THE SENATE BUDGET SUB COMMITTEE
NUMBER THREE ON HEALTH AND HUMAN
SERVICES IT WILL COME TO ORDER
GOOD MORNING EVERYONE THE SENATE
CONTINUES TO WELCOME THE PUBLIC
IN PERSON AND VIA THE TONIC
TELECONFERENCE FOR PUBLIC
COMMENT FOR INDIVIDUALS WISHING
TO PROVIDE PUBLIC COMMENT
TODAY'S PARTICIPANT NUMBER IS.
ONE EIGHT SEVEN SEVEN TWO TWO
SIX AB ONE SIX THREE WITH
TODAY'S ACCESS CODE SEVEN THREE
SIX TWO EIGHT TWO THREE FOUR AS
ALWAYS WE'RE HOLDER COMMITTEE
HEARINGS HERE IN TEN TWENTY ONE-
ST. I ASKED THE REMAINING
MEMBERS OF THE SCOTT
SUBCOMMITTEE TO BE PRESENT HERE
IN ROOM TWELVE HUNDRED SO WE CAN
ESTABLISH OUR QUORUM IN BEGINNER
HEARING PERFECT TIMING. TODAY
WILL BE HEARING BUDGET PROPOSALS
FROM TWO DEPARTMENT DEPARTMENT
OF STATE HOSPITALS IN THE
DEPARTMENT OF PUBLIC HEALTH. SO
I WOULD ASK FOR DEPARTMENT OF
STATE HOSPITALS IF THEY CAN COME
ON UP. ALONG WITH L. A. O. N. D.
O. F.
MORNING HIGH. WE'RE GOING TO
BEGIN WITH ISSUE NUMBER ONE AN
OVERVIEW OF THE DEPARTMENT OF
STATE HOSPITALS.
RED IS ON LOOK AT THE AREA. A
GOOD MORNING TERROR COMMITTEE.
MY NAME IS STEPHANIE CLINTON AND
I'M THE DIRECTOR FOR THE
DEPARTMENT OF STATE HOSPITALS IN
THE DEPARTMENT OF STATE
HOSPITALS MANAGES THAT
CALIFORNIA STATE HOSPITAL
SYSTEM. DISEASE'S MISSION IS TO
PROVIDE A VALUATION AND
TREATMENT IN A SAFE AND
RESPONSIBLE MANNER BY LEADING
INNOVATION AND EXCELLENCE ACROSS
THE CONTINUUM OF CARE AND
SETTINGS. WE OPERATE FIVE STATE
HOSPITALS LOCATED THROUGHOUT
CALIFORNIA WITH OVER SIX
THOUSAND INPATIENT BEDS THAT
INCLUDE ACUTE INTERMEDIATE
SKILLED NURSING FACILITY AND
RESIDENTIAL RECOVERY UNIT LEVEL
BEDS. WE ALSO OPERATE A
CONDITIONAL RELEASE PROGRAM
OTHERWISE KNOWN AS CONRAD AND
THIS IS OUR SYSTEM OF COMMUNITY
BASED SERVICES OPERATED IN
PARTNERSHIP WITH COUNTY
BEHAVIORAL HEALTH DEPARTMENTS
PRIVATE AND PRIVATE PROVIDERS-
IT'S DESIGNED TO TRANSITION
PATIENTS BACK INTO THE COMMUNITY
FOLLOWING THE FRIENDS THAT
COMMITMENT TO THE DEPARTMENT. WE
ALSO HAVE PARTNERSHIPS WITH
COUNTY BEHAVIORAL HEALTH
PROGRAMS PRIVATE PROVIDERS AND
COUNTY SHERIFF'S TO PROVIDE
COMMUNITY BUT HE'S MADE FOR
FIGHTING A COMPETENCY
RESTORATION COMMUNITY- BASED
RESTORATION AND DIVERSION
OPPORTUNITIES IN JAIL BASED
TREATMENT PROGRAMS FOR
INDIVIDUALS COMMITTED TO THE
DEPARTMENT AS INCOMPETENT TO
STAND TRIAL. THE INDIVIDUAL
SERVE BY OUR SYSTEM OF CARE OR
MANDATED FOR MENTAL HEALTH
TREATMENT BY EITHER CRIMINAL OR
CIVIL COURT. THE MAJORITY OF THE
INDIVIDUALS WE SERVE OUR
FORENSIC COMMITMENTS THEY HAVE
EITHER COMMITTED OR HAVE BEEN
ACCUSED OF COMMITTED- COMMITTING
CRIMES LINKED TO THEIR MENTAL
ILLNESS AND COME TO US DIRECTLY
THROUGH THE CRIMINAL COURTS OR
AFTER THEY HAVE COMPLETED A
SENTENCE WITH THE CALIFORNIA
DEPARTMENT OF CORRECTIONS AND
REHABILITATION. WE SERVE SURF
SIX DIFFERENT TYPES OF PATIENTS
INCLUDING INDIVIDUALS WHO HAVE
BEEN FOUND BY A COURT. TO BE
INCOMPETENT TO STAND TRIAL THEY
HAVE EITHER BEEN ACCUSED OF
COMMITTING A CRIME- BUT A COURT
HAS DETERMINED THAT DUE TO THEIR
MENTAL ILLNESS THEY ARE UNABLE
TO UNDERSTAND THE NATURE OF THE
CHARGES AGAINST THEM OR SISTER
COUNCIL IN THEIR DEFENSE. WE
ALSO SERVE INDIVIDUALS WHO ARE.
FOUNDED NOT GUILTY BY REASON OF
INSANITY AND THESE INDIVIDUALS
ARE ORDER TO THE DEPARTMENT FOR
MENTAL HEALTH TREATMENT. FOR A
PERIOD OF TIME THAT'S EQUIVALENT
TO WHAT THEY WOULD HAVE RECEIVED
AS A SENTENCE THAT THEY HAD BEEN
FOUND GUILTY- CURRENT AND WE
ALSO SERVE CURRENT INMATES FROM
THE CALIFORNIA DEPARTMENT OF
CORRECTIONS AND REHABILITATION
WHO HAVE SERIOUS. MENTAL ILLNESS
WHO REQUIRE IN PATIENT
HOSPITALIZATION WE SERVE AS THE
LEAST RESTRICTIVE LEVEL OF
TREATMENT OF INPATIENT CARE FOR
CDC OURS. MENTAL HEALTH DELIVERY
SYSTEM. WE ALSO SERVE
INDIVIDUALS WHO HAVE COMPLETED A
SENTENCE AT CDC ARE FOR THEIR
CRIMES AND HAVE EITHER BEEN
CERTIFIED BY THE BOARD OF PAROLE
HEARINGS TO BE AN OFFENDER WITH
A MENTAL HEALTH DISORDER THAT
STILL REQUIRES MENTAL HEALTH
TREATMENT IN AN INPATIENT
SETTING. I'M AT THE COMPLETION
OF THEIR CITIES ARE CDAC
PARSONS. AND FOR THOSE THAT HAVE
BEEN HURT TURMAN BY A COURT TO
MEET THE CRITERIA FOR COMMITMENT
AS A SEXUALLY VIOLENT PREDATOR.
FINALLY WE ALSO SERVE
INDIVIDUALS CONSERVE BY A CIVIL
COURT UNDER THE LAND TERMAN
PETROUS SHORT OUT. WHO REQUIRE
STATE HOSPITAL LEVEL OF
TREATMENT. THE TWENTY TWENTY
THREE TWENTY FOUR GOVERNOR'S
BUDGET INCLUDES A TOTAL BUDGET
OF THREE POINT TWO BILLION FOR
THE DEPARTMENT OPERATIONS WHICH
IS AN INCREASE OF THIRTY FIVE
POINT FIVE MILLION OR 1% FROM
THE TWENTY TWENTY TO BUDGET ACT.
AND INCLUDES AN ADDITIONAL FORTY
NINE POINT SEVEN POSITIONS. THE
PROPOSED BUDGET AUGMENTATIONS
GENERALLY INCLUDE NEW
INVESTMENTS TO CAN YOU TENUE DE
S. H. IS EFFORTS TOWARDS.
ENHANCING THE DEPARTMENT'S
OPERATIONS AND DELIVERY OF
SERVICES AND STATE HOSPITAL
FACILITY IMPROVEMENTS. THE
ESTIMATED CASELOAD IS PROJECTED
TO EXCEED NINE THOUSAND PATIENTS
BY THE END OF FISCAL YEAR TWENTY
THREE TWENTY FOUR WITH A TOTAL
OF FIVE THOUSAND FOUR HUNDRED
AND SIXTY EIGHT ACROSS OUR STATE
HOSPITALS. TWO THOUSAND SEVEN
HUNDRED AND SEVENTY TWO AND
CONTRACTED PROGRAMS AND ONE
THOUSAND FORTY NINE INTER
CONDITIONAL RELEASE. PROGRAMS
BOTH ARE KNOWN AS HE TANNER SVP
PROGRAMS. I'M HAPPY TO TAKE ANY
QUESTIONS. THANK YOU SO MUCH
APPRECIATE THAT YOU KNOW THIS
REMINDS ME OF A CENTER YOU
PRESENTED YESTERDAY A BILL
RELATED TO AND WE HEARD.
TESTIMONY WITNESS WHERE- A MAN
TALKED ABOUT HIS SON GOING.
CONSTANT CONTACT FIFTY ONE
FIFTEEN EVENTUALLY WAS PUT INTO
A STATE HOSPITAL JUST LIKE THIS
AND THE NEED TO HAVE SOMETHING
TO PREVENT INDIVIDUALS FROM
GOING INTO YOUR STATE YOU CAN
YOU MENTIONED UNDER YOUR SEEN
POTENTIALLY INCREASE. DO YOU
HAVE ANY OTHER IN DILIMAN
INSIGHT AS WERE SEEN AS A LARGE
NUMBER INDIVIDUALS GOING INTO
THE DA SAY THE S. H. PROGRAM.
YEAH THE- WE HAVE SEEN A
SIGNIFICANT INCREASE OVER THE
LAST SEVERAL YEARS AND REALLY
OVER THE LAST DECADE OF
INDIVIDUALS THAT ARE BEING.
REFERRED TO THE DEPARTMENT AS
INCOMPETENT TO STAND TRIAL THESE
ARE THE INDIVIDUALS THAT HAVE
BEEN ACCUSED OF THE CRIME AND-
HAVE BEEN FOUND INCOMPETENT BY
THE COURT AND THE RESTORATION OF
CONFIDENCE IN ORDER TO COMPLETE
THIRTY PROCESS- THESE
INDIVIDUALS WHEN WE- DID A STUDY
OF THE INDIVIDUALS- IN OUR
SYSTEM AND I HAVE BEEN TREATED
TO OUR SYSTEM. WE FOUND THAT
IT'S- OVER 50% OF THEM WERE
INDIVIDUALS WHO WERE HOMELESS AT
THE TIME OF THEIR ARREST THEY
WERE INDIVIDUALS THAT HADN'T
BEEN ACT ACCESSING THEIR MENTAL
HEALTH SERVICES AND THE- IN THE
MAJORITY OF THEM HAD NOT ACCESS
MENTAL HEALTH SERVICES IN THE
SIX MONTHS PRIOR TO ARREST. AND
INDIVIDUALS HADN'T HAD MULTIPLE-
TOUCHES WITH LAW ENFORCEMENT AND
NEARLY HALF OF THEM HAVE HAD
FIFTEEN OR MORE PRIOR ARRESTS
PRIOR TO THE INCIDENT THAT
BROUGHT THEM TO THE DEPARTMENT.
SO ULTIMATELY WHAT YOU KNOW
WE'RE SEEING IS THAT INDIVIDUALS
ARE CYCLING IN AND OUT OF THE
CRIMINAL JUSTICE SYSTEM AND BACK
INTO THE CONDITIONS OF
HOMELESSNESS AFTER THEY ARE A
MAGAZINE THAT THE SYSTEM. SO
THAT YOU KNOW THIS THIS
ADMINISTRATION AND THERE'S BEEN
A NUMBER OF INVESTMENTS I'M
REALLY TOWARDS THIS POPULATION
WITH INDIVIDUALS WITH SERIOUS
MENTAL ILLNESS- WHO HAVE THE
CRIMINAL JUSTICE INVOLVEMENT
REALLY. YOU KNOW THE BUT WITH-
MANY DIFFERENT EFFORTS TO TRY TO
REDUCE THE IMPACT- FOR THIS
POPULATION- ANOTHER QUESTION CUI
Q. TO ME A LITTLE TALK WITH A
LITTLE BIT MORE REGARDING THE
WAIT TIMES I SEE THERE'S BEEN
SOME IMPROVEMENTS IN THE
TRANSFER. ANY UPDATE ANY
ADDITIONAL UPDATE YOU COULD
SHARE WITH US. SURE I'M HAPPY
TO- SO. WE HAVE THERE IS A
NUMBER OF INVESTMENTS- OVER THE
MULTIPLE YEARS NOW TOWARDS THIS-
IN A POPULATION IT I S. T.
POPULATION FOR SHORT- THEY ARE-
THERE'S BEEN MULTIPLE GEARS OF
INVESTMENTS WITH A VERY SIZEABLE
INVESTMENT LAST YEAR- FOR
ADDITIONAL SOLUTIONS TO TRY TO
ADDRESS THE WAIT LIST. THE WAIT
LIST WE HAD A CONTINUING
WEIGHTLESS PRIOR TO THE PANDEMIC
BUT THE PANDEMIC REALLY
SIGNIFICANTLY IMPACT IMPACTED OR
WEIGHTLESS AND OUR OPERATIONS AT
OUR STATE HOSPITALS DUE TO THE
INFECTION CONTROL MEASURES WE
HAD TO PUT INTO PLACE- AS OF
LAST YEAR AT THIS TIME LAST YEAR
IN MARCH OF TWENTY TWENTY TWO.
WE HAD OVER NINETEEN HUNDRED
INDIVIDUALS ON THE WAITING LIST-
TODAY OR- WE ARE AB ONE THOUSAND
AND SIXTEEN SO WE'VE SEEN A 48%
REDUCTION. AND THIS REALLY IS
LARGELY DUE TO OUR RAPID
IMPLEMENTATION OF THE NEW IC
SOLUTIONS AS WELL AS EASING UP
PANDEMIC INFECTION CONTROL
REQUIREMENTS- ON HEALTHCARE
FACILITIES. AS WELL AS WE MOVE
THROUGH THE PANDEMIC. WHEN I
SPENT MY APOLOGIES IF I CAN ADD
OUR WAIT TIME OF ALL INCREASE-
THEY HAVE REDUCED- BACK IN MARCH
OF TWENTY TWENTY TWO WE WERE AT
AROUND AN AVERAGE OF A HUNDRED
AND THIRTY FOUR DAYS. FOR TIME
TO TREATMENT AND CURRENTLY AT
THE END OF FEBRUARY WERE AT
SIXTY NINE DAYS. WHICH IS A 49%
REDUCTION. OKAY JUST JUST ON ON
THE POINT M. THAT IS SOMEBODY
GOING INTO THE STATE HOSPITAL
WITH OFTENTIMES FORTY CONTACTS
PREVIOUSLY RECYCLING IN AND OUT
OF OUR JAILS. IS SORT OF THE
DEFINITION OF- THE LOSS OF
PEOPLE'S RIGHTS SO ANYWAY- I
THANK YOU FOR YOUR WORK SITTING
ON THE VERY BACK END OF OUR
FAILED MATH MENTAL HEALTH
SYSTEM. AND AS YOU'RE SAYING
WE'RE WE'RE DOING OUR BEST TO
TRY TO IMPROVE THINGS ON THE
FRONT END SO IT DOESN'T JUST
ACCUMULATE AND WE SPEND MILLIONS
AND MILLIONS AND MILLIONS OF
DOLLARS- AND- IT DIFFICULT FOR
PEOPLE WHO SHOULD WHO SHOULD
NEVER HAVE ENDED UP THERE SO-
HOPEFULLY ONE DAY WE'LL GET BACK
TO. US WAS BEING ABLE TO BE USED
FOR THE PURPOSE THEY WERE
DESIGNED FOR AND CONTINUE TO
SHRINK DOWN AS WE CONTINUE TO
BUILD OUT. OUR COMMUNITY SUPPORT
THANK YOU. I WAS GONNA ASK FOR
TO MAKE SURE I'M CLEAR ON THAT
THE WEIGHT LIST THESE ARE
INDIVIDUALS WHO HAVE ALREADY
BEEN FOUND TO BE INCOMPETENT TO
STAND TRIAL AND ARE AWAITING.
TIME IN THE STATE HOSPITAL FOR
RESTORATION TO COMPETENCY THAT'S
CORRECT. THAT'S CORRECT. AND
THERE'S NO OTHER AND THEN THEY
SIT IN THE COUNTY JAILS AS
OPPOSED TO. DOING SOMETHING ELSE
IS THERE SOME OTHER OPTION FOR
THOSE INDIVIDUALS OTHER THAN
STATE HOSPITAL. YES SO ONE OF
THE SOLUTIONS THAT WE
IMPLEMENTED AND TWO THOUSAND AND
EIGHTEEN- WE RECEIVED FUNDING
FOR A PILOT PROJECT THE MENTAL
HEALTH DIVERSION- PILOT PROGRAM
AS WELL AS COMMUNITY BASED
RESTORATION. SO WE HAVE
OPPORTUNITIES IN THE COMMUNITY
AS WELL FOR INDIVIDUALS TO
RECEIVE TREATMENT WOULD LOVE TO
SEE DEPENDS ON THE CRIME FOR
WHICH CITY. CORRECT ARE CHARGED
RACKED IN A COURT APPROVAL FOR
BUT FOR THIS PROGRAM WINNER
ACUTE INPATIENT. PSYCHIATRIC
PASSED THE OUTSIDE OF THE STATE
HOSPITALS IS LIMITED TO SO IT IS
BUT WE ALSO THERE HAS BEEN-
FUNDING FOR US TO. IDENTIFY OF
PLACEMENTS AND BEDS WITH AND
COMMUNITY INPATIENT FACILITIES
AS WELL IN THIS LAST YEAR WE
ACTIVATED A SEVENTY EIGHT. BEDS
WITHIN A COMMUNITY INPATIENT
FACILITY HERE IN SACRAMENTO FOR
THEIR TREATMENT OF INDIVIDUALS
THAT WERE FOUND AYE IS
INCOMPETENT. WE SO WE ARE
RAPIDLY TRYING TO IN. AS MANY
SOLUTION AS WE CAN HELP FOR DOWN
THE WAY LIST AND WITH THANK YOU
FOR. THAT PROCEDURAL IN EUROPE.
THANK VENTURE. THANK YOU BE WE
MOVE FORWARD- LET SYSTEM A
QUORUM CONSULTING YOU COULD
PLEASE THE ROLL. SENATORS MET OF
OUR- I'M HERE MAJORA HERE EGGMAN
HERE EGGMAN HERE GROVE FROTH.
BROUGHT HERE. OF COURSE. PERFECT
THANK YOU SO MUCH SEEN FURTHER
WERE MOVE ON TO A PER IN CASE
LOAD UP. THANK YOU AND AGAINST
CLINTON AND FOR DEPARTMENT OF
STATE HOUSE A NUMBER MESS
BECAUSE THAT NOT AND- ME TO
TEACH W. DIRECTORS. I SO I'M
ALSO JOIN BY. OUR CHIEF THAT
RECTOR EDENS HAS ACHIEVED A
PRETTY DIRECT OF PRO SERVICES.
AND BRENT HOW WHO THE CHIEF TO
OF OUR- SO TO START WITH OUR-
PROGRAM CASE. UPDATE THE FIRST
IS THE MATCH. STATE HIGH IN.
SECURED BED COME- WE ARE REFER A
ONE TIME SAY. OF ELEVEN POINT
TWO MILLION IN FISCAL YEAR
TWENTY TWO TWENTY THREE. THIS
PROJECT ORIGINATED WITH A
CAPITAL OUTLAY PROJECT IN TWENTY
SIXTEEN IT ADDED SECURITY
FENCING AND INFRASTRUCTURE TO AN
EXISTING PATIENT BUILDING. AT
OUR METROPOLITAN STATE HOSPITAL
SO THE BED CAPACITY COULD BE
UTILIZED TO TREAT FORENSIC
PATIENTS. THE CONSTRUCTION
PROJECT WAS COMPLETED IN TWO OF
THE FIVE INPATIENT UNITS WERE
ACTIVATED PRIOR TO THE PANDEMIC
FOR THE TREATMENT OF INDIVIDUALS
FOUND IN I. S. T. AS OF
GOVERNOR'S BUDGET ONE UNIT IS
BEING USED FOR COVERT NINETEEN
ISOLATION AND THE OTHER READ TWO
REMAINING UNITS ARE HOUSING. THE
METROPOLITAN SKILLED NURSING
FACILITY PATIENTS WHILE THE
ROOFING PROJECT REPAIRS IN THE
SKILLED NURSING FACILITY
BUILDING ARE COMPLETED WITH
ESTIMATED COMPLETION OF JULY OF
TWENTY TWENTY THREE THE SAVINGS
IDENTIFIED ARE RELATED TO
PERSONAL SERVICES ASSOCIATED
WITH THE DELAY IN ACTIVATION OF
THESE BEDS. FOR THE TREATMENT OF
FORENSIC PATIENTS. FOR THE
ENHANCE TREAT PROGRAM WE ARE
REPORTING A ONE TIME SAVINGS OF
FOUR POINT EIGHT MILLION DOLLARS
IN FISCAL YEAR TWENTY TWO TWENTY
THREE. AB THIRTEEN FORT FORTY UP
BACK IN TWENTY FOURTEEN
AUTHORIZE THE DEPARTMENT TO
ESTABLISH A PILOT ENHANCE
TREATMENT PROGRAM TO TREAT
PATIENTS WHO ARE AT THE HIGHEST
RISK OF VIOLENCE. CANNOT BE
SAFELY TREATED IN A STANDARD
TREATMENT ENVIRONMENT. THE
ENHANCE TREATMENT PROGRAM
PROVIDES ENHANCED TREATMENT
STAFFING SECURITY AND
INCORPORATES EMISSIONS AND
TREATMENT PLANNING PROCESSES TO
IDENTIFY AND ADDRESS ADDRESS A
PATIENT'S VIOLENT RISK FACTORS.
GRAHAM IS INTENDED TO PROVIDE
TREATMENT FOR PATIENTS WITH HIGH
VIOLENCE RISK WITH THE GOAL OF
RETURNING THEM TO THE STANDARD
TREATMENT BERMAN WAS SUPPORTS TO
PREVENT FUTURE AGGRESSION. IN
THE PRIOR YEAR BUDGET AX D. S.
H. WAS OPERATE APPROPRIATED
CAPITAL OUTLAY FUNDING TO
CONVERT EXISTING PATIENT UNITS
INTO THE ENHANCE TREATMENT
PROGRAM UNITS. AND RESOURCES
WERE AUTHORIZED TO ACTIVATE THE
UNITS WHEN THEY WERE COMPLETED.
WE PREVIOUSLY COMPLETED THE
CONSTRUCTION OF THE THIRTEEN BED
UNIT AT D. S. H. ATASCADERO IN
ACTIVATED THAT UNIT FOR ENHANCE
PATIENT TREATMENT IN SEPTEMBER
OF TWENTY TWENTY ONE. THE SECOND
TEN BED UNIT THAT'S GOING TO BE
IDEAS H. PATTON IS UNDER WAY FOR
THE CONSTRUCTION IS UNDER WAY.
AND I WAS OF GOVERNOR'S BUDGET
WE ARE INTO EXPERIENCING A NINE
MONTH ACTIVIT ACTIVATION DELAY
FOR THIS UNIT WITH CONSTRUCTION
SCHEDULED TO BE COMPLETED IN
DECEMBER OF TWENTY TWENTY THREE
AND UNIT ACTIVATION IS-
ANTICIPATED FOR MARCH OF TWENTY
TWENTY FOUR. DUE TO THIS DELAY
THE SAVINGS- REPORTED IS
ASSOCIATED WITH PERSONAL
SERVICES SAVINGS. FOR THE
MISSION BASED REVIEW COURT
EVALUATIONS AND REPORTS DIRECT
CARE NURSING PROTECTIVE SERVICES
AND TREATMENT TEAM AND PRIMARY
CARE. IN THE FIFTH IN THE TWENTY
TWENTY THREE TWENTY FOUR
GOVERNOR'S BUDGET WE ARE
REFLECTING A SAVINGS OF FORTY
FOUR POINT NINE MILLION IN
TWENTY TWO TWENTY THREE. SAVINGS
OF TWENTY FOUR POINT ONE MILLION
AND FORTY SIX POINT FIVE
POSITIONS IN TWENTY THREE TWENTY
FOUR. SAVINGS OF TEN POINT NINE
MILLION AND FORTY SIX POINT FIVE
POSITIONS AND TWENTY FOUR TWENTY
FIVE AND A SAVINGS OF TEN POINT
NINE MILLION AND FORTY SIX POINT
FIVE POSITIONS IN TWENTY FIVE
TWENTY SIX. SEVERAL YEARS AGO WE
INITIATED AN EFFORT TO EVALUATE
STAFFING PRACTICES ACROSS THE
STATE HOSPITALS AND REVIEWED FOR
COMPONENTS THESE WERE HOSPITAL
FORENSIC DEPARTMENT. FOR TWENTY
FOUR HOUR CARE NURSING SERVICES
PROTECTIVE SERVICES AND
TREATMENT PLANNING AND DELIVERY
. OF OUR STAFFING STUDY EFFORTS
AND IN COLLABORATION WITH THE
DEPARTMENT OF FINANCE RESEARCH
AND ANALYSIS UNIT THROUGH
EMISSION BASED REVIEW. WORKLOAD
AND PROCESSES WERE EXAMINED AND
ASSESSED FOR EACH OF THESE
COMPONENTS AS A RESULT OF THIS-
PROCESS PROPOSED STAFFING
METHODOLOGIES AND POSITION
REQUESTED ADJUSTMENTS WERE
REQUESTED AND AUTHORIZED TO BE
PHASED IN OVER A NUMBER OF
YEARS. FOR THESE FOUR COMPONENTS
OF THE HOSPITAL STAFFING.
SAVINGS REPORTED ARE DUE TO
DELAYS AND CHALLENGES
EXPERIENCED IN HIRING POSITIONS
THAT WERE AUTHORIZED IN A
REQUEST TO SHIFT FORTY SIX POINT
FIVE POSITIONS ASSOCIATED WITH
TREATMENT TEAM IN PRIMARY CARE
STAFFING STUDY. THAT WERE
SCHEDULED FOR PHASE IN IN FISCAL
YEAR TWENTY THREE TWENTY FOUR
WE'RE PROPOSING TO SHIFT THEM TO
TWENTY SIX TWENTY SEVEN TO ALLOW
TIME TO RECRUIT FOR THE
POSITIONS THAT HAVE ALREADY BEEN
AUTHORIZED. FOR THE PATIENT
DRIVEN OPERATING EXPENSE AND
EQUIPMENT WE'RE REQUESTING
TWENTY POINT FIVE MILLION AN ON
GOING TO SUPPORT THE INCREASE IN
PATIENT DRIVEN SUPPORT COSTS
WITHIN THE DSA SYSTEM. WHICH
INCLUDES ITEMS SUCH AS CLOTHING
AND PERSONAL SUPPLIES FOOD
LAUNDRY MEDICATION OUTSIDE
MEDICAL EXPENSES. WE CONTINUE TO
UTILIZE THE METHODOLOGY THAT WAS
ESTABLISHED IN THE BUDGET ACT OF
TWENTY NINETEEN. AND THE REQUEST
IS BASED ON TWENTY ONE TWENTY
TWO ACTUAL EXPENDITURES AND
TWENTY THREE TWENTY FOUR
PROJECTED CENSUS. THE REQUEST IS
AS A RESULT OF A COST. OF COST
INCREASES NATIONWIDE FOR
ESSENTIAL PATIENT RELATED BASIC
NECESSITIES AND SERVICES. FOR
CONDITIONAL RELEASE PROGRAM- FOR
OUR NON AS VP OF HAITIANS WE ARE
REQUESTING TWO POINT SIX MILLION
OR TWO POSITIONS IN FISCAL YEAR
TWENTY THREE TWENTY FOUR AN ON
GOING IN RESPONSE TO INCREASED
WORKLOAD AND COSTS FOR DIAZ H.
CENTER CONTRACTED PROVIDERS AND
EVALUATORS WHICH IS DRIVEN BY
THE ACTIVATION OF NEW PLACEMENT
OPTIONS ESTABLISHED UNDER CON
RIPS EXPANDING CONTINUING.
CONTINUUM OF CARE THE CONRAD
PROGRAM IS DSHS SYSTEM OF
COMMUNITY BASED SERVICES
DESIGNED TO TRANSITION
INDIVIDUALS WHO WERE TREATED IN
THE STATE HOSPITALS BACK INTO
THE COMMUNITY. DURING THE PAST
SEVERAL BUDGET ACTS WE HAVE BEEN
AUTHORIZED TO EXPAND THE
CONTINUUM OF CARE. I'M TO
PROVIDE ADDITIONAL TREATMENT
STUDIES SETTINGS TO INCREASE THE
NUMBER OF INDIVIDUALS WHO ARE
ABLE TO TRANSITION FROM THE
STATE HOSPITALS AND MEET THEIR
TRANSITION TREATMENT AND SUPPORT
NEEDS. THIS HAS INCLUDED
ESTABLISHING A NEW CONDITIONAL
RELEASE PROGRAM FORENSIC
ASSERTIVE CON COMMUNITY
TREATMENT REGIONAL PROGRAM
EXPANDING THE STATE MY
TRANSITIONAL RESIDENTIAL PROGRAM
AND INCREASING THE NUMBER OF IMD
BEDS IN THE CONRAD PROGRAM TO
HELP INDIVIDUALS TRANSITION.
FROM THE STATE HOSPITAL AS WELL
AS TO PROVIDE ALTERNATIVES TO
THE STATE HOSPITAL SHOULD AN
INDIVIDUAL DO YOU COMPENSATE
WHILE PARTICIPATING IN CON REP
IN THE COMMUNITY. THE PROJECT TO
CONVERT CASELOAD IS ONE THOUSAND
AND TWENTY CONRAD CLIENTS IN
TWENTY TWO TWENTY THREE. AND IN
TWENTY THREE TWENTY FOUR THE
BUDGET AUGMENTATION REQUEST
INCLUDES- SPECIFICALLY TWO
HUNDRED AND SEVENTY SEVEN
THOUSAND DOLLARS FOR TWO D. S.
H. POSITIONS TO SUPPORT
INCREASED PROGRAMMATIC AND
ADMINISTRATIVE SUPPORT. TWO
HUNDRED NINETY SIX THOUSAND IN
FISCAL YEAR TWENTY THREE TWENTY
FOUR AN ON GOING TO SUPPORT
INCREASES IN IN PERSONNEL AND-
OPERATING COSTS FOR THE STEP
DOWN TRANSITIONAL PROGRAMS. A
HUNDRED AND SEVENTY SEVEN
THOUSAND AND TWENTY THREE TWENTY
FOUR AND TWO HUNDRED TWENTY
EIGHT THOUSAND AND TWENTY FOUR
TWENTY FIVE AN ON GOING TO
SUPPORT INCREASED NEED IN
SPECIALIZED EVALUATION SERVICES-
FOR COME CALIFORNIA FORENSIC
ASSESSMENT PANEL. IT WHICH
SUPPORTS THE SERVICE PROVIDERS
IN THE INCREASE SENSES RESULTING
RESULTING FROM THE NEW PROGRAMS.
AND THIS WILL INCREASE THE
NUMBER OF C. FAP EVALUATORS BY
THREE TO A TOTAL OF TWELVE-
WE'RE ALSO REQUESTING ONE POINT
NINE MILLION IN TWENTY THREE
TWENTY FOUR AND I'M GOING TO
SUPPORT CONTRACTED SERVICE
PROVIDERS INCREASING PERSONNEL
AND OPERATING EXPENSE COSTS. AND
THEN FOR A CONDITIONAL RELEASE
PROGRAMS- FOR S. B. P.
POPULATION THERE IS NO CHANGE-
AND FUNDING REQUESTED RELATED TO
CASELOAD THE ANTICIPATED
CASELOAD FOR FISCAL YEAR TWENTY
TWO TWENTY THREE IS TWENTY
SEVEN. WHICH IS CONSISTENT WITH
THE ESTIMATE- PRESENTED AT THE
TWENTY TWO TWENTY THREE MAY
REVISE. FOR THE PILOT MENTAL A
FELONY MENTAL HEALTH DIVERSION
PROGRAM WHICH WE SPOKE ABOUT A
MOMENT AGO. THERE'S NO FISCAL
CHANGE REQUESTED IN SUPPORT OF
THE FELONY MENTAL HEALTH
DIVERSION PILOT THAT WAS
ORIGINALLY AUTHORIZED IN FISCAL
YEAR TWENTY EIGHTEEN NINETEEN.
UNDER THE PILOT PROGRAM THE
DEPARTMENT WAS AUTHORIZED TO
CONTRACT WITH COUNTIES TO
DEVELOP NEW OR EXPAND EXISTING
DIVERSION PROGRAMS TO TREAT
INDIVIDUALS WITH SERIOUS MENTAL
ILLNESS. WHO HAVE BEEN FOUND OR
HOW WHO HAVE BEEN FOUND OR HAVE
THE POTENTIAL TO BE FOUND
INCOMPETENT TO STAND TRIAL ON
FELONY CHARGES. WE HAVE
CONTRACTED WITH TWENTY NINE
COUNTIES WHO HAVE ELECTED TO
DIVERT MORE THAN ELEVEN HUNDRED
INDIVIDUALS. AND AS OF SEPTEMBER
THIRTIETH WHICH WAS THE MOST
RECENT COMPLETE DATA DUE TO THE
DATA REPORTING TIMELINES I'M
FROM THE COUNTIES- THEY HAD.
DIVERTED AT ONE THOUSAND AND
SIXTY INDIVIDUALS UNDER THIS
PROGRAM. FOUR I S. T. SOLUTIONS-
CASELOAD. IN A PROGRAM
ADJUSTMENTS THE A BUDGET
ADJUSTMENT REFLECTED IN THIS
ESTIMATE ITEM. IS SPECIFIC TO
OUR JAIL BASED COMPETENCY
TREATMENT PROGRAMS AND THE ONE
TIME INFRASTRUCTURE FUNDING
THAT'S AUTHORIZED IN THE FISCAL
YEAR TWENTY TWO TWENTY THREE
BUDGET TO DEVELOP RESIDENTIAL
HOUSINGS SETTINGS TO SUPPORT
FELONY IDEAS T. INDIVIDUALS
PARTICIPATING IN EITHER THE
COMMUNITY BASED RESTORATION OR
DIVERSION PROGRAMS. WE'RE
REQUESTING ONE POSITION IN
FISCAL YEAR TWENTY THREE TWENTY
FOUR AND ON GOING TO SUPPORT THE
SHIFT IN ADMINISTRATIVE
WORKLOAD. FROM CLINICIANS TO AN
OFFICE TECHNICIAN WHICH FREES UP
THE CLINICAL STAFF TO FOCUS ON
PATIENT CARE ISSUES AND PROVIDER
OVERSIGHT. ADDITIONALLY THE
DEPARTMENT REFLECTS A NET
SAVINGS OF TWENTY SEVEN POINT
FOUR MILLION IN THE CURRENT YEAR
AND THREE POINT ONE MILLION IN
THE BUDGET HERE AND I'M GOING.
THE PRIMARY DRIVER OF THIS
SAVINGS IS A REDUCTION OF THE
SAN BERNADINO KNOWS G. B. JAIL
BASED COMPETENCY TREATMENT
PROGRAM- REDUCING THE CAPACITY
FROM A HUNDRED AND FORTY SIX
BEDS TO SIXTY FOUR AFFECT
EFFECTIVE SEPTEMBER ONE TWENTY
TWENTY TWO. IN ADDITION THERE
ARE A NUMBER OF OFFSETS TO THE
LEVEL OF BUDGET YOUR SAVINGS IN
OUR JAIL BASED COMPETENCY
TREATMENT PROGRAM- THIS IS-
RELATED TO ELEVEN- COUNTY
PROGRAMS THAT ARE PENDING
ACTIVATION. THREE PROGRAMS WERE
ABLE TO SUPPORT AN ADDITIONAL
INCREASE EMBEDS ABOVE THE
ORIGINAL PROJECTION BY FORTY
BEDS ACROSS THE THREE PROGRAMS.
AND THE BED RATE INCREASES
ANTICIPATED FOR TWENTY OF THAT
PARTICIPATING COMPANIES. AS OF
DECEMBER TWENTY TWENTY TWO THERE
WERE FOUR HUNDRED THIRTEEN BEDS
ACROSS. TWENTY THREE COUNTY GB
CITY PROGRAMS. RELATED TO
EMPRESS FOR COMMUNITY BASED
RESTORATION AND DIVERSION
PROGRAMS WERE PROPOSING
PROVISIONAL LANGUAGE THAT
EXTENDS THAT COULDN'T COME RENTS
AN EXPENDITURE PERIOD OF THE ONE
TIME FUNDING OF A HUNDRED FIFTY
MILLION THAT WAS AUTHORIZED FOR
THE TWENTY THREE TWENTY FOUR TO
JUNE. THIRTIETH. TWENTY TWENTY
EIGHT. HAPPY TO TAKE ANY
QUESTIONS ON THIS. UPDATES FROM
JUST ONE QUESTION FOR ME RIGHT I
SEE THE SHIPPED UNDER THE
MISSION THE TREATMENT PLAN IN
PRIMARY CARE. OF THOSE FORTY.
SOMEWHAT FORTY POSITIONS TO THE
TWENTY SIX TWENTY SEVEN YEAR.
AND THEN ALMOST AS- FUNDING FOR
OTHER POSITIONS HIRING IS TO YOU
HAVING DIFFICULTY HIRING IN ONE
AREA VERSUS THE OTHER OR IS IT
ALL AROUND. GENERAL YOU SO
HISTORICALLY WE'VE HAD
CHALLENGES WITH OUR STATE
HOSPITALS AND HIRING MANY OF OUR
HOSPITALS ARE LOCATED IN IN
GEOGRAPHICAL AREAS THAT ARE
TOUGH TO RECRUIT RECRUIT IN A
MENTAL HEALTH PROVIDERS INTO-
BUT SINCE THE PANDEMIC WE'VE
DEFINITELY LIKE MOST. MOST
HEALTHCARE IN CITIES ACROSS THE
NATION ARE EXPERIENCING
CHALLENGES- IN HIRING HEALTH
CARE PROFESSIONALS. SO MANY OF
THESE ADJUSTMENTS ARE RELATED
TO- DONE IT INCREASED CHALLENGE
THAT WE'VE BEEN EXPERIENCING
OVER THE LAST COUPLE OF YEARS.
WE HAVE A NUMBER OF EFFORTS
UNDER WAY AND MUCH WE'RE TRYING
TO INCREASE OUR RECRUITMENT AND
RETENTION EFFORTS AND I AM HOUSE
THAT- CHIEF DEPUTY DIRECTOR
HOUSE OR PROVIDE SOME ADDITIONAL
INFORMATION IF YOU'D LIKE TO.
HEAR OVER WORKING ON. GOOD
MORNING HAUSER CHIPPED UP
DIRECTOR OF. HAPPY TO HIGH A FEW
THE INITIAL WE HAVE GOING
RECOGNIZING THE CHALLENGES WITH
RECRUITMENT AND RETENTION OF OUR
WORK FORCE. THE FIRST IS A
NEPHEW IN A FEW DIFFERENT
DOMAINS THE FIRST IS ON
MARKETING AND OUTREACH WE
CURRENTLY- ARE CONTRACTING WITH
HR CONSULTING FIRM TO DO. REACH
A BROADER AUDIENCE TO
DEMOGRAPHICS THAT WE HAVEN'T
REACHED OUT TO BE FOR ACROSS ARE
HARD TO FILL IN RECRUIT
POSITIONS SUCH AS PSYCHIATRY
NURSING FOOD SERVICE TECHNICIANS
PSYCHOLOGY AMONG US SOME OF
THOSE. WE ALSO HAVE A DEDICATED
RECRUITMENT UNIT THAT IS ABLE TO
WORK WITH POTENTIAL CANDIDATES
TO BE ABLE TO WALK THEM THROUGH
THE CIVIL SERVICE HIRING PROCESS
WHICH- AT TIMES CAN BE
CHALLENGING FOR INDIVIDUALS NOT
FAMILIAR. WITH THE PROCESS AND
WHAT ARE MOST ARE MOST
SUCCESSFUL INITIATIVES RELATES
TO THE PARTNERSHIPS WE HAVE WITH
EDUCATIONAL INSTITUTIONS.
CURRENTLY WE HAVE PARTNERSHIPS
WITH THREE COMMUNITY COLLEGES
FOR OUR PSYCHIATRIC TECHNICIAN
PROGRAMS AND REALLY WORKING WITH
THEM TO BROADEN OUR OUTREACH
AND- POTENTIALLY INCREASE THE
SIZE OF THOSE COHORTS SO THAT.
WE'RE ABLE TO ESTABLISH THE
PIPELINE BETWEEN THE EDUCATIONAL
INSTITUTIONS AND FIFTY S. H.
SERVES AS A CLINICAL ROTATION
SPOT. AND OTHER EXAMPLE WILL BE
HIGH HEARD I BELIEVE IN ISSUE
NUMBER SIX ON PSYCHOLOGY
WORKFORCE WE HAVE A PROPOSAL AND
HAPPY TO GO INTO MORE DETAIL-
DURING THAT ISSUE. THANK YOU.
THANK YOU FOR CALLING THE NEWS
AND INFORMATION. I'D LIKE TO
TURN TO A LATER OR FIVE AND
APART OF FINANCE FOR ANY COMMENT
. DEPARTMENT OF. HOME FOR THE.
WILL OWNS OIL NO COMMENTS ON THE
SITE. GRADE THINK YOU'RE GONNA
AS I- AND MOVE ON TO ISSUE
CALLED IN. NINETEEN GOOD MORNING
AGAIN BRENT HAUSER SPEAK TUITION
OF THREE- WITH THE ON OF THE
COPA NINETEEN. DSA ACTS COVERT
NINETY WRIST PLANNING ITS
FOLLOWING CITY. CD'S AND PUBLIC
TO GUIDE. AND WE DO IT JUST PLAN
ON BASIS BASED ON THE NATURE OF
THE CALL PANDA CHALLENGE. AND
TWENTY TWENTY FOUR DSHS
REQUESTING FIFTY ONE POINT THREE
GENERAL FUND ONE TIME TO
CONTINUE TO SUPPORT INFECTION
CONTROL MEASURES TO PROTECT THE
HEALTH AND SAFETY OF OUR
EMPLOYEES AND OUR PATIENTS
BEYOND THE END OF THE STATE OF
EMERGENCY AND DATE. RESOURCES
ARE NEEDED TO CONTINUE TO
SUPPORT TESTING SEARCH CAPACITY
PUBLIC HEALTH RELATED PERSONNEL
AND PP. THE CIVIC TO TESTING
FUNDING WOULD BE USED TO PROCURE
TEST AND THE ASSOCIATED
MATERIALS. A CONGREGATE LIVING
ENVIRONMENTS SUCH AS THE S. H.
HAVE AN INCREASED RISK OF THE
TRAP AN ENTRANCE A LIVING IN A
RAPID AND TRANSMISSION. OF CODE
NINETEEN AS WELL AS OUR PATIENTS
BEING AT HIGH RISK. FOR SURGE
CAPACITY FUNDING WOULD ALLOW THE
DEPARTMENT OF STATE HOSPITALS TO
CONTINUE TO UTILIZE THE NORWALK
ALTERNATIVE CARE SITE FOR
ANOTHER SIX MONTHS AND TO THE
BUDGET YEAR WHICH HAS BEEN A
CRITICAL RESOURCE FOR THE
DEPARTMENT TO RESPOND TO THE
PANDEMIC FOR ISOLATION SPACE.
ANOTHER CRITICAL RESOURCE TO
FIND AN INDEPENDENT OF THE END
OF THE STATE OF EMERGENCY OUR
PUBLIC HEALTH TEAMS AND THOSE
RESPONSIBLE FOR INFECTION
CONTROL WILL STILL BE EXPECTED
TO DIMINISH HER VACCINES EDUCATE
PATIENTS AND STAFF ON VACCINES.
TRACK AND MONITOR RECORD AND
REPORT ON THAT MANAGED INVENTORY
AND CONDUCT CONTACT TRACING AND
INVESTIGATIONS WITHIN THE
HOSPITAL. THE LAST MAJOR FUNDING
CATEGORY IS FOR PP SUCH AS
GLOVES GOWNS SURGICAL MASKS AND
NINETY FIVE MASK FIT TESTING AND
SANITATION SUPPLIES- THAT
CONCLUDES THE PRESENTATION ON
ISSUE NUMBER THREE HAPPY TO TAKE
ANY QUESTIONS. THANK YOU DON'T
HAVE ANY QUESTIONS CENTER OFTEN.
DEPARTMENT OF FINANCE IN LA- ANY
COMMENT. BERMAN FINANCING A HOME
NOTHING FOR TO ADD. WILLOW LA-
NO BECAUSE PRESS. THANK YOU
GOING TO HOLD THIS OPEN MOVE ON
TO ISSUE NUMBER FOUR. DEPARTMENT
OF GENERAL SERVICES STATEWIDE
SURCHARGE A J. THE PART THEY
HOSPITALS WERE ONE NINE DOLLARS
IN GENERAL AND TWENTY THREE
TWENTY. AN ONGOING ADDRESS ON
INCREASE COSTS DUE TO THE
DEPARTMENT OF GENERAL SERVICES
STATEWIDE SURCHARGE. THE
DEPARTMENT OF GENERAL SERVICES
ALSO KNOWN AS TGS PROVIDES A
VARIETY OF SERVICES TO STATE
DEPARTMENTS WHETHER THAT BE
PROCUREMENT MANAGEMENT STATE
OWNED REAL ESTATE FREE OVERSIGHT
AND GENERALLY ACTS AS A BUSINESS
MANAGER FOR STATE DEPARTMENTS.
AS SUCH DGS FUNDS ITS OPERATIONS
THROUGH FEES CHARGED TO CLIENT
APARTMENTS D. S. H. AMONG THEM.
THE DS H. APPROPRIATION FOR
THESE THE US STATEWIDE SURCHARGE
HAS NOT CHANGED SINCE THE
IMPLEMENTATION OF THIS FEE
STRUCTURE. ALTHOUGH THE FEES
HAVE INCREASED YEAR OVER YEAR.
WHICH IS BASED ON THE NUMBER OF
AUTHORIZED POSITIONS. SINCE
DEPARTMENTS THEY HOSPITALS IS A
LARGE APARTMENT AND HAS GROWN IN
THE NUMBER OF POSITIONS OVER THE
YEARS AS DOES THE FEES FOR THE
SURCHARGE CURRENTLY ANY INCREASE
IN THE SURCHARGE AND FEES MUST
BE ABSORBED BY THE PARKS
DEPARTMENT WHICH- IMPACTS- THE
FUNDING AVAILABLE FOR OPERATING
EXPENSES IN QUITMAN. AND OTHER
DEPARTMENTAL OPERATIONS HAPPY TO
TAKE ANY QUESTIONS. ANALYTICAL.
THREE NINE. L. A. O. DEPARTMENTS
. DEPARTMENT OF FINANCING HOME
NOTHING FOR THE DAY. NO CONCERNS
THIS PURPOSE THANK YOU SO MUCH
WE'RE GONNA HARD LINE OPEN IN ON
TO NUMBER. TELESERVICES VISIT IN
COURT HEARINGS. WITH SPEAKING TO
ISSUE NUMBER FIVE- THE STAY HOME
WERE TO ONE DOLLARS GENERAL IN
FIFTY BECAUSE IN FIFTH YEAR TWO
THREE TWENTY FOUR AND GOING TO A
STOP PER RESOURCES FOR MANAGING
TELESERVICES FOR PATIENT
VISITATION AND COURT HEARINGS.
PRIOR THE COVERT NINETEEN
PANDEMIC TELEVISA TATIAN
SERVICES FOR FAMILY MEMBERS
ATTORNEYS AND OTHER INTERESTED
PARTIES DID NOT EXIST AT THE
DEPARTMENT AND TELL THE COURT
APPEARANCES WERE ONLY OFFERED BY
A SMALL NUMBER OF COURTS. IN
TERMS OF MAGNITUDE IN FISCAL
YEAR TWENTY ONE TWENTY TWO AT
THE SYSTEM THE MONTHLY AVERAGE
OF TELEVISA'S WAS ABOUT JUST
OVER A HUNDRED PER HOSPITAL
INTEL CORE APPEARANCES WAS A
HUNDRED AND SIXTY EIGHT PER
HOSPITAL. DURING THE COPA
NINETEEN PANDEMIC D. S. H. DID
INCREASE OUR RELIANCE ON VIDEO
CONFERENCING FOR VIRTUAL COURT
APPEARANCES AND ESTABLISH THE
USE OF VIDEO EQUIPMENT FOR
PATIENT VISITATIONS WITH FAMILY
FRIENDS AND ATTORNEYS. AS IN
PERSON SERVICES INCREMENTALLY
CONTINUE TO RESUME TOWARDS PRE
PANDEMIC LEVELS A NEW DEMAND TO
PROVIDE BOTH MODALITIES EXIST
FOR THE DEPARTMENT AND EXPECTED
TO INCREASE ACROSS ALL LOCATIONS
. BY CONTINUING TO PROVIDE THESE
SERVICES VIRTUALLY TSA'S CAN
MAINTAIN THE CONTINUITY OF CARE
FOR PATIENTS AS THEY WILL NOT
NEED TO THIS CHARGE TO THE
DEPARTMENT AND- UP WAIT IN JAIL
TO. PROCEED WITH THE COURT
PROCEEDINGS WHILE THIS CAN BE
CONDUCTED OUT THE DEPARTMENT OF
VIRTUALLY. IT IS IMPORTANT TO
NOTE THAT FOR DEPARTMENT TO
QUICKLY IMPLEMENT TELE CORDON
TELESERVICES DURING THE PANDEMIC
STAFF WERE TEMPORARILY
REDIRECTED FROM OTHER UNITS
AREAS AND SERVICES. THAT MAY
HAVE BEEN SUSPENDED FOR-
RESTRICTED ACCESS TO THE RISK OF
TRANSMITTING CODED- OR WORKED
OVERTIME TO SUPPORT THAT
WORKLOAD. AS WE CONTINUE TO
ADJUST TO THE CHANGING NATURE OF
THE PANDEMIC AND RESUME THE FULL
EXTENT OF. PRE COVERED NINETEEN
SERVICES STAFF WILL BE REQUIRED
TO THE COVER THEIR ORIGINAL
ASSIGNMENTS WHICH WOULD BE THE
STOPPING POINT FOR TS AGE TO
FILL. WHICH IS THE PURPOSE OF
THIS REQUEST HAPPY TO TAKE ANY
QUESTIONS. I'LL NEVER SAID
THERE'S A SERVER LINE TO THE PEN
. BUT YOU KNOW WE DID SEE HOW.
DALY OPERATE. ONE OF THE LESSONS
LEARNED WITH DAILY OPERATIONS WE
RUN AND VARIOUS MANNERS AND I
APPRECIATE THE DEPARTMENT.
TAKING REALIZING THE BENEFITS OF
REMOVING ACCESS REMOVING
BARRIERS TO ACCESS TO SERVICES
LIKE THIS THANK YOU FOR BRINGING
THIS UP. GREAT LEO DEPARTMENTS
AND COMIC. THE FORM FINANCING
HOW NOTHING FOR TO ADD. WE HAVE
NO CONCERN WITH THIS PROPOSAL
THANK YOU WERE GONNA THAT I OPEN
MOVE TO IS NUMBERS. I'LL BE PER
ON ISSUE NUMBER SIX IS WELL
HOWEVER I AM JOINED BY. DR
KATHRYN WARBURTON DSHS STATEWIDE
MEDICAL DIRECTOR. THE DEPARTMENT
QUEST TOTAL SEVEN POSITIONS IN
FISCAL YEAR TWENTY THREE TWENTY
FOUR AN ONGOING AND GENERAL FUND
OF SIX POINT FIVE MILLION IN
TWENTY THREE TO TWENTY FOUR
INCREASING TO EIGHT POINT THREE
MILLION TWENTY SEVEN TWENTY
EIGHT. AN ON GOING FOR THE
DEVELOPMENT AND IMPLEMENTATION
OF PIPELINE. RECRUITMENT AND
RETENTION INITIATIVES TO SUSTAIN
AND GROW DSHS PSYCHIATRIC WORK
FORCE. SPECIFICALLY THIS
PROPOSAL- REQUEST RESOURCES TO
IMPLEMENT A FOUR PRONGED
APPROACH TO RECRUITMENT AND
RETENTION OF PSYCHIATRIST- THE
FIRST BEING DEVELOPING A NEW
RESIDENCY PROGRAM MODELED AFTER
THE RESIDENCY PROGRAM WE
ESTABLISH IDEAS H. NAPA HOWEVER
THIS WOULD BE A RESIDENCY
PROGRAM IN SOUTHERN CALIFORNIA-
THROUGH OUR D. S. H. PATTON.
HOUSE WITH THE HOSPITAL. THIS
PROGRAM WOULD INCLUDE COHORTS OF
UP TO FOUR RESIDENTS PER YEAR
AND ONCE FULLY IMPLEMENTED- WE
MAY HAVE UP TO TWENTY RESIDENTS
IN OUR SYSTEM. THE SECOND
PROBLEM IS ADDING FUNDING FOR
PSYCHIATRIC FELLOWSHIPS ACROSS
OUR FIVE STATE HOSPITALS THE
THIRD PRONG IS ADDING FUNDING
FOR RESIDENT ROTATIONS ACROSS
OUR FIVE STATE HOSPITALS. I'M
INTEREST TO SPEAK TO THE
RESIDENCY PROGRAMS WHETHER IT'S
SAID THE PROGRAM WE'RE
DEVELOPING OUR SPONSORING
FELLOWSHIP OR RESIDENCY SLOTS.
THESE RESIDENTS- WILL PROVIDE A
PERCENTAGE OF THEIR TIME
SPENDING DIRECT PROVIDING DIRECT
PATIENT CARE AND- THE ULTIMATE
OUTCOME BEING THAT THEY WILL
TRAIN WITH US AND HOPEFULLY STAY
WITH US AND BECOME EMPLOYED BY
THE DEPARTMENT IT'S BEEN OUR
EXPERIENCE THAT- FOLKS TEND TO
STAY WHERE THEY TRAIN AND THAT'S
BEEN A BEST PRACTICE THAT WE'RE
HOPING TO MOVE FORWARD WITH THIS
PROPOSAL- THE LAST. PART OF THIS
PROPOSAL IS DEVELOPING AN OFFICE
OF CONTINUING EDUCATION AND
MEDICAL ADVANCEMENT WITHIN OUR
CLINICAL OPERATIONS DIVISION. TO
FURTHER DEVELOP DSHS EXISTING
EDUCATIONAL AND ACADEMIC EFFORTS
TO PROMOTE BEST PRACTICES AND
ENGAGE IN RESEARCH AND KNOWLEDGE
SHARING AMONGST U. S. H. LIKE
HIGH INTEREST WHICH WILL RESULT
IN. INCREASED COLLABORATION AND
MORAL MONTHS OR. A MONTH OR
PSYCHIATRIC STAFF. THERE WAS A
QUESTION IN THE A THAT TO
RECEIVE TO A JUST REPEATING THE
QUESTION IS HOW WILL PRO.
INTERACT WITH THE DSA LIKE. LOAN
REPAYMENT. ADOPTED IN THE TWENTY
TWENTY TO BUDGET ACT. AND WE SEE
THIS PROPOSAL DIRECTLY
COMPLIMENTING- THE LOAN
REPAYMENT PROGRAM. THESE
TRAINING PROGRAMS AS PROPOSED IN
THE GOVERNOR'S BUDGET INTRODUCED
PSYCHIATRISTS INTO OUR SYSTEM
AND TRAIN THE WORK FORCE- TO BE
ABLE TO HAVE THE SKILL SET
NECESSARY TO BEST SERVE OUR
PATIENT POPULATION. THE LOAN
REPAYMENT PROGRAM THAT
INCENTIVIZES THESE NEWLY TRAINED
PSYCHIATRIST TO APPLY AND STAY
WITHIN OUR SYSTEM FOR A MINIMUM
OF FIVE YEARS. THAT CONCLUDES A
PRESENTATION ON ISSUE NUMBER SIX
HAPPY TAKE A QUESTION. EGGMAN
FIRST I WANT A COUPLE THE
ADMINISTRATION. ON THE FAIRLY
RECENT EFFORTS TO. A ROBUST UP
OUR TRAINING PROGRAMS IN MENTAL
HEALTH ACROSS THE BOARD.
INCLUDING PSYCHIATRY- YOU KNOW
THEY SAY THAT WE NEED TO THIS IS
THAT TO WRITE ABOUT SIX HUNDRED
SEVENTY OR SO ADDITIONAL
PSYCHIATRIST IN THE CITY
CALIFORNIA TO ADDRESS THE NEED.
AND THAT'S ONLY PSYCHIATRY
THAT'S NOT LICENSED CLINICAL
SOCIAL WORKERS AND ALL THE
OTHER. VALUES TO PROVIDERS IN
THIS HEALTHCARE SPACE- OBVIOUSLY
THE PIPELINE IS VERY VERY LONG
NOT ONLY FOR PSYCHIATRISTS BUT
FOR SOCIAL WORKERS AND OTHERS TO
THE CLINICAL TRAINING HOURS THAT
THEY HAVE TO COMPLETE IN ORDER
TO SECURE LICENSURE AND CONTINUE
TO PROVIDE SERVICE. YOU KNOW I'M
ONE OF THE ONES OVER THE YEARS
AND IT IS MY ELEVENTH YEAR HERE.
IN THIS HOUSE- WHO SPENT A LOT
OF TIME TALKING ABOUT PRIMARY
CARE PHYSICIANS FAMILY MEDICINE
INTERNAL MEDICINE BECAUSE OF
COURSE. THERE WAS AND REMAINS A
SHORTAGE OF THOSE AS WELL. BUT
IT REALLY TO SOME EXTENT TO THE
EXCLUSION OF FOCUSING ON THE
BEHAVIORAL HEALTH FIELD. AND
PSYCHIATRISTS AND OTHERS AND-
I'M GLAD THAT THE
ADMINISTRATION. HAS TAKEN THE
LEAD IN FOCUSING ON THAT ASPECT
OF THE HEALTHCARE DELIVERY
SYSTEM. I WONDER EVEN AS ROBUST
AS THESE PROPOSALS ARE IN THE
PROPOSALS THAT THE GOVERNOR'S
PUT FORTH IN THIS BUDGET IN THE
LAST TWENTY FIVE MILLION OR
WHATEVER FOR. ADDITIONAL
PSYCHIATRIC RESIDENCIES IF WE
DON'T HAVE TO REALLY DO. WE NEED
TRAINING SITES. MINUTES PRETTY
PROBABLY PRETTY DIFFICULT TO
HAVE A PSYCHIATRIC RESIDENCY
PROGRAM IN AN ACUTE CARE GENERAL
HOSPITAL IT'S NOT LICENSE FOR.
MENTAL HEALTH TREATMENT. AND R.
OR Q. CURE. IN PSYCHIATRIC
FACILITIES ARE LIMITED BOTH IN
TERMS OF BEDS AND LOCATION. SO
WE'RE GONNA HAVE TO REALLY WORK
HARD TO FIGURE THIS OUT AND I
THINK BOLSTER UP. OUR BUDGET
APPROPRIATIONS AS WE CAN TO ADD
MORE AND MORE. RESIDENTS TO THE
PIPELINE BECAUSE WHETHER IT'S
FOR TWENTY- WHEN YOU DIVIDE
TWENTY IN THE SIX HUNDRED AND
SEVENTY IF THAT'S THE NUMBER
WE'RE GOING TO BE A LONG IT'S
GOING TO BE A LONG TIME BEFORE
WE GET. THE NUMBER PROVIDERS OUT
IN THE SYSTEM GIVEN RETIREMENTS
AND EVERYTHING ELSE THAT
HAPPENED OVER THE TIME.
DELIVERING SERVICES TO THOSE WHO
MOST NEEDED. MOST OFTEN OUR MOST
VULNERABLE THAT WE SPEND A LOT
OF TIME WORKING ON. HERE SO
AGAIN THANK YOU TO THE
ADMINISTRATION I DON'T HAVE A
QUESTION I'M HERE TO HELP IN THE
LIMITED TIME THAT I HAVE LEFT
HERE. BECAUSE I THINK THIS IS A
VERY VERY VERY IMPORTANT ISSUE.
IN OUR COUNTRY VERY BRIEF AND
ALSO COMPLEMENT THE MINISTRATION
IN ON THIS AND JUST AS SEVENTY
TWO SITTING ON THIS BUDGET- WE
ALSO KNOW THERE HAVE BEEN
PROPOSED CUTS. FOR PIPELINE IN
MENTAL HEALTH TRAINING- THAT- I
CERTAINLY WON'T BE SUPPORTING
AND I THINK WE NEED MORE NOT
LESS THANK YOU. THANK YOU DOES-
DEAL EVER L. A. O. HAVE IN
COMMON. THE HOME DEPARTMENT
FINANCE NOTHING FOR TO ADD-
WILLOW WILL. L. A. O. WITH
ISSUES. BIGGER TO HOLD THIS
ISSUE OPEN TO MOVE ON. ISSUE
SAID. BRINDISI AGAIN IT IS
MAKING ALTHOUGH I WILL BE. BY
OUR CHIEF INFORMATION OFFICER
COURT AS WELL AS SOURCES DEPUTY
. OF CLINICAL OPERATIONS ON THIS
PARTICULAR PROPOSAL SHOULD THERE
BE ANY QUESTIONS. BY THE
DEPARTMENT REQUEST TWENTY ONE
POINT FIVE MILLION GENERAL FUND
AND FORTY POSITIONS IN TWENTY
THREE TWENTY FOUR AND TWENTY TWO
POINT THREE MILLION GENERAL FUND
AND FIFTY EIGHT POSITIONS ON
GOING TO. COMPLETE THE REMAINING
PLANNING ACTIVITIES COMPLETE THE
EHR SOLUTION PROCUREMENT AND
INITIATE THE ACTIVITIES NEEDED
FOR THE TRANSITION INTO THE
IMPLEMENTATION PHASE OF THE
ELECTRONIC HEALTH RECORD SYSTEM.
OF THE DEPARTMENT HAS RECEIVED
RESOURCES VIA PRIOR BUDGET ACT
INVESTMENTS WHICH HAS
SUCCESSFULLY FORMED A BUSINESS
AND CLINICAL GOVERNANCE
STRUCTURE. WE HAVE STANDARDIZED
OUR BUSINESS AND CLINICAL
PROCESS THESE COLLABORATIVE
DEVELOPED A PROCUREMENT WITH THE
CALIFORNIA DEPARTMENT OF
TECHNOLOGY WHICH INCLUDES A
PROOF OF CONCEPT PROCUREMENT
PROCESS. AND WE RECENTLY
RECEIVED STAGE THREE APPROVAL-
FROM THE STATE'S PROJECT
APPROVAL LIFECYCLE PROCESS AND
LAST WE'VE EVALUATED ARE
UNDERWAY IN IMPLEMENTING
UPGRADING OUR WIRELESS LAN
INFRASTRUCTURE THAT'S NECESSARY
TO SUPPORT- ELECTRONIC HEALTH
RECORDS IMPLEMENTATION. ACROSS
OUR SYSTEM. THE CIVICALLY THIS
PER ALLOWS THE TO FOR ITS
PLANNING AND INITIATE
IMPLEMENTATION BY USING THESE
RESOURCES TO ADD NECESSARY
FUNCTIONS ACROSS OUR CLINICAL
TEAMS INCLUDING HEALTH
INFORMATICS IS. RADIOLOGIST AND
LABORATORY SPECIALIST LEADS TO
ENSURE THAT REPRESENTATION FOR
THIS PROJECT SPANS ALL CLINICAL
AREAS. ADDITIONALLY THE
RESOURCES ALSO SUPPORT OUR SIX
TECHNOLOGY SERVICES DIVISION
GIVEN THE LEVEL OF COMPLEXITY
AND VOLUME OF IT SYSTEMS. THAT
WILL NEED TO INTEGRATE. AND
SCALE FOR THIS PROJECT TO BE
SUCCESSFUL. IT DELIVERABLES-
WITH THE INVESTMENT OF PROPOSED
INVESTMENT OF THESE RESOURCES
WILL YIELD A DEVELOPING AND
IMPLEMENTING A TRAINING PROCESS
AND PLANS WITH EACH HOSPITAL
SPECIFIC LOCATIONS TRAINERS AND
SUPER USERS. WILL CREATE A
TECHNICAL ROAD MAP POLICY
PROCEDURES FOR ON SITE AND CLOUD
BASED IT SYSTEMS IN PREPARATION
FOR THE ELECTRONIC HEALTH
RECORDS VENDOR. THE NEEDING TO
SELL- AND THE REASON WHY THAT'S
IMPORTANT AS WE DEVELOP THAT
ROAD MAP AND POLICIES AND
PROCEDURES WE DON'T NEED TO WAIT
FOR THE HR VENDOR TO BE ON BOARD
TO DO ALL THE PREPARATION WORK
NECESSARY. I WILL BUILD EHR DATA
STANDARDS DATA MANAGEMENT
CLEANSING AND DEPLOY DATA
PIPELINES PRIOR TO SYSTEM
INTEGRATOR ONBOARDING AND LASTED
THIS OP PROPOSAL- PROPOSES TO
PROCURE AND CONFIGURE. END USER
DEVICES AND MEDICAL DEVICES FOR
THE FIRST PILOT HOSPITAL WHICH
WILL BE D. S. H. KALINGA. HAPPY
TO TAKE ANY QUESTIONS ON
ELECTRONIC HEALTH RECORDS
PROPOSAL. I DON'T HAVE ANY
QUESTIONS COLLEAGUES. DEAL WITH
FELLOW CAN COMMENT DEPARTMENT OF
FINANCE IN A HONDA FOR THE
COMMENTS. LOANS OVER WITH NO
CONCERNS. WE'RE GOING TO GET
SOME BLEAK. THERE EACH. FIGURING
HOLD THIS ANIMAL TO MOVE ON TO
ISSUE NUMBER AS A RELATES S. B.
TEN THIRTY FOUR.
THANK YOU. HELLO CHAIR PROCEED
IN CHIEF DEPUTY DIRECTOR FOR
PROGRAMS SERVICES- THIS IS-
BUDGET CHANGE PROPOSAL ON SENATE
BILL TEN THIRTY FOUR- DSHS
REQUESTING A FIVE HUNDRED AND
NINETY EIGHT THOUSAND GENERAL
FUND BEGINNING IN FISCAL YEAR
TWENTY THREE TWENTY FOUR AN ON
GOING TO SUPPORT TWO POSITIONS
AND CONTRACTED RESOURCES TO
SUPPORT NEW WORKLOAD RESULTING
FROM THE PASSAGE OF SENATE BILL
TEN THIRTY FOUR. WHICH WAS
EFFECTIVE JANUARY ONE OF THIS
YEAR THIS BILL PRIMARILY SEEKS
TO ADDRESS ISSUES AROUND THE
DIFFICULT TASK OF PLACING AS V.
P. OR SEXUALLY VIOLENT PREDATOR
PATIENTS IN THE COMMUNITY
THROUGH THE DEPARTMENT'S
CONDITIONAL RELEASE PROGRAM ALSO
KNOWN AS CONRAD WHERE THE
INDIVIDUAL WILL CONTINUE TO
RECEIVE TREATMENT ALONG WITH
SUPERVISION AND MONITORING. FOR
SOME CONTEXT AFTER THE COURT IS
DETERMINED AND SVP PATIENT CAN
BE SAFELY TREATED IN THE
COMMUNITY IN ORDER IS THE
INDIVIDUALS RELEASE IT TAKES AN
AVERAGE OF ONE YEAR FOR THE
INDIVIDUAL TO TRANSITION TO
COMMUNITY PLACEMENT. HOWEVER
THAT TIMELINE CONTINUES TO GROW
AND WE HAVE SEEN PATIENTS WHO
WAITED MORE THAN TWO YEARS. THE
LAW AND THE COURTS GUIDE WHERE
THESE INDIVIDUALS MUST BE
PLACED. WHICH IS TYPICALLY IN
THEIR COUNTY OF DOMICILE. S. B.
P. CONVERT PROGRAM STRIVES TO DO
THIS HOWEVER PRIOR TO SENATE
BILL TEN THIRTY FOUR NO CRITERIA
EXISTED TO GUIDE THE COURTS AS
TO WHEN EXTRAORDINARY
CIRCUMSTANCES ARE PRESENT. WHICH
WOULD ALLOW A COURT TO PERMIT
PLACEMENT IN ANOTHER COUNTY
OUTSIDE OF THE INDIVIDUALS
COUNTY OF DOMICILE. SENATE BILL
TEN THIRTY FOUR REQUIRES THE
DEPARTMENT TO CONVENE A
COMMITTEE OF VARIOUS COUNTY
REPRESENTATIVES WHO WILL BE
TASKED WITH PROVIDING
CONSULTATION AND ASSISTANCE TO
D. S. H. AS WELL AS OUR
CONTRACTED SERVICE PROVIDER. IN
THE PROCESS OF SECURING SUITABLE
HOUSING FOR EACH S. B. P.
PATIENT APPROVED FOR CONDITIONAL
RELEASE. ADDITIONALLY FOR THE
COURT TO MAKE A FINDING OF
EXTRAORDINARY CIRCUMSTANCES THE
BILL REQUIRES THE COMMITTED
PERSONS COUNTY OF DOMICILE
DEPICTS PETITION THE COURT ONLY
AFTER SPECIFIC SPECIFIC TASKS
ARE COMPLETED. AND SPECIFIED
CRITERIA HAS BEEN MET. THE NEW
REQUIREMENTS WILL RESULT IN AN
INCREASED NUMBER OF COUNTY
STAKEHOLDER MEETINGS INTERAGENCY
COORDINATION COURT HEARINGS. AS
WELL AS DRIVE EDITION TRACKING
IN COURT REPORTING. HAPPY TO
TAKE ANY QUESTIONS. I DON'T HAVE
ANY QUESTIONS WHICH- D. O. FLA
OKAY. THE GOVERNMENT OF FINE IN
A NOTHING FOR THE- WE'VE
CONCERNS WITH VERY GO WELL.
WE'RE GOING TO HOLD THIS ITEM
OPEN AND MOVE ON TO ISSUES.
NINE
GOOD MORNING LONG TIME NO SEE
SPEAKING TO ISSUE NUMBER NINE
OUR DEPARTMENT PROPOSES EIGHT
HUNDRED FORTY SEVEN THOUSAND
GENERAL FUND IN FISCAL YEAR
TWENTY THREE TWENTY FOUR AND ON
GOING TO SUPPORT FIVE POINT FIVE
POSITIONS THAT WERE INCLUDED IN
THE TWENTY TWENTY ONE BUDGET ACT
WITH LIMITED TERM FUNDING WHICH
EXPIRES AT THE END OF THIS
FISCAL YEAR JUNE THIRTY. JUNE
THIRTIETH TWENTY TWENTY THREE.
BERMAN HAS SUSTAINED AN INCREASE
IN WORKLOAD OF CO COURT HEARINGS
THAT WHICH YES H. ATTORNEYS ARE
REQUIRED TO APPEAR AND HAS
SUSTAIN AN INCREASED WORKLOAD
AND THE REQUEST PUBLIC RECORDS
ACT REQUEST TO WHICH THE
DEPARTMENT MUST RESPOND. THE
TWENTY TWENTY ONE BUDGET ACT
PROVIDED PERMANENT POSITION AT
THE READY FOR FIVE POINT FIVE
POSITIONS AND REFLECTED ANOTHER
TWO YEARS OF FUNDING FROM THE
TWENTY NINETEEN BUDGET ACT WITH
THE RESOURCES WERE ORIGINALLY
APPROVED FOR THE LEGAL DIVISION
TO ADDRESS THE INCREASING
WORKLOAD INCLUDING THE NUMBER OF
HEARINGS COURT APPEARANCES AND
RESPONSES RELATED TO INCOMPETENT
TO STAND TRIAL POPULATION
ASSOCIATED LITIGATION. WORKLOAD
HAS SUSTAINED AN EVEN INCREASE
WHICH IS THE BASIS FOR
CONTINUING THE FUNDING TO
SUPPORT THE POSITIONS AND
CALENDAR YEAR TWENTY TWENTY ONE
THE LEGAL DIVISION HAS SEEN A
43% INCREASE. IN THE NUMBER OF
COURT APPEARANCES OVER CALENDAR.
TWENTY TWENTY. ADDITIONALLY
THERE'S BEEN AN INCREASE IN THE
NUMBER OF PUBLIC RECORDS ACTS
AND SUBPOENAS FROM TWENTY TWENTY
TO TWENTY TWENTY ONE. AND TWENTY
TWENTY DEISTIC RECEIVED OVER
SEVEN HUNDRED AND THIRTY PUBLIC
RECORDS ACT REQUEST AND
SUBPOENAS. COMPARED TO TWENTY
TWENTY ONE THE DEPARTMENT
RECEIVED OVER EIGHT HUNDRED
THIRTY FOUR. PUBLIC RECORDS ACT
AND SUBPOENAS. THIS TIME HAPPY
TO TAKE ANY QUESTIONS I FORGOT
TO MENTION I'M JOINED BY OUR
CHIEF COUNSEL BRENT READING.
ANOTHER BRENT. THERE ARE TWO
BRAND. I KNOW QUESTIONS FOR ON
MY END. LEVINE BINANCE ALIONA
COMMON. DEPARTMENT FINANCING
NOTHING FOR THAT. WE NO CONCERNS
WITH PROPOSAL. FOR A BRAND WE'RE
GOING TO HOLD THIS. OPEN AND
MOVE ON TO ISSUE NUMBER. TEN I'M
IN EXTRA GOOD.
MORNING J. C. THOMPSON HERE FROM
SUBURBAN OF THE STATE HOSPITAL
SAID JOINED BY MY COLLEAGUE
JENNA LOUDER BLANCO AND WE ARE
HERE TO ADDRESS- IT ITEM TEN-
WHICH IS THE CRIMINAL RECORD
INFORMATION. DATA TRAILER BILL
LANGUAGE- SO WELFARE
INSTITUTIONS CODE FORTY FORTY
REQUIRES A DH THE S. H. TO
CONDUCT RESEARCH AND EVALUATION
STUDIES WHICH HAVE AN
APPLICATION TO MENTAL HEALTH
POLICY AND MANAGEMENT ISSUES. SO
THE PROPOSED CHANGES THAT WOULD
AMEND PENAL CODE SECTION ONE
ELEVEN OH FIVE TO INCLUDE THE
DEPARTMENT OF STATE HOSPITALS AS
A NAMED AGENCY HAVING STATUTORY
AUTHORITY TO OBTAIN ACCESS TO
THE CRIMINAL OFFENDER
INFORMATION THROUGH THE
DEPARTMENT OF JUSTICE. FOR THE
SPECIFIC PURPOSES OF CONDUCTING
RESEARCH PROGRAM EVALUATION DATA
ANALYTICS AND LEGISLATIVE
REPORTING ON AREAS WITH
IMPORTANT IMPLICATIONS TO MENTAL
HEALTH POLICY AND MANAGEMENT.
ADDITIONAL CHANGES TO WELFARE
AND INSTITUTIONS CODE FORTY
FORTY SIX WOULD CLARIFY DSHS
ABILITY TO EXCHANGE CRIMINAL
IDENTIFICATION AND INFORMATION
NUMBERS WHERE THAT THE
CALIFORNIA DEPARTMENT OF
CORRECTIONS AND REHABILITATION.
THE STATE EXCHANGE PERMITS
ACCURATE RECORD MATCHING OF DATA
NECESSARY TO PERFORM RESEARCH.
HAPPY TO ANSWER ANY QUESTIONS
YOU MIGHT HAVE. THE QUESTIONS ON
MY END. THIS DEAL FLA YOU.
DEPARTMENT OF FINANCE THE AND
THE RED. WE KNOW BECAUSE WITH.
GREAT THANK YOU SO MUCH WE'RE
GOING TO ITEM OPEN AND ON TO
ISSUE NO YOU LET.
AMBER I'M THE DEPUTY DIRECTOR OF
ADMINISTRATIVE SERVICES AT
DEPARTMENT OF STATE HOSPITALS
AND I'M JOINED BY OUR CHIEF
OPERATING OFFICER ROBERT HORSLEY
. THE FOR ITEM NUMBER ELEVEN D.
S. H. REQUESTED ONE POINT NINE
MILLION IN GENERAL FUND FOR THE
CONTINUING CENTRAL UTILITY PLANT
REPLACEMENT PROJECT FOR THE
WORKING DRAWINGS FACE THE TWENTY
TWENTY TO BUDGET ACT PROVIDED
FUNDING FOR THE PRELIMINARY
PLANS PHASE AND THIS REQUEST
REPRESENTS THE NEXT PHASE OF
THIS PROJECT. THE PROJECT WILL
REPLACE THE EXISTING CENTRAL
UTILITY PLANT LOCATED AT D. S.
H. METROPOLITAN THAT CURRENTLY
SUPPLIES STEAM AND HOT WATER AS
WELL AS CENTRAL HEATING AND
CHILLED WATER FOR AIR
CONDITIONING TO THIRTY TWO
PATIENT HOUSING AND
ADMINISTRATIVE BUILDINGS. THE
EXISTING PLANT IS MORE THAN
THIRTY YEARS OLD THE DESIGN IS
INEFFICIENT THERE'S ANTIQUATED
EQUIPMENT WHICH MAKES FUTURE
REPAIRS AND MAINTENANCE VERY
CHALLENGING AND COSTLY BECAUSE
THERE'S LIMITED AVAILABILITY OF
PARTS. AND A SHORTAGE OF
SPECIALIZED INDIVIDUALS WITH THE
EXPERTISE REQUIRED TO MAINTAIN
THE SYSTEM FOR TWENTY FOUR SEVEN
OPERATIONS. THE S. H. RETAINED
AN ARCHITECTURE AND ENGINEERING
FIRM TO COMPLETE A STUDY TO
DETERMINE THE BEST ALTERNATIVE
FOR REPLACEMENT OF THE AGING AND
OBSOLETE CENTRAL UTILITY PLANT.
THE STUDY IDENTIFIED A
CENTRALIZED OPTION FOR PROVIDING
NEW PLANT EQUIPMENT THAT WILL
SIGNIFICANTLY IMPROVE THE
EFFICIENCY AND RESILIENCY OF THE
HOT WATER AND CHILLED WATER
GENERATION AND DISTRIBUTION
SYSTEMS. THIS PROJECT WILL ALLOW
THE HOSPITAL TO MOVE AWAY FROM
STEAM GENERATION AND WILL BE
REPLACED WITH HOT WATER BOILERS.
AND ESTABLISH THE INFRASTRUCTURE
TO FURTHER SUPPORT THE SYSTEM.
AT THIS TIME THAT COMPLETES MY
OVERVIEW BUT I'M HAPPY TO
ADDRESS ANY QUESTIONS. I THINK
ANTIQUATED IS UNDERSTATEMENT C.
NINETEEN FIFTEEN NINETEEN FIFTY.
NO OF NINETEEN FIFTY FOUR. SO
YES I NO COMMON SEARCH OF MY END
. ANY AND A QUESTION SENATORS.
DEPARTMENT OF FINANCE ANY
COMMONER ELLO AT DOMINIC AIR THE
PART FINANCE NO CONCERNS. WILL
OWN LOL NO BECAUSE WITH THIS
FOR. THANK YOU SO MUCH WE'RE
GONNA ASIDE OPEN. AND MOVE ON TO
ISSUE TWELVE THANK YOU I'LL BE
PRESENTING THIS ONE AS WELL. THE
D. S. H. REQUEST FIVE THIRTY THE
AND FOR THE WORKING DRAWING
PHASE OF THE CONTINUING PSH
METROPOLITAN FIRE WATER LINE
CONNECTION PROJECT. THE TWENTY
TWENTY TO BUDGET BACK TO
PROVIDED FUNDING FOR THE
PRELIMINARY PLANS FACE AND THIS
REQUEST REFLECTS THE NEXT PHASE
OF THIS PROJECT. THIS PROJECT
WILL PROVIDE THE VOLUME OF WATER
REQUIRED FOR THE FIRE SPRINKLER
SYSTEM TO COMPLY WITH CURRENT
FIRE CODE REQUIREMENTS. DURING
THE CONSTRUCTION OF THE CENTRAL
KITCHEN THE STATE FIRE MARSHAL
FOUND THAT THE OLD EXISTING
WATER STORAGE TANKS DID NOT MEET
THE NATIONAL FIRE PROTECTION
ASSOCIATION REQUIREMENTS. BOTH
THE TANK AN OUTLET WITH ANTI
VORTEX PLATES WERE DEEMED OUT OF
COMPLIANCE. THE REPLACEMENT OF
THE EXISTING NORTHERLY SEVEN
HUNDRED AND FIFTY THOUSAND
GALLON STEEL TANK WITH THE NEW
ONE MILLION GALLON DEDICATED
FIRE WATER STORAGE TANK WILL
ALLOW THE HOSPITAL TO MEET
NATIONAL FIRE PROTECTION
ASSOCIATION FIRE FLOW
REQUIREMENTS. IN THE INTERIM AND
TO ENSURE SAFETY THE HOSPITAL
BUILDINGS I DO HAVE FIRE ALARM
SYSTEMS AND COVERAGE ON EXISTING
HYDRANTS VIA FIRE WATCH. THAT
CONCLUDES MY PRESENTATION OF
THIS ITEM BUT HAPPY TO ADDRESS
ANY QUESTIONS. THANK YOU SO MUCH
NO QUESTIONS ON MY END.
DEPARTMENT OF FINANCE AT LEÓN
COMMENTS NOTHING FOR. WITH NO
CONCERNS WITH THIS PROPOSAL
THANK YOU SO MUCH WE'RE GOING TO
MOVE ON TO THE LAST ITEM IN THIS
DEPARTMENT ISSUE NUMBER
THIRTEEN. THANK YOU. THE A CH
REQUESTS WHAT MILLION IN GENERAL
FUND FOR THE WORKING DRAWINGS
FACE TO PROVIDE UPGRADES TO THE
SEWER CONNECTION SYSTEM. THE
INSTALLATION OF THE SCREENING
SYSTEM AND CONNECTION TO THE
CITY OF ATASCADERO WASTEWATER
TREATMENT PROGRAM. THE TWENTY
TWENTY TO BUDGET ACT PROVIDED
FUNDING FOR THE PRELIMINARY
PLANS FACE AND THIS REQUEST
REFLECTS THE NEXT PHASE OF THIS
PROJECT. ATASCADERO IS EXISTING
WASTEWATER TREATMENT PLANT
CURRENTLY SERVES APPROXIMATELY
ELEVEN HUNDRED PATIENTS AND TWO
THOUSAND EMPLOYEES. NO
SIGNIFICANT IMPROVEMENTS TO IT
SEWER COLLECTION AND WASTEWATER
TREATMENT PLANT- HAVE TAKEN
PLACE SINCE ITS COMMISSIONING
ALSO WHEN IN THE EARLY NINETEEN
FIFTIES. AFTER ASSESSMENT AND
ANALYSIS. OF THE NEW CENTRAL
COAST REGIONAL WATER QUALITY
CONTROL BOARD ORDER FOR WASTE
DISCHARGE REQUIREMENTS IT WAS
DETERMINED THAT THIS SEVENTY
YEAR OLD WASTEWATER TREATMENT
PROCESS WILL NOT COMPLY WITH.
CURRENT MANDATE. OTHER
DEFICIENCIES INCLUDE IMPROPER
FLOW RATES WHICH ARE COMPLICATED
BY INADEQUATE TREATMENT
CAPABILITIES. THAT COMPLETES MY
OVERVIEW OF THIS ITEM BUT HAPPY
TO ADDRESS ANY QUESTIONS. THANK
YOU SO MUCH I DON'T HAVE ANY
QUESTIONS. SENATOR ADMIN. I JUST
WANT TO THIS IS THE LAST ITEM
IT'S NICE TO SEE ALL THE PEOPLE
FROM DEPARTMENT AS I SAID IN
THAT YEAR IT WAS- WE'RE ONLY ON
ZOOM SO WE GET PEOPLE BACK IN
PERSON AND THAT'S NICE. THANK
YOU- DIFFERENT FINANCE LA-
INCOME THAT DUMMETT CARE
DEPARTMENT FINANCIAL CONCERNS.
WITH NO FOR THIS PROPOSAL.
PERFECT THANK YOU SO MUCH FOR
DEPARTMENT OF STATE HOSPITALS
FOR YOU IS PRESENTATION SAY
WE'RE GOING TO BE MOVING ON TO
THE NEXT DEPARTMENT DEPARTMENT
OF PUBLIC HEALTH. I WELCOME THE
ADMINISTRATION TO COME UP. SO.
FOR THE FOR ISSUE WE'RE GOING TO
BE WELCOMING SOMEONE. TO JUST
GO. AHEAD. FOR THE- HELLO AND I
HAD OF PUBLIC HEALTH. GOING BUT
YOU SOLUTION HEALTH REGIONAL
CLIMATE RAISER RIVER RIVER
REVERSION. THANK YOU HELLO THE
SENATE. AND CHAIR MY NAME LINDA
HELEN I. MANAGED CLIMATE AND
HEALTH FACT AT THE CALIFORNIA OF
PUBLIC HEALTH OFFICE OF HELL
EQUITY. AS BUDGET SALUTE IS A
COUPLE HEALTH GROUPS CLIMB.
PLANNING OR VERSION THIS
PROPOSAL WOULD HAVE. TWENTY FIVE
BILLION. IN MY TIME STATE
GENERAL FUND NEXT ADORED. TO
SUPPORT LOOK HEALTH DEPARTMENT
COMMUNITY ORGANIZATION AND TRY
TO THE REYES CLASS AND HEALTH
PLANS TO BE THE ACTIONS OF
RESOURCE LOCAL HELP AND
COMMUNITY COMMERCE ACTIVELY
PREVENT REDUCE INEQUITY HELP AND
THE CLAIM CHANGE THE HEALTH
RISKS. WHAT IF I'M IN A POSITION
TO PER TECHNICAL ASSISTANCE
SUPPORT THE FUNDED ENTITIES.
I'LL TURN IT OVER TO DEPARTMENT
OF FINANCE FURTHERING FROM. THE
MORNING THAT CHAIR NICK MALES TO
FIND- THREE CONSISTS WITH HIM AS
OVERALL PRO TO ADDRESS BUDGET
PROBLEM THROUGH. OR REDUCTIONS
OF SOME IN THE TERM- WHERE FOR
THE GOVERNOR'S BUDGET PRIORITIZE
ON COMMIT INCLUDE IN PREVIOUS I
. THE CLIMATE CHANGE AND HEALTH
THAT AND TEN MILLION GENERAL I'M
GOING FOR THE PH IS CLIMB AND
HEALTH PROGRAM. WHICH PROVIDE
NEAR REAL TIME NOT. FOR HEALTH
DEPARTMENTS RESPONDERS THAT
COMMUNITY FOR MERGING FOR
INTENSIFY CLIMATE SUBSTANCE. WE
WOULD ALSO NOTE THAT THIS IS ONE
OF THE INVEST THAT- SO THERE
SUFFICIENT GENERAL ENGINE TWENTY
TWENTY FOUR THE REDUCTION WOULD
BE RESTORED. THANK YOU HAVE A
QUESTION THIS IS HELEN YOU KNOW
THESE ARE GROUNDS THAT WOULD
HAVE. BEEN REALLY BENEFICIAL FOR
MY DISTRICT IS OUR DISTRICTS
THAT MIGHT THE CBO SO MY
DISTRICT WERE PART OF A PIPE FOR
I'M WONDERING I'M I UNDERSTAND
WE HAVE TO BALANCE THE BUDGET IT
WASN'T UTILIZED IT WASN'T SENT
OUT THIS MAKES SENSE BUT I'M
JUST WONDERING WHY WE WERE IN
THE- SITUATION IN THE FIRST
PLACE TO HAVE THAT FUNDING
AVAILABLE TO BE. CLAWED BACK. WE
HAD NOT YET ENTERED INTO ANY
CONTRACT- AND- WE WERE IN THE
PROCESS OF HIRING STAFF AND
CONDUCTING COMMUNITY ENGAGEMENT
SO THAT THE FUNDING WAS. STILL
AVAILABLE- AND SPENT AND- CAN
EXPECT TO FINANCE OFFICE. THERE
ARE SOME OTHER INVESTMENT IN
CLIMATE HEALTH THIS YEAR. IT'S A
BIG YOU. IT'S ALSO A LITTLE CAN
SEEN AS THIS IS SOMETHING THAT'S
REALLY BENEFICIAL BUT I
APPRECIATE YOUR RESPONSE ON
THAT- CENTER EGGMAN. I WOULD
JUST ECHO THE CHAIR'S REMARKS
AND I KNOW WE'VE HAD A PANDEMIC
THINGS BUT- THE MONEY WAS THERE
FOR A REASON AND- IT SEEMS LIKE
WE STATE TOOK AWHILE TO GET OFF
THE GROUND SO. THEN IT SITTING
AROUND FOR SOMEONE TO ****.
THANK YOU L. A. O. COMMENT. WELL
WILL ONLY A WE HAVE NO CO. SHIPS
THANK YOU WERE GOING TO HOLD
THIS ITEM AND MOVE TO ISSUE
NUMBER TWO AS A TO A B. TEN
SEVENTIES. HI GOOD MORNING
CHAIRMAN OUR SENATOR RON IN A-
COMMITTEE MAY. COME GOOD TO SEE
. I'M TERRY CAN NOW DOME AND AM
THE DEPUTY FOR THIS FOR HEALTH
CAN. HERE TO PRESENT ISSUE
NUMBER TWO T. LEAD LEAD
POISONING ONE OF THEM COMMON.
ILLNESSES IN CALIFORNIA LEAD CAN
LEAD TO HAVE VERY HARMFUL
EFFECTS ON A CHILD'S BODY WHICH
MAY RESULT TO OTHER LIFELONG
LEARNING BEHAVIORAL REPRODUCTIVE
CARDIOVASCULAR AND OTHER HEALTH
PROBLEMS. INGESTION OF LEAD
CONTAMINATED HOUSE DUST
CONTRIBUTES ALMOST FORTY
PERCENT. OF THE INCREASE IN
BLOOD LEAD LEVELS IN U. S.
CHILDREN AND CREATE HAZARDS FOR
OUR WORKERS. SEE PH IS
REQUESTING ONE POSITION AND SIX
HUNDRED FIFTEEN THOUSAND OUT OF
GENERAL FUND FOR TWENTY THREE
TWENTY FOUR AND TWENTY FOUR
TWENTY FIVE. AND AN ADDITIONAL
THIRTY ONE POSITIONS AND FIVE
POINT FIVE MILLION FROM THE LEAD
RELATED CONSTRUCTION FIND IN
TWENTY FIVE TWENTY SIX WITH ON
GOING. FIVE POINT TWO MILLION
STARTING IN TWENTY SIX TWENTY
SEVEN TO IMPLEMENT THE
RESIDENTIAL LEAD BASED PACE
RENOVATION REPAIR AND PAINTING
PROGRAM. THIS IS A BRAND NEW
PROGRAM FOR US AND WE ANTICIPATE
CERTIFYING OVER FORTY THOUSAND
INDIVIDUALS AND FIVE THOUSAND
COMPANIES WITH A CREDIT IN OVER
A HUNDRED AND FIFTY TRAINING
PROVIDERS IN ADDITION TO HAVING
AN AUDIT AND ENFORCEMENT
PRESENCE. C. PH WILL PROVIDE
STATEWIDE EDUCATIONAL MATERIALS
TO CONTRACTORS AND CONSUMERS AND
ENCOURAGE MULTILINGUAL TRAINING.
WE WOULD CONDUCT COURSE AUDITS
OF ACCREDITED TRAINING COURSES
TO MINIMIZE THE POTENTIAL
POTENTIAL OF FRAUDULENT
CERTIFICATIONS. WE NEED TO
PROMULGATE REGULATIONS AND THOSE
WERE ALIGNED WITH FEDERAL AND
STATE REGULATIONS REDUCING
CONFUSION AND SIMPLIFYING
TRAINING. AND WILL MONITOR
COMPLIANCE USING AUDITS
INSPECTIONS AND ENFORCEMENT
MEASURES MEASURES TO DETER
VIOLATIONS OPEN FOR QUESTIONS.
NOT JUST COMMON REALLY EXCITED
ABOUT THIS OF THE FEDS CAN DO IT
CALIFORNIA WOULD STEP IN AND
TAKE OVER. ANY COMMENTS FROM MY-
COLLEAGUES. LEONE COME IN WITH
NO CONCERNS WITH THIS PROPOSAL
DEPARTMENT OF FINANCE EXPELS
DEPARTMENT OF FINANCE NOTHING
FURTHER TO ADD. GOING TO HOLD
THIS ITEM OPEN TO MOVE ON TO
ISSUE NUMBER THREE AS IT RELATES
TO AB. TWENTY TWO THIRTY EIGHT.
I THINK WE'RE BACK TO LINDA.
HELLO ALLEN HELEN. A PUBLIC
HEALTH CONCERN EQUITY AND CAN.
AND MAN'S BUILT IN ON THE
STATEWIDE EXTRA HEAT RANKINGS.
AB TWO EIGHT- IT REQUIRE THAT
HELL CALPERS BERMAN PROTECTION A
IN. WITH THE INTEGRATED CLIMATE
AND RESILIENCY PROGRAM I CARP
DEPARTMENT OF PUBLIC HEALTH AND
THE DEPARTMENT OF SHARING STATE
INSURANCE TO CREATE A STATE WIDE
EXTREME HEAT RANKING SYSTEM. THE
BILL ALSO REQUIRES THE
DEVELOPMENT OF A PUBLIC
COMMUNICATIONS PLAN FOR EXTREME
HEARING SYSTEM STATEWIDE
GUIDANCE LOCAL AND TRIBAL
GOVERNMENTS IN PREPARING AND
PLANNING FOR EXTREME HEAT
EVENTS. AND RECOMMENDATIONS ON
LOCALLY RELEVANT HE DEDICATION
PREPAREDNESS AND RESILIENCE
MEASURES. DEPARTMENT OF
INSURANCE WILL STUDY PASSED
EXTREME HEAT EVENTS ARE
DETERMINED TO GET THE
EFFECTIVENESS OF INSURANCE
COVERAGES AND EVALUATE INSURANCE
GAPS. AMONG RACIAL AND
SOCIOECONOMIC GROUPS AND
RECOMMENDATIONS FOR INSURANCE
SOLUTION FOR MITIGATING GUARD
HERE RIGHT. CDPH INCORRECT THREE
HUNDRED SIX NINE THOUSAND
DOLLARS AND SHE POSITION AND
PROMOTE THIS. THE CITY PETEREL
IS TO TECHNICAL CENTER SUBJECT
MATTER EXPERTISE TO TELL PA AND
OTHER CORE AGENCIES DURING THE
BALLOT PRESS OF THE X. HEAT
RANKING. TO PROVIDE TECHNICAL
ASSISTANCE TO OCCUR. IN
DEVELOPING UP COMMUNICATION FOR
THIS IS AND OUT PLAN FOR
REACHING THE BIRTH VULNERABLE
PART. MOST AT RISK. FOR HEALTH
AND OF EXTREME IT BACK. WE WILL
ALSO MEMBERS EXISTING. WITH
LOCAL DEPARTMENTS AND TRIBE
ENTITIES THAT WE PUT. TO PROVIDE
INPUT TO THIS AND TO. HELP THEM
BE REACHED WITH THE HE WARNINGS
. WILL ALSO I CARP DEVELOP
RECKON. TO LOCAL GOVERNMENT
REGARDING UP FOR AND ORIGINALLY
MEASURE THAT CAN BE LINKED TO
THE EXTREME HEAT BREAKING UP AND
IDENTIFIED THE RIGHT SYSTEM WITH
OTHER STATES WIDE X. HEAT.
POLICY. AND THE RESEARCH WILL
CAN AND YOU HISTORICAL AND-
DEPARTMENT DATA OF THE
TEMPERATURE AT WHICH THERE HAVE
BEEN HELPING. AND FOR- MOTHER
POPULATION EXPIRY. LOS
DISPROPORTIONATE HEALTH. FOR
EVERY CENSUS TRACT IN THE STATE
AND WE WILL PROVIDE A RESULTS TO
THE OFFICE AND ARE HEALTH HAZARD
THAT KELLY. TO THE HEAT BASED
WORD TOOL AT.
OPEN AND MOVE ON TO ISSUE NUMBER
FOUR AS RELATES TO S. B. EIGHT
FIVE FIVE. HI PTEROSTICHINAE
DOMINIC AND I'LL BE PRESENTING
ISSUE NUMBER FOUR. DOWNING IS A
LEADING CAUSE OF UNINTENTIONAL
INJURY RELATED DEATH AMONG
CHILDREN AGED ONE THROUGH FOUR
IN CALIFORNIA. CHILDHOOD
DROWNING PREVENTION EFFORTS
REQUIRE QUALITY DATA HOWEVER
EXISTING DATA SYSTEMS ON TOP
CHILDHOOD JOURNEY EITHER DO NOT
CONTAIN CRITICAL INFORMATION ON
THE DROWNING CIRCUMSTANCES OR
ARE NOT COLLECTED CONSISTENTLY
AND COMPLETELY ACROSS THE STATE.
SEE PAGES REQUESTING A ONE POINT
EIGHT MILLION DOLLAR ALLOCATION
TO ESTABLISH AND ADMINISTER A
THREE YEAR CHILDHOOD DROWNING
DATA COLLECTION PILOT PROJECT T.
PH WILL COLLABORATE WITH FIVE TO
TEN COUNTIES PUBLISHES
STANDARDIZED ELECTRONIC FORM FOR
THE COUNTIES TO USE WHEN
REPORTING DROWNING STATISTICS
DEVELOPED IN CONSULTATION WITH
OUR STATE ADVISORY GROUP. AND
THE NATIONAL CENTER FOR FATE
FATALITY REVIEW AND PREVENTION
WILL SUBMIT A PROGRESS REPORT
AND A FINAL REPORT TO THE
LEGISLATURE AND WILL PUBLISH A
CALIFORNIA Y. WATER SAFETY
ACTION PLAN FOR CHILDREN. OPEN
FOR QUESTIONS THANK YOU SO MUCH
AND HAVE ANY QUESTIONS. CENTER
I'D LIKE TO MAKE THE I.
EVERYTHING IS VERY HOT SO LOT OF
KEY SWIMMING PLACES THEY MAYBE
SHOULDN'T SO WHEN LOOK AT- THREE
DROWNING MAYBE LOOK ALSO LOOKING
AT THE WATER QUALITY AND I'M
THINKING SPECIFICALLY OF THE
DELTA WORK KIDS GET IN EVEN WHEN
ALGAE BLOOMS HIGH- BECAUSE IT'S
SO HOT AND OFTEN END UP.
DROWNING SORT OF WE CAN TIE YOU
NEED THOSE THINGS TOGETHER BUT
THE WHAT WATER QUALITY THAT KIDS
ARE DROWNING IN AS WELL AS JUST
THE INABILITY TO SWIM. THANK YOU
WHICH IS A KEY THING COULD
DEFINITELY SWEET. THANK YOU
SENATOR. LA ONLY COMING OUT WITH
NO CONCERN WITH THE PROPOSAL.
FROM FIND DETAILS HORRIFYING
SOMETHING FOR THE HEAD. THANK
YOU SO MUCH WE'RE GOING TO HOLD
THIS ITEM OPEN WE WANT TO ISSUE
NUMBER FIVE AS IT RELATES AB SIX
THIRTY. BE PRESENT IN THE SENATE
WELL. ASSEMBLY ASSEMBLY MRS LACK
OF L. PABLO RESTROOMS FOR THEIR
CUSTOMERS THEREBY LEADING TO
INSTANCES OF PEOPLE WITH MEDICAL
CONDITIONS WHO REQUIRE AN
IMMEDIATE RESTROOM BEING DENIED
ACCESS TO AN AVAILABLE EMPLOYEE
ONLY RESTROOM. THE RESTROOM
ACCESS ACT EXPANDS ACCESS TO
BUSINESS EMPLOYEE ONLY
RESTROOMS. FACILITIES TO THOSE
WITH ELIGIBLE MEDICAL CONDITIONS
WHEN A PUBLIC RESTROOM IS NOT
AVAILABLE ON. C. PH IS
REQUESTING NINE POSITIONS AND
ONE POINT FOUR MILLION FROM THE
GENERAL FUND. TO CREATE A NEW
PROGRAM TO IMPLEMENT AND PROVIDE
OVERSIGHT. FOR THE RESTROOM
ACCESS ACT. THE PAGE WOULD
PROBABLY READY. AND PERFORM
OVERSIGHT AND MONEY OF
INVESTIGATIONS. WE WOULD SUPPORT
THE PROGRAM IMPLEMENTATION
PROVIDE. STATE WIDE REVIEW OF
VIOLATION COMPLAINTS CONDUCT
INVESTIGATIONS COLLECT FINES AND
CIVIL LIABILITY PENALTY UP TO
ONE HUNDRED DOLLARS FOR EACH
VIOLATION. CONNECTED PROCESS
COMPLIANCE AND ESTABLISH AND
MAINTAIN A DATABASE TO COLLECT
VIOLATION DATA. FOR THE PURPOSE
OF CONDUCTING ANALYSIS AND
PROGRESS TOWARD THE SHARE
PROGRAM GOALS REALLY SO THAT
WERE MAKING SURE THAT THE
BUSINESSES UNDERSTAND. THE NEW
LEGAL OBLIGATIONS. QUESTION
QUICK QUESTION I'M RELATED TO
THE STATEWIDE- DATA COMPLAINTS
TO BE ON THE WEBSITE- NO THIS
WOULD BE FOR OUR PURPOSES TO BE
ABLE TO SAY LIKE IF YOU SEE AN
AREA WHERE SEE THERE'S A LOT OF
BUSINESSES THAT ARE IN NON
COMPLIANT THAT MEANS MAYBE THEY
NEED MORE OUTREACH TO UNDERSTAND
THE LAW. SO IT'S REALLY FOR
ASTON ALSO THERE'S NO COMPONENT
FOR SOMEONE WHO GOES INTO A
BUSINESS AND THEY WERE DENIED
AFTER SHOWING A CARD. HOW THEY
WOULD FOR A FIGHT RIGHT THE FORM
WOULD BE ON THE PHONE THE
COMPLAINT FORM WOULD BE ONLINE
FOR AND THEN THEY WOULD BE ABLE
TO THANK YOU YEAH. THE NEW. I
JUST WONDER IF- THIRD SOMEWHERE
IN THE FUTURE NOT NOW BUT TO
INVOLVE THE LOCAL JURISDICTIONS
THAT HAVE THE ABILITY TO PERMIT
AND- INSPECTION FACILITIES TO
PROVIDE A NOTICE AT THE TIME THE
SOMEBODY'S PERHAPS OPENING A
BUSINESS IN A NEW FACILITY. TO
MAKE THEM AWARE OF THIS
PARTICULAR REQUIREMENT WHEN THEY
MAY NOT HAVE A RESTROOM. IN THE
PLANS THAT ARE APPROVED FOR
WHATEVER REASON DOES THAT MAKE
SENSE. YET WE CAN CERTAINLY M.
DO THAT AS PART OF OUR OUTREACH
TO BUSINESSES BECAUSE PEOPLE
HAVE PLANNED OUT REACH TO
BUSINESSES AND WE CAN PUT THAT
ON OUR WEBSITE WE DO IT WITH
RESPECT IN FACT WE'RE- PLANNING
TO UPGRADE OUR NOTICE TO IT
WHICH IS BACK. TO ADA COMPLIANCE
ON THE ACCESS ISSUES. THE NOTICE
IT'S DELIVERED TO A BUSINESS
OWNERS. AT THE AT THE POINT OF
THE TRANSACTION LOCAL
JURISDICTIONS WHICH IS THE
BUILDING DEPARTMENT PLANNING
DEPARTMENT WE WILL DO THE SAME
THING. WITH THIS AS WELL NOT
THAT THEY NEED TO. PUT A
RESTROOM MEN BUT TO NOTIFY THEM
THAT IF THEY HAVE A- RESTROOM IS
NOT OPEN TO THE PUBLIC THEY NEED
TO COMPLY WITH THIS PARTICULAR.
STATUTE YEAH THAT MAKES
SUGGESTIONS THANKS. FOR BECAUSE
IN IRAQ LA ONLY COMING. BALLOONS
EARLIER- WE HAVE NO COME ON THIS
IS. ON OFFENSE BILLS FINANCE
SOMETHING FOR TO ADD. THANK YOU
SO MUCH WE'RE GONNA HOLD THIS
ITEM OPEN TO MOVE ON ISSUE
NUMBER. SIX HELLO MY NAME IS
RICHARD ONLY IN THE DIVISION
CHIEF FOR THE- TO SCREENING. I'M
PERSONALLY TALKING ABOUT OUR- HI
IS A BRIEF BACKGROUND- TDS PEAS
FOR OR THE GENETICS. TESTING FUN
. HE T. F. AS PRIMARILY SUPPORT
BY TWO PRO. AMANDA CALIFORNIA
NEWBORNS PRO. FOR AN B. S. FOR.
AND ARE STATEWIDE VOLUNTEER TELL
. PRENATAL PROGRAM ALSO AS PIANO
BROKE. KONCEPT TWENTY TWENTY.
DSP LAUNCHED A RE. PNS BY MAKING
SELF DNA SCREENING ALSO KNOWN AS
C. F. PNA OR AND I. P. T.
AVAILABLE FOR DOWN SYNDROME AND
OTHER CONDITIONS. THIS MAJOR
CHANGE HAS AFFECTED OUR
ESTIMATED REVENUES AND
EXPENDITURES. OUR TOTAL BUDGET
EXPENDITURES FOR TWENTY TWENTY
THREE TWENTY FOUR PROJECTED AT
ABOUT A HUNDRED AND EIGHTY FOUR
MILLION DOLLARS. WHICH
REPRESENTS AN INCREASE OF ABOUT
ELEVEN MILLION. PRIMARILY AS A
RESULT OF INCREASES RELATED TO
OUR TWENTY TWENTY THREE TWENTY
FOUR- P. C. P. R. WHICH WILL BE
TALKING ABOUT IN A MINUTE. AND
ALSO ACCOUNTING FOR A FULL YEAR
OF CFTR NAY PRENATAL SCREENING
COSTS. OUR COMBINED NDS AND
PIANIST REVENUE PROJECTIONS FOR
TWENTY THREE TWENTY FOUR R. ONE
HUNDRED AND SEVENTY NINE MILLION
DOLLARS. WHICH IS AN INCREASE OF
ALMOST FIVE MILLION PRIMARILY
DUE TO. CHANGES AND PREDICTABLE
BILLABLE CASELOAD FOR A FULL
YEAR OF- CFT IN THE SCREENING.
THE NEW FEE STRUCTURE FOR
PRENATAL SCREENING WITH SEPARATE
BILLING FOR CFTO NAY. AND RURAL
TO DEFECT SCREENING AND
RESULTING INCREASES AND BILLABLE
CASELOADS- BEFORE MOVING ON TO
DISCUSS TO BE SUPERIOR TO ANY
QUESTIONS ABOUT THE ESTIMATE.
THE QUESTION. NO RICHARD NO
QUESTION. OKAY THANK YOU BERMAN
BONTA DISHES SEVEN NONE OF THE
FOUR LA- DID YOU HAVE ANY. WE
HAVE NO COMMENTS ON THE REST THE
FIRM OF FINANCE INTEL'S HARBOR
FINANCE FOR THE DEATH. WE'RE
GOING TO HOLD ITEM OPEN RICHARD
YOU CAN MOVE TO ISSUE NUMBER
SEVEN. THANK YOU. SO SEVEN IS
CAN. NEWBORN SCREENING EXPANSION
DID PCP. ARE JUST AS BRIEF
BACKGROUND ABOUT THE EXPANSION
IN AUGUST TWENTY TWENTY TWO-
NEWBORN SCREENING FOR A
CONDITION KNOWN AS EMPTY AS TO
WHO WAS ADDED TO THE FEDERAL
RECOMMENDED UNIFORM SCREENING
PANEL OR RUSS. AND IN JANUARY
TWENTY TWENTY THREE. ANOTHER
CONDITION CAMP DEFICIENCY WAS
ADDED TO THE FEDERAL ROSS.
HIDEOUS P. HAS A STATUTORY
OBLIGATION TO BEGIN SCREENING
WITHIN TWO YEARS AFTER
CONDITIONS ARE ADDED TO THE
ROSTER. STORY DEADLINE FOR
ADDING AND PS TWO TO THE
CALIFORNIA AND U. S. PANEL IS
AUGUST TWENTY TWENTY FOUR AND
FOR EXAMPLE FOR INSTANCE HE HAS
JANUARY TWENTY TWENTY FIVE. SO
FOR THOSE PCP WERE REQUESTING A
THREE POINT FIVE MILLION DOLLARS
FOR IMPLEMENTATION COSTS IN.
TWENTY TWENTY THREE TWENTY
TWENTY FOUR. AS WELL AS FUTURE
ONGOING FUNDING. BOTH OF THESE A
NEW DISORDERS WILL REQUIRE
LABORATORY DEVELOPED TESTING AT
THE CITY PH RICHMOND LABORATORY
CAMPUS AS WELL AS FOLLOW UP. SO
FIRST THE NEW EQUIPMENT REAGENTS
AND CONSUMABLES WILL NEED TO BE
PROCURED. AND SECONDLY OUR
INFORMATION SYSTEMS WILL NEED TO
BE UPDATED TO ACCOMMODATE
RESULTS REPORTING AND SPECIAL
CARE CENTER REPORTS ABOUT SCREEN
POSITIVE CHILDREN. WE REQUESTED
FOR PERMANENT POSITIONS TO
IMPLEMENT AND CONTINUE A ROUTINE
SCREENING. AND FOLLOW UP FOR NPS
TO ENGINE PROFICIENCY. WHICH HAS
PROJECTED STATE OPERATION COSTS
OF ONE POINT TWO MILLION AND
TWENTY TWENTY THREE TWENTY FOUR
AND I'M GOING COSTS AFTER THAT.
IF YOU HAVE ANY QUESTIONS. NO
QUESTIONS ON MY END. HELLO WE
HAVE NO CONCERNS WITH THIS
PROPOSAL DEPARTMENT FINANCE IF
MALES FINANCE NOTHING FURTHER TO
ADD. THANK YOU SIR WE'RE GOING
TO HOLD THE AND I'M OPEN TO MOVE
ON TO ISSUE NUMBER EIGHT. WOMEN
AND CHILDREN PROGRAM WAKE. WE.
TRAINER'S ON ZOOM. WILLIAM WELCH
. GOOD MORNING. SHE SAID MY NAME
IS WILLIAM WELCH I AM THE
ASSISTANT DIVISION CHIEF OF
OPERATIONS FOR THE WEEK
DIVISION. AND I'LL BE SITTING IN
FOR CHRIS HOLDEN WICKS DIVISION
CHIEF CHRIS OUT OF THE OFFICE.
AND ALSO JOINED BY KATHRYN LOPEZ
ASSISTANT DIVISION CHIEF OF
SERVICES SHOULD THERE BE ANY
QUESTIONS. THANK YOU FOR THE
OPPORTUNITY TO PROVIDE A BRIEF
OVERVIEW OF THE WAKE NOVEMBER
ESTIMATE PACKAGE. THE SUB
COMMITTEE HAS REQUESTED A
RESPONSE TO THE FOLLOWING TWO
ITEMS NUMBER ONE PLEASE PROVIDE
A BRIEF OVERVIEW OF THE CASELOAD
AND EXPENDITURE CHANGES FOR THE
WICK PROGRAM. AND NUMBER TWO
PLEASE PROVIDE AN UPDATE ON
PARTICIPATION IN THE PROGRAM AS
A PERCENT OF ELIGIBLE
INDIVIDUALS AND THE STATE. FOR
ITEM NUMBER ONE WEEK ESTIMATES
AN INCREASE IN EXPENDITURES OF
MORE THAN TWO HUNDRED MILLION
DOLLARS IN CURRENT AND BUDGET
YEARS WITH ABOUT HALF OF THE
INCREASE TO THE EXTENSION OF THE
FRUITS AND VEGETABLES BENEFIT
INCREASE. AND HALF DUE TO
INCREASES IN INFLATION AND
PARTICIPATION. THIS INCREASE
BRINGS TOTAL EXPENDITURES FOR
FOOD TO NINE HUNDRED TWENTY ONE
MILLION DOLLARS IN CURRENT YEAR
AND NINE HUNDRED FORTY FOUR
MILLION DOLLARS IN BUDGET YEAR.
FOOD EXPENDITURES ARE COVERED BY
FEDERAL REVENUE. AND FORMULATE
REBATE REVENUES. THE FRUITS AND
VEGETABLE BENEFIT INCREASE WAS
INITIATED IN THE SUMMER OF
TWENTY TWENTY TWO I'M SORRY
TWENTY TWENTY. AS A TEMPORARY
MEASURE AND HAS BEEN EXTENDED
WITH EACH FEDERAL BUDGET
APPROVAL. USDA RELEASED PROPOSED
REGULATORY CHANGES IN NOVEMBER
TWENTY TWENTY TWO THAT WOULD
MAKE THE INCREASE PERMANENT. IN
NOVEMBER ESTIMATE INCLUDES
PROJECTIONS OF MORE THAN NINE
HUNDRED FORTY THOUSAND
PARTICIPANTS EACH MONTH WHICH IS
A SMALL INCREASE OVER THE
PREVIOUS ESTIMATE. IN RESPONSE
TO THE SECOND QUESTION REGARDING
THE PERCENTAGE OF ELIGIBLE
INDIVIDUALS AND THE STATE. IN
JANUARY OF THIS YEAR USDA
RELEASED ITS LATEST EARTHQUAKE
PROGRAM REACH COVERAGE REPORT.
USING DATA FROM TWENTY TWENTY.
USDA ESTIMATED THAT NATIONALLY
WICKS SERVED 50% OF ITS ELIGIBLE
POPULATION IN TWENTY TWENTY WELL
CALIFORNIA SERVED 65% OF ITS
ELIGIBLE POPULATION. NO OTHER
STATE HAS A HIGHER WEEK COVERAGE
RATE OR HIGHER NUMBER OF QUICK
PURSED HIS OPPONENTS IN
CALIFORNIA. I KNOW THAT THIS
REPORT USDA. MADE MODIFICATIONS
TO ITS METHODOLOGY AND THEY
UPDATED THEIR ESTIMATES FOR
PRIOR YEARS. WE WILL MODIFY OUR
LANGUAGE ACCORDINGLY AND THEN
MADE REVISIONS. THANK YOU AGAIN
FOR THE OPPORTUNITY TO RESPOND
TO THE SUBCOMMITTEE'S QUESTIONS
ON WICKS NOVEMBER ESTIMATE
PACKAGE. THE MISSUS SUBCOMMITTEE
HAVE ANY ADDITIONAL QUESTIONS.
THANK YOU MISTER RAJ I DON'T
HAVE ANY COMMENTS SENATORS.
ALIONA COMMENT. WOUNDS EARLIER
WE HAVE NO COMMENTS ON THE
ESTIMATE DEPARTMENT OF FINANCE
AND MELSHEIMER FINANCE NOTHING
FURTHER TO ADD PERFECT THANK YOU
WE'RE GONNA HOLD ITEM OPEN AND
MOVE ON TO ISSUE NUMBER NINE AS
IT RELATES TO AB THREE FIVE ONE
.
GOOD MORNING. I'M AARON KLEIN
AND THE ACTING DEPUTY DIRECTOR
FOR THE CENTER FOR ENVIRONMENTAL
HEALTH. AND I'M GONNA BE TALKING
ABOUT AB THREE FIFTY ONE. SO
THIS IS A GENERAL FUND INCREASE
REQUEST OF THREE HUNDRED AND
FIFTY SEVEN THOUSAND AND ONE
POSITION IN TWENTY THREE TWENTY
FOUR TO IMPLEMENT AB THREE FIFTY
ONE. WHICH REQUIRES CITY PH TO
ADOPT RULES AND REGULATIONS
PRESCRIBING THE CENTERS FOR
HUMAN REDUCTION CHAMBERS TO
ENSURE THE DESTRUCTION OF
PATHOGENIC MICRO ORGANISMS. WE
WILL ALSO NEED TO CONTRACT WITH
A SUBJECT MATTER EXPERT. FOR THE
AREA SELF EFFICACY FOR TESTING
FOR HUMANS PROTECTION FOR HUMAN
PROTECTION CHAMBERS IN
MICROBIOLOGY COMPOSTING SOIL
SCIENCE AND HAZARDOUS MATERIALS.
HAPPY TO TAKE ANY QUESTIONS YOU
MAY HAVE. NO NO NO QUESTIONS ON
THIS. SENATOR. A LA OWNING IT
WITH NO GUNS WITH THIS.
DEPARTMENT FINANCE ENTER TO OF
FIVE NOTHING FURTHER TO GREAT
THANK YOU SO FOR THE WHOLE ADAM
OPEN IN THE ON TO THE ISSUE.
ISSUE NUMBER AS IT RELATES TO A
TWENTY NINETY LOCAL OKAY THAT'S
ME I. SO THIS IS A GENERAL FUND
OF A HUNDRED NINETY THREE
THOUSAND AND ONE POSITION AND
FOR YEAR TWO THREE TO FOUR TO
IMPLEMENT THE- OF AB TWENTY TWO
NINETY EIGHT. TO ADOPT NEW
REGULATIONS FOR WAY BASINS
RELATED TO SANITATION AND SAFETY
THAT MAY BE BASED ON A PUBLIC
SWIMMING POOLS REQUIREMENTS BUT
CONSIDERED THE UNIQUE
CHARACTERISTICS OF A WAVE BASIN.
AND WHITE FACES ARE A NEW TYPE
OF WATER RECREATIONAL VENUE THE
POST SOME UNIQUE PUBLIC HEALTH
CHALLENGES. DUE TO THE VOLUME OF
THE WATER THE CHEMICAL
DISINFECTION DISPERSION THE
MAGNITUDE OF THE WAY FACTION AND
THE SIZE OF A TYPICAL WHITE
BASIN WHICH CAN HAVE A CAPACITY
OF SEVEN MILLION GALLONS- HAPPY
TO ANSWER ANY QUESTIONS YOU MAY
HAVE. DEFINITELY NOT BUT WHEN I
HEARD OF THIS I PUT IT ON ON MY
TO DO LIST TO GET ONE OF THESE.
EDITORS IN THE COMMONS QUESTIONS
LEONE. I HAVE NO CONCERNS WITH
THIS PROPOSAL DEPARTMENT OF
FINANCE. DEPARTMENT OF FINANCE
NOTHING FURTHER CASH THEN YOU'RE
GOING TO HOLD THIS ITEM OPEN AND
MOVE ON TO ISSUE NUMBER ELEVEN
AS RELATES TO AB SEVENTEEN OH
FOUR. SO THAT'S ME ALSO. THE
ONE- THIS IS A ONE TIME GENERAL
FUND INCREASE. OF FOUR HUNDRED
TWENTY FIVE THOUSAND AND FISCAL
YEAR TWENTY THREE TWENTY FOUR TO
IMPLEMENT THE PROVISIONS OF AB
SEVENTEEN OH FOUR WHICH REQUIRE
CITY PH TO ISSUE A NEW LIMITED.
PODIA ETTRICK RADIOGRAPHY PERMIT
. AND THIS WILL ALLOW A MEDICAL
ASSISTANT TO PERFORM X. RAYS
ONLY OF THE FOOT AND THE ANKLE
AREA. IN A PODIA ETTRICK OFFICE
SAID IN. THIS REQUEST IS TO
CONFIGURE OUR EXISTING.
LICENSING DATABASE FOR THIS NEW
PERMIT TYPE. HAPPY TO ANSWER ANY
QUESTIONS NO QUESTIONS CENTERS
ANY QUESTIONS ON THIS ONE. L. A.
O. ANY COMMENTS NO CONCERNS WITH
THIS PROPOSAL. DEPARTMENT
FINANCING EARLY DEPARTMENT OF
FINANCE NOTHING FURTHER TO ADD
RETHINK YOU'RE GOING TO HOLD THE
ITEM OPEN TO MOVE ON TO ISSUE
NUMBER TWELVE. WE'RE GOING TO GO
BACK TO ZOOM. NOPE WE HAVE
SIMPLE. YEAH NEVER MIND.
HI GOOD MORNING MY NAME'S CASSIE
DONE AMONG THE DEPUTY DIRECTOR
OF CENTER FOR HEALTH CARE
QUALITY AT DEPARTMENT OF PUBLIC
HEALTH AND I'M JOINED HERE WITH
MY COLLEAGUE MICHELLE BELL WHO
IS OUR DIVISION CHIEF OF OUR
INTERNAL OPERATIONS. SO GENERAL
OVERVIEW OF THE CENTER FOR
HEALTH CARE QUALITY- WE HAVE THE
RESPONSIBILITY FOR REGULATORY
OVERSIGHT OF LICENSED HEALTH
CARE FACILITIES AND HEALTH CARE
PROFESSIONALS- IN ASSESSING THE
SAFETY EFFECTIVENESS AND HEALTH
CARE QUALITY FOR ALL
CALIFORNIANS. THE CENTER FOR
FILLS THIS ROLE BY CONDUCTING
PERIODIC INSPECTIONS AND
COMPLAIN ABOUT DIVISIONS AT
HEALTHCARE FACILITIES IN
PROVIDER AGENCIES TO DETERMINE
COMPLIANCE WITH APPLICABLE STATE
AND FEDERAL LAWS AND REGULATIONS
THE PROGRAM IS ORGANIZED INTO
FOURTEEN DISTRICT OFFICES THAT
INCLUDES A PARTNERSHIP WITH LOS
ANGELES COUNTY. WHICH OPERATES
UNDER CONTRACT- WITH THE CENTER
THE CENTER FOR HEALTH CARE
QUALITY LICENSES AND CERTIFIES
OVER FOURTEEN THOUSAND HEALTH
CARE FACILITIES AND AGENCIES IN
CALIFORNIA. IN THIRTY DIFFERENT
OF LICENSURE AND CERTIFICATION
CATEGORIES. IN ADDITION THE
CENTER OVERSEES THE
CERTIFICATION OF NURSE
ASSISTANTS HOME HEALTH AIDES AND
HEMODIALYSIS TECHNICIANS AS WELL
AS THE LICENSING OF NURSING HOME
ADMINISTRATORS. THE CENTER ALSO
HOSTS THE HEALTHCARE SAYS IT
INFECTIONS PROGRAM WHICH
OVERSEES THE PREVENTION
SURVEILLANCE AND REPORTING OF
HEALTHCARE ASSOCIATED
INFECTIONS. AND ANTI MICROBIAL
RESISTANCE IN CALIFORNIA
HOSPITALS AND OTHER HEALTH CARE
FACILITIES. THE MAJORITY OF THE
CENTER IS FUNDED BY THE STATE
DEPARTMENT OF PUBLIC HEALTH
LICENSING AND CERTIFICATION FUND
WHICH IS SUPPORTED BY LICENSING
FEES COLLECTED FROM REGULATED
HEALTH CARE FACILITIES AND
PROVIDERS THROUGHOUT CALIFORNIA.
THE U. S. DEPARTMENT OF HEALTH
AND HUMAN SERVICES CENTERS FOR
MEDICARE AND MEDICAID SERVICES
ALSO WARDS FEDERAL GRANT MONIES
TO THE CENTER TO CERTIFY THAT
FACILITIES ACCEPTING MEDICARE
AND MEDICAID PAYMENTS. MEET
FEDERAL REQUIREMENTS ADDITIONAL
FUNDING INCLUDES REIMBURSEMENTS
ASSOCIATED WITH INTERAGENCY
AGREEMENTS WITH DEPARTMENT
HEALTH CARE SERVICES AND GENERAL
FUND WHICH SUPPORTS SURVEY
ACTIVITIES AND STATE OWNED
OPERATED AND OPERATED FACILITIES
. I'D LIKE TO SPEAK NOW BRIEFLY
TO THE CENTER'S PERFORMANCE OVER
THE PAST YEAR OF THE CENTRALIZED
APPLICATION BRANCH WHICH REVIEWS
ANALYZES AND EVALUATES REQUEST
FOR FACILITY LICENSURE. AND OR
CERTIFICATION OR PROCESSES OTHER
LICENCES ASSOCIATED TRANSACTIONS
SUBMITTED BY FACILITY PROVIDERS
AS OF QUARTER TWO OF TWENTY TWO
TWENTY THREE. THE BRANCH HAD
RECEIVED OVER SEVEN THOUSAND
FIVE HUNDRED APPLICATIONS AND
PROCESS NEARLY SIX THOUSAND OF
THOSE. THE BRANCH PROCESSED OVER
A THOUSAND APPLICATIONS
REQUIRING AN ONSITE LICENSURE
SURVEY- WITHIN THAT SAME TIME
FRAME. IN QUARTER 272% OF
APPLICATIONS REQUIRING A
LICENSING SURVEY WERE COMPLETED
WITHIN FORTY FIVE DAYS WHICH IS
THE HIGHEST RATE SINCE PRIOR TO
COVER NINETEEN. AS OF DECEMBER
202280% OF LONG TERM CARE
COMPLAINTS ARE BEING COMPLETED
WITHIN THE SIXTY DAY MANDATORY
REQUIRED TIME FRAME. WELL FINAL
JANUARY TWENTY TWENTY THREE DATA
IS NOT YET AVAILABLE CURRENT
PROCESS PROGRESS INDICATES A
COMPLIANCE RATE OF ROUGHLY 85%
79% IN SEPTEMBER OCTOBER AND
NOVEMBER OF TWENTY TWENTY TWO-
WHICH IS UP 61% QUARTER TO OF
FISCAL YEAR TWENTY ONE TWENTY
TWO. IN THE PERIOD- SINCE JULY
ELEVENTH TWENTY TWENTY TWO
THROUGH DECEMBER TWENTY TWENTY
TWO SEASON THE CENTER.
INVESTIGATED AND COMPLETED AND
CLOSED SIX THOUSAND FIVE HUNDRED
AND EIGHTY SIX COMPLAINTS. THE
CENTER IS COMPLETED 81% OF ITS
BACKLOG COMPLAINTS THAT EXISTED
AS OF JULY ELEVENTH TWENTY
TWENTY TWO. THE CENTER HAS
REDUCED THE NET BACKLOG BY
APPROXIMATELY TEN THOUSAND
COMPLAINTS SINCE APRIL OF TWENTY
TWENTY ONE. ONLY NINE HUNDRED
AND THIRTY THREE LONG TERM CARE
COMPLAINTS REMAIN IN OUR BACKLOG
MEANING OLDER THAN SIXTY DAYS AS
OF MARCH SEVENTEENTH TWENTY
TWENTY THREE. DURING CALENDAR
YEAR TWENTY TWENTY TO THE CENTER
COMPLETED JUST OVER FORTY SEVEN
THOUSAND UNIQUE ON SITE
INSPECTIONS AND INVESTIGATIONS.
AND CONTINUES ITS EFFORTS TO RE
ESTABLISH ROUTINE SERVICE CYCLES
WHILE PRIORITIZING ATTENTION ON
RESOLVING THE REMAINING BACKLOG
. AS OF FEBRUARY TWENTY THREE.
TWENTY TWENTY THREE THE CENTER'S
OVERALL VACANCY RATE IS SIXTEEN
POINT 4% WHICH INCLUDES A
FIFTEEN POINT 9% BIG CAN SEE.
RATE FOR OUR HEALTH FACILITY
EVALUATOR NURSES WHICH IS AN
INCREASE OF ROUGHLY THIRTEEN
PERCENTAGE POINTS OUT SINCE THE
BEGINNING OF THE PANDEMIC. IN
TWENTY TWENTY. OF LOS ANGELES
COUNTY OUR PARTNERS AND LOS
ANGELES COUNTY THEIR SURVEY OR
VACANCY RATE IS TWENTY SEVEN
PERCENT. WHICH IS AN INCREASE OF
19% SINCE FISCAL YEAR NINETEEN
TWENTY. THIS COMBINED INCREASES
DUE IN PART TO NEWLY AUTHORIZED
POSITIONS BUT ALSO BECAUSE OF
INCREASED RETIREMENTS AND
SEPARATIONS. THE CENTERS A NURSE
SURVEYORS PLAY AN ESSENTIAL ROLE
IN THE CENTER'S ACTIVITIES. TO
ADDRESS THIS CRITICAL ISSUE THE
RECRUITMENT AND RE. RECRUITMENT
OUTREACH AND ONBOARDING UNIT
WITHIN THE CENTER HAS
IMPLEMENTED NEW RECRUITMENT
EFFORTS. THE SURVEYOR SURVEYOR
SHORTAGES NOT LIMITED TO
CALIFORNIA BUT IS ALSO AFFECTING
OTHER STATES ACROSS THE NATION
IT IS BECOME INCREASINGLY
CHALLENGING TO COMPETE FOR
REGISTERED NURSES. GIVEN THE
EXPONENTIALLY INCREASING DEMAND
AND SALARIES AND DIRECT HEALTH
CARE SETTINGS AND AMONG THIS
LIMITED CLINICAL WORK FORCE.
ADDED TO THE DEMANDING NATURE OF
THE SURVEY AN INVESTIGATIVE
ACTIVITIES THAT THE CENTER IS
RESPONSIBLE FOR. THE CENTER IS
EXPLORING OPPORTUNITIES TO
DIVERSIFY THE CLASSIFICATION
MAKE UP OUR FIELD OPERATIONS
SURVEYORS TO INCLUDE
PROFESSIONALS WHO MIGHT NOT BE
REGISTERED NURSES BUT CAN
COMPLEMENT THE NURSE SKILL SETS.
AND ALLOW OUR NURSERY IS TO
FOCUS ON ELEMENTS OF THE JOB
THAT REQUIRE THEIR CLINICAL
EXPERTISE. THE CENTER HAS MADE
SIGNIFICANT PROGRESS TOWARDS
RESTORING NORMAL OPERATIONS AS
THE STATE. CONTINUES TO RECOVER
FROM THE PUBLIC HEALTH
EMERGENCY. FOR STAFFING
CHALLENGES ARE LIKELY TO REMAIN
GIVEN THE NATIONWIDE NURSING
SHORTAGE THE CENTER IS
DEVELOPING AND IMPLEMENTING
STRATEGIES TO ADOPT AN TO
CONTINUE DELIVERING CRITICAL
LICENSING AND CERTIFICATION
SERVICES. ONGOING RECRUITMENT
ACTIVITIES INCLUDE UTILIZING
SOCIAL MEDIA PLATFORMS SUCH AS
INDEED AND LINKEDIN TO ATTRACT
CANDIDATES. AS WELL AS
PROACTIVELY CONTACTING QUALIFIED
POTENTIAL APPLICANTS INCREASING
ENGAGEMENT AND GUIDING POTENTIAL
COUNTENANCE THROUGH THE COMPLEX
STATE HIRING PROCESS. CDPH
RECENTLY COMPLETED AND- HEALTH
FACILITY EVALUATOR NURSE SERIES
RECRUITMENT CAMPAIGN WITH
INTERVIEWS OCCURRING NOW AND IN
ADDITION R. L. A. COUNTY
PARTNERS RECENTLY HELD TWO JOB
FAIRS AND MADE OFFERS TO MORE
THAN FORTY CANDIDATES THEIR
NURSE SURVEYOR POSITIONS. WHICH
WILL SIGNIFICANTLY REDUCE THE
VACANCY RATE FOR L. A. COUNTY.
ALL PAUSE NOW FOR ANY QUESTIONS
. JUST A QUICK COMMENT
APPRECIATE THE EFFORT WE WERE
MAKING TO GET HIGHER AND HIGHER
IN- REMOVING THOSE CASES UP THE
BACKLOG 82% OF THE COMPLAINTS
ARE BEING MET WITHIN THE TIME
FRAME WHICH IS GREAT. LOOKING
FORWARD TO THAT A PERCENTAGE
GROWING. CENTERS ANY COMMENTS OR
QUESTIONS ON YOUR AND- EARLY ON
A COMMENT. WILL OWN DELAY- WE
HAVE NO COMMENTS ON THE ESTIMATE
DEPARTMENT OF FINANCE. THANK
MALES APARTMENT OF FINANCE
NOTHING FURTHER TO ADD. THANK
YOU SO MUCH. WE'RE GONNA. MOVE
WE'RE TO HOLD THE ANIMAL OPEN
INVITATIONAL. THIRTEEN OKAY
ISSUE THIRTEEN. FACILITATING
PROJECTS TO BENEFIT NURSING HOME
RESIDENTS. CCQ IS REQUESTING AN
INCREASE IN LOCAL ASSISTANCE
EXTINGUISHER THREE YOUR NAME OH
SORRY. MICHELLE BELL ARMY
INTERNAL OPERATIONS DIVISION
CHIEF SECURE- WE'RE REQUESTING
AN INCREASE IN LOCAL ASSISTANCE
EXPENDITURE THIRTY FIVE MILLION
AND TWENTY THREE TWENTY FOUR OF
FIVE MILLION AND TWENTY FOUR
TWENTY FIVE AND THREE MILLION IN
TWENTY FIVE TWENTY SIX. FOR THE
FEDERAL HEALTH FACILITY CITATION
PENALTIES ACCOUNT. CITY PAGES
ALSO REQUESTED PROVISIONAL
LANGUAGE TO EXTEND EXPENDITURE
ENCUMBRANCE AUTHORITY THROUGH
TURN JUNE THIRTIETH TWENTY
TWENTY SEVENTH- CMP FUNDS ARE
PENALTIES THAT ARE COLLECTED
FROM NURSING HOMES WERE FOUND TO
NOT BE IN COMPLIANCE WITH
FEDERAL RIGHT FEDERAL
REGULATIONS. THE FUNDS ARE THEN
REINVESTED TO SUPPORT PROJECTS
TO PROTECT OR IMPROVE THE
QUALITY OF LIFE OF NURSING HOME
RESIDENTS- THIS FUNDING WILL R.
C. PH TO EXECUTE CONTRACTS FOR
CURRENT AND FUTURE MULTI YEAR
PROJECTS IN A TIMELY MANNER.
I DON'T HAVE ANY QUESTIONS OR
COMMENTS CENTERS HELLO ANY
COMMENT WELL WE'VE NO CONCERNS
WITH THIS PROPOSAL DEPARTMENT
FINANCE. DEPARTMENT OF FINANCE
NOTHING FURTHER TO ADD THANK YOU
SO MUCH FOR THAT- THE ANIMAL.
AND MOVE ON TO ISSUE NUMBER
FOURTEEN AS IT RELATES TO AB
FIFTEEN OH TWO. OKAY NURSING
FACILITIES CHANGE OF OWNERSHIP
AND CHANGE OF MANAGEMENT
APPLICATION REQUIREMENTS. EACH
SECURES RESPECT REQUESTING
EXPENDITURE THIRTY OF TWO
HUNDRED EIGHTY SIX THOUSAND AND
TWENTY THREE TWENTY FOUR TWENTY
FOUR TWENTY FIVE AND TWENTY FIVE
TWENTY SIX FROM FUNDS THIRTY
NINETY EIGHT. TO PROVIDE
RESOURCES TO IMPLEMENT THE
PROVISIONS OF AB FIFTEEN OR TWO
. THIS BILL REVISES THE LICENSE
APPLICATION REVIEW AND APPROVAL
PROCESS FOR SNACKS AND FUTURE
SECURE ESTIMATES THAT THE BILL
WILL INCREASE CURRENT PROCESSING
TIMES FOR CHANGE OF OWNERSHIP
AND CHANGE MANAGEMENT
APPLICATIONS. AS SUCH REQUESTING
TO LIMITED TERM H. P. A.'S
THROUGH PERFORM THIS ADDITIONAL
WORKLOAD- HOWEVER IT IS POSSIBLE
THE APPLICATION VOLUMES MAY
DECREASE OVER TIME- BUT IF
EXPANDERS APPLICATION VOLUME
REMAINS CONSISTENT WE MAY SUBMIT
B. C. P. FOR FUTURE IN THE
FUTURE FOR PERMANENT AUTHORITY.
GREAT THANK YOU KNOW QUESTIONS
ON MY END. C. NINE LA ONLY
COMMENT WE HAVE NO CONCERNS WITH
PROPOSAL DEPARTMENT FINANCE.
BILLS PART OF FINANCE NOTHING
FURTHER TO ADD. PERFECT THANK
YOU SO MUCH MICHELLE. GONNA HOLD
ITEM OPEN MOVE ON TO ISSUE
FIFTEEN AS IT RELATES TO THE
TWENTY AB TWENTY SIX SEVENTY
THREE. HOSPICE FACILITY
LICENSURE AND OVERSIGHT BESEECH
THE QUEUE IS REQUESTING THREE
POSITIONS IN TWENTY THREE TWENTY
FOUR AND ON GOING AND NINE
HUNDRED TWENTY SIX THOUSAND AND
TWENTY THREE TWENTY FOUR SEVEN
HUNDRED FIFTY NINE THOUSAND AND
TWENTY FOUR TWENTY FIVE. AND SIX
HUNDRED NINETY EIGHT THOUSAND
AND TWENTY FIVE TWENTY SIX AND
SIX AND FIFTEEN THOUSAND AND
TWENTY SIX TWENTY SEVEN AND I'M
GOING. FROM FUNDS THIRTY NINETY
EIGHT IMPLEMENT THE PROVISIONS
OF THE SPELL. WHICH AFFECT
HOSPICE FACILITIES LICENSING
REQUIREMENTS IN CALIFORNIA. AB
TWENTY SIX SEVENTY THREE
INCREASES EACH SECURES
REGULATORY OVERSIGHT OVER
HOSPICES. THE BILL REQUIRES MORE
STRINGENT REVIEW OF HOSPICE
APPLICATIONS. AND AS SUCH CDPH
IS REQUESTING THE FUNDING
EQUIVALENT OF TWO LIMITED TERM
AG PA'S FOR ONE YEAR AND THE
CENTRALIZED APPLICATIONS BRANCH
TO CONTINUE THIS ADDITIONAL
WORKLOAD. IT'S AND PUT INTO THE
PADDED THAT THE ENFORCEMENT OF
AB TWENTY SIX SEVENTY THREES.
PROVISIONS WILL LEAD TO A
DECLINE IN THE VOLUME OF HOSPICE
APPLICATIONS OVER TIME- THIS
BILL REQUIRES CDPH TO ADOPT
EMERGENCY REGULATIONS TO
IMPLEMENT THE RECOMMENDATIONS OF
THE CSA HOSPICE THOUGHT IT. IN
REQUESTING ONE LIMITED TERM HEPA
FOR THAT WORKLOAD. AND FINALLY
THE BILL ESTABLISHES THE
COMPLAINT PROCESS FOR HOSPICES
AND WE'RE REQUESTING THREE
PERMANENT FULL TIME HEALTH
FACILITY EVALUATOR NURSE
POSITIONS TO PERFORM THIS
WORKLOAD. THANK YOU SO MUCH I
KNOW THIS IS- WORK THAT WE
REALLY WE NEED TO PUT A LINE OR-
WE NEED TO PUT A LIME LIGHT ON
THE SITUATION SO. I'M LOOKING
FORWARD TO GETTING IN. ANYONE
COMMITTING FRAUD OR TRINA
INDIVIDUALS BADLY. OUT OF HERE.
US SENATORS AND INCOMES RUSSIANS
. ALIONA COMMENT NO WE HAVE NO
CONCERNS WITH THIS PROPOSAL
BERMAN FINANCE MALES PHARMA
FINANCE NOTHING FURTHER TO ADD
PERFECT THANK YOU RIHANNA AND
I'M OPEN. TO- THE LAST- ISSUE
WITH THIS DEPARTMENT IT'S ISSUE
SIXTEEN RELATED TO S. B. ONE OH
SEVEN. GENDER HEALTH CARE. ISHI
CARE REQUEST SIX SPANISH
AUTHORITY OF THREE HUNDRED
TWENTY ONE THOUSAND AND TWENTY
THREE TWENTY FOUR TWENTY FOUR
TWENTY FIVE AND TWENTY FIVE
TWENTY SIX FROM FUNDS THIRTY
NINETY EIGHT PROVIDE RESOURCES
TO IMPLEMENT THE PROVISIONS OF
THE SELF. S. B. ONE OH SEVEN MAY
INCREASE MEDICAL BRIDGE
COMPLAINTS BY UP 25% ACCORDING
TO OUR ESTIMATES. AND AS SUCH
REQUESTING FUNDING EQUIVALENT OF
TWO LIMITED TERM SPECIAL
INVESTIGATORS FOR THREE YEARS IN
ORDER TO PERFORM THIS POTENTIAL
ADDITIONAL WORKLOAD. HOWEVER IF
CDPH EXPERIENCES A SIGNIFICANT
INCREASE IN THIS ESTIMATED
WORKLOAD WE MAY SUBMIT A PCP IN
THE FUTURE FOR PERMANENT
PERMANENT POSITION OF AUTHORITY
. PERFECT NO QUESTIONS ON MY END
. THE QUESTIONS- LA ONLY COMMENT
NO CONCERNS WITH THIS PROPOSAL
THE PROPONENTS IN THE CALIFORNIA
FINANCE SOMETHING FURTHER TO
ADD. PERFECT THANK YOU SO MUCH
TO THE DEPARTMENT FURTHER
BASICALLY- AN OVERVIEW
PRESENTATION TODAY. NEXT WE'RE
GOING TO LISTEN. TO ISSUE
SEVENTEEN AND THESE ARE
PROPOSALS FOR INVESTMENTS THOUGH
SUBCOMMITTEE RECEIVED FIVE
PROPOSALS. THAT WERE HAD A
SENATOR SPONSORS AND FIRST WE'RE
GOING TO BE HEARING FROM. LAURA
THOMPSON. WHO'S GONNA. FLOOR. WE
WILL NOT BE PRESENTING. IS LAURA
THOMPSON HERE TO PRESENT ON THE
OVERDOSE PREVENTION AND
TREATMENT NAVIGATION LAURA
THOMAS IS WALKING FROM THE
PARKING LOT- I CAN PRESENT IF
IT'S URGENT I WILL COME BACK TO
THAT WE'RE GOING TO MOVE ON TO
THE NEXT A PROPOSAL HERE THEN IF
MAKE IN A SUPERSIZED HERE. WE'RE
GOING TO MAKE YOU A PERCENT OF
THE CALIFORNIA FIREFIGHTER
CANCER PREVENTION RESEARCH
PROGRAM. PLEASE. I MADE. THANK
YOU MAY CHAIR SENATORS AT MAKE
CONSUMERS WILL BEHALF OF THE
CALIFORNIA PROFESSIONAL
FIREFIGHTERS- CPF ALONG WITH
ASSEMBLY MEMBER GRAYSON ASSEMBLY
MEMBER ROBERT RIVAS AND WOULD
LIKE TO THANK SENATOR DODD FOR
BRINGING IT FORWARD ON THE
SENATE SIDE ARE REQUESTING
TWENTY MILLION DOLLARS ONE TIME-
TO BE ALLOCATED TO THE
CALIFORNIA DEPARTMENT OF PUBLIC
HEALTH. TO WORK WITH FIRE SCOPE
UNDER THE CALIFORNIA OFFICE OF
EMERGENCY SERVICES TO ESTABLISH
A CALIFORNIA FIREFIGHTER- CANCER
RESEARCH AND PREVENTION PROGRAM.
THE GRANTS WOULD BE ALLOCATED
FROM CDPH TO THE UC SYSTEM TO
ELIGIBLE INSTITUTIONS THAT COULD
APPLY. TO CDPH TO CONDUCT
RESEARCH FOR THIS PURPOSE A
CANCER IS THE LEADING CAUSE OF
DEATH AMONG FIREFIGHTERS IN THE
UNITED STATES AND OUR
FIREFIGHTERS ARE EXPOSED TO
KNOWN. MANY KNOWN AND SUSPECTED
CARCINOGENS IN THE LINE OF DUTY
IN JUNE OF TWENTY TWENTY TWO THE
INTERNATIONAL AGENCY FOR
RESEARCH ON CANCER CLASSIFIED
OCCUPATIONAL EXPOSURE AS A
FIREFIGHTER AS A GROUP ONE KNOWN
HUMAN CARCINOGEN. THIS INDICATES
A LARGE BODY OF SCIENTIFIC
EVIDENCE HAS DEMONSTRATED A
CASUAL ASSOCIATION BETWEEN
WORKING AS A FIREFIGHTER AND THE
DEVELOPMENT OF CANCER HERE IN
CALIFORNIA FIREFIGHTERS TO WORK
DILIGENTLY FOR YEARS TO REDUCE-
EXPOSURES TO CARCINOGENS. MANY
THINGS THAT WERE ADOPTED BY THE
LEGISLATURE TO PROTECT
FIREFIGHTERS AND UPDATING THE
PERSONAL PROTECTIVE EQUIPMENT
ELIMINATING THE USE OF TOXIC
FLAME RETARDANTS PHASING OUT THE
USE OF FIREFIGHTING FOAMS THAT
CONTAIN P. FAST HOWEVER. THE
BIOMEDICAL RESEARCH COMMUNITY
DOES NOT HAVE A THOROUGH
UNDERSTANDING OF THE EXPOSURES
AND BIOLOGICAL MECHANISMS THAT
CAUSE THE ELEVATED INCIDENCE OF
CANCER AMONG FIREFIGHTERS.
BUILDING OFF OF RESEARCH
CONDUCTED IN OTHER STATES THIS
PROGRAM WILL BE FOCUSED ON
CALIFORNIA FIREFIGHTERS WHO HAVE
UNIQUE RISKS AND EXPOSURES WHICH
WILL BE KEY TO DEVELOPING DATA
DIFFERENT DRIVEN INTERVENTIONS
INTERVENTIONS DESIGNED TO REDUCE
TOXIC EXPOSURES. AND REDUCE THE
RATES OF CANCER. IN FIREFIGHTERS
AND IMPROVE TREATMENT OUTCOMES.
THIS FUNDING WILL BE USED TO
PROVIDE GRANTS TO ELIGIBLE UC'S
HE WAS THE FIRE SERVICE
COMMUNITY BASED PARTICIPATORY
RESEARCH MODEL TO RECRUIT FIRE
DEPARTMENTS AND FIREFIGHTERS TO
PARTICIPATE. AND THIS AMOUNT OF
FUNDING WILL ALSO ALLOW THE
PROGRAM TO BE CONDUCTED OVER
IDEALLY A FIVE YEAR PERIOD SO WE
CAN TRACK THE CHANGES IN THEIR
DNA METHYLATION OVER THAT PERIOD
OF TIME. AND BE ABLE TO COME TO
SOME USEFUL CONCLUSIONS- AN
IMPACT. BUT THIS RESEARCH FOR
FIREFIGHTERS IN CALIFORNIA AND
SO AT THE APPROPRIATE TIME WE
WOULD URGE YOUR SUPPORT FOR THIS
REQUEST. THANK YOU. MEGAN WHEN
DO WE ANTICIPATE THIS WERE TO GO
THROUGH A WE CAN HAVE SOME DATA
ON THIS. SO GOOD QUESTION- THE
FELLOWS STUDY THAT'S BEEN
CONDUCTED IN THE STATE OF
ARIZONA IT FOCUSES ON A VERY
SMALL COHORT OF FIREFIGHTERS
RIGHT NOW BUT IDEALLY THEY COULD
DO. A BLOOD DRAWS OR URINE
SAMPLES IN YOUR ONE YEAR THREE
AND YEAR FIVE. AND SO BETWEEN
ONE IN YOUR THREE YOU COULD
LIKELY HAVE- BASED ON THE EXPERT
TODAY TALK TO YOU COULD HAVE
SOME. DATA AFTER BETWEEN YEAR
ONE AND YEAR THREE. AND THEN
IDEALLY AFTER YOUR FIVE WHEN YOU
CAN DO SORT OF THAT SECOND GO
AROUND WITH THEIR SAME COHORT OF
FIREFIGHTERS SHE COULD HAVE SOME
REAL IDENTIFIABLE CONCLUSIONS.
CENTERS ANY QUESTIONS. LEONE
COMING ON THIS. WE HAVE NO
COMMENTS ON THIS PROPOSAL.
FINANCING FROM NICK MILLS HEART
OF FINANCE- FINANCES NOT A VALUE
ADDED DISPOSAL SO WE HAVE NO
POSITION ON IT AT THIS TIME.
CREE THANK YOU MEGAN THANK YOU
CAN HOLD ITEM OPEN. DID LARA
MAKE IT. OKAY WE'RE GOING TO
MOVE ON TO THE THIRD ITEM- I'D
LIKE TO- RESUME A WELCOME ALISON
- CARRION TO PRESENT CALIFORNIA
CANCER REGISTRY. THANK YOU.
CHAIR MEMBERS OF THE COMMITTEE
MY NAME IS ALLISON CURRY IN I AM
A PROFESSOR OF MEDICINE AND
EPIDEMIOLOGY AT STANFORD
UNIVERSITY. AND A PRACTICING
ONCOLOGIST SPECIALIZING IN
BREAST CANCER TREATMENT. I AM
PLEASED TO TESTIFY TODAY AND
DISCUSS THE IMPORTANCE OF
PROTECTING FUNDING FOR THE
CALIFORNIA CANCER REGISTRY OR C.
C. R. WHICH IS MANDATED BY LAW
TO TRACK EVERY NEW. CANCER THAT
OCCURS IN CALIFORNIA. CCAR IS A
POPULATION BASED CANCER REGISTRY
AND TOGETHER WITH THE NATIONAL
SEER PROGRAM TO WHICH IT
CONTRIBUTES. IS DESCRIBED AS THE
ICE WITH WHICH WE SEE THE CANCER
PROBLEM. WITHOUT IT WE WOULD BE
BLIND TO HOW A MAJOR CAUSE OF
ILLNESS AND DEATH HAS AFFECTED
THE PEOPLE OF CALIFORNIA AND THE
NATION FOR THE LAST FIFTY YEARS
. THIS IS YOUR SERVES AS A VITAL
BACKBONE THAT ANCHORS OTHER DATA
SOURCES FOR CANCER RESEARCH.
THIS IS YOUR IS EXCEPTIONAL IN
THAT LEAVES NO ONE OUT WHATEVER
THEIR AGE RACE ETHNICITY GENDER
INCOME EDUCATION OR OTHER
CHARACTERISTICS EVERY PATIENT'S
CANCER JOURNEY ITS RECORD. I
LEADER PROJECT BASED ON
EXTRACTING DATA FROM ELECTRONIC
MEDICAL RECORDS LINKING THEM TO
CCR DATA AND USING ADVANCED
TECHNOLOGIES INCLUDING
ARTIFICIAL INTELLIGENCE. THIS
HAS LED TO HIGH IMPACT RESEARCH
SUCH AS OUR RECENT FINDING THAT
LGBTQ PATIENTS HAVE HIGHER
MORTALITY FROM BREAST CANCER.
THE CCR IS ESSENTIAL TO
UNDERSTAND WHETHER THE NATION'S
INVESTMENT IN NEW TREATMENTS
VACCINES AND GENETIC
TECHNOLOGIES IS WORKING FOR
EVERYONE. MY WORK WITH THE
CANCER REGISTRIES REBUILD RACIAL
ETHNIC AND INCOME DISPARITIES IN
WHICH PATIENTS RECEIVING BENEFIT
FROM PRECISION ONCOLOGY ADVANCES
AND HAS HELPED US TO TARGET
THESE DISPARITIES FOR
IMPROVEMENT. THE SIX YARDS ALSO
CRUCIAL TO HELP US UNDERSTAND
HOW TO FIND CANCER EARLY. I HAVE
YOU SEE SEE OUR DATA TO IDENTIFY
WHICH WOMEN BENEFIT FROM NOVEL
BREAST CANCER SCREENING
APPROACHES SUCH AS MAGNETIC
RESONANCE IMAGING AND THIS HAS
LED TO A CHANGE IN THE NATIONAL
SCREENING GUIDELINES. THESE ARE
JUST SOME EXAMPLES OF THE WASTE
THE CCR HAS CONTRIBUTED TOWARD
OUR VICTORIES IN THE FIGHT
AGAINST CANCER. BUT TODAY THIS
VITAL RESOURCE IS UNDER THREAT.
STATE FUNDING FOR THE CCR HAS
BEEN ON A STEADY DECLINE DUE TO
DECLINING REVENUES FROM
PROPOSITION NINETY NINE AND LACK
OF STATE INVESTMENT. IN THE UP
COMING FISCAL YEAR THE
ALLOCATION OF THE TOBACCO TAX
REVENUE THAT FUNDS THE CCR IS
FORECASTED TO HAVE A SHORTFALL
OF JUST UNDER ONE MILLION
DOLLARS. IT'S CUT COMES ON TOP
OF PRIOR FUNDING REDUCTIONS THAT
HAVE RESULTED IN FLAT FUNDING
FOR THE THREE REGIONAL
REGISTRIES FOR A DECADE. AND
INCREASE FUNDING PRESSURES
RESULTING FROM THE
IMPLEMENTATION OF ELECTRONIC
PATHOLOGY REPORTING. UNLESS
FUNDING FOR THE CCR IS PROTECTED
CALIFORNIA WILL BE UNABLE TO
MAINTAIN ITS 20% INSTITUTIONAL
COST SHARE FOR THE FEDERAL SEER
PROGRAM. IN CALIFORNIA CANCER
REGISTRY IN ITS CURRENT FORM
WOULD COME TO ENACT. A NEGATIVE
IMPACT ON MY WORK AND THAT OF
OTHER CANCER SCIENTISTS WOULD BE
INCALCULABLE. THE CCR IS TRULY
THE NBA OF CANCER SCIENTISTS
AROUND THE COUNTRY AND THE WORLD
AND IT IS ALSO CRITICALLY
IMPORTANT TO ELIMINATING GAPS IN
HEALTH EQUITY. WITH THE
APPROPRIATE ONGOING FUNDING WE
CAN SUSTAIN AND STRENGTHEN THE
CANCER REGISTRY IMPLEMENTING
CHANGES THAT WOULD PROVIDE REAL
TIME DATA FOR RESEARCHERS AND
CLINICAL TRIALS. THUS I URGE THE
SENATE BUDGET COMMITTEE TO TAKE
ACTION TO PROTECT CALIFORNIA'S
VITAL TOOL IN OUR FIGHT AGAINST
CANCER IN THIS YEAR'S STATE
BUDGET. THANK YOU VERY MUCH FOR
THIS OPPORTUNITY TO TESTIFY.
THANK YOU SO MUCH FOR THAT
THOROUGH- BACKGROUND I DON'T
HAVE ANY COMMENTS OR QUESTIONS
SENATORS. DOES ANYONE HAVE ANY
COMMENT. WE HAVE AN ABOUT IT
WITH THIS PROPOSAL SO WE HAVE NO
COMMENT AT THIS TIME. PERFECT
SENTENCES NOT A DIRE THIS
PROPOSAL SO WE HAVE NO POSITION
ON IT AT THIS TIME. THANK YOU SO
MUCH WE'RE GONNA LEAVE THAT ITEM
OPEN. AND SEE IF OF LAURA. OKAY
WE'RE GONNA GO ON TO THE NEXT
ONE. AND I'D LIKE TO WELCOME UP
. RONALD KOEMAN WHO'S GOING TO
BE PRESENTED ON HEALTH EQUITY A
RACIAL JUSTICE FUND.
GOOD AFTERNOON MADAM CHAIR AND
MEMBERS RONALD KOEMAN HERE WE
HAVE THE CALIFORNIA PAN ETHNIC
HEALTH NETWORK PRESENTING FOR
THE CO SPONSORS OF THE HEALTH
EQUITY IN RACIAL JUSTICE FUND.
WE'RE HERE TO REQUEST THE
CREATION OF A STATE WIDE GRANT
PROGRAM WITHIN THE DEPARTMENT OF
PUBLIC HEALTH OFFICE OF HEALTH
EQUITY WITH AN INITIAL
INVESTMENT OF FIFTY MILLION
DOLLARS OVER TWO YEARS BEGINNING
IN FISCAL YEAR TWENTY THREE
TWENTY FOUR. THE HEALTH EQUITY
AND RACIAL JUSTICE FUND IS
SUPPORTED BY OVER TWO HUNDRED
ORGANIZATIONS AND IT'S BEEN
PRIORITIZE INCLUDED IN THE
LEGISLATURE BUDGET PRIORITIES
FOR THE LAST TWO YEARS. WE
CONTINUE TO URGE GOVERNOR NEWSOM
SUPPORT AS IT'S CRITICAL FOR US
TO ENSURE THAT WE HAVE A GRANT
PROGRAM IN PLACE THAT WILL
RESOURCE LOCAL WORK TO ADDRESS
HEALTH INEQUITIES AND IMPROVE
HEALTH OUTCOMES WHILE ALSO
ADDRESSING RACISM AT THE TRUTH.
THE CO SPONSORS OF THE FUNDS
STRONGLY SUPPORT KERN
INVESTMENTS IN PLACE FOR A LOCAL
PUBLIC HEALTH INFRASTRUCTURE IN
ITS WORKFORCE. HOWEVER COMMUNITY
INVESTMENTS ARE CRITICAL MISSING
COMPONENTS TO ENSURING
CALIFORNIANS HAVE A
COMPREHENSIVE PUBLIC HEALTH
INFRASTRUCTURE TO MEET THEIR
NEEDS. COMMUNITIES OF COLOR AND
OTHER LOW INCOME AND
MARGINALIZED POPULATIONS BORE
THE BRUNT OF THE PANDEMIC BOTH
IN SICKNESS AND IN ECONOMIC
IMPACTS. OUR COMMUNITIES
CONTINUE TO SUFFER HIGHER RATES
OF JOB AND INCOME LOSS HAVE
HIGHER RATES OF BEING AND HOUSED
IN A PLATE WITH FOOD AND
SECURITY. THE HISTORY AND LEGACY
OF RACISM WHICH PROCESS HAS
RESULTED IN AN UNFAIR BURDEN OF
LARGELY PREVENTABLE PRE EXISTING
HEALTH CONDITIONS SUCH AS HEART
DISEASE AND DIABETES. OUR
PROPOSAL WOULD ALLOW FOR
HEALTHEQUITY PROJECTS TO BE
FUNDED THAT FOCUS ON A WIDE
RANGE OF ISSUES THAT INCLUDE BUT
ARE NOT LIMITED TO FOOD
SECURITY. WHAT RANGING HEALTH.
COMMITTEE VIOLENCE YOUTH
CRIMINAL JUSTICE AND
ENVIRONMENTAL JUSTICE. PROJECTS
FUNDED FROM THE RACIAL JUSTICE
INNOVATION PROGRAM WOULD SEEK TO
TRANSFORM BEHAVIORS INSTITUTIONS
AND SYSTEMS THAT
DISPROPORTIONATELY HARM
HISTORICALLY MARGINALIZED
COMMUNITIES AND CREATE BARRIERS
TO OPPORTUNITY. PROJECTS COULD
BILL COMMUNITY INFRASTRUCTURE
FOR COMMUNITY ENGAGEMENT WITHIN
GOVERNMENTAL INSTITUTIONS OR
PROVIDE COMMUNITY LED EQUITY
INCLUSION CULTURAL COMPETENCY
TRAININGS FOR HEALTH CARE AND
PUBLIC HEALTH STAKEHOLDERS.
COMMUNITY BASED ORGANIZATIONS
WERE KEY TO SERVING CONSTITUENTS
IN EACH AND EVERY ONE OF YOUR
DISTRICTS BEFORE THE PANDEMIC.
CERTAINLY RAMPED UP TO MEET THE
NEEDS DURING THE PANDEMIC TO
REACH COMMUNITIES GOVERNMENT
COULD NOT. AND WILL CONTINUE TO
ATTEMPT TO REDUCE DISPARITIES
AND IMPROVE HEALTH OUTCOMES IN
THE FUTURE. PHILANTHROPIC
INVESTMENTS ARE NOT ENOUGH TO
MEET THE NEED AND THE STATE HAS
A RESPONSIBILITY TO WORK TO
TARGETED REDUCE INEQUITIES. SO
WHAT ARE WE GOING TO DO
DIFFERENTLY THIS YEAR TO ENSURE
WE GET THE GOVERNOR SUPPORT.
WE'VE TIGHTENED UP OUR PROPOSAL
TO ENSURE POTENTIAL GRANTEES OF
THE FUND WILL COLLABORATE AND
COORDINATE ON THE GROUND WITH
LOCAL PUBLIC HEALTH
JURISDICTIONS AND COUNTIES WERE
ALSO TACKLING PROJECTS IN OUR
COMMUNITIES. TO TARGET THE
SOCIAL DETERMINANTS OF HEALTH.
COMMUNITY PARTNERSHIPS WITH
COUNTIES IN PUBLIC HEALTH
DEPARTMENTS WILL STRENGTHEN OUR
PUBLIC HEALTH INFRASTRUCTURE
GENERALLY. THIS YEAR WE'VE ALSO
WORK TO IMPROVE METRICS RELATED
TO THE DELIVERABLES AND OUTCOMES
FOR FUNDING PROJECTS THAT WOULD
BE OVERSEEN BY AN ADVISORY
COMMITTEE. ADMINISTERED BY THE
DEPARTMENT PUBLIC HEALTH OFFICE
OF HEALTH EQUITY OUTCOMES AND
DELIVERABLES WE QUANTIFIABLE AND
RESULTS WILL BE MEASURED WITH
CLEAR OBJECTIVES AND GOALS.
LASTLY WE UNDERSTAND THAT IT'S
QUITE A DIFFICULT YEAR TO GET
THE HEALTH EQUITY IN RACIAL
JUSTICE FUND. FULLY FUNDED AND
WHAT WE RESPECTFULLY URGE THE
LEGISLATURE TO INVEST TWENTY
FIVE MILLION. IN FISCAL YEAR
TWENTY THREE TWENTY FOUR AND
FISCAL YEAR TWENTY FOUR TWENTY
FIVE. OUR COMMUNITIES ALSO
RESPECTFULLY DEMAND CREATION OF
THE FRAMEWORK FOR THE HEALTH AND
EQUITY IN RACIAL JUSTICE FUND
THIS YEAR. THE THIRTY. WE'RE
PRESENTING A CO PROPOSED WHICH
HAS BEEN VETTED BY THE
LEGISLATURE HAS RECEIVED CA FROM
THE DEPARTMENT PUBLIC HEALTH
OFFICE OF HEALTH EQUITY. AND
STRONGLY SUPPORTED BY DIVERSE
AND RACIAL ETHNIC COMMUNITIES
ACROSS THE STATE. WE MUST ENSURE
PROGRAM IS IN PLACE TO RECEIVE
PHILANTHROPIC DOLLARS OUR FUTURE
STATE FUNDING TO MEET THE
PRESSING COMMUNITY NEEDS. WE
THANK OUR CHAMPION SENATOR
EGGMAN. AND WE URGE THE
LEGISLATURE CONTINUED SUPPORT OF
THE CALIFORNIA HEALTH EQUITY AND
RACIAL JUSTICE FUND. TO ENSURE
CALIFORNIA HAS A STRONG
COMPREHENSIVE PUBLIC HEALTH
INFRASTRUCTURE THAT INCLUDES AND
RESOURCES COMMUNITY LED PROJECTS
THANK YOU. THANK YOU CENTER I
MEAN FOR ME WOULD YOU LIKE
TENANTS. ANYTHING TO THE KNOW
JUST DISTURBING THEM FOR THEIR
CONTINUED WORKING PROCEEDS WE
CAN GET IT DONE THIS YEAR.
PERFECT NOT QUITE I KNOW WE
TALKED ABOUT THIS THANK YOU
QUESTIONS. WHAT WE'RE GONNA HOLD
THE ITEM OPEN AND I SEE LARA
THOMPSON HAS MADE IT. PRESIDENT
THOMAS SORRY ABOUT THAT. HELLO
YOU TO PRESENT ON THE OVERDOSE
PREVENTION AND TREATMENT
APPLICATION YES THAT'S CORRECT.
FIRST OF ALL MY APOLOGIES FOR
BEING LATE IT WAS A FAST DRIVE
FROM SAN FRANCISCO BUT NOT FAST
ENOUGH FOR. CAN AHEAD OF
YOURSELF TODAY- AS CHAIR
SENATORS THANK YOU SO MUCH FOR
HEARING THIS PROPOSAL- IT COMES
TO YOU FROM THE NATIONAL HARM
REDUCTION COALITION THE-
CALIFORNIA ASSOCIATION OF
SYRINGE EXCHANGE PROVIDERS THE
SAN FRANCISCO AIDS FOUNDATION-
WHICH I REPRESENT AND- OTHER.
ORGANIZATIONS INTERESTED IN
PREVENTING OVERDOSE FATALITIES
HERE IN CALIFORNIA- MY NAME IS
LAURA THOMAS AND THE SENIOR
DIRECTOR OF HIV IN HARM
REDUCTION POLICY AT THE SAN
FRANCISCO AIDS FOUNDATION- WE
ARE ASKING FOR SIXTY ONE MILLION
DOLLARS IN ONE TIME FUNDING TO
BE SPENT OVER FOUR YEARS. FOR
HARM REDUCTION PROGRAMS AROUND
THE STATE. TO BE ABLE TO
CONTINUE TO PROVIDE ESSENTIAL
OVERDOSE PREVENTION SERVICES-
INFECTIOUS DISEASE PREVENTION
SERVICES A LINKAGE TO CARE AND
TREATMENT SERVICES BUT THEY HAVE
BEEN PROVIDING A FOR THE LAST
THREE YEARS. IN TWENTY NINETEEN
THE CALIFORNIA LEGISLATURE
CREATED A PILOT PROGRAM TO
PROVIDE FUNDING FOR ALL OF THE
SYRINGE ACCESS AND HARM
REDUCTION PROGRAMS AROUND THE
STATE. BOB HAS BEEN WILDLY
SUCCESSFUL BEYOND A THINK ANY OF
OUR ORIGINAL IDEAS- I AND WE
HAVE SUBSTANTIAL RESEARCH AT
THIS POINT SHOWING THAT THE
ORGANIZATIONS THAT WERE FUNDED
UNDER THIS CALIFORNIA HARM
REDUCTION INITIATIVE. WERE ABLE
TO REACH. THOUSANDS OF PEOPLE
AROUND THE STATE HAVE NOT
PREVIOUSLY BEEN REACHED AND IN
PARTICULAR AND IN LIGHT OF THE
EXTRAORDINARY OVERDOSE CRISIS
THE CALIFORNIA IS FACING. THESE
PROGRAMS HAVE SERVED AS THE
BACKBONE OF OUR OVERDOSE
PREVENTION PROGRAMS AROUND THE
STATE. WHAT WE KNOW IS THAT THE
CALIFORNIA STATE FUNDED NALOXONE
DISTRIBUTION PROGRAM-
DISTRIBUTIONAL OXEN AROUND THE
STATE THE CHERRY FUNDED HARM
REDUCTION PROGRAMS FOR ONLY 8%
OF THE TOTAL. PROGRAMS THAT WERE
FUNDED RECEIVED 30% OF THE LOCKS
AND DISTRIBUTED THROUGH THAT
PROGRAM AND REPORTED A FULL 60%
OF THE OVERDOSE REVERSALS AROUND
THE STATE THAT ARE CREDITED THAT
PROGRAM SO THESE SMALL SCRAPPY
PROGRAMS ARE PUNCHING WAY ABOVE
THEIR WEIGHT WHEN IT COMES TO-
ACTUALLY STOPPING OVERDOSE
FATALITIES IN THE STATE- THE
ORIGINAL PILOT PROGRAM IS
CURRENTLY SCHEDULED TO END WITH
GENERAL FUND DOLLARS AT THE END
OF JUNE. OF THIS YEAR THE STATE
OFFICE OF AIDS HAS FOUND SOME
FUNDING TO CONTINUE THE PROGRAM
THROUGH THE END OF THE CALENDAR
YEAR AND OF DECEMBER BUT
WITHOUT. ADDITIONAL FUNDING
THESE PROGRAMS WILL AND WITH IT
THE ABILITY TO ENSURE THAT
NALOXONE IS GETTING INTO THE
HANDS OF PEOPLE MOST LIKELY TO
BE AT THE SCENE OF AN OVERDOSE.
IN MOST- SUITED TO REVERSE
OVERDOSES SO THIS IS THIS IS A
WORK FORCE INITIATIVE THIS IS A-
PUBLIC HEALTH INITIATIVE- AND AT
ITS CORE THIS IS. THE BEST
OVERDOSE PREVENTION PROGRAM.
THAT WE HAVE GOING IN THE STATE
RIGHT NOW. THANK YOU SO MUCH I
DON'T HAVE ANY QUESTIONS FOR YOU
SENATE ROTH WHO HAS A QUESTION
JUST A COMMENT YOU KNOW WE SPENT
A LOT OF TIMES SEEMS TO ME. OR
LAST FEW YEARS SON ON THIS ISSUE
FAN NO ONE PARTICULAR- FOR GOOD
REASON- AND I JUST WANT OF THANK
YOU FOR WHAT YOU DO IT'S
REQUIRES BOTH THE PRIVATE SECTOR
AND THE PUBLIC SECTOR TO STEP
FORWARD IT'S A TEAM EFFORT- AND
I APPRECIATE. THE YOUR SUCCESS
IN THE PAST I ANTICIPATE YOUR
CONTINUED SUCCESS IN THE FUTURE
AND I ONCE WANT TO THANK YOU
FOR. HIS THANK YOU VERY MUCH AND
YOU KNOW- I'VE BEEN AS SOME OF
YOU KNOW I'VE BEEN WORKING ON
OVERDOSE PREVENTION IN THIS
BUILDING THANK YOU SENATOR
EGGMAN FOR YOUR- ENORMOUS
LEADERSHIP- ON THIS ISSUE AND-
BEING ABLE TO HAVE SOME STATE
FUNDING INTO THESE PROGRAMS HAS
MADE. SUCH AN INCREDIBLE
DIFFERENCE PARTICULARLY IN
BRINGING PROGRAMS TO PARTS OF
THE STATE THAT NEVER HAD SYRINGE
ACCESS BEFORE. I THINK THERE
PROGRAMS AND ALL OF YOUR
DISTRICTS- AND YOU KNOW PARTS OF
THE ONE OF OUR REGIONAL
INITIATIVES WAS ORDERED.
INTENTIONS BEHIND THIS WAS TO
BRING SOME GEOGRAPHIC EQUITY TO
THE STATE OF CALIFORNIA WHERE
PREVIOUSLY IF YOU LIVED IN SAN
FRANCISCO OR OAKLAND OR LOS
ANGELES. YOU HAD ACCESS TO THESE
SERVICES BUT IF YOU LIVED IN.
LAKE COUNTY YOU KNOW WE HAD
SOMEBODY WHO WAS OUT OF THE
GOODNESS OF HER HEART RUNNING
THESE SERVICES OUT OF LITERALLY
THE TRUNK OF HER CAR. AND THE
DIFFERENCE THAT THIS FUNDING HAS
BEEN ABLE TO MAKE IT IS PEOPLE
IN ABLE TO HIRE STAFF. THEY'VE
BEEN ABLE TO DO THIS FULL TIME
THEY'VE BEEN ABLE TO REACH
COMMUNITIES- REACH PARTS OF THE
STATE WHETHER IT'S YOU KNOW.
PLUMAS COUNTY SAMPOERNA DINO-
PARTS OF SAN DIEGO THAT WE NEVER
REACHED BEFORE- JUST THROUGHOUT
THE ENTIRE STATE SO. IT'S BEEN A
OF VERY VERY COST EFFECTIVE
INVESTMENT- IN SERVICES. WELL
MAKING THE DRIVE. FOR FIFTEEN
MINUTES I KNOW THIS IS VERY
IMPORTANT SO THANK YOU SO MUCH
FOR THAT OF COURSE I'M ALWAYS
HAPPY TO COME HERE. I JUST
THOUGHT IT WAS GONNA BE LATER IN
THE DAY. HEY WE ARE GOING FASTER
THAN USUAL THAT'S GOOD THAT'S
GOOD SIGN OF A GOOD CHAIR. ANY
OTHER QUESTIONS NO THAT'S ALL
THANK YOU VERY MUCH WE'RE GONNA
HOLD ITEM OPEN AND WE'RE GONNA
LISTEN TO OUR LAST PROPOSAL FOR
INVESTMENT. I WELCOME ON ZOOM-
DOCTOR DAN NUGENT AND MERRY
BROWN TO PRESENT ON SICKLE CELL
DISEASE NETWORK TRANSITIONAL
FUNDING. GOOD AFTERNOON MADAM
CHAIR AND THANK YOU FOR HAVING
US I MERI BROWN PRESIDENT AND
CEO OF THE SICKLE CELL DISEASE
FOUNDATION. WE ARE A COMMUNITY
BASED ORGANIZATION THAT'S BEEN
IN EXISTENCE IN EXISTENCE SINCE
NINETEEN FIFTY SEVEN.
ADDITIONALLY THE SICKLE CELL
DISEASE FOUNDATION WORKS WITH
THE DEPARTMENT OF PUBLIC
HEALTH'S NEWBORN SCREENING
PROGRAM AND HAVE BEEN PROVIDING
IN GLOBAL TRADE FOLLOW UP
COUNSELING SERVICES SINCE
NINETEEN NINETY TWO. TODAY I'M
ADVOCATING FOR THE SIX THOUSAND
PLUS ADULTS LIVING WITH THIS
LIFE THREATENING CHRONIC
ILLNESS. LIFE EXPECTANCY FOR
PERSON WITH SICKLE CELL DISEASE
IN CALIFORNIA IS TWENTY YEARS
SHORTER. A SIMPLE CELL DISEASE
MORTALITY IN THE GREATER UNITED
STATES. BEING A NATIVE OF
CALIFORNIA I KNEW WE COULD DO
BETTER AND IN TWENTY NINETEEN
FIFTEEN MILLION DOLLARS WAS
APPROPRIATE TO ESTABLISH. FIVE
COMPREHENSIVE SICKLE CELL ADULT
CLINICS. TODAY WE BRAG THAT WE
HAVE OPEN TWELVE CLINICS AROUND
THE GOLDEN STATE WE ARE WE WERE
RECENTLY INFORMED THAT A THIRTY
YEAR OLD YOUNG WOMAN WAS SENT
HOME TO DIE. BECAUSE HER LIVER
HAD BEEN DESTROYED DUE TO AN
IRON OVERLOAD SHE WAS NOT
RECOMMENDED FOR A LIVER
TRANSPLANT. HOWEVER THE NETWORK
GOT BUSY AND ONE OF WITHIN A
WEEK OF HER RECEIVING A DEATH
SENTENCE SHE RECEIVED A LEVER
AND IS CURRENTLY. IN REHAB DOING
VERY WELL. THE CARE THESE
PATIENTS RECEIVE. ARE LIFE
CHANGING THEY RENEW WE HAVE NEW
HOMES THEY RENEW HOPE. AND THEY
OFFER MORE THAN THE PROSPECT OF
WAKING UP EVERY DAY IN A
STRUGGLE TO LIVE. THEREFORE I
STRONGLY SUPPORT A ONE TIME
APPROPRIATION OF ELEVEN MILLION
DOLLARS. IN FISCAL YEAR. TWENTY
TWENTY THREE TWENTY FOUR. REDUCE
THE GAP TO ENSURE THE
INTEGRATION OF NETWORKING
CALIFORNIA FOR SICKLE CELL
DISEASE INTO CALTRAIN. THANK YOU
DR NEW JUDGE. THANK YOU MERION
THANK YOU MADAM CHAIR AND
SENATORS. M. LIKE MERRY I AM THE
FOURTH GENERATION CALIFORNIAN
AND I'VE BEEN TAKING CARE OF
SICKLE CELL PATIENTS FOR THIRTY
YEARS NOW. AND I AM VERY PROUD
OF THAT WE WERE ONE OF THE FIRST
STATES TO DO NEWBORN SCREENING
FOR SICKLE CELL WE- IDENTIFY
CHILDREN WITH SICKLE CELL FROM
THE MOMENT THAT THEY'RE BORN AND
GET THEM INTO THE GREATEST CARES
ARE CCS CENTERS. AND WE KEEP ON
THERE FOR EIGHTEEN TWENTY ONE
SOMETIMES UP TO TWENTY FIVE
YEARS BECAUSE WE KNOW WHEN THEY
LEAVE THEY HAVE NOWHERE TO GO.
IN IT'S A HUGE INVESTMENT FOR
THE STATE TO IDENTIFY THESE KIDS
IT'S THE MOST COMMON GENETIC
DISEASE WE SCREAM FOR TAKE TAKE
CARE OF THEM AND ONLY TO HAVE
THEM GO. TO A WORLD WHERE
THERE'S NO ADULT CLINICS IN THE
TWENTY EIGHTEEN MARION NUYS PART
WE'RE PART OF THE PERSON CDC
GRANTS THAT ARE AWARDED HERE. IN
CALIFORNIA. WE WERE IDENTIFIED
AS HAVING THE SHORTEST
SURVIVALIST MERRY'S STATED. AND
WE GOT SICK OF JUST LOOKING AT
DATA AND WE SAID WE HAVE TO ACT
SO S. B. SEVENTY FOUR THE STATE
INVESTED FOR US TO BUILD FIVE
CLINICS. IN THREE YEARS- I'M
PROUD TO SAY THAT EACH YEAR FOR
YOUR FOR CLINICS WERE
ESTABLISHED WE FINISH SIGNING ON
THE LAST CLINIC WHICH WILL BE
OPEN AT ARROWHEAD REGIONAL- NEXT
MONTH. THESE CENTERS. PROVIDE
PREVENTIVE CARE. EIGHTEEN IN A
NEW. R. O. THE SUIT. SOME OF
PROGRESSIVE TOTAL BODY ORGAN
FAILURE. KIDNEYS SKIN THROUGHOUT
IF THEY JUST ADULTS NEED THE
SAME PREVENTIVE CARE THE
CHILDREN DO AND IF WE DO THAT
THEY HAVE A CHANCE TO LIVE FULL
LIVES. FREE PRODUCTIVE WONDERFUL
MEMBERS OF OUR COMMUNITY AND
CONTRIBUTING TO ART SCIENCE ALL
ALL OF THESE THINGS BUT RIGHT
NOW THIS YOUNG WOMAN WAS TWENTY
NINE SHE HAD BEEN IN PEDIATRIC
CARE. FOR FIVE YEARS WAS BEING
SEEN BY SOMEONE WHO JUST GAVE
HER BLOOD AND PAIN. MEDICATIONS
LETTER BECOME IRON OVERLOADED
AND BAIT BASICALLY CENTER HOME
TO DIE HORRIBLY WRONG AND YET
THAT'S WHAT EVERY CHILD. UNTIL
WE GOT THESE CLINICS STARTED IN
THE FIRST YEAR THE FIRST THIRTY
EIGHT PATIENTS THAT WE HAVE THE
CDC DOCUMENTED THAT WE SAVED A
MILLION DOLLARS. IN LENGTH OF
STAY HOSPITALIZATION E. R.
UTILISATION EMPTY UTILIZATION
THIS APPLIES TO OUR MILITARY
FAMILIES AS WELL THEY NOW HAVE A
RESOURCE TO GO TO. AND- WE'RE OF
TWO THOUSAND PATIENTS BUT OUR
GOAL IS FOUR THOUSAND TO SCALE
UP. WERE CAUGHT IN A OF DONUT
HOLE BECAUSE CAL LAME
APPLICATION IS JUST COMING UP
NOW SO WE JUST NEED SOME DOLLARS
FOR TRANSITION TO A SUSTAINABLE
MODEL SO THAT OUR PATIENTS CAN
GET PREVENTATIVE CARE DECREASED
UP THE MORBIDITY. IMPROVE
EMPOWER PATIENTS TO GET THEIR
TREATMENT IN THE AMBULATORY
SETTING IN TO DRIVE DOWN COSTS
IN THE YEAR WE WERE TOTALLY
SHORT WE THINK WE'LL BE ABLE TO.
TO SHOW A FIFTY MILLION DOLLAR
OF SAVINGS RETURN ON INVESTMENT
IN THESE CLINICS IN THIS YEAR
ALONE. WITH THE CLINICS THAT ARE
NOW UP AND RUNNING SO THANK YOU
FOR YOUR CONSIDERATION THANKS
FOR GIVING US THIS ROPE HOLD TO
MAKE OUR WAY THROUGH OVER TO
SUSTAINABILITY. IT'S A
PARTNERSHIP COMPLETELY WITH THE
COMMUNITY TO ADDRESS THE SOCIO
ECONOMIC PROBLEMS AND WE CAN'T
DO IT WITHOUT THE CLINIC CAN'T
DO IT WITHOUT THE COMMUNITY AND
THAT'S WHAT NETWORKING
CALIFORNIA'S. AND JUST THANK YOU
FOR YOUR BELIEF IN US AND IT FOR
CARING. FOR THIS UNDERSERVED
POPULATION IN OUR STATE. THANK
YOU SO MUCH DOCTOR MAY FOR THE-
I DON'T HAVE ANY QUESTION FOR
USE. YOU HAVE ANYTHING. GREAT I
APPRECIATE YOU JOINING US HAVE A
GREAT REST OF YOUR DAY WE'RE
GOING TO HOLD THE ITEM OPEN. IN
THAT. IS ALL THE ITEMS WE HAVE
ON ON GENDER WE'RE GONNA NOW
MOVES ON TO BE PROVIDING PUBLIC
COMMENT FOR ANYONE WHO WISHES TO
PROVIDE A PUBLIC COMMENT. AS A
REMINDER TODAY'S PARTICIPANT
NUMBER IS. 1-877-226-8160 THREE.
ACCESS CODE. SEVEN THREE SIX
TWENTY EIGHT THIRTY FOUR. BEGIN
WITH PEOPLE HERE IN PERSON ROOM
TWELVE HUNDRED. PLEASE PROCEED.
A GOOD AFTERNOON CARPOOL FROM
BEHALF OF THE QUALITY CALIFORNIA
IN SUPPORT OF ITEM SIXTEEN
RELATED TO IMPLEMENTATION OF S.
B. ONE OH SEVEN AROUND GENDER
AFFIRMING CARE. AND THE
STAKEHOLDER PROPOSAL FOR
OVERDOSE PREVENTION AND
TREATMENT NAVIGATION. HI MY NAME
IS WENDY BLOOM AND EVER
PROVIDING- PUBLIC COMING ON
BEHALF OF THEIR HERDS FUND IN
THE COMMUNITIES WE SERVE I'VE
BEEN A REGISTERED NURSE AT UCF
UCSF BENIOFF CHILDREN'S HOSPITAL
OAKLAND FOR THIRTY SIX YEARS.
AND I KNOW FIRST HAND THAT THE
FRONT LIGHT HEALTHCARE WORKER IN
INNER CITY PEDIATRIC HOSPITAL
THE MULTIPLE WAYS WE ARE NOT
SERVING WE'RE NOT ABLE TO MEET
THE NEEDS OF ALL OF OUR AT RISK
FAMILIES MANY WHOM ARE
IMMIGRANTS AND FAMILIES OF
COLOR. I KNOW THIS IS A
CHALLENGING BUT YEAR BUT PLEASE
PRIORITIZE THE COMMUNITIES THAT
NEED THE EXTRA FINANCIAL SUPPORT
TO REMAIN HEALTHY INVESTING IN
PREVENTION AND OTHER COMMUNITY
HEALTH SERVICES WITH MANY OF OUR
PARTNERS OF THE HERDS FUND. WILL
BE A WISE FINANCIAL AND FORWARD
THINKING DECISIONS THE COVERT
PANDEMIC HAS TAUGHT US HOW
CRITICALLY IMPORTANT IT IS TO OF
ACCESSIBLE WELCOMING AND FULLY
FUNDED COMMUNITY BASED
HEALTHCARE ORGANIZATIONS THANK
YOU SO MUCH. THANK YOU. HI MY
NAME IS CHAU JUMP I'M HERE ON
THE HARM. AND I AM A SURVIVOR OF
AN OVERDOSE AND WHEN I HAD
NUMBERS TO SEVENTEEN. IF I WOULD
HAVE DIED YOU WOULD NOT HAVE
BEEN IT WAS IN THE ADULT HERE
TODAY. I'M THE EXECUTIVE
DIRECTOR OF SAFE ALTERNATIVES
THROUGH NETWORKING EDUCATION THE
NEEDLE EXCHANGE PROGRAM IN
SACRAMENTO- THAT GOES INTO
LIVERS IN OUR CAN. AND OTHER
SUPPLIES TO- ENCAMPMENTS AND OR
LIFESAVING THINGS WE'VE SAVED
THOUSANDS AND THOUSANDS. OF
PEOPLE AND RACHEL ANDERSON OUR
FOUNDER HAS RECENTLY PASSED
PLEASE DON'T LET HER- WORK GO
AWAY. THANK YOU SO MUCH. HI MY
NAME IS KRISTEN BENZ ARE THE
YOUNG I ALSO WORK FOR SAFER
ALTERNATIVES FOR NETWORKING AND
EDUCATION WHICH IS A HARM
REDUCTION ORGANIZATION LOCATED
RIGHT HERE IN SACRAMENTO. I RUN
OUR MEDICATION ASSISTED
TREATMENT PROGRAM WHICH INCLUDES
MEDICATION FOR- LIKE
BUPRENORPHINE OR SUBOXONE FOR
THE TREATS OPIOID USE DISORDER-
OUR CLINIC IS LOW BARRIER DUE TO
THIS FUNDING ON THIS MEANS WE
UTILIZE TELEHEALTH COMMUNICATION
WHICH ALLOWS US TO REACH. MUCH
LARGER NETWORK OF FOLKS WERE
SEEKING SERVICES PATIENTS WHO
MAY NOT BE ABLE. TO FIND
TRANSPORTATION TO COME TO OUR
LOCATION THINGS OF THAT NATURE-
THANKS TO OUR- THANKS TO GRANTS
AND FUNDING WE ARE A FREE CLINIC
WHICH MEANS PATIENTS DO NOT HAVE
TO PAY TO BE PART OF OUR
PROGRAM- WE SERVE IN LARGE
MAJORITY MORE MARGINALIZED
POPULATIONS INCLUDING BLACK
INDIGENOUS PEOPLE OF COLOR LOW
INCOME AND UNEMPLOYED FOLKS AND
PEOPLE EXPERIENCING
HOMELESSNESS. WITHOUT THIS
FUNDING WE WOULD NOT BE ABLE TO
OPERATE AS A FREE CLINIC OUR
DOCTORS SPECIALIZE IN ADDICTION
MEDICINE WHICH IS. IMPERATIVE TO
PATIENTS WHO FACE STIGMA AND
OTHER MEDICAL ENVIRONMENTS AND
CREATES AN ENVIRONMENT WHERE
PATIENTS FEEL SAFE AND INSTILLS
TRUST BETWEEN PATIENTS AND
PHYSICIANS AND ABOVE ALL ELSE.
OUR PROGRAM SAVES LIVES AND
WITHOUT ACCESS TO OUR LOW
BARRIER TREATMENT MEMBERS OF OUR
COMMUNITY WOULD CONTINUE SHE
DIED ALARMING RATES. THANK YOU
SO MUCH FOR SO MUCH. HELLO MY
NAME IS ON A POSITIVE AND I'M
HERE TO PROVIDE PUBLIC COMMENT
ON BEHALF OF THE PUBLIC HEALTH
INSTITUTE. WE ARE PROUD TO BE
ONE OF THE OVER TWO HUNDRED
ORGANIZATIONS STATEWIDE THE
SUPPORTS THE CREATION OF THE
HEALTH EQUITY IN RACIAL JUSTICE
FUND. WE THINK THE CALIFORNIA
LEGISLATOR AND A CHAMPION
SENATORS THAT AMOUNT IS EGGMAN.
FOR BEING STRONG SUPPORTERS OF
THE FUND FOR THE PAST TWO YEARS.
AND URGE THAT YOU INCLUDE THE
ESTABLISHMENT OF THE FUND FOR
FUTURE APPROPRIATION IN YOUR
BUDGET THIS YEAR. WE ASK FOR AN
INITIAL APPROPRIATION OF FIFTY
MILLION DOLLARS OVER TWO YEARS
TO PILOT THE FUNDS
IMPLEMENTATION. EACH YEAR WE
SPEND BILLIONS OF DOLLARS
TREATING PREVENTABLE DISEASES
BUT HAVE NOT SUCCEEDED IN
CHANGING THE WAY THAT COMMUNITY
AND THEN CHANGE THE COMMUNITY
CONDITIONS A DRIVE THEM. BLACK
LET AN EX NATIVE HAWAIIAN
PACIFIC ISLANDER ASIAN AMERICAN
NATIVE AMERICAN AND OTHER LOW
INCOME POPULATIONS. BORE THE
BRUNT OF THE PANDEMIC LARGELY
DUE TO LONGSTANDING STRUCTURAL
INEQUITIES IN ADDRESSING HEALTH
DISPARITIES. HOWEVER CBO'S PLAY
A VITAL ROLE IN BREAKING DOWN
THE TRADITIONAL WALLS OF HEALTH
CARE. THEY WERE CRITICAL
PARTNERS AN INCREASING COVER
NINETEEN TESTING CONTACT TRACING
AND VACCINATION AND COMMUNITIES
OF COLOR. FOR ALL OF THE ABOVE
REASONS PLEASE SUPPORT THE
CREATION OF THE HEALTH EQUITY
AND RACIAL. JUSTICE ONE THANK
YOU THANK YOU SO MUCH. BUT AFTER
CHEN. KATHLEEN'S WITH THE
UNIVERSITY SOUTHERN CALIFORNIA.
EAST SUPPORT ONGOING FUNDING FOR
THE CALIFORNIA CANCER REGISTRY
WHICH WAS DISCUSSES A PROPOSED
INVESTMENT. HE WAS HE'S ONE OF
THE THREE REGIONAL REGISTRIES
THAT WORKS DIRECTLY WITH THAT
CCR SERVICING LOS ANGELES
COUNTY. PROVIDING CRITICAL
SUPPORT ON LOCAL INSTANCES OF
DISEASE. U. S. C. SUPPORTS ALL
EFFORTS TO ENSURE ONGOING
SUPPORT FROM THE STATE GENERAL
FUND. TO PROTECT THE REGISTRY
AND RESPECTFULLY DISAGREES AND
YOU'VE OPPOSE CUTS. ONGOING
FUNDING FOR THE REGISTRY WILL
PROTECT AND STRENGTHEN THE
CANCER REGISTRY. AND HELP
MAINTAIN ONGOING FEDERAL
FUNDING. THAT IS VITAL TO THE
PROGRAM'S ONGOING SURVIVAL. WE
LOOK FORWARD TO CONTINUING
WORKING WITH THE LEGISLATURE TO
DEPARTMENT OF PUBLIC HEALTH ON
THIS IMPORTANT ISSUE. AND WE
URGE YOUR SUPPORT AT THE
APPROPRIATE TIME THANK YOU THANK
YOU SO MUCH. HELLO MY NAME IS
ELIZABETH LOW CIVIL. I'M A
REGISTERED NURSE RIVERSIDE
COMMUNITY HOSPITAL- PATIENTS IN
THE ICU THEY REQUIRE THEY YOU
KNOW WE ARE PATIENTS THAT WE SEE
HAVE LIFE THREATENING INJURIES
ANDS OF SUFFER TRAUMA. AND
REQUIRE CONSTANT MONITORING- MY
PATIENTS NEEDS CONSTANT YOU KNOW
MONITORING AND WHEN THINGS
CHANGE. ASIAN SITUATIONS LAW
THEIR HEALTH YOU KNOW THE
SADDEST DECLINES- IT QUICKLY IN
THE ICU- AND THEY BECOME
UNSTABLE A CRITICAL ON PATIENT-
IF I START WITH TO PATIENTS AND
I'M IN RATIO AND ONE OF MY
PATIENTS. SITUATIONS CHANGES
QUICKLY WHICH OFTENTIMES HAPPENS
ALL WE NEED STAFF- YOU KNOW
ADDITIONAL STAFF TO PIVOT FOR
THAT CRITICAL CHANGE- IN MY UNIT
I HAD A INCIDENTS WERE I WAS
CARING FOR TO PATIENTS I STARTED
MY SHIFT. WITH THE NINETEEN YEAR
OLD WHO ARE REAR ENDED A BACK
AND OF A SEMI AND SUFFERED.
SEVERE HEAD TRAUMA AND WE WERE
MONITORING PRESSURES AND HAS HAD
TO PROVIDE AN INCREASE IN THE
PRESSURES COULD LEAD TO
PERMANENT BRAIN DAMAGE MY OTHER
PATIENT. INITIALLY WAS STABLE A
SIXTY SEVEN YEAR OLD FEMALE-
ELLEN'S HIS HIS CONDITION
DECLINES AND RECORD MORE OF MY
ATTENTION WE DIDN'T HAVE THE
STAFF TO PAIR HIM AS A ONE ON
PATIENTS TO ONE NURSE. AND AT
THAT MOMENT I WAS PUT IN A
SITUATION WHERE I NEED TO DECIDE
WHO DO I GIVE MY MOST ATTENTION
TO IN THIS CRITICAL MOMENT. AND
I FOCUS ON THE NINETEEN YEAR OLD
KID WHOSE HARD TO GIVE THE BEST
CARE I COULD TO PREVENT ANY
BRAIN DAMAGE WITH HIGH PRESSURES
WE MONITOR PRESSURES ON THE HEAD
WITH THEIR HEAD INJURIES AND HIS
WAS. CRITICAL LEVELS. AND AS A
RESULT OF MY ATTENTION BEING
FOCUSED MAINLY ON HIM MY ELDERLY
PATIENTS ONE ANSWER RESPIRATORY.
OUR DISTRESS MEANING SHE WAS
HAVING ISSUES BREATHING AND
REQUIRED EMERGENCY HOME
INTERVENTION WHICH SHE ENDED UP
BEING INTUBATED. AND PERHAPS
COULD HAVE BEEN CHANGED IF I
HAD. WE HAD MORE SO TO INTERVIEW
WITH YOUR NOSE VERY AND WITH ON
. THESE CHANGE THAT THERE'S A
STAFFS- YOU KNOW IN IN CRITICAL
TIMES AND SO MY POINT IS THAT-
WE HAVE SAFEGUARDS MEASURES IN
PLACE- ARM. TO SAVE CARD TO-
NURSE TO PATIENT RATIOS AND WE
HAVE THE ENFORCEMENT MECHANISMS
THE ALREADY EXISTENT TO LAW. BUT
THE LAW IS MEANINGLESS IF WE
DON'T HAVE THIS ENFORCEMENT SO
WE NEED CITY PH AND FORCE. IN
OUR NURSE TO PATIENT RATIO LAWS
. THANK YOU THANK YOU FOR YOUR
SERVICE THANK YOU. MORNING
AFTERNOON NOW. UNDER PELL THE
REGISTER NURSE AT UP PROVIDENCE
ST JOSEPH'S IN BURBANK- I HAVE
OVER TWENTY YEARS EXPERIENCE
THERE AND EARLIER TODAY WE HEARD
THAT L. A. COUNTY HAD A 27%
VACANCY RATE HURTS NURSE
EVALUATORS AND- HAVING
DIFFICULTY FINDING EXPERIENCING
CONFIDENT ARE AND POOL TO CHOOSE
FROM. I'M HERE TO ASK THAT THE
CDPH AND THEIR NURSE EVALUATORS
HAVE WHAT THEY NEED TO HOLD
HOSPITALS ACCOUNTABLE THE R. IS
THE GATEWAY TO THE HOSPITAL
WE'RE UNDERSTAFFED. AS WE OFTEN
ARE IT CREATES AN AVALANCHE OF
PRESSURE ON DEPARTMENTS
THROUGHOUT THE WHOLE HOSPITAL
OUR PATIENTS ARRIVE IN ALL SORTS
OF CONDITIONS SOME OF THEM QUITE
SEVERE IT'S OUR JOB MY JOB. TO
START THE PROCESS OF DETERMINING
WHAT KIND OF CARE THEY NEED AND
WHERE THEY MUST GO. AND WHO ELSE
NEEDS TO BE INVOLVED BUT WE'RE
NOT ABLE TO TAKE OUR TIME AND
PROPERLY EXECUTE AND EVALUATE
ALL THE STEPS AND TESTS THAT
PROCESS IS SLOWED AND OTHER
STAFF AND THEIR PATIENTS ARE
NEGATIVELY IMPACTED. THE WORK
THAT GETS DONE IN THE EMERGENCY
DEPARTMENT ALSO INVOLVES.
BRINGING IN STAFF FROM OTHER
UNITS FOR EXAMPLE A PATIENT WHO
ARRIVES IN THE EMERGENCY ROOM-
SEPTIC CAN TAKE OVER AN HOUR TO
STABILIZE WE MAY NEED TO CALL IN
OTHER OUR INS FROM OTHER
DEPARTMENTS. TO HELP US EVEN
FIND AN IV WITH THE ULTRASOUND-
DOING SO COMING. A MATTER OF
LIFE AND DEATH. IF THERE ISN'T
ENOUGH ANCILLARY STAFF TO
TRANSPORT PATIENTS. LIKE MOVING
A TWO HUNDRED POUND. INDIVIDUAL
FROM ATTORNEY TO A CT SCAN- IT
IT'S A MATTER OF LIFE AND DEATH.
THERE AREN'T ENOUGH SPECIALISTS
TO CONDUCT THE HIGHLY TECHNICAL
WORK OR OTHER PATIENT CARE IS
DELAYED. BACKUPS DUE TO
UNDERSTAFFING IN THE E. R. POUR
OUT INTO THE HOSPITAL LOBBY.
THERE'S A CHAOTIC MIXTURE OF
SERIOUSLY ILL. OR INJURED
PATIENTS WAIT ALONGSIDE WITH
THOSE OF MINOR PROBLEMS THIS IS
A TERRIBLE SITUATION ONE OF
WHICH I'VE WITNESSED MANY TIMES
. PATIENT CONDITIONS HAVE DEARIE
CARYATID OR WORSE YET THEY'VE
LOST CONSCIOUSNESS IN THEIR
WAITING ROOMS SEE. OTHERS WITH
KIDNEY STONES HAVE RIDE IN PAIN
WHILE WAITING TO BE SEEN. WITH
THE PRESSURE PUT ON THE NURSE TO
DETERMINE IS THIS THE STONE. FOR
A DISSECTING AORTIC. DISSECTION
IS A LIFE AND DEATH SITUATION
AND WE NEED TO MAKE THOSE
DECISIONS. THE SCENES WHICH
PLAYED OUT IN THE FULL VIEW OF
VISITORS FAMILY MEMBERS AND NON
MEDICAL STAFF CREATING NORMA
SINGS IT FOR ALL. THE PATIENT
WHO'S CUT HIS FINGER OFF WITH A-
KITCHEN KNIFE. MIGHT NOT BE AS
CRITICAL AS THE ONE NEXT TO HIM
IT WAS SHOWING SIGNS OF A STROKE
BUT HE DOESN'T KNOW THAT HE'S
SIMPLY IN PAIN AND WANTS TO BE
SEEN AS SOON AS POSSIBLE. THE
BUILDUP OF FEAR FRUSTRATION AND
ANXIETY IS WHAT LEADS TO
WORKPLACE VIOLENCE PERPETRATED
AGAINST HEALTH CARE WORKERS. AS
ANY OUR NURSE OF MANY YEARS I
KNOW AND ACCEPT A CERTAIN LEVEL
OF UNCERTAINTY EVEN CHAOS IN THE
ER IT'S THE NATURE OF THE JOB.
THE PROBLEMS WE FACE TODAY
HOWEVER ARE FIXABLE WE NEED
HOSPITALS AND THE CALIFORNIA
DEPARTMENT OF PUBLIC HEALTH TO
SUPPORT US. BY MONITORING
ACUITY'S AND ENFORCING SAFE
STAFFING THROUGHOUT OUR
HOSPITALS THANK YOU SO MUCH FOR
YOU TO IN A HOSPITAL IN MY
DISTRICT. THANK YOU. HELLO MY
NAME IS ANASTASIA I AM A MEMBER
OF THE S. E. I. U. I AM HERE
TODAY TO ASK CDP. TO INFER AND
FORCE NURSE TO PATIENT RATIOS I
AM AN ICU NURSE AND THE KERN
MEDICAL AND BE CRYSTAL- I HAVE
BEEN A NURSE THERE FOR SEVEN
YEARS I LOVE WHAT I DO BUT IT'S
REALLY TOUGH TO SEE A LOT OF MY
COWORKERS WHO ARE CONTINUING TO
BE BURNT. OUT FROM THE LACK OF
PROPER. STAFFING AND RATIOS- I
SEE I'VE SEEN A LOT OLDER NURSES
QUIT LEAVE THE BED SIDE BECAUSE
THEY JUST CANNOT HANDLE IT
DEALING WITH THINGS FROM THE
PANDEMIC. I AM IN CHARGE OF
TRAINING NEW NURSES AND I SEE
THAT THEY'RE NOT WELL SUPPORTED-
AND- BEING OUT OF RACIAL JUST
ISN'T AS SOMETHING THAT COULD BE
SOLVED IF WE ARE HELD TO THOSE
STANDARDS. IT'S VERY UNSAFE WHEN
WE'RE OUT OF RACIAL ALL THE TIME
BECAUSE WHO SUFFERS OUR
PATIENTS. AND AS NURSES OUR MAIN
JOB IS TO ADVOCATE FOR OUR
PATIENTS- MY ME AND MY
COLLEAGUES HAVE CALLED CD PHP
MANY TIMES- I'VE TOO MANY TIMES
TO COUNT I HAVE NOT SEEN ANY
FINES IN MY HOSPITAL- SO
HOSPITALS ARE CONTINUING TO
VIOLATE NURSE. TO PATIENT RATIOS
AND WE NEED CITY P. H. TO HOLD
THEM ACCOUNTABLE TO HELP PROTECT
OUR PATIENTS PREVENT BURNOUT AND
SUSTAIN OUR HEALTHCARE SYSTEM.
THANK YOU THANK YOU. HELLO AND
HAPPY THURSDAY GOVERNMENT
OFFICIALS MY NAME'S IS BRONZE
COURTNEY I REPRESENT AGENCY
CALLED CAN'T PACK ALSO KNOWN AS
THE HIV EDUCATION PREVENTION
PROJECT OF ALAMEDA COUNTY WE ARE
A BLACK LED ORGANIZATION IN THE
CITY OF OAKLAND AND DOES WORK IN
CONTRA COSTA COUNTY. WE DO NON
CLINICAL SETTING WORKS WE GO OUT
TO THE TRENCHES THE ENCAMPMENTS
AND WE PROVIDE HARM REDUCTION
SERVICES ONE OF THOSE SERVICES
CALLED THE BLACK DRUG USERS
HEALTH- WHERE WE GET PEOPLE
LINKED. TO MEDICATION ASSISTANCE
TREATMENT THE CALIFORNIA HARM
REDUCTION INITIATIVE IS VITAL TO
US PROVIDING THESE SERVICES IN
THE BLACK COMMUNITY WHICH AS THE
DATA SHOWS IS DETRIMENTAL RIGHT
ARE BLACK FOLKS ARE DYING IN
OAKLAND DUE TO OVERDOSE. AND ALL
KINDS OF OTHER COMORBIDITIES SO
PLEASE CONTINUE FUNDING FOR THE
CALIFORNIA HARBOR DUCTION ISSUED
IT SO THAT WE CAN CONTINUE TO
WORK IN THE BLACK COMMUNITY MAKE
SURE PHOTOS GET LINK TO MATT.
GET LINKED TO HIV PRIMARY CARE
AND GET ALL THE SERVICES THAT
REQUIRE THEM TO STAY HEALTHY
ALIVE AND ABLE TO THRIVE WITHIN
THE BLACK COMMUNITY. THANK YOU
SO MUCH AND PLEASE KEEP THIS
FUNDING GOING THANK YOU SO MUCH
. GOOD AFTERNOON HI MY NAME'S
LEANNE I'M NOT CO EXECUTIVE
DIRECTOR OF HARM REDUCTION
SERVICES WHICH IS A SMALL
NONPROFIT HERE IN SACRAMENTO
COUNTY. I'M ALSO SPEAKING
REGARDING THE CHERRY FUNDING-
THAT WE HAVE TWELVE STAFF AND
LAST YEAR WE GET ABOUT TWENTY
ONE THOUSAND DOSES OF NALOXONE.
WE ABOUT A NINETEEN HUNDRED AND
THIRTY FOUR REPORTED REVERSALS
FROM LAST YEAR ALONE- WE
COULD'VE EASILY GIVEN OUT TWICE
THAT AMOUNT OF NALOXONE THERE'S
THAT NEED IN OUR COMMUNITY- BUT
WE ALSO PROVIDE OTHER SERVICES
LIKE. CASE MANAGEMENT AND
TESTING AND SYRINGE ACCESS AND-
SAFER SEX SUPPLIES AND ALL ABOUT
STUFF AND WE HOST A WEEKLY. FREE
MEDICAL CLINIC THAT PROVIDES
REPRODUCTIVE CARE AS WELL AS
PRIMARY CARE TO OUR FOLKS- WE
ALSO REFER FOLKS INTO MATCH LAST
YEAR WE REFERRED TWO HUNDRED
PEOPLE INTO MEDICATION ASSISTED
TREATMENT FOR OPIATE USE
DISORDER- SO I AM. JUST ASK THAT
YOU CONTINUE THE CHERRY FUNDING
AND THAT YOU EXPAND IT BECAUSE
THERE'S SO MUCH MORE WORK TO DO
AND THERE'S SO MUCH MORE NEED.
IN CALIFORNIA- BUT WE REALLY
NEED. IT THANK YOU SO MUCH THANK
YOU. HELLO- CAN BE EASILY I'M
FROM ALSO FROM HARM REDUCTION
SERVICES HERE IN SACRAMENTO. AND
YOU SEE HERE TO SUPPORT. YOU ALL
CONTINUE TO FUNDING OF SURE
PROGRAM YOU KNOW. I KNOW EXACTLY
WHAT HAPPENED IN ALL OVER THOSE
LOOKS LIKE. I PERSONALLY
REVERSED AN OVERDOSE USING
NALOXONE FROM A HARM REDUCTION
PROGRAM AS A MATTER OF FACT THE
RIVERS MANY. PEOPLE WHO ARE YOU
KNOW HAVE OVERDOSE RIGHT IN
FRONT OF ME AND REYES YOU KNOW.
BUT MANY PEOPLE MANY PEOPLE
AFRAID TO CALL NINE ONE ONE
BECAUSE THEY BECAUSE THEY DON'T
WANT TO GO TO JAIL OR SOME OR
SEE SOMEONE ELSE GO TO JAIL.
EMERGENCY ROOMS OR TELEPHONES
TERRIBLE PLACE FOR DRUG VIEWS AT
TIMES AS WELL YOU KNOW MEDICAL
STAFF'S OVERWORKED- AND WHEN
THEY RUN THE COPS THERE- ON THE
OTHER TREATED IN HOME IN A WAY
THAT SOME ON TIME. AND NOT
RESPECTFUL SOMETIMES. SUMMER
NINE WITH CAN BE TO. AND- AND-
EMERGENCY ROOM. IS IMPORTANT
THAT HAPPEN ON AND GET IT TO THE
PEOPLE OUT THERE WITH A AT YOU
KNOW I MEAN ALL IN THE CAMP. SO
KNOW THE PERSON TO GET THEIR
AND- BEEN LIKE A FIVE MILE WORKS
SAID. THAT THERE HAS THAT WITH
THE OVERTURN THOUSAND OF- OVER-
REPORTER OVER THE TO GROW UP
BEING A- AND- WE NEED TO HAVE
THAT I THERE IN THE COME. WHERE
PEOPLE GO WE NEED TO. CONTINUE
TO CHERRY- PLEASE CONTINUE TO
YOUR FOR AND MAKE SURE THAT-
THAT'S- THESE. PEOPLE OUT ON THE
FRONT LINES ARE ABLE TO HAVE THE
LOCKS ON WHERE THEY'RE AT AND
LIKE I SAID WE CAN FOR PASSED
OUT TWENTY ONE THOUSAND DOSES
LAST YEAR OVER INFLECTED LEON SO
WE COULD LOOK AT THE TWICE THAT.
EASILY AND IN OF LIVES THAT HAVE
BEEN SAVED. BECAUSE OF THAT OR
NOT. AND UP PLEASE CAN TO A
TEACHER WHO AND WE- JOBS YOU
WHAT YOU'LL DO. THANK YOU SO
MUCH. GOOD AFTERNOON MY NAME
PHILIP LASSITER AND I APPRECIATE
THE- TO SPEAK ON BEHALF OF THE
OVER PREVENTION INITIATIVE- MY
MAY. WE THE CENTER A FOUND SARAN
ACCESS. PROGRAM PRIMARILY
INVOLVED WITH THE MOBILE SITES
THAT WE HAVE THROUGHOUT OUR
CITY. IN BEAUTIFUL SAN
FRANCISCO- BUT RATHER THAN COME
TO YOU WITH THE PERSPECTIVE OF
PROPERTY PROVIDER I WOULD LIKE
TO OFFER THE PERSPECTIVE OF
SOMEONE WHO USED DRUGS FOR
TWENTY SIX YEARS- SO- I AM
LIVING PROOF OF THE IMPORTANCE
AND LEGITIMACY. OF HARM
REDUCTION SERVICES AN OVERDOSE
PREVENTION SERVICES THIS
INITIATIVE WILL EXTEND THE LIFE
EXPECTANCY OF PEOPLE LIKE ME
ENABLING US TO MOVE FORWARD INTO
A LIFE FULL OF OPPORTUNITY TO
NEEDS AND POSSIBILITIES- SO-
PLEASE HELP US TO CONTINUE TO
OFFER EVIDENCE SUPPORTED
LIFESAVING SERVICES THANK YOU.
THANK YOU SO MUCH. GOOD
AFTERNOON GOING BACK IS FOR THE
NATIONAL HARM REDUCTION
COALITION IN BRIEF. THE DALLAS
AND DISTRIBUTION PROGRAM BY DH
CS DISTRIBUTED OVER TWO MILLION
DOSES. ORDERED A HUNDRED AND
THIRTY THOUSAND REVERSALS FROM
THOSE DOSES. HARM REDUCTION
PROGRAMS ACCOUNTED 459% OR
SEVENTY EIGHT THOUSAND REVERSALS
. THE SMALL SCRAPPY PROGRAMS ARE
GOING INTO HOMELESS ENCAMPMENTS
INTO SRO HOTELS INTO MOTELS AND
DELIVERING THE SERVICES THAT ARE
NEEDED. AND THEY'RE BRINGING
PEOPLE OUT OF ENCAMPMENTS OFF
THE STREET OUT OF HOTELS INTO
DRUG TREATMENT MENTAL HEALTH
CARE MEDICAL CARE. TO HIV AND
HEPATITIS C. TESTING AND
SCREENING AND PROVIDING HIV AND
HEPATITIS C. PREVENTION
MATERIALS. THEY ARE YOUR BEST
MOST COST EFFECTIVE. IN THIS
MOMENT OF A MILITARY CRISIS THE
FEDERAL ENORMOUS CRISIS IS
NOTHING LESS THAN A HUMANITARIAN
CRISIS. PLEASE SUPPORT THESE
PROGRAMS ARE INCREDIBLY
EFFECTIVE THANK YOU THANK YOU.
THANK YOU FOR ALLOWING ME TO
SPEAK AGAIN THIS IS ANOTHER
ISSUE THAT IS NEAR AND DEAR TO
MY HEART I DIDN'T KNOW WHAT'S ON
THE AGENDA- LIKE I SAID WENDY
BLOOM REGISTERED NURSE AT
CHILDREN'S HOSPITAL OAKLAND AND
I'VE HAD THE PRIVILEGE OF CARING
FOR SICKLE CELL ANEMIA PATIENTS
MY WHOLE CAREER. ACTUALLY HAVE
AN FORTUNATE THAT WE HAVE A VERY
SPECIALIZED CLINIC IT CHAU. THAT
SERVES ADULTS AS WELL AS
CHILDREN WITH SICKLE CELL ANEMIA
AND IT MAKES A HUGE DIFFERENCE
IN THEIR LIFE WE'VE- THEY ARE
VERY UNDERSERVED POPULATION THEY
NEED SERVICES HUGELY SO IT'S RAY
I'M I'M SPEAKING IN SUPPORT OF
THE FUNDING. THE SICKLE CELL
ANEMIA CLINIC THANK YOU THANK
YOU SO MUCH. SEE NO NO MORE IN
PERSON COMMENTS MODERATED BOTTOM
MAN I'M SURE IF I COULD JUST
MAKE ONE POINT POINT JUST IT
BEING- SOCIAL WORK MONTH YOU
MADE TODAY. IT'S LIKE TO POINT
OUT THAT THE WORK OF- GLENN
BACKUS WHO IS ONE OF OUR
LOBBYIST BUT ALSO AT. AN MSW-
MEMBER. OF OUR TRIBE. THANK YOU
SO MUCH SEE NO REPUBLICAN. I
MODERATED PLEASE THE INTO. WERE
TO PROVIDE COMING OFF THE TOP.
ANY COULD LET ME KNOW HOW MANY
WE HAVING Q. THANK YOU MADAM
CHAIR CURRENTLY WE HAVE NINETEEN
IN Q. LADIES AND GENTLEMAN TO
COMMENT IF YOU HAVE NOT ALREADY
DONE SO PLEASE PRESS ONE MIN
ZERO. IF WE KILEY LIMIT OUR
COMMENTS TO NO MORE THAN A
MINUTE. MORE THAN A MINUTE.
CRYSTALLINE NUMBER TWENTY EIGHT
GO AHEAD PLEASE. THANK YOUR
MEMBERS KATIMA EVEN UNTO THE-
FROM. REPRESENTING BOTH ATRIAL
HEALTH CALIFORNIA HAVE FROM TO
SUPPORTS OUR- FOR OVERDOSE. IN
ABOUT ITEM THESE DOLLARS WILL GO
A TWO PART AND- URGENTLY.
WITHOUT CONTINUE AT X. ABOUT THE
IN MUSICAL THAT WITH LOW. OVER
TO PREVENTION OTHER HEALTH.
SERVICES THAT ARE MODOC TAKE.
OVERDOSE CRISIS CONTINUE.
REPAIRING THE HEALTH. P. CHAU
SUPPORT THE REQUEST BY THE-
CANCER BRIDGE WITH THE POINT
FIVE DOLLAR. OF MUCH NEEDED
FUNDING AS NOTED BY DR. THE
REGISTRY THE VITAL OF HEALTH CAN
. SURVEILLANCE SYSTEM RESEARCH
REPORT. PROVIDE COULD. TO THE
QUANTIFYING CASE EARLIER IN THE
DAY. CURRENTLY WILL WITH THEM DO
YOU RECALL RESOURCES PROP MATT
NINE. THAT ARE CONTAINED. THAT
CONTINUE TO CORTES THE CALL YOU
WOULD YOU WE- A TO PROVIDE YOUR
FUND DOLLARS TO GET THE MUCH
NEEDED. CURTIS COMMITTEE TO
WORKING WITH WE WOULD HELP TO
WORK WITH THE YOU TO ENSURE THE
PROGRAM ARE FUNDED IN THE FINAL
BUDGET THANKS YOUR TIME TODAY
THANK YOU SO MUCH NEXT CALL.
SHOULD'VE ARE CHEERING. ENDING
HERE AND NEEDS TO BE CONTINUED
IN A DIFFERENT FORM THROUGH THIS
FUNDING REQUEST THE PROGRAM
HELPS PEOPLE ACCESS TO MEDICALLY
ASSISTED DRUG TREATMENT THE MOST
EFFECTIVE MEANS. OF HELPING A
PERSON REDUCE OR STOP USING
PENCIL HEROIN OR OTHER OPIATES.
OUR UP AGAIN KNOCKED ON DIRECT
INTO THE HANDS OF P. WHO USED.
BECAUSE THEY ARE PEOPLE WHO THE
MOST HARM OF OVER PERVERSE
OVERDOSE. WE URGE NOT BUT THESE
CRAMPS BLOCKS PROGRAMS THE STATE
ON FRONT LINES OF THE OVERDOSE
CRISIS BUT WE NEED TO FUNDING
CONTINUE SAVING LIVES THANK YOU
THANK YOU SO MUCH NEXT CALLER.
PINE FIFTY FOUR PLEASE CALL.
THIS GOOD AFTERNOON MATTER
CHAIRMAN MY IS THE TIME WILL PUT
THEM A CERTAIN DIRECTOR'S
COLLEGE FOR PUBLIC HEALTH ABBOTT
. HERE TODAY AS A OF THE OVER TO
THE ORGANIZED EXPRESSIONS FOR
THE HEALTH EQUITY JUSTICE FUND.
HERE INITIATIVE BORN THE
NINETEEN PANDEMIC OUT OF THE CAR
NEED TO COMMUNITIES WHERE THERE
ARE AFTER HARD TO RE. FOR OUR
STATE IN ORDER TO FROM THE RE
THEY NEED TO LOOK HEALTHY LIFE
DURING. THROUGH THE FIFTEEN.
DOLLAR INVESTMENT OVER TWO YEARS
THE FUND ALONG ITS ACCOMPANYING
INFRASTRUCTURE WAS CAREFULLY
CRAFTED TO IMPLEMENT A STRING
SOLUTION TO RACIAL HEALTH ACT
INEQUITIES BETTER FACE UNDER
REPRESENTED COMMUNITIES IN
CALIFORNIA WHICH ARE OFTEN NOT
ACCOUNTED FOR IN OUR RESPONSE.
SHOULD BE DONE BY SOLIDIFYING
THE PARTNERSHIP BETWEEN AGENCIES
ENTRUSTED AND CULTURALLY
COMPETENT COMMUNITY BASED
ORGANIZATIONS. WHICH COULD HELP
THE THREE KEY COMMUNITIES AND
GET THEM THE RESOURCES THEY NEED
TO CHALLENGE THE PUBLIC HEALTH
ISSUES THEY FACE. ULTIMATELY
SAVING COUNTLESS LIVES. MANY
LIVES WERE LOST DURING THE
PANDEMIC PURELY BECAUSE
INFORMATION AND RESOURCES DIDN'T
REACH THE COMMUNITIES FAST
ENOUGH. DESPITE THE SPEED AT
WHICH COMMUNITY BASED
ORGANIZATIONS STEPPED UP TO THE
PLATE ADVOCATE FOR RESOURCES FOR
THE COMMUNITY ARE LOCKING
INFRASTRUCTURE IN EMERGENCY
RESPONSE CREATED A REACTIVE NOT
PREVENTATIVE APPROACH. TO HEALTH
EQUITY RACIAL JUSTICE FUND IS
THE PREVENTATIVE APPROACH AND
INVESTMENT IN OUR INFRASTRUCTURE
WE REALIZE THAT WE'RE IN AN
UNCERTAIN FINANCIAL TIMES AT THE
STATE BUT SOMEONE WHO GREW UP IN
A LOW INCOME UNDERREPRESENTED
COMMUNITY DURING THE LAST
RECESSION. I CAN GUARANTEE YOU
THAT THESE COMMUNITIES WILL
SUFFER THE CONSEQUENCES FOR A
MUCH LONGER TIME THAN OUR STATE
BUDGET IF WE DON'T MAKE THIS
UPSTREAM PREVENTED INVESTMENT
NOW. THANK YOU SO MUCH FOR YOUR
TIME AND I URGE YOU TO SUPPORT
THIS. ONE THANK YOU SO MUCH NEXT
CALLER. WHY THIRTY SIX GO AHEAD
. HI MY NAME IS MARLENE ESPINOZA
AND I'M CALLING ON BEHALF. OF
THE CELL FOUNDATION TO SUPPORT.
OF THE ONE MILLION BUT AFTER
SAME COMPANY AND LIFESAVING.
BEING PROVIDED TO ADULTS WITH
SICKLE CELL THROUGH THE
NETWORKING CALIFORNIA FOR SICKLE
CELL CARE THANK YOU. ONE THIRTY
THREE PLEASE GO AHEAD. HELLO MY
NAME IS ELIZABETH MET I'M
CALLING ON BEHALF OF NATIONAL
HARM REDUCTION COALITION TO
SUPPORT THEIR REQUEST THE FUND
OVER TO PREVENTION OUTREACH AND
TREATMENT APPLICATION. EARNING
LOWER CLASS. WILL PORT THE WAY
FOR EXECUTIVES. NALOXONE AND
FENNEL TESTER AND ADDRESS OVER
TO NEXT STATE. IS THOSE WORK OUT
REDUCTION AND THREE SERVICES
PROGRAM- AT THE PIER ONE OF THE-
ONLY SERVICE THAT PEOPLE HUGE TO
USE DRUG TRUMP THEIR LOW AREA.
FREE A JUDGMENT STIGMA. PEOPLE
WHO USE DRUGS ARE ON THE FOR
LINES OF. THE OVER TO CRISIS
NEED TO BE. WITH THE TOOLS AND
REYES. LIKE NOT CAN STRIPS OVER
DON'T PREVENTION. ENTRY OPTIONS
TO KEEP LIFE. LATER FOR THE-
HARM REDUCTION INITIATIVES I
SEEN FOR HAND THE THAT THE SEVEN
PRO. HAVE A- AND EXTEND OVER TO.
SERVICES IN TREATMENT OF A-
SEVERAL PROGRAM'S HIGH STAFF THE
FIRST TIME THESE ARE THE HARD TO
REACH DRUG USERS IN THE STATE.
TO CREATE A CULTURALLY RICH
SERVICE SUCH THE BLACK DRUG USE
HEALTH OKAY. AND IT ENDED AND
MAKE PROGRAM ON THE HOOK. REGION
AND HELP COUNTY- COUNTY I LIVE.
IN THE ALL THE DURING URBAN- THE
FUNDING WILL ENSURE THAT THE
PROGRAMS CAN TO ADDRESS STATE
JUST CRIED AND COMPASSIONATE AND
COST EFFECTIVELY. OF DOING
REALLY HOPE THAT FUNDING
CONTINUE THANK YOU THANK YOU.
LINE THIRTY EIGHT GLEE GO AHEAD
. HELLO MY NAME IS MY A VALID A
FEW CLOSE FOR HEALTH CALIFORNIA
. OUR MISSION IS TO PUT OUR THE
HELL A LOT ME KNOW AND I. AND
THAT IS WHY I'LL BE FEES SUPPORT
THE HELP THAT AND REYES JUSTICE
. WHICH RELIGION THE FULL FOR
THE TEN OF HEALTH THROUGH
COMMUNITY LED PROJECT.
SPECIFICALLY IT WILL PROVIDE ME
THE COMMUTER ON WHAT. QUITE AND
TRAVEL. THAT ARE WORKING GROUP
THE HEALTH AND WELLNESS I THINK
MOST UNDER COMMUNITIES.
ONE A LOT YEARS ENERGY TOO AGAIN
INCLUDED IN YOUR BUDGET DANCE
PUBLIC HEALTH OUTCOMES THANK YOU
SO MUCH THANK YOU. LINE THIRTY
FIVE PLEASE GO AHEAD. BY LOCAL
LAWMEN GREETINGS MY NAME IS
PAMELA COLEMAN OF THE DIRECTOR
OF NEEDED ONE TO SURRENDER. AT
THE ASIA PACIFIC PARTNERS FROM
THE DEPARTMENT ADVOCACY AND
LEADERSHIP OR APPEAL FOR SHORT.
I'M CALLING ON BEHALF OF AS A OF
THE HEALTH EQUITY RACIAL JUSTICE
FUND. AND WE ALSO UNDER THE
COVER NINETY AND- IMMEDIATE
ORGANISE ARMS RESPONSIBLE.
MAGNIFIED MOST PRESSING HEALTH
EQUITY AND RACIAL JUSTICE ISSUES
SINCE OUR COMMUNITY AND
DEVELOPING SOLUTIONS TO ADDRESS
THEM. WE KNOW OUR NEIGHBORS
ARTISTIC MEDIUMS WE ARE FLUENT
IN EVERY LANGUAGE SPOKEN IN
CALIFORNIA AND KNOW HOW TO
IMPLEMENT EFFECTIVE SOLUTIONS
THAT WILL WORK AT THE LOCAL
LEVEL. SERVING AS FRONTLINE
VOICES IN CITIES COUNTIES AND TO
OUR BEAUTIFUL STATE. UNDER THE
GREAT PARTNERSHIP WHAT'S LAW. IN
SURVIVOR THAT HAVE COME OUT THIS
KIND. AND ADVANCE THE HEALTH
EQUITY TO FOR. ARE BIGELOW GANZ
THE STOCK OF THE PASS TWO YEARS
. AND- URGED ME TO INCLUDE IN
THE AND ADVANCE POSITIVE HEALTH
OF. FIVE KEVIN YOU VERY FOR YOUR
PER. THANK YOU MUCH. WHY FORTY
THREE PLEASE GO AHEAD. HI MY
NAME AMY LIEBERMAN I'M CALLING
FROM LOS. AND I CALLING SUPPORT
REQUEST ON HARVARD IN THE- I
BELONG HERE TO HARM REDUCTION
THAT WERE TO WITH I HOUSE AND DR
LA. AND THE GRASS FROM THE HAS
HELPED INCREASE THE STOCK.
HIRING OF OUR- SHOULD PEOPLE WHO
REALLY BEST. WHAT NEEDS TO BE
DONE AND WHERE IT'S GREAT THAT
THE CONNECT PLANNING A LOT. BUT
I DON'T SEE WHERE THEY GETTING
THAT. TO ACT GET THE NOT TO THE
PEOPLE WHO IT NOW. PEOPLE WHO
ARE TO AND OUR BEST EQUIPPED TO.
AT THE SCENE OF THE OVER
EMERGING. PLEASE CAN TO JERRY.
THANK YOU THANK YOU SO MUCH.
NINE FIFTY FIVE PLEASED AHEAD.
GOOD AFTERNOON CHAIR AND MEMBER
THAT THE CHECK MARK IN THE KEY
AND HEART SINCE HE- AND- OF I
THAT. HEALTHEQUITY AND MAKE SURE
JACKSON FUND. THE FOLDER NAME
AND IN FUN WOULD PROVIDE DIRECT
FOR. TO CLINICS BASED AND TRY
WE'RE GONNA. COULD MUCH URGENT
HEALTH AND JUSTICE TO. IN THEIR
. FINDING MEAN ORGANISER COULD
TAKE AFTER TO THE HEALTH. THE
LOCAL THAT BY NUTRITION KERRY.
HOUSING SECURITY FROM
ENVIRONMENTS. IN THE BILL FOR
THE OF HEALTH REDUCE ANY PROGRAM
AT THE CAGR OF DEATH AND TELL ME
LIKE HEART DISEASE AND STROKE
AND ADULTS. THANK YOU FOR YOUR
TIME IN THE CARE SUPPORT AT THIS
TIME TO THANK YOU. BLINDS PLEASE
GOING TO. SHE GOOD AFTERNOON
GIVE ME THEIR BEHALF VERTEX A
FEW TO ONE EXPRESS SUPPORT UNDER
A SEVEN THAT FELL TO THE NUMBER
TRADITIONAL BY. FUNDING IS VITAL
TO THE SUCCESS OF THESE
COMMUNITY OUR STATE AND LOCAL
ALL IN A FOX SPEEDING THE STATE
EMERGENCY HEALTH COSTS THANK YOU
.
EIGHT PLUS UNDERSERVED
COMMUNITIES WE ARE YOU THINK AN
INCLUSIVE YOUR BUDGETS THE
COMING THE CBO DURING THE ON
GROUND BREAKING AMERICA THE
COMMUNITIES AS- OUR ORGANIZATION
FOR THE NINETEEN. INDOCTRINATION
. THREE AND A QUICK POLITICAL
CLINIC THAT BRING CULTURE CLUB
AND COLLECTED MY GROUP. AS WELL
AS OUR ENVIRONMENT JUST BUT THE
BY HOME THE MITIGATION AND AIR
SENSORS NEIGHBORHOOD JUST.
AFFECT BY POLICE IN A BIG THE
BREAD BY AND BY EGGMAN FONG
THANK YOU THE LEGISLATURE FOR
THE BY FOR THE LAST TWO YEARS AT
THE- TO VOICE OUR SUPPORT. THANK
YOU. FOR LINE SIXTY ONE PLEASE
GO AHEAD. GOOD AFTERNOON MADAM
MEMBERS MY NAME IS FUNDED FOR ON
DIRECTOR ON OF THE NEW IN THE
CAN I COMMUNITY PROJECT LOCATED
IN THE CALIFORNIA CENTER AND IN
SICK OF THE HOW EQUITY AND
RACIAL AFTER FIND OVER. EMPOWERS
COMMUNITY OFTEN DOES HIS STORY
MARKET AND- TO RATE THEIR GOING
AND IF PRO AND THAT ARE WHICH IN
PER. INEQUITY WE WANT TO THANK
THE LEGISLATURE FOR BEING STRONG
FIT OF THE FUNDING FOR THE PAST
FEW YEARS AND ONE URGE YOU
INCLUDE IN YOUR BUT AGAIN TO A-
POSITIVE HEALTH OUTCOMES THANK
YOU SO MUCH THANK YOU- THE LINE
SICK TWO PLEASE GO AHEAD. SAN
ANDREAS I'M OF THE HAVING A SAY
NO HAVING OUR THE OF OVER FIVE
BY AND GRAPH THREE OR- ACROSS
THE STATE CALIFORNIA POPPING ARE
SAY HAVE. THE HEALTH EQUITY AND
JUSTICE FINE AND WE APPRECIATE
THE LEADERSHIP OF SENATOR EIGHT
MEN ON THIS ISSUE. THE FUND OF
THE BOLD AND INNOVATIVE PROGRAM
FELL SUPPORTED BY OVER TWO
HUNDRED ORGANIZATIONS ACROSS THE
STATE. WOULD DEDICATE FIFTY
MILLION DOLLARS OVER TWO YEARS
TO COMMUNITY BASED ORGANIZATIONS
COMMUNITY CLINICS AND TRIBAL
ORGANIZATIONS SO THAT THEY CAN
CONTINUE TO DO THE WORK TO
IMPROVE THE HEALTH AND WELL
BEING OF. OUR STATE'S MOST
HISTORICALLY EXCLUDED
COMMUNITIES THROUGH COMMUNITY
INFORMED HEALTH SOLUTIONS. WE
THANK THE LEGISLATURE FOR BEING
A STRONG SUPPORTER OF THE HEALTH
EQUITY AND RACIAL JUSTICE FUND
FOR THE PAST TWO YEARS. AND WE
URGE YOU TO AGAIN INCLUDED IN
YOUR BUDGET TO ADVANCE POSITIVE
HEALTH OUTCOMES FOR ALL
CALIFORNIANS THANK YOU. THANK
YOU. FIND FORTY EIGHT PLEASE GO
AHEAD. SORRY LINE FORTY EIGHT
PAVILION PLEASE START AGAIN LINE
FORTY EIGHT. HELLO GOOD
AFTERNOON MY NAME IS MADDIE
REBEL AND I AM CALLING ON BEHALF
OF THE CHILDREN'S PARTNERSHIP.
STATEWIDE ORGANIZATION WORKING
TO ADVANCE CHILD HEALTH EQUITY
IN CALIFORNIA. AND I'M CALLING
TODAY IN SUPPORT OF THE
HEALTHEQUITY IN RACIAL JUSTICE
FUND BUDGET REQUEST. WE KNOW
THAT AS A RESULT OF PERSISTENT
STRUCTURAL RACISM CHILDREN OF
COLOR IN CALIFORNIA
DISPROPORTIONATELY FACE. TO GET
HELP. FROM LACK OF ACCESS TO
HEALTHY AFFORDABLE FOODS TO
EXPOSURE TO VIOLENCE TO EXPOSURE
TO HARMFUL ENVIRONMENTAL
POLLUTANTS TO NAME ONLY A FEW.
IN ORDER TO SOLVE PROBLEMS IT'S
ESSENTIAL THAT WE INVEST IN THE
COMMUNITY FOR AT A COMMUNITY LED
ORGANIZATIONS TO PASS NO THE
CHALLENGES AND THE SOLUTIONS FOR
THEIR OWN COMMUNITIES. THAT IS
EXACTLY WHAT THE HEALTH EQUITY
IN RACIAL JUSTICE FUND WILL DO
AND IT'S PAST TIME THAT WE PUT
THIS APPROACH FRONT AND CENTER
IN OUR PUBLIC HEALTH
INFRASTRUCTURE. WE GREATLY
APPRECIATE THE LEGISLATURE
SUPPORT FOR THIS FUND OVER THE
LAST TWO YEARS AND WE URGE YOU
TO CONTINUE SUPPORT IN THIS
YEAR'S BUDGET THANK YOU VERY
MUCH THANK YOU. FIND THREE
PLEASE GO AHEAD. HI MY NAME IS
RAVEN HOOPS I'M CALLING IN FROM
REDDING CALIFORNIA IN VERY
NORTHERN SHASTA COUNTY I'M
CALLING TO SUPPORT THE REQUEST
TO FIND OVERDOSE PREVENTION OUR
REGION TREATMENT NAVIGATION I
WORK AT A CLINIC UP HERE WITH A
HARM REDUCTION PROGRAM- WE-
ASSIST PEOPLE IN ACCESSING AND
ALSO PROVIDE LIFESAVING SERVICES
AND RESOURCES SPECIFICALLY
SPEAKING ON A LOCK DOWN. OUR
COMMUNITY IS MOSTLY RURAL WITH A
VERY LARGE GEOGRAPHIC REGION
WITHOUT OUR OUR REGION
NAVIGATION TEAM DIRECTLY
REACHING INTO THESE HIDDEN
COMMUNITIES SEVERAL HUNDREDS OF
PEOPLE IN NORTHERN CALIFORNIA.
WILL SUFFER AND MANY WILL DIE.
THERE ARE NOT VERY MANY SERVICES
UP HERE ESPECIALLY ONES THAT
PEOPLE TRUSTED AND OUR FOLKS ARE
GETTING IN DIRECTLY WHERE PEOPLE
ARE NOT GETTING REACHED WITHOUT
THIS FUNDING THAT DOESN'T
HAPPEN. SO PLEASE DO NOT LET
THESE GRANTS LAPSED WE ARE ON
THE FRONTLINE OF THE OVERDOSE
CRISIS AND THIS FUNDING WILL
ENSURE THAT WE CAN CONTINUE TO
SAVE LIVES IN CALIFORNIA. THANK
YOU THANK YOU SO MUCH. PINE
TWENTY ONE PLEASE GO AHEAD.
HELLO MY NAME IS STEPHANIE
HARRIS MCCARTY- PHYSICIAN
ASSISTANT IN THE CENTRAL VALLEY
I AM CALLING ON BEHALF OF THE
UCSF FRESNO ADULT SICKLE CELL
CLINIC IN SUPPORT OF THE ELEVEN
MILLION BACK ASK. TO SUSTAIN THE
COMPREHENSIVE AND LIFESAVING
CARE PROVIDED TO ADULTS WITH
SICKLE CELL DISEASE THROUGH
NETWORKING CALIFORNIA CRITICAL
HEALTHCARE THANK YOU THANK YOU
SO MUCH. LINE SIXTY FOUR PLEASE
GO AHEAD. HI MY NAME IS EDITH
GREEN MORROW FROM RIVERSIDE
CALIFORNIA. I AM CALLING THE
SUPPORT REQUEST TO FUND OVERDOSE
PREVENTION OUR REGION TREATMENT
NAVIGATION- I WORK WITH ELLEN
EMPIRE HARM REDUCTION WE'RE A
SMALL HARM REDUCTION SERVICE
WITH ONLY FOUR STAFF ONE PART
TIME THREE FULL TIME. IN TWENTY
TWENTY TO BE DISTRIBUTED TWELVE
THOUSAND FIVE HUNDRED PLUS THIS
IS OF THE LOCKS OWN RESULTED IN
FOUR HUNDRED SEVENTY REPORTED OF
REVERSALS. NOT JUST- NOT. MOST
LIKELY HIGHER WE CAN DO MUCH
MORE WITH YEARS OF. WE CAN NEEDS
FOR TO SIGNAL ON INTERNAL TEST
STRIPS AND- OVERDOSE FROM. AND
WE ALSO NEED TO SUPPORT WHO ARE
. IN ENTERING TREATMENT- WE NEED
NEED THE FUNDING AND- WE'RE
UNDERFUNDED. HAPPEN THREE SIX
FOR OF CITIES HERE. THANK YOU
THANK YOU. WHY FIFTY PLEASE GO
AHEAD. HELLO MY NAME IS RACHEL
BHAGWAT THE DEATH DIRECTOR AT
THE CALIFORNIA ALLIANCE OF
ACADEMICS AND COMMITTEE FOR
PUBLIC HEALTH EQUITY OR THE
ALLIANCE WHICH IS A PROGRAM OF
THE PUBLIC HEALTH INSTITUTE.
TESTIFYING IN SUPPORT OF THE
CREATION AND PROPOSED
APPROPRIATION TOWARD HEALTH
EQUITY AND RACIAL JUSTICE FUND.
DELIGHTED TO THE WIDE. BETWEEN
TWO LEADERS AND- EXPERTS FROM
CALIFORNIA UNIVERSITIES SCHOOLS
AND PROGRAMS OF PUBLIC HEALTH.
WE AND OUR ACADEMIC PARTNERS
WORK WITH COUNTLESS ORGANIZATION
TO PROFOUNDLY IMPACT THEIR
NEIGHBORS HELP ON SHOESTRING
BUDGETS. ORGANIZATIONS AND
LEADERS HAVE UNIQUE INSIGHTS
INTO THE SOLUTION BUT WORK ON A
LOCAL LEVEL ESPECIALLY PROGRAMS
THAT SUPPORT THE HEALTH OF
CALIFORNIA'S MOST VULNERABLE
GROUPS. MEETING ADDITIONAL. AND
FIFTEEN FUNDING IN PARTNERSHIP
WITH LOCAL GOVERNMENTS COULD
MOVE THE NEEDLE ON HEALTH
ATHLETE IN THE WAY THAT WE
FAILED TO DO FOR DECADES. THANK
YOU FOR YOUR CONTINUED SUPPORT
OF THE SPONDON WE URGE YOU TO
KEEP PUSHING AND INCLUDE IT IN
YOUR BUDGET AGAIN THIS YEAR
THANK YOU SO MUCH THANK YOU.
NINE FORTY FIVE PLEASE GO AHEAD
. GEN NUMBER ON A MONTHLY NEXT
WITH THE AMERICAN CANCER SOCIETY
CANCER ACTION NETWORK SPEAKING
ON ISSUE SEVENTEEN THE
CALIFORNIA CANCER REGISTRY
PROPOSAL FOR INVESTMENT. THE
CALIFORNIA CANCER REGISTRY THE
CRITICAL CORPORATE DATA AND
RESEARCH THAT CONTRIBUTES IN
ADVANCE KNOWLEDGE ENABLE
SCIENTIFIC DISCOVERIES AND
DEVELOP POLICY INITIATIVES. THAT
HELP WITH IMPLEMENTING. AND THE
REGION IN THE FIGHT AGAINST
CANCER. ON GOING FINE AND THE
WAY WE CAN ENSURE THAT THE COURT
MARK CONTINUE. AND FOR THE
REASON WE ARE JUST AND- ACCOUNTS
CALIFORNIA CAN REGISTRY IN THE
BUDGET. THANKS WHY FORTY ONE
PLEASE AHEAD. HELLO MY NAME IS
TERRA PRODUCTS AND I'M CALLING
ON BEHALF OF BRINDIS SEE NO IN
VENTURA COUNTY- WE ARE PART OF
THE HAVING OUR STATE COALITION.
AND WE ARE CALLING IN SUPPORT OF
THE HEALTH EQUITY IN RACIAL
JUSTICE FUND. SO WE HAVE SPENT
BILLIONS OF DOLLARS TRYING TO
TREAT DISEASES HAVE NOT
SUCCEEDED IN CHANGING COMMUNITY
CONDITIONS THAT DRIVE THEM.
DEMOCRATS WILL CONTINUE TO
PERPETRATE HEALTH DISPARITIES
UNTIL WE ARE WILLING TO
CHALLENGE THE STATUS QUO THAT IS
NOT WORKING FOR PEOPLE OF COLOR
OR UNDERSERVED COMMUNITIES. WE
ALSO WANT TO INCREASE CULTURALLY
LINGUISTICALLY APPROPRIATE
COMMUNITY BASED CRISIS RESPONSES
AND CARE OPTIONS AS ALTERNATIVES
TO PAUL. WHILE DRIVING AND OTHER
RETAIL RESPONSES. THANK YOU SO
MUCH FOR THE LEGISLATURE FOR
BEING A STRONG SUPPORTER OF BE
HELD. ON EQUITY RACIAL INJUSTICE
FUND FOR THE PAST TWO YEARS AND
WE URGE YOU AGAIN TO INCLUDE IT
IN YOUR BOX BUDGET. TO ADVANCE
POSITIVE HEALTH OUTCOMES THANK
YOU. THANK YOU. NINE FIFTY ONE
FIFTY THREE PLEASE GO AHEAD FIVE
THREE. OKAY WHAT ARE NOT AS SHE
HER AREA I'M FROM BAKERSFIELD
CALIFORNIA. BAKERSFIELD A PART
THAT. ONE OF. THE RANGE EXCHANGE
FOR. WE WERE THREE YEARS OLD. I
WANT TO SAY THANK YOU I WANT TO
SAY THANK YOU FOR HAVING THE
FUNDING FOR OVERDOSE PREVENTION
IN FOR TREATMENT. WE WANT TO.
ENCOURAGE. YOU AND- OR YOU. TO
CONTINUE IT. AS WELL AS THE
AUGMENT. WE HAVE. BEEN OF AN
EIGHT SERVICE ORGANIZATION THIS
IS OUR THIRTY EIGHT YEAR. HE
SERVED ON THE EIGHT FIVE REPORT
HERE LOCALLY FOR FORTY FIVE
YEARS. AND PHILIP DISSIPATED.
AND EVEN GROUP ALWAYS ON AGENDA
. THREE YEARS AGO SOME READERS
ONE OUT OF THE- PARTNERED WITH
OTHER SEARCH DURING PROGRAMS AND
BROUGHT IT HERE. IT IS AMAZING
IT IS AMAZING TO SEE THE
POPULATION UNDER. AND KNOW THAT
THEY HAVE THE BOY. THAT THEY
DIDN'T MUCH FOR CALLING WRITING
VERY. LINE TWELVE PLEASE GO
AHEAD. GET UP TO CHAIR NAME IS
GONNA FURTHER POLICY AND-
AFFAIRS MANAGER WITH CALIFORNIA
BUCKLE'S NETWORKS I'M CALLING IN
SUPPORT OF ISSUE SEVENTEEN
HEALTH EQUITY AND RACIAL JUSTICE
FUND AND THE ELEVEN MILLION
DOLLAR FUNDING REQUEST FOR
CLINICS FOR ADULTS WITH SICKLE
CELL DISEASE. FROM THE OUTSET ON
BEHALF OF OVER TWO HUNDRED SHE
DEALS I WOULD LIKE TO THANK
SENATOR EGGMAN FOR CHAMPIONING
THE HEALTH EQUITY RACIAL JUSTICE
FUND. AND THE CALIFORNIA
LEGISLATOR FOR SUPPORTING. THE
CREATION OF THE FUND FOR THE
PAST TWO YEARS. IT CHEN THAT
SPROUT TO BE ONE OF THE SPONSORS
FOR CREATING THIS FUND WE URGE
THE LEGISLATURE TO APPROVE THAT
REQUEST FOR AN INITIAL
APPROPRIATION OF FIFTY MILLION
OVER TWO YEARS. THIS IS AN
IMPORTANT INITIATIVE TO DIRECTLY
FUND CBO'S THAT SERVES
MARGINALIZED COMMUNITIES AND
COMMUNITIES OF COLOR ALSO. BE
HELPFUL PEDIATRICIAN I URGE THE
LEGISLATURE TO SUPPORT THE
ELEVEN MILLION FUNDING REQUEST
FOR CLINICS FOR ADULTS WITH
SICKLE CELL DISEASE WE WANT TO
THANK CDPH THANK YOU SO MUCH FOR
CALLING IN INVOLVED HERE. FINE
FOR SEVEN TWO CALL INTO. HELLO
MY NAME IS CAROL NEWARK CALLING
FROM THE HARM REDUCTION
INSTITUTE IN SANTA ANA I'M
CALLING TO SUPPORT THE REQUEST
THE FUND OVERDOSE PREVENTION
OUTREACH AND TREATMENT
NAVIGATION. EXECUTIVE DIRECTOR
FOR THE HARM REDUCTION PROGRAMS
THAT HELP PEOPLE ACCESS TO
MEDICALLY ASSISTED DRUG
TREATMENT THE MOST EFFECTIVE
MEANS OF HELPING A PERSON REDUCE
OR STOP USING FENTANYL HEROIN OR
OTHER OPIATES. WE RECEIVED
ABSOLUTELY ZERO FINANCIAL
SUPPORT FROM OUR CITY AND COUNTY
TO DO THIS LIFESAVING WORK.
GRANTS THAT WE HAVE RECEIVED
FROM THE STATE HAS HELPED US
STAY OPEN SO THAT WE CAN GET
NALOXONE DIRECTLY INTO THE.
HANDS OF THE PEOPLE WHO NEED IT
THE MOST. AND ALSO WHO ARE MOST.
OPPORTUNE A BIRD OF THAT AND NOT
PEOPLE WHO USE DRUGS. WE TEACH
PEOPLE HOW TO USE NALOXONE AND
HOW TO PROVIDE OVERDOSE
PREVENTION EDUCATION OTHERS
PLEASE DO NOT ABUSE GRANT SLAP
WE ARE ON THE FRONT LINES OF THE
OVERDOSE CRISIS AND WE AN ORANGE
COUNTY DESPERATELY NEED THE
FUNDING TO ENSURE THAT WE CAN
CONTINUE TO HELP SAVE LIVES.
THANK YOU THANK YOU FOR. LINE
TWENTY SEVEN PLEASE GO AHEAD.
HELLO MY NAME GOT TO GO I'M
EXECUTIVE DIRECTOR OF THE LIVER
COALITION ON BEHALF DELIVER
COALITION I'M CALLING AT THE
PORT OF THE MOTHER NINE FUNDING
REQUEST FOR ADULTS WITH SICKLE
CELL DISEASE. THE GLOBAL DISEASE
OR TREATMENT INCLUDING BLOOD
TRANSFUSIONS. CAN INCREASE THE
RISK OF LIVER DAMAGE FROM IRON
OVERLOAD AND APPETIT AT. AT OF
NETWORKING. CRITICAL HEALTHCARE
. THIS YEAR IT'S A CONSULTATION
SAN DIEGO WAS CONNECTED THE
DOCTOR DOCTOR. WHO THEY WILL TO
PROVIDE LIFESAVING LIVER
TRANSPLANT. WITHOUT THIS NETWORK
. PAGE WHO DON'T THIRTY YEARS
OLD WOULDN'T BE HERE TODAY.
DELIVER COALITION THANKS CPA.
THE PREVIOUS SUPPORT AND
DEDICATED A FIVE MILLION FOR
THE- THE CLINICS IN THE LAST
BUDGET CYCLE. AND WE ARE IN
SUPPORT OF THE DISTAL LEVIN
MILLION INTERSTATE FUNDING. TO
ENSURE NOT WORKING CALIFORNIA
FOR SICKLE CELL CARE. CONTINUE
IMPROVING HEALTH OUTCOMES FOR
ADULTS LIVING WITH SICKLE CELL
DISEASE. BY ENSURING LONG TERM
STANDING WITH AND HELP THEM.
UNDER G. H. THANK YOU SO MUCH.
FOR CALLING IN THANK YOU. NINE
EIGHTEEN PLEASE AHEAD- MY NAME
IS TO TREAT THREE AND I'M ON THE
- OF THE SICK OF THE DISEASE
FOUNDED. IN SUPPORT OF THE
ELEVEN MILLION BUDGET ASKED TO
SUSTAIN THE COMPREHENSIVE AND
LIFESAVING CARE BE PROVIDED TO
ADULTS WITH SICKLE CELL DISEASE
TO NETWORKING CALIFORNIA
CRITICAL SEVEN K. THANK YOU FOR
YOUR TIME. THANK YOU FOR- NINE
THIRTY TO PLEASE GO AHEAD. HELLO
MY NAME IS LAURIE VIOLA AND I'M
CALLING FROM SANTA ROSA- IN
CINEMA COUNTY AND I'M CALLING IN
SUPPORT TO REQUEST HAVE FUN
OVERDOSE PREVENTION AND OUTREACH
TREATMENT- NAVIGATION- WE ARE A
HARM REDUCTION ORGANIZATION THAT
SERVES- OUR WHOLE COUNTY AS WELL
AS OTHER SURROUNDING COUNTIES-
PLEASE THIS LIFESAVING- FUNDING
HAVE HELPED SO MANY PEOPLE- AND
SOME OF THE MOST PEOPLE WHO ARE
ARE THE MOST VULNERABLE. WE
DON'T WANT TO LOSE OTHER FAMILY
MEMBERS FRIENDS OUR COMMUNITY
MEMBERS SO PLEASE CONTINUE TO
SUPPORT WITH THE FUNDING FOR
HARM REDUCTION PROGRAM THANK YOU
THANK YOU. LINE SIX SIX PLEASE
CALL. BUT AFTER. THIS IS LIMBER
ON OF THE COMMITTEE ON LEGISLATE
- CAL. WERE NOT PARTY FOR QUAKER
LAW FOUNDER IN NINETEEN. FIFTY
TWO- WE ARE IN THE MIDST OF A
TRAGIC PUBLIC HEALTH CRISIS WITH
REGARDS TO FENTANYL OVERDOSES
THAT DESPERATELY CALLS FOR A
SUSTAINED PUBLIC HEALTH
APPROACH. THE PROPOSAL IN ITEM
SEVENTEEN BUILT UPON A EXTRA
CRITICAL PILOT PROGRAM. WE
STRONGLY URGE THAT THE
LEGISLATURE ADOPT THE PROPOSED
SIXTY ONE MILLION DOLLARS
EXPENDITURE TO SUPPORT OVERDOSE
PREVENTION. AND RESPONSE. AND
DRUG TREATMENT THANK YOU. LINE
TWENTY SIX PLEASE GO AHEAD.
HELLO MY NAME IS MUHAMMAD
FUNDING WILL CARRY M. D. MEDICAL
HEMATOLOGY ONCOLOGIST I'M
CALLING ON BEHALF OF UCSF FRESNO
ADULT SICKLE CELL CLINIC IN
SUPPORT OF ELEVEN MILLION BUDGET
REQUEST. TO HOP SUCH TEAM THE
COMPREHENSIVE PLAN LIFESAVING
CARE BEING PROVIDED TO US ALL TO
LIVING WITH SICKLE CELL DISEASE
TO THE NETWORK IN CALIFORNIA.
FOR THE COSTA OKAY THANK YOU.
LINE FIFTY SIX PLEASE GO AHEAD.
HELLO MY NAME IS PORSCHE LANGDON
AND I AM CALLING ON BEHALF OF
THE SICKLE CELL DISEASE
FOUNDATION IN SUPPORT OF THE
ELEVEN MILLION BUDGET ACTRESSES
SAYING THE COMPREHENSIVE AND
LIFESAVING CARE BEING PROVIDED
TO ADULTS WITH SICKLE CELL
DISEASE THROUGH. NETWORKING
CALIFORNIA FOR SICKLE CELL CARE
THANK YOU FOR YOUR TIME. YEAH
LINE FIVE PLEASE GO AHEAD. ONE
SIXTY FIVE SIX FIVE YOUR LINES
OPEN GO AHEAD PLEASE. CHECK TO
SEE MIGHT BE MADE ON YOUR OWN
CHECK YOUR MUTE BUTTON. SIXTY
FIVE NOT RESPONDING NINE FIFTY
SEVEN NINE FIVE SEVEN PLEASE GO
AHEAD. GOOD AFTERNOON EVERYONE I
AM STATE PD FROM THE SIDEWALK
PROJECT A SMALL HARM REDUCTION
PROGRAM WORKING DIRECTLY ON THE
STREET OF LOS ANGELES WE GET ROW
WITH ON HEALTH AND DRUG USING
PARTICIPATION- WE ARE CALLING IN
SUPPORT OF FUNDING FOR THE
CALIFORNIA HARM REDUCTION
INITIATIVES AS WITH IT WE HAVE
BEEN ABLE TO DISTRIBUTE.
THOUSANDS AND DOZENS IN THE
LOCKER IN THE STATE OVER A
THOUSAND LIVES SINCE LAST YEAR
ALONE- WE OFFER NAVIGATION TO
MEDICALLY ASSISTED TREATMENT AND
ARE ON THE FRONT LINES OF THE
OVERDOSE CRISIS SAVING LIVES.
PLEASE CONTINUE THE VITAL
FUNDING APARTMENT. ACTION
PROGRAMS IN CALIFORNIA THANK YOU
SO MUCH. LINE FORTY PLEASE GO.
HELLO MY NAME IS EMILY. CALLING
FROM HERMITAGE AND- PAN AM
ORANGE. I'M GOING TO SUPPORT THE
REQUEST TO FIND OVERDOSE
PREVENTION OUR REGION TREATMENT
NAVIGATION ARE SMALL HARM
REDUCTION PROGRAM WITH A TOTAL
SOUTH OF FOR. DISTRIBUTED OVER
TWENTY SIX THOUSAND ONE HUNDRED
AND SIXTY DOZENS OF NALOXONE
THAT RESULTED IN THIRTY FOUR
HUNDRED REVERSALS WE CAN DO MUCH
MUCH MORE WITH YOUR SUPPORT WE
NEED FUNDING TO STOP TO
DISTRIBUTE NALOXONE PHENYL TEST
STRIPS. AND PROVIDE OVERDOSE
PREVENTION EDUCATION WE ALSO
RECEIVE NO ADDITIONAL FUNDING
FROM THE CITY OR COUNTY AND
RELIED SOLELY ON THE GRANT
FUNDING FOR INJURY FROM THE
STATE IN ORDER TO SERVE OUR
COMMUNITY. THE ALTERNATE NUMBER
GATORS AND SUPPORT PEOPLE WHO
ARE INTERESTED IN ENTERING
TREATMENT ARE SMALL TEAM HAS
BEEN A VITAL PART IN ENSURING
OUR FOLKS ARE ABLE TO DETERMINE
AN ORANGE COUNTY. WE'VE BEEN A
PLACE FOR THE ON HOW THE
COMMUNITY AND WITH THE SUPPORT
OF CHERRY FUNDING WE'VE BEEN
ABLE TO CONTRIBUTE TO MULTIPLE
MARKANDE TRAINING. THROUGHOUT
OUR COUNTY AND MANY OTHER
ORGANIZATIONS AND I COUNTY. WHO
DO NOT HAVE ACCESS AND ARE CAN.
GRANT HAS THE THING OUR HOURS ON
LOW. AND THE NUMBER OF PEOPLE WE
SERVE. OUR ORGANIZATION GET
LOCKED UNDER INTO THE HANDS OF
THE PEOPLE WHO NEED IT THE MOST
AND YOUR MOST EFFECTIVE AT
REVERSING OVERDOSES PEOPLE WHO
USE DRUGS THANK YOU. NINE SIXTY
SEVEN PLEASE GO AHEAD. HELLO
GLADYS MINORITY HILLARY. I AM
THE MOTHER OF THE THIRTY YEAR
OLD BAD A MONTH AGO IT'S BEING
SENT HOME AND HOSPICE TO DIE DUE
TO LIVER FAILURE. SIX TWO ONE
BTC LA. REACHED OUT INTO THE
SICKLE CELL FOUNDATION WITHIN
TWO HOURS OF NOTIFYING THEM.
ALIVE TRAJECTORY OF MY DAUGHTER
CHANGE. NOW THE NEW BETTER.
SHE'S RIGHT IN THE QUEUE IT WILL
BE DISCHARGED IN THE WE- CALL ON
BEHALF OF THE CLOSE OFF A NATION
IT. OF THE HOOD ELEVEN BUDGET
ACT. THE AND LIFESAVING CARE. TO
A DELL. MICHAEL BE NETWORKING.
PACIFIC TALK. IT REALLY. MY DOG
LIFE. AND I AM LOOKING AT HER
RIGHT NOW YOU KNOW FULL THIRTY
OLD. THAT WOULD.
SEVENTY ONE YOUR LINE IS OPEN
CHECK AND SEE THAT YOU'RE NOT
MUTED. SEVENTY ONE NOT
RESPONDING LINE SEVENTY TWO
THOUGH IT PLEASE. HELLO MY NAME
IS ALEX A LOT HIGHER THAN THE
HARM REDUCTION PROGRAM MANAGER
HERE AT THE END OF STARK IMAGE
SERVICES IN EAST LOS ANGELES.
I'M CALLING TO SUPPORT THE
REQUESTED BY AN OVERDOSE
PREVENTION OUR REGION TREATMENT
NAVIGATION WE HELP PEOPLE ACCESS
MEDICALLY ASSISTED DRUG
TREATMENT THE MOST EFFECTIVE
MEANS OF HELPING A PERSON REDUCE
OR STOP USING FENTANYL HEROIN OR
OTHER OPIATES THE GRANDSTANDS
ARE RECEIVED FROM THE CALIFORNIA
HARM REDUCTION INITIATIVES HAVE
HELPED US INCREASE OUR HOURS
LOCATION AND THE NUMBER OF
PEOPLE WE GET A LOT DONE
DIRECTLY INTO THE HANDS OF THE
PEOPLE WHO NEED IT THE MOST. AND
WHO ARE MOST AFFECTED I
REVERSING OVERDOSES PEOPLE WHO
USE DRUGS WE TEACH PEOPLE HOW TO
USE NALOXONE AND TEACH FOLKS HOW
TO PROVIDE OVERDOSE PREVENTION
EDUCATION TO OTHERS PLEASE DON'T
LET THESE GRAND FLAT. I HAVE
CLIENTS IN THE BATTLE OF THE
OVER CRISIS AND THE SPENDING
WILL HELP THAT WE CAN TO THE
LIVES THANK YOU THANK YOU TAKE
FIVE MORE MINUTES OF PUBLIC
COMMENT FIVE MINISTER IF YOU
COULD PLEASE. LET ME. COOL.
THAT'S SO YOU. THAT WAS FOR ME.
WHY THE SEVEN FOUR. BECAUSE.
SEVENTY FOUR LINES OF GO AHEAD.
HI I SEPARATE AND I KNEW
ASSISTANT DIRECTOR FOR CREEK THE
MOON ESTIMATES TO WITH CELL. BY
THE THIRTY YEARS I THINK
CHILDREN SICKLE CELL DISEASE TO
A WITH CELL TO. WE DID NOT HAVE
ACCESS TO. CARE I'M CALLING ON
BEHALF OF THIS SUCH AS ON THE-
IN SUPPORT OF. A COPY APPROACH
FOR. WITH SICKLE CELL DISEASE
THROUGH THE NET CARE CRITICAL
CARE. PROPERTY AT THE TIME CARE
THE BECAUSE OF THAT HAS PROVEN
TO BE MONEY. AND HAVE STABILIZE
COW. LIVING WITH CELL TO THANK
YOU. THANK YOU. FOR AND LINE
SEVEN FIVE PLEASE GOING. HI
EVERYONE YES MY IS LAMB I MEAN.
PLAN THAT ARE AND IN A FELLOW
THERE IS WELL- AND I WANTED TO
DO SPEAK ABOUT SOME THEY WE'VE
DONE LOOKING THAT THE MP OF THE
PILOT CAL ALMANAC MISSION. I PUT
IN MY OF THE ORDER PREVENTION
TREATMENT OUTRAGE THAT- AND AS
WELL. BUT WE OUT A NASH SURVEY
OF STUDENT SERVICES THROUGHOUT
THE UNITED STATES- THEY WERE
PART OF THE- WHAT WE HAVE IN
REACH WILL THAT. THAT RECEIVE
DIRECT FUNDING FROM THE OF
CALIFORNIA AT A 75% HI LEVELS OF
TOXINS. SEVENTY THREE PER HIGHER
LEVEL THE DISTRIBUTION- NEARLY A
HUNDRED HIGHER LEVEL THE NOT
HAVE STRICTER. FOR ALMOST THREE
TIMES AS LIKELY OFFER NOR
INCREASE TO THEIR PROTESTS. THE
WHAT WE FROM THE RESEARCH THAT
THE OF THE HAVE MADE AND ON THE
- OF LIFE THEY INTERPRET. FOR
FOUR K. ARABELLA CAL. I'M NOT
SURE ON THE SUPPORT MEASURE
THANK YOU. FOR MADAM CHAIR THERE
ARE NO ADDITIONAL IN. GREAT NO
MORE FOR THEIR COM- WE HAVE TO
THE OF I. IF YOU DO NOT GET AN
OPPORTUNITY TO COME IN PERSON OR
CALL FOR A PUBLIC ON A REMINDER
YOU'RE STILL A TO WRITE IT IN.
BY VISITING THE DOG WEB. AND
READ AND THE BUDGET OFFICE RUBIO
CA. WITHOUT TO WE HAVE A INTENT
I'LL SEE YOU IN TWO ABOUT SEPT
ON HEALTH AND HUMAN SERVICES HAS
ADJOURNED.