THAT'S THE SENATE HEALTH WILL
COME TO ORDER GOOD AFTERNOON WE
CONTINUE TO WORK IN THE PUB IN
AND BE OUR TELECONFERENCE LINES
WILL ALLOW SIX MINUTES FOR IN
PERSON TESTIMONY PER SIDE DON'T
FEEL OBLIGATED- INDIVIDUALS
WISHING TO PROVIDE PUBLIC
COMMENT BE A PHONE TODAY WHAT WE
STILL DO THAT YOU SIMPLY DOES
NOT SO WE'LL SEE HOW MUCH LONGER
WE DO IT IT IS 877-822-6816
THREE. AND THE ACCESS CODE IS.
SEVEN THREE SIX TWO EIGHT THREE
FOUR OKAY TODAY WE HAVE ELEVEN
BILLS ON OUR AGENDA EIGHT OF
THOSE BILLS ARE ON PROPOSED
CONSENT- OKAY SO LET'S LET'S
CALL THE ROLL JUST TO ESTABLISH
THAT WE DO NOT HAVE A QUORUM.
SENATORS EGGMAN HERE EGGMAN HERE
WHEN HERE GLAZER GONZALEZ GROVE
FURTADO ALONE MENJIVAR ROTH
RUBIO BOB WIENER. OKAY SO TAKE
THAT AS YOUR ROLE CALL COME ON
DOWN ALL RIGHT UP WE HAVE
ASSEMBLY MEMBER GIPSON WELCOME.
AND YOU ARE PRESENTING TO US
TODAY SB SIX THIRTY TO. HEALTH
CARE COVERAGE FOR PROSTATE.
THANK YOU VERY MUCH MADAM CHAIR
AND MADAME CULTURE THANK YOU
VERY MUCH FOR ALLOWING ME THE
OPPORTUNITY TO PRESENT IS THE
ONLY BE- SIX THIRTY TWO.
ASSEMBLY BILL SIX THIRTY TWO
WHICH WHICH SEEKS TO PROHIBIT
COST SHARING FOR PROSTATE
SCREENING FOR INSURERS
ENROLLEES. WHO ARE EITHER FIFTY
FIVE OR OLDER FIFTY FIVE OF
FIFTY FIVE OR AT LEAST FORTY
YEARS OF AGE CONSIDERED- AS HIGH
RISK. WAIT A MINUTE I. FIDONET
THAT THAT NUMBER FIFTY FOUR
OKAY- I WANT TO FIRST THANK THE
COMMITTEE- BUT WORK WITH MY
STAFF DILIGENTLY WORKING ON
MAKING IN ST ANNES BILL MAKING
THIS BILL- BETTER I WILL BE
ACCEPTING THE COMMITTEE- MEANT
RECOMMENDED AMENDMENTS PROSTATE
CANCER IS THE SECOND MOST
COMMON. CANCER IN AMERICA
AFFECTING ONE IN EVERY EIGHT MEN
. WHILE I FIT IN THAT CATEGORY.
OVER A TWENTY FIVE THOUSAND
PEOPLE WILL BE DIAGNOSED WITH
PROSTATE CANCER IN CALIFORNIA
THIS YEAR AND OVER FOUR THOUSAND
PEOPLE WATCH THIS WILL DIE OF
THIS DISEASE AFRICAN AMERICANS
ARE AT A HIGHER RISK TO DEVELOP
PROSTATE CANCER WHICH THE
DEMOGRAPHICS BEING 60% MORE
LIKELY TO DEVELOP PROSTATE
CANCER. THAN OTHER RACES.
WEIGHTS I FIT IN THAT CATEGORY-
OTHER AT RISK FACTORS INCLUDE
INCREASING AGE- GENETIC
MUTATIONS AND HAVING A FIRST
DEGREE RELATIVES WITH PROSTATE
CANCER. MY DAD DIED OF PROSTATE
. CANCER PROSTATE CANCER
SCREENINGS ARE EASY AND FAST AND
CAN BE DETECTED- EASY AND EARLY
MOST TREATABLE- STAGES WHICH
LOWERS THE MORTALITY RATES OF
THIS VERY CURABLE UNDERSCORE
CURABLE DISEASE CURRENTLY THE
COSTS OF SCREENINGS. DEFERRED
PEOPLE- FROM FINDING OUT OF FOR
FINDING PROSTATE CANCER AT EARLY
AGE ASSEMBLY BILL- SIX THIRTY
TWO AIMS TO REDUCE THE BARRIERS
OF RECEIVING THESE LIFESAVING
SCREENINGS WHICH WOULD HELP
REDUCE THE NUMBER OF PEOPLE WHO
DIE FROM THIS DISEASE. HERE WITH
ME TO PROVIDE SUPPORTING
TESTIMONY IT IS A VERY
COMPELLING- GERMAN WHO COME FROM
BOTH SMALL ASK HIM TO PLEASE
COME AND PLEASE- SELF
INTRODUCED- HE TESTIFIED
PREVIOUS AND PREVIOUS COMMITTEE
AND ALSO COURT COURTNEY- BRETT-
SHE IS THE ZERO PROSTATE. CANCER
PACIFIC NORTH WEST CHAPTER
DIRECTOR WHO ALSO TESTIFIED IN
SUPPORT OF ASSEMBLY BILL SIX
THIRTY TWO THANK YOU FIRST
PERSON PLEASE. A MAJOR BRING
BRING EXCUSE ME MAJOR FATIGUE.
BRAIN FOG MUSCLE LOSS. LOSS OF
HIGHER CARTY OF RISK A HIGHER
RISK OF OSTEOPOROSIS. AN
ADDITIONAL SEVENTY FIVE. SEVENTY
FIVE HUNDRED A YEAR THE MEDICAL
. THE MEDICAL EXPENSES. A
LIFESPAN MOST LIKELY CUT SHORT.
EMASCULATED DALY FROM INSIDE OUT
. WITH OTHER SIDE EFFECTS. I'M
SURE YOU DO NOT SEE THIS WITH ME
STANDING HERE AS AN ADVANCED
PROSTATE CANCER PATIENTS.
SPEAKING IN SUPPORT OF AB SIX
THIRTY TWO. IN FACT MY PROSTATE
CANCER WAS DIAGNOSED AT AGE
FIFTY THREE. BECAUSE OF A SELF
PROCURED LAB TESTS THAT INCLUDED
PSA SCREENING. SCREENING DENIED
HAS PREVENTED OF KERR. MY HEALTH
CARE PROVIDER I WENT BACK TO MY
DOCTOR WITH ELEVATED PSA RESULTS
. AND I WAS DIAGNOSED WITH
PROSTATE CANCER TWO MONTHS LATER
. I AM NOW FIFTY FIVE. IT MEANT
FOR ADVANCED PROSTATE CANCER. I
WISH I KNEW MORE. I WISH MY
DOCTOR HAD NO MORE I WISH MY
HEALTHCARE PROVIDER PRIORITIZE
PROSTATE CANCER SCREENING IS
PREVENTATIVE CARE. THE MAYBE I
WOULD HAVE CAUGHT IT EARLIER
WHEN THE DISEASE IS EASIER TO
TREAT MAYBE I WOULDN'T BE LIVING
WITH THE SIDE EFFECTS OF
TREATMENT FOR ADVANCED DISEASE
AS I DESCRIBE JUST A MOMENT AGO
. MY NAME IS JEFF MAY HAVE I AM
FROM FOLSOM AND THIS IS WHY I AM
HERE AND SUPPORT OF AB SIX
THIRTY TWO. I HAVE MADE IT A
PRIORITY TO SPREAD THE WORD
ABOUT SCREENING AND IT IN THE
COMMUNITY AND AMONG FRIENDS
INCLUDING A FAMILY FRIEND AN
AFRICAN AMERICAN MAN WHO IS
DIAGNOSED AND TREATED FOR HIGH
RISK DISEASE ONE YEAR. AFTER ME
. I APPRECIATE THE OPPORTUNITY
TO HELP MAKE CHANGES ON A LARGER
SCALE. AND AB SIX THIRTY TWO IS
ONE STEP TOWARDS MAKING
SCREENING. AND EARLY DIAGNOSIS
EASIER FOR THOSE AT HIGH RISK
ESPECIALLY AFRICAN AMERICAN MEN
AND ACTIVE DUTY AND RETIRED
MILITARY. MAN THAT I HOPE WON'T
HAVE TO FACE THE SAME CHALLENGES
I HAVE. AB SIX THIRTY TO ENSURE
THE PROSTATE CANCER SCREENING.
IS AVAILABLE TO THOSE WHO NEED
IT. FREE FROM UNNECESSARY
BARRIERS BETWEEN A MAN. AND A
FUTURE FREE FROM PROSTATE CANCER
. THANK YOU ASSEMBLY MEMBER
GIPSON. FOR YOUR LEADERSHIP ON
THIS ISSUE. INTO THE CHAIR
MEMBERS OF THE COMMITTEE FOR
YOUR TIME AND CONSIDERATION.
THANK YOU THANK YOU FOR SHARING
YOUR STORY WITH US. THANKS
SUPPORTER PLEASE. HI MY NAME IS
COURTNEY BRANDS AND I WOULD LIKE
TO GET MY TIME OVER TO DOCTOR
PETER BUT TEN AYE UROLOGIST WHO
SERVES PATIENTS AND A SAFETY NET
HOSPITAL IN SANTA CRUZ COUNTY.
30% THANK YOU MADAM CHAIR MADAM
VICE CHAIR ASSEMBLY MEMBER
GIPSON- THANK YOU ALL FOR THE
OPPORTUNITY. TO PRESENT THIS
LIFESAVING BILL TODAY AND IS
SUPPORTED. I'M A DOCTOR PETER
BRENTON I'M PAST PRESIDENT OF
THE CALIFORNIA OIL LOGIC
ASSOCIATION. AND I'M TESTIFYING
FOR ALL CALIFORNIA UROLOGISTS
AND THEIR PATIENTS MOST PAST
PRESIDENT OF THE CALIFORNIA
MEDICAL ASSOCIATION. I'M A
PRACTICING UROLOGIST. THE THREE
SAFETY NET HOSPITALS IN THE
SALAD BOWL OF AMERICA SANTA CRUZ
AND MONTEREY COUNTIES. AND I
TREAT PRIMARILY FARM LABORS AND
ON THESE ENDLESS SPEAKING
PATIENTS. I SPEAK IN VIGOROUS
SUPPORT OF THIS BILL BECAUSE IT
WILL HELP LIVES ASSEMBLY MEMBER
GIPSON SAYS SET. BY A TIMELY AND
EARLY DIAGNOSIS OF PROSTATE
CANCER SCREENING A SIMPLE VERY
SIMPLE BLOOD TESTS I WISH WOMEN
HAVE THIS BLOOD TEST FOR BREAST
CANCER MY MOM DIED OF BREAST
CANCER. TO BE PERFORMED IN HIGH
RISK PATIENTS IS ASSEMBLY MEMBER
GIPSON SAID SAID. AND ALSO
VETERANS AND SPECIFIC AGE GROUP
HIGH RISK PATIENTS MANY OTHERS I
SEE IN MY INDIGENT POPULATION
THAT I SERVE. THIS THE PROPOSED
ELIMINATION OF JUST SIMPLE
COPAYS WILL BENEFIT MARGINALIZED
GROUPS. AND EVEN GREATER WILL
HELP BENEFIT THEM THE BEST MOST
IMPORTANTLY IT WILL PREVENT
METASTATIC DISEASE AND
SUBSEQUENT GREATER COSTS OF THE
LAID CARE THIS IS A COST
EFFECTIVE. BILL DOESN'T COST THE
STATE ANYTHING AS WELL SO I
THOUGHT IT WAS INGENIOUS THE WAY
ASSEMBLY MEMBER- CONSTRUCTED
THIS BILL. THAT'S IT'S A VERY
COST EFFECTIVE AND EFFICACIOUS
HEALTHCARE METHOD TO SERVE ARE
INDIGENT HIGH RISK POPULATIONS
SPECIALLY IN THIS TIME. OF COST
CUTTING. WHILE I UNDERSTAND THE
PROFIT MOTIVES OF THE INSURANCE
COMPANIES THAT HAVE RESISTED
THIS BILL TODAY. BUT BASED ON MY
PERSONAL EXPERIENCE AND MORE
IMPORTANTLY THE EXPERIENCE
SUBMITTED FROM DATA FROM THE
CALIFORNIA UROLOGIC SOCIUS IN
OUR NATIONAL AMERICAN UROLOGICAL
ASSOCIATION AND THE CANCER
SOCIETY'S THEY HAVE VERIFIED
THAT LACK OF PSA SCREENING
BECAUSE OF SOME RECOMMENDATIONS
IN THE PAST PAST FIVE YEARS. WE
ARE SEEING INCREASED METASTATIC
DISEASE WE ARE SEEING NEEDLESS
DEATHS. SO PLEASE THIS IS A VERY
COST EFFECTIVE BILL IT'LL
PREVENT METASTATIC DISEASE AND
LOSS OF LIVES HELP US HELP YOU
SAY. PATIENTS IN OUR GREAT
SOCIETY HERE IN CALIFORNIA
BECAUSE WE HAVE EXPANDED.
MEDICAID MEDICARE AL MORE THAN
ANY OTHER STATE AND I'M PROUD
WITH ABOUT OUR GOVERNOR HAS DONE
WITH HEALTHCARE. INCLUDE INCHING
CLOSER TO UNIVERSAL HEALTH CARE
MORE THAN ANY OTHER STATE IN THE
UNION. SO PLEASE SHARE WITH ME-
ASSEMBLY MEMBER GIPSON STICK.
THANK YOU THANK YOU. OKAY ELSE
IN THE ROOM SHE CAN SUPPORT
TODAY NOW IS JUST YOUR NAME AND
AFFILIATION POSITION ON THE BILL
. MY NAME'S DR ALEXANDRA JOHNSON
I'M A GENERAL SURGERY RESIDENT
HERE IN SACRAMENTO AND ON BEHALF
OF THE NATIONAL AMERICAN COLLEGE
OF SURGEONS AND ALL THREE
CALIFORNIA CHAPTERS OF ECS WE
ARE IN SUPPORT OF THIS BILL
THANK YOU THANK YOU. OKAY SING
NO OTHERS APPROACHING LIKE AT
THIS TIME NOW ANYBODY'S IN
OPPOSITION TO THIS BILL TODAY
NOW'S THE TIME TO COME FORWARD.
SEEING NONE WILL GO TO THE PHONE
LINES. COOPERATORS ARE ANYBODY
ON THE PHONE WISHING TO SPEAK IN
SUPPORT OR OPPOSITION. TO AB SIX
THIRTY TWO. THANK YOU FOR
SUPPORT THIS TO AB SIXTY THREE
TWO PLEASE PRESS ONE AND ZERO AT
THIS TIME. WE'LL GO TO LINE. ONE
EIGHTY THREE. GOOD AFTERNOON
CHAIR AND MEMBERS MY NAME IS
SANDRA POOL ON BEHALF OF WESTERN
CENTER ON LAW AND POVERTY IN
SUPPORT OF THIS BILL. THANK YOU
. NEXT CALLER. MADAM CHAIR NO
FURTHER COMMENT SECURE AT THIS
TIME. OKAY THANK YOU VERY MUCH
NOW WOULD BE THE TIME TO BRING
IT BACK TO THE COMMITTEE. FOR
ANY QUESTIONS COMMENTS OR GROWTH
THANK YOU THANK YOU MADAM CHAIR
THANK YOU FOR BRINGING THIS BILL
FORWARD I DO HAVE A COUPLE
QUESTIONS JUST BECAUSE THAT
WITNESS THAT YOU BROUGHT FORWARD
THE UROLOGIST THAT TREATS
INDIGENT POPULATION AS HE SAYS.
AND I BELIEVE HE SAID
SPECIFICALLY FARMWORKERS AND-
THOSE UNDERSERVED- D. IS SERVICE
THIS ITEM IS COVERED BY MEDICARE
L. CORRECT YES AND- THE IS THERE
AN ADEQUATE REIMBURSEMENT RATE
FOR THIS OR- IS THAT SOMETHING
THAT NEEDS TO BE ADDRESSED YES.
AND THIS BILL DOES NOT REFLECT-
ANYTHING TO DO WITH MEDIC
CALLAGY IS FORCED NOT FORESEEN
BUT REQUIRING THE PLANS TO
PROVIDED AT NO DEDUCTIBLE IS
CORRECT OKAY THANK YOU.
DISCREETLY YES I. BUT THE CO.
THE END POPULAR. WOULD RATHER
HAVE DINNER THAT DAY THEN PAY
TWENTY TO FORTY DOLLARS MAYBE
EIGHTY DOLLARS FOR A PROSTATE
CANCER SCREENING BILL YOU'RE
ASKING THEM TO GIVE UP FUTURE
LIFE FOR POSSIBILITY OF THE MAIL
THAT DAY. I THINK THAT'S AND
JUST THIS ISN'T COST THE STATE.
THANK YOU VERY MUCH I JUST AT.
AYE THAT'S NOT THE QUESTION I
ASKED I ASKED IF THE MEDICARE
REIMBURSEMENT RATE WAS
ADEQUATELY REIMBURSED. FOR YOU
TO PROVIDE THAT SERVICE TO
PEOPLE WHO DON'T HAVE INSURANCE
OR INSURANCE PLANS. AS YOU KNOW
ME- MADAM. CHAIR THIS.
MEDICARE'S GROSS. GROSSLY UNDER
- PAID BUT WE DO IT. AND WE DO
IT TO COVER EVERYTHING WE PICK
IT UP WE ASK FOR SUBSIDIES MEDIC
CAL. ALL I CAN ANSWER THAT WITH
A GENERAL QUESTION MEDIC CAL IS
PAYING ABOUT 30% OF WHAT
MEDICARE PAYS THAT SHOULD SAY
ENOUGH YEAH THANK YOU SIR JUST.
TRYING TO MAKE A POINT IN SOME
BILL BUT I LOVE YOUR SO I'LL
MOVE YOUR BILL WHENEVER TIME
THANK YOU VERY MUCH SORRY. MY
POINT. WOULD YOU LIKE CLOSENESS
TO YES- THANK YOU VERY MUCH ONE
OUR WITH. AND ALL- MAY HACK OF
HIS TEST. HARD MOVE TO TOUCH.
AGAIN WHAT I WAS READING THIS
BILL THEN WHEN I CAME UP THIS
BILL. HI FALL THESE THESE
DEMOGRAPHICS AND CERTAINLY- TO
REMOVING THE COST BARRIER WILL
GO A LONG WAY FOR PEOPLE WHO ARE
STRUGGLING TO MAKE ENDS MEET. IF
YOU HAVE TO GET A SECOND OR ANY
OTHER KIND OF TEST YOU WOULD
THINK TWICE BECAUSE A LOT OF
PEOPLE DON'T HAVE TO SUPPOSED TO
INCOME TO SITTING AROUND. IN
ORDER TO PAY FOR IT AND SO I
THINK WE SHOULD GO A STEP
FURTHER TO ONE MAKING SURE THAT-
WEEKEND- TO PROVIDE THE
RESOURCES WERE REMOVED BARRIERS
FOR THIS TREATABLE AND CURABLE
DISEASE I RESPECTFULLY ASK. WHAT
I VOTE THANK YOU VERY MUCH. VERY
IMPORTANT ISSUE- AND WE WILL
TAKE THAT UP WHEN. WE A CORE
THANK YOU SO.
THANK YOU MR ONE HERE. LET'S
MOVE ON TO AB EIGHT NINE THIRTY
ONE. THREE TWO WE DON'T HAVE A
QUORUM BUT WE ARE ENCOURAGING
MEMBERS OF THE HEALTH COMMITTEE
TO COME TO THE HEALTH COMMITTEE
ROOM. THANK YOU I WAS HIDING
BEHIND THE POLICE ARE YOU I JUST
WANTED TO MAKE SURE THE
WALLFLOWER THANK YOUR STYLE.
WELL GOOD AFTERNOON MADAM CHAIR
AND MEMBERS I AM PLEASED TO
PRESENT TO AB NINE THREE ONE
TODAY I WOULD LIKE TO BEGIN BY
ACCEPTING THE COMMITTEE
AMENDMENTS. AS A PATIENT LOOKS
TO GET PHYSICAL THERAPY
TREATMENT THEIR DOCTOR HAS
PRESCRIBED A FREQUENT BARRIER
THAT THEY RUN INTO. FROM THEIR
INSURER IS DELAY FOR PRIOR
AUTHORIZATION A SURVEY BY THE
AMERICAN PHYSICAL THERAPY
ASSOCIATION SAW THAT OVER 25% OF
THERAPISTS REGULARLY WAIT FOR
OVER A WEEK FOR PRIOR
AUTHORIZATION DECISIONS FROM THE
INSURANCE COMPANIES THESE DELAYS
CAN LEAVE PATIENTS SUFFERING
FROM PAIN AND REDUCE MOBILITY
WHILE THEY WAIT FOR THEIR
INSURER TO GRANT THEM THE CARE
THEY NEED TO FIND RELIEF. ATIONS
IN CHRONIC PAIN OFTEN ARE FORCED
TO CONTINUE THE USE OF PAIN
KILLERS AS THEY WAIT FOR PRIOR
AUTHORIZATION AND OTHER PATIENTS
MAY GIVE UP ON THEIR COURSE OF
CARE IMMEDIATELY- ENTIRELY AB
NINE THREE ONE WOULD AVOID THESE
NEGATIVE OUTCOMES FOR PATIENTS
BY PREVENTING INSURERS FROM
REQUIRING PRIOR AUTHORIZATION
FOR THE FIRST TWELVE PHYSICAL
THERAPY VISITS. RELATED TO A NEW
EPISODE OF CARE IN DOING SO THIS
BILL REMOVES UNNECESSARY
RESTRICTIONS CREATED BY THE
DENIAL OF CARE AND CONSTANT
REVIEWS FOR MEDICALLY NECESSARY
PHYSICAL THERAPY TREATMENT I
WOULD LIKE TO EXPRESS
APPRECIATION TO ALL THE
STAKEHOLDERS FOR ENGAGING IN
PRODUCTIVE CONVERSATIONS. WITH
MY STAFF ON A PATH FORWARD WITH
THIS BILL AND I LOOK FORWARD TO
CONTINUING THOSE DISCUSSIONS
WITH ME TO TESTIFY TODAY. IN
SUPPORT IS RICK KATZ PRESIDENT
OF THE CALIFORNIA PHYSICAL
THERAPY ASSOCIATION AND PAUL
GASPER ON BEHALF OF THE
INDEPENDENT PHYSICAL THERAPISTS
OF CALIFORNIA. THANK YOU.
ASSEMBLY PLEASE. HI GOOD
AFTERNOON MY NAME IS RICK CATS
ON THE DOCTOR PHYSICAL THERAPY
AND PRESIDENT OF THE CALIFORNIA
PHYSICAL THERAPY ASSOCIATION.
AND WE REPRESENT OVER TEN
THOUSAND PHYSICAL THERAPIST
PHYSICAL THERAPIST ASSISTANTS
AND PHYSICAL THERAPIST STUDENTS
ENROLLED IN PHD PROGRAMS. IN
EIGHTY NINE THIRTY ONE IMPROVES
ACCESS AND REDUCES DELAYS IN
CARE FOR PATIENTS RECEIVING
PHYSICAL THERAPY. IN RECENT
YEARS WE'VE SEEN INCREASES IN
HEALTH CARE REVIEW DECISIONS ON
VIA COMPUTER ALGORITHMS THAT DID
NOT PROPERLY RECOGNIZE THE
TRAINING AND OPINION OF
PHYSICIANS. AND OTHER HEALTH
PROFESSIONALS TO ASSESS THE NEED
FOR THE DURATION OF CARE BASED
UPON INITIAL EVALUATIONS. IN
FACT A DATA REVIEW FROM ONE
POINT TWO MILLION CASES FROM THE
NATION'S LARGEST ELECTRONIC
MEDICAL RECORDS. PROVIDER FOR
PHYSICAL THERAPY SHOW THAT THE
STANDARD APPROVAL RATE WAS THREE
POINT EIGHT VISITS PER EACH
REQUEST. AND THIS IS DONE VIA
COMPUTER PROGRAM NOT BY
INDIVIDUALS REVIEWING THAT.
WHILE THERE WAS A STANDARD
APPROVAL OF OVER TEN VISITS WHEN
THE REVIEW WAS DONE BY AN
INDIVIDUAL AND- PROVIDER. THE
OPPOSITION TO THIS BILL STATES
THAT IS NECESSARY FOR THE
INSURERS TO BE INVOLVED EARLY IN
THE AUTHORIZATION PROCESS TO
ENSURE THE PROPER CARE IS
DELIVERED. THEY'RE ESSENTIALLY
STATING THAT THE INSURER NEEDS
TO ESTABLISH MEDICAL NECESSITY
BASED ON A COMPUTER ALGORITHM.
BECAUSE A PHYSICIAN AND A DOCTOR
OF PHYSICAL THERAPY ARE. UNABLE
TO MAKE THAT DETERMINATION ON
THEIR OWN. ASIAN WHO HAS A THE-
PHYSICAL THING. BENEFITS AND THE
OPINION OF MULTIPLE HEALTH CARE
PROFESSIONALS SHOULD NOT BE
DENIED CARE OR HAVE CARE DELAYED
BECAUSE OF THE COMPUTER
ALGORITHMS IN PLACE. THE
REPEATED SUBMISSION OF
AUTHORIZATION REQUESTS THE
LADIES CARE CREATES GREAT
FRUSTRATION FOR THE PATIENT
PROVIDER ADMINISTRATIVE BURDEN.
THIS BILL WOULD NOT LIMIT
INSURERS ABILITY TO REMOVE THE
PROVIDER FOR THEIR NET FROM
THEIR NETWORK FOR DEMONSTRATING
PATTERNS OF OVER UTILIZATION.
THIS BILL ALLOWS CARE TO BE
DELIVERED WITHOUT THESE
UNNECESSARY DELAYS DELAYS.
PUBLISHED STUDIES AND MUSCO
SKELETAL MEDICINE SHOW THAT COST
CAN BE AS MUCH AS 75% HIGHER
WHEN ACCESS TO PHYSICAL THERAPY
IS DELAYED. THESE ADDED COSTS OR
TRIBUTE TO INCREASE OPIOID USE
SURGERIES DIAGNOSTIC TESTING AND
ADDITIONAL PHYSICIAN VISITS. AND
ATTEMPTED ROLL OUT OF ONE OF
THESE RESTRICTIVE UTILIZATION
MANAGER PROGRAMS FOR PHYSICAL
THERAPY IN CALIFORNIA BACK IN
TWENTY NINETEEN. RESULTED IN
FIFTY ONE PATIENT COMPLAINTS TO
THE DEPARTMENT MANAGED
HEALTHCARE BEFORE THE SURE HAD
TO PULL BACK IMPLEMENTATION THE
PROGRAM. AND THIS OCCURRED
WITHIN A VERY SHORT PERIOD THE
PLAN ROLLOUT SHOW THAT 1100% OF
THE REQUEST FOR CARE REVIEW.
WHICH BASICALLY SAYS THAT THE
PHYSICIAN AND PHYSICAL THERAPIST
COULDN'T DETERMINE WHAT THE. THE
FREQUENCY AND DURATION OF CARE
SHOULD BE. AIR PROVED AN AVERAGE
OF THREE EIGHT VISITS PER. THE
ONLY IMPACT THIS WAS A DELAYED
IN ACCESS TO CARE AND PATIENT
COMPLAINTS. AND KNOW THAT THESE
REQUESTS FOR CARE RECEIVED
REVIEWS WERE NOT PERFORMED BY
APPEAR PROVIDER THEY WERE DONE
BY A COMPUTER ALGORITHM.
ALLOWING A PAYER TO RATION TO
PATIENTS BENEFITS DOES NOT
INSURE THAT THEY RECEIVE
APPROPRIATE CARE HE JUST
CONTRIBUTES TO THEM NOT
RECEIVING THE CARE THAT HAS BEEN
DEEMED MEDICALLY NECESSARY. THE
OPPOSITION ALSO STATES THIS BILL
WOULD. ALLOW FOR UNFETTERED
ACCESS TO CARE SEEN A PATIENT
FOR TWELVE VISITS. IS FAR FROM
BEING UNFETTERED ACCESS. OUR
GOALS TO TREAT PATIENTS AND GET
THEM AS INDEPENDENT AS POSSIBLE
AND THEN DISCHARGE THEM. IN FOR
WE HAD AND HAVE THE MANAGER
THEIR CONDITION ON THEIR OWN WE
HAVE DOZENS OF PATIENTS WAITING
IN A WAITING ROOM TO HAVE CARE
SO THERE'S NO INCENTIVE FOR US
TO CONTINUE TO SEE A PATIENT. IF
THEY DON'T NEED CARE. IT NOT
MAKE HAVE DISNEY. MAKE ANY TO
HAVE A P. T. TREATING NEWLY
INJURED INDIVIDUAL WITH A SPINAL
CORD INJURY. THEY HAVE TO SUBMIT
REQUESTS FOR CARE FOR EVERY
THREE VISITS AND THIS IS A CASE
HAS OCCURRED IN SOME OF THE
REHAB HOSPITALS. IN CALIFORNIA.
CPJ HAS ENGAGED IN THE MAAC
INCONJUNCTION WITH OUR
COLLEAGUES FROM THE INDEPENDENT
PHYSICAL THERAPISTS OUT OF
CALIFORNIA. TO HELP ADDRESS THE
ISSUES THAT EXIST WITH DELAYED
ACCESS AND DELAYED THE
AUTHORIZATIONS. BUT THEIR
ABILITIES ARE LIMITED BASED UPON
CURRENT LAW. THIS BILL
DIMINISHES THE NEED FOR PATIENT
TO FILE A COMPLAINT IN ORDER TO
ACCESS CARE THAT IS MEDICALLY
NECESSARY. AND COVERED IN THEIR
BENEFIT PLAN. THANK YOU LEAVING
YOUR COLLEAGUE LISTEN A MINUTE
TO TESTIFY. AND I AM DONE I URGE
YOU TO SUPPORT IT NINE THIRTY
AND I APPRECIATE THE- MEMBER-
WONDERING IF THE FOR THANK YOU
VERY MUCH. ABOUT FORTY SAID LEFT
. YES DOCTOR PAUL GASPAR FROM
THE INDEPENDENT PHYSICAL
THERAPISTS OF CALIFORNIA. I'M
HERE TODAY BECAUSE I WAS THE ONE
TO HELP MINE THE DATA REGARDING.
THE CONSTRAINING OF THE PHYSICAL
THERAPIST SERVICES SOMETIMES
KNOWN AS RATIONING. MY OPINION
IS OVERALL THAT CPK IS PRETTY
MUCH OVER THE TARGET WITH THE
TWELVE VISIT SOUTH STE. THE
STANDARD DEVIATION WITH THE
AVERAGE VISITS IS REALLY HIGH
THOUGH SO SOME PRACTICES LIKE
MINE- C. FOURTEEN OR FIFTEEN
VISITS ON THE AVERAGE BECAUSE WE
TREAT A LOT OF VERY INVOLVED
PATIENTS UNDERSERVED PATIENTS.
PATIENTS WITH VERY COMPLEX.
CONDITIONS THINGS LIKE THAT. AND
SO- WHAT WE'RE WHAT WE'RE TRYING
TO DO HERE IS- TRYING TO MAKE
SURE THAT- PHYSICAL THERAPISTS
AND DOCTORS ARE THE ONES THAT
ARE MAKING THE CALL NOT
COMPUTERS AND NOT JUST THE SAME
NUMBER OF. VISITS RATIONED OUT
EVERY OKAY TWO WEEKS THANK YOU
THANK YOU VERY MUCH. ANYBODY
ELSE SPEAKING IN SUPPORT OF THIS
MEASURE NOW IT'S TIME TO COME
FORWARD JUST NAME AND
AFFILIATION.
PAUL SMITH PRACTICING PHYSICAL
THERAPIST IN FRESNO CALIFORNIA.
THANK YOU IN SUPPORT. ABSOLUTELY
THANK YOU THANK YOU VERY MUCH.
OKAY SEE NOBODY ELSE ANYBODY
SPEAKING IN OPPOSITION TO THIS
BILL TODAY.
GOOD AFTERNOON MADAM CHAIR
MEMBERS OF THE COMMITTEE JEFF
HANSON CALIFORNIA ASSOCIATION
HEALTH PLANS I WITH OPPOSE
UNLESS AMENDED POSITION ON THE
BILL- CALIFORNIA ASSOCIATION
HEALTH PLANS REPRESENTS FORTY
FOUR HEALTH PLANS ACROSS THE
STATE THAT COVERING NEARLY
TWENTY MILLION PEOPLE. HOW WE DO
SINCERELY I WANNA START WITH
SINCERELY THINKING THE AUTHOR
AND THE SPONSORS- THE OTHER
STAFF AND COMMITTEE STAFF- WE
HAD- ONGOING CONVERSATIONS ON
THIS BILL AND SOME REALLY
PRODUCTIVE CONVERSATIONS OVER.
SHIP OF THE AUTHOR- WILLING TO
US OF AMERICA AND I HOPE TO
CONTINUE CONVERSATIONS MOVING
FORWARD- HOWEVER WE ARE OPPOSE
UNLESS AMENDED EIGHTY NINE
THIRTY ONE- PRINCIPALLY BECAUSE
THIS BILL EXEMPTS CERTAIN
PROVIDERS FROM SEEKING PRIOR
AUTHORIZATIONS FOR PHYSICAL
THERAPY SERVICES FRONT TWELVE
VISITS. AS YOU KNOW MADAM CHAIR
ADDED IN A LOT OF STASHING THIS
COMMITTEE THIS YEAR ON PRIOR
AUTHORIZATION AS A WHOLE- WE
REALLY APPRECIATE YOUR WORK IN
AND IN CONSIDERATION OF THE
ISSUE AND KNOW THAT WE'RE GONNA
BE WORKING ON THIS MORE MOVING
FORWARD- THE ULTIMATELY WE DO
BELIEVE THAT PRIOR AUTHORIZATION
SERVICES A CRITICAL FUNCTION
WITHIN THE HEALTH CARE SYSTEM.
AS ALLOWS HEALTH PLANS INSURERS
THE OPPORTUNITY TO EVALUATE
SPECIFIC SERVICES ENSURE THAT
THEY'RE NOT ONLY MEDICALLY
NECESSARY. OF A CONSISTENT WITH
APPROPRIATE CLINICAL CARE
GUIDELINES AS WITH ALL THOSE
SEEKING TO REMOVE PRIOR
AUTHORIZATION RATHER UTILIZATION
CONTROLS FOR A PARTICULAR
SERVICE. WE ARE CONCERNED THAT
THIS BILL MAY RESULT IN PATIENTS
RECEIVING UNNECESSARY OR
INAPPROPRIATE CARE I INTENSELY
DRIVING UP COSTS AND HEALTHCARE
SYSTEM. THAT'S A FOR THE THESE
REASONS WE ARE PO'S- AND LESS
AMENDED TO THE BILL- BUT AGAIN
LOOK FORWARD TO WORKING WITH THE
AUTHOR TO ADDRESS OUR CONCERNS
ON THE BOARD THANK YOU VERY MUCH
. NEXT ANYONE CAN SOMEBODY OF
THIS OF CALIFORNIA LIE AND
HEALTH. COMPANIES THAT TO ECHO
COLOR COMMENTS IN INTEREST TIME
BUT ALSO THINK THE AUTHOR
SPONSORED THE COMMITTEE WORKING
ON CEMENT TO ADDRESS THE OUT OF.
PIECE BUT THAT'S GENERALLY A
BECOMES. THAT WITH THAT LOOK FOR
IT IN THE FUTURE. THANK YOU.
THANK YOU VERY MUCH JIM SPEAKING
AND UP. AT THIS TIME COME.
SEEING NONE GO TO THE PHONE
LINES. MODERATORS OR ANYBODY ON
PHONE LINE. AT THE SUPPORT UP
THE- OF- EIGHTY NINE ONE THIS
PRESS TO IT START. THE TO LINE
ONE EIGHT SIX- HE- AND ONE EIGHT
SIX GRANT. THANK YOU THIS IS A
LIST. PRESIDENT AND CEO OF THE
CALIFORNIA CARE. IN THANK YOU.
THANKS CALLER. ONE MOMENT PLEASE
. THIS OF. PLEASE DO WE REALLY
OFF. SEVEN STATE FARM ALL PLEASE
.
THURMOND FOR SOMEBODY. AB ONE
EIGHTY NINE PLEASE GO AHEAD OKAY
. THE MORNING YOU KNOW YOUR LINE
IS OPEN NOW. MAXINE MAN UNDER OF
THE NOW MULTIPLE. SOCIETY IN
SUPPORT OF THE BILL. THANK YOU
THANK YOU MADAM CHAIR NO FURTHER
COMMENT SECURITYTRACK THANK YOU
VERY MUCH WE'RE GONNA BRING IT
BACK TO THE COMMITTEE NOW AND I
JUST WANT TO. WE HAD ASKED YOU
ABOUT SIX VISITS VERSUS TWELVE
AND YOU SAID TWELVE HELLO I
DON'T KNOW IF YOU'VE BEEN A
PHYSICAL THERAPY FOR BUT I
HAVEN'T WHO DOES TWELVE WELL
THIS IS- BASICALLY WHAT THE DATA
CAME UP WITH THAT FROM THE
PHYSICAL THERAPIST SAID THEY
THOUGHT TWELVE PLAYS IS THE
AVERAGE AMOUNT OF POINTS THAT
WERE NEEDED AND OBVIOUSLY THE
OPPOSITION IS LOOKING FOR A
DIFFERENT AMOUNT WE HAVE AS YOU
HEARD FROM THE OPPOSITION WE
HAVE BEEN WORKING. DILIGENTLY
WITH THEM AND WE HAVE TAKEN A
NUMBER OF THE AMENDMENTS AND
WERE STILL WORKING ON PERHAPS A
HAPPY MEDIUM BETWEEN THAT THE
INSURERS AND THE PHYSICAL
THERAPIST. OKAY SO. NINE MS
GROSS TO NEGOTIATE FOR THE DYESS
THE SENATE WOULD THAT ARE HERE
NOW. BUT I TRUST THAT CAN TO
WORK- HAS. AND THE OTHER THING
THAT WE DID TO TWO AND A- THAT
THERE'S NO GONNA BE SOME KIND
NOTED WHEN SOMEBODY SAYS OKAY
GONNA GET IT WITHOUT PRIOR AUTH
THAT YOU MAY NOT GET THE
AUTHORIZATION AND THEN THE- BUT
**** KLEIN IS POTENTIALLY ON THE
HOOK LINE FOR THAT AND WE
APPRECIATE THOSE AMENDMENTS AND
AS I MENTIONED WE ARE TAKING ALL
THOSE AMENDMENTS AND THAT'S
ALONG THE LINES OF THE OUR- OUT
OF NETWORK ISSUE. OKAY THAT WE
THINK THAT HAS BEEN RESOLVED
OKAY. THANK. YOU ANY OTHER
QUESTIONS CONCERNS. TOTAL WENT.
EIGHT I ALSO ONE AFTER THE CHAIR
I THINK THE- BE A HAPPY ME. I
THINK TWELFTH IS. POLY MORE OF
THE- SERIOUS. NOT EVERYBODY. ALL
THOSE YEARS CASE AND SON JUST
WENT TO CHRIS. THERAPY FOR HIS
ELBOW BECAUSE OF- I NEED LIKE.
THREE OF THEM. A VISITS. SO I
THERE'S THERE COULD BE A- NEW.
SO THAT YOU CAN TO ON AND
CONSIDER. ABSOLUTELY AND- YOU
KNOW WE WILL HAVE A LOT OF
ANECDOTAL DATA AND WE JUST NEED
TO LOOK AT WHAT IS THE AVERAGE
AMOUNT BUT THE MAIN THING IS.
THAT THERE ARE LARGE COST TO
DELAYING CARE AND SO WE WANT TO
MAKE SURE THAT- THE PT'S ARE
ABLE TO START THEIR CARE RIGHT
AWAY. AND THEN FIGURE OUT WHAT
IS A GOOD NUMBER IS THERE. YEAH
NO I. TOTALLY IN AGREEMENT WITH
YOU ON THAT THE DELAYS EVEN A
COUPLE DAYS OR SEVEN DAYS IS
NOT. GOOD FOR THE PATIENT SO I
COMPLETELY UNDERSTAND THAT PART.
BUT I'D LIKE THIS IS GOING BACK
TO HIS I THINK TWELVE MIGHT BE
MORE OF A SERIOUS CASE THAT'S
GONNA LAST A LOT LONGER- THAN
MOST OF THE AVERAGE CASES. BORE
INJURIES AS SHE TAKES. INJURIES
AND WILL TO. CAN TO WORK ON THAT
THANK YOU OKAY. WE TRIED TO
CLOSE. HIS FIRST ASK RIVAL OKAY
WE WILL WE STILL DON'T HAVE A
QUORUM YEAH WE WILL. IS THERE A
MOTION FOR WHEN WE HAVE A CO.
CENTER WIENER MOVE SO WHEN WE DO
HAVE A QUORUM WE A MOTION THANK
YOU VERY MUCH THANK YOU VERY
MUCH. THAT WE'RE LOOKING FOR
ASSEMBLY MEMBER MAIENSCHEIN AS
WELL AS THE REST OF OUR ASSEMBLY
HEALTH COMMITTEE MEMBERS. SENATE
SENATE. ASSEMBLY MEMBER TO
PRESENT SENATORS TO SERVE MUCH
PRESENTING EVAN RIGHT NOW. AND
WE'RE GONNA GIVE AT LEAST ONE
MEMBERS WE GET. GOING TO.
WORKING WITH OKAY.
TWENTY SEVEN. THE ONES THAT. FOR
MORE. HE'S PRESENT. OKAY.
WE'RE GOING TO HAVE THE
SECRETARY CALL THE ROLL WE CAN
ESTABLISH A QUORUM SUBSIDED
CENTER LAMONT. SAN GLAZER AND
GROWTH HERE GROWTH HERE HER TOP
. LIMON LIMON HERE OUR TOP HERE
. MY ROSS ROSS HERE RUBIO WHAT
HAAB WE. BROTHER WINNER PRESS
AND RIGHT ON TIME HERE COMES OUR
LOW PRESENTER AND WE HAVE A CORE
. WELCOME THANK YOU VERY MUCH-
MADAM CHAIR- I WAS PRESENTING A
BILL IN WHICH AND I NOT SITTING
AROUND WAITING FOR SENATE BILL-
AND I WANT TO BE BY THE MEMO
LISTA IN THE NOW AB TWO EIGHTY
FIVE AND IRAN HERE SAYS WHY I'M
OKAY A LOT OF PRESS IT'S NOT MY
BILL THAT WAS IT THE TOUGH FOR
IS FAR ENOUGH THAT I THINK A
LEGITIMATE I'M OUT OF BREATH
OKAY. JUST CHECKING ON THAT I'M
NOT I'M NOT OVERLY ABOUT A OUT
OF BREATH.
LOS AND ACCESS TO CARE HEALTH
COSTS FOR MEDICAID BENEFICIARIES
EXPERIENCING CHRONIC
HOMELESSNESS AVERAGES OVER
THIRTY THREE THOUSAND DOLLARS A
YEAR IN OVER A HUNDRED THOUSAND
DOLLARS PER PER PERSON FOR
FREQUENT HOT HOSPITAL USERS
HOUSING SUPPORT SERVICES HELP
PEOPLE ACCESS HOUSING REMAIN
HOUSED IN OUR CENTRAL FOR
INDIVIDUALS EXPERIENCING
HOMELESSNESS TO ACCESS
MEANINGFUL CARE. TWO YEARS AGO
DH CS SHARED AN INTENT TO MAKE
HOUSING SUPPORT SERVICES A
MEDICAL BENEFIT FOR CALIFORNIANS
EXPERIENCING HOMELESSNESS BY
TWENTY TWENTY FOUR AB TEN EIGHTY
FIVE REQUIRES THE DEPARTMENT TO
BEGIN THE PROCESS TO MAKE THIS
BENEFIT A REALITY WITH ME TO
TESTIFY IN SUPPORT. OUR LINDA.
KNIGHT FROM THE WESTERN CENTER
ON LAW AND POVERTY AND NOR TO
STORM FROM E. H. HOUSING AND I
RESPECTFULLY REQUEST DRIVE UP.
THE FIRST PERSON PLEASE GOOD
AFTERNOON WINDOW A WITH WESTERN
CENTER ON LAW AND POVERTY PROUD
CO SPONSORS OF AB TEN EIGHTY
FIVE WHICH BUILDS UPON THE
INVESTMENTS TO HOMELESSNESS TO
HELP DOLLARS BY MAKING HOUSING
SUPPORT SERVICES A MEDIC CAL
BENEFIT HOUSING SUPPORT SERVICES
INCLUDE SERVICES THAT CONNECT
INDIVIDUALS TO HOUSING. ONE TIME
DEPOSITS AND TENNESSEE SUPPORT
SERVICES TO KEEP PEOPLE STAPLEY
HOUSE CURRENTLY MEDICARE PLANS
MAY OFFER A RANGE OF HOUSING
SUPPORT SERVICES TO PEOPLE
EXPERIENCING OR AT RISK OF
HOMELESSNESS. UNDER CALLIE THIS
PLAN OPTION CAN MAKE BOTH
ELIGIBILITY AND ACTUAL SERVICES
INCONSISTENT AND INEQUITABLE
DIFFICULT TO ADMINISTER AND
OFTEN TIME LIMITED THIS BILL
WOULD MAKE HOUSING SUPPORT
SERVICES A MEDIC CAL BENEFIT
WHICH WOULD REDUCE THE VARIATION
BY SETTING A STANDARD
ELIGIBILITY. CRITERIA APPLIED
STATEWIDE AND ALLOW PROVIDERS TO
MORE EASILY ACCESS A STABLE
SUSTAINABLE SOURCE OF FUNDING
FOR HOUSING SUPPORT SERVICES.
THIS BILL WOULD OPEN ALSO OPENED
THE DOORS TO SIGNIFICANT FEDERAL
FUNDS WITH UP TO A 90% MATCH
RATE THAT WE'RE CURRENTLY
LEAVING ON THE TABLE. A BENEFIT
IT'S AN APPROACH THAT HAS
ALREADY BEEN PROVEN EFFECTIVE IN
TWENTY OTHER STATES AND I URGE
YOUR AYE VOTE WHICH IS- ON THIS
BILL WHICH IS ENJOYED BIPARTISAN
SUPPORT ON THE ASSEMBLY THANK
YOU. THANK YOU VERY MUCH NEXT
PERSON PLEASE. GOOD AFTERNOON. A
MY NAME IS MARCUS I AM A BIT
DEVELOP MANAGER FOR E. H.
HOUSING- AT U. H. HOUSING AS ONE
OF THE LARGEST AFFORDABLE
HOUSING NONPROFIT DEVELOPMENT
AND MANAGEMENT ORGANIZATIONS IN
THE WESTERN UNITED STATES. R.
FOR BOTH SUPPORT OF HOME SERVE
MORE THAN TWENTY FIVE THOUSAND
SENIORS FAMILIES VETERANS
STUDENTS PEOPLE WITH
DISABILITIES AND PEOPLE WHO ARE
EXPERIENCING HOMELESSNESS. WE
PROVIDE SERVICES IN OUR FOR
DOUBLE DEVELOPMENTS TO MATCH THE
NEEDS OF THE RESIDENTS INCLUDING
SUPPORTIVE SERVICES FOR THE
FORMALLY AND HOUSE RESIDENTS AND
PEOPLE AT RISK OF HOMELESSNESS
AND DISABILITIES. OVER THE LAST
FIVE DECADES. OF THE DEVELOPING
AND MANAGING THESE COMMUNITIES
E. H. HAS FOUND THAT RESIDENTS
ARE ABLE TO MAINTAIN A STABLE
HOME AND THEIR OVERALL WELL
BEING WHEN THE COMMUNITY INCLUDE
SUPPORTIVE SERVICES. AH THAT'S
PARTNERS WITH EXPERIENCE SERVICE
PROVIDERS WHO UNDERSTAND EACH
COMMUNITY'S NEEDS AND OFFER
EVERYTHING FROM MEDICAL CASE
MANAGEMENT AND HEALTHY FOOD
PROGRAMS TO FINANCIAL LITERACY
AND JOB TRAINING TO OUR
RESIDENTS. ONE OF THE BIGGEST
BARRIERS FOR E. H. HOUSING TO
SUCCESSFULLY BUILD AND PROVIDE
MORE HOMES WITH SUPPORTIVE
SERVICES STATEWIDE HAS BEEN THE
LACK OF RELIABLE SUSTAINABLE
SERVICES FUNDING. IN FACT ACCESS
TO SERVICES FUNDS WHETHER
THROUGH CITY COUNTY HOUSING
AUTHORITY OR OTHER ENTITY IS ONE
OF THE KEY DETERMINANTS FOR
WHETHER WE DECIDE TO PROPOSE A
NEW SUPPORTIVE HOUSING
DEVELOPMENT IN A LOCALITY. THE
POLITICAL WILL THE LAND AND EVEN
THE CONSTRUCTION CAPITAL MAY ALL
BE THERE BUT WE HAVE ACTUALLY
HAD TO RECONSIDER MOVING FORWARD
WHEN WE CAN'T FIND THE SERVICES
NEEDED. FOR THE FUNDING NEEDED
TO SUPPORT THE FUTURE RESIDENTS.
ARE STATE DEVELOPMENT PROGRAMS
FOR SUPPORTIVE HOUSING REQUIRES
US TO FIND SOURCES OF SERVICES
FUNDS THAT WILL CONTINUE FOR AS
LONG AS THE RESIDENTS NEED THOSE
SERVICES. HE AGES SUPPORTING AB
TEN EIGHTY FIVE BECAUSE THE
BENEFIT WOULD BRING ADDITIONAL
FEDERAL DOLLARS TO CALIFORNIA.
IT WOULD OFFER PREDICTABLE
RELIABLE SUSTAINABLE SOURCE FOR
FUNDING FOR E. H. T. IS WHETHER
SERVICE PROVIDERS ACROSS THE
STATE. AND WILL HELP US CREATE
MORE SUPPORTIVE HOMES. WITH
THOSE AFFORDABLE HOUSING FUNDS.
ULTIMATELY IT WOULD ALLOW US TO
MOVE MORE PEOPLE OFF THE STREETS
AND INTO STABILITY. THANK YOU.
THANK YOU VERY MUCH APRIL SPEAKS
IN SUPPORT NOW THE TIME TO COME
FORWARD. JUST NAME AND
AFFILIATION AT THIS POINT AND-
SUPPORT GOOD AFTERNOON MADAM
CHAIR MEMBERS MARK FRUIT COME
HAVE THE CALIFORNIA HOSPITAL
ASSOCIATION IN SUPPORT.
INTRODUCTION ON BEHALF THE
COMPANY HOUSING PARTNERSHIP IN
SUPPORT. GOOD AFTERNOON ABOUT
INSURANCE SENATORS UNDERESTIMATE
US ON BEHALF OF ALL HOME IN
SUPPORT. GOOD AFTERNOON YES MEAN
POET ON BEHALF OF JUSTICE IN
AGING AND SUPPORT THANK YOU KEEP
. COULD ONE ARE OF CALIFORNIA
STATE ASSOCIATION OF
PSYCHIATRISTS IN SUPPORT THANK
YOU THANK YOU. HI I'M MARK IS
STILL THE WITH HOUSING
CALIFORNIA AND SUPPORT THANK YOU
. GOOD AFTERNOON JAIME VELASCO
WITH THE STEINBERG INSTITUTE IN
SUPPORT THANK YOU VERY MUCH. HE
SPEAKING IN OPPOSITION TO THIS
BILL TODAY NOW WOULD BE THE TIME
TO COME FORWARD. SEEING NONE
MODERATOR WILL GO THE PHONE
LINES IF THERE'S ANYBODY ON THE
PHONE WISHING TO SPEAK IN
SUPPORT AND OR OPPOSITION. THANK
YOU FOR SUPPORT OPPOSITION A. B.
TEN EIGHTY FIVE PLEASE PRESS ONE
THEN ZERO AT THIS TIME. WE'LL GO
TO LINE. ONE EIGHTY SEVEN. GOOD
AFTERNOON SHERMAN REPORTS WITH
THE CORPORATION FOR SUPPORTIVE
HOUSING PROUD CO SPONSOR OF AB
TEN EIGHTY FIVE IN SUPPORT.
THANK YOU VERY MUCH NOBODY ELSE
. AMERICAN HEARING NO FURTHER
COMMENTS IN Q. THANK YOU VERY
MUCH NOW WOULD BE THE TIME TO
MOVE IT BACK. BRING I HAVE A
MOTION ON THE BILL THAT ARE
GOING TO DO WANT TO ASK
QUESTIONS VIÆT MANAGER PLEASE
THANK YOU MADAM CHAIR I
APPRECIATE THE BILL I DO I LIVE
OUT. OF THE- BILL EIGHT EIGHTY
BUSINESS THREE WHERE THEY HAVE
THAT GOLF COURSE WHERE THERE'S
IT'S LIKE SKID ROW RIGHT OUT YOU
KNOW HUNDREDS OF. TRADERS AND
STUFF AND SO AND I JUST HAVE A
HUGE CONCERN RIGHT NOW WE'RE
GRAPPLING WITH YOU KNOW THE
HOSPITALS THAT ARE. FINANCIALLY
DISTRESSED ENCLOSING MEDICARE
PROVIDERS MEDICAL PROVIDERS
LEAVING THE NETWORK BUT NOT
PROVIDING SERVICES TO THOSE THAT
GET MEDIC CAL. HOW DO YOU
PROPOSE AND I GUESS THE PATHWAY
I KNOW THIS IS JUST A CITY TO
REQUEST. THE INFORMATION AND
THEN IF THE INFORMATION IS IT
COMES BACK VIABLE THEN WE WOULD
REQUESTED FOR THE FEDERAL
GOVERNMENT BUT WHERE DOES THE
REST OF THE RESOURCES COME FROM
JUST. WELL I MEAN I DO THINK YOU
HIT THE NAIL ON THE HEAD IT'S
THIS IS THE FIRST STEP TOWARDS.
DETERMINING WHAT THOSE RECESSED
SOURCES COULD ULTIMATELY BE AND
HOW THEY WOULD BEST BE USED. SO
IT IS GOING TO BE A BALANCING
ACT AT SOME POINT I THINK THIS
IS MONEY THAT'S GOING TO BE VERY
HELPFUL IF YOU TALK ABOUT THAT
LEVEL OF MANAGEMENT 90% MATCHING
THAT IS. A LOT OF MONEY THAT
CALIFORNIA COULD HAVE ACCESS TO.
HIGH NOTE UC HA WAS HERE TO IN
SUPPORT- OF THAT AS WELL SO I DO
THINK THE ISSUES THAT YOU RAISED
ARE LEGITIMATE ISSUES. WE DO
HAVE TO FIGURE OUT HOW. ASSUMING
THIS IS SOMETHING THAT'S DOABLE-
HOW THAT MONEY ULTIMATELY GET
SPENT TO SOMETHING THAT. YOU
KNOW- HELLO. THE LEGISLATORS
COULD HAVE TO GRAPPLE WITH. I
APPRECIATE THAT LIKE I SAID I
AM. I AGAIN I JUST I CAN ABOUT
IT I IT YOU KNOW WHAT I LOVE TO
HAVE A MANY. YES AND MY CONCERN
ABOUT WHAT HAPPENED A OF DAYS AT
THAT PARTICULAR ENCAMPMENTS.
THAT DON'T EVEN MAKE THE NEWS
IN. PRIDE DISCUSSED BARELY ON
THE RADAR BECAUSE THE FIRE
DEPARTMENT HAD TO PUT OUT THE
BURNING WOMEN THAT RAPE TINO. SO
IT WAS A- FIGHT I IT. I GET IT I
THINK THERE NEEDS TO BE HOUSING
AVAILABLE WE STRUGGLE WITH
HOUSING HOUSING PROJECTS AND
WITH MY COLLEAGUES FROM SAN
FRANCISCO TO PUBLIC. BILLS JUST
THIS WEEK. OR LAST WEEK FOR
HOUSING PROJECTS IN BECAUSE WE
NEED MORE HOUSING. I JUST AM
VERY CONCERNED THAT YOU KNOW WE
CAN'T EVEN PROVIDE THE ADEQUATE
REIMBURSEMENT RATES FOR MEDICAL
PROVIDERS AND HOSPITALS AND I'M
VERY CONCERNED ABOUT. THIS AGAIN
CATASTROPHIC EVENT THAT COULD
POSSIBLY TAKE PLACE BUT I
APPRECIATE THE CONCEPT OF THE
BILL. MOVING IT. TO PROVIDE
HOUSING FOR PEOPLE THAT ARE IN
THE IDEA WOULD BE HIS HOUSE. AND
THE IDEA WOULD BE THIS WOULD
GIVE MORE MONEY TO DO THAT. TO
REIMBURSE US ARE SUPPOSED TO
REIMBURSE THOSE PROVIDERS. THE
IDEA IS TO ACCESS MORE MONEY FOR
CALIFORNIA. TO DETECT THINGS WE
NEED TO DO TO GET. THESE
INDIVIDUALS AND HOW I GET IT
YEAH THANK. YOU SIR THANK YOU
MADAM CHAIR. THANK YOU. AND I
THINK YOU FOR YOUR LONG TIME. TO
SERVE THE ON HOUSE POPULATION-
YEAH AND I. IF WE NEED MORE SO
THAT. ONE COME INTO THE E. ARE
SO WE DON'T HAVE THE BACK UP WE
CAN GET PEOPLE BACK OUT AS
QUICKLY AS POSSIBLE. AND WE KNOW
WE'RE REIMBURSEMENT GOES.
OFTENTIMES BUILDINGS FOLLOW SO.
WE LIKE TO CLOSE MISTER
MAIENSCHEIN THANK YOU VERY MUCH
MADAM CHAIR MEMBERS RESPECTFULLY
REQUEST AN AYE VOTE OKAY THANK
YOU VERY MUCH THAT BILL WAS
MOVED BY. AMONG THE MOST CENTER
THE MON. AND THE- THE MOTION IS
TO PASS AS AMENDED AND APPROVED.
TO THE COMMITTEE ON.
APPROPRIATIONS SECRETARY PLEASE
CALL THE ROLL. SENATORS EGGMAN.
EGGMAN ICE WHEN. GLAZER
GONZALEZ. GONZALEZ EYEING GROWTH
. FOR TADO. APARTADO I. LIMÓN
HI. THE MON I MENJIVAR. MENJIVAR
ICE. ROTH OKAY. ROTH AYE. RUBIO
WHAT HAN. BOB I MEAN. WIENER HI
. ZERO ZERO. PLEASE GLAZER. HI
PLEASE AYE. NINE NINE IT WILL
HOLD THAT OPEN FOR AB. MEMBERS
YOU VERY. COULD WE GET A- MOTION
CONSENT CALENDAR AND ON THE-
CAL. IS B. FOUR EIGHT AB SO.
EIGHT THREE. TWO THE MAN AB FOUR
OH FIVE. AB FIVE NINE FIFTY TWO
A. ELEVEN OR THIRTEEN TWENTY
FIVE WITH THE MAN AB FOURTEEN
SIXTY TWO AB. SIXTEEN NINETY
SIX. SO MOVED BY SENATOR GROW ON
THE CONSENT CALENDAR SECRETARY
PLEASE CALL THE ROLL. SENATORS
EGGMAN HI EGGMAN AYE WHEN I
GLAZERS GLAZER AYE GONZALEZ
GONZALEZ I GROWTH. GROVE I HER
TADO FURTADO I THE MONTH THE
MALL HI MANJA. AND BAR I ROTH.
ROTH I GREW. WHAT HAN. BOB I
WINNER. WIENER AYE. LIVE IT WAS
A LOT WE WILL HOLD THAT ROLE
OPEN A FEW FOR ABSENT MEMBER
HASN'T RUBY WAS THE L. ONE
MISSED RIGHT NOW- NOW MOVING ON
TO A SIX THIRTY TWO. ASSEMBLY
MEMBER THE MOTION WAS DUE PASS
AS A MAN AND RE REFER TO
COMMITTEE ON A- ARE BELIEVE THE
ANIMAL BY. CENTER GROVE. SECTOR
PLEASE CALL THE ROLL. THE SENATE
BILL WHICH WE DID ON THE
PROSTATE YES I GET. I. I DID.
GONZALEZ I GONZALEZ I GROWTH.
GROVE HI FOR. ALTHOUGH I AM ON.
THE MON I MENTIONED ARE MENJIVAR
ROTH. ROTH I GREW. WHAT HOT. BOB
HI WINNER WINNER ICE. CORRECT
NOW MOVING ON TO A B. AND NINE
THIRTY ONE IRWIN TO PASS AS A
MAN AND RE TO THE ON A- CENTER
WIENER MADE THAT. SECRETARY
PLEASE CALL THE- SENATORS EGGMAN
EGGMAN AYE WHEN. FOR GLAZER AYE
GLAZER AYE BINS AYE I GONZALO I
GROWTH. HER TADO FOR TOP I THE
MONTH THE MON MENTIONED ARE MANY
OF OUR AYE ROTH. ROSS I RUBIO.
WAHAD BOB HI. WIENER AYE.
ELEVEN
HAVE LIKE A THREE MINUTE RECESS
WHILE WE WAIT FOR A CENTER WHO
IS PRESENTING IN ANOTHER
COMMITTEE TO COME OVER HERE FOR
FINAL VOTES BEFORE CLOSER ALL.
AB MOVE TO THE CONSENT CALENDAR
I WILL READ IT OFF AGAIN AB
FORTY EIGHT AB SEVENTY AB THREE
THIRTY TWO WITH THE MAN A. B.
FOUR FIVE AB FIVE NINE FIFTY TWO
AB THIRTEEN TWENTY FIVE WITH
AMEND AB FOURTEEN SIXTY TWO AB
SIXTEEN NINETY SIX IS A CONSENT
CALENDAR SECRETARY PLEASE CALL
THE ROLL. SENATOR RUBIO FIVE
RUBIO AYE OKAY NOW WE'RE MOVING
ON TO AB. SIX THREE TWO BY-
REMEMBER GIPSON THE MOTION WAS
TO PASS AS AMENDED AND RE REFER
TO COMMITTEE ON APPROPRIATIONS
SECRETARY SENATOR RUBIO AYE
RUBIO AYE TWELVE AB TWELVE ZERO
THAT BILL IS OUT AB EIGHT NINE
THIRTY ONE- CENTER- ASSEMBLY
MEMBER IRWIN TO PASS AS AMENDED
AND REFERRED TO COMMITTEE ON
APPROPRIATIONS. SECRETARY
SENATOR WHEN. GROWTH RUBIO RUBIO
I TEND TO TEN ZERO THAT BILL IS
OUT IN BE EIGHTEEN OH FIVE
MAIENSCHEIN DO PASSED AS AMENDED
AND REFERRED TO THE COMMITTEE ON
APPROPRIATIONS SECRETARY.
SENATORS OF WHEN. GROVE RUBIO
FIVE RUBIO I TEN TEN ZERO THAT
BILL IS OUT AND THAT CONCLUDES
THE SENATE COMMITTEE ON HEALTH.
THANK YOU FOR A.