THIS IS AN. OKAY THE COMMITTEE
ON WILL COME TO ORDER AN GOOD
AFTER AS A SENATE CAN TO WORK
THE PERSON IN AND WE ARE TELECOM
SERVICE AND WE WEREN'T ALLOWED
SIX MINUTES OF IN PERSON
TESTIMONY PER SIDE DON'T FEEL
OBLIGATED TO USE ALL OF THAT
TIME- AND IF NECESSARY WILL CAP
PHONE TESTIMONY AT FIFTEEN
MINUTES TOTAL FOR INDIVIDUALS
WISHING TO PROVIDE PUBLIC
COMMENT TODAY THE PARTICIPANT
NUMBER IS. 877-226-8163 AND THE
ACCESS CODE IS. SEVEN THREE SIX
TWO EIGHT THREE FOUR. WE HAVE
NINE BILLS ON TODAY'S AGENDA
THREE OF THOSE BILLS ARE ON A
PROPOSED CONSENT AND THOSE ARE
SB THREE FORTY FOUR RUBIO. SB
FOUR TWENTY ONE HELLO MOM AND S.
B. TWO EIGHTY TWO EGGMAN- TO
THOSE BILLS ARE ON THE PERCENT
THAT PROPOSED CONSENT CALENDAR
AND WHEN WE ESTABLISH A QUORUM
CAN HOPEFULLY TAKE THOSE UP- I
WILL ASK THE SECRETARY TO CALL
THE ROLL. HIS EXIT AND THEN.
YEAH THE THIRD IS THE- OKAY.
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN. EGGMAN HERE
SENATOR WHEN. GLAZIER GONZALEZ
GROWTH. HER TADO THE MOANS.
MENJIVAR ROSS. RUBIO PRESIDENT
RUBIO PRESENT BOB HERE BOB HERE
WIENER. OKAY SINCE WE DO NOT
HAVE A QUORUM I ALSO TAKE THAT
ROLL CALL IS A CALL FOR MEMBERS
TO COME ON DOWN IF YOU HEARD
YOUR VOICE- SO WE'LL START THIS
COMMITTEE AS A SUB COMMITTEE-
BUT WHY DO SO YOUR FIRST AUTHOR
HERE US SENATOR SKINNER. CENTERS
SKINNER IS HERE PRESENTING S. B.
FIFTY NINE HAVING TO DO WITH
MENSTRUAL PRODUCTS THANK YOU SO
MUCH SIR MADAM CHAIR AND MEMBERS
PLEASE TO PRESENT SB FIFTY NINE-
A LOT OF US IN THIS ROOM. HAVE A
PERIOD STORY AND ONE THAT YOU
KNOW I WON'T RECOVERY BECAUSE
I'M STILL BEARS ABOUT IT AND OF
COURSE THE FIRST ONES HAPPEN
WHEN I WAS PRETTY YOUNG BUT THEY
DIDN'T STOP TO SPEND THEY WENT
ON AND WHY BECAUSE EITHER I WAS
PREPARED NOT PREPARED I DIDN'T-
DID NOT KNOW THAT I WAS GONNA
GET MY PERIOD THAT PARTICULAR
DAY OR MY FLOWS HAVE YOUR- ANY
NUMBER OF REASONS. SO WE GOING
TO BATHROOMS AND OF COURSE
THERE'S FOR THE PAPER EVERYBODY
EXPECTS THAT THAT'S PART OF THE
SANITARY- YOU KNOW PROVISIONS
THAT WE PRIDE. WELL PIRRI
PRODUCTS SHOULD BE THE SAME.
CALIFORNIA HAS BEEN INCREDIBLE
WE ARE NOW PROVIDING SUCH
PRODUCTS IN OUR SCHOOLS AT A
VARIETY OF OTHER PLACES WE'VE
ENDED THE TAX. BY OUR GOVERNMENT
BUILDINGS WERE THERE NOT A SURE
TO BE HERE. AND SO WHAT SB FIFTY
NINE DOES IS EXPAND SPEAK
SENSIBILITY IN MENSTRUAL
PRODUCTS BY ENSURING THAT THE
RESTROOMS IN STATE BUILDINGS AND
STATE FUNDED PUBLIC SPACES.
PROVIDE THOSE PRODUCTS. AND WITH
THAT. I WANT TO HAVE MY-
WITNESSES IN SUPPORT SPEAK AND I
HAVE TIFFANY WOULDN'T FROM S. CI
YOU. AND KATIE VAN DEN ES FROM
HEALTH ACCESS. MATTRESS SPRINGS
PLEASE GO AHEAD WELCOME THANK
YOU I'M GOOD AFTERNOON AT BOTTOM
CHAIR IN SENATORS AND KEY AND
TRYING TO POLICY LEGISLATIVE
ADVOCATE WITH HEALTH ACCESS
CALIFORNIA STATEWIDE HEALTH CARE
CONSUMER ADVOCACY COALITION
WE'RE PROUD TO SUPPORT SB FIFTY
NINE. AT FIFTY NINE WILL MAKE
MENTAL PRODUCTS MORE ACCESSIBLE
IN BUYER CRYING FREE PERIOD
PRODUCTS IN BATHROOMS IN STATE.
OWNED AND STATE LEASE BUILDINGS
AND LOCAL GOVERNMENT YEAH AND
HOSPITALS THAT ARE FUNDED BY.
HOW THAT HAVE STATE FUNDING THIS
WILL CREATE INCLUSIVE SPACES AND
PUBLIC BUILDINGS WERE ALL MEANT
CERTAIN PEOPLE HAVE EQUITABLE
ACCESS TO THESE PRODUCTS. AT TWO
FIFTY NINE BY REMOVES THE-
BARRIERS ACCESS THESE PART IN
THE BUILDINGS AND ENSURES THAT
OF SOMEONE THAT DOESN'T HAVE A
PRODUCT THERE IS ONE AVAILABLE
FOR FREE- PRODUCTS ARE ESSENTIAL
PRODUCTS FOR MENTORING PEOPLE.
NOT EVERYONE CAN ACCESS THEM DUE
TO THE COST EIGHT TWENTY TWENTY
TWO STUDY FOUND THAT TWO THIRDS
OF LOW INCOME WOMEN COULD NOT
AFFORD MENTAL PRODUCTS IN THE
LAST YEAR. AND TOP OF THOSE
REPORTING SHOWS HOW TO CHOOSE
BETWEEN MY MENTORING PRODUCT.
AND FOOD. MARKETAXESS
DEMONSTRATE MENSTRUAL PRODUCTS
HAS SERIOUS CONSEQUENCES
CONSEQUENCES FOR PEOPLE'S
ABILITY TO FULLY PARTICIPATE IN
THEIR DAILY ACTIVITIES THEIR
PHYSICAL HEALTH AND EMOTIONAL
WELL BEING IN THESE CONSEQUENCES
THAT DISPROPORTIONATELY IMPACT
LOW INCOME PEOPLE. NOT HAVE
ACCESS TO CREATE PRODUCTS CAN
MEAN THAT MENTORING PEOPLE HAVE
TO IMPROVISE WITH A PAPER TOWEL
OR SOMETHING ELSE. OR EVEN YOU
THE PERIOD PRODUCT LONGER THAN
ADVISED. WHICH CAN HAVE SERIOUS
HEALTH CONSEQUENCES. THE PEOPLE
USE TAMPONS LONGER THAN ADVISED
THIS CAN LEAD TO TOXIC SHOCK
SYNDROME. WHICH CAN LEAD TO A
FEVER SHOCK. LOW BLOOD PRESSURE
SKIN RATIONS. LIVER AND KIDNEY
ABNORMALITIES IN THIS CAN BE
FATAL. IF SOMEONE HAVE TO
IMPROVISE AND USE A RAG PAPER
TOWELS ARE REUSING MENSTRUAL
PRODUCT. THIS CAN INCREASE RISK
FOR INFECTION. AT THREE FIFTY
NINE IS IMPORTANT BILL TO
ADDRESS MENTAL INEQUITY ENSURE
THAT WHEN MENSTRUATING PEOPLE GO
INTO THE SPACES. THEY HAVE
ACCESS AND KNOW THAT THEY HAVE
THEM FREE OF CHARGE I
RESPECTFULLY ASK YOUR IPHONE SB
FIFTY NINE THANK YOU. THANK YOU
VERY MUCH THANKS FOR SOME PLACE
. THANK YOU TO YOUR EGGMAN
MEMBERS OF THE COMMITTEE TIFFANY
WHITE WITH THE C. ARE YOU
CALIFORNIA REPRESENTING MEMBERS
OF THE WORKFORCES. OF
CALIFORNIA'S SAFETY NET PROGRAMS
AND MANY WORKERS THAT OUR PUBLIC
HOSPITALS. ARE WORKERS ARE THERE
WHEN PEOPLE NEED HELP RAIN OR
SHINE PANDEMIC OR RECESSION
ASIDE THERE THERE TO CREATE A
MORE HEALTHIER IN EQUITABLE
CALIFORNIA. SEIU IS COMMITTED TO
PROTECTING OUR SAFETY NET AND
CARING OUT MANDATES THAT ARE
PLACED ON OUR PUBLIC SECTOR
EMPLOYEES. AND PROTECTING AND
ADVANCING PUBLIC HEALTH
IMPROVEMENTS. AND THE
SIGNIFICANT MAJORITY OF THESE
WORKERS ARE WOMEN WOMEN OF COLOR
IN FACT SEVEN OUT OF TEN SEIU
MEMBERS IDENTIFY AS WOMEN AND
60% AS WOMEN OF COLOR. AS A YOU
CONTINUES TO STAY COMMITTED TO
GENDER EQUITY IN THE WORKPLACE
AND LIKE THIS BILL ACKNOWLEDGES
THAT NOT ALL MENSTRUATING
PERSONS IDENTIFY AS WOMEN.
TRANSGENDER MEN NON BINARY AND
ARE GENDER NONCONFORMING WORK
FORCE MAY ALSO MENSTRUATE AND
EXPERIENCE IN EQUITIES RESULTING
FROM LACK OF ACCESS TO MISTER
PRODUCTS. AND TOO MANY OF OUR
MISTREATING WORK FORCE ARE NOT
MORE THAN A PAYCHECK OR TWO AWAY
FROM BEING ON THE OTHER SIDE OF
THE LINE. WE SUPPORT SB FIFTY
NINE AND THANK THE AUTHOR FOR
BRINGING THIS BILL FORWARD. SB
FIFTY NINE WILL NOT ONLY ENSURE
IMPROVE DIGNITY AND HEALTH FOR
CALIFORNIANS ARE MEMBERS ARE SO
PROUD TO SERVE. BUT ALSO BECAUSE
IT WILL BRING EQUITY TO OUR
MEMBERS OF OUR WORKFORCE WHO
MINISTRY. HERE IN THE CAPITAL
THANKS TO THE LEADERSHIP OF PRO
TEM ATKINS AND THE JANITORIAL
PROFESSIONALS CAPITOL STAFF HAVE
ACCESS TO FREE PERIOD PRODUCTS.
THAT IS GREAT IT SHOULD BE THE
STANDARD AND EVERY STATE WORKER
AND EVERY WORKER WHO IS EMPLOYED
TO PROVIDE SERVICES UNDER A
STATE FUNDED PROGRAM. IT WAS THE
LABOR MOVEMENT WHICH LED THE
FIGHT FOR THE RIGHT TO A
BATHROOM AT WORK. THIS IS A
CONTINUATION OF THAT FIGHT A
FIGHT FOR AN EQUITABLE BATHROOM
AT WORK WHERE EVERYONE IS
INSURED ALL THE FREE SANITARY
PRODUCTS THEY NEED. FOR THESE
REASONS WE ARE PROUD TO SUPPORT
SB FIFTY NINE AND- DR VOTE THANK
YOU SO MUCH THANK YOU VERY MUCH
THAT WOULD BE THE TIME FOR OTHER
PEOPLE IN SUPPORT JUST TO COME
TO MY- YOUR MOVE THE MICROPHONE.
YOUR NAME ORGANIZATION AND
SUPPORT. RIGHT SPENCER ABOUT THE
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT. THANK YOU
. OKAY SEE NOBODY ELSE COMING
FORWARD WE WOULD TAKE ANY PEOPLE
SPEAKING IN OPPOSITION TODAY.
COMMITTEE MEMBERS MY NAME IS TO
FEEL LAURIE AND I'M WITH
CALIFORNIA FAMILY COUNCIL. AT
FIRST GLANCE SB FIFTY NINE
APPEARS TO BE A POSITIVE BILL.
HOW CAN ANYONE BE AGAINST
PROVIDING MENSTRUAL PRODUCTS IN
WOMEN'S RESTROOMS. YET THIS BILL
ALSO REQUIRES STATE OWNED
BUILDINGS TO PROVIDE MENSTRUAL
PRODUCTS IN MALE RESTROOMS.
PUSHING THE LIE THAT MEN CAN
HAVE A MENSTRUAL CYCLE INTO
RACING THE TRUTH OF WHAT A WOMAN
IS. THIS BILL DISREGARDS THE
INHERENT DIGNITY OF WOMEN BY
ATTEMPTING TO OBSCURE OBVIOUS
BIOLOGICAL DISTINCTIONS BETWEEN
MALES AND FEMALES. LET'S WALK
THROUGH BASIC BIOLOGY. ONLY
FEMALES HAVE TWO INDOOR MONTHLY
MENSTRUATION WHERE THE LINING OF
THE UTERUS SHEDS. CAUSING BLOOD
TO FLOW FROM THEIR UTERUS
THROUGH THEIR CERVIX AND OUT OF
THERE BUT CHINA. DOES A MAN HAVE
A UTERUS NOW. DOES A MAN HAVE A
CERVIX NOW. DOES A MAN HAVE A
**** NO. THE US MALES DO NOT
HAVE A MENSTRUAL CYCLE. LET ME
REPEAT THAT MALES DO NOT AND
CANNOT HAVE A MENSTRUAL CYCLE
YOUR BILL MAKES A MOCKERY OF
THIS REALITY. THE AUTHOR CLAIMS
TO BE STANDING UP FOR WOMEN YEAH
SB FIFTY NINE RACES WOMEN WHEN
IT PERTAINS OUR BIOLOGY HAS
NOTHING TO DO WITH OUR IDENTITY
. THIS COMMITTEE IS MADE UP OF
NINE FEMALE MEMBERS THINK OF THE
HARD FOUGHT BATTLES WOMEN IN
TOWARD FOR THE RIGHT TO VOTE TO
OWN PROPERTY TO RUN FOR OFFICE
AND TO BE TREATED LEGALLY AS
EQUAL TO MEN. WE WENT FROM
FIGHTING FOR WOMEN'S RIGHTS TO
NOW FIGHTING FOR MEN'S RIGHTS TO
FEMININE PRODUCTS. YOU ARE BEING
ASKED TO AFFIRM THE IDEA THAT
ANYONE CAN BE A WOMAN. IS THAT
THE LEGACY YOU WANT TO LEAVE
YOUR DAUGHTERS AND
GRANDDAUGHTERS. IF YOU REALLY
WANT TO BE PRO WOMEN ASK THAT
THIS BILL BE AMENDED TO REMOVE
THE REQUIREMENT THAT MEN'S
BATHROOMS NEED FEMININE PRODUCTS
TO. YOUR GENOVA ON SB FIFTY NINE
THANK YOU THANK YOU VERY MUCH
ANYONE ELSE SPEAKING IN
OPPOSITION TO THIS BILL TODAY.
C. NORTHERLY WITNESSES ANYBODY
WANT TO COME FORWARD. SEEING
NONE WILL GO TO THE PHONE LINES
NOW. PLEASE BEAR WITH THE
CALIFORNIA FAMILY COUNCIL IN
OPPOSITION THANK YOU. BRANDON
CAMPBELL NORTHERN CALIFORNIA
DIRECTOR OF THE CAPITOL
CONNECTION FOR INDEPENDENT
BAPTIST CHURCHES IN OPPOSITION.
KRISTEN CAMPBELL IN OPPOSITION.
ALL RIGHT THING NO MORE LINE
ONCE AGAIN GO TO THE PHONE LINES
ANYBODY WISHING TO SPEAK IN
SUPPORT OR OPPOSITION NOW WOULD
BE THE TIME JUST TO GIVE YOUR
NAME. THE ORGANIZATION AND
POSITION MODERATOR. CAN YOU
PLEASE OPEN THE PHONE LINES.
THANK YOU IF YOU WISH TO MAKE A
COMMENT ON AT THE FIFTY NINE
PLEASE PRESS ONE. ZERO AT THIS
TIME. WE'LL GO TO LINE SIXTY
SEVEN PLEASE GO AHEAD. JERRY
MEMBERS MICHELLE FOR THE
CALIFORNIA COMMISSION ON THE
STATUS OF WOMEN AND GIRLS IN
STRONG SUPPORT THANK YOU. THANK
YOU NICE COLOR PLEASE. THANK YOU
I'M SEVENTY TWO PLEASE GO AHEAD
. ANDREA RIVERA WE OF THE
CALIFORNIA PAN ETHNIC HEALTH
WORK IN SUPPORT. THANK YOU NEXT
CALLER PLEASE. THANK YOU RYAN
FIFTY THREE PLEASE GO AHEAD. L.
CONNOR BEEN SURROUNDED FOR
AMERICA STRONG OPPOSITION TO
THIS I DON'T THANK YOU THANK YOU
VERY MUCH NEXT CALLER PLEASE.
THANK YOU BYE SEVENTY FIVE
PLEASE CALL. HI MY NAME IS
CHRISTINA MAKING ACT. AND. FOR
OPPOSITION TO THE THANK YOU VERY
MUCH NEXT CALL PLEASE. THANK YOU
RAIMES SEVENTY CALL. I WOULD
IMPACT AND I CALLING ON BEHALF
READY FOR COMPETENCE OF. EIGHTY
THANK YOU NICE COLOR PLEASE.
THANK YOU LINES THREE PLEASE
CALL. HI MY NAME IS SERRA CAME
TV NOW AND BEHALF OF FOLLOWERS
OF NEXT I AM IN OPPOSITION OF
THE FIFTY NINTH AND YOU THANK
YOU VERY MUCH TAKES PLEASE.
THANK YOU RYAN FIFTY PLEASE CALL
. YES GOOD AT. THAT MATTHEW MY
DIPPY CHIEF COUNSEL PACIFIC TO.
CENTER PUBLIC POLICY INTEREST UP
AS- THANK YOU VERY MUCH THANKS
CALL PLEASE. THANK YOU LINE
FORTY NINE PLEASE GO AHEAD. HI I
KNOW I'M STILL. ID BEEN LA
SALLE'S I ONLY A FULL IF THANK
YOU THANK YOU VERY MUCH LIKE
COLOR PLEASE. THANK YOU RYAN
EIGHTY CALL. HI MY NAME IS DALY
ON FROM SOME YOU KNOW COUNTY AND
I AM IN STRONG OF. AT THE AT
NIGHT THANK YOU VERY MUCH THANKS
CALLER PLEASE. THE THANK YOU BYE
SEVEN SEVEN PLEASE CALL. THE
HERNANDEZ THE MATCH SOCIAL OF
WORKERS CHAPTER AND WE WORK.
THANK YOU NICE COLOR PLEASE.
THANK YOU EIGHTY TWO GO AHEAD.
SENATE HEARING. WNIE OPPOSE
UNLESS. THANK YOU VERY MUCH
COURT PLEASE. THANK YOU I HAVE
NO FURTHER SINK YOU THANK YOU
VERY. EXHAUSTED ALL COMMENTS IT
IS NOW TIME TO COME TO MY AS
WIENER. THANK YOU VERY MUCH
MANAGER WITH THE OFF FOR BRING
THIS FOR ALL SUPPORT- AS
IMPORTANT BILL AND I'M HAPPY TO
MOVE THE- I DO JUST WANNA KNOW-
WITH RESPECT. ON SOME OF THE
ANTI LGBTQ HATE GROUPS WHO
TESTIFIED TODAY AND THAT'S WHAT
THEY ARE LET'S JUST BE CLEAR-
AND ESPECIALLY THE WITH THE
PROTECT WITH THE ONE ANTI LGBTQ
HATE GROUP THAT- THAT IS NOW I
GUESS PORTRAYING ITSELF AS- WELL
AS HAVING SOMEHOW FOUGHT FOR
WOMEN'S EQUALITY I WANT TO BE
CLEAR. THAT THE SAME- ALMOST
OVER TRANSPHOBIC ORGANIZATIONS-
POSING THIS BILL TODAY ALSO
POSE- EQUALITY FOR WOMEN. HOW
MANY OF THEM ARE TRYING TO GET
THE ALREADY PUT INTO THE
CONSTITUTION. THEY'RE FIGHTING
AGAINST WOMEN'S REPRODUCTIVE
HEALTH SO THIS WHOLE NOTION THAT
SOMEHOW IT'S PRO WOMEN TO BE
COUNTY TRANS. IS ABSURD AND I
WANT TO THANK THE AUTHOR- AND
ALL OF THE SUPPORTERS AND
SPONSORS ARE FOR KNOWLEDGE IN
THAT HAPPENED MOVE THE BILL.
THANK YOU VERY MUCH I DO NOT
BELIEVE WE HAVE A QUORUM YET BUT
NOTED- CENTER WILL HAVE. THANK
YOU- I ALSO SECOND- THE COMMENTS
OF SENATOR WIENER AND AGAIN
THANK YOU SENATOR SKINNER FOR
BRING THIS FORWARD- I THINK THAT
ONE OF THE THINGS THAT WE CAN
ALL TALK ABOUT IS THAT WE HAVE
TO LEAD BY EXAMPLE. AND THIS
BILL DOES THAT. NUMBER ONE AND
NUMBER TWO AT THE SAME TIME THAT
AS MUCH AS PEOPLE DON'T WANT TO
ADMIT- YOU KNOW THERE ARE
REALITIES THERE THAT- YOU KNOW
WE HAVE TO PROVIDE FOR
EVERYBODY. AND I THINK THAT THIS
REALLY DOES HELP MOVE THAT
FORWARD- WHEN WE TALK ABOUT
WOMEN'S RIGHTS AND WOMEN'S
ISSUES- THIS BILL EXEMPLIFIES
THAT SO AGAIN I JUST REALLY WANT
TO THANK YOU FOR YOUR LEADERSHIP
I WANT TO THANK ALL THE
SUPPORTERS FOR THIS AND I'M VERY
EXCITED FOR THIS. THANK YOU.
THANK YOU VERY MUCH CENTER
TITLE. THANK YOU MADAM CHAIR-
YOU KNOW I JUST HEARING FEET THE
OPPOSITION- TESTIMONY TODAY-
PART OF MY CONCERN COMING INTO
THIS INTO THIS HEARING AND IN
REGARDS TO THIS BILL. REALLY WAS
THE HATE THAT RELEASE AND
MISINFORMATION THAT COULD THAT
COMES OUT OF SOME FOLKS SOME
GROUPS- AND I REALLY THINK ABOUT
YOU KNOW- INDIVIDUALS THAT-
COULD. I'M WORRIED I'M WORRIED
ABOUT PEOPLE BEING HARMED AND SO
I I'M HAPPY TO SUPPORT THE BILL
TODAY BUT I WANT US TO REALLY.
RECOGNIZE THAT THERE IS FEAR
THERE IS HATE OUT THERE THERE IS
A LOT OF MISINFORMATION. AND I
THINK THAT WE ALSO NEED TO WORK
TOWARDS. A MAKING SURE THAT-
THAT THERE IS IF THERE'S ANY WAY
TO KIND OF PREVENT ANY. ANY HARM
FOR INDIVIDUALS SO WE THAT WE DO
THAT AS WELL. THANK YOU. THANK
YOU- TO RUBIO. THANK YOU MADAM
CHAIR AND I ALSO WANT TO COMMEND
THE AUTHOR I AM A PROUD CLOSER
TO YOUR BILL IN SOMALI. GLAD
THAT WE'RE PROVIDING ACCESS FOR
THOSE THAT DON'T HAVE ACCESS
AND- AND IT MAKES ME SAD WHEN WE
DO HERE. MISINFORMATION AND WHAT
COMES ACROSS AS- ON
COLLABORATIVE AND- JUST HATEFUL
CELL I HOPE THAT WE MOVE THIS
FORWARD AND WE CAN ALL. AGREE
THAT HAVING THESE IN RESTROOMS
AS WOMEN IS IMPORTANT THANK YOU.
THANK YOU MADAM CHAIR. THANK YOU
VERY MUCH BUT CENTER SKINNER I
I'D ALSO LIKE TO SAY I WAS THERE
WAS A- WOMEN AND GIRLS GROUP
THAT. TOOK PLACE IN STOCK AND I
WAS THERE WITH A WITH FORMER
ASSEMBLYMEMBER CRISTINA GARCIA
WHEN WE FIRST HEARD. THE YOUNG
GIRLS COMING BEFORE US THAT KIND
OF STARTED SOME OF THE OF
MENSTRUAL EQUITY WORK THAT WAS
DONE AROUND THAT YOUNG GIRLS
COMING FOR WHAT HE'S TALKING
ABOUT. BEING IN FOSTER CARE AND
BEING IN DIFFERENT PLACES AND
NOT BEING ABLE TO GO TO SCHOOL
AND USING SOCKS IN NEWSPAPERS
AND ALL KINDS OF THINGS LIKE
THAT- SO AND I AM ALSO. TO ECHO
CENTER WILL HOP GLAD THAT WE'RE
DOING IT OURSELVES OFTENTIMES
WITH THE STATE EXAMS OURSELVES
IN PUBLIC BUILDINGS AND SO THIS
INCLUDES EVERYBODY. AND I WOULD
ALSO SAY AS SOMEBODY WHO'S ALSO
COURSE HAS PERIOD FEATURES LIKE
ANYBODY ELSE- PREVIOUSLY. AND
DANDA- THEN ALSO SOMEONE CHEN
GENDERFLUID GOING INTO A
RESTROOM CAN BE A TRAUMATIC
EXPERIENCE FOR PEOPLE I HAVE
BEEN SO IT. AND I DON'T I DON'T
THINK IT IT IT IT HELPS ANY OF
US. AND FOR THOSE WHO COME FOR A
MORE SPIRITUAL PLACE I DON'T
THINK IT. IT IT TOUGH FOR OTHERS
YOUR MOVEMENT ANY- TO BE
DISMISSIVE OF ANY OF GOD'S
CHILDREN. SO WE WILL WAIT. UNTIL
WE HAVE A QUORUM- BUT WOULD YOU
LIKE TO CLOSE. THANK YOU SO MUCH
AND I REALLY APPRECIATE MY
COLLEAGUES COMMENTS AND I
APPRECIATE THE- ACKNOWLEDGEMENT
THAT. TRAGICALLY THE MAIN GROUP
THAT SPOKE IN OPPOSITION. IT IS
MOTIVATED BY A- A TERRIBLE BIAS
AND HATRED TOWARDS OUR TRANS-
POPULATION. BUT WHEN THEY SPOKE
SO MUCH. MORE CAME TO MY MIND.
OBVIOUSLY WE HAVE THE ISSUE OF
THE RIGHTS OF OUR TRANS.
BROTHERS AND SISTERS. HOWEVER WE
ALSO HAVE ANYONE WHO. HAS TALKED
TO MEDICAL PROFESSIONALS NOTE.
THAT THERE IS GREAT VARIATION IN
BIOLOGY. AND THERE ARE PEOPLE
THAT HAVE- IT WOULD IT. CAN BE
USED GENITALIA. AND ARE EQUIPPED
WITH. A VARIETY OF ORGANS THAT
WE DON'T CONSIDER WOULD BE NOR
QUOTE UNQUOTE IN A- FIFTY NORMAL
WOMAN OR THE NORMAL MAN AND YET
THESE ARE PEOPLE. THEY THEY ARE
NORMAL THEY ARE NORMAL. BUT E.
DITION WHAT OCCURRED TO ME IS MY
OWN DAUGHTERS ONE OF HER BEST
FRIENDS. IN MIDDLE SCHOOL AND
HIGH SCHOOL. AND I WILL USE A
DIFFERENT NAME JUST MIRIAM. I
SHE LOOKED LIKE A BOY. SHE WAS
NOT A TRANS PERSON. IT STILL
LOOKS LIKE A BOY. SHE WOULD GO
TO THE FEMALE RESTROOM TO BE
TOLD YOU DON'T BELONG HERE GET
OUT HERE. SO VERY OFTEN TO AVOID
THAT SHE WOULD USE THE BOY'S
ROOM. NOW WHY SHOULD SHE NOT BE
ABLE TO GET THE PRODUCT THAT SHE
NEEDS. THE OTHER THING IT
OCCURRED TO ME IS THAT IN SOME
OF OUR OLDER BUILDINGS I THINK
EVERYONE OF US WOMEN KNOW.
WHENEVER THERE IS A BIG EVENT
AND THERE'S A HUGE CROWD AND
THEN THERE'S THE BREAK AND YOU
ALL HAVE TO GO TO THE BATHROOM.
THERE'S A LINES AT THE WOMEN'S
ROOM IN THE MEN'S ROOM IS EMPTY
. SO WE USE IT. SO THIS
ARTIFICIAL DISTINCTION WITH
BATHROOMS MAKES NO SENSE WE
SUPPLY TOILET PAPER WE SHOULD
PLEASE SUPPLY PERIOD PRODUCTS.
AND THIS IS EQUITY PERIOD THANK
YOU I ASK FOR YOUR I. BOATS.
THANK YOU VERY MUCH AND WE HAVE
A QUORUM WE ALREADY HAVE A
MOTION AND WE'LL TAKE A VOTE ON.
THANK YOU VERY MUCH CENTERS CAN
. OKAY I THOUGHT I SAW CENTER
PORTANTINO HERE. THAT INDUSTRY.
THANK WELCOME THANK YOU MADAM
CHAIR AND MEMBERS- PRESENTING S.
B. TWO FIVE SEVEN. AND I WILL
NOTE THAT- IN OUR NEXT ROUND OF
AMENDMENTS- SENATOR RUBIO IT'S
GOING TO BE ADDED AS A CO AUTHOR
SO JUST WANTED LETTER NO THAT'S
IN THE WORKS- SB TWO FIVE SEVEN
WILL HELP PROVIDE COVERAGE FOR
MEDICALLY NECESSARY DIAGNOSTIC
BREAST. IMAGING WITHOUT IMPOSING
A COST SHARING THIS INCLUDES
DIAGNOSTIC BREAST IMAGING AFTER
AN ABNORMAL MAMMOGRAM RESULTS
AND A DIAGNOSTIC PRESS IMAGE FOR
WOMEN WITH A GENETIC RISK FACTOR
ASSOCIATED WITH BREAST CANCER.
BREAST CANCER IS THE SECOND
LEADING CAUSE OF DEATH AMONG
WOMEN HOWEVER EARLY DETECTION OF
BREAST CANCER DRASTICALLY
INCREASES SURVIVAL RATES THAT
MOMENT WHILE MAMMOGRAPHY
SCREENING DETECTS 8290% OF
BREAST CANCERS IN WOMEN. WHO
HAVE NOT YET MANIFESTED PHYSICAL
SYMPTOMS SUCH AS SUCH GREENIES
CANNOT ALWAYS ADEQUATELY DETECT
BREAST CANCER WOMEN RE WHO
RECEIVE ABNORMAL RESULTS ON A
BREAST CANCER SCREENING OR WHO
HAVE GENETIC RISK FACTORS
ASSOCIATED WITH BREAST CANCER
INCLUDING FAMILY HISTORY UNKNOWN
GENETIC MUTATION OFTEN NEED TO
UNDERGO A FOLLOW UP TESTING. TO
ENSURE THAT THE WHATEVER THE
DOCTOR DOESN'T LIKE IT'S
ADEQUATELY- DIAGNOSED- HOWEVER
WOMEN ARE REQUIRED TO PAY THIS
OUT OF POCKET EXPENSE SO THINK
ABOUT THAT. YOUR ROUTINE
MAMMOGRAM IS COVERED BUT THE
FOLLOW UP IMAGE THAT YOUR DOCTOR
PRESCRIBES IN THAT IT'S
MEDICALLY NECESSARY MAY NOT BE
COVERED. SO MANY WOMEN ARE WILL
SIT THERE WITH THAT DECISION
SHOULD I WAIT TILL NEXT YEAR. TO
SEE IF IT GETS WORSE OR SHOULD I
GO OUT OF POCKET THE EIGHT
HUNDRED DOLLARS AND WE KNOW THAT
IN THAT YEAR BAD THINGS COULD
HAPPEN SO. TO ME IT MAKES NO
SENSE THAT THE INITIAL IMAGE
WOULD BE COVERED BUT THE
MEDICALLY NECESSARY DOCTOR
PRESCRIBE FOLLOW UP ISN'T
COVERED AND SO THIS WAS BROUGHT
TO ME BY A CONSTITUENT WHO FACED
THIS DILEMMA. AND SO WE'RE BACK
WITH THIS BILL- OBVIOUSLY WE
HAVE A NUMBER OF FOLKS. WE'RE
HERE CONNOR FROM SOLUTION GINGEE
COLEMAN RYAN SPENCER FROM THE
AMERICAN COLLEGE OF OBSTETRICS
AND GYNECOLOGY ASSEMBLY MEMBER
FRIEDMAN IS MY JOIN AUTHOR ON
THE BILL AS OTHERS AND SO AT THE
APPROPRIATE TIME WOULD
RESPECTFULLY ASK FOR AND I
THOUGHT. THANK YOU VERY MUCH
WILL HAVE FIRST WITNESS PLEASE
AND AGAIN SIX MINUTES PER SIDE
AN EXTRA CREDIT FOR NOT TAKING
THE WHOLE TIME. THANK YOU MADAM
CHAIR AND MEMBERS OF THE
COMMITTEE FOR THE OPPORTUNITY TO
TESTIFY THIS AFTERNOON MY NAMES
CONOR SWEENEY I'M A STATE POLICY
ADVOCACY MANAGER WITH SUSAN G.
KOMEN. M. AS THE NATION'S
LEADING NONPROFIT BREAST CANCER
ORGANIZATION AND- PROUD SPONSOR
OF SB TWO FIVE SEVEN. SCREENING
MAMMOGRAMS AS THE SENATE REPORT
POINTED OUT ARE JUST THE FIRST
STEP IN DIAGNOSING BREAST CANCER
EARLY DETECTION WOULD NOT BE
POSSIBLE WITHOUT. DIAGNOSTIC
FOLLOW UP IMAGING OR
SUPPLEMENTAL IMAGING WHICH ARE
REQUIRED TO. EITHER RULE OUT
BREAST CANCER CONFIRM THE NEED
FOR A BIOPSY. UNFORTUNATELY OUR
ORGANIZATION OFTEN RECEIVES
CALLS AND EMAILS FROM
INDIVIDUALS WHO TELL US THEY'RE
UNABLE TO AFFORD. THE OUT OF
POCKET EXPENSES FOR THEIR-
RECOMMENDED BREAST IMAGING- ANY
PATIENT WHO IS DELAYING THESE
IMAGING SESSIONS FOR FINANCIAL
REASONS RUNS THE RISK OF SAYING
THAT CANCER SPREAD TO OTHER
PARTS OF THE BODY. WHICH MAKES
IT NOT ONLY MORE DEADLY BUT MORE
EXPENSIVE TO TREAT- MATTER FACT
BREAST CANCER CAN BE UP TO FIVE
TIMES MORE EXPENSIVE TO TREAT
ONCE IT IS SPREAD. SO IT DOES
THE SENATOR POINTED OUT IT ONLY
MAKES SENSE TO. GIVE EQUITABLE
ACCESS TO THE ENTIRE SCREENING
CONTINUUM NOT JUST THE FIRST
STEP IN THE PROCESS- WE KNOW
THAT. WIDESPREAD AVAILABILITY OF
MAMMOGRAMS HAS SHOWN US THAT
INCREASE ACCESS TO SCREENINGS
HAS DRIVEN AN INCREASE IN EARLY
DETECTION. BUT THE SAME IS NOT
EQUALLY TRUE ACROSS ALL
DEMOGRAPHICS EVIDENCE HAS SHOWN
THAT COMMERCIALLY INSURED BLACK
BREAST CANCER PATIENTS ARE
DIAGNOSED AT A LATER STAGE. AND
HAVE A HIGHER MORTALITY RATE
WHEN COMPARED TO THEIR WHITE
COUNTERPARTS WITH THE SAME
INSURANCE STATUS. ELIMINATING
THE OUT OF POCKET COSTS FOR
DIAGNOSTIC AND SUPPLEMENTAL
IMAGING WOULD FURTHER INCREASE
ACCESS ELIMINATE THAT DISPARITY
AND OTHERS. AND INCREASE EARLY
DETECTION OF BREAST CANCER
ACROSS THE BOARD FOR EVEN FOR.
VARIANTS THAT ARE MORE OFTEN
DETECTED- DURING SECONDARY
SCREENINGS BECAUSE THE HEART OF
THE CITY DURING A STANDARD
MAMMOGRAM SO. RESPECTFULLY ASK
YOUR AYE VOTE ON SB TWO FIVE
SEVEN THANK YOU AGAIN FOR THE
OPPORTUNITY TO COMMENT THANK YOU
VERY MUCH. MISTER SPENCER. THANK
YOU MA'AM CHAIR AND I'LL OKAY
YOUR WORDS AND NOT REPEAT THE
SAME WORDS OF THE PREVIOUS OF MY
COLLEAGUE FROM THE PREVIOUS.
TESTIMONY ASSEMBLY JUST A FEW
FACTS- SCREENING MAMMOGRAPHY
BRIAN SPENCER ON BEHALF OF THE
AMERICAN COLLEGE OF OBGYN IS TO
SHOULD NINE WE'RE CO SPONSORS ON
THE MEASURE THANK YOU SAN
FORTINO FOR INTRODUCING THIS
BILL- SCREEN THE MARKET FOR
ENABLES EARLY DIAGNOSIS AND
RESULTED IN DECREASED SCARED IT
DOES. DECREASE CANCER MORTALITY
IN WOMEN OF AVERAGE RISK
IMPROVING THE FIVE YEAR SURVIVAL
RATE FROM 75% IN 1975290% OF
PRESENT. CALLBACKS RIPPLES
POSITIVES OR INCLUSIVE RESULTS
NECESSITATE FURTHER IMOGENE
CAUSE ANXIETY DISTRESS AND
FINANCIAL BURDEN AS MY COLLEAGUE
MENTIONED SB NICE ANY FOR WOULD
LIMIT THE COST YOUR BURDEN AND
REDUCE THE BEAR CARE. TO
COMPLETE THE SCREENING PROCESS.
SIMPLY PUT PLEASE VOTE FOR THE
BILL THANK YOU. THE YOU VERY
MUCH IS THE TIME FOR ANYONE
ELSE. IN SOME OF THE BILL JUST
TO COME FOR WITH YOUR NAME
ORGANIZATION AND SUPPORT. THANK
YOU AND I'M SURE TONIGHT AND
REPRESENTS THE CALIFORNIA
SOCIETY OF PLASTIC SURGEONS IN
SUPPORT. JENNIFER SNYDER MAY
HAVE THE CALIFORNIA LIFE
SCIENCES IN SUPPORT. WHAT ARE
TOP ON BEHALF OF BY A COME
CALIFORNIANS SUPPORT. ANDREA
CHRISTMANN AS AN INDIVIDUAL MY
SISTER IN LAW JUST RECEIVED A
DIAGNOSIS OF BREAST CANCER.
STAGE FOUR. IN SUPPORT. CAROL A
BILL HUNTER BATH ADVAMED IN
SUPPORT. MATTHEW BROUGHT ON
BEHALF OF THE CALIFORNIA
RADIOLOGICAL SOCIETY AND SUPPORT
. VENTURE MEMBERS KATHY VAN
AUSTIN ON BEHALF OF THE AMERICAN
ASSOCIATION OF UNIVERSITY.
UNIVERSITY WOMEN CALIFORNIA IN
SUPPORT THANK YOU VERY MUCH.
AHEAD NOW IS THE TIME FOR
ANYBODY IN OPPOSITION THERE IS
SOME OPPOSITION THIS BILL SO
HAVE THE LEAD PERSON COME
FORWARD PLEASE. AND AGAIN SIX
MINUTES PER SIDE. A GOOD
AFTERNOON MADAM CHAIR MEMBERS OF
THE COMMITTEE JEFF HAMPTON WITH
CALIFORNIA ASSOCIATION OF HEALTH
PLANS- CAP REPRESENTS FORTY
THREE A LICENSE KNOCKS KEEN
HEALTH PLANS ACROSS STATE
REPRESENTING TWENTY EIGHT
MILLION ENROLLEES- WELL WE
CERTAINLY AGREE THAT THIS BILL
IS WELL INTENTIONED- WE ARE
CURRENTLY OPPOSED TO THE BILL I
PRIMARILY BASED ON THE COST
IMPACTS OF THE BILL- AS NOTED IN
THE TIMBER. ANALYSIS ON LAST
YEAR'S SB NINE SEVENTY FOUR
WHICH IS SUBSTANTIALLY SIMILAR
BILL IMPLEMENTING THIS BILL
WOULD COST CALIFORNIA PREMIUM
PAYERS APPROXIMATELY HUNDRED
SEVENTEEN MILLION DOLLARS- AND
THAT WOULD BE A REAL AND
TANGIBLE IMPACT ON INDIVIDUALS
PREMIUMS HERE IN CALIFORNIA. WE
WOULD ALSO LIKE TO POINT OUT
THAT- WE FEEL THAT THIS BILL IS
ONE OF BY OUR COUNT- TWENTY
THREE BILLS HAVE BEEN INTRODUCED
THIS YEAR AT IN THE LEGISLATURE
THAT EITHER MANDATE NEW
BENEFITS. OR EXISTING BENEFIT
DESIGNS- PRIMARILY THROUGH THE
USE OF LIMITING UTILIZATION
MANAGEMENT- AND OR A. LEARNING
COST SHARING FOR CERTAIN
SERVICES. RIDLEY- THESE TYPES OF
TO HAVE REAL COST IMPACTS ON ON
THE HEALTH DELIVERY SYSTEM AS A
WHOLE- WHICH IS AGAIN THE
PRIMARY CONCERN OF OUR BILL- AS
POINTED OUT IN THE GOVERNOR'S
VETO MESSAGE OF S. B. NINE
SEVENTY FOUR LAST YEAR. BUT WE
DO BELIEVE THAT STATE SHOULD
REALLY- WEIGH THE POTENTIAL
BENEFITS OF ALL MANDATES I WITH
THE CONFERENCE OF COST THE
ENTIRE HEALTHCARE DELIVERY
SYSTEM. SO AGAIN WHAT WE DO
BELIEVE THAT THIS BILL IS WELL
INTENTIONED- BASED UPON THE COST
IMPACT FOR PREMIUM HERE TO
CALIFORNIA WE ARE REGRETTABLY
OPPOSE THANK YOU THANK YOU VERY
MUCH. IT IS THERE A SECOND
PLEASE PUT US ON THIS. NO TO
THAT WOULD BE THE TIME FOR
ANYBODY JUST IN OPPOSITION TO
COME AND STATE YOUR NAME. YOUR
ORGANIZATION AND YOUR POSITION.
THANK YOU VENTURE COMMITTEE
MEMBERS PRESTON YOUNG FOR THE
CALIFORNIA CHAMBER OF COMMERCE
HERE IN OPPOSITION RESPECTFULLY
DO THE EMPLOYER- PREMIUM IMPACT
THE BILL HAVE THANK YOU. THANK
YOU VERY MUCH. I WILL GO TO OUR
PHONE LINES AS A TIME FOR
ANYBODY IN SUPPORT OR
OPPOSITION- TO WEIGH IN SO
SIMPLY GOING TO STATE YOUR NAME
ORGANIZATION AND POSITION.
MODERATOR ARE THERE ANY COLORS.
THANK YOU IF YOU WISH TO MAKE A
COMMENT ON AT THE TWO FIFTY
SEVEN. PRESS ONE ZERO AT THIS
TIME. NINE EIGHTY FIVE BEFORE I
HAD. BONTA POOL WESTERN CENTER
ON LAW AND POVERTY SUPPORT.
THANK YOU I'M EIGHTY SIX PLEASE
GO AHEAD. MADAM CHAIR MEMBERS OF
THE COMMITTEE BRANDON MARSHALL
CALIFORNIA MEDICAL ASSOCIATION
IN STRONG SUPPORT. THANK YOU
NICE COLOR PLEASE. THANK YOU I'M
AT SEVEN PLEASE GO AHEAD. THANK
YOU MADAM CHAIR MEGHAN BIRDS ON
BEHALF THE CALIFORNIA
PROFESSIONAL FIREFIGHTERS IN
SUPPORT. THANK YOU I'M SEVENTY
ONE PLEASE GO AHEAD. HI DIANA
POSITION WHO THE TO SENATOR PER
ATTENTION I AM IN STRONG. THANK
YOU THANK RAIMES SEVEN SEVEN
FISCAL. HE HERNANDEZ WILL BE NOT
THE GROCERY STORE. TRACTOR AND
ARE IN COURT. THANK YOU THIS
CALL PLEASE. THANK YOU I HAVE NO
FOR COME THANK YOU. THANK YOU
VERY MUCH NOW WOULD BE THE TIME
WE BRING IT BY TO THE CA. HURNEY
COMMITTEE OR QUESTIONS. GOOD TO.
THANK SOME- I THE AUTHOR- IN
BRINGING THE UP JUST A QUESTION
I SAW IN- THAT THIS WAS BROUGHT
UP PREVIOUSLY AND IT WAS VETOED
BY THE GOVERNOR AND IT LOOKS
LIKE IT'S REALLY SIMILAR. OF
WATER THAT YOUR THOUGHTS ON IT
GETTING PAST THIS TIME WHEN YOU
SEE CHANGING HERE. I THINK WE'RE
GONNA GET A SIGNATURE. THAT'S
WHAT I'M HOPING FOR AND WE HAVE.
HAD MEETINGS WITH THE GOVERNOR'S
OFFICE ON THE NATURE OF THE VETO
MESSAGE. I IN PARTICULAR ON
WHETHER THIS IS A NEW. OR AN
EXISTING BENEFIT WE DISAGREE
WITH THE ANALYSIS OF MORE MAKING
THAT ARGUMENT TWO WHAT ARE DO WE
HAVE ANY UPDATES ON THE
RECOMMENDATION IS A STATE AND I
DON'T EVEN KNOW WHAT THIS STANDS
FOR BUT THE USPSTF IS CURRENTLY
IN THE PROCESS OF UPDATING THE
RECOMMENDATIONS. DID THAT COME
OUT ALREADY. WE'RE GOING TO HAVE
A COMMON COMMENT ON THAT. S.
THANK YOU FOR THE QUESTION
SENATOR I BELIEVE IT WAS THE US
PREVENTIVE SERVICES TASK FORCE-
UPDATING THEIR GUIDELINES WE
JUST DON'T REALLY THINK THAT
THIS IS A PREVENTIVE SERVICES
ISSUE THIS. YOU KNOW THAT THAT
REFERS TO A SCREENING WHEN THERE
IS NO SEPTEMBER CAUSE FOR
CONCERN FOR BREAST CANCER BUT
THIS IS SOMETHING THIS IS A
DIAGNOSTIC ISSUE. WE JUST DON'T
KNOW THAT THOSE RECOMMENDATIONS
WILL BE. RELEVANT TO THIS
PARTICULAR ISSUE THANK YOU JUST
LAST QUESTIONS I WILL BE
SUPPORTING THE BILL THOUGH YES
SO THE INITIAL SCREENING YOU
COULD THINK OF AS PREVENTIVE BUT
THIS IS ONCE THE DOCTOR SEES
SOMETHING THE DOCTOR DOESN'T
LIKE. WANTING TO GET MORE
DIAGNOSIS OF IT SO IT'S NOT
NECESSARILY PREVENT OF IT'S A
FURTHER DIAGNOSIS OF AN
ABERRATION. THANK YOU. THANK YOU
VERY MUCH AND- SENATOR RUBIO.
THANK YOU MADAM CHAIR AND- I AM
GOING TO BE ADDED AS AN AUTHOR
AND- FROM SOMEONE WHO SPENT AT
THE LAST FOUR YEARS WORKING ON
SO MANY COUNTS FOR POLICIES
JUST. YOU KNOW THIS WEEK ALONE
OTHERS TO PEOPLE THAT I KNOW
PERSONALLY- SOMEONE IN
PARTICULAR THIS BUILDING WHO WAS
DIAGNOSED AND DOUBT THIS IS
SOMETHING THAT TOUCHES EVERYONE.
IN ONE OR THE OTHER AND I KNOW
I'M VERY SYMPATHETIC TO THE
PLANS AND I CONTINUE TO HAVE
CONVERSATIONS WITH THE AND
HEALTH PLANS. ON THE COSTS AND I
ALSO RECOGNIZE SOMETIMES IS THAT
THE IMPACT OF YOU KNOW I BELIEVE
THEY SAID A HUNDRED TWENTY THREE
BILLS ADDED ON I MEAN I'M VERY
SYMPATHETIC AND I ALWAYS YOU
KNOW BRING THEM TO. TO THE TABLE
HAVE DISCUSSIONS BUT YOU KNOW
THIS IS SOMETHING THAT I BELIEVE
IS GOING TO COST MORE IN THE
BACK AND ANYWAYS. IF WE DON'T
GET A FIVE THE OPPORTUNITY TO. I
HAVE EARLY DETECTION AND BREAK
DOWN BARRIERS SOUGHT TO AND TO
ENSURE THAT THAT YOU KNOW THESE
PEOPLE DON'T GET SICK OR I STILL
THINK THAT. CATCHING IT ON THE
FRONT END REALLY SERVES ALL OF
US BASS THAN WAITING UNTIL IT'S
TOO LATE OR THERE'S- MORE COSTS
ON THE BACKEND- I AM PROUD TO
SUPPORT IT I THINK IT'S
IMPORTANT AND I THINK THAT WE
NEED TO DO WHAT WE CAN TO KEEP
PEOPLE HEALTHY IN THE LIVES OF.
THANK YOU FOR BRINGING THIS
FORWARD WITH THAT THANK YOU
MADAM CHAIR. THANK YOU VERY MUCH
AND- ALL BE SAID. THIS BUT AS A
MY COMMENTS LINE SOME CENTER
MANAGER FOR PROPER. WE BUDGET
HEALTH HUMAN SERVICES UNDER. THE
BALANCING ACT THAT GOES ALONG
WITH THE- COVERED CALIFORNIA
BRONZE PLAN. TO THE WHATEVER WE
SAY. YOU KNOW DOESN'T YOUR PRE
OFFER THIS. IT HAS TO INCLUDE
FOR THE BRONZE PLAN WHICH THEN
CONTINUES TO PUT. COSTS AT A
VERY HIGH RATE FOR THE POOREST
CALIFORNIANS- SO WE'LL ALL BE
SUPPORTING THE STAND I IT'S BEEN
HELD IN APPROACH BEFORE I
IMAGINE. IT'LL HAVE A BETTER
OUTCOME PERHAPS THIS YEAR- AND
THEN WE'LL SEE WHEN IT GETS TO
THE GOVERNOR'S DESK BUT- A
SENTIMENT OF OUR- THE- PROGRAMS
. THAT ARE UP. TO WE LOOK LIKE
THIS- SO I REALLY DO FOR. BOTH
YOU KNOW SENATOR PER. AND I'VE
SELF- SUPPORT THIS. AND BRING
THIS FORWARD- I KNOW WE ALWAYS
TALK ABOUT COST TONIGHT YOU KNOW
WE HEARD THE OPPOSITION OF
REGARDING COST- EVERYTHING COSTS
SOMETHING. GRADE BUT ONE OF THE
THINGS THAT THIS DOES AND I
REALLY WANT TO KIND OF PUT THIS
AND FOCUS FOR A LOT OF PEOPLE
HERE- IS THAT PREVENTATIVE CARE.
AND BEING AHEAD OF A LOT OF
THINGS ACTUALLY DOLLAR PER
DOLLAR- IS FAR MORE SIGNIFICANT
IN FACT PREVENTION EARLY
INTERVENTION A LOT OF THINGS
LIKE THAT EVEN WHEN WE'RE
TALKING ABOUT HOMELESSNESS AND
HOUSING- HE SAVES ACTUALLY
ROUGHLY SEVEN DOLLARS ON THE
BACK END. RIGHT SO THIS IS
INCREDIBLY IMPORTANT TO KIND OF
HIGHLIGHT AS A PREVENTATIVE
MEASURE AS WELL AND JUST YOU
KNOW SOMETHING THAT CAN
POTENTIALLY SAVE LIVES. AND
CAPTURE THINGS EARLY ON- SO IT'S
NOT HARMFUL TO NOT ONLY FAMILIES
AND INDIVIDUALS AND PATIENTS BUT
ALSO HOPEFULLY- TO SOCIETY THAT.
POTENTIALLY LOSE LOVED ONES SO
THANK YOU AGAIN. THANK YOU MUCH
AND I THINK WHAT WE HAVE A
QUORUM WELL AS A SECRETARY TO
CALL THE RULES WE CAN ESTABLISH
A QUORUM. SENATORS EGGMAN. YOUR
WHEN. GLACIER GONZALEZ. GROWTH
HER TADO. FURTADO HERE. LIMON
MENJIVAR. AND OVER HERE. ROTH
RUBIO. RIGHT RUBIO PRESENT BOB.
BOB HERE WIENER THERE WINNER
HERE. THANK YOU VERY MUCH. I
WOULD LET WOULD YOU LIKE TO
CLOSE ABSOLUTELY AND I THINK.
THE REASON WHY WE HAVE ROUTINE
MAMMOGRAMS IS AS A PREVENTATIVE
MEASURE TO SEE WHAT'S HAPPENING
. TO ME IT MAKES NO SENSE THAT
IF YOU DETECT SOMETHING OF
CONCERN. THAT LOOKING INTO THAT
CONCERN WOULD NOT BE A COVERED
EXPENSE AS WELL I MEAN IF WHY
HAVE THE FIRST STEP IF YOU'RE
NOT GONNA HAVE THE SECOND STEP
WHICH THEN LEADS TO THE
PREVENTION WHICH LEADS TO THE
EARLY DETECTION WHICH LEADS TO
SAVING A LIFE AND SAVING THEM
THE MONEY. THE OF DEALING WITH
IT ON THE BACK END SO THAT I
RESPECTFULLY ASK FOR AND I PUT.
THANK YOU VERY MUCH- IN. THERE'S
ALREADY MOTION ON THIS BILL YOUR
MOTION. OKAY OKAY- THAT WAS THE
MOST BY SENATOR. HER TADO AND
THAT MOTION IS TO PASS AND
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY PLEASE
CALL THE ROLL. THE SENATORS
EGGMAN. YES BY EGGMAN AYE. WHEN
GLAZIER. GONZALEZ HI. GONZALEZ I
GROWTH. APARTADO FURTADO I
LIMON. MENJIVAR BINGE OF OUR
ICE. FROST RUBIO. RIGHT RUBIO
AYE BOB HI BOB HI WIENER. WINNER
I. WE WOULD HOLD THE ROLE OPEN
ON THAT- THE NUMBER WE ADOPTED
CONCERN CALENDAR CAN WE DO CAN
WE GET A MOTION TO FOR THE
ADOPTION OF THE COMMITTEE RULES
. OKAY OKAY MOTION BY SENATOR
FURTADO ON THE ADOPTION OF
RULES. SECRETARY CALL THE ROLL.
SENATORS EGGMAN FIVE EGGMAN ICE
WHEN. GLAZIER GONZALEZ GONZALEZ
I GROWTH HER TADO FOR TITLE II
LIMÓN. AND OF OUR MANAGER OUR
AYE ROSS RUBIO FIVE RUBIO I WILL
HOP. BOB I WINNER WINNER I.
SEVEN SEVEN WILL THE ROLE OPEN
ON THAT- WHAT I HAVE A MOTION ON
THE CALENDAR. BY SENATOR GONZALO
AND THE AGAIN SING CAL S. THREE
FORTY FOUR BY RUBIO S. B. FOR
TWO ONE LEMOND AND S. B. EIGHTY
TWO EIGHTY AMICALE. SECRETARY
PLEASE CALL THE ROLL. SAN EGGMAN
BY A AYE WHEN. GLAZIER AND-
GONZALEZ I GROWTH HER TADO I HER
TADO AYE LIMÓN. MENJIVAR MANAGE
OF OUR AYE ROTH RUBIO FIVE RUBIO
I WILL HAN BOB I WINNER. WINNER
I. OKAY WILL ALSO HOLD THAT ROLE
OPEN. YEAH WE JUST GOT HOME.
THREE OKAY I DO NOT SEE AN
AUTHOR HERE SO I'M GOING TO THE
GAVEL TO WE- ANALOG UP AND
PERFORM FORM OKAY. THANKS.
THE. FORTY SEVEN. ALONG WITH
TWENTY RICHARD. I WAS GOING TO
GO IF IT'S ALRIGHT WITH YOU
MISTER FACT CHAIRMAN GONNA START
WITH THE OFFICE BE THREE FOUR.
I'M JUST BECAUSE I GOT LAID UP
ON SO DIDN'T PLAN ON PRESENTING
BUT HE WE GO SO THIS HAS TO DO.
GLASSES THIS HAS TO DO WITH
COVERED UNDER THE MEDICARE
SYSTEM AND HISTORICALLY WE HAVE
HAD- OUR PRISON MAKES GLASSES
FOR US WHICH IS GREAT THING THAT
WE WANT TO DO WE WANNA GET
PEOPLE WHO ARE SERVING IN PRISON
WHICH TO WORK- BUT WE HAVE. IS
OFTEN AND WITH A GOOD HEALTH
COME WE'RE NOT SAYING THAT THE
PRESIDENT CAN I MAKE THE CLASSES
BUT TO ALSO BIT JUST LIKE
EVERYBODY ELSE TO BE ABLE TO GET
A CONTRACT TO DO THAT ONE OF THE
PROBLEMS THAT WE HAVE IS
SOMETIMES CLASSES TAKE A LONG
TIME TO BE DELIVERED- AND THEN
IF THERE'S A PROBLEM THERE'S
NOBODY TO CALL TO SAY I NEED
ANOTHER PAIR BECAUSE IT HAS TO
GO BACK TO THE SAME SYSTEM. SO
THINK ABOUT A KID WHO CAN'T SEE
I WOULD I START WORKING CLASSES
WHEN I WAS IN ELEMENTARY SCHOOL
AND I REMEMBER THE DAY I WALKED
OUT WITH MY NEW GLASSES ON I
READ EVERYTHING I COULD SEE BUS
STOPS IT WAS BUS STOPS IN THOSE
DAYS BENCHES AND EVERYTHING- AND
IT WAS LIKE A MAGICAL EXPERIENCE
FOR ME MY GRADES PICKED UP I
DIDN'T HAVE TO SIT IN THE FRONT
NOT THAT I EVER DID- BUT A
CHANGE IT WAS A LIFE CHANGER FOR
ME SO WE WANT TO BE ABLE TO
PROVIDE. GLASSES AS QUICKLY AS
THE DOCTOR SAYS IS REASONABLE-
FOR- FOR PEOPLE ON MEDICARE- SO
ALSO IT WILL. EXPAND AT THE
SOURCE. FOR ALLOWING. PROVIDERS
TO BETTER MEET THE NEEDS. OF
YOU. OF OUR PATIENTS. AND I
RESPECTFULLY ASK FOR YOUR AYE
VOTE. THANK YOU VERY MUCH- LEAD
WITH S. THE- CHAIRMAN TERRY.
MCHALE THEIR AND READ. NECESSITY
REP. THE CAL. UP TO. ASSOCIATES
I MEAN THERE'S GOOD NEWS AND BAD
NEWS FOR THE PRISON SYSTEM. FIVE
YEARS AGO WE- HAD. WE HAD A
HUNDRED AND SEVENTY THOUSAND
PRISONERS. THIS YEAR WE HAVE
UNDER A HUNDRED THOUSAND. WE'RE
GONNA CLOSE FIVE OR SIX MORE
PRISONS IN THE NEAR FUTURE.
THERE'S GOOD NEWS AND BAD NEWS
FROM THIS WE LOOK AT THE- AT THE
FIREFIGHTERS. TWO HUNDRED AND
TWENTY SEVEN FIRE CREWS THEY
COULD ONLY FILL EIGHTY FIVE OF
THEM. WERE LOSING THE PRISONERS.
THAT WE USE. IN- OUTSIDE TO
FIGHT FIRES IN OR LOSING THE
PRISONERS TO DO THE PRISON.
INDUSTRY AUTHORITY. WORK THE
NUMBER ONE COMPLAINT. FOR
OPTOMETRISTS RECEIVING THE STATE
OF CALIFORNIA. DEALS WITH THE
FACT THAT MEDICAL PATIENTS
RECEIVE THEIR GLASSES. SO MUCH
LATER. THAN EVERYONE ELSE. AND
THE OPTOMETRIST TAKE THE HIT ON
THAT ON ALL OF THOSE SOCIAL
PROGRAMS. YOU KNOW FIX THE-
SOCIAL PROGRAMS THAT DEAL WITH
THE- AND THEY HAVE NO RESOURCE
THEY HAVE NO RECOURSE BECAUSE
THEY CAN'T CALL THE PRISON
AUTHORITY. AND FIND OUT WHY THE
DELAY EXISTS. I'LL JUST CLOSE
WITH THIS THIS BILL IS VERY FAIR
TO THE PRISON INDUSTRY
AUTHORITY. IT SAYS IF YOU CAN DO
THE JOB AS QUICKLY AS YOU SAY
YOU CAN DO IT. YOU'RE GOING TO
CONTINUE TO HAVE CONTRACTS AND
YOU'RE GOING TO CONTINUE TO WORK
WITH OPTOMETRIST IF YOU CAN'T.
IT GIVES THEM OPTIONS TO GO
SOMEPLACE ELSE. IT'S A GOOD BILL
FOR CONSUMERS IT'S A GOOD DEAL
FOR THE STATE OF CALIFORNIA. ASK
YOUR AYE VOTE. THANK YOU VERY
MUCH IS THERE ANY ADDITIONAL
SUPPORT TESTIMONY AND THE
HEARING ROOM. SITTING ON WILL GO
TO OPPOSITION IS OR ANY
OPPOSITION PLEASE COME FORWARD.
GOOD AFTERNOON- I WILL SAY
CHAIRMAN MADAM CHAIR AND MEMBERS
OF THE COMMITTEE. MY NAME IS
MACK JENKINS I AM A RETIRED
CHIEF PROBATION OFFICER RETIRED
OUT OF SAN DIEGO COUNTY I DON'T
WORK FOR MORE THAN FORTY YEARS
IN THE CRIMINAL JUSTICE SYSTEM
HERE IN THE STATE OF CALIFORNIA
. I'M ALSO A PAST PRESIDENT OF
THE CHEAPER BASED OFFICERS
ASSOCIATION- TEN I AM A MEMBER
OF THE COUNCIL IN CRIMINAL
JUSTICE AND BEHAVIORAL HEALTH.
AND I AM ALSO A BOARD MEMBER
WITH CAL PA. SO AS THIS IS THE
SENATE HEALTH COMMITTEE I'M
GOING TO EXPECT THAT THIS
COMMITTEE IS FAMILIAR WITH THE
TERM. SOCIAL DETERMINANTS OF
HEALTH- I ALSO WOULD HOPE THAT
THIS COMMITTEES FAMILIAR WITH
SOCIAL DETERMINANTS OF HEALTH AS
IT RELATES TO INDIVIDUALS WHO
ARE IMPACTED BY THE JUSTICE
SYSTEM. WHAT WE KNOW FROM
RESEARCH AND FROM PRACTICE ABOUT
SOCIAL DETERMINANTS OF HEALTH
FOR INDIVIDUALS WERE IMPACTED BY
THE JUSTICE SYSTEM IS THAT THEY
MUST BE ADDRESSED. EFFECTIVELY
TO CHANGE THE BEHAVIORS THAT
HAVE LED TO THE CRIMINAL JUSTICE
INVOLVEMENT IN THE FIRST PLACE
AMONG THE THINGS THAT ARE
CAPTURED IN SOCIAL DETERMINANTS
OF HEALTH. HOMELESSNESS BALLS
THERE. IT LITERACY FAULTS THEIR
EMPLOYABILITY OR HISTORY OF
UNEMPLOYED BILITY ALSO FALLS
THERE. NOW WITH THE MISSION AND
PURPOSE OF THE PRISON INDUSTRY
AUTHORITY IS TO PROVIDE JOB
TRAINING SKILLS TO INCARCERATED
POPULATION. TO REDUCE THE
LIKELIHOOD OR I GUESS IT ANOTHER
WAY TO GIVE THEM SKILLS SO THAT
THEY CAN MAKE CHANGES IN THEIR
BEHAVIOR THAT WILL REDUCE THE
LIKELIHOOD THAT THEY WILL ENGAGE
IN THE BEHAVIORS THAT LED TO
THEIR INCARCERATION THE FIRST
PLACE. NOW I'M ALSO GOING TO
EXPECT THAT THIS COMMITTEE AS
WELL AS THE ENTIRE CALIFORNIA
LEGISLATURE IS WELL INTERESTED
IN SEEING THE PRISON SYSTEM DO
SOMETHING MORE THAN SIMPLY
INCARCERATE. INDIVIDUALS WHO
COME THERE SO THE MISSION OF PA
IS TO DO EXACTLY WHAT I
DESCRIBED AND WE'RE AT A POINT
NOW WHERE WE NOT ONLY- HEY HAS
ACHIEVED THAT MISSION WE HAVE
EMPIRICAL SUPPORT THAT SHOWS
THAT. WE RECENTLY RECEIVED-
PARTNERED WITH THE UNIVERSITY OF
CALIFORNIA IRVINE WITH DOCTOR
SUSAN TURNER WHO IS A NATIONALLY
RENOWNED CRUEL JUSTICE
RESEARCHER WHO PRODUCED WHO
SPOKE WITH A VALUE WAITED. THE
IMPACT OF COUNTY I A PROGRAMS
AND FOUND AFTER STUDYING AT
LEAST ABOUT EIGHT THOUSAND
INDIVIDUALS WHO WERE RELEASED
FROM CALIFORNIA PRISONS THAT ARE
PARTICIPATING IN THE COUNTY I
PROGRAMS. THAT THEIR RECIDIVISM
RATE THREE YEARS AFTER LEAVING
WITH AT ABOUT FIFTEEN PERCENT.
AND I MAY BE WRONG IN THIS
FIGURE BUT I UNDERSTAND THE CITY
SEE OURS RECIDIVISM RATE IS
SOMETHING NORTH OF SIXTY
PERCENT. SO THAT MEANS 85% OF
THE INDIVIDUALS WHO PARTICIPATED
IN THE CAL PI A PROGRAMS STAYED
FREE FROM INCARCERATION FOR
THREE YEARS AFTER THE RELEASE.
OF THE IMPORT OF THREE FORTY ONE
WITH CAL PA DOES IS IT WOULD
ELIMINATE THE OPPORTUNITY FOR
THOSE INDIVIDUALS WHO WORK IN
THE COUNTY- CAL PIAA- OPTICAL
PROGRAM AND THAT IS ABOUT. FOUR
HUNDRED AND TWENTY POSITIONS. SO
I URGE COMMITTEE TO VOTE A- THE
BILL BECAUSE WHAT IT WOULD DO IS
IT WOULD REMOVE THAT OPPORTUNITY
FROM THOSE FOUR HUNDRED AND
TWENTY INDIVIDUALS AND THUS ****
NOT ONLY KILL THE PRISON.
SYSTEMS EFFORT TO PROVIDE
REHABILITATIVE SERVICES TO THIS
POPULATION BUT IT WOULD
CERTAINLY **** THAT EFFORT FOR
CAL PA I RESPECTFULLY URGE YOUR
NO VOTE THANK YOU. IN ADDITION
OPPOSITION PLEASE COME FORWARD.
GOOD AFTERNOON MR CHAIRMAN AND
MEMBERS OF THE COMMITTEE. MY
NAME IS DOCTOR ARE MONDO THE
KANYON AND MEMBER OF THE BURBANK
BOARD OF EDUCATION I'M ALSO- AN
APPOINTEE OF THE SPEAKER TO CAP
YEAH EIGHTY. AND I'M ALSO
DIRECTOR AT THE STORE CENTERS
COLLEGE WHICH IS HOME TO THE
LARGEST FORMERLY INCARCERATED.
POPULATION IN CALIFORNIA- I WISH
THAT I HOPE THAT THIS COMMITTEE
CAN LOOK AT THE FORMER BILL THAT
WAS INTRODUCED LAST YEAR TEN
EIGHTY NINE WHICH IS NOT BEING
REINTRODUCED NOW THAT WAS
SENATOR WIENER'S BILL. AND IS
PRETTY MUCH THE SAME THING AND
REALLY LOOKING TO WHAT THE WHAT
THIS BILL IS ABOUT THE CONCERNS
THAT- TO SENATOR BROUGHT UP IN
TERMS OF SERVICE AND TIME HAD TO
DO WITH A VERY SHORT PERIOD
DURING COVERT. THAT SUPPLY CHAIN
WAS A CONCERN OF EVERYONE. SO TO
ARGUE THAT THE SERVICES ARE NOT
THERE AND NOT DELIVERED ON TIME
THE MATTER DOES NOT WORK SECOND
OF ALL. THIS COMMITTEE DECIDED
TO GOING TO THE LANDS AREA
BECAUSE SOME OF YOU MAY KNOW
IT'S A VERY NEW TO THE AREA IT'S
NOT LIKE YOU GO TO COMMUNITY
COLLEGE OR A PLACE AND GET A JOB
AND GET OUT OF THE MACHINE
THAT'S WHAT MILLIONS OF DOLLARS
AND GET CERTIFIED IN THIS. IS
INDIVIDUALS THE MINUTE THEY THEY
COME OUT OF THIS PROGRAM
CERTIFIED THERE ARE JOBS WAITING
FOR HIM AND I WANT TO DEBUNK ALL
THESE RUMORS OUT THERE THAT ONLY
ONE FACTORY IN OTHER STATE
PROVIDES JOBS IN THIS AREA. FOUR
YOU KNOW THIS INDIVIDUALS DON'T
HAVE I AM A WITNESS TO WHAT THIS
PROGRAM DOES OUR OWN OUR OWN.
COLLEGE WHERE SOME OF HIS LAPTOP
OF THE REFURBISHED BY THE
PRISONERS WERE GIVEN TO FORMERLY
INCARCERATED STUDENTS. AT LEAST
EARLY COLLEGE I'M TALKING ABOUT
FOUR HUNDRED AND TWENTY LAPTOPS.
THE STUDENTS WOULD HAVE DROPPED
OUT. OF COLLEGE I DID NOT
RECEIVE THIS. ANOTHER THING I'M
ON TO MENTION I. HERE IS THAT.
THIS IS TO COST. IT'S GOING TO
INCREASE THE COST ALMOST TO
DOUBLE TO TRIPLE. TO DO WE WANT
TO GO FROM TAKEN FOUR HUNDRED
TWENTY JOBS. ARE FROM ARE
CURRENTLY INCARCERATED
INDIVIDUALS TRAINING THEM TO GO
OUT THERE WE JOBS ARE READY TO
GO. AND GIVE OUR MATURITY.
TWELVE ALABI. THAT OBVIOUS IS
NOT HAPPY ABOUT THE FACT THAT
THEY'RE NOT GETTING A FAIR SHARE
OF THIS APPARENTLY- AND THAT
BUSINESS I NEED TO LOOK MORE
INTO IT THERE IS MORE TO THIS.
IT'S NOT AS SIMPLE AS DELIVERY
TIME AND THE SERVICE IS NOT
BEING PROVIDED I THINK WE SHOULD
INVEST MORE IN THESE PROGRAMS.
AND YOU WANT TO LOOK AT THAT
SOME OF THE SUCCESS STORIES. I
WOULD RECOMMEND TO NAMES BUT I
WILL GIVE YOU ONE SCENARIO.
THANK THIS WIND UP AFTER OH I'M
SORRY SO AGAIN PLEASE- OF.
OPPOSITION AGAINST IS IT THE
SAME TEN EIGHTY NINE IS JUST
BEING RUDE OR INTRODUCED THIS
WOULD REALLY PUT A STRAIN ALSO.
ON ALL THOSE INDIVIDUALS THAT
ARE SENATORS TALKING ABOUT YOU
DON'T WANT TO GIVE CONTROLLED
ON'T AND DOUBLE AND TRIPLE THE
COST OF TIME GLASSES THANK YOU
THANK YOU VERY MUCH. IS THERE
ANY ADDITIONAL OPPOSITION IN THE
HEARING ROOM. OKAY SITTING ON-
WE WILL MOVE SIDE TO THE PHONE
LINES. WE PLEASE QUEUE UP ANY.
PUBLIC TESTIMONY VIA PHONE.
THANK YOU IF YOU WISH TO MAKE IT
. THAT AT B. THREE FOR THREE
PRESS ONE SEVEN ZERO ONE THIS
TIME. I HAVE NO COMMENT THANK
YOU. OKAY THANK YOU WILL BRING
IT BACK TO THE COMMITTEE
COLLEAGUES QUESTION ARE COMMON
ON THIS. OKAY MOTION BY SEN.
TADO ANYTHING ELSE OKAY CENTER
YOU MAKE. THANK YOU VERY MUCH-
DIÆN NOT AGAINST PRESIDENT IS.
BUT I THINK IT'S THE JOB OF
MEDIC AND THAT SHOULD COME FROM
THE- CHILDREN'S EYESIGHT- FOR
READABILITY AND I BELIEVE THERE
ARE ABOUT FIFTEEN HUNDRED OTHER
PROGRAMS UNDER PA AS THE
OPPOSITION REFER TO- HIRING
PEOPLE THAT HAD REFURBISHED
COMPUTER SUCH A LOT OF THINGS
THAT PEOPLE CAN DO. AND AGAIN
THE PA CAN STILL BID ON THESE
CONTRACTS- WITH THAT LET'S ALL
SEE A LITTLE BIT BETTER AND I
RESPECTFULLY ASK FOR YOUR I
THOUGHT. OKAY AND MOTION WAS THE
CENTER AND THAT IS TO PASS AND
REFERRED TO THE COMMITTEE ON
PUBLIC SAFETY. AND WILL CALL THE
ROLL. SENATORS EGGMAN BY EGGMAN
AYE. WHEN GLAZER AYE GLAZER AYE
GONZALEZ HI GONZALEZ I. GROWTH
HER TADO FURTADO I LIMÓN.
MENJIVAR FRINGE OF OUR AYE ROSS
. RUBIO RUBIO I WILL HOP. HA I.
WIENER BY WIENER AYE. OKAY THAT
IS A VOTE PUT IT CALL FOR OF
CEMENT THANK YOU- WILL NOW GO TO
ITEM NUMBER SET. SB FORTY THREE
ALSO BY SOME AMERICANS THANK YOU
VERY MUCH. I KNOW THIS IS A BILL
YOU MAY HAVE HEARD A LITTLE BIT
ABOUT- AND WHEN YOU TRY TO TAKE
ON A BIG ISSUE IS KIND OF HARD
TO KNOW WHERE TO START- SO I
THOUGHT I WOULD JUST PROVIDE A
LITTLE BIT OF BACKGROUND-
HISTORICALLY IN OUR COUNTRY- WE
LOCKED PEOPLE UP. WE LOCK PEOPLE
UP FOR ALL KINDS OF REASONS THAT
WE SHOULDN'T HAVE- I WILL ALSO
SAY THE FIRST NATIONAL SURVEY OF
HOW MANY PEOPLE WERE LIVING WITH
SERIOUS AND PERSISTENT MENTAL
HEALTH ISSUES WAS IN EIGHTEEN
EIGHTY. ABOUT A HUNDRED THOUSAND
WHEELS WHERE WERE THOSE PEOPLE
ABOUT 50% OF THEM. WERE IN ALMS
HOUSES INSTITUTIONS. THE REST
WERE MOST IN THE COMMUNITY WITH
ABOUT ZERO POINT ZERO SEVEN LESS
THAN 1% IN OUR CORRECTIONAL
FACILITIES. WE KNOW THAT
LANDSCAPE HAS CHANGED
DRASTICALLY. SO IN THE- NINETEEN
SIXTIES THINGS BEGAN TO CHANGE
RIGHT CENTER K. PRESIDENT
KENNEDY PROBABLY SOME EXPERIENCE
WITH HIS SISTER SAID THIS IS
WRONG WE SHOULDN'T JUST BE
INSTITUTIONALIZING PEOPLE
WITHOUT ANY RECOURSE AND I
WHOLEHEARTEDLY AGREE WITH THAT.
IN NINETEEN SIXTY SEVEN- THAT
WAS THE ONLY AT THE LANTERN
PETRUS ACT WAS PASSED US AND-
LATER PRESIDENT. REAGAN SIGNED
THAT INTO LAW AND TO SAY THAT WE
SHOULD BE ABLE TO PUT PEOPLE IN
THE LEAST RESTRICTIVE CARE IN
ORDER TO MEET THEIR NEEDS AND I
CONTINUE TO SUPPORT THAT THAT
TENANT I'M A SOCIAL WORKER RIGHT
WE MEET THE PERSON WHERE THEY
ARE. BUT I WILL SAY THE
LANDSCAPE IS VERY DIFFERENT NOW
THAT IS IN NINETEEN SIXTY SEVEN
BECAUSE ALL THOSE COMMITTEE
SUPPORTS THAT WE SAID WE'RE
GOING TO COME. DIDN'T COME. SO
NOW WE HAVE AND WE CAN SAY
WHATEVER WE LIKE TO SAY BUT
THEY'RE ALWAYS GONNA BE THOSE
AMONGST US WHO ARE GOING TO NEED
DIFFERENT LEVELS OF CARE- I'VE
MADE THE REMARK AND I DON'T MEAN
TO BE GLIB AT ALL BUT MY SPOUSE
AS HAS. BRAIN CANCER SHE'S GOT A
TUMOR IN HER BRAIN STEM I WOULD
WISH THAT WASN'T TRUE BUT I
CAN'T LIVE IN THE WORLD THAT I
WISH I LIVE IN THE WORLD THAT I
LIVE IN WHERE SHE NEEDS A LOT OF
WRAPAROUND CARE. I SEE A LOT OF
FOLKS ON OUR STREETS AND YOU ALL
DO TO WHO NEED MORE HELP THAN IS
CURRENTLY BEING PROVIDED TO THEM
. SO AND ALSO JUST TO BACK UP A
LITTLE BIT TO TALK ABOUT WHAT WE
HAVE DONE. REYES BECAUSE THIS IS
GONNA BE A TALKING ABOUT A BILL
THAT IS GOING TO REDEFINE WHAT
IT SAYS TO SAY YOU'RE GRAVELY
DISABLED BECAUSE YOU KNOW RIGHT
NOW IT'S THE ABILITY TO PROVIDE
FOOD. CLOTHING SHELTER THAT IS
INTERPRETED IN ALL KINDS OF
DIFFERENT WAYS. IF YOUR PLAN IS
TO. STAND IN THE MIDDLE OF THE
STREET. AND EAT WHAT SOMEONE
ELSE IS THROWN ON THE GROUND.
THAT'S CAN BE AN OKAY PLANNED
FOR YOU TO BE RELEASED. RIGHT I
DON'T I DON'T THINK THAT'S OKAY
. SO IN THE LAST COUPLE YEARS WE
HAVE I DID LAST YEAR- THAT WOULD
ACTUALLY ASK US TO GET MORE DATA
ON PEOPLE WE PUT ON HOLDS. THE
LAST COUPLE YEARS WE HAVE PUT
MORE THAN TWELVE BILLION DOLLARS
INTO- STANDING UP. AND EXPANDING
OUR BEHAVIORAL HEALTH SYSTEM. WE
HAVE PUT INTO BILLIONS OF
DOLLARS TO STAND UP. A TREATMENT
PROGRAM FOR- CHILDREN FROM ZERO
TO TWENTY FIVE THAT WILL BE ABLE
TO HAVE A TO A PLATFORM. GET A
MENTAL HEALTH EVALUATION
WHEREVER THEY ARE- WE HAVE DONE
A LOT LAST YEAR'S YOU KNOW WE
WORKED ON THE CARE COURT. WHICH
WOULD SAY DOES TRY TO KEEP. IT
PEOPLE TO KEEP PEOPLE OUT OF
BEING CONSERVED. AND GET THEM
HELP BEFORE THAT WITH WRAPAROUND
CARE. HOUSING INVOLVED- AND AS
YOU KNOW WE PUT A LOT OF MONEY
INTO- OUR WORK FORCE. SO THOSE
ARE THOSE WHO SAY YOU CAN'T
REDEFINE WHAT IT MEANS TO BE
GRAVELY DISABLED INTO WE HAVE
ALL OF THOSE THINGS IN PLACE
WHAT WE HAVE WE HAVE WE ARE
WORKING ON INFRASTRUCTURE. IT IS
CONTINUING TO. BE IMPLEMENTED
AROUND THE STATE. AND WHEN WE
PASSED THE CARE COURT LAST YEAR
PEOPLE SAID WELL YOU KNOW IT'S
YOU'RE PUTTING PEOPLE IN COURT
WELL THIS IS CIVIL COURT RIGHT
AND IT IS A GOOD AGREEMENT
BETWEEN THE COUNTIES. THE COURT
SYSTEMS IN THE INDIVIDUAL. BUT
WHAT HAPPENS IF THAT PERSON IS
NON COMPLIANT. AND AS WE KNOW
AND AS WE SEE EVERY SINGLE DAY.
WE HAVE BEEN KEEPING HOLES IN
OUR SAFETY NET. AND IT ALLOWS
PEOPLE TO FALL ONTO OUR
SIDEWALKS WITH THE HORRIBLE
SPLAT. IN THIS STORM WE'VE BEEN
HAVING RIGHT NOW. PEOPLE WILL
DIE. WHEN WE HAD OUR HEAT WAVE
THIS LAST SUMMER. PEOPLE DIED.
SO THIS BILL SAYS THAT WE'RE
GOING TO REDEFINE GREAT
DISABILITY WITH CRITERIA THAT
MATCHES OUR SAMPSON DIAGNOSIS-
CRITERIA. THAT SAYS IF YOU ARE
THROUGH. YOUR MENTAL HEALTH
ISSUES YOUR- SUBSIDIES ISSUES IF
YOU ARE IN GRAVE DANGER AND THAT
INCLUDES. THE CONTINUING
DETERIORATION IF YOU DON'T
RECEIVE HELP THAT YOU WILL
CONTINUE TO. DETERIORATE THAT
THAT YOU MAY BE HELD. AND THEN
THERE BY TREATED. NO WHAT AM I
TALKING ABOUT WHEN I SAY THAT.
WELL MAYBE FOR FAMILIAR WITH THE
STORY OF MARK RIPPY WHO LIVED ON
THE STREETS FOR OVER TWENTY
YEARS IN SOLANO COUNTY. HE LIVED
OFTEN CAMPED IN FRONT OF THE
COUNTY. SERVICES BUILDING. I
WENT OUT AND I MET WITH HIM
THERE HIS FAMILY WAS TRYING TO
GET HIM TREATMENT BUT- SOME
WOULD SAY WAS HEALTH SOME WOULD
SAY HE HAD A BRAIN INJURY SO
MUCH IT WAS MENTAL HEALTH ISSUES
AND HE COULD NOT. GET ANY HELP
HE ENDED UP DYING OF AN
INFECTION. RATE BECAUSE IF YOU
DON'T CAN'T EVEN ACKNOWLEDGE
THAT YOU HAVE SOMETHING. WHICH
IS CALLED READING NOTES HERE
THAT YOU CAN'T EVEN ACKNOWLEDGE
THAT YOU HAVE A DISEASE
SOMETHING IS WRONG. THEN THAT
TELLS US THAT YOU CANNOT THEN
TAKE CARE OF YOUR PHYSICAL AND
MENTAL HEALTH. RIGHT IS
VOLUNTARY SERVICES BEST. OF
COURSE WE ALL AGREE VOLUNTARY IS
BEST. I DON'T KNOW ABOUT YOU BUT
I WAS WALKING. TOWARD A BIT THE
OTHER DAY RIGHT DOWN- ST- STREET
. AND IT WAS A YOUNG MAN. FECES
ALL OVER THE BACK OF HIM. PANTS
HANGING DOWN. OPEN SORES ALL
OVER HIS FACE IN A SPASTIC STATE
IN THE MIDDLE OF THE STREET.
SCREAMING AND TALKING WITH
PEOPLE WHO WERE NOT THERE. NOW
IF I WERE TO WALK UP AND OFFER
THAT PERSON VOLUNTEER CARE. I
DON'T THINK THEY WOULD ACCEPT.
RIGHT IT WAS NOT IN A CONDITION
HE WAS NOT HAVING A CONVERSATION
WITH ME. AND I WAS THINKING
BACK- IT AND IT'S COMING UP ON
EASTER TIME SO WHEN I WAS
WORKING ON MY DOCTORAL DEGREE IN
SOCIAL WORK AND SOCIAL WELFARE
SOCIAL RESEARCH. I WORKED IN A
IN A HOSPITAL BECAUSE WHEN I WAS
TEACHING I NEVER WANTED TO BE.
TEACHING CLASSES AND PULLING UP
EXAMPLES FROM LONG TIME AGO. I
WAS WORKING A NIGHT SHIFT. IN AN
EMERGENCY ROOM. IN A IN A
PATIENT CAME IN. WHO HAD- WAS
INCREDIBLY MALNOURISHED- HAD-
HAD STABBED HERSELF IN HER HANDS
AND IN HER SIDE- SO SHE WAS BOTH
IN PHYSICAL. AT THE EMERGENCY AS
WELL AS A MENTAL EMERGENCY. SO
WHEN I DID THE ASSESSMENT ON HER
AND I WOULD TRY TO TALK TO THE
FAMILY THE FAMILY SAID SHE HAD
BEEN LOCKED IN HER ROOM. FOR
FORTY DAYS I HAD A HARD TO GET
HER TO EAT OR DRINK SHE WAS
MALNOURISHED- AND AGAIN IT
LIVING IN A STATE OF. DISARRAY
SO WE ENDED UP HOLDING A PERSON
AGAINST THEIR WILL AND IT WOULD
TREATING THEIR THEIR PHYSICAL
SYMPTOMS. WHEN I WOKE UP THE
NEXT MORNING I REALIZED IT WAS
EASTER. AND I SAID OH JESUS
CHRIST. SHE HAD BEEN RE
ENACTING. A CRISIS SYMBOL RIGHT
THE CRUCIFIXION HAD BEEN
REENACTED NOTED SHE- AND SHE
ACTUALLY THOUGHT BECAUSE SHE
KEPT TELLING ME IT'LL BE OKAY.
IT'S ALL GOING TO BE OKAY
PRESIDENT IS NOT SOMEBODY WHO'S
GOING TO ACTIVELY GO. GET HELP
ON THEIR OWN BECAUSE THEY DON'T
EVEN ACKNOWLEDGE IF YOU THINK
YOU'RE JESUS. YOU DON'T THINK
THAT YOU NEED HELP MOST FOR THE
MOST PART. SO IT WE DO WE DO NOT
LIVE AND I'VE SAID MANY TIMES I
AM THE ONLY THING IN MY HOUSE
STILL WORKING EXCEPT MY STOVE
SINCE NINETEEN SIXTY SEVEN.
RIGHT OUR LANDSCAPE HAS CHANGED
WE KNOW OUR PRISONS. AND WE KNOW
OUR JAILS ARE THE PLACES THAT
PEOPLE GO WE KNOW. THE END UP
DEAD THEY END UP IN OUR
HOSPITALS AND UPGRADING OUR
EMERGENCY ROOMS. IT'S TIME TO DO
SOMETHING MEMBERS. WE'VE BEEN
TALKING TO BROWN THIS FOR A
REALLY LONG TIME AND IT'S TIME
TO FINALLY. MAKE OUR LAWS MATCH
THE REALITY THAT WE SEE. WE MEET
PEOPLE WHERE THEY ARE AND IF
THEY'RE SO SICK THAT THEY CAN'T
PROVIDE FOR THEIR CARE. THAT'S
NOT OKAY AND WE OWE IT TO THEM.
WE OWE IT TO THE PUBLIC. AND WE
JUST OWE IT TO. DOING THE RIGHT
THING. WITH ME TODAY I HAVE-
PSYCHIATRIC ASSOCIATION. AS WELL
AS NAMI HERE TO TESTIFY. THANK
YOU VERY MUCH FOR HER TO LEAD
WITNESSES PLEASE COME FORWARD
YOU EACH HAVE. TWO MINUTES. OR
THREE MINUTES EACH. FOR HELLO
EVERYONE. MY NAME'S ERIN MEYER
AND I'M REPRESENTING THE
CALIFORNIA STATE ASSOCIATION OF
PSYCHIATRISTS AS A PROUD CO
SPONSOR OF THIS BILL. I AM
GRATEFUL FOR SENATOR ATKINS
LEADERSHIP. IN A DRESSING THE
STATE OF OUR MENTAL HEALTH
SYSTEM. AND TODAY I AM RELIEVED
THAT HELP IS ON THE WAY. THIS
MODERNIZE LANGUAGE AND CREATE
DISABILITY WILL SUPPORT PATIENTS
AND THEIR FAMILIES AND IT WILL
SAVE LIVES. BY MODERNIZING
LANGUAGE UNCRATE DISABILITY. OUR
LAWS WILL MORE CLOSELY
APPROXIMATE WHAT WE ARE SEEING.
AND IT WILL HELP SUPPORT A
HOLISTIC EVALUATION OF A
STRUGGLING PATIENT. I'M HOPEFUL
THAT BY INTEGRATING MEDICAL
CONDITIONS. INTO OUR
UNDERSTANDING OF GRAVE
DISABILITY WE WILL ADDRESS THE
FIFTEEN TO TWENTY YEAR LIFE
DISC- EXPECTANCY GAP. FACING
PEOPLE LIVING WITH SCHIZOPHRENIA
. ADDING LANGUAGE ON CITY
SERIOUS HARM WILL ACKNOWLEDGE
THE IMPORTANCE OF ASSESSING A
PERSON'S FUNCTIONAL INDEPENDENCE
. OUR UNDERSTANDING OF MENTAL
DISORDERS HAS EVOLVED AS CENTER
EGGMAN SAID SINCE THE LPS ACT
WAS ENACTED IN NINETEEN SIXTY
SEVEN. SUBSTANCE USE DISORDERS
HAVE BEEN A PART OF THE
DIAGNOSTIC AND STATISTICAL
MANUAL OF MENTAL DISORDERS SINCE
NINETEEN EIGHTY. I PERSONALLY
HAVE WITNESSED PEOPLE
PREDICTABLY AND PREVENTIVELY DIE
. FROM SEVERE SUBSTANCE USE
DISORDERS. SENATE BILL FORTY
THREE SHIPS AWAY FROM OUR
CURRENT APPROACH OF
INCARCERATING PEOPLE WHO ARE
UNABLE OR UNWILLING TO ENGAGE
AND TREATS PEOPLE WITH SUBSTANCE
USE DISORDER SIMILAR TO OTHER
MENTAL DISORDERS. I THINK
CORPORATE INSIGHT INTO AND
UNDERSTANDING OF CRAVE
DISABILITIES DECIS SERI SOME
PEOPLE ARE ABLE TO GRAPPLE WITH
THE AMBIVALENCE OF TREATMENT
OTHERS ARE NOT. SIMILAR TO
PEOPLE WITH SEVERE DEPRESSION OR
SCHIZOPHRENIA PEOPLE WITH
SUBSTANCE USE DISORDERS CAN LACK
UNDERSTANDING INTO THEIR
DIAGNOSIS AND THE ONGOING NEED
FOR SUPPORT DESPITE LIFE
THREATENING CONSEQUENCES. SENATE
BILL FORTY THREE ACKNOWLEDGES
THAT AUTONOMY DOES NOT EXTEND TO
A POINT OF DELIBERATE
INDIFFERENCE. CONSERVATORSHIP
ARE DENIED DUE TO OUR ANTIQUATED
DEFINITION OF CRAVES STABILITY.
A YOUNG MAN WITH MORE THAN TEN
HOSPITALIZATIONS FOR HEART
FAILURE WAS THAT NIGHT
CONSERVATORSHIP. BECAUSE HIS
GRAVE DISABILITY WAS TO A
STIMULANT USE DISORDER. SENATE
BILL. FORTY THREE COULD HELP HIM
RECEIVE A HEART TRANSPLANT.
CONSERVATORSHIP ARE PREMATURELY
TERMINATED DUE TO OUR ANTIQUATED
DEFINITION OF GRAVE DISABILITY.
ONE MAN DIED ALONE ON THE STREET
I'M HERE WEEKS AFTER KERR
TERMINATION OF HIS
CONSERVATORSHIP. HE WANTED TO
SEE HIS MOTHER BEFORE HE DIED
AND HE DID NOT GET THAT CHANCE.
I AM HAUNTED BY THAT. SENATE
BILL FORTY THREE COULD HAVE
SAVED HIS LIFE. THANK YOU FOR
CARING ABOUT THE MOST VULNERABLE
MEMBERS OF OUR SOCIETY I AM
HAPPY TO ANSWER ANY QUESTIONS
AND I AM HAPPY TO PROVIDE MORE
EXAMPLES. THANK YOU. THANK YOU
NEXT. FOR GOOD AFTERNOON MISTER
CHAIR MEMBERS SENATOR. I'M BRIAN
LUNDGREN AND ON BEHALF OF THE
NATIONAL ALLIANCE ON MENTAL
ILLNESS CALIFORNIA. A CO SPONSOR
OF SB FORTY THREE WE ASK FOR
YOUR PROCEDURE OF THIS
LEGISLATION. THREE YEARS AGO NAM
WE SURVEYED THE COMMUNITY FOR
INPUT ON THE L. P. S. TAX
INCLUDING THEIR EXPERIENCES WITH
ACCESS AND THOUGHTS OF THE
GRAVELY DISABLED DEFINITION. WE
RECEIVED OVER THIRTEEN HUNDRED
RESPONSES MANY OF WHICH
EXPRESSED A FORGERY FRUSTRATION
OR HOW HARD IT IS TO GET
TREATMENT FOR THEIR LOVED ONES
ARE FOR THEMSELVES. I ALSO ASK
FOR YOUR SUPPORT NOT JUST AS A
REPRESENTATIVE NOW ME IN A
FOUNTAIN ACROSS CALIFORNIA BUT
ALSO. AS THE FATHER OF A SON WHO
IS LIVING WITH A SERIOUS MENTAL
ILLNESS. MY SON WAS AFFECTED
WITH A SERIOUS MENTAL ILLNESS AT
THE AGE OF FIFTEEN WITH
SUBSTANCE ABUSE. WE THOUGHT HE
WAS HEALTHY WHO'S AN ATHLETE HE
WAS A SKIER. HE WAS EVERYTHING
THAT YOU WOULD WANT IN A SUN.
BUT FROM THE STAGE UNTIL HE
TURNED TWENTY THREE. HE WAS
PLACED ON AN INVOLUNTARY HOLDS
KNOWN AS FIFTY ONE FIFTY FIFTY
ONE FIFTY TWO. NINE TIMES. HE
WAS ENROLLED IN SEVENTEEN
TREATMENT CENTERS. AND FORTY ONE
OUT OF STATE. HE WAS TREATED BY
TWENTY FOUR MENTAL HEALTH AND
DRUG PROFESSIONALS. HE
EXPERIMENTED USING NEARLY EVERY
AND ANY DRUGS LEGAL AND LEGAL HE
COULD GET HIS HANDS ON. HE WAS
ARRESTED OVER TEN TIMES. HE WAS
PREVENTED FROM BEING CONSERVE
THREE TIMES. HE COMMITTED A
CRIME WHICH EVENTUALLY PUT HIM
IN TO THE STATE HOSPITAL FOR
THIRTEEN YEARS. AT THE PEAK OF
HIS ILLNESS. AS SENATOR EGGMAN
MENTION ABOUT PERSONALITIES. HE
HAD THREE. HE WAS TO PARKS OCCUR
. HE WAS JOHN GOTTI AND HE WAS A
NAVY SEAL- ALL INNER CHANGE
DEPENDING UPON THE DAY. MY SON'S
MENTAL HEALTH JOURNEY WAS LONG
PAINFUL. AND TESTIFYING. IF AN
UPDATED CRITERIA FOR GREATER
DISABLED WERE IN PLACE AT THE
TIME MY SON'S FIRST BREAK. IS A
VERY HIGH LIKELIHOOD THAT HIS
JOURNEY WOULD HAVE BEEN SWIFTER
. LESS THREATENING AND PAINFUL.
ANY COULD MUCH SOONER BEGUN.
LIVING A FULL LIFE AGAIN WITH
HIS RIGHTS INTACT. TO ON BEHALF
OF THE NATIONAL ANTHEM MENTAL
ILLNESS CALIFORNIA FAMILY
MEMBERS AND MY SON RESPECTFULLY
ASK FOR YOUR AYE VOTE ON THIS
IMPORTANT BILL THANK YOU. THANK
YOU VERY MUCH- IS THERE ANY
ADDITIONAL SUPPORT PUBLIC
COMMENT IN THE ROOM PLEASE.
STATE YOUR NAME AFFILIATION IF
ANY AND THE FACT OF YOUR SUPPORT
MADAM CHAIR- MEMBERS OF THE
COMMITTEE RANDALL HECKER
REPRESENTING THE PSYCHIATRIC
PHYSICIANS ALLIANCE OF
CALIFORNIA I'M ALSO A FAMILY
MEMBER WITH THE SUN WAS
SCHIZOPHRENIA WE URGE YOUR
STRONG SUPPORT FOR THIS
LEGISLATION. THANK YOU TURN
MEMBERS MORE TOP ON BEHALF OF
THE BIG CITY MAYORS COALITION
THIS IS THE COALITION OF THE
THIRTEEN LARGEST CITIES MAYORS-
WE OFFER OUR SUPPORT AND OUR
SCOPE SPONSORSHIP OF THIS
IMPORTANT BILL. GOOD AFTERNOON
SENATORS CLIFF COSTA ON BEHALF
OF GOVERNMENT FOR CALIFORNIA IN
STRONG SUPPORT THANK YOU. MADAM
CHAIR MEMBERS A COMMITTEE
BRANDON MARCH YOU WITH THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT. GOOD AFTERNOON CHAIR
MEMBERS PERSONAL CHAOS ON BEHALF
OF THE CALIFORNIA ACADEMY OF
CHILD AND ADOLESCENT PSYCHIATRY
IN THE CITY OF SANTA MONICA AND
SUPPORT THANK YOU. GOOD
AFTERNOON STEPHANIE ESTRADA ON
BEHALF OF THE CITY OF SAN JOSE
MAYOR MET ME AND SUPPORT.
BUSINESS ON OUR BEHALF THE
SUTTER COUNTY BOARD OF
SUPERVISORS IN SUPPORT OF
COMMANDED POSITION THEY'VE
SUBMITTED A LETTER FOR THE
COMMITTEE'S CONSIDERATION THANK
YOU. MADAM CHAIR MEMBERS
ENTRANCE WE WOULD SHOW YOUR
AUNT'S WHICH WELLS AND LAYING ON
BEHALF OF LOS ANGELES MAYOR CARE
BASS IN SUPPORT THANK THE AUTHOR
. THANK YOU ANY ADDITIONAL
PUBLIC COMMENT IN SUPPORT AND
THE HEARING ROOM SITTING ON WILL
NOW MOVE TO OPPOSITION- FOR HER
LEAD WITNESSES CURRENTLY
WITNESSES- THIS. RIGHTS OKAY.
AND THREE MINUTES PLEASE. THANK
YOU SENATOR- MISTER CHAIR DEB
BROTH TO SOME RIGHTS. WE ARE THE
AGENCY DESIGNATED UNDER FEDERAL
LAW TO PROTECT AN ADVOCATE FOR
THE RIGHTS OF PEOPLE WITH
DISABILITIES. WE APPRECIATE THE
SENATOR'S DESIRE TO IMPROVE
MENTAL HEALTH IN CALIFORNIA BUT
STRONGLY DISAGREE WITH THE
APPROACH. WE HAD A MEETING WITH
THE CENTRE YESTERDAY WE
APPRECIATE- THAT SHE MET WITH
US- HOWEVER WE THINK THAT
EXPANDING THE DEFINITION OF
GRAVELY DISABLED. TO MAKE IT
EASIER TO INVOLUNTARILY DETAIN
PEOPLE UNDERMINES THE VERY
PURPOSE OF THE LARGER MAN
PATRICK SHORT ACT. AND FAILS TO
ADDRESS THE VERY REAL NEEDS OF
CALIFORNIANS LIVING WITH MENTAL
HEALTH DISABILITIES ESPECIALLY
THOSE WHO ARE AND HOUSED. IT'S
REALLY SAD THAT THIS IS WHAT IT
HAS COME TO. THE AUTHOR BELIEVES
THE CURRENT STANDARD ISN'T
ENOUGH. THIS PROPOSAL. IF IT IS
ENACTED IS GOING TO CREATE CHAOS
AND IF YOU LOOK AT SOME OF THE
LANGUAGE IN THE BILL. THERE ARE
ADJECTIVES ADDED TO PRETTY MUCH
EVERY SECTION OF. THE DEFINITION
SO FOR EXAMPLE IF SOMEONE IS NOT
ADEQUATELY OR APPROPRIATELY
CLOSED AMERICAN MAKE THEM
GRAVELY DISABLED. AND WE THINK
THAT THAT IS JUST WRONG. THIS
BILL WILL SUBJECT MORE PATIENTS
TO THE TRAUMA OF INVOLUNTARY
DETENTION AND TREATMENT AND
COMMITMENT. WHICH WILL UNDERMINE
TRUST IN THE BEHAVIORAL HEALTH
SYSTEM MANAGER HERE FROM ANOTHER
WITNESS TRAUMATIZING THE VERY
PEOPLE YOU'RE TRYING TO HELP.
DOESN'T MAKE SENSE. ALSO BLACK
AND BROWN PEOPLE ARE
DISPROPORTIONATELY ON HOUSED AND
ALSO MORE LIKELY TO BE DIAGNOSED
AND MISDIAGNOSED WITH SERIOUS
MENTAL HEALTH DISORDER. AN
ANALYSIS OF DISCHARGE DATA
SHOWED THAT BLACK AND LATIN NEXT
CALIFORNIANS ARE AT LEAST 50%
MORE LIKELY TO BE PLACED ON A
FIFTY ONE FIFTY HOLD- THERE ARE
SO MANY INITIATIVES MORE THAN
FIFTEEN PROGRAMS OR OR STATUTES
A RECENTLY ENACTED. THE
INFRASTRUCTURE TO SERVE ALL OF
THESE PEOPLE IS NOT THERE AND IT
WILL BE TIME BEFORE IT GETS
THERE. IN THE MEANTIME THIS BILL
WOULD TAKE A STANDARD THAT AN
AUDIT FROM JUST A COUPLE YEARS
AGO IN THE STATE FROM THE STATE
AUDITOR SAID THE STANDARDS ARE
OKAY. WHAT WE NEED IS TO BUILD
OUT THE INFRASTRUCTURE NOW
THERE'S THESE FIFTEEN OR SO
PROGRAMS BILLIONS OF DOLLARS AS
THE SENATOR MENTIONED THAT ARE
GOING TO BE- THROWN OUT AT ALL
OF THIS AND IT TAKES TIME TO
UNTANGLE IT. TO FIGURE IT OUT
AND IN THE MEANTIME WE WOULD.
RESPECTFULLY REQUEST THAT THE
STATE NOT. ARGUES VAST RESOURCES
TO CONTRIBUTE TO INVOLUNTARY
CARE THAT COULD OTHERWISE BE
USED FOR A COST EFFECTIVE AND
HUMANE SERVICES WITH SUPPORT OF
HOUSING. ALSO THE HEARSAY
PROVISION ADDS TO THE PROBLEM BY
SAYING. YOU DON'T NEED TO HAVE
THE TREATING PRACTITIONER THERE
TO TESTIFY IN CONSERVATORSHIP
PROCEEDINGS. THAT'S OKAY WITHOUT
MEDICAL RECORDS WITHOUT AN
EXPERT WITNESS. THAT'S GOOD
ENOUGH. YOU'RE ABOUT TO TAKE
SOMEONE'S RIGHTS AWAY. LEGALLY
ALLEN AND THAT'S OKAY UNDER
UNDER THIS BILL- AS I SAID THE
EXISTING STANDARDS THE- IN THE
BILL THE BILL ARE- THINGS LIKE
SATISFYING THE NEED FOR
NOURISHMENT WHO'S GOING TO MAKE
THAT DETERMINATION. SO
RESPECTFULLY WE ASK YOU PLEASE
DO NOT GO IN THAT DIRECTION.
THANK YOU VERY MUCH. THANK YOU-
THE SECONDS LATER IN THIS. HI
GOOD MORNING MY NAME IS CLAIRE
COURT RIGHT I'M AN ATTORNEY AND
A POLICY DIRECTOR WITH
CALIFORNIA'S WITCHES APPEAR RUN
ORGANIZATION AND I'VE LIVED
EXPERIENCE OF BIPOLAR ONE
DISORDER WITH PSYCHOSIS. ON
BEHALF OF MYSELF AND MY
COMMUNITY WE OPPOSE SB FORTY
THREE AND EXPANDING THE
POPULATION OF PEOPLE WHO WILL BE
SUBJECT TO INVOLUNTARY PROCESSES
BECAUSE IT EXPANDS WHAT WE FIND
HARMFUL. I HAVE BEEN
INVOLUNTARILY HOSPITALIZED
DURING MY FIRST BREAK IN TWO
THOUSAND NINE I KNEW SOMETHING
WAS VERY WRONG SO I TRIED TO GET
HELP. I WAS TOLD TO WAIT THREE
WEEKS FOR AN OUTPATIENT
APPOINTMENT OR GO TO ANY ARE I
HAD TO GO TO AN ER HADN'T SLEPT
IN FOUR DAYS. ACCESS TO TIMELY
OUTPATIENT CARE IN LIEU OF
HOSPITALIZATION HAS NOT IMPROVED
I WAS PLACED ON TO HOLD FOR
WHICH I DID NOT MEET CRITERIA. I
EXPERIENCED SUCH EXTREME STRESS
THAT MY BLOOD PRESSURE SPIKED TO
A DANGEROUS LEVEL AND I HAD TO
TAKE MEDICATIONS TO PREVENT A
HEART ATTACK. I WAS ANGRY I WAS
SCARED AND I WAS CONVERTED FROM
A PERSON SEEKING TREATMENT TO A
PERSON WHO WASN'T GOING TO
COOPERATE. PLEASE UNDERSTAND
THAT THE STATE'S GOOD INTENTIONS
IN USING FORCE AND ANY JUDGMENT
THAT IS NECESSARY IN ETHICAL
DOES NOT ALTER HOW THE PERSON
EXPERIENCES THAT FORCE. I
EXPERIENCED IT AS PROFOUNDLY
HARMFUL. FOR STROKE ME OUT OF
TREATMENT AND UNDERGROUND I
SWORE OFF PSYCHIATRY AND FOR THE
NEXT EIGHT YEARS I GREW SICKER
AND SICKER. I WAS GRAVELY
DISABLED FOR YEARS. HAD I BEEN
MET WITH YET MORE FORCE
ESPECIALLY UNDER LOWERED
STANDARD FOR GRAVE DISABILITY
THE RESULT WOULD HAVE BEEN THE
SAME. AVOIDANCE OF THE SYSTEM I
NEEDED TO HELP ME. INVOLUNTARY
PROCESS THESE ARE FLAWED THEIR
TIME LIMITED AND THEY FAILED TO
DO THE NEEDFUL THING. TO GET
PEOPLE TO ACCEPT TREATMENT
VOLUNTARILY. TO BE WHILE FOR
MORE THAN A HOSPITALIZATION TO
BE WELL FOR A LIFETIME. I NEEDED
TO SELF BUYING TO VOLUNTARY
TREATMENT. EVENTUALLY IN MY OWN
TIME AND IN MY OWN WAY I DID AND
I DID THAT WITH THE HELP OF A
PEER SUPPORT WORKER. WHO BUILD
TRUST WITH ME BY VALIDATING MY
VERY BAD EXPERIENCE WITH
HOSPITALIZATION. IF OUR
FOUNDATIONAL ASSUMPTION HERE IS
THAT WE CANNOT HELP PEOPLE.
WITHOUT THE USE OF FORCE THAT
THEY FIND HARMFUL THAT NEEDS TO
BE EXAMINED- WE SHOULD SEEK
INSTEAD TO MOVE A LITTLE CLOSER
TO THE ORIGINAL STATEMENT OF
ETHICS IN MEDICINE. WHICH IS
FIRST DO NO HARM AND IF I HAVE A
FEW MOMENTS I'D LIKE TO ADD
LIVE- PSYCHIATRIC COLD DON'T
ALLOW FOR FORCED MEDICAL
TREATMENT- WE DON'T HAVE THE
FACILITIES FOR SUBSTANCE USE
DISORDER BEING ABLE TO DETAIN
PEOPLE FOR SUBSTANCE USE
DISORDER. HAS ALWAYS BEEN PART
OF THE L. PS THE PROBLEM IS THE
FACILITIES DON'T EXIST. IF
YOU'RE THROWING THOUSANDS OF
MORE PEOPLE INTO SCARCE LPS BED
YOU'RE GOING TO HAVE A REAL
PROBLEM- AS DEPP ALSO MENTIONED
I'VE BEEN A- PATIENT RIGHTS
ADVOCATE IN SACRAMENTO YOLO SAN
JOAQUIN. AND SANTA CLARA
COUNTIES REPRESENTED THOUSANDS
OF PATIENTS IN THESE HEARINGS
THE COMPLEXITY. OF THE CRITERIA
THAT YOU ARE- POTENTIALLY AN
ACTING HERE. IS GOING TO BREAK
YOUR SYSTEM DAY ONE YOU'RE
TALKING ABOUT. A SYSTEM THAT IS
UNDER RESOURCE A SYSTEM WHERE-
TIME FRAMES MATTER. AND IT IT
WILL BE A PROBLEM THANK YOU
THANK YOU SO MUCH. OKAY
ADDITIONAL OPPOSITION TESTIMONY
PLEASE STATE YOUR NAME
AFFILIATION IF ANY AND THE FACT
OF YOUR OPPOSITION. LINDA WAY
WITH WESTERN CENTER ON. LAW AND
POVERTY RESPECTFULLY OPPOSE.
LARA HALLMARK ATTORNEY AND- I
OPPOSE. THIRTY ADDITIONAL
OPPOSITION IN THE ROOM. OKAY
SEEING NONE WE WILL I'M SORRY
WHEN THEY COME FORWARD. TWEENER
PRODUCT SIR OKAY FOR A PLACE.
THANK YOU MR CHAIRMAN MEMBERS
STILL IN IT THERE WITH THE
CALIFORNIA STATE ASSOCIATION OF
COUNTIES REPRESENTING ALL FIFTY
EIGHT COUNTIES. I'D LIKE TO
THANK THE AUTHOR FOR HER
CONTINUED EFFORTS ON THIS ISSUE-
AND WE TO YOU KNOW HAVE. JOINED
IN THE STRONG URGENCY OF DOING
SOMETHING THAT WILL HELP YOU
KNOW THOSE WHO ARE SUFFERING
WITH SERIOUS MENTAL ILLNESS AND
SUBSTANCE USE DISORDERS- WOULD
LIKE TO WITH REGARD TO PASSED IT
CAPACITY I WOULD LIKE TO NOTE
THAT THE PUBLIC GUARDIAN SIMPLY
CONSERVATIVES DO NOT RECEIVE
STATE FUNDING FOR THE WORK THAT
THEY DO FOR THE EXISTING CASE
LOAD- EVEN BEFORE WE WOULD
CONTEMPLATE THE EXPENDITURE OF
THIS BILL- AND THAT THERE'S
CURRENTLY. A AND IT QUITE
INADEQUATE SUPPLY OF FACILITIES-
FOR THESE PLACEMENTS WE WOULD
LIKE TO THANK THE AUTHOR- FOR
SUPPORTING THE CALIFORNIA
ASSOCIATION OF PUBLIC
ADMINISTRATORS PUBLIC GUARDIANS
AND PUBLIC CONSERVATIVES BUDGET
REQUEST FOR ON GOING FUNDING FOR
THIS MEASURE AND LOOK FOR TO
CONTINUE DISCUSSIONS WITH THE
AUTHOR ON THE FUTURE. THANK YOU
VERY MUCH. OKAY WE WILL NOW
MOVES TO THE PHONE LINES- WITH-
MODERATOR PLEASE THROUGHOUT ANY
REMOTE PUBLIC COMMENT. THANK YOU
IF YOU WISH TO MAKE A COMMENT ON
AT THE FORTY THREE PLEASE PRESS
ONE AND ZERO AT THIS TIME. FIVE
SIXTY EIGHT PLEASE GO AHEAD. HI
GOOD AFTERNOON SHARON CONSULTED
ON BEHALF OF MAYOR KAREN GOH IN
THE- ACRE FIELD. IN THE CITY OF
CALLED IN SUPPORT THANK YOU.
THANK YOU BYE NINETY SIX PLEASE
GO AHEAD. HELLO CAROLINE THANK
YOUNG ON BEHALF. OF THE- BOARD.
THANK YOU BYE SIXTY NINE PLEASE
GO AHEAD. ON BEHALF OF THE
CALIFORNIA HE GAVE HER HOPE ANY
INFO IN OPPOSITION. I THANK YOU
I NINETY FIVE IF GORE HAD. THREE
HELLO. PROFESSIONAL SOCIAL
WORKER REPRESENTING REMPEL THE
RACIAL AND ETHNIC MENTAL HEALTH
DISPARITIES COALITION. WE OPPOSE
. THANK YOU I'M SEVENTY NINE IS
GO AHEAD. ONLY BENEFIT AS WELL
AS ON BEHALF OF THE ALLIANCE
UNFOLD ARE OPPOSITION. IT
GATHERS OFFICE FOR. YESTERDAY
THANK YOU BYE NINETY PLEASE
AHEAD. ANDREA RIVERA ON BEHALF
OF THE CALIFORNIA FINEST HOPE
THAT WORKS IN OPPOSITION. THANK
YOU I'M FIFTY EIGHT PLEASE GO
AHEAD. BENT OVER ON BEHALF OF
THE BEARD A CALIFORNIA THE
DEPRESSION BIPOLAR SUPPORT
ALLIANCE IN STRONG OPPOSITION.
THANK YOU I'M SEVENTY FOUR IF
GORE HAD. THE MAN CARE ROCK
BEHALF OF BEAR LINCOLN IN THE
CITY OF AUSTIN IN SUPPORT OF THE
BILL. THANK YOU I'M ONE PLEASE
GO AHEAD. STUDENTS AND A LARA VS
CAL PUBLIC ANDERSON. WHICH IS
MADE OF LIGHTER COMMITTEE AND
OPPOSES THE SETTLEMENT
IMPLEMENTED. I THINK YOU'RE
RIGHT FIFTY TWO PLEASE CALL.
HELLO ANY TERRIBLE NOT HEALTH
AMERICA FELL. AND YOUTH
EMPOWERMENT NETWORK IN STRONG
OPPOSITION. WELL IF YOU'RE
BUYING ONE OF ONE IS GO AHEAD.
OUR IN MONROE REPRESENTING
FAMILY ADVOCATING FOR THE
SERIOUSLY MENTALLY ILL IN STRONG
SUPPORT. THANK YOU I'M AT THREE
PLEASE GO AHEAD. NINE YEAH- I'M
BACK. THAT SEEKS BETTER- MY-
CHAIR- NOMINEE AND ABOUT THE-
PUBLIC POLICY COMMITTEE- OKAY
ONE OF THE AGE CAL AT. THE PLAN
. AND I SPENT- LOCAL BARBARA.
THE FACT. LAURIE BROWN COURT
THAT THAT EACH OF.
THE PROUD MOM OF AN ADULT AND
WHO IS IN FIFTY ONE FIFTY EIGHT
TIMES- AND ON THE
CONSERVATORSHIP FOR TWENTY ONE
YEARS I AM IN STRONG SUPPORT AT
THIS BILL AND INTEGRATE.
GRATEFUL TO THE AUTHOR THANK YOU
. THANK YOU BYE ONE OH THREE
PLEASE. FOR AN EXPERIMENT THE
BATTLE WITH THE NATIONAL HEALTH
THE PROGRAM THE POSITION IS THAT
THE FORTY THREE THANK YOU. THANK
YOU RIGHT ONE OR TWO IS HAD. HI
YOUR BACK ABOUT WHAT THE LAW ON
THE OF THOSE VALLEY. AND IF- IF
ANY PATIENTS RIGHT WE'D LIKE
THIRD STRONG NO ON L. THANK YOU
. THANK YOU I NINETY EIGHT
PLEASE GO AHEAD. GOOD AFTERNOON
ITSELF THAT FOR. BECAUSE THE
NURSING HOME REFORM AND- THANK
YOU RIGHT FIFTY. THIS CALL AHEAD
. HELLO MY NAME IS DR WERE ON
TRUCK HI INTEREST AND OUR CAL.
HI ON BROMLEY SUPPORT AND I
WANTED MAKE SURE PEOPLE KNOW
THAT AND I'M THINKING YEAH JUST
AWARENESS THE BILL IS. ALMOST
50% OF PATIENT WITH SEVERE
MENTAL ILLNESS I CAN REMEMBER A
LOT CAN WITH PEOPLE ARE NOT.
ABLE TO SEE WAY THAT THERE
FEDERAL BE A AND WILL NEED TO-
TO FIND PLAY TO HELP AND THE
BILL HAVE HELP THANK YOU.
NOT FOR THE ENTIRE TO FROM NOW
ON THE SELF. THANK YOU I HAVE NO
FURTHER COMMENT THANK YOU THANK
YOU VERY MUCH FOR BRINGING BACK
TO THE COMMITTEE COLLEAGUES ARE
THERE ANY QUESTIONS OR COMMENTS
ON THIS BILL CENTRAL HUB. THANK
YOU. SENATOR AND MAN I REALLY DO
APPRECIATE YOU BRINGING THIS
BILL FORWARD- I HAVE HEARD A
SIGNIFICANT AMOUNT OF OPPOSITION
IN REGARDS TO THIS BILL AS WELL
AND- YOU KNOW I THINK YOU AND I
HAVE HAD CONVERSATIONS ABOUT-
AID TACKLING MENTAL HEALTH AS
WELL AS A WIDE NUMBER OF OTHER
PROBLEMS INCLUDING HOMELESSNESS
AND SUBSTANCE ABUSE AND MUCH
MORE- WE KNOW THE CURRENT
DEFINITION AND INTERPRETATION OF
GRAVELY DISABLED DOES NOT
ACCURATELY REFLECT. THE
REALITIES WE KNOW ABOUT IN
COMMUNITIES AND ON THE STREET
YOU KNOW I REALLY WANNA
HIGHLIGHT SPECIFICALLY THAT
THERE'S ALWAYS SOMETHING OF A
CULT IN THEORY VERSUS IN
PRACTICE AND YOU KNOW YES WE
WANT PEOPLE TO HAVE A TANAMI
OVER THEMSELVES AND THEIR
LIVELIHOODS AND MUCH MORE- BUT
AT THE SAME TIME WE ALSO KNOW
THAT. I COMMUNITIES AND THOSE
INDIVIDUALS AS WELL AS THE
PEOPLE AROUND THEM ARE DEEPLY
AFFECTED BY WHAT IS GOING ON-
THERE ARE INDIVIDUALS. THAT ARE
LITERALLY SPENDING. THE EIGHTY
YEARS A SIX OF. TIME EFFORT
ENERGY. STRAIN AND MUCH MORE TO
TAKE CARE OF THEIR LOVED ONES
THAT ARE DEALING WITH ISSUES-
AND AT A CERTAIN POINT IN TIME
YOU KNOW THEY THEY WILL CALL IT
QUITS THAT'S THE HONEST TRUTH WE
ARE. SEEING PEOPLE WHO ARE IN
THE STREETS THAT ARE STRUGGLING.
AND TO YOUR EXAMPLES EVEN- AND
EXAMPLES THAT WE'VE ALL SEEN-
THAT ARE PROBLEMATIC TO SOCIETY
AND THAT'S NOT A GOOD QUALITY OF
LIFE. NUMBER ONE IT'S NOT- IT'S
A PROBLEMATIC FOR OUR COMMUNITY-
FOR PUBLIC HEALTH FOR PUBLIC
SAFETY FOR SOME DIFFERENT
REASONS. AND WE CONTINUE TO SEE
THE STRUGGLES OF COMMUNITY
MEMBERS THAT CYCLE IN AND OUT OF
HOSPITALIZATION SHELTERS AND
JAILS WITHOUT GETTING ACCESS TO
MEDICATIONS AND TREATMENTS. SO I
UNDERSTAND SB FORTY THREE SEEKS
TO ADDRESS THE SHORTCOMINGS-
HOWEVER ON GOING CHRONIC
UNDERINVESTMENT IN PUBLIC AND
PRIVATE TREATMENT RESOURCES
HOUSING CARE. AND YOU KNOW
TAKING IS A CONCERN THE
LIKELIHOOD OF MILLIONS OF
INDIVIDUALS WHO LIKELY NEED
EXPENSIVE AND LONG TERM-
POSSIBLY LIFELONG- CARE IT IS.
ABSORBED INTO THE HEALTHCARE
SYSTEM IS EVEN GREATER CONCERN
SO- THE DEFINITION OF GREAT
LEAKS- DISABLED BEING EXPANDED
TO INCLUDE MENTAL HEALTH AND
SUBSTANCE USE DISORDER
OBVIOUSLY- WILL JUST EXACERBATE
THAT. PARTICULAR CONCERN WE KNOW
THAT AND I'M HOPING- WHETHER YOU
KNOW WE TALK ABOUT IT IN A
FUTURE AMENDMENTS OR- IN IN
ANOTHER BILL WHICH I'M YOU KNOW
I'M HAPPY TO WORK ON AS WELL-
SHOULD. BE MADE GUARANTEED THAT
WE HAVE SUSTAINED AND DEDICATED
STATE RESOURCES THAT GO ABOVE
AND BEYOND. THE CURRENT
INVESTMENTS TO HUMANELY MEET THE
NEEDS OF THE POPULATION IMPACTED
BY THE EXPANDED DEFINITION- I DO
. JUST WANT TO HIGHLIGHT- WE'LL
TALK ABOUT THIS ISSUE AND OF A-
CLINICAL WAY OFTEN AND YOU KNOW
WE TEND TO TALK ABOUT IT IN A
VERY POLICY DRIVEN WAY. BUT I
REALLY JUST WANNA RECOGNIZE WHEN
WE SEE INDIVIDUALS- STRUGGLING
OR IN THE STREET OR DEALING WITH
THINGS. I WANT TO HIGHLIGHT
THAT- THERE'S AN INDIVIDUAL FOR
EXAMPLE IN MY CITY THAT- SITS AT
THE STARBUCKS THAT I GO TO EVERY
DAY THAT THROWS FECES AT
INDIVIDUALS AND- IS A FIFTY ONE
FIFTY PRETTY REGULARLY- RELEASED
VERY SHORTLY AFTER- THE MENTAL
HEALTH HOSPITAL THAT WE HAVE IN
THAT PARTICULAR COUNTY THERE'S
ONLY ONE FOR THE ENTIRE COUNTY.
RIGHT AND THAT IS NOT GONNA
SOLIDIFY ANY ERA- OR MEET THE
NEEDS OF THAT INDIVIDUAL OR
ANYBODY IN THAT CAR COUNTY FOR
LONG TERM. NEEDS AND I ASKED
SPECIFICALLY YOU KNOW WHAT
HAPPENED TO THIS INDIVIDUAL WHAT
IS THE ISSUES AND THINGS LIKE
THAT. AND IF THIS PERSON WAS YOU
KNOW AB QUOTE UNQUOTE. LIVING
THEIR LIFE AND PERFECTLY FINE-
BUT THEN EVENTUALLY HAD A
TRAUMATIC BRAIN INJURY. THAT
COULD LITERALLY HAPPEN TO ANY
ONE OF OUR LOVED ONES IN A CAR
ACCIDENT IN A FOOTBALL ACCIDENT
IN KENOVA BIKING ACCIDENT
WHATEVER THE CASE IS. AND YOU
KNOW FAMILIES CAN ONLY WORK SO
HARD TO PROVIDE TWENTY FOUR HOUR
CARE WHEN THEY'RE ALSO NEEDING
TO MEET THE DEMANDS OF THEIR
OTHER CHILDREN OR LOVED ONES-
THEIR JOB REQUIREMENTS AND MUCH
MORE SO. I REALLY WANT TO
HIGHLIGHT THAT THAT'S REALLY THE
IMAGE BEHIND THIS BILL IS TRYING
TO PROVIDE A LITTLE BIT MORE
HELP TO THOSE FAMILIES THAT
REALLY DO CARE ABOUT THEIR LOVED
ONES. BUT CAN'T COMPETE WITH THE
DEMANDS ON THEIR TIME ELSEWHERE
SO I FULLY SUPPORT THIS BILL I
APPRECIATE YOU TAKING THIS YOU
KNOW OBVIOUSLY RISK IN PEOPLE
BEING UPSET ABOUT IT. BUT I ALSO
WANT TO SAY THAT PRACTICE AND
POLICY- ARE TWO DIFFERENT THINGS
AND WE NEED TO KIND OF ADDRESS
BOTH SO THANK YOU. THANK YOU.
THANK YOU ANY ADDITIONAL
QUESTIONS OR COMMENTS. WELL MOVE
HERE. MOTION BY SENATOR BOB- FOR
SO I WANT TO THANK- THIS CENTER
I REMEMBER HER CONTINUED
LEADERSHIP ON THIS ISSUE. HAVING
DONE IF YOU CAN SERVICE OF
BILLS- WITH US AND DIFFERENT
COMMITTEE STRUCTURE- IT CAN BOTH
HOUSES. I WAS VERY VERY
CHALLENGING I THINK WE- HAVE. A
REAL PATH TO CONSUME TRUE REFORM
DONE- THIS YEAR AND YOU KNOW I'M
VERY SENSITIVE TO- TO. PEOPLE'S
CONCERNS ABOUT WE DON'T WE
ABSOLUTELY SHOULD NEVER GO BACK
TO WHAT IT WAS FIFTY YEARS SIXTY
YEARS AGO- WHEN. WE DIVORCED
ASSEMBLY BEING WAREHOUSED NOT
BECAUSE THEY HAD A MENTAL
HEALTH. CONDITION PEOPLE WHO
ABSOLUTELY DID NOT NEED TO BE
INSTITUTIONALIZED- WHO WERE WE
KNOW THE ABUSES THAT CAN HAPPEN-
BUT THAT'S NOT WHAT THIS BILL.
DOES BECAUSE THE REALITIES WE
WENT TOO FAR IN THE OTHER
DIRECTION WE HAVE PEOPLE WHO ARE
LITERALLY UNRAVELING AND DYING
ON OUR STREETS. AND IS NOT
PROGRESSIVE IT'S NOT
COMPASSIONATE TO JUST LET THAT
HAPPEN IN THE NAME OF VOLUNTARY.
TREATMENT AND WE ALL I'VE SEEN
THIS OF THEIR PEOPLE IN MY
COMMUNITY I SEE DAY IN AND. DAY
OUT IN THE STREETS. OUR CITY
PEOPLE TRY GET THEM. IT'S NOT
WORK- AND NEED HELP. I THINK
IT'S A IMPORTANT TO UNDER. THAT
BEING A- DOES NOT. NEED TO MEANS
THAT YOU A LOT FACILITY IN FACT.
WOULD BE AN OFFICE. WE HAVE SOME
FOLKS WHO ARE CONSERVANCY I'M
CISCO WHO WERE IN SUPPORT OF
HOUSING. AND WE DON'T HAVE
ENOUGH SUPPORT OF HOUSING WE
NEED MORE THAT WE NEED MORE BEDS
AND SO FORTH BUT THIS IS A
FLEXIBLE TOOL- THAT WILL SAVE
LIVES SO I'M HAPPY TO SUPPORT
THIS BILL AND PROUD TO BE A
PRINCIPAL CO AUTHOR- SO WE DO
HAVE A MOTION AND SENATOR YOU
MAY CLOSE. THANK YOU VERY MUCH
AND I WANT TO THANK BOTH THE
SUPPORTERS AND THE OPPOSITION.
ALL OF THE VOICES ARE IMPORTANT-
AND I'M GLAD THE OPPOSITION ARE
STILL ALL STILL ALIVE BECAUSE
THERE ARE SO MANY WHO CAN'T
SPEAK FOR THEMSELVES BECAUSE
THEY HAVE DIED. WITH THEIR
RIGHTS ON. AND ALSO WANT TO SAY
THAT THIS BILL DOES NOTHING TO
CHANGE DUE PROCESS. SO IF YOU GO
IN ON A FIFTY ONE FIFTY HOLD.
THAT IS A SEVENTY TWO HOUR HOLD.
IT COULD BE REEVALUATED. FOR TWO
WEEKS OLD HE CAREER VALUE IS FOR
THIRTY DAY HOLD. I DID A BILL
LAST YEAR TO BE ABLE SEE CAN
HAVE ANOTHER THIRTY DAY HOLD YOU
CAN GO TO A SIX MONTH. AND THEN
YOU CAN GO TO A CONSERVATORSHIP
AND THEN IT MUST BE RENEWED
EVERY YEAR. SO IT IS SO THE DUE
PROCESS DOES NOT CHANGE IT IS
ONLY THE CRITERIA THAT WERE.
APPLYING TO THE PERSON BECAUSE
YOU'VE HEARD PEOPLE SAY. PEOPLE
GO IN AND GO RIGHT BACK OUT OVER
AND OVER AND OVER AGAIN. AT THE
END OF THE FOLKS SAY THIS IS TO.
AFFECT AND BROWN PEOPLE. IT IS
OUR BROKEN BLACK AND BROWN
PEOPLE WHO ARE DYING ON THE
STREETS AND OUR IN OUR PRISONS
AND I ARE IN OUR STATE HOSPITALS
AND ARE IN OUR COUNTY JAILS. AND
THAT IS NOT THE PLACE FOR PEOPLE
TO GET TREATMENT OUR STATE
HOSPITALS ARE FULL OF PEOPLE WHO
WERE FOUND UNABLE TO STAND TRIAL
SO THEY'VE COMMITTED MULTIPLE
CRIMES. FUNNY SERIOUS ONE AND
THEN HAVE TO GO INTO A- STATE
HOSPITAL. AND LOSE ALL OF THEIR
RIGHTS FOR STATE PRISON AND LOSE
ALL OF THEIR RIGHTS. BECAUSE WE
COULDN'T TREAT THEM ON THE FRONT
END. THERE WAS A RECENT STUDY
THAT CAME OUT ABOUT. HOW THE
SICKEST OF OUR MENTALLY ILL
FOLKS WHO ARE IN STATE PRISONS
ARE MOVED FROM ONE PRISON TO
ANOTHER. AND PEOPLE ASK ME TO DO
A HEARING ON THAT BECAUSE WE'RE
GOING TO DO SOMETHING ABOUT
THAT. WE CAN'T IS ABOUT THAT
INTO WE DO THE THINGS ON THE
FRONT END AND ACTUALLY GET
PEOPLE THE CARE THEY NEED.
BEFORE THE REQUIRED TO GO IN AND
OUT AND IN AND OUT OF OUR
SYSTEM. DESPERATELY PULLING BACK
OUT THROUGH THE CRACKS. AGAIN I
INVITE YOU LOOK OUTSIDE WALK
AROUND THE STREETS. I DON'T KNOW
ABOUT THE REST YOU BUT I HAVE
KIDS. AND IT IS SO HARD TO BE
ABLE TO TELL YOUR CHILD WHY
THERE'S NOTHING WE CAN DO. FOR
THAT NAKED LADY ON THE STREETS
WITH SORES ALL OVER HER BODY.
AND I THINK WHEN WE'RE LIVING IN
THIS KIND OF ENVIRONMENT WE'RE
LIVING IN RIGHT NOW. WHERE
THERE'S THIS ANGER AND THIS
TENER THAT IS- UNTENABLE FOR ME
AS SOMEBODY WHO LIKES TO TRY TO.
MOVE THINGS FORWARD IN A
POSITIVE DIRECTION. I THINK I
SPEAK ACTUALLY GIVE THE TACKLE
REALLY BIG HARD ISSUES. GIVES
HOPE TO EVERYBODY ELSE. THAT WE
CAN ACTUALLY FIND WAYS TO COME
TOGETHER. AND PROVIDE TO HELP.
THAT PEOPLE NEED. AND THE PUBLIC
SHOULD DEMAND OF US. IT'S TIME
FOR THIS CHANGE TO TAKE PLACE.
AND I RESPECTFULLY ASK FOR YOUR
VOTE. OKAY YOU WE HAVE A MOST.
BY WILL OFTEN THAT MOTION IS TO
PASS AS AMENDED AND RE REFER TO
THE COMMITTEE. ON JUDICIARY WILL
CALL THE ROLL. SENATORS EGGMAN.
BY EGGMAN AYE. WHEN I. WHEN I.
GLAZER AYE. GLAZER AYE. GONZALEZ
HI. GONZALEZ I. GROWTH. I KNOW I
MISS DEBATE BUT I JUST WANT TO
SAY THANK YOU. FOR BRINGING THIS
BILL FORWARD. HI GROW BY. HER
TADO. LIMON MENJIVAR. MENJIVAR
AYE. ROTH ROTH I. WE RIGHT RUBIO
. WILL HAUNT HI BOB I. WINNER
FIVE WINNER. THE END TO SEE.
THREE FOUR. TEN TWELVE NO OF
VOTERS TEN OF FIVE THE EXTENT OF
WITH MCGRAW FOR MEMBERS AND I
WANT HIM TO GO BACK. THE CENTER
. WHEN. I SEE CENTER BAKER HERE
PLEASE. US INTERPRETERS PRESS SB
FIVE SO HAVING DO WITH PRENATAL
. I THANK MADAM CHAIR I ALSO.
THANK YOU FOR YOUR LEADERSHIP ON
THE PREVIOUS ISSUE THAT
APPROPRIATE. I'M HERE TO EIGHT
TO FIVE SET. THIS BILL WOULD
RESTORE PREGNANT PERSONS A BILL
INTO WITH THEIR- TO UTILIZE ALL
OF PRENATAL SERVICE. THIS ELEVEN
TO MAKE THE MOST DECISIONS ABOUT
THEIR HEALTH AND THE HEALTH OF
THE NEWBORN AS POSSIBLE.
ASSEMBLY THIS BILL PROHIBITS THE
STATE FROM LIMITING ACCESS
GENETIC SCREENING THE RULE
REGULATION OR CONTRACT WHEN YOU
NEXT READING IS RECOMMENDED OR
ORDERED BY PREGNANT INDIVIDUALS
PRENATAL PROVIDER. WITH SIX ROSA
MY BILL SIMPLE MAKE SURE
PREGNANT CALIFORNIANS MAINTAIN A
CHOICE ACCESS IN THE PRENATAL
SCREENING OPTIONS AND HAVE THOSE
SCREENS COVERED BY INSURANCE OR
MEDICARE THE SAME AS IT WAS
BEFORE THIS CHANGE IS ABSOLUTELY
ESSENTIAL TO ADDRESS UNFORTUNATE
ACCESS ISSUES THAT RECENT CD PH
C. PH CHANGES HAVE CREATED.
UNFORTUNATELY IN LATE TWENTY
TWENTY TWO C. PH IMPLEMENTED
MAJOR CHANGES THAT LIMIT THE
STATE'S PRENATAL SCREENING
PROGRAM TO TEST YOU FOR JUST
TRISOMY TWENTY ONE EIGHTEEN AND
THIRTEEN IF PREGNANT OFFICIALS
WISH TO ACCESS THE ADDITIONAL
SCREENING THEY PREVIOUSLY WOULD
HAVE ENJOYED HAS RECOMMENDED BY
THE PROVIDER THEY MUST NOW
UNDERGO COMPLICATED AND
CONFUSING TO PATH PROCESS. OF
THE SCREEN. THIS IS UNNECESSARY
NEW BERRIER AND MEANS THE VAST
MAJORITY OF PREGNANT PEOPLE.
WILL NOT HAVE ACCESS TO FULL
PANEL SCREENING. FOR INFORMATION
FOR. THIS IS A MEDICAL CARE BE
DECIDED BY MEDICAL CARE
PROVIDERS RATHER THAN ARBITRARY
LINE IN THE SAND. LASTLY WHEN I
THANK YOU FOR WORKING WITH ME IN
STAKEHOLDERS TO DRAFT AMENDMENTS
THAT WOULD THAT WE WILL BE
TAKING. PER THE POLICY COMMON IN
THE ANALYSIS BY BEST A SERGEANT
DISTRIBUTE COPIES THAT WE'VE
JUST DONE OF THESE MEMBERS TO
THE COMMITTEE. AND WITH ME TODAY
FORTUNE TO HAVE SUPPORT OUR
COLLEAGUE ASSEMBLY MEMBER DR
WEBER A PRINCIPAL CO AUTHOR AND
BOARD CERTIFIED OBGYN SHOWS THE
FOUNDER AND PAST DIRECTOR OF THE
PEDIATRIC AND ADOLESCENT
GYNECOLOGY DIVISION AT RADY
CHILDREN'S HOSPITAL. IN SAN
DIEGO. DR WEBER. GOOD AFTERNOON
CHAIR AND MEMBERS THANK YOU SO
MUCH FOR ALLOWING ME TO COME
INTO YOUR HOUSE TO TESTIFY AS A
PRINCIPAL CO AUTHOR OF SB FIVE
SEVENTY. I COULD NOT OVERSTATE
THE IMPORTANCE OF THIS BILL. I
SPEAK TODAY NOT ONLY AS A BOARD
CERTIFIED OBGYN WHO HAS ORDERED
THESE TEST MANY MANY TIMES. BUT
ALSO AS A FELLOW LEGISLATOR. HE
WAS STOOD SIDE BY SIDE WITH MANY
OF YOU. AS WE HAVE ASSERTED THAT
THE DOCTOR PATIENT RELATIONSHIP
IS IMPORTANT. SACRED AND IN MOST
CASES NOT SOMETHING THAT THE
GOVERNMENT SHOULD DICTATE OR
LIMIT. I HAVE ALSO STOOD BY MANY
OF YOU AS WE HAVE ARGUED THE
IMPORTANCE. OF IMPROVING ACCESS
TO HEALTH CARE AND NOT TO PLACE
BARRIERS AND OBSTACLES. THIS
BILL SB FIVE SEVENTY. ALIGNED
WITH WHAT WE DECLARE AS CORE
VALUES OF HEALTHCARE IN
CALIFORNIA. RESPECT FOR THE
DOCTOR PATIENT RELATIONSHIP. AN
EXPANSION OF ACCESS FOR OUR
PATIENTS. THIS BILL WILL EXPAND
THIS CRITICAL TESTING ALL
PREGNANT CALIFORNIANS. AND ALLOW
WOMEN TO RECEIVE THE FULL GAMUT
OF TESTING. AT THE LAB AND THE
LOCATION THAT THEY CHOOSE. THIS
BILL IS INTENDED TO ENSURE THE
HEALTH AND SAFETY OF ALL OF OUR
PREGNANT RESIDENTS AS WELL AS
OUR FUTURE UNBORN RESIDENTS OF
CALIFORNIA. SB FIVE SEVENTY
GIVES PREGNANT CALIFORNIANS A
CHOICE. ACCESS IN THE PRENATAL
SCREENING. RATHER THAN FORCING
THESE INDIVIDUALS TO ENROLL IN
THE PNS PROGRAM TO RECEIVE THE
CARE THAT WE ALL KNOW THEY NEED.
AND LIMITING WHAT LAB THEY CAN
ACTUALLY GO TO RECEIVE IT. THANK
YOU SO MUCH FOR YOUR TIME AND
CONSIDERATION I RESPECTFULLY ASK
FOR AN AYE VOTE ON SB FIVE
SEVENTY THANK YOU VERY MUCH TALK
TO EVER. WHAT MORE WITNESSES AS
WELL THANK YOU. DR KRISHNA
SAYING I'M A TRIPLE BOARD
CERTIFIED FITTED PHYSICIAN IN
THE SPECIALTIES OF OBSTETRICS
AND GYNECOLOGY MATERNAL FETAL
MEDICINE AND MATURE AND MEDICAL
GENETICS AND GENOMICS. THE
CURRENT CELL FREE DNA TEST
PERMITTED BY THE STATE PROGRAM
INCLUDES REPORTING ONLY ON THREE
CHROMOSOMES DESPITE
RECOMMENDATIONS BY THE AMERICAN
COLLEGE OF MEDICAL GENETICS AND
GENOMICS. TO INCLUDE AT LEAST
FIVE THEIR TEST IS NOT IN THE
ESTABLISH STANDARD OF CARE FOR
RESULTS- AND IT RESULTED
MISDIAGNOSES DELAYS IN CARE AND
INCREASED COSTS. WHEN A PATIENT
HAS THIS TEST IT'S POSSIBLE THAT
THE LABORATORY IDENTIFIES AN
UNEXPECTED ABNORMALITY UNDER THE
OTHER THAN THE THREE THAT ARE
SPECIFIED. IN THESE CASES THE
LABORATORY IS ADVISED BY THE
STATE PROGRAM TO REPORT ONLY
THAT THE TEST RESULTS ARE IN
DETERRENT. INDETERMINATE THE
LABORATORY MAY HAVE INFORMATION
AVAILABLE ABOUT THE CHROMOSOMES
OF ORIGIN OR SUSPECTED
ABNORMALITY IS A FETAL OR
MATERNAL BUT THIS INFORMATION
CANNOT BE INCLUDED IN THERE
RESULT UNDER THE- UNDER THE
CURRENT PROGRAM. ADDITIONAL
INPUT INFORMATION MIGHT BE
IMPORTANT FOR HELPING CLINICIANS
TO GUIDE PATIENTS ON NEXT STEPS.
A CLINICIAN MIGHT CALL THE
LABORATORY TO ASK FOR FURTHER
INFORMATION BUT CONTACTED
CONTRACTED LABORATORIES MIGHT
NOT HAVE INCENTIVE. TO SPEND
TIME ON PHONE CALLS TO REVIEW
RESULTS WITH VARIOUS PROVIDERS.
THIS IS AMONG THE ISSUES
LIMITING A PATIENT'S CARE WITHIN
THE PROGRAM HEY PART PREGNANT
PERSON AND HER OBSTETRIC
PROVIDERS SHOULD BE ABLE TO
DETERMINE WHICH TESTS BEST FITS
THEIR SEARCH CIRCUMSTANCES. IT
SHOULD NOT BE RESTRICTED TO A
STATE HAS SIGNED LABORATORY
TESTS PATIENTS SHOULD HAVE THE
OPTION TO HAVE LABORATORY TESTS
THAT ARE BEING USED THROUGHOUT
THE IN THE OTHER FORTY NINE
STATES AND THE WORLD. FOR
OBTAINING INFORMATION. DURING
THEIR PREGNANCY. THANK YOU VERY
MUCH OTHERS PEOPLE SPEAKING AS A
NOW BE THE TIME TO CALL FOR AND
JUST PROVIDE YOUR NAME.
ASSOCIATION A POSITION. ALEXIS
RODRIGUEZ AT THE CALIFORNIA
MEDICAL ASSOCIATION IN SUPPORT
THANKS. GOOD AFTERNOON MADAM
CHAIR JOHN VALENCIA APPEARING ON
BEHALF OF THE LIMON INCORPORATED
A GLOBAL LEADER IN HUMAN
GENOMICS HEADQUARTERED IN SAN
DIEGO RIGHT ACROSS FROM.
ASSEMBLY MEMBER WEBER SISTER
INSUPPORTABLE THANK YOU. PERSON
PLEASE. UNTURNED SENATORS AT
OKAY ONE ON BEHALF IN THE TERROR
AND SUPPORT THANK YOU. 6%
JENNIFER SNYDER WE HAVE THE
CALIFORNIA LIFE SCIENCES IN
SUPPORT THANK YOU. WHILE OF AND
GENETIC COUNSELOR. OR SUPPORT
THANK YOU. YEAH LIBBY SANTOS
BEHALF OF BILLION TO ONE IN
SUPPORT THANK YOU THANK YOU.
BRENT SPENCER ON BEHALF OF THE
AMERICAN COLLEGE OF OBGYN
STRYCHNINE IN SUPPORT. THANK YOU
HE PRETTY IN OPPOSITION TO THIS
BILL TODAY. SEEING NONE. WILL GO
TO OUR PHONE LINES AND AT THIS
TIME A BRITISH OPEN THE PHONE
LINES AND THIS IS THE TIME FOR
ANYBODY IN SUPPORT OR OPPOSITION
TO PLEASE JUST STATE YOUR NAME
YOUR ORGANIZATION AND YOUR
POSITION. THANK YOU IF YOU WISH
TO MAKE A COMMENT ON SB FIVE
SEVENTY PLEASE PRESS ONE AND
ZERO AT TIMES. IT'LL BE JUST ONE
MOMENT FOR FIRST COMMENT. LINE
EIGHTY EIGHT PLEASE GO AHEAD.
THAT'S BOY ON BEHALF OF THE
CALIFORNIA MEDICAL LABORATORY
ASSOCIATION IN STRONG SUPPORT.
THANK YOU NICE COLOR PLEASE.
THANK YOU RIGHT NINETY FOUR IS
GO AHEAD. MYRA AND WITH THE KIND
OF CALIFORNIA AND FORT. THANK
YOU. FOR PLEASE. THANK YOU I
HAVE FURTHER COMMENT THANK YOU.
THANK YOU FOR THE TIME TO BRING
THE- MEASURE BACK TO THE
COMMITTEE. THE BILL. WE HAVE A
MOTION. HELLO TO SAY THANK YOU
FOR BRINGING THIS FORWARD ALSO
NICE TO HAVE A STAR WITNESS AND
A CO AUTHOR AT THE SAME TIME
DOUBLE DUTY IN. A MOMENT TO OUR
OTHER PHYSICIAN WHO'S TRIPOLI
CERTIFIED WHILE- WOULD YOU LIKE
TO CLOSE. I THINK MY CO AUTHOR
AND SUCCESS FOR MY VOTE OKAY
THANK YOU. AND THAT MOTION IS TO
PASS AS AMENDED AND RE REFER TO
THE COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN BY EGGMAN AYE
WHEN I GLAZER HI GLAZER AYE
GONZALEZ. GONZALEZ I GROWTH
RIGHT GROVE I HER TADO. LIMÓN
MENJIVAR. ALL RIGHT MENJIVAR I.
ROSS. ROSS I RUBIO AYE RUBIO AYE
BOB. WIENER WIENER I. THAT IS
NINE ZERO WILL HOLD THAT ROLE
OPEN THANK YOU VERY MUCH. BUT
WHAT WHAT ABOUT. AND I BELIEVE
CENTER WIENER GOING TO FOR STERN
. WHAT WILL HE'S GETTING HIMSELF
TO GET WE DO A- RECALL ON THE
CALENDAR JUST ONE MORE TIME. THE
OF THE. SO. AGAIN ON THE
COMMISSION CAN CALENDAR THAT'S
THIS BE THREE FORTY FOUR RUBIO
SB TWENTY LAMAR AS B. EIGHTY TWO
EGGMAN REQUIRE. SENATORS WHEN I
WHEN I GLAZER HI GLAZER AYE.
GROW I GROVE AYE. THE MALL. ROTH
ROTH I. ELEVEN TO. ENTER WILL
HOLD IT OPEN A LITTLE WHILE OKAY
SO. WIENER FOR STERN. THANK YOU
VERY MUCH AROUND OF THAT I'M
PRESENTING THREE OH TO- ON
BEHALF OF STERN- AND WILL BE A
TO ADD ME AS A CO AUTHOR- OF THE
BILL- SB THROUGH TO WORK SPEND
THE EXISTING- RYAN'S LOS- TO
ALLOW MORE PATIENTS THE OPTION
TO UTILIZE CANNABIS TO MANAGE
VARIOUS HEALTH CONDITIONS A LOT
OF HEALTH FACILITIES. AS ARE IN
THE BILL WILL EXPAND THE CURRENT
DEFINITION OF PATIENTS ELIGIBLE
UNDER SB NINE EIGHTY EIGHT- TO
INCLUDE INDIVIDUALS WHO ARE AT
LEAST SIXTY FIVE YEARS OF AGE
WHO STRUGGLE WITH CHRONIC
DISEASE SO EXPANDED BEYOND OF
FOLKS WHO ARE WHO HAVE A
TERMINAL. ILLNESS THE NATIONAL
COUNCIL ON AGING REPORTS THAT
NEARLY 95% OF PEOPLE OVER SIXTY
FIVE HAVE ONE CHRONIC CONDITION
AND NEARLY 80% OF TWO OR MORE-
PATIENTS USING MEDICAL CANNABIS
TO TREAT A VARIETY OF CHRONIC
ILLNESSES. CURRENTLY HAVE
UNFETTERED ACCESS OUTSIDE OF
HEALTH CARE SETTINGS HOWEVER
ELDERLY PATIENTS WHO ARE INSIDE
THE MEDICAL FACILITY OR NOT
AFFORDED THE SAME RIGHT AND MANY
COULD BENEFIT DRAMATICALLY THE
MAJORITY OF MEDICAL CANNABIS USE
IN ELDERLY POPULATIONS. IS AIMED
TOWARDS APPETITE STIMULATION
DEMENTIA RELATED AGITATION
SUPPRESSION AND PAIN RELIEF. THE
PHARMACEUTICAL TURNIPS TO
ALLEVIATE THE SYMPTOMS CAN BE
FAR MORE DETRIMENTAL IN THE LONG
TERM. THAN THE USE OF CANNABIS.
A TWENTY SEVENTEEN UC BERKELEY
STUDY REPORTED THAT 97% OF A
STATE. WIDE SAMPLE OF MEDICAL
CANNABIS USERS. MICHAEL THAT
THEY'RE ABLE DECREASE THE AMOUNT
OF OPIATES HOPE YOU. THE THEY
CONSUME ALSO USE. AT 81% SAID IT
WAS MORE EFFECTIVE AT TREATING
THEIR CONDITION CALIFORNIA'S
ELDERLY DESERVE ALL VIABLE
EFFECTIVE OPTIONS TO TREAT
CHRONIC DISEASES ANY MEDICAL
SETTING. RESPECTFULLY ASK FOR AN
AYE VOTE. WITH ME HERE TO
TESTIFY TODAY OR TIFFANY WIN
WITH US YA YOU CALIFORNIA AND
SEAN KIERNAN WITH WEED FOR
WARRIORS. WELCOME BACK TO FINISH
. THANK YOU MADAM CHAIR MEMBERS
TIFFANY WAITING WITH THE CSU
CALIFORNIA REPRESENTING SEVEN
HUNDRED THOUSAND MEMBERS MANY OF
WHICH WORK ACROSS VARIOUS HEALTH
CARE SETTINGS OUR WORKERS ARE
THERE WHEN PEOPLE NEED HELP THEY
ARE PROUD TO SERVE THE ELDERLY
PERSONS WITH DISABILITIES AND
THE TERMINALLY ILL. THEY SEE OUR
COMMUNITY MEMBERS IN PAIN AND
THEY SEE HIM AS THEY AGE THEY
SEE THEM AS THEY WORK AND
MAINTAIN DIGNITY AND CONTROL AND
ACTIVITIES OF DAILY LIVING THAT
YOU OR I. MAY TAKE FOR GRANTED
THIS LEGISLATION SB THREE OH TWO
CAN BE SEEN AS A PART OF A
FULLER VERSION THAT WE SEE AND A
VISION THAT WE BELIEVE THE
LEGISLATURE HOLDS TO. ALL
PERSONS REGARDLESS OF THEIR AGE
DISABILITY OR STAGE IN LIFE
SHOULD HAVE EQUAL ACCESS TO
HEALTH CARE EQUAL ACCESS TO THE
TREATMENT AND SUPPORT THEY NEED
TO SUCCESSFUL TO BE SUCCESSFUL
IN THEIR DAILY LIVES. RESEARCH
INCREASINGLY SHOWS THE POWER OF
CANNABIS TO MEET MEDICAL NEEDS.
THAT IS WHY THIS LEGISLATURE
AWFULLY PASSED SB THREE ELEVEN
RYAN'S LAW. AND WHY SB THREE OH
TWO LOOKS TO EXPAND ON THAT
APPROACH AT THE HEART OF SB
THREE OH TWO IS ALLOWING OUR
GRANDPARENTS OUR PARENTS OUR
COMMUNITY ELDERS WHO ARE OVER
SIXTY FIVE AND SUFFER FROM
CHRONIC ILLNESS. AND LIVING AND
MEDICALLY ASSISTED FACILITIES TO
BE ALLOWED TO MAKE THE CHOICE TO
USE CANNABIS. CHRONIC ILLNESS
CAN BE PHYSICALLY AND
EMOTIONALLY THE DEBILITATING.
ARE WORKERS KNOW THAT MANY OF
THE CONDITIONS THAT CAN BE
IMPROVED BY CANNABIS CONSUMPTION
LIKE PAIN RELIEF AND APPETITE
STIMULATION. CAN HAVE A
SIGNIFICANT EFFECT ON QUALITY OF
LIFE AND SOMEONE'S ABILITY TO
LIVE. WE OFTEN SAY THAT WHEN
SOMEONE LIVES. ASIA NOT AND
WHERE SOMEBODY LIVES NOT IMPACT
THE ACCESS TO THE CARE THAT THEY
HAVE. THIS HOLDS TRUE HERE TOO.
THERE ARE MANY REASONS WHY
SOMEONE MAY BE ABLE TO AGE IN
THE HOME THEY'VE LIVED IN FOR
DECADES OR WHY THEY MAY BE
CHOOSING TO AGE ARE FORCED. TO
TRANSITION TO A MEDICALLY
ASSISTED FACILITY. WHEN A PERSON
LIVES WHERE PERSONALLY SHOULD
NOT IMPACT THEIR ABILITY TO
ACCESS AND USE CANNABIS FOR
MEDICAL PURPOSES. AND IT
CERTAINLY SHOULD NOT DISRUPT A
TREATMENT PLAN THAT ALREADY
INCLUDES CANNABIS. THIS BILL
ALLOWS CANNABIS USE BY THOSE
SIXTY FIVE AND OVER WITH CHRONIC
ILLNESS. AND MEDICAL ASSISTANCE
FACILITIES INCREASE HEALTH
EQUITY FOR OUR AGING POPULATION
FOR THESE REASONS WE
RESPECTFULLY REQUEST YOUR I
THOUGHT THANK YOU THANK YOU VERY
MUCH NEXT WITNESS PLEASE. HELLO
THANK YOU VERY MUCH MR MY MACHON
CURED AND I'M CO THE WI FOR IS
WE ARE THE LARGEST. PATRICK
CANNABIS ORGANIZATION IN THE
WORLD REPRESENTED FIFTY STATES
AND OTHER COUNTRIES. THIS IS A
HUGE ISSUE WE DEAL WITH WEEKLY
WITH NOT ONLY OUR VETERANS BUT
THEIR PARENTS AND IT GOES BEYOND
THAT BUT WE DON'T NEED TO GET
INTO IT. AND THAT'S REALLY ABOUT
IT'S A BODY SOVEREIGNTY ISSUE
THIS IS ELIMINATE CANADA'S
ISSUE. THIS IS A BODY SAW REGINA
DIGNITY ISSUE. AND THE LOVE THE
SPEAKER BEFORE ME TOUCH ON THE
SENATE SOMEBODY UNANIMOUS SAMPLE
SB THIRTY FOUR WE GET CANNABIS
TO VETERANS IN PATIENTS WE JUST
DID AN EVENT IN WILLMAR
CALIFORNIA. EXHIBIT IF YOU DON'T
KNOW HIM AS THE MTV IS A RAPPER.
HE CAME IN HE'S BEEN VERY
SUPPORT OF US AND HE SAID. YOU
KNOW INTERVIEWS ON YOUTUBE ON
OUR CHANNEL- HIS DAD WAS A
VETERAN. TO CANNABIS WAS A BIG
ISSUE BETWEEN THESE TWO. AND IT
WASN'T TOO IN TERMINAL ILLNESS
ILLNESS. THAT HE TOOK A DUMMY.
AND HE SAID THE WAY HIS DAD
ACTED USE ABLE TO CONNECT WITH
THEM LIKE NEVER BEFORE BECAUSE
WHEN HE'S ON THE OPIATES AND ALL
THE OTHER MEDICINES IZOMBIE HE'S
ANGRY. AND THE DIGNITY GIVEN TO
THAT FAMILY. AND THAT LAST YEAR
. CAN THAT BODIES ARE NEEDED
SHOES CANVAS UNFORTUNATE THING
IS. SO MANY PEOPLE PUTTING THESE
HOMES DON'T HAVE KIDS TO COME
GIVEN THAT MEDICINE. AND THEIR
DOCTORS WON'T. WHY BECAUSE
INSURANCE AND OTHER NONSENSE
STATE THAT I'M NOT AGAINST IT.
SO LET'S GIVE THAT DIG INTO YOUR
BODY SOVEREIGNTY TO EVERYBODY
WHETHER IT'S MY DAD OR MY MOM OR
MY ABILITIES ARE CARE YOUR
VIRTUES THAT. PLEASE VOTE I'D
IT'S A VERY SIMPLE STEP IN THIS
IS A MUCH BIGGER PROBLEM. THAN
WHAT THIS WILL ADDRESS BUT THIS
IS A SIMPLE STEP FORWARD AND I
HOPE WE GET E. S. THANK YOU
SENATOR WIENER. THANK YOU VERY
MUCH OF THE PEOPLE HERE IN THE
ROOM IN SUPPORT. JUST NAME AN
ORGANIZATION. COOL. PAMELA LOPEZ
WITH K. STREET CONSULTING ON
BEHALF CALIFORNIA NORMAL.
CLINTON THE BACK ON BEHALF OF
CALIFORNIA'S COALITION ADVOCACY
IN SUPPORT. THANK YOU. ANYBODY
SPEAK IN OPPOSITION TO THE BILL
TODAY. SEEING NONE LET'S OPEN UP
THE PHONE LINES AND HAVE A
PEOPLE SPEAKING OF BOTH SUPPORT
AND OPPOSITION JUST YOUR NAME
ORGANIZATION AND POSITION.
MODERATOR THANK YOU IF YOU WISH
TO MAKE A COMMENT ON ACT EAST
THREE OH TO PLEASE PRESS ONE AND
ZERO AT THIS TIME. SHE IS OR
SOME. THIS OF. I HAVE NO. THANK
YOU THANK YOU VERY MUCH. IT
WOULD BE THE TIME WE BRING IT
BACK. TO COMMITTEE. COMMENTS
THAT WHENEVER WE HAVE MOVEMENT
OF A- AMONG. THE MOTION THERE WE
GO CENTER WILL UP HI THERE- DO
WE HAVE ANY- UNDERSTANDING HOW.
IF THIS IS YOUR- HOW THIS
POTENTIALLY AFFECTS OTHER
INDIVIDUALS AND LET'S SAY
FACILITIES OR- ANY TYPE OF
LANGUAGE AROUND THAT- IF YOU
TALK ABOUT SMOKING I DON'T
BELIEVE THIS COVERS SMOKING THIS
IS A HOLLOW EDIBLE JUST ANIMALS
OKAY. SO IT'S A THERE WERE TO BE
A SECONDHAND SMOKE ISSUE.
ALRIGHT I APPRECIATE IT THANK
YOU. AND I WILL SAY THAN WHAT
THAT WAS MY QUESTION TO YOU- BUT
THIS TO JUST AT A BOTH- OKAY
THANK YOU VERY MUCH ANYA PAYNE
PENSION PEOPLE WHICH WILL TAKE
CARE THEIR PAIN. AS THEY SEE
FIT- THANK YOU FOR YOUR MOTION
SENATOR GLAZERS AND THIS IS. TO
PASS AS AMENDED EVERY REFERRED
TO THE COMMITTEE ON JUDICIARY
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN. EGGMAN AYE
WHEN. I WHEN I GLAZER AYE GLAZER
AYE GONZALEZ GONZALEZ I GROWTH
AYE GROVE AYE HER TADO. LIMON
MENJIVAR HI MENJIVAR AYE ROTH.
ROTH AYE RUBIO. RUBIO I WILL HA
HI BOB I WINNER. WINNER I. THAT
IS TEN ZERO WILL HOLD THAT OPEN
FOR ABSENT MEMBERS. OKAY SENATOR
SKINNER A PRESENT BEFORE BUT WE
DIDN'T GET A MOTION FOR THAT.
CENTER MENJIVAR MOVES TO SENATOR
SKINNER'S MENSURAL PRODUCT
ACCESSIBILITY ACT SECRETARY
PLEASE CALL THE ROLL. SENATORS A
BY A AYE WHEN. GLAZER I. GLAZER
AYE CAPTAINS AYE. GONZALEZ I
GROW. GROVE NO FURTADO. LIMON
MENJOU MENJIVAR I ROSS AYE ROTH
AYE RUBY HI THIS AYE WELL HAN.
BOB HI WIENER WINNER I. NINE ONE
NINE ONE WELL HOLE THAT OPEN
OKAY THAT'S MY DOWN DELAY THEN-
OFFERS PORTENT S. B. FOR SO.
SECRETARY PLEASE CALL THE ROLL
NO WHAT. AFTER THE SENATORS WENT
. THAT NUMBER EXCELLENT YES. FOR
GLAZER I'VE GLAZER AYE SHE'S.
GROVE I GROVE I'D THE MALL. ROTH
ROTH I AM CERTAINLY GO ON. SO I
GUESS YOU KNOW. SAN WHEN HI
THANK YOU THE SERVICE. OKAY WILL
AGAIN HÌ THAT ROLE OPEN OPEN
HAVE CALLED AB MEMBERS TO COME
ON DOWN. OKAY YOUR- BOB. S. B.
FIVE BAKER.
SENATORS TADO. AND LIMÓN. OKAY
HOW ABOUT THE TEN ZERO HOLD OPEN
- S. THREE FORTY. SENATOR WENT
WHEN I. GROWTH. SB THREE QUARTER
THREE FOUR. YES ROVE I THINK YOU
THE. ROTH I. ROTH I AT THE
MOMENT HI. THAT WAS ALL RIGHT
THAT IS OUT.
IT MEASURES ON CONSENT SECRETARY
PLEASE CALL THE ROLL. SENATOR
LAMONT. LIMON I. IT'S ZERO THAT
STORMS ARE THAT IS OUT- B.
FIFTEEN SKINNER. SECRETARY
BECAUSE THE ROLL. SENATORS WHEN
. THE SHIP. HER TALK. LIMON I
LIMÓN HI. RIGHT. TEN TEN ONE. NO
WILL NOT. I'M SORRY NINE ZERO
WILL HOLD OPEN A FEW MINUTES
OKAY BEST TWO FIVE SEVEN PORTENT
SECRETARY CALL THE ROLL. THE.
SENATOR LAMONT NICE THE MON I.
TWELVE ZERO TWELVE THAT BILLS
OUT S. B. THREE OH TWO STIR.
SENATOR HER TADO. LIMÓN I LOVE I
FULL AND ELEVEN HOLD OPEN JUST
ONE MORE MINUTE. AS FIVES BAKER
. SENATORS TADO. LIMON HIGH
LEVEL HI. SEVEN ZERO EIGHT TO
ZERO AN SPF THREE EIGHT MONTH.
SENATOR LAMONT RIGHT THE MON I
HEARD. ELEVEN ELEVEN ZERO WILL
THAT ROOM OPEN A FEW MORE
MINUTES. SENATE UNLESS SEE THE
CONSENT CAL. SENATOR LAMONT.
LIMON HI. TOPS TWELVE ZERO
FABULOUS OUT. TWEET IS ROOM. WE
A.
LAWMAKER WE'RE GONNA LIFT THE
CALL ON THE ADOPTION OF
COMMITTEE RULES SENATOR THE
MONTH HI LIMÓN WILL CLOSE OUT
OUT. EIGHT ZERO. OKAY. SURE.
THIS. OKAY YEAH. THANK YOU. THIS
IS. OF SHE WOULD HAVE. SOMETHING
ALL RIGHT.
OKAY WELCOME SENATORS THANK YOU
FOR MAKING A BACK- WILL IT WORK
WHAT WE NEED FROM HER TITLE ON I
NEED SENATOR TODD ON AS FIFTY
NINE B. FIFTEEN CENTER SKINNER.
SENATOR D'AMATO HI HER TADO THIS
TWO FIFTY SEVEN PORTENT. THE IN
OUT. CAPITALISM ATTEND. FIFTY
TWO FIFTY SEVEN SENATOR HER TADO
HI RETORNO AYE. TWELVE TWELVE
ZERO TWELVE ZERO THE BILLS OUT
SB THREE OH TWO STERN. SENATOR
HER TADO AYE FURTADO AYE. TWELVE
ZERO TWELVE ZERO THE BILL IS OUT
SB FIVE SEVENTY BAKER. SENATOR
HER TADO I HER TADO I WELCOME SB
THREE FORTY EGGMAN. IF YOU LOOK
AT OKAY SB FORTY THREE EGGMAN.
CONSIDER HER TADO FOR TODD- I.
TWENTY TWELVE ZERO THAT BILL IS
OUT. AND THAT CONCLUDES OUR
COMMITTEE HEARING FOR TODAY THIS
HEARING IS CLOSED.