AND I WANT TO SAY GOOD
AFTERNOON AND WELCOME- TO MY
COLLEAGUES WHO ARE DO AND
SOMETIMES DOUBLE AND TRIPLE DUTY
AND SO WE APPRECIATE. THE FACT
THAT YOU GOT HERE SO QUICKLY I
KNOW YOU JUST CAME FROM
COMMITTEE WE LET PEOPLE KNOW AND
WE HAVE ONE MORE COLLEAGUE WHO'S
ALSO MAKING HER WAY HERE FROM
THAT COMMITTEE SO A FEW THINGS I
WANT TO SHARE ON WE WILL
CONTINUE TO WELCOME THE PUBLIC-
IN PERSON AND ALSO VIA THE
TELECONFERENCE ORVIS WE'RE
HOLDING OUR COMMITTEE HEARING IN
THE- STREET BUILDING IN ROOM
TWENTY TWO HUNDRED FOR
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT VIA THE
TELECONFERENCE ORVIS. THE
PARTICIPANT TOLL FREE NUMBER AND
ACCESS CODE IS POSTED ON OUR
COMMITTEE WEBSITE AND IT WILL BE
DISPLAYED ON THE SCREEN- AS IT
IS RIGHT NOW. TODAY'S
PARTICIPANT NUMBER IS.
877-226-8163 AND THE ACCESS CODE
IS SIX NINE FOUR EIGHT NINE
THREE ZERO. AND ON BEHALF OF OUR
COURT REPORTER I KNOW I WANT TO
ASK ALL SPEAKERS. AT MY
COLLEAGUES AND WITNESSES A LIKE
TO SPEAK SLOWLY AND CLEARLY
OTHERWISE YOU WILL SEE HER-
TELLING YOU TO SLOW DOWN OR I
WILL ASK YOU TO SLOW DOWN-
BEFORE WE BEGIN OUR AGENDA- I
WANT TO. THANK SENATOR ROTH FOR
JOINING US TODAY IN FILLING IN
FOR SENATOR LAYERED- WHO
COULDN'T BE HERE HE IS A VETERAN
OF THE RULES COMMITTEE SO- WE
ARE THRILLED TO HAVE HIM HERE
WITH US TODAY WITH OUR
APPRECIATION- WE NEED TO
ESTABLISH A QUORUM. SO A
REMINDER COLLEAGUES ONLY TO TURN
YOUR MICROPHONE ON FOR THE ROLL
CALL AND EVERY TIME THAT WE VOTE
AND WITH THAT MAN SECRETARY WILL
YOU PLEASE CALL THE ROLL. A TRIO
OF BOTH. I BUT TROUBLED. ROTH
HERE ROTH HERE SMALLWOOD CUEVAS
GROWTH HERE GROWTH HERE ATKINS
HERE I CONSIDER FROM A QUORUM IS
PRESENT IN A- COLLEAGUE I THINK
THAT'S BECAUSE YOU'VE BEEN
VOTING IN COMMITTEE SO YOU'RE
GEARED AND READY TO GO- I THINK
BEFORE. WE GET INTO ITEM NUMBER
ONE THE GOVERNOR'S APPOINTEES
WHO HAVE BEEN WAITING PATIENTLY.
TO BE CALLED FORWARD WE'RE GOING
TO DISPENSE WITH A NUMBER OF
ITEMS- ON THE AGENDA AND THAT
WOULD BE ITEM NUMBER TWO WHICH
IS GOVERNOR'S APPOINTEES NOT
REQUIRED TO APPEAR AND WE'RE
GOING TO SEPARATE OUT A VOTE ON
THIS ONE. I WOULD ENTERTAIN A
MOTION FOR ITEM TO. E. G. N. S.
AND THAT WOULD BE TO MEMBERS I'M
SORRY. EACH YEAR. HELLO I'M
SORRY E. G. I NEED TO LEARN THE
ALPHABET E. G. N. H. AND THAT
WOULD BE APPOINTEES TO
APPOINTEES TO THE BOARD OF
BEHAVIORAL SCIENCES NO YES. AND
ONE TO THE MEMBER OF OFF HIGHWAY
MOTOR VEHICLE RECREATION THAT
WOULD BE TOO E. G. AND H. THANK
YOU MADAM VICE CHAIR- AND I WILL
JUST REPEAT WE ARE. TAKEN ITEM
TO. R. E. G. N. H. THOSE ARE
MEMBERS OF A TWO DIFFERENT
BOARDS WE SEPARATED OUT F. SO
THE MOTION IS TO E. G. AND H.
MADAM SECRETARY WILL YOU CALL
THE ROLL. OKAY BOTH. THE TROUBLE
GUY ROTH IRA ROTH IRA SMALLWOOD
CUEVAS. CRITICIZED GROWTH HI
ROVER I AT NINE ATKINS I. FIVE
TWO ZERO I WOULD ENTERTAIN A
MOTION ON ITEM TWO S. ALSO THANK
YOU. SENATOR ROTH MOVES AND THAT
IS- THE LAST MEMBER OF THE BOARD
OF BEHAVIORAL SCIENCES MADAM
SECRETARY WILL YOU PLEASE CALL
THE ROLL WE SEPARATED A COUPLE
OUT AT THE REQUEST OF A MEMBER.
COM CALL THE ROLL PLEASE BURKE
CHAU BOOK. JO'BURG NOT VOTING
ROTH AYE ROTH AYE SMALLWOOD
CUEVAS. I SMOKE CRITICIZED
GROWTH NO GROWTH NO ATKINS AYE
ATKINS AYE THREE TWO ONE THREE
ONE- THAT IS OUT I WOULD
ENTERTAIN A MOTION ON ITEM THREE
REFERENCE OF BILLS TO COMMITTEES
. IF OKAY THANK YOU MADAM VICE
CHAIR CALL THE ROLL. FOR
TROUBLED. FOR BY RAW ALL RIGHT
ROTH I CUEVAS ALL PUBLICLY THIS
GROWTH. GROWTH I AT AYE A
CONCISE FIVE TO FIVE TWO THANK
YOU COLLEAGUES NEXT WE HAVE A
NUMBER OF FLOOR ACKNOWLEDGMENTS
I IN THAT WOULD BE ITEMS FOUR
THROUGH EIGHT SO MOVED THANK YOU
MADAM VICE CHAIR. MAN SECRETARY
CALL THE ROLL FOR TROUBLED. BY
THE TROUBLED BY ROTH IRA ROTH
IRA SMALLWOOD CUEVAS I RIVERSIDE
GROWTH. RIGHT GROVE I ATKINS I
ARKANSAS FIVE TO ZERO FIVE ZERO
THANK YOU CALLING SO NOW WE WILL
TURN TO GOVERNOR APPOINT WERE TO
APPEAR. AND THIS IS ITEMS ONE A
THREE D. AND THESE ARE
APPOINTMENTS OF MEMBERS TO THE
MEDICAL BOARD OF CALIFORNIA LET
ME IT WHAT AT WELCOME UP AND YOU
CAN START TO. COME UP AGAIN WITH
MY APPRECIATION FOR YOUR
PATIENCE I WANT TO ANA.
ACKNOWLEDGE DR MICHELLE BALAT I
NICOLE JOHN CRISTINA LAWSON I
AND VEILING SITE DR EXCUSE ME
SORRY AND WELCOME EVERYONE AND
WHAT WE WILL DO IS TAKE UP
INTRODUCTIONS IN THE ORDER. THAT
I JUST STATED STARTING WITH-
DOCTOR BELIE AND AFTER EACH OF
YOU AS WE GO DOWN THE LINE HAS
MADE YOUR INTRODUCTIONS YOUR
OPENING COMMENTS A KNOWLEDGE
ANYONE YOU WOULD LIKE TO IN YOUR
OPENING COMMENTS. AND AFTER EACH
OF YOU HAD THE CHANCE TO DO THAT
WE WILL THEN GO TO MEMBERS OF
THE COMMITTEE FOR ALL QUESTIONS
AND COMMENTS. AND- HE WHO OUR
COLLEAGUES WHEN WE DO-
INDIVIDUALS TO GET ARMY
APPOINTMENTS MULTIPLE POINT
MINUTES TOGETHER OUR COLLEAGUES
WILL EITHER ASK DIRECTLY FOR ONE
PERSON TO ANSWER THE QUESTION IF
THEY WANT EACH OF YOU TO AND
WE'LL JUST GO IN ROTATING ORDER
AND LET PEOPLE ANSWER THE
QUESTIONS. AND MY COLLEAGUES WE
OCCASIONALLY FORGET THAT SO WE
WILL REMIND EACH OTHER AS WE
OFTEN DO- AND I WILL- BEFORE I
TURN IT OVER I TO DR- I WILL
HAVE TO LEAVE AND COME BACK- SO.
AS ALWAYS THE VICE CHAIR WILL
THEN- PICK UP AND CONTINUE ON
WITH THE MEETING SO THERE'S NO
INTERRUPTION WE ALSO I THINK
HAVE HEALTH COMMITTEE GOING ON
SO IF YOU SEE PEOPLE COMING AND
GOING. IT DOESN'T MEAN THAT WE
ARE IN A TEN OF IT MEANS WE'RE
DOING MULTIPLE THINGS BUT I
GUARANTEE YOU STAFF AND MEMBERS
HAVE READ EVERYTHING AND WILL
HAVE QUESTIONS. AND COMMENTS AND
WITH THAT LET ME AGAIN WELCOME
YOU INSIDE DR OF THE LOT PLEASE
START OF SOFT. I THINK IT'S ON
OKAY WELL GOOD GOOD AFTERNOON
AND THANK YOU SENATORS- IT IS A
PRIVILEGE AND AN HONOR TO BE
BEFORE YOU TODAY FOR
CONSIDERATION FOR THE
APPOINTMENT TO THE MEDICAL BOARD
OF CALIFORNIA. MANY YEARS AGO.
IT WAS MY DREAM TO BECOME A
DOCTOR AND SERVE IN THE HOSPITAL
WHERE MY TEN YEAR OLD. GREAT
AUNT DIED FROM COMPLICATIONS OF
SCARLET FEVER. EACH TIME I HEARD
THE STORY I WOULD ASK MY WILL
LEAD THE MORE PROBING QUESTIONS
TO CONTEMPLATE WHY SOME
RECOVERED. AND DISINFECTION AND
OTHERS DIDN'T. IN MY YOUTH I DID
NOT SEE DIFFERENCES ARE
UNDERSTAND THE PROFOUND
BARRIERS. THAT LAY AHEAD OF ME
AS A GIRL OF COLOR A TEEN MOM
WITH THE G. E. D. IN A DREAM. I
BELIEVE THAT IF I HAD THE GIFT.
IN THE GRET THAN ANYTHING WAS
POSSIBLE. FORTUNATELY I MET MR
STAND JERMAINE A MAN OF COLOR
AND MY JUNIOR COLLEGE. COUNSELOR
BECAUSE OF HIS MENTORSHIP. I WAS
UNDETERRED. HE INSPIRED ME TO
BECOME A MENTOR AND I'VE TRAINED
HUNDREDS OF AMAZING DOCTORS AND
NURSES AND DIFFERENT PEOPLE OF
MANY. HEALTH PROFESSIONS AND
DEVELOP PROGRAMS TO DIVERSIFY
THE PHYSICIAN WORKFORCE IN THE
STATE. SINCE THE AGE OF
SEVENTEEN I'VE NEVER TIRED FROM
THE DEMANDS OF BEING A STUDENT.
BE THAT A MEDICAL ASSISTANT
DIPLOMA NURSING MEDICAL SCHOOL
OF POSTGRADUATE. AS A MEMBER OF
THE FACULTY OF UCLA. I AM
COMMITTED TO LIFELONG LEARNING
AND EDUCATING OUR NEXT
GENERATION OF HEALTHCARE
PROFESSIONALS. I AM EXTREMELY
PROUD. TO BE HERE TODAY AND
AGAIN FOR MY COMMITMENT TO THE
MEDICAL BOARD OF CALIFORNIA'S
MISSION OF PROTECTING
CALIFORNIA'S HEALTH CARE
CONSUMERS AND I THANK YOU VERY
MUCH FOR THIS OPPORTUNITY. THANK
YOU. I'M SO SORRY THE JUNGLE
REDHEAD. THANK YOU SO MUCH GOOD
AFTERNOON SENATORS IT'S A
PLEASURE TO BE HERE BEFORE YOU
ALL TODAY. MY NAME IS NICOLE
JOHN I'M FROM SOUTH PASADENA
CALIFORNIA. I AM A MOTHER TO AN
ALMOST TWO YEAR OLD TODDLER AND
I WORK AS A LEGAL SERVICES
ATTORNEY IN LOS ANGELES COUNTY.
I AM CURRENTLY THE SOUTHERN
CALIFORNIA REGIONAL DIRECTOR FOR
OF ADVOCACY FOR WRITTEN REBOUND.
WRITTEN REBOUNDS MISSION IS TO
SUPPORT PEOPLE WITH CRIMINAL
RECORDS TO OVERCOME THE MANY
LEGAL AND SOCIAL BARRIERS THAT
THEY OFTEN FACE AFTER THE
OFFICIAL END OF THEIR SENTENCE
AND RELEASE FROM INCARCERATION.
IN THIS ROLE I OVERSEE OUR
DIRECT SERVICES IN SOUTHERN
CALIFORNIA AND OUR PARTNERSHIPS
WITH COMMUNITY BASED
ORGANIZATIONS INCLUDING THE ANTI
RECIDIVISM COALITION WHICH I'VE
BEEN EMBEDDED OUT FOR THE LAST
FIVE YEARS. THROUGH DIRECT
SERVICES PUBLIC EDUCATION AND
POLICY ADVOCACY WE WORK TO HELP
PEOPLE WITH RECORDS TO HAVE THE
OPPORTUNITY TO BUILD FINANCIAL
AND SOCIAL STABILITY SO THEY CAN
BUILD BETTER LIVES FOR
THEMSELVES AND THEIR FAMILIES.
INTERRUPTING THE CYCLE OF
POVERTY AND INCARCERATION THAT
RUNS THROUGH COMMUNITIES WITH
THE GOAL OF MAKING OUR
COMMUNITIES SAFER AS A WHOLE. I
WANT TO SERVE ON THE MEDICAL
BOARD BECAUSE I'M COMMITTED TO
BEING OF SERVICE TO THE
COMMUNITY. LOOKING TO HOW I CAN
CONTINUE TO CONTRIBUTE TO MORE
OBJECT MORE JUST EQUITABLE AND
SAFE SOCIETY EVEN OUTSIDE OF MY
DAY TO DAY JOB. QUALITY CARE
FROM PHYSICIANS IS OF THE UTMOST
IMPORTANCE AND A PRIORITY FOR
ALL PEOPLE IN OUR SOCIETY. I
KNOW THAT I AM APPRECIATIVE OF
THE MEDICAL PROFESSION EVERY
DAY. AND I ALSO KNOW THAT THERE
ARE PEOPLE WHO HAVE SUFFERED
HARMS WHILE RECEIVING MEDICAL
CARE AND THAT ACCESS TO QUALITY
MEDICAL CARE CAN SOMETIMES
DEPEND ON YOUR INCOME. LOCATION
RACE GENDER IDENTITY DISABILITY
STATUS IMMIGRATION STATUS EXACT
AREA. I WANT TO BE ABLE TO WORK
WITH MY COLLEAGUES ON THE
MEDICAL BOARD TO ENSURE PUBLIC
PROTECTION FOR ALL PATIENTS
THANK YOU AGAIN FOR HAVING ME
HERE TODAY I'M HAPPY TO ANSWER
ANY QUESTIONS THAT YOU ALL MIGHT
HAVE. THANK YOU SO MUCH MISS
LAWSON. THANK YOU GOOD AFTERNOON
CHAIR ATKINS AND MEMBERS OF THE
RULES COMMITTEE. IT'S AN HONOR
AND PRIVILEGE TO BE WITH YOU ALL
TODAY AND I APPRECIATE THE
OPPORTUNITY TO FORMALLY
INTRODUCE MYSELF IN CONNECTION
WITH MY REAPPOINTMENT TO THE
MEDICAL BOARD OF CALIFORNIA. MY
NAME IS CHRISTINA LAWSON AND
EXCEPT FOR A BRIEF STINT AWAY
FOR COLLEGE I'M A LIFELONG
CALIFORNIAN. I WAS BORN AND
RAISED IN SOUTHERN CALIFORNIA
AND FOR THE PAST TWO DECADES
HAVE LIVED IN THE SAN FRANCISCO
BAY AREA. MY HUSBAND MATT AND I
ARE RAISING OUR THREE CHILDREN
AND WALNUT CREEK WHERE WE ARE
ALL DEEPLY INVOLVED IN OUR LOCAL
COMMUNITY. I PREVIOUSLY SERVED
ON THE WALNUT CREEK CITY COUNCIL
AND AS THE CITY'S MAYOR.
PROFESSIONALLY I AM THE MANAGING
PARTNER AND CHIEF EXECUTIVE OF
HANSON BRIDGET A CALIFORNIA LAW
FIRM THAT EMPLOYS. ALMOST FOUR
HUNDRED LAWYERS AND
PROFESSIONALS IN SIX OFFICES
THROUGHOUT THE STATE. WHILE I'M
NO LONGER PRACTICING LAW FULL
TIME BECAUSE OF MY EXECUTIVE
RESPONSIBILITIES I AM A LAND USE
AND ENVIRONMENTAL ATTORNEY WITH
AN EXPERTISE IN COMPLEX
ENTITLEMENT PROCESSING. AND THE
CALIFORNIA ENVIRONMENTAL QUALITY
ACT COMPLIANCE SEAQUEST I'M SURE
YOU ALL KNOW QUITE WELL. I'VE
SERVED ON THE MEDICAL BOARD OF
CALIFORNIA SINCE TWENTY FIFTEEN
AND I'VE SERVED AS THE BOARD'S
PRESIDENT SINCE TWENTY TWENTY.
SERVING ON THE MEDICAL BOARD OF
CALIFORNIA IS A LABOR OF LOVE
FOR ME. MY DAD WAS A CALIFORNIA
LICENSED PHYSICIAN. AND HE LOVES
PRACTICING INTERNAL MEDICINE AND
GERIATRICS. AFTER HIS SUDDEN
DEATH IN TWENTY FIFTEEN I WAS
HONORED TO BE APPOINTED TO THE
MEDICAL BOARD. AND IT'S BEEN A
PRIVILEGE TO SERVE IN THIS
IMPORTANT ROLE FOR THE PAST
SEVEN YEARS. I TAKE MY
RESPONSIBILITY TO SERVE AND
PROTECT CALIFORNIA'S HEALTH CARE
CONSUMERS EXTREMELY SERIOUSLY
AND I'M VERY PROUD OF THE WORK.
WE'VE ACCOMPLISHED ADVANCEMENT
OF THE BOARD'S MISSION. IN MY
FINAL TERM ON THE MEDICAL WORDS
I HOPE TO BUILD ON THIS GOOD
WORK ESPECIALLY DURING THE
SUNSET REVIEW YOUR FOR THE
BOARD. IN PARTNERSHIP WITH THE
LEGISLATURE I HOPE THAT WE CAN
ACHIEVE A SUSTAINABLE FISCAL
PATH FORWARD SO THAT THE BOARD
CAN MAINTAIN SOLVENCY. REPAY ITS
CURRENT AND ANTICIPATED LOANS
AND FULLY INVESTED ARE IMPORTANT
MISSION. I'M OPTIMISTIC THAT THE
TIME I HAVE INVESTED IN
STRENGTHENING RELATIONSHIPS WITH
KEY STAKEHOLDERS WILL CEMENT A
FOUNDATION OF TRUST THAT IS
NEEDED FOR THE BOARD TO DO ITS
IMPORTANT WORK. I'M PARTICULARLY
PROUD THIS YEAR OF OUR BOARDS
PROACTIVE APPROACH TO IMPROVING
ITS OPERATIONS AND PROCESS. AND
AS PART OF OUR SUNSET REVIEW
REPORT THE MEDICAL BOARD AS
RECOMMENDED PROPOSALS TO ENSURE
THAT WE HAVE ADEQUATE FINANCIAL
RESOURCES ROBUST ENFORCEMENT
TOOLS AND APPROPRIATE STANDARDS.
WE HAVE A LOT MORE WORK TO DO.
AND THERE ARE MANY CIRCUMSTANCES
WHERE I WISH THE BOARD WOULD
HAVE HAD THE TOOLS TO BE MORE
PROACTIVE TO PREVENT HARM BEFORE
IT OCCURRED. I AM DEEPLY
APPRECIATIVE OF THE
LEGISLATURE'S PARTNERSHIP AS WE
SEEK TO MAKE MEANINGFUL POSITIVE
CHANGES THAT WILL ENHANCE
CONSUMER PROTECTION AND
HOPEFULLY LEAD TO REDUCE PATIENT
HARM. I AM GRATEFUL FOR THE
OPPORTUNITY TO CONTINUE TO LEAVE
LEAVE THE MEDICAL BOARD AND TO
DO MY PART TO HELP PROTECT
CALIFORNIA CONSUMERS BY
ADVANCING HIGH QUALITY. SAFE
MEDICAL CARE I SINCERELY
APPRECIATE YOUR TIME TODAY AND
LOOK FORWARD TO ANSWERING ANY
QUESTIONS YOU MAY HAVE. THANK
YOU. DOCTOR SIGH. GOOD AFTERNOON
. HONORABLE MEMBERS OF THE
SENATE MY NAME IS FEELING
SIDEMEN. PRIVATE PRACTICE
OTOLARYNGOLOGY IS TO NOW HAMBRE
CALIFORNIA I'M ALSO AN ATTENDING
PHYSICIAN AT UCLA ALL OF YOU
MEDICAL CENTER IN SEOUL MARC
CALIFORNIA. R. AS A FIRST
GENERATION IMMIGRANT I GREW UP
IN THE BAY AREA. LITTLE VILLAGE
CALLED SAN LORENZO AND EVER
SINCE- I WAS IN SCHOOL I'VE BEEN
INVOLVED WITH PUBLIC SERVICE
IT'S BEEN SORT OF A PASSION OF
MINE. IN HIGH SCHOOL I WAS- A
PAGE TO CONGRESSMAN PETE STARK
WHILE WORKING ON HIS US. STARK
HIGH ANTI KICKBACK STATUTES
WHILE IN COLLEGE AT UCLA I
INTERNED WITH SENATOR DIANNE
FEINSTEIN. DURING THE- PRESIDENT
CLINTON HEALTH CARE REFORM
PERIOD- DURING GRADUATE SCHOOL I
WORKED AT THE FTA HA SERVING AS
AN EXTRA IN DEALING WITH THE
HEALTH CARE. SORRY
PHARMACEUTICAL REGULATIONS. AND
SO THROUGHOUT MY- A FORMAL
EDUCATION I'VE BEEN. INVOLVED
WITH HEALTH CARE AND OBVIOUSLY
BEING AS A PHYSICIAN I DEAL WITH
HEALTH CARE ON A DAILY BASIS. I
IN HEALTHCARE AS A PHYSICIAN I
HELP. ONE PATIENT AT A TIME AND
I THINK SERVING UP ON THE
MEDICAL BOARD WOULD ALLOW ME TO
HELP THE ENTIRE CALIFORNIANS AS
A POPULATION TO IMPROVE
POPULATION HEALTH POPULATION-
QUALITY AND SO THIS IS AN HONOR
AND PRIVILEGE TO BE HERE WITH
BEFORE YOU. AND LASTLY I'D JUST
LIKE TO ACKNOWLEDGE THAT MY
PARENTS. GEORGE AND REGINA WHO'S
WATCHING OVER. THE INTERNET AND
MY FAMILY MY WIFE ANGELA THANK
YOU FOR THEIR SUPPORT TO ALLOW
ME TO DO ALL THE THINGS THAT I'M
A PASSION ABOUT THANK YOU. THANK
YOU VERY MUCH FOR HEAR
INTERJECTIONS WILL BRING IT BACK
TO THE DIOCESAN SURF IT'S OKAY
IF YOU ALL START OVER HER WITH
THAT SENATOR SMALLWOOD CUEVAS.
THANK YOU MADAM CHAIR AND THANK
YOU ALL FOR BEING. WITH US
TODAY- I'VE HAD THE OPPORTUNITY
TO MEET WITH MISS LAWSON ON A
COUPLE OF OCCASIONS- AND LAST
BEING PART OF A BMP AND LOOKING
AT THE SUNSET. REVIEW PROCESS
AND- I HAVE TO SAY YOU WILL HAVE
YOUR HANDS FULL- WITH THIS BOARD
AND YOU KNOW. SOMETIMES WHEN WE
HAVE A SHIP THAT HAS A LOT OF
HOLES IN IT FOLKS HAVE TO BE
READY TO BAIL WATER. IN REALLY
ROLL UP SLEEVES IN AND GET
INVOLVED IN SO I'M REALLY
CURIOUS ABOUT. AMERICA TALK WITH
MISS MISS LAWSON AND THE NUMBER
SPACES BUT FOR- THE OTHER
NOMINEES TO REALLY HEAR WHY YOU
WERE STEPPING IN INTERESTED IN
STEPPING INTO THIS ROLE AT THIS
PARTICULAR. MOMENT OF CRISIS-
WHERE THE BOARD ENGAGEMENT- IT'S
REALLY NECESSARY TO BE AT AN ALL
TIME HIGH WHY HAVE YOU DECIDED
TO STEP INTO THIS ROLE. AND I
WANT TO START WITH MISS YOUNG-
IF THAT'S OKAY AND IN IN MY
PRONOUNCING YOUR NAME CORRECTLY
AS WELL. YES JOHN JOHN YEAH I
WANT TO THANK YOU. FOR
CORRECTING ME I WANT TO START
WITH MR YOUNG I'M VERY VERY-
FAMILIAR WITH YOUR ORGANIZATION
IN THE GROUPS THAT THAT YOU ALL
US- WORK WITH LIKE THE ANTI
RECIDIVISM COALITION IN
ADDRESSING THE RE ENTRY- NEED-
FOR THE STATE OF CALIFORNIA AND
HAD THE HONOR TO WORK DIRECTLY
WITH WITH MANY OF YOUR MEMBERS
AND MY- AND MY OTHER. ROLE AS-
AND FOUNDER OF THE L. A. BLACK
WORKER CENTER. AND I'M A- YOU'RE
NOT A PHYSICIAN IN YOUR COMING
AT THIS WERE VERY DIFFERENT KIND
OF COMMUNITY HEALTH PERSPECTIVE
WHICH YOU WHICH YOU SHARED. SO
I'M I'M CURIOUS TO KNOW- WHAT.
HOW DO YOU SEE YOUR LIVED
EXPERIENCE ADDING TO REAL CHANGE
FOR THIS BOARD- AND THEN MAYBE.
I'M FROM IS- A LOT AND MR SIDE.
I'M JUST TALKING A LITTLE WHY
YOU WILL HAVE DECIDED TO STEP IN
AT THIS MOMENT. THANK YOU. SO I
THINK THEIR NOSE IN MY WORK WITH
FOLKS WHO HAVE RECENTLY BEEN
RELEASED FROM INCARCERATION ONE
THING THAT HAS COME TO LIGHT IN
MY CONVERSATIONS WITH PEOPLE-
HAS BEEN THE LACK OF QUALITY
MEDICAL CARE THAT PEOPLE
RECEIVED WHILE INCARCERATED. AND
SO WHEN I WAS APPROACHED ABOUT-
POTENTIALLY JOINING THE MEDICAL
BOARD THAT'S SOMETHING THAT I
HAD IN MIND I. THOUGHT ABOUT
THIS GROUP OF PEOPLE WHO I WORK
WITH ON A DAILY BASIS WHO HAVE
OFTEN FELT POWERLESS- IN THEIR
ABILITIES TO VOICE DISCOMFORT IN
THEIR ABILITIES TO VOICE- THAT
THEY DIDN'T FEEL LIKE THEY WERE
RECEIVING QUALITY MEDICAL CARE.
AND SO MY HOPE IN YOU KNOW OF
COURSE I AM VERY VERY NEW TO THE
MEDICAL BOARD SO REALLY JUST
TRYING TO WRAP MY ARMS AROUND.
WHAT ALREADY EXISTS AND YOU KNOW
COMMAND- PRESIDENT LAWSON AND
THE REST OF OUR COLLEAGUES WHO
HAVE BEEN ON THIS BOARD FOR A
LONG TIME FOR ALL OF THE AMAZING
WORK THAT THEY HAVE DONE OVER
THE PAST SEVERAL YEARS BUT MY
HOPE IS THAT. YOU KNOW AS I
BECOME MORE COMFORTABLE IN MY
ROLE AS A MEDICAL BOARD MEMBER
THAT IF THESE ARE CONVERSATIONS
THAT I CAN- INITIATE AND- YOU
KNOW JUST BE KIND OF A
SPOKESPERSON- FOR. A SET OF
PEOPLE WHO EVEN IN A SPACE WHERE
THERE ARE A LOT OF PEOPLE WHO-
ARE HAVING TROUBLE WITH. LACK OF
TRANSPARENCY AND- LACK OF
COMMUNICATION I THINK ARE EVEN
MORE MARGINALIZED THAN YOUR
TYPICAL PATIENT AND SO I THINK
THAT IS KIND OF WHAT BRINGS ME
TO WANTING TO BE ABLE TO SERVE
ON THIS MEDICAL BOARD AND YOU
KNOW ESPECIALLY. GET IN THIS
TIME WHEN WE'RE DOING A LOT OF-
SULFUR LECTION AND WORK ON
OURSELVES AS A BOARD. THANK YOU
VERY MUCH FOR THE QUESTION. AND
IT'S AN IMPORTANT ONE WHEN I.
REFLECT ON BEING ASKED TO. OF
RETURN TO THE BOARD- BIOS AT A
GROUP THAT SAID YOU KNOW I THINK
IT WOULD BE A GOOD TIME FOR YOU
TO BE CONSIDER I'D BEEN ON THE
BOARD. FOR YEARS HAD BEEN
APPOINTED BY. A GOVERNOR BROWN
AND THEN WAS OFF FOR JUST A
LITTLE BIT AND WHEN I GOT THE
CALL. I WAS REALLY THRILLED TO
RE ENGAGE. BUILDING PUBLIC TRUST
IN OUR INSTITUTIONS IS VERY
IMPORTANT TO ME. AND I MY
BACKGROUND I'VE BEEN A PUBLIC
HEALTH COMMISSIONER FOR LOS
ANGELES COUNTY FOR A COUPLE
MILLION PEOPLE INTO POPULATION
HEALTH AND CARING FOR PEOPLE. OF
WAS IS VERY IMPORTANT TO ME AND
THE LIVED EXPERIENCE THAT YOU
SPEAK ABOUT I THINK THAT. ALSO
IS IMPORTANT WITH THE DIVERSITY
OF THE OF THE WORK FORCE JUST
NOT PHYSICIANS BUT THE NURSES
THE PA'S AND SOMEONE. AND SO I
THINK THAT AT THIS TIME WITH THE
CHALLENGES THAT WE'RE FACING-
I'M UP TO THE TASK I WANNA WHERE
ALL OF THE- THE DIFFERENT HATS
THAT I'VE WORN TO BRING TO THE
BOARD. MY LEVEL OF EXPERTISE IN
THE AREA WHICH I'M A FAMILY
PHYSICIAN I'M VERY INTERESTED
AND ALSO THE ISSUE OF ADDICTION
AND STARTED IN ADDICTION
MEDICINE PROGRAM. BECAUSE LONG
BEFORE WE HAD ADDICTION MEDICINE
WE ALWAYS HAD PEOPLE THAT WERE
INVOLVED IN BOTH POPULATIONS AND
WHEN THEY WERE INCARCERATED THEY
COULDN'T GET CARE AND THEY WERE.
REALLY IN VERY CHALLENGING TIMES
SO. I'M LOOKING FORWARD AND I
WANT TO JUST MENTION THAT IT IS
EXTREMELY GRATIFYING TO ME TO
HAVE AN EXCELLENT PRESIDENT OF
OUR MEDICAL BOARD MISS LAWSON
WHO I ALWAYS ADMIRED. AND SHE'S
BEEN A GREAT AND EFFECTIVE
LEADER AND I JUST HOPE TO BE
ABLE TO LEARN AND TO CONTINUE ON
AND MAKING CHANGE. THAT'S REALLY
IMPORTANT TO ME. OKAY THANK YOU
FOR THE QUESTION I THINK IN IN
MY ROLE AS A PHYSICIAN ON A
DAILY BASIS- I BRIEFLY. MY WHOLE
GOAL IS TO HELP PEOPLE AND I
THINK WITH THIS OPPORTUNITY
BEING PRESENTED AS ITSELF AS
BEING CHINESE A I THINK OF MOST
OF YOU HAVE HEARD THE ADAGE
THAT. THE CHARACTER FOR CRISIS
IN CHINESE IS ALSO THE SAME
CHARACTER FOR OPPORTUNITY. I
THINK IN LOOKING AT THIS
OPPORTUNITY THAT CONFRONTS ME.
ALL BEING ON THE MEDICAL BOARD
OF CALIFORNIA WOULD ALLOW ME THE
OPPORTUNITY AFFECTS WEIGHT SOME
POSITIVE CHANGES ALONG THE WAY.
NOW WITH MY EXPERIENCE ON A
DAILY BASIS I HOPE THAT WITH MY
KNOWLEDGE AND EXPERTISE I CAN
PROVIDE SOME SORT OF. VIEW FOR
THE ENTIRE BOARD- SO THAT.
HEALTH CARE CAN BE IMPROVED I
THINK THAT'S WHY WE IN MEDICINE
AND HELP PEOPLE THE MEDICAL
BOARD OF CALIFORNIA IS TO
PROTECT THE CONSUMERS OF
CALIFORNIA. BUT BULLET DOWN TO
ITS THE HELP THE CALIFORNIANS
WHO SEEK MEDICAL CARE AND SO I
THINK IT'S VERY VERY IMPORTANT
THAT WE PROVIDE THE SAME QUALITY
OF CARE ACCESS TO CARE WHETHER
YOU'RE AN LA OR BAKERSFIELD OR
FRESNO. AND THAT APPLIES TO ALL
SORT OF CALIFORNIANS AND I THINK
THAT BEING ON THE BOARD IS WHAT
MOTIVATES ME TO HELP YOU KNOW
NOT ONLY THE PATIENTS I SEE ON A
DAILY BASIS BUT TO MOTIVATE TO
HELP CALIFORNIANS OF ALL OF
CALIFORNIA. NO I APPRECIATE THE
CHARACTER- OF CRISIS AND- AN
OPPORTUNITY IN ONE AND CERTAINLY
WITH. SORT OF THE FINANCIAL
INSOLVENCY ISSUE- THE SORT OF
CHALLENGES AROUND
DISPROPORTIONATE DISCIPLINE-
THIS QUESTION AROUND
TRANSPARENCY AND OPPORTUNITY
THERE ARE. SOME OVERLAPPING
DENSE CHALLENGES THAT ARE BEFORE
THE BOARD AND- YOU KNOW WITH
FOLKS RETURNING WITH FOLKS WHO
ARE NEW- WITH FOLKS WHO ARE
BRINGING THAT. THAT LEVEL OF
COMMITMENT TO SOLVING- THE
SOLUTIONS- SOLVING THE CRISIS IN
IN HELPING TO. MOVE THE BOARD
TOWARD SOLUTIONS I THINK IT IS
IMPORTANT IN THIS MOMENT. AND
THAT SORT OF BRINGS ME TO- A
NUMBER OF QUESTIONS AND I'VE
TALKED WITH- MS LAWSON ABOUT
THAT I APPRECIATE YOU GETTING
BACK TO ME ON. ON SOME OF THE
INFORMATION- JUST HAVING TO DO
WITH THIS QUESTION OF IMPLICIT
BIAS IN THE STATUS OF HOW THE
BOARD- IS ENSURING THAT THOSE
TRAININGS- ARE MOVING FORWARD
AND HAPPENING IN A WAY- THAT
HELPS US ADDRESS SOME OF THE
PUBLIC CONCERN TO THE CONSUMER.
I'M SORT OF ATTITUDES ABOUT THE
KINDS OF CARE THAT THEY'RE
GETTING AND- FOLKS- IN IN
COMMUNITIES PARTICULARLY LIKE
LIKE MINE FEELING THAT- IN IT IS
DISTURBING THE WAY THEY ARE NOT
GETTING THE ACCESS TO THE
QUALITY CARE- THAT THEY THAT
THEY DESERVE- IN TWO THOUSAND
NINETEEN OF THE WORLD HEALTH
ORGANIZATION. LOOK AT PEOPLE'S
EXPERIENCING EXPERIENCES DURING
PREGNANCY AND CHILDBIRTH AND
REALLY LIFTED UP THE DISTURBING
NUMBER OF PATIENTS OF COLOR WHO
REPORTED THAT HEALTH CARE
PROVIDERS IGNORE THEM REFUSED
THEIR REQUEST FOR HELP IN FAILED
TO RESPOND. TO THOSE REQUESTS
MOST RECENTLY IN SOUTHERN
CALIFORNIA MY REGION WE HAD A
BLACK WOMEN DIE IN CHILDBIRTH-
AND- CERTAINLY DOES HER CONCERNS
WERE NOT HEARD- TRAGICALLY WOULD
SHE LOST HER LIFE AND HER FAMILY
IS SEARCHING FOR REASONS. WHY MY
PREDECESSORS AND SENATOR COM
LONGER PUSH FOR IMPLICIT BIAS
TRAINING. TO HAPPEN BE REQUIRED
WITH PRACTITIONERS- AS PART OF
THEIR CONTINUING- EDUCATION BUT
I DID STILL I THINK I STILL WANT
TO UNDERSTAND THIS MAY BE A
QUESTION FOR MISS LAWSON AND-
MISS AB A LOT BECAUSE I- AND
KNOW THAT YOU ARE ALL- EGGS.
RETURNING IN IN EXISTING LEADERS
OF THE BOARD WHAT IS THE STATUS
OF THE MEDICAL BOARD IN HELPING
TO CREATE THOSE CONTINUING
EDUCATION STANDARDS FOR MEDICAL
PROFESSIONS AND- DOES ALL THE
BOARD MEMBERS THEMSELVES ALSO.
GO THROUGH THAT TRAINING AND
REQUIREMENTS AND- AND IS THAT
SOMETHING THAT IS GOING TO BE-
TRACKED AND MONITORED ESPECIALLY
AS WE'RE LOOKING AT THESE
DISPARITIES IN SEEING THE
IMPACTS OF THAT TRAINING ON
OUTCOMES. YEAH I THINK THANK YOU
SENATOR FOR THE QUESTION I'M
WITH RESPECT TO THE IMPLICIT
BIAS TRAINING ALL MEMBERS OF THE
MEDICAL BUT BOARD OF CALIFORNIA
DO GO THROUGH THAT TRAINING IT'S
NOT A SPECIFIC- TO THE MEDICAL
PROFESSION AS PERHAPS- I MEAN
YOU MIGHT BE SPEAKING TO- BUT WE
DO GO THROUGH IMPLICIT BIAS
TRAINING. IT'S A LENGTHY
TRAINING I RECENTLY COMPLETED IT
FOR THE I THINK SECOND OR THIRD
TIME- DURING MY TIME ON THE
BOARD AT SUCH AN INDIVIDUAL
REQUIREMENT- WE ALSO ON A
REGULAR BASIS- HAVE. YOU DON'T
NEED A TRAINING ON YOU KNOW
ISSUES OF CULTURAL COMPETENCY OR
THE WAY THAT YOU KNOW
DISPARITIES MAY BE REFLECTED AND
OUTCOMES- AT OUR BOARD MEETINGS
SO I THINK IT OUR AUGUST BOARD
MEETING- IT MIGHT HAVE BEEN
DECEMBER MIGHT BE MIS
REMEMBERING- YOU KNOW WE HAD A
PRESENTATION. BY PHYSICIAN FROM
UC DAVIS ON LGTBQ YOUTH PLUS
ISSUES- AND AGAIN DISPARITIES IN
HEALTH CARE I'M REALLY AS AN
EDUCATIONAL OPPORTUNITY FOR ALL
OF US. I'M I DID WANT TO
ACKNOWLEDGE THE CASE THAT YOU'RE
TALKING ABOUT- MISS VALENTINE'S
CASE. OF DOWN IN SOUTHERN
CALIFORNIA THAT OUTCOME WAS
TRAGIC IT SHOULD HAVE NEVER
OCCURRED AT THE BOARD. HAS
OPENED ITS OWN INVESTIGATION OF
COURSE DURING THE INVESTIGATION
PROCESS THE BOARD MEMBERS ARE
NOT INVOLVED IN THAT- IT'S YEAH
EITHER H. Q. ARE YOU OR- WITH
OUR COMPLAIN AT. BUT THE BOARD
HAS ON ITS OWN INITIATIVE-
INITIATED INVESTIGATION THERE.
FOR US TO WORK BETTER ACROSS
AGENCIES RIGHT WITH THAT SUPPORT
OF REGISTERED NURSING OR
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH AT TO MAKE SURE THAT THAT
AGAIN ALL OF THE STATE AGENCIES
THAT ARE TASKED WITH EVALUATING
WHAT WENT WRONG THERE AND HOW WE
CAN. DO BETTER- AND PREVENT
PATIENT HARM IN THE FUTURE. IT
REALLY SPEAKS TO NEEDING TO WORK
TOGETHER I ALSO WANTED TO- CALL
YOUR ATTENTION TO SOMETHING I
LEARNED ABOUT FRANKLY JUST
YESTERDAY- AND I WILL BE HAPPY
TO SHARE. MORE INFORMATION WITH
YOUR OFFICE AT WE BECAME AWARE
YESTERDAY OF A PROGRAM- THAT I
BELIEVE IS A COLLABORATION.
BETWEEN THE DEPARTMENT OF HEALTH
CARE ACCESS AND INFORMATION AND
THE CALIFORNIA COMMUNITY COLLEGE
FOUNDATION IT'S CALLED THE
CALIFORNIA MEDICAL SCHOLARS
PROGRAM. I AND SO IT'S THERE IS
IT A NEWS REPORT ABOUT IT- LIKE
I SAID JUST YESTERDAY OR THE DAY
BEFORE- BUT IT'S SEEKING TO
REALLY- YOU KNOW CAPTURE
STUDENTS AT A PRE MED LEVEL
CAPTURE- BLACK AND LATIN NEXT
STUDENTS AT CALIFORNIANS AT THAT
THAT PRE MED LEVEL. SO THAT WE
CAN GET THEM IN THE PIPELINE AND
EVENTUALLY HAVE THEM BECOME
DOCTORS HERE IN CALIFORNIA SO
THEY CAN SERVE THE COMMUTER TIME
OUT SO. THAT'S AN INTERESTING
PROGRAM THE MEDICAL IT'S NOT A
MEDICAL BOARD PROGRAM- BUT I'M
CERTAINLY HOPING THAT OUR STAFF.
AT WILL LOOK INTO IT AND THEN WE
CAN- YOU KNOW EDUCATE OUR BOARD
MEMBERS AT SOME POINT IN THE
FUTURE- ABOUT THAT PROGRAM WILL
MAKE SURE YOUR OFFICE GETS A
COPY. OF THE NEWS REPORT ON THAT
. WELL THAT'S HARD TO FOLLOW BUT
LET ME LET ME- LET ME TRY. BUT
THIS IS A REALLY IMPORTANT
QUESTION AND I THINK THAT THE-
IMPLICIT BIAS- IN THE MULTIPLE
DIVERSITY EQUITY INCLUSION
COMMITTEES THAT HAVE SPRUNG IN
ALL AGENCIES BE THEM PUBLIC OR
PRIVATE. SPEAK TO A LARGER
SYSTEMIC ISSUE THAT WE HER
FACING. IN CALIFORNIA NATIONALLY
. AND RIGHT UP FRONT- PHYSICIANS
AND NURSES AND LICENSED CLINICAL
SOCIAL WORKERS AND SOMEONE ARE
MEETING PATIENTS THAT ARE SAYING
YOU DON'T HEAR ME AND YOU DON'T
SEE ME. AND SO I AM BEEN A BIG
ADVOCATE OF ALWAYS THINKING
ABOUT THE WAY IN WHICH WE
COMMUNICATE WITH. OUR PATIENCE
IS SOMETHING THAT IF YOU GO TO A
MBA SCHOOL YOU'LL LEARN HOW TO
COMMUNICATE VERY EFFECTIVELY BUT
I'M NOT SO SURE THAT WE'RE
TEACHING THAT. EFFECTIVELY FOR
PHYSICIANS. AND GOING BACK TO
WHAT A PRESIDENT LAWSON
MENTIONED. AS A PERSON WHO
BENEFITTED FROM THE JUNIOR
COLLEGE. ENVIRONMENT I THINK
THAT THIS IDEA OF BRINGING.
PEOPLE FROM THE COMMUNITY. AND
MAKING SURE THAT IT IS NOT
ALLIES SEPARATED. BY COLOR RACE
RELIGION BUT THAT. ABILITY TO
WORK TOGETHER. JUST AS YOU WORK
TOGETHER HERE IN YOUR RESPECTIVE
AREAS PHYSICIANS AND NURSES AND
OTHERS IN THE HEALTHCARE FIELD
VISIT UP HEALTHCARE IS THE
BIGGEST TEAM SPORT THERE IS YET.
WE DON'T NECESSARILY TREATED IN
THAT MANNER- SO I AM VERY HAPPY
TO SEE THE IMPLICIT BIAS I
ACTUALLY JUST TOOK THE MOST
RECENT ONE AND I THOUGHT IT WAS
ACTUALLY VERY WELL DONE AND THE-
PART THAT I PARTICULARLY ENJOYED
OF THAT ONE WAS WHEN THERE WAS A
WOMAN WHO HAD BEEN A YALE
PROFESSOR AND SHE HAD BEEN. A
QUILTER AND WHEN SHE WAS IN THE
EMERGENCY ROOM- THE DOCTOR WAS
SELLING UPPER ARM IN. THAT
THINKING NOTHING OF IT UNTIL THE
STUDENTS AS OF DOCTOR SOMEONE SO
WHY ARE YOU HERE AND ALL OF A
SUDDEN. ALL THESE TEMA DOCTORS
AND EVERYBODY CAME TO HER AID
AND TOOK HER TO THE OPERATING
ROOM. AND SO THAT JUST GIVES US
THIS IDEA THAT ARE THERE
DIFFERENT LEVELS IN WHICH WE
ADDRESS PEOPLE HOW WE HEAR THEM
HOW WE SEE THEM SO I THINK THE
IMPLICIT BIAS NURSE TRAINING IS
VERY IMPORTANT BUT IN ADDITION
TO THE TRAINING IT'S OUR
INSTITUTIONS AND HOW WE RESPECT
EACH OTHER. AND I THINK THAT'S
PART OF WHAT WE WANT TO SEE MORE
OF. IN AN APPRECIATE BOTH OF
THOSE THOSE ANSWERS AND I'M I'M
JUST CURIOUS. BECAUSE YOU ALL
ARE YOU YOU'VE GONE THROUGH THE
TRAINING IN IN ARE REQUIRING THE
TRAINING HOW DO YOU MEASURE. HOW
ARE YOU MEASURING THE IMPACT OF
THAT CHANGE BECAUSE- YOU KNOW
THE- ONE. LESSONS LEARNED DO
THESE APPROACHES HOW HOW DO WE
NEED TO IMPROVE ON THE MODEL
IMPROVE ON THE TRAINING WE ONLY
KNOW THAT. THROUGH OUR ABILITY
TO EVALUATE THE EFFECTIVENESS SO
YOU KNOW JUST. IT I APPRECIATE
ABOVE YOUR ANSWERS BUT THAT ONE
. THAT ONE POINT I WASN'T CLEAR
ON HOW HOW IT HOW IT'S MEASURED
ONLY FRANK WITH YOU I DON'T KNOW
THAT WE'RE MEASURING IT. WELL I
DON'T KNOW THAT WE HAVE A SYSTEM
THAT- I MEAN THAT DATA STREAM
THAT THAT WE COULD WE COULD PULL
THE SHOW THE CORRELATION BETWEEN
. THE TRAININGS THAT EDUCATION A
EDUCATION WE PROVIDE PART OF OUR
HISTORY OF EDUCATION FUNCTION TO
PHYSICIANS AND SURGEONS AS WELL.
I DON'T I DON'T KNOW THAT WE
HAVE THAT. DATA IS CERTAINLY
SOMETHING- THAT'S VERY
INTERESTING AND AGAIN IN
COLLABORATION WITH SOME OF OUR
PARTNER AGENCIES WHETHER IT
CDPH- WHETHER IT'S BOARD OF
REGISTERED NURSING- OR YOU KNOW
THE OSTEOPATHIC MEDICAL BOARD
FOR EXAMPLE. OF IT WOULD BE
INTERESTING AND COMPELLING TO
FIGURE OUT WHAT DATA WAS
RELEVANT AND THEN AND THEN HOW
WE COULD MAKE SOME SENSE OF IT
TO SEE. IF THERE REALLY WAS A
CORRELATION C. FOR MAKING
PROGRESS IN THAT RESPECT BUT I'M
NOT SURE WE HAVE THAT. TODAY I
APPRECIATE THAT- THE CANDOR AND
CLARITY ON THAT AND EXPLORING
WAYS TO DO THAT I KNOW THERE ARE
A NUMBER OF DIFFERENT TOOLS
EVALUATIVE TOOLS THAT ARE USED
SURVEYS- FOCUS GROUPS THERE'S A
NUMBER OF WAYS TO MEASURE THAT
SO. SO GLAD TO HEAR THAT THAT'S
SOMETHING THAT THE BOARD WILL
EXPLORE- QUESTION THAT I HAVE
FOR- MISS JOHN AND MR SITE IS.
THIS QUESTION OF DISCIPLINE-
AND- THAT'S SOMETHING THAT THE
BOARD IS CHARGED WITH AND IT'S
AN ISSUE THAT I'VE REYES WITH MS
LAWSON IN THAT IN THE PAST IN
TERMS OF. THE DISPARITIES IN
TERMS OF BLACK AND LATIN X.
POSITIONS AND THE
DISPROPORTIONATE WAYS IN WHICH
THEY- ARE DISCIPLINED- IN.
COMPARISON TO THEIR WHITE
COUNTERPARTS AND YOU KNOW DO YOU
SEE WAYS THAT THE DISCIPLINARY
PROCESS CAN BE IMPROVED TO
ADDRESS THOSE KINDS OF
DISPARITIES AND I'LL START WITH
MISTER JOHN AND THEN DECIDE.
YEAH HI BEEN THINKING ABOUT THIS
I THINK MAYBE IT WAS ONE OF YOUR
SOMEBODY FROM YOUR OFFICE YOU
ASKED- ABOUT A REPORT THAT WAS
CREATED. A FEW YEARS AGO SOME
TIME BEFORE I JOINED THE BOARD
AND THEN I READ THE REPORT AND
NO IT DIDN'T HAVE A LOT OF
CLARITY AS TO WHAT THE REASONS
WERE- AND YOU KNOW THIS IS IT.
RELATEDLY I THINK ABOUT THIS
ISSUE KIND OF A LOT BECAUSE WHEN
WE'RE THINKING ABOUT THE
CRIMINAL JUSTICE SYSTEM OF
COURSE IN KIND OF SIMILAR WAYS
ON PEOPLE OF COLOR ARE
DISPROPORTIONATELY CONVICTED AND
SENTENCED- AND SO IT'S SOMETHING
I'VE WONDERED ABOUT TO. BUT I. I
DON'T KNOW YOU KNOW I AS
SOMEBODY WHO'S RELATIVELY NEW TO
THE BOARD AGAIN I'VE ONLY JUST
BEEN IN A FEW PANEL MEETINGS AND
KIND OF. TRYING TO GET MY HEAD
AROUND OKAY LET'S FOCUS ON THESE
INDIVIDUAL CASES THERE ARE WE-
TAKING INTO ACCOUNT- YOU KNOW
THE- PUBLIC PROTECTION LIKE HOW
HOW IS THIS REACHING PUBLIC
PROTECTION I DO KNOW THAT THERE
IS AN EFFORT. TO NOT HAVE
INCLUDED AT LEAST IN THE
ATTORNEY GENERAL MEMOS- OF
PEOPLE'S EDUCATION WHERE THEY
WENT TO SCHOOL AND STILL LIKE
NOT BIAS US IN THAT WAY- BUT I
I'M NOT I TO BE HONEST I'M NOT
SURE. WHAT THE ANSWER TO YOUR
QUESTION IS AND- I THINK IT IS
SOMETHING IMPORTANT TO LOOK INTO
YOU KNOW MAYBE IT'S POSSIBLE TO.
HAVE ANOTHER ENTITY DO ANOTHER
STUDY- MAYBE WE CAN FIND MORE
DATA FIND MORE CORRELATIONS GET
MORE INFORMATION SO THAT WE CAN
FIGURE OUT. HOW TO BEST ADDRESS
IT. I THINK- AND PIGGY BACK ON
THAT ANSWER I THINK. GOING BACK
TO THE IMPLICIT BIAS TRAINING
IT. OBVIOUSLY WE NEED TO HAVE
DATA TO SEE HOW EFFECTIVE IT IS
BUT THE EXPOSURE TO MAKE PEOPLE
AWARE THAT THERE IS A PROBLEM I
THINK THAT'S THE FIRST STEP IF
YOU DON'T KNOW. THAT THERE IS A
PROBLEM YOU'RE NOT GOING TO A
ADDRESS IT MAKE YOURSELF MORE
EDUCATED ABOUT IT SO HAVING THIS
IMPLICIT BIAS TRAINING AND I
THINK BEING SERVING AT- L. A.
COUNTY- HOSPITALS WHERE-
REQUIRED TO DO THAT- BEING ON
THE MEDICAL BOARD- WE'RE
REQUIRED TO DO THAT- NOW. ON THE
OTHER HAND HOWEVER WHEN- SERVING
ON THE PANELS OUT WE LOOK AT
EACH CASE AS ITS INDIVIDUAL
MERIT WE DON'T LOOK AT. ALL HOW
OLD IS THIS PHYSICIAN WHAT
ETHNIC BACKGROUND IS THE WHITE
EDUCATION LEVEL HE HAS ACHIEVED
WHAT SHE HAS ACHIEVED. I THINK
WE LOOK AT THE- VIOLATION OF THE
STANDARD OF CARE REGARDING TO
THIS PARTICULAR CASE SO
REGARDLESS OF WHETHER THIS
PERSON IS ASIAN AND CAUCASIAN
AFRICAN AMERICAN. I THINK WE
LOOK AT WHAT THE VIOLATION IS SO
IF SOMEBODY WERE TO DO SOMETHING
AGREED TO THIS THAT IS IN
VIOLATION OF WHAT THE BASIC
LEVEL OF STANDARD IS. AND THIS
PERSON. MAY HAVE THE POTENTIAL
TO AFFECT OTHER CONSUMERS IN THE
FUTURE. WE SORT OF LOOK AT THAT
AS AN INDIVIDUAL CASE AND SAY
OKAY THIS PERSON SHOULD NOT BE
PRACTICING MEDICINE SHOULD NOT
BE ENDANGERING THE PUBLIC. AND
THEN OF COURSE THE OTHER PART OF
ENFORCEMENT IS TO SAY OKAY IS
THIS CANDIDATE REHABILITATE OPAL
OKAY SOMEBODY MAY MAKE IN A
MISTAKE AN ERROR. BUT IF THIS IS
THE ONE AREA THAT THEY MADE IN
THE LAST THIRTY YEARS OF
PRACTICING MEDICINE. WHAT OTHER
MITIGATING FACTORS ARE INVOLVED
HAVE THEY BEEN THROUGH ALL THE
COURSES THAT THEY ACKNOWLEDGE
THEIR DEFICIENCIES AND SO- ON
PANEL- FOR THE LAST. NINE MONTHS
NOW I'VE BEEN SORT OF GOING
THROUGH EACH CASE INDIVIDUALLY-
AND OF COURSE THAT'S WHY I THINK
THE IMPLICIT BIAS TRAINING WILL
ALLOW US TO SAY OKAY. DO WE ARE
ARE WE HOLDING ANY IMPLICIT
BIASES IT IS THIS PERSON AN
ANESTHESIOLOGIST- PRACTICING
AND- YOU KNOW- SAN JUAN
CAPISTRANO VERSUS AN
ANESTHESIOLOGIST PRACTICING IN
SALINAS CALIFORNIA DO WE HOLD
THOSE STANDARDS TO BE DIFFERENT.
I'M JUST BECAUSE THEIR EQUIPMENT
THERE ARE YOU KNOW- ANCILLARY
HELP SO- YOU KNOW IN LOOKING AT
EACH CASE WE LOOK AT. DID THE
DOCTOR DO THE RIGHT THING. AND
IF HE OR SHE DIDN'T WHY AND IS
THIS SOMETHING THAT IS NEVER
HAPPENED NEVER SHOULD HAPPEN
EVENT OR IS THIS SOMETHING LIKE
A RISK OF THE PROCEDURE. THAT
THE DOCTOR SHOULD HAVE
COMMUNICATED TO THE PATIENT AND
SO THAT. THERE ARE SOME OTHER
ISSUES INVOLVED. WELL I.
APPRECIATE THOSE THOSE ANSWERS
AND I WANT TO SAY THAT IN- OFTEN
WE I UNDERSTAND THAT IT IS AN
INDIVIDUAL CASE BY CASE BUT WHEN
THE DATA SHOWS A TREND. WHERE
YOU HAVE A DISPROPORTIONATE
DISCIPLINARY OUTCOME FOR A LATIN
ACTS AND BLACK PHYSICIANS I
AGREE- WITH WITH MISS JOHN THAT
WE HAVE TO HAVE A PROCESS OF
LOOKING AT THE DATA AND TRYING
TO MINE THAT DATA TO SEE WHAT.
WHAT IS HAPPENING THAT IS
CREATING THAT OUTCOME SO I'M I'M
APPRECIATING- THE INDIVIDUAL
REVIEW AND PROCESS- BUT ALSO
RECOGNIZING THE NEED. TO LOOK AT
THOSE TRANSCEND TO FIGURE OUT
OKAY WHAT ARE THE WAYS- THAT WE
MAY NEED TO DO MORE TO MAKE SURE
THAT OUR PROCESS IS REALLY AND
TRULY AN OBJECTIVE ONE THAT- IS
CREATING FAIRNESS IN THE SYSTEM
AND I REALLY APPRECIATE THAT.
ANALOGY BY DISPROPORTIONATE
SENTENCING AND HOW HOW CAN THAT-
PROCESS OF CREATING FAIRNESS- BE
APPLIED HERE SO- I I'M I'M GLAD
TO HEAR THAT- THERE'S AN
INTEREST IN DATA COLLECTION. IN
REVIEWING- IN AND FOCUSING ON ON
ON THAT AREA TO FIGURE OUT WAYS
TO IMPROVE. THE PROCESS BOTH FOR
THE PATIENTS BUT ALSO- IN THE-
THE MEDICAL PROFESSIONS THE
WORKERS- WHO WHO ARE WHO ARE WHO
ARE DOING THIS WORK SO- THANK
YOU SO MUCH AND THANK YOU MADAM
CHAIR. THANK YOU SENATOR
SMALLWOOD CUEVAS CENTER OTOBO.
GOOD AFTERNOON. IT'S SUCH A
PLEASURE TO BE HERE WITH YOU IN
AN HONOR- I JUST IN A LIGHT
HEARTED NOTE AB. THE YOUNG WOMAN
SHE HAD A LITTLE CHILD AT HOME
AND I AM WITH YOUR DEMEANOR I
WOULD HAVE LOVED TO HAVE BEEN
YOUR CHILD. LET ME JUST SAY YOU
JUST THE WAY THAT YOU SPEAK IN
YOUR VOICE JUST MAKES YOU WANT
TO GO AND TAKE A NAP. BUT S.
LUCKY BLESSED CHILD. MY KIDS
FELT THAT WAY ABOUT TAKING A NAP
. I AM. SO HAVING SAID THAT- SO
I AM MY QUESTION IS I KNOW THAT
YOU FOLKS ARE- HAVE ALREADY BEEN
SPEAKING WITH MY COLLEAGUES ON
THE BUSINESS AND PROFESSIONS
WHICH I WAS PRIVILEGED TO SIT ON
FOR THE PAST TWO YEARS- WITH HIS
LEADERSHIP AND HE WAS PHENOMENAL
IN ASKING QUESTIONS AND-
ADDRESSES HIM MANY OF THE
CONCERNS THAT I HAD. SO I'M NOT
GOING TO GO THROUGH THAT PROCESS
BECAUSE I KNOW IF YOU'VE ALREADY
GONE THROUGH THOROUGH
CONVERSATIONS WITH THAT ASPECT
BUT I DO WANT SOMETHING WITH
REGARD OR SOMETHING TO BE
ADDRESSED WITH REGARDS TO. AND
THE ENFORCEMENT ACTIONS AGAINST
LICENSEES CAN ENFORCEMENT
TIMELINES. SO IT'S MY
UNDERSTANDING THAT THERE BOARD
RECEIVED. ALMOST TEN THOUSAND
COMPLAINTS ABOUT LICENSEES IN
TWENTY AND TWENTY TWO. AND ALSO
RECEIVE COMPLAINTS ON OTHER
ISSUES SUCH AS- YOU KNOW. WITH
REGARD TO CARE AND TREATMENT
SEXUAL MISCONDUCT- IN UNLICENSED
PRACTICE OF MEDICINE. OF THE
NIGHT OF THE ALMOST TEN THOUSAND
COMPLAINTS AND THE BOARD
DISCIPLINE FOUR HUNDRED THIRTY
EIGHT LICENSEES OR 4% THROUGHOUT
THE STATE OF CALIFORNIA. AND
THERE'S BEEN REPORTS FOR THE BAY
MEDIA REPORTS- THE DOCUMENT
CONCERNS FROM PATIENTS AND
BORDEN FORSMAN ACTIONS THAT THEY
WERE THEY MAY HAVE BEEN TOO
LENIENT AND UNSAFE- TO CONTINUE
OR UNSAFE LICENSEES TO CONTINUE
THEIR PRACTICE. AND I- SO. I
UNDERSTAND THAT ESPECIALLY IN
THE INLAND EMPIRE THAT I THAT I
REPRESENT WE HAVE AN EXTREME
SHORTAGE OF DOCTORS- AND ANYONE
THROUGH THE HEALTHCARE SYSTEM WE
ARE IN DESPERATE NEEDS. I'M MY
CONCERN IS SPECIFICALLY WITHIN
THE ENFORCEMENT TIMELINES
BECAUSE- AS YOU CAN- IMAGINE
WHEN THEY ARE DELAYED. THAT'S
DOCTORS WHO ARE. KEPT OUT OF THE
MEDICAL FIELD AND ACCORDING TO
THE DATA THAT I HAVE IN FRONT OF
ME. IT SAID THAT THE- THE
AVERAGE- AN INVESTIGATIVE
PROCESS- INVOLVING SWORN
INVESTIGATORS TOOK AN AVERAGE OF
SIX HUNDRED AND FIFTEEN DAYS
BETWEEN TWENTY ONE AND TWENTY
TWO. AN INCREASE OF THIRTY ONE
DAYS OR 5% OVER THE PREVIOUS
YEAR. I'M THAT'S A LOT OF TIME
FOR DOCTORS TO BE AT A PRACTICE-
WITHOUT A DEFINITIVE- RESULT IN
THE CASE OR OR JUDGMENT ON THAT.
M. CAN YOU GIVE ME SOME S.
THOUGHTS ON HOW YOU FEEL THAT
THIS COULD BE IMPROVED SO THAT
THE PROCESS CAN BE SPEEDED SPEED
UP AS WELL AS ENSURING THAT.
BOTH THE PATIENTS AND THE
DOCTORS RECEIVE THEIR DUE
DILIGENCE ON BOTH SIDES BECAUSE
THEY DESERVE TO HAVE THAT IN
MAKE SURE THAT ENSURE THAT WE
HAVE THOSE PRACTICING DECISIONS-
WHEN JULIE AND IF- IF ACTIVELY
ABLE TO DO THEIR JOB CAN COME
BACK INTO THE FIELD AND MEET THE
NEEDS OF THEIR COMMUNITIES. I AM
I'M HAPPY TO START- IF THAT'S
OKAY WITH YOU CENTER THANK YOU
FOR THE QUESTION I'LL BE THE
FIRST TO TELL YOU ARE
ENFORCEMENT TIMELINES ARE
UNACCEPTABLE THERE WAY TOO LONG.
WAY TOO LONG BY YEARS RIGHT.
IT'S SOMETHING THAT THAT OUR
STAFF AGAIN OUR PARTNER AGENCIES
WHETHER THAT BE- YOU KNOW DCA OR
THE ATTORNEY GENERAL'S OFFICE-
OTHERS THAT WE YOU NEED TO
PARTNER WITH- AS PART OF THE
PROCESS HERE FROM BOARD MEMBERS-
ROUTINELY- AND IT'S SOMETHING
THAT WE'RE WORKING. REALLY HARD
ON- I THINK MISS JOHN REFERRED
TO AS SORT OF A SELF REFLECTION
WE'VE UNDERTAKEN OVER THE PAST
SEVERAL YEARS- TO THINK ABOUT
WELL HOW CAN WE IMPROVE UPON
THESE TIME LINES. AB SO LAST
YEAR IN TWENTY TWENTY TWO FOR
THE FIRST TIME YEAH WE PRESENTED
TO THE LEGISLATURE- A SUITE OF
YOU KNOW MEDICAL BOARD INITIATED
PROPOSALS THAT WAS SOMETHING
NEW- THAT THE FORTY DONE- TO
GIVE US SOME TOOLS SO THAT WE
COULD YOU KNOW AB HELP. IMPROVE
THOSE TIME LINES IN THE
ENFORCEMENT PROCESS SOME OF
THOSE ARE REALLY SORT OF YOU
KNOW IN THE WEEDS MEDICAL BOARD
PROCESS STUFF LIKE SUBPOENA
ENFORCEMENT- LIKE BEING ABLE TO
GET PATIENT MEDICAL RECORDS YOU
KNOW AGAIN WITHOUT HAVING TO GO
THROUGH SUPERIOR COURT PROCESS.
WHICH OFTEN. HAPPENS BECAUSE
THERE'S OFTEN A REAL FIGHT IF
YOU WILL I'M DURING THE PROCESS
SO THERE THERE'S A LOT OF TOOLS
WHERE WE THINK THAT THAT AND
WHERE WE KNOW. IF WE HAD THOSE
TOOLS FROM THE LEGISLATURE THE
TIME LINES COULD POTENTIALLY. BE
IMPROVED I ALSO THINK IT SPEAKS
TO THE NEED FOR GREATER
COLLABORATION AND COOPERATION
AMONGST THE AGENCIES THAT
PARTNER WITH US AS PART OF OUR
ENFORCEMENT PROCESS RIGHT- SO WE
RECEIVE THE COMPLAINTS. THE
COMPLAINTS ARE INVESTIGATED BY
THE DEPARTMENT OF CONSUMER
AFFAIRS DEPARTMENT OF
INVESTIGATION HEALTH QUALITY-
INVESTIGATION UNIT- AND THEN
ONCE THEIR INVESTIGATED AND
WORKED UP IF YOU WILL. THEY ARE
TRANSFERRED OR TRANSMITTED OVER
TO THE OFFICE OF ATTORNEY
GENERAL- SO THERE ARE A LOT OF
DIFFERENT PLAYERS AS PART OF
THAT PROCESS. I AM ONE OF THE
AREAS OF OPPORTUNITY AREAS OF
IMPROVEMENT FOR US IS TO REALLY
IMPROVE THE COLLABORATION
BETWEEN ALL THOSE PEOPLE WHO ARE
ARE PART OF THE PROCESS. WHEN I
DID I DID GET IN AND THERE'S
BEEN A COUPLE CASES OF LATE
WHERE I'VE REALLY. DUG IN TO TRY
TO FIGURE OUT WHY WHY IS THIS
THE CASE THAT THE PANEL THAT
THIS IS TAKEN THREE YEARS TO GET
TO US. AND WE STILL HAVE A NOTE
THAT SAYS WELL THERE'S SOME
INCOMPLETE PART OF THE- THE
PROCESS WHAT'S HAPPENING HERE. A
LOT OF THAT IS IT TURNED OVER
AND AGENCIES- IT'S THE FACT THAT
WE HAVE THREE AGENCIES WORKING
ON ALL THESE THINGS- A DIFFERENT
POINTS IN THE PROCESS AND NOT.
NOT COORDINATING AS WELL AS THEY
COULD SO. THERE ARE A LOT OF
OPPORTUNITIES FOR US TO IMPROVE
THAT TIME MIGHT IT'S SOMETHING
THAT'S OF GREAT INTEREST. I
THINK I CAN SPEAK FOR THE ENTIRE
BOARD- AND EVERYONE HERE IT'S OF
GREAT INTEREST TO US TO FIGURE
OUT HOW TO BRING THOSE-
TIMELINES DOWN. OF BUT YOU KNOW
SENATE ROTH IS HER ME LIKE A
BROKEN RECORD AS PER SENSOR
VIEW. TALKING ABOUT NEEDING
RESOURCES TO BE ABLE TO DO THAT
RIGHT I MEAN WE'RE ALMOST
INSOLVENT AT WORK WE ARE
INSOLVENT AT THIS POINT RIGHT.
OUT WE DON'T HAVE ENOUGH.
RESOURCES TO IT YOU KNOW
PROSECUTING AND- EVEN DO THE
WORK THAT WE CURRENTLY HAVE ON
OUR PLATE INTO YOUR POINT WE
HAVE. THOUSANDS AND THOUSANDS.
OF COMPLAINTS THAT COME A ROSS
ARE CENTRAL CONTROL UNITS. DE
EACH YEAR. WE DO NEED THE
RESOURCES WE'VE PROPOSED AS PART
OF OUR SUNSET. REPORT A SUITE OF
TOOLS THAT WE THINK WILL HELP
IMPROVE THOSE TIME LINES. AND
THEN IT'S REALLY. IT'S REALLY
IMPORTANT TO ME I KNOW. TO OUR
INTERIM EXECUTIVE DIRECTOR AS
WELL THAT WE START TO IMPROVE
THESE RELATIONSHIPS TO HELP
BRING THOSE TIME LINES DOWN.
WELL LET ME JUST AND BY I'M
EXCITED TO HEAR THAT IT IS.
PERHAPS A PRIORITY FOR YOU FOLKS
TO ENSURE THAT WE DO HAVE A MORE
EFFICIENT. MANNER IN WHICH TO-
INVESTIGATE THESE. THESE
COMPLAINTS- FOR THE BENEFIT OF.
EVERYONE DOCTORS PATIENTS AND
ESPECIALLY OUR COMMUNITIES AS A
WHOLE SO THANK YOU VERY MUCH.
NOW JUST AND WITH MY LAST
COMMENT WITH REGARDS TO- I'M
VERY EXCITED. TO SEE SUCH A
DIVERSE- IN SPEND WHAT IS SKILL
SET YOU ALL BRING TO THE TABLE
AND EXPERTISE AND- USE IN
PERSPECTIVE AND I'M VERY EXCITED
FOR ALL OF YOU TO SERVE- WE
CONTINUE SERVING IN YOUR
CAPACITY SEVEN. EXTREMELY MOVED
BY YOUR STORIES THANK YOU FOR
SHARING THEM TODAY AND FOR
WILLING TO SERVE. THANK YOU
SENATOR- CHAU BOOK SENATOR ROTH
. I'M SURE YOU KNOW I DON'T
THINK I REALLY HAVE ANY
QUESTIONS- MS LAWSON AND I HAVE-
SPENT TO HOURS OF QUALITY TIME
TOGETHER ON EITHER SIDE OF THE
DYESS MOST RECENTLY. ABOUT FIVE
HOURS OF. LAST WEEK OR THE WEEK
BEFORE ON THESE ISSUES. I WILL
SAY THAT- OVER THE LAST. NOW
STARTING THREE YEARS- I'VE BEEN
EXTREMELY FULL OF. BEING X.
IMPRESSED. BY HER FOCUS ON HER
OBLIGATIONS- AND CONSUMER
PROTECTION FRANKLY CONTRARY TO
WHAT SOME WITNESSES SAY- HER OF
DILIGENCE AND THE HARD WORK THAT
SHE AND THE OTHER BOARD MEMBERS
SUPPORT FORCE IN TRYING TO.
BRING FORWARD- REFORMS TO THIS
MEDICAL BOARD PROCESS- IT'S A
DIFFICULT TASK BECAUSE YOU'RE
ATTEMPTING TO THREAD THE NEEDLE
BETWEEN. A CONSUMER PROTECTION
AND DUE PROCESS FOR PHYSICIANS
DEPENDING ON THE DISCIPLINARY
ACTION INVOLVED WHO COULD BE
FOREVER PREVENTED FROM
EXERCISING THE TOOLS OF THE
TRADE THAT THEY SPENT MANY MANY
YEARS- ACQUIRING. SO IT'S A VERY
SENSITIVE ISSUE I THINK ALSO WE
NEED TO RECOGNIZE THAT THIS
PROCESS IS ONE WHERE WE'RE- WE
THE BOARD AND THE BOARD MEMBERS
ARE ATTEMPTING TO DECIDE WHETHER
TO IMPOSE DISCIPLINARY ACTION.
IN CASES WHERE THE QUESTION IS
FOR THE MOST PART THERE ARE SOME
OTHERS WITH THE STANDARD OF CARE
IN THE PRACTICE OF MEDICINE. HAS
BEEN VIOLATED. NOT THE ISSUES
THAT WE DEAL WITH IN A CRIMINAL
COURT WHICH IS PUNISHMENT. OR A
CIVIL COURT WHICH IS DAMAGE IN A
DAMAGES AWARD OF DAMAGES AND I
THINK THAT'S DIFFICULT SOMETIMES
FOR MEMBERS OF THE PUBLIC. AND
THE CONSUMERS TO UNDERSTAND-
THAT YOUR ROLE IS SIMPLY
LIMITED. TO TRYING TO FIGURE OUT
WHETHER THE STANDARD OF CARE HAS
BEEN BREACHED AND WHETHER
THERE'S APPROPRIATE DISCIPLINARY
ACTION THAT SHOULD BE IMPOSED ON
THE PHYSICIAN OR PHYSICIANS
INVOLVED. I THINK CONSUMERS AND
PHYSICIANS ALIKE REALLY WANT THE
SAME THING THEY WANT TO FISH
AND- AND EFFECTIVE RESOLUTION OF
THESE COMPLAINTS. IT'S JUST HOW
TO DO IT IN THIS VERY
COMPLICATED CONVOLUTED
CONVOLUTED AND BYZANTINE THING
WE CALL THE MEDICAL PRACTICE ACT
WERE OVER THE YEARS THOSE OF US
WHO. PRECEDED US IN THIS
CHAMBER. OF ALONG WITH THOSE IN
THE GREEN ZONE PUT TOGETHER A
MEDICAL PRACTICE ACT THAT
OBVIOUSLY HAS SOME CONSUMER
PROTECTIONS BUILT IN BUT HAS DUE
PROCESS BUILT IN- PLUS. YOU KNOW
MOST OF THE MANY OF THE CASES
THAT- I THINK GET TO YOU ALL ON
YOUR PANELS ARE STANDARD OF CARE
CASES. ON THOSE OF COURSE
REQUIRE EXPERT WITNESSES ON BOTH
SIDES AND A LOT OF- DEBATE AS TO
WHAT THE STANDARD OF CARE IS AND
WHETHER THE STANDARD OF CARE IS
VIOLATED IN THE SELL SIDE. IN
CIVIL COURT THESE CASES TAKE
YEARS TO RESOLVE AND HERE WE ARE
COMPLAINING ABOUT THE FACT THAT
IT MIGHT WHICH USED AS A
LEGITIMATE COMPLAINT. THAT IT
MIGHT TAKES RETURN SIXTY FIVE
DAYS OR FOUR HUNDRED AND TWENTY
FIVE DAYS TO RESOLVE A MEDICAL
BOARD. CASE INVOLVING STANDARD
OF CARE WERE IN THE CIVIL COURT
SYSTEM IT COULD EASILY TAKE FOUR
OR FIVE YEARS. SO MAYBE NOT SO
BAD MAYBE WE NEED TO IMPROVE IT
FOR SURE FOR BOTH THE CONSUMERS
AND THE PHYSICIANS BUT FOR
EXAMPLE IN CASES THAT DON'T
INVOLVE THE STANDARD OF CARE
WE'RE A PHYSICIAN HAS ENGAGED IN
A CRIMINAL ACT. AND PERHAPS IS
CONVICTED. AS I UNDERSTAND THE
MEDICAL PRACTICE ACT WE STILL
HAVE TO BRING IN EXPERT
WITNESSES. TO OPINE AS TO
WHETHER THE CONDUCT. THE ACT FOR
WHICH THE PHYSICIAN IS CONVICTED
. IS AN UNPROFESSIONAL ACT
RELATED TO THE PRACTICE OF
MEDICINE. WHETHER THAT'S
APPROPRIATE OR NOT I DON'T KNOW
BUT IT'S CERTAINLY SOMETHING
THAT WE NEED TO TAKE A LOOK AT-
AND MAYBE WE NEED TO GO DIVE A
LITTLE DEEPER INTO THE MEDICAL
PRACTICE ACTIVE WHAT WE'RE
CONCERNED ABOUT IS A FISH. IS
EFFICIENT AND EFFECTIVE
DISCIPLINARY ACTION TO TRY TO
ELIMINATE THE INEFFICIENCIES.
AND GET RIGHT TO THE POINT. SO
THAT'S A LONG STATEMENT WITHOUT
A QUESTION AT THE END AND THEY
DIDN'T TEACH ME THAT IN LAW
SCHOOL. BUT I DO WANT TO SAY HOW
APPRECIATIVE I AM OF THE WORK OF
THE BOARD PARTICULAR MS LAWSON I
KNOW. THAT THE THREE OF YOU WERE
JOINING MS LAWSON WILL. PERFORM
TO THE SAME STANDARD AND I LOOK
FORWARD TO FURTHER CONVERSATIONS
BOTH IN THE BUSINESS AND
PROFESSIONS AND ECONOMIC
DEVELOPMENT COMMITTEE AND
OUTSIDE OF THAT. AS YOU WORK AND
WE WORK TO HELP YOU. IMPROVE THE
MEDICAL PRACTICE ACT IN THE
ADMINISTRATION OF THE MEDICAL
BOARD'S OF THANK YOU MADAM CHAIR
. THANK YOU SENATOR UP I. I
APPRECIATE ALL THE STATEMENTS
AND EVERYTHING AND I MY
COLLEAGUES HAVE ASKED MOST OF
THE QUESTIONS THAT. THAT I HAD
ON MY LIST TO ASK BUT I DO HAVE.
ONE AND IT'S KIND OF A
COMBINATION OF WHAT SENATOR ROTH
AND SENATOR SMALLWOOD CUEVAS HAD
SAID SENATOR ROTH BROUGHT UP THE
CRIMINAL. OF PIECE OF A
PROSECUTION AND- N. M. AND THEN
ALSO CENTER SMALLWOOD CUEVAS
BROUGHT UP A VERY GOOD POINT
THAT MADE ME REFLECT ON THE PAST
APPOINTMENT WE HAD A FEW WEEKS
AGO. REGARDING PAROLE BOARD-
COMMISSIONERS. AND I ONLY BRING
THAT UP NOT ASSOCIATING THEM
WITH DOCTORS IN ANY WAY OR YOUR
JOB. BUT I BRING THAT AT BECAUSE
DURING THAT CONFIRMATION
HEARING. A MISS SMALLWOOD
QUITTED HAD ASKED ABOUT. A DEAD
IMPLICIT BIAS AND THE ISSUES
THERE AND YOU KNOW MAKE
DETERMINATIONS OF WHO GETS
RELEASED TO DOESN'T GET
RELEASED. AND THE WEIGHT OF
THOSE DECISIONS. AND THE REASON
WHY I BRING THAT UP IS BECAUSE I
THINK IT'S SIMILAR THAT YOU GUYS
CARRY THE WEIGHT OF THOSE
DECISIONS AS WELL. YOUR COMMENTS
QUOTE SHOULD THIS PERSON BE
ALLOWED TO CONTINUE TO PRACTICE
MEDICINE OR DO YOU PULL THEIR
LICENSE AND- SHOULD THIS PERSON-
ARE THEY CREATING HARM. AND IF
YOU AS A BOARD MAKE THE WRONG
DECISION THERE COULD BE
ADDITIONAL HARM OR- ADDITIONAL
CONSEQUENCES TO THE PERSON WHO
MAYBE DID NOT COMMIT- I'M SUCH
AN EGREGIOUS ACT HAVE THE
LICENSE PULLED IN AND THEY WOULD
BE. DENIED ACCESS TO CARE SO I
THINK IT'S WAITED. THE SAME
WITH- THE PAROLE BOARD. DO THEY
GRANT GRANT FREEDOM IN BECAUSE
SOMEONE IS TRULY REHABILITATED
OR- DO THEY NOT. AND THEN- DEBT
REDUCE YOU KNOW THERE'S THE RISK
ON BOTH SIDES. THE RISK OF IF
THEY RE OFFEND AND YOU MADE THE
DECISION NOT YOU BUT THE BOARD
MADE THE DECISION TO LET THE
FREEDOM BE GRANTED. OR DO THEY
CONTINUE TO KEEP SOMEBODY IN
THAT SHOULD BE GRANTED FREEDOM
THAT HAS REALLY CHANGED AND BE A
PRODUCTIVE MEMBER OF SOCIETY.
ONE OF THE THINGS WE LEARNED AT
THAT HEARING OR THAT I LEARNED.
WAS THAT THERE IS A- A FACT
BASED. FRAMEWORK AND I THINK- AT
. AS MISS LAWSON YOU AS- CHAIR
AND THEN ALSO DID- DOCTOR SIGH
USE. SOME IN THE STATEMENT.
THERE WAS A FOR. THEIR THAT YOU
MAKE DECISIONS BASED ON FACT DID
THEY VIOLATED WAS A LICENSE
TODAY VIOLATED STANDARD OF CARE
YOU RATTLED OFF THAT. AND I'M HE
RATTLED OFF THAT YOU. DID
ADDRESS THAT QUITE EFFICIENTLY.
IS THERE IN WHAT YOU DO AS AS
THE CHAIR IS THERE ANYTHING IN
THERE THAT GIVES A FACT BASED
STRUCTURED FRAMEWORK. SO THAT
I'M SURE YOU WILL NEVER GET RID
OF ALL IMPLICIT BIAS I'M SURE
THAT YOU KNOW EACH PERSON HAS.
THEIR OWN BIT IF YOU. HAPPEN
DON'T HAVE THAT. FACT BASED
STRUCTURED- DECISION MAKING
PROCESS. IS IT WOULD BE HARD FOR
YOU TO PUT SOMETHING IN PLACE DO
YOU HAVE ONE LET'S START THERE
OF. THANK YOU SENATOR I THINK
THE ANSWER THE QUESTION IS NO
BECAUSE I'M NOT AWARE THAT WE
HAVE ONE- AND I GUESS IF I'M NOT
AWARE THAT I DON'T THINK WE DO-
I AND IT'S CERTAINLY SOMETHING
WORTH US LOOKING INTO WITH THEM
AS I WAS LISTENING TO YOUR
QUESTION I WAS THINKING ABOUT
THINGS LIKE OUR DISCIPLINARY
GUIDELINES THAT PROVIDE US
GUIDANCE. ABOUT PARTICULAR TYPES
OF OUTCOMES- I ALSO WAS THINKING
ABOUT THE FACT THAT- ARMED FORCE
MEANT PROCESS THESE WHILE OF
COURSE THERE'S THE TYPES OF
CASES WHERE EITHER THERE'S A
COMPLAINT AND IT'S TAKEN THREE
THROUGH DISCIPLINE. OUR PANELS
AND WE'RE SPLIT UP FOR
ENFORCEMENT DISCIPLINARY
PURPOSES INTO TWO PANELS PANELS
A PANEL OF PANELS A AND B. AS
THOUGH I DON'T TECHNICALLY IS
THE BOARD PRESIDENT OVERSEE
EITHER OF THOSE PANELS THERE
CHAIRED BY OTHER. MEMBERS OF THE
BOARD BUT I DID PREVIOUSLY CHAIR
PANEL B. I'VE BEEN IN THAT
REGARD WE AGAIN WE DON'T JUST
REVIEW THE INITIAL DISCIPLINE
CASES WE ALSO REVIEW. IN CASES
OF POTENTIAL- REDUCTIONS IN
PROBATION REINSTATEMENT OF
LICENSEES WHOSE LICENSES WERE
REVOKED FOR ONE REASON OR
ANOTHER- SURRENDERED. IN THE
PAST AND THEY WANT REINSTATEMENT
SO IN SOME SENSE WE ACTUALLY-
YOU'D GO THROUGH MUCH OF THAT
ANALYSIS I THINK IT WOULD BE
VERY INTERESTING IT'S CERTAINLY
WORTH US ALL LOOKING INTO.
WHETHER WE COULD PUT A- SYSTEM
IN PLACE- THAT YOU KNOW RESULTED
IN THAT THAT MORE SYSTEMATIZED
FACT BASED. APPROACH THAT YOU'RE
REFERENCING AND IT'S I THINK
IT'S A GREAT- GREAT IDEA FROM
SOMETHING FOR US TO LOOK INTO
BUT WE DON'T HAVE THAT IN PLACE
TODAY. OKAY THANK YOU AND I
WOULD APPRECIATE YOU LOOKING
INTO THAT BECAUSE LIKE I SAID.
YOU KNOW WITH THE QUESTIONS THAT
WE WERE ASKING THE PROBATIONERS.
THERE WAITED DECISION IS JUST
LIKE YOUR WAITED DECISION. AND I
KNOW DOCTOR SIGH- IN HIS
COMMENTS- SAID THAT YOU KNOW
THEY BASE IT ON YOU KNOW WHAT
THE VIOLATE YOU KNOW. AT THE
THREE THINGS YOU RATTLED OFF I
ONLY GOT ONE OF THEM I APOLOGIZE
WHEN I WAS WRITING IT DOWN. BUT
IF YOU COULD LOOK AT THAT
BECAUSE I THINK THAT NO MATTER
WHAT BACKGROUND OR WHAT WHAT
ASSOCIATIONS THAT YOUR
ASSOCIATED WITH OR NO MATTER- IT
DOESN'T MATTER- I'M GONNA BE.
SORT OF PULL. FOR THE FAR RIGHT
OR THE FAR LEFT. IF EVERYTHING
IS FACT BASED. THE NATIONAL HELP
ELIMINATE A LOT OF THE- ISSUES
THAT COME UP WITH IMPLICIT BIAS
OR- HAVING A DISPROPORTIONATE
EFFECT ON AND PEOPLE OF COLOR
WITH LICENSES. REGARDLESS OF
WHO'S MAKING THIS DECISION
BECAUSE YOU'RE FOLLOWING ALL THE
SAME FACT BASED FRAMEWORK.
THAT'S REQUIRED AND SO I JUST
CHALLENGE YOU TO DO THAT. AND
THEN I DO HAVE A- A- QUESTION I
DO WANT TO ASK. YOU AT MY LAST
AND I ONLY HAVE THESE TWO
QUESTIONS. I'M IN JANUARY OF
THIS YEAR A FEDERAL COURT
BLOCKED THE CALIFORNIA FROM
ENFORCING AB TWENTY NINETY
EIGHT. WHICH THE GOVERNOR SIGNED
LAST YEAR TO PENALIZE DOCTORS
WHO SPREAD. MISINFORMATION OR
DISINFORMATION ABOUT KOBE
NINETEEN. AND THE COURT SAID
THAT THE BILL VIOLATED FREE
SPEECH OF THE RIGHTS OF DOCTORS.
WHO NUMBER ONE OUR TO DO NO
HARM. THEM AT I'M CURIOUS TO
KNOW OF FOR EACH OF YOU JUST.
YES SIR NO- OR A BRIEF A BRIEF
STATEMENT. AND FOR YOU TO WEIGH
IN ON THAT AND DO YOU SUPPORT
SPEECH RESTRICTIONS FOR MEDICAL
PROVIDERS AND DOCTORS. I MEAN
THE LEGISLATURE BASICALLY PASSED
A SPEECH RESTRICTION FOR DOCTORS
TO HAVE A DIFFERENCE OF OPINION.
FROM WHAT THE WHAT WAS GOING OUT
SO I'M JUST ASKING THAT QUESTION
I CAN START WITH- ED DOCTOR BOTH
A BULLET. I AM WHICH IS GOING
DOWN THE LANDS OKAY SORRY. NO
THANK YOU VERY MUCH SENATOR.
OBVIOUSLY I CAN'T SPEAK TO THAT
BILL BUT TO ANSWER YOUR QUESTION
DIRECTLY I WOULD NOT BE IN
SUPPORT OF RESTRICTING. FREEDOM
OF SPEECH. WOULD BE OR WOULD NOT
BE WOULD NOT BE THANK YOU. YES
MISS JOHN. THANK YOU- I THINK
SIMILAR TO DR BALAT SINCE WE ARE
ALL NAMED AS DEFENDANTS I THINK
OUR COUNCIL HAS THE HIGHEST
SYSTEM NOT DIRECTLY- SPEAK ABOUT
THE BILL THAT'S PENDING
LITIGATION. BUT LIKE DOCTOR
BALAD OF COURSE THE RECOGNIZED
PEOPLE'S CONSTITUTIONAL RIGHT TO
FREE SPEECH AND DO NOT WANT TO.
RESTRICT THANK YOU MADAM CHAIR
OF MISS LAWCENTER. YEAH AND I'M
AGAIN THANK YOU FOR THE QUESTION
AS MY COLLEAGUES ON THE BOARD OF
NOTED- WITH RESPECT TO AB TWENTY
NINETY EIGHT AND THERE ARE
MULTIPLE LAWSUITS THAT ARE
PENDING AGAINST THE BOARD AND
AGAINST US INDIVIDUALLY AND SO-
LIKE. AT MS JOHNSON
UNFORTUNATELY WE'VE BEEN ADVISED
THAT WE CAN'T REALLY TALK ABOUT
THE SPECIFICS OF THAT BILL BUT
LIKE MY COLLEAGUES I HAVE NO
INTENTION OR INTEREST. IN
INFRINGING ON ANYONE'S FREE
SPEECH RIGHTS THANK YOU VERY
MUCH AND THE ONLY DOCTOR ON THE
PANEL I EIGHTY K. AGAIN THE
DISCLAIMER IS THAT- A- PENDING
LITIGATION I CAN'T SPEAK ON IT
BUT I THINK THERE'S- THERE'S
NOTHING MORE SACRED THAN THE
FIRST AMENDMENT RIGHT TO FREE
SPEECH. AND WHATEVER DOCTOR SAYS
THE PATIENT IS BETWEEN THEM. I
APPRECIATE THAT COMMENT TO
BECAUSE THAT'S EXACTLY HOW I
FEEL WHAT HAPPENS BETWEEN THE
DOCTOR INTO EXAMINATION ROOMS
BETWEEN THE DOCTOR AND THE
PATIENT. AND I DO TRULY BELIEVE
THAT INSTINCTIVELY A MEDICAL
PROVIDERS DOCTORS PROVIDERS DO
TAKE AN OATH TO HAVE NO I DON'T
THINK THERE ARE VERY MANY
DOCTORS OUT THERE IF AT ALL.
GOING OUT THERE TO INTENTIONALLY
HARM AT PATIENTS I DON'T THINK
YOU WOULD GET INTO THAT
PROFESSION IF THAT WAS YOUR
INTENT. SO THANK YOU VERY MUCH
THAT'S THE LAST QUESTION THAT I
HAVE- ED. WHAT I'D LIKE TO DO IS
AND- GO TO OUR PUBLIC COMMENTS
NOW WILL TAKE PUBLIC COMMENTS
FOR THESE APPOINTMENTS. AS A
REMINDER FOR WITNESSES WISHING
TO PROVIDE COME A PUBLIC COMMENT
VIA PHONE THE PARTICIPANT TOLL
FREE NUMBER IS EIGHT SEVEN
SEVEN. TWO TWO SIX EIGHT ONE SIX
THREE AND THE ACCESS CODE IS SIX
NINE FOUR. EIGHT NINE THREE
ZERO. WE'RE GOING TO GO TO A
FIRST IN AND- AS BEFORE WE GO TO
THE MODERATOR WILL GO TO SUPPORT
IN ROOM TWENTY TWO HUNDRED. FOR
ANY OF THOSE WISHING TO TESTIFY
IN SUPPORT YOU'RE WELCOME TO
COME TO THE MICROPHONE. SCENE
NINE AND ANY IN OPPOSITION IN
ROOM TWENTY TWO HUNDRED YOU'RE
WELCOME TO COME TO THE
MICROPHONE. C. NINE MODERATOR
WE'RE GOING TO GO TO THE
TELECONFERENCE LINE. IF ANYONE
WISHING TO SPEAK IN SUPPORT OR
OPPOSITION I COULD BE QUEUED UP
AT THIS TIME MODERATOR WERE YOU
PLEASE PROMPT INDIVIDUALS
WAITING TO SPEAK IN SUPPORT AND
OPPOSITION AND LET US KNOW IF
THERE ARE ANY ON THE LINE. AND
IF WE CAN BEGIN. YES TO CUBA
PLEASE PRESS ONE THEN ZERO. IN
FIRST YOU'RE GOING TO LINE
NUMBER THIRTY THREE. THIRTY
THREE MINUTES OKAY. YES CAN YOU
HEAR ME YES YES MA'AM. OKAY HI I
AM TRADE BEGINNING AT NINE AM
CALLING FROM BAKERSFIELD
CALIFORNIA I AM A VOLUNTEER THE
CONSUMER WATCHDOG. CRISTINA
MARTINS AT A GREAT JOB OF
LISTENING TO THE PUBLIC. AND
TRYING TO SUPPORT CONSUMERS.
WILL ALSO SUPPORTING. POSITION
LICENSING CRISTINA HAD PLAYED A
KEY ROLE IN BRINGING ACCORDINGLY
FOR MEETINGS TO OUR AREA THE
STATE WILL CHECK THAT. AND HER.
THE MEDICAL BOARD WILL BRING THE
QUARTERLY MEETING TO DISCUSS
VALLEY AUG. YOU TOO HER EFFORTS
I FULLY SUPPORT GROUPS LOCK AND
LEAVE QUITE MEANT TO MEDICAL.
THANK YOU THINK YEAH. THANK YOU
NEXT COLOR. THE MEASURE BECAUSE
LINE THIRTY SEVEN PLEASE GO
AHEAD. GOOD AFTERNOON OF
COMMITTEE MY NAME IS JENNY JOHN
AND I'M FROM THREE CAL. AND LIVE
IN AND I AM ALL A PUBLIC WITH
CAN. YOU WERE WATCHED A- I
DIDN'T ADVOCATE ACTIVELY FOR. IN
MEDICAL MEETING FOR SEVERAL
YEARS NOW. IN A LOT OF THINGS
SHOWN THE CLUB. SHE IS WILLING
TO LISTEN TO AT. HE TRIED TO.
SOME OF OUR- WHILE ALSO
BALANCING THE INTERESTS OF THE
PHYSICIAN LICENSING EFFORTS AS
WELL. WE SUPPORT PUBLIC BOARD
MEMBERS CRISTINA LARKIN IS
PROVING TO BE A BOARD MEMBER
COMMUNICATE WITH THE PUBLIC. HE
PLAYED A KEY ROLE IN GUIDING THE
PHYSICIAN AND PUBLIC BOARD
MEMBERS. OTHERS POINT OF VIEW AS
WELL AS THE PHYSICIAN COMMUNITY.
I FULLY SUPPORT CRISTINA LATIN
THREE APPOINTMENTS TO THE
MEDICAL BOARD. THANK YOU VERY
MUCH THANK YOU NEXT CALLER AND
AS A REMINDER PLEASE GIVE US
YOUR NAME AND STATE YOUR
POSITION AND A VERY VERY BRIEF
COMMENT IF POSSIBLE. THANK YOU
THE NEXT GOING TO LINE UP.
TWENTY NINE PLEASE GO AHEAD. SH
HELLO MY NAME IS OKAY JERRY AND
I'M HERE BECAUSE THE SCALE I'M A
VOLUNTEER ADVOCATE THE CONSUMER
WATCHDOG I'D LIKE TO EXPRESS
SUPPORT FOR THE RE APPOINTMENT
CRISTINA LOCKED INTO THE MEDICAL
BOARD WHICH BOX HONEST AND
WILLINGNESS TO LISTEN TO ALL
SIDES BECAUSE- THAT ALL THESE
PEOPLE. MEMBERS WANT TO. HER
LEADERSHIP AND- CONNECT TO
PATIENT SAFETY OF GREATLY. THANK
YOU. THANK YOU NEXT CALLER. NET
TO GOING TO NUMBER THIRTY. THE
GO AHEAD. HELLO CAN YOU HEAR ME.
YES MA'AM. HELLO YES MA'AM MY
NAME IS OF THE LEGISLATURE
MOSTLY AND I'M CALLING FROM
ORANGE COUNTY CALIFORNIA. I'M
CALLING IN REGARDS TO BILLS
SENATE BILL SB FOUR ZERO THREE.
IN THE NATION DAX. NOT ME I'M
THAT'S DATA SAID NOT BEFORE US
IN THE COMMITTEE MAY HAVE THE
WRONG COMMITTEE AND WE'RE IN THE
RULES COMMITTEE ON GOVERNOR'S
APPOINTMENT YEAH IT. YEAH BUT
IT'S A BILLABLE SUPPOSED TO GO
TO THE RULES COMMITTEE AND THE
STUFF I'M CALLING THAT'S WHAT
THE FEDERAL SHOWS. I'M SO I'D
LIKE THIS- TO SOMEBODY TO OFF
THE THOUGH BECAUSE IT VIOLATES
MY SAID RIGHTS. AS A PERSON OF
ASIAN AND MA'AM YOUR YOU HAVE
MA'AM BUT THAT THAT ITEM NOT ON
AGENDA AND WE'RE ALL ABLE TO UP.
ON THE EDGE AS COULD I YOU TO
REACH OUT WHEN THAT ITEM IS
BEFORE THIS- COMMITTEE. COULD
YOU GET LET ME KNOW WHEN THE
SIZE OF WILL BE THE COMMITTEE. I
DON'T HAVE THAT INFORMATION
DIRECTLY IN FRONT OF ME BUT I
CAN TELL YOU THAT THERE IS A
WEBSITE AT THE SENATE RULES OR
SKEWS ME SENATE. YES YES I'M
AWARE OF THAT AND THE FUNDS
THERE WHICH IS I'M ASKING YOU.
KNOW IF YOU CAN EMAIL ME OKAY
ATTENTION OF THE. ON HOLD ON
JUST ONE MINUTE WILL BE TRY TO
HAVE ASSIST ARE.
MA'AM WHAT I'D LIKE TO DO IS
DIRECT YOU TO THE WEBSITE AT
SENATE DOT CA DOT GOV AND THERE
IS A OF A BAR THERE THAT WILL
LET YOU TO RESEARCHER TYPE IN
THAT BILL NUMBER WHICH WILL GIVE
YOU THE COMMITTEE HEARING DATE.
THANK YOU. VERY MUCH FOR YOUR
PARTICIPATION IN TODAY'S HEARING
BUT IT'S NOT ON THE AGENDA.
MODERATOR NEXT COLOR. AND THERE
IS NO MORE IN Q. YOU MAY
CONTINUE THANK YOU MR MODERATOR-
NOW THE PUBLIC COMMENT IS
COMPLETED I'LL BRING IT BACK TO
THE DIESS IS ANY OTHER QUESTIONS
WITH THE BILL. I FEEL SORRY WITH
THE CONFIRMATIONS ED MOVE THE
CONFIRMATIONS THANK YOU SENATOR
ROTH MADAM SECRETARY. BUT CHOI
BOGUE HI WHICH WILL GUIDE ROTH.
I SMALLWOOD I WILL CRITICIZE
GROWTH HI GROVE I AT. FOUR ZERO.
SO WILL PLAY SAID ON CALL UNTIL
THE END OF NO. WORD AND I'M
SORRY WILL THAT YOU'RE OUT HE
WILL GO BEFORE THE FULL SENATE
FLOOR- IN A FEW WEEKS WITH THE
I'M SURE THAT THEY'LL KEEP YOU
POSTED THANK YOU GUYS VERY MUCH
ALL OF YOU FOR BEING HERE AND
HAVE A WONDERFUL DAY.
WE DID RIGHT. YES THANK YOU FOR
TO ALL THE SUPPORT IN OPPOSITION
WITNESSES WILL NOW AND- LIKE I
SAID- THAT CALL THE AND IF YOU
DID NOT GET YOUR COMMENTS IN
THAT YOU WANTED TO GET IN-
PLEASE- PLEASE LET US KNOW AND
I'D LIKE TO THANK ALL THE
INDIVIDUALS WHO PARTICIPATED IN
THE PUBLIC TESTIMONY AS YOUR
COMMENTS AND SUGGESTIONS ARE
IMPORTANT TO US AND WE WANT TO
INCLUDE. IF YOU WANT INCLUDE
YOUR TESTIMONY AND OFFICIALLY
HEARING RECORDS YOU CAN DO SO BY
CONTACTING OR GOING TO THE RULES
COMMITTEE OR VISIT OUR WEBSITE
FOR INSTRUCTIONS. OF THIS
CONCLUDES OUR PUBLIC SECTION
RIGHT THIS CONCLUDES OUR PUBLIC
SESSION AND WE'RE GOING TO GO
TO- THE EXECUTIVE SESSION WHEN
THERE IS CLEAR.