OKAY WE HAVE A MEMBER ANNA-
AUTHOR ALREADY HERE SO WE'RE
GOING TO GET STARTED GOOD
AFTERNOON THE SENATE CONTINUES
TO WELCOME THE PUBLIC IN PERSON
AND VIA OUR TELECONFERENCE
RIVERS WILLOW SIX MINUTES UP IN
PERSON TESTIMONY PER SIDE NEVER
FEEL OBLIGATED TO USE ALL THAT
TIME FOR INDIVIDUALS WISHING TO
PROVIDE PUBLIC COMMENT VIA PHONE
TODAY'S PARTICIPANT NUMBER IS.
877-226-8163 AND THE ACCESS CODE
IS SEVEN THREE SIX TWO EIGHT
THREE FOUR. AND TO SAY WILL CAP
THE PHONE TESTIMONY AT FIFTEEN
MINUTES WE HAVE TWELVE BIT BILLS
ON THE TODAY'S AGENDA THROUGH OF
THOSE BILLS ARE ON OUR PURSE
PROPOSED CONSENT CALENDAR SB
THIRTY FIVE SB SIX NINETY FOUR
AND SB EIGHT FIFTEEN WITH
AMENDMENTS TO BILLS REPORT FROM
TODAY'S COMMITTEE HEARING AGENDA
THAT IS SB SEVEN SEVENTY FOUR
AND SB NINETY. AND I AM BEING
REMINDED THAT THE THIRD BILL ON
CONSENT IS SB. EIGHT NINETEEN.
ALL RIGHT OKAY SO I SEE BEFORE
US RIGHT NOW. AN AUTHOR NOT THE-
SO- CENTERS THEY ARE TO SB SIXTY
SEVEN. WOULD START THE COMMITTEE
AS A SUB COMMITTEE AND ENCOURAGE
ALL HEALTH. MANY MEMBERS TO
REPORT TO THE COMMITTEE ROOM.
THERE WE GO. PLEASE GIVE ALL
RIGHT WELL THANK YOU SO MUCH
HONORABLE CHAIR AND MEMBER OF
THE COMMITTEE. THE SUSPECT
OTHERS WILL BE HERE SOON. I'M
EXCITED TO BE HERE TODAY BECAUSE
I AM I HAVE A BILL BEFORE YOU-
THAT CAN BE A LOT OF HELP IN THE
PUBLIC SAFETY WORLD. MY BILL SB
SIXTY SEVEN WILL CONNECT AND
FURTHER EXPAND THE CRITICAL DATA
SHARING BETWEEN PUBLIC HEALTH
AND SAFETY DEPARTMENT WHICH AT
THIS VERY MOMENT IS NEEDED TO
IDENTIFY THE NEEDS FOR PUBLIC
RESOURCES TO ADDRESS THE
STAGGERING NUMBERS OF DRUGGIES
THAT WE ARE EXPERIENCING THESE
DAYS. AND LET ME BE CLEAR THE
DRUG EPIDEMIC AND RECENTLY MOST
RECENTLY THE FEDERAL CRISIS AND
ALL OF THE ADD ONS THAT ARE
GOING WITH IT NOW HAVE
EXPONENTIALLY EXPLODED
THROUGHOUT CALIFORNIA AND OUR
COMMUNITIES OUR COMMUNITIES. IN
TWENTY TWENTY ALONE CALIFORNIA
EXPERIENCE NEARLY FOUR THOUSAND
DEATHS SIMPLE JUST RELATED TO
FENTANYL ALONE WHICH IS OVER TWO
THIRDS OF ALL OPIOID OVERDOSES
IN THE STATE PRIMARILY IMPACTING
CALIFORNIANS AGES FIFTEEN TO
TWENTY FOUR. THE OVERDOSE
DETECTION MAPPING APPLICATION-
D. MAP. IS A TOOL THAT WILL
ENABLE COMMUNITIES TO DEVELOP
TAILORED INTERVENTIONS THAT
TARGET SPECIFIC AREAS THAT ARE
HIGH RISK AND HARDEST HIT. BY
OVERDOSES. WITH ME HERE TODAY TO
PRESENT AB SIXTY SEVEN IS ASHLEY
ZERO. WHO IS THE FEDERAL DRUG
INTELLIGENCE OFFICER FOR CENTRAL
VALLEY CALIFORNIA'S. HIGH
IDENTIFY DRUG TRAFFICKING AREA
ALSO KNOWS HE DOES. SO THANK YOU
ESPECIALLY. THANK YOU HONORABLE
CHAIR SENATOR COMMITTEE STAFF-
I'M HERE TO PRESENT OD MAP AND
ITS RELEVANCE TO SB SIXTY SEVEN.
SO AS A SENATOR SAID I'M PART OF
THE CENTRAL VALLEY CALIFORNIA'S
HIGH INTENSITY DRUG TRAFFICKING
AREA ALSO KNOWN AS HAIDA I AM
THE DRUG INTELLIGENCE OFFICER
FOR FIFTEEN COUNTIES. WE BRING
TOGETHER FEDERAL STATE LOCAL AND
TRIBAL RESOURCES TO DISRUPT AND
DISMANTLE DRUG TRAFFICKING
ORGANIZATIONS ACROSS THE UNITED
STATES. THIS PROGRAM IS WITH IN
THE OFFICE OF THE NATIONAL DRUG
CONTROL POLICY AS PART OF THE
EXECUTIVE OFFICE OF THE
PRESIDENT IT ALSO HOUSES THE
OVERDOSE RESPONSE STRATEGY WHERE
MYSELF AND PUBLIC HEALTH
ANALYSTS BRIDGE THE GAP BETWEEN
PUBLIC HEALTH AND PUBLIC SAFETY.
TO PROVIDE STRATEGIES TO
COMMUNITIES ON OVERDOSES. AS A
SENATOR SAID THE OVERDOSE
DETECTION MAPPING APPLICATION
PROGRAM ALSO KNOWN AS OD MAP IS
A FREE WEB BASED MOBILE FRIENDLY
SOFTWARE PLATFORM THAT SHOWS
WHERE SUSPECTED FATAL AND
NONFATAL OVERDOSES ARE OCCURRING
IN NEAR REAL TIME. ODUMAP WAS
ESTABLISHED TO PROVIDE THESE IN
NEAR REAL TIME DATA POINTS TO
PUBLIC SAFETY AND PUBLIC HEALTH
AGENCIES FOR EXAMPLE PUBLIC
HEALTH DEPARTMENTS HOSPITALS
WITH EMERGENCY DEPARTMENTS LAW
ENFORCEMENT AND HEALTH AND HUMAN
SERVICES. ALLOWING THESE
AGENCIES TO ACTIVATE MOBILEYE'S
RESPONSES TO OVERDOSES
THROUGHOUT THE STATE AS QUICKLY
AND PRACTICALLY AS POSSIBLE. OD
MAP ALLOWS FOR THE DISPLAY OF
SHARED OVERDOSE DATA WITH IN AND
ACROSS JURISDICTIONS TO HELP
AGENCIES MORE ACCURATELY
IDENTIFY SPIKES AND CLUSTERS
WITHIN THEIR COMMUNITIES.
FURTHERMORE OD MAP IS NOT
AVAILABLE TO THE GENERAL PUBLIC
AND THE MEDIA. INSTEAD IT IS
ONLY AVAILABLE TO REGISTERED
FEDERAL STATE LOCAL AND TRIBAL
AGENCIES SERVING THE INTERESTS
OF PUBLIC SAFETY AND PUBLIC
HEALTH AS PART OF THEIR OFFICIAL
MANDATE. NOW WITH SB SIXTY SEVEN
CORNERS A MEDICAL EXAMINER'S IN
ADDITION TO LICENSED FIRST
RESPONDERS PUBLIC AND PRIVATE
HOSPITALS AND FIREFIGHTERS WILL
BE ADDED TO THE DATA SHARING
NETWORK AND THAT AGAIN IS ONLY
ACCESSIBLE THROUGH A PERMITTED
LOG IN AND PASSWORD. CALIFORNIA
CURRENTLY HAS OVER TWO HUNDRED
AGENCIES WHO ARE CURRENTLY
LOGGING OVERDOSES HOWEVER THE
COMPLETED WORK THE COMPLICATED
AND DIVERSE WEB OF REPORTING
LEADS TO A LACK OF COHESION AND
DATA SHARING REMOVES THE ABILITY
OF REAL TIME PATTERN
IDENTIFICATION AND LEAVES BLIND
OUT OF SPOTS IN REPORTING. FROM
CRITICAL AGENCIES LIKE CORNERS
AND MEDICAL EXAMINERS. SB SIXTY
SEVEN WILL TIE TOGETHER THE
DIVERSE WEB OF REPORTING AND
UNIFORMLY HOUSE ALL DATA
COLLECTED THROUGH THESE AGENCIES
WHILE AT THE SAME TIME BRINGING
IN AGENCIES WHOSE DATA IS NEEDED
TO FURTHER INFORM PUBLIC HEALTH.
AND SAFETY ON OVERDOSES SUCH AS
FENNEL. AS FAR AS VICTIM PRIVACY
AGAIN ODUMAP IS LIMITED TO ONLY
AUTHORIZED PERSONNEL AND SCRUBS
ALL PERSONAL IDENTIFIABLE
INFORMATION REMOVING ANY AND ALL
PRIVACY CONCERNS THAT IS ALSO
HIGHLIGHTED IN THE LEGISLATIVE
ANALYSIS AND PUBLIC POLICY
ASSOCIATION THAT YOU SHOULD HAVE
IN FRONT OF YOU. SINCE THERE ARE
ONLY FOUR REQUIRED REPORTING
FIELDS OD MAP IS NOT USED AS A
SYSTEM OF RECORD. ODUMAP PROVIDE
PUBLIC SAFETY AND PUBLIC HEALTH
AGENCIES WITH THE OPPORTUNITY TO
RESPOND TO A CRISIS AS IT IS
OCCURRING. ODUMAP FACILITATES
THE SHARING OF DATA WITH
STAKEHOLDERS TO IMPLEMENT A
RANGE OF RAPID RESPONSE
ACTIVITIES THESE ACTIVITIES
RANGE FROM A SPIKE ALERTS THAT
ARE SENT TO NEIGHBORING
COMMUNITIES AND COUNTIES AS
EARLY WARNING SYSTEMS AND CAN BE
PUT UP ON SOCIAL MEDIA. IT
DEPLOYS OVERDOSE RESPONSES
INFORMATION FROM OD MAP GRANTS
ABILITY TO SEND OUT OVERDOSE
OUTREACH RESPONSE TEAMS TO
PROVIDE SERVICES AND SUPPORT TO
OVERDOSE VICTIMS AND SURROUNDING
COMMUNITIES. IT ALSO TARGETS AND
SECURES RESOURCES THE
INFORMATION FROM OD MAP CAN BE
USED TO TARGET THE LOCKS ON
DISTRIBUTION AND PHENYL TEST
STRIPS. PREVENTION EDUCATION
EFFORTS AND OTHER TREATMENT
AREAS WHILE THE DATA CAN BE USED
ALSO TO SUPPORT STRATEGIC
PLANNING AND RESOURCE ALLOCATION
TO COMMUNITIES HIT HARDEST BY
OVERDOSES. WITH SB SIXTY SEVEN
WE CAN BRIDGE THE GAP BETWEEN.
THEM THE DATA SHARING GAP
BETWEEN EMERGENCY MEDICAL
SERVICES FIRST RESPONDERS
FIREFIGHTERS AND NOW CORNER
MEDICAL EXAMINERS DUE TO THE
UNPRECEDENTED AMOUNT OF
CALIFORNIANS EXPERIENCING
OVERDOSES ESPECIALLY FROM FENTON
ALL. SB SIXTY SEVEN GRANTS
ANOTHER TOOL TO HELP COMBAT THE
DRUG EPIDEMIC THAT IS ONLY
FURTHER EXPLODED AND ALLOWS FOR
COLLABORATIVE EFFORT BETWEEN
PUBLIC HEALTH AND PUBLIC SAFETY.
AND BETTER COMMUNICATE
COMMUNICATION BETWEEN ALL
SECTORS OF PUBLIC SERVICE IN
CALIFORNIA THANK YOU. THANK YOU
VERY MUCH. ANY OTHER WITNESSES
ON THIS ON THIS BILL. MADAM
CHAIR AND MEMBERS PLAYER AND WE
HAVE THE FRESNO COUNTY BOARD SU
RESIDENTS BORDER DRIVE THANK YOU
MANY OTHERS. MADAM CHAIR MEMBERS
TEN BAD REPRESENT THE CALIFORNIA
CHAPTER OF THE AMERICAN COLLEGE
OF EMERGENCY PHYSICIANS IN
SUPPORT. THANK YOU VERY MUCH.
NOBODY ELSE BEGIN SUPPORT OKAY
ANYBODY SPEAK IN OPPOSITION TO
THIS BILL TODAY. SEEING NONE
WILL GO TO THE PHONE LINES
OPERATOR YOU THERE. HELLO MADAM
CHAIR YES IF YOU WISH TO SPEAK
IN SUPPORT OR OPPOSITION TO THIS
BILL PLEASE PRESS ONE THEN ZERO
AT THIS TIME PRESS ONE THEN ZERO
. AND IT APPEARS THAT WE HAVE NO
ONE. THANK YOU VERY MUCH- NOW
WOULD BE THE TIME WOULD BRING IT
BACK TO THE COMMITTEE FOR
QUESTIONS COMMENTS. WE HAVE NO
QUORUM YES WE CAN'T MOVE THE
BILL. BUT WHEN WE DO SO DIE
WOULD MAKE THAT MOTION FOR IT
SOUNDS LIKE- AND I APPRECIATE
THE- YOUR- PRESENTER BECAUSE I
HAD SOME QUESTIONS ON LIKE WHAT
HOW WOULD THINGS BE ACTIVATED
BUT I HEARD THINGS LIKE YOU
COULD SEND OUT A- AN ALERT TO
SAY WATCH OUT IN IN THIS AREA
THERE'S MORE YOU CAN. DISTRIBUTE
NALOXONE. AND TESTING STRIPS DO
YOU DO YOU KNOW IF WE'VE BEEN
ABLE TO SEE ANY POSITIVE
OUTCOMES IN PLACES THAT HAVE
THIS IN IN PLACE THE BEEN ABLE
TO REDUCE THE AMOUNT OR BE ABLE
TO. TO DEPLOY AND AS UP AND
EFFECTIVE. OR FOR THAT. MANY
STATES- ACROSS THE US THAT HAVE
SET UP RESOURCES- SUCH AS
POSTING THIS MICHAEL ARTS ONLINE
LIKE FACEBOOK OR INSTAGRAM
ALLOWING- AND LAW ENFORCEMENT TO
CARRY MORE IN OUR CANTON THEIR
PATROL VEHICLES AND THINGS LIKE
THAT HAVE STARTED WORKING ACROSS
THE UNITED STATES THAT WE'VE
SEEN. OKAY THANK YOU VERY MUCH-
SO IT'S GOING FORWARD CENTER
THIS MIGHT BE SOMETHING THAT YOU
WANNA. I CONTINUE TO KEEP
TRACKING ABOUT IS IT WORKING AND
IF SO HOW AND WHAT ARE SOME DATA
POINTS THAT WE CAN REALLY
COLLECT FROM THAT. AND YOU
DIDN'T SAY YOU SAID THE
AMENDMENTS REMOVED UP THE
OPPOSITION SO I'M ASSUMING
YOU'RE ACCEPTING SETTLEMENT YES
I'M ACCEPTING THE ADMIN OKAY
THANK YOU VERY MUCH WOULD YOU
LIKE TO CLOSE SURE I'LL CLOSE-
YOU KNOW SPEAKING FROM PERSONAL
EXPERIENCE ONE OF THE THINGS WE
USED TO NOT HAVE. WAS REAL TIME
DATA TO ANTICIPATE WHEN WE'RE
HAVING A BIG ISSUE- WE DO HAVE A
BAD BATCH OF NARCOTICS COME INTO
TOWN. AND WE HAVE ONE AREA WHERE
ALL OF THE SUDDEN DEATH SQUADS
WERE GOING TIME AFTER TIME. AND
WE WOULD RUN OUT OF WE WOULD RUN
OUT OF OUR MEDICATION THAT WE
WOULD ORDER SO THIS ALLOWS US
TO. TO QUICKLY IDENTIFY WHEN WE
HAVE THAT KIND OF A PROBLEM AND
BE ABLE TO RESPOND TO THAT WITH
THE RESOURCES WE NEED INCLUDING
UP TO MOVING RESOURCES DOWN FROM
OTHER AREAS. TO COVER THE AREA
UNTIL WE GET THE SITUATION UNDER
CONTROL SO WITH THAT I WOULD ASK
FOR AN AYE VOTE AND- I
APPRECIATE YOUR TIME TODAY.
THANK YOU VERY MUCH SENATOR.
OKAY WHEN THE TIME COMES. WILL
DO. I SEE NO OTHER AUTHORS HERE
SENATOR GONZALEZ WOULD YOU BE
INTERESTED IN PRESENTING NOW I
SEE YOU'RE PRESENTING ON ABOUT.
HALF OF THE- SENATE RECKONS.
HEY. THANK YOU VERY MUCH THE
YOU'RE PRESENTING SB FORTY SEVEN
ON BEHALF OF THE CENTRE AT KIDS
IS THAT CORRECT. HAMM THANK YOU
MADAM CHAIR AND MEMBERS I AM
HONORED TO PRESENT SB FOUR
EIGHTY SEVEN ON BEHALF OF PRO TO
MACINNES TODAY. THIS BILL IS
NEEDED TO HELP PROTECT PROVIDERS
WHO PROVIDE ABORTION AND GENDER
AFFIRMING CARE TO PEOPLE FROM
OUT OF STATE FROM ADDITIONAL.
SANCTIONS FIRST OFF CENTER
ATKINS WILL BE ACCEPTING THE
AMENDMENTS AS OUTLINED ON PAGE
SEVEN. OF THE ANALYSIS AND WILL
BE ADDING MYSELF AS WELL AS
SENATORS ASHBY AND MET HIM ARE
ASSEMBLY MEMBER AGUIAR-CURRY AS
CO AUTHORS. WE HAVE WORKED HARD
TO ENSURE REPRODUCTIVE HEALTH
CARE IS PROTECTED IN CALIFORNIA
UNFORTUNATELY OTHER STATES ARE
NOT INSURING THE SAME
FUNDAMENTAL PROTECTIONS THE
AFTERMATH OF DOBBS OF THE DOBBS
DECISION OVERRULING ROE NOT ONLY
ELIMINATED FIFTY YEARS OF
REPRODUCTIVE FREEDOM BUT ALSO
ENCOURAGE STATES TO ENACT THEIR
OWN BANS RESTRICTIONS
UNFORTUNATELY WITH MANY PASSING
LAWS TO TARGET PROVIDERS. WELL
MANY OF THE STATE'S WITH
ABORTION BANS DO NOT- DO HAVE
LIMITED EXCEPTIONS PROVIDERS ARE
BECOMING INCREASINGLY WARY AND
DISCOURAGED FROM ENTERING THE
PRINT REPRODUCTIVE HEALTH FIELD
WE'RE ALSO SEEING SOME OF THE
PROVIDERS TRAVELING TO OTHER
STATES TO PROVIDE ABORTION CARE
SERVICES. SO THE PURPOSE OF SB
FOUR EIGHTY SEVEN IS TO PROTECT
CALIFORNIA HEALTH CARE PROVIDERS
WHO ARE WILLING TO TAKE RISKS BY
PROVIDING ABORTION CARE AND
GENDER AFFIRMING CARE AND OTHER
STATES FROM ADDITIONAL SANCTIONS
AS WELL AS PROVIDERS TO PROVIDE
THOSE SERVICES IN CALIFORNIA
FROM PEOPLE OUT OF STATE. THIS
BILL IS IN ESSENCE- IN ESSENCE
WOULD SHIELD PROVIDERS FROM
RETALIATION AND REPERCUSSIONS SO
THAT THERE IS NO DISRUPTION IN
THEIR ABILITY TO PERFORM
ABORTION CARE IN CALIFORNIA
WHERE ABORTION. IS LEGAL AND
ENSHRINED IN OUR STATE
CONSTITUTION. SB FORTY SEVEN IS
NARROWLY CRAFTED AND IN NO WAY
LIMITS OR RESTRICTS OUR CURRENT.
USUAL CONSUMER PROTECTIONS OR
THE ABILITY OF THE MEDICARE
PROGRAM TO TERMINATE PROVIDERS
FOR OTHER NON ABORTION HEALTH
CARE REASONS. TO TESTIFY IN
SUPPORT TODAY OF SB FOUR EIGHTY
SEVEN WE HAVE DR TANYA SPARE
TOAST. PRESIDENT ELECT OF THE
CALIFORNIA MEDICAL ASSOCIATION
AND A PRACTICING OBGYN. WE ALSO
OF MOLLY ROBESON VICE PRESIDENT
OF GOVERNMENT AFFAIRS FOR PER
AND PARENTHOOD AFFILIATES CAL.
THINKING CHAIR NO THE US ABOUT.
THANK YOU DR PLEASE GOING. THANK
YOU. THANK YOU CHAIR EGGMAN AND
THE MEMBERS OF THIS COMMITTEE
FOR ALLOWING ME TO PRESENT
TESTIMONY TODAY. MY NAME IS DR
TIME DISPIRITO'S I AM A BOARD
CERTIFIED OBSTETRICIAN
GYNECOLOGIST. PRACTICING AT
STANFORD HEALTH CARE. I'M HERE
TODAY REPRESENTING THE
CALIFORNIA MEDICAL ASSOCIATION
WHO IS CO SPONSORING SENATE BILL
FOUR EIGHTY SEVEN. SB FORTY
SEVEN EXPANDS THE PROTECTIONS.
OF CIVIL ACTIONS FROM ANOTHER
STATES LAWS BEING APPLIED TO
REPRODUCTIVE HEALTH CARE
CLINICIANS. AND ENSURES THAT
CALIFORNIA'S- PROVIDERS CAN
CONTINUE TO CARE FOR PATIENTS
WITHOUT THE FEAR OF ANOTHER
STATE'S LAWS. INTERFERING WITH
THEIR ABILITY TO SERVE
CALIFORNIA'S MEDI CAL
POPULATION. AS A PHYSICIAN WHO
PROVIDES REPRODUCTIVE HEALTH
CARE SERVICES I CAN SAY WITH
CERTAINTY THAT THE PROTECTIONS.
SB FORTY SEVEN PROVIDES ARE OF
UTMOST IMPORTANCE. AS YOU ALL
KNOW WE HAVE RECENTLY SEEN
UNPRECEDENTED LEGISLATION
ATTACKING REPRODUCTIVE RIGHTS
AND GENDER AFFIRMING CARE.
BECAUSE OF THESE LAWS WE ARE
CONFIDENT OUT OF STATE PATIENTS
WILL CONTINUE TO SEEK CARE FROM
CALIFORNIA'S PROVIDERS. 29% OF
WOMEN IN THE UNITED STATES OF
REPRODUCTIVE AGE ARE LIVING IN
STATES WHERE ABORTION IS EITHER
UNAVAILABLE OR SEVERELY
RESTRICTED. HALF OF THE STATES
ARE CERTAIN OR LIKELY TO
EVENTUALLY ENACT ABORTION BANS
NOW THAT ROE VERSUS WADE HAS
BEEN OVERTURNED. I SEE THE
EFFECTS OF LIMITING ACCESS TO
ABORTION AND OTHER REPRODUCTIVE
CARE AND GENDER AFFIRMING CARE.
PATIENTS ARE FORCED TO DELAY
THEIR CARE TRAVEL HUNDREDS OR
THOUSANDS OF MILES FACE
FINANCIAL DIFFICULTIES AND TIME
AWAY FROM WORK. JUST TO UNDERGO
IS SIMPLE AND SAFE MEDICAL
PROCEDURE. HOWEVER THERE ARE
MORE PATIENTS WHO DO NOT HAVE
THE ABILITY TO LEAVE THEIR STATE
TO SEE CARE AND ARE ULTIMATELY
FORCED TO CONTINUE PREGNANCY IS.
THAT MAYBE THREATS TO THEIR
HEALTH AND SAFETY. SEVEN STATES
HAVE INTRODUCED LEGISLATION
CRIMINALIZING A PATIENT OR A
PROVIDER FOR PERFORMING OR
OBTAINING AN ABORTION. MY
PATIENTS COME TO MEET WITH THE
NEED FOR A SERVICE I CAN
EXPERTLY PROVIDE I WILL NEVER
INTERROGATE MY PATIENTS ABOUT
THEIR STATE OF ORIGIN. AND I
KNOW MY COLLEAGUE ST THEIR
PATIENTS WITH THE SAME RESPECT.
OUT OF STATE LEGISLATION LIKE
THIS PUTS OUR CALIFORNIA
PROVIDERS AT RISK. ABORTION CARE
IN GENDER AFFIRMING CARE ARE
ESSENTIAL HEALTH CARE SERVICES.
CALIFORNIA HAS ALREADY DONE SO
MUCH TO BE A SAFE HAVEN. AND
DESTINATION STATE FOR PROTECTING
REPRODUCTIVE FREEDOM. THIS
LEGISLATION BUILDS UPON THE
STATE'S ACHIEVEMENTS BY
EXPANDING THE PROTECTIONS FOR
THE FORTUNE AND GENDER AFFIRMING
CARE PROVIDERS. I'M HONORED TO
SERVE MY PATIENTS BUT I CAN ONLY
CONTINUE TO DO THIS SAFELY WITH
THE APPROPRIATE PROTECTIONS.
PLEASE ALLOW MY COLLEAGUES AND I
THE PEACE OF MIND. TO FOCUS ON
THE PATIENTS SITTING IN FRONT OF
US EVERY DAY. AND TO PROVIDE
THEM WITH THE QUALITY CARE THEY
DESERVE. HELP US PROTECT
ABORTION ACCESS IN CALIFORNIA BY
VOTING YES ON SENATE BILL FORTY
SEVEN. THANK YOU FOR YOUR
ATTENTION THANK YOU VERY MUCH
THIS ROPES. GOOD AFTERNOON MY
RIBS AND WITH PLANNED PARENTHOOD
AFFILIATES OF CALIFORNIA WE
REPRESENT THE SEVEN CLAIM
PARENTHOOD AFFILIATES IN THE
STATE. WHO OPERATE OVER A
HUNDRED HEALTH CENTERS IN
CALIFORNIA AND PROVIDE OVER ONE
POINT THREE MILLION PATIENT
VISITS ANNUALLY. SINCE THE US
SUPREME COURT ALLOWED TEXAS'S SB
EIGHT TO REMAIN IN A FACT AND
OVERTURN ROE V. WADE. ABORTION
PROVIDERS AND THEIR PATIENTS
HAVE FACED AN ONSLAUGHT OF NEW
AND UNPRECEDENTED ATTACKS ON
ABORTION AS YOU HEARD FROM
DOCTORS PROTEST. I'M INCLUDING
EFFORTS TO CRIMINALIZE THE SAFE
AND EFFECTIVE HEALTHCARE
PROCEDURE. TODAY THERE ARE
THIRTEEN STATES WITH FULL BANS
ON ABORTION. IN FIVE STATES HAVE
IMPLEMENTED PRE VIABILITY BANDS.
WITH THE LEGAL UNCERTAINTY THE
ONE THING THAT IS CLEAR IS THAT
CALIFORNIA MUST DO EVERYTHING WE
CAN TO ENSURE THAT OUR PROVIDERS
IN THE STATE CAN CONTINUE TO
ACCESS. TO PROVIDE COMPASSIONATE
AND COMPREHENSIVE CARE INCLUDING
ABORTION AND GENDER AFFIRMING
CARE. WE'RE SEEING WHAT HAPPENS
WHEN PROVIDERS AND PATIENTS ARE
NOT PROTECTED. RECENTLY IN IDAHO
HOSPITAL ANNOUNCED THEY WILL
CLOSE THE MATERNITY WARD BECAUSE
PROVIDERS MAY FACE STEEP
CONSEQUENCES. JUST FOR PROVIDING
THE STANDARD OF CARE. SB FORTY
SEVEN- INSURES THAT PROVIDERS
ARE NOT PUNISHED FOR PROVIDING
CARE TO PATIENTS IN LINE WITH
THEIR FUNDAMENTAL RIGHTS IN THE
STATE. IT PROTECTS PATIENTS IN
MOST NEED OF AFFORDABLE AND
ACCESSIBLE CARE BY ENSURING THEY
CAN CONTINUE TO RECEIVE IT FROM
TRUSTED PROVIDERS WITHOUT A
RESPECTFULLY ASK FOR YOUR
SUPPORT TODAY THANK YOU. THANK
YOU VERY MUCH. THE OTHER PEOPLE
SPEAKING IN SUPPORT OF THIS
TODAY HOW DOES YOUR NAME
POSITION AND AFFILIATION. MENTOR
MEMBERS TO MADDEN REPRESENT THE
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF EMERGENCY
PHYSICIANS IN SUPPORT. THANK YOU
. RIGHT SPENCER THE AMERICAN
COLLEGE OF OBGYN AS WE ARE CO
SPONSORS ON THIS MEASURE IN
SUPPORT. THANK YOU. ALL YOUR
ARMY HAVE THE CALIFORNIA STATE
ASSOCIATION OF PSYCHIATRISTS
ALSO IN SPORTS THANK YOU. MUDDY
LOPEZ SAID CALIFORNIA NURSES
ASSOCIATION IN SUPPORT THANK YOU
. CRACKPOTS FOR QUALITY
CALIFORNIA IN SUPPORT THANK YOU
. OKAY SEEING KNOWN WHEN ELSE
ANYBODY SPEAK IN OPPOSITION TO
THIS BILL TODAY PLEASE COME
FORWARD. CASING DON'T GO TO THE
PHONE LINES MODERATOR YOU THERE
. YES MADAM CHAIR THANK YOU. FOR
THOSE WHO WISH TO SPEAK IN
SUPPORT OR OPPOSITION TO THIS
BILL PLEASE PRESS ONE THEN ZERO
AT THIS TIME. PRESIDENT ZERO
ONLY ONE TIME AS IF YOU PRESS IT
THE SECOND TIME. YOU WILL BE
REMOVED FROM THE FROM THE
COMMENT KILL ONCE AGAIN PLEASE
PRESS ONE THEN ZERO. WILL NOW GO
TO LINE ONE TWENTY ONE. I WANT
TO OPEN. GO AHEAD PLEASE THANK
YOU ARE MADAM CHAIR AND MEMBERS.
TAYLOR DOCTOR AND WITH HELPING
TO HELP ADVOCATE REPRESENTING
CALIFORNIA THIRTEEN HUNDRED
COMMUNITY HEALTH CENTERS IN
STRONG SUPPORT. THANK YOU VERY
MUCH NEXT CALLER PLEASE NOW GO
ON TO LINE ONE THIRTY SEVEN YOUR
LINE IS OPEN. NUMBER AARON I'VE
BEEN ON IN SUPPORT ON BEHALF OF
NARAL PRO CHOICE CALIFORNIA AS
WELL THE CALIFORNIA NURSE
MIDWIVES ASSOCIATION THANK YOU.
THANK YOU VERY MUCH NEXT CALLER
PLEASE. JUST A MOMENT. WE'RE NOW
GOING TO GO TO LINE ONE SEVENTY
ONE. I WON SEVENTY ONE YOUR LINE
IS NOW OPEN. GOOD AFTERNOON-
CHAIRWOMAN EGGMAN AND MANY MANY
WITH THAT YEAH THAT AND I AM.
VOTER IN EYES AND I BELT AND YOU
SEVEN AND A ZERO THANK YOU THINK
VERY MUCH MEXICO PLAY. THERE ARE
NO ONE KNOWS IS SICK THAT THEY
WERE TO SEE. OKAY A NOTE WE NOT
HEARING BILL SEVEN SEVEN ZERO AT
THIS TIME. OKAY AND NOW THE TIME
WOULD COME BACK TO THE COMMITTEE
QUESTIONS COMMON. OKAY NONE OF
I'LL JUST SAY THANK YOU MMHM
POLICING CENTER TO BRINGING THIS
BILL FORWARD. I HAPPEN TO BE AT
THE AIRPORT RECENTLY WAS TALKING
TO A- OBG. HIS WIFE I AM TO GO
PRACTICE IN MISSISSIPPI BECAUSE
THAT'S WHERE THEY FROM AND THEY
HAVE SUCH A NEED AND HE SAID I
CAN'T EVEN PRACTICE UP TO THE
STANDARD OF CARE IN MISSISSIPPI
SO I DON'T LIKE ETHICALLY FEEL
LIKE I CAN. I CAN PRACTICE THERE
SO I THINK WE'RE TO BE SEEING
THAT MORE AND MORE. AROUND
COUNTRY WHERE PROVIDE DON'T FEEL
LIKE THEY CAN PROVIDE ETHICAL
CARE ANYMORE WITH THE SEVERE
LIMITATIONS THAT ARE. UPON THEM
SO- WOULD YOU LIKE TO CLOSER TO
WANT TO THANK SENATOR ATKINS
WITH AMERICANS FOR BRINGING THE
SUPPORT SUCH AN IMPORTANT BILL
AND I RESPECTFULLY ASK HER AYE
VOTE MADAM CHAIR. THANK YOU VERY
MUCH. BROUGH YET. ME ONE MORE
ONE MORE. OKAY WHEN OF WHEN
APPROPRIATE THANK YOU VERY MUCH
OKAY. CENTER PORTANTINO I SEE
YOU IN THE BACK ON THE PHONE IF
YOU'D LIKE TO TAKE A BREAK AND
COME ON A- YOU HAVE TO BILLS
BEFORE US TODAY.
ALL THAT. CAN BE THIRTY SECONDS
. WE'LL START THE TIMER SIR. THE
CALL. WHICH ONE IS UP FIRST YOU
FIRST YOU HAVE BUT SEVEN EIGHTY
SIX HAVING TO DO WITH
PRESCRIPTION DRUG PRICING I
BELIEVE THAT YOU'RE- RIO THE CAN
WE GO AND THEN WE HAVE- THROAT
THREE MONTHS RIGHT AROUND THE
TIME CAN WE HAVE AUTISM UP. IF
YOU LIKE SURE I DON'T KNOW LET'S
START WITH OKAY THAT'S THAT'S
EIGHT OH FOUR EIGHT OH FIVE
HAVING TO DEAL WITH- QUALIFIED
AUTISM SERVICES AND FULLER PLAY
FOR TIME OR TIME THANK YOU- SO
THANK YOU MADAM CHAIR AND
MEMBERS OBVIOUSLY THIS IS A BILL
THAT THE COMMITTEE IS SEEN IN
THE PAST IT'S SUBJECT MATTER
WHERE. I THINK- THERE'S ROOM. TO
IMPROVE HOW WE COVER INSURANCE
FOR DOCTOR PRESCRIBE MEDICALLY
NECESSARY EVIDENCE BASED AUTISM
TREATMENT THERE'S A- WHAT I
WOULD CALL A FLAW IN CURRENT
LAW. THAT PRESCRIBES ONLY ONE
TYPE OF TREATMENT AND SO WITH
THIS BILL SEEKS TO DO IS. OFFER
PARENTS A FAMILIES THE
OPPORTUNITY TO SEEK OTHER
EVIDENCE BASED TREATMENT AND
ALSO TO CLARIFY WHO'S ELIGIBLE
TO ACTUALLY. ADMINISTER THAT
TREATMENT AND CLARIFY THE
EDUCATIONAL DEGREES NECESSARY
DOESN'T LESSEN ANY TRAINING YOU
JUST RE CLASSIFY SOME TRAINING
TO MAKE SURE THAT WE HAVE ENOUGH
HEALTH CARE PROFESSIONALS PLEASE
AS YOU NOW. WE CAN PASS ALL THE
LAWS THAT WE WANT TO MANDATE ALL
KINDS OF THINGS IF WE DON'T HAVE
THE HEALTH CARE PROVIDERS. TO
ACTUALLY DO IT IT'S NOT SERVING
THE PUBLIC AND SO THIS HELPS ON
BOTH THE PROVIDER SIDE BUT ALSO
ON THE INSURANCE SIDE AND WHEN
YOU DO HAVE A QUORUM I WOULD
RESPECTFULLY ASK FOR AN AYE VOTE
OKAY. AND YOU HAVE PEOPLE
SPEAKING IN SUPPORT TODAY. YES
THERE WITH THE FOLDERS. OKAY THE
NEW YORKER THE ARE COMES THE FOR
HER COMMINGLED OLDER. ALL THE
FOLDERS ARE COMING SENATOR ARE
YOU ACCEPTING THE AMENDMENTS I
BELIEVE WE'RE SAID YES WE'RE
ACCEPTING THE AMENDMENT YES.
THIS IS THE WRONG FOLDER BUT
THAT'S OKAY. I JUST DID THE
AUTISM BILL. ALL RIGHT. IT'S
OKAY. I AM EXCEPT I BELIEVE
WE'RE ACCEPTING THE AMENDMENTS
YOU BELIEVE. YES THE DIFFERENCE.
WAS ON MARCH SEVENTH YOU'RE
SUPPOSED TO BRING BE BRINGING A
MOCK UP TO COMMITTEE. FIVE IS
EIGHT OH FIVE YES TO START WITH
EIGHT OH FIVE AND- YEARS WERE
SUPPOSED TO BRING. A COPY OF
THIS ALL IN THE FOLDER. WHICH
SOMEHOW I THINK MY STAFF AND
WITNESSES ALL GOT TO TAKEN INTO
A VORTEX AND OKAY. WAS ANYBODY
HERE FROM THE FLOOR TIME
COALITION. YES THEY'RE ALL WITH
THE FOLDER. THANK YOU HI
APOLOGIZE. I CANNOT BELIEVE THAT
THEY. HERE THEY COME. COME ON UP
.
HERE'S THE MOCK UP HERE THE
MARKUPS THANK YOU VERY MUCH. YES
I WOULD LIKE TO BEGIN BY TAKING
THE MOCK UPS THAT WERE PASSING
OUT TO THE COMMITTEE. AND THEN
WE DO HAVE WITNESSES WHO WERE IN
THE ELEVATOR. WE GOT THE FOLDER
BUT NO WITNESSES. THIS SHOULD BE
A SIT COM TODAY YEAH. OKAY WELL
OF JUDGE AS WE DID WE WE'VE SEEN
THIS THIS BILL. THIS BEEN VETOED
THREE TIMES SO FAR SO WE'RE ALL
FAMILIAR WITH IT FOR THE MOST
PART AND I AND I ASKED FOR SOME
CLARIFICATION ON- WE'RE TALK
ABOUT LICENSE ASSISTANCE AND I
DON'T THINK THOSE EXISTED I
DON'T KNOW AND THEY DON'T SO
WE'RE CHANGING THAT TO- RIGHT-
SEATS- AND QUALIFY WHAT THAT
MEANS TO BE AN ASSOCIATE- I
THINK THAT'S IMPORTANT. CLEARLY
I DO TOO YEAH THANK YOU GOOD ON
AND I'M GLAD WE'RE IN AGREEMENT
ON THAT- SO I THINK ENOUGH
ANYONE HAS ANY QUESTIONS TO
PEOPLE QUESTIONS WAS A- OKAY.
THEN WE'LL JUST IS THERE ANY
OPPOSITION HERE TODAY. SIGNAL
OPPOSITION AND WOULD LIKE TO
SPEAK IN SUPPORT JUST IN
GENERAL. SEEING NOT ANYBODY ON
THE PHONE LINES MODERATOR.
ANYONE WISHING TO SPEAK IN
SUPPORT OR OPPOSITION PLEASE
PRESS ONE THEN ZERO PRESS ONE
AND ZERO AT THIS TIME. WE HAVE
ONE PERSON WHO SIGNALED THAT
THEY WISH TO SPEAK JUST A MOMENT
PLACE.
WHAT. OKAY DOES SEEM HEARING
NONE MADAM CHAIR WE DO APOLOGIZE
I'M SO SORRY JUST ANOTHER MOMENT
PLACE OKAY. YEAH COMMISSION.
SHALL EVERYONE TODAY HELLO.
HELLO YOUR LINE IS OPEN OKAY
THANK YOU GOOD AFTERNOON MADAM
CHAIRWOMAN. I'M AFRAID OF
SPEAKING OUT OF ORDER I WAS
WAITING TO SPEAK ON AT THE SEVEN
SEVENTY. OKAY WELL THEY WILL
COME BACK TO YOU. WE'LL TAKE YOU
KNOW WE KNOW WE WON'T TAKE YOU
KNOW. NO WE WON'T. THANK YOU
VERY MUCH CENTER WOULD YOU LIKE
TO CLOSE WHEN LIFE GIVES YOU
LEMONS MAKE LEMONADE I
RESPECTFULLY ASK FOR AN AYE VOTE
WHEN THEY THANK YOU VERY MUCH
OKAY. SO HOW ABOUT LET'S MOVE
BACK NOW ARE YOU PREPARED FOR
SEVEN EIGHTY SIX I AM OKAY.
PLEASE PROCEED THANK YOU MADAM
CHAIR AND COMMITTEE MEMBERS I
WANT TO START OFF BY EXPRESSING
MY APPRECIATION TO THE COMMITTEE
BOTH FOR THEIR INDULGENCE WITH
THE LAST EMBARRASSING BILL AND
FOR THIS IMPORTANT LEGISLATION
LEGISLATION WE'RE DOING WE'RE-
THE DILIGENT WORK UP WAS PUT IN
BY THE SPONSORS THE STAFF IS
GREATLY APPRECIATED. IN NINETEEN
NINETY TWO CONGRESS ESTABLISHED
THE THIRTY THREE FORTY BE DRUG
PRICING PROGRAM TO PROTECT
ELIGIBLE HOSPITALS CLINICS AND
OTHERS COVERED ENTITIES FROM
RISING PRESCRIPTION PRESCRIPTION
DRUG COSTS BY REQUIRING
PHARMACEUTICAL MANUFACTURERS TO
OFFER DISCOUNTED OUTPATIENT DRUG
PRICES. THIS PROGRAM IS ALLOWED
QUALIFYING HEALTH CARE PROVIDERS
TO TREAT MORE LOW INCOME AND
UNINSURED PATIENTS THEREBY
IMPROVING COMMUNITY HEALTH
STANDARDS ACROSS THE NATION
UNFORTUNATELY FOR PROFIT
PHARMACY BENEFIT MANAGERS PBMS
NEGOTIATE REBATES WITH
MANUFACTURERS ARE INCREASINGLY
LOOKING FOR WAYS TO
MISAPPROPRIATE. THAT THREE FORTY
B. PROGRAM BENEFITS- AND MAKE A
PROFIT- PBMS HAVE BLATANTLY
DISCRIMINATE AGAINST THE
HOSPITALS IN THE SAFETY NET- THE
SAFETY NET HOSPITALS IN RURAL
CORD- RURAL CRITICAL ACCESS
HOSPITALS LARGELY RELY. ON
CONTRACTS WITH COMMUNITY
PHARMACIES AS MANY DO NOT HAVE
IN HOUSE PHARMACIES YET RATHER
THAN FOCUS ON PROVIDING ACCESS
TO CARE FOR THESE PATIENTS-
OTHER THINGS OTHER PRIORITIES
GET IN THE WAY YES SB SEVEN
EIGHTY SIX WILL PROTECT COVERED
ENTITIES AND THE COMMUNITIES
THEY SERVE BY PREVENTING PBMS
FROM DISCRIMINATING AGAINST
QUALIFIED THREE FORTY B.
ENTITIES. OUR OFFICE IS
CONTINUING TO ENGAGE IN
CONVERSATION WITH ALL THE
STAKEHOLDERS AND YOU KNOW
HOPEFULLY IF THE BILL GETS OUT
OF COMMITTEE TODAY WE'RE GOING
TO CONTINUE TO HAVE THOSE
STAKEHOLDER. MEETINGS WITH ME
TODAY TO TESTIFY IN SUPPORT OF
THE BILL IS LARA BOUDREAUX
DIRECTOR OF OPERATIONS FOR THE
AIDS HEALTHCARE FOUNDATION. LIZ
OF THE OC GERA ASSISTANT
DIRECTOR POLICY WITH THE
CALIFORNIA PRIMARY CARE
ASSOCIATION AND WHEN APPROPRIATE
WOULD RESPECTFULLY ASK FOR AN
AYE VOTE. THANK YOU PLEASE GO
AHEAD. COMMITTEE I'M LARA
BOUDREAU CHIEF OPERATIONS AT
AIDS HEALTHCARE FOUNDATION- I'M
AT EFFORT WERE NONPROFIT- WE
PROVIDE CARE TO OVER FIFTY FIVE
THOUSAND PEOPLE LIVING WITH HIV
NATIONWIDE. AND CALIFORNIA WE
TREAT ABOUT NINETY SIX HUNDRED
PATIENTS. WITH THE SPONSORS OF
SENATE BILL SEVEN EIGHTY SIX AND
I THINK THE COMMITTEE FOR
LETTING US TALK ABOUT WHY IT'S
SO IMPORTANT- YOU KNOW EITHER
YOU HEARD IN A GREAT SUMMARY.
FROM CENTER PORTANTINO JUST TO
JUST HIT THE HIGHLIGHTS- THE
GOAL IS PRETTY STRAIGHT FORWARD
IT'S- I WANT TO JUST GIVE A
QUOTE FROM A CONGRESSMAN- WAS
WORKING ON THE ISSUE AT THE
FEDERAL LEVEL AND IN THE U. S.
CONGRESS. WHO SAID YOU KNOW TO A
NICE SUMMARY PHARMACY BENEFIT
MANAGERS HAVE QUOTE. FOUND A WAY
TO MAKE MONEY OFF OF THE THREE
FORTY B. PROGRAM. BY SHAVING OFF
SAVINGS THAT CONGRESS INTENDED
TO GO TO SAFETY NET PROVIDERS TO
SUPPORT VULNERABLE POP PATIENT
POPULATIONS. SO THAT'S IT IN A
NUTSHELL- TO GIVE A LITTLE MORE
CONTEXT PBMS. I SHOULD PROBABLY
KNOW THEY'RE WHAT WE CALL THEM
THE MIDDLE MAN IN THE WHOLE
HEALTH CARE INDUSTRY. FOR THOSE
OF US WHO HAVE INSURANCE PBMS
BASICALLY MANAGE A PRESCRIPTION
DRUG BENEFIT. A PART OF OUR
INSURANCE THE THREE BIG ONES OR
CVS. OPTUM AND EXPRESS SCRIPTS.
AMONG OTHER THINGS FOR THE- OF
THIS BILL THE IMPORTANCE OF PBMS
ARE THEY DETERMINE HOW MUCH A
PHARMACY IS PAID BY PATIENTS
INSURANCE. WHEN THE PATIENT GOES
TO THE PHARMACY. SO NOW SAVING
OF PROVIDERS AS THE CENTER
PORTANTINO SAID WE HAVE ACCESS
TO DISCOUNTED DRUGS BECAUSE WE
PARTICIPATE IN THE FEDERAL THREE
FORTY NEED. DISCOUNT PROGRAM.
AND THAT DISCOUNT IS A- THAT IS
CONCERNED THAT WE GET WHEN WE
PURCHASE DRUGS FROM THE DRUG
MANUFACTURERS RIGHT THAT'S A
MATTER BETWEEN US THE HOLES IN.
SCOTT WE GET LEGAL TO PURCHASE
DRUGS AND THE DRUG
MANUFACTURERS. AFTER WE
PURCHASED THE DISCOUNTED DRUGS
WE CAN DISPENSE THEM TO ELIGIBLE
PATIENTS AND IF THE PATIENT HAS
INSURANCE. THEN THE SAFETY NET
PROVIDERS AS INCLUDED WE CAN
REALIZE A MARGIN. AND THAT'S THE
DIFFERENCE BETWEEN THE COST OF
THE DRUGS OF THE DISCOUNT AND
WHAT THE INSURANCE HAS AGREED TO
PAY. IT'S REALLY IMPORTANT TO
STAND THE CONGRESS- CONGRESS AND
A INTENDED FOR SAFETY NET
PROVIDERS TO USE THIS MARGIN TO
QUOTE READ MORE PAID TO STRETCH
SCARCE FEDERAL DOLLARS TO REACH
MORE PATIENTS AND TO PROVIDE
MORE SERVICES. VITAS WE CAN'T DO
THAT IF THE P. B. M. SAY HEY YOU
KNOW WHAT WE'RE GONNA
DRASTICALLY REIMBURSE YOUR
REIMBURSEMENT BECAUSE YOU KNOW
WHAT YOU HAVE ACCESS TO THIS
DISCOUNT PRICING. SO WE'RE NOT
GONNA PAY YOU LIKE WOOD PANEL AT
THE OF OTHER PHARMACY WE'RE
GONNA REALLY REALLY GIVE YOU
ROCK BOTTOM REIMBURSEMENT. IANS
DO THAT THE UPSHOT IS THEY TAKE
THE BENEFIT OF THE THREE FORTY
B. PROGRAM WHICH IS SUPPOSED TO
GO TO THE COMMUNITY CLINICS. THE
FQHCS THE RYAN WHITE PROVIDERS
THE DISH HOSPITALS AND IT PUTS
THEM INTO THE POCKETS OF THE
PBMS. OF PBMS ARE NOW UNDER FIRE
IN CONGRESS AND STATE IN THE
PRESS AN FTC FOR A WHOLE HOST OF
REASONS. THIS BILL IS JUST AIMED
AT ONE ONE PARTICULAR ABUSE. AND
ASKING FOR REFORM IT IS
BASICALLY ASKING THAT PLEASE THE
CALIFORNIA. KEEPS A THREE FORTY
BENEFITS IN THE HANDS OF THE
SAFETY NET PROVIDERS. AND OUT OF
THE POCKETS OF THE PBMS. TWENTY
FOUR STATES HAVE ALREADY ENACTED
THREE FORTY B. ANTI
DISCRIMINATION LEGISLATION IN
THEIR EIGHT PENDING BILLS. AS
WELL- THE STATE'S OR READ THEIR
BLUE THEIR PURPLE THIS IS A NON
PARTISAN ISSUE- SO WE ARE TO
COMMITTEE TO PLEASE APPROVE THE
BILL IN CALIFORNIA. THANK YOU.
THANK YOU VERY MUCH ANYBODY ELSE
SPEAKING IN SUPPORT OF THIS BILL
TODAY. HI GOOD AFTERNOON MY
NAME'S ELIZABETH- SIERRA AND I
AM THE ASSISTANT DIRECTOR OF
POLICY FOR THE CALIFORNIA
PRIMARY CARE ASSOCIATION WHO
REPRESENTS. MORE THAN TWELVE
HUNDRED FORTY COMMUNITY HEALTH
CENTERS THROUGHOUT THE STATE.
AND ITS SEVEN POINT EIGHT
MILLION PEOPLE WHICH IS THAT ONE
IN FIVE CALIFORNIANS AND ONE.
AND THREE MEDIC HELP PATIENTS.
FOR COMMUNITY HEALTH CENTERS IT
WASN'T UNTIL THE THREE FORTY B.
PROGRAM WAS ESTABLISHED IN
NINETY TWO. THAT THEY WERE TRULY
ABLE TO OFFER PHARMACY SERVICES
TO THEIR PATIENTS GIVEN THE HIGH
COSTS RELATED TO ADMINISTERING
THE SERVICES. AND THUS CPC IS
PROUD TO SUPPORT S. B. SEVEN
EIGHT SIX COMMUNITY HEALTH
CENTERS ARE REQUIRED BY FEDERAL
LAW AND REGULATION TO ENSURE
THAT EVERY PENNY OF THREE FORTY
B. SAVINGS IS USED TO EXPAND
ACCESS TO CARE FOR UNDERSERVED.
PATIENTS SIXTY THREE INVEST
REPORTED BE SAVINGS TO PAY FOR
ANCILLARY. AXILLARY SERVICES
SUCH AS PAYING FOR STAFF TO
EXTEND PHARMACY HOURS PROVIDING
ANGER MANAGEMENT CLASSES AND
SUBSTANCE USE. SUPPORT GROUPS
COVERING NON BILLABLE SERVICES
SUCH AS HOME VISITS. AND PAYING
FOR SAME DAY ACCESS THAT ALLOWS
PATIENTS TO OBTAIN A BE ABLE TO
HELP IS IT ON THE SAME DAY THEY
RECEIVE A PRIMARY CARE VISIT.
AND THIS IS ALL COMPLACENT AGAIN
WITH THREE FORTY B. SAVINGS
WHICH IS OUTSIDE OF TAXPAYER
DOLLARS. IT'S IMPORTANT TO
CLARIFY THAT DUPLICATE DISCOUNTS
DO NOT EXIST UNDER THE PRIVATE
AND SHARED SPACE WHICH IS WHAT
THIS BILL IS TACKLING. WHAT IS
AT PLAY HERE IS PRIVATE DOLLARS
IN THE FORM OF REBATES BETWEEN
PBMS AND MANUFACTURERS. MORE
SPECIFICALLY MANUFACTURERS PAY
PBM REBATES FOR DRUGS UNLESS AT
DRUGS PURCHASED UNDER A THREE
FORTY B. PROGRAM. AND SO
DISCRIMINATORY CONTRACTING
PRACTICES HAPPEN WHEN THERE IS
CLAIMS DATA FROM THE THREE FORTY
B. PROGRAM SHARED WITH
MANUFACTURERS AND THEN. PBMS
THEN LOSE THEIR REBATE IN THE
THREE FORTY B. SPACE. AND THEN
THEY TURN AROUND AND- AGAIN PUT
IN THESE DISCRIMINATORY
PRACTICES. AGAINST THE COVERED
ENTITIES IN THIS CASE COMMUNITY
HEALTH CENTERS WHICH MEANS THAT
THEY'RE TAKING AND PICK
POCKETING THE SAVINGS. THAT
BELONG TO THE SAFETY NET AND BE
TARGETING THEM INTO THE POCKETS.
OF ON PBMS AND MANUFACTURERS.
AND WE'VE HAD PHARMACY DIRECTORS
THROUGHOUT THE STATE FROM RURAL
NORTH ALL THE WAY TO SAN DIEGO
SAY THAT THEY ARE IMPACTING BY
THESE THESE PRACTICES. AND AGAIN
THESE PRACTICES INCLUDE
DISCRIMINATORY PRACTICES- FOR
LOWERING REIMBURSEMENT RATES OF
WHEN THEY'RE DOING CONTRACTS
THEY WOULD GET LESS MONEY
BECAUSE- AT THREE FORTY B.
PROVIDER. WE CLASSIFYING AT
THREE FORTY B. COVERED ENTITY
OWNED IN HOUSE PHARMACY SO IN
PHARMACY AT THE HEALTH CENTER.
AS ODD NONSTANDARD RETAIL
PHARMACY SO THAT. THEY COULD PAY
THEM LESS MONEY IF YOU COULD
WRAP UP YES- SO ESSENTIALLY
BECAUSE OF ALL THESE
PICKPOCKETING WE REALLY NEED THE
SUPPORT OF SB SEVEN EIGHT SIX
AND WILL ASK FOR YOUR A VOTE
THANK YOU THANK YOU VERY MUCH.
OF A BEFORE WE GO TO OTHER
SPEAKING IN SUPPORT BUT IF YOU
LIKE TO LINE UP YOU MAY- LET'S
CALL FOR A QUORUM FOR SECRETARY
COULD YOU PLEASE CALL THE ROLL.
IT SENATORS. EGGMAN EGGMAN HERE
WHEN YOU WHEN HERE. DOLLY ALI
HERE. GLAZER GONZALEZ. GONZALEZ
YEAR FURTADO. LIMÓN MENJIVAR
MENJIVAR HERE ROTH. ROTH HERE.
RUBIO WELL HAN. WINNER WINNER
HERE. THE SEVEN A QUORUM IS
ESTABLISHED THANK YOU VERY MUCH
PLEASE GO AHEAD NAME AND MADAM
CHAIR MEMBERS THE COMMITTEE
BRANDED MARCH WITH THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT THANK YOU. NEXT
PERSON PLEASE. HI DOCTOR MONA
PATEL PRACTICING PEDIATRICIAN
AND AN FQHC IN A SAFETY NET
HOSPITAL VERY IMPORTANT IN
SUPPORT. THANK YOU. THIS PERSON
PLEASE. RESIDENTS ARE BEHALF-
CHEN IN SUPPORT THANK YOU. OUR
CREW COME TO HAVE THE CALIFORNIA
HOSPITAL ASSOCIATION IN SUPPORT
THANK YOU THANK YOU VERY MUCH.
OKAY NOW IS THE TIME FOR PEOPLE
SPEAK IN OPPOSITION TO COME
FORWARD AGAIN SIX MINUTES IN
TOTAL. LET'S BEGIN OPPOSITION
TODAY. SEEING NONE. OF SINGLE.
ONE HI GOOD AFTERNOON JENNIFER
SNYDER ON THE BY IT ON BEHALF
THE BIOTECHNOLOGY INNOVATION
ORGANIZATION WE HAVE AN OPPOSE
UNLESS AMENDED POSITION THE BILL
WE'VE BEEN TALKING WITH THE
AUTHOR'S OFFICE IN THE SPONSORS.
I'M REALLY ARE OUR CONCERNS
CENTER AROUND ONE SMALL
PROVISION THE BILL WHICH HAS TO
DO WITH TRACKING OF COVERED
DRUGS AND THREE FORTY B. DRUGS
AND HOW THEY'RE DISPENSED. AND
WE HOPE AND WE'LL CONTINUE
DISCUSSIONS TO SEE HOW WE CAN
LOOK FIND- SOLUTIONS AS TO HOW
YOU CAN POSSIBLY TRACK THOSE
THREE FORTY COVER DRUGS HOW
THEIR DISPENSED MAYBE AFTER
POINT OF SALE AND SO WE- LOOK
FORWARD TO CONTINUING TO WORK
WITH THE AUTHOR ME WE THINK HE'S
COMMITTED TO THAT. THANK YOU
VERY MUCH I HAD A QUESTION ALSO.
PLEASE THANKS FOR SOME. A MADAM
CHAIR MEMBERS ALSO NAY WITH ON
BEHALF OF FORMA- ALL FARMERS NOT
YET TAKE AN OFFICIAL POSITION ON
SB SEVENTY SIX WE ARE WORKING
WITH CENTER PORTANTINO AND
SPONSOR TO COME TO AN AGREEMENT
ON AMENDMENT LANGUAGE. WHICH
WOULD SIMPLY TO CLARIFY TWO
POINTS THE DEFINITION OF A
SPECIFIED PHARMACY. AND THE DRUG
MANUFACTURERS CAN CAN CONTINUE
TO BE ABLE TO RECEIVE
INFORMATION ON WHETHER A DRUG
WAS PURCHASED THROUGH THE THREE
FORTY B. PROGRAM SO AS TO
PROVIDE VERIFICATION THAT A
REBATE. OR DISCOUNT IS NOT
REQUIRED TO A PBM THE SENSORS
DRUG MANUFACTURERS WHO PROVIDE
DISCOUNTS UP FRONT TO CLINICS
AND HOSPITALS ARE NOT THEN HIT
ON THE BACK AND BY PBM. SINCE SB
SEVENTY SIX IS NO LONGER FISCAL
BILL WILL NOT BE A CHANCE TO
MEND THIS IN THE SENATE APPROACH
COMMITTEES WE'RE HOPEFUL WE CAN
REACH AN AGREEMENT WITH THE
AUTHOR. SO THE BILL BE AMENDED
BEFORE A VOTE ON THE SENATE
FLOOR. THANK YOU. THANK YOU VERY
MUCH NEXT PERSON PLEASE. MADAM
CHAIR BILL HAD WITH PCMA THE PPM
TRADE ASSOCIATION AND DESPITE
SOME OF THE DISPARAGING REMARKS.
WERE ACTUALLY NEUTRAL ON THIS
BILL- AND WE DO HAVE A
TECHNICAL- SUGGESTION THAT WE
WOULD LIKE TO WORK WITH THE- THE
AUTHOR ON. BUT WE ARE ABSOLUTELY
NEUTRAL THANK YOU. THANK YOU
VERY MUCH. OKAY ANYBODY ELSE'S
SPEAKING AND WANTED IN GENERAL
SUPPORT COME FORWARD PLEASE.
OKAY OPPOSITION. I THOUGHT THAT
WAS THE OPPOSITION SO IS VERY
WILD OPPOSITION. OKAY LET'S GO
TO THE PHONE LINES NOW.
OPERATORS OR ANYBODY ON THE ON
THE PHONE LINE POINTS BEGIN
SUPPORT AND OR OPPOSITION. THANK
YOU MADAM CHAIR IF YOU WISH TO
SPEAK IN SUPPORT OR OPPOSITION
TO THIS BILL PLEASE PRESS ONE.
THEN ZERO AT THIS TIME PRESS ONE
THEN ZERO. WE'RE GONNA GO PARDON
ME ONE ONE EIGHTY PLEASE PRESS
ONE THEN ZERO AGAIN. NOBODY
THERE OKAY MADAM CHAIR WE
APOLOGIZE WE DO HAVE PEOPLE WHO
QUEUED UP IN PERSON DROPPED OFF.
WE'RE GOING TO GO TO LINE ONE
EIGHTY NOW- GOOD AFTERNOON MY
NAME'S BILL CURTIS. REPRESENT
EIGHTY L. A. HELP IN LOS ANGELES
WHERE A FEDERALLY QUALIFIED
HEALTH CENTER. SERVING THE LGBTQ
POPULATION AS WELL AS PEOPLE
LIVING WITH. AND AT RISK OF HIV
AND WE SUPPORT THIS LEGISLATION
. THANK YOU VERY MUCH NOBODY
ELSE LEFT IN THE QUEUE UP
MODERATOR. THERE IS NO ONE. OKAY
THANK YOU VERY MUCH HOW'S THE
TIME WE BRING IT BACK TO THE
DYESS ANY MEMBERS HAVE ANY.
SENATOR DELHI. THANK YOU MADAM
CHAIR THANKS FOR LETTING ME BE
IN YOUR COMMITTEE- I JUST WANT
TO SAY TO THE SENATOR THAT TO
OUR CAUCUS HASN'T OPPOSE ON THIS
AND I GOT THIS PACKET ABOUT
COUPLE HOURS AGO BUT I HAVE.
FQHCS IN MY DISTRICT AND I ALSO
HAVE HAD REALLY HORRIBLE
EXPERIENCES WITH PBMS AND OUR
PRIVATE PHARMACIES IN THE PAST
WHERE WE WERE- NOT ABLE TO KNOW
WHAT THE REBATES WERE GOING TO
BE BEFORE THE DRUG WAS ACTUALLY
ADMINISTERED AND SOLD. AND THEN
THEY CAME BACK AND IT REALLY
DEVASTATED OUR OUR PHARMACY SO I
HAD A QUESTION MAYBE IF THAT IS
THAT ONE OF THE- SCENARIOS THAT
HAPPENS TO ONE OF YOUR WITNESSES
IF THAT'S OKAY. COULD YOU ANSWER
THAT FOR ME AS WELL AS WELL
PLEASE COME. YEAH I MEAN THAT'S
THE THAT'S THE CLAWBACK ISSUE
WHICH IS ONE OF THE PBM REFORMS
THAT ARE BEING ASKED FOR
GENERALLY IT IT'S NOT REALLY AN
ISSUE IN THIS PARTICULAR BILL
BUT THE IDEA THAT AFTER THE
POINT OF SALE. FOR OF PBMS DO
COME BACK AND THEY A PROVIDE
PENALTIES A RETROACTIVE
ADJUSTMENTS OR WHATEVER THEIR
DEVASTATING AND THEY'RE CAUSING
A LOT OF INDEPENDENT PHARMACIES
TO GO OUT OF BUSINESS. GREETING
FROM C. DESERT. THANK USE WITH
THOSE COMMENTS I WOULD. BE HAPPY
TO MOVE THE BILL. THANK YOU VERY
MUCH OF BILLS BEEN MOVED BY
SENATOR DELHI. BURIALS CENTER
MENTOR. THANK YOU SO MUCH-
SUPPORT OF THE BILL JUST A QUICK
QUESTION. I DID READ THE LETTER
OF THE OPPONENTS JUST WONDERING
HOW THE CONVERSATIONS ARE GOING.
ON THERE ARE. SPECIFIC ON
SECTION THE B. THREE. DEFINITION
NOT SURE IF YOU HAD
CONVERSATIONS WITH OPPONENTS ON
THIS SO MUCH HESITANCY. YES SO-
BOTH THE SPONSORS AND THE
OPPONENTS HAVE BEEN HAVING
CAUGHT I'M GOING CONVERSATIONS-
MY COMMITMENT TO BOTH SIDES IS
THAT THE NEXT CONVERSATION I'M
GOING TO BE IN THAT. ROOM AS
WELL SO I CAN HEAR BOTH SIDES
ARTICULATE THEIR CONCERNS
BECAUSE IT DOES SEEM. ISOLATED
IN THE CONVERSATIONS THAT
THEY'RE BOTH SAYING SIMILAR
THINGS. WHICH IS WHY IT'S BEEN A
LITTLE BIT INTERESTING WHY WE
HAVEN'T BEEN ABLE TO HIT THE
SWEET SPOT I'M NOT PROMISING YOU
WE WILL HIT THE SWEET SPOT. BUT
I AM PROMISING YOU THAT THE NEXT
CONVERSATION WILL BE A MODERATED
CONVERSATION. TO TRY TO GET
THERE. THANK YOU WOULD YOU LIKE
TO CLOSER I RESPECTFULLY ASK FOR
AN AYE VOTE OKAY. AND YOU ARE
ACCEPTING THE ELEMENTS OF PAST
SEVEN THANK YOU VERY MUCH- OKAY
WE HAD A MOTION BY SENATOR
DOLLY. AND THAT IS- DO PASS AS
AMENDED- SECRETARY PLEASE CALL
THE ROLL. SENATORS EGGMAN AYE
EGGMAN AYE WHEN. DALI DALI I.
GLAZER GONZALEZ GONZALEZ I. FOR
TADO. LIMÓN MENJIVAR. MENJIVAR
I. ROTH ROTH AYE RUBIO. WELL
HAN. WINNER WIENER I. THE BILL
HAS SIX BOATS WILL HOLD THE ROLE
OPEN LIKE WE GET A MOTION FOR
THE CONSENT CALENDAR. SO MOVED
BY CENTER MENJIVAR AGAIN THAT'S
SB THIRTY FIVE SB SIX NINETY
FOUR AND S. B. EIGHT NINETEEN.
US SECRETARY PLEASE CALL THE
ROLL. SENATORS EGGMAN AYE EGGMAN
AYE WHEN I DALI DALI I GLAZER
GONZALEZ GONZALEZ I HER TADO.
LIMÓN MENJIVAR AND YOU ARE AYE
ROTH. ROTH AYE RUBIO WAHAD
WINNER. WIENER AYE. SEVEN ZERO
WILL HOLD THAT THE ROLE OPENED
UP AND WE ALREADY HAD A MOTION
ON SB SIXTY SEVEN BY SENATOR
SEYARTO SECRETARY PLEASE CALL
THE ROLL. THE MOTION IS
DEPRESSED AMENDED AND RE REFER
TO THE COMMITTEE ON PUBLIC
SAFETY MOVED BY CENTER DALY.
SENATORS EGGMAN AYE EGGMAN AYE
WHEN. WHEN I. DALI DALI I GLAZER
GONZALEZ GONZALEZ I FOR TADO
LIMÓN MENJIVAR MENJIVAR AYE
ROTH. ROTH AYE RUBIO WAHAD
WIENER WIENER AYE. SEVEN ZERO
THAT BILL WILL ALSO HOLD IT OPEN
FOR ABSENT MEMBERS AND- WE ALSO
HAD AN AS SENATOR BRADFORD MAKES
HIS WAY TO THE- PODIUM. WE ALSO
HAD A MOTION ON CENTER ATKINS S.
B. FOUR EIGHTY SEVEN BY CENTER
MENJIVAR SECRETARY PLEASE CALL
THE ROLL THAT'S AN- ITEM THREE.
THE MOTION IS DUE PASS. AND
REFERRED TO THE COMMITTEE ON
APPROPRIATIONS TO PASS AS
AMENDED AND RE REFER TO THE
COMMITTEE ON APPROPRIATIONS.
SENATORS EGGMAN HI EGGMAN I WENT
. DOLLY DOLLY NO GLAZER.
GONZALEZ GONZALEZ I HER TADO
LIMÓN. MENJIVAR MENJIVAR AYE
ROTH. US AYE RUBIO WAHAD WINNER
WHEN. THE WINNER I. WHEN NO.
FIVE YES. IT'S FIVE VS TO NOTICE
WILL HOLD THE ROLE OPEN WELCOME
CENTER BRADFORD ON S. B. EIGHT
SEVENTY THREE THANK YOU MADAM
CHAIR IN APPRECIATE THIS
OPPORTUNITY PRESENT EIGHT SEVEN
THREE WHICH WILL ENSURE
PATIENTS. ARE BETTER BETTER ABLE
TO AFFORD TO PAY FOR MEDICATION
BY REFORMING THE STATE'S
PRESCRIPTION DRUG REBATE SYSTEM
TO DIRECTLY BENEFIT OF PATIENTS-
PATIENTS SHOULDN'T HAVE TO
DECIDE BETWEEN PAYING RENT AND
BEING ABLE TO AFFORD THEIR
MEDICINE CURRENTLY WHEN A
PATIENT PAYS FOR A DRUG AND THE
DEDUCTIBLE PHASE OR PLEASE CALL.
INSURANCE AT THE PHARMACY
COUNTER THE AMOUNT THEY MUST PAY
IS BASED ON FULL PRICE OF THE
DRUG UNIT THERE HEALTH INSURER
OR HER THEIR PBM ARE PAYING A
LOWER AMOUNT. THEY NEGOTIATED
WITH THE MANUFACTURER IN TWENTY
TWENTY ONE PBMS AND UNITED
STATES NEGOTIATED. TWO HUNDRED
AND THIRTY SIX BILLION DOLLARS
IN REBATES OVERALL WOULD NONE OF
THAT MONEY GOING DIRECTLY TO THE
COST TO THE PATIENT- AT THE
PHARMACY COUNTER IN CALIFORNIA
TWENTY TWENTY ONE THE REPORT
FROM THE DEPARTMENT OF MANAGED
HEALTH CARE SHOWED THAT HEALTH
PLANS IN THE STATE RECEIVED ONE
POINT SEVEN BILLION DOLLARS IN
REBATES UP FROM ONE POINT FOUR
IN TWENTY TWENTY. AND UP FROM
ONE POINT TWO BILLION DOLLARS IN
TWENTY NINETEEN BECAUSE THERE'S
NO TRANSPARENCY IN THE SYSTEM.
PATIENTS HAVE NO IDEA HOW MUCH
THEIR MEDICINE COST IF ANY
REBATE. MONEY GOES TO LAUREN
THEIR INSURANCE PREMIUM PREMIUMS
OR LORRAINE. OTHER OUT OF POCKET
COST WOULD PRIOR LEGISLATION SB
SEVENTEEN AND S. B. THREE
FIFTEEN ONLY PROVIDING
TRANSPARENCY TO ALL TO A PORTION
OF THE SYSTEM SB SIX EIGHT SEVEN
THREE WILL ADD MUCH NEEDED
ACCOUNTABILITY AND TRANSPARENCY.
BY SHARING 90% OF THE REBATE
WHAT THE PATIENTS AT THE
PHARMACY COUNTER. S. B. EIGHT
SEVEN THREE WILL IMMEDIATELY
LOWER PRESCRIPTION DRUG COSTS
HELPING CALIFORNIA'S BETTER
ACCESS ACCESS THEIR MEDICINES.
ARE IN JANUARY OF TWENTY TWENTY
TWO CALIFORNIA HEALTH BENEFITS
REVIEW PROGRAM REPORT OF A-
SIMILAR POLICY MEASURE FOUND
THAT IT IS CLEARLY POSSIBLE FOR
PHARMACY SOFTWARE TO BE UPDATED
TO SHEER REBATES AT THE POINT OF
SALE. AS OUTLINED IN THIS BILL
THE SOFTWARE ALREADY ALLOWS FOR
POINT OF SALE- VARIATIONS IN
PRICING. ARE COST SHARING
AMOUNTS BENEFIT COVERAGE AND ALL
FORMALLY- INFORMATION- OTHER
STATES ARE ALREADY DOING THIS SO
AND TWENTY TWENTY ONE WEST
VIRGINIA BEGAN PASSING A 100% OF
THE NEGOTIATED REBATES TO
PATIENTS AT THE COUNTER. AND
WE'VE SEEN NATIONAL HEALTH
INSURERS AND THEIR PBM START TO
OFFER REBATES TO THEIR PATIENTS
AS WELL WITH ME TODAY- IN
SUPPORT OF THIS BILL IS DOCTOR
LEE ANDREA CLARK HARVEY THE
EXECUTIVE DIRECTOR OF CALIFORNIA
ACCESS COALITION. THE COLD
SPONSOR OF THIS MEASURE AND ERIN
CALLAHAN INDIVIDUAL LIVING WITH
DIABETES AND THE CHIEF OPERATING
OFFICER OF THE DIET DIABETES
PATIENT ADVOCACY COALITION.
ANOTHER ONE OF OUR SPONSORS OF
THIS BILL AND AT THE APPROPRIATE
TIME AND ASK YOU FOR YOUR VOTE.
DAKARI PLEASE GO AHEAD HELLO AND
GOOD AFTERNOON DOCTOR EGGMAN AND
COMMITTEE MEMBERS TIMELY UNDER
CLICK HARVEY EXECUTIVE DIRECTOR
OF THE CALIFORNIA ACCESS
COALITION. OUR MISSION IS TO
BRING INDUSTRY REPRESENTATIVES
AND PATIENT ADVOCATES TOGETHER
TO JOINTLY CREATE POLICY AN
ADVOCATE FOR PATIENT ACCESS TO
BEHAVIORAL HEALTH TREATMENT.
THAT IS WHY THE CALIFORNIA
ACCESS COALITION IS PROUD TO CO
SPONSOR SB EIGHT SEVENTY THREE
WITH A DIABETES PATIENT ADVOCACY
COALITION AND THE PATIENT POCKET
PROTECTOR COALITION. TO LOWER
CALIFORNIA PATIENTS OUT OF
POCKET COSTS FOR PRESCRIPTION
DRUGS SO WE THINK SENATOR
BRADFORD AS WELL AS NEARLY FIFTY
ORGANIZATIONS LISTED LISTED IN
SUPPORT FOR WORKING VERY HARD TO
GET THIS BILL HEARD IN COMMITTEE
TODAY. THE CURRENT PRESCRIPTION
DRUG REBATE SYSTEM WAS DESIGNED
TO HELP PATIENTS AFFORD THEIR
MEDICATIONS BUT IT'S CHANGED AND
IT NOW BENEFITS HEALTH INSURERS
AND PHARMACY BENEFIT MANAGERS.
AT THE EXPENSE OF PATIENTS.
RIGHT NOW PATIENTS ARE BEING
FORCED TO PAY MORE OUT OF POCKET
FOR THE MEDICINES THAN EVER
BEFORE DUE TO AN INCREASE IN
HIGH DEDUCTIBLE PLANS AND THE
USE OF CO INSURANCE. STUDIES
HAVE SHOWN THAT PATIENTS FACING
HIGH COSTS ARE LESS LIKELY TO
TAKE MEDICATIONS AS PRESCRIBED
MORE LIKELY TO ABANDON THERAPY
I'M MORE LIKELY TO DELAY OR
FORGO TREATMENT. PUTTING THEM AT
HIGHER RISK FOR EMERGENCY ROOM
VISITS. AVOIDABLE
HOSPITALIZATIONS AND POORER
HEALTH OUTCOMES IN GENERAL THIS
FOR GOING OF HEALTH CARE DUE TO
HIGH COST IS JUST UNTENABLE. AN
SB EIGHT SEVENTY THREE PROVIDES
A REMEDY A SOLUTION NOT SIMPLY
FIXES THE BROKEN. PRESCRIPTION
DRUG REBATES SYSTEM HOW BY
CORRECTING A REGULATORY
OVERSIGHT THAT HAS ALLOWED
PRESCRIPTION DRUG REBATES PAID
BY PHARMACEUTICAL MANUFACTURERS
TO GO TO HEALTH INSURERS AND
PHARMACY BENEFIT MANAGERS
PROFIT. RATHER THAN TO THE
CONSUMERS FOR WHICH THEY ARE
INTENDED TO HELP SO IN TWENTY
TWENTY ONE ALONE PBMS IN THE U.
S. NEGOTIATED TWO HUNDRED AND
THIRTY SIX BILLION DOLLARS IN
REBATES OVERALL. WITH NOT A DIME
OF THAT MONEY GOING TO OFFSET
THE HIGH COST OF MEDICATIONS FOR
PATIENTS AT THE PHARMACY
COUNTER. IN CALIFORNIA TWENTY
TWENTY ONE REPORT FROM THE
DEPARTMENT OF MANAGED HEALTHCARE
SHOWED THAT HEALTH PLANS IN THE
STATE RECEIVED ONE POINT SEVEN
BILLION AND REBATES. UP FROM ONE
POINT FOUR BILLION IN TWENTY
TWENTY AND ONE POINT TWO BILLION
IN TWENTY NINETEEN. THIS BILL IS
NECESSARY TO LOWERING
PRESCRIPTION MEDICATIONS COSTS
FOR ALL CALIFORNIANS INCLUDING
THE THOUSANDS OF MY OWN MINORITY
OWNED SMALL BUSINESSES. AND
THEIR EMPLOYEES WHO HAVE HIGH
DEDUCTIBLE HEALTH PLANS AND FACE
HIGH OUT OF POCKET COSTS THAT
MAKE IT DIFFICULT AND OFTEN
IMPOSSIBLE FOR THEM TO AFFORD
THE MEDICATIONS THEY NEED TO GET
AND STAY WELL. SO LET'S DO THE
RIGHT THING FOR CALIFORNIA'S
PATIENTS TODAY THANK YOU. THANK
YOU VERY MUCH. NEXT PERSON
PLEASE. THANK YOU GOOD AFTERNOON
MADAM CHAIR MEMBERS OF THE
COMMITTEE. MY NAME IS ERIN
CALLAHAN IN THE CHIEF OPERATING
OFFICER OF THE DIABETES PATIENT
ADVOCACY COALITION. OR DEEPAK A
CO SPONSOR OF SB EIGHT SEVENTY
THREE. LIKE MANY CALIFORNIANS I
LIVE WITH DIABETES AND I RELIED
ON INSULIN EVERY MINUTE OF EVERY
DAY FOR THE PAST THIRTY SIX
YEARS. JUST TO STAY ALIVE. I'M
HONORED TO BE HERE TODAY TO
TESTIFY IN SUPPORT OF SB EIGHT
SEVENTY THREE ON BEHALF OF
DEEPAK AS WELL AS THE PATIENT
POCKET PROTECTOR COALITION. AS A
VOICE FOR THE DIABETES COMMUNITY
DEEPAK KNOWS ALL TOO WELL THE
CHALLENGES OF THE RISING COSTS
OF PRESCRIPTION MEDICATIONS. AND
THE DANGEROUS AND SOMETIMES
TRAGIC OUTCOMES RATIONING WHICH
ONE IN FOUR INSULIN USERS REPORT
DOING AS A RESULT OF HIGH COST.
THE PATIENT BALK ADDUCTOR CLICK
COALITION BRINGS TOGETHER A
DIVERSE GROUP OF PATIENT
PROFESSIONAL ADVOCATES FOCUSED
ON ADDRESSING THE FINANCIAL
TOXICITY. A LIVING WITH A
CHRONIC CONDITION. AS AN
IMMEDIATE STEP TOWARD RELIEF AT
THE PHARMACY COUNTER WE ARE
FOCUSED ON PBM REBATE REFORM. TO
PROTECT THE POCKETS OF PATIENTS
BURDENED WITH THE HIGH COST OF
MANAGING THEIR HEALTH EVERY
SINGLE DAY. ANNUALLY DIABETES
COSTS AN ESTIMATED THIRTY NINE
POINT FIVE BILLION DOLLARS IN
CALIFORNIA. CALIFORNIANS LIVING
WITH DIABETES ARE PAYING THE
BRUNT OF THAT WITH MEDICAL
EXPENSES APPROXIMATELY TWO POINT
THREE TIMES HIGHER THAN THOSE
WHO DO NOT HAVE DIABETES. AS A
RESULT OF THE STATE'S CURRENT
REBATES SYSTEM MANY INSURED
CALIFORNIANS WITH CHRONIC
CONDITIONS ARE PAYING NEARLY
DOUBLE WHAT THEIR INSURER AND
PBM ARE PAYING FOR LIFESAVING.
AND LIFE SUSTAINING MEDICATIONS
. IT'S PAST TIME TO FIX THE
FINANCIAL BURDEN PLACED ON
PEOPLE LIVING WITH DIABETES AND
OTHER CHRONIC CONDITIONS. SB
EIGHT SEVENTY THREE IS
LEGISLATION TO DO SO.
UNFORTUNATELY ONE OF THE MAIN
SOURCES OF PUSH BACK IS RELATED
TO HEALTH INSURERS FALSELY
CLAIMING THAT THEY USE REBATES
TO KEEP PREMIUMS DOWN. THE
STATISTICAL IMPACT OF PASSING
THROUGH REBATES TO THE PATIENT
WOULD RESULT IN A LESS THAN 1%
INCREASE IN PREMIUMS. FOLLOWING
WEST VIRGINIA'S IMPLEMENTATION
AS SENATOR BRADFORD MENTIONED OF
A SIMILAR POLICY IN TWENTY
TWENTY ONE RATE FILINGS HAVE
SHOWN THAT HEALTH PLANS
COMPLIANT WITH THE POLICY.
SHOWED NO SUBSTANTIVE CHANGE IN
PREMIUM COSTS FOR THIS YEAR. IN
ADDITION OPPOSITION CLAIMS THAT
THIS POLICY IS NOT IMPLEMENTABLE
NOT ONLY IS THIS FALL.
ESPECIALLY CONSIDERING WEST
VIRGINIA BUT ALSO SEVERAL
NATIONAL PBMS HAVE STARTED
SHARING REBATES WITH PATIENTS
AND WHY. IT IS POSSIBLE AND
SIMPLE TO IMPLEMENT AND THEY
KNOW THAT IT REDUCES PATIENTS
OUT OF POCKET COSTS. THEREFORE
IMPROVING MEDICATION ADHERENCE
RATES AND OVERALL HEALTH
OUTCOMES. A RECENT STUDY BY USC
ALSO HIGHLIGHT THE ROLE READ
IT'S PLAY IN DRIVING LIST PRICES
AND REDUCING OR ELIMINATING
THOSE REBATES. COULD RESULT IN
LOWER LIST PRICES AND REDUCED
OUT OF POCKET COSTS FOR PATIENTS
. THROUGH SB EIGHT SEVENTY THREE
WE CAN DECREASE BARRIERS TO
TREATMENT ACCESS AND
SIMULTANEOUSLY HELP TO CURB
SHORT AND LONG TERM
COMPLICATIONS OF CHRONIC
CONDITIONS WHILE LOWERING THE
COST OF COMORBIDITIES.
EFFECTIVELY SAVING PATIENTS AND
THE STATE MONEY. THANK YOU THANK
YOU VERY MUCH. ANYBODY ELSE WANT
TO SPEAK IN SUPPORT NOW COME UP
AND IT'S JUST NAME OFF AND-
ORGANIZATION PLEASE. GOOD
AFTERNOON PAUL SIMONS WITH THE
DEPRESSION AND BIPOLAR SUPPORT
ALLIANCE IN SUPPORT. GOOD
AFTERNOON JAMIE VELASCO ON
BEHALF OF THE STEINBERG
INSTITUTE IN SUPPORT. Q. MANAGER
MEMBERS TO MADDEN REPRESENTING
THE CALIFORNIA RHEUMATOLOGY
ALLIANCE IN THE CALIFORNIA
SOCIETY OF PLASTIC SURGEONS AND
SUPPORT. THANK YOU. JENNIFER
SNYDER ON BEHALF OF THE
CALIFORNIA LIFE SCIENCES IN
SUPPORT. RESIDENTS ARE ON BEHALF
OF THE CALIFORNIA PODIATRIC
MEDICAL ASSOCIATION AND THE
CROHN'S AND COLITIS FOUNDATION
BOTH IN SUPPORT. I'M PREGNANT
WERE REPRESENTING FARMING IN
SUPPORT THANK YOU. ALEX CON ON
BEHALF OF THE ALS ASSOCIATION
AND THE CALIFORNIA CHRONIC CARE
COALITION IN SUPPORT THANK YOU
VERY MUCH. OKAY NO PEOPLE SPEAK
IN OPPOSITION. YOUR POST NOW.
DURING THE MEMBERS OF THE
COMMITTEE GOOD AFTERNOON MY NAME
IS BILL HAD WITH PCMA THE PPM
TRADE ASSOCIATION THANK YOU FOR
THE OPPORTUNITY TESTIFIED TODAY
RESPECTFULLY OPPOSITION THE L.
S. B. EIGHT SEVENTY FOUR. FOR
THE SIMPLE REASON THAT WHILE IT
WILL IN FACT HELP SOME CONSUMERS
IT WILL HAVE A MANDATED POINT OF
SALE REBATES WILL HARM ALL
CONSUMERS THERE IS A FUNDAMENTAL
ISSUE I THINK IT'S WORTH
STEPPING BACK AND THINKING ABOUT
WHERE PEOPLE WERE REBATES CAME
FROM. THE PHARMACEUTICAL
INDUSTRY PETITION CONGRESS TO
CREATE A SAFE HARBOR UNDER THE
FEDERAL ANTI KICKBACK STATUTE.
THEY WERE GRANTED THAT AND THE
REASON THE REASON THE FARMER SO
INDUSTRY THOUGHT THOUGHT THAT-
SAFE HARBOR. IS TO MOVE MARKET
SHARE. THE PBMS TOOK ADVANTAGE
OF THAT HAVE BEEN NEGOTIATING
WITH MANUFACTURERS FOR A NUMBER
OF YEARS. AND ROUGHLY 95% OF THE
REBATE DOLLARS FLOW BACK TO THE
EMPLOYER TO THE HEALTH PLAN.
THEY USE THAT OBVIOUSLY TO
REDUCE PREMIUMS COPAYS AND WHAT
HAVE YOU. IN TWENTY NINETEEN
BOTH THE DEPARTMENT OF INSURANCE
AND YOU MAY SEE. A REPORTER
RATHER THAT THE REBATES IN FACT
DID HELP DRIVE DOWN PREMIUM
COSTS NO PREVIOUS MAYBE RIGHTS
FOR OTHER REASONS BUT THE
REBATES HAD A POSITIVE EFFECT ON
PREMIUMS. IT'S VERY IMPORTANT
NOT TO THAT LESS THAN 20% OF THE
DRUGS OUT THERE TODAY ACTUALLY
HAVE A REBATE. RIGHT FOR THE
MAJORITY OF DRUGS DO NOT AND
THAT'S FOR THE HARM COMES IN.
THE THE CMS- THREE YEARS AGO
PROPOSED A RULE THAT WOULD
REQUIRE. MANDATORY POINTS A
REBATE FROM MEDICARE
BENEFICIARIES. THE CONGRESSIONAL
BUDGET OFFICE STUDIED IT AND
CONCLUDED THAT WHILE YES SOME
PATIENTS WOULD HAVE LOWER DRUG
COSTS FOR ALL PATIENTS WOULD
HAVE HIGHER PREMIUMS. STEP BACK
YOU SAID THAT YOUR TIES CUT ON
THE MICROPHONE. THE SAKE. OF
INITIATIVE AND RAISE A LITTLE
BIT TO ACTUALLY- ALL PATIENTS
WOULD HAVE HIGHER PREMIUMS AND
IT WOULD COST TAXPAYERS A
HUNDRED SEVENTY ONE BILLION
DOLLARS. OVER TEN YEARS.
CONGRESS WE PULLED BACK THE RULE
IN YEARS AND USING THE MONEY FOR
OTHER FOR OTHER THINGS. TO
BERMAN THIS ANALYSIS OF AB NINE
THIRTY THREE LAST YEAR CONCLUDED
IT WOULD RAISE PREMIUMS BY TWO
HUNDRED MILLION DOLLARS. SO YES
SOME BENEFIT SOME PATIENTS DO
BENEFIT BUT EVERYBODY PAYS A
PRICE FOR THAT. I WOULD ALSO
SORT OF POINT OUT SOMEWHAT WHAT
I BELIEVE TO BE SORT OF THE JUST
JUST INGENUOUS NATURE OF THIS.
PROPOSAL WHICH IS YOU HEARD THE
TESTIMONY. THAT REBATES BECAUSE
THE LIST PRICE TO GO UP. IF
THAT'S THE CASE WHAT IS A FORMER
SIMPLY ASK CONGRESS TO REPEAL
THE SAFE HARBOR GET RID OF
REBASE OR BETTER YET LOWER THE
PRICE OF THE DRUG. BUT IF ALL
YOU'RE SAYING IS THAT. THE
REBATE INSTEAD OF GOING HERE IS
GOING HERE. YOUR KNOWLEDGE IN
THE PRICES CAN CONTINUE TO RISE
AND YOU'RE DOING NOTHING REALLY
ULTIMATELY FOR PATIENTS. FOR
THESE REASONS WE RESPECTFULLY
ASK THE COMMITTEE TO VOTE NO ON
THIS BILL AND NOT ADVANCE THANK
YOU. THANK YOU VERY MUCH. THE
REAL SPEAKING IN OPPOSITION
ASKED HER TO COME FORWARD NAME
AND AFFILIATION. A NICKEL IS A
SOCCER THANK YOU MADAM CHAIR
NICKEL IS ABOUT THE CALIFORNIA
ASSOCIATION HEALTH PLANS IN AND
WE ARE REGRETTABLY OPPOSED TO
THIS BILL- BECAUSE WE BELIEVE
THAT THE COST TO EMPLOYERS
INDIVIDUALS AND EMPLOYEES FAR
OUTWEIGH THE BENEFITS. OF THE
PURPORTED BENEFITS OF THIS PIECE
OF LEGISLATION- THIS IS MOST
CLEARLY DEMONSTRATED BY THE
CONCLUSIONS OF THE INDEPENDENT-
CALIFORNIA HEALTH BENEFITS
REVIEW PROGRAM WHICH ANALYZE A
SUBSTANTIALLY SIMILAR BILL LAST
YEAR THAT INDICATED THAT.
PREMIUMS WOULD INCREASE AS A
RESULT OF THIS PROPOSAL BY TWO
HUNDRED MILLION DOLLARS I'M JUST
IN THE FIRST YEAR. THIS COST IS
ALMOST THREE TIMES THE PURPORTED
BENEFIT THAT WILL BE EXPERIENCED
BY A SMALL PERCENTAGE OF
CONSUMERS. IN OTHER WORDS. ALL
CONSUMERS WILL COLLECTIVELY PAY
MORE SO THAT SOME MIGHT PAY LESS
IT JUST SIMPLY DOESN'T PENCIL
OUT. OF THERE ARE OTHER ISSUES
WITH THIS BILL- IT WILL LEAD TO
THE PRIORITIZATION OF EXPENSIVE
BRAND NAME DRUGS AT THE EXPENSE
OF OTHER LOWER COST ALTERNATIVES
LIKE GENERICS OR OTHER PREFERRED
BRAND NAME DRUGS. IN THIS IS
BECAUSE AS PREVIOUSLY MENTIONED
THE REBATES. ARE REALLY ONLY
EXIST FOR A SMALL PERCENTAGE OF
EXPENSIVE BRAND NAME DRUGS- AND
THERE IS NO EASY WAY TO
IMPLEMENT THIS BILL. MANY TIMES
THE HEALTH PLAN DOESN'T SEE THE
REBATE RIGHT AWAY- AND SO TO TRY
TO INITIATE OR ENACT A POINT OF
SALE REBATES. WILL BE VERY
DIFFICULT- AND ARE MEMBERS
ALREADY EXPERIENCE BENEFITS BY
THE COLLECTION OF THESE REBATES-
WHEN A PLANKING CAN. SECURE
THOSE REBATES FROM THE DRUG
MANUFACTURER THE DO ROOT REDUCE
THE OVERALL SPENDING OF THE
PLAN- AND SO FOR INSTANCE IN THE
TWENTY TWENTY ONE REPORT BY THE
DEPARTMENT OF MANAGED HEALTH
CARE. IT THE IN THEIR ANNUAL
HEALTH CARE DRUG COSTS CURRENT
TRANSPARENCY REPORT IT CLEARLY
SHOWS THAT HEALTH PLANS USE DRUG
MANUFACTURER REBATES TO HELP
MITIGATE THE OVERALL IMPACT. OF
HIGH DRUG PRICES BY REDUCING
TOTAL HEALTH PLAN PREMIUMS BY
TWO POINT ONE PERCENT- SO THEN
WHY WOULD YOU WANT TO INTERFERE
WITH THE PROCESS BY WHICH WE CAN
LOWER OVERALL COSTS AND HEALTH
CARE SYSTEM. FINALLY YOU KNOW
WE'VE GOT YOU KNOW WE DO BELIEVE
THAT YOU KNOW SOME WORK CAN BE
DONE ON THE ISSUE OF OUT OF
POCKET COSTS WE DID. SUPPORT A
BILL LAST YEAR BY A FORMER CHAIR
SENATOR PAN THAT WOULD HAVE
LEVERAGE STATE AND FEDERAL FUNDS
TO LOWER OUT OF POCKET COSTS FOR
CONSUMERS WERE SUPPORTING
SIMILAR BILL THIS YEAR. THAT
WOULD BE THE WAY TO DO IT SO IT
DOESN'T IMPACT CONSUMER
PREMIUMS. I'M IN IN A YOU KNOW
FINALLY WITH YOUR INDULGENCE
MADAM CHAIR YOU KNOW WE'VE HEARD
THIS BILL SEVERAL TIMES IN THE
PAST- ONE THING THAT KEEPS
GETTING REPEATED IS THAT ON THE
CONSUMERS OUT OF POCKET COSTS
ARE BASED ON THE ON THE LIST
PRICE OF THE DRUG. I HAVE
SURVEYED MY MEMBERS REPEATEDLY
ON THAT THEY SAY THAT IS NOT
TRUE. IT IS BASED ON THE
NEGOTIATED PRICE I DON'T KNOW
WHAT PRODUCT IS BEING CITED HERE
BUT YOU KNOW IF THE OTHER SIDE
CAN INFORM US ON THAT YOU KNOW
WOULD HAVE TO HAPPILY LOOK INTO
THIS. MY PLANS DON'T THINK THE
TEAM YOU SEE WOODS. WOULD A
PRODUCT OF THAT NATURE SO- JUST
WANT TO PUT ON RECORD TO AND YOU
KNOW HAPPY TO DISCUSS IT. THANKS
I THANK YOU VERY MUCH. UNOWNED
JUST A MINUTE FILIATION. I'M
SURE MEMBERS JOHN LINGER ON
BEHALF OF AMERICA'S HEALTH
INSURANCE PLANS IN OPPOSITION.
THANK YOU. STEPHANIE WATKINS ON
BEHALF OF THE ASSOCIATION OF
CALIFORNIA LIFE AND HEALTH
INSURANCE COMPANIES ALSO POST.
PRESTON YOUNG FOR THE CALIFORNIA
CHAMBER OF COMMERCE HERE IN
OPPOSITION. THANK YOU VERY MUCH.
ANYBODY ELSE SPEAKING IN.
OPPOSITION OKAY. OF HOW PEOPLE
SPEAK IN OPPOSITION. I WAS
OPPOSITION ALL RIGHT LET'S GO TO
PHONE LINES. MODERATOR ARE YOU
THERE THE SEWAGE. I AM. TO THOSE
WHO WISH TO SPEAK IN SUPPORT OR
OPPOSITION TO THIS BILL PLEASE
PRESS ONE. ZERO AT THIS TIME.
PRESS ONE AND ZERO. GOING TO GO
TO. LINE ONE EIGHTY FIVE. YOUR
LINE IS NOW OPEN. THANK YOU TURN
MEMBERS MORE TOXIC WELCOME
PEOPLE FOR HIS SUPPORT. PARDON
ME LINE MONEY FIVE YEAR LINE
BROKE UP PLEASE RESPOND AGAIN.
THANK YOU MADAM CHAIR AND
MEMBERS MORE TALK ON BEHALF OF
BY A CRIME CALIFORNIA IN
SUPPORT. THANK YOU. NEXT CALL I
TWO OH ONE YOUR LINE IS NOW OPEN
. ONE TWO ZERO ONE YOUR LINE IS
OPEN. GOT A CALL ON BEHALF OF
THE LIVER COALITION THAT CAN BE
A GIRL IN SUPPORT. THANK YOU BYE
ONE EIGHTY FOUR YOUR LINE IS NOW
OPEN. GOOD AFTERNOON MY NAME IS
VERY EXPERIENCED CALIFORNIA'S
LEGAL UNITED LATIN AMERICAN
CITIZENS AND WE EXPRESS OUR
SUPPORT FOR FIFTY EIGHT SEVENTY
THREE. THINKING HERE. LINE ONE
NINETY FIVE YOUR LINE IS NOW
OPEN. ONE ONE NINETY FIVE YOUR
LINE IS NOW OPEN. ONE ONE NINETY
FIVE PLEASE PRESS ONE AND ZERO
AGAIN TO REJOIN THE QUEUE WERE
NOW GOING TO GO TO LINE ONE
THIRTY NINE. YES COOLEY CONTENT
WITH NATIONAL THE STATION OF
SOCIAL WORKER CALIFORNIA CHAPTER
MORE IN SUPPORT. THANK YOU FOR
CALLING THE COMMENT WE DO WANT
TO MAKE YOU AWARE OF THE FACT
THIS IF YOU PRESS ONE ZERO A
SECOND TIME YOU WILL BE REMOVED
FROM THE KILL WE INVITE ANYONE
THAT WISHES TO COMMENT ON THIS
BILL WHO HAS NOT COMMENTED TO
PLEASE PRESS BUTTON ZERO AT THIS
TIME. AND WE HAVE ONE ADDITIONAL
PERSON WHO SIGNALED THAT THEY
WISH TO SPEAK JUST A MOMENT
PLEASE. THANK YOU AGAIN FOR YOUR
PATIENCE JUST ANOTHER MOMENT.
FOR MORE MOMENT PLACE. WHAT
WE'RE NOW GONNA GO TO. I'M SO
SORRY THAT'S OKAY TAKE A DEEP
BREATH. OKAY WE HAVE ONE
ADDITIONAL PERSON WHO SIGNALED
THEY WISH TO SPEAK JUST A MOMENT
PLEASE. WE'RE NOW GOING TO GO TO
LINE. TWO ZERO TWO. PARDON ME
WE'RE GOING TO GO TO LINE ONE
FORTY FOUR YOUR LINE IS NOW OPEN
ONE FORTY FOUR. MY MOM. ONE
FORTY FOR YOUR LINE IS OPEN GO
AHEAD. ONE FORTY FOUR. AND AGAIN
WE APOLOGIZE FOR ANY
MISUNDERSTANDING UP ONCE AGAIN
OF FOR THOSE WHO ARE CALLING AND
PLEASE BE AWARE IF YOU PRESS ONE
ZERO SECOND TIME YOU WILL BE
REMOVED FROM THE QUEUE WE'RE NOW
COMPLETELY WITH THE KILL THE
TICKET THANK YOU VERY MUCH OKAY
NOW THAT I'M GONNA BRING IT BACK
TO THE COMMITTEE. QUESTIONS
COMMENTS. OKAY- I'M SUPPORTING
THIS BILL TODAY BUT I DO HAVE I
MEAN I KIND OF AGREE WITH THIS
THE POSITION MONTHS MAYBE GET
RID OF REBATES AND THINK ABOUT
LOWERING THE PRICE OF DRUGS THE
MORE WE DO THESE. I THINK THE
TROOPER WAS ACCURATE AND IT'S
GOING TO INCREASE ABOUT TWO
HUNDRED MILLION FOR PEOPLE YOU
BE HELPING SOME BUT EVERYBODY
ELSE OF PALOMAR TO THE NATURE OF
OUR SYSTEM RIGHT NOW WHICH IS
MOSTLY. UNFORTUNATE BUT WOULD
YOU LIKE TO CLOSE OR RESPOND TO
THAT. THE POSITION ABOUT ITS
INTEREST COSTS FOR OTHER WELL
WHEN YOU LOOK AT THE OVERALL
COST YOU'RE TALKING ABOUT ABOUT
POINT 3% OF INCREASE WHEN YOU
LOOK AT IT IN IS AGGREGATE. AND
TRUE ENOUGH THAT. MEANS
SOMETHING NOT IN PEOPLE'S
POCKETS BUT THE SAME TIME WHY
SHOULD THE SICKEST OF
CALIFORNIANS SUBSIDIZE THE MOST
HEALTHIEST PEOPLE IN THIS IS
WHAT WE'RE JUST TRYING TO BRING
SOME KIND OF BALANCE YOUR WORK.
FOLKS CAN AFFORD THEIR DRUGS AT
THE EARLY PART OF THIS YEAR WE
HEARD ABOUT A YOUNG MAN WHO WAS
SUFFERING FROM DIABETES. AND HE
RUSH RATIONED HIS INSULIN
UNBEKNOWNST TO HIS PARENTS AND
WE KNOW WHAT HAPPENED HERE HE
DIED. AND NO ONE SHOULD HAVE TO
MAKE A DECISION BETWEEN PAYING
YOUR RENT AND BUY MEDICINE IN
THIS IS ALL WE'RE TRYING TO DO
IS MAKE. HEALTH MEDICINE
ACCESSIBLE TO AS MANY PEOPLE AS
POSSIBLE IS A PERFECT BILL NO
BUT I THINK IT'S SOMETHING WORK
WE ALWAYS TAKE PRIDE IN BEING
THE LEADERS IN CALIFORNIA WELL
THERE'S FIVE OTHER STATES THAT
ARE ALREADY DOING IT AND IT'S
WORKING AND YOU HAVEN'T HAD A-
OF PEOPLE WEREN'T YOU KNOW. IT
MAJOR IMPACT TO THE INDUSTRY SO
I JUST THINK- WITH ALL DUE
RESPECT WHICH SHOULD GIVE IT A
SHOT HERE IN CALIFORNIA AND I
RESPECT LESS HUGO. THANK YOU
VERY MUCH IS THERE A MOTION ON
THIS BILL. MOVED BY SENATOR
GONZALEZ. SECRETARY PLEASE CALL
THE ROLL. THE IT IS DO YOU PASS
AND REFERRED TO THE COMMITTEE ON
APPROPRIATIONS. SENATORS EGGMAN.
BY EGGMAN I. WENT DOLLY. GLAZER
GONZALEZ. GONZALEZ I. HER TADO.
LIMÓN MENJIVAR. BINGE OF OUR
AYE. ROTH ROTH AYE. RUBIO RUBIO
I. WILL HUG. WIENER. IT'S FIVE
ZERO WILL HOLD THAT ROLE OPEN
THANK YOU IN TERMS. OKAY LET'S
ALSO WE HAD A MOTION ON S. B.
EIGHT OH FIVE PORTANTINO. YOU
MADE A MOTION. NO I DON'T THINK
WE DID BECAUSE WE WERE I DON'T
OKAY MEASURES WITH THE USER
MOTION FOR SB EIGHT OH FIVE- MY
CENTER PORTANTINO. OKAY CENTER
JELLY MADE THAT MOTION DESPITE
HAVING A NO FROM HIS PARTY. HE
STEPPED OUT. WELL THAT'S A
DIFFERENT ONE OKAY. ALL RIGHT
HE'S IN LINE HE'S IN LINE WITH
PARTY AND YOU PASS AS AMENDED
AND REFERRED TO THE COMMITTEE ON
HUMAN SERVICES SECRETARY PLEASE
CALL THE ROLL. SENATORS EGGMAN.
AYE EGGMAN I WENT. WHEN I DALI
DALI I GLAZER. GONZALEZ GONZALEZ
I HER TADO. LIMON MENJIVAR
MENJIVAR AYE ROTH. ROTH AYE
RUBIO. RUBIO I WILL HOT. WIENER
WIENER I. EIGHT ZERO EIGHT THAT
IS EIGHT ZERO WILL HOLD THE ROLE
OPEN. OKAY WE ARE GOING TO
PEOPLE MAY RECALL WE HAD A HEARD
A BILL LAST WEEK. BY CENTER WHEN
SB SIX TWENTY FIVE- THE MOTION
WAS TO PASS AS AMENDED AND
REFERRED TO COMMITTEE ON
JUDICIARY AND AT THIS TIME DUE
TO RECONSIDERATION WE'RE GOING
TO OPEN A ROLE SECRETARY PLEASE
CALL THE ROLL. DO WE NEED
ANOTHER MOTION. THAT'S ANOTHER
REASON FOR TODAY'S OKAY WE HAVE
A MOTION FOR TODAY'S CENTER
DELHI MAKES THE MOTION ALL RIGHT
. THESE EMOTIONAL. AND IT IS DUE
PASSED AS AMENDED AND RE REFER
TO THE COMMITTEE ON JUDICIARY
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN. HI EGGMAN I
WENT. WHEN I. DALI DALI I.
GLAZER GONZALEZ. HER TADO LIMÓN.
MENJIVAR BINGE OF OUR AYE ROTH.
ROTH AYE RUBIO. RUBIO I WILL HOT
. WIENER. WIENER NO. SIX ONE.
THAT IS SIX ONE. HOLD IT OPEN
FOR ABSENT MEMBERS. NO. OKAY SO
WILL HOLD OPEN THE SO FOR THE
BILL FAILS YEAH. GONZALEZ IS
OPEN WHICH OPEN TO THEM. HE IS.
ALL RIGHT WE ARE FOR- SO LAMAR.
ARE WE HERE HOW ABOUT SOME
WIENER SB SEVEN SEVENTY WE STILL
NEED A LOT COMMODE.
CENTER WIENER NICE TO SEE SB
SEVEN SEVENTY. AND YOU ARE
ACCEPTING AND THE AMENDMENTS
CLARIFY THE LEGISLATIVE INTENT
LANGUAGE YES WE ARE ACCEPTING
NEW MEMBERS THANK YOU SIR THANK
YOU MANAGER PLEASE PROCEED THANK
YOU- I'M CHAIR FOR YOUR
COMMITTEE WORKING WITH US WE
APPRECIATE IT- AND COLLEAGUES.
I'M HERE TO PRESENT US SENATE
BILL SEVEN SEVENTY- WHICH IS A
TAKES A TANGIBLE STEP ON A
CONCRETE TIMELINE FOR CREATING A
SYSTEM OF GUARANTEED HEALTHCARE
FOR ALL CALIFORNIANS- ODD TO
PROVIDE BETTER CARE AT LOWER
COSTS WITH THE UNIFIED OF
FINANCING SYSTEM BY DOING THE
FOLLOWING. DIRECTING THE
SECRETARY OF HEALTH AND HUMAN
SERVICES TO PURSUE WAIVER
DISCUSSIONS WITH THE FEDERAL
CENTER FOR MEDICARE MEDICAID
SERVICES TO FACILITATE THE
CREATION OF A UNIFIED HEALTHCARE
FINANCING SYSTEM. REQUIRING THE
SECRETARY TO ESTABLISH A WAIVER
DEVELOPMENT WORK GROUP OF
DIVERSE HEALTHCARE SYSTEM
STAKEHOLDERS APPOINTED BY THE
GOVERNOR THE SPEAKER IN THE
PROTON. REQUIRING THE SECRETARY
TO PROVIDE QUARTERLY REPORTS TO
THE CHAIRS OF THE ASSEMBLY AND
SENATE HEALTH COMMITTEE ON THE
STATUS OF AN APP ON AL COMES OF
WAIVER DISCUSSIONS WITH THE
FEDERAL GOVERNMENT AND THE
PROGRESS OF THE WORKGROUP. AND
REQUIRING THE SECRETARY TO
SUBMIT A COMPLETE SET OF
RECOMMENDATIONS REGARDING THE
ELEMENTS TO BE INCLUDED IN A
FORMAL WAIVER APPLICATION NO
LATER THAN JUNE FIRST OF NEXT
YEAR. HOW YOU HAVE A LARGE
COALITION BEHIND THIS BILL OF
MAJOR LABOR ORGANIZATIONS HEALTH
CARE ADVOCATES ON ANTI POVERTY
ORGANIZATION SOME OF THE MOST
RESPECTED ORGANIZATIONS- IN THE
STATE OF CALIFORNIA- THE
FRAGMENTATION AND IN OUR CURRENT
HEALTHCARE SYSTEM LEADS TO
MASSIVE MASSIVE INEQUITIES. ARE
FROM- HIGHLY VARYING HEALTH PLAN
ELIGIBILITY REQUIREMENTS. TO THE
CONTINUED LACK OF EFFECTIVE
OVERSIGHT OF HEALTH PLANS AS WE
SEE EVERY SINGLE WEEK IN THIS
COMMITTEE. AND THIS IS HARMING
CALIFORNIA RESIDENTS. THE
SHORTCOMINGS RESULT IN SEVERE-
AND SOMETIMES LETHAL GAPS IN
MEDICALLY NECESSARY HEALTH
COVERAGE- AND DISPROPORTIONATELY
IMPACT HISTORICALLY AND
SYSTEMATICALLY MARGINALIZED.
COMMUNITIES CALIFORNIA HAS TAKEN
IMPORTANT STEPS TO EXPAND ACCESS
TO HEALTH CARE FOR ALL MOST
RECENTLY- WITH A CENTER THE
ROSSO'S. WORKS IF YOU'RE
HEADING- EXPANSION OF MEDICAL
COVERAGE OF FOR PEOPLE
REGARDLESS OF IMMIGRATION STATUS
BUT THE STATE IS ALSO RECOGNIZE
THAT THE STATUS QUO OF HEALTH
CARE FINANCING. IS NOT WORKING
AND THE INNOVATIVE SOLUTIONS
MUST BE EXPLORED THE TWENTY
NINETEEN BUDGET ACT CHARGE THE
HEALTHY CALIFORNIA FOR ALL
COMMISSION WITH DEVELOPING A
PLAN THAT INCLUDES OPTIONS FOR
ADVANCING THE HEALTHCARE
DELIVERY SYSTEM IN CALIFORNIA.
TO PROVIDE BETTER CARE THAT
COSTS LESS THROUGH A UNIFIED
FINANCING SYSTEM INCLUDING BUT
NOT LIMITED TO A SINGLE PAYER
FINANCING SYSTEM FOR ALL
CALIFORNIA RESIDENTS. IN THE
COMMISSION'S FINAL REPORT- IT
SUMMARIZES THE CHARACTERISTICS
OF WHAT THAT SYSTEM WOULD BE-
THAT ALL CALIFORNIA RESIDENTS
WILL BE ENTITLED TO RECEIVE A
STANDARD PACKAGE OF HEALTH CARE
SERVICES. THAT THIS PACKAGE
COULD INCLUDE LONG TERM CARE
SUPPORT SERVICES I WHICH WOULD
RELIEVE HUGE A CRUSHING BURDENS
THAT ARE CURRENTLY FALLING ON
MILLIONS OF FAMILIES IN THE
STATE- ENTITLEMENT WILL NOT VERY
BY A IT'S EMPLOYMENT STYLE.
DISABILITY STATUS INCOME
IMMIGRATION STATUS OR OTHER
CHARACTERISTICS FINALLY MOVING
AWAY FROM THE COMPLETELY BROKEN
SYSTEM OF BASING WHETHER YOU
HAVE HEALTH CARE COVERAGE ON
YOUR CURRENT EMPLOYMENT THAT
ABSURD SYSTEM THAT WAS CREATED
IN THIS COUNTRY AFTER WORLD WAR
TWO. AND LOOKING BACK ON IT SO
IT'S SHOCKING THAT WE EVER ALLOW
THAT SYSTEM TO COME. INTO PLACE
. AND THEN DISTINCTIONS AMONG
MEDICARE MEDICARE ALL EMPLOYER
SPONSORED INSURANCE AN
INDIVIDUAL MARKET COVERAGE WOULD
BE ELIMINATED WITH ASSIST WITH A
UNIFIED FINANCING SYSTEM. THE
REPORT ESTIMATES THAT UNIVERSAL
COVERAGE THROUGH A UNIFIED
FINANCING SYSTEM WITH A FOUR
THOUSAND OR MORE LIVES ANNUALLY.
AND FINDS THAT QUOTE ABSENT A
SHIFT TO UNIFIED FINANCING.
CALIFORNIA WILL INCUR AN
ADDITIONAL FIVE HUNDRED BILLION
DOLLARS IN MEDICAL COSTS OVER
THE NEXT DECADE- I WON ONLY
KNOWLEDGE THE OPPOSITION- TO
THIS BILL COLLEAGUES AYE AYE AYE
DO YOU HAVE YOU THE SUPPORT
OPPOSITION THIS BILL IS A LITTLE
BIT LIKE- A TEMPORARY FAMILY
FEUD- SOMETIMES FAMILY MEMBERS
AND COALITION PARTNERS HAVE
DISAGREEMENTS AND HAVE.
ARGUMENTS AND DISPUTES SOMETIMES
THOSE. POOR OUT IN THE PUBLIC-
AND THAT'S JUST THE NATURE OF
HUMAN EXISTENCE AND OF DEMOCRACY
THIS IS A COALITION THAT I THINK
IT'S TEMPORARILY- HAVING A
DISAGREEMENT- MY HOPE IS THAT WE
CAN EVENTUALLY. COME BACK
TOGETHER BECAUSE WE ALL SHARE
THE SAME GOAL- SB SEVEN SEVEN
THE SB SEVEN SEVENTY WILL BE A
TANGIBLE STEP FORWARD- AND I
RESPECTFULLY ASK FOR YOUR I.
BOATS. WITH ME TODAY TO TESTIFY
IS- MIKE CASEY- WITH- UNITED-
AND DOCTOR JEFFRIES- MD- AND I
RESPECTFULLY. ASK RIVAL THANK
YOU CENTER. CASEY. GOOD
AFTERNOON- MY NAME IS MIKE CASEY
WITH THE HOSPITALITY WORKERS
UNION UNITE HERE I'VE BEEN A
UNION ORGANIZER FOR FORTY YEARS.
AND IN THAT TIME I'VE WATCHED
HEALTHCARE COSTS CONSUME AN EVER
GROWING PORTION OF WORKING
PEOPLE'S INCOME. UNIVERSAL
HEALTHCARE HAS TAKEN FOR GRANTED
IN OTHER COUNTRIES BUT IN
AMERICA HEALTH CARE COSTS. ARE
STRANGLING PEOPLE'S ABILITY TO
PAY RENT PUT FOOD ON THE TABLE
AND LIVE THE LIVES THEY WANT TO
I'M HERE TO APPEAL TO YOU TO
FINALLY GET THE BALL ROLLING ON
FIXING THIS CRISIS. WHEN I FIRST
STARTED ORGANIZING RESTAURANT
HOTEL WORKERS HEALTH BENEFITS
COST TEN CENTS OUT OF EVERY
DOLLAR THAT WORKERS BARGAIN WITH
THEIR EMPLOYERS. TODAY THAT
NUMBER IS CLOSER TO THIRTY SETS
IT PREMIUMS HAD JUST GONE UP AT
THE RATE OF INFLATION OVER THE
LAST TWENTY YEARS A TYPICAL
UNION DISHWASHER OR ROOM CLEANER
IN SAN FRANCISCO. COULD HAVE HAD
TWO HUNDRED THOUSAND DOLLARS
MORE INTO THEIR WAGES ARE
PENSION CONTRIBUTIONS. TRADE
UNIONS FROM OTHER COUNTRIES HAVE
ASKED ME IN DISBELIEF WHEN YOU
DON'T HAVE GUARANTEED HEALTHCARE
HOW CAN YOU FIGHT FOR ANYTHING
ELSE. I'VE LOST COUNT OF THE
NUMBER OF STRIKES AND LOCKOUTS
THAT WERE MOTIVATED BY THE
QUESTION OF WHO'S GOING TO PAY
FOR HEALTH COVERAGE I TALKED TO
EMPLOYERS ALMOST EVERY DAY. WHO
ARE HARD PRESSED TO HIRE WORKERS
BECAUSE INSURANCE PRICES LIMIT
WHAT THEY CAN PAY IN WAGES AND
IT DOESN'T HAVE TO BE THIS WAY.
I SPENT A LOT OF TIME.
BARGAINING CONTRACTS IN CANADA.
WHERE EACH PROVINCE HAS ITS OWN
MEDICARE FOR ALL SYSTEM. UNIONS
BARGAIN FOR HEALTH CARE BENEFITS
TO. HOWEVER THEY COVER THINGS
THAT THE HEALTH CARE SYSTEM
DOESN'T LIKE PRIVATE HOSPITAL
ROOM SIR DENTAL COVERAGE BUT THE
COST IS A NON ISSUE. AMOUNTING
TO JUST A FEW CENTS INCREASE
EACH YEAR. I DOUBT THAT A ROOM
CLEANER IN VANCOUVER PAYS LESS
IN TAXES THAN ONE IN CALIFORNIA
DOES. I FOCUSED ON THE ECONOMIC
TOLL OUR HEALTHCARE SYSTEM IS
TAKEN. BUT LET ME TAKE A WORD
ABOUT THE HUMAN COSTS. THE
HEALTHY CALIFORNIA COMMISSION
FOUND A UNIFYING FINANCING
SYSTEM IN CALIFORNIA THE CENTER
WIENER SAID COULD SAVE FOUR
THOUSAND LIVES PER YEAR I SAW
THE REALITY OF THAT FIRST HAND
DURING TWO THOUSAND TWENTY. WHEN
95% OF HOSPITALITY WORKERS WERE
LAID OFF. AND I PERSONALLY
WITNESSED THE TERMINATION OF
HEALTH COVERAGE FOR TENS OF
THOUSANDS OF FAMILIES AT THE
HEIGHT OF THE PANDEMIC. I CAN'T
IMAGINE A CLEAR CALL TO CHANGE
WHAT WE'RE DOING I UNDERSTAND SB
SEVEN SEVENTY DOESN'T IN ITSELF
CREATE A MEDICARE FOR ALL
SYSTEM. BUT IT WILL HOLD THE
STATE ACCOUNTABLE TO MOVING ON
THE COMMISSION'S RECOMMENDATIONS
ON A TIME LINE THAT MATCHES THE
URGENCY OF THE CRISIS THEIR
COUNSELOR COUNTLESS DECISION
POINTS THAT GO INTO DECIDING
HOW. AND WHEN THE CALIFORNIA
DESIGNED TO UNIFIED FINANCING
SYSTEM. WE NEED CLARITY AS TO
WHAT THE FEDERAL GOVERNMENT IS
PREPARED TO GO ALONG WITH SO
THIS LEGISLATURE CAN CRAFT A
BILL THAT HAS THE GREATEST
CHANCE OF SUCCESS. PLEASE PASS
SB SEVEN SEVENTY THANK YOU.
THANK YOU VERY MUCH. GIVE US A
SECOND YES THIS ORDER FRAZIER DR
FRAZIER. GOOD AFTERNOON MADAM
CHAIR MEMBERS OF THE COMMITTEE
THANK YOU FOR ALLOWING ME TO.
PROVIDE SOME WITNESS TESTIMONY.
MY NAME IS JEFF FRASER AND I'M A
RETIRED NEUROLOGIST. FROM
1-991-220-0020 I WORKED AS A
STAFF KERALA JUST AT SANTA CLARA
VALLEY MEDICAL CENTER. A LARGE
PUBLIC HOSPITAL IN SILICON
VALLEY. I SERVED AS THE
DEPARTMENT CHAIR FOR FIVE OF
THOSE YEARS. I HAVE SEEN THE
INEQUITIES AND THE FOLLIES. OF
OUR CURRENT HEALTHCARE SYSTEM
AND I HAVE PERSONALLY DEALT WITH
THE PROBLEM OF PHYSICIAN BURNOUT
. THESE CONCERNS HAVE LED ME TO
RESEARCH AND WRITE A BOOK
ARGUING THAT A SINGLE PAYER NOT
FOR PROFIT HEALTH CARE SYSTEM
WITH UNIVERSAL COVERAGE. WILL
PROVIDE THE NECESSARY FOUNDATION
FOR SOLVING THE BURN OUT
PROBLEMS. SB SEVEN SEVENTY LAYS
OUT A PATH TO ACHIEVE THESE
NECESSARY REFORMS. I FIRMLY
BELIEVE THAT WITHOUT SUCH
REFORMS THE BURN OUT PROBLEM
WILL ONLY WORSEN. AND THE
PHYSICIAN SHORTAGE CRISIS. WILL
SNOWBALL. WHEN PHYSICIANS
ENCOUNTER PATIENTS WE HAVE
TREATABLE MEDICAL CONDITIONS BUT
WHO LACK THE MEANS TO GET PROPER
TREATMENT. THEY EXPERIENCED
PROFOUND MORAL INJURY. OUR
PATIENTS COMMONLY FACE DELAYS OR
INSURMOUNTABLE BARRIERS TO
GETTING APPROPRIATE CARE DUE TO
THE FACT THAT THEY WERE
UNINSURED OR UNDERINSURED.
PEOPLE WITH SEIZURES DOES
SEIZURE DISORDERS FOR EXAMPLE
WOULD ROUTE ROUTINELY SHOW UP IN
OUR EMERGENCY ROOM BECAUSE THEY
HAD HAD A SEIZURE AFTER RUNNING
OUT OF THEIR MEDICATIONS. WHY
DID THEY RUN OUT. BECAUSE HAVING
LOST THEIR JOB AND THEIR
EMPLOYER SPONSORED INSURANCE FOR
HAVING RECENTLY ARRIVED FROM
ANOTHER COUNTY WITHOUT
INSURANCE. THEY WERE UNABLE TO
ACCESS OUR OVERWHELMED ROLLA G.
CLINIC IN A TIMELY MANNER. I
HEALTHCARE SYSTEM THAT CANNOT
RELIABLY PROVIDE THE SIMPLE
SERVICE OF REFILLING A
LIFESAVING MEDICATION. IS ABSURD
. BY ADDRESSING THE TRAGEDY OF
UNMET HEALTH NEEDS SB SEVEN
SEVENTY GIVES DOCTORS HOPE THE
CALIFORNIA STATE POLICYMAKERS.
WILL ADDRESS THEIR PLIGHT AND
MOST IMPORTANTLY THE PLIGHT OF
THEIR PATIENTS. DOCTORS ALSO
SHOULDER THE BURDEN THE
EXASPERATING ADMINISTRATIVE
BURDENS HEAPED UPON THEM BY
MULTIPLE GROWING BUREAUCRACIES.
WE ARE OBLIGED TO CLUTTER UP OUR
PATIENT ENCOUNTER NOTES WITH
REDUNDANT OR IRRELEVANT
INFORMATION SO THAT BILLING
DEPARTMENTS CAN MAXIMIZE CHARGES
TO THIRD PARTY PAYERS. WE
STRUGGLE TO NAVIGATE VARIOUS
PRIOR AUTHORIZATION PROCESSES DR
IF YOU COULD WRAP UP PLEASE.
WHICH ARE OFTEN CRYPTIC OR
QUIBBLING IN NATURE AND MOST OF
US OF HAVE COME TO SEE THEM AS
NOTHING MORE THE DEVICES TO
DISCOURAGE DELAY OR DENY
APPROPRIATE CARE. THANK YOU.
THANK YOU VERY MUCH. NOW PEOPLE
TO SPEAKING IN SUPPORT JUST NAME
AND AFFILIATION. GOOD AFTERNOON.
TOM BRAND FROM BRENTWOOD
CALIFORNIA CONFIDENCE OF
MACHINIST. IN SUPPORT THANK YOU
. DILLON AERO WITH THE EXECUTIVE
COMMITTEE OF HEALTH CARE FOR ALL
CALIFORNIA THANK YOU THANK YOU
SUPPORT. JULIE NELSON WITH THE
NATIONAL UNION OF HEALTHCARE
WORKERS IN SUPPORT. THANK YOU.
STEPHEN VERNON THE FOUNDING
DIRECTOR OF THERAPIES FOR SINGLE
PAYER VICE CHAIR OF PHYSICIANS
OR NATIONAL HEALTH PROGRAM
CALIFORNIA PROUD MEMBERS OF THE
HEALTH CALIFORNIA NOW COALITION
THANK YOU. THE GESTURE CHADWICK-
CALIFORNIA ALLIANCE OF RETIRED
AMERICANS IN SUPPORT. I FELT A
LITTLE LOCAL TO YOUR MEDICARE
SUPPORT THANK YOU. I'M GONNA GO
TO MAN I SUPPORT THANK YOU.
MEHDI M. AT THE HOUSEKEEPER W.
SAN FRANCISCO HOTEL AND I
SUPPORT THANK YOU. YELLAMMA
CARMONA AND LOCAL BILLION I HIT
I HOPE THANK. MY NAME IS COME TO
KIM AND PRIVATE DINING SERVER
FORUM THE SENATE REGS HOTELS
HAVE FRANCISCO YOU KNOW HERE I
SUPPORT THANK YOU. DOT ORG YEAH
HAS TO CUT TIES MY NAME IS LOSS
ON THE ON THE SAME- FROM UNITE
HERE LOCAL TO I SUPPORT THIS
BILL THANK YOU. DIANA DOUGLAS
WITH HEALTH ACCESS CALIFORNIA IN
SUPPORT THANK YOU. GORDON MILLER
CHANGE CONTRA COSTA COUNTY
CALIFORNIA ALLIANCE FOR RETIRED
AMERICANS IN SUPPORT THANK YOU.
WINDS ARE YOUNG CALIFORNIA
ALASKA RETIRED AMERICANS I AM IN
SUPPORT THANK YOU. MADAM CHAIR
MEMBERS PRICE DOUGHERTY IN
BEHALF OF THE CALIFORNIA ACADEMY
OF FAMILY PHYSICIANS IN SUPPORT
THANK YOU. GOOD AFTERNOON IRINGA
WITH COURAGE CALIFORNIA HERE TO
EXPRESS OUR STRONG SUPPORT FOR
SB SEVEN SEVENTY THANK YOU.
AFTERNOON CAROLINE ABOUT HEALTHY
CALIFORNIA COALITION A HEALTHY
CALIFORNIA NOW COALITION STRONG
SUPPORT Q. DR JAMIE CONTENT A
PEDIATRICIAN FROM SAN FRANCISCO
IN SUPPORT THANK YOU. CITY
WHATEVER LEGISLATIVE- ANALYSTS
FROM CALIFORNIA HIS FREEDOM
PARTY RUN SUPPORT WE DO HAVE
SOME QUESTIONS ON BILL WOULD
LIKE TALK TO STAFF THANK YOU.
MARC ALMOND HEALTH CARE FOR ALL
CALIFORNIA IN SUPPORT THANK YOU
. DEVER DOMON IN SUPPORT ON
BEHALF OF CINEMA COUNTY WORKING
GROUP FOR HEALTH CARE FOR ALL
PHYSICIANS FOR A NATIONAL HEALTH
PROGRAM HEALTH CARE FOR ALL
CALIFORNIA IN SOLIDARITY AND
COALITION WITH HEALTHY
CALIFORNIA NOW THANK YOU. DR
EMILY TO PEDIATRICIAN FROM SAN
FRANCISCO IN SUPPORT THANK YOU.
AMBER GAUTAM PEDIATRICIAN FROM
AS SEVEN SUPPORT THANK YOU. DR
SIR BORN PEDIATRICIAN IN SAN
FRANCISCO IN SUPPORT THANK YOU.
OKAY NOW WE'LL HEAR FROM THE
OTHER SIDE OF THE FAMILY FEUD.
THANK YOU MADAM CARE- THANKS
COMMITTEE MEMBERS I'M COM COM
STAKE LEAD REGULATORY POLICY
SPECIALIST WITH THE CALIFORNIA
NURSES ASSOCIATION AND
RESPECTFUL OPPOSITION-
REPRESENTING OVER ONE HUNDRED
THOUSAND STRONG UNION REGISTERED
NURSES THROUGHOUT THE STATE CNA
HAS CHAMPION SINGLE PAYER HEALTH
CARE LEGISLATION FOR DECADES AND
WE ARE GRATEFUL AGAIN FOR
SENATOR WIENER'S LONGSTANDING
SUPPORT FOR SINGLE PAYER. SEEN A
HIGHER HOWEVER OPPOSES SB SEVEN
SEVENTY BECAUSE IT IS
UNNECESSARY AND UNFORTUNATELY
WOULD SIDETRACK CALIFORNIA FROM
ACHIEVING OUR GOAL OF SINGLE
PAYER HEALTHCARE FIRST THE BILL
WOULD UNNECESSARILY DUPLICATE
NOT COMPLEMENT THE WORK OF THE
HEALTHY CALIFORNIA FOR ALL
COMMISSION WHICH I PROUDLY
SERVED ON. AS A COMMISSIONER THE
COMMISSION EXPENDED EXTENSIVE
FINANCIAL AND HUMAN RESOURCES TO
DEVELOP A ROADMAP ON UNIFIED
FINANCING FOR TWO AND A HALF
YEARS CAL HHS POLICY EXPERTS
STAKEHOLDERS PATIENT ADVOCATES
AND REPRESENTATIVES FROM THE
LEGISLATURE INCLUDING FORMER
CHAIR OF THIS COMMITTEE DR PAN
WE ANALYZED THE RANGE OF ISSUES
ON UNIFIED FINANCING INCLUDING
SYSTEM DESIGN BENEFITS COMMUNITY
ENGAGEMENT FINANCIAL ANALYSES
AMONG MANY ISSUES. AND WE ISSUED
OUR FINAL REPORT TO THE
LEGISLATURE AND THE GOVERNOR
LAST APRIL. THE COMMISSION HELD
LENGTHY DISCUSSIONS ON FEDERAL
HEALTH CARE WAIVERS AND CAL HHS
SECURED OUTSIDE LEGAL COUNSEL TO
ANALYZE ISSUE FOR OUR FINAL
REPORT IN SHORT THE COMMISSION
HAS ALREADY COMPLETED THE WORK
OF THE BILLS PROPOSE WE FOR
WORKGROUP. CONCERNING LEE- THIS
BILL WOULD HAND OVER DECISIONS
ON RESTRUCTURING OUR HEALTH CARE
SYSTEM TO AN UNACCOUNTABLE
WORKGROUP AND TO NON BINDING
INFORMAL DISCUSSIONS. BETWEEN
CAL HHS AND FEDERAL HHS BUT THE
LAW ON FEDERAL WAIVERS MAKES
CLEAR THAT SB SEVEN SEVENTIES
APPROACH PUTS THE CART BEFORE
THE HORSE. FOR CALIFORNIA TO
EVEN APPLY FOR A CONSOLIDATED
FEDERAL WAIVER SECTION THIRTEEN
THIRTY TWO OF AFFORDABLE CARE
ACT REQUIRES THAT WE ENACTED
LEGISLATION ESTABLISHING THE
UNDERLYING PROGRAM. THE FEDERAL
GOVERNMENT CANNOT NEGOTIATE ON A
PROGRAM THAT DOES NOT YET EXIST.
THAT'S THE ONLY WAY TO GET
FEDERAL HHS TO MAKE IT TO THE
NEGOTIATING TABLE ON FEDERAL
WAIVERS IS FOR THE LEGISLATURE
TO FIRST PASS A BILL ENACTING A
SINGLE PAYER SYSTEM. FINALLY IT
IS TROUBLING TO CNN THAT THIS
BILL CONCERNS UNIFIED FINANCING
AND NOT SINGLE PAYER- THE
COMMISSION THE COMMISSION SAYS
QUESTIONS MADE CLEAR THAT A
UNIFIED FINANCING SYSTEM
INCLUDES A MULTI PAYER SYSTEM OF
HEALTH INSURANCE WHICH IS WHICH
FALLS FAR SHORT. A SINGLE PAYER
WITHOUT CLEAR INSTRUCTION FROM
THE LEGISLATURE IN A BILL
ESTABLISHING SINGLE PAYER THIS
UP A CAL HHS AND AWEBER
WORKGROUP MAY PURSUE SOMETHING
THAT IT'S NOT SINGLE PAYER AND-
IN ANY WAY. IF THE LEGISLATURE
IS COMMITTED TO TANGIBLY MOVING
FORWARD ON SINGLE PAYER CNA
URGES TO PASSAGE OF A BILL
ESTABLISHING SINGLE PAYER AND WE
URGE A NO VOTE ON SB SEVEN
SEVENTY. OKAY THANK YOU VERY
MUCH NEXT PERSON PLEASE. THANK
YOU SENATORS FOR THIS
OPPORTUNITY TO SPEAK TO YOU MY
NAME IS CHIANG SOME OF THEM I AM
AN IMMIGRANT AND A FILM CURATOR
I'M ALSO A TWO TIME CANCER
SURVIVOR WE'VE BEEN IN ENOUGH
HOSPITALS AS A PATIENT. TO
VOLUNTEER MY TIME AND ENERGY THE
LAST SEVEN YEARS TO ORGANIZE A
SINGLE PAYER HEALTHCARE IN
CALIFORNIA. TODAY I REPRESENT
HEALTH CARE FOR US IN LOS
ANGELES TO SAY I ORGANIZE ASIAN
STRONGLY OPPOSES SB SEVEN
SEVENTY AND CALLED IN THIS
COMMITTEE TO VOTE IT DOWN. THE
SINGLE PAYER ACTIVISTS I WORK
ALONGSIDE INCLUDE YOUNG AND OLD
BY TALK LGBT Q. IMMIGRANTS FOLKS
WERE INSURED UNINSURED AND THOSE
ON MEDI CAL AND MEDICARE. WE ARE
DIVERSE BUT UNITED IN WANTING
SINGLE PAYER. WE REJECT SB SEVEN
SEVENTY BECAUSE IT IS NOT A
SINGLE PAYER BILL. IT'S A LET'S
HAVE MORE DISCUSSIONS AND MORE
STUDY OF THE WAIVER PROCESS
BILL. WITH A LOOPHOLE LANGUAGE
TO PRESERVE INSURANCE COMPANY
PROFITEERING OFF HEALTHCARE IN
CALIFORNIA. FURTHERMORE AS MISS
CONSTI HAS POINTED OUT. SB SEVEN
SEVENTY RUNS COUNTER TO THE
ACA'S SECTION THIRTEEN THIRTY
TWO REQUIREMENT THAT STATES MUST
ENACT HEALTH CARE LEGISLATION
FIRST BEFORE THEY CAN APPLY FOR
A CONSOLIDATED WAIVER. FOR THOSE
OF US ORGANIZING FOR SINGLE
PAYER IN OUR COMMUNITIES. DO NOT
NEED MORE LEGISLATION TO TALK
AND STUDY HOW TO DO WAIVERS
WE'VE BEEN THERE AND DONE THAT
MOST RECENTLY FROM TWENTY TWENTY
TO TWENTY TWENTY TWO WHEN WE SET
THROUGH TWO AND A HALF YEARS OF
THE HEALTHY CALIFORNIA FOR ALL
COMMISSION. YOU KNOW YOU COULD
WRAP UP I THINK WE HAVEN'T. BASE
TAXPAYERS DOLLARS ON SETTING UP
ANOTHER COMMISSION LIKE BODY SB
SEVEN SEVEN TO SEVENTY ALSO HAS
A TIMELINE THAT GIVES COVER FOR
LEGISLATORS TO SAY THEY CANNOT
PASS ACTUAL SINGLE PAYER
HEALTHCARE IN THE ASSEMBLY BY
MAY TWENTY TWENTY FOUR BECAUSE
YOU HAVE TO WAIT FOR WAIVER
REPORTS DUE LATER. IN JUNE OR
EVEN TWENTY TWENTY EIGHT WE
DON'T NEED SB SO SEVENTY TWO
DELAY LEGISLATIVE ACTION ON
CALCAVECCHIA THANK YOU. I THANK
YOU VERY MUCH THANK YOU VERY
MUCH NEXT PERSON PLEASE AND-
YOU'VE GOT LESS THAN A MINUTE.
THANK YOU MADAM CHAIR MEMBERS
NICK LOUISE US WITH CALIFORNIA
ASSOCIATION HEALTH PLANS YOU
KNOW OPPOSED TO THE BILL FROM
THE OPPOSITE DIRECTION NO
CALIFORNIA ALREADY HAS. OF YOU
FORTY TO SEEK A WAIVER ON THIS
WE DON'T BELIEVE CALIFORNIA
SHOULD EXERCISE THAT AUTHORITY
FOR THIS PARTICULAR ISSUE BUT I
THIS BILL REQUIRES A STATE
SECRET FORTY- THAT IT DOESN'T
NEED TO TRIGGER A MASSIVE CHANGE
TO A NEW HEALTH CARE SYSTEM THAT
MOST CALIFORNIANS DON'T WANT-
ITALY TO GOVERNMENT RUN HEALTH
CARE. THE ELIMINATION OF
MEDICARE- FIVE HUNDRED BILLION
DOLLARS. OF AND IN A NEW HEALTH
CARE PROGRAM THAT NEEDS THREE
HUNDRED MILLION DOLLARS IN
TAXES- ON BUSINESSES AND
INDIVIDUALS WITH ME TREMENDOUS
PROGRESS MOST CALIFORNIANS WANT
US TO BUILD UPON THE CURRENT
PROGRESS THAT WE'VE MADE THROUGH
THE AFFORDABLE CARE ACT. THEY
DON'T WANT TO SEE ON THE
COMPLETE CHANGE OF OUR HEALTH
CARE SYSTEM THANK YOU. THANK YOU
VERY MUCH OTHER SPEAK IN
OPPOSITION NOW COME FORWARD AND
JUST NAME. AND AFFILIATION.
FAITH FOR JUST ON BEHALF OF
CALIFORNIA AGENTS AND HEALTH
INSURANCE PROFESSIONALS OPPOSED
FOR THE REASONS OUTLINED BY CAPT
THANK YOU THANK YOU. SEVENTY
WATKINS ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA LIFE
AND HEALTH INSURANCE COMPANIES
ALSO POST. PRESTON YOUNG FOR THE
CALIFORNIA CHAMBER OF COMMERCE
HERE IN OPPOSITION. THANK YOU.
AGAIN SHERMAN WAY RETIRED NURSE
IN OPPOSITION. THANK YOU.
MATALIN MABREY ON BEHALF OF CNA
IN OPPOSITION THANK YOU. WHEN
CHAPMAN ON BEHALF A CNA. A
STRONG SUPPORT FOR SINGLE PAYER
HEALTHCARE OPPOSED TO SB SEVEN
SEND YOU. GARY FITZGERALD I AM
HERE ON BEHALF OF THE ME MYSELF
AND I FOUNDATION AND I'M OPPOSED
TO THIS SB SEVENTY SEVEN THANK
YOU TO ALL THREE OF YOU SIR.
SURE SURELY TOY- SEEN A MEMBER
AND ALSO- REPRESENTATIVE
WELLSTONE PROGRESSIVE DEMOCRATIC
CLUB THANK YOU. JENNIFER MILLER
SELF EMPLOYED I OPPOSE THANK YOU
. RICK MILLER RETIRED NURSE AND
MEMBER OF CALIFORNIA'S
ASSOCIATION RETIREES AND ALSO
THE SANTA CLARA COUNTY SINGLE
PAYER HEALTHCARE COALITION. BOTH
OF WHICH ARE IN OPPOSITION.
PAMELA ROUSE RETIRED RN WITH A
CNA AND I'M IN OPPOSITION. HELLO
I AM I AM BRANDS SYDNEY- AND
NINE NINE WITH- WELL SOME
PRACTICE OF THEM DEMOCRATS OF
SACRAMENTO. AND THE NICE WRONGLY
NICE WRONGLY AMONG THE POST SB
SEVEN SEVEN THANK YOU. PICTORIAL
ARE HAND OPPOSED TO SEVEN
SEVENTY THANK YOU. OKAY SEE
NOBODY ELSE APPROACHING THE
MARKETS GO TO THE PHONES PLEASE
OPERATOR IS THERE. I AM. THANK
YOU THANK YOU MADAM CHAIR FOR
THOSE OF YOU WHO HAVE NOT SPOKEN
WITH AN OPERATOR AND WISH TO
COMMENT ON THIS BILL PLEASE
PRESS ONE THEN ZERO AT THIS
TIME. WE'RE GOING TO GO TO LINE
ONE THIRTY FIVE. GOOD AFTERNOON
THIS IS SANDRA POOR BEHALF OF
WESTERN CENTER ON LAW AND
POVERTY IN SUPPORT. THANK YOU I
. WON SEVENTY THREE- I WON
SEVENTY THREE YOUR LINE IS OPEN
ALL RIGHT YEAH HI MY NAME TO WIN
HEIDI COOPER. FROM ONE PAIR
STATE AND I THINK THAT A LOT OF
THANK YOU VERY MUCH NEXT CALLER
PLEASE FILL THAT THE TALKS COLOR
PLEASE GET YOUR NAME AND I WAS
NINETY YOUR LINE IS OPEN. GOOD
AFTERNOON CHAIRWOMAN THEN
COMMITTEE ON ALL THAT AND I LIVE
IN ALAMEDA AND I AM HERE
SUPPORTING SB SEVEN SEVENTY
THANK YOU THANK YOU VERY MUCH
NEXT TIME ONE SEVENTY SIX.
REPRESENTING THE HELP WILL WORK
GROUP AND ANOTHER COUNTY WE RISE
YES RECORDED HE SAID. THANK YOU
. I ONE FIFTY YOUR LINE IS OPEN
. BY ONE FIFTY YOUR LINE IS OPEN
. HI MY NAME IS JEFFREY NUMBER
AND ONE EQUITY COMMUNITY LAND
TRUST AND- WE ARE IN SUPPORT OF
SEVEN SEVENTY AND SINGLE PAYER
IN GENERAL THANK YOU VERY MUCH
TAX COLOR PLEASE. BY ONE EIGHTY
ONE. I WON EIGHTY ONE YOUR LINE
IS OPEN. BY TWO TWENTY THREE
YOUR LINE IS OPEN. THANK YOU
NEXT CALLER PLEASE. LINE TO
TWENTY FOR YOUR LINE IS OPEN.
HELLO EVERYONE AND BONDING IS
WITH ELECTRIC ELECTRIC MCCARTY
PARTNERSHIP. AND WE HAVE A LOT
OF COALITION PARTNERS LOOK LIKE
RIVERSIDE UP YOU KNOW ROUND
TABLE THAT SUPPORT SB SIX SEVEN
SEVEN ZERO THANK YOU MUCH. RIGHT
. TO TWENTY EIGHT. YOU HAVE BEEN
IN MADAM CHAIRWOMAN OF. AP
COMMITTEE HEARING MY ONE MINUTE
STATEMENT. MY NAME IS LAURIE
STEPHENS NOPE JUST NAME AND
AFFILIATION MA'AM NAME A
POSITION. ARE YOU FORDER AGAIN
EVEN. LAURIE STEVENS ARE YOU FOR
THE BILL OR AGAINST THE BILL.
FOR THE BILL AND I HAD A ONE
MINUTE THANK YOU VERY MUCH LINE
COLOR NINETY THREE YOUR LINE IS
OPEN. YES HI MY NAME IS DADDY
PHOTO I AM FROM MEDICARE FOR ALL
EVERYWHERE I'M ALSO A LACK IN A
MEMBER COUNTY COMMITTEE MEMBER
OF LOS ANGELES COUNTY DEMOCRATIC
PARTY AND I OPPOSED WITHOUT
AMENDMENT I THANK YOU VERY MUCH
NEXT CALLER PLEASE BY ONE
SEVENTY FIVE YOUR LINE IS OPEN.
HELLO MY NAME IS MAUREEN CRUISE
REGISTERED NURSE FORMERLY OF LA
COUNTY DEPARTMENT OF HEALTH
SERVICES. OKAY THERE ARE HEALTH
CARE FOR US ANGELA AND MEMBER OF
THE S. EIGHT PLUS NINE PLUS
HEALTHCARE JUSTICE AND MAYBE
WRONGLY OFFICES INTO THE L.
THANK YOU NICE COLOR LINE FLIGHT
TWO OH THREE YOUR LINE IS OPEN.
I SO ROBERT AND THE HEALTH
INSURANCE AGENT IN SOUTHERN
CALIFORNIA THIRTY FAMILIES AND
SENIORS AND I STRONGLY OPPOSED
SB SEVEN SEVENTY THANK YOU NICE
COLOR PLEASE. BY ONE NINETY ONE.
AFTER NUMEROUS THROUGH ON BEHALF
THE UAW FIFTY EIGHT HAD AN
IMPORT THANK YOU THANKS CALLER
PLEASE. I. ONE FORTY SIX. HI
GOOD AFTERNOON- WOULD MAKE ME
AND MY NAME IS BRUCE MCLEAN AND
I'M REPRESENTING YOU COUNTY
HEALTH CARE COALITION DV A NORTH
STATE MEDICARE FOR ALL. WE RISE
IN SUPPORT OF SB SEVEN SEVENTY
THANK YOU THANK YOU VERY MUCH
NEXT CALLER PLEASE. ONE TWO OH
NINE. HELLO THIS IS EDDIE KURTZ
WITH BUSINESS LEADERS FOR HEALTH
CARE TRANSFORMATION RIDING IN
STRONG SUPPORT OF SB SEVEN
SEVENTY. THANK YOU NEXT CALLER
PLEASE. I WON FIFTY EIGHT. GOOD
AFTERNOON MADAM CHAIR AND
COMMITTEE MY NAME IS GEORGE YOUR
BREWER AN ASSOCIATE DIRECTOR OF
CALIFORNIA ONE CARE WE STRONGLY
SUPPORT SB SEVEN SEVENTY THANK
YOU THANK YOU NICE COLOR FIVE
ONE FIFTY FIVE. NAMES ARE
PERSICO SAN FRANCISCO GREAT
ANSWERS CALIFORNIA LANCE RETIRED
AMERICANS HEALTHY CALIFORNIA NOW
IN SUPPORT OF SB SEVEN SEVENTY
THANK YOU ZACKS CAR PLEASE. LIKE
TO TWENTY SEVEN. VERY BAKER
HEALTHCARE FOR ALL CALIFORNIA IN
STRONG SUPPORT SEVEN SEVENTY
THANK YOU NEXT CALLER PLEASE. I
. WON TWENTY FOUR. I WANT TWENTY
FOUR YEAR ONE IS OPEN. BY ONE
FIFTY SEVEN YOUR LINE IS OPEN.
AFTERNOON MY NAME IS PAM GROUP
REPRESENTING THE CALIFORNIA
ALLIANCE FOR RETIRED AMERICANS
THE NATIONAL HEALTH CARE. IT'S
ME NATIONAL UNION OF HEALTHCARE
WORKERS IN STRONG SUPPORT SB
SEVEN SEVENTY THANK YOU THANK
YOU THE COLOR PLEASE. BY. ONE
THIRTY ONE. I ONE THIRTY ONE
YOUR LINE IS NOW OPEN. HI GOOD
AFTERNOON MY NAME IS AMANDA OUR
ROADS I'M A RESIDENT IN HAYWARD
CALIFORNIA AND A MOTHER OF TWO I
WRITE SONGS OR AT LEAST SEVEN
SEVENTY THANK YOU THANK YOU NEXT
CALLER PLEASE. WANT. TO
SEVENTEEN. JAMES G. KHAN HEALTH
COLUMNIST AT THE UNIVERSITY OF
CALIFORNIA SAN FRANCISCO IN
STRONG SUPPORT THANK YOU THAT'S
COLOR PLEASE. ALLY. ONE SIXTY
FIVE. AFTERNOON MY NAME IS
BEVERLY AREA ON I'M HERE
REPRESENTING OUR YOU VOTE THE
RISE IN SUPPORT OF SB SEVEN
SEVENTEEN THANK YOU THANK YOU
NICE COLOR PLEASE. I WON NINETY
SIX. SANDY NO MENTAL HEALTH CARE
FOR ALL I RISING VERY STRONG
SUPPORT FOR SENATE SB SEVEN
SEVENTY THANK YOU VERY MUCH NEXT
CALLER PLEASE. LINE. TWO
SIXTEEN. HI ELIZABETH UNDER
HELLO LOS ANGELES- OPPOSED TO
ACT THE SEVEN SEVENTY. THANK YOU
NICE COLOR PLEASE. WHY. ONE
SEVENTY ONE. WOMEN IN COMMITTEE
MINING OF THAT BECAUSE THEN YOU
GOT AND I'M HERE REPRESENTING
AYE EVIL AYE RIGHT IN FLORIDA SB
SEVEN SEVEN ZERO. THANK YOU MISS
CALIFORNIA. MY ONE SIXTY TWO.
GOOD AFTERNOON CHAIR WOMEN OLD
MAN ANTHONY MY NAME IS MARIA
LEVINE AND I'M HERE REPRESENTING
INLAND EMPIRE- THE RICIN BOARD
OF S. B. SEVEN SEVEN ZERO THANK
YOU THANK YOU NICE COLOR PLEASE
. BY. TWO ZERO TWO. HI AND BEING
AVAIL LAST CALIFORNIANS LAWYER
REPRESENTING TRADE SAYS TEN
BROWNLEE OF SEVEN SEVENTY AND
THAT THE LAND IF HEALTHCARE.
THANK YOU. BY TWO OH FOUR. THANK
YOU THANKS CALLER PLEASE. TWO
FOUR HELLO. YOUR PARTIES HE- YOU
SERVING FAMILIES AND SENIORS IN
SACRAMENTO AND ALL OF CALIFORNIA
OPPOSED TO SB SEVEN SEVENTY
THANK YOU NEXT CALLER PLEASE. BY
. ONE EIGHTY ONE. I WON EIGHTY
ONE YOUR LINE IS NOW OPEN. HELLO
CAN YOU HEAR ME WE CERTAINLY
CAN'T GO AHEAD PLEASE. I DO
ANYTHING ELECTED A BOARD MEMBER
OF THE CALIFORNIA DEMOCRATIC
PARTY IN STRONG SUPPORT THANK
YOU. BUT I'M SURE THERE IS NO
WENT OUT TO SIGNAL THAT THEY
WISH TO SPEAK- THANK YOU VERY
MUCH OKAY NOW'S THE TIME WE'RE
GOING TO BRING IT BACK TO THE
DYESS ANY QUESTIONS COMMENTS
SENATOR RAWSON REMAINDER OF OUR
AFTER. THANK YOU- YOU KNOW MADAM
CHAIR JUST TO COMMENT TO AS THE
AUTHOR KNOWS I'VE HAD SERIOUS
CONCERNS ABOUT THESE VERY SINGLE
PAYER PROPOSALS IN THE PAST- I
HAVEN'T QUITE DECIDED WHAT TO
DO. I CONTINUE TO HAVE SOME VERY
SERIOUS CONCERNS ABOUT THE
PROPOSAL'S MY CONCERNS RELATE TO
THE POTENTIAL IMPACT OF THE- A
SINGLE PAYER PROPOSALS ON OUR
MEDICARE SENIORS UNDER MILITARY
RETIREE TRICARE RECIPIENTS
CENTER MILITARY VETERANS IN THE
VA. HEALTH CARE SYSTEM AMONG
OTHERS BUT HAVING SAID THAT AS I
INDICATED TO THE AUTHOR- I HAVE
A GREAT DEAL OF RESPECT FOR HIM
AS AN AUTHOR AND I INTEND TO
VOTE TO. ALLOW HIM TO MOVE
FORWARD WITH THIS BILL AND THE
PROPOSED WORKING GROUP AT THIS
POINT. THANK YOU CENTER VENTURA
. THANK YOU GENERAL I LIKE
ACROSS SOME OF THE SENTIMENTS
BUT- MY QUESTION HERE IS I KNOW
WE'VE YOU'VE BEEN HAVING SOME
CONVERSATIONS WITH THEM
OPPOSITION AROUND SOME FRIENDLY
AMENDMENTS IN THE TIME LINE. YOU
KNOW I CAN I CAN UNDERSTAND THAT
YOU YOU KNOW IT SEEMS LIKE WE'RE
JUST PUSHING IT MORE AND MORE.
BAG I'M WONDERING HOW THOSE
CONVERSATIONS ARE GOING AS A
STATE THAT THING YOU SAID JUNE
WOULD BE THE CURRENT TO DATE ARE
YOU OPEN TO CHANGING THAT DATE
SIR RIGHT NOW RIGHT NOW THE- THE
BILL REQUIRES A REPORT BY JUNE
FIRST. OF NEXT YEAR- WE RECEIVED
A REQUEST TO AMEND THAT MAKE IT
JANUARY FIRST THE PROBLEM WITH
THAT IS THAT'S THE DATE THAT THE
BILL. BECAUSE WE'RE GOING TO
AFFECT THE CONSTITUTION SO THAT
SEEMS POTENTIALLY UNWORKABLE ARE
WE'RE ALWAYS HAPPY TO HAVE
DISCUSSIONS ABOUT. ABOUT YOU
KNOW DETAILS LIKE TIME TABLES-
BUT THAT THAT'S WHERE WE ARE.
RIGHT NOW THERE'S NOTHING
MAGICAL ABOUT JUNE FIRST SO
WE'RE OPEN TO THAT CONVERSATION
. THANK YOU. WOULD YOU BE OPEN
TO A FRIENDLY AMENDMENT TODAY.
I'M NOT NOT TODAY I'D HAVE TO
CONSULT WITH MY- SPONSORS AND
HAVE THOSE CONVERSATIONS BUT YOU
KNOW. YEAH I WE DON'T ACTUALLY A
MAN FROM THE FROM THE DIS BUT
THOSE CONVERSATIONS COULD BE
ONGOING AND I. APPRECIATE YOU
TAKING THE SHOT. OKAY ANYBODY
ELSE WISHING TO SPEAK AT THIS
TIME. OKAY THE- BOB CENTER WILL
HAVE. LOOKING AT ME AND YOU SAW
THAT RIGHT- SENATOR I DO
APPRECIATE YOU. BRINGING THIS
FORWARD- I DID JUST WANT TO ASK
A COUPLE QUESTIONS IN
PARTICULAR- I BELIEVE THAT WE
ARE HEARING THAT THIS AND I JUST
WANT TO CLARIFY THIS IF YOU
WILL- THAT SB SEVEN SEVENTY
COULD DELAY THE PROGRESS ON CAL
CARE UNTIL AS LATE AS TWENTY
TWENTY EIGHT- AND THEN WE
OBVIOUSLY KNOW AS AS- THE
GENERAL THIS IS. STATED EARLIER
THAT IF PEOPLE CAN'T WAIT- SO DO
YOU HAVE ANY COMMENTS IN REGARDS
TO THAT YES SO THAT THE TWENTY
OR TWENTY TWENTY AT ARGUE
RESPECTFULLY THE OPPOSITION IS A
RED HERRING BECAUSE THAT THAT'S
ONE THE BILL SUNSETS. BUT THE
REPORT IS REQUIRED- BEFORE THAT.
NEXT YEAR IN FACT AND SO I A
GOOD TWENTY FOUR DOT BEST
ASSEMBLY WHEN EVERYTHING LEGALLY
SUNSET. ON BUT IN TERMS OF THE
LAST I WANT TO BE CLEAR I'VE
BEEN I'VE CO AUTHORED BERMAN TO
SINGLE PAYER BILLS SINCE I'VE
BEEN LEGISLATURE I'VE BEEN A CO
AUTHOR. OF BOTH OF THE- I'VE
BEEN VERY ON THE RECORD WHERE I
AM ON SAID ABOUT VOTED FOR IT ON
THE FOR THE SENATE I WOULD HAVE
VOTED FOR IT LAST YEAR HOW TO
COME OVER FROM THE- BOOK FROM
THE ASSEMBLY- SO I WOULD NOT DO
ANYTHING THAT I THOUGHT WOULD.
DELAY SINGLE PAYER IT'S
OBVIOUSLY A VERY VERY HARD.
ISSUE IN THOSE BILLS ARE VERY
HARD I HOPE SOMETHING PASSES.
NEXT YEAR I'LL BE SUPPORTING
THAT AND HOPING THAT THAT'LL
HAPPEN- AND WHAT WE'LL SEE HOW
THAT HOW THAT GOES. ON I WANNA
BE VERY CLEAR WHAT ONE THING
THERE'S BEEN SOME SUGGESTION
ACTUALLY EXPLICIT STATEMENT THAT
THAT. THAT THIS REQUIRES. THE
REQUEST FOR A WITH A FORMAL
APPLICATION FOR A WAIVER BEFORE
WE EVEN HAVE A SINGLE PAYER.
BILL PASSED INTO LAW AND- THAT'S
NOT WHAT THE BILL REQUIRES THE
BILL REQUIRES CONSULTATION WITH
THE FEDS. SO THAT WE CAN
STARCRAFT THING WITH THE SCOPE
OF THAT WAIVER WOULD. WOULD BE
AND THAT ACTUALLY FRANKLY WILL
INFORM THE LEGISLATIVE PROCESS.
FOR THE SINGLE PAYER BILL IF
IT'S ABLE TO ADVANCE. BECAUSE
THEN WE KNOW IN ADVANCE WHAT. IT
WOULD. TAKE TO GET THAT WAIVER.
SO I THINK IT'S- TELL TELL
NICELY OKAY. IF PASSED SB SEVEN
SOME WOULD JUST A WERE GROUP TO
HAVE INFORMAL CONVERSATIONS WITH
THE FEDERAL GOVERNMENT ABOUT
WAIVERS TO CAPTURE FEDERAL FUNDS
FOR A SINGLE PAYER SYSTEM. THAT
THAT'S CORRECT AND WHAT I'M ONE
OF THE THINGS I WANT YOU KNOW
THIS IS A- IT'S A TANGIBLE STOP
TO MAKE SURE THAT THE
ADMINISTRATION IS DOING US- AND
I'M NOT CRITICIZING
ADMINISTRATION BUT WE WANT TO
MAKE SURE WE'RE KEEPING US ON
TRACK. AND YOU KNOW THESE
CONVERSATIONS ARE TECHNICALLY
ALREADY HAPPENING CORRECT- BUT I
MEAN I. THEY'RE ALWAYS
CONVERSATIONS I MEAN THIS IS A
MORE STRUCTURED- WAY OF
REQUIRING THAT TO MOVE FORWARD-
I YOU KNOW I KNOW MISTER KALRA
HAS OUR CONVERSATIONS- WITH- YOU
WITH THE US BERMAN HELTON
SERVICES. UNDER ALWAYS
CONVERSATION THIS IS A
STRUCTURED WAY. AND IT'S A STATE
IT'S A LEGISLATURE AND IF THE
GOVERNOR SIGNS OF THE GOVERNOR
GOING ON RECORD. SAYING THAT WE
ARE GOING TO DO THIS WE'RE GONNA
HAVE THESE CONVERSATIONS WERE
GONNA- FIGURE OUT THE SCOPE- AND
THE STRUCTURE UPPER. OF A WAIVER
APPLICATION OKAY AND THEN YOU
KNOW ACCORDING TO HEALTHY
CALIFORNIA FOR ALL- YOU KNOW
WE'RE HEARING THAT INFORMAL
WORKING GROUP WON'T BE ABLE TO
MAKE ANY ACTUAL PROGRESS ON
SINGLE PAYER OR REFORM OF OUR
HEALTHCARE SYSTEM- EAT. WOULD
YOU LIKE TO TOUCH ON THAT. BUT I
DON'T AGREE WITH THAT HI I
RESPECTFULLY I DIED STRONGLY
DISAGREE WITH THAT AND IF YOU
LOOK AT THE COALITION BEHIND
THIS BILL. RIGHT THAT DOES NOT
THIS IS NOT WHAT WE WOULD CALL
FLIMSY COALITION. IS A SOME OF
THE LARGEST. AND MOST
PROGRESSIVE LABOR UNIONS IN THE
STATE OF CALIFORNIA THE
RESPECTED HEALTH ORGANIZATIONS
LIKE HEALTH ACCESS. THEIR
RESPECTED ANTI POVERTY
ORGANIZATIONS LIKE THE WESTERN
CENTER THERE'S A COURAGE
CAMPAIGN- A DIVERSE SET OF LABOR
UNIONS THAT THEY DON'T ALWAYS
AGREE WITH EACH OTHER. AT A COME
TOGETHER ON THIS- AND SO THIS IS
A STRONG AND RESPECTED
COALITION. AND THIS COALITION
WOULD NOT HAVE COME TOGETHER AND
PUT THIS LEVEL OF EFFORT INTO
THIS IF THEY THOUGHT THAT THIS
WORKING. GROUP IN THIS BILL
WOULDN'T DO ANYTHING UNDERSTOOD
AND YOU KNOW I WILL TELL YOU
SENATOR I DO APPRECIATE YOU
KNOW- ANY EFFORT TO KIND OF. FIX
OUR SYSTEM IF YOU WILL- I DO
JUST WANNA HIGHLIGHT THAT I AM A
STRONG SUPPORTER OF CNA'S
CONTINUED EFFORT FOR IT I JUST
SYSTEM HEALTHCARE SYSTEM IN
PARTICULAR. IN CALIFORNIA- I DO
BELIEVE THAT THEY HAVE ALWAYS
BEEN KIND OF ON THE RIGHT SIDE
OF THE ARGUMENT AND- OBVIOUSLY
PUTTING PATIENTS BEFORE PROFITS-
BUT I HAVE. I KHURD FOR. KERR I
I'M JUST ASKING YOU YOU WILL
POTENTIALLY CAN TO CONTINUE
CONVERSATIONS WITH OPPOSITION
CORRECT ABSOLUTELY OKAY AND IF
THE GOAL IS TO POTENTIALLY MAKE
THIS BILL. BETTER FOR ALL
PEOPLE- WITH THE PRIORITY OF.
PATIENTS FIRST YET YEAH AND AS I
AS I SAID THE BEGINNING WE ALL.
SUPPORT OPPOSITION NOT THE
HEALTH PLANS HAVE THEIR OWN
PERSPECTIVE I RESPECTFULLY
DISAGREE WITH THEM BUT IN TERMS
OF- THE CNA AND ITS ALLIES IN
OPPOSITION AND THE- SUPPORTERS
OF THIS BILL WE ALL WANT TO GET
THE SAME PLACE. AS IT DESCRIBED
IN MY OPENING ITSELF. HOPE I
TEMPORARY FAMILY FEUD THAT I
HOPE EVERYONE CAN COME BACK
TOGETHER- AND I KNOW AND I'VE
SPOKEN- YOU KNOW SOMEONE RECALL
RIGHT NOW I ARE WE ARE WE HAVE A
GREAT RELATIONSHIP WE'VE SPOKEN.
ABOUT THIS AND WE WANT TO TRY TO
HOPEFULLY HEAL THE RIFT AT SOME
POINT BUT FOR NOW IT'S A- A BIT
OF A DISAGREEMENT BUT IT'S NOT
DISAGREEMENT AS TO THE FINAL
GOAL. IT'S A IT'S A HOW WE GOT
THERE DEFINITELY DEFINITELY AND
I. YOU SIMILAR TO YOURSELF WE
SEEM TO LOVE TO CARRY THE MORE
DIFFICULT BILLS- AND IT REQUIRES
A LOT OF CONVERSATION. AND SO I
WILL RESERVE MY RIGHT ON ON THE
FLOOR- BECAUSE I WOULD LIKE TO
SEE THE FINAL PRODUCT- I WILL BE
SUPPORTING THIS OUT OF COMMITTEE
JUST TO GIVE YOU THE COURTESY TO
CONTINUE TO MOVE IT ON- THROUGH
THE- LEGISLATURE OM I AM HOPING
THAT YOU. YOU KNOW CONTINUE OUR
CONVERSATIONS WITH CNA AND OTHER
STAKEHOLDERS- BUT I TRUST THAT
YOU KNOW WE WILL HAVE. HOPEFULLY
SOMETHING BETTER THAN WHAT WE
HAVE TODAY SO THANK YOU. THANK
YOU. THANK YOU. EVERYBODY ELSE
OKAY. AND I WILL SAY THAT. I
HAVE NEVER HAD THE OPPORTUNITY
VOTE FOR ONE ON THE ON ON ANY
FLOOR I'VE BEEN ON- THAT'S MY
FIRST TIME SERVING ON HEALTH
COMMITTEE- I ALSO SHARE SOME OF
THE CONCERNS OF THE GENERAL
WITH. WITH MEDICARE AND WITH
VETERANS- GROUPS- BUT CERTAINLY
THE LONGER ANY OF US LOOK AT
HEALTH CARE THE MORE WE REALIZE.
SOMETHING NEEDS BE DONE EVERY
WEEK WEEK WE SEE BILLS TRYING
TO. CAP COSTS AND WE THE TAKE UP
WELCOME ALL CAPITAL ONE PLACING
A POPS UP SOMEWHERE ELSE. WHICH
IS JUST YOU KNOW IT'S NOT THE
WAY WE WANT TO. GO ABOUT
DELIVERING. ON OUR HEALTH CARE
SYSTEM- BUT I DO BELIEVE THIS IS
A WAY TO KEEP MOVING FORWARD AND
HAVING THESE CONVERSATIONS AND
THE ADMINISTRATION'S ALWAYS
INVOLVED AND WAIVER
CONVERSATIONS. SO THEY NEED TO
BE AT THE TABLE AND MAKE SURE
THAT THAT CALIFORNIA'S. IS AT
THAT TABLE TO BE ABLE TO HAVE
THOSE CONVERSATIONS SO. IS THERE
A MOTION ON THIS BILL. WHO
SENATOR MAY. CENTER WOULD YOU
LIKE TO CLOSE I THINK WE'VE
COLLECTIVELY CLOSE THAT I
RESPECTFULLY ASK FOR AN AYE VOTE
THANK YOU TO THE COLLECTIVE
CLOTHES AND I WILL SAY. I DON'T
THINK THE HEALTH PLANS ARE
AGAINST HEALTHY. PEOPLE OKAY.
CENTER PLEASE CALL THE ROLL.
SENATORS EGGMAN AND MOTION. IS
DUE PASSAGE AMENDED AND REFERRED
TO COMMITTEE ON. APPROPRIATIONS
. SENATORS EGGMAN AYE EGGMAN AYE
WHEN. WHEN NO. DALI DALI NO.
GLAZER GONZALEZ. GONZALEZ I. HER
TADO. LIMÓN LIMON I. VENTURA
MENJIVAR AYE. ROTH ROTH AYE.
RUBIO WAHAT. WAHHAB I WIENER
AYE. WIENER AYE. SEVEN ZERO.
SEVEN TWO SEVEN TWO. TWO LOUD
VOICES AND WE WILL LEAVE THAT
ROLE OPEN FOR NOW. AND NOW IT'S
GOING TO TURN OVER CENTER ALONE
IS GOING TO. PRESENT HER OWN
BILL AND SHE'S ALSO PRESENTING.
FOR SENATORS TURN THIS WEEK. AND
EVERYONE'S HERE. FOR THE RECORD
SCOTT LIMA. THANK YOU MADAM
CHAIR AND MEMBERS ON BEHALF OF
SENATOR STERN WHO IS AT HOME
WITH THE NEW BABY I'M PRESENTING
SP SEVEN ONE SEVEN WHICH WILL
REQUIRE A COUNTY BEHAVIORAL
HEALTH DEPARTMENT TO MAINTAIN
CONTACT FOR A HUNDRED EIGHTY
DAYS AND OFFER MENTAL HEALTH
SERVICES TO AN INDIVIDUAL
CHARGED WITH A MISDEMEANOR. WHO
HAS BEEN FOUND INCOMPETENT TO
STAND TRIAL AND HE WAS NOT
RECEIVING COURT DIRECTED
SERVICES CALIFORNIA IS FACING A
BEHAVIORAL HEALTH CRISIS AN
ESTIMATED 63% OF ADULTS WITH
MENTAL ILLNESS RECEIVE NO MENTAL
HEALTH TREATMENT ACCORDING TO
THE SUBSTANCE ABUSE AND MENTAL
HEALTH SERVICES ADMINISTRATION.
AS A RESULT ONE OF ALL
INDIVIDUALS ARE LEFT WITH
MINIMAL SUPPORT IN CALIFORNIA IN
THE CALIFORNIA COURT SYSTEM IF A
JUDGE BELIEVES THAT A DEFENDANT
IS NOT MENTALLY COMPETENT TO
UNDERSTAND COURT PROCEEDINGS
THEY CAN ORDER A SEPARATE
HEARING TO DETERMINE IF THE
DEFENDANT IS INCOMPETENT. IF THE
PERSON IS FOUND TO BE MEN
MENTALLY INCOMPETENT TO STAND
TRIAL FOR A MISDEMEANOR EXISTING
LAW AUTHORIZES THE COURT TO
EITHER GRANT DIVERSION FOR A
PERIOD OF ONE YEAR AND THEN.
REFERRED TO THE DEFENDANT TO
TREATMENT OR DISMISSED THE
CHARGE HOWEVER IN THE CURRENT
SYSTEM THOSE WHO HAVE CASES
DISMISSED ARE NOT REQUIRED BY
LAW TO ENGAGE IN COMMUNITY
MENTAL HEALTH SERVICES OR
PROGRAMMING. THESE INDIVIDUALS
ARE MORE CHALLENGING TO ENGAGE
SINCE ANY TREATMENT IS VOLUNTARY
AND MANY FIND THEMSELVES I'M
INTERESTED IN SERVICES AT THE
TIME OF DISMISSAL. SB SEVEN ONE
SEVEN EXPANDS ON THE EFFORTS TO
KEEP THOSE EXPERIENCING SEVERE
MENTAL CHALLENGES OUT OF OUR
JUSTICE SYSTEM AND IN TREATMENT
THE BILL USES THIS CRITICAL
OPPORTUNITY TO INTERVENE AND
ENSURE THE INCOMPETENT
DEFENDANTS ARE OFFERED MENTAL
HEALTH RESOURCES TO HELP THEM
ACHIEVE WELLNESS. REDUCED RATES
OF RECIDIVISM AND AVOID THE
CYCLE OF INCARCERATION TO
TESTIFY IN SUPPORT OF THE BILL
IS PAUL SIMONS EXECUTIVE
DIRECTOR OF THE DEPRESSION AND
BIPOLAR SUPPORT ALLIANCE. AND
LOOK LEGALLY ANDHRA CLARK KIRBY
THE CHIEF EXECUTIVE OFFICER OF
THE CALIFORNIA COUNCIL OF
COMMUNITY BEHAVIORAL HEALTH
AGENCIES. THANK YOU VERY MUCH OF
THE- GO AHEAD. GOOD AFTERNOON
AGAIN GIPSON. YES I'M PAUL
SIMONS WITH THE- DEPRESSION AND
BIPOLAR SUPPORT ALLIANCE OF
CALIFORNIA. AND THANK YOU FOR
THE OPPORTUNITY TO MEET WITH YOU
THIS AFTERNOON AND TO EXPRESS
OUR SUPPORT FOR SENATOR STERN'S
BILL. ODD DEPRESSION BIPOLAR
SUPPORT ALLIANCE- DVSA WE LOVE
THE ACRONYMS. IS THE LEADING
PEER DIRECTED NATIONAL
ORGANIZATION FOCUSING ON THE TWO
MOST PREVALENT MENTAL HEALTH
CONDITIONS DEPRESSION BIPOLAR
DISORDER. AS WELL AS NUMEROUS
OTHER CONDITIONS THAT ARE CO
OCCURRING WITH THEM. SB SEVEN
SEVENTEEN WOULD REQUIRE COUNTY
BEHAVIORAL HEALTH DEPARTMENT TO
MAIN CONTACT FOR ONE HUNDRED AND
EIGHTY DAYS WITH. AN OFFER
MENTAL HEALTH SERVICES TO AN
INDIVIDUAL CHARGED WITH A
MISDEMEANOR HAS NOT BEEN FOUND-
WHO'S BEEN FOUND INCOMPETENT TO
STAND TRIAL. WE FIND OURSELVES
IN A PARTICULARLY DIFFICULT TIME
FOR THOSE WITH MOOD DISORDERS
AND MENTAL HEALTH CHALLENGES.
MORE AND MORE PEERS THOSE WITH
PERSONAL LIVED EXPERIENCE OF
MENTAL HEALTH CONDITIONS. ARE
BEING MARGINALIZED EVEN
CRIMINALIZED AND END UP IN A
CYCLE. OF FORCE TREATMENT AND
INCARCERATION WITHOUT GETTING
THE HELP THAT THEY NEED TO
RECOVER I PERSONALLY KNOW A
NUMBER OF PEOPLE WHO HAVE BEEN.
RELEASED FROM EITHER CRIMINAL
JUSTICE SYSTEM OR FORCE
TREATMENT HAD BASICALLY DUMPED
ON THE STREETS AND THEY ARE
NEVER CONTACTED AGAIN IN THE END
UP ALL THE WORSE FOR THE-
SUPPOSED TO TREATMENT THAT THEY
GOT. AND A PROGRAM TO ENSURE THE
PEOPLE RECEIVE THE FOLLOW UP
THAT THEY NEED PARTICULARLY WHEN
THEY'RE SO ILL THAT THEY ARE
PRONOUNCED INCOMPETENT TO STAND
TRIAL SEEMS FAIRLY OBVIOUS. HIT
THERE SEEMS TO BE NO SYSTEM
REALLY IN PLACE TO ENSURE THIS
SB SEVEN SEVENTEEN REQUIRING A
HUNDRED EIGHTY DAYS OF CONTACT
IS A GOOD START. TO ENSURE
CONTINUITY OF CARE ALONG WITH
THAT OF COURSE IS HAVING A
SYSTEM OF CARE TO. TAKE CARE OF
THESE PEOPLE WHEN THEY DO IN
FACT GET REFERRED. ANYONE FOUND
INCOMPETENT TO STAND TRIAL
SHOULD ALREADY ALREADY BE
RECEIVING. SUBSTANTIAL MENTAL
HEALTH SERVICES AND HOPEFULLY
THIS BILL WILL DO MORE TO ENSURE
THIS. DVSA CALIFORNIA
WHOLEHEARTEDLY SUPPORTS THIS
BILL AND THANK SENATOR STERN FOR
HIS INITIATIVE THANK YOU THANK
YOU VERY MUCH ACTUALLY UNDER.
CARPET I'LL BE QUICK I'M
TECHNOLOGICAL HERPES A
PSYCHOLOGIST AND CEO OF C. B. H.
I. WE UNDERSTAND THE INDIVIDUALS
FOUND HIGHEST TIANANMEN
MISDEMEANOR CHARGES OFTEN FALL
THROUGH THE CRACKS RECEIVING
LITTLE TO NO MENTAL HEALTH
SUPPORT. THIS LACK OF ASSISTANCE
CAN EXACERBATE THE MENTAL HEALTH
CONDITIONS PUTTING THEM AT RISK
FOR FURTHER CRIMINAL JUSTICE
INVOLVEMENT. AND INCREASE
PERSONAL SUFFERING I SAW THIS
FIRST HAND WHEN I WORKED WITH
THIS POPULATION IN THE STATE
HOSPITAL. IN WISCONSIN I YEARS
AGO AND IT WASN'T HARD TO SEE
THE SAME INDIVIDUAL CYCLE
THROUGH OVER AND OVER AGAIN IT
WAS QUITE SAD. BY REQUIRING
COUNTY BEHAVIORAL HEALTH
DEPARTMENTS TO MAINTAIN CONTACT
WITH THEM INDIVIDUALS FOUR
HUNDRED AND EIGHTY DAYS. SB
SEVENTEEN CAN INCREASE ACCESS
AND SUPPORT TO HELP PREVENT
FURTHER DETERIORATION OF THEIR
MENTAL HEALTH AND REDUCE THE
LIKELIHOOD OF RECIDIVISM. WE
FIRMLY BELIEVE THAT PRIMARY AND
SECONDARY PREVENTION CAN HELP
INDIVIDUALS WHO HAVE CONTACT
WITH THE JUSTICE SYSTEM ACHIEVE
RECOVERY AND BECOME CONTRIBUTING
MEMBERS OF THEIR COMMUNITIES AND
FOR THESE REASONS WE URGE YOUR
SUPPORT THANK YOU. THANK YOU
OTHER SPEAKING IN SUPPORT NOW
JUST NAME AND POSITION. WHAT
SONORA APPROACHING THE MIKE-
OPPOSITION. GOOD AFTERNOON I'M
LISA GARDNER WITH THE COUNTY
BEHAVIORAL HEALTH DIRECTORS
ASSOCIATION WE REPRESENT THE
LEADERS OF THE PUBLIC WE HAVE
ZERO HEALTH SAFETY NET AND-
FIFTY EIGHT COUNTIES AND TWO
CITIES. WE RESPECTFULLY HAVE AN
OPPOSE UNLESS AMENDED POSITION
ON THIS LEGISLATION WE SHARE THE
AUTHOR'S CONCERN FOR A
POPULATION THAT COULD BENEFIT
FROM. VOLUNTARILY ENGAGING IN
TREATMENT AND SERVICES BUT WE
SEE SIGNIFICANT CHALLENGES WITH
IMPLEMENTATION- MANY OF THESE
INDIVIDUALS ARE HOMELESS LACK
CONTACT INFORMATION. PHONES A
PERMANENT ADDRESS SO WE BELIEVE
IT WOULD REQUIRE ADDITIONAL
STAFF PER COUNTY TO CONDUCT VERY
TIME CONSUMING OUT REACH AND
ENGAGEMENT- THIS OUTREACH AND
ENGAGEMENT OUR IS NOT
REIMBURSABLE UNDER MEDICARE HOW.
AND IN ADDITION WE ARE FACING AT
THIS TIME AS AS MANY PEOPLE KNOW
A CATASTROPHIC WORK FORCE
CRISIS. IN ADDITION A PROPORTION
OF THESE INDIVIDUALS WILL BE
PRIVATELY INSURED IN SB SEVEN
SEVENTEEN HAS NO MECHANISM FOR
REIMBURSEMENT FOR PROVIDING
TAXPAYER FUNDED SERVICES. TO A
PRIVATELY INSURED POPULATION WE
THINK A POSITIVE FIRST PLACE TO
START WOULD BE ENSURING THAT
EACH OF THESE INDIVIDUALS ARE
NOTIFIED BY THE COURT OF THEIR
ELIGIBILITY FOR BEHAVIORAL.
TREATMENT SERVICES DEPENDING ON
THEIR INSURANCE PROVIDER AT THE
TIME OF THEIR DISMISSAL FROM THE
COURT SYSTEM THAT COULD BE
FOLLOWED UP WE THINK BY A SECOND
NOTIFICATION- WE LOOK FORWARD TO
CONTINUE DISCUSSIONS WITH THE
AUTHOR ON HOW BEST TO REACH THIS
POPULATION WHICH WE ALSO AGREE
COULD BENEFIT FROM TREATMENT
SERVICES. THANK YOU VERY MUCH
THANK YOU VERY MUCH LET'S BEGIN
OPPOSITION. OKAY LET'S BECAUSE
THE PHONE LINES. MODERATOR. THE
SPEAKING FOREIGN AGAINST NO
JEWISH NAME AND AFFILIATION. YOU
WISH TO SPEAK IN SUPPORT OR
OPPOSITION OF THIS BILL PLUS
FUND IN ZERO. AND ONCE AGAIN FOR
YOUR COMMENTS PLEASE PRESS ONE
THEN ZERO. WE HAVE NO ONE TO
SIGNAL THAT THEY WISH TO SPEAK
THANK YOU VERY MUCH NOW THE
TOTAL BRING IT BACK TO THE
DIASPORA ROTH. THE MANAGER I
CERTAINLY- SUPPORT THE BILL'S
INTENT AND THE AND THE CONCEPT-
THE KEY IS TO HAVE A SYSTEM AS
THE WITNESS INDICATED IN A WORK
FORCE TO- SUPPORT SERVICES AND
TREATMENT AND AS YOU WELL KNOW
WE ALL WELL KNOW MANY COUNTIES
HAVE LIMITED CAPACITY. IN TERMS
OF FACILITIES AND EVEN MORE
SEVERE SHORTAGE OF. SEVERAL
HEALTH WORKERS TO PROVIDE THE
SERVICES AND TREATMENT. SO FROM
MY PERSPECTIVE A PROGRAM WITH NO
MONEY IS NO PROGRAM AT ALL. I'LL
BE VOTING I ON THE BILL BUT
WE'RE GOING TO HAVE TO WORK
THOSE OF US ON THE DYESS AND
THOSE OF HIS UNDER THE DOME
WE'RE GOING TO HAVE TO WORK
AWFULLY HARD TO. INCREASE
FUNDING BOTH FOR- BEHAVIOR
HEALTH INFRASTRUCTURE IN OUR
FIFTY EIGHT COUNTIES AND EVEN
MORE. DILIGENTLY TO INCREASE THE
SUPPLY IN THE PIPELINE OF
BEHAVIOR HEALTH WORKERS. THANK
YOU SENATE RUBIO. THANK YOU
MADAM CHAIR AND I DON'T DISAGREE
WITH THE GENERAL ROTH IRA.
HOWEVER I DO THINK IT'S AN
IMPORTANT STEP TO TAKE- THIS IS
A POPULATION THAT. OTHERWISE ARE
OUT ON THE STREET AND TO ACT AND
WE DON'T HAVE A SOLUTION FOR SO
I YOU KNOW I'M- REALLY
WHOLEHEARTEDLY STRONGLY SUPPORT
THIS ONE FACT THAT YOU KNOW I
REACHED OUT TO THE OFFICE I WANT
TO BE A CO AUTHOR. JUST THAT WE
NEED SOME TYPE OF SOLUTION AND
HAVING THIS BILL IN PLACE AS A
FIRST STEP AND WORKING- ON
EVERYTHING THAT GENERAL OFFICERS
STATE IT IS. THE OTHER IMPORTANT
PART BUT I THINK IT'S IMPORTANT
TO HAVE IN PLACE AND FIGURE THIS
OUT AT THIS IS A POPULATION THAT
CONTINUES TO FALL THROUGH THE
CRACKS AND- WE NEED TO DO
SOMETHING BE PROACTIVE IN TRYING
TO REACH THAT. VULNERABLE
POPULATION SO I ALSO WILL BE
SUPPORTING THE BILL THANK YOU
THANK YOU SIR DEMAND OVER. IN
ANOTHER WORLD- YOU NOT YOU KNOW
TO THE TO THE WORK FORCE ISSUE.
THESE ARE INDIVIDUALS ARE HAVING
APPROXIMATELY FIFTEEN CONTACTS.
WITH COUNTY INDIVIDUALS WITH LAW
ENFORCEMENT WITH THE COURTS
WHERE WHERE WHERE ALSO SHORTING
WORKFORCE THERE'S BUT THAT'S
APPROXIMATELY FIFTEEN TIMES
VERSUS. YOU KNOW INTERACTING
WITH ONE ENTITY PERHAPS AS ONE
TIME. YOU KNOW- ADDRESSING THE
WORK FOR SHORTAGE AND OTHER
ENTITIES I THINK THIS IS A GOOD
WAY TO ADDRESS BOTH WORKFORCE
SHORTAGES TO ALSO ADDRESS THE
NEED TO GET THESE INDIVIDUAL
SERVICES. CONCERTS BECAUSE THEN
ALSO AS THE STATE WE'RE GONNA BE
SPENDING MORE MONEY ON THESE
INDIVIDUALS WITH THEN- GO TO
DEPARTMENT OF- D. SIXTY S. H.
YES. I'M SORRY I'M VERY SUPPORT
OF THIS AND I'M ALSO IN THE
AUTHOR MY- SUPPORT. AS WELL
THANK YOU SO MUCH FOR STEPPING
IN FOR HIM. THANK YOU- I'VE-
IT'S A SURPRISE TO ME THESE
FOLKS DON'T HAVE CONTACT ALREADY
HI YOU THINK THESE ARE SOMEBODY
WHO'S COME HOAXES COMMITTED A
CRIME A MISDEMEANOR. HAS NOT
BEEN FOUND. NOT COMPETENT STAND
TRIAL AND THEN WE JUST SAY GO ON
GO ON AHEAD AND WE WONDER WHY
PEOPLE CYCLE THROUGH AND THROUGH
AND THROUGH- I DO THINK THE- THE
ARGUMENT ABOUT- PRIVATE
INSURANCE HAS MERIT AND I THINK
WE SHOULD BE ABLE TO FIGURE OUT
A WAY. FOR SOMETHING TO BE ABLE
TO SOME BRIDGE TO BE ABLE TO
HAPPEN AND I ALSO WONDER AS IT
COMES ONLINE IF SOME OF THESE
FOLKS WILL BE ELIGIBLE FOR CARE
COURT. I THINK A LOT OF THE
BILLS THAT WE HAVE PASSED AND
ARE WORKING ON PASSING THIS
YEAR- HOPEFULLY WILL WILL WILL
ADDRESS SOME OF THESE THESE
ISSUES I THINK WE ALL ARE TRYING
TO ADDRESS. THE VERY SERIOUS
WEAKNESSES SIT SERIOUS ISSUES WE
SEE ON MULTIPLE LEVELS SO- WOULD
YOU LIKE TO CLOSE. THERE'S BEEN
A MOTION BY SENATOR DOLLY AND
WOULD YOU LIKE TO HAVE THOSE I
RESPECTFULLY ASK FOR AN AYE VOTE
THANK YOU VERY MUCH AND THIS IS
A DO PASS AND REFERRED TO THE
COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE. CALL THE ROLL
. SENATORS EGGMAN BUT EGGMAN I
WENT. WHEN I DALI. DALI I
GLAZERS. GLAZER AYE GONZALEZ.
GONZALEZ I HER TADO. LIMÓN AYE
MON AYE MENJIVAR. IMAGE OF OUR
AYE ROTH. I RUBIO. RUBIO I WILL
HA. HA I. WINNER WINNER I.
ELEVEN ZERO THAT BILL IS OUT
RULES SCHOOLS- LET'S MOVE ON TO
YOUR OWN BILL. LAST BILL BE
HEARING TODAY S. B. FOUR NINETY
SIX. THANK YOU TURN MEMBERS I'D
LIKE TO START OFF BY ACCEPTING
THE AMENDMENTS LISTED IN THE
ANALYSIS. SB FOUR NINE SIX MAKES
NECESSARY CHANGES IN THE LAW TO
ENSURE HEALTH CARE COVERAGE. OF
BIOMARKER TESTING BY THE HEALTH
PLANS HEALTH INSURANCE POLICIES
AND THE MEDIC HELP PROGRAM.
PRECISION MEDICINE IS IMPROVING
PATIENT OUTCOMES BY USING THEIR
OWN GENES OR PROTEINS
BIOMARKERS. TO PREVENT DIAGNOSES
OR TREAT THE DISEASE BIOMARKER
TESTING CAN BE PERFORMED FOR
CANCER INCLUDING PROSTATE
OVARIAN. BREAST AND LUNG CANCER
ALZHEIMER'S DISEASE. RHEUMATOID
ARTHRITIS TYPE TWO DIABETES THE
LIST GOES ON ACCORDING TO LAST
YEAR'S SUBURBAN ELSE'S BIOMARKER
TESTING IS BROADLY COVERED BY
THE CALIFORNIA'S EAT ESSENTIAL
HEALTH PLAN BENEFITS. THEREFORE
THIS BILL WOULD NOT REQUIRE
COVERAGE OF A NEW STATE MANDATE
BENEFIT MANDATE HOWEVER IN
PRACTICE PATIENTS CONTINUE TO
FACE BARRIERS IN ACCESSING THE
TESTING IN TWENTY TWENTY ONE A
SURVEY BY THE AMERICAN SOCIETY.
66% OF ONCOLOGY PROVIDERS
REPORTED THAT INSURANCE COVERAGE
FOR BIOMARKER TESTING IS A
BARRIER TO BIOMARKER TESTING
THIS BILL WILL IMPROVE ACCESS TO
BIOMARKER TESTING TO HELP
PATIENTS TREAT THEIR DISEASE
SLOW DISEASE RECURRENCE OR
PROGRESSION AND LEAD TO A BETTER
QUALITY OF LIFE. WHAT WITH ME
TODAY TO TESTIFY IN SUPPORT OF
THE BILL WE HAVE AUTUMN ADEN
SMITH WITH THE AMERICAN CANCER
SOCIETY AND ALSO GENTS CHASE
WITH THE UNIVERSITY OF
CALIFORNIA OFFICE OF THE
PRESIDENT FOR SUPPORTER PLEASE.
WHERE MEMBERS AUTOMOTIVE SMITH
WITH THE AMERICAN CANCER SOCIETY
CANCER ACTION NETWORK HERE IS A
PROUD CO SPONSOR US IN A BILL
FOR NINETY SIX WILL ENSURE
TIMELY ACCESS TO APPROPRIATE
BIOMARKER TESTING. AND WILL
RESULT IN BETTER HEALTH OUTCOMES
ADVANCE HEALTH EQUITY AND REDUCE
COSTS BY CONNECTING ALL PATIENTS
TO THE MOST EFFECTIVE
TREATMENTS. THIS LANGUAGE HAS
BEEN PASSED AND SEVEN OTHER
STATES INCLUDING ARKANSAS
ARIZONA. ILLINOIS KENTUCKY
LOUISIANA NEW MEXICO AND RHODE
ISLAND WITH MARYLAND IN GEORGIA
AWAITING A SIGNATURE CURRENTLY-
THIS WAS PASSED UNANIMOUSLY BY
THE LEGISLATURE LAST YEAR. AND
WE ASK THAT YOU SUPPORTERS AGAIN
TODAY AS WE WORK WITH THE
ADMINISTRATION TO SOLVE RESOLVE
THOSE ISSUES THANK YOU THANK YOU
VERY MUCH. X. SUPPORTER PLEASE.
CHANGES AT THE UNIVERSITY OF
CALIFORNIA WE ARE PROUD CO
SPONSOR AND ASK FOR YOUR SUPPORT
TODAY THANKS THANK YOU. MADAM
CHAIR MEMBERS OF THE COMMITTEE
BRANDON MARGIE WITH THE
CALIFORNIA MEDICAL ASSOCIATION
IN SUPPORT. MADAM CHAIR JACKIE
HONEST ON BEHALF OF THE ADVANCED
MEDICAL TECHNOLOGY ASSOCIATION
IN SUPPORT. RIGHT SPENCER ABOUT
THE CROHN'S AND COLITIS
FOUNDATION IN SUPPORT. ADAM
KEIGWIN ON BEHALF IN A TERROR
AND SUPPORT AND I HAPPEN TO TAKE
THIS TEST EVERY THREE TO FOUR
MONTHS SO I PERSONALLY ASK FOR
YOUR SUPPORT AS WELL THANKS
THANK YOU. VENTURE MEMBERS PRICE
DOUGHERTY ON BEHALF OF THE
CALIFORNIA ACADEMY OF FAMILY
PHYSICIANS IN SUPPORT THANK YOU
THANK YOU. JENNIFER SIGNER ON
BEHALF OF CITY OF HOPE AND THE
CALIFORNIA LIFE SCIENCES IN
SUPPORT. THANK YOU VERY MUCH.
NOW IT'S TIME FOR OPPOSITION
THIS ISSUE STUFF NEAR NYC COME
ON. WE INTERCHANGE CREDIT THAT I
HAD THANK YOU MADAM CHAIR
SEVENTY WALK INS ON BEHALF OF
THE ASSOCIATION OF CALIFORNIA
LIFE AND HEALTH INSURANCE
COMPANIES WOULD FIRST LIKE TO
THANK THE COMMITTEE. THE
SPONSORS THE SENATOR FOR ALL THE
WORK THAT SHE'S DONE ON AND IT'S
BEEN DONE ON THIS BILL AND WE
HAVE AN OPPOSE UNLESS AMENDED
POSITION THESE MOST RECENT
AMENDMENTS WE ARE TAKING BACK TO
OUR MEMBERS BUT WE ARE. CREDIBLY
THANKFUL FOR THE CHANGES THAT
HAVE BEEN MADE WE UNDERSTAND
THERE MAY BE OTHER AMENDMENTS-
BASED ON THE MINISTRATION WE
HAVE TO KEEP AN OPEN DIALOGUE ON
THOSE AS THE BILL MOVES FORWARD
THANK YOU. THANK YOU VERY MUCH
OTHER SPEAKING IN OPPOSITION-
GOOD AFTERNOON. MADAM CHAIR
MEMBERS OF THE COMMITTEE- RUBBER
BOYKIN WITH CALIFORNIA SO SHE'S
OF HEALTH PLANS. WE HAVE AN
OPPOSE UNLESS AMENDED POSITION
ON THE CURRENT VERSION OF SB
FOUR NINE SIX. HOW ABOUT MARKET
TESTING IS A PROMISING NEW FIELD
AND CERTAINLY USEFUL IN AREAS
FOR WHICH THE BENEFIT IS
SUPPORTED BY MEDICAL LITERATURE.
ITS USE REQUIRES CAREFUL
RECITING CONSIDERATION WHEN
DETERMINING IS A PERMANENT SET.
SORRY APPROPRIATENESS A
NECESSITY. I REGRETTABLY WE ARE
CONCERNED THAT THIS MEASURE AS
CURRENTLY DRAFTED INCLUDES
COVERAGE FOR TESTING. THAT IS
BEYOND THE CURRENT STANDARD OF
CARE- WE UNDERSTAND THE MEMBERS
ARE BEING TAKEN THANK YOU SO
MUCH- TODAY THEY INCLUDE
LANGUAGE THAT WE SEEK. OUR WILL
EVER MEMBERS LOOK IT OVER AFTER
THAT REPORT BACK TO COMMITTEE
AND TO THE- CENTERS OFFICE IF
THERE IS A CHANGE IN OPPOSITION.
I THANK YOU FOR YOUR TIME TODAY
I LOOK FOR TO WORK WITH YOU- AS
A BILL MOVES FORWARD THANK YOU.
MADAM CHAIR MEMBERS JOHN LINGER
ON BEHALF AMERICA'S HEALTH
INSURANCE PLANS WERE LISTED AS
OPPOSED I FORGOT TO UPDATE OUR
LETTER APOLOGIES WE ARE- POSE
LESS AMENDED AS WELL THANK.
THANK YOU VERY MUCH. OKAY SONORA
IS APPROACHING THE MIKE
MODERATOR ONE DO ONE MORE TIME.
THANK YOU MADAM CHAIR FOR THOSE
WHO WISH TO SPEAK IN SUPPORT OR
OPPOSITION UP THIS BILL PLEASE
PRESS ONE. AND ZERO PRESS ONE
AND ZERO. AND WE'RE GOING TO GO
TO LINE. ONE SIXTY THREE. IN THE
PORT THIS IS CHRISTY FOR A ON
BEHALF OF THE CALIFORNIA
CLINICAL LABORATORY ASSOCIATION
AGAIN IN STRONG SUPPORT THANK
YOU THANK YOU. BY TWO FORTY TALE
. THANK YOU MADAM CHAIR MEMBERS.
OFTEN BECAUSE I UP FROM
CALIFORNIA THANK WHAT. THANK YOU
VERY MUCH. BY. TWO FORTY FOUR.
THANK YOU MADAM CHAIR AND
MEMBERS ALEX CALLING ON BEHALF
OF CALIFORNIA CHRONIC CARE
COALITION SUPPORT. THANK YOU.
THERE IS NO ONE ELSE. THANK YOU
VERY MUCH OKAY WE'RE GONNA BACK
TO THE COMMITTEE. HELLO
COMMITTEE. OKAY BUT AT THE
BILL'S BEEN MOVED- CHARLAMAGNE
WOULD YOU LIKE TO CLOSE OUT AND
TO SAY THANK YOU FOR WORKING
WITH THE COMMITTEE- WE
APPRECIATE IT NAY AND- LOOK
FORWARD TO IT GOING FORWARD.
THANK YOU I RESPECT ASPIRIN
ABOUT ALL RIGHT THE MOTION BY
SENATOR WIENER IS DUE PASSED AS
AMENDED. AND RE REFER TO THE
COMMITTEE ON APPROPRIATIONS
SECRETARY PLEASE CALL THE ROLL.
SENATORS EGGMAN HI EGGMAN AYE
WHEN I WHEN I DOLLY. ALI I.
GLAZER GLAZER AYE GONZALEZ. AND
SALAS I FURTADO. LIMÓN
LIMONIIDAE MENJAGA. AND OF OUR
AYE ROTH. ROTH I. RUBIO RUBIO I
WELL HOT. WE'LL HAVE AYE WIENER
. WIENER I LIVE IN ZERO ELEVEN
ZERO THAT BILLS OUT THE ROLES
CLOSED. A SIGNATURE LET'S GO
THROUGH THE ROLE AGAIN STARTING
WITH THE CONSENT CALENDAR.
SENATORS GLAZER GLAZER I THINK.
HER TADO. LIMON LOW MON I THINK
RUBIO. RUBIO AYE WELL HA. HA I.
ELEVEN ZERO THAT BILL THAT THE
CONSENT CALENDAR IS PASSED. NEXT
. SEVEN S. B. SIXTY SEVEN. BUT
SERVICE CENTER CITY SEYARTO
HAVING TO DO WITH CONTROLLED
SUBSTANCE OVERDOSING REPORTING.
DR PLEASE CALL THE ROLL.
SENATORS GLAZER. HI HI. GLAZER
AYE. LIMÓN LIMON I FURTADO.
RUBIO RUBIO I WILL HA HA I. ZERO
SEVEN ZERO THAT BILLS OUT NEXT
TO MOVE TO SENATOR ATKINS S. B.
FOUR EIGHTY SEVEN. SENATORS
GLAZER. HI GLAZER AYE. HER TADO
. LIMÓN THE LOAN I RUBIO. RUBIO
I WILL HOP THE HOBBIT. NINE NINE
TWO TWO NINE TWO TWO THE BILL
GETS OUT CLOSER ROLE. ON THE
RULES AND. THE SEVEN EIGHTY SIX
PRICES ARE PORTANTINO THE CHAIR
VOTING HI SECRETARY PLEASE CALL
THE ROLL. SENATORS WHEN. GLAZER
. HER TADO. LIMÓN LIMON I. RUBIO
RUBIO I WILL HUG. I. THE M. S.
B. EIGHT OH FIVE PORTANTINO THE
BILL'S UP CLOSE TOGETHER BUT I
DON'T AND I KNOW HE DID NOT BUT
WHETHER IT. OKAY. YES AT NINE.
FOR THE LAST TIME. NINE ZERO. ON
THIS ON S. B. SEVEN EIGHTY SIX.
VOTERS. NINE ZERO NINE ZERO AND
THE BILL IS OUT. AND THE RULES
CLOSED. RELATED SITES.
PORTANTINO.
OKAY EVERYBODY LET'S JUST KEEP
BREATHING ROOM TO GET THROUGH
THIS. WE'RE ON IT NUMBER SEVEN
EIGHT OH FIVE WHICH IS ALSO BY
CENTER PORTANTINO TO PASS AS
AMENDED AND REFERRED TO THE
COMMITTEE ON HUMAN SERVICES
CHERVONA. SENATOR FISCAL RULE
SENATORS GLAZER GLAZER AYE HER
TADO LIMÓN MALONE I WAS HOT HOT
HI LEVIN'S LEVIN ZERO A BILL IS
OUT THE RULES CLOSED NOW MOVING
ON TO ISSUE NUMBER EIGHT SB
EIGHT SEVENTY THREE BY BRADFORD-
THE MOTION WAS DUE PASSED
REFERRED TO COMMITTEE ON
APPROPRIATIONS WITH THE CHAIR
VOTING RIGHT SECRETARY PLEASE
OPEN THE ROLE. SENATORS WENT.
DOLLY GLAZER GLAZER NO. HER TADO
LIMON LOW MON I WAHAT. BOB I
WINNER WIENER I. EIGHT ONE EIGHT
ONE THAT'S ENOUGH TO GET THE
BILL OUT AND WILL CLOSE THE ROLE
. NOW WE GO TO WAS VOTE ONLY SB
SIX TWENTY FIVE WHEN SECRETARY
OPEN THE ROLE. SENATORS GLAZER
GLAZER I'D GONZALEZ. HER TADO
LIMÓN. WAHAT. SEVEN ONE THAT
BILL GETS OUT ROLES CLOSED ALL
RIGHT THANK YOU MEMBERS I DON'T
I DON'T HAVE- ONE MILLION CLOSE
OUT ON. WE'RE GONNA OPEN THE
ROLE ONE MORE TIME ON SB. SEVEN
SEVENTY. SECRETARY PLEASE CALL
THE ROLL SENATORS GLAZER. HER
TADO. RUBIO. I HAVE SEVEN TWO
SEVEN TWO IT'S ENOUGH TO GET THE
BILL OUT AND WILL CLOSE THE ROLE
. SENATORS THANK YOU ALL VERY
MUCH THANK YOU. THANK YOU MADAM
CHAIR. THIS MEETING IS ADJOURNED
.