BUSINESS PROFESSIONS AND
ECONOMIC DEVELOPMENT WILL COME
TO ORDER GOOD MORNING YOU KNOW
THE SENATE CONTINUES TO WELCOME
THE PUBLIC IN PERSON AND VIA THE
TELECONFERENCE OF THIS FOR
INDIVIDUALS WISHING TO PROVIDE
PUBLIC COMMENT THE PARTICIPANT
NUMBER IS 877-226-8216 AND THE
ACCESS CODE IS. 621-716-1621.
SEVEN ONE SIX ONE. WE'RE HOLDING
OUR COMMITTEE HEARING IN OUR TEN
TWENTY ONE- STREET LOCATION AS
CALL MEMBERS OF THE COMMITTEE TO
REPORT TO ROOM TWENTY ONE
HUNDRED SO WE CAN ESTABLISH A
QUORUM. WE HAVE THIRTEEN BILLS
ON TODAY'S AGENDA THERE FIVE
MEASURES PROPOSED FOR CONSENT
FILE ITEM NUMBER THREE A. B.
THREE OF SEVEN FILE ITEM NUMBER
SIX AB EIGHT SEVEN EIGHT FILE
ITEM NUMBER NINE AB ELEVEN
THIRTY FILE ITEM NUMBER TWELVE
AB FIFTEEN FIFTY SEVEN AND FILE
ITEM THIRTEEN AB SEVENTEEN
THIRTY ONE WILL TAKE UP BY THE
CONSENT CALENDAR AFTER WE WERE
ABLE TO ESTABLISH A QUORUM. AND
IN THE INTERIM WE WILL MEET AS A
SUB COMMITTEE AND BEGIN THE
AGENDA WITH ITEM NUMBER SEVEN AB
NINE NINE THREE. THE MEMBER
RUBIO CANNABIS TASK FORCE PLEASE
PROCEED WHEN READING. GOOD
MORNING THIS CHEN SENATORS THANK
YOU FOR THAT GIVE ME THE UP TO
BRIDGE THEY BE NINE NINETY. A.
B. NINE NINE THREE SIX TO ADD
THE CIVIL RIGHTS. AND THE
DEPARTMENT OF INDUSTRIAL
RELATIONS TO THE MEMBERSHIP OF
AN EXISTING TASK FORCE ON STATE
AND LOCAL REGULATION OF
COMMERCIAL CANNABIS ACTIVITY THE
GOAL IN DOING SO IS TO ADDRESS
THE REASON RECENT REPORTS ON
LABOR TRAFFICKING. THAT IS
ONGOING WITHIN THE CANNABIS
INDUSTRY THE DEPARTMENT OF
CANNABIS OF CANNELLA OF. THE DCC
OF THE CANNABIS CONTROL HAS THE
POWER TO TAKE ACTION AGAINST
BOTH LICENSEES IN ONLINE SAYS
PERSONS FOR VIOLATIONS OF THE
MEDICAL MEDICINE- AN ADULT USE
CANNABIS REGULATION AND SAFETY
ACT HOWEVER THE DCC ALONE IS NOT
THE APPROPRIATE AGENCY TO
COORDINATE. ENFORCEMENT OF LABOR
TRAFFICKING THE DCC HAS STATED
THE DEPARTMENT OF INVESTOR
RELATIONS IS THE APPROPRIATE
ENTITY TO RESOLVE ISSUES SUCH AS
WAGE THEFT OR WORKPLACE
VIOLATIONS AND AS THIS COMMITTEE
KNOWS THE CIVIL RIGHTS
DEPARTMENT IS BETTER EQUIPPED.
TO TAKE ACTION AGAINST
PERPETRATORS OF THESE VIOLATIONS
BY ADDING THESE TWO STATE
ENTITIES TO THE TOUGH FOR.
PASSPORTS CALIFORNIA CAN BETTER
BE EQUIPPED THROUGH ENHANCED
COMMUNICATION TO DEAL WITH ALL
FORMS OF HUMAN TRAFFICKING
WITHIN THE CANNABIS INDUSTRY.
THIS MEASURE IS OFTEN SPONSORED
HAS NO OPPOSITION AND WE ARE
COMMITTED TO WORKING IN CLOSE
COORDINATION WITH THE RESPECTIVE
DEPARTMENTS. TO ENSURE
SUCCESSFUL IMPLEMENTATION. THANK
YOU MA'AM LET'S NOT TO A- IN
ROOM ONE HUNDRED YOU WOULD LIKE
TO TESTIFY IN SUPPORT OF AB NINE
NINE THREE. SEEING NONE ANY
OPPOSITION WITNESSES TO AB NINE
NINE THREE. LEAD OR OTHERWISE.
SEEING NONE LET'S MOVE TO
WITNESSES WAITING TO TESTIFY VIA
TELECONFERENCE ARVEST MODERATOR
FEW PLEASE PROMPT. ANY
INDIVIDUALS WAITING TO TESTIFY
IN SUPPORT OR OPPOSITION TO AB
NINE NINE THREE WE WILL BEGIN
WITH THEM. LADIES AND GENTLEMEN
IF YOU WISH TO COMMENT ON THIS
LEGISLATION. PLEASE PRESS. ONE
ZERO. MISTER CHAIR NO AS
SIGNALED THAT THEY WISH TO SPEAK
THANK YOU SO IT'S BRING THE
MATTER BACK TO MY COLLEAGUES ON
THE DAIS COLLEAGUES ANY
QUESTIONS OR COMMENTS THE
ORIGINAL YES THANK YOU ASSEMBLY
MEMBER FOR BRINGING THIS
FORWARD. BOB IS A NECESSITY FOR
THIS BECAUSE PEOPLE ARE BEING
ABUSED IN THIS NEWLY DEVELOPED
INDUSTRY. AND AS THE INDUSTRY
DEVELOPS WILL FIND THAT PEOPLE
TAKING ADVANTAGE OF PEOPLE
ESPECIALLY THOSE UNDER SERVED IN
THE SOME OF THESE AREAS IS.
CRITICAL AND I'M SO GLAD THAT
WE'RE GOING TO HAVE THIS
OVERSIGHT TO SEE THAT PEOPLE ARE
TREATED WITH DIGNITY AND HONOR
IN THE FACT THAT THEY'RE WORKING
AND TRYING TO MAKE A LIVING FOR
THEMSELVES AND THEIR FAMILY. AND
I THINK THIS IS A GREAT WAY TO
DO IT AND HOPEFULLY IN
CONJUNCTION WITH LAW ENFORCEMENT
AS WELL SO THEN THESE THINGS
DON'T GO UNANSWERED- DAY AFTER
DAY AND THAT WE HAVE PUNITIVE-
RESULTS AT THE END. THAT WILL
CAUSE THEM TO CHANGE YOUR WAYS
AND LISTEN THAT- WE IN
CALIFORNIA ARE NOT GOING TO
MISTREAT OUR OUR WORKERS SO AT
THE APPROPRIATE TIME I'LL BE
MOVING THE BILL. THANK YOU
SENATOR CIRCULAR WHEN WE GET
THERE CENTER OF OVERLOAD YOU. I
WAS FACING ARDUOUS SAID
EVERYTHING THAT HE TO FACE THANK
YOU FOR MUCH OF THEM MEMBER TO
OKAY. WOULD YOU TO CLOSE THANK
YOU AND I RESPECTFUL ASK FOR AN
AYE VOTE AT THE TIME THANK YOU
VERY MUCH THANK YOU MA'AM. WILL
MOVE BACK TO ITEM NUMBER ONE
ASSEMBLY BILL TWO THREE TWO.
ASSEMBLY MEMBER A YEAR CURRY
PLEASE PROCEED WHEN READY. ALL
RIGHT THANK YOU MR CHAIRMAN
MEMBERS. FIRST I WOULD LIKE TO
THANK THE COMMITTEE STAFF FOR
THE CONTINUE TO WORK WITH OUR
OFFICE I'M HAPPY TO ACCEPT THE
COMMITTEE'S RECOMMENDED
AMENDMENTS. UPON APPROVAL OF THE
BOARD OF BEHAVIORAL SCIENCES.
TODAY PEOPLE PHYSICALLY LOCATED
IN CALIFORNIA MUST BE TREATED BY
A THERAPIST WHO IS LICENSED. BY
THE BOARD OF BEHAVIORAL SCIENCES
WITH NO EXCEPTIONS. HOWEVER WHEN
SOMEONE TRAVELS TO CALIFORNIA
FROM OUT OF STATE OR IS IN THE
PROCESS OF MOVING THEY MAY RELY
ON THE THERAPIST IN THEIR LIFE
THE LICENSED. THERAPIST IN THEIR
HOME STATE. AB TWO THREE TWO
WOULD GRANT A THIRTY DAY
TEMPORARY PRACTICE ALLOWANCE TO
QUALIFYING OUT OF STATE
THERAPISTS SO THEY CAN PROVIDE
THERAPY VIA TELEHEALTH TO THEIR
EXISTING CLIENTS. THIS BILL WILL
HELP CONSUMERS MAINTAIN
CONTINUITY OF MENTAL HEALTH CARE
AND ACCESS TO THERAPISTS DURING
A TIME OF NEED. EVEN IF THEY ARE
TRAVELING OR IN THE PROCESS OF
RELOCATING THIS BILL EMERGES
FROM THE ASSEMBLY WITH THE WITH
NO NO VOTES AND NO OPPOSITION.
AND I'M JOINED BY TWO WITNESSES
TODAY OF STEVEN SATER GRINNED A
EXECUTIVE OFFICER OF THE BOARD
OF BEHAVIORAL SCIENCES AND
RESENT IT HOMES LEGISLATIVE
MANAGER FOR THE BOARD. OF
BEHAVIORAL SCIENCES. GOOD
MORNING PLEASE PROCEED THE
MORNING CARE AND SO THANK YOU
I'M STEVE SO I'M THE EXECUTIVE.
OF THE BOARD BEHAVIORAL SCIENCES
AND THANK YOU FOR YOUR TIME
TODAY TO HEAR US ON THIS BILL.
SEVERAL OTHER STATES HAVE
TEMPORARY PRACTICE ALLOWANCES
FOR OUT OF STATE LICENSEES SO
THAT VISITING OR RELOCATING
CLIENTS CAN OBTAIN MENTAL HEALTH
SERVICES VIA TELEHEALTH FROM
THEIR CURRENT THERAPIST. FOR A
LIMITED TIME PERIOD. THE BOARD
CAREFULLY CONSIDERED THE
FEATURES OF OTHER STATES LAWS
WHEN DRAFTING THIS PROPOSAL. AND
BILL SEVERAL SAFEGUARDS TO
ENSURE THE AMOUNTS WILL NOT BE
ABUSED. IF LIMITS IT LIMITS THE
ALLOWED PRACTICE FOR A PERIOD OF
THIRTY CONSECUTIVE DAYS. IT
REQUIRES THE CLIENT TO BE A
CURRENT CLIENT OF THE THERAPIST.
IT REQUIRES THE THERAPIST TO
INFORM THE CLIENT OF THE LIMITED
TIME FRAME OF THE SERVICES. IT
ALSO REQUIRES THE THERAPIST
INFORMED THE BOARD OF THEIR NAME
LICENSE INFORMATION AND CONTACT
INFORMATION. THE BOARD BELIEVES
THIS PROPOSAL STRIKES A CAREFUL
BALANCE BETWEEN BOTH PUBLIC
PROTECTION AND THE MENTAL HEALTH
CONTINUITY OF CARE OF
INDIVIDUALS WHO ARE TRAVELING TO
THE STATE TEMPORARILY OR MAY BE
RELOCATING TO THE STATE. WE ARE
HERE TODAY TO ANSWER ANY
QUESTIONS. AND WE'D LIKE TO
THANK YOU AND THE STAKEHOLDERS
FOR THEIR PARTICIPATION IN THIS
EFFORT AND THEIR ONGOING
CONTRIBUTIONS. WITH RESPECT WEEK
REQUEST AN AYE VOTE. THANK YOU
SIR NEXT PLEASE. I'M JUST HERE
WITH STEVE TO ANSWER ANY
QUESTIONS YOU MIGHT HAVE THANK
YOU FOR JOINING US. ANY OTHER
SUPPORT WITNESSES HERE IN ROOM
TWENTY ONE HUNDRED WHO WOULD
LIKE TO TESTIFY. SEEING NONE
LET'S MOVE TO ANY OPPOSITION
WITNESSES LIED OR OTHERWISE. ANY
OPPOSITION WITNESSES TO A. B.
TWO THREE TWO. OKAY LET'S MOVE
TO WITNESSES WHEN TEST FIVE IN
THE TELECONFERENCE ORVIS
MODERATOR IF YOU WOULD PLEASE
PROBLEM. SUPPORT OR OPPOSITION
IT WILL TAKE THE TESTIMONY.
THANK YOU MISTER CHAIR FOR THOSE
WHO WISH TO SPEAK IN SUPPORT OR
OPPOSITION PLEASE PRESS ONE THEN
ZERO. AND WE HAVE AT LEAST ONE
PERSON SIGNALED THAT THEY WISH
TO SPEAK JUST A MOMENT. WE WILL
NOW GO TO LINE AND YOUR LINE IS
NOW OPEN. JACKSON WITH
CALIFORNIA HEALTH ADVOCATES
REPRESENTING CALIFORNIA'S ALMOST
FIFTEEN HUNDRED COMMUNITY HEALTH
CENTERS IN SUPPORT. SURE WE HAVE
PLENTY PERSON TO A MOMENT. WE'RE
NOW GOING TO GO TO LINE. HELLO
MY NAME IS THE MIND HIGHER WITH
THE CALIFORNIA ASSOCIATION OF
MARRIAGE AND FAMILY THERAPIST IN
SUPPORT OF AB- TWO THIRTY TWO
THANK YOU. NEXT PLEASE. MATURE
WE HAVE NO ONE ELSE. THANK YOU
LET'S BRING THE MATTER BACK TO
MY COLLEAGUES ON THE DAIS
COLLEAGUES QUESTIONS OR COMMENTS
CIRCULAR. THANK YOU ASSEMBLY
MEMBER BUT MY QUESTION IS AS
SOON AS THE RELATIONSHIP BETWEEN
THE THERAPIST AND THE PATIENT IS
CRITICAL NO DOUBT. AS SOON AS
THE PATIENT IT COMES IN
CALIFORNIA NOTIFIES THEIR
THERAPIST- WHAT'S THE PROCESS
TIME FOR THE THERAPIST TO OBTAIN
THIS TEMPORARY LICENSE. AND WHAT
DOES IT TAKE. ALL HAVE MY IS
IT'S ONLY GOOD FOR THIRTY DAYS
AGO BUT IF IT TAKES THREE MONTHS
TO GET IT THAT'S PATIENT ONE
WITHOUT SERVICE CORRECT ME WOULD
NOT TAKE THREE MONTHS WHAT WE
WOULD DO IS- THEY WOULD BE
DIRECTED TO A LINK ON OUR
WEBSITE. ISLAND SO USUALLY THEY
CONTACT US ANYWAYS TO ASK IF
THEY CAN TREAT THE THERAPISTS SO
THEY'LL BE A LINK ON OUR WEBSITE
THAT ALLOWS THEM TO SIGN UP VIA
OUR ONLINE LICENSING SYSTEM. IT
WOULD BE INSTANTANEOUS SO THEY
WERE BASICALLY AND FURTHER
INFORMATION IT WOULD GENERATE AN
AUTHORIZATION TO PRACTICE OF FOR
THIRTY CONSECUTIVE DAYS AND IT
WOULD IT WOULD EXPLAIN TO THEM
WHAT THEY NEEDED TO DO YOU KNOW
WHAT THEY NEEDED TO INFORM THEIR
CLIENTS THE COMMUNICATION
BETWEEN YOU AND- AND- THE-
THERAPIST WOULDN'T TAKE FOREVER.
AND THE LICENSE CAN BE ISSUED
QUICKLY RIGHT AND I WOULD GO
RIGHT ON OUR WEBSITE THEY FILL
OUT A FORM AND IT WOULD IT WOULD
GIVE THEM INSTRUCTIONS ABOUT HOW
LONG THEY CAN PRACTICE. IT IN MY
CONCERN IS THE TRAUMA OF THE
MOVIE IN AND WHATEVER FOR
WHATEVER REASON. COULD BE
DIVORCED COULD BE GOD KNOWS
WHAT. BUT THAT THAT THE
CONTINUITY THAT YOU MENTIONED
ASSEMBLY MEMBER PORTAL MUST NOT
BE BROKEN. YES AND THAT'S MIKE
THE REASON MY QUESTION YES THEY
CAN DO A SAME DAY AND BE READY
TO GO VERY GOOD THANK YOU MISTER
SENATOR OVER. GIL ASSEMBLY THANK
YOU SOME FOR BY FOR A SOLUTION
HELPING CLOSE THE GAP.
BEHAVIORAL HEALTH AND- I'M THE
OF TELE. UNTIL MEDICINE. AB ONE.
I HAVE- IS THE CONVERSATION WITH
EACH URINE'S PLANTS SO WOULD
THIS BE. A SELF PAY TYPE OF
SITUATION WHERE THE CLIENT
THROUGH THE PATIENT WOULD NEED
TO COME UP WITH. THE THEIR OWN-
WAIT TO COVER THE CHARGES OR IS
THIS SOMETHING THAT- THE
INSURANCE COMPANIES HAVE BEEN
MORE AMENABLE TO LOOKING AT IS A
COVERED BENEFIT. MANY HAVE
EXPERT RESIDENT WITNESS I FOUND
GRAYSON INTERESTING QUESTION-
THEY WENT THE- WOULD NEED TO
WORK OUT THE COVERAGE WITH THEIR
INSURANCE- BECAUSE THEY- THEY
DECIDE THAT. YOU BASED ON THEIR
OWN ROLES- OF MANY OTHER STATES
HAVE HAVE THIS TEMPORARY
PRACTICE ALLOWANCE SO- WE COULD
TAKE A LOOK AT HOW ABOUT HOW
ABOUT TO WORK FOR THEM. LET'S
SEE IF THEY KNOW. YES IT IS I
THINK THAT THAT WOULD BE
SOMETHING THAT WOULD HELP
BOLSTER THIS BILL INTO SOMETHING
VERY OUT VERY GREAT. IS TO GIVE
THAT. ABILITY FOR THAT THE
CLIENT OR THE PATIENT TO BE ABLE
TO MAKE THAT DECISION TO COULD
HAVE CONTINUING CARE WITHOUT THE
BURDEN OF EXCESS COST. WHICH
COULD BE A HINDRANCE. OKAY THANK
YOU THANK YOU. SIR EDMUND. HOW
OFTEN DO THIS HAPPEN. WELL WE
CAN KINGS. GET CAUGHT AND-
EMAILS. THERAPISTS THAT ARE AT
IF CAN TRACK AND STAY ACCOUNT
AND ITS- YOU KNOW IT'S WITH
CONTINUITY OF CARE REALLY
FRUSTRATING TO HAVE TO TELL THEM
THAT THERE'S NO WAY YOU HAVE TO
BECOME LICENSED WE DO HAVE. A WE
DO HAVE A MORE- EXPEDITED
LICENSURE PROCESS FOR PEOPLE
THAT HAVE A LICENSE IN ANOTHER
STATE BUT STILL THAT COULD TAKE
MONTHS- A COUPLE MONTHS TO GET
THAT SO IT'S THIS WOULD BE VERY
NICE TO BE ABLE TO SAY HEY.
HERE'S A SOLUTION FOR YOU YOU
CAN DO THIS FOR NOW AND THEN
MAYBE SEEK LICENSURE. SO THANK.
CLICK TO SHARE. YES SIR FOLLOW
UP. OF PATIENT REAL. VERY I AND
- IS IT WITH ONE. TWO FIVE HOW
MANY. TIONS CAN THIS. HAVE BEEN
VERY PARTS OF THE STATE AT ONE
TIME. WE JUST LOVE TO BETTER
THIRTY CAN. CALENDAR DAYS PER
YEAR- BECAUSE SOMETIMES A
THERAPIST MIGHT BE TREATING A
FAMILY IN THE FAMILY MIGHT BE
TRAVELING OR MIGHT BE A COUPLE-
MAYBE THEY HAVE TO INDEPENDENT
CLIENTS THAT HAPPENED JUST BOTH
BE TRAVELING TO CALIFORNIA.
ALLOWABLE WE JUST DON'T WANT IT
WE DON'T WANT TO BE- YOU KNOW
THROUGHOUT THE YEAR TO THE
THIRTY DAY. PERSON IF THEY IF
THEY WANT TO TREAT HELP CLIENTS
IN CALIFORNIA CONTINUOUSLY
THROUGHOUT THE YEAR THAN WE HAVE
A DIFFERENT LICENSURE PROCESS
FOR THEM ACTUALLY SO THERE ISN'T
A SPECIFIC NUMBER BUT- YOU'RE-
TAKING A LOOK AT THAT. TO
MONITOR. IT IS NOT EXCESSIVE.
RIGHT THEY- THEY WOULD- WE'RE
GOING TO HAVE A WE'RE GOING TO
HAVE A- UP A STAFFER THAT'S
LOOKING AT THAT HELP. GOES IN
OUR OFFICE AND THEN AT THE SAME
TIME WE HAVE A SEPARATE PROCESS
FOR LICENSURE IS FOR PEOPLE THAT
WANT TO SEE CLIENTS ARE.
CONTINUALLY READ. THE THANK YOU
AND I'D LIKE TO COMMENT MY
COLLEAGUES. ON THE QUESTION
ABOUT. THE PAYMENT. MAYBE WE
SHOULD SEE SEE THE INSURANCE IN
THAT QUESTIONNAIRE SOME WAY SO
THAT THAT- IS IN A BREAK
FINANCIALLY. IF THE INSURED BY
BLUE CROSS OR SOMEONE- I THINK
THAT'S A GREAT QUESTION. I YOU.
ASSEMBLY MEMBER WOULD YOU LIKE
TO CLOSE. I'M THANKS FOR THE
CALL. THANK FOR BRINGING COUPLE
I UP THE MAYBE WE HAD NOT OF
THAT- WILL WORK ON IT STILL.
THINK VERY MUCH AND RESPECT ASK
YOUR- WE- ACHIEVE THE COR WE
WILL DO THAT I DON'T SOMEONE MY
TO MAKE A MOVE. SENATOR OF
RODRIGUEZ MOVE THE BILL. WILL
VOTE MECHANICAL GREAT THANK YOU
VERY MUCH THANK YOU. I SEE
ASSEMBLY MEMBER HERE SO LET'S
MOVE TO ITEM NUMBER. EIGHT AB.
TEN SEVENTY PHYSICIAN ASSISTANTS
. RECIBEN READIES. A GOOD
MORNING RESEARCHER COUNTY
MEMBERS HAPPY PRIDE- THANKS FOR
ALLOWING ME TO PRESENT. ASSEMBLY
BUILD TEN SEVENTY WHICH HELPS TO
LIFT THE CURRENT SUPERVISION
REQUIREMENTS OF THE RATIOS FOR
PHYSICIAN ASSISTANTS. AND I WANT
TO THANK THE COMMITTEE STAFF FOR
HELPING TO ALLOW US TO IDENTIFY
SOME TECHNICAL MEN'S TO OF WOULD
BE TAKEN APPROPRIATIONS I
RESPECTFULLY ASK RIVAL WHEN
YOU'VE ESTABLISHED A QUORUM.
OKAY WITNESSES IN SUPPORT HERE
IN ROOM TWENTY ONE HUNDRED.
MISTER MEMBERS. CHARLES RIGHT ON
BEHALF TO SIGNIFY HEALTH THE
SPONSORS OF AB TEN SEVENTY.
LICENSED CLINICIANS POSITION
RESPECTIVE OWNERS AND PHYSICIANS
ASSISTANTS CONDUCT MILLIONS OF
THE IN HOME HEALTH EVALUATIONS
ANNUALLY FOR MEDICARE ADVANTAGE
AND MEDICAID MCO RECIPIENTS. IN
ALL FIFTY STATES. THE NUMBER OF
IN HOME EVALUATIONS CALIFORNIA
IS IN THE TENS OF THOUSANDS
ANNUALLY FOR SOME OF THE MOST
VULNERABLE AND ASIAN AMERICANS.
CLINICIANS AND ON AVERAGE
FIFTEEN MINUTES EITHER SITTING
FACE TO FACE. OR VIA VIDEO
CONFERENCING WITH RECIPIENTS TO
REVIEW CURRENT AND PAST HEALTH
CONDITIONS PERFORM DIAGNOSTIC
TESTS WHEN APPROPRIATE. EXAMINE
HOME FOR SAFETY SAFETY HAZARDS
AND ASSESS SOCIAL OF HEALTH.
THEY ALSO PERFORMANCE. MET
REVIEW. IN THE HOME MEANS
CLINTON CAN ADD EVALUATE. ALL
MEDICATIONS ONSITE AND IDENTIFY
ANY INSURANCE CONCERNS THAT CAN
BE REPORTED TO THE BENEFICIARIES
PRIVATE PRIMARY CARE PHYSICIAN
THE PLAN. IN THE INSTANCE OF
SIGNIFIES EXPERIENCE 43% OF
THOSE EVALUATED HAVE SOCIAL RISK
FACTORS THAT MAY AFFECT YOUR
OVERALL HEALTH WHEN THESE
FACTORS ARE IDENTIFIED GIVES
OPPORTUNITY FOR THOSE NEEDS TO
BE MET. BY ARRANGING DIFFERENT
AVAILABLE SOLUTIONS TO BE CLEAR
CLINICIANS DO NOT PROVIDE
TREATMENT NOR ISSUE
PRESCRIPTIONS DURING A VISIT.
BECAUSE THE NINETEEN PANDEMIC
HAS A PROFOUND IMPACT ON
WORKFORCE AVAILABILITY. REMAINS
A CHALLENGE TODAY HIGHLY TRAINED
CREDENTIALED PHYSICIANS
ASSISTANTS ARE WELL QUALIFIED TO
PERFORM THESE IN HOME
EVALUATIONS BUT ARE AT TIMES
CONSTRAINED BY CURRENT LAW. IN
THE ABILITY TO PROVIDE MORE
CALIFORNIANS WITH THEIR
SERVICES. CURRENTLY CALIFORNIA
ALLOWS A POSITION TO OVERSEE A
MAXIMUM OF FOUR PHYSICIAN
ASSISTANTS THAT PROVIDE IN HOME
EVALUATIONS. AB TEN SEVENTY WILL
LIFT THAT LIMITATION INSTEAD
ALLOW EACH POSITION TO DETERMINE
HOW MANY PHYSICIAN ASSISTANCE
THEY MAY SUPERVISE AT ONCE. THIS
CHANGE WILL ALLOW THESE
VALUATIONS BE PROVIDED TO A
GREATER NUMBER OF CALIFORNIANS.
NOTHING IN AB TEN SEVENTY
COMPROMISES OR OTHERWISE IMPEDES
OR DELAYS PATIENT CARE NOR DOES
IT CHANGE CURRENT SCOPE OF
PRACTICE LAWS FOR POSITIONS
ASSISTANTS. FOR THESE REASONS I
RESPECTFULLY ASK YOUR EITHER
INTENSIVE THANK YOU MR CHAIRMAN
. ANY OTHER WITNESSES SINCE HERE
IN THE ROOM TO ONE. SEEING NONE
LET'S MOVE TO ANY WITNESSES IN
OPPOSITION LEAD OR OTHERWISE.
OPPOSITION WITNESSES. MISTER
MEMBERS POPULAR WE HAVE THE
CALIFORNIA STATE ASSOCIATION OF
PSYCHIATRISTS- THE BILL NEEDS
SOME CLARIFICATION C. SEVEN
COMPOSITIONS OPPOSED TO LESS
AMENDED HAD A VERY PRODUCTIVE
CONVERSATION WITH THE SPONSORS
BEFORE TO WORKING WITH THE
AUTHORS. DO YOU BELIEVE THERE'S
A PATH TO GET THERE. YOU WANNA
LET THE MEMBERS KNOW THOUGH
THERE PROBABLY OTHER SPECIALTIES
WITHIN THE HOUSE OF MEDICINE-
WHO WILL EVENTUALLY HAVE THE
SAME CONCERNS VOICED BY CEASE
UPS ARE GONNA HAVE THAT
CONVERSATION WITH THE AUTHOR.
AND THE SPONSORS NOT ASKING YOU
TO HOLD THE BILL TODAY THANK YOU
THANK YOU ANY OTHER OPPOSITION
WITNESSES. SEEING THEM LET'S
MOVE TO THE TELECONFERENCE
ARVEST MODERATOR IF YOU WOULD
PLEASE PROMPT. IN INDIVIDUALS
WAITING ON THE TELECONFERENCE
LINE TO TESTIFY IN SUPPORT OR
OPPOSITION. WE WILL BEGIN WITH
THEM. THANK YOU MISTER CHAIR FOR
THOSE WHO WISH TO SPEAK IN
SUPPORT OR OPPOSITION PLEASE
PRESS ONE CONCERT THIS TIME
PRESS ONE THEN. ZERO HOW WE HAVE
AT LEAST ONE PERSON IS SIGNALED
THAT THEY WISH TO SPEAK JUST A
MOMENT PLACE.
AND WE WILL NOW GO TO. LINE
FOURTEEN YOUR LINE IS NOW OPEN.
THANK YOU MISTER CHAIRMAN AARON
BROWN WITH THE MEDICAL BOARD OF
CALIFORNIA THE BOARD REGRETTED
POSTED TEN SEVENTY. BELIEVE OF
THE LANGUAGE IN THE BILL IS
CURRENTLY VAGUE AND DOES NOT
SUFFICIENTLY DEFINED WHAT IS
INTENDED TO HAPPEN DURING HOME
HELP THE VALUATION. REPORT IS
CONCERNED ALSO THAT ELIMINATING
THE POSITION THE KEY AND RACHEL
CAN BE INAPPROPRIATE TO PREVENT
OR- RESULT AFFECTED IN THOSE
BRITISH. UNDER THE CURRENT BURKE
. FURTHER THE TO. WE HEAR COULD
LEAD TO CONCEIVE AMONGST
CONSUMERS COMMISSION AND- ABOUT
WHAT. ARE OFTEN DURING THE
STATION. PORTER I USED TO WORK
AT PA FOR BY THE CONCERN THE
BILL THAT IF SUPER STILL MESSAGE
. WHEN SUPPOSED TO BE TEN
SEVENTY THANK YOU. THANK YOU
NEXT PLEASE. MISTER CHAIR THERE
ARE NO ONE L. TO SING THEIR WISH
THIS. THAT'S FINALLY BRING THE-
MATTER BACK TO THE DAIS IN MY
BUT BUT WE I TURNED TO THEM- MY
UNDERSTANDING THAT- THIS THE
ASSEMBLYMEMBERS BIRTHDAY TODAY
SO COLLEAGUES WE SHOULD BE KIND
TO HIM. ANY QUESTIONS OR
COMMENTS TAKE. THE REGNANT.
THANK YOU HAPPY PRIDE AND
BIRTHDAY- KID SO IT SOUNDS LIKE
THERE'S SOME OPPOSITION HAS
POPPED UP AND SO I'M ASSUMING
THAT YOU'RE GOING TO CONTINUE TO
BE IN DIALOGUE WITH THEM GOING
FORWARD THAT'S ACTUALLY RIGHT-
AS YOU FOR GETTING CONSISTENT
WITH THAT- TO HELP ADDRESSING
CLARIFY- SPECIFICALLY TO ADDRESS
THE CONCERNS MOVING FORWARD.
OKAY AND I'D LIKE TO MOVE THE
BILL IN THE TIMES PROGRAM THANK
YOU SIR ANY OTHER QUESTIONS
SENATOR OVER AGO ASSEMBLY MEMBER
LOW CONGRATULATIONS. I DO HAVE
SOME CLARIFYING QUESTIONS
HOPEFULLY- TO SO I CAN BETTER
UNDERSTAND THE BILL SO THE RATIO
AND ACCESS TO CARE. IS CURRENTLY
UP FOR PA'S SO DOES THAT MEAN
THAT A POSITION CAN ONLY
SUPERVISE FOR PA'S DURING LIKE
OF THAT ARE WORKING OR IN TERMS
OF TOTAL SO IF THEY HAVE EIGHT
THEY SUPERVISE BUT ONLY FOR
WORKING AT A TIME CAN THEY STILL
SUPERVISORS EIGHT. YOU HELP ME
UNDERSTAND JUST HOW THAT RATIO
WORKS NOW SURE AND IF I MIGHT
THROUGH THE CHAIR ASKED MR RIGHT
ALSO TO JOIN TO ADDITIONAL CLARA
. SPECIFICALLY BUT- WITH THIS IS
A TO ADDRESS THAT IN HOME
EVALUATIONS IN INCREASING
ASPECTS SPECIFICALLY IT DOES
NOT. REMOVE THE SUPERVISION BUT
HELPS TO ALLOW THE INCREASE
ACCESS SPECIFICALLY AND ALSO
MISTER RIGHT ALSO TELL CLEAR
FIGHT AS WELL. YEAH MY
UNDERSTANDING IS THAT YOU CAN
HAVE A POOL OF THE PHYSICIAN'S
ASSISTANTS BUT YOU CAN ONLY
SUPERVISE FOUR AT A TIME AT A
TIME HER PHYSICIAN. OKAY SO- BY
REMOVING. THIS CAP. WHAT IS THE
INTENT THAT THEY SUPERVISE 4% OR
- FIFTEEN. HOW DO YOU SEE THAT.
THE INTENT IS TO ALLOW. THE
POSITIONS THEIR OWN JURISDICTION
TO AND THEIR OWN KNOWLEDGE OF
PHYSICIANS ASSISTANTS TO BE ABLE
TO SUPERVISE MORE THAN FOUR IT
DOES NOT SET THE CAP ON IT. YEAH
SO THE BELIEF IS THAT FORCED TO
LOWER THE NUMBER THE MORE
PHYSICIANS ASSISTANTS THAT ARE
AVAILABLE TO BE OUT IN IN THE
WORLD WORKING AND HELPING-
CLIENTS. THAT IT GIVES GREATER
ACCESS TO HEALTH CARE. SO- SAID
THE SO THERE'S NO CAP TO THIS
WHICH- I THINK THAT'S WOULD BE
MY CONCERN- INCLUDING FORWARD
BECAUSE I THINK THAT YOU KNOW
DIFFERENT POSITIONS HAVE
DIFFERENT CAPACITIES RIGHT- BUT-
GOING FROM REMOVING A CAP BEFORE
WHICH- I UNDERSTAND THERE'S BEEN
SOME WORK HERE DONE ALSO
THROUGH- SENATE BILLS IN TWO
THOUSAND NINETEEN AND WE WANTED
TO KIND OF. MAKE THIS SO THAT WE
HAVE THE HEALTHCARE WORKFORCE.
AB AS OUR POPULATION IS AGING
WANT TO HAVE THE RIGHT TRAINED
WORKFORCE RIGHT. SO ANY COMMENTS
OR ANY CONVERSATIONS AROUND THE
CAP. SURE A VERY WELL RECEIVED
SENATOR WITH RESPECT TO HELP
ENSURE THAT WE DO NOT HAVE
SUBPART TREATMENT WHILE
INCREASING ACCESS THAT THAT'S
CERTAINLY NOT INTENT SO I LOVE
TO PARTNER. WITH YOU AND KEEP
YOU INFORMED ON THE SPECIFIC
DEFINITION ACCORDINGLY TO HELP
CLARIFY AND ADDRESS THOSE
CONCERNS. AND HAS THE OPPOSITION
HAVE THEY MENTIONED ANY TYPE OF
CAPPER ANYTHING THAT THEY'RE
LOOKING FOR OF THEIR- CONTINUE
TO CONVERSATION WITH THEM AND
WILL CONTINUE TO DO SO- WE'VE
BEEN IN CONVERSATION ABOUT THIS
COMMITTEE AS WELL AS
APPROPRIATIONS COMMITTEE TO
FURTHER CLARIFY. TO ADDRESS SOME
OF THESE CONCERNS AND HOPEFULLY
TO REMOVE THAT OPPOSITION RIGHT
ALL RIGHT THANK YOU THANK YOU.
THANK YOU SERDULA YES SIR. HAPPY
BIRTHDAY CONGRATULATIONS- MY
QUESTIONS ARE PRETTY MUCH IN THE
SAME LINE ABOUT THE CAPS. BUT
IT'S WHO BROUGHT THIS FORWARD
THAT WAY WE COULD DO MORE THAN
FOUR. MY GOD WE CAN DO AS MANY
AS TEN OR ME THE DISCUSSION
MUST'VE BEEN. AROUND SOME TIME
ABOUT THE WORKLOAD. BECAUSE
THAT'S GONNA BE THE ISSUE
QUALITY CARE- EXCESSIVE AMOUNT
OF- TIME AND EFFORT THAT IT
TAKES- TO GIVE THE GENERAL
PUBLIC. EXACTLY WHAT THEY'RE
ASKING FOR MORE OF THE BEST. HOW
DO WE MAINTAIN THAT MORE OF THE
BEST WITHOUT. EXCEEDING EIGHTY-
A NO THAT'S THE THREE. IF YOU'RE
GONNA PUT A NUMBER ON IT AND IF
DON'T THEN YOU HAVE TO SAY
POLICE. OF AND THEN YOU'RE
TRYING TO CAPTURE ONE VERSUS THE
OTHER. SO I THAT CAP IDEA MAY
NOT BE THAT BAD. IF YOU'VE
DISCUSSED IT. YES SEVEN THE
CENTER UP AS SOON AS THEY HEARD
WE'VE BEEN IN CONVERSATION WITH
THE SPECIALTIES. SPECIFICALLY TO
HELP ADDRESS SOME OF THESE
CONCERNS AS YOU WILL KNOW THIS-
COMMITTEE AND THE STATE OF
CALIFORNIA HAS BEEN FOCUSED OVER
THE PAST DECADE PLUS. INCREASE
ACCESS BUT ALSO NOT TO DENIGRATE
THE QUALITY OF CARE AS WELL
WE'VE BEEN FOCUSED ON
SPECIFICALLY HELPING THE RURAL
AND UNDERSERVED COMMUNITIES. THE
TO HELP ENSURE THAT WE'RE DOING
SO AN APPROPRIATE WAY SO I THINK
THIS IS A VALID CONVERSATION TO
ADDRESS- AND SOMETHING THEY TAKE
VERY SERIOUSLY AS WELL WE SHOULD
DISCONTINUE BEFORE. OKAY
ASSEMBLY MEMBER WOULD YOU LIKE
TO CLOSE I RESPECTFULLY ASK
RIVAL. OKAY LOOKS LIKE WE HAVE A
QUORUM SO LET'S FIRST ESTABLISH
A QUORUM. ROTH HERE RIGHT HERE
ONE OF OUR GUILT. OF ARGO HERE
ARCHULETA ARCHULETA HERE ASH.
ASHLEY HERE BECKER. HERE FOR
HERE DOT. EGGMAN EGGMAN HERE.
NERO YELLOW HERE CRAVEN WILL
HARM WILK. WE HAVE A CORE. THAT
LED SO CALL THE ROLL ON- NUMBER
A- A. B. TEN SEVEN LOW. MOTIONS
PASS A SENATE. ROTH HI ROTH I
WHEN ALLOWED TO GO. ARCHULETA
ALL RIGHT. I ASHBY I'D BETTER I
BAKER DON EGGMAN EGGMAN GLAZER
NAY LOW. MILLER I'D SMALLWOOD
CUEVAS WELL HI WILK OF RADICAL.
I'LL ARTICLE I. BILL HAS SEVEN
WILL ROLL OVER FOR- AND MEMBERS
LET'S. TO THIS TO THE CAN
CALENDAR. THE FIVE MEASURES PER
FOR CONSENT ITEM THREE A. B. OH
SO FILE ITEM NUMBERS EIGHT EIGHT
EIGHT ITEM NINE A. B. HELLO
THIRTY FILE ITEM NUMBER TWELVE.
AB FIFTEEN FIFTY SEVEN FILE ITEM
NUMBER THIRTEEN A. B. SEVENTEEN
THIRTY ONE IS OUR MOTION WAS IN.
THAT MOVE BY SENATOR ROACH A
LETTER PLEASE CALL THE ROLL ROTH
AYE ROTH AYE WHEN ALL RIGHT AGO
OVER I ACTUALLY AYE FOR OUR JULY
AYE ASHBY. ASHBY I BACK AYE
OCCUR AYE DODD EGGMAN EGGMAN AYE
GLAZER NAY LOW. NEAR THE SMALL
CUEVAS BAHAN WILK. BECAUSE THEY
CARRY IN VOTES WERE HOLD ROLE AT
FULL TO FOR AN MEMBERS NOW
TURNING TO FOR ITEM ONE A B. TWO
THREE TWO. TEMPORARY ALLOWANCE.
A BILL MOVED BY SO OF RHODE.
MOTION TO PAY A THIS
APPROPRIATIONS PLEASED THE ROLL
ROTH AYE ROTH AYE WHEN ABROAD TO
GET. OF ARTICLE I ARCHULETA AYE
ARCHULETA AYE AS- ASHBY I. BAKER
ALL RIGHT BAKER DOT. EGGMAN
EGGMAN IDLY. NAY LOW I NEIL I
SMALL WOULD. BOB WELL. IDM
NUMBER SEVEN A. B. NINE NINE
THREE. RUSSIAN IS TO PASS THE
SENATE APPROPRIATIONS ROTH. ROTH
AYE ROTH I WENT ABROAD TO GIL.
OF ARTICLE AYE ARCHULETA AYE
ARCHULETA AYE ASPREY ASHBY I.
BAKER AYE OCCUR AYE DODD EGGMAN
EGGMAN AYE GLAZER NAY LOW HI
NEIL I SMALL WOULD CRY. BOB WELL
. WHO HAS VOTES WILL ROLE FOR
ABSENT MEMBERS. I SEE- DR WOULD
YEAR'S SO. WOULD ITEM NUMBER A
TWO TWO CLINICAL ACCESS HOW
IMPLEMENT. IN SENATORS- MISTER
CHAIRMAN. AB TWO FORTY TWO HELLO
THE FIVE YEAR SUNSET A PRIOR
BILL OF MY A. B. TWENTY TWENTY
FOUR- A AND SIMILAR- HE'S A PART
BY THEN A MEMBER WEST BROKE IN
TWO THOUSAND FOURTEEN THOUSAND
ELEVEN. THIS BILL UP FOR A
FEDERALLY SORT OF CRITIC ACCESS
TO EMPLOY. AND BE ABLE TO FILL
FOR THEIR PROFESSIONAL SERVICES
CRITICAL ACCESS HOSPITALS ARE
OFTEN REFERRED TO AS FRONTIER
HOSPITALS BECAUSE MOST OF THEM
ARE LOCATED IN REMOTE AND RURAL
AREAS THERE ARE THIRTY FOUR SUCH
HOSPITALS IN THE STATE AND THEY
ALL HAVE TWENTY FIVE OR FEWER
BEDS. ALL THESE HOSPITALS ARE
SMALL THEY PROVIDE CRITICAL
SERVICES AND VALUE TO THEIR
COMMUNITIES WITHOUT THESE
HOSPITALS PEOPLE WITH THE NEED
TO DRIVE MANY MILES BEFORE
REACHING ANOTHER HOSPITAL. WHAT
ARE THE ISSUES I CONTINUE TO
HEAR THROUGHOUT MY DISTRICT IS
HOW DIFFICULT IT IS TO RECRUIT
PHYSICIANS SIX OF THE THIRTY
FOUR HOSPITALS ARE IN MY
DISTRICT HAVING BEEN A
HEALTHCARE PROVIDER MYSELF I
UNDERSTAND THE CONCERNS OF THE
MEDICAL COMMUNITY ABOUT WHETHER
ALLOWING HOSPITALS TO EMPLOY
PHYSICIANS WILL CHANGE THE
NATURE OF THE PHYSICIAN'S
CLINICAL DECISION. BUT THE
OPPORTUNITY FOR THESE HOSPITALS
TO HIGHER POSITIONS HAVE NOT
BEEN PILOTED TWO TIMES WITH NO
NEGATIVE FEEDBACK THE OPPOSITION
IS REQUESTED. A SUNSET REMAIN IN
PLACE. I REMAIN OPEN CAN. PAN
THE RESULTS OF THE REPORT CALLED
FOR IN MY EARLIER LEGISLATION
TODAY. I BELIEVE THAT TWO PILOTS
IS ADEQUATE TO DETERMINE IF
THERE ARE ANY CONCERNS ALLOWING
HOSPITALS TO HIGHER POSITIONS.
IT'S IMPORTANT TO POINT OUT THAT
IT CONTINUED SUNSET CREATES
UNCERTAINTY TO PHYSICIANS WHO
MAY BE SEEKING EMPLOYMENT. AND
WHETHER THE LENGTH OF EMPLOYMENT
COULD END ABRUPTLY BY THE
SUNSET. THIS IS WHAT HAPPENED
WITH THE END OF THE ORIGINAL
PILOT BY MISTAKE JUST BROKE. IT
TWENTY TWO FORTY TWO IS A MODEST
BILL AND PROVIDE A LIMITED
EXEMPTION FOR THOSE HOSPITALS
MOST AT RISK OF CLOSING THEIR
DOORS THEY CANNOT ADDRESS THEIR
PHYSICIAN STAFFING NEEDS. IN
SUPPORT OF THE MEASURE TODAY I
HAVE TED- AND EXPECTED DIRECTOR
OF GOVERNANCE. AND BUSINESS
DEVELOPMENT WITH THE TACO OF
FOREST HEALTH CARE DISTRICT. I
RESPECTFULLY ASK YOUR IBM. THANK
YOU SIR STRAUGHAN. I DON'T I'M.
YOU CAN GO WERE REAL SIR. A
MORNING- CHAIR ROSS AND
COMMITTEE MEMBERS I'M TOTALING
SIX. DIRECTOR OF GOVERNANCE
BUSINESS TO FOR THE TOP OF
HEALTH SYSTEM WHICH INCLUDE. THE
TOP OF HOSPITAL OKAY IN TRUCK
CAL. BOB I AM HERE TO SERVE AB
TWO FOUR TWO. THE TOP FORCED
SYSTEM IS A ACT HOSPITAL BASED
OUT OF TRUCKEE SIR THE NORTH
LAKE TAHOE AREA AND THE PER. OF
AB TWO TWO FOUR TAHOE FOR AND
GET. IN POSITION. DIRECT AND
TODAY WITH EXCEPTIONS. HOW
HOPEFUL INTO THAN THE OF THE
FIRST. IN OUR REGION. IT HAS
PROVEN TO BE A GREAT BENEFIT FOR
OUR ORGANIZATION AS WELL AS FOR
PROVIDERS. THIS IS PARTICULARLY
TRUE IN A RURAL SETTING FOR THE
FOLLOWING REASONS. IT HAS
STOPPED. PHYSICIAN TURNOVER IN
OUR REGION. BENEFICIAL DIRECTOR
HAS PRODUCED EXCEPT SO RETENTION
WE'VE ONLY LOST ONE PROVIDER FOR
REASONS OF MOVING CLOSER TO
FAMILY WHO IS NOW ENGAGED IN
DISCUSSIONS WITH US TO COME BACK
TO TAHOE FOREST. IT IS FAR
EASIER TO RECRUIT ESTABLISHED
PHYSICIANS BY ELIMINATING THE
CHALLENGES OF EXPENSIVE CLINIC
SPACE. BUSINESS OFFICE STAFF
INSURANCE AND REGULATORY
COMPLIANCE IT HAS ENABLED TAHOE
FORCED TO RECRUIT YOUNG
PHYSICIANS COMING OUT OF
RESIDENCY AND A FELLOWSHIP BY
PROVISION OF A STRONG EMPLOYMENT
PACKAGE SO THEY MAY PAY DOWN
THEIR STUDENT DEBT. AS WELL AS
ESTABLISH A CAREER IN THE
COMMUNITY. OUR RECRUITMENT
EFFORTS HAVE TAUGHT US THAT
YOUNG PHYSICIANS WANT EMPLOYMENT
AND NOT ESTABLISHMENT OF
STANDALONE- CLINICAL OFFICE
BUSINESS. IT DOES NOT
FINANCIALLY MAKES SENSE FOR
THEM. THIS IS A VALUABLE TOOL
FOR VERY RURAL HOSPITALS TO
RETRAIN AND RETAIN AND RECRUIT
IN REGIONS WHERE THE LOSS OF A
SINGLE PROVIDER CAN BE
DEVASTATING TO THE SURVIVAL OF A
SMALL HOSPITAL. NOT TO MENTION
THE IMPACT ON THE COMMUNITY THAT
IT SERVES. IN ADDITION. I WANT
TO SHARE WITH YOU THAT SHOULD AB
TWENTY TWO FORTY TO FAIL- THIS
WOULD BE A UNIQUE SITUATION
TAHOE FOREST HOSPITAL WAS
ENGAGED IN LITIGATION WITH THE
FEDERAL GOVERNMENT. BOTH WITH
THE IRA. AND THE SOCIAL THE
SECURITY ADMINISTRATION OVER ARE
CONTRACTED SERVICES FOR THE TWO
THOUSAND AND FOURTEEN YEAR. YOU
KNOW I THINK THIS IS COMMONLY
KNOWN PROFESSIONAL SERVICES
AGREEMENT WITH PROVIDERS. THE
FEDERAL AGENCIES ULTIMATELY
DETERMINED THAT PHYSICIANS MUST
BE EMPLOYEES REGARDLESS OF
CALIFORNIA'S LONGSTANDING
CORPORATE PRACTICE OF MEDICINE
LOS. WE ESCAPED BY TECHNICALITY
IS A GOVERNMENT ENTITY- ANY COST
TO THE DISTRICT OTHER THAN THE
LITIGATION HOWEVER THEY DID
FIND. AND ASSURED US THAT THEY
TRUMP. THE OF. CORPORATE
PRACTICE OF MEDICINE IN
CALIFORNIA WE NEED TO BE AWARE
OF THIS NOT PROVIDED ARE
BACKGROUND INFORMATION TO THE
AUTHORED A TO ASSEMBLY MEMBER
WOULD. I'M HAPPY TO ANSWER ANY
QUESTIONS TAHOE FOREST HEALTH
SYSTEMS HERE TODAY FROM SUPPORT
OF AB TWO FOUR TWO. THANK YOU
SIR APPRECIATE YOU COMING ANY
OTHER SUPPORT WITNESSES IN THE
ROOM. PLEASE STEP FORWARD. NAME
POSITION FILIATION GOOD MORNING
MR CHAIRMAN MEMBERS CONNIE
DELGADO ON BEHALF OF THE THIRTY
THREE MEMBERS OF THE DISTRICT
HOSPITAL LEADERSHIP FOREMAN
SUPPORT THANK YOU FOR COMING.
NEXT PLEASE YEAH I THINK YOU
MISTER CHAIR MEMBERS THEIR
BRIDGE ON BEHALF OF THE
ASSOCIATION OF CALIFORNIA
HEALTHCARE DISTRICTS HERE BROAD
SUPPORT THANK YOU. GOOD MORNING
SHERRY OF THE COMMITTEE
PARTICULAR HERE WITH THE
HOSPITALS THIS IN SUPPORT YOU
THANK YOU ANY OTHER SUPPORT
WITNESSES HERE IN THE ROOM. WE
STEP FORWARD NOW LET'S TURN TO
OPPOSITION WITNESSES LIED FIRST
AND THEN ANY OTHERS. MISTER
CHAIR MEMBERS OF THE COMMITTEE
BRANDON MARCHING WITH THE
CALIFORNIA MEDICAL ASSOCIATION
HERE AND RESPECTFUL OPPOSITION-
ACTUALLY AN OPPOSE UNLESS
AMENDED POSITION ON THE BILL.
I'M AS A CHAIRMAN WOOD-
MENTIONED IN HIS SPEECH A COUPLE
YEARS AGO WE DID WORK WITH HIM
TO FIGURE THIS ISSUE OUT
EVENTUALLY GO NEUTRAL ON THAT
BILL WITH THE- INTENT THAT THE-
REPORT WOULD BE OUT BEFORE- THE
PROGRAM WAS LARGE SUNSET THAT
REPORT IS NOT OUT. OF WHAT WE
HAVE SEEN SOME ROUGH NUMBERS WE
ALSO DON'T KNOW WHAT THAT
ANALYSIS LOOKS LIKE AND THAT
REPORT TO OUR KNOWLEDGE AGAIN
THAT ANALYSIS IS NOT OUTSIDE ONE
POINT THAT OUT VERY CLEARLY.
ALEX IS NOT CONTAIN KNOWLEDGE AN
ANALYSIS OF IF THE- THE
PROVISIONS OF THE BILL OUR IF
THE PILOT PROGRAM HAD ANY IMPACT
ON CLINICAL DECISION MAKING.
BECAUSE OF THAT WE ARE
REQUESTING AN AMENDMENT TO JUST
EXTEND THAT SUNSET FOR FIVE
YEARS AS OPPOSED TO
INDEFINITELY- BUT AGAIN HAPPY TO
ANSWER ANY QUESTIONS.
RESPECTFULLY OPPOSE THANK YOU.
THANK YOU ANY OTHER OPPOSITION
WITNESSES- IN THE HEARING ROOM.
SEEING NONE LET'S MOVE TO THE
TELECONFERENCE MODERATOR IF YOU
WOULD PLEASE PROMPT ANY
INDIVIDUALS WAITING ON THE LINE.
TO TESTIFY EITHER IN SUPPORT OR
OPPOSITION WE WILL TAKE
TESTIMONY FROM THEM. THANK YOU
MISTER CARE FOR ANYONE WHO
WISHES TO SPEAK IN SUPPORT OR
OPPOSITION PLEASE PRESS ONE THE
NEW ZERO AT THIS TIME. THE
SECURE NO ONE IS SIGNALED THAT
THEY WISH TO SPEAK. THAT'S FINE
LET'S BRING THE MATTER BACK NOW
TO THE DAIS AND MY COLLEAGUES
FOR ANY QUESTIONS OR COMMENTS
COLLEAGUES QUESTIONS OR COMMENTS
. OKAY FIRST CENTER EGGMAN OR BY
CENTER OF OUR OWN KILL. THE
THANK YOU BRING THIS FORWARD IN
NUMBERS CONTINUE TO REPRESENT
YOUR DISTRICT. CAN YOU TALK A
LITTLE BIT ABOUT THE OPPOSITION
AND DO WE HAVE ANY I KNOW WE
HEARD FROM A WITNESS THAT
EVERYTHING'S GOING FINE DO WE
HAVE ANY OTHER INDICATORS. OKAY
THIS FAR AS I KNOW THERE'S BEEN
NO PROBLEMS THAT HAVE SURFACED
FROM THIS NO ACT NO ACTUAL DATA
NOW EXPOSES NO. ARTICLES NO NO
REPORTS OF ANY KIND- AND WE HAVE
A TIME TABLE FOR THAT ANALYSIS
TO BE DONE. I'M NOT A SAID DON'T
KNOW EXACTLY WHEN THE HOUSE CAN
BE DONE WE HAVE NOT HAD ANY.
THERE'S NOTHING THAT I'M AWARE
OF- THAT WOULD INDICATE THAT
THIS IS A PROBLEM I SAID I THINK
THE PROBLEM IS THE CONTINUED
SUNSETS- AND AS OUR WITNESS SAID
YOU KNOW IF YOU'RE ACTUALLY
GOING TO BE- COMMITTING TO.
MOVING INTO EIGHT SOMETIMES
PRETTY REMOTE AREA THE PRACTICE
YOU WANT TO KNOW THAT THAT JOBS
GOING TO BE THERE AND NOT
DISAPPEAR AND THREE OR FOUR
YEARS SO- I WOULD POINT OUT THAT
THIS IS NOT YOU THIS IS NOT A
UNIQUE SITUATION AND- THIS THIS
THIS SITUATION HAPPENS IN MANY
OTHER STATES IN THE UNITED
STATES AND SO- I DON'T WITH THE
NUMBERS BUT IT'S A- VERY LARGE
NUMBER OF. CALIFORNIA MAYBE ONE
OF THE- ONLY STATES ARE I THINK
IT IS ONE OF THE ONLY STATES
THAT STILL HAS A OUR CORPORATE
BAR. ASSOCIATED WITH IT AND SO.
IT'S BEEN PILOTED ONCE IT'S NOW
BEEN PILOTED TWICE WE DON'T HAVE
ANY- ANY EVIDENCE THAT THERE IS
A- THERE IS A REPORT COMING.
THAT IS CORRECT BUT HOW MANY
TIMES WE PILOT THIS AND CREATE A
TICKET UNCERTAINTY POSITIONS. I
WOULD THE BILL. THANK YOU CENTER
CENTER OVER. THANK YOU AS A
MEMBER WHERE FOR- ALWAYS CHAPTER
. THE HEALTH CARE SECTOR AND
BRING IN SLOUGH. FOR A CAMINO. I
HAVE. OF THE CREEK ACCESS. IN MY
SENATE TO. I'M SO I WILL BE
SUPPORTING YOUR BILL- AND LOOKED
. TO IT WORKING HAND BY HANDED
HAND WITH SENATE BILL SEVEN
EIGHT FOUR IT WAS ALSO. AUTHORED
BY MY COLLEAGUE HERE BECKER- I
THINK THAT THESE ARE REAL
SOLUTIONS THAT ARE GOING TO HELP
OUR RURAL COMMUNITIES AND I'D
LIKE TO SEE THOSE TWO BILLS WORK
TOGETHER- CONCERT- AND LOOK
FORWARD TO. CONTINUING TO
SUPPORT. MORE WAYS TO SUPPORT
HOSTAGE. THANK YOU. PETER BECKER
. I'LL JUST ADD IN I WAS BEEN
WORKING. THE STREETS. YOUR
EFFORTS AND- THE END OF HER.
FROM MANY HARD THAT. IN ON THIS
LIVE. SET THAT WE'RE- ABOUT- THE
IMPORTANCE OF BEING ABLE TO DO
THIS OUR PREACHER EFFORTS.
JUSTICE WELL I'M JUST CURIOUS
WHERE THE COMPLAIN. BE LODGED IN
THERE WERE COMPLAIN ABOUT THE-
ABOUT INTERFERE WITH THE
PROVISION OF MEDICAL SERVICES
WOULD BE THE MEDICAL STAFF.
ORGANIZATION OF THE HOSPITAL IN
QUESTION WOULD BE THE MEDICAL
BOARD WOULD BE A COMBINATION OF
THOSE I THINK IT WOULD BE A
COMBINATION OF BOTH AND I WOULD
I WOULD HAVE TO GUESS THAT. THE
CALIFORNIA MEDICAL ASSOCIATION
WOULD BECOME AWARE OF THOSE AND
AS FAR AS I'M- BUT WHERE THEY'RE
NOT AWARE OF ANY SO. I THINK
THIS IS JUST STATE CONTINUED.
YOU KNOW WE DON'T LIKE THE
POLICY SERVICES CONTINUE TO
EXTEND IT WITHIN THE SUNSET.
INTERESTING CERTAINLY THE
HOSPITAL SHOULDN'T THE ROOM
INVOLVED SHOULD KNOW THEY SHOULD
KNOW. OKAY COLLEAGUES ANY OTHER
QUESTIONS COMMENTS. YES MA'AM.
CAN YOU JUST REMIND ME WHAT THE
LIMIT IS ON YOUR BILL IT'S RURAL
OR HOW YOU LIMITED IT YEAH THAT
THAT'S IT THESE ARE CRITICAL
ACCESS HOSPITALS SO BY
DEFINITION FEDERAL DEFINITION
THESE ARE TWENTY FIVE BEDS OR
LESS. OKAY THE THIRTY FOR THE
CALIFORNIA. WITH SOMEBODY ELSE
WHO HAS SIX. SEEING NO OTHER
HAND UP ASSEMBLY MEMBER THE
BILL. WELL BEEN MOVED VICE
EGGMAN BUT YOU MAY CALL. THANK
YOU FOR THE- AND- VERY MUCH-
APPRECIATE THE DIALOGUE AND I
RESPECTFULLY ASK. IN THE MOST IS
TO PASS TO THE SENATE HEALTH
COMMITTEE PLEASE CALL THE ROLL.
ROTH HI ROTH I WENT. OVER TO
KILL. OF ARGO AI ARCHULETA.
ARCHULETA I ASHBY ASHBY I. BAKER
AYE BECKER AYE. EGGMAN EGGMAN
AYE GLAZER. NAY LOW HI NEIL ICE
CUEVAS. SMALLER CUEVAS I WILL.
WILK. THE BILL HAS EIGHT WILL
ROLE FOR MEMBERS THANK YOU SIR
THANK YOU VERY MUCH. ASSEMBLY
MEMBER MELISSA EVEN VERY PATIENT
BILLS WITH- I DON'T KNOW FOUR A.
B. C. FOUR TWO OUR AND REAL
ESTATE APPRAISER. ALTHOUGH ON
THE I KNOW RUSSIAN BE IN THE
COMMITTEE ROOM. GIVEN THE MARTIN
. ONE OF THE S. MISTER CHAIR AND
OFFENDER. I WAS I THINK
COMMITTEE FOR DILIGENTLY WORKING
ON A. B. THREE TWO ALSO TO A
QUICK OUT TO LIVE INTO- KOBE FOR
ALSO. ASSISTING WITH THIS BILL
HI THIS BILL WILL MORE D. E. I.
NUMBER SITTING AND EQUITY
EFFORTS HISTORIC HOW MUCH
PROFESSIONS AB THREE FOUR TWO
WILL GIVE CAL MARKET BOARD AND
THE BUREAU OF RELEASE APPRAISER
. THE AUTHORITY TO REQUEST
DEMOCRATS INFORMATION ON RACE
ETHNICITY AND GENDER EXPRESSION
OF ITS LICENSEES. ARE CHANGING
STATURE NECESSARY TO GRANT THESE
LICENSING BODY THE AUTHORITY ASK
FOR ANKLE NUMBER THREE DATA BY
LAW YET NOT MANDATING THIS COLOR
. WE CAN GAIN A BETTER
UNDERSTANDING OF THE STATE OF
DIVERSITY OF THESE PROFESSIONS
AND DEVELOP TARGETED STRATEGIES
TO PROMOTE GREATER INCLUSIVITY
AND EQUITY. THE COLLECTION OF
THIS AGGREGATED DATA WILL BE
PUBLISHED IN THE DEPARTMENT THE
CALIFORNIA. DEPARTMENT OF
CONSUMER AFFAIRS. THIS BILL
CREATES PARITY WITH OTHER FOR
LIFE BOARD WERE ARE COLLECTING
THE HAPPEN FOR. AB FOUR TWO
COULD AND SHE SPONSORED BY. AND
WITH ME I A MASTER'S TERRELL AND
MICHAEL. THANK YOU. GERMAN
PLEASE PRESS. SHARE MEMBER GOT
TERREL ON BEHALF OF THE
INSTITUTE ARCHITECTS AND SO. OF
OVER ELEVEN THOUSAND ARCHITECT
AND DESIGN. IN CALIFORNIA AND
THE OF AB FOUR TWO- AS A LARGE
REPRESENTED OF THE ARE
PROFESSION CALIFORNIA WE HAVE
MADE IT A PRIORITY TO- CHAMPION
A CULTURE OF EQUITY DIVERSITY
AND INCLUSION. AS WE BELIEVE
THAT WHEN OUR MEMBERS CULTURAL
DEMOGRAPHIC AND ETHNOGRAPHIC
MAKEUP MORE CLOSELY MIRROR THE
COMMUNITIES WE SERVE. WE WILL BE
MORE EFFECTIVE AND BETTER SUITED
FOR LONG TERM GROWTH
ADDITIONALLY WHEN DESIGNING
LIVABLE AND SUSTAINABLE
COMMUNITIES IT'S VITAL THAT
THERE ARE CULTURAL COMPETENCIES
OF THE COMMUNITIES THAT WE ARE
SERVING- THE COLLECTION OF THIS
DEMOGRAPHIC INFORMATION IS
ESSENTIAL TO THESE EFFORTS AS IT
WILL ALLOW- FOR RESEARCH TO BE
DONE TO UNDERSTAND ATTRITION AND
RECRUITMENT PATTERNS. FROM THERE
THE INDUSTRY CAN BETTER DEVELOP
STRATEGIES TO ADDRESS ANY
PATTERNS THAT CREATE BARRIERS TO
ENTRY AND FOR THESE REASONS WE
RESPECTFULLY ASK FOR AN AYE
VOTE. THANK YOU THANK YOU NEXT
PLEASE. MISTER TERM MIGHT PULL
OUT THIS- CALIFORNIA GOVERNMENT
RELATIONS COMMITTEE OF THE
APPRAISAL INSTITUTE A NATIONAL
BODY OF REAL ESTATE APPRAISERS.
THIS ISSUE IS OF SPECIAL
IMPORTANCE TO APPRAISERS BECAUSE
OF THE NATIONAL FOCUS. IN THE
LAST FEW YEARS ON APPRAISAL
BIAS- THERE HAVE BEEN. REPORTED
INCIDENTS OF APPRAISALS BEING
AFFECTED BY THE DEMOGRAPHICS OF
THE SELLER OR BUYER AND THAT'S
WRONG- THE APPRAISER IS SUPPOSED
TO COME TO AN OPINION OF VALUE.
AT A MOMENT OF TIME ON THE REAL
ESTATE REGARDLESS OF WHO OWNS IT
OR WHO'S BUYING IT. THIS BILL
DOESN'T DIRECTLY UP- RELATE TO
APPRAISAL BIAS AS A MATTER OF
FACT WE SUPPORTED A BILL.
REQUIRING CONTINUING EDUCATION
ON THE SUBJECT BUT IT DOES SPEAK
TO THE NEED TO GROW THE
PROFESSION AND DIVERSIFY THE
PROFESSION AND THERE'S NO BETTER
WAY TO DO IT THEN FIGURE OUT
WHERE YOU ARE WHEN YOU BEGIN.
AND SO WE STRONGLY SUPPORT THE
BILL AND WOULD ASK FOR AN AYE
VOTE. THANK YOU SIR THERE ANY
OTHER INDIVIDUALS IN ROOM TWENTY
ONE HUNDRED TESTIFYING. IN
SUPPORT OF THE MEASURE NAME
AFFILIATION POSITION PLEASE
MISTER CHAIR MEMBERS ANY COSTA
AB REPRESENTING THE END
INTERNATIONAL INTERIOR DESIGN
ASSOCIATION OF NORTHERN AND
SOUTHERN CALIFORNIA AND STRONG
SUPPORT. THANK YOU. ANYONE ELSE
. LET'S TURN TO WITNESSES IN
OPPOSITION FIRST LEAD WITNESSES
FOLLOWED BY OTHERS ANY WITNESSES
IN OPPOSITION. IN THE HEARING
ROOM WISH TO TESTIFY SEEING NONE
LET'S TURN TO THE TELECONFERENCE
ORVIS. MODERATOR IF YOU WOULD
PLEASE PROP ANY INDIVIDUALS
WISHING TO TESTIFY EITHER IN
SUPPORT OR IN OPPOSITION TO THE
MEASURE. WE WILL TAKE THEIR
TESTIMONY NOW. THANK YOU MISTER
CHAIR ANYONE WISHING TO SPEAK IN
SUPPORT OPPOSITION PLEASE PRESS
ONE THEN. ZERO SURE WE HAVE NO
ONE. THANK YOU SIR BRING IT BACK
TO THE DAIS FIRST THE SENATE
RACE BE FOLLOWED BY CENTER
CHILLA. THE ORIGINAL WOULD QUIT
AND CENTER EGGMAN. THANK YOU
CHAIRMAN ROTH THE- THE SMALL THE
PATTERN FOR BUILDING A HOUSING
IS LONG AND VERY INVOLVED IN
INVOLVES A LOT OF DIFFERENT
ENTITIES AND OF COURSE
ARCHITECTS PLAY A PART IN THAT
AND- I WAS REALLY HAPPY TO HEAR
MR BELOW TALK ABOUT HOW THIS
WOULD. START TO IMPACT SOME OF
THAT INDUSTRY. GIVEN THIS
COUNTRY'S UGLY HISTORY WITH
REDLINING. AND MAKING LENDING
DECISIONS BASED ON PEOPLE'S
ETHNICITY RACE GENDER. I WAS NOT
LONG AGO THAT A WOMAN COULDN'T
EVEN QUALIFY FOR A LOAN IN THIS
STATE WITHOUT PERMISSION FROM A
MAN I THINK THIS IS A GOOD STEP
IN THE RIGHT DIRECTION BE HAPPY
TO MOVE THE BILL. OKAY ROCHELEAU
YES- THANK YOU ASSEMBLY MEMBER
BRING THIS FORWARD I THINK IT'S
A BILL THAT'S A- DESPERATELY
NEEDED NOTED- AND I WILL SUPPORT
THE BILL HUNDRED FIFTY PERCENT.
MY QUESTION IS ONCE YOU GET ALL
THE DATA TOGETHER AND YOU
REALIZE THERE'S AN EQUITIES- NOT
ENOUGH LATINOS- WOMEN OF. BLACKS
I MEAN IF THERE A- THAT YOU'RE
LOOKING FOR NOW WHAT IS THE
ASSOCIATION GOING TO DO ABOUT IT
TO PROMOTE OF PEOPLE COMING INTO
THE INDUSTRY- EDUCATIONALLY AND
HOWEVER. SUPPORT OF WHATEVER
IT'S GOING TO TAKE THE CHANGE
OLD NUMBERS WHAT IS THE. GAME
PLAN IN THE FUTURE. IN
CONVERSATION WITH THE INDUSTRY
IT'S MY UNDERSTANDING THAT THE
FIRST STEP IS TO COLLECT THE
DATA YOU'RE A AND THEN
THEREAFTER. A GENERATION
ENERGIES TO EXPAND THESE TYPES
OF PROFESSIONS TO A BROADER
DEMOGRAPHIC AND- A. B. I
APPRECIATE I'M DECLARING ALSO
HOW YOU'RE GONNA DO IT TO THE-
THERE ARE TO LET AT LEAST WITH
RESPECT A REAL ESTATE APPRAISER
JUST THE NATIONAL CONVERSATION
THERE'S ALL KINDS OF EFFORTS. IN
TERMS OF OUTREACH TO
UNDERREPRESENTED COMMUNITIES TO
TALK TO THEM ABOUT THE
PROFESSION OF REAL ESTATE
APPRAISING SO A LOT IS BEING
DONE ABOUT IT BUT YOU HAVE TO
START WITH THE DATA. I WOULD
ALSO SAY THAT THE PROFESSION
BOTH HERE IN CALIFORNIA AND
NATIONALLY IS LOOKING AT
BARRIERS TO ENTRY WHICH MAY
DISPROPORTIONATELY AFFECT.
UNDERREPRESENTED PEOPLE LIKE
EXPERIENCE REQUIREMENTS AND
THERE IS WORK BEING DONE ON THAT
TOO IN FACT THE- BUREAU OF REAL
ESTATE APPRAISERS HAS
REGULATIONS OUT NOW MODIFYING
THE EXPERIENCE REQUIREMENTS
WHICH COULD ADDRESS THE BARRIER
TO ENTRY AND ALLOW MORE PEOPLE
IN. I WAS HOPING YOU WOULD TELL
ME THEIR SCHOLARSHIPS THERE-
THERE'S GOING TO BE AN OUTREACH
PROGRAM GOING OUT THERE- THERE'S
GOING TO GET PEOPLE WHO LOOKED
LIKE THE PEOPLE IN THE
NEIGHBORHOODS. TO ENHANCE. THE
ABILITIES IN THE AND- YOU KNOW
JUST- TO BRING PEOPLE TOGETHER
AND THAT'S WHAT I'M LOOKING FOR
THE BILL IS A GREAT BILL I'M
SUPPORTING IT I'M JUST TAKING
IT. TO THE NEXT LEVEL- LET ME I
SHOULD COME WITH BETTER PREPARED
IN TERMS OF THOSE PROGRAMS I
WILL GET TO YOU AND YOUR OFFICE
WITH THE LIST OF WHAT THEY'RE
DOING. VERY GOOD THANK YOU.
CENTERS CUEVAS. WELL THIRD ARE
TWO LET A THINK ELSE THE
QUESTION I WANTED TO ASK FOR A
WANTED TO JUST THINK THOUGHT FOR
THIS TO. BILL AND- ONE OF THE
CHALLENGES THAT WE HAVE BEEN
SOUTHERN CALIFORNIA. IS THE
ABILITY FOR BLACK AND BROWN
HOMEOWNERS TO ACTUALLY. HOLD ON
KEEPING UTILIZE THEIR EQUITY- SO
THIS IS THE FIRST STEP. IN
HELPING TO REALLY APPRAISE THEIR
PROPERTY PROPERTIES IN A WAY
THAT DOESN'T- CONTINUE TO
FURTHER THE BIAS AND STARTS
WITH- WITH WITH WITH THE
INDUSTRY AND THE SECTOR- FOR
SURE. BECAUSE MY QUESTION- FOR
YOU IN THIS IN THIS PROCESS IS.
IN A MAYBE THIS IS FOR THE- THE
WITNESSES. THERE HAVE BEEN A
NUMBER OF LAWSUITS HAVE BEEN
FILED- AGAINST APPRAISERS IN
PARTICULAR IN A AND I WONDERED
THAT DOES THIS BILL ANYWAY
ADDRESS SOME OF THE HARM. THAT
HAS ALREADY OCCURRED WITH THOSE
FAMILIES AS COLLECTING THIS DATA
IS THIS A STEP TOWARD HELPING TO
REPAIR SOME OF THE HARM THAT HAS
BEEN DONE TO. BLACK AND BROWN
AND- HOMEOWNERS FOR TO THE THOSE
THAT HAVE BEEN IN REDLINED AREAS
DO YOU- IN WORKING WITH WITH-
THE DIFFERENT ORGANIZATIONS DO
YOU SEE THIS IS THE BEGINNING OF
THAT. PROCESS AND IS THERE A
SENSE THAT THIS IS- THAT THIS
INFORMATION WILL BE UTILIZED IN
A WAY THAT WILL HELP SUPPORT
CLARIFYING WHAT HAS BEEN DONE-
AND HOW DO WE- MAKE THOSE
IMPROVEMENTS TO ENSURE THAT
THOSE. HOMEOWNERS WHO WERE
WRONGLY APPRAISE FOR EXAMPLE-
THAT THEY- SEE SOME RELIEF. I
APPRECIATE THE QUESTION A COMMON
WE'VE HAD CANDID CONVERSATIONS
WITH THE INDUSTRY AND I DO
BELIEVE- BASED ON THOSE
CONVERSATIONS- NOBODY IS
DENYING. THAT DYNAMIC- AND I
THINK THIS IS THE FIRST STEP IN
ADDRESSING THOSE SHORTCOMINGS
HAD BEEN TAKING PLACE FOR A LONG
LONG TIME FOR MARGINALIZED
COMMUNITIES SO MY INTENT WITH
THIS BILL TO TAKE THAT FIRST
STEP AND THE CONTINUED GROW THAT
PROCESS. WELL I THANK YOU SO
MUCH AND I LOOK FORWARD TO
VOTING IN SUPPORT OF THIS BILL
THANK YOU WELL SEEING NO OTHER
HANDS RAISED IS. ASSEMBLY MEMBER
VOLUNTEER WOULD YOU LIKE TO
CLOSE APPRECIATED AND COST ASK
YES VOTE AND WE A MO ON THE BUT
SENATE ASH THE MOST IS TO THE
SENATE SHOULD. PLEASE CALL ROLL
. ROTH AYE ROTH AYE WENT. NEVADA
GAIL HI ABOUT A KILL AYE ARCH.
AYE ARCHULETA AYE ASHLEY. ASHLEY
I BET. ALL RIGHT BAKER AYE DODD
. EGGMAN EGGMAN AYE. GLAZER AYE
. AYE NEIL AYE. CUEVAS I REQUEST
I WILL HA. WILK. BILL HI. WHEN I
WHEN I. THE BILL HAS TEN VOTES
WILL HOLD ROLE OPEN FOR EPSON
MEMBERS. FINCHER ROLE SIR. ITEM
NUMBER FIVE. A. B. FOR SEVENTY
CONTINUING MEDICAL. FOR THE AND
- WONDERFUL THANK YOU MISTER
CHAIRMAN ST. I AM PROUD TO
PRESENT THIS BILL AB FOUR
SEVENTY. WHICH IS A LATINO PER
BILL- AND THE HOPE OF THIS BILL
IS TO EXTEND CO. MAY ACT. I'D
LIKE TO BY AGAIN THE FOR THE ON
THIS AND K. GOT THREE ALLEGED
AIDE WHO IS WORKED ON THE BILL
IS. AB FOR SEVENTY WE ARE FOR
YOU'D OF AND LINGUISTIC IN
CULTURAL ICON. EDUC THROUGH THE
CAN TO MEDICAL COURSES. THE
MODIFIES EXIST LAW THE PROVIDES
ON HEALTH MAY FOR THEIR FOR OUR
THE- REQUIREMENTS. AB FORCE WILL
AND- POSITION. CO BANKER WILL
LONG AND TO ENCOURAGE THE OF NEW
EMPTY CORE AT A AND SO. ADVISOR
GROUP WILL ASSUME. THAT
ACCREDITED CME COURSES OF
FEDERAL AND STATE THRUSH
LANGUAGE REQUIREMENTS AND TO
UPDATE SEEM STANDARD TWENTY THAT
THE MEET THE OF CALIFORNIA'S
CHANGING DEMOGRAPHICS DATA
SUGGESTS THAT THEIR LINGUISTIC
INEQUITIES IN OUR HEALTHCARE
SYSTEM. ACCORDING TO A REPORT BY
UCLA'S LATINO POLICY AND
POLITICS INITIATIVE 44% OF
CALIFORNIANS SPEAK A LANGUAGE
OTHER THAN ENGLISH AT HOME. IT
CARE WORK FOR THERE ONLY SIXTY
POINT ONCE SPEAKING FOR THE PER
ONE HUNDRED THOUSAND SPANISH
SPEAKING PATIENTS. THIS CURRENT
RATIO OF PHYSICIANS TO PATIENTS
THAT SPEAK A LANGUAGE OTHER THAN
ENGLISH DOES NOT MEET THE
EMERGING NEED. LANGUAGE BARRIERS
BETWEEN PHYSICIANS AND PATIENTS
CAN LEAD TO BETTER IS IN
RECEIVING QUALITY AND CULTURALLY
COMPETENT HEALTHCARE. HAS
CALIFORNIA BECOMES MORE OR MORE
OF THE MINORITY MAJORITY STATE
WE NEED TO ENSURE THAT
COMMUNITIES OF COLOR ARE
RECEIVING CULTURALLY COMPETENT
CARE. WITH ME TO PROVIDE
TESTIMONY I HAVE DOCTOR SHAPIRO-
WITH ULTIMATE. DR PLEASE PROCEED
. IT'S AN HONOR AND A PLEASURE
TO BE WITH ALL OF YOU THE
MORNING CARE AND MEMBERS MY NAME
IS DR LASH UP EURO I'M HERE TO
SPEAK IN SUPPORT OF AB FOUR
SEVEN ZERO ON BEHALF AUTOMOBILES
SERVICES. ULTIMATE IS APPROACH
SPA OF THE BILL IN PARTNERSHIP
WITH THE CALIFORNIA MEDICAL
ASSOCIATION. WE THINK THE
ASSEMBLY MEMBER EILEEN OVER
LANCE YEAH AND THE LATINO
LEGISLATIVE CAUCUS FOR THEIR
LEADERSHIP ON THIS IMPORTANT
ISSUE. I SERVICE ARE. PHYSICIAN
I HOPE THIS POSITION THE CHIEF
CAL CRISP. AND MEDICAL AFFAIRS
OFFICE FOR ULTIMATE. ULTIMATE IS
ONE OF THE LARGEST FOR QUALIFY
BECAUSE AND- IN THE COUNTRY.
LEVINE CULTURALLY AND- COMPETENT
CARE FOR MORE THAN FIVE HUNDRED
THOUSAND PATIENTS. I'M MORE THAN
FIFTY SITES FROM. ORANGE COUNTY
YOU COULD IMAGINE THE- OF
LANGUAGES THAT WE TAKE CARE. YOU
GO FROM SPANISH VIETNAMESE
MANDARIN KOREAN. AND WE TRY TO
BE THERE FOR PATIENTS AND THOSE
SERVICES INCLUDE PEDIATRICS.
MAKING SURE THAT THEY HAVE A
FAMILY PRACTITIONER. SOMEONE
THERE ARE TREES AND TELEMEDICINE
DR. DENTAL BE CAREFUL IN ALSO
WERE AMAZING PROMOTE DAUGHTER.
IN ORDER TO COME THINGS THAT WE
DO TO MAKE SURE THAT WE IN COURT
TO COMMUNITY KNOW THE
INFORMATION AND GO FORWARD WITH
THE- HEALTHCARE AND WELLNESS
NEEDS TO THE HALF. WE DO NOT
ONLY PROVIDE HEALTH CARE TO
WORKING FAMILIES BUT ALSO WE ARE
EMPLOYING FROM OUR OWN
COMMUNITY. AND ACTUALLY THAT'S
WAY. THAT WE CONNECT. WITH THE
PATIENTS THAT WE SERVE. WE
EMPLOYEE UP FOUR THOUSAND DVD IN
THE STATE. IF THAT INCLUDES HIGH
. COLLIDERS THAT'S FUNNY NUMBER
. ULTIMATE EXEMPLIFIES WHAT IT
MEANS TO BE TRUSTED COMMUNITY
PARTNERS. WE STARTED IN THE EAST
LA BARRIO FREAKY MAKE IN
NINETEEN SIXTY NINE. AND WE WIN
WIN WIN WIN WILL FORWARD GIVING
ACCESS TO CRITICAL SERVICES TO
COMMUNITIES IN SOUTH. CALIFORNIA
WITH OVER FIFTY YEARS SERVING
THE L. WORD COMMUNITY ADVOCATING
FOR THAT. IMMIGRANT MOVIE ETHNIC
WORKING FAMILIES WE UNDERSTAND
OUR COMMUNITY AS WELL. WE HAVE
BEEN THERE IN THE SIDE ON THE
MOST MOST DIFFICULT TIMES. FROM
BIRTH THE PROBLEMS THAT WE HAVE
SEEN THE PAST THREE YEARS DURING
THE PANDEMIC. ADVOCATING FOR
ACCESS AND RESOURCES. MATT FOR
OUR COMMUNITIES. WE SAW THAT THE
SPIRIT THESE IN OUR COMMUNITY.
WHERE WE WERE THE LAST ONES TO
RECEIVE TESTING. VACCINES IN
ORDER THINGS AROUND OUR
COMMUNITY. AFTER WE LEARNED THAT
THE LATINOS WERE DYING IN
UNPRECEDENTED PEACE DURING THE
PANDEMIC WE LAUNCH OUR CULTURE
COMPETENT. AMAZING CAMPAIGN
CALLED ON DELEGATES US. WHERE WE
BROAD. THE LANGUAGE THE CULTURAL
ASPECT OF IT AND ACTUALLY MERGED
IT INSIDE OF OUR COMMUNITIES. TO
SEE A TRAVEL A LOT SHOW SOMEONE
THAT ACTUALLY IS A VERY WELL
KNOWN. CHARACTER IN THE SPINAL
COMMUNITY AND ALSO BRING THE
SAME EFFORTS WITH OTHER
COMMUNITIES TO MAKE SURE THAT WE
WERE TALKING. AND BEING PRESENT
WITH THEM IN THE LINGUISTICALLY
AND CULTURALLY COMPETENT IN WAYS
. I WISH SUCCESS. WAS USED TO
HAVING A CULTURALLY
LINGUISTICALLY COMPETENT
WORKFORCE FROM THE COMMUNITIES
THAT WE WERE SERVING AND WITH
THE TOOLS THAT WE NEEDED TO
ACTUALLY DEPLOY THAT IN OUR
COMMUNITIES. AB FOUR HUNDRED
SEVENTEEN IS AN IMPORTANT STEP
IN INCREASING ACCESS TO HIGH
QUALITY LINGUISTIC COMPETENCE
HERE. IS COMING NINETEEN
PANDEMIC CAL THESE PARTIES AND
QUIRK-SILVA WHICH COULD BE WORK
CHOI. HOUSING FABRICS EXCISE.
ABOUT ONE IN FIVE CHARACTER
WORKERS LEFT THREE JOBS. DURING
THIS TIME. WE WERE HEARING ABOUT
THE SHORTAGE OF. PHYSICIANS
ACTUALLY SPEAK THE SAME LANGUAGE
THAT OF THE COMMUNITIES THAT
WE'RE SERVING THAT ACTUALLY IS.
TAKING A BIG HIT IN THE PEOPLE
THAT WE'RE SERVING. ADDING TO
THIS SPANISH SPEAKING PHYSICIANS
ARE THE MOST COMMON ONE THE
REPRESENTATIVES IMMEDIATELY OUR
STATE DESPITE THE NEED FOR
CULTURING WITH THE COMPETENT
WORKFORCE. THE SADLY CREATIVELY
PART. WHEN PATIENT CONSTRUCT THE
MEETING. AND THERE'S BY YEARS
THE- WE'RE TALKING ABOUT
DIABETES WE'RE TALKING ABOUT
CANCER RIPPING ABOUT BACKS
THINGS OR THEIR KIDS. THIS
ACTUALLY CREATES MULTIPLE
BARRIERS WERE. HERE IS PUT ON
THE SITE. AND COMMUNICATION
ACTUALLY PLACE AN AMAZING
IMPORTANT ROLE OF THE THINGS
THAT WE'RE DOING. IN THAT
ACTUALLY WHEN WE HAVE THAT THIS
PARTY THAT GAP WE WORSEN THE
QUALITY OF CARE AND INCREASE YOU
KNOW. ONE THING THAT WE WANT TO
AVOID. IS THAT EMERGENCY VISITS.
THAT HERE THAT COULD BE GIVEN AT
THAT MOMENT WE HAVE THE TOOLS TO
COMMUNICATE IN THE COMMENT IN
THE LINGUISTICALLY CONCORDE IN
WAY WITH A PATIENT. FINALLY I
HAVE FIRST HAND EXPERIENCE ON
HOW IMPORTANT IS FOR IT MIGHT
PATIENTS TO SPEAK TO A DOCTOR IN
THEIR OWN LANGUAGE. I CANNOT
STOP COUNTING THE STORIES OF
MOTHERS THAT COME TO ME AN
URGENT CARE. WITH A HORRIBLE
NIGHT BEAVERS. IN THE C. SOMEONE
THAT ACTUALLY UNDERSTAND THEIR
CULTURE THEIR LANGUAGE AND MOST
IMPORTANTLY THEY KNOW THAT IF
THAT DOCTOR EVEN THOUGH THAT HE
SPEAKS SPANISH. B. WILL HAVE ALL
THEIR TOOLS IN THIRTEEN
COUNTRIES. COMMUNICATE WITH THEM
AND MAKE SURE THAT THAT LITTLE
ONE MEDIA. WE WILL BE TAKING
CARE OF WITH FEVERS THE PROBLEM
IN MAKE IT BETTER. YOU CANNOT
IMAGINE THE RELIEF. WHEN THEY
HEAR THE LANGUAGE. THE SMILE.
AND MOST IMPORTANTLY THE WAY
THAT THEY CONNECT AGAIN BACK TO
HEALTH CARE. AND THAT'S
SOMETHING THAT MY YEAH WELL MY
GRANDMOTHER DID NOT HAPPEN. I
NEED TO TRANSLATE FOR HER. I
NEEDED TO BE THERE. THERE WERE
NO TOOLS IN ORDER FOR HER TO
ACTUALLY COMMUNICATE
APPROPRIATELY WITH THE PHYSICIAN
OR THE PHYSICIAN ACTUALLY TO GET
THE TOOLS. IN ORDER ON A BUSY
DAY TO UNDERSTAND WHAT WAS
HAPPENING- WITH THIS BILL. WILL
BE. GIVEN THE TOOLS FOR
PHYSICIANS AND HEALTHCARE
PROVIDERS TO CLOSE THE LANGUAGE
GAP. THIS WILL BE- WILL EXPAND
ACCESS TO QUALITY OF FOREIGN
LANGUAGE COURSES AND WILL BE
OFFERING TO PHYSICIANS. IN
ADDITION TO THEIR PRE EXISTING
THE ENEMIES THAT WE WERE VERY WE
WERE REFERRING TO. AB FOUR
HUNDRED SEVENTY WILL ALLOW
HEALTHCARE PROFESSIONALS TO
BETTER UNDERSTAND AND
COMMUNICATE WITH OUR PATIENTS.
AND IT EFFECTIVELY. INTERACT
WITH THEM. FOR THESE REASONS I
YES WHO WERE EIGHT BOARD ON THIS
IMPORTANT MEASURE THANK YOU VERY
MUCH THANK YOU DR THANKS FOR
VISITING WITH US ANY OTHER
WITNESSES IN SUPPORT. OF THIS
MEASURE IN ROOM PLEASE STEP
FORWARD NAME AFFILIATION
POSITION ONLY PLEASE GEORGE
GEORGE OF THE CALIFORNIA MEDICAL
ASSOCIATION IS PROUD CO SPONSORS
THANK YOU THANK YOU NEXT PLEASE
. THANK YOUR MEMBERS TO MEN
REPRESENT THE CALIFORNIA
RHEUMATOLOGY ALLIANCE IN SUPPORT
THANK YOU ANY OTHER WITNESSES IN
SUPPORT. LET'S TURN TO ANY
WITNESSES IN OPPOSITION LEADER
OTHERWISE ANY OPPOSITION
WITNESSES IN THE ROOM. SEEING
NONE ONCE MOVED WITNESSES
WAITING TO TESTIFY IN THE
TELECONFERENCE SERVICE MODERATE
OR IF YOU WOULD PLEASE PROMPT
ANY INDIVIDUALS WAITING TO
TESTIFY EITHER IN SUPPORT OR
OPPOSITION WE WILL TAKE THEM NOW
. THANK YOU MISTER CHAIR FOR
THOSE WHO WISH TO SPEAK IN
SUPPORT OR OPPOSITION PLEASE
PRESS ONE FOUR ZERO ONE AND ZERO
AT THIS TIME. WE'RE GOING TO
FIRST GO TO LINE EIGHTEEN. YOUR
LINE IS NOW OPEN. THANK YOU NTDS
ARE GOING AFTER AT THE MINUTE
THEY SUPPORT. THANK YOU NEXT
PLEASE LINE. LINE FOURTEEN YOUR
LINES NOW OPEN. ERIN BURNED WITH
THE MEDICAL BOARD OF CALIFORNIA
IN SUPPORT THANK YOU. NEXT. LINE
ELEVEN YOUR LINE IS NOW OPEN.
GOOD AFTERNOON CHAIR AND MEMBERS
DATE OF BIRTH MOBILE MAIL WITH
THE CALIFORNIA HEALTH ADVOCATES
INSTRUCTOR. THANK YOU NEXT
PLEASE. MISTER CHAIR THERE IS NO
ONE ELSE. LET'S NOT BRING TO THE
BACK TO MICHAEL ON THE DAIS
COLOR QUEST WERE. CENTER EGGMAN
IS MOVE THE BILL. ASSEMBLY
MEMBER I WOULD SAY YOU REALLY ON
A ROLL WOULD YOU LIKE TO CLOSE I
WORK ON. MY OPINION NO MORE
NEEDS TO BE SAID IT'S JUST GOING
ALLOW FOLKS BETTER AT TO FOR WHO
UNDERSTAND AND- RESPECT THAT
ABOUT THANK OKAY MOVE BY CENTER
EGGMAN IS TO PASSED LEWIS PER.
PLEASE CALL THE ROLL. ROTH HI
ROB I WENT. WHEN I EL DORADO GIL
OF I. PARTULA I'D. ASK I BAKER.
ALL RIGHT BAKER I DOT. EGGMAN
EGGMAN AYE GLAZER. GLAZER AYE NI
LOW AYE THE LAW AYE SMALLER.
SMALLER CREVICE I WILL HA. WILK
RIGHT LOCI. THE BILL HAS HELLO
VOTES WILL HOLD THE ROLE OF FOR
MEMBERS THANK YOU SO. SURE
BERMAN COME ON DOWN I REMEMBER
ASSEMBLY SIR. FORTY ONE PUBLIC
HEALTH COVERT TESTING DISPENSING
SAY. THANK YOU A CHAIR OFTEN
CALL- IN AB THIRTEEN FORTY ONE A
BUILT IN THAT VULNERABLE TO
RETAIN. TO LIFE SAVING THAT FOR
THE TREATMENT OF COVER NINE.
SEVENTY REPEATEDLY SHOWS ENTIRE
TO LIKE PACKS LOW AMAN REDUCE
THE RISK HOSPITALS OR FROM CO
NINETEEN. THIS FOR HIGH RISK
PATIENTS SENIOR HOWEVER INDICATE
THAT THE THERAPY HAVE BEEN ON
YOU TO PRETTY IN LOW INCOME
COMMUNITIES AND COMMUNITIES OF
COLOR. RECOGNIZING THIS CRITICAL
ACTS GAP LAST YEAR THE FEDERAL
DEPARTMENT OF HEALTH AND HUMAN
SERVICES ISSUED A DECLARATION
ALLOWING FOR PHARMACISTS TO
INDEPENDENTLY ORDER AND
ADMINISTER COVER NINETEENTH
THEIR PUBIC IN COMPLIANCE WITH
FDA AUTHORIZATION. THIS
AUTHORITY IS SET TO EXPIRE AS
THE FEDERAL STOCKPILE OF
MEDICATIONS ESTABLISHED DURING
THE EMERGENCY USE AUTHORIZATION
IS EXPECTED TO BE UP EXHAUSTED
LATER THIS SUMMER. SB THIRTEEN
FORTY ONE WILL EXTEND THE
CURRENT AUTHORITY OF LOCAL
PHARMACISTS TO PROVIDE
THERAPEUTIC TREATMENTS FOR
COVERT NINETEEN WITHOUT A
PRESCRIPTION. UNTIL. TWENTY
TWENTY FIVE RESPECTFULLY ASK FOR
A VOTE. THANK YOU SIR ANY
WITNESS IN SUPPORT HERE IN THE
ROOM. PLEASE STEP FORWARD. THANK
YOU MR CHAIRMAN MEMBERS JOE
SIGNS ON BEHALF OF THE COUNTY
HEALTH EXECUTIVES ASSOCIATION
REPRESENTING LOCAL HEALTH
DEPARTMENTS AND SUPPORT. THE
CONCERNS NEXT PLEASE. GOOD
MORNING- JENNIFER SNYDER ON
BEHALF OF THE CALIFORNIA
COMMUNITY PHARMACY COALITION
VERY PLEASED THAT. THE MEMBER
BERMAN IS WILLING TO OFFER THIS
BILL MOVE THIS FORWARD I'M OUR
PHARMACIES HAVE BEEN AN INTRA
CALL PART OF- PROVIDING NOT JUST
TESTING BUT NOW TREATMENT
THROUGH. FEDERAL WAIVERS AND WE
WANT THAT TO CONTINUE AT LEAST
FOR ANOTHER PERIOD OF TIME INTO
THE BILL SUNSET SO WE REALLY
APPRECIATE HIS AUTHORSHIP THANK
YOU THANK YOU FOR COMING DOWN TO
TESTIFY. ANY OTHER WITNESSES IN
SUPPORT LET'S TURN TO WITNESSES
IN OPPOSITION ANY OPPOSITION
WITNESSES IN THE ROOM. ROOM
TWENTY ONE HUNDRED LEAD OR
OTHERWISE. SEEING NONE LET'S
MOVE TO THE TELECONFERENCE
SERVICE MODERATOR IF YOU WOULD
PLEASE PROMPT ANYONE. WAITING ON
THE TELECONFERENCE OR WAS TO
TESTIFY EITHER IN SUPPORT OR
OPPOSITION WE WILL TAKE THE
TESTIMONY NO. THANK YOU MISTER
CHAIR. FOR THE SWISS WHICH TO
SPEAK IN SUPPORT OR OPPOSITION
PLEASE PRESS ONE THEN ZERO SIX
NINE PRESS ONE THEN. ZERO MISTER
CHAIR THERE IS NO ONE. GOOD
LET'S BRING THE MATTER BACK TO
THE DAYS OF MY COLLEAGUES
COLLEAGUES ANY QUESTIONS
COMMENTS. SENATOR GLAZER MOVES
THE BILL. FINO HANDS. SURE
BERMAN YOU MAY CLOSE
RESPECTFULLY ASK FOR AYE VOTE
THANK YOU VERY MUCH OKAY THE
BILL HAS BEEN MOVED BY SENATOR
GLAZERS MOTIONS TO PASS THE
SENATE APPROPRIATIONS PLEASE
CALL THE ROLL. ROTH HI ROTH I'VE
WHEN. WHEN I OVERLY KILL. OF
ARTICLE I ARE. AYE PARTULA AYE.
AYE I BACK. BAKER DODD THANK.
EGGMAN AYE GLAZER. GLAZER AYE
NEAR AYE DEALER SMALLER. SMALL
BUSINESS I WILL HOP. WILK HI
WILL GUIDE BILL HAS ELEVEN BOTH
WILL HOLDER OPEN FOR ABSENT THE
SENATE YOU SIR. THIS IS.
ASSEMBLY MEMBER GARCIA. I NUMBER
ELEVEN. AB THIRTEEN FIVE WELCOME
. HELLO GOOD AFTERNOON GOOD
AFTERNOON OR TO THE MORE. BOB AB
THIRTEEN NINETY FIVE. WOULD
REQUIRE THE MEDICAL BOARD OF-
CALIFORNIA TO ISSUE THE PILOT
PROGRAM BY TO AN APP WHO IS
OTHERWISE INELIGIBLE FOR THE
LICENSE WITHOUT A NINETEEN
RESOURCES NUMBER. DOCTORS FROM
MEXICO OR ELIGIBLE TO WORK IN
UNITED STATES THROUGH THE
DOCTOR'S AND DENTIST'S PROGRAM
BUT CANNOT DO SO BECAUSE THEY DO
NOT HAVE THE NEEDED
DOCUMENTATION THIS A CORRECT
THAT PROBLEM SPECTRALLY S. FREE
I WILL WE DO HAVE ONE WITNESS-
HE HAS BEEN TOLD TO BE BRIEF.
AND THAT. PLEASE PRESS SIR THANK
YOU FOR THE TERM THE FINGERS OF
QUICK LOST. IN THE YEAR TWO
THOUSAND- TO THIS PASSED THE
INITIAL CREATED THIS FOR. IT
TOOK US FIFTEEN SIXTEEN YEARS TO
FINALLY GET THIS GOING WE ASK
FOR A HUNDRED DOCTORS WE HAVE
THIRTY. WE HAVE TWENTY TWO IN
THE STATE NOW WE WERE VERY LUCKY
THAT THE IRS ISSUED A NIGHT TEN
FOR MOST OF THOSE DOCTORS WHO
HAD NEVER WORKED IN THE UNITED
STATES OF WHICH IS A REQUIREMENT
FOR THE EYE TO. THE OTHER FOUR
ARE DUAL CITIZENS THEY ALREADY
HAD A SOUL SECURITY NUMBER THE
REMAINING SIXTY EIGHT THAT WE
ARE ARE EXPECTING IN THE NEXT
THREE TO FOUR MONTHS I'M NOT OUR
TOOL THEY ALL WILL REQUIRE IN
NINETEEN- WE DON'T. WE DON'T
WANT TO TAKE CHANCE WITH THE
TREASURY SAY NO. SO WE NEED THIS
LEGISLATION TO GO THROUGH. THE
ANALYSIS THAT THE COMMITTEES
THAT IS EXCELLENT AND ADDRESSES
ALL OF THE PERTINENT ISSUES-
THE- MEDICAL BOARD MOST
IMPORTANT ENTITY INVOLVED IN
THIS PROCESS. AS GIVEN ITS-
THUMBS- OF- AND STANDS UP IF YOU
HAVE ANY QUESTIONS I'D BE MORE
THAN HAPPY TO. ADDRESS THEM BUT
I WOULD DO WANT TO POINT OUT YOU
HAD A LOT OF BILLS ON THIS
ISSUE. WE GO TO THE HEART OF THE
PROBLEM THINK ABOUT IT IN THE
YEAR TWO THOUSAND WE DRAFTED
THIS BILL. IT TOOK US TOO LONG
TO IMPLEMENT IT BUT WE ADDRESS
CULTURAL LINGUISTIC COMPETENCY
THESE DOCTORS CANNOT REMAIN IN
CALIFORNIA WE DON'T WANT TO TAKE
THEM FOR MEXICO. BECAUSE THEY'D
HAVE TO PASS THE USMLE STEP ME
REMAIN HERE PERMANENTLY. IT'S A
LOAN PROGRAM WE BORROWED THEM
FOR THREE YEARS AND PLACE THEM
IN AREAS WHERE THEY'RE MOST
DESPERATELY NEEDED. WE WILL
COULD BE COMING TO YOU WITH THE
BILL IN THE NEXT YEAR THAT WILL
ASK FOR A HUNDRED AND FIFTY OF
THESE DOCTORS. IT'LL BE THREE
FIVE YEARS FIVE THREE YEAR
CYCLES. SO WE HOPE THIS
COMMITTEE WILL SEE THE
IMPORTANCE OF THIS LEGISLATION
WE THANK THE COMMITTEE STAFF
IMMENSELY. WHERE THEY'RE WORKING
WITH US AND THE MEDICAL BOARD WE
ASK. AN AYE VOTE ON YOUR PART.
THANK YOU SIR GOOD TO SEE YOU
AGAIN BUT BEFORE YOU LEAVE- THE
DATA FOR YOURSELF FOR A RECORD.
ARNOLD ATORES WORKED-
REPRESENTING THE CENTRAL COAST
HEALTH NETWORK. THANK YOU FOR
YOUR SERVICE. ANY OTHER WITNESS
WOULD MOVE THE BILL. CENTER
EGGMAN JUST MOVE THE BILL. ANY
OTHER WITNESSES IN SUPPORT.
MISTER FORWARD NAME. I DOCTOR
LEISURE BUREAU. FROM DEMOCRAT
SERVED. THEIR SERVICES. IN
SUPPORT OF THIS BILL THANK YOU
DR. ANY OTHER WITH. IN SUPPORT.
FINGERLESS MOVED THIS IS A UPPER
. LEADER OTHERWISE. SIGNAL UP
WITH. WITH LET'S MOVE TO THE
TELECOM. OF A MODERATE IF YOU
WOULD. PLEASE ANY END OF. WITH
TO TEST OF EITHER IN SUPPORT UP
. WE WILL TAKE THE- NOW. FOR
THOSE. THIS CONSERVE. OR
OPPOSITION PLEASE PRESS ONE THEN
ZERO PRESS ONE AND ZERO. THIS IS
YOUR WE HAVE NO ONE TO SIGNALED
THAT THEY WISH TO SPEAK PERFECT
LET'S BRING THE MATTER BACK TO
THE MEDICARE PART ME I APOLOGIZE
WE DO HAVE ONE PERSON I'M SORRY
EVEN MORE PERFECT. PLEASE
PROCEED. WE'LL GO TO LINE.
FOURTEEN THANK YOU MISTER
CHAIRMAN AARON BROWN WITH THE
MEDICAL BOARD OF CALIFORNIA
REPORTS. THANK YOU NEXT PLEASE.
THERE IS NO ONE. NOW WILL TURN
TO MY COLLEAGUES ON THE DAYS
QUESTIONS COMMENTS RESEARCH
LETTER. THANK YOU MISTER CHAIR
YOU KNOW WE HEARD EARLIER THE
DESPERATE NEED OF. PHYSICIANS
AND NURSES COMING INTO THE
LATINO COMMUNITY SPANISH
SPEAKING- HOW MANY PHYSICIANS DO
WE HAVE IN THE WINGS WAITING.
FOR THIS BILL TO BE ENACTED. THE
PILOT PROGRAM ALLOWED ARNOLD
TORAH'S REPRESENTING CCHS THANK
YOU- THE LEGISLATION ALLOWS US
TO BRING IN THIRTY WE HAVE SIX
THAT REQUIRE THIS LEGISLATION IN
ORDER TO BE ABLE TO ENTER
CALIFORNIA AND WORK- SO WE HAVE
SIX WE HAVE TWENTY TWO ALREADY
WORKING HERE. AND THEY PROVIDED
OVER A HUNDRED THOUSAND MEDICAL
ENCOUNTERS TO OVER. THIRTY FIVE
THOUSAND PATIENTS SINCE THEY
BEGAN WHICH WAS AUGUST OF TWENTY
ONE I CAN REMEMBER A LOT OF
THESE DOCTORS DID NOT COME IN AT
THE SAME TIME THEY'VE BEEN
STAGGERED SINCE AUGUST TWENTY
ONE BUT THE ACCESS THAT THEY'RE
PROVIDING. IS ALMOST EQUAL TO
WHAT A DOCTOR IN THE HEALTH
CENTER IS REQUIRED TO DO BY THE
FEDERAL GOVERNMENT WHICH IS FOR
ENCOUNTERS PER HOUR FOR INTERNAL
MEDICINE THREE ENCOUNTERS FOR
OUR WHEN YOU LOOK AT THE DATA
THAT WE HAVE. WE'RE VERY CLOSE
THESE DOCTORS ARE- ACCLIMATING
THEMSELVES VERY WELL TO THE
SYSTEM OF CARE IN THIS STATE AND
THEIR PRODUCTIVITY IS PHENOMENAL
IN PRIMARILY RURAL AND FARM
WORKER COMMUNITIES WHERE THEY'RE
MOST DESPERATELY NEED RIGHT
THANK YOU FOR BRINGING THE BUILT
FORD- AND I WILL DEFINITELY
SUPPORT. YOU SEEING NO OTHER HE
- SOME MEMBER. WAS YOU LIKE TO
GO. THANK YOU FOR YOUR TEN ON
THE BILL RESPECTFULLY ASK RIVAL
. BILLS BEEN MOVED BY SENATOR AG
MOTIONS TO PASSED SENATE
APPROPRIATIONS CALL THE ROLL.
ROTH BY ROTH I WHEN I OVERDID
GUILT. OF ARTICLE I ARCHIE. AYE
ARCHULETA AYE ASHLEY. ASHBY I BY
. DOT I THOUGHT I EGGMAN. EGGMAN
AYE GLAZER. GLAZER AYE NILA AYE
HE'LL AYE SMALLWOOD CUEVAS HI
SMALLER CRITICS I WILL HA. WILK
ALL RIGHT OKAY. BILL HAS ELEVEN
VOTES WILL HOLD THE ROLE OPEN
FOR ABSENT MEMBERS THANK YOU SIR
. HI CAROLYN. I JUST LOVE.
MOSBACHER MINISTRY. UP AND WILL
. IN THE WHEN. BUT THIS IS NOT A
ELSE. WE'LL GO AHEAD IN- WE'LL
GO AHEAD AND OPEN THE ROLE AND
STARTING WITH THE CAN. MEMBERS
FOR OPEN THE ROLE IN THE CONSENT
- THE CURRENT VOTE IS OF SEVEN
ZERO SURE VOTING- I. WHEN. WHEN
I DODD I DODD AYE GLAZER GLAZER
AYE SMALLWOOD CUEVAS SMALLWOOD
CUEVAS IOWA. WILK ALL RIGHT LOOK
I. IF TWELVE VOTES WILL HOLD THE
ROLE OPEN ACTION MEMBERS FILE
NUMBER ONE AB TWO THREE TWO.
CURRENT VOTE IS- SEVEN ZERO SURE
VOTING- I. WHEN I DODD AYE DODD
AYE GLAZER PLEASE R. SMALLWOOD
CUEVAS SMALLWOOD CUEVAS I WILL
HAN. WILK ALL RIGHT WE'LL TRY-
KERN VOTE TWELVE ZERO HOLDER
OPEN EPSON MEMBERS NEXT ITEM
ITEM NUMBER TWO. ASSEMBLY TWO
FOUR TWO CURRENT VOTE IS EIGHT
ZERO ZERO VOTING I. WHEN I WHEN
I DODD I DODD AYE GLAZER. GLAZER
I WHAT. WILK HI WILL GUIDE KERN
VOTE TWELVE ZERO BOULDER OPEN
MEMBERS FILE ITEM NUMBER FOUR AB
THREE FOUR TWO CURRENT VOTE TEN
ZERO SURE VOTING I. DODD I DON I
WHILE. WILK ALL RIGHT WE'LL TRY
- TWELVE ZERO OF THE ROLE OF FOR
OF MEMBERS FILE ITEM NUMBER FOR.
MASINA- FIVE AB FOR SEVENTY
CURRENT VOTE ELEVEN ZERO YOUR
VOTING AYE DODD I DON I WILL HAN
. KERN VOTE TWELVE ZERO OR HOLD
THE ROLE OPEN FOR ABSENT MEMBERS
. NEXT ITEM FILE ITEM NUMBER
SEVEN ASSEMBLY BILL NINE NINE
THREE CURRENT VOTE IS- SEVEN
ZERO SURE VOTING I. WHEN I DODD
AYE DODD AYE GLAZER. AS OUR EYES
SMALLER CUEVAS MODE COULD HIGH
HARM. WILK ALL RIGHT LOOK I KERN
THE TWELVE ZERO FOLDER OLD FOR
OF MEMBERS ITEM ITEM NUMBER
EIGHT. A. B. TEN SEVEN CURRENT
VOTE SEVENS SURE- WHEN. DODD HI
DON I GLAZER. SMALLWOOD CUEVAS
SMALLER GROWTH I WILL HOT. WILK
KERN VOTE NINE ZERO ALL THE ROLE
FROM FOR ABSENT MEMBERS FILE
ITEM NUMBER TEN. ASSEMBLY BILL
THIRTEEN FORTY ONE CURRENT VOTE
IS ELEVEN TO ZERO SURE VOTING I.
THOUGHT I DON I WILL HOT. KERN
VOTE TWELVE ZERO HOLD ROLE OPEN
FOR ABSENT MEMBERS FILE ITEM.
NUMBER ELEVEN A. B. THIRTEEN
NINETY FIVE CURRENT VOTE ELEVEN
ZERO SURE VOTING- BAKER. ALL
RIGHT BAKER I. AHA. KERN VOTE
TWELVE ZERO ALL THE ROLE FROM
FOR ABSENT MEMBERS. YEAH. GOOD
FOR YOU. PLEASE TAKE THANK YOU.
LOW PRODUCTS TO DO IT ALL HEAVY
LIFTING.
BACK ON THE RECORD WE'RE GOING
TO OPEN THE ROLE WE'RE GOING TO
START WITH THE CONSENT CALENDAR-
CONSENT CALENDAR THE VOTE
CURRENT VOTERS TWELVE ZERO SURE
VOTING WITH FEDERAL LAW HAN I HA
BY VOTERS THIRTEEN ZERO CONSENT
CALENDAR IS OUT. FILE ITEM
NUMBER ONE ASSEMBLY BILL TWO
THREE TWO. THE CURRENT VOTERS.
ZERO THAT MATTERS OUT FILE ITEM
NUMBER TWO ASSEMBLY BILL TWO
FOUR TWO ASSEMBLY MEMBER WOULD
EARN VOTERS TWELVE ZERO SURE
VOTING AYE HOT AYE BY VOTE IS
THIRTEEN ZERO THAT MATTER IS OUT
FILE ITEM NUMBER FOUR A. B.
THREE FOUR TWO KERN VOTE IS
TWELVE ZERO SURE VOTING I WILL
HOT HI HI BY. PHOTOS THIRTEEN
ZERO THAT OUT ITEM FIVE IS THE
BILL FOUR SEVEN ZERO THANKS FOR
VOTE IS. TWELVE ZERO ONE. SORRY
BOB MOM BYE HI. LOTUS THIRTEEN
ZERO MATTER OUT FOLLOW NUMBERS
ASSEMBLY BILL NOT NINE. CURRENT
VOTE ZERO CHERVONA I. HAN WELL
HI BY. THIRTEEN THAT MAY IS A
FELLOW NUMBER EIGHTY SOME BILL
TENS SEVEN. CURRENT VOTE IS-
ZERO VOTE- I. THIS CALL ROLE
WHEN. LAYS BOB BOB I. VOTE IS
TEN ZERO THAT MATTER IS OUT FILE
ITEM NUMBER TEN ASSEMBLY BILL.
THIRTEEN FORTY ONE. AND THE
CURRENT VOTE ONCE I FIND IT IS.
TWELVE ZERO JR VOTING I WILL HAN
WELL HI. PHOTOS THIRTEEN ZERO
THAT MATTER IS OUT AND OUR LAST
ITEM FILE ITEM NUMBER ELEVEN
BILL THIRTEEN NINETY FIVE FOR
ABOUT TWELVE ZERO SURE VOTING I
WILL HAVE. HA BY. THIRTEEN THAT
MATTER IS OUT. AND THIS
CONCLUDES OF TODAY'S HEARING OF
THE SENATE BUSINESS PROFESSIONS
AND ECONOMIC DEVELOPMENT
COMMITTEE THANKS TO ALL WHO
TESTIFIED OR PARTICIPATED. WE
ARE ADJOURNED.