OKAY THE SENATE COMMITTEE ON
HEALTH COME TO ORDER GOOD
AFTERNOON AS WE CONTINUE TO
WELCOME THE PUBLIC IN PERSON AND
R. B. R. TELECONFERENCE SERVICE
WILL ALLOW SIX MINUTES OF IN
PERSON TESTIMONY PER SIDE BUT
DON'T FEEL OBLIGATED TO USE ALL
THE TIME AND INDIVIDUALS WISHING
TO WRITE PUBLIC COMMENT VIA
PHONE TODAY'S PARTICIPANT NUMBER
IS. EIGHT SEVEN SEVEN TWO TWO
SIX EIGHT ONE SIX THREE. AND THE
ACCESS CODE IS SIX THREE. SEVEN
THREE SIX TWO EIGHT THREE FOUR-
ONLY TAKE FIFTEEN MINUTES OF
TESTIMONY ARTICLE HAVE THAT
ISSUE TODAY TODAY WE HAVE TEN
BILLS ON TODAY'S AGENDA SEVEN OF
THOSE BILLS ARE PROPOSED CONSENT
AGENDA- AND THOSE BILLS ARE A B.
TWO EIGHTY THREE A. B. TWO
EIGHTY NINE. AB THREE SEVENTEEN
WITH AMENDMENTS AB TWENTY ONE
FORTY ONE AB THREE EIGHTY SEVEN
A. B. TWELVE THIRTY THREE EIGHTY
P. FOURTEEN SIXTY SEVEN. OKAY I
THINK WE'LL GET STARTED- WILL BE
STARTING AS A SUB COMMITTEE OF
COURSE BUT I SEE YOUR FIRST
AUTHOR HERE DR KILL WEBER IS
HERE SHE ALSO HAD TWO BILLS ON
CONSENT AND WILL BE PRESENTING
AB SEVENTEEN OH ONE FOR US TODAY
. WELCOME THANK YOU GOOD
AFTERNOON MADAM CHAIR AND MEMBER
I AM HERE TODAY TO PRESENT AB
SEVENTEEN OH ONE I WANT TO BEGIN
BY STATING THAT I ACCEPT THE
COMMITTEE AMENDMENTS. AND ONE
THANK THE CHAIRING COMMITTEE
STAFF FOR THE WORK ON MY BELT.
AB SEVENTEEN OH ONE WILL PROVIDE
EQUITY WITH AND THE DISTRIBUTION
OF FUNDS. ALREADY ALLOCATED TO
THE CALIFORNIA DEPARTMENT OF
PUBLIC HEALTH FOR THE BLACK
INFANT HEALTH PROGRAM. BY
ALLOWING BOTH COUNTIES AND
CITIES WITH THEIR OWN HEALTH
DEPARTMENTS TO APPLY FOR THE
FUNDS. IN TWENTY EIGHTEEN THE
STATE OF CALIFORNIA RECOGNIZED A
STATE WIDE GAP IN THE BLACK
INFANT MORTALITY RATE AND
ESTABLISH THE PERINATAL EQUITY
INITIATIVE. ALSO KNOWN AS THE P.
E. I. WITHIN THE DEPARTMENT OF
PUBLIC HEALTH. THE EXPANDED
SCOPE OF INTERVENTIONS PROVIDED
UNDER THE BLACK INFANT HEALTH
PROGRAM WITH THE GOAL OF HELPING
WOMEN HAVE HEALTHY BABIES. P. E.
I. SUPPORTS EVIDENCE BASED
STRATEGIES IN REDUCING RACIAL
HEALTH DISPARITIES AMONG BLACK
WOMEN. I COME VISITATION.
PROGRAMS AND FATHERHOOD
INITIATIVE. CURRENT LAW STATES
THAT THE CD PH CAN ONLY ALLOCATE
THESE P. E. I. FUNDING THE
COUNTY HEALTH DEPARTMENTS WITH
B. H. PROGRAMS. LEAVING CITIES
WITH THEIR OWN HEALTH DEPARTMENT
WITHOUT DIRECT ACCESS TO THIS
ADDITIONAL FUNDING. EXPANDING
ACCESS MEANS HOPING CALIFORNIA'S
EFFORT TO ADDRESS RACIAL
DISPARITIES IN INFANT MORTALITY.
EVEN FURTHER BY PROMOTING
SPECIFIC INTERVENTIONS DESIGNED
TO IMPROVE OUTCOMES FOR BLACK
MOTHERS AND INFANTS. THIS BILL
ALLOWS FOR ALL BLACK INFANT
HEALTH PROGRAMS TO BE ELIGIBLE
TO APPLY FOR THESE FUNDS. TO
HELP MORE EXPECTED FAMILIES.
WITH ME HERE TO TESTIFY IN
SUPPORT IS JOE'S FINDS DEPUTY
DIRECTOR OF POLICY WITH THE
COUNTY HEALTH EXECUTIVE
ASSOCIATION OF CALIFORNIA. WHAT
YOU MAY BEGIN. THANK YOU MADAM
CHAIR AND MEMBERS MY NAME IS
SHOW SIGNS ON BEHALF OF THE
COUNTY HEALTH EXECUTIVES
ASSOCIATION OF CALIFORNIA.
REPRESENTING THE LOCAL HEALTH
DEPARTMENTS WE ARE PROUD
SPONSORS OF AB SEVENTEEN OH ONE
THE PORTERS OF AB SEVENTEEN NO
ONE HAS THIS BILL WILL DECREASE
BARRIERS FOR AFRICAN AMERICAN
WOMEN AND BIRTHING PEOPLE TO
ACCESS THE BLACK INFANT HEALTH
PROGRAM. FOR THE PURPOSE OF
ELIMINATING THE DISPROPORTIONATE
RATE OF AFRICAN AMERICAN INFANT
MORTALITY THAT IS MORE THAN
TWICE THAT OF THEIR WHITE AND
HISPANIC COUNTERPARTS. STUDIES
CONSISTENTLY HIGHLIGHT THE
ALARMING DISPARITY BETWEEN BLACK
BABIES IN THEIR COUNTERPARTS
FROM OTHER RACIAL AND ETHNIC
BACKGROUNDS REGARDLESS OF SOCIO
ECONOMIC STATUS. THE B. H.
PROGRAM AIMS TO TACKLE THE ROOT
CAUSES OF THIS DISPARITY BY
PROVIDING COMPREHENSIVE SUPPORT
TO BLACK MOTHERS AND BIRTHING
PEOPLE AND FAMILIES FOCUSING ON
PRECONCEPTION HEALTH. PRENATAL
CARE AND POSTPARTUM SUPPORT. BY
DOING SO IT IN POWERS BLACK
WOMEN BIRTHING PEOPLE WITH THE
KNOWLEDGE RESOURCES AND SUPPORT
NECESSARY TO ENSURE HEALTHIER
PREGNANCIES SAFER DELIVERIES AND
IMPROVED INFANT HEALTH OUTCOMES.
ALSO THE PROGRAM RECOGNIZES THE
COMPLEX INTERPLAY BETWEEN
PHYSICAL HEALTH AND SOCIAL
DETERMINANTS OF HEALTH. THIS
INCLUDES ADDRESSING ISSUES SUCH
AS SYSTEMIC RACISM POVERTY
LIMITED ACCESS TO HEALTH CARE
AND INADEQUATE SOCIAL SUPPORT
NETWORKS. BY PROVIDING
CULTURALLY SENSITIVE SERVICES
AND CONNECTING FAMILIES WITH
COMMUNITY RESOURCES THE B. H.
PROGRAM ADDRESSES STRUCTURAL
STRUCTURAL BARRIERS IN ORDER TO
IMPROVE HEALTH OUTCOMES. GRAHAM
EMPHASIZES CULTURAL COMPETENCE
AND INCLUSIVITY BY RECOGNIZING
THE UNIQUE NEEDS AND EXPERIENCES
OF BLACK FAMILIES AND KNOWLEDGE
IN THE HISTORICAL AND ONGOING
RACIAL DISPARITIES IN OUR
SOCIETY. THE PROGRAM FOSTERS A
SENSE OF COMMUNITY AND SUPPORT
BY CREATING SPACES FOR WOMEN AND
BIRTHING PEOPLE TO CONNECT SHARE
EXPERIENCES AND ACCESS EMOTIONAL
SUPPORT. THIS PROGRAM PLAYS A
VITAL ROLE VITAL ROLE IN
PROMOTING EQUITY JUSTICE AND THE
WELL BEING OF BLACK COMMUNITIES
IN CALIFORNIA. AB SEVENTEEN OH
ONE STRENGTHENS THE REACH OF THE
PROGRAM BY ALLOWING CALIFORNIA
THREE CITY HEALTH DEPARTMENTS TO
APPLY FOR FUNDING AS WITH THEIR
COUNTY HEALTH DEPARTMENT
COUNTERPARTS AND FOR THESE
REASONS WE SUPPORT THIS MEASURE.
THANK YOU THANK YOU VERY MUCH.
THE PEOPLE SPEAKING IN SUPPORT
PLEASE. MADAM CHAIR MEMBERS AMY
BROWN ON BEHALF OF THE CITY OF
LONG BEACH ONE OF THE CITIES
THAT HAS ITS OWN PUBLIC HEALTH
DEPARTMENT. THANK THE AUTHOR FOR
RUNNING THIS BILL AS FOR AYE
VOTE. THANK YOU. DISPENSER RIGHT
SPENCER ABOUT THE AMERICAN
COLLEGE OF OBGYN STRYCHNINE IN
SUPPORT THANK YOU. NOBODY ELSE.
OKAY IS THERE ANYBODY SPEAKING
IN OPPOSITION TO THIS BILL TODAY
. SEEING NONE- ARE THERE ANY
CALLERS ON THE LINE TO ANNA.
OPEN UP THE LINE FOR CALLERS
HERE SPEAKING FOR OR AGAINST. AB
. SEVENTEEN OH ONE. MODERATOR
YOU THERE IF IT'S SUPPORT. IT'S
A FAIR SUPPORT OPPOSITE OF AB-
OH ONE HE MADE ONE AND THEN.
ZERO AGAIN THAT'S ONE AND THEN
ZERO FEARED SUPPORTER OPPOSITION
. WE DO HAVE ONE IN Q. ONE
MOMENT WHILE WE GATHERED BY
NUMBER OKAY AGAIN THIS IS FOR A
B. SEVENTEEN OH ONE. THANK YOU
AND WE'LL GO TO LINE UP THIRTY
ONE YOUR LINE IS OPEN. GOOD
AFTERNOON THE MIND HER ON BEHALF
OF THE MARCH OF DIMES- IN
SUPPORT OF AB SEVENTEEN OH ONE.
THANK YOU VERY MUCH NEXT CALLER
. THANK YOU ONE MOMENT FOR THAT
WHY NUMBER. AGAIN WE'RE ON AB
SEVENTEEN OH ONE FOR SUPPORTER
OPPOSITION YOU MAY PRESS ONE AND
THEN ZERO. AND RIVER LINE THIRTY
THREE YOUR LINE IS OPEN. HE IF
YOU'RE NOT I MEAN IT'S NOT
AROUND WITH TO LOOK FOR NOW IN
SUPPORT ITSELF. THANK YOU VERY
MUCH. THANK YOU MADAM CHAIR WE
HAVE FIRST OF THE THANK YOU OKAY
THANK YOU FOR MUCH- TO KNOW THE
TIME WE BRING IT BACK TO THE
COMMITTEE- THIS MEMBER I COULD I
AM HOW HOW WE I MEAN IS THERE. A
IS THERE A MESS SO P. ARE DUMB
DIPPING THAT THERE'S A BETWEEN
THE CITY AND THE COUNTY BECAUSE
WE KNOW SOME PEOPLE THAT LIVE IN
THE CITY AND COUNTY AND SOME
PEOPLE JUST LIVE IN THE IN THE
COUNTY. RIGHT NOW THAT'S A GREAT
QUESTION- AND THIS ACTUALLY ONLY
APPLIES TO ACTUALLY TWO CITIES
RIGHT NOW- LONG BEACH AND
PASADENA BECAUSE THE OTHER I
CITY THAT- DOES NOT HAVE A
COUNTY HEALTH DEPARTMENT IS
BERKELEY AND THEY DON'T HAVE ONE
OF THESE PROGRAMS AT THIS TIME.
AND SO- YOU KNOW THE COUNTY OF
LOS ANGELES CAN DEFINITELY MAKE
SURE THAT THEY'RE NOT GIVING
FUNDS TO THE CITY OF LONG BEACH
OR PASADENA SINCE THEY HAVE
THEIR OWN INDIVIDUAL HEALTH
DEPARTMENT. OKAY SO THE COUNTY
BUT THOSE COUNTIES DONE THAT
THEN AND I'M AWARE THAT THERE
ARE MULTIPLE COUNTIES AND IN L.
A. COUNTY UMBILICAL CITIES BUT
TODAY. THE COUNTY WILL SERVE
THOSE THE SAME. RIGHT SO IF THEY
THEY IN LONG BEACH AND THEIR
HOUSE HERE- AND- THEY PICK THEY
HAVE THEIR OWN HEALTH
DEPARTMENT- THEY CAN APPLY AND
GET THOSE FUNDS DIRECTLY. THE
OTHER- CITIES HAVE A COUNTY WIDE
HEALTH DEPARTMENT SO THEY
COULDN'T APPLY FOR SORRY FOR
EXAMPLE CITY OF SAN DIEGO COULD
NOT APPLY. BECAUSE THE HEALTH
DEPARTMENT IS A COUNTY HEALTH
DEPARTMENT OR ANYTHING I.
UNDERSTANDING LIKE THAT LIKE C.
STOCKTON HAD THE WRONG WE DON'T
KNOW. WHAT THE PEOPLE AND
SOMEONE COUNTIES COUNTY RIGHT
LEFT I HAVE TREES. BUT WOULD
THEN AND THEY'RE ALL IN THE
COUNTY THEN I'LL- SO STOCKTON
WHERE TO GET. THEN THE COUNTY
FOR. THERE BE MORE TREES AND LOW
. AND WOULD NOT THEN RIGHT. THE
SERVICES WOULD BE. BY THE PERSON
RIGHT THE COUNTY WOULD NOT THEN
GO AND GIVE IT TO THAT. OKAY
OKAY. ALL RIGHT ANY QUESTIONS
THE BILL OKAY. I DON'T THINK
HAVE A CORNEA BUT- THE NOTED
WHEN NOW WE DO HAVE A- THE BILL
IS MOVE BY SEN. GOING TO WOULD
YOU LIKE TO CLOSE FAMILY MEMBER
YES I JUST WANNA THANK YOU ALL
EMISSIONS. FROM A CLOSE DATES-
THIS IS A VERY SIMPLE. THAT
MAKES FUND JUST. WERE AT. FOR
THE BLACK IN HEALTH. AND WHEN
YOU HAVE A AVAIL OUR RESPECT ASK
AN IPHONE THANK YOU FOR MUCH WE
LOOK FOR A QUORUM SHORTLY. THANK
YOU ALL RIGHT. ALL RIGHT I SEE A
SOBRE HERE.
TRICKY PERSON TO GET A BILL
PASSED TO GET THROUGH THE GATE.
YOU'D THINK I'D NEVER HEARD
BEFORE. IN THIS ROOM. BUT I'VE
YOU'RE HONORABLE CHERRY MEMBERS
OF THE COMMITTEE I'M ON IT OR
WITH. THAT ARE HERE WITH US
TODAY. AS WELL AS THIS COMMITTEE
STOP TO MY OWN STUFF WE'VE
WORKED HARD ON THIS SO. I'M HERE
BECAUSE RESIDENTIAL CARE
FACILITIES OR RCF FEES FOR THE-
ARE INCREDIBLY IMPORTANT PART OF
OUR STATE'S HEALTH CARE SYSTEM
SUPPLYING HOUSING AND CARE TO
PEOPLE OVER THE AGE OF SIXTY AND
THESE FACILITIES ARE GENERALLY
SEEN AS AN INTERMEDIARY BETWEEN
INDEPENDENT LIVING. AND TWENTY
FOUR HOURS SUPERVISED CARE SO
THEY PROVIDE PERSONAL CARE
ASSISTANCE ROOM AND BOARD AMONG
OTHER SERVICES TO SENIORS. I DO
WANT TO POINT OUT BY- TWENTY
THIRTY CALIFORNIA IS EXPECTED TO
HAVE TEN POINT EIGHT MILLION
INDIVIDUALS OVER THE AGE OF
SIXTY WHICH IS THE QUALIFYING
AGE FOR RCMP CARE AND BY TWENTY
SIXTY- IT'S ESTIMATED THAT 30%
OF CALIFORNIA'S OVERALL STATE
POPULATION. WILL BE AGED SIXTY
OR OVER SO WITH A SILVER TSUNAMI
IS COMING AS THEY SAY- AND THAT
WILL MAKE OUR CFE IS ALL THE
MORE IMPORTANT AS OUR
DEMOGRAPHICS CONTINUE TO SHIFT.
THAT SAID RESIDENTIAL CARE
FACILITIES FOR THE ELDERLY HAVE
FACED HUGE CHALLENGES THERE'S
EXISTING STAFFING CHALLENGES
THERE AND THERE WAS THE COBIT
BEHANDELT MAC AND FOR SMALLER RC
A FEES. FOR NON PROFITS. IT'S
BEEN A STRUGGLE THESE BUSINESS
TO GET UP IN RUNNING IN TEST-
STAY SO AB THIRD NINE AMOUNTS
FOR YOUR ON TODAY WOOD OPEN UP
LOWER INTEREST AND TAX EXEMPT
FINANCING VIA AT THE CALIFORNIA
HEALTH FACILITIES FINANCING
AUTHORITY- WE'VE HAD EXTENDED
CONVERSATIONS WITH C. H. FFA.
AND OUR LEGISLATIVE COUNCIL WE
HAVE SOME MINOR AMENDMENTS THAT
WILL BE TAKING IN THE SENATE
HUMAN RESOURCES COMMITTEE AND SO
THE BILL IS A MODEST CHANGE THAT
WOULD OPEN UP FINANCING TO NON
PROFIT GARCIA FEES AND ALLOW
THEM TO THEN INVEST THOSE FUNDS
INTO AN AREA OF DIRE NEED FOR
THE STATE OF CALIFORNIA AND
WE'VE GOT. A COUPLE WITNESSES
AND I'D LIKE TO HAVE COME
FORWARD AND TURN OVER TO THEM
FOR THEIR TESTIMONY FOR
SUPPORTER PLEASE. THANK MADAM
CHAIR MEMBERS IN BRICK WITH
LEADING H. CAL. REPRESENTING
NONPROFIT PROVIDER SERVING THE
FULL CONTAINMENT OF CARE FOR
OLDER ADULTS OUTSIDE OF THE
HOSPITAL SETTING INCLUDING OUR
CFE IS SKILLED NURSING
FACILITIES. AT LIFE PLAN
COMMUNITY IS HOME AND COMMUNITY
BASED CARE AFFORDABLE HOUSING
AND HOME AND HOSPICE CARE. WE'RE
PROUD TO SPONSOR AB THIRTY NINE
TO ALLOW ARSIA FEES ARE COMMONLY
REFERRED TO AS ASSISTED LIVING
FACILITIES I REGARDLESS OF THEIR
CONNECTION TO A SKILLED NURSING
FACILITY TO TAKE ADVANTAGE OF
THE JAFFA AND FINANCING AND THE
I'M TAX EXEMPT BOND PROGRAM. AS
THE AUTHOR MENTIONED IN OLDER
ADULT POPULATION IN THE STATE OF
CALIFORNIA IS RAPIDLY CHANGING
AND WITH THAT THE DELIVERY OF
CARE AND HOW OLDER ADULTS ARE
WISHING TO AGE IS ALSO EVOLVING.
INDEPENDENCE AND DIGNITY ARE KEY
DRIVERS OF THOSE CHANGE AND THAT
CHANGE I WAS SKILLED NURSING
FACILITIES ARE CRITICAL
COMPONENT OF THE HEALTHCARE
DELIVERY SYSTEM WE'RE SEEING
MORE AND MORE OF OUR MEMBERS
DOWNSIZING THEIR SKILLED CARE.
TO INCREASE THEIR CAPACITY FOR
ASSISTED LIVING AND MEMORY CARE
IN PARTICULAR. AND AS OLDER
ADULTS ARE CHOOSING TO RECEIVE
CARE AND STAY IN THEIR HOMES FOR
AS LONG AS POSSIBLE AND DELAYING
MOVING TO THAT MORE CLINICAL
SETTING. IN ADDITION AB EIGHT
THIRTY NINE FURTHERS THE GOAL OF
THE MASTER PLAN FOR AGING CALL
ONE HOUSING FOR ALL AGES AND
STAGES WHICH AIMS TO ALLOW OLDER
ADULTS TO CHOOSE WHERE THEY LIVE
IN THE COMMUNITIES THAT ARE AGE.
DISABILITY AND DEMENTIA
FRIENDLY. I AB THIRTY NINE WILL
LOWER THE BORROWING COSTS TO
CREATE MORE NONPROFIT ASSISTED
LIVING AND MEMORY CARE TO MEET
THE NEEDS OF OUR GROWING OLDER
ADULT POPULATION. I WITHOUT
ENERGY ITEMS THANK YOU THANK YOU
VERY MUCH. EXPERTS IN PLACE.
THANK YOU MADAM CHAIR AND- I AM
JENNA MCGANN PARTNER AT THE LAW
FOR OF OR HERRINGTON SUTCLIFFE
HERE AND- OF AB EIGHT THIRTY
NINE. I'VE WORKED ON TAX EXEMPT
NONPROFIT FINANCINGS FOR OVER
THIRTY YEARS. I WOULD LIKE TO
DESCRIBE WHY ALLOWING ARSIA FEES
TO ACCESS TAX EXEMPT FINANCING
IS VALUABLE. BEING ABLE TO
BORROW ON A TAX EXEMPT BASIS
THROUGH AN ISSUE ARE SUCH AS
JAFFA. RESULTS IN LOWER
BORROWING COSTS UP FOR NONPROFIT
ORGANIZATIONS INCLUDING RCF
FEES. BECAUSE THE INTEREST PAID
ON TAX EXEMPT DEBT IS EXEMPT
FROM FEDERAL INCOME TAX AS WELL
AS CALIFORNIA INCOME TAXES. THE
INVESTOR REQUIRES A LOWER
INTEREST RATE TO PRODUCE THE
SAME AFTER TAX RESULT. AS
TAXABLE THAT WOULD PRODUCE. THIS
REDUCES THE BORROWING COSTS FOR
RC A FEES WHEN THEY DECIDE TO
FINANCE NEW FACILITIES OR MAKE
IMPROVEMENTS TO EXISTING
FACILITIES. ONE OF THE MAIN
BENEFITS TO BORROWERS TO USE
JAVA IS THAT TRAFFIC AND HOLD A
STATEWIDE PUBLIC HEARING. AND
THE STATE TREASURER CAN PROVIDE
THE APPROVAL THAT IS REQUIRED
UNDER FEDERAL TAX LAW. AS A
CONDITION TO ISSUING TAX EXEMPT
BONDS. AND IF ISSUERS OTHER THAN
SHOPIFY ARE USED TO ISSUE TAX
EXEMPT BONDS THEN SEPARATE
PUBLIC HEARINGS AND SEPARATE
APPROVALS HAVE TO BE OBTAINED
FROM EACH. GOVERNING BODY OF
EACH LOCAL JURISDICTION IN WHICH
THE PROJECT IS LOCATED. AND
HOLDING THESE MULTIPLE PUBLIC
HEARINGS AND OBTAINING MULTIPLE
PUBLIC APPROVALS IS A TIME
CONSUMING AND EXPENSIVE PROCESS.
FOR THESE REASONS I URGE YOUR
AYE VOTE ON THIS IMPORTANT
MEASURE THANK YOU. THANK YOU
VERY MUCH AND LET'S TAKE A PAUSE
HERE TO CALL THE ROLL- WE HAVE A
QUORUM HERE NOW SIX IF YOU COULD
CALL THE ROLL. SENATORS EGGMAN.
EGGMAN HERE WHEN. GLAZER AS-
HERE. GONZALEZ GONZALEZ HERE
GROWTH. FURTADO LIMÓN. THEM ON
HERE MENJIVAR. MENJIVAR HERE.
ROTH SHE'S ACROSS FROM HERE
RUBIO. THE PRESENCE RUBIO WHO
PRESENTS WHAT. WIENER. FIVE HERE
. WIENER HERE TO SURE BRENT HERE
SAVE SOME. COMING OFF NON OF THE
YEAR OR SO I THINK I THINK THAT
THREATENS WITH COMMITTEE OKAY.
ANYBODY ELSE SB IN SUPPORT OF
MEASURE. ANYBODY'S IN OPPOSITION
. CIGNA THE FIRM MODERATOR OR
ANYBODY'S IN SUPPORT OR UP. OF
AB SEVEN NO. SEVEN EIGHT THIRTY
NINE NINE SERPENTI. THANK YOU
FOR IN SUPPORT OPPOSITION OF AB
EIGHT THIRTY NINETY MAY PRESS
ONE THEN. AGAIN THAT IS ONE AND
ZERO IF AN OP OR SUPPORT OF A
EIGHT THIRTY NOW. WHICH HAVE ONE
ONE MOMENT. THANK NINE YEAR LINE
IS OPEN. THANK YOU. MCGINNIS ON
THE EXECUTIVE DIRECTOR OF
CALIFORNIA ADVOCATES FOR NURSING
HOME REFORM AND I'M HERE TO
OPPOSE AB EIGHT THIRTY NINE I
WANT TO MAKE IT CLEAR THAT WE
ARE NOT OPPOSED TO HAVING THIS
HALF THE BALLOT FOR
FREESTANDING- NONPROFIT BUT THE
DENTAL CARE FACILITIES WHAT WE
ARE OPPOSED TO ITS OPENING UP
THIS FUND FOR CONTINUING CARE
RETIREMENT COMMUNITIES. THE
MAJORITY OF WHICH HAVE MILLIONS
OF DOLLARS IN- RESERVE FUNDS
THEY RECENTLY MOST OF THEM WE
HAVE ABOUT SEVENTY NINE
NONPROFIT CCRCS IN CALIFORNIA
I'VE WATCHED THE FEES CARE FEES
MONTHLY CARE FEES GO UP 28210%
OVER THE PAST FEW YEARS FOR
RESIDENTS. THESE RESIDENTS IN
SECURITIES THE MAJORITY OF WHOM
LIVE IN INDEPENDENT LIVING NOT
IN ASSISTED LIVING THEY HAVE
INVESTED THEIR LIFE SAVINGS INTO
THE CCRCS AND I GUARANTEE YOU
ANY MONEY SAVED THROUGH
INVESTMENT THROUGH CAPITAL WILL
NOT BE PASSED ON TO THE
RESIDENTS- THE- CALIFORNIA
HEALTH FACILITIES FINANCING
AUTHORITY WAS CREATED TO BE THE
STATE'S VEHICLE FOR PROVIDING
FINANCIAL ASSISTANCE TO PUBLIC
AND NONPROFIT. HEALTH CARE
PROVIDERS HI IT'S TO MAKE IT
HAPPEN ELIGIBLE CREDIT WORTHY
PROVIDERS REDUCE. THEIR COST OF
CAPITAL. ARE YOU CALIFORNIA
HEALTH ACCESS TO IMPROVEMENT AND
COST CAN OF JEFF. I DON'T KNOW
OF A NON FIELD. THAT ACCEPTS
MEDICARE NUMBER. SECONDLY IS SIX
YEARS ARE NOT HEALTHCARE. THE
OVERWHELMING MAJORITY ARE IN
INDIA LIVING UNITS THE RATHER IN
THOSE. JUST CHANGING DEATH OF
THE GOING TO MAKE THEM HEALTH
CARE- THERE INCLUDE THE REQUIRED
CLOSE LIGHT TO SKILLED THAT ON
THE PRIME TO ON COUNTRY. MOST OF
THEM DID NOT ACCEPT MY EVEN IN
THE SKINNER UNIT. FINALLY I JUST
STATED DOES NOT PROMOTE HEALTH
ACCESS HEALTH IMPROVEMENT OR
COST CONTAINMENT. WILL HOWEVER
EXPAND THE PROFITS OF ALL THESE
ALREADY PROFITABLE COMPANIES
REGARDLESS OF WHETHER THEY ARE
LISTED AS A NONPROFIT OR FOR
PROFIT. AND I DO AGAIN WE
SUPPORT INDEPENDENT FREESTANDING
OUR CFE HAVING ACCESS TO THIS
FUND BUT WE DO NOT SUPPORT
HAVING SECURITIES HAVING SUCH
ACCESS I THINK IT'S A BETRAYAL
OF WHAT THE CALPERS STANDS. FOR
THANK YOU. OKAY THANK YOU VERY
MUCH ANY OTHER COLOR IN THEIR-
WE NO FURTHER CALLER IN Q. OKAY
. THANK YOU VERY MUCH ASSEMBLY
BRING IT BACK TO THE COMMITTEE
ANY QUESTIONS COMMENTS. OKAY WE
HAVE A MOTION THE BILL. I WILL
JUST SAY AND I DON'T KNOW IF THE
INDUSTRY KNOWS- AND I APOLOGIZE
FOR NOT KNOWING I DID
LEGISLATION ON THIS EARLIER ON
JUST ON RCMP'S- WITH SOME OF THE
ISSUES THEY WERE HAVING WITH
ABUSE IS BEING REPORTED IN THE
FOLLOW UP IS VERY. SLOW AND TURN
CAN BE WITH PEOPLE MOVING IN AND
CHANGING NAMES- THIS INDUSTRY NO
HAVE WE I KNOW A LOT THIS IS A
LOT OF THE SCHOOLS THE HUMAN
SERVICE COMMITTEE AND NOT
THROUGH THE HEALTH COMMITTEE.
JUST WONDERING THE STATUS RIGHT
NOW ALL COMPLAINTS AND FOLLOW
FOLLOW THROUGH SOMEONE'S. AND
THE YOU MADAM AMBER WITH THE
EDGE HEALTH- I DO NOT KNOW
ANSWER THAT BUT CAN WORK WITH
YOUR STAFF OKAY ATTY I LIKE TO
CAN UPDATE ON THAT OKAY THANK
YOU VERY MUCH- AND THE CRITTER
THAT ESTABLISH FOR THIS IS THE
SAME AS ESTABLISHES FOR
HOSPITALS AND COURSE NOBODY
WANTS YOU KNOW THE BIG MEGA
ONES. WHO COULD BE LABELED AS
NONPROFIT HELLO WE HAVE THE SAME
ISSUE WITH HOSPITALS AND WE'VE
BEEN ABLE TO FIND OUR WAY
FORWARD WITH THAT- AND THEN I
GUESS I'LL JUST SAY. NOT
EVERYBODY OVER SIXTY TWO IS
MOVING RIGHT INTO. OKAY WOULD
YOU LIKE TO CLOSE ASSEMBLY
MEMBER. ALL DUE RESPECT. ARE
ASKED YOUR I. BOATS. THANK YOU
VERY MUCH. THAT IS ON- AB. THREE
EIGHTY NINE EIGHT THIRTY NINE TO
FLEX YET- SECRETARY PLEASE CALL
THE ROLL THAT IS A TO PASS AND
REFERRED TO COMMITTEE ON HUMAN
SERVICES. WHAT I SAID. SENATORS
EGGMAN. BY EGGMAN. WENT HI WHEN
I. GO GLAZER I. CAN FANS ALL I
GROWTH. HER TADO. IMAN LIMÓN I
THINK MENJIVAR. MENJIVAR I. ROTH
ROTH I. RUBIO HI RUBIO I WILL
HAN. WE WINNER AYE. THAT IS NOT
FIVE THAT MAY IS A WILL HOLD THE
ROLE- THANK YOU VERY MUCH
ASSEMBLY MEMBER SO WHY DO WE- WE
GET EMOTIONALLY CAN CAL. FOOD A
CENTER LOS A MEASURE ON CAN OR A
B. TWO EIGHTY THREE AB TWO
EIGHTY A- THREE SO AB TWELVE ONE
AB THREE EIGHTY SEVEN AB TWELVE
THIRTY THREE AB FOURTEEN SIXTY
SEVEN. SECRETARY CALL THE ROLL.
SENATORS EGGMAN FIVE EGGMAN I
WENT. WHEN I GLAZER GLAZER AYE
INFANTS. IS ALL THIS I GROWTH
FURTADO LIMÓN THANK LIMÓN I
MENJIVAR VENTURA AYE ROTH. ROTH
HI RUBIO. THE- I FOR HAN. WE
FIVE WINNERS HI NICE ICE NINE
EYES WILL HOLD THAT ITEM OPEN
SOONER WE HAVE A FOR BOOK- JUST
LOOK FOR SOME MEMBER. OKAY
THAT'S VOTER LIST A VOTE THANK
YOU ALL COMPLY HELPERS. BERMAN.
CALL THE ROLL THAT IS TO PASS AS
AMENDED. SENATORS EGGMAN. EGGMAN
I WHEN I WHEN I GLAZER GLAZER
I'D GONZALEZ GONZALEZ I GROWTH
FURTADO. THE MONTH. LIMON
MENJIVAR AYE MENJIVAR AYE ROTH-
ROTH I RUBIO BUT IF THEY DO I
RUBIO AYE WAHAD. WE WIENER AYE.
NINE NINE NINE I WILL HOLD THAT
MAY OPEN. STILL LOOKING FOR
MISTER B. E. MA NUMBER.
WE'RE GOING. FOR EXCELLENT.
THANK.
A LITTLE BIT.
YEAH IT'S LIKE IN THE MAIL.
ON THE RIGHT. WE HAVE LITERALLY
ABOUT.
YOU CAN COME IN THAT'S RIGHT.
YEAH. RIGHT RIGHT WELCOME TO
SELL MEMBER WITH EIGHT EIGHT
NINE FOUR EIGHT YOU'VE GOT FLOOR
THANK YOU TO CENTERS I WON'T THE
FOR A LONG I WOULD LIKE TO BEGIN
THINKING COMMITTEE FOR THE WORK
ON THIS BILL- I'LL BE ACCEPTING
THE COMMITTEES IN THIS YOU KNOW
. SINCE TWENTY SEVENTEEN
CALIFORNIANS HAVE BEEN PROTECTED
FROM RISING PRESCRIPTION DRUG
COSTS WITH A TWO HUNDRED FIFTY
DOLLAR COPAY CAP FOR A THIRTY
DAY SUPPLY OF MEDICATION BUT
THAT CONSUMER PROTECTION IS SET
TO EXPIRE NEXT YEAR A. B. NINE
FORTY EIGHT WOULD MAKE THE
EXISTING COPAY CAP PERMANENT.
PLEASE JOIN ME IN SUPPORTING IT
PROFESSOR I WROTE ALL RIGHT THEN
. ANYBODY'S SUPPORT TODAY. YES
HELLO HERE EGGMAN MEMBER MIGHT
IS ARGHA CA CS I'M OF WITH THE
NATIONAL MULTIPLE SCLEROSIS
SOCIETY AND I HAVE BEEN LIVING
WITH MS SINCE TWO THOUSAND AND
THREE WITH MS IT'S CRITICAL TO
START MEDICATION AS EARLY AS
POSSIBLE AND TO TAKE IT
CONSISTENTLY. MS MEDICATIONS ARE
EXPENSIVE BUT THEY ARE POWERFUL
THEY HELP TO REDUCE RELAPSES AND
DELAY THE PROGRESSION OF
DISABILITY. BEFORE THE COPAY CAP
MANY PEOPLE WERE FORCED TO PAY
THEIR ENTIRE ANNUAL OUT OF
POCKET MAXIMUM IN THE FIRST
MONTH OF EACH YEAR. WHICH IS
THOUSANDS OF DOLLARS. BEFORE
INSURANCE WOULD COVER ANY OF THE
COST. THIS IS A SIGNIFICANT COST
FOR MOST PEOPLE AND OUT OF REACH
FOR MANY. WITHOUT A COPAY CAP
PEOPLE MAY SKIP OR DELAY TAKING
THEIR MEDICATION. IN A RECENT
NATIONAL STUDY BY THE MS SOCIETY
40% OF PEOPLE WITH MS REPORTED
THAT THEY HAD ALTERED THE USE OF
THEIR MEDICATION DUE TO COST.
EITHER DELAYING OR SKIPPING
TREATMENTS. THIS COULD LEAD TO
THE PROGRESSION OF DISABILITY
AND ULTIMATELY THE INABILITY TO
WORK. PEOPLE WITH MS AND OTHER
CHRONIC CONDITIONS IT DEPENDS ON
THE COPAY CAP TO KEEP THEIR
COSTS REASONABLE. SO THEY CAN
AFFORD THEIR MEDICATIONS AND
STAY HEALTHY. AB NINE FORTY
EIGHT WILL GIVE THOSE OF US WITH
SERIOUS ILLNESSES PEACE OF MIND
WHEN IT COMES TO PAYING FOR OUR
ESSENTIAL MEDICATIONS THANK YOU
THANK YOU THANK YOU FOR SHARING
WITH US NEXT PERSON PLEASE.
AFTERNOON AT CHAIR AND SENATORS
I'M KICKIN BANK THE PULSE AND
LEGISLATIVE WITH ACCESS. WHERE
THE SPA EIGHTY NINE FORTY EIGHT
AM I'M FOR ANY QUESTIONS AND
RESPECTFULLY ASK FOR YOUR AYE
VOTE THANK YOU THANK YOU VERY
MUCH REAL SPEAKING SUPPORT NOW
WELCOME MR MAT. MADAM CHAIR TO
MADDEN THE CALIFORNIA
RHEUMATOLOGY ALLIANCE THE
CALIFORNIA CHAPTER OF THE
AMERICAN COLLEGE OF CARDIOLOGY
IN THE CALIFORNIA SOCIETY
PLASTIC SURGEONS ON SUPPORT.
THANK YOU VERY MUCH. GOOD
AFTERNOON MADAM CHAIR AND
MEMBERS JUST K. WITH THE
CALIFORNIA SCHOOL EMPLOYEES
ASSOCIATION AND SUPPORT. THANK
YOU. MISTER SPENCER. BRENT
SPENCER BEHALF THE CALIFORNIA
PODIATRIC MEDICAL ASSOCIATION
AND THE CROHN'S AND COLITIS
FOUNDATION BOTH IN SUPPORT THANK
YOU. BUT I'M SURE MEMBERS OF THE
COMMITTEE BRAND IN MARCH YOU
WITH THE CALIFORNIA MEDICAL
ASSOCIATION IN SUPPORT.
AFTERNOON MADAM CHAIR MEMBERS
I'M SORT FOR WITH THE NATIONAL
MULTIPLE SCLEROSIS SOCIETY IN
SUPPORT THANK YOU VERY MUCH.
SPEAKING IN OPPOSITION TO THIS
BILL TODAY. THING NOT OVER THE
PHONE LINES. A MODERATOR ANYBODY
ON THE PHONE LINES FOR SPEAKING
FOR OR AGAINST. AB NINE FORTY
EIGHT. THANK YOU FOR SUPPORTER
OPPOSITION OF AB NINE FORTY
EIGHT YOU MAY PRESS ONE AND THEN
ZERO. AGAIN THAT IS ONE AND THEN
ZERO FOR IN SUPPORT OR
OPPOSITION OF AB. NINE FORTY
EIGHT. WE WILL TO LINE THIRTY
LINE IS OPEN. GOOD AFTERNOON
RESPECT BECAUSE FLETCHER.
INSTITUTES OF SOCIAL WORKERS
CALIFORNIA CHAPTER IN SUPPORT
THANK YOU. CALLER THANK YOU I'M
THIRTY FIVE YOUR LINE IS OPEN.
BRAMBELL CALLING WITH THE COLOR
T. ASSOCIATION WE ARE IN SUPPORT
. THANK YOU THANKS CALL. ONE
THIRTY TWO YOUR LINE IS A- CAN
GOOD AFTERNOON ARE WITH FROM ON
LAW AND POVERTY ENDS UP. THANK
YOU. CALLER PLEASE. LINE FORTY
YEAR LONG IS OPEN. AFTERNOON OR
MARKING FOR CALPERS SUPPORT.
THANK YOU THANKS CALLER PLEASE.
ONE THIRTY SIX YOUR LINE IS OPEN
. SHE SHE- THANK I'M SURE THIS
IS ADAMS THERE FROM THE- AND
PROMISE OF AND- THANK YOU
MICHAEL PLEASE. THANK YOU THE
MANAGER WE HAVE NO THIS OR UP IN
Q. THANK YOU DOES A TIME WOULD
BRING BACK THE COMMITTEE FOR
QUESTION COMMENTS. WIENER. HAVE
BEEN MOVED BILL OVER WANT TO
TALK THE AUTHOR FOR MOVING THE
SUCH A FOR THIS ALL STARTED WHEN
NOT. YEAH WHEN THEY AUTHORS PRO
RICH CORE OFF THE VERY. CAP HAD
NEVER HIGH- OKAY A COUPLE FOR
YOU COULD BE BE CHAR WITHOUT
DOLLARS A- AS A CO PAY JUST
ABSOLUTELY HOW- AND SO MISTER
GORDON- SIX- I WISH YOU WERE LOW
THAN TWO- BUT TWO FIFTY SIGNED
BY AT LEAST WE WERE SO BEFORE- I
AUTHORED AN EXTRA. YEARS AGO-
ONE TO REMOVE THE SUN AND TIE
LABEL WE WERE ULTIMATELY TO PUT
A SUNSET I REPEATS I THINK IT'S
A WAY OF TIME AWESOME WELL
WE'RE- GO RID OF THE SUNSET ON
ENTIRELY SO THANK FOR DOING A IS
A TOPIC PEOPLE. IT'S JUST IS
VERY MAD AND THAT PEOPLE WHO
INSURANCE.
OKAY WOULD YOU LIKE TO CLOSER
ANYTIME A VOTING ON SOMETHING
THAT BAD ASSEMBLY MEMBER GORDON
AND CENTER WIENER HAVE DONE THAT
AND I'M IN A GOOD PLACE FOR US
FOR A VOTE THERE YOU GO. AND
SECRETARY WILL CALL THE ROLL THE
MOTION IS TO PASS AS AMENDED OR
BE REFER TO THE COMMITTEE ON
APPROPRIATIONS. YEAH SENATORS
EGGMAN BY THE STATEMENT HI WHEN
I GLAZER AYE GLAZER AYE BINS ALL
. GONZALEZ I GROWTH. HER TADO.
MEMO LEMOND HI MY- MENJIVAR I
ROTH OKAY ROTH I GREW. RUBIO I
WILL. WIENER WIENER HI NINE THE
BILL HAS NINE TO ZERO WILL HOLD
A FOR THE UP MEMBERS THINKING.
THANKS AND I WILL NOT THAT THAT
ARE LAYING SAYS TO REAP THE- SO
I CAN I HAD TO GIVE SOME ABOUT
WORD. IN ORDER. THE SUNSETS ARE
NEGATIVE. I DON'T WANT TO GET
RID. OKAY SO YOU WE WANT TO GET
RID OF A LET'S SEE REPEAL DATE
REPEAL. FOR OKAY SO WE'RE STILL
FOR. HALL AND GROW FOR TENER
TAUGHT BUT THE REST OF YOU GOOD
SENATE. ARE TO WHAT WAS.
OKAY TO BE KIND AND OPEN HEARTED
LET US START SINCE A GROUP HAS
ARRIVED ON THE CONSENT CALENDAR
WAS MOVED TO THAT AB TWO EIGHTY
THREE AB TWO EIGHTY NINE AB
THREE SEVENTEEN AB TWELVE FORTY
ONE AB THREE EIGHTY SEVEN AB
TWELVE THIRTY THREE AB FOURTEEN
SIXTY SEVEN SECRETARY COULD YOU
CALL THE ROLL. SENATORS GROWTH
THANK YOU MADAM CHAIR FOR YOUR
CONTINUED GRACIOUSNESS AND MY
ABSENCES I WAS IN RULES I VOTE
BY GROVE HI THAT IS NOW TEN ZERO
WILL STILL HOLD IT OPEN FOR THE
ABSENT MEMBER CENTER WILL UP. I
AM NOW GOING IN FILE ORDER AB
SEVENTY NO ONE- FROM ASSEMBLY
MEMBER WEBER AND THAT IS TO PASS
AS AMENDED. CENTER GROVE I.
CRAIG- MOROTAI PROVIDE MOVING ON
- IN VOTER A EIGHT THIRTY NINE
ADDIS THAT IS TO PASS REFERRED
TO COMMITTEE ON HUMAN SERVICES.
SECRETARY GROW BY GROVE EYEING.
A B. NINE NINE FORTY EIGHT MATT
TO PASS AS AMENDED AND RE REFER
THE COMMITTEE AND- SECRETARY.
GROWTH HI GROW EYEING IS TEND
IS- WILL IT ONE MORE TIME AND WE
THINK THIS FOR. COMMITTEE
COMMITTEE. IF WHAT IS THE GOOD
PERSON OR WHAT TYPE OR HOP AND
HER. TO
THANK YOU AND EVERYBODY.
WELCOME AND WE HAVE A MEASURES
ON CONSENT. SUPER THE CONSENT
CALENDAR SECRETARY CALL THE ROLL
. LET ME KNOW IF. SENATOR
FURTADO I. PORTATO I THAT IS TEN
ELEVEN THAT IS A LEVEL LEVIN
DESERVE THAT- THE GOOD THING
CALENDAR IS OUT WILL HOLD THE
RULES OPEN A FEW MORE MINUTES
AND THEN MOVING ON AB SEVENTEEN
OH ONE WEBER THAT IS TO PASS AS
AMENDED SECRETARY. SENATOR HER
TADO I FURTADO I THINK WE'LL
HOLD THE ROLE OPEN AB EIGHT
THIRTY NINE AS A MEMBER AT AS
SUCH TO PASS REFER TO THE
COMMITTEE ON HUMAN SERVICES
SECRETARY SENATOR HER TADO I HER
TADO EYEING IN AB EIGHT NINE.
FORTY EIGHT BERMAN TO PASS AS
AMENDED AND REFERRED TO
COMMITTEE ON APPROPRIATIONS
SECRETARY SENATOR HER TADO AYE
FURTADO AYE MATE THAT IS ELEVEN
ZERO WE WILL HOLD THAT OPEN FOR
A REMAINING MEMBER THANK YOU
CENTER THAT THANK YOU COULD YOU
COULD CONCLUDE YOUR JOB
PRODUCING. GLOBAL CULTURE. THIS
.
YOU.
OKAY HERE WE GO- MEASURES ON
CONSENT FOR TODAY AB TWO EIGHTY
THREE PATTERSON AB TWO EIGHTY
NINE HOLDEN AB THREE SEVENTEEN
WEBER ABC TWELVE FORTY ONE WEBER
SB THREE EIGHTY SEVEN OKAY
AGUIAR-CURRY AB TWELVE THIRTY
THREE WALDRON AB FOURTEEN SIXTY
SEVEN SECRETARY PLEASE CALL THE
ROLL. SENATOR WILL HOP ON OR HOP
I TWELVE ZERO TWELVE ZERO AND
THAT MEASURE PASSES CLOSE THE
ROLES MOVING ON AB SEVENTEEN OH
ONE WEBER DO PASSED AS AMENDED
SECRETARY SENATOR WILL HOP HI
BOB I MEAN TWELVE ZERO THAT
MEASURES OUT AB EIGHT THIRTY
NINE ADDIS TO PASS AND REFERRED
COMMITTEE AND HUMAN SERVICES.
SENATOR WILL HOP HI BOB I THINK
IS ALSO TWELVE TWO ZERO THAT
MEASURES OUT AND AB NINE FORTY
EIGHT BERMAN TO PASS AS AMENDED
AND REFERRED TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY CENTER
WILL HOP ON HOP I. SPOKE AGAINST
THAT'S TWELVE AGAIN THAT MEASURE
IS OUT AND THAT CONCLUDES. THIS
SENATE. COMMITTEE ON HEALTH.