSLY POLICY
THAT I DON'T AGREE WITH. BUT I
GUESS MY QUESTION IS THAT, UM
GOING BACK TO ACTUALLY LANGUAGE
DOES THIS BILL IMPOSED A STATE
MANDATED LOCAL PROGRAM, AND IS
THERE A IT'S A LOCAL PROGRAM
DOESN'T COMPLY WITH IT. IS THERE
A WILLFUL VIOLATION OF THIS
PROVISION OF HEALTHCARE LAW? AND
WOULD IT BE CONSIDERED A CRIME?
THIS DOES NOT DO ANY KIND OF
STATE MANDATED LOCAL PROGRAM.
THIS IS A GRANT THAT PEOPLE CAN
APPLY FOR IF THEY WANT TO
VOLUNTARILY. SO WHEN YOU SAY
IT'S A GRANT THAT THEY CAN APPLY
FOR ITS THE INDIVIDUALS, LIKE
THE SERVICE PROVIDERS CAN APPLY
TO PAY FOR THIS. SERVICE
PROVIDERS OR ACTUAL FACILITIES,
BUT IT IS COMPLETELY VOLUNTARY.
AND IT IS NOT A MANDATE. SO I
WAS WITH THE INCREDIBLE DEMOCRAT
LEGISLATOR THIS MORNING FROM
LOUISIANA THAT HAS A TRIGGER
BILL THAT WAS SIGNED BY A
DEMOCRATIC GOVERNOR. THAT'S
GOING TO ABIDE BY THE SUPREME
COURT DECISIONS. SO IF SOMEBODY
FROM LOUISIANA WANTED TO COME TO
CALIFORNIA, COULD THEY APPLY FOR
THIS GRANT? SO I. THIS IS FOR
PROVIDERS. THIS IS NOT FOR
PATIENTS. OK SO THIS IS PAYING
FOR THE SERVICES THAT PROVIDERS
LIKE MYSELF AS AN O B G Y N SO
IF I GO OUT AND DO A PROCEDURE
YOU SHOULD GET PAID. WE ALL COME
TO WORK EVERY DAY WE GET PAID
FOR IT. THIS IS FOR PROVIDERS.
THIS IS NOT FOR PATIENTS, BUT
AND I DON'T MEAN TO INTERRUPT
YOU, BUT THE PROVIDER CAN APPLY
FOR THESE GRANT FENCED FOR
PERFORMING AN ABORTION SERVICE
ON SOMEBODY FROM LOUISIANA PER
SE. THEY CAN APPLY APPLY FOR
THAT GRANT FUNDING TO GET
REIMBURSED FOR RAIN BURST WHEN
I'M TRYING TO GET TO THE POINT
IS, IS THAT A PROVIDER
PERFORMING AN ABORTION CAN APPLY
FOR THESE GRANT FUNDS UNDER THIS
BILL IF IT GETS SIGNED BY THE
GOVERNOR FOR PERFORMING AN
ABORTION ON SOMEBODY FROM
LOUISIANA, TEXAS OR SOME OTHER
STATE THAT IS CHANGING THERE.
ABORTION POLICY IF THE SUPREME
COURT DECISION DEEMS THAT WOULD
BE REGULATED BACK BY THE STATES
AND THE STATE LEGISLATORS MAKE
THEIR DECISION. A PROVIDER OR A
CLINIC CAN APPLY FOR THIS GRANT
FUNDING TO PAY FOR THEIR
PROVIDERS AND COMPENSATED
SERVICES. WHETHER THE PATIENT IS
A CALIFORNIA RESIDENT WHOSE
INSURANCE COMPANY DOESN'T COVER
IT, OR THEY'RE UNDER OR THEY
DON'T HAVE INSURANCE. OR YES, IF
SOMEONE COMES IN FROM OUT OF
STATE, BUT IT IS TO HELP OUR
PROVIDERS HERE. AS YOU JUST SAID
GAS PRICES ARE EXTREMELY HIGH.
INFLATION IS RIDICULOUS. IT'S
GETTING VERY HARD TO SURVIVE
HERE IN CALIFORNIA, AND WE WANT
TO MAKE SURE THAT OUR MEDICAL
PROFESSIONALS JUST LIKE EVERYONE
ELSE ARE ABLE TO GET COMPENSATED
FOR THEIR WORK AND BE ABLE TO
STAY HERE AS WELL. UM OKAY, I
UNDERSTAND WHAT YOU'RE SAYING. I
JUST AGAIN. I JUST WANT TO
REITERATE OR ASK THAT QUESTION
THAT, UM I DON'T THINK THERE'S
ANY COVERAGE THAT WE HAVE IN
THIS STATE, MAYBE ANOTHER STATE
THAT DOES NOT PROVIDE FOR
ABORTION CARE SERVICES OR
ABORTION SERVICES ARE NOT FREE.
I MEAN, I THINK EVEN UNDER
MEDICAL, AREN'T THEY FREE?
COMPLETELY? NO CO PAY ANYTHING?
IF YOU WORK FOR CERTAIN
RELIGIOUS SPACED COS YOUR
INSURANCE WILL NOT COVER IT. BUT
THERE IS OTHER, MANY AVAILABLE
THROUGH CALIFORNIA. OTHER
PROGRAMS HAVE BEEN ESTABLISHED
BY THIS LEGISLATURE THAT ALLOW
THEM TO APPLY FOR RESOURCES OR
GET THAT PAID FOR MEDICAL
DOESN'T PAY FOR IT. NO. NOT IF
THEY HAVE A DIFFERENT INSURANCE
. SURE GO RIGHT AHEAD. YES
MA'AM. STACEY WOULD ORPHAN
ASSOCIATIONAL COUNSELOR WITH WHO
? I'M SORRY, I'M STACEY WHEREVER
I'M, THE ASSOCIATE GENERAL
COUNSEL OF THE PLANNED
PARENTHOOD AFFILIATES OF
CALIFORNIA. I BELIEVE THOSE
PROGRAMS WOULD BE INCOME TESTED
, SO MEDICAL ELIGIBILITY GOES UP
TO A CERTAIN AMOUNT, AND I
BELIEVE THIS. UM, THE BILL
LIMITS. UM IT GOES UP TO FOUR.
IT WOULD COUNT THE CARE FOR
PATIENTS UP TO 400% OF THE
FEDERAL POVERTY LEVEL, I BELIEVE
IS ABOVE THE MEDICAL INCOME.
OKAY SO THERE IS PROGRAMS OUT
THERE. I JUST DIDN'T UNDERSTAND
THE POVERTY LEVEL INCOME. OKAY,
OKAY. SO I GUESS ANOTHER
QUESTION THAT I HAVE, SO IT'S
NOT. IT DOESN'T SAY, IT SAYS
UNDER THE OPPOSITION IN THE
DIGESTIVE THE BILL, IT SAYS THAT
THERE'S A PROGRAM WILL BE
WILLFUL VIOLATION AND IT IMPOSES
A LOCAL PROGRAM DOES NOT IMPOSE
A LOCAL PROGRAM. NO, IT DOES NOT
IMPOSE A LOCAL PROGRAMS AND THE
HEALTHCARE SERVICE PLAN WOULD IF
THEY DIDN'T PROVIDE THE SERVICES
WOULD BE CONSIDERED A CRIME.
THAT'S WHAT IT SAYS. YOU KNOW,
IT DOESN'T IT WOULD NOT BE
CONSIDERED A CRIME, OKAY? AND I
DO SEE WHERE IT SAYS THAT IT'S
EXEMPTED FOR RELIGIOUS PURPOSES
, BUT IT ALSO SAYS THAT YOU'RE
GOING TO REQUIRE RELIGIOUS
ORGANIZATIONS AND BUSINESSES TO
PROVIDE ANNUAL INFORMATION
REGARDING INFORMATION THEY
PROVIDE TO THEIR EMPLOYEES.
CORRECT SO THAT WAS DISCUSSED AT
THE BEGINNING, WHEN I WAS IN A
DIFFERENT, SO IT'S OKAY. WE'RE
TAKING AMENDMENTS IN JUDICIARY
TO REMOVE THAT. OKAY GREAT.
THANK YOU FOR ANSWERING MY
QUESTIONS. I STILL AGAIN OPPOSED
TO THE POLICY COMPLETELY AND
REALLY AM OPPOSED TO USING
CALIFORNIA TAXPAYERS HARD EARNED
DOLLARS TO SUBSIDIZE OTHER
STATES. YOU KNOW IF THOSE PEOPLE
WANTED TO COME HERE AND EARN A
LIVING AND CONTRIBUTE TO OUR TAX
BASE, SAID SOMETHING DIFFERENT,
BUT FOR US TO PAY FOR THAT. I
JUST DISAGREE WITH COMPLETELY.
BUT THANK YOU AND I DO APOLOGIZE
AGAIN FOR NOT CATCHING THE FIRST
PART OF YOUR TESTIMONY. THANK
YOU SO MUCH, SENATOR GROVE.
THANK YOU, SENATOR GROVE.
SENATOR LAILA. THANK YOU,
SENATOR PAN. DR WEBBER. DR
WEBBER, O B, G Y N. I CAN'T
THINK OF A BETTER PERSON TO
CARRY THIS LEGISLATION. AND I
THANK YOU FOR BEING HERE TO
PRESENT THIS LEGISLATION. I
THANK YOU FOR OFFERING THIS
BILL. AND I ALSO JUST THANK YOU
FOR BEING WILLING TO TAKE THE
QUESTIONS OF PEOPLE'S MINDS THAT
YOU'RE NEVER EVER GOING TO BE
ABLE TO CHANGE. THERE ARE JUST
FUNDAMENTAL DIFFERENCES. SOME
PEOPLE BELIEVE IN A WOMAN'S
RIGHT TO CHOOSE AND SOME PEOPLE
DON'T I BELIEVE IN A WOMAN'S
RIGHT TO CHOOSE, AND I THINK
THAT YOU BROUGHT THE BILL
FORWARD AND YOU KNOW, I HEAR A
LOT THAT NO ONE EVER HAS TO
WORRY ABOUT NOT BEING ABLE TO
GET AN ABORTION IN CALIFORNIA.
WELL IF PEOPLE JUST LOOK BACK IN
HISTORY AND SEE WHO WAS IN
CHARGE, IT CHANGES VERY QUICKLY
, AND IT'S IMPORTANT TO ENSHRINE
THESE THINGS IN LAW, BECAUSE IF
THERE COULD BE SOMEONE IN CHARGE
SOON OR SOMEDAY THAT WOULD NOT
ALLOW A WOMAN TO CHOOSE TO HAVE
AN ABORTION. IF SHE'S SUCH SO
DECIDES, SO I THINK, UNLIKE SOME
PEOPLE, I THINK THAT IT'S
INCREDIBLY IMPORTANT THAT WE
ENSHRINED THESE LAWS AND WE MAKE
SURE THAT WOMEN ALWAYS HAVE
ACCESS TO YOUR POINT ABOUT
PAYING THE PROVIDERS. PEOPLE
FORGET ABOUT THAT. YES, THIS IS
ABOUT THE WOMAN IN NEED. BUT
THIS IS ALSO ABOUT MAKING SURE
THAT THE PROVIDER WHO IS
PROVIDING THE SERVICE GETS PAID
. AND AS YOU SAID, WHO IS A
CALIFORNIA RESIDENT, SO I REALLY
JUST WANT TO THANK YOU FOR
TAKING ALL THE TOUGH QUESTIONS
AND FOR BRINGING THIS BILL
FORWARD AND I WILL BE HAPPY TO
MOVE THE BILL AT THE APPROPRIATE
TIME. THANK YOU, SENATOR LEYVA.
ANY ADDITIONAL QUESTIONS OR
COMMENTS. OKAY SAYING NONE TOO.
WANT TO THANK YOU, DR WEBBER FOR
BRINGING THIS BILL FORWARD AND
MAKE SURE IT'S A COUPLE OF
QUESTIONS BECAUSE WE'RE BOTH
PHYSICIANS, RIGHT? AND I KNOW AT
LEAST IN MY PRACTICE WHEN A
PATIENT COMES AND THEY NEED
HELP, WHETHER IT'S AN EMERGENCY
ROOM OR THE CLINIC. UM I DON'T
GO AND SAY OH, YOU'RE NOT. YOU
DON'T LIVE IN CALIFORNIA, SO I'M
NOT GOING TO TAKE CARE OF YOU.
IS THAT THE CASE IN YOUR
PRACTICE AS WELL? THAT IS THE
CASE IN MY PRACTICE AND IN ALL
PRACTICES USUALLY HERE IN
CALIFORNIA. THAT'S ONE OF THE
THINGS THAT I WAS BRINGING UP
TO, SENATOR MELINDA SAID. YOU
KNOW, WE PROVIDE CARE TO ANYONE
WHO IS IN NEED. WE DON'T ASK
OFTENTIMES WHEN THEY COME BACK,
WE DON'T EVEN LOOK AT THEIR
INSURANCE. RIGHT SO THAT'S JUST
WHO WE ARE, AND WE SHOULD GET
PAID FOR OUR SERVICES. AND I
WOULD ALSO SAY THAT IF FOR SOME
REASON I AND MY FAMILY WERE
TRAVELING OR OTHER CALIFORNIANS
ARE TRAVELING TO OTHER STATES. I
HOPE PHYSICIANS AND OTHER STATES
DON'T LOOK AND SAY, WELL, YOU
DON'T LIVE IN OUR STATE, AND SO
WE'RE NOT GOING TO TAKE CARE OF
YOU, RIGHT IF WE HAVE A MEDICAL
NEED EXACTLY. SO, UM, AND ALSO I
HOPE THAT IN THOSE OTHER STATES
THAT POSITIONS ACTUALLY ARE ABLE
TO CONTINUE TO PRACTICE AND GET
COMPENSATED FOR CARE. THEY
PROVIDED. REGARDLESS OF WHICH
STATE THEIR PATIENTS CAME FROM.
YES OKAY, AND HOPEFULLY WE
SHOULD DO THE SAME IN
CALIFORNIA. YOU SHOULD
DEFINITELY DO THAT IN
CALIFORNIA. WELL I APPRECIATETHAT, BECAUSE I THINK THAT WE
ARE ALL AMERICANS. WE LIVE IN
ONE COUNTRY. I REALIZED THAT YOU
KNOW, WE MAY HAVE DIFFERENT. UM
UNFORTUNATELY, MAY HAVE A
SITUATION WHERE THERE'S GONNA BE
DIFFERENT RULES WHERE RIGHTS ARE
DIFFERENT IN DIFFERENT PARTS OF
OUR UM, COUNTRY, BUT I THINK
IT'S IMPORTANT THAT CERTAINLY
CALIFORNIA CONTINUES TO SERVE
THE PEOPLE WHO ARE IN CALIFORNIA
AND PROVIDE CARE AND SUPPORT THE
PEOPLE WHO ARE PROVIDING THAT
CARE AND THAT'S I THINK WHAT
YOUR BILL DOES. SO CERTAINLY
SUPPORT OF YOUR BILL. WOULD YOU
LIKE TO CLOSE? I WOULD
DISRESPECTFULLY ASKED FOR YOUR I
VOTE AND THANK YOU, EVERYONE FOR
THE VERY ENGAGING DISCUSSION.
OKAY THANK YOU. SO THE MOTION IS
DO PASS AND REFERRED TO THE
COMMITTEE ON JUDICIARY. THAT'S
BEEN MOVED BY SENATOR LEYVA
SECRETARY. PLEASE CALL THE ROLL.
CAN I? MELINDA'S MELINDA'S NO
EGGMAN GONZALEZ GROVE. HURTADO
LEYVA LABOR. I LIMÓN BROTH? AYE.
RUBIO WIENER WIENER. I CURRENTLY
FOR ONE, WE WILL HOLD THE ROLL
OPEN. WE'LL NOW MOVE ON TO ITEM
NUMBER ONE A B 17 97 AND I KNOW
THAT YOU ALSO HAVE TO RUN OFF
THE CHAIR OF COMMITTEE. SO I
KNOW WHETHER YOU OPEN OR YOU
GOTTA HAVE CENTER WIENER PRESENT
FOR YOU IS GOING TO PRESENT FOR
ME. OKAY THANK YOU, DR WEBBER
AND FREE TO HELP THE WE CAN GET
YOU TO YOUR COMMITTEE ON TIME
HERE, SENATOR WIENER. THANK YOU
SO MUCH FOR STEPPING IN FOR
SIMILAR OR WHATEVER. PLEASE
BEGIN. THANK YOU, MR CHAIR, AND
I AM PRESENTING THIS BILL, AS
YOU NOTED ON BEHALF OF ASSEMBLY
MEMBER WEBER DUE TO HER
COMMITTEE CONFLICT, AND I'M HERE
TO PRESENT A B 17 97 A BILL TO
IMPROVE THE CALIFORNIA
IMMUNIZATION REGISTRY, WHICH IS
AN EXISTING PUBLIC HEALTH
INFRASTRUCTURE TOOL TO MAKE SURE
THAT WE KNOW PEOPLE KNOW AH,
WHO'S BEEN VACCINATED FOR WHAT?
IMMUNIZATION INFORMATION SYSTEMS
ARE CONFIDENTIAL. POPULATION
BASED COMPUTERIZED DATABASES.
RECORD IMMUNIZATION DOSE IS
GIVEN BY PARTICIPANTS HATING
PROVIDERS. ALL 50 STATES. EVERY
SINGLE ONE HAS A REGISTRY. UM.
IMMUNIZATION INFORMATION SYSTEMS
ARE BENEFICIAL BECAUSE THEY HELP
DETERMINE VACCINATION STATUS TO
A DECISIONS MADE BY CLINICIANS,
HEALTH DEPARTMENTS AND SCHOOLS.
THEY GUIDE PUBLIC HEALTH
RESPONSES TO OUTBREAKS OF
VACCINE PREVENTABLE DISEASES.
AND THEY INFORMED ASSESSMENTS OF
VACCINATION COVERAGE, MISSED
VACCINATION OPPORTUNITIES AND
VALID DOSE ADMINISTRATION AND
DISPARITIES IN VACCINE COVERAGE
, AND THEY FACILITATE VACCINE
MANAGEMENT AND ACCOUNTABILITY.
THE CALIFORNIA IMMUNIZATION
REGISTRY WAS ESTABLISHED IN THE
LATE NINETIES IT'S BEEN
OPERATING FOR OVER 20 YEARS.
EXISTING LAW ASSURES STRICT
CONFIDENTIALITY. THE PATIENT,
PARENT OR GUARDIAN MAY REFUSE TO
ALLOW RECORD SHARING REGISTRIES
ABILITY TO FOSTER HIGHER
IMMUNIZATION RATES DEPENDS ON
THE AVAILABILITY. TIMELY
ACCURATE AND COMPLETE
INFORMATION PERTAINING TO
VACCINATIONS RECEIVED BY
RESIDENTS CURRENTLY IN
CALIFORNIA. NOT ALL IMMUNIZATION
PROVIDERS CHOOSE TO RECORD
IMMUNIZATIONS THEY PROVIDE. THE
INFORMATION IN THE REGISTRY IS
ONLY AS COMPLETE. AS THE
INFORMATION PROVIDED BY THE
IMMUNIZATION PROVIDERS, AND
RIGHT NOW IT'S VOLUNTARY. A B 17
97 WILL MAKE THE FOLLOWING
SIMPLE CHANGES TO THE REGISTRY
INSTEAD OF PERMITTING THE
VACCINE PROVIDERS. TO RECORD THE
INFORMATION IN THE REGISTRY. IT
WILL REQUIRE THAT PROVIDERS
ENTER THAT DATA. IT WILL REQUIRE
THE COLLECTION OF RACE AND
ETHNICITY DATA AS A REQUIRED
RECORDED FIELD THAT SEVEN
OPTIONAL ONE SO THAT WE CAN HAVE
BETTER KNOWLEDGE ABOUT HEALTH
EQUITY AND RECOGNIZED
DISPARITIES AND IT WILL CLARIFY
THE SCHOOLS CAN ASSESS THEIR
STUDENT COVID-19. SAID
VACCINATION STATUS TO AID AND
STUDENT HEALTH AND SAFETY MAYBE
17 97 IS SPONSORED BY THE
CALIFORNIA IMMUNIZATION
COALITION, PROTECT US SAN DIEGO
UNIFIED SCHOOL DISTRICT, VARIOUS
PHYSICIAN AND NURSE
ORGANIZATIONS AND L. A UNIFIED
SCHOOL DISTRICT. I RESPECTFULLY
ASK FOR YOUR I VOTE WITH ME
TODAY. TESTIFY IS KATHERINE
FLORES, EXECUTIVE DIRECTOR OF
THE CALIFORNIA IMMUNIZATION
COALITION, AND VICTORIA FLORES,
THE DIRECTOR OF STUDENT SUPPORT
ON HEALTH SERVICES. FOR
SACRAMENTO CITY UNIFIED SCHOOL
DISTRICT. THANK YOU SO MUCH.
SARAH WIENER, AND I BELIEVE BOTH
OF THOSE ARE VIA THE PHONE LINE.
SO, MODERATOR, CAN YOU PLEASE
BRING ON THE LINE VICTORIOUS
FLORES FROM SACRAMENTO CITY
UNIFIED SCHOOL DISTRICT, AND
CATHERINE FLORENCE MARTIN. FROM
THE CALIFORNIA IMMUNIZATION
COALITION. BELIEF WILL BE BEGIN
WITH OF VICTORIA FLORES, WHICH
ORDER YOU WANT TO GO IN, BUT YOU
HAVE TWO MINUTES HERE IN
VICTORIA FLORES HERE, DIRECTOR
OF STUDENT SUPPORT AND HEALTH
SERVICES. SACRAMENTO CITY
UNIFIED SCHOOL DISTRICT SERVING
AROUND 40,000 STUDENTS AND SO AS
PART OF OUR CONSTITUTIONAL
MANDATE TO DELIVER THE HIGHEST
QUALITY INSTRUCTION IN THE
SAFEST POSSIBLE ENVIRONMENT
DURING A PANDEMIC, OUR LOCAL
GOVERNING BOARD PASSED A
RESOLUTION IN OCTOBER OF 21 TO
REQUIRE EITHER PROOF OF COVID
VACCINE OR UNDERGO ROUTINE
SURVEILLANCE TESTING. THE
FAMILIES WERE ASKED TO SUBMIT
THEIR COVID VACCINE RECORDS AS
PART OF THIS REQUIREMENT, AND AS
YOU KNOW WE'VE EXPERIENCED IN
THE PAST. MANY OF OUR FAMILIES
HAD DIFFICULTIES SUBMITTING
RECORDS BECAUSE OF DIFFERENT
LOGISTICAL CHALLENGES. ACCESS TO
TECHNOLOGY, LANGUAGE TIME
COMPETING DEMANDS. COVID HAS
BEEN INCREDIBLY STRESSFUL A B 17
97 CLARIFIES THAT SCHOOLS LIKE
OURS THAT EITHER HAVE A LOCAL
REQUIREMENTS MAY ACCESS COVID
VACCINE INFORMATION THROUGH CARE
DURING A PUBLIC HEALTH EMERGENCY
SO THAT WE CAN BETTER ENSURE THE
HEALTH AND SAFETY OF OUR
SCHOOLS. THAT PROVIDES OUR
SCHOOLS A HUGE BENEFIT,
ESPECIALLY SINCE THE PANDEMIC IS
STILL ONGOING. IT ALSO ALLOWS US
TO GATHER THOSE NEEDED RECORDS
MORE EFFICIENTLY AND EFFECTIVELY
AND REALLY SUPPORTS AND RELIEVES
OUR FAMILY OF THIS ADDITIONAL
BURDEN AND WORRY REALLY
EFFECTIVELY MITIGATING A LOT OF
THOSE BARRIERS IN ADDITION TO
GAINING ACCESS DURING A PUBLIC
HEALTH EMERGENCY WE HAVE
REGULARLY RELIED ON CARE TO
VERIFY STUDENT AND IMMUNIZATION
STATUS FOR OUR EXISTING VACCINE
REQUIREMENTS FOR SCHOOL
ADMISSION, HOWEVER, YOU KNOW,
LIKE THE AUTHOR POINTED OUT
INFORMATION AND CARES OFTEN
INCOMPLETE BECAUSE NOT ALL
VACCINE PROVIDERS ARE REQUIRED
TO SUBMIT THAT INFORMATION. SO
THIS IS A B 17 97 CORRECTS THIS
INCONSISTENCY GREATLY HELPS OUR
DISTRICTS AND RURAL STUDENTS AND
IT'S TIMELY MANNER AND REALLY
MINIMIZES DISRUPTIONS FOR
FAMILIES. WHEN THEY HAVE A
DIFFICULT TIME LOCATING AND
PROVIDING THAT THAT REQUIRED
INFORMATION WITH THESE MUCH
NEEDED IMPROVEMENTS AND
RESOURCES THROUGH CARE DISTRICTS
CAN BETTER SERVE AND SUPPORT OUR
SCHOOLS AND COMMUNITIES TO
ENSURE OUR STUDENTS. HEALTH IS
PROTECTED, AND WE DO EVERYTHING
POSSIBLE TO SUPPORT HEALTHY AND
SAFE LEARNING ENVIRONMENTS.
RESPECTFULLY. USD ASKS FOR YOUR
VOTE IN SUPPORT OF A B 17 97.
THANKS VERY MUCH. LET'S BRING ON
CATHERINE FLOORS. MARTIN FROM
THE CALIFORNIA INITIATION
COALITION. GOOD AFTERNOON
CHAIRMAN TAN AND MEMBERS OF THE
SENATE HEALTH COMMITTEE. MY NAME
IS KATHERINE FLORES MARTIN,
EXECUTIVE DIRECTOR OF THE
CALIFORNIA IMMUNIZATION
COALITION. SENATOR WIENER DID A
FABULOUS JOB PORTRAYING THIS
BILL AND SO I WON'T REPEAT WHAT
HE SAID THAT THIS BILL WILL HELP
ENSURE THAT CALIFORNIA IS BETTER
PREPARED TO MANAGE OUR NEXT
PUBLIC HEALTH EMERGENCY AND HELP
ENSURE GREATER EQUITY AND ACCESS
TO VACCINES BY THOSE THAT HAVE
BEEN PARTICULARLY HARMED BY THIS
EVENT. AS HE SAID THESE UPDATES
WILL REQUIRE HEALTH CARE
PRACTITIONERS TO ENSURE THAT THE
DATA ON THE VACCINES
ADMINISTERED WILL BE ENTERED
INTO THE REGISTRY THAT THE
PATIENT'S RACE AND ETHNICITY
DATA RECORDED FIELD THAT'S
ALREADY AVAILABLE IN THE SYSTEM.
ALONG WITH AUTHORIZING SCHOOL
HEALTH STAFF TO VIEW DATA ON
VACCINES RELATED TO STUDENT
SAFETY DURING A PUBLIC HEALTH
EMERGENCY. IT IS A SECURE
CONFIDENTIAL SYSTEM USED BY
DOCTORS, PHARMACISTS, OTHER
HEALTHCARE PRACTITIONERS AND
AGENCIES THAT JUST COOL WITH THE
GOAL OF KEEPING TRACK OF
IMMUNIZATION SERVICES SO THAT
ALL CALIFORNIA RESIDENTS GET THE
VACCINE THEY NEED AT THE RIGHT
TIME AND ARE NOT RECEIVING MORE
VACCINES THAN NEEDED DUE TO A
LACK OF INFORMATION. SO THIS
DATA DECISION TOOL IS HAS BEEN
VITAL. UM OF STATED EARLIER, THE
LEGISLATURE FIRST AUTHORIZED THE
REGISTRY IN 1998, AND SINCE THAT
TIME, MILLIONS OF DOSES OF
RECORDED IN THE REGISTRY HAS
BECOME A VITAL RESOURCE TO THE
STATE HEALTH DEPARTMENT,
HEALTHCARE PROVIDERS AND OTHER
AUTHORIZED USERS. TO DOCUMENT
VACCINES AND IDENTIFY ADDITIONAL
PUBLIC HEALTH OUTREACH NEEDS. UM
ALL USERS ARE REQUIRED TO SIGN
CONFIDENTIALITY AGREEMENTS AND
UNDERGO REQUIRED TRAINING.
ASSISTANT'S GONNA ALREADY IT'S
GOING TO PLACE FOR A LONG TIME
BEFORE THE PANDEMIC AND
THROUGHOUT THE PANDEMIC, THIS
PUBLIC HEALTH PROGRAM HAS BEEN
ACCOMPLISHING IMPORTANT WORK,
SUPPORT PUBLIC HEALTH AND HEALTH
CARE PROVIDERS. THE COMMUNITY
AND HEALTH CARE PRACTITIONERS
HAVE SUCCESSFULLY USED THE
REGISTRY FOR DECADES. THEY ARE
HAPPY WITH THE SYSTEM AND THEY
ARE IN SUPPORT OF THIS
LEGISLATION. SO WE ASK FOR YOUR
SUPPORT, AND I'M HAPPY TO ANSWER
ANY QUESTIONS. THANK YOU VERY
MUCH. WE'LL NOW MOVE ON TO
ADDITIONAL WITNESSES AND SUPPORT
OF A B 17 97 HERE IN ROOM 1200,
PLEASE COME UP TO THE
MICROPHONE. NAME ORGANIZATION
POSITION ONLY. GOOD AFTERNOON,
LEILANI AGUINALDO ON BEHALF SAN
DIEGO UNIFIED SCHOOL DISTRICT IN
FRESNO UNIFIED SCHOOL DISTRICT
AND SUPPORT. THANK YOU. WELCOME.
WENDY BLOOM, REGISTERED NURSE
ORGANIZING DIRECTOR FOR PROTECT
US IN SUPPORT. THANK YOU. NEXT
WITNESS WELCOME. BRIAN RIX WITH
LOS ANGELES UNIFIED SCHOOL
DISTRICT AND SUPPORT THANK YOU.
WELCOME. SANDRA OR A DIRECTOR OF
PARTNERSHIPS FOR CHEN UP IN
SUPPORT. THANK YOU. WELCOME
KATIE CHAN, DIRECTOR OF
INNOVATION AND STRATEGY FOR
JENNA IN STRONG SUPPORT. THANK
YOU. WELCOME. OUR HANDS GRIPPING
ANY WITH TEAMS FOR VACCINES AND
SUPPORT. THANK YOU. WELCOME
KATHY MOSSBERG PUBLIC HEALTH
INSTITUTE AND SUPPORT. THANK
YOU. SAYING NO ONE ELSE
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WILL TESTIFY
IN SUPPORT OF A B 1917 97. THANK
YOU IF YOU WISH TO SPEAK IN
SUPPORT OF A B 17 97 PLEASE
PRESS ONE THAN ZERO AT THIS
TIME. LINE. 305, PLEASE GO
AHEAD. GOOD AFTERNOON, BRIANNA
PITTMAN SPENCER WITH THE
CALIFORNIA DENTAL ASSOCIATION
AND SUPPORT THANK YOU NEXT
WITNESS. LINE. 1 10, PLEASE GO
AHEAD. BLIND 110. LINE 2 77,
PLEASE GO AHEAD. GOOD AFTERNOON
CHAIRMAN AND MEMBERS FROM
CALIFORNIA CREATION AND SUPPORT
THANK YOU NEXT WITNESS. BLIND TO
68, PLEASE GO AHEAD. FIND 268. I
HAVE NO FURTHER COMMENT. THANK
YOU. THANK YOU. WE'LL NOW MOVE
ON TO WITNESSES AND OPPOSITION
TO A B 17 97. WE HAVE CHRISTINA
HILDEBRAND FROM VOICE FOR
CHOICE. WELCOME. YOU HAVE
ACTUALLY, BECAUSE THE PROPONENTS
HAD TWO WITNESSES. YOU HAVE A
MAXIMUM FORM FOUR MINUTES. THANK
YOU. I WON'T TAKE ALL THAT TIME
. MY NAME IS CHRISTINA
HILDEBRAND. I'M HERE ON BEHALF
OF THE VOICE FOR CHOICE
ADVOCACY. WHILE I DON'T WORK FOR
THE CALIFORNIA IMMUNIZATION
REGISTRIES, I'VE SPENT MANY,
MANY HOURS DIVING DEEPLY INTO
THESE DATABASES AND WHAT THEY
ACTUALLY DO AND DON'T DO. UM WE
AGREE. IMPROVEMENTS NEED TO BE
MADE TO THE CALIFORNIA
IMMUNIZATION REGISTRY. BUT WE
FEEL THAT THIS BILL DOESN'T
ADEQUATELY ADDRESS THOSE. THERE
ARE MANY DUPLICATIONS AND
THEY'RE MEANT AS MUCH MISSING
DATA AND THE REGISTRIES RIGHT
NOW ARE HONESTLY A MESS. FOR
EXAMPLE, THERE IS A SIGNIFICANT
DUPLICATION OF RECORDS WITH 107%
OF CALIFORNIANS. 0 TO 5 YEAR OLD
HAVING VACCINE RECORDS IN THE
DATABASE, AND WE KNOW SOME OF
THOSE AREN'T THAT FULLY
VACCINATED, SO WE'VE GOT QUITE A
BIT OF DUPLICATION THERE IF I
WERE TO ENTER JUST MY NAME OR MY
NAME WITH MY MIDDLE NAME, IT MAY
GIVE DIFFERENT DIFFERENT RECORDS
. SO WE'D LIKE THAT CLEANED UP.
CURRENTLY MOST VACCINE PROVIDERS
DO INPUT VACCINES INTO THE
REGISTRIES, BUT NOT ALL DO THIS
BILL, AS YOU'VE HEARD WOULD
REQUIRE ALL TO DO SO WHEN THEY
DO THEY HAVE TO DISCLOSE TO
PATIENTS OR PARENTS AND
GUARDIANS. UM THAT THEIR
VACCINES ARE GOING INTO THE
DATABASE. BUT THERE'S ACTUALLY
NOTHING THAT A PATIENT AT THAT
POINT CAN DO TO STOP THEIR
INFORMATION BEING ENTERED INTO
THAT DATABASE. THEY CAN, AS HAS
BEEN MENTIONED. THEY CAN LOCK IT
FOR IT TO STOP RECORD SHARING,
BUT THERE'S NO WAY TO GET YOUR
INFORMATION OUT OF THE REGISTRY
. UM WE REALLY LOOK AT THIS AND
FROM A FROM A PRIVACY
PERSPECTIVE. AND WHILE MANY
CALIFORNIANS ARE HAPPY TO HAVE
THEIR VACCINATIONS IN ONE PLACE
SO THAT YOU CAN RECORD YOU CAN
DOWNLOAD ALL OF YOUR
VACCINATIONS OR YOUR SCHOOL
COULD DOWNLOAD YOUR CHILDREN'S
VACCINATIONS. WE HAVE RECEIVED
NUMEROUS CALLS AND EMAILS FROM
UNDOCUMENTED FAMILIES AND FROM
THOSE WHO REALLY TAKE THEIR
MEDICAL PRIVACY IN THEIR MEDICAL
RIGHT THE PRIVACY OF THE
MECHANICAL RECORDS SERIOUSLY AND
DON'T WANT THEM SAVED TO A
GOVERNMENT DATABASE. THESE GOOD
THERE ARE MANY IN THESE GROUPS
THAT HAVE TOLD US THAT THEY
WOULD RATHER NOT BE VACCINATED
THAN HAVE THEIR DATA ENTERED
INTO A GOVERNMENT DATABASE. TO
NOTE THAT THESE PATIENTS WOULD
STILL HAVE EASY ACCESS TO THE
VACCINE RECORDS FROM THEIR
PROVIDER. THEIR PHYSICIAN. WE'RE
THANKFUL THAT CALIFORNIA TAKES
PRIVACY, ESPECIALLY IF MEDICAL
RECORDS VERY SERIOUSLY THAT
CONSUMER CALIFORNIA CONSUMER
PRIVACY ACT GIVES CONSUMERS THE
ABILITY TO REQUEST THEIR
PERSONAL INFORMATION BE FULLY
DELETED FROM A CONSUMER
DATABASE. HOWEVER THIS CONSUMER
PRIVACY DOES NOT APPLY TO
GOVERNMENT DAVID BASIS EVEN IF
THEY'RE USED FOR MARKETING
PURPOSES. THE IMMUNIZATION
REGISTRIES ARE USED TO IDENTIFY
AND MARKET VACCINES TO
CONSUMERS. WE ASKED THAT THE
AUTHOR AND THE COMMITTEE AMEND
THE REGISTRIES TO REFLECT THE
CONSUMER PRIVACY ACT AND TRULY
BE OPT OUT WHERE PATIENTS CAN
ASK FOR THEIR PERSONAL
INFORMATION TO BE DELETED, FULLY
DELETED. CD PH. CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH
WOULD BE ALLOWED TO KEEP THE
ADULT UNIDENTIFIABLE DATA FOR
SUMMARY METRICS SO THAT THEY CAN
STILL REPORT SUMMARY STATISTICS
ACCURATELY, SUCH AS VACCINATION
RATES. THAT'S OUR KEY CONCERN
WITH THIS BILL IS THE PRIVACY
PEACE. WE HAVE A SECONDARY
CONCERN, WHICH IS THAT DURING
ASSEMBLYMEMBER'S
ASSEMBLYMEMBER'S WEBER'S PRESS
CONFERENCE INTRODUCING THE BILL,
SHE MENTIONED THAT THIS BILL
WOULD ALLOW SCHOOLS AND OTHER
LOCAL ENTITIES TO DETERMINE
WHICH COMMUNITIES HAVE POCKETS.
OVEN VACCINATION BEING ABLE TO
DOWNLOAD COMMUNITY VACCINATION
RECORDS ON MASS. WHILE WE HAVE
BEEN ASSURED BY AN ASSEMBLY
MEMBER WEBER AND BY HER STAFF
THAT THIS BILL DOES NOT DO THAT
, AND UPON FURTHER COMMUNICATION
WITH DPH, THAT IT'S ACTUALLY NOT
POSSIBLE TO DO THAT. WE WOULD
LIKE THE BILL LANGUAGE TO
REFLECT THIS. THERE IS A
STATEMENT OR USE OF WORDS
THROUGHOUT THE BILL THAT SAYS
THAT TOOK THAT THERE WOULD BE
ABLE TO PERFORM IMMUNIZATION
STATUS ASSESSMENT. AND WE WOULD
LIKE THAT TO BE SPECIFIC TO
INDIVIDUALS JUST RATHER THAN TOO
MANY IN SUMMARY WHILE WE ASK YOU
TO OPPOSE A B 17 97. IF YOU DO
FEEL THE NEED TO VOTE ON IT
TODAY, WE WOULD LIKE YOU TO MAKE
IT MAKE THOSE PRIVACY ADDRESS
THOSE PRIVACY CONCERNS. YEAH I
AM HERE FOR ANY OTHER QUESTIONS.
YOU HAVE TO THANK YOU. THANK
YOU. WE'LL TAKE ON NOW.
ADDITIONAL WITNESSES AND
OPPOSITION TO A B 17 97 NAME
ORGANIZATION POSITION ONLY
WELCOME. CHRISTIE SEPULVEDA,
VIRGIN OF EDUCATE ADVOCATE. WE
SERVE SPECIAL NEEDS FAMILIES,
AND WE SHARE THE SAME CONCERNS
EXPRESSED BY A VOICE FOR CHOICE
ADVOCACY. AND I'M HERE TO
PROVIDE TECHNICAL SUPPORT IF
NEEDED. THANK YOU. THANK YOU. I
ASSUME YOURS POST. ALRIGHT.
WELCOME. HI MCKENNA, EUROPE,
SAINT JOHN ON BEHALF OF THE
CALIFORNIA HEALTH, COALITION,
ADVOCACY AND OPPOSITION. THANK
YOU. NEXT WITNESS WELCOME.
JENNIFER SLEPT, RIVERSIDE COUNTY
FAITH FAMILY LIFE COALITION AND
WE OPPOSE THIS BILL. THANK YOU.
WELCOME. HELLO THANK YOU. MY
NAME IS SARAH ABDO'S AGAIN. I'M
JUST A 19 YEAR OLD STUDENT. AND
I STRONGLY OPPOSE THIS BILL.
THANK YOU. WELCOME. HI THANK
YOU. MY NAME IS ABBY ABDO'S
AGAIN THE PRESIDENT OF TURNING
POINT USA AND RANCH. KAMANGA
STRONGLY OPPOSED THIS BILL.
THANK YOU. WELCOME. HI GREG
ABDULLAH'S FOUNDER OF NOW,
DECEMBER COUNTY AND I STRONGLY
OPPOSE THIS, BILL.THANK YOU.
WELCOME. THERESA BRENNAN, MOTHER
OF FIVE AND PRIVACY ADVOCATE. I
STRONGLY OPPOSE THIS, BILL.
THANK YOU. WELCOME. SUSAN ARNOLD
, ATTORNEY MOTHER OF SEVEN AND
STRONG PRIVACY ADVOCATE. I
OPPOSE THIS BILL. THANK YOU.
WELCOME. BRAND DUPONT'S PRIVATE
VOTING CITIZEN AND OPPOSITION.
THANK YOU. WELCOME. JOE HAD
KELCH WRITING SPRINGS AND I
STRONGLY OPPOSE THIS BILL. THANK
YOU. WELCOME. HI YES. MY NAME IS
SANDRA HERE, REPRESENTING 40
MILLION PEOPLE HAVE THE
TERRITORIAL CALIFORNIA AND THE
PEOPLE AGAINST THE CHINESE
COMMUNIST PARTY AND I DID NOT
CONSENT TO THIS BILL. THANK YOU.
WE'RE NOW MOVING ON SEEING NO
ONE ELSE APPROACHING THE
MICROPHONE. WE'RE NOT GOING TO
GO UP TO ASK THE MODERATOR TO
OPEN UP THE PHONE LINES FOR
WITNESSES AND OPPOSITION TO A B
17 97. THANK YOU IF YOU WISH TO
SPEAK IN OPPOSITION TO A B 17 97
PLEASE PRESS 10 AT THIS TIME.
BUY INTO 71, PLEASE GO AHEAD.
HELLO MY NAME IS JODY HILL AND
THE COUNTY OF SAN BERNARDINO
COUNTY. AND I'M A PRIVATE
CITIZEN AND I STRONGLY OPPOSED A
B 17 97. I'M HERE TO SAY NO TO
THE NEXT WITNESS. NEXT WITNESS
NAME 11-3. 10, PLEASE GO AHEAD.
THANK YOU AND 3 10. APOLOGIES I
COULDN'T GET THROUGH DURING THE
SUPPORT PERIOD, BUT THIS IS TO
RECOMMEND SKI FROM THE
ASSOCIATION OF CALIFORNIA SCHOOL
ADMINISTRATORS CALLING IN
SUPPORT OF A B 17 97. THANK YOU.
THANK YOU. NEXT WITNESS. THANK
YOU. I'M 3. 12, PLEASE GO AHEAD.
HI THIS IS JASMINE CHÁVEZ, A
MENTAL HEALTH PROVIDER AND
BUSINESS OWNER IN SOUTHERN
CALIFORNIA. AND I STRONGLY
OPPOSED IT STILL, THANK YOU.
NEXT WITNESS. FIND 3 13, PLEASE
GO AHEAD. HELLO. CAN YOU HEAR
ME? INTRODUCE YOURSELF AHEAD.
YES RUSSIA WILLIAMS CALLING ON
BEHALF OF MY ORGANIZATION THAT
BELONG TO MONTHS, AND WE'RE
ASKING FOR A THANK YOU. THANK
YOU. NEXT WITNESS. KLEIN TO 81.
PLEASE GO AHEAD. HI JOANIE GROUP
ON BEHALF OF TAKE A STAND
STANISLAS AND THE RIGHTS TO
PERSONAL MEDICAL PRIVACY AND WE
OPPOSE THIS SELF. THANK THANK
YOU. NEXT WITNESS. BLIND TO 86,
PLEASE GO AHEAD. STEPHANIE
DEGREE ALSO WOULD TAKE A STANCE.
STANISLAUS SAN JOAQUIN COUNTY
LIBERTY COALITION AND NURSES FOR
MEDICAL FREEDOM AND WE OPPOSE
THE STILL THANK YOU NEXT
WITNESS. FLYING TO 72. PLEASE GO
AHEAD. MY NAME IS COURTNEY
PETERS ALSO HAVE TO TAKE A
STAND. STANISLAS WE STRONGLY
OPPOSE THIS BILL. THANK YOU.
NEXT WITNESS. FLYING 307, PLEASE
GO AHEAD. RACHEL CATAN WITH
MICHELLE FOR FREEDOM AND ALSO
STANDING. SACRAMENTO COUNTY
STRONGLY OPPOSED THIS BILL.
THANK YOU. THANK YOU. NEXT
WITNESS. LINE 2 28, PLEASE GO
AHEAD. LINE 2 TO 8. HI. THIS IS
A LISTEN AS OUR I'M, A
REGISTERED NURSE FROM RIVERSIDE
COUNTY AND MEDICAL FREEDOM
ADVOCATE AND I STRONGLY OPPOSE
THIS BILL. A B 17 97. THANK YOU.
THANK YOU. NEXT WITNESS. PLANE.
301, PLEASE GO AHEAD. HI THIS IS
LORETTA SHOP PRIVATE CITIZEN AND
STRONGLY OPPOSED THIS BILL. A B
17 97. THANK YOU. NEXT WITNESS.
THANK YOU, RYAN TO 39. PLEASE GO
AHEAD. HI SALLY MOSLEM, LOS
ANGELES. STRONG OPPOSITION TO
BILL THANK YOU. NEXT WITNESS.
BUYING TWO OH, EIGHT. PLEASE GO
AHEAD. HI NECESSARY. ELLA
PEDROSA CALLING FROM ANAHEIM,
CALIFORNIA BY THE SUPPORT OF ALL
THE RIGHTS OF ALL CITIZENS AND
GOD GIVEN RIGHT BY OPPOSES SELF
THANK YOU. NEXT WITNESS. FLYING
TO 74. PLEASE GO AHEAD. HI MY
NAME IS MIRA CHATURVEDI, AND I'M
A ALTERNATIVE HEALTHCARE
PROVIDER STRONGLY OPPOSED THIS
BILL. THANK YOU. NEXT WITNESS.
BUY INTO 63, PLEASE GO AHEAD. HI
LISTEN, TERRA MAGAZINE OH, FROM
OPPOSE THIS BILL. THANK YOU.
NEXT WITNESS. BLIND TO 85,
PLEASE GO AHEAD. THIS IS MONEY
FROM WHITTIER. PARENTS FOR
CHOICE. AND L. A COUNTY AND WE
STRONGLY OPPOSE THIS BILL. THANK
YOU. NEXT WITNESS. THANK YOU. I
HAVE NO FURTHER COMMENT. THANK
YOU. THANK YOU WILL NOW MOVE ON
TO QUESTIONS OR COMMENTS FROM
COMMITTEE MEMBERS AND UNDERSTAND
SENATOR LEAVE IS NOW GOING TO
TAKE THE STAND ALRIGHT QUESTION
OF COMMENTS FROM COMMITTEE
MEMBERS. CEREMONY AND IS THE
RIGHT PERSON SO WE ONLY HAVE
EVEN HAVE THE AUTHOR HERE TO
ANSWER QUESTIONS ABOUT HER OWN
BILL. WELL THE AUTHOR.
UNFORTUNATELY NOT HERE, SHE'S
ASKED CENTER. WE LEARNED SENATOR
LEVEL TO STAND IN FOR HER, BUT
SPC. ESTÁ CHAIR COMMITTEE, SO.
SO OKAY. THIS IS. INTERESTING
BECAUSE I DON'T KNOW HOW WE'RE
SUPPOSED TO GET THE ANSWERS TO
HER QUESTIONS. IF WE DON'T HAVE
THE BILL AUTHOR HERE, SENATOR
MELINDA'S, IF YOU ASK, THE
QUESTIONS WILL BE ON RECORD, AND
I'M SURE THAT DR WEBBER WOULD BE
MORE THAN HAPPY TO ANSWER THEM.
UNFORTUNATELY AS WE ALL KNOW
THIS CRAZY TIME OF YEAR
EVERYBODY'S BOUNCING BACK AND
FORTH TO COMMITTEES IN THE
SENATE AND THE ASSEMBLY THINK
THAT HAVING QUESTIONS ANSWERED
AFTER THE FACT IS PROBABLY NOT
HELPFUL TO COMING TO IT. I DON'T
DISAGREE TODAY, BUT, UM, I GUESS
THE CHAIR HAS ALLOWED THIS TO
TAKE PLACE TODAY. SO I'LL ASK
YOU THE QUESTIONS. PLEASE DO AND
WE WILL DO OUR BEST TO TRY TO
GET ANSWERS FOR YOU. HERE THANK
YOU. SO, UM. THE BILLS SAYS.
POINT ALLOWS TO ADD THE PATIENTS
OR CLIENTS, RACE OR ETHNICITY TO
THE LIST OF INFORMATION
COLLECTED, COLLECTED FOR
PURPOSES OF IMMUNIZATION,
INFORMATION AND REMINDER
SYSTEMS. WHAT EXACTLY ARE WE
TALKING ABOUT WITH REMINDERS
SYSTEMS? ACTUALLY SENATOR LEAVE.
I WOULD ALSO POINT OUT WE DO
HAVE THE BILL SPONSORS HERE AND
THEY WOULD BE ABLE TO ANSWER
QUESTIONS AS WELL. SO EVEN
PERHAPS AS MUCH AS THE AUTHOR,
SO IF YOU WISH TO REFER TO THE
SPONSORS THEY CAN ANSWER YOUR
QUESTIONS. MELINDA'S THANKS.
OKAY YES. SO WE CAN BRING ON
THEIR THINK CATHERINE MARTIN OR
VICTORIA FLORES ONTO LINE TO
ANSWER SENATOR MELINDA'S
QUESTION. YES THIS IS CATHERINE
. I CAN HELP. THERE IS THAT
BASIC DATA THAT IS INPUT INTO
THE RED HISTORY, INCLUDING THE
PATIENT'S NAME, BIRTHDATE.
MOTHER'S NAME. MOTHER'S MAIDEN
NAME, ETCETERA, AND THEN ONE OF
THE FIELDS IS RACE AND
ETHNICITY. THOSE ARE ALREADY IN
THE REGISTRY SYSTEM. SO WE'RE
NOT ADDING THAT FEELS WE'RE JUST
REQUIRING THAT THAT BE ADDED
THAT THAT COLLECTED WE KNOW
WHERE WE ARE. YES. OKAY THANK
YOU. BUT THAT'S ACTUALLY NOT MY
QUESTION. I UNDERSTAND THAT
THAT'S ALREADY PART OF THE
INFORMATION THAT IS PUT INTO THE
DATABASE. MY QUESTION IS, IT
SAYS IT'S FOR THE PURPOSES OF
IMMUNIZATION INFORMATION IN
REMINDER SYSTEMS, AND I WOULD
LIKE TO KNOW WHAT REMINDER
SYSTEMS WERE TALKING ABOUT HERE.
YES SO WHEN A PROVIDER IS THE
MAJORITY OF PEOPLE GETTING THEIR
VACCINATIONS IN THE PROVIDER'S
OFFICE, AND SO IN ORDER TO
REMIND PARENTS THAT WE WANT TO
GIVE YOUR CHILD THAT SECOND
VACCINE THAT BOOSTER DOSE.
THEY'LL SEND BILL BRUNNER REPORT
SEE WHICH PATIENTS ARE DUE FOR
VACCINES. RIGHT. BUT WHY DO YOU
NEED TO KNOW THEIR RACE AND
ETHNICITY IN ORDER TO DO THAT OF
THE STATE OF CALIFORNIA, THE
STATE OF CALIFORNIA CAN ALSO RUN
REPORTS IN THE AGGREGATE NOT
SECOND RUN BY ZIP CODES, FOR
EXAMPLE. AND DO THE GEO CODING
ETCETERA TO SEE WHERE THE
POCKETS OF NEED ARE TO SEE WHERE
IN CALIFORNIA WHERE IN YOUR
COUNTY YOU HAVE MORE CHILDREN
THAT ARE UNDER IMMUNIZED OR
MISSING DOSES OF MEASLES. MAYBE
YOU'VE GOT MORE CHILDREN IN THIS
AREA THAT ARE MISSING THESE
CELLS THAT ARE IN CERTAIN
COMMUNITIES THAT NEED MORE
ATTENTION THAT MAYBE WE NEED TO
DO SOME MORE. PROMOTION IN A
CERTAIN LANGUAGE TO BE ABLE TO
REACH THOSE FAMILIES. IT GIVES
US MORE INFORMATION TO BE ABLE
TO REACH THE PARENTS THAT ARE
MISSING THE MESSAGES. OKAY SO
THAT DATA IS PROVIDED IN THE
AGGREGATE NOT IDENTIFIED. CAN I
TALK TO ZIP CODE, RIGHT? YES. SO
OKAY, SO THIS HAS TO FALL
QUESTION OR I'M I'M TRYING TO
FOLLOW WHAT YOU'RE SAYING.
YOU'RE YOU'RE SAYING THAT THE
PROVIDERS WANT TO REMIND PARENTS
PAY YOUR CHILD NEEDS THAT SECOND
DOSE OR YOU KNOW SOMETHING ON
THAT ORDER OR NEEDS THE FIRST
DOSE. SO I UNDERSTAND THAT I
STILL DON'T UNDERSTAND WHY YOU
WOULD NEED TO KNOW THE PATIENT'S
RACE OR ETHNICITY IN ORDER TO DO
THAT. IT'S ADDITIONAL
INFORMATION THAT CAN HELP US
IDENTIFY THE POCKETS OF NEED THE
AREAS OF CALIFORNIA THE
COMMUNITIES THAT ARE MAYBE
MISSING, UM, FLU VACCINATIONS,
FOR EXAMPLE, SO WE CAN MAKE SURE
THAT WE ARE REACHING OUT TO
THOSE COMMUNITIES AND THAT HELPS
US KNOW, UM, PERHAPS LANGUAGES
THAT OR COMMUNITY IN AREAS SO
YOU KNOW HOW IF WE'RE DOING A
GOOD JOB ON REACHING THOSE
COMMUNITIES. SO ARE YOU TELLING
ME THAT YOU ARE GROUPING
COMMUNITIES BY RACE IN ORDER TO. HE WOULD SEND OUT A REMINDER
TO AN ENTIRE I DON'T KNOW
NEIGHBORHOOD BASED ON THEIR
RACE. TO THE SPONSOR. IF I CAN
ANSWER THAT, I THINK IT WOULD BE
LIKE HOW WE DID WITH COVID AND
PEOPLE. WE REALIZED THAT THERE
WERE CERTAIN GROUPS OF PEOPLE
ETHNICITIES THAT WEREN'T GETTING
IMMUNIZED, SO THIS WOULD BE A
WAY FOR THEM TO REALIZE MAYBE
OUR HISPANIC COMMUNITY IS LOW ON
GETTING THE MEASLES SHOT. OR
MAYBE OUR BLACK COMMUNITY IS NOT
GETTING THAT, SO THEY KNOW WHAT
THEY NEED TO DO TO FOLLOW UP.
YES AND I GET THAT THAT MAKES
SENSE. IT'S JUST THIS REMINDERS
SYSTEM IS A LITTLE DIFFERENT
THAN WHAT YOU DESCRIBED WITH
COVID, WHERE WE HAD SOME PUBLIC
INFORMATION CAMPAIGNS
SPECIFICALLY TARGET TARGETING
CERTAIN GROUPS. TO GET THE
VACCINE. THIS THIS IS SOMETHING
ENTIRELY DIFFERENT AS IT RELATES
TO THE DATABASE. SO, UM OKAY.
WELL, LET'S MOVE ON FROM THAT.
YOU KNOW WHAT. THANK YOU. THAT'S
ALL. I HAVE ANY OTHER QUESTIONS
OR COMMENTS FROM COMMITTEE
MEMBERS. OKAY SAYING NONE. UM
CERTAINLY THANK YOU SO MUCH FOR
STEPPING IN, AND I DO APPRECIATE
THE SPONSORS BEING HERE TO
ANSWER QUESTIONS. I THINK YOU
KNOW THIS. THIS BILL ALLOWS, UH
PUBLIC HEALTH TO BE ABLE TO
DETERMINE, FOR EXAMPLE
DISPARITIES. THAT'S WHY WE
COLLECT THE DATA, RIGHT. IT'S TO
LOOK AT AN AGGREGATE AND WE WANT
TO BE SURE WE ARE ABLE TO
IDENTIFY DISPARITIES,
UNFORTUNATELY, HAVE IDENTIFIED
THAT THERE ARE UNFORTUNATELY
DISPARITIES IN HEALTH OUTCOMES.
IN WHETHER IT'S VACCINATION
RATES, INFECTION RATES,
ETCETERA, SO THIS HELPS US
BETTER DETERMINE HOW WE CAN TRY
TO PREVENT DISEASE AND ALSO
DEATH RESULTING FROM THAT
DISEASE AS WELL. UM IN MANY
WAYS, THIS BILL WILL ALSO MAKE
IT EASIER FOR HAVE TO ADDRESS
PUBLIC HEALTH AND TO CONTAIN
OUTBREAKS OF SERIOUS INFECTIONS
. AND SO I THINK THESE ARE
IMPORTANT REFORMS THAT THE
DEPARTMENT PUBLIC THAT OUR
PUBLIC HEALTH PARTNERS HAVE FELT
VERY ARE NECESSARY AND SO
CERTAINLY URGING SUPPORT FOR THE
BILL. WOULD YOU LIKE TO CLOSE
SENATOR LEYVA ON BEHALF OF
ASSEMBLYMEMBER'S DR WEBBER? I
WOULD RESPECTFULLY ASK FOR YOUR
VOTE. OKAY? I DO NEED A MOTION.
FAIR MOTION. OKAY, IT'S BEEN
MOVED BY SARAH GONZALEZ, AND
IT'S DO PASS AND REFERRED TO THE
COMMITTEE ON EDUCATION. SO WE
GET AGAIN. SECRETARY PLEASE CALL
THE ROLL PAN AND I, MELINDA'S
MELINDA'S NO EGGMAN. GONZALEZ
GONZALEZ? AYE. GROVE HER TOTO
LEYVA HIGH. I THE MOUND BROTH I
RUBIO WIENER. THANK YOU, MR
CHAIR. THANK YOU. MEMBERS THANKS
TO THAT FILLS. CURRENTLY, 41
WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. ALRIGHT WE ARE
GOING TO FALL ORDER, SO THE NEXT
UP IS ACTUALLY IS SOME MEMBER
CRISTINA GARCIA. ITEM NUMBER
THREE A. B 3 51 WELCOME. YEAH.
THANK YOU. CHAIR AND MEMBERS,
MAYBE 3 51 WILL PROVIDE AN
ADDITIONAL OPTION FOR CALIFORNIA
RESIDENTS FOR THIS POSITION OF
THE REMAINS THAT IS MORE
ENVIRONMENTALLY FRIENDLY THAN
THE OPTIONS WE HAVE NOW. THIS
MEASURE WOULD ALLOW INDIVIDUALS
TO BE ORGANICALLY DECOMPOSES
ALSO REFERRED TO AS A REDUCTION
OF HUMAN REMAINS AFTER AFTER IT
IS NATURAL PROCESS IS COMPLETE
THE FAMILY OF A LOVED ONE. THEY
INTEGRATE THE REMAINS AS SOIL
AND PLANTING A TREE OR GARDEN
AND REMEMBRANCE OF THEIR LOVED
ONE. CURRENTLY THERE ARE A FEW
BURIAL OPTIONS FOR CALIFORNIA
RESIDENTS. COMMON OPTIONS
INCLUDE TRADITIONAL BURIAL,
WHICH CAN LEAD CHEMICALS FROM
THE TREATED WOOD AND THE
EMBALMING PROCESS INTO THE
GROUND. CREMATION WHICH ACCOUNTS
FOR OVER 66% OF THE DEBT CHOICES
IN CALIFORNIA AND EMITS U TWO
INTO THE ATMOSPHERE, POLLUTING
OUR AIR AND CONTRIBUTING TO
CLIMATE CHANGE. THE
ENVIRONMENTAL IMPACTS OF
CONVENTIONAL BURIAL AND
CREMATION ARE PROFOUND. IN THE
UNITED STATES, CEMETERIES TAKE
UP ONE MILLION ACRES OF LAND AND
CASKET USED FOUR MILLION ACRES
OF FOREST EVERY YEAR. THE STATES
OF WASHINGTON, COLORADO, OREGON
AND VERMONT HAVE ALREADY SIGNED
SIMILAR LEGISLATION INTO LAW AND
OTHER STATES ARE CONSIDERING
SIMILAR BILLS. IT WILL BEFORE HE
HAS UM, THIS THIS BILL HAS BEEN
BEFORE YOU BEFORE, AND I HOPE
THAT THIS IS THE YEAR THAT
CALIFORNIANS FAMILY HAVE THIS
ADDITIONAL OPTION. I
RESPECTFULLY ASK FOR AN I VOTE.
WHEN MARY TESTIFYING SUPPORTERS
KATRINA SPADE, CEO OF RECOMPOSE
AND ALEJANDRA ALEJANDRINA
CHAVEZ, CALIFORNIA'S AGAINST
WASTE. THANKS VERY MUCH. SOME
MEMBER GARCIA AND I BELIEVE BOTH
OF THOSE ARE ACTUALLY THINK THE
FIRST ONES TESTIFYING I FOUND IN
THE SECOND IS PRESENT IS ONE OF
THE WITNESSES PRESENT HERE IN
THE ROOM. OKAY WELL, I DON'T SEE
THEM. OKAY WELL, MODERATOR,
PLEASE OPEN THE LINE. AND CAN
YOU PLEASE BRING ON KATRINA
SPADE FROM RE CAMPS AND I DON'T
KNOW IF ALEX DRINA YOU SAID
CHAVEZ. CALIFORNIA AGAINST WASTE
ACTUALLY OUT OF THERE ON THE
LINE AT ALL OR NOT, BUT LET'S
BEGIN WITH KATRINA. SPADE OPEN.
OKAY, MAYBE THEY'RE BOTH ON
OKAY. KATRINA SPADE. THANK YOU.
YES THANK YOU, MR CHAIR MEMBERS
OF THE COMMITTEE. MY NAME IS
KATRINA SPADE AND THE CEO OF
RECOMPOSED. WE STRONGLY SUPPORT
A B 3 51 DECOMPOSES AND
ECOLOGICAL FUNERAL COMPANY THAT
PROVIDES NATURAL ORGANIC
REDUCTION TO THE PUBLIC. NATURAL
ORGANIC REDUCTION HAS BEEN
PROVEN SAFE AND EFFECTIVE, AND
IT'S BEEN USED IN AGRICULTURAL
SETTINGS FOR OVER THREE DECADES
AS A HUMAN DEATH CARE OPTION.
IT'S ALREADY LEGAL ENFORCE THE
AND IT'S BEING PROVIDED INTO
BOTH WASHINGTON AND COLORADO.
NATURAL ORGANIC REDUCTION
PROVIDES SIGNIFICANT SAVINGS IN
CARBON EMISSIONS OVER
CONVENTIONAL FUNERAL OPTIONS,
USING JUST AN EIGHT THE ENERGY
OF CREMATION AND SAVING OVER A
METRIC TON OF CARBON DIOXIDE PER
PERSON WHO CHOOSES IT. I ASK FOR
YOUR VOTE AND THANK YOU VERY
MUCH. THANK YOU. AND THEN AS
ALEX GENRE CHAVEZ FROM
CALIFORNIA AGAINST WASTE ON THE
LINE. YES. CAN YOU HEAR ME? YES.
YES. PLEASE BEGIN. THANK YOU, MR
CHAIR MEMBERS AND I APOLOGIZE
FOR THE CONFUSION. MY NAME'S
ALEXANDRINA CHÁVEZ. SPEAKING ON
BEHALF OF CALIFORNIANS AGAINST
WASTE TODAY IN STRONG SUPPORT OF
THE ASSEMBLY, BILL 3 51 CEMETERY
BEGIN TO FILL UP AND LANDED LESS
AVAILABLE FOR BURIAL PLOTS. BABY
THROUGH 51 WOULD ALLOW CONSUMERS
TO CHOOSE COMPOSTING,
SUSTAINABLE ALTERNATIVE TO OTHER
BURIAL AND CREMATION PROCESSES
FOR THEIR LOVED ONES. ESTIMATES
SHOW THAT COMPOSTING HUMAN
REMAINS COULD SAVE NEARLY
250,000 TONS OF CARBON EMISSIONS
A YEAR IN CALIFORNIA ALONE, AND
TWO THIRDS OF FAMILIES CURRENTLY
CHOOSE TO CREMATE THE REMAINS OF
THEIR LOVED ONES. PRACTICE THAT
REQUIRES FOSSIL FUELS AND
RELEASES GREENHOUSE GASSES AND
TOXIC EMISSIONS. TRADITIONAL
CASKET BURIALS ARE NOT MUCH
BETTER AS THEY REACHED CHEMICALS
INTO THE GROUND FROM TREATED
CASKETS. WOOD AND EMBALMING
CHEMICALS. MEANWHILE COMPASSES
CREATED THROUGH A NATIONAL
PROCESS BY WHICH ORGANICS, WHICH
INCLUDE HUMAN REMAINS, ARE
ALLOWED TO DECOMPOSE INTO A
NUTRIENT RICH SOIL THAT NOT ONLY
AVOID THE ADMISSIONS BUT IN FACT
SEQUESTER CARBON INTO THE SOIL.
CHILLING TO HAVE ONE SELF
COMPOSTED AFTER DEATH GIVES AN
OPPORTUNITY TO DO ONE FINAL ACT
TO HELP LEAVE THE WORLD BETTER
THAN THEY FOUND IT. THANK YOU.
RESPECTFULLY URGE. FREE I GO.
THANK YOU. WE'LL NOW MOVE ON TO
ADDITIONAL WITNESSES AND SUPPORT
OF 83 51 NAME MORTGAGE POSITION
WILL BEGIN HERE IN ROOM 1200. IF
THAT WELCOME. COMING UP. OKAY?
ROUND UPON AGAIN PRIVATE VOTING
CITIZEN AND SUPPORT. THANK YOU.
SEEING OURSELVES APPROACHING THE
MICROPHONE. MODERATOR PLEASE
OPEN THE LINES FOR WITNESSES WHO
WE SHOULD TESTIFY IN SUPPORT OF
A B 3 51. THANK YOU IF YOU WISH
TO SPEAK IN SUPPORT OF A B 351
PLEASE PRESS 10 AT THIS TIME.
BORDERLINE. 2 71, PLEASE GO
AHEAD. 2 71 DROPPED OUT OF THE
Q. I HAVE NO COMMENTS IN HERE.
THANK YOU. WE'LL NOW MOVE ON TO
WITNESSES AND OPPOSITION TO AB 3
51. THERE'S NO REGISTERED LEAD
OPPOSITION WITNESS. AND BELIEF
ARE THE CALF CALIFORNIA CALF
CONFERENCE, OKAY? ALRIGHT, WELL
, PLEASE COME UP THE MICROPHONE
AND EXPRESS YOUR OPPOSITION.
JENNIFER SLEPT CO. RIVERSIDE
COUNTY PRIVATE CITIZEN AT THIS
MOMENT, I COMPLETELY OPPOSED
THIS BILL. THANK YOU. WELCOME.
HELLO. THANK YOU. SORAYA
ABDULLAH, 19 YEAR OLD STUDENT. I
FIND THIS BILL DISGUSTING AND I
COMPLETELY OPPOSE IT. RIGHT? HOW
PUTIN MAINTAIN THE QUORUM HERE,
SO WE'LL NOW MOVE ON TO NO ONE
ELSE APPROACHING THE MICROPHONE
WILL MOVE ON TO THE
TELECONFERENCE LINE. MODERATOR
PLEASE OPEN THE LINE THROUGH
WITNESSES WHO I SHOULD TESTIFY
IN OPPOSITION TO A B 3 51. THANK
YOU IF YOU WISH TO SPEAK IN
OPPOSITION TO A B 3 51 PLEASE
PRESS 10 AT THIS TIME. PLANE. 3
12, PLEASE GO AHEAD. MHM HIGH.
THIS IS JASMINE CHAVEZ, MENTAL
HEALTHCARE PROVIDER AND BUSINESS
OWNER IN CALIFORNIA, AND I
STRONGLY OPPOSED 83 51. THANK
YOU NEXT WITNESS. THANK YOU. I
HAVE NO FURTHER COMMENTS AND QUÊ
. ALRIGHT, WE'LL BRING IT BACK
TO THE COMMITTEE QUESTIONS OR
COMMENTS FROM COMMITTEE MEMBERS,
SENATOR EDMUND THANK YOU VERY
MUCH. AND I'M SORRY. I DIDN'T
GET TO HEAR ALL THE
PRESENTATION. ALTHOUGH I HAVE
ACTUALLY PRESENTED THIS BILL FOR
THE ASSEMBLYMEMBER'S ANOTHER
COMMITTEE. I WOULD LIKE TO MOVE
THE BILL AND JUST TO THANK YOU
FOR THIS, AS SOMEONE WHO HAS
DEDICATED A LOT OF THEIR LIFE TO
END OF LIFE ISSUES. I KNOW A LOT
OF PEOPLE ARE AFRAID OF DEATH.
THEY THINK IT'S NOT GOING TO
HAPPEN TO THEM, BUT IT HAPPENS
TO ALL OF US AND IS PART OF
LIFE. AND AS PART OF THE WHOLE
EVOLUTION OF LIFE, AND THE MORE
THAT WE CAN TAKE CARE OF OUR
ENVIRONMENT AND GIVE PEOPLE THE
DIGNITY AND THEIR OWN SAY AND
NOT EVEN NOT ONLY HOW THEY LIVE
THEIR LIFE TODAY. BUT WHAT
HAPPENS TO THEIR BODY AFTERWARDS
AND THE MORE WE CAN NURTURE THE
EARTH WITH OUR OWN REMAINS
VERSUS TAKING A PLANNED OR OR
CREMATION. IT'S GOOD TO GIVE
PEOPLE OPTIONS. I THINK THAT'S
THE POINT OF THIS BILL. IS TO
TRULY GIVE PEOPLE OPTIONS WITH
THE ACKNOWLEDGEMENT. THAT WE ALL
DIE. AND AGAIN, I WOULD MOVE
THIS BILL. OKAY, THANK YOU. IT'S
BEEN MOVED BY SENATOR EGGMAN
OTHER QUESTIONS OR COMMENTS.
SEEING NONE FOR SAY, APPRECIATE
YOUR CONTINUED WORK ON THIS
ISSUE. I KNOW I'VE SEEN VARIOUS
ITERATIONS AND HOPEFULLY THIS IS
THE ONE THAT ALL GET SIGNED BY
THE GOVERNOR. FRANKLY WHEN
PEOPLE TALK ABOUT NATURAL, THIS
IS PERHAPS ONE OF THE MOST
NATURAL APPROACHES TO SO PEOPE
CAN HAVE DIFFERENT BELIEFS,
ETCETERA, AND THIS IS SIMPLY AN
OPTION FOR PEOPLE, SO I
APPRECIATE WHAT YOU'RE DOING
HERE. AND THE OPPORTUNITIES ARE
GIVING PEOPLE WHO WISH TO CHOOSE
THIS ROUTE FOR REMAINS, WHICH IS
SUPPORTING THE BILL, WHICH WOULD
LIKE TO CLOSE YES. THANK YOU. UM
I'M A CARETAKER FROM MY PARENTS
AND MY UNCLE AND WE HAVE A LOT
OF HEALTH ISSUES IN MY
HOUSEHOLD. AND THAT'S WHY I
MOVED BACK HOME. ACTUALLY UH AND
WE'VE BEEN CONFRONTED WITH END
OF LIFE CHOICES WE'VE BEEN
CONFRONTED WITH WHERE WE WANT
OUR BODIES TO REST AFTERWARDS,
AND WE TALKED ABOUT WHAT WE WANT
OUR FAMILY TO VISIT US. OUT HERE
, AND THIS IS NOT AN OPTION FOR
EVERYBODY, BUT IN ITS ADOPTION
FOR FOLKS WHO FIND IT
APPROPRIATE, AND WE KEEP ALL THE
OTHER OPTIONS IN PLACE. AND THIS
IS AN OPTION THAT MY FAMILY HAVE
TALKED ABOUT, ACTUALLY SOMETHING
THAT WE'RE REALLY EXCITED ABOUT
IN THE GARCIA HOUSEHOLD. SO WITH
THAT, I RESPECTFULLY ASK FOR MY
VOTE. THANK YOU. SO THE MOST HAS
BEEN MOVED. SO ANYWAY, THE
MOTIONS DO PASS AS AMENDED IN
NEW YORK CEPT IN THE AMENDMENTS.
CORRECT CORRECT. THANK YOU. DO
YOU PASS? THE MOTIONS DO PASS
THIS AMENDMENT REFERRED TO THE
COMMITTEE APPROPRIATIONS HAS
BEEN MOVED BY SENATOR EDMUND.
SECRETARY PLEASE CALL THE ROLL
10. I'M A WINDOWS EGGMAN. I
GONZALES GONZALES. I GROVE HER
TATO LEYVA. LABOR? AYE. LIMÓN
ROTH RUBIO WIENER. OKAY, SO IT'S
CURRENTLY 40 WILL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. AND
THEN YOU ALSO HAVE ITEM NUMBER
FOUR. A B 25 86. YES THANK YOU A
B 25 86, WHICH AIMS TO COMBAT
REPRODUCTIVE AND SEXUAL HEALTH
DISPARITIES. SEACM BLACK LATINO
INDIGENOUS LGBTQ. AND OTHER
MARGINALIZED COMMUNITIES AS A
CHILD, THE LET'S SAY THE WOMEN'S
CAUCUS. I'M PROUD OF OUR WORK TO
ENSURE CALIFORNIA'S A BEACON OF
HOPE FOR ANYONE SEEKING
REPRODUCTIVE HEALTHCARE NOW AND
IF FROZE, OVERTURNED BUT I'M
ALSO KEENLY AWARE THAT HERE IN
CALIFORNIA NOT ALL CALIFORNIANS
FEEL LIKE THEY HAVE FULL
AUTONOMY OF THEIR BODY. AND IT
FEELS LIKE AN EMPTY PROMISES.
ACCESS IS REALLY LIMITED OR THE
EXCESSES NOT CULTURALLY
SENSITIVE. COMMUNITIES LIKE MINE
CONTINUE TO FACE INCREASINGLY
HIGHER RATE OF SEXUAL AND
REPRODUCTIVE HEALTH INEQUITIES
ACROSS CALIFORNIA, INCLUDING
INEQUITABLE ACCESS TO ABORTION
INFORMATION. CARE AND RELATED
SERVICES AND EQUITY AND SEXUALLY
TRANSMITTED INFECTION RATES AND
INEQUITIES IN ACCESSING
CONTRACEPTIVE CARE. IN ORDER TO
ADDRESS THE DISPARITIES. THIS
BILL REQUIRES THE DEPARTMENT OF
PUBLIC HEALTH TO CONVENE A
WORKING GROUP TO EXAMINE THE
ROOT CAUSES OF REPRODUCTIVE
HEALTH AND SEXUAL HEALTH
DISPARITIES IN THE STATE. AND
ESTABLISHED A CALIFORNIA
REPRODUCTIVE JUSTICE AND FREEDOM
FUND WITH THE GOAL OF
DISMANTLING HISTORIC AND
STANDING SYSTEMIC REPRODUCTIVE
AND SEXUAL INEQUITIES, SEXUAL
HEALTH INEQUITIES. THE FUND
CREATED WOULD ALSO BE USED TO
PROVIDE FUNDING TO COMMUNITY
BASED REPRODUCTIVE JUSTICE
ORGANIZATIONS CRUSTED TO PROVIDE
MEDICALLY ACCURATE SEXUAL HEALTH
EDUCATION. MEANINGFULLY
ADDRESSING ELLEN. ELIMINATING
THESE INEQUITIES REQUIRES
INNOVATIVE APPROACHES THAT
SENSORS THE NEEDS OF THOSE MOST
IMPACTED IN OUR COMMUNITIES.
MAYBE 25 86 IS NECESSARY IN
ORDER TO SUPPORT OUR BLACK
LATINO INDIGENOUS LGBTQ, PLUS
AND OTHER MARGINALIZED
COMMUNITIES STRUGGLING TO
OVERCOME REPRODUCTIVE AND SEXUAL
HEALTH INEQUITIES. WITH ME TODAY
, I HAVE LORENA GARCIA CERMENO
WITH CALIFORNIA LATINAS FOR
REPRODUCTIVE JUSTICE. AND
ALREADY ALERT WITH LUMINA
ALLIANCE TO TESTIFY IN SUPPORT.
OKAY THANK YOU WILL NOW HEAR
FROM THE WITNESSES ARE LEAD
WITNESSES AND SUPPORT. AND ARE
THEY BOTH ON THE PHONE LINES? I
ASSUME I DON'T SEE ANYONE
APPROACHING THE MICROPHONE. THE
MODERATOR, PLEASE OPEN THE LINES
FOR LORENA GONZALEZ GARCIA,
LORENA GARCIA ZAHRA M OF
CALIFORNIA LATINOS, REPRODUCTIVE
JUSTICE AND THEN FOLLOWED BY RT
KOTHARI ALLOWED FROM THE LUMINAL
ALLIANCE OF LET'S BEGIN WITH
LORENA GARCIA'S ZIMMERMAN Ó.
BOTH LINES ARE OPEN. GOOD
AFTERNOON TERM MEMBERS. MY NAME
IS LAURA, NUMBER THE MANAGER
JUSTICE CURRENTLY WITNESSING THE
CONSIDERED EFFORT TO
DRAMATICALLY OLFACTORY
PRODUCTIVE RIGHT ACROSS THE
COUNTRY WAS FLAGRANT ATTACKS ON
ABORTION ACCESS AND HARMFUL
MISINFORMATION CAMPAIGNS ABOUT
ABORTION CARE, ANOTHER
REPRODUCTIVE AND SEXUAL HEALTH
CARE SERVICES. CALIFORNIA IS NO
EXCEPTION. WE KNOW THESE
MISINFORMATION CAMPAIGNS
STRATEGICALLY TARGET OUR
COMMUNITIES. LOW INCOME RURAL
POOR BY PUCK FOLKS ACROSS THE
STATE PARK, INDIGENOUS AND OTHER
COMMUNITIES OF COLOR WHO HAVE
HAD TO BEAR AND CONTINUE TO BEAR
THE BURDEN OF AN ONGOING LEGACY,
SEXUAL REPRODUCTIVE OPPRESSION
AND HELPING THE TRUCK CALIFORNIA
IN CALIFORNIA THAT PREGNANCY
RELATED MORTALITY, RACIAL FOR
BLACK WOMEN AND BREATHING PEOPLE
4 TO 6 TIMES GREATER THAN OTHER
RACIAL ETHNIC GROUP. CALIFORNIA
ALSO HAS THE LARGEST POPULATION
OF UNHEALTHY PEOPLE WERE WANTING
TO WOMEN WHO WERE IN SHELTERED,
HAVE EXPERIENCED DOMESTIC
VIOLENCE. CALIFORNIA IS ALSO
NUMBER ONE IN THE COMMUNAL
IZATION OF OUR COMMUNITIES WHERE
3/4 OF INCARCERATED WOMEN ARE
CHILDBEARING AGE UNTIL THERE'S
THEIR MOTHERS AND PRIMARY
CAREGIVERS, CHILDREN, THESE ARE
JUST A FEW EXAMPLES OF PROBABLY
PRODUCTIVE OPPRESSION IS DEEPLY
WOVEN INTO THE FABRIC OF THIS
COUNTRY. TO BE CLEAR. THESE
ISSUES CANNOT BE SEEN IN
ISOLATION FROM ONE ANOTHER.
REPRODUCTIVE FREEDOM OF OUR
CALIFORNIAN'S MENTAL SYSTEMIC
RACISM. IT MEANS PUTTING AN END
TO THE POLICING OF OUR BODIES
AND COMMUNITIES. IN ORDER TO
ACHIEVE THIS, WE MUST EQUALLY TO
ENSURE THAT WE ARE OPPOSING OUR
COLLECTIVE RIGHT TO BODILY
AUTONOMY. THE RIGHT TO HAVE A
CHILD THE RIGHT TO NOT HAVE A
CHILD AND THE RIGHTS OF PARENTS
OF CHILDREN WE HAVEN'T SAVED AND
STABLE COMMUNITIES ORGANIZATIONS
. WE UNDERSTAND THAT MEANING WE
ADDRESSING THESE. REQUIRE
INNOVATIVE APPROACHES
ESSENTIALLY NEED TO THE MOST
IMPACTED IN OUR COMMUNITIES. SO
THESE REASONS VILLAGERS
POLITICAL SPONSOR EVERY 25 86
RESPECTFULLY ASK FOR YOUR
SUPPORT. THANK YOU. THANK YOU
VERY MUCH. LET'S NOW MOVE ON TO
OUR SECOND WITNESSES TESTIFYING
SUPPORT RD KOTHARI ALERT FROM
THE LUMEN ALLIANCE. THE ON THE
LINE. THE LINE IS OPEN. PLEASE
BEGIN. YOU MAY BE ON MUTE. WE.
OKAY? PARTY QATARI ALERT ARE YOU
ARE YOU THERE JUST TO PLEASE
CHECK TO SEE IF YOU'RE MUTED OR
NOT. OKAY YOU MAY WANT TO CHECK
YOUR CONNECTION. WE'RE GOING TO
CONTINUE TO MOVE ON. BUT IF YOU
COME BACK ON THE LINE, WE WILL,
OF COURSE, AFFORDS YOU THE
OPPORTUNITY TO TESTIFY. IF WE
PLEASE CHECK YOUR LINE AND WE'LL
MOVE ON TO ADDITIONAL WITNESSES
IN SUPPORT OF A B 25 86 WILL
BEGIN HERE IN ROOM 1200.
WELCOME. CINDY HILLARY ON BEHALF
OF THE CALIFORNIA MEDICAL
ASSOCIATION AND THE AMERICAN
COLLEGE OF OBGYN DISTRICT. NINE
IN SUPPORT. THANK THANK YOU
WELCOME. MR CHAIR AND MEMBERS
AARON EVANS ON BEHALF OF NARAL
PRO CHOICE CALIFORNIA AND THE
CALIFORNIA NURSE MIDWIVES
ASSOCIATION AND SUPPORT. THANK
YOU. THANK YOU SAY NO ONE ELSE
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY AND SUPPORT OF A B 25
86. IF, UH, AND OF COURSE, IF RD
AUTHORITY LARGE IS ABLE TO GET
BACK ON, WE'LL LET HER TESTIFY.
BUT RIGHT NOW, LET'S GO AHEAD
AND TAKE ADDITIONAL WITNESSES.
SUPPORT NAME ORGANIZATION
POSITION ONLY. THANK YOU IF YOU
WISH TO SPEAK IN SUPPORT OF A B
2586 PLEASE PRESS 10 AT THIS
TIME. LINE. 2 12, PLEASE GO
AHEAD. GOOD AFTERNOON, JUST
BROWSE ON BEHALF OF THE PROGRAM
. CONTACT J IN. THANK YOU. THANK
YOU NEXT WITNESS. LINE. 3 14,
PLEASE GO AHEAD. LINE 314. OH,
SORRY. UM NO, THE YOUNG ON
BEHALF OF THE ESSENTIAL ACCESS
HEALTH AND STRONG SUPPORT. THANK
YOU. THANK YOU. NEXT WITNESS.
LINE 3 26, PLEASE GO AHEAD. GOOD
AFTERNOON. THIS IS ASHLEY LOPEZ
RESIDING IN LOS ANGELES AND I
SUPPORT A B 25 86. THANK YOU.
THANK YOU. NEXT WITNESS. PLANE.
3 25, PLEASE GO AHEAD. GOOD
AFTERNOON, JOSH DOGGER ON BEHALF
OF THE SANTA CLARA BOARD OF
SUPERVISORS AND SUPPORT. THANKS.
THANK YOU. NEXT WITNESS. LINE 3
32, PLEASE GO AHEAD. MOLLY
ROBSON WITH PLANNED PARENTHOOD
AFFILIATES OF CALIFORNIA WHERE
SUPPORT THANK YOU NEXT WITNESS.
KLEIN TO 40. PLEASE GO AHEAD.
HELLO. MY NAME. FIND 2 40.
LOOKING. HEAR ME? YES, PLEASE.
HELLO MY NAME IS JULISSA
RODRIGUEZ WITH THE LEAGUE OF
WOMEN VOTERS OF CALIFORNIA AND
WE STRONGLY SUPPORT THIS BILL.
THANK YOU. NEXT WITNESS. LINE. 3
34, PLEASE GO AHEAD. THANK YOU.
CHAIR PAN PEZZELLA ON BEHALF OF
ACCESS TO REPRODUCTIVE JUSTICE,
WHO WAS ALSO A CO SPONSOR, AND
WE'RE IN FULL SUPPORT. THANK
YOU. THANK YOU. NEXT WITNESS.
PLANE. 3 22, PLEASE GO AHEAD.
HI, MONICA. ELLA HERE, UM, YOU
SELL THE STUDENT AND SUPPORT
THANK YOU. THANK YOU. NEXT
WITNESS. LINE 2 22, PLEASE GO
AHEAD. THANK YOU. MY NAME IS
HECTOR HERNANDEZ O GATO WITH THE
NATIONAL HEALTH PROGRAM AND WE
ARE IN SUPPORT OF THE FIELD.
THANK YOU NEXT WITNESS. THANK
YOU. I HAVE NO FURTHER COMMENT.
THANK YOU, AND THEY TRY ONE
FINAL WELL, HAS ALREADY KOTHARI
A LARD. AVAILABLE. ANY LUCK.
OKAY I THINK AT THIS POINT WE'RE
JUST GOING TO MOVE ON WORDS.
OKAY LET'S NOW MOVE ON TO OUR
LEAD WITNESSES AND OPPOSITION
BELIEVE IN PERSON, SO WE BEGIN
WITH KRISTEN TURNER FROM THE
RIGHT TO LIFE LEAGUE. WELCOME.
KRISTEN WAS NOT AVAILABLE, SO
I'LL YEAH, I'M THE SECOND ONE
IS. I'LL GO AHEAD. MY NAME IS
TERESA BRENNAN AND THE PRESIDENT
AND EXECUTIVE DIRECTOR OF THE
RIGHT TO LIFE LEAK. THE
LEGISLATIVE FINDINGS OF A B 25
86 STATE, WHAT IS CONFIRMED BY
GUTTMACHER INSTITUTE STATISTICS
. ECONOMIC STATUS IS ONE OF THE
TOP REASONS WHY WOMEN SEEK
ABORTIONS. ACCORDING TO
GUTTMACHER. 75% OF ALL ABORTIONS
ARE HAD BY WOMEN AT OR BELOW 2%
OF FEDERAL FEDERAL POVERTY LEVEL
. THAT STATISTIC IS STAGGERING.
THIS SUGGESTS BIPAC. WOMEN ARE
NOT HAVING ABORTIONS BECAUSE
THAT IS WHAT THEY WANT. THEY ARE
FORCED TO CHOOSE BETWEEN
FINANCIAL SURVIVAL AND THEIR
BABY AND THAT DECISION IS
TRAGIC. THESE WOMEN ARE FAR MORE
LIKELY TO EXPERIENCE DEPRESSION
, ALCOHOL, DRUG ADDICTION OR
EVEN SUICIDE AFTER THEIR
ABORTION. SO WHAT ARE WE DOING
TO HELP THEM INSTEAD OF A LONG
TERM COMMITMENT TO ASSISTING
THEM? WE OFFER A TRAGIC, QUICK
FIX. THIS BILL SETS UP A TASK
FORCE WHOSE NUMBER ONE GOAL IS
TO GIVE THEM MORE ACCESS TO
ABORTION, NOT CREATE RESOURCES
FOR THEM, NOT FIGURE OUT HOW TO
SUPPORT THEM THROUGH MOTHERHOOD
. IF THAT IS WHAT THEY WANT, IT
IS HEARTBREAKING. CAN WE PLEASE
STOP PUSHING ABORTION AND FIGURE
OUT HOW TO MEET THESE WOMEN
WHERE THEY ARE, THEY ARE TRULY
IN CRISIS. IT IS NOT A REAL
CHOICE IF WOMEN ARE MAKING
DESPERATE DECISIONS. LET'S DO
BETTER. EARLIER VERSIONS OF THIS
BILL, SADLY REFERRED TO
PREGNANCY HELP CLINICS AS FAKE
CLINICS. BUT THESE CLINICS
LOCATED THROUGHOUT OUR STATE
OFFER FRONT LINE MEDICAL
SERVICES. SUCH AS PREGNANCY
VERIFICATIONS FOR FREE SO WOMEN
CAN GET MEDICAL SERVICES QUICKLY
. THEY PROVIDE ULTRASOUNDS FOR
CRUCIAL PREGNANCY DATING AND
MANY PROVIDE STD TESTING THAT WE
KNOW IS VITALLY NEEDED. THESE
ARE PRIMARY CARE SERVICES YET
TODAY MORE THAN 50 PREGNANCY
HELP CLINICS THROUGHOUT OUR
NATION HAVE BEEN VANDALIZED AND
FIREBOMBED. WOMEN DO NOT NEED A
TASK FORCE ON REPRODUCTIVE
EQUITY. THEY NEED ASSISTANCE
THAT MEETS THEM WHERE THEY ARE
AND SUPPORTS THEM. THEY NEED
REAL SERVICES SERVICES THAT
PREGNANCY HELP CLINICS PROVIDE.
SENATORS THIS BILL IS PART OF A
GROUP OF BILLS PUT FORTH BY THE
FUTURE OF ABORTION COUNCIL,
WHICH WILL ULTIMATELY PAY FOR
ABORTIONS FOR OUT OF STATE WOMEN
WHO WILL BE GIVEN FREE ABORTION
SERVICES. THESE BILLS CALL FOR
SETTING UP A WEBSITE WHERE OUT
OF STATE WOMEN CAN SCHEDULE
THEIR TRAVEL AND HOTELS AND
THEY'RE FREE ABORTION. FOR THIS
COMMITTEE TO SOMEHOW PRETEND
LIKE BILLS LIKE A B 25 86 21 34
HAPPEN IN A VACUUM AND IF A FEW
OUT OF STATE RESIDENTS GET
SERVICES HERE WELL, OF COURSE
THAT HAPPENS IS COMPLETELY
DISINGENUOUS. SB 11 42 WILL
RECRUIT OUT OF STATE RESIDENTS
AND BUILDS LIKE 21 34. THIS ONE
A B 25 86 ARE A CONCERTED EFFORT
TO CREATE FUNDING AROUND OUT OF
STATE SERVICES. THANK YOU TO THE
SENATORS WHO ACKNOWLEDGE THAT
MANY TAXPAYERS IN CALIFORNIA ARE
NOT IN FAVOR OF PAYING FOR OUT
OF STATE RESIDENTS ABORTIONS.
NEITHER ARE WE IN FAVOR OF A
TASK FORCE TO FIGURE OUT HOW TO
PROVIDE MORE ABORTIONS INSTEAD
OF REAL RESOURCES FOR WOMEN. WE
ASK FOR A NO VOTE ON THIS BILL.
THANK YOU WELL NOW WITH
ADDITIONAL WITNESSES AND
OPPOSITION NAME ORGANIZATION
POSITION. WELCOME. MY NAME IS
GREG ABDO'S FROM THE FOUNDER OF
NOW IN SOUTHERN CALIFORNIA. AND
I OPPOSE THIS BILL. THANK YOU.
WELCOME. MOLLY SHANE ON BEHALF
OF FURTHER CALIFORNIA CATHOLIC
CONFERENCE IN OPPOSITION. THANK
YOU. THANK YOU. WELCOME. BOBBY
ABDEL SHOW ON BEHALF OF TURNING
POINT USA WRENCH. KAMANGA
APPEALS THE SPELL. THANK YOU.
WELCOME. SUSAN ARNOLD, ATTORNEY
WITH THE RIGHT TO LIFE LEAGUE. I
OPPOSE THIS BILL. THANK YOU.
WELCOME. THREE ABDO'S 19 YEAR
OLD STUDENT, I OPPOSE THIS BILL.
THANK YOU. WELCOME. JENNIFER
SLEPT Cí
RIVERSIDE COUNTY FAITH, FAMILY
LIFE COALITION. WE OPPOSE THIS,
BILL. THANK YOU. WELCOME. HI MY
NAME IS SANDRA. I AM ONE OF THE
PEOPLE. THE STATE OF CALIFORNIA
, JUST NAME ORGANIZATION
POSITION ORGANIZATION, LATINOS
AGAINST TYRANNICAL MEDICINE
DISGUISE UNDER AH, INEQUITIES
THE BILL. THANK YOU. WELCOME.
JOE IT KELCH RUNNING SPRINGS. I
AM DEFINITELY OPPOSED TO THIS
BILL. THANK YOU. PART C NO ONE
ELSE APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN OPPOSITION TO A B 25
86. THANK YOU IF YOU WISH TO
SPEAK IN OPPOSITION TO A B 25 86
PLEASE PRESS 10 AT THIS TIME.
BUYING 3 23, PLEASE GO AHEAD.
WE'LL TRY LINE 3 29. HI. MY NAME
IS YADIRA. I AM AN AMBASSADOR
FOR LEX IT AND A MEMBER OF NOW
AND I STRONGLY OPPOSED A B 25
86. THANK YOU. NEXT WITNESS.
LINE. 3 28, PLEASE GO AHEAD.
FINE. JODY HILL. PRIVATE CITIZEN
CAN T STAND, BERNARDINO. I
OPPOSED THIS BILL. THANK YOU.
NEXT WITNESS. LINE. 3 23, PLEASE
GO AHEAD. MY NAME IS TERRY
JACOBEAN. AND I STRONGLY OPPOSE
THIS BILL. THANK YOU. NEXT
WITNESS. LINE. 3 33, PLEASE GO
AHEAD. MY NAME IS RAQUEL HOGAN
REPRESENTED COUNTY. I REPRESENT
CATHOLIC FAMILIES FOR FREEDOM.
AND WE OPPOSE THIS BILL. THANK
YOU. NEXT WITNESS. LINE. 3 12,
PLEASE GO AHEAD. FIGHTING
JASMINE CHAVEZ, MENTAL HEALTH
PROVIDER AND BUSINESS OWNER IN
SOUTHERN CALIFORNIA. AND I
OPPOSE THIS BILL. THANK YOU NEXT
WITNESS. LINE 2 79, PLEASE GO
AHEAD. HI. MY NAME IS MELISSA
QUOTE FROM HER LIFE. SAN
FRANCISCO. I OPPOSED THIS BILL.
THANK YOU. NEXT WITNESS. THANK
YOU. I HAVE NO FURTHER COMMENT.
THANK YOU. THANK YOU. WE'LL
BRING IT BACK TO THE COMMITTEE
QUESTIONS OR COMMENTS FROM
COMMITTEE MEMBERS. SEEING NONE.
IS THERE A MOTION? OKAY. IT'S
BEEN MOVED BY SEVERAL AMOUNT.
SIMILAR. GARCIA APPRECIATE YOU
BRINGING THIS BILL FORWARD. WE
DO SEE DISPARITIES, AND I SAID
THIS. THIS IS AN APPROACH TO TRY
TO ALSO LOOK AT SOME OF THESE
ROOT CAUSES IS THAT'S GOING TO
BE VERY IMPORTANT. I DO HAVE TO
MAKE NOTE. THERE ARE SOME OF THE
OPPOSITION TESTIMONY IS NOT
SUPPORTED BY DATA AND FACTS THAT
I'VE SEEN SO ON. BUT WE
CERTAINLY WANT TO BE SURE WE
HAVE THE STUDIES, TOO. SO WE DO
HAVE THE DATA AND FACTS WHICH
WHICH WILL BE LOOKED AT BY THESE
GROUPS. SO I'LL BE SUPPORTING
THE BILL. WOULD YOU LIKE TO
CLOSE? YES THANK YOU. AT THE
CORE OF REPRODUCTIVE JUSTICE IS
THE RIGHT TO BODILY AUTONOMY,
THE RIGHT TO HAVE CHILDREN, THE
RIGHT NOT TO HAVE CHILDREN AND
THE RIGHT TO PARENT THE CHILDREN
WE HAVEWITH DIGNITY AND RESPECT
AND A SAFE AND SUSTAINABLE
COMMUNITIES. IN THIS PROPOSAL IS
ACTUALLY TRYING TO SEEK LONG
TERM SOLUTIONS THAT MEET PEOPLE
WHERE THEY ARE AT ELIMINATING
THE BARRIERS TO REPRODUCTIVE AND
SEXUAL HEALTH ACCESS OUT THERE.
WHICH I THINK IS A COMMON GOAL.
WE ALL HAVE. WHETHER YOU'RE IN
SUPPORT AND OPPOSITION OF THIS
BILL AT THE END OF THE DAY, AND
WITH THAT, I RESPECTFULLY ASK
FOR MY VOTE. THANK YOU. SO THE
MOTIONS DO PASS RE REFERRED TO
THE COMMITTEE ON APPROPRIATIONS,
THEN MOVED BY SARAH LIMÓN.
SECRETARY PLEASE CALL THE ROLL
PAN PAN I MELINDA'S EGGMAN.
EDMUND I. GONZALEZ. GROVE HER
TATO LEYVA. AYE, LIMÓN. LIMÓN.
AYE ROTH. I RUBIO WIENER. OKAY,
SO THAT BUILDS CURRENTLY 50 AND
WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. OKAY NEXT UP ON
OUR FILE ORDER IS ITEM NUMBER 5
84 98 BY SUMMER QUIRK-SILVA AND
I KNOW THAT SOME MEMBER LEVIN IS
PATIENTLY WAITING FOR HIS FILE.
SO PLEASE, PLEASE WELCOME.
PLEASE BEGIN WHEN YOU'RE READY.
GOOD AFTERNOON, MR CHAIR AND
MEMBERS FIRST. I'D LIKE TO THANK
THE COMMITTEE CONSULTANT FOR
WORKING WITH MYSELF ON THIS BILL
, HB 498 WOULD ENSURE CONTINUOUS
TRANSPARENCY, COLLABORATION AND
ACCOUNTABILITY THAT IS VITAL TO
THE ORANGE COUNTY COMMUNITY
PARTNER ORGANIZATIONS AND
ESPECIALLY TO THE PATIENTS.
WHICH KELL OPTIMA WAS FOUNDED TO
SERVE COOP. TIMA WAS FOUNDED AS
A PUBLIC PRIVATE PARTNERSHIP
NEARLY 30 YEARS AGO IN ORANGE
COUNTY. THEY ARE THE LARGEST
HEALTH INSURER IN ORANGE COUNTY
, PROVIDING COVERAGE FOR ONE AND
FOUR RESIDENTS, INCLUDING
COORDINATING HEALTHCARE AND
RELATED SERVICES FOR MEDICAL AND
RELEASE SERVING OUR COUNTY'S
MOST VULNERABLE RESIDENTS KILL
OPTIMAL, WHICH IS NOT A COUNTY
AGENCY MANAGES PROGRAMS THAT ARE
FUNDED BY THE STATE AND FEDERAL
GOVERNMENT, BUT OPERATES
INDEPENDENTLY UNDER THE
LEADERSHIP OF THE BOARD OF
DIRECTORS. IN 2017 S BEFORE PAST
OR OVERWHELMINGLY TO PREVENT ANY
ORANGE COUNTY SUPERVISOR FROM
AMENDING THE LOCAL COUNTY
ORGANIZED HEALTH SYSTEM
ORDINANCE TO PROTECT THE
GOVERNMENT STRUCTURE AND ENSURE
CONTINUED BALANCE ON THE KELL
OPTIMA BOARD. HOWEVER THE
SAFEGUARDS UNDER SB FOUR ARE SET
TO SUNSET AT THE END OF THIS
YEAR. 84 98 NOT ONLY EXTEND SB
FOR PERMANENTLY. IT WOULD ALSO
PROVIDE ADDITIONAL KEY
GUARDRAILS TO ENSURE THE LONG
TERM STABILITY OF CAL OPTIMA.
THE BILL IS ALSO CO AUTHORED BY
BIPARTISAN COALITION OF ORANGE
COUNTY MEMBERS OF THE
LEGISLATURE WITH ME TODAY TO
TESTIFY IN SUPPORT AND ANSWER
ANY QUESTIONS ARE DR PAUL YOST,
THE PAST PRESIDENT OF THE ORANGE
COUNTY MEDICAL ASSOCIATION, AND
MRS RACHEL ER. SORRY RACHEL BLUE
CHUR, A SENIOR COUNSEL WITH
NIELSEN, MERKSAMER, KAREN, ILO,
GROSS AND LEONIE, WHO REPRESENT
SUPPORTERS OF A B 498. THANKS
VERY MUCH. SOME MEMBER OF
QUIRK-SILVA. I BELIEVE BOTH ARE
TESTIFYING PERSON. SO BEGIN WITH
PAUL USED WITH THE COUNTY ORANGE
COUNTY MEDICAL ASSOCIATION.
WELCOME GOOD AFTERNOON, CHAIRMAN
PEN MEMBERS OF THE COMMITTEE. MY
NAME IS DR PAUL USED. I'M A
PEDIATRIC ANESTHESIOLOGIST BY
TRAINING, AND I'VE WORKED IN
ORANGE COUNTY, INCLUDING WITH
CHILDREN'S HOSPITAL. I'M A
FORMER FORMER LOCAL CITY COUNCIL
MEMBER PAST PRESIDENT OF THE
ORANGE COUNTY MEDICAL
ASSOCIATION, AND I'VE ALSO HAD
THE PRIVILEGE TO SERVE FOR 12
YEARS ON THE CALLE OPTIMA BOARD
AND FOUR YEARS AS CHAIR OF THAT
BOARD. THE LETTER SERVICES. THE
REASON THAT I'M TESTIFYING IN
SUPPORT OF 84 98 TO ENSURE THAT
CAL OPTIMUS GOVERNING BOARD IN
LEADERSHIP ACT IN THE BEST
INTERESTS OF THE NEARLY ONE IN
FOUR. WHAT IS UNIQUE ABOUT CO
OPTIMIZE WHY IT WAS FOUNDED. UM
ALL OF THE MEDICAL PATIENTS ARE
TREATED IN THE PRIVATE, UM,
PRIVATE NETWORK AND THE PRIVATE
SYSTEM. NEARLY 30 YEARS AGO, WE
ALL CAME TOGETHER AND LAUNCHED
TELL OPTIMUS A TRUE PUBLIC
PRIVATE PARTNERSHIP CALLUP. TÂM
IS NOT A COUNTY AGENCY BUT AS A
UNIQUE COUNTY ORGANIZED HEALTH
SYSTEM THAT WAS CREATED BY THE
BOARD OF SUPERVISORS TO BE A
MISSION DRIVEN AND COMMUNITY
MINDED ABOUT MANAGED CARE
PROGRAMS. THAT PARTNERSHIP WAS
FOUNDED BY KEY PRINCIPLES,
INCLUDING COLLABORATION,
TRANSPARENCY, ENACTING IN THE
BEST INTERESTS OF OUR PATIENTS,
UNFORTUNATELY, EVENTS OVER THE
LAST SEVERAL YEARS HAVE CAUSED
ME TO QUESTION WHETHER KHATAMI'S
ADHERING TO THOSE CORE
PRINCIPLES. IN 2017, THE
LEGISLATURE TOOK AN IMPORTANT
STEP BY OVERWHELMINGLY PASSING
SB FOUR, WHICH FROZE THE CURRENT
CURRENT COLLECTIVE ABOARD
STRUCTURE IN PLACE, BUT ONLY
THROUGH DECEMBER 31ST OF THIS
YEAR. THAT SAME COALITION OF
HOSPITALS, HEALTH SYSTEMS AND
PHYSICIANS THAT HELPED FUND
FOUND KELL OPTIMA IS NOW ASKING
THE LEGISLATURE TO REMOVE THE
SUNSET PROVISIONS FROM S BEFORE
AND ENACT A SERIES OF GOOD
GOVERNMENT PROVISION. AS A
FORMER LOCAL ELECTED OFFICIAL
AND FORMER KOZMA BOARD CHAIR. I
CAN ATTEST TO THE FACT THAT A B
4 98 WILL REINFORCE FOR CURRENT
CAL OPTIMA AND MEDICAL FROM
PATIENTS. THAT THOSE ENTRUSTED
WITH MANAGING THAT PROGRAM WILL
ACT IN THE BEST INTERESTS OF
THOSE PATIENTS ARE COALITION
URGES THE COMMITTEE IN SUPPORT
OF A BEFORE 98. I THANK YOU FOR
THE OPPORTUNITY TO TESTIFY.
THANK YOU RIGHT ON TIME. ALL
RIGHT, NOW FOLLOW UP FOLLOWING
UP WITH THE RACHEL BLOCHER
WELCOME. HI GOOD AFTERNOON.
CHAIR AND MEMBERS. I'M RACHEL
BLUCHER, WITH NIELSEN MARKS MORE
ON BEHALF OF TENANT HEALTHCARE.
MY FIRST WANT TO THANK THE
COMMITTEE STAFF FOR THE
COLLABORATION AND FAST TRACK
ANALYSIS. WE HAVE APPRECIATE
YOUR COLLABORATION. 84 98
REMOVES A SUNSET DATE OF JANUARY
. 1 2023 FROM EXISTING
LEGISLATION SETTING FORTH THE
MEMBERSHIP AND QUALIFICATIONS OF
THE CAL OPTIMUM BOARD. IT ALSO
INSERTS SPECIFIC AND TARGETED
GOOD GOVERNMENT PROVISION. SUCH
AS A CONFLICT OF INTEREST
PROVISIONS AND A COOLING OFF
PERIOD TO ENSURE THAT BOARD
MEMBERS ARE NOT ENGAGED IN QUID
PRO QUO TRANSACTIONS. FINALLY IT
ADDS LANGUAGE TO BE CONSISTENT
WITH COLLEEN GOALS SUCH AS
IMPROVING QUALITY OUTCOMES AND
WHOLE PERSON CARE APPROACHES TO
SERVING MEDICAL BENEFICIARIES.
AS NOTED BY ASSEMBLYMEMBER'S
QUIRK-SILVA. WE HAVE A BROAD
BASED BIPARTISAN GORGE COUNTY
LEGATION THAT HAS SIGNED ON TO
THE LEGISLATION, AND WE
RESPECTFULLY ASK FOR YOUR I
VOTE. THANK YOU. THANK YOU.
WE'LL NOW MOVE ON TO ADDITIONAL
WITNESSES AND SUPPORT OF A B 4
98. HERE IN ROOM 1200. OKAY
ALRIGHT, NOT APPROACHING THE
MICROPHONE, ALRIGHT, SAYING NO
ONE APPROACHING THE MICROPHONE
MODERATOR, PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN SUPPORT OF A B 4 98
NAME ORGANIZATION POSITION ONLY.
THANK YOU IF YOU WISH TO SPEAK
IN SUPPORT OF A B 4 98 PLEASE
PRESS ONE THAN ZERO AT THIS
TIME. I HAVE NO COMMENTS IN. Q
THANK YOU WILL NOW MOVE ON TO
WITNESSES AND OPPOSITION TO AB 4
98. I THINK WE HAVE NOT REALLY
OPPOSITION CONCERNS FROM CAL
OPTIMA WELCOME. INTRODUCE
YOURSELF NAME. GOOD AFTERNOON
SHARE PAN AND COMMITTEE MEMBERS.
THANK YOU SO MUCH. I AM UNION,
KIM. CHIEF OPERATING OFFICER AT
CAL OPTIMA. MY DOES NOT HAVE A
POSITION ON THIS BILL. HOWEVER
WE WOULD HAVE WE WOULD LIKE TO
SHARE. SOME IDENTIFIED CONCERNS
WITH THE COMMITTEE. 84 98 SEEKS
TO MAKE CHANGES THAT WE BELIEVE
ARE UNNECESSARY AS CAL OPTIMIST
BOARD ALREADY ABIDE BY ALL
APPLICABLE CONFLICT OF INTEREST
REQUIREMENTS. IN ADDITION TO THE
REDUNDANCY, WE HAVE TWO AREAS OF
CONCERN FOR WHICH WE REQUEST
AMENDMENTS. THE FIRST WE BELIEVE
IS TECHNICAL. THE BILL EXPANDS,
KILL OPTIMIST MANDATE TO INCLUDE
BEHAVIORAL HEALTH. WE ARE
CONCERNED THAT THIS CREATES
CONFLICT WITH CATTLE OPTIMUS
CONTRACT. WITH THE DEPARTMENT OF
HEALTH CARE SERVICES AND THE
DEPARTMENT'S CONTRACT WITH THE
COUNTY. WE RESPECTFULLY REQUEST
FOR AN AMENDMENT TO CLARIFY THAT
THESE SERVICES ARE WITHIN THE
REFERENCE TO A CONTRACT WITH THE
HCS. THE SECOND IS MORE
SUBSTANTIVE. THIS BILL WOULD
PROHIBIT MOST MEMBERS OF OUR
BOARD FROM SEEKING EMPLOYMENT
FROM ANY ENTITY THAT RECEIVES
MEDICAL FUNDS FROM CAL OPTIMA
FOR A PERIOD OF ONE YEAR AFTER
LEAVING OUR BOARD. CAL OPTIMA AS
A SINGLE MEDICAL PLAN IN THE
COUNTY PROVIDES PAYMENTS TO
NEARLY ALL HEALTH PROVIDERS IN
THE COUNTY. AS A PUBLIC AGENCY.
WE ALSO SUPPORT OUR COMMUNITY
PROVIDERS ARE COUNTY, OUR CITIES
AND OUR CBOS. LASTLY AS AN
EMPLOYER, WE CONTRACT WITH MANY
JUST BUSINESS SERVICES, SUCH AS
BUILDING MAINTENANCE. AND
ACCOUNTING SERVICES. UM IF
PASSED, FOR EXAMPLE, ANY LOCAL
HOSPITAL EMPLOYEE WHO SERVED ON
OUR BOARD WOULD NEED TO RESIGN
FROM HIS OR HER EMPLOYMENT. FOR
ONE YEAR AFTER LEAVING OUR
BOARD, ALSO THE LOCAL COUNTY
HEALTH CARE AGENCY DIRECTOR, WHO
HAS A STANDING SEAT ON OUR BOARD
WOULD ALSO NEED TO RESIGN FROM
HIS OR HER POST FOLLOWING
LEAVING OUR BOARD. WE BELIEVE
THIS BILL INFLICTS A UNIQUE
BURDEN ON
ORANGE-COUNTY-REGISTER-TOO-SOON-COUNTY-VOTE-CENTERS
. WHEN THAT WE DO NOT BELIEVE IS
PLACED UPON ANYONE ELSE IN THE
STATE. THEREFORE WE BELIEVE THAT
THIS WOULD MAKE IT PROHIBITIVE
FOR MANY OF OUR RESIDENTS TO
PARTICIPATE ON OUR BOARD AND ALL
CERTAINLY MAKE IT DIFFICULT FOR
US TO RECRUIT QUALIFIED MEMBERS
TO PARTICIPATE IN THE PROGRAM.
WE REQUEST THAT THIS PROVISION
BE AMENDED, THE MORE CLOSELY
ALIGNED WITH OTHER REVOLVING
DOOR POLICIES THAT RESTRICT
PUBLIC OFFICIALS FROM LOBBYING
OR INFLUENCING THE AGENCIES THEY
SERVED ON. THANK YOU FOR THE
OPPORTUNITY TO SHARE CONCERNS.
THANK YOU VERY MUCH, WILL NOW
MOVE ON TO ADDITIONAL WITNESSES
WHO MAY BE IN OPPOSITION TO 84
98 SEEN ON APPROACHING THE
MICROPHONE HERE IN THE ROOM.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO COULD TESTIFY
IN OPPOSITION TO 84 98. NAME
ORGANIZATION POSITION ONLY.
THANK YOU. IF YOU WISH TO SPEAK
IN OPPOSITION TO A B 4 98,
PLEASE PRESS 10 AT THIS TIME. I
HAVE NO COMMENTS IN. Q THANK
YOU. WE'LL BRING IT BACK TO THE
COMMITTEE. QUESTIONS OR COMMENTS
REMEMBER, SENATOR EDMUND? THANK
YOU VERY MUCH. MR CHAIR IN LIGHT
OF NO OPPOSITION AND THE AUTHORS
COMMITMENT TO CONTINUE TO WORK
ON THIS BILL AND TAKING SOME
AMENDMENTS IN THE NEXT COMMITTEE
AND IN LIGHT OF OUR LONG AGENDA,
I WILL MOVE. THIS BILL HAS BEEN
MOVED. YES SARAH ROTH. THANK
YOU, MR CHAIR. MAYBE I MISSED IT
BECAUSE I'VE BEEN BOUNCING IN
AND OUT. I APOLOGIZE WITH OTHER
COMMITTEES. BUT MAYBE THE AUTHOR
COULD ADDRESS SOME OF THE
COMMENTS OF KILL OPTIMA WITH
RESPECT TO THE POTENTIAL IMPACT
ON BOARD RECRUITMENT AND FENDER
LIKE IN ORANGE COUNTY. WELL AS I
JUST HEARD THE CONCERNS RIGHT
NOW WE'RE ALWAYS WILLING TO SIT
DOWN AND MEET WITH OPPOSITION
AND SEE IF THERE'S A WAY WE CAN
GET TO AN AGREEMENT. BUT I WOULD
SAY THAT THIS IS NOT UNLIKE
OTHER BOARD POSTS. AND
RECRUITING BOARD MEMBERS TO KELL
OPTIMA. I THINK THEY HAVE A VERY
LONG, LENGTHY LIST OF PEOPLE WHO
WOULD LIKE TO SERVE IN THAT
CAPACITY, BUT WE WILL CERTAINLY
COMMUNICATE AND LOOKED TO GET
INTO A POSITION WHERE THEY WOULD
REMOVE THEIR OPPOSITION. I THINK
MY POINT IS, THAT PROBABLY IS
IT'S PROBABLY A LANGUAGE ISSUE
AND A DRAFTING ISSUE WHERE YOU
CAN ADDRESS WHETHER IT'S A
CONFLICT OF INTEREST CONCERNS OR
SOMETHING ELSE IN LANGUAGE. UM
BY NARROWING. UM THE PROHIBITION
THAT YOU HAVE IN YOUR BILL. I AM
GOING TO SUPPORT THE BILL, BUT I
CERTAINLY HOPE YOU TRY TO
ADDRESS SOME OF THE CONCERNS.
PARTICULARLY IF THERE IS AN
EXECUTIVE DIRECTOR, OR SOMEBODY
WHO HAS A STANDING SEAT ON THE
BOARD. WHO WOULD HAVE TO IF, IN
FACT THAT PERSON'S CONTRIBUTING
VALUABLE SERVICE AND INFORMATION
TO THE BOARD. THE PERSON HAS TO
THEN RESIGN HIS OR HER THEIR
POSITION. SEEMS A BIT OF
EXTREME. BUT SUPPORTING THE
BILL. THANK YOU, MR CHAIR. THANK
YOU. YOU WANT HER TO? IS IT OKAY
IF THE WITNESS YES. IF YOU IF
YOU WISH. YEAH NO, THANK YOU.
SENATOR JUST WANTED TO ADDRESS
HER QUESTIONS. I THINK WE WERE
VERY CAREFUL. THERE ARE
PROVISIONS IN THE BILL THAT
WOULD EXEMPT THE BOARD POSITIONS
FOR THE HC COMMUNITY PROVIDER,
THE MEDICAL PROVIDER AND THE
IPOD PROVIDER, SO WE ABSOLUTELY
WANT TO WORK WITH CALEB TO TURN
SURE THAT WE'RE NOT
INADVERTENTLY REDUCING THE
AMOUNT OF INDIVIDUALS THAT WOULD
BE ELIGIBLE TO THE BILL FOR THE
BOARD WHILE STILL ENSURING THAT
THE PROTECTIONS THAT WE'VE PUT
IN PLACE ARE ADEQUATE TO PROTECT
FROM THESE SORTS OF QUID PRO QUO
TRANSACTIONS. PERFECT THANK YOU
VERY MUCH. THANK YOU, MR SEEN
OTHER QUESTIONS OR COMMENTS TO
THANK YOU FOR THIS BILL. I KNOW
THAT THERE ARE SOME YOU KNOW, WE
NEED TO HAVE GOOD GOVERNANCE. I
CERTAINLY APPRECIATE WHAT
COLLAPSING HAVE BROUGHT UP AND I
THINK THEY BROUGHT SOME REAL
ISSUES THAT I UNDERSTAND THAT
YOU'RE TALKING ABOUT. I MEAN,
THAT'S DOESN'T REALLY COMMITTEE
ON HEALTH ISSUES, SO IT'S GOING
TO GOVERNANCE AND FINANCE.
HOPEFULLY, YOU CAN ALSO ADDRESS
SOME OF THOSE THERE. I MEAN, WE
WANTED SO WE DO WANT TO BE SURE
PEOPLE DON'T YOU KNOW, UM I
GUESS PERSONALLY BENEFIT FROM
THEIR PREVIOUS SERVICE, RIGHT
AND SO FORTH. SAME TIME, PEOPLE
DO NEED TO BE ABLE TO PURSUE
THEIR PROFESSIONS AS LONG AS
THERE'S ENOUGH ISOLATION
BARRIERS FROM FROM THAT, SO I
KNOW YOURS. TRAFFIC OUT. STRIKE
THE RIGHT BALANCE WITH YOUR TEAM
AND SUPPORTING THE BILL. WOULD
YOU LIKE TO CLOSE? CAN'T JUST
RESPECTFULLY ASKED FOR AN IVO.
OKAY THANK YOU. SO IT'S THE
MOTIONS DO PASS AND REFERRED TO
THE COMMITTEE ON GOVERNANCE AND
FINANCE HAS BEEN MOVED BY
SENATOR EGGMAN SECRETARY. PLEASE
CALL THE ROLL PAN AND I,
MELINDA'S EGGMAN. SIGMUND I,
GONZALEZ GONZALEZ, I GROVE
HURTADO LEYVA. AYE, LIMÓN.
BREATH RUBIO WIENER. OKAY
ALRIGHT. THAT BILL IS 50 A AND
WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. THANK YOU
MEMBERS. THANK YOU. ALRIGHT K. I
SEE SOME MEMBER OF MURATSUCHI
HAS NEXT, SO THAT'S SO WE MOVE
ON TO ITEM NUMBER 6 15 OH, TWO
BY SUMMER MURATSUCHI WELCOME.
THANK YOU VERY MUCH, MR
CHAIRMAN. AND I WANT TO THANK
YOUR STAFF FOR THEIR EXTENSIVE
WORK ON THIS BILL. I'D LIKE TO
START OFF MY PRESENTATION BY
PROPOSING AMENDMENTS AS SHARED
WITH. COMMITTEE STAFF AS AUTHORS
AMENDMENTS, WHICH WILL DO THE
FOLLOWING NUMBER ONE. CLARIFY
MAKE IT CLEAR THAT THIS BILL
WILL APPLY. TO STATE REGULATIONS
OF STATE REGULATION OF NURSING
HOME CHAINS. NUMBER. TWO
EXTENDING THE LOOK BACK PERIOD
FOR LICENSE PPLICATIONS FROM 3
TO 5 YEARS. AND NUMBER THREE
CROSS REFERENCING THIS BILL.
WITH EXISTING LAW. THAT
CLARIFIES THAT EXISTING CRIMINAL
PENALTIES FOR WILLFUL OR
REPEATED VIOLATIONS. OF
OPERATING NURSING HOMES WITHOUT
A LICENSE ARE INCLUDED AS A
VIOLATION IN THIS BILL. WITH
THOSE CLARIFICATIONS I WANT TO
SAY THAT I SEE WE'RE PLAYING.
MUSICALLY ON A THAT'S FINE. UM.
THIS HAS BEEN A BILL TWO YEARS
IN THE MAKING, BUT THIS PROCESS
STARTED MUCH EARLIER THAN THAT.
I WANT TO FIRST ACKNOWLEDGE. THE
ORIGINAL SPONSOR OF THIS BILL,
THE CALIFORNIA ASSOCIATION FOR
NURSING HOME REFORM. THEY HAVE
BEEN FIGHTING THIS FIGHT. FOR
YEARS. THEY BROUGHT THIS ISSUE.
UH AND THIS BILL, UH TO MY
ATTENTION TO PICK UP THE BALL
FROM WHERE THEY HAD BEEN
FIGHTING FOR YEARS BEFORE THAT.
THIS BILL WAS ORIGINALLY
INTRODUCED LAST YEAR BUT WAS PUT
OVER AT THE REQUEST OF THE CHAIR
OF THE ASSEMBLY HEALTH
COMMITTEE. DOCTOR WOULD BECAUSE
HE WANTED TO DEVOTE MORE FOCUSED
AND. EXTENSIVE DISCUSSION OVER.
THEN THE GOAL OF THIS BILL TO
STRENGTHEN STATE OVERSIGHT OVER
THE LICENSING AND APPROVAL OF
NURSING HOMES IN THE STATE OF
CALIFORNIA. THE DOCTOR WOULD AND
THE ASSEMBLY HEALTH COMMITTEE
DEVOTED AN ENTIRE HEARING TO
FOCUS ON THE ISSUE OF THE
CURRENT STATE OF LICENSING. OF
SKILLED NURSING FACILITIES IN
THE STATE OF CALIFORNIA. OH, AND
THIS WORK IS A REFLECTION OF
THAT HEARING, AS WELL AS
EXTENSIVE DISCUSSIONS WITH THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH. WITH THE REFORM
ADVOCATES. AND WITH THE
HEALTHCARE FACILITY OWNERS. I
WILL SAY BEFORE I GO INTO THE
HIGHLIGHTS OF THE BILL THAT THIS
IS A GOOD BILL. IN MY OPINION.
BUT IT IS NOT A PERFECT BILL.
BUT I WOULD ASK THIS COMMITTEE
TO CONSIDER TO NOT LET THE
PERFECT GET IN THE WAY OF THE
GOOD. THE HIGHLIGHTS OF THIS
BILL, OR AS FOLLOWS. NUMBER ONE.
WE WANTED TO CLOSE THE GLARING
LOOPHOLE THAT HAS BEEN THE
SUBJECT OF MUCH MEDIA COVERAGE.
ON THE LACK OF STATE REGULATIONS
IN TERMS OF NURSING HOMES
OPERATING WITHOUT A LICENSE.
CURRENTLY AND FOR YEARS, NURSING
HOMES HAVE BEEN OPERATING
WITHOUT A LICENSE, WHILE CHANGE
OF OWNERSHIP APPLICATIONS HAVE
BEEN PENDING WITH THE USE OF
TEMPORARY MANAGEMENT AGREEMENTS.
SO THIS BILL IS CLEAR THE PLAIN
LANGUAGE OF THE BILL. CLOSES
THIS LOOPHOLE SO THAT NURSING
HOMES CAN NO LONGER OPERATE
PRIOR TO THE APPROVAL AND THE
ISSUANCE OF A LICENSE BY THE
DEPARTMENT OF PUBLIC HEALTH.
NUMBER TWO THIS BILL. OUTLINES
AND IDENTIFIES SPECIFIC CRITERIA
TO DETERMINE WHETHER A LICENSE
APPLICANT IS REPUTABLE AND
RESPONSIBLE. NOW THE ORIGINAL
BILL. WAS USING A DIFFERENT TERM
SUITABILITY. IT IS MY POSITION
THAT THE CRITERIA UNDERLINING.
THE REPUTABLE AND RESPONSIBLE,
UH, CRITERIA TO EVALUATE A
LICENSE APPLICANT IS ESSENCE AND
SUBSTANCE. AH! SIMILAR IF NOT
IDENTICAL TO WHAT WAS ORIGINALLY
PROPOSED UNDER THE SUITABILITY
INCLUDED IN THE CRITERIA FOR
EVALUATING LICENSE APPLICANTS.
ARE THE FINANCIAL CAPACITY OF
THE LICENSE APPLICANT. THE
CRIMINAL HISTORY OF ANY
APPLICANT WITH 5% OR MORE OF
DIRECTOR INDIRECT OWNERSHIP
INTEREST IN THE NURSING HOME.
THE CHAIN COMPLIANCE HISTORY,
INCLUDING ANY PAST REGULATORY
VIOLATIONS AND CITATIONS.
INCORPORATING PASSED INSPECTION
FINDINGS. AND OF COURSE, GOING
BACK FROM A LOOK BACK PERIOD
THAT THE DEPARTMENT OF PUBLIC
HEALTH ORIGINALLY PROPOSED AT
THREE YEARS. WE WANTED TO EXTEND
IT TO FIVE YEARS WITH THIS
COMMITTEE'S AH, APPROVAL. THIRD
THE THIRD COMPONENT OF WHAT THE
ORIGINAL PROPONENTS OF THIS BILL
HAS ALWAYS BEEN EMPHASIZING AS A
CRITICAL PIECE OF WHAT THEY CALL
THE THREE LEGGED STOOL APPROACH.
BECAUSE THE ENFORCEMENT TO MAKE
SURE THAT THIS BILL WILL HAVE
THE TEETH TO BE ABLE TO. AH,
ENSURE EFFECTIVE. ENFORCEMENT OF
THESE REGULATIONS BY THE
DEPARTMENT OF PUBLIC HEALTH OVER
THE SKILLED NURSING FACILITIES.
THIS BILL ALLOWS FOR CLASS B
PENALTIES WERE CURRENTLY THE
DEPARTMENT OF PUBLIC HEALTH HAS
TAKEN THE POSITION THAT THEY HAD
NO AUTHORITY TO GO AFTER. THE
OPERATORS OPERATING WITHOUT A
LICENSE WHILE THEY CHANGE OF
OWNERSHIP APPLICATIONS WERE
PENDING. AS INDICATED EARLIER.
THIS WOULD ALSO CLARIFY THAT
CRIMINAL PENALTIES FOR
UNLICENSED OPERATION OF LONG
TERM CARE FACILITIES UNDER
HEALTH AND SAFETY CODE SECTION
12 90 WOULD APPLY. AND LAST, BUT
NOT LEAST. THIS BILL ALLOWS FOR
THE AUTOMATIC DISQUALIFICATION
OF ANY APPLICANT WITH A FELONY
CONVICTION RELATED TO THE
SKILLED A SKILLED NURSING
FACILITY OPERATION. IN ADDITION
TO ALL THESE HIGHLIGHTS, ONE OF
THE MOST CRITICAL ISSUES THAT
THIS BILL HAS HAS BEEN TRYING TO
ADDRESS IS THE. EXTENDED DELAYS
AND THE DEPARTMENT OF PUBLIC
HEALTH IN TERMS OF PROCESSING
THE LICENSE APPLICATIONS. THIS
WAS AN ISSUE NOT ONLY FOR THE
ADVOCATES FOR NURSING HOME
RESIDENTS, BUT ALSO FOR THE
HEALTH CARE FACILITY OWNERS.
BOTH SIDES WANTED TO SAY THAT
THERE NEEDED TO BE A TIME LIMIT
AT THAT TIME CERTAIN FOR LICENSE
APPLICATIONS TO BE RESOLVED.
THIS BILL PROVIDES THAT
SPECIFICATION. THAT LICENSE
APPLICATIONS SHALL BE DETERMINED
WITHIN 120 DAYS CALENDAR DAYS
UPON THE SUBMISSION OF A
COMPLETED LICENSE. SO THOSE ARE
THE HIGHLIGHTS OF THE BILL. I
WOULD LIKE TO NOW REQUEST. YOUR
ATTENTION TO DR MICHAEL
WASSERMAN WITH THE CALIFORNIA
ASSOCIATION OF LONG TERM CARE
MEDICINE TO TESTIFY IN SUPPORT
OF THIS BILL BY PHONE. THANK
YOU, SOME MEMBER MAYOR SUKI AND
BEFORE WE BRING ON THE WITNESSES
, SUPPORT IT REALLY WANT TO
THANK YOU FOR WORKING WITH THE
COMMITTEE. IT IS. THIS IS THIS
IS A REALLY TOUGH ISSUE, AND IN
FACT UM, YOU HAD TO RESPOND TO
AMENDMENTS AND MANY OF THEM ARE
COMING FROM THE ADMINISTRATION
FROM THE CALIFORNIA DEPARTMENT.
PUBLIC HEALTH TO TRY TO ADDRESS
AN ISSUE WHERE I KNOW THAT AS WE
UNFORTUNATELY WE'RE GOING TO BE
PRESENTING IN, OF COURSE, IS
THAT THE VERY SPONSORS OF YOU
BILL ARE NOW IN THE OPPOSITION.
AND CERTAINLY THAT'S A HUGE
CHALLENGE. IT'S NOT AND I KNOW
THAT YOU YOURSELF WOULD LIKE TO
GO MUCH FURTHER. I THINK WE'RE
TRYING TO MAKE ADVANCEMENTS IN
THIS ISSUE, SO NOT TO GIVE TOO
LONG SPEECH BEFORE YOU, BRO. BUT
I DID WANT TO ACKNOWLEDGE THE
FACT THAT, UM YOU WORKED REALLY
HARD ON THIS. UM YOU KNOW WHAT
YOU'RE PUTTING FORTH IS NOT WHAT
YOU INITIALLY DESIRED, BUT I
APPRECIATE YOU TRYING TO
CONTINUE TO MOVE THE BALL
FORWARD. SO I JUST WANT TO PUT
THAT OUT THERE BECAUSE I KNOW
THAT THE THERE WAS. THIS HAS
BEEN VERY DIFFICULT AND
CHALLENGING. SO WITH THAT, UM
PLEASE BRING ON DR MICHAEL
WASSERMAN FROM THE CALIFORNIA
ASSOCIATION OF LONG TERM CARE
MEDICINE TO PRESENT IN SUPPORT
OF A B 15 02. CHAIRMAN PAN
MEMBERS OF THE SENATE HEALTH
COMMITTEE ON BEHALF OF THE
CALIFORNIA ASSOCIATION OF LONG
TERM CARE MEDICINE. I'M HERE IN
FULL SUPPORT OF THE RECENTLY
AMENDED A B 15. OH, TWO.
TELEVISION IS THE MEDICAL
SOCIETY REPRESENTING LONG TERM
CARE IN CALIFORNIA. WE ADVOCATE
FOR QUALITY PATIENT CARE
REPRESENTING THE INTER
PROFESSIONAL TEAM WOULD PROVIDE
CARE TO THE RESIDENTS OF NURSING
HOMES. WE ACHIEVE OUR MISSION TO
EDUCATION. AND PROVIDING OUR
EXPERTISE IN LONG TERM CARE
MEDICINE TO POLICYMAKERS. 2021
STUDY DOWN PRIVATE EQUITY
OWNERSHIP IN NURSING HOMES
INCREASED SHORT TERM MORTALITY
OF MEDICARE PATIENTS. GIVEN THE
RISK OF HARM TO RESIDENTS. WE
MUST ENSURE THAT CALIFORNIA'S
NURSING HOME OWNERS AND
OPERATORS ARE REPUTABLE AND
RESPONSIBLE. FACILITIES LICENSED
ENTITIES. ENTITIES THAT HAVEN'T
EXISTED FOR YEARS BEGS THE
QUESTION OF WHO IS TO BE HELD
ACCOUNTABLE FOR POOR OUTCOMES.
LACK OF LICENSING ACCOUNTABILITY
COMBINED WITH A LACK OF
OWNERSHIP TRANSPARENCY HAS LED
TO AN UNTENABLE SITUATION. WHO
SUFFERS FROM THIS THE RESIDENTS.
AND THE STAFF WHO PROVIDE THEIR
CARE. WE SHARE THE FEELINGS OF
ANGER AND FRUSTRATION
EXPERIENCED BY RESIDENTS,
FAMILIES AND OTHER ADVOCATES. WE
UNDERSTAND THE DESIRE TO FOCUS
ON EXTREME PENALTIES. BUT
EVIDENCE IS WOEFULLY LACKING IN
THIS BEING AN EFFECTIVE METHOD
TO IMPROVE CARE. AS CLINICAL
LEADERS. LTCM SUPPORTS EFFECTIVE
AND IMPLEMENTED SOLUTIONS TO
QUALITY IMPROVEMENT. COMING
QUESTIONED WHETHER THIS BILL
WILL MAKE A DIFFERENCE. WE AGREE
WITH ASSEMBLYMAN MURATSUCHI, BUT
THIS IS DEFINITELY A CASE WHERE
PERFECTION IS THE ENEMY OF THE
GOOD. WE BELIEVE THAT CD PH IS
WELL THOUGHT OUT. INPUT WILL
MORE EFFECTIVELY ALLOWED THE
DEPARTMENT TO PERFORM ITS DUTIES
IN OVERSEEING THE LIFE TEACHING
SKILLED NURSING FACILITIES.
CLOSE WITH THIS BILL BRINGS
CRITICAL ACCOUNTABILITY TO THE
NURSING HOME INDUSTRY IN
CALIFORNIA. TWO MINUTES PLEASE
DON'T COVID NINTH. YEAH, IN THE
WAKE OF A COVID 19 PANDEMIC. AND
THE TRAGIC OUTCOMES IN NURSING
HOMES. THE TIME HAS COME FOR
THIS LEGISLATION TO BE ENACTED.
IT MAY NOT SOLVE EVERY PROBLEM
THAT WE HAVE LTCM. WELL, WE WILL
HAVE AN IMPACT AND BUILT THE
FOUNDATION FOR THE FUTURE. THANK
YOU. THANK YOU. THANK YOU VERY
MUCH. ALRIGHT NOW LET'S MOVE ON
TO ADDITIONAL INNOCENCE. SUPPORT
OF A B 5 15 OH, TWO SEEN ON
APPROACHING MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO SHOULD TESTIFY
IN SUPPORT OF A B 15. OH, TWO.
THANK YOU. IF YOU WISH TO SPEAK
IN SUPPORT OF A B 15 02, PLEASE
PRESS 10 AT THIS TIME. I DO HAVE
A COUPLE OF COMMENTS IN QUÊ.
IT'LL JUST BE ONE MOMENT. THANK
YOU.
ONCE AGAIN. I DO HAVE A COUPLE
OF COMMENTS IN CUBA. IT'LL JUST
BE ONE MOMENT HERE. FLYING 3 42,
PLEASE GO AHEAD. GOOD AFTERNOON
, MR CHAIRMAN MEMBERS KIRA ROSS.
DON'T BE HALF OF THE CITY OF
PASADENA AND SUPPORT THANK YOU.
NEXT WITNESS. THANK YOU, LINUS 3
54. FIND 354. PLEASE GO AHEAD.
YES DAVID FEINBERG, REPRESENTING
AARP. WE CONTINUE A STRONG
SUPPORT OF THE AMENDED VERSION
OF THIS BILL. THANK YOU. THANK
YOU. THANKS. WITNESS. THANK YOU
. I HAVE NO FURTHER COMMENT.
THANK YOU. THANK YOU. NOW BRING
IT TO BACK FOR WITNESSES AND
OPPOSITION TO 15. OH, TOO, AND I
BELIEVE WE HAVE IN PERSON HERE.
TONY CIPTO WITH THE CALIFORNIA
ADVOCATES FOR NURSING HOME
REFORM. WELCOME. THANK YOU. GOOD
AFTERNOON. I'M TONY TICKET
SALES. SENIOR STAFF ATTORNEY FOR
CALIFORNIA ADVOCATES FOR NURSING
HOME REFORM. UP UNTIL LAST WEEK.
WE WERE THE SPONSORS OF THIS
BILL. BUT REGRETFULLY WE'VE
TAKEN AN OPPOSED POSITION. MY
HEART IS REALLY IN MY STOMACH
ABOUT THIS. IT'S TOUGH. THE
PROBLEM WE WERE TRYING TO GET AT
WITH A B 52 WAS ASSEMBLYMEMBER'S
MURATSUCHI DESCRIBED WHAT WE
CALL SQUATTING WHERE FOLKS GET
INTO OPERATE NURSING HOMES
WITHOUT HAVING BEEN APPROVED BY
THE STATE AND, IN SOME CASES,
ACTUALLY HAVING BEEN DENIED
LICENSES. BUT THEY OPERATE
NONETHELESS. AND IT'S PERSISTS
FOR YEARS AND YEARS. WE'VE TRIED
TO GET DEPARTMENT OF PUBLIC
HEALTH TO DO SOMETHING ABOUT
THIS FOR YEARS, AND NOTHING'S
REALLY HAPPENED. AND WHAT IT
FELT LIKE IS THAT THESE
RESIDENTS IN THESE FACILITIES
HAVE BEEN SORT OF TAKEN HOSTAGE
BY THESE FOLKS. UM 15 02 HAD
BEEN A BILL THAT SAID THOSE DAYS
ARE OVER. SHOULD BE STATE
POLICY. BACKED BY STRONG SEVERE
ENFORCEMENT THAT THIS IS NOT TO
BE TOLERATED. ZERO TOLERANCE
POLICY FOR THIS FOR TAKING OVER
NURSING HOMES WITHOUT STATE
APPROVAL. BUT WITH THESE
AMENDMENTS, WE'VE SORT OF GIVEN
THE DEPARTMENT OF PUBLIC HEALTH
. WE PUT THEM IN CHARGE OF
REFORMING THEMSELVES. AND
INSTEAD OF ZERO TOLERANCE
PREDICTABLY, WE'VE GOTTEN
SOMETHING LIKE MAYBE IT'S NOT SO
BAD. ENFORCEMENT HAS BEEN
SLASHED IN THE BILL TO WHERE
IT'S PRETTY MUCH MEANINGLESS.
PUBLIC PARTICIPATION IN INPUT IN
THE LICENSING SYSTEM HAS BEEN
ERASED. DPH S ROLE IN CREATING
THE SCANDALOUSSYSTEM THAT WE
HAVE HAS BEEN WHITEWASHED. THE
CRITICAL SUITABILITY STANDARDS
FOR NEW OPERATORS THAT WE HAD
REALLY HOPED WOULD LAST THROUGH
THE BILL HAS BEEN STRIPPED.
VETTING OF NEW OPERATORS WILL BE
LIMITED TO SHELL LIMITED
LICENSING OR LIMITED LIABILITY
CORPORATIONS, LLCS THE VETTING
WILL NOT TAKE PLACE AT THE TOP
OF THE CHAINS. AND ALL OF THIS
WAS SHOVED DOWN OUR THROATS AS
IT TAKE IT, TAKE IT OR LEAVE IT
APPROACH. IS THIS A STEP FORWARD
? I THINK IN WRITING, YOU COULD
ARGUE THAT IT MIGHT BE A STEP
FORWARD. BUT MOST LIKELY THIS
WILL NOT HELP A SINGLE RESIDENT.
BECAUSE IF YOU KNOW IT, HOW THIS
SYSTEM WORKS. IN THIS IN THIS IN
THIS BILL, THERE IS A CLEAR
ROADMAP. TO THE STATUS QUO.
THANK YOU. THANK YOU WILL NOW
TAKE ON ADDITIONAL WITNESSES AND
OPPOSITION TO AB 15 OH TWO ST ON
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO CAN TESTIFY IN
OPPOSITION TO 15. OH, TWO. THANK
YOU. IF YOU WISH TO SPEAK IN
OPPOSITION TO A B 15 02, PLEASE
PRESS ONE SIN ZERO AT THIS TIME.
I HAVE NO COMMENTS IN. Q OKAY.
THANK YOU. WE'LL BRING IT BACK
TO THE COMMITTEE QUESTIONS OR
COMMENTS FROM COMMITTEE MEMBERS.
YOU MOVED BY SENATOR LEYVA
SAYING NO QUESTIONS OR COMMENTS
MURATSUCHI AGAIN. THANK YOU SO
MUCH FOR YOUR WORK ON THIS BILL.
I THINK IT IS A STEP FORWARD,
BUT I THINK I KNOW YOU'LL
CONTINUE TO KEEP TRYING TO MOVE
THE BALL FORWARD. AND AGAIN
APPRECIATE WHAT YOU'VE DONE.
WOULD YOU LIKE TO CLOSE? YES,
THANK YOU. I. JUST WANT TO AGAIN
. THANK THANK THE COMMITTEE FOR
ALL YOUR WORK ON THIS BILL. UM,
YOU KNOW, I TOLD MR CHIPOTLE.
WE'VE BEEN WORKING CLOSELY FOR
THE LAST TWO YEARS. YOU KNOW
THAT I DID NOT WANT TO MOVE
FORWARD JUST FOR THE SAKE OF
MOVING A BILL THAT I ONLY WANTED
TO MOVE A BILL IF I IF I, YOU
KNOW AFTER STUDYING THE SPECIFIC
PROVISIONS AS A AS A LESS LATER
AS AN ATTORNEY. YOU KNOW IF I
PERSONALLY WAS CONVINCED THAT
THIS YOU KNOW, WAS MOVING THE
BALL FORWARD. UH YOU KNOW, AS A
GOOD BILL TO CLOSE THE LOOPHOLE
FOR THE FOR THE SQUATTING
FACILITIES, AND I HAD NO
INTEREST IN MOVING A BILL THAT
WAS GOING TO HARM AND CONTINUE
TO ALLOW FOR THIS SITUATIONS
THAT HARM NURSING HOME RESIDENTS
. I DO BELIEVE THAT THIS IS A
BILL, UM, THAT WILL MAKE A
DIFFERENCE, BUT I PROMISE TO THE
CALIFORNIA ASSOCIATION FOR
NURSING HOME REFORM THAT I WILL
CONTINUE TO WORK WITH THEM. YOU
KNOW IF IT APPEARS THAT THIS
BILL IS INADEQUATE, I WILL BE
RIGHT READY TO STAND WITH THEM
AGAIN NEXT YEAR. TO FURTHER
REGULATE AND PROTECT NURSING
HOME RESIDENTS. SO WITH THAT I
ASKED FOR YOU, I VOTED THANKS
VERY MUCH, SO THE MOTION IS DUE
PASSES AMENDED AND RE REFERRED
TO THE COMMITTEE ON JUDICIARY
AND HAS BEEN MOVED BY SENATOR
LEYVA SECRETARY. PLEASE CALL THE
ROLL PAN AND I, MELINDA'S
EGGMAN. GONZALEZ GONZALEZ, I
GROVE HER. TATO LEYVA. AYE.
LIMÓN WRATH. RUBIO I'M SORRY. I
DIDN'T SEE HER BROTH IS I RUBIO
. WIENER WIENER. I CURRENTLY 50
WILL HOLD THE ROLL OPEN,
PERHAPS, AND MEMBERS TAKE A
SIMILAR LEVIN. I DON'T SEE
ANYONE. OKAY WELCOME. I KNOW
YOU'VE BEEN PATIENTLY WAITING
FOR A WHILE. I KNOW IT'S LIKE TO
SIT THERE AND WAIT WHILE YOU'RE
FIRED DOWN THE FILE ITEM
ALLOCATION BOARD. I'LL BE BACK.
OKAY, SO LET'S SEE. UH YOU ARE
ITEM NUMBER NINE. A B 18 59.
WELCOME THANK YOU SO MUCH. MR
CHAIR. I'VE ENJOYED, UM, SITTING
AND WATCHING THE PANEL. UH WORK
ON THE WORK BEFORE YOU SO GOOD
AFTERNOON AGAIN, MR CHAIR AND
MEMBERS. I WOULD LIKE TO START
BY ACCEPTING THE COMMITTEE'S
AMENDMENTS AND THANK YOU VERY
MUCH FOR THATWORK ON THOSE 18
59 WOULD REQUIRE A HEALTH
SERVICE PLAN TO APPROVE AND
SCHEDULE AND INITIAL OUT PAGE
OUTPATIENT APPOINTMENT. FOR
MENTAL HEALTH SERVICES WITHIN
SEVEN DAYS OF A PERSON'S
RELEASED FROM INVOLUNTARY
HOSPITALIZATION. CURRENT LAW
AUTHORIZES THE TEMPORARY
INVOLUNTARY HOSPITALIZATION OF
INDIVIDUALS WHO DO THE MENTAL
ILLNESS POSE A DANGER TO
THEMSELVES OR OTHERS OR WHO ARE
GRAVELY DISABLED, MEANING THAT
THEY ARE UNABLE TO PROVIDE FOR
THEIR BASIC NEEDS. FOOD CLOTHING
AND SHELTER AFTER A 72 HOUR
INVOLUNTARY HOSPITALIZATION, THE
PROCESS OF OBTAINING FOLLOW UP
CARE ON A VOLUNTARY BASIS CAN BE
FRUSTRATING AND COMPLICATED FOR
THE DISCHARGED PERSON. WHO IS
OFTEN STILL EXPERIENCING
SIGNIFICANT MENTAL ANGUISH AND
ILL EQUIPPED TO TAKE NECESSARY
STEPS TO OBTAIN FOLLOW UP CARE
AND TREATMENT. THERE IS A CLEAR
NEEDTO EXPEDITE IN STREAMLINE
THE PROCESS FOR FOLLOW UP MENTAL
HEALTH TREATMENT, ACCORDING TO A
STUDY PUBLISHED IN JAMA
PSYCHIATRY IN THE 90 DAYS
FOLLOWING THEIR DISCHARGE.
PERSONS WITH ANY MENTAL DISORDER
ARE SEVERELY AT RISK FOR SUICIDE
. 12.5 TIMES MORE LIKELY. TO
ATTEMPT SUICIDE OR DIE BY
SUICIDE THAN THE GENERAL
POPULATION. 18 59 WILL HELP
IMPROVE MENTAL HEALTH OUTCOMES
AND ENSURE TIMELY ACCESS TO CARE
BY REQUIRING THAT A PATIENT
RELEASED FROM INVOLUNTARY MENTAL
HEALTH HOSPITALIZATION RECEIVES
AUTHORIZATION FOR CARE WITHIN
SEVEN DAYS OF THEIR RELEASE HERE
TO TESTIFY AND SUPPORT OF 18 59.
IS JOHN VAN OVER THE LEGISLATIVE
CHAIR FOR THE DEPRESSION,
DEPRESSION AND BIPOLAR SUPPORT
ALLIANCE BY PHONE. AND HERE WITH
ME IN PERSON IS MR ADAM HORNE.
OKAY SHALL WE BEGIN WITH THE
WHICH ONE YOU CHOSE? START WITH,
YOU KNOW, LET'S GO WITH MR HANKY
. ALRIGHT, WE'LL BEGIN THEN
LET'S GO AHEAD AND BEGIN WITH
ADAM HORNE. WELCOME AND YOU HAVE
TWO MINUTES AND IF YOU GO OVER
THAT LESS TIME FOR THE OTHER
WITNESSES, SO WELCOME. THANK YOU
. GOOD AFTERNOON TURN PANAM
COMMITTEE MEMBERS. THANK YOU FOR
THE OPPORTUNITY TO TESTIFY
TODAY. MY NAME IS ADAM HORNE. I
WANT TO SHARE MY EXPERIENCE WITH
A LOOPHOLE IN THE TIMELY ACCESS
STANDARDS THAT DELAYED MY FOLLOW
UP CARE FROM MENTAL HEALTH HOLD.
NEARLY FOUR YEARS AGO, I HAD
BEEN EXPERIENCING SEVERE
DEPRESSION AND CONSTANT BARRAGE
OF THAT THEY WENT TO ATTEMPTED
SUICIDE. ON THE ADVICE OF A
CLOSE FRIEND. I MADE A VISIT TO
MY GENERAL PRACTITIONER.
GOVERNMENT UPON SEEING ME THE
NURSES SON FIT TO PLACE ME INTO
A MENTAL HEALTH HOLD. AND
REQUESTED PUBLIC SAFETY OFFICERS
TO TRANSFER ME TO AN EMERGENCY
ROOM AFTER 7 TO 8 HOURS, SITTING
ON A GURNEY IN A EMERGENCY ROOM
HALLWAY WITHOUT BEING SEEN BY
THE ON DUTY PSYCHIATRIST. AND
WITH BRIEF, INFREQUENT CHECK INS
BY SOCIAL WORKER. I WAS RELEASED
TO THE CARE OF ANOTHER CLOSE
FRIEND. AH AND THE FOLLOWING
WEEK, I WAS ABLE TO SCHEDULE AN
INITIAL FOLLOW UP APPOINTMENT
WITH THE SPECIALIST. HOWEVER THE
SOONEST I COULD OBTAIN WITH SIX
WEEKS AFTER MY HALT. AS THE DAYS
HOURS OF HOURS, DAYS AND WEEKS
PASSED, I KEPT WONDERING WHY IT
WAS TAKING SO LONG FOR ME TO SEE
A SPECIALIST WHILE I CONTINUE TO
SUFFER. ALTHOUGH THE PROVIDER
SIGNED A CASEWORKER WHO
CONTINUED TO CALL AND CHECK IN
ON MY STATE, THE CONVERSATIONS
WERE DIFFICULT TO COMPREHEND. I
FELT LIKE I WAS BEING STRUNG
ALONG AND I EXPRESS MY
FRUSTRATION TO THE CASEWORKER
AND ASKED WHY I COULDN'T HAVE MY
APPOINTMENT SOONER. THEIR
RESPONSE HIGHLIGHTED A LOOPHOLE
IN THE TIMELY ACCESS STANDARDS
THAT UNLESS THE PATIENT
EXPLICITLY MAKES THE REQUEST
THAT TIME REQUIREMENTS ARE NOT
TRIGGERED, THEREFORE DOING
TREATMENT FURTHER. AH! IN LIGHT
OF MY FRUSTRATION, THE
CASEWORKER MOVED UP MY
APPOINTMENT, BUT ONLY BY TWO
WEEKS THROUGHOUT THE MONTH AFTER
MY HOLD, I THOUGHT RELIEF TO THE
PAIN THROUGH EXCESSIVE USE OF
INTOXICANTS, INTENSIFYING THE
DEPRESSION AND SUICIDAL
IDEATION. MY FIRST PSYCHIATRIC
APPOINTMENT WAS THE TURNING
POINT I NEED AND I WISH I HAD
SOONER. OVER OVER TIME. THE
MEDICATION AND TREATMENT HELPS.
SIGNIFICANTLY I BEGIN BEGAN TO
ENJOY LIFE AGAIN AND THAT THE
SUICIDE DIMINISHED DRAMATICALLY
. EXPERIENCE SHOWED ME THAT WHEN
A PATIENT IS IN A MENTAL HEALTH
CRISIS, THEY CANNOT
APPROPRIATELY UNDERSTAND. WHAT
STEPS SHOULD BE TAKEN TO GET
PROPER CARE. MAYBE 18 59 WALKS.
EXPEDITE THIS NEEDED CARE URGENT
SUPPORT. THANK YOU. MODERATOR
PLEASE BRING ONTO THE LINE. JOHN
VAN OVER FROM THE DEPRESSION,
BIPOLAR SUPPORT ALLIANCE. GOOD
AFTERNOON CHAIR. CAN YOU HEAR
ME? YES. PLEASE BEGIN. GREAT
GOOD AFTERNOON CHAIR AND MEMBERS
. MY NAME IS JOHN VAN OVER. I'M
A LEGISLATIVE CHAIR FOR DBS, A
CALIFORNIA THE DEPRESSION AND
BIPOLAR SUPPORT ALLIANCE, AND I
WOULD LIKE TO THANK
ASSEMBLYMEMBER'S LEVIN FOR
INVITING ME HERE TO SPEAK TODAY.
IN ADDITION TO BEING OUR
LEGISLATIVE CHAIR, I AM ALSO
APPEAR AND LIVE WITH THE SERIOUS
MENTAL ILLNESS. I HAVE BIPOLAR
ONE AND IN 2014, I HAD MY FIRST
MANIC EPISODE. I AM LUCKY ENOUGH
TO HAVE WONDERFUL FAMILY SUPPORT
, AND WE WERE ALL CAUGHT OFF
GUARD. MY AUNT REALIZED NEEDED
PROFESSIONAL HELP AND TOOK ME TO
THE ER, WHERE I WOULD PLAY SOME
72 HOUR HOLD. DESPITE MY MOTHER
HAD GONE TO THE FACILITY AND
CHECK ON ME UPON THE COMPLETION
OF THE HOLD. I WAS PLACED IN THE
VAN WITH THREE OTHER MEN AND WE
WERE ALL DROPPED OFF AT UNION
STATION IN DOWNTOWN L. A
CONFUSED BY NOT ONLY MY BEHAVIOR
BUT ALSO THE BEHAVIOR OF THE
SYSTEM. MY LOVED ONES WERE THE
LAW. YET MY TROUBLES WERE JUST
BEGINNING. MY MANIA QUICKLY
WORSENED AND EVENTUALLY LEAD TO
A PSYCHOTIC BREAK. WITHIN THE
NEXT TWO MONTHS. I WAS ARRESTED
THREE TIMES FOR MISDEMEANOR
OFFENSES, THE FIRST OF MY LIFE
WITH THE FINAL ONE BEING A
VERBAL ASSAULT OF A MAILMAN WHO
PUT ME IN THE COUNTY JAIL FOR 13
HORRIFIC DAYS. STILL INCREDIBLY
SICK. SO IN ADDITION TO MY
SERIOUS MENTAL ILLNESS, I KNOW
ALSO HAVE PTSD. A B 18 59 OF THE
COMMON SENSE, VERY GOVERNMENT
STEP THAT COULD HAVE EASILY
CHANGED MY LIFE FOR THE BETTER.
OUR STATE DOESN'T DO A VERY GOOD
JOB OF EDUCATING THE PUBLIC AND
DE STIGMATIZING AUTOMATIC
EPISODE REALLY IS THE WARNING
SIGNS MENTAL HEALTH FIRST AID OR
WHAT TREATMENT IS AVAILABLE. AS
A RESULT, IT'S IMPOSSIBLE FOR
INDIVIDUALS AND THEIR LOVED ONES
. YOU KNOW WHERE TO GO OR WHAT
TO DO, EVEN THOUGH THEY
DESPERATELY WANT TO HELP. AS
INVOLUNTARY HOLDS, AMPLIFY THE
TRAUMA SOMEONE IS EXPERIENCING
IN THAT STATE. IT IS CRITICAL TO
GET THEM INFORMATION AND
CONNECTION TO VOLUNTARY CARE
OPTIONS IMMEDIATELY UPON RELEASE
IF I AS AN UPPER MIDDLE CLASS
WHITE MALE WITH A GRADUATE
DEGREE CAREER HOME THAT I OWNED
INSURANCE AND EXCELLENT FAMILY
SUPPORT, DON'T KNOW WHERE TO GO
FOR CARE AND THE MOST POPULAR
CITY IN THE STATE. THEN WHAT
CHANCE TO ANY OF US HAVE DUE TO
A LACK OF RESEARCH IN THE FIELD
OF INDIVIDUALS STILL CANNOT BE
PROPERLY DIAGNOSED. THANK YOU
FOR YOUR TIME. THANK YOU VERY
MUCH FOR YOUR TESTIMONY WILL NOW
MOVE ON TO ADDITIONAL WITNESSES
IN SUPPORT OF A BEEF 18 59 C
NINE APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO TESTIFIED IN
SUPPORT OF A B 15. A B 18 59.
THANK YOU IF YOU WISH TO SPEAK
IN SUPPORT OF A B 18 59 PLEASE
PRESS 10 AT THIS TIME. BLIND TO
62, PLEASE GO AHEAD. FLYING TO
62. YOUR LINE IS OPEN. REBECA
GONZALEZ NATIONALIST ASSOCIATION
OF SOCIAL WORKERS, CALIFORNIA
CHAPTER IN STRONG SUPPORT. THANK
YOU, X WITNESS. THANK YOU,
BRIAN. 3 62, PLEASE GO AHEAD.
THANK YOU. CHAIR AND MEMBERS TIM
BATT AND REPRESENTING THE
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF EMERGENCY
PHYSICIANS IN SUPPORT. THANK
YOU. NEXT WITNESS. I THINK
YOU'RE RIGHT INTO 55. PLEASE GO
AHEAD. THE CALIFORNIA COUNCIL
ACCOUNT. CAN YOU GET HEALTHY?
RIGHT? THANK YOU. NEXT WITNESS.
THANK YOU. I HAVE NO FURTHER
COMMENT. THANK YOU. THANK YOU
NOW WILL NOW MOVE ON TO
WITNESSES AND OPPOSITION TO A B
18 59 AND I BELIEVE WE HAVE TWO
WITNESSES AND OPPOSITION JED
HAMPTON FROM THE CALIFORNIA
ASSOCIATION OF HEALTH PLANS,
FOLLOWED BY STEPHANIE WATKINS
FROM THE ASSOCIATION OF
CALIFORNIA LIFE AND HEALTH
INSURANCE. WELCOME. PLEASE
BEGIN. THANK YOU. GOOD AFTERNOON
, MR CHAIR. MEMBERS OF THE
COMMITTEE JET HAMPTON WITH
CALIFORNIA ASSOCIATION OF HEALTH
PLANS. WE CURRENTLY HAVE AN
OPPOSED POSITION ON THE BILL.
HOWEVER WE HAVE SEEN THE
AMENDMENTS THAT HAVE COME ACROSS
. WE ARE STILL REVIEWING IN WITH
OUR WITH OUR MEMBERS RIGHT NOW,
AT FIRST BLESSED, THEY SEEM TO
GO A LONG WAY TOWARDS RESOLVING
SOME OF OUR CONCERNS WITH THE
BILL, SO WE'LL CONTINUE TO
REVIEW THEM AND GET BACK TO THE
AUTHOR AND THE COMMITTEE. BUT
APPRECIATE ALL THE HARD WORK
GOING ALL THE HARD WORK ON THIS
BILL. THANK YOU. THANK YOU.
PLEASE BEGIN MR CHAIR MEMBER
STEPHANIE WATKINS ON BEHALF OF
THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE-COMPANIES ECHO MANY OF MY
COLLEAGUES COMMENTS. WE BELIEVE
THAT THE AMENDMENTS DO GO A LONG
WAY AND RESOLVING THE ISSUE OF
ENSURING THAT THE PATIENT
UNDERSTANDS AND HAS THE
INFORMATION AVAILABLE UPON
DISCHARGE, WHICH IS THEIR MAIN
CONCERN. WE WILL BE REVIEWING
WITH OUR MEMBERSHIP AND LOOK
FORWARD TO HAVING THOSE
DECISIONS GOING FORWARD. THANK
YOU. THANK YOU. RIGHT NOW.
ADDITIONAL WITNESSES IN
OPPOSITION TO THIS BILL, I DON'T
SEE ANYONE APPROACHING THE
MICROPHONE. SO MODERATOR, PLEASE
BRING ONTO THE LINE WITNESSES,
WHICH TESTIFY IN OPPOSITION TO A
B 18 59 NAME ORGANIZATION
POSITION ONLY. THANK YOU IF YOU
WISH TO SPEAK IN OPPOSITION TO A
B 18 59 PLEASE PRESS 10 AT THIS
TIME. WILL GO TO LINE 3 61,
PLEASE GO AHEAD. TCHAIR
MEMBERS JOHN WINGER, I'LL BE OFF
AMERICA'S HEALTH INSURANCE PLANS
WOULD JUST ECHO THE COMMENTS OF
CAMPAÑA CLICK AND LOOK FORWARD
TO REVIEWING THE AMENDMENTS.
THANK YOU NEXT WITNESS. THANK
YOU. I HAVE ONE MORE COMMENT AND
QUÊ. IT'LL JUST BE ONE MOMENT.
BLIND 3 53, PLEASE GO AHEAD.
THANK YOU, MR CHAIRMAN MEMBERS
PRESTON YOUNG FROM THE
CALIFORNIA CHAMBER OF COMMERCE
CURRENTLY OPPOSED UNLESS AMENDED
, THANKS TO THE AUTHOR. STAFF
FOR THE AMENDMENTS WILL REVIEW
THEM AND RE EVALUATE OUR
POSITION. THANK YOU. NEXT
WITNESS. THANK YOU. I HAVE NO
FURTHER COMMENT. THANK YOU.
THANK YOU WILL BRING IT BACK TO
THE COMMITTEE QUESTIONS OR
COMMENTS FROM COMMITTEE MEMBERS,
AND IT'S BEEN MOVED BY SENATOR
WIENER SIMILAR LEVIN AGAIN.
THANK YOU SO MUCH FOR WORKING
WITH OUR COMMITTEE STAFF. I
THINK YOU KNOW, WITH THE
AMENDMENTS. WE STILL ACHIEVE THE
GOALS OF YOUR BILL. UM AND YOU
KNOW IT IS THAT THE DISCUSSION
OF THE PROVIDER WHO IS TAKING
CARE OF THEM IF THEY NEED TO BE
SEEN MORE URGENTLY, THEY WILL BE
SO THAT'S STILL IN PLACE. AS
WELL. BUT THEN IF THERE COULD BE
A LITTLE THEIR LITTLE TIME, AND
SOMETIMES THAT FOR THE PATIENT
THAT MAY ALSO BE HELPFUL TO SO
NOT TO HAVE TO RUN INTO CRUNCH
TIME. SO I REALLY APPRECIATE YOU
WORKING WITH US SUPPORTING THE
BILL. WOULD YOU LIKE TO CLOSE?
THANK YOU VERY MUCH AGAIN. VERY
GRATEFUL TO THE COMMITTEE AND
THE AMENDMENTS THAT WE ARE
ACCEPTING, AND ALSO FOR THE
THOUGHTFULNESS OF THE
STAKEHOLDERS WHO WILL REVIEW
THEM. THANK YOU. IRIS SUBCLASS
FOR MY VOTE. OKAY THANKS VERY
MUCH SUMMER LEVIN, SO THE
MOTIONS DO PASS AS AMENDED AND
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS HAS BEEN MOVED BY
SENATOR WIENER SECRETARY. PLEASE
CALL THE ROLL HAND AND I
MELINDA'S EGGMAN EGMOND. AYE.
GONZALES GONZALES, I GROVE, HER
TATO LEYVA. THE MAN BROTH BROTH
I RUBIO WIENER WIENER. I ONLY
HAS FIVE VOTES WILL HOLD THE
ROLL OPEN. OKAY AND I SEE AS
SOME MEMBER AGRICULTURE THINK
YOU'RE THE NEXT ONE UP. SORRY I
GOTTA LOOK AROUND. SOMETIMES I
MISS SOMEBODY. SO WELCOME AND
LET'S SEE WE HAVE WHICH WILL DO
YOU HAVE HERE? OKAY ITEM NUMBER
8 18. OH, NINE. WELCOME. GOOD
AFTERNOON. THANK YOU VERY MUCH.
FIRST I'D LIKE TO ACCEPT THE
PROPOSED COMMITTEE AMENDMENTS
FOUND ON PAGES EIGHT AND NINE IN
THE ANALYSIS AND THANK YOUR
STAFF FOR ALL THE WORK ON THIS
FILM. IT IS SAD REALITY THAT
SOME NURSING HOMES UNITED STATES
, INCLUDING HERE IN CALIFORNIA
ROUTINELY GIVE ANTI PSYCHOTIC
DRUGS TO RESIDENTS WITH DEMENTIA
TO CONTROL THEIR BEHAVIOR.
DESPITE RULES AGAINST THE MISUSE
OF SUCH DRUGS AS CHEMICAL
RESTRAINTS. THESE CHEMICAL
RESTRAINTS ARE BEING PRESCRIBED
TO SEDATE AND SUBDUE RESIDENTS
WHO OFTEN USE BEHAVIOR TO
COMMUNICATE THEIR PAIN OR
DISCOMFORT OR DISTRESS. A B 18
OH, NINE WILL HELP STEM THIS
PRACTICE IN CALIFORNIA.
ACCORDING TO A 2000 AND 18
REPORT BY THE HUMAN RIGHTS
WATCH. THIS ABUSIVE PRACTICE HAS
BEEN BECOME VERY WIDESPREAD
HUMAN RIGHTS WATCH REPORTS. THEY
WANT DORSAL HOW NURSING HOMES IN
THE UNITED STATES OVER MEDICATE
PEOPLE WITH DEMENTIA. ESTIMATES
THAT EVERY WEEK IN US NURSING
FACILITIES MORE THAN 179,000
PEOPLE, MOSTLY THOSE OLDER IN
LIVING WITH DEMENTIA, GIVEN
ANTIPSYCHOTIC DRUGS WITH THAT
INAPPROPRIATE DIAGNOSIS. ANTI
PSYCHOTIC DRUGS. OUR DEVELOPED
TO TREAT PSYCHIATRIC CONDITIONS
LIKE SCHIZOPHRENIA. THE FOOD AND
DRUG ADMINISTRATION REQUIRES
MANUFACTURERS TO LABEL THEM WITH
THE STRONGEST BLACK BOX WARNING
ABOUT THE RISK THEY POSE TO
PEOPLE WITH DEMENTIA. THE FDA IS
NEVER APPROVED ANTI PSYCHOTIC
DRUGS AS A SAFE AND EFFECTIVE
FOR A TREATMENT OF DEMENTIA
SYMPTOMS SATISFYING THAT THE
DRUGS NEARLY DOUBLE THE RISK OF
DEATH IN OLDER PEOPLE WITH
DEMENTIA. WHEN THE DRUGS WERE
ADMINISTERED WITHOUT INFORMED
CONSENT PATIENTS AND THEIR
FAMILIES ARE NOT MAKING THE
CHOICE TO TAKE SUCH A RISK. 18
OH, NINE BUILDS ON EXISTING
PRACTITIONER PROTECTIONS FOR
NURSING HOME RESIDENTS IN IN
STATE LAW AND REGULATES IT. IT
CODIFIES EXPEND EXPANDS RULES TO
ESTABLISH A NURSING HOME
RESIDENTS RIGHT TO PROVIDE OR
WITHHOLD WRITTEN, INFORMED
CONSENT PERTAINING TO THE USE OF
ANTI PSYCHOTHERAPEUTIC DRUGS AND
THE RIGHT TO BE FREE FROM
CHEMICAL RESTRAINT. IT SPECIFIES
THAT RESIDENTS AND THE
REPRESENTATIVES MUST BE INFORMED
IN WRITING ABOUT THE CONTENT OF
BLACK BOX WARNINGS FOR PROPOSED
DRUGS AND WHETHER THE DRUGS
PROPOSED USE HAS BEEN APPROVED
BY THE FDA. AND REQUIRES THAT
THE STATE DEPARTMENT OF PUBLIC
HEALTH TO EVALUATE NURSING
FACILITY COMPLIANCE WITH THESE
PROVISIONS DURING PERIODIC STATE
LICENSING INSPECTIONS. RECENT
AMENDMENTS REMOVE ALL OPPOSITION
AND THE BILL HAS ENJOYED
BIPARTISAN SUPPORT THROUGHOUT
THIS LEGISLATIVE PROCESS. I
WOULD LIKE TO PRESENT MY TWO
WITNESSES. TONY COCKTAIL STAFF
ATTORNEY FOR THE BILL'S SPONSOR
, CALIFORNIA FOR CALIFORNIANS
FOR NURSING HOME REFORM, AND
LYDIA GUQIN, WHO IS JOINING US
BY PHONE. OKAY WELL AGAIN, WITH
TONY PICKED OFF WITH WITH CANADA
. WELCOME THANKS. GOOD
AFTERNOON. I'M STILL TONY
CHICKEN TOE. SENIOR STAFF
ATTORNEY FOR CALIFORNIA
ADVOCATES FOR NURSING HOME
REFORM. PROUD SPONSOR OF HB 18
OH, NINE. THERE'S BEEN A LONG
AND UNFORTUNATE HISTORY OF PSYCH
DRUG OVER USING NURSING HOMES
ARE CONGRESSIONAL HEARINGS BACK
IN THE 19 SEVENTIES ABOUT THIS
AND DESPITE REALLY A LOT OF
EFFORT AND DURING A LOT OF TIME
PERIODS AND THROUGHOUT THE
UNITED STATES. TO REDUCE THE
USE. WE STILL HAD A SITUATION
WHERE MORE THAN HALF OF ALL
NURSING HOME RESIDENTS RECEIVE A
PSYCHOTROPIC DRUG, A
SIGNIFICANTLY HIGHER PERCENTAGE
THAN IN THE GENERAL POPULATION.
AND THAT'S NOT COUNTING A LOT OF
THE SITE DRUGS THAT THE FEDERAL
GOVERNMENT DOESN'T TRACK.
INFORMED CONSENT HAS LONG BEEN
ONE OF THE PAST TO REDUCING OVER
DRUGGING AND NURSING HOMES.
CALIFORNIA HAS REGULATIONS
UNINFORMED CONCERN. WE'VE HAD
THEM FOR ABOUT 30 YEARS AND I
THINK THEY'VE BEEN SOMEWHAT
EFFECTIVE, BUT THEY CULD BE
STRENGTHENED, AND THAT'S WHAT
ABBY 18 OH NINE DOES. IT'S A LOT
LIKE A BILL WE SPONSORED IN 2000
AND NINE BUT THE CLIMATE
FORTUNATELY, HAS REALLY CHANGED
SINCE THE BILL WAS VETOED.
THERE'S A LOT MORE ACCEPTANCE OF
THE IDEA THAT CHEMICAL
RESTRAINTS ARE NOT THE WAY TO GO
FROM ALL STAKEHOLDERS, SO IT'S
BEEN REALLY GREAT. I'VE REALLY
BEEN HEARTENED BY OUR WORK WITH
THE AUTHOR'S OFFICE AND OTHER
STAKEHOLDERS AND FINDING A
REALLY GOOD BALANCE BETWEEN THE
INFORMATION IS REALLY IMPORTANT
TO PROVIDE TO RESIDENTS AND
THEIR REPRESENTATIVES AND WHAT'S
PRACTICAL FOR PRESCRIBERS IN
NURSING HOMES HAVE BEEN REALLY
APPRECIATIVE OF THE WORK OF THE
COMMITTEE STAFF ON THIS BILL HAS
BEEN EXCELLENT. PATIENTS
RESIDENTS, THE PEOPLE WHO LOVE
THEM. THEY'RE THE BEST SAFEGUARD
WE HAVE AGAINST MISUSE. 18. OH,
NINE ENSURES THEY HAVE THE
INFORMATION THEY NEED TO PERFORM
THAT ROLE. URGE YOU TO VOTE.
YES. THANK YOU. THANK YOU VERY
MUCH. WE'LL NOW BRING ON LYDIA.
GOOD CHECK. GET ONTO THE LINE.
MODERATOR CAN YOU PLEASE BRING
ON LYDIA? GOOD. GOOD. YES OKAY.
WELCOME. HI. HI. THANK YOU. MY
NAME IS LADY GAGA AND I WANT TO
THANK YOU FOR ALLOWING ME TO
SHARE OUR EXPERIENCE. MY
MOTHER'S CELIA WAS SNOWED UNDER
BY THE RIGHT MEDICATIONS HER
FACILITY INTO UPON A WRITTEN
INFORMED CONSENT REQUIREMENT,
LIKE A B 18, OR NINE WOULD HAVE
GIVEN US A CHANCE TO UNDERSTAND
THE EFFECTS OF THESE DRUGS. AND
WOULD HAVE GIVEN US AN
OPPORTUNITY TO CHOOSE
ALTERNATIVES TO DRUGGING, WHICH
WE ABSOLUTELY WOULD HAVE DONE,
IT WOULD HAVE SPARED MY MOTHER'S
SUFFERING FROM FRIGHTENING
HALLUCINATIONS, CONFUSION,
PERSONALITY LOSS, COMMUNICATION
LOSS, IMMOBILITY AND ISOLATION
CAUSED BY CONSTANT SLEEPING. AND
OUR FAMILY FROM WATCHING OUR
BELOVED MAMA AND GRANDMA
DETERIORATE OVER A TWO YEAR
PERIOD WHEN A FRIEND ALERTED US
TO THE DANGER OF THESE DRUGS. WE
MOVED TO A TO A DIFFERENT
FACILITY AND GOT HER OFF THE
DRUG. FROM MIND. MEMORY AND
ENERGY WERE RESTORED, AS WAS HER
PERSONALITY AND HER ABILITY TO
COMMUNICATE. SHE NO LONGER SLEPT
ALL DAY. INSTEAD SHE TOOK UP
PAINTING BINGO AND EXERCISE
CLASS AT 92 YEARS OF AGE AND
ENJOYED HER LIFE AT THE NURSING
HOME AND WE WERE ABLE TO ENJOY
HER PRESENCE FOR ANOTHER THREE
YEARS. SCREEN PASS A B 18. OH,
NINE. SO FAMILIES LIKE OURS AND
PERHAPS YOURS HAVE A WRITTEN
INFORMED CONSENT REQUIREMENTS
THAT ENSURES RESIDENTS AND THEIR
FAMILY MEMBERS ARE ABLE TO MAKE
BETTER DECISIONS ABOUT PSYCH
DRUGS AND ALTERNATIVE TO
DRUGGING. THANK YOU FR YOUR
TIME. THANK YOU. THANK YOU FOR
YOUR SHARING. THAT STORY WILL
NOW MOVE ON TO ADDITIONAL
WITNESSES AND SUPPORT OF ABBY
18. OH, NINE WILL BEGIN HERE IN
ROOM 1200 SEEN ON APPROACHING
THE MICROPHONE. MODERATOR PLEASE
OPEN THE LINES FOR WITNESSES,
WHICH TESTIFY AND SUPPORT OF A B
18. OH, NINE. THANK YOU. IF YOU
WISH TO SPEAK IN SUPPORT OF A B
18 OH, NINE, PLEASE PRESS 10 AT
THIS TIME. I DO HAVE A COUPLE OF
COMMENTS IN QUÊ. IT'LL JUST BE
ONE MOMENT FOR THE FIRST
COMMENT. THANK YOU.
LINE. 3 58, PLEASE GO AHEAD.
FLYING 358. HELLO. YES. PLEASE,
PLEASE GO AHEAD. HI. THIS IS
MCKENNA HARROP ST JOHN ON BEHALF
OF THE CALIFORNIA HEALTH,
COALITION ADVOCACY AND SUPPORT
THANK YOU NEXT WITNESS. THANK
YOU. I'M 3 66. PLEASE GO AHEAD.
DAVID FEINBERG, VOLUNTEER WITH
AARP. WE SUPPORT THE BILL.
HIGHLY. THANK YOU. THANK YOU.
NEXT WITNESS. THINK YOU I HAVE
NO FURTHER COMMENTS. THANK YOU.
THANK YOU. MODERATOR WILL MOVE
TO NOW. TWO WITNESSES IN
OPPOSITION TO A B 18 OH, NINE.
WE DO NOT HAVE REGISTER FORMAL
REGISTERED OPPOSITION GO TO HERE
TO ROOM 1200 SEEN ON APPROACHING
THE MICROPHONE. MODERATOR PLEASE
OPEN THE LINE FOR WITNESSES,
WHICH IS TESTIFYING. OPPOSITION
TO ABBY 18. OH, NINE. THANK YOU.
IF YOU WISH TO SPEAK IN
OPPOSITION TO A B 18 OH, NINE,
PLEASE PRESS 10 AT THIS TIME. I
HAVE NO COMMENTS IN. Q OKAY,
WE'LL BRING IT BACK TO THE
COMMITTEE MEMBERS COMMENTS OR
QUESTIONS OR EMOTIONS. IT'S BEEN
MOVED BY SENATOR WIENER SIMILAR
AGRICULTURE. THANK YOU SO MUCH
FOR WORKING WITH OUR STAFF AND
REALLY APPRECIATE WHAT YOU'RE
TRYING TO DO WITH THIS BILL OF
SUPER UNION SUPPORT. AND WOULD
YOU LIKE TO CLOSE RESPECTFULLY
ASK FOR I VOTE AND THANK YOU.
THANKS AGAIN TO YOUR TEAM.
THEY'VE BEEN WONDERFUL. THANK
YOU. SO THE MOTION IS DUE PASSES
AMENDED TO JUDICIARY HAS BEEN
MOVED BY SENATOR WIENER
SECRETARY. PLEASE CALL THE ROLL
PAN. PAN I MELINDA'S EGGMAN
SIGMUND I GONZALEZ GROVE, HER
TATO LEYVA LIMÓN ROTH. I RUBIO
WIENER. WIENER. I CURRENTLY HAS
FOUR VOTES, SO IT'S 40 AT THE
MOMENT WILL HOLD THE ROLL OPEN
FOR THANK YOU VERY MUCH. THANK
YOU. AND I SEE SOME MEMBER RAMOS
PARTICULARLY SURE DON'T HAVE
ANYONE ELSE HERE, OKAY? ALL
RIGHT. WELCOME SO WE YOU HAVE.
ITEM NUMBER 22 23 17 CORRECT.
YES ALL RIGHT. WELCOME GETTING
AHEAD OF SOME OF YOUR OTHER
COLLEAGUES. HERE MR CHAIR. IS IT
OKAY TO TAKE THE MASK OFF OR
LEAVE IT ON? THINK WHERE
SOCIALLY DISTANCE SO IF YOU WISH
TO TAKE YOUR GOOD I'M KEEPING
MINE ON. BUT THANK YOU, MR CHAIR
AND MEMBERS. SENATORS. HOW START
BY ACCEPTING THE COMMITTEE
AMENDMENTS. APPRECIATE YOUR
STAFF'S HARD WORK AND GETTING
THIS VITAL BILL TO A PLACE WHERE
THOSE AMENDMENTS COULD FURTHER
THE PROCESS. MAYBE 23 17 WOULD
ESTABLISH A LICENSING PATH AND
ENSURE MUCH NEEDED FEDERAL
FUNDING FOR CHILDREN'S CRISIS
RESIDENTIAL PROGRAMS. CURRENTLY
AN ESTIMATED THREE OUT OF EVERY
FOUR CHILDREN IN THE US WHO NEED
MENTAL HEALTH SERVICES DO NOT
RECEIVE THEM. SUICIDE IS NOW THE
SECOND LEADING CAUSE OF DEATH
AMONG ADOLESCENTS. 47 OUT OF 58
COUNTIES HAVE NO CHILD
PSYCHIATRIC HOSPITAL INPATIENT
BEDS FOR CHILDREN UNDER 12. ON
THE HEELS OF THE U. S. SURGEON
GENERAL'S DIRE WARNING ABOUT THE
GROWING MENTAL HEALTH CRISIS
AMONG YOUTH, WHICH HAS WORSENED
DUE TO THE COVID 19 PANDEMIC.
CRUCIAL MENTAL HEALTH REFORM IS
NEEDED. THIS IS JUST A STEP IN
THAT DIRECTION. IT IS NOW MORE
VITAL THAN EVER TO INCREASE
ACCESS TO MENTAL HEALTH AND
SUBSTANCE USE, DISORDER CARE AND
THE NEED FOR CHILDREN'S MENTAL
HEALTH RESIDENTIAL
INTERVENTIONS. COULD NOT BE MORE
URGENT. A B 23 17 WOULD ADD THE
PSYCHIATRIC RESIDENTIAL
TREATMENT PROGRAM AS A LICENSING
OPTION FOR CHILDREN'S CRISIS
RESIDENTIAL PROGRAMS. WITH THE
APPROPRIATE LICENSING CATEGORY
ESTABLISHED, THE STATE AND
COUNTIES WOULD HAVE ACCESS TO
THIS CRITICAL COMPONENT OF THE
CONTINUUM OF MENTAL HEALTH
CRISIS SERVICES. ENTER UNDER
MEDICAL EARLY AND PERIODIC
SCREENING, DIAGNOSIS AND
TREATMENT, WHICH IS A FEDERAL
ENTITLEMENT. MY OFFICE HAS BEEN
WORKING WITH THE SECRETARY OF
HEALTH, GOLLY AND THE GOVERNOR'S
ADMINISTRATION ON TECHNICAL
AMENDMENTS TO MOVE THIS BILL
FORWARD FOR THE BENEFIT OF ALL
IN THE STATE OF CALIFORNIA. IN
ARE CURRENTLY ENGAGED IN ONGOING
DISCUSSIONS TO ADDRESS SOME OF
THE OPPOSITION CONCERNS. JOINING
ME TODAY. OVER THE PHONE IS
ADRIAN SHILTON FROM THE
CALIFORNIA ALLIANCE OF CHILD AND
FAMILY SERVICES, AND AMY
BLOOMBERG FROM THE CALIFORNIA
CHILDREN'S HOSPITAL ASSOCIATION.
THANKS VERY MUCH. SENATOR RAMOS
NOW AND BELIEVE THEY'RE BOTH ON
THE LINE. SO, MODERATOR, PLEASE
BRING ONTO THE LINE, ADRIAN
SHELTON FROM THE CALIFORNIA
ALLIANCES, CHILD AND FAMILY
SERVICES, AND THEN I'LL BE
FOLLOWED BY AMY BLOOMBERG. FOR
THE CALIFORNIA CHILDREN'S
HOSPITAL ASSOCIATION. YOU HAVE
TWO MINUTES TOTAL FOUR MINUTES
BETWEEN THE BOTH OF YOU. THING
YOU BOTH LINES ARE OPEN. GOOD
AFTERNOON SHARING MEMBERS. MY
NAME IS ADRIAN SHELTON,
REPRESENTING THE CALIFORNIA
ALLIANCE OF CHILD AND FAMILY
SERVICES. WE REPRESENT 116
NATIONALLY ACCREDITED, NON
PROFIT, COMMUNITY BASED
ORGANIZATIONS THAT SERVE
CHILDREN, YOUTH AND FAMILIES IN
PUBLIC HUMAN SERVICES SYSTEM.
OUR MEMBERS DELIVER CARE TO SOME
OF THE MOST VULNERABLE CHILDREN
AND FAMILIES AND OUR STATE'S
MEDICAL PROGRAM, AND THEY ARE
SEEING HIGHER ACUITY AND MORE
INTENSE BEHAVIORAL HEALTH NEEDS
OF YOUTH THAN EVER BEFORE. WHERE
THE CROWD SPONSOR OF 23 17. 80
23 17 ADDRESSES A SIGNIFICANT
EXISTING GAP IN THE BEHAVIORAL
HEALTH CONTINUUM FOR YOU.
BECAUSE CALIFORNIA LACKS
PROGRAMS THAT SPECIFICALLY MEETS
THE INTENSIVE NEEDS OF YOUTH AND
BEHAVIORAL HEALTH CRISIS. THOSE
CHILDREN CAN LANGUISH AND
EMERGENCY ROOMS OR SIMPLY GO
UNSERVED WHEN IT MATTERS, THE
MOST. BUT NECESSARY. TREATMENT
PROGRAMS NOT EXIST BECAUSE
CALIFORNIA HAS NOT HAVE AN
APPROPRIATE LICENSING CATEGORY
FOR THESE PROGRAMS THAT DOES
EXIST IN MANY OTHER STATES.
MAYBE 23 17 ADDRESSES THIS GAP
BY ADDING IN LOOT AND NEW
LICENSING, CATEGORY AND STATE
STATUTE PSYCHIATRIC RESIDENTIAL
TREATMENT FACILITIES. THE
PROGRAMS ARE SHORT TERM, DELIVER
INTENSIVE CARE AND HAVE A GOAL
OF STABILIZING YOUTH QUICKLY SO
THEY CAN STEP DOWN TO LENGTH,
LESS INTENSIVE TREATMENT
OPTIONS. AND A STUDY OF CRISIS
SERVICES PRIOR TO THE PANDEMIC,
MENTAL HEALTH SERVICES OVERSIGHT
AND ACCOUNTABILITY COMMISSION
HIGHLIGHTED THAT 40,000 CHILDREN
WERE BEING HOSPITALIZED EVERY
YEAR, AND THAT SAME STUDY
IDENTIFIED ONLY 654. PSYCHIATRIC
BEDS AVAILABLE FOR CHILDREN AND
ADOLESCENTS STATEWIDE. ARE
CALIFORNIA CHILDREN'S HOSPITALS
ACROSS THE STATE ARE SEEING THE
RESULTS OF NOT HAVING THIS LEVEL
OF CARE IN CALIFORNIA, AND WE
HAVE A CHILDREN'S MENTAL HEALTH
EMERGENCY SINCERELY APPRECIATE
THE SENATE HEALTH COMMITTEE,
CHAIRS AND STAFF WORK WITH US.
OTHER THINGS IN THIS BILL, AND
WE ARE COMMITTED TO CONTINUE TO
WORKING WITH A BROAD ARRAY OF
STAKEHOLDERS, INCLUDING THOSE
WHO HAVE EXPRESSED CONCERNS
ABOUT THE BILL IN ORDER TO
ADDRESS THEM AS IT WAS FOR WORK.
WE ASKED FOR YOUR I VOTE TODAY.
THANK YOU. THANK YOU. LET'S NOW
MOVE ON TO AMY BLOOMBERG. MR
CHAIR AND MEMBERS AMY BLOOMBERG
ON BEHALF OF THE CALIFORNIA
CHILDREN'S HOSPITAL ASSOCIATION
. CCH REPRESENTS THE EIGHT
PRIVATE, NONPROFIT FREESTANDING
CHILDREN'S HOSPITALS IN THE
STATE. APPROXIMATELY 62% OF OUR
PATIENTS ARE ON MEDICAL. I'M
HERE TODAY TO URGE YOUR SUPPORT
FOR 80 23 17 RECENTLY,
CHILDREN'S HOSPITALS HAVE SEEN A
DRAMATIC INCREASE IN PEDIATRIC
PATIENTS AND PSYCHIATRIC CRISIS
OVER THE COURSE OF THE COVID 19
CANS ON A GET CHILDREN'S
HOSPITAL OF ORANGE COUNTY OR
CHUCK. THERE'S BEEN A 52%
INCREASE IN THE NUMBER OF
CHILDREN AND ADOLESCENTS SEEKING
CARE AND THE EMERGENCY
DEPARTMENT. THE LENGTH OF STAY
IN THE EU HAS ALSO INCREASED
FROM JULY 2019 TO MAY 2020 THE
AVERAGE LENGTH OF STAY WITH 6.8
HOURS AT THE CHILD IS DISCHARGED
HOME. AND 16 HOURS AT THE CHILD
IS ADMITTED TO AN INPATIENT
PSYCHIATRIC UNIT. FROM JULY 2021
TO MAY 2022 THE TIME INCREASED
TO 11.5 HOURS AND 24 HOURS
RESPECTIVELY. HOURS HAVE
INCREASED DUE TO LACK OF
OUTPATIENT SERVICES TO DISCHARGE
COME TO LACK OF INPATIENT
SETTING PATRICK BEDS AS WELL AS
NO RESIDENTIAL OPTIONS. MANY OF
THE CHILDREN ARRIVING IN THE E D
WOULD BE COULD BE TREATED MORE
EFFECTIVELY AND A RESIDENTIAL
SETTING, PROVIDING QUALITY.
SPEND SAFE CARE AND ALSO
RESERVING THE LIMITED INPATIENT
PSYCHIATRIC BEDS FOR THE KIDS
THAT NEED IT. MOST ACCESS TO
CRISIS, RESIDENTIAL SAYS AS A
SAFE AND EFFECTIVE DISCHARGE
OPTION FOR PATIENTS THAT REQUIRE
INPATIENT HOSPITALIZATION. BUT
UNFORTUNATELY THIS IS NOT
COVERED FOR MEDICAL PATIENTS.
FOR THESE KIDS. THE MAIN OPTION
IS GOING FROM 24 HOUR
SUPERVISION AND A LOCKED IN
PATIENT UNIT TO SEEING A
THERAPIST EVERY FEW WEEKS. AS
YOU CAN IMAGINE, THIS IS NOT
SUCCESSFUL FOR MANY PATIENTS.
THEY END UP RETURNING TO THE
EMERGENCY DEPARTMENT ORDERED IN
PATIENTS PSYCHIATRIC UNIT 80 23
17 WOULD ADD AN IMPORTANT TOOL
TO ASSIST PEDIATRIC PATIENTS IN
THE CRISIS. THESE REASONS
SUPPORTS MAYBE 23 17. AND I
RESPECTFULLY REQUEST YOUR I
VOTE. THANK YOU. THANK YOU VERY
MUCH, WILL NOW MOVE ON TO
ADDITIONAL WITNESSES AND SUPPORT
OF A B 23 17 WILL BEGIN HERE IN
ROOM 1200 WELCOME. THANK YOU, MR
CHAIR AND MEMBERS NICOLE WARD
LEMAN ON BEHALF OF SAN
BERNARDINO COUNTY AND SUPPORT.
THANK YOU. NO ONE ELSE
APPROACHING THE MICROPHONE WILL
MOVE ON MODERATOR. PLEASE OPEN
THE LINES FOR WITNESSES WHO WISH
TO TESTIFY IN SUPPORT OF 23 17.
THANK YU IF YOU WISH TO SPEAK
IN SUPPORT OF A B 23 17 PLEASE
PRESS 10 AT THIS TIME. FLYING 3
70, PLEASE GO AHEAD. KELLY
BROOKS ON BEHALF OF THE COUNTY
WELFARE DIRECTORS ASSOCIATION
AND SUPPORT THANK YOU NEXT
WITNESS. THANK YOU, RYAN TO 62.
PLEASE GO AHEAD. GOOD AFTERNOON.
OKAY REBECCA GONZALEZ FOR THE
NATIONAL ASSOCIATION OF SOCIAL
WORKERS. CALIFORNIA CHAPTER AND
SUPPORT. THANK YOU NEXT WITNESS.
THANK YOU, BRIAN. 3 77, PLEASE
GO AHEAD. THANK YOU. CHAIR AND
MEMBERS, TIM MADDEN,
REPRESENTING THE CALIFORNIA
CHAPTER OF THE AMERICAN COLLEGE
OF EMERGENCY PHYSICIANS IN
SUPPORT. THANK YOU NEXT WITNESS.
LINE. 3 74, PLEASE GO AHEAD.
GOOD AFTERNOON HAVE A PUBLIC
POLICY OFFICER PACIFIC CLINICS
AND WE HIGHLY SUPPORT 23 17.
THANK YOU. THANK YOU. NEXT
WITNESS, LEASE. FIND 3 79,
PLEASE GO AHEAD. GOOD AFTERNOON.
COLLEGE HEALTH SERVICES. 23 7.
THANK YOU. THANK YOU REMIND
PEOPLE THAT PLEASE TRY TO TALK
INTO THE MICROPHONE SO WE CAN
CLEARLY HEAR YOU. NEXT WITNESS,
PLEASE. FIND 3 73, PLEASE GO
AHEAD. MY NAME IS DENISE BISON
AND THE CHIEF ADMINISTRATIVE
OFFICER FOR CHILD HELP, AND WE
FULLY SUPPORT A B 23 17. THANK
YOU. THANK YOU. NEXT WITNESS.
FLYING TO 55. PLEASE GO AHEAD.
FINALLY WHAT WE HAVE WITH THE
CALIFORNIA COUNCIL OF COMMUNITY
BEHAVIOR, HEALTH AGENCIES IN
SUPPORT. THANK YOU NEXT WITNESS.
PLANE 3 27, PLEASE GO AHEAD. HI
THIS IS LAURA PATTERSON, SENIOR
DIRECTOR OF POLICY AND NEW
INITIATIVES WITH THICK MORRIS
COMMUNITY BASED ORGANIZATION IN
STRONG SUPPORT OF A B 23 17.
THANK YOU NEXT WITNESS. LINE 3
69, PLEASE GO AHEAD. MR CHAIR.
MEMBERS OF THE COMMITTEE RANDALL
HAGAR, REPRESENTING THE
PSYCHIATRIC POSITIONS ALLIANCE
pIN CALIFORNIA, ESPECIALLY OUR
SUSPECT, CHILD PSYCHIATRIST.
THIS IS VERY IMPORTANT, BILL.
THANK YOU. THANK YOU. NEXT
WITNESS. LINE. 3 80, PLEASE GO
AHEAD. GOOD AFTERNOON. THIS IS
TALIA PARKER FROM SENECA FAMILY
OF AGENCIES CALLING IN SUPPORT
OF A B 23 17. THANK YOU. NEXT
WITNESS. I HAVE NO FURTHER
COMMENT. THANK YOU. THANK YOU.
MODERATOR WILL NOW MOVE ON TO
WITNESSES AND OPPOSITION TO A B
23 17 AND WE HAVE TWO WITNESSES
REGISTERED FOR TESTIMONY OVER
THE TELECONFERENCE LINE.
MODERATOR PLEASE BRING ON
MELINDA BYRD FROM DISABILITY
RIGHTS, CALIFORNIA, FOLLOWED BY
HECTOR HERNANDEZ DELGADO FROM
THE NATIONAL HEALTH LAW PROGRAM.
SO WE CAN BEGIN WITH MELINDA
BIRD, PLEASE. PAUL FINDS ARE
OPEN. GOOD AFTERNOON. MY NAME IS
MELINDA BURDEN. I'M GONNA
ATTORNEY WITH DISABILITY RIGHTS,
CALIFORNIA. WE STRONGLY OPPOSED
THIS BILL UNLESS AMENDED TO ADD
ADDITIONAL PROTECTIONS FOR YOUTH
IN CRISIS. AND TO ENSURE THAT
THE PSYCHIATRIC RESIDENTIAL
FACILITIES DO NOT BECOME
WAREHOUSES FOR HARD TO PLACE
TOWARDS INDEPENDENCE. WE'VE
HEARD ABOUT TESTIMONY THAT
CHILDREN AND EMERGENCY HAD BUILT
OUT SUFFICIENT BEST SERVICES. WE
WOULD NOT SEE CHILDREN CRY
PRODDING IN THERE. UM IT'S VERY
MORNING. THE U. S. DEPARTMENT OF
JUSTICE ISSUED FINDINGS LETTER
THAT THE STATE OF MAINE VIOLATED
THE FEDERAL AMERICANS WITH
DISABILITIES ACT. BY PLACING
THEIR YOUTH ATLANTICA CLASSES,
FACILITIES, PSYCHIATRIC
RESIDENTIAL TREATMENT FACILITIES
RATHER THAN OFFERING THEM CRISIS
SERVICES IN THE COMMUNITY. THE
DEPARTMENT OF JUSTICE
INVESTIGATION WAS IN RESPONSE TO
COMPLAINTS AND DISABILITY RIGHTS
ME SISTER PROTECTION AND
ADVOCACY AGENCY. THE DEPARTMENT
OF JUSTICE ALLUDED THAT MAINE
HAS A NUMBER OF PSYCHIATRIC
RESIDENTIAL TREATMENT
FACILITIES. 300 USELESS TO THEM
OVER A TWO YEAR PERIOD, STAYING
IN AVERAGE OF 246 DAYS, EVEN
THOUGH THE PLACEMENT INTENDED TO
LAST A MONTH OR MORE. IN
CONTRAST, JUSTICE FOUND THAT
MEANS CRISIS SYSTEM WAS UNDER
RESOURCED, FORCING YOUTH INTO
EMERGENCY ROOMS, WHICH IS THE
SAME PROBLEM WE HAVE IN
CALIFORNIA. AND MAINE HAD FAILED
TO IMPLEMENT THERAPEUTIC FOSTER
CARE AND INTENSIVE, HOME BASED
SERVICES SERVICE THAT COULD BE
HIS YOUTH. THERAPEUTIC FOSTER
CARE IS ALSO AFFECTIVELY
UNAVAILABLE IN CALIFORNIA.
MOVING FORWARD WITH THIS STILL
NOW IS UNWISE. OPPOSED TOYS TO
GREATLY EXPAND MOBILE CRISIS
THAT'S SERIOUS AND NEED TO
ASSESS HOW THE TYPE OF LOCKED
INSTITUTION INTO THESE EFFORTS,
IF AT ALL TO MINUTES
STAKEHOLDERS, WILLIAMS WE'RE NOT
. WE'RE NOT INVOLVED IN THE
ADMINISTRATION'S AMENDMENTS. WE
HAVEN'T HAD TIME TO WORK THROUGH
THIS COMPLEX ENTERPRISE
REGARDING FOSTER YOUTH AND
COMMITTING MORE RESOURCES TO
INSTITUTIONAL PLACES EXPOSED
CALIFORNIA TO THE SAME
VIOLATION. JUSTICE SOUNDING NAME
. WE URGE YOUR NO VOTE ON THIS
BILL UNLESS IT IS AMENDED TO ADD
A HEART STOP AT 30 DAYS UNTIL
WOMEN PROVIDERS PROFITS ONLY AS
WELL AS OTHER CHANGES
RECOMMENDED. THANK YOU. THANK
YOU. THE SPRING ON HECTOR
HERNANDEZ DELGADO. SHE LEFT YOU
MINUTE AND 25 SECONDS. I
APOLOGIZE. THANK YOU. MEMBERS OF
THE HEALTH COMMITTEE, WHICH ARE
THE SAME GOALS AS THE AUTHOR OF
THIS BILL, ENSURE THE CHILDREN
AND YOU HAVE ACCESS TO ALL
MEDICALLY NECESSARY SERVICES AS
PART OF THE CONTINUUM OF CARE
FOR BEHAVIORAL HEALTH
CONDITIONS. THREE I'M WORRIED,
HOWEVER, THAT WOULD OFFER
AMENDMENTS, ESPECIALLY IF
EVERYTHING STATE 80 23 CENTS
MAINLY TO LONG TERM UNIONIZATION
IN A SETTING AND THE CRISIS CARE
EVEN IN CASES WHERE COMMUNITY
BASED SERVICES ARE MEDICALLY
NECESSARY AND MORE EFFECTIVE.
CHILDREN AND YOUTUBE. BEHAVIORAL
HEALTH CONDITIONS ARE BETTER
SERVED WHEN THEY RECEIVE
SERVICES IN THEIR HOMES AND
COMMUNITY. RESIDENTIAL
FACILITIES LIKE TF HAVE OPENED
THE DOOR TO WIDESPREAD ABUSE AND
NEGLECT, INCLUDING THROUGH THE
INAPPROPRIATE OR EXCESSIVE USE
OF RESTRAINTS. EXECUTION
PRACTICES HAVE TAKEN PLACE IN
OTHER STATES DESPITE THE
EXISTENCE OF WALES. NOT
SUFFICIENT TO PROTECT THE HEALTH
AND WILL BE IN THE FIELDING
RESIDING IN THE CITY. IT IS
CRITICAL THAT CALIFORNIA
BENEFITS REGARDING BEHAVIORAL
HILL HOME AND COMMUNITY BASED
SERVICES PRIOR FLIGHT BUT IN
FUND INSTITUTIONAL CARE AND A
SPECIFIC LENGTH OF TIME LIMITS
WERE PLACED ON THE USE OF THE
RTS DOING SO WITH THE PD
APPARENT PURPOSE OF THE BILL TO
ENSURE THAT SHARING AND USE
EXPERIENCE BEHAVIORAL HEALTH
CRISIS. UM AND TOMMI MATTER. THE
LACK OF ABILITY TO BE A BIT MORE
COMMON, UNITY BASED ON THE
CONTRARY, THEY DEMAND A DECISION
MAKING COMMUNITY BASED
TREATMENT. ARE PROPOSED
AMENDMENTS, INCLUDING TRENCH
SPECIAL AND YOU ARE OFFERED
COMMUNITY BASED VIDEO HEALTH
SERVICES PRODUCTS PEOPLE. YES
AND YOU KNOW, WE SHOULD ONLY BE
IN MIDDLE FOR A MAXIMUM OF 30
DAYS. SIX. WE BELIEVE HAVE 30
DAYS TO ADDRESS A CRISIS EVENT
AT THE PERMITTED LANGUAGE STATES
WOULD INCREASE THE LIKELIHOOD OF
YOU BEING HERE AND THANK YOU.
THANK YOU. ALL RIGHT. WE'RE NOW
GOING TO MOVE ON TO ADDITIONAL
WITNESSES AND OPPOSITION TO THIS
BILL OF WELCOME. OKAY? GOOD
AFTERNOON CHAIR MEMBERS. MATTHEW
GALLAGHER ON BEHALF OF COWBOYS
IS WE REMAIN IMPOSED UNLESS
AMENDED POSITION AND WE THANK
THE STAFF FOR THEIR DETAILED
ANALYSIS. THANK YOU. I SEE NO
ONE ELSE GOING THROUGH
MICROPHONE. MODERATOR PLEASE
OPEN THE LINES FOR WITNESSES WHO
WILL TESTIFY IN OPPOSITION TO 23
17 NAME ORGANIZATION POSITION
ONLY. THANK YOU IF YOU WISH TO
SPEAK IN OPPOSITION TO THE A B
23 17, PLEASE PRESS ONE SIN ZERO
AT THIS TIME. I DO HAVE A COUPLE
LINES AND QUÊ. IT'LL JUST BE ONE
MOMENT. THANK YOU, MODERATOR.
BLIND TO 37, PLEASE GO AHEAD.
THIS IS RACHEL MARTY FROM THE
LAWCENTER. AND WE OPPOSE WITHOUT
ADEQUATE PROTECTIONS FOR YOUTH
AND FOSTER CARE. THANK YOU.
THANK YOU. NEXT WITNESS. THANK
YOU, RYAN. 3 76, PLEASE GO
AHEAD. THIS IS POLICY MONS WITH
THE DEPRESSION AND BIPOLAR
SUPPORT ALLIANCE. CALIFORNIA
WERE ALSO OPPOSED THIS BILL
UNLESS IT IS AMENDED TO INCLUDE
THOSE ADDITIONAL PROTECTIONS.
THANK YOU. THANK YOU NEXT
WITNESS. THANK YOU. I HAVE NO
FURTHER COMMENT. THANK YOU.
THANKS VERY MUCH. LET'S BRING IT
BACK TO COMMITTEE QUESTIONS AND
COMMENTS FROM COMMITTEE MEMBERS.
I WAS GOING TO THINK THE
ASSEMBLYMEMBER'S FOR THIS BILL
AND MOVE IT. THANK YOU. ALL
RIGHT. THANK YOU. SO IT'S BEEN
DOUBLE MOVED SIMILAR RAMOS.
FIRST OF ALL, THANK YOU SO MUCH
FOR WORKING WITH OUR COMMITTEE.
UM HERE, THE OPPOSITION. THEY'RE
CONCERNED THAT THIS EVEN THOUGH
WE SAY TEMPORARY, IT'S NOT GOING
TO BE TEMPORARY, RIGHT? AND I
KNOW YOU TOOK AMENDMENTS THAT
THAT SO 10 DAYS WE DIDN'T CAP IT
AT 30 DAYS, BUT I THINK THE
INTENTION IS THAT WE WOULD DO
NOT WANT USED TO BE IN THESE
FACILITIES FOR MORE THAN 30
DAYS. SO SOMETHING WE HAVETO
MONITOR TO BE SURE THAT THIS
DOESN'T BY DEFAULT BECOME AT
THIS STAGE. THIS IS SHORT TERM.
AH AND I KNOW YOU'VE BEEN
WORKING VERY HARD ON THIS. WE
NEED TO HAVE THE RESOURCES
PREVIOUS SOLUTION IS WE SHIP
THEM OUT OF STATE, AND THAT
TURNED OUT TO BE A DISASTER.
RIGHT? THAT WAS A DISASTER. AND
SO UM, YES, WE NEED TO CONTINUE
TO CREATE MORE OPTIONS. UM AND,
UH AND AGAIN. THIS IS A BRIDGE.
I APPRECIATE YOU WORKING ON THIS
. UM YOU KNOW, WE'RE GOING TO
HAVE CERTAIN SUPPORTING IT. WE
NEED TO CONTINUE TO MONITOR THIS
THE IMPLEMENTATION AND THEN AND
THEN ALSO KEEP WORKING ON OTHER
OPTIONS. I THINK THAT THE
OPPONENTS WHICH WOULD PREFER AS
WELL SO WITH THAT, BUT I REALLY
APPRECIATE YOUR WORK ON THAT
WITH THAT. WOULD YOU LIKE TO
CLOSE? WELL THANK YOU, MR
CHAIRMAN AND SENATORS. CERTAINLY
WE HEAR THE CONCERNS OF THE
OPPOSITION. WE CONTINUE TO WORK
ON THOSE AREAS. THE OVERALL GOAL
IS TO MAKE SURE THAT WE HAVE
RESOURCES AVAILABLE TO OUR
YOUTH. HERE IN THE STATE OF
CALIFORNIA. WE'VE SEEN HOW SOME
PAST PRACTICES HAVE BROUGHT
DIFFERENT RESULTS, AND WE WANT
TO MAKE SURE THAT WE'RE GIVING
THE RESOURCES WHEN THEY'RE
NEEDED. WE ALSO WANT TO MAKE
SURE THAT PEOPLE SEE THIS BILL
AS NOT A BILL THAT'S GOING TO
FIX EVERYTHING BUT STARTS THE
DIALOGUE, MOVING TO START TO
INCREASE THE RESOURCES AVAILABLE
TO OUR YOUTH HERE IN THE STATE
OF CALIFORNIA, I ASKED FOR YOUR
I VOTE. THANK YOU. SO THE MOTION
IS NOW JUST TO CLARIFY THANK YOU
FOR ACCEPTING THE AMENDMENTS TO
TAKE THEM UP IN THE COMMUNITY
JUDICIARY, TIMING WISE, SO WE'RE
GOING TO BE THE MOTIONS DO PASS,
AS REFERRED TO THE COMMITTEE AND
JUDICIARY WHERE YOU'LL BE TAKING
UP THESE AMENDMENTS. ESTÁN
MOVEMENT, SENATOR ROTH AND
EGGMAN SECRETARY. PLEASE CALL
THE ROLL PAN PAN I MELINDA'S
EGGMAN EGGMAN I GONZALES GROVE,
HER TATO. LABOR LIMÓN ROTH RUBIO
WIENER. OKAY THAT BILL CURRENTLY
HAS THREE VOTES WILL HOLD THE
ROLL OPEN FOR ABSENT MEMBERS.
THANK YOU VERY MUCH. THANK YOU
SO MUCH. ALL RIGHT. NEXT UP, I
SEE YOU SOME MEMBER QUIRK AND
YOU HAVE ITEM NUMBER 11 A B 18
96. WELCOME. SO CHAIR PAN AND
SENATORS SEE MY GOOD FRIENDS UP
HERE. UM BROADER ACCESS TO
ASSISTED REPRODUCTIVE SERVICES
HAD ALLOWED MANY MORE
CALIFORNIANS ESPECIALLY LANDED
LESBIAN COUPLES IN ELECTIVE
SINGLE MOTHERS TO HAVE
BIOLOGICAL CHILDREN THROUGH
DONOR CONCEPTION. IN FACT, I
HAVE TWO GRANDCHILDREN THROUGH
DOWNER CONCEPTION. HOWEVER MANY
ASPECTS OF THE SPERM AND EGG
DONATION INDUSTRY UM. SPERM
DONATIONS IN PARTICULAR CAN BE
HARVESTED FREQUENTLY. SAMPLES
CAN BE SPLIT, AND THAT CAN BE
USED WITH RELATIVE EASE AND
WITHOUT THE NEED FOR FERTILITY
SPECIALIST. THESE FACTORS CAN
LEAD TO THE CONCEPTION OF A
LARGE NUMBER OF CHILDREN FROM A
SINGLE SPERM DONOR. REPORTS OF
VERY LARGE GROUPS HAVE HALF
SIBLINGS RELATED TO A SINGLE
DONOR OR GROWING. WITH 23 ME AND
OTHER DIRECT TO CONSUMER GENETIC
TESTS BECOMING MORE WIDESPREAD.
DONOR CONCEIVED PEOPLE ARE
LEARNING OF THE MANY DOZENS OF
SIBLINGS ACROSS THE COUNTRY AND
EVEN THE GLOBE. DONOR CONCEIVED
PEOPLE HAVE REPORTED SIGNIFICANT
PSYCHOLOGICAL AND SOCIAL BURDENS
AND FAKES UNIQUE GENETIC RISKS
ASSOCIATED WITH LARGE DONOR
SIBLING GROUPS. OVER 90% OF
DOVER DONOR CONCEIVED PEOPLE IN
A 2020 SURVEYS SUPPORT A LIMIT
ON THE NUMBER OF FAMILY UNITS
THAT SHOULD BE ESTABLISHED.
PREMISE INGLE SPERM DONOR A B 18
96 IS AN OPPORTUNITY. TO START
EDUCATING RECIPIENT PARENTS OF
SPERM AND EGG DONATIONS ABOUT
THE SITE, PSYCHOLOGICAL, SOCIAL
AND GENETIC BURDENS FACED BY
DONOR CONCEIVED PEOPLE. IT ALSO
PROVIDES FOR EDUCATION OF SPERM
AND EGG DONORS. THAT CAN BE
AFFORDED FULL UNDERSTANDING THE
INPUT LOCATIONS OF THEIR
DONATIONS. THE INFORMATION WE
DEVELOPED BY THE DEPARTMENT OF
PUBLIC HEALTH. TO TESTIFY ON THE
UNIQUE CHALLENGES FACED BY DONOR
CONCEIVED PEOPLE. I HAVE KAREN
JACKSON, PRESIDENT OF THE US
DONOR CONCEIVED COUNCIL ON THE
PHONE WITH ME TODAY. THANK YOU.
THANKS VERY MUCH SIMILAR QUIRK
AND WILL BRING MODERATOR PLEASE
BRING ONTO THE LINE. ERIN
JACKSON FROM THE U. S DONOR
CONCEIVED COUNCIL TO TESTIFY TWO
MINUTES. GOOD AFTERNOON CHAIRMAN
PAN AND MEMBERS OF THE SENATE
HEALTH COMMITTEE. MY NAME IS
AARON JACKSON. I'M THE FOUNDER
OF WERE DONOR CONCEIVED AND
PRESIDENT OF US COUNTER STEVE
COUNCIL. I'M ALSO A DONOR PERSON
. IN MY CASE, MY BIOLOGICAL
FATHER WAS A FIRM DONOR. MANY
TIMES FOR MANY YEARS. I'M HERE
TO SHARE US DONOR CONCEIVED
COUNCIL SUPPORT FOR A B 18 96.
US DONOR CONCEIVED COUNCIL'S
MISSION IS TO INCREASE AWARENESS
OF THE NEEDS OF DONOR CONCEIVED
PEOPLE AND ADVANCED CHANGE THAT
PROTECT THEIR HEALTH, WELFARE
AND HUMAN RIGHTS. IN 2020. I
CONDUCTED A SURVEY OF DONOR
CONCEIVED PEOPLE THAT RECEIVED
NEARLY 500 RESPONSES. MOST
RESPONDENTS SUPPORT COMMON SENSE
LEGAL REFORMS, INCLUDING
LIMITING THE NUMBER OF
OFFSPRINGS OF DONOR AND PRE
DONATION COUNSELING FOR INTENDED
PARENTS AND DONORS. SO THEY
UNDERSTAND THE LIFELONG
IMPLICATIONS OF CREATING A
FAMILY, SPERM OR EGG DONATION.
MY RESEARCH ALSO FOUND THAT
PARENTS TELLING A CHILD THEIR
DONORS AND SAVED BEFORE THE AGE
OF THREE IS LIKE A POSITIVE
OUTCOME FOR PEOPLE WHO LEARN THE
TRUTH ABOUT THEIR CONCEPTION
AFTER THE AGE OF THREE ARE MORE
LIKELY TO SAY BEING DONOR
CONCEIVED SOMETIMES MAKES THEM
FEEL DISTRESSED, ANGRY OR SAD.
THIS IS A SMALL STEP IN THE
RIGHT DIRECTION BECAUSE IT
PROVIDES IMPORTANT EDUCATIONAL
INFORMATION TO INTENDED PARENTS
AND DONORS THAT CAN REDUCE HARM
TO DONOR CONCEIVED PEOPLE AND
THEIR FAMILIES. LASTLY I WANT TO
NOTE THAT U S DONOR CONCEIVED
COUNCIL WAS NOT INVOLVED IN THE
FINAL AND THEN TO THE BILL, SO
WE ARE OPEN TO DISCUSSING
FURTHER CHANGES WITH
STAKEHOLDERS IF NECESSARY. THANK
YOU. AND I URGE YOU TO SUPPORT
THIS BILL. OKAY. THANKS VERY
MUCH, WILL NOW MOVE ON TO
ADDITIONAL WITNESSES IN SUPPORT
OF A B 18 96 SEEN ON COMING UP
TO THE MICROPHONE. MODERATOR
PLEASE OPEN THE LINES FOR
WITNESSES, WHICH IS TESTIFIED IN
SUPPORT OF A B 18 96. THANK YOU
IF YOU WISH TO SPEAK IN SUPPORT
OF A B 18 96, PLEASE PRESS ONE,
THEN ZERO AT THIS TIME. I HAVE
NO COMMENTS IN. Q ALL RIGHT.
THANK YOU WILL NOW MOVE ON TO
OUR WITNESSES. AN OPPOSITION TO
A B 18 96. WE DON'T HAVE FORMAL
REGISTERED OPPOSITION FOR
TESTIMONY. BUT ANYONE HERE IN
ROOM 1200, SAYING NONE. VIBRATOR
PLEASE OPEN THE LINES FOR
WITNESSES WHO WILL TESTIFY IN
OPPOSITION TO A B 18 96. THANK
YOU IF YOU WISH TO SPEAK IN
OPPOSITION TO A B 18 96, PLEASE
PRESS ONE THIN ZERO AT THIS
TIME. I HAVE NO COMMENTS IN Q.
ALRIGHT THANKS VERY MUCH. WE'LL
BRING YOU BACK TO COMMITTEE
QUESTIONS AND COMMENTS OF
COMMITTEE MEMBERS MOVE THE BILL
MOVED BY SENATOR EGGMAN SEEING
OTHER COMMENTS, QUESTIONS SO AS
EVERY QUIRK APPRECIATE YOU
BRINGING THIS BILL FORWARD
TECHNOLOGY HAS CHANGED. PEOPLE
ARE MORE MOBILE. SO WHERE PEOPLE
COULD MOVE IN IT, AND THEN, OF
COURSE, TECHNOLOGY HAS CHANGED
RIGHT WITH GENETIC TESTING AND
INFORMATION TECHNOLOGY AND SO
FORTH, AND I THINK PEOPLE NEED
TO UNDERSTAND THE CONSEQUENCES
OF THAT, IF WHEN THEY DECIDED TO
HAVE A DONOR CONCEIVED CHILD SO
THAT WE CAN GET THE BEST
OUTCOME, SO I REALLY APPRECIATE
YOU BRINGING SPILL FORWARD.
SUPPORTING THE BILL. WOULD YOU
LIKE TO CLOSE? UM YOU KNOW,
AGAIN, WE ONLY HAVE EDUCATION IN
THE BILL. AT THIS TIME, WE
DECIDED IT WAS TOO AMBITIOUS TO
GO INTO LIMITING THE PROCESS,
BUT. AS YOU SAID, WELL, I'M VERY
FORTUNATE TO HAVE TWO DONOR
CONCEIVED GRANDCHILDREN AND IN
THIS CASE, THEY ACTUALLY GOT TO
MEET THEIR FATHER, WHICH IS VERY
APPROPRIATE SO I'M JUST GRATEFUL
THAT WE HAVE THAT PROCESS. THANK
YOU. THANK YOU. ALL RIGHT, SO
THE MOTION IS TO PASS FROM
REFERRED TO THE COMMITTEE
APPROPRIATIONS HAS BEEN MOVED BY
SENATOR EGGMAN SECRETARY. PLEASE
CALL THE ROLL HAND I MELINDA'S
EGGMAN EGGMAN I GONZALES GROVE,
HER TATO. LEVER LIMÓN ROTH ROTH,
I RUBIO WIENER. OKAY YOU
CURRENTLY HAVE THREE VOTES.
THAT'S ALL THERE AT THE MOMENT,
WE HOLD THE ROLL OPEN FOR
PERFECT SO FAR. OKAY THANK YOU.
ALL RIGHT. AND DO I SEE ANY
OTHER MEMBERS HERE? SOMETIMES
THAT PILLAR NO TIME BEHIND THE
PILLAR. OKAY I DO. NOT AT THE
MOMENT, SO WE ARE WAITING FOR
AUTHORS. WE COULD OPEN THE ROLE
FOR THE AND THERE'S ONLY THREE
OF US IF PEOPLE WANTED FOR BILLS
THAT WE'VE HEARD AH! IF THEY
TOOK. THAT YEAH. SO I'M GONNA
CHECK OUT OKAY. ARE YOU I WAS
GOING TO OPEN THE ROLE FOR TWO
MEMBERS TO ADD ON WHILE WE'RE
WAITING FOR OTHER AUTHORS TO
SHOW UP, SO WE JUST LET YOU KNOW
IF YOU HAVE A COMEDIAN HEALTH
THE HEALTH COMMITTEE BILL. WE
ARE UM, WAITING FOR AUTHORS, SO
I'M GOING TO START OPENING UP
THE ROLES AND THEN ACTUALLY, IN
THE NEW YOU'RE GOING TO PRESENT
A BILL, RIGHT? DO YOU WANT TO GO
AHEAD AND DO THAT NOW? ARE YOU
HERE? ALRIGHT? OKAY SO SARAH
RUBIO, I UNDERSTAND THAT YOU ARE
GOING TO BE PRESENTING A BILL ON
BEHALF OF ASSEMBLYMEMBER'S RUBIO
. ITEM NUMBER 23 A B 24 02
WELCOME. OKAY? THANK YOU. CHAIR
MEMBERS OF THE COMMITTEE TODAY.
I'M HERE TO PRESENT A B 24 02 ON
BEHALF OF ASSEMBLYMEMBER'S
BLANCA RUBIO. A B 24 02 WOULD
ALLOW A CHILD UNDER FIVE YEARS
OF AGE TO BE CONTINUOUSLY
ELIGIBLE FOR MEDICAL WITHOUT
REGARD TO INCOME. AND WITHOUT
ANY ANNUAL REVIEW OF
ELIGIBILITY. UNTIL THE THEY
REACHED THE AGE OF FIVE YEARS
OLD. THE HCS DATA INDICATES THAT
ABOUT 10% OF YOUNG CHILDREN
EXPERIENCE WHAT IT'S CALLED
CHURN AND THEIR MEDICAL COVERAGE
, NAMELY THEY LOSE MEDICAL
COVERAGE AND THEN RETURN. THE
COST OF THE DROP OFF ENCOURAGED
RANGES FROM ADMINISTRATIVE
HURDLES TO SIMPLY COUNTY
COMMUNICATION ERRORS. THIS DATA
ALSO INDICATES THAT THIS GAP IS
ON AVERAGE 3 TO 4 MONTHS. THIS
COMMITTEE IS ALL TOO AWARE OF
THE INCONSISTENT COVERAGE THAT
LEADS TO A HIGHER LIKELIHOOD OF
ADMIT MEDICAL NEEDS AND LOWER
LIKELIHOOD OF HAVING A USUAL
SOURCE OF CARE AND ACCESS TO A
WELL CARED CHILD. THIS COMMITTEE
ALSO EXTENSIVELY DISCUSSED THE
IMPACT THAT PEDIATRIC
PREVENTATIVE CARE HAS ON
CHILDHOOD DEVELOPMENT AND
UNFORTUNATELY TURN IS A FACTOR
OF MEDICAL, SLOW CHILD VISIT AND
SCREENING RATES IN ORDER TO
STABILIZE COVERAGE AND
CONTINUALLY OF CARE 24 OR TWO
PROVIDE MULTI YEAR CONTINUOUS
COVERAGE FOR MEDICAL CHILDREN UP
TO THE AGE OF FIVE. THIS BODY
HAS ALREADY RECOGNIZED THE
IMPORTANCE OF PROVIDING THIS
CONTINUOUSLY FOR CHILDREN. FOR
THEIR FIRST FULL YEAR OF LIFE IN
THIS SIMPLY EXTENDS THE COVERAGE
TO FIVE YEARS OF THEIR LIFE HERE
WITH ME TODAY ON THE PHONE IS
MAYA ALVAREZ, PRESIDENT OF
CHILDREN'S PARTNERSHIP FOR BOTH
TESTIMONY AND TECHNICAL
QUESTIONS. THANK YOU. THANK YOU,
AND JUST TO CLARIFY SENATOR
RUBIO, THERE ARE THERE ARE
AMENDMENTS MAINLY TECHNICAL FOR
THAT. WE NEED THE AUTHOR TO
ACCEPT, I ASSUME KING. SOME
SUMMER BRONCO RUBIO'S ACCEPTING
THOSE AMENDMENTS I'M GOING TO
ACCEPT FOR THIS MOMENT UNLESS I
HEAR OTHERWISE. YOU RIGHT THERE
. OKAY THANKS VERY MUCH. SO
LET'S BRING ONTO THE LINE
MODERATOR. PLEASE BRING OUT THE
LINE. MARY ALVAREZ FROM THE
CHILDREN'S PARTNERSHIP TO
TESTIFY IN SUPPORT OF 24 02. I
CURRENTLY DO NOT SEE THAT LION
DIALS IN OKAY? ALRIGHT YOU DON'T
SEE ME, OKAY, SO WELL, LET'S
LET'S JUST KEEP GOING THEN. OH
YES, SHE'LL BE DIALING IN NOW.
OKAY A MINUTE FOR THE CHANGES.
OKAY, ALRIGHT. WE'RE TOLD SHE
SHOULD BE CALLING IN ANY MOMENT
NOW.
ACTION. HER LINE IS NOW.
EXCELLENT. ALRIGHT, TWO MINUTES.
WELCOME.
MARY ALVAREZ, ARE YOU ON
CHAIRMAN PAN? YEAH, I APOLOGIZE.
PLEASE BEGIN CHAIRMAN PAN AND
COMMITTEE MEMBERS.CAN YOU HEAR
ME? OKAY. YES, PLEASE BEGIN.
RIGHT MY NAME IS MYRA ALVAREZ
AND I AM PRESIDENT OF THE
CHILDREN'S PARTNERSHIP, THE
CALIFORNIA ADVOCACY ORGANIZATION
WORKING TO ADVANCE CHILD HEALTH
EQUITY DURING TODAY'S ONGOING
PUBLIC HEALTH CRISIS, WE CANNOT
OVERLOOK THE ESSENTIAL ROLE THAT
HEALTH INSURANCE COVERAGE AND
ACCESS TO CARE PLAYS IN THE
LIVES OF OUR CHILDREN. A B 24 OH
TO PROTECT CALIFORNIA'S CHILDREN
BY PROVIDING MULTI YEAR
CONTINUOUS MEDICAL COVERAGE FOR
YOUNG CHILDREN UP TO AGE FIVE,
LIKE THE PUBLIC HEALTH EMERGENCY
CONTINUOUS COVERAGE POLICY. OUR
PROPOSAL RECOGNIZES THAT IT IS
ESPECIALLY IMPORTANT TO PROTECT
COVERAGE DURING CERTAIN PERIODS,
SUCH AS EARLY CHILDHOOD. AS OUR
CHAMPION STAYED THE FIRST FEW
YEARS OF LIFE IS WHEN 90% OF
BRAIN DEVELOPMENT OCCURS. IT'S
DURING THIS TIME THAT CHILDREN
NEED REGULAR FREQUENT, WELL
CHILD VISITS AND DEVELOPMENTAL
SCREENINGS. IN FACT, THE
AMERICAN ACADEMY OF PEDIATRICS
RECOMMENDS 14 VISITS WITHIN THE
FIRST FIVE YEARS. AND YET WE
KNOW MEDICAL HAS DISMALLY LOW
PREVENTIVE CARE RATES EVEN PRIOR
TO COVID THAT WERE ONLY MADE
WORSE BECAUSE OF THE PANDEMIC.
INCREASING ACCESS TO PREVENTIVE
CARE FOR KIDS STARTS WITH
CONTINUOUS COVERAGE RIGHT NOW,
100,000 YOUNG MEDICAL KIDS HAVE
A BREAK IN THEIR COVERAGE AND
THAT LOSS OF COVERAGE. HOWEVER
LONG IT'S UNNECESSARY FOR THOSE
CHILDREN ACTUALLY REMAIN
ELIGIBLE FOR THE PROGRAM. GAPS
IN COVERAGE ARE INEFFICIENT.
THEY'RE EXPENSIVE, AND THEY'RE
DISRUPTIVE TO CARE AT A CRITICAL
TIME IN A CHILD'S DEVELOPMENT
THAT CAN SET THEM UP FOR HEALTHY
OUTCOMES. THROUGHOUT THEIR LIFE
. WHAT'S MORE, WHEN THREE OUT OF
FOUR MEDICAL CHILDREN ARE
CHILDREN OF COLOR, A B 24 02
WOULD ADVANCE AN ANTI RACIST
APPROACH TO MEDICAL ENROLLMENT.
ONE THAT ACTIVELY REMOVED
BARRIERS FOR FAMILIES AND GIVE
EVERY CHILD A HEALTHY START,
BEGINNING WITH COVERAGE THAT IS
STABLE AND CONTINUOUS. OREGON
AND WASHINGTON HAVE ALREADY
REQUESTED FEDERAL APPROVAL FOR
THIS MULTI YEAR CONTINUOUS
COVERAGE PROPOSAL. LET'S NOT
LEAVE OUR CALIFORNIA KIDS BEHIND
IN THE PACIFIC COAST TRENDS AND
LET'S MAKE GOOD ON OUR STATE'S
PROMISE TO SUPPORT THE WELL
BEING OF EVERY CALIFORNIA CHILD.
THE PURPOSE OF 80 24 02 TO
PRIORITIZE COVERED OVER OVER.
OVER UNNECESSARY ADMINISTRATIVE
ELIGIBILITY HOOPS. SINCERELY
THANK ASSEMBLYMEMBER'S RUBIO FOR
HER LEADERSHIP AND RESPECTFULLY
ASK FOR YOUR EYESIGHT. THANK
YOU. THANK YOU. LET'S NOW MOVE
ON TO ADDITIONAL WITNESSES IN
SUPPORT OF A B 24 2 AT THE
MICROPHONE WELCOME. CINDY
HILLARY ON BEHALF OF THE
CALIFORNIA MEDICAL ASSOCIATION
AND SUPPORT THANK YOU WELCOME
KATHY MOSSBERG ON BEHALF OF THE
FIRST FIVE ASSOCIATION AND
SUPPORT THANK YOU. WELCOME. JOSE
TORRES FOR HEALTH ACCESS
CALIFORNIA AND SUPPORT THANK YOU
WELCOME. JOHN BENTON ON BEHALF
OF FIRST FIVE LOS ANGELES, FIRST
FIVE CALIFORNIA AND THE INLAND
EMPIRE HEALTH PLAN IN SUPPORT.
THANK YOU. 19 NO ONE ELSE
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO TESTIFIED IN
SUPPORT OF 24 02. THANK YOU IF
YOU WISH TO SPEAK IN SUPPORT OF
A B 2402 PLEASE PRESS 10 AT THIS
TIME. LINE. 3 83, PLEASE GO
AHEAD. MICHAEL DAVID CHILDREN
NOW IN SUPPORT. THANK YOU. NEXT
WITNESS. FIND 3 86, PLEASE GO
AHEAD. SECTOR AND IS DELGADO
WITH THE NATIONAL HEALTH
PROGRAM. WE ARE IN SUPPORT.
THANK YOU. NEXT WITNESS. PLANE
TO 31. PLEASE GO AHEAD. GOOD
AFTERNOON TURN MEMBERS, MADELINE
COOPER WITH NIELSEN MARKS MORE
ON BEHALF OF THE COUNTY OF SAN
DIEGO AND SUPPORT THANK YOU NEXT
WITNESS. LINE. 3 70, PLEASE GO
AHEAD. BELIEVE BROOKS ON BEHALF
OF THE CALIFORNIA ASSOCIATION OF
PUBLIC HOSPITAL AND HEALTH
SYSTEMS, AND THE SANTA CLARA
COUNTY BOARD OF SUPERVISORS IN
SUPPORT. THANK YOU NEXT WITNESS.
BLIND TO 62, PLEASE GO AHEAD.
GOOD AFTERNOON. REBECA GONZALEZ
WITH THE NATIONAL ASSOCIATION OF
SOCIAL WORKERS, CALIFORNIA
CHAPTER SUPPORT THANK YOU NEXT
WITNESS. FIND 3 87, PLEASE GO
AHEAD OF THE UNION. THANK YOU.
387. GOOD AFTERNOON, LINDA WAY
WITH WESTERN ESTÁN ONLINE
POVERTY AND SUPPORT. THANK YOU.
NEXT WITNESS. BOARD OF
SUPERVISORS LINE 3 92, PLEASE GO
AHEAD. VANESSA CASINO WITH K
PUBLIC AFFAIRS ON BEHALF OF THE
NURSE, FAMILY PARTNERSHIP AND
SUPPORT. THANK YOU. SOMEONE
NEEDS A MUTE THEIR PHONE. WE'RE
HEARING YOUR BACKGROUND NOISE. I
THINK YOU'RE LISTENING TO
ANOTHER HEARING. WE CAN HEAR
THAT. THAT CLEARLY HAS SO. NEXT
WITNESS, PLEASE. LINE. 3 89,
PLEASE GO AHEAD. HELLO KATIE
LEIGHTON ON BEHALF OF THE
CHILDREN'S SPECIALTY CARE,
COALITION AND SUPPORT THANK YOU
NEXT WITNESS. FIND 3 59, PLEASE
GO AHEAD. FIND 359. YOU KNOW
BRAIN LEE WITH THE JUNIOR LEAGUE
OF CALIFORNIA STATE PUBLIC
AFFAIRS COMMITTEE AND THANK YOU
NEXT WITNESS. THANK YOU. I HAVE
NO FURTHER COMMENTS IN. Q THANK
YOU. UH, I WOULD MAKE NOTES THAT
THAT BACKGROUND NOISE WAS
ACTUALLY CLEARED IN THE LAB
TESTIMONY FOR SOME COMMITTEE
HEARINGS ANYWAY. WE'LL NOW MOVE
ON TO WITNESSES AND OPPOSITION.
TO A B 24 02. WE DO NOT HAVE A
LEAD OPPOSITION WITNESS
REGISTERED FOR TESTIMONY, SO
WE'LL OPEN IT FOR OPPOSITION
TESTIMONY HERE IN ROOM 1200,
SEEING ON APPROACHING THE
MICROPHONE MODERATOR, PLEASE
OPEN THE LINES FOR WITNESSES TO
TESTIFY IN OPPOSITION TO 24 02.
THANK YOU IF YOU WISH TO SPEAK
IN OPPOSITION TO A B 2402 PLEASE
PRESS 10 AT THIS TIME. FIND 3
77. THEY DID GET OUT OF. Q I
HAVE NO COMMENTS IN. Q THANK YOU
. BRING IT BACK TO THE
COMMITTEE. I'D LIKE TO MOVE.
THIS FINE. BILL HAS BEEN MOVED
BY SARAH EGGMAN SAYING NO OTHER
QUESTIONS OR COMMENTS. SO AGAIN.
THANK YOU SO MUCH FOR PRESENTING
THE BILL. AS A PEDIATRICIAN,
CERTAINLY APPRECIATE WHAT SOME
MEMBER BANCO RUBIO IS TRYING TO
DO. I ASSUME WE'RE SORTED OUT.
THOSE ARE MAINLY TECHNICAL
AMENDMENTS. HOPEFULLY, THAT'S
FINE. SO WOULD YOU LIKE TO
CLOSE? YES THANK YOU. AS ALREADY
STATED CONTINUOUS COVERAGE IS
KEY TO A HEALTHY CHILD. AND IT
WAS ALSO MENTIONED THAT 90% OF
DEVELOPMENT HAPPENS WITHIN THE
FIRST FIVE YEARS AND MOST
CRITICALLY IMPORTANT TO SET UP
OUR CHILDREN FOR A LIFETIME OF
GOOD HEALTH AND SUCCESS. AND
WITH THAT ASKED RESPECTFULLY FOR
AND I VOTE. OKAY. THANK YOU,
SENATOR RUBIO, SO THE MOTION
PASSES AMENDED AND REFERRED TO
THE COMMITTEE APPROPRIATIONS.
IT'S BEEN MOVED BY SYRIA. EGGMAN
SECRETARY PLEASE CALL THE ROLL.
PAN AND I MELINDA'S EGGMAN.
SIGMUND I. GONZALES GROVE, HER
TATO LABOR. LIMÓN ROTH ROTH
RUBIO RUBIO, I WIENER. OKAY THAT
BUILDS CURRENT LIST THAT IS
CURRENTLY FOUR VOTE OF 40 WILL
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS HINK WE'RE STILL
WAITING FOR AUTHORS? SO ACTUALLY
, SECURITY DID YOU WANT US TO?
WE JUST GO AHEAD AND OPEN THE
ROLE FOR BILLS THAT WE'VE HEARD.
SIX PEOPLE HAVE BEEN COMING IN
AND OUT. SO WE JUST GO AND ORDER
UNTIL WE HAVE AN AUTHOR SHOW UP,
SO WE'LL START OFF WITH ITEM
NUMBER ONE A. B 17 97 BY A SEVEN
MEMBER WEBER SECRETARY. PLEASE
CALL THE ROLL OF ABSENT MEMBERS
EGGMAN. BREGMAN AYE, GROVE. HER
TAITO LIMÓN. RUBIO RUBIO, I
WIENER. OKAY THAT BUILDS
CURRENTLY, 61 WILL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. LET'S
GO ON TO ITEM NUMBER 2 21
THROUGH 34 BY SOME MEMBER OF
WEBER SECRETARY. PLEASE CALL THE
ROLL OF ABSENT MEMBERS. EGGMAN
SIGMUND I. GONZALES GROVE, HER
TATO LIMÓN. RUBIO RUBIO. I OKAY
? THAT BILL IS CURRENTLY 61 WILL
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT IS ITEM NUMBER 3
83 51 BY SOME MEMBER CRISTINA
GARCIA. SECRETARY PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
MELINDA'S GROVE, HER TATO LIMÓN
WRATH WRATH. RUBIO RUBIO, I
WIENER. OKAY THAT BUILDS.
CURRENTLY 60 WILL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. THE
NEXT ITEM IS ITEM NUMBER 4 25 86
BY THE MEMBER GARCIA, SECRETARY
. PLEASE CALL THE ROLL OF ABSENT
MEMBERS. BELINDA'S GONZALES
GROVE, HER TATO RUBIO RUBIO, I
WIENER. OKAY THAT BILL IS
FOR ABSENT MEMBERS. NEXT IS ITEM
NUMBER 5 84 98 BY SOME MEMBER
QUIRK-SILVA SECRETARY CALLED THE
ROLE OF ABSENT MEMBERS.
MELINDA'S GROVE, HER TATO LIMÓN.
RUBIO RUBIO, I WIENER. OKAY.
THAT BILL IS CURRENTLY 60 HOLD
THE ROLL OPEN FOR ABSENT MEMBERS
. NEXT ITEM IS ITEM NUMBER 6 15
TO BUY SOME LUMBER MAYOR SUKI,
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
EGGMAN EGGMAN. AYE. GROVE HER
TATO LUMEN ROSS. RUBIO RUBIO. I
WRITE THAT BILL IS CURRENTLY 70
WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. NEXT ITEMS. ITEM
NUMBER EIGHT A. B 18 OH, NINE BY
SUMMER. AGUIAR-CURRY SECRETARY.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GONZALEZ
GROVE FOR TOTO LEYVA. LIMÓN
RUBIO RUBIO. I CURRENTLY 50 HOLD
THE ROLL UP AND FOR ABSENT
MEMBERS, LET'S MOVE ON TO ITEM
NUMBER NINE A. B 18 59, BUT SOME
MEMBER LEVIN SECRETARY PLEASE
CALL THE ROLL OF ABSENT MEMBERS
. MELINDA'S GROVE HURTADO LEYVA
LIMÓN RUBIO. RUBIO IS CURRENTLY
60 WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. VERY GOOD. OKAY
LET'S MOVE ON TO ITEM NUMBER 11.
MAYBE 18 96 BY SIMILAR KIRK.
PARTICULARLY THESE ALL THE ROLE
OF ABSENT MEMBERS. MELINDA'S
GONZALEZ GROVE, HURTADO LEYVA
LUMEN. RUBIO RUBIO, I WIENER.
OKAY. THAT BILL IS CURRENTLY 40
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. I THINK WE'RE KIND OF
WE DO HAVE AN AUTHOR HERE SO IT
WILL PAUSE HERE. AND I SEE
ASSEMBLYMEMBER'S ARAMBULA.
WELCOME I THINK YOUR ITEM NUMBER
29 27 24. I WOULD MAKE NOTE FOR
ANY STAFFER WATCHING. I KNOW
MANY MEMBERS ARE INTERESTED IN
YOUR BILL AND PEOPLE ARE WORKING
AROUND. SO PLEASE LET YOUR
MEMBERS NO. THIS IS THE BILL ON
THE I THINK MEDICAL CONTRACT
WITH KAISER. SO FOR ALL THE
MEMBERS WHO WISH TO PARTICIPATE
IN THAT THEY SHOULD HEAD OVER TO
THIS HEARING ROOM. WE DO HAVE A
SIMILAR ARAMBULA HERE TO PRESENT
. WELCOME THANK YOU, MR CHAIR
AND SENATORS. I'D LIKE TO START
BY SAYING THAT I ACCEPT THAT
SUGGESTED AMENDMENTS, WHICH WILL
BE TAKING IN THE SENATE
COMMITTEE ON APPROPRIATIONS.
MAYBE 27 24 WILL ALLOW THE STATE
TO ENTER INTO A DIRECT CONTRACT.
WITHIN ALTERNATE HEALTHCARE
SERVICE PLAN OR A H CSP. THIS
BILL IS ESSENTIAL TO EXPANDING
ACCESS TO HEALTHCARE TO OUR MOST
VULNERABLE INCLUDING TO
ACHIEVING TRUE HEALTH FOR ALL BY
EXPANDING MEDICAL, TOO, ARE
UNDOCUMENTED CALIFORNIANS. BY
ENTERING INTO A DIRECT CONTRACT
WITH HC SP JUST LIKE WE DO WITH
OUR OTHER MEDICAL MANAGED HEALTH
CARE PLANS, THE STATE WILL NOW
BE ABLE TO LEVERAGE THIS
RELATIONSHIP. TO DEMAND THE UP
MOST TRANSPARENCY AND
ACCOUNTABILITYOVER OUR MEDICAL
PROVIDERS. 27 24 ENSURES THAT
AGE CSP S MUST MEET THE SAME
STANDARDS AS OTHER HEALTH
PLANTS. INCLUDING WITH RESPECT
TO TIMELY ACCESS, GEOGRAPHIC
ACCESS, QUALITY METRICS,
COORDINATION OF CARE SAFETY NET
COVERAGE, NONDISCRIMINATION. THE
EXECUTION OF A MEMORANDUM OF
UNDERSTANDING WITH COUNTIES AND
OTHER REQUIREMENTS. IN FACT,
THIS BILL GOES FURTHER AND
DEMANDING MORE FROM HC SPS THAN
WHAT OTHER MEDICAL PLANS MUST DO
, INCLUDING PROVIDING SUPPORT TO
STRENGTHEN OUR SAFETY NET. MAYBE
27 24 WILL ADVANCE EQUITY
INCREASE ACCESS. IMPROVE
AFFORDABILITY, IMPROVE QUALITY
AND MOST IMPORTANTLY, DEMAND
ACCOUNTABILITY OVER MEDICAL
TESTIFYING IN SUPPORT OF A B 27
24. OR JOSE TORRES WITH HEALTH
ACCESS CALIFORNIA AND DIRECTOR
MICHELLE BOSS WITH THE
DEPARTMENT OF HEALTH CARE
SERVICES. THANK YOU SOME MEMBER
ARAMBULA. SO IT'S THE I C
DIRECTOR BUS HERE IN THE OTHER
WITNESS ALSO HERE IN PERSON,
HECTOR. OKAY, SO WHY DON'T YOU
COME UP TO THE MICROPHONE?
WHOEVER STARTS FIRST YOU EACH
HAVE TWO MINUTES AND OF COURSE,
EXPECTEDLY. PEOPLE MAY HAVE
QUESTIONS AS WELL. OKAY SO BEGIN
WITH JOSE TORRES FROM HEALTH
ACCESS. WELCOME ALRIGHT, THANK
YOU, AND GOOD AFTERNOON CHAIR
AND MEMBERS. POSING TOWARDS WITH
HEALTH ACCESS CALIFORNIA, THE
STATEWIDE HEALTHCARE CONSUMER
ADVOCACY COALITION. HEALTH
ACCESS HAS A SUPPORT POSITION ON
A B 27 24, WHICH WOULD ALLOW THE
HCS TERRIFICALLY CONTRACT WITH
KAISER AS A MEDICAL MANAGED CARE
PLAN IN CERTAIN GEOGRAPHIC AREAS
OF THE STATE. HEALTH ACCESS IS
SUPPORTIVE OF THE GOALS IN THE
PROPOSAL TO PROVIDE PATIENTS
AROUND THE STATE WITH CONTINUITY
OF CARE IF THEY HAD PRIOR
COVERAGE WITH KAISER AND BECOME
ELIGIBLE FOR MEDICAL GETTING
KAISER TO DO MORE OF ITS FAIR
SHARE IN MEDICAL HAS THE
POTENTIAL TO IMPROVE THE
CAPACITY QUALITY AND
ACCOUNTABILITY IN THIS KEY
PROGRAM, IT WOULD BENEFIT MORE
CALIFORNIA PATIENTS IN MORE
COUNTIES. LET PEOPLE KEEP THEIR
KAISER DOCTOR WITHOUT
INTERRUPTIONS AND EXPAND
CONSUMER CHOICE FOR FOSTER
YOUTH. INDOOR ELIGIBLE MEMBERS
AND PEOPLE WITH DISABILITIES. IT
WOULD MAKE EXISTING OPTIONS
CLEAR AND REDUCE CONFUSION AS
PATIENTS DO NOT KNOW WHAT PLANT
IS SELECT THAT HAS A SUBCONTRACT
THAT WOULD ALLOW THEM TO KEEP
THEIR DOCTOR GIVEN THE
DOCUMENTED ACCESS ISSUES IN
MEDICAL, BRINGING IN KAISER'S
NETWORK OF DOCTORS, HOSPITALS
AND SPECIALIST SHOULD HELP
ADDRESS THE NEEDS OF THIS
PROGRAM THAT SERVES OVER 13
MILLION CALIFORNIANS.
IMPLEMENTATION OF THIS CONTRACT
SHOULD ENSURE THAT KAISER'S
ADDITIONAL CAPACITY IS ADDITIVE
RATHER THAN REPLACING OR
COMPETING WITH CRITICAL SAFETY
NET HOSPITALS OR CLINICS,
COMPARED WITH OTHER PLANS.
KAISER DOES WELL ON MANY
METRICS. THEIR EXPANSION IS
LIKELY A POSITIVE FOR IMPROVING
QUALITY AND MEDICAL, BUT THERE
IS STILL ROOM FOR IMPROVEMENT,
ESPECIALLY WITHIN BEHAVIORAL
HEALTH. A DIRECT CONTRACT WOULD
BE A STEP IN THE RIGHT
DIRECTION. FOR THESTATE TO HAVE
GREATER IN MORE DIRECT OVERSIGHT
OF KAISER TO BETTER MONITOR
ACCESS TO CARE, ENSURE PATIENT
PROTECTIONS AND HOLD KAISER
ACCOUNTABLE TO THE STANDARD
DEVELOPED WITHIN THE PROCUREMENT
PROCESS IN ORDER TO ACHIEVE THE
OVERALL GOALS OF COUNTING WE DO
THINK THE AUTHOR COMMITTEE, THE
DEPARTMENT AND OTHER
STAKEHOLDERS FOR WORKING WITH US
TODAY TO ADDRESS OUR CONCERNS
THROUGHOUT THE ENTIRE PROCESS,
AND WE DO ASK FOR YOUR I VOTE.
THANK YOU. THANK YOU. NOW LET'S
BRING UP DIRECTOR BOSS FROM THE
DEPARTMENT. HEALTHCARE SERVICES
. WELCOME DIRECTOR. PLEASE
BEGIN. GOOD AFTERNOON. THANK YOU
FOR THE OPPORTUNITY TO PRESENT
IN SUPPORT OF A B 27 24. WE
WORKED WITH THE OFFER THE AUTHOR
TO IMPLEMENT THIS IS A
GOVERNOR'S BUDGET TRAILER BILL
PROPOSAL IN FEBRUARY. WE CAME TO
THIS PROPOSAL WITH THE GOAL OF
IMPROVING THE EXPERIENCE OF OUR
MEDICAL BENEFICIARIES. WE WANT
OUR MEDICAL BENEFICIARIES TO
EXPERIENCE LESS DISRUPTION IN
CARE AND MORE ACCESS TO QUALITY
PROVIDERS. WITH THIS PROPOSAL,
THE MEDICAL PROGRAM IS GETTING
MORE FROM KAISER THAN UNDER THE
CURRENT ARRANGEMENT TODAY. THIS
IS BETTER THAN THE STATUS QUO
FOR OUR BENEFICIARIES AND OUR
PROGRAM. TODAY KAISER IS ALLOWED
CERTAIN EXEMPTIONS FROM PLAN
REQUIREMENTS, SUCH AS EXEMPTIONS
FROM FACILITY SITE REVIEWS A
MEDICAL RECORD REVIEW PROCESS.
UNDER THIS PROPOSAL, KAISER
WOULD NO LONGER BE ALLOWED THESE
EXEMPTIONS. TODAY KAISER'S
ENROLLMENT ONLY OCCURS THROUGH
CONTINUITY AND FAMILY LINKAGE
THAT IS A PERSON IS ABLE TO
SELECT KAISER. IS THERE MEDICAL
MANAGED CARE PLAN? IF IN THE
LAST 6 TO 12 MONTHS THEY'VE HAD
CRIES, ER SO, FOR EXAMPLE, IF A
PERSON HAS EMPLOYER SPONSORED
COVERAGE THROUGH KAISER AND
LOSES THEIR JOB, THEY COULD
SELECT KAISER FOR MEDICAL UNDER
THIS PROPOSAL, IN ADDITION TO
THAT CONTINUITY WE ARE GROWING
THEIR ENROLLMENT THROUGH THE
DOOR ELIGIBLE PROGRAMS SO THOSE
INDIVIDUALS FROM ELIGIBLE FOR
MEDICARE AND MEDICAID CAL
THROUGH THE FOSTER YOUTH
ENROLLMENT AND THROUGH DEFAULT
ENROLLMENT PROCESS WHEREBY
INDIVIDUALS WILL BE RANDOMLY
ASSIGNED TO KAISER IF THEY DO
NOT CHOOSE A MEDICAL MANAGED
CARE PLAN. WE ADDED THAT DEFAULT
ENROLLMENT PROCESS GIVEN SOME OF
THE FEEDBACK WE WERE WE RECEIVED
REGARDING THIS GIVING KAISER THE
ABILITY TO CHERRY PIP MEMBERS IN
THIS DEFAULT PROCESS REALLY
PROVIDES THE OPPORTUNITY TO ADD
A RANDOM MIX OF MEDICAL MEMBERS
TO KAISER. TODAY KAISER
PARTICIPATES IN 22 COUNTIES,
FIVE OF THEM DIRECTLY AS A
DIRECT CONTRACT WITH THE STATE
AND IN 17 COUNTIES THROUGH AN
INDIRECT RELATIONSHIP THROUGH A
LOCAL HEALTH PLAN. UNDER THIS
PROPOSAL WE WOULD BE HAD WE
WOULD HAVE A STATEWIDE CONTRACT
WITH THE PLAN IN 32 COUNTIES, SO
DIRECT OVERSIGHT OF THE
PROVISION OF CARE OF KAISER
THROUGH KAISER MEMBERS, WHICH IS
DIFFERENT TODAY, SO REMOVING
THAT ADMINISTRATIVE AND KIND OF
LAYER IN BETWEEN OUR
RELATIONSHIP WITH KAISER TODAY,
KAISER IS NOT REQUIRED TO
PARTNER WITH COMMUNITY HEALTH
CENTERS OR SORRY. WE ARE
TECHNICALLY OR AT THE TIME.
UNLESS THE COMMITTEE MEMBERS I
KNOW YOU'RE PRESENTING WANT TO
ALLOW HER SOME EXTRA TIME TO BE
FAIR TO EVERYBODY SO OKAY. ALL
RIGHT. THE RULES ARE GENERALLY
TWO MINUTES EACH SIDE, BUT I'M
GOING TO SURE. MAYBE I'LL JUST
QUICKLY SPEAK TO SOME OF THE
AMENDMENTS WERE TAKING OUT OF
COMMITTEE THAT WE HAVEN'T
DISCUSSED PREVIOUSLY AT THE
INFORMATIONAL HEARING. AND OF
COURSE, WHEN WE HAVE OTHER,
WE'LL HAVE QUESTIONS. I'M SURE
WHAT YOU'LL HAVE A CHANCE TO
ELABORATE ON THE POINTS YOU
MIGHT NOT HAVE BEEN ABLE TO
MAKE. THANK YOU. JUST THESE
AMENDMENTS ACTUALLY CLARIFY
WHERE THIS PROPOSAL APPLIES. I
KNOW THAT WAS A CONCERN RAISED
AT THE LAST INFORMATIONAL
HEARING. WE'VE ADDED OUR
AMENDMENTS WILL TAKE A
AMENDMENTS REGARDING THE RATE TO
ENSURE THAT RATE ACUITY MIXES IS
REFLECTED LOCAL ENGAGEMENT
REQUIRED THAT KAISER ENTER INTO
AN MOU IT'S PRESCRIBED IN THE IN
THE AMENDMENTS. PRIMARY CARE
ASSIGNMENT, REALLY REFLECTING
THAT IT IS AS OUR INTENT HAS
STATED THAT IT IS KAISER'S
FOOTPRINT WHERE THEY WOULD BE
PROVIDING PRIMARY CARE,
BEHAVIORAL HEALTH READINESS TO
ENSURE THAT KAISER IS READY TO
PROVIDE THE SERVICES TO OUR
MEDICAL BENEFICIARIES. AND
THROUGH THIS PROCESS WITH THAT
DIRECT OVERSIGHT, WE WILL HAVE
BETTER INSIGHT INTO THAT PROCESS
. AND THEN AN AMENDMENT
REGARDING REPORTING TO THE
LEGISLATURE ON IMPLEMENTATION OF
THIS PROPOSAL. THANK YOU. THANKS
VERY MUCH AND AGAIN. APPRECIATE
YOUR PRESENTATION WILL BE HAVE,
I'M SURE WELL, FURTHER
OPPORTUNITIES FOR BOTH YOU AND
ASK YOU FOR THE OPPOSITION AS
WELL FOR QUESTIONS, SO WE'LL NOW
MOVE ON TO ADDITIONAL WITNESSES
IN SUPPORT OF A B 27 24 WILL
BEGIN HERE IN ROOM 1200 SENILE
APPROACHING THE MICROPHONE.
MODERATOR, PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN SUPPORT OF A B 27 24
NAME ORGANIZATION POSITION ONLY.
THANK YOU IF YOU WISH TO SPEAK
IN SUPPORT OF A B 27 24 PLEASE
PRESS 10 AT THIS TIME. LINE. 3
84, PLEASE GO AHEAD. THANK YOU,
MR CHAIR MEMBERS. M. J D. S ON
BEHALF OF TYLER. PERMANENT IN
STRONG SUPPORT. THANK YOU. NEXT
WITNESS, PLEASE. PLANE. 3 86,
PLEASE GO AHEAD. THANK YOU,
HECTOR HERNANDEZ OGATA AND STEP
ATTORNEY WITH THE NATIONAL
HEALTHCARE PROGRAM. WE ARE IN
SUPPORT OF THIS BILL. THANK YOU.
NEXT WITNESS. BLIND 3 87, PLEASE
GO AHEAD. GOOD AFTERNOON, LINDA
WAY WITH WESTERN CENTER ON LAW
AND POVERTY IN SUPPORT. THANK
YOU. NEXT WITNESS. BLIND 400,
PLEASE GO AHEAD. YES HI. GOOD
AFTERNOON CHAIR AND MEMBERS.
THIS IS BEDOUIN BARBONE ON
BEHALF OF THE CHILDREN'S
PARTNERSHIP IN SUPPORT. THANK
YOU. THANK YOU. NEXT WITNESS.
LINE. 404, PLEASE GO AHEAD. DR
ALLEN AND, LIKE KAISER IN
SACRAMENTO, SUPPORT BABY TO 74.
THANK YOU. NEXT WITNESS. FIND 3
89, PLEASE GO AHEAD. GOOD
AFTERNOON CHAIR AND MEMBERS PAT
WHELAN ELLISON WILSON ABBASI
HERE ON BEHALF OF THE UNITED
NURSES ASSOCIATION, CALIFORNIA
UNION HEALTHCARE PROFESSIONALS
IMMUNE ACURA HCP IN STRONG
SUPPORT. THANK YOU NEXT WITNESS.
LINE. 405, PLEASE GO AHEAD.
ANDREA RIVERA ON BEHALF OF THE
CALIFORNIA PAN ETHNIC HEALTH
NETWORK AND SUPPORT THANK YOU.
THANK YOU NEXT WITNESS. I HAVE
NO FURTHER COMMENT. THANK YOU.
THANK YOU. WE'LL NOW MOVE ON TO
WITNESSES AND OPPOSITION. WE
HAVE LINEAR KOOPMAN FROM THE
LOCAL HEALTH PLAN. HERE WELCOME
AND THEN FOLLOWED UP BY SARAH
SORKIN. UH IS SHE ALSO HERE IN
PERSON? OKAY ALRIGHT. UM SINCE
THE PROPONENTS DID GET SOME
EXTRA TIME, I'M GONNA ALLOW YOU
SOME EXTRA TIME. YOU DON'T HAVE
TO TAKE IT IF YOU DON'T NEED IT,
BUT SO BASICALLY ROUGHLY WELL,
FIVE MINUTES BETWEEN THE TWO OF
YOU. ALRIGHT WELCOME. THANK YOU.
GOOD AFTERNOON CHAIR PAN AND
COMMITTEE MEMBERS LENNY KOOPMANS
WITH THE LOCAL HEALTH PLANS OF
CALIFORNIA IN OPPOSITION TO A B
27 24. LHP C. REPRESENTS THE 16
COMMUNITY BASED LOCAL PLANS
ACROSS THE STATE, WHICH
COLLECTIVELY COVEROVER 70% OF
MEDICAL MANAGED CARE
BENEFICIARIES. 27 24 ERODES THE
PUBLIC PLAN MODEL AND UNDERCUTS
THE ROLE OF COUNTIES AND LOCAL
PARTNERS AND DECIDING WHAT
DELIVERY SYSTEM WORKS BEST IN
THEIR COMMUNITIES. FOUNDATIONAL
PART OF THE PUBLIC PLAN MODEL IS
THAT LOCAL PLANS AND THEIR STAFF
ARE LOCATED IN THE COMMUNITIES
THEY SERVE. AND HAVE LOCAL
ACCOUNTABILITY IN PUBLIC
GOVERNANCE. THIS CANNOT BE
REPLICATED BY MANDATING
RELATIONSHIPS OR AGREEMENTS. 27
24 ALSO LEAVES OUT CRITICAL
DETAILS AROUND THE CONTRACT OF
THIS MAGNITUDE. AS IT DOES NOT
DELINEATE WHERE THE CONTRACT
BETWEEN THE HCS AND KAISER WILL
BE EFFECTIVE, RAISING QUESTIONS
AND CONCERNS ABOUT THE UNKNOWN
IMPACTS OF THE BILL AND THE
SCOPE OF THE CONTRACT OVER TIME.
ADDITIONALLY 80 27 24 CODIFIES A
TWO TIER SYSTEM IN WHICH CRAZIER
WILL GROW ITS ENROLLMENT BY
COVERING MEDICAL BENEFICIARIES
THAT ARE GENERALLY HEALTHIER AND
HAVE FEWER SOCIAL NEEDS. THIS IS
AN EQUITABLE FOR MEDICAL
BENEFICIARIES AND CREATES
LOPSIDED ENROLLMENT BETWEEN
MEDICAL MANAGED CARE PLANS IN
VIRTUALLY EVERY COUNTY, WHERE
LOCAL PLANS HAVE A PRESENCE
TODAY. INCLUDING WHERE LOCAL
PLANS SUBCONTRACT WITH KAISER.
THE SERVICE SICKER POPULATION
THAN THE OTHER PLAN IN THEIR
COUNTY. THIS IMBALANCE HAS
DIRECT IMPLICATIONS FOR MEDICAL
PROVIDERS AND MEMBERS. THERE ARE
ALSO REPERCUSSIONS FOR MANAGED
CARE PLAN RATES TO THE EXTENT
THAT RATES DO NOT APPROPRIATELY
MATCHED THE RISK OF THE
POPULATION SERVED. FINALLY A B
27 24 DOES NOT GUARANTEE THAT
MEDICAL BENEFICIARIES WHO CHOOSE
TO ENROLL IN KAISER WILL BE
ASSIGNED TO A KAISER PRIMARY
CARE PROVIDER. WE HAVE HEARD
THAT THE INTENT OF THE PROPOSAL
IS TO LEVERAGE HAUSER'S CLOSED
NETWORK. HOWEVER A B 27 24 DOES
NOT INCLUDE THIS CRITICAL
BENEFICIARY PROTECTION. SUCH
LANGUAGE WOULD ALSO ENSURE THAT
KAISER IS BRINGING NEW ACCESS TO
THE MEDICAL PROGRAM. ALTHOUGH L
HPC IS AN OPPOSITION TO 27 24 WE
URGE THE COMMITTEE TO VOTE. NO
WE ALSO WANT TO THANK THE CHAIR
AND THE COMMITTEE FOR YOUR WORK
TO DEVELOP AMENDMENTS THAT SPEAK
TO SOME OF THE CONCERNS I
RAISED. WHILE WE APPRECIATE THE
DIRECTION OF THE AMENDMENTS,
WE'RE STILL REVIEWING THE
LANGUAGE. AND SHOULD THE
COMMITTEE VOTE TO ADVANCE THE
BILL. I CANNOT INDICATE A DAY
WHETHER IT WILL CHANGE OUR
POSITION. THANK YOU. THANKS VERY
MUCH. NOW LET'S BRING SARAH
SORKIN. WELCOME I'M SARAH
SAROKIN, A LICENSED MARRIAGE AND
FAMILY THERAPIST AT KAISER
FAIRFIELD FOR NEARLY SIX YEARS
OPPOSING KAISER'S PROPOSED
MEDICAL CONTRACT. UNLESS IT IS
AMENDED TO HELP PATIENTS GET THE
BEHAVIORAL HEALTH CARE THEY
NEED. PRESENTLY MANY KAISER
PATIENTS WAIT 6 TO 8 WEEKS OR
LONGER BETWEEN THERAPY
APPOINTMENTS. NO RESEARCH OR
STANDARD OF CARE SUPPORTS SUCH
LONG WAITS. EVEN PATIENTS WITH
SEVERE SYMPTOMS CAN'T GET WEEKLY
THERAPY AND PATIENTS WAIT MANY
WEEKS AND MONTHS FOR THEIR FIRST
APPOINTMENT AFTER INTAKE.
PATIENTS REFERRED TO KAISER'S
CONTRACT PROVIDERS CAN'T FIND A
THERAPIST EITHER. AS A TRIAGE
THERAPIST. I FIELD CALLS FROM
THESE PATIENTS WHEN THEIR
SYMPTOMS WORSEN. ONE ACUTELY ILL
PATIENT I EVALUATED HAD
ATTEMPTED SUICIDE. THE PROGNOSIS
FOR OTHERS WITH SERIOUS CHRONIC
MENTAL ILLNESSES DETERIORATES
WITH EACH RELAPSE. BECAUSE
KAISER WON'T INVEST IN
BEHAVIORAL HEALTH PARITY, IT
LOST MORE THERAPISTS THAN IT
HIRED LAST YEAR. THE BURDENS.
KAISER THERAPIST FACE FALL WORST
ON THERAPISTS OF COLOR AND THOSE
WHO TREAT THE MOST VULNERABLE
LIKE SURVIVORS OF DOMESTIC
VIOLENCE. UNDER THE PROPOSED
CONTRACT, MEDICAL ENROLLEES WHO
NEED SERVICES IN LANGUAGES OTHER
THAN ENGLISH AND CHILDREN FROM
THE FOSTER SYSTEM WITH SPECIAL%
NEEDS WILL FIND IT PARTICULARLY
HARD TO GET APPROPRIATE CARE.
ARE PROPOSED AMENDMENTS THAT THE
COMMITTEE CHOSE NOT TO ENTERTAIN
TODAY WOULD REQUIRE GMHC TO
CERTIFY KAISER'S COMPLIANCE WITH
STATE AND FEDERAL BEHAVIORAL
HEALTH CARE LAWS BEFORE IT CAN
TAKE ON ADDITIONAL MEDICAL
ENROLLEES IN 2024 AS PLANNED.
GIVING KAISER AMPLE TIME TO
COMPLY. GRANTING KAISER AND
EXPANDED MEDICAL CONTRACT
WITHOUT THESE SAFEGUARDS,
ESPECIALLY WHEN KAISER'S
BEHAVIORAL HEALTH SERVICES ARE
UNDER SPECIAL INVESTIGATION BY
DMB HC WOULD SET A TERRIBLE
PRECEDENT. THANK YOU. WE'LL NOW
HEAR FROM ADDITIONAL WITNESSES
AND OPPOSITION TO A B 27 24 NAME
ORGANIZATION POSITION WELCOME.
THANK YOU, MR CHAIRMAN MEMBERS,
TRENT SMITH ON BEHALF OF VARIOUS
COUNTY ORGANIZED HEALTH SYSTEMS
REMAIN OPPOSED AS LONG AS THOSE
COUNTIES STILL REMAIN IN THE
BILL. THANK YOU. WELCOME. HI
JOHN BETTING ON BEHALF OF THE
INLAND EMPIRE HEALTH PLAN,
ECHOING COMMENTS AND CONCERNS
FROM MS COUPONS AND BUT ALSO
THANKING THE COMMITTEE AND THE
MEMBERS FOR PUTTING SOME
GUARDRAILS AROUND THIS PROPOSAL
. WE LOOK FORWARD TO READING THE
LANGUAGES THAT MOVES FORWARD.
THANK YOU. WELCOME. DEVON
ANDERSON ON BEHALF OF CEMETERY
COUNTY BOARD OF SUPERVISORS AND
OPPOSITION. THANK YOU. THANK YOU
WELCOME. NICKEL WORD ULLMAN ON
BEHALF OF THE ORANGE COUNTY
BOARD OF SUPERVISORS, ALSO AN
OPPOSING LESS AMENDED POSITION.
THANK YOU. WELCOME. GOOD EVENING
, CHRIS ROSE ON BEHALF OF KELL
OPTIMA IN OPPOSITION. THANK YOU.
WELCOME. HI I'M SANDRA. I AM
WITH THE COALITION OF AGAINST
KAISER PERMANENT EXPERIMENTING
ON NEWBORNS WITH THE HPV VACCINE
AND I DO NOT CONSENT TO THANK
YOU. THANK YOU. ASSUME YOUR
OPPOSITION AND ALL RIGHT.
LOOKING FORWARD TO THE WEBSITE
FOR THE ORGANIZATION. SO LISTEN
, MODERATOR, PLEASE OPEN THE
LINES FOR WITNESSES WHO WISHED
TO TESTIFY IN OPPOSITION TO A B
27 24. THANK YOU IF YOU WISH TO
SPEAK IN OPPOSITION TO A B 27 24
, PLEASE PRESS ONE, THEN ZERO AT
THIS TIME. BLIND FOR 01, PLEASE
GO AHEAD. THANK YOU. CHAIR AND
MEMBERS ACTUALLY WALKER ON
BEHALF OF THE MONTERREY, TONY
BOARD OF SUPERVISORS AND
OPPOSITION. THANK YOU. NEXT
WITNESS. BLIND TO 51, PLEASE GO
AHEAD. GOOD AFTERNOON, MR CHAIR
AND MEMBERS KARIN LANG ON BEHALF
OF THE BOARD OF SUPERVISORS IN
CINEMA, HUMBOLDT, SOLANO AND
OPPOSITION. THANK YOU. NEXT
WITNESS. BUY INTO 31, PLEASE GO
AHEAD. BLIND 231. YES. PLEASE GO
AHEAD. GOOD EVENING, ASSURING
MEMBERS MADELINE COOPER ON
BEHALF OF THE SAN BENITO COUNTY
AND OPPOSITION. THANK YOU. THANK
YOU NEXT WITNESS. FLYING 3 70,
PLEASE GO AHEAD. KILLING BROOKS
ON BEHALF OF THE BOARD OF
SUPERVISORS. SANTA CRUZ, SANTA
CLARA AND VENTURA COUNTIES AND
OPPOSITION. RIGHT. THANK YOU
NEXT WITNESS. LINE 4 16, PLEASE
GO AHEAD. HELLO THIS IS DR KEN
HEMPSTEAD, PEDIATRICS AND
ROOSEVELT RÁPIDAMENTE, SPEAKING
IN SUPPORT. ALRIGHT WE'RE IN
OPPOSITION NOW. BUT THANK YOU.
THE NEXT WITNESS. FIND 4 15,
PLEASE GO AHEAD. PLANE 415. I
HAVE NO FURTHER COMMENTS. THANK
YOU. ALL RIGHT. THANK YOU VERY
MUCH. I WILL BRING IT BACK TO
THE COMMITTEE QUESTIONS.
COMMENTS FROM COMMITTEE MEMBERS.
SARAH ROTH. THANK YOU, MR CHAIR
. I APOLOGIZE FOR NOT BEING
HERE. WHEN THIS STARTED. I
THOUGHT I WOULD BE HERE FOR THIS
FOR THE START OF THIS BILL, AND
I DO APOLOGIZE WITH YOUR
PERMISSION. I'D LIKE TO ASK THE
DIRECTOR TO ADDRESS SOME OF THE
POINTS MADE BY THE OPPOSITION IN
THE CONCERN OF THE AUTHOR, OF
COURSE. PARTICULARLY THE MENTAL
HEALTH PEACE. CAN ALSO PERHAPS
PROVIDE A LITTLE BIT MORE
DETAILS SINCE I MISSED IT
REGARDING THE BILL, AMENDMENTS
THAT I BELIEVE SHE REFERENCED
DIRECTOR BUS IF YOU DON'T MIND
COMING UP IN ADDRESSING SENATOR
ROBERTS QUESTIONS GREAT, SO I
WILL MAYBE GO THROUGH THE
AMENDMENTS BECAUSE ONE OF THEM
RELATES TO BEHAVIORAL HEALTH,
AND THEN WE CAN SPEAK TO THAT A
LITTLE BIT MORE. SO WE'VE WORKED
WITH THE AUTHOR'S OFFICE, THE
COMMITTEE STAFF AND EVEN JUST
KIND OF MEMBERS, AS WE'VE
ENGAGED IN CONVERSATIONS ON THIS
AND HAVE, I THINK I WOULD
CATEGORIZE INTO SIX KEY
AMENDMENTS FIRST CLARIFYING
WHERE THIS PROPOSAL APPLIES. SO
IT WOULD APPLY IN COUNTIES WHERE
KAISER HAD ALREADY HAS A
COMMERCIAL LINE OF BUSINESS. SO
THAT WILL BE ONE OF THE
AMENDMENTS IN THAT PROVIDES THE
CLARITY SO EACH COUNTY KNOWS IF
IT APPLIES IN THEIR JURISDICTION
OR NOT. WITH REGARDS TO RATES.
THE COMMITTEE AMENDMENTS WILL BE
TAKEN REGARD REALLY REFLECT THAT
THE ACUITY LEVEL OF EACH PLANS
MEMBER MIX WILL BE REFLECTED AS
RATES ARE PROPOSED ON AN ANNUAL
BASIS. WITH REGARD TO LOCAL
ENGAGEMENT AND REALLY ENSURING
THAT KAISER INTERACTS WITH
COUNTY HEALTH DEPARTMENTS,
SOCIAL SERVICES DEPARTMENTS,
ETCETERA, ADDING LANGUAGE THAT
KAISER MUST ENTER INTO MOU WE
HAVE THIS IS PART OF OUR
CONTRACT BUT REALLY BEING
CLEARANCE STATUTE THAT KAISER
MUST ENTER INTO AN MOU WITH OUR
LOCAL PARTNERS TO REALLY ENSURE
THAT KAISER WORKS WITH OUR LOCAL
AGENCIES ON SOCIAL DRIVERS OF
HEALTH. THIS IS AGAIN ONE OF THE
KEY TENANTS OF OUR NEW CONTRACT
WHERE WE ARE PUSHING ALL OF OUR
MEDICAL MANAGED CARE PLANS TO DO
MORE WITH OUR LOCAL PARTNERS.
THEN WE REGARD TO PRIMARY CARE
ASSIGNMENT. THERE WERE CONCERNS
RAISED AT THE INFORMATIONAL
HEARING, AND WE'VE HEARD FROM
STAKEHOLDERS THAT THIS WILL
ALLOW KAISER TO ESSENTIALLY
CONTRACT OUT FOR THEIR PRIMARY
CARE, WHICH IS DEFINITELY NOT
WHAT'S INTENDED WITH THIS OUR
REASON WE ARE PROPOSING THIS
PROPOSAL IS BECAUSE KAISER IS AN
INTEGRATED SYSTEM, AND THAT IS
ONE OF THE REASONS THAT THEY
HAVE HIGH QUALITY CARE, AND OUR
INTENT IS FOR KAISER TO PROVIDE
ALL OF THEIR PRIMARY CARE
SERVICES WITHIN THEIR BRICK AND
MORTAR AND SO ADDING LANGUAGE ON
THAT TO BE VERY CLEAR THAT THIS
IS NOT INTENDED TO DISRUPT THE
SAFETY NET IN TERMS OF PRIMARY
CARE SERVICES, THEN IN TERMS OF
BEHAVIORAL HEALTH READINESS,
ADDING AMENDMENTS AT THE
DEPARTMENT WILL CONDUCT A
NETWORK ADEQUACY REVIEW PRIOR TO
GOING LIVE, AND ALL OF THE
COUNTIES WILL POST OUR FINDINGS
ONLINE AND REALLY WORK WITH
KAISER THE COUNTIES IN TERMS OF
MAKING SURE THAT KAISER IS READY
FOR IMPLEMENTATION IN THE
COUNTIES. AND THEN FINALLY, AN
AMENDMENT TO INDICATE THAT THE
DEPARTMENT WILL REPORT NEAR
THREE OF THE CONTRACT ON
IMPLEMENTATIONS AND KIND OF THE
FINDINGS AND HOW THINGS ARE
GOING TO ENSURE THAT BEFORE ANY
FOR FUTURE EXTENSION, THERE
WOULD BE AN OPPORTUNITY FOR SOME
PUBLIC ENGAGEMENT IN THE
PROCESS. WELL, THANK YOU. THANKS
FOR THAT. THANK YOU, DOCTOR,
SENATOR EDMUND AND SENATOR
WIENER DIRECT. THANK YOU VERY
MUCH, MR CHAIR IN AND TO THE
ASSEMBLY MEMBER INTO THE
DIRECTOR. I REALLY APPRECIATE
HOW MUCH WORK HAS GONE INTO THIS
AS WE ARE. AS WE CONTINUE TO
EXPAND THE AMOUNT OF PEOPLE WHO
ARE COVERED AS WE CONTINUE TO
IMPLEMENT. KELLY CAME WITH THE
VERY AMBITIOUS GOALS THAT WILL
HOPEFULLY REALLY REDO HOW WE DO
OUR MEDICAL. IT ONLY MAKES SENSE
TO ME TO HAVE EVERY AVAILABLE
PARTICIPANT PROVIDING, AND WE
ALL KNOW THAT KAISER HAS HAS SET
THEMSELVES UP VERY BIG IN
CALIFORNIA. AND WHEN WE
INITIALLY HEARD THIS WEEK, THERE
WAS SOME CONCERN THAT THEY
WOULDN'T TAKE SOME OF THE
GENERAL PATIENTS ONLY THEIR OWN
AND THEN AND THEN IT SEEMS LIKE
PEOPLE ARE ARGUING BOTH WAYS
LIKE THEN YOU DISRUPTED THIS WAY
DISRUPTED THAT WAY. I DON'T
NECESSARILY THINK THERE'S A
PROBLEM WITH DISRUPTING THE
SYSTEM, I THINK SOMETIMES A
LITTLE BIT OF DISRUPTION MAKES
US BE A LITTLE BIT MORE FOCUSED
ON AND ON THE BEHAVIORAL HEALTH
ISSUE. I MEAN, FOR ME, THERE IS
JUST A PROBLEM. A STAFFING
SHORTAGE. THERE'S A BEHAVIORAL
HEALTH PROFESSIONALS SHORTAGE.
MY EXPERIENCE AS A AS A L. C S W
IS OFTENTIMES KAISER CAN PAY
MORE SO THEY POACH OFF EVERYBODY
ELSE. AND SO WE DON'T WANT THAT
SYSTEM TO OCCUR, EITHER. WE
GENERALLY MUST ENGAGE IN IN
ELEVATING OUR WORKFORCE AND
GETTING MORE FRONTLINE WORKERS
ON THE ROAD SO UM, I KNOW WITH
ANY NEW KIND OF PROGRAM, IT IS.
IT CAN BE FRIGHTENING. BUT TO
ME, THIS MAKES SENSE. MANY MANY
PEOPLE WE KNOW ARE WITH KAISER.
AND THAT SYSTEM WORKS FOR
PEOPLE. WHY NOT EXPAND IT TO
THOSE ON MEDICAL AS WELL? SO I
WILL BE SUPPORTING THIS BILL AND
WOULD LIKE TO MOVE IT AT THIS
TIME. THOSE MEN MOVED BY SENATOR
EDMUND. SO WE HAVE SENATOR
WIENER, FOLLOWED BY SENATOR
GROVE, THEN SENATOR LIMÓN. AND
IF I DIDN'T CATCH AND THEN SELL
LABOR, OKAY, SEVERAL WIENER. UH
THANK YOU VERY MUCH, MR CHAIRMAN
. SO THE ALTERNATIVE SPOKEN OF
FEW TIMES AND I HOPE LOT OF
RESPECT FOR THEAUTHOR AND
THERE'S A LOT OF GOOD IN THIS
BILL AND THIS PROPOSED CONTRACT
AS I'VE EXPRESSED TO THE
ADMINISTRATION AND TO SHARE AND
TO ANYONE ELSE WHO WOULD LISTEN
AND I DO HAVE SOME SERIOUS
CONCERNS AROUND KAISER'S, UM
FAILURE TO DELIVER ADEQUATE
BEHAVIORAL HEALTH SERVICES. DO
WE HAVE ANYONE HERE FROM KAISER
OR FROM THE DEPARTMENT OF
MANAGED HEALTH CARE? WE HAVE TWO
PEOPLE FROM KAISER WHO ARE ON
THE PHONE. WE HAVE BOTH A REEF
CHIC, THE DIRECTOR OF MEDICAL
AND STATE SPONSORED PROGRAMS. AS
WELL AS DR STEWART. BUT LAIR
WHO'S THE REGIONAL DIRECTOR OF
BEHAVIORAL HEALTH AND ADDICTION
, MEDICINE, NO. ONE FROM THE
IMAGE, K HAVE DIRECTOR
DIRECTOR PROCESS SMART
HEALTHCARE, BUT NOT FROM THE
PART MANAGED HEALTH CARE. OKAY,
BECAUSE THE MAN SHE STOPPED
PLAYS IN TERMS OF OVERALL, YOU
KNOW, OBVIOUSLY H M O REGULATION
JUST A QUESTION FOR KAISER AND I
SAY THIS AS SOMEONE WHO'S A FAN
OF KAISER AND A LOT OF WAYS
KAISER AND ACTUALLY, CAN YOU SO
WHO'S FROM KAISER? I WANT TO BE
SURE TO SHAKE AND DR STEWART,
BUT LAYER IT'S GONNA MODERATOR
CAME. PLEASE CAN YOU PLEASE
BRING THEM ONTO THE LINE SO THEY
CAN HEAR SENATOR WIENERS
QUESTION. THOSE LINES ARE OPEN.
OKAY ALRIGHT. SARAH WIENER,
PLEASE. YEAH SO JUST CRIMINAL.
I'M A FAN OF KAISER IN MANY
WAYS, AND THERE'S SO MUCH GOOD
IN THE MODEL AND ALSO SO MANY
PEOPLE RECEIVE VERY GOOD.
CAREFUL, KAISER. I THINK THERE
HAS BEEN HUGE CHALLENGES AROUND
BEHAVIORAL HEALTH. I KNOW THERE
ARE SOME WHO WOULD SAY IT'S THE
SAME WITH ALL HEALTH PLANS, BUT
I THINK WITH KAISER HAS BEEN
PARTICULARLY PRONOUNCED. SO TO
THE KAISER REPRESENTATIVES LAST
YEAR I AUTHORED IN THIS
COMMITTEE PASSED IN THE
LEGISLATURE PASSED SENATE BILL 2
21, WHICH REQUIRES TIMELY ACCESS
TO FOLLOW UP MENTAL HEALTH
APPOINTMENTS SO THAT YOU DON'T
GET A QUICK FIRST APPOINTMENT,
THEN HAVE TO WAIT THREE MONTHS
FOR YOUR SECOND APPOINTMENT AND
THREE MONTHS FOR YOUR THIRD
APPOINTMENT, AND SO ON AND SO
FORTH. PAST THE LEGISLATURE WITH
OVERWHELMING BIPARTISAN SUPPORT.
IT GOES INTO EFFECT IN LESS THAN
TWO WEEKS. AND ON JULY 1ST AND
SO MY QUESTION THAT KAISER IS,
UM, CAN YOU WALK US THROUGH, UM
, WORK. HEUSER IS IN ACTUALLY
BEING PREPARED TO COMPLY WITH SP
2 21 WHEN IT BECOMES LAW IN
JULY, 1ST. SO IF THE KAISER
REPRESENTATIVE ER PLEASE
CONTINUE. CAN YOU HEAR ME? I'M
DR STUART BUTLER. AND THANK YOU
FOR THE QUESTION. YOU KNOW, WE
ARE VERY MINDFUL OF THE
CHALLENGES AND BEHAVIORAL
HEALTH. AND ARE COMMITTED TO, UH. BEALL LEADERS AND ACTUALLY
IMPROVE OUR SERVICES. WE AGREE
WITH 2 TO 1. IT ALIGNS WITH OUR
COMMITMENT TO PROVIDE HIGH
QUALITY MENTAL HEALTH AND
SUBSTANCE USE TREATMENT. TO OUR
MEMBERS. WE ARE HUNDREDS OF OUR
PEOPLE RIGHT NOW WITHIN THE
KAISER ARE WORKING ON THE
REGULAR REQUIREMENTS OF THE
REGULATIONS, INCLUDING REPORTING
METHODOLOGY. AND INTEGRATING IT
INTO A FULL SPECTRUM OF OUR
TREATMENT PROCESS, WHICH
INCLUDES INPATIENT, OUTPATIENT
INTENSIVE OUTPATIENT PROGRAM,
RESIDENTIAL TREATMENT,
PREVENTATIVE CARE, RECOVERING
SOCIAL SUPPORT. DIGITAL SELF
HELP AND WELLNESS RESOURCES TO
INTEGRATE ACROSS THE SPECIALTY
CARE IN PRIMARY CARE, AND HE'D
SETTINGS. WE ARE IN PROCESS OF
WORKING ON THIS. AND WE'LL BE
PREPARED. SO FULL COMPLIANCE ON
JULY 1ST SO ADDED. WE'RE GOING
TO. WE'RE GOING TO GET THERE.
WE'RE GETTING THERE. I CAN'T
PROMISE EXACTLY ON JULY 1ST, BUT
WE'RE MOVING TOWARDS THE
METHODOLOGY AS YOU KNOW, AND
WE'RE WE'VE ADDED 170 NEW
BEHAVIOR HEALTH PROVIDERS IN
2021 WORKING RALPH ACTUALLY NOW
TO SELL 400 OPENING STATEWIDE,
IT IS CHALLENGING, BUT WE ARE
REALLY WORKING ON THIS AND
RETURNING CLINICIANS AND
RETAINING CLINICIANS TO MAKE
SURE THAT THEY'RE WITH US IN
TERMS OF WAGES AND BENEFITS AND
PROFESSIONAL GROWTH AND
OPPORTUNITIES AND FLEXIBILITY
AND WE ARE SIMPLY DOING OUR BEST
JOBS AND RECRUITING. WE ARE
OFFERING SOME SOLUTIONS, WHICH
WILL BE VERY USEFUL IN TERMS OF
MEETING THE REGULATIONS IN TERMS
OF VIRTUAL OFFERINGS OF PATIENTS
WHO WHO PREFER IT. AND THAT HAD
MENTAL HEALTH AND SUBSTANCE USE
PROVIDERS IN PRIMARY CARE
INDEED, SETTINGS AND
COLLABORATIVE CARE MODELS AND
PRIMARY CARE WITH EARLY
DETECTION INTERVENTION. YOU KNOW
, HE'S ALSO EXPANDED THE LAST
COUPLE OF YEARS, UM FOR
INTENSIVE COMMUNITY TREATMENT
PROGRAMS AND WRAPAROUND PROGRAMS
FOR YOUTH. REALLY MOVING OUT
INTO THE COMMUNITY TO ENGAGE OUR
MEMBERS. SO WE'RE DOING WHAT WE
CAN TO, UH, AGAIN COMMIT
OURSELVES TO PROVIDING EXCELLENT
CARE AND FOLLOW UP HERE IN THE
WAY IN WHICH 2 TO 1 REQUIRES
INCLUDING MAKING SURE THAT
CLINICIANS IF THEY ARE UNABLE TO
PROVIDE SERVICES WITHIN THAT TWO
WEEKS, AND IT'S NECESSARY TO
WORK WITH THEIR MANAGER TO
PROVIDE THOSE SERVICES AND BE
ABLE TO GIVE THEM ROOM TO DO IT.
SO WE ARE WORKING ON A LOT OF
DIFFERENT ASPECTS OF IT,
INCLUDING THE REPORTING
METHODOLOGY AND DOCUMENTATION.
OKAY I KNOW THERE'S SOME, I
GUESS WELL REMAINS TO BE SEEN. I
KNOW THERE HAVE BEEN SOME REAL
CONTINUING CHALLENGES FOR KAISER
MEMBERS TO ACCESS BEHAVIORAL
HEALTH TREATMENT. NO D M H HE IS
NOT HERE. BUT MY UNDERSTANDING
IS THAT THE IMAGE SHE HAS
STARTED A NON ROUTINE SURVEY. I
GUESS SORT OF AN AUDIT OF SORTS
OF KAISER'S MENTAL HEALTH
TREATMENT ACCESS. I'M JUST
CURIOUS WHERE THAT STANDS. I
KNOW IT'S NOT D HCS CMHC, BUT I
DON'T SOMEONE FROM THE
ADMINISTRATION CAN COMMENT ON
THAT, UM. DON'T PUT ANYONE ON
THE SPOT. IF IT'S NOT IN YOUR
WORK ON A COMMENT AND GET BACK
TO YOU BEFORE QUESTIONS ARE
COMPLETED, IF THAT'S OKAY, GREAT
. OKAY SO I AGAIN I APPRECIATE
THE AUTHOR'S WORK AND THE
MINISTRATIONS AND I KNOW, UM THE
CHAIR. I WANT TO THANK FOR
WORKING ON AMENDMENT AROUND
BEHAVIORAL HEALTH. IT DIDN'T GO
AS QUITE AS FAR AS I HAD HOPED.
BUT I KNOW YOU PUT A LOT OF WORK
INTO THAT. SO BUT I DO HAVE JUST
, YOU KNOW CONCERNS I HAVE
EXPRESSED AROUND BEHAVIORAL
HEALTH. POETRY MINT ACCESS.
THANK YOU. ALL RIGHT. THANK YOU.
SARAH WIENER. CENTER GROVE.
THANK YOU, MR CHAIR. THANK YOU,
MR CHAIR. SO ABOUT THE BILL, I
LOVE THE CONTINUITY OF CARE. I
LOVE THAT YOU CAN BE ON. UM YOU
LOSE YOUR JOB, HAVE KAISER AND
STILL BE TREATED BY KAISER. IN
THE MEDICARE STAGE. I JUST LIKE
THE MEDICAL STAGE. I LIKE THE
CONTINUITY OF CARE. I LIKE THE
ADDITION OF THE FOSTER YOUTH
PROGRAM BECAUSE I HAVE A HEART
FOR FASTER YOUTH. AND I THINK
THAT YOU KNOW IT'S NOT THEIR
FAULT. THEY'RE IN THE POSITION
AND TO OFFER THEM THE BENEFITS
THAT THEY NEED. SO THOSE THINGS
I REALLY, REALLY LIKE. AND I AM
VERY PLEASED THAT YOU TOOK
AMENDMENTS AT THE COMMITTEE AND
THE CHAIR OFFERED. I DO
APPRECIATE THAT VERY MUCH. BUT I
DO FIND IT. I'D ASK MY COLLEAGUE
FROM SAN FRANCISCO NOT TO FALL
OUT OF HIS CHAIR. BUT I DO FIND
MYSELF LINING MYSELF WITH MY
COLLEAGUE FROM SECOND SAN
FRANCISCO AND THE REASON WHY IS
BECAUSE I THE BIG CONCERN. THESE
ARE THE CONCERNS AND IF YOU
COULD ADDRESS SOME OF THE
DIRECTOR COULD DRESS HIM, I'D
REALLY APPRECIATE IT. SO NUMBER
ONE AND NO BID CONTRACT. SO UM,
NO BIG CONTRACT WHERE OTHER
PEOPLE AREN'T ALLOWED TO BID ON
THIS IN THE STATES, JUST GIVING
KAISER A NO BID CONTRACT. I
UNDERSTAND THAT THE BRICK AND
MORTAR PIECE NUMBER TWO NUMBER
TWO, THE CHERRY PICKING ISSUE
THAT WAS BROUGHT UP BY THE
OPPOSITION. AND WILL KAISER BE
ABLE TO RETAIN THE MOST HEALTHY
PEOPLE ON MEDICAL AND THEN. PART
OF ME, OKAY? AND I APOLOGIZE
BECAUSE I'M BOUNCING BETWEEN
COMMITTEES. I HAVE RULES AND
THEN HERE SO THAT'S ALREADY BEEN
ADDRESSED. BUT PLEASE, COULD YOU
JUST SPEAK TO THAT ISSUE FOR ME
ON THAT ISSUE, AND THEN UM ALSO
THE OTHER. THE OTHER ISSUE THAT
I HAD WAS OBVIOUSLY, UM YOU KNOW
THE REPORT OR WHATEVER THE
DOCUMENT WAS THAT WHERE IT SAYS
60% OF THE INDIVIDUALS THAT NEED
MENTAL HEALTH SERVICES THROUGH
KAISER ARE NOT RECEIVING THAT
AND HERE, YOU'RE GOING TO ADD AN
ADDITIONAL POSSIBLE 200,000
CORRECT INDIVIDUALS UNDER THIS
SYSTEM. SO IF THEY CAN'T TREAT%
THE PATIENTS THAT THEY HAVE NOW
, HOW ARE THEY GOING TO TREAT
THE ADDITIONAL PATIENTS AND IT
DOESN'T EXTEND OUT TO THAT 6 TO
8 WEEKS PROCESS, AND I REALIZED
THAT THE SENATOR FROM SAN
FRANCISCO HAS A BILL THAT TAKES
EFFECT. JULY 1ST. BUT I DIDN'T
HEAR A FULL COMMITMENT FROM
KAISER THAT THAT IS. I MEAN,
THEY'RE WORKING TOWARDS THE
GOAL, WHICH IS ADMIRABLE, BUT IS
IT GONNA WORKING TOWARDS THE
GOAL TAKE 234 YEARS LIKE WHAT'S
THE TIME LENGTH? AND THE REASON
WHY I SAY THAT IS BECAUSE I
THINK THE BIGGEST STRUGGLE WE
HAVE WITH ISOLATION THROUGH THE
COVID PERIOD. IT INCREASED
MENTAL HEALTH SERVICES, AND I
HAVE A REALLY HUGE CONCERN ABOUT
THAT. SO IF YOU COULD ADDRESS
THOSE ISSUES, THEN I'LL ASK
DIRECTOR OF US SOME QUESTIONS.
THANK YOU, SENATOR GROVE. I'LL
START WITH THE NO BID CONTRACT
IF I CAN AS EVERY MEDICAL
MANAGED CARE PLAN WE HAVE IN
THIS STATE IS A NO BID CONTRACT.
EVERY SINGLE ONE OKAY. THIS
WOULD BE INCLUDED IN THAT AS
WELL. IN TERMS OF THE CHERRY
PICKING. I'D POINT TO THE FACT
THAT WE'VE DETERMINED WHICH
PATIENTS THEY ARE GOING TO GET
ITS THE DUAL ELIGIBLES MEDICAL
MEDICARE, THE FOSTER CHILDREN AS
WELL AS 25% BLIND ALLOTMENT. AND
WHEN IT'S BLIND, THERE'S NO
OPPORTUNITY TO CHERRY PICK HERE.
YOU'RE TAKING ANY OF THE 25% OF
PATIENTS, WHICH ARE ASSIGNED THE
GEYSER, SO I DON'T BELIEVE THAT
TO BE A VALID CRITIQUE. AND
WOULD POINT OUT THAT I BELIEVE
TAKING THE DUAL ELIGIBLES. THE
MEDICAL MEDICARE ARE OFTEN TIMES
SOME OF THE SICKEST PATIENTS
THAT WE CARE FOR WITHIN OUR
SYSTEMS. YOUR FINAL QUESTION IS
ON THE REPORT, AND I WOULD POINT
OUT THAT THERE IS NO PLAN THAT
PERFECT AND KAISER IS NOT
PERFECT, EITHER. BUT ALL OF OUR
HEALTH PLANS ARE BEING HELD TO A
HIGHER STANDARD. AND I WANT TO
THANK OUR SENATOR FOR THE
PASSAGE OF THAT BILL AS WE
ENSURE THAT WE ARE FIGHTING FOR
PARODY AND MENTAL HEALTH AS WELL
. I BELIEVE WE NEED TO HAVE ALL
OF OUR MANAGED CARE PLANS STEP
UP AFTER THIS PANDEMIC OF THE
CENTER. THANK YOU IF I COULD ASK
DIRECTOR BOSS A COUPLE OF
QUESTIONS ON THE AMENDMENTS THAT
WERE PROVIDED WHEN YOU SAID
WHERE IT APPLIES, AND IT JUST
YOU SAID 32 COUNTIES. I HAD A
CONVERSATION WITH THE
ADMINISTRATION THIS MORNING. I'M
VERY CONCERNED ABOUT RURAL
HEALTH CARE LIKE I REALLY AM
VERY CONCERNED. WE'RE NOT SAN
FRANCISCO. WE'RE NOT LOS
ANGELES. I MEAN, WE ACTUALLY ARE
REAL HEALTH CARE AND JUST A
BRIEF PERSONAL STORY MY DAUGHTER
GOT TAKEN TO A TRAUMA CENTER
NEEDED. AN MRI TOOK FOUR DAYS TO
GET THE MRI BECAUSE THEY HAVE TO
KEEP CALLING SOMEBODY FROM LOS
ANGELES TO FIX THE MRI THAT
BROKE DOWN. ON A DAILY BASIS AND
EXCELLENT CARE, RIGHT. EXCELLENT
CARE, EXCEPT FOR RURAL HEALTH
CARE IS RURAL HEALTHCARE. AND I
THINK MY COLLEAGUE FROM STOCKTON
CAN AGREE THAT YOU KNOW, WE GET
TREATED A LITTLE DIFFERENTLY
THAN OUR YOU KNOW, METROPOLITAN
LARGE CITIES WHERE THEY HAVE SO
I HAVE A HUGE CONCERN. AND I
JUST WANT TO KNOW IF YOU THINK
IN ANY WAY, SHAPE OR FORM THIS
DIMINISHES EVEN BY 1% THE ACCESS
TO ADEQUATE HEALTHCARE IN OUR
RURAL COMMUNITIES. IF THIS BILL
WAS TO GO THROUGH, AND IT WAS
SIGNED BY THE GOVERNOR AND
KAISER GOT THIS ADDITIONAL
200,000 PATIENTS, I ACTUALLY
THINK THAT IT EXPANDS ACCESS AND
OUR RURAL COMMUNITIES, FOR
EXAMPLE IT IT PUTS KAISER IN
FRESNO COUNTY AS A MEDICAL
MANAGED CARE PROVIDER. KAISER IS
NOT A MEDICAL MANAGED CARE
PROVIDER IN FRESNO COUNTY. SO
IT'S ADDING KAISER IS CAPACITY
AND IN IN FRESNO COUNTY.
ADDITIONALLY AS PART OF THIS,
KAISER HAS AGREED TO PROVIDE IN
PERSON ESPECIALLY CARE ACCESS AT
OUR COMMUNITY HEALTH CENTERS FOR
NON KAISER MEMBERS, AND WE'RE
GOING TO LOOK GEOGRAPHICALLY
BASED ON WHERE THAT NEED IS WHAT
SPECIALTIES ARE NEEDED AND
REALLY WORK WITH OUR CLINICS AND
KAISER TO FORM SOME OF THESE
PARTNERSHIPS THAT ARE NOT THERE
TODAY TO ACTUALLY PROVIDE MORE
ACCESS AND COMMUNITIES THAT NEED
IT. SO I THINK, ACTUALLY, THIS
IS GOING TO PROVIDE MORE ACCESS
IN SOME OF OUR RURAL
COMMUNITIES. RATHER THAN
DIMINISH IT. AND THEN I JUST
WANT TO ASK YOU ONE MORE THING
ABOUT THE ITEM NUMBER THREE. THE
LOCAL ENGAGEMENT FOR THE MOU. SO
THE REASON I ASK THAT IS BECAUSE
I THINK IT'S VERY IMPORTANT THAT
OUR COUNTIES HAVE A SAY SO. AND
HOW HEALTHCARE IS ADMINISTERED
IN OUR COMMUNITIES, AND I WANT
TO MAKE SURE SO ARE IN THAT
AGAIN. WE JUST GOT THE LANGUAGE.
THE AMENDMENT. IT'S HARD TO
ACCEPT, YOU KNOW, DECIDE FOR ALL
OF THAT. I'M RIGHT HERE ON THE
DIOCESE WHILE WE'RE TRYING TO
LISTEN TO TESTIMONY AS WELL, BUT
CAN YOU GIVE ME YOUR BEST
EXAMPLE OF WHEN WE TALK ABOUT
LOCAL EMPOWERMENT? DOES THE
COUNTY HAVE THE AUTHORITY TO NOT
ACCEPT THAT CONTRACT? OR TO
ACCEPT IT AND MAKE MODIFICATIONS
TO IT, OR IS IT JUST THEY ARE
FORCED INTO THE SITUATION TO
AGREE TO IT. SO THIS IS AN MOU
BETWEEN KAISER AND LET'S SAY,
FOR EXAMPLE, THE HEALTH AND
HUMAN SERVICES DEPARTMENT AT THE
COUNTY, SO THERE'S A WHOLE LIST
OF COUNTY DEPARTMENTS THAT THE
PLAN WILL BE REQUIRED TO HAVE AN
MOU WITH PER OUR CONTRACT AND
THIS AGAIN WILL APPLY TO ALL
PLANS. AND THAT THE TWO ENTITIES
WILL NEED TO WORK TOGETHER. WE
WILL BE PROVIDING A TEMPLATE IN
TERMS OF WHAT ARE THE THINGS
THAT NEED TO BE INCLUDED AN MOU
DISPUTE RESOLUTION PROCESS HOW
THEY'RE GOING TO EXCHANGE DATA.
WHAT ARE THE MECHANISMS FOR
ENGAGEMENT AND REGULAR CHECK INS
IN COMMUNICATION, AND ALL OF
THAT WILL BECOME TOGETHER, THE
TWO ENTITIES WILL NEED TO COME
TOGETHER TO COME TO TERMS ON
THAT MOU AND IT WILL BE THE
DEPARTMENT'S OVERSIGHT OF HOW
THE PLAN ENSURES THAT THEY MEET
THE REQUIREMENTS OF THE MOU AND
ENGAGE WITH OUR LOCAL PARTNERS
AGAIN. THIS IS OUR GOAL TO DRIVE
AND ADDRESS OUR SOCIAL DRIVERS
OF HEALTH. WE KNOW THAT IT'S
BEYOND THE CLINIC WALLS. THE
HOSPITAL WAS WE NEED OUR PLANS
TO ENGAGE AT THE LOCAL LEVEL TO
REALLY PROVIDE SOME OF THOSE
WRAP AROUND SERVICES AND MEET
INDIVIDUALS WHERE THEY ARE.
THANK YOU, MA'AM. THANK YOU VERY
MUCH FOR ANSWERING THOSE
QUESTIONS. AND THEN I DO HAVE
ONE QUESTION FOR THE KAISER
INDIVIDUAL ON THE TELEPHONE, AND
I'M NOT SURE WHO WOULD ANSWER
THIS QUESTION. WHO'S ON THE
PHONE? CAN YOU TELL ME ABOUT
HAVE THERE AVAILABLE ON THE
PHONE RIGHT NOW? FROM KAISER. A
REEF SHEIKH, WHO IS THE DIRECTOR
OF MEDICAL AND STATE SPONSORED
PROGRAMS THAT KAISER AND ALSO DR
STEWART, BUT LAIR WHO'S THE
REGIONAL DIRECTOR OF BEHAVIORAL
HEALTH AND ADDICTION MEDICINE,
SO THEY ARE AVAILABLE RIGHT NOW
AGAIN. MODERATOR. YES OPEN.
THEIR LINES ARE OPEN. SO PLEASE,
SENATOR GROVE DOES HAVE A
QUESTION. THANK YOU. I THINK THE
QUESTION WOULD BE DIRECTED TO
RESHAPE WHERE I THINK WHAT I
ASKED THIS QUESTION IN THE
HEARING THAT WE HEARD A LITTLE
BIT ABOUT THIS BEFORE, AND I
STILL DO WANT AN ANSWER BECAUSE
I THINK IT'S RELEVANT AND KAISER
PERMANENTE STARTED OUT AS A
CLOSED ACCESS, CLOSE CLOSED
ACCESS BRICK AND MORTAR CLOSED
ACCESS. UM AND NOW IT'S EXPANDED
INTO OTHER TERRITORY. I JUST I
AND I KNOW I'M PROBABLY NOT
GOING TO GET THE ANSWER. I WANT
NOW, BUT I KNOW THAT THERE'S A
LOT OF EFFORT BY THE
ADMINISTRATION BY A LOT OF
INDIVIDUALS TO MAKE SURE THAT
THIS CONTRACT GETS SIGNED. I
APPRECIATE THAT. YOU POINTED OUT
THAT IT NO BID CONTRACTORS ON
EVERY MEDICAL MANAGED CARE
SYSTEM. BUT ON THIS PARTICULAR
ISSUE I WANT TO KNOW FROM KAISER
, UH, NOT A THREAT. BUT WAS
THERE AN ULTIMATUM THAT WAS
PROPOSED TO THE ADMINISTRATION
REGARDING THEY WOULD NO LONGER
SERVE MEDICAL PATIENTS IF THEY
DID NOT GET THIS CONTRACT TO
MOVE FORWARD, AND THE REASON WHY
I ASKED THAT IS BECAUSE IN THE
REAL WORLD, I'M A BUSINESS
OWNER, AND I THINK EVEN
HOSPITALS HAVE TO OPERATE ON A
BUDGET AND A BUSINESS AND NEVER
BOTTOM LINE THAT THEY HAVE TO
COVER BECAUSE THEY PAY NURSES
AND STAFF AND MENTAL HEALTH
PROVIDERS. IN BRICK AND MORTAR,
RENT AND UTILITIES AND EQUIPMENT
COSTS AND EVERYTHING. AND I
THINK THE MEDICAL REIMBURSEMENT
RATE WHICH THIS WE HAVEN'T
ADDRESSED IN THIS BUILDING FOR A
WHILE, IS PRETTY POOR. AND SO
I'M JUST CURIOUS ABOUT THAT
PARTICULAR QUESTION. SURE GOOD
AFTERNOON, SENATOR GROVE. IT'S
NICE TO TALK TO YOU AGAIN. THIS
IS IRISH SHAKE DIRECTOR, MEDICAL
AND STATE SPONSORED PROGRAMS.
YES I THINK WITH WITH REGARDS TO
YOUR QUESTION, CERTAINLY NO
ELEMENT, NO ASPECT OF THE THREAT
. I THINK WHAT I DID SHARE WITH
YOU BEFORE WHICH I'LL I'LL
REITERATE IN THAT KIND OF
PERMANENT SEES COMMITMENT TO THE
MEDICAL PROGRAM IS PART OF OUR
MISSION TO SERVE OUR COMMUNITIES
, AND THAT'S ONE OF THE MAIN
REASONS WE'RE SUPPORTING THIS
BILL. AND WE BELIEVE THAT
THERE'S THIS BILL. UH MEANINGFUL
E ENHANCES PERMANENT PRESENCE IN
THE PROGRAM, SO WE WANT TO DO
MORE IN MEDICAL, YOU KNOW, NOT
NOT LESS. SO I THINK IN TERMS OF
PRESSURE PERMANENCY HISTORY WITH
MEDICAL OF OUR PARTICIPATION IN
MEDICAL BEEN THERE FOR MANY,
MANY YEARS, AND I THINK THAT
THIS IS REALLY A WAY FOR KAISER
T. TO INCREASE ITS PRESENCE IN
MEDICAL AND DO MORE BE HELD TO
THE SAME STANDARDS. I'M AS ALL
THE MANAGED CARE PLANS IN THE
STATE. THANK YOU, SIR. FOR THAT.
AND THEN THE LAST QUESTION I
HAVE, AND I APOLOGIZE DIRECTOR
FOR BRINGING YOU BACK UP TO THE
MIKE AND I DO APOLOGIZE. UM THE
AUTHOR MADE A STATEMENT ABOUT
DIRECTOR BASS. SORRY CORRECTIVE
ASKED ME ON. OKAY APPRECIATE
THAT. OKAY THE AUTHOR MADE A
COMMENT ABOUT WHEN I ASKED ABOUT
NO BID CONTRACTS AND COMPETITIVE
CONTRACTS ARE THE COMMERCIAL
PLANS DOING COMPETITIVE BIG
CONTRACTS WITH YOU GUYS RIGHT
NOW, SO I THINK THERE'S A
DISTINCTION BETWEEN BID AND
COMPETITIVE, SO TRADITIONAL
CONTRACT IS THERE'S A BID
BECAUSE THERE'S A FISCAL.
THERE'S A FINANCIAL COMPONENT TO
THIS. THERE IS NO FINANCIAL
COMPONENT TO OUR CONTRACTS WITH
MANAGED CARE PLANS BECAUSE WE
PAY RATES BASED ON AN ACTUAL,
REALLY SOUND METHODS, SO THERE'S
A DISTINCTION BETWEEN KIND OF
BED AND NON BID. OUR COMMERCIAL
PLANS ARE UNDER A COMPETITIVE
PROCESS RIGHT NOW TO SELECT
THROUGHOUT THE STATE WHERE THEY
WILL, UM, WHERE THEY WILL BE IN
PLAY. AND THAT'S WHY WE CAME TO
THIS BECAUSE KAISER WAS NOT ABLE
TO COMPETE BECAUSE THEY CANNOT
OPEN ENROLLMENT. THEY CANNOT.
ALLOW EVERYBODY WHO WANTS TO
PICK KAISER TO SELECT KAISER SO
THEY ARE A LITTLE BIT UNIQUE AND
CANNOT COMPETE WITH OUR OTHER
MEDICAL MANAGED CARE PLANS. AND
SO FOR THAT REASON, THIS IS WHY
WE HAVE THIS PROPOSAL TO THINK
THROUGH. HOW CAN WE KEEP KAISER
IN THE MEDICAL SPACE. HOW CAN WE
GROW THEIR PARTICIPATION IN
MEDICAL TO SERVE MORE
INDIVIDUALS? OKAY THAT MAKES
SENSE. SO I APPRECIATE THAT
RESPONSE BECAUSE THAT WAS A
QUESTION I HAVE. AND THEN AGAIN,
THE LAST QUESTION I HAVE IS, IS
IT IS THERE? IS THERE ANY CHANCE
THAT D C H A R D HCS IS GOING TO
TAKE THE AMENDMENTS THAT THE
LOCAL HEALTH PLANS OF CALIFORNIA
WANT IN THIS BILL IN ORDER TO
REMOVE THEIR OPPOSITION, OR IS
THAT LIKE OFF THE TABLE? ARE WE
STILL NEGOTIATING? IS ITSO
AGAIN? I MISSED THE FIRST PART
OF THE HEARING. SO WE'VE WORKED
THROUGH AUTHOR AMENDMENTS. THE
BILL AND PRINT THAT YOU SEE
TODAY IS THE CURRENT VERSION. WE
WILL CONTINUE TO ENGAGE WITH ALL
OPPOSITION AS WE GO FORWARD.
ABOUT WHAT WE'RE VOTING ON TODAY
IS THE BILL IN PRINT. THANK YOU
, SIR. THANK YOU, MA'AM. VERY
MUCH. THANK YOU. THANK YOU FOR
MR CHAIR FOR THE TIME. OKAY
THANKS VERY MUCH TO ADDRESS SOME
OF THE POINTS YOU BROUGHT UP
ALSO WHEN I GET TO ME, BUT I
KNOW WE HAVE TO, AND SO SENATOR
LAMONT. THANK YOU. THANK YOU,
EVERYONE. THIS HAS BEEN A BILL
THAT CERTAINLYHAS NOT BEEN
SHORT ON THE TIME IT'S REQUIRED
FOR ALL OF US TO BE ENGAGED, BUT
I WILL START OFF BY SAYING THAT
I APPRECIATE THAT. THE
LEGISLATURE'S CONCERNS HAVE BEEN
INCORPORATED IN NOT JUST
DIALOGUE, BUT IN SOME OF WHAT WE
SEE TODAY. IT'S ALSO REALLY HARD
BILL FOR SOME OF US. YOU KNOW,
WHEN I WAS SPEAKING TO THE
AUTHOR OVER THE WEEKEND, SO
EVERYBODY KNOWS WE WERE REALLY
TRYING TO FIGURE THIS OUT. UM
YOU KNOW, ONE OF THE COMMENTS
THAT CAME UP IN OUR CONVERSATION
IS THAT THE CITY OF FRESNO HAS
MORE PEOPLE THAN THE COUNTY OF
SANTA BARBARA. AND SO YOU KNOW,
WHEN I THINK OF, YOU KNOW,
SHARING MY COLLEAGUE FROM KERN
AND FROM STOCKTON'S COMMENTS
RURAL LOOKS A LOT OF DIFFERENT
WAYS AND A LOT OF PLACES WHERE
YOU MIGHT NOT THINK IT LOOKS
LIKE AND SO CERTAINLY I STILL
COME AT THIS. ALWAYS WITH THE
CONCERN THAT WHEN YOU DON'T HAVE
THE RIGHT POPULATION, OR THE
AMOUNT OF POPULATION GETTING
SERVICES IS REALLY HARD. WE'RE
NOT THE MOST ATTRACTIVE. WE'RE
NOT THE FIRST TO GO TO, UM AND
SO ANYTIME THAT ANYTHING COULD
POTENTIALLY DISRUPT THAT YOU
WORRY BECAUSE IT TOOK SO MUCH
AND IT WAS SO HARD TO GET WHAT
YOU DO HAVE IN PLACE. SO
POTENTIALLY DISRUPTING THAT
FEELS REALLY DIFFICULT. UM, AND
SO I DO HAVE A FEW SPECIFIC
QUESTIONS. I'M GOING TO KEEP
GOING ON THE MOU. SO DIRECTOR
BASS IF YOU WOULD IF YOU HAVE
ANOTHER CHANCE, BECAUSE ONE OF
THE THINGS THAT I HAVE A
QUESTION ABOUT THE MOU IS IN A
APPRECIATE YOU EXPLAINING THE
PROCESS IS WHAT IF A COUNTY JUST
SAYS NO. LIKE WE'RE NOT GOING TO
SIGN THIS MOU. THEN WHAT HAPPENS
? WELL, I MEAN, TODAY WE HAVE
IMO US. THE PLANS ARE ALREADY
REQUIRED TO HAVE US THROUGH OUR
CONTACT. WE'RE EXPANDING THAT
ABILITY. I MEAN, I WOULD
QUESTION WHY THEY WOULD NOT WANT
TO ENTER AN MOU TO SERVE THE
INDIVIDUALS IN THEIR COUNTY INTO
PARTNER TO ADDRESS SOCIAL
DRIVERS OF HEALTH AND WHY, I
GUESS I THINK FROM A KIND OF
JUST DEPARTMENTAL OVERSIGHT
QUESTION WOULD BE WHY I THINK WE
WOULD TRY TO FIGURE OUT WHY
THAT'S THE CASE AND TRY TO WORK
THROUGH THAT THAT THAT
DISCUSSION BECAUSE IT'S I GUESS
IT'S NOT CLEAR WHY A PUBLIC
ENTITY WOULDN'T WANT TO SERVE
RIGHT. AND I GUESS FOR ME, IT'S
NOT THE LACK OF DESIRE TO
WANTING TO SERVE, BUT IT'S
SOMETHING IN THE CONTRACT THAT
DOESN'T WORK FOR THE COUNTY. AND
I'M TRYING TO JUST DISTINGUISH
IF THE COUNTIES WOULD HAVE THE
ABILITY TO REALLY GO BACK AND
FORTH AND NEGOTIATE SOMETHING
THAT MAKES SENSE FOR THE COUNTY
, AS OPPOSED TO LIKE, LOOK, TAKE
IT OR LEAVE IT. YOU GOT TO DO
IT. THIS IS IT. I THINK THAT'S
THAT'S PART OF THE PROCESS OF
LOCAL ENGAGEMENT AND WORKING
THROUGH THE TWO PARTNERS OF HOW
DO WE COME TOGETHER? AND YOU
KNOW, OF COURSE, THINGS CAN GET
ELEVATED TO THE DEPARTMENT. IF
THOSE CONVERSATIONS DON'T GO
WELL, BUT THAT IS THE INTENT OF
BRINGING FOLKS TOGETHER TO SERVE
THE BENEFICIARIES. THANK YOU.
AND NOW I HAVE A QUESTION
RELATED. NOT FOR YOU. SORRY MOVE
INTO THE OPPOSITION ARE LOCAL
PLANS. UM AND SO CERTAINLY WE'VE
HAD A LOT OF CONVERSATIONS. I'M
THINKING OF THE CENTRAL COAST.
ALMOST OBISPO, SANTA BARBARA
COUNTY, VENTURA COUNTY. ALL VERY
DIFFERENT. SOME OF THE KAISER,
YOU KNOW, PRESENCE AND OTHERS
WITHOUT AND SO I DO APPRECIATE
THE I THINK VERY MEANINGFUL
AMENDMENT, MAKING IT CLEAR WHICH
COUNTIES ARE SURPRISED TO NOT
BUT HAVING HEARD THE DISCUSSION
ON THE M. O U. S AND AS A
REPRESENTATIVE OF THE LOCAL
PLANS, HOW DO YOU REACT TO
SOMETHING LIKE THAT? SO I THINK
I THINK IT'S GOING BACK TO THE
ORIGINAL CONCERN AND DO
APPRECIATE THE AMENDMENT OF
CHANGING THE LANGUAGE TO ALREADY
THINK THAT BIG WORDS YOU KNOW,
MEANING ALREADY. I CAN'T TELL
YOU HOW MUCH THAT WORD MEANT
SINGLE WORD CAN MAKE A LOT OF
DIFFERENCE. UM BUT I WILL SAY IT
DOESN'T FULLY GET TO WHERE WE
WOULD HOPE TO GO WITH THAT
LANGUAGE WE THINK ADDING A DATE
WOULD MAKE IT MUCH CLEARER. THAT
THIS APPLIES TO THE 32 COUNTIES
THAT HAVE BEEN REFERENCED SINCE
THIS PROPOSAL WAS INITIALLY
RELEASED. AND BECAUSE IT DOES
NOT SPEAK TO A CIRCUMSTANCE IN
THE FUTURE, BROOKHISER WOULD IT
POTENTIALLY EXPAND ITS FOOTPRINT
ON THE COMMERCIAL SIDE? UM, AND
THEN WANT TO EXPAND AND MEDICAL
AGAIN. WE'RE NOT SAYING THAT
SHOULDN'T HAPPEN IF THAT WERE TO
OCCUR, BUT THAT THERE SHOULD BE
SOME PROCESS FOR COMING BACK TO
THE LEGISLATURE. OKAY THANK YOU
. AND THEN SINCE I HAVE YOU
HERE, ONE MORE QUESTION FOR YOU
IS SINCE THE BEGINNING. ONE OF I
THINK THE PUBLIC CONCERNS ABOUT
THIS PIECE WAS AH. THEIR
INTERPRETATION OF CHERRY PICKING
. AND NOW WITH A RANDOM
ASSIGNMENT OF SORTS THAT SEEMS
TO BE NOT IN THE SAME. THAT
DOESN'T HOLD THE SAME KIND OF
WEIGHT. AND SO I'M WONDERING IF
YOU CAN SPEAK ON THAT PARTICULAR
ONE. AND IF YOU FEEL THE
AMENDMENTS THAT HAVE BEEN TAKEN
TO THIS BILL, SATISFY THAT
CONCERN SO I THINK. I WOULD SAY
THE AMENDMENTS TO DATE NO DO NOT
ADDRESS THAT CONCERN. I DON'T I
DON'T BELIEVE IT'S FULLY
RESOLVED, IN PART BECAUSE THERE
IS LANGUAGE. THAT WE SAW WITH
THE TRAILER BILL LANGUAGE. THE
DEPARTMENT RELEASED AFTER THE
MAY REVISION THAT INCORPORATES
THE DEFAULT COMPONENT. UM BUT
THERE'S NO IT IS VERY OPEN ENDED
, AND WE HAVE HEARD THAT THE
VAST MAJORITY OF KAISER'S
ENROLLMENT WILL CONTINUE TO BE
FROM CONTINUITY OF CARE, WHICH
IS WHAT IT IS TODAY IN THE
COUNTIES THAT THEY SERVE, AND
THAT IS WHERE WE SEE. THE
SIGNIFICANT DIFFERENCE IN ACUITY
IN THE MEMBERS WE SERVE, AND SO
JUST TO GIVE A VERY SPECIFIC
EXAMPLE IN WHERE LOCAL PLANS
SUBCONTRACT WITH KAISER TODAY
FOR SENIORS IN PERSONS WITH
DISABILITY WHO ARE THE YOU KNOW
POPULATION WITH THE HIGHEST
NEEDS GREATER SECURITY. IN NEED
OF THE MOST CARE. ON AVERAGE,
THE LOCAL PLANS MEMBERSHIP IS
50% MORE ACUTE THAN KAISER. SO I
DO THINK OUR CONCERNS ARE NOT
RESOLVED, WHICH IS IN PART WHERE
WE'RE KIND OF ASKING FOR SOME
GUARDRAILS, PARTICULARLY AROUND
RATES. AND AGAIN APPRECIATE DR
PAN YOUR WORK THERE. UM AND WE
WOULD HOPE TO CONTINUE THE
DIALOGUE. I THINK AROUND IT IF
THERE IS ANY OPPORTUNITY TO MAKE
THOSE A LITTLE BIT MORE ALIGNED
AND GO FURTHER THAN WHAT WE SEE
THEM INSTANTLY TODAY, AGAIN,
APPRECIATING THE DIRECTION IN
THE HARD WORK. THANK YOU. THANK
YOU. AND NOW, ACTUALLY, FOR THE
AUTHOR, THANK YOU FOR ALL THE
TIME THAT YOU'VE PUT INTO THIS.
I KNOW YOU'VE PROBABLY TALKED TO
EVERY SINGLE MEMBER OF THIS
COMMITTEE. YOU KNOW ABOUT THIS.
CAN YOU SPEAK TO JUST YOUR
REACTION ON HEARING SOME OF THE
YOU KNOW LOCAL PLANS, CONCERNS
RELATED TO THE RATES AND THE
ADDING OF THE DATE AND HOW YOU
REACT TO THINKING ABOUT THAT. I
THINK THE AMENDMENTS THAT WE
PLACED IN FOR TODAY ALIGN US
WITH WHERE THE OTHER MEDICAL
MANAGED CARE PLANS ARE AND
BELIEVE THAT'S IMPORTANT FOR US
TO DO. SO. WILL THOSE BE ONGOING
DISCUSSIONS OR DO YOU SIMPLY
FEEL THAT THIS HAS BEEN
COMPLETELY ADDRESSED IN TODAY'S
AMENDMENTS? THE RATES HAVE BEEN
ADDRESSED AND ARE COMPLETE.
OKAY, DATE. I'M NOT. I'M NOT
TRYING TO PUT YOU ON THE SPOT OR
ACTUALLY NEGOTIATE ANY
AMENDMENTS. THAT'S NOT WHAT I'M
TRYING TO DO. I'M JUST TRYING TO
UNDERSTAND THE TYPE OF
CONVERSATION THAT WOULD GO. I
THINK MANY OF US ARE MORE
FOCUSED ON ALIGNING THIS WITH
CAL, AIM THE ADVANCING AND
INNOVATING MEDICAL AND MAKING
SURE THAT WE CAN BEGIN ON
JANUARY. 1ST OF 24. THAT'S THE
DATE MANY OF US ARE LOOKING
FORWARD TO SO WE CAN IMPROVE THE
HEALTHCARE THAT A THIRD OF ALL
CALIFORNIANS ARE ON. THANK YOU
AND THE NEXT QUESTION. IT
RELATES TO JUST THE PIECE
RELATED TO THE REPORTING OF THE
LEGISLATIVE REPORTING TO THE
LEGISLATURE. WHAT IS IT THAT YOU
ENVISIONED THAT THIS IS REALLY
GOING TO LOOK LIKE AND WHAT
TYPES OF INFORMATION WOULD YOU
KNOW AS AN AUTHOR AND WOULD
DRIVE. YOU LET'S SAY, YOU KNOW
TO REALLY THINK THAT PERHAPS
THIS IS IT NEEDS A LITTLE BIT OF
UPDATING. IF THAT'S SOMETHING
THAT COMES OUT OF IT. I BELIEVE
IT'S IMPORTANT LIKE WE DO WITH
ALL OF OUR MEDICAL MANAGED CARE
PLANS TO BE FOLLOWING THEIR
METRICS AND TO BE HOLDING THEM
ACCOUNTABLE. OFTENTIMES WE DON'T
HAVE THAT LEVEL OF TRANSPARENCY.
WHEN YOU HAVE A PRIME AND SUB
CONTRACT, THEY HAVE PROPRIETARY
INFORMATION THEY ARE UNWILLING
TO SHARE WHEN WE HAVE A DIRECT
CONTRACT. I BELIEVE WE WILL HAVE
MORE ACCOUNTABILITY. AND SO I'M
LOOKING FORWARD TO RECEIVING
THAT DATA. AND BELIEVE IT WILL
BE IMPORTANT. I THINK IT'S THE
METRICS THAT WE TRADITIONALLY
FOLLOW, THOUGH, WITH MEDICAL
MANAGED CARE, WHICH WOULD BE
IMPORTANT I WILL FOLLOW UP,
THOUGH, AND SAYING I HAVE A
PARTICULAR INTEREST IN MAKING
SURE THERE ACHIEVING AND
OVERACHIEVING WITHIN BEHAVIORAL
HEALTH AS WELL. THANK YOU. AND I
THINK FOR ME MY HOPE IS THAT THE
REPORTING TO THE LEGISLATURE IS
NOT JUST A REPORT THAT SITS ON A
DESK WITH AN UPDATE, BUT THAT
ALLOWS COMMITTEES AND
LEGISLATION TO THE LEGISLATURE
TO PROVIDE LEGISLATIVE, YOU
KNOW. INPUT ON WHAT WE ARE ARE
NOT SEEING SHOULD THIS MOVE
FORWARD? YOU KNOW, I WILL ECHO.
IT'S ALREADY BEEN SAID, YOU
KNOW, RELATED TO BEHAVIORAL
HEALTH. I THINK IT'S NOT LOST ON
US HOW BIG OF A PIECE THIS IS
AND ADDING TO A SYSTEM. THAT'S
ALREADY STRUGGLED IS VERY SCARY
. I NOT JUST YOU KNOW THIS WEEK
, BUT IT'S SCARY. EVERY DAY THAT
WE THINK ABOUT THIS. WE ALREADY
KNOW WE DON'T HAVE THE NEEDS. SO
IT'S MY HOPE THAT YOU KNOW WE DO
THINK ABOUT THIS IN A MORE
ROBUST WAY. YOU'VE HEARD A THEME
IN THIS COMMITTEE ABOUT THIS
PARTICULAR PIECE THAT IS OF
CONCERN TO US. I KNOW KAISER'S
LISTENING, AND I KNOW KAISER IS
ALSO NOT ALONE IN OUR NEEDS TO
BE ABLE TO DO THIS, AND SO I
APPRECIATE EVERYONE'S WORK. I
HAVE STRUGGLED SIGNIFICANTLY
WITH THIS BILL. BUT BASED ON
WHERE WE ARE TODAY, I WILL BE
SUPPORTING IT. AND I DON'T KNOW
WHERE I WILL BE ON THE FLOOR. I
WANT TO BE CLEAR ABOUT THAT.
THIS IS HARD. I HAVE COUNTIES
THAT ARE SPLIT, BUT BUT IT'S NOT
LOST ON ME. AH. HOW MUCH THIS
HAS CHANGED. WITH LEGISLATIVE
INSIGHT AND, OH, AND OVERSIGHT
AND INPUT. SO THANK YOU. THANK
YOU. THANK YOU, SENATOR. LIMÓN
SARAH LEYVA. THANK YOU VERY MUCH
. DOCTOR PAN. MR CHAIR. I KNOW
THIS HAS BEEN A LONG
CONVERSATION, AND I HAVE
APPRECIATED HEARING FROM
EVERYONE. I JUST REALLY WANT TO
SAY THANK YOU, DOCTOR ARAMBULA
FOR BRINGING THIS BILL FORWARD
AND I WANT TO SAY THANK YOU TO
DR PAN FOR WORKING BOTH OF YOU
WORKING SO HARD AND EVERYBODY
WHO'S BEEN INVOLVED AND WORKED
ON THIS BECAUSE I THINK YOU KNOW
WHEN WE FOUND OUT I THINK IT WAS
AROUND JANUARY. WE ALL WOKE UP
ONE DAY AND FOUND OUT THIS DEAL
WAS HERE. AND SO I THINK
EVERYBODY HAS BEEN SCRAMBLING TO
FIGURE OUT HOW DO WE MAKE THIS
THE BEST DEAL POSSIBLE FOR THE
PEOPLE THAT IT'S GOING TO SERVE
THE MEDICAL PATIENTS, SO IT IS
NOT PERFECT, BUT I ALSO DO NOT
THINK THAT WE SHOULD EVER LET
PERFECT GET IN THE WAY OF GOOD.
I TOO, HAVE CONCERNS ABOUT
BEHAVIORAL HEALTH. I DO THINK
THAT KAISER CAN IMPROVE THEIR
BUT I THINK AS MY FRIEND FROM
STOCKTON SAID. ALL OF OUR
HEALTHCARE SERVICES CAN IMPROVE
WHEN IT COMES TO BE BEHAVIORAL
HEALTH, AND MAYBE THERE'S
SOMETHING THAT WE CAN DO AS A
LEGISLATURE. I KNOW WE'VE BEEN
TRYING. I KNOW. SENATOR WIENER
YOUR BILL LAST YEAR GREAT BILL,
WHICH YOU SAID WAS GOES INTO
EFFECT IN TWO WEEKS. UM BUT I
JUST REALLY MOSTLY WANT TO THANK
EVERYBODY FOR BEING SO CONCERNED
AND REALLY TRYING TO MAKE THIS
BILL THE BEST BILL POSSIBLE SO
THAT WE CAN SERVE ADEQUATELY
SERVE OR BETTER THAN ADEQUATELY
SERVE MEDICAL PATIENTS. SO I
WILL. I WILL BE SUPPORTING THE
BILL TODAY. AND I HOPE AS A
LEGISLATURE. WE JUST KEEP DOING
EVERYTHING WE CAN TO MAKE SURE
THAT HEALTHCARE IS ACCESSIBLE
FOR EVERYONE. THANK YOU. THANK
YOU, SENATOR. THANK YOU. UM I
HAVE A FEW QUESTIONS, FRIEND,
AND MAYBE WE CAN GO BACK AND
THEN PEOPLE HAVE THINGS AFTER WE
CAN COME BACK TO PEOPLE. SO THIS
IS NOT THE LAST WORD. SO CASE OF
BECAUSE I WAS LISTENING TO WHAT
PEOPLE RAVEN ASKING ABOUT, UM
ALSO, OF COURSE, HER TESTIMONY
AND FIRST OF ALL, I JUST WANT TO
THANK, UM SOME ARAMBULA REALLY
APPRECIATE YOUR LEADERSHIP IN
THIS AND I THINK DIRECTOR PASS.
WE'VE HAD MANY CONVERSATIONS AS
WELL. AND JUST, YOU KNOW, SO I
REPRESENT SACRAMENTO COUNTY,
WHICH ACTUALLY HAS A DIRECT
CONTRACT WITH KAISER. WE HAVE
GEOGRAPHIC MANAGED CARE, SO
WE'RE SO CERTAINLY HAVE A LOT OF
EXPERIENCE WITH WHAT MEANS TO
HAVE A DIRECT CONTRACT WITH
KAISER. COUNCIL REPRESENT YELLOW
COUNTY, WHICH IS A COAST COUNTY
HAS PARTNERSHIP HEALTH PLAN.AND, UM AND SO. AS WE'RE LOOKING
AT THIS PARTICULAR CONTRACT,
WHICH ESTIMATE WAS A LITTLE BIT
OF A SURPRISE, RIGHT BECAUSE
WE'RE TRYING TO FIGURE OUT LIKE
WHERE OUR GMC WAS GOING, AND
WE'RE WONDERING WHAT'S GOING TO
HAPPEN TO KAISER. AND SUDDENLY
NOW WE HAVE THE STATEWIDE
CONTRACT HEUSER SHOWING UP RIGHT
AS WE'RE TRYING TO IMPLEMENT
CALLUM AND SO FORTH. UM THAT AH
, YOU KNOW THINGS LIKE, OKAY, SO
THERE'S GOING TO BE PLUSES AND
MINUSES, RIGHT AND NOW I JUST
WANT TO SAY SORT OF PANAM LINE
AND I'M GONNA GET A BREAK DOWN.
A FEW DETAILS IS THAT I AGREE
WITH YOU, SENATOR. RAINBOW. I
MEAN ASSEMBLY. REMEMBER THAT
THAT THIS IS GOING TO LEAD US
INTO A BETTER PLACE. NOW, MAYBE
NOT EVENLY ACROSS THE BOARD, BUT
IT'S GOING TO BE BETTER, AND I
THINK THAT'S THE MEASURE, RIGHT.
IS IT GOING TO BE BETTER THAN
WHAT WE HAVE NOW? NOW. THE
CHALLENGES THAT THERE'S
CERTAINLY A LOT OF DIFFERENT
ISSUES NOW. IT'S VERY SIMPLE. I
WON'T TOUCH ON THE CHERRY
PICKING PART AND, UM AND I HAVE
TO SAY THAT I HAVE CONCERNS
ABOUT CHERRY PICKING ELIZABETH.
THIS WAY. KAISER IS GOING TO BE
DIFFERENT. RIGHT? SO ONE OF THE
STANDARDS I THINK WE TRIED TO
APPLY AND I KNOW SIMILAR RAMBLER
WE TALKED ABOUT IS THAT WELL, WE
WANT TO TRY TO BE SURE TRY TO BE
AS PLANNED AGNOSTIC AS POSSIBLE.
UNDER STANDARD, SO WE'RE NOT
LIKE PICKING OUT KAISER FOR
SOMETHING, ETCETERA THAT WE'RE
TRYING TO APPLY THE STANDARD THE
SAME STANDARD ALL THE PLANS, BUT
WE CANNOT DENY THAT IN THIS
LEGISLATION AND IN THIS
AGREEMENT KAISER WILL BE A BIT
DIFFERENT, RIGHT? THEY HAVE A
STATEWIDE CONTRACT. THEY ALSO
THEY DON'T HAVE TO TAKE ALL
COMERS LIKE THE OTHER PLANS. DO
YOU KNOW WE HAVE OUR WE
UNDERSTAND THE REASONS THAT WAS
GIVEN FOR THAT, BUT THAT'S STILL
DIFFERENT. AND BECAUSE OF THAT,
AND YES, THEY MAY TAKE A FEW
MORE EDDIES. AND THE FASTER
CARES THAT THOSE PROGRAMS A
LITTLE HIGHER RISK. YOU'RE GOING
TO HAVE THAT THEIR PREVIOUS
PATIENTS, ETCETERA THAT, UM SO
WE DON'T KNOW WHAT THE RISK MIX
IS ACTUALLY GOING TO BE NOW I
HAVE TO MEET MY GUESTS. YOU
KNOW, I'M NOT WITH MY BACKGROUND
IN PUBLIC HEALTH AND VIOLENCE.
IT IS OF WHERE THIS IS THAT
THEY'RE PROBABLY STILL END UP
WITH THE PROBABLY A BETTER
POPULATION, BUT I DON'T KNOW,
BUT I THINK ONE OF THE THINGS IS
THAT AND I REALLY APPRECIATE THE
ADMINISTRATION AND OUR WORK ON.
THIS IS THAT, UH THERE IS THERE
ARE CLEAR GUARDRAILS ABOUT
SAYING THAT HOW WE'RE GOING TO
DO PAYMENT AND MEDICAL IS GOING
TO BE YOU KNOW WE'RE GOING TO DO
IS THAT IN. THIS APPLIES TO ALL
THE PLANTS BUT INCLUDES KAISER
IS THAT IF KAISER'S TAKING
BASICALLY THE PLAN IS TAKING
KAISER THEY PLAN TAKES CARE OF A
HEALTHIER SET OF PATIENTS, AND
BY THE WAY, IT'S GOING TO BE
BASED ON AND THEIR BENEFICIARIES
AND THAT YOU KNOW WE'RE DOING
REGIONAL RATES. SO IN THAT
GEOGRAPHY UM AND THEY HAVE A
LOWER RISK SET OF PATIENTS, THEN
THEIR RISK SUGGESTED, WILL BE A
FRONT FLIP LIKE THAT. IF THEY
EVER SICKER SET OF PATIENTS,
THEY WILL RIGHT SO AND YOU KNOW
MY STAFF WE LOOK VERY CAREFULLY
AT BECAUSE I KNOW THERE'S YOU
KNOW, THERE'S CROSS REFERENCES
AND SO FORTH, ETCETERA S WE'RE
LOOKING AT HOW THIS IS ALL
PUTTING TOGETHER THAT I DO FEEL
COMFORTABLE THAT WE HAVE THE
LEGAL GUARDRAILS AS WELL AS OF
COURSE, THE COMPETENT
ADMINISTRATION. I WANT TO
UNDERSCORE THAT. I MEAN, I GUESS
THEY REALLY WANTED TO. THEY
COULD PROBABLY FIND AROUND THE
CITY ARAB. I KNOW THAT'S NOT
WHAT THEY'RE GOING TO DO. I'M
ALSO, I GUESS. SOMEONE WHO SAYS
, WELL, I DON'T KNOW. YOU KNOW,
MICHELLE BASTARD'S GONNA
DIRECTOR OF THE HCS FOREVER. UM
MAYBE WE'D LOVE HER, TOO. BUT
I'M NOT SURE SHE'D WANT TO, OR
FAMILY. SO LIKE IF WE HAD
ANOTHER DIRECTOR WHO WAS LESS
COMMITTED WE STILL HAVE THE
THINGS IN PLACE TO SAY NO,
DIRECTOR, GOVERNOR, WHOEVER WE
STILL HAVE TO DO THIS. WE AT
LEAST I FEEL COMFORTABLE THAT AT
LEAST THE CURRENT CODE THE WITH
THE AMENDMENTS WERE PUTTING IN
AS WELL AS THE EXISTING CODE.
IT'S PRETTY CLEAR THAT THIS IS
GOING TO HAPPEN IS WE'RE NOT
GOING TO ALLOW ANY HEALTH PLAN,
INCLUDING KAISER, BUT ANY HEALTH
PLAN TO BE ABLE TO SORT OF, YOU
KNOW, NOT HAVE TO DO NOW. THERE
ARE NO I'M SURE THE LOCAL TOWNS
MAY SAY WAIT, WAIT, WAIT A
MINUTE, YOU KNOW? YES THERE ARE
WAYS WE CAN PLAY AROUND WITH THE
METHODOLOGY IS THE METHODOLOGY
GOOD ENOUGH, ETCETERA. OKAY BUT
THOSE ARE THINGS THAT WHEN WE DO
IMPLEMENTATION, WE SEE THAT'S
HAPPENING. WE SHOULD PAY
ATTENTION ADDRESS IT. SO I GUESS
SOME OF MY STATEMENTS ARE GOING
TO BE IS LIKE, WHAT ARE SOME
THINGS THAT I SEE GIVEN THIS
BILL THAT WE AS LEGISLATORS NEED
TO CONTINUE TO PAY ATTENTION TO,
BECAUSE, AFTER ALL, I THINK
WE'RE GONNA DO OUR WORK TO TRY
TO DO OUR BEST EFFORT WITH THIS
BILL. BUT OF COURSE, WE DON'T
KNOW WHAT'S GOING TO ACTUALLY
HAPPEN. AND SO WHERE ARE THE
POTENTIAL? AREAS WHERE PROBLEMS
MAY POP UP THAT WE NEED TO PAY
ATTENTION. SO I THINK, YOU KNOW,
SO I THINK IF WE PUT IN ALL THE
GUARDRAILS WE CAN REASONABLE
AROUND THE THAT AND THEN LET'S
SEE WHAT HAPPENS. AND IF IT
TURNS OUT, WE NEED A BETTER
METHODOLOGY. THEN WE WILL CALL
ON DHC ESTÁ. JUSTIFIED OR
METHODOLOGY AND MAKE IT BETTER,
RIGHT AND SO FORTH, RIGHT? SAME
WITH THE ACTUALLY THE COMMUNITY
CONNECTED CONNECTION. SO ONE OF
THE THINGS I WAS REALLY WORRIED
ABOUT WAS IS THAT FOR ARCHOS
COUNTY ACTUALLY FOR ALL OUR
COUNTIES BECAUSE AFTER I JUST
HAD TO BUILD PER SACRAMENTO
COUNTY. WHERE YOU KNOW WE WERE
AT THE COUNTY BEING GAUGED
BECAUSE BEFORE I HAD KAISER
CONTRACT AND THEY DIDN'T HAVE TO
TALK TO SACRAMENTO COUNTY VERY
MUCH RIGHT. AND SO WE HAD JUST
PUT THAT IN PLACE AND AL QAEDA
IS GOING TO HAVE A STATEWIDE
CONTRACT. SO DO I KNOW KAISER IS
GOING TO TALK TO US, RIGHT? AND
SO, SO WE DO HAVE THOSE THINGS
IN PLACE. THOSE NOT JUST MOU BUT
THE REQUIRED ESSENTIALLY, THEY
HAVE TO FOLLOW THE SAME RULES OF
OTHER PLANTS. OF COURSE, WE WILL
PAY ATTENTION AND SEE. WE HAVE A
SITUATION WHERE COUNTY AND SAYS,
YOU KNOW WHAT? CHRIST WAS NOT
BEING VERY COOPERATIVE WITH US,
AND WE DON'T FEEL COMFORTABLE
SAYING MOU. ARE YOU GONNA TWIST
HER ARM TO MAKE A SIGN SOMETHING
RIGHT? THAT'S SOMETHING WE HAVE
TO LOOK FOR. VICE VERSA, TOO, IS
A CUT. IT'S A COUNTY GOING TO BE
RECALCITRANT AND REFUSED. AND
JUST BECAUSE, BUT YET THEY'RE
WILLING TO AGREE TO THAT. BUT
ANOTHER MEDICAL PLAN, BUT NOT
WITH KAISER, YOU KNOW, SO I
MEAN, THAT WOULD BE ANOTHER
SITUATION WHICH WOULD SHOW THAT
BY THE WAY, MAYBE THERE SO ARE
ESSENTIALLY, UH, YOU KNOW, IS
THERE A FAIR IS THERE ACTUALLY A
TRUE GOOD, SO THAT'S SOMETHING
WE NEED TO PAY ATTENTION TO, BUT
I FEEL LIKE THAT AGAIN THAT THE
COMPONENTS THAT ARE READY IN THE
BOTH THIS BILL BUT ALSO THE
EXISTING CODE BECAUSE THAT'S THE
OTHER THING. WE WERE LOOKING AT
THE EXISTING CODE AS WELL,
BECAUSE WE HAVE THESE THINGS IN
EXISTING CODE. THAT BASICALLY
CALLS ON ALL THE HEALTH PLANS,
INCLUDING KAISER, THROUGH THIS
CONTRACT, WILL HAVE TO MEET IN
TERMS OF ENGAGING WITH THEIR
COUNTY. SO THAT'S THAT'S BEEN
REALLY IMPORTANT. UM YOU KNOW
ONE OF THE ISSUES THAT OF
COURSE, THE MENTAL HEALTH PIECE
RIGHT? I HAVE TO SAY I'D LIKE TO
HAVE A LITTLE SOMETHING
STRONGER, BUT IT'S WHAT WE
AGREED UPON. YES WERE THEY? THEY
HAVE TO. FIRST OF ALL THEY HAVE
TO. WE HAVE TO DO AN ASSESSMENT
AND BY THE WAY, AND WE LOOKED AT
WHAT HAPPENED NORMALLY HAPPENS
TO A HEALTH PLAN THAT DOESN'T
FOLLOW THROUGH. THEN THEY WILL.
IF THEY'RE NOT THERE. THEY HAVE
TO RESPOND WITH A CORRECTIVE
ACTION PLAN RIGHT THAT THE HCS
WILL EXPECTING. THAT PROBABLY
APPLIES TO ANY OTHER PLAN AS
WELL. PAN THAT WOULD ACTUALLY
HAPPEN BEFORE THE CONTRACT WILL
KICK INTO PLACE BECAUSE WE'RE
ACTUALLY REQUIRING A PRE
ASSESSMENT AHEAD OF TIME. IS
THAT PERFECT NÓ? BUT BY THE WAY,
IT'S GOING TO BE PUBLIC. ALRIGHT
SO EVERYONE WILL KNOW IF KAISER
STILL ISN'T THERE BY THE TIME
WE'LL KNOW WHAT THE HCS IS GONNA
REQUIRE OF KAISER BEFORE THEY
START AS A CORRECTIVE ACTION
PLAN TO BE SURE THEY MEET THAT.
SO SO THOSE ARE THE OVERSIGHT
HOOKS THAT WE HAVE IN THERE AND
THEN FINALLY, UM YOU KNOW, FOR A
LITTLE WHILE WE ENTERTAIN THIS
IDEA OF A, UH, BASICALLY, UM,
VISIT SUNSET DATE AND UNDERSTOOD
THAT THAT COULD BE PROBLEMATIC.
SO I GUESS I WOULD SAY IN 2027
BECAUSE THIS CONTRACT LIKES
PLACE 2024 THIS THREE YEARS
AFTER THAT, SO WHOEVER IS STILL
HERE IN 2027. I CERTAINLY HOPE
THAT THEY'RE GOING TO HAVE AN
INFORMATIONAL HEARING IN THE
ASSEMBLY AND THE SENATE. WHERE
THE HCS AND KAISER AND ALSO
WHOEVER ELSE COMES AND SAY THIS
IS THIS IS WHAT'S HAPPENED AFTER
THREE YEARS. WHAT WORKED? WHAT
DIDN'T WORK? WHAT ARE THE THINGS
WE'RE WORRIED ABOUT? THAT WE
DIDN'T HAVE TO WORRY ABOUT WHERE
THE THINGS WE MISSED. ETCETERA
IS THE MENTAL HEALTH. OKAY,
RIGHT IS THAT THAT ETCETERA? AND
BEFORE THE NEXT PROCUREMENT.
THAT'S WHY IT'S IN THE BILL. BUT
THEN IT'S GOING TO BE COUNTING
ON. YOU KNOW, THAT'S OUR
SUCCESSORS OR SOME OF THE YOU
WHO ARE STILL HERE TO BE SURE WE
FOLLOW THROUGH ON THAT AS WELL.
SO WE DID PUT THAT IN THERE SO
THAT WE CAN ACT PRIOR TO THE AND
EITHER FIX IT OR TELL THEM LIKE,
HEY, THIS KIND OF THING DIDN'T
WORK. WE'RE BAILING ON THAT.
OKAY BEFORE WE DO THE NEXT
PROCUREMENT, SO, UM, SO WE
WORKED HARD TO PUT ALL THESE
DIFFERENT PIECES. THERE'S OTHER
PIECES. I KNOW THAT THE DIRECTOR
TALKED ABOUT. UM SO YES, THERE
ARE CONCERNS. WE PUT THINGS IN
THERE TO MITIGATE THIS CONCERNS
? YES KAISER IS DIFFERENT IN
SOME WAYS, BUT YET THEY'RE GOING
TO BE HELD ACCOUNTABLE LIKE
EVERY OTHER PLAN, AND THEN SOME.
THAT'S WHAT WE THAT'S WHAT WE
LANDED ON. AND THAT'S WHY, UM,
YOU KNOW, I'M SUPPORTING THE
BILL. UM, I THINK WE DID SOME
GOOD WORK HERE. THAT WORK WILL
ONLY BE BETTER FOR FOLLOW UP AND
OVERSIGHT BY THE LEGISLATION. I
THINK WE DID THE BEST WE CAN TO
GET IT TO THIS 0.2 AND FOR
IMPLEMENTATION, AND MAYBE
THERE'S A FEW MORE TWEAKS BEFORE
WE, YOU KNOW, GET IT THROUGH THE
FLOOR, ETCETERA. BUT THEN AFTER
THAT THE REAL WORK IS THAT AS
THE HCS ROLLS OUT, YOU KNOW DOES
THE CONTRACT IS THERE AND I WENT
ANOTHER THING I JUST WANT
FINALLY ACKNOWLEDGES THAT THERE.
WE ARE CHANGING THE COAST MODEL
. OKAY AND SO I YOU KNOW THE
LOOK FOR THE LOCAL HEALTH PLANS.
YOU CAME TO ME AND SAID, HEY,
LET'S JUST TAKE OUT ALL THE
CODES, COUNTY AND I SAID, WELL,
YOU KNOW WHAT? UM THAT
ESSENTIALLY UPENDS THE WHOLE
IDEA. I MEAN, IN ANY WAYS OF
HAVING THIS. OKAY, SO, YES, THIS
IS A BIG CHANGE, RIGHT? AND I AM
CONCERNED ABOUT WHAT HAPPENED TO
THE COAST COUNTIES. RIGHT IT IS,
IT IS GOING TO BE A BIG
DIFFERENCE FROM COUNTIES THAT
HAVE COUNTY ORGANIZED SYSTEM,
ALRIGHT, BECAUSE THEY WON'T HAVE
ALL THE MEDICAL PATIENTS
ANYMORE. THAT'S GOING TO BE
DIFFERENT. AND WE'RE GOING TO
SEE HOW THAT WORKS OR DOESN'T
WORK. AND IF IT DOESN'T WORK
VERY WELL, AND THERE'S A LOT OF
PROBLEMS BECAUSE WE ARE
FRAGMENTING IN THAT IN THOSE
COUNTIES RIGHT NOW, WE THERE'S
GOING TO BE THE POTENTIAL
FRAGMENTATION. SO WE DO NEED TO
MONITOR AND SEE WHAT HAPPENS.
YES, IT'S A GOOD BRI A BIT OF A
BRAVE NEW WORLD THERE, UM,
AFTERNOON ACKNOWLEDGE THAT AND
SO WE ARE GOING A LITTLE BIT
INTO THE UNKNOWN AT LEAST SINCE
WE ESTABLISHED CODES WHEN YOU
KNOW, HOWEVER MANY YEARS AGO FOR
EACH DIFFERENT COUNTY WHEN THEY
GOT IT. SO YEAH, WE ARE GOING TO
A BIT OF A BRAVE NEW WORLD
THERE. UM AH, WE HOPE THAT
ACTUALLY BY BUILDING ADDING THE
CAPACITY OF THE KAISER SYSTEM
THAT EVEN FOR THE COWS COUNTY
THAT ACTUALLY IT WILL HELP. I
MEAN, THAT'S THE HOPE. RIGHT SO
THAT THAT WE'RE GOING TO BUILD
MORE CAPACITY IN THE MEDICAL
SYSTEM, BUT THAT'S SOMETHING WE
HAVE TO KEEP A CLOSE EYE ON AND
SEE. AND CERTAINLY SOMEONE WHO
REPRESENTS A COAST COUNTY. YOU
KNOW, I'M GOING TO BE KEEPING AN
EYE ON IT. I WON'T BE IN THE
LEGISLATURE IN 2027, BUT I'LL BE
KEEPING AN EYE ON BUGGING MY
LEGISLATOR. WHOEVER NOW IS GOING
TO REPRESENT THE AREA. ABOUT THE
K OR EVEN PAYING ATTENTION TO
THIS AND WHAT'S GOING ON. SO
WITH THAT? I KNOW I'VE SORT OF
GONE ON FOR A WHILE. I KNOW SOME
OF MY OTHER MEMBERS DO HAVE SOME
FOLLOW UP QUESTIONS, SO THIS IS
NOT THE CONCLUDING REMARK. SO
AGAIN. I AM SUPPORTING THIS AND
I APPRECIATE ALL THE WORK THAT'S
BEEN DONE, AND BUT WE'RE GOING
TO NEED TO CONTINUE TO WORK TO
BE SURE IT PLAYS OUT THE WAY WE
HOPED IT WELL, SO PUT THAT. OKAY
I SEE SENATOR RUBIO. YOU HAVEN'T
SPOKE YET. I'M GONNA LET YOU GO
FIRST. AND THEN I KNOW THERE MAY
BE SOME OTHER MEMBERS WHO WANTED
TO ADD ON THAT. OKAY. THANK YOU.
THANK YOU. AND YOU KNOW, I DON'T
WANT TO REITERATE ALL THE
CONCERNS THAT EVERYONE HAD, AS
I'VE ALREADY HAD EXPRESSED THEM
WHEN WE HAD. I BELIEVE IN
INFORMATIONAL HEARING, AND BUT I
DO BELIEVE THAT IT'S COME A LONG
WAY AND MOST OF THE CONCERNS, I
THINK CITIES FOR MYSELF THAT
I'VE EXPRESSED TRAIN THAT
INFORMATION OR HEARING HAVE ARE
ALMOST LANDED. I SAY ALMOST VERY
CAUTIOUSLY, BUT I DO KNOW THAT
YOU'VE BEEN AT THE TABLE. I
MEAN, WE'RE ALL HAVING CALLS
LATE LAST NIGHT, SO I KNOW HOW
HARD WE'VE BEEN WORKING ON THIS
BILL, SO I DO APPRECIATE
EVERYTHING THAT YOU'VE DONE. AND
I KNOW THERE WERE CONCERNS ABOUT
THE CAPACITY TO HANDLE THE
MENTAL HEALTH SERVICES AND
YOU'RE STILL WORKING ON SOME OF
THOSE ISSUES. BUT I ALSO HAD
CONCERNS ABOUT THE STATEMENT
ABOUT CHERRY PICKING THE TYPES
OF PATIENTS, BUT I KNOW THAT
THEY'RE SAFE GUARDS AS IT
PERTAINS TO THAT, AND AH AGAINST
ME. I JUST HAVE TO POINT OUT HOW
FAR IT'S COME FROM WHERE WE
STARTED AND THAT INFORMATIONAL
HEARING TO NOW AND EVERY ISSUE
THAT I WOULD ADDRESS AND I THINK
I HEARD MOST OF MY COLLEAGUES
STATE HAVE ALSO BEEN ADDRESSED.
IT'S NOT QUITE PERFECT THAT I'M
SAYING CAUTIOUSLY. I KNOW THAT
WE WERE DISCUSSING THE BILL, SO
THERE'S A LOT OF THINGS THAT MAY
NOT BE. QUITE FINALIZED IN
PRINT, BUT I WILL BE SUPPORTING
IT AS ONE HOPE THAT YOU CAN GET
THERE. THANK YOU. THANK YOU,
SENATOR. THANK YOU. I KNOW
SARAH. I THINK IT WAS TWO CHAIR.
I JUST WANT TO SAY THAT I
APPRECIATE THE ADMINISTRATION'S
EFFORTS TO MEET THE OBJECTIONS
RAISED BY THE OPPOSITION AND
SOME CONCERNS RAISED BY BY ME
AND MY COLLEAGUES DURING THIS
PROCESS. I CERTAINLY AGREE WITH
MY COLLEAGUES TO THE RIGHT. WHEN
THEY TALK ABOUT THE ADEQUACY OR
IN ADEQUACY OF MENTAL HEALTH
SERVICES. I'VE BEEN CONCERNED
ABOUT THAT IN CALIFORNIA AND IN
PARTICULAR IN INLAND SOUTHERN
CALIFORNIA FOR A VERY, VERY LONG
TIME. I WOULD LIKE TO SEE THE
ADMINISTRATION CONTINUED TO WORK
TO BUILD MORE ACCOUNTABILITY.
REGARDING THE ADEQUACY OF MENTAL
HEALTH SERVICES INTO THIS
CONTRACT AND FRANKLY, INTO ALL
OF OUR MEDICAL PROGRAMS IN THE
STATE. YOU KNOW, I SOME OF YOU
MAY KNOW I CAME OUT OF THE
MILITARY A LONG, LONG TIME AGO,
BUT WE USED TO SAY WHAT GETS
MEASURED GETS DONE. AND I SORT
OF LAUGHED ABOUT THAT WHEN I
FIRST STARTED IN THE MILITARY,
BUT WHAT I FOUND IS IT'S
ABSOLUTELY RIGHT. IF YOU MEASURE
IT. CAN YOU REPORT IT?
SOMEBODY'S GOING TO GET IT DONE.
SO I SAY LET'S DEVELOP AND
ENHANCED. SET OF PERFORMANCE
METRICS AND PERHAPS, UM, ANNUAL
REPORTS ON THE ISSUE OF ADEQUACY
OF MENTAL HEALTH. CARE AND
TREATMENT BOTH IN THIS CONTRACT
AND FRANKLY OTHERWISE, BY BY DHC
S AND THE MHC. UM AND LET'S SEE
WHAT THAT BRINGS. BUT I'M
CONFIDENT THAT WAS THIS
CONTINUED WORK AND FOCUS THAT
THE ADMINISTRATION HAS
DEMONSTRATED WITH RESPECT TO
THIS ISSUE IN THIS CONTRACT.
WE'RE GOING TO SEE SOME
IMPROVEMENTS IN THIS AREA IN THE
STATE OF CALIFORNIA. SO THANK
YOU VERY MUCH, MR CHAIR AND I'LL
BE SUPPORTING THE BILL TONIGHT.
OKAY ANY OTHER QUESTIONS OR
COMMENTS? SENATOR WIENER. THANK
YOU, MR CHAIR. I JUST WANT TO
CIRCLE BACK WITH THE
ADMINISTRATION ON MY QUESTION
ABOUT THE DMH. I BELIEVE THEY
HAVE CALLED IN NOW. MARY
WATANABE DIRECTORS ON OKAY,
WONDERFUL. THANK YOU. I REALLY
APPRECIATE IT. SO MODERATOR, DO
WE HAVE DIRECTOR WATANABE
AVAILABLE NOW ON THE PHONE LINE?
I MEAN, I'M HERE. THANK YOU,
MARY WATCHING THE DIRECTOR OF
THE DEPARTMENT OF MANAGED
HEALTHCARE, UM, HAPPY TO ANSWER
ANY QUESTIONS. THANK YOU. SO IF
YOU DON'T JUMP INTO WHAT WE'RE
DOING, YEAH, GO AHEAD. LET LET
ME LET SARAH WIENER ASKED THIS
QUESTION. AND THEN YOU CAN
ANSWER IT. THANK YOU. THANK YOU
FOR JOINING US. MY QUESTION IS
AH! UM I KNOW THAT DAMAGE HAS
STARTED OR IS I DON'T KNOW WHAT
THE TIMING IS STARTING OR WILL
START OR HAS STARTED NON ROUTINE
SURVEY OR AUDIT OF KAISER'S
BEHAVIORAL HEALTH. TREATMENT
PROGRAM AND ACCESS AND I'M JUST
CURIOUS. WHAT WHAT THE EXACT
STATUS OF THAT, AS HAS IT
STARTED AS A FOUND ANYTHING YET
WHEN DO YOU ANTICIPATE IT BEING
COMPLETED? MY OTHER QUESTION WAS
ASKED TO KAISER BEFORE AND WE
HAD HEARD IN THE OPENING
TESTIMONY THAT WHAT I WILL
INTERPRET AS KAIZAR NOT BEING
PREPARED TO IMPLEMENT SP 2 21.
KAISER HAD RESPONDED TO THAT AS
WELL. AND I WANT TO KNOW WHAT
THE DEPARTMENT THINKS ABOUT
WHETHER WHETHER KAISER WILL BE
READY TO COMPLY WITH SP 2 21
WHEN IT GOES INTO EFFECT. ON
JULY 1ST TWO PARTS OF THE STATUS
OF THE NON ROUTINE REVIEW. AND
THEN TO 21 COMPLIANCE. ER, NO,
THANK YOU. I'LL START WITH THE
NON ROUTINE SURVEYS. SO WE HAVE
NOTICED KAISER ABOUT, UM, THE
FACT THAT WE WILL BE CONDUCTING
A NON ROUTINE SURVEY AND THIS IS
REALLY, UM IN RESPONSE TO, UM, A
SIGNIFICANT AMOUNT OF TIME THAT
WE HAVE BEEN WORKING WITH
STAKEHOLDERS. UM ON ISSUES OF
ACCESS TO BE ABLE HEALTH
SERVICES AT KAISER. WE ALSO SAW
AN INCREASE IN COMPLAINTS TO OUR
HELP CENTER. SO THE NON ROUTINE
SURVEY IS REALLY SPECIFIC TO
LOOK AT ACCESS TIMELY ACCESS TO
BEHAVIORAL HEALTH SERVICES. UM
IT IS A PROCESS THAT WE WILL
HAVE TO GO THROUGH A COLLECTIVE
FILES AND REALLY, WHAT WE WANT
TO UNDERSTAND IS THE SYSTEMS AND
WHAT HAPPENS FROM THE TIME
SOMEONE CALLS TO SAY THEY NEED
SERVICES AND REQUEST AN
APPOINTMENT. HOW IS THAT
CAPTURED IN THE SYSTEM?
DEPENDING ON THE LOOK BACK TIME
PERIOD OF WHEN WE LOOK AT FILES
AND RECORDS, UM SP 2 TO 1 IN THE
FOLLOW UP APPOINTMENT TIME
FRAMES ARE EFFECTIVE JULY 1ST SO
WE MAY PICK UP SOME OF THAT IN
THE NON ROUTINE SURVEY. BUT IT'S
REALLY TO LOOK AT ALL OF THE
HEALTH PLANS COMPLIANCE WITH THE
STRONG CONSUMER PROTECTIONS WE
HAVE AROUND ACCESS TO CARE, SO
THAT'S REALLY THE GOAL OF THE
NON ROUTINE SURVEY, DEPENDING ON
WHAT WE FIND AND THAT WHAT THAT
LEADS TO WE CAN BE. ON SITE AND
LOOKING AT RECORDS FOR SOME
PERIOD OF TIME. THERE ALSO ARE
REQUIREMENTS IN THE LAW THAT
ALLOWED THE PLAN TO HAVE A VIEW
OF THE PRELIMINARY REPORT BEFORE
ITS FINAL AND RELEASED TO THE
PUBLIC. SO UM, WE ESTIMATE THAT
THE RIFF FINDINGS OF THAT REPORT
WILL BE PUBLIC BY THE END OF
NEXT YEAR. THERE'S A NUMBER OF
TOOLS THAT THE DEPARTMENT HAS
DEPENDING ON OUR FINDINGS WITH
THEIR ACTIONS WE CAN TAKE SOONER
IF WE FIND THAT THINGS OF
SIGNIFICANT CONCERN. UM SO
THAT'S WHERE WE ARE ON THE NON
ROUTINE SERVANT. HAPPY TO
ANSWER. FOLLOW UP QUESTIONS THAT
MAYBE LET ME TALK FOR A MINUTE
ABOUT IMPLEMENTATION OF SP 2 TO
1. WE DID REQUIRE ALL OF THE
PLANS TO FILE INFORMATION WITH
US BY MARCH 1ST OF THIS YEAR,
DESCRIBING HOW THEY WILL COME
INTO COMPLIANCE WITH THE
REQUIREMENTS OF SP 2 TO 1.
KAISER WAS ONE OF THE PLANS THAT
AFFIRMED THAT THEY WILL HAVE NON
URGENT FOLLOW UP APPOINTMENTS
WITH NON PHYSICIAN MENTAL HEALTH
OR SUBSTANCE USED TO SORT OF
PROVIDERS AVAILABLE WITHIN 10
DAYS. OF THE PRIOR APPOINTMENT,
SO THEY ARE INDICATING TO US IN
THEIR FILINGS THAT THEY WILL BE
IN COMPLIANCE. UM AND THIS
INCLUDES FOR THE MEDICAL LINE OF
BUSINESS. UM I WILL JUST REMIND
FOLKS AND SENATOR WIENER. I KNOW
YOU'RE VERY FAMILIAR WITH US
THAT WE ALSO HAD SPF 55 THAT
TOOK EFFECT. WHICH ALSO PUTS THE
RESPONSIBILITY ON THE HEALTH
PLANS TO ARRANGE FOR CARE IF
THEY CAN'T, UM, PROVIDED TIMELY
APPOINTMENT WITHIN THE NETWORK,
SO IT'S WE WILL BE LOOKING AT
ALL OF THIS TO MAKE SURE THE
PLANTS COMPLY, NOT JUST WITH THE
FOLLOW UP APPOINTMENT TIME
FRAMES AND SB 2 TO 1. BUT IF
THEY CAN'T MEET THAT, WITHIN
THEIR NETWORK THERE ARE
ARRANGING FOR ENROLLING TO GET
CARE OUTSIDE OF THEIR NETWORK. I
WILL JUST NOTE THAT KAISER IS
ALSO PART OF YEAR TWO OF OUR
BEHAVIORAL HEALTH INVESTIGATIONS
. YOU MAY REMEMBER. I THINK THIS
IS GOING BACK. TWO YEARS AGO,
THE DEPARTMENT WAS GIVEN
AUTHORITY AND POSITIONS TO
CONDUCT REALLY SOMETHING UNIQUE.
TO LOOK AT KIND OF JUST HOW
CONSUMERS NAVIGATE THE
BEHAVIORAL HEALTH CARE SYSTEM TO
UNDERSTAND THE BARRIERS AND
CHALLENGES. UM REALLY, TO GET TO
THE BOTTOM OF WHY IS IT SO HARD
TO ACCESS BEHAVIORAL SERVICES?
AND IS THERE SOMETHING DIFFERENT
THAT MAYBE CONSUMERS NEED THAT'S
DIFFERENT THAN WHAT WE AVE ON
THE MEDICAL SURGICAL SIDE FOR
HEALTHCARE. UM AND SO OUR GOAL
WITH THIS IS REALLY TO TAKE A
DIFFERENT APPROACH. WE'RE
INTERVIEWING AND TALKING TO
CONSUMERS AND PROVIDERS AND
OTHER FAMILY MEMBERS ABOUT THE
CHALLENGES THEY EXPERIENCE TO
INFORM THOSE AND SO LATER THIS
YEAR. KAISER WILL ALSO BE PART
OF THE BEHAVIORAL HEALTH
INVESTIGATIONS JUST TO REALLY
KIND OF DIG IN TO UNDERSTAND
THAT WE NEED REGULATORY
STATUTORY CHANGES OR THEIR
VIOLATIONS WILL BE LOOKING AT
MENTAL HEALTH PARITY AS PART OF
THAT AS WELL. SO I WOULD JUST
SAY THERE'S A NUMBER OF AREAS
THAT WILL BE VERY FOCUSED ON
BEHAVIORAL HEALTH ACCESS ACROSS
ALL PLANS COMMERCIAL AS WELL AS
THE MEDICAL MANAGED CARE PLANS
WE REGULATE AND KAISER WILL BE
INCLUDED IN THAT ARE POSITIVE
FOR ME. THANK YOU. SO IT SOUNDS
LIKE THE REVIEW IS SURE SURVEYS
SELLING IS JUST BEGINNING AND
IT'S GOING TO RUN THROUGH THE
END OF NEXT YEAR. BUT DO YOU I
KNOW KAISER AND THE OTHER PLANS
FILED THERE. COMMITMENT OR
DESCRIPTION OF THEIR COMPLIANCE.%
DO YOU THINK KAISER WILL BE
READY IN JULY, 1ST TOOK COMPLY
WITH SP 2 TO 1. I MEAN, THEY'VE
GIVEN US ASSURANCES WE HAVE
FINALLY COME UNDER PENALTY OF
PERJURY THERE ATTESTING THAT
THEY WILL BE READY. UM AND AGAIN
, I THINK WITH THE BACKSTOP OF
THE REQUIREMENTS OF SPF 55 TO
PROVIDE TO ACTUALLY HELP IN A
RANGE FOR CARE OUTSIDE OF THE
NETWORK IF THEY'RE NOT ABLE TO
MEET IT. I THINK WE'RE YOU KNOW,
WE'RE HEARD A LOT ABOUT THE
WORKFORCE CHALLENGES. BUT YOU
KNOW THE LAW IS THE LAW AND IT'S
OUR JOB AS MY JOB AS THE
DIRECTOR OF DEPARTMENT TO MAKE
SURE THAT THE PLANS ARE ARE
FOLLOWING THE LAW AND HELPING TO
ARRANGE FOR CARE OUT OF THE
NETWORK IF THEY CAN'T MEET THOSE
TIME FRAMES. THANK YOU, MR
CHAIRMAN. THE SWING MY FINAL
QUESTION. COULD I JUST WE HAD
OUR BEHAVIORAL HEALTH
PROFESSIONAL WHO TESTIFIED. MY
APOLOGIES I MISSED. OKAY. GREAT
AND MR NAME OF THE BEGINNING
WE'VE HEARD FROM KAISER AND THE
DEPARTMENT OF YOU COULD JUST
BRIEFLY STATE JUST AS SOMEONE
WHO'S ON THE GROUND. IF YOU
THINK KAISER WILL BE PREPARED TO
COME INTO COMPLIANCE WITH SP 2
21 AT A TIMELY MANNER.
ABSOLUTELY NOT. CURRENTLY I WORK
AS A TRIAGE THERAPIST AND THE
NAPA SOLANO REGION. AND SO, UH,
I AM THE FIRST STEP WHEN A
PATIENT ENTERS OUR SYSTEM AND
AFTER THEIR INITIAL, UM 30
MINUTES INTAKE EVALUATION, WHICH
THEY TYPICALLY RECEIVE WITHIN 10
BUSINESS DAYS. THEY OFTEN WAIT
MONTHS OR PUT ON A WAIT LIST FOR
THE NEXT INDIVIDUAL THERAPY
APPOINTMENT. AND THEN AFTER
THAT, ONCE THEY START THEIR
TREATMENT WITH THAT. THERAPIST
THE WEIGHTS ARE AS MUCH AS 60
WEEKS. EVEN MORE SOMETIMES, UM,
WE DO REFER PATIENTS TO EXTERNAL
PROVIDER NETWORKS. BUT THOSE ARE
OVERBURDENED AND I FEEL A LOT OF
CALLS OF PATIENTS CALLING BACK
UNABLE TO FIND SOMEONE AVAILABLE
ON THESE LISTS THAT THEY'RE
GIVEN THEIR SYMPTOMS WORSENING
AND THE INTERIM, UM AND PATIENTS
WITH SEVERE SYMPTOMS ARE NOT
ALLOWED TO BE REFERRED OUT. AS
PART OF A PROTOCOL IN THE
DEPARTMENT OF PSYCHIATRY, AND SO
THEY DON'T EVEN HAVE THE CHANCE
OF GETTING AN EXTERNAL PROVIDER
WHO THEY CAN POTENTIALLY SEE
MORE FREQUENTLY TAN THEY COULD
WITH A THERAPIST WITHIN KAISER.
THANK YOU. THANK YOU, MR
CHAIRMAN. OKAY. ANY OTHER
QUESTIONS OR COMMENTS FROM
COMMITTEE MEMBERS. OKAY AND WAS
THERE A MOTION YET? YES. THE
AMENDMENT. OKAY, THAT'S RIGHT.
YOU WILL, OKAY. SO THEM ARAMBULA
. YEAH UM, APPRECIATE THE WORK.
ACTUALLY JUST FIRST OF ALL, I
WANTED TO THANK MY OWN COMMITTEE
MEMBERS FOR THE THOUGHTFUL
DISCUSSION. I KNOW THAT WE'VE
NOT ONLY HERE. OF COURSE WE HAD
OUR INFORMATION HEARING. MANY OF
YOU HAVE REACHED OUT TO ME AND I
HAVE DOUBT DIALOGUE WITH YOU. SO
I REALLY APPRECIATE THAT. I HOPE
I HOPE THAT THE RESULTS SHOWED
REFLECTED SOME OF OUR OWN
DIALOGUE. MAYBE NOT EXACTLY
WHERE YOU HOPED IT WOULD BE. BUT
WE TRIED. I TRIED TO AT LEAST
TRY TO BE SURE WE TRIED TO
ADDRESS EACH OF THESE ISSUES. UM
AND AGAIN. I APPRECIATE THE WORK
BY THE AUTHOR AND THANK YOU SO
MUCH, AND ALSO THE DIALOGUE WITH
THE DEPARTMENT, HEALTH CARE
SERVICES AS WELL. SO AND I THINK
THERE'S A SO UM OF COURSE,
SUPPORTING THE BILL LOOKING
FORWARD TO IT MOVING FORWARD,
BUT ALSO WITH AS I SAID EARLIER.
UM WE NEED TO CONTINUE TO KEEP
AN EYE ON THIS. UH WHATEVER
FINAL AMENDMENTS AND STUFF
BEFORE IT HITS THE GOVERNOR'S
DESK, ETCETERA. UM YOU KNOW, WE
NEED TO BE FLAGGING THINGS TO
KEEP AN EYE ON AS THE
IMPLICATION ROLLS OUT. BUT WITH
THAT WOULD YOU LIKE TO CLOSE?
THANK YOU. MR CHAIR. I
INTRODUCED THIS BILL AT THE
START OF THE YEAR BECAUSE THIS
WAS THE LEGISLATURE'S
OPPORTUNITY FOR US TO ENGAGE AND
BRING TRANSPARENCY. AND TO
IMPROVE THIS PRODUCT AND REALLY
WANT TO THANK THE PROCESS FOR
DOING JUST THAT IT WAS WORKING
WITH MANY OF YOU AND COMMITTEE
STAFF THAT HAS RESULTED IN THE
BILL THAT WE HAVE IMPRINTED
TODAY AND I RESPECTFULLY ASK FOR
AN I V OKAY. THANK YOU. AND SO
THE AMENDMENTS WILL ACTUALLY BE
TAKEN UP IN THE COMMITTEE ON
APPROPRIATIONS. SO IT'S
UNAMENDED HERE BECAUSE THE
TIMING WISE AND YOU HAVE
COMMITTED TO TAKE THOSE
AMENDMENTS, SO THE MOTION IS DO
PASS AND RE REFERRED TO THE
COMMITTEE ON APPROPRIATIONS, AND
IT'S BEEN SECOND MOVED BY CENTER
EGGMAN. AH SECRETARY, PLEASE
CALL THE ROLL PAN AND I'M
MELINDA EGGMAN. EDMUND I.
GONZALEZ GONZALEZ. I GROVE HER.
TATO TATO, I LABOR LABOR. I
LIMÓN LIMÓN I. RATH RATH. RUBIO
VúI. WIENER. OKAY SO THE BILL IS
CURRENTLY 80 WILL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. MR
CHAIR, YOUR PREROGATIVE.
ASSEMBLYMEMBER'S MCCARTHY HAS
ASKED ME TO PRESENT OKAY ITEM
FOR HIM, BUT I'M HAPPY TO GO
AFTER ASSEMBLY MEMBER RIVAS.
HOWEVER, YOU WOULD LIKE ME TO DO
IT. I KNOW SHE'S BEEN VERY
PATIENT SENIOR SITTING THERE,
BUT SO, UM I WILL ALLOW HER.
OKAY THE SENATOR THREE OF US
DECEMBER RAINBOW IS WILLING TO
WAIT AND I THINK HE NEEDS A REST
ANYWAYS. IN STANDING THERE LONG
TIME. THANK YOU. SO GIVE HIM A
BREAK THERE. I DON'T WANT HIM
DEVELOP. UM, SOME SORT OF DVT OR
SOMETHING. SO ALL RIGHT, LET'S
YOU HAVE TWO BILLS ACTUALLY,
ITEM NUMBER 14 A B 2076 YOU WANT
TO TAKE THAT ONE UP FIRST? YES.
OKAY? SUCK THEM. THANK YOU, MR
CHAIR, AND SENATORS. 2076
ESTABLISHES THE EXTREME HEAT AND
COMMUNITY RESILIENCE PROGRAM TO
COORDINATE THE ACTIVITIES OF THE
STATE AND INCENTIVIZE THE
DEVELOPMENT OF LOCAL
COMPREHENSIVE HEAT ACTION PLANS.
THE BILL ALSO CREATES ACHIEVE
HEAT OFFICER WHO WILL COORDINATE
STATE ACTIVITIES AND FUNDING TO
ADDRESS HEAT AND IMPLEMENT THE
PROGRAM. FINALLY MAYBE 2076 WILL
ESTABLISH THE EXTREME HEAT,
HOSPITALIZATION AND DEATH
REPORTING SYSTEM. TO BETTER
UNDERSTAND WHERE EXTREME HEAT
ILLNESSES AND DEATHS ARE
OCCURRING. APPEAR AFTER YEAR WE
HAVE WITNESSED RECORD BREAKING
HEAT WAVES THAT HAVE LED TO MORE
POWER OUTAGES COMPROMISED WATER
QUALITY INCREASES IN POLLUTION
AND MORE INTENSE WILDFIRES. IN
2020 LOS ANGELES COUNTY REACHED
A TEMPERATURE OF 121 DEGREES,
THE HIGHEST EVER RECORDED IN LOS
ANGELES, CAUSING AN INCREASE OF
10 TIMES THE NORMAL NUMBER OF
EMERGENCY ROOM VISITS. WHILE THE
ADMINISTRATION HAS RELEASED AN
EXTREME HEAT FRAMEWORK IT IS
CONCERNING THAT THE FRAMEWORK
CONTAINS 140 RECOMMENDATIONS OR
ACTIONS TO BE IMPLEMENTED BY 40
DIFFERENT DEPARTMENTS OR
AGENCIES. A B 2076 IS NEEDED TO
ENSURE THE FRAMEWORK IS
IMPLEMENTED EFFICIENTLY,
ACCURATELY AND WITH LEGISLATIVE
INPUT. CLIMATE CHANGE IS A
PUBLIC HEALTH CRISIS, CONTINUED
INACTION WILL INCREASE HARDSHIPS
ON LOCAL GOVERNMENTS THAT ARE
ALREADY STRUGGLING DUE TO THE
GLOBAL PANDEMIC. TODAY IN
SUPPORT OF THE SPILL I HAVE WITH
ME TO PROVIDE TESTIMONY. ENRIQUE
WARTA, LEGISLATIVE DIRECTOR OF
CLIMATE RESOLVE. AND DR MARK
BUTTER. NICK EMERGENCY ROOM
PHYSICIAN AT CALIFORNIA HOSPITAL
MEDICAL CENTER. THANKS VERY MUCH
SUMMARY THREE OF US, AND THEY'RE
BOTH ON THE PHONE. SO MODERATOR,
PLEASE BRING ONTO THE LINE AND
WREAK. HENRIK HEARD THAT WITH
CLIMATE RESOLVE, AND THEN WE'LL
FOLLOW UP WITH DR MARK FULLER
NECK, SO IF WE CAN BRING ON
ENRIQUE HEARD OF PLEASE AND YOU
HAVE TWO MINUTES. WARTA. GOOD
EVENING. ENRIQUE WORK TO
LEGISLATIVE DIRECTOR FOR CLIMATE
RESOLVE. THANK YOU FOR THE
OPPORTUNITY TO SPEAK AND SUPPORT
OF A B 2076 BEFORE I BEGAN. I
LIKE TO THANK ASSEMBLYMEMBER'S
THREE OF US FOR CHAMPIONING THE
EXTREME HEAT AND HEALTH
REPORTING SYSTEM. I'D LIKE TO
ADDRESS THREE KEY POINTS. FIRST. HEAT IS A BIG PROBLEM AND THE
SEATS, RESPONSES PIECEMEAL AND
AN ADEQUATE. SECOND A B 2076
ADDRESSES THE GROWING PROBLEM BY
REQUIRING COORDINATION OF
EXISTING WORK FROM MORE THAN A
DOZEN STATE AGENCIES CURRENTLY
WORKING IN SILOS. THIRD PASSAGE
OF A B 2076 IS ESSENTIAL TO
PROTECT ALL CALIFORNIANS,
ESPECIALLY BLACK AND BROWN
COMMUNITIES, WHO ARE
DISPROPORTIONATELY IMPACTED BY
EXTREME HEAT. THIS BILL IS
SUPPORTED BY DIVERSE SET OF
STAKEHOLDERS, INCLUDING PUBLIC
HEALTH, ENVIRONMENTAL,
ENVIRONMENTAL JUSTICE. LABOR
FAITH BASED AND PROFESSIONAL
ORGANIZATIONS. THANK YOU, MR
CHAIR FOR YOUR LEADERSHIP.
MEMBERS OF THE COMMITTEE. I
THANK YOU FOR YOUR ATTENTION AND
RESPECTFULLY AS PER YOUR I VOTE.
THANK YOU. NOW, LET'S BRING ON
DR PHOTONIC. I AM DR MARX. PETER
NICK AN EMERGENCY POSITION IN
LOS ANGELES. IN THE PAST
PRESIDENT AND CURRENT BOARD
MEMBER OF THE CALIFORNIA CHAPTER
OF THE AMERICAN COLLEGE OF
EMERGENCY PHYSICIANS, THE%
LARGEST CHAPTER IN THE NATION
SERVICES, MANAGING EDITOR FOR
THE JOURNAL OF CLIMATE CHANGE,
AND HEALTH. THANK YOU FOR
ALLOWING ME TO SPEAK IN SUPPORT
OF A B 2076 THE EXTREME HEAT AND
COMMUNITY RESILIENCE PROGRAMS.
OUR STATE IS GETTING HOTTER AND
IT IS IMPACTING OUR HEALTH RIGHT
NOW, THE HEADLINE NUMBERS OF
HEAT RELATED FATALITIES, WHICH
SURPASSED ALL OTHER NATURAL
WEATHER EVENTS, HAIL IN
COMPARISON TO THE FULL IMPACT OF
THE INCREASED HEAT. WHICH IS
GROSSLY UNDER REPORTED. DEATHS
DIRECTLY ATTRIBUTABLE TO HEAT
WAVES ARE USUALLY SEPARATE BY
SPECIFIC VULNERABLE POPULATIONS
. MOST AT RISK ARE ELDERLY,
LIVING ALONE PEOPLE WHO ARE
COMPROMISED BY CHRONIC ILLNESS,
INCLUDING MENTAL ILLNESS. SO TOO
MUST WORK OUTDOORS OR EVEN
INDOORS WITH INADEQUATE COOLING
AND HISTORICALLY MARGINALIZED
COMMUNITIES. ANALYSIS OF LARGE
DATA SETS, TELLING EVEN MORE
WORRISOME STORY THAN THE
HEADLINE NUMBERS THAT THING
ILLNESS INCREASE ACROSS THE
BOARD AS THE TEMPERATURE RISES.
MORE DEATHS OR HEART ATTACKS AND
STROKES, THE NUMBER ONE IN THREE
KILLERS IN THE WESTERN WORLD OR
RESPIRATORY ILLNESS, MORE
INTERPERSONAL VIOLENCE, MORE
MENTAL ILLNESS FINDING
RECONFIRMED RECENTLY IN A LARGE
STUDY IN JAMA B STUDIES MAKE IT
CRYSTAL CLEAR WHY WE MUST DO
SOMETHING ABOUT THIS ANNOUNCING
HEALTH CRISIS. SO WHAT CAN WE
DO? WE NEED TO PREVENT EXPOSURE
TO ELEVATED TEMPERATURES,
PARTICULARLY FOR LONG PERIODS OF
TIME COOLING OUR COMMUNITIES FOR
ROOTS. SHADE TREES, BUS SHELTERS
, HYDRATION STATIONS, COOLER
BUILDING INFRASTRUCTURE AND
OTHER MULTI BENEFIT PROJECTS
SUCH AS SCHOOL STREET. THAT
REFLECT HEAT, COMBINED WITH
THREE POINTING ARE ALL EXAMPLES
OF HOW GOVERNMENT CAN PREVENT
EXCESSIVE HEAT EXPOSURE,
PARTICULARLY IN OUR MOST
VULNERABLE RESIDENTS, WHO MAY
NOT HAVE THE MEANS TO BOUNCE
BACK AFTER DISASTER STRIKES. THE
GRANTING A B 2076 WOULD PROVIDE
OUR COMMUNITIES THE AVENUE TO
INVEST IN THESE PROJECTS, WHICH
WILL BENEFIT THE HEALTH OF OUR
COMMUNITIES FOR YEARS TO COME.
WE CAN PREVENT HARM BY
INCENTIVIZING THE DEVELOPMENT OF
LOCAL COMPREHENSIVE HEAT ACTION
PLANS THAT SPECIFY WHAT HE IS
FISHING STRATEGY COMMUNITY, A B
2076 WOULD ACCOMPLISH THIS. BY
COORDINATING THE ACTIVITIES OF
PLANNING AGENCIES ACROSS THE
STATE AND COLLECTING NECESSARY
DATA TO FOCUS OUR EFFORTS TO
WEAKEN ACHIEVE MOST GOOD
MONITORING THE DATA CAREFULLY.
WE WANT TO EXACTLY WHERE TO
ENTER VIDEO, ADDITIONAL SUPPORT
AND STRUCTURAL OVER MAYBE 2076
FOCUSES THE STATE'S EFFORTS ON
REDUCING THE IMPACT OF DEBORAH-HEATWAVE BY GIVING OUR LOCAL
COMMUNITIES THE RESOURCES THEY
NEED TO BUILD PROTECTIVE
INFRASTRUCTURE. BY ENHANCING
DATA REPORTING AND COLLECTION
AND BY IMPROVING THE
COORDINATION AND EFFECTIVENESS
OF THE DEPARTMENT IN CHARGE OF
OUR RESPONSE TO OUR DANGEROUSLY
WARMING ENVIRONMENT. THANK YOU,
CHAIR PAN AND TO THE ENTIRE
COMMITTEE FOR YOUR TIME AND
ATTENTION AND I RESPECTFULLY ASK
FOR YOUR VOTE ON A B 2076.
THANKS. THANK YOU. THANK YOU.
ALL RIGHT, LET'S NOW MOVE ON TO
ADDITIONAL WITNESSES AND SUPPORT
OF 2076 HERE IN ROOM 1200.
WELCOME. THANK YOU, MR CHAIR AND
MEMBERS CHRIS MAKELELE ON BEHALF
OF THE CALIFORNIA NATURAL GAS
VEHICLE COALITION AND ALSO MY
COLLEAGUES AT CLEAN ENERGY ASKED
ME TO EXPRESS THEIR SUPPORT FOR
THIS BILL AS WELL. THANK YOU.
THANK YOU SAY NO ONE ELSE
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN SUPPORT OF 2076 NAME
ORGANIZATION POSITION ONLY.
THANK YOU IF YOU WOULD LIKE TO
EXPRESS SUPPORT FOR A B 2076,
THEN ZERO AT THIS TIME. ONE
QUEUING UP AT THIS TIME.
MORNING QUÊ.
OKAY, COMING. ANYONE COMING ON?
WE HAVE NO ONE QUEUING UP. OKAY
THANK YOU. NOW WE'LL MOVE ON TO
WITNESSES AND OPPOSITION. WE
DON'T HAVE A LEAD WITNESS
REGISTERED FOR TESTIMONY. ANY
OTHER POSITION HERE IN ROOM 1200
SAYING NOW AND APPROACHING THE
MICROPHONE. MODERATOR PLEASE
OPEN THE LINES FOR WITNESSES WHO
WILL TESTIFY IN OPPOSITION TO A
B 2076. HERE IF YOU'D LIKE TO
EXPRESS OPPOSITION TO A B 2076 0
AT THIS. ON QUEUING UP.
ANYONE COMING ON? NO. WE HAVE
KNOWN QUEUING. OKAY ALL RIGHT.
WELL, THEN LET'S BRING IT BACK
TO COMMITTEE. QUESTIONS AND
COMMENTS FROM COMMITTEE MEMBERS.
OKAY IT'S BEEN MOVED BY SENATOR
GONZALES AND YOU KNOW THE
QUESTIONS OR COMMENTS SARAH
THREE OF US REALLY PPRECIATE
YOU BRINGING THIS BILL FORWARD.
WE CAN SEE IN THAT, YOU KNOW,
AND JUST PEOPLE WHO HAVE TO BE
OUT IN THE HEAT THEY CAN'T GET
IN. THEY'D EITHER DON'T HAVE AIR
CONDITIONING TO WORKING. UM
THEY'RE HOMELESS, ETCETERA. YOU
KNOW THIS BETTER THAN ALL OF US
SUPPORTING YOUR BILL. WOULD YOU
LIKE TO CLOSE? THANK YOU. AND I
RESPECTFULLY ASK FOR AN I VOTE.
OKAY. THANK YOU. ALL RIGHT, SO
IT'S BEEN MOVED BY CERTAIN SO
THE MOTION IS DUE PAST REFERRED
TO THE COMMITTEE ON
APPROPRIATIONS MOVE BY SENATOR
GONZALEZ. SECRETARY. PLEASE CALL
THE ROLL. PEN AND I. MELINDA'S
EGGMAN EGMOND, I, GONZALEZ
GONZALEZ, I GROVE, HER TATO.
LEVER LIMÓN LIMÓN IRA ROTH, I
RUBIO WIENER BILL CURRENTLY HAS
SIX VOTES FOR 60 HOLD THE ROLL
OPEN FOR ABSENT MEMBERS, AND
THEN YOU ALSO HAVE ITEM NUMBER
15 24. OH, FOUR. THANK YOU.
THANK YOU, MR CHAIR, AND
SENATORS 24. OH, FOUR WOULD
GRANT PACIFICA HOSPITAL OF THE
VALLEY IN MY DISTRICT AND
EXTENSION. TSEISMICALLY
RETROFIT THEIR BUILDINGS WHILE
CONTINUING TO PROVIDE SERVICE TO
AN UNDERSERVED COMMUNITY. DURING
THE PANDEMIC. PACIFICA HOSPITAL
BECAME A REGIONAL SURGE CENTER
FOR SOUTHERN CALIFORNIA TO HELP
DECOMPRESS ALL OTHER HOSPITALS
DEALING WITH COVID. SINCE
JANUARY 2020. THEY HAVE BEEN
SERVING HIGH VOLUMES OF COVID 19
PATIENTS, INCLUDING THOSE WITH
BEHAVIORAL HEALTH ISSUES. THE
PANDEMIC HAS CAUSED A
SIGNIFICANT DELAY IN PACIFIC
PACIFIC HOSPITALS, ABILITY TO
MEET THEIR MAY 31ST 2022
DEADLINE TO COMPLETE THE
PROJECT. IF PACIFICA HOSPITAL IS
UNABLE TO MEET THE DEADLINE,
THEY WOULD BE FINED $15,000
DAILY OR 450,000 MONTHLY. THESE
FINES ARE NOT SUSTAINABLE FOR A
HOSPITAL. WHERE 80% OF THE
PATIENTS THAT THEY SERVE ARE ON
MEDICAL AND MEDICAL MANAGED
CARE. PACIFICA HOSPITAL TOOK IN
THOUSANDS OF PATIENTS DURING
COVID SURGES AND SUPPORTED OUR
COMMUNITIES. WE SHOULD NOT TURN
ON THEM NOW AND PUT THEM IN A
DIFFICULT FINANCIAL POSITION IN
ORDER FOR PACIFICA HOSPITAL TO
CONTINUE SERVING OUR COMMUNITY,
WE MUST ENSURE THAT THEY ARE NOT
OUT OF COMPLIANCE WITH STATE LAW
AND GRANT THEM AN EXTENSION. T
SEISMICALLY RETROFIT THEIR
BUILDINGS SO THAT THEIR
FACILITIES CAN WITHSTAND AN
EARTHQUAKE AND CONTINUE TO SERVE
THE CONSTITUENTS OF MY DISTRICT
AND THROUGHOUT L. A COUNTY.
TODAY I HAVE PRECIOUS MAE'S CEO
OF PACIFICA HOSPITAL OF THE
VALLEY B OF THE VALLEY,
PROVIDING TESTIMONY. THANK YOU,
SENATOR MEMBER AND BY PHONE. I
ASSUME SO, MODERATOR, PLEASE
BRING ON PRECIOUS MAZE FROM
PACIFIC PACIFICA HOSPITAL. TWO
MINUTES. GOOD AFTERNOON. GOOD
AFTERNOON, SENATE HEALTH
COMMITTEE CHAIR DR PAWN AND
COMMITTEE MEMBERS. MY NAME IS
PRECIOUS MADE AND I AM THE
PRESIDENT AND CEO OF PACIFICA
HOSPITAL OF THE VALLEY PACIFICA
HUSTLE IS PROPOSING AN 80 24 OH,
FOUR TO ALLOW AN EXTENSION OF
THE DEADLINE FOR SEISMIC
COMPLIANCE FROM 7122211. TO 2025
THE TIMELINE FOR MEETING THE
DEADLINE. SEVEN MONTHS TO GET
MINE WAS DERAILED WHEN THE COVID
19 PANDEMIC HITTERS AND 2020
BETWEEN MARCH 2020 IN SEPTEMBER
2020 DUE TO THE COVID SURGES
THAT PACIFICA EXPERIENCE WE HAD
MULTIPLE CONTRACTORS THAT WOULD
COLLEGE OR TELL US THAT THEY DID
NOT WANT TO COME INTO THE
HOSPITAL TO BE EXPOSED, OR THEY
WERE FEARFUL OF WHAT WAS
HAPPENING WITH THE COVID
PANDEMIC. PACIFICA HAD FOUR
SURGE UNITS FULL WITH COVID 19
POSITIVE PATIENTS AND THEREFORE
THE CONTRACTORS CANNOT CONTINUE
THE PROGRESS ON THE WORK PLAN.
OUR CURRENT CONTRACTORS,
ARCHITECT AND DESIGN AND
ENGINEERS HAVE BEEN ACTIVELY
WORKING ON THIS PROJECT. AND THE
FINAL PLAN ON HOW PACIFICA WILL
MEET THE JANUARY 1ST 2025
DEADLINE WILL BE SUBMITTED TO H
KIND NO LATER THAN 9 15 22 AS
STATED IN THE BELL. WE ARE 100%
CONFIDENT THAT THE SIZE OF THE
COMPLIANCE WILL BE MET NO LATER
THAN JANUARY, 1ST 2025 AS STATED
IN THE BILL, UM AS WE ARE, WE
HAVE PROJECTED AND OVER 50% OF
OUR MILESTONES. SEVERAS MEANING
18 TO 24 MONTHS EXTENSION WILL
BE USED FOR THE CONSTRUCTION
PROCESS. UM, WE IN CLOSING, I
WOULD LIKE TO THANK THE ASSEMBLY
WOMAN THREE OF US AND HER STAFF
ARE SPONSORING 80 24 04 IN
SUPPORT OF PACIFIC CROSSING THE
VALLEY. OUR MISSION IS TO
CONTINUE TO SERVE THE
UNDERSERVED COMMUNITIES, UM AND
OVER 14 CODES. AND WE THANK YOU
FOR YOUR CONSIDERATION, AND I
RESPECTFULLY ASK THE COMMITTEE
FOR A VOTE. THANK YOU.
DEMOCRATIC ON ANY ADDITIONAL
WITNESSES IN SUPPORT OF 24. OH
FOUR CAN HEAR ROOM 1200. SO YOU
KNOW, IN BRIDGING MICROPHONE
MODERATOR, PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN SUPPORT OF 24. OH,
FOUR. IF YOU WISH TO EXPRESS
SUPPORT FOR A B 24 OH, FOUR,
PLEASE PRESS 10 AT THIS.
ANYONE COMING ON THE LINE? WE
HAVE SOME QUEUING UP AT THIS
MOMENT. OKAY? AND WE'LL GO TO
THE LINEUP. 403, PLEASE GO
AHEAD. HI. GOOD EVENING, KAREN
MEMBERS MEGAN LOOPER ON BEHALF
OF THE CALIFORNIA HOSPITAL
ASSOCIATION AND THE UNITED
HOSPITAL ASSOCIATION IN SUPPORT.
THANK YOU. NEXT WITNESS. HAVE NO
ONE ELSE IN. Q THANK YOU MOVED
ONTO WITNESSES AND OPPOSITION TO
A B 24 4. WE DON'T HAVE A LEAD
WITNESS IN OPPOSITION WILL GO TO
ROOM 1200 SEEING NO ONE
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES, WHICH TESTIFY IN
OPPOSITION TO A B 24. OH, FOUR.
AGAIN ONE, THEN ZERO. IF YOU'D
LIKE TO EXPRESS OPPOSITION TAKES. IF NO ONE QUEUING UP, OKAY.
THANK YOU. THE BILL HAS BEEN
MOVED THERE ANY QUESTIONS OR
COMMENTS FROM COMMITTEE MEMBERS?
OKAY SEEING ON SOME OF THE
THREE OF US. FIRST OF ALL I
APPRECIATE YOUR BRAINS WILL
FORWARD. I GUESS I WOULD JUST
HAVE TO MAKE ONE COMMENT, AND I
KNOW HOW IMPORTANT THIS HOSPITAL
IS TO YOUR DISTRICT AND
CERTAINLY SUPPORTING THE BILL.
UM SEEN A LOT OF SEISMIC BILLS.
YOU KNOW, I THINK AND, UM
EVERYONE AND EVERYONE HAS A
STORY AND THEY'RE DEFINITELY
TRUE. I THINK WE'VE BEEN LOOKING
AT DIFFERENT HOSPITALS AND WE
HAVE GRAPHS OF THIS BILL. WE
LOOKED AT THE HOSPITAL THEY WERE
BEHIND BEFORE COVID. SO I GET
COVID MADE THINGS EVEN WORSE.
HERE'S A COMMITMENT FROM THE CEO
TO GET CONSTRUCTION ON TIME.
INVESTOR OWNED HOSPITAL. I THINK
YOU KNOW, AND I KNOW THAT WE
DON'T YOU DEFINITELY NEED THE
HOSPITAL IN YOUR DISTRICT. AND
OF COURSE WE WANT TO MAKE THIS
HAPPEN. BUT I GUESS YOU KNOW
IT'S WE'RE TRYING TO ROLL OUT OF
SEISMIC STANDARDS AND SO FORTH.
UM I THINK IT'S IMPORTANT THAT
THERE'S ACCOUNTABILITY THAT
PEOPLE ARE ON TRACK. OKAY SO
THEIR BIT BEHIND. SO YOU KNOW,
WE DO NEED PEOPLE ON TRACK. I
KNOW THIS LEGISLATION. I'VE
AUTHORED PIECE OF LEGISLATION
AND THOSE OTHER LEGISLATION. WE
NEED TO TRACK ALL THIS AND WE
NEED TO BE SURE HOSPITALS ARE
STAYING ON TRACK. OTHERWISE YOU
KNOW, WE KEEP DOING THESE ONE
OFF BILLS AND SO FORTH. SO UM,
AGAIN. APPRECIATE HOW IMPORTANT
THIS HOSPITAL IS. I GUESS THIS
REALLY FOR THE CEO LIKE, YOU
KNOW, WE GOT TO KEEP AN EYE OUT.
YOU GOTTA BE SURE YOU'RE ON
TRACK. AND WITH THAT, WOULD YOU
LIKE TO CLOSE THANK YOU, MR
CHAIR. I APPRECIATE YOUR
COMMENTS, AND I AGREE WITH YOU,
BUT THANK YOU FOR CONSIDERING
THIS TODAY. YOU KNOW, THE
PACIFIC HOSPITAL OF THE VALLEY
LIKE YOU HEARD? THE CEO IS
COMMITTING TO THIS. I APPRECIATE
THAT. THANK YOU. SO IT'S
MOTIONS. THE MOTIONS DO PASS AND
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS, AND IT WAS MOVED
BY SENATOR ROTH SECRETARY.
PLEASE CALL THE ROLL PAN AND I'M
MELINDA'S EGGMAN EGGMAN I
GONZALEZ GONZALEZ GROVE, HER
TATO LEYVA. FAVOR. AYE, LIMÓN.
BREATH RUBIO V WIENER. OKAY
THAT BILL CURRENTLY HAS SIX
VOTES, SO WE'LL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. THANK
YOU SO MUCH. THANK YOU. OKAY
THERE ARE ARAMBULA. THANK YOU SO
MUCH FOR YOUR PATIENTS. I KNOW
YOU'RE SO THANK YOU FOR WAITING
AROUND. SO I UNDERSTAND YOU'RE
PRESENTING SOME MEMBER
MCCARTHY'S BILL. CORRECT THAT'S
ITEM NUMBER 26. MAYBE 25 85.
THANK YOU, MR CHAIR AND SENATORS
FOR THE OPPORTUNITY TO PRESENT
THIS BILL TODAY. I WILL BE
ACCEPTING THE COMMITTEE
AMENDMENTS ON BEHALF OF
ASSEMBLYMEMBER'S MCCARTHY AND
THANK THE COMMITTEE STAFF FOR
THEIR HARD WORK. THE CDC
ESTIMATES THAT 50 MILLION U. S
ADULTS SUFFER FROM CHRONIC PAIN
. CHRONIC PAIN HAS BEEN LINKED
TO NUMEROUS PHYSICAL AND MENTAL
CONDITIONS. AND CONTRIBUTE TO
HIGH HEALTHCARE COSTS. WHILE
OPIOIDS ARE A COMMON TREATMENT
OPTION, THEY CAN LEAD TO
ADDICTION. INCREASED USE OF NON
ADDICTING BEHAVIORAL AND DEVICE
DELIVERED PAIN TREATMENT OPTIONS
COULD BE AN EFFECTIVE WAY TO
MITIGATE THE OPIOID CRISIS IN
ORDER TO PROMOTE THE USE OF
ALTERNATIVE PAIN TREATMENT
OPTIONS. A B 25 85 ASKS HEALTH
SYSTEMS TO ENCOURAGE THE USE OF
EVIDENCE BASED, NON ADDICTING
PAIN TREATMENT OPTIONS. ON THE
PHONE TO TESTIFY AND SUPPORT IS
TOM NORRIS, A VETERAN WHO LIVES
WITH CHRONIC PAIN. THANKS SO
MUCH, SENATOR ARAMBULA BATTERY,
PLEASE BRING IT ONTO THE LINE.
TOM NORRIS, YOU HAVE TWO
MINUTES. PLEASE BEGIN. THANK
YOU, MR CHAIR. MY NAME IS TOM
NORRIS. HAVE THE PRIVILEGE OF
BEING HERE TO TESTIFY AND
SUPPORT VERY NEAT TO 5 85. AFTER
23 YEARS ACTIVE MILITARY SERMONS
PERSON MEDICALLY RETIRED
LIEUTENANT COLONEL FROM THE
UNITED STATES AIR FORCE WITH
INTRACTABLE CHRONIC PAIN, EITHER
EXCESS RADIATION RECEIVED
TREATMENT OF PARTICULAR CANCER.
THE G O D AND SECURITY
CONSIDERING ME 100% DISABLED DUE
TO CHRONIC PAIN. I USE VIRTUAL
REALITY OR VR, AND THE TOOLS
TAUGHT THROUGH VR HELP ME MANAGE
TO ME. DO YOU THINK WE ARE FOR
PAIN MANAGEMENT IS LIKE BEING
ABLE TO ACCESS THE PAIN
MANAGEMENT COURSE. ANY TIME IN
MY SEARCH FOR RELIEF. OVER THE
YEARS, I TURNED OPIOIDS SHAKING
FENTANYL FOR ABOUT 10 YEARS ALL
OVER YOU AND HELP OPIOIDS HELP
ME MANAGE THE PAIN. I HAVE NO
QUALITY OF LIFE. BEDRIDDEN
EXPERIENCED HALLUCINATIONS,
PARANOIA, FATIGUE. I ALSO
EXPERIENCED SEVERAL HEART
ATTACKS AND DEVELOPED DIABETES.
WITH THE ALBUM VR AND OTHER
TOOLS IN MY PAIN MANAGEMENT
TOOLBOX HAVE BEEN ABLE TO
DISCONTINUE OVERGAARD THERAPY
AND NOW TAKE ABSOLUTELY NO
OPIOID. USING THE LESSONS FROM
VR. I HAVE A HIGHER QUALITY OF
LIFE AND CAN RETURN WITH SOCIETY
HAS GIVEN ME NOW FACILITATE
SEVERAL CHRONIC THINGS. THE
COURT GROUP WITH MEMBERS FROM
NEW YORK, LOS ANGELES, I ALSO
PARTICIPATED IN THE DEVELOPMENT
MANAGEMENT OF CHRONIC PHONE
MEDICAL TRIALS. EVALUATE
PROPOSALS FOR CHRONIC PAIN
MANAGEMENT FOR THE DEPARTMENT OF
DEFENSE. AND HELP DEVELOP
POLICY, CHRONIC PAIN THERAPIES.
USE OF ER CAN HELP OTHERS LITTLE
OVER QUALITY OF DEALING WITH
CHRONIC PAIN. THE AIR PROVIDES A
LOW COST AT HOME. NON MEDICATION
THERAPY FOR THE MANAGEMENT OF
CHRONIC PAIN. NO MATTER THE
SOURCE. I USUALLY ARE FOR PAIN
MANAGEMENT MORNING, MY BLOOD
PRESSURE AND RELIEVING STRESS.
I'VE EVEN USED TO HELP ME DEAL
WITH PTSD AND THE STRESS OF
HAVING A SISTER JAMES, CHECK
WITH MY BLADDER CANCER.
APPROXIMATELY 50 MILLION U. S
ADULTS GOING TO ASK YOU TO WRAP
UP DEAR DAD TÌM. OKAY? THANK
YOU. AH SINCE 82 585 INCLUDES
HELPING CHURCHES HMM. COVER
MILAN'S LOCATED YOURSELF. THANK
YOU. THANK YOU SO MUCH.
APPRECIATE YOU TESTIFYING.
ALRIGHT LET'S MOVE ON TO
ADDITIONAL WITNESSES AND SUPPORT
OF A B 25 85. WELCOME THANK YOU,
MR CHAIR SHARE GONZALEZ ON
BEHALF OF CALIFORNIA LIFE
SCIENCES. WE ARE STILL
EVALUATING THE AMENDMENTS, BUT
THEY LOOK POSITIVE AND WE THINK
THAT SHARE FOR HIS GUIDANCE TO
HELP MAKE THIS A BETTER BILL.
ARE MEANT TO HELP ALLEVIATE
HELPED PEOPLE WHO DON'T WANT TO
TURN TO OPIOIDS TO HELP THEM
ALLEVIATE THEIR PAIN. I'M ALSO
HERE REPRESENTING THE CALIFORNIA
CHRONIC CARE COALITION. SAME
EXACT COMMENTS. THANK YOU. THANK
YOU VERY MUCH, SAYING NO ONE
ELSE APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY AND SUPPORT OF 25 85
NAME ORGANIZATION POSITION ONLY.
THANK YOU IF YOU WOULD LIKE TO
EXPRESS SUPPORT FOR A B 25 85,
PLEASE PRESS ONE, THEN ZERO AT
THIS TIME. HAVE NO ONE QUEUING
UP. THANK YOU. NOW WE'LL MOVE TO
WITNESSES AND OPPOSITION TO 25
85. WE DO NOT HAVE FORMAL
REGISTERED OPPOSITION HERE IN
ROOM 12 20 1200. WE DON'T SEE
ANYONE. ALRIGHT, SORRY. WE HAVE
LOTS OF DIFFERENT ROOMS.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN OPPOSITION TO A V 25
85. IF YOU WOULD LIKE TO EXPRESS
OPPOSITION FOR A B 25 85, PLEASE
PRESS ONE AND ZERO AT THIS.
CLEAN UP. OKAY? ANYONE. WE HAVE
NO ONE, INCLUDING NO ONE CUTE.
OKAY, LET'S BRING IT BACK TO THE
COMMITTEE AND ITS BEEN MOVED BY
SENATOR EGGMAN. SO YOU KNOW
OTHER COMMENTS AGAINST THANK
YOU, SENATOR AROUND BILL FOR
PRESENTING FIRST. MM RICCARDI
APPRECIATE TAKING THE AMENDMENTS
WOULD YOU LIKE TO CLOSE?
RESPECTFULLY ASKED FOR AN I
VOTE. ALL RIGHT. THANK YOU. ALL
RIGHT, SO THE MOTIONS DO PASS AS
AMENDED REEF AND RE REFERRED TO
THE COMMITTEE ON APPROPRIATIONS
HAS MOVED BY SENATOR EGGMAN
SECRETARY. PLEASE CALL THE ROLL.
PAN AND I'M MELINDA'S EGGMAN
EGGMAN. I GONZALES, GONZALES
GROVE. HER TOTO LEYVA LABOR. I
LIMÓN LIMÓN A ROTH RUBIO RUBIO.
I WIENER. YEAH I OKAY. THAT'S
CURRENT. THAT'S CURRENTLY 80
HOLD THE ROLL, OPEN TRAPS AND
MEMBERS. I SEE SOME MEMBER
GIBSON HERE. WELCOME AND YOU
HAVE ONE BUILDING CONSENSUS. YOU
HAVE ITEM NUMBER 1980 24 26,
OKAY. THANK YOU FOR YOUR
PATIENCE. THANK YOU VERY, VERY
MUCH. MR CHAIRMAN AND SENATORS.
I WILL CERTAINLY TRY TO BE BRIEF
BECAUSE TIME IS DRAWING NEAR.
THANK YOU FOR ALLOWING ME TO
PRESENT ASSEMBLY BILL 24 26,
WHICH SEEKS TO EXPAND
SUPPLEMENTAL FUND. FUNDING THAT
WOULD ALLOW MARTHA KING JUNIOR
COMMUNITY HOSPITAL TO COVER
HOSPITAL BASED OUTPATIENT
SERVICES PROVIDED TO THE
EMERGENCY DEPARTMENT. THE
CURRENT FUND FUNDING MODEL, BUT
MARTHA KING COMMUNITY HOSPITAL
PROVIDES NO STATE SUPPLEMENT FOR
OUTPATIENT SERVICES BECAUSE THAT
MARTIN KING SPENDS OVER $25
MILLION ANNUALLY ON EMERGENCY
ROOM DEPARTMENT SERVICES. IF
THIS CONDITION PERSISTS, THE
HOSPITAL WILL HAVE TO CLOSE ITS
DOORS BY 2028. 87% OF THE
EMERGENCY ROOM VISIT AND MLK
COMMUNITY HOSPITAL AND MEDICAL
PATIENTS OR THOSE WHO ARE UNSURE
WHEN MARTHA KING OPENED THE
HOSPITAL. EMERGENCY ROOM
DEPARTMENT PROJECTED TO CARE FOR
OVER 40,000 PATIENTS A YEAR.
DURING DURING AND AFTER THE
PANDEMIC EMAIL QUÊ CARED FOR GET
THIS OVER 100,000 PEOPLE, WHICH
IS 60,000 PEOPLE OVER THE
PROJECTED AMOUNT, BUT EVEN UNDER
TREMENDOUS PRESSURE, MLK
CONTINUE TO SERVE OUR COMMUNITY
WELL AS ONE OF THE ONLY
EMERGENCY ROOMS IN THE HEART OF
SOUTH LOS ANGELES. FOR HUNDREDS
OF THOUSANDS OF RESIDENTS.
MARTHA KING CONSISTENTLY RANKED
AMONG THE TOP TWO IN THE REGION
. FOR COVID CARE. SOUTH LOS
ANGELES HAS BEEN A DEBT HAS BEEN
DEFICIT OF HOSPITAL. EXCUSE ME
OF DOCTORS OVER 1300 DOCTORS ARE
SHORT TO RESPOND TO AND MEET THE
NEEDS. MARTHA KING HAS LACKED IN
SERVICES AS A RESULT OF THIS
PANDEMIC. COVID 19 IS IT'S
DISPROPORTIONATELY IMPACT ON
COMMUNITIES OF COLOR SHINES A
SPOTLIGHT ON THE VOLATILITY. OF
THE MOST MEDICALLY UNDERSERVED
RESIDENTS IN THE FACE OF THIS
PANDEMIC. MARTHA KING DID NOT
GIVE UP. THEY HAD THEIR BACKS
AGAINST THE WALL, AND THEY STILL
PERSEVERED. AS A RESULT,
ASSEMBLY BILL 24 26 PROVIDE
EXPANSION OF SUPPLEMENTAL
FUNDING TO MLK HOSPITAL TO
ENSURE THAT THE HOSPITAL IS ABLE
TO CONTINUE PROVIDING HOSPITAL
BASED OUTPATIENT SERVICES HERE.
DR LANG BACHELOR WHO IS THE
EXACT WHO IS THE CHIEF EXECUTIVE
OFFICER HAD TO LEAVE AND CATCH A
FLIGHT. BUT WE HAVE A
REPRESENTATIVE REPRESENTING THE
HOSPITAL, WHO WILL PROVIDE
SUPPORTING TESTIMONY FOR
ASSEMBLY BILL 24 26. ALL RIGHT.
THANK YOU. WELCOM GOOD EVENING
, CHRISTIE WEEKS ON BEHALF OF
THE MARTIN LUTHER KING JR
COMMUNITY HOSPITAL AS MR GIBSON
SAID THE HOSPITAL CEO DR LIAM
BACHELOR HAS BEEN HERE. SHE
REGRETS THAT SHE IS NOT STILL
HERE. SHE HAD TO CATCH HER
FLIGHT BACK TO LOS ANGELES. BUT
THANK YOU VERY MUCH FOR YOUR
SUPPORT OF THIS BILL IS, AS MR
GIBSON EXPLAINED, THE HOSPITAL
IS UNIQUELY SITUATED IN SOUTH
LOS ANGELES. THE COMMITTEE
ANALYSIS DOES A GOOD JOB OF
OUTLINING WHAT THEIR FINANCIAL
SITUATION IS. THEY ONLY HAVE 4%
OF THEIR ENTIRE PATIENT
POPULATION IS COMMERCIALLY
INSURED, SO THEY REALLY RELY ON
THIS STATE FUNDING TO HELP THEM
CONTINUE TO REMAIN OPEN. I'M THE
FUNDING METHODOLOGY WAS CREATED
IN THE STATUTE PRIOR TO THE
HOSPITALS REOPENING BASED ON AN
EXPECTATION OF THE PATIENTS
PATIENT POPULATION THEY THOUGHT
THEY WOULD HAVE, AND REALITY HAS
COME TO BEAR AND MADE THAT
POPULATION MUCH GREATER. SO THIS
IS A VERY, VERY IMPORTANT
ADJUSTMENT. TO HELP THE HOSPITAL
REMAIN OPEN AND SERVING THE
COMMUNITY OF SOUTH LOS ANGELES.
SO WE ASKED FOR YOUR I VOTE
THANKS VERY MUCH. THE OTHER
WITNESSES IN SUPPORT OF 80 1200
ALRIGHT. SEE, YOU KNOW, OKAY
SAYING NO ONE ELSE EVERY 24 2016
NO ONE ELSE COMING THROUGH
MICROPHONE. MODERATOR PLEASE
OPEN THE LINES FOR WITNESSES WHO
WISH TO TESTIFY IN SUPPORT OF 24
26. THANK YOU IF YOU WISH TO
SPEAK IN SUPPORT OF A B 24 26
PLEASE PRESS 10 AT THIS TIME.
LINE 4 11 AHEAD. THIS IS AARON
EVANS ON BEHALF OF THE
CALIFORNIA NURSE MIDWIVES
ASSOCIATION AND SUPPORT OF THIS
BILL. THANK YOU NEXT WITNESS.
THANK YOU. I HAVE NO FURTHER
COMMENTS AND QUÊ. THANK YOU.
WE'LL NOW MOVE TO WITNESSES AND
OPPOSITION TO HB 24 26. WE HAVE
NO LEAD WITH WITNESSES FOR
TESTIMONY HERE IN ROOM 1200 SEEN
ON APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES AND OPPOSITION TO
HB 24 26. IF YOU WISH TO SPEAK
IN OPPOSITION TO A B 24 26,
PLEASE PRESS 10 AT THIS TIME. I
HAVE NO COMMENT. THANK YOU.
THANK YOU. LET'S BRING IT BACK
TO THE COMMITTEE. QUESTIONS OF
COMMERCE COMMITTEE. IT'S BEEN
MOVED BY SENATOR LEILA SEEING NO
OTHER QUESTIONS OR COMMENTS
SARAH GIBSON. FIRST OF ALL, I
JUST WANT TO SAY THAT I ACTUALLY
OPPORTUNITY TO BE GUEST LECTURE
AT MARTIN LUTHER KING HASSLE
BEFORE US IN THE LEGISLATURE. SO
AS A PEDIATRICIAN JUST THE
OPPORTUNITY TO LEARN ABOUT THE
HOSPITAL, THE COMMUNITY AND SO
FORTH. IT WAS VERY ENLIGHTENING
. I KNOW HOW CRITICAL THIS
HOSPITAL IS THAT COMMUNITY I
WOULD SAY PART OF, YOU KNOW THAT
I KNOW IN CARRYING THIS BILL.
MAYBE ASK THE SPECIES VECTOR.
MEDICAL RATES ARE MAYBE A LITTLE
TOO LOW FOR ESPECIALLY WHEN YOU
HAVE A HOSPITAL WHO HAS WHO
ACTUALLY DEPEND, YOU KNOW, IT'S
BASICALLY TAKE CARE OF SUCH A
HIGH PROPORTION OF PEOPLE WHO
ARE MEDICAL BUT THAT'S A LARGER
ISSUE TO DEAL WITH LATER. SO
THANK YOU FOR COMING THIS BEFORE
WORD WOULD YOU LIKE TO CLOSE?
THANK YOU VERY MUCH. MR.
CHAIRMAN I DON'T JUST CARE THIS
BILL, BUT I CARE THIS HOSPITAL.
THIS HOSPITAL HAS BEEN NOT ONLY
A BEACON OF LIGHT HOPE IN MY
COMMUNITY WITH MY MOTHER HAD HER
FIRST HEART ATTACK. COULDN'T GET
TO SEE THE CYANIDE. MARTHA KING
HOSPITAL SERVES AS A TRAINING
GROUND BACK THEN, UM, FOR OUR
MILITARY FOR TRAUMA VICTIMS AND
STILL SERVES IN A VERY PIVOTAL
ROLE IN OUR COMMUNITY AND TO
HAVE IT BEING PLACED IN
JEOPARDY. TO PASS. WE CLOSED
DOWN. I CARRIED ON MY BACK AND I
CARE TO YOU AND ASK YOU FOR YOUR
VOTE. THANK YOU. THE MOTIONS DO
PASS AND REFERRED TO THE
COMMITTEE APPROPRIATIONS AND IT
WAS MOVED BY. I THINK, SENATOR
LEVA. YES SECRETARY. PLEASE CALL
THE ROLL PAN AND I MELINDA'S
EGGMAN SIGMUND I GONZALEZ
GONZALEZ GROVE, HER TATO. LEYVA
LEVER. I LIMÓN LIMÓN AYE ROTH
ROTH RUBIO. WIENER THANK YOU.
YOU CERTAINLY HAVE SEVEN VOTES
WILL HOLD THE ROLL. OPEN DRAFTS
. THANK YOU SO MUCH. THANK YOU.
ALL RIGHT. I THINK WE'RE WAITING
FOR ONE FINAL AUTHOR. OKAY ON
THE WAY, SO WHAT WE'RE GOING TO
DO IS BY THE WAY WHILE THEY'RE
ON THE WAY, FIRST OF ALL, LET'S
GO AHEAD AND TAKE UP THE CONSENT
CALENDAR. UH HUH. AND SO,
SECRETARY, OR ARE YOU GETTING
YOUR PAPERS READY? THIS IS
SANTIAGO SANTIAGO. YEAH. ALRIGHT
RIGHT. OKAY, SO WE'RE GOING TO
GO AHEAD AND TAKE UP THE CONSENT
CALENDAR SECRETARY, PLEASE CALL
THE ROLL AND CONSENT CALENDAR
AND I MELINDA'S EGGMAN EGGMAN I
GONZALEZ GONZALEZ, I GROVE
POTATO. LAVER LAVER. AYE LIMÓN.
TONIGHT I RATH BROTH I RUBIO
WIENER WIENER. AYE CALENDARS 70
HOLD THE ROLL OPEN. UM UNTIL HE
GETS HERE, MAYBE I'M JUST GOING
TO ROLL DOWN THE, UH, THANKS. SO
OKAY. WE'LL START WITH ITEM.
I'LL SEE. YOU KNOW IF OKAY,
WELL, YOU KNOW WHAT? I'LL JUST
START ITEM NUMBER ONE A B 17 97
BY SIMILAR BURR WEBER SECRETARY
. PLEASE CALL THE ROLL OF ABSENT
MEMBERS. GROVE HER TATO LEHMAN
LIMÓN. AYE WIENER WIENER. AYE
BILLS CURRENTLY, 81 WILL HOLD
THE ROLL OPEN FOR ABSENT MEMBERS
. NEXT AS I AM NUMBER TWO A B 21
34 BY SOME MEMBER WEBER
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. GONZALEZ.
GONZALEZ. I GROVE, HER TATO.
LIMÓN RAMONA. OKAY THAT BILL IS
CURRENTLY 81 WILL HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. NEXT
ITEMS. I AM NUMBER 33 51 BY SOME
RUBBER GARCIA, SECRETARY. PLEASE
CALL THE ROLL OF ABSENT MEMBERS
. MELINDA'S GROVE, HER TAITO
LEMON LIMÓN. AYE, WIENER WIENER
. I CURRENTLY 80 WILL HOLD THE
ROLL OPEN FOR ABSENT MEMBERS
WILL MOVE ON TO ITEM NUMBER FOUR
A. B 25 86 BY SOME MEMBER OF
GARCIA SECRETARIAT IS CALLED THE
ROLE OF ABSENT MEMBERS.
MELINDA'S UM GONZALEZ GONZALEZ.
I GROVE HER TATO. WIENER WIENER
. I OKAY THAT BUILDS CURRENTLY
80 WILL HOLD THE ROLL OPEN FOR
ABSENT MEMBERS. NEXT IS ITEM
NUMBER FIVE, MAYBE 4 98 BY SOME
MEMBER QUIRK-SILVA SECRETARY
POLICE CALLED THE ROLE OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO LIMÓN LIMÓN. AYE. WIENER
WIENER. I IS CURRENTLY 80 HOLD
THE ROLL OPEN FOR ABSENT MEMBERS
. NEXT IS ITEM NUMBER 6 15 OH,
TWO BY SOME MEMBER MAYOR SUKI,
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
GROVE, HER TAITO. LIMÓN LIMÓN I,
ROSS. I OKAY? THAT BILL IS
CURRENTLY 90 HOLD THE ROLL OPEN
FOR ABSENT MEMBERS. NEXT IS ITEM
NUMBER EIGHT A. B 18 OH, NINE BY
SIMILAR ARUGULA CURRY SECRETARY,
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GONZALES
GONZALES, I GROVE HURTADO LEYVA
. AYE, LIMÓN. RAMON I THAT BILL
IS CURRENTLY 80 HOLD THE ROLL
OPEN FOR ABSENT MEMBERS. NEXT
ITEMS ITEM NUMBER 9 18 59 BY
SOME MEMBER LEVIN SECRETARY.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO LEYVA. LABOR AYE. LIMÓN
LIMÓN. AYE BILLS CURRENTLY 80
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT ITEM IS ITEM
NUMBER 11 A B 18 96 BY SUMMER
BRICKWORK SECRETARY. PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
MELINDA'S GONZALEZ. GONZALEZ I
GROVE, HER TATO LEYVA. AYE.
LIMÓN LIMÓN? AYE WIENER. WIENER
I BILL IS CURRENTLY 8 TO 0
HOLDER OF OPEN FOR ABSENT
MEMBERS. NEXT ITEM IS I'M NUMBER
14 2076 BY SOME MEMBER
THREE OF US SECRETARY. PLEASE
CALL THE ROLL BY OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TAITO. RUBIO. WIENER WIENER. I
IS CURRENTLY 70 WILL HOLD THE
ROLL OPEN FOR ABSENT MEMBERS.
NEXT IS ITEM NUMBER 15 24 4 BY
SOME MEMBER THREE OF US
SECRETARY CALLED ROLE OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO LIMÓN. LIMÓN AYE WIENER
WIENER. I CURRENTLY 80 CALLED
THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT IS A NUMBER 1924
26 BY SIMILAR GIBSON SECRETARY.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO OKAY, THAT'S CURRENTLY 70
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT IS ITEM NUMBER 22
23 17 23 17 BY SOME MEMBER RAMOS
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
GONZALEZ GONZALEZ GROVE, HER
TATO LEYVA LEYVA. AYE LIMÓN
WIENER. WINNER I CURRENTLY 70
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT IS ITEM NUMBER 23
24 02 BY SOME MEMBER BLANCO
RUBIO, SECRETARY. PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
LINDA'S GONZALES, GONZALES GROVE
, HER TATO LEYVA LABOR. AYE,
LIMÓN LIMÓN AYE WIENER WIENER
CURRENTLY 80 HOLD THE ROLL OPEN
FOR ABSENT MEMBERS. NEXT IS ITEM
NUMBER 26 25 85 BY SIMILAR
MCCARTY SECRETARY. PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
BELINDA'S GROVE, HER TATO OKAY,
THAT'S CURRENTLY 80 WILL HOLD
THE ROLL OPEN FOR ABSENT MEMBERS
, AND THEN WE HAVE ITEM NUMBER
29 27 24 BY SIMILAR RAIN, BULUS.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE WIENER
. OKAY SO THAT'S CURRENTLY 80
HOLD THE ROLLUP OPEN FOR ABSENT
MEMBERS WAITING ASSEMBLYMEMBER'S
SANTIAGO TO PRESENT HIS BILL.
ALSO, IF THERE'S A MEMBERS WHO
ARE PLAYING WHO ARE RETURNING TO
FOR VOTES AFTER WE COMPLETE THAT
LAST BILL WILL BE LIFTING THE
ROLES AND HOPEFULLY WILL BE
COMPLETING THE VOTES AT THAT
POINT IN TIME. ALL OF YOU ARE
ALL SET. OKAY? YEAH. OH THAT'S
MORE IMPORTANT, SOME OKAY? NO
OKAY, SANTIAGO, WHERE ARE YOU?
BECAUSE WE'RE GONNA LOSE OUR
TELECONFERENCE LINE.
PAIRED SO LET'S NOW MOVE ON TO
ITEM NUMBER 28 20 TO 42 BY
SUMMER. SANTIAGO I THINK THE
COMMITTEE BREVITY I KNOW REVENUE
WOULD BE APPRECIATED BY THE
COMMITTEE. THANK YOU, MR CHAIR.
I APPRECIATE YOUR HARD WORK AND
HELPING US TO CROSS THE
AMENDMENTS AT OUR REQUEST. PLAIN
AND SIMPLE. THIS WOULD REQUIRE A
BETTER COORDINATED PLAN AS A
REGARD AS IT RELATES TO
PROVIDING SERVICES SERVICES FOR
THOSE HELD UNDER LPS. I
RESPECTFULLY WOULD ASK FOR AN I
VOTE, MR CHAIR. THANK YOU. AND
THEN WE'LL MOVE TO YOUR
WITNESSES SUPPORT. WE HAVE ROB
LANE AND I THINK IT'S IN PERSON.
OKAY, WELCOME. AND YOU HAVE TWO
MINUTES, BUT YOU DON'T HAVE TO
TAKE ALL OF IT IS THAT ROB LANE,
CALIFORNIA COUNCIL OF COMMUNITY
BEHAVIOR? HEALTH AGENCIES. THANK
YOU FOR YOUR EFFORTS IN THIS
MEASURE WE APPRECIATE I SUPPORT
OKAY, THANKS VERY MUCH
ADDITIONAL WITNESSES AND SUPPORT
STAYING ON HERE IN ROOM 1200
MODERATOR, PLEASE OPEN THE LINES
FOR WITNESSES WHO WISH TO
TESTIFY IN SUPPORT OF 20 TO 42
NAME ORGANIZATION POSITION ONLY.
IF YOU WISH TO SPEAK IN SUPPORT,
PLEASE PRESS YES. IF YOU WISH TO
SPEAK IN SUPPORT OF A B 20 TO
42, PLEASE PRESS ONE, THEN ZERO
AT THIS TIME. I DO HAVE A COUPLE
IN CUBA ONE SECOND. KLEIN 2 50,
PLEASE GO AHEAD. 2 50 JUST
REMOVE THEMSELVES FROM THE
KILLS. 2 50, PLEASE GO AHEAD. 2
50 REMOVE THEMSELVES AGAIN. I DO
HAVE ONE OTHER ONE IN Q JUST A
SECOND. LINE 4 42. TO BE A
BARREL ON BEHALF OF CALIFORNIA
HOSPITAL ASSOCIATION AND SUPPORT
THANK YOU NEXT WITNESS. I HAVE
NO FURTHER COMMENT. ALRIGHT,
THANK YOU VERY MUCH WHEN THEY
WILL MOVE ON TO WITNESSES AND
OPPOSITION TO A B 20 TO 42. I
BELIEVE WE HAVE MATT GALLAGHER
FROM COW VOICES AND OPPOSITION
WELCOME. YES GOOD. GOOD EVENING
. CHAIR MEMBERS. MATTHEW
GALLAGHER WITH COWBOYS IS WE ARE
IN RESPECTFUL OPPOSITION UNLESS
AMENDED SPECIFICALLY DUE TO
SECTION 50 14 AS IT APPEARS IN
THE BILL. IT. ATTEMPTS TO USE
MENTHOL SERVICES ACT. FUNDS FOR
LPS HOLDS AND CONSERVATIVE SHIPS
, AND WE HAVE A PRIMARY
OBJECTION TO THAT SPECIFICALLY,
THE MEDICAL SERVICES ACT AS
PROPOSED AND ENACTED BY VOTERS
IN 2000 AND FOUR DID NOT
AUTHORIZE, CONTEMPLATE OR
CONSIDER USING IMAGES THEY FUNDS
FOR THAT PURPOSE. THE AMATEURS
SAY IT WAS TRULY FUNDED ON
TREATING ILLNESSES ABOVE THE
NECK THE SAME WAY WE TREATED
ILLNESSES BELOW THE NECK AND THE
GOAL OF DOING THAT WAS BUILDING
ON THE SUCCESS OF A B 34. MAYBE
2034 USING THEM. HSCEI FUNDS FOR
LPS HOLDS IN CONSERVATIVE SHIPS
DEFEATS THAT PURPOSE. THE MONEY%
IS GOING TO COME FROM COMMUNITY
SERVICES AND SUPPORTS AND EVERY
DOLLAR WE INVEST TOO EXPENSIVE,
COSTLY SEGREGATED TREATMENT IS
ONE LESS DOLLAR FOR COMMUNITY
BASED SERVICES AND SUPPORTS SO
FOR THAT REASON, I URGE AND A NO
VOTE UNLESS SECTION 50 14 IS
STRICKEN FROM THE BILL. THANK
YOU. THANK YOU. ADDITIONAL
WITNESSES AND OPPOSITION SEEN ON
APPROACHING THE MICROPHONE.
MODERATOR PLEASE OPEN THE LINES
FOR WITNESSES WHO TESTED ONE
TESTIFY IN OPPOSITION TO A B 20
TO 42. THANK YOU IF YOU WOULD
LIKE TO EXPRESS OPPOSITION OF A
B 25 42, PLEASE PRESS ONE, THEN
ZERO. 20 LINE IS 20 TO 42. I'M
TERRY 2020 TO 42. OUR FIRST LINE
IS 3 70, PLEASE GO AHEAD. KELLY
BROOKS ON BEHALF OF THE URBAN
COUNTIES OF CALIFORNIA AND THE
RURAL COUNTY REPRESENTATIVES OF
CALIFORNIA WITH AN OPPOSING LIST
AMENDED POSITION. THANK YOU.
THANK YOU NEXT WITNESS. THAT
LION 4 44. HELLO DEBORAH.
DISABILITY RIGHTS, CALIFORNIA
OPPOSED. THANK YOU. THANK YOU.
NEXT WITNESS. BUYING 4 40,
PLEASE GO AHEAD. REBECA GONZALEZ
NATIONAL ASSOCIATION OF SOCIAL
WORKERS, CALIFORNIA CHAPTER AND
OPPOSITION. THANK YOU NEXT
WITNESS. LINE 4 41. HERO MOTO
WITH REM CODE, THE RACIAL AND
ETHNIC MENTAL HEALTH DISPARITIES
COALITION OPPOSED. THANK YOU
NEXT WITNESS. WE HAVE NO ONE
ELSE IN. Q ALRIGHT, THANK YOU.
WE'LL BRING IT BACK TO COMMITTEE
QUESTIONS TENANTS FROM THE
COMMITTEE MEMBERS. IT'S BEEN
MOVED, SEEING NO QUESTION
COMMENTS AGAIN. SEVERAS SANTIAGO
. THANK YOU SO MUCH FOR WORKING
WITH MY STAFF AND THE
AMENDMENTS. WOULD YOU LIKE TO
CLOSE? AS MUCH AS I'D LIKE TO
GIVE YOU THE LONG VERSION. I
WILL JUST RESPECTFULLY ASTRONAUT
VOTE. OKAY THANK YOU. SO THE
MOTIONS DO PASS AS AMENDED TO
THE COMMITTEE ON JUDICIARY, SO
IT DOES HAVE ANOTHER COMMITTEE
GOTO WHO WILL BE LOOKING AT
SOME OF THESE ISSUES THAT WERE
RAISED BY THE OPPOSITION AND
MAYBE BY SENATOR EGGMAN
SECRETARY. PLEASE CALL THE ROLL
PAN AND I'M MELINDA'S EGGMAN.
SIGMUND I. GONZALEZ GONZALEZ,
HIGHGROVE, HER TATO LABOR LIMÓN
. AYE ROTH ROTH RUBIO. WIENER
WIENER. I OKAY? THE CURRENT VOTE
IS 70 HOLDER. ROLL OPEN FOR
ABSENT MEMBERS. THANK YOU, MR
VERY MUCH SO. NO, RIGHT. THANK
YOU. THANK YOU, RIGHT? YES, YES.
YOU'RE WELCOME. OKAY? LIKE DID
YOU SEE THE PROBLEM? THANK YOU.
WE'RE GOING TO OPEN THE ROLE.
WE'LL GET IT. LET'S GO AHEAD AND
BEGIN WITH THE CONSENT CALENDAR.
RIGHT OKAY, SECRETARY, PLEASE
CALL THE ROLL OF ABSENT MEMBERS
FOR THE CONSENT CALENDAR.
MELINDA'S MELINDA'S AYE, GROVE.
HER TATO RUBIO. OKAY THAT'S
CURRENTLY 80 HOLD THE ROLL OPEN
FOR ABSENT MEMBERS. OKAY NOW
WE'RE GONNA GO TO ITEM NUMBER
ONE A B 17 97. I DON'T WANT TO
REMEMBER EVERYONE YOU DID SO
INTELLIGENCE WHO ROLLED UP OKAY.
ITEM NUMBER ONE A B 17 97 BY
SEPTEMBER. WEBER SECRETARY
PLEASE CALL THE ROLL OF ABSENT
DROVE HER TATO. OKAY SO THAT IS
81. THAT BILL IS OUT. OKAY I SO
I'M JUST GONNA ITEM NUMBER TWO A
B 21 34 BY DECEMBER. WEBER
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. HER TATO
GROVE, HER TATO. OKAY SO THAT IS
EIGHT. THAT BILL IS OUT 81. OKAY
NEXT TIME IS A AND NUMBER THREE
A B 3 51 BY SUMMER REGARDS, CIA
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
MELINDA'S. AYE GROVE. HER TATO.
OKAY THAT BILL IS OUT 90. BUT
THE THING RUBIO REVERT, BUT THE
RUBIO RIVETED ON THIS. THAT'S
WHY I CAN. EXACTLY SO THAT'S WHY
YEAH, I'M PAYING ATTENTION TO IS
MISSING. OKAY ITEM NUMBER FOUR A
B 25 86 BY SOME MEMORY. GARCIA
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
MELINDA'S NO. GROVE HER TATO.
OKAY THAT BILL IS OUT 81. THE
NEXT ITEM IS I AM NUMBER FIVE
BEFORE 98 BY SOME MEMBER
QUIRK-SILVA. SECRETARY PLEASE
CALL THE ROLL OF ABSENT MEMBERS
. MELINDA'S MELINDA'S AYE,
GROVE, HER TAITO. THAT BILL IS
OUT. 90 NEXT ITEM IS ITEM NUMBER
6 15 OH, TWO BY SOME MEMBER
MAYOR SUKI, SECRETARY. PLEASE
CALL THE ROLL OF ABSENT MEMBERS.
MELINDA'S GROVE. HER TOTO BILL
IS OUT 90. NEXT BILL IS NEXT
ITEM IS ITEM NUMBER. 88 18 OH
NINE. DECEMBER AGUIAR-CURRY
SECRETARY, PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
MELINDA'S AYE, GROVE, HER TATO
THAT BILL IS OUT. 90 NEXT ITEM
IS ITEM NUMBER NINE A B 18 59 BY
SEVEN MEMBER LEVIN SEXUALLY
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO. THAT BILL IS OUT 80 NEXT
ITEM IS ITEM NUMBER 11 A B 18 96
BY SOME MEMBER QUIRK, SECRETARY
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S MELINDA'S
AYE, GROVE, HER TATO THAT BILL
IS OUT 90. NEXT ITEM IS I AM
NUMBER 14 2076 BY SOME MEMBER
THREE OF US SECRETARY AT LEAST
ALL THE ROLE OF ABSENT MEMBERS.
MELINDA'S GROVE. HER TATO RUBIO
. OKAY THAT THOSE CURRENTLY 70
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT ITEM IS ITEM
NUMBER 15 24 04 BY SIMILAR
THREE OF US SECRETARY. PLEASE
CALL THE ROLL OF ABSENT MEMBERS.
BELINDA'S MELINDA'S AYE, GROVE,
HER TATO THAT BILL IS OUT 90
NEXT ITEMS ITEM NUMBER 1924 26
BY SOME MEMBER GIBSON SECRETARY
. PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO. QUÊ REPEAT THAT AGAIN.
MELINDA'S GROVE, HER TATO BILL
IS OUT AND RUBIO AND SEE THAT'S
WHY I WAS LIKE SOMEBODY'S SHORT
HERE. OKAY SO THAT BILL IS
CURRENTLY 70 HOLD THE ROLL OPEN
FOR ABSENT MEMBERS. OKAY NEXT
ITEM IS I AM NUMBER 2018 22 42
BY SOME MEMBER SANTIAGO
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
GROWTH. HER TAITO RUBIO THAT
BUILDS CURRENTLY 70 HOLD THE
ROLL OPEN FOR ABSENT MEMBERS.
NEXT ITEM IS ITEM NUMBER 22 23
17 BY SUMMER, RAMOS SECRETARY
POLICE CALLED THE ROLE OF ABSENT
MEMBERS. MELINDA'S MELINDA'S
AYE, GROVE, HER TATO RUBIO. OKAY
THAT BUILDS CURRENTLY, 80 WILL
HOLD THE ROLL OPEN FOR ABSENT
MEMBERS. NEXT ITEMS I AM NUMBER
23 24 02 BY SOME MEMBER BLANCO
RUBIO, SECRETARY. PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
MELINDA'S GROVE. HER TAITO.
SORRY I MEAN, YOU DON'T WANT
MORE TIME LIKE WITH ONE ROBOT
TIME NOW, PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
GROVE, HER TAITO. OKAY THAT
BUILDS OUT 80. THE NEXT ITEM IS
ITEM NUMBER 26 25 85 BY SEVEN.
RICCARDI SECRETARY POLICE CALLED
THE ROLE OF ABSENT MEMBERS.
MELINDA'S MELINDA'S AYE, GROVE,
HER TATO OKAY, THAT BILL IS OUT
90, AND THEN FINALLY WE HAVE
ITEM NUMBER 29 27 24 BY SOME
MEMBER ARAMBULA SECRETARY.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S MELINDA'S NO.
GROVE WINNER. OKAY THAT BILL IS
OUT 81, OKAY? AND THANKS VERY
MUCH, SO WE ARE, WE WILL BE
ACTUALLY, WE WILL BE IN RECESS
UNTIL WHILE WE WAIT FOR SENATOR
RUBIO. QUÊ.
THANK YOU. AND BEFORE WE LIFT
THE ROLE OPEN AGAIN, I JUST WANT
TO ANNOUNCE A CORRECTION ON ITEM
NUMBER SIX A. B. 15 0 TO BUY
SOME MERCER CHIEF. THE FINAL
ROLE IS ACTUALLY IS 80. THAT
BILL IS OUT. SO I PREVIOUSLY
ANNOUNCED 90. THE ACTUAL VOTE IS
80 FOR THE RECORD. WE ARE NOW
GOING TO LIFT THE CALLS AND
REMAINING BILLS. SO ARE YOU
PREPARED? SENATOR RUBIO? OKAY
ALRIGHT, SO THE. THE FIRST WE'RE
GONNA GO TO ITEM NUMBER 14 A B
2076 BY DECEMBER. THREE OF US
SECRETARY. PLEASE CALL THE ROLL
OF ABSENT MEMBERS. MELINDA'S
GROVE, HER TATO RUBIO RUBIO.
AYE. THAT BILL IS OUT 80. THE
NEXT ITEM IS ITEM NUMBER 1924 26
BY SOME MEMBER GIBSON SECRETARY.
PLEASE CALL THE ROLL OF ABSENT
MEMBERS. MELINDA'S GROVE, HER
TATO RUBIO RUBIO. AYE. DEPTH
BILL IS OUT 80 NEXT ITEM IS ITEM
NUMBER 2020 TO 42 BY SOME MEMBER
SANTIAGO SECRETARY. PLEASE CALL
THE ROLL OF ABSENT MEMBERS.
MELINDA'S GROVE, HER TATO RUBIO
RUBIO, I BILL IS OUT 80. NEXT
ITEM IS ITEM NUMBER 22 23 17 BY
SEVEN MEMBER RAMOS. THE POLICE
CALLED THE ROLE OF ABSENT
MEMBERS. GROVE HER TATO RUBIO
RUBIO, I BILL IS OUT 90. NEXT
ITEM IS ACTUALLY THAT THAT'S NOT
OKAY. SO THAT'S THE REASON WE
CLOSE THE CONSENT CALENDAR. YOU
DON'T KNOW WE HAVEN'T OKAY. SO
THE SECRETARY, PLEASE CALL THE
ROLL ON THE CONSENT CALENDAR FOR
ABSENT MEMBERS. GROVE HER TAUGHT
OVER RUBIO V. CONSENT CALENDAR
OUT IS 90. JUST CHECKING ALL THE
RECORDS. I GOT TO VOTE FOR YOU
ON EVERYTHING THAT YOU WANT TO
VOTE FOR. WE'RE ALL GOOD. OKAY
ALRIGHT. OKAY OKAY. WELL SO WE
HAVE NOW CONCLUDE THE AGENDA AND
THIS HEARING OF THE SENATE
COMMITTEE ON HEALTH AND WANT TO
THANK OUR HARD, VERY HARD
WORKING COMMITTEE STAFF WHO
HELPED WORK OUT ALL THE
AMENDMENTS AND SO FORTH AND
THANK SERGEANTS FOR KEEPING US
SMOOTH MEETING AND I DON'T KNOW
OF OUR TELECONFERENCE. PEOPLE
ARE STILL EVEN ON AT THIS POINT
IN TIME, BUT THANK YOU. I KNOW
IT'S A HARD JOB TO MANAGE
TELECONFERENCE LINES. I
APPRECIATE ALL THE WORK HERE FOR
PEOPLE WHO WERE UNABLE TO
TESTIFY OR WISH TO PROVIDE
ADDITIONAL TESTIMONY TO THE
SENATE COMMITTEE ON HEALTH.
PLEASE FEEL FREE TO SUBMIT YOUR
TESTIMONY IN WRITING TO THE
COMMITTEE THROUGH OUR WEBSITE,
OUR EMAIL YOUR TESTIMONY FOR THE
OFFICIAL RECORD. SO AGAIN
APPRECIATE EVERYONE WHO CAME TO
TESTIFY ON THE BILLS WE HAVE
TODAY. AND WITH THAT WE HAVE
CONCLUDED THE AGENDA AND THIS
HEARING OF THE SENATE, WE HAVE
CONCLUDED THE AGENDA ON THIS
HEARING OF THE SENATE COMMITTEE
ON HEALTH, WE ARE NOW ADJOURNED.